This document analyzes the Janani Suraksha Yojana (JSY) scheme among educated married women in rural Jammu and Kashmir, particularly the district of Kulgam. It summarizes the findings of a field study of 40 women beneficiaries in the villages of Shahoo and Sachen. The study found that the majority of beneficiaries were between 25-30 years old, from an above poverty line economic status, and made aware of JSY by ASHAs. All beneficiaries received antenatal care, institutional deliveries, and immunizations for their children. While most arranged their own transportation, some utilized transportation arranged by ASHAs. Suggestions included increasing ASHA remuneration and addressing delays in financial assistance
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
To accomplish community health goals and its aims the following approaches are to be utilized by community health professionals:-
1)persuasive approach 2)enforcement 3)team approach 4)community involvement 5)Intersectorial approach
For adventurous travel blog please visit http://wilsontom.blogspot.com
Health Aspect of 12th five year plan in IndiaVikash Keshri
India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
To accomplish community health goals and its aims the following approaches are to be utilized by community health professionals:-
1)persuasive approach 2)enforcement 3)team approach 4)community involvement 5)Intersectorial approach
For adventurous travel blog please visit http://wilsontom.blogspot.com
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
NRHM Policies and Lacking in its ImplementationSupriya_1995
Survey was conducted to examine the impact of NRHM Policies in Rural and Urban Areas and its related implementation. To analyze the opinion and reaction towards the same, the general public from Rural and Urban areas of Bulandshahr were selected
Data were collected from 120 smallholder famers from two communities. Findings revealed that 82% were aware of specific Good Agricultural Practices (GAP) but the majority of the respondents were not practicing GAPs due to several challenges.
Setting a Path for Improved Health Outcomes RBFRBFHealth
Learning is a critical part of the HRITF RBF portfolio, with all programs benefiting from an embedded impact evaluation and in some cases, complemented by qualitative research components such as process evaluation studies. The presentation discusses the following topics:
1. Using RBF at the community-level to address demand side barriers
This presentation elaborates on the early evidence and the rationale for using RBF at the community level. It will share lessons learned from the implementation of community RBF at country level.
2. Using RBF to Strengthen Quality of Care: Early Lessons
This presentation discusses the broader policy implications of using RBF to strengthen the quality of care. It will explore how Measuring and Paying for the Quality of Care has been operationalized and will highlight the experience of Nigeria. Lastly, it will focus on measuring and Analyzing the Quality of Care from the Impact Evaluation perspective.
CORE Group Fall Meeting 2010. WHO/UNICEF - Joint Statement Service Delivery & Program Implications, - Winnie Mwebesa & Stella Abwao, Save the Children.
Providing Health in Difficult Contexts: Pre-Pilot Performance-Based Financing...RBFHealth
A presentation delivered during the RBF Health Seminar,
"Providing Health in Difficult Contexts: Pre-pilot Performance-Based Financing Experiences in Adamawa State in North-East Nigeria" on April 24, 2014. It highlights the experiences from the Adamawa Performance-based financing (PBF) Pilot, the challenges faced, the early results and how the pilot is leading the way for improved coordination and sustainable health system changes.
Are you looking to integrate the CHNA into your strategy?
Then you don’t want to miss this webinar.
All hospitals are required to conduct these assessments, so learn how best to connect and streamline your strategic planning and marketing activities to maximize your brand’s impact.
In this webinar, originally presented December 6, 2016, Lee Ann Lambdin, Stratasan’s SVP of Healthcare Strategy, and Jon Headlee, President of Ten Adams, discuss how to extend your Community Health Needs Assessment to create effective wellness initiatives from the inside out.
Nepal has achieved MDG goals 4 and 5 for child mortality and maternal health. The poster from JSI's Penny Dawson at the 2014 World Congress on Public Health in Kolkata, India, outlines key contributing factors, including the policy environment, government commitment, health financing, mobilization of female community health workers, and infrastructure and logistics.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
1. • Name Kowser Ali
• Enrollment no: 1605cuKmr 15
• Dept: economics
2. An economic AnAlysis of
Jsy Among the educAted
mArried women
A case study of
Jammu & Kashmir
particularly of
district Kulgam
3. -Introduction
-National Rural Health Mission was launched by Prime Minister
Dr. Manmohan Singh on April 12, 2005.
-Aimed to ensure affordable, quality health care to the poorest
house holds in remotest areas.
-Bridging the gap in rural health care services through the creation
of cadre of Accredited Social Health Activists (ASHAs),
improved health care, decentralized planning, intersectoral
conversions and maintaining gender balance.
