Maternal Health in Gujarat, India: A Case Study

PubMed Central

Vora, Kranti S.; Ramani, K.V.; Raman, Parvathy; Sharma, Bharati; Upadhyaya, Mudita

2009-01-01

Gujarat state of India has come a long way in improving the health indicators since independence, but progress in reducing maternal mortality has been slow and largely unmeasured or documented. This case study identified several challenges for reducing the maternal mortality ratio, including lack of the managerial capacity, shortage of skilled human resources, non-availability of blood in rural areas, and infrastructural and supply bottlenecks. The Gujarat Government has taken several initiatives to improve maternal health services, such as partnership with private obstetricians to provide delivery care to poor women, a relatively-short training of medical officers and nurses to provide emergency obstetric care (EmOC), and an improved emergency transport system. However, several challenges still remain. Recommendations are made for expanding the management capacity for maternal health, operationalization of health facilities, and ensuring EmOC on 24/7 (24 hours a day, seven days a week) basis by posting nurse-midwives and trained medical officers for skilled care, ensuring availability of blood, and improving the registration and auditing of all maternal deaths. However, all these interventions can only take place if there are substantially-increased political will and social awareness. PMID:19489418

Indian social safety net programs as platforms for introducing wheat flour fortification: a case study of Gujarat, India.

PubMed

Fiedler, John L; Babu, Sunil; Smitz, Marc-Francois; Lividini, Keith; Bermudez, Odilia

2012-03-01

Micronutrient deficiencies exact an enormous health burden on India. The release of the National Family Health Survey results--showing the relatively wealthy state of Gujarat having deficiency levels exceeding national averages--prompted Gujarat officials to introduce fortified wheat flour in their social safety net programs (SSNPs). To provide a case study of the introduction of fortified wheat flour in Gujarat's Public Distribution System (PDS), Integrated Child Development Scheme (ICDS), and Mid-Day Meal (MDM) Programme to assess the coverage, costs, impact, and cost-effectiveness of the initiative. India's 2004/05 National Sample Survey data were used to identify beneficiaries of each of Gujarat's three SSNPs and to estimate usual intake levels of vitamin A, iron, and zinc. Comparing age- and sex-specific usual intakes to Estimated Average Requirements, the proportion of the population with inadequate intakes was estimated. Postfortification intake levels and reductions in inadequate intake were estimated. The incremental cost of fortifying wheat flour and the cost-effectiveness of each program were estimated. When each program was assessed independently, the proportion of the population with inadequate vitamin A intakes was reduced by 34% and 74% among MDM and ICDS beneficiaries, respectively. Both programs effectively eliminated inadequate intakes of both iron and zinc. Among PDS beneficiaries, the proportion with inadequate iron intakes was reduced by 94%. CONCLUSIONS. Gujarat's substitution of fortified wheat flour for wheat grain is dramatically increasing the intake of micronutrients among its SSNP beneficiaries. The incremental cost of introducing fortification in each of the programs is low, and, according to World Health Organization criteria, each program is "highly cost-effective." The introduction of similar reforms throughout India would largely eliminate the inadequate iron intake among persons participating in any of the three SSNPs and would

Prevalence of skeletal fluorosis in fisherman from Kutch coast, Gujarat, India.

PubMed

John, Jacob; Hariharan, Madhu; Remy, Vimal; Haleem, Shaista; Thajuraj, Pathinettam Kandathil; Deepak, Baby; Rajeev, Kundaningattu Govindan; Devang Divakar, Darshan

2015-01-01

In health terms, consuming fluoride is well recognised to be a double-edged sword. Consumption of optimal amounts is beneficial to health, however an excess constitutes a health hazard. To assess the prevalence of skeletal fluorosis in fishermen from the Kutch coast, Gujarat, India. A descriptive cross-sectional survey was conducted on 653 fishermen from the Kutch District, Gujarat, India, from October 2014 to December 2014. Clinical skeletal fluorosis was assessed using three diagnostic tests. Drinking water fluoride concentrations in different regions of the study area were determined. General information regarding age, gender and adverse habits were also collected. The Chi square test was used for comparisons and the confidence level and critical p-value were set at 95% and 5% respectively. Fluoride concentrations in water from the study area ranged between 3.4-6.9 ppm. The prevalence of skeletal fluorosis was 30.3%, out of which, the majority of the subjects had mild skeletal fluorosis (18.4%). This condition was found to be significantly associated with age and gender along with tobacco and alcohol consumption; depending on the habit's duration. Being a public health problem in the fishermen community, skeletal fluorosis requires a-priori attention. Measures for preventing this disease should be undertaken on a communitywide basis.

Shoreline changes and Coastal Flooding impacts: South Gujarat coast (India)

NASA Astrophysics Data System (ADS)

Parihar, S. B.

2016-12-01

South Gujarat coast (India) is experiencing increased coastal inundation and erosion caused by sea-level rise affecting the population, infrastructure, and environment. The area falls under low elevation coastal zone (LEZ) and its topography of the area is also making coast highly susceptible to flooding, especially at high tides and during the rainy season. As part of studies on shoreline changes field trip carried on the coastal taluka's of South Gujarat coast i.e. Surat, Navsari and Valsad shows various temporal changes is taking place at coastal belt. There are ample of studies on coastal dynamics and impacts. The study focus on spatial temporal analysis shows the vulnerable zones covering various physical elements at risk. These coastal areas are attractive in nature for all kind of economic development and growth because of availability of the water & fertile land for house hold use, fishing and transportation. On the contrary, South Gujarat coast being tectonically active; makes this region high vulnerable for any kind of infrastructure development. The region had also witnessed loss of life and property, disruptions to transport & power and incidences of epidemics during the floods of 2006 in Surat. Coastal flooding would, under these scenarios, threaten region that are home of 370,000 approx (Census, 2011) people in seven coastal taluka's of Surat, Navsari and Valsad district. Among the people residing in the region, the most vulnerable communities are fishermen, farmer and industrial labours. The wide range of infrastructure such as roads, hospitals, schools, power plants, industries and port will also be at risk. Shoreline changes are inevitably changing the characteristics of south Gujarat coast; practices and policies should be put in place to mitigate the potentially adverse impacts on environment and human settlements. Key words: sea level rise, LEZ, vulnerable, erosion, inundation, spatial temporal analysis, landuse changes.

Infection control in delivery care units, Gujarat state, India: A needs assessment

PubMed Central

2011-01-01

Background Increasingly, women in India attend health facilities for childbirth, partly due to incentives paid under government programs. Increased use of health facilities can alleviate the risks of infections contracted in unhygienic home deliveries, but poor infection control practices in labour and delivery units also cause puerperal sepsis and other infections of childbirth. A needs assessment was conducted to provide information on procedures and practices related to infection control in labour and delivery units in Gujarat state, India. Methods Twenty health care facilities, including private and public primary health centres and referral hospitals, were sampled from two districts in Gujarat state, India. Three pre-tested tools for interviewing and for observation were used. Data collection was based on existing infection control guidelines for clean practices, clean equipment, clean environment and availability of diagnostics and treatment. The study was carried out from April to May 2009. Results Seventy percent of respondents said that standard infection control procedures were followed, but a written procedure was only available in 5% of facilities. Alcohol rubs were not used for hand cleaning and surgical gloves were reused in over 70% of facilities, especially for vaginal examinations in the labour room. Most types of equipment and supplies were available but a third of facilities did not have wash basins with "hands-free" taps. Only 15% of facilities reported that wiping of surfaces was done immediately after each delivery in labour rooms. Blood culture services were available in 25% of facilities and antibiotics are widely given to women after normal delivery. A few facilities had data on infections and reported rates of 3% to 5%. Conclusions This study of current infection control procedures and practices during labour and delivery in health facilities in Gujarat revealed a need for improved information systems, protocols and procedures, and for

Seismotectonic Models of the Three Recent Devastating SCR Earthquakes in India

NASA Astrophysics Data System (ADS)

Mooney, W. D.; Kayal, J.

2007-12-01

During the last decade, three devastating earthquakes, the Killari 1993 (Mb 6.3), Jabalpur 1997 (Mb 6.0) and the Bhuj 2001 (Mw 7.7) occurred in the Stable Continental Region (SCR), Peninsular India. First, the September 30, 1993 Killari earthquake (Mb 6.3) occurred in the Deccan province of central India, in the Latur district of Maharashtra state. The local geology in the area is obscured by the late Cretaceous-Eocene basalt flows, referred to as the Deccan traps. This makes it difficult to recognize the geological surface faults that could be associated with the Killari earthquake. The epicentre was reported at 18.090N and 76.620E, and the focal depth at 7 +/- 1 km was precisely estimated by waveform inversion (Chen and Kao, 1995). The maximum intensity reached to VIII and the earthquake caused a loss of about 10,000 lives and severe damage to property. The May 22, 1997 Jabalpur earthquake (Mb 6.0), epicentre at 23.080N and 80.060E, is a well studied earthquake in the Son-Narmada-Tapti (SONATA) seismic zone. A notable aspects of this earthquake is that it was the first significant event in India to be recorded by 10 broadband seismic stations which were established in 1996 by the India Meteorological Department (IMD). The focal depth was well estimated using the "converted phases" of the broadband seismograms. The focal depth was given in the lower crust at a depth of 35 +/- 1 km, similar to the moderate earthquakes reported from the Amazona ancient rift system in SCR of South America. Maximum MSK intensity of the Jabalpur earthquake reached to VIII in the MSK scale and this earthquake killed about 50 people in the Jabalpur area. Finally, the Bhuj earthquake (MW 7.7) of January 26, 2001 in the Gujarat state, northwestern India, was felt across the whole country, and killed about 20,000 people. The maximum intensity level reached X. The epicenter of the earthquake is reported at 23.400N and 70.280E, and the well estimated focal depth at 25 km. A total of about

Political ecology of groundwater: the contrasting case of water-abundant West Bengal and water-scarce Gujarat, India

NASA Astrophysics Data System (ADS)

Mukherji, Aditi

2006-03-01

Three apparently disparate themes (groundwater, farmers and politics) interweave in this account of how groundwater-related policies in India have very little to do with the scarcity, depletion or quality of groundwater, and more to do with rural politics manifested, among other things, in terms of the presence or absence of farmer lobbies. Examples from two states of India, the water-abundant state of West Bengal and water-scarce state of Gujarat, were investigated using readily available data, analysis of the literature, interviews and fieldwork. In the case of West Bengal, although there is no pressing groundwater crisis, the government of West Bengal (GOWB) was able to successfully implement strict groundwater regulations along with a drastic increase in electricity tariff. More importantly, GOWB was able to implement these without any form of visible farmer protest, though these measures negatively affected farmer incomes. On the other hand, in Gujarat, where there is a real and grave groundwater crisis, the government of Gujarat has neither been able to implement strict groundwater regulations, nor has it been able to increase electricity tariff substantially. Thus, through the lens of ‘political ecology’ the contrasting case of these two Indian states is explained.

Serosurvey of Crimean-Congo hemorrhagic fever virus in domestic animals, Gujarat, India, 2013.

PubMed

Mourya, Devendra T; Yadav, Pragya D; Shete, Anita; Majumdar, Triparna D; Kanani, Amit; Kapadia, Dhirendra; Chandra, Vartika; Kachhiapatel, Anantdevesh J; Joshi, Pravinchandra T; Upadhyay, Kamalesh J; Dave, Paresh; Raval, Dinkar

2014-09-01

Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral disease that causes a fatal hemorrhagic illness in humans. This disease is asymptomatic in animals. CCHF was first confirmed in a nosocomial outbreak in 2011 in Gujarat State. Another notifiable outbreak occurred in July, 2013, in Karyana Village, Amreli district, Gujarat State. Anti-CCHF virus (CCHFV) immunoglobulin G (IgG) antibodies were detected in domestic animals from the adjoining villages of the affected area, indicating a considerable amount of positivity against domestic animals. The present serosurvey was carried out to determine the prevalence of CCHFV among bovine, sheep, and goat populations from 15 districts of Gujarat State, India. A total of 1226 serum samples from domestic animals were screened for IgG antibodies using a CCHF animal IgG enzyme-linked immunosorbent assay (ELISA) kit from the Centers for Disease Control and Prevention. Antibodies were detected in all the 15 districts surveyed; with positivity of 12.09%, 41.21%, and 33.62% in bovine, sheep, and goat respectively. This necessitates the surveillance of CCHFV IgG antibodies in animals and hemorrhagic fever cases in human.

Emergence of Crimean-Congo hemorrhagic fever in Amreli District of Gujarat State, India, June to July 2013.

PubMed

Yadav, Pragya D; Gurav, Yogesh K; Mistry, Madhulika; Shete, Anita M; Sarkale, Prasad; Deoshatwar, Avinash R; Unadkat, Vishwa B; Kokate, Prasad; Patil, Deepak Y; Raval, Dinkar K; Mourya, Devendra T

2014-01-01

Crimean-Congo hemorrhagic fever virus (CCHFV) etiology was detected in a family cluster (nine cases, including two deaths) in the village of Karyana, Amreli District, and also a fatal case in the village of Undra, Patan District, in Gujarat State, India. Anti-CCHFV IgG antibodies were detected in domestic animals from Karyana and adjoining villages. Hyalomma ticks from households were found to be positive for CCHF viral RNA. This confirms the emergence of CCHFV in new areas and the wide spread of this disease in Gujarat State. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

Duchenne/Becker muscular dystrophy: A report on clinical, biochemical, and genetic study in Gujarat population, India.

PubMed

Rao, Mandava V; Sindhav, Gaurang M; Mehta, Jitendra J

2014-07-01

In India, various groups have studied different regions to find out deletion pattern of dystrophin gene. We have investigated its deletion pattern among Duchenne/Becker muscular dystrophy (D/BMD) patients across Gujarat. Moreover, in this study we also correlate the same with reading frame rule. However, we too consider various clinicopathological features to establish as adjunct indices when deletion detection fails. In this pilot study, a total of 88 D/BMD patients consulting at our centers in Gujarat, India were included. All patients were reviewed on basis of their clinical characteristics, tested by three primer sets of 10-plex, 9-plex, and 7-plex polymerase chain reaction (PCR) for genetic analysis; whereas, biochemical indices were measured using automated biochemical analyzers. The diagnosis of D/BMD was confirmed by multiplex-PCR (M-PCR) in D/BMD patients. A number of 65 (73.86%) out of 88 patients showed deletion in dystrophin gene. The exon 50 (58.46%) was the most frequent deletion found in our study. The mean age of onset of DMD and BMD was 4.09 ± 0.15 and 7.14 ± 0.55 years, respectively. In patients, mean creatine phosphokinase (CPK), lactate dehydrogenase (LDH), and myoglobin levels were elevated significantly (P < 0.05) in comparison to controls. Addition to CPK, LDH and myoglobin are good adjunct when deletion detection failed. These data are further in accordance with world literature when correlated with frame rule. The analysis has been carried out for the first time for a total of 88 D/BMD patients particularly from Gujarat, India. More research is essential to elucidate specific mutation pattern in association with management and therapies of proband.

Mucormycosis at a tertiary care centre in Gujarat, India.

