Madhya Pradesh

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Neeru Singh - One of the best experts on this subject based on the ideXlab platform.

  • dynamics of forest malaria transmission in balaghat district Madhya Pradesh india
    PLOS ONE, 2013
    Co-Authors: Neeru Singh, A K Mishra, M M Shukla, S K Chand, Praveen K Bharti, Mrigendra P Singh, Gyan Chand, Man M Mahulia, Ravendra K Sharma
    Abstract:

    Background An epidemiological and entomological study was carried out in Balaghat district, Madhya Pradesh, India to understand the dynamics of forest malaria transmission in a difficult and hard to reach area where indoor residual spray and insecticide treated nets were used for vector control.

  • fighting malaria in Madhya Pradesh central india are we loosing the battle
    Malaria Journal, 2009
    Co-Authors: Neeru Singh, A P Dash, Krongthong Thimasarn
    Abstract:

    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.

  • estimating the burden of malaria in pregnancy a case study from rural Madhya Pradesh india
    Malaria Journal, 2009
    Co-Authors: Nadia Diamondsmith, Neeru Singh, R Das K Gupta, A P Dash, Krongthong Thimasarn, Oona M R Campbell, Daniel Chandramohan
    Abstract:

    Background Malaria in pregnancy (MiP) is inadequately researched in India, and the burden is probably much higher than current estimates suggest. This paper models the burden of MiP and associated foetal losses and maternal deaths, in rural Madhya Pradesh, India.

  • forest malaria in chhindwara Madhya Pradesh central india a case study in a tribal community
    American Journal of Tropical Medicine and Hygiene, 2003
    Co-Authors: Neeru Singh, A K Mishra, M M Shukla, S K Chand
    Abstract:

    Parasitologic and entomologic cross-sectional surveys were carried out during an outbreak of malaria between December 1998 and August 2000 in forest villages near the Mohkhed Primary Health Center in the Chhindwara District of Madhya Pradesh in central India. In December 1998, surveys showed that more than 70% of the fever cases had malaria, with 87% of the malaria caused by Plasmodium falciparum. The rate of enlarged spleens in children was 74.5%. In November 1999, 58% of the inhabitants were infected with malaria, with 80% of these cases caused by P. falciparum. Chloroquine resistance was seen in 23% of the cases. Anopheles culicifacies was the dominant mosquito species in all surveys (70-85%) and was resistant to DDT. The results indicate that the incidence of malaria in Chhindwara has increased gradually from 0.31 per 1,000 in 1990 to 6.75 per 1,000 in 2000. Improved access to treatment facilities, combination therapy, and vector control using an effective insecticide appear to be the most promising methods for controlling malaria in this region.

  • evaluation of a rapid diagnostic test determine malaria pf in epidemic prone forest villages of central india Madhya Pradesh
    Annals of Tropical Medicine and Parasitology, 2000
    Co-Authors: Neeru Singh, N Valecha
    Abstract:

    A rapid, immunochromatographic test for malaria diagnosis, 'Determine™ malaria pf, was evaluated by a field team in the epidemic-affected, forest setting of Chhindwara district, in Madhya Pradesh, ...

V G Rao - One of the best experts on this subject based on the ideXlab platform.

  • investigation of the risk factors for pulmonary tuberculosis a case control study among saharia tribe in gwalior district Madhya Pradesh india
    Indian Journal of Medical Research, 2017
    Co-Authors: Jyothi Bhat, V G Rao, Rajiv Yadav, M Muniyandi, Ravendra K Sharma, M K Bhondley
    Abstract:

    Background & objectives: Prevalence of pulmonary tuberculosis (PTB) is known to be high in the indigenous tribal community Saharia in Madhya Pradesh, India. The risk factors for PTB are not well known among them. This study was done to determine various risk factors associated with PTB in the indigenous community Saharia. Methods: A prevalence survey was conducted among Saharias of Gwalior district of Madhya Pradesh. The population surveyed was 12,123 which was the source of cases and controls for the present study. All the bacillary-positive cases and controls in the ratio of 1:5 were included in the survey. Data were collected by the trained health workers from the patients and controls using a semi-structured pre-coded and pre-tested questionnaire which included data on risk factors including demographic factors, host-related factors and household factors. The individuals were also screened for diabetes mellitus and HIV. Results: Malnutrition and history of asthma were associated with an increased risk of PTB. More than 56 per cent cases were attributed to malnutrition and 12 per cent attributed to asthma. Low family income, alcohol consumption and smoking were the other contributors. The risk was higher in males as compared to females. Interpretation & conclusions: The study emphasized that the main contributors were social factors. Nutrition supplementation, especially in tuberculosis (TB) patients and integrated approach to improve their living conditions are needed to control TB in this community.

