Papers by Tulika G O S W A M I Mahanta
Background: VHSND, a community platform bringing health, early childhood development, nutrition, ... more Background: VHSND, a community platform bringing health, early childhood development, nutrition, and sanitation services by community engagement was affected by COVID-19 pandemic. Aims & Objectives: To assess the process of VHSND implementation during post-pandemic period in Assam. Methodology: This cross-sectional study was conducted as operational research in five districts of Assam, selected based on zonal representation; between Sept'2021-Aug'2022. Standard format (GOI) was used for VHSND monitoring. Descriptive analysis was done along with quarter-wise comparison of observations and knowledge of Auxiliary Nurse and Midwife (ANM). Results: A total of 370 VHSND sessions were observed. VHSND micro plan availability increased from 87.5% to 98.4% over four quarters. Displaying banners varied between 56.3% and 79.5%, and functional toilets increased from 41.3% to 77%. Height measurement improved from 58.8% to 88.5%. Haemoglobin estimation varied between 46.3% and 75.4%. Recognition of high-risk pregnancies due to severe anaemia increased from 60% to 91.8%. Regarding danger signs like bleeding from vagina increased from 50.0% to 95.1%. Conclusion: Notable progress could be documented in logistical readiness and ANM knowledge in different quarters in post-pandemic period. While service delivery and ANM counselling efforts have seen improvement, targeted interventions remain crucial for optimizing maternal and child health outcomes in the region.
Lancet (London, England), May 19, 2018
Stroke disproportionately affects people in low-income and middle-income countries. Although impr... more Stroke disproportionately affects people in low-income and middle-income countries. Although improvements in stroke care and outcomes have been reported in high-income countries, little is known about practice and outcomes in low and middle-income countries. We aimed to compare patterns of care available and their association with patient outcomes across countries at different economic levels. We studied the patterns and effect of practice variations (ie, treatments used and access to services) among participants in the INTERSTROKE study, an international observational study that enrolled 13 447 stroke patients from 142 clinical sites in 32 countries between Jan 11, 2007, and Aug 8, 2015. We supplemented patient data with a questionnaire about health-care and stroke service facilities at all participating hospitals. Using univariate and multivariate regression analyses to account for patient casemix and service clustering, we estimated the association between services available, tre...
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, Jul 1, 2022
Anaemia, its determinants and effect of different interventions amongst tea tribe
Additional file 4: Additional Table 4. Noncommunicable diseases (NCD) related services being prov... more Additional file 4: Additional Table 4. Noncommunicable diseases (NCD) related services being provided in the public primary urban and rural study facilities; NNMS (2017–18).
Additional file 1: Additional Table 1. Proportion of public health care facilities where specific... more Additional file 1: Additional Table 1. Proportion of public health care facilities where specific medicines were always or generally available.
International journal of scientific research, 2019
Background: Food security is a crucial determinant of the development of a nation. The household ... more Background: Food security is a crucial determinant of the development of a nation. The household food security is seen to be influenced by a multitude of factors in various studies, But most of these studies were done in affluent nations or in random households. This study focuses on households with small children. Objectives: To assess household food insecurity and its related factors in preschool children in Dibrugarh district. Methods : Cross sectional study among 510 randomly selected children attending AWCs in each of the 8 ICDS blocks in Dibrugarh was done. Data on socio-demographic details Household Food Insecurity was obtained. Results: Only 44.5% (227) households among the surveyed 510 households were categorized as food secure and 67 (13.1%) households as having severe food insecurity. Food security of the household was significantly associated with the socio-economic class of the household as well as the literacy status of the parents of the surveyed children. Conclusions...
Journal of Family Medicine and Primary Care, 2018
BMC Health Services Research, 2021
Background The monitoring framework for evaluating health system response to noncommunicable dise... more Background The monitoring framework for evaluating health system response to noncommunicable diseases (NCDs) include indicators to assess availability of affordable basic technologies and essential medicines to treat them in both public and private primary care facilities. The Government of India launched the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases and Stroke (NPCDCS) in 2010 to strengthen health systems. We assessed availability of trained human resources, essential medicines and technologies for diabetes, cardiovascular and chronic respiratory diseases as one of the components of the National Noncommunicable Disease Monitoring Survey (NNMS - 2017-18). Methods NNMS was a cross-sectional survey. Health facility survey component covered three public [Primary health centre (PHC), Community health centre (CHC) and District hospital (DH)] and one private primary in each of the 600 primary sampling units (PSUs) selected by stratified multi...
Additional file 2: Additional Table 2. Proportion of public health care facilities where specific... more Additional file 2: Additional Table 2. Proportion of public health care facilities where specific technologies were always or generally available.
Additional file 3: Additional Table 3. Availability (%) of technical human resources in public pr... more Additional file 3: Additional Table 3. Availability (%) of technical human resources in public primary urban and rural health facilities in India; NNMS (2017–18).