PubMed

Patel, Atul K; Patel, Ketan K; Patel, Kamlesh; Gohel, Swati; Chakrabarti, Arunaloke

2017-06-01

The prevalence of mucormycosis is reportedly high in India, although the studies are mainly from north and south India only. We analysed the mucormycosis cases at tertiary care centres of West India. We retrieved the clinical details of all the patients with probable and proven mucormycosis diagnosed at Sterling Hospital and ID clinic at Ahmedabad, Gujarat over the period from 1 January 2013 through 30 April 2015. The data were analysed to determine demography, risk factors, underlying diseases, site of infection and outcome of these patients. A total of 27 patients with the median age of 50 (16-65) years were diagnosed with mucormycosis during the period. Rhino-orbital-cerebral mucormycosis was the most common (51.9%) presentation. Majority (55.6%) of the patients had uncontrolled diabetes with or without ketoacidosis; 25.9% patients had no underlying disease and most of them (85.7%) had cutaneous mucormycosis. In this group, the mortality was 25.9% and an equal percentage of patients were lost to follow up; 14 (51.9%) patients could complete 6 weeks of amphotericin B therapy. All patients who completed antifungal therapy survived except one. Like other parts of India, uncontrolled diabetes was the predominant risk factor for mucormycosis in our group. Patients completing 6 weeks of amphotericin B treatment were likely to survive. © 2017 Blackwell Verlag GmbH.

Knowledge and opinion about smoke-free laws and second-hand smoke among hospitality venue managers in Gujarat and Andhra Pradesh, India.

PubMed

Gupta, Vinay K; Arora, Monika; Sharma, Indrani; Nazar, Gaurang P; Modi, Bhavesh; Singh, Deepti; Millett, Christopher; Reddy, K Srinath

2013-01-01

India's Smoke-Free Law (SFL) was implemented in 2004 and reinforced on 2nd October 2008. This research attempts to understand the knowledge and opinion of hospitality venue (HV) managers about second-hand smoke (SHS) and SFL as well as self-reported compliance with SFL in two Indian states. A survey was conducted among 804 randomly sampled HVs from project STEPS (Strengthening of tobacco control efforts through innovative partnerships and strategies) in Gujarat and Andhra Pradesh, India. Four hundred and three HVs from two districts in Gujarat and 401 HVs from six districts in Andhra Pradesh were selected. The owner, manager or supervisor of each HV was interviewed using a pre-tested structured interview schedule. Association of opinion scales with respondents' background characteristics was assessed through the analysis of variance (ANOVA) method. Out of the 403 respondents in Gujarat and 401 in Andhra Pradesh, 56.1% and 84.3% had knowledge about SFL respectively. Compliance of HVs with SFL was 21.8% in Gujarat and 31.2% in Andhra Pradesh as reported by the managers. Knowledge about SHS was noted among 39.7% of respondents in Gujarat and 25.4% in Andhra Pradesh. Bivariate results indicated that more educated HV managers showed higher support for smoke-free public places (P < 0.001) and were more concerned about the health effects of SHS exposure (P = 0.002). Complete self-reported compliance with, and knowledge of SFL as well as SHS was not found in Gujarat and Andhra Pradesh. The education level of HV managers is an important determinant to ensure compliance with SFL in public places.

Study of Blood-transfusion Services in Maharashtra and Gujarat States, India

PubMed Central

Ramani, K.V.; Govil, Dipti

2009-01-01

Blood-transfusion services are vital to maternal health because haemorrhage and anaemia are major causes of maternal death in South Asia. Unfortunately, due to continued governmental negligence, blood-transfusion services in India are a highly-fragmented mix of competing independent and hospital-based blood-banks, serving the needs of urban populations. This paper aims to understand the existing systems of blood-transfusion services in India focusing on Maharashtra and Gujarat states. A mix of methodologies, including literature review (including government documents), analysis of management information system data, and interviews with key officials was used. Results of analysis showed that there are many managerial challenges in blood-transfusion services, which calls for strengthening the planning and monitoring of these services. Maharashtra provides a good model for improvement. Unless this is done, access to blood in rural areas may remain poor. PMID:19489420

Duchenne/Becker muscular dystrophy: A report on clinical, biochemical, and genetic study in Gujarat population, India

PubMed Central

Rao, Mandava V.; Sindhav, Gaurang M.; Mehta, Jitendra J.

2014-01-01

Objective: In India, various groups have studied different regions to find out deletion pattern of dystrophin gene. We have investigated its deletion pattern among Duchenne/Becker muscular dystrophy (D/BMD) patients across Gujarat. Moreover, in this study we also correlate the same with reading frame rule. However, we too consider various clinicopathological features to establish as adjunct indices when deletion detection fails. Materials and Methods: In this pilot study, a total of 88 D/BMD patients consulting at our centers in Gujarat, India were included. All patients were reviewed on basis of their clinical characteristics, tested by three primer sets of 10-plex, 9-plex, and 7-plex polymerase chain reaction (PCR) for genetic analysis; whereas, biochemical indices were measured using automated biochemical analyzers. Results: The diagnosis of D/BMD was confirmed by multiplex-PCR (M-PCR) in D/BMD patients. A number of 65 (73.86%) out of 88 patients showed deletion in dystrophin gene. The exon 50 (58.46%) was the most frequent deletion found in our study. The mean age of onset of DMD and BMD was 4.09 ± 0.15 and 7.14 ± 0.55 years, respectively. In patients, mean creatine phosphokinase (CPK), lactate dehydrogenase (LDH), and myoglobin levels were elevated significantly (P < 0.05) in comparison to controls. Addition to CPK, LDH and myoglobin are good adjunct when deletion detection failed. These data are further in accordance with world literature when correlated with frame rule. Conclusion: The analysis has been carried out for the first time for a total of 88 D/BMD patients particularly from Gujarat, India. More research is essential to elucidate specific mutation pattern in association with management and therapies of proband. PMID:25221400

SRTM Radar Image with Color as Height: Kachchh, Gujarat, India

NASA Image and Video Library

2001-04-05

This image shows the area around the January 26, 2001, earthquake in western India, the deadliest in the country history with some 20,000 fatalities. The epicenter of the magnitude 7.6 earthquake was just to the left of the center of the image.

Y Chromosome Haplogroup Distribution in Indo-European Speaking Tribes of Gujarat, Western India

PubMed Central

Aggarwal, Aastha; Mitra, Siuli; Italia, Yazdi M.; Saraswathy, Kallur N.; Chandrasekar, Adimoolam

2014-01-01

The present study was carried out in the Indo-European speaking tribal population groups of Southern Gujarat, India to investigate and reconstruct their paternal population structure and population histories. The role of language, ethnicity and geography in determining the observed pattern of Y haplogroup clustering in the study populations was also examined. A set of 48 bi-allelic markers on the non-recombining region of Y chromosome (NRY) were analysed in 284 males; representing nine Indo-European speaking tribal populations. The genetic structure of the populations revealed that none of these groups was overtly admixed or completely isolated. However, elevated haplogroup diversity and FST value point towards greater diversity and differentiation which suggests the possibility of early demographic expansion of the study groups. The phylogenetic analysis revealed 13 paternal lineages, of which six haplogroups: C5, H1a*, H2, J2, R1a1* and R2 accounted for a major portion of the Y chromosome diversity. The higher frequency of the six haplogroups and the pattern of clustering in the populations indicated overlapping of haplogroups with West and Central Asian populations. Other analyses undertaken on the population affiliations revealed that the Indo-European speaking populations along with the Dravidian speaking groups of southern India have an influence on the tribal groups of Gujarat. The vital role of geography in determining the distribution of Y lineages was also noticed. This implies that although language plays a vital role in determining the distribution of Y lineages, the present day linguistic affiliation of any population in India for reconstructing the demographic history of the country should be considered with caution. PMID:24614885

Y chromosome haplogroup distribution in Indo-European speaking tribes of Gujarat, western India.

PubMed

Khurana, Priyanka; Aggarwal, Aastha; Mitra, Siuli; Italia, Yazdi M; Saraswathy, Kallur N; Chandrasekar, Adimoolam; Kshatriya, Gautam K

2014-01-01

The present study was carried out in the Indo-European speaking tribal population groups of Southern Gujarat, India to investigate and reconstruct their paternal population structure and population histories. The role of language, ethnicity and geography in determining the observed pattern of Y haplogroup clustering in the study populations was also examined. A set of 48 bi-allelic markers on the non-recombining region of Y chromosome (NRY) were analysed in 284 males; representing nine Indo-European speaking tribal populations. The genetic structure of the populations revealed that none of these groups was overtly admixed or completely isolated. However, elevated haplogroup diversity and FST value point towards greater diversity and differentiation which suggests the possibility of early demographic expansion of the study groups. The phylogenetic analysis revealed 13 paternal lineages, of which six haplogroups: C5, H1a*, H2, J2, R1a1* and R2 accounted for a major portion of the Y chromosome diversity. The higher frequency of the six haplogroups and the pattern of clustering in the populations indicated overlapping of haplogroups with West and Central Asian populations. Other analyses undertaken on the population affiliations revealed that the Indo-European speaking populations along with the Dravidian speaking groups of southern India have an influence on the tribal groups of Gujarat. The vital role of geography in determining the distribution of Y lineages was also noticed. This implies that although language plays a vital role in determining the distribution of Y lineages, the present day linguistic affiliation of any population in India for reconstructing the demographic history of the country should be considered with caution.

Using an emergency response infrastructure to help women who experience gender-based violence in Gujarat, India.

PubMed

Newberry, Jennifer A; Mahadevan, Swaminatha; Gohil, Narendrasinh; Jamshed, Roma; Prajapati, Jashvant; Rao, Gv Ramana; Strehlow, Matthew

2016-05-01

Many women who experience gender-based violence may never seek any formal help because they do not feel safe or confident that they will receive help if they try. A public-private-academic partnership in Gujarat, India, established a toll-free telephone helpline - called 181 Abhayam - for women experiencing gender-based violence. The partnership used existing emergency response service infrastructure to link women to phone counselling, nongovernmental organizations (NGOs) and government programmes. In India, the lifetime prevalence of gender-based violence is 37.2%, but less than 1% of women will ever seek help beyond their family or friends. Before implementation of the helpline, there were no toll-free helplines or centralized coordinating systems for government programmes, NGOs and emergency response services. In February 2014, the helpline was launched across Gujarat. In the first 10 months, the helpline assisted 9767 individuals, of which 8654 identified themselves as women. Of all calls, 79% (7694) required an intervention by phone or in person on the day they called and 43% (4190) of calls were by or for women experiencing violence. Despite previous data that showed women experiencing gender-based violence rarely sought help from formal sources, women in Gujarat did use the helpline for concerns across the spectrum of gender-based violence. However, for evaluating the impact of the helpline, the operational definitions of concern categories need to be further clarified. The initial triage system for incoming calls was advantageous for handling high call volumes, but may have contributed to dropped calls.

Genome Sequence of Salt-Tolerant Bacillus safensis Strain VK, Isolated from Saline Desert Area of Gujarat, India.

PubMed

Kothari, V V; Kothari, R K; Kothari, C R; Bhatt, V D; Nathani, N M; Koringa, P G; Joshi, C G; Vyas, B R M

2013-09-05

Bacillus safensis strain VK was isolated from the rhizosphere of a cumin plant growing in the saline desert of Radhanpar, Gujarat, India. Here, we provide the 3.68-Mb draft genome sequence of B. safensis VK, which might provide information about the salt tolerance and genes encoding enzymes for the strain's plant growth-promoting potential.

Towards a Managed Aquifer Recharge strategy for Gujarat, India: An economist’s dialogue with hydro-geologists

NASA Astrophysics Data System (ADS)

Shah, Tushaar

2014-10-01

Gujarat state in Western India exemplifies all challenges of an agrarian economy founded on groundwater overexploitation sustained over decades by perverse energy subsidies. Major consequences are: secular decline in groundwater levels, deterioration of groundwater quality, rising energy cost of pumping, soaring carbon footprint of agriculture and growing financial burden of energy subsidies. In 2009, Government of Gujarat asked the present author, an economist, to chair a Taskforce of senior hydro-geologists and civil engineers to develop and recommend a Managed Aquifer Recharge (MAR) strategy for the state. This paper summarizes the recommended strategy and its underlying logic. It also describes the imperfect fusion of socio-economic and hydro-geologic perspectives that occurred in course of the working of the Taskforce and highlights the need for trans-disciplinary perspectives on groundwater governance.

Knowledge, attitudes, and practices of private sector immunization service providers in Gujarat, India.

PubMed

Hagan, José E; Gaonkar, Narayan; Doshi, Vikas; Patni, Anas; Vyas, Shailee; Mazumdar, Vihang; Kosambiya, J K; Gupta, Satish; Watkins, Margaret

2018-01-02

India is responsible for 30% of the annual global cohort of unvaccinated children worldwide. Private practitioners provide an estimated 21% of vaccinations in urban centers of India, and are important partners in achieving high vaccination coverage. We used an in-person questionnaire and on-site observation to assess knowledge, attitudes, and practices of private immunization service providers regarding delivery of immunization services in the urban settings of Surat and Baroda, in Gujarat, India. We constructed a comprehensive sampling frame of all private physician providers of immunization services in Surat and Baroda cities, by consulting vaccine distributors, local branches of physician associations, and published lists of private medical practitioners. All providers were contacted and asked to participate in the study if they provided immunization services. Data were collected using an in-person structured questionnaire and directly observing practices; one provider in each practice setting was interviewed. The response rate was 82% (121/147) in Surat, and 91% (137/151) in Baroda. Of 258 participants 195 (76%) were pediatricians, and 63 (24%) were general practitioners. Practices that were potential missed opportunities for vaccination (MOV) included not strictly following vaccination schedules if there were concerns about ability to pay (45% of practitioners), and not administering more than two injections in the same visit (60%). Only 22% of respondents used a vaccination register to record vaccine doses, and 31% reported vaccine doses administered to the government. Of 237 randomly selected vaccine vials, 18% had expired vaccine vial monitors. Quality of immunization services in Gujarat can be strengthened by providing training and support to private immunization service providers to reduce MOVs and improve quality and safety; other more context specific strategies that should be evaluated may involve giving feedback to providers on quality of services

Neo-deterministic definition of earthquake hazard scenarios: a multiscale application to India

NASA Astrophysics Data System (ADS)

Peresan, Antonella; Magrin, Andrea; Parvez, Imtiyaz A.; Rastogi, Bal K.; Vaccari, Franco; Cozzini, Stefano; Bisignano, Davide; Romanelli, Fabio; Panza, Giuliano F.; Ashish, Mr; Mir, Ramees R.

2014-05-01

performed to understand the influence of the model characteristics on the computed ground shaking scenarios. For massive parametric tests, or for the repeated generation of large scale hazard maps, the methodology can take advantage of more advanced computational platforms, ranging from GRID computing infrastructures to HPC dedicated clusters up to Cloud computing. In such a way, scientists can deal efficiently with the variety and complexity of the potential earthquake sources, and perform parametric studies to characterize the related uncertainties. NDSHA provides realistic time series of expected ground motion readily applicable for seismic engineering analysis and other mitigation actions. The methodology has been successfully applied to strategic buildings, lifelines and cultural heritage sites, and for the purpose of seismic microzoning in several urban areas worldwide. A web application is currently being developed that facilitates the access to the NDSHA methodology and the related outputs by end-users, who are interested in reliable territorial planning and in the design and construction of buildings and infrastructures in seismic areas. At the same, the web application is also shaping up as an advanced educational tool to explore interactively how seismic waves are generated at the source, propagate inside structural models, and build up ground shaking scenarios. We illustrate the preliminary results obtained from a multiscale application of NDSHA approach to the territory of India, zooming from large scale hazard maps of ground shaking at bedrock, to the definition of local scale earthquake scenarios for selected sites in the Gujarat state (NW India). The study aims to provide the community (e.g. authorities and engineers) with advanced information for earthquake risk mitigation, which is particularly relevant to Gujarat in view of the rapid development and urbanization of the region.

