Sample records for madhya pradesh central

  1. Selected risk factors associated with pulmonary tuberculosis among Saharia tribe of Madhya Pradesh, central India.

    PubMed

    Rao, Vikas G; Gopi, P G; Bhat, Jyothi; Yadav, Rajiv; Selvakumar, N; Wares, Douglas F

    2012-04-01

    Tuberculosis (TB) is a major public health problem among the Saharia, a marginalized tribal group in Madhya Pradesh state, central India. However, there is no information on the risk factors associated with the development of TB disease in this community. A cross-sectional TB prevalence survey was conducted among the Saharia residing in Sheopur district of Madhya Pradesh. Information on tobacco smoking and alcohol consumption was collected from all the individuals. Persons aged ≥45 years, males, smokers and alcohol consumers had higher risks of developing TB disease. There is an urgent need to develop and implement culturally appropriate awareness raising activities to target smoking and alcohol consumption to support the efforts to control TB in this community.

  2. Evaluation of telemedicine centres in Madhya Pradesh, Central India.

    PubMed

    Bali, Surya; Gupta, Arti; Khan, Asif; Pakhare, Abhijit

    2016-04-01

    In a developing country such as India, there is substantial inequality in health care distribution. Telemedicine facilities were established in Madhya Pradesh in 2007-2008. The purpose of this study was to evaluate the infrastructure, equipment, manpower, and functional status of Indian Space and Research Organisation (ISRO) telemedicine nodes in Madhya Pradesh. All district hospitals and medical colleges with nodes were visited by a team of three members. The study was conducted from December 2013-January 2014. The team recorded the structural facility situation and physical conditions on a predesigned pro forma. The team also conducted interviews with the nodal officers, data entry operator and other relevant people at these centres. Of the six specialist nodes, four were functional and two were non-functional. Of 10 patient nodes, two nodes were functional, four were semi-functional and four were non-functional. Most of the centres were not working due to a problem with their satellite modem. The overall condition of ISRO run telemedicine centres in Madhya Pradesh was found to be poor. Most of these centres failed to provide telemedicine consultations. We recommend replacing this system with another cost effective system available in the state wide area network (SWAN). We suggest the concept of the virtual out-patient department. © The Author(s) 2015.

  3. Rhizopalmoxylon nypoides - a new palm root from the Deccan Intertrappean beds of Sagar, Madhya Pradesh, India

    NASA Astrophysics Data System (ADS)

    Kathal, P. K.; Srivastava, Rashmi; Mehrotra, R. C.; Alexander, P. O.

    2017-04-01

    A new species of fossil palm rhizome having root-mat under the organ genus Rhizopalamoxylon ( Rhizopalmoxylon nypoides sp. nov.) is reported. The specimen shows the closest resemblance with the modern monotypic genus Nypa Wurmb of the Arecaceae. The specimen was collected from the late Maastrichtian-early Danian sediments of Deccan Intertrappean beds, Mothi, Sagar district, Madhya Pradesh, India. Nypa is a mangrove palm naturally found in estuaries and swamps of the tropical region and represents one of the oldest records of the genus from the Deccan Intertrappean beds of central India. The abundance of palms, including Nypa and previously recorded coastal and mangrove elements such as Acrostichum, Barringtonia, Cocos, Sonneratia and marine algae ( Distichoplax and Peyssonellia) from the Deccan Intertrappean beds indicate marine influence and existence of tropical rainforest ecosystem in the vicinity of fossil locality in contrast to the deciduous forests occurring there at present.

  4. Urinary fluoride as a monitoring tool for assessing successful intervention in the provision of safe drinking water supply in five fluoride-affected villages in Dhar district, Madhya Pradesh, India.

    PubMed

    Srikanth, R; Gautam, Anil; Jaiswal, Suresh Chandra; Singh, Pavitra

    2013-03-01

    Endemic fluorosis was detected in 31 villages in the Dhar district of Madhya Pradesh, Central India. Out of the 109 drinking water sources that were analyzed, about 67 % were found to contain high concentration of fluoride above the permissible level of 1.0 mg/l. Dental fluorosis among the primary school children in the age between 8 and 15 served as primary indicator for fluoride intoxication among the children. Urinary fluoride levels among the adults were found to be correlated with drinking water fluoride in 10 villages affected by fluoride. Intervention in the form of alternate safe water supply in five villages showed significant reduction in the urinary fluoride concentration when compared to the control village. Urinary fluoride serves as an excellent marker for assessing the effectiveness of intervention program in the fluoride-affected villages.

  5. Fighting malaria in Madhya Pradesh (Central India): Are we loosing the battle?

    PubMed Central

    Singh, Neeru; Dash, Aditya P; Thimasarn, Krongthong

    2009-01-01

    Malaria control in Madhya Pradesh is complex because of vast tracts of forest with tribal settlement. Fifty four million individuals of various ethnic origins, accounting for 8% of the total population of India, contributed 30% of total malaria cases, 60% of total falciparum cases and 50% of malaria deaths in the country. Ambitious goals to control tribal malaria by launching "Enhanced Malaria Control Project" (EMCP) by the National Vector Borne Disease Control Programme (NVBDCP), with the World Bank assistance, became effective in September 1997 in eight north Indian states. Under EMCP, the programme used a broader mix of new interventions, i.e. insecticide-treated bed nets, spraying houses with effective residual insecticides, use of larvivorous fishes, rapid diagnostic tests for prompt diagnosis, treatment of the sick with effective radical treatment and increased public awareness and IEC. However, the challenge is to scale up these services. A retrospective analysis of data on malaria morbidity and associated mortality reported under the existing surveillance system of the Madhya Pradesh (Central India) for the years 1996–2007 was carried out to determine the impact of EMCP on malaria morbidity and associated mortality. Analysis revealed that despite the availability of effective intervention tools for the prevention and control of malaria, falciparum malaria remains uncontrolled and deaths due to malaria have increased. Precisely, the aim of this epidemiological analysis is to draw lessons applicable to all international aid efforts, bureaucracy, policy makers and programme managers in assessing its project performance as a new Global Malaria Action Plan is launched with ambitious goal of reducing malaria and its elimination by scaling up the use of existing tools. PMID:19419588

  6. Portfolio of Outpatients Attending Centre for Urban Health, Madhya Pradesh, Central India.

    PubMed

    Gupta, Arti; Reddy, B Venkatashiva; Nagar, Mukesh Kumar; Chandel, Ajeet; Bali, Surya

    2015-01-01

    Knowledge on distribution and burden of diseases in a community is essential for planning of public health services. In the absence of information on morbidity profile through community-based surveys, facility-based data provide a good alternative. The aim of this study was to describe the morbidity profile of patients attending the Centre for Urban Health All India Institute of Medical Sciences (AIIMS) Bhopal (CUHA). A record-based descriptive study was carried out in the CUHA Bhopal, Madhya Pradesh, Central India. Information on age, gender, residence, new case, and principal diagnosis were extracted from the outpatient registers for the period between January 2014 and December 2014. Only newly registered patients for the study year (2014) were included. Descriptive analysis was done. A total of 6685 new episodes of illnesses were treated. Adults (>15 years) constituted about 85.0%. Overall, the respiratory disorders were the most common (27.2%) followed by the digestive disorders (10.9%), circulatory disorders (9.9%), musculoskeletal disorders (8.8%), and infectious and parasitic disorders (7.4%). This study gives a brief description of the morbidity profile of patients attending a primary health care center over a period of 1 year. This knowledge would help in planning health services to meet the patients' needs and help in training health staff.

  7. Contract Teachers in India

    ERIC Educational Resources Information Center

    Goyal, Sangeeta; Pandey, Priyanka

    2013-01-01

    In this paper, we use non-experimental data from government schools in Uttar Pradesh and Madhya Pradesh, two of the largest Indian states, to present average school outcomes by contract status of teachers. We find that contract teachers are associated with higher effort than civil service teachers with permanent tenures, before as well as after…

  8. Nutritional status of tribal preschool children in three ecological zones of Madhya Pradesh.

    PubMed

    Rao, D H; Rao, K M; Radhaiah, G; Rao, N P

    1994-06-01

    A health and nutrition survey was conducted on tribals in three ecological zones of Madhya Pradesh namely Jhabua (West Zone), Bastar (South Zone) and Sarguja (East Zone) taking into consideration the relative contribution of agriculture, forest and a combination of both to the economy, respectively. The consumption of both foods and nutrients appear to be worse among preschool children of Jhabua compared to Bastar and Sarguja. Clinically overt forms of Protein Energy Malnutrition and other vitamin deficiency signs were strikingly low. However, 4% of children in Sarguja exhibited signs of goitre. Both by extent and severity of malnutrition, the children of Jhabua appear to be worse followed by Bastar and Sarguja.

  9. Maternal Health Situation in Bihar and Madhya Pradesh: A Comparative Analysis of State Fact Sheets of National Family Health Survey (NFHS)-3 and 4.

    PubMed

    Dehury, Ranjit Kumar; Samal, Janmejaya

    2016-09-01

    Maternal health constitutes the health of women during pregnancy, childbirth and the postpartum period. Bihar and Madhya Pradesh (MP) constitute the Empowered Action Group (EAG) states under National Rural Health Mission (NRHM) and are consistently having poor maternal health indicators. The main objective of this study was to assess the maternal health situation of Bihar and MP based on National Family Health Survey (NFHS-3) and 4 fact sheets. The study adopted a narrative description in which the NFHS fact sheets (NFHS-3 & 4) of both these states were obtained from appropriate sources and compared for various maternal health indicators. Albeit progress has been observed from NFHS-3 to NFHS-4 however, the progress is very dismal compared with the progress of other similar Indian states. Relatively MP has shown better progress compared to Bihar. Poor performance is being observed in all the three levels of maternal health; pregnancy {Ante-Natal Care (ANC), Tetanus toxoid (TT) and Iron and Folic Acid (IFA)}, child birth (Institutional delivery by Skilled Birth Attendant (SBA), Caesarean Section (CS) and post partum care (hospital stay and Janani Suraksha Yojna (JSY). The poor performance of both these states in all these indicators requires multipronged approach strong political will, health system strengthening, community mobilization and awareness. Given the status of maternal health in India and more especially in states BIMARU (Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh) and EAG states (Empowered action group), improvement in the performance of maternal health related activities is highly necessary.

  10. Sickle cell disease in Madhya Pradesh, Central India: A comparison of clinical profile of sickle cell homozygote vs. sickle-beta thalassaemia individuals.

    PubMed

    Yadav, Rajiv; Lazarus, Monica; Ghanghoria, Pawan; Singh, Mpss; Gupta, Rasik Behari; Kumar, Surendra; Sharma, Ravendra K; Shanmugam, Rajasubramaniam

    2016-10-01

    The clinical manifestation in sickle cell disease (SCD) patients varies from one individual to another due to factors like the presence of alpha-thalassaemia mutation, foetal haemoglobin, and β-globin gene haplotype. The present study enumerates the clinical profile of sickle cell anaemia patients from Central India. Seven hundred seventy-six SCD patients from Jabalpur and surrounding districts (Madhya Pradesh) in central India were registered with the sickle cell clinic of NIRTH, Jabalpur. The present study reveals recorded signs and symptoms of genetically confirmed sickle cell anaemia (404) and sickle beta thalassaemia (92) patients. Majority of the patients were from scheduled caste communities (47.9%) and Gond tribal community (13.8%). Splenomegaly was the most common clinical manifestation observed (71.4%). Overall, 63.5% patients had a history of blood transfusion. The most frequent signs and symptoms observed were Pallor, Icterus, Joint pain, Fever, and Fatigue. Majority of the patients revealed onset of disease prior to attaining the age of 3 years (sickle cell anaemia 44.3% and sickle beta thalassaemia 35.9%). Mean haemoglobin levels among SCA individuals were marginally higher than SBT patients. On the other hand, mean foetal haemoglobin levels among SBT individuals showed the reverse trend. Notably, the present study reports the first incidence of priapism recorded in Central India. The study revealed a high prevalence of SCD among scheduled caste, backward caste, and tribal communities. Dissemination of study findings, screening, pre-marriage counselling, and pre-natal diagnosis are fundamental to preventing or lowering of birth of sickle cell anaemia children in the affected populations.

  11. An exploration of the socio-economic profile of women and costs of receiving abortion services at public health facilities of Madhya Pradesh, India.

    PubMed

    Banerjee, Sushanta K; Kumar, Rakesh; Warvadekar, Janardan; Manning, Vinoj; Andersen, Kathryn Louise

    2017-03-21

    Maternal mortality, which primarily burdens developing countries, reflects the greatest health divide between rich and poor. This is especially pronounced for access to safe abortion services which alone avert 1 of every 10 maternal deaths in India. Primarily due to confidentiality concerns, poor women in India prefer private services which are often offered by untrained providers and may be expensive. In 2006 the state government of Madhya Pradesh (population 73 million) began a concerted effort to ensure access to safe abortion services at public health facilities to both rural and urban poor women. This study aims to understand the socio-economic profile of women seeking abortion services in public health facilities across this state and out of pocket cost accessing abortion services. In particular, we examine the level of access that poor women have to safe abortion services in Madhya Pradesh. This study consisted of a cross-sectional client follow-up design. A total of 19 facilities were selected using two-stage random sampling and 1036 women presenting to chosen facilities with abortion and post-abortion complications were interviewed between May and December 2014. A structured data collection tool was developed. A composite wealth index computed using principal component analysis derived weights from consumer durables and asset holding and classified women into three categories, poor, moderate, and rich. Findings highlight that overall 57% of women who received abortion care at public health facilities were poor, followed by 21% moderate and 22% rich. More poor women sought care at primary level facilities (58%) than secondary level facilities and among women presenting for postabortion complications (67%) than induced abortion. Women reported spending no money to access abortion services as abortion services are free of cost at public facilities. However, poor women spend INR 64 (1 USD) while visiting primary level facilities and INR 256 (USD 4) while visiting urban hospitals, primarily for transportation and food. Improved availability of safe abortion services at the primary level in Madhya Pradesh has helped meeting the need of safe abortion services among poor, which eventually will help reducing the maternal mortality and morbidity due to unsafe abortion.

  12. The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study

    PubMed Central

    2013-01-01

    Background Politics plays a critical role in agenda setting in health affairs; therefore, understanding the priorities of the political agenda in health is very important. The political priority for safe motherhood has been investigated at the national level in different countries. The objective of this study was to explore why and how maternal health became a political priority at sub-national level in the state of Madhya Pradesh in India. Methods This study followed a qualitative design. Data were collected by carrying out interviews and review of documents. Semi-structured interviews were carried out with twenty respondents from four stakeholder groups: government officials, development partners, civil society and academics. Data analysis was performed using thematic analysis. The analysis was guided by Kingdon’s multiple streams model. Results The emergence of maternal health as a political priority in Madhya Pradesh was the result of convergence in the developments in different streams: the development of problem definition, policy generation and political change. The factors which influenced this process were: emerging evidence of the high magnitude of maternal mortality, civil society’s positioning of maternal mortality as a human rights violation, increasing media coverage, supportive policy environment and launch of the National Rural Health Mission (NRHM), the availability of effective policy solutions, India’s aspiration of global leadership, international influence, maternal mortality becoming a hot debate topic and political transition at the national and state levels. Most of these factors first became important at national level which then cascaded to the state level. Currently, there is a supportive policy environment in the state for maternal health backed by greater political will and increased resources. However, malnutrition and population stabilization are the competing priorities which may push maternal health off the agenda. Conclusions The influence of the events and factors evolving from international and national levels significantly contributed to the development of maternal health as a priority in Madhya Pradesh. This led to several opportunities in terms of policies, guidelines and programmes for improving maternal health. These efforts were successful to some extent in improving maternal health in the state but several implementation challenges still require special attention. PMID:24079699

  13. The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study.

    PubMed

    Jat, Tej Ram; Deo, Prakash Ramchandra; Goicolea, Isabel; Hurtig, Anna-Karin; San Sebastian, Miguel

    2013-09-30

    Politics plays a critical role in agenda setting in health affairs; therefore, understanding the priorities of the political agenda in health is very important. The political priority for safe motherhood has been investigated at the national level in different countries. The objective of this study was to explore why and how maternal health became a political priority at sub-national level in the state of Madhya Pradesh in India. This study followed a qualitative design. Data were collected by carrying out interviews and review of documents. Semi-structured interviews were carried out with twenty respondents from four stakeholder groups: government officials, development partners, civil society and academics. Data analysis was performed using thematic analysis. The analysis was guided by Kingdon's multiple streams model. The emergence of maternal health as a political priority in Madhya Pradesh was the result of convergence in the developments in different streams: the development of problem definition, policy generation and political change. The factors which influenced this process were: emerging evidence of the high magnitude of maternal mortality, civil society's positioning of maternal mortality as a human rights violation, increasing media coverage, supportive policy environment and launch of the National Rural Health Mission (NRHM), the availability of effective policy solutions, India's aspiration of global leadership, international influence, maternal mortality becoming a hot debate topic and political transition at the national and state levels. Most of these factors first became important at national level which then cascaded to the state level. Currently, there is a supportive policy environment in the state for maternal health backed by greater political will and increased resources. However, malnutrition and population stabilization are the competing priorities which may push maternal health off the agenda. The influence of the events and factors evolving from international and national levels significantly contributed to the development of maternal health as a priority in Madhya Pradesh. This led to several opportunities in terms of policies, guidelines and programmes for improving maternal health. These efforts were successful to some extent in improving maternal health in the state but several implementation challenges still require special attention.

  14. Pathways and consequences of unsafe abortion: a comparison among women with complications after induced and spontaneous abortions in Madhya Pradesh, India.

    PubMed

    Banerjee, Sushanta K; Andersen, Kathryn L; Warvadekar, Janardan

    2012-09-01

    This study aimed to understand women's pathways of seeking care for postabortion complications in Madhya Pradesh, India. The study recruited 786 women between July and November 2007. Data were collected on service provision, abortion-related complications, care-seeking behavior, knowledge about abortion legality and availability, methods used, symptoms, referral source, and out-of-pocket costs. Women seeking care for complications from induced abortion followed more complex pathways to treatment than women with complications of spontaneous abortion. More complex pathways were associated with higher out-of-pocket costs. Improving community awareness on legal aspects, safe abortion methods, and trained providers are necessary to reduce morbidity associated with unsafe abortion. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  15. A large-scale investigation of the quality of groundwater in six major districts of Central India during the 2010-2011 sampling campaign.

    PubMed

    Khare, Peeyush

    2017-09-01

    This paper investigates the groundwater quality in six major districts of Madhya Pradesh in central India, namely, Balaghat, Chhindwara, Dhar, Jhabua, Mandla, and Seoni during the 2010-2011 sampling campaign, and discusses improvements made in the supplied water quality between the years 2011 and 2017. Groundwater is the main source of water for a combined rural population of over 7 million in these districts. Its contamination could have a huge impact on public health. We analyzed the data collected from a large-scale water sampling campaign carried out by the Public Health Engineering Department (PHED), Government of Madhya Pradesh between 2010 and 2011 during which all rural tube wells and dug wells were sampled in these six districts. Eight hundred thirty-one dug wells and 47,606 tube wells were sampled in total and were analyzed for turbidity, hardness, iron, nitrate, fluoride, chloride, and sulfate ion concentrations. Our study found water in 21 out of the 228 dug wells in Chhindwara district unfit for drinking due to fluoride contamination while all dug wells in Balaghat had fluoride within the permissible limit. Twenty-six of the 56 dug wells and 4825 of the 9390 tube wells in Dhar district exceeded the permissible limit for nitrate while 100% dug wells in Balaghat, Seoni, and Chhindwara had low levels of nitrate. Twenty-four of the 228 dug wells and 1669 of 6790 tube wells in Chhindwara had high iron concentration. The median pH value in both dug wells and tube wells varied between 6 and 8 in all six districts. Still, a significant number of tube wells exceeded a pH of 8.5 especially in Mandla and Seoni districts. In conclusion, this study shows that parts of inhabited rural Madhya Pradesh were potentially exposed to contaminated subsurface water during 2010-2011. The analysis has been correlated with rural health survey results wherever available to estimate the visible impact. We next highlight that the quality of drinking water has enormously improved since 2011 in all six districts as a result of rigorous treatment of extracted subsurface water on the ground before supplying to rural habitations as well as efficient distribution from healthy wells. Our research could provide impetus to the state government to develop innovative solutions for improving groundwater quality in these areas as existing solutions are largely protective techniques. We have identified specific ions responsible for groundwater contamination in different districts which would allow the development of district specific effective mitigation strategies.

  16. Barriers of mistrust: public and private health sectors' perceptions of each other in Madhya Pradesh, India.

    PubMed

    De Costa, Ayesha; Johansson, Eva; Diwan, Vinod K

    2008-06-01

    India has one of the most highly privatized health care systems in the world. The dominant private health sector functions alongside a traditional tiered public health sector. There has been an overall lack of collaboration between the two sectors despite international policy recommendations and local initiatives. It has been postulated that "conflicting perceptions" might contribute to the uncooperative attitude between the two sectors. But there has been little empirical exploration of the existing perceptions that the private and public health sectors have of each other. We explored these perceptions among key stakeholders (who influence the direction of health policy) in the public and private health sectors in the province of Madhya Pradesh, India. The barriers of mistrust, which hinder true dialogue, are complex, and have social, moral, and economic bases. They can be best addressed by necessary structural change before any significant long-term partnership between the two sectors is possible.

  17. Dental prosthetic status and prosthetic needs of institutionalised elderly population in oldage homes of jabalpur city, madhya pradesh, India.

    PubMed

    Deogade, Suryakant C; Vinay, S; Naidu, Sonal

    2013-12-01

    Oral disorders are cumulative throughout life and hence unfavourable outcomes are likely to be greatest among the elderly. A descriptive cross-sectional study was conducted among institutionalized geriatric population in old-age homes of Jabalpur city, Madhya Pradesh, to assess their prosthetic status and prosthetic needs. A cross-sectional survey was conducted in all the four old-age homes of Jabalpur city, Madhya Pradesh state, India. All residents aged 60 years and above formed the study population. The recording of prosthetic status and prosthetic needs was carried out according to the World Health Organisation (WHO) Oral Health Assessment Form (1997). A total of 224 individuals were included in the study of which 123 were females and 101 were males. Seventy five percent of the females and 55 % of the males had no prostheses in their upper arch and 61 % of the females and 76 % of the males had no prostheses in their lower arch. More number of males presented with 'Bridges' in their upper arch when compared to females (P value = 0.006). Highest prosthetic need in males was multi-unit prosthesis (42 % in upper arch and 41 % in lower arch) whereas, females' required full prosthesis (39 % in both the upper arch and lower arches). Ageing presents some formidable challenges, particularly with the institutionalised. This study clearly demonstrates a high insufficiency of prosthetic care among the institutionalized elderly population. Any preparation towards the provision of oral health care should not be limited to treatment alone but, more importantly focus on empowering this elderly community with information and education programmes.

  18. The Nightmare Years to Come?

    DTIC Science & Technology

    2014-07-01

    Ibid., 75. 142 Rama Lakshmi , “Polarizing Politician to Lead Indian Opposition Party’s Election Effort,” The Washington Post, June 9, 2013. 49 The...Bharatiya Janata Party won the most seats in Delhi, Rajasthan, Madhya Pradesh, and Chhattisgarh. 144 Rama Lakshmi , “Polarizing Politician to Lead

  19. Variation in gymnemic acid content and non-destructive harvesting of Gymnema sylvestre (Gudmar).

    PubMed

    Pandey, Ashok Kumar; Yadav, Swati

    2010-09-01

    Madhunashini (Gymnema sylvestre R. Br.) commonly known as 'Gudmar' in Hindi is an important medicinal climber and extensively used in almost all Indian System of Medicine as a remedy for diabetes, rheumatism, cough, ulcer, jaundice, dyspepsia, constipation, eyes pain and also in snakebite. In India, it is found growing in Andhra Pradesh, Bihar, Chhattisgarh, Karnataka, Kerala, Madhya Pradesh, Maharastra, Orissa, Tamil Nadu, Uttar Pradesh and West Bengal. The major phytoconstituents are gymnemic acids, gudmarin and saponins. In the present study, Gymnema germplasm collected from various regions of Madhya Pradesh was evaluated on the basis of their morphological characteristics and gymnemic acid content. Gymnemic acid content in the leaves was estimated by HPLC. We have also standardized the non-destructive harvesting practices of Gudmar. Selective harvesting was done without harming the main plant. Only mature leaves (60%) were hand plucked in the month of October. Second harvest was done in the month of June. Data revealed that gymnemic acid content varied between 0.96% ± 0.03 (Seoni) to 1.58% ±0.03 (Amarkantak). It was also observed that the leaves left at the time of 1(st) harvest during October matured in June at the time of 2(nd) harvest. Non destructive harvesting practice did not have any negative impact on overall development of the plant. It is evident that there is wide variation in the morphological characteristics and gymnemic acid content in G. sylvestre collected from various locations, which can be exploited for further crop improvement programmes.

  20. Real-time Extremely Heavy Rainfall Forecast and Warning over Rajasthan During the Monsoon Season (2016)

    NASA Astrophysics Data System (ADS)

    Srivastava, Kuldeep; Pradhan, D.

    2018-01-01

    Two events of extremely heavy rainfall occurred over Rajasthan during 7-9 August 2016 and 19-21 August 2016. Due to these events, flooding occurred over east Rajasthan and affected the normal life of people. A low-pressure area lying over northwest Madhya Pradesh on 7 August 2016 moved north-westward and lay near east Rajasthan and adjoining northwest Madhya Pradesh on 8 and 9 August 2016. Under the influence of this low-pressure system, Chittorgarh district and adjoining areas of Rajasthan received extremely heavy rainfall of 23 cm till 0300 UTC of 8 August 2016 and 34 cm on 0300 UTC of 9 August 2016. A deep depression lying over extreme south Uttar Pradesh and adjoining northeast Madhya Pradesh on 19 August 2016 moved westward and gradually weakened into a depression on 20 August 2016. It further weakened into a low-pressure area and lay over east Rajasthan on 21 and 22 August 2016. Under the influence of this deep depression, Jhalawar received 31 cm and Baran received 25 cm on 19 August. On 20 August 2016, extremely heavy rainfall (EHR) occurred over Banswara (23.5 cm), Pratapgarh (23.2 cm) and Chittorgarh (22.7 cm) districts. In this paper, the performance of the National Centers for Environmental Prediction (NCEP) global forecast system (GFS) model for real-time forecast and warning of heavy to very heavy/EHR that occurred over Rajasthan during 7-9 August 2016 and 19-21 August 2016 has been examined. The NCEP GFS forecast rainfall (Day 1, Day 2 and Day 3) was compared with the corresponding observed gridded rainfall. Based on the predictions given by the NCEP GFS model for heavy rainfall and with their application in real-time rainfall forecast and warnings issued by the Regional Weather Forecasting Center in New Delhi, it is concluded that the model has predicted the wind pattern and EHR event associated with the low-pressure system very accurately on day 1 and day 2 forecasts and with small errors in intensity and space for day 3.

  1. Variation in gymnemic acid content and non-destructive harvesting of Gymnema sylvestre (Gudmar)

    PubMed Central

    Pandey, Ashok Kumar; Yadav, Swati

    2010-01-01

    Background: Madhunashini (Gymnema sylvestre R. Br.) commonly known as ‘Gudmar’ in Hindi is an important medicinal climber and extensively used in almost all Indian System of Medicine as a remedy for diabetes, rheumatism, cough, ulcer, jaundice, dyspepsia, constipation, eyes pain and also in snakebite. In India, it is found growing in Andhra Pradesh, Bihar, Chhattisgarh, Karnataka, Kerala, Madhya Pradesh, Maharastra, Orissa, Tamil Nadu, Uttar Pradesh and West Bengal. The major phytoconstituents are gymnemic acids, gudmarin and saponins. Methods: In the present study, Gymnema germplasm collected from various regions of Madhya Pradesh was evaluated on the basis of their morphological characteristics and gymnemic acid content. Gymnemic acid content in the leaves was estimated by HPLC. We have also standardized the non-destructive harvesting practices of Gudmar. Selective harvesting was done without harming the main plant. Only mature leaves (60%) were hand plucked in the month of October. Second harvest was done in the month of June. Results: Data revealed that gymnemic acid content varied between 0.96% ± 0.03 (Seoni) to 1.58% ±0.03 (Amarkantak). It was also observed that the leaves left at the time of 1st harvest during October matured in June at the time of 2nd harvest. Conclusion: Non destructive harvesting practice did not have any negative impact on overall development of the plant. It is evident that there is wide variation in the morphological characteristics and gymnemic acid content in G. sylvestre collected from various locations, which can be exploited for further crop improvement programmes. PMID:21589758

  2. Pilot project in rural western Madhya Pradesh, India, to assess the feasibility of using LED and solar-powered lanterns to remove kerosene lamps and related hazards from homes.

    PubMed

    Chamania, S; Chouhan, R; Awasthi, A; Bendell, R; Marsden, N; Gibson, J; Whitaker, I S; Potokar, T S

    2015-05-01

    Globally, 300,000 deaths are estimated to occur annually and the incidence is far greater as a large majority of burns are small and go unreported. Ninety-five percent of the global burden of burns is found in low- and middle-income countries; however, there is relatively little in the literature regarding effective primary prevention in these areas. Flame is the most common cause of burn in Madhya Pradesh, the central state of India. The most common demographic among the burn unit inpatient of Choithram hospital Indore, is young women from 21 to 40 years of age, whose burns are primarily caused by kerosene lamps. A non electrical source of illumination is essential for every household in rural areas due to the infrequent and poor power supply. At the baseline, 23 kerosene lamp burns were reported by villagers in the past 5 years among the study population of this pilot project. A pilot project to investigate the strategies for reducing the incidence of domestic burns in rural villages around the city of Indore was performed, by replacing kerosene lamps with safer and more sustainable alternatives, including solar-powered and light-emitting diode (LED) lamps. A total of 1042 households were randomly chosen from 18 villages within the Malwa region of Madhya Pradesh (population of 28,825) to receive the alternative light source (670 LED and 372 solar lamps). We investigated the efficacy of this strategy of reducing the incidence of burns, measured the social acceptance by villagers, and quantified the cost implications and availability of LED lamps in rural communities with a high incidence of burns. Replacing kerosene lamps with LED and solar alternatives was deemed socially acceptable by 99.34% of the participants and reduced the cost of lighting for impoverished rural villagers by 85% over 1 year. We successfully demonstrated a significant decrease in the use of kerosene lamps (p<0.01). More evidence is required to investigate the efficacy of this strategy in reducing burns. This pilot study highlights the viability of the approach of replacing kerosene lamps as an effective primary prevention strategy for reducing burns in rural areas. However, barriers remain to the wider adoption of these lamps, including accessibility and availability for the populations of rural India. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  3. India - 103 Agricultural Extension. Madhya Pradesh Hindi Language.

    ERIC Educational Resources Information Center

    Papazian, Elaine; Ray, S. B.

    This guide is designed for Hindi language training of Peace Corps workers in agriculture in India and reflects daily communication needs in that context. It consists of notes on Hindi phonology and pronunciation and a series of lessons on description, common phrases, and grammatical constructions. The 41 lessons are presented in four sections,…

  4. Water quality and pollution status of Chambal river in National Chambal Sanctuary, Madhya Pradesh.

    PubMed

    Saksena, D N; Garg, R K; Rao, R J

    2008-09-01

    The physico-chemical characteristics of Chambal river water in National Chambal sanctuary (Madhya Pradesh) have been studied. The stretch of Chambal river contained in the National Chambal sanctuary (located at 25 degrees 23'-26 degrees 52'N, 76 degrees 28'-79 degrees 15'E) is extending up to 600 km downstream from Kota (Rajasthan) to the confluence of the Chambal with Yamuna river (Etawah). The river flow in Madhya Pradesh spans up to approximately 400 km. Three sampling stations viz., Station A--near Palighat, district Sheopurkalan, Station B--near Rajghat, district Morena and Station C--near Baraighat, district Bhind were established for the collection of water samples during April, 2003 to March, 2004. The water quality parameters namely transparency (12.12-110 cm), colour (transparent-very turbid), turbidity (1-178 TNU), electrical conductivity (145.60-884 microS cm(-1)), total dissolved solids (260-500 mgl(-1)), pH (7.60-9.33), dissolved oxygen (4.86-14.59 mgl(-1)), free carbon dioxide (0-16.5 mgl(-1)), total alkalinity (70-290 mgl(-1)), total hardness (42-140 mgl(-1)), chloride (15.62-80.94 mgl(-1)), nitrate (0.008-0.025 mgl(-1)), nitrite (0.002-0.022 mgl(-1)), sulphate (3.50-45 mgl(-1)), phosphate (0.004-0.050 mgl(-1)), silicate (2.80-13.80 mgl(-1)), biochemical oxygen demand (0.60-5.67 mgl(-1)), chemical oxygen demand (2.40-26.80 mgl(-1)), ammonia (nil-0.56 mgl(-1)), sodium (14.30-54.40 mgl(-1)) and potassium (2.10 mgl(-1)-6.30 mgl(-1)) reflects on the pristine nature of the river in National Chambal sanctuary. On the basis of various parameters studied, Chambal river in this stretch can be placed under the category of oligosaprobic. The water quality analysis, indicated that the riverwater in the sanctuary area is pollution free and can serve as a good habitat for many aquatic animals including endangered species.

  5. Granuloma Inguinale Simulating Squamous Cell Carcinoma.

    PubMed

    Mani, M Z; Singh, Trilochan; Mathew, Mary

    1981-01-01

    A case of extensive granuloma inguinale simulating squamous cell carcinoma is described. There was past history of urethritis leading to a urethral fistula. The ulcer healed almost completely within 19 days of receiving streptomycin injections. The patient had associated scabies and presumably also had latent syphillis (His VDRL was reactive in 1:8 dilution). The patient belonged to Madhya Pradesh.

  6. Identifying Children with Intellectual Disabilities in the Tribal Population of Barwani District in State of Madhya Pradesh, India

    ERIC Educational Resources Information Center

    Lakhan, Ram; Mawson, Anthony R.

    2016-01-01

    Background: Low-and middle-income countries (LAMI) lack an integrated and systematic approach to identify people with intellectual disabilities. Screening surveys are considered resource-intensive; therefore, alternative approaches are needed. This study attempted to identify children up to age 18 years with intellectual disabilities through a…

  7. Food fortification as a complementary strategy for the elimination of micronutrient deficiencies: case studies of large scale food fortification in two Indian States.

    PubMed

    Bhagwat, Sadhana; Gulati, Deepti; Sachdeva, Ruchika; Sankar, Rajan

    2014-01-01

    The burden of micronutrient malnutrition is very high in India. Food fortification is one of the most cost-effective and sustainable strategies to deliver micronutrients to large population groups. Global Alliance for Improved Nutrition (GAIN) is supporting large-scale, voluntary, staple food fortification in Rajasthan and Madhya Pradesh because of the high burden of malnutrition, availability of industries capable of and willing to introduce fortified staples, consumption patterns of target foods and a conducive and enabling environment. High extraction wheat flour from roller flour mills, edible soybean oil and milk from dairy cooperatives were chosen as the vehicles for fortification. Micronutrients and levels of fortification were selected based on vehicle characteristics and consumption levels. Industry recruitment was done after a careful assessment of capability and willingness. Production units were equipped with necessary equipment for fortification. Staffs were trained in fortification and quality control. Social marketing and communication activities were carried out as per the strategy developed. A state food fortification alliance was formed in Madhya Pradesh with all relevant stakeholders. Over 260,000 MT of edible oil, 300,000 MT of wheat flour and 500,000 MT of milk are being fortified annually and marketed. Rajasthan is also distributing 840,000 MT of fortified wheat flour annually through its Public Distribution System and 1.1 million fortified Mid-day meals daily through the centralised kitchens. Concurrent monitoring in Rajasthan and Madhya has demonstrated high compliance with all quality standards in fortified foods.

  8. The Impact of Education on the Economy among the Baiga Tribe in Madhya Pradesh, India: A Brief Note

    ERIC Educational Resources Information Center

    Jain, A. K.; Sharma, A. N.

    2009-01-01

    Literacy is a powerful instrument to boost the economy in the form of providing positive attitudes and perceptions that can contribute to an improved daily life. Further, it plays an important role in determining the ecological condition, use and uptake of health-care facilities, awareness of different aspects of socio-religious and taboo…

  9. Factors associated with treatment seeking for malaria in Madhya Pradesh, India.

    PubMed

    Singh, Mrigendra P; Saha, Kalyan B; Chand, Sunil K; Anvikar, Anup

    2017-11-01

    To determine household factors associated with treatment seeking for malaria. The study was carried out in four districts of Madhya Pradesh with different malaria endemicity. A total of 1470 households were interviewed in which at least one member suffered from microscopically confirmed malaria in the 3 months preceding the survey. Socio-demographic, economic, cultural characteristics, their health beliefs, knowledge and practices regarding malaria and choice of treatment seeking were explored. A total of 764 households were from high-endemic and 706 from low-endemic areas. More than half of household heads were illiterate; most are farmers. Approximately 46% sought treatment for malaria from unqualified informal providers; 19% from qualified private health practitioners and 35% from government health providers. Analysis revealed that household's area of residence, education, occupation, ethnicity, use of preventive measures, economic status, knowledge and practices, distance and delayed treatment seeking was strongly associated with the type of healthcare providers selected. Demand for formal health services among the poor, illiterate, tribal population living in remote areas is low. Accessible and affordable health services and a sensitisation programme to increase the demand for formal providers are needed. © 2017 John Wiley & Sons Ltd.

  10. Prevalence of dental fluorosis among primary school children in rural areas of Karera Block, Madhya Pradesh.

    PubMed

    Narwaria, Y S; Saksena, D N

    2013-09-01

    To determine prevalence and severity of dental fluorosis in school going children of ten villages of Karera block of Shivpuri District, Madhya Pradesh. Fluoride ion concentration was measured in ten hand pump and two wells waters with a fluoride meter (ORION model 720). For the study total 750 school children were selected from ten government primary schools of ten rural villages. The survey was conducted during the period of November 2007 through December 2009. The dental and oral examination was done by two trained dentists. The occurrence and severity of dental fluorosis was recorded using Dean's index. Drinking water sources considered for study were hand pumps, and wells. Out of 750 children surveyed, 341 were found affected with dental fluorosis. The boys had greater prevalence (46.75%) as compared to girls (42.18%). Dental fluorosis, as assessed by Dean's Index shows that 20.8% children had grade I, 19.47% grade II, 5.2% grade III. Overall, 45.46% of the sample showed some grades of dental fluorosis. In all the 144 water samples from ten villages fluoride level was higher than permissible limits. The boys had greater prevalence of dental fluorosis over the girls.

  11. Portrait of a Science Teacher as a Bricoleur: A Case Study from India

    ERIC Educational Resources Information Center

    Sharma, Ajay

    2008-01-01

    This paper presents a case study of science teaching in an eighth grade school classroom in India. It comes out of a larger ethnographic study done in 2005 that looked at how science was taught and learned in a rural government run middle school in the state of Madhya Pradesh in India. Subscribing to a sociocultural perspective, the paper presents…

  12. Competence of birth attendants at providing emergency obstetric care under India’s JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province

    PubMed Central

    2014-01-01

    Background Access to emergency obstetric care by competent staff can reduce maternal mortality. India has launched the Janani Suraksha Yojana (JSY) conditional cash transfer program to promote institutional births. During implementation of the JSY, India witnessed a steep increase in the proportion of institutional deliveries-from 40% in 2004 to 73% in 2012. However, maternal mortality reduction follows a secular trend. Competent management of complications, when women deliver in facilities under the JSY, is essential for reduction in maternal mortality and therefore to a successful program outcome. We investigate, using clinical vignettes, whether birth attendants at institutions under the program are competent at providing appropriate care for obstetric complications. Methods A facility based cross-sectional study was conducted in three districts of Madhya Pradesh (MP) province. Written case vignettes for two obstetric complications, hemorrhage and eclampsia, were administered to 233 birth attendant nurses at 73 JSY facilities. Their competence at (a) initial assessment, (b) diagnosis, and (c) making decisions on appropriate first-line care for these complications was scored. Results The mean emergency obstetric care (EmOC) competence score was 5.4 (median = 5) on a total score of 20, and 75% of participants scored below 35% of the maximum score. The overall score, although poor, was marginally higher in respondents with Skilled Birth Attendant (SBA) training, those with general nursing and midwifery qualifications, those at higher facility levels, and those conducting >30 deliveries a month. In all, 14% of respondents were competent at assessment, 58% were competent at making a correct clinical diagnosis, and 20% were competent at providing first-line care. Conclusions Birth attendants in the JSY facilities have low competence at EmOC provision. Hence, births in the JSY program cannot be considered to have access to competent EmOC. Urgent efforts are required to effectively increase the competence of birth attendants at managing obstetric complications in order to translate large gains in coverage of institutional delivery services under JSY into reductions in maternal mortality in Madhya Pradesh, India. PMID:24885817

  13. Relative Abundance and Plasmodium Infection Rates of Malaria Vectors in and around Jabalpur, a Malaria Endemic Region in Madhya Pradesh State, Central India.

    PubMed

    Singh, Neeru; Mishra, Ashok K; Chand, Sunil K; Bharti, Praveen K; Singh, Mrigendra P; Nanda, Nutan; Singh, Om P; Sodagiri, Kranti; Udhyakumar, Venkatachalam

    2015-01-01

    This study was undertaken in two Primary Health Centers (PHCs) of malaria endemic district Jabalpur in Madhya Pradesh (Central India). In this study we had investigated the relative frequencies of the different anopheline species collected within the study areas by using indoor resting catches, CDC light trap and human landing methods. Sibling species of malaria vectors were identified by cytogenetic and molecular techniques. The role of each vector and its sibling species in the transmission of the different Plasmodium species was ascertained by using sporozoite ELISA. A total of 52,857 specimens comprising of 17 anopheline species were collected by three different methods (39,964 by indoor resting collections, 1059 by human landing and 11,834 by CDC light trap). Anopheles culicifacies was most predominant species in all collections (55, 71 and 32% in indoor resting, human landing and light trap collections respectively) followed by An. subpictus and An. annularis. All five sibling species of An. culicifacies viz. species A, B, C, D and E were found while only species T and S of An. fluviatilis were collected. The overall sporozoite rate in An. culicifacies and An. fluviatilis were 0.42% (0.25% for P. falciparum and 0.17% for P. vivax) and 0.90% (0.45% for P. falciparum and 0.45% for P. vivax) respectively. An. culicifacies and An. fluviatilis were found harbouring both P. vivax variants VK-210 and VK-247, and P. falciparum. An. culicifacies sibling species C and D were incriminated as vectors during most part of the year while sibling species T of An. fluviatilis was identified as potential vector in monsoon and post monsoon season. An. culicifacies species C (59%) was the most abundant species followed by An. culicifacies D (24%), B (8.7%), E (6.7%) and A (1.5%). Among An. fluviatilis sibling species, species T was common (99%) and only few specimens of S were found. Our study provides crucial information on the prevalence of An. culicifacies and An. fluviatilis sibling species and their potential in malaria transmission which will assist in developing strategic control measures against these vectors.

  14. Monitoring implementation of desertification combating plan using geomatics - A case study, districts Dhar and Jhabua, Madhya Pradesh

    NASA Astrophysics Data System (ADS)

    Arunima, Dasgupta; Dhinwa, P. S.; Rajawat, A. S.

    2015-02-01

    The world's drylands are subject to desertification as a result of extended droughts, climate change, and human activities. Development in drylands depends on addressing degradation of the ecosystem, mainstreaming sustainable natural resources management, and building upon the existing adaptive capacities of communities and institutions. In this regard, recent scientific results aimed to promote sustainable development through action plans for combating desertification. In India, under the Integrated Mission for Sustainable Development (IMSD) programme, remote sensing based integrated land and water resource studies were carried out with an objective to generate locale specific action plans for sustainable development of a region. A specific study was carried out, in districts of Jhabua and Dhar, in Madhya Pradesh using Composite Land Development Sites (CLDS) approach for forest and wasteland development and soil and water conservation. Various treatments were suggested and implemented in 1995. The present study was carried out with an objective to monitor the positive impacts of combating plan implementation through visual interpretation and NDVI analysis of temporal images of LISS III data, since 1991 to 2013. The study reveals that there is substantial increase in the area of irrigated agricultural land with increase in number of check dams along with the stream channels.

  15. Fertility in Hill Korwas -- a primitive tribe of Madhya Pradesh.

    PubMed

    Pandey, G D; Tiwary, R S

    1996-12-01

    This study examines fertility behavior among 604 eligible couples in Hill Korwa tribes in Madhya Pradesh state, India. Low fertility patterns are compared to those of neighboring Gonds and nontribals from rural Jabalpur. The Hill Korwa are a subtribe of the Korwa, who remained in the hills and dense forests. Over 60% live in three tehsils of Surguja district, including Ambikapur tehsil where the study was conducted. Data were obtained in March 1991. Eligible couples were those where both partners live together and the noncontracepting wife is under age 50 and nonmenopausal. Only 3% were literate. Female marriage age was about 15 years. The median age was 23.8 years. 92% lived below the poverty line. The average number of children ever born (CEB) per couple was 1.9, compared to 2.5 for the Gond and 2.9 for nontribal couples. The CEB in a reproductive lifetime was 2.9, compared to 5.3 for Gond women and 5.9 for nontribal women. Fecundity among Hill Korwa women was 66% lower at younger ages (16-17 years and 17-18 years), and the differences increased with an increase in age at marriage. Hill Korwas had a low female age at marriage, low literacy, low percentages engaged in agriculture, and higher percentages living above the poverty line.

  16. Mineral shock signatures in rocks from Dhala (Mohar) impact structure, Shivpuri district, Madhya Pradesh, India

    NASA Astrophysics Data System (ADS)

    Roy, Madhuparna; Pandey, Pradeep; Kumar, Shailendra; Parihar, P. S.

    2017-12-01

    A concrete study combining optical microscopy, Raman spectroscopy and X-ray diffractometry, was carried out on subsurface samples of basement granite and melt breccia from Mohar (Dhala) impact structure, Shivpuri district, Madhya Pradesh, India. Optical microscopy reveals aberrations in the optical properties of quartz and feldspar in the form of planar deformation feature-like structures, lowered birefringence and mosaics in quartz, toasting, planar fractures and ladder texture in alkali feldspar and near-isotropism in bytownite. It also brings to light incidence of parisite, a radioactive rare mineral in shocked granite. Raman spectral pattern, peak positions, peak widths and multiplicity of peak groups of all minerals, suggest subtle structural/crystallographic deviations. XRD data further reveals minute deviations of unit cell parameters of quartz, alkali feldspar and plagioclase, with respect to standard α-quartz, high- and low albite and microcline. Reduced cell volumes in these minerals indicate compression due to pressure. The c0/a0 values indicate an inter-tetrahedral angle roughly between 120o and 144o, further pointing to a possible pressure maxima of around 12 GPa. The observed unit cell aberration of minerals may indicate an intermediate stage between crystalline and amorphous stages, thereby, signifying possible overprinting of decompression signatures over shock compression effects, from a shock recovery process.

  17. Geospatial Analysis on the Distributions of Tobacco Smoking and Alcohol Drinking in India

    PubMed Central

    Fu, Sze Hang; Jha, Prabhat; Gupta, Prakash C.; Kumar, Rajesh; Dikshit, Rajesh; Sinha, Dhirendra

    2014-01-01

    Background Tobacco smoking and binge alcohol drinking are two of the leading risk factors for premature mortality worldwide. In India, studies have examined the geographic distributions of tobacco smoking and alcohol drinking only at the state-level; sub-state variations and the spatial association between the two consumptions are poorly understood. Methodology We used data from the Special Fertility and Mortality Survey conducted in 1998 to examine the geographic distributions of tobacco smoking and alcohol drinking at the district and postal code levels. We used kriging interpolation to generate smoking and drinking distributions at the postal code level. We also examined spatial autocorrelations and identified spatial clusters of high and low prevalence of smoking and drinking. Finally, we used bivariate analyses to examine the spatial correlations between smoking and drinking, and between cigarette and bidi smoking. Results There was a high prevalence of any smoking in the central and northeastern states, and a high prevalence of any drinking in Himachal Pradesh, Arunachal Pradesh, and eastern Madhya Pradesh. Spatial clusters of early smoking (started smoking before age 20) were identified in the central states. Cigarette and bidi smoking showed distinctly different geographic patterns, with high levels of cigarette smoking in the northeastern states and high levels of bidi smoking in the central states. The geographic pattern of bidi smoking was similar to early smoking. Cigarette smoking was spatially associated with any drinking. Smoking prevalences in 1998 were correlated with prevalences in 2004 at the district level and 2010 at the state level. Conclusion These results along with earlier evidence on the complementarities between tobacco smoking and alcohol drinking suggest that local public health action on smoking might also help to reduce alcohol consumption, and vice versa. Surveys that properly represent tobacco and alcohol consumptions at the district level are recommended. PMID:25025379

  18. Maiden outbreaks of dengue virus 1 genotype III in rural central India.

    PubMed

    Barde, P V; Kori, B K; Shukla, M K; Bharti, P K; Chand, G; Kumar, G; Ukey, M J; Ali, N A; Singh, N

    2015-01-01

    Dengue is regarded as the most important arboviral disease. Although sporadic cases have been reported, serotypes responsible for outbreaks have not been identified from central India over the last 20 years. We investigated two outbreaks of febrile illness, in August and November 2012, from Korea district (Chhattisgarh) and Narsinghpur district (Madhya Pradesh), respectively. Fever and entomological surveys were conducted in the affected regions. Molecular and serological tests were conducted on collected serum samples. Dengue-specific amplicons were sequenced and phylogenetic analyses were performed. In Korea and Narsinghpur districts 37·3% and 59% of cases were positive, respectively, for dengue infection, with adults being the worst affected. RT-PCR confirmed dengue virus serotype 1 genotype III as the aetiology. Ninety-six percent of infections were primary. This is the first time that dengue virus 1 outbreaks have been documented from central India. Introduction of the virus into the population and a conducive mosquitogenic environment favouring increased vector density caused the outbreak. Timely diagnosis and strengthening vector control measures are essential to avoid future outbreaks.

  19. Evaluation of pollution susceptibility of Karst aquifers of Rewa Town (Madhya Pradesh) using "DRASTIC" approach.

    PubMed

    Dubey, D P; Tiwari, R N; Dwivedi, Umesh

    2006-04-01

    Pollution susceptibility of groundwater of Rewa town situated on karstified Bhander limestones of the Bhander group is discussed in this paper. Pollution potential of selected localities in the town has been determined using the DRASTIC INDEX methodology. Pollution potential for these localities varied between 162 to 217. Shallow aquifers in karstified limestones having direct access to surface water were found more susceptible to pollution. Accordingly, remedial measures were suggested for minimising pollution.

  20. Efficiency of health care system at the sub-state level in Madhya Pradesh, India.

    PubMed

    Purohit, Brijesh C

    2010-01-01

    This paper attempts a sub-state-level analysis of health system for a low-income Indian state, namely, Madhya Pradesh. The objective of our study is to establish efficiency parameters that may help health policy makers to improve district-level and thus state-level health system performance. It provides an idealized yardstick to evaluate the performance of the health sector by using stochastic frontier technique. The study was carried out in two stages of estimation, and our results suggest that life expectancy in the Indian state could be enhanced considerably by correcting the factors that are adversely influencing sub-state-level health system efficiency. Our results indicate that main factors within the health system for discrepancy in interdistrict performance are inequitable distribution of supplies, availability of skilled attention at birth, and inadequate staffing relative to patient load of rural population at primary health centers. Overcoming these factors through additional resources in the deficient districts, mobilized partly from grants in aid and partly from patient welfare societies, may help the state to improve life expectancy speedily and more equitably. Besides the direct inputs from the health sector, a more conducive environment for gender development, reducing inequality in opportunities for women in health, education and other rights may provide the necessary impetus towards reducing maternal morbidity and mortality and add to overall life expectancy in the state.

  1. Burden of Severe Pneumonia, Pneumococcal Pneumonia and Pneumonia Deaths in Indian States: Modelling Based Estimates

    PubMed Central

    Farooqui, Habib; Jit, Mark; Heymann, David L.; Zodpey, Sanjay

    2015-01-01

    The burden of severe pneumonia in terms of morbidity and mortality is unknown in India especially at sub-national level. In this context, we aimed to estimate the number of severe pneumonia episodes, pneumococcal pneumonia episodes and pneumonia deaths in children younger than 5 years in 2010. We adapted and parameterized a mathematical model based on the epidemiological concept of potential impact fraction developed CHERG for this analysis. The key parameters that determine the distribution of severe pneumonia episode across Indian states were state-specific under-5 population, state-specific prevalence of selected definite pneumonia risk factors and meta-estimates of relative risks for each of these risk factors. We applied the incidence estimates and attributable fraction of risk factors to population estimates for 2010 of each Indian state. We then estimated the number of pneumococcal pneumonia cases by applying the vaccine probe methodology to an existing trial. We estimated mortality due to severe pneumonia and pneumococcal pneumonia by combining incidence estimates with case fatality ratios from multi-centric hospital-based studies. Our results suggest that in 2010, 3.6 million (3.3–3.9 million) episodes of severe pneumonia and 0.35 million (0.31–0.40 million) all cause pneumonia deaths occurred in children younger than 5 years in India. The states that merit special mention include Uttar Pradesh where 18.1% children reside but contribute 24% of pneumonia cases and 26% pneumonia deaths, Bihar (11.3% children, 16% cases, 22% deaths) Madhya Pradesh (6.6% children, 9% cases, 12% deaths), and Rajasthan (6.6% children, 8% cases, 11% deaths). Further, we estimated that 0.56 million (0.49–0.64 million) severe episodes of pneumococcal pneumonia and 105 thousand (92–119 thousand) pneumococcal deaths occurred in India. The top contributors to India’s pneumococcal pneumonia burden were Uttar Pradesh, Bihar, Madhya Pradesh and Rajasthan in that order. Our results highlight the need to improve access to care and increase coverage and equity of pneumonia preventing vaccines in states with high pneumonia burden. PMID:26086700

  2. Prevalence and burden of gastrointestinal parasites in cattle and buffaloes in Jabalpur, India.

    PubMed

    Marskole, Priyanka; Verma, Yamini; Dixit, Alok Kumar; Swamy, Madhu

    2016-11-01

    The study was conducted to determine the prevalence and burden of gastrointestinal (GI) parasites in cattle and buffaloes of Jabalpur, Madhya Pradesh. The presence of helminths eggs and coccidial oocysts in fecal samples were detected using standard qualitative and quantitative methods. Identification of eggs or oocysts was done on the basis of morphology and size of the eggs or oocysts. Out of 120 cattle and buffaloes examined, 73.33% were found positive for eggs of one or more species of GI parasite. The prevalence of parasitic infection was higher in cattle (75%) as compared to that of buffaloes (70.45%), but the difference was nonsignificant (p>0.05). Sex wise prevalence of GI parasites was higher in males as compared to that of females, but the difference was nonsignificant (p>0.05). The animals above 2 years of age were more affected by GI parasites as compared to animals of 6 months - 2 years of age, but the age wise differences were nonsignificant (p>0.05). Single parasitic infections were more common than mixed infections. The monthly prevalence of GI parasites in cattle and buffaloes were highest in the month of September (81.81%) and least in December (61.11%). The eggs/oocysts per gram in most of the animals, was in the range of 201-300. GI parasites are problem in cattle and buffaloes of Jabalpur, Madhya Pradesh. The prevalence rate of GI parasites varied with month. The burden of parasitic infection was moderate in most animals warranting treatment.

  3. Child rape: facets of a heinous crime.

    PubMed

    Gangrade, K D; Sooryamoorthy, R; Renjini, D

    1995-01-01

    This article discusses the extent of child rape in India, case studies of girl children in legal procedures, rape settings and perpetrators, public morality, and the nature of rape laws in India. It is concluded that there is no safe place for children. Currently, rapists are allowed to go free or are acquitted. Prevention and control of child rape must involve punishment of rapists. It is not appropriate that society ostracize the victim and her family. Victims should not remain silent. National Crime Records Bureau statistics reveal increases in rape during 1986-91. State figures are given for 1986-88. Madhya Pradesh had the highest reported incidence of rape in 1988. In 1993, Madhya Pradesh had a total of 2459 rapes. Nationally, 10,425 women were reported as raped in 1991. 51.7% were 16-30 years old. There were 1099 cases of pedophilia in 1991, which was an increase over 1990. Over 50% of the pedophilia cases were reported in Uttar Pradesh. The record of convictions shows very low figures. 1992 trial results of 276 rape cases indicated that only 46 persons were convicted. Victims suffer from psychological effects of embarrassment, disgust, depression, guilt, and even suicidal tendencies. There is police and prosecution indifference as well as social stigma and social ostracism of the victim and her family. Many cases go unreported. The case studies illustrate the difficulties for the victim of experiencing the rape and the social responses: police harassment, shame and fear, and occasionally public outrage. The case studies illustrate rape in familiar settings, such as schools, family homes, and neighbors and friends' homes; rape by policemen; and rape by political influentials. Most offenders are young, married, and socioeconomically poor. Mass media portrayals fuel the frustrations of poor and lonely men in cities. Rapists exhibit anti-social behavior or psychopathology. Sexual offenses are related to society's moral values.

  4. Antibiotic prescriptions for inpatients having non-bacterial diagnosis at medicine departments of two private sector hospitals in Madhya Pradesh, India: a cross-sectional study

    PubMed Central

    Landstedt, Kristoffer; Sharma, Ashish; Johansson, Fredrik; Stålsby Lundborg, Cecilia; Sharma, Megha

    2017-01-01

    Objectives To present and compare antibiotic prescribing for inpatients among the most common non-bacterial diagnoses groups at medicine departments of a teaching (TH) and a non-teaching hospital (NTH) in central India. Setting An observational cross-sectional study was conducted at two tertiary care settings in Ujjain district, Madhya Pradesh, India. Data and participants The data were collected manually, using a customised form. Complete records of all inpatients, who were >15 years of age and had stayed for at least one night in either of the hospitals during 2008–2011, were analysed. Outcome measures Inpatients were grouped according to the presence or absence of a bacterial infectious diagnosis, viral/malaria fever or cardiovascular disease. Classes of antibiotics prescribed to these groups and adherence to the available prescribing guidelines were compared between the hospitals using the notes from the patient files and the diagnoses. Results Of 20 303 inpatients included in the study, 66% were prescribed antibiotics. Trade name prescribing and use of broad-spectrum antibiotics were more frequent at the NTH than at the TH (p<0.001). At the TH a significantly higher proportion of patients having fever without registered bacterial infection were prescribed antibiotics (82%) compared with the NTH (71%, p<0.001). Patients admitted for cardiovascular diagnosis without registered bacterial infections received antibiotic prescriptions at both hospitals (NTH 47% and TH 37%) but this was significantly higher at the NTH (p<0.001). None of the diagnoses were confirmed by microbiology reports. Conclusions Prescribing antibiotics, including broad-spectrum antibiotics, to inpatients without bacterial infections—that is, viral fever, malaria and cardiovascular disease, was common at both hospitals, which increases the risk for development of bacterial resistance, a global public health threat. In view of the overprescribing of antibiotics, the main recommendations are development and implementation of local prescription guidelines, encouragement to use laboratory facilities and prescription analysis, with antibiotic stewardship programmes. PMID:28391232

  5. Validation of spot-testing kits to determine iodine content in salt.

    PubMed Central

    Pandav, C. S.; Arora, N. K.; Krishnan, A.; Sankar, R.; Pandav, S.; Karmarkar, M. G.

    2000-01-01

    Iodine deficiency disorders are a major public health problem, and salt iodization is the most widely practised intervention for their elimination. For the intervention to be successful and sustainable, it is vital to monitor the iodine content of salt regularly. Iodometric titration, the traditional method for measuring iodine content, has problems related to accessibility and cost. The newer spot-testing kits are inexpensive, require minimal training, and provide immediate results. Using data from surveys to assess the availability of iodized salt in two states in India, Madhya Pradesh and the National Capital Territory of Delhi, we tested the suitability of such a kit in field situations. Salt samples from Delhi were collected from 30 schools, chosen using the Expanded Programme on Immunization (EPI) cluster sampling technique. A single observer made the measurement for iodine content using the kit. Salt samples from Madhya Pradesh were from 30 rural and 30 urban clusters, identified by using census data and the EPI cluster sampling technique. In each cluster, salt samples were collected from 10 randomly selected households and all retailers. The 15 investigators performing the survey estimated the iodine content of salt samples in the field using the kit. All the samples were brought to the central laboratory in Delhi, where iodine content was estimated using iodometric titration as a reference method. The agreement between the kit and titration values decreased as the number of observers increased. Although sensitivity was not much affected by the increase in the number of observers (93.3% for a single observer and 93.9% for multiple observers), specificity decreased sharply (90.4% for a single observer and 40.4% for multiple observers). Due to the low specificity and resulting high numbers of false-positives for the kit when used by multiple observers ("real-life situations"), kits were likely to consistently overestimate the availability of iodized salt. This overestimation could result in complacency. Therefore, we conclude that until a valid alternative is available, the titration method should be used for monitoring the iodine content of salt at all levels, from producer to consumer, to ensure effectiveness of the programme. PMID:10994281

  6. Antibiotic prescriptions for inpatients having non-bacterial diagnosis at medicine departments of two private sector hospitals in Madhya Pradesh, India: a cross-sectional study.

    PubMed

    Landstedt, Kristoffer; Sharma, Ashish; Johansson, Fredrik; Stålsby Lundborg, Cecilia; Sharma, Megha

    2017-04-08

    To present and compare antibiotic prescribing for inpatients among the most common non-bacterial diagnoses groups at medicine departments of a teaching (TH) and a non-teaching hospital (NTH) in central India. An observational cross-sectional study was conducted at two tertiary care settings in Ujjain district, Madhya Pradesh, India. The data were collected manually, using a customised form. Complete records of all inpatients, who were >15 years of age and had stayed for at least one night in either of the hospitals during 2008-2011, were analysed. Inpatients were grouped according to the presence or absence of a bacterial infectious diagnosis, viral/malaria fever or cardiovascular disease. Classes of antibiotics prescribed to these groups and adherence to the available prescribing guidelines were compared between the hospitals using the notes from the patient files and the diagnoses. Of 20 303 inpatients included in the study, 66% were prescribed antibiotics. Trade name prescribing and use of broad-spectrum antibiotics were more frequent at the NTH than at the TH (p<0.001). At the TH a significantly higher proportion of patients having fever without registered bacterial infection were prescribed antibiotics (82%) compared with the NTH (71%, p<0.001). Patients admitted for cardiovascular diagnosis without registered bacterial infections received antibiotic prescriptions at both hospitals (NTH 47% and TH 37%) but this was significantly higher at the NTH (p<0.001). None of the diagnoses were confirmed by microbiology reports. Prescribing antibiotics, including broad-spectrum antibiotics, to inpatients without bacterial infections-that is, viral fever, malaria and cardiovascular disease, was common at both hospitals, which increases the risk for development of bacterial resistance, a global public health threat. In view of the overprescribing of antibiotics, the main recommendations are development and implementation of local prescription guidelines, encouragement to use laboratory facilities and prescription analysis, with antibiotic stewardship programmes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. An evaluation of dental prosthetic status and prosthetic needs among eunuchs (trans genders) residing in bhopal city, madhya pradesh, India: a cross-sectional study.

    PubMed

    Hongal, S; Torwane, Na; Chandrashekhar, Br; Saxena, V; Chavan, Kr

    2014-11-01

    Eunuchs are considered as the most vulnerable, frustrated, and insecure community. The accessibility to medical and dental facilities for the eunuchs is nearly nonexistent. Due to these reasons, they might be at a high risk of developing severe dental problems like tooth loss. The present cross-sectional study aimed to evaluate the dental prosthetic status and prosthetic needs among eunuchs residing in Bhopal city, Madhya Pradesh, India. On the basis of convenient nonprobability snowball sampling technique, all the self-identified eunuchs residing in the city of Bhopal along with a matched control consisting of cross section of the general population residing in the same locality was examined to evaluate the prosthetic status and prosthetic needs of the population. All the obtained data were entered into a personal computer on Microsoft excel sheet and analyzed using the software; Statistical Package for Social Science version 20. Data comparison was done by applying Chi-square test. A total of 639 subjects comprised of 207 eunuchs, 218 males and 214 females. Among all participants, 2.8% (18/639) were having prosthesis. The overall prosthetic status among males was 3.2% (7/218) followed by 2.9% (6/207) eunuchs and 2.3% (5/214) females. However, need for multi-unit and combination of one and more unit prosthesis for upper and lower jaws was higher in males compared to females and eunuchs, but the difference was not statistically significant. The findings of this study clearly demonstrate a high unmet need for prosthetic care among the population surveyed.

  8. Availability and distribution of safe abortion services in rural areas: a facility assessment study in Madhya Pradesh, India

    PubMed Central

    Chaturvedi, Sarika; Ali, Sayyed; Randive, Bharat; Sabde, Yogesh; Diwan, Vishal; De Costa, Ayesha

    2015-01-01

    Background Unsafe abortion contributes to a significant portion of maternal mortality in India. Access to safe abortion care is known to reduce maternal mortality. Availability and distribution of abortion care facilities can influence women's access to these services, especially in rural areas. Objectives To assess the availability and distribution of abortion care at facilities providing childbirth care in three districts of Madhya Pradesh (MP) province of India. Design Three socio demographically heterogeneous districts of MP were selected for this study. Facilities conducting at least 10 deliveries a month were surveyed to assess availability and provision of abortion services using UN signal functions for emergency obstetric care. Geographical Information System was used for visualisation of the distribution of facilities. Results The three districts had 99 facilities that conducted >10 deliveries a month: 74 in public and 25 in private sector. Overall, 48% of facilities reported an ability to provide safe surgical abortion service. Of public centres, 32% reported the ability compared to 100% among private centres while 18% of public centres and 77% of private centres had performed an abortion in the last 3 months. The availability of abortion services was higher at higher facility levels with better equipped and skilled personnel availability, in urban areas and in private sector facilities. Conclusions Findings showed that availability of safe abortion care is limited especially in rural areas. More emphasis on providing safe abortion services, particularly at primary care level, is important to more significantly dent maternal mortality in India. PMID:25797220

  9. Assessment of morphometric characteristics of Chakrar watershed in Madhya Pradesh India using geospatial technique

    NASA Astrophysics Data System (ADS)

    Soni, Sandeep

    2017-09-01

    The quantitative analysis of the watershed is important for the quantification of the channel network and to understand its geo-hydrological behaviour. Assessment of drainage network and their relative parameters have been quantitatively carried out for the Chakrar watershed of Madhya Pradesh, India, to understand the prevailing geological variation, topographic information and structural setup of the watershed and their interrelationship. Remote Sensing and Geographical Information System (GIS) has been used for the delineation and calculation of the morphometric parameters of the watershed. The Chakrar watershed is sprawled over an area of 415 km2 with dendritic, parallel and trellis drainage pattern. It is sub-divided into nine sub-watersheds. The study area is designated as sixth-order basin and lower and middle order streams mostly dominate the basin with the drainage density value of 2.46 km/km2 which exhibits gentle to steep slope terrain, medium dense vegetation, and less permeable with medium precipitation. The mean bifurcation value of the basin is 4.16 and value of nine sub-watersheds varies from 2.83 to 4.44 which reveals drainage networks formed on homogeneous rocks when the influences of geologic structures on the stream network is negligible. Form factor, circularity ratio and elongation ratio indicate an elongated basin shape having less prone to flood, lower erosion and sediment transport capacities. The results from the morphometric assessment of the watershed are important in water resources evaluation and its management and for the selection of recharge structure in the area for future water management.

  10. Technical efficiency of public district hospitals in Madhya Pradesh, India: a data envelopment analysis.

    PubMed

    Jat, Tej Ram; Sebastian, Miguel San

    2013-09-24

    Scarcity of resources for healthcare is a well-acknowledged problem. In this context, efficient utilization of existing financial and human resources becomes crucial for strengthening the healthcare delivery. The assessment of efficiency of health facilities can guide decision makers in ensuring the optimum utilization of available resources. The objective of this study was to evaluate the technical efficiency (TE) of the public district hospitals in Madhya Pradesh, India, with special emphasis on maternal healthcare services, using data envelopment analysis (DEA). Data from 40 district hospitals from January to December 2010 were collected from the health management information system and other records of the department of health and family welfare of the state. DEA was performed with input orientation and variable returns to scale assumption. TE and scale efficiency scores of the district hospitals were 0.90 (SD = 0.14) and 0.88 (SD = 0.15), respectively. Of the total district hospitals in the study, 20 (50%) were technically efficient constituting the 'best practice frontier'. The other half were technically inefficient, with an average TE score of 0.79 (SD = 0.12) meaning that these hospitals could produce the same outputs by using 21% less inputs from current input levels. Twenty-six (65%) district hospitals were found to be scale inefficient, manifesting a mean score of 0.81 (SD = 0.16). Half of the district hospitals in the study were operating inefficiently. Decision makers and administrators in the state should identify the causes of the observed inefficiencies and take appropriate measures to increase efficiency of these hospitals.

  11. Identifying Children with Intellectual Disabilities in the Tribal Population of Barwani District in State of Madhya Pradesh, India.

    PubMed

    Lakhan, Ram; Mawson, Anthony R

    2016-05-01

    Low-and middle-income countries (LAMI) lack an integrated and systematic approach to identify people with intellectual disabilities. Screening surveys are considered resource-intensive; therefore, alternative approaches are needed. This study attempted to identify children up to age 18 years with intellectual disabilities through a mixed-method approach involving focus group interviews (FGIs) and door-to-door surveys. Focus groups were conducted with the assistance and involvement of local leaders in four villages of Barwani district of Madhya Pradesh with a 99% tribal population in all four villages. A formal survey of the community was then conducted to determine the prevalence of intellectual disabilities based on a standardized screening instrument (NIMH-DDS). Thirty focus group interviews were conducted involving 387 participants (males 284, females 103) over a period of 13 days. The entire adult population (N = 8797) was then surveyed for intellectual disabilities using a standardized screening instrument. The data revealed a close similarity in the prevalence rates of intellectual disabilities, as determined by the two approaches (Focus Group Interviews, 5.22/1000 versus Survey, 5.57/1000). A qualitative method using FGIs successfully identified people with intellectual disabilities in an economically deprived tribal area, showing that a community-based approach provides a close estimate of intellectual disabilities based on a formal survey using standard diagnostic criteria. These data suggest that FGI, along with other qualitative data, could be helpful in designing and in serving as an entree for community-based interventions. © 2015 John Wiley & Sons Ltd.

  12. Frequency of Addictive Habits and its Association with Oral Diseases Among a Cross Section of Indian Police Personnel Connotation.

    PubMed

    Singh, Aishwarya; Bhambal, Ajay; Saxena, Sudhanshu; Tiwari, Vidhatri; Tiwari, Utkarsh

    2016-05-01

    To assess the frequency of adverse addictive habits, specially alcohol and tobacco usage, among police personnel of Bhopal City, Central India and its association with the frequency of oral mucosal lesions and periodontal diseases. Across-sectional analytical study. Bhopal City, Capital of Madhya Pradesh State, Central India, from February to April 2013. All the police personnel posted at various police stations were interviewed and clinically examined. Police personnel who did not cooperate or were not willing, were excluded from the study. Chi-square test was used to analyze categorical variables. Atotal of 781 subjects were interviewed for the various forms of adverse habits, followed by clinical assessment of oral mucosal lesions and periodontal status using WHO 1997 criteria. The mean age of study subjects was 40.58 ±9.84 years. Usage of tobacco was found among 55% and only 1.3% of subjects consumed alcohol. The prevalence of oral mucosal lesions and periodontal diseases was significantly higher among tobacco users. There was high usage of tobacco among police personnel in Bhopal City, India with a detrimental effect on oral health.

  13. Spatial and gender scenario of literate life expectancy at birth in India.

    PubMed

    Chattopadhyay, Aparajita; Sinha, Kumar Chiman

    2010-10-01

    Measuring human quality of life is academically challenging. The human development index (HDI) substantially captures the overall country level status on human welfare. However, this index has some drawbacks. Therefore, Lutz composed a simple index in 1995 combining life expectancy and literacy, called literate life expectancy (LLE). LLE can be calculated for subpopulations depending on availability of data. This article captures the LLE in major states in India and the gender differences in LLE at rural and urban levels. The authors have tried to highlight the social development scenario in India and its major states by using this pure social indicator that intentionally does not use any economic measurement. The state scenario comprehensively depicts gender differentials in social development, and it calls for implementing development measures more seriously in states like Haryana, Bihar, Rajasthan, Madhya Pradesh, and Uttar Pradesh to reduce the gender gap. Being highly correlated with the HDI, the LLE index proves to be a very clear and simple comprehensive measure of social development for different subpopulations.

  14. Practical observations from an epidemiological investigation of a measles outbreak in a district of India.

    PubMed

    Mishra, Ashok; Mishra, Subodh; Lahariya, Chandrakant; Jain, Pankaj; Bhadoriya, Rahul S; Shrivastav, Dhiraj; Marathe, Neera

    2009-04-01

    Measles is a major cause of childhood morbidity and mortality, accounting for nearly half of the morbidity associated with global vaccine preventable diseases. Regular outbreaks of Measles are reported in India, of which only a few are investigated. This study was conducted in the Shivpuri District of Madhya Pradesh (India) to investigate and asses various epidemiological factors associated with measles outbreak. A cross-sectional study was carried out in 30 randomly selected sub-centers in 8 blocks of the Shivpuri District of Madhya Pradesh, covering 212 villages, selected by cluster sampling. The villages, which had reported measles cases, were extensively investigated by the field teams through extensive house-to-house surveys during 12-19 May 2004. A total of 1204 cases with 14 deaths were reported with an attack rate of 6.2% and a case fatality rate of 1.2%. In this study, 17.7% of the cases reported post-measles complications with diarrhea as the most common post measles complication. The routine measles vaccine and Vitamin A supplementation in the area was also less than 30%. The majority of the cases had occurred in the unvaccinated children and in under 5 year old population. There are repeated outbreaks and a long delay in reporting of the cases. The occurrence of cases, in a reasonable proportion of the vaccinated population, points toward the fact that there is a possibility of a vaccine failure in older children. This study calls for an improved surveillance system, an improvement in the cold chain, and enhancements for measles vaccination if India is to achieve the goal of measles elimination.

  15. Disparities in child mortality trends: what is the evidence from disadvantaged states in India? the case of Orissa and Madhya Pradesh.

    PubMed

    Nguyen, Kim-Huong; Jimenez-Soto, Eliana; Dayal, Prarthna; Hodge, Andrew

    2013-06-27

    The Millennium Development Goals prompted renewed international efforts to reduce under-five mortality and measure national progress. However, scant evidence exists about the distribution of child mortality at low sub-national levels, which in diverse and decentralized countries like India are required to inform policy-making. This study estimates changes in child mortality across a range of markers of inequalities in Orissa and Madhya Pradesh, two of India's largest, poorest, and most disadvantaged states. Estimates of under-five and neonatal mortality rates were computed using seven datasets from three available sources--sample registration system, summary birth histories in surveys, and complete birth histories. Inequalities were gauged by comparison of mortality rates within four sub-state populations defined by the following characteristics: rural-urban location, ethnicity, wealth, and district. Trend estimates suggest that progress has been made in mortality rates at the state levels. However, reduction rates have been modest, particularly for neonatal mortality. Different mortality rates are observed across all the equity markers, although there is a pattern of convergence between rural and urban areas, largely due to inadequate progress in urban settings. Inter-district disparities and differences between socioeconomic groups are also evident. Although child mortality rates continue to decline at the national level, our evidence shows that considerable disparities persist. While progress in reducing under-five and neonatal mortality rates in urban areas appears to be levelling off, policies targeting rural populations and scheduled caste and tribe groups appear to have achieved some success in reducing mortality differentials. The results of this study thus add weight to recent government initiatives targeting these groups. Equitable progress, particularly for neonatal mortality, requires continuing efforts to strengthen health systems and overcome barriers to identify and reach vulnerable groups.

  16. Predictors, help-seeking behaviour and treatment coverage for depression in adults in Sehore district, India

    PubMed Central

    Lyngdoh, Tanica; Murhar, Vaibhav; Samudre, Sandesh; Krafft, Thomas

    2017-01-01

    Background National Mental Health Survey found that in India, the point prevalence of major depressive disorder (MDD) was 2.7% and the treatment gap was 85.2%, whereas in Madhya Pradesh the point prevalence of MDD was 1.4% and the treatment gap was 80%. Aims To describe the baseline prevalence of depression among adults, association of various demographic and socioeconomic variables with depression and estimation of contact coverage for the same. Method Population-based cross-sectional survey of 3220 adults in Sehore district of Madhya Pradesh, India. The outcome of interest was a probable diagnosis of depression that was measured using the Patient Health Questionnaire (PHQ-9) and the proportion of individuals with depression (PHQ-9>9) who sought care for the same. The data were analysed using simple and multiple log-linear regression. Results Low educational attainment, unemployment and indebtedness were associated with both moderate/severe depression (PHQ-9 score >9) and severe depression only (PHQ-9 score >14), whereas age, caste and marital status were associated with only moderate or severe depression. Religion, type of house, land ownership and amount of loan taken were not associated with either moderate/severe or only severe depression. The contact coverage for moderate/severe depression was 13.08% (95% CI 10.2–16.63). Conclusions There is an urgent need to bridge the treatment gap by targeting individuals with social vulnerabilities and integrating evidence-based interventions in primary care. Declaration of interest None. Copyright and usage © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. PMID:28904815

  17. Indian medical students in public and private sector medical schools: are motivations and career aspirations different? - studies from Madhya Pradesh, India.

    PubMed

    Diwan, Vishal; Minj, Christie; Chhari, Neeraj; De Costa, Ayesha

    2013-09-15

    In recent years, there has been a massive growth in the private medical education sector in South Asia. India's large private medical education sector reflects the market driven growth in private medical education. Admission criteria to public medical schools are based on qualifying examination scores, while admission into private institutions is often dependent on relative academic merit, but also very much on the ability of the student to afford the education. This paper from Madhya Pradesh province in India aims to study and compare between first year medical students in public and private sector medical schools (i) motives for choosing a medical education (ii) career aspirations on completion of a medical degree (iii) willingness to work in a rural area in the short and long terms. Cross sectional survey of 792 first year medical students in 5 public and 4 private medical schools in the province. There were no significant differences in the background characteristics of students in public and private medical schools. Reasons for entering medical education included personal ambition (23%), parental desire (23%), prestigious/secure profession (25%) or a service motive (20%). Most students wished to pursue a specialization (91%) and work in urban areas (64%) of the country. A small proportion (7%) wished to work abroad. There were no differences in motives or career aspirations between students of public or private schools. 40% were willing to work in a rural area for 2 years after graduating; public school students were more willing to do so. There was little difference in background characteristics, motives for entering medicine or career aspirations between medical students in from public and private sector institutions.

  18. Establishing communication mechanism for malaria prevention in Baiga tribal villages in Baiga Chak area of Dindori district, Madhya Pradesh.

    PubMed

    Saha, Kalyan B; Sharma, Ravendra K; Mishra, Rajdeep; Verma, Arvind; Tiwari, B K; Singh, Neeru

    2015-05-01

    Malaria is a serious public health concern in several parts of India, particularly in tribal areas of Madhya Pradesh (MP). Dindori district inhabitated by Baiga tribe, contributes about 15 per cent to the total malaria burden in MP. The tribal and other local inhabitants believe in magico-religious treatment of malaria and use modern health facilities only as second line of treatment. The present study was planned in the villages of one of the particularly vulnerable tribal group of MP, the Baigas. The objective of the study was to generate awareness and utilization of health services for malaria by establishing a communication strategy using local students and unemployed youths as agents of change. The study was undertaken in 47 villages and the need based IEC (information, education and communication) intervention was evaluated within four months of initiation by adopting before and after with control design. For both baseline and resurvey the households covered each time were 2350. The baseline data generated revealed that around 53 per cent of the people in the study villages were aware of malaria. Among the non Baigas, 59 per cent were aware of malaria, while among the Baigas it was 49 per cent. IEC intervention could raise the level of awareness to malaria significantly with a net intervention effect of 23 per cent. The IEC intervention also improved the utilization of modern health services significantly. The IEC strategy designed by using local children and youths was effective as the malaria was on decline in the study area. The same strategy with necessary modifications may be replicated in other areas pandemic for malaria.

  19. Delivering Medical Abortion at Scale: A Study of the Retail Market for Medical Abortion in Madhya Pradesh, India

    PubMed Central

    Powell-Jackson, Timothy; Acharya, Rajib; Filippi, Veronique; Ronsmans, Carine

    2015-01-01

    Background Medical abortion (mifepristone and misoprostol) has the potential to contribute to reduced maternal mortality but little is known about the provision or quality of advice for medical abortion through the private retail sector. We examined the availability of medical abortion and the practices of pharmacists in India, where abortion has been legal since 1972. Methods We interviewed 591 pharmacists in 60 local markets in city, town and rural areas of Madhya Pradesh. One month later, we returned to 359 pharmacists with undercover patients who presented themselves unannounced as genuine customers seeking a medical abortion. Results Medical abortion was offered to undercover patients by 256 (71.3%) pharmacists and 24 different brands were identified. Two thirds (68.5%) of pharmacists stated that abortion was illegal in India. Only 106 (38.5%) pharmacists asked clients the timing of the last menstrual period and 38 (13.8%) requested to see a doctor’s prescription – a legal requirement in India. Only 59 (21.5%) pharmacists correctly advised patients on the gestational limit for medical abortion, 97 (35.3%) provided correct information on how many and when to take the tablets in a combination pack, and 78 (28.4%) gave accurate advice on where to seek care in case of complications. Advice on post-abortion family planning was almost nonexistent. Conclusions The retail market for medical abortion is extensive, but the quality of advice given to patients is poor. Although the contribution of medical abortion to women’s health in India is poorly understood, there is an urgent need to improve the practices of pharmacists selling medical abortion. PMID:25822656

  20. Cross-sectional Serologic Assessment of Immunity to Poliovirus in Differential Risk Areas of India: India Seroprevalence Survey - 2014.

    PubMed

    Ahmad, Mohammad; Bahl, Sunil; Kunwar, Abhishek

    2016-08-07

    To assess the seroprevalence against all three poliovirus serotypes in traditional high risk areas in Bihar, lowest routine immunization coverage areas in Madhya Pradesh and migrant population living in Mumbai urban slums. Cross-sectional Survey. Subjects selected by house to house visit (community based) and transported to government health facilities for further study procedures. 1137 randomly selected healthy infants 6-11 months of age residing in the selected high-risk areas. Serum samples from the study site were shipped to Enterovirus Research Centre (ERC), Mumbai to determine the neutralizing antibodies against all three poliovirus serotypes. Children with a reciprocal antibody titer ≥1:8 were considered seropositive to the specific poliovirus. Overall, seroprevalence in all the three study areas was 98%, 98% and 91% against poliovirus type-1, type-2 and type-3, respectively. Bihar had a seroprevalence of 99%, 99% and 92% against type-1, type-2 and type-3 respectively. Corresponding figures for Madhya Pradesh and Mumbai were 98%, 99% and 88% and 98%, 97% and 94%, respectively. The study found high seroprevalence against all three poliovirus types not only in the traditional high-risk areas for polio in India, but even in the areas known to have low routine immunization coverage and among the migratory clusters living in Mumbai urban slums. Type-2 seroprevalence was found to be high. These findings are reassuring against the threat of emergence of circulating vaccine derived polioviruses (cVDPVs) in the country subsequent to switch from trivalent oral polio vaccine to bivalent oral polio vaccine in the routine immunization schedule from April 2016.

  1. Women’s Agency and the Quality of Family Relationships in India

    PubMed Central

    Allendorf, Keera

    2016-01-01

    The role of family context in determining women’s agency has been addressed through kinship patterns, household structure, and domestic violence. This study suggests that another aspect of family context – family relationship quality – can also influence women’s agency. Data from the Women’s Reproductive Histories Survey, collected in Madhya Pradesh, India, are used to examine whether family relationship quality is a determinant of women’s agency. Results show that women with higher quality relationships with husbands and parents-in-law do have greater agency. Further, family relationship quality is just as influential as other well known determinants of agency, including education and employment. PMID:27147776

  2. Comparison of Opinion Referendum of Medical and Dental Postgraduates Towards Plagiarism in Bhopal - Central India.

    PubMed

    Jain, Shubham; Saxena, Vrinda; Hongal, Sudheer; Jain, Manish; Torwane, Nilesh; Sharva, Vijayta

    2015-07-01

    To evaluate awareness and attitude towards plagiarism of postgraduates of health fraternity in Bhopal, Central India. Across-sectional survey. People's University, Bhopal, Madhya Pradesh, India, from January to March 2014. A total of 164 postgraduates, medical (n = 80) and dental postgraduates (n = 84) were included in the study. A standard pre-tested self-administered questionnaire assessing positive, negative and subjective norms towards plagiarism was the assessing tool. Data was captured through distribution of the instrument and collected as scheduled from the study participants. The distribution of scores based on the responses to the individual questions in each dimension between the groups were compared using Mann-Whitney U-test. Among dental and medical postgraduates the median values for the questions under positive attitude was 34.0 and 32.0, negative attitude was 21.5 and 19, subjective norms was 29.0 and 27.5 respectively. The difference in the opinion regarding positive attitude was found to be statistically significant in between the groups (p < 0.05). Overall plagiarism was favored more by dental students as compared to medical students. Moreover, inadequate level of knowledge and awareness was observed in both the streams. Efforts should be undertaken to motivate health professionals to instill honest behavior in order to preserve the intellectual property right.

  3. New evidence for paleobiogeographic intercontinental Gondwana relationships based on Late Cretaceous-earliest Paleocene coastal faunas from peninsular India

    NASA Astrophysics Data System (ADS)

    Sahni, Ashok; Rana, R. S.; Prasad, G. V. R.

    A number of localities for freshwater microvertebrate assemblages of Late Cretaceous-early Paleocene age fringing the Deccan Basalt outcrops of Peninsular India have been studied during the last 4 years. The diversified vertebrate assemblages recovered by bulk wet screening at the localities of Rahioli (Gujarat), Jabalpur (Madhya Pradesh), Nagpur, Umrer, Pisdura (Maharashtra), and Asifabad (Andhra Pradesh) clearly suggest lack of faunal endemism for the drifting Indian island subcontinent. On the contrary, at the generic level, the fauna from the peninsular Indian localities is cosmopolitan in nature. The presence of a number of Laurasiatic elements, such as pelobatid frogs, suggests that a dispersal corridor was maintained with Laurasia throughout the drifting phase of India. The coastal plain faunas contain a mixed assemblage of freshwater and marine forms represented by 62 genera and 79 species. There is a striking similarity at the generic level between the fish and turtle faunas of the Upper Cretaceous of Peninsular India and those of Niger. Similarly, the few data now available from south central Bolivia, South America, also suggest interesting similarities to the corresponding faunas of Peninsular India. The lack of faunal endemism in India during the temporal span of India's northward drift as an island subcontinent can be attributed to a land contact maintained with Madagascar and the east African region by such aseismic elements as the Mascarene plateau and the Chagos-Laccadive Ridge. A more northerly contact with Laurasia may have been established by an island arc system represented at present by the Dras volcanics of Kashmir. The proximity of the Iran-Afghan plate to the drifting Indian landmass may have further contributed as a corridor for the dispersal of Laurasiatic elements into the subcontinent. By the middle Eocene, with the establishment of a firm dispersal corridor with central and east Asia, faunal affinities changed from Gondwanic to Holarctic, a condition which still persists today.

