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Papers by JATIN SARMAH
International Journal of Research in Ayurveda and Pharmacy, 2020
Gridhrasi comes under 80 types of Nanatmaja Vatavyadhi, due to its extreme painful condition phys... more Gridhrasi comes under 80 types of Nanatmaja Vatavyadhi, due to its extreme painful condition physician is often called to treat in clinical practice. Symptoms of Gridhrasi resemble with sciatica. The present Clinical study was carried out to assess the effect of Kati Basti and Matra basti in Gridhrasi. In Ayurveda Basti karma is considered as half of the treatment and in Panchakarma Basti is important amongst all the therapy for the management of Vatavyadhi. In this clinical study 20 patients were registered equally divided in to two groups and 10 patients of 1st group under Kati basti with Dashmoola taila for 14 days and another group of 10 patients received one sitting of Matra basti for two weeks with Sahasradi taila. In this present study of Kati basti group 20% were cured, 40% marked improvement, 30% moderate improvement and 10% mild improvement and in Matra basti group 40% patient were cured 30% got marked improvement and 30% moderate improvement. None of the patient remained unchanged moreover highly significant result was obtained statistically.
ASIAN JOURNAL OF HOME SCIENCE, 2014
Nutrition is involved in taking in and utilization of food substances by which growth, repair and... more Nutrition is involved in taking in and utilization of food substances by which growth, repair and maintenance of the body are accomplished. The nurse plays a key role in patient care. She is often the closest professional to the patient, spending most of the time with him. The present study was conducted to assess the existing knowledge of nurses on nutrition along with some background characteristics. One hundred and twenty nurses from three government hospitals and three private hospitals of three different districts were administered a questionnaire comprising of questions related to nutrition.Findings revealed that half of the total respondents (50 %) belonged to younger age group (20-30 years), 49.2 per cent had diploma in nursing and 49.1 per cent had 1-5 years of professional experience. Majority (91 %) of the respondents had medium level of mass media exposure. Around 61.7 per cent had medium level of nutritional knowledge. There was a need for increasing the nutritional knowledge of nurses, so proper training on nutrition education should be conducted frequently.
International Journal of Livestock Research, 2018
Zoo Biology, Jul 1, 2017
The golden langur (Trachypithecus geei) is an endangered primate endemic to northern India and Bh... more The golden langur (Trachypithecus geei) is an endangered primate endemic to northern India and Bhutan. The main stressors to the species are habitat degradation and fragmentation. Non-invasive fecal glucocorticoid metabolite (fGCM) analysis is a powerful tool for assessing stress associated with environmental disturbances in wildlife. However, interspecific differences in glucocorticoid metabolism require careful selection of the antibody used in their quantification. The goals of this study were to: 1) validate an enzyme immunoassay (EIA) to determine fecal GC metabolite (fGCM) concentrations in the golden langur and 2) compare fGCM concentrations between golden langurs living under different environmental conditions. We compared five enzyme immunoassays for determining stress related physiological responses in golden langurs by performing an adrenocorticotropic stimulation test in both sexes. Our validations identified an 11-oxoaetiocholanolone EIA detecting 11, 17 dioxoandrostanes as the most suitable assay for monitoring adrenocortical activity in the species. FGCM concentrations from semi-captive temple langurs were significantly higher than respective stress steroid concentrations in free-ranging or pet/zoo langurs. This study presents a validated practical method for non-invasive monitoring of adrenocortical function in this rare and declining species.
Journal of Medical Screening, Aug 28, 2022
Objective To describe the development and implementation of a population-based screening programm... more Objective To describe the development and implementation of a population-based screening programme for sickle cell disease (SCD) implemented in 12 SCD-endemic and tribal-dominated primary/community health centres (PHCs/CHCs) across six districts of India. Setting India reports a huge burden of SCD, especially among indigenous (tribal) communities. However, there is no state-led SCD programme in many places, and systematic screening is absent. This situation necessitates developing a model of population screening. Methods This programme was meant to screen all people and was carried out in three tiers. The first tier was a symptomatic survey carried out by community health workers. Regular health workers then screened those referred by sickle cell solubility test at sub-health centres as the second tier. The third tier was confirmation by haemoglobin electrophoresis at PHCs/CHCs. Communities were mobilised and prepared to accept the screening. Capacity building of health facilities was ensured through training and supply of equipment and material. Results Initial observation based on six months’ data revealed that out of the 110,754 tribal population of 12 PHCs/CHCs, 8418 (7.6%) were identified in the symptomatic survey. Subsequently, 9416 people, including the above 8418, underwent the solubility test, and 2607 (27.7%) were found to be positive. Of these, 1978 (78.9%) underwent electrophoresis. About 64.2% were found to be positive for sickle haemoglobin (233 (18.4%) SCD and 1036 (81.6%) SCD trait). Conclusions The study demonstrates the feasibility of establishing a population-based screening programme in the primary health care system. It is easy to implement in tribal habitations as part of the proposed national SCD/haemoglobinopathies programme.
