Chhattisgarh State Research Articles

An Ethno-Pharmacological Study of Wound Healing Medicinal Plants Used by Traditional Healers in Dhamtari, Chhattisgarh, India

Ethno-pharmacology is "the multidisciplinary scientific investigation of the biologically active substances that are customarily used." As a result, the ethno-pharmacological approach is founded on a corpus of research encompassing pharmacology, chemistry, and botany, among other fields. The research was conducted in the Indian state of Chhattisgarh's Dhamtari areas. Fifteen families and a total of eighteen therapeutic plants with ethno-pharmacological potency, particularly in wound healing, were identified at the study site. In the research areas, extensive field surveys were carried out between March 2021 and February 2023. On field excursions, native knowledge of wild medicinal plants was gathered through conversations, questionnaires, and in-person interviews. Plants were arranged according to their scientific names, families, common names, and parts that were utilised to cure or promote wound healing. In the survey, the dominant families of plants like Amaranthaceae, Liliaceae, and Fabaceae had two (02) species of medicinal importance, particularly for wound healing treatment. The Dhamtari region's rural inhabitants have traditionally utilised native flora for primary healthcare and the treatment of a variety of ailments. On the other hand, hardly much was recorded regarding traditional knowledge of therapeutic herbs. The Dhamtari people of the countryside claimed that as society developed, newer generations became less interested in the traditional knowledge of therapeutic herbs. Therefore, before they become extinct and are no longer available, it is imperative to document ethno-medicinal plants that can heal wounds. In order to properly conserve plants and traditional knowledge for the future, this ethno-botanical database will be valuable to scientists, naturalists, planners, policymakers and chemists.

Enhancing COVID-19 Vaccine Uptake among Tribal Communities: A Case Study on Program Implementation Experiences from Jharkhand and Chhattisgarh States, India.

Tribal populations in India have health care challenges marked by limited access due to geographical distance, historical isolation, cultural differences, and low social stratification, and that result in weaker health indicators compared to the general population. During the pandemic, Tribal districts consistently reported lower COVID-19 vaccination coverage than non-Tribal districts. We assessed the MOMENTUM Routine Immunization Transformation and Equity (the project) strategy, which aimed to increase access to and uptake of COVID-19 vaccines among Tribal populations in Chhattisgarh and Jharkhand using the reach, effectiveness, adoption, implementation, and maintenance framework. We designed a qualitative explanatory case study and conducted 90 focus group discussions and in-depth interviews with Tribal populations, community-based nongovernmental organizations that worked with district health authorities to implement the interventions, and other stakeholders such as government and community groups. The active involvement of community leaders, targeted counseling, community gatherings, and door-to-door visits appeared to increase vaccine awareness and assuage concerns about its safety and efficacy. Key adaptations such as conducting evening vaccine awareness activities, holding vaccine sessions at flexible times and sites, and modifying messaging for booster doses appeared to encourage vaccine uptake among Tribal populations. While we used project resources to mitigate financial and supply constraints where they arose, sustaining long-term uptake of project interventions appears dependent on continued funding and ongoing political support.

Adoption of Improved Paddy Cultivation Practices among the Farmers in Durg District, Chhattisgarh, India

The present study was conducted in Durg district of Chhattisgarh state during the years 2022–23 to study the farmers' adoption of improved paddy cultivation practices. One hundred twenty respondents were randomly selected based on the criteria that no previous study had been undertaken. Farmers were personally interviewed using a pre-tested interview schedule. The majority of respondents had a high (15.83%), medium (53.34%) and low (30.83%) adoption level, hence, there is a necessity to provide training programs through Krishi Vigyan Kendras (KVKs) and the Agricultural Departments to improve paddy cultivation methods so that the farmers can enhance their adoption levels of paddy production technology. The independent variables, namely age, education, annual income, farming experience, social participation, extension contacts, land holding, economic motivation and risk orientation were positively and significantly correlated with the adoption behaviour of paddy growers towards improved paddy production practices.