  4. Worlds apart 1: Tamil Nadu and Madhya Pradesh. Reaping rewards of social development.

    PubMed

    Chhabra, R

    1994-01-01

    Tamil Nadu had a 1991 annual growth rate of 1.1% compared to a rate of over 2% in the northern states of Madhya Pradesh, Bihar, Rajasthan, and Uttar Pradesh. The lower fertility and mortality in Tamil Nadu was achieved through a sustained, multifaceted social and economic effort and through promotion, reach, and quality of family planning in a short time period. Political leadership and media efforts since the 1960s have strengthened support for the small family norm, later marriage, and improved status of women. Infrastructure development includes roads and water supplies in every village, rural electrification, and a government center in every village. Tamil Nadu devotes over 33% of its total budget to health and education. Special emphasis was placed on a program initiated in 1982 to provide a nutritious midday meal in school to every child living in poverty. In 1994, this program cost Rs. 3350. The result has been increasing school enrollment, greater retention of female children, reductions in malnutrition, and opportunities for local part-time employment and increased social status in the community. In some locations, the meal program includes day care centers and meals for the aged. Another social program provides cash loans of Rs. 5000 to couples at first marriage who are over the age of 18 years with a completed high school degree. Rs. 300 are provided for nutritional support for the first two pregnancies. Rs. 10,000 are also given to girls whose family income is under Rs. 12,000 a year. Financial assistance is available for widows who remarry and for intercaste marriages. A new program provides a gold ring, educational expenses, and Rs. 20 for families with an only girl child or two girl children and which accept a permanent method of family planning. A negligible 20,000 couples joined the program, although about 15% of the total population was eligible. 50-55% of women receive state subsidies and loans. Collectives exist in 12,000 women's groups. Tamil Nadu's chief administrator prepared a 10-point program for the advancement of women. Some feminist groups have challenged the official presentation of government successes because of their concern that demographic successes would be achieved at the expense of care and respect for human aspects of population.

  5. Multivariate analysis of drinking water quality parameters in Bhopal, India.

    PubMed

    Parashar, Charu; Verma, Neelam; Dixit, Savita; Shrivastava, Rajneesh

    2008-05-01

    Pollution of water bodies is one of the areas of major concern to environmentalists. Water quality is an index of health and well being of a society. Industrialization, urbanization and modern agriculture practices have direct impact on the water resources. These factors influence the water resources quantitatively and qualitatively. The study area selected were the Upper lake and Kolar reservoir of Bhopal, the state capital of Madhya Pradesh, India. The Upper lake and Kolar reservoir both are the important sources of potable water supply for the Bhopal city. The physico-chemical parameters like temperature, pH, turbidity, total hardness, alkalinity, BOD, COD, Chloride, nitrate and phosphate were studied to ascertain the drinking water quality.

  6. Utilization of a state run public private emergency transportation service exclusively for childbirth: the Janani (maternal) Express program in Madhya Pradesh, India.

    PubMed

    Sidney, Kristi; Ryan, Kayleigh; Diwan, Vishal; De Costa, Ayesha

    2014-01-01

    In 2009 the state government of Madhya Pradesh, India launched an emergency obstetric transportation service, Janani Express Yojana (JEY), to support the cash transfer program that promotes institutional delivery. JEY, a large scale public private partnership, lowers geographical access barriers to facility based care. The state contracts and pays private agencies to provide emergency transportation at no cost to the user. The objective was to study (a) the utilization of JEY among women delivering in health facilities, (b) factors associated with usage, (c) the timeliness of the service. A cross sectional facility based study was conducted in facilities that carried out > ten deliveries a month. Researchers who spent five days in each facility administered a questionnaire to all women who gave birth there to elicit socio-demographic characteristics and transport related details. 35% of women utilised JEY to reach a facility, however utilization varied between study districts. Uptake was highest among women from rural areas (44%), scheduled tribes (55%), and poorly educated women (40%). Living in rural areas and belonging to scheduled tribes were significant predictors for JEY usage. Almost 1/3 of JEY users (n = 104) experienced a transport related delay. The JEY service model complements the cash transfer program by providing transport to a facility to give birth. A study of the distribution of utilization in population subgroups suggests the intervention was successful in reaching the most vulnerable population, promoting equity in access. While 1/3 of women utilized the service and it saved them money; 30% experienced significant transport related delays in reaching a facility, which is comparable to women using public transportation. Further research is needed to understand why utilization is low, to explore if there is a need for service expansion at the community level and to improve the overall time efficiency of JEY.

  7. Impact of a health education intervention program regarding breast self examination by women in a semi-urban area of Madhya Pradesh, India.

    PubMed

    Gupta, Sanjeev K

    2009-01-01

    Breast cancer is the most common carcinoma in the world and the second most prevalent in Indian females. Over 0.7 million new cases of carcinoma breast are detected every year globally, with nearly 0.3 million deaths, affecting 28 per 100,000 females in the age group of 35 to 60 years. Breast self examination (BSE) can detect 40% of breast lesions. The present study aimed to assess the impact of a health education intervention program about breast self examination (BSE) among women in a semi-urban area in Madhya Pradesh, India. The study was carried out in three phases; pre-intervention phase, intervention phase, and post-intervention phase. A total of 1000 women were included. Interventional health education in the form of a lecture, pamphlets, flip charts and demonstration of the five step method of breast self examination using audio-visual aids was administrated. There was a significant improvement in knowledge regarding all aspects of breast self examination of the intervention group from pre- to post-test. After the intervention program, 590 (59%) women had good knowledge and among them 90.7% practiced (BSE) compared to 0% pre-test. An overall increase in the awareness of 43% and 53% of BSE practice was observed in the study group after intervention. Seven cases of breast disease were detected in which two were breast carcinoma and five were fibroadenomas. The knowledge and practices of women toward breast self examination for early detection were observed to be inadequate in respondents but there was a significant improvement after the intervention. Health education programs through various channels to increase the awareness and knowledge about BSE are the need of the hour. Mass media cancer education should promote widespread access to information about early detection behavior.

  8. Does the Janani Suraksha Yojana cash transfer programme to promote facility births in India ensure skilled birth attendance? A qualitative study of intrapartum care in Madhya Pradesh.

    PubMed

    Chaturvedi, Sarika; De Costa, Ayesha; Raven, Joanna

    2015-01-01

    Access to facility delivery in India has significantly increased with the Janani Suraksha Yojana (JSY) cash transfer programme to promote facility births. However, a decline in maternal mortality has only followed secular trends as seen from the beginning of the decade well before the programme began. We, therefore, examined the quality of intrapartum care provided in facilities under the JSY programme to study whether it ensures skilled attendance at birth. 1) Non-participant observations (n=18) of intrapartum care during vaginal deliveries at a representative sample of 11 facilities in Madhya Pradesh to document what happens during intrapartum care. 2) Interviews (n=10) with providers to explore reasons for this care. Thematic framework analysis was used. Three themes emerged from the data: 1) delivery environment is chaotic: delivery rooms were not conducive to safe, women-friendly care provision, and coordination between providers was poor. 2) Staff do not provide skilled care routinely: this emerged from observations that monitoring was limited to assessment of cervical dilatation, lack of readiness to provide key elements of care, and the execution of harmful/unnecessary practices coupled with poor techniques. 3) Dominant staff, passive recipients: staff sometimes threatened, abused, or ignored women during delivery; women were passive and accepted dominance and disrespect. Attendants served as 'go-betweens' patients and providers. The interviews with providers revealed their awareness of the compromised quality of care, but they were constrained by structural problems. Positive practices were also observed, including companionship during childbirth and women mobilising in the early stages of labour. Our observational study did not suggest an adequate level of skilled birth attendance (SBA). The findings reveal insufficiencies in the health system and organisational structures to provide an 'enabling environment' for SBA. We highlight the need to ensure quality obstetric care prior to increasing coverage of facility births if cash transfer programmes like the JSY are to improve health outcomes.

  9. An assessment of the impact of the JSY cash transfer program on maternal mortality reduction in Madhya Pradesh, India

    PubMed Central

    Ng, Marie; Misra, Archana; Diwan, Vishal; Agnani, Manohar; Levin-Rector, Alison; De Costa, Ayesha

    2014-01-01

    Background The Indian Janani Suraksha Yojana (JSY) program is a demand-side program in which the state pays women a cash incentive to deliver in an institution, with the aim of reducing maternal mortality. The JSY has had 54 million beneficiaries since inception 7 years ago. Although a number of studies have demonstrated the effect of JSY on coverage, few have examined the direct impact of the program on maternal mortality. Objective To study the impact of JSY on maternal mortality in Madhya Pradesh (MP), one of India's largest provinces. Design By synthesizing data from various sources, district-level maternal mortality ratios (MMR) from 2005 to 2010 were estimated using a Bayesian spatio-temporal model. Based on these, a mixed effects multilevel regression model was applied to assess the impact of JSY. Specifically, the association between JSY intensity, as reflected by 1) proportion of JSY-supported institutional deliveries, 2) total annual JSY expenditure, and 3) MMR, was examined. Results The proportion of all institutional deliveries increased from 23.9% in 2005 to 55.9% in 2010 province-wide. The proportion of JSY-supported institutional deliveries rose from 14% (2005) to 80% (2010). MMR declines in the districts varied from 2 to 35% over this period. Despite the marked increase in JSY-supported delivery, our multilevel models did not detect a significant association between JSY-supported delivery proportions and changes in MMR in the districts. The results from the analysis examining the association between MMR and JSY expenditure are similar. Conclusions Our analysis was unable to detect an association between maternal mortality reduction and the JSY in MP. The high proportion of institutional delivery under the program does not seem to have converted to lower mortality outcomes. The lack of significant impact could be related to supply-side constraints. Demand-side programs like JSY will have a limited effect if the supply side is unable to deliver care of adequate quality. PMID:25476929

  10. Molecular and epidemiological analysis of pandemic and post-pandemic influenza A(H1N1)pdm09 virus from central India.

    PubMed

    Sahu, Mahima; Singh, Neeru; Shukla, Mohan K; Potdar, Varhsa A; Sharma, Ravendra K; Sahare, Lalit Kumar; Ukey, Mahendra J; Barde, Pradip V

    2018-03-01

    Influenza A(H1N1)pdm09 virus pandemic struck India in 2009 and continues to cause outbreaks in its post-pandemic phase. Diminutive information is available about influenza A(H1N1)pdm09 from central India. This observational study presents epidemiological and molecular findings for the period of 6 years. Throat swab samples referred from districts of Madhya Pradesh were subjected to diagnosis of influenza A(H1N1)pdm09 following WHO guidelines. Clinical and epidemiological data were recorded and analyzed. Hemagglutinin (HA) gene sequencing and phylogenetic analysis were performed. The H275Y mutation responsible for antiviral resistance was tested using allelic real-time RT-PCR. Out of 7365 tested samples, 2406 (32.7%) were positive for influenza A(H1N1)pdm09, of which 363 (15.08%) succumbed to infection. Significant trends were observed in positivity (χ 2  = 50.8; P < 0.001) and mortality (χ 2  = 24.4; P < 0.001) with increasing age. Mutations having clinical and epidemiological importance were detected. Phylogenetic analysis of HA gene sequences revealed that clade 7, 6A, and 6B viruses were in circulation. Oseltamivir resistance was detected in three fatal cases. Influenza A(H1N1)pdm09 viruses having genetic diversity were detected from central India and continues to be a concern for public health. This study highlights the need of year-round monitoring by establishment of strong molecular and clinical surveillance program. © 2017 Wiley Periodicals, Inc.

  11. Development of Pavement Temperature Contours for India

    NASA Astrophysics Data System (ADS)

    Nivitha, M. R.; Krishnan, J. M.

    2014-06-01

    The stress-strain response of the bituminous pavements is highly sensitive to temperature. To systematically analyze the pavement performance, it is necessary that one understands the variation of pavement temperature spatially and temporally during the life time of a pavement. In this investigation, historic air temperature data for 37 locations across India was collected. Using this database, pavement temperature data was predicted by an appropriate air temperature-pavement temperature model. High and low temperature pavement temperature contours were generated for the first time for India. It was seen that the locations spanning from Srinagar to Madhya Pradesh and Rajasthan to Orissa were extremely critical. The minimum temperature in these locations was 10 C and the maximum temperature was around 68 C. Clearly such information is necessary when making choice of binder grade and bituminous layer thickness.

  12. Spectroscopic characterization of manganese minerals.

    PubMed

    Lakshmi Reddy, S; Padma Suvarna, K; Udayabhaska Reddy, G; Endo, Tamio; Frost, R L

    2014-01-03

    Manganese minerals ardenite, alleghanyite and leucopoenicite originated from Madhya Pradesh, India, Nagano prefecture Japan, Sussex Country and Parker Shaft Franklin, Sussex Country, New Jersey respectively are used in the present work. In these minerals manganese is the major constituent and iron if present is in traces only. An EPR study of on all of the above samples confirms the presence of Mn(II) with g around 2.0. Optical absorption spectrum of the mineral alleghanyite indicates that Mn(II) is present in two different octahedral sites and in leucophoenicite Mn(II) is also in octahedral geometry. Ardenite mineral gives only a few Mn(II) bands. NIR results of the minerals ardenite, leucophoenicite and alleghanyite are due to hydroxyl and silicate anions which confirming the formulae of the minerals. Copyright © 2013 Elsevier B.V. All rights reserved.

  13. Osho - Insights on sex.

    PubMed

    Nagaraj, Anil Kumar Mysore

    2013-01-01

    Sex is a mysterious phenomenon, which has puzzled even great sages. Human beings have researched and mastered the biology of sex. But that is not all. Sex needs to be understood from the spiritual perspective too. The vision of Osho is an enlightening experience in this regard. Out of the thousands of lectures, five lectures on sex made Osho most notorious. Born into a Jain family of Madhya Pradesh, Rajneesh, who later wanted himself to be called Osho, is a great master. He has spoken volumes on a wide range of topics ranging from sex to super-consciousness. His contributions in the area of sex are based on the principles of "Tantra" which has its origin from Buddhism. This article focuses on his life and insights on sex, which if understood properly, can be a stepping stone for enlightenment.

  14. Relevance of Indian Summer Monsoon and its Tropical Indo-Pacific Climate Drivers for the Kharif Crop Production

    NASA Astrophysics Data System (ADS)

    Amat, Hemadri Bhusan; Karumuri, Ashok

    2017-12-01

    While the Indian agriculture has earlier been dependent on the Indian summer monsoon rainfall (ISMR), a multifold increase in irrigation and storage facilities raise a question whether the ISMR is still as relevant. We revisit this question using the latest observational climate datasets as well as the crop production data and find that the ISMR is still relevant for the Kharif crop production (KCP). In addition, in the recent changes in the tropical Indo-Pacific driver evolutions and frequency, particularly more frequent occurrence of the ENSO Modokis in place of the canonical ENSOs, we carry out a correlation analysis to estimate the impact of the various Indo-Pacific climate drivers on the rainfall of individual Indian states for the period 1998-2013, for which crop production data for the most productive Indian states, namely West Bengal, Odisha, United Andhra Pradesh (UAP), Haryana, Punjab, Karnataka, Kerala, Madhya Pradesh, Bihar and Uttar Pradesh are available. The results suggest that the KCP of the respective states are significantly correlated with the summer monsoon rainfall at the 95-99% confidence levels. Importantly, we find that the NINO 3.4 and ENSO Modoki indices have a statistically significant correlation with the KCP of most of the Indian states, particularly in states such as UAP and Karnataka, through induction of anomalous local convergence/divergence, well beyond the equatorial Indian Ocean. The KCP of districts in UAP also has a significant response to all the climate drivers, having implication for prediction of local crop yield.

  15. Coryphoid Palm Leaf Fossils from the Maastrichtian–Danian of Central India with Remarks on Phytogeography of the Coryphoideae (Arecaceae)

    PubMed Central

    Srivastava, Rashmi; Srivastava, Gaurav; Dilcher, David L.

    2014-01-01

    Premise of research A large number of fossil coryphoid palm wood and fruits have been reported from the Deccan Intertrappean beds of India. We document the oldest well-preserved and very rare costapalmate palm leaves and inflorescence like structures from the same horizon. Methodology A number of specimens were collected from Maastrichtian–Danian sediments of the Deccan Intertrappean beds, Ghughua, near Umaria, Dindori District, Madhya Pradesh, India. The specimens are compared with modern and fossil taxa of the family Arecaceae. Pivotal results Sabalites dindoriensis sp. nov. is described based on fossil leaf specimens including basal to apical parts. These are the oldest coryphoid fossil palm leaves from India as well as, at the time of deposition, from the Gondwana- derived continents. Conclusions The fossil record of coryphoid palm leaves presented here and reported from the Eurasian localities suggests that this is the oldest record of coryphoid palm leaves from India and also from the Gondwana- derived continents suggesting that the coryphoid palms were well established and wide spread on both northern and southern hemispheres by the Maastrichtian–Danian. The coryphoid palms probably dispersed into India from Europe via Africa during the latest Cretaceous long before the Indian Plate collided with the Eurasian Plate. PMID:25394208

  16. Bypassing health facilities for childbirth in the context of the JSY cash transfer program to promote institutional birth: A cross-sectional study from Madhya Pradesh, India

    PubMed Central

    Sabde, Yogesh; Chaturvedi, Sarika; Randive, Bharat; Sidney, Kristi; Salazar, Mariano; De Costa, Ayesha; Diwan, Vishal

    2018-01-01

    Bypassing health facilities for childbirth can be costly both for women and health systems. There have been some reports on this from Sub-Saharan African and from Nepal but none from India. India has implemented the Janani Suraksha Yojana (JSY), a large national conditional cash transfer program which has successfully increased the number of institutional births in India. This paper aims to study the extent of bypassing the nearest health facility offering intrapartum care in three districts of Madhya Pradesh, India, and to identify individual and facility determinants of bypassing in the context of the JSY program. Our results provide information to support the optimal utilization of facilities at different levels of the healthcare system for childbirth. Data was collected from 96 facilities (74 public) and 720 rural mothers who delivered at these facilities were interviewed. Multilevel logistic regression was used to analyze the data. Facility obstetric care functionality was assessed by the number of emergency obstetric care (EmOC) signal functions performed in the last three months. Thirty eighth percent of the mothers bypassed the nearest public facility for their current delivery. Primiparity, higher education, arriving by hired transport and a longer distance from home to the nearest facility increased the odds of bypassing a public facility for childbirth. The variance partition coefficient showed that 37% of the variation in bypassing the nearest public facility can be attributed to difference between facilities. The number of basic emergency obstetric care signal functions (AOR = 0.59, 95% CI 0.37–0.93), and the availability of free transportation at the nearest facility (AOR = 0.11, 95% CI 0.03–0.31) were protective factors against bypassing. The variation between facilities (MOR = 3.85) was more important than an individual’s characteristics to explain bypassing in MP. This multilevel study indicates that in this setting, a focus on increasing the level of emergency obstetric care functionality in public obstetric care facilities will allow more optimal utilization of facilities for childbirth under the JSY program thereby leading to better outcomes for mothers. PMID:29385135

  17. Out-of-pocket expenditures for childbirth in the context of the Janani Suraksha Yojana (JSY) cash transfer program to promote facility births: who pays and how much? Studies from Madhya Pradesh, India.

    PubMed

    Sidney, Kristi; Salazar, Mariano; Marrone, Gaetano; Diwan, Vishal; DeCosta, Ayesha; Lindholm, Lars

    2016-05-03

    High out-of-pocket expenditures (OOPE) make delivery care difficult to access for a large proportion of India's population. Given that home deliveries increase the risk of maternal mortality, in 2005 the Indian Government implemented the Janani Suraksha Yojana (JSY) program to incentivize poor women to deliver in public health facilities by providing a cash transfer upon discharge. We study the OOPE among JSY beneficiaries and women who deliver at home, and predictors of OOPE in two districts of Madhya Pradesh. September 2013 to April 2015 a cross-sectional community-based survey was performed. All recently delivered women were interviewed to elicit delivery costs, socio-demographic characteristics and delivery related information. Most women (n = 1995, 84 %) delivered in JSY public health facility, the remaining 16 % (n = 386) delivered at home. Women who delivered under JSY program had a higher median, IQR OOPE ($8, 3-18) compared to home ($6, 2-13). Among JSY beneficiaries, poorest women had twice net gain ($20) versus wealthiest ($10) post cash transfer. Informal payments (64 %) and food/baby items (77 %) were the two most common sources of OOPE. OOPE made among JSY beneficiaries was pro-poor: poorer women made proportionally less expenditures compared to wealthier women. In an adjusted model, delivering in a JSY public facility increased odds of incurring expenditures (OR: 1.58, 95 % CI: 1.11-2.25) but at the same time to a 16 % (95 % CI: 0.73-0.96) decrease in the amount paid compared to home deliveries. OOPE is prevalent among JSY beneficiaries as well in home deliveries. In JSY, OOPE varies by income quintile: wealthier quintiles pay more OOPE. However the cash incentive is adequate enough to provide a net gain for all quintiles. OOPE was largely due to indirect costs and not direct medical payments. The program seems to be effective in providing financial protection for the most vulnerable groups.

  18. Does the Janani Suraksha Yojana cash transfer programme to promote facility births in India ensure skilled birth attendance? A qualitative study of intrapartum care in Madhya Pradesh

    PubMed Central

    Chaturvedi, Sarika; De Costa, Ayesha; Raven, Joanna

    2015-01-01

    Background Access to facility delivery in India has significantly increased with the Janani Suraksha Yojana (JSY) cash transfer programme to promote facility births. However, a decline in maternal mortality has only followed secular trends as seen from the beginning of the decade well before the programme began. We, therefore, examined the quality of intrapartum care provided in facilities under the JSY programme to study whether it ensures skilled attendance at birth. Design 1) Non-participant observations (n=18) of intrapartum care during vaginal deliveries at a representative sample of 11 facilities in Madhya Pradesh to document what happens during intrapartum care. 2) Interviews (n=10) with providers to explore reasons for this care. Thematic framework analysis was used. Results Three themes emerged from the data: 1) delivery environment is chaotic: delivery rooms were not conducive to safe, women-friendly care provision, and coordination between providers was poor. 2) Staff do not provide skilled care routinely: this emerged from observations that monitoring was limited to assessment of cervical dilatation, lack of readiness to provide key elements of care, and the execution of harmful/unnecessary practices coupled with poor techniques. 3) Dominant staff, passive recipients: staff sometimes threatened, abused, or ignored women during delivery; women were passive and accepted dominance and disrespect. Attendants served as ‘go-betweens’ patients and providers. The interviews with providers revealed their awareness of the compromised quality of care, but they were constrained by structural problems. Positive practices were also observed, including companionship during childbirth and women mobilising in the early stages of labour. Conclusions Our observational study did not suggest an adequate level of skilled birth attendance (SBA). The findings reveal insufficiencies in the health system and organisational structures to provide an ‘enabling environment’ for SBA. We highlight the need to ensure quality obstetric care prior to increasing coverage of facility births if cash transfer programmes like the JSY are to improve health outcomes. PMID:26160769

  19. Bypassing health facilities for childbirth in the context of the JSY cash transfer program to promote institutional birth: A cross-sectional study from Madhya Pradesh, India.

    PubMed

    Sabde, Yogesh; Chaturvedi, Sarika; Randive, Bharat; Sidney, Kristi; Salazar, Mariano; De Costa, Ayesha; Diwan, Vishal

    2018-01-01

    Bypassing health facilities for childbirth can be costly both for women and health systems. There have been some reports on this from Sub-Saharan African and from Nepal but none from India. India has implemented the Janani Suraksha Yojana (JSY), a large national conditional cash transfer program which has successfully increased the number of institutional births in India. This paper aims to study the extent of bypassing the nearest health facility offering intrapartum care in three districts of Madhya Pradesh, India, and to identify individual and facility determinants of bypassing in the context of the JSY program. Our results provide information to support the optimal utilization of facilities at different levels of the healthcare system for childbirth. Data was collected from 96 facilities (74 public) and 720 rural mothers who delivered at these facilities were interviewed. Multilevel logistic regression was used to analyze the data. Facility obstetric care functionality was assessed by the number of emergency obstetric care (EmOC) signal functions performed in the last three months. Thirty eighth percent of the mothers bypassed the nearest public facility for their current delivery. Primiparity, higher education, arriving by hired transport and a longer distance from home to the nearest facility increased the odds of bypassing a public facility for childbirth. The variance partition coefficient showed that 37% of the variation in bypassing the nearest public facility can be attributed to difference between facilities. The number of basic emergency obstetric care signal functions (AOR = 0.59, 95% CI 0.37-0.93), and the availability of free transportation at the nearest facility (AOR = 0.11, 95% CI 0.03-0.31) were protective factors against bypassing. The variation between facilities (MOR = 3.85) was more important than an individual's characteristics to explain bypassing in MP. This multilevel study indicates that in this setting, a focus on increasing the level of emergency obstetric care functionality in public obstetric care facilities will allow more optimal utilization of facilities for childbirth under the JSY program thereby leading to better outcomes for mothers.

  20. Extent of Anaemia among Preschool Children in EAG States, India: A Challenge to Policy Makers

    PubMed Central

    Singh, Rakesh Kumar; Patra, Shraboni

    2014-01-01

    Background. India is the highest contributor to child anemia. About 89 million children in India are anemic. The study determines the factors that contributed to child anemia and examines the role of the existing programs in reducing the prevalence of child anemia particularly in the EAG states. Methods. The data from the latest round of the National Family Health Survey (NFHS-3) is used. Simple bivariate and multinomial logistics regression analyses are used. Results. About 70% children are anemic in all the EAG states. The prevalence of severe anemia is the highest (6.7%) in Rajasthan followed by Uttar Pradesh (3.6%) and Madhya Pradesh (3.4%). Children aged 12 to 17 months are significantly seven times (RR = 7.99, P < 0.001) more likely to be severely anemic compared to children of 36 to 59 months. Children of severely anemic mothers are also found to be more severely anemic (RR = 15.97, P < 0.001) than the children of not anemic mothers. Conclusions. The study reveals that the existing government program fails to control anemia among preschool children in the backward states of India. Therefore, there is an urgent need for monitoring of program in regular interval, particularly for EAG states to reduce the prevalence of anemia among preschool children. PMID:25140250

  1. Neonatal mortality in the empowered action group states of India: trends and determinants.

    PubMed

    Arokiasamy, Perianayagam; Gautam, Abhishek

    2008-03-01

    In India, the eight socioeconomically backward states of Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Orissa, Rajasthan, Uttaranchal and Uttar Pradesh, referred to as the Empowered Action Group (EAG) states, lag behind in the demographic transition and have the highest infant mortality rates in the country. Neonatal mortality constitutes about 60% of the total infant mortality in India and is highest in the EAG states. This study assesses the levels and trends in neonatal mortality in the EAG states and examines the impact of bio-demographic compared with health care determinants on neonatal mortality. Data from India's Sample Registration System (SRS) and National Family and Health Survey (NFHS-2, 1998-99) are used. Cox proportional hazard models are applied to estimate adjusted neonatal mortality rates by health care, bio-demographic and socioeconomic determinants. Variations in neonatal mortality by these determinants suggest that universal coverage of all pregnant women with full antenatal care, providing assistance at delivery and postnatal care including emergency care are critical inputs for achieving a reduction in neonatal mortality. Health interventions are also required that focus on curtailing the high risk of neonatal deaths arising from the mothers' younger age at childbirth, low birth weight of children and higher order births with short birth intervals.

  2. Augmentation of Water Resources Potential and Cropping Intensification Through Watershed Programs.

    PubMed

    Mondal, Biswajit; Singh, Alka; Singh, S D; Kalra, B S; Samal, P; Sinha, M K; Ramajayam, D; Kumar, Suresh

    2018-02-01

      This paper presents the biophysical impact of various interventions made under watershed development programs, in terms of the creation of additional water resources, and resultant changes in land use and cropping patterns in the Bundelkhand region of Madhya Pradesh State, India. Both primary and secondary data gathered from randomly selected watersheds and their corresponding control villages were used in this study. Analysis revealed that emphasis was given primarily to the creation of water resources potential during implementation of the programs, which led to augmentation of surface and groundwater availability for both irrigation and non-agricultural purposes. In addition, other land based interventions for soil and moisture conservation, plantation activities, and so forth, were taken up on both arable and nonarable land, which helped to improve land slope and land use, cropping pattern, agricultural productivity, and vegetation cover.

  3. Community expansion and gene geography of sickle cell trait and G6PD deficiency, and natural selection against malaria: experience from tribal land of India.

    PubMed

    Balgir, R S

    2012-03-01

    Malaria is globally endemic in tropical and subtropical regions and so is the hemoglobinopathies, thalassemias and glucose-6-phosphate dehydrogenase (G6PD) deficiency. This biological dogma of hyper-endemic all over the tribal land in India leads to high morbidity and mortality. The directed genetic abnormalities of human erythrocytes have found to decrease the susceptibility towards malaria parasites and the heterozygotes of abnormalities probably confer protection against the Plasmodium falciparum infection. A fascinating trend for an inverse relationship between sickle cell disorders and G6PD deficiency in scheduled caste and tribal communities of Central-Eastern India has been observed. When the frequency of sickle cell allele decreases in malaria endemic cross-section of the tribal population, the frequency of G6PD deficiency allele increases and vice versa. This medical aspect is important from an evolutionary biological background and could be an excellent point for molecular analyses to determine the signature of selection in the genomic regions of β- globin and G6PD genes. Since the selection favors the mutation with least cost to the population [as the clinical manifestations of G6PD deficiency are mild and do not result in a complete loss of enzyme activity against the sickle cell disease with high morbidity and mortality in the region] and the predominant frequency of G6PD deficiency over the sickle cell disorders in some tribal communities, it seems that the replacement of sickle cell allele for G6PD deficiency is occurring in the scheduled castes/tribes of Chhattisgarh, Madhya Pradesh, Maharashtra and Odisha states in Central India. These findings are consistent with our previous studies carried out in Central-Eastern India.

  4. 'Before reaching the last mile'- Knowledge, attitude, practice and perceived barriers related to tuberculosis directly observed therapy among ASHA workers in Central India: A mixed method study.

    PubMed

    Singh, Akash Ranjan; Pakhare, Abhijit; Kokane, Arun M; Shewade, Hemant Deepak; Chauhan, Ashish; Singh, Abhishek; Gangwar, Arti; Thakur, Prahlad Singh

    2017-12-01

    Community-based direct observed treatment (DOT) providers are an important bridge for the national tuberculosis programme in India to reach the unreached. The present study has explored the knowledge, attitude, practice and barriers perceived by the community-based DOT providers. Mixed-methods study design was used among 41 community-based DOT providers (Accredited Social Health Activist (ASHAs)) working in 67 villages from a primary health center in Raisen district of Madhya Pradesh, India. The cross-sectional quantitative component assessed the knowledge and practices and three focus-group discussions explored the attitude and perceived barriers related to DOT provision. 'Adequate knowledge' and 'satisfactory practice' related to DOT provision was seen in 14 (34%) and 13 (32%) ASHAs respectively. Only two (5%) received any amount of honorarium for completion of DOT in last 3years. The focus-group discussions revealed unfavourable attitude; inadequate training and supervision, non-payment of honorarium, issues related to assured services after referral and patient related factors as the barriers to satisfactory practice of DOT. Study revealed inadequate knowledge and unsatisfactory practice related to DOT provision among ASHAs. Innovations addressing the perceived barriers to improve practice of DOT provision by ASHAs are urgently required. Copyright © 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  5. Position of women in the Ladiya society: demographic perspectives.

    PubMed

    Adak, Dipak Kumar; Bharati, Premananda

    2011-06-01

    Position of women has been assessed in terms of demographic perspectives among an offshoot population of a depressed class, namely the Ladiya of Pathariya Jat village of Sagar district, Madhya Pradesh, India. Fertility as well as infant mortality both is found to be considerably high among the womenfolk. It reveals that the Ladiya mothers opt for frequent child bearing in order to make up the loss due to infant mortality, despite the consequent risk of their health as well as survival. The present study, however, inferred that to improve overall status of the women, effort should be made to improve their level of educational attainment and increase their active participation in economic activities for better employment. This will help the women to have more autonomy in decision making to overcome the high rate of infant mortality and birth rate--as well as natural growth rate of the study population.

  6. Recovery of thebaine and cryptopine from Indian opium.

    PubMed

    Ramanathan, V S; Chandra, P

    1980-01-01

    The thebaine content of the opium collected in the Madhya Pradesh region of India has been estimated and reported to range from 1.5 to 2.0 per cent. A technological process for the recovery of thebaine from the mother liquor remaining after the separation of natural codeine in the Government Opium and Alkaloid Works, Neemuch, has been developed in the laboratory and stepped up to an industrial scale. A method for the recovery to thebaine from the waste slaked-lime residues obtained from crude alkaloid cake mother liquor in the Government Opium and Alkaloid Works at Ghazipur has been worked out and the technical details of the process described. The recovery of thebaine would help to increase the production of codeine, and thebaine can also be used as a raw material for the manufacture of other drugs. Cryptopine has also been recovered from the mother liquor after the separation of thebaine.

  7. Prospects of poisoning - a multi facet study.

    PubMed

    Mishra, Pradeep K; Kulkarni, Rashmi; Sane, Mandar R; Deshpande, Ajit; Kushwah, Manish

    2016-01-01

    Aim of the study is to find out demographic profile, clinical characteristics and analysis of poison in clinical set up. The study carried out in Sri Aurobindo Medical College and PG Institute Indore, Madhya Pradesh. Total 75 cases of poisoning were studied for demographic profile, vitals (BP, pulse, heart rate, pupils, etc.), clinical features (such as vomiting, salivation, consciousness, etc.), type of poison and its analysis. Results: Poisoning was more common in cases between 15 and 25 years of age, in males than in females and in Hindu religion. Poisoning cases were predominantly from rural areas and in married people. Majority of cases were discharged after proper treatment and counseling. Altered vitals and clinical features were found in most of the cases. Organophosphate and aluminum phosphide compound were evaluated in most of the cases. Conclusions: Preventive measures should be applied through educating people, proper counseling, promoting poison information centers, and introducing separate toxicological units in hospitals.

  8. Propolis: A Wonder Bees Product and Its Pharmacological Potentials

    PubMed Central

    Wagh, Vijay D.

    2013-01-01

    Propolis is a natural resinous mixture produced by honey bees from substances collected from parts of plants, buds, and exudates. Due to its waxy nature and mechanical properties, bees use propolis in the construction and repair of their hives for sealing openings and cracks and smoothing out the internal walls and as a protective barrier against external invaders like snakes, lizards, and so forth, or against weathering threats like wind and rain. Bees gather propolis from different plants, in the temperate climate zone mainly from poplar. Current antimicrobial applications of propolis include formulations for cold syndrome (upper respiratory tract infections, common cold, and flu-like infections), wound healing, treatment of burns, acne, herpes simplex and genitalis, and neurodermatitis. Worldwide propolis has a tremendous popularity, but in India the studies over propolis have just started, not extensively reported except few regions of India like Maharashtra, West Bengal, Tamil Nadu, Gujrat, and Madhya Pradesh. PMID:24382957

  9. Optimal recall period for caregiver-reported illness in risk factor and intervention studies: a multicountry study.

    PubMed

    Arnold, Benjamin F; Galiani, Sebastian; Ram, Pavani K; Hubbard, Alan E; Briceño, Bertha; Gertler, Paul J; Colford, John M

    2013-02-15

    Many community-based studies of acute child illness rely on cases reported by caregivers. In prior investigations, researchers noted a reporting bias when longer illness recall periods were used. The use of recall periods longer than 2-3 days has been discouraged to minimize this reporting bias. In the present study, we sought to determine the optimal recall period for illness measurement when accounting for both bias and variance. Using data from 12,191 children less than 24 months of age collected in 2008-2009 from Himachal Pradesh in India, Madhya Pradesh in India, Indonesia, Peru, and Senegal, we calculated bias, variance, and mean squared error for estimates of the prevalence ratio between groups defined by anemia, stunting, and underweight status to identify optimal recall periods for caregiver-reported diarrhea, cough, and fever. There was little bias in the prevalence ratio when a 7-day recall period was used (<10% in 35 of 45 scenarios), and the mean squared error was usually minimized with recall periods of 6 or more days. Shortening the recall period from 7 days to 2 days required sample-size increases of 52%-92% for diarrhea, 47%-61% for cough, and 102%-206% for fever. In contrast to the current practice of using 2-day recall periods, this work suggests that studies should measure caregiver-reported illness with a 7-day recall period.

  10. Persistent Drought Social-Ecological Regime Shift and Migration among Agricultural Communities in Bundelkhand Region India

    NASA Astrophysics Data System (ADS)

    Alam, Parvej

    2017-04-01

    Drought is a hydro-meteorological syndrome of 'prolonged period of water scarcity affecting natural resources, environment and, thereby, the people'. Different parts of India suffer from drought incidences of varying periodicity, with all 13 districts of Bundelkhand region repeatedly declared as drought-prone. Spread over the states of Uttar Pradesh and Madhya Pradesh, Bundelkhand falls in the rain shadow, semi-arid zone of the northern extreme of Peninsular India. In recent years, because of changing pattern of monsoons across India, rainfall in Bundelkhand in addition to being deficient has also become unpredictable. Such unpredictability has made agriculture in Bundelkhand region a risky and less attractive proposition and farmers are increasingly forgoing agriculture in villages in favour of livelihood opportunities in urban areas. Thus, there has been a constant flow of rural to urban migration in towns and cities in Bundelkhand. The present study analyses the changing land use pattern of Bundelkhand with the help of land use classification and explores the trend of rural-urban migration in Bundelkhand in the light of Galor's Model of Migration. In the current work, Climate Change is taken as a major driver behind migration decision and with the help of primary survey, a two-generational, inter regional model based on Galor's model has been developed. Keywords: Bundelkhand, Drought, Migration, Galor's Model

  11. 'The money is important but all women anyway go to hospital for childbirth nowadays' - a qualitative exploration of why women participate in a conditional cash transfer program to promote institutional deliveries in Madhya Pradesh, India.

    PubMed

    Sidney, Kristi; Tolhurst, Rachel; Jehan, Kate; Diwan, Vishal; De Costa, Ayesha

    2016-03-04

    In 2005-06, only 39 % of Indian women delivered in a health facility. Given that deliveries at home increase the risk of maternal mortality, it was in this context in 2005, that the Indian Government implemented the Janani Suraksha Yojana program that incentivizes poor women to give birth in a health facility by providing them with a cash transfer upon discharge. JSY helped raise institutional delivery to 74 % in the eight years since its implementation. Despite the success of the JSY in raising institutional delivery proportions, the large number of beneficiaries (105 million), and the cost of the program, there have been few qualitative studies exploring why women participate (or not) in the program. The objective of this paper was to explore this. In March 2013, we conducted 24 individual in-depth interviews with women who delivered within the previous 12 months in two districts of Madhya Pradesh, India. Qualitative framework analysis was used to analyze the data. Our findings suggest that women's increased participation in the program reflect a shift in the social norm. Drivers of the shift include social pressure from the Accredited Social Health Activist (ASHA) to deliver in a health facility, and a growing individual perception of the importance for 'safe' and 'easy' delivery which was most likely an expression of the new social norm. While the incentive was an important influence on many women's choices, others did not perceive it as an important consideration in their decision to deliver in a health facility. Many women reported procedural difficulties to receive the benefit. Retaining the cash incentive was also an issue due to out-of-pocket expenditures incurred at the facility. Non-participation was often unintentional and caused by personal circumstances, poor geographic access or driven by a perception of poor quality of care provided in program facilities. In summary, while the cash incentive was important for some women in facilitating an institutional birth, the shift in social norm (possibly in part facilitated by the program) and therefore their own perceptions has played a major role in them giving birth in facilities.

  12. Prevalence of anaemia in pregnant & lactating women in India.

    PubMed

    Agarwal, K N; Agarwal, D K; Sharma, A; Sharma, K; Prasad, K; Kalita, M C; Khetarpaul, N; Kapoor, A C; Vijayalekshmi, L; Govilla, A K; Panda, S M; Kumari, P

    2006-08-01

    The prevalence of anaemia during pregnancy and lactation was significantly lower in the National Family Health Survey 1998-1999 (NFHS-2), using the hemocue method for haemoglobin estimation compared to earlier surveys. The present study selected seven States and used the same districts and villages studied in the NFHS-2, to see if the reported reduction in prevalence of anaemia was due to health and nutrition inputs and/or due to a different method for haemoglobin estimation. A total of 1,751 women (1,148 pregnant and 603 lactating- exclusively breastfeeding up to 3 months of age), from seven States- Himachal Pradesh and Haryana in north; Assam and Orissa in east; Kerala and Tamil Nadu in south and Madhya Pradesh in central India, were selected. Haemoglobin was estimated by the cyanmethaemoglobin method, so that comparison was possible with earlier studies. Data on socio-demographic characteristics, pregnancy, nutritional status and dietary intakes were collected. Prevalence as well as severity of anaemia was significantly higher in the present study as compared to the NFHS-2 study data. The difference could be due to haemocue method, which gives higher haemoglobin values. The contributing factors found on multiple regression analysis for anaemia in pregnancy and lactation were: literacy, occupation and standard living index of the study women; their awareness about anaemia, its prevention by regular consumption of ironfolate tablets and increase in food intake. Maternal height, age of marriage, parity and foetal loss also contributed to haemoglobin level. There were interstate differences; lower fertility, higher literacy and better diet was observed in Himachal Pradesh as compared to Haryana. The literacy and nutritional status of women in Tamil Nadu was lower than Kerala. The remaining 3 states had poor fertility, lower social living index and nutritional status with >90 per cent women being anaemic in pregnancy and lactation. Low prevalence of severe anaemia in Orissa as compared to Assam was due to availability and consumption of iron folate tablets. The antenatal services in the first trimester and checkup by a doctor, along with availability and consumption of iron folate tablets over 3 months in all the States influenced haemoglobin levels. Despite the measures taken to control anaemia in pregnancy and lactation in the last two decades, the severity of nutritional anaemia continues to remain a public health issue of great magnitude, suggesting that these measures have been largely ineffective. The present findings also showed interstate differences particularly in fertility, women education, nutrition status and occupation; availability of antenatal services and iron folate tablets as possible factors responsible for differences in prevalence of anaemia.

  13. Health literacy on tuberculosis amongst vulnerable segment of population: special reference to Saharia tribe in central India.

    PubMed

    Muniyandi, M; Rao, V G; Bhat, J; Yadav, R; Sharma, R K; Bhondeley, M K

    2015-05-01

    Health literacy on tuberculosis (TB) is an understanding about TB to perform activities with regard to prevention, diagnosis and treatment. We undertook a study to assess the health literacy on TB among one of the vulnerable tribal groups (Saharia) in central India. In this cross-sectional study, 2721 individuals aged >15 yr from two districts of Madhya Pradesh State of India were interviewed at their residence during December 2012-July 2013. By using a short-form questionnaire, health literacy on cause, symptoms, mode of transmission, diagnosis, treatment and prevention of TB was assessed. Of the 2721 (Gwalior 1381; Shivpuri 1340) individuals interviewed; 76 per cent were aged <45 yr. Living condition was very poor (62% living in huts/katcha houses, 84 per cent with single room, 89 per cent no separate kitchen, 97 per cent used wood/crop as a fuel). Overall literacy rate was 19 per cent, and 22 per cent had >7 members in a house. Of the 2721 respondents participated, 52 per cent had never heard of TB; among them 8 per cent mentioned cough as a symptom, 64 per cent mentioned coughing up blood, and 91 per cent knew that TB diagnosis, and treatment facilities were available in both government and private hospitals. Health literacy score among participants who had heard of TB was <40 per cent among 36 per cent of respondents, 41-60 per cent among 54 per cent and >60 per cent among 8 per cent of respondents. The finding that nearly half of the respondents had not heard of TB indicated an important gap in education regarding TB in this vulnerable population. There is an urgent need to implement targeted interventions to educate this group for better TB control.

  14. Genetic Diversity and Demographic History of Cajanus spp. Illustrated from Genome-Wide SNPs

    PubMed Central

    Saxena, Rachit K.; von Wettberg, Eric; Upadhyaya, Hari D.; Sanchez, Vanessa; Songok, Serah; Saxena, Kulbhushan; Kimurto, Paul; Varshney, Rajeev K.

    2014-01-01

    Understanding genetic structure of Cajanus spp. is essential for achieving genetic improvement by quantitative trait loci (QTL) mapping or association studies and use of selected markers through genomic assisted breeding and genomic selection. After developing a comprehensive set of 1,616 single nucleotide polymorphism (SNPs) and their conversion into cost effective KASPar assays for pigeonpea (Cajanus cajan), we studied levels of genetic variability both within and between diverse set of Cajanus lines including 56 breeding lines, 21 landraces and 107 accessions from 18 wild species. These results revealed a high frequency of polymorphic SNPs and relatively high level of cross-species transferability. Indeed, 75.8% of successful SNP assays revealed polymorphism, and more than 95% of these assays could be successfully transferred to related wild species. To show regional patterns of variation, we used STRUCTURE and Analysis of Molecular Variance (AMOVA) to partition variance among hierarchical sets of landraces and wild species at either the continental scale or within India. STRUCTURE separated most of the domesticated germplasm from wild ecotypes, and separates Australian and Asian wild species as has been found previously. Among Indian regions and states within regions, we found 36% of the variation between regions, and 64% within landraces or wilds within states. The highest level of polymorphism in wild relatives and landraces was found in Madhya Pradesh and Andhra Pradesh provinces of India representing the centre of origin and domestication of pigeonpea respectively. PMID:24533111

  15. A Study of the Patients Suffering from Tuberculosis and Tuberculosis-diabetes Comorbidity in Revised National Tuberculosis Control Program Centers of Northern Madhya Pradesh, India.

    PubMed

    Agarwal, Anil Kumar; Gupta, Ginisha; Marskole, Priyesh; Agarwal, Anju

    2017-01-01

    Diabetes mellitus (DM) is recognized as an important risk factor to tuberculosis (TB). India has high TB burden, along with rising DM prevalence. This study was conducted to document the coexistence of DM and TB in persons with established TB under the Revised National Tuberculosis Control Program. This was a cross-sectional, descriptive observational study conducted at selected Directly Observed Therapy center in Gwalior North Central India. A total of 550 patients with confirmed diagnosis of TB and on treatment were recruited. The study participants were screened for DM and diagnoses were made on the basis of the World Health Organization criteria. Clinical parameters were compared between persons with DM and those without DM. DM/TB co-morbidity was noted in 85 individuals and these made up 15.4% of the study population. The mean age was higher in DM patients with TB (43.4 ± 15.4 vs. 33.1 ± 16.2 years, P = 0.000); the mean duration of symptoms of TB with DM was more (124 ± 16.4 vs. 107.49 ± 10.3 days). Multinomial logistic regression analysis showed that increasing age, positive family history of diabetes, sedentary occupation, and presence of pulmonary TB were significantly associated with diabetes among TB patients. Diabetes is an important co-morbid feature to be sought in patients with TB. This study re-echo the need to raise awareness on screening for DM in persons with TB.

  16. The Sohagpur Coalfield Project - A collaborative study of potential coking coal resources by the Geological Survey of India and the U.S. Geological Survey

    USGS Publications Warehouse

    Milici, Robert C.; Mukhopadhyay, Abhijit; Warwick, Peter D.; Adhikari, S.; Landis, Edwin R.; Mukhopadhyay, S.K.; Ghose, Ajoy K.; Bose, L.K.

    2003-01-01

    The Geological Survey of India (GSI), Coal Wing, and the U.S. Geological Survey (USGS), Energy Resources Team, conducted a collaborative study of the potential for coking coal resources within the Sohagpur coalfield, Madhya Pradesh, India from 1995 to 2001. The coalfield is located within an extensional basin that contains Permian- and Triassic-age strata of the Gondwana Supergroup (Figs. 1 and 2). The purposes of the study were to perform a synthesis of previous work and. an integrated analysis of the basin of deposition with particular emphasis on the regional stratigraphy and depositional environments of the coal-bearing strata, the geologic structure of the basin, and the geochemistry of the coal in order to understand the geologic controls on the distribution of coking coals within the basin. The results of this study have been published previously (Mukhopadhyay and others, 2001a, b), and this paper provides a general overview of our findings.

  17. Social capital and basic goods: the cautionary tale of drinking water in India.

    PubMed

    Motiram, Sripad; Osberg, Lars

    2010-01-01

    This study uses micro-data from the 1998-99 Indian Time Use Survey (ITUS; covering 77,593 persons in 18,591 households in Gujarat, Tamil Nadu, Madhya Pradesh, Meghalaya, Orissa, and Haryana) to argue that time use data provides a natural metric for measuring "social capital" building activities and for distinguishing between the relative importance of "bonding" into groups or "bridging" within communities. The study examines the correlation between inequality in landownership, caste status, measures of local social capital, and whether or not a household will have to collect water. In India, the probability that a rural household fetches water is 4.8% and 9.1% lower in communities in which the average time spent on social interaction and community-based activities at the district-level doubles, but it is 18.9% greater when the time in group-based activities doubles. Inequalities in landownership and home ownership are associated with considerably larger differences in local tap water availability.

  18. Psychiatric comorbidity of headache in a medical relief camp in a rural area.

    PubMed

    Sharma, Himanshu; Shah, Savan

    2006-07-01

    Headache is one of the most common complaints seen by primary care physicians, but very few well-planned studies have been conducted to know its prevalence. To study the prevalence of headache and associated psychiatric morbidity. A medical relief camp was held in village Mavta (near Ratlam in Madhya Pradesh) in 2002. Of a total of 1350 registered subjects, 80 with primary complaints of headache were referred to our expert team of psychiatrists. Sixty-nine subjects (86.25%) had psychiatric morbidity-mainly affective disorders (depression) and panic disorder, dysthymia, alcohol and nicotine dependence. Subjects with migraine and depression were mostly women with onset of symptoms at an early age. Subjects with less education; who were unmarried or had lost a spouse; those with a nuclear family; who were unemployed and those with a family history and past history of mental illness, were all susceptible to headache and depression. Disturbed sleep, free floating anxiety, sad mood, lack of pleasure, body ache and fatigue were the main presenting complaints along with headache.

  19. Pharmacognostic evaluation of leaf of Cordia macleodii Hook., An ethnomedicinally important plant.

    PubMed

    Bhide, Bhargav; Pillai, A P G; Shukla, V J; Acharya, R N

    2011-04-01

    Plants of ethnomedicinal importance have contributed for the development of many new pharmacologically effective molecules/chemical entities to modern medicine. India, the country having one of the richest biodiversity of its flora in its forest, with numerous tribal inhabitants, is able to contribute a lot from ethnomedicine to the ailing humanity. Cordia macleodii Hook. (Boraginaceae), an ethnomedicinal plant has been highlighted for its wound healing, aphrodisiac and hepatoprotective activities. It is a medium-sized tree, known as Panki/Shikari by the tribals, rarely found in the forests of Orissa, Chhattisgarh and Madhya Pradesh. So far, the plant has been studied neither for its pharmacognostical characters nor for its pharmacological actions except its hepatoprotective activity. Hence, it has been selected for a detailed investigation which includes pharmacognostic study of its leaf to find out the diagnostic characters and preliminary physicochemical analysis. Results of the study will help in identifying the plant pharmacognostically. Presence of alkaloids, glycosides and tannins were found during the study.

  20. Pharmacognostic evaluation of leaf of Cordia macleodii Hook., An ethnomedicinally important plant

    PubMed Central

    Bhide, Bhargav; Pillai, A. P. G.; Shukla, V. J.; Acharya, R. N.

    2011-01-01

    Plants of ethnomedicinal importance have contributed for the development of many new pharmacologically effective molecules/chemical entities to modern medicine. India, the country having one of the richest biodiversity of its flora in its forest, with numerous tribal inhabitants, is able to contribute a lot from ethnomedicine to the ailing humanity. Cordia macleodii Hook. (Boraginaceae), an ethnomedicinal plant has been highlighted for its wound healing, aphrodisiac and hepatoprotective activities. It is a medium-sized tree, known as Panki/Shikari by the tribals, rarely found in the forests of Orissa, Chhattisgarh and Madhya Pradesh. So far, the plant has been studied neither for its pharmacognostical characters nor for its pharmacological actions except its hepatoprotective activity. Hence, it has been selected for a detailed investigation which includes pharmacognostic study of its leaf to find out the diagnostic characters and preliminary physicochemical analysis. Results of the study will help in identifying the plant pharmacognostically. Presence of alkaloids, glycosides and tannins were found during the study. PMID:22408312

  1. In Urban And Rural India, A Standardized Patient Study Showed Low Levels Of Provider Training And Huge Quality Gaps

    PubMed Central

    Das, Jishnu; Holla, Alaka; Das, Veena; Mohanan, Manoj; Tabak, Diana; Chan, Brian

    2013-01-01

    This article reports on the quality of care delivered by private and public providers of primary health care services in rural and urban India. To measure quality, the study used standardized patients recruited from the local community and trained to present consistent cases of illness to providers. We found low overall levels of medical training among health care providers; in rural Madhya Pradesh, for example, 67 percent of health care providers who were sampled reported no medical qualifications at all. What’s more, we found only small differences between trained and untrained doctors in such areas as adherence to clinical checklists. Correct diagnoses were rare, incorrect treatments were widely prescribed, and adherence to clinical checklists was higher in private than in public clinics. Our results suggest an urgent need to measure the quality of health care services systematically and to improve the quality of medical education and continuing education programs, among other policy changes. PMID:23213162

  2. Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India

    PubMed Central

    Shidhaye, Rahul; Shrivastava, Sanjay; Murhar, Vaibhav; Samudre, Sandesh; Ahuja, Shalini; Ramaswamy, Rohit; Patel, Vikram

    2016-01-01

    Background The large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care. Aims To operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district. Method Mixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility. Results The MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment. Conclusions There are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models. PMID:26447172

  3. Phytomass & Carbon estimation of Tree outside Forests, their role and effect in maintaing microclimate of local environment: A Remote Sensing Approach in Gwalior and Sheopur District, Madhya Pradesh

    NASA Astrophysics Data System (ADS)

    Uniyal, S.; Singh, S.; Rao, S. S.

    2017-12-01

    Trees Outside Forest (TOF) grow on a variety of landscapes , e.g. linear, scattered, block etc. and include unique range of species that are specific to the local environmental and socio-cultural conditions. TOF usefulness came into knowledge when the ongoing anthropogenic activities increases the CO2 concentration in the atmosphere and it has been understood that CO2 can also be sequestered by increasing rate of afforestation.This study illustrates a methodology to estimate individual tree phytomass, their contribution to the environment and microclimate, spatial distribution of TOF phytomass and their carbon storage in Gwalior and Sheopur districts of Madhya Pradesh using very high resolution satellite data. Attempt has been made to estimate phytomass at pixel level also using various regression models. Phytomass is an important parameter to assess the atmospheric carbon that is harvested by trees .More the amount of phytomass more will be the Carbon content of trees and in similar way more will be their contribution for regulation of CO2 and vice versa. Tree Canopies extraction was done using very high resolution satellite data within an area of 5´5 km grids using various remote sensing techniques. Field data were collected from different types of TOFs, e.g. linear, scattered, block etc. from varying plot shapes and sizes, and Stratum-wise phytomass was estimated. Findings of study reported here says that varying phytomass range has been observed for road, agriculture and settlement with varying number of individual trees.The Phytomass in scattered TOFs varied from 0.22 to 15.68 t/ha and carbon content 0.104 to 7.4tC whereas, in linear TOFs it varied from 5.26 to 156.71 t/ha with carbon content 2.49 to 74.43tC. Phytomass along the road-side varied from 20.75 to 879.8 t/ha and carbon content 9.85 to 417.90 tC. Stratum-wise total phytomass and carbon content in areas having TOF was estimated. Of the 10 grids considered, the maximum Phytomass of 1363 tonnes with carbon content 647.425tC was recorded around Gwalior airport and minimum of 367.55 tonnes and carbon content 174.325tC in the surroundings of Mohana town. Analysis has been performed on how climatic variables affect the growth and structure of these trees and vice versa.

  4. Organic Wheat Farming Improves Grain Zinc Concentration

    PubMed Central

    Helfenstein, Julian; Müller, Isabel; Grüter, Roman; Bhullar, Gurbir; Mandloi, Lokendra; Papritz, Andreas; Siegrist, Michael; Schulin, Rainer; Frossard, Emmanuel

    2016-01-01

    Zinc (Zn) nutrition is of key relevance in India, as a large fraction of the population suffers from Zn malnutrition and many soils contain little plant available Zn. In this study we compared organic and conventional wheat cropping systems with respect to DTPA (diethylene triamine pentaacetic acid)-extractable Zn as a proxy for plant available Zn, yield, and grain Zn concentration. We analyzed soil and wheat grain samples from 30 organic and 30 conventional farms in Madhya Pradesh (central India), and conducted farmer interviews to elucidate sociological and management variables. Total and DTPA-extractable soil Zn concentrations and grain yield (3400 kg ha-1) did not differ between the two farming systems, but with 32 and 28 mg kg-1 respectively, grain Zn concentrations were higher on organic than conventional farms (t = -2.2, p = 0.03). Furthermore, multiple linear regression analyses revealed that (a) total soil zinc and sulfur concentrations were the best predictors of DTPA-extractable soil Zn, (b) Olsen phosphate taken as a proxy for available soil phosphorus, exchangeable soil potassium, harvest date, training of farmers in nutrient management, and soil silt content were the best predictors of yield, and (c) yield, Olsen phosphate, grain nitrogen, farmyard manure availability, and the type of cropping system were the best predictors of grain Zn concentration. Results suggested that organic wheat contained more Zn despite same yield level due to higher nutrient efficiency. Higher nutrient efficiency was also seen in organic wheat for P, N and S. The study thus suggests that appropriate farm management can lead to competitive yield and improved Zn concentration in wheat grains on organic farms. PMID:27537548

  5. Organic Wheat Farming Improves Grain Zinc Concentration.

    PubMed

    Helfenstein, Julian; Müller, Isabel; Grüter, Roman; Bhullar, Gurbir; Mandloi, Lokendra; Papritz, Andreas; Siegrist, Michael; Schulin, Rainer; Frossard, Emmanuel

    2016-01-01

    Zinc (Zn) nutrition is of key relevance in India, as a large fraction of the population suffers from Zn malnutrition and many soils contain little plant available Zn. In this study we compared organic and conventional wheat cropping systems with respect to DTPA (diethylene triamine pentaacetic acid)-extractable Zn as a proxy for plant available Zn, yield, and grain Zn concentration. We analyzed soil and wheat grain samples from 30 organic and 30 conventional farms in Madhya Pradesh (central India), and conducted farmer interviews to elucidate sociological and management variables. Total and DTPA-extractable soil Zn concentrations and grain yield (3400 kg ha-1) did not differ between the two farming systems, but with 32 and 28 mg kg-1 respectively, grain Zn concentrations were higher on organic than conventional farms (t = -2.2, p = 0.03). Furthermore, multiple linear regression analyses revealed that (a) total soil zinc and sulfur concentrations were the best predictors of DTPA-extractable soil Zn, (b) Olsen phosphate taken as a proxy for available soil phosphorus, exchangeable soil potassium, harvest date, training of farmers in nutrient management, and soil silt content were the best predictors of yield, and (c) yield, Olsen phosphate, grain nitrogen, farmyard manure availability, and the type of cropping system were the best predictors of grain Zn concentration. Results suggested that organic wheat contained more Zn despite same yield level due to higher nutrient efficiency. Higher nutrient efficiency was also seen in organic wheat for P, N and S. The study thus suggests that appropriate farm management can lead to competitive yield and improved Zn concentration in wheat grains on organic farms.

  6. Modern and ancestral genotypes of Mycobacterium tuberculosis from Andhra Pradesh, India.

    PubMed

    Thomas, Shirly K; Iravatham, Chitra C; Moni, Bottu Heleena; Kumar, Ashutosh; Archana, Bandaru V; Majid, Mohammad; Priyadarshini, Yerra; Rani, Pittu Sandhya; Valluri, Vijayalakshmi; Hasnain, Seyed E; Ahmed, Niyaz

    2011-01-01

    Traditionally, the distribution of the Mycobacterium tuberculosis genotypes in India has been characterized by widespread prevalence of ancestral lineages (TbD1+ strains and variants) in the south and the modern forms (TbD1(-) CAS and variants) predominating in the north of India. The pattern was, however, not clearly known in the south-central region such as Hyderabad and the rest of the state of Andhra Pradesh where the prevalence of both tuberculosis (TB) and human immunodeficiency virus (HIV) infection is one of the highest in the country; this area has been the hotspot of TB vaccine trials. Spoligotyping of 101 clinical isolates obtained from Hyderabad and rural Andhra Pradesh confirmed the occurrence of major genogroups such as the ancestral (or the TbD1+ type or the East African Indian (EAI) type), the Central Asian (CAS) or Delhi type and the Beijing lineage in Andhra Pradesh. Sixty five different spoligotype patterns were observed for the isolates included in this study; these were further analyzed based on specific genetic signatures/mutations. It was found that the major genogroups, CAS and "ancestral," were almost equally prevalent in our collection but followed a north-south compartmentalization as was also reported previously. However, we observed a significant presence of MANU lineage in south Andhra Pradesh, which was earlier reported to be overwhelmingly present in Mumbai. This study portrays genotypic diversity of M. tuberculosis from the Indian state of Andhra Pradesh and provides a much needed snapshot of the strain diversity that will be helpful in devising effective TB control programs in this part of the world.

  7. A brief and critical review on hydrofluorosis in diverse species of domestic animals in India.

    PubMed

    Choubisa, Shanti Lal

    2018-02-01

    India is one of the fluoride-endemic countries where the maximum numbers of ground or drinking water sources are naturally fluoridated. In India, a total of 23, out of 36 states and union territories have drinking water contaminated with fluoride in varying concentration. In the present scenario, especially in rural India, besides the surface waters (perennial ponds, dams, rivers, etc.), bore wells and hand pumps are the principal drinking water sources for domestic animals such as cattle (Bos taurus), water buffaloes (Bubalus bubalis), sheep (Ovis aries), goats (Capra hircus), horses (Equus caballus), donkeys (Equus asinus) and dromedary camels (Camelus dromedarius). Out of 23 states, 17 states, namely Andhra Pradesh, Assam, Bihar, Chhattisgarh, Gujarat, Haryana, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Odisha (Orissa), Punjab, Rajasthan, Telangana, Uttar Pradesh and West Bengal, have fluoride beyond the maximum permissible limit of 1.0 or 1.5 ppm in drinking water. This situation is a great concern for the animal health because fluoride is a slow toxicant and causes chronic diverse serious health hazards or toxic effects. Despite the fact that domestic animals are the basic income sources in rural areas and possess a significant contributory role not only in the agriculture sector but also in the strengthening of economy as well as in sustainable development of the country, research work on chronic fluoride intoxication (hydrofluorosis) due to drinking of fluoridated water in domestic animals rearing in various fluoride-endemic states is not enough as compared to work done in humans. However, some interesting and excellent research works conducted on different aspects of hydrofluorosis in domesticated animals rearing in different states are briefly and critically reviewed in the present communication. Author believes that this review paper not only will be more useful for researchers to do some more advance research work on fluoride-induced toxicosis in different species of animals but will also be helpful in the making of health policy for domestic animals at state and national level for the mitigation of hydrofluorosis in India.

  8. Regional inventory of soil surface nitrogen balances in Indian agriculture (2000-2001).

    PubMed

    Prasad, V Krishna; Badarinath, K V S; Yonemura, S; Tsuruta, H

    2004-11-01

    Nitrogen regulates several ecological and biogeochemical processes and excess reactive nitrogen in the environment can lead to pollution problems, including the deterioration of air quality, disruption of forest processes, acidification of lakes and streams, and degradation of coastal waters. Much of the excess nitrogen inputs are related to food and energy production. An important step to understanding the sources of nitrogen and ultimately defining solutions to excess nitrogen is to describe the geographic distribution of agricultural nitrogen contributions from different regions. In this study, soil surface nitrogen loads were quantified for different states of India for the period 2000-2001. Nearly 35.4 Tg of nitrogen has been estimated as inputs from different sources, with output nitrogen from harvested crops of about 21.20 Tg. The soil surface nitrogen balance, estimated as inputs minus outputs, is found to be about 14.4 Tg surplus from the agricultural land of India. Livestock manure constituted a major percentage of total inputs (44.06%), followed by inorganic fertilizer (32.48%), atmospheric deposition (11.86%) and nitrogen fixation (11.58%). Nitrogen balance varied from deficit to surplus for different states. The highest nitrogen surplus was found in Uttar Pradesh (2.50 Tg) followed by Madhya Pradesh (1.83 Tg), Andhra Pradesh (1.79 Tg), etc. A negative nitrogen balance was found in Orissa (-0.01 Tg), Andaman Nicobar Islands (-0.32 Tg) and for some of the northeastern states. Major fertilizer consumption states were found to be Tamilnadu (204 kg/ha), Haryana (132 kg/ha), Punjab (148 kg/ha), followed by others. Similarly, nitrogen inputs from total livestock excretions were found to be high for Kerala (616 kg/ha), Jammu and Kashmir (389 kg/ha), Tamil Nadu (338 kg/ha), etc. The average nitrogen surplus of about 54 kg/ha observed for the agricultural land of the entire country of India is comparatively higher than the average surplus of about 31 kg/ha reported for European countries. These results, obtained from nutrient mass balance calculations, will be useful to formulate nutrient management plans relating to fertilizer usage, livestock management and for adopting some best management strategies at a state level in India.

  9. Identification of erosional and inundation hazard zones in Ken-Betwa river linking area, India, using remote sensing and GIS.

    PubMed

    Avtar, Ram; Singh, Chander Kumar; Shashtri, Satayanarayan; Mukherjee, Saumitra

    2011-11-01

    Ken-Betwa river link is one of the pilot projects of the Inter Linking of Rivers program of Government of India in Bundelkhand Region. It will connect the Ken and Betwa rivers through a system of dams, reservoirs, and canals to provide storage for excess rainfall during the monsoon season and avoid floods. The main objective of this study is to identify erosional and inundation prone zones of Ken-Betwa river linking site in India using remote sensing and geographic information system tools. In this study, Landsat Thematic Mapper data of year 2005, digital elevation model from the Shuttle Radar Topographic Mission, and other ancillary data were analyzed to create various thematic maps viz. geomorphology, land use/land cover, NDVI, geology, soil, drainage density, elevation, slope, and rainfall. The integrated thematic maps were used for hazard zonation. This is based on categorizing the different hydrological and geomorphological processes influencing the inundation and erosion intensity. Result shows that the southern part of the study area which lies in Panna district of Madhya Pradesh, India, is more vulnerable than the other areas.

  10. Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India.

    PubMed

    Raj, Sherin; Piang, Lam Khan; Nair, K S; Tiwari, V K; Kaur, H; Singh, Bacchu

    2012-01-01

    To study the level of awareness and knowledge about cancers and associated risk factors among households in selected states of India. In the study 3070 households were interviewed from six states viz, West Bengal, Kerala, Madhya Pradesh, Rajasthan and Mizoram. Knowledge of cancers other than those related to tobacco was very low (prostate 8%, colon 11% ) among the communities, with a poor awareness of warning signs and symptoms. The knowledge varied from state to state. It is found that the major source of information related to cancers was television (38%) followed by friends and relatives (36%). Only about 15 % of respondents had knowledge about cancer awareness camps organized in their districts but they did not have knowledge about the organizers of the camp. Findings suggested a strong need for strengthening of DCCP. It is important to create awareness among community through educational programs on cancer prevention, preventable cancer risk factors, benefits of early diagnosis, and availability of screening facilities. Integration of District Cancer Control activities with NRHM could be the most cost-effective strategy to prevent cancers and rural population.

  11. Hyperspectral analysis of clay minerals

    NASA Astrophysics Data System (ADS)

    Janaki Rama Suresh, G.; Sreenivas, K.; Sivasamy, R.

    2014-11-01

    A study was carried out by collecting soil samples from parts of Gwalior and Shivpuri district, Madhya Pradesh in order to assess the dominant clay mineral of these soils using hyperspectral data, as 0.4 to 2.5 μm spectral range provides abundant and unique information about many important earth-surface minerals. Understanding the spectral response along with the soil chemical properties can provide important clues for retrieval of mineralogical soil properties. The soil samples were collected based on stratified random sampling approach and dominant clay minerals were identified through XRD analysis. The absorption feature parameters like depth, width, area and asymmetry of the absorption peaks were derived from spectral profile of soil samples through DISPEC tool. The derived absorption feature parameters were used as inputs for modelling the dominant soil clay mineral present in the unknown samples using Random forest approach which resulted in kappa accuracy of 0.795. Besides, an attempt was made to classify the Hyperion data using Spectral Angle Mapper (SAM) algorithm with an overall accuracy of 68.43 %. Results showed that kaolinite was the dominant mineral present in the soils followed by montmorillonite in the study area.

  12. Health literacy on tuberculosis amongst vulnerable segment of population: special reference to Saharia tribe in central India

    PubMed Central

    Muniyandi, M.; Rao, V.G.; Bhat, J.; Yadav, R.; Sharma, R.K.; Bhondeley, M.K.

    2015-01-01

    Background & objectives: Health literacy on tuberculosis (TB) is an understanding about TB to perform activities with regard to prevention, diagnosis and treatment. We undertook a study to assess the health literacy on TB among one of the vulnerable tribal groups (Saharia) in central India. Methods: In this cross-sectional study, 2721 individuals aged >15 yr from two districts of Madhya Pradesh State of India were interviewed at their residence during December 2012-July 2013. By using a short-form questionnaire, health literacy on cause, symptoms, mode of transmission, diagnosis, treatment and prevention of TB was assessed. Results: Of the 2721 (Gwalior 1381; Shivpuri 1340) individuals interviewed; 76 per cent were aged <45 yr. Living condition was very poor (62% living in huts/katcha houses, 84 per cent with single room, 89 per cent no separate kitchen, 97 per cent used wood/crop as a fuel). Overall literacy rate was 19 per cent, and 22 per cent had >7 members in a house. Of the 2721 respondents participated, 52 per cent had never heard of TB; among them 8 per cent mentioned cough as a symptom, 64 per cent mentioned coughing up blood, and 91 per cent knew that TB diagnosis, and treatment facilities were available in both government and private hospitals. Health literacy score among participants who had heard of TB was <40 per cent among 36 per cent of respondents, 41-60 per cent among 54 per cent and >60 per cent among 8 per cent of respondents. Interpretation & conclusions: The finding that nearly half of the respondents had not heard of TB indicated an important gap in education regarding TB in this vulnerable population. There is an urgent need to implement targeted interventions to educate this group for better TB control. PMID:26139783

  13. Geo-spatial analysis of the temporal trends of kharif crop phenology metrics over India and its relationships with rainfall parameters.

    PubMed

    Chakraborty, Abhishek; Seshasai, M V R; Dadhwal, V K

    2014-07-01

    The Global Inventory Modeling and Mapping Studies bimonthly Normalized Difference Vegetation Index (NDVI) data of 8 × 8 km spatial resolution for the period of 1982-2006 were analyzed to detect the trends of crop phenology metrics (start of the growing season (SGS), seasonal NDVI amplitude (AMP), seasonally integrated NDVI (SiNDVI)) during kharif season (June to October) and their relationships with the amount of rainfall and the number of rainy days over Indian subcontinent. Direction and magnitude of trends were analyzed at pixel level using the Mann-Kendall test and further assessed at meteorological subdivision level using field significance test (α = 0.1). Significant pre-occurrence of the SGS was observed over northern (Punjab, Haryana) and central (Marathwada, Vidarbha and Madhya Maharashtra) parts, whereas delay was found over southern (Rayalaseema, Coastal Andhra Pradesh) and eastern (Bihar, Gangetic West Bengal and Sub-Himalayan West Bengal) parts of India. North, west, and central India showed significant increasing trends of SiNDVI, corroborating the kharif food grain production performance during the time frame. Significant temporal correlation (α = 0.1) between the rainfall/number of rainy days and crop phenology metrics was observed over the rainfed region of India. About 35-40 % of the study area showed significant correlation between the SGS and the rainfall/number of rainy days during June to August. June month rainfall/number of rainy days was found to be the most sensitive to the SGS. The amount of rainfall and the number of rainy days during monsoon were found to have significant influence over the SiNDVI in 24-30 % of the study area. The crop phenology metrics had significant correlation with the number of rainy days over the larger areas than that of the rainfall amount.

  14. Measles mortality in high and low burden districts of India: estimates from a nationally representative study of over 12,000 child deaths.

    PubMed

    Morris, Shaun K; Awasthi, Shally; Kumar, Rajesh; Shet, Anita; Khera, Ajay; Nakhaee, Fatemeh; Ram, Usha; Brandao, Jose R M; Jha, Prabhat

    2013-09-23

    Direct estimates of measles mortality in India are unavailable. Our objective is, to use a nationally-representative study of mortality to estimate the number and distribution of, measles deaths in India with a focus on 264 high burden districts. We used physician coded verbal autopsy data from the Million Death Study which surveyed, over 12,000 deaths in children aged 1 month to under 15 years from 1.1 million nationally, representative households in 2001-2003. We estimate there were 92,000 (99% CI 63,000-137,000) measles deaths in children 1-59, months of age in India in 2005, representing a mortality rate of 3.3 (99% CI 2.3-5.0) per 1000 live, births and about 6% of all 1-59 month deaths. In children under 15 years of age, there were 107,000, (99% CI 74,000-158,000) measles deaths. The measles mortality rate was nearly 70% greater in girls, than in boys, and 60% of the deaths were in three populous states Uttar Pradesh, Bihar, and Madhya, Pradesh. The 1-59 month measles mortality rate in high burden districts was 4.48 (99% CI 3.94-5.02) compared to 2.40 (99% CI 2.28-2.52) per 1000 live births in other districts. Measles killed over 100,000 children in India in 2005 and girls were at higher risk than boys. The majority of measles deaths occurred in a few states and high burden districts. The results of this study highlight the importance of focusing measles supplementary immunization activities in high burden districts. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Estimated impact and cost-effectiveness of rotavirus vaccination in India: effects of geographic and economic disparities.

    PubMed

    Rheingans, Richard; Anderson, John D; Anderson, Benjamin; Chakraborty, Poulomy; Atherly, Deborah; Pindolia, Deepa

    2014-08-11

    India accounts for 23% of global rotavirus mortality in under-five children, with more than 100,000 deaths from rotavirus annually. Introduction of a vaccine in India is considered to be the most effective intervention for preventing rotavirus mortality. Recent research suggests that there is considerable variation in rotavirus mortality burden across regional, gender and socio-economic subpopulations within India. In addition, there is potential variability in who would likely receive rotavirus vaccine if introduced. We use available household data to estimate heterogeneity in rotavirus mortality risk, vaccination benefits, and cost-effectiveness across geographic and socio-economic groups within India. We account for heterogeneity by modeling estimated three-dose routine vaccinations as a proxy for a generalized rotavirus vaccine, and mortality for subpopulations of children aggregated by region and state, socio-economic status and sex, separately. Results are presented for six geographic regions and for Bihar, Uttar Pradesh, and Madhya Pradesh, three high mortality states accounting for 56% of national mortality estimates. Impact estimates accounting for disparities predict rotavirus vaccine introduction will prevent 35,000 deaths at an average cost of $118/DALY averted (7292 INR/DALY averted). Rotavirus vaccines are most cost-effective for the poor living in high mortality regions and states. Reductions in geographic and socio-economic disparities based on regional estimates could prevent an additional 9400 deaths annually, while reductions in socio-economic disparities in the three highest morality states alone could prevent an additional 10,600 deaths annually. Understanding the impact of heterogeneity can help improve strategies to maximize the benefits of rotavirus vaccination introduction, leading to fewer lives lost as a result of rotavirus disease. Copyright © 2014. Published by Elsevier Ltd.

  16. Determinants of nutritional status of pre-school children in India.

    PubMed

    Bharati, Susmita; Pal, Manoranjan; Bharati, Premananda

    2008-11-01

    The aim of this paper is to assess the spatial distribution of nutritional status of children of less than three years through Z-scores of weight-for-age, height-for-age and weight-for-height using data collected by the National Family Health Survey (NFHS-2, 1998-99), India. The nutritional status of pre-school children was regressed on different socio-demographic factors after eliminating the effect of age. The data show that there are gender differences and spatial variations in the nutritional status of children in India. Gender difference is not very pronounced and almost disappears when the effects of age and socio-demographic variables are removed. The spatial difference, especially the rural-urban difference, was found to be very large and decreased substantially when the effects of age and socioeconomic variables were removed. However, the differences were not close to zero. All the variables were found to affect significantly the nutritional status of children. However, the literacy of mothers did not affect height-for-age significantly. The weight-for-age and height-for-age scores showed a dismal picture of the health condition of children in almost all states in India. The worst affected states are Bihar, Madhya Pradesh, Orissa and Uttar Pradesh. Assam and Rajasthans are also lagging behind. Weight-for-height scores do not give a clear picture of state-wise variation. Goa, Kerala and Punjab are the three most developed states in India and also have the lowest percentages of underweight children according to the Z-scores. Along with these three states come the north-eastern states where women are well educated. Thus overall development, enhancement of level of education and low gender inequality are the key factors for improvement in the health status of Indian children.

  17. Cold chain monitoring of OPV at transit levels in India: correlation of VVM and potency status.

    PubMed

    Jain, R; Sahu, A K; Tewari, S; Malik, N; Singh, S; Khare, S; Bhatia, R

    2003-12-01

    We have conducted a study to analyze monitoring of the cold chain of 674 OPV field samples collected at four different levels of vaccine distribution viz., immunization clinics, district stores, hospitals and Primary Health Centers (PHC) from states of Uttar Pradesh, Madhya Pradesh, and Delhi. The study design included: collection and scoring of vaccine vial monitor (VVM) status of the samples and testing for total oral polio virus concentration (TOPV) by standard WHO protocol. Ten samples each were exposed to 25 degrees C and 37 degrees C, and 10 samples as controls were kept at -20 degrees C. VVM were scored daily till they attained grade 4 and each sample was subsequently subjected to potency testing for individual polio serotypes 1, 2 and 3, and TOPV. Of the 674 samples tested it was observed that: samples from immunization clinics and district stores had an acceptable VVM score of grade 1 and 2; however the probable risk that a sub potent vaccine could have been administered was 2.15%. In 2.5% samples received from district stores vaccine had a VVM score of grade 3 (i.e., discard point), although vaccine when tested was found to be potent (i.e., leading to the vaccine wastage). With exposure to higher temperatures, VVM changed score to grade 2 and 3 when the vaccine was kept at 25 degrees C/37 degrees C, and the titres of individual serotypes 1, 2 and 3 and TOPV were beyond the acceptable limits. Important observations at the different levels of vaccine distribution network and correlation of VVM and potency status of OPV are discussed in the paper which will be of help to the EPI program managers at different transit levels.

  18. Kerala reaps low fertility dividends.

    PubMed

    1992-01-01

    Unlike much of India, the state of Kerala has promoted the development of human resources, resulting in lower fertility rates. If current UN projections are correct, India will overtake China as the most populous nation in the world by 2025. Within India, however, great differences exist in fertility rates, reflecting the level of commitment from state governments. In India, state governments control much of the policy and spending on health, education, etc. While the state of Kerala has been among the most committed to human resource development in the developing world, India's 5 northern states (Rajasthan, Uttar Pradesh, Madhya Pradesh, Bihar, and Orissa) have been among the least committed. As a result, Kerala's fertility rate has fallen to 2.3 children/women--a rate lower than that of Thailand, China, the formers USSR, or Ireland. Kerala has a contraceptive prevalence rate 3 times the national average and the lowest infant mortality rate in all of India--only 26/1000 live births (infant mortality is 4-5 times higher in the 5 northern states). Only 27% of Kerala's population lives in poverty, compared to 34-49.5% in the northern states. Real incomes and industrialization have been growing faster in Kerala. And industrialization does not appear to have come at the expense of the environment. 2 factors are responsible for Kerala' accomplishments: 1) State government support of human development--the state has invested in health, education, and has conducted a land reform benefiting 3 million landless peasants. 2) The status of women--in Kerala, women are viewed as an asset, not a liability (as in the north). Kerala's female literacy is 66%, compared to 11-21% in the northern states. Kerala also enjoys the highest level of female labor force participation (35%) anywhere in India.

  19. The effect of India's total sanitation campaign on defecation behaviors and child health in rural Madhya Pradesh: a cluster randomized controlled trial.

    PubMed

    Patil, Sumeet R; Arnold, Benjamin F; Salvatore, Alicia L; Briceno, Bertha; Ganguly, Sandipan; Colford, John M; Gertler, Paul J

    2014-08-01

    Poor sanitation is thought to be a major cause of enteric infections among young children. However, there are no previously published randomized trials to measure the health impacts of large-scale sanitation programs. India's Total Sanitation Campaign (TSC) is one such program that seeks to end the practice of open defecation by changing social norms and behaviors, and providing technical support and financial subsidies. The objective of this study was to measure the effect of the TSC implemented with capacity building support from the World Bank's Water and Sanitation Program in Madhya Pradesh on availability of individual household latrines (IHLs), defecation behaviors, and child health (diarrhea, highly credible gastrointestinal illness [HCGI], parasitic infections, anemia, growth). We conducted a cluster-randomized, controlled trial in 80 rural villages. Field staff collected baseline measures of sanitation conditions, behaviors, and child health (May-July 2009), and revisited households 21 months later (February-April 2011) after the program was delivered. The study enrolled a random sample of 5,209 children <5 years old from 3,039 households that had at least one child <24 months at the beginning of the study. A random subsample of 1,150 children <24 months at enrollment were tested for soil transmitted helminth and protozoan infections in stool. The randomization successfully balanced intervention and control groups, and we estimated differences between groups in an intention to treat analysis. The intervention increased percentage of households in a village with improved sanitation facilities as defined by the WHO/UNICEF Joint Monitoring Programme by an average of 19% (95% CI for difference: 12%-26%; group means: 22% control versus 41% intervention), decreased open defecation among adults by an average of 10% (95% CI for difference: 4%-15%; group means: 73% intervention versus 84% control). However, the intervention did not improve child health measured in terms of multiple health outcomes (diarrhea, HCGI, helminth infections, anemia, growth). Limitations of the study included a relatively short follow-up period following implementation, evidence for contamination in ten of the 40 control villages, and bias possible in self-reported outcomes for diarrhea, HCGI, and open defecation behaviors. The intervention led to modest increases in availability of IHLs and even more modest reductions in open defecation. These improvements were insufficient to improve child health outcomes (diarrhea, HCGI, parasite infection, anemia, growth). The results underscore the difficulty of achieving adequately large improvements in sanitation levels to deliver expected health benefits within large-scale rural sanitation programs. ClinicalTrials.gov NCT01465204. Please see later in the article for the Editors' Summary.

  20. Effect of Performance Feedback on Community Health Workers’ Motivation and Performance in Madhya Pradesh, India: A Randomized Controlled Trial

    PubMed Central

    Matheke-Fischer, Michael; Lesh, Neal

    2016-01-01

    Background Small-scale community health worker (CHW) programs provide basic health services and strengthen health systems in resource-poor settings. This paper focuses on improving CHW performance by providing individual feedback to CHWs working with an mHealth program to address malnutrition in children younger than 5 years. Objective The paper aims to evaluate the immediate and retention effects of providing performance feedback and supportive supervision on CHW motivation and performance for CHWs working with an mHealth platform to reduce malnutrition in five districts of Madhya Pradesh, India. We expected a positive impact on CHW performance for the indicator they received feedback on. Performance on indicators the CHW did not receive feedback on was not expected to change. Methods In a randomized controlled trial, 60 CHWs were randomized into three treatment groups based on overall baseline performance ranks to achieve balanced treatment groups. Data for each treatment indicator were analyzed with the other two treatments acting as the control. In total, 10 CHWs were lost to follow-up. There were three performance indicators: case activity, form submissions, and duration of counseling. Each group received weekly calls to provide performance targets and discuss their performance on the specific indicator they were allocated to as well as any challenges or technical issues faced during the week for a 6-week period. Data were collected for a further 4 weeks to assess intertemporal sustained effects of the intervention. Results We found positive and significant impacts on duration of counseling, whereas case activity and number of form submissions did not show significant improvements as a result of the intervention. We found a moderate to large effect (Glass’s delta=0.97, P=.004) of providing performance feedback on counseling times in the initial 6 weeks. These effects were sustained in the postintervention period (Glass’s delta=1.69, P<.001). The counseling times decreased slightly from the intervention to postintervention period by 2.14 minutes (P=.01). Case activity improved for all CHWs after the intervention. We also performed the analysis by replacing the CHWs lost to follow-up with those in their treatment groups with the closest ranks in baseline performance and found similar results. Conclusions Calls providing performance feedback are effective in improving CHW motivation and performance. Providing feedback had a positive effect on performance in the case of duration of counseling. The results suggest that difficulty in achieving the performance target can affect results of performance feedback. Regardless of the performance information disclosed, calls can improve performance due to elements of supportive supervision included in the calls encouraging CHW motivation. PMID:27927607

  1. The Effect of India's Total Sanitation Campaign on Defecation Behaviors and Child Health in Rural Madhya Pradesh: A Cluster Randomized Controlled Trial

    PubMed Central

    Patil, Sumeet R.; Arnold, Benjamin F.; Salvatore, Alicia L.; Briceno, Bertha; Ganguly, Sandipan; Colford, John M.; Gertler, Paul J.

