mohan lal - Academia.edu (original) (raw)
Papers by mohan lal
Journal of Family Medicine and Primary Care, 2021
Context: Children living in slums are deprived from basic necessities. Unhygienic environment and... more Context: Children living in slums are deprived from basic necessities. Unhygienic environment and deficient nutrition hinder their growth and make them more prone to infectious diseases. Aims: To study morbidity profile of under-5 children and determine social epidemiological factors associated with it. Settings and Design: A descriptive cross-sectional study in urban slums of district Amritsar. Methods and Material: In total, 400 households each from four slums (1600 in total) were randomly selected. One to one interview with mother of each under 5 was conducted and information was recorded on pretested performa. Height and weight with haemoglobin estimation was done for each child. Statistical Analysis Used: Descriptive statistics (frequencies and proportions) and univariate logistic regression was applied to determine factors associated with under nutrition. Results: Out of 1136 under-5, 50, 45 and 8% were stunted, underweight and wasted. Severe malnutrition was seen among 23%. In total, 79% had anaemia. About 69% suffered from one or more infectious disease in last 3 months. Anaemia, birth order >2, lower socio-economic status and suffering from any infectious disease in last 3 months were associated with malnutrition. Conclusions: Severe malnutrition and anaemia was high among under-5 of urban slums and 69% suffered from infectious disease in last 3 months emphasizing on addressal of health needs of under-5 residing in urban slums.
International Journal of Research in Medical Sciences, Mar 26, 2020
Background: Faulty feeding practices and infections have a detrimental effect on an infant's heal... more Background: Faulty feeding practices and infections have a detrimental effect on an infant's health. Although, breastfeeding is almost universal in India, rates of early initiation, Exclusive Breast Feeding (EBF) and timely complimentary feeds are far from desirable. This takes a heavy toll on their health and increases their susceptibility to develop several morbidities including Diarrhoea and Respiratory Tract Infections. Thus, this study was undertaken to assess the feeding practices and morbidity patterns of infants and to determine their association. Methods: It was a longitudinal study on a birth cohort of 99 infants in the rural field practice area of GMC, Amritsar who were followed up to 6 months of birth. Baseline data on sociodemographic profile and breast feeding was collected in the first visit. Weaning practices and any morbidity suffered during six months' period were assessed at the follow up visit. Results: Breast feeding was initiated in majority 88.87% but it was delayed in more than half (54.02%) of infants. Customs like prelacteal feeding (76.8%) and discarding colostrum (50.57%) were quite prevalent. EBF was practiced by most 65.51%. In around a quarter of infants, delayed or faulty weaning was observed. Diarrhea was the commonest morbidity (49.09%) followed by ARI (32.73%). Significant association (p<0.05) was observed between the feeding practices and infant morbidities especially diarrhoea. Conclusions: Mothers should be educated more effectively regarding benefits of early and exclusive breast feeding and correct weaning practices. Emphasis should also be placed on increasing awareness in the community to bring about a significant change in the deleterious customs and traditions.
International Journal Of Community Medicine And Public Health
Background: Anemia in pregnancy remains a public health problem and is an important indirect caus... more Background: Anemia in pregnancy remains a public health problem and is an important indirect cause of maternal mortality accounting for 20% of total maternal deaths in India. However, it is largely preventable and easily treatable. Since, decades, the Government of India has recommended iron folic acid (IFA) supplementation as prophylaxis but adherence to IFA tablets is invariably poor. Health education of antenatal women can be an effective tool for improvement in IFA consumption and compliance. Thus, this study was conducted to assess the problem of anemia and its epidemiological determinants among pregnant women in rural field practice area of Punjab as well as to evaluate the compliance and utilization of IFA tablets before and after the health education intervention.Methods: Author filled in the predesigned and pretested proforma and imparted health education to all the pregnant women who were then followed. Hb was estimated on two different occasions, before and after the inte...
PloS one, 2016
Efforts to assess the burden of non-communicable diseases risk factors has improved in low and mi... more Efforts to assess the burden of non-communicable diseases risk factors has improved in low and middle-income countries after political declaration of UN High Level Meeting on NCDs. However, lack of reliable estimates of risk factors distribution are leading to delay in implementation of evidence based interventions in states of India. A STEPS Survey, comprising all the three steps for assessment of risk factors of NCDs, was conducted in Punjab state during 2014-15. A statewide multistage sample of 5,127 residents, aged 18-69 years, was taken. STEPS questionnaire version 3.1 was used to collect information on behavioral risk factors, followed by physical measurements and blood and urine sampling for biochemical profile. Tobacco and alcohol consumption were observed in 11.3% (20% men and 0.9% women) and 15% (27% men and 0.3% women) of the population, respectively. Low levels of physical activity were recorded among 31% (95% CI: 26.7-35.5) of the participants. The prevalence of overwei...