Knowledge of and attitudes toward clinical depression among health providers in Gujarat, India.

PubMed

Almanzar, Santiago; Shah, Nirsarg; Vithalani, Suril; Shah, Sandip; Squires, James; Appasani, Raghu; Katz, Craig L

2014-01-01

Clinical depression is a major leading cause of morbidity and mortality but it is oftentimes overlooked and undertreated. The negative perception and lack of understanding of this condition prevents millions of people from seeking appropriate and on-time medical help, leading to distress and increased burden for affected people and their families. The implementation of public education campaigns and training of non-psychiatric health professionals on mental health and clinical depression has been neglected in several countries, including India, which is the second most populous country in the world with a population of more than 1.2 billion people, almost one-fifth of the world's population. This study sought to explore the knowledge and attitudes toward the diagnosis and treatment of clinical depression in nonpsychiatric health care providers in Vadodara, Gujarat, India. A cross-sectional survey was conducted over a 4-week period In Gujarat, India among resident physicians and community health workers about their knowledge and views on clinical depression. We found considerable stigma and misinformation about depression especially among health care workers in India. Most of the community health workers had a great deal of difficulty when defining clinical depression, and a large majority said that they never heard about depression or its definition and although the overwhelming majority of respondents did not believe that clinical depression results from a punishment from God (82% disagreed or strongly disagreed with this belief) or evil spirits (77.5%), a much smaller proportion disagreed with the assertions that depression was either solely due to difficult circumstances (38.2%) or that sufferers only had themselves to blame (47.2%). Meanwhile, only 32.6% disagreed with the position that clinical depression is a sign of weakness and 39.4% disagreed with the statement that suicide was a sign of weakness. Our findings underscore the considerable public health

The Gujarat earthquake (2001) experience in a seismically unprepared area: community hospital medical response.

PubMed

Roy, Nobhojit; Shah, Hemant; Patel, Vikas; Coughlin, R Richard

2002-01-01

At 08:53 hours on 26 January 2001, an earthquake measuring 6.9 on the Richter scale devastated a large, drought-affected area of northwestern India, the state of Gujarat. The known number killed by the earthquake is 20,005, with 166,000 injured, of whom 20,717 were "seriously" injured. About 370,000 houses were destroyed, and another 922,000 were damaged. A community health worker using the local language interviewed all of the patients admitted to the Gandhi-Lincoln hospital with an on-site, oral, real-time, Victim Specific Questionnaire (VSQ). The census showed a predominance of women, children, and young adults, with the average age being 28 years. The majority of the patients had other family members who were also injured (84%), but most had not experienced deaths among family members (86%). Most of the patients (91%) had traveled more than 200 kilometers using their family cars, pick-ups, trucks, or buses to reach the buffer zone hospitals. The daily hospital admission rate returned to pre-event levels five days after the event, and all of the hospital services were restored by nine days after the quake. Most of the patients (83%) received definitive treatment in the buffer zone hospitals; 7% were referred to tertiary-care centers; and 9% took discharge against medical advice. The entrapped village folk with their traditional architecture had lesser injuries and a higher rescue rate than did the semi-urban townspeople, who were trapped in collapsed concrete masonry buildings and narrow alleys. However, at the time of crisis, aware townspeople were able to tap the available health resources better than were the poor. There was a low incidence of crush injuries. Volunteer doctors from various backgrounds teamed up to meet the medical crisis. International relief agencies working through local groups were more effective. Local relief groups needed to coordinate better. Disaster tourism by various well-meaning agencies took a toll on the providers. Many surgeries

Oral health status of fishermen and non-fishermen community of Kutch district, Gujarat, India: a comparative study.

PubMed

Asawa, Kailash; Pujara, Piyush; Tak, Mridula; Nagarajappa, Ramesh; Aapaliya, Pankaj; Bhanushali, Nikhil; Mishra, Prashant; Sharma, Abhishek

2014-01-01

Fishing is one such hazardous occupation, which involves irregular diet, stress, alcoholism, tobacco and pernicious habits. Fishermen have lower socio-economic status and their illiteracy adds to their poor oral hygiene, which may influence general and oral health. The aim of the study was to assess and compare the oral health status of fishermen and non-fishermen population of Kutch District, Gujarat, India. A descriptive cross-sectional survey was conducted to assess and compare the oral health status of the fishermen and non-fishermen community of Mundra taluka of Kutch district, Gujarat, India, from January 2013 to June 2013. Fishermen had significantly higher periodontal disease and dental caries than non-fishermen group (p = 0.001). Malocclusion was significantly higher in non-fishermen group (p = 0.001). Extraction was the most prevalent treatment need among both groups. Occupation and educational status were respectively identified as the best predictors for dental caries and periodontal disease. Findings of the present study suggest that oral health status of the fishermen population was relatively poor, with high caries prevalence and poor periodontal health when compared to the non-fishermen population. In the light of high treatment needs of the study population, health policy that emphasises oral health promotion and prevention would seem more advantageous in addition to traditional curative care.

The Gujarat Earthquake: Mitigations Failures and Lessons learnt for Future Strategies

NASA Astrophysics Data System (ADS)

Katuri, A. K.; Mittal, J.; Kumar, K.

Time and again, the Indian subcontinent has been suffering from diverse natural calamities, ranging from droughts to floods, landslides to earthquakes, and cyclones to spells of famines. Recently, in October 1999, a severe cyclone battered the eastern coast of Orissa affecting millions of people, blowing away homes, damaging buildings, destroying crops and wiping out a huge cattle population. The Gujarat earthquake of January 2001 was another monumental disaster that affected more than 15 million people causing colossal loss of life and property estimated at US 1.30 billion, though actual may be much higher. More than 200 international and domestic voluntary agencies promptly rushed aid to the damaged areas at the shake of the quake-2001. In this crucial rescue phase, teams were scattered across affected villages and urban centers, clueless of precise locations and extent of damage. Problems faced during the relief and rehabilitation were- absence of a comprehensive information system (both spatial and attribute), absence of a nodal agency to disseminate information on the type of relief required, absence of high precision remotely sensed data, appropriate for preparation and implementation of long term reconstruction and rehabilitation plan (Development Plan). Repeated disaster assessments by multiple agencies led to wastage of time and resources. All this led to non-coherence amongst the coordinating agencies, and rescue &relief teams. Spatial and attribute damage assessment could have been easier in the presence of comprehensive geographic and demographic information supported by high precision satellite imageries to compare pre and post disaster situation. Disaster management includes pre-disaster preparedness planning, post- disaster damage assessment, search and rescue, rehabilitation and reconstruction activities. Unlike other disasters, scientific alerts, forecasts and warnings of impending earthquake still require more attention. Disaster Preparedness Plan

Different stages of collision zones on examples of Gujarat province (India) and Caucasus

NASA Astrophysics Data System (ADS)

Zabelina, Irina; Koulakov, Ivan; Ranjan Kayal, Jnana; Pratap Singh, Ajay; Kumar, Santosh; Kukarina, Ekaterina; Amanatashvili, Iason

2016-04-01

In this study we present seismic structures of the crust and upper mantle beneath two regions: Kachchh Gujarat region (India), and Caucasus that may represent different stages of the collisional processes. In both cases, the 3D seismic models were obtained based on tomography inversion of arrival times of P and S seismic waves from local and regional earthquakes. Collisional processes in the Caucasus region began 35 million years ago with the closure of the Tethys Ocean, and continues to this day. The rate of shortening between the Scythian and the Arabian plate is currently 1-2.2 mm/year. The tomography inversion used the dataset provided by several seismic agencies of the Caucasus region that contained 23,071 P- and 21,598 S-picks from 1374 events. The obtained P and S velocity models clearly delineate major tectonic units in the study area. A high velocity anomaly in Transcaucasian separating the Great and Lesser Caucasus possibly represents a rigid crustal block corresponding to the remnant oceanic lithosphere of Tethys. Another high-velocity pattern coincides with the southern edge of the Scythian Plate. Strongly deformed areas of Great and Lesser Caucasus are mostly associated with low-velocity patterns representing thickened felsic part of the crust and strong fracturing of rocks. Most Cenozoic volcanic centers of Caucasus match to the low-velocity seismic anomalies in the crust. We propose that the mantle part of the Arabian and Eurasian Plates has been delaminated due to the continental collision in the Caucasus region. As a result, overheated asthenosphere appeared nearly the bottom of the crust and facilitated melting of the crustal material that caused the origin of recent volcanism in Great and Lesser Caucasus. The Kachchh province, in contrast to the Caucasus, is far from any boundaries of major lithospheric plates. However, this area is one of the most seismically active in India. It is suggested that it may be a site of the lithosphere rupture and

Influence of meteorological parameters on the soil radon (Rn222) emanation in Kutch, Gujarat, India.

PubMed

Sahoo, Sushanta Ku; Katlamudi, Madhusudhanarao; Shaji, Jerin P; Murali Krishna, K S; Udaya Lakshmi, G

2018-02-02

The soil radon (Rn 222 ) and thoron (Rn 220 ) concentrations recorded at Badargadh and Desalpar observatories in the Kutch region of Gujarat, India, have been analyzed to study the sources of the radon emissions, earthquake precursors, and the influence of meteorological parameters on radon emission. Radon and meteorological parameters were recorded using Radon Monitor RMT 1688-2 at these two stations. We used the radon data during February 21, 2011 to June 8, 2011, for Badargadh and March 2, 2011 to May 19, 2011, for the Desalpar station with a sampling interval of 10 min. It is observed that the radon concentrations at Desalpar varies between 781 and 4320 Bq m -3 with an average value of 2499 Bq m -3 , whereas thoron varies between 191 and 2017 Bq m -3 with an average value of 1433.69 Bq m -3 . The radon concentration at Badargadh varies between 264 and 2221 Bq m -3 with an average value of 1135.4 Bq m -3 , whereas thoron varies between 97 and 556 Bq m -3 . To understand how the meteorological parameters influence radon emanation, the radon and other meteorological parameters were correlated with linear regression analysis. Here, it was observed that radon and temperature are negatively correlated whereas radon and other two parameters, i.e., humidity and pressure are positively correlated. The cross correlogram also ascertains similar relationships between radon and other parameters. Further, the ratio between radon and thoron has been analyzed to determine the deep or shallow source of the radon emanation in the study area. These results revealed that the ratio radon/thoron enhanced during this period which indicates the deeper source contribution is prominent. Incidentally, all the local earthquakes occurred with a focal depth of 18-25 km at the lower crust in this region. We observed the rise in the concentrations of radon and the ratio radon/thoron at Badargadh station before the occurrence of the local earthquakes on 29th March 2011 (M 3

Assisting community management of groundwater: Irrigator attitudes in two watersheds in Rajasthan and Gujarat, India

NASA Astrophysics Data System (ADS)

Varua, M. E.; Ward, J.; Maheshwari, B.; Oza, S.; Purohit, R.; Hakimuddin; Chinnasamy, P.

2016-06-01

The absence of either state regulations or markets to coordinate the operation of individual wells has focussed attention on community level institutions as the primary loci for sustainable groundwater management in Rajasthan and Gujarat, India. The reported research relied on theoretical propositions that livelihood strategies, groundwater management and the propensity to cooperate are associated with the attitudinal orientations of well owners in the Meghraj and Dharta watersheds, located in Gujarat and Rajasthan respectively. The research tested the hypothesis that attitudes to groundwater management and farming practices, household income and trust levels of assisting agencies were not consistent across the watersheds, implying that a targeted approach, in contrast to default uniform programs, would assist communities craft rules to manage groundwater across multiple hydro-geological settings. Hierarchical cluster analysis of attitudes held by survey respondents revealed four statistically significant discrete clusters, supporting acceptance of the hypothesis. Further analyses revealed significant differences in farming practices, household wealth and willingness to adapt across the four groundwater management clusters. In conclusion, the need to account for attitudinal diversity is highlighted and a framework to guide the specific design of processes to assist communities craft coordinating instruments to sustainably manage local aquifers described.

An external evaluation of the Diarrhea Alleviation through Zinc and ORS Treatment (DAZT) program in Gujarat and Uttar Pradesh, India.

PubMed

Lamberti, Laura M; Taneja, Sunita; Mazumder, Sarmila; LeFevre, Amnesty; Black, Robert E; Walker, Christa L Fischer

2015-12-01

To address inadequate coverage of oral rehydration salts (ORS) and zinc supplements for the treatment of diarrhea among children under-five, the Diarrhea Alleviation through Zinc and ORS Treatment (DAZT) program was carried out from 2011-2013 in Gujarat and from 2011-2014 in Uttar Pradesh (UP), India. The program focused on improving the diarrhea treatment practices of public and private sector providers. We conducted cross-sectional household surveys in program districts at baseline and endline and constructed state-specific logistic regression models with generalized estimating equations to assess changes in ORS and zinc treatment during the program period. Between baseline and endline, zinc coverage increased from 2.5% to 22.4% in Gujarat and from 3.1% to 7.0% in UP; ORS coverage increased from 15.3% to 39.6% in Gujarat but did not change in UP. In comparison to baseline, children with diarrhea in the two-weeks preceding the endline survey had higher odds of receiving zinc treatment in both Gujarat (odds ratio, OR = 11.2; 95% confidence interval (CI) 6.4-19.3) and UP (OR = 2.4; 95% CI 1.4-3.9), but the odds of receiving ORS only increased in Gujarat (OR = 3.6; 95% CI 2.7-4.8; UP OR = 0.9; 95% CI 0.7-1.2). Seeking care outside the home, especially from a public sector source, was associated with higher odds of receiving ORS and zinc. During the duration of the DAZT program, there were modest improvements in the treatment of diarrhea among young children. Future programs should build upon and accelerate this trend with continued investment in public and private sector provider training and supply chain sustainability, in addition to targeted caregiver demand generation activities.

Dominance of cyanobacterial and cryptophytic assemblage correlated to CDOM at heavy metal contamination sites of Gujarat, India.

PubMed

Patidar, Shailesh Kumar; Chokshi, Kaumeel; George, Basil; Bhattacharya, Sourish; Mishra, Sandhya

2015-01-01

Industrial clusters of Gujarat, India, generate high quantity of effluents which are received by aquatic bodies such as estuary and coastal water. In the present study, microalgal assemblage, heavy metals, and physico-chemical variables were studied from different habitats. Principal component analysis revealed that biovolume of cyanobacterial and cryptophytic community positively correlated with the heavy metal concentration (Hg, As, Zn, Fe, Mo, Ni, and Co) and chromophoric dissolved organic matter (CDOM) under hypoxic environment. Green algae and diatoms dominated at comparatively lower nitrate concentration which was positively associated with Pb and Mn.

