Browsing by Author "KUTTY, VR"

Now showing 1 - 4 of 4
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    PATTERN OF MORBIDITY IN PRESCHOOL-CHILDREN IN RURAL KERALA
    (JOURNAL OF TROPICAL PEDIATRICS, 1992) KUTTY, VR; VIJAYAKUMAR, K; SOMAN, CR
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    PREVALENCE OF CORONARY HEART-DISEASE IN THE RURAL-POPULATION OF THIRUVANANTHAPURAM DISTRICT, KERALA, INDIA
    (INTERNATIONAL JOURNAL OF CARDIOLOGY, 1993)
    To establish the prevalence, with 95% confidence limits, of some of the indicators of coronary heart disease in the rural population of Thiruvananthapuram district, Kerala state, India, we did a field survey on a cluster sample with probability proportionate to size (PPS sample) of 500 households from five villages. Altogether the sample consisted of 1253 individuals who were more than 25 years of age, of which 1130 responded (90%). The survey instruments included the Malayalam translation of the Rose questionnaire, a standard 12-lead electrocardiogram with a battery operated portable electrocardiograph machine, blood pressure measurements using a mercury sphygmomanometer, and routine anthropometric measurements. The prevalence rates estimated were: (a) ECG changes suggestive of coronary heart disease, 36/1000 (95% C.L., 18, 55), (b) Rose questionnaire angina, 48/1000 (95% C.L. 35, 62), (c) definitive evidence of coronary heart disease, 14/1000 (95% C.L., 7, 21), (d) possible evidence of coronary heart disease, 74/1000 (95% C.L., 55, 93). Prevalence of major risk factors were, (a) hypertension by the WHO criteria, 179/1000 (95% C.L., 137, 221), (b) smoking, 219/1000 (95% C.L., 151, 287), (c) diabetes, 40/1000 (95% C.L., 17, 63), (d) obesity, 5511000 (95% C.L., 6, 104). We have found that objective criteria indicate a lower prevalence of coronary heart disease in rural Thiruvananthapuram district when compared to studies from urban centres in India, but the prevalence of angina by Rose questionnaire is greater.
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    THE ROLE OF PLANNING IN HEALTH-CARE - WHAT IT SHOULD BE IN INDIA
    (CURRENT SCIENCE, 1991) KUTTY, VR
    This paper attempts to analyse the process of health planning in developing countries with special reference to India. Planning is essential if the meagre resources of less developed countries are to beget the maximum returns in health. Equity and efficiency are both important considerations in health planning, and the objective should be to arrive at an optimum mix of these two. Health planning experience in India has been characterised by radical pronouncement of the need for a total change in strategy to realise our objectives. But this rhetoric has not been matched with action, due to lack of political will to change the health system.