Results after five years of intensive leprosy control work in a highly endemic area.
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Biomedical subjects
Publications and source records attributed to K Suresh.
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A coverage evaluation survey of the campaign for mass Pulse Polio Immunization (PPI) on 9th December, 1995 and 20th January, 1996 in Delhi was carried out using the modified cluster sampling technique and a pre-structured proforma. Six-hundred-and-nine children of under-3 age group were covered in the survey. Overall coverage for both the doses was found to be 77%. While coverage for 9th December dose was found to be 80%, it rose to 90.2% on 20th January, 1996. Coverage levels for male and female children were similar. Parental literacy was seen as a definite factor, positively affecting the coverage levels. Proportion of not covered under PPI was significantly higher in the 0-6 months age group. Television and health workers were found to be the main sources of awareness about PPI.
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India took a giant step closer to eradicating polio through the strategy of National Immunization Days-PPI. In order to validate the reported coverage for 1999-2000, UNICEF had undertaken the CES for PPI on the request from GOI. The paper is a presentation of findings from 15 states, carrying the data as of Aug. 31, 2000. The modified cluster sampling has been used in this study. Data reveals that out of 15, 10 states have more than 95% coverage for at least 3 doses, MP and Gujarat at the top with 99% coverage. Despite this high coverage level, huge number of children is still unreached. Nearly 5 lakh children are left out in UP alone. Ironically, higher proportion of urban clusters have zero dose children. Apart from lack of awareness about date and need of additional doses, lack of positive attitude among parents are major cause of not getting any of the doses. Qualitative research pinpointed some more reasons for non-compliance--apprehension about side effect, knowledge and traditional barriers. According to the service providers and influencers, lack of proper training and monetary compensation are major demotivating factors.
An interesting case of Aortoarteritis with clinical features simulating congenital coarctation of aorta (COA) is presented. Clinical pointers of differentiation of these conditions are discussed. Relevant literature is reviewed.