    2014-01-01

    Background Poor sanitation is thought to be a major cause of enteric infections among young children. However, there are no previously published randomized trials to measure the health impacts of large-scale sanitation programs. India's Total Sanitation Campaign (TSC) is one such program that seeks to end the practice of open defecation by changing social norms and behaviors, and providing technical support and financial subsidies. The objective of this study was to measure the effect of the TSC implemented with capacity building support from the World Bank's Water and Sanitation Program in Madhya Pradesh on availability of individual household latrines (IHLs), defecation behaviors, and child health (diarrhea, highly credible gastrointestinal illness [HCGI], parasitic infections, anemia, growth). Methods and Findings We conducted a cluster-randomized, controlled trial in 80 rural villages. Field staff collected baseline measures of sanitation conditions, behaviors, and child health (May–July 2009), and revisited households 21 months later (February–April 2011) after the program was delivered. The study enrolled a random sample of 5,209 children <5 years old from 3,039 households that had at least one child <24 months at the beginning of the study. A random subsample of 1,150 children <24 months at enrollment were tested for soil transmitted helminth and protozoan infections in stool. The randomization successfully balanced intervention and control groups, and we estimated differences between groups in an intention to treat analysis. The intervention increased percentage of households in a village with improved sanitation facilities as defined by the WHO/UNICEF Joint Monitoring Programme by an average of 19% (95% CI for difference: 12%–26%; group means: 22% control versus 41% intervention), decreased open defecation among adults by an average of 10% (95% CI for difference: 4%–15%; group means: 73% intervention versus 84% control). However, the intervention did not improve child health measured in terms of multiple health outcomes (diarrhea, HCGI, helminth infections, anemia, growth). Limitations of the study included a relatively short follow-up period following implementation, evidence for contamination in ten of the 40 control villages, and bias possible in self-reported outcomes for diarrhea, HCGI, and open defecation behaviors. Conclusions The intervention led to modest increases in availability of IHLs and even more modest reductions in open defecation. These improvements were insufficient to improve child health outcomes (diarrhea, HCGI, parasite infection, anemia, growth). The results underscore the difficulty of achieving adequately large improvements in sanitation levels to deliver expected health benefits within large-scale rural sanitation programs. Trial Registration ClinicalTrials.gov NCT01465204 Please see later in the article for the Editors' Summary PMID:25157929

  2. Statistical evaluation of rainfall time series in concurrence with agriculture and water resources of Ken River basin, Central India (1901-2010)

    NASA Astrophysics Data System (ADS)

    Meshram, Sarita Gajbhiye; Singh, Sudhir Kumar; Meshram, Chandrashekhar; Deo, Ravinesh C.; Ambade, Balram

    2017-12-01

    Trend analysis of long-term rainfall records can be used to facilitate better agriculture water management decision and climate risk studies. The main objective of this study was to identify the existing trends in the long-term rainfall time series over the period 1901-2010 utilizing 12 hydrological stations located at the Ken River basin (KRB) in Madhya Pradesh, India. To investigate the different trends, the rainfall time series data were divided into annual and seasonal (i.e., pre-monsoon, monsoon, post-monsoon, and winter season) sub-sets, and a statistical analysis of data using the non-parametric Mann-Kendall (MK) test and the Sen's slope approach was applied to identify the nature of the existing trends in rainfall series for the Ken River basin. The obtained results were further interpolated with the aid of the Quantum Geographic Information System (GIS) approach employing the inverse distance weighted approach. The results showed that the monsoon and the winter season exhibited a negative trend in rainfall changes over the period of study, and this was true for all stations, although the changes during the pre- and the post-monsoon seasons were less significant. The outcomes of this research study also suggest significant decreases in the seasonal and annual trends of rainfall amounts in the study period. These findings showing a clear signature of climate change impacts on KRB region potentially have implications in terms of climate risk management strategies to be developed during major growing and harvesting seasons and also to aid in the appropriate water resource management strategies that must be implemented in decision-making process.

  3. Spatial patterns in vegetation fires in the Indian region.

    PubMed

    Vadrevu, Krishna Prasad; Badarinath, K V S; Anuradha, Eaturu

    2008-12-01

    In this study, we used fire count datasets derived from Along Track Scanning Radiometer (ATSR) satellite to characterize spatial patterns in fire occurrences across highly diverse geographical, vegetation and topographic gradients in the Indian region. For characterizing the spatial patterns of fire occurrences, observed fire point patterns were tested against the hypothesis of a complete spatial random (CSR) pattern using three different techniques, the quadrat analysis, nearest neighbor analysis and Ripley's K function. Hierarchical nearest neighboring technique was used to depict the 'hotspots' of fire incidents. Of the different states, highest fire counts were recorded in Madhya Pradesh (14.77%) followed by Gujarat (10.86%), Maharastra (9.92%), Mizoram (7.66%), Jharkhand (6.41%), etc. With respect to the vegetation categories, highest number of fires were recorded in agricultural regions (40.26%) followed by tropical moist deciduous vegetation (12.72), dry deciduous vegetation (11.40%), abandoned slash and burn secondary forests (9.04%), tropical montane forests (8.07%) followed by others. Analysis of fire counts based on elevation and slope range suggested that maximum number of fires occurred in low and medium elevation types and in very low to low-slope categories. Results from three different spatial techniques for spatial pattern suggested clustered pattern in fire events compared to CSR. Most importantly, results from Ripley's K statistic suggested that fire events are highly clustered at a lag-distance of 125 miles. Hierarchical nearest neighboring clustering technique identified significant clusters of fire 'hotspots' in different states in northeast and central India. The implications of these results in fire management and mitigation were discussed. Also, this study highlights the potential of spatial point pattern statistics in environmental monitoring and assessment studies with special reference to fire events in the Indian region.

  4. Opportunities of habitat connectivity for tiger (Panthera tigris) between Kanha and Pench National Parks in Madhya Pradesh, India.

    PubMed

    Rathore, Chinmaya S; Dubey, Yogesh; Shrivastava, Anurag; Pathak, Prasad; Patil, Vinayak

    2012-01-01

    The Tiger (Panthera tigris) population in India has undergone a sharp decline during the last few years. Of the number of factors attributed to this decline, habitat fragmentation has been the most worrisome. Wildlife corridors have long been a subject of discussion amongst wildlife biologists and conservationists with contrasting schools of thought arguing their merits and demerits. However, it is largely believed that wildlife corridors can help minimize genetic isolation, offset fragmentation problems, improve animal dispersal, restore ecological processes and reduce man animal conflict. This study attempted to evaluate the possibilities of identifying a suitable wildlife corridor between two very important wildlife areas of central India--the Kanha National Park and the Pench National Park--with tiger as the focal species. Geographic Information System (GIS) centric Least Cost Path modeling was used to identify likely routes for movement of tigers. Habitat suitability, perennial water bodies, road density, railway tracks, human settlement density and total forest edge were considered as key variables influencing tiger movement across the Kanha-Pench landscape. Each of these variables was weighted in terms of relative importance through an expert consultation process. Using different importance scenarios, three alternate corridor routes were generated of which one was identified as the most promising for tiger dispersal. Weak links--where cover and habitat conditions are currently sub-optimal--were flagged on the corridor route. Interventions aimed at augmenting the identified corridor route have been suggested using accepted wildlife corridor design principles. The involvement of local communities through initiatives such as ecotourism has been stressed as a crucial long term strategy for conservation of the Kanha-Pench wildlife corridor. The results of the study indicate that restoration of the identified wildlife corridors between the two protected areas is technically feasible.

  5. Use of Contraceptives and Unmet Need for Family Planning among Tribal Women in India and Selected Hilly States

    PubMed Central

    2014-01-01

    ABSTRACT The paper provides a comprehensive picture of knowledge and use of contraceptives among scheduled tribes of India and selected central hilly states where tribal population contributes more than 30% of the total tribal population of the country. An attempt is also made to know how far scheduled tribes differ from non-tribes in the states, namely Jharkhand, Madhya Pradesh, and Chhattisgarh, using information collected in the third round of District-level Household Survey (DLHS-RCH III: 2007-2008). Bivariate analysis was used for understanding the level of knowledge, use of and unmet need for contraception among different tribal and non-tribal groups. Binary logistic regression was used for understanding the factors associated with the use of contraception and unmet need for family planning among tribal women. Knowledge and use of temporary contraceptive methods are considerably lower among tribal women compared to their non-tribal counterparts in the three states under study. Low acceptance due to phobia of adverse health consequences, accessibility to and lack of sound knowledge of contraception are the leading reasons for not using contraceptives. The unmet need for family planning among them was quite high, especially in the state of Jharkhand. Multivariate analysis substantiated the role of women and husbands’ education, age of women, and number of surviving boys in the use of any modern method of contraception. Educating women and their respective husbands about proper use and benefits of modern contraceptives is important to solve the problem of high unmet need for family planning among these tribal women. A simultaneous attention to the health systems strengthening component is crucial for ensuring sustained delivery of good-quality family planning services. PMID:25076671

  6. A Diagnosis of Biophysical and Socio-Economic Factors Influencing Farmers' Choice to Adopt Organic or Conventional Farming Systems for Cotton Production.

    PubMed

    Riar, Amritbir; Mandloi, Lokendra S; Poswal, Randhir S; Messmer, Monika M; Bhullar, Gurbir S

    2017-01-01

    Organic agriculture is one of the most widely known alternative production systems advocated for its benefits to soil, environment, health and economic well-being of farming communities. Rapid increase in the market demand for organic products presents a remarkable opportunity for expansion of organic agriculture. A thorough understanding of the context specific motivations of farmers for adoption of organic farming systems is important so that appropriate policy measures are put in place. With an aim of understanding the social and biophysical motivations of organic and conventional cotton farmers for following their respective farming practices, a detailed farm survey was conducted in Nimar valley of Madhya Pradesh state in central India. The study area was chosen for being an important region for cotton production, where established organic and conventional farms operate under comparable circumstances. We found considerable variation among organic and conventional farmers for their social and biophysical motivations. Organic farmers were motivated by the sustainability of cotton production and growing safer food without pesticides, whereas conventional farmers were sensitive about their reputation in community. Organic farmers with larger holdings were more concerned about closed nutrient cycles and reducing their dependence on external inputs, whereas medium and small holding organic farmers were clearly motivated by the premium price of organic cotton. Higher productivity was the only important motivation for conventional farmers with larger land holdings. We also found considerable yield gaps among different farms, both under conventional and organic management, that need to be addressed through extension and training. Our findings suggest that research and policy measures need to be directed toward strengthening of extension services, local capacity building, enhancing availability of suitable inputs and market access for organic farmers.

  7. A Diagnosis of Biophysical and Socio-Economic Factors Influencing Farmers’ Choice to Adopt Organic or Conventional Farming Systems for Cotton Production

    PubMed Central

    Riar, Amritbir; Mandloi, Lokendra S.; Poswal, Randhir S.; Messmer, Monika M.; Bhullar, Gurbir S.

    2017-01-01

    Organic agriculture is one of the most widely known alternative production systems advocated for its benefits to soil, environment, health and economic well-being of farming communities. Rapid increase in the market demand for organic products presents a remarkable opportunity for expansion of organic agriculture. A thorough understanding of the context specific motivations of farmers for adoption of organic farming systems is important so that appropriate policy measures are put in place. With an aim of understanding the social and biophysical motivations of organic and conventional cotton farmers for following their respective farming practices, a detailed farm survey was conducted in Nimar valley of Madhya Pradesh state in central India. The study area was chosen for being an important region for cotton production, where established organic and conventional farms operate under comparable circumstances. We found considerable variation among organic and conventional farmers for their social and biophysical motivations. Organic farmers were motivated by the sustainability of cotton production and growing safer food without pesticides, whereas conventional farmers were sensitive about their reputation in community. Organic farmers with larger holdings were more concerned about closed nutrient cycles and reducing their dependence on external inputs, whereas medium and small holding organic farmers were clearly motivated by the premium price of organic cotton. Higher productivity was the only important motivation for conventional farmers with larger land holdings. We also found considerable yield gaps among different farms, both under conventional and organic management, that need to be addressed through extension and training. Our findings suggest that research and policy measures need to be directed toward strengthening of extension services, local capacity building, enhancing availability of suitable inputs and market access for organic farmers. PMID:28769975

  8. Groundwater demand management at local scale in rural areas of India: a strategy to ensure water well sustainability based on aquifer diffusivity and community participation

    NASA Astrophysics Data System (ADS)

    Kulkarni, Himanshu; Vijay Shankar, P. S.; Deolankar, S. B.; Shah, Mihir

    Watershed development programmes provide an opportunity for sustainable management strategies, although currently, they remain largely `supply-side' mechanisms of water resources development. Hydrogeological conditions, community participation and status of groundwater usage are important in evolving strategies on `demand-side' groundwater management. Neemkheda aquifer is a typical low-storage, low-hydraulic conductivity aquifer from a watershed in the dryland regions of Madhya Pradesh State of central India. A shallow unconfined aquifer, it consists of an upper coarse, calcareous sandstone unit underlain by a fine-grained sandstone unit. A `well commune' of seven wells is poised to test the concept of joint groundwater management, wherein wells are mechanisms of tapping a common water source, the Neemkheda aquifer. The strategy for systematic groundwater management in the Neemkheda well commune is based upon the relationship between Transmissivity (T) and Storage coefficient (S), i.e. aquifer diffusivity, and its variation within the aquifer. Wells within a high diffusivity domain tend to dewater more quickly than wells within a low diffusivity domain. A well-use schedule during the dry season, based upon aquifer diffusivity forms the basis of the groundwater management concept. The distribution of local aquifer diffusivities governs the relationship between local and regional aquifer depletion times and forms the basis of the groundwater management exercise being proposed for the Neemkheda aquifer. Los programas de desarrollo de una cuenca hídrica son una oportunidad para el uso de estrategias de gestión sostenible, aunque hoy en día estas siguen siendo principalmente mecanismos para el desarrollo de recursos hídricos con énfasis en la ``oferta''. Las condiciones hidrogeológicas, la participación comunitaria y la condición de utilización del agua subterránea, son importantes en el desarrollo de estrategias para la gestión del agua subterránea, desde el punto de vista de la ``demanda''. El acuífero de Neemkheda es un acuífero típico de almacenamiento bajo y conductividad hidráulica baja, perteneciente a una cuenca hídrica ubicada en las regiones secas del Estado de Madhya Pradesh, en la parte central de India. Un acuífero de tipo libre, somero, formado por una unidad superior de arenisca calcárea de grano grueso, subyacida por una unidad de arenisca de grano fino. Un campo de pozos comunitario compuesto por siete pozos, pone a prueba el concepto de gestión conjunta del agua subterránea, dentro del cual los pozos son mecanismos para usar una fuente de agua común: El acuífero de Neemkheda. La estrategia usada para la gestión sistemática del agua subterránea, en el campo de pozos comunitario de Neemkheda, se basa en la relación existente entre Transmisividad (T) y Coeficiente de Almacenamiento (S), es decir en la Difusividad del Acuífero y en su variación observada dentro del mismo acuífero. Los pozos cuya difusividad esta dentro de un rango alto, tienden a experimentar un descenso en su nivel mas rápidamente que aquellos pozos con una difusividad baja. El concepto de gestión de agua subterránea se basa en un programa especial de operación para cada pozo durante la estación seca, el cual a su vez se basa en la difusividad del acuífero. La distribución de difusividades locales del acuífero rige las relaciones entre las épocas de descensos de nivel en el acuífero a escala regional y local, y además constituyen la base del ejercicio de la gestión del agua subterránea que se esta proponiendo para el acuífero de Neemkheda. Les programmes de développement des bassins versants offrent une occasion de développer des stratégies pour une gestion durable, bien qu' à présent elles restent en grande mesure `le terme source' dans le mécanisme de développement de la ressource en eau. Les conditions hydrogéologiques, la participation de la communauté et l'usage des eaux souterraines sont importants pour le `terme demande' dans les stratégies de gestion des eaux souterraines. L'aquifère de Neemkheda presents des caractéristiques typiques pour un bassin versant dans les régions arides de l'état Madhya Pradesh de l'Inde centrale en ce qui concerne les faible valeurs de la conductivité hydraulique et du coéfficient d'emmagasinement. Il s'agit d'un aquifère phrèatique dont la partie supérieure est constitué par des grès calcaire qui restent sur des grés plus fins. Afin d'essayer le concept de gestion integrée, on a réalisé dans l'aquifère de Neemkheda un captage ayant sept forages qui forment la ressource en eau communale. La stratégie de la gestion systématique du captage est basée sur la relation entre la transmissivité (T), le coéfficient d'emmagasinement (S), donc la diffusivité hydraulique ainsi que sa variation spatiale. Les puits forés dans les zones à grande diffusivité tendent à s'assècher plus vite que ceux creusés dans des zones à faible diffusivité. Le concept de la gestion des eaux souterraines est donc basé sur la distribution spatiale des diffusivités. À partir de ce concept on a développé un programme d'exploitation des forages pendant les saisons sèches. La relation entre les temps d' épuissment locaux et régionaux est determiné par la distribution spatiale de la diffusivitée et forme la base de l'exercice sur la gestion des eaux proposée pour l'aquifère de Neemkheda.

  9. Portrait of a science teacher as a bricoleur: A case study from India

    NASA Astrophysics Data System (ADS)

    Sharma, Ajay

    2008-12-01

    This paper presents a case study of science teaching in an eighth grade school classroom in India. It comes out of a larger ethnographic study done in 2005 that looked at how science was taught and learned in a rural government run middle school in the state of Madhya Pradesh in India. Subscribing to a sociocultural perspective, the paper presents a narrative account of how a science teacher negotiated and made use of the existing discourses that influenced his teaching practice to construct learning experiences for his students. It is a portrait of him as a bricoleur, engaged in making-do with what is of available to conform to prescriptive discursive norms as well as engage in situated, contingent and collaborative pedagogical improvisations with his students. Through a discursive analysis of Mr. Raghuvanshi's teaching practice, this paper presents his bricolage as a feature of everyday sociocultural practices, and as an instance of glocalization of decontextualized school science discourse. It also offers a case for creation and strengthening of material conditions that support enactment of teacher agency for construction of meaningful and relevant learning experiences for students. [InlineMediaObject not available: see fulltext.][InlineMediaObject not available: see fulltext.

  10. To study the effect of orbital sling on post operative vision in cases of maxillary carcinoma undergoing total maxillectomy.

    PubMed

    Shukla, Anirudh; Dudeja, Vivek

    2014-06-01

    To study effect of orbital sling on post operative vision in cases of maxillary carcinoma undergoing total maxillectomy. All patients with the principal procedure of "total maxillectomy" for histopathologically proven cases of carcinoma maxilla in department of otorhinolaryngology and head-neck surgery, N.S.C.B. medical college, Jabalapur, Madhya Pradesh, India from July 2011 to October 2013 were included. Out of the 20 patients irrespective of whether orbital sling was created or not, maximum number of patients 8 (40 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 14 patients in which orbital sling was created maximum number of patients 7 (50 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 6 patients in whom orbital sling was not created maximum number of patients 3 (50 %) showed a 2 step improvement, and maximum improvement seen was up to three steps. Infraorbital repair with the help of sling results in better improvement of vision as compared to those in whom sling was not or could not be made with no significant difference on eye movements.

  11. Doctors and Padma awards.

    PubMed

    Arya, Bhawna; Chopra, Parul R; Goel, Manisha; Sharma, Anuj; Krishna, Anurag; Nundy, Samiran

    2010-01-01

    BACKGROUND; The announcement of the annual Padma awards in January always generates a great deal of interest as well as controversy and, some believe that many good candidates are excluded and many less deserving ones included. We analysed the recipients in the field of medicine to determine whether or not a pattern emerged regarding who were bestowed these honours. We were not able to objectively evaluate whether or not the honours were 'deserved'. We obtained and then analysed the list of awardees from newspapers and the official website of the Ministry of Home Affairs. Between 2000 and 2010, a total of 1166 awards were announced, of which 157 (13.4%) were in the field of medicine. We excluded foreigners and those from 'alternative' fields (20), and evaluated the remaining 137 in detail. Sixty-two (45.3%) recipients were from Delhi, 18 (13.1%) from Maharashtra and 17 (12.4%) from Tamil Nadu. Of the 137 awardees, 31 (22.6%) were cardiologists or cardiac surgeons. Many large states of the country, such as West Bengal, Gujarat, Rajasthan, Madhya Pradesh, Punjab and Haryana, did not have a single awardee. The over-representation of Delhi and cardiology in the Padma awards for medicine suggests that their distribution is not entirely fair.

  12. A Family Study of Consanguinity in Children with Intellectual Disabilities in Barwani, India.

    PubMed

    Lakhan, Ram; Bipeta, Rajshekhar; Yerramilli, Srinivasa S R R; Nahar, Vinayak K

    2017-01-01

    Intellectual disability (ID) can be inherited in families through consanguineous marriage. The ID in an individual can be associated with the ID, epilepsy, and mental illness in their parents. Such connections can be seen more closely among consanguineous marriages in tribal and nontribal population in India. This study shows a few common patterns of the consanguineous relationship in the parents of children with ID in India. This is a case series research design. Extreme or deviant case sampling was applied. Data were collected in homes, camps, and clinical settings in the Barwani district of Madhya Pradesh, India. The patterns of consanguineous marriages and the relationship between children with ID and their relatives with ID, epilepsy, and mental illness were analyzed and reported with pedigree charts. Multiple patterns of consanguineous marriages in tribal and nontribal populations were observed. ID was found to be associated in children with their relatives of the first, second, and third generations. ID may inherit in individuals from their relatives of the first, second, and third generations who have ID, epilepsy, or mental illness and married in the relationship. Appropriate knowledge, guidance, and counseling may be provided to potential couples before planning a consanguineous marriage.

  13. Male involvement in reproductive health among scheduled tribe: experience from Khairwars of central India.

    PubMed

    Saha, Kalyan B; Singh, Neeru; Chatterjee Saha, Uma; Roy, Jyotirmoy

    2007-01-01

    Indian tribal men's lack of participation in reproductive health not only damages their own health, but also contributes to the reproductive ill health of their female partners and children. In India the involvement of men in such matters is a new concept. There is a paucity of data particularly on Scheduled tribesmen's knowledge and the extent of their participation in reproductive health. This inhibits planning. The present study aims to understand the involvement of Scheduled tribesmen in reproductive health and the barriers to their involvement by generating a database from the Khairwar tribe of Central India. A door-to-door survey on knowledge, attitude and practice relating to aspects of reproductive health was conducted by canvassing a pre-designed interview schedule among 15-40 year old, currently married Khairwar males in the Sidhi district of Madhya Pradesh, India. As far as reproductive morbidity is concerned, only 17% of the respondents had heard of HIV/AIDS, and most had no proper knowledge of its transmission. Although 74% of the respondents had heard about reproductive tract infections, the majority of them were unaware of the mechanism of transmission and seriousness of the problem. The duel role of condoms, both as a method of family planning and a protective measure against sexually transmitted infections, was also unknown to them. Approximately 59% of the males were aware of family planning but only 13% were using any method (mostly female sterilization) at the time of survey. Their view on the ideal number of children (3.56) exceeded the actual number of children born and living. High infant and child mortality influenced their preference for higher fertility. Very few among them (29%) had knowledge of antenatal care. They expressed faulty knowledge, myths and unhelpful attitudes towards sexual health matters. The study revealed the male Scheduled tribe population's lack of knowledge and misinformation regarding male sexual health issues, the gender inequality in Indian society, and a lack of male-oriented reproductive health services, all of which deter men from sharing the responsibility.

  14. Mapping the Characteristics of Critical Care Facilities: Assessment, Distribution, and Level of Critical Care Facilities from Central India.

    PubMed

    Saigal, Saurabh; Sharma, Jai Prakash; Pakhare, Abhijit; Bhaskar, Santosh; Dhanuka, Sanjay; Kumar, Sanjay; Sabde, Yogesh; Bhattacharya, Pradip; Joshi, Rajnish

    2017-10-01

    In low- and middle-income countries such as India, where health systems are weak, the number of available Critical Care Unit (Intensive Care Unit [ICU]) beds is expected to be low. There is no study from the Indian subcontinent that has reported the characteristics and distribution of existing ICUs. We performed this study to understand the characteristics and distribution of ICUs in Madhya Pradesh (MP) state of Central India. We also aimed to develop a consensus scoring system and internally validate it to define levels of care and to improve health system planning and to strengthen referral networks in the state. We obtained a list of potential ICU facilities from various sources and then performed a cross-sectional survey by visiting each facility and determining characteristics for each facility. We collected variables with respect to infrastructure, human resources, equipment, support services, procedures performed, training courses conducted, and in-place policies or standard operating procedure documents. We identified a total of 123 ICUs in MP. Of 123 ICUs, 35 were level 1 facilities, 74 were level 2 facilities, and only 14 were level 3 facilities. Overall, there were 0.17 facilities per 100,000 population (95* confidence interval [CI] 0.14-0.20 per 100,000 populations). There were a total of 1816 ICU beds in the state, with an average of 2.5 beds per 100,000 population (95* CI 2.4-2.6 per 100,000 population). Of the total number of ICU beds, 250 are in level 1, 1141 are in level 2, and 425 are in level 3 facilities. This amounts to 0.34, 1.57, and 0.59 ICU beds per 100,000 population for levels 1, 2, and 3, respectively. This study could just be an eye opener for our healthcare authorities at both state and national levels to estimate the proportion of ICU beds per lac population. Similar mapping of intensive care services from other States will generate national data that is hitherto unknown.

  15. Excess under-5 female mortality across India: a spatial analysis using 2011 census data.

    PubMed

    Guilmoto, Christophe Z; Saikia, Nandita; Tamrakar, Vandana; Bora, Jayanta Kumar

    2018-06-01

    Excess female mortality causes half of the missing women (estimated deficit of women in countries with suspiciously low proportion of females in their population) today. Globally, most of these avoidable deaths of women occur during childhood in China and India. We aimed to estimate excess female under-5 mortality rate (U5MR) for India's 35 states and union territories and 640 districts. Using the summary birth history method (or Brass method), we derived district-level estimates of U5MR by sex from 2011 census data. We used data from 46 countries with no evidence of gender bias for mortality to estimate the effects and intensity of excess female mortality at district level. We used a detailed spatial and statistical analysis to highlight the correlates of excess mortality at district level. Excess female U5MR was 18·5 per 1000 livebirths (95% CI 13·1-22·6) in India 2000-2005, which corresponds to an estimated 239 000 excess deaths (169 000-293 000) per year. More than 90% of districts had excess female mortality, but the four largest states in northern India (Uttar Pradesh, Bihar, Rajasthan, and Madhya Pradesh) accounted for two-thirds of India's total number. Low economic development, gender inequity, and high fertility were the main predictors of excess female mortality. Spatial analysis confirmed the strong spatial clustering of postnatal discrimination against girls in India. The considerable effect of gender bias on mortality in India highlights the need for more proactive engagement with the issue of postnatal sex discrimination and a focus on the northern districts. Notably, these regions are not the same as those most affected by skewed sex ratio at birth. None. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.

  16. A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program.

    PubMed

    Vellakkal, Sukumar; Reddy, Hanimi; Gupta, Adyya; Chandran, Anil; Fledderjohann, Jasmine; Stuckler, David

    2017-04-01

    Not all eligible women use the available services under India's Janani Suraksha Yojana (JSY), which provides cash incentives to encourage pregnant women to use institutional care for childbirth; limited evidence exists on demand-side factors associated with low program uptake. This study explores the views of women and ASHAs (community health workers) on the use of the JSY and institutional delivery care facilities. In-depth qualitative interviews, carried out in September-November 2013, were completed in the local language by trained interviewers with 112 participants consisting of JSY users/non-users and ASHAs in Jharkhand, Madhya Pradesh and Uttar Pradesh. The interaction of impeding and enabling factors on the use of institutional care for delivery was explored. We found that ASHAs' support services (e.g., arrangement of transport, escort to and support at healthcare facilities) and awareness generation of the benefits of institutional healthcare emerged as major enabling factors. The JSY cash incentive played a lesser role as an enabling factor because of higher opportunity costs in the use of healthcare facilities versus home for childbirth. Trust in the skills of traditional birth-attendants and the notion of childbirth as a 'natural event' that requires no healthcare were the most prevalent impeding factors. The belief that a healthcare facility would be needed only in cases of birth complications was also highly prevalent. This often resulted in waiting until the last moments of childbirth to seek institutional healthcare, leading to delay/non-availability of transportation services and inability to reach a delivery facility in time. ASHAs opined that interpersonal communication for awareness generation has a greater influence on use of institutional healthcare, and complementary cash incentives further encourage use. Improving health workers' support services focused on marginalized populations along with better public healthcare facilities are likely to promote the uptake of institutional delivery care in resource-poor settings. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  17. Nostoc thermotolerans sp. nov., a soil-dwelling species of Nostoc (Cyanobacteria).

    PubMed

    Suradkar, Archana; Villanueva, Chelsea; Gaysina, Lira A; Casamatta, Dale A; Saraf, Aniket; Dighe, Gandhali; Mergu, Ratnaprabha; Singh, Prashant

    2017-05-01

    A filamentous, soil-dwelling cyanobacterial strain (9C-PST) was isolated from Mandsaur, Madhya Pradesh, India, and is described as a new species of the genus Nostoc. Extensive morphological and molecular characterization along with a thorough assessment of ecology was performed. The style of filament orientation, type and nature of the sheath (e.g. distribution and visibility across the trichome), and vegetative and heterocyte cell dimensions and shape were assessed for over one year using both the laboratory grown culture and the naturally occurring samples. Sequencing of the 16S rRNA gene showed 94 % similarity with Nostocpiscinale CENA21 while analyses of the secondary structures of the 16S-23S ITS region showed unique folding patterns that differentiated this strain from other species of Nostoc. The level of rbcl and rpoC1 gene sequence similarity was 91 and 94 % to Nostocsp. PCC 7524 and Nostocpiscinale CENA21, respectively, while the nifD gene sequence similarity was found to be 99 % with Nostocpiscinale CENA21. The phenotypic, ecological, genetic and phylogenetic observations indicate that the strain 9C-PST represents a novel species of the genus Nostoc with the name proposed being Nostoc thermotolerans sp. nov. according to the International Code of Nomenclature for Algae, Fungi, and Plants.

  18. Probabilistic assessment of phenophase-wise agricultural drought risk under different sowing windows: a case study with rainfed soybean.

    PubMed

    Dhakar, Rajkumar; Sarath Chandran, M A; Nagar, Shivani; Visha Kumari, V

    2017-11-23

    A new methodology for crop-growth stage-specific assessment of agricultural drought risk under a variable sowing window is proposed for the soybean crop. It encompasses three drought indices, which include Crop-Specific Drought Index (CSDI), Vegetation Condition Index (VCI), and Standardized Precipitation Evapotranspiration Index (SPEI). The unique features of crop-growth stage-specific nature and spatial and multi-scalar coverage provide a comprehensive assessment of agricultural drought risk. This study was conducted in 10 major soybean-growing districts of Madhya Pradesh state of India. These areas contribute about 60% of the total soybean production for the country. The phenophase most vulnerable to agricultural drought was identified (germination and flowering in our case) for each district across four sowing windows. The agricultural drought risk was quantified at various severity levels (moderate, severe, and very severe) for each growth stage and sowing window. Validation of the proposed new methodology also yielded results with a high correlation coefficient between percent probability of agricultural drought risk and yield risk (r = 0.92). Assessment by proximity matrix yielded a similar statistic. Expectations for the proposed methodology are better mitigation-oriented management and improved crop contingency plans for planners and decision makers.

  19. Gender equality in India hit by illiteracy, child marriages and violence: a hurdle for sustainable development.

    PubMed

    Brahmapurkar, Kishor Parashramji

    2017-01-01

    Gender equality is fundamental to accelerate sustainable development. It is necessary to conduct gender analyses to identify sex and gender-based differences in health risks. This study aimed to find the gender equality in terms of illiteracy, child marriages and spousal violence among women based on data from National Family Health Survey 2015-16 (NFHS-4). This was a descriptive analysis of secondary data of ever-married women onto reproductive age from 15 states and 3 UTs in India of the first phase of NFHS-4. Gender gap related to literacy and child marriage among urban and rural area was compared. In rural area all states except Meghalaya and Sikkim had the significantly higher percentage of women's illiteracy as compared to male. Bihar and Madhya Pradesh had higher illiterate women, 53.7% and 48.6% as compared to male, 24.7% and 21.5% respectively (P < 0.000). Child marriages were found to be significantly higher in rural areas as compared to urban areas in four most populated states. There is a gender gap between illiteracy with women more affected in rural areas with higher prevalence of child marriages and poor utilization of maternal health services. Also, violence against women is showing an upward trend with declining sex-ratio at birth.

  20. Impact of sickle cell trait on physical growth in tribal children of Mandla district in Madhya Pradesh, India.

    PubMed

    Qamra, Suneel; Roy, Jyotirmoy; Srivastava, Praval

    2011-11-01

    Reliable reports on growth impairment in sickle cell trait (SCT) children in India are lacking despite contradictory findings reported earlier. The present study assessed the impact of SCT on physical growth of tribal children of Mandla district. Weight, height, circumferences, breadths, lengths and skinfolds were recorded on 6190 children, inclusive of 732 SCT children, from birth to 12 years of age using a cross-sectional design. The sickle test was conducted in the field using 2% sodium metabisulphite followed by electrophoresis. No significant difference in mean values was observed in the majority of the age groups between SCT and normal children for all 11 body measurements. However, inconsistent growth patterns in these measurements among SCT children were evident. Body weight was more deficient than height or other body measurements in the children when compared to Indian and National Centre for Health Statistics (NCHS) standards, while bicristal breadth was comparable with Indian standards. There was no significant impact of SCT observed on growth of children irrespective of sex. Notably, growth of SCT girls was comparable to their normal counterparts. The actual growth difference between normal and SCT children may have been masked on account of poor attainment of annual gain in each successive age group.

  1. A Family Study of Consanguinity in Children with Intellectual Disabilities in Barwani, India

    PubMed Central

    Lakhan, Ram; Bipeta, Rajshekhar; Yerramilli, Srinivasa S. R. R.; Nahar, Vinayak K.

    2017-01-01

    Background: Intellectual disability (ID) can be inherited in families through consanguineous marriage. The ID in an individual can be associated with the ID, epilepsy, and mental illness in their parents. Such connections can be seen more closely among consanguineous marriages in tribal and nontribal population in India. Objective: This study shows a few common patterns of the consanguineous relationship in the parents of children with ID in India. Materials and Methods: This is a case series research design. Extreme or deviant case sampling was applied. Data were collected in homes, camps, and clinical settings in the Barwani district of Madhya Pradesh, India. The patterns of consanguineous marriages and the relationship between children with ID and their relatives with ID, epilepsy, and mental illness were analyzed and reported with pedigree charts. Results: Multiple patterns of consanguineous marriages in tribal and nontribal populations were observed. ID was found to be associated in children with their relatives of the first, second, and third generations. Conclusion: ID may inherit in individuals from their relatives of the first, second, and third generations who have ID, epilepsy, or mental illness and married in the relationship. Appropriate knowledge, guidance, and counseling may be provided to potential couples before planning a consanguineous marriage. PMID:29204013

  2. Public Report on Health: Development of a Nutritive Value Calculator for Indian Foods and Analysis of Food Logs and Nutrient Intake in six States

    PubMed Central

    Sathyamala, C; Kurian, NJ; DE, Anuradha; Saxena, KB; Priya, Ritu; Baru, Rama; Srivastava, Ravi; Mittal, Onkar; Noronha, Claire; Samson, Meera; Khalsa, Sneh; Puliyel, Ashish

    2014-01-01

    The Public Report on Health (PRoH) was initiated in 2005 to understand public health issues for people from diverse backgrounds living in different region specific contexts. States were selected purposively to capture a diversity of situations from better-performing states and not-so-well performing states. Based on these considerations, six states – the better-performing states of Tamil Nadu (TN), Maharashtra (MH) and Himachal Pradesh (HP) and the not-so-well performing states of Madhya Pradesh (MP), Uttar Pradesh (UP) and Orissa (OR) – were selected. This is a report of a study using food diaries to assess food intakes in sample households from six states of India. Method: Food diaries were maintained and all the raw food items that went into making the food in the household was measured using a measuring cup that converted volumes into dry weights for each item. The proportion consumed by individual adults was recorded. A nutrient calculator that computed the total nutrient in the food items consumed, using the ‘Nutritive Value of Indian Foods by Gopalan et al., was developed to analyze the data and this is now been made available as freeware (http://bit.ly/ncalculator). The total nutrients consumed by the adults, men and women was calculated. Results: Identifying details having been removed, the raw data is available, open access on the internet http://bit.ly/foodlogxls.The energy consumption in our study was 2379 kcal per capita per day. According to the Summary Report World Agriculture the per capita food consumption in 1997-99 was 2803 which is higher than that in the best state in India. The consumption for developing countries a decade ago was 2681 and in Sub-Saharan Africa it was 2195. Our data is compatible in 2005 with the South Asia consumption of 2403 Kcal per capita per day in 1997-99. For comparison, in industrialized countries it was 3380. In Tamil Nadu it was a mere 1817 kcal. Discussion: The nutrient consumption in this study suggests that food security in the villages studied is far from achieved. It is hoped that the new Food Security Ordinance will make a dent in the situation. The calculator for computing nutrients of foods consumed which we developed based on the ICMR defined nutrient values for Indian foods has been made available as freeware on the internet. This is with the hope that more such studies can be carried out at the household level. PMID:24995224

  3. Public Report on Health: Development of a Nutritive Value Calculator for Indian Foods and Analysis of Food Logs and Nutrient Intake in six States.

    PubMed

    Sathyamala, C; Kurian, Nj; DE, Anuradha; Saxena, Kb; Priya, Ritu; Baru, Rama; Srivastava, Ravi; Mittal, Onkar; Noronha, Claire; Samson, Meera; Khalsa, Sneh; Puliyel, Ashish; Puliyel, Jacob

    2014-05-01

    The Public Report on Health (PRoH) was initiated in 2005 to understand public health issues for people from diverse backgrounds living in different region specific contexts. States were selected purposively to capture a diversity of situations from better-performing states and not-so-well performing states. Based on these considerations, six states - the better-performing states of Tamil Nadu (TN), Maharashtra (MH) and Himachal Pradesh (HP) and the not-so-well performing states of Madhya Pradesh (MP), Uttar Pradesh (UP) and Orissa (OR) - were selected. This is a report of a study using food diaries to assess food intakes in sample households from six states of India. Food diaries were maintained and all the raw food items that went into making the food in the household was measured using a measuring cup that converted volumes into dry weights for each item. The proportion consumed by individual adults was recorded. A nutrient calculator that computed the total nutrient in the food items consumed, using the 'Nutritive Value of Indian Foods by Gopalan et al., was developed to analyze the data and this is now been made available as freeware (http://bit.ly/ncalculator). The total nutrients consumed by the adults, men and women was calculated. Identifying details having been removed, the raw data is available, open access on the internet http://bit.ly/foodlogxls.The energy consumption in our study was 2379 kcal per capita per day. According to the Summary Report World Agriculture the per capita food consumption in 1997-99 was 2803 which is higher than that in the best state in India. The consumption for developing countries a decade ago was 2681 and in Sub-Saharan Africa it was 2195. Our data is compatible in 2005 with the South Asia consumption of 2403 Kcal per capita per day in 1997-99. For comparison, in industrialized countries it was 3380. In Tamil Nadu it was a mere 1817 kcal. The nutrient consumption in this study suggests that food security in the villages studied is far from achieved. It is hoped that the new Food Security Ordinance will make a dent in the situation. The calculator for computing nutrients of foods consumed which we developed based on the ICMR defined nutrient values for Indian foods has been made available as freeware on the internet. This is with the hope that more such studies can be carried out at the household level.

  4. Opportunities of Habitat Connectivity for Tiger (Panthera tigris) between Kanha and Pench National Parks in Madhya Pradesh, India

    PubMed Central

    Rathore, Chinmaya S.; Dubey, Yogesh; Shrivastava, Anurag; Pathak, Prasad; Patil, Vinayak

    2012-01-01

    The Tiger (Panthera tigris) population in India has undergone a sharp decline during the last few years. Of the number of factors attributed to this decline, habitat fragmentation has been the most worrisome. Wildlife corridors have long been a subject of discussion amongst wildlife biologists and conservationists with contrasting schools of thought arguing their merits and demerits. However, it is largely believed that wildlife corridors can help minimize genetic isolation, offset fragmentation problems, improve animal dispersal, restore ecological processes and reduce man animal conflict. This study attempted to evaluate the possibilities of identifying a suitable wildlife corridor between two very important wildlife areas of central India – the Kanha National Park and the Pench National Park – with tiger as the focal species. Geographic Information System (GIS) centric Least Cost Path modeling was used to identify likely routes for movement of tigers. Habitat suitability, perennial water bodies, road density, railway tracks, human settlement density and total forest edge were considered as key variables influencing tiger movement across the Kanha-Pench landscape. Each of these variables was weighted in terms of relative importance through an expert consultation process. Using different importance scenarios, three alternate corridor routes were generated of which one was identified as the most promising for tiger dispersal. Weak links – where cover and habitat conditions are currently sub-optimal – were flagged on the corridor route. Interventions aimed at augmenting the identified corridor route have been suggested using accepted wildlife corridor design principles. The involvement of local communities through initiatives such as ecotourism has been stressed as a crucial long term strategy for conservation of the Kanha-Pench wildlife corridor. The results of the study indicate that restoration of the identified wildlife corridors between the two protected areas is technically feasible. PMID:22815720

  5. Yield and Economic Performance of Organic and Conventional Cotton-Based Farming Systems – Results from a Field Trial in India

    PubMed Central

    Forster, Dionys; Andres, Christian; Verma, Rajeev; Zundel, Christine; Messmer, Monika M.; Mäder, Paul

    2013-01-01

    The debate on the relative benefits of conventional and organic farming systems has in recent time gained significant interest. So far, global agricultural development has focused on increased productivity rather than on a holistic natural resource management for food security. Thus, developing more sustainable farming practices on a large scale is of utmost importance. However, information concerning the performance of farming systems under organic and conventional management in tropical and subtropical regions is scarce. This study presents agronomic and economic data from the conversion phase (2007–2010) of a farming systems comparison trial on a Vertisol soil in Madhya Pradesh, central India. A cotton-soybean-wheat crop rotation under biodynamic, organic and conventional (with and without Bt cotton) management was investigated. We observed a significant yield gap between organic and conventional farming systems in the 1st crop cycle (cycle 1: 2007–2008) for cotton (−29%) and wheat (−27%), whereas in the 2nd crop cycle (cycle 2: 2009–2010) cotton and wheat yields were similar in all farming systems due to lower yields in the conventional systems. In contrast, organic soybean (a nitrogen fixing leguminous plant) yields were marginally lower than conventional yields (−1% in cycle 1, −11% in cycle 2). Averaged across all crops, conventional farming systems achieved significantly higher gross margins in cycle 1 (+29%), whereas in cycle 2 gross margins in organic farming systems were significantly higher (+25%) due to lower variable production costs but similar yields. Soybean gross margin was significantly higher in the organic system (+11%) across the four harvest years compared to the conventional systems. Our results suggest that organic soybean production is a viable option for smallholder farmers under the prevailing semi-arid conditions in India. Future research needs to elucidate the long-term productivity and profitability, particularly of cotton and wheat, and the ecological impact of the different farming systems. PMID:24324659

  6. Yield and economic performance of organic and conventional cotton-based farming systems--results from a field trial in India.

    PubMed

    Forster, Dionys; Andres, Christian; Verma, Rajeev; Zundel, Christine; Messmer, Monika M; Mäder, Paul

    2013-01-01

    The debate on the relative benefits of conventional and organic farming systems has in recent time gained significant interest. So far, global agricultural development has focused on increased productivity rather than on a holistic natural resource management for food security. Thus, developing more sustainable farming practices on a large scale is of utmost importance. However, information concerning the performance of farming systems under organic and conventional management in tropical and subtropical regions is scarce. This study presents agronomic and economic data from the conversion phase (2007-2010) of a farming systems comparison trial on a Vertisol soil in Madhya Pradesh, central India. A cotton-soybean-wheat crop rotation under biodynamic, organic and conventional (with and without Bt cotton) management was investigated. We observed a significant yield gap between organic and conventional farming systems in the 1(st) crop cycle (cycle 1: 2007-2008) for cotton (-29%) and wheat (-27%), whereas in the 2(nd) crop cycle (cycle 2: 2009-2010) cotton and wheat yields were similar in all farming systems due to lower yields in the conventional systems. In contrast, organic soybean (a nitrogen fixing leguminous plant) yields were marginally lower than conventional yields (-1% in cycle 1, -11% in cycle 2). Averaged across all crops, conventional farming systems achieved significantly higher gross margins in cycle 1 (+29%), whereas in cycle 2 gross margins in organic farming systems were significantly higher (+25%) due to lower variable production costs but similar yields. Soybean gross margin was significantly higher in the organic system (+11%) across the four harvest years compared to the conventional systems. Our results suggest that organic soybean production is a viable option for smallholder farmers under the prevailing semi-arid conditions in India. Future research needs to elucidate the long-term productivity and profitability, particularly of cotton and wheat, and the ecological impact of the different farming systems.

  7. Molecular characterization of chikungunya virus from Andhra Pradesh, India & phylogenetic relationship with Central African isolates.

    PubMed

    M Naresh Kumar, C V; Anthony Johnson, A M; R Sai Gopal, D V

    2007-12-01

    Chikungunya virus has caused numerous large outbreaks in India. Suspected blood samples from the epidemic were collected and characterized for the identification of the responsible causative from Rayalaseema region of Andhra Pradesh. RT-PCR was used for screening of suspected blood samples. Primers were designed to amplify partial E1 gene and the amplified fragment was cloned and sequenced. The sequence was analyzed and compared with other geographical isolates to find the phylogenetic relationship. The sequence was submitted to the Gen bank DNA database (accession DQ888620). Comparative nucleotide homology analysis of the AP Ra-CTR isolate with the other isolates revealed 94.7+/-3.6 per cent of homology of CHIKAPRa-CTR with other isolates of Chikungunya virus at nucleotide level and 96.8+/-3.2 per cent of homology at amino acid level. The current epidemic was caused by the Central African genotype of CHIKV, grouped in Central Africa cluster in phylogenetic trees generated based on nucleotide and amino acid sequences.

  8. Benzimidazole resistance in equine cyathostomins in India.

    PubMed

    Kumar, Sunil; Garg, Rajat; Kumar, Saroj; Banerjee, P S; Ram, Hira; Prasad, A

    2016-03-15

    Benzimidazole resistance is a major hindrance to the control of equine cyathostominosis throughout the world. There is a paucity of knowledge on the level of benzimidazole resistance in small strongyles of horses in India. In the present study, allele-specific PCR (AS-PCR) that detects F200Y mutation of the isotype 1 β-tubulin gene and faecal egg count reduction test (FECRT) were used for detecting benzimidazole resistance in equine cyathostomin populations in different agro-climatic zones of Uttar Pradesh, India. Results of the FECRT revealed prevalence of benzimidazole resistance in cyathostomins in an intensively managed equine farm in the mid-western plain (FECR=27.5%, LCI=0) and in working horses (extensively managed) at three locations in central plains of Uttar Pradesh (FECR=75.7-83.6%, LCI=29-57%). Post-treatment larval cultures revealed the presence of exclusively cyathostomin larvae. Genotyping of cyathostomin larvae by AS-PCR revealed that the frequency of homozygous resistant (rr) individuals and the resistant allele frequency was significantly higher (p<0.001) in the intensively managed farm in the mid-western plain and in working horses at two locations in central plains of the state. The resistant allele (r) frequency in cyathostomins was significantly higher (p<0.05) in Vindhyan and Tarai and Bhabar zones of Uttar Pradesh. The prevalence of benzimidazole resistant allele (r) was significantly higher (p<0.05) in cyathostomins of intensively managed horses (allelic frequency-0.35) as compared to extensively managed horses (allelic frequency-0.22). The widespread prevalence of benzimidazole resistant alleles in equine cyathostomins in Uttar Pradesh, India, necessitates immediate replacement of the drugs of benzimidazole group with other unrelated effective anthelmintics for management and control of equine cyathostomins. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Disparity in maternal, newborn and child health services in high focus states in India: a district-level cross-sectional analysis.

    PubMed

    Awasthi, Ashish; Pandey, C M; Chauhan, Rajesh K; Singh, Uttam

    2016-08-05

    To examine the level and trend in the coverage gap of a set of interventions of maternal and child health services using a summary index and to assess the disparity in usage of maternal and child health services in the districts of high focus states of India. Data for the present study are taken from the Annual Health Survey (AHS), 2010-2013 and Census of India, 2011. This study used secondary data from states having higher mortality and fertility rates, termed as high focus states in India. District-level information regarding children aged 12-23 months and ever married women aged 15-49 years has been extracted from the AHS (2010-2013), and household amenities, female literacy and main workforce information has been obtained from the Census of India 2011. 2 summary indexes were calculated first for maternal and child health services and another for socioeconomic and development status, using data from AHS and Census. Cronbach's α was used to assess the internal consistency of the items used in the index. The result shows that the coverage gap is highest in Uttar Pradesh (37%) and lowest in Madhya Pradesh (21%). Converge gap and socioeconomic development are negatively correlated (r=-0.49, p=0.01). The average coverage gap was highest in the lowest quintile of socioeconomic development. There was an absolute change of 1.5% per year in coverage gap during 2009-2013. In regression analysis, the coefficient of determination was 0.24, β=-30.05, p=0.01 for a negative relationship between socioeconomic development and coverage gap. There is a significant disparity in the usage of maternal and child healthcare services in the districts of India. Resource-rich people (urban residents and richest quintile) are way ahead of marginalised people (rural residents and poorest quintile) in the usage of healthcare services. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  10. Status of women in India: a comparison by state.

    PubMed

    Devi, D R

    1993-12-01

    Reformers in India have worked since the late 19th century to abolish practices such as the patriarchal joint-family system, the structure of property ownership, early marriage, and the self-immolation of widows which have been detrimental to the development of women. As a result, independent India has taken steps to protect the rights and equality of women. In order to analyze the objective status of women, secondary data were used to make 1) interstate comparisons, 2) intrastate comparisons with the status of men, and 3) comparisons in relation to overall development. Data from the early 1980s were analyzed from the 14 states which had a population of 10 million or more. 7 variables describe educational status, 3 are employment indicators, 2 are health indicators, 3 are demographic indicators, and 13 represent various aspects of development. The taxonomic method designed by Polish mathematicians in 1952 was used to rank states on the basis of each of the indicators. This method allows the determination of homogeneous units in an n-dimensional space without using such statistical tools as regression, variance, and correlation. It was found that the status indicators resulted in similar rankings for males and females in many states, but that in some states (Orissa, Madhya Pradesh, Bihar, and Uttar Pradesh) the health, employment, and educational status of women is low. These states also show a low ranking in overall development status, thus highlighting the direct link between the status of women and the level of development. This study leads to the question of whether women's status can be studied at the macro level using macro-level data. If this is possible, then the lack of significant differences found in the present study either indicates that the indicators chosen did not reveal the differences or that, in fact, no differences exist. The observed direct link between ranks of development and status, however, indicates that what was read as status differences are simply differences in levels of development. In depth studies which focus on the self-perceptions of status of men and women as compared with macro-level analyses will be necessary to answer this question.

  11. Gender equality in India hit by illiteracy, child marriages and violence: a hurdle for sustainable development

    PubMed Central

    Brahmapurkar, Kishor Parashramji

    2017-01-01

    Introduction Gender equality is fundamental to accelerate sustainable development. It is necessary to conduct gender analyses to identify sex and gender-based differences in health risks. This study aimed to find the gender equality in terms of illiteracy, child marriages and spousal violence among women based on data from National Family Health Survey 2015-16 (NFHS-4). Methods This was a descriptive analysis of secondary data of ever-married women onto reproductive age from 15 states and 3 UTs in India of the first phase of NFHS-4. Gender gap related to literacy and child marriage among urban and rural area was compared. Results In rural area all states except Meghalaya and Sikkim had the significantly higher percentage of women's illiteracy as compared to male. Bihar and Madhya Pradesh had higher illiterate women, 53.7% and 48.6% as compared to male, 24.7% and 21.5% respectively (P < 0.000). Child marriages were found to be significantly higher in rural areas as compared to urban areas in four most populated states. Conclusion There is a gender gap between illiteracy with women more affected in rural areas with higher prevalence of child marriages and poor utilization of maternal health services. Also, violence against women is showing an upward trend with declining sex-ratio at birth. PMID:29541324

  12. Impact of landuse/land cover change on run-off in the catchment of a hydro power project

    NASA Astrophysics Data System (ADS)

    Khare, Deepak; Patra, Diptendu; Mondal, Arun; Kundu, Sananda

    2017-05-01

    The landuse/land cover change and rainfall have a significant influence on the hydrological response of the river basins. The run-off characteristics are changing naturally due to reduction of initial abstraction that increases the run-off volume. Therefore, it is necessary to quantify the changes in the run-off characteristics of a catchment under the influence of changed landuse/land cover. Soil conservation service model has been used in the present study to analyse the impact of various landuse/land cover (past, present and future time period) change in the run-off characteristics of a part of Narmada basin at the gauge discharge site of Mandaleswar in Madhya Pradesh, India. Calculated run-off has been compared with the observed run-off data for the study. The landuse/land cover maps of 1990, 2000 and 2009 have been prepared by digital classification method with proper accuracy using satellite imageries. The impact of the run-off change on hydro power potential has been assessed in the study along with the estimation of the future changes in hydro power potential. Five types of conditions (+10, +5 %, average, -5, -10 % of average rainfall) have been applied with 90 and 75 % dependability status. The generated energy will be less in 90 % dependable flow in respect to the 75 % dependable flow. This work will be helpful for future planning related to establishment of hydropower setup.

  13. Philopatry and dispersal patterns in tiger (Panthera tigris).

    PubMed

    Gour, Digpal Singh; Bhagavatula, Jyotsna; Bhavanishankar, Maradani; Reddy, Patlolla Anuradha; Gupta, Jaya A; Sarkar, Mriganka Shekhar; Hussain, Shaik Mohammed; Harika, Segu; Gulia, Ravinder; Shivaji, Sisinthy

    2013-01-01

    Tiger populations are dwindling rapidly making it increasingly difficult to study their dispersal and mating behaviour in the wild, more so tiger being a secretive and solitary carnivore. We used non-invasively obtained genetic data to establish the presence of 28 tigers, 22 females and 6 males, within the core area of Pench tiger reserve, Madhya Pradesh. This data was evaluated along with spatial autocorrelation and relatedness analyses to understand patterns of dispersal and philopatry in tigers within this well-managed and healthy tiger habitat in India. We established male-biased dispersal and female philopatry in tigers and reiterated this finding with multiple analyses. Females show positive correlation up to 7 kms (which corresponds to an area of approximately 160 km(2)) however this correlation is significantly positive only upto 4 kms, or 50 km(2) (r  = 0.129, p<0.0125). Males do not exhibit any significant correlation in any of the distance classes within the forest (upto 300 km(2)). We also show evidence of female dispersal upto 26 kms in this landscape. Animal movements are important for fitness, reproductive success, genetic diversity and gene exchange among populations. In light of the current endangered status of tigers in the world, this study will help us understand tiger behavior and movement. Our findings also have important implications for better management of habitats and interconnecting corridors to save this charismatic species.

  14. Main Deccan Trap Eruptions occurred close to the Cretaceous-Tertiary Boundary: increasing Multiproxy Evidence

    NASA Astrophysics Data System (ADS)

    Adatte, Thierry; Keller, Gerta

    2010-05-01

    Recent studies indicate that the bulk (80%) of the Deccan trap eruptions occurred over less than 0.8 m.y. in magnetic polarity C29r spanning the Cretaceous-Tertiary boundary (KTB) (Chenet et al, 2007, 2008). Detailed multiproxy studies from several sections from southeastern India (Rajhamundry, Andhra Pradesh) and central India (Jilmili, Madhya Pradesh) place the KTB event near the end of the main Deccan eruptive phase and indicate that Deccan volcanism could have been a major contributor to the mass extinction (Keller et al., 2008, 2009). Geochemical, mineralogical and micropaleontogical evidence from localities outside India suggest that this megapulse took place in the uppermost Maastrichtian C29r (CF2-CF1 transition). For example, a rapid shift in 187Os/188Os ratios observed in three deep-sea sections (Atlantic, Pacific and Indian Oceans) are interpreted to mark the onset of the main Deccan pulse in C29r (Robinson et al., 2009). Foraminiferal oxygen isotope data from DSDP Site 525 (South Atlantic) show a short rapid global warming in C29r (Li and Keller, 1998) coincident with the decline in 187Os/188Os ratios. This warming is also observed in the terrestrial plant record (Wilf 2003). A coeval increase in weathering observed in Site 525 and Tunisia (Adatte et al., 2002) is marked by dominant kaolinite clay assemblages. In the same interval a significant decrease in bulk carbonate content suggests acidification due to volcanic SO2. Enhanced dissolution is also observed at DSDP Site 527 and Gubbio, Italy. Calcareous microfossils (planktic foraminifera and nannofossils) experienced major stress conditions expressed by species dwarfing, decreased diversity and decreased abundance (Keller, 2005). These observations indicate that Deccan volcanism played a key role in increasing atmospheric CO2 levels that resulted in global warming and enhanced greenhouse effect, which coupled with high SO2 emission increased biotic stress and predisposed faunas to eventual extinction at the KTB. Adatte, T. Keller, G. & Stinnesbeck, W. (2002). PPP 178; 3-4, Pages 165-196. Chenet, A-L., Quidelleur, X., Fluteau, F., Courtillot, V., 2007. EPSL. 263, 1-15. Chenet, A-L., Fluteau, F., Courtillot, V., Gerard, M., Subbarao, K.V., 2008. J. Geophys. Res. 113, B04101. Li, L., Keller, G., 1998c. Geology 26, 995-998. Keller, G. 2005. Lithos, 79, 3-4, 317-341. Keller, G., Adatte, T., Gardin, S., Bartolini, A., Bajpai, S., 2008. EPSL 268, 293-311. Keller, G., Adatte, T., Bajpai, S., Mohabey, D.M., Widdowson, M., Khosla, A., Sharma, R., Khosla, S. C., Gertsch, B., Fleitmann, D., Sahni, A. 2009.. EPSL, 282, 1-4, 10-23 Robinson, Ravizza, G., Coccioni, R. Peucker-Ehrenbrink, B. Norris, R. 2009. EPSL, 281, 3-4, 159-158. Wilf, P., Johnson, K.R., Huber, B.T., 2003. PNAS 100, 599-604.

  15. Holocene vegetation and climatic variations in Central India: A study based on multiproxy evidences

    NASA Astrophysics Data System (ADS)

    Chauhan, M. S.; Sharma, Anupam; Phartiyal, Binita; Kumar, Kamlesh

    2013-11-01

    Palynology, texture, mineralogy, geochemistry, and magnetic susceptibility analysis of a 2 m deep sediment core from Padauna Swamp, southeastern Madhya Pradesh infers that between 8600 and 7500 cal yr BP a warm and relatively less-humid climate prevailed with open tree-savannahs dominated by grasses followed by sedges, Artemisia and members of Chenopodiaceae/Amaranthaceae with scanty trees viz., Schrebera, Aegle marmelos and Sterculia urens. This is well supported by lower organic to carbonate carbon ratio, coarser texture having relatively low CIA and magnetic susceptibility values and presence of some primary minerals. Between 7500 and 6250 cal yr BP the tree-savannahs were succeeded by open mixed deciduous forests with the invasion of a few more trees viz., Madhuca indica, Holoptelea, Emblica officinalis, Mitragyna parvifolia and members of Anacardiaceae in response to onset of a warm and humid climate. A considerable rise in organic carbon generated from the degradation of plentiful biomass along with increase in clay content with signs of kaolinite and increase in immobile over mobile elements with slightly higher CIA and magnetic susceptibility values also suggest climatic amelioration. The presence of ruderal plants such as Artemisia, Cannabis sativa and Cheno/Am further infers initiation of human activities in the region. Between 6250 and 2800 cal yr BP, the mixed deciduous forests became more diverse and dense, subduing grasses and other herbaceous elements. Sporadic incursion of Shorea robusta (Sal) in forest floristic was recorded around 5000 cal yr BP. The overall change in the vegetation mosaic reflects that a warm and more-humid climate prevailed in the region, probably on account of invigoration of southwest monsoon. This observation is further corroborated by other proxy data showing a spurt in organic/inorganic carbon ratio, increase in clay content with matured mineralogy, significantly higher CIA and magnetic susceptibility values. Since 2800 cal yr BP onwards, the modern Sal dominated deciduous forests were established indicating continuation of warm and more-humid climate including timely arrival of SW monsoon coinciding with the shedding of Sal seeds as they are viable for a very short period.

  16. Contextualized science? An Indian experience

    NASA Astrophysics Data System (ADS)

    Koul, Ravinder

    1997-11-01

    This study asserts that science is contextualized and should therefore be taught as contextualized. Works of major philosophers in 20th century history, philosophy and sociology of science and recent developments in cognition are discussed in developing a foundation and outlining three themes for contextualized science: (a) science curriculum should emphasize scientific methodology through the generation and testing of knowledge in a specific context, (b) it should validate and evaluate everyday contextual experiences, and (c) develop a context for action by engaging in science, technology and society issues. School science is a major instrument for diffusion and utilization of scientific knowledge. In India, textbooks are often the only classroom source of information for students other than the teacher. The most widely used standard curriculum materials in Indian schools are the National Council of Educational Research and Training (NCERT) textbooks. For schools in the Hoshingabad district of Madhya Pradesh, the state prescribes NCERT materials and materials developed for the Hoshingabad Science Teaching Program (HSTP), a grassroots science education initiative. In this study, the investigation of these curriculum materials and interviews with educators (curriculum developers/textbook authors/teachers at New Delhi and Hoshingabad) are used to establish criteria for both the need and the feasibility of contextualized science. Results of the investigation indicate that the centralized NCERT system of curriculum development has undermined context specific treatment of subject matter in their textbooks. While HSTP attempted to contextualize science in rural schools, the present status of the program may be interpreted as either development and legitimization of another standardized curriculum, or, as the culmination of a gradual erosion and dissipation of conceptually valid and concrete educational practices. There are major situational and institutional constraints that impede the use of contextualized instructional materials. Furthermore, teachers' reflections on science in two curricula reveal limited conceptions on the nature of science and a preference for the abstract science of NCERT. The findings indicate that teacher understanding of methodological and epistemological point of view is essential but insufficient to provide a context for action. Teacher training must also incorporate ontological considerations in reform efforts to contextualize school science.

  17. Higher prevalence of human papillomavirus infection in adolescent and young adult girls belonging to different Indian tribes with varied socio-sexual lifestyle.

    PubMed

    Sharma, Kirti; Kathait, Atul; Jain, Asha; Kujur, Karmila; Raghuwanshi, Shirish; Bharti, Alok Chandra; Saklani, Asha Chandola; Das, Bhudev Chandra

    2015-01-01

    Despite high prevalence of human papillomavirus (HPV) infection and cervical cancer in Indian women, no study has been done in tribal populations whose socio-sexual lifestyle is different. Therefore, HPV screening has been carried out in pre-adolescent, adolescent and young adult tribal girls using self-collected urine samples. 20-35 ml self-collected midstream urine samples were obtained from a total of 2278 healthy tribal girls (9-25 years) comprising pre-adolescent, adolescent and young adults from three Indian states: Madhya Pradesh, Jharkhand and Chhattisgarh. β-globin positive 2034 samples were employed for HPV detection and genotyping. The overall prevalence of HPV infection in tribal girls was 12.9% (262/2034). More than 65% (172/262) of them were infected with HR-HPV types of which HPV16 was the most predominant type (54%). Young adult girls aged 18-25 years showed a significantly higher prevalence of HPV infection (19.2%; OR = 3.36; 95% CI 2.97-6.34, P<0.001) as compared to that in adolescent (11.4%; OR = 1.82; 95% CI 1.20-2.76, P<0.01) or pre-adolescent girls (6.6%). This is a first study showing significantly a very high prevalence of HPV infection in adolescent and young adult tribal girls possibly due to different socio-sexual behavior, indicating a serious health concern for Indian tribal women.

  18. Oral health impact, dental caries experience, and associated factors in 12-15-year-old school children in India.

    PubMed

    Kumar, Sandeep; Kumar, Amit; Badiyani, Bhumika; Kumar, Arunoday; Basak, Debashish; Ismail, Mohammed B

    2017-04-01

    Dental caries affects quality of life and has a negative impact on daily performance. The study was conducted to assess the impact of oral health and its associated factors in schoolchildren in the age group 12-15 years in Indore, Madhya Pradesh. A cross-sectional survey was conducted in schoolchildren in the age group 12-15 years. Sociodemographic and oral health related behaviors of schoolchildren were collected using a self-administered questionnaire. Child oral impact on daily performance (OIDP) questionnaire was used to assess the oral impacts. Oral examination was performed to check the presence of caries using decayed, missing and filled teeth (DMFT) index. A total of 690 schoolchildren participated in the survey. The mean age of the children was 13.58 years. The overall prevalence of dental caries was found to be 47.2%. The prevalence of one or more impact in the study population was 36.5%. The most prevalent impact was difficulty in eating and cleaning of teeth and the least prevalent impact were emotion and studying. Results of logistic regression analysis showed that the type of school that a child goes to, socioeconomic status, material used, dental visit, and dental caries were significantly associated with the Child-OIDP affected score. Oral health had a significant effect on the quality of life of schoolchildren. The prevalence of dental caries was found to be high. Effective policies need to be drafted for oral health promotion in this age group.

  19. Application of remote sensing and geographical information system for generation of runoff curve number

    NASA Astrophysics Data System (ADS)

    Meshram, S. Gajbhiye; Sharma, S. K.; Tignath, S.

    2017-07-01

    Watershed is an ideal unit for planning and management of land and water resources (Gajbhiye et al., IEEE international conference on advances in technology and engineering (ICATE), Bombay, vol 1, issue 9, pp 23-25, 2013a; Gajbhiye et al., Appl Water Sci 4(1):51-61, 2014a; Gajbhiye et al., J Geol Soc India (SCI-IF 0.596) 84(2):192-196, 2014b). This study aims to generate the curve number, using remote sensing and geographical information system (GIS) and the effect of slope on curve number values. The study was carried out in Kanhaiya Nala watershed located in Satna district of Madhya Pradesh. Soil map, Land Use/Land cover and slope map were generated in GIS Environment. The CN parameter values corresponding to various soil, land cover, and land management conditions were selected from Natural Resource Conservation Service (NRCS) standard table. Curve number (CN) is an index developed by the NRCS, to represent the potential for storm water runoff within a drainage area. The CN for a drainage basin is estimated using a combination of land use, soil, and antecedent soil moisture condition (AMC). In present study effect of slope on CN values were determined. The result showed that the CN unadjusted value are higher in comparison to CN adjusted with slope. Remote sensing and GIS is very reliable technique for the preparation of most of the input data required by the SCS curve number model.

  20. Additional cash incentive within a conditional cash transfer scheme: a 'controlled before and during' design evaluation study from India.

    PubMed

    Lahariya, Chandrakant; Mishra, Ashok; Nandan, Deoki; Gautam, Praveen; Gupta, Sanjay

    2011-01-01

    Conditional Cash Transfer (CCT) schemes have shown largely favorable changes in the health seeking behavior. This evaluation study assesses the process and performance of an Additional Cash Incentive (ACI) scheme within an ongoing CCT scheme in India, and document lessons. A controlled before and during design study was conducted in Madhya Pradesh state of India, from August 2007 to March 2008, with increased in institutional deliveries as a primary outcome. In depth interviews, focus group discussions and household surveys were done for data collection. Lack of awareness about ACI scheme amongst general population and beneficiaries, cumbersome cash disbursement procedure, intricate eligibility criteria, extensive paper work, and insufficient focus on community involvement were the major implementation challenges. There were anecdotal reports of political interference and possible scope for corruption. At the end of implementation period, overall rate of institutional deliveries had increased in both target and control populations; however, the differences were not statistically significant. No cause and effect association could be proven by this study. Poor planning and coordination, and lack of public awareness about the scheme resulted in low utilization. Thus, proper IEC and training, detailed implementation plan, orientation training for implementer, sufficient budgetary allocation, and community participation should be an integral part for successful implementation of any such scheme. The lesson learned this evaluation study may be useful in any developing country setting and may be utilized for planning and implementation of any ACI scheme in future.

  1. Women's empowerment and reproductive experiences over the lifecourse.

    PubMed

    Lee-Rife, Susan M

    2010-08-01

    This paper examines the complex interplay between reproductive experiences and women's empowerment using rich life history data from a survey in India. Previous research has examined the influence of a rather limited range of reproductive events, focusing on how many children or sons a woman has borne, and has only superficially incorporated the insights of lifecourse theory. Furthermore, it has often conceptualized empowerment as a static characteristic rather than a time-varying one, and has often failed to examine the influence of empowerment resources or previous empowerment levels. I focus on the cumulative influence of less-studied reproductive events-including unwanted or mistimed pregnancy, stillbirths, miscarriages, and abortions-on several dimensions of women's empowerment, including mobility, financial decision-making, experiences of violence, and threats of abandonment or homelessness using data collected from 2435 women in Madhya Pradesh, India during a 2002 household-based probability sample survey. Logistic regression revealed that, notably, few reproductive events have an impact on women's current empowerment, but rather, the extent of empowerment immediately after marriage emerges as a strong determinant of their current empowerment. However, women who have had abortions have higher odds of experiencing domestic violence, and experiencing mistimed pregnancies lowers the odds of violence. Incorporating the potential influence of prior life events and conditions, accounting for the possibility that experiences may accumulate to shape women's current empowerment portrays women's lives more completely and helps to identify key points of intervention. Copyright 2010 Elsevier Ltd. All rights reserved.

  2. Approach to population control.

    PubMed

    Bose, A

    1983-01-26

    Due to the fact that India was the 1st nation to adopt population control as a state policy and that targets for various family planning methods are set by the Department of Family Planning, it is assumed that family planning is basically the concern of the Department of Family Planning. Consequently, family planning is viewed as a public sector activity that requires little participation on the part of the people. This presents a great danger to the success of the family planning program. Family planning needs to be the primary concern of the people and not the government. The new 20 point program emphasizes that family planning should be promoted on a voluntary basis as a people's movement. This has been interpreted by many to mean that increasingly more funds should be given to voluntary agencies working in the field of family planning. Yet, there is deep distrust on the part of the government departments regarding doling out funds to voluntary agencies. It is suggested that the government should adopt a new approach to the problem of population control through the promotion and mobilization of voluntary effort in rural areas. In view of the clear demonstration of the impact of female education on fertility levels, the Family Planning Department should announce a new scheme to help all voluntary agencies which focus attention on the education of girls in neglected rural areas and should launch a special schooling program for girls in the area of nutrition. In addition, the informal education of women through the mobilization of local talent and resources to generate social awareness should be undertaken. In India, Kerala has the distinction of having the highest literacy rate, the highest life expectancy, the lowest mortality and infant mortality rates, and the lowest birthrate. The birthrate in rural Kerala is 27/1000 in contrast to 40/1000 in rural Uttar Pradesh. A high average marriage age has contributed substantially to lowering the birthrate. The key variables in explaining the interstate fertility differentials in India are the level of education and the marriage age. At least in the States of Uttar Pradesh, Bihar, Madhya Pradesh, and Rajasthan, the basic thrust of the family planning program for the next 5 years should be on raising the marriage age. In sum, decline in the rural birthrate can be accomplished if a 4-fold strategy is adopted: a special program for female education in neglected rural areas; an increase in the marriage age in rural areas to at least 18-20 years for girls and the strict enforcement of the Prevention of Child Marriage Act; massive support of the Health Guide Scheme in order to realize the goal of health for all by the year 2000; and innovative steps to generate and mobilize initiative in the field of health and education within local rural communities.

  3. Enhancement of primary education using EDUSAT: Rajiv Gandhi project for EDUSAT supported elementary education network (RGPEEE) overview

    NASA Astrophysics Data System (ADS)

    Desai, Vikram; Murthy, Jagdish; Saksena, Ravi; Gupta, Ajay

    2009-11-01

    Providing education access to the children in the age group 6-14 years is a constitutional obligation and challenge for the union as well state governments, as the development of elementary education is a key factor for a nation's development. Due to the non-availability of required number of trained and expert teachers' knowledge-divide exists between students population of urban and rural/remote areas. To bridge this gap Distance Learning or Tele-education is the best option. A dedicated satellite for the purpose (EDUSAT) was launched on 20th September 2004 to serve the nation in all the education activities. It was decided to provide a Tele-education network in and around the Sidhi district of Madhya Pradesh, with uplink and studio facility (Hub) at Jabalpur (MP) and around 700 receive only terminals (ROTs) in various schools. Since the medium of teaching used in this network is Hindi, it was later decided to extend the coverage to connect around 50 primary schools with ROTs in six surrounding states viz. Jharkhand, Bihar, Chhatisgarh, Uttar Pradesh, Rajasthan and Uttaranchal. The network is configured as a DTH network using state-of-art digital technology, in Ku-band with 3.8 m antenna and 16 W power amplifier at Hub. The ROTs are designed to operate on solar power for 2.5 h continuously, taking into consideration the non-availability of primary power in the rural areas. The teachers of the schools are trained for the proper operations of the ROTs. The teachers of these rural schools also contribute to the content generation, with local relevance, in coordination with Indira Gandhi National Open University (IGNOU). At present the network with around 1000 ROTs is being utilized for 2 h per day. The RGPEEE network is in the process of being augmented with 32 satellite interactive terminals (SITs), to be used for teachers training. The project is being managed by two tier management system. In order to oversee the project implementation and monitoring an Apex Core Group, consisting of Apex Committee and Standing Committee, has been constituted. The Apex Committee takes care of policy decisions where as, the Standing Committee takes care of day to day affair.

  4. Spatial and seasonal responses of precipitation in the Ganges and Brahmaputra river basins to ENSO and Indian Ocean dipole modes: implications for flooding and drought

    USGS Publications Warehouse

    Pervez, Md Shahriar; Henebry, Geoffry M.

    2015-01-01

    We evaluated the spatial and seasonal responses of precipitation in the Ganges and Brahmaputra basins as modulated by the El Niño Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) modes using Global Precipitation Climatology Centre (GPCC) full data reanalysis of monthly global land-surface precipitation data from 1901 to 2010 with a spatial resolution of 0.5° × 0.5°. The GPCC monthly total precipitation climatology targeting the period 1951–2000 was used to compute gridded monthly anomalies for the entire time period. The gridded monthly anomalies were averaged for the years influenced by combinations of climate modes. Occurrences of El Niño alone significantly reduce (88% of the long-term average (LTA)) precipitation during the monsoon months in the western and southeastern Ganges Basin. In contrast, occurrences of La Niña and co-occurrences of La Niña and negative IOD events significantly enhance (110 and 109% of LTA in the Ganges and Brahmaputra Basin, respectively) precipitation across both basins. When El Niño co-occurs with positive IOD events, the impacts of El Niño on the basins' precipitation diminishes. When there is no active ENSO or IOD events (occurring in 41 out of 110 years), precipitation remains below average (95% of LTA) in the agriculturally intensive areas of Haryana, Uttar Pradesh, Rajasthan, Madhya Pradesh, and Western Nepal in the Ganges Basin, whereas precipitation remains average to above average (104% of LTA) across the Brahmaputra Basin. This pattern implies that a regular water deficit is likely, especially in the Ganges Basin, with implications for the agriculture sector due to its reliance on consistent rainfall for successful production. Historically, major droughts occurred during El Niño and co-occurrences of El Niño and positive IOD events, while major flooding occurred during La Niña and co-occurrences of La Niña and negative IOD events in the basins. This observational analysis will facilitate well-informed decision making in minimizing natural hazard risks and climate impacts on agriculture, and supports development of strategies ensuring optimized use of water resources in best management practice under a changing climate.

  5. Role of the private sector in vaccination service delivery in India: evidence from private-sector vaccine sales data, 2009-12.

    PubMed

    Sharma, Abhishek; Kaplan, Warren A; Chokshi, Maulik; Zodpey, Sanjay P

    2016-09-01

    India's Universal Immunization Programme (UIP) provides basic vaccines free-of-cost in the public sector, yet national vaccination coverage is poor. The Government of India has urged an expanded role for the private sector to help achieve universal immunization coverage. We conducted a state-by-state analysis of the role of the private sector in vaccinating Indian children against each of the six primary childhood diseases covered under India's UIP. We analyzed IMS Health data on Indian private-sector vaccine sales, 2011 Indian Census data and national household surveys (DHS/NFHS 2005-06 and UNICEF CES 2009) to estimate the percentage of vaccinated children among the 2009-12 birth cohort who received a given vaccine in the private sector in 16 Indian states. We also analyzed the estimated private-sector vaccine shares as function of state-specific socio-economic status. Overall in 16 states, the private sector contributed 4.7% towards tuberculosis (Bacillus Calmette-Guérin (BCG)), 3.5% towards measles, 2.3% towards diphtheria-pertussis-tetanus (DPT3) and 7.6% towards polio (OPV3) overall (both public and private sectors) vaccination coverage. Certain low income states (Uttar Pradesh, Rajasthan, Madhya Pradesh, Orissa, Assam and Bihar) have low private as well as public sector vaccination coverage. The private sector's role has been limited primarily to the high income states as opposed to these low income states where the majority of Indian children live. Urban areas with good access to the private sector and the ability to pay increases the Indian population's willingness to access private-sector vaccination services. In India, the public sector offers vaccination services to the majority of the population but the private sector should not be neglected as it could potentially improve overall vaccination coverage. The government could train and incentivize a wider range of private-sector health professionals to help deliver the vaccines, especially in the low income states with the largest birth cohorts. We recommend future studies to identify strengths and limitations of the public and private health sectors in each Indian state. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Characteristics of human - sloth bear (Melursus ursinus) encounters and the resulting human casualties in the Kanha-Pench corridor, Madhya Pradesh, India

    PubMed Central

    Bargali, Harendra; Gore, Kedar

    2017-01-01

    Sloth bears (Melursus ursinus) caused the highest number of human deaths between 2001 and 2015 and ranked second compared to other wild animals in causing human casualties in the Kanha-Pench corridor area. We studied the patterns of sloth bear attacks in the region to understand the reasons for conflict. We interviewed 166 victims of sloth bear attacks which occurred between 2004 and 2016 and found that most attacks occurred in forests (81%), with the greatest number of those (42%) occurring during the collection of Non-Timber Forest Produce (NTFP), 15% during the collection of fuelwood and 13% during grazing of livestock. The remainder took place at forest edges or in agricultural fields (19%), most occurring when person(s) were working in fields (7%), defecating (5%), or engaged in construction work (3%). Most victims were between the ages of 31 to 50 (57%) and most (54%) were members of the Gond tribe. The majority of attacks occurred in summer (40%) followed by monsoon (35%) and winter (25%). Forty-four percent of victims were rescued by people, while 43% of the time bears retreated by themselves. In 60% of attacks, a single bear was involved, whereas 25% involved adult females with dependent cubs and the remainder (15%) of the cases involved a pair of bears. We discuss the compensation program for attack victims as well as other governmental programs which can help reduce conflict. Finally, we recommend short-term mitigation measures for forest-dependent communities. PMID:28448565

  7. Spatial Temporal Sowing Pattern of Rapeseed-Mustard Crop in India Using Multi-Date IRS Awifs Data

    NASA Astrophysics Data System (ADS)

    Rajak, D. R.; Patel, H. A.; Chaudhari, K. N.; Patel, N. K.; Panigrahy, S.; Parihar, J. S.

    2011-08-01

    This paper highlights the results on spatial pattern of sowing of rapeseed/mustard in four major states in India using multidate Advanced Wide Field Sensor (AWiFS) data for 2010-11 crop season. Geo-referenced, calibrated AWiFS data acquired during October 2010 to February 2011 were used to generate the Normalised Difference Vegetation Index (NDVI) image sets. Iterative Self-Organizing Data Analysis Technique (ISODATA) based clustering of the multi date NDVI dataset for mustard crop pixels was performed. The clusters were segregated to spectral emergence classes using a spectral profile matching approach with reference to ground truth data. The sowing dates were derived from the spectral emergence data using a lag period based on field observation. Analysis showed the sowing pattern in the study states is spread over around 60 days from mid October to mid December. Three distinct clusters of sowing pattern were observed. The major one (around 40%) is sown between mid October and first week of November. Around 25% area is sown from last week of November to mid December. The other 35% area is sown in between these two periods. Analysis of temperature, a key weather variable influencing the growth of this crop, showed that the crop sowing in northern Rajasthan and Haryana is delayed by about one month to avoid the frost damage during reproductive phase. In the parts of Gujarat, southern parts of Rajasthan and Madhya Pradesh (MP), an early sowing in the second fortnight of October was observed, mainly to avoid higher mean temperatures during the month of March.

  8. Analysis of the contaminants released from municipal solid waste landfill site: A case study.

    PubMed

    Samadder, S R; Prabhakar, R; Khan, D; Kishan, D; Chauhan, M S

    2017-02-15

    Release and transport of leachate from municipal solid waste landfills pose a potential hazard to both surrounding ecosystems and human populations. In the present study, soil, groundwater, and surface water samples were collected from the periphery of a municipal solid waste landfill (located at Ranital of Jabalpur, Madhya Pradesh, India) for laboratory analysis to understand the release of contaminants. The landfill does not receive any solid wastes for dumping now as the same is under a landfill closure plan. Groundwater and soil samples were collected from the bore holes of 15m deep drilled along the periphery of the landfill and the surface water samples were collected from the existing surface water courses near the landfill. The landfill had neither any bottom liner nor any leachate collection and treatment system. Thus the leachate generated from the landfills finds paths into the groundwater and surrounding surface water courses. Concentrations of various physico-chemical parameters including some toxic metals (in collected groundwater, soil, and surface water samples) and microbiological parameters (in surface water samples) were determined. The analyzed data were integrated into ArcGIS environment and the spatial distribution of the metals and other physic- chemical parameter across the landfill was extrapolated to observe the distribution. The statistical analysis and spatial variations indicated the leaching of metals from the landfill to the groundwater aquifer system. The study will help the readers and the municipal engineers to understand the release of contaminants from landfills for better management of municipal solid wastes. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Characteristics of human - sloth bear (Melursus ursinus) encounters and the resulting human casualties in the Kanha-Pench corridor, Madhya Pradesh, India.

    PubMed

    Dhamorikar, Aniruddha H; Mehta, Prakash; Bargali, Harendra; Gore, Kedar

    2017-01-01

    Sloth bears (Melursus ursinus) caused the highest number of human deaths between 2001 and 2015 and ranked second compared to other wild animals in causing human casualties in the Kanha-Pench corridor area. We studied the patterns of sloth bear attacks in the region to understand the reasons for conflict. We interviewed 166 victims of sloth bear attacks which occurred between 2004 and 2016 and found that most attacks occurred in forests (81%), with the greatest number of those (42%) occurring during the collection of Non-Timber Forest Produce (NTFP), 15% during the collection of fuelwood and 13% during grazing of livestock. The remainder took place at forest edges or in agricultural fields (19%), most occurring when person(s) were working in fields (7%), defecating (5%), or engaged in construction work (3%). Most victims were between the ages of 31 to 50 (57%) and most (54%) were members of the Gond tribe. The majority of attacks occurred in summer (40%) followed by monsoon (35%) and winter (25%). Forty-four percent of victims were rescued by people, while 43% of the time bears retreated by themselves. In 60% of attacks, a single bear was involved, whereas 25% involved adult females with dependent cubs and the remainder (15%) of the cases involved a pair of bears. We discuss the compensation program for attack victims as well as other governmental programs which can help reduce conflict. Finally, we recommend short-term mitigation measures for forest-dependent communities.

  10. Fiscal transfers based on inputs or outcomes? Lessons from the Twelfth and Thirteenth Finance Commission in India

    PubMed Central

    Iyer, Smriti; Kapur, Avani; Mahbub, Rifaiyat; Mukherjee, Anit

    2017-01-01

    Summary Background There is limited empirical evidence about the efficacy of fiscal transfers for a specific purpose, including for health which represents an important source of funds for the delivery of public services especially in large populous countries such as India. Objective To examine two distinct methodologies for allocating specific‐purpose centre‐to‐state transfers, one using an input‐based formula focused on equity and the other using an outcome‐based formula focused on performance. Materials and Methods We examine the Twelfth Finance Commission (12FC)'s use of Equalization Grants for Health (EGH) as an input‐based formula and the Thirteenth Finance Commission (13FC)'s use of Incentive Grants for Health (IGH) as an outcome‐based formula. We simulate and replicate the allocation of these two transfer methodologies and examine the consequences of these fiscal transfer mechanisms. Results The EGH placed conditions for releasing funds, but states varied in their ability to meet those conditions, and hence their allocations varied, eg, Madhya Pradesh received 100% and Odisha 67% of its expected allocation. Due to the design of the IGH formula, IGH allocations were unequally distributed and highly concentrated in 4 states (Manipur, Sikkim, Tamil Nadu, Nagaland), which received over half the national IGH allocation. Discussion The EGH had limited impact in achieving equalization, whereas the IGH rewards were concentrated in states which were already doing better. Greater transparency and accountability of centre‐to‐state allocations and specifically their methodologies are needed to ensure that allocation objectives are aligned to performance. PMID:28857284

  11. Hidden burden of malaria in Indian women.

    PubMed

    Sharma, Vinod P

    2009-12-08

    Malaria is endemic in India with an estimated 70-100 million cases each year (1.6-1.8 million reported by NVBDCP); of this 50-55% are Plasmodium vivax and 45-50% Plasmodium falciparum. A recent study on malaria in pregnancy reported from undivided Madhya Pradesh state (includes Chhattisgarh state), that an estimated over 220,000 pregnant women contract malaria infection each year. Malaria in pregnancy caused- abortions 34.5%; stillbirths 9%; and maternal deaths 0.45%. Bulk of this tragic outcome can be averted by following the Roll Back Malaria/WHO recommendations of the use of malaria prevention i.e. indoor residual spraying (IRS)/insecticide-treated bed nets (ITN) preferably long-lasting treated bed nets (LLIN); intermittent preventive therapy (IPT); early diagnosis, prompt and complete treatment using microscopic/malaria rapid diagnostics test (RDT) and case management. High incidence in pregnancy has arisen because of malaria surveillance lacking coverage, lack of age and sex wise data, staff shortages, and intermittent preventive treatment (IPT) applicable in high transmission states/pockets is not included in the national drug policy- an essential component of fighting malaria in pregnancy in African settings. Inadequate surveillance and gross under-reporting has been highlighted time and again for over three decades. As a result the huge problem of malaria in pregnancy reported occasionally by researchers has remained hidden. Malaria in pregnancy may quicken severity in patients with drug resistant parasites, anaemia, endemic poverty, and malnutrition. There is, therefore, urgent need to streamline malaria control strategies to make a difference in tackling this grim scenario in human health.

  12. The relation between price and daily consumption of cigarettes and bidis: findings from the Tobacco Control Policy Evaluation Wave 1 Survey.