Establishing the reference value for “timed up-and-go” test in healthy adults of Gujarat, India

PubMed Central

Khant, Nency; Dani, Vyoma Bharat; Patel, Purvi; Rathod, Rachana

2018-01-01

CONTEXT: Timed up-and-go (TUG) test is a valid, reliable, and an objective test for quantifying functional mobility and assessing the fall risk in all age groups. The analysis of patient scores on TUG test is limited by lack of data, having a wide range of performance scores among people without disabilities. AIM: The objective of the study was to provide the reference value for TUG test in healthy individuals of Gujarat, India. SUBJECTS AND METHODS: It was a cross-sectional observational study. Five hundred and twenty healthy individuals, aged 40–70 years, were recruited from various regions of Gujarat based on convenient sampling. All the participants were made to perform TUG test in a controlled environment in community. Three readings of the actual test were obtained and averaged. RESULTS: Data were analyzed with mean, standard deviation, confidence intervals (CIs 95%) and Pearson's correlation coefficient (r) with α = 0.05 by age groups (40–50, 51–60, and 61–70 years) and gender. The mean (CI 95%) TUG time for healthy adults of Gujarat was 8.46 (8.35–8.57) s and demonstrated age-related decline for both male and female participants. TUG time also demonstrated strong correlation with the height of individuals. CONCLUSION: This preliminary data can be used as a reference only for specific population with specific age groups due to variability in test results among the different population due to age, gender, anthropometric measures such as height, weight, and body mass index, geographical variation, nutritional support, and cognitive status.

Barriers to Real-Time Medical Direction via Cellular Communication for Prehospital Emergency Care Providers in Gujarat, India.

PubMed

Lindquist, Benjamin; Strehlow, Matthew C; Rao, G V Ramana; Newberry, Jennifer A

2016-07-08

Many low- and middle-income countries depend on emergency medical technicians (EMTs), nurses, midwives, and layperson community health workers with limited training to provide a majority of emergency medical, trauma, and obstetric care in the prehospital setting. To improve timely patient care and expand provider scope of practice, nations leverage cellular phones and call centers for real-time online medical direction. However, there exist several barriers to adequate communication that impact the provision of emergency care. We sought to identify obstacles in the cellular communication process among GVK Emergency Management and Research Institute (GVK EMRI) EMTs in Gujarat, India. A convenience sample of practicing EMTs in Gujarat, India were surveyed regarding the barriers to call initiation and completion. 108 EMTs completed the survey. Overall, ninety-seven (89.8%) EMTs responded that the most common reason they did not initiate a call with the call center physician was insufficient time. Forty-six (42%) EMTs reported that they were unable to call the physician one or more times during a typical workweek (approximately 5-6 twelve-hour shifts/week) due to their hands being occupied performing direct patient care. Fifty-eight (54%) EMTs reported that they were unable to reach the call center physician, despite attempts, at least once a week. This study identified multiple barriers to communication, including insufficient time to call for advice and inability to reach call center physicians. Identification of simple interventions and best practices may improve communication and ensure timely and appropriate prehospital care.

Metagenomic sequence of saline desert microbiota from wild ass sanctuary, Little Rann of Kutch, Gujarat, India.

PubMed

Patel, Rajesh; Mevada, Vishal; Prajapati, Dhaval; Dudhagara, Pravin; Koringa, Prakash; Joshi, C G

2015-03-01

We report Metagenome from the saline desert soil sample of Little Rann of Kutch, Gujarat State, India. Metagenome consisted of 633,760 sequences with size 141,307,202 bp and 56% G + C content. Metagenome sequence data are available at EBI under EBI Metagenomics database with accession no. ERP005612. Community metagenomics revealed total 1802 species belonged to 43 different phyla with dominating Marinobacter (48.7%) and Halobacterium (4.6%) genus in bacterial and archaeal domain respectively. Remarkably, 18.2% sequences in a poorly characterized group and 4% gene for various stress responses along with versatile presence of commercial enzyme were evident in a functional metagenome analysis.

First Report of Microfaunal Remains from Lignitic Sequences of Bhavnagar Lignite Mine (khadsaliya Formation), Gujarat, India: Implication to Depositional Environments and Age

NASA Astrophysics Data System (ADS)

Maurya, A. S.

2016-12-01

FIRST REPORT OF MICROFAUNAL REMAINS FROM LIGNITIC SEQUENCES OF BHAVNAGAR LIGNITE MINE (KHADSALIYA FORMATION), GUJARAT, INDIA: IMPLICATION TO DEPOSITIONAL ENVIRONMENTS AND AGEABHAYANAND SINGH MAURYA1*, SANJAY KUMAR VERMA1, PRAGYA PANDEY11Department of Earth Sciences, Indian Institute of Technology Roorkee, Roorkee Moderately preserved fish otoliths, fish vertebra, bivalves, pteropods, ostracods and foraminifereral remains were recovered from the grey to greenish-grey clays of Khadsaliya Formation, Bhavnagar Lignite Mine (western India) and quantitatively analyzed to understand the depositional environment. The bio-facies assemblage is diverse and dominated by fauna Fishes, Bivalve, Pteropods and with rare occurrences of Ostracoda and Foraminifera. Fish fauna includes otoliths represented by Ambassidarum, Apogonidarum, Percoideorum and Gobiidarum vastani, out of which Gobiidarum vastani is possibly representing Ypresian (early Eocene). The Globanomalina ovalis a smaller planktic foraminifer is known to be a very short ranged species corresponds to Planktic Foranimiferal Zone 5 to 6 (P5-P6) i.e late Thanetian to early Yepresian. Presence of both fresh water (Lepisosteus, Osteoglossidae), fresh water (Cypridopsis) ostracods and shallow marine fauna (Enchodus, Egertonia and Stephanodus) of fish vertebra; (Cardita) bivalve, , marine water (Globanomalina, Eggrella, Pyrulinoides) foraminifer suggests that Bhavnagar lignite mine have an assemblage of admixed fauna and rocks of Khaldsiya formation at Bhavnagar Lignite mine deposited under marine transgressive-regressive cycles. Some of the microfauna from Bhavnagar lignite mine show close affinities with microfaunal assemblages of the Vastan lignite mine of Gujarat, India which is stated to be of Ypresian (early Eocene).

Communal violence in Gujarat, India: impact of sexual violence and responsibilities of the health care system.

PubMed

Khanna, Renu

2008-05-01

Situations of chronic conflict across the globe make it imperative to draw attention to its gendered health consequences, particularly the violation of women's reproductive and sexual rights. Since early 2002 in Gujarat, western India, the worst kind of state-sponsored violence against Muslims has been perpetrated, which continues to this day. This paper describes the history of that violence and highlights the mental and physical consequences of sexual and gender-based violence and the issues that need to be addressed by the police, the health care system and civil society. It draws upon several reports, including from the International Initiative for Justice and the Medico Friend Circle, which documented the reproductive, sexual and mental health consequences of the violence in Gujarat, and the lacunae in the responses of the health system. The paper calls for non-discrimination to be demonstrated by health personnel in the context of conflict and social unrest. Their training should include conflict as a public health problem, their roles and responsibilities in prevention, treatment and documentation of this "disease", and focus on relevant medico-legal methodology and principles, the psychological impact of sexual assault on victims, and the legal significance of medical evidence in these cases.

Mafic/Ultramafic xenoliths from Saurashtra peninsula of Gujarat; northwestern Deccan Trap, India

NASA Astrophysics Data System (ADS)

Naushad, M.; Behera, J. R.; Chakra, M.; Murthy, P. V.

2017-12-01

The crustal growth forming processes at the crust-mantle interface or within the crust due to magma underplating is important for the formation and emplacement of continental flood basalt and large igneous provinces. Mafic/ultramafic xenoliths from lower crust or upper mantle provide clue to characterize the underplated material and magmatic processes. Earlier study of ultramafic xenoliths suggested magma underplating and crustal growth in Kuchchh, Gujarat, northwestern Deccan Trap (NWDT). Absence of such xenoliths in Saurashtra peninsula (SP) of NWDT however could not supplement this. Here, we report the mafic/ultramafic xenoliths entrained in high MgO basaltic lava flows of NWDT of SP in Rajkot district of Gujarat, India. The xenoliths are medium to coarse grained, meso - to melanocratic, elongated to angular pyroxenite (Type-I), two pyroxenes gabbro (Type-II) and anorthosite (Type-III) showing sharp contact with host basalt flows. Type-I xenoliths dominated by clinopyroxene (cpx) (Wo49-45 En49-38) with olivine (ol) (Fo84-78), exhibit cumulate texture, Type-II composed of cpx (core-Wo49-48 En42-41), orthopyroxene (opx) (core- En77-76 Fs23-22) and plagioclase (plag) (Ab35-28 An71-64) and Type-III, composed dominantly of plag (Ab67-29 An68-28) with minor opx (En78-76 Fs20-18) and a grain of hercynite (Al2O3=59%) in close association with plag. The basaltic lavas are porphyritic containing ol (Fo88-75), cpx (Wo50-48 En39-37), plag (Ab43-26 An74-54) and opaques. Whole rock geochemical data of xenolith entrained lava flows indicates high MgO (10-11 wt%) with high Ni (421-430 ppm) and Cr (795-1076 ppm). The equilibration temperature calculated from cpx - opx (adjacent grain of cpx and opx, pair-A; inclusion of cpx within opx, pair-B) for Type-II xenolith indicates 778°C and 789°C (pair-A) and 821°C and 832°C (pair-B) at 5 kbar and 10 kbar pressure respectively. Present study suggests that the possibility of magma underplating at crust-mantle interface or presence

Issues and challenges in recruitment for government doctors in Gujarat, India.

PubMed

Purohit, Bhaskar; Martineau, Tim

2016-07-19

India faces a critical shortage of government doctors in rural and underserved areas. Several measures have been introduced to address the shortage, but significant problems still remain. The main aim of the current research was to understand the existing recruitment-related policies and systems in place for government doctors in Gujarat and to identify issues that prevent effective recruitment of doctors that could have implications for doctors' shortage in the state. The research also aims to fill the knowledge gap in the existing literature on why recruitment in civil services is an important HR function to address the shortage of doctors. The study aimed at identifying the existing recruitment policies and practices for government Medical Officers (MOs) from Gujarat state in India. The analysis is based on document review to understand the existing policies, 19 in-depth interviews with MOs to understand the systems in place for recruitment of MOs, construction of job histories from interviews to understand various nuances in the recruitment system and five interviews with Key Informants to understand recruitment policies and their actual implementation. Thematic framework approach was used to analyse qualitative data using NVivo. While the state has general recruitment guidelines called the Recruitment Rules (RRs), these rules are very wide-ranging and fragmented. The MOs were neither briefed about them nor received copies of the rules at any time during the service suggesting that RRs were not transparent. The recruitment system was considered to be slow and very sporadic having possible implications for attraction and retention of MOs. The study results indicate several other system inefficiencies such as a long time taken by the health department to provide salary benefits and service regularization that has a negative effect over MOs' motivation. The study also found unequal opportunities presented to different categories of MOs in relation to job security

Golden roots to golden fruits of mental health in Gujarat.

PubMed

Mehta, Ritambhara; Shah, Anil; Vankar, G K; Chauhan, Ajay; Bakre, Ravindra

2018-02-01

Through the behavioral descriptions in age-old texts it is obvious that Mental Health problems exist since the existence of Homo Sapiens and humanity, with ever changing norms, contexts, definitions and hence their management. Gujarat state of India is one of the oldest land plateaus existing. It has been inhabited, ruled and governed by many different people, races, kings; and invaded through its longest sea-coast by Dutch, Portuguese, British. Even after freedom of India in 1947, Gujarat emerged as a separate state in 1960 only. The history of Mental Health, before being a separate state, could be summed up in 2 Mental Hospitals started by British governance and 2 very unique institutions. Post NMHP, there has been a tremendous growth in the sector, supported by many leaders in the governance. This is an attempt to review some documented and some gathered information from dependable sources, from pre-independence colonial era, post-independence and post-statehood contemporary period.

The Mw 7.7 Bhuj earthquake: Global lessons for earthquake hazard in intra-plate regions

USGS Publications Warehouse

Schweig, E.; Gomberg, J.; Petersen, M.; Ellis, M.; Bodin, P.; Mayrose, L.; Rastogi, B.K.

2003-01-01

The Mw 7.7 Bhuj earthquake occurred in the Kachchh District of the State of Gujarat, India on 26 January 2001, and was one of the most damaging intraplate earthquakes ever recorded. This earthquake is in many ways similar to the three great New Madrid earthquakes that occurred in the central United States in 1811-1812, An Indo-US team is studying the similarities and differences of these sequences in order to learn lessons for earthquake hazard in intraplate regions. Herein we present some preliminary conclusions from that study. Both the Kutch and New Madrid regions have rift type geotectonic setting. In both regions the strain rates are of the order of 10-9/yr and attenuation of seismic waves as inferred from observations of intensity and liquefaction are low. These strain rates predict recurrence intervals for Bhuj or New Madrid sized earthquakes of several thousand years or more. In contrast, intervals estimated from paleoseismic studies and from other independent data are significantly shorter, probably hundreds of years. All these observations together may suggest that earthquakes relax high ambient stresses that are locally concentrated by rheologic heterogeneities, rather than loading by plate-tectonic forces. The latter model generally underlies basic assumptions made in earthquake hazard assessment, that the long-term average rate of energy released by earthquakes is determined by the tectonic loading rate, which thus implies an inherent average periodicity of earthquake occurrence. Interpreting the observations in terms of the former model therefore may require re-examining the basic assumptions of hazard assessment.

Effect of Chiranjeevi Yojana on institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis.

PubMed

Mohanan, Manoj; Bauhoff, Sebastian; La Forgia, Gerard; Babiarz, Kimberly Singer; Singh, Kultar; Miller, Grant

2014-03-01

To evaluate the effect of the Chiranjeevi Yojana programme, a public-private partnership to improve maternal and neonatal health in Gujarat, India. A household survey (n = 5597 households) was conducted in Gujarat to collect retrospective data on births within the preceding 5 years. In an observational study using a difference-in-differences design, the relationship between the Chiranjeevi Yojana programme and the probability of delivery in health-care institutions, the probability of obstetric complications and mean household expenditure for deliveries was subsequently examined. In multivariate regressions, individual and household characteristics as well as district and year fixed effects were controlled for. Data from the most recent District Level Household and Facility Survey (DLHS-3) wave conducted in Gujarat (n = 6484 households) were used in parallel analyses. Between 2005 and 2010, the Chiranjeevi Yojana programme was not associated with a statistically significant change in the probability of institutional delivery (2.42 percentage points; 95% confidence interval, CI: -5.90 to 10.74) or of birth-related complications (6.16 percentage points; 95% CI: -2.63 to 14.95). Estimates using DLHS-3 data were similar. Analyses of household expenditures indicated that mean household expenditure for private-sector deliveries had either not fallen or had fallen very little under the Chiranjeevi Yojana programme. The Chiranjeevi Yojana programme appears to have had no significant impact on institutional delivery rates or maternal health outcomes. The absence of estimated reductions in household spending for private-sector deliveries deserves further study.

Faculty perceptions of the strengths, weaknesses and future prospects of the current medical undergraduate experimental physiology curriculum in Gujarat, India.