Journal of Family Medicine and Primary Care, 2021
Context: Children living in slums are deprived from basic necessities. Unhygienic environment and... more Context: Children living in slums are deprived from basic necessities. Unhygienic environment and deficient nutrition hinder their growth and make them more prone to infectious diseases. Aims: To study morbidity profile of under-5 children and determine social epidemiological factors associated with it. Settings and Design: A descriptive cross-sectional study in urban slums of district Amritsar. Methods and Material: In total, 400 households each from four slums (1600 in total) were randomly selected. One to one interview with mother of each under 5 was conducted and information was recorded on pretested performa. Height and weight with haemoglobin estimation was done for each child. Statistical Analysis Used: Descriptive statistics (frequencies and proportions) and univariate logistic regression was applied to determine factors associated with under nutrition. Results: Out of 1136 under-5, 50, 45 and 8% were stunted, underweight and wasted. Severe malnutrition was seen among 23%. In total, 79% had anaemia. About 69% suffered from one or more infectious disease in last 3 months. Anaemia, birth order >2, lower socio-economic status and suffering from any infectious disease in last 3 months were associated with malnutrition. Conclusions: Severe malnutrition and anaemia was high among under-5 of urban slums and 69% suffered from infectious disease in last 3 months emphasizing on addressal of health needs of under-5 residing in urban slums.
International Journal of Research in Medical Sciences, Mar 26, 2020
Background: Faulty feeding practices and infections have a detrimental effect on an infant's heal... more Background: Faulty feeding practices and infections have a detrimental effect on an infant's health. Although, breastfeeding is almost universal in India, rates of early initiation, Exclusive Breast Feeding (EBF) and timely complimentary feeds are far from desirable. This takes a heavy toll on their health and increases their susceptibility to develop several morbidities including Diarrhoea and Respiratory Tract Infections. Thus, this study was undertaken to assess the feeding practices and morbidity patterns of infants and to determine their association. Methods: It was a longitudinal study on a birth cohort of 99 infants in the rural field practice area of GMC, Amritsar who were followed up to 6 months of birth. Baseline data on sociodemographic profile and breast feeding was collected in the first visit. Weaning practices and any morbidity suffered during six months' period were assessed at the follow up visit. Results: Breast feeding was initiated in majority 88.87% but it was delayed in more than half (54.02%) of infants. Customs like prelacteal feeding (76.8%) and discarding colostrum (50.57%) were quite prevalent. EBF was practiced by most 65.51%. In around a quarter of infants, delayed or faulty weaning was observed. Diarrhea was the commonest morbidity (49.09%) followed by ARI (32.73%). Significant association (p<0.05) was observed between the feeding practices and infant morbidities especially diarrhoea. Conclusions: Mothers should be educated more effectively regarding benefits of early and exclusive breast feeding and correct weaning practices. Emphasis should also be placed on increasing awareness in the community to bring about a significant change in the deleterious customs and traditions.
International Journal Of Community Medicine And Public Health
Background: Anemia in pregnancy remains a public health problem and is an important indirect caus... more Background: Anemia in pregnancy remains a public health problem and is an important indirect cause of maternal mortality accounting for 20% of total maternal deaths in India. However, it is largely preventable and easily treatable. Since, decades, the Government of India has recommended iron folic acid (IFA) supplementation as prophylaxis but adherence to IFA tablets is invariably poor. Health education of antenatal women can be an effective tool for improvement in IFA consumption and compliance. Thus, this study was conducted to assess the problem of anemia and its epidemiological determinants among pregnant women in rural field practice area of Punjab as well as to evaluate the compliance and utilization of IFA tablets before and after the health education intervention.Methods: Author filled in the predesigned and pretested proforma and imparted health education to all the pregnant women who were then followed. Hb was estimated on two different occasions, before and after the inte...
PloS one, 2016
Efforts to assess the burden of non-communicable diseases risk factors has improved in low and mi... more Efforts to assess the burden of non-communicable diseases risk factors has improved in low and middle-income countries after political declaration of UN High Level Meeting on NCDs. However, lack of reliable estimates of risk factors distribution are leading to delay in implementation of evidence based interventions in states of India. A STEPS Survey, comprising all the three steps for assessment of risk factors of NCDs, was conducted in Punjab state during 2014-15. A statewide multistage sample of 5,127 residents, aged 18-69 years, was taken. STEPS questionnaire version 3.1 was used to collect information on behavioral risk factors, followed by physical measurements and blood and urine sampling for biochemical profile. Tobacco and alcohol consumption were observed in 11.3% (20% men and 0.9% women) and 15% (27% men and 0.3% women) of the population, respectively. Low levels of physical activity were recorded among 31% (95% CI: 26.7-35.5) of the participants. The prevalence of overwei...