Nagar Haveli Research Articles

Machine learning framework for predicting water quality classification

ABSTRACT Groundwater serves as the source for nearly half of the world's drinking water, yet understanding of global groundwater resources remains incomplete, and management of aquifers falls short, particularly concerning groundwater quality. This research offers insights into the groundwater quality in 242 stations of Maharashtra and Union Territory of Dadra and Nagar Haveli and nine parameters (pH, TDS, TH, Calcium (Ca2+), Magnesium (Mg2+), Chloride (Cl−), Sulphate (SO42−), Nitrate (NO3−), Fluoride (F−)) were considered for computing the Water Quality Index (WQI) and hence Water Quality Classification (WQC) based on Water Quality Index (WQI). This research introduces the utilisation of Machine Learning (ML) models, specifically, Random Forest, Adaptive Boosting (AdaBoost), Gradient Boosting, XGBoost, Support Vector Machine (SVM) and K-Nearest Neighbor (KNN) model for predicting WQC and models are tested. Grid search method as a hyperparameter tuning of parameters is utilized to achieve the best possible performance of ML models. The performance metrics that are used for evaluating and reporting the performance of classification models are Accuracy, Precision, Recall or Sensitivity, F1 Score. SVM achieved the highest performance in predicting WQC. With accurate predictions of WQC, these findings have the potential to enhance NEP concerning water resources by facilitating ongoing improvements in water quality.

Estimation of disease outbreak vulnerability index (DOVI) and resilience index (DORI) at household-level among states of India, (2019–21)

Resilience at the household level is crucial to reduce the impact of disease outbreaks among the mass population. The intensity and nature of preparedness of households are affected by the socio-economic disparities. This study aimed to measure the level of household resilience, by place of residence across states of India. From India's Demographic Health Survey (DHS) data, 12 indicators were taken, representing the Water, Sanitation, and Hygiene (WASH), physical distancing, energy and communication, and economic security dimensions. Alkire and Foster's Multidimensional Poverty Index (MPI) method was used to compute the Disease Outbreak Vulnerability Index (DOVI) and Disease Outbreak Resilience Index (DORI). Results displayed that 0.166 of households were found vulnerable and 0.834 of households were found resilient towards disease outbreaks. Rural households (0.175) were found more vulnerable than urban households (0.144), notably, in the WASH, and energy-communication dimensions, however, urban households were vulnerable in physical distancing and household economic security. Kerala, Goa, Lakshadweep, Ladakh, and Jammu & Kashmir states revealed higher resilience, whereas, Dadra & Nagar Haveli and Daman & Diu, NCT Delhi, Maharashtra, Chandigarh, and Andhra Pradesh states showed the least resilience towards disease outbreak. This study has suggested that policymakers should focus on the WASH, electricity, and mass-media services among rural households and physical distancing, and economic security among urban households, to increase resilience and preparedness for future outbreaks, and to achieve the Sustainable Development Goals (SDGs) 3. D, by the end of 2030.

Tourism Industry in Dadra and Nagar Haveli: Prospects, Challenges and Government Initiatives

The paper discussed prospects and challenges of tourism industry in Dadra and Nagar Haveli. It has found that Dadra and Nagar Haveli is popular among tourist due to lush greenery and immense natural beauty. It previously was a Portuguese colony. It is famous for the production of baskets, weaving of bamboo mats and leather slippers. Nakshatra Garden, Vasona Lion Safari, Satmaliya Deer Park, Dudhani, Hirwa Van Garden and Vanganga Lake are the major attractions. Sahyadri Mountains (Western Hills) is the another tourist attraction. It has reserve of minerals like sulphur, selenite, nickel, limestone and gold. BAPS Swaminarayan Temple is famous among tourists. Barash is the popular tribal festival celebrated in September month. Ragi (nagli), rice, bajra and kodra are the staple food of the tribals. Its main tribes are Varli, Kokna and Dhodia with small groups of Dubla, Naika, Kathodi and Koli scattered over the territory. Dublas and Dhodias tribes are more found in the northern part, but Varlis and Koknas are found all over the territory. The key challenges facing tourism are the lack of marketing and promotion activities, inadequate infrastructure, lack of skilled manpower, safety and security. Although there are many challenges before the tourism industry, but it has bright future prospect in tourism.