PubMed

Paralikar, Swapnil; Shah, Chinmay

2015-01-01

Over the past several years, an opinion has emerged in India that the current practical curricula in medical schools fail to meet many of the objectives for which they were instituted. Hence, this study has assessed the perception of physiology faculty members regarding the current experimental physiology curriculum in one Indian state, Gujarat. The faculty were of the opinion that many of the topics currently taught in experimental physiology (amphibian nerve-muscle and heart muscle experiments) were outdated and clinically irrelevant: Therefore, the faculty advocated that duration of teaching time devoted to some of these topics should be reduced and topics with clinical relevance should be introduced at the undergraduate level. The faculty also felt that more emphasis should be laid on highlighting the clinical aspect related to each concept taught in experimental physiology . Moreover, a majority of faculty members were in favour of replacing the current practice in Gujarat of teaching experimental physiology only by explanation of graphs obtained from experiments conducted in the previous years, with computer assisted learning in small groups.

Earthquake Damage Assessment Using Very High Resolution Satelliteimagery

NASA Astrophysics Data System (ADS)

Chiroiu, L.; André, G.; Bahoken, F.; Guillande, R.

Various studies using satellite imagery were applied in the last years in order to assess natural hazard damages, most of them analyzing the case of floods, hurricanes or landslides. For the case of earthquakes, the medium or small spatial resolution data available in the recent past did not allow a reliable identification of damages, due to the size of the elements (e.g. buildings or other structures), too small compared with the pixel size. The recent progresses of remote sensing in terms of spatial resolution and data processing makes possible a reliable damage detection to the elements at risk. Remote sensing techniques applied to IKONOS (1 meter resolution) and IRS (5 meters resolution) imagery were used in order to evaluate seismic vulnerability and post earthquake damages. A fast estimation of losses was performed using a multidisciplinary approach based on earthquake engineering and geospatial analysis. The results, integrated into a GIS database, could be transferred via satellite networks to the rescue teams deployed on the affected zone, in order to better coordinate the emergency operations. The methodology was applied to the city of Bhuj and Anjar after the 2001 Gujarat (India) Earthquake.

Perceptions regarding barriers and facilitators to combination antiretroviral therapy adherence among people living with HIV/AIDS in Gujarat, India: A qualitative study

PubMed Central

Patel, Sangita; Baxi, Rajendra K.; Patel, Shilpa N.; Golin, Carol E; Mehta, Mansi; Bakshi, Harsh; Shingrapure, Kalpita; Modi, Ekta; Coonor, Priyanka; Mehta, Kedar

2012-01-01

Objectives: To know the perceptions regarding barriers and facilitators to cART adherence among people living with HIV/AIDS Materials and Methods: To adapt U.S. based SAFETALK “prevention with positives” intervention to be culturally relevant in Gujarat, India in assisting PLWHA, a formative study was conducted. We conducted 30 in-depth interviews with PLWHA in the local language, assessing the experiences, perceived barriers, and facilitators to combination antiretroviral therapy (cART) among PLWHA in Gujarat. PLWHA were selected from the Voluntary Counseling and Testing Centre (VCTC) in Gujarat. To triangulate interview findings, we conducted two focus group discussions (FGDs) with medical and non-medical providers, respectively. Results: Travel and commuting to clinic, fear of possible physical reactions, high cost of ART from private practitioners, CD4 count being in normal limits and resistance to medication acted as barriers to cART adherence. Initiation of cART was facilitated by family members′ suggestion, advice of treating doctors and counselors, appropriate counseling before starting cART, belief that cART would aid in living a better and longer life and due to lowering of the CD4 count. Interpretation and Conclusions: Our study suggests that several issues need to be considered when providing cART. Further research is needed to study interactions between patients and their health care providers. PMID:23188935

Inequity in maternal health care service utilization in Gujarat: analyses of district-level health survey data

PubMed Central

Saxena, Deepak; Vangani, Ruchi; Mavalankar, Dileep V.; Thomsen, Sarah

2013-01-01

Background Two decades after the launch of the Safe Motherhood campaign, India still accounts for at least a quarter of maternal death globally. Gujarat is one of the most economically developed states of India, but progress in the social sector has not been commensurate with economic growth. The purpose of this study was to use district-level data to gain a better understanding of equity in access to maternal health care and to draw the attention of the policy planers to monitor equity in maternal care. Methods Secondary data analyses were performed among 7,534 ever-married women who delivered since January 2004 in the District Level Household and Facility Survey (DLHS-3) carried out during 2007–2008 in Gujarat, India. Based on the conceptual framework designed by the Commission on the Social Determinants of Health, associations were assessed between three outcomes – Institutional delivery, antenatal care (ANC), and use of modern contraception – and selected intermediary and structural determinants of health using multiple logistic regression. Results Inequities in maternal health care utilization persist in Gujarat. Structural determinants like caste group, wealth, and education were all significantly associated with access to the minimum three antenatal care visits, institutional deliveries, and use of any modern method of contraceptive. There is a significant relationship between being poor and access to less utilization of ANC services independent of caste category or residence. Discussion and conclusions Poverty is the most important determinant of non-use of maternal health services in Gujarat. In addition, social position (i.e. caste) has a strong independent effect on maternal health service use. More focused and targeted efforts towards these disadvantaged groups needs to be taken at policy level in order to achieve targets and goals laid out as per the MDGs. In particular, the Government of Gujarat should invest more in basic education and

Inequity in maternal health care service utilization in Gujarat: analyses of district-level health survey data.

PubMed

Saxena, Deepak; Vangani, Ruchi; Mavalankar, Dileep V; Thomsen, Sarah

2013-03-06

Two decades after the launch of the Safe Motherhood campaign, India still accounts for at least a quarter of maternal death globally. Gujarat is one of the most economically developed states of India, but progress in the social sector has not been commensurate with economic growth. The purpose of this study was to use district-level data to gain a better understanding of equity in access to maternal health care and to draw the attention of the policy planers to monitor equity in maternal care. Secondary data analyses were performed among 7,534 ever-married women who delivered since January 2004 in the District Level Household and Facility Survey (DLHS-3) carried out during 2007-2008 in Gujarat, India. Based on the conceptual framework designed by the Commission on the Social Determinants of Health, associations were assessed between three outcomes - Institutional delivery, antenatal care (ANC), and use of modern contraception - and selected intermediary and structural determinants of health using multiple logistic regression. Inequities in maternal health care utilization persist in Gujarat. Structural determinants like caste group, wealth, and education were all significantly associated with access to the minimum three antenatal care visits, institutional deliveries, and use of any modern method of contraceptive. There is a significant relationship between being poor and access to less utilization of ANC services independent of caste category or residence. Poverty is the most important determinant of non-use of maternal health services in Gujarat. In addition, social position (i.e. caste) has a strong independent effect on maternal health service use. More focused and targeted efforts towards these disadvantaged groups needs to be taken at policy level in order to achieve targets and goals laid out as per the MDGs. In particular, the Government of Gujarat should invest more in basic education and infrastructural development to begin to remove the structural causes

Seismic Velocity Assessment In The Kachchh Region, India, From Multiple Waveform Functionals

NASA Astrophysics Data System (ADS)

Ghosh, R.; Sen, M. K.; Mandal, P.; Pulliam, J.; Agrawal, M.

2014-12-01

The primary goal of this study is to estimate well constrained crust and upper mantle seismic velocity structure in the Kachchh region of Gujarat, India - an area of active interest for earthquake monitoring purposes. Several models based on 'stand-alone' surface wave dispersion and receiver function modeling exist in this area. Here we jointly model the receiver function, surface wave dispersion and, S and shear-coupled PL wavetrains using broadband seismograms of deep (150-700 km), moderate to-large magnitude (5.5-6.8) earthquakes recorded teleseismically at semi-permanent seismograph stations in the Kachchh region, Gujarat, India. While surface wave dispersion and receiver function modeling is computationally fast, full waveform modeling makes use of reflectivity synthetic seismograms. An objective function that measures misfit between all three data is minimized using a very fast simulated annealing (VFSA) approach. Surface wave and receiver function data help reduce the model search space which is explored extensively for detailed waveform fitting. Our estimated crustal and lithospheric thicknesses in this region vary from 32 to 41 km and 70 to 80 km, respectively, while crustal P and S velocities from surface to Moho discontinuity vary from 4.7 to 7.0 km/s and 2.7 to 4.1 km/s, respectively. Our modeling clearly reveals a zone of crustal as well as an asthenospheric upwarping underlying the Kachchh rift zone relative to the surrounding unrifted area. We believe that this feature plays a key role in the seismogenesis of lower crustal earthquakes occurring in the region through the emanation of volatile CO2 into the hypocentral zones liberating from the crystallization of carbonatite melts in the asthenosphere. Such a crust-mantle structure might be related to the plume-lithosphere interaction during the Deccan/Reunion plume episode (~65 Ma).

Diarrhea no more: does zinc help the poor? Evidence on the effectiveness of programmatic efforts to reach poorest in delivering zinc and ORS at scale in UP and Gujarat, India.

PubMed

LeFevre, Amnesty E; Mohan, Diwakar; Mazumder, Sarmila; Lamberti, Laura L; Taneja, Sunita; Black, Robert E; Fischer-Walker, Christa L

2016-12-01

India has the greatest burden of diarrhea in children under 5 years globally. The Diarrhea Alleviation through zinc and oral rehydration salts (ORS) Therapy program (2010-2014) sought to improve access to and utilization of zinc and ORS among children 2-59 months in Gujarat and Uttar Pradesh (UP), India, through public and private sector delivery channels. In this analysis, we present findings on program's effect in reducing child-health inequities. Data from cross-sectional baseline and endline surveys were used to assess disparities in key outcomes across six dimensions: socioeconomic strata, gender, caregiver education, ethnicity and geography. Careseeking outside the home for children under 5 years with diarrhea did not increase significantly in UP or Gujarat across socioeconomic strata. Declines in private sector careseeking were observed in both sites along with concurrent increases in public sector careseeking. Zinc, ORS, zinc+ORS use did not increase significantly in UP across socioeconomic strata. In Gujarat, increases in zinc use (20% overall; 33% in the Quintile 5 (Q5) strata) and zinc+ORS (18% overall; 30% in the Q5 strata) were disproportionately observed in the high income strata, among members of the most advantaged caste, and among children whose mothers had ≥1 year of schooling. ORS use increased significantly across all socioeconomic strata for children in Gujarat with diarrhea (23% overall; 33% in Q5 strata) and those with dehydration + diarrhea (33% overall; 38% in Q5 strata). The magnitude of increase in ORS receipt from the public sector was nearly twice that observed in the private sector. In Gujarat, while out of pocket spending for diarrhea was significantly higher for male children, overall costs to users declined by a mean of US$ 2; largely due to significant reductions in wages lost (-US$ 0.79; P  < 0.003), and transportation costs (-US$ 0.44; P  < 0.00). While significant improvements in diarrhea treatment were achieved in

Health system capacity: maternal health policy implementation in the state of Gujarat, India

PubMed Central

Sanneving, Linda; Kulane, Asli; Iyer, Aditi; Ahgren, Bengt

2013-01-01

Introduction The Government of Gujarat has for the past couple of decades continuously initiated several interventions to improve access to care for pregnant and delivering women within the state. Data from the last District Family Heath survey in Gujarat in 2007–2008 show that 56.4% of women had institutional deliveries and 71.5% had at least one antenatal check-up, indicating that challenges remain in increasing use of and access to maternal health care services. Objective To explore the perceptions of high-level stakeholders on the process of implementing maternal health interventions in Gujarat. Method Using the policy triangle framework developed by Walt and Gilson, the process of implementation was approached using in-depth interviews and qualitative content analysis. Result Based on the analysis, three themes were developed: lack of continuity; the complexity of coordination; and lack of confidence and underutilization of the monitoring system. The findings suggest that decisions made and actions advocated and taken are more dependent on individual actors than on sustainable structures. The findings also indicate that the context in which interventions are implemented is challenged in terms of weak coordination and monitoring systems that are not used to evaluate and develop interventions on maternal health. Conclusions The implementation of interventions on maternal health is dependent on the capacity of the health system to implement evidence-based policies. The capacity of the health system in Gujarat to facilitate implementation of maternal health interventions needs to be improved, both in terms of the role of actors and in terms of structures and processes. PMID:23522352

Role stress among auxiliary nurses midwives in Gujarat, India.

PubMed

Purohit, Bhaskar; Vasava, Paul

2017-01-23

Understanding Role Stress is important as health service providers, especially nurses experience high levels of Role Stress which is linked to burnout, poor quality of care and high turnover. The current study explicates the concept of Role Stress and assesses the Role Stress experienced by the Auxiliary Nurse Midwives (ANMs) working with rural government health centres from Gujarat, India. The study included 84 ANMs working with government health centres from one district in India. A structured instrument with established reliability and validity was used to measure 10 dimensions of Role Stress namely: Inter-role distance, role stagnation, role expectation conflict, role erosion: role overload, role isolation, personal inadequacy, self-role distance, role ambiguity and resource inadequacy. The study instrument was based on 5 point Likert rating scale that contained 50 unidirectional negative statements, 5 for each dimension. Kolmogorov-Smirnov and Shapiro-Wilk test were carried out to assess if the data were normally distributed. Cronbach's alpha test was carried out to assess reliability of the instrument. The study data was analyzed using descriptive statistics mainly using mean scores with higher scores indicating higher Role Stress and vice versa. The data was analyzed using SPSS version 19. Kolmogorov-Smirnov and Shapiro-Wilk test indicated that the data were normally distributed. Cronbach's alpha test indicated values of 0.852 suggesting high reliability of the tool. The highest Role Stress among ANMs was experienced for resource inadequacy. Role overload, role stagnation and inter-role distance were among the other important role stressors for ANMs. The study results suggests that ANMs frequently feel that: they do not have adequate amount of resources, facilities and financial support from the high levels authorities; people have too many expectations from their roles and as result they are overloaded with work and have very limited opportunities for

Assessment of water quality index of bore well water samples from some selected locations of South Gujarat, India.

PubMed

Tripathi, S; Patel, H M; Srivastava, P K; Bafna, A M

2013-10-01

The present study calculates the water quality index (WQI) of some selected sites from South Gujarat (India) and assesses the impact of industries, agriculture and human activities. Chemical parameters were monitored for the calculation of WQI of some selected bore well samples. The results revealed that the WQI of the some bore well samples exceeded acceptable levels due to the dumping of wastes from municipal, industrial and domestic sources and agricultural runoff as well. Inverse Distance Weighting (IDW) was implemented for interpolation of each water quality parameter (pH, EC, alkalinity, total hardness, chloride, nitrate and sulphate) for the entire sampled area. The bore water is unsuitable for drinking and if the present state of affairs continues for long, it may soon become an ecologically dead bore.

SRTM Stereo Pair: Bhuj, India, Two Weeks After Earthquake

NASA Image and Video Library

2001-04-05

On January 26, 2001, the city of Bhuj suffered the most deadly earthquake in India history. This stereoscopic image was generated from NASA Landsat satellite and data from Shuttle Radar Topography Mission SRTM.

Intimate partner violence and physical and mental health among women utilizing community health services in Gujarat, India.

