Background: According to the Sample Registration System report, India has reduced the maternal mortality rate from 130 per 100,000 live births in 2014–2016 to 113 per 100,000 live births in 2016–2018. The main purpose of antenatal care is to identify “high-risk” cases as early as possible from a large group of antenatal mothers and provide them skilled and appropriate care. Objective: To determine the prevalence of high-risk pregnancy (HRP) in pregnant females availing services under pradhan mantri surakshit matritva abhiyan (PMSMA) and to assess awareness of pregnant mothers about services provided under PMSMA in district Etawah of Uttar Pradesh. Material and Methods: Community-based cross-sectional study was carried out among 400 female beneficiaries who were registered under the PMSMA scheme and delivered their baby at any government health facility during one year of study period. Results: It was observed that from all the antenatal women visiting the community health center for HRP day under the PMSMA scheme, 162 (40.5%) were categorized as HRPs and 238 (59.6%) of them were nonhigh-risk pregnancies. A statistically significant association was observed ( P -value = 0.005 at 95% CI) between the difference in the proportion of HRPs and the educational status of the pregnant mothers. Out of 400 beneficiaries, 167 (41.75%) were aware of the PMSMA scheme. Conclusion: Regular antenatal care (ANC) check-ups, early identification of HRP, health education, and timely screening are needed to reduce maternal mortality.
Background: In India, we have varied social customs, religions, climate and socio-economic conditions and therefore the pattern of skin diseases varies from region to region. In children, dermatoses are an important health problem. Skin disease affects more than 300 million people per year worldwide, resulting in considerable morbidity, especially in resource-limited countries. In view of paucity of data from Etawah region in Uttar Pradesh, the present study was conducted to evaluate the pattern of skin diseases in health training centres of U.P.U.M.S medical college in Saifai region, Etawah district of Uttar Pradesh in India. Aims and Objectives: To find out pattern of various skin disorders in children. Material and Methods: A prospective cross sectional study was carried out over a period of 4 months from 1 October 2019 to 31 January 2020 in OPD at Urban health training centre (UHTC) after ethical approval from the institute on every Tuesday and Thursday in Uttar Pradesh in India. Results: Pediculosis capitis (22.6%) was the most common dermatosis, followed by pyodermas (15.4%), pityriasis Alba (10.4%) and eczema (8.1%). Nutritional deficiency dermatoses (17.5%) were also common in this region [common manifestations included sparse hair (6.2%) and pigmented skin (7%). Conclusion: Pattern of skin diseases mostly depend not only on environmental factors but also on occupation, socio-economic status, literacy, and age of the patients. Health education of the parents and the schoolchildren about good nutrition, hygiene practices, and proper hydration of skin can be promoting in order to reduce the burden of skin disorders.
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