Ashish Gaur | SRHU - Academia.edu (original) (raw)

Papers by Ashish Gaur

Research paper thumbnail of Impact of newer initiatives on treatment compliance and outcome in tuberculosis patients of rural Delhi and rural Ghaziabad – a comparative study

Indian Journal of Community Health, 2021

Background: India has the highest burden of Tuberculosis in the world, having about one-fourth of... more Background: India has the highest burden of Tuberculosis in the world, having about one-fourth of the total global incident cases of the disease in 2017. The RNTCP program started many newer initiatives in 2015 to improve compliance and treatment outcomes, reduce the incidence of resistance and control the TB-HIV co-infection. Objectives: To assess the improvement in patient compliance, to find out and compare the improvement in nutritional status of the patients after initiation of treatment and Direct Benefit Transfer and to compare the treatment outcomes of the enrolled subjects in the two areas. Material and Method: Data was collected from the DOTS centers under CHC, Muradnagar and TB and Chest Hospital Karawal Nagar, between January 2019 to September 2019. Details of the enrolled patients were taken from the centers and these patients were contacted individually. Of the registered patients, 59 patients from Muradnagar, Ghaziabad and 70 from Karawal Nagar, Delhi had completed tr...

Research paper thumbnail of Evaluation of existing Home Based Newborn Care (HBNC) services and training for improving performance of Accredited Social Health Activists (ASHA) in rural India: A multiple observation study

Research paper thumbnail of Knowledge and attitude regarding noncommunicable diseases among school-going girls in Ghaziabad: An interventional study

Santosh University Journal of Health Sciences, 2021

Introduction: Noncommunicable diseases (NCDs) are chronic health conditions that do not spread fr... more Introduction: Noncommunicable diseases (NCDs) are chronic health conditions that do not spread from person to person. Once considered the epidemic of the affluent, now they are gripping low- and middle-income countries. Disability caused by NCDs has risen from 21% of the total disease burden in 1990 to 34% by 2019. Major causes include poor nutrition, physical inactivity, unregulated usage of tobacco and alcohol, inaccessible healthcare, and unhealthy environment. Therefore, giving the correct information about the long-term effects of adopting unhealthy habits should be emphasized among adolescents. Objectives: The objective is to study the impact of awareness session on knowledge and attitude regarding NCDs among school-going girls in Ghaziabad city. Materials and Methods: A School-based intervention study was conducted in a selected Government School in Ghaziabad city. A predesigned, semi-structured questionnaire was administered to the students to assess their baseline knowledge...

Research paper thumbnail of Childhood Disease Treatment: Distribution and Prevalence in Different Division of Uttarakhand State

International Journal of Health Sciences and Research, 2018

Background: Child mortality has been a major setback in developing countries. The utilization of ... more Background: Child mortality has been a major setback in developing countries. The utilization of health care services and treatment to fight against common childhood disease has been top priority to enhance the quality of child health in India. Material and Methods: The study was carried out from the secondary data source i.e. factsheets on 13 districts of Uttarakhand which is divided into two regions, Garhwal and Kumaun; available from the National Family Health Survey-4 (2015-16). Z-test is used for comparison between two regions and within inters districts of Uttarakhand. Result: The study indicates major differences in the utilization of childhood disease treatment across the state. Kumaun has better utilization of treatment for both diarrhoea and Acute Respiratory Infections. Nainital and Almora recorded high use of treatment, whereas Udham Singh Nagar performance was below satisfaction. Similarly in Garhwal division, Dehradun and Chamoli district had the best utilization of treatment for kids suffering from diarrhoea and ARI, whereas performance was Uttarkashi and Tehri-Garhwal district was far from being reasonable. Conclusion: The high rates of child mortality are a cause of concern for Uttarakhand as they reflect the prosperity of state. Garhwal requires more attention in terms of childhood disease treatment along with certain other districts of Kumaun. To achieve our goals for child health it is essential to inform people about various treatment practices and health services provided by the government in high risks areas, for combating such life-threatening diseases.