Applied Biological Research, 2022
PubMed, Dec 12, 2020
Sickle cell disease (SCD) is one of the major public health problems in the world. In India, the ... more Sickle cell disease (SCD) is one of the major public health problems in the world. In India, the burden of SCD is comparatively high in socio-economically disadvantaged tribal communities. Though efficacious interventions are available to manage SCD, they are not reaching to these communities and no comprehensive programme is in place in the health care system. Therefore, the Indian Council of Medical Research has initiated a nation-wide study to develop an effective intervention model for SCD patients in tribal areas through the government health care system. This intervention includes increasing awareness and preparing the communities for accessing the government health care system for SCD care, and improving the capacity of the primary health care systems including the training of the health care providers on prevention and management of SCD. The study adopted a quasi-experimental design with pre-vs. post-intervention comparisons of outcome variables within the interventional groups and with the control group. The study will be implemented in 6 districts which are endemic for SCD, spread across different geographical zones of India. In each district, four primary health centre (PHC) areas which are predominantly inhabited by tribal population will be selected. Of these four PHC areas, two will be selected randomly for implementing the intervention and the remaining two will be the control area. Information necessary for development and implementation of the intervention will be gathered during formative research, by using both quantitative and qualitative research methods. Intervention with an inclusive partnership and community mobilization will be implemented. The major steps in the implementation of intervention are partnership building with various health and non-health partners including the community. Capacity building and strengthening is another important component to enable the primary health facilities to screen and manage SCD patients. Primarily, sub-health centres and primary healthcare centres will be equipped with appropriate SCD screening techniques. All doctors in the system will be trained in advanced treatment and management issues. To improve the community's awareness and readiness, community mobilization activities will be conducted. An impact evaluation will be carried out at the end of the intervention by comparing the improvement of SCD management in intervention PHCs to that of the control PHCs. However, the process evaluation and necessary mid-term corrections will be made throughout the intervention period. Thus, an intervention model in terms of its suitability, replicability and sustainability for the tribal population will be developed and tested. The findings of this study are more suitable to use during advocacy and to replicate the model by the state health departments. This study develops and places an appropriate referral system for SCD patients at the PHC level. Improving the community's access to health care, improving the quality of care in government health centres and raising awareness among tribal communities are crucial to achieving through innovation. Taken together, these innovations would significantly contribute to better access to health care and management of the SCD patients of underserved tribal population.
Transactions of The Royal Society of Tropical Medicine and Hygiene, May 26, 2021
Background Sickle cell disease (SCD) is a serious public health problem, with >300 000 aff... more Background Sickle cell disease (SCD) is a serious public health problem, with >300 000 affected births worldwide each year. About 73% of the SCD-affected people in India belong to the tribal population. The Government of India is planning to implement a programme for SCD and hence people's knowledge of SCD is crucial. This paper reports the SCD-related knowledge among the Indian tribal population. Methods As part of a formative assessment before an intervention, data were collected from 9837 adults from 24 primary health centre areas of six states. Each community's knowledge of SCD was elicited through an interviewer-administered pretested questionnaire. Univariate and multivariate analyses were conducted. Results Overall, 32.1% (CI 31.2 to 33.1%) of participants had heard of SCD, 7.9% (CI: 7.3 to 8.4%) knew that SCD is hereditary, 19.4% (CI: 18.7 to 20.3%) knew that a blood test can diagnose SCD and 23.9% (CI: 23.1 to 24.8%) knew that SCD is treatable. Only 13.1% (CI: 12.4 to 13.8%) knew that SCD can be prevented. No more than 16% knew about any SCD symptoms. Multiple logistic regression revealed some predictors of basic knowledge (i.e. had heard of SCD). Conclusions There is a gross inadequacy of knowledge about SCD in the Indian tribal population. This study warrants implementing a health education programme as a part of the SCD programme.
