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indian council of medical research - Pondicherry University DSpace ...

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VHN and PHC records<br />

I. The records maintained by the VHN showed that out <strong>of</strong> a total <strong>of</strong> 578 patients<br />

treated during a one year period in the village. 87 (15.0%) were <strong>of</strong> school age. Forty<br />

four (51.1%) had respiratory illnesses and 30 (34.0%) diatrheal illnesses. Most <strong>of</strong><br />

the illnesses were seen in the pre-monsoon penod (July- September). There was no<br />

sign~ficant d~fference in the prevalence <strong>of</strong> these disorders between girls and boys (p<br />

> 0.05).<br />

2. The PHC records showed that out <strong>of</strong> an average daily attendance <strong>of</strong> 146 patients,<br />

31 were in the school age group forming 21.2% <strong>of</strong> the total attendance.<br />

Tertiary care hospital (JIPMER)<br />

Out <strong>of</strong> a total <strong>of</strong> 1,443 children between 5-20 years <strong>of</strong> age who attended the tertiary<br />

care hospltal over a period <strong>of</strong> one year, 693 (48.0%) were girls and 750 (52.0%) were<br />

boys. Infectious diseases (32.2%), skin disorders (15.5%), worm infestation (12.3%)<br />

and ear disorders (11.0%) were the Important causes <strong>of</strong> hosp~tal (outpatient)<br />

attendance<br />

Among the infections, respiratory infection was the commonest.<br />

wnstltutlng 87 5% <strong>of</strong> all infect~ons<br />

It was thus observed that the health problems in school age children as studled in the<br />

cross sectional morbidity survey, records <strong>of</strong> the VHN and PHC and tertiary care hosp~tal<br />

were different from what the community perceived as health problems. The cohort<br />

study more or less reflected their point <strong>of</strong> view.<br />

[cl Health seeklne behavior<br />

(I) Ethnographic methods<br />

For most <strong>of</strong> the aliments, allopathlc treatment was resorted to. However, the medicines<br />

were <strong>of</strong>ten obtained from unqualified sources. Indigenous treatment was glven for

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