Spatiotemporal Epidemiology of Malaria in India from 2007 to 2022.

India is a major contributor to the global burden of malaria, especially Plasmodium vivax infection. Understanding the spatiotemporal trends of malaria across India over the last two decades may assist in targeted intervention. The population-normalized spatiotemporal trends of malaria epidemiology in India from 2007 to 2022 were analyzed using a geographic information system with the publicly available "malaria situation" report of the National Vector Borne Disease Control Program (NVBDCP). The NVBDCP data showed malaria cases to have steeply declined from 1.17 million in 2015 to 0.18 million cases in 2022; this is 10.1 and 18.7 fold lower than the WHO's estimate of 11.93 million and 3.38 million cases in 2015 and 2022, respectively. From 2007 to 2022, Mizoram, Meghalaya, Tripura, Odisha, Chhattisgarh, and Jharkhand consistently reported high caseloads of Plasmodium falciparum. In the same period, the P. vivax caseload was high in Arunachal Pradesh, Mizoram, Nagaland, Jharkhand, Odisha, Chhattisgarh, Goa, Daman and Diu, Dadra and Nagar Haveli, and Andaman and Nicobar Islands. The distribution of forest cover, annual rainfall, and proportion of the Scheduled Tribe population (the most underprivileged in Indian society) spatially correlated with malaria cases and deaths. Mizoram is the only state where cases were higher in 2022 than in 2007. Overall, India has made tremendous progress in controlling malaria and malaria-related deaths in the last decade. The decline could be attributed to the effective vector and parasite control strategies implemented across the country.

Inequality in Forensic Medicine in India: The Current Scenario and Way Forward.

Background Forensic Medicine (FM) is one of the core specialties of medicine in India, which serves as a bridge between medical science and India's justice delivery systems. Although FM experts play a crucial role in handling medicolegal cases, there is an increasing deficit of FM experts in India. This may be due to the inadequate postgraduate (PG) seats across the states and the low uptake of PG seats in FM. This study was conducted to explore the current status of PG seats along with the Forensic Medicine Toxicology (FMT)/FM index across Indian states. Methodology In this cross-sectional study, data on the number of PGs in FMT/FM and the institutes offering PG courses in FMT/FM were searched on the official website of the National Medical Commission. The data available on the website until November 2023were incorporated. The FMT/FM index was calculated at the national and state levels, and the states were graded based on the national FMT/FM index. Results The national FMT/FM PG trainee index was 0.054. Considering this as the reference value, grading of the FMT/FM PG trainee index was done as the highest (1.159 to 0.308), higher than the nation (0.054 but less than 0.308), lower than the nation (0.054 but higher than 0.00), and zero. Among all the states and union territories, Andaman & Nicobar, Arunachal Pradesh, Dadra and Nagar Haveli, Jammu & Kashmir, Lakshadweep, Mizoram, Nagaland, Sikkim, and Ladakh had zero FMT/FM PG index due to non-availability of any PG seats for FMT/FM. In total, 20 states had an FMT/FM PG index higher than India's FMT/FM PG index headed by Pondicherry (1.159), followed by Chandigarh (0.429) and Goa (0.308). Conclusions PG seats were highly deficient in several states, which is more likely to affect justice delivery in the future across these states. This study has a few limitations, as we did not explore the actual intake of these PG seats across different states. We anticipate a lower intake of PG seats due to factors such as low demand, fewer job opportunities, and monetary gain. However, this needs further exploration in future studies.

Additions to the Flora of Dadra and Nagar Haveli (U.T.)

