The rising burden of non-communicable diseases and the number of people with non-Communicable diseases (NCDs) missing out on regular care due to the fear of contracting COVID-19 paved way for a new health policy called Tamil Nadu Doorstep Healthcare Scheme (Makkalai Thedi Maruthuvam) in 2021. Though the process of policy making has been described through various frameworks, Kingdon's multi stream policy is a dynamic model that explains political agenda setting for specic health issues. Kingdon suggests that public policy comprises of three independent streams namely problem stream, policy stream and political stream.
Introduction : Diabetic foot has got a high prevalence of 52% among diabetics. The duration of hospital stay and physical disability are likely to cause depression and affects overall quality of life. So it is important for general population, to know about Self Care activities which include foot care practice to avert long term complications and improve quality of life which is likely to be effective in reducing the burden of diabetic foot ulcer. Objective: To assess the knowledge, attitude and practice about foot care among Type 2 DM patients in a Tertiary health care center, Tamil Nadu. Method: A cross-sectional study was done during August and September 2021 among diabetic patients after obtaining consent at a Tertiary Hospital in southern district of Tamil Nadu. Results: The mean age of the study participants was 47.56 ± 9.718 years with 55.9% being male and 44.1% female and the majority (65.6%)of subjects was residing in rural areas. Among the participants, 103 (92.8%) were found to have good attitude towards self-care activities whereas69 (62.2%) respondents practiced proper footcare. Age, gender and education were found to have significant association with the practice of proper foot care. Female gender was found to be an independent predictor for practice of adequate foot care. Conclusion: Regardless of good attitude towards diabetic foot care there is considerable resistance in practising it.
Family planning was considered the centre of our national development since 1952 and India is the first country in the world to launch National Programme for Family Planning for the same. Objectives: To find the impact of family welfare services in Arpookara panchayat in Kerala and to find the prevalence and factors associated with the acceptance of contraception. Methodology: This cross-sectional study was done among 650 eligible couples selected by Purposive sampling in Arpookara panchayat of Kottayam in Kerala, India. Data were coded and analysed using SPSSv20.0. Results: 2.76% (18/650) of the study participants used any type of contraception to delay the first pregnancy. Only 2.8% accepted vasectomy. Hindu religion and nuclear family were found as independent predictors for accepting contraception. Conclusion: Social factors of a couple do have an impact on family welfare indicators. Family planning in men should be encouraged with proper IEC activities.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.