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ISSN 2395 -2113 (Print) Indian Journal of Community & Family Medicine Volume 4, Issue 2, Jul – Dec, 2018 www.aiimsbhubaneswar.edu.in/otherpublication/ijcfm Editorial Office Department of Community and Family Medicine All India Institute of Medical Sciences, Bhubaneswar, Odisha-751019 Ministry of Health & Family Welfare Under The Aegis of Government of India Submit your [email protected] for consideration of publication to: Disclaimer The information and opinions presented in the Journal reflects the views of authors and not of the Journal or its Editorial Board or the Publisher. Publication does not constitute endorsement by the journal. 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Readers are encouraged to confirm the information contained herein with the other sources. Design & Printed by: Siva Prasad Patra (Bindu Creative, 09438668784, 7008575985) Indian Journal of Community & Family Medicine | Vol. 4 | Issue 02 | Jul-Dec, 2018 Indian Journal of Community & Family Medicine Patron VolumeEditor- 4, Issue 2,In Jul-Dec, - Chief 2018 Editor Gitanjali Batmanabane Vikas Bhatia Sonu H Subba Editorial Team Editorial Advisers Neeraj Agarwal Deputy Editor International Pankaja R Raghav Deputy Editor Hayato Uchida Japan Abhiruchi Galhotra Associate Editor Jaideep Sood New Zealand Binod Kumar Patro Associate Editor Derek Hellenberg South Africa Surya Bali Associate Editor Raj Bhopal UK Amit Arora UK Preetam B Mahajan Assistant Editor Satish K Gupta UNICEF Pankaj Bhardwaj Assistant Editor Richard Cash USA Swayam Pragyan Parida Assistant Editor Erich B Schneider USA Klea D. Bertakis USA Editorial Board Members Neena Raina WHO National Surekha Kishore Uttarakhand Manisha Ruikar Chattisgarh A K Mahapatra New Delhi Arti Ahuja Odisha Sanjay K Rai Delhi Rajesh Kumar Chandigarh Arun M Kokane Madhya pradesh Rakesh Sehgal Chandigarh Amit Dias Goa B S Chavan Chandigarh Sitanshu S Kar Puducherry C S Pandav Delhi S K Rasania Delhi P R Mohapatra Odisha Sunil Gomber Delhi Swagata Tripathy Odisha Adarsh Kumar Delhi Subhashree Mahapatra France Praveen Vashist Delhi J L Meena Gujarat Parvathy Nair USA D V Bala Gujarat Shilpa Bhardwaj USA Sunil Kumar Gujarat Geeta Gathwala Haryana Managing Editors S R Mazta Himachal Pradesh S M Kadri Jammu & Kashmir Prahalad Kumar Karnataka Prajna Paramita Giri G Gururaj Karnataka Arvind Kumar Singh S Chhabbra Maharashtra Additional Managing Editors B S Garg Maharashtra Th. Achouba Singh Manipur Anil Phukan Meghalaya Binod Kumar Behera Gautam Roy Puducherry Manish Taywade Tejinder Singh Punjab Editorial Production Assistants A Muruganathan Tamil Nadu Sanjay Mehendale Tamil Nadu Kalpagam Polasa Telangana Prem Sagar Panda V K Srivastava Uttar Pradesh Durgesh Prasad Sahoo C M Pandey Uttar Pradesh I S Gambhir Uttar Pradesh C P Mishra Uttar Pradesh G K Pandey West Bengal Indian Journal of Community & Family Medicine | Vol. 4 | Issue 02 | Jul-Dec, 2018 I IJCFMIndex Medicus is fornow South East Indexed Asia Region (WHO) in J-Gate International Scientific Indexing Scientific Indexing Services CNKI Indian Science Abstracts Indian Citation Index Indian Journal of Community & Family Medicine | Vol. 4 | Issue 02 | Jul-Dec, 2018 II Editorial Developing the underdeveloped: Aspirational Districts Program from Public Health Point of View 2 CONTENT Review Article VikasAdapting Bhatia, the Rama Stepped Shankar Care Rath, Approach Arvind for Kumar Providing Singh Comprehensive Mental Health Services in Rural India:Tapping the Untapped Potential 5 Priyamadhaba Behera, Senthil Amudhan R, Rishab Gupta, Anindo Majumdar, Arun M, Kokane, CME MohanAcute Osteomyelitis Bairwa 11 Commentary RMicroplastics- B Kalia All We Know till Now and the Way Out 19 Original Article UtsavLevels Raj, and Puneet Determinants Kumar, Abhiruchi of Glycosylated Galhotra Hemoglobin (HbA1c) Status among Reproductive Age Women of Tripura, North East India 22 SubrataNeck Circumference Baidya, Rituparna as a DasMarker of Malnutrition among Children Attending the Under Five Clinic of a Tertiary Care Hospital in Nagpur, Maharashtra 27 ChaitanyaVaccine Hesitancy R Patil, Ketan and RAttitude Dagdiya, Towards Prithvi B Vaccination Petkar, Abhijit among Kherde Parents of Children Between 1-5 Years of Age Attending a Tertiary Care Hospital in Chennai, India 31 