Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-5241157EnglishN2023April11Healthcare Impact of Insomnia on Anxiety and Depression among Post Stroke Patients     English0106Kavipriya MEnglish Hiranyamayi KulkarniEnglish Hilda SolomonEnglish Jayanthi SwaminathanEnglish Anitha Rani AEnglish Introduction: Insomnia is prevalent but unappreciated condition follows a stroke that can hamper recovery. The impact of insomnia on post stroke patient’s anxiety and depression remains unclear. Aim/Objectives: The study aimed to evaluate the association between the Insomnia with Anxiety and Depression among post stroke patients. Methodology: A cross sectional, observational, study was conducted among post stroke patients, aged above 30years. Of 200 responses, 191 responses who were willing to participate in the study were included. The survey instrument used were Hospital Anxiety Depression Scale (HADS) and Insomnia Severity Index (ISI) to access the anxiety, depression and quality of sleep among post stoke patients. Results: Majority of the study participants were males (59.2 %). In the present study, 34% of the participants were under the age group of 50 – 60. Based on Insomnia Severity Index majority of the responders had moderate insomnia (57%). Majority of study population had abnormal (71.20%) level of Anxiety and borderline (41.36%) depression level. There was significant association of severity of ISI with severity of Anxiety (p-0.030) and depression (p-0.049) among post stroke patients. Conclusion: Stroke leads to significant reduction in quality of life. Reduction in daily activity results in worsening of function and disturbance in sleep, leads to depression that affects the physical and mental health. 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Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-5241157EnglishN2023April11Healthcare Role of Antenatal Care (ANC) Services on Safe Delivery among the Indian Women: An Investigation from the Nationally Representative Survey     English0717Bikash BarmanEnglish Pradip ChouhanEnglish Introduction: Maternal mortality and infant mortality is now act as a danger issue all over the world and the whole world trying to combat these problems by improving the treatment-seeking behaviour at the time of pregnancy as well as improving the facility for delivery at an institution which is comparatively safe than the home delivery. Aim/Objective: The present study gives more attention to the role of antenatal care (treatment-seeking behaviour during pregnancy) on safe delivery (institutional delivery by the skilled birth attendant (SBA) among Indian mothers aged 15-49 years. Methodology: The entire study depends on secondary data collected from the National Family Health Survey (NFHS)-4 in the year 2015-16 in India which was conducted on 1,89,898 women having the age group of 15-49 years. For the proper depiction of the result, bivariate (Pearson’s Chi-square) and multivariate (BLR model) has been conducted. Results: The bivariate and multivariate analysis stated that there were significant variations in the likelihood of being delivered at an institution by the SBA and BLR model showing that there was a significant role of antenatal care in the safe delivery in India though there were also other determinants for safe delivery, the antenatal care was a key indicator for the safe delivery for both mother and newborn baby. 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