In the present paper 26 species of angiosperms belonging to 20 families have been reported for the first time from union territory of Dadra & Nagar Haveli.

Temporal change in prevalence of BMI categories in India: patterns across States and Union territories of India, 1999–2021

BackgroundThe problem of overweight/obesity often coexists with the burden of undernutrition in most low- and middle-income countries. BMI change in India incorporating the most recent trends has been under-researched.MethodsThis repeated cross-sectional study of 1,477,885 adults in India analyzed the prevalence of different categories of BMI among adults (age 20–54) in 4 rounds of National Family Health Surveys (1998–1999, 2005–2006, 2015–2016, and 2019–2021) for 36 states/UTs. State differences across time were harmonized for accurate analysis. The categories were Severely/Moderately Thin (BMI < 17.0), Mildly Thin (17.0-18.4), Normal (18.5–24.9), Overweight (25.0-29.9), and Obese (≥ 30.0). We also estimated change in Standardized Absolute Change (SAC), ranking of states, and headcount burden to quantify the trend of BMI distribution across time periods for all-India, urban/rural residence, and by states/UTs.ResultsThe prevalence of thinness declined from 31.7% in 1999 to 14.2% in 2021 for women, and from 23.4% in 2006 to 10.0% in 2021 for men. Obesity prevalence increased from 2.9% (1999) to 6.3% (2021) for women, and from 2.0% (2006) to 4.2% (2021) for men. In 2021, the states with the highest obesity prevalence were Puducherry, Chandigarh, and Delhi. These states also had a high prevalence of overweight. Dadra and Nagar Haveli and Diu, Gujarat, Jharkhand, and Bihar had the highest prevalence of severe/moderately thin. Prevalence of extreme categories (severely/moderately thin and obese) was larger in the case of women than men. While States/UTs with a higher prevalence of thin populations tend to have a larger absolute burden of severe or moderate thinness, the relationship between headcount burden and prevalence for overweight and obese is unclear.ConclusionsWe found persistent interstate inequalities of undernutrition. Tailored efforts at state levels are required to further strengthen existing policies and develop new interventions to target both forms of malnutrition.

First Record of Garra triangularish from Madhya Pradesh, India

Garra triangularis Shangningam et al. [1] has been reported first from the Sakartod River at Khanvel, Dadra &amp; Nagar Haveli (UT), Western ghats, and then from Gajapati district of Odisha, Eastern Ghat. The present study reports it for the first time from Madhya Pradesh. The present specimen agrees with all the morphometric and meristic counts of the species, including the snout shape and the structure of tubercles on the proboscis. G. triangularis has a new distribution record from the State of Madhya Pradesh in India.

A Case Control Study to Assess the Risk Factors for Preterm Deliveries among the Mothers Admitted In Shri Vinoba Bhave Civil Hospital, Silvassa, Dadra And Nagar Haveli

