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Background: India is world’s second most populous country next to China. Family planning is a key intervention for population control. In urban field, most of population (60%) resides in urban slum area with deprived and vulnerable population. This study was conducted to determine the prevalence of contraceptive use in married women of reproductive age group also to study socio-demographic factors and sources associated with the contraceptive use and the reasons behind not using.Methods: A community based descriptive cross sectional study of 5 months duration was conducted among married women in reproductive age group (15-45 year) resident of urban slum area. 234 samples were selected by simple random sampling method. Data was collected through interviews of study subjects using a semi structured questionnaire.Results: Out of 234 women, 98 (41.9%) women said that they are using some method of contraception, which are condom (6.8%), OC pills (4.3%), copper-T (4.7%) and female sterilization (26.1%). Religion, socio-economic status is not significantly associated with acceptance of contraception, but the education and employment are the key influencers for the contraceptive use. The major sources of information are doctors from the government hospitals and auxiliary nurse midwives.Conclusions: The prevalence of contraceptive use in married women of reproductive age group (15-45 year) in urban slum area is found to be 41.9%. Spacing methods including the modern methods of contraception are not getting accepted. More efforts should be taken to remove fear and misconceptions about contraceptive use.

Background: Cardiovascular diseases have assumed epidemic proportions in India. The study was undertaken to know the clinical presentation of ischemic heart disease. It also included time lapsed between symptoms and admission which is important outcome indicator. The aim and objective was to study the clinical profile of ischemic heart disease patients admitted in tertiary care hospital.Methods: The study was done in IHD patients admitted in ICU of tertiary care hospital. The study period was June 2014 to June 2015. Detailed clinical data like symptoms, signs, associated illnesses, general and systemic examination was included. Results: 33.59% patients were brought to tertiary care centre within 3-6 hours of onset of symptoms. Out of total, 63.61% presented with chest pain not relieved in ten minutes followed by 21.89% patients who had chest pain which relieved in ten minutes. 68.95% patients had associated sweating, 35.62% had associated breathless-ness and 16.03% had associated swelling over feet. Associated symptoms with chest pain were not exclusive of each other. 62.85% patients were of STEMI, 21.37% patients were classified as NSTMI and 15.78% were patients of unstable angina. Cardiac failure was seen in 69.52% patients. Conclusions: Most of the patients were of STEMI with most common complain of chest pain and most common clinical complication was cardiac failure in the patients.

Introduction: Most Indian women believe that menstruation contaminates the body and makes it unholy. With this background, present study was proposed. Objectives: 1. To assess the effects of menstruation on routine activities in early adolescent girl students. To describe the perceptions regarding menstruation in early adolescent girl students. Methods: Present study was a cross sectional study carried out in slum and non-slum schools of a Sholapur city. Total study duration was 6. Total 172 school going adolescent girls were taken from slum and non-slum school each. Information regarding awareness, perceptions during menstruation was taken. Results: Average correct score for perceptions regarding menstruation was 5.26 out of 8. 81.96% students used sanitary pads during their menstrual periods followed by 28 students used cotton cloth. 127 students missed playing sport activities while 123 missed normal daily activities. 35 students felt that they were a failure, during menstrual periods. Conclusions: There are lacunae in knowledge and perception of girls regarding menstruation. The results reinforce need to encourage safe practices among the adolescent girls and bring them out of misconceptions, myths regarding menstruation. Menstruation affects self-esteem of girls.

Background: It was realized that just providing vaccine to achieve targets without giving attention to quality of services doesn’t guarantee a reduction in disease morbidity & mortality. Operational challenges such as logistic supply and microplanning have to be taken into consideration There is also increasing need to ensure that providers stick to service delivery protocols to achieve better health outcomes. Therefore the Study was aimed to assess the immunization sessions. The objective of the study was to evaluate the immunization sessions for logistics and availability of health workers, in the study area.Methods: The study was carried in 21 Grampanchayats covered by Ghatnadur PHC. semi structured preformed questionnaire was used for evaluation. Immunization sessions were also studied for information provided regarding side effects of vaccines.Results: Availability of human resources and logistics for vaccination sessions was more than 80% at all vaccination sessions. Information about side effects was the loophole in vaccine delivery services. Message regarding side effects of vaccines was not conveyed to most of the population.Conclusions: Vaccine delivery services were good in study area. Information about side effects should be conveyed 100% to of the population. The study should be extended to larger area for generalization of results.