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Background: PSMRI has large numbers of health workforce working in health information helpline (HIHL) in India. Aiming to understand stress, burnout among counsellors working in HIHLs, India. The study aimed to understand the level of stress and linkages and how the health workforce can go through distress working in helplines.Methods: Individual study interviews were conducted across six states. Socio-demographic details, medical history and lifestyle information, collected. General health questionnaire (GHQ-28) and Copenhagen burnout inventory (CBI)-tools.Results: 16.9%- work-related burnout, 15.5%- client-related burnout and more than 1/4th (25.3%) had personal burnout. Level of psychological distress and burnout among counsellors working in helplines was high.Conclusions: The study shows on how the counsellors working in the helplines go through psychological distress and burnout. It also leads to mechanisms that leads to the awareness of psychological distress faced by mental health professionals, and training for support was initiated to develop a mental health platform.

Background: The urban average of childhood immunization coverage rates are partial against children living in slums and mask the disparity within the urban poor. The objective of study was to measure the age appropriate immunization as per India’s Universal Immunization Program (UIP) schedule, explore determinants of coverage and reasons for incomplete immunization in urban slums of New Delhi.Methods: A cross sectional survey was carried out in selected urban slums of West and South East districts of New Delhi. WHO’s coverage cluster survey sampling methodology was used. Three hundred mothers of under five children were selected. Age appropriate immunization status of the children was recorded on physical examination of the vaccination card.Results: Fifty eight percent (56% West; 60% South East district) of sample population was age appropriately immunized. The odds of age appropriate immunization were higher for institutional delivery (OR 10.5, 95% CI 4.27-23.6) and among third born children (OR: 1.8, 95% CI: 1.04-3.30). The odds were equal for people from Delhi or migrated from different state (OR: 1.015, 95% CI: 0.62-1.64). Most common reason for incomplete immunization were obstacles (72.8%) and lack of information (23.2%).Conclusions: There was a consistent drop in coverage among vaccines with more than one dose and by the subsequent dose of vaccine. The difference in coverage estimates among studies emphasise the need for identifying the key reasons of incomplete immunization and finding area specific solutions to improve coverage.

Background Truck drivers in India are one of the groups experiencing a disproportionate health burden. Understanding the distribution of morbidities is essential to plan and mitigate the risk of premature mortality among this subgroup. Paperaims to describe the health morbidities and prevalence of diabetes and high blood pressure among truck drivers in three regions of India. Methods Data were routinely collected from a community-based healthcare program for truck drivers. Electronic medical health records (July 2018 to February 2019) of truck drivers were accessed and analyzed. The sociodemographic, health risk and morbidity profile of the truck drivers with an emphasis on diabetes, and high blood pressure in East, West, and South, regions of India were studied. Significance level was reported at p-values less than 0.05. Results A total of 15725 truck drivers were identified, of which 10247 (65%) were from the south region alone. Majority of truck drivers were male and middle-aged (median age 44 years). Over two-third (>62%) truck drivers in all regions were tobacco users. Half of the truck drivers reported smoking in the South (53%) compared to smokeless tobacco use in the West (53%) and East (41%) regions. Alcohol use alone and both alcohol and tobacco use were significantly lower in the West (23%, 15%) compared to the East (51%, 50%) and South (68%, 52%) regions. A significant number of truck drivers were either overweight 3485 (22%) or obese 6772 (49%). The prevalence of obesity among truck drivers ranged 55% in the South and 47% in the East compared to 32% in the West region. Of all truck drivers, 6991 (44%) had non-communicable diseases; 3350 (21%) had musculoskeletal conditions, and 1954 (12%) were suffering from communicable diseases. The prevalence of diabetes differed significantly in the three regions (p<0.05). Nearly half of the truck drivers (7326/15725) 47% had high blood pressure (≥ 140/90 mm Hg) and regional differences were not significant.Conclusions Truck drivers in India suffer from multiple health and lifestyle-related diseases. Early identification of high risk and tailored behavioral and occupational interventions are needed urgently.

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