Indian Journal of Endocrinology and Metabolism, 2023
Indian Journal of Animal Research, Feb 19, 2022
Background: Ghungroo is the first registered indigenous pig breed of India bearing accession numb... more Background: Ghungroo is the first registered indigenous pig breed of India bearing accession number INDIA_PIG_2100_ GHUNGROO_09001 reported from Western Assam and North Bengal. The present study determines nutritional content (proximate, mineral, fatty acid and cholesterol) of five muscles that are considered most valued cuts by customers. Methods: Thirty muscles were dissected from six reared Ghungroo pigs, each from shoulder (Triceps brachii, Latissimus dorsi) and from ham region (Biceps femoris, Gracilis, Tensor fasciae latae). Two months old piglets were reared from October, 2019 to May, 2020 and slaughtered. They were administered commercial diet i.e. starter, grower and finisher feed during different stages of growth. Result: The highest protein, fat and ash were found in tensor fasciae latae, gracilis and triceps brachii respectively (P<0.05). In 100 g of meat, potassium, sodium, magnesium and zinc was found highest in Tensor fasciae latae, Latissimus dorsi and Biceps femoris respectively (P<0.05). The total saturated (SFA's), monounsaturated (MUFA) and polyunsaturated (PUFA) fatty acids were found highest in Tensor fasciae latae and Latissimus dorsi respectively (P<0.05), while trans-fatty acid and cholesterol were both found highest in Gracilis. The data shall be valuable for muscle specific improvement of meat quality and value addition for global markets.
Journal of entomology and zoology studies, May 1, 2015
Entomophagy is a common practice among rural and urban Bodos-a major tribe of Assam, India. A sur... more Entomophagy is a common practice among rural and urban Bodos-a major tribe of Assam, India. A survey was conducted in the remote rural areas of Assam from June, 2013 to May, 2014. The insects collected from various habitats were preserved by following standard methods. An inventory on the knowledge on the wild edible insects of the Bodos of the studied areas is presented here. The study revealed that a total of 25 species of insects, belonging to eight orders and fourteen families are consumed as food by the Bodos. Out of them ten species belong to order Orthoptera, five to the Hymenoptera, three to Coleoptera, two each to Odonata and Hemiptera and one each to Araneae, Lepidoptera and Isoptera. The ethnozoological knowledge of this tribe ranges from edible to medicinal use. This study aims to make a comprehensive list of edible insects consumed by the Bodos of Assam.
The Indian journal of nutrition and dietetics, Jul 4, 2017
The study was aimed to analyze the mineral content, amino acid and fatty acid composition of Poli... more The study was aimed to analyze the mineral content, amino acid and fatty acid composition of Polistes olivaceus larvae consumed by different aboriginal tribes of North East India. Although the edible insect larvae has high market value in Assam and adjoining states of North East India, the nutritional analysis on it has not been done till now. Mineral elements including potassium, sodium, calcium, magnesium, phosphorus, zinc, iron and copper were detected by Atomic Absorption Spectroscopy. Amino acid composition and fatty acid profile were analysed by high performance liquid chromatography and gas chromatography mass spectrometry respectively to ascertain its potentiality to be included in food based strategies concerning human health. Iron and copper were the most abundant minerals and potassium, sodium and phosphorus were present in substantial amounts. Nineteen amino acids including all essential amino acids (43.87%) except isoleucine were detected in the sample. All essential amino acids satisfied the recommended level (score&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;100) except leucine with a chemical score of 98%. The level of unsaturated fatty acids was 53.21% while the saturated fatty acids constituted 47.02% of the total fatty acids signifying its potentiality in nutrition and health. Presence of linolenic acid as the main constituent of polyunsaturated fatty acids greatly signifies its importance in human nutrition. Thus, Polistes olivaceus larvae may be exploited to provide high-quality diets among populations plagued by iron deficiency as well as poor supply of dietary proteins and polyunsaturated fatty acids.
The International Journal of Health Planning and Management
In India, sickle cell disease (SCD) predominantly occurs in indigenous (tribal) people, who are a... more In India, sickle cell disease (SCD) predominantly occurs in indigenous (tribal) people, who are about 104 million. However, screening and diagnosis seldom happen. This situation necessitates developing a comprehensive SCD care model, including a registry. This paper describes the development and implementation of the Indian SCD registry (ISCDR) in six tribal‐dominated districts of India. The ISCDR was created in two components—(i) an Android‐based mobile/tablet application, (ii) a dashboard/admin panel for patients' data management and retrieval. Data capture involves two electronic case report forms (CRF), that is, the primary form (CRF‐1) and the repeat visit form (CRF‐2). CRF‐1 is completed as soon as the patient is found positive and captures the patient's information, including medical history, diagnosis, symptoms, precipitating factors, hospitalisation history and treatment received. Issues related to quality, security and data‐sharing were addressed. After the screeni...
