Background: Vector borne diseases (VBDs) account for 17% of the estimated global burden of all infectious diseases. The most deadly VBD, malaria caused an estimated 627,000 deaths in 2012. The world's fastest growing VBD is dengue, with a 30-fold increase in disease incidence over last 50 years. Objective: To create awareness about common VBDs in the villages through village volunteers and educate them about the measures to prevent the occurrence of the disease by community participation and behavioral change communication and to assess the impact of educational intervention. Materials and Methods: This study was community-based longitudinal study conducted in five villages in the rural field practice area of Kurnool Medical College, Kurnool. Sample of 50 houses examined in each village before intervention and reexamined after conducting five educational intervention sessions with 1 week gap between each session for a total period of 5 weeks to assess the impact. Result: A total of 250 villagers and public health workers from five villages participated in both pre-educational and post-educational intervention. There was significant improvement in the habits such as avoiding sleeping, cleaning water containers weekly, and covering of water storage tanks with lids. Conclusion: It is concluded that with the intensified efforts toward creating a public awareness about VBDs, the measures taken to control vectors other than personal protection measures suggested that health education interventions are effective and remain a valuable tool in community-based vector prevention and control interventions.
Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child in turn reducing maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. The objective of this study is to identify the factors influencing caesarean section delivery in the study area.Methods: This is a community based cross sectional study conducted among 66 women who underwent caesarean section in urban slum of field practice area of KIMS Nalgonda from January 2017 to February 2017. Information regarding socio demographic factors, indication of caesarean section, maternal and neonatal outcome was recorded in pre-designed pretested questionnaire.Results: The rate of caesarean section (CS) in this study was 55.9%. The commonest indication for elective caesarean was previous caesarean section (59.5%) and for emergence caesarean section the commonest indication was fetal distress (50%). 47.6% in elective group and 62.5% in emergency underwent caesarean section in government hospitals, 52.38% in elective group and 37.5% in emergency underwent caesarean section in private nursing homes.Conclusions: Elective caesarean sections are more common than emergency sections. Most of the caesarian sections were in the age group of 18-25 years, Hindus, BC community, house wives, who have studied up to intermediate and above, below poverty line group and in multigravida women. Common indication for elective CS was previous CS and for emergency CS was fetal distress.
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