Validation of Postnatal Care Health Data Reported Under Health Management Information System by the Primary Health Centers of Rural Vadodara, Gujarat

Postnatal care (PNC) is a part of maternal and child health (MCH) and important for the good health of both motherand child. Therefore, the present study was conducted with the aim to study the PNC data reported by primary health center/subcenter (PHC/SC) and validate them at the village level and assess quality of care given. Material and methods: A sampleof 20 PHCs, 13 rural and seven tribal, was selected using stratified random sampling. For every PHC, 2 SCs and for every SC,one village were selected. Data on PNC were collected from the PHC/SC records and validated by interviewing five beneficiariesfrom the village. Results: The district availability of PNC was 31.8%, while the overall accessibility was 52.2%. Adjustedutilization for the district was 74.7% for SBA and 14.7% for TBA. Effective coverage, adjusted for quality of care, for the districtwas 25.2%. Conclusions: The gap between the reported and validated data ranged from 15% to 51% of the reported

Women’s and Providers’ Experiences with Injectable Contraceptives (Depo-Provera): A View from Vadodara, India

Objective: To compare users’ and providers’ perspectives on injectable contraceptives (IC). Methods: This qualitative study employed semi-structured in-depth interview technique. Sixty women with experience of using IC and 10 doctors involved in providing IC were selected. Telephonic interviews of doctors were also conducted. Results: Over 50% of the women had side effects and had discontinued use within 1 year. The most common ‘likes’ according to women included ease of use, being tension free for 3 months and being effective and those of the providers were that it reduced anemia, privacy could be maintained, noncontraceptive benefits, good substitute, not to be taken daily like pills, safe and effective. The most common ‘dislikes’ reported by providers and clients were excessive bleeding, amenorrhea, irregular periods, spotting, weight gain and frequent pregnancy tests. Conclusion: Although certain distinct advantages of IC have been expressed, the associated problems are equally significant and therefore IC should not be an over-the-counter contraceptive

Isolated primary Hydatid cyst of kidney: A case report of asymptomatic patient

We report an isolated primary hydatid cyst of kidney in a pregnant asymptomatic woman. We also present salient diagnostic feature of asymptomatic patients of hydatid cyst

Cooperative self-assembly of peptide gelators and proteins

Molecular self-assembly provides a versatile route for the production of nanoscale materials for medical and technological applications. Herein, we demonstrate that the cooperative self-assembly of amphiphilic small molecules and proteins can have drastic effects on supramolecular nanostructuring of resulting materials. We report that mesoscale, fractal-like clusters of proteins form at concentrations that are orders of magnitude lower compared to those usually associated with molecular crowding at room temperature. These protein clusters have pronounced effects on the molecular self-assembly of aromatic peptide amphiphiles (fluorenylmethoxycarbonyl- dipeptides), resulting in a reversal of chiral organization and enhanced order through templating and binding. Moreover, the morphological and mechanical properties of the resultant nanostructured gels can be controlled by the cooperative self-assembly of peptides and protein fractal clusters, having implications for biomedical applications where proteins and peptides are both present. In addition, fundamental insights into cooperative interplay of molecular interactions and confinement by clusters of chiral macromolecules is relevant to gaining understanding of the molecular mechanisms of relevance to the origin of life and development of synthetic mimics of living systems

Risk Factors and Protective Factors for COVID-19 Infection among Patients Visiting University Health Centre of Vadodara District: A Case Control study

Introduction: Identification of risk factors and protective factors of COVID-19 can help in controlling the disease in healthcare and the community. Objective: To determine the risk factors and protective factors of COVID-19 among patients visiting University Health Centre of Vadodara district. Method: A case control study was done at University Health Centre of the district. Hundred cases who were COVID-19 positive by RTPCR/RAT testing and 100 controls who were RTPCR/RAT negative and never displayed its signs and symptoms were asked about knowledge of parameters such as hand hygiene, social distancing, any ayurvedic or homeopathic medicine intake, chemoprophylaxis of HCQ, visit to public places, any travel history outside city, state or country, the manner, place, and type of masks used by them to know the risk and protective factors for COVID-19. Results: Significant risk factors for COVID-19 infection based on logistic regression were increasing age (OR=3.65, p=0.004), higher education (OR=4.72, p=0.001), self-medication of homeopathic or ayurvedic medicines (OR=6.27, p=0.005). Significant protective factors for COVID-19 infection based on logistic regression were regular use of mask (OR=0.03, p=<0.0001), correct technique of mask use (OR=0.17, p=0.02), and maintaining social distance (OR=0.18, p=0.049). Conclusion: This study revealed the factors associated with occurrence of COVID-19 were increasing age, higher education, self- medication and factors which protect from infection were regular use of mask, correct technique of mask use, and maintaining social distance

Effect of postpartum counseling on adoption of family planning within six months in women delivered in SSG Hospital: an interventional study

Background: Increased family planning helps to reduce maternal mortality and infant mortality. Unmet need is spacing of birth for younger women and is the limitation of births for older women; both of which can be fulfilled by rigorous counseling. so the present study was conducted to measure the proportion of targeted women adopting family planning methods after postpartum counseling and to find out the type and timing of adoption.Methods: A Non-randomized control trial was conducted. The study was carried out at the postpartum delivery ward of the obstetrics and gynecology department of SSG Hospital. 103 participants in the intervention group and 103 participants in the control group were interviewed.Counseling and leaflet were given to the intervention group. The washout period was kept for one week. In the next week in the control group usual counseling was given by the counselor (standard of care). Second interview of the same participants was done telephonically or home visits after the 6 months to see the adoption of family planning method.Results: Within six months of delivery, acceptance of contraceptive methods was more in intervention group (72.85%) than in control group (48.52%). Condom was the most common type of contraceptive intervention used in both interventional group (51.45%) and control group (36.76%) followed by Copper T use which was 14.21% in interventional group and 8.82% in control group. Majority of the women adopted contraceptives within two months of intervention.Conclusions: Counseling may help in adoption of family planning methods among postpartum women

Prevalence of Health Problems, Professional and Financial Satisfaction among Doctors Working Across Vadodara City: A Cross-sectional Study

Background:&nbsp;The present study was conducted to know the distribution of various health problems among doctors and to assess professional and financial satisfaction levels among doctors.&nbsp;Methods:&nbsp;A Google Form questionnaire-based cross-sectional study was conducted among 122 doctors in Vadodara selected purposively after taking consent. Google form was circulated by email and WhatsApp groups. The form consisted of questions related to demographic details, health problems, financial and job satisfaction. All the responses were recorded and analyzed in MS Excel 2019.&nbsp;Results:&nbsp;Among the 122 doctors, 89 (72.95%) were male and 33 (27.04%) were female and 101 (82.78%) doctors were taking treatment for some ailment. Around 86.9% of doctors regularly opt for a health check-up. Among the health problems reported by doctors, the most common were musculoskeletal ailments (72.13%) followed by hypertension (28.9%), diabetes (17.2), cardiac (12.3%), endocrinal (10.65%), eye (9.01), mental (6.55) problems. Approximately 37.70% of doctors answered that health problems temporarily affect their work; 5.73% of doctors felt the need to modify their work pattern. About 91.80% of doctors were satisfied by their profession, while 108 (88.52%) doctors were financially satisfied with their work.&nbsp;Conclusion:&nbsp;More than half of the professionals complained of musculoskeletal problems. The majority of health care professionals were professionally and financially satisfied