BACKGROUND: According to WHO Preterm delivery is defined as a delivery that occurs before 37 weeks of gestation. “Born too Soon” decade of action on preterm birth, produced by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) together with PMNCH-the world’s largest alliance for Women, Children, and adolescents sounds the alarm on a “Silent emergency” of preterm birth, long under recognized in its scale and severity which is impeding progress in improving children’s health and survival. OBJECTIVE: This study aim to determine the risk factors associate with preterm deliveries among the Mothers admitted in Shri Vinoba Bhave Civil Hospital, Silvassa, Dadra and Nagar Haveli. METHODS: The research design adopted for study was Case- control study. The written permission was obtained from the concerned authority of Shri Vinoba Bhave Civil Hospital, Silvassa for conducting the study. During the data collection period, the investigator established a good rapport with Mothers who had participated in the study and taken written consent from each of them. Samples were assigned using consecutive sampling technique. As per the research design &amp; tool, demographic &amp; maternal related data was collected. After collecting data from 200 samples for control group and 50 samples for case group were analysed using descriptive and inferential statistics. RESULT: A family history of PTD (OR:2.1, p value: 0.001, CI: 0.897-6.610), Height (OR: 1.672, p Value: 0.002, CI: 0.127-21.990), weight gain during pregnancy (OR: 13.070, p value: 0.024, CI: 1.413-120.851), , number of health visited during pregnancy (OR:8.411, p value: 0.001, CI:2.485-28.469), danger sign during pregnancy (OR: 2.01, p value: 0.001, CI:0.080-2.375), hypertension (OR:2.41, p value&lt;0.0001, CI: 0.045-8.348), oligohydramnions (OR: 1.652, p value: 0.004, CI: 0.544-5.817)and PROM (OR: 2.319, p value=0.012, CI:0.012-1.280) were all significant associated with PTD. CONCLUSION: The present study assessed the risk factors for preterm deliveries among the mothers admitted at Shri Vinoba Bhave Civil Hospital, Silvassa, DNH. In this study, a family history of preterm birth, weight gain during pregnancy, danger sign during pregnancy, hypertension, oligohydramnions and PROM. Recognizing the most common risk factors for PTD will help to increase the awareness about high-risk pregnancy, improve the preventive measures of preterm risk factors and modify preterm care protocol.

A Study to Assess the Effectiveness of Planned Teaching Programme on Behavioural Disorder in Children among Primary School Teachers in Selected School, Dadra &amp; Nagar Haveli, Silvassa

BACKGROUND: Behavioural disorders of children lead to abnormality in their Personality, emotions or behavior, which is dangerous and affect to him/her, family and society. Behavioural disorders are caused by multiple factors like faulty parental attitude, inadequate family environment (broken families, low socio-economic status, lack of love and affection), mentally and physically sick or handicapped, influence of social relationship, influence of mass media, and influence of social change. Some children show symptoms that are consistent with diagnoses of Oppositional Defiant Disorder (ODD), Attention-Deficit hyperactivity Disorder (ADHD), and Learning disability. Objective: The aim of the study was to assess the effectiveness of planned teaching program on behavioural disorders among primary school teachers at Dadra &amp; Nagar Haveli, Silvassa. Methodology: A pre-experimental one group pre-test post-test research design was adopted, through non probability purposive sampling technique, 150 samples were selected from selected primary school of Dadra and Nagar Haveli, Silvassa. Demographic Variables based on baseline Performa was used to collect demographic data and Self-administered knowledge questionnaire were used to assess the existing knowledge level of primary school teachers regarding behavioural disorder in school aged children. Planned teaching program on behavioral disorders in children was administered to primary school teachers to enhance the knowledge followed by post was conducted after 7 days. The data was analyzed and interpreted based on descriptive and inferential statistics. Result: The result of the study shows that, the overall post-test knowledge mean percentage (71.26%) is greater than pretest knowledge mean percentage (39.57%). The calculated “t” value (27.174) of the knowledge score of the primary school teachers regarding behavioural disorders of school aged children is greater than the table value at 0.05 level of significance hence the planned teaching programme is effective to improve the knowledge of school teachers. Conclusion: Thus, it can be concluded that Planned teaching programme was effective in improving the knowledge of primary school teacher regarding behavioural disorders in school aged children. Key words: Assess, Effectiveness, Knowledge of primary school teachers, Behavioural disorders, School aged children, planned teaching program.

