Family health advisory services by mohit haritwal

about family health advisory services
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1. Family health advisory services By- Mohit Haritwal Date: 27 March 2017

2. DEMOGRAPHICS Head of Family – Rana ram Family Size – 5 Type of Family – Nuclear Religion – Hindu , Caste – others Habitation type – Urban Slum Residing in Present Location Since – 6 Years

3. Demographics S. No. Name Age (years) Gender Relation with Head Of Family Educational Status Marital Status Occupation Income/ Month 1 Rana ram 41 M HOF 10th Standard Married Cohabitating Skilled worker Rs . 9000 2 Raju Devi 37 F Wife 5 th Standard Married Cohabitating Skilled worker Rs . 6000 3 Vijay Lakshmi 16 F Daughter 9 th Standard Unmarried Student 4 Mahima 14 F Daughter 7 th Standard Unmarried Student 5 Aryan 12 M Son 6 th Standard Unmarried Student

4. DEMOGRAPHICS Vulnerable Groups 0-5 Yrs – Nil Lactating Women – Nil Vital Events in the last five years Marriage – Nil Births – Nil

5. Pedigree Analysis I II 1 2

6. environmental data House: Rented Dampness: Present Total Floor Area(Living Room): 84.5 sq. feet. Total Door Area: 19.5 sq. feet . Total Window Area: 11.5 sq. feet . Number of living room: 2 Persons residing in living room: 4 Per capita floor space:16.9 sq feet. Overcrowding: Absent Ventilation in living room: adequate Cross Ventilation: Absent Lighting : Natural: A dequate Artificial:Adequate Kitchen : Food both Cooked And Uncooked are Unsafe Drainage system Present Smoke Outlet Present LPG Used As Fuel

7. Water Supply : Continous Storage of water for drinking and kitchen purposes is in M atka and for other purposes in plastic container(tank). Use ‘Ladle’ for drawing water. Garbage Disposal: Dustbin is present and covered. garbage is disposed in community garbage bin everyday. Biological Environment: No domestic animal Mosquitoes and Flies are present in small numbers and Rodents and Cockroach are Absent Peridomestic Environment: Community Bin is present- community garbage truck comes everyday.

8. Socio–Cultural P ractices Social Factors Type of Family – Nuclear Relationship amongst Family Members-GOOD Interaction with other Families – GOOD Substance Abuse: Chewing Tobacco – Daily 2 Packets since 5 Yrs , Did not affect family much Cultural Factors Marriage – Non Consanguineous, Same Caste, Different Gotra NO preference to Male Child Adoption of family planning practices:- Tubectomy . NO Female Foeticide Practice of Dowry Present Prefer HOSPITAL Delivery Special diet during Pregnancy Oil Massage and Sun Exposure of Child Done KAJAL APPLIED TO EYE as they believe that eyes becomes bigger by appllying Kajal All common Hindu festivals celebrated

9. HOME ECONOMICS Source of Income for the Family Head of Family&Wife Socio Economic Status SCORE HOF – Skilled Worker 4 Educational Level – Secondary certificate 4 Per Capita Income – Rs 3000 2 Socio Economic Status – UPPER LOWER CLASS * 10 *According to KUPPUSWAMY CLASSIFICATION Dependency Ratio – % Total Income/Total Expenditure – 15000/11045

10. HOME ECONOMICS No Particulars Amount Spent % of Total Income 1 Food 5000 33.33 2 Dress/Clothes/Shoes 500 3.33 3 House Rent/ Maintainence 3500 23.33 4 Education 900 6 5 Fuel 645 4.3 6 Medical 200 1.3 7 Recreation 300 2 TOTAL 11045 73.63

11. HEALTH SEEKING BEHAVIOUR Ailment Child Adult Cough/Cold Tulsi leaves Tulsi leaves & kadda Diarrhoea Isabhgol Isabhgol Cuts, Burns, Boils Dettol&Bain d-Aid Toothpaste Fever Paracetamol 500mg Paracetamol 750mg Any Other Allopathic Allopathic

12. HEALTH SEEKING BEHAVIOUR DONOT Believe in Self Medication First Line of Contact in Illness: Govt. Hospital Are REGULAR in Taking Medication for Child and Adults Immunization:Till date complete