A Comparative Study of Five-Year Dengue Mortality in Madhya Pradesh and Chhattisgarh

Introduction: Dengue is the most widely dispersed mosquito-borne illness, and infected Aedes species mosquitoes convey it. The four dengue virus serotypes (DEN-1, DEN-2, DEN-3, and DEN-4) of the Flavivirus genus cause dengue infection in humans. According to the WHO classification from 1997, there are three different types of symptomatic dengue virus infection: dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS). Dengue fever is prevalent in more than 100 nations, with the majority of cases coming from the WHO’s Western Pacific, South-east Asia, and Americas areas.Methods: This retrospective analytical study was done using the Global Burden of Disease Compare (GBD Compare) tool, where the data of Madhya-Pradesh and Chhattisgarh State for the five-year duration from year 2013 to year 2017 was collected. Factors studied included Dengue Mortality as a percentage of total-all-cause mortalities, its range, and annual percent change (APC).Result: Despite of resonating year-wise results of percentage of total all cause mortalities in MP (0.17, 0.34, 0.19, 0.35, 0.21%) and Chhattisgarh (0.17, 0.38, 0.19, 0.39, 0.21%), there is alarming difference of APC in MP (2.702, 6.11, 2.72, 6.11, 2.72%) and Chhattisgarh (4.19, 4.75, 4.19%,4.75%,4.19%). The mortality and its range are proportionate to APC in MP, whereas APC is found high despite of the mortalities of dengue being same in MP and Chhattisgarh.Conclusion: Addressing the complexities of morbidity and mortality trends requires a multifaceted approach that considers age, gender, and regional differences. By doing so, researchers can contribute to a more nuanced understanding of disease profiles, paving the way for targeted interventions and policies that address the specific health needs of diverse populations.

Cost of Care for Non-communicable Diseases: Which Types of Healthcare Providers are the Most Economical in India's Chhattisgarh State?

Non-communicable diseases (NCDs) affect a large number of people globally and their burden has been growing. Healthcare for NCDs often involves high out-of-pocket expenditure and rising costs of providing services. Financing and providing care for NCDs have become a major challenge for health systems. Despite the high burden of NCDs in India, there is little information available on the costs involved in NCD care. The study was aimed at finding out the average monthly cost of outpatient care per NCD patient. The average cost was defined as all resources spent directly by government and citizens to get a month of care for a NCD patient. The cost borne by the government on public facilities was taken into account and activity-based costing was used to apportion it to the function of providing outpatient NCD care. For robustness, time-driven activity-based costing and sensitivity analyses were also performed. The study was conducted in Chhattisgarh State and involved a household survey and a facility survey, conducted simultaneously at the end of 2022. The surveys had a sample representative of the state, covering 3500 individuals above age of 30 years and 108 health facilities. The average monthly cost per NCD patient was Indian Rupees (INR) 688 for public providers, INR 1389 for formal for-profit providers and INR 408 for informal private providers and they managed 53.5, 34.3 and 12.0% of NCD patients respectively. The disease profile of patients handled by different types of providers was similar. The average cost per patient was lowest for the primary care facilities in the public sector. The average direct cost of NCD care for government and citizens put together was substantially higher in case of formal for-profit providers compared with public facilities, even after taking into account the government subsidies to public sector. This has implications for allocative efficiency and the desired public-private provider mix in health systems.

Remote Sensing and GIS in Air Pollution Mitigation: A Bibliometric Review of Chhattisgarh, India

Remote sensing and GIS serve as indispensable tools in the ongoing battle against air pollution and in the quest to improve air quality. These technologies, including satellite imagery and aerial mapping, provide a wealth of data pertaining to atmospheric conditions and the presence of pollutants. Through the integration of this data within Geographic Information Systems (GIS) software, researchers and policymakers gain valuable insights into the distribution and concentration of pollutants such as sulphur dioxide, nitrogen oxides, and particulate matter, all of which have significant implications for human health and the environment. The utilization of remote sensing allows for the monitoring of pollutant movement over large geographical areas, enabling the identification of pollution sources and the assessment of their impact on surrounding regions. GIS, on the other hand, facilitates the visualization of this data through the creation of maps and spatial analyses, offering a comprehensive understanding of air pollution patterns and their correlations with demographic characteristics and land use practices. By leveraging these technologies, decision-makers can pinpoint areas with heightened pollution levels, such as urban centers or regions with extensive industrial activity. Armed with this information, targeted mitigation strategies can be devised and implemented to alleviate pollution burdens and safeguard public health. Furthermore, the integrated approach provided by remote sensing and GIS enables the monitoring of the effectiveness of these strategies over time, allowing for adjustments and refinements as needed. In the context of Chhattisgarh, India, where air pollution poses a significant challenge, the application of remote sensing and GIS holds particular promise. By highlighting the advancements and innovations in these fields within the state, we aim to underscore the potential for informed decision-making and proactive measures to combat air pollution and enhance air quality for the benefit of all residents. In this review paper we aim to highlight the advancements in this field that has occurred in controlling air pollution in the state of Chhattisgarh, India.