Exploring barriers to vasectomy adoption among married men in Dadra and Nagar Haveli

Introduction and aim. Vasectomy was introduced in India in 1992 and is the most effective, simple, and safe permanent method of contraception yet its use is very limited among the population. The study’s objectives were to assess the knowledge, attitude, and perception towards vasectomy and the barriers to adoption among married men in Dadra and Nagar Haveli. Material and methods. A cross-sectional hospital-based study was conducted on married male attendants of patients and data were collected on sociodemographic details, knowledge regarding vasectomy, their attitude and perceptions towards vasec tomy, and their intention of using vasectomy in the future. Results. Out of 300 participants, 258 (86%) participants have heard of vasectomy as a contraceptive method, and only one participant has undergone vasectomy. The majority (285; 95%) of the participants agreed that family planning is also a responsi bility of males while nearly two-third (185; 61.7%) of them were not willing to undergo vasectomy in the future. Procedure-re lated factors, post-procedure-related factors, social factors, availability of alternate contraceptive methods, and preference for tubectomy were the barriers to the adoption of vasectomy. Conclusion. There is a need to provide correct information and counseling about vasectomy and non-scalpel vasectomy to eligible couples to increase the acceptance of vasectomy as a safe, effective, and cheaper method of contraception.

A Community Based Cross Sectional Study to Assess the Health Care Seeking Behaviour among the Tribal Elders Residing in Selected Areas of Dadra and Nagar Haveli

Abstract Background: Population ageing is a great concern for the health sector. The health seeking behaviour of elderly individuals can help in ascertaining their needs and priorities to develop appropriate policies for their care and avert disease progression. Health seeking behaviour are influenced by a variety of factors among elderly like socio-economic status, age, gender, authority of the elderly within the family. Aim: To assess the health care seeking behaviour of the tribal elders in selected areas of Dadra and Nagar Haveli. Methodology: A descriptive survey design was used to collect data with structured interview method from 100 tribal elders which were selected from non -probability purposive sampling technique. Result: Health seeking behaviour are influenced by a variety of factors among elderly like age, education, occupation, family monthly income, types of family, marital status and living with. Majority of the study subjects,59.62 % of males &amp;75 % of females were found to be having adequate level of health care seeking behaviour,40.38% of males &amp; 25% of females having high level of health care seeking behaviour. Conclusion: Health care seeking behaviour among tribal elderly is adequate level which need an awareness creation among the elderly population is imperative and creating easy accessibility of health services. It needs implementation of programme at grass root level. Key words: Ageing, Elderly, Health care seeking behaviour

A Study to Evaluate the Effectiveness of Acupressure on Dysmenorrhea among Nursing Students at Shri Vinoba Bhave College of Nursing, Silvassa, Dadra and Nagar Haveli

ABSTRACT INTRODUCTION Menstruation is the normal process that occurs in all healthy adult. Menstrual pain or dysmenorrhea is the pain in the lower abdomen before or during menstruation. India has one of the fastest growing youth populations in the world, with an estimated 190 million adolescents. Girls below 19 years of age comprising 21% of India’s total population. In India 67.2% adolescent girls suffer from dysmenorrhea and 60% of them have disrupted daily routines.The incidence of menstrual pain to women in the world is relatively high on the average of more than 50% in every country.Acupressure is an ancient healing art that uses fingers to press key points on the surface of the skin to stimulate body’s natural self-curative abilities. Acupressure release tension, increases circulation, reduces pain, and develops vibrant health, with a view to this; the study was conducted to assess the effectiveness of acupressure on dysmenorrhea among nursing student at Shri Vinoba Bhave College of Nursing, Silvassa. AIM Aim of the study is to evaluate the effectiveness of acupressure on reduction of pain during menstruation among nursing students at Shri Vinoba Bhave College of Nursing, Silvassa, Dadra and Nagar Haveli. METHODOLOGY Quasi experimental, time series non-equivalent control group design with Non probability purposive sampling technique was used to select 60 nursing students, 30 experimental and 30 control group. Dysmenorrhea is assessed by WaLIDD scale. Tool was used for data collection were Numerical pain intensity scale, socio-demographic variable, baseline clinical data. Pretest was done before intervention in experimental group and control group. Acupressure therapy was given to experimental group and pain was assessed after 30 min, 60 min, and 120 min in both groups. RESULT Result shown that the mean score (8.10±0.84, 6.88±0.68, 6.49±0.69, 5.82±0.65) of experimental group is apparently lower than the mean score (8±0.83, 4.78±0.52, 3.83±0.47, 3.06±0.49) of control group except for the mean pretest score. The level of pain score status between the different time intervals pre and post observations in experimental group shows that the obtained F Value 207.2968(df=9) and the p value was 0.0001. the p value is &lt;0.05 level of significance so it shows that statistical significance was very high in the experimental group respectively, compare than control group, hence research hypothesis (H1) is accepted and inferred that acupressure therapy is very effective in reducing the pain during menstruation and providing comfort. CONCLUSION Study proved that SP6 acupressure can be used as an effective intervention to decrease menstrual pain. Acupressure is a very effective means of decreasing dysmenorrhea. It can be assumed that applying acupressure with the same intensity for a shorter time is effective in reducing menstrual pain. KEY WORDS Acupressure, dysmenorrhea, complimentary and alternative therapy.

