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Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.

Background: Paediatric head injury is considered to be a major public health problem and is often associated with significant morbidity and mortality in severe cases. The present study aimed to explore the demographics, mechanism of injury and clinical aspects of injury in children in a peripheral hospital attached to tertiary care centre.Methods: Electronic medical records of all paediatric patients aged ≤12 years with traumatic brain injury admitted during one-year period from January to December 2018 were reviewed. Epidemiological and clinical data of paediatric patients with traumatic brain injury (TBI) were analysed using SPSS version 20.Results: The medical records of 203 paediatric patients with TBI were analysed. The majority of the injury occurred in patients belonging to age-group 1-6 years. The number of male children outnumbered (58.1%) that of female children (41.9%). Fall from height was the most common mode of injury, followed by fall from a staircase. As per the Glasgow coma scale, 4% patients had severe head injury. Vomiting and headache was the most common symptom at admission (50.2%), a subdural hematoma was the most common lesion seen on computed tomography scans; frontal bone was the most common site of skull bone injury. Cutaneous injuries associated with contused lacerated wounds were the most common external injuries, 92.1% completely recovered with conservative management.Conclusions: Increasing incidence of paediatric trauma suggests the need for supervision during play and identification of environmental risk factors for such injuries. Parental advice and supervision is recommended to prevent accidental falls.

Background: Tuberculosis (TB) is a major public health problem in India. Adequate and timely knowledge about tuberculosis is associated with positive attitude towards tuberculosis, which can improve both health seeking behavior and adherence to treatment. The study was planned with the objective of determining the Knowledge and Attitude regarding tuberculosis among rural population of eastern Maharashtra, India.Methods: A community based cross sectional study was carried in rural area of eastern Maharashtra using a semi structured, pretested interview schedule. A total 225 adult population aged 18 years and above, who are residing in the field practice area were selected from sampled households using systematic random sampling. Data collection was done by house-to-house survey.Results: Out of 225 respondents, 220 (97.8%) had heard about TB. Cough as a major symptom of TB was known to 80.5% of study subjects. Among the subjects surveyed, 84.5% of respondents were aware of the mode of transmission of TB from one person to another. More than half of respondents were aware of sputum examination as a diagnostic investigation. Three fourth of the subjects reported that TB could be treated by modern medicine. However only 22.2% of them were known to BCG immunization as means of prevention for tuberculosis. Tendency to discriminate TB patients was evident as 53% respondents opined to isolate TB patients from the family and 37.7% opined to avoid sharing food with these patients.Conclusions: Although the study revealed adequate knowledge about nearly every aspect of tuberculosis; there are few myths about causes, symptoms, transmission, and TB prevention. There is a great need to improve awareness in illiterate individuals and females.