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2. Assessing Diagnostic Accuracy of Haemoglobin Colour Scale in Real-life Setting

Author

Shah, Pankaj P., Desai, Shrey A., Modi, Dhiren K., and Shah, Shobha P.

Subjects
Adult, Community Health Workers, Rural Population, Community health worker, Adolescent, Color, India, Reproducibility of Results, Anaemia, Anemia, Middle Aged, Original Papers, Sensitivity and Specificity, Hemoglobins, Young Adult, Sensitivity, Specificity, Hemoglobinometry, Haemoglobin Colour Scale, Humans, Mass Screening, Female
Abstract

The study was undertaken to determine diagnostic accuracy of Haemoglobin Colour Scale (HCS) in hands of village-based community health workers (CHWs) in real-life community setting in India. Participants (501 women) were randomly selected from 8 villages belonging to a project area of SEWA-Rural, a voluntary organization located in India. After receiving a brief training, CHWs and a research assistant obtained haemoglobin readings using HCS and HemoCueTM (reference) respectively. Sensitivity, specificity, positive and negative predictive-values, and likelihood ratios were calculated. Bland-Altman plot was constructed. Mean haemoglobin value, using HCS and HemoCueTM were 11.02 g/dL (CI 10.9-11.2) and 11.07 g/dL (CI 10.9-11.2) respectively. Mean difference between haemoglobin readings was 0.95 g/dL. Sensitivity of HCS was 0.74 (CI 0.65-0.81) and 0.84 (CI 0.8-0.87) whereas specificity was 0.84 (CI:0.51-0.98) and 0.99 (CI:0.97-0.99) using haemoglobin cutoff limits of 10 g/dL and 7 g/dL respectively. CHWs can accurately diagnose severe and moderately-severe anaemia by using HCS in real-life field condition after a brief training.

Published
2014

3. Effect of Maternity Schemes on Place of Delivery in a Tribal Block of Gujarat.

Author

Shah, Pankaj P., Modi, Dhiren K., Shah, Shobha P., and Desai, Shrey A.

Subjects
*BIRTHPLACES, *DELIVERY (Obstetrics), *LABOR (Obstetrics), *OBSTETRICS, *PATIENTS, *PUBLIC administration, *RURAL conditions, *DEMOGRAPHIC characteristics
Abstract

The article presents a case study conducted to examine the effectiveness of the maternity schemes in Gujarat to increase institutional deliveries. It mentions that the study is based on a secondary analysis of community based data collected by village level frontline workers of SEWA‑Rural (SR), a NGO located in Jhagadia block of Gujarat since 1980. It concludes that most of the women who delivered at hospital after initiation of maternity schemes chose hospital for subsequent delivery.

Published
2013
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