Research paper thumbnail of Sources of perceived academic stress (PAS) of online examination in graduate and postgraduate Indian students post COVID-19 pandemic

International journal of health sciences

Background :Academic stress is the major cause of stress in graduate and post graduate students a... more Background :Academic stress is the major cause of stress in graduate and post graduate students and is a concern for mental health problems in students .Perceived academic stress may occur in response to examination .Covid-19 caused a paradigm shift from offline to online teaching-learning and examination .The online mode of examination may lead to variation in perceived academic stress of examination in graduate and post graduate Indian students. The perceived academic stress response to online mode of examination post covid-19 and the factors leading to it have not been identified. Aim and objectives : To find the level of perception of academic stress of online examination in graduate and post graduate Indian students post covid19 and identify the major factors leading to perception of academic stress. The objective was to identify the variation in perceived academic stress in response to online examination in graduate and post graduate students and study the corelation bet...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies, 2019

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Utilization of Maternal Health Care Services in Uttarakhand: Comparative Study Between Two Divisions: Kumaun and Garhwal

International Journal of Integrative Medical Sciences, Feb 20, 2019

Background: Maternal mortality remains a biggest setback in developing nations like India. Almost... more Background: Maternal mortality remains a biggest setback in developing nations like India. Almost 90% of maternal deaths can be prevented by timely intervention, antenatal care acts as an effective tool to reduce both maternal and infant mortality. The objective of this study is to assess the utilization of antenatal care services in two divisions of Uttarakhand: Kumaun and Garhwal. Materials and Methods: The study was carried out using secondary data source i.e. NFHS-4 data of Uttarakhand which is divided into two regions, Garhwal and Kumaun. Statistical test i.e. Z-test is used for the comparison between two regions and within inter districts of Uttarakhand. Result: The results of this study indicates that between the two regions i.e Kumaun has better utilization of maternal health care facilities. Nainital district recorded best and Pithoragarh district recorded the least utilization of ANC services in Kumaun division. In Garhwal division, district Chamoli and Dehradun recorded highest utilization of maternal health care services whereas Rudraprayag and Tehri-Garhwal had discouraging statistics. Conclusion: Uttarakhand has immensely progressed in terms of maternal health in recent times; still there are some key areas that require immediate attention. Certain districts in both Garhwal and Kumaun division need assistance to improve maternal health care seeking behavior amongst the mother and the family. Dissemination of information and benefits regarding the utilization of ANC services should be encouraged to achieve a reduction in maternal mortality.

Research paper thumbnail of Impact of newer initiatives on treatment compliance and outcome in tuberculosis patients of rural Delhi and rural Ghaziabad – a comparative study

Indian Journal of Community Health, 2021

Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Au... more Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Author Dr Deepika Agrawal, Professor and Head, Dept of Community Medicine, Santosh Medical College, Ghaziabad, Uttar Pradesh 201009. E Mail ID: deepikasudhanshu@gmail.com

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Impact of newer initiatives on treatment compliance and outcome in tuberculosis patients of rural Delhi and rural Ghaziabad – a comparative study

Indian Journal of Community Health, 2021

Background: India has the highest burden of Tuberculosis in the world, having about one-fourth of... more Background: India has the highest burden of Tuberculosis in the world, having about one-fourth of the total global incident cases of the disease in 2017. The RNTCP program started many newer initiatives in 2015 to improve compliance and treatment outcomes, reduce the incidence of resistance and control the TB-HIV co-infection. Objectives: To assess the improvement in patient compliance, to find out and compare the improvement in nutritional status of the patients after initiation of treatment and Direct Benefit Transfer and to compare the treatment outcomes of the enrolled subjects in the two areas. Material and Method: Data was collected from the DOTS centers under CHC, Muradnagar and TB and Chest Hospital Karawal Nagar, between January 2019 to September 2019. Details of the enrolled patients were taken from the centers and these patients were contacted individually. Of the registered patients, 59 patients from Muradnagar, Ghaziabad and 70 from Karawal Nagar, Delhi had completed tr...