4. -Jannani Suraksha Yojana
- An important component of NRHM is Janani Suraksha Yojana
(JSY) launched in India on April 12, 2005.
- J SY is a conditional cash transfer scheme to promote
institutional delivery and reduce maternal mortality.
- The main objective of the scheme is to reduce the number of
maternal and neonatal deaths and increase the institutional
delivery.
- NRHM in the State of Jammu and Kashmir expects to reduce
Maternal Mortality Rate to 100 per 100000 live births, Infant
Mortality Rate to 30 per 1000 births and the Total Fertility Rate to
2.1 by the year 2015-16.
5. The State of Jammu and Kashmir has once again registered a
significant decline in the Infant Mortality Rate (IMR) from 26 per
1000 live births to 24 per 1000 live births (8% decline) as per latest
Sample Registration System (SRS) Bulletin issued by Registrar
General, India in 10th
January 2018.
In our state the no of women beneficiaries has increased
from 91,887 in 2009-10 to 1,77,540 in 2016-17.
6. Objectives of the study
To assess the knowledge of JSY among educated married
women in rural areas.
To study the effect of socio-demographic factors on the level of
awareness of JSY.
7. Methodology
To conduct the field survey a random sample of 40 respondents
who have availed benefits of JSY in the district Kulgam were taken
as sample beneficiaries.
Study Area.
Village Shahoo and Sachen.
The selection of villages from medical block D H Pora was done on
the basis of educated population.
Study Design:
A field based study.
Sampling Technique:
Stratified Random Sampling.
8. S. no Age group No of
beneficiaries
percentage
1
2
3
4
20-25
25-30
30-35
35-40
10
19
6
5
25
47.5
15
12.5
Total 40 100
Age of sample beneficiaries
Analysis
The minimum age of the beneficiaries was found to be 21 years which
means JSY guidelines regarding age are properly followed.
9. S.no Status Number of
beneficiaries
percentage
1
2
3
APL
BPL
Others
22
18
0
55
45
0
Total 40 100
Economic status of beneficiaries
10. S. no Source of
awareness
No of
beneficiaries
Percentage
1
2
3
4
ASHA
ANM/AWW
Publicity (TV,
Radio,
Newspapers)
Relatives
23
6
11
0
57.5
15
27.5
Total 40
sources of awareness about JSY
Most of the beneficiaries were motivated towards JSY by ASHAs
13. Reason for opting
for institutional
delivery
Number of
beneficiaries
Percentage
Money available
under JSY
Better services for
mother and newborn
child
ASHA motivated to
deliver in a hospital
0
40
0
0
100
0
Total 40 100
Reason for opting for institutional deliveries
The main reasons mentioned by beneficiaries for institutional
delivery were better services for mother and child i.e. 100%.
14. Characteristics Number of
beneficiaries
Percentage
Own cost 35 87.5
Arrangement by
ASHA/AWW. 5 12.5
Availability of transport facility
Despite transport facility available under JSY only 12.5% have availed the
transport facility which was arranged by either ASHA/AWW, while as
majority of the beneficiaries i.e. 87.5% have arranged the transport facility
at their own cost.
15. Received ANC
Check up
Number of
beneficiaries
Percentage
Received 3-ANC
Check-ups
40 100
Received 100 IFA
Tablets
ReceivedTT1/TT2
injection
40
40
100
100
Sample beneficiaries who received ANC checkups
100% have received 3-ANC check-ups, 100% have consumed 100-
IFA tablets and 100% beneficiaries reported that they have received
(TT1 & TT2). Injections.
17. - The remuneration paid to ASHAs should be increased in a proper manner
so that they become actively involved in the scheme.
- Nearly all, feel that the JSY assistance comes late, mostly because of the
complicated procedures of filling in and sending out forms or due to
interruption of money flow to the PHC.
- Hiring transport at odd hours, high cost of transportation and even being
denied by transporters are some of the barriers in availing of the JSY
services.
- All recruited ASHAs should be trained within a time frame
Suggestions
18. References
• Economic survey of Jammu and Kashmir 2015-16.Directorate of
Economics and Statistics J & K.
• Economic & political weakly
• www.thehindu.com(2011) Janani Suraksha Yojana yields positive
results.
• www.kashmirhealth.org
• http: // www.jknrhm.com
• http: // www.nrhm-mis.nic-.in/publications.aspx
• http: // www.nrhm-nic-mic.in/ul/reports/documents/jsy
• http:// www.google.com
• http:// www.dialyexcelsior.com
• http:// www.kulgam.gov.in
• http:// www.wikipedia.org