A Study to Assess the Effectiveness of Interventional Package on Computer Vision Syndrome among Computer Users at Selected Institutions, Silvassa, Dadra and Nagar Haveli

Background : Computer vision syndrome or digital eye strain as a group of eye and vision related problems that result from prolonged use of computer. Globally, at least 2.2 billion people have a near or distance vision impairment. It is estimated that nearly 60 million people suffer from CVS globally, and that new cases occur each year. However, interventional package on computer vision syndrome will help computer users to enhance knowledge and prevention of Computer vision syndrome. Aim: This study aimed to assess the effectiveness of interventional package on computer vision syndrome among computer users. Methodology : An experimental research design to assess the effectiveness interventional package on computer vision syndrome among computer users. Simple random sampling was used to select 100 samples and equally divided into control and experimental group. Self reported checklist was used to collect data. Result: The analysis of the study revealed In survey had done among 150 subjects, the maximum number of subjects 93 (62%) had mild level, 34 (22.66%) subjects had moderate and 4 ( 2.66%) subjects had severe level of computer vision syndrome and 19 (12.66%) subjects had no computer vision syndrome. The majority of subjects belonged to 20-30 years of age. 42% belonged to female category. 47.33% were bachelor degree. 58.66% were having 1-5 year of experience and 90% were belongs to Hindu religion.. In experimental group the pre test mean score was 9.18 with standard deviation of 2.134 and post test mean score was 7.16 with standard deviation of 2.044 and mean difference was 2.02. The obtained ‘t’ value (14.28) was significance at p &lt;0.0007 level. Gender and educational qualification have significant association with the level of computer vision syndrome. Conclusion: The result showed that there was significant decrease level of computer vision syndrome among computer users in experimental group after administration of interventional package. Keywords: Computer vision syndrome, Interventional package, Ophthalmic exercise

A Study to Assess the Effectiveness of Jacobson Progressive Muscle Relaxation Exercise on Premenstrual Syndrome among Adolescent Girls in Selected Higher Secondary School , Silvassa, Dadra Nagar Haveli

INTRODUCTION: Women are smart and savvy. Striving to live up to their potentials, they are curious about the world they live in and want to make a difference. But adolescent is a period they struggle with the issues of menstruation. OBJECTIVE: To evaluate the effectiveness of Jacobson Progressive Muscle Relaxation Exercise on Premenstrual Syndrome among adolescent girls. DESIGN: A quantitative approach using quasi experimental pre-test post-test design with control group. PARTICIPANTS: 100 adolescent girls with moderate to severe premenstrual syndrome was selected using Non probability purposive sampling technique in Government Higher Secondary School at Silvassa. INTERVENTION: Jacobson Progressive Muscle Relaxation Exercise was given for a period of 15-20 minutes once a day for 28 days. TOOL: self administered modified Stainer and Wilkins PMS diagnostic criteria were used to assess the level of PMS. RESULTS: Analysis using Paired‘t’ test found significant. CONCLUSION: The findings of the study revealed that Jacobson Progressive Muscle Relaxation Exercise helps in decreasing premenstrual syndrome among adolescent girls.

