Ballabgarh HDSS, India

Transcription

1 Ballabgarh HDSS, India Fig 1: Geographical map of Ballabgarh HDSS Ballabgarh is located in Faridabad district of State of Haryana in India and situated between 28 o 25' 16" North latitude and 77 o 18' 28" East longitude. It is bound by Union Territory of Delhi (National Capital) to the north, Gurgaon district of Haryana State on the west and State of Uttar Pradesh on eastern & southern sides. It is about 35 km from Delhi by road on Delhi-Mathura National Highway-2 and is also well connected through Delhi-Mathura double track broad-gauge line of the Northern Railway and North-Central Railways. As per the 2001 national census the total population of Ballabgarh town is nearly 150,000. The total population covered directly by Ballabgarh HDSS is as on 31 st December, It comprises exclusively of rural population from 28 villages with overall population density of 1620 persons / per square kilo meter. The predominant castes (social hierarchical groupings

2 characteristic of India) of the region are Jats, Rajputs, Pandits and Scheduled castes. Ballabgarh DSS experiences four distinct seasons: winter, autumn, summer and rainy season, each on an average lasting for 4 months. The main economic activity of majority of the population is agriculture or agriculture dependent trades. Main crops grown are wheat, sugarcane, millets etc. Ballabgarh HDSS site is also known as Comprehensive Rural Health Services Project (CRHSP), which was started in 1961 with the help of Rockefeller Foundation. It is run by the All India Institute of Medical Sciences (AIIMS), New Delhi in active collaboration with the State government of Haryana. The All India Institute of Medical Sciences is a premier centre of excellence in the field of medical education and health care in India. Its mandate is for setting standard in teaching, training and health care at all three level of health care. CRHSP joined INDEPTH Network in 2003 and since then has been actively collaborating with the Network. Health and Demographic Indicators Level of education % of above 6 year population are literate Religion - Mainly Hindu (90.5 %), Muslims (9.45 %.) House characteristics - Almost all are pucca houses Access to water % within or near to house. Sanitation and electricity % electrification and 38% sanitary latrines Population Density: 1620 persons / square per kilo meter Seasonality: 4 seasons (winter, autumn, summer and rainy season) Main economic activity: Agriculture

3 Fig: Age Pyramid of Ballabgarh HDSS population (2008) Female Male Demographic Characteristics Crude Birth Rate (CBR) Total Fertility Rate (TFR) Crude Death Rate (CDR) Neonatal Mortality Post-neonatal Mortality Infant Mortality Child Mortality (1-4 years) Under Five Mortality Rate of Natural Increase 22.7 per 1000 population 2.4 per woman 7.3 per 1000 population 31.6 per 1000 live births 14.8 per 1000 live births 46.4 per 1000 live births 12.9 per 1000 children aged 1-4 years 59.3 per 1000 live births 15.4 per 1000 population

4 Objectives: To demonstrate a model health care delivery system including demographic surveillance To set a standard in teaching, training of nursing students, under-graduates, interns and post graduate medical students. Identification and carrying out priority operational research to help address needs of country. Donors & Collaborations: Donor: Being a part of Govt. Organization, the donor to run the HDSS site is All Indi Institute of Medical Sciences under Ministry of Health & Family Welfare (MOHFW), Govt of India. INDEPTH Network Indian Counsel of Medical Research, Department of Science and Technology, Government of India, CDC Atlanta, WHO, UNICEF Publication: Authors Title Journal Krishnan A, Arora NK, Cost of curative pediatric services Indian J Pediatrics Pandav CS, Kapoor SK in a public sector setting Anand Krishnan, C.S. Pandav, SK. Kapoor, J. Leowski Integrated Community Based Intervention against the risk factors for NCDs Early lessons from the Demonstration Project Undertaken at Ballabgarh, India Bardia A, Anand K. Sex ratio in India. Lancet Misra P, Upadhyay RP, Krishnan A, Vikram NK, Sinha S A Community-Based Study of Metabolic Syndrome and Its Components Among Women of Rural Community in Ballabgarh, Haryana. Regional Health Forum, WHO SEAR Metab Syndr Relat Disord Aug 8. [Epub ahead of print] PubMed PMID: Misra P, Upadhyay RP, Misra A, Anand K. A review of the epidemiology of diabetes in rural India. Diabetes Res Clin Pract Jun;92(3):

5 Krishnan A, Kumar R, Nongkynrih B, Misra P, Srivastava R, Kapoor SK Adult mortality surveillance by routine health workers using a short verbal autopsy tool in rural north India. Epub 2011 Apr 1. PubMed PMID: J Epidemiol Community Health Mar 3. [Epub ahead of print] PubMed PMID: Goswami A, Reddaiah VP., Kapoor S.K. Singh B., Singh U., Dey AB.. Dwivedi SN., Kumar G., Prevalence and determinants of cognitive impairment in rural elderl population in India. K. Anand. S.K. Kapoor Involvement of Private Medical Practitioners in Tuberculosis control in Ballabgarh in Northern India. Sohal GPS., Garg N., Singh D., Mehta S., Anand K., Kapoor SK. K. Anand, R. Lakshmy, V.N. Janakarajan, Ritvik,Puneet Misra, R.M. Pandey,R. Sankar, Dr. Saraswati Bulusu. Anand K., Shah B., Yadav K., Singh R., Mathur P., Paul E., Kapoor SK. Verma S, Rai SK, Kant S, Choudhury K. Baridalyne Nongkynrih, Anita Acharya, Lakshmy Ramakrishnan, Ritvik Antiobiotic presciption practice at primary and secondary level hospitals of a medical college. Effectiveness of consumption of micronutrient fortified candies on the iron and vitamin A status of children aged 3-6 years in Rural Haryana. Are the urban poor vulnerable to non-communicable diseases? A survey of risk factors for NCDs in urban slums of Faridabad. : Morbidity profile of paediatric inpatients at a community health centre and a nearby [correction of nearby] district hospital in northern India... Profile of Biochemical Risk Factors for Non Communicable Diseases in Urban, Rural and Periurban Haryana, India Research & Development Journal, Helpage india Int J of Tuberculosis and Lung Diseases Indian Practitioner Indian Pediatrics. National Medical Journal of India Indian J Public Health JAPI

6 Staff members of Ballabgarh Health and Demographic Surveillance System