    PubMed

    Pawar, P S; Pednekar, M S; Gupta, P C; Shang, C; Quah, A C K; Fong, G T

    2014-12-01

    In India, 14% of the population use smoked tobacco products. Increasing prices of these products is one of the measures to curb their consumption. This study analyzes "unit price" and "daily consumption" of cigarettes and bidis and investigates their relation with each other. A cross-sectional survey was conducted in four states of India (Bihar, West Bengal, Madhya Pradesh and Maharashtra) as a part of the International Tobacco Control Policy (TCP) Evaluation Project (the TCP India Project) during 2010-2011. Information was collected from adult (aged ≥ 15) daily exclusive smokers of cigarette/bidi regarding (a) last purchase (purchase in pack/loose, brand and price) and (b) daily consumption. Average unit price and daily consumption was calculated for different brands and states. Regression model was used to assess the impact of price on daily consumption. Bidis were much less expensive ([symbol in text]0.39) than cigarettes ([symbol in text]3.1). The daily consumption was higher (14) among bidi smokers than cigarette smokers (8). The prices and daily consumption of bidis ([symbol in text]0.33-0.43; 12-15) and cigarettes ([symbol in text]2.9-3.6; 5-9) varied across the four states. The unit prices of bidis and cigarettes did not influence their daily consumption. Smokers purchasing bidis in packs paid substantially less per unit and purchase of bidis and cigarettes in packs influenced their consumption positively. Cigarettes although more expensive than bidis, seem very cheap if compared internationally. Hence, prices of both cigarettes and bidis do not influence their consumption.

  13. Fiscal transfers based on inputs or outcomes? Lessons from the Twelfth and Thirteenth Finance Commission in India.

    PubMed

    Fan, Victoria Y; Iyer, Smriti; Kapur, Avani; Mahbub, Rifaiyat; Mukherjee, Anit

    2018-01-01

    There is limited empirical evidence about the efficacy of fiscal transfers for a specific purpose, including for health which represents an important source of funds for the delivery of public services especially in large populous countries such as India. To examine two distinct methodologies for allocating specific-purpose centre-to-state transfers, one using an input-based formula focused on equity and the other using an outcome-based formula focused on performance. We examine the Twelfth Finance Commission (12FC)'s use of Equalization Grants for Health (EGH) as an input-based formula and the Thirteenth Finance Commission (13FC)'s use of Incentive Grants for Health (IGH) as an outcome-based formula. We simulate and replicate the allocation of these two transfer methodologies and examine the consequences of these fiscal transfer mechanisms. The EGH placed conditions for releasing funds, but states varied in their ability to meet those conditions, and hence their allocations varied, eg, Madhya Pradesh received 100% and Odisha 67% of its expected allocation. Due to the design of the IGH formula, IGH allocations were unequally distributed and highly concentrated in 4 states (Manipur, Sikkim, Tamil Nadu, Nagaland), which received over half the national IGH allocation. The EGH had limited impact in achieving equalization, whereas the IGH rewards were concentrated in states which were already doing better. Greater transparency and accountability of centre-to-state allocations and specifically their methodologies are needed to ensure that allocation objectives are aligned to performance. © 2017 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.

  14. Longitudinal Andhra Pradesh Eye Disease Study: rationale, study design and research methodology.

    PubMed

    Khanna, Rohit C; Murthy, Gudlavalleti Vs; Marmamula, Srinivas; Mettla, Asha Latha; Giridhar, Pyda; Banerjee, Seema; Shekhar, Konegari; Chakrabarti, Subhabrata; Gilbert, Clare; Rao, Gullapalli N

    2016-03-01

    The rationale, objectives, study design and procedures for the longitudinal Andhra Pradesh Eye Disease Study are described. A longitudinal cohort study was carried out. Participants include surviving cohort from the rural component of Andhra Pradesh Eye Disease Study. During 1996-2000, Andhra Pradesh Eye Disease Survey was conducted in three rural (n = 7771) and one urban (n = 2522) areas (now called Andhra Pradesh Eye Disease Study 1). In 2009-2010, a feasibility exercise (Andhra Pradesh Eye Disease Study 2) for a longitudinal study (Andhra Pradesh Eye Disease Study 3) was undertaken in the rural clusters only, as urban clusters no longer existed. In Andhra Pradesh Eye Disease Study 3, a detailed interview will be carried out to collect data on sociodemographic factors, ocular and systemic history, risk factors, visual function, knowledge of eye diseases and barriers to accessing services. All participants will also undergo a comprehensive eye examination including photography of lens, optic disc and retina, Optic Coherence Tomography of the posterior segment, anthropometry, blood pressure and frailty measures. Measures include estimates of the incidence of visual impairment and age-related eye disease (lens opacities, glaucoma and age-related macular degeneration) and the progression of eye disease (lens opacities and myopia) and associated risk factors. Of the 7771 respondents examined in rural areas in Andhra Pradesh Eye Disease Study 1, 5447 (70.1%) participants were traced in Andhra Pradesh Eye Disease Study 2. These participants will be re-examined. Andhra Pradesh Eye Disease Study 3 will provide data on the incidence and progression of visual impairment and major eye diseases and their associated risk factors in India. The study will provide further evidence to aid planning eye care services. © 2015 Royal Australian and New Zealand College of Ophthalmologists.

  15. El Niño Southern Oscillation as an early warning tool for malaria outbreaks in India.

    PubMed

    Dhiman, Ramesh C; Sarkar, Soma

    2017-03-20

    Risks of malaria epidemics in relation to El Niño and Southern Oscillation (ENSO) events have been mapped and studied at global level. In India, where malaria is a major public health problem, no such effort has been undertaken that inter-relates El Niño, Indian Summer Monsoon Rainfall (ISMR) and malaria. The present study has been undertaken to find out the relationship between ENSO events, ISMR and intra-annual variability in malaria cases in India, which in turn could help mitigate the malaria outbreaks. Correlation coefficients among 'rainfall index' (ISMR), '+ winter ONI' (NDJF) and 'malaria case index' were calculated using annual state-level data for the last 22 years. The 'malaria case index' representing 'relative change from mean' was correlated to the 4 month (November-February) average positive Oceanic Niño Index (ONI). The resultant correlations between '+ winter ONI' and 'malaria case index' were further analysed on geographical information system platform to generate spatial correlation map. The correlation between '+ winter ONI' and 'rainfall index' shows that there is great disparity in effect of ENSO over ISMR distribution across the country. Correlation between 'rainfall index' and 'malaria case index' shows that malaria transmission in all geographical regions of India are not equally affected by the ISMR deficit or excess. Correlation between '+ winter ONI' and 'malaria case index' was found ranging from -0.5 to + 0.7 (p < 0.05). A positive correlation indicates that increase in El Niño intensity (+ winter ONI) will lead to rise in total malaria cases in the concurrent year in the states of Orissa, Chhattisgarh, Jharkhand, Bihar, Goa, eastern parts of Madhya Pradesh, part of Andhra Pradesh, Uttarakhand and Meghalaya. Whereas, negative correlations were found in the states of Rajasthan, Haryana, Gujarat, part of Tamil Nadu, Manipur, Mizoram and Sikkim indicating the likelihood of outbreaks in La Nina condition. The generated map, representing spatial correlation between ' + winter ONI' and 'malaria case index', indicates positive correlations in eastern part, while negative correlations in western part of India. This study provides plausible guidelines to national programme for planning intervention measures in view of ENSO events. For better resolution, district level study with inclusion of IOD and 'epochal variation of monsoon rainfall' factors at micro-level is desired for better forecast of malaria outbreaks in the regions with 'no correlation'.

  16. India's population--what is being done?

    PubMed

    Maloney, C

    1986-01-01

    Thus far, India's efforts to curtail population growth have consistently failed to meet official targets. The crude birthrate (per 1000 population per year) is highest in the belt of 6 Hindi-speaking states, which include Rajasthan (40), Madhya Pradesh (38.5), Uttar Pradesh (38.4), Bihar (37.2), and Haryana (35.9). The rates are slightly lower in the other large North Indian States. The rate is 33.6 for India as a whole according to 1983 data. 3 of the South Indian states have the lowest crude birthrates: Kamataka (28.7), Tamil Nadu (27.8), and Kerata (24.9). Each of India's successive Five Year Plans gave increasingly more emphasis to population control, but the key tactical features have stayed the same. Population control comes under the Ministry of Health and Family Welfare, with family planning services provided through the free health delivery system. The main strategy continues to be to persuade people on an individual basis to accept the small family norm by a wide range of advertising and educational efforts. As of 1986, the family planning establishment had grown to gigantic proportions, employing half a million people in the family planning and health services. The Five Year Plan initiated in July 1985 continues the same approach but with added features. "Green cards" are given to those who accept sterilization after 2 children, allowing them a wide range of benefits such as low interest housing loans, preference in getting housing plots and enterprise loans, and salary increases for government employees. Health workers and other government employees have quotas of persons to motivate for contraceptive acceptance. They receive a small monetary incentive, which they often give to the acceptors so they can maintain their quotas and keep their jobs. The 1986 Revised Strategy for Family Planning is essentially more of the same with family planning more integrated with the health delivery system. Foreign and international donor agencies frequently have placed contradictory pressures on the Indian government, according to their own ideological tendencies. The family planning program is essential despite its faults, which are: bypassing of the natural community; and excessive medicalization and linkage with the health delivery system. In India there is an increasing realization that the achievements of the rural development and family planning programs are marginal relative to the amount of resources committed to them. This is because of the bureaucratic, from-the-top-down bias in which the physical community is neglected.

  17. Screening of some weeds for larvicidal activity against Aedes albopictus, a vector of dengue and chikungunya.

    PubMed

    Yadav, R; Tikar, S N; Sharma, A K; Tyagi, V; Sukumaran, D; Jain, A K; Veer, V

    2015-03-01

    Screening of crude extracts of plants facilitates the establishment of highly effective extract for mosquito control. This practice should be preferred before in depth study of plant extracts rather than spending much efforts and energy in detailed examinations for practically ineffective extracts. In this study, leaf powders of four weed plants were used for the quick screening of effective plant extract as larvicide against III instar larvae of Aedes albopictus Skuse. At the same time, effect of different seasons on the larvicidal efficacy of plants and selection of proper solvents for further investigation were also studied. Leaves of Vernonia cinerea, Prosopis juliflora, Hyptis suaveolens and Malvastrum coromandelianum plants were collected in summer, winter and rainy seasons from Madhya Pradesh region (India). To assess the larvicidal efficacy the suspensions of leaf powders in different solvents (isopropanol, methanol, acetone, dimethylsulfoxide and water) were used for larvicidal bioassay. The mortality counts were made after 24 h and the LC50 and LC90 values were calculated. Results showed that leaf powder of V. cinerea in acetone collected during summer showed highest efficacy with LC50 value of 0.22 g/l and LC90 of 0.96 g/l followed by methanolic solution of P. juliflora with LC50 of 0.44 g/l and LC90 value as 1.85 g/l. Amongst all solvents, leaf powder in acetone; while among seasons, summer collected plant materials were found to be more effective larvicides as compared to others. Summer and winter collected leaves of V. cinerea and P. juliflora dissolved in the solvents of medium polarity range showed significant larval toxicity and thus suggests a detailed study on these plants as potential larval control agents.

  18. The sanitation situation: a case study.

    PubMed

    Ali, S

    1993-10-15

    In India, interviews with and observations of members of 100 households with a latrine were done in the towns of Satna and Khandwa, in Madhya Pradesh State, to examine the sanitation situation, to evaluate the maintenance and performance of the 2 pit pour-flush water seal (PF) latrines of poor households, and to recommend actions to improve the sanitation situation. The upper caste Hindus and Muslims tended to use the PF latrines, while the low caste Hindus tended not to use them. Few dry latrines existed in Satna. More than 75% of the households used the PF latrines, especially in Khandwa. The latrines generally were in disrepair, because more families did not receive either instruction or back-up latrine maintenance. Other apparent reasons for poor maintenance were limited water, illiteracy, limited knowledge of how the PF latrine works, poor construction, excreta adhering to the squatting pan, rain entering the leach pits through the squatting pan causing overflow of the pits contents, clogged outlets and Y-junctions, difficulty in emptying the pits, and collapsed brick drains. Children did not use the latrines in more than 50% of households were the latrines were used. Uncomfortable seats were the reason the children chose to defecate in the open. These findings led the author to recommend that the government adopt laws addressing sanitation in low-cost housing settlements, slums, and other areas. A PF latrine must be constructed for each new building. Dry or bucket latrines must be connected to sewers, if available. Leach pits must be constructed for converting latrines into PF latrines. There should be a ban on new dry or bucket latrines. The government should provide the local authorities the power to enforce these regulations. PF latrines should be free for the poor.

  19. Sialochemical Analysis: A Portal for the Oral Diagnostician

    PubMed Central

    Bhambal, Ajay

    2014-01-01

    Background: Depressive disorders, worldwide, may rank second by the year 2020. In India; about 10 million people suffer from depressive disorders, the prevalence rate being recorded as 31.2 for every 1000 individuals. A significant impairment of all personal hygiene may occur due to a depressive episode which in turn may result in altered biochemical composition of some important salivary parameters. The present study was done to assess the relationship and bring about a comparison of certain selective sialochemical alterations between normal and subjects with depressive disorders. Settings and Design: The present study was a hospital- based clinical cross-sectional study which was conducted in Bhopal, the heart of Madhya Pradesh, India. The survey period extended over a period of one year and two months, from May 2009 to July 2010. Material and Methods: Unstimulated whole saliva was analysed biochemically for α- amylase, calcium, sodium, potassium, total proteins and urea. The data obtained in this study were statistically analyzed by using Unpaired Student’s t–test. Results: Salivary calcium and total protein levels were found to be statistically significant among all three groups (p< 0.0001). Salivary amylase levels between Groups II and III and between Groups I and III (p< 0.0001) was statistically significant while the salivary urea levels between Groups I and Group II and between Groups I and III were found to be statistically significant (p< 0.0001). However, there was no statistical difference in their sodium and potassium levels. Conclusions: It was observed that drugs do affect the salivary composition. It was observed that cyclic antidepressants produced significant alteration in the sialochemical constituents of saliva as compared to TCAs and TeCAs. PMID:24995243

  20. Catchment Area Treatment (CAT) Plan and Crop Area Optimization for Integrated Management in a Water Resource Project

    NASA Astrophysics Data System (ADS)

    Jaiswal, R. K.; Thomas, T.; Galkate, R. V.; Ghosh, N. C.; Singh, S.

    2013-09-01

    A scientifically developed catchment area treatment (CAT) plan and optimized pattern of crop areas may be the key for sustainable development of water resource, profitability in agriculture and improvement of overall economy in drought affected Bundelkhand region of Madhya Pradesh (India). In this study, an attempt has been made to develop a CAT plan using spatial variation of geology, geomorphology, soil, drainage, land use in geographical information system for selection of soil and water conservation measures and crop area optimization using linear programming for maximization of return considering water availability, area affinity, fertilizers, social and market constraints in Benisagar reservoir project of Chhatarpur district (M.P.). The scientifically developed CAT plan based on overlaying of spatial information consists of 58 mechanical measure (49 boulder bunds, 1 check dam, 7 cully plug and 1 percolation tank), 2.60 km2 land for agro forestry, 2.08 km2 land for afforestation in Benisagar dam and 67 mechanical measures (45 boulder bunds and 22 gully plugs), 7.79 km2 land for agro forestry, 5.24 km2 land for afforestation in Beniganj weir catchment with various agronomic measures for agriculture areas. The linear programming has been used for optimization of crop areas in Benisagar command for sustainable development considering various scenarios of water availability, efficiencies, affinity and fertilizers availability in the command. Considering present supply condition of water, fertilizers, area affinity and making command self sufficient in most of crops, the net benefit can be increase to Rs. 1.93 crores from 41.70 km2 irrigable area in Benisagar command by optimizing cropping pattern and reducing losses during conveyance and application of water.

  1. Towards seasonal forecasting of malaria in India.

    PubMed

    Lauderdale, Jonathan M; Caminade, Cyril; Heath, Andrew E; Jones, Anne E; MacLeod, David A; Gouda, Krushna C; Murty, Upadhyayula Suryanarayana; Goswami, Prashant; Mutheneni, Srinivasa R; Morse, Andrew P

    2014-08-10

    Malaria presents public health challenge despite extensive intervention campaigns. A 30-year hindcast of the climatic suitability for malaria transmission in India is presented, using meteorological variables from a state of the art seasonal forecast model to drive a process-based, dynamic disease model. The spatial distribution and seasonal cycles of temperature and precipitation from the forecast model are compared to three observationally-based meteorological datasets. These time series are then used to drive the disease model, producing a simulated forecast of malaria and three synthetic malaria time series that are qualitatively compared to contemporary and pre-intervention malaria estimates. The area under the Relative Operator Characteristic (ROC) curve is calculated as a quantitative metric of forecast skill, comparing the forecast to the meteorologically-driven synthetic malaria time series. The forecast shows probabilistic skill in predicting the spatial distribution of Plasmodium falciparum incidence when compared to the simulated meteorologically-driven malaria time series, particularly where modelled incidence shows high seasonal and interannual variability such as in Orissa, West Bengal, and Jharkhand (North-east India), and Gujarat, Rajastan, Madhya Pradesh and Maharashtra (North-west India). Focusing on these two regions, the malaria forecast is able to distinguish between years of "high", "above average" and "low" malaria incidence in the peak malaria transmission seasons, with more than 70% sensitivity and a statistically significant area under the ROC curve. These results are encouraging given that the three month forecast lead time used is well in excess of the target for early warning systems adopted by the World Health Organization. This approach could form the basis of an operational system to identify the probability of regional malaria epidemics, allowing advanced and targeted allocation of resources for combatting malaria in India.

  2. Effect of Variable Spatial Scales on USLE-GIS Computations

    NASA Astrophysics Data System (ADS)

    Patil, R. J.; Sharma, S. K.

    2017-12-01

    Use of appropriate spatial scale is very important in Universal Soil Loss Equation (USLE) based spatially distributed soil erosion modelling. This study aimed at assessment of annual rates of soil erosion at different spatial scales/grid sizes and analysing how changes in spatial scales affect USLE-GIS computations using simulation and statistical variabilities. Efforts have been made in this study to recommend an optimum spatial scale for further USLE-GIS computations for management and planning in the study area. The present research study was conducted in Shakkar River watershed, situated in Narsinghpur and Chhindwara districts of Madhya Pradesh, India. Remote Sensing and GIS techniques were integrated with Universal Soil Loss Equation (USLE) to predict spatial distribution of soil erosion in the study area at four different spatial scales viz; 30 m, 50 m, 100 m, and 200 m. Rainfall data, soil map, digital elevation model (DEM) and an executable C++ program, and satellite image of the area were used for preparation of the thematic maps for various USLE factors. Annual rates of soil erosion were estimated for 15 years (1992 to 2006) at four different grid sizes. The statistical analysis of four estimated datasets showed that sediment loss dataset at 30 m spatial scale has a minimum standard deviation (2.16), variance (4.68), percent deviation from observed values (2.68 - 18.91 %), and highest coefficient of determination (R2 = 0.874) among all the four datasets. Thus, it is recommended to adopt this spatial scale for USLE-GIS computations in the study area due to its minimum statistical variability and better agreement with the observed sediment loss data. This study also indicates large scope for use of finer spatial scales in spatially distributed soil erosion modelling.

  3. Maternal depressive symptoms are negatively associated with child growth and development: Evidence from rural India.

    PubMed

    Nguyen, Phuong Hong; Friedman, Jed; Kak, Mohini; Menon, Purnima; Alderman, Harold

    2018-05-17

    Maternal depression has been suggested as a risk factor for both poor child growth and development in many low- and middle-income countries, but the validity of many studies is hindered by small sample sizes, varying cut-offs used in depression diagnostics, and incomplete control of confounding factors. This study examines the association between maternal depressive symptoms (MDSs) and child physical growth and cognitive development in Madhya Pradesh, India, where poverty, malnutrition, and poor mental health coexist. Data were from a baseline household survey (n = 2,934) of a randomized controlled trial assessing an early childhood development programme. Multivariate linear and logistic regression analyses were conducted, adjusting for socio-economic factors to avoid confounding the association of mental health and child outcomes. MDS (measured using the Center for Epidemiologic Studies Short Depression Scale) was categorized as low, medium, and high in 47%, 42%, and 10% of mothers, respectively. The prevalence of child developmental delay ranged from 16% to 27% for various development domains. Compared with children of mothers with low MDS, those of high MDS mothers had lower height-for-age, weight-for-age, and weight-for-height z-scores (0.22, 0.21, and 0.15, respectively), a higher rate of stunting and underweight (~1.5 times), and higher rate of developmental delay (partial adjusted odds ratio ranged from 1.3-1.8 for different development domains and fully adjusted odds ratio = 1.4 for fine motor). Our results-that MDS is significantly associated with both child undernutrition and development delay-add to the call for practical interventions to address maternal depression to simultaneously address multiple outcomes for both women and children. © 2018 The Authors. Maternal & Child Nutrition Published by John Wiley & Sons, Ltd.

  4. Haplotype diversity and linkage disequilibrium at DRD2 locus--a study on four population groups of Andhra Pradesh, India.

    PubMed

    Saraswathy, Kallur Nava; Mukhopadhyay, Rupak; Shukla, Deepti; Kaur, Harpreet; Sachdeva, Mohinder Pal; Rao, A P; Saksena, Deepti; Kalla, Aloke Kumar

    2009-02-01

    Dopamine receptor D2 (DRD2) is expressed in the central nervous system and has a high affinity for many antipsychotic drugs. Besides several epidemiological investigations on association of DRD2 locus polymorphism(s) with neuropsychiatric problems and addictive behavior, a few polymorphisms in this locus have also been used to understand genomic diversity and population migratory histories globally. The present study attempts to understand the genomic diversity/affinity among four endogamous groups of Andhra Pradesh (India) against the backdrop of diversity studies from other parts of India and the rest of the world, with special reference to DRD2 locus. The four population groups from Adilabad District of Andhra Pradesh, namely, Brahmin (n=50), Nayakpod (n=49), Thoti (n=52), and Kolam (n=53), were included in the study. The DRD2 markers typed for the present study are three biallelic restriction fragments, that is, TaqI A (rs1800497), TaqI B (rs1079597), and TaqI D (rs1800498). Scoring of DRD2 haplotypes with respect to the three TaqI sites shows that five out of eight possible haplotypes are shared by the four populations. Ancestral haplotype B2D2A1 is most frequent among Thotis (0.359). The results of the present study indicate a differential gene flow into South India followed by certain important demographic events resulting in diversified peopling of India.

  5. Are learning strategies linked to academic performance among adolescents in two States in India? A tobit regression analysis.

    PubMed

    Areepattamannil, Shaljan

    2014-01-01

    The results of the fourth cycle of the Program for International Student Assessment (PISA) revealed that an unacceptably large number of adolescent students in two states in India-Himachal Pradesh and Tamil Nadu-have failed to acquire basic skills in reading, mathematics, and science (Walker, 2011). Drawing on data from the PISA 2009 database and employing multivariate left-censored to bit regression as a data analytic strategy, the present study, therefore, examined whether or not the learning strategies-memorization, elaboration, and control strategies-of adolescent students in Himachal Pradesh (N = 1,616; Mean age = 15.81 years) and Tamil Nadu (N = 3,210; Mean age = 15.64 years) were linked to their performance on the PISA 2009 reading, mathematics, and science assessments. Tobit regression analyses, after accounting for student demographic characteristics, revealed that the self-reported use of control strategies was significantly positively associated with reading, mathematical, and scientific literacy of adolescents in Himachal Pradesh and Tamil Nadu. While the self-reported use of elaboration strategies was not significantly associated with reading literacy among adolescents in Himachal Pradesh and Tamil Nadu, it was significantly positively associated with mathematical literacy among adolescents in Himachal Pradesh and Tamil Nadu. Moreover, the self-reported use of elaboration strategies was significantly and positively linked to scientific literacy among adolescents in Himachal Pradesh alone. The self-reported use of memorization strategies was significantly negatively associated with reading, mathematical, and scientific literacy in Tamil Nadu, while it was significantly negatively associated with mathematical and scientific literacy alone in Himachal Pradesh. Implications of these findings are discussed.

  6. Restoration of Bhoj Wetlands At Bhopal, India

    NASA Astrophysics Data System (ADS)

    Shukla, S. S.; Kulshrestha, M.; Wetland Project, Bhoj

    Bhoj Wetlands comprise the two lakes at Bhopal, India. These wetlands are listed amongst the 21 lakes recognized by Ministry of Environment and Forest, India and are under consideration for Ramsar lake status. The twin lakes have a total water- spread area of 32.29 sq. kms and catchment area of 370.6 sq. kms and both lakes support a rich and diverse range of flora and fauna. Currently with the help of 7055-m Yen soft loan from Japan Bank for International Cooperation (JBIC), a comprehen- sive project called the Bhoj Wetland Project has been launched for Eco-conservation management of twin lakes and this is one of the most reputed projects of its kind being undertaken in India. This paper presents details of the various works being undertaken for restoration of these wetlands at Bhopal. The Bhoj Wetlands are located at Bhopal, a city founded in 11th century AD by King Bhoj and which became known for the worst industrial Gas tragedy in 1984 when thousands lost their lives. The city is still recovering and the Bhoj Wetland Project is playing a very crucial role in improving the overall environmental status of the City. These wetlands are at present facing acute en- vironmental degradation due to pollution from a number of sources such as inflow of untreated sewage and solid waste, silt erosion and inflow from catchment, commercial activities like washing of clothes and cleaning of vehicles etc., inflow of agricultural residues and pesticides, and encroachment by builders all of which are fast eroding the rich eco-culture, flora fauna in and around the wetlands. The Bhoj Wetland Project is being implemented since the year 1995 and is scheduled to end in March 2002. The project works are being undertaken under the overall aegis of Ministry of Housing Environment, Govt. of Madhya Pradesh (M.P.) State, India. All the detailed project reports (DPRs) and preliminary ground work was undertaken by the in-house staff of Bhoj Wetland project, resulting in huge amounts of financial savings as well as devel- opment of in-house expertise. The works have also been taken up manually as far as possible, giving employment opportunities to thousands of poor residents of Bhopal City and nearby villages. This also has ensured participation of masses by default. The project had at the time of its inception envisaged a sum of Rs. 2470 millions. As a result of manual pursuance of work, development of in-house expertise and due to various other cost reduction exercises adopted by the project authorities and engineers the project has so far spent only Rs. 1100 millions thus resulting in huge savings. A part of savings (Rs. 500 millions) has been invested to form a Lake Conservation Authority U a Government body which will look after all the lakes in the entire state 1 of Madhya Pradesh, thus contributing immensely to the cause of lake conservation. One of the special features of this project has been the involvement of masses in its various developmental schemes. This has been ensured by involving more than 55 NGOs and dozens of local educational institutions. Millions of Rupees have been ear- marked for ensuring public participation in various sub-projects. The project on its completion within the next 4 months will contribute immensely to the conservation of both the lakes which can them become role models for other similar wetlands. The paper also details out the various project works like diversion and treatment of nearly 56 MLD of sewage, reduction of harmful inflows of chemicals from activities such as washing activity, idol immersions etc., reduction measures for silt inflow to the lakes, desilting and dredging operations to increase the lake capacity by more than 2.5 M.Cum, improvement in the water quality by reduction of pollution, deweeding oper- ations, nutrient removal by dredging, increased aquaculture activities etc., large scale afforestation (1.6 million trees have been planted in the catchment) and implementa- tion of solid waste management plan in the city. The direct beneficiaries of this project would be the common people who are set to gain by virtue of improved city environ- ment, increased forest produce, controlled fishing, eco-tourism and improvement in the quality of drinking water. 2

  7. Outcomes of polio eradication activities in Uttar Pradesh, India: the Social Mobilization Network (SM Net) and Core Group Polio Project (CGPP)

    PubMed Central

    2011-01-01

    Background The primary strategy to interrupt transmission of wild poliovirus in India is to improve supplemental immunization activities and routine immunization coverage in priority districts with a focus on 107 high-risk blocks of western Uttar Pradesh and central Bihar. Villages or urban areas with a history of wild poliovirus transmission, or hard-to-reach or resistant populations are categorized as high-risk areas within blocks. The Social Mobilization Network (SM Net) was formed in Uttar Pradesh in 2003 to support polio eradication efforts through improved planning, implementation and monitoring of social mobilization activities in those high-risk areas. In this paper, we examine the vaccination outcomes in districts of SM Net where the CORE Group works. Methods We carried out a secondary data analysis of routine monitoring information collected by the SM Net and the Government of India. These data include information about vaccination outcomes in SM Net areas and non-SM Net areas within the districts where the CORE Group operates. Statistical analysis was used to compare, between SM Net and non-SM Net areas, vaccination outcomes considered sensitive to social mobilization efforts of the SM Net. We employed Generalized Estimating Equations (GEE) statistical method to account for Intra-cluster Correlation (ICC), and used 'Quasi-likelihood under the independence model criterion (QIC)' as the model selection method. Results Vaccination outcomes in SM Net areas were as high as or higher than in non-SM Net areas. There was considerable variation in vaccination outcomes between districts. Conclusions While not conclusive, the results suggest that the social mobilization efforts of the SM Net and the CORE Group are helping to increase vaccination levels in high-risk areas of Uttar Pradesh. Vaccination outcomes in CORE Group areas were equal or higher than in non-CORE, non-SM Net areas. This occurred even though SM Net areas are those with more community resistance to polio vaccination and/or are have harder-to-reach populations than non-SM Net areas. Other likely explanations for the relatively good vaccination performance in SM Net areas are not apparent. PMID:21569256

  8. Sustainability of land reclamation measures in erosional badlands: A comparative perspective on semi-arid landscapes of South Morocco and Central India

    NASA Astrophysics Data System (ADS)

    Marzolff, Irene; Pani, Padmini; Mohapatra, Surya; Ghafrani, Hassan; Aït Hssaine, Ali

    2015-04-01

    Semi-arid regions around the world, where gully erosion is a major land-degradation process, are particularly vulnerable to the effects of population growth and land-use change. In regions with high pressure on land as a resource - either due to population pressure or to agricultural intensification or both - erosion-affected areas are increasingly being reclaimed as agricultural land in an endeavour to turn marginal or unused land into fields, plantations, greenhouses or even building ground. Depending on the severity and depth of the erosion processes, this may be done by ploughing (for ephemeral gullying), land-levelling with bulldozers (for permanent gullies and badlands) or infilling with ex situ material (for large and deep gullies and badlands). The success of such measures, which also depends on subsequent soil-erosion protection, varies strongly and is not yet well researched. The little developed part of Lower Chambal Valley (Madhya Pradesh) is one of the four regions most badly affected by gully and badland erosion in India. Around 80% of the rural population are dependent on agriculture, an estimated 5000 km² are affected by gullies and badlands as deep as 80 m. Various land reclamation measures have been conducted on widely different spatial scales both by governmental and non-governmental agencies and individual farmers. However, the reclamation strategies of rich and poor farmers also exhibit significant differences, and agricultural use that often is based on short-term economic needs of households leads to inefficient land-use practices particularly in land-levelled and reclaimed areas. Although set in rural surroundings as well, the Souss Valley (South Morocco) is characterized by highly dynamic land-use changes with transformations from traditional agriculture to vast agro-industrial plantations of citrus fruits, bananas and vegetables. These plantations, as well as other arable land, are threatened by gullies and other forms of soil erosion. The ubiquitous transformation of land into the high-intensity agro-industrial production system has now reached marginal land formerly unsuitable for agriculture: Badland areas and wasteland dissected by gully erosion are being levelled with heavy machinery. However, these measures are often contra-productive. Levelled sites show a clear amplification of soil erosion processes, and temporarily infilled gullies tend to be re-activated very fast, eroding this freshly provided soil material. As a first step in a comparative investigation of the sustainability of land reclamation measures in erosive landscapes with contrasting situations, data derived from remote sensing (satellite and unmanned aerial vehicle images) as well as socio-economic surveys were used for establishing an inventory on the two regions in South Morocco and Central India. The long-term aim is the development of a framework for further research into the positive and negative influences of land-levelling as a gully-erosion control measure.

  9. 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.

  10. Disjunctive Grade Variation from Greenschist to Granulite Facies, Siyom Valley, Eastern Arunachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Clarke, G. L.; Bhowmik, S. K.; Aitchison, J. C.; Ireland, T. R.

    2014-12-01

    The Siyom Valley section in eastern Arunachal Pradesh exposes an inverted metamorphic succession (Nandini & Thakur, 2011), metapelitic assemblages increasing in grade northwards from chlorite, through biotite, garnet-staurolite and kyanite-bearing schist to kyanite-sillimanite migmatite. Grade changes are mostly controlled by shallowly north, and northwest-dipping fault structures. Two textural stages of garnet growth can be identified in the ilmenite-bearing amphibolite facies rocks, staurolite having formed late in, or after, deformation responsible for the main penetrative foliation (S2). Kyanite and rutile inclusions in garnet indicate that their growth in migmatite preceded that of matrix sillimanite, ilmenite and cordierite, though unrecrystallized kyanite is also common in the feldspathic matrix. Preliminary data indicate the pronounced tectonic thinning of metasedimentary protoliths during exhumation, and the probability of a pronounced step in grade in the middle part of the river section. Similarities with sections in the Sikkim (Dasgupta et al., 2004) and western Arunachal Pradesh (Goswami et al., 2009) Himalaya reflect the lateral continuity of the south-vergent thrusts that controlled the exhumation of the high-grade rocks, with debate concerning the location and significance of the Main Central Thrust zone begging protolith and metamorphic age data. Dasgupta, S.,Ganguly, J. & Neogi, S., 2004. Inverted metamorphic sequence in the Sikkim Himalayas: crystallization history, P-T gradient and implications. Journal of Metamorphic Geology, 22, 395-412. Goswami, S., Bhowmik, S.K. & Dasgupta, S., 2009. Petrology of a non-classical Barrovian inverted metamorphic sequence from the western Arunachal Himalaya, India. Journal of Asian Earth Sciences, 36, 390-406. Nandini, P. & Thakur, S.S., 2011. Metamorphic evolution of the Lesser Himalayan Crystalline Sequence, Siyom Valley, NE Himalaya, India. Journal of Asian Earth Sciences, 40, 1089-1100

  11. "Developing culturally sensitive affect scales for global mental health research and practice: Emotional balance, not named syndromes, in Indian Adivasi subjective well-being".

    PubMed

    Snodgrass, Jeffrey G; Lacy, Michael G; Upadhyay, Chakrapani

    2017-08-01

    We present a perspective to analyze mental health without either a) imposing Western illness categories or b) adopting local or "native" categories of mental distress. Our approach takes as axiomatic only that locals within any culture share a cognitive and verbal lexicon of salient positive and negative emotional experiences, which an appropriate and repeatable set of ethnographic procedures can elicit. Our approach is provisionally agnostic with respect to either Western or native nosological categories, and instead focuses on persons' relative frequency of experiencing emotions. Putting this perspective into practice in India, our ethnographic fieldwork (2006-2014) and survey analysis (N = 219) resulted in a 40-item Positive and Negative Affect Scale (PANAS), which we used to assess the mental well-being of Indigenous persons (the tribal Sahariya) in the Indian states of Rajasthan and Madhya Pradesh. Generated via standard cognitive anthropological procedures that can be replicated elsewhere, measures such as this possess features of psychiatric scales favored by leaders in global mental health initiatives. Though not capturing locally named distress syndromes, our scale is nonetheless sensitive to local emotional experiences, frames of meaning, and "idioms of distress." By sharing traits of both global and also locally-derived diagnoses, approaches like ours can help identify synergies between them. For example, employing data reduction techniques such as factor analysis-where diagnostic and screening categories emerge inductively ex post facto from emotional symptom clusters, rather than being deduced or assigned a priori by either global mental health experts or locals themselves-reveals hidden overlaps between local wellness idioms and global ones. Practically speaking, our perspective, which assesses both emotional frailty and also potential sources of emotional resilience and balance, while eschewing all named illness categories, can be deployed in mental health initiatives in ways that minimize stigma and increase both the acceptability and validity of assessment instruments. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Overweight and obesity prevalence among Indian women by place of residence and socio-economic status: Contrasting patterns from 'underweight states' and 'overweight states' of India.

    PubMed

    Sengupta, Angan; Angeli, Federica; Syamala, Thelakkat S; Dagnelie, Pieter C; van Schayck, C P

    2015-08-01

    Evidence from developing countries demonstrates a mixed relationship of overweight/obesity with socioeconomic status (SES) and place of residence. Theory of nutrition transition suggests that over the course of development, overweight first emerges among rich and urban people before spreading among rural and poor people. India is currently experiencing a rapid rise in the proportion of overweight and obese population especially among adult women. Under the backdrop of huge socio-economic heterogeneity across the states of India, the inter-state scenario of overweight and obesity differs considerably. Hence, this paper investigates the evolution over time of overweight and obesity among ever-married Indian women (15-49 years) from selected 'underweight states' (Bihar, Orissa and Madhya Pradesh, where underweight proportion is predominant) and 'overweight states' (Kerala, Delhi and Punjab, where overweight is the prime concern), in relation to a few selected socio-economic and demographic indicators. This study analysed National Family Health Surveys- NFHS-2 (1998-99) and NFHS-3 (2005-06) following Asian population specific BMI cut-offs for overweight and obesity. The results confirm that within India itself the relationship of overweight and obesity with place of residence and SES cannot be generalized. Results from 'overweight states' show that the overweight problem has started expanding from urban and well-off women to the poor and rural people, while the rural-urban and rich-poor difference has disappeared. On the other hand in 'underweight states' overweight and obesity have remained socially segregated and increasing strongly among urban and richer section of the population. The rate of rise of overweight and obesity has been higher in rural areas of 'OW states' and in urban areas of 'UW states'. Indian policymakers thus need to design state-specific approaches to arrest the rapid growth of overweight and its penetration especially towards under-privileged section of the society. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. A study of the palatal rugae pattern among male female and transgender population of Bhopal city

    PubMed Central

    Saxena, Eshani; Chandrashekhar, B. R; Hongal, Sudheer; Torwane, Nilesh; Goel, Pankaj; Mishra, Priyesh

    2015-01-01

    Context: Transgenders are highly disadvantaged people, deprived of adequate opportunities of earning a respectable living. The forensic literature has emphasized on two genders, male and female, the existence of a third gender (Transgenders) is almost negligible in the literature, and this makes it compulsive to determine their identity through forensic approaches at the time of disasters. Previous studies have demonstrated that no two palatal rugae pattern are alike in their configuration and this unique feature has led us to undertake a study to establish individual identities using palatal rugae pattern. Aims: The purpose of this study was to compare the palatal rugae pattern among male, female, and transgender population of the Bhopal city. Settings and Design: This study was cross sectional in nature and conducted on a convenience sample of 148 subjects selected from Bhopal city, Madhya Pradesh. The study involved 49 males, 51 females, and 48 eunuchs in the age range of 17 to 35 years. Materials and Methods: Maxillary impression using alginate impression material was made and the cast was prepared using die stone on palatal area and dental stone as a base. The palatal rugae pattern was assessed on the basis of number, length, shape, direction, and unification. Statistical Analysis Used: One way ANOVA was used for comparing the mean values between different genders. The multiple pairwise comparisons were done with the Bonferroni post hoc correction. The statistical significance was fixed at 0.05. Results: The statistically significant difference with regard to some parameters like number of rugae, fragmentary rugae, wavy rugae, curve rugae, forwardly directed, and backwardly directed rugae between transgender and other gender groups were present. Conclusion: The difference in the parameters of the palatal rugae pattern among the transgender population and the other gender group is attributed to be the genetic makeup and sexual dimorphism. PMID:26005304

  14. An evaluation of two large scale demand side financing programs for maternal health in India: the MATIND study protocol.

    PubMed

    Sidney, Kristi; de Costa, Ayesha; Diwan, Vishal; Mavalankar, Dileep V; Smith, Helen

    2012-08-27

    High maternal mortality in India is a serious public health challenge. Demand side financing interventions have emerged as a strategy to promote access to emergency obstetric care. Two such state run programs, Janani Suraksha Yojana (JSY)and Chiranjeevi Yojana (CY), were designed and implemented to reduce financial access barriers that preclude women from obtaining emergency obstetric care. JSY, a conditional cash transfer, awards money directly to a woman who delivers in a public health facility. This will be studied in Madhya Pradesh province. CY, a voucher based program, empanels private obstetricians in Gujarat province, who are reimbursed by the government to perform deliveries of socioeconomically disadvantaged women. The programs have been in operation for the last seven years. The study outlined in this protocol will assess and compare the influence of the two programs on various aspects of maternal health care including trends in program uptake, institutional delivery rates, maternal and neonatal outcomes, quality of care, experiences of service providers and users, and cost effectiveness. The study will collect primary data using a combination of qualitative and quantitative methods, including facility level questionnaires, observations, a population based survey, in-depth interviews, and focus group discussions. Primary data will be collected in three districts of each province. The research will take place at three levels: the state health departments, obstetric facilities in the districts and among recently delivered mothers in the community. The protocol is a comprehensive assessment of the performance and impact of the programs and an economic analysis. It will fill existing evidence gaps in the scientific literature including access and quality to services, utilization, coverage and impact. The implementation of the protocol will also generate evidence to facilitate decision making among policy makers and program managers who currently work with or are planning similar programs in different contexts.

  15. A pragmatic method for estimating seepage losses for small reservoirs with application in rural India

    NASA Astrophysics Data System (ADS)

    Oblinger, Jennifer A.; Moysey, Stephen M. J.; Ravindrinath, Rangoori; Guha, Chiranjit

    2010-05-01

    SummaryThe informal construction of small dams to capture runoff and artificially recharge ground water is a widespread strategy for dealing with water scarcity. A lack of technical capacity for the formal characterization of these systems, however, is often an impediment to the implementation of effective watershed management practices. Monitoring changes in reservoir storage provides a conceptually simple approach to quantify seepage, but does not account for the losses occurring when seepage is balanced by inflows to the reservoir and the stage remains approximately constant. To overcome this problem we evaluate whether a physically-based volume balance model that explicitly represents watershed processes, including reservoir inflows, can be constrained by a limited set of data readily collected by non-experts, specifically records of reservoir stage, rainfall, and evaporation. To assess the impact of parameter non-uniqueness associated with the calibration of the non-linear model, we perform a Monte Carlo analysis to quantify uncertainty in the total volume of water contributed to the subsurface by the 2007 monsoon for a dam located in the Deccan basalts near the village of Salri in Madhya Pradesh, India. The Monte Carlo analysis demonstrated that subsurface losses from the reservoir could be constrained with the available data, but additional measurements are required to constrain reservoir inflows. Our estimate of seepage from the reservoir (7.0 ± 0.6 × 10 4 m 3) is 3.5 times greater than the recharge volume estimated by considering reservoir volume changes alone. This result suggests that artificial recharge could be significantly underestimated when reservoir inflows are not explicitly included in models. Our seepage estimate also accounts for about 11% of rainfall occurring upstream of the dam and is comparable in magnitude to natural ground water recharge, thereby indicating that the reservoir plays a significant role in the hydrology of this small watershed.

  16. Methane oxidation and abundance of methane oxidizers in tropical agricultural soil (vertisol) in response to CuO and ZnO nanoparticles contamination.

    PubMed

    Mohanty, Santosh Ranjan; Rajput, Parul; Kollah, Bharati; Chourasiya, Dipanti; Tiwari, Archana; Singh, Muneshwar; Rao, A Subba

    2014-06-01

    There is worldwide concern over the increase use of nanoparticles (NPs) and their ecotoxicological effect. It is not known if the annual production of tons of industrial nanoparticles (NPs) has the potential to impact terrestrial microbial communities, which are so necessary for ecosystem functioning. Here, we have examined the consequences of adding the NPs particularly the metal oxide (CuO, ZnO) on CH4 oxidation activity in vertisol and the abundance of heterotrophs, methane oxidizers, and ammonium oxidizers. Soil samples collected from the agricultural field located at Madhya Pradesh, India, were incubated with either CuO and ZnO NPs or ionic heavy metals (CuCl2, ZnCl2) separately at 0, 10, and 20 μg g(-1) soil. CH4 oxidation activity in the soil samples was estimated at 60 and 100 % moisture holding capacity (MHC) in order to link soil moisture regime with impact of NPs. NPs amended to soil were highly toxic for the microbial-mediated CH4 oxidation, compared with the ionic form. The trend of inhibition was Zn 20 > Zn 10 > Cu 20 > Cu 10. NPs delayed the lag phase of CH4 oxidation to a maximum of 4-fold and also decreased the apparent rate constant k up to 50 % over control. ANOVA and Pearson correlation analysis (α = 0.01) revealed significant impact of NPs on the CH4 oxidation activity and microbial abundance (p < 0.0001, and high F statistics). Principal component analysis (PCA) revealed that PC1 (metal concentration) rendered 76.06 % of the total variance, while 18.17 % of variance accounted by second component (MHC). Biplot indicated negative impact of NPs on CH4 oxidation and microbial abundance. Our result also confirmed that higher soil moisture regime alleviates toxicity of NPs and opens new avenues of research to manage ecotoxicity and environmental hazard of NPs.

  17. Do Physical Proximity and Availability of Adequate Infrastructure at Public Health Facility Increase Institutional Delivery? A Three Level Hierarchical Model Approach

    PubMed Central

    Patel, Rachana; Ladusingh, Laishram

    2015-01-01

    This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007–08) data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM) and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women’s residing in more urbanized districts increased the utilization. “Inter-district” variation was 14 percent whereas “between-villages” variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and inaccessible considering the inter-districts variation for the program implementation. PMID:26689199

  18. Do Physical Proximity and Availability of Adequate Infrastructure at Public Health Facility Increase Institutional Delivery? A Three Level Hierarchical Model Approach.

    PubMed

    Patel, Rachana; Ladusingh, Laishram

    2015-01-01

    This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007-08) data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM) and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women's residing in more urbanized districts increased the utilization. "Inter-district" variation was 14 percent whereas "between-villages" variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and inaccessible considering the inter-districts variation for the program implementation.

  19. Continuity of Microblade Technology in the Indian Subcontinent Since 45 ka: Implications for the Dispersal of Modern Humans

    PubMed Central

    Mishra, Sheila; Chauhan, Naveen; Singhvi, Ashok K.

    2013-01-01

    We extend the continuity of microblade technology in the Indian Subcontinent to 45 ka, on the basis of optical dating of microblade assemblages from the site of Mehtakheri, (22° 13' 44″ N Lat 76° 01' 36″ E Long) in Madhya Pradesh, India. Microblade technology in the Indian Subcontinent is continuously present from its first appearance until the Iron Age (~3 ka), making its association with modern humans undisputed. It has been suggested that microblade technology in the Indian Subcontinent was developed locally by modern humans after 35 ka. The dates reported here from Mehtakheri show this inference to be untenable and suggest alternatively that this technology arrived in the Indian Subcontinent with the earliest modern humans. It also shows that modern humans in Indian Subcontinent and SE Asia were associated with differing technologies and this calls into question the “southern dispersal” route of modern humans from Africa through India to SE Asia and then to Australia. We suggest that modern humans dispersed from Africa in two stages coinciding with the warmer interglacial conditions of MIS 5 and MIS 3. Competitive interactions between African modern humans and Indian archaics who shared an adaptation to tropical environments differed from that between modern humans and archaics like Neanderthals and Denisovans, who were adapted to temperate environments. Thus, while modern humans expanded into temperate regions during warmer climates, their expansion into tropical regions, like the Indian Subcontinent, in competition with similarly adapted populations, occurred during arid climates. Thus modern humans probably entered the Indian Subcontinent during the arid climate of MIS 4 coinciding with their disappearance from the Middle East and Northern Africa. The out of phase expansion of modern humans into tropical versus temperate regions has been one of the factors affecting the dispersal of modern humans from Africa during the period 200–40 ka. PMID:23840912

  20. When do Indians feel hot? Internet searches indicate seasonality suppresses adaptation to heat

    NASA Astrophysics Data System (ADS)

    Singh, Tanya; Siderius, Christian; Van der Velde, Ype

    2018-05-01

    In a warming world an increasing number of people are being exposed to heat, making a comfortable thermal environment an important need. This study explores the potential of using Regional Internet Search Frequencies (RISF) for air conditioning devices as an indicator for thermal discomfort (i.e. dissatisfaction with the thermal environment) with the aim to quantify the adaptation potential of individuals living across different climate zones and at the high end of the temperature range, in India, where access to health data is limited. We related RISF for the years 2011–2015 to daily daytime outdoor temperature in 17 states and determined at which temperature RISF for air conditioning starts to peak, i.e. crosses a ‘heat threshold’, in each state. Using the spatial variation in heat thresholds, we explored whether people continuously exposed to higher temperatures show a lower response to heat extremes through adaptation (e.g. physiological, behavioural or psychological). State-level heat thresholds ranged from 25.9 °C in Madhya Pradesh to 31.0 °C in Orissa. Local adaptation was found to occur at state level: the higher the average temperature in a state, the higher the heat threshold; and the higher the intra-annual temperature range (warmest minus coldest month) the lower the heat threshold. These results indicate there is potential within India to adapt to warmer temperatures, but that a large intra-annual temperature variability attenuates this potential to adapt to extreme heat. This winter ‘reset’ mechanism should be taken into account when assessing the impact of global warming, with changes in minimum temperatures being an important factor in addition to the change in maximum temperatures itself. Our findings contribute to a better understanding of local heat thresholds and people’s adaptive capacity, which can support the design of local thermal comfort standards and early heat warning systems.

  1. A surprising exception. Himachal's success in promoting female education.

    PubMed

    Dreze, J

    1999-01-01

    Gender inequalities in India are derived partly from the economic dependence of women on men. Low levels of formal education among women reinforce the asymmetry of power between the sexes. A general pattern of sharp gender bias in education levels is noted in most Indian states; however, in the small state of Himachal Pradesh, school participation rates are almost as high for girls as for boys. Rates of school participation for girls at the primary level is close to universal in this state, and while gender bias persists at higher levels of education, it is much lower than elsewhere in India and rapidly declining. This was not the case 50 years ago; educational levels in Himachal Pradesh were no higher than in Bihar or Uttar Pradesh. Today, the spectacular transition towards universal elementary education in Himachal Pradesh has contributed to the impressive reduction of poverty, mortality, illness, undernutrition, and related deprivations.

  2. Ethno – Medico – Botany of Chenchus of Mahaboobnagar District, Andhra Pradesh

    PubMed Central

    Kumar, T. Dharmachandra; Pullaiah, T.

    1999-01-01

    The present paper deals with the ethno-medico-botany of Chenchus of Mahaboobnagar district, Andhra Pradesh. About fourty four plants are enumerated with knowledge of the tribals for their medicinal uses in curing different diseases and ailments. PMID:22556915

  3. Socio-economic position and cardiovascular risk in rural Indian adolescents: evidence from the Andhra Pradesh children and parents study (APCAPS).

    PubMed

    Kinra, S; Johnson, M; Kulkarni, B; Rameshwar Sarma, K V; Ben-Shlomo, Y; Smith, G D

    2014-09-01

    This study examined association between socio-economic position and cardiovascular risk factors in adolescents to investigate whether childhood socio-economic position is a risk factor for future cardiovascular disease, independently of adult behaviours. Participants (n = 1128, 46% girls, aged 13-18 years) were members of a birth cohort (Andhra Pradesh Children and Parents Study or APCAPS) established to investigate long-term effects of a pregnancy and childhood nutritional supplementation trial conducted in 29 villages near Hyderabad in South India. Cross-sectional associations between socio-economic position and cardiovascular risk factors were examined using linear regression models. The mean BMI was 16.7 kg/m(2) for boys and 17.8 kg/m(2) for girls. Socio-economic position was positively associated with fat mass index (0.15 kg/m(2); 95% CI: 0.05-0.25) and inversely associated with central-peripheral skinfold ratio (-0.04; 95% CI: -0.06 to -0.01) and, in boys, fasting triglycerides (-0.05; 95% CI: -0.09 to -0.01). Association of socio-economic position with other risk factors (blood pressure, arterial stiffness, fasting glucose, insulin and cholesterol) was weak and inconsistent, and did not persist after adjustment for potential confounders, including age, sex, pubertal stage, height, adiposity and nutrition supplementation. The study thus showed that lower socio-economic position may be associated with greater central adiposity and higher triglyceride levels in these settings. Socio-economic gradient in cardiovascular risk may strengthen in future with later economic and lifestyle changes. Cardiovascular disease prevention strategies should therefore focus on the youth from the low income group. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  4. Measurement and modeling of CO2 exchange over forested landscapes in India: an overview

    NASA Astrophysics Data System (ADS)

    Kushwaha, S.; Dadhwal, V.

    2009-04-01

    The increasing atmospheric CO2 concentration and its potential impact on global climate change is the subject of worldwide studies, political debates and international discussions. The concern led to the establishment of the Kyoto Protocol to curtail emissions and mitigate the possible global warming. The studies so far suggest that terrestrial biological sinks might be the low cost options for carbon sequestration, which can be used to partially offset the industrial CO2 emissions globally. In past, the effectiveness of terrestrial sink and the quantitative estimates of their sink strengths have relied mainly on the measurements of changes in carbon stocks across the world. Recent developments in flux tower based measurement techniques such as Eddy Covariance for assessing the CO2, H2O and energy fluxes provide tools for quantifying the net ecosystem exchange (NEE) of CO2 on a continuous basis. These near real time measurements, when integrated with remote sensing, enable the up-scaling of the carbon fluxes to regional scale. More than 470 towers exist worldwide as of now. Indian subcontinent was not having any tower-based CO2 flux measurement system so far. The Indian Space Research Organization under its Geosphere Biosphere Programme is funding five eddy covariance towers for terrestrial CO2 flux measurements in different ecological regions of the country. The tower sites already planned are: (i) a mixed forest plantation (Dalbergia sissoo, Acacia catechu, Holoptelia integrifolia) at Haldwani in collaboration with DISAFRI, University of Tuscia, Italy and the Indian Council for Forestry Research and Education (ICFRE), Dehradun, (ii) a sal (Shorea robusta) forest in Doon valley Himalayan state of Uttarakhand in northern India, (ii) a teak (Tectona grandis) mixed forest at Betul in Madhya Pradesh in central India, (iv) an old teak plantation at Dandeli, and (v) a semi-evergreen forest at Nagarhole in Karnataka state in southern India. The three towers have been procured and the eddy covariance equipment installation on Haldwani tower will be completed this month. The equipment for ground based studies such as soil respiration system, soil moisture and temperature measurement system, PAR sensor, hemi view, light use efficiency measurement system etc. have been already procured. The spatial database containing a variety of information on soil types, rainfall, temperature, forest cover PAR, vegetation indices etc. has been prepared using remote sensing and other means. The temporal ground inventory of the vegetation and soil parameters is also under progress. Each site will involve a team leader, one research student and one master degree student. The Forest Departments of above mentioned states of India are actively collaborating in this research. Various universities and research institutions have also expressed interest to cooperate in the programme.

  5. Organizational Climate as Perceived by Veterinary Assistant Surgeons of Andhra Pradesh in India

    ERIC Educational Resources Information Center

    Ratnayake, Talata Chandrakanthi; Gupta, Jancy

    2014-01-01

    Purpose: To identify various organizational climatic factors responsible for role performances of veterinary officers in Andhra Pradesh, India. Design/methodology/approach: Study was conducted in 11 selected districts. Data were collected from 220 respondents through a pretested interview schedule and subjected to correlation and multiple…

  6. Communicative Language Teaching: Possibilities and Problems

    ERIC Educational Resources Information Center

    Sreehari, Pusuluri

    2012-01-01

    This paper investigates the teaching of English at undergraduate colleges in the state of Andhra Pradesh, India in the backdrop of Andhra Pradesh English Lecturers' Retraining Program. The program was jointly sponsored and conducted by the Directorate of Collegiate Education, Government of AP and the US State Department English Language Fellow…

  7. Application of SAR remote sensing and crop modeling for operational rice crop monitoring in South and South East Asian Countries

    NASA Astrophysics Data System (ADS)

    Setiyono, T. D.; Holecz, F.; Khan, N. I.; Barbieri, M.; Maunahan, A. A.; Gatti, L.; Quicho, E. D.; Pazhanivelan, S.; Campos-Taberner, M.; Collivignarelli, F.; Haro, J. G.; Intrman, A.; Phuong, D.; Boschetti, M.; Prasadini, P.; Busetto, L.; Minh, V. Q.; Tuan, V. Q.

    2017-12-01

    This study uses multi-temporal SAR imagery, automated image processing, rule-based classification and field observations to classify rice in multiple locations in South and South Asian countries and assimilate the information into ORYZA Crop Growth Simulation Model (CGSM) to monitor rice yield. The study demonstrates examples of operational application of this rice monitoring system in: (1) detecting drought impact on rice planting in Central Thailand and Tamil Nadu, India, (2) mapping heat stress impact on rice yield in Andhra Pradesh, India, and (3) generating historical rice yield data for districts in Red River Delta, Vietnam.

  8. Community Managed Services for Persons with Intellectual Disability: Andhra Pradesh Experience

    ERIC Educational Resources Information Center

    Narayan, Jayanthi; Pratapkumar, Raja; Reddy, Sudhakara P.

    2017-01-01

    In resource poor settings innovative and bottom-up approaches are required to provide services to people with with disabilities. In this context, the present paper explains a community-based model of manpower development and coordination of services for people with intellectual disabilities in unified state of Andhra Pradesh in India. Women with…

  9. An Inspector Calls: The Regulation of 'Budget' Private Schools in Hyderabad, Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Tooley, J.; Dixon, P.

    2005-01-01

    Research explored the regulatory regime, both 'on paper' and 'in practice', for private unaided schools serving low-income families ('budget' private schools), in Hyderabad, Andhra Pradesh, India. Interviews were conducted with school managers, teachers, parents, and senior government officials and politicians. A Supreme Court Judgement rules out…

  10. Factors of Role Conflict among Livestock Extension Professionals in Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Sasidhar, P. V. K.; Rao, B. Sudhakar; Sreeramulu, Piedy

    2008-01-01

    To know the factors of role conflict among livestock extension professionals in Andhra Pradesh, India. Study was conducted following ex-post facto research design. Data were collected from 180 respondents through survey questionnaires. The data were subjected to multiple regression and path analyses to know the factors of role conflict.…

  11. Family Engagement in Education in Uttar Pradesh, India: Factors Associated with the Involvement of Families in Their Children's Education

    ERIC Educational Resources Information Center

    Sanchez, Amanda Joy

    2011-01-01

    The purpose of this study was to examine the extent to which families within the Shravasti district of Uttar Pradesh, India are engaged in their children's education, as well as to examine the child, family, school, and community factors that are potentially associated with families' involvement in their children's education. Additionally,…

  12. Combining Work and School: The Dynamics of Girls' Involvement in Agricultural Work in Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Morrow, Virginia; Vennam, Uma

    2010-01-01

    Child labour in India has long been the focus of research, policy concern and intervention. This article presents an analysis of children's involvement in agricultural work, particularly cottonseed production, drawing on evidence gathered for Young Lives in 2007 and 2008. In parts of Andhra Pradesh, children work in cotton fields for two or three…

  13. Sexual behaviour and substance use patterns amongst adolescent truck cleaners and risk of HIV / AIDS.

    PubMed

    Bansal, R K

    1992-01-01

    This study was conducted at transport nagar in Indore, a major industrial and commercial center of Madhya Pradesh. Usually each truck has a staff of 3, comprising 1 senior driver, 1 junior driver, and a cleaner, usually a child or an adolescent. 210 such adolescent truck cleaners were surveyed by random sampling of the parked trucks present in the transport nagar. A semi-structured questionnaire was administered to these adolescents using the oral interview technique. The age distribution of the adolescents indicated that 17 were 15-16 years old, 63 were 16-17, 61 were 17-18, and 69 were 18-19. When the income was low, the owners or the senior drivers provided the meals and minor expenses. 80% of the adolescents were illiterate, 10.5% were literate, 6.2% had primary education, and 3.3% had middle school education. 88.1% of the cleaners were away from home for 24-28 days a month, 7.1% for less than 24 days, and 4.8% for over 28 days. 25.2% of the cleaners had a history of sexual activity, commonly with prostitutes. 88.6% of the senior drivers regularly visited prostitutes, and in many cases the adolescents' payment to the prostitute was financed by the senior driver. 94.3% of these adolescents had engaged in unprotected sexual intercourse, and the remaining 5.7% had used condoms infrequently. 98.5% of them had not heard of HIV and AIDS. 4.3% had a history of sexually transmitted diseases and had been treated by general practitioners. Substance abuse was fairly common among these young people (140 smoked, 9 chewed tobacco, 2 used opium, and 2 used alcohol more than twice per week), and the cost for those substances was primarily met by the senior truck driver or the owner. The trend was similar for sexual activity, as 25.2% had engaged in sex (12.9% once, 7.1% twice, and 5.2% several times). Special programs are required for these adolescents to educate them about the risks of unprotected sex and drugs in order to prevent them from contracting HIV/AIDS.

  14. Research on tuberculosis in tribal areas in India: A systematic review.

    PubMed

    Rao, V G; Muniyandi, M; Bhat, J; Yadav, R; Sharma, R

    2018-01-01

    Tuberculosis (TB) remains a major public health problem in resource-poor countries including India. Scientific knowledge is used to guide policy and practice. There is however, a limited, systematically collected data required for guiding the scale-up of interventions particularly amongst vulnerable populations including tribal groups in the country. In view of this, a systematic review of the TB research studies carried out in tribal areas of different parts of the country was undertaken. To undertake a systematic review of the TB research studies carried out in tribal areas of India between 1996 and 2016. A systematic review of English articles published between 1996 and 2016 on any aspect of TB was done through internet searches using Literature search EndNote programme. The words used for searching were tuberculosis, India, tribal, indigenous, disadvantaged, adivasi. The most common topics classified as annual risk of tuberculosis infection (ARTI), prevalence of TB, laboratory studies, clinical symptoms of TB, risk factors for TB, knowledge attitude practice, community Directly Observed Treatment (DOT) providers, performance of Revised National Tuberculosis Control Programme (RNTCP), and drug resistant TB. Classification was also done on the basis of the type of tribe studied and place of study conducted. A total of 47 studies identified through the search were included in the review. Of the 47 studies reviewed, 12 were on TB prevalence, 7 were laboratory studies, four on ARTI and 5 on performance of RNTCP in tribal areas. Among these, majority (23 studies) of the tribal studies did not mention the type of tribe. Ten studies were conducted among Saharia, a particularly vulnerable tribal group in the Indian state of Madhya Pradesh mainly by the National Institute for Research on Tribal Health, five were among the mixed tribes and very few on other tribes. The systematic review indicates that the research studies on TB among tribal population are very few. There is a need to invest and encourage researcher to work on the research plans for the control of TB in tribal areas. Copyright © 2017 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

  15. Service user involvement for mental health system strengthening in India: a qualitative study.

    PubMed

    Samudre, Sandesh; Shidhaye, Rahul; Ahuja, Shalini; Nanda, Sharmishtha; Khan, Azaz; Evans-Lacko, Sara; Hanlon, Charlotte

    2016-07-28

    There is a wide recognition that involvement of service users and their caregivers in health system policy and planning processes can strengthen health systems; however, most evidence and experience has come from high-income countries. This study aimed to explore baseline experiences, barriers and facilitators to service user-caregiver involvement in the emerging mental health system in India, and stakeholders' perspectives on how greater involvement could be achieved. A qualitative study was conducted in Sehore district of Madhya Pradesh, India. In-depth interviews (n = 27) and a focus group discussion were conducted among service users, caregivers and their representatives at district, state and national levels and policy makers, service providers and mental health researchers. The topic guide explored the baseline situation in India, barriers and facilitators to service user and caregiver involvement in the following aspects of mental health systems: policy-making and planning, service development, monitoring and quality control, as well as research. Framework analysis was employed. Respondents spoke of the limited involvement of service users and caregivers in the current Indian mental health system. The major reported barriers to this involvement were (1) unmet treatment and economic needs arising from low access to mental health services coupled with the high burden of illness, (2) pervasive stigmatising attitudes operating at the level of service user, caregiver, community, healthcare provider and healthcare administrators, and (3) entrenched power differentials between service providers and service users. Respondents prioritised greater involvement of service users in the planning of their own individual-level mental health care before considering involvement at the mental health system level. A stepwise progression was endorsed, starting from needs assessment, through empowerment and organization of service users and caregivers, leading finally to meaningful involvement. Societal and system level barriers need to be addressed in order to facilitate the involvement of service users and caregivers to strengthen the Indian mental health system. Shifting from a largely 'provider-centric' to a more 'user-centric' model of mental health care may be a fundamental first step to sustainable user involvement at the system level.

  16. State and socio-demographic group variation in out-of-pocket expenditure, borrowings and Janani Suraksha Yojana (JSY) programme use for birth deliveries in India.

    PubMed

    Modugu, Hanimi Reddy; Kumar, Manish; Kumar, Ashok; Millett, Christopher

    2012-12-05

    High out-of-pocket-expenditure (OOPE) deters families from seeking skilled/institutional care. 'Janani Suraksha Yojana (JSY), a conditional cash transfer programme launched in 2005 to mitigate OOPE and to promote institutional deliveries among the poor, is part of Government of India's efforts to achieve Millennium Development Goals (MDGs) 4 and 5. The objective of this study is to estimate variations in OOPE for normal/caesarean-section deliveries, JSY-programme use and delivery associated borrowings - by states and union territories, and socio-demographic profiling of families, in India. Secondary analysis of data from the District Level Household Survey (DLHS-3), 2007-08. Mean and median OOPE, percentage use of JSY and percentage of families needing to borrow money to pay for delivery associated expenditure was estimated for institutional and home deliveries. Half (52%) of all deliveries in India occurred at home in 2007/08. OOPE for women having institutional deliveries remained high, with considerable variation between states and union territories. Mean OOPE (SD) of a normal delivery in public and private institution respectively in India were Rs. 1,624 and Rs. 4,458 and for a caesarean-section it was Rs. 5,935 and Rs. 14,276 respectively. There was considerable state-level variation in use of the JSY programme for normal deliveries (15% nationally; ranging from 0% in Goa to 43% in Madhya Pradesh) and the percentage of families having to borrow money to pay for a caesarean-section in a private institution (47% nationally; ranging from 7% in Goa to 69% in Bihar). Increased literacy and wealth were associated with a higher likelihood of an institutional delivery, higher OOPE but no major variations in use of the JSY. Our study highlights the ongoing high OOPE and impoverishing impact of institutional care for deliveries in India. Supporting families in financial planning for maternity care, additional investment in the JSY programme and strengthening state level planning are required to increase the proportion of institutional deliveries.

  17. First paleoseismic evidence for great surface-rupturing earthquakes in the Bhutan Himalayas

    NASA Astrophysics Data System (ADS)

    Le Roux-Mallouf, Romain; Ferry, Matthieu; Ritz, Jean-François; Berthet, Théo.; Cattin, Rodolphe; Drukpa, Dowchu

    2016-10-01

    The seismic behavior of the Himalayan arc between central Nepal and Arunachal Pradesh remains poorly understood due to the lack of observations concerning the timing and size of past major and great earthquakes in Bhutan. We present here the first paleoseismic study along the Himalayan topographic front conducted at two sites in southern central Bhutan. Paleoseismological excavations and related OxCal modeling reveal that Bhutan experienced at least two great earthquakes in the last millennium: one between the seventeenth and eighteenth century and one during medieval times, producing a total cumulative vertical offset greater than 10 m. Along with previous studies that reported similar medieval events in Central Nepal, Sikkim, and Assam, our investigations support the occurrence of either (i) a series of great earthquakes between A.D. 1025 and A.D. 1520 or (ii) a single giant earthquake between A.D. 1090 and A.D. 1145. In the latter case, the surface rupture may have reached a total length of 800 km and could be associated with an earthquake of magnitude Mw = 8.7-9.1.

  18. Three new species of the genus Kisaura Ross (1956) (Trichoptera: Philopotamidae) from Arunachal Pradesh, India.

    PubMed

    Pandher, Manpreet Singh; Kaur, Simarjit; Parey, Sajad H

    2018-04-05

    In this paper three new species of the genus Kisaura from Arunachal Pradesh, northeastern India, are described and illustrated. The newly described species are K. sainii sp. n. (from Lumla), K. dirangensis sp. n. and K. vikrami sp. n. (both from Dirang). With these additions the total number of species in the genus from India now stands at 27.

  19. Provider imposed restrictions to clients’ access to family planning in urban Uttar Pradesh, India: a mixed methods study

    PubMed Central

    2013-01-01

    Background Medical barriers refer to unnecessary policies or procedures imposed by health care providers that are not necessarily medically advised; these restrictions impede clients’ access to family planning (FP). This mixed methods study investigates provider imposed barriers to provision of FP using recent quantitative and qualitative data from urban Uttar Pradesh, India. Methods Baseline quantitative data were collected in six cities in Uttar Pradesh, India from service delivery points (SDP), using facility audits, exit interviews, and provider surveys; for this study, the focus is on the provider surveys. More than 250 providers were surveyed in each city. Providers were asked about the FP methods they provide, and if they restrict clients’ access to each method based on age, parity, partner consent, or marital status. For the qualitative research, we conducted one-on-one interviews with 21 service providers in four of the six cities in Uttar Pradesh. Each interview lasted approximately 45 minutes. Results The quantitative findings show that providers restrict clients’ access to spacing and long-acting and permanent methods of FP based on age, parity, partner consent and marital status. Qualitative findings reinforce that providers, at times, make judgments about their clients’ education, FP needs and ability to understand FP options thereby imposing unnecessary barriers to FP methods. Conclusions Provider restrictions on FP methods are common in these urban Uttar Pradesh sites. This means that women who are young, unmarried, have few or no children, do not have the support of their partner, or are less educated may not be able to access or use FP or their preferred method. These findings highlight the need for in-service training for staff, with a focus on reviewing current guidelines and eligibility criteria for provision of methods. PMID:24365015

  20. Medicinal Plant-Lore of Sugali Tribe of Anantapur District, Andhra Pradesh, India.

    PubMed Central

    Reddy, M. Hamambara; Reddy, K. Eshwara; Venkataraju, R.R

    2000-01-01

    The preliminary investigations of crude during resources of sugali tribes of Anantapur district, Andhra Pradesh with their recipes, preparation of drugs, administration, usage form several centuries. Fifty plant crude drugs (species) belong to twenty nine families were collected based on folk-lore knowledge. Botanical name, family name, part used, mode of preparation and administration and purpose, for which it as been used were enumerated. PMID:22556937

  1. Does Growth in Private Schooling Contribute to Education for All? Evidence from a Longitudinal, Two Cohort Study in Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Woodhead, Martin; Frost, Melanie; James, Zoe

    2013-01-01

    This paper informs debates about the potential role for low-fee private schooling in achieving Education for All goals in India. It reports "Young Lives" longitudinal data for two cohorts (2906 children) in the state of Andhra Pradesh. Eight year olds uptake of private schooling increased from 24 per cent (children born in 1994-5) to 44…

  2. Global and continental changes of arid areas using the FAO Aridity Index over the periods 1951-1980 and 1981-2010

    NASA Astrophysics Data System (ADS)

    Spinoni, Jonathan; Micale, Fabio; Carrao, Hugo; Naumann, Gustavo; Barbosa, Paulo; Vogt, Jürgen

    2013-04-01

    An increase in arid areas and progressing land degradation are two of the main consequences of global climate change. In the 2nd edition of the World Atlas of Desertification (WAD), published by the United Nation Environment Program (UNEP) in 1997, a global aridity map was presented. This map was based on the Food and Agriculture Organization (FAO) Aridity Index (AI) that takes into account the annual ratio between precipitation (RR) and Potential Evapo-Transpiration (PET). According to the long-term mean value of this ratio, climate is therefore classified in hyper-arid (<0.05), arid (0.05-0.2), semi-arid (0.2-0.5), dry sub-humid (0.5-0.65), and humid (>0.65); a special case are cold climates, which occur if the mean annual PET is below 400 mm. In the framework of the 3rd edition of the WAD, we computed new global aridity maps to improve and update the old version that was based on a single dataset (CRU dataset, Climate Research Unit of University of East Anglia) related to the 1951-80 period only. We computed the AI on two different time intervals (1951-80 and 1981-2010) in order to account for shifts in classes between the two periods and we used two different datasets: PET from CRU (version 3.2), and precipitation from the global 0.5˚x0.5˚ gridded monthly precipitation of the Global Precipitation Climatology Center (GPCC) of the Deutscher Wetterdienst (DWD). We used the GPCC Full Data Reanalysis Version 6.0, which showed a high reliability during many quality checks and is based on more stations than the CRU's precipitation counterpart. The results show that the "arid areas" (i.e. AI <0.5) globally increased from 28.4% to 29.6% and in Northern Hemisphere the cold climate areas decreased from 26.6% to 25.4%. Comparing the aridity maps of the two periods, the areas which most remarkably moved to lower AI values ("more arid" conditions) are: Canada, Brazil, the Mediterranean Region, Eastern Europe, almost all of Africa, the Middle East, Eastern China, Borneo, and Australia. At regional or country level, a shift of one class towards a "more arid" class can be found in Alaska (U.S.), Alberta (Canada), Patagonia (Argentina), Pernambuco (Brazil), Western Peru, Spain, the Southern Sahara and North-Eastern Kalahari deserts, Rajasthan and Madhya Pradesh (India), Mongolia, the Yang-Tze Basin (China), and the North-Eastern and South-Western Australian coasts. On the other hand, Central U.S., Paraguay and Northern Argentina, Scandinavia, Northern Australia, and Western China moved to a wetter climate in the last period. Due to the low data availability, we assumed that no changes took place in Antarctica, which is meant to be under a permanent ice cap, excluding the northernmost Graham Land.

  3. Increasing Choice or Inequality? Pathways through Early Education in Andhra Pradesh, India. Working Papers in Early Childhood Development, No. 58. Studies in Early Childhood Transitions

    ERIC Educational Resources Information Center

    Streuli, Natalia; Vennam, Uma; Woodhead, Martin

    2011-01-01

    This working paper is part of the Studies in Early Transitions series emerging from "Young Lives", a 15-year longitudinal study of childhood poverty in Ethiopia, India, Peru and Vietnam. It explores recent trends for children growing up in Andhra Pradesh, one of India's most populous states, based on Young Lives survey data collected for…

  4. Climate drivers on malaria transmission in Arunachal Pradesh, India.

    PubMed

    Upadhyayula, Suryanaryana Murty; Mutheneni, Srinivasa Rao; Chenna, Sumana; Parasaram, Vaideesh; Kadiri, Madhusudhan Rao

    2015-01-01

    The present study was conducted during the years 2006 to 2012 and provides information on prevalence of malaria and its regulation with effect to various climatic factors in East Siang district of Arunachal Pradesh, India. Correlation analysis, Principal Component Analysis and Hotelling's T² statistics models are adopted to understand the effect of weather variables on malaria transmission. The epidemiological study shows that the prevalence of malaria is mostly caused by the parasite Plasmodium vivax followed by Plasmodium falciparum. It is noted that, the intensity of malaria cases declined gradually from the year 2006 to 2012. The transmission of malaria observed was more during the rainy season, as compared to summer and winter seasons. Further, the data analysis study with Principal Component Analysis and Hotelling's T² statistic has revealed that the climatic variables such as temperature and rainfall are the most influencing factors for the high rate of malaria transmission in East Siang district of Arunachal Pradesh.

  5. Urban land use and geohazards in the Itanagar Capital city, Arunachal Pradesh, India: Need for geoethics in urban disaster resilience governance in a changing climate

    NASA Astrophysics Data System (ADS)

    Acharjee, Swapna

    2013-04-01

    The capital city, Itanagar, Arunachal Pradesh, India is exposed to the multiple geohazards as the city is located in the region which experiences extreme physical phenomenon due to changing climate in the tectonically active North-Eastern Himalayas. The geohazards in Itanagar includes landslides, floods, soil erosion and earthquakes. The high decadal growth rate of 111.36% in 1991-2001 census has brought in many challenges with respect to the capital city developmental planning. Due to rapid and haphazard growth in urban land use the people residing in the city are gradually becoming more vulnerable to the geohazards in the past decades. The city condition at present has raised issues of grave concern related to effective hazard management. It is observed that geoscientific approach is violated at many places in the urban developmental activities along the central spine, the National Highway-52A of the capital city. There is an urgent need of geoscientists to apprise the urban populace about land suitability and stability in terms of rock types, soil, slope, geomorphology, groundwater condition etc. and the vulnerability of the existing urban land use to landslides, flood, soil erosion and earthquakes. In this paper major issue, critical issues and elements at risk are discussed in the context of ethics in geohazard management and developmental planning for urban disaster resilience governance in a changing climate.

  6. PM over summertime India: Sources and trends investigated using long term measurements and multi-receptor site back trajectory analysis

    NASA Astrophysics Data System (ADS)

    Kumar, Vinod; Sarkar, Chinmoy; Sachan, Himanshu; Kumar, Devender; Sinha, Baerbel

    2013-04-01

    We apply multi-receptor site residence-time weighted concentration back trajectory analysis to a ten year data set (1991-2003) of PM10 and TSP measurement data from four Indian megacities Delhi, Mumbai, Kolkata and Chennai. The dataset was sourced from the published and peer reviewed work of Gupta and Kumar (2006). Sources and trends of PM10 and TSP during the pre-monsoon season (March-June) were investigated. Residence-time weighted concentration maps were derived using 72 hour HYSPLIT back trajectory ensemble calculations. Trajectory runs were started 100 m AGL and the observed PM monthly averages were attributed to all trajectory runs in a month and each trajectory of the ensemble runs with equal probability. For investigating trends the dataset was further subdivided into two groups of four year durations each (1992-1995 and 2000-2003). We found a linear correlation with a slope of 1.0 (R2=0.9) between estimated seasonal average TSP (2000-2003) using our approach and the measured seasonal averages (2006-2007) for Kanpur, Ahmedabad, Pune and Bangalore. A linear fit between predicted and measured PM10 concentration for 19 sites with PM10 observations of at least one seasonal average between 1999-2009 shows a slope of 1.4 (R2=0.4). For the observation period 2000-2003, the Thar Desert and Taklimakan Desert emerged as largest sources for both PM10 (>180 μg/m3 and >200 μg/m3 respectively) and TSP (>650 μg/m3 and >725 μg/m3 respectively). In-situ observation at Bikaner (central Thar Desert) and in Jhunjhunu (semi-arid site at the border of the Thar Desert) indicate that both TSP and PM10 inside the desert source region are underpredicted by a factor of 10 compared to in-situ observations while for the semi arid area bordering the desert PM10 and TSP are underpredicted by a factor of 5 and 3 respectively. This indicates that strong sources are underpredicted by a receptor site centred approach. The entire North-Western Indo-Gangetic Basin (NW-IGB), where crop residue burning is practiced during harvesting months (April-May) displays enhanced seasonal average PM10 loadings. Average PM10 loadings are approximately 40 μg/m3 higher compared to average PM10 loadings in the Eastern IGP, where crop residue burning is not practiced. PM10 loading in Patiala (Central Punjab) are underpredicted by a factor of 1.8 with respect to the seasonal average and a factor of 2.5 for the harvesting season only. A comparison between 1992-1995 and 2000-2003 shows that PM10 loadings over entire India decreased with the strongest decrease (-150 μg/m3) over the mining areas in Madhya Pradesh and in Chhattisgarh, providing confidence in environmental protection norms put in place by government regulatory authorities. TSP mass loadings decreased over Central India, the Eastern IGB and the Bay of Bengal (-300 μg/m3) but increased over the Southern Indus plains (+ 200 μg/m3) and the Thar Desert. In general there is an increase of TSP from windblown desert dust which is most apparent over the dust source regions but also impacts TSP loadings over the NW-IGB. References: Gupta and Kumar: Trends of particulate matter in four cities in India. Atmospheric Environment 40 (2006) 2552-2566. Acknowledgement: Vinod Kumar and Himanshu Sachan acknowledge the DST INSPIRE Fellowship programme. Chinmoy Sarkar thanks the Max Planck-DST India Partner Group on Tropospheric OH reactivity and VOCs for funding

  7. The Uttar Pradesh State Observatory --- some recollections and some history (1954-1982)

    NASA Astrophysics Data System (ADS)

    Sinvhal, S. D.

    2006-03-01

    An attempt is made to present a picture of pre-historic and initial formative years of the well known Uttar Pradesh State Observatory, Nainital. The development of academic activities along with infrastructure are described. The emphasis on the frontline research work, self-reliance and international interaction was given during the formative years of the observatory. The largest telescope 104-cm of the observatory was installed in 1972 and has produced good scientific results.

  8. Emergence of swine flu in Andhra Pradesh: Facts and future.

    PubMed

    Venkataramana, Musturi; Vindal, Vaibhav; Kondapi, Anand K

    2009-12-01

    Swine flu is a common term representing the respiratory viral infections caused by influenza A virus strain H1N1. This disease was noticed for the first time in Mexico during early 2009, spread worldwide very soon and took nearly 4000 lives. It is observed that this infection is due to an evolved virulent version of previously existing H1N1. The first report of this infection was noticed in a traveler from USA to India at the Hyderabad international airport. Later, because of its highly contagious and fast-spreading nature through air, many people reported to have the infection throughout the country. In Andhra Pradesh, there were 735 officially confirmed cases of which 44 died. These cases were not only from Hyderabad which is the state capital having frequent travelers from abroad but are also reported from different parts of the state. The incidence and mortality rate is less in Andhra Pradesh compared to some of the other Indian states. This raises a question whether the type of the strain is different or genetic features of the population is playing the role in reducing the severity of the disease. In this review we have discussed about the occurrence, spread and mortality of the current H1N1 pandemic. We have also discussed about the current status of research on H1N1 and efforts in the state of Andhra Pradesh.

  9. Seroprevalence of viral and bacterial diseases among the bovines in Himachal Pradesh, India

    PubMed Central

    Katoch, Shailja; Dohru, Shweta; Sharma, Mandeep; Vashist, Vikram; Chahota, Rajesh; Dhar, Prasenjit; Thakur, Aneesh; Verma, Subhash

    2017-01-01

    Aim: The study was designed to measure the seroprevalence of viral and bacterial diseases: Infectious bovine rhinotracheitis, bovine viral diarrhea, bovine leukemia, bovine parainfluenza, bovine respiratory syncytial disease, brucellosis, and paratuberculosis among bovine of Himachal Pradesh during the year 2013-2015. Materials and Methods: The serum samples were collected from seven districts of state, namely, Bilaspur, Kangra, Kinnaur, Lahul and Spiti, Mandi, Sirmour, and Solan. The samples were screened using indirect ELISA kits to measure the seroprevalence of viral and bacterial diseases. Results: The overall seroprevalence of infectious bovine rhinotracheitis was 24.24%, bovine viral diarrhea 1.52%, bovine leukemia 9.09%, bovine parainfluenza 57.58%, bovine respiratory syncytial disease 50%, brucellosis 19.69%, and paratuberculosis 9.09% in Himachal Pradesh. The seroprevalence of bovine rhinotracheitis, bovine leukemia, bovine parainfluenza, bovine respiratory syncytial disease, and paratuberculosis in the state varied significantly (p<0.01) while was insignificant for bovine viral diarrhea and brucellosis (p>0.01). Multiple seropositivity has been observed in this study. Bovine parainfluenza virus 3 was observed commonly in mixed infection with almost all viruses and bacteria under study. Conclusion: The viral and bacterial diseases are prevalent in the seven districts of Himachal Pradesh investigated in the study. Therefore, appropriate management practices and routine vaccination programs should be adopted to reduce the prevalence of these diseases. PMID:29391682

  10. The Policy of the Bharatiya Janata Party, 1980 and 2008: Possible Influence of Hindu Nationalism on Indian Politics

    DTIC Science & Technology

    2009-06-01

    portray the true essence of parties, as in ‘what they are,’…”15 The party’s ideology is laid down in a party manifesto. These manifestos serve two main...which most politicians and political parties seek to exploit for expedient, electorial gains.” Jasmine Zerinini-Brotel, “The BJP in Uttar Pradesh...Hinduism. Home University Library of Modern Knowledge 247. Oxford University Press: 1962. Zerinini-Brotel, Jasmine . “The BJP in Uttar Pradesh: From

  11. Characterization of a potyvirus associated with yellow mosaic disease of jasmine (Jasminum sambac L.) in Andhra Pradesh, India.

    PubMed

    Sudheera, Y; Vishnu Vardhan, G P; Hema, M; Krishna Reddy, M; Sreenivasulu, P

    2014-01-01

    A virus isolate associated with yellow mosaic disease was purified from commercially cultivated jasmine (Jasminum sambac) from Andhra Pradesh, India and it contained flexuous filamentous particles of ~720 × 13 nm. The denatured purified virus had single major polypeptide of molecular weight 32 kDa. Complementary DNA representing 1678 nucleotides (nt) of the 3' terminus of viral RNA was cloned and sequenced. Comparisons of complete coat protein (CP) gene nucleotide and amino acid sequences of the present virus isolate with certain reported potyviruses revealed 86.1 and 92.7 % identity, respectively with jasmine potyvirus T (JaVT) reported from Taiwan and less than 70 % with other potyviruses. Based on the phylogenetic analysis of 3' UTR and CP gene, the present virus isolate was identified as an isolate of JaVT that belongs to the genus Potyvirus and the name Jasmine yellow mosaic virus-Andhra Pradesh (JaYMV-AP) is proposed.

  12. An acute flaccid paralysis surveillance-based serosurvey of poliovirus antibodies in Western Uttar Pradesh, India.

    PubMed

    Bahl, Sunil; Gary, Howard E; Jafari, Hamid; Sarkar, Bidyut K; Pathyarch, Surendra K; Sethi, Raman; Deshpande, Jagadish

    2014-11-01

    Despite intensified use of monovalent oral poliovirus type 1 vaccine and improved coverage of immunization campaigns, wild poliovirus type 1 persisted in Indian states of Uttar Pradesh and Bihar during 2006 to 2009. A serosurvey was conducted among cases of acute flaccid paralysis in the 25 high-polio-incidence districts of western Uttar Pradesh. Children were recruited by age group (6-11 months, 12-24 months, and 25-69 months) from among cases reported through the acute flaccid paralysis surveillance system between November 2008 and August 2009. Seroprevalence for type 1 wild poliovirus was >96.4% for each age group. The seroprevalence of wild poliovirus types 2 and 3 increased with age, from 36.7% to 73.4% for type 2 and from 39.0% to 74.1% for type 3. In addition to the number of type-specific vaccine doses, father's level of education, being from a Muslim family, height for age, and female sex were the socioeconomic risk factors associated with seronegativity to poliovirus. The seroprevalence and risk factors identified in this study were consistent with the epidemiology of polio, and the findings were instrumental in optimizing vaccination strategy in western Uttar Pradesh with respect to the choice of OPV types, the frequency of supplementary immunization campaigns, and the urgency to improve routine immunization services. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  13. Injecting rabies immunoglobulin (RIG) into wounds only: A significant saving of lives and costly RIG.

    PubMed

    Bharti, Omesh Kumar; Madhusudana, Shampur Narayan; Wilde, Henry

    2017-04-03

    An increasing number of dog bite victims were being presented to public hospitals in Himachal Pradesh in 2014 amidst virtual non availability of any rabies immunoglobulin (RIG). Only a small quantity of equine rabies immunoglobulin (eRIG) was available from the government owned Central Research Institute (CRI) Kasauli. This available eRIG was used in 269 patients as an emergency response and only for local infiltration of severe bite wounds by suspected rabid dogs. This was followed by rabies vaccination, using the WHO approved intra-dermal Thai Red Cross Society vaccination schedule. A subgroup of 26 patients were later identified who had been severely bitten by laboratory confirmed rabid dogs. They were followed for more than one year and all were found to be alive.

