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Data from tertiary care hospital 3 Hospital attendance Out of 1,443 children between 515 years of age who attended the outpatlent department of JIPMER hospital, 693 (48.0%) were girls and 750 (52.0%) were boys showing that there was no appreciable gender difference In the hospital attendance rate in this area. 3 Attention in acute illness and type of health care Out of 41 girls and 39 boys from whom data were obtained regarding the treatment given from the time of onset of illness till they reached the tertiary care hospital, no s~gnificant difference was observed between the two genders either in the time interval between the onset of illness and the first health care given or the type of first health care given to them. The mean delay in seeking medical help in girls was 2.4 e1.5) days and in boys, 2 6 @2 I) days (p >0.05) 2 Attention in chronic illness (cerebral palsy) A total of 78 case records of ch~ldren w~th cerebral palsy were analyzed regarding follow up care given to them Out of 34 girls. 9 (28.5%) did not come for any follow up at all, while the corresponding figure for boys was 16 out of 41 (36.4% p > 0.05). It was also observed that 15 out of 34 girls (44.1%) and 9 out of 44 boy's (20.5%) had completed their full course of follow up (p < 0 05)
Data from Government Chest Clinic, Pondicherry 3ut of 145 girls and 155 boys studled, no s~gnlflcant d~fference was observed between them w~th respect to the followup and complet~on of treatment for tuberculosis ( p > 0 05) jd) Education and the aid child (I) Ethnographic methods Most (1541160, 96 3%)of the respondents to the St~Ct~red questlonnalre felt that education and jobs were necessary for girls Only a few (3 8%) felt that jobs were not necessary for them About 71 9% of the respondents sa~d that they would perrn~thew daughter to go outs~de the vlllage for study~ng or worklng However, many people (35 0%) were not wllllng to spend too much money on the~r daughter's educat~on because they would anyhow have to spend on her marnage, while 80 0% were wllllng to do so for a boy They felt that educat~on was more important for a boy because he had to get a job and earn money A majonty (99 4%) felt that a glrl should contlnue mth her schooling afler rnenarche (ii) Other epidemiological methods Census 1. More boys (93 4%) than girls (85 5%) were enrolled In school (p < 0 05) 2. The proportion of girls studylng in the pnmary (75 1%) and m~ddle school levels (71 3%) were s~gn~f~cantly less than the corresponding ftgures for boys which were 86 5 % and 91 7% respect~vely (p < 0 05) There was no d~fference In the pmport~on of yrls (54 4%) and boys (52 4%) studylng In the h~gh school level (,I > 0 05)
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A Case Study of the Health, Educati
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ACKNOWLEDGMENT "No man is an island
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CONTENTS CHAPTER PAQE No. I. INTROD
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INTRODUCTION The children of today
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phase, there is maximum educational
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Apart from the health and education
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Jims Jnd Objectives
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(c) To study the diet pattern of ch
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OVERVIEW OF STUDY DESIGN This chapt
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3.2 Definltlon of age group for the
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(11) Pedlatrlcs Inpatlent ward => O
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- Study Qrea Qnd Demography
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4.22 Itrfreslructun, The village is
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and India, is given in Table 4.1. O
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TABLE 4.1 AGE AND GENDER SPECIFlC D
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TABLE 4.4 DISTRIBUTION OF HOUSEHOLD
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Distributlon of adult village popul
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HEALTH STATUS OF SCHOOL AGE CHILDRE
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of chronic illnesses in children le
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Bhasin et a1..1990; Gupta et a1..19
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eported by ttie School Heallh Cell,
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lb) Anemia (i) Global scenario Nutr
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serum vitamin A; iii) ophthalmologi
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and elimination of iodine deficienc
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in 15.7% of the children screened (
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3 Strives to prov~de a healthy envi
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nght attitudes and practices. In or
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her schooling (XI1 standard) and wa
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(iii) Nonparticipant observation No
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The height and weight of the chlldr
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5 3.2 Organization of date and anal
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eflection of the lower enrollment r
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ecommended and the actual intake of
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(11) Causes Change of water cold fo
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The mean duration of fever was 3.6(
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annual ~nc~dence being 6211,000 chi
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were all unanimous In saying that t
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chlldren from socioeconomically bac
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Le generally lower than the values
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health problem in school age childr
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p91d tltero is widespread use of io
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worms spontaneously formed In the s
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MORBIDITY PATTERN m S= S Year oi pu
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1ABLE 5.3 PREVALENCE OF VITAMIN A D
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I'HKVAl.H.NC'lr. O W ItIIIIIIMA I I
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METHODS OF SNDY USED FOR DIFFERENT
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TABLE 5.8 B ISSUES ADDRESSED BY DWF
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TABLE 5.8 B (continued) ISSUES ADDR
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TABLE 5.10 A COMPARISON OF MEAN INT
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TABLE 5.10 C COMPARISON OF MEAN INT
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COMPARISON OF MEAN INTAKE OF THIAMI
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COMPARlSON OF MEAN INTAKE OF PROTEI