PubMed

Kamimura, Akiko; Ganta, Vikas; Myers, Kyl; Thomas, Tomi

2014-10-16

Intimate partner violence (IPV) is a significant public health threat which causes injury and acute and chronic physical and mental health problems. In India, a high percentage of women experience IPV. The purposes of this study include 1) to describe the lifetime prevalence of IPV, and 2) to examine the association between IPV and physical and mental health well-being, among women utilizing community health services for the economically disadvantaged in India. Women utilizing community health services (N = 219) aged between 18 and 62 years completed a self-administered survey in Gujarat, India. Standardized instruments were used to measure perceived physical and mental health well-being. In addition, participants were asked about their lifetime experience with IPV, and socio-demographic questions. Analysis was restricted to the ever-married participants who completed the questions on IPV (N = 167). Participants with a lifetime history of IPV were more likely to have reported poorer physical and mental health compared to those without a lifetime history of IPV. More than half of the participants with an IPV history experienced multiple types of IPV (physical, sexual and/or emotional IPV). While being in the highest caste was a significant positive factor associated with better health, caste and other socio-demographic factors were not associated with IPV. Women in India face risk of IPV. Yet those experiencing IPV do not seek help or rely on informal help sources. Community health organizations may take a role in IPV prevention and intervention. Diversity of intervention options would be important to encourage more women with IPV experience to seek help.

Initial posting-a critical stage in the employment cycle: lessons from the experience of government doctors in Gujarat, India.

PubMed

Purohit, Bhaskar; Martineau, Tim

2016-07-11

With the critical shortage of government doctors serving in rural health centers in India, understanding the initial posting policies, processes, and practices become important from a retention point of view. The initial posting is a very critical stage of an employment cycle and could play an important role in influencing the key human resource for health outcomes such as turnover and performance. The current study aimed at exploring a rather unknown phenomenon of the initial posting-related processes, practices, and perceptions of Medical Officers working with the Public Health Department in Gujarat, India. This was an exploratory study carried out in the state of Gujarat, India, that used qualitative methods first to document the extant initial posting policy with the help of document review and five Key Informant interviews; next, 19 in-depth interviews were carried out with Medical Officers to assess implementation of policies as well as processes and systems related to the initial posting of Medical Officers. A thematic framework approach was used to analyze qualitative data using NVIVO. The results indicate that there is no formal published or written initial posting policy in the state, and in the absence of a written and formal policy, the overall posting systems were perceived to be arbitrary by the study respondents. In the absence of any policy, the state has some unwritten informal practices such as posting the Medical Officers at their native places. Although this practice reflects a concern towards the Medical Officer's needs, such practices are not consistently applied indicating some inequity and possible implications over Medical Officers' retention and motivation. Initial posting is a critical aspect of an employment cycle, and the perceptions and experiences of MOs regarding the processes and practices involved in their initial posting can be crucial in influencing their performance and turnover rates. If long-term solutions are to be sought in

Maternal healthcare financing: Gujarat's Chiranjeevi Scheme and its beneficiaries.

PubMed

Bhat, Ramesh; Mavalankar, Dileep V; Singh, Prabal V; Singh, Neelu

2009-04-01

Maternal mortality is an important public-health issue in India, specifically in Gujarat. Contributing factors are the Government's inability to operationalize the First Referral Units and to provide an adequate level of skilled birth attendants, especially to the poor. In response, the Gujarat state has developed a unique public-private partnership called the Chiranjeevi Scheme. This scheme focuses on institutional delivery, specifically emergency obstetric care for the poor. The objective of the study was to explore the targeting of the scheme, its coverage, and socioeconomic profile of the beneficiaries and to assess financial protection offered by the scheme, if any, in Dahod, one of the initial pilot districts of Gujarat. A household-level survey of beneficiaries (n=262) and non-users (n=394) indicated that the scheme is well-targeted to the poor but many poor people do not use the services. The beneficiaries saved more than Rs 3000 (US$ 75) in delivery-related expenses and were generally satisfied with the scheme. The study provided insights on how to improve the scheme further. Such a financing scheme could be replicated in other states and countries to address the cost barrier, especially in areas where high numbers of private specialists are available.

Multifractal analysis of 2001 Mw 7 . 7 Bhuj earthquake sequence in Gujarat, Western India

NASA Astrophysics Data System (ADS)

Aggarwal, Sandeep Kumar; Pastén, Denisse; Khan, Prosanta Kumar

2017-12-01

The 2001 Mw 7 . 7 Bhuj mainshock seismic sequence in the Kachchh area, occurring during 2001 to 2012, has been analyzed using mono-fractal and multi-fractal dimension spectrum analysis technique. This region was characterized by frequent moderate shocks of Mw ≥ 5 . 0 for more than a decade since the occurrence of 2001 Bhuj earthquake. The present study is therefore important for precursory analysis using this sequence. The selected long-sequence has been investigated first time for completeness magnitude Mc 3.0 using the maximum curvature method. Multi-fractal Dq spectrum (Dq ∼ q) analysis was carried out using effective window-length of 200 earthquakes with a moving window of 20 events overlapped by 180 events. The robustness of the analysis has been tested by considering the magnitude completeness correction term of 0.2 to Mc 3.0 as Mc 3.2 and we have tested the error in the calculus of Dq for each magnitude threshold. On the other hand, the stability of the analysis has been investigated down to the minimum magnitude of Mw ≥ 2 . 6 in the sequence. The analysis shows the multi-fractal dimension spectrum Dq decreases with increasing of clustering of events with time before a moderate magnitude earthquake in the sequence, which alternatively accounts for non-randomness in the spatial distribution of epicenters and its self-organized criticality. Similar behavior is ubiquitous elsewhere around the globe, and warns for proximity of a damaging seismic event in an area. OS: Please confirm math roman or italics in abs.

Sociodemographic Correlates of Tobacco Consumption in Rural Gujarat, India

PubMed Central

Kahar, Payal; Misra, Ranjita; Patel, Thakor G.

2016-01-01

Background. The purpose of this study was to examine occupation-, education-, and gender-specific patterns of tobacco use and knowledge of its health effects among 23,953 rural Asian Indians ≥18 years in Gujarat. Methodology. A statewide, community-based, cross-sectional survey was conducted in 26 districts of Gujarat (December 2010–May 2015), using face-to-face interviews by trained community health workers called SEVAKS. Results. Mean age was 39.8 ± 15.2 years. Eighteen percent of respondents used tobacco in various forms. Tobacco consumption was significantly higher among males (32%), 18–34 years' age group (35%), those who were self-employed (72%), and those with elementary education (40%). The prevalence was 11 times higher among males than females (95% CI = 9.78, 13.13). Adjusted ORs for tobacco use showed strong gradient by age and educational level; consumption was lower among the illiterates and higher for older participants (≥55 years). Tobacco consumption also varied by occupation; that is, those who were self-employed and employed for wages were more likely to use tobacco than those who were unemployed. Knowledge of health effects of tobacco lowered the odds of consumption by 30–40%. Conclusions. Effective educational programs should be tailored by gender, to improve knowledge of health risks and dispel myths on perceived benefits of tobacco. PMID:27127788

Socio-economic, Biophysical, and Perceptional Factors Associated with Agricultural Adaptation of Smallholder Farmers in Gujarat, Northwest India

NASA Astrophysics Data System (ADS)

Jain, M.; DeFries, R. S.

2012-12-01

Climate change is predicted to negatively impact many agricultural communities across the globe, particularly smallholder farmers who often do not have access to appropriate technologies to reduce their vulnerability. To better predict which farmers will be most impacted by future climate change at a regional scale, we use remote sensing and agricultural census data to examine how cropping intensity and crop type have shifted based on rainfall variability across Gujarat, India from 1990 to 2010. Using household-level interviews, we then identify the socio-economic, biophysical, perceptional, and psychological factors associated with smallholder farmers who are the most impacted and the least able to adapt to contemporaneous rainfall variability. We interviewed 750 farmers in 2011 and 2012 that span a rainfall, irrigation, socio-economic, and caste gradient across central Gujarat. Our results show that farmers shift cropping practices in several ways based on monsoon onset, which farmers state is the main observable rainfall signal influencing cropping decisions during the monsoon season. When monsoon onset is delayed, farmers opt to plant more drought-tolerant crops, push back the date of sowing, and increase the number of irrigations used. Comparing self-reported income and yields, we find that switching crops does not improve agricultural income, shifting planting date does not influence crop yield, yet increasing the number of irrigations significantly increases yield. Future work will identify which social (e.g. social networks), psychological (e.g. risk preference), and knowledge (e.g. information sources) factors are associated with farmers who are best able to adapt to rainfall variability.

Post-Earthquake Reconstruction — in Context of Housing

NASA Astrophysics Data System (ADS)

Sarkar, Raju

Comprehensive rescue and relief operations are always launched with no loss of time with active participation of the Army, Governmental agencies, Donor agencies, NGOs, and other Voluntary organizations after each Natural Disaster. There are several natural disasters occurring throughout the world round the year and one of them is Earthquake. More than any other natural catastrophe, an earthquake represents the undoing of our most basic pre-conceptions of the earth as the source of stability or the first distressing factor due to earthquake is the collapse of our dwelling units. Earthquake has affected buildings since people began constructing them. So after each earthquake a reconstruction of housing program is very much essential since housing is referred to as shelter satisfying one of the so-called basic needs next to food and clothing. It is a well-known fact that resettlement (after an earthquake) is often accompanied by the creation of ghettos and ensuing problems in the provision of infrastructure and employment. In fact a housing project after Bhuj earthquake in Gujarat, India, illustrates all the negative aspects of resettlement in the context of reconstruction. The main theme of this paper is to consider few issues associated with post-earthquake reconstruction in context of housing, all of which are significant to communities that have had to rebuild after catastrophe or that will face such a need in the future. Few of them are as follows: (1) Why rebuilding opportunities are time consuming? (2) What are the causes of failure in post-earthquake resettlement? (3) How can holistic planning after an earthquake be planned? (4) What are the criteria to be checked for sustainable building materials? (5) What are the criteria for success in post-earthquake resettlement? (6) How mitigation in post-earthquake housing can be made using appropriate repair, restoration, and strengthening concepts?

Variability of Power from Large-Scale Solar Photovoltaic Scenarios in the State of Gujarat: Preprint

DOE Office of Scientific and Technical Information (OSTI.GOV)

Parsons, B.; Hummon, M.; Cochran, J.

2014-04-01

India has ambitious goals for high utilization of variable renewable power from wind and solar, and deployment has been proceeding at a rapid pace. The western state of Gujarat currently has the largest amount of solar generation of any Indian state, with over 855 Megawatts direct current (MWDC). Combined with over 3,240 MW of wind, variable generation renewables comprise nearly 18% of the electric-generating capacity in the state. A new historic 10-kilometer (km) gridded solar radiation data set capturing hourly insolation values for 2002-2011 is available for India. We apply an established method for downscaling hourly irradiance data to one-minutemore » irradiance data at potential PV power production locations for one year, 2006. The objective of this report is to characterize the intra-hour variability of existing and planned photovoltaic solar power generation in the state of Gujarat (a total of 1.9 gigawatts direct current (GWDC)), and of five possible expansion scenarios of solar generation that reflect a range of geographic diversity (each scenario totals 500-1,000 MW of additional solar capacity). The report statistically analyzes one year's worth of power variability data, applied to both the baseline and expansion scenarios, to evaluate diurnal and seasonal power fluctuations, different timescales of variability (e.g., from one to 15 minutes), the magnitude of variability (both total megawatts and relative to installed solar capacity), and the extent to which the variability can be anticipated in advance. The paper also examines how Gujarat Energy Transmission Corporation (GETCO) and the Gujarat State Load Dispatch Centre (SLDC) could make use of the solar variability profiles in grid operations and planning.« less

Has Chiranjeevi Yojana changed the geographic availability of free comprehensive emergency obstetric care services in Gujarat, India?

PubMed Central

Vora, Kranti Suresh; Yasobant, Sandul; Patel, Amit; Upadhyay, Ashish; Mavalankar, Dileep V.

2015-01-01

Background The high rate of maternal mortality in India is of grave concern. Poor rural Indian women are most vulnerable to preventable maternal deaths primarily because they have limited availability of affordable emergency obstetric care (EmOC) within reasonable geographic proximity. Scarcity of obstetricians in the public sector combined with financial barriers to accessing private sector obstetrician services preclude this underserved population from availing lifesaving functions of comprehensive EmOC such as C-section. In order to overcome this limitation, Government of Gujarat initiated a unique public–private partnership program called Chiranjeevi Yojana (CY) in 2005. The program envisaged leveraging private sector providers to increase availability and thereby accessibility of EmOC care for vulnerable sections of society. Under CY, private sector providers render obstetric care services to poor women at no cost to patients. This paper examines the CY's effectiveness in improving availability of CEmOC services between 2006 and 2012 in three districts of Gujarat, India. Methods Primary data on facility locations, EmOC functionality, and obstetric bed availability were collected in the years 2012 and 2013 in three study districts. Secondary data from Census 2001 and 2011 were used along with required geographic information from Topo sheets and Google Earth maps. ArcGIS version 10 was used to analyze the availability of services using two-step floating catchment area (2SFCA) method. Results Our analysis suggests that the availability of CEmOC services within reasonable travel distance has greatly improved in all three study districts as a result of CY. We also show that the declining participation of the private sector did not result in an increase in distance to the nearest facility, but the extent of availability of providers for several villages was reduced. Spatial and temporal analyses in this paper provide a comprehensive understanding of trends in the

Has Chiranjeevi Yojana changed the geographic availability of free comprehensive emergency obstetric care services in Gujarat, India?

PubMed

Vora, Kranti Suresh; Yasobant, Sandul; Patel, Amit; Upadhyay, Ashish; Mavalankar, Dileep V

2015-01-01

The high rate of maternal mortality in India is of grave concern. Poor rural Indian women are most vulnerable to preventable maternal deaths primarily because they have limited availability of affordable emergency obstetric care (EmOC) within reasonable geographic proximity. Scarcity of obstetricians in the public sector combined with financial barriers to accessing private sector obstetrician services preclude this underserved population from availing lifesaving functions of comprehensive EmOC such as C-section. In order to overcome this limitation, Government of Gujarat initiated a unique public-private partnership program called Chiranjeevi Yojana (CY) in 2005. The program envisaged leveraging private sector providers to increase availability and thereby accessibility of EmOC care for vulnerable sections of society. Under CY, private sector providers render obstetric care services to poor women at no cost to patients. This paper examines the CY's effectiveness in improving availability of CEmOC services between 2006 and 2012 in three districts of Gujarat, India. Primary data on facility locations, EmOC functionality, and obstetric bed availability were collected in the years 2012 and 2013 in three study districts. Secondary data from Census 2001 and 2011 were used along with required geographic information from Topo sheets and Google Earth maps. ArcGIS version 10 was used to analyze the availability of services using two-step floating catchment area (2SFCA) method. Our analysis suggests that the availability of CEmOC services within reasonable travel distance has greatly improved in all three study districts as a result of CY. We also show that the declining participation of the private sector did not result in an increase in distance to the nearest facility, but the extent of availability of providers for several villages was reduced. Spatial and temporal analyses in this paper provide a comprehensive understanding of trends in the availability of EmOC services

Preliminary observations from the 3 January 2017, MW 5.6 Manu, Tripura (India) earthquake

NASA Astrophysics Data System (ADS)

Debbarma, Jimmi; Martin, Stacey S.; Suresh, G.; Ahsan, Aktarul; Gahalaut, Vineet K.