Research paper thumbnail of Evaluation of existing Home Based Newborn Care (HBNC) services and training for improving performance of Accredited Social Health Activists (ASHA) in rural India: A multiple observation study

Research paper thumbnail of Knowledge and attitude regarding noncommunicable diseases among school-going girls in Ghaziabad: An interventional study

Santosh University Journal of Health Sciences, 2021

Introduction: Noncommunicable diseases (NCDs) are chronic health conditions that do not spread fr... more Introduction: Noncommunicable diseases (NCDs) are chronic health conditions that do not spread from person to person. Once considered the epidemic of the affluent, now they are gripping low- and middle-income countries. Disability caused by NCDs has risen from 21% of the total disease burden in 1990 to 34% by 2019. Major causes include poor nutrition, physical inactivity, unregulated usage of tobacco and alcohol, inaccessible healthcare, and unhealthy environment. Therefore, giving the correct information about the long-term effects of adopting unhealthy habits should be emphasized among adolescents. Objectives: The objective is to study the impact of awareness session on knowledge and attitude regarding NCDs among school-going girls in Ghaziabad city. Materials and Methods: A School-based intervention study was conducted in a selected Government School in Ghaziabad city. A predesigned, semi-structured questionnaire was administered to the students to assess their baseline knowledge...

Research paper thumbnail of Childhood Disease Treatment: Distribution and Prevalence in Different Division of Uttarakhand State

International Journal of Health Sciences and Research, 2018

Background: Child mortality has been a major setback in developing countries. The utilization of ... more Background: Child mortality has been a major setback in developing countries. The utilization of health care services and treatment to fight against common childhood disease has been top priority to enhance the quality of child health in India. Material and Methods: The study was carried out from the secondary data source i.e. factsheets on 13 districts of Uttarakhand which is divided into two regions, Garhwal and Kumaun; available from the National Family Health Survey-4 (2015-16). Z-test is used for comparison between two regions and within inters districts of Uttarakhand. Result: The study indicates major differences in the utilization of childhood disease treatment across the state. Kumaun has better utilization of treatment for both diarrhoea and Acute Respiratory Infections. Nainital and Almora recorded high use of treatment, whereas Udham Singh Nagar performance was below satisfaction. Similarly in Garhwal division, Dehradun and Chamoli district had the best utilization of treatment for kids suffering from diarrhoea and ARI, whereas performance was Uttarkashi and Tehri-Garhwal district was far from being reasonable. Conclusion: The high rates of child mortality are a cause of concern for Uttarakhand as they reflect the prosperity of state. Garhwal requires more attention in terms of childhood disease treatment along with certain other districts of Kumaun. To achieve our goals for child health it is essential to inform people about various treatment practices and health services provided by the government in high risks areas, for combating such life-threatening diseases.

Research paper thumbnail of Sources of perceived academic stress (PAS) of online examination in graduate and postgraduate Indian students post COVID-19 pandemic

International journal of health sciences

Background :Academic stress is the major cause of stress in graduate and post graduate students a... more Background :Academic stress is the major cause of stress in graduate and post graduate students and is a concern for mental health problems in students .Perceived academic stress may occur in response to examination .Covid-19 caused a paradigm shift from offline to online teaching-learning and examination .The online mode of examination may lead to variation in perceived academic stress of examination in graduate and post graduate Indian students. The perceived academic stress response to online mode of examination post covid-19 and the factors leading to it have not been identified. Aim and objectives : To find the level of perception of academic stress of online examination in graduate and post graduate Indian students post covid19 and identify the major factors leading to perception of academic stress. The objective was to identify the variation in perceived academic stress in response to online examination in graduate and post graduate students and study the corelation bet...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies, 2019

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Utilization of Maternal Health Care Services in Uttarakhand: Comparative Study Between Two Divisions: Kumaun and Garhwal