Research & Reviews: A Journal of Health Professions, Jul 13, 2018
Iron deficiency (ID) is the most common nutritional deficiency and familiar cause of anaemia worl... more Iron deficiency (ID) is the most common nutritional deficiency and familiar cause of anaemia worldwide. Among the tribal population of India, the scenario of anaemia is severe. Eating habit along with a number of genetic haemoglobin (Hb) disorders has been found to modify the morbidity and mortality of these populations. Providing information on causes and prevalence rate on anaemia among tribal population in one of the severely affected international border area of rural India will help in formulating strategies against this public health problem. This study was conducted during January to June, 2017 among 480 never married postgraduate tribal female students of the age group of 21–25 years to estimate the prevalence and contributing factors of iron deficiency anaemia (IDA).A structured questionnaire for general information, dietary habits, knowledge on signs and symptoms of anaemia and Body Mass Index (BMI) was carried out. Complete Blood Count (CBC), Hb percentage, serum ferritin (SF) and serum iron (SI) levels were measured. Chi-square test and independent sample t-test were used for data analysis. A total of 396 students were diagnosed as anaemic as per the World Health Organization (WHO) standard. Prevalence of mild anaemia was 60.9% (n=241), moderate anaemia 28.5% (n=113) and severe anaemia in 10.6% (n=42). The prevalence of ID was 23.4% and IDA was 38.5%. Normal iron status was found in 17.5% of the subjects.IDA is common among the studied population. Iron supplementation programme should be formulated as this group is not covered under any government programmes. Keywords : iron deficiency anaemia (IDA), complete blood count (CBC), haemoglobin (Hb), serum ferritin (SF), serum iron (SI) Cite this Article Sarmah J, Baruah D, Sarma PK, et al. Dietary habit, anthropometric measurements and haematological parameters in correlation with prevalence of iron-deficiency anaemia among never married tribal female postgraduates of Assam, India. Research & Reviews: A Journal of Health Professions . 2018; 8(2): 19–26p.
Agriculture Update, 2013
nutrition, health and hygiene was done with the objectives, to study the socio-personal character... more nutrition, health and hygiene was done with the objectives, to study the socio-personal characteristics of women tea plantation workers of Assam, to assess the existing knowledge of women tea plantation workers on nutrition, health and hygiene, to find out the relationship of women tea plantation workers knowledge with the selected independent variables on nutrition, health and hygiene. The study was carried out in four Tea Estates i.e. Kakojan T.E., Duflating T.E., Kothalgoorie T.E. and Gotonga T.E. of Jorhat district of Assam. Twenty five married permanent women tea plantation workers with atleast one child were selected from each garden totaling one hundred women tea plantation workers from all the selected tea gardens were the respondents of the present study. The findings show that the women tea plantation workers of Jorhat district had low level of knowledge on nutrition, health and hygiene.
Advances in Animal and Veterinary Sciences
Journal of Community Genetics
Sickle cell disease (SCD) is a progressively debilitating genetic disease, and India is the secon... more Sickle cell disease (SCD) is a progressively debilitating genetic disease, and India is the second most affected nation in SCD births. SCD births are high among Indian indigenous tribal communities, whose health care is pluralistic. Traditional healers are an essential part of tribal pluralistic care. This study aimed to understand the extent of SCD-related knowledge and practices of traditional healers and their willingness to be part of the programme. Following the grounded theory approach, data were collected by in-depth interviews with 40 traditional healers selected from ve SCD endemic districts. Text data were coded through a deductive approach, and thematic content analysis was carried out. A few healers knew the SCD. However, almost all are aware of anaemia and its symptoms. Most were unaware of the cause of SCD and mentioned that malnutrition and anaemia are reasons for the recurrence of SCD-related symptoms. Most of the traditional healers did not give any treatment. Some gave symptomatic treatment and provided herbal medicines along with some rituals. Though some healers treated some of the typical symptoms of SCD like spleen enlargement, jaundice, swelling and pains in joints, they could not link them with SCD. All traditional healers expressed the concern and said they support the government-run SCD programme. The programme should recognise the role and importance of traditional healers. Necessary orientation may be given to the healers. Such involvement and orientation empower the traditional healers in appropriately guiding the people concerning SCD care.
Journal of Medical Screening
Objective To describe the development and implementation of a population-based screening programm... more Objective To describe the development and implementation of a population-based screening programme for sickle cell disease (SCD) implemented in 12 SCD-endemic and tribal-dominated primary/community health centres (PHCs/CHCs) across six districts of India. Setting India reports a huge burden of SCD, especially among indigenous (tribal) communities. However, there is no state-led SCD programme in many places, and systematic screening is absent. This situation necessitates developing a model of population screening. Methods This programme was meant to screen all people and was carried out in three tiers. The first tier was a symptomatic survey carried out by community health workers. Regular health workers then screened those referred by sickle cell solubility test at sub-health centres as the second tier. The third tier was confirmation by haemoglobin electrophoresis at PHCs/CHCs. Communities were mobilised and prepared to accept the screening. Capacity building of health facilities w...
