JF/03. TO IDENTIFY THE “PSYCHOSOCIALLY AT RISK” ADOLESCENTS AND STUDY
THE IMPACT OF COUNSELING ON THEM - A STUDY OF 1000 ADOLESCENTS.
Ashish K Gupta, Avyact Agrawal, Pawan Ganghoriya
C/o Usha Gupta, 1420, Kamini Kunj, Napier Town, Jabalpur
Purpose - To find out "psychosocially at risk “adolescents and study the impact counseling on them.
Material and Methods – A random sample of five hundred adolescent girls and five hundred boys were
taken from the Government as well as private Schools and Colleges of Jabalpur. The adolescents were
subjected to a battery of psychological tests namely Stress scale, Frustration scale, Optimistic-Pessimistic
scale, Neuroticism questionnaire scale (NSQ). Girls and boys were counseled by the pediatrician with
twenty five years of experience in the field of adolescent counseling.. Pre-counseling and post counseling
data was statistically analysed in respect to per capita income (PCI), type of family, maternal and paternal
literacy, number of sibling and parent occupation.Results and Conclusion -Both the adolescent girls and
boys belonging to lower per capita income, joint family, lower parental literacy, sons and daughters of
unskilled workers and in the family of five or more siblings showed higher scores. Post counseling data
showed statistically highly significant improvement in scores on almost all scales especially more so in the
girls. It endorsed the popular belief that counseling is an effective tool to help adolescents in bringing out
their problems and dealing with them in effective ways .The commitment of IAP upto 18years of age has
motivated and enhanced the research in the field of the prevalent adolescent problems including the
psychosocial problems, especially identifying psychosocially at risk ones. Both the quantitative and
qualitative work needs to be done and intensified.
JF/05. MAKE EVERY MOTHER AND BABY COUNT: A REALITY
Maninder S Dhaliwal,Raghuveera K
S 116, KMC Mens Hostel, Falnir Road, (Near Platinum Theatre), Mangaloe - 575001
Perinatal outcome in India has not improved as desired in spite of availability of countrywide health
infrastructure. Focus is now on improving the quality of health services and availability of effective
interventional facilities. Aims: To study the impact of upgradation of neonatal services in a Government
District Headquarters Maternity Hospital to a level II special care unit on the perinatal outcome with
special emphasis on the awareness of peripheral health care workers, their needs and their referral pattern
of high risk cases. Methods: A prospective observational study was carried out in relation to health
education of peripheral health care workers in the district and its impact on the referral pattern was
analyzed. Hospital data between two time frames 1997-1998 and 2004-2005 before and after inception of
the unit was compared and statically analyzed. Results: The study revealed significant reduction of
maternal, perinatal and neonatal moratility largely due to increase ‘in utero’ transfer from all over district
and availability of special care to sick neonates. The survey indicates high levels of confidence, enthusiasm
and improved work culture among field workers. Conclusion: An optimally functioning level II neonatal
special care unit is essential in Government District Hospitals to motivate health personnel in the field to
refer high risk cases ‘in utero’ and to improve perinatal outcome.
JF/06. SEROCONVERSION OF MMR VACCINE IN CHILDREN
R. Karvendhan
Room # 313, JRD Hostel, GTB Hospital, Delhi – 110095
Objectives: To evaluate the seroresponse to MMR vaccine in children between 1-5 years of age and to
assess the effect of measles vaccination at 9 months of age on seroresponse to MMR vaccination
afterwards.Study design: Longitudinal follow up study. Subjects: A total of 336 children were enrolled,153
children without measles vaccination at 9 months aged 1-5 years[GroupA] and 183 children with measles
vaccination at 9 months[GroupB]. Methods: Prevaccination and postvaccination samples collected between
4-6 weeks after immunization were studied by ELISA for IgG antibodies against measles, mumps and
rubella. Results: Seropositivity after MMR vaccination rose from 30.4% to 98% for measles, from21.9%
to92.3% for mumps and from 14.2% to91.4% for rubella in group A and from 84.7% to 100%,7.9%
to91.5% and11.2% to96.7% for measles, mumps and rubella respectively in group B. There was significant
rise in GMT of antibodies after immunization (p=0.001). There was no difference in immunogenicity of
MMR vaccine between the two groups. Conclusion: MMR vaccine is highly immunogenic in 1-5 year old
children with no difference in immunogenicity between those already immunized with measles vaccine at 9
months and those without it.
JF/09. BREAST FEEDING – LIP SERVICE?
Madhusmita Som Ray
40/143, Ground Floor, Pocket, 40, Chittaranjan Park, New Delhi – 110019
Introduction : - Breast feeding is universally agreed to be the optimal nutrition for an infant up to six
months and is endorsed by all responsible organisations world wide. But how many Indian mothers
exclusively breast feed, what factors affect thus decision and what can be done to increase the breast
feeding rate ? This study was conducted to find out the answers to these. Aim :-1)To find out the breast
feeding rate in urban mother. To find out what factors affect breast feeding. To find out how breast feeding
can be increased. Study design : - Cross sectional cum prospective. Study setting : - Paediatric practice of
the author. Material and method : - Children less than 6 months were included in the study. New cases
more than 7 days old, were registered as group A. Age, sex birth order, material age, education,
employment, type of feeding given as well as reason for staring formula, type of formula, and age of
starting was noted. Mothers' knowledge, source of information regarding breast feeding and family attitude
was noted. All mothers were given breast feeding advice and followed up. All children delivered under the
authors or coming within the first seven days were registered as group B. They were put on exclusive breast
feeds and the mother and entire family counselled intensively. At each subsequent visit the message was
reinforced. Result : - Only 41.09% children in group A were exclusively breast fed. There was a significant
association with maternal age, parity, education, place of delivery but not with maternal employment or
nursery stay. Very few women in group A claimed to have received proper counselling and information. In
contrast, 86% in group B were exclusively breast feeding at 3 months and 72% at 6 months. There was a
significant association with maternal age and parity but not with education or employment. Conclusion : Breast feeding rates are poor in urban mothers and affected by maternal age, parity, education, family
dynamics and compounded by physician's apathy and ignorance. Intensive counselling of the mother and
family as well as repeated reinforcement of the message is required to increase breast feeding.