International Journal of Integrative Medical Sciences, Feb 20, 2019

Background: Maternal mortality remains a biggest setback in developing nations like India. Almost... more Background: Maternal mortality remains a biggest setback in developing nations like India. Almost 90% of maternal deaths can be prevented by timely intervention, antenatal care acts as an effective tool to reduce both maternal and infant mortality. The objective of this study is to assess the utilization of antenatal care services in two divisions of Uttarakhand: Kumaun and Garhwal. Materials and Methods: The study was carried out using secondary data source i.e. NFHS-4 data of Uttarakhand which is divided into two regions, Garhwal and Kumaun. Statistical test i.e. Z-test is used for the comparison between two regions and within inter districts of Uttarakhand. Result: The results of this study indicates that between the two regions i.e Kumaun has better utilization of maternal health care facilities. Nainital district recorded best and Pithoragarh district recorded the least utilization of ANC services in Kumaun division. In Garhwal division, district Chamoli and Dehradun recorded highest utilization of maternal health care services whereas Rudraprayag and Tehri-Garhwal had discouraging statistics. Conclusion: Uttarakhand has immensely progressed in terms of maternal health in recent times; still there are some key areas that require immediate attention. Certain districts in both Garhwal and Kumaun division need assistance to improve maternal health care seeking behavior amongst the mother and the family. Dissemination of information and benefits regarding the utilization of ANC services should be encouraged to achieve a reduction in maternal mortality.

Research paper thumbnail of Impact of newer initiatives on treatment compliance and outcome in tuberculosis patients of rural Delhi and rural Ghaziabad – a comparative study

Indian Journal of Community Health, 2021

Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Au... more Introduction Methodology Results Conclusion References Citation Tables / Figures Corresponding Author Dr Deepika Agrawal, Professor and Head, Dept of Community Medicine, Santosh Medical College, Ghaziabad, Uttar Pradesh 201009. E Mail ID: deepikasudhanshu@gmail.com

Research paper thumbnail of Polynomial approach modeling among diabetic patients associated with age in rural hilly population of Dehradun district, Uttarakhand

International Journal of Research in Medical Sciences

Background: Diabetes mellitus is a form of infections that includes issues with the hormone insul... more Background: Diabetes mellitus is a form of infections that includes issues with the hormone insulin. It is described by constant rise of blood glucose level surprising ordinary esteem. In this paper, an exertion has been made to fit scientific model to diabetic patients and additionally its total dispersion for both genders related with time of rural population from Dehradun district, Uttarakhand.Methods: For this reason, the information have been taken from field overview in rural hilly population of Dehradun district. In this investigation, an endeavor has been given to demonstrate that the polynomial model is attempted to fit to the conveyance of diabetic patients related with age and also its cumulative distribution.Results: The fitted model provides statistically significant values with R2=0.9997 and ρcv2= 0.994857. This is the polynomial of degree four, i.e. bi-quadratic polynomial model. The polynomial model is assumed for the cumulative distribution of diabetic patients asso...

Research paper thumbnail of Estimating and comparing the trends of fertility pattern from various birth cohorts in rural hilly population of Uttarakhand

Asian Pacific Journal of Health Sciences

two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive... more two important large-scale patterns: (i) An apparent reversal or dampening of the broadly positive association between wealth, status, and fertility. [3-5] It is often reported that at least in developing countries "fertility strongly associated with sociodemographic and socioeconomic change." Recently, macroeconomists, in particular, have taken note of this stylized fact and positioned a relationship between this fertility gap and inequality. [6] This presents the data for estimates of fertility, collected by the primary collection method based on the seven birth cohorts

Research paper thumbnail of Utilization and comparison of family planning services through national family health survey in Uttarakhand, India

International Journal of Research in Medical Sciences

Background: India was the first country to start family planning program in 1952. In the first 50... more Background: India was the first country to start family planning program in 1952. In the first 50 years there have been many changes in India. The family planning program name was changed from time to time. At the present scenario, its name is Reproductive and Child Health. In this study, authors evaluate utilization of family planning services with an objective to compare distribution of family planning services between the two regions of Uttarakhand: Garhwal and Kumaon.Methods: In this study, data mining was done using secondary database with the permission from International Institute for Population Sciences (IIPS) NFHS-4 data to carried out during 2015-2016 in Uttarakhand, India and estimate of the values for all the parameters of Family Planning was estimated. A statistical Z-score test was performed in the estimated of proportions in all study parameters of the family planning.Results: The study indicates that between the two divisions Garhwal has more utilization of family pl...

Research paper thumbnail of Impact of Child Feeding Practices on Nutritional Status of Children in Uttarakhand

International Journal of Medical and Biomedical Studies

Background: Child feeding practices are the major contributors to the growth of children and have... more Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag wer...