Prospective study on quality of newborn care

Background: Quality of services provided by health care provider, the closest health functionary to the community has impact on neonatal mortality. Aims: Study on quality of newborn care in rural areas.  Settings and Design: This is a prospective study in the field practice areas of J.N. Medical College and areas under primary health centre of public health care system in Wardha district.  Methods and Material: Modified quality check list on the basis of PHC MAP module guidelines for assessing the quality of service-module 6-user’s guide was prepared. Face to face interview with 205 (group-A/104 nos + group-B/101 nos) mother of newborn was method to collected information in three postnatal visits.  Statistical analysis: Quality (verbal response) of each service was quantified as acceptable, average and worst.  Quality of both the groups was compared by calculating P-value after utilizing Z-test.  Results: Over all acceptable quality of medical history was 30.03%, physical examination was 21.73%, preventive service was 91.17% and counseling was 24.83%. Significant difference between two groups were found on history taking for (cry, breathing and body movement of baby), recording weight and counseling regarding exclusive breast feeding for first 6 month of life. Worst quality in this study were observed in history for anything applying to eyes, umbilical cord stump and complication of baby for which appropriate management was taken. Except for weight recording and examination of head and fontanels all other variables under physical examination were not acceptable. Counseling regarding high risk condition of baby was only 13.66%. Conclusion: Existing newborn services except immunization is inadequate and needs to be strengthened especially physical examination and counseling services

Prevalence and patterns of research misconduct among medical college faculties

Background: With availability of the internet in all hands, the information on any topic is widely available. It is easy to access and many journals are open access. Hence it is tempting to easily copy paste the material to save time and serves as short cut for various purpose. Objective: To study prevalence and factors for research misconduct among medical college faculties Methods: Cross sectional study was carried out in two medical colleges in 58 faculty members using self-administered questionnaire. Confidentiality was ensured. Questionnaire consisted of questions pertaining to self-declaration of committing research misconduct. Next part was related to their opinions on factors, action to be taken and prevention related to research misconduct. Results: 68.9% knew what is plagiarism but only 8.6% knew types of plagiarism. Prevalence of research misconduct as faculty was 62.1%, (plagiarism=41.4%, fabrication=18.9%, falsification=1.7%). Prevalence of research misconduct as postgraduate was 91.4% (plagiarism=63.8%, fabrication=25.9% and falsification=1.7%). Lack of facilities and lack of time was the major response leading to research misconduct in 25.9% and 24.1% respectively. Most common action suggested was removal of published article and disciplinary warning by 37.9% of responses each. 8.6% of responses said that it is not possible to prevent research misconduct. Majority of responses were in favor of training followed by increasing awareness i.e. 56.9% and 51.7% respectively for prevention of plagiarism. Conclusion: Commitment of research misconduct was very high in publications as faculty and still more in dissertations as postgraduates. Lack of awareness, time, facilities, resources were responsible factors. Training and increasing awareness were the suggested measures

Risk factors of morbidity status among elderly in rural field practice area of a Medical College

Background: The increase in the expectancy of the life has resulted in the increased elderly population and at the same time increase in diseases of chronic in nature and degenerative diseases. Chronic diseases like diabetes, hypertension, stroke, cancers etc are on the increase Objective: To study the associated risk factors for various morbidities among elderly population in the rural field practice area Methods: A community based cross sectional study was carried out among 832 randomly selected elderly persons in the rural area. Common morbid conditions like diabetes, hypertension, gastrointestinal diseases, respiratory diseases, psychological diseases were surveyed. Associated risk factors were studied. Data was analyzed using odds ratio, chi square. Results: the prevalence of hypertension was 42.4%. It was found to be associated with advanced age of more than 70 years. The prevalence of diabetes was 14.1%.it was found to be associated with lack of physical exercise and alcohol use. The prevalence of gastrointestinal diseases was 26.1%. It was associated with age, lack of physical exercise and alcohol use. The prevalence of respiratory diseases was 6.5%. It was associated with lack of physical exercise, alcohol use. The prevalence of psychological diseases was 2.3%. It was associated with lack of physical exercise. Conclusion: The most common morbid condition among elderly was hypertension in 42.4%. Lack of physical exercise was the most common risk factor for all the morbidities studied except hypertension

Prospective study on quality of newborn care

Background: Quality of services provided by health care provider, the closest health functionary to the community has impact on neonatal mortality. Aims: Study on quality of newborn care in rural areas.  Settings and Design: This is a prospective study in the field practice areas of J.N. Medical College and areas under primary health centre of public health care system in Wardha district.  Methods and Material: Modified quality check list on the basis of PHC MAP module guidelines for assessing the quality of service-module 6-user’s guide was prepared. Face to face interview with 205 (group-A/104 nos + group-B/101 nos) mother of newborn was method to collected information in three postnatal visits.  Statistical analysis: Quality (verbal response) of each service was quantified as acceptable, average and worst.  Quality of both the groups was compared by calculating P-value after utilizing Z-test.  Results: Over all acceptable quality of medical history was 30.03%, physical examination was 21.73%, preventive service was 91.17% and counseling was 24.83%. Significant difference between two groups were found on history taking for (cry, breathing and body movement of baby), recording weight and counseling regarding exclusive breast feeding for first 6 month of life. Worst quality in this study were observed in history for anything applying to eyes, umbilical cord stump and complication of baby for which appropriate management was taken. Except for weight recording and examination of head and fontanels all other variables under physical examination were not acceptable. Counseling regarding high risk condition of baby was only 13.66%. Conclusion: Existing newborn services except immunization is inadequate and needs to be strengthened especially physical examination and counseling services