Mobility CLM and the Facebook - Are Circle Marketers in India missing a Trick or Two?

The game is all about revenue. Or so, the honchos at the top would have us believe. And yet, come the last two weeks of every month, the conversations revolve around GROSS acquisitions. How many customers did you get in? The acquisition, more than anything else, dominates circle discourse, ignoring innovation in Customer Lifecycle Management (CLM) that can enhance revenue

Maternal near miss and maternal death among women with hypertensive disorders in pregnancy: an observational study in a selected hospital in West Bengal

Background: Aim of the this study was to assess the prevalence of hypertensive disorder in pregnancy and the  incidence of maternal death and maternal near miss from the hypertensive disorders of pregnancy and utilization of maternal health care services by them. Methods: An observational study was performed at Purba Medinipur District Hospital, West Bengal from 1st April 2018 to 31st December 2020. The main outcome measures included incidence of potentially life threatening conditions, life threatening conditions maternal near miss cases and mortality developed due to PIH/preeclampsia/eclampsia and utilization of maternal health care services by them. Results: Present study reflected that the prevalence of hypertensive disorder in pregnancy was 9.01% (3543/39310) of total admission. The incidence of maternal mortality due to complication of hypertensive disorder was 7 out of total maternal mortality 30 during that period i.e. 23.3% of total mortality and incidence of MNM was 82 out of total 249 MNM cases during the same period i.e. 32.9% of total MNM cases. Utilization of maternal health care services revealed that there is a scope to increase the service delivery. Conclusions: Health care programmes need to enhance the existing efforts to improve timely health seeking behavior of women. There is a need of better quality antenatal care and extra resources are needed for identification and transportation of the women to reach hospital when the women develops complications. There is also a need of improvement of critical care in women who are suffering from life threatening condition

Resilience of Healthcare Providers during COVID-19 Pandemic: A Rapid Assessment using Digital Platform

Introduction: Coronavirus Disease-2019 (COVID-19) pandemic exposed the health workforce to an unprecedented occupational hazard. While taking care of patients they always had to be conscious simultaneously for safeguarding themselves and their family members against the highly infectious virus. In West Bengal, cases were first reported in the last week of March-2020 and reached the peak around October-2020 in the first wave, once the lockdown was lifted. During the initial months, the staggering number of cases, prevailing uncertainty over case management, and untimely demise of colleagues and relatives, took their toll on the physical and mental health of doctors, paramedics, or support staff, both in the government and private sectors. Aim: To measure perceived stress, resilience and psychological well-being of healthcare providers using standard psychometric tools. Materials and Methods: This was a cross-sectional observational study carried out among healthcare workers in hospitals located in West Bengal, India. A self-administered questionnaire was circulated through a digital platform between June-November 2020. The questionnaire was designed using Perceived Stress Scale (PSS-10), Kessler-6 (K6), and Brief Resilient Coping Scale (BRCS) to assess perceived stress, psychiatric morbidity, and resilience of the person. It had three parts, one to capture socio-demographic details of the participants including age, sex, marital status, occupation, family history of psychiatric morbidity, place of stay etc. Second part consisted of psychometric scales and third was designed to capture the views of participants on the coping strategies. Calculated sample size was 189. Results: Based on standard cut-off values, it was found that 65.6% subjects were under moderate or severe stress; 56.6% had compromised mental well-being and 64% were not coping well with the pandemic situation. PSS were significantly poor for females (p-value <0.001), single (p-value <0.001) and those without history of psychiatric morbidity (p-value <0.001) and low resilient copers (p<0.0001). Mental well-being was compromised more among married (p-value=0.01), doctors (p-value=0.008), aged <40 years (p-value=0.003), high resilient copers (p-value=0.02). Popular means of stress reliever were music and yoga/exercise. Correct and updated knowledge on disease transmission, availability of personal protective equipment, pursuing hobbies like music and gardening were few suggested measures to improve coping with stress associated with patient care. Conclusion: The study revealed that majority of the health workers experienced moderate to heavy degree of stress and compromised psychological well-being during the first wave of pandemic. Relationship of stress and psychological well-being with resilience and socio-demographic variables was not always linear

Facilitators and barriers to the uptake of COVID-19 vaccine precaution dose among adult population: qualitative analysis across six different states of India

IntroductionIndia launched the COVID-19 vaccination drive on 16th January 2021 by vaccinating the adult population above 18 years of age. This was followed by the introduction of an additional precaution dose. As on 18th October 2022, 1,02,66,96,808 (1.02 Billion) first dose and 94, 95, 39,516 (949 Million) second doses of COVID-19 vaccine were administered. However, when compared to the uptake of the primary doses, the precaution dose uptake lagged behind with only 21,75, 12,721 (217 million) doses administered. Even though, the uptake of the primary doses remained optimal, irrespective of different interventions by the Government of India, the uptake of the precaution dose remained poor. In this context, the Ministry of Health &amp; Family Welfare wanted to understand the facilitators and Barriers for precaution dose uptake among adults so that future immunization campaigns could address these issues.MethodsAn exploratory qualitative study was conducted to assess the facilitators and barriers for COVID-19 precaution dose uptake at community level across 6 different states in India. From each of the states, two districts with the highest and lowest rates of COVID-19 vaccine precaution dose uptake were selected. In each of these districts, 2 block Primary Healthcare Centres (PHCs), one with high and one with low uptake were identified. Within these block PHCs, a PHC field area with high and low precaution dose uptakes was identified. From the identified sites a minimum of four IDIs, four FGDs were conducted among the community members. KIIs of the State Immunization Officers, District Immunisation Officers, PHC Medical Officers, healthcare workers like Accredited Social Health Activist/Auxiliary Nurse Midwife were also conducted. The data was audio recorded and it was transcribed, translated and analysed using framework approach.ResultsIt was observed that rise in COVID-19 cases prompted the community to take the precaution dose, this along with the cost of hospitalization and the number of productive days being lost as a result of being infected resulted in vaccine uptake. The fear of non-availability of COVID-19 vaccines latter on also prompted people for vaccine uptake. While the barriers were, poor accessibility to vaccination centers, long hours of travel, poor road connectivity and lack of transportation facilities. However, the most prominent barriers observed across all study sites was that a sense of pandemic fatigue and complacency had developed both among the providers as well as the beneficiaries. Other barriers include differences in vaccination schedules and longer duration between the primary doses of some vaccines. Media was identified to be both a barrier and facilitator for Covid-19 Precaution dose uptake. Even though media played an important role in disseminating information in the beginning of the campaign, it was soon followed by the circulation of both misinformation and disinformation.DiscussionThe study identified that dissemination of accurate information and community involvement at each stage of planning and implementation are crucial for the success of any campaign. Efforts should be constantly made to address and re-invent strategies that will be most suitable for the needs of the community. Therefore, in order to ensure successful vaccination campaigns, it is crucial that along with political will it is also important to have a decentralized approach with inter-sectoral coordination with different stakeholders such as healthcare workers, community members and the different departments such as the local self-governments, education department, law &amp; order department etc. These lessons learnt from COVID-19 vaccination campaigns must not be forgotten and must be applied in future vaccination campaigns and while framing public health policies