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TABLE 5.11D COMPARISON OF MEAN INTA
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TABLE 5.13 PHKVALLNC'R OF UIFQEUEN'
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TABLE 5.15 COMPARISON OF PREVALENCE
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TABLE 5.19 PREVALENCE OF NUTRITIONA
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TABLE 5.22 PREVALENCE OF %FECTIOUS
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TABLE 5.23 (continued) COMPARISON O
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TABLE 5.25 ANNUAL INCIDENCE OF DlFF
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TABLE 5.28 ( OMPARISON OF SPEC'IRII
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TABLE 5.29 COMPARISON OF REPORTED S
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TABLE 5.33 BY THE PARAMEDICAI. WORK
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FIGURE 5.2 Comparison of age and ge
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FIGURE 5.5 Monthly variation in the
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FIGURE 5.6 Comparlson of age specif
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FIGURE 5.10 Age specific body mass
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FIGURE 5.14 Prevalence of important
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EDUCATION STATUS OF SCHOOL AGE CHIL
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6.2.2 Indian Scenario (8) Literact
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32.5% for girls and 15.9% for boys
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summary tables givlng details of th
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namely school records and census It
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school butldlng should be better Th
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(iii) Proportion of children in the
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8, "During groundnut picking season
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6.4.3 Dropout @) Maanitude and ~att
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C, Case Studies Case N0.l Dhanalaks
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,haracter of ch~ldren and help them
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Researchers have not been able to c
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allage, local fesbvals and funct~on
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TABLE 6.3 PERCENTAGE OF GIRLS REACH
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TABLE 6.4 (continued) ('OMPAHISON O
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I TABLE 6.5 A (continued) ' USED FO
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1 TABLE 6.5 B (continued) ISSUES AD
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TABLE 6.8 ('OMPARISON OP CAUSKS OF
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TABLE 6.10 COMPARISON OF CAUSES OF
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TABLE 6.12 COMPARISON OF CAllSES OF
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FIGURE 6.1 Literacy rates in female
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FIGURE 6.3 Comparison of age and ge
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FIGURE 6.5 Comparison of proportion
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FIGURE 6.7 Dropout pattern in glrls
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SOCIAL STATUS OF SCHOOL AGE CHILDRE
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tremendous Increase in the enrollme
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children had lower contact rates th
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female ch~ldren showed that between
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was felt that more information coul
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detalls of the~r actlv~ties In the
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sectlon For each Issue, the observa
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"eglected the smaller of the twlns
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many (53 1%) preferred to take them
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(11) Data from tertiary care hospit
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so However, some (22 5O/0) were w~l
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(i~) Cohort 3 In the cohort, 54 out
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(i) Work The daily actlvlty pattern
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not interfere with a girl's educati
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The following are some of the state
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was collected from 99 familles The
Page 242 and 243: on the Issue of school age g~rls (U
Page 244 and 245: een found that in some parts of the
Page 246 and 247: 48 0% In glrls and 52 0% In boys Th
Page 248 and 249: as an excuse to stop thelr girls fr
Page 250 and 251: stud~es compared to boys, although
Page 252 and 253: TABLE 7.1 A METHOD OF STUDY USED FO
Page 254 and 255: I TABLE 7.1 A (continued) METHOD OF
Page 256 and 257: TABLE 7.1 B(conthued) \IPllIOIfi I
Page 258 and 259: TABLE 7.1 B(coatlnued) ISSUES ADDRE
Page 260 and 261: TABLE 7.2 A RELATIVE DISTRlBUTION O
Page 262 and 263: TABLE 7.3 COMPARISON OF TIME INTERV
Page 264 and 265: TABLE 7.6 COMPARISON OF DAILY ACTIV
Page 266 and 267: TABLE 7.8 COMPARISON OF COST ALLOCA
Page 268 and 269: TABLE 7.10 ( O~~PARISON OF ANNUAL c
Page 270 and 271: TABLE 7.12 A COMPARISON OF ANNUAL R
Page 272 and 273: FIGURE 7.1 Distribution of daily ac
Page 274 and 275: FIGURE 7.3 Distribution of work pat
Page 279 and 280: Summary And Concliusions
Page 281 and 282: data for certaln Issues were obtaln
Page 283 and 284: (ii) Other epidemiological methods
Page 285 and 286: VHN and PHC records I. The records
Page 287 and 288: expected the school to do everyth~n
Page 289 and 290: stopplng from school They felt that
Page 291: jc) Health care and the air1 child
Page 295 and 296: hlgher than In boys, the difference
Page 297 and 298: (lv) Cost of household consumption
Page 300 and 301: RECOMMENDATIONS Based on the flndln
Page 302 and 303: 9.4 Recommondatins for future resea
Page 304 and 305: BIBLIOGRAPHY Ayit~wnl, V K . Agntwo
Page 306 and 307: Bamji. M.S.. Sarma. R.K.V.. Radhaia
Page 308 and 309: Bundy, D.A.P., Guyatt, H.L. (1996).
Page 310 and 311: Ghildiyal. R., Desai. B.N.. Joshi.
Page 312 and 313: Kapoor, G., Aneja, S. (1992). Nutri
Page 314 and 315: Nagoba. B.S.. Basutkar, S.H.. Bhat.
Page 316 and 317: Ramakrlshnan, R.. Rao. T.V . Prasad
Page 318 and 319: Sharma, R.G., Mishra. Y.C., Vennal,
Page 320 and 321: Umeh. R.E.. Chijloke, C.P.. Okonkwo
Page 323: * Not to be Rlled In the fleld " Co
Page 327 and 328: School children-Girl Chlld S.A Form
Page 329 and 330: School children Girl child S.A ID.
Page 331 and 332: Form to be filled up during follow
Page 333 and 334: h. I'arliril,nlio~~ ill 1111usrhol
Page 335: .%A / WirJa 11. as! tad uq.& ~a .WA
Page 343:
6. jlb na,/J s- Sr .?ud;~O3unmn~t 0
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