Articles: disease.
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Historical Article
A coordinated approach to children's health in India: progress report after five years (1975-1980).
The success of an experiment in a coordinated approach to children's health care in India in 33 community blocks led to its expansion to a national programme covering 150 community blocks by 1980. The Integrated Child Development Services (ICDS) scheme has also been successful as a national programme. ⋯ Favourable impact of ICDS services was proportionally better in the first year than in the fourth year of the service. The Government of India has declared it a programme of national importance to expand and cover 913 of the 5011 community blocks and 87 urban slum areas by 1985.
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Seven hundred and fifty cycles of treatment with a new triphasic oral contraceptive (WL-49(50). 'Trinordiol') containing the lowest quantity of steroids of all available preparations were evaluated in 75 healthy young women (mean age 19.6 years), 70% of whom had regular, normal cycles. Sixty-five percent had not used contraception before; the others had previously been on combined or progestagen-only oral contraceptives or had an IUD. The mean length of treatment with the triphasic preparation was 10 cycles. ⋯ Complaints of oestrogen-related symptoms such as breast tenderness and digestive disorders were probably due to the reduced progestagen content of the preparation compared with combined low fixed daily dose oral contraceptives. However, no increases in dysmenorrhoea and/or premenstrual tension were noted. It is concluded that the triphasic preparation provides effective contraception with excellent cycle control and minimal side-effects, which should help to increase the acceptability of low-dose combined oral contraceptives.