Situating the Self within the Changing Societal Dynamics- a Perspective of the Nat in India

ABSTRACT India is home to a wide range of ethnic groups. Each group has unique characteristics. The Nat, for instance, is a nomadic tribe and is known for its specialized acrobatic and musical skills. The associated traditional occupations, however, have proved restrictive to the socio-economic mobility of the tribe. This study, therefore, is an attempt to develop an understanding of the ways in which the Nat situate themselves within the changing social dynamics by addressing the following questions: How do members of the Nat community evolve in response to changing societal dynamics? Has the change been restrictive to the tribe’s social and economic mobility? In order to find answers to these questions 31 case studies were conducted of the Nat from four states in India who had gathered at a famous fair organized annually in Chhattisgarh state. Analysis of the data collected followed Wolcott’s and Biggam’s iterative approach to the description and interpretation of the field notes and case studies. The findings of the study suggest that in order to survive, the Nat community has significantly assimilated with mainstream society by adopting social differentiation based on caste and religion. Instead of reaping positive results, this process has proved detrimental to the socio-economic situation of the Nat. While other communities reap the benefits of the developmental processes, the Nat nomadic tribe continues to be stigmatized and marginalized. Social and economic mobility is significantly lacking and the few measures taken for their welfare have not improved their situation. Efforts from both the researchers and the major stakeholders are indispensable so that relevant policy measures may be introduced for their welfare.

IJCM_250A: Awareness and utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojna in Chhattisgarh State - A cross Sectional study

Background: Ayushman Bharat Pradhan Mantri Jan Arogya Yojna (PM-JAY) is the worlds largest health insurance/ assurance scheme fully financed by the government. It provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization across public and private empaneled hospitals in India. Over 12 crore poor and vulnerable entitled families are eligible for these benefits. As of now, the total number of ration cards allotted to the people of Chhattisgarh are 57,14,798. Objective: To assess awareness and utilization of Ayushman Bharat Pradhan Mantri Jan Arogya Yojna in Chhattisgarh State. Methodology: This community based cross-sectional study was conducted among the eligible beneficiaries in Chhattisgarh state. Multis stage cluster sampling used to select eligible beneficiaries. One district each from all five divisions of Chhattisgarh will be selected then 5 clusters (3 urban and 2 rural area) will be selected from each district. Data was collected face to face interview by using semi structured questionnaire. Data was managed in MS- Excel and analysed using suitable statistical software (SPSS v21) and P Value Results: The study shows 300 (80.9%), and 68(18.3%) participants are BPL & APL card holders respectively and 3(.8%) do not have any card. Out of 371 participants, 92(24.8%) are not enrolled in the scheme. Among study participants, only 90% were aware of the AB-PMJAY, and only 197 (53%) utilized the scheme and get benefitted. Conclusion: This study concluded that despite AB-PMJAY potentially providing cashless financial protection to beneficiaries, some of the study population is still unaware of AB-PMJAY. A quarter of the participants were not enrolled in the scheme, indicating potential gaps in the implementation or accessibility of the program.

IJCM_264A: An assessment of Dialysis services in the state of Chhattisgarh

Background: In India, about 3.4 crore people need dialysis, with 2.2 million new cases of renal diseases every year. With approximately 4950 dialysis centres, the demand is less than half met. Every Dialysis has an additional expenditure tag of about Rs.2000, it results in expenditure of Rs.3-4 Lakhs annually for the patient. The Dialysis Program under Public Private Partnership was formally announced in the Union Budget 2016-17 by the Honourable Finance Minister. Objective: To assess the dialysis centres working under the National Dialysis Programme. To look at the resources and equipment’s of various centres to look at the patient load of various centres Methodology: The teams from Pt. J.N.M Medical college went to 8 centres of various centres giving dialysis services. This covered 75% of the centres of the state. Centre staff as well as patients were interviewed. The interview was conducted using a predesigned, validated, semi-structured questionnaire. Results: The staff working in the centres is well trained and they are managing the workload well. The technicians are doing well in terms of giving services and most of the centres have multiple machines. Raipur is the most advanced one. Conclusion: These dialysis centres are doing a good job in managing workload however, the centres should have a dedicated Medical officer for the centre. Although, workload is well managed because of Medical Officers working in DH and trained staff of the centre, the medical officers of District Hospital can be trained for reduction of employment stress