Applied Biological Research, 2022
International Journal of Research in Ayurveda and Pharmacy, 2020
Gridhrasi comes under 80 types of Nanatmaja Vatavyadhi, due to its extreme painful condition phys... more Gridhrasi comes under 80 types of Nanatmaja Vatavyadhi, due to its extreme painful condition physician is often called to treat in clinical practice. Symptoms of Gridhrasi resemble with sciatica. The present Clinical study was carried out to assess the effect of Kati Basti and Matra basti in Gridhrasi. In Ayurveda Basti karma is considered as half of the treatment and in Panchakarma Basti is important amongst all the therapy for the management of Vatavyadhi. In this clinical study 20 patients were registered equally divided in to two groups and 10 patients of 1st group under Kati basti with Dashmoola taila for 14 days and another group of 10 patients received one sitting of Matra basti for two weeks with Sahasradi taila. In this present study of Kati basti group 20% were cured, 40% marked improvement, 30% moderate improvement and 10% mild improvement and in Matra basti group 40% patient were cured 30% got marked improvement and 30% moderate improvement. None of the patient remained unchanged moreover highly significant result was obtained statistically.
ASIAN JOURNAL OF HOME SCIENCE, 2014
Nutrition is involved in taking in and utilization of food substances by which growth, repair and... more Nutrition is involved in taking in and utilization of food substances by which growth, repair and maintenance of the body are accomplished. The nurse plays a key role in patient care. She is often the closest professional to the patient, spending most of the time with him. The present study was conducted to assess the existing knowledge of nurses on nutrition along with some background characteristics. One hundred and twenty nurses from three government hospitals and three private hospitals of three different districts were administered a questionnaire comprising of questions related to nutrition.Findings revealed that half of the total respondents (50 %) belonged to younger age group (20-30 years), 49.2 per cent had diploma in nursing and 49.1 per cent had 1-5 years of professional experience. Majority (91 %) of the respondents had medium level of mass media exposure. Around 61.7 per cent had medium level of nutritional knowledge. There was a need for increasing the nutritional knowledge of nurses, so proper training on nutrition education should be conducted frequently.
International Journal of Livestock Research, 2018
Zoo Biology, Jul 1, 2017
The golden langur (Trachypithecus geei) is an endangered primate endemic to northern India and Bh... more The golden langur (Trachypithecus geei) is an endangered primate endemic to northern India and Bhutan. The main stressors to the species are habitat degradation and fragmentation. Non-invasive fecal glucocorticoid metabolite (fGCM) analysis is a powerful tool for assessing stress associated with environmental disturbances in wildlife. However, interspecific differences in glucocorticoid metabolism require careful selection of the antibody used in their quantification. The goals of this study were to: 1) validate an enzyme immunoassay (EIA) to determine fecal GC metabolite (fGCM) concentrations in the golden langur and 2) compare fGCM concentrations between golden langurs living under different environmental conditions. We compared five enzyme immunoassays for determining stress related physiological responses in golden langurs by performing an adrenocorticotropic stimulation test in both sexes. Our validations identified an 11-oxoaetiocholanolone EIA detecting 11, 17 dioxoandrostanes as the most suitable assay for monitoring adrenocortical activity in the species. FGCM concentrations from semi-captive temple langurs were significantly higher than respective stress steroid concentrations in free-ranging or pet/zoo langurs. This study presents a validated practical method for non-invasive monitoring of adrenocortical function in this rare and declining species.
Journal of Medical Screening, Aug 28, 2022
Objective To describe the development and implementation of a population-based screening programm... more Objective To describe the development and implementation of a population-based screening programme for sickle cell disease (SCD) implemented in 12 SCD-endemic and tribal-dominated primary/community health centres (PHCs/CHCs) across six districts of India. Setting India reports a huge burden of SCD, especially among indigenous (tribal) communities. However, there is no state-led SCD programme in many places, and systematic screening is absent. This situation necessitates developing a model of population screening. Methods This programme was meant to screen all people and was carried out in three tiers. The first tier was a symptomatic survey carried out by community health workers. Regular health workers then screened those referred by sickle cell solubility test at sub-health centres as the second tier. The third tier was confirmation by haemoglobin electrophoresis at PHCs/CHCs. Communities were mobilised and prepared to accept the screening. Capacity building of health facilities was ensured through training and supply of equipment and material. Results Initial observation based on six months’ data revealed that out of the 110,754 tribal population of 12 PHCs/CHCs, 8418 (7.6%) were identified in the symptomatic survey. Subsequently, 9416 people, including the above 8418, underwent the solubility test, and 2607 (27.7%) were found to be positive. Of these, 1978 (78.9%) underwent electrophoresis. About 64.2% were found to be positive for sickle haemoglobin (233 (18.4%) SCD and 1036 (81.6%) SCD trait). Conclusions The study demonstrates the feasibility of establishing a population-based screening programme in the primary health care system. It is easy to implement in tribal habitations as part of the proposed national SCD/haemoglobinopathies programme.