  14. Antibiotic prescribing in women during and after delivery in a non-teaching, tertiary care hospital in Ujjain, India: a prospective cross-sectional study.

    PubMed

    Sharma, Megha; Sanneving, Linda; Mahadik, Kalpana; Santacatterina, Michele; Dhaneria, Suryaprakash; Stålsby Lundborg, Cecilia

    2013-01-01

    Antibacterial drugs (hereafter referred to as antibiotics) are crucial to treat infections during delivery and postpartum period to reduce maternal mortality. Institutional deliveries have the potential to save lives of many women but extensive use of antibiotics, add to the development and spread of antibiotic resistance. The aim of this study was to present antibiotic prescribing among inpatients during and after delivery in a non-teaching, tertiary care hospital in the city of Ujjain, Madhya Pradesh, India. A prospective cross-sectional study was conducted including women having had either a vaginal delivery or a cesarean section in the hospital. Trained nursing staff collected the data on daily bases, using a specific form attached to each patient file. Statistical analysis, including bivariate and multivariable logistic regression was conducted. Of the total 1077 women, 566 (53%) had a vaginal delivery and 511 (47%) had a cesarean section. Eighty-seven percent of the women that had a vaginal delivery and 98% of the women having a cesarean section were prescribed antibiotics. The mean number of days on antibiotics in hospital for the women with a vaginal delivery was 3.1 (±1.7) and for the women with cesarean section was 6.0 (±2.5). Twenty-eight percent of both the women with vaginal deliveries and the women with cesarean sections were prescribed antibiotics at discharge. The most commonly prescribed antibiotic group in the hospital for both the women that had a vaginal delivery and the women that had a cesarean section were third-generation cephalosporins (J01DD). The total number of defined daily doses (DDD) per100 bed days for women that had a vaginal delivery was 101, and 127 for women that had a cesarean section. The high percentage of women having had a vaginal delivery that received antibiotics and the deviation from recommendation for cesarean section in the hospital is a cause of concern. Improved maternal health and rational use of antibiotics are intertwined. Specific policy and guidelines on how to prescribe antibiotics during delivery at health care facilities are needed. Additionally, monitoring system of antibiotic prescribing and resistance needs to be developed and implemented.

  15. Aboveground Biomass and Dynamics of Forest Attributes using LiDAR Data and Vegetation Model

    NASA Astrophysics Data System (ADS)

    V V L, P. A.

    2015-12-01

    In recent years, biomass estimation for tropical forests has received much attention because of the fact that regional biomass is considered to be a critical input to climate change. Biomass almost determines the potential carbon emission that could be released to the atmosphere due to deforestation or conservation to non-forest land use. Thus, accurate biomass estimation is necessary for better understating of deforestation impacts on global warming and environmental degradation. In this context, forest stand height inclusion in biomass estimation plays a major role in reducing the uncertainty in the estimation of biomass. The improvement in the accuracy in biomass shall also help in meeting the MRV objectives of REDD+. Along with the precise estimate of biomass, it is also important to emphasize the role of vegetation models that will most likely become an important tool for assessing the effects of climate change on potential vegetation dynamics and terrestrial carbon storage and for managing terrestrial ecosystem sustainability. Remote sensing is an efficient way to estimate forest parameters in large area, especially at regional scale where field data is limited. LIDAR (Light Detection And Ranging) provides accurate information on the vertical structure of forests. We estimated average tree canopy heights and AGB from GLAS waveform parameters by using a multi-regression linear model in forested area of Madhya Pradesh (area-3,08,245 km2), India. The derived heights from ICESat-GLAS were correlated with field measured tree canopy heights for 60 plots. Results have shown a significant correlation of R2= 74% for top canopy heights and R2= 57% for stand biomass. The total biomass estimation 320.17 Mt and canopy heights are generated by using random forest algorithm. These canopy heights and biomass maps were used in vegetation models to predict the changes biophysical/physiological characteristics of forest according to the changing climate. In our study we have used Dynamic Global Vegetation Model to understand the possible vegetation dynamics in the event of climate change. The vegetation represents a biogeographic regime. Simulations were carried out for 70 years time period. The model produced leaf area index and biomass for each plant functional type and biome for each grid in that region.

  16. Quit history, intentions to quit, and reasons for considering quitting among tobacco users in India: findings from the Tobacco Control Policy Evaluation India Wave 1 Survey.

    PubMed

    Dhumal, G G; Pednekar, M S; Gupta, P C; Sansone, G C; Quah, A C K; Bansal-Travers, M; Fong, G T

    2014-12-01

    Global Adult Tobacco Survey India 2009-2010 revealed that more than one-third (35%) of adults in India use tobacco in some form: 21% use smokeless tobacco, 9% smoke, and 5% are mixed users (they smoke and use smokeless tobacco), and the quit rate is very low. In an effort to decrease prevalence of tobacco use, it is thus important to understand the factors that are related to intention to quit among Indian tobacco users. Research has shown consistently that intention to quit is a strong predictor of future quitting. The present study reports the factors encouraging quitting tobacco products in India. Cross-sectional data from Wave 1 of the International Tobacco Control Policy Evaluation India Survey conducted in four cities and surrounding rural areas (i.e. Mumbai [Maharashtra], Patna [Bihar], Indore [Madhya Pradesh], and Kolkata [West Bengal]) between August 2010 and December 2011 were analyzed. A total of 8051 tobacco users (15+ years) were randomly sampled from 8586 households: 1255 smokers, 5991 smokeless users, and 805 mixed (smoke and smokeless) users. Validated, standardized questions were asked about current tobacco use, intention to quit, and factors encouraging quitting. Overall, 19.6% of tobacco users intended to quit. Smokers had less intention to quit as compared to smokeless tobacco users whereas mixed users had more intention to quit (odds ratio [OR] =1.48, 95% confidence interval [CI] =1.12-1.97) compared to smokeless tobacco users. Highly educated people were more likely to report intention to quit (OR = 1.82, 95% CI = 1.09-3.02) compared to less educated. Advice by doctors to quit tobacco had a strong impact on intention to quit (OR = 1.68, CI = 1.29-2.15). Tobacco users who were exposed to antitobacco messages at work places (OR = 1.74, CI = 1.23-2.46), at restaurants (OR = 1.65, CI = 1.12-2.43), bars (OR = 1.81, CI = 1.07-3.06), on public transportation (OR = 2.14, CI = 1.49-3.08) and on tobacco packages (OR = 1.77, CI = 1.29-2.14) also expressed greater intention to quit tobacco use. Around one-fifth of tobacco users in India intended to quit tobacco use. Higher education, doctor's advice, and antitobacco messages were positively associated with users' intention to quit tobacco.

  17. Nitrogen dynamics in organic and conventional cotton production systems in India

    NASA Astrophysics Data System (ADS)

    Duboc, O.; Adamtey, N.; Forster, D.; Cadisch, G.

    2012-04-01

    Ongoing population growth still represents a challenge to agricultural production (food, fiber and fuel material supply). In spite of the undeniable achievements reached with the "green revolution" technologies, there is a growing awareness among scientists and policy makers that diverse and integrated approaches which are both productive and sustainable are now necessary to meet the agricultural challenges. Integrated and organic agriculture are such alternatives which need to be better investigated and implemented. While long-term experiments in temperate regions have assessed the effect of organic agriculture on different crops and soil quality, there is currently a lack of reliable data from tropical regions, such as findings arising from long-term systems comparison trials. This has necessitated a long-term system comparison trials in Kenya, Bolivia and India by the Research Institute of Organic Agriculture (FiBL) and its partners (icipe, BioRe, Ecotop and Institute of Ecology) (www.systems-comparison.fibl.org). In India the project is based in Madhya Pradesh, in which organic and conventional production systems are being compared in a 2-yr crop rotation - cotton (yr 1) and soybean-wheat (yr 2). The field trial is planned for a time span of 10-20 years, in order to investigate long-term effects of those production systems on yields, soil characteristics, or economic return. A PhD study is incorporated into this project to investigate the effect of the production systems on soil characteristics. The main focus will be on nitrogen cycling under the different production systems. Particular attention will be given to nitrogen use efficiencies and the synchrony of nitrogen availability (e.g. nitrogen mineralization with the polyethylene bag technique, monitoring of soil mineral N) with plant nitrogen uptake, for which allometric equations will be calibrated in order to circumvent destructive sampling on the plots of the long-term experiment. Nitrogen losses - leaching and gaseous emissions - will also be investigated with methods such as buried ion exchange resin cores and gas sampling in the field. Furthermore, the project will test management solutions to improve nitrogen use efficiencies in both, organic and conventional systems, such as the introduction of leguminous intercrops in cotton, which is the main cash crop in the system and which also has the highest requirements for fertilization. This poster thus mainly discusses methodic issues relating to the planned study.

  18. Changes in Migration Pattern of Transhumance due to Climate Change: An Empirical Analysis of Gaddi Community of Himachal Himalaya, India

    NASA Astrophysics Data System (ADS)

    Mishra, Himanshu; Wasini Pandey, Bindhy

    2017-04-01

    Transhumance is a complex and traditional livelihood system seeking to maintain equilibrium between pastures, livestock and local people in variable and inhospitable environments. In Western Himalayas in the Indian state of Himachal Pradesh, pastoral groups of Gaddis inhabit almost inaccessible areas, where scarce resources and extreme climatic conditions limit options for alternative land use and livelihood systems. In such a harsh and unforgiving environment, mobility in the form of transhumance has been the traditional ecological response to climatic extremes. However, recently, such additional factors as global as well as regional climate change have brought about changes in the tree line, snow line and pastoral grounds along the historical route of seasonal migration of the Gaddis. The growing unpredictability of the once static route of migration has raised the possibility of Gaddis shifting to alternative land use and land management techniques. In the present research, we explore how transhumant pastoralism has been sustained and stimulated in the context of socioeconomic and climate change in the mountainous region of Himachal Pradesh and the future challenges that it faces. Based on case study research conducted in Chamba district in Himachal Pradesh; we have analysed the status, opportunities, and constraints of transhumant pastoralism in the changing context and modeled the possible alternative land use decisions. Finally we conclude that unless there are affirmative and progressive policy and institutional framework to support transhumant system, the indigenous practice will soon disappear from this part of the world. Keywords: Climate change, Gaddis, Himachal Pradesh, Transhumance, Alternative Land Use

  19. Progress toward poliomyelitis eradication--India, January 2007-May 2009.

    PubMed

    2009-07-10

    India is the most populous of the four remaining countries (including Afghanistan, Nigeria, and Pakistan) where transmission of wild poliovirus (WPV) has never been interrupted. The last cases of WPV type 2 worldwide were reported in October 1999 in India. However, transmission of WPV type 1 (WPV1) and WPV type 3 (WPV3) persists in India in the northern states of Uttar Pradesh and Bihar. Transmission of indigenous WPV in all of India's other states was successfully interrupted in 2002, and all WPV cases reported since then in the country have resulted from WPV circulating in Uttar Pradesh and Bihar. This report updates previous reports and summarizes India's progress toward polio eradication since January 2007, as of May 29, 2009. In 2005, the government of India introduced the use of monovalent oral polio vaccine type 1 (mOPV1), which has higher efficacy against WPV1 than does trivalent oral polio vaccine (tOPV), in supplementary immunization activities. After a multistate WPV1 outbreak in 2006, preferential use of mOPV1 was accelerated and WPV1 cases decreased from 83 in 2007 to 18 during January-May 2009. A resurgence of WPV3 cases in Uttar Pradesh in 2007 led to an outbreak in Bihar. SIAs using monovalent type 3 OPV (mOPV3) were expanded in 2007, and the number of WPV3 cases declined from 794 in 2007 to 41 during January-May 2009. Simultaneously interrupting transmission in high-risk areas of western Uttar Pradesh and Bihar is the key to successful interruption of all WPV transmission in India.

  20. Identification of different lineages of measles virus strains circulating in Uttar Pradesh, North India.

    PubMed

    Shakya, Akhalesh Kumar; Shukla, Vibha; Maan, Harjeet Singh; Dhole, Tapan N

    2012-10-16

    Genetic analysis of measles viruses associated with recent cases and outbreaks has proven to bridge information gaps in routine outbreak investigations and has made a substantial contribution to measles control efforts by helping to identify the transmission pathways of the virus. The present study describes the genetic characterization of wild type measles viruses from Uttar Pradesh, India isolated between January 2008 and January 2011. In the study, 526 suspected measles cases from 15 outbreaks were investigated. Blood samples were collected from suspected measles outbreaks and tested for the presence of measles specific IgM; throat swab and urine samples were collected for virus isolation and RT-PCR. Genotyping of circulating measles viruses in Uttar Pradesh was performed by sequencing a 450-bp region encompassing the nucleoprotein hypervariable region and phylogenetic analysis. Based on serological results, all the outbreaks were confirmed as measles. Thirty eight strains were obtained. Genetic analysis of circulating measles strains (n = 38) in Uttar Pradesh from 235 cases of laboratory-confirmed cases from 526 suspected measles cases between 2008 and 2011 showed that all viruses responsible for outbreaks were within clade D and all were genotype D8.Analysis of this region showed that it is highly divergent (up to 3.4% divergence in the nucleotide sequence and 4.1% divergence in the amino acid sequence between most distant strains). Considerable genetic heterogeneity was observed in the MV genotype D8 viruses in North India and underscores the need for continued surveillance and in particular increases in vaccination levels to decrease morbidity and mortality attributable to measles.

  1. Improving groundwater management in rural India using simple modeling tools with minimal data requirements

    NASA Astrophysics Data System (ADS)

    Moysey, S. M.; Oblinger, J. A.; Ravindranath, R.; Guha, C.

    2008-12-01

    Water scarcity is a crisis in central India that impacts the health, productivity, and quality of life of millions of people. The use of water harvesting structures (WHS) to capture runoff and enhance groundwater recharge is widely seen as a viable solution to this problem. As a result, there has been an explosion of small dam construction to extend community access to groundwater in the dry season by government agencies, non- governmental organizations, and villagers. Local perceptions of increased groundwater availability resulting from WHS infiltration, however, may produce changes in patterns of water use that shift the delivery of WHS benefits from the community to individuals. The development of policy to prevent this shift of benefits is difficult to achieve, because limited resources prohibit the widespread use of watershed assessment and monitoring tools needed to quantify the impact of any given WHS on groundwater storage. Therefore, it is essential that easily implemented assessment tools with low data needs are made available to support science-based policy making from the village to state level. This study uses a simple approach for estimating WHS contributions to subsurface infiltration in a small watershed (2.6km2) near the village of Salri, Madhya Pradesh. The infiltration is estimated using an analytical mass balance model for the WHS reservoir calibrated with water level observations. The reservoir water level was selected as calibration data because it can be monitored easily and inexpensively with community-based monitoring programs or remote sensing. Fluxes to the reservoir considered in the model are surface runoff, groundwater inflows and outflows, evaporation, and villager withdrawals. Surface runoff and villager withdrawals must be estimated from independent data sources, but in this case were found to be of minor relevance; the calibrated model suggests that most runoff contributions to the reservoir are lost through the dam overflow shortly after the start of the monsoon and villager water use is small compared to the other fluxes. Groundwater fluxes were accounted for by conceptualizing the contributing areas upstream and downstream of the reservoir as one dimensional flow tubes. This description of the flow system allows for the definition of physically-based parameters making the model useful for investigating WHS infiltration under a variety of management scenarios. To address concerns regarding the uniqueness of the model parameters, 10,000 independent model calibrations were performed using randomly selected starting parameters. Based on this Monte Carlo analysis, it was found that the mean volume of water contributed by the WHS to infiltration over the study period (Sept.-Dec., 2007) was 48.1x103m3 with a 95% confidence interval of 43.7-53.7x103m3. This volume represents 17-21% of the total natural groundwater recharge contributed by the entire watershed, which was determined independently using a surface water balance. Despite the fact that the model is easy to use and requires minimal data, the results obtained provide a powerful quantitative starting point for managing groundwater withdrawals in the dry season.

  2. The effect of family sex composition on fertility desires and family planning behaviors in urban Uttar Pradesh, India.

    PubMed

    Calhoun, Lisa M; Nanda, Priya; Speizer, Ilene S; Jain, Meenakshi

    2013-09-11

    A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples' desire for more children. This study examines family sex composition and fertility and FP behaviors in urban Uttar Pradesh, India; little work has examined these issues in urban settings where family sizes are smaller and FP use is common. Data for this analysis comes from a 2010 representative survey of married, non-pregnant fecund women aged 15-49 from six cities in Uttar Pradesh, India. Multivariate analyses are used to examine the association between family sex composition and fertility desires and FP use. The multivariate results indicate that family sex composition is associated with fertility desires and FP use. Women without living children and without at least one child of each sex are significantly less likely to want no more children and women with both sons and daughters but more sons are significantly more likely to want no more children as compared to women that have both sons and daughters but more daughters. Women with no living children and women with daughters but no sons are less likely to be modern FP users than nonusers whereas women with both sons and daughters but more sons are more likely to be modern FP users than nonusers as compared to women with both sons and daughters but more daughters. These findings confirm that family sex composition affects fertility behavior and also reveals that preference for sons persists in urban Uttar Pradesh. These results underscore the importance of programs and policies that work to enhance the value of girl children.

  3. Population-based assessment of prevalence and risk factors for pterygium in the South Indian state of Andhra Pradesh: the Andhra Pradesh Eye Disease Study.

    PubMed

    Marmamula, Srinivas; Khanna, Rohit C; Rao, Gullapalli N

    2013-08-09

    To describe the prevalence and risk factors for pterygium in a population-based sample of individuals aged 30 years and older in South Indian state of Andhra Pradesh. A cross-sectional study was conducted in one urban and three rural locations in which 10,293 subjects were examined. All the subjects underwent comprehensive eye examination and a detailed interview by trained professionals. Pterygium was defined as fleshy fibro vascular growth, crossing the limbus, and typically seen on the nasal conjunctiva in either eye. Data were analyzed for 5586 subjects who were aged 30 years and older at the time of participation. The mean age of the participants was 47.5 years (SD 13 years; range 30-102 years). In total, 46.4% were male, 56.7% had no education, 52.2% of them were involved in outdoor occupations, and 25% belonged to urban area. The prevalence of pterygium was 11.7% (95% confidence interval [CI]: 10.9-12.6). The multiple logistic regression analysis revealed significantly higher odds of pterygium among older age groups, rural residents (odds ratio [OR]: 1.8; 95% CI: 1.4-2.4; P > 0.01), and those involved in outdoor occupations (OR: 1.8; 95% CI: 1.5-2.2, P < 0.001). Education had a protective effect (OR: 0.6; 95% CI: 0.5-0.7; P < 0.001). Pterygium is common in the South Indian state of Andhra Pradesh. Exposure to sunlight is a significant modifiable risk factor. Protecting the eyes from sunlight may decrease the risk of pterygium. However, the important public health challenge is to encourage the use of this protection as a routine in developing countries such as India.

  4. Socioeconomic and geographical disparities in under-five and neonatal mortality in Uttar Pradesh, India.

    PubMed

    Dettrick, Zoe; Jimenez-Soto, Eliana; Hodge, Andrew

    2014-05-01

    As a part of the Millennium Development Goals, India seeks to substantially reduce its burden of childhood mortality. The success or failure of this goal may depend on outcomes within India's most populous state, Uttar Pradesh. This study examines the level of disparities in under-five and neonatal mortality across a range of equity markers within the state. Estimates of under-five and neonatal mortality rates were computed using five datasets, from three available sources: sample registration system, summary birth histories in surveys, and complete birth histories. Disparities were evaluated via comparisons of mortality rates by rural-urban location, ethnicity, wealth, and districts. While Uttar Pradesh has experienced declines in both rates of under-five (162-108 per 1,000 live births) and neonatal (76-49 per 1,000 live births) mortality, the rate of decline has been slow (averaging 2 % per annum). Mortality trends in rural and urban areas are showing signs of convergence, largely due to the much slower rate of change in urban areas. While the gap between rich and poor households has decreased in both urban and rural areas, trends suggest that differences in mortality will remain. Caste-related disparities remain high and show no signs of diminishing. Of concern are also the signs of stagnation in mortality amongst groups with greater ability to access services, such as the urban middle class. Notwithstanding the slow but steady reduction of absolute levels of childhood mortality within Uttar Pradesh, the distribution of the mortality by sub-state populations remains unequal. Future progress may require significant investment in quality of care provided to all sections of the community.

  5. Addressing healthcare needs of people living below the poverty line: a rapid assessment of the Andhra Pradesh Health Insurance Scheme.

    PubMed

    Rao, M; Ramachandra, S S; Bandyopadhyay, S; Chandran, A; Shidhaye, R; Tamisettynarayana, S; Thippaiah, A; Sitamma, M; Sunil George, M; Singh, V; Sivasankaran, S; Bangdiwala, S I

    2011-01-01

    Families living below the poverty line in countries which do not have universal healthcare coverage are drawn into indebtedness and bankruptcy. The state of Andhra Pradesh in India established the Rajiv Aarogyasri Community Health Insurance Scheme (RACHIS) in 2007 with the aim of breaking this cycle by improving the access of below the poverty line (BPL) families to secondary and tertiary healthcare. It covered a wide range of surgical and medical treatments for serious illnesses requiring specialist healthcare resources not always available at district-level government hospitals. The impact of this scheme was evaluated by a rapid assessment, commissioned by the government of Andhra Pradesh. The aim of the assessment was to explore the contribution of the scheme to the reduction of catastrophic health expenditure among the poor and to recommend ways by which delivery of the scheme could be improved. We report the findings of this assessment. Two types of data were used for the assessment. Patient data pertaining to 89 699 treatment requests approved by the scheme during its first 18 months were examined. Second, surveys of scheme beneficiaries and providers were undertaken in 6 randomly selected districts of Andhra Pradesh. This novel scheme was beginning to reach the BPL households in the state and providing access to free secondary and tertiary healthcare to seriously ill poor people. An integrated model encompassing primary, secondary and tertiary care would be of greater benefit to families below the poverty line and more cost-effective for the government. There is considerable potential for the government to build on this successful start and to strengthen equity of access and the quality of care provided by the scheme. Copyright 2011, NMJI.

  6. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India.

    PubMed

    G Mangla, Ritu; Kapur, Raman; Dhindsa, Abhishek; Madan, Manish

    2017-01-01

    To assess the prevalence, distribution, and associated risk factors of severe early childhood caries (S-ECC) among 12- to 36-month-old children of district Sirmaur, Himachal Pradesh, India. The present study was conducted on a random sample of 510 children, both boys and girls, between 12 and 36 months of age randomly selected from various government-sponsored day-care centers, private day-care centers, and vaccination centers. Caries was recorded using World Health Organization criteria. Statistical analysis was done by using chi-square test and Mann-Whitney test. A two-sided p value was calculated for each statistical test. Multiple logistic regressions were done to calculate the risk of S-ECC from independent variables. In the present study, S-ECC was found in 21% of 510, 12 to 36 months old children of Sirmaur district, Himachal Pradesh. The S-ECC was found to be significantly higher in 25 to 36 months old children's age group and was 27.8% in them as compared with 8% in 12 to 24 months old children. Providing anticipatory guidance and education to parents is essential for the promotion of optimal oral health of their children. There is a need for moving upstream to propose and implement policies and programs to improve the oral health of the very young, especially in a developing country like India, which lacks much data on S-ECC. Mangla RG, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent 2017;10(2):183-187.

  7. The effect of family sex composition on fertility desires and family planning behaviors in urban Uttar Pradesh, India

    PubMed Central

    2013-01-01

    Background A cultural preference for sons has been well documented in India, resulting in skewed sex ratios, especially exhibited in northwest India. Previous research has shown that family sex composition is associated with family planning (FP) use and couples’ desire for more children. This study examines family sex composition and fertility and FP behaviors in urban Uttar Pradesh, India; little work has examined these issues in urban settings where family sizes are smaller and FP use is common. Methods Data for this analysis comes from a 2010 representative survey of married, non-pregnant fecund women aged 15–49 from six cities in Uttar Pradesh, India. Multivariate analyses are used to examine the association between family sex composition and fertility desires and FP use. Results The multivariate results indicate that family sex composition is associated with fertility desires and FP use. Women without living children and without at least one child of each sex are significantly less likely to want no more children and women with both sons and daughters but more sons are significantly more likely to want no more children as compared to women that have both sons and daughters but more daughters. Women with no living children and women with daughters but no sons are less likely to be modern FP users than nonusers whereas women with both sons and daughters but more sons are more likely to be modern FP users than nonusers as compared to women with both sons and daughters but more daughters. Conclusions These findings confirm that family sex composition affects fertility behavior and also reveals that preference for sons persists in urban Uttar Pradesh. These results underscore the importance of programs and policies that work to enhance the value of girl children. PMID:24025670

  8. Mean Dietary Salt Intake in Urban and Rural Areas in India: A Population Survey of 1395 Persons.

    PubMed

    Johnson, Claire; Mohan, Sailesh; Rogers, Kris; Shivashankar, Roopa; Thout, Sudhir Raj; Gupta, Priti; He, Feng J; MacGregor, Graham A; Webster, Jacqui; Krishnan, Anand; Maulik, Pallab K; Reddy, K Srinath; Prabhakaran, Dorairaj; Neal, Bruce

    2017-01-06

    The scientific evidence base in support of population-wide salt reduction is strong, but current high-quality data about salt intake levels in India are mostly absent. This project sought to estimate daily salt consumption levels in selected communities of Delhi and Haryana in north India and Andhra Pradesh in south India. In this study, 24-hour urine samples were collected using an age- and sex-stratified sampling strategy in rural, urban, and slum areas. Salt intake estimates were made for the overall population of each region and for major subgroups by weighting the survey data for the populations of Delhi and Haryana, and Andhra Pradesh. Complete 24-hour urine samples were available for 637 participants from Delhi and Haryana and 758 from Andhra Pradesh (65% and 68% response rates, respectively). Weighted mean population 24-hour urine excretion of salt was 8.59 g/day (95% CI 7.68-9.51) in Delhi and Haryana and 9.46 g/day (95% CI 9.06-9.85) in Andhra Pradesh (P=0.097). Estimates inflated to account for the minimum likely nonurinary losses of sodium provided corresponding estimates of daily salt intake of 9.45 g/day (95% CI 8.45-10.46) and 10.41 g/day (95% CI 9.97-10.84), respectively. Salt consumption in India is high, with mean population intake well above the World Health Organization recommended maximum of 5 g/day. A national salt reduction program would likely avert much premature death and disability. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  9. Associations Between Mistreatment by a Provider during Childbirth and Maternal Health Complications in Uttar Pradesh, India.

    PubMed

    Raj, Anita; Dey, Arnab; Boyce, Sabrina; Seth, Aparna; Bora, Siddhartha; Chandurkar, Dharmendra; Hay, Katherine; Singh, Kultar; Das, Arup Kumar; Chakraverty, Amit; Ramakrishnan, Aparajita; Shetye, Mrunal; Saggurti, Niranjan; Silverman, Jay G

    2017-09-01

    Objectives This study assesses associations between mistreatment by a provider during childbirth and maternal complications in Uttar Pradesh, India. Methods Cross-sectional survey data were collected from women (N = 2639) who had delivered at 68 public health facilities in Uttar Pradesh, participating in a quality of care study. Participants were recruited from April to July 2015 and surveyed on demographics, mistreatment during childbirth (measure developed for this study, Cronbach's alpha = 0.70), and maternal health complications. Regression models assessed associations between mistreatment during childbirth and maternal complications, at delivery and postpartum, adjusting for demographics and pregnancy complications. Results Participants were aged 17-48 years, and 30.3% were scheduled caste/scheduled tribe. One in five (20.9%) reported mistreatment by their provider during childbirth, including discrimination and abuse; complications during delivery (e.g., obstructed labor) and postpartum (e.g., excessive bleeding) were reported by 45.8 and 41.5% of women, respectively. Health providers at delivery included staff nurses (81.8%), midwives (14.0%), and physicians (2.2%); Chi square analyses indicate that women were significantly more likely to report mistreatment when their provider was a nurse rather than a physician or midwife. Women reporting mistreatment by a provider during childbirth had higher odds of complications at delivery (AOR = 1.32; 95% CI 1.05-1.67) and postpartum (AOR = 2.12; 95% CI 1.67-2.68). Conclusions for Practice Mistreatment of women by their provider during childbirth is a pervasive health and human rights violation, and is associated with increased risk for maternal health complications in Uttar Pradesh. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients.

  10. Seroprevalence of Scrub Typhus Infection in Arunachal Pradesh, India.

    PubMed

    Jakharia, Aniruddha; Borkakoty, Biswajyoti; Biswas, Dipankar; Yadav, Kaushal; Mahanta, Jagadish

    2016-10-01

    Scrub typhus is a major reason for febrile illness, caused by a bacterium Orientia tsutsugamushi, a rickettsial pathogen. Few outbreaks of scrub typhus have been reported from Arunachal Pradesh in recent past. However, there is lack of seroprevalence data from the region. In this regard, this study was undertaken using archival serum sample available from seven districts of Arunachal Pradesh. This serological study was conducted in Regional Medical Research Center for NE Region, Dibrugarh. Reactivity to IgG class of antibodies against scrub typhus was done using Scrub typhus detect IgG ELISA kit as per manufacturer's protocol. Seroprevalence of scrub typhus in seven districts of Arunachal Pradesh was found to be 40% (120/300). The age-specific scrub typhus seroprevalence rose steadily from 5.6% in children <10 years of age to 61.8% in persons aged ≥40 years (p = 0.0001). Prevalence is lowest in Papumpare (25.9%) and highest in East Siang (72.5%) (p = 0.0001). The seroprevalence in males and females was very similar, however, the female prevalence increases from age group ≥30 years (p = 0.053). Moreover, among the farmers, the seroprevalence is higher (58.3%) (p = 0.0001). As clinical symptoms overlap with other viral/bacterial infections, scrub typhus infection should be considered in differential diagnosis of any acute febrile illness in this part of the country. In view of the high prevalence, empirical therapy of doxycycline/azithromycin may be done in cases of undiagnosed fever. Active surveillance has to be done to understand exact magnitude, epidemiological aspects, and distribution of vector and disease of this reemerging neglected tropical disease.

  11. Marital violence and women's reproductive health care in Uttar Pradesh, India.

    PubMed

    Sudha, S; Morrison, Sharon

    2011-01-01

    Although the impact of marital violence on women's reproductive health is recognized globally, there is little research on how women's experience of and justification of marital violence in developing country settings is linked to sexually transmitted infection (STI) symptom reporting, and seeking care for the symptoms. This study analyzes data on 9,639 currently married women from India's 2006-2007 National Family Health Survey-3 from the Central/Northern Indian state of Uttar Pradesh. The likelihood of currently married women's reporting STIs or symptoms, and the likelihood of seeking care for these, are analyzed using multivariate logistic regression techniques. Currently married women's experience of physical, sexual, and emotional marital violence in the last 12 months was significantly associated with greater likelihood of reporting a STI or symptom (odds ratio [OR], 1.364 [95% confidence interval (CI), 1.171-1.588] for physical violence; OR, 1.649 [95% CI, 1.323-2.054] for sexual violence; OR, 1.273 [95% CI, 1.117-1.450] for emotional violence). Experience of physical violence (OR, 0.728; 95% CI, 0.533-0.994) and acceptance of any justification for physical violence (OR, 0.590; 95% CI, 0.458-0.760) were significantly associated with decreased chance of seeking care, controlling for other factors. This study suggests that experiencing marital violence may have a negative impact on multiple aspects of women's reproductive health, including increased self-report of STI symptoms. Moreover, marital physical violence and accepting justification for such violence are associated with decreased chance of seeking care. Thus, policies and programs to promote reproductive health should incorporate decreasing gender-based violence, and overcoming underlying societal gender inequality. Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  12. ­Oligo-Miocene Monazite Ages in the Lesser Himalaya Sequence, Arunachal Pradesh, India; Geological Content of Age Variations

    NASA Astrophysics Data System (ADS)

    Clarke, G. L.; Bhowmik, S. K.; Ireland, T. R.; Aitchison, J. C.; Chapman, S. L.; Kent, L.

    2016-12-01

    A telescoped and inverted greenschist-upper amphibolite facies sequence in the in the Siyom Valley of eastern Arunachal Pradesh is tectonically overlain by an upright (grade decreasing upward) granulite to lower amphibolite facies sequence. Such grade relationships would normally attribute the boundary to a Main Central Thrust (MCT) structure, and predict a change from underlying Lesser Himalaya Sequence (LHS) to Greater Himalaya Sequence rocks across the boundary. However, all pelitic and psammitic samples have similar detrital zircon age spectra, involving c. 2500, 1750-1500, 1200 and 1000 Ma Gondwanan populations correlated with the LHS. Isograds are broadly parallel to a penetrative NW-dipping S2 foliation, developed contemporaneously with the inversion. Garnet growth in garnet, staurolite and kyanite zone schists beneath the thrust commenced at P>8 kbar and T≈550°C, before syn- to post-S2 heating of staurolite and kyanite zone rocks to T≈640°C at P≈8.5 kbar, most probably at c. 18.5 Ma. Kyanite-rutile-garnet migmatite immediately above the thrust records peak conditions of P≈10 kbar and T≈750°C and c. 21.5 Ma monazite ages. Complexity in c. 21-1000 Ma monazite ages in overlying amphibolite facies schists reflects the patchy recrystallization of detrital grains, intra-grain complexity being dependent on whole rock composition, metamorphic grade and evolition. Slip on a SE-propagating thrust was likely contemporaneous with early Miocene metamorphism, based on the distribution of structure, metamorphic textures, and overlap of age relationships. It is inferred to have initially controlled the uplift of granulite to mid-crustal levels between 22 and 19 Ma, thermal relaxation within a disrupted LHS metamorphic profile inducing a post-S2 thermal peak in lower grade footwall rocks.

  13. Was Himalayan normal faulting triggered by initiation of the Ramgarh-Munsiari Thrust?

    USGS Publications Warehouse

    Robinson, Delores M.; Pearson, Ofori N.

    2013-01-01

    The Ramgarh–Munsiari thrust is a major orogen-scale fault that extends for more than 1,500 km along strike in the Himalayan fold-thrust belt. The fault can be traced along the Himalayan arc from Himachal Pradesh, India, in the west to eastern Bhutan. The fault is located within the Lesser Himalayan tectonostratigraphic zone, and it translated Paleoproterozoic Lesser Himalayan rocks more than 100 km toward the foreland. The Ramgarh–Munsiari thrust is always located in the proximal footwall of the Main Central thrust. Northern exposures (toward the hinterland) of the thrust sheet occur in the footwall of the Main Central thrust at the base of the high Himalaya, and southern exposures (toward the foreland) occur between the Main Boundary thrust and Greater Himalayan klippen. Although the metamorphic grade of rocks within the Ramgarh–Munsiari thrust sheet is not significantly different from that of Greater Himalayan rock in the hanging wall of the overlying Main Central thrust sheet, the tectonostratigraphic origin of the two different thrust sheets is markedly different. The Ramgarh–Munsiari thrust became active in early Miocene time and acted as the roof thrust for a duplex system within Lesser Himalayan rocks. The process of slip transfer from the Main Central thrust to the Ramgarh–Munsiari thrust in early Miocene time and subsequent development of the Lesser Himalayan duplex may have played a role in triggering normal faulting along the South Tibetan Detachment system.

  14. Genetic structure of Rajaka caste and affinities with other caste populations of Andhra Pradesh, India.

    PubMed

    Parvatheesam, C; Babu, B V; Babu, M C

    1997-01-01

    The present study gives an account of the genetic structure in terms of distribution of a few genetic markers, viz., A1A2B0, Rh(D), G6PD deficiency and haemoglobin among the Rajaka caste population of Andhra Pradesh, India. The genetic relationships of the Rajaka caste with other Andhra caste populations were investigated in terms of genetic distance, i.e., Sq B (mn) of Balakrishnan and Sanghvi. Relatively lesser distance was established between the Rajaka and two Panchama castes. Also, the pattern of genetic distance corroborates the hierarchical order of the Hindu varna system.

  15. When status hurts: dimensions of women's status and domestic abuse in rural Northern India.

    PubMed

    Mogford, Elizabeth

    2011-07-01

    This study is a multiple logistic regression analysis of the relationship between dimensions of women's status and domestic abuse in rural Uttar Pradesh, India, using the 1998-1999 National Family Health Survey (NFHS-2). Findings indicate that the effects of a woman's status on her likelihood of experiencing abuse depend on the social realm within which status operates. Specifically, more "public" dimensions of status are associated with a greater probability of abuse, while "domestic" dimensions are protective. The findings are interpreted in terms of transitioning gender norms in Uttar Pradesh and provide clarity to the literature on the complex relationship between status and abuse.

  16. Awareness of glaucoma in the rural population of Southern India.

    PubMed

    Krishnaiah, Sannapaneni; Kovai, Vilas; Srinivas, Marmamula; Shamanna, Bindiganavale R; Rao, Gullapalli N; Thomas, Ravi

    2005-09-01

    To explore the awareness of glaucoma amongst the rural population of Andhra Pradesh, India. A total of 7775 subjects of all ages, representative of the rural population of Andhra Pradesh, participated in the Andhra Pradesh Eye Disease Study. The responses of subjects older than 15 years (n=5573) who completed a structured questionnaire regarding awareness (heard of glaucoma) and knowledge (understanding of disease) of glaucoma formed the basis of this study. Awareness of glaucoma (n=18; 0.32%) was very poor in this rural population, and females were significantly less aware (p=0.007). Awareness of glaucoma was also significantly less among illiterate persons (p<0.0001), and socially backward population (p<0.0001). Majority of the respondents who were aware of glaucoma (n=10; 55.6%) did not know if visual loss due to glaucoma was permanent or reversible. The major source of awareness of glaucoma in this population was TV/magazines and other media followed by information from a relative or acquaintance suffering from the disease. Awareness of glaucoma is very poor in the rural areas of southern India. The data suggest the need for community-based health education programmes to increase the level of awareness and knowledge about glaucoma.

  17. First Report on the Ethnopharmacological Uses of Medicinal Plants by Monpa Tribe from the Zemithang Region of Arunachal Pradesh, Eastern Himalayas, India

    PubMed Central

    Chakraborty, Tamalika; Saha, Somidh; Bisht, Narendra S.

    2017-01-01

    The Himalayas are well known for high diversity and ethnobotanical uses of the region’s medicinal plants. However, not all areas of the Himalayan regions are well studied. Studies on ethnobotanical uses of plants from the Eastern Himalayas are still lacking for many tribes. Past studies have primarily focused on listing plants’ vernacular names and their traditional medicinal uses. However, studies on traditional ethnopharmacological practices on medicine preparation by mixing multiple plant products of different species has not yet been reported in published literature from the state of Arunachal Pradesh, India, Eastern Himalayas. In this study, we are reporting for the first time the ethnopharmacological uses of 24 medicines and their procedures of preparation, as well as listing 53 plant species used for these medicines by the Monpa tribe. Such documentations are done first time in Arunachal Pradesh region of India as per our knowledge. Our research emphasizes the urgent need to document traditional medicine preparation procedures from local healers before traditional knowledge of tribal people living in remote locations are forgotten in a rapidly transforming country like India. PMID:28257092

  18. Co-infection of scrub typhus and leptospirosis in patients with pyrexia of unknown origin in Longding district of Arunachal Pradesh in 2013.

    PubMed

    Borkakoty, Biswajyoti; Jakharia, Aniruddha; Biswas, Dipankar; Mahanta, Jagadish

    2016-01-01

    Scrub typhus and leptospirosis are bacterial zoonotic disease causing high morbidity and mortality. The seasonal outbreak of pyrexia is common in Arunachal Pradesh (AP); many times the disease remains undiagnosed. An outbreak of pyrexia of unknown origin (PUO) occurred in Longding district of Arunachal Pradesh in 2013, with 108 deaths, which was investigated to elucidate the cause of illness. Blood samples from the affected region with acute pyrexia were collected, and screened for the malaria parasite, scrub typhus IgM and leptospira IgM. Scrub typhus IgM was reactive in 97% (30/31), and 25% (8/31) cases were co-infected with leptospira. Incidentally, scrub typhus reactive (67%) and leptospira co-infection (62.7%) were higher in females. Record of previous 3 years (2011-2013) from Longding, Community Health Centre showed an increase in indoor pyrexia cases by 2-fold or more during October and November. The present study is the first report of co-infection of scrub typhus with leptospirosis from Northeast India. Medical officers in this region should take scrub typhus and leptospirosis in their differential diagnosis of patients with PUO for early diagnosis and effective treatment.

  19. Genetic and Biochemical Diversity among Valeriana jatamansi Populations from Himachal Pradesh

    PubMed Central

    Singh, Sunil Kumar; Katoch, Rajan; Kapila, Rakesh Kumar

    2015-01-01

    Valeriana jatamansi Jones is an important medicinal plant that grows wild in Himachal Pradesh, India. Molecular and biochemical diversity among 13 natural populations from Himachal Pradesh was assessed using RAPD and GC-MS to know the extent of existing variation. A total of seven genetically diverse groups have been identified based on RAPD analysis which corroborated well with the analysis based on chemical constituents. The essential oil yield ranged from 0.6% to 1.66% (v/w). A negative correlation between patchouli alcohol and viridiflorol, the two major valued constituents, limits the scope of their simultaneous improvement. However, other few populations like Chamba-II and Kandi-I were found promising for viridiflorol and patchouli alcohol, respectively. The analysis of chemical constitution of oil of the populations from a specific region revealed predominance of specific constituents indicating possibility of their collection/selection for specific end uses like phytomedicines. The prevalence of genetically diverse groups along with sufficient chemical diversity in a defined region clearly indicates the role of ecology in the maintenance of evolution of this species. Sufficient molecular and biochemical diversity detected among natural populations of this species will form basis for the future improvement. PMID:25741533

  20. Levels and trends in contraceptive prevalence, unmet need, and demand for family planning for 29 states and union territories in India: a modelling study using the Family Planning Estimation Tool.

    PubMed

    New, Jin Rou; Cahill, Niamh; Stover, John; Gupta, Yogender Pal; Alkema, Leontine

    2017-03-01

    Improving access to reproductive health services and commodities is central to development. Efforts to assess progress on this front have been largely focused on national estimates, but such analyses can mask local disparities. We assessed progress in reproductive health services subnationally in India. We developed a statistical model to generate estimates and projections of levels and trends in family planning indicators for subpopulations. The model builds onto the UN Population Division's Family Planning Estimation Model and uses data from multiple rounds of the Demographic and Health Survey, the District Level Household & Facility Survey, and the Annual Health Survey. We present annual estimates and projections of levels and trends in the prevalence of modern contraceptive use, and unmet need and demand for family planning for 29 states and union territories in India from 1990 to 2030. We also compared projections of demand satisfied with modern methods with the proposed goal of 75%. There is a large amount of heterogeneity in India, with a difference of up to 55·1 percentage points (95% uncertainty interval 46·4-62·1) in modern contraceptive use in 2015 between subregions. States such as Andhra Pradesh, with 92·7% (90·9-94·2) demand satisfied with modern methods, are performing well above the national average (71·8%, 56·7-83·6), whereas Manipur, with 26·8% (16·7-38·5) of demand satisfied, and Meghalaya, with 45·0% (40·1-50·0), consistently lag behind the rest of the country. Manipur and Meghalaya require the highest percentage increase in modern contraceptive use to achieve 75% demand satisfied with modern methods by 2030. In terms of absolute numbers, Uttar Pradesh requires the greatest increase, needing 9·2 million (5·5-12·6 million) additional users of modern contraception by 2030 to meet the target of 75%. The demand for family planning among the states and union territories in India is highly diverse. Greatest attention is needed in Uttar Pradesh, Manipur, and Meghalaya to meet UN targets. The analysis can be generalised to other countries as well as other subpopulations. Avenir Health through a grant from the Bill & Melinda Gates Foundation. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

  1. Biogeochemical study of termite mounds: a case study from Tummalapalle area of Andhra Pradesh, India.

    PubMed

    Arveti, Nagaraju; Reginald, S; Kumar, K Sunil; Harinath, V; Sreedhar, Y

    2012-04-01

    Termite mounds are abundant components of Tummalapalle area of uranium mineralization of Cuddapah District of Andhra Pradesh, India. The systematic research has been carried out on the application of termite mound sampling to mineral exploration in this region. The distribution of chemical elements Cu, Pb, Zn, Ni, Co, Cr, Li, Rb, Sr, Ba, and U were studied both in termite soils and adjacent surface soils. Uranium accumulations were noticed in seven termite mounds ranging from 10 to 36 ppm. A biogeochemical parameter called "Biological Absorption Coefficient" of the termite mounds indicated the termite affected soils contained huge amounts of chemical elements than the adjacent soils.

  2. Mobile phones and sex work in South India: the emerging role of mobile phones in condom use by female sex workers in two Indian states.

    PubMed

    Navani-Vazirani, Sonia; Solomon, Davidson; Gopalakrishnan; Heylen, Elsa; Srikrishnan, Aylur Kailasom; Vasudevan, Canjeevaram K; Ekstrand, Maria L

    2015-01-01

    The aim of this study was to examine female sex workers' solicitation of clients using mobile phones and the association between this and condom use with clients. Cross-sectional data were utilised to address the study's aim, drawing on data collected from female sex workers in Calicut, Kerala, and Chirala, Andhra Pradesh. Use of mobile phone solicitation was reported by 46.3% (n = 255) of Kerala participants and 78.7% (n = 464) of those in Andhra Pradesh. Kerala participants reporting exclusive solicitation using mobile phones demonstrated 1.67 times higher odds (95% CI: 1.01-2.79) of inconsistent condom use than those reporting non-use of mobile phones for solicitation. However, those reporting exclusive solicitation through mobile phones in Andhra Pradesh reported lower odds of inconsistent condom use (OR: 0.03; 95% CI: 0.01-0.26) than those not using mobile phones for solicitation. Findings indicate that solicitation of clients using mobile phones facilitates or hampers consistency in condom use with clients depending on the context, and how mobile phones are incorporated into solicitation practices. Variations in sex work environments, including economic dependence on sex work or lack thereof may partially account for the different effects found.

  3. Mobile phones and sex work in South India: The emerging role of mobile phones in condom use by female sex workers in two Indian states

    PubMed Central

    Navani-Vazirani, S; Solomon, D; Krishnan, G; Heylen, E; Srikrishnan, AK; Vasudevan, CK; Ekstrand, ML

    2014-01-01

    The aim of this study was to examine female sex workers’ solicitation of clients using mobile phones and the association between this and condom use with clients. Cross-sectional data were utilised to address the study's aim, drawing on data collected from female sex workers in Calicut, Kerala and Chirala, Andhra Pradesh. Use of mobile phone solicitation was reported by 46.3% (n = 255) of Kerala participants and 78.7% (n = 464) of those in Andhra Pradesh. Kerala participants reporting exclusive solicitation using mobile phones demonstrated 1.67 times higher odds (95% CI: 1.01–2.79) of inconsistent condom use than those reporting non-use of mobile phones for solicitation. However, those reporting exclusive solicitation through mobile phones in Andhra Pradesh reported lower odds of inconsistent condom use (OR: 0.03; 95% CI: 0.01–0.26) than those not using mobile phones for solicitation. Findings indicate that solicitation of clients using mobile phones facilitates or hampers consistency in condom use with clients depending on the context, and how mobile phones are incorporated into solicitation practices. Variations in sex work environments, including economic dependence on sex work or lack thereof may partially account for the different effects found. PMID:25301669

  4. Spectacle Coverage and Spectacles Use among Elderly Population in Residential Care in the South Indian State of Andhra Pradesh

    PubMed Central

    Marmamula, Srinivas; Ravuri, L. V. Chandra Sekhar; Boon, Mei Ying; Khanna, Rohit C.

    2013-01-01

    Background. There is limited research conducted on uncorrected refractive errors, presbyopia, and spectacles use among the elderly population in residential care in developing countries such as India. We conducted a cross-sectional study among elderly in residential care to assess the spectacle coverage and spectacles usage in the south Indian state of Andhra Pradesh. Methods. All 524 residents in the 26 “homes for aged” institutions in the district were enumerated. Eye examination was performed that included visual acuity (VA) assessment for distant and near vision. A questionnaire was used to collect information on spectacles use. Results. 494/524 individuals were examined, 78% were women, and 72% had no education. The mean age of participants was 70 years. The spectacle coverage for refractive errors was 35.1% and 23.9% for presbyopia. The prevalence of current use and past use of spectacles was 38.5% (95% CI: 34.2–42.8; n = 190) and 17.2% (95% CI: 13.9–42.8), respectively. Conclusions. There is low spectacle coverage for both refractive errors and presbyopia among elderly individuals in residential care in the south Indian state of Andhra Pradesh. Appropriate service delivery systems should be developed to reach out this vulnerable group of seniors on a priority basis. PMID:23865041

  5. GIS for public health : A study of Andhra Pradesh

    NASA Astrophysics Data System (ADS)

    Shrinagesh, B.; Kalpana, Markandey; Kiran, Baktula

    2014-06-01

    Geographic information systems and remote sensing have capabilities that are ideally suited for use in infectious disease surveillance and control, particularly for the many vector-borne neglected diseases that are often found in poor populations in remote rural areas. They are also highly relevant to meet the demands of outbreak investigation and response, where prompt location of cases, rapid communication of information, and quick mapping of the epidemic's dynamics are vital. The situation has changed dramatically over the past few years. GIS helps in determining geographic distribution of diseases, analysing spatial and temporal trends, Mapping populations at risk, Stratifying risk factors, Assessing resource allocation, Planning and targeting interventions, Monitoring diseases and interventions over time. There are vast disparities in people's health even among the different districts across the state of Andhra Pradesh largely attributed to the resource allocation by the state government. Despite having centers of excellence in healthcare delivery, these facilities are limited and are inadequate in meeting the current healthcare demands. The main objectives are to study the prevalent diseases in Andhra Pradesh, to study the infrastructural facilities available in A.P. The methodology includes the Spatial Database, which will be mostly in the form of digitized format. The Non-Spatial Database includes both secondary data as well as the primary data.

  6. Stochastic Analysis of Wind Energy for Wind Pump Irrigation in Coastal Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Raju, M. M.; Kumar, A.; Bisht, D.; Rao, D. B.

    2014-09-01

    The rapid escalation in the prices of oil and gas as well as increasing demand for energy has attracted the attention of scientists and researchers to explore the possibility of generating and utilizing the alternative and renewable sources of wind energy in the long coastal belt of India with considerable wind energy resources. A detailed analysis of wind potential is a prerequisite to harvest the wind energy resources efficiently. Keeping this in view, the present study was undertaken to analyze the wind energy potential to assess feasibility of the wind-pump operated irrigation system in the coastal region of Andhra Pradesh, India, where high ground water table conditions are available. The stochastic analysis of wind speed data were tested to fit a probability distribution, which describes the wind energy potential in the region. The normal and Weibull probability distributions were tested; and on the basis of Chi square test, the Weibull distribution gave better results. Hence, it was concluded that the Weibull probability distribution may be used to stochastically describe the annual wind speed data of coastal Andhra Pradesh with better accuracy. The size as well as the complete irrigation system with mass curve analysis was determined to satisfy various daily irrigation demands at different risk levels.

  7. How equitable is social franchising? Case studies of three maternal healthcare franchises in Uganda and India

    PubMed Central

    Haemmerli, Manon; Santos, Andreia; Penn-Kekana, Loveday; Lange, Isabelle; Matovu, Fred; Benova, Lenka; Wong, Kerry LM

    2018-01-01

    Abstract Substantial investments have been made in clinical social franchising to improve quality of care of private facilities in low- and middle-income countries but concerns have emerged that the benefits fail to reach poorer groups. We assessed the distribution of franchise utilization and content of care by socio-economic status (SES) in three maternal healthcare social franchises in Uganda and India (Uttar Pradesh and Rajasthan). We surveyed 2179 women who had received antenatal care (ANC) and/or delivery services at franchise clinics (in Uttar Pradesh only ANC services were offered). Women were allocated to national (Uganda) or state (India) SES quintiles. Franchise users were concentrated in the higher SES quintiles in all settings. The percent in the top two quintiles was highest in Uganda (over 98% for both ANC and delivery), followed by Rajasthan (62.8% for ANC, 72.1% for delivery) and Uttar Pradesh (48.5% for ANC). The percent of clients in the lowest two quintiles was zero in Uganda, 7.1 and 3.1% for ANC and delivery, respectively, in Rajasthan and 16.3% in Uttar Pradesh. Differences in SES distribution across the programmes may reflect variation in user fees, the average SES of the national/state populations and the range of services covered. We found little variation in content of care by SES. Key factors limiting the ability of such maternal health social franchises to reach poorer groups may include the lack of suitable facilities in the poorest areas, the inability of the poorest women to afford any private sector fees and competition with free or even incentivized public sector services. Moreover, there are tensions between targeting poorer groups, and franchise objectives of improving quality and business performance and enhancing financial sustainability, meaning that middle income and poorer groups are unlikely to be reached in large numbers in the absence of additional subsidies. PMID:29373681

  8. How equitable is social franchising? Case studies of three maternal healthcare franchises in Uganda and India.

    PubMed

    Haemmerli, Manon; Santos, Andreia; Penn-Kekana, Loveday; Lange, Isabelle; Matovu, Fred; Benova, Lenka; Wong, Kerry L M; Goodman, Catherine

    2018-04-01

    Substantial investments have been made in clinical social franchising to improve quality of care of private facilities in low- and middle-income countries but concerns have emerged that the benefits fail to reach poorer groups. We assessed the distribution of franchise utilization and content of care by socio-economic status (SES) in three maternal healthcare social franchises in Uganda and India (Uttar Pradesh and Rajasthan). We surveyed 2179 women who had received antenatal care (ANC) and/or delivery services at franchise clinics (in Uttar Pradesh only ANC services were offered). Women were allocated to national (Uganda) or state (India) SES quintiles. Franchise users were concentrated in the higher SES quintiles in all settings. The percent in the top two quintiles was highest in Uganda (over 98% for both ANC and delivery), followed by Rajasthan (62.8% for ANC, 72.1% for delivery) and Uttar Pradesh (48.5% for ANC). The percent of clients in the lowest two quintiles was zero in Uganda, 7.1 and 3.1% for ANC and delivery, respectively, in Rajasthan and 16.3% in Uttar Pradesh. Differences in SES distribution across the programmes may reflect variation in user fees, the average SES of the national/state populations and the range of services covered. We found little variation in content of care by SES. Key factors limiting the ability of such maternal health social franchises to reach poorer groups may include the lack of suitable facilities in the poorest areas, the inability of the poorest women to afford any private sector fees and competition with free or even incentivized public sector services. Moreover, there are tensions between targeting poorer groups, and franchise objectives of improving quality and business performance and enhancing financial sustainability, meaning that middle income and poorer groups are unlikely to be reached in large numbers in the absence of additional subsidies.

  9. Quit history, intentions to quit, and reasons for considering quitting among tobacco users in India: Findings from the Wave 1 TCP India Survey

    PubMed Central

    Dhumal, Gauri G.; Pednekar, Mangesh S.; Gupta, Prakash C.; Sansone, Genevieve C; Quah, ACK; Bansal-Travers, M; Fong, Geoffrey T

    2015-01-01

    Background GATS India 2009–10 revealed that more than one-third (35%) of adults in India use tobacco in some form: 21% use smokeless tobacco, 9% smoke, and 5% are mixed users (they smoke and use smokeless tobacco), and the quit rate is very low. In an effort to decrease prevalence of tobacco use, it is thus important to understand the factors that are related to intention to quit among Indian tobacco users. Research has shown consistently that intention to quit is a strong predictor of future quitting. The present study reports the factors encouraging quitting tobacco products in India. Methods Cross-sectional data from Wave 1 of the International Tobacco Control Policy Evaluation (TCP) India Survey conducted in four cities and surrounding rural areas [i.e. Mumbai (Maharashtra), Patna (Bihar), Indore (Madhya Pradesh), and Kolkata (West Bengal)] between August 2010 and December 2011 were analyzed. A total of 8,051 tobacco users (15+ years) were randomly sampled from 8,586 households: 1,255 smokers, 5,991 smokeless users, and 805 mixed (smoke and smokeless) users. Validated, standardized questions were asked about current tobacco use, intention to quit, and factors encouraging quitting. Results Overall, 19.6% of tobacco users intended to quit. Smokers had less intention to quit as compared to smokeless tobacco users whereas mixed users had more intention to quit (OR = 1.48, 95% CI = 1.12–1.97) compared to smokeless tobacco users. Highly educated people were more likely to report intention to quit (OR = 1.82, 95% CI = 1.09–3.02) compared to less educated. Advice by doctors to quit tobacco had a strong impact on intention to quit (OR = 1.68, CI = 1.29–2.15). Tobacco users who were exposed to anti-tobacco messages at work places (OR = 1.74, CI = 1.23–2.46), at restaurants (OR = 1.65, CI = 1.12–2.43), bars (OR = 1.81, CI = 1.07–3.06), on public transportation (OR = 2.14, CI = 1.49–3.08) and on tobacco packages (OR = 1.77, CI = 1.29–2.14) also expressed greater intention to quit tobacco use. Conclusion Around one-fifth of tobacco users in India intended to quit tobacco use. Higher education, doctor’s advice, and anti-tobacco messages were positively associated with users’ intention to quit tobacco. PMID:25526247

  10. State health insurance and out-of-pocket health expenditures in Andhra Pradesh, India.

    PubMed

    Fan, Victoria Y; Karan, Anup; Mahal, Ajay

    2012-09-01

    In 2007 the state of Andhra Pradesh in southern India began rolling out Aarogyasri health insurance to reduce catastrophic health expenditures in households 'below the poverty line'. We exploit variation in program roll-out over time and districts to evaluate the impacts of the scheme using difference-in-differences. Our results suggest that within the first nine months of implementation Phase I of Aarogyasri significantly reduced out-of-pocket inpatient expenditures and, to a lesser extent, outpatient expenditures. These results are robust to checks using quantile regression and matching methods. No clear effects on catastrophic health expenditures or medical impoverishment are seen. Aarogyasri is not benefiting scheduled caste and scheduled tribe households as much as the rest of the population.

  11. Confidentiality, Privacy, and Respect: Experiences of Female Sex Workers Participating in HIV Research in Andhra Pradesh, India

    PubMed Central

    Reed, Elizabeth; Khoshnood, Kaveh; Blankenship, Kim M.; Fisher, Celia B.

    2014-01-01

    Female sex workers (FSW) from Andhra Pradesh, India who had participated in HIV research were interviewed to examine participant perspectives on research ethics. Content analysis indicated that aspects of the consent process, staff gender and demeanor, study environment, survey content, time requirements for study participation, and perceived FSW community support for research were key factors influencing whether FSW perceived their confidentiality and privacy had been maintained, and whether they felt the study was conducted respectfully. Findings suggest that partnership with community-based organizations and investigation of participant’s experiences in HIV prevention research can provide critical information to best inform research ethics protocols, a particular priority among research studies with highly stigmatized populations, such as FSW. PMID:24572080

  12. Consanguinity and its relationship to differential fertility and mortality in the Kotia: a tribal population of Andhra Pradesh, India.

    PubMed

    Yasim; Naidu, J M; Mascie-Taylor, C G

    1997-04-01

    Data on patterns of marriage, differential fertility and mortality were collected from 211 Kotia women residing in Visakhapatnam district of Andhra Pradesh, India. Consanguineous marriages made up just over a quarter of the total, and of these, father's sister's daughter (FSD) were more common than mother's brother's daughter (MBD). The mean inbreeding coefficient for the sample (F) was 0.0172. Women in consanguineous marriages had a lower mean number of total conceptions, live births and living offspring (net fertility) than women in non-consanguineous marriages. Significant heterogeneity was found in the means of living offspring for FSD, MBD and non-consanguineous couples, but not for conceptions and live births.

  13. Increase in iodine deficiency disorder due to inadequate sustainability of supply of iodized salt in District Solan, Himachal Pradesh.

    PubMed

    Kapil, Umesh; Pandey, R M; Jain, Vandana; Kabra, Madhulika; Sareen, Neha; Bhadoria, Ajeet Singh; Vijay, Jyoti; Nigam, Sukirty; Khenduja, Preetika

    2013-12-01

    Himachal Pradesh is a known endemic area for iodine deficiency disorders. A study was conducted in district Solan with the objective of assessing the prevalence of iodine deficiency disorders in school-age children. Thirty clusters were selected by using the probability-proportionate-to-size cluster sampling methodology. Clinical examination of the thyroid of 1898 children in the age-group of 6-12 years was conducted. Urine and salt samples were collected. The total goiter rate was found to be 15.4%. Median urinary iodine excretion level was 62.5 μg/l. Only 39% of the salt samples had iodine content of ≥15 ppm. Mild iodine deficiency was present in the subjects studied.

  14. The incidence of abortion and unintended pregnancy in India, 2015

    PubMed Central

    Singh, Susheela; Shekhar, Chander; Acharya, Rajib; Moore, Ann M; Stillman, Melissa; Pradhan, Manas R; Frost, Jennifer J; Sahoo, Harihar; Alagarajan, Manoj; Hussain, Rubina; Sundaram, Aparna; Vlassoff, Michael; Kalyanwala, Shveta; Browne, Alyssa

    2018-01-01

    Summary Background Reliable information on the incidence of induced abortion in India is lacking. Official statistics and national surveys provide incomplete coverage. Since the early 2000s, medication abortion has become increasingly available, improving the way women obtain abortions. The aim of this study was to estimate the national incidence of abortion and unintended pregnancy for 2015. Methods National abortion incidence was estimated through three separate components: abortions (medication and surgical) in facilities (including private sector, public sector, and non-governmental organisations [NGOs]); medication abortions outside facilities; and abortions outside of facilities and with methods other than medication abortion. Facility-based abortions were estimated from the 2015 Health Facilities Survey of 4001 public and private health facilities in six Indian states (Assam, Bihar, Gujarat, Madhya Pradesh, Tamil Nadu, and Uttar Pradesh) and from NGO clinic data. National medication abortion drug sales and distribution data were obtained from IMS Health and six principal NGOs (DKT International, Marie Stopes International, Population Services International, World Health Partners, Parivar Seva Santha, and Janani). We estimated the total number of abortions that are not medication abortions and are not obtained in a health facility setting through an indirect technique based on findings from community-based study findings in two states in 2009, with adjustments to account for the rapid increase in use of medication abortion since 2009. The total number of women of reproductive age and livebirth data were obtained from UN population data, and the proportion of births from unplanned pregnancies and data on contraceptive use and need were obtained from the 2015–16 National Family Health Survey-4. Findings We estimate that 15·6 million abortions (14·1 million–17·3 million) occurred in India in 2015. The abortion rate was 47·0 abortions (42·2–52·1) per 1000 women aged 15–49 years. 3·4 million abortions (22%) were obtained in health facilities, 11·5 million (73%) abortions were medication abortions done outside of health facilities, and 0·8 million (5%) abortions were done outside of health facilities using methods other than medication abortion. Overall, 12·7 million (81%) abortions were medication abortions, 2·2 million (14%) abortions were surgical, and 0·8 million (5%) abortions were done through other methods that were probably unsafe. We estimated 48·1 million pregnancies, a rate of 144·7 pregnancies per 1000 women aged 15–49 years, and a rate of 70·1 unintended pregnancies per 1000 women aged 15–49 years. Abortions accounted for one third of all pregnancies, and nearly half of pregnancies were unintended. Interpretation Health facilities can have a greater role in abortion service provision and provide quality care, including post-abortion contraception. Interventions are needed to expand access to abortion services through better equipping existing facilities, ensuring adequate and continuous supplies of medication abortion drugs, and by increasing the number of trained providers. In view of how many women rely on self-administration of medication abortion drugs, interventions are needed to provide women with accurate information on these drugs and follow-up care when needed. Research is needed to test interventions that improve knowledge and practice in providing medication abortion, and the Indian Government at the national and state level needs to prioritise improving policies and practice to increase access to comprehensive abortion care and quality contraceptive services that prevent unintended pregnancy. Funding Government of UK Department for International Development (until 2015), the David and Lucile Packard Foundation, the John D. and Catherine T. MacArthur Foundation, and the Ford Foundation. PMID:29241602

  15. Prevalence of Asymptomatic Poliovirus Infection in Older Children and Adults in Northern India: Analysis of Contact and Enhanced Community Surveillance, 2009

    PubMed Central

    Mach, Ondrej; Verma, Harish; Khandait, Devendra W.; Sutter, Roland W.; O'Connor, Patrick M.; Pallansch, Mark A.; Cochi, Stephen L.; Linkins, Robert W.; Chu, Susan Y.; Wolff, Chris; Jafari, Hamid S.

    2015-01-01

    Background In 2009, enhanced poliovirus surveillance was established in polio-endemic areas of Uttar Pradesh and Bihar, India, to assess poliovirus infection in older individuals. Methods In Uttar Pradesh, stool specimens from asymptomatic household and neighborhood contacts of patients with laboratory-confirmed polio were tested for polioviruses. In Bihar, in community-based surveillance, children and adults from 250 randomly selected households in the Kosi River area provided stool and pharyngeal swab samples that were tested for polioviruses. A descriptive analysis of surveillance data was performed. Results In Uttar Pradesh, 89 of 1842 healthy contacts of case patients with polio (4.8%) were shedding wild poliovirus (WPV); 54 of 85 (63.5%) were ≥5 years of age. Shedding was significantly higher in index households than in neighborhood households (P < .05). In Bihar, 11 of 451 healthy persons (2.4%) were shedding WPV in their stool; 6 of 11 (54.5%) were ≥5 years of age. Mean viral titer was similar in older and younger children. Conclusions A high proportion of persons ≥5 years of age were asymptomatically shedding polioviruses. These findings provide indirect evidence that older individuals could have contributed to community transmission of WPV in India. Polio vaccination campaigns generally target children <5 years of age. Expanding this target age group in polio-endemic areas could accelerate polio eradication. PMID:25316843

  16. Progress toward poliomyelitis eradication --- India, January 2009-October 2010.

    PubMed

    2010-12-10

    India is one of only four countries (including Afghanistan, Nigeria, and Pakistan) where wild poliovirus (WPV) transmission has never been interrupted. Historically, WPV transmission in India has centered largely in Uttar Pradesh and Bihar, two states with low routine vaccination coverage, large migrant and remote populations, and lower relative vaccine effectiveness than other areas of the country. However, during a 9-month period from November 2009 to August 2010, no WPV type 1 (WPV1) cases were reported in Uttar Pradesh or Bihar. This report summarizes the substantial progress made in India toward polio eradication during January 2009-October 2010, according to data reported as of December 4, and updates previous reports. During January-October 2010, only 40 WPV cases were confirmed in India, a 94% decrease from the 626 WPV cases confirmed during the same period in 2009; the decrease likely resulted, in large part, from the introduction of bivalent oral poliovirus vaccine types 1 and 3 (bOPV). Increasingly important contributors to WPV transmission are large migrant subpopulations; surveys have indicated that up to 11% of children aged <5 years in these subpopulations were missed during supplementary immunization activities (SIAs). Interruption of all WPV transmission in India will require maintaining high levels of immunity in Uttar Pradesh and Bihar and additional efforts directed toward children in migrant subpopulations that are not vaccinated as readily during SIAs.

  17. Pliocene episodic exhumation and the significance of the Munsiari thrust in the northwestern Himalaya

    NASA Astrophysics Data System (ADS)

    Stübner, Konstanze; Grujic, Djordje; Dunkl, István; Thiede, Rasmus; Eugster, Patricia

    2018-01-01

    The Himalayan thrust belt comprises three in-sequence foreland-propagating orogen-scale faults, the Main Central thrust, the Main Boundary thrust, and the Main Frontal thrust. Recently, the Munsiari-Ramgarh-Shumar thrust system has been recognized as an additional, potentially orogen-scale shear zone in the proximal footwall of the Main Central thrust. The timing of the Munsiari, Ramgarh, and Shumar thrusts and their role in Himalayan tectonics are disputed. We present 31 new zircon (U-Th)/He ages from a profile across the central Himachal Himalaya in the Beas River area. Within a ∼40 km wide belt northeast of the Kullu-Larji-Rampur window, ages ranging from 2.4 ± 0.4 Ma to 5.4 ± 0.9 Ma constrain a distinct episode of rapid Pliocene to Present exhumation; north and south of this belt, zircon (U-Th)/He ages are older (7.0 ± 0.7 Ma to 42.2 ± 2.1 Ma). We attribute the Pliocene rapid exhumation episode to basal accretion to the Himalayan thrust belt and duplex formation in the Lesser Himalayan sequence including initiation of the Munsiari thrust. Pecube thermokinematic modelling suggests exhumation rates of ∼2-3 mm/yr from 4-7 to 0 Ma above the duplex contrasting with lower (<0.3 mm/yr) middle-late Miocene exhumation rates. The Munsiari thrust terminates laterally in central Himachal Pradesh. In the NW Indian Himalaya, the Main Central thrust zone comprises the sheared basal sections of the Greater Himalayan sequence and the mylonitic 'Bajaura nappe' of Lesser Himalayan affinity. We correlate the Bajaura unit with the Ramgarh thrust sheet in Nepal based on similar lithologies and the middle Miocene age of deformation. The Munsiari thrust in the central Himachal Himalaya is several Myr younger than deformation in the Bajaura and Ramgarh thrust sheets. Our results illustrate the complex and segmented nature of the Munsiari-Ramgarh-Shumar thrust system.

  18. Hydrogeological framework and water balance studies in parts of Krishni Yamuna interstream area, Western Uttar Pradesh, India

    NASA Astrophysics Data System (ADS)

    Ahmed, Izrar; Umar, Rashid

    2008-02-01

    The Krishni Yamuna interstream area is a micro-watershed in the Central Ganga Plain and a highly fertile track of Western Uttar Pradesh. The Sugarcane and wheat are the major crops of the area. Aquifers of Quaternary age form the major source of Irrigation and municipal water supplies. A detailed hydrogeological investigation was carried out in the study area with an objective to assess aquifer framework, groundwater quality and its resource potential. The hydrogeological cross section reveals occurrence of alternate layers of clay and sand. Aquifer broadly behaves as a single bodied aquifer down to the depth of 100 m bgl (metre below ground level) as the clay layers laterally pinch out. The depth to water in the area varies between 5 and 16.5 m bgl. The general groundwater flow direction is from NE to SW with few local variations. An attempt has been made to evaluate groundwater resources of the area. The water budget method focuses on the various components contributing to groundwater flow and groundwater storage changes. Changes in ground water storage can be attributed to rainfall recharge, irrigation return flow and ground water inflow to the basin minus baseflow (ground water discharge to streams or springs), evapotranspiration from ground water, pumping and ground water outflow from the basin. The recharge is obtained in the study area using Water table fluctuation and Tritium methods. The results of water balance study show that the total recharge in to the interstream region is of the order of 185.25 million m3 and discharge from the study area is of the order of 203.24 million m3, leaving a deficit balance of -17.99 million m3. Therefore, the present status of groundwater development in the present study area has acquired the declining trend. Thus, the hydrogeological analysis and water balance studies shows that the groundwater development has attained a critical state in the region.

  19. Spatial and seasonal responses of precipitation in the Ganges and Brahmaputra river basins to ENSO and Indian Ocean dipole modes: implications for flooding and drought

    NASA Astrophysics Data System (ADS)

    Pervez, M. S.; Henebry, G. M.

    2014-02-01

    We evaluated the spatial and temporal responses of precipitation in the basins as modulated by the El Niño Southern Oscillation (ENSO) and Indian Ocean (IO) dipole modes using observed precipitation records at 43 stations across the Ganges and Brahmaputra basins from 1982 to 2010. Daily observed precipitation records were extracted from Global Surface Summary of the Day dataset and spatial and monthly anomalies were computed. The anomalies were averaged for the years influenced by climate modes combinations. Occurrences of El Niño alone significantly reduced (60% and 88% of baseline in the Ganges and Brahmaputra basins, respectively) precipitation during the monsoon months in the northwestern and central Ganges basin and across the Brahmaputra basin. In contrast, co-occurrence of La Niña and a positive IO dipole mode significantly enhanced (135% and 160% of baseline, respectively) precipitation across both basins. During the co-occurrence of neutral phases in both climate modes (occurring 13 out of 28 yr), precipitation remained below average to average in the agriculturally extensive areas of Haryana, Uttar Pradesh, Bihar, eastern Nepal, and the Rajshahi district in Bangladesh in the Ganges basin and northern Bangladesh, Meghalaya, Assam, and Arunachal Pradesh in the Brahmaputra basin. This pattern implies that a regular water deficit is likely in these areas with implications for the agriculture sector due to its reliance on consistent rainfall for successful production. Major flooding and drought occurred as a consequence of the interactive effects of the ENSO and IO dipole modes, with the sole exception of extreme precipitation and flooding during El Niño events. This observational analysis will facilitate well informed decision making in minimizing natural hazard risks and climate impacts on agriculture, and supports development of strategies ensuring optimized use of water resources in best management practice under changing climate.

  20. Distribution of Major and trace elements in Koppunuru area, Guntur district, Andhra Pradesh, India.

    PubMed

    Arumugam, K; Srinivasalu, S; Purvaja, R; Ramesh, R

    2018-06-01

    From koppunuru study area totally 58 samples were collected in 7 different boreholes, minimum depth of 28 m and Maximum depth of 157.7 m. The borehole samples geochemical analysis (major and trace elements) was carried out at Atomic Minerals Directorate for Exploration & Research (AMD), Hyderabad, India. Major and trace element studies have been conducted on the Neoproterozoic Palnad sub-basin Andhra Pradesh, South India, to determine their Geochemistry, Uranium mineralization and provenance characteristics. Geochemically, this sedimentary basin has a different litho - unit like as gritty quartzite, conglomerate, and Shale. This study area mainly dominated by Uranium deposited and radioactive elements are predominately deposit. Strong positive correlation between Uranium and Lead ( r = 0.887) suggested radiogenic nature of this system.

  1. Consumption of junk foods by school-aged children in rural Himachal Pradesh, India.

    PubMed

    Gupta, Aakriti; Kapil, Umesh; Singh, Gajendra

    2018-01-01

    There has been an increase in the consumption of junk food (JF) among school-aged children (SAC) possibly leading to obesity and diet-related diseases among them. We do not have evidence on consumption of JF in rural areas; hence, we conducted a study to assess the consumption of JF by SAC in rural, Himachal Pradesh. A total of 425 children in the age group of 12-18 years studying in 30 government schools (clusters) were included. The clusters were selected using population proportionate to size sampling methodology. We found high prevalence (36%) of consumption of JF among SAC during the last 24 h. Efforts should be taken to reduce the consumption of JF by promotion of healthy dietary habits and educating children about the ill effects of JF.

  2. Finger ridge count correlations among four tribes of Andhra Pradesh, India.

    PubMed

    Kusuma, Y S; Babu, B V; Naidu, J M

    2002-06-01

    The present paper reports the distribution of finger ridge count correlations among four tribal populations from Andhra Pradesh, India viz., Dulia, Kotia, Manne Dora and Manzai Mali, and examines the intra and inter population variation. Higher correlations are recorded in left hands compared to right hands, but they are not significant. The homologous fingers exhibit a stronger correlation. In all the tribes, the correlations between right hand fingers are relatively higher among women when compared to men. Regarding inter population variation Dulia men differ significantly from the men of Manne Dora and the Manzai Mali tribes, and Kotia women also differ from the women of the Manne Dora significantly. The average correlation coefficient of the present populations is similar to other Indian populations reported earlier but lower than African and European populations.

  3. Genomic characterization of two new enterovirus types, EV-A114 and EV-A121.

    PubMed

    Deshpande, Jagadish M; Sharma, Deepa K; Saxena, Vinay K; Shetty, Sushmitha A; Qureshi, Tarique Husain I H; Nalavade, Uma P

    2016-12-01

    Enteroviruses cause a variety of illnesses of the gastrointestinal tract, central nervous system and cardiovascular system. Phylogenetic analysis of VP1 sequences has identified 106 different human enteroviruses classified into four enterovirus species within the genus Enterovirus of the family Picornaviridae. It is likely that not all enterovirus types have been discovered. Between September 2013 and October 2014, stool samples of 6274 apparently healthy children of up to 5 years of age residing in Gorakhpur district, Uttar Pradesh, India were screened for enteroviruses. Virus isolates obtained in RD and Hep-2c cells were identified by complete VP1 sequencing. Enteroviruses were isolated from 3042 samples. A total of 87 different enterovirus types were identified. Two isolates with 71 and 74 % nucleotide sequence similarity to all other known enteroviruses were recognized as novel types. In this paper we report identification and complete genome sequence analysis of these two isolates classified as EV-A114 and EV-A121.

  4. Efficacy of electrical resistivity and induced polarization methods for revealing fluoride contaminated groundwater in granite terrain.

    PubMed

    Mondal, Nepal C; Rao, Ananda V; Singh, Vijay P

    2010-09-01

    The accumulation of fluoride (F) in groundwater is a common phenomenon in India and worldwide. Its location can be identified through a direct hydrochemical analysis, which was carried out in Kurmapalli watershed (located 60 km SE of Hyderabad city), Nalgonda district, Andhra Pradesh, India affected by F contamination. The results of the hydrochemical analysis showed that F varied from 0.71 to 19.01 mg/l and its concentration exceeded the permissible limit (i.e., 1.5 mg/l) in 78% of the total 32 samples analyzed. The highest F value (19.01 mg/l) was found near Madnapur village, which is located in the central part of the watershed. Resistivity and induced polarization (IP) surveys were also carried out to reveal the zones where elevated F-contaminated groundwater exists. The objective of this paper was to highlight the utility of resistivity and IP surveys, using hydrochemical constituents as constraint, for the successful delineation of such contaminated/polluted groundwater zones in the granite area.

  5. Community Collectivization and Consistent Condom Use Among Female Sex Workers in Southern India: Evidence from Two Rounds of Behavioral Tracking Surveys.

    PubMed

    Vejella, Shanti; Patel, Sangram Kishor; Saggurti, Niranjan; Prabhakar, Parimi

    2016-04-01

    Community collectivization is an integral part of condom use and HIV risk reduction interventions among key population. This study assesses community collectivization among female sex workers (FSWs), and explores its relationship with sex workers' consistent condom use (CCU) with different partners considering the interaction effect of time and collectivization. Data were drawn from two rounds of cross-sectional surveys collected during 2010 (N1 = 1986) and 2012 (N2 = 1973) among FSWs in Andhra Pradesh, India. Results of the multiple logistic regression analysis show that, CCU with regular and occasional clients increased over the inter-survey period among FSWs with a high collective efficacy (AOR 2.9 and 6.1) and collective agency (AOR 14.4 and 19.0) respectively. The association of high levels of collectivization with CCU and self-efficacy for condom use are central to improve the usefulness and sustainability of HIV prevention programs worldwide.

  6. Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India

    PubMed Central

    Sridharan, Sanjeev; Dey, Arnab; Seth, Aparna; Chandurkar, Dharmendra; Singh, Kultar; Hay, Katherine; Gibson, Rachael

    2017-01-01

    ABSTRACT Background: This paper explores the multilevel factors associated with maternal health utilization in India’s most populous state, Uttar Pradesh. 3 key utilization practices: registration of pregnancy, receipt of antenatal care, and delivery at home are examined for district and individual level predictors. The data is based on 5666 household surveys conducted as part of a baseline evaluation of the Uttar Pradesh Technical Support Unit (UPTSU.) program. Objectives: This intervention aims to assist the Government of Uttar Pradesh in increasing the efficiency, effectiveness, and equity of service delivery across a continuum of reproductive, maternal, new-born, child, and adolescent health (RMNCH+A) outcomes. Methods: The paper employs multilevel models that control for individuals being nested within districts in order to understand the predictors of maternal health care utilization. Results: The study identifies several individual-level predictors of health care utilization, including: literacy of the woman, the husband’s schooling, age at marriage, and socio-economic factors. Key predictors of pregnancy registration include husband’s schooling (OR 1.49, 95% CI 1.26–1.76), having a bank account (OR 1.36, 95% CI 1.11–1.68), and owning a house (OR 2.28, 95% CI 1.85–2.80). Factors affecting antenatal care include the woman’s literacy (OR 1.49, 95% CI 1.28–1.73), the respondent having had a job in the last year (OR 1.39, 95% CI 1.10–1.77), and owning a house (OR 2.83, 95% CI 2.27–3.53). Home delivery tends to be associated with woman’s literacy (OR 0.62, 95% CI 0.54–0.72) and marriage age of 15 and younger (OR 1.48, 95% CI 1.26–1.73). Conclusions: Interventions having equity considerations need to disrupt existing patterns of the health gradient. Successful implementation of such interventions, necessitate understanding the mechanisms that can disrupt the unequal utilization patterns and target domains of disadvantage. Knowledge of key predictors of utilization can aid in the implementation of such complex interventions. PMID:28681668

  7. Risk factors for diabetic retinopathy: Findings from The Andhra Pradesh Eye Disease Study

    PubMed Central

    Krishnaiah, Sannapaneni; Das, Taraprasad; Nirmalan, Praveen K; Shamanna, Bindiganavale R; Nutheti, Rishita; Rao, Gullapalli N; Thomas, Ravi

    2007-01-01

    Objective: To assess prevalence, potential risk factors and population attributable risk percentage (PAR%) for diabetic retinopathy (DR) in the Indian state of Andhra Pradesh. Methods: A population-based study, using a stratified, random, cluster, systematic sampling strategy, was conducted in the state of Andhra Pradesh in India during 1996 and 2000. Participants from 94 clusters in one urban and three rural areas representative of the population of Andhra Pradesh, underwent a detailed interview and a comprehensive dilated ocular evaluation by trained professionals. DR was defined according to the international classification and grading system. For subjects more than or equal to 30 years of age, we explored associations of DR with potential risk factors using bivariable and multivariable analyses. Population attributable risk percent was calculated using Levin’s formula. Results: Diabetic retinopathy was present in 39 of 5586 subjects, an age-gender-area-adjusted prevalence of 0.72% (95% confidence interval (CI): 0.49%–0.93%) among subjects aged ≥ 30 years old, and 0.27% (95% CI: 0.17%–0.37%) for all ages. Most of the DR was either mild (51.3%) or moderate (35.9%) non-proliferative type; one subject (2.6%) had proliferative retinopathy. Multivariable analysis showed that increasing age, adjusted odds ratio (OR); 4.04 (95% CI: 1.88–8.68), middle and upper socioeconomic status group (OR); 2.34 (95% CI: 1.16–4.73), hypertension (OR); 3.48 (95% CI: 1.50–8.11) and duration of diabetes ≥ 15 years (OR); 8.62 (95% CI: 2.63–28.29) were significantly associated with increasing risk of DR. The PAR % for hypertension was 50%; it was 10% for cigarette smokers. Conclusions: Extrapolating the prevalence of diabetic retinopathy in our sample to the Indian population suggests that there may be an estimated 2.77 million people with DR, approximately 0.07 million people with severe DR. As the population demographics change towards aging, this number is likely to increase further. Health care programs in India need to examine strategies to prevent diabetes and DR, as well as create the infrastructure required to manage this condition. PMID:19668525

  8. Risk factors for age-related macular degeneration: findings from the Andhra Pradesh eye disease study in South India.

    PubMed

    Krishnaiah, Sannapaneni; Das, Taraprasad; Nirmalan, Praveen K; Nutheti, Rishita; Shamanna, Bindiganavale R; Rao, Gullapalli N; Thomas, Ravi

    2005-12-01

    To assess prevalence, potential risk factors, and population attributable risk percentage (PAR%) for age-related macular degeneration (AMD) in the Indian state of Andhra Pradesh. A population-based study, using a stratified, random, cluster, systematic sampling strategy, was conducted in the state of Andhra Pradesh in India from 1996 to 2000. Participants from 94 clusters in one urban and three rural areas representative of the population of Andhra Pradesh underwent a detailed interview and a detailed dilated ocular evaluation by trained professionals. In this report, the authors present the prevalence estimates of AMD and examine the association of AMD with potential risk factors in persons aged 40 to 102 years (n = 3723). AMD was defined according to the international classification and grading system. Standard bivariate and multivariate analyses were performed to identify the potential risk factors for AMD. PAR% was calculated by Levin's formula. AMD was present in 71 subjects--an age-gender-area-adjusted prevalence of 1.82% (95% confidence interval [CI], 1.39%-2.25%). Risk factors that were significant in bivariate analyses were considered for multivariate logistic regression analysis. Multivariate analysis showed that the adjusted prevalence of AMD was significantly higher in those 60 years of age or older (odds ratio [OR], 3.55; 95% CI, 1.61-7.82) and history of prior cigar smoking (OR, 3.29; 95%CI, 1.42-7.57). Presence of cortical cataract and prior cataract surgery were significantly associated with increased prevalence of AMD (adjusted OR, 2.87; 95% CI, 1.57-5.26 and 3.79; 95% CI, 2.1-6.78), respectively. The prevalence of AMD was significantly lower in light alcohol drinkers (adjusted OR, 0.38; 95% CI, 0.19-0.76) compared with nondrinkers. The PAR% for hypertension and heavy cigar smoking was 10% and 14%, respectively, in this population. The prevalence of AMD in this south Indian population is similar to those reported in other developed countries. Abstinence from smoking may reduce the risk of AMD in this population.

  9. Risk factors for diabetic retinopathy: Findings from The Andhra Pradesh Eye Disease Study.

    PubMed

    Krishnaiah, Sannapaneni; Das, Taraprasad; Nirmalan, Praveen K; Shamanna, Bindiganavale R; Nutheti, Rishita; Rao, Gullapalli N; Thomas, Ravi

    2007-12-01

    To assess prevalence, potential risk factors and population attributable risk percentage (PAR%) for diabetic retinopathy (DR) in the Indian state of Andhra Pradesh. A population-based study, using a stratified, random, cluster, systematic sampling strategy, was conducted in the state of Andhra Pradesh in India during 1996 and 2000. Participants from 94 clusters in one urban and three rural areas representative of the population of Andhra Pradesh, underwent a detailed interview and a comprehensive dilated ocular evaluation by trained professionals. DR was defined according to the international classification and grading system. For subjects more than or equal to 30 years of age, we explored associations of DR with potential risk factors using bivariable and multivariable analyses. Population attributable risk percent was calculated using Levin's formula. Diabetic retinopathy was present in 39 of 5586 subjects, an age-gender-area-adjusted prevalence of 0.72% (95% confidence interval (CI): 0.49%-0.93%) among subjects aged >/= 30 years old, and 0.27% (95% CI: 0.17%-0.37%) for all ages. Most of the DR was either mild (51.3%) or moderate (35.9%) non-proliferative type; one subject (2.6%) had proliferative retinopathy. Multivariable analysis showed that increasing age, adjusted odds ratio (OR); 4.04 (95% CI: 1.88-8.68), middle and upper socioeconomic status group (OR); 2.34 (95% CI: 1.16-4.73), hypertension (OR); 3.48 (95% CI: 1.50-8.11) and duration of diabetes >/= 15 years (OR); 8.62 (95% CI: 2.63-28.29) were significantly associated with increasing risk of DR. The PAR % for hypertension was 50%; it was 10% for cigarette smokers. Extrapolating the prevalence of diabetic retinopathy in our sample to the Indian population suggests that there may be an estimated 2.77 million people with DR, approximately 0.07 million people with severe DR. As the population demographics change towards aging, this number is likely to increase further. Health care programs in India need to examine strategies to prevent diabetes and DR, as well as create the infrastructure required to manage this condition.