IJCM_234A: Malaria Surveillance System Assessment in Jashpur district, Chhattisgarh State, India, January - March 2023

Background: Globally in 2021, 247 million malaria cases were reported from 84 malaria endemic countries. India is committed to eliminate malaria by year 2030. India reported >160,000 malaria cases in 2021 and 2022; 65% cases from four states-West Bengal, Chhattisgarh, Orrisa and Jharkhand. Objectives: We assessed malaria surveillance system in Jashpur district to describe epidemiology of reported malaria cases, for its strengths and weaknesses and to provide evidence-based recommendations. Methodology: We analyzed surveillance data for the year 2022. We assessed timeliness and completeness attributes of the system using US CDC guidelines for evaluating the surveillance system of the five randomly selected reporting units (RUs) for January-March 2023. We reviewed surveillance data reporting portal, hospital records and interviewed key informants. We analyzed data using MS Excel and calculated frequencies and proportion Results: Jashpur reported 269 cases in 2022; 51% female, 58% among tribal community, 89% above 15 years and 90% were of plasmodium falciparum. The maximum number of cases were reported during July to November with peak in the month of August. The annual parasite index (API) per 1000 population was 0.3 for the district, however two blocks had API of >0.5. All the five RUs submitted monthly reports timely. Of the ten reporting formats reviewed, 48% critical blank fields were not filled. Conclusion: Malaria surveillance system in Jashpur detected cases largely among tribal community, identified high burden blocks with good timeliness but require improvement in complete information. We recommended district to focus preventive public health measures in high burden blocks and orient the laboratory technicians for complete data entry in line list of cases.

Time to implement tailored interventions in Chhattisgarh, east-central India to reach malaria elimination.

Despite significant progress in malaria control throughout India, Chhattisgarh state continues to be a significant contributor to both malaria morbidity and mortality. This study aims to identify key factors associated with malaria endemicity, with a goal of focusing on these factors for malaria elimination by 2030. We employed an analysis and narrative review methodology to summarize the existing evidence on malaria epidemiology in Chhattisgarh. Data encompassing environmental conditions, dominant malaria vectors and their distribution, and the impact of previous interventions on malaria control, were extracted from published literature using PubMed and Google Scholar. This information was subsequently correlated with malaria incidence data using appropriate statistical and geographical methods. Much of the malaria burden in Chhattisgarh state is concentrated in a few specific districts. The primary malaria vectors in these regions are Anopheles culicifacies and An. fluviatilis. High transmission areas are found in tribal belts which are challenging to access and are characterized by densely forested areas that provide a conducive habitat for malaria vectors. Conducive environmental conditions characterized by high forest cover, community behavior, and insurgency, contribute to high malaria endemicity in the area. Challenges include insecticide resistance in malaria vectors and asymptomatic malaria. Allocating additional resources to high-endemic districts is crucial. Innovative and focused malaria control programs of the country, such as DAMAN and Malaria Mukt Abhiyan, hold immense importance.

IJCM_95A: To Assess the knowledge and practice regarding reproductive tract infection among female of reproductive age group in Raipur city Chhattisgarh

