Lalton - Daad community health area 3.pptx

Community health data of a village in Ludhiana district

1. Dr. Nithin Joshy John Medical intern Field Data Presentation (Lalton Kalan) Area : Daad Village

2. Last Quarterly Baseline Data Intern’s Home visiting Data Population 2862 568 Total families 575 125 Eligible couples 491 79 % Eligible couples 17.28 1 3.9 Vasectomy - 1 Tubectomy 81 1 IUCD 1 1 Condoms 89 25 OCPs 3 Total Coverage (%) 174(35.4%) 4 6.8 Effective Coverage (%) 26.3% 2 4.4 Baseline Data

3. Child Health Services

4. Immunization 0-1 Years Baseline data – last quarter % Intern’s home visiting data % BCG 19 100 2 100% OPV 3 rd 9 47.3 2 100 % Pentavac 3 rd 9 47.3 2 100 % Rota 3 rd 9 47.3 2 10 0% IPV 2 nd 9 47.3 2 100 % PCV 2 nd 9 47.3 2 100 % Measles-Rubella -I 4 21 2 100 %

5. Immunization 1-2 Years Baseline data – last quarter % Intern’s home visiting data % BCG 18 100 9 100% OPV 3 rd 43 100 8 88.8 % Pentavac 3rd 18 100 8 88.8 % Rota 3 r d 18 100 8 88.8% IPV 2 nd 18 100 8 88.8% PCV 2 nd 18 100 9 100% Measles-Rubella -II 6 33.3 4 44.4%

6. Immunization 0-5 Years Baseline data – last quarter % Intern’s home visiting data % BCG 109 100 29 100% OPV 3 rd 73 66.9 2 7 93.1 % Pentavac 3rd 90 82.5 27 93.1% Rota 3 r d 90 82.5 2 7 93.1 % IPV 2 nd 94 86.2 2 7 93.1 % PCV 2 nd 83 76.1 2 7 93.1 % Measles-Rubella -II 72 66 16 55.1%

7. 0-1 years 0-1 years 1-2 years 1-2
years 2-5 years 2-5
years Male Female Male Female Male Female Total Children 3 2 7 4 8 8 Weighed 3 2 7 4 8 8 RTH 3 2 6 4 7 8 Moderately underweight - - 1 - 1 Severely underweight - - - - - - Nutritional Status

8. Old ANC Cases = 1 New ANC Cases (detected by Interns) = 4 Incoming = 0 Outgoing = 0 Deliveries = 0 Abortions = Total =(1+4 +0) -(0 +0 + )= 5 Maternal Services

9. Last Quarterly Baseline Data Intern’s Home visiting Data Total Deliveries 8 - Td coverage 8 - Live Births 8 - Twins - - Still births - - Abortions - - Infant Deaths - - Maternal Deaths - - Total Deaths - -

10. S No H No. Name Parity Age Risk Factor Td Protection 1 S-297A Asha Rani G3P2L2
34w+3d 30 Anemia
Hb-11gm/dl 2 doses
28/06/2023
16/08/2023 2 S-343B Amandeep Kaur G 4 P1A2L1
12w+2d 32 Previous LSCS - 3 S-341 Sukhpreet Kaur G1P0
30w4d 27 None 2 doses
27/7/2023
05/09/2023 ANC cases

11. S. No. Cases Seen Adult Paeds 1. Urinary Tract Infection 4 1 2. Respiratory Tract Infection 4 1 3. Acute Febrile Illness 19 9 4. Hypertension 3 5. Gastroenteritis 7 2 6. VSD 1 7. Burns 2 8. Diabetes 8 OPD

12. S. No. Cases seen Adult Paeds 9 Heart failure 1 10 Migraine 1 11 Dermatitis 1 1 12 Varicose veins 1 13 Granuloma 1 14 Emergencies 14 2 15 Vaccination 6 OPD Contd..

13. Morbidity Total no. Hypertension 35 Diabetes Mellitus 32 Asthma 3 Tuberculosis 1 Hypothyroidism 5 Osteoarthritis 2 Depression 1 Morbidity Profile- Home Visit

14. Number of patients continued from Previous quarter= 1 (a) Newly diagnosed put on treatment (DOTS)= 0(b) Defaulters=0 (c) Relapse=0 (d) Treatment completed=0 (e) Transfer out=0 (f) Deaths=0 (g) Balance = ( a+b+c+d )-( e+f+g )= 1 Tuberculosis Cases TB PATIENTS

15. S. No Name H. No. Age/ Sex Start Disease HIV Screening ATT 1 Divyansh S-328 1y9m 11/06/2023 Extra pulmonary TB - HRE Tuberculosis Status

16. S No. H. No. Name Age/Sex Cause of death Pre-existing morbidity Place of Death 1. S392A Ranjit Kaur 69/F MI Diabetes Mellitus type2 Home 2. S396 Mehar Singh 72/M MI Hypertension Home 3 S409 Charanjit Singh 78/M CA pancreas CA Pancreas Hospital 4 S410 Harbans Kaur 68/F Myocardial infarction Hypertension Home 5 S598 Narinder Singh 64/M Chronic kidney disease Hypertension
Diabetes mellitus Home 6 S434 Amarjeet Singh 45/M Unknown Hypertension Workshop Deaths

17. Community diagnosis of area- Hypertension (35 cases) Treatment Taking treatment- 28 Not regular on treatment- 7 Treatment T. Amlodipine 5mg T. Telmisartan 40mg T. Losartan 50mg T. Atenolol 40mg + T. Amlodipine 5mg Commonest morbidity

18. RISK FACTORS NON-MODIFIABLE Advanced age Male gender Genetic factors Ethnicity MODIFIABLE Obesity High salt intake Alcohol use Smoking Stress Sedentry lifestyle Socioeconomic status

19. Prevention And Treatment Dietary salty restriction to <5 g/day Avoid packed food, pickles, chutney Walk for 45 minutes daily Regular BP monitoring Screening for diabetes mellitus once in 6 months Screening for other organs which includes ECG, fundus, examination, serum creatinine (once a year)

20. S. No. Procedure done Number 1. Wound Debridement 2. Dressing 5 3. Burn management 1 4. Cu-T removal 5. Cu-T insertion 6. Intra-muscular injection 7. Intra-venous injection 8. Pharmacy . 5 9. Suturing 10. Urinary catheter 1 Achievements

21. Achievements contd… Learn to manage OPD - common cases, childhood, vaccination and ANC. Learn the skill of communicating in the community. Was able to encourage the patients in the field who needed medical care to come for treatment at Centre. basic ECG interpretation Witnessed various vaccine administration Learnt to manage unconscious patient Learnt to manage stroke patient Learnt to manage burn patient Learnt to manage diabetic ketoacidosis

22. Visited the houses in the area allotted , spoke to the family members about Health Hygiene Contraception Nutrition antenatal care Breastfeeding Vaccination addressed the concerns regarding their comorbidities Impact on Community

23. Seminar presentation- 1. Healthcare delivery system in urban slums 2. NPNCD Morning presentation - 1. AEFI management kit 2. Rational use of antibiotics. Clinical Case - hypertension Journal presentation - a community based NCD prevention intervention in Punjab, India Contd..

24. Mentor- Dr. S andeep Bonela Staff-Mrs. Rani Thank You