Gender Inequality in Out-of-pocket Expenditure on Healthcare Among Persons with Disabilities in India

Background People with disabilities (PWDs) often face higher risk of financial burden towards healthcare. Higher out-of-pocket expenditure (OOPE) is a barrier towards accessing medical services, resulting in healthcare inequities between men and women. There is a lack of studies on gender disparities in healthcare burden among PWD in India. The present study examines gender inequality towards healthcare expenditure among PWDs in India. Methods Unit level data from the Persons with Disabilities in India Survey under the National Sample Survey, 76th round that covered 118,152 households involving 576,569 individuals of whom 106,894 had at least one disability was used. We performed secondary analysis using descriptive statistics, bivariate estimates, Blinder–Oaxaca decomposition and multilevel log-linear regression to meet the objective of the study. Results OOPE as a percent of monthly per capita expenditure was higher among males across all states of India except in Puducherry, Dadra and Nagar Haveli, Lakshadweep and Mizoram. This varied from 0.6% in Jammu and Kashmir to 20% in Nagaland. Multilevel analysis confirms that OOPE was significantly lesser among females ( β = –0.070, 95% confidence interval = – 0.129 to 0.01) compared to males after controlling demographic and disability-related predictors. PWDs reported higher healthcare burden as a percent of total household expenditure in India, and relatively less amount was spent on female healthcare compared to male healthcare. Conclusion A substantial gender inequality for healthcare expenditure is found among PWDs in India. This makes for an urgent call to health researchers and policymakers towards gender-sensitive research, policy formulation and program implementation for PWDs in India.

A Study to Determine the Quality of Life among the Permanent Contraceptive Adopters and Non-adopters at Selected Rural Areas of Dadra and Nagar Haveli

INTRODUCTION Contraceptive information and services are fundamental to the health and human rights of all individual, prevention of unintended pregnancies helps to lower maternal ill-health and the number of pregnancy-related deaths (According to WHO). Between 2000 and 2020, the contraceptive prevalence rate (percentage of women aged 15-49 who use any contraceptive method) increased from 47.7 to 49.0% and 77.5% globally in 2022. In Dadra and Nagar Haveli and Daman and Diu, total modern methods used is 59.8%, female sterilization is 41.6% male sterilization is 0.2%, IUD usage is 2.2%, pill usage is 3.1%, condom usage is 11.7%, and injectables contraceptive usage is 0.9%. AIM The aim of the study is to determine the quality of life among the permanent contraceptive adopters and non-adopters at selected rural areas of Dadra &amp; Nagar Haveli. METHODOLOGY Non-experimental two group comparative descriptive design with non- probability, purposive sampling technique was used to select 100 samples, who fulfilled inclusion criteria. WHO quality of life scale (BREF), that is self-administered scale was used to assess the level of quality of life. RESULT The result of the study showed that the adopters mean value was 70.3450 and the standard deviation was 8.55458, non-adopters mean value was 60.4000 and the standard deviation was 6.76406, ‘t’ value was 6.448 which was higher than the table value and ‘P’ value was 0.000. So there was a highly significant difference between the quality of life among the permanent contraceptive adopters and non-adopters. Hence research hypothesis was accepted. CONCLUSION The study proved that the quality of life among the permanent contraceptive adopters is much better than non-adopters. Hence there is a need to create awareness and provide health education on Family planning methods to the non-adopters.