2017-10-01

On 3 January 2017, a MW 5.6 earthquake occurred in Dhalai district in Tripura (India), at 14:39:03 IST (09:09:03 UTC) with an epicentre at 24.018°N ± 4.9 km and 91.964°E ± 4.4 km, and a focal depth of 31 ± 6.0 km. The focal mechanism solution determined after evaluating data from seismological observatories in India indicated a predominantly strike-slip motion on a steeply dipping plane. The estimated focal depth and focal mechanism solution places this earthquake in the Indian plate that lies beneath the overlying Indo-Burmese wedge. As in the 2016 Manipur earthquake, a strong motion record from Shillong, India, appears to suggest site amplification possibly due to topographic effects. In the epicentral region in Tripura, damage assessed from a field survey and from media reports indicated that the macroseismic intensity approached 6-7 EMS with damage also reported in adjacent parts of Bangladesh. A striking feature of this earthquake were the numerous reports of liquefaction that were forthcoming from fluvial locales in the epicentral region in Tripura, and at anomalous distances farther north in Bangladesh. The occurrence of the 2017 Manu earthquake emphasises the hazard posed by intraplate earthquakes in Tripura and in the neighbouring Bengal basin region where records of past earthquakes are scanty or vague, and where the presence of unconsolidated deltaic sediments and poor implementation of building codes pose a significant societal and economic threat during larger earthquakes in the future.

Geographic smoothing of solar PV: Results from Gujarat

DOE PAGES

Klima, Kelly; Apt, Jay

2015-09-24

We examine the potential for geographic smoothing of solar photovoltaic (PV) electricity generation using 13 months of observed power production from utility-scale plants in Gujarat, India. To our knowledge, this is the first published analysis of geographic smoothing of solar PV using actual generation data at high time resolution from utility-scale solar PV plants. We use geographic correlation and Fourier transform estimates of the power spectral density (PSD) to characterize the observed variability of operating solar PV plants as a function of time scale. Most plants show a spectrum that is linear in the log–log domain at high frequencies f,more » ranging from f -1.23 to f -1.56 (slopes of -1.23 and -1.56), thus exhibiting more relative variability at high frequencies than exhibited by wind plants. PSDs for large PV plants have a steeper slope than those for small plants, hence more smoothing at short time scales. Interconnecting 20 Gujarat plants yields a f -1.66 spectrum, reducing fluctuations at frequencies corresponding to 6 h and 1 h by 23% and 45%, respectively. Half of this smoothing can be obtained through connecting 4-5 plants; reaching marginal improvement of 1% per added plant occurs at 12-14 plants. The largest plant (322 MW) showed an f -1.76 spectrum. Furthermore, this suggests that in Gujarat the potential for smoothing is limited to that obtained by one large plant.« less

Prevalence of hysterectomy among rural and urban women with and without health insurance in Gujarat, India.

PubMed

Desai, Sapna; Sinha, Tara; Mahal, Ajay

2011-05-01

This paper presents findings on hysterectomy prevalence from a 2010 cross-sectional household survey of 2,214 rural and 1,641 urban, insured and uninsured women in low-income households in Ahmedabad city and district in Gujarat, India. The study investigated why hysterectomy was a leading reason for use of health insurance by women insured by SEWA, a women's organisation that operates a community-based health insurance scheme. Of insured women, 9.8% of rural women and 5.3% of urban women had had a hysterectomy, compared to 7.2% and 4.0%, respectively, of uninsured women. Approximately one-third of all hysterectomies were in women younger than 35 years of age. Rural women used the private sector more often for hysterectomy, while urban use was almost evenly split between the public and private sectors. SEWA's community health workers suggested that such young women underwent hysterectomies due to difficulties with menstruation and a range of gynaecological morbidities. The extent of these and of unnecessary hysterectomy, as well as providers' attitudes, require further investigation. We recommend the provision of information on hysterectomy as part of community health education for women, and better provision of basic gynaecological care as areas for advocacy and action by SEWA and the public health community in India. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

Anomalous soil radon fluctuations - signal of earthquakes in Nepal and eastern India regions

NASA Astrophysics Data System (ADS)

Deb, Argha; Gazi, Mahasin; Barman, Chiranjib

2016-12-01

The present paper deals with pre-seismic soil radon-222 recorded at two different locations 200 m apart, at Jadavpur University main campus, Kolkata, India. Solid state nuclear track detector method is used for detection of the radioactive radon gas. Two simultaneous 4-month long time series data have been analysed. Anomalous fluctuations in the radon datasets have been observed prior to recent earthquakes in Nepal and eastern India during the monitoring period, mainly, the massive 25th April 7.8 M Nepal earthquake. The simultaneous measurements assist in identifying seismogenic radon precursor efficiently.

Addressing semen loss concerns: towards culturally appropriate HIV/AIDS interventions in Gujarat, India.

PubMed

Lakhani, A; Gandhi, K; Collumbien, M

2001-11-01

A situation analysis of sexual networking and sexual health in an industrial area of Gujarat, India, identified anxiety about masturbation and other semen loss concerns as major preoccupations among young men. This paper describes how the Deepak Charitable Trust addressed these concerns in their HIV prevention programme for young men aged 15 to 30. Flowcharts were used as participatory learning tools and to obtain data on the perceived consequences of masturbation, both before and after intervention activities. Research was also done on the relation between semen-related anxieties and sexual risk behaviour by DCT and two other NGOs among young men engaging in unsafe sexual behaviour. DCT advocates addressing masturbation and other semen loss concerns in all sexual health campaigns in South Asia, based on the magnitude of these concerns, their potential to confound syndromic management of STIs and their significance as an idiom of psychosocial distress. Masturbation and associated anxieties about sexual performance are seen as health issues and discussed as such by the programme. There is immediate identification among young men, whether or not they are already sexually active, and it provides an excellent entry point for sexual health and safer sex education. The community response to these efforts has been entirely positive.

Association of tomato leaf curl Gujarat virus and tomato leaf curl Bangladesh betasatellite on papaya showing typical leaf curl symptoms in North India.

PubMed

Varun, Priyanka; Saxena, Sangeeta

2018-05-01

Papaya leaf curl is an economically important disease occurring in papaya growing tropical and subtropical areas. Papaya leaf curl virus, a begomovirus, is the main causative agent for the disease, but many other begomoviruses as well as betasatellites have also been reported on papaya leaf curl disease. Rapidly evolving host range of begomoviruses is a major issue for developing successful resistance strategies against begomoviral infection considering their expanding host range and mixed infection. In our study, we have identified the presence of begomovirus and associated satellite molecule on papaya showing severe leaf curl symptoms in Lucknow, India. Analysis of complete DNA-A component of this isolate (MG757245) revealed the highest similarity (91%) with tomato leaf curl Gujarat virus (ToLCuGuV), while sequence data of betasatellite (MG478451) showed maximum (89%) identity with tomato leaf curl Bangladesh betasatellite (ToLCuBB). This is the first report on identification of ToLCuGuV and ToLCuBB coinfecting papaya plants in Lucknow, Uttar Pradesh (India).

Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India.

PubMed

Singh, Amarjit; Mavalankar, Dileep V; Bhat, Ramesh; Desai, Ajesh; Patel, S R; Singh, Prabal V; Singh, Neelu

2009-12-01

India has the world's largest number of maternal deaths estimated at 117,000 per year. Past efforts to provide skilled birth attendants and emergency obstetric care in rural areas have not succeeded because obstetricians are not willing to be posted in government hospitals at subdistrict level. We have documented an innovative public-private partnership scheme between the Government of Gujarat, in India, and private obstetricians practising in rural areas to provide delivery care to poor women. In April 2007, the majority of poor women delivered their babies at home without skilled care. More than 800 obstetricians joined the scheme and more than 176,000 poor women delivered in private facilities. We estimate that the coverage of deliveries among poor women under the scheme increased from 27% to 53% between April and October 2007. The programme is considered very successful and shows that these types of social health insurance programmes can be managed by the state health department without help from any insurance company or international donor. At least in some areas of India, it is possible to develop large-scale partnerships with the private sector to provide skilled birth attendants and emergency obstetric care to poor women at a relatively small cost. Poor women will take up the benefit of skilled delivery care rapidly, if they do not have to pay for it.

Heterogeneity in the background and earnings of nurses in India: evidence from a cross-sectional study in Gujarat.

PubMed

Seth, Katyayni

2017-11-01

It is important to understand the service conditions of nurses because these influence nurses' motivations and ability to provide care. Although nurses are estimated to constitute 30% of India's health workforce, limited empirical information is available about them. This paper attempts to address this gap in research. A cross-sectional survey of 266 nurses in the state of Gujarat was conducted to understand the demographic characteristics, qualifications and employment features of nurses working in India's private and public health sectors. Descriptive and univariate analyses were performed using the collected information. A multivariate regression model was also estimated with monthly earnings as the dependent variable, and workplace, type of employment contract, caste background and years in the nursing workforce as independent variables. The three main findings presented in this article highlight considerable heterogeneity in the background and employment of nurses in India. First, 49% of nurses working in private hospitals and as temporary employees in public facilities belonged to historically disadvantaged social groups (deemed Scheduled Castes and Scheduled Tribes) and were estimated to earn 9% less than similarly qualified and practiced nurses from general caste categories (P = 0.02). Second, 18% of nurses working in private hospitals did not have formal nursing qualifications. Third, nurses working in private hospitals and as temporary employees in public facilities earned less than the minimum wage stipulated by the Government of India. Permanent public sector nurses were estimated to earn 105% more than private sector nurses with the same qualifications, years of work and caste background (P <  0.001). This study finds that the disproportionate presence of women and socially discriminated caste groups in the nursing workforce, coupled with the failure of governmental agencies to regulate the health sector, might help explain the low wages and lack of

Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India

PubMed Central

Singh, Amarjit; Bhat, Ramesh; Desai, Ajesh; Patel, SR; Singh, Prabal V; Singh, Neelu

2009-01-01

Abstract Problem India has the world’s largest number of maternal deaths estimated at 117 000 per year. Past efforts to provide skilled birth attendants and emergency obstetric care in rural areas have not succeeded because obstetricians are not willing to be posted in government hospitals at subdistrict level. Approach We have documented an innovative public–private partnership scheme between the Government of Gujarat, in India, and private obstetricians practising in rural areas to provide delivery care to poor women. Local setting In April 2007, the majority of poor women delivered their babies at home without skilled care. Relevant changes More than 800 obstetricians joined the scheme and more than 176 000 poor women delivered in private facilities. We estimate that the coverage of deliveries among poor women under the scheme increased from 27% to 53% between April and October 2007. The programme is considered very successful and shows that these types of social health insurance programmes can be managed by the state health department without help from any insurance company or international donor. Lessons learned At least in some areas of India, it is possible to develop large-scale partnerships with the private sector to provide skilled birth attendants and emergency obstetric care to poor women at a relatively small cost. Poor women will take up the benefit of skilled delivery care rapidly, if they do not have to pay for it. PMID:20454488

Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India.

PubMed

Desai, Sapna; Campbell, Oona Mr; Sinha, Tara; Mahal, Ajay; Cousens, Simon

2017-02-01

Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than reported from other countries, at a relatively low mean age of 36 years. There was strong evidence that among women of reproductive age, those with lower income and at least two children underwent hysterectomy at higher rates. Nearly two-thirds of women undergoing hysterectomy utilized private hospitals, while the remainder used government or other non-profit facilities. Qualitative research suggested that weak sexual and reproductive health services, a widespread perception that the post-reproductive uterus is dispensable and lack of knowledge of side effects have resulted in the normalization of hysterectomy. Hysterectomy appears to be promoted as a first or second-line treatment for menstrual and gynaecological disorders that are actually amenable to less invasive procedures. Most women sought at least two medical opinions prior to hysterectomy, but both public and private providers lacked equipment, skills and motivation to offer alternatives. Profit and training benefits also appeared to play a role in some providers' behaviour. Although women with insecure employment underwent the procedure knowing the financial and physical implications of undergoing a major surgery, the future health and work security afforded by hysterectomy appeared to them to outweigh risks. Findings suggest that sterilization may be associated with an increased risk of hysterectomy, potentially through biological or attitudinal links. Health policy interventions require improved access to sexual and reproductive health services and health

Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India

PubMed Central

Desai, Sapna; Campbell, Oona MR; Sinha, Tara; Mahal, Ajay; Cousens, Simon

2017-01-01

Abstract Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than reported from other countries, at a relatively low mean age of 36 years. There was strong evidence that among women of reproductive age, those with lower income and at least two children underwent hysterectomy at higher rates. Nearly two-thirds of women undergoing hysterectomy utilized private hospitals, while the remainder used government or other non-profit facilities. Qualitative research suggested that weak sexual and reproductive health services, a widespread perception that the post-reproductive uterus is dispensable and lack of knowledge of side effects have resulted in the normalization of hysterectomy. Hysterectomy appears to be promoted as a first or second-line treatment for menstrual and gynaecological disorders that are actually amenable to less invasive procedures. Most women sought at least two medical opinions prior to hysterectomy, but both public and private providers lacked equipment, skills and motivation to offer alternatives. Profit and training benefits also appeared to play a role in some providers’ behaviour. Although women with insecure employment underwent the procedure knowing the financial and physical implications of undergoing a major surgery, the future health and work security afforded by hysterectomy appeared to them to outweigh risks. Findings suggest that sterilization may be associated with an increased risk of hysterectomy, potentially through biological or attitudinal links. Health policy interventions require improved access to sexual and reproductive health services and

Naphthalene degradation by bacterial consortium (DV-AL) developed from Alang-Sosiya ship breaking yard, Gujarat, India.

PubMed

Patel, Vilas; Jain, Siddharth; Madamwar, Datta

2012-03-01

Naphthalene degrading bacterial consortium (DV-AL) was developed by enrichment culture technique from sediment collected from the Alang-Sosiya ship breaking yard, Gujarat, India. The 16S rRNA gene based molecular analyzes revealed that the bacterial consortium (DV-AL) consisted of four strains namely, Achromobacter sp. BAB239, Pseudomonas sp. DV-AL2, Enterobacter sp. BAB240 and Pseudomonas sp. BAB241. Consortium DV-AL was able to degrade 1000 ppm of naphthalene in Bushnell Haas medium (BHM) containing peptone (0.1%) as co-substrate with an initial pH of 8.0 at 37°C under shaking conditions (150 rpm) within 24h. Maximum growth rate and naphthalene degradation rate were found to be 0.0389 h(-1) and 80 mg h(-1), respectively. Consortium DV-AL was able to utilize other aromatic and aliphatic hydrocarbons such as benzene, phenol, carbazole, petroleum oil, diesel fuel, and phenanthrene and 2-methyl naphthalene as sole carbon source. Consortium DV-AL was also efficient to degrade naphthalene in the presence of other pollutants such as petroleum hydrocarbons and heavy metals. Copyright © 2011 Elsevier Ltd. All rights reserved.

The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India.

PubMed

Salazar, Mariano; Vora, Kranti; De Costa, Ayesha

2016-07-07

India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC facilities in the public and private sectors; (b) the availability and distribution of human resources for birth attendance in the two sectors; and (c) to benchmark the above against 2005 World Health Report benchmarks (WHR2005). A cross-sectional survey of obstetric care facilities reporting 30 or more births in the last three months was conducted (n = 159). Performance of EmOC signal functions and availability of human resources were assessed. EmOC provision was dominated by private facilities (112/159) which were located mainly in district headquarters or small urban towns. The number of basic and comprehensive EmOC facilities was below WHR2005 benchmarks. A high number of private facilities performed C-sections but not all basic signal functions (72/159). Public facilities were the main EmOC providers in rural areas and 40/47 functioned at less than basic EmOC level. The rate of obstetricians per 1000 births was higher in the private sector. The private sector is the dominant EmOC provider in the state. Given the highly skewed distribution of facilities and resources in the private sector, state led partnerships with the private sector so that all women in the state receive care is important alongside strengthening the public sector.