SahanaEpidemiology Sankara of Narayanan, Ovarian Tumours Aparna Jayaraman, in Northern Vijayaprasad India –A Tertiary Gopichandran Hospital based Study 37 SoniaShared Puri, Risk Veenal Factors Chadha, of Non-Communicable A K Pandey Diseases: A Community based Study among Adults in an Urban Resettlement Colony of Delhi 42 AnshuDepression Singh, and Anita its Shankar Correlates Acharya, among Balraj Geriatric Dhiman People: A Community Based Study from Southern Haryana, India 49 Perspective SurajConcept Chawla, of Primary Neeraj Gour,PawanEye Care & SchoolKumar Goel,Health Ravi in RohillaIndia Anjan Kumar Giri, Sunita Behera, Abhiruchi Galhotra 55 Role of Artificial Intelligence (AI) in Public Health 60 Short PremStudy Sagar of Morbidity Panda, Vikas Pattern Bhatia in Readymade Denim Factory Workers in Suburban Slum of Communication Maharashtra: A Cross-sectional Overview 63 Diagnostics In SunilSickle Kumar Cell Anemia: Panigrahi, An Parmeshwar Update on Diagnosis, Satpathy, Vineeta Management Singh, Sulabha and Prevention V. Akarte Strategies Clinical Setting 67 Case Report ShrutiFoot Gangrene Mishra, Gaurav Following Chhabra Dorsalis Pedis Artery Cannulation. Risk Versus Benefit Of Arterial Cannulation In Polytrauma Patient 72 Public Health RiteshPublic Panda,Health Chitta Updates Ranjan (July Mohanty -November 2018) Update 74 Dinesh P Sahu, Susmita Dora, Madhushree Acharya, Kavi Nila D R Pradnya Chandanshive, Student Corner AkshayaLepromatous R Leprosy with Erythematous Nodosum Leprosum: A Public Health Challenge 77 Dinesh Prasad Sahu, Prajna Paramita Giri, Debjyoti Mohapatra Binod Kumar Behera, Sonu H Subba Indian Journal of Community & Family Medicine | Vol. 4 | Issue 02 | Jul-Dec, 2018 1 EDITORIAL Developing the underdeveloped: Aspirational Districts 1 2 3 1ProgramEditor in Chief, IJCFM, from Dean, Professor Public and HOD, Health2Assistant Professor, Point Department of of ViewCommunity and Family Medicine, 3Public Health Specialist, Aspirational Districts Support Program,Vikas AIIMS, Bhatia Bhubaneswar, Rama Shankar Rath , Arvind Kumar Singh Under National Health Mission (NHM) each district has Financial inclusion and Skill Development by 49 core become the planning programming and financial unit on indicators and 81 data points on a monthly basis. [Figure-1] which the health program of the district depends. So, it All these domains are linked to the Human Development depends up on the district leadership and functionaries Index of the districts. Health receives the highest priority how well the plan to improve the status of the district. Since along with education followed by Agriculture and water inception of NHM in 2005 although the districts worked1 as resources. In health the major components include the special entity but the focus was at the state level. Thus, the maternal and child health component with health the states with maximum poor performing districts were infrastructure and tuberculosis. A dash board named named as “Empowered Action Group” (EAG) although few “Champions of Change” is also prepared to monitor the districts in these states are more well performing than district progress round the clock is functional and districts3 the well performing districts of well performing states. also can monitor their progress in various domains. In 2018, Govt. of India planned to dig dipper in to the of Convergence causes and to do focused activity in these poor performing CollaborationAspirational District program under the basic principles districts so as to include them in to the main2 stream thus (StateCompetitive and National Government), Aspirational Districts Program was lunched. (between citizens and officials)Here the stateand Creation of healthy environment2 between Each Aspirational district are being monitored in six the districts where all can move forward. basic domains including Health and Nutrition, Education, will act as the main drive for improving the district after AgricultureFigure-1: Key& Waterdomains Resources, of Aspirational Basic Infrastructure, Districts identifying the core strengths and weaknesses of the Program along with weightage provided to each district so that the district can become nations one of the domain best districts. So, the poor performing districts which are aspiring to become the best districts of the nation are called