பொது சுகாதாரம் மற்றும் பாதுகாப்புக்கான சர்வதேச இதழ்

Due to pregnancy related complications 67000 women die every year in India. Approximately 13 lakhs infants die within one year of birth, in these 9 lakhs die within 4 weeks of born i.e., 2/3rd of the infant deaths, 75% die within first week (most of them are in first two days). To reduce these death rates government of India introduced a program called Janani Shishu Shuraksha Karyakram (JSSK). The main aim of this program to provide, free transportation to pregnant women, infants, sick neonates to access to public health care centres. With the launch of JSSN institutional deliveries increased significantly, still 25% pregnant women hesitate to access these services. In this research article, implementation JSSK services in Chhattisgarh state have been studied. Only 40% of the people in Chhattisgarh are utilizing JSSK services, this is very least utilization as compared to national utilization. In this paper, we described positive deviance model to develop access of JSSK services. In this model Focus Group Discussion (FGD) and In-depth Interview (IDI) were used to know about JSSK services. In this paper we proposed new methodologies and key changes that should do with immediate effect in JSSK services. The primary objectives of this paper are:

1. To identify best practices and evolve strategies to assure complete free services to all pregnant women and sick neonates accessing public health institute pocket expenditure

2. To identify and disseminate the best implementation practices of service providers in terms of the decision making, planning, effective communication, effective monitoring, incentives (financial and non-financial incentives) and grievance redressal.

Green based Agricultural development strategy for emergent nation needs to focus on increasing the productivity of the soil under cultivation, with lower costs, higher efficiency of products with small or no damage to both humans and the environment. This study attempts to get together different issues in the light of recent developments for organic farming problems and prospective in the state of Tamil Nadu. The prime essential is the advancement of a solid soil-plant-condition framework to diminish Land corruption and maltreatment of the information sources. Another methodology of advancing eco-accommodating cultivating is through the change of the present frameworks of cultivating in the zone of soil supplement rebuilding to empower the utilization of natural materials, named natural cultivating. Country's advancement is a powerful strategy, which is essentially stressed with the local domains. These join cultivating improvement, setting up of financial plan and social system, rational wages as moreover cottage and residence goals for the landless, town masterminding, general affluence, preparing and practical capability, and association, etc. The improvement of our homeland with a point of view to pick up the individual fulfilment of the general people is said to be regional improvement.

Introduction: HIV testing and counselling is fundamental to both HIV/AIDS prevention and treatment. Patients need to know their sero- status to benefit from available care and treatment options. Therefore, multi focused testing and counselling strategies need to be instituted in order to reach risk group. Different factors might affect PIHTC service up take which demand timely assessment.

Objective: The aim of this study was to assess acceptability level of PIHTC among TB patients in Bale Robe Hospital.

Method: Institution based cross sectional study was conducted from March – April/2013 at Bale Robe hospital TB clinic. Structured and pretested questionnaire was used to collect the data. Simple random sampling technique was used to select the study participants. The data was analysed and processed using SPSS version 22

Results and Discussion: Most of the patients were initiated for HIV testing by their TB treatment supervisor 265(94.64%). Among those who were initiated by their treatment supervisor for HIV testing, 210 (79.25%) had under gone HIV testing. Acceptability of PIHCT is more in common younger age group than elder, primary education (18.93%), secondary and above education (29.04%). The reported barriers for acceptability of PIHCT include no risk person for HIV infection 32(58.18%), fear of stigma and discrimination and not sure of confidentiality 5(9.09%), unable to cope the positive result 4(5.46%).

Conclusion and recommendations: The relatively high acceptability of PIHCT in this study shows fertile ground for the control, prevention and treatment of both HIV/AIDS and TB. The programmed needs to be strengthened and TB supervisors should keep their efforts to promote PIHCT.

Background and Objectives: COVID-19 is still spreading rapidly around the world. At present, the main strategies adopted to prevent spreading are quarantine, social distancing and isolation of infected cases. This study investigated perceptions and behavioural adoptions of COVID-19 prevention strategies among the Chinese public and identified factors predicting individual health behaviour.

Methods: We conducted a cross-sectional online survey between 22 February and 5 March, 2020. We approached to urban residents through snowball sampling method using the Chinese social media. The Health Belief Model (HBM) was adopted to guide the analysis. Bivariate and multivariate logistic regressions were used to examine impacts of modifying factors and individual beliefs on individual health behaviour.

Results: Of 5675 valid questionnaires, 95.8% of the respondents well understood the knowledge of preventive measures from COVID-19 transmission, while 79.9% of the respondents adopted the behaviour advised. Of which, the adoption of wearing face mask was the highest (98.5%). Multivariate logistic regression results showed that the respondents who were female, had better income, and better knowledge, perceived benefits, and did not feel anxious were more likely to adopt Behaviors advised.

Conclusion: The respondents of this study highly accepted and adopted behaviours advised to slow down the COVID-19 epidemic. The policy support should target on the social vulnerable groups. The psychological support should be disseminated through different means, and the consultation should be provided to those who are in need.

Background: Homeopathy was discovered in the year 1790 by German physician Christian Friedrich Samuel Hahnemann. Homeopathy is based on the principle of "Similia Similibus Currentur” which means ‘likes cures likes’. The process of preparation of homeopathic medicines is known as “Potentization”. There are many types of research and studies which prove the positive effects of homeopathic remedies in various chronic disorders including gynecological disorders such as fibroids, PCOD, Menstrual disorders, PMS, etc. Many gynecological disorders are treatable by homeopathic remedies. Homeopathy requires an active collaboration on the part of the patient as it has an intrinsic difficulty of long-term acceptance.

Methodology: The study was conducted as an observational and prospective study to check the Efficacy and Patient Satisfaction from Homoeopathic Treatment in Gynecological Disorders.110 samples in which females with age more than 13years who had gynecological disorders and undergoing homeopathic treatment for gynecological disorders were taken, a pre-tested and standardized questionnaire was used and samples were selected by non-probability convenient sampling method.

Results: Efficacy and patient satisfaction from homeopathic treatment in gynecological disorders was 68.8%.

Conclusion: The overuse of contraceptive and hormonal pills is showing bad effects on patients' health and more often the hormonal treatment which shows carcinogenic effects. So, as to overcome and reduce all these side effects of modern medicine the alternative system of treatment "Homoeopathy" was tossed up. Homeopathy is a very beneficial and potent alternative to synthetic hormones. This research paper has the clinical findings of homeopathic appointments in the 3 clinics of the Faridabad area Gynecological disorders.