Awareness regarding Janani Shishu Suraksha Karyakram (JSSK) among mothers: a community based cross-sectional study in rural area of Raipur district, Chhattisgarh

Background: In order to increase accessibility of health care services for pregnant women and sick infants and to reduce out-of-pocket expenditure, Ministry of Health and Family welfare, Government of India has launched a nationwide initiative- Janani Shishu Suraksha Karyakram on June 01, 2011. The objective of the study was to find out the awareness level about the entitlements of JSSK among mothers with child less than one year and its association with different socio-demographic variables.Methods: A community based cross-sectional study was conducted in rural block of Raipur district, Chhattisgarh, India, among 352 mothers having child less than one year using multistage random sampling using predesigned, pretested proforma from July 2015 to June 2016. Chi-square test was applied to find out the association between awareness level and different socio-demographic variables. P <0.05 was considered significant.Results: Among 352 mothers, good awareness were found in only 207 mothers (58.80%). Maximum awareness (89.20%) regarding entitlements among mothers was seen for free transport services from home to health institution followed by the drop back transport facility from hospital to home (85.22%). None of the mothers know about free diagnostic services for mothers and for sick infants and for free provision of blood for sick infants. Increasing parity was significantly associated with good awareness regarding JSSK.Conclusions: Level of awareness regarding JSSK entitlements for pregnant mothers and sick infants was found to be low. Extensive IEC needed to further increase the awareness regarding JSSK entitlements to increase utilization among beneficiaries

Prevalence of goitre, iodine uptake and salt iodization level in Mahasamund district of Chhattisgarh: a baseline study in Central India

Background: Iodine deficiency disorder (IDD) is the single most important preventable cause of brain damage. Iodine deficiency disorders (IDDs) refer to all of the consequences of iodine deficiency in a population, which can be prevented by taking adequate amount of Iodine.  The objectives was to ascertain the prevalence goitre among 6-12 year children by clinical examination in Mahasamund district; 2) to document the iodine uptake status reflected by random urinary excretion levels in a sub-sample of 6-12 year children covered for clinical examination, and 3) to evaluate the coverage of iodized salt at community level (i.e. at household and retail shop) on-the-spot test by using rapid salt testing kit.Methods: A cross sectional community based survey was done in Mahasamund district during April 2015 to September 2015. The study population was children in the age group of 6-12 years. 30 cluster sampling methodology was applied using PPS sampling technique, based on latest survey guidelines of NIDDCP of Govt. of India. The parameters studied were prevalence of goitre, urinary iodine excretion, and iodine content in salt at community level (i.e. household and shop).Results: A total of 2700 children aged from 6-12 years were assessed clinically for goitre. The total goitre prevalence was 4.29% (95% CI: 3.3-5.27). The median urinary iodine excretion (MUIE) was 106.67μg/L (range 11-216.7μg /L) among surveyed children.  37.4% of the urinary iodine excretion values were <100 μg/L. The households consuming inadequately iodized salt (i.e. iodine content ≤15 ppm) was 20% in the surveyed district.Conclusions: Although prevalence of goitre and median urinary iodine excretion among surveyed population was found satisfactory against the norms set by NIDDCP in surveyed district but universal salt iodization (USI) is yet to achieve in surveyed district.

A study to assess receipt and utilization of janani suraksha yojana cash incentive among mothers in urban slums of Raipur city, Chhattisgarh, India

Background: Janani Suraksha Yojana (JSY) replaces the National Maternity Benefit Scheme. It was launched by the Government of India in April 2005. The aim was to reduce maternal and neonatal mortality by increasing institutional delivery by providing cash incentive to the beneficiaries as well as the link worker ASHA. Objectives of this study was to assess receipt of Janani Suraksha Yojana (JSY) cash incentive and to assess fields of utilization of Janani Suraksha Yojana (JSY) cash incentive.Methods: A Community based cross-sectional study was conducted among 384 mothers delivered within last one year in urban slum of Raipur city. Study centre was department of community medicine, Pt. J.N.M. medical college Raipur, Chhattisgarh. A pre-designed and pre-tested questionnaire was used to interview the study subjects.Results: Out of total 384 study subject’s cheque of JSY cash incentive was received by 70.83%. All (100%) beneficiaries who received cheque was stipulated amount as per JSY guideline. Reasons for not receiving cheque was no availability of BPL card for those who delivered in accredited private health facility. Other reasons were absconded after delivery, unaware of cash incentive, did not go back to get the cheque when called later, patient shifted to another ward. None of the study subjects who delivered at home received the cash incentive cheque. Realization of cheque was not done by 22.79% of study subjects due to complex procedure to open an account in bank. Cash incentive money was utilized in neonatal care, drugs, food, household activities and some deposited in bank.Conclusions: JSY scheme is definitely functioning well in terms of providing cash incentive cheque of JSY on delivery in Government Health facility. There is need to simplify the procedure to open an account so that beneficiaries can avail cash incentive money. There is need to address the problems to receive cheque in home delivery and accredited Private health facility in addition to motivation for institutional delivery

Prevalence of hypertension and its association with anthropometric parameters in adult population of Raipur city, Chhattisgarh, India

