ObjectiveTo determine the prevalence and predictors of gestational diabetes mellitus (GDM) in rural Assam, India using a network of Mobile Medical Units.Study designA field-based cross-sectional study.SettingsRural areas of Assam state, India.ParticipantsA total of 1410 pregnant women in gestational age of 24–28 weeksInterventionIdentification of pregnant women in 24–28 weeks of pregnancy from villages and administering them Government of India recommended oral glucose tolerance test for GDM confirmation.Primary and secondary outcome measuresPresence of gestational diabetes among pregnant women, risk factors and predictors of GDM.ResultsA total of 1212 pregnant women underwent the oral glucose tolerance test. One hundred and ninety-eight women were ineligible due to existing chronic diseases or very high blood glucose level before the test. The overall GDM prevalence in Assam was 16.67% (95% CI 14.61% to 18.89%). Women aged 26–30 years (adjusted odds ratio, aOR 1.70; CI 1.14 to 2.52), who passed 10th class (aOR 1.58; CI 1.05 to 2.37), belonging to Muslim religion (aOR 1.52; 95% CI 1.05 to 2.21) and above poverty line (aOR 1.38; 95% CI 1.00 to 1.91) had significantly increased likelihood of developing GDM compared with respective baseline groups (p<0.05). Body mass index, gravida and being non-anaemic were non-significant risk factors for GDM. Family history of diabetes (aOR 1.82; 95% CI 1.08 to 3.06) and smoking (aOR 1.61; 95% CI 1.10 to 2.35) were significant and independent predictors of GDM.ConclusionThe prevalence of GDM in rural Assam is high. The mobile medical units may play a significant role in the implementation of GDM screening, diagnosis, treatment to ensure better maternal and foetal health outcomes in rural Assam.

No abstract

No abstract

The world is now fighting against a new deadly virus disease, novel coronavirus disease (COVID-19), which is first declared as public health emergency and later declared as Pandemic by WHO. As COVID-19 spread around the world, governments, companies, international organizations announced measures to help contain the spread. Assam with 36 cases and the other north eastern (NE) states have been able to control the number of cases quite well compared to other states in India. To contain coronavirus spread in Assam, government leveraged nine projects implemented by Piramal Swasthya Management and Research Institute (PSMRI), in addition to other activities. This paper gives the elaborative listings of activities done by PSMRI in respond to COVID-19 outbreak to support the government respond to this pandemic. Activities are- Inbound calling, out bound calling, contact tracing, Visit and follow up of quarantined patients, data entry and updating Integrated Disease Surveillance Project (IDSP) portal and door step delivery of medicines. As on 26th April, 1,25,566 COVID-19 related calls received in 104-Health Helpline (HIHL). In addition, 37,886 beneficiaries called for quarantine follow up. Field staffs also visited households of home quarantined patients and screened more than 9000 people for COVID-19. PSMRI also supported in activities of Assam Cares Financial scheme and Dhanwantri Scheme.The above activities helped in mitigating the risk of coronavirus infection and also ‘helped in timely respond to the reported cases.