Applied Biological Research, 2022
PubMed, Dec 12, 2020
Sickle cell disease (SCD) is one of the major public health problems in the world. In India, the ... more Sickle cell disease (SCD) is one of the major public health problems in the world. In India, the burden of SCD is comparatively high in socio-economically disadvantaged tribal communities. Though efficacious interventions are available to manage SCD, they are not reaching to these communities and no comprehensive programme is in place in the health care system. Therefore, the Indian Council of Medical Research has initiated a nation-wide study to develop an effective intervention model for SCD patients in tribal areas through the government health care system. This intervention includes increasing awareness and preparing the communities for accessing the government health care system for SCD care, and improving the capacity of the primary health care systems including the training of the health care providers on prevention and management of SCD. The study adopted a quasi-experimental design with pre-vs. post-intervention comparisons of outcome variables within the interventional groups and with the control group. The study will be implemented in 6 districts which are endemic for SCD, spread across different geographical zones of India. In each district, four primary health centre (PHC) areas which are predominantly inhabited by tribal population will be selected. Of these four PHC areas, two will be selected randomly for implementing the intervention and the remaining two will be the control area. Information necessary for development and implementation of the intervention will be gathered during formative research, by using both quantitative and qualitative research methods. Intervention with an inclusive partnership and community mobilization will be implemented. The major steps in the implementation of intervention are partnership building with various health and non-health partners including the community. Capacity building and strengthening is another important component to enable the primary health facilities to screen and manage SCD patients. Primarily, sub-health centres and primary healthcare centres will be equipped with appropriate SCD screening techniques. All doctors in the system will be trained in advanced treatment and management issues. To improve the community's awareness and readiness, community mobilization activities will be conducted. An impact evaluation will be carried out at the end of the intervention by comparing the improvement of SCD management in intervention PHCs to that of the control PHCs. However, the process evaluation and necessary mid-term corrections will be made throughout the intervention period. Thus, an intervention model in terms of its suitability, replicability and sustainability for the tribal population will be developed and tested. The findings of this study are more suitable to use during advocacy and to replicate the model by the state health departments. This study develops and places an appropriate referral system for SCD patients at the PHC level. Improving the community's access to health care, improving the quality of care in government health centres and raising awareness among tribal communities are crucial to achieving through innovation. Taken together, these innovations would significantly contribute to better access to health care and management of the SCD patients of underserved tribal population.
Transactions of The Royal Society of Tropical Medicine and Hygiene, May 26, 2021
Background Sickle cell disease (SCD) is a serious public health problem, with >300 000 aff... more Background Sickle cell disease (SCD) is a serious public health problem, with >300 000 affected births worldwide each year. About 73% of the SCD-affected people in India belong to the tribal population. The Government of India is planning to implement a programme for SCD and hence people's knowledge of SCD is crucial. This paper reports the SCD-related knowledge among the Indian tribal population. Methods As part of a formative assessment before an intervention, data were collected from 9837 adults from 24 primary health centre areas of six states. Each community's knowledge of SCD was elicited through an interviewer-administered pretested questionnaire. Univariate and multivariate analyses were conducted. Results Overall, 32.1% (CI 31.2 to 33.1%) of participants had heard of SCD, 7.9% (CI: 7.3 to 8.4%) knew that SCD is hereditary, 19.4% (CI: 18.7 to 20.3%) knew that a blood test can diagnose SCD and 23.9% (CI: 23.1 to 24.8%) knew that SCD is treatable. Only 13.1% (CI: 12.4 to 13.8%) knew that SCD can be prevented. No more than 16% knew about any SCD symptoms. Multiple logistic regression revealed some predictors of basic knowledge (i.e. had heard of SCD). Conclusions There is a gross inadequacy of knowledge about SCD in the Indian tribal population. This study warrants implementing a health education programme as a part of the SCD programme.
