Result of ICFP III (Integrated Concurrent Field Practice- III) Pokhara 27 Laxmi Adarsha Tole by a group of undergraduate students of School of Health and Allied Sciences, Pokhara University, Pokhara, Kaski Nepal

1. INTEGRATED CONCURRENT
FIELD PRACTICE - III
Presented by :
Group “D”
BPH , 5th Semester
School of Health and Allied Sciences,
Pokhara University

2. Group Members
• Rakshya Ghimire
• Sajan Ghimire
• Bikash Dangaura
• Deepa Khanal
• Aakriti Lamsal
• Mahima Sharma
• Sudip Dhungel

3. Table of Contents
• Introduction
• Background
• Objectives
• Methodology
• Major findings
• Community presentation
• Community Intervention
• Conclusion
• Recommendations
• Acknowledgement
• Photo Gallery

4. INTRODUCTION

5. Integrated Concurrent Field Practice
• Integrated concurrent Field Practice is defined as a comprehensive
assessment of health status of the entire community in relation to its
social, physical and biological determinants.
Need of ICFP
• To identify the most important health problems in community.
• To identify hidden health problems in the community.
• To make community people aware about their health problem and
health need.

6. BACKGROUND

7. COMMUNITY PROFILE
• Pokhara Metropolitan- 27 Laxmi Adarsh Tole
• Major Ethnic Groups: Brahmin, Kshetri, Gurung, Dalit, Magar
• Main Religion: Hindu, Buddhism
• Main Occupation: Agriculture and Business
• Social Organizations:
Community Schools-1
Industries: 1 (Lake City Mineral Water Pvt. Ltd.)

8. GEOGRAPHICAL LOCATION

9. OBJECTIVE
1. General Objective
To assess the current health status of the community people and
identify health need with possible intervention to prioritize existing
health problems

10. 2. Specific Objective
• To prioritize and select the public health themes from the previous two
ICFPs with prioritization grid.
• To determine the demographic structure of the community
• To explore various health behaviors
• To develop quantitative tools.
• To prioritize the identified health problems and assess the needs.
• To offer realistic recommendation in order to improve health status of
community.
• To develop plan of action along with prototype of health promotion
program.
• To implement, monitor and evaluate the health promotion program.

11. METHODOLOGY
• Study design:
Cross-sectional study
• Study method
Descriptive study method
• Study Area:
Laxmi Adarsh Tole, Pokhara -27,Kaski
• Study Population:
Permanent and temporary residents of the area

12. • Sample size
84 households of Laxmi Adarsh Tole
• Study Period:
17th to 21th of Magh, 2075
• Unit of Analysis:
Individuals, households and community
• Sources of Data
Primary Source of Data:
oHousehold head or family members
oPolitical leaders
oFCHVs and Leader of women group

13. • Selection Criteria
Inclusion criteria
• Participants aged from 18-60
• Participants who were willing to participate in the study
Exclusion criteria
• People who were not willing to participate in the study
• People aged younger than 18 years or older than 60 years of age

14. Data collection techniques and tools
Data Collection Techniques Tools
Interview Semi structured Questionnaire
Observation Observation Checklist

15. Contd…
Data processing and analysis
• The collected data were entered in Epidata 3.1 software.
• Analysis was done by using SPSS 16.0
• Findings were analysed in the form of frequency, tables,bar diagram
and piechart.

16. Major Findings
1. Socio – Demographic Information
2. Social Psychology and Influencing factor
3. Epidemiology
4. Health Promotion and Education
5. Health Service Management
6. Social Crime
7. Observational checklist
3/27/2019 16

17. SOCIO-DEMOGRAPHIC
INFORMATION

18. Socio-Demographic Status
51%
39%
10%
Types of family(n=84)
Nuclear Joint Extended

19. Socio-Demographic Status
25
20
17
7
6
5
4
0
5
10
15
20
25
30
Main source of Income(n=84)
Agriculture Business Service (Within Country) Daily Wages Foreign Labor Foreign Service Pension

20. Socio-Demographic Status
87%
12%
1%
Religion(n=84)
Hindu Buddhist Christian

21. Socio-Demographic Status
54
10
9
8
2
1
0
10
20
30
40
50
60
Ethnicity(n=84)
Brahmin Gurung Dalit Chhetri/Thakuri Magar Other

22. Socio-Demographic Status
49%51%
Gender(n=392)
Male Female

23. Social Psychology
and Influencing Factors

24. Social Psychology and Influencing factor
7%
93%
Smoking Status(n=84)
Smokers Non Smokers

25. Social Psychology and Influencing factor
17%
33%
50%
Influencing Factors for Smoking (n=6)
Company to Friend Addiction To Reduce Anxiety/Stress