  • pulmonary tuberculosis a health problem amongst saharia tribe in Madhya Pradesh
    Indian Journal of Medical Research, 2015
    Co-Authors: V G Rao, Jyothi Bhat, R S Yadav, M Muniyandi, Ravendra K Sharma, M K Bhondeley
    Abstract:

    Tuberculosis (TB) remains the major killer infectious disease affecting adults in developing countries1. It is estimated that about 3.5 million new cases of TB continue to occur each year and about 480,000 people die of this disease annually, most of these in five countries, namely, Bangladesh, India, Indonesia, Myanmar and Thailand2. India is the highest TB burden country in the world and accounts for one fifth of the world's new TB cases and two thirds of the cases in the South-East Asia region3. Epidemiological information on tuberculosis is vital for planning the control strategies. However, this information amongst the tribal populations of the country is limited to a few studies carried out in some tribal groups4,5,6,7,8. Tribal population is an underprivileged group of society, often having poor access to the health care delivery systems. Geographical isolation, unique cultural and social practices, lack of formal education and treatment seeking behaviour, poverty, etc. make these populations vulnerable to several health problems including tuberculosis. Tribal population constitutes around 8.6 per cent of the total population of the country and of the total tribal population, around 80 per cent is found in central India9. It accounts for about a quarter of the total population in the State of Madhya Pradesh. There are 46 ethnic groups in the State and three among them have been categorized as particularly vulnerable tribal groups (PVTGs), earlier called as primitive tribal groups. The Saharias are one of these three PVTGs. They are mainly located in Gwalior and Chambal divisions of Madhya Pradesh, and literacy rate among Saharia is low at 23.2 per cent10. Tuberculosis has been found to be a major public health problem among Saharias of Sheopur district in Chambal divisions of the State with TB disease prevalence of 1,518 per 100,000 and annual risk of tuberculosis infection (ARTI) of 3.9 per cent11,12. However, no information regarding the TB situation in this tribal community from Gwalior division of the State is available. This study was carried out to assess the TB disease situation, particularly prevalence of pulmonary TB (PTB) in this PVTG in Gwalior district of Madhya Pradesh.

  • selected risk factors associated with pulmonary tuberculosis among saharia tribe of Madhya Pradesh central india
    European Journal of Public Health, 2012
    Co-Authors: V G Rao, P G Gopi, Jyothi Bhat, N Selvakumar, Rajiv Yadav, D F Wares
    Abstract:

    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.

  • pulmonary tuberculosis a public health problem amongst the saharia a primitive tribe of Madhya Pradesh central india
    International Journal of Infectious Diseases, 2010
    Co-Authors: V G Rao, P G Gopi, Jyothi Bhat, N Selvakumar, Rajiv Yadav, Balkrishna Tiwari, Vijay Gadge, M K Bhondeley, Fraser Wares
    Abstract:

    Summary Objectives To estimate the prevalence of pulmonary tuberculosis (TB) disease amongst the Saharia, a ‘primitive' tribe of Madhya Pradesh, Central India. Methods A community-based cross-sectional TB prevalence survey was undertaken in the Saharia, a ‘primitive' tribal community of Madhya Pradesh. A representative random sample of villages predominated by tribal populations was chosen from the selected block of Sheopur District. All eligible individuals were screened for chest symptoms related to TB. Sputum samples were collected from all eligible individuals, transported to the laboratory, and examined by Ziehl–Neelsen smear microscopy and solid media culture methods. Results Of the 11 468 individuals eligible for screening, 11 116 (96.9%) were screened for symptoms. The overall prevalence of pulmonary TB disease was 1518 per 100 000 population. Prevalence increased with age and the trend was statistically significant ( p p Conclusion The findings suggest that TB disease remains a major public health problem in the Saharia ‘primitive' tribal community of Madhya Pradesh, Central India.

Vinod K Diwan - One of the best experts on this subject based on the ideXlab platform.

  • barriers of mistrust public and private health sectors perceptions of each other in Madhya Pradesh india
    Qualitative Health Research, 2008
    Co-Authors: Ayesha De Costa, Eva Johansson, Vinod K Diwan
    Abstract:

    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.

  • where is the public health sector public and private sector healthcare provision in Madhya Pradesh india
    Health Policy, 2007
    Co-Authors: Ayesha De Costa, Vinod K Diwan
    Abstract:

    Abstract Objective This paper aims to empirically demonstrate the size and composition of the private health care sector in one of India's largest provinces, Madhya Pradesh. Methodology It is based on a field survey of all health care providers in Madhya Pradesh (60.4 million in 52,117 villages and 394 towns). Seventy-five percent of the population is rural and 37% live below poverty line. This survey was done as part of the development of a health management information system. Findings The distribution of health care providers in the province with regard to sector of work (public/private), rural–urban location, qualification, commercial orientation and institutional set-up are described. Of the 24,807 qualified doctors mapped in the survey, 18,757 (75.6%) work in the private sector. Fifteen thousand one hundred forty-two (80%) of these private physicians work in urban areas. The 72.1% (67793) of all qualified paramedical staff work in the private sector, mostly in rural areas. Conclusion The paper empirically demonstrates the dominant heterogeneous private health sector and the overall the disparity in healthcare provision in rural and urban areas. It argues for a new role for the public health sector, one of constructive oversight over the entire health sector (public and private) balanced with direct provision of services where necessary. It emphasizes the need to build strong public private partnerships to ensure equitable access to healthcare for all.

Kailash Chandra - One of the best experts on this subject based on the ideXlab platform.

Devanshu Gupta - One of the best experts on this subject based on the ideXlab platform.

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