Background: Majority of maternal deaths occur during labor, delivery and within 24 hours post-partum. Care-seeking is delayed because of the delay in Identifying the complication, deciding to seek care, identifying and reaching a health facility, and receiving adequate and appropriate treatment at the health facility. Transport to health facility plays a crucial role in birth preparedness and complication readiness. Methods: Review of literature was done with the help of search engines like Pub Med and Google Scholar which were searched for relevant articles published after 2008. Results: It was found that few people have knowledge regarding transport services available for delivery through government. So, delay in reaching health facility during labor or during complications due to pregnancy occurs. It also plays a major role for maternal morbidity and mortality. Conclusions: Despite facility available at health centre for transportation of pregnant women, people are not aware of these facts. Repeated and intensive IEC campaigns need to be organized at the community level to increase awareness regarding this. At Sub centre and PHC level locally available vehicles should be identified and can be hired on contractual level to fill the gap and to reduce the delay in reaching the health facility in case of delivery or in case of emergencies arising due to pregnanc

Introduction/Background: Presently, non-communicable diseases play a vital role in the determination of overall health status of an individual. Metabolic syndrome (MS), as per WHO criteria, is associated with obesity as a major pre-determinant risk factor and other co-morbidities, viz., diabetes mellitus (DM) Type 2, which increases the risk of coronary artery disease (CAD). Aim/Objective: The aim of this study was to analyze its trend in a working population w.r.t some important defined variables (demographics, work profile and individual MS components), to correlate the prevalence over a few years and to justify need for control measures. Methodology: The study was conducted on employees of an automobile manufacturing unit; inclusion criteria-all executives (senior manager and above) who readily underwent check-up; exclusion criteria-employees unwilling for check-up; data collection was done through executive health check-up reports; analyzed by a crosssectional study with last 6 years’ data. Total data sample strength was N=700 approximately; 4 sample groups were thus selected from year 2009-10 (n=169), 201112 (n=215), 2013-14 (n=254) and 2015-16 (n=335). Statistical methods used were correlation regression for study validation and ANOVA with p-value for mean comparison. Data analysis was done using SPSS v16. Study was pre-approved ethically and informed consent for the study was received from subjects. Results: The prevalence of MS, {p-hat ()} over the years varied age group wise with increasing in 2013-14 and 2015-16 data from 0.017 to 0.111 and 0.052 to 0.084 respectively. Correlation between BMI (predictor constant) and SBP (dependent variable) showed r=0.093 and r2=0.009. Similarly, BMI vs DBP, BMI vs FBS and BMI vs TG showed positive correlation. Comparison of BMI means for all the years’ data through ANOVA (Post hoc Dunnett T3) test revealed statistically significant v-value of <0.05 while comparing data set of year 2011-12 with 2013-14 and also between years 201314 and 2015-16. Conclusion: The study justified the need for application of preventive measures in the form of health education, promotion of health awareness and regular health check-ups

Introduction: Medical education across the globe is perceived as being inherently stressful leading to mental distress in medical undergraduates. Among all psychological problems, stress is one of the common problems faced by medical students. Stress is a situation that leads to tension, pressure or negative emotions such as anxiety, depression and anger. Exposure to chronic stress can lead to both physical and mental illnesses. The stressors among medical students are academic, social, personal and financial. Psychological distress among students reduces their self-esteem, quality of life and academic performance. They may engage in potentially harmful methods of coping with stress such as tobacco, alcohol and substance abuse. Objective: The present study was conducted to determine the prevalence of stressrelated problems among medical undergraduates using DASS 21 scale and also to find prevalence of addiction habits in relation to stress. Methods: It was a cross-sectional study done among medical undergraduate students. Prevalence of psychological mood disorders was assessed by using DASS-21. A pretested and predesigned questionnaire was also prepared assessing correlation of mental distress with sociodemographic characteristics and addiction habits among medical undergraduates. Results: Prevalence of depression, anxiety and stress was found to be very high among medical undergraduates with prevalence being more in females as compared to males. Hostellers were found to have more mental distress as compared to day scholars. As compared to females, males were more engaged in addiction habits mostly consumption of alcohol. Conclusion: Family support, counselling lessons and various other methods of stress management should be given to the medical students to decrease the stress level and make them aware of healthy ways of living.

Introduction: There exist deep-rooted stereotypes regarding the roles and responsibilities of women and men in the family. The working women face tough challenges in maintaining a balance between their health and work, i.e., personal and professional life. This affects their physical, emotional and social well-being. Aims & Objectives: To study ‘women of 21st century and their work and health’. To compare various health aspects and work-related aspects of working and nonworking married women. We hypothesize that at least 60% women in today’s world are satisfied with life. Design: It is a cross-sectional comparative study. The study was conducted among 35 housewives and 35 working women. The study took place from 1st to 10th July 2016. They were asked questions related to their work and health. Results: Our study showed that non-working women are 3.57 times more likely than working women to get married at age <= 18 years and are also 5.53 times more likely to have more than two children. Some 31(88.6%) of working and 19(54.3%) of non-working women agree that women work more than men. The non-working women were less supported at home for household chores than the working women. Working women are 7.67 times more likely to be financially independent than non-working counterparts. The personal satisfaction level was found to be 31(88.6%) in working and 29(82.9%) in non-working women. Conclusion and Recommendations: These results indicate that working women face tough challenges in maintaining a balance between their health and work, i.e., personal and professional life. We recommend that best practices, such as ‘Registered Child-minders in France’, ‘Local Alliances for family’ and ’Career and Family Audit’ in Germany, be followed in India