Table of Contents    
EDITORIAL
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 1-2  

Need for evidence-based practice at grass root level to improve child health and development


1 Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Editor in Chief, Journal of Natural Science, Biology and Medicine, University College Dublin, Belfield, Dublin 04, Ireland

Date of Web Publication14-Jan-2015

Correspondence Address:
Arun H. S. Kumar
Editor in Chief, Journal of Natural Science, Biology and Medicine, University College Dublin, Belfield, Dublin 04
Ireland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-9668.149068

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How to cite this article:
Kumar G, Kumar AH. Need for evidence-based practice at grass root level to improve child health and development. J Nat Sc Biol Med 2015;6:1-2

How to cite this URL:
Kumar G, Kumar AH. Need for evidence-based practice at grass root level to improve child health and development. J Nat Sc Biol Med [serial online] 2015 [cited 2020 May 29];6:1-2. Available from: http://www.jnsbm.org/text.asp?2015/6/1/1/149068

Currently, India has a population of over 1.2 billion with children's in the age group of 0-14 years comprising one-third of the total population. [1] Child health should be of immense priority for any society as it has considerable impact on child development and hence influence the future of any nation. In this issue, we have included a mini-series on child health covering topics raging from child nutrition to infectious diseases, which is an effort towards highlighting issues related to child health and the need for necessary action on it. Although the articles in this mini-series are focused on Indian context, the basic trends are applicable globally.

Millennium Development Goal-4 emphasizes to reduce the under-five mortality rate by two-third between 1990 (115/1000 live births) and 2015 (38/1000 live births). Except very few states in India, achievement of this target may not be attained because of the difference in exposure to various determining factors for child health across India. This variation in determining factors may be at international, national, rural-urban or regional level. The need of the hour is to address the role of social, political, demographic, environmental, economic and health system in child health at regional and grass root level of the country and implementation of appropriate steps along with monitoring and evaluation of the health system. Morbidities among children are still more common, and there is not much decline in morbidity status mainly because of the multifaceted role of diseases. Besides, infants and young children are not getting the health care according to their need, and there is not much improvement related to effective treatment for neonatal illness, pneumonia, and diarrheal diseases. [2] Most of the cases of malnutrition and infectious diseases among children can be effectively prevented if appropriate robust interventional measures are put in place at the grass root level in the health care system of the country. Appropriate mechanisms on inter-sectorial coordination, poverty alleviation, addressing the social factors affecting the disease and strengthening effective health education methods are needed in the health system to tackle malnutrition, acute respiratory infections, diarrhea and other childhood morbidities. Sustained behavioral change should be targeted in the interventional mechanisms at grass root level. There is also need to revitalize the existing nutritional programs with respect to coverage and quality of services across the country to ensure its deliverability. The current situational analysis and issues related to disability and rehabilitation services among children is also included in this issue, which is an under-addressed and neglected issue nationally and hence necessitates the need for initiating social welfare programs to promote optimal child development.

In addition to this mini-series, we have also included several other articles on very diverse topics for our readers. We have three articles on novel and improved methods for polycystic ovary syndrome management, hysterectomy and biological based tooth fragment reattachment. Continuing our emphasis on building scientific knowledge in the management of diabetes, we have included few articles related to antidiabetic therapy and predictability of development of diabetes-associated complications. Of interest is also an article addressing the impact of passive smoking on general health. We believe this is an issue of global concern especially in regions where purpose built smoking areas are not available, leading to unnecessary and unfairly exposing the population to passive smoking. It is necessary to highlight passive smoking as a potential health hazard, and appropriate measures must be implemented to avoid passive smoking as a public health initiative. We also have included a few articles, which emphasize the utility of modern imaging techniques in clinical diagnosis. It may be very ambitious to suggest that the future of clinical diagnosis is in imaging. We also have included a very interesting article in this issue on gender disparity in health treatment, with tuberculosis as a case study. This is very worrying has it can significantly curtail the concept of universal health with devastating consequences. Should not access to any treatment be need based rather than being influenced by socioeconomic criteria? Should not access to any treatment be a fundamental right of every living being? As the most evolved species, if we cannot achieve the implementation of this fundamental right to treatment, do we justify in calling ourselves evolved and developed? Probably, this topic needs an editorial on its own.

We also have included in this issue review articles on regenerative dentistry, which is an evolving field with pandemic health benefits. The need to develop affordably, cost effective and safe medical intervention cannot be more emphasized than in the current economic climate. Yoga is once such technique, which is time tested and very effective in the management of chronic occupational health hazards. One article in this issue highlights the utility of yoga in addressing the occupational health hazards among dental practitioners. We very much look forward to contributions on such effective and affordable health interventions from our readers. The aspects of safe medical intervention must be linked with responsible medical intervention. One of the consequences of irresponsible medical intervention is prevalence and rise of antibiotic resistance, which is of global health concern and is emphasized in two articles included in this issue. We also have included an article on the therapeutic utility of antioxidants. Although several preclinical studies have reported the benefits of antioxidants use, its clinical transition has been disappointing. Which brings into question the reliability of preclinical studies, which may be largely due to poor predictability of preclinical models, issues related to research methodologies adopted, lack of harmonization in research materials and most importantly the issue of scientific integrity. We very much look forward to contributions from our readers in this area.

Like with previous issues we have in this issue included a range of clinical case reports on primary adenocarcinoma, enterogenous cyst of the small bowel causing Intussusception, biological approach to tooth fragment reattachment, urinothorax, trans-anal steel bar injury, corporate social responsibility in public health, autologus platelet-rich fibrin aided revascularization, facial nerve paralysis in diabetic patients, imaging in diagnosis, chronic onset of multiple hepatocellular adenomas, rhinosporidiosis, oral squamous cell carcinoma, prune belly syndrome, cervical ectopic pregnancy, theoretical models for understanding protein folding, type 1 neurofibromatosis, sirenomelia, infra-orbital nerve schwannoma, drug induced adverse effects (thyrotoxic periodic paralysis), utility of silicone prosthesis and many more, which we hope you will enjoy reading and gaining knowledge from.

We wish all our readers a very happy and prosperous new year ahead.

Sincerely,

 
   References Top

1.
Children in India 2012-A Statistical Appraisal. Available from: http://www.mospi.nic.in/mospi_new/upload/Children_in_India_2012.pdf. [Last accessed on 2014 December 3]  Back to cited text no. 1
    
2.
Paul VK, Sachdev HS, Mavalankar D, Ramachandran P, Sankar MJ, Bhandari N, et al. Reproductive health, and child health and nutrition in India: Meeting the challenge. Lancet 2011;377:332-49.  Back to cited text no. 2
    

 
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