Discriminating satellite IR anomalies associated with the MS 7.1 Yushu earthquake in China

NASA Astrophysics Data System (ADS)

Qin, Kai; Wu, Lixin; Zheng, Shuo; Ma, Weiyu

2018-03-01

In the process of exploring pre-earthquake thermal anomalies using satellite infrared data, Blackett et al. (2011) found that the previously reported anomalies before the 2001 Mw 7.7 Gujarat earthquake, in India, were related to positive biases caused by data gaps due to cloud cover and mosaicing of neighboring orbits of MODIS satellite data. They supposed that such effects could also be responsible for other cases. We noted a strip-shaped TIR anomaly on March 17th, 2010, 28 days before the Ms. 7.1 Yushu earthquake (Qin et al., 2011). Here we again investigate multi-year infrared satellite data in different bands to discriminate whether the anomaly is associated with the earthquake, or is only bias caused by the data gaps. From the water vapor images, we find lots of clouds that have TIR anomalies. However, on the cloudiness background, there is an obvious strip-shaped gap matching the tectonic faults almost perfectly. In particular, the animation loops of hourly water vapor images show that the cloud kept moving from west to east, while they never covered the strip-shaped gap. We consider that the cloud with this special spatial pattern should have implied the abnormal signals associated with the seismogenic process. Based on current physical models, the satellite IR anomalies both on TIR and water vapor bands can qualitatively be explained using synthetic mechanisms.

Study of earthquakes using a borehole seismic network at Koyna, India

NASA Astrophysics Data System (ADS)

Gupta, Harsh; Satyanarayana, Hari VS; Shashidhar, Dodla; Mallika, Kothamasu; Ranjan Mahato, Chitta; Shankar Maity, Bhavani

2017-04-01

Koyna, located near the west coast of India, is a classical site of artificial water reservoir triggered earthquakes. Triggered earthquakes started soon after the impoundment of the Koyna Dam in 1962. The activity has continued till now including the largest triggered earthquake of M 6.3 in 1967; 22 earthquakes of M ≥ 5 and several thousands smaller earthquakes. The latest significant earthquake of ML 3.7 occurred on 24th November 2016. In spite of having a network of 23 broad band 3-component seismic stations in the near vicinity of the Koyna earthquake zone, locations of earthquakes had errors of 1 km. The main reason was the presence of 1 km thick very heterogeneous Deccan Traps cover that introduced noise and locations could not be improved. To improve the accuracy of location of earthquakes, a unique network of eight borehole seismic stations surrounding the seismicity was designed. Six of these have been installed at depths varying from 981 m to 1522 m during 2015 and 2016, well below the Deccan Traps cover. During 2016 a total of 2100 earthquakes were located. There has been a significant improvement in the location of earthquakes and the absolute errors of location have come down to ± 300 m. All earthquakes of ML ≥ 0.5 are now located, compared to ML ≥1.0 earlier. Based on seismicity and logistics, a block of 2 km x 2 km area has been chosen for the 3 km deep pilot borehole. The installation of the borehole seismic network has further elucidated the correspondence between rate of water loading/unloading the reservoir and triggered seismicity.

Development and Implementation of South Asia’s First Heat-Health Action Plan in Ahmedabad (Gujarat, India)

PubMed Central

Knowlton, Kim; Kulkarni, Suhas P.; Azhar, Gulrez Shah; Mavalankar, Dileep; Jaiswal, Anjali; Connolly, Meredith; Nori-Sarma, Amruta; Rajiva, Ajit; Dutta, Priya; Deol, Bhaskar; Sanchez, Lauren; Khosla, Radhika; Webster, Peter J.; Toma, Violeta E.; Sheffield, Perry; Hess, Jeremy J.

2014-01-01

Recurrent heat waves, already a concern in rapidly growing and urbanizing South Asia, will very likely worsen in a warming world. Coordinated adaptation efforts can reduce heat’s adverse health impacts, however. To address this concern in Ahmedabad (Gujarat, India), a coalition has been formed to develop an evidence-based heat preparedness plan and early warning system. This paper describes the group and initial steps in the plan’s development and implementation. Evidence accumulation included extensive literature review, analysis of local temperature and mortality data, surveys with heat-vulnerable populations, focus groups with health care professionals, and expert consultation. The findings and recommendations were encapsulated in policy briefs for key government agencies, health care professionals, outdoor workers, and slum communities, and synthesized in the heat preparedness plan. A 7-day probabilistic weather forecast was also developed and is used to trigger the plan in advance of dangerous heat waves. The pilot plan was implemented in 2013, and public outreach was done through training workshops, hoardings/billboards, pamphlets, and print advertisements. Evaluation activities and continuous improvement efforts are ongoing, along with plans to explore the program’s scalability to other Indian cities, as Ahmedabad is the first South Asian city to address heat-health threats comprehensively. PMID:24670386

New fossils from Tadkeshwar Mine (Gujarat, India) increase primate diversity from the early Eocene Cambay Shale.

PubMed

Rose, Kenneth D; Dunn, Rachel H; Kumar, Kishor; Perry, Jonathan M G; Prufrock, Kristen A; Rana, Rajendra S; Smith, Thierry

2018-06-07

Several new fossil specimens from the Cambay Shale Formation at Tadkeshwar Lignite Mine in Gujarat document the presence of two previously unknown early Eocene primate species from India. A new species of Asiadapis is named based on a jaw fragment preserving premolars similar in morphology to those of A. cambayensis but substantially larger. Also described is an exceptionally preserved edentulous dentary (designated cf. Asiadapis, unnamed sp. nov.) that is slightly larger and much more robust than previously known Cambay Shale primates. Its anatomy most closely resembles that of Eocene adapoids, and the dental formula is the same as in A. cambayensis. A femur and calcaneus are tentatively allocated to the same taxon. Although the dentition is unknown, exquisite preservation of the dentary of cf. Asiadapis sp. nov. enables an assessment of masticatory musculature, function, and gape adaptations, as well as comparison with an equally well-preserved dentary of the asiadapid Marcgodinotius indicus, also from Tadkeshwar. The new M. indicus specimen shows significant gape adaptations but was probably capable of only weak bite force, whereas cf. Asiadapis sp. nov. probably used relatively smaller gapes but could generate relatively greater bite forces. Copyright © 2018 Elsevier Ltd. All rights reserved.

New euprimate postcrania from the early Eocene of Gujarat, India, and the strepsirrhine-haplorhine divergence.

PubMed

Dunn, Rachel H; Rose, Kenneth D; Rana, Rajendra S; Kumar, Kishor; Sahni, Ashok; Smith, Thierry

2016-10-01

The oldest primates of modern aspect (euprimates) appear abruptly on the Holarctic continents during a brief episode of global warming known as the Paleocene-Eocene Thermal Maximum, at the beginning of the Eocene (∼56 Ma). When they first appear in the fossil record, they are already divided into two distinct clades, Adapoidea (basal members of Strepsirrhini, which includes extant lemurs, lorises, and bushbabies) and Omomyidae (basal Haplorhini, which comprises living tarsiers, monkeys, and apes). Both groups have recently been discovered in the early Eocene Cambay Shale Formation of Vastan lignite mine, Gujarat, India, where they are known mainly from teeth and jaws. The Vastan fossils are dated at ∼54.5 Myr based on associated dinoflagellates and isotope stratigraphy. Here, we describe new, exquisitely preserved limb bones of these Indian primates that reveal more primitive postcranial characteristics than have been previously documented for either clade, and differences between them are so minor that in many cases we cannot be certain to which group they belong. Nevertheless, the small distinctions observed in some elements foreshadow postcranial traits that distinguish the groups by the middle Eocene, suggesting that the Vastan primates-though slightly younger than the oldest known euprimates-may represent the most primitive known remnants of the divergence between the two great primate clades. Copyright © 2016 Elsevier Ltd. All rights reserved.

Probing reservoir-triggered earthquakes in Koyna, India, through scientific deep drilling

USGS Publications Warehouse

Gupta, H.; Nayak, Shailesh; Ellsworth, William L.; Rao, Y. J. B.; Rajan, S.; Bansal, B.K.; Purnachandra Rao, N.; Roy, S.; Arora, K.; Mohan, R.; Tiwari, V. M.; Satyanarayana, H. V. S.; Patro, P. K.; Shashidhar, D.; Mallika, K.

2014-01-01

We report here the salient features of the recently concluded International Continental Scientific Drilling Program (ICDP) workshop in Koyna, India. This workshop was a sequel to the earlier held ICDP workshop in Hyderabad and Koyna in 2011. A total of 49 experts (37 from India and 12 from 8 other countries) spent 3 days reviewing the work carried out during the last 3 years based on the recommendations of the 2011 workshop and suggesting the future course of action, including detailed planning for a full deep drilling proposal in Koyna, India. It was unanimously concluded that Koyna is one of the best sites anywhere in the world to investigate genesis of triggered earthquakes from near-field observations. A broad framework of the activities for the next phase leading to deep drilling has been worked out.

Capacity of frontline ICDS functionaries to support caregivers on infant and young child feeding (IYCF) practices in Gujarat, India.

PubMed

Chaturvedi, Anuraag; Nakkeeran, N; Doshi, Minal; Patel, Ruchi; Bhagwat, Sadhana

2014-01-01

Improved infant and young child feeding practices have the potential to improve child growth and development outcomes in India. Anganwadi Workers, the frontline government functionaries of the national nutrition supplementation programme in India, play a vital role in promoting infant and young child feeding practices in the community. The present study assessed the Anganwadi Workers' knowledge of infant and young child feeding practices, and their ability to counsel and influence caregivers regarding these practices. Eighty Anganwadi Workers from four districts of Gujarat participated in assessment centres designed to evaluate a range of competencies considered necessary for the successful promotion of infant and young child feeding practices. The results of the evaluation showed the Anganwadi Workers possessing more knowledge about infant and young child feeding practices like initiation of breastfeeding, pre-lacteal feeding and colostrum, age of introduction of complementary foods, portion size and feeding frequency than about domains which appear to have a direct bearing on practices. A huge contrast existed between the Anganwadi Workers' knowledge and their ability to apply this in formal counselling sessions with caregivers. Inability to empathetically engage with caregivers, disregard for taking the feeding history of children, poor active listening skills and inability to provide need-based advice were pervasive during counselling. In conclusion, to ensure enhanced interaction between the Anganwadi Workers and caregivers on infant and young child feeding practices, a paradigm shift in training is required, making communication processes and counselling skills central to the training.

The state-led large scale public private partnership 'Chiranjeevi Program' to increase access to institutional delivery among poor women in Gujarat, India: How has it done? What can we learn?

PubMed

De Costa, Ayesha; Vora, Kranti S; Ryan, Kayleigh; Sankara Raman, Parvathy; Santacatterina, Michele; Mavalankar, Dileep

2014-01-01

Many low-middle income countries have focused on improving access to and quality of obstetric care, as part of promoting a facility based intra-partum care strategy to reduce maternal mortality. The state of Gujarat in India, implements a facility based intra-partum care program through its large for-profit private obstetric sector, under a state-led public-private-partnership, the Chiranjeevi Yojana (CY), under which the state pays accredited private obstetricians to perform deliveries for poor/tribal women. We examine CY performance, its contribution to overall trends in institutional deliveries in Gujarat over the last decade and its effect on private and public sector deliveries there. District level institutional delivery data (public, private, CY), national surveys, poverty estimates, census data were used. Institutional delivery trends in Gujarat 2000-2010 are presented; including contributions of different sectors and CY. Piece-wise regression was used to study the influence of the CY program on public and private sector institutional delivery. Institutional delivery rose from 40.7% (2001) to 89.3% (2010), driven by sharp increases in private sector deliveries. Public sector and CY contributed 25-29% and 13-16% respectively of all deliveries each year. In 2007, 860 of 2000 private obstetricians participated in CY. Since 2007, >600,000 CY deliveries occurred i.e. one-third of births in the target population. Caesareans under CY were 6%, higher than the 2% reported among poor women by the DLHS survey just before CY. CY did not influence the already rising proportion of private sector deliveries in Gujarat. This paper reports a state-led, fully state-funded, large-scale public-private partnership to improve poor women's access to institutional delivery - there have been >600,000 beneficiaries. While caesarean proportions are higher under CY than before, it is uncertain if all beneficiaries who require sections receive these. Other issues to explore include

Pulmonary function test in healthy school children of 8 to 14 years age in south Gujarat region, India

PubMed Central

Doctor, Tahera H.; Trivedi, Sangeeta S.; Chudasama, Rajesh K.

2010-01-01

Objective: To obtain reference values for FEV1, FVC, FEV1% and PEFR among children aged 8-14 years in south Gujarat region of India. Materials and Methods: This cross-sectional study was conducted among 655 normal healthy school children (408 boys and 247 girls) of Surat city aged 8 to 14 years studying in V to VII standard during November 2007 to April 2008. Height, weight, body surface area were measured. All included children were tested in a sitting position with the head straight after taking written consent from parents. Spirometry was done using the spirometer “Spirolab II” MIR 010. Spirometer used in the study facilitates the total valuation of lung function including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), forced expiratory volume ratio in one second (FEV1%) and peak expiratory flow rate (PEFR). Results: FVC, FEV1 and PEFR were found to be statistically significant in the study groups. For FVC and FEV1, highest correlation was found with age in girls and height in boys. For FEV1%, significant negative correlation was found with age and height in both sexes, but positive correlation was found with surface area. Similarly, PEFR showed highest correlation with surface area in boys and girls. Conclusion: Variables such as FVC, FEV1 and PEFR show good positive correlation with height, age and body surface area in both sexes. There is a need to have regional values for the prediction of normal spirometric parameters in a country like India with considerable diversity. PMID:20931033

Role of deep crustal fluids in the genesis of intraplate earthquakes in the Kachchh region, northwestern India

NASA Astrophysics Data System (ADS)

Pavan Kumar, G.; Mahesh, P.; Nagar, Mehul; Mahender, E.; Kumar, Virendhar; Mohan, Kapil; Ravi Kumar, M.

2017-05-01

Fluids play a prominent role in the genesis of earthquakes, particularly in intraplate settings. In this study, we present evidence for a highly heterogeneous nature of electrical conductivity in the crust and uppermost mantle beneath the Kachchh rift basin of northwestern India, which is host to large, deadly intraplate earthquakes. We interpret our results of high conductive zones inferred from magnetotelluric and 3-D local earthquake tomography investigations in terms of a fluid reservoir in the upper mantle. The South Wagad Fault (SWF) imaged as a near-vertical north dipping low resistivity zone traversing the entire crust and an elongated south dipping conductor demarcating the North Wagad Fault (NWF) serve as conduits for fluid flow from the reservoir to the middle to lower crustal depths. Importantly, the epicentral zone of the 2001 main shock is characterized as a fluid saturated zone at the rooting of NWF onto the SWF.