  10. Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states.

    PubMed

    Peters, David H; Chakraborty, Subrata; Mahapatra, Prasanta; Steinhardt, Laura

    2010-11-25

    Ensuring health worker job satisfaction and motivation are important if health workers are to be retained and effectively deliver health services in many developing countries, whether they work in the public or private sector. The objectives of the paper are to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private sectors. Cross-sectional surveys of 1916 public and private sector health workers in Andhra Pradesh and Uttar Pradesh, India, were conducted using a standardized instrument to identify health workers' satisfaction with key work factors related to motivation. Ratings were compared with how important health workers consider these factors. There was high variability in the ratings for areas of satisfaction and motivation across the different practice settings, but there were also commonalities. Four groups of factors were identified, with those relating to job content and work environment viewed as the most important characteristics of the ideal job, and rated higher than a good income. In both states, public sector health workers rated "good employment benefits" as significantly more important than private sector workers, as well as a "superior who recognizes work". There were large differences in whether these factors were considered present on the job, particularly between public and private sector health workers in Uttar Pradesh, where the public sector fared consistently lower (P < 0.01). Discordance between what motivational factors health workers considered important and their perceptions of actual presence of these factors were also highest in Uttar Pradesh in the public sector, where all 17 items had greater discordance for public sector workers than for workers in the private sector (P < 0.001). There are common areas of health worker motivation that should be considered by managers and policy makers, particularly the importance of non-financial motivators such as working environment and skill development opportunities. But managers also need to focus on the importance of locally assessing conditions and managing incentives to ensure health workers are motivated in their work.

  11. Soil information system of Arunachal Pradesh in a GIS environment for land use planning

    NASA Astrophysics Data System (ADS)

    Maji, Amal K.; Nayak, Dulal C.; Krishna, Nadimpalli, , DR; Srinivas, Challa V.; Kamble, Kalpana; Reddy, Gangalakunta P. Obi; Velayutham, Mariappan

    Arunachal Pradesh, the largest mountainous state of India, is situated in the northeastern part of the Himalayan region and characterized by high annual rainfall, forest vegetation and diversity in soils. Information on the soils of the state is essential for scientific land use planning and sustainable production. A soil resource inventory and subsequent database creation for thematic mapping using a Geographical Information System (GIS) is presented in this paper. Physiographically, Arunachal Pradesh can be divided into four distinct zones: snow-capped mountains (5500 m amsl); lower Himalayan ranges (3500 m amsl); the sub-Himalayan Siwalik hills (700 m amsl); and the eastern Assam plains. Soils occurring in these physiographic zones are Inceptisols (37 percent), Entisols (35 percent), Ultisols (14 percent) and Alfisols (0.5 percent). The remaining soils can be classed as miscellaneous. Soil resource inventory studies show that the soils of the warm perhumid eastern Himalayan ecosystem, with a 'thermic' temperature regime, are Inceptisols and Entisols; and that they are highly acidic in nature. Soils of the warm perhumid Siwalik hill ecosystem, with a 'hyperthermic' temperature regime, are also Entisols and Inceptisols with a high to moderate acidic condition. The dominant soils of the northeastern Purvachal hill ecosystem, with 'hyperthermic' and 'thermic' temperature regimes, are Ultisols and Inceptisols. Inceptisols and Entisols are the dominant soils in the hot and humid plain ecosystem. Steeply sloping landform and high rainfall are mainly responsible for a high erosion hazard in the state. The soil erosion map indicates that very severe (20 percent of TGA) to severe (25 percent of TGA) soil erosion takes place in the warm per-humid zone, whereas, moderate erosion takes place in the Siwalik hills and hot, humid plain areas. This is evident from the soil depth class distribution of Arunachal Pradesh, which shows that shallow soils cover 20 percent of the TGA of the state. Most of the state is covered by hills and agricultural practices are limited to valley regions. However, the soils of other physiographic zones (lower altitudinal, moderately hilly terrain) provide scope for plantations, such as orange, banana and tea plantations.

  12. Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states

    PubMed Central

    2010-01-01

    Background Ensuring health worker job satisfaction and motivation are important if health workers are to be retained and effectively deliver health services in many developing countries, whether they work in the public or private sector. The objectives of the paper are to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private sectors. Methods Cross-sectional surveys of 1916 public and private sector health workers in Andhra Pradesh and Uttar Pradesh, India, were conducted using a standardized instrument to identify health workers' satisfaction with key work factors related to motivation. Ratings were compared with how important health workers consider these factors. Results There was high variability in the ratings for areas of satisfaction and motivation across the different practice settings, but there were also commonalities. Four groups of factors were identified, with those relating to job content and work environment viewed as the most important characteristics of the ideal job, and rated higher than a good income. In both states, public sector health workers rated "good employment benefits" as significantly more important than private sector workers, as well as a "superior who recognizes work". There were large differences in whether these factors were considered present on the job, particularly between public and private sector health workers in Uttar Pradesh, where the public sector fared consistently lower (P < 0.01). Discordance between what motivational factors health workers considered important and their perceptions of actual presence of these factors were also highest in Uttar Pradesh in the public sector, where all 17 items had greater discordance for public sector workers than for workers in the private sector (P < 0.001). Conclusion There are common areas of health worker motivation that should be considered by managers and policy makers, particularly the importance of non-financial motivators such as working environment and skill development opportunities. But managers also need to focus on the importance of locally assessing conditions and managing incentives to ensure health workers are motivated in their work. PMID:21108833

  13. Preface

    NASA Astrophysics Data System (ADS)

    Eliasson, B.; Stenflo, L.; Bingham, R.; Mendonça, J. T.; Mendonça

    2013-12-01

    This special issue is devoted to the memory of Professor Padma Kant Shukla, who passed away 26 January 2013 on his travel to New Delhi, India to receive the prestigious Hind Rattan (Jewel of India) award. Padma was born in Tulapur, Uttar Pradesh, India, 7 July 1950, where he grew up and got his education. He received a PhD degree in Physics at the Banaras Hindu University, Varanasi, Uttar Pradesh, India, in 1972, under the supervision of late Prof. R. N. Singh, and a second PhD degree in Theoretical Plasma Physics from Umeå University in Sweden in 1975, under the supervision of Prof. Lennart Stenflo. He worked at the Faculty of Physics & Astronomy, Ruhr-University Bochum, Germany since January 1973, where he was a permanent faculty member and Professor of International Affairs, a position that was created for him to honour his international accomplishments and reputation.

  14. Performance evaluation of water treatment plants based on microfilter technology for rural water supply.

    PubMed

    Reddy, R C; Ravindra Rao, R; Kelkar, P S; Rao, I R; Ramarao, K G; Elyas, S I

    2002-01-01

    Panchayat Raj Engineering Department (PRED), Government of Andhra Pradesh installed package water treatment plants on a trial basis, in some villages in Krishna district of Andhra Pradesh. These plants with a design capacity of 6000-12000 lph were supplied and erected by a firm in Hyderabad. These plants consist of three stage treatment comprising of pulverized quartz filter bed, activated carbon bed and micro filter unit followed by disinfection. At the request of PRED, comprehensive studies were carried on individual plants which includes a detailed appraisal of the performance of the individual components of the plant, infrastructure at the village level for routine O&M of the plants as also views of the community regarding their acceptability of the system. This paper presents the findings and conclusions of the performance evaluation study.

  15. Phenetic, genetic diversity and symbiotic compatibility of rhizobial strains nodulating pigeon pea in Northern India.

    PubMed

    Arora, Naveen Kumar; Khare, Ekta; Singh, Sachin; Tewari, Sakshi

    2018-01-01

    Pigeon pea ( Cajanus cajan ) is one of the most important legumes grown in the northern province of Uttar Pradesh, India. However, its productively in Uttar Pradesh is lower than the average yield of adjoining states. During the course of the present study, a survey of pigeon pea growing agricultural fields was carried out and it was found that 80% of plants were inadequately nodulated. The study was aimed to evaluate the pigeon pea symbiotic compatibility and nodulation efficiency of root nodulating bacteria isolated from various legumes, and to explore the phenetic and genetic diversity of rhizobial population nodulating pigeon pea growing in fields of Uttar Pradesh. Amongst all the 96 isolates, 40 isolates showed nodulation in pigeon pea. These 40 isolates were further characterized by phenotypic, biochemical and physiological tests. Intrinsic antibiotic resistance pattern was taken to generate similarity matrix revealing 10 phenons. The study shows that most of the isolates nodulating pigeon pea in this region were rapid growers. The dendrogram generated using the NTSYSpc software grouped RAPD patterns into 19 clusters. The high degree of phenetic and genetic diversity encountered is probably because of a history of mixed cropping of legumes. The assessment of diversity is a very important tool and can be used to improve the nodulation and quality of pigeon pea crop. It is also concluded that difference between phenetic and RAPD clustering pattern is an indication that rhizobial diversity of pigeon pea is not as yet completely understood and settled.

  16. Female autonomy as a contributing factor to women's HIV-related knowledge and behaviour in three culturally contrasting States in India.

    PubMed

    Bloom, Shelah S; Griffiths, Paula L

    2007-07-01

    Factors contributing to India's vulnerability to the AIDS epidemic include pervasive poverty, low levels of education and high gender stratification. This study uses data collected in the 1998-99 National Family Health Survey-2 (NFHS-2) to investigate the relationship between aspects of women's autonomy and four measures of HIV-related knowledge and behaviour--awareness and knowledge of HIV/AIDS, condom awareness and condom use--in three culturally contrasting states in India: Kerala (n=2884), Karnataka (n=4357) and Uttar Pradesh (n=8981). The NFHS-2 is a nationally representative survey of India, with a sampling scheme that was designed such that each state sample can be generalized back to represent ever-married women aged 15-49 living in the state. Kerala scores highest in the four health outcome measures, followed by Karnataka and then Uttar Pradesh, but condom use is lowest in Karnataka. Kerala also leads in the four dimensions of autonomy examined and in socio-demographic status, followed again by Karnataka and Uttar Pradesh. Despite these observed differences, in all three states, women with greater autonomy as measured by this study were more likely to be knowledgeable about AIDS and condoms and to use condoms, after controlling for socio-demographic factors. These results concur with other studies focusing on women's autonomy and health outcomes around the world, and point to the importance of incorporating a gender-based approach to AIDS prevention programmes in India.

  17. Suicide deaths in rural Andhra Pradesh--a cause for global health action.

    PubMed

    Joshi, Rohina; Guggilla, Rama; Praveen, Devarsetty; Maulik, Pallab K

    2015-02-01

    To determine the proportion of deaths attributable to suicides in rural Andhra Pradesh, India over a 4-year period using a verbal autopsy method. Deaths occurring in 45 villages (population 185,629) were documented over a 4-year period from 2003 to 2007 by non-physician healthcare workers trained in the use of a verbal autopsy tool. Causes of death were assigned by physicians trained in the International Classification of Diseases, version 10. All data were entered and processed electronically using a secure study website. Verbal autopsies were completed for 98.2% (5786) of the deaths (5895) recorded. The crude death rate was 8.0/1000. 4.8% (95% CI 4.3-5.4) of all deaths were suicides, giving a suicide rate of 37.5/100,000 population. Forty-three percent of suicides occurred in the age group 15-29 years, and 62% were in men. In the younger age groups (10-29 years), suicides by women (56%) were more common than by men (44%). Poisoning (40%) was the most common method of self-harm followed by hanging (12%). The suicide rate in this part of rural Andhra Pradesh is three times higher than the national average of 11.2/100,000, but is in line with that reported in the Million Death Study. There is an urgent need to develop strategies targeted at young individuals to prevent deaths by suicide in India. © 2014 John Wiley & Sons Ltd.

  18. A shared Y-chromosomal heritage between Muslims and Hindus in India.

    PubMed

    Gutala, Ramana; Carvalho-Silva, Denise R; Jin, Li; Yngvadottir, Bryndis; Avadhanula, Vasanthi; Nanne, Khaja; Singh, Lalji; Chakraborty, Ranajit; Tyler-Smith, Chris

    2006-11-01

    Arab forces conquered the Indus Delta region in 711 AD: and, although a Muslim state was established there, their influence was barely felt in the rest of South Asia at that time. By the end of the tenth century, Central Asian Muslims moved into India from the northwest and expanded throughout the subcontinent. Muslim communities are now the largest minority religion in India, comprising more than 138 million people in a predominantly Hindu population of over one billion. It is unclear whether the Muslim expansion in India was a purely cultural phenomenon or had a genetic impact on the local population. To address this question from a male perspective, we typed eight microsatellite loci and 16 binary markers from the Y chromosome in 246 Muslims from Andhra Pradesh, and compared them to published data on 4,204 males from East Asia, Central Asia, other parts of India, Sri Lanka, Pakistan, Iran, the Middle East, Turkey, Egypt and Morocco. We find that the Muslim populations in general are genetically closer to their non-Muslim geographical neighbors than to other Muslims in India, and that there is a highly significant correlation between genetics and geography (but not religion). Our findings indicate that, despite the documented practice of marriage between Muslim men and Hindu women, Islamization in India did not involve large-scale replacement of Hindu Y chromosomes. The Muslim expansion in India was predominantly a cultural change and was not accompanied by significant gene flow, as seen in other places, such as China and Central Asia.

  19. Readability of Distance Education Course Material.

    ERIC Educational Resources Information Center

    Mouli, C. Raja; Ramakrishna, C. Pushpa

    1991-01-01

    Flesch Reading Ease scores were calculated for 48 books used in distance education courses at Andhra Pradesh Open University (India). Scores ranged from 32 (public administration) to 46 (geology). Scores correlated positively with pass percentages. (SK)

  20. Regional differences in constituents of gall stones.

    PubMed

    Ashok, M; Nageshwar Reddy, D; Jayanthi, V; Kalkura, S N; Vijayan, V; Gokulakrishnan, S; Nair, K G M

    2005-01-01

    The pathogenesis of pigment and mixed gall stone formation remains elusive. The elemental constituents of gall stones from southern states of Tamil Nadu, Kerala and Karnataka have been characterized. Our aim was to determine the elemental concentration of representative samples of pigment, mixed and cholesterol gall stones from Andhra Pradesh using proton-induced X-ray emission (PIXE) using a 3 MV horizontal pelletron accelerator. Pigment gall stones had significantly high concentrations of copper, iron and lead; chromium was absent. Except for iron all these elements were significantly low in cholesterol gall stones and intermediate levels were seen in mixed gall stones. Highest concentrations of chromium was seen in cholesterol and titanium in mixed gall stones respectively; latter similar to other southern states. Arsenic was distinctly absent in cholesterol and mixed gall stones. The study has identified differences in elemental components of the gall stones from Andhra Pradesh.

  1. Level of literacy and dementia: A secondary post-hoc analysis from North-West India.

    PubMed

    Raina, Sunil Kumar; Chander, Vishav; Kumar, Dinesh; Raina, Sujeet; Bhardwaj, Ashok

    2014-10-01

    A relation between literacy and dementia has been studied in past and an association has been documented. This is in spite of some studies pointing to the contrary. The current study was aimed at investigating the influence of level of literacy on dementia in a sample stratified by geography (Migrant, Urban, Rural and Tribal areas of sub-Himalayan state of Himachal Pradesh, India). The study was based on post-hoc analysis of data obtained from a study conducted on elderly population (60 years and above) from selected geographical areas (Migrant, Urban, Rural and Tribal) of Himachal Pradesh state in North-west India. Analysis of variance revealed an effect of education on cognitive scores [F = 2.823, P =0.01], however, post-hoc Tukey's HSD test did not reveal any significant pairwise comparisons. The possibility that education effects dementia needs further evaluation, more so in Indian context.

  2. Fertility Control: Reproductive Desires, Kin Work, and Women's Status in Contemporary India

    PubMed Central

    Singh, Holly Donahue

    2018-01-01

    This article reappraises the link between fertility and women's status by examining changing means and meanings of reproduction in India. It is based on data gathered during and after 16 months of ethnographic fieldwork conducted between 2005 and 2007 in Lucknow, Uttar Pradesh, India, on the social and cultural contexts of infertility. Lucknow is the capital city of Uttar Pradesh, India's most populous state. Historical views of population and fertility control in India and perspectives on the contemporary use of assisted reproductive technologies (ARTs) for practices such as surrogacy situate the ethnographic perspectives analysis. Analysis of ARTs in practice complicates ideas of autonomy and choice in reproduction. Results show that these technologies allow women to challenge power relations within their marital families and pursue stigmatized forms of reproduction. However, they also offer new ways for families to continue and extend an old pattern of exerting control over women's reproductive potential. PMID:27353387

  3. Sustainability of integrated leprosy services in rural India: perceptions of community leaders in Uttar Pradesh.

    PubMed

    Raju, M S; Rao, P S S

    2011-01-01

    As part of a community-based action research to reduce leprosy stigma, village committees were formed in 3 hyper endemic states of India. From a total of 10 village committees with nearly 200 members from Uttar Pradesh, a systematic random sample of 69 men and 23 women were interviewed in-depth regarding their views on sustainability of integrated leprosy services, as currently adopted. Their recommendations were also sought for further enhancement. Percentages were computed and compared for statistical significance using the z-normal test. The findings show that less than 50% of the respondents were confident that the present trend in voluntary early reporting for MDT and management of complications was adequate to sustain the integrated leprosy services. There were no differences by men or women members and they felt that lack of proper facilities, training and orientation of staff are most influencing factors. Many suggestions were given for improving the sustainability.

  4. Supplementary Role of Health Metrics for Reducing Total Fertility Rate in a North-Indian State

    PubMed Central

    Ganguly, Enakshi

    2014-01-01

    Reducing Total Fertility Rate (TFR) amongst rural Indian couples from the current level is a significant challenge to the population control policies relying solely on the Government efforts. REACH strategy, based on health metrics, succeeded in lowering the TFR below replacement levels in a rural population of more than 300,000 in Rajasthan. The REACH strategy was first developed and demonstrated success in decreasing TFR in a pilot project by SHARE India in Medchal region of Andhra Pradesh utilizing designated workers, and was replicated in Rajgarh District of Rajasthan in cooperation with Bhoruka Charitable Trust (supervisor of ICDS and NRHM health workers in Rajgarh) using Government health workers. The success of the REACH strategy in both Rajasthan and previously in Andhra Pradesh holds promise as a tool to reduce TFR in other areas of rural India. PMID:25620855

  5. Rajiv Aarogyasri Community Health Insurance Scheme in Andhra Pradesh, India: a comprehensive analytic view of private public partnership model.

    PubMed

    Reddy, Sunita; Mary, Immaculate

    2013-01-01

    The Rajiv Aarogyasri Community Health Insurance (RACHI) in Andhra Pradesh (AP) has been very popular social insurance scheme with a private public partnership model to deal with the problems of catastrophic medical expenditures at tertiary level care for the poor households. A brief analysis of the RACHI scheme based on officially available data and media reports has been undertaken from a public health perspective to understand the nature and financing of partnership and the lessons it provides. The analysis of the annual budget spent on the surgeries in private hospitals compared to tertiary public hospitals shows that the current scheme is not sustainable and pose huge burden on the state exchequers. The private hospital association's in AP, further acts as pressure groups to increase the budget or threaten to withdraw services. Thus, profits are privatized and losses are socialized.

  6. Changing clinical scenario in Chandipura virus infection.

    PubMed

    Sudeep, A B; Gurav, Y K; Bondre, V P

    2016-06-01

    Chandipura virus (CHPV) (Vesiculovirus: Rhabdoviridae) garnered global attention as an emerging neurotropic pathogen inflicting high mortality in children within 24 h of commencement of symptoms. The 2003-2004 outbreaks in Central India witnessed case fatality rates ranging from 56-75 per cent in Andhra Pradesh and Gujarat with typical encephalitic symptoms. Due to the acute sickness and rapid deterioration, the precise mechanism of action of the virus is still unknown. Recent studies have shown increased expression of CHPV phosphoprotein upto 6 h post infection (PI) demonstrating CHPV replication in neuronal cells and the rapid destruction of the cells by apoptosis shed light on the probable mechanism of rapid death in children. Phlebotomine sandflies are implicated as vectors due to their predominance in endemic areas, repeated virus isolations and their ability to transmit the virus by transovarial and venereal routes. Significant contributions have been made in the development of diagnostics and prophylactics, vaccines and antivirals. Two candidate vaccines, viz. a recombinant vaccine and a killed vaccine and siRNAs targeting P and M proteins have been developed and are awaiting clinical trials. Rhabdomyosarcoma and Phlebotomus papatasi cell lines as well as embryonated chicken eggs have been found useful in virus isolation and propagation. Despite these advancements, CHPV has been a major concern in Central India and warrants immediate attention from virologists, neurologists, paediatricians and the government for containing the virus.

  7. Awareness of eye donation in the rural population of India.

    PubMed

    Krishnaiah, Sannapaneni; Kovai, Vilas; Nutheti, Rishita; Shamanna, Bindiganavale R; Thomas, Ravi; Rao, Gullapalli N

    2004-03-01

    To determine the "awareness of eye donation" and "willingness to pledge eyes for donation" in the rural population of Andhra Pradesh, southern India. A total of 7,775 subjects of all ages, representative of the rural population of Andhra Pradesh, participated in the Andhra Pradesh Eye Disease Study (APEDS). Subjects older than 15 years were interviewed regarding awareness of eye donation and willingness to pledge eyes for donation. Age-gender adjusted prevalence of awareness of eye donation in this population was 30.7% (95% CI: 29.5-31.9) but only 0.1% (age-gender adjusted prevalence) (95% CI: 0.05-0.25) had pledged eyes. On multivariate analysis the awareness of eye donation was significantly less in those subjects > or = 70 years old (OR 0.7; 95% CI: 0.6-0.8), illiterates (OR 0.2; 95% CI: 0.1-0.2), females (OR 0.8; 95% CI: 0.7-0.9), lower socioeconomic status group (OR 0.4; 95% CI: 0.4-0.5) and Christians (OR 0.2; 95% CI: 0.1-0.6). Media comprised the major source of information about eye donation. Of those aware of eye donation, 32.9% were willing to pledge eyes, and 50.6% needed more information to decide whether or not to pledge their eyes. There needs to be more transfer of knowledge if more eyes are to be pledged. One-third of those aware of eye donation have not pledged their eyes, and an additional 50.6% needed more information to decide. This means only about one-fifth of those aware of eye donations have pledged their eyes.

  8. Dental caries prevalence and treatment needs among 12- and 15- Year old schoolchildren in Shimla city, Himachal Pradesh, India.

    PubMed

    Shailee, Fotedar; Sogi, G M; Sharma, K R; Nidhi, Pruthi

    2012-01-01

    Dental caries is one of the commonest oral diseases in children. Despite this fact, not many studies have been done on this issue among school children in Shimla. To assess the prevalence of dental caries and treatment needs among schoolchildren aged 12 years and 15 years in Shimla city, Himachal Pradesh, India. With this study we also aimed to establish reliable baseline data. Cross-sectional study. This study was conducted among 12 - and 15 - year old schoolchildren in Shimla city, Himachal Pradesh-India. A sample of 1011 schoolchildren was selected by a two-stage cluster sampling method. Clinical recording of dental caries, was done according to WHO diagnostic criteria (1997). The statistical tests used were the t- test, and the Chi-square test. The prevalence of dental caries was 32.6% and 42.2% at 12 years and 15 years respectively. At 12 years of age, the mean Decayed Missing Filled Teeth was 0.62 ± 1.42 and it was 1.06 ± 2.93 at 15 years of age. Females had higher level of caries than males at both the ages. Dental caries was higher in children from government schools as compared to those from private schools. The 'decayed' component was the biggest contributor to the DMFT index. The highest treatment need at both ages was one surface restoration. The caries experience of 12- and 15- year-old children was low compared to WHO - 'recommended' values. Effective oral health promotion strategies need to be implemented to further improve the dental health of school children in Shimla city.

  9. Building nurse education capacity in India: insights from a faculty development programme in Andhra Pradesh

    PubMed Central

    2013-01-01

    Background India faces an acute shortage of nurses. Strategies to tackle the human resource crisis depend upon scaling up nursing education provision in a context where the social status and working conditions of nurses are highly variable. Several national and regional situation assessments have revealed significant concerns about educational governance, institutional and educator capacity, quality and standards. Improving educational capacity through nursing faculty development has been proposed as one of several strategies to address a complex health human resource situation. This paper describes and critically reflects upon the experience of one such faculty development programme in the state of Andhra Pradesh. Discussion The faculty development programme involved a 2 year partnership between a UK university and 7 universities in Andhra Pradesh. It adopted a participatory approach and covered training and support in 4 areas: teaching, research/scholarship, leadership/management and clinical education. Senior hospital nurses were also invited to participate. Summary The programme was evaluated positively and some changes to educational practice were reported. However, several obstacles to wider change were identified. At the programme level, there was a need for more intensive individual and institutional mentorship as well as involvement of Indian Centres of Excellence in Nursing to provide local (as well as international) expertise. At the organisational level, the participating Colleges reported heavy workloads, lack of control over working conditions, lack of control over the curriculum and poor infra-structure/resources as ongoing challenges. In the absence of wider educational reform in nursing and government commitment to the profession, faculty development programmes alone will have limited impact. PMID:23537273

  10. Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India.

    PubMed

    Agrawal, Praween K; Agrawal, Sutapa; Mullany, Luke C; Darmstadt, Gary L; Kumar, Vishwajeet; Kiran, Usha; Ahuja, Ramesh C; Srivastava, Vinod K; Santosham, Mathuram; Black, Robert E; Baqui, Abdullah H

    2012-08-01

    About a million newborns die each year in India, accounting for about a fourth of total global neonatal deaths. Infections are among the leading causes of neonatal mortality. Care practices immediately following delivery contribute to newborns' risk of infection and mortality. This study examined the association between clean cord care practices and neonatal mortality in rural Uttar Pradesh, India. The study used data from a household survey conducted to evaluate a community-based intervention program in two districts of Uttar Pradesh, India. Analysis included data from 5741 singleton live births delivered at home during 2005. The association between clean cord care (clean instrument used to cut cord, clean thread used to tie cord and antiseptics or nothing applied to the cord) and neonatal mortality was estimated using multivariate logistic regression models. Thirty per cent of the study mothers practiced clean cord care. Neonatal mortality rate was significantly lower among newborns exposed to clean cord care (36.5/1000 live births, 95% CI 28.0 to 46.8) than those who did not practice (53.0/1000 live births, 95% CI 46.1 to 60.6). Clean cord care was associated with 37% lower neonatal mortality (OR=0.63; 95% CI 0.46 to 0.87) after adjusting for mother's age, education, caste/tribe, religion, household wealth, newborn thermal care practice and care-seeking during the first week after birth and study arms. Promoting clean cord care practice among neonates in community-based maternal and newborn care programs has the potential to improve neonatal survival in rural India and similar other settings.

  11. Counseling during Maternal and Infant Health Visits and Postpartum Contraceptive use in Uttar Pradesh, India

    PubMed Central

    Rajan, Sowmya; Speizer, Ilene S.; Calhoun, Lisa M.; Nanda, Priya

    2017-01-01

    Context Postpartum family planning is a compelling concern of global significance due to its salience to unplanned pregnancies, and to maternal and infant health in developing countries. Yet, women face the highest level of unmet need for contraception in the year following a birth. A cost-effective way to inform women about their risk of becoming pregnant after the birth of a child is to integrate family planning counseling and services with maternal and infant health services. Methods We use recently collected survey data from 2733 women from six cities in Uttar Pradesh, India who had a recent birth (since 2011) to examine the role of exposure to family planning information at maternal and infant health visits on (1) any contraceptive use in the postpartum period, and (2) choice of modern method in the postpartum period. We use discrete-time event history multinomial logit models to examine the duration to contraceptive use, and choice of modern method, in the 12 months following the last birth since 2011. Results We find that receiving counseling in an institution at the time of delivery has the strongest influence on women’s subsequent uptake of modern contraception (female sterilization and IUD). Being visited by a CHW in the extended postpartum period was also strongly associated with subsequent uptake of modern contraception (IUD, condom and hormonal contraception). Conclusion Providing postpartum family planning counseling at key junctures during maternal health visits has the potential to increase uptake of modern contraceptive method in urban Uttar Pradesh. PMID:28649295

  12. Seven Programs for Seven Countries

    ERIC Educational Resources Information Center

    Otte, Max R.

    1975-01-01

    Programs from abroad represented at the January, 1975 Multinational Workshop on Adult Education (Washington, D. C.) included: Rural Reconstruction Movement (Philippines); Nonformal Education for Rural Women (Andhra Pradesh, India); Accion Cultural Popular (Colombia); Village Polytechnic Centers (Kenya); CONCORDE (Honduras); National Adult…

  13. Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India.

    PubMed

    Goli, Srinivas; Rammohan, Anu; Moradhvaj

    2018-02-27

    The studies measured Out-of-Pocket Expenditure (OOPE) for hospital births previously suffer from serious data limitations. To overcome such limitations, we designed a hospital-based study for measuring the levels and factors of OOPE on maternity care for hospital births by its detailed components. Data were collected from women for non-complicated deliveries 24-h before the survey and complicated deliveries 48-h prior to the survey at the hospital settings in Uttar Pradesh, India during 2014. The simple random sampling design was used in the selection of respondents. Bivariate analyses were used to estimate mean expenditure on Antenatal care services (ANCs), Delivery care and Total Maternity Expenditure (TME). Multivariate linear regression was employed to examine the factor associated with the absolute and relative share of expenditure in couple's annual income on ANCs, delivery care, and TME. The findings show that average expenditure on maternal health care is high ($155) in the study population. Findings suggest that factors such as income, place, and number of ANCs, type, and place of institutional delivery are significantly associated with both absolute and relative expenditure on maternity care. The likelihood of incidence of catastrophic expenditure on maternity care is significantly higher for women delivered in private hospitals (β = 2.427, p < 0.001) compared to the government hospital (β = 0). Also, it is higher among caesarean or forceps deliveries (β = 0.617, p < 0.01), deliveries conducted on doctor advise (β = 0.598, p < 0.01), than in normal deliveries (β = 0) and self or family planned deliveries (β = 0). The findings of this study suggest that the OOPE on maternity care for hospital births reported in this study is much higher as it was collected with a better methodology, although with smaller sample size. Therefore, ongoing maternity benefit scheme in India in general and Uttar Pradesh in particular need to consider the levels of OOPE on maternity care and demand-side and supply-side factors determining it for a more effective policy to reduce the catastrophic burden on households and help women to achieve better maternity health outcomes in poor regional settings like Uttar Pradesh in India.

  14. Family planning use among urban poor women from six cities of Uttar Pradesh, India.

    PubMed

    Speizer, Ilene S; Nanda, Priya; Achyut, Pranita; Pillai, Gita; Guilkey, David K

    2012-08-01

    Family planning has widespread positive impacts for population health and well-being; contraceptive use not only decreases unintended pregnancies and reduces infant and maternal mortality and morbidity, but it is critical to the achievement of Millennium Development Goals. This study uses baseline, representative data from six cities in Uttar Pradesh, India to examine family planning use among the urban poor. Data were collected from about 3,000 currently married women in each city (Allahabad, Agra, Varanasi, Aligarh, Gorakhpur, and Moradabad) for a total sample size of 17,643 women. Participating women were asked about their fertility desires, family planning use, and reproductive health. The survey over-sampled slum residents; this permits in-depth analyses of the urban poor and their family planning use behaviors. Bivariate and multivariate analyses are used to examine the role of wealth and education on family planning use and unmet need for family planning. Across all of the cities, about 50% of women report modern method use. Women in slum areas generally report less family planning use and among those women who use, slum women are more likely to be sterilized than to use other methods, including condoms and hormonal methods. Across all cities, there is a higher unmet need for family planning to limit childbearing than for spacing births. Poorer women are more likely to have an unmet need than richer women in both the slum and non-slum samples; this effect is attenuated when education is included in the analysis. Programs seeking to target the urban poor in Uttar Pradesh and elsewhere in India may be better served to identify the less educated women and target these women with appropriate family planning messages and methods that meet their current and future fertility desire needs.

  15. Incidence of cleft Lip and palate in the state of Andhra Pradesh, South India

    PubMed Central

    Reddy, Srinivas Gosla; Reddy, Rajgopal R.; Bronkhorst, Ewald M.; Prasad, Rajendra; Ettema, Anke M.; Sailer, Hermann F.; Bergé, Stefaan J.

    2010-01-01

    Objective: To assess the incidence of cleft lip and palate defects in the state of Andhra Pradesh, India. Design Setting: The study was conducted in 2001 in the state of Andhra Pradesh, India. The state has a population of 76 million. Three districts, Cuddapah, Medak and Krishna, were identified for this study owing to their diversity. They were urban, semi-urban and rural, respectively. Literacy rates and consanguinity of the parents was elicited and was compared to national averages to find correlations to cleft births. Type and side of cleft were recorded to compare with other studies around the world and other parts of India. Results: The birth rate of clefts was found to be 1.09 for every 1000 live births. This study found that 65% of the children born with clefts were males. The distribution of the type of cleft showed 33% had CL, 64% had CLP, 2% had CP and 1% had rare craniofacial clefts. Unilateral cleft lips were found in 79% of the patients. Of the unilateral cleft lips 64% were left sided. There was a significant correlation of children with clefts being born to parents who shared a consanguineous relationship and those who were illiterate with the odds ratio between 5.25 and 7.21 for consanguinity and between 1.55 and 5.85 for illiteracy, respectively. Conclusion: The birth rate of clefts was found to be comparable with other Asian studies, but lower than found in other studies in Caucasian populations and higher than in African populations. The incidence was found to be similar to other studies done in other parts of India. The distribution over the various types of cleft was comparable to that found in other studies. PMID:21217978

  16. Local Economic Development and Hydropower Along the Brahmaputra River Basin in Northeast India

    NASA Astrophysics Data System (ADS)

    Mock, A.

    2014-12-01

    Large dams have long been controversial. They offer benefits, such as reduced greenhouse gas emissions, energy security, and local development, yet produce negative social and ecological impact, such as wildlife habitat destruction, human displacement, and the disruption of downstream fishing or agricultural industries. In the past decade, the Indian government has signed Memoranda of Understanding with hydroelectric power companies for the building of over 130 large dams on the Brahmaputra River in the state of Arunachal Pradesh in Northeast India. These dams can generate 43% of India's assessed hydropower potential to sustain India's growing economy. In addition, the Indian government claims that these dams will bring local development with needed jobs. However, local Arunachali people have protested and temporarily halted hydropower projects because of the impact of dams on their existing livelihoods. Using the North Eastern Electric Power Corporation's (NEEPCO) Ranganadi Hydroelectric Project as a case study, our project examined whether dams in Northeast India provide jobs for local people, and whether distance from the dam or work colony to a worker's hometown affects the type of job the worker received. Survey data from residents at NEEPCO's work colony in Doimukh, Arunachal Pradesh, was analyzed using SPSS (n = 18). Our research found that 100% of workers at the dam originally resided in Northeast India, with 33% from Arunachal Pradesh, and 67% from the nearby states of Assam, and Tripura. Further, our analysis revealed no statistically significant relationship between the distance to a worker's hometown and job type (p = .609). Where workers come from did not affect the type of job they received. More research using a larger sample size and additional hydroelectric project case studies is needed to further explore the relationship between worker home location and their job types.

  17. Genetic variation in South Indian castes: evidence from Y-chromosome, mitochondrial, and autosomal polymorphisms

    PubMed Central

    Watkins, WS; Thara, R; Mowry, BJ; Zhang, Y; Witherspoon, DJ; Tolpinrud, W; Bamshad, MJ; Tirupati, S; Padmavati, R; Smith, H; Nancarrow, D; Filippich, C; Jorde, LB

    2008-01-01

    Background Major population movements, social structure, and caste endogamy have influenced the genetic structure of Indian populations. An understanding of these influences is increasingly important as gene mapping and case-control studies are initiated in South Indian populations. Results We report new data on 155 individuals from four Tamil caste populations of South India and perform comparative analyses with caste populations from the neighboring state of Andhra Pradesh. Genetic differentiation among Tamil castes is low (RST = 0.96% for 45 autosomal short tandem repeat (STR) markers), reflecting a largely common origin. Nonetheless, caste- and continent-specific patterns are evident. For 32 lineage-defining Y-chromosome SNPs, Tamil castes show higher affinity to Europeans than to eastern Asians, and genetic distance estimates to the Europeans are ordered by caste rank. For 32 lineage-defining mitochondrial SNPs and hypervariable sequence (HVS) 1, Tamil castes have higher affinity to eastern Asians than to Europeans. For 45 autosomal STRs, upper and middle rank castes show higher affinity to Europeans than do lower rank castes from either Tamil Nadu or Andhra Pradesh. Local between-caste variation (Tamil Nadu RST = 0.96%, Andhra Pradesh RST = 0.77%) exceeds the estimate of variation between these geographically separated groups (RST = 0.12%). Low, but statistically significant, correlations between caste rank distance and genetic distance are demonstrated for Tamil castes using Y-chromosome, mtDNA, and autosomal data. Conclusion Genetic data from Y-chromosome, mtDNA, and autosomal STRs are in accord with historical accounts of northwest to southeast population movements in India. The influence of ancient and historical population movements and caste social structure can be detected and replicated in South Indian caste populations from two different geographic regions. PMID:19077280

  18. Changing trends in the prevalence of blindness and visual impairment in a rural district of India: Systematic observations over a decade

    PubMed Central

    Khanna, Rohit C; Marmamula, Srinivas; Krishnaiah, Sannapaneni; Giridhar, Pyda; Chakrabarti, Subhabrata; Rao, Gullapalli N

    2012-01-01

    Context: Globally, limited data are available on changing trends of blindness from a single region. Aims: To report the changing trends in the prevalence of blindness, visual impairment (VI), and visual outcomes of cataract surgery in a rural district of Andhra Pradesh, India, over period of one decade. Settings and Design: Rural setting; cross-sectional study. Materials and Methods: Using a validated Rapid Assessment of Cataract Surgical Services (RACSS) method, population-based, cross-sectional survey was done in a rural district in the state of Andhra Pradesh, India. Two-stage sampling procedure was used to select participants ≥50 years of age. Further, a comparative analysis was done with participants ≥50 years from the previously concluded Andhra Pradesh Eye Disease Study (APEDS) study, who belonged to the same district. Statistical Analysis: Done using 11th version of Stata. Results: Using RACSS, 2160/2300 (93.9%) participants were examined as compared with the APEDS dataset (n=521). Age and sex adjusted prevalence of blindness in RACSS and APEDS was 8% (95% CI, 6.9–9.1%) and 11% (95% CI, 8.3–13.7%), while that of VI was 13.6% (95% CI, 12.2–15.1%) and 40.3% (95% CI, 36.1–44.5%), respectively. Cataract was the major cause of blindness in both the studies. There was a significant reduction in blindness following cataract surgery as observed through RACSS (17.3%; 95% CI, 13.5–21.8%) compared with APEDS (34%; 95% CI, 20.9–49.3%). Conclusion: There was a significant reduction in prevalence of blindness and VI in this rural district of India over a decade. PMID:22944766

  19. Changing trends in the prevalence of blindness and visual impairment in a rural district of India: systematic observations over a decade.

    PubMed

    Khanna, Rohit C; Marmamula, Srinivas; Krishnaiah, Sannapaneni; Giridhar, Pyda; Chakrabarti, Subhabrata; Rao, Gullapalli N

    2012-01-01

    Context : Globally, limited data are available on changing trends of blindness from a single region. Aims : To report the changing trends in the prevalence of blindness, visual impairment (VI), and visual outcomes of cataract surgery in a rural district of Andhra Pradesh, India, over period of one decade. Settings and Design : Rural setting; cross-sectional study. Materials and Methods : Using a validated Rapid Assessment of Cataract Surgical Services (RACSS) method, population-based, cross-sectional survey was done in a rural district in the state of Andhra Pradesh, India. Two-stage sampling procedure was used to select participants ≥50 years of age. Further, a comparative analysis was done with participants ≥50 years from the previously concluded Andhra Pradesh Eye Disease Study (APEDS) study, who belonged to the same district. Statistical Analysis : Done using 11 th version of Stata. Results : Using RACSS, 2160/2300 (93.9%) participants were examined as compared with the APEDS dataset (n=521). Age and sex adjusted prevalence of blindness in RACSS and APEDS was 8% (95% CI, 6.9-9.1%) and 11% (95% CI, 8.3-13.7%), while that of VI was 13.6% (95% CI, 12.2-15.1%) and 40.3% (95% CI, 36.1-44.5%), respectively. Cataract was the major cause of blindness in both the studies. There was a significant reduction in blindness following cataract surgery as observed through RACSS (17.3%; 95% CI, 13.5-21.8%) compared with APEDS (34%; 95% CI, 20.9-49.3%). Conclusion : There was a significant reduction in prevalence of blindness and VI in this rural district of India over a decade.

  20. Mobilising community collectivisation among female sex workers to promote STI service utilisation from the government healthcare system in Andhra Pradesh, India.

    PubMed

    Parimi, Prabhakar; Mishra, Ram Manohar; Tucker, Saroj; Saggurti, Niranjan

    2012-10-01

    To assess the association between female sex workers' (FSWs) degree of community collectivisation and self-efficacy, utilisation of sexually transmitted infection (STI) services from government-run health centres in Andhra Pradesh, India. Cross-sectional analyses of 1986 FSWs recruited using a probability-based sampling from five districts of Andhra Pradesh during 2010-2011. Multiple logistic regression models were constructed to assess associations. The independent variables included-collective efficacy, collective agency and collective action-measured using a series of items that assessed the grouping of the community on issues that concern most sex workers. An additional independent variable included FSWs belonging to an area where there was a project partnership with government health centres to provide STI treatment services to FSWs. The outcome indicators included self-efficacy for service utilisation from government health facilities and the treatment for STIs from government health facilities at least once in the past year experience of STI symptoms. Of the 1986 FSWs, nearly two-fifths (39.5%) reported a high level of overall collectivisation (collective efficacy: 89%, collective agency: 50.7%; collective action: 12.7%). Sex workers with a high degree compared with low degree of overall collectivisation were significantly more likely to report high self-efficacy to use government health facilities (75.0% vs 57.3%, adjusted OR 2.5, 95% CI 2.0 to 3.1) and to use government health centres for STI treatment in past 1 year (78.1% vs 63.2%, adjusted OR 2.1, 95% CI 1.6 to 2.8), irrespective of project partnership with government centres. The current research findings reinforce the need for stronger community mobilisation for better utilisation of government health facilities for STI and HIV prevention interventions.

  1. Relationship Between Drinking Water Fluoride Levels, Dental Fluorosis, Dental Caries and Associated Risk Factors in 9-12 Years Old School Children of Nelakondapally Mandal of Khammam District, Andhra Pradesh, India: A Cross-sectional Survey

    PubMed Central

    Shanthi, M; Reddy, B Vishnuvardhan; Venkataramana, V; Gowrisankar, S; Reddy, B V Thimma; Chennupati, Sireesha

    2014-01-01

    Background: The present study was conducted to assess the relationship between drinking water fluoride (F) levels, dental fluorosis and dental caries among 9-12 years old school children of Nelakondapally Mandal, Khammam district, Andhra Pradesh. Materials and Methods: A cross-sectional analytical study was conducted on 1500 school children aged 9-12 years, selected by stratified random sampling from different areas with different levels of naturally occurring F in drinking water. The children were assessed for dental fluorosis according to WHO basic survey guidelines. The overall oral health status of the child was assessed by decayed missing filled teeth (DMFT)/dmft index. Statistical analysis was done using mean, standard deviation, standard error, Z-test, ANOVA test, and Chi-square test. Results: The results of the present study revealed that the prevalence of fluorosis was 74.9%. Number of children having dental fluorosis was highest in children who consume water from bore wells. Caries prevalence in the study population was about 56.5%. Caries prevalence and mean DMFT/dmft scores were least in children with optimal F areas and highest in children with below optimal F areas. Conclusion: There was moderate prevalence of fluorosis in Nelakondapally Mandal of Khammam district, and caries prevalence is high in areas below optimal F areas. How to cite the article: Shanthi M, Reddy BV, Venkataramana V, Gowrisankar S, Reddy BV, Chennupati S. Relationship between drinking water fluoride levels, dental fluorosis, dental caries and associated risk factors in 9-12 year old school children of Nelakondapally Mandal of Khammam district, Andhra Pradesh, India: A cross-sectional survey. J Int Oral Health 2014;6(3):106-10. PMID:25083044

  2. Awareness, Attitude, and Prevalence of usage of magnification devices among the dental practitioners in the state of Andhra Pradesh – A questionnaire-based study

    PubMed Central

    Penmetsa, Gautami Subhadra; Mani, Loda Princee; Praveen, Gadde; Dwarakanath, Chini Dorai; Suresh, S.

    2017-01-01

    Background: Dentistry, dealing with teeth and supporting tissues in the oral cavity is not only an ever-evolving science but also an art combined with good eye-hand coordination. It not only encompasses clinical and theoretical skills which play a crucial role in the success of therapy but also a lot of intrinsic work is accomplished in dentistry. In a journey to fulfill the above accomplishments and for facilitating early diagnosis of pathologies which usually go unnoticed, a clearer and magnified field of vision are also essential. The purpose of this study is to evaluate the awareness, attitude, and prevalence of the usage of magnification devices among the dental practitioners in the state of Andhra Pradesh. Materials and Methods: A questionnaire-based study was conducted to assess the awareness, attitude, and prevalence of magnification devices among the 370 dental practitioners in Andhra Pradesh. All the participants were provided with a prestructured questionnaire comprising of 24 questions and answering was completely self-based. Results: Among the participants, majority were aware about magnification in dentistry (91.1%), and also of the different types of magnification devices available (90.5%). On the other hand, when the reason for not using magnification devices was taken into consideration, 32.7% attributed that they have not experienced the devices and 32.4% felt that devices were too expensive. Moreover, when regarding the usage of devices was taken into account, only 23.8% of the total participants were exposed to the usage of magnification aids. Conclusion: Among the selected group of participants, even though majority were aware of magnification in dentistry its application in practice was very less. PMID:29491587

  3. Fear of blindness and perceptions about blind people. The Andhra Pradesh Eye Disease Study.

    PubMed

    Giridhar, Pyda; Dandona, Rakhi; Prasad, Mudigonda N; Kovai, Vilas; Dandona, Lalit

    2002-09-01

    This study assessed the fear of being affected by illness and disability including blindness, and perceptions of the population towards blind people in the Indian state of Andhra Pradesh. A total of 11,786 subjects of all ages were sampled from 94 clusters in one urban and three rural study areas of Andhra Pradesh using stratified, random, cluster, systematic sampling to represent the population of this state. A total of 10,293 subjects of all ages underwent a detailed interview and dilated ocular evaluation. Subjects > 15 years of age (7,432) were interviewed regarding fear of illness/disability and their perceptions of blind people. The fear of blindness was assessed in comparison to cancer, severe mental illness, heart attack, losing limbs, deafness, inability to speak, and paralysis. A majority of the study population feared all the illnesses and disabilities assessed. The prevalence of fear of blindness was 90.9% (95% confidence interval 89.1-92.8%) and 92.1% (95% confidence interval 90.6-93.6%) in urban and rural study areas respectively. With multiple logistic regression the fear of blindness was significantly higher for those with any level of education and for those living in the rural study areas. The proportion of those having positive feelings towards blind people was higher in the urban study area. A high prevalence of blindness, 1.84%, has been reported in this population previously. These data suggest that this population feared blindness, and yet there is a high rate of blindness. This reflects the need for increasing awareness about blindness in this population through eye health promotion strategies in order to reduce blindness, and awareness regarding the availability of rehabilitation services.

  4. Principal component analysis of biometric traits to reveal body confirmation in local hill cattle of Himalayan state of Himachal Pradesh, India.

    PubMed

    Verma, Deepak; Sankhyan, Varun; Katoch, Sanjeet; Thakur, Yash Pal

    2015-12-01

    In the present study, biometric traits (body length [BL], heart girth [HG], paunch girth (PG), forelimb length (FLL), hind limb length (HLL), face length, forehead width, forehead length, height at hump, hump length (HL), hook to hook distance, pin to pin distance, tail length (TL), TL up to switch, horn length, horn circumference, and ear length were studied in 218 adult hill cattle of Himachal Pradesh for phenotypic characterization. Morphological and biometrical observations were recorded on 218 hill cattle randomly selected from different districts within the breeding tract. Multivariate statistics and principal component analysis are used to account for the maximum portion of variation present in the original set of variables with a minimum number of composite variables through Statistical software, SAS 9.2. Five components were extracted which accounted for 65.9% of variance. The first component explained general body confirmation and explained 34.7% variation. It was represented by significant loading for BL, HG, PG, FLL, and HLL. Communality estimate ranged from 0.41 (HL) to 0.88 (TL). Second, third, fourth, and fifth component had a high loading for tail characteristics, horn characteristics, facial biometrics, and rear body, respectively. The result of component analysis of biometric traits suggested that indigenous hill cattle of Himachal Pradesh are small and compact size cattle with a medium hump, horizontally placed short ears, and a long tail. The study also revealed that factors extracted from the present investigation could be used in breeding programs with sufficient reduction in the number of biometric traits to be recorded to explain the body confirmation.

  5. Outbreak of influenza-like illness investigated during August 2013 near Indo-China border of Arunachal Pradesh, Northeast India.

    PubMed

    Biswas, Dipankar; Buragohain, Manika; Yadav, Kaushal; Dutta, Mousumi; Sarmah, Kimmi; Baruah, Pranjal Jyoti; Borkakoty, Biswajyoti

    2016-11-01

    During August 2013, an outbreak of influenza-like illnesses (ILI) was investigated in Monigong area, near Indo-China border of Arunachal Pradesh, Northeast India. Influenza type A/H3N2 was detected by RT-PCR in 33.3% (8/24) of ILI cases. Sequence analysis of HA and NA genes revealed eight and five amino acid substitutions, respectively in Monigong H3N2 (Mo/H3N2) strains as compared to vaccine strain A/Victoria/361/2011. Four non-synonymous substitutions, three localizing at antigenic sites T144A, A; R158G, B; L173S, D, and one H9Y in close proximity to a potential glycosylation site aa8 in HA1 domain along with the substitution T329N in NA are likely to influence the antigenicity/virulence of Mo/H3N2 viruses. J. Med. Virol. 88:1999-2003, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  6. Correlation of HIV/AIDS prevalence with social, economic and demographic measures in Andhra Pradesh, India.

    PubMed

    Kandwal, R; Garg, P K; Garg, R D

    2012-09-01

    In this study, the spatial distribution of HIV/AIDS is investigated with several socioeconomic variables. Results of exploratory analysis of correlations have been reported between the prevalence of HIV/AIDS as it is the dependent variable against a range of socioeconomic and demographic measures in Andhra Pradesh, India. The state ranks among the top six states for HIV prevalence in the country. This study offers an insight to the distribution of HIV prevalence and the potential impacts of the epidemic on the high-, medium- and low-risk groups determined through cluster analyses of population and cumulative HIV infections. The impacts have been addressed through selective social and economic measures as HIV/AIDS is considered more of a social epidemic. These results help in identifying factors that are contributing more towards the spread of HIV and so guide policies to counteract dominant factors in order to control the disease. Future investigations are necessary to elucidate characterization of the rates of infection according to gender, age groups and regions.

  7. Study on the availability of physical infrastructure and manpower facilities in sub-centers of Chittoor district of Andhra Pradesh.

    PubMed

    Reddy, N Bayapa; Prabhu, G Ravi; Sai, T S R

    2012-01-01

    The sub-centers (SCs) are under constant criticism for their inability to deliver quality services due to the nonavailability of adequate infrastructure, manpower and supply of drugs.A cross-sectional study was conducted in Chittoor District of Andhra Pradesh to assess the availability of physical infrastructure and manpower in the SCs. A total of 34 SCs were selected by multistage and stratified random sampling technique. The data was statistically analyzed by using Microsoft Excel. The deficiency in the availability of health workers male and female were found to be 67.7% and 27.5%, respectively. The residential facility for health workers was available only in 26.4% SCs. Only 20.6% of SCs had stethoscope and B.P apparatus. The physical infrastructure and manpower availability at the SCs needs considerable improvement as per the Indian Public Health Standard (IPHS). Facilities to conduct the normal delivery and 24-hours emergency referral services need to be addressed at the earliest.

  8. Spatial and temporal variation of precipitation trends in Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Sivajothi, R.; Karthikeyan, K.

    2017-11-01

    Long-term samples of meteorological data are periodically necessary to assess the long standing effects of future hydrological changes. The evaluations are repeatedly undertaken using deterministic statistical analyze which requires daily weather data as input. Andhra Pradesh had experienced frequent disasters like cyclones, floods, droughts etc. The frequency and intensity of the hazardous events has been significantly increasing in there cent decades due to climatic changes and global warming. This model is being applied to all the districts of the state to evaluate the results of abnormally low rainfall and to evaluate possible adjustment polices. The final results shows that the lack of rainfall has larger influence on the living society and the major adaptation sustained by irrigation and the ecosystem which illustrates the potential of hydrological modelling for multiple dimensions of water resources. No significant trend has been detected for annual and seasonal precipitation in the entire state, some of the district’s annual and monsoon precipitation has decreased, and has increased during post monsoon and winter seasons.

  9. Effect of dental erosion on oral health among employees of battery-manufacturing units in Baddi, Himachal Pradesh, India.

    PubMed

    Bansal, Mohit; Singh, Sunint; Bector, Aditi; Dogra, Mrigank

    2018-01-01

    The objective of the study was to obtain data on prevalence and severity of dental erosion among acid industry workers in Baddi (Himachal Pradesh). A cross-sectional study was conducted among 800 battery industry workers. The demographic details were recorded on a prestructured pro forma. Type III examination was done. Dental erosion was recorded based on the index given by Bardsley (simplified scoring criteria for tooth wear index). Appropriate statistical tests were used to interpret the data. The prevalence of dental erosion was found to be 48.6%. Prevalence increased with the duration of employment. Dental erosion was most commonly found in the labial surfaces of maxillary anterior teeth. Erosion is a condition which is multifactorial and becomes more aggravating in the presence of acidic environment. Therefore, the workers working in such conditions should be more careful, and mandatory policies should also be followed by such industries to maintain the overall health of the workers.

  10. Lung function impairment in women exposed to biomass fuels during cooking compared to cleaner fuels in Uttar Pradesh, India.

    PubMed

    Bihari, Vipin; Iqbal, S M; Srivastava, L P; Kesavachandran, C; Siddique, M J A

    2013-11-01

    A national survey has shown that approximately 75-80% use of fire wood and chips, 10% of dung cake rural women in Uttar Pradesh, India. Considering the respiratory health risk of biomass fuel exposure to women, a cross sectional study was conducted to elucidate the relationship between cooking smoke and lung function impairments. The present study showed significant decline in air flow limitation based on reduced PEFR (3.69 | sec(-1)) and FEV1 (1.34 | sec(-1)) in women cooking with biomass fuels compared to PEFR (4.26 | sec(-1)) and FEV1 (1.73 | sec(-1)) in women cooking with cleaner fuels. The noxious gases and particles generated from biomass fuels during cooking reported in earlier studies may be the reason for the slight decline in airway status PEFR (3.69 | sec(-1)) and lung volumes FEV1 (1.34 | sec(-1)). The higher mean bio-fuels exposure index (52.5 hr-yrs) can attribute to reduced lung function in rural women.

  11. Risk factors for cancer cervix among rural women of a hilly state: a case-control study.

    PubMed

    Thakur, Anita; Gupta, Bhupender; Gupta, Anmol; Chauhan, Raman

    2015-01-01

    In Himachal Pradesh, cancer cervix is a major public health problem since it ranks as the number one female cancer. A case-control study of 226 newly diagnosed, histopathologically confirmed cases of cancer cervix and equal number of matched controls was conducted at Regional Cancer Center, Himachal Pradesh during the period from July 2008 to October 2009 with the objective to study the common factors associated with cancer cervix. Univariate analysis identified 10 risk factors associated significantly with the disease. On multiple logistic regression, however, only seven risk factors were found to be associated significantly with the disease. These were: Age at birth of first child, spacing between two children, age at marriage, literacy, socioeconomic status, multiparity, and poor genital hygiene. Risk factors such as poor genital hygiene, age at birth of first child <19 years, early marriage, illiteracy, multiparity, and low socioeconomic status were highly prevalent in the study subjects and were found to be significantly associated with cancer cervix.

  12. Where on Earth...? MISR Mystery Image Quiz #8:Yarlung Tsangpo River, China

    NASA Image and Video Library

    2002-05-15

    The mighty river featured in this image is called the Yarlung Tsangpo in China, and is then known as the Dikrong during its passage through India state of Arunachal Pradesh. This image from NASA Terra satellite is MISR Mystery Image Quiz #8.

  13. COIN in the Real World

    DTIC Science & Technology

    2009-01-01

    REPORT unclassified b. ABSTRACT unclassified c . THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 44...Panda, Head of the Water Initiative of Orrissa, interview with author, 24 July 2008. 10. S. R. Ramanujan , “Andhra Pradesh: Peace Talks with PWG?” South

  14. 75 FR 21151 - Designation of Two Individuals Pursuant to Executive Order 13224

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ..., Pakistan; DOB 5 Oct 1951; POB Azamgarh, Uttar Pradesh, India; nationality Pakistan; Passport KZ 550207 (Pakistan); alt. Passport G154297 (Pakistan); alt. Passport KC550207 (Pakistan) (individual) [SDGT]. 2...; a.k.a. ``USTAAD SHEHEB''), Karachi, Pakistan; DOB circa 1955; alt. DOB circa 1964; POB Sarghoda...

  15. Postcards from India.

    ERIC Educational Resources Information Center

    Sahni, Urvashi

    1999-01-01

    Interviews children and adults living in rural areas in the state of Uttar Pradesh in northern India regarding education, revealing individuals' hopes and dreams against a backdrop of severe class, caste, and gender stratification. Examines the promise of schooling and literacy in India, the relationship of schooling and literacy to work, and of…

  16. Teacher Education in Northeast India--Status, Weaknesses and Alternatives

    ERIC Educational Resources Information Center

    Bhattacharjee, D. S.

    2011-01-01

    Northeast India comprises of a cluster of eight states--Arunachal Pradesh, Assam, Meghalaya, Manipur, Mizoram, Nagaland, Sikkim and Tripura. The region is usually stereotyped as underdeveloped. Geographically, the region is surrounded by international border with part of Nepal, Bhutan, China, Myanmar and Bangladesh. Prevalence of insurgency and…

  17. Quest for Teaching Experimental Skills

    ERIC Educational Resources Information Center

    Lakshmi, B. Samrajya; Rao, B. Venkateswara

    2013-01-01

    In Andhra Pradesh, India, chemical experimenting in under graduate college labs by students is neglected because most of the intermediate (10+1 and 10+2) students concentrate on writing competitive exams like EAMCET (Engineering and Medical Common Entrance Test), IIT JEE (Indian Institute of Technology Joint Entrance Test), AIEEE (All India…

  18. 76 FR 77485 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Preliminary Results of the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... Pangasius, Pangasianodon- Hypophthalmus Farming in Andhra Pradesh, India (``Pangasius Study''), on the... industry when undertaking its analysis. First, we note that the Pangasius Study regarding India is a ``first attempt'' \\22\\ study undertaken by a professor with estimated production quantities. When compared...

  19. A Model for the Correlates of Students' Creative Thinking

    ERIC Educational Resources Information Center

    Sarsani, Mahender Reddy

    2007-01-01

    The present study was aimed to explore the relationships between orgainsational or school variables, students' personal background variables, and cognitive and motivational variables. The sample for the survey included 373 students drawn from nine Government schools in Andhra Pradesh, India. Students' creative thinking abilities were measured by…

  20. Poland syndrome

    PubMed Central

    Sharma, Chandra Madhur; Kumar, Shrawan; Meghwani, Manoj K.; Agrawal, Ravi P.

    2014-01-01

    Poland's syndrome is a rare congenital condition, characterized by the absence of the sternal or breastbone portion of the pectoralis major muscle, which may be associated with the absence of nearby musculoskeletal structures. We hereby report an 8-year-old boy with typical features of Poland syndrome, the first documented case from Uttar Pradesh, India. PMID:24959021

  1. Poland syndrome.

    PubMed

    Sharma, Chandra Madhur; Kumar, Shrawan; Meghwani, Manoj K; Agrawal, Ravi P

    2014-01-01

    Poland's syndrome is a rare congenital condition, characterized by the absence of the sternal or breastbone portion of the pectoralis major muscle, which may be associated with the absence of nearby musculoskeletal structures. We hereby report an 8-year-old boy with typical features of Poland syndrome, the first documented case from Uttar Pradesh, India.

  2. Mining Induced Displacement and Mental Health: A Call for Action

    ERIC Educational Resources Information Center

    Goessling, Kristen P.

    2010-01-01

    India is a country of unparalleled diversity within both the cultural and ecological spheres of life. This paper examines the author's experience exploring and inquiring into the mental health implications of mining and mining induced displacement within several Adivasi (tribal) communities in Andhra Pradesh, India. Through collaboration with…

  3. Personality Adjustment and Job Satisfaction among the Lecturers Working in Junior Colleges

    ERIC Educational Resources Information Center

    Raju, T. J. M. S.

    2011-01-01

    The present study focused on the relationship between personality adjustment and job satisfaction among junior college Lecturers in Vizianagaram District of Andhra Pradesh, India. The successfulness of any educational program basically depends on the right performance and acceptance of teacher community. This mainly depends on their satisfaction…

  4. Private Schooling and Mental Models about Girls' Schooling in India

    ERIC Educational Resources Information Center

    Srivastava, Prachi

    2006-01-01

    This paper presents disadvantaged households' "mental models" about low-fee private (LFP) schooling for their daughters in a study in Lucknow District, Uttar Pradesh. It argues that assumptions in the dominant discourse on girls' schooling in India obscure the complex negotiations and trade-offs disadvantaged families make when…

  5. 76 FR 55872 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Preliminary Results and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ...- Hypophthalmus Farming in Andhra Pradesh, India (``Pangasius Study''), on the record.\\35\\ \\35\\ See VASEP's First... when undertaking its analysis. First, we note that the Pangasius Study regarding India is a ``first attempt'' \\36\\ study undertaken by a professor with estimated production quantities. When compared to the...

  6. Human Resource Building--An Approach to Service Learning

    ERIC Educational Resources Information Center

    Rajan, Sonika

    2009-01-01

    Background: Isabella Thoburn College at Lucknow, Uttar Pradesh, India has initiated Service Learning Program for its students through 4 issue based centers. One of the centers AIDS Awareness Center for Counseling, Education, and Training (AACCET) is in the field of HIV/AIDS. It follows 6 pronged approach to achieve its objectives and one of the…

  7. Cytomorphological studies in some members of tribe Paniceae (Poaceae) from district Kangra of Himachal Pradesh (Western Himalayas).

    PubMed

    Kaur, H; Kumari, S; Gupta, R C

    2013-01-01

    The present paper deals with cytological studies on the population basis of 21 species belonging to 9 genera of tribe Paniceae of family Poaceae from cytologically unexplored area of Western Himalayas i.e. district Kangra of Himachal Pradesh for the assessment of genetic diversity of grass flora. On world-wide basis, the chromosome counts have been made for the first time for three species such as Brachiaria remota (n = 16), Digitaria granularis (n = 36) and Isachne albens (n = 5). Similarly, on India basis, altogether new records are made for two species such as Echinochloa cruspavonis (n = 27) and Paspalum distichum (2n = 50). A comparison of the different euploid cytotypes studied at present for Digitaria adscendens, D. setigera and Oplismenus compositus revealed significant variations in their morphology, depicting increase in some of the characters of polyploid cytotypes. The course of meiosis has been observed to be normal in all the studied populations with high pollen fertility except for two species such as Paspalum dilatatum and P. distichum marked with abnormal meiosis and reduced pollen fertility.

  8. Glacier fluctuation using Satellite Data in Beas basin, 1972-2006, Himachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Dutta, Shruti; Ramanathan, A. L.; Linda, Anurag

    2012-10-01

    Glaciers are widely recognized as sensitive indicators for regional climate change. Very few studies have been conducted to investigate the long term deglaciation status in the Himalaya. In the present study, glaciers in the Beas basin, Himachal Pradesh, India were mapped by interpretation of various glacio-morphological features using the Landsat and IRS images. The mapping of 224 glaciers during the period 1972-2006 reveals that the glacier cover reduced from 419 to 371 km2, witnessing approximately 11.6% deglaciation in the Beas basin. A higher rate of retreat of the glaciers was observed during 1989-2006 as compared to the retreat during 1972-1989. Also, the loss has been more prominent in the glaciers with an areal extent of 2-5 km2. The number of glaciers increased from 224 to 236 due to fragmentation in this period. The average elevation of the ablation zone basin showed an upward shift from 3898 m (1972) to 4171 m (2006) which may be a consequence of a shift in Equilibrium Line Altitude (ELA) reflecting imbalance.

  9. Correlates of health care utilization under targeted interventions: The case of female sex workers in Andhra Pradesh, India.

    PubMed

    Sharma, Varun; Suryawanshi, Dipak; Saggurti, Niranjan; Bharat, Shalini

    2017-11-01

    Accessibility and frequency of use of health care services among female sex workers (FSWs) are constrained by various factors. In this analysis, we examined the correlates of frequency of using health care services under targeted interventions among FSWs. A sample of FSWs (N = 1,973) was obtained from a second round (2012) of Behavioral Tracking Survey, conducted in five districts of Andhra Pradesh, a high-HIV-prevalence state in southern India. We used negative binomial regression models to analyze frequency of utilization of health care services among FSWs. Based on our analysis, we suggest that various predisposing and enabling factors were found to be significantly associated with the visit to NGO clinics for treatment of any health problem, any sexually transmitted infection symptom, and the number of condoms received from the peer worker or condom depot. We suggest the need for further research with respect to various correlates of frequency of using health care among FSWs to develop effective intervention strategies in countries that have high HIV prevalence among FSWs and targeted interventions need more diligent implementation to reach the unreached.

  10. Recurrent floods and prevalence of diarrhea among under five children: observations from Bahraich district, Uttar Pradesh, India.

    PubMed

    Joshi, Pooran C; Kaushal, Sonia; Aribam, Bijaya S; Khattri, Prashant; D'Aoust, Olivia; Singh, Mongjam M; Marx, Michael; Guha-Sapir, Debarati

    2011-01-01

    Diarrhea is an important problem among the under-five children in India. The paper examines long-term impacts of recurrent floods on diarrhea among under-five children in Uttar Pradesh, India. A two stage stratified cluster survey was conducted in flood affected (exposed) and non-flood affected areas (unexposed). The long-term impact of the floods was not clearly marked in the overall prevalence of diarrhea with the exposed group having prevalence of 55.1% as against 56.2% in the unexposed group of children under five. Economic condition of the household is associated with the prevalence of diarrhea in both exposed and unexposed strata. Anemia was found to be a significant risk factor for diarrhea among children in both the flood exposed and non-flood exposed populations. The recurrent floods did not have any significant effect on the prevalence of diarrhea in relation to gender, religion, caste, and household size. The study indicates that the long-term impacts of floods are very differently manifested than the immediate impacts.

  11. Site specific toxicological risk from fluoride exposure through ingestion of vegetables and cereal crops in Unnao district, Uttar Pradesh, India.

    PubMed

    Jha, S K; Nayak, A K; Sharma, Y K

    2011-05-01

    A study was carried out to assess toxicological risk from the fluoride (F) exposure due to ingestion of vegetables and cereal crops such as rice and wheat grown in potentially fluoridated area (brick kiln and sodic areas), of different age groups in Unnao district, Uttar Pradesh, India. Fluoride contents in vegetables and cereal were found to be in the order brick kiln sites>sodic sites>normal sites. Among vegetables maximum F concentration was found in spinach and mint, whereas in cereal crops, wheat accumulated more F than rice. The exposure dose of F was determined using estimated daily intake (EDI) and bio-concentration factor (BCF) of F. The children of age group 3-14 years in the potentially fluoridated area were found to be at the risk of fluorosis. The mean BCF value of F was the highest in mint (36.6 mg/kg(dwt) plant/mg/kg(dwt) soil), followed by spinach (33.99 mg/kg(dwt) plant.mg/kg(dwt) soil). Copyright © 2011 Elsevier Inc. All rights reserved.

  12. Tuberculosis management practices by private practitioners in Andhra Pradesh, India.

    PubMed

    Achanta, Shanta; Jaju, Jyoti; Kumar, Ajay M V; Nagaraja, Sharath Burugina; Shamrao, Srinivas Rao Motta; Bandi, Sasidhar Kumar; Kumar, Ashok; Satyanarayana, Srinath; Harries, Anthony David; Nair, Sreenivas Achutan; Dewan, Puneet K

    2013-01-01

    Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC), and factors associated with compliance with ISTC. Cross- sectional survey using semi-structured interviews. Of 296 randomly selected private practitioners, 201 (68%) were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6%) followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14%) private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment). Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine. Few private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance.

  13. Morbidity pattern of hydatid disease (cystic echinococcosis) and lack of its knowledge in patients attending Mamata General Hospital, Khammam, Andhra Pradesh.

    PubMed

    Hemachander, S Suguna; Prasad, C Rajendra; Jessica, M

    2008-01-01

    There is hearsay that prevalence of hydatid disease in Khammam and Nalgonda districts of Andhra Pradesh is high. We report here a preliminary study conducted to determine the magnitude of the problem of hydatid disease and the morbidity associated with it in patients attending MGH, KMM, A.P. (rural hospital). Eleven cases were identified during the period from November 2005 to May 2006 (seven months). Pain in abdomen, mass per abdomen, loss of appetite, pregnancy complicated by cystic echinococcosis (CE), and jaundice were the main clinical symptoms and signs. Ultrasonography, detection and removal of the cysts on the operation table, microscopic examination of the aspirated hydatid fluid were confirmatory. Ziehl-Neelsen stain of the aspirated fluid revealed acid-fast scolices. Interrogation of the patients and their family members (50) revealed that there was a total lack of knowledge of dog-tapeworm-caused infection in humans. They knew 'rabies' as the only disease man gets from dogs, and tapeworms are from pork and beef.

  14. Ethnomedicinal botany of the Apatani in the Eastern Himalayan region of India

    PubMed Central

    Kala, Chandra Prakash

    2005-01-01

    This paper investigates the wealth of medicinal plants used by the Apatani tribe of Arunachal Pradesh. Apatani have traditionally settled in seven villages in the Ziro valley of Lower Subansiri district of Arunachal Pradesh in the Eastern Himalayan region of India. The present study has resulted in the documentation of 158 medicinal plant species used by the Apatani group of villages. These medicinal plant species were distributed across 73 families and 124 genera. Asteraceae was the most dominant family (19 species, 11 genera) of medicinal plants, followed by Zingiberaceae, Solanaceae, Lamiaceae and Araceae. For curing ailments, the use of aboveground plant parts was higher (80%) than the belowground plant parts in the Apatani group of villages. Of the aboveground plant parts, leaf was used in the majority of cases (56 species), followed by fruit. Different belowground plant forms such as root, tuber, rhizome, bulb and pseudo-bulb were used by Apatani as a medicine. About 52 types of ailments were cured by using these 158 medicinal plant species. The results of this study are further discussed in the changing socio-economic contexts. PMID:16288657

  15. Contributions of an intensive HIV prevention programme in increasing HIV testing among men who have sex with men in Andhra Pradesh, India.

    PubMed

    Ramesh, Sowmya; Mehrotra, Purnima; Saggurti, Niranjan

    2015-01-01

    The objective of this study was to identify the factors associated with uptake of HIV testing and to assess their relative contributions in increasing HIV testing. Data are drawn from two rounds of cross-sectional Integrated Behavioural and Biological Assessment (IBBA) surveys of self-identified men who have sex with men (MSM) from Andhra Pradesh, India, recruited through probability-based sampling in 2005-2006 and 2009-2010 (IBBA1, n = 1621; IBBA2, n = 1608, respectively). Logistic regression model was used to assess the relationship between socio-demographic characteristics, sexual behaviours, programme exposure and HIV testing. Significant factors were further parsed using decomposition analysis to examine the contribution of different components of that factor towards the change in HIV testing. There was a significant increase in the proportion of MSM reporting HIV testing from IBBA1 to IBBA2. Higher literacy levels, being 25-34 years old, being a kothi (predominantly receptive), engaging in both commercial and non-commercial sexual relationships and intervention programme exposure contributed the most to the increase in HIV testing.

  16. Fossil wood flora from the Siwalik Group of Arunachal Pradesh, India and its climatic and phytogeographic significance

    NASA Astrophysics Data System (ADS)

    Srivastava, Gaurav; Mehrotra, R. C.; Srikarni, C.

    2018-02-01

    The plant fossil records from the Siwalik Group of Arunachal Pradesh, India are far from satisfactory due to remoteness and dense vegetation of the area. We report seven fossil woods of which three belong to the Middle Siwalik (Subansiri Formation), while the rest are from the Upper Siwalik (Kimin Formation). The modern analogues of the fossils from the Middle Siwalik are Lophopetalum littorale (Celastraceae), Afzelia-Intsia and Sindora siamensis (Fabaceae) and from the Upper Siwalik are Miliusa velutina (Annonaceae), Calophyllum tomentosum and Kayea (Calophyllaceae) and Diospyros melanoxylon (Ebenaceae). The dominance of diffuse porosity in the fossil woods indicates a tropical climate with low seasonality (little variation) in temperature, while a high proportion of large vessels and simple perforation plates in the assemblage infer high precipitation during the deposition of the sediments. The aforesaid inference is in strong agreement with the previous quantitative reconstruction based on fossil leaves. Several modern analogues of the fossil taxa are now growing in low latitudes possibly due to an increase in seasonality (increased variation) in temperature caused by the rising Himalaya.

  17. Clinico-immunological aspects of vernal catarrh in hilly terrains of Himachal Pradesh.

    PubMed

    Bisht, R; Goyal, A; Thakur; Singh, T; Sharma; Vijay; Goyal, B K

    1992-01-01

    Very few immunological studies in vernal catarrh have been conducted in India and abroad, but none in Himachal Pradesh in spite of its high incidence in the State. In the present study 25 patients of vernal catarrh residing at a height ranging between 1000 to 2500 meters above mean sea level have been evaluated. Their immunological status of serum and tears after detailed clinical assessment was studied by single radial immunodiffusion technique of Mancini et al. The values of serum IgA and IgM were significantly higher in patients than in controls. The serum IgE level had no significant difference. The IgG was significantly lower in patients with vernal catarrh. The values of tear IgM, IgE and IgA in these patients were significantly higher than in controls. However, in no case or control group C3C and C4 were detected in tears. The limbal type of vernal catarrh was found to be the most common in this part of the country. No mixed case was seen. Derangement of the immune system in the pathogenesis of vernal catarrh is suggested.

  18. Couple Interaction and Predicting Vulnerability to Domestic Violence in Uttar Pradesh, India.

    PubMed

    Singh, Brijesh P; Singh, Kaushalendra K; Singh, Neha

    2014-08-01

    Domestic violence, when conducted against women, is a type of gender-based violence that negatively impacts a woman's physical and psychological health, causing insecurity, lack of safety, and loss of health and self-worth. Domestic violence is an important consideration for sexual, reproductive, and child health, as it can affect contraceptive behaviors of couples as well as levels of infant mortality. In the present analysis, an attempt has been made to study the relationship between women's experience of domestic violence and couple interaction after controlling for certain socioeconomic and demographic variables using logistic regression. This study looks at data from the National Family Health Survey-III conducted from 2005 to 2006 in Uttar Pradesh, the most populous state of India. Findings reveal that 43% of women suffer from domestic violence in the society as a whole; however, if a couple makes joint decisions in household matters, the prevalence of domestic violence is observed to be 24% less. Education and occupation of women, standard of living, media exposure, and partner's alcoholic behaviors are also found to be possible predictors of domestic violence. © The Author(s) 2014.

  19. Recurrent floods and prevalence of diarrhea among under five children: observations from Bahraich district, Uttar Pradesh, India

    PubMed Central

    Joshi, Pooran C.; Kaushal, Sonia; Aribam, Bijaya S.; Khattri, Prashant; D'Aoust, Olivia; Singh, Mongjam M.; Marx, Michael; Guha-Sapir, Debarati

    2011-01-01

    Background Diarrhea is an important problem among the under-five children in India. Objective The paper examines long-term impacts of recurrent floods on diarrhea among under-five children in Uttar Pradesh, India. Design A two stage stratified cluster survey was conducted in flood affected (exposed) and non-flood affected areas (unexposed). Results The long-term impact of the floods was not clearly marked in the overall prevalence of diarrhea with the exposed group having prevalence of 55.1% as against 56.2% in the unexposed group of children under five. Economic condition of the household is associated with the prevalence of diarrhea in both exposed and unexposed strata. Anemia was found to be a significant risk factor for diarrhea among children in both the flood exposed and non-flood exposed populations. The recurrent floods did not have any significant effect on the prevalence of diarrhea in relation to gender, religion, caste, and household size. Conclusions The study indicates that the long-term impacts of floods are very differently manifested than the immediate impacts. PMID:21695069

  20. Increasing Full Child Immunization Rates by Government Using an Innovative Computerized Immunization Due List in Rural India

    PubMed Central

    Gupta, Rahul; Reddy, R. Purushotham; Balasubramanian, K.; Reddy, P. S.

    2018-01-01

    Increasing child vaccination coverage to 85% or more in rural India from the current level of 50% holds great promise for reducing infant and child mortality and improving health of children. We have tested a novel strategy called Rural Effective Affordable Comprehensive Health Care (REACH) in a rural population of more than 300 000 in Rajasthan and succeeded in achieving full immunization coverage of 88.7% among children aged 12 to 23 months in a short span of less than 2 years. The REACH strategy was first developed and successfully implemented in a demonstration project by SHARE INDIA in Medchal region of Andhra Pradesh, and was then replicated in Rajgarh block of Rajasthan in cooperation with Bhoruka Charitable Trust (private partners of Integrated Child Development Services and National Rural Health Mission health workers in Rajgarh). The success of the REACH strategy in both Andhra Pradesh and Rajasthan suggests that it could be successfully adopted as a model to enhance vaccination coverage dramatically in other areas of rural India. PMID:29359630

  1. Long-term variation of Surface Ozone, NO2, temperature and relative humidity on crop yield over Andhra Pradesh (AP), India

    NASA Astrophysics Data System (ADS)

    Arunachalam, M. S.; Obili, Manjula; Srimurali, M.

    2016-07-01

    Long-term variation of Surface Ozone, NO2, Temperature, Relative humidity and crop yield datasets over thirteen districts of Andhra Pradesh(AP) has been studied with the help of OMI, MODIS, AIRS, ERA-Interim re-analysis and Directorate of Economics and Statistics (DES) of AP. Inter comparison of crop yield loss estimates according to exposure metrics such as AOT40 (accumulated ozone exposure over a threshold of 40) and non-linear variation of surface temperature for twenty and eighteen varieties of two major crop growing seasons namely, kharif (April-September) and rabi (October-March), respectively has been made. Study is carried to establish a new crop-yield-exposure relationship for different crop cultivars of AP. Both ozone and temperature are showing a correlation coefficient of 0.66 and 0.87 with relative humidity; and 0.72 and 0.80 with NO2. Alleviation of high surface ozone results in high food security and improves the economy thereby reduces the induced warming of the troposphere caused by ozone. Keywords: Surface Ozone, NO2, Temperature, Relative humidity, Crop yield, AOT 40.

  2. Transformations in the age and gender of unfree workers on hybrid cotton seed farms in Andhra Pradesh.

    PubMed

    Venkateshwarlu, D; DaCorta, L

    2001-01-01

    Unfreedom in Indian agriculture is ordinarily associated with adult male bonded labour, and it is generally argued that unfreedom is likely to disappear as capitalism spreads/advances. By contrast, we find that workers employed on advanced capitalist cotton seed farms in Andhra Pradesh - accumulation linked to national and multinational capital - involves the employment of labour-power which is mostly unfree, female and young (7-14 years). Addressed here are the reasons for the transformations in the age and gender of unfree workers on such farms since the early 1970s. We argue that, in the context of men's emancipation from bonded labour, employers actively sought out relatively cheaper, more easily disciplined, unfree female labour. Then, in order to secure even cheaper female child labour, employers segmented the female labour market via ideologies about the superiority of female children over adult females. Corresponding changes in labourers' gender relations, which put more of the onus of family maintenance on to women and daughters, were found to facilitate the unfreedom of females.

  3. Cost-effectiveness of HIV prevention interventions in Andhra Pradesh state of India

    PubMed Central

    2010-01-01

    Background Information on cost-effectiveness of the range of HIV prevention interventions is a useful contributor to decisions on the best use of resources to prevent HIV. We conducted this assessment for the state of Andhra Pradesh that has the highest HIV burden in India. Methods Based on data from a representative sample of 128 public-funded HIV prevention programs of 14 types in Andhra Pradesh, we have recently reported the number of HIV infections averted by each type of HIV prevention intervention and their cost. Using estimates of the age of onset of HIV infection, we used standard methods to calculate the cost per Disability Adjusted Life Year (DALY) saved as a measure of cost-effectiveness of each type of HIV prevention intervention. Results The point estimates of the cost per DALY saved were less than US $50 for blood banks, men who have sex with men programmes, voluntary counselling and testing centres, prevention of parent to child transmission clinics, sexually transmitted infection clinics, and women sex worker programmes; between US $50 and 100 for truckers and migrant labourer programmes; more than US $100 and up to US $410 for composite, street children, condom promotion, prisoners and workplace programmes and mass media campaign for the general public. The uncertainty range around these estimates was very wide for several interventions, with the ratio of the high to the low estimates infinite for five interventions. Conclusions The point estimates for the cost per DALY saved from the averted HIV infections for all interventions was much lower than the per capita gross domestic product in this Indian state. While these indicative cost-effectiveness estimates can inform HIV control planning currently, the wide uncertainty range around estimates for several interventions suggest the need for more firm data for estimating cost-effectiveness of HIV prevention interventions in India. PMID:20459755

  4. Geospatial monitoring and prioritization of forest fire incidences in Andhra Pradesh, India.

    PubMed

    Manaswini, G; Sudhakar Reddy, C

    2015-10-01

    Forest fire has been identified as one of the key environmental issue for long-term conservation of biodiversity and has impact on global climate. Spatially multiple observations are necessary for monitoring of forest fires in tropics for understanding conservation efficacy and sustaining biodiversity in protected areas. The present work was carried out to estimate the spatial extent of forest burnt areas and fire frequency using Resourcesat Advanced Wide Field Sensor (AWiFS) data (2009, 2010, 2012, 2013 and 2014) in Andhra Pradesh, India. The spatio-temporal analysis shows that an area of 7514.10 km(2) (29.22% of total forest cover) has been affected by forest fires. Six major forest types are distributed in Andhra Pradesh, i.e. semi-evergreen, moist deciduous, dry deciduous, dry evergreen, thorn and mangroves. Of the total forest burnt area, dry deciduous forests account for >75%. District-wise analysis shows that Kurnool, Prakasam and Cuddapah have shown >100 km(2) of burnt area every year. The total forest burnt area estimate covering protected areas ranges between 6.9 and 22.3% during the study period. Spatial burnt area analysis for protected areas in 2014 indicates 37.2% of fire incidences in the Nagarjunasagar Srisailam Tiger Reserve followed by 20.2 % in the Sri Lankamalleswara Wildlife Sanctuary, 20.1% in the Sri Venkateswara Wildlife Sanctuary and 17.4% in the Gundla Brahmeswaram Wildlife Sanctuary. The analysis of cumulative fire occurrences from 2009 to 2014 has helped in delineation of conservation priority hotspots using a spatial grid cell approach. Conservation priority hotspots I and II are distributed in major parts of study area including protected areas of the Nagarjunasagar Srisailam Tiger Reserve and Gundla Brahmeswaram Wildlife Sanctuary. The spatial database generated will be useful in studies related to influence of fires on species adaptability, ecological damage assessment and conservation planning.

  5. Predominance of unusual rotavirus G1P[6] strain in North India: An evidence from hospitalized children and adult diarrheal patients.

    PubMed

    Jain, Swapnil; Thakur, Nutan; Vashistt, Jitendraa; Grover, Neelam; Krishnan, Triveni; Changotra, Harish

    2016-12-01

    Group A Rotavirus remains the leading cause of gastroenteritis in children and accounts for 0.2 million fatalities each year; out of which, approximately 47,100 deaths occur in India. In adults also, rotavirus is reported to be responsible for diarrhea severe enough to require hospitalizations. India has recently introduced rotavirus vaccine in the Universal Immunization Programme and Himachal Pradesh became the first Indian state to implement this project. This study is an attempt to provide the pre-vaccination data on rotavirus gastroenteritis burden and circulating genotypes in Himachal Pradesh, India. A total of 607 faecal specimens (247 children ≤5years, 50 older children and 310 adults) from hospitalized diarrheal patients from Himachal Pradesh, India were screened for rotavirus using ELISA and RT-PCR. The positive samples were further G/P genotyped using semi-nested PCR. Rotavirus was detected in 25.2% and 28.3% of samples with ELISA and RT-PCR, respectively. In children, rotavirus frequency was significantly high with positivity in 49.0% cases whereas 14.0% adult samples have rotavirus in them. Genotyping of the positive samples revealed predominance of G1 (66.0%) and P[6] (66.7%) genotypes. The most common G and P combination was G1P[6] (62.8%) followed by G1P[8] (16.5%), G9P[6] (7.4%) and G12P[6] (5.0%). Molecular analysis reveals the belonging of P[6] strains in Lineage 1a. This pre-vaccination data on rotavirus prevalence and diversity would be helpful for assessing the affect of vaccination on the disease burden and its comparison with post-vaccination data of circulating genotypes would help in studying the effect on diversity of rotavirus strains possibly due to vaccine selection pressure. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Outcomes of Cataract Surgery in Urban and Rural Population in the South Indian State of Andhra Pradesh: Rapid Assessment of Visual Impairment (RAVI) Project.