Background: Obesity is now an important emerging public health problem in India. It is one of the major risk factor for hypertension. Overweight persons have two to six fold increase in the risk of developing hypertension. This study was carried out with objective to find out prevalence of Hypertension and assess its association with four obesity-related indices- body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR).Methods: A cross-sectional community-based study was done among 640 study subjects of age group 25-59 years during July 2015 to June 2016. Multi stage random sampling method was used. Data collection was done using WHO STEPS instrument V 3.1. Privacy and confidentiality of data was maintained. Data was entered in the Microsoft excel, collected data was checked for its completeness and correctness before data analysis with the help of PSPP software.Results: Prevalence of hypertension among study subjects was found to be 22.19% (142 out of 640).With respect to body mass index, waist circumference, waist hip ratio and waist height ratio, 4.38%, 64.35%, 85.33%, 76.2% were found to be obese respectively. Hypertension was strongly associated with BMI (p<0.001), waist circumference (p<0.001), waist hip ratio (p<0.05), waist height ratio (p<0.05). Out of the four anthropometric variables waist hip ratio (WHR) was most strongly associated with hypertension (β=420.236, p=0.007).Conclusions: The study shows a rising burden of hypertension among study population. As WHR is the best indicator for measuring obesity, so measurement of WHR should be made compulsory in healthy life style clinics along with other parameters

Ionic Pairing and Selective Solvation of Butylmethylimidazolium Chloride Ion Pair in DMSO-Water Mixtures: A Comprehensive Examination via Molecular Dynamics Simulations and Potentials of Mean Force Analysis

Chloride-based ionic liquids, exemplified by 1-butyl-3-methylimidazolium chloride (BMIM+ − Cl−), possess the capacity to dissolve cellulose, a predominant constituent of biomass. However, their inherently high viscosity poses a hindrance to efficient biomass dissolution for biofuel production. An intriguing solution emerges through the utilization of chloride-based ionic liquids in combination with solvents like water and DMSO, offering a promising avenue to reduce ionic liquid viscosity and enhance the efficacy of biomass dissolution. Utilizing constrained molecular dynamics simulations, we have conducted an extensive exploration of the potentials of mean force (PMFs) governing the behavior of the 1-butyl-3-methylimidazolium chloride (BMIM+ − Cl−) ion pair within dimethyl sulfoxide (DMSO)-water mixtures. Analysis of the BMIM+ − Cl− ion pair PMFs has revealed a noteworthy trend: with increasing DMSO mole fraction, there is a conspicuous augmentation in the depths of the minima associated with both the contact ion pair (CIP) and the solvent-assisted ion pair (SAIP). Notably, the CIP minimum exhibits a more pronounced increment relative to the SAIP minimum. This compelling observation underscores the heightened thermodynamic favorability of ion pairing as the DMSO mole fraction elevates. The credibility of the PMFs is corroborated through the meticulous computation of ion pair residence times for various inter-ionic separations. Thermodynamic assessments discern an intriguing trend: within the range of DMSO mole fractions (xDMSO) spanning 0.10, 0.21, 0.35, and 0.48, the stabilization of both CIPs and SAIPs is driven by entropy. In contrast, for xDMSO values of 0.0, 0.91, and 1.00, enthalpy plays a pivotal role in stabilizing the CIP and SAIP states. Further insights emerge from the meticulous analysis of radial distribution functions (RDFs) characterizing the arrangement of water and DMSO molecules surrounding the BMIM+ − Cl− ion pair. This scrutiny reveals the propensity of water molecules to form hydrogen bonds with the chloride ion, while DMSO molecules preferentially engage in hydrogen bonding with the BMIM+ ion, both within the CIP and SAIP states. Re- markably, water emerges as the preferred solvent for the solvation of the BMIM+− Cl− ion pair, superseding the affinity of DMSO. A notable transition surfaces as the DMSO mole fraction transitions from 1.0 to 0.91, resulting in a pronounced diminishment in the stability of both CIP and SAIP states, attributed to a substantial amplification in the local water density. Significantly, the preferential binding coefficients (γ) values for DMSO consistently show negativity, indicating its preferential exclusion from the BMIM+ − Cl− ion pair in DMSO-water mixtures. The calculated decay times for the survival probabilities of water and dimethyl sulfoxide (DMSO) molecules in the vicinity of the BMIM+ − Cl− ion pair suggest that the water cluster surrounding the Cl− ion exhibits greater stability compared to the DMSO cluster around the Cl− ion, while conversely, the trend is reversed for the BMIM+ ion. These findings advance our understanding of ion pairing kinetics in DMSO-water mixtures, providing valuable insights applicable to a wide spectrum of endeavors, notably including the incorporation of BMIM+ − Cl− ionic liquids in the conversion of biomass into biofuels

Proceedings of the International Conference on Frontiers in Desalination, Energy, Environment and Material Sciences for Sustainable Development

This proceeding contains articles on the various ideas of the academic community presented at the International Conference on Frontiers in Desalination, Energy, Environment and Material Sciences for Sustainable Development (FEEMSSD-2023) &amp; Annual Congress of InDA (InDACON-2023) jointly organized by the Madan Mohan Malaviya University of Technology Gorakhpur, KIPM-College of Engineering and Technology Gida Gorakhpur, and Indian Desalination Association, India on 16th-17th March 2023.  FEEMSSD-2023 &amp; InDACON-2023 focuses on addressing issues and concerns related to sustainability in all domains of Energy, Environment, Desalination, and Material Science and attempts to present the research and innovative outputs in a global platform. The conference aims to bring together leading academicians, researchers, technocrats, practitioners, and students to exchange and share their experiences and research outputs in Energy, Environment, Desalination, and Material Science.  Conference Title: International Conference on Frontiers in Desalination, Energy, Environment and Material Sciences for Sustainable Development &amp; Annual Congress of InDAConference Acronyms: FEEMSSD-2023 &amp; InDACON-2023Conference Date: 16th-17th March 2023Conference Location: Madan Mohan Malaviya University of Technology, GorakhpurConference Organizers: Madan Mohan Malaviya University of Technology Gorakhpur, KIPM-College of Engineering and Technology Gida Gorakhpur, and Indian Desalination Association, Indi