13. Dietary Assessment OF Family S. N0. Name Age Work Style C.U. of Each Member 1 Rana ram 41 Sedentary Worker 1.0 2 Raju Devi 37 Sedentary Worker 0.8 3 Vijay Lakshmi 16 Adolescent 1.0 4 Mahima 14 Adolescent 1.0 5 Aryan 12 Adolescent 1.0 Total Consumption Unit Of Family: 4.8 Total Calories Required For Family(2400 X Total C.U.): 11520 Cal. Total CARBOHYDARTES Req. For Family : 11180 grams/day. PROTEINS Req. For Family: 262.3 grams/day. FAT Req. For Family: 155 grams/day

14. Dietary Intake of ICMR food groups by all members on an average S.no Food stuffs consumed Avg. Dail y Intake (grams) Intake per consumption unit ICMR recommendation (grams per C.U. per day) Excess (+) or Deficit (-) 1 Cereals 1499 305.91 475 Deficit 2 Pulses 154 31.42 80 Deficit 3 G.L.V 143 29.18 125 Deficit 4 Other Veg 275 56.12 75 Deficit 5 Root and tubers 114.14 23.29 100 Deficit 6 Milk (ml) 1109 226.3 100 Deficit 7 Meat & fish(Chicken) 71 14.4 30 Deficit 8 Egg 70 14.28 30 Deficit 9 Fruits - 30 Deficit 10 Oils and fats 216.66 44.216 40 Excess 11 Sugar 66.6 13.60 40 Deficit

15. Calculation of nutrients in the food consumed by the family Food Item Quantity (grams) Energy (Kcal.) Carbohydrate (grams) Protein (grams) Fat (grams) Wheat flour 9000 30690 6246 1089 153 Bajra 500 1305 337.5 58 25 Rice 1000 3750 782 75 1 Green gram 500 1740 299.5 122.5 6 Bengal gram 275 1023 164.65 57.2 15.4 Cabbage 1000 270 46 18 1 Cauliflower 1500 450 60 39 6 Spring onion 175 103.25 22.05 3.15 0.175 Pea 250 232.5 39.78 18 0.25 Onion 50 29.5 6.3 0.9 0.05 Potato 750 727.5 169.5 12 0.75

16. Calculation of nutrients in the food consumed by the family Food Item Quantity (grams) Energy(Kcal.) Carbohydrate (grams) Protein (grams) Fat (grams) Milk 8000 5360 352 256 328 Sugar 466.2 1854 463.2 0.466 Fats&Oils 1516.66 13644 1516 Fowl 500 545 129.5 3 Egg 490 847.7 65.17 65.17 Papad 300 804 157.32 56.4 0.9 Salt 300 Total (per day) 63375 9147 2000 2121 Required (per day) 82320 12600 4200 1866 Deficit/Excess Deficit Deficit Deficit Excess %Deficiency/ Excess 23.85% 27.40% 52.36% 13.70% Advice – Add carbohydrate rich diet like rice, potato and bread. Add green leafy vegetable in diet. Decrease amount of oil and ghee intake Add fibre rich diet and fruits. Add eggs in diet.

17. INTERPRETATION OF DIETARY SURVEY Family is Deficient IN: Family is Excess IN: Name %Deficient Name %Excess Calories 23.85 Fat 13.70 Carbohydrates 27.40 Sodium 75.3 Proteins 52.36 Vit.B1 29.1 Iron 16.43 Vit.B3 89.7 Calcium 34.1 Vit.C 73.3 Potassium 3.87 Vit.A 70.1 Vit.B2 27.4

18. Clinico -Social Diagnosis A 5 membered nuclear Hindu family headed by Rana ram (41 yrs.). Family residing in Pratap Nagar Jodhpur Comprising Of 2 adults and 3 adolescents. Physical Environment No vital events in last 5yrs Physical environment : Overcrowding is present, A dequate ventilation and natural light, Flies and Mosquitoes in small numbers Matkas used for drinking water, Draw water using ‘Ladle’. Sociocultural practices : Tobacco chewing since last 5 years. Dietary assessment : Deficient in carbohydrate and protein intake and Excess intake of fats Home economics : Upper Lower Class . Chronic illness- Raju Devi suffers from acidity problem.

19. FAMILY ADVICE Use mosquito repellents. Construct windows if possible. Try to end the practices of dowry and G auna . Prevent oily food stuff. Increase the intake of protein rich food. Eat fruits & vegetables regularly. Need to reduce salt intake.

20. Thank you!