Publications by authors named "Shubhada Avachat"

4 Publications

  • Page 1 of 1

Epidemiological correlates of cataract cases in tertiary health care center in rural area of maharashtra.

J Family Med Prim Care 2014 Jan;3(1):45-7

Department of Community Medicine, Kurunji V Gowenkataramanda Medical College, Sullia, Karnataka, India.

Background: The most recent estimates from World Health Organization (WHO) reveal that 47.8% of global blindness is due to cataract. Cataract has been documented to be the most significant cause of bilateral blindness in India. The most recent estimates from WHO reveal that 47.8% of global blindness is due to cataract and in south Asia region which includes India, 51% of blindness is due to cataract. In India cataract is the principal cause of blindness accounting for 62.6% cases of blindness. The key to the success of the Global Vision 2020: The right to sight initiative is a special effort to tackle cataract blindness which includes estimation of magnitude of the problem and understanding factors associated with it. Therefore, a study was conducted in the hospital to estimate the magnitude of cataract and study various epidemiological factors associated with it.

Materials And Methods: A cross-sectional study was conducted in a tertiary health center in rural area. Total 746 patients who availed services from ophthalmology department during study period were included in the study and relevant data was collected from them. Data analysis was done by percentages, proportions, and tests of significance (Chi-square test).

Results: Out of 746 patients, 400 (53.6%) were suffering from cataract. Senile cataract was the most common cause (54%). Fifty-five percent patients were in the age group of 60-80 years and majority of them were from low socioeconomic strata.

Conclusion: The prevalence of cataract in a medical college hospital in rural area was 53.6%. Age, sex, and educational status were significantly associated with cataract.
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January 2014

Perspectives of medical interns regarding female feticide and declining sex ratio in India.

N Am J Med Sci 2013 Aug;5(8):469-72

Padmashri Dr. Vitthalrao Vikhe Patil Foundation Medical College, Ahmednagar, Maharashtra, India.

Background: Female feticide, skewed sex ratio, and its attendant social evils have grave ethical undertones for medical professionals and our commitment to save lives. A concerted effort by all is essential against female feticide.

Aim: This study was to assess the knowledge of female feticide, declining sex ratio, and corrective measures among medical interns.

Materials And Methods: A cross-sectional study was conducted among 79 medical interns. Data werecollected with the help of predesigned structured questionnaire. Chi-square tests, Kruskal-Wallis tests, and Z tests were used to test the significance level.

Results: Knowledge of current sex ratio was significantly better among female interns than male interns. Majority of interns opined that creating awareness is an effective measure to combat declining sex ratio and only 33 interns had correct knowledge regarding all measures. Only 37.9% of interns knew all the legal indications for use of prenatal diagnostic techniques. However, 81% of interns were aware of punishments mentioned for violation of the Act. Mean score of knowledge was 22.06 among males and 24.4 among females.

Conclusion: The findings in our study underline the need to sensitize doctors regardingevery aspect of Pre-Conception and Prenatal Diagnostic Techniques Act and selective sex determination.
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August 2013

Impact of sex education on knowledge and attitude of adolescent school children of Loni village.

J Indian Med Assoc 2011 Nov;109(11):808, 810-1

Department of Community Medicine, Rural Medical College, Loni 413736.

Reproductive capability is now established at earlier age. But the subject of adolescent sexuality is taboo in most societies. There is widespread ignorance about risks of unprotected sex, problems among adolescents. Unfortunately need of sex education is not perceived and fulfilled in India especially in rural areas. The present study was conducted to assess the need and demonstrate the impact of sex education among adolescent school children. The impact of sex education workshop was tested by analysing pre- and postintervention questionnaire. The felt need of sex education increased considerably and the knowledge regarding contraceptives increased from manifolds after the intervention. There was significant increase in knowledge about menstrual hygiene, sexually transmitted diseases, etc, after sex education workshop. This study concludes that there is intense need of sex education and it has significant impact on knowledge of adolescent school children.
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November 2011

A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra, India.

Australas Med J 2011 28;4(2):72-5. Epub 2011 Feb 28.

Assistant Professor, Medical Intern Department of Community Medicine, Rural Medical College, Pravara Institute of Medical Sciences, Loni, Maharashtra, India.

Background: About 2 million episodes of diarrhoea occur each year in India. Of the 6.6 million deaths among children aged 28 days to 5 year; deaths from diarrhoea are estimated to account for 1.87 million. An average Indian child less than 5 years of age can have 2-3 episodes of diarrhoea. Mother's literacy, family income, feeding practices, environmental conditions are important determinants of the common childhood infection like diarrhoea. The present study was undertaken to study these important determinants of recurrent diarrhoea among children under five in a rural area of western Maharashtra, India.

Method: A cross-sectional study was conducted in six randomly selected villages of Ahmednagar district in western Maharashtra, India. Three villages from two primary health centres and 652 children under five from these villages were chosen by a simple random sampling technique (every fifth child enrolled in Anganwadi). House-to-house survey was done and data was collected by interviewing the mothers of these children. Nutritional status was assessed by measuring the weight and mid-arm circumference of the child. Statistical analysis was done with Microsoft Excel and StatistiXL 1.8 using percentage, proportions and chi-square test wherever applicable.

Results: The prevalence of recurrent diarrhoea was 9.81%. Recurrent diarrhoea was more common in the age group of 13 - 24 months (29.6%) and 25 - 36 months (23.4%) and children belonging to lower socioeconomic class (64%). Malnutrition was significantly associated with recurrent diarrhoea and 21% of malnourished children had the same. Recurrent diarrhoea was significantly more common (39.1%) among children with introduction of top-up feeds before four to six months.

Conclusion: Low socioeconomic status, bad sanitary practices, nutritional status and weaning practices significantly influence the prevalence of recurrent diarrhoea.
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February 2013