Indian Journal of Endocrinology and Metabolism, 2023
Indian Journal of Animal Research, Feb 19, 2022
Background: Ghungroo is the first registered indigenous pig breed of India bearing accession numb... more Background: Ghungroo is the first registered indigenous pig breed of India bearing accession number INDIA_PIG_2100_ GHUNGROO_09001 reported from Western Assam and North Bengal. The present study determines nutritional content (proximate, mineral, fatty acid and cholesterol) of five muscles that are considered most valued cuts by customers. Methods: Thirty muscles were dissected from six reared Ghungroo pigs, each from shoulder (Triceps brachii, Latissimus dorsi) and from ham region (Biceps femoris, Gracilis, Tensor fasciae latae). Two months old piglets were reared from October, 2019 to May, 2020 and slaughtered. They were administered commercial diet i.e. starter, grower and finisher feed during different stages of growth. Result: The highest protein, fat and ash were found in tensor fasciae latae, gracilis and triceps brachii respectively (P<0.05). In 100 g of meat, potassium, sodium, magnesium and zinc was found highest in Tensor fasciae latae, Latissimus dorsi and Biceps femoris respectively (P<0.05). The total saturated (SFA's), monounsaturated (MUFA) and polyunsaturated (PUFA) fatty acids were found highest in Tensor fasciae latae and Latissimus dorsi respectively (P<0.05), while trans-fatty acid and cholesterol were both found highest in Gracilis. The data shall be valuable for muscle specific improvement of meat quality and value addition for global markets.
Journal of entomology and zoology studies, May 1, 2015
Entomophagy is a common practice among rural and urban Bodos-a major tribe of Assam, India. A sur... more Entomophagy is a common practice among rural and urban Bodos-a major tribe of Assam, India. A survey was conducted in the remote rural areas of Assam from June, 2013 to May, 2014. The insects collected from various habitats were preserved by following standard methods. An inventory on the knowledge on the wild edible insects of the Bodos of the studied areas is presented here. The study revealed that a total of 25 species of insects, belonging to eight orders and fourteen families are consumed as food by the Bodos. Out of them ten species belong to order Orthoptera, five to the Hymenoptera, three to Coleoptera, two each to Odonata and Hemiptera and one each to Araneae, Lepidoptera and Isoptera. The ethnozoological knowledge of this tribe ranges from edible to medicinal use. This study aims to make a comprehensive list of edible insects consumed by the Bodos of Assam.
The Indian journal of nutrition and dietetics, Jul 4, 2017
The study was aimed to analyze the mineral content, amino acid and fatty acid composition of Poli... more The study was aimed to analyze the mineral content, amino acid and fatty acid composition of Polistes olivaceus larvae consumed by different aboriginal tribes of North East India. Although the edible insect larvae has high market value in Assam and adjoining states of North East India, the nutritional analysis on it has not been done till now. Mineral elements including potassium, sodium, calcium, magnesium, phosphorus, zinc, iron and copper were detected by Atomic Absorption Spectroscopy. Amino acid composition and fatty acid profile were analysed by high performance liquid chromatography and gas chromatography mass spectrometry respectively to ascertain its potentiality to be included in food based strategies concerning human health. Iron and copper were the most abundant minerals and potassium, sodium and phosphorus were present in substantial amounts. Nineteen amino acids including all essential amino acids (43.87%) except isoleucine were detected in the sample. All essential amino acids satisfied the recommended level (score&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;100) except leucine with a chemical score of 98%. The level of unsaturated fatty acids was 53.21% while the saturated fatty acids constituted 47.02% of the total fatty acids signifying its potentiality in nutrition and health. Presence of linolenic acid as the main constituent of polyunsaturated fatty acids greatly signifies its importance in human nutrition. Thus, Polistes olivaceus larvae may be exploited to provide high-quality diets among populations plagued by iron deficiency as well as poor supply of dietary proteins and polyunsaturated fatty acids.
The International Journal of Health Planning and Management
In India, sickle cell disease (SCD) predominantly occurs in indigenous (tribal) people, who are a... more In India, sickle cell disease (SCD) predominantly occurs in indigenous (tribal) people, who are about 104 million. However, screening and diagnosis seldom happen. This situation necessitates developing a comprehensive SCD care model, including a registry. This paper describes the development and implementation of the Indian SCD registry (ISCDR) in six tribal‐dominated districts of India. The ISCDR was created in two components—(i) an Android‐based mobile/tablet application, (ii) a dashboard/admin panel for patients' data management and retrieval. Data capture involves two electronic case report forms (CRF), that is, the primary form (CRF‐1) and the repeat visit form (CRF‐2). CRF‐1 is completed as soon as the patient is found positive and captures the patient's information, including medical history, diagnosis, symptoms, precipitating factors, hospitalisation history and treatment received. Issues related to quality, security and data‐sharing were addressed. After the screeni...