    PubMed

    Marmamula, Srinivas; Khanna, Rohit C; Shekhar, Konegari; Rao, Gullapalli N

    2016-01-01

    To assess the visual outcomes after cataract surgery among urban and rural population aged ≥40 years in the South India state of Andhra Pradesh. A population based cross-sectional study was conducted in which 7800 subjects were sampled from two rural and one urban location. Visual Acuity was assessed and eye examination were performed by trained personnel. A questionnaire was used to collect personal and demographic information, and history of cataract surgery. Blindness and moderate Visual Impairment (MVI) was defined as presenting VA <6/60 and <6/18 to 6/60 in the better eye respectively. In total, 7378 (94.6%) were examined. Of these, 1228 eyes of 870 individuals were operated for cataract. The mean age of operated subjects was 63.7 years (SD: 10.7 years). Overall, 56.3% of those operated were women, 76% were illiterate and 42% of them were using spectacles after cataract surgery. Even after surgery, 12.2% of the operated eyes had MVI and blindness was seen in 14.7% of the eyes. A significantly higher proportion of subjects in urban area had good outcome as compared to those in the rural area (p = 0.01). Uncorrected refractive error (58.7%) was the leading cause of MVI, and posterior segment disease (34.3%) was the leading cause of blindness. On applying multiple logistic regression, risk factors for poor outcomes were age ≥ 70 years (OR: 1.9, 95% CI: 1.3-2.8), rural residence (OR: 1.3, 95% CI:1.0-1.8) and presence of aphakia (OR: 8.9, 95% CI: 5.7-13.8). Post cataract surgery, refractive errors remain an important correctable cause of MVI, in the south Indian state of Andhra Pradesh. The correction of refractive errors is required to provide good visual recovery and achieve the benefit of cataract surgery.

  7. First detection of canine parvovirus type 2b from diarrheic dogs in Himachal Pradesh.

    PubMed

    Sharma, Shalini; Dhar, Prasenjit; Thakur, Aneesh; Sharma, Vivek; Sharma, Mandeep

    2016-09-01

    The present study was conducted to detect the presence of canine parvovirus (CPV) among diarrheic dogs in Himachal Pradesh and to identify the most prevalent antigenic variant of CPV based on molecular typing and sequence analysis of VP2 gene. A total of 102 fecal samples were collected from clinical cases of diarrhea or hemorrhagic gastroenteritis from CPV vaccinated or non-vaccinated dogs. Samples were tested using CPV-specific polymerase chain reaction (PCR) targeting VP2 gene, multiplex PCR for detection of CPV-2a and CPV-2b antigenic variants, and a PCR for the detection of CPV-2c. CPV-2b isolate was cultured on Madin-Darby canine kidney (MDCK) cell lines and sequenced using VP2 structural protein gene. Multiple alignment and phylogenetic analysis was done using ClustalW and MEGA6 and inferred using the Neighbor-Joining method. No sample was found positive for the original CPV strain usually present in the vaccine. However, about 50% (52 out of 102) of the samples were found to be positive with CPV-2ab PCR assay that detects newer variants of CPV circulating in the field. In addition, multiplex PCR assay that identifies both CPV-2ab and CPV-2b revealed that CPV-2b was the major antigenic variant present in the affected dogs. A PCR positive isolate of CPV-2b was adapted to grow in MDCK cells and produced characteristic cytopathic effect after 5 th passage. Multiple sequence alignment of VP2 structural gene of CPV-2b isolate (Accession number HG004610) used in the study was found to be similar to other sequenced isolates in NCBI sequence database and showed 98-99% homology. This study reports the first detection of CPV-2b in dogs with hemorrhagic gastroenteritis in Himachal Pradesh and absence of other antigenic types of CPV. Further, CPV-specific PCR assay can be used for rapid confirmation of circulating virus strains under field conditions.

  8. Study of dung, urine, and milk of selected grazing animals as bioindicators in environmental geoscience--a case study from Mangampeta barite mining area, Kadapa District, Andhra Pradesh, India.

    PubMed

    Raghu, V

    2015-01-01

    The ancient scientific Sanskrit texts of Ayurveda (science of longevity) deal with waters, plants, and animals in relation to human health. Based on the studies mentioned in Ayurveda and modern literature, biological responses of grazing animals in Mangampeta barite mining area in Kadapa District, Andhra Pradesh, were studied. A non-mineralized Tirupati area in Chittoor District, Andhra Pradesh, was selected for the purpose of comparison. In these areas, certain animal products of selected grazing animals were studied if they could be used as tools in mineral exploration. Samples of dung, urine, and milk from cow, bullock, she-buffalo, he-buffalo, sheep, and goat were collected from these two areas during winter and summer seasons. Goat dung was found to have lowest moisture content and highest organic matter while goat urine contained highest amounts of organic matter and ash content. All these animal products were analyzed for 11 trace elements. The concentration of trace elements released through dung, urine, and milk widely varied in different animal species with seasonal variations. The elemental concentration was higher in dung and lower in urine, when compared to that of milk. The concentration of all elements in dung, urine, and milk of all animals, in both the areas, was higher in winter than that in summer. Dung represents the metabolic process of the whole animal and reflects the dietary conditions whether fed on natural or inorganic supplement. It can be inferred that dung, urine, and milk of any animal can be used as tools in mineral exploration during winter, while during summer, only dung can be useful. The dung of goat when compared to that of the other cattle serves as a better tool in environmental studies as goat depends almost entirely on natural vegetation without human interference.

  9. Utility of check dams in dilution of fluoride concentration in ground water and the resultant analysis of blood serum and urine of villagers, Anantapur District, Andhra Pradesh, India.

    PubMed

    Bhagavan, S V B K; Raghu, V

    2005-02-01

    High levels of fluoride (beyond 1.5 ppm) in ground water as source of drinking water are common in many parts of Andhra Pradesh, India, causing fluorosis. The study carried out in endemic Nalgonda District, Andhra Pradesh, has indicated that the fluoride-rich ground water present in the wells located down stream and close to the surface water bodies is getting diluted by the low-fluoride surface water. Encouraged by this result, check dams were constructed upstream of the identified marginally high fluoride bearing ground water zones in Anantapur District to reduce fluoride levels as an alternate solution for safe drinking water. In this paper, an attempt is made to study the utility and effect of these check dams in dilution of fluoride concentration in drinking water and its resultant impact on the health aspects of certain villagers of Anantapur District through the analysis of their blood serum and urine. Ground water samples from three fluoride-affected villages, blood and urine of males and females from the same villages were collected and analyzed for fluoride using ion selective electrode method. The results indicated that the fluoride levels in blood serum and urine of males in the age group of 5-11 years are found to be the highest. The concentration of fluoride in ground water is directly proportional to the concentration of fluoride in blood serum and urine. The concentration of fluoride in ground water with depth of the aquifer is a function of lithology, amount and duration of rainfall, rate of infiltration, level of ground water exploitation in the area etc. The construction of check dams upstream of the identified marginally high fluoride waters will not only cause additional recharge of ground water but also reduces the fluoride concentration eventually improving the health of the villagers.

  10. New geochronological constraints on the thermal and exhumation history of the Lesser and Higher Himalayan Crystalline Units in the Kullu–Kinnaur area of Himachal Pradesh (India)

    PubMed Central

    Thöni, M.; Miller, C.; Hager, C.; Grasemann, B.; Horschinegg, M.

    2012-01-01

    New geochronological, petrological and structural data from the Beas–Sutlej area of Himachal Pradesh (India) are used to reconstruct the tectonothermal and exhumation history of this part of the Himalayan orogen. Sm–Nd garnet ages at 40.5 ± 1.3 Ma obtained on a pegmatoid from the inverse metamorphic High Himalayan Crystalline (HHC) in the Malana–Parbati area probably mark local melting during initial decompression. Ongoing exhumation in ductilely deformed leuco-gneiss is constrained by Sm–Nd garnet ages at 29 ± 1 Ma and white mica Rb–Sr ages around 24–20 Ma, while Bt Rb–Sr ages indicate a drop of regional metamorphic temperatures below 300 °C between 15 and 12 Ma. The deep Sutlej gorge exposes medium-grade paragneisses and Proterozoic orthogneisses of the Lesser Himalayan Crystalline (LHC), overthrust by the HHC along the Main Central Thrust (MCT). Mica cooling ages in the HHC are in the range of 14–11 Ma. Above the extruded wedge of the HHC, the Leo Pargil leucogranite and associated dykes intrude the Haimanta Unit (HU) below the weakly metamorphic Palaeo-Mesozoic sediments of the Tethyan Himalayas (TH). The Leo Pargil leucogranite yielded a mean Sm–Nd garnet age of 19 ± 1 Ma and Rb–Sr muscovite and biotite cooling ages between 16.4 and 11.6 Ma. Marked young extrusion of LHC units resulted in differentiated exhumation/cooling of more frontal parts of the orogen. Very young ductile deformation of LHC gneisses near Wangtu is constrained by late-kinematic pegmatite intrusions crosscutting the main mylonitic foliation. Sm–Nd garnet and Rb–Sr muscovite ages of these pegmatites range between 7.9 ± 0.9 and 5.5 ± 0.1 Ma. Published apatite FT ages down to 0.6 Ma also document accelerated diachronous sub-recent exhumation of different parts of the orogen. Together with geochronological data from the literature, the new results demonstrate that the HHC and the HU were deformed by shortening and crustal thickening during the Eohimalayan phase (Late Eocene–Oligocene), followed by a strong thermal overprint and intrusions of granitoids during the Neohimalayan Phase (Early to Middle Miocene). The LHC experienced amphibolite facies metamorphic conditions in the Late Miocene prior to extrusion between the HHC and the very low-grade Lesser Himalayan sediments. In conjunction with climate changes, young tectonic activity in this central part of the Himalayan orogen may have strongly influenced fluvial incision and erosion, and therefore, contributed to the accelerated uplift, as indicated by extensive accumulation of Late Miocene to Early Pleistocene fluviatile–lacustrine sediments in the Zanda basin, the Transhimalayan headwaters of the Sutlej, in Western Tibet. PMID:27570473

  11. Strategic Architecture for E-Learning at H.P. University

    ERIC Educational Resources Information Center

    Sharma, Kunal; Sood, Deepak; Singh, Amarjeet; Pandit, Pallvi

    2010-01-01

    Purpose: The purpose of the paper is to unravel a strategic architecture for e-learning for a traditional university like Himachal Pradesh University (H.P. University) and provide guidelines as to how to carry the implementation of e-learning for the university of the future. Design/methodology/approach: Getting to the future first is not just…

  12. The ICT Laboratory: An Analysis of Computers in Public High Schools in Rural India

    ERIC Educational Resources Information Center

    Arora, Payal

    2007-01-01

    There has been a strong push towards e-literacy in India, particularly in the distribution and usage of information and communication technologies (ICT) in schools for economic and social growth. As a result, the Vidhya Vahini scheme was launched in Kuppam, a marginalized village constituency in Andhra Pradesh. This scheme strived to disseminate…

  13. Constraints and Suggestions in Adopting Seasonal Climate Forecasts by Farmers in South India

    ERIC Educational Resources Information Center

    Shankar, K. Ravi; Nagasree, K.; Venkateswarlu, B.; Maraty, Pochaiah

    2011-01-01

    The main objective of this study was to determine constraints and suggestions of farmers towards adopting seasonal climate forecasts. It addresses the question: Which forms of providing forecasts will be helpful to farmers in agricultural decision making? For the study, farmers were selected from Andhra Pradesh state of South India. One hundred…

  14. Seeking to Bridge the Divide: Linking Formal and Non-Formal Education in Uttar-Pradesh, India. IBE Collaborative Projects: Strengthening Capacities through Action

    ERIC Educational Resources Information Center

    Zutshi, Bupinder

    2004-01-01

    The new monograph series, IBE Collaborative Projects: Strengthening Capacities through Action, documents projects initiated and managed by local or national level institutions in diverse countries, which have been technically or academically assisted by UNESCO's International Bureau of Education (IBE). This first publication in the series…

  15. Who Makes It to Secondary School? Determinants of Transition to Secondary Schools in Rural India

    ERIC Educational Resources Information Center

    Siddhu, Gaurav

    2011-01-01

    Despite considerable progress made, a significant proportion of children continue to drop out before reaching secondary school in India. This study investigates factors influencing parental decision-making with regard to children's secondary schooling in the context of a rural area of Uttar Pradesh. The study finds that cost, distance to the…

  16. Agrobotanical attributes, nitrogen-fixation, enzyme activities and nutraceuticals and tyrosinase enzyme of hyacinth bean (Lablab purpureus L.) - a bio-functional medicinal legume.

    USDA-ARS?s Scientific Manuscript database

    Hyacinth bean (Lablab purpureus L.) accessions of different origins received from USDA, ARS, Plant Genetic Resources Conservation Unit, Griffin, GA, U.S.A. were evaluated for agrobotanical attributes, enzyme activities, nutraceuticals and quality in pot culture at AMU, Aligarh, Uttar Pradesh. Fresh ...

  17. Development Programs and the Maoist Insurgency in Andhra Pradesh and Chhattisgarh: A Comparative Analysis

    DTIC Science & Technology

    2012-12-01

    Praveen Swami, “India’s Counter-insurgency Conundrum,” Hindu, July 23, 2010, http://www.hindu.com/2010/07/23/stories/2010072354911200.htm. 27 Varun Vira... Praveen . “India’s Counter-Insurgency Conundrum.” Hindu, July 23, 2010. Taber, Robert. War of the Flea: The Classic Study of Guerilla Warfare. Dulles

  18. Improving Student Learning via Mobile Phone Video Content: Evidence from the BridgeIT India Project

    ERIC Educational Resources Information Center

    Wennersten, Matthew; Quraishy, Zubeeda Banu; Velamuri, Malathi

    2015-01-01

    Past efforts invested in computer-based education technology interventions have generated little evidence of affordable success at scale. This paper presents the results of a mobile phone-based intervention conducted in the Indian states of Andhra Pradesh and Tamil Nadu in 2012-13. The BridgeIT project provided a pool of audio-visual learning…

  19. Tuneful Weeping: A Mode of Communication. Working Papers in Sociolinguistics Number 27.

    ERIC Educational Resources Information Center

    Tiwary, K. M.

    In the states of Bihar and Uttar Pradesh in northern India the speech styles of men and women differ markedly in a number of ways. One mode of communication, tuneful weeping, is exclusive to women. This behavior is distinguished from spontaneous crying caused by pain, and is used only in certain prescribed social situations, and not necessarily in…

  20. Two Blades of Grass: A Summary of Two Studies on Agricultural Innovation in India.

    ERIC Educational Resources Information Center

    Roy, Prodipto; And Others

    Under contract with the United States Agency for International Development and Michigan State University, a study was made comparing diffusion of innovations in Brazil, Nigeria, and India. In India, the study was in two phases: a survey of 108 villages in Andhra Pradesh, Maharashtra, and West Bengal; and a study of adoption behavior among 680…

  1. Can Choice Promote Education for All? Evidence from Growth in Private Primary Schooling in India

    ERIC Educational Resources Information Center

    Harma, Joanna

    2009-01-01

    This paper examines whether the recent growth in "low-fee private" (LFP) schools is able to promote Education for All by being accessible to the poor. Based primarily on a 13-village survey of 250 households and visits to 26 private and government schools in rural Uttar Pradesh, India, this paper explores who "chooses" private…

  2. Troubling Transitions? Young People's Experiences of Growing up in Poverty in Rural Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Morrow, Virginia

    2013-01-01

    Global policy attention has begun to focus on young people in developing countries and much of the discourse is framed around notions of "transition to adulthood" based on the idea that individuals develop in linear ways, separate from family and community. This idea has already been widely critiqued in western contexts. This article…

  3. Assessment of Quality of Higher Education in Hostile Environment: An Analysis on Provincialised Colleges under Assam University Silchar

    ERIC Educational Resources Information Center

    Das, Prasun; Mukherjee, Srabanti; Roy, Suprabir Dutta

    2016-01-01

    Historically low average pass rate has been a perennial challenge for the universities and provincialised colleges in the North-Eastern states of India (Assam, Meghalaya, Mizoram, Nagaland, Tripura, Manipur and Arunachal Pradesh). Pass rate refers to the proportion of students promoted from one semester to the next and also the proportion of…

  4. Whose Values? Young People's Aspirations and Experiences of Schooling in Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Morrow, Virginia

    2013-01-01

    Increasing rates of school enrolment have changed childhoods in the global South, so that it is now the norm for children to attend at least some years of primary school. This paper explores the extent to which valuing of children as educational projects and outcomes may be displacing previous valuations of children as contributors to the domestic…

  5. What Characterises Women Vulnerable to Chronic Energy Deficiency?

    ERIC Educational Resources Information Center

    Kavi Kumar, K. S.; Ramachandran, Maithili; Viswanathan, Brinda

    2009-01-01

    Weight-for-squared height or body mass index (BMI) is often considered as an effective predictor of morbidity and mortality rates. This study uses BMI data from a sample of ever-married women in the age group of 15-49 years in the North Indian state of Uttar Pradesh for the year 1998-1999, to analyse the determinants of chronic energy deficiency…

  6. Choosing and Changing Schools in India's Private and Government Sectors: Young Lives Evidence from Andhra Pradesh

    ERIC Educational Resources Information Center

    James, Zoe; Woodhead, Martin

    2014-01-01

    The growth and increasing popularity of 'low-fee' private schooling across many parts of India has attracted much research and policy attention. This paper broadens the discussion by drawing attention to the increasing heterogeneity of the educational landscape in many communities. Our specific focus is on the consequences for school choices made…

  7. Assessment of Nutritional Status of Boys and Girls in Government School Children in Rompicherla Mandal Andhra Pradesh, India

    ERIC Educational Resources Information Center

    Sasikala, P.

    2016-01-01

    Nutrition is the intake of food to meet the body's dietary needs through different sources namely vegetarian and non-vegetarian foods. Good nutrition and well balanced diet with regular physical activities is acceptable. Poor nutrition leads to reduction in immunity of an individual, on the other hand increased levels of nutrition leads…

  8. Negotiating between Family, Peers and School: Understanding the World of Government School and Private School Students

    ERIC Educational Resources Information Center

    Sucharita, V.

    2014-01-01

    The present paper, based on an ethnographic study of a government school and a low-cost private school in Andhra Pradesh, India, argues that the students of a government school and a private school have two different worlds and are socialised differently. As children progress from childhood to adolescence, the transition is accompanied by…

  9. Poor Affordability and Low Access to Primary Education with Special Reference to Eastern Uttar Pradesh: Reflections from DISE Data

    ERIC Educational Resources Information Center

    Sulochana, Rosy

    2015-01-01

    "Access to basic education" continues to be a matter of serious concern in India. While the quantitative expansion of the system appears to be very impressive, the achievement of the goal of universalisation of primary education has still remained elusive. This is because the government continues its celebration through reflecting on…

  10. 78 FR 42505 - U.S. Healthcare Education Mission to New Delhi, Hyderabad, and Ahmedabad, India, January 27...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... study in the health professions fields, and 11.4% choose to study in the life sciences fields. India is... medical institutes in India is the All India Institute of Medical Sciences (AIIMS). The Institute has... Pradesh has 1,330 arts, science and commerce colleges, 847 engineering colleges and 53 medical colleges...

  11. Extending Access to Low-Cost Private Schools through Vouchers: An Alternative Interpretation of a Two-Stage "School Choice" Experiment in India

    ERIC Educational Resources Information Center

    Tooley, James

    2016-01-01

    Muralidharan and Sundararaman report a randomised controlled trial of a school voucher experiment in Andhra Pradesh, India. The headline findings are that there are no significant academic differences between voucher winners and losers in Telugu, mathematics, English, and science/social studies, although because the private schools appear to use…

  12. Simultaneous Education for Women and Girls. Report of a Project.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    This project focuses on non-formal and adult education for women in rural areas of Uttar Pradesh, India. The objectives of the project were: (1) to provide non-formal education to girls and adult education to women in a coordinated manner; (2) to raise civic and social awareness of women; (3) to decentralize planning and implementation of programs…

  13. Qualitative stability assessment of cut slopes along the National Highway-05 around Jhakri area, Himachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Kundu, Jagadish; Sarkar, Kripamoy; Tripathy, Ashutosh; Singh, T. N.

    2017-12-01

    Several deformation phases in tectonically active Himalayas have rendered the rock masses very complex in terms of structure, lithology and degree of metamorphism. Again, anthropogenic activities such as roads, tunnels and other civil engineering constructions have led to a state of disequilibrium which in many cases, results in failure of rock masses. National Highway-05 around Jhakri area in India is a major connecting route to the China border in the hilly terrains of the state Himachal Pradesh. It cuts through the Himalayan rocks and has a hazardous history of landslides destroying human lives and interrupting communication very frequently. As a contribution towards the mitigation process, a study has been carried out along the highway to analyse kinematic stability and qualitative estimation of rock mass condition through rock mass classification systems. The kinematic analysis shows that the rock slopes are prone to planar and wedge failure. Rock mass rating for most of the locations lies between 7 and 34, representing a poor rock mass quality (Class IV), whereas slope mass rating is more disperse and ranges from 11 to 52 for most of the slopes (Class III, IV and V).

  14. Greening the Grid: Pathways to Integrate 175 Gigawatts of Renewable Energy into India's Electric Grid, Regional Study: Andhra Pradesh

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

    Cochran, Jaquelin M; Palchak, Joseph D; Ehlen, Annaliese K

    This chapter on Andhra Pradesh is one of six state chapters included in Appendix C of 'Greening the Grid: Pathways to Integrate 175 Gigawatts of Renewable Energy into India's Electric Grid, Vol. II - Regional Study' (the Regional Study). The objective of the state chapters is to provide modeling assumptions, results, and next steps to use and improve the model specific to each state. The model has inherent uncertainties, particularly in how the intrastate transmission network and RE generation projects will develop (e.g., locations, capacities). The model also does not include information on contracts or must-run status of particular plantsmore » for reliability purposes. By providing details on the higher spatial resolution model of 'Greening the Grid: Pathways to Integrate 175 Gigawatts of Renewable Energy into India's Electric Grid, Vol. II - Regional Study' (the Regional Study), which better represents the impact of congestion on least-cost scheduling and dispatch, provides a deeper understanding of the relationship among renewable energy (RE) location, transmission, and system flexibility with regard to RE integration, compared to 'Greening the Grid: Pathways to Integrate 175 Gigawatts of Renewable Energy into India's Electric Grid, Vol. I - National Study.'« less

  15. Poverty and development in a marginal community: case study of a settlement of the Sugali Tribe in Andhra Pradesh, India.

    PubMed

    Kasi, Eswarappa

    2011-01-01

    The concepts of poverty and development have many meanings in contemporary globalized societies. Development by definition implies desired changes in terms of livelihood, improved quality of life and better access to assets and services, etc. However in reality development programmes sometimes have negative consequences, perhaps unintended, multiplying the acute scarcity of resources and opportunities, or reproducing poverty. Also, the consequences of developmental programmes often appear to be out of focus, and seen at the ground level, there seems to be a gap between what is intended and what is actualized. In this framework, this paper presents a case study of the social, cultural and economic correlates of the development processes in Adadakulapalle, a settlement of Sugali peoples, once a semi-nomadic tribe, in Anantapur District of Andhra Pradesh, South India. The paper shows how factionalism and faction politics affect the implementation of development interventions. It also looks at the poverty in the settlement and focuses on the types of change that people have experienced with the implementation of different schemes by both government and other agencies. The type of change is discussed in the present study through the macro and micro analysis of development programmes.

  16. Linkages between public and non-government sectors in healthcare: A case study from Uttar Pradesh, India.

    PubMed

    Srivastava, Aradhana; Bhattacharyya, Sanghita; Gautham, Meenakshi; Schellenberg, Joanna; Avan, Bilal I

    2016-12-01

    Effective utilisation of collaborative non-governmental organisation (NGO)-public health system linkages in pluralistic health systems of developing countries can substantially improve equity and quality of services. This study explores level and types of linkages between public health sector and NGOs in Uttar Pradesh (UP), an underprivileged state of India, using a social science model for the first time. It also identifies gaps and challenges for effective linkage. Two NGOs were selected as case studies. Data collection included semi-structured in-depth interviews with senior staff and review of records and reporting formats. Formal linkages of NGOs with the public health system related to registration, participation in district level meetings, workforce linkages and sharing information on government-supported programmes. Challenges included limited data sharing, participation in planning and limited monitoring of regulatory compliances. Linkage between public health system and NGOs in UP was moderate, marked by frequent interaction and some reciprocity in information and resource flows, but weak participation in policy and planning. The type of linkage could be described as 'complementarity', entailing information and resource sharing but not joint action. Stronger linkage is required for sustained and systematic collaboration, with joint planning, implementation and evaluation.

  17. Earthquake swarm of Himachal Pradesh in northwest Himalaya and its seismotectonic implications

    NASA Astrophysics Data System (ADS)

    Singh, Rakesh; Prasath, R. Arun; Paul, Ajay; Kumar, Naresh

    2018-02-01

    On the 27th of August 2016, a seismic swarm activity consisting of 58 earthquakes (1.5 ≤ ML ≤ 4.4), which occurred in Rampur area of the Kullu-Rampur Tectonic window of Himachal Pradesh in Northwest Himalaya. The epicenters of these events are located at the northern front of the Berinag Thrust in its hanging wall. To better understand the seismotectonics of this region, we analyzed the spectral source parameters and source mechanism of this swam activity. Spectral analysis shows the low stress drop values (from 0.05 to 28.9 bars), suggesting that the upper crust has low strength to withstand accumulated strain energy in this region. The Moment Tensor solutions of 12 earthquakes (≥2.7ML) obtained by waveform inversion yield the shallow centroid depths between 5 and 10 km. All these events are of dominantly thrust fault mechanism having an average dip angle of ∼30°. The P-axes and the maximum horizontal compressive stresses are NE-SW oriented; the relative motion of the Indian Plate. The present study reveals that the swarm activity in the Himachal region of NW Himalaya is related to the out-of-sequence thrusting or the Lesser Himalayan Duplex system.

  18. Costs and Consequences of a Cash Transfer for Hospital Births in a Rural District of Uttar Pradesh, India

    PubMed Central

    Coffey, Diane

    2014-01-01

    The Janani Suraksha Yojana, India’s “safe motherhood program,” is a conditional cash transfer to encourage women to give birth in health facilities. Despite the program’s apparent success in increasing facility-based births, quantitative evaluations have not found corresponding improvements in health outcomes. This study analyses original qualitative data collected between January, 2012 and November, 2013 in a rural district in Uttar Pradesh to address the question of why the program has not improved health outcomes. It finds that health service providers are focused on capturing economic rents associated with the program, and provide an extremely poor quality care. Further, the program does not ultimately provide beneficiaries a large net monetary transfer at the time of birth. Based on a detailed accounting of the monetary costs of hospital and home deliveries, this study finds that the value of the transfer to beneficiaries is small due to costs associated with hospital births. Finally, this study also documents important emotional and psychological costs to women of delivering in the hospital. These findings suggest the need for a substantial rethinking of the program, paying careful attention to incentivizing health outcomes. PMID:24911512

  19. Quality characterization of groundwater in Koilsagar project area, Mahabubnagar District, Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Raju, C. Sudarsana; Goud, P. V. Prakash

    1990-09-01

    Studies of groundwater chemistry in the Koilsagar project area of Andhra Pradesh indicate that the waters are sodium bicarbonate, sodium chloride, mixed cationic-mixed anionic, mixed cationic Na dominating bicarbonate, and mixed cationic Ca dominating bicarbonate types. Of them, sodium bicarbonate and mixed cationic Mg dominating bicarbonate types of waters are more prevalent. Isocone mapping of specific conductance indicates that the ionic concentration increases from east to west in the area. Graphical treatment of chemical data reveals that, in general, the area has basic water, whereas the left flank canal area is dominated by secondary alkaline water, and Pallamarri and Pedda Rajmur villages have strongly acidic waters. Ion-exchange studies show that cation-anion exchanges exist all over the area except for two places, which have a base exchange hardened type of water. Graphical representation further shows that most of the area has medium salinity-low sodium (C2S1) water useful for irrigation purposes. High salinity-low sodium (C3S1) and high salinity-medium sodium (C3S2) waters are present in some areas, which need adequate drainage to overcome the salinity problem.

  20. Screening of native plants and algae growing on fly-ash affected areas near National Thermal Power Corporation, Tanda, Uttar Pradesh, India for accumulation of toxic heavy metals.

    PubMed

    Dwivedi, S; Srivastava, S; Mishra, S; Dixit, B; Kumar, A; Tripathi, R D

    2008-10-30

    The present investigation was carried out to screen native plants growing in fly-ash (FA) contaminated areas near National Thermal Power Corporation, Tanda, Uttar Pradesh, India with a view to using them for the eco-restoration of the area. A total number of 17 plants (9 aquatic, 6 terrestrial and 2 algal species) were collected and screened for heavy metal (Fe, Zn, Cu, Mo, B, Si, Al, Cr, Pb, Cd, Hg and As) accumulation. Differential accumulation of various heavy metals by different species of plants was observed. Hydrilla verticillata was found to be the most efficient metal accumulator among 9 aquatic plants, Eclipta alba among 6 terrestrial plants and Phormedium papyraceum between 2 algal species. In general, the maximum levels of most metals were found in terrestrial plants while the lowest in algal species. However, translocation of the metals from root to shoot was found to be higher in aquatic plants than terrestrial ones. These results suggest that various aquatic, terrestrial and algal species of plants may be used in a synergistic way to remediate and restore the FA contaminated areas.

  1. Limnology and cyanobacterial diversity of high altitude lakes of Lahaul-Spiti in Himachal Pradesh, India.

    PubMed

    Singh, Y; Khattar, Jis; Singh, D P; Rahi, P; Gulati, A

    2014-09-01

    Limnological data of four high altitude lakes from the cold desert region of Himachal Pradesh, India, has been correlated with cyanobacterial diversity. Physico-chemical characteristics and nutrient contents of the studied lakes revealed that Sissu Lake is mesotrophic while Chandra Tal, Suraj Tal and Deepak Tal are ultra-oligotrophic. Based on morphology and 16S rRNA gene sequence, a total of 20 cyanobacterial species belonging to 11 genera were identified. Canonical correspondence analysis distinguished three groups of species with respect to their occurrence and nutrient/physical environment demand. The first group, which included Nostoc linckia, N. punctiforme, Nodularia sphaerocarpa, Geitlerinema acutissimum, Limnothrix redekii, Planktothrix agardhii and Plank. clathrata, was characteristic of water with high nutrient content and high temperature. The second group, including Gloeocapsopsis pleurocapsoides, Leptolyngbya antarctica, L. frigida, Pseudanabaena frigida and N. spongiaeforme, occurred in oligotrophic water with high pH and low temperature. The distribution of third group of Cyanobium parvum, Synechocystis pevalekii, L. benthonica, L. foveolarum, L. lurida, L. valderiana, Phormidium autumnale and P. chalybeum could not be associated with a particular environmental condition because of their presence in all sampling sites.

  2. Social Network and Mental Health Among Older Adults in Rural Uttar Pradesh, India: A Cross-Sectional Study.

    PubMed

    Singh, Lucky; Singh, Prashant Kumar; Arokiasamy, Perianayagam

    2016-06-01

    The rapid growth of the older population in India draws attention to the factors that contribute to their changing health realities. However, there has hardly been any study in India that has looked at the effects of specific social networks with children, relatives, friends and confidant on depression among older adults. The objective of the study is to investigate the association between social network and depression among the rural elderly. The study population comprised over 630 older adults (aged 60 and above) from the rural areas of Varanasi, Uttar Pradesh. We adopted Berkman's theoretical model of the impact of social relations on depression among the elderly in the Indian context. Results of the Confirmatory Factor Analysis (CFA) demonstrated that the four specific social network types: children, relatives, friends and confidant were tenable. The results showed that a better social network with 'friends/neighbours' was protective against depression among the rural elderly. This clearly points to the need for more social network centres for older adults, so that they can interact with friends within the community or between communities and participate in group activities.

  3. Molecular characterization of Orientia tsutsugamushi serotypes causing scrub typhus outbreak in southern region of Andhra Pradesh, India.

    PubMed

    Usha, K; Kumar, E; Kalawat, Usha; Kumar, B Siddhartha; Chaudhury, A; Gopal, D V R Sai

    2016-10-01

    Scrub typhus is a vector-borne zoonotic infection caused by Orientiatsutsugamushi. Local epidemiology of the circulating serotypes of scrub typhus is not available from most parts of India. We conducted this study for the diagnosis of scrub typhus using IgM ELISA and to detect O. tsutsugamushi serotypes circulating in southern Andhra Pradesh, India. Samples were collected from patients clinically suspected to have scrub typhus and were subjected to IgM ELISA to measure IgM antibodies against O. tsutsugamushi. Nested polymerase chain reaction (PCR) was performed targeting strain-specific regions in ELISA-positive samples. Of a total of 663 samples, 258 (38.91%) were found to be positive by IgM ELISA. Serotypes could be detected in 230 (34.69%) samples only. Only two serotypes, Karp and Kawasaki, were found in the serum samples, with the former being predominant. The dual infection of Karp and Kawasaki serotypes was found in seven patients. Other serotypes such as Gilliam, Kuroki and Kato were not detected in the samples. The nested PCR products proved useful in presumptively identifying the endemic O. tsutsugamushi serotypes. The present study could be significant in understanding scrub typhus epidemiology in this region.

  4. Filaria monitoring visualization system: a geographical information system-based application to manage lymphatic filariasis in Andhra Pradesh, India.

    PubMed

    Upadhyayula, Suryanaryana Murty; Mutheneni, Srinivasa Rao; Kumaraswamy, Sriram; Kadiri, Madhusudhan Rao; Pabbisetty, Sampath Kumar; Yellepeddi, Venkata Suryanarayana Murthy

    2012-05-01

    Among various public health diseases, filariasis constitutes a major public health problem in India, wherein an estimated 553.7 million people are at risk of infection. The aim of this article is to present a spatial mapping and analysis of filariasis data over a 3-year period (2004-2007) from Karimnagar, Chittoor, East and West Godavari districts of Andhra Pradesh, India. The data include epidemiological and entomological studies (i.e., infection rate, infectivity rate, mosquito per man hour, and microfilaria rate). These parameters were customized on Geographical Information System (GIS) platform and developed filaria monitoring visualization system (FMVS) for identifying the endemic/risk areas of filariasis among these four districts. GIS map for filariasis transmission from the study areas was created and stratified into different spatial entities like low, medium, and high risk zones. On the basis of the data and FMVS maps, it was demonstrated that filariasis remained unevenly distributed within the districts. Balancing the intervention coverage in different villages with overall mass drug administration and continued promotion of the proper use of control measures are necessary for further reduction of filarial cases in these districts.

  5. Costs and consequences of a cash transfer for hospital births in a rural district of Uttar Pradesh, India.

    PubMed

    Coffey, Diane

    2014-08-01

    The Janani Suraksha Yojana, India's "safe motherhood program," is a conditional cash transfer to encourage women to give birth in health facilities. Despite the program's apparent success in increasing facility-based births, quantitative evaluations have not found corresponding improvements in health outcomes. This study analyses original qualitative data collected between January, 2012 and November, 2013 in a rural district in Uttar Pradesh to address the question of why the program has not improved health outcomes. It finds that health service providers are focused on capturing economic rents associated with the program, and provide an extremely poor quality care. Further, the program does not ultimately provide beneficiaries a large net monetary transfer at the time of birth. Based on a detailed accounting of the monetary costs of hospital and home deliveries, this study finds that the value of the transfer to beneficiaries is small due to costs associated with hospital births. Finally, this study also documents important emotional and psychological costs to women of delivering in the hospital. These findings suggest the need for a substantial rethinking of the program, paying careful attention to incentivizing health outcomes. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Police-related experiences and HIV risk among female sex workers in Andhra Pradesh, India.

    PubMed

    Erausquin, Jennifer Toller; Reed, Elizabeth; Blankenship, Kim M

    2011-12-01

    Research suggests experiences with police are related to human immunodeficiency virus (HIV) sexual risk among women working as sex workers. However, little is known about the links between specific police-related behaviors and HIV vulnerability. We examine whether 5 police-related experiences are associated with measures of HIV risk and violence among a sample of female sex workers (FSWs) in Andhra Pradesh, India, and consider the implications for HIV prevention. FSWs at least 18 years of age (n = 835) were recruited through respondent-driven sampling for a cross-sectional survey conducted as part of Avahan, the India AIDS Initiative. Using logistic regression models adjusted for age, age at start of sex work, and sex work venue, we assessed police-related experiences reported by FSWs in relation to HIV risk behaviors and violence. Results showed having sex with police to avoid trouble, giving gifts to police to avoid trouble, having police take condoms away, experiencing a workplace raid, and being arrested were associated with sexually transmitted infection symptoms, inconsistent condom use, acceptance of more money for sex without a condom, and experience of client violence. These findings suggest a need for interventions targeting police-FSW interactions to reduce HIV vulnerability among FSWs.

  7. Environmental isotope investigation for the identification of source of springs observed in the hillock on the left flank of Gollaleru Earthen Dam, Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Noble, J.; Arzoo Ansari, MD

    2017-07-01

    A hydrometric, hydrochemical and environmental isotopic study was conducted to identify the source and origin of observed springs on the foot of the hillock abutting the left flank of the Gollaleru earthen dam, Nandyal, Andhra Pradesh, India. Water samples (springs, reservoir water and groundwater) in and around the dam area were collected and analyzed for environmental isotopes (δ^{18}!O, δ2H and 3H) and hydrochemistry. Reservoir level, spring discharges and physico-chemical parameters (temperature, electrical conductivity, pH, etc.) were monitored in-situ. Isotopic results indicated that the source of springs is from the Owk reservoir and groundwater contribution to the springs is insignificant. Based on hydrometric observations, it is inferred that the springs might be originated from the reservoir level of 209 m amsl. It is found that the lower spring discharges were derived from diffuse sources (seepage) which could be a mixture of reservoir water and the groundwater, while the relatively higher spring discharges were resulted from concentrated sources (leakage) from the reservoir. Thus, the study portraits the usefulness of isotope techniques in understanding the dam seepage/leakage related problems.

  8. Community managed services for persons with intellectual disability: Andhra Pradesh experience.

    PubMed

    Narayan, Jayanthi; Pratapkumar, Raja; Reddy, Sudhakara P

    2017-09-01

    In resource poor settings innovative and bottom-up approaches are required to provide services to people with with disabilities. In this context, the present paper explains a community-based model of manpower development and coordination of services for people with intellectual disabilities in unified state of Andhra Pradesh in India. Women with disabilities from the village were identified, and those willing to be trained to work as community resource persons (CRPs) were selected and given hands-on training in a phased manner. A total of 130 women were trained in five groups of 25-30 per group and were deployed in the community to screen, identify and refer children with intellectual disabilities. The training content included basic stimulation and interface with functionaries of other government departments of health, education and welfare to ensure comprehensive service delivery. Neighbourhood centres (NHCs) were established where the CRPs could meet with families collectively. The results indicated that the CRPs were welcomed by the families. The NHCs established primarily as recreation centres, promoted inclusion and functioned as information dissemination centre. The services provided by the CRPs were owned and monitored by the Women's self-help group and the disability groups thus ensuring sustainability of the model.

  9. Laboratory investigation of drinking water sources of Kangra, Himachal Pradesh.

    PubMed

    Thakur, S D; Panda, A K

    2012-06-01

    A total of 70 drinking water sources including piped water supply (n = 36), ground water sources (n = 24, hand pumps and bore wells) and natural water sources (n = 10, springs/step-wells) from various parts of district Kangra, Himachal Pradesh were investigated for their suitability for drinking purpose by presumptive coliform test. Three samples were collected from each source during different parts of the year. Piped water sources (91.7%) were most contaminated followed by natural water sources (90%) and ground water sources (62.5%). 70.5% of the total water samples (n = 210) were positive for coliforms. All the three samples from 8.3% (n = 3), 37.5% (n = 9) and 10% (n = 1) piped water, ground water and natural sources respectively, were negative for coliform organisms. A variety of organisms including Proteus, Klebsiella, Citrobacter, Escherichia coli (E. coli), Pasteurella, Enterobacter and Serratia liquefaciens were isolated from water samples positive for coliforms in presumptive coliform test. Thermo-tolerant coliform organisms; Escherichia coli, Citrobacter, Klebsiella and Enterobacter were 71.2% (n = 52) of the total bacterial isolations. These findings suggest absence of adequate treatment and disinfection of the water sources supplying drinking water in district Kangra.

  10. History of initial fifty years of ARIES: A Major National Indian Facility for Optical Observations

    NASA Astrophysics Data System (ADS)

    Sanwal, Basant Ballabh; Pandey, Anil Kumar; Uddin, Wahab; Kumar, Brijesh; Joshi, Santosh

    2018-04-01

    The idea of starting an astronomical observatory in the state of Uttar Pradesh in India germinated through the initiative of a scholarly statesman Babu Sampurnanandji. His interest in astrology coupled with his academic bent of mind got him interested in modern astronomy. Being then Education Minister and later Chief Minister of Uttar Pradesh, he established an astronomical observatory at Varanasi on April 20, 1954. Later on it was shifted to Manora Peak, Nainital. Four reflectors were commissioned at Manora Peak. For solar research an H alpha petrol unit and a horizontal solar spectrograph was setup. A detailed project report for installation of a 4-m class optical telescope was prepared indigenously in late 1980, however, the project could not take off. With the generous support of the Department of Science and Technology, the institute established a 3.6-m new technology optical telescope and a 1.3-m wide field optical telescope at a new observing site called Devasthal. Now a 4-m liquid mirror telescope is also being installed at the same observing site. I present here a brief journey of the observatory beginning right from its birth in 1954 till now.

  11. Tuberculosis Management Practices by Private Practitioners in Andhra Pradesh, India

    PubMed Central

    Achanta, Shanta; Jaju, Jyoti; Kumar, Ajay M. V.; Nagaraja, Sharath Burugina; Shamrao, Srinivas Rao Motta; Bandi, Sasidhar Kumar; Kumar, Ashok; Satyanarayana, Srinath; Harries, Anthony David; Nair, Sreenivas Achutan; Dewan, Puneet K.

    2013-01-01

    Setting Private medical practitioners in Visakhapatnam district, Andhra Pradesh, India. Objectives To evaluate self-reported TB diagnostic and treatment practices amongst private medical practitioners against benchmark practices articulated in the International Standards of Tuberculosis Care (ISTC), and factors associated with compliance with ISTC. Design Cross- sectional survey using semi-structured interviews. Results Of 296 randomly selected private practitioners, 201 (68%) were assessed for compliance to ISTC diagnostic and treatment standards in TB management. Only 11 (6%) followed a combination of 6 diagnostic standards together and only 1 followed a combination of all seven treatment standards together. There were 28 (14%) private practitioners who complied with a combination of three core ISTC (cough for tuberculosis suspects, sputum smear examination and use of standardized treatment). Higher ISTC compliance was associated with caring for more than 20 TB patients annually, prior sensitization to TB control guidelines, and practice of alternate systems of medicine. Conclusion Few private practitioners in Visakhapatnam, India reported TB diagnostic and treatment practices that met ISTC. Better engagement of the private sector is urgently required to improve TB management practices and to prevent diagnostic delay and drug resistance. PMID:23967158

  12. Dust Quantization and Effects on Agriculture Over Uttar Pradesh, India

    NASA Astrophysics Data System (ADS)

    Munshi, Pavel; Tiwari, Shubhansh

    2017-01-01

    Dust plays a very important role in the atmosphere and the biosphere. In this communication, the effect of atmospheric dust on the yields of certain crops grown in Uttar Pradesh, India is assessed. Coherent physical and thermodynamic fingerprints of dust parameters such as from Satellite data- KALPANA-1, MODIS, OMI, CALIPSO; Model data- DREAM, HYSPLIT, ECMWF; have been considered to run the APSIM model to derive the impacts. This paper assesses dust as a physical atmospheric phenomenon including its Long Range Transport (LRT) and dispersion along with considerable variations of Aerosol Optical Depths (AODs) over the subcontinent of India. While AODs significantly increase by more dust concentration, the local dispersion of pollutants is a major concern with deposition of atmospheric dust such as sulphates and other chemical constituents that affect agricultural land. An approach in atmospheric physics is also taken to parameterize the model outputs. This communication indicates dust to be a positive factor for the cultivation of certain crops such as wheat, maize in the experimental location. Initial results suggest that LRT dust is a viable counterpart to decrease the concentration of soil acidity and related parameters thus enhancing the vitality of crops.

  13. Ethnobotany of the Monpa ethnic group at Arunachal Pradesh, India

    PubMed Central

    2011-01-01

    Background The present paper documents the uses of plants in traditional herbal medicine for human and veterinary ailments, and those used for dietary supplements, religious purpose, local beverage, and plants used to poison fish and wild animals. Traditional botanical medicine is the primary mode of healthcare for most of the rural population in Arunachal Pradesh. Materials and methods Field research was conducted between April 2006 and March 2009 with randomly selected 124 key informants using semi-structured questionnaire. The data obtained was analyzed through informant consensus factor (FIC) to determine the homogeneity of informant's knowledge on medicinal plants. Results We documented 50 plants species belonging to 29 families used for treating 22 human and 4 veterinary ailments. Of the medicinal plants reported, the most common growth form was herbs (40%) followed by shrubs, trees, and climbers. Leaves were most frequently used plant parts. The consensus analysis revealed that the dermatological ailments have the highest FIC (0.56) and the gastro-intestinal diseases have FIC (0.43). FIC values indicated that there was high agreement in the use of plants in dermatological and gastro-intestinal ailments category among the users. Gymnocladus assamicus is a critically rare and endangered species used as disinfectant for cleaning wounds and parasites like leeches and lice on livestocks. Two plant species (Illicium griffithii and Rubia cordifolia) are commonly used for traditional dyeing of clothes and food items. Some of the edible plants recorded in this study were known for their treatment against high blood pressure (Clerodendron colebrookianum), diabetes mellitus (Momordica charantia), and intestinal parasitic worms like round and tape worms (Lindera neesiana, Solanum etiopicum, and Solanum indicum). The Monpas of Arunachal Pradesh have traditionally been using Daphne papyracea for preparing hand-made paper for painting and writing religious scripts in Buddhist monasteries. Three plant species (Derris scandens, Aesculus assamica, and Polygonum hydropiper) were frequently used to poison fish during the month of June-July every year and the underground tuber of Aconitum ferrox is widely used in arrow poisoning to kill ferocious animals like bear, wild pigs, gaur and deer. The most frequently cited plant species; Buddleja asiatica and Hedyotis scandens were used as common growth supplements during the preparation of fermentation starter cultures. Conclusion The traditional pharmacopoeia of the Monpa ethnic group incorporates a myriad of diverse botanical flora. Traditional knowledge of the remedies is passed down through oral traditions without any written document. This traditional knowledge is however, currently threatened mainly due to acculturation and deforestation due to continuing traditional shifting cultivation. This study reveals that the rural populations in Arunachal Pradesh have a rich knowledge of forest-based natural resources and consumption of wild edible plants is still an integral part of their socio-cultural life. Findings of this documentation study can be used as an ethnopharmacological basis for selecting plants for future phytochemical and pharmaceutical studies. PMID:21995750

  14. Ancient wolf lineages in India.

    PubMed Central

    Sharma, Dinesh K; Maldonado, Jesus E; Jhala, Yadrendradev V; Fleischer, Robert C

    2004-01-01

    All previously obtained wolf (Canis lupus) and dog (Canis familiaris) mitochondrial (mt) DNA sequences fall within an intertwined and shallow clade (the 'wolf-dog' clade). We sequenced mtDNA of recent and historical samples from 45 wolves from throughout lowland peninsular India and 23 wolves from the Himalayas and Tibetan Plateau and compared these sequences with all available wolf and dog sequences. All 45 lowland Indian wolves have one of four closely related haplotypes that form a well-supported, divergent sister lineage to the wolf-dog clade. This unique lineage may have been independent for more than 400,000 years. Although seven Himalayan wolves from western and central Kashmir fall within the widespread wolf-dog clade, one from Ladakh in eastern Kashmir, nine from Himachal Pradesh, four from Nepal and two from Tibet form a very different basal clade. This lineage contains five related haplotypes that probably diverged from other canids more than 800,000 years ago, but we find no evidence of current barriers to admixture. Thus, the Indian subcontinent has three divergent, ancient and apparently parapatric mtDNA lineages within the morphologically delineated wolf. No haplotypes of either novel lineage are found within a sample of 37 Indian (or other) dogs. Thus, we find no evidence that these two taxa played a part in the domestication of canids. PMID:15101402

  15. Ancient wolf lineages in India.

    PubMed

    Sharma, Dinesh K; Maldonado, Jesus E; Jhala, Yadrendradev V; Fleischer, Robert C

    2004-02-07

    All previously obtained wolf (Canis lupus) and dog (Canis familiaris) mitochondrial (mt) DNA sequences fall within an intertwined and shallow clade (the 'wolf-dog' clade). We sequenced mtDNA of recent and historical samples from 45 wolves from throughout lowland peninsular India and 23 wolves from the Himalayas and Tibetan Plateau and compared these sequences with all available wolf and dog sequences. All 45 lowland Indian wolves have one of four closely related haplotypes that form a well-supported, divergent sister lineage to the wolf-dog clade. This unique lineage may have been independent for more than 400,000 years. Although seven Himalayan wolves from western and central Kashmir fall within the widespread wolf-dog clade, one from Ladakh in eastern Kashmir, nine from Himachal Pradesh, four from Nepal and two from Tibet form a very different basal clade. This lineage contains five related haplotypes that probably diverged from other canids more than 800,000 years ago, but we find no evidence of current barriers to admixture. Thus, the Indian subcontinent has three divergent, ancient and apparently parapatric mtDNA lineages within the morphologically delineated wolf. No haplotypes of either novel lineage are found within a sample of 37 Indian (or other) dogs. Thus, we find no evidence that these two taxa played a part in the domestication of canids.

  16. The complete genome sequence of a south Indian isolate of Rice tungro spherical virus reveals evidence of genetic recombination between distinct isolates.

    PubMed

    Sailaja, B; Anjum, Najreen; Patil, Yogesh K; Agarwal, Surekha; Malathi, P; Krishnaveni, D; Balachandran, S M; Viraktamath, B C; Mangrauthia, Satendra K

    2013-12-01

    In this study, complete genome of a south Indian isolate of Rice tungro spherical virus (RTSV) from Andhra Pradesh (AP) was sequenced, and the predicted amino acid sequence was analysed. The RTSV RNA genome consists of 12,171 nt without the poly(A) tail, encoding a putative typical polyprotein of 3,470 amino acids. Furthermore, cleavage sites and sequence motifs of the polyprotein were predicted. Multiple alignment with other RTSV isolates showed a nucleotide sequence identity of 95% to east Indian isolates and 90% to Philippines isolates. A phylogenetic tree based on complete genome sequence showed that Indian isolates clustered together, while Vt6 and PhilA isolates of Philippines formed two separate clusters. Twelve recombination events were detected in RNA genome of RTSV using the Recombination Detection Program version 3. Recombination analysis suggested significant role of 5' end and central region of genome in virus evolution. Further, AP and Odisha isolates appeared as important RTSV isolates involved in diversification of this virus in India through recombination phenomenon. The new addition of complete genome of first south Indian isolate provided an opportunity to establish the molecular evolution of RTSV through recombination analysis and phylogenetic relationship.

  17. 'Whatever She May Study, She Can't Escape from Washing Dishes': Gender Inequity in Secondary Education--Evidence from a Longitudinal Study in India

    ERIC Educational Resources Information Center

    Singh, Renu; Mukherjee, Protap

    2018-01-01

    Using unique panel data from Young Lives study conducted in undivided Andhra Pradesh, India, this mixed-method paper analyses gender differentials in completion of secondary education. Results show biased secondary school completion rates in favor of boys. Probit regression results highlight certain variables such as mothers' education, wealth,…

  18. "We're Not Going to Suffer Like This in the Mud": Educational Aspirations, Social Mobility and Independent Child Migration among Populations Living in Poverty

    ERIC Educational Resources Information Center

    Boyden, Jo

    2013-01-01

    This article examines the association between formal education, social mobility and independent child migration in Ethiopia, India (Andhra Pradesh), Peru and Vietnam and draws on data from Young Lives, a longitudinal study of childhood poverty and schooling. It argues that among resource-poor populations, child migration sustains kin relations…

  19. The Effect of Early Childhood Developmental Program Attendance on Future School Enrollment in Rural North India

    ERIC Educational Resources Information Center

    Hazarika, Gautam; Viren, Vejoya

    2013-01-01

    This paper examines the effect of prior participation in early childhood developmental programs, considered endogenous, upon 7-18 years olds' school enrollment in rural North India. Analyses by age group of data from the World Bank's 1997-98 Survey of Living Conditions in Uttar Pradesh and Bihar reveal that 7-10 year olds, 11-14 year olds, and…

  20. Reading the Water Table: The Interaction between Literacy Practices and Groundwater Management Training in Preparing Farmers for Climate Change in South India

    ERIC Educational Resources Information Center

    Chavva, Konda Reddy; Smith, Cristine A.

    2012-01-01

    This article focuses on farmers' use of literacy for individual decision-making on crop-water management and crop choices and investigates how farmer participants perceive the usefulness of Farmer Water School (FWS) training. It draws upon a study conducted with farmers of Kurnool district of Andhra Pradesh, India. This study has demonstrated that…

  1. Forecasting Effects of MISO Actions: An ABM Methodology

    DTIC Science & Technology

    2013-12-01

    process of opinion change for polio vaccination in Ut- tar Pradesh, India. His analysis combines word-of-mouth and mass media broadcasting for agent...this abstraction is an appropriate comparison between treatments , rather than actual forecasting of specific levels of rebellion or anti-government...effect of breadth upon griev- ance. There is insufficient evidence to show that this effect differs between treatments . Breadth and campaign type

  2. Analysis of Genetic Diversity and Population Structure of Rice Germplasm from North-Eastern Region of India and Development of a Core Germplasm Set

    PubMed Central

    Singh, Amit Kumar; Kumar, Sundeep; Srinivasan, Kalyani; Tyagi, R. K.; Ahmad, Altaf; Singh, N. K.; Singh, Rakesh

    2014-01-01

    The North-Eastern region (NER) of India, comprising of Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland and Tripura, is a hot spot for genetic diversity and the most probable origin of rice. North-east rice collections are known to possess various agronomically important traits like biotic and abiotic stress tolerance, unique grain and cooking quality. The genetic diversity and associated population structure of 6,984 rice accessions, originating from NER, were assessed using 36 genome wide unlinked single nucleotide polymorphism (SNP) markers distributed across the 12 rice chromosomes. All of the 36 SNP loci were polymorphic and bi-allelic, contained five types of base substitutions and together produced nine types of alleles. The polymorphic information content (PIC) ranged from 0.004 for Tripura to 0.375 for Manipur and major allele frequency ranged from 0.50 for Assam to 0.99 for Tripura. Heterozygosity ranged from 0.002 in Nagaland to 0.42 in Mizoram and gene diversity ranged from 0.006 in Arunachal Pradesh to 0.50 in Manipur. The genetic relatedness among the rice accessions was evaluated using an unrooted phylogenetic tree analysis, which grouped all accessions into three major clusters. For determining population structure, populations K = 1 to K = 20 were tested and population K = 3 was present in all the states, with the exception of Meghalaya and Manipur where, K = 5 and K = 4 populations were present, respectively. Principal Coordinate Analysis (PCoA) showed that accessions were distributed according to their population structure. AMOVA analysis showed that, maximum diversity was partitioned at the individual accession level (73% for Nagaland, 58% for Arunachal Pradesh and 57% for Tripura). Using POWERCORE software, a core set of 701 accessions was obtained, which accounted for approximately 10% of the total NE India collections, representing 99.9% of the allelic diversity. The rice core set developed will be a valuable resource for future genomic studies and crop improvement strategies. PMID:25412256

  3. Poverty and childhood undernutrition in developing countries: a multi-national cohort study.

    PubMed

    Petrou, Stavros; Kupek, Emil

    2010-10-01

    The importance of reducing childhood undernutrition has been enshrined in the United Nations' Millennium Development Goals. This study explores the relationship between alternative indicators of poverty and childhood undernutrition in developing countries within the context of a multi-national cohort study (Young Lives). Approximately 2000 children in each of four countries - Ethiopia, India (Andhra Pradesh), Peru and Vietnam - had their heights measured and were weighed when they were aged between 6 and 17 months (survey one) and again between 4.5 and 5.5 years (survey two). The anthropometric outcomes of stunted, underweight and wasted were calculated using World Health Organization 2006 reference standards. Maximum-likelihood probit estimation was employed to model the relationship within each country and survey between alternative measures of living standards (principally a wealth index developed using principal components analysis) and each anthropometric outcome. An extensive set of covariates was incorporated into the models to remove as much individual heterogeneity as possible. The fully adjusted models revealed a negative and statistically significant coefficient on wealth for all outcomes in all countries, with the exception of the outcome of wasted in India (Andhra Pradesh) and Vietnam (survey one) and the outcome of underweight in Vietnam (surveys one and two). In survey one, the partial effects of wealth on the probabilities of stunting, being underweight and wasting was to reduce them by between 1.4 and 5.1 percentage points, 1.0 and 6.4 percentage points, and 0.3 and 4.5 percentage points, respectively, with each unit (10%) increase in wealth. The partial effects of wealth on the probabilities of anthropometric outcomes were larger in the survey two models. In both surveys, children residing in the lowest wealth quintile households had significantly increased probabilities of being stunted in all four study countries and of being underweight in Ethiopia, India (Andhra Pradesh) and Peru in comparison to children residing in the highest wealth quintile households. Random effects probit models confirmed the statistical significance of increased wealth in reducing the probability of being stunted and underweight across all four study countries. We conclude that, although multi-faceted, childhood undernutrition in developing countries is strongly rooted in poverty.

  4. Estimating population salt intake in India using spot urine samples.

    PubMed

    Petersen, Kristina S; Johnson, Claire; Mohan, Sailesh; Rogers, Kris; Shivashankar, Roopa; Thout, Sudhir Raj; Gupta, Priti; He, Feng J; MacGregor, Graham A; Webster, Jacqui; Santos, Joseph Alvin; Krishnan, Anand; Maulik, Pallab K; Reddy, K Srinath; Gupta, Ruby; Prabhakaran, Dorairaj; Neal, Bruce

    2017-11-01

    To compare estimates of mean population salt intake in North and South India derived from spot urine samples versus 24-h urine collections. In a cross-sectional survey, participants were sampled from slum, urban and rural communities in North and in South India. Participants provided 24-h urine collections, and random morning spot urine samples. Salt intake was estimated from the spot urine samples using a series of established estimating equations. Salt intake data from the 24-h urine collections and spot urine equations were weighted to provide estimates of salt intake for Delhi and Haryana, and Andhra Pradesh. A total of 957 individuals provided a complete 24-h urine collection and a spot urine sample. Weighted mean salt intake based on the 24-h urine collection, was 8.59 (95% confidence interval 7.73-9.45) and 9.46 g/day (8.95-9.96) in Delhi and Haryana, and Andhra Pradesh, respectively. Corresponding estimates based on the Tanaka equation [9.04 (8.63-9.45) and 9.79 g/day (9.62-9.96) for Delhi and Haryana, and Andhra Pradesh, respectively], the Mage equation [8.80 (7.67-9.94) and 10.19 g/day (95% CI 9.59-10.79)], the INTERSALT equation [7.99 (7.61-8.37) and 8.64 g/day (8.04-9.23)] and the INTERSALT equation with potassium [8.13 (7.74-8.52) and 8.81 g/day (8.16-9.46)] were all within 1 g/day of the estimate based upon 24-h collections. For the Toft equation, estimates were 1-2 g/day higher [9.94 (9.24-10.64) and 10.69 g/day (9.44-11.93)] and for the Kawasaki equation they were 3-4 g/day higher [12.14 (11.30-12.97) and 13.64 g/day (13.15-14.12)]. In urban and rural areas in North and South India, most spot urine-based equations provided reasonable estimates of mean population salt intake. Equations that did not provide good estimates may have failed because specimen collection was not aligned with the original method.

  5. Cataract, visual impairment and long-term mortality in a rural cohort in India: the Andhra Pradesh Eye Disease Study.

    PubMed

    Khanna, Rohit C; Murthy, Gudlavalleti V S; Giridhar, Pyda; Krishnaiah, Sannapaneni; Pant, Hira B; Palamaner Subash Shantha, Ghanshyam; Chakrabarti, Subhabrata; Gilbert, Clare; Rao, Gullapalli N

    2013-01-01

    A large-scale prevalence survey of blindness and visual impairment (The Andhra Pradesh Eye Diseases Study [APEDS1]) was conducted between 1996-2000 on 10,293 individuals of all ages in three rural and one urban clusters in Andhra Pradesh, Southern India. More than a decade later (June 2009-March 2010), APEDS1 participants in rural clusters were traced (termed APEDS2) to determine ocular risk factors for mortality in this longitudinal cohort. Mortality hazard ratio (HR) analysis was performed for those aged >30 years at APEDS1, using Cox proportional hazard regression models to identify associations between ocular exposures and risk of mortality. Blindness and visual impairment (VI) were defined using Indian definitions. 799/4,188 (19.1%) participants had died and 308 (7.3%) had migrated. Mortality was higher in males than females (p<0.001). In multivariable analysis, after adjusting for age, gender, diabetes, hypertension, body mass index, smoking and education status the mortality HR was 1.9 (95% CI: 1.5-2.5) for blindness; 1.4 (95% CI: 1.2-1.7) for VI; 1.8 (95% CI: 1.4-2.3) for pure nuclear cataract, 1.5 (95% CI: 1.1-2.1) for pure cortical cataract; 1.96 (95% CI: 1.6-2.4) for mixed cataract, 2.0 (95% CI: 1.4-2.9) for history of cataract surgery, and 1.58 (95% CI: 1.3-1.9) for any cataract. When all these factors were included in the model, the HRs were attenuated, being 1.5 (95% CI: 1.1-2.0) for blindness and 1.2 (95% CI: 0.9-1.5) for VI. For lens type, the HRs were as follows: pure nuclear cataract, 1.6 (95% CI: 1.3-2.1); pure cortical cataract, 1.5 (95% CI: 1.1-2.1); mixed cataract, 1.8 (95% CI: 1.4-2.2), and history of previous cataract surgery, 1.8 (95% CI: 1.3-2.6). All types of cataract, history of cataract surgery and VI had an increased risk of mortality that further suggests that these could be potential markers of ageing.

  6. Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh.

    PubMed

    Rajan, Sowmya; Nanda, Priya; Calhoun, Lisa M; Speizer, Ilene S

    2018-02-27

    The sex composition of existing children has been shown to influence childbearing decision-making and behaviors of women and couples. One aspect of this influence is the preference for sons. In India, where son preference is deeply entrenched, research has normally focused on rural areas using cross-sectional data. However, urban areas in India are rapidly changing, with profound implications for childbearing patterns. Yet, evidence on the effect of the sex composition of current children on subsequent childbearing intentions and behavior in urban areas is scant. In this study, we analyze the impact of sex composition of children on subsequent (1) parity progression, (2) contraceptive use, and (3) desire for another child. We analyze prospective data from women over a four year period in urban Uttar Pradesh using discrete-time event history logistic regression models to analyze parity progression from the first to second parity, second to third parity, and third to fourth parity. We also use logistic regression models to analyze contraceptive use and desire for another child. Relative to women with no daughters, women with no sons had significantly higher odds of progressing to the next birth (parity 1 - aOR: 1.31; CI: 1.04-1.66; parity 2 - aOR: 4.65; CI: 3.11-6.93; parity 3 - aOR:3.45; CI: 1.83-6.52), as well as reduced odds of using contraception (parity 2 - aOR:.58; CI: .44-.76; parity 3 - aOR: .58; CI: .35-.98). Relative to women with two or more sons, women with two or more daughters had significantly higher odds of wanting to have another child (parity 1 - aOR: 1.33; CI: 1.06-1.67; parity 2 - aOR: 3.96; CI: 2.45-6.41; parity 3-4.89; CI: 2.22-10.77). Our study demonstrates the pervasiveness of son preference in urban areas of Uttar Pradesh. We discuss these findings for future programmatic strategies to mitigate son preference in urban settings.

  7. Nonfatal agricultural work-related injuries: A case study from Northeast India.

    PubMed

    Patel, Thaneswer; Pranav, P K; Biswas, M

    2018-01-01

    Occupational injuries are a major problem in agriculture worldwide. In the Northeast region of India, most of the farm operations are carried out manually with hand operated tools and equipment. These tools also cause some nonfatal accidents. In the absence of reliable data on accidents in this region, injury prevention policy cannot be madeOBJECTIVE:The aim of this study was to survey injury causing agricultural accidents occurring during 2010 to 2013 in Arunachal Pradesh of the northeast region to know their magnitude, causes and severity. In this study, four districts of Arunachal Pradesh namely Papum Pare, Lower Subansiri, West Siang and East Siang were chosen using purposive sampling. From each district, 15 villages were selected. In these villages, a total of 50614 agricultural workers participated and 174 and 48 injuries were found for male and female workers respectively. A case-control study was carried out in Arunachal Pradesh. The questionnaire-based approach was used for data collection. The questionnaire contains detailed information on the demographic and injury characteristics. The Demographic information included gender, age, educational background, etc. and injury characteristics included the nature of the injury, the body part injured, and type of tools and equipment that caused the injury. The results showed that farm tools and equipment-related accidents were maximum i.e. 144 (60%) caused due to dao followed by 19 from spade (8%), 18 from sickle (7%) and 8 from axe (3%). The foot and legs were the most frequently injured body parts. From this study, it was also revealed that male agricultural workers are more affected as compared to their female counterparts. Agricultural accident incident rate (AIR) was found to be 589 per 1,00,000 workers per year. The AIR for males is 462 per 100,000 workers per year which is 3.6 times higher than female workers. The root causes of accidents are the use of traditional tools and equipment in various agricultural activities. Therefore, any ergonomic interventions in designing tools and equipment will significantly improve the occupational health and safety of workers.

  8. Socio-epidemiological determinants of 2002 plague outbreak in Himachal Pradesh, India: a qualitative study

    PubMed Central

    2014-01-01

    Background This qualitative investigation was conducted to determine the socio-epidemiological factors related to the plague outbreak (2002) in Himachal Pradesh (HP), India. Methods The data for socio-epidemiological factors related to the plague outbreak (2002) in HP was obtained from residents through 150 in-depth Interviews (IDI) and 30 Focus Group Discussions (FGD) during six visits (from May 2011 to April 2012) by the research team. Natives, health officials and the nomadic population were interviewed. According to their opinion and viewpoints data was collected and their lifestyle and hunting practices were studied in detail. Tape recorders were used during various FGDs and IDIs. The interviews and FGDs were later transcribed and coded. In-depth analysis of the recorded data was done using an inductive thematic analysis approach. Results The study reports that the outbreak in 2002 in a few villages of Himachal Pradesh was that of plague and it occurred by the contact of an index case with wild animals after hunting and de-skinning. The first wave of plague transmission which took 16 lives of residents was followed by a second wave of transmission in a ward of a tertiary care hospital where one visitor acquired it from relatives of the index case and succumbed. The life-style practices of residents (hunting behavior, long stay in caves and jungles, overcrowding in houses, poor hygiene and sanitation, belief in ‘God’ and faith healers for cure of diseases) was optimal for the occurrence and rapid spread of such a communicable disease. The man-rodent contact is intensified due to the practice of hunting in such a rodent-ridden environment. The residents harbor a strong belief that plague occurs due to the wrath of gods. Various un-reported outbreaks of plague were also observed by officials, residents and old folk. The persistence of plague in HP is favoured by its hilly terrain, inaccessible areas, inclement weather (snow) in winters, unhygienic lifestyle, hunting practices of residents, and treatment practices through faith healers. Conclusions This study suggests that the lifestyle of the natives of HP and other socio-epidemiological factors played a role in the outbreak of plague in that area. PMID:24708892

  9. Tobacco use, smoking quit rates, and socioeconomic patterning among men and women: a cross-sectional survey in rural Andhra Pradesh, India.

    PubMed

    Corsi, Daniel J; Subramanian, S V; Lear, Scott A; Teo, Koon K; Boyle, Michael H; Raju, P Krishnam; Joshi, Rohina; Neal, Bruce; Chow, Clara K

    2014-10-01

    Tobacco use is common in India and a majority of users are in rural areas. We examine tobacco use and smoking quit rates along gender and socioeconomic dimensions in rural Andhra Pradesh. Data come from a cross-sectional survey. Markers of socioeconomic status (SES) were education, occupation, and income. Regression analyses were undertaken to examine determinants of current smoking, smoking quit rates, tobacco use by type (cigarettes, bidis, and chewing), and quantity consumed (number per day, pack-years). The weighted prevalence of current smoking and tobacco chewing was higher in men (50.3%, 95% confidence interval, CI, 48.1-52.6 and 5.0%, 95% CI 4.1-5.9, respectively) compared with women (4.8%, 95% CI 3.9-5.7 and 1.0%, 95% CI 0.6-1.4, respectively) and higher among older age groups. The quit rate was higher in women (45.5%, 95% CI 38.7-52.2) compared to men (18.8%, 95% CI 16.7-20.9). Illiterate individuals were more likely to be current smokers of any type compared to those with secondary/higher education (odds ratio, OR, 3.25, 95% CI 2.54-4.16), although cigarette smoking was higher in men of high SES. Smoking quit rates were positively associated with SES (OR 2.56, 95% CI 1.76-3.71) for secondary/higher education vs. illiterates. Level of consumption increased with SES and those with secondary/higher education smoked an additional 1.93 (95% CI 1.08-2.77) cigarettes or bidis per day and had an additional 1.87 (95% CI 0.57-3.17) pack-years vs. illiterates. The social gradients in cigarette smoking and level of consumption contrasted those for indigenous forms of tobacco (bidi smoking and chewing). International prevention and cessation initiatives designed at modifying Western-style cigarette usage will need to be tailored to the social context of rural Andhra Pradesh to effectively influence the use of cigarettes and equally harmful indigenous forms of tobacco. © The European Society of Cardiology 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  10. Agricultural practices and irrigation water demand in Uttar Pradesh

    NASA Astrophysics Data System (ADS)

    O'Keeffe, J.; Buytaert, W.; Brozovic, N.; Mijic, A.

    2013-12-01

    Changes in farming practices within Uttar Pradesh, particularly advances in irrigation technology, have led to a significant drop in water tables across the region. While the acquisition of monitoring data in India is a challenge, current water use practices point towards water overdraught. This is exacerbated by government and state policies and practices, including the subsidising of electricity, seeds and fertilizer, and an agreement to buy all crops grown, promoting the over use of water resources. Taking India's predicted population growth, increases in industrialisation and climate change into account, both farmland and the water resources it depends upon will be subject to increased pressures in the future. This research is centred around irrigation demands on water resources within Uttar Pradesh, and in particular, quantifying those demands both spatially and temporally. Two aspects of this will be presented; the quantification of irrigation water applied and the characterisation of the spatial heterogeneity of water use practices. Calculating the volumes of applied irrigation water in the absence of observed data presents a major challenge and is achieved here through the use of crop models. Regional crop yields provided by statistical yearbooks are replicated by the crop models AquaCrop and InfoCrop, and by doing so the amount of irrigation water needed to produce the published yields is quantified. In addition, proxy information, for example electrical consumption for agricultural use, is used to verify the likely volumes of water abstracted from tubewells. Statistical analyses of borehole distribution and the characterisation of the spatial heterogeneity of water use practices, particularly farmer decision making, collected during a field trip are also presented. The evolution of agricultural practices, technological advancement and water use for irrigation is reconstructed through the use of multiple regression and principle component analysis, allowing the identification of drivers of current water use practices. The importance of undertaking this research to model set up and for the advancement of overall understanding of the hydrological system is emphasised along with its significance in developing policy and informing water allocation models; a platform for more sustainable future water resource management in the region.

  11. Food Price Spikes Are Associated with Increased Malnutrition among Children in Andhra Pradesh, India123

    PubMed Central

    Vellakkal, Sukumar; Fledderjohann, Jasmine; Basu, Sanjay; Agrawal, Sutapa; Ebrahim, Shah; Campbell, Oona; Doyle, Pat; Stuckler, David

    2015-01-01

    Background: Global food prices have risen sharply since 2007. The impact of food price spikes on the risk of malnutrition in children is not well understood. Objective: We investigated the associations between food price spikes and childhood malnutrition in Andhra Pradesh, one of India’s largest states, with >85 million people. Because wasting (thinness) indicates in most cases a recent and severe process of weight loss that is often associated with acute food shortage, we tested the hypothesis that the escalating prices of rice, legumes, eggs, and other staples of Indian diets significantly increased the risk of wasting (weight-for-height z scores) in children. Methods: We studied periods before (2006) and directly after (2009) India’s food price spikes with the use of the Young Lives longitudinal cohort of 1918 children in Andhra Pradesh linked to food price data from the National Sample Survey Office. Two-stage least squares instrumental variable models assessed the relation of food price changes to food consumption and wasting prevalence (weight-for-height z scores). Results: Before the 2007 food price spike, wasting prevalence fell from 19.4% in 2002 to 18.8% in 2006. Coinciding with India’s escalating food prices, wasting increased significantly to 28.0% in 2009. These increases were concentrated among low- (χ2: 21.6, P < 0.001) and middle- (χ2: 25.9, P < 0.001) income groups, but not among high-income groups (χ2: 3.08, P = 0.079). Each 10.0 rupee ($0.170) increase in the price of rice/kg was associated with a drop in child-level rice consumption of 73.0 g/d (β: −7.30; 95% CI: −10.5, −3.90). Correspondingly, lower rice consumption was significantly associated with lower weight-for-height z scores (i.e., wasting) by 0.005 (95% CI: 0.001, 0.008), as seen with most other food categories. Conclusion: Rising food prices were associated with an increased risk of malnutrition among children in India. Policies to help ensure the affordability of food in the context of economic growth are likely critical for promoting children’s nutrition. PMID:26136589

  12. Contextual and interdependent causes of climate change adaptation barriers for water management: responses from regional and local institutions in Himachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Azhoni, Adani; Holman, Ian; Jude, Simon

    2016-04-01

    Research on adaptation barriers is gaining increasing prominence as the need for climate change adaptation becomes evident. This research seeks to identify and understand the reasons for key barriers preventing water institutions in the mountainous Himalayan state of Himachal Pradesh in northern India from adapting to climate change. Semi-structured interviews were carried out in January & February 2015 with representatives from twenty-seven key governmental, academic, NGO and commercial institutions in the State, with responsibilities spanning from municipal water supply to irrigation and hydropower generation in addition to environmental conservation. Empirical analysis of the transcripts found that inadequate knowledge capacity, poor implementation of policies, inadequate resources, normative work culture, weak governance, unavailability and inaccessibility of data & information and limited inter-institutional networks are key barriers for adaptation. Although these generic barriers are similar to those reported elsewhere in literature, they are identified as having locally-contextual root causes. For example, the inadequate resources are identified to be occurring as a consequence of the fragmentation of resources allocation among others. This is due to competing developmental priorities and the desire of the political leadership to please the maximum number of electors rather than the more-usual inadequate budgetary allocation and climate scepticism. The identified individual barriers are found to be highly inter-dependent and closely intertwined which enables the identification of leverage points of interventions that can maximise removal of barriers. For example, breaking down key barriers for data and information accessibility will have to involve normative attitudinal change, through sensitisation of the larger picture of the role of accurate and accessible data; changes in working style involving moving from paper-based data management to digital; and institutional and structural changes through legislation or formal inter-institutional agreements for increasing data accessibility and sharing. This presentation will demonstrate how adaptation barriers in Himachal Pradesh are contextually interconnected by a range of cultural, systemic, geographical and political underlying causes and how this understanding can be used to increase the adaptive capacity of this climatically sensitive region.

  13. Transport of pregnant women and obstetric emergencies in India: an analysis of the '108' ambulance service system data.

    PubMed

    Singh, Samiksha; Doyle, Pat; Campbell, Oona M R; Rao, G V R; Murthy, G V S

    2016-10-21

    The transport of pregnant women to an appropriate health facility plays a pivotal role in preventing maternal deaths. In India, state-run call-centre based ambulance systems ('108' and '102'), along with district-level Janani Express and local community-based innovations, provide transport services for pregnant women. We studied the role of '108' ambulance services in transporting pregnant women routinely and obstetric emergencies in India. This study was an analysis of '108' ambulance call-centre data from six states for the year 2013-14. We estimated the number of expected pregnancies and obstetric complications for each state and calculated the proportions of these transported using '108'. The characteristics of the pregnant women transported, their obstetric complications, and the distance and travel-time for journeys made, are described for each state. The estimated proportion of pregnant women transported by '108' ambulance services ranged from 9.0 % in Chhattisgarh to 20.5 % in Himachal Pradesh. The '108' service transported an estimated 12.7 % of obstetric emergencies in Himachal Pradesh, 7.2 % in Gujarat and less than 3.5 % in other states. Women who used the service were more likely to be from rural backgrounds and from lower socio-economic strata of the population. Across states, the ambulance journeys traversed less than 10-11 km to reach 50 % of obstetric emergencies and less than 10-21 km to reach hospitals from the pick-up site. The overall time from the call to reaching the hospital was less than 2 h for 89 % to 98 % of obstetric emergencies in 5 states, although this percentage was 61 % in Himachal Pradesh. Inter-facility transfers ranged between 2.4 % -11.3 % of all '108' transports. A small proportion of pregnant women and obstetric emergencies made use of '108' services. Community-based studies are required to study knowledge and preferences, and to assess the potential for increasing or rationalising the use of '108' services.

  14. What influences the decision to undergo institutional delivery by skilled birth attendants? A cohort study in rural Andhra Pradesh, India.

    PubMed

    Nair, M; Ariana, P; Webster, P

    2012-01-01

    Despite continuing efforts to promote skilled institutional delivery, eight women die every hour in India due to causes related to pregnancy and child birth. The objectives of this study were to assess the prevalence and the determinants of institutional delivery by skilled birth attendants in a rural population in Andhra Pradesh, India. This cross-sectional study used data from 'Young Lives', a longitudinal study on childhood poverty, and the study population was a cohort of 1419 rural, economically deprived women (from the Young Lives study) in Andhra Pradesh, India. The data are from round-1 of Young Lives younger cohort recruited in 2002 and followed until 2015. The participation rate of households was 99.5%. Prevalence of skilled institutional delivery was 36.8%. Women's education (odds ratio [OR] for secondary education 2.06; 95% confidence interval [95%CI] 1.33-3.19), desire to be pregnant (OR 1.89; 95% CI 1.12-3.22) and adequate prenatal care (OR 1.69; 95% CI 1.30-2.21) were found to be the positive determinants of skilled institutional delivery. High birth order (OR for second birth 0.44; 95% CI 0.32-0.60, OR for third birth 0.47; 95% CI 0.30-0.72 and OR for ≥fourth 0.47; 95% CI 0.27-0.81), schedule caste/schedule tribe social background (OR 0.70; 95% CI 0.53-0.93) and poor economic status of the household (OR for the poorest households 0.67; 95% CI 0.46-0.99) were negatively associated with skilled institutional delivery. Despite existence of supporting schemes, the utilisation of skilled institutional delivery services was low in the study population. Educated women and women with adequate prenatal care who have a desired pregnancy were more likely to utilise health institutions and skilled delivery care. There is a need for integrated approaches through maternal health, family planning and education programs, and a focus on uneducated, poor women belonging to disadvantaged social groups.

  15. Autochthonous blastomycosis of the adrenal: first case report from Asia.

    PubMed

    Kumar, Anil; Sreehari, Sreekala; Velayudhan, Kandan; Biswas, Lalitha; Babu, Rachana; Ahmed, Shabeer; Sharma, Neelakanta; Kurupath, Vasanth P; Jojo, Annie; Dinesh, Kavitha R; Karim, Shamsul; Biswas, Raja

    2014-04-01

    Systemic endemic mycoses, such as blastomycosis, are rare in Asia and have been reported as health risks among travelers who visit or reside in an endemic area. Adrenal involvement is rarely seen in blastomycosis and has never been reported from Asia. We report the first case of blastomycosis with bilateral involvement of the adrenals in a diabetic patient residing in the state of Arunachal Pradesh, India.

  16. Appropriate Strategy for Rehabilitating the Rural Blind: Education of Parents and Counselling of Visually Handicapped Persons in Bhagwanpur Block (District Saharanpur, Uttar Pradesh, India). Brief Research Report.

    ERIC Educational Resources Information Center

    Mathur, M. L.; And Others

    1986-01-01

    Fifty-two visually handicapped persons (mean age 48.8 years) were identified in 21 of 82 rural villages surveyed by trained local field workers in India. Assessment, rehabilitation planning, parent/trainer counseling and education, and training in such areas as daily living skills and orientation and mobility were provided as appropriate. (JW)

  17. Maternal Self Esteem and Locus of Control Relates to the Quality of Young Children's Environment (HOME) in Rural Andhra Pradesh, India: Research and Policy Implications

    ERIC Educational Resources Information Center

    Fernandez, Sylvia; Vazir, Shahnaz; Bentley, Peggy; Johnson, Susan; Engle, Patrice

    2008-01-01

    The Home Observation for Measurement of the Environment (HOME) scale has been shown to be a significant predictor of later cognitive outcomes in many cultures. Therefore identifying factors associated with HOME could be used to promote child development. Maternal psychological well-being is often overlooked although critical in the creation of…

  18. Thermal metamorphism of the Arunachal Himalaya, India: Raman thermometry and thermochronological constraints on the tectono-thermal evolution

    NASA Astrophysics Data System (ADS)

    Mathew, George; De Sarkar, Sharmistha; Pande, Kanchan; Dutta, Suryendu; Ali, Shakir; Rai, Apritam; Netrawali, Shilpa

    2013-09-01

    Determination of the peak thermal condition is vital in order to understand tectono-thermal evolution of the Himalayan belt. The Lesser Himalayan Sequence (LHS) in the Western Arunachal Pradesh, being rich in carbonaceous material (CM), facilitates the determination of peak metamorphic temperature based on Raman spectroscopy of carbonaceous material (RSCM). In this study, we have used RSCM method of Beyssac et al. (J Metamorph Geol 20:859-871, 2002a) and Rahl et al. (Earth Planet Sci Lett 240:339-354, 2005) to estimate the thermal history of LHS and Siwalik foreland from the western Arunachal Pradesh. The study indicates that the temperature of 700-800 °C in the Greater Himalayan Sequence (GHS) decreases to 650-700 °C in the main central thrust zone (MCTZ) and decreases further to <200 °C in the Mio-Pliocene sequence of Siwaliks. The work demonstrates greater reliability of Rahl et al.'s (Earth Planet Sci Lett 240:339-354, 2005) RSCM method for temperatures >600 and <340 °C. We show that the higher and lower zones of Bomdila Gneiss (BG) experienced temperature of ~600 °C and exhumed at different stages along the Bomdila Thrust (BT) and Upper Main Boundary Thrust (U.MBT). Pyrolysis analysis of the CM together with the Fission Track ages from upper Siwaliks corroborates the RSCM thermometry estimate of ~240 °C. The results indicate that the Permian sequence north of Lower MBT was deposited at greater depths (>12 km) than the upper Siwalik sediments to its south at depths <8 km before they were exhumed. The 40Ar/39Ar ages suggest that the upper zones of Se La evolved ~13-15 Ma. The middle zone exhumed at ~11 Ma and lower zone close to ~8 Ma indicating erosional unroofing of the MCT sheet. The footwall of MCTZ cooled between 6 and 8 Ma. Analyses of P-T path imply that LHS between MCT and U.MBT zone falls within the kyanite stability field with near isobaric condition. At higher structural level, the temperatures increase gradually with P-T conditions in the sillimanite stability field. The near isothermal (700-800 °C) condition in the GHS, isobaric condition in the MCTZ together with T-t path evidence of GHS that experienced relatively longer duration of near peak temperatures and rapid cooling towards MCTZ, compares the evolution of GHS and inverted metamorphic gradient closely to channel flow predictions.

  19. Report: Hospital waste management--awareness and practices: a study of three states in India.

    PubMed

    Rao, P Hanumantha

    2008-06-01

    The study was conducted in Andhra Pradesh, Maharashtra and Uttar Pradesh in India. Hospitals/nursing homes and private medical practitioners in urban as well as rural areas and those from the private as well as the government sector were covered. Information on (a) awareness of bio-medical waste management rules, (b) training undertaken and (c) practices with respect to segregation, use of colour coding, sharps management, access to common waste management facilities and disposal was collected. Awareness of Bio-medical Waste Management Rules was better among hospital staff in comparison with private medical practitioners and awareness was marginally higher among those in urban areas in comparison with those in rural areas. Training gained momentum only after the dead-line for compliance was over. Segregation and use of colour codes revealed gaps, which need correction. About 70% of the healthcare facilities used a needle cutter/destroyer for sharps management. Access to Common Waste Management facilities was low at about 35%. Dumping biomedical waste on the roads outside the hospital is still prevalent and access to Common Waste facilities is still limited. Surveillance, monitoring and penal machinery was found to be deficient and these require strengthening to improve compliance with the Bio-medical Waste Management Rules and to safeguard the health of employees, patients and communities.

  20. Cephalometric norms for orthognathic surgery for North India (Eastern Uttar Pradesh).

    PubMed

    Gulati, Rajeev; Jain, Shikha

    2011-01-01

    The present study was aimed at development of the cephalometric norms for orthognathic surgery for the population of eastern Uttar Pradesh in North India. This study was conducted at a dental college. The study sample consisted of 50 males and 50 females. Each lateral cephalogram was taken in occlusion and subsequently traced. All reference points, landmarks, and measurements were made according to cephalometrics for orthognathic surgery (COGS) system. The statistical analysis involved calculation of mean and standard deviation for each of the 23 parameters assessed for each subject. The data was subsequently compared with COGS study by using Normal (Z) test. The norms were derived for the purvanchal population of North India and these were found to be quite distinct compared to those obtained from COGS study with respect to specific parameters. Male subjects indicated greater prominence of chin relative to the face, decreased posterior divergence, infraeruption of upper and lower molar as well as lower incisors, decreased total effective length of the maxilla, tendency towards Class III occlusion, and procumbent lower incisors. Female subjects, however, indicated increased anterior cranial base length, greater prominence of chin relative to the face, prognathic maxilla and mandible, increased middle third facial height, infraerupted lower incisors, increased mandibular body length, and procumbent lower incisors.

