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Background: Filaria was identified as one of the diseases to be eliminated globally and its global elimination by the year 2020 has been envisaged by World Health Organization (WHO). A large coverage- compliance gap has been found in many MDA programmes in India. Togo is the first sub-Saharan country to have stopped MDAs after prevalence data suggested that LF transmission had been interrupted. The successful Togo program demonstrates that LF elimination can be achieved in countries with limited resources. This study was undertaken to assess the situation of MDA coverage and compliance in two districts of Maharashtra.Methods: This is a community- based cross sectional study carried out in four selected clusters each in Nagpur and Bhandara districts of Maharashtra. Stratified random sampling is adopted for selection of households. In each district, 120 households are surveyed for the purpose of MDA evaluation every year. The coverage calculated in this article is programme coverage.Results: The coverage found in the year 2011 in Nagpur district was 63%, after which it was consistently rising every year. Similarly in Bhandara district, the coverage found was 70% in the year 2010, after which there was a rise every year. But the actual consumption rate was far less when compared to the coverage reported by the drug distributor, or the medical officer (more than 90% compliance is reported every year). Commonest reason for not consuming the drug was fear of side effects of the drug, which they must have experienced in the previous years activity, or seen other persons having side effects.Conclusions: Gradual increase in compliance of drug consumption over the period of five years in both the districts shows good progress towards the path of elimination.

This study compares the implementation of community-based monitoring (CBM) in 45 primary health centers (PHCs) in the pilot phase in Maharashtra with the equal number of randomly selected PHCs not implementing CBM (non-CBM) from the same districts. Information was collected by teams from Community Medicine Departments by visiting selected PHCs. Establishment of monitoring committees and training of medical officers (MOs) had been completed as required but only 36.36% MOs were trained. Only 43.18% MOs received the facility report card. Most of the MOs (90.90%) attended Jansunwai and opined that it had increased community awareness and the barriers between the people and PHC staff were broken. There was no difference in fund utilization and meetings of Rugna Kalyan Samittees. Percentage of Institutional deliveries and women receiving Janani Suraksha Yojana benefits among home deliveries was more in the non-CBM group of PHCs.

INTRODUCTION A WHO advisory group in 1956 defined accident as an "unpremeditated event resulting in recognizable damage." According to another definition, an accident is that "occurrence in sequence of events which usually produces unintended injury, death or property damage." Accident have their own natural history and follow same epidemiological pattern as any other diseasethat is, the agent, the host, and the environment interacting together to produce injury or damage. Some people are more prone to accidents than others and susceptibility is increased by the effect of alcohol and other drugs as well as physiological state such as fatigue. Majority of accidents are preventable. 1 Global status report on road safety 2013 by WHO shows that there has been no overall reduction in the number of ABSTRACT Background: Road traffic injuries remain an important public health problem at world, regional and national levels. Data on magnitude of problems and risk factors involved are essential to developing a systemic approach to road safety. Only by systematic and data-led management of the leading road injury problems will significant reductions in exposure to crash risk and in the severity of crashes be achieved. Hence in the background of high epidemiologic proportions of road traffic accidents and the fact that very few exploratory studies were reported from central India, the present study was undertaken to study sociodemographic profile associated with road traffic accident. The main objective was to study socio-demographic profile of road traffic accident cases admitted in tertiary care hospital. Methods: The present hospital based cross sectional study was carried out in tertiary care hospital of the city in central India. Road traffic accident cases admitted in tertiary care hospital in city during period of one year (20 th May 2014-22 nd May 2015) were included in the study with predefined inclusion and exclusion criteria. Socio-demographic characteristics of study subjects was recorded in the proforma. Results: It was observed that majority of accident cases (29.67%) were in the age group of 21-30 years. Male: female ratio was found to be 5.38: 1. Majority of accident cases (86%) were from upper lower and lower class. Out of total accident cases majority were drivers (42.33%), followed by passengers (30%) and pedestrians (27.66%). 35.43% drivers were alcohol consumers. It was also observed that 16.33% were under the influence of alcohol at time of accident. Conclusions: It was also observed that 16.33% were under the influence of alcohol at time of accident.

Background: In developing countries like India and many, some of the most commonly seen and prevalent conditions are the Acute Respiratory Infections (ARI) and Malnutrition in the pediatric age group. It is indeed a necessity of the time to understand the clinic-epidemiological aspects of it and develop an insight, which can help us to assess the ill effects on the child health and strengthen our policy. Methods: A hospital based cross sectional study was carried out in children aged 0-14 years. Children were clinically assessed and diagnosis was made as URTI or LRTI Also anthropometry was performed and accordingly children were divided into categories of No Malnutrition (NM), Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) in 'under 5' years age children according to WHO guidelines, whereas children aged 'above 5' years were categorized as per the IAP guidelines. Results: On comparing the various socio-demographic aspects and environmental factors the incidence of Acute Respiratory Infections was found to be more or less equal in both male and female study subjects. The Anthropometric parameters were also similar and the difference was statistically insignificant. In Under 5 Age group study subjects incidence of SAM was 42.5% in male children as compared to 33.33% female children. In Above 5 age group study subjects 50% female study subjects were normal as compared to 42.10% male children. The incidence of overcrowding was 54.23% in male study subjects as compared to 70.73% female study subjects and the difference was found to be statistically significant as (P=0.04). Conclusions: When comparing male and female study subjects the incidence and association of various sociodemographic and environmental factors is more or less similar without any statistically significant difference. However incidence of SAM is slightly higher in males whereas incidence of MAM is slightly higher in females. Also females having overcrowding in their houses are more prone to pneumonia (LRTI) than males.