Papers by Chandrakala Jaiswal
International Journal of Community Medicine and Public Health, Nov 23, 2017
Maharashtra is one of the most developed and progressive states of India as far as health paramet... more Maharashtra is one of the most developed and progressive states of India as far as health parameters are concerned. In the recent past child mortality scenario has seen a lot of progress. Under-5 mortality rate (U 5 MR) has reduced from 41 in 2008 to 23 in 2015, infant mortality rate (IMR) from 33 to 21 and neonatal mortality rate (NMR) from 24 to 16 during the same period. Reduction in U 5 MR, IMR and NMR is 15%, 30% and 42% respectively. Though a large decline is seen in NMR, a lot needs to be achieved because share of neonatal deaths to infant deaths as per sample registration system (SRS) 2014 is 74.8%. 1-3 As per SRS 2015, IMR for Maharashtra is 21 with 26 for rural and 14 per 1000 live births for urban areas. NMR for Maharashtra is reported as 15 with percentage of neonatal deaths to infant deaths is 71.3. Similarly percentage of early neonatal deaths to infant deaths is 52. (SRS bulletin 2015 chapter 4 mortality indicators). 1 This huge share of neonatal deaths needs attention; because if these deaths are restricted, child mortality would drop further to show remarkable results.
Paripex Indian Journal Of Research, 2016
The State of Maharashtra has successfully brought down its infant mortality to 24 per 1000 live b... more The State of Maharashtra has successfully brought down its infant mortality to 24 per 1000 live births . This has happened largely due to improved newborn care. Neonatal mortality constitutes to more than half of infant deaths 1,2 . The results of establishment of SNCU in a Civil Hospital, Nagpur which involved training of staff with special emphasis on hand washing, asepsis, mentoring, continuous supportive supervision and motivation; have been promising. It was seen that the mortality over 4 years in the SNCU has decreased from 8.65% to 3.46%. The numbers of cases of septicemia have come down from 53 to 2. Corresponding author C. Jaiswal email -chandru6233@yahoo.co.in 1) Consultant, UNICEF, Maharashtra 2) Principal Secretary, Public Health Dept. Govt.of Maharashtra 3) Sr. Adv. NHM, UNICEF 4) Assoc. Prof. GIBN Mah. Uni of Health Sci., Pune 5) Nutrition Specialist UNICEF ,Mumbai 6) Additional Director, Pune. 7) Statistician 8) ...
International Journal of Environmental Research and Public Health, 2021
Community-based management of severe wasting (CMSW) programs have solely focused on exit outcome ... more Community-based management of severe wasting (CMSW) programs have solely focused on exit outcome indicators, often omitting data on nutrition emergency preparedness and scalability. This study aimed to document good practices and generate evidence on the effectiveness and scalability of CMSW programs to guide future nutrition interventions in South Sudan. A total of 69 CMSW program implementation documents and policies were authenticated and retained for analysis, complemented with the analyses of aggregated secondary data obtained over five (2016–2020 for CMSW program performance) to six (wasting prevention) years (2014–2019). Findings suggest a strong and harmonised coordination of CMSW program implementation, facilitated timely and with quality care through an integrated and harmonised multi-agency and multidisciplinary approach. There were challenges to the institutionalisation and ownership of CMSW programs: a weak health system, fragile health budget that relied on external as...
Pan African Medical Journal, 2019
The protracted war in South Sudan has led to severe humanitarian crisis with high level of malnut... more The protracted war in South Sudan has led to severe humanitarian crisis with high level of malnutrition and disruption of the health systems with continuous displacement of the population and low immunization coverage predisposing the population to vaccine preventable diseases. The study aimed at evaluating the effect of integrating immunization services with already established nutrition services on immunization coverage in resource-constrained humanitarian response. Methods: A community and health facility based interventional study involving integration of immunization into nutrition services in two Outpatient Therapeutic Program(OTP)centers in Bentiu PoC between January-December 2017. The main hypothesis was that inclusion of immunization services during nutrition services both at the OTP and community outreaches be an effective strategy for reducing missed opportunity for immunizing all eligible children accessing nutrition services. Data analyzed using STATA version 15 and bivariate analysis using logistic regression was conducted to identify predictor of missed vaccinations. Results: Integration of immunization into the nutrition services through the OTP centres increased the number of children immunized with various antigens and the dropout rate was much lower and statistically significant among children who received immunization at the OTP centers than those in the Primary Health Care Centers (PHC Centers) in the study sites. Children who were vaccinated at the OTP centre in sector 2 were 45% less likely to miss vaccination than those vaccinated at the PHCC (OR: 0.45; 95%CI:0.36-0.55), p<0.05 while those vaccinated at the OTP sector in sector 5 were 27% less likely to miss vaccination than those vaccinated at the PHCC (OR: 0.27; 95%CI: 0.20 -0.35) p<0.05). Conclusion: This study indicated that immunization coverage improved effectively with integration with nutrition services as a model of an integrated immunization programme for child health in line with the Integrated Management of Childhood Illnesses (IMCI) and the Global Immunization Vision and Strategy (GIV).
Archives of Current Research International, 2018
The ongoing conflict in South Sudan has led to the disruption of health care services with a high... more The ongoing conflict in South Sudan has led to the disruption of health care services with a high burden of infectious diseases, a widespread food insecurity and elevated child malnutrition with malaria being a major cause of co-morbidity among malnourished children. This study assessed the prevalence of malaria among malnourished children and assessed the relationship between malaria and malnutrition among malnourished children in an area with a high degree of malaria transmission. Study Design: This was a retrospective chart review of children 6 month-5years admitted at the nutrition centers Place and Duration of Study: 49 nutrition centers in Northern Bahr el Ghazal state of South Sudan
Global Health: Science and Practice
Undernutrition and high under-5 mortality persist in South Sudan, with very low dietary intake of... more Undernutrition and high under-5 mortality persist in South Sudan, with very low dietary intake of vitamin A and a high rate of infection considered to be the primary causes of vitamin A deficiency among young children. n South Sudan's vitamin A supplementation (VAS) program has demonstrated success through campaign-style delivery with steady improvement from 2010 to the present. n Continued political unrest, environmental factors, and health system infrastructure deficiencies contribute to low and uneven VAS coverage rates at different times and in different areas.
Paripex Indian Journal Of Research, 2016
The State of Maharashtra has successfully brought down its infant mortality to 24 per 1000 live b... more The State of Maharashtra has successfully brought down its infant mortality to 24 per 1000 live births . This has happened largely due to improved newborn care. Neonatal mortality constitutes to more than half of infant deaths 1,2 . The results of establishment of SNCU in a Civil Hospital, Nagpur which involved training of staff with special emphasis on hand washing, asepsis, mentoring, continuous supportive supervision and motivation; have been promising. It was seen that the mortality over 4 years in the SNCU has decreased from 8.65% to 3.46%. The numbers of cases of septicemia have come down from 53 to 2. Corresponding author C. Jaiswal email -chandru6233@yahoo.co.in 1) Consultant, UNICEF, Maharashtra 2) Principal Secretary, Public Health Dept. Govt.of Maharashtra 3) Sr. Adv. NHM, UNICEF 4) Assoc. Prof. GIBN Mah. Uni of Health Sci., Pune 5) Nutrition Specialist UNICEF ,Mumbai 6) Additional Director, Pune. 7) Statistician 8) ...
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Papers by Chandrakala Jaiswal