  1. Comparative Survey of Entomophagy and Entomotherapeutic Practices in Six Tribes of Eastern Arunachal Pradesh (India)

    PubMed Central

    2013-01-01

    A consolidated list of edible insects used in the eastern part of Arunachal Pradesh (N.E. India) by Wangcho (Wancho) and Nocte tribes of the Tirap District and the Shingpo, Tangsa, Deori and Chakma of the Changlang District has been prepared. The list is based on thorough, semi-structured field-interviews with 20 informants of each tribal group. At least 51 insect species, belonging to 9 orders were considered edible. The largest number of the edible species belonged to the Coleoptera (14), followed by 10 each of the Orthoptera and Hymenoptera, 9 of the Hemiptera, 3 Lepidoptera, 2 Isoptera and one each of Ephemeroptera, Odonata and Mantodea. As far as therapeutic uses of insects are concerned, 4 species (Hemiptera) were mentioned by the Wangcho (Wancho). Food insects are chosen by members of the various tribes according to traditional beliefs, taste, regional and seasonal availability of the insects. Depending on the species, only certain, but sometimes all, developmental stages are consumed. Preparation of the food insects for consumption involves mainly roasting or boiling. With the degradation of natural resources, habitat loss, rapid population growth, and increasing ‘westernization’ , the traditional wisdom of North-East Indian tribals related to insect uses is at risk of being lost. PMID:23866996

  2. Comparative survey of entomophagy and entomotherapeutic practices in six tribes of eastern Arunachal Pradesh (India).

    PubMed

    Chakravorty, Jharna; Ghosh, Sampat; Meyer-Rochow, V Benno

    2013-07-19

    A consolidated list of edible insects used in the eastern part of Arunachal Pradesh (N.E. India) by Wangcho (Wancho) and Nocte tribes of the Tirap District and the Shingpo, Tangsa, Deori and Chakma of the Changlang District has been prepared. The list is based on thorough, semi-structured field-interviews with 20 informants of each tribal group. At least 51 insect species, belonging to 9 orders were considered edible. The largest number of the edible species belonged to the Coleoptera (14), followed by 10 each of the Orthoptera and Hymenoptera, 9 of the Hemiptera, 3 Lepidoptera, 2 Isoptera and one each of Ephemeroptera, Odonata and Mantodea. As far as therapeutic uses of insects are concerned, 4 species (Hemiptera) were mentioned by the Wangcho (Wancho). Food insects are chosen by members of the various tribes according to traditional beliefs, taste, regional and seasonal availability of the insects. Depending on the species, only certain, but sometimes all, developmental stages are consumed. Preparation of the food insects for consumption involves mainly roasting or boiling. With the degradation of natural resources, habitat loss, rapid population growth, and increasing 'westernization' , the traditional wisdom of North-East Indian tribals related to insect uses is at risk of being lost.

  3. How do People in Rural India Perceive Improved Stoves and Clean Fuel? Evidence from Uttar Pradesh and Uttarakhand

    PubMed Central

    Bhojvaid, Vasundhara; Jeuland, Marc; Kar, Abhishek; Lewis, Jessica J.; Pattanayak, Subhrendu K.; Ramanathan, Nithya; Ramanathan, Veerabhadran; Rehman, Ibrahim H.

    2014-01-01

    Improved cook stoves (ICS) have been widely touted for their potential to deliver the triple benefits of improved household health and time savings, reduced deforestation and local environmental degradation, and reduced emissions of black carbon, a significant short-term contributor to global climate change. Yet diffusion of ICS technologies among potential users in many low-income settings, including India, remains slow, despite decades of promotion. This paper explores the variation in perceptions of and preferences for ICS in Uttar Pradesh and Uttarakhand, as revealed through a series of semi-structured focus groups and interviews from 11 rural villages or hamlets. We find cautious interest in new ICS technologies, and observe that preferences for ICS are positively related to perceptions of health and time savings. Other respondent and community characteristics, e.g., gender, education, prior experience with clean stoves and institutions promoting similar technologies, and social norms as perceived through the actions of neighbours, also appear important. Though they cannot be considered representative, our results suggest that efforts to increase adoption and use of ICS in rural India will likely require a combination of supply-chain improvements and carefully designed social marketing and promotion campaigns, and possibly incentives, to reduce the up-front cost of stoves. PMID:24473110

  4. Distribution of trace elements in certain ecological components and animal products in a dairy farm at Tirupati, Chittoor District, Andhra Pradesh, India.

    PubMed

    Raghu, V

    2013-12-01

    Biogeochemical characteristics of the cattle are dealt based on the observations made in Ayurveda in the light of modern scientific developments in applied environmental geochemistry. The biogeochemical characteristics of certain important ecological components and animal products of the stall-fed animals were studied. For this purpose, a dairy farm of Tirumala-Tirupati Devasthanams, a religious organization in Tirupati, Chittoor District, Andhra Pradesh was selected. This study is intended to trace out the trace element interactions in the ecological components (soil, water, fodder, feed) of the stall-fed animals and their output components viz. dung, urine and milk. Physical, physico-chemical properties and certain trace elements were determined for composite samples of ecological components and dung, urine, and milk of stall-fed animals. The variations in the distribution of pH and EC of urine and milk reflect the variations in their physico-chemical or hydro-chemical properties. As mentioned in Ayurveda, not only the properties of milk but also the properties of dung and urine reflect their diet and conditions of their habitat. Even though the diet is the same, the cows of different breeds yield milk of variable physical, physico-chemical properties and trace element composition which can be attributed to their body colour, substantiating Ayurveda.

  5. How do people in rural India perceive improved stoves and clean fuel? Evidence from Uttar Pradesh and Uttarakhand.

    PubMed

    Bhojvaid, Vasundhara; Jeuland, Marc; Kar, Abhishek; Lewis, Jessica J; Pattanayak, Subhrendu K; Ramanathan, Nithya; Ramanathan, Veerabhadran; Rehman, Ibrahim H

    2014-01-27

    Improved cook stoves (ICS) have been widely touted for their potential to deliver the triple benefits of improved household health and time savings, reduced deforestation and local environmental degradation, and reduced emissions of black carbon, a significant short-term contributor to global climate change. Yet diffusion of ICS technologies among potential users in many low-income settings, including India, remains slow, despite decades of promotion. This paper explores the variation in perceptions of and preferences for ICS in Uttar Pradesh and Uttarakhand, as revealed through a series of semi-structured focus groups and interviews from 11 rural villages or hamlets. We find cautious interest in new ICS technologies, and observe that preferences for ICS are positively related to perceptions of health and time savings. Other respondent and community characteristics, e.g., gender, education, prior experience with clean stoves and institutions promoting similar technologies, and social norms as perceived through the actions of neighbours, also appear important. Though they cannot be considered representative, our results suggest that efforts to increase adoption and use of ICS in rural India will likely require a combination of supply-chain improvements and carefully designed social marketing and promotion campaigns, and possibly incentives, to reduce the up-front cost of stoves.

  6. Seropositivity of toxoplasmosis in antenatal women with bad obstetric history in a tertiary-care hospital of Andhra Pradesh, India.

    PubMed

    Sarkar, Munmun Das; Anuradha, B; Sharma, Neelam; Roy, Rabindra Nath

    2012-03-01

    Toxoplasmosis is a well-documented cause of bad obstetric history (BOH) and a major reason of congenitally-acquired infection. The study was conducted to determine the seropositivity of toxoplasmosis in women with BOH, attending the antenatal clinic of the Mamata General Hospital, Khammam, Andhra Pradesh, India. The study subjects included 105 antenatal women with BOH and 105 antenatal women who had previous normal deliveries. A serological evaluation was carried out to determine the presence of Toxoplasma gondii-specific IgG and IgM antibodies, using commercial diagnostic kits, by the enzyme-linked immunosorbent assay method. The seropositivity for Toxoplasma was 49.52% in the study group compared to 12.38% in the control group. The difference in seropositivity was significant (p=0.00). The seroprevalence gradually increased with advancing age. Abortion (51.92%) was the commonest form of pregnancy wastage, followed by stillbirths (36.53%) and premature deliveries (7.69%). The seropositivity of toxoplasmosis was significantly higher in the study group than that in the control group, and the seropositivity played an important role in determining the foetal outcome. Considering the subclinical pattern of infection, routine serological test is recommended for all pregnant women for both IgG and IgM antibodies.

  7. Police-Related Experiences and HIV Risk Among Female Sex Workers in Andhra Pradesh, India

    PubMed Central

    Reed, Elizabeth; Blankenship, Kim M.

    2011-01-01

    Research suggests experiences with police are related to human immunodeficiency virus (HIV) sexual risk among women working as sex workers. However, little is known about the links between specific police-related behaviors and HIV vulnerability. We examine whether 5 police-related experiences are associated with measures of HIV risk and violence among a sample of female sex workers (FSWs) in Andhra Pradesh, India, and consider the implications for HIV prevention. FSWs at least 18 years of age (n = 835) were recruited through respondent-driven sampling for a cross-sectional survey conducted as part of Avahan, the India AIDS Initiative. Using logistic regression models adjusted for age, age at start of sex work, and sex work venue, we assessed police-related experiences reported by FSWs in relation to HIV risk behaviors and violence. Results showed having sex with police to avoid trouble, giving gifts to police to avoid trouble, having police take condoms away, experiencing a workplace raid, and being arrested were associated with sexually transmitted infection symptoms, inconsistent condom use, acceptance of more money for sex without a condom, and experience of client violence. These findings suggest a need for interventions targeting police–FSW interactions to reduce HIV vulnerability among FSWs. PMID:22043036

  8. Dual Infection with Bluetongue Virus Serotypes and First-Time Isolation of Serotype 5 in India.

    PubMed

    Hemadri, D; Maan, S; Chanda, M M; Rao, P P; Putty, K; Krishnajyothi, Y; Reddy, G H; Kumar, V; Batra, K; Reddy, Y V; Maan, N S; Reddy, Y N; Singh, K P; Shivachandra, S B; Hegde, N R; Rahman, H; Mertens, P P C

    2017-12-01

    Bluetongue is endemic in India and has been reported from most Indian states. Of late, the clinical disease is most frequently seen in the states of Andhra Pradesh, Telangana (erstwhile Andhra Pradesh state), Tamil Nadu and Karnataka. Our analysis of diagnostic samples from bluetongue outbreaks during 2010-2011 from the state of Karnataka identified bluetongue virus (BTV) serotype 5 (BTV-5) for the first time in India. One of the diagnostic samples (CH1) and subsequent virus isolate (IND2010/02) contained both BTV-2 and BTV-5. Segment 2 (seg-2) sequence data (400 bp: nucleotides 2538-2921) for IND2010/02-BTV5, showed 94.3% nucleotide identity to BTV-5 from South Africa (Accession no. AJ585126), confirming the virus serotype and also indicating that Seg-2 was derived from a Western topotype, which is in contrast to serotype 2, that belongs to an Eastern topotype. BTV-5 has been recently reported from Africa, China, French islands and the Americas. Although the exact source of the Indian BTV-5 isolate is still to be confirmed, recent identification of additional exotic serotypes in India is of real concern and might add to the severity of the disease seen in these outbreaks. © 2016 Blackwell Verlag GmbH.

  9. The Distribution of Genotype and Allelic Frequency of IL28B Gene Polymorphism in Andhra Pradesh, India

    PubMed Central

    Sivaprasad, Siddapuram; Rao, Padaki Nagaraja; Gupta, Rajesh; Ashwini, Kaitha; Reddy, Duvvuru Nageshwar

    2012-01-01

    Background The single nucleotide polymorphism (SNP) of IL28B gene on chromosome 19, encoding for the interferon (IFN)-λ-3 is strongly associated with treatment response to pegylated-IFN and ribavirin in patients infected with different genotypes of hepatitis C virus (HCV). Difference between ethnicity and treatment response rates suggesting a key role of host genetics. The IL28B polymorphism (rs12979860C/T) shows a marked differential distribution between racial groups. Aim The present study is aimed to evaluate genotype and allelic frequency of IL28B gene polymorphism (rs12979860C/T) in Andhra Pradesh, India. Methods A total of 220 healthy controls were recruited for the study. The genotyping of SNP rs12979860C/T on IL28B gene was performed by polymerase chain reaction-direct sequencing method. Result The frequency of CC genotype was found to be significantly (59.09%) higher compared to CT (34.09%) and TT (6.81%) genotypes, respectively. The frequency of major allele C is 0.762 whereas minor allele T is 0.238. Conclusion The higher distribution of genotype ‘CC’ of SNP, rs12979860C/T of IL28B gene in study subjects is suggestive of better response of HCV patients to standard anti-HCV therapy. PMID:25755419

  10. Ice dynamics of Himalayan glaciers (Himachal Pradesh, India) using TerraSAR-X/TanDEM-X data.

    NASA Astrophysics Data System (ADS)

    Vijay, Saurabh; Braun, Matthias

    2015-04-01

    Mountain glaciers are the natural indicators of climate change. Himalaya is a part of widely spread mountain range consisting of second largest ice mass after polar region. The glaciers in Himalaya are located in Himachal Pradesh and other territories of India. The precipitation in the region is influenced by both Indian summer monsoon and mid-latitude winter westerlies. The glacier discharge influences the river basins and provides fresh water for various infrastructural necessities of urbanization in the state. The study aims to estimate the ice thickness and volume change during the decade (2011-2000) and annually during 2011-2014. For this, TanDEM-X DEMs are subtracted from the SRTM C/X band DEM of 2000. In addition, ice flow dynamics are quantified by the constellation of TerraSAR-X/TanDEM-X data using SAR offset tracking method. The primary investigations reveal that the terminus velocity of Bada Shigri (G077683E32169N), the biggest glacier of the state, Chhota Shigri( G077513E32227N), a bench-mark glacier, and other glacier (G077547E32162N) in 2011 found out to be < 2cm/day. The upper stream velocities of the glaciers are increased linearly and influenced by glacier tributaries.

  11. Low use of contraceptives among rural women in Maitha, Uttar Pradesh, India.

    PubMed

    Saroha, Ekta; Altarac, Maja; Sibley, Lynn M

    2013-05-01

    Low contraceptive utilisation and high fertility in rural Uttar Pradesh (UP), India, is a major concern for the world's second most populous country. The association between reasons for low contraceptive utilisation and maternal factors has been inadequately researched. Data from the 'morbidity and performance assessment' study were analysed to explore reasons for low contraceptive utilisation and their association with maternal factors among 308 women in Maitha, rural UP, India. Chi-square, t-test, ANOVA, and logistic regression analyses were conducted. Majority (84.2%) of the rural women in Maitha, UP, India were not using any contraceptives. Upper caste, literate wives, and wives whose husbands were literate were more likely to use contraceptives. About one-third of the women did not want to use a contraceptive because they wanted another child. Large numbers (65.3%) of women wanted to use contraceptives but were unable to do so due to lack of knowledge (38.9%), fear of side-effects (15.5%), husband/family disapproval (15.5%), inconvenience (10.7%), and other reasons (19.1%). Maternal parity, wives' and husband's literacy were significantly associated with the reasons for low contraceptive utilisation (p < 0.05). Contraceptive utilisation can be Improved by taking into consideration such maternal characteristics. All state subsidised contraceptives should be more widely known, understood and made available.

  12. Caste and maternal health care service use among rural Hindu women in Maitha, Uttar Pradesh, India.

    PubMed

    Saroha, Ekta; Altarac, Maja; Sibley, Lynn M

    2008-01-01

    The objective of this study was to examine the association between caste and maternal health care service use among rural Hindu women in India. We analyzed data from the Morbidity and Performance Assessment, a population-based cross-sectional study, for 482 Hindu women who were pregnant during January 1998 to January 1999 in Maitha, Uttar Pradesh, India. Maternal health care service use among both upper and lower caste women was very low. Upper caste women were almost three times more likely to use antenatal care (odds ratio [OR] = 2.72; 95% confidence interval [CI], 1.40-5.30), tetanus toxoid (OR = 2.50; 95% CI, 1.48-4.21), and contraceptives (OR = 2.66; 95% CI, 1.28-5.54) and almost five times (OR = 4.77; 95% CI, 1.81-12.54) more likely to have a trained birth attendant compared to the lower caste women. Caste was a significant determinant of tetanus toxoid use and trained birth attendant even after adjusting for sociodemographic factors. Besides caste, maternal literacy was the one sociodemographic factor that was significantly associated with the use of all maternal health care services. Information dissemination and awareness generation can improve the use of subsidized maternal health care services among women of all caste groups.

  13. Comprehensive dental health care program at an orphanage in Nellore district of Andhra Pradesh.

    PubMed

    Muralidharan, Dhanya; Fareed, Nusrath; Shanthi, M

    2012-01-01

    Provision of oral health care in India, especially for the underprivileged is limited due to inadequate finances and manpower. Resources of dental colleges in such a scenario can be utilized to provide prevention oriented oral health care. To improve the oral health status of children at an institute in Nellore district of Andhra Pradesh, India, through prevention based comprehensive dental health care program (CDHP). A longitudinal institution based interventional study conducted among the primary grade children (n=162). Baseline data collection included (i) basic demographic data (ii) body mass index (BMI) (iii) assessment of the dentition status and treatment needs according to WHO 1997 criteria. The CDHP included group based dental health education, professional oral prophylaxis, weekly (0.2%) sodium fluoride mouth rinse program, biannual application of topical fluoride (1.23% APF), pit and fissure sealants for all first permanent molars and provision of all necessary curative services. Mean treatment requirements per child decreased at 18 months. New caries lesions developed among four children. BMI of children with decay was seen to improve significantly after instituting the CDHP. CDHP is effective in overall improvement of general and oral health. In resource limited countries like India, such programs organized by dental schools can improve oral health.

  14. School Choice for the Poor? The Limits of Marketisation of Primary Education in Rural India. CREATE Pathways to Access. Research Monograph No. 23

    ERIC Educational Resources Information Center

    Harma, Joanna

    2010-01-01

    In recent years India has seen an explosion in low-fee private (LFP) schooling aimed at the poorer strata of society. This marketisation of primary education is a reaction to the well-documented failings of the government system. This paper looks at LFP schooling in one rural district of Uttar Pradesh, and compares government to low cost private…

  15. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-05-04

    maligned because of his insistence on making Raghunath Jha chairman of the Bihar Janata Dal. The Bihar political observers understand who is better...candidate] between Raghunath Jha and Ramsunder Das. So far as image is concerned, the end result was talk among the masses about VP Singh being more...Patel in Gujerat, Mulayam Singh Yadav in place of Rajmangal Pande in Uttar Pradesh, Raghunath Jha in place of Ramsunder Das in Bihar, V. C. Shukla

  16. Permian biogeography of the Indian subcontinent with special reference to the marine fauna

    NASA Astrophysics Data System (ADS)

    Singh, Trilochan

    Permian biogeography of the Indian subcontinent is discussed in the light of brachiopods and associated fossils from different localities. The discussion is based primarily on the Permian "biome" concept of Waterhouse and Bonham-Carter (1975), wherein three biomes are proposed: group A of subpolar, group B of temperate, and group C of tropical character. Data on the occurrence of Permian brachiopods and associated fossils are given for the Salt Range, Karakoram, and Himalayan regions of India, Nepal, Bhutan, Tibet, and Peninsular India with respect to the age of the fauna. Marine Permian localities of the Himalayan region include those of Ladakh, Zanskar, Lahaul and Spiti, Kashmir, Bhadarwah-Bhallesh-Chamba, Kinnaur, Garhwal, Kumaun, Darjeeling, Sikkim, and Arunachal Pradesh. Permian marine localities of Peninsular India, which forms a part of central Gondwanaland, include those of Bap, Badhaura, Umaria, Manendragarh, and Daltonganj, where marine transgression occurred in Early Permian time. The faunas of these localities are discussed with respect to their age, which falls into two groups, Early and Late Permian. It is suggested that widespread colder climatic conditions prevailed in the Indian subcontinent during the early Early Permian. Similar conditions continued in most of the localities until the late Early Permian, except at west Karakoram (Shaksgam valley), Zanskar, north Tibet (central and western part), and the Salt Range. However, during the Late Permian, climatic conditions were varied. Cold climatic conditions prevailed in north Tibet (central part), Kumaun Tethyan Himalaya, and south Tibet; temperate conditions occurred in west Karakoram (Shaksgam valley), Zanskar, Lahaul and Spiti, Bhadarwah-Bhallesh-Chamba, north Nepal, and north Sikkim; and tropical conditions occurred in the Salt Range, east Karakoram, Ladakh, Kashmir, and north Tibet (western and eastern parts). At a few localities there appear to be some anomalies that might be due to lack of stratigraphical details and/or lack of detailed faunal investigations. An analysis of the Permian fauna of the Indian subcontinent reveals that the fauna belongs to one single biogeographic province, the Gondwana province. The northern boundary of this biogeographic province passes through the Karakoram Pass, Bangong Lake, and the Nujiang River. The Gondwana biogeographic province, further, shows two subprovinces, the Himalayan and the Tibetan.

  17. mtDNA variation in caste populations of Andhra Pradesh, India.

    PubMed

    Bamshad, M; Fraley, A E; Crawford, M H; Cann, R L; Busi, B R; Naidu, J M; Jorde, L B

    1996-02-01

    Various anthropological analyses have documented extensive regional variation among populations on the subcontinent of India using morphological, protein, blood group, and nuclear DNA polymorphisms. These patterns are the product of complex population structure (genetic drift, gene flow) and a population history noted for numerous branching events. As a result, the interpretation of relationships among caste populations of South India and between Indians and continental populations remains controversial. The Hindu caste system is a general model of genetic differentiation among endogamous populations stratified by social forces (e.g., religion and occupation). The mitochondrial DNA (mtDNA) molecule has unique properties that facilitate the exploration of population structure. We analyzed 36 Hindu men born in Andhra Pradesh who were unrelated matrilineally through at least 3 generations and who represent 4 caste populations: Brahmin (9), Yadava (10), Kapu (7), and Relli (10). Individuals from Africa (36), Asia (36), and Europe (36) were sampled for comparison. A 200-base-pair segment of hypervariable segment 2 (HVS2) of the mtDNA control region was sequenced in all individuals. In the Indian castes 25 distinct haplotypes are identified. Aside from the Cambridge reference sequence, only two haplotypes are shared between caste populations. Middle castes form a highly supported cluster in a neighbor-joining network. Mean nucleotide diversity within each caste is 0.015, 0.012, 0.011, and 0.012 for the Brahmin, Yadava, Kapu, and Relli, respectively. mtDNA variation is highly structured between castes (GST = 0.17; p < 0.002). The effects of social structure on mtDNA variation are much greater than those on variation measured by traditional markers. Explanations for this discordance include (1) the higher resolving power of mtDNA, (2) sex-dependent gene flow, (3) differences in male and female effective population sizes, and (4) elements of the kinship structure. Thirty distinct haplotypes are found in Africans, 17 in Asians, and 13 in Europeans. Mean nucleotide diversity is 0.019, 0.014, 0.009, and 0.007 for Africans, Indians, Asians, and Europeans, respectively. These populations are highly structured geographically (GST = 0.15; p < 0.001). The caste populations of Andhra Pradesh cluster more often with Africans than with Asians or Europeans. This is suggestive of admixture with African populations.

  18. Cataract, Visual Impairment and Long-Term Mortality in a Rural Cohort in India: The Andhra Pradesh Eye Disease Study

    PubMed Central

    Khanna, Rohit C.; Murthy, Gudlavalleti V. S.; Giridhar, Pyda; Krishnaiah, Sannapaneni; Pant, Hira B.; Palamaner Subash Shantha, Ghanshyam; Chakrabarti, Subhabrata; Gilbert, Clare; Rao, Gullapalli N.

    2013-01-01

    Background A large-scale prevalence survey of blindness and visual impairment (The Andhra Pradesh Eye Diseases Study [APEDS1]) was conducted between 1996-2000 on 10,293 individuals of all ages in three rural and one urban clusters in Andhra Pradesh, Southern India. More than a decade later (June 2009-March 2010), APEDS1 participants in rural clusters were traced (termed APEDS2) to determine ocular risk factors for mortality in this longitudinal cohort. Methods and Findings Mortality hazard ratio (HR) analysis was performed for those aged >30 years at APEDS1, using Cox proportional hazard regression models to identify associations between ocular exposures and risk of mortality. Blindness and visual impairment (VI) were defined using Indian definitions. 799/4,188 (19.1%) participants had died and 308 (7.3%) had migrated. Mortality was higher in males than females (p<0.001). In multivariable analysis, after adjusting for age, gender, diabetes, hypertension, body mass index, smoking and education status the mortality HR was 1.9 (95% CI: 1.5-2.5) for blindness; 1.4 (95% CI: 1.2-1.7) for VI; 1.8 (95% CI: 1.4-2.3) for pure nuclear cataract, 1.5 (95% CI: 1.1-2.1) for pure cortical cataract; 1.96 (95% CI: 1.6-2.4) for mixed cataract, 2.0 (95% CI: 1.4-2.9) for history of cataract surgery, and 1.58 (95% CI: 1.3-1.9) for any cataract. When all these factors were included in the model, the HRs were attenuated, being 1.5 (95% CI: 1.1-2.0) for blindness and 1.2 (95% CI: 0.9-1.5) for VI. For lens type, the HRs were as follows: pure nuclear cataract, 1.6 (95% CI: 1.3-2.1); pure cortical cataract, 1.5 (95% CI: 1.1-2.1); mixed cataract, 1.8 (95% CI: 1.4-2.2), and history of previous cataract surgery, 1.8 (95% CI: 1.3-2.6). Conclusions All types of cataract, history of cataract surgery and VI had an increased risk of mortality that further suggests that these could be potential markers of ageing. PMID:24282482

  19. Ocular trauma in a rural population of southern India: the Andhra Pradesh Eye Disease Study.

    PubMed

    Krishnaiah, Sannapaneni; Nirmalan, Praveen K; Shamanna, Bindiganavale R; Srinivas, Marmamula; Rao, Gullapalli N; Thomas, Ravi

    2006-07-01

    To determine the prevalence of ocular trauma and proportion of blindness and visual impairment due to ocular trauma in a rural population of southern India. Population-based cross-sectional epidemiological study. A total of 7771 subjects of all ages, representative of the rural population of Andhra Pradesh. The subjects underwent a detailed interview and comprehensive ocular evaluation as part of the population-based Andhra Pradesh Eye Disease Study. An eye was considered to be blind due to trauma if best-corrected distance visual acuity was worse than 6/60 and the cause was attributed to ocular trauma. A total of 824 (10.6%) subjects gave a history of ocular trauma in either eye, including 76 (1.0%) persons reporting trauma in both eyes. The overall age- and gender-adjusted prevalence of history of eye injury in this rural population was 7.5% (95% confidence interval [CI], 7.0%-8.1%). Men were more likely to have an eye injury than women (odds ratio [OR], 2.1 [95% CI, 1.8-2.5]). After adjusting for gender and other demographic factors, ocular trauma was significantly more frequent among laborers (OR, 1.5 [95% CI, 1.2-1.7]) when compared with other occupational groups. After adjusting for gender, injury with vegetable matter such as a thorn, branch of a tree, plant secretion, etc. (n = 373 [45.3%]) was the major cause of trauma reported in this population. The majority of the eye injuries occurred at the workplace (n = 461 [55.9%]), followed by home (n = 179 [21.7%]). The majority of those affected (n = 806 [97.8%]) did not wear any eye protection at the time of trauma. A significant proportion (n = 307 [43.1%]) of subjects who sought treatment for an eye injury went to an ophthalmologist. Trauma was responsible for unilateral blindness in 39 subjects, an age- and gender-adjusted prevalence of 0.6% (95% CI, 0.4%-0.8%). Most ocular injuries in this rural population occurred at the workplace, suggesting the need to explore workplace strategies to minimize ocular trauma as a priority. Eye care programs targeting high-risk ocular trauma groups may need to consider ocular trauma as a priority in eye health awareness strategies to reduce blindness due to trauma.

  20. Performance and determinants of routine immunization coverage within the context of intensive polio eradication activities in Uttar Pradesh, India: Social Mobilization Network (SM Net) and Core Group Polio Project (CGPP)

    PubMed Central

    2013-01-01

    Background Studies that have looked at the effect of polio eradication efforts in India on routine immunization programs have provided mixed findings. One polio eradication project, funded by US Agency for International Development (USAID) and carried out by the CORE Group Polio Project (CGPP) in the state of Uttar Pradesh of India, has included the strengthening of routine immunization systems as a core part of its polio eradication strategy. This paper explores the performance of routine immunization services in the CGPP intervention areas concurrent with intensive polio eradication activities. The paper also explores determinants of routine immunization performance such as caretaker characteristics and CGPP activities to strengthen routine immunization services. Methods We conduct secondary data analysis of the latest project household immunization survey in 2011 and compare these findings to reports of past surveys in the CGPP program area and at the Uttar Pradesh state level (as measured by children’s receipt of DPT vaccinations). This is done to judge if there is any evidence that routine immunization services are being disrupted. We also model characteristics of survey respondents and respondents’ exposure to CGPP, communication activities against their children’s receipt of key vaccinations in order to identify determinants of routine immunization coverage. Results Routine immunization coverage has increased between the first survey (2005 for state level estimates, 2008 for the CGPP program) and the latest (2011 for both state level and CGPP areas), as measured by children’s receipt of DPT vaccination. This increase occurred concurrent with polio eradication efforts intensive enough to result in interruption of transmission. In addition, a mothers’ exposure to specific communication materials, her religion and education were associated with whether or not her children receive one or more doses of DPT. Conclusions A limitation of the analysis is the absence of a controlled comparison. It is possible routine immunization coverage would have increased even more in the absence of polio eradication efforts. At the same time, however, there is no evidence that routine immunization services were disrupted by polio eradication efforts. Targeted health communications are helpful in improving routine immunization performance. Strategies to address other determinants of routine immunization, such as religion and education, are also needed to maximize coverage. PMID:23680228

  1. Draft Genome Sequence of Thermus sp. Strain RL, Isolated from a Hot Water Spring Located atop the Himalayan Ranges at Manikaran, India

    PubMed Central

    Dwivedi, Vatsala; Sangwan, Naseer; Nigam, Aeshna; Garg, Nidhi; Niharika, Neha; Khurana, Paramjit; Khurana, Jitendra P.

    2012-01-01

    Thermus sp. strain RL was isolated from a hot water spring (90°C to 98°C) at Manikaran, Himachal Pradesh, India. Here we report the draft genome sequence (20,36,600 bp) of this strain. The draft genome sequence consists of 17 contigs and 1,986 protein-coding sequences and has an average G+C content of 68.77%. PMID:22689228

  2. A survey of severe visual impairment in children attending schools for the blind in a coastal district of Andhra Pradesh in South India

    PubMed Central

    Krishnaiah, S; Subba Rao, B; Lakshmi Narasamma, K; Amit, G

    2012-01-01

    Purpose To identify the major causes of severe childhood visual impairment and blindness among students attending schools for the blind in a coastal district of Andhra Pradesh (AP) in South India. Methods Children ≤16 years of age attending six schools for the blind in the study area were interviewed and examined in the year 2009, and causes were classified according to the World Health Organization Program for Prevention of Blindness (WHO/PBL) childhood blindness proforma. A total of 113 children underwent a detailed eye examination by an experienced ophthalmologist. Results The major causes of blindness were congenital eye anomalies in 46 children (41.4; 95% confidence interval (CI): 32.3–50.6), followed by retinal disorders in 21 children (18.9% 95% CI: 11.6–26.2), cataract in 9 children (9.7% 95% CI: 2.9–12.9), and corneal conditions (scar and Staphyloma) in 8 children (7.1% 95% CI: 2.4–11.8). More than half the children (56.6%) were blind due to conditions that could have been treated or prevented. Discussion Congenital anomalies were found to be the most common cause of blindness. The majority of the cases were due to avoidable causes of blindness. Therefore, robust screening measures may help reduce the burden of visual impairment in children. PMID:22576826

  3. Violence in contract work among female sex workers in Andhra Pradesh, India.

    PubMed

    George, Annie; Sabarwal, Shagun; Martin, P

    2011-12-01

    Female sex workers (FSWs) are vulnerable to physical and sexual violence at work. This article examines the prevalence of recent physical and sexual violence victimization and associations of type of sex work among a large sample of young FSWs. We used data from a cross-sectional survey on sex trafficking and sex work in southern India that included 1138 FSWs aged 18-25 years residing in 3 districts of Andhra Pradesh state. The independent variable was organization of sex work. FSWs on contract at sex work establishments outside their home district were classified as contract workers, as compared with women who worked autonomously within their home district. Using logistic regression models adjusted for sociodemographic factors, we assessed the relation between contract/ non-contract sex work and various forms of violence experienced by FSWs. Results indicate a high prevalence of work-related physical and sexual violence; 50% FSWs reported physical violence, and 77% reported sexual violence. FSWs performing contract work were at increased risk of physical and sexual violence at work, compared with women engaged in sex work in their home districts. The findings that contract work outside the home district increases the vulnerabilities faced by FSWs in India suggest that violence and disease prevention services aimed at FSWs would be more effective if organization of sex work--as contract or noncontract--is taken into account.

  4. Treatment practices in pulmonary tuberculosis by private sector physicians of Meerut, Uttar Pradesh.

    PubMed

    Yadav, A; Garg, S K; Chopra, H; Bajpai, S K; Bano, T; Jain, S; Kumar, A

    2012-01-01

    Majority of the qualified medical practitioners in the country are in the private sector and more than half of patients with tuberculosis (TB) seek treatment from them. The present study was conducted with the objective of assessing the treatment modalities in pulmonary tuberculosis by the private physicians in Meerut City, Uttar Pradesh, India. A cross-sectional study was carried out covering all the private physicians (graduates and postgraduates in Medicine and Chest Diseases) registered under the Indian Medical Association, Meerut Branch (n = 154). The physicians were interviewed by a pre-designed and pre-tested questionnaire about the treatment modalities practiced by them. Only 43.5% private physicians had attended any Revised National Tuberculosis Control Programme (RNTCP) training in the past five years. Only 33.1% of them were aware of the International Standards of Tuberculosis Care (ISTC). Fifty-three different regimens were used to treat the patients. Majority of physicians (76%) prescribed daily regimens while 24% administered both daily and intermittent treatment. None of the private physicians prescribed exclusive intermittent regimen. Eighty-seven different treatment regimens were used for the treatment of multidrug-resistant TB (MDR-TB) with none of them prescribing standard treatment under RNTCP. As majority of private practitioners do not follow RNTCP guidelines for treating TB, there is an urgent need for their continued education in this area.

  5. A survey of severe visual impairment in children attending schools for the blind in a coastal district of Andhra Pradesh in South India.

    PubMed

    Krishnaiah, S; Subba Rao, B; Lakshmi Narasamma, K; Amit, G

    2012-08-01

    To identify the major causes of severe childhood visual impairment and blindness among students attending schools for the blind in a coastal district of Andhra Pradesh (AP) in South India. Children ≤ 16 years of age attending six schools for the blind in the study area were interviewed and examined in the year 2009, and causes were classified according to the World Health Organization Program for Prevention of Blindness (WHO/PBL) childhood blindness proforma. A total of 113 children underwent a detailed eye examination by an experienced ophthalmologist. The major causes of blindness were congenital eye anomalies in 46 children (41.4; 95% confidence interval (CI): 32.3-50.6), followed by retinal disorders in 21 children (18.9%; 95% CI: 11.6-26.2), cataract in 9 children (9.7%; 95% CI: 2.9-12.9), and corneal conditions (scar and Staphyloma) in 8 children (7.1%; 95% CI: 2.4-11.8). More than half the children (56.6%) were blind due to conditions that could have been treated or prevented. Congenital anomalies were found to be the most common cause of blindness. The majority of the cases were due to avoidable causes of blindness. Therefore, robust screening measures may help reduce the burden of visual impairment in children.

  6. Using Technology to Claim Rights to Free Maternal Health Care: Lessons about Impact from the My Health, My Voice Pilot Project in India.

    PubMed

    Dasgupt, Jashodhara; Sandhya, Y K; Lobis, Samantha; Verma, Pravesh; Schaaf, Marta

    2015-12-10

    My Health, My Voice is a human rights-based project that pilots the use of technology to monitor and display online data regarding informal payments for maternal health care in two districts of Uttar Pradesh, India. SAHAYOG, an organization based in Uttar Pradesh, partnered with a grassroots women's forum to inform women about their entitlements, to publicize the project, and to implement a toll-free hotline where women could report health providers' demands for informal payments. Between January 2012 and May 2013, the hotline recorded 873 reports of informal payment demands. Monitoring and evaluation revealed that the project enhanced women's knowledge of their entitlements, as well as their confidence to claim their rights. Anecdotal evidence suggests that health providers' demands for informal payments were reduced in response to the project, although hospital and district officials did not regularly consult the data. The use of technology accorded greater legitimacy among governmental stakeholders. Future research should examine the sustainability of changes, as well as the mechanisms driving health sector responsiveness. Copyright © 2015 Dasgupta et al. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

  7. Successful polio eradication in Uttar Pradesh, India: the pivotal contribution of the Social Mobilization Network, an NGO/UNICEF collaboration

    PubMed Central

    Coates, Ellen A; Waisbord, Silvio; Awale, Jitendra; Solomon, Roma; Dey, Rina

    2013-01-01

    ABSTRACT In Uttar Pradesh, India, in response to low routine immunization coverage and ongoing poliovirus circulation, a network of U.S.-based CORE Group member and local nongovernmental organizations partnered with UNICEF, creating the Social Mobilization Network (SMNet). The SMNet's goal was to improve access and reduce family and community resistance to vaccination. The partners trained thousands of mobilizers from high-risk communities to visit households, promote government-run child immunization services, track children's immunization history and encourage vaccination of children missing scheduled vaccinations, and mobilize local opinion leaders. Creative behavior change activities and materials promoted vaccination awareness and safety, household hygiene, sanitation, home diarrheal-disease control, and breastfeeding. Program decision-makers at all levels used household-level data that were aggregated at community and district levels, and senior staff provided rapid feedback and regular capacity-building supervision to field staff. Use of routine project data and targeted research findings offered insights into and informed innovative approaches to overcoming community concerns impacting immunization coverage. While the SMNet worked in the highest-risk, poorly served communities, data suggest that the immunization coverage in SMNet communities was often higher than overall coverage in the district. The partners' organizational and resource differences and complementary technical strengths posed both opportunities and challenges; overcoming them enhanced the partnership's success and contributions. PMID:25276518

  8. Measurement of unmet need for family planning: Longitudinal analysis of the impact of fertility desires on subsequent childbearing behaviors among urban women from Uttar Pradesh India

    PubMed Central

    Speizer, Ilene S.; Calhoun, Lisa; Hoke, Theresa; Sengupta, Ranajit

    2013-01-01

    Background The measure of unmet need relies on women’s reported fertility desires; previous research has demonstrated that fertility desires may be fluid and not firm. Study design Our study uses recently collected longitudinal data from four cities in Uttar Pradesh India to examine whether women’s fertility desires and family planning (FP) use at baseline predict pregnancy/birth experience in the two-year follow-up period. Results Multivariate models demonstrate that women who were using any method of FP and reported an intention to stop childbearing were the least likely to experience a pregnancy/birth in the two-year follow-up period. The stated desire to delay childbearing, whether or not the woman was using FP did not distinguish pregnancy/birth experience. Ninety- two percent of pregnancies/births over the follow-up period were considered “wanted then” suggesting post hoc rationalization of the pregnancy/birth even among those women who reported a desire to stop childbearing two years earlier. Conclusions More nuanced assessments of fertility intentions may be needed to adequately gauge latent family planning needs. Non-users of FP may be ambivalent about future childbearing and the timing of future births; these women may not have an unmet need for FP as typically defined. PMID:23706906

  9. India-Japan Strategic Cooperation and Implications for U.S. Strategy in the Indo-Asia-Pacific Region

    DTIC Science & Technology

    2017-03-01

    Pradesh, Maharashtra, and West Bengal. In a 2015 ex post facto evaluation of Japan’s ODA Rural Electrification Project, project evaluator Keishi...rights are observed and extended. Implicit in the rebalance was a hedge against a China acting to challenge the existing post –World War II rules-based...during the last 45 years of the 20th century. In the immediate post –World War II era, India provided urgent supplies of food and other equipment to

  10. Netra darpanamu - A Unique book on eye diseases

    PubMed Central

    Prasad, Goli Penchala

    2007-01-01

    Netra Darpanamu is the only book written exclusively on Eye diseases in Telugu. This Ayurvedic book, which is famous in Andhra Pradesh, was first published in 1908 in Eluru. The book is written in chaste Telugu poetry, comprising the types of treatment followed by 36 recipes. This book contains names of various eye diseases, treatment procedures like bandages, plasters, collyriums and regimen of food and behaviour. This article aims to highlight the importance of this book in treating various eye diseases. PMID:22557269

  11. Draft Genome Sequence of a Cellulase-Producing Psychrotrophic Paenibacillus Strain, IHB B 3415, Isolated from the Cold Environment of the Western Himalayas, India.

    PubMed

    Dhar, Hena; Swarnkar, Mohit Kumar; Gulati, Arvind; Singh, Anil Kumar; Kasana, Ramesh Chand

    2015-02-19

    Paenibacillus sp. strain IHB B 3415 is a cellulase-producing psychrotrophic bacterium isolated from a soil sample from the cold deserts of Himachal Pradesh, India. Here, we report an 8.44-Mb assembly of its genome sequence with a G+C content of 50.77%. The data presented here will provide insights into the mechanisms of cellulose degradation at low temperature. Copyright © 2015 Dhar et al.

  12. Making connections: Exploring student agency in a science classroom in India

    NASA Astrophysics Data System (ADS)

    Sharma, Ajay

    India has been a free country for more than half a century now. In this time, the state has succeeded to a large extent in providing universal access to at least elementary education to all the citizens. However, the quality of education provided in state-run schools remains far removed from the ideals endorsed in policy documents. The vast majority of Indian poor, especially in rural areas, depend upon state-run schools for access to education. However, the low quality of education provided in these schools militates against their hopes and efforts for securing a better future through education. Undergirded by concerns over the raw deal students of government run schools get in rural India, this study is an ethnographic exploration of science learning in a rural middle school classroom in India. The study was conducted in the government middle school at the village Rajkheda, in the Hoshangabad district of the state of Madhya Pradesh, India. The study focused on the nature and scope of student participation in a middle school science classroom of rural school in India. Taking a socio-cultural perspective, it explored student participation in science classroom as engagement in a socioculturally mediated dialogue with the natural and the social world. Thus, two parallel yet intersecting themes run through the narrative this study presents. On one hand, it focuses on students' efforts to both learn and survive science as taught in that school. While on the other, it details the nature of their engagement with and knowledge of their immediate material world. The study shows that through active engagement with their local material and social world, students of the 8th grade had acquired an extensive, useful and situated funds of experiential knowledge that enabled them to enact their agency in the material world around them. This knowledge revealed itself differently in different contexts. Their knowledge representations about school science and the material world were situated improvised responses to ongoing dialogues that enabled them to survive, negotiate and maneuver their way through their immediate social world. Inside the science classroom, students negotiated their roles as students in a varied, improvised, and contingent manner. Further, whenever the constraints and affordances of the local situation and the resources at their disposal made it feasible, students exercised their social agency to selectively appropriate school science discourse for their own out-of-school purposes. The science teacher did much to encourage this contingent and situated emergence of students' social agency. However, the extant teacher professional and school science discourses allowed him to achieve only limited success in making science more meaningful and relevant to the students. The study reveals that though much has been accomplished to provide universal access to elementary education in India, the science instruction still persists along traditional lines. Thus, the state is still far from providing access to the type of science education it advocates in its national policy documents. The study urges the state to fulfill its constitutional obligations by providing a science education that enables students to not only build a better future for themselves, but also work for peaceful and progressive social change. The study recommends informed bricolage as a goal for teacher education and professional development.

  13. Improving student learning via mobile phone video content: Evidence from the BridgeIT India project

    NASA Astrophysics Data System (ADS)

    Wennersten, Matthew; Quraishy, Zubeeda Banu; Velamuri, Malathi

    2015-08-01

    Past efforts invested in computer-based education technology interventions have generated little evidence of affordable success at scale. This paper presents the results of a mobile phone-based intervention conducted in the Indian states of Andhra Pradesh and Tamil Nadu in 2012-13. The BridgeIT project provided a pool of audio-visual learning materials organised in accordance with a system of syllabi pacing charts. Teachers of Standard 5 and 6 English and Science classes were notified of the availability of new videos via text messages (SMS), which they downloaded onto their phones using an open-source application and showed, with suggested activities, to students on a TV screen using a TV-out cable. In their evaluation of this project, the authors of this paper found that the test scores of children who experienced the intervention improved by 0.36 standard deviations in English and 0.98 standard deviations in Science in Andhra Pradesh, relative to students in similar classrooms who did not experience the intervention. Differences between treatment and control schools in Tamil Nadu were less marked. The intervention was also cost-effective, relative to other computer-based interventions. Based on these results, the authors argue that is possible to use mobile phones to produce a strong positive and statistically significant effect in terms of teaching and learning quality across a large number of classrooms in India at a lower cost per student than past computer-based interventions.

  14. Anticandidal synergistic activity of green tea catechins, antimycotics and copper sulphate as a mean of combinational drug therapy against candidiasis.

    PubMed

    Anand, J; Rai, N

    2017-03-01

    The present investigation aims at evaluating synergistic herbal based composition of purified catechins with fluconazole, amphotericin B and copper sulphate against Candida albicans (MTCC 3017) and Candida glabrata (MTCC 3019). The catechins were isolated from green tea leaves of Assam, Himachal Pradesh and Uttarakhand regions of India. The synergistic activity of combinations against Candida species was assessed following microdilution checkerboard technique and time kill assay. The inhibitory action of most significant combination on treated Candida cells was assessed by scanning electron microscopy. Cytotoxicity of synergistic compositions was further analyzed by performing MTT assay on Vero cell lines. Purified catechins of Assam and Himachal Pradesh green tea showed synergistic activity with fluconazole and amphotericin B against Candida species. Time kill assay depicted synergistic activity at minimum inhibitory concentration and twice of minimum inhibitory concentration of purified catechins and antimycotics. Further, Copper sulphate increased anticandidal efficacy of synergistic combinations by 0.4% to 6.63%. SEM analysis revealed morphological distortions of treated Candida cells. Cytotoxicity analysis of synergistic composition depicted high percentage viability (≥91.4% to≥100%) of Vero cell line, which suggests non-cytotoxic activity of proposed composition on healthy cells. It can be inferred that present evaluated synergistic composition can confer promising anticandidal efficacy and requires further investigation of safety and translational guidelines for effective and safer green tea based potent therapeutic drug. Copyright © 2016. Published by Elsevier Masson SAS.

  15. Vulnerability re-assessed: the changing face of sex work in Guntur district, Andhra Pradesh.

    PubMed

    Beattie, Tara S H; Bradley, Janet E; Vanta, Uma Devi; Lowndes, Catherine M; Alary, Michel

    2013-01-01

    We conducted a qualitative study to examine the impact of an HIV prevention programme on female sex workers' lives in Guntur district, Andhra Pradesh. The study found evidence that, in addition to the HIV prevention programme, structural and environmental factors had recently changed the way sex work was being practiced. Recent closure of the brothels and implementation of a late-night street curfew by the police meant sex work had become more hidden, with clients often solicited using mobile phones from home or their work place (e.g., in the fields or factories). Sex work had become safer, with violence by non-regular partners rarely reported. Women understood the risks of unprotected vaginal sex and reported using condoms with their clients. However, clients were more frequently requesting anal sex, possibly due to recent exposure to pornography following increased accessibility to modern technologies such as mobile phones and the Internet. Anal sex with clients was common but women were often unaware of the associated risks and reported unprotected anal sex. HIV positive and/or older women faced severe financial hardship and difficulty soliciting sufficient clients, and reported unprotected vaginal and anal sex to earn enough to survive. Taken together, the findings from this study suggest changing vulnerability to HIV in this setting. It will be important for HIV prevention programmes to be flexible and creative in their approaches if they are to continue to reach this target community effectively.

  16. Migration/mobility and risk factors for HIV among female sex workers in Andhra Pradesh, India: implications for HIV prevention.

    PubMed

    Reed, E; Gupta, J; Biradavolu, M; Blankenship, K M

    2012-04-01

    We examined the relation between high mobility/migration (sex work in three or more villages/towns within the past year) and HIV risk factors among a sample of female sex workers (FSWs) in Andhra Pradesh, India. We recruited FSWs aged ≥18 years (n = 673) through respondent-driven sampling for a survey on HIV risk. Adjusted logistic and linear regression models assessed high mobility in relation to sexual and physical victimization, sexually transmitted infection (STI) symptoms and treatment, condom use and negotiation, number and/or types of sex trades, number of clients and number of days worked. Twelve percent (n = 82) of FSWs were highly mobile; those with high mobility were more likely to report recent HIV risk factors: sexual violence (adjusted odds ratio [AOR] = 5.2; 95% confidence interval [CI]: 3.0-8.9), physical violence (AOR = 1.7; 95% CI: 1.1-2.7), unprotected sex for more money (AOR = 1.7; 95% CI: 1.1-3.0), at least one STI symptom (AOR = 1.9; 95% CI: 1.1-3.1), a greater number of vaginal sex trades (β = 3.9, P = 0.003), a greater number of clients (β = 2.5, P = 0.02) and anal sex with clients (AOR = 2.4; 95% CI: 1.4-4.1). Findings from this study underscore the violence and HIV-related vulnerability faced by mobile/migrant FSWs and highlight the need to inform and tailor related prevention strategies.

  17. Paisang (Quercus griffithii): a keystone tree species in sustainable agroecosystem management and livelihoods in Arunachal Pradesh, India.

    PubMed

    Singh, Ranjay K; Singh, Anshuman; Garnett, Stephen T; Zander, Kerstin K; Lobsang; Tsering, Darge

    2015-01-01

    In a study of the traditional livelihoods of 12 Monpa and Brokpa villages in Arunachal Pradesh, India using social-ecological and participatory rural appraisal techniques, we found that the forest tree species paisang (Quercus griffithii, a species of oak) is vital to agroecosystem sustainability. Paisang trees are conserved both by individuals and through community governance, because their leaves play a crucial role in sustaining 11 traditional cropping systems of the Monpa peoples. An Indigenous institution, Chhopa, regulates access to paisang leaves, ensuring that the relationship between paisang and traditional field crop species within Monpa agroecosystems is sustainable. The Monpa farmers also exchange leaves and agricultural products for yak-based foods produced by the transhumant Brokpa, who are primarily yak herders. Yak herds also graze in paisang groves during winter. These practices have enabled the conservation of about 33 landraces, yak breeds, and a number of wild plants. Paisang thus emerged as a culturally important keystone species in the cultures and livelihoods of both Monpa and Brokpa. Ecological and conservation knowledge and ethics about paisang vary with gender, social systems, and altitudes. Labor shortages, however, have already caused some changes to the ways in which paisang leaves are used and yak grazing patterns are also changing in the face of changes in attitude among local landowners. Given new competing interests, incentives schemes are now needed to conserve the ecologically sustainable traditional livelihoods.

  18. Groundwater quality from a part of Prakasam District, Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Subba Rao, N.

    2018-03-01

    Quality of groundwater is assessed from a part of Prakasam district, Andhra Pradesh, India. Groundwater samples collected from thirty locations from the study area were analysed for pH, electrical conductivity (EC), total dissolved solids (TDS), calcium (Ca2+), magnesium (Mg2+), sodium (Na+), potassium (K+), bicarbonate ( {HCO}3^{ - } ), chloride (Cl-), sulphate ( {SO}4^{2 - } ), nitrate ( {NO}3^{ - } ) and fluoride (F-). The results of the chemical analysis indicate that the groundwater is alkaline in nature and are mainly characterized by Na+- {HCO}3^{ - } and Na+-Cl- facies. Groundwater chemistry reflects the dominance of rock weathering and is subsequently modified by human activities, which are supported by genetic geochemical evolution and hydrogeochemical relations. Further, the chemical parameters (pH, TDS, Ca2+, Mg2+, Na+, {HCO}3^{ - } , Cl-, {SO}4^{2 - } , {NO}3^{ - } and F-) were compared with the drinking water quality standards. The sodium adsorption ratio, percent sodium, permeability index, residual sodium carbonate, magnesium ratio and Kelly's ratio were computed and USSL, Wilcox and Doneen's diagrams were also used for evaluation of groundwater quality for irrigation. For industrial purpose, the pH, TDS, {HCO}3^{ - } , Cl- and {SO}4^{2 - } were used to assess the impact of incrustation and corrosion activities on metal surfaces. As a whole, it is observed that the groundwater quality is not suitable for drinking, irrigation and industrial purposes due to one or more chemical parameters exceeding their standard limits. Therefore, groundwater management measures were suggested to improve the water quality.

  19. Anal sex and associated HIV-related sexual risk factors among female sex workers in Andhra Pradesh, India.

    PubMed

    Patra, Rajesh Kumar; Mahapatra, Bidhubhusan; Kovvali, Dolly; Proddutoor, Laxminarayana; Saggurti, Niranjan

    2012-11-01

    This study aims to understand the correlates of anal sex practices among female sex workers (FSWs) and examine the association of anal sex with HIV-related sexual risk factors in Andhra Pradesh, India. A cross-sectional behavioural survey was conducted in 2011 among 795 FSWs aged 18 years or older. Probability-based cluster sampling was used to select respondents from sex work hotspots. One-quarter (23%) of FSWs had practiced anal sex in the last year. The odds of practicing anal sex were higher among FSWs aged 35 years or more than in those aged less than 25 years (adjusted odds ratio (AOR): 2.05, P<0.05), in those formerly married compared to those currently married (AOR: 1.88, P<0.01), in those having an income only from sex work compared to those having additional sources of income (AOR: 1.54, P<0.05), those reporting heavy alcohol consumption compared to those who did not (AOR: 2.80, P<0.01) and those who experienced violence compared to those who had not (AOR: 2.80, P<0.01). FSWs practicing anal sex were more likely to experience sexually transmissible infection (STI) related symptoms than those practicing only vaginal sex. There was no association between anal sex practice and condom use. Anal sex is associated with STI symptoms, a factor for HIV risk. HIV intervention programmes need to educate FSWs about the risks associated with anal sex.

  20. Paisang ( Quercus griffithii): A Keystone Tree Species in Sustainable Agroecosystem Management and Livelihoods in Arunachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Singh, Ranjay K.; Singh, Anshuman; Garnett, Stephen T.; Zander, Kerstin K.; Lobsang; Tsering, Darge

    2015-01-01

    In a study of the traditional livelihoods of 12 Monpa and Brokpa villages in Arunachal Pradesh, India using social-ecological and participatory rural appraisal techniques, we found that the forest tree species paisang ( Quercus griffithii, a species of oak) is vital to agroecosystem sustainability. Paisang trees are conserved both by individuals and through community governance, because their leaves play a crucial role in sustaining 11 traditional cropping systems of the Monpa peoples. An Indigenous institution, Chhopa, regulates access to paisang leaves, ensuring that the relationship between paisang and traditional field crop species within Monpa agroecosystems is sustainable. The Monpa farmers also exchange leaves and agricultural products for yak-based foods produced by the transhumant Brokpa, who are primarily yak herders. Yak herds also graze in paisang groves during winter. These practices have enabled the conservation of about 33 landraces, yak breeds, and a number of wild plants. Paisang thus emerged as a culturally important keystone species in the cultures and livelihoods of both Monpa and Brokpa. Ecological and conservation knowledge and ethics about paisang vary with gender, social systems, and altitudes. Labor shortages, however, have already caused some changes to the ways in which paisang leaves are used and yak grazing patterns are also changing in the face of changes in attitude among local landowners. Given new competing interests, incentives schemes are now needed to conserve the ecologically sustainable traditional livelihoods.

  1. Snow Cover Distribution and Variation using MODIS in the Himalayas of India

    NASA Astrophysics Data System (ADS)

    Mondal, A.; Lakshmi, V.; Jain, S. K.; Kansara, P. H.

    2017-12-01

    Snow cover variation plays a big role in river discharge, permafrost distribution and mass balance of glaciers in mountainous watersheds. Spatial distribution and temporal variation of snow cover varies with elevation and climate. We study the spatial distribution and temporal change of snow cover that has been observed using Terra Moderate Resolution Imaging Spectrometer (MODIS) product (MOD10A2 version 5) from 2001 to 2016. This MODIS product is based on normalized-difference snow index (NDSI) using band 4 (0.545-0.565 μm) and band 6 (1.628-1.652 μm). The spatial resolution of MOD10A2 is 500 m and composited over 8 days. The study area is the Indian Himalayas, major snow covered part of which is located in the states of Jammu and Kashmir, Himachal Pradesh, Uttarakhand, West Bengal, Sikkim, Assam and Arunachal Pradesh. Distribution and variation in snow cover is examined on monthly and annual time scales in this study. The temporal changes in snow cover has been compared with terrain attributes (elevation, slope and aspect). The snow cover depletion and accumulation have been observed during April-August and September-March. The snow cover is highest in the March and lowest in the August in the Himachal region. This study will be helpful to identify the amount of water stored in the glaciers of the Indian Himalaya and also important for water resources management of river basins, which are located in this area. Key words: Snow cover, MODIS, NDSI, terrain attribute

  2. Spatial and Temporal Variation of Japanese encephalitis Disease and Detection of Disease Hotspots: a Case Study of Gorakhpur District, Uttar Pradesh, India

    NASA Astrophysics Data System (ADS)

    Verma, S.; Gupta, R. D.

    2014-11-01

    In recent times, Japanese Encephalitis (JE) has emerged as a serious public health problem. In India, JE outbreaks were recently reported in Uttar Pradesh, Gorakhpur. The present study presents an approach to use GIS for analyzing the reported cases of JE in the Gorakhpur district based on spatial analysis to bring out the spatial and temporal dynamics of the JE epidemic. The study investigates spatiotemporal pattern of the occurrence of disease and detection of the JE hotspot. Spatial patterns of the JE disease can provide an understanding of geographical changes. Geospatial distribution of the JE disease outbreak is being investigated since 2005 in this study. The JE incidence data for the years 2005 to 2010 is used. The data is then geo-coded at block level. Spatial analysis is used to evaluate autocorrelation in JE distribution and to test the cases that are clustered or dispersed in space. The Inverse Distance Weighting interpolation technique is used to predict the pattern of JE incidence distribution prevalent across the study area. Moran's I Index (Moran's I) statistics is used to evaluate autocorrelation in spatial distribution. The Getis-Ord Gi*(d) is used to identify the disease areas. The results represent spatial disease patterns from 2005 to 2010, depicting spatially clustered patterns with significant differences between the blocks. It is observed that the blocks on the built up areas reported higher incidences.

  3. Geochemical evolution of groundwater in the Western Delta region of River Godavari, Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Nageswara Rao, P. V.; Appa Rao, S.; Subba Rao, N.

    2017-05-01

    The present study on geochemical evolution of groundwater is taken up to assess the controlling processes of water chemistry in the Western Delta region of the River Godavari (Andhra Pradesh), which is one of the major rice-producing centers in India. The study region is underlain by coarse sand with black clay (buried channels), black silty clay of recent origin (floodplain) and gray/white fine sand of modern beach sediment of marine source (coastal zone), including brown silty clay with fine sand (paleo-beach ridges). Groundwater is mostly brackish and very hard. It is characterized by Na+ > Mg2+ > Ca2+:HCO3 - > Cl- > SO4 2- > NO3 -, Na+ > Mg2+ > Ca2+:Cl- > HCO3 - > SO4 2-, and Mg2+ > Na+ > Ca2+ > or < K+:HCO3 - > Cl- > or > SO4 2- facies. The ionic relations (Ca2+ + Mg2+:HCO3 -, Ca2+ + Mg2+:SO4 2- + HCO3 -, Na+ + K+:TC, Na+ + K+:Cl- + SO4 2-, HCO3 -:TC, HCO3 -:Ca2+ + Mg2+, Na+:Cl- and Na+:Ca2+) indicate that the rock weathering, mineral dissolution, evaporation and ion exchange are the processes to control the aquifer chemistry. Anthropogenic and marine sources are also the supplementary factors for brackish water quality. These observations are further supported by Gibbs mechanisms that control the water chemistry. Thus, the study suggests that the initial quality of groundwater of geogenic origin has been subsequently modified by the influences of anthropogenic and marine sources.

  4. "Tinni" Rice ( Oryza rufipogon Griff.) Production: An Integrated Sociocultural Agroecosystem in Eastern Uttar Pradesh of India

    NASA Astrophysics Data System (ADS)

    Singh, Ranjay K.; Turner, Nancy J.; Pandey, C. B.

    2012-01-01

    This study reports how Traditional Ecological Knowledge (TEK) and informal cultural institutions have conserved key varieties of the wildgrowing rice, ` tinni' (red rice, or brownbeard rice, Oriza rufipogon Griff.), within the Bhar community of eastern Uttar Pradesh, India. The study was conducted, using conventional and participatory methods, in 10 purposively selected Bhar villages. Two distinct varieties of tinni (` tinni patali' and ` tinni moti') with differing habitats and phenotypic characters were identified. Seven microecosystems (Kari, Badaila, Chammo, Karmol, Bhainsiki, Bhainsala and Khodailia) were found to support these varieties in differing proportions. Tinni rice can withstand more extreme weather conditions (the highest as well as lowest temperatures and rainfall regimes) than the `genetically improved' varieties of rice ( Oriza sativa L.) grown in the region. Both tinni varieties are important bioresources for the Bhar's subsistence livelihoods, and they use distinctive conservation approaches in their maintenance. Bhar women are the main custodians of tinni rice agrobiodiversity, conserving tinni through an institution called Sajha. Democratic decision-making at meetings organized by village elders determines the market price of the tinni varieties. Overall, the indigenous institutions and women's participation seem to have provided safeguards from excessive exploitation of tinni rice varieties. The maintenance of tinni through cultural knowledge and institutions serves as an example of the importance of locally maintained crop varieties in contributing to people's resilience and food security in times of rapid social and environmental change.

  5. The prevalence of malocclusion and orthodontic treatment needs in school going children of Nalagarh, Himachal Pradesh, India.

    PubMed

    Singh, Sarabjeet; Sharma, Abhishek; Sandhu, Navreet; Mehta, Kavita

    2016-01-01

    The aim of this study was to determine the prevalence of malocclusion and orthodontic treatment need in 13-18-year-old schoolchildren of Nalagarh, Himachal Pradesh, India using the Index of Orthodontic Treatment need (IOTN) and to analyze the treatment needs between males and females and correlation between the esthetic component (AC) and dental health component (DHC) of IOTN. The sample comprised 2000 school children (1125 females and 875 males) who had not undergone orthodontic treatment. No radiographs, study casts, were used; IOTN was calculated from clinical examination. DHC results showed that little need for orthodontic treatment was found in 31.6% and moderate need in 30.85%. A great need was estimated at 37.55%. Severe contact point displacement of more than 4 mm was the most common occlusal feature in the definite treatment need group, followed by increased overjet, impeded eruption of teeth, and anterior or posterior cross bite. AC results showed that little need for orthodontic treatment was in 86.15%, moderate need in 8.90%, and great need in 4.95%. Index does not consider midline discrepancy, soft tissue abnormalities, and AC does not include Class III and Class II div 2 malocclusion photographs. There seems a discrepancy in the proportion of children needing orthodontic treatment on esthetic and dental health grounds. This study provides baseline data on the need and demand for orthodontic treatment among the sample which is important for planning public orthodontic and dental services.

  6. Forensic revolution need maintenance of dental records of patients by the dentists: A descriptive study.

    PubMed

    Gupta, Anamika; Mishra, Gaurav; Bhutani, Hemant; Hoshing, Chetan; Bhalla, Ashish

    2016-01-01

    With the growth of forensic odontology, dental records have become an essential source of information, especially for medicolegal cases in general practice. It is mandated by the law that every dentist must keep some kind of records for every patient they treat. After the death of an individual, remnants of teeth are usually damaged at the last among all body parts. Dental records assist in personal identification in cases of mass disasters, criminal investigations, and medicolegal issues. However, in India, rules for maintaining dental records are not very strictly followed. Thus, the aim of this study was to evaluate the knowledge regarding the maintenance of dental records among dentists in Punjab and Uttar Pradesh. Data collection was performed via a questionnaire. The study population responded to the questions pertaining to knowledge regarding forensic odontology methods and the mode of maintaining dental records in their regular practice through a personal interview. A descriptive analysis was carried out for the data. The data were summarized and analyzed using the statistical software Statistical Package for the Social Sciences (SPSS) version 18.0. A very low percentage (22%) of the dentists were seen to be maintaining records on a regular basis. Seventy-eight percent of the dentists were not maintaining any records. This study clearly indicates that the dentists in Punjab and Uttar Pradesh need to be properly trained for any kind of forensic and medicolegal needs.

  7. Characterization of the water chemistry, sediment (13)C and (18)O compositions of Kolleru Lake-a Ramsar wetland in Andhra Pradesh, India.

    PubMed

    Das Sharma, Subrata; Sujatha, D

    2016-07-01

    The chemistry of surface water sampled at different locations of the Kolleru Lake in Andhra Pradesh (India) show heterogeneous variability. The concentrations of dissolved sodium and chloride ions, total dissolved solids (TDS) together with high conductivity documented in water samples are indicative of mixing of saline seawater. This interpretation is further corroborated by enriched δ(18)O compositions of the carbonate fraction of the surface sediments collected at the same locations (as that of water) of the lake, and fairly good positive correlations of δ(18)O -Na(+) and δ(18)O-TDS. The saline water intrusion into the lake appears to be resulted due to its near stagnant to dry condition with reduced inflow and outflow. Such dry condition facilitated seawater intrusion into the lake due to several reasons: (i) proximity of lake to the sea (~35 km), (ii) overexploitation of fresh groundwater for agriculture as well as livestock farming, and (iii) incursion of tidal seawater (high sea waves) through Upputeru River, which is directly linked to the sea. We also document highly heterogeneous distribution of certain potentially toxic metal ions like chromium, copper, manganese, and zinc in the lake waters. Indiscriminate disposal of domestic and industrial effluents around the lake appears to be responsible for the presence of potentially toxic heavy metals. Based on these results, we finally suggest some measures for environmental rehabilitation of the lake and its surroundings.

  8. Knowledge, attitude and practice GAP in family planning usage: an analysis of selected cities of Uttar Pradesh.

    PubMed

    Singh, Anjali; Singh, K K; Verma, Prashant

    2016-01-01

    The GAP between the knowledge of contraception and its actual practice is well recognized in the literature of family welfare studies. The present study assessed the relation between the level of knowledge and practice of contraception among the women and sought to explore the reasons behind the Knowledge, Attitude, and Practice - GAP (KAP GAP) regarding contraceptive users in six cities of Uttar Pradesh. Present analysis based on 17,643 currently married women aged 15 to 49. A Bivariate analysis ( χ 2 test) and a multivariable logistic regression were performed for the study. The highest percentages of respondents (women) were in the age group 35-49 (40-45 %) in all the districts considered. Knowledge of contraceptives was almost universal; tubal ligation and pill were the commonly known methods. Information about the contraceptive methods was mostly obtained through the husband. In the present study, there was a highly significant association ( p  < 0.01) of age group, educational status of respondents, the number of living children, the wealth of the respondent, media exposure and husband's education with the variable KAP GAP for all six cities. Health concern issues in all the districts were the most prominent reason for not using contraception. There differences in the socioeconomic and demographic factors exist, which lead to KAP GAP in the family planning (FP) usages. Therefore, in designing effective family planning programme, there is a need to understand the various factors which influence the practice of contraception.

  9. Feasibility of community neonatal death audits in rural Uttar Pradesh, India.

    PubMed

    Patel, Z; Kumar, V; Singh, P; Singh, V; Yadav, R; Baqui, A H; Santosham, M; Awasthi, S; Singh, J V; Darmstadt, G L

    2007-09-01

    Medical audit is a widely promoted strategy in hospitals, but experience within community settings is scant. Community neonatal death audit is a form of audit, which involves a systematic analysis of the quality of care provided in the home, danger sign recognition and care seeking decision making for neonatal illness. This research was conducted in Uttar Pradesh, India, to investigate the feasibility and cultural acceptability of community neonatal death audits. During November-December 2004, we conducted three in-depth interviews with family members of deceased neonates, and six focus group discussions with family and community members. Three approaches were evaluated: in-depth interview with the family before engaging them in an audit with the community; preliminary meeting to build rapport with the family and community before conducting an audit; and audit with the family and community in a single focus group. Approaches were interactive processes, involving the community, to identify avoidable factors in a particular death and discuss solutions. Carried out in a culturally sensitive and non-punitive manner, community neonatal death audit was found to be acceptable and feasible. All approaches provoked formal investigation by community members, and stimulated sharing of views, leading to the self-discovery that community perception was a cumulatively amplified effect of individual perceptions. Presence of an educated/experienced community member or health worker served as a catalyst. No one optimal approach was identified. Community neonatal audit is an acceptable approach that shows promise as an effective intervention for improving neonatal health outcomes.

  10. Incidence of Burkholderia mallei infection among indigenous equines in India.

    PubMed

    Malik, Praveen; Singha, Harisankar; Goyal, Sachin K; Khurana, Sandip K; Tripathi, Badri Naryan; Dutt, Abha; Singh, Dabal; Sharma, Neeraj; Jain, Sanjay

    2015-01-01

    Burkholderia mallei is the causative agent of glanders which is a highly contagious and fatal disease of equines. Considering the nature and severity of the disease in equines, and potential of transmission to human beings, glanders is recognised as a 'notifiable' disease in many countries. An increasing number of glanders outbreaks throughout the Asian continents, including India, have been noticed recently. In view of the recent re-emergence of the disease, the present study was undertaken to estimate the prevalence of glanders among indigenous equines from different parts of India. Serum samples were analysed by complement fixation test (CFT) and ELISA for the detection of B mallei specific antibodies. A total of 7794 equines, which included 4720 horses, 1881 donkeys and 1193 mules were sampled from April 2011 to December 2014 from 10 states of India. Serologically, 36 equines (pony=7, mules=10, horses=19) were found to be positive for glanders by CFT and indirect-ELISA. The highest number of cases were detected in Uttar Pradesh (n=31) followed by Himachal Pradesh (n=4) and Chhattisgarh (n=1). Isolation of B mallei was attempted from nasal and abscess swabs collected from seropositive equines. Four isolates of B mallei were cultured from nasal swabs of two mules and two ponies. Identity of the isolates was confirmed by PCR and sequencing of fliP gene fragment. The study revealed circulation of B mallei in northern India and the need for continued surveillance to support the eradication.

  11. Incidence of Burkholderia mallei infection among indigenous equines in India

    PubMed Central

    Malik, Praveen; Singha, Harisankar; Goyal, Sachin K; Khurana, Sandip K; Tripathi, Badri Naryan; Dutt, Abha; Singh, Dabal; Sharma, Neeraj; Jain, Sanjay

    2015-01-01

    Burkholderia mallei is the causative agent of glanders which is a highly contagious and fatal disease of equines. Considering the nature and severity of the disease in equines, and potential of transmission to human beings, glanders is recognised as a ‘notifiable’ disease in many countries. An increasing number of glanders outbreaks throughout the Asian continents, including India, have been noticed recently. In view of the recent re-emergence of the disease, the present study was undertaken to estimate the prevalence of glanders among indigenous equines from different parts of India. Serum samples were analysed by complement fixation test (CFT) and ELISA for the detection of B mallei specific antibodies. A total of 7794 equines, which included 4720 horses, 1881 donkeys and 1193 mules were sampled from April 2011 to December 2014 from 10 states of India. Serologically, 36 equines (pony=7, mules=10, horses=19) were found to be positive for glanders by CFT and indirect-ELISA. The highest number of cases were detected in Uttar Pradesh (n=31) followed by Himachal Pradesh (n=4) and Chhattisgarh (n=1). Isolation of B mallei was attempted from nasal and abscess swabs collected from seropositive equines. Four isolates of B mallei were cultured from nasal swabs of two mules and two ponies. Identity of the isolates was confirmed by PCR and sequencing of fliP gene fragment. The study revealed circulation of B mallei in northern India and the need for continued surveillance to support the eradication. PMID:26457190

  12. Development and evaluation of the Andhra Pradesh Children and Parent Study Physical Activity Questionnaire (APCAPS-PAQ): a cross-sectional study.

    PubMed

    Matsuzaki, Mika; Sullivan, Ruth; Ekelund, Ulf; Krishna, K V Radha; Kulkarni, Bharati; Collier, Tim; Ben-Shlomo, Yoav; Kinra, Sanjay; Kuper, Hannah

    2016-01-19

    There is limited availability of context-specific physical activity questionnaires in low and middle income countries. The aim of this study was to develop and examine the validity of a new Indian physical activity questionnaire, the Andhra Pradesh Children and Parent Study Physical Activity Questionnaire (APCAPS-PAQ). The current study was conducted with the cohort from the Hyderabad DXA Study (n = 2321), recruited in 2009-2010. Criterion validity (n = 245) was examined by comparing the APCAPS-PAQ to a combined heart rate and motion sensor worn for 8 days. Construct validity (n = 2321) was assessed with linear regression, comparing APCAPS-PAQ against BMI, percent body fat, and pulse rate. The APCAPS-PAQ criterion validity was variable depending on the PA intensity groups (ρ = 0.26, 0.07, 0.39; к = 0.14, 0.04, 0.16 for sedentary, light, moderate/vigorous physical activity (MVPA) respectively). Sedentary and light intensity activities from the questionnaire were underestimated when compared to the criterion data while MVPA in APCAPS-PAQ was overestimated. Higher time spent in sedentary activity in APCAPS-PAQ was associated with higher BMI and percent body fat, suggesting construct validity. The APCAPS-PAQ validity is comparable to other physical activity questionnaires. This tool is able to assess sedentary behavior, moderate/vigorous activity and physical activity energy expenditure on a group level with reasonable validity. This new questionnaire may be used for ranking individuals according to their sedentary time and physical activity in southern India.

  13. Distribution of arbuscular mycorrhizal fungi associated with different land use systems of Arunachal Pradesh of Eastern Himalayan region.

    PubMed

    Bordoloi, A; Nath, P C; Shukla, A K

    2015-10-01

    Arbuscular mycorrhizal fungi are the main component of soil microbial population in most agroecosystems. They forms a close association with more than 80% of the plant species making immobilized mineral nutrients available to the plants in order to sustain normal growth and reproduction. In this study the diversity of mycorrhizal fungi has been examined in seven land use ecosystems of Arunachal Pradesh in Eastern Himalayan region. A total of 24 species of AM fungi belonging to 4 genera viz., Glomus, Scutellospora, Aculospora and Gigaspora were isolated from the soil samples collected from different land use systems. Glomus was the dominant genera and Glomus occulatum was the most abundant species in all the seven land use systems. Total spore number was highly variable among all the land use systems. Species richness was recorded highest in natural forest that maintains a faster nutrient cycle with the highest diversity index. The Jhum fallow land and tea garden has the least number of AM fungal species due to high disturbance of fire and application of fungicides and inorganic fertilizer. Further the plant species composition, particularly the ground vegetation coverage and disturbance level affects the distribution of the AM fungal species. In our study it has been shown that AMF diversity is significantly affected by the land use practices practiced by the people. Hence, the AM fungi isolated from different land use system may be useful in improving the agriculture practices particularly the plantation crops in the region.

  14. New records of chalcidid (Hymenoptera: Chalcididae) pupal parasitoids from India

    PubMed Central

    Kanagarajan, Rasappan

    2016-01-01

    Abstract Background Chalcidids are one of the most important parasitoids of pupae of agriculturally important pests belonging to orders like Lepidoptera, Diptera, Coleoptera and Hymenoptera. Such an important group has not been studied consistently by any team of workers from any country apart from the notable contributions by Boucek, Steffan, Delvare and Narendran. (Boucek 1988, Steffan 1973, Delvare 1992 and Narendran 1989). On a personal note, Dr. John S Noyes of Natural History Museum London agrees with this view as expressed with the second author and hence we felt that we can initiate further work on this group within India. We currently hold hundreds of unidentified specimens of this family in our department collection confirming that we will have much work to do over a long period of time. New information New distribution records of Chalcididae from Andhra Pradesh (Brachymeria megaspila, B. minuta, Dirhinus anthracia and D. auratus), Bihar (B. podagrica, B. excarinata, B. hearseyi, D. anthracia, D. auratus, D. pilifer, Epitranus erythrogaster and Psilochalcis carinigena), Karnataka (B. apicicornis), Manipur (B. euploeae, D. auratus and E. erythrogaster), Mizoram (B. euploeae and D. anthracia), Nagaland (B. euploeae), Himachal Pradesh (B. alternipes), and Tamil Nadu (B. apicicornis, D. anthracia, D. deplanatus, D. pilifer, D. bakeri, E. observator, E. elongatulus, P. keralensis and P. soudanensis) and union territories Andaman & Nicobar Islands (B. podagrica, B. excarinata, E. erythrogaster and P. carinigena) and Pudhucherry (B. albicrus, D. anthracia, D. auratus, E. erythrogaster and P. kerelensis) are documented from the unidentified material mentioned above. PMID:26929709

  15. Community Based Maternal and Child Health Nutrition Project, Uttar Pradesh: An Innovative Strategy Focusing on “At Risk” Families

    PubMed Central

    Vir, Sheila C

    2013-01-01

    Research Question: Use of community based volunteers, frequently reaching and counseling a selected group of prioritized families, can make a substantial difference in improving maternal and child care practices and in reducing child undernutrition. Setting: Program Rural Uttar Pradesh, India. Study Design: A comparison of baseline and endline surveys following 4 years of community based project intervention Participants: “At risk” undernutrition families comprising mothers of under twos, newlyweds, and severely undernourished children below 6 years. Intervention: Mapping and counseling of “at risk” families. Measuring impact on maternal-child care practices, underweight status. Results: Trained community mobilizers identified and counseled selected “at risk” families. Following 4 years of implementation in 907 villages of 8 blocks of four districts, significant improvement was noted in practices of early initiation of breastfeeding, feeding colostrum, timely introduction of complementary feeding, and washing the hands after defecation. Percentage of mothers exclusively breastfeeding at 6 months was only 2.1% with 78% receiving prelacteal feeds. A small increase in normal and mild malnutrition and a significant reduction of 43% in severe malnutrition was noted. Conclusion: Frequently counseling by accredited social health activists by focusing on selected defined “at risk” families of under twos and those with severe malnourished children could result in increasing acceptability of correct child health, feeding, and care practices and in contributing to improving nutritional status scenario. PMID:24302825

  16. Condom use and prevalence of syphilis and HIV among female sex workers in Andhra Pradesh, India - following a large-scale HIV prevention intervention.

    PubMed

    Rachakulla, Hari Kumar; Kodavalla, Venkaiah; Rajkumar, Hemalatha; Prasad, S P V; Kallam, Srinivasan; Goswami, Prabuddhagopal; Dale, Jayesh; Adhikary, Rajatashuvra; Paranjape, Ramesh; Brahmam, G N V

    2011-12-29

    Avahan, the India AIDS initiative began HIV prevention interventions in 2003 in Andhra Pradesh (AP) among high-risk groups including female sex workers (FSWs), to help contain the HIV epidemic. This manuscript describes an assessment of this intervention using the published Avahan evaluation framework and assesses the coverage, outcomes and changes in STI and HIV prevalence among FSWs. Multiple data sources were utilized including Avahan routine program monitoring data, two rounds of cross-sectional survey data (in 2006 and 2009) and STI clinical quality monitoring assessments. Bi-variate and multivariate analyses, Wald Chi-square tests and multivariate logistic regressions were used to measure changes in behavioural and biological outcomes over time and their association. Avahan scaled up in conjunction with the Government program to operate in all districts in AP by March 2009. By March 2009, 80% of the FSWs were being contacted monthly and 21% were coming to STI services monthly. Survey data confirmed an increase in peer educator contacts with the mean number increasing from 2.9 in 2006 to 5.3 in 2009. By 2008 free and Avahan-supported socially marketed condoms were adequate to cover the estimated number of commercial sex acts, at 45 condoms/FSW/month. Consistent condom use was reported to increase with regular (63.6% to 83.4%; AOR=2.98; p<0.001) and occasional clients (70.8% to 83.7%; AOR=2.20; p<0.001). The prevalence of lifetime syphilis decreased (10.8% to 6.1%; AOR=0.39; p<0.001) and HIV prevalence decreased in all districts combined (17.7% to 13.2%; AOR 0.68; p<0.01). Prevalence of HIV among younger FSWs (aged 18 to 20 years) decreased (17.7% to 8.2%, p=0.008). A significant increase in condom use at last sex with occasional and regular clients and consistent condom use with occasional clients was observed among FSWs exposed to the Avahan program. There was no association between exposure and HIV or STIs, although numbers were small. The absence of control groups is a limitation of this study and does not allow attribution of changes in outcomes and declines in HIV and STI to the Avahan program. However, the large scale implementation, high coverage, intermediate outcomes and association of these outcomes to the Avahan program provide plausible evidence that the declines were likely associated with Avahan. Declining HIV prevalence among the general population in Andhra Pradesh points towards a combined impact of Avahan and government interventions.

  17. Willingness to pay for cattle and buffalo insurance: an analysis of dairy farmers in central India.

    PubMed

    Khan, Mohd Ameer; Chander, Mahesh; Bardhan, Dwaipayan

    2013-02-01

    In India, insurance market especially in agricultural sector is usually underdeveloped. The idea of livestock insurance emerged in India before three decades, yet, it has not operated in a significant way till date. It is well noted that livestock insurance scheme is the relevant strategy in managing different risks related to livestock farming but very little attention has been paid to address the livestock insurance needs of the dairy farmers. This study, therefore, addresses the basic question that how many people and to what extent they are willing to pay for livestock insurance and determine the main factors which influence insurance participation of dairy farmers. The data was collected from Gorakhpur district of Uttar Pradesh in India with a sample survey of 120 cattle and buffalo farmers. For eliciting willingness to pay, a contingent valuation scenario was presented to dairy animal owners in the group of five to six. A logit discrete binary regression model was used to know the factors influencing adoption of livestock insurance. The results suggest that most of the farmers were willing to participate in cattle and buffalo insurance. The amount of premium varies across different breeds of dairy animals. The low level of education of many dairy farmers have negatively influenced the decision to purchase livestock insurance. Farmers having more experience in rearing dairy animals are more likely to be willing to pay for cattle and buffalo insurance.

  18. Glyphosate, Hard Water and Nephrotoxic Metals: Are They the Culprits Behind the Epidemic of Chronic Kidney Disease of Unknown Etiology in Sri Lanka?

    PubMed Central

    Jayasumana, Channa; Gunatilake, Sarath; Senanayake, Priyantha

    2014-01-01

    The current chronic kidney disease epidemic, the major health issue in the rice paddy farming areas in Sri Lanka has been the subject of many scientific and political debates over the last decade. Although there is no agreement among scientists about the etiology of the disease, a majority of them has concluded that this is a toxic nephropathy. None of the hypotheses put forward so far could explain coherently the totality of clinical, biochemical, histopathological findings, and the unique geographical distribution of the disease and its appearance in the mid-1990s. A strong association between the consumption of hard water and the occurrence of this special kidney disease has been observed, but the relationship has not been explained consistently. Here, we have hypothesized the association of using glyphosate, the most widely used herbicide in the disease endemic area and its unique metal chelating properties. The possible role played by glyphosate-metal complexes in this epidemic has not been given any serious consideration by investigators for the last two decades. Furthermore, it may explain similar kidney disease epidemics observed in Andra Pradesh (India) and Central America. Although glyphosate alone does not cause an epidemic of chronic kidney disease, it seems to have acquired the ability to destroy the renal tissues of thousands of farmers when it forms complexes with a localized geo environmental factor (hardness) and nephrotoxic metals. PMID:24562182

  19. Review of the genus Lanchnophorus (Hemiptera: Heteroptera: Rhyparochromidae) with description of three new species and other nomenclatural changes.

    PubMed

    Kment, Petr; Carapezza, Attilio; Jindra, Zdeněk; Kondorosy, Előd

    2017-01-25

    The generic name Lanchnophorus Reuter, 1887, deemed for a long time to be unavailable as incorrect original spelling of Lachnophorus (in fact Lachnophorus Distant, 1903 is an unjustified emendation of the former), is restored as a valid name of the genus. Lachnesthus Bergroth, 1915, syn. nov. (new name for the preoccupied Lachnophorus Distant, 1903) is considered junior synonym of Lanchnophorus. The following nomenclatural changes are proposed: Lanchnophorus flavus (Scudder, 1971) comb. nov. = Lachnesthus chinai Scudder, nomen nudum; Lanchnophorus guttulatus Reuter, 1887, comb. restit. = Lachnophorus albidomaculatus Distant, 1913, syn. nov. = Lachnesthus rodriguezensis China, 1925, syn. nov.; Lanchnophorus leucospilus (Walker, 1872) comb. nov.; Lanchnophorus merula (Distant, 1903) comb. nov.; and Lanchnophorus singalensis (Dohrn, 1860) comb. nov. Three new species are described: Lanchnophorus gaoqingae Kment & Jindra sp. nov. from China (Yunnan), Lanchnophorus seminitens Kment & Carapezza sp. nov. from Socotra Island (Yemen), and Lanchnophorus webbi Kondorosy sp. nov. from India: Tamil Nadu. Bibliographies and known distribution of all the included species are reviewed. The following new country and state records are provided: L. flavus from Central African Republic, Ethiopia, Ghana, Mali, Malawi, Niger, Zambia and Zimbabwe; L. leucospilus from China (Yunnan) and Laos, L. merula from India (Kerala/Tamil Nadu) and Thailand; L. singalensis from Angola, Benin, Mozambique, Namibia, Senegal, Sierra Leone, Tanzania, Togo, Uganda, Zambia, Zimbabwe, China (Hainan), Iran (Sistan and Ba-luchestan), Oman, Pakistan, India (Himachal Pradesh, Karnataka, Kerala, Rajasthan), Malaysia, Philippines, and Thailand.

  20. Liquefaction record of the great 1934 earthquake predecessors from the north Bihar alluvial plains of India

    NASA Astrophysics Data System (ADS)

    Rajendran, C. P.; John, Biju; Rajendran, Kusala; Sanwal, Jaishri

    2016-07-01

    The great 1934 Himalayan earthquake of moment magnitude (Mw) 8.1 generated a large zone of ground failure and liquefaction in north Bihar, India, in addition to the earthquakes of 1833 (Mw ~7.7) and 1988 (Mw 6.7) that have also impacted this region. Here, we present the results of paleoliquefaction investigations from four sites in the plains of north Bihar and one in eastern Uttar Pradesh. The liquefaction features generated by successive earthquakes were dated at AD 829-971, 886-1090, 907-1181, 1130-1376, 1112-1572, 1492-1672, 1733-1839, and 1814-1854. One of the liquefaction events dated at AD 829-971, 886-1090, and 907-1181 may correlate with the great earthquake of AD ~1100, recognized in an earlier study from the sections across the frontal thrust in central eastern Nepal. Two late medieval liquefaction episodes of AD 1130-1376 and 1492-1672 were also exposed in our sites. The sedimentary sections also revealed sandblows that can be attributed to the 1833 earthquake, a lesser magnitude event compared to the 1934. Liquefactions triggered by the 1934 and 1988 earthquakes were evident within the topmost level in some sections. The available data lead us to conjecture that a series of temporally close spaced earthquakes of both strong and large types, not including the infrequent great earthquakes like the 1934, have affected the Bihar Plains during the last 1500 years with a combined recurrence interval of 124 ± 63 years.

Top