26. Social Psychology and Influencing factor
7%
93%
Alcohol Status (n=84)
Alcoholics Non Alcoholics

27. Social Psychology and Influencing factor
50%
17%
33%
Influencing Factors for Alcohol Consumption (n=6)
Company to Family Member Company to Friends Addiction

28. Social Psychology and Influencing factor
93%
7%
Physical Activities (n=84)
Performing Not Performing

29. Social Psychology and Influencing factor
63%
36%
1%
Intensity of Physical Activities (n=78)
Light Intensity Moderate Intensity Vigorous Intensity

30. Epidemiology

31. Epidemiology
69%
31%
Heard About Hypertension (n=84)
Yes No

32. Epidemiology
37
22
19
6
1
0
5
10
15
20
25
30
35
40
Category 1
Knowledge on Hypertension (MR, n=58)
Increase in blood pressure Heart problem Obese related disease Don’t know Other

33. Epidemiology
48
24 23
21
19
4
0
10
20
30
40
50
60
Category 1
Causes of Hypertension (MR, n=58)
Excessive dietary fats and salts Mental stress Genetic Smoking/alcohol and tobacco consumption Lack of physical activity Don’t know

34. Epidemiology
30
25
18
14
8
1
0
5
10
15
20
25
30
35
Complication due to Hypertension
Complication due to Hypertension (MR, n=58)
Heart Attack Renal problem Eye problem Death Don’t know Others

35. Epidemiology
48
34
26
15 14
3
0
10
20
30
40
50
60
Control measures
Control measures of Hypertension (MR, n=58)
Low intake of dietary salts and fats Prohibition smoke and alcohol Physical activity
Regular health checkup Avoiding mental stress Don’t know

36. Epidemiology
64%
36%
Heard about Diabetes (n=84)
Yes No

37. Epidemiology
88%
9%
3%
Knowledge on Diabetes (n=54)
Increase in blood glucose level Don’t know Others

38. Epidemiology
44
28
15
5
3
0
5
10
15
20
25
30
35
40
45
50
Category 1
Causal Factor of diabetes (MR n=58)
Excessive intake of sweets and sugary foods Lack of physical activity Genetics Smoking/Alcohol and tobacco consumption Don’t know

39. Epidemiology
32
20
17
11
9
1
0
5
10
15
20
25
30
35
Complication due to Diabetes
Complication due to Diabetes(MR, n=58)
Delayed healing of wounds Eye Problem Renal Problem Don’t Know Death other

40. Epidemiology
38
29
27
24
8
2
0
5
10
15
20
25
30
35
40
Control Measures of Diabetes
Control measures of Diabetes (MR, n=58)
Low intake of sweets and sugary foods Intake of balance diets Physical activities Fat control Prohibition of smoking and alcohol Don’t know

41. Epidemiology
83%
17%
Heard about gastritis (n=84)
Yes No

42. Epidemiology
62
34
26
7
0
10
20
30
40
50
60
70
Knowledge on Gastritis
Knowledge on Gastritis (n=70)
Excessive intake of spicy foods Not taking meal on time Fasting Mental stress

43. Epidemiology
69
20
14
0
10
20
30
40
50
60
70
80
Control measures
Control Measures of Gastritis (MR, n=70)
Avoiding excessive intake of spicy foods Avoiding smoking and alcohol Avoid fasting when ill

44. Health Promotion and
Education

45. Nutrition
93%
3%
4%
Consumption of greenleafy vegetable(n=84)
Always Sometimes Seasonally

46. Nutrition
31
24
16
13
0
5
10
15
20
25
30
35
Consumption of Fruits(n=84)
Sometimes seasonally Always Occasionally

47. Nutrition
65%
35%
Know about balanced diet(n=84)
Yes No

48. Nutrition
24%
23%
53%
Response on Balanced Diet (n=55)
Daal , bhat ,tarkari Food with all the nutrients What we eat

49. Waste Management
95%
5%
Separation of Biodegradable Waste and Non Degradable
Waste(n=84)
Yes No

50. Waste Management
63
40
12
0
10
20
30
40
50
60
70
Management of degradable waste
Management of degradable waste (MR, n=115)
Burrying Compost manure Feeding livestocks

51. Waste Management
88%
12%
Management of Non-Degradable waste (MR,n=91)
Municipal waste management Incineration

52. Waste Management
87%
13%
