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Indian Journal of Community Medicine

Letter to the Editor

Author(s): N. Udaya Kiran, et al

Vol. 25, No. 2 (2000-04 - 2000-06)

Experiences of MICS in Dakshin Kannada (Karnataka)

Multi-Indicator cluster surveys (MICS) data provided useful information at the district level for Dakshin Kannada. During the year 1995-96 a total population of 8551 was covered by standard cluster sampling technique within a covered by standard cluster sampling technique within a period of one week by trained staff with adequate supportive supervision. Of 305 children between 12-23 months, 88.5% were fully immunized and over 74% of children received vitamin-A prophylaxis along with measles immunization. Of 171 antenatals, 94.2% received two or more than two antenatal check-ups and almost same proportion of women received two doses of tetanus toxoid and iron and folic acid tablets. Over 77% of antenatals consumed iron and folic acid tablets. One of the disturbing observation was that nearly 40% of pregnancies were teen age pregnancies; over 59% of deliveries were institutional and the rest were home deliveries, two fifth of home deliveries were conducted by untrained personnels. Nearly 25% of new born were given breast feeding within an hour of delivery and very high proportion (68%) of children were exclusively breast fed upto four months of life. Complementary foods were started at right age by 42%. Of 1048 underfives, 71(6.8%) reported episode of diarrhoea within last 24 hours and only 58.6% of mothers were aware of ORS and availability of ORS was ensured only in half of the clusters surveyed. Another disturbing observation of concern was that only 38% of households had access to safe water supply and 34% of households had sanitary latrine. Lodized salt was available only in 55% of the clusters and 35% of the households stated use of iodized salts while none of the salt sample tested positive for iodine content at household level. School enrollment ratio for male and female children was quite high at the level of 95% and drop out rates were negligible at 0.7%.

The whole exercise of MICS was a rich experience. It demonstrated rapid methods of collection of indicators of maternal and child health and proved to be learning experience for faculty of community medicine and the health teams. The findings were shared with the local health authorities and the village community. Data of MICS was also used in teaching and training of undergraduate students. These rapids surveys should be undertaken quite frequently by the health care delivery system to get a feed back of the system.

N. Udaya Kiran, M.S. Kotian, B.S. Sajjan, Murali Madhav, Rahul Bansal,
Anand Saldahna, M.V. Sagar, Rajeev, S. Latha, Roy Abhijit,
Thomas Mathew, Padma Mohnan, Asha Kamath, A.L. Lobo.
Deptt of Community Medicine, Kasturba Medical College Mangalore.

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