Research & Reviews: A Journal of Health Professions, Jul 13, 2018
Iron deficiency (ID) is the most common nutritional deficiency and familiar cause of anaemia worl... more Iron deficiency (ID) is the most common nutritional deficiency and familiar cause of anaemia worldwide. Among the tribal population of India, the scenario of anaemia is severe. Eating habit along with a number of genetic haemoglobin (Hb) disorders has been found to modify the morbidity and mortality of these populations. Providing information on causes and prevalence rate on anaemia among tribal population in one of the severely affected international border area of rural India will help in formulating strategies against this public health problem. This study was conducted during January to June, 2017 among 480 never married postgraduate tribal female students of the age group of 21–25 years to estimate the prevalence and contributing factors of iron deficiency anaemia (IDA).A structured questionnaire for general information, dietary habits, knowledge on signs and symptoms of anaemia and Body Mass Index (BMI) was carried out. Complete Blood Count (CBC), Hb percentage, serum ferritin (SF) and serum iron (SI) levels were measured. Chi-square test and independent sample t-test were used for data analysis. A total of 396 students were diagnosed as anaemic as per the World Health Organization (WHO) standard. Prevalence of mild anaemia was 60.9% (n=241), moderate anaemia 28.5% (n=113) and severe anaemia in 10.6% (n=42). The prevalence of ID was 23.4% and IDA was 38.5%. Normal iron status was found in 17.5% of the subjects.IDA is common among the studied population. Iron supplementation programme should be formulated as this group is not covered under any government programmes. Keywords : iron deficiency anaemia (IDA), complete blood count (CBC), haemoglobin (Hb), serum ferritin (SF), serum iron (SI) Cite this Article Sarmah J, Baruah D, Sarma PK, et al. Dietary habit, anthropometric measurements and haematological parameters in correlation with prevalence of iron-deficiency anaemia among never married tribal female postgraduates of Assam, India. Research & Reviews: A Journal of Health Professions . 2018; 8(2): 19–26p.
Agriculture Update, 2013
nutrition, health and hygiene was done with the objectives, to study the socio-personal character... more nutrition, health and hygiene was done with the objectives, to study the socio-personal characteristics of women tea plantation workers of Assam, to assess the existing knowledge of women tea plantation workers on nutrition, health and hygiene, to find out the relationship of women tea plantation workers knowledge with the selected independent variables on nutrition, health and hygiene. The study was carried out in four Tea Estates i.e. Kakojan T.E., Duflating T.E., Kothalgoorie T.E. and Gotonga T.E. of Jorhat district of Assam. Twenty five married permanent women tea plantation workers with atleast one child were selected from each garden totaling one hundred women tea plantation workers from all the selected tea gardens were the respondents of the present study. The findings show that the women tea plantation workers of Jorhat district had low level of knowledge on nutrition, health and hygiene.
Advances in Animal and Veterinary Sciences
Journal of Community Genetics
Sickle cell disease (SCD) is a progressively debilitating genetic disease, and India is the secon... more Sickle cell disease (SCD) is a progressively debilitating genetic disease, and India is the second most affected nation in SCD births. SCD births are high among Indian indigenous tribal communities, whose health care is pluralistic. Traditional healers are an essential part of tribal pluralistic care. This study aimed to understand the extent of SCD-related knowledge and practices of traditional healers and their willingness to be part of the programme. Following the grounded theory approach, data were collected by in-depth interviews with 40 traditional healers selected from ve SCD endemic districts. Text data were coded through a deductive approach, and thematic content analysis was carried out. A few healers knew the SCD. However, almost all are aware of anaemia and its symptoms. Most were unaware of the cause of SCD and mentioned that malnutrition and anaemia are reasons for the recurrence of SCD-related symptoms. Most of the traditional healers did not give any treatment. Some gave symptomatic treatment and provided herbal medicines along with some rituals. Though some healers treated some of the typical symptoms of SCD like spleen enlargement, jaundice, swelling and pains in joints, they could not link them with SCD. All traditional healers expressed the concern and said they support the government-run SCD programme. The programme should recognise the role and importance of traditional healers. Necessary orientation may be given to the healers. Such involvement and orientation empower the traditional healers in appropriately guiding the people concerning SCD care.
Journal of Medical Screening
Objective To describe the development and implementation of a population-based screening programm... more Objective To describe the development and implementation of a population-based screening programme for sickle cell disease (SCD) implemented in 12 SCD-endemic and tribal-dominated primary/community health centres (PHCs/CHCs) across six districts of India. Setting India reports a huge burden of SCD, especially among indigenous (tribal) communities. However, there is no state-led SCD programme in many places, and systematic screening is absent. This situation necessitates developing a model of population screening. Methods This programme was meant to screen all people and was carried out in three tiers. The first tier was a symptomatic survey carried out by community health workers. Regular health workers then screened those referred by sickle cell solubility test at sub-health centres as the second tier. The third tier was confirmation by haemoglobin electrophoresis at PHCs/CHCs. Communities were mobilised and prepared to accept the screening. Capacity building of health facilities w...
Applied Biological Research, 2022