Background: Reproductive tract infection (RTI) is a global health problem among women, especially in South East Asia Region (SEAR) countries. They may progress to serious complications and cause a high degree of morbidity during the sexually active period of life. More than a million women and infants die of the complications of RTI every year. RTI has become a silent epidemic that devastates women’s lives. Globally, three different types of RTI cause significant amounts of morbidity and mortality among women – sexually transmitted infections (STIs) (including gonorrhea, chlamydia, syphilis, trichomonas, and HIV infections); endogenous infections resulting from the overgrowth of organisms normally present in the reproductive tract (such as candidiasis and bacterial vaginosis); and iatrogenic infections related to medical procedures (such as menstrual regulation, abortion or IUD insertion). The presence of STI increases the risk of acquiring and transmitting HIV infection by three to five times. Objectives: 1- To Assess the knowledge of female what is reproductive tract infection how it occur and spread among residents of Raipur City, Chhattisgarh. 2- To Assess the Factors associated with Knowledge among residents of Raipur City, Chhattisgarh. Methodology: This is an observational cross-sectional study conducted in Raipur City of Chhattisgarh state during the month October 23-January 2024. A pre-designed, self-administered, semi-structured questionnaire was used for data collection. Systematic Random sampling technique was adopted to select the 350 Study participants. Results: The majority of subjects were between the age of 15-34 year. Most of the subject were of lower middle class socioeconomic status. Additionally, 37.8% of participants were graduates, 59.4% were married and 70% were unemployed. 30.3% subjects had not heard about Reproductive tract infection. 50.6% subjects don’t know about symptoms of RTI, almost half 49.4% subject don’t have knowledge about effect of RTI on health and only 84% female believed that good personal hygiene prevent RTI. 45.1% subjects did not wash their private part after urination, 10.5% female did not wash their used cloth daily after each use. 63.9% female used feminine hygiene products to maintain personal hygiene, 10% female did not change their cloth daily, 33.1% women did not change their pad/ cloth within every 4–6-hour interval during menstruation. Conclusion: Educate women through camps about genital hygiene practices to reduce the risk of RTI. For increased usage of Sanitary pads, more number of sanitary vending machine should be installed in schools, colleges, and health facilities. Implement awareness programs, promoting regular check- ups and safe sex practices to mitigate the risk of RTI.

Impact Assessment and Upliftment of Poor and Marginal Tribal Farmers of Chhattisgarh State through Quality Seed Production in Chickpea (Cicer arietinum L.)

The study was carried out in districts of Chhattisgarh plains and plateau by conducting front line demonstrations (FLD’s) and tribal Sub Plan (TSP) of chickpea at different locations of farmer’s field to promote the cultivation and adoption of improved package of practice from 2018-19 to 2022-23. The seeds of improved varieties and balanced fertilizers were the part of technological package supplied to the demonstration plot as against control. All the demonstrations were conducted by following participatory approach. Results revealed that improved varieties and balanced fertilization increased yield as compared to the farmer’s practice. In demonstration plots C: B ratio was also higher as compared to control ones. It can be concluded from the findings that use of improved technologies can reduce the technology gap to a considerable extent resulting in increased productivity of rapeseed in the district. It needs the efforts of both extension and farmers to enhance adoption level of location and crop specific technologies among farmers for bridging these gaps. Therefore, the farmers’ need to provide proper technical support and guidance through various improved agronomic practices for better production and productivity in the district.

IJCM_190A: A cross sectional study to find out risk factors for non-communicable diseases among residents of Raipur City, Chhattisgarh.

Background: In India, due to high rates of urbanization and economic improvement, there is a shift in disease spectrum from communicable to non-communicable diseases. In a study made by khan etal 2015 at Bilapsur, Chhattisgarh prevalence of stroke was 67.6% due to infarct and 32.4 % had hemorrhage (ICH). The percentages of young stroke (< 45 yrs) were 12.5% (n=35). About 7.1% (n=20) and 5.3% (n=15) in males and females respectively. Thus, early detection will reduce the burden and cost of diseases in the family, community and on the nation. Objectives: A cross sectional study to find out risk factors for non- communicable diseases among residents of Raipur City, Chhattisgarh. Methodology: This is a cross-sectional study conducted in Raipur City of Chhattisgarh state during the month October 23-January 2024. A pre-designed, self-administered, semi-structured questionnaire was used for data collection. Systematic Random sampling technique was adopted to select the 350 Study participants. Results: The majority of subjects were between the ages of 30 and 40. Females constituted 55.3% of the subjects, while males accounted for 44.7%. Additionally, 45.6% of participants had completed primary schooling. Preobesity was observed in 58.8% of males and 51.7% of females.84.7% of study subjects were not engaging in physical activity, 89.1% were consuming an unhealthy diet, 97.6% were using tobacco, and 94.5% were consuming alcohol, all of which contributed to a raised BMI. There is a significant association between tobacco and alcohol use with BMI, where p-values are 0.001 and 0.005, respectively, which is <0.005 and df is 01 for both. Conclusion: As per this study, Pre-obese were found in 58.8% of males and 51.7% of females Awareness regarding healthy behavioral pattern and healthy diet should be inculcated in population through various awareness activity like mass media camping and increase taxes on unhealthy food items.

