National nutritional anaemia control programme in India.

Ministry of Health & Family Welfare, Government of India, New Delhi.
Indian journal of public health 43(1):3-5, 16.
Source: PubMed
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    ABSTRACT: Anaemia in pregnancy is still a concern during the reproductive period, as it is associated with increased maternal and perinatal mortality and morbidity. This study examined the maternal risk factors associated with increased prevalence of anaemia among antenatal and postnatal women. A prospective-retrospective cohort approach was carried out among 1,077 antenatal and 1,000 postnatal women. The haemoglobin was estimated using the cyanmethaemoglobin method. The maternal factors included were age, parity, education, socioeconomic status, spacing, history of bleeding, worm infestation, period of gestation, knowledge regarding anaemia in pregnancy, food selection ability and compliance to iron supplementation. Of the 1,077 antenatal women studied, 540 were anaemic. Among the 1,000 postnatal women, the prevalence was 537 (53.7%). The high prevalence was strongly associated with low socioeconomic status (OR 1.409 [1.048-1.899]; p < 0.023) which affected their knowledge and health seeking behaviour in both the groups. Hence it can be concluded that empowering women in terms of education and economic status is the key factor in combating anaemia in pregnancy to prevent the vicious cycle of associated problems.
    Journal of Obstetrics and Gynaecology 02/2010; 30(2):132-6. · 0.55 Impact Factor
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    ABSTRACT: Anemia during pregnancy remains an important public health problem in developing countries like India. Anemia is the direct cause of 12-15% of maternal deaths. Iron deficiency is the commonest cause for anemia in the Indian subcontinent. Several preventive and therapeutic approaches are in practice. The available routes of iron supplementation are oral and intravenous. In spite of oral iron being least invasive, cheap and safe, the ineffectiveness of oral iron due to dietary inhibitors and poor compliance are well known. Intravenous iron sucrose can be a promising therapy for moderate to severely anemic pregnant women and has been in practice for quite some time in private and public health practices. In this article, we report the current evidence on the safety and efficacy of intravenous iron sucrose in anemic pregnant women on hematological and clinical outcomes. Though the evidence on its efficacy in improving hemoglobin and serum ferritin is convincing, its effect on maternal and fetal outcomes are unclear. This is primarily due to lack of well-designed and larger studies powered to detect difference in clinical outcomes. Hence, there is a need to gather evidence from a well-designed large randomized clinical trial conducted in a developing country. The results of such a study would feed into the national policy and would form the basis to frame guidelines for management of anemia in developing countries.
    Journal of Obstetrics and Gynaecology Research 11/2012; · 0.84 Impact Factor
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    ABSTRACT: Abstract Aim: The aim of this study was the initiation of systematic data collection so as to improve the capacity for outcome measurement after cleft repair. Also, a clinical audit was done for evaluation of the process and assessment of outcomes of cleft care. Design& Setting: A questionnaire based survey and outcome assessment was carried out over a one-year period from March 2008 to February 2009 at the combined outpatient cleft clinic of a tertiary care center in India. Patients and Participants: Data collection (basic demographic and environmental information) was done by students from the Dept. of Pediatric Dentistry at the outpatient cleft clinic, twice a week, throughout the year. Results: Sixty eight completed cleft lip palate registry forms from which all the information was available, were analyzed. There was a skewed sex ratio with a higher preponderance of male children seeking treatment. 19.1% affected males between 2 and 5 years of age first reported to the cleft clinic. Surprisingly, no Bilateral Clefts of Lip, Unilateral Cleft Lip (Right) and Unilateral Cleft Lip and Palate (Right) were observed in females. Oral health was poor in 74% patients, among the dental referrals only 26% could be recruited for orthodontics with reasonably good prognosis. Conclusions: Poverty, illiteracy and superstitions prevent an average patient from India from receiving multidisciplinary cleft care. This emphasizes on the need to create systems that suit the needs of our target patients. Key words: Gene-environment interaction; Consanguinity; Lateralization of clefts, Clinical audits.
    The Cleft Palate-Craniofacial Journal 10/2011; · 1.24 Impact Factor