A Study to Assess the Effectiveness of Therapeutic Touch Massage on Reduction Level of Pain &amp; Anxiety among Stroke Patients Admitted in Shri Vinoba Bhave Civil Hospital Silvassa, Dadra and Nagar Haveli

BACKGROUND: Stroke is the leading cause of disability worldwide and the second leading cause of death. The Global Stroke Factsheet released in 2022 reveals that lifetime risk of developing a stroke has increased by 50% over the last 17 years and now 1 in 4 people is estimated to have a stroke in their lifetime. OBJECTIVE: This study aims to assess the effect of therapeutic touch massage on reduction level of pain and anxiety among the stroke patients admitted in Shri Vinoba Bhave Civil Hospital, Silvassa. METHODS: A quantitative quasi experimental research design was adopted and samples were allotted in experimental group (n=25) and control group (n=25) by purposive sampling technique. Sociodemographic and clinical variables data was collected using the self-administered questionaries and pain, anxiety and spasticity assessed by abbey pain scale, Hamilton anxiety scale and modified Ashworth scale. Respectively, The therapeutic touch massage was performed under the supervision of the investigator for 30 minutes daily for 6 days. RESULT: The results indicate a significant reduction in pain level after therapeutic touch massage (pretest mean = 9.88, posttest mean = 6.80;t= 6.959,df=48,p&lt;0.05) &amp; reduction in anxiety level non-significant change after therapeutic touch massage ( pretest = 21.04 , posttest = 18.28 ; df = 48, p&gt;0.05).Various Sociodemographic variables showed significant association with pretest pain level in experimental group &amp; no significant association were found with pretest anxiety level in experimental group. A positive correlation was found between pretest pain &amp; anxiety in experimental group &amp; control group. CONCLUSION: Therapeutic touch massage is useful in relieves pain and anxiety, aids in relaxation, relieves the effects of pain and improves sleep. KEYWORDS: Therapeutic touch massage; pain; anxiety; stroke patients; complementary therapy.

A Study to Assess the Compliance Regarding Self Care Management among Type-2 Diabetes Mellites Patient at Selected Area of Dadra and Nagar Haveli

ABSTRACT : Introduction: Diabetes is a chronic disease that can be self-managed and control the disease and its adverse consequence. Diabetes is an important public health problem of India. studies have shown that increase in patients’ knowledge regarding the disease result in better compliance. The prevalence of diabetes is predicted to double globally from 171 million in 2000 to 366 million in 2030 with a maximum increase in India. Aim: The aim of the study was to assess the compliance regarding self-care management of among type-2 diabetes mellites patient at selected area of Dadra and Nagar haveli. Method : This in study quantitative descriptive research design was used. A total 100 respondent who met the sampling criteria were selected by purposive sampling technique. The data were collected using self-Questionnaire on compliance. Result: Result showed that 63% had moderate compliance on self-care management whereas only 37% had good compliance among patient with type-2 DM. Conclusion: The study concluded that the assessment of the compliance on self-care management among Type-2 DM need to be addressed. Keywords: Assess, compliance, self-care management, type-2 DM.

Prevalence and Determinants of Low Birth Weight among the Newborns in Dadra and Nagar Haveli: A Community-based Study.

The world is not on track to meet the World Health Assembly (WHA) global target on Low Birth Weight (LBW). To estimate the prevalence and to identify the associated determinants of LBW among the newborns. We conducted a cross-sectional study among the 364 mothers registered under the all government health facilities of Dadra & Nagar Haveli (DNH) during November 2021 to January 2022. The prevalence of LBW was found to be 39%. On uni-variable logistic regression, live in relationship, caste, weight of mother, Body Mass Index (BMI), weight gain <5 kg in 2nd and 3rd trimester, high-risk pregnancy, complication present in previous pregnancy and preterm delivery, while on multi-variable logistic regression, weight gain <5 kg in 2nd and 3rd trimester (AOR 2, 95% CI 1.007-4.2) and having high-risk pregnancy (AOR 2, 95% CI 1.1-3.0) were found to be the significant predictors of LBW among the newborns. We conclude from the study that the prevalence of low birth weight among the newborn was high. There is a need to address maternal and child health issues like low birth weight, malnutrition and high-risk pregnancy under the RMNCAH+N program through various effective interventions. Future research should evaluate the feasibility of collaborative activities between RMNCAH+N program and the UNICEF in India.