Morbidity profile of children from birth to 18 years of age referred for intervention to the district early intervention centre in a District Hospital, Andhra Pradesh

Darivemula, Surendra Babu; Nagoor, Khadervali; John, Kevin John; Kahn, P Shakeer; Chittooru, Chandra Sekhar

doi:10.4103/ijph.ijph_11_19

Cited by 4 publications

(3 citation statements)

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“…Referral services and follow-up to tertiary care centres should be more streamlined and accelerated for an early new-born screening at delivery points and referral of SNCU discharged babies to DEIC need further strengthening and capacity building of healthcare providers. 9 One of the s studies, interviewed the parents of the children who referred to DEICs and analysed the reasons for their dissatisfaction in which 36% parents mentioned too much paperwork, whereas 55.3% felt that specialized tests or treatment unavailable at DEIC, the whole exercise was futile, 73.4% parents said loss of daily wages was a deterrent to go to DEIC repeatedly for follow-up. Therefore, in places where higher investigations are not available in government facilities, there should be a provision to get it done in private facilities at government fixed rates, paid through RBSK and free of cost to the children.…”

Section: Discussionmentioning

confidence: 99%

Assessment of district early intervention centres in India

Gafurjiwala,

Kumar,

Nirupama

2023

Int J Community Med Public Health

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India has the largest number of children between the ages of 0-18 years globally with a child population of over 400 million. Developmental delays affect a minimum 10% of preschool children, preventing them from reaching their full development potential. The studies to estimate the prevalence of disability and its association with socio-demographic and quality of life may provide valuable information for optimizing how health and social welfare organizations deal with morbidities. The paper concludes with a discussion that reflects on the functionary status of district early intervention centre (DEICs) in India and finds out the gaps in the referral system of DEICs combined with a general reflection on the utility of the rapid cycle evaluation model used. There is the scope of the country-level uniformity of reporting of the data of children with delayed development and disabilities. The policymakers should notice that early intervention can reduce the burden of disease and disability‑adjusted life years (DALYs) and improve the quality of life of the next young generation of India.

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Section: Discussionmentioning

confidence: 99%

Assessment of district early intervention centres in India

Gafurjiwala,

Kumar,

Nirupama

2023

Int J Community Med Public Health

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“…Although there is published research on DEIC populations,[ 24 25 ] none of the papers have approached them from the perspective of visual morbidity and disability percentage outcomes. It was a challenge to assess visual function in children with special needs, even with age-appropriate methods.…”

Section: Discussionmentioning

confidence: 99%

Ocular morbidity and co-morbidities in children attending a nodal district early intervention center in Uttar Pradesh

Masood

Amitava

Khalid

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To obtain epidemiological data on children with ocular morbidity attending a nodal district early intervention center (DEIC). Methods: After parental consent, we recruited children with ocular morbidity. After detailed history and clinical evaluation, along with pediatric consultation and relevant neuro-radiological and ancillary investigation, information was entered in a pretested proforma: especially looking for perinatal morbidity, including developmental delay (DD). Visual acuity (VA) was assessed by age-appropriate means by an ophthalmic assistant trained to work with children with special needs. We diligently looked for strabismus and performed dilated ophthalmoscopy. Using JASP, we summarized data as means and proportions and reported 95% CIs. We explored the association of disability percentage with possible predictor variables using regression. Results: We enrolled 320 children, with a mean age of 34.43 ± 31.35 months; two-thirds were male; one-third belonged to lower socioeconomic status (36%), with most parents being illiterate. The mean presenting VA was 1.8 logMAR for both eyes, range: 0 to 3. Sixty-one percent were hyperopic and 27% were myopic. High refractive error, (>±6D) occurred in nine; anisometropia in one; strabismus in 149, mostly esotropia; congenital cataract in 25, whereas 63 had abnormal fundus. Seventy-six received a diagnosis of cerebral visual impairment (CVI). On multivariate linear regression (MLR), younger age, presence of DD, and CVI significantly predicted a higher disability percentage. Logistic regression revealed that statutory disability is likely associated with DD (odds ratio [OR]: 13.43); whereas older age was protective (OR: 0.977). Conclusion: Our study suggests that in DEIC children with ocular morbidity, younger children, and the presence of DD significantly predict both greater disability and the likelihood of statutory levels.

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“…Intensification of the educational process is one of the important risk factors for increasing cases of morphofunctional disorders, acute and chronic somatic diseases, mental and behavioral disorders, maladaptation syndrome. Progressive increase of mental disorders and diseases of the nervous, digestive and urogenital system more than 2-3 times, ophthalmological -4.1 times, endocrine -7 times during training in general secondary education [3,6,9,22]. Determining the characteristics of the state of health should take into account that nowadays chronic diseases are more and more common in the form of combined pathology, which complicates the diagnosis, treatment and, moreover, prevention of pathological conditions.…”

Section: Introductionmentioning

confidence: 99%

The structure of morbidity of secondary school children

Sotnikova–Meleshkina

2020

Rep. of Morph.

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Intensification of the educational process is one of the risk factors for increasing the prevalence of morphofunctional disorders, acute and chronic somatic morbidity, mental and behavioral disorders, maladaptation syndrome. Many researchers have found a negative chronological dynamics of school health and a high incidence among secondary school students. The purpose of the study is a comparative analysis of the structure and dynamics of morbidity of children during secondary school. The study involved more than 266 students of secondary schools aged 10 to 14 years. The state of health was assessed according to preventive medical examinations conducted by specialists of the Institute of Child and Adolescent Health of the National Academy of Medical Sciences of Ukraine with the informed consent of parents and according to the bioethical norms of the Helsinki Declaration (as amended in 2013). Statistical data processing was performed using the licensed package SPSS Statistic v.20 using Student’s t test. The highest level of morbidity was found in diseases of the endocrine system (468.4±39.7‰), the organ of vision and the appendix (322.8±37.2‰), the circulatory system (310.1±36.8‰) and respiration (303.8±36.6‰). Among girls, endocrine (520.7±57.7‰) and ophthalmological pathology (386.7±56.2‰) were more often registered, and among boys – mental and behavioral disorders (168.7±39.9‰; p<0.05). During the training, negative dynamics was determined for diseases of the endocrine system (due to a probable increase in their number among boys, at p<0.05), diseases of the digestive system, eye and appendages due to decreased visual acuity (p<0.01). In the structure of endocrine pathology, 60% were thyroid diseases in both sexes, and the prevalence of grade 1 obesity was higher among boys (p<0.05). Mental and behavioral disorders were mainly represented by disorders of activity and attention in adolescent boys, sleep disorders – in girls; hyperkinetic behavioral disorders – in both sex groups. Gender features in the structure and dynamics of morbidity of secondary school students to a greater extent in diseases of the endocrine system, eye and appendix with a general negative tendency to increase the prevalence of these groups of diseases.

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Morbidity profile of children from birth to 18 years of age referred for intervention to the district early intervention centre in a District Hospital, Andhra Pradesh

Cited by 4 publications

References 0 publications

Assessment of district early intervention centres in India

Assessment of district early intervention centres in India

Ocular morbidity and co-morbidities in children attending a nodal district early intervention center in Uttar Pradesh

The structure of morbidity of secondary school children

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