Background-IMNCI offers a strategy for improving the state of health of children in India. This a... more Background-IMNCI offers a strategy for improving the state of health of children in India. This approach could help the country in achieving the MDG Goals of reducing the under-five mortality. Objectives-To assess and compare the knowledge and skills of IMNCI service providers at peripheral level and effect of monitoring and supervision. Methods-A baseline cross sectional study to compare the activity of frontline workers of both health and ICDS sector and then follow up to assess the effect of monitoring and supervision in a subgroup. Results and Conclusion-IMNCI is found effective in improving knowledge, skill, accuracy in assessment, classification, treatment and counselling amongst both health and ICDS sector. Assessment by ANM and AWW for bacterial infection shows highly significant difference in 0-2 month, assessment of immunization and other problems also showing significant difference, but no significant difference is found in assessment of diarrhoea and breast feeding(p<0.05.). Monitoring and supervision; showing significant improvement in implementation of IMNCI in the district (p<0.05.).
BMJ Open, 2021
ObjectiveTo generate national estimates of key non-communicable disease (NCD) risk factors for ad... more ObjectiveTo generate national estimates of key non-communicable disease (NCD) risk factors for adolescents (15–17 years) identified in the National NCD Monitoring Framework and, study the knowledge, attitudes and practices towards NCD risk behaviours among school-going adolescents.Design and settingA community-based, national, cross-sectional survey conducted during 2017–2018. The survey was coordinated by the Indian Council of Medical Research—National Centre for Disease Informatics and Research with 10 reputed implementing research institutes/organisations across India in urban and rural areas.ParticipantsA multistage sampling design was adopted covering ages between 15 and 69 years—adolescents (15–17 years) and adults (18–69 years). The sample included 12 000 households drawn from 600 primary sampling units. All available adolescents (15–17 years) from the selected households were included in the survey.Main outcome measuresKey NCD risk factors for adolescents (15–17 years)—curre...
Aims and objective of the current study was to assess how knowledge translation is happening at t... more Aims and objective of the current study was to assess how knowledge translation is happening at the district level by assessing the performance standard of service providers in Assam. Setting and Design: A rapid appraisal of all Districts of Assam using a pretested, predesigned schedule along with record review. For assessment six areas were selected. A standard scoring system was used to quantify the qualitative observation findings. Statistical analysis included Rates, ratios and univariate analysis using chi-square test (p<0.05). Average score in human and physical resources was 89%, client focused information, education and communication (IEC) was 50%, management system 59%, infection prevention practices 86%, counseling 76% and follow up visit and management of potential problem was 74%. Total achievement percentage was 77%. Maximum achievement, found in primary health center (PHCs), followed by Civil Hospitals and difference was statistically significant (p<0.05). Inform...
Indian Journal of Community Health, 2016
Background: Anaemia is the most common nutritional deficiency observed globally. Anaemia worsens ... more Background: Anaemia is the most common nutritional deficiency observed globally. Anaemia worsens during pregnancy leading to adverse maternal and fetal outcome. Dibrugarh district has the highest maternal mortality in the country, one of the major factor being anaemia during pregnancy. Aims & Objectives: To assess the prevalence and socio-demographic determinants of anaemia in pregnant women of Dibrugarh District. Material & Methods: A community based, cross-sectional study was conducted in a block selected randomly. Study period was for the period from May’2015 to February’2016. Study sample included 290 participants. Results: Prevalence of anaemia among study participants was found to be 73.1%. (Mild 10%, moderate 43.1 % and severe 20%). Mean haemoglobin of study subjects was 9.07±2.26 g/dl. Average age of the study subjects was 23.24±4. Majority (27.2%) had their education upto primary school level and belong to class IV socioeconomic status. Univariate analysis and multiple logi...
Background: The increasing prevalence of childhood obesity is emerging as a public health problem... more Background: The increasing prevalence of childhood obesity is emerging as a public health problem in urban India and also contributes to obesity and various non-communicable diseases among adult population. Hence, it is necessary to identify potential risk factors for childhood obesity and formulate early interventions to control this epidemic. Aims & Objectives: To assess the magnitude of overweight and obesity among high-school students of Dibrugarh and to determine factors associated with it. Materials & Methods: A cross-sectional study including students enrolled in 8th- 10th grades in schools of urban Dibrugarh, Assam was conducted from October 2012 to June 2013 wherein 1000 students were selected using stratified random sampling technique. Information regarding dietary intake, amount of physical activity was collected using pre-designed, pre-tested questionnaire followed by anthropometric measurements which included body mass index (BMI), waist and hip circumference was done. ...
PLOS ONE
Background The primary objective of National NCD monitoring survey (NNMS) was to generate nationa... more Background The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18–69 years). Materials and methods NNMS was a national level cross-sectional survey conducted during 2017–18. The estimated sample size was 12,000 households from 600 primary sampling units. One adult (18–69 years) per household was selected using the World Health Organization-KISH grid. The study tools were adapted from WHO-STEPwise approach to NCD risk factor surveillance, IDSP-NCD risk factor survey and WHO-Global adult tobacco survey. Total of 8/10 indicators of adult NCD risk factors according to national NCD disease monitoring framework was studied. This survey for the first time estimated dietary intake of salt intake of population at a national level from spot urine samples. Results Total of 11139 hou...
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Papers by Tulika G O S W A M I Mahanta