DIGITIZATION OF LEGAL AID SERVICES AND CRIMINAL JUSTICE TO THE DETAINEES IN INDIA

This paper presents a micro-study of the scheme of legal aid services and the impact of its digitization on the administration of criminal justice in India based on the case study of the District Legal Services Authority (DLSA) of Surguja at Ambikapur in Chhattisgarh State (India). This DLSA has been found to suffer from proper empanelment, allotment and monitoring of criminal defense counsels to the detainees. The empanelled defense counsels have been reluctant to pursue the case of detainees at the bail and trial stages. Resultantly, fair criminal trial according to the due process of law has been compromised, the fundamental guarantee to free defense counsel has been threatened and public trust in the criminal justice system has been deteriorated. Heeding the reports and judicial directions, the Union Ministry of Law and Justice has introduced the digitization of legal aid services of all authorities and committees established under the NALSA Act, 1987. The website portals and mobile applications have been brought upon to facilitate the beneficiaries to apply for free legal aid and know about actions taken therein. Nonetheless, these endeavours have been found inadequate in the mission of administration of criminal justice particularly for the detainees.

Feasibility of FSPV-Grid Tied System in Urban Regions of Chhattisgarh State in India

Feasibility of FSPV-Grid Tied System in Urban Regions of Chhattisgarh State in India

Regional Setting of Temples in Dakshina Kosala, India: Spatial Distribution and Connections

Introduction: The region of Dakshina Kosala (also known as South Kosala) is mentioned in various ancient Indian texts. The exact geographical boundary has continuously changed over time, and today, only a rough estimate can be made of the Dakshina Kosala region, which approximately covers the northern and central parts of the present-day state of Chhattisgarh, along with the western part of the state of Odisha, India. Excavations and writings show that this was a prosperous region near central India, without any seaport, but with large markets, trade centers, and educational institutions. To access this region, many trade routes were established from various parts of India. This led to the development of cities with markets along these trade routes. Many temples were also seen in this region, serving as examples of the intangible heritage of the place. Purpose of the study: This region made a significant contribution to the temple art and architecture of India. The present study aims to determine if there is a spatial and architectural link between the temples in this region. Methods: The methodology involved an initial phase of reading and analyzing pertinent literature to prepare detailed maps delineating the boundaries of Dakshina Kosala. Subsequently, employing rigorous analysis with Google Earth and GIS tools, ancient trade routes were traced, temples were located on the maps, and a comprehensive analysis was conducted to derive conclusive results. Results: This paper establishes a relationship between the geographical locations and construction materials of the temples within and outside the geographical boundary of Dakshina Kosala.

A Study of A1 and A2 Subtypes Among Whole-Blood Donors With Blood Groups A and AB at the Blood Center of a Tertiary Care Institute in Chhattisgarh.

The ABO blood group shows various subtypes due to the heterogeneity of A and B alleles. The frequency of these subtypes varies in different populations. Studies related to the frequency of subtypes of blood groups A and AB are lacking in this region. So, we planned this study to estimate the prevalence of A1and A2 subtypes among the healthy blood donor population. This was a prospective study performed in the blood center of a teaching hospital in the Chhattisgarh state. Healthy whole-blood donors were included in the study after written informed consent. The conventional test tube method was used for performing forward and reverse blood grouping. Testing with anti-A1 and anti-H lectin was performed in blood groups A and AB. Additional tests such as saliva testing for secretor status and adsorption-elution were performed if needed. Four thousand one hundred twelve donor samples were studied, out of which 1170 showed A antigen. Among 1170 samples, 74.6% were blood group A, and 25.4% were AB. Among blood group A, 92.3% were A1and 3.3% A2,and the rest were other subtypes, while in AB, it was 85.2% A1B and 14.8% A2B. Two cases of anti-A1 antibodies were also noted, which were clinically insignificant. We observed a significantly higher proportion of A2B than A2 in our study population. We also found a large proportion of Aint in the study participants. Testing with anti-A1 andanti-H lectin is recommended in blood groups A and AB to determine various subtypes and prevent any incompatibility.

Evaluation of Marketing Pattern of Major Pulses in Bemetara District of Chhattisgarh, India

The current study intends to investigate the major pulses' marketing patterns in Chhattisgarh's Bemetara area. The Bemetara and Saja blocks in the Bemetara district of the state of Chhattisgarh were the study's locations. For the study, farmers who grew pulses in the villages of Garra (30), Khati (30), Lalpur (30), and Nawrangpur (30) were questioned, as well as two villages from each block. The main conclusions of this study showed that big pulses' marketing strategies. For marginal, small, medium, large, and overall, respectively, the marketable surplus in chickpea was 6.70, 8.72, 10.11, 11.61, and 8.61 q ha-1 and 1.12, 2.17, 4.77, 12.41, and 3.60 q farm-1 of their total production (Table no. 1). In pigeon pea, it was 5.62, 8.08, 8.52, 9.97 and 7.49 q ha-1 and 0.61, 2.45, 2.89, 6.53, and 2.36 q farm-1 for their total production (Table no. 2) for marginal, small, medium, large and overall, respectively. The following three widely used marketing channels for the marketing of major pulses were identified. Channel-I: Farmer \(\Diamond\) Consumer, Channel-II: Farmer \(\Diamond\) Retailer \(\Diamond\) Consumer and Channel-III: Farmer \(\Diamond\) Wholesaler\(\Diamond\) Retailer \(\Diamond\) Consumer. Channel wise total marketing cost of major pulses at sample farms, evaluated and demonstrated in the Table 3 For the channel-I total marketing cost was Rs.16.63, for channel-II total marketing cost was in Rs. 34.93 and for channel-III total cost estimated as Rs. 57.96 per quintal. [1] Price spread was maximum in channel-III as Rs 268.68 followed by channel-II as Rs 136.93 and channel-I as Rs 16.63. This is due to fact that as the market chain increases price spread also increases. The price paid by consumer was maximum in channel-III as Rs 5250, followed by channel-II as Rs 5120.08 and channel-I as Rs 5000. Channel-I had the largest producer share in terms of consumer rupees (100%), followed by Channel-II (97.65%) and Channel-I (95.23%). Table No. 5 displays the marketing efficiency findings. According to the table, Channel I (300.66) had a higher efficiency than Channel II (37.39) and Channel III (19.53), in that order. According to the study, channel I was the most successful platform for marketing pulses since it was one of the more efficient marketing channels.

How useful do communities find the health and wellness centres? A qualitative assessment of India’s new policy for primary health care

BackgroundThe policy attention to primary health care has seen a global upswing in recent years, including in India. Earlier assessments had shown that a very small proportion of Indian population used the government primary health facilities. Starting in 2018, Indian government has established more than 100,000 Health and Wellness Centres (HWCs) to increase rural population’s access to primary health care. It is crucial to know how useful people find the services of HWCs.MethodsA qualitative inquiry was made to understand the perceptions, experiences and expectations of the rural communities regarding HWCs in Chhattisgarh state. Fourteen focus group discussions were conducted with community members. The study areas were chosen to include both the central and remote districts of the state. The study used accessibility, availability, acceptability and quality (AAAQ) framework to assess HWCs.ResultsCommunity members felt that the most important change brought about by HWCs was to offer a wider range of curative services than previously available. Services for noncommunicable diseases such as hypertension and diabetes were seen as a key value addition of HWCs. People felt improvements in services for acute ailments also. The services people found missing in HWCs were for injuries, dental care and mental health. In people’s experience, the availability of essential medicines and point-of-care tests at HWCs was satisfactory and the treatment was effective. People appreciated the supportive behaviour of health workers in HWCs. They did not find the referrals from HWCs as excessive but often faced difficulties in receiving necessary services at higher facilities.ConclusionsThe assessment based on community perceptions showed that the services of HWCs matched well with people’s needs of curative primary care. It shows that people are willing to use the government facilities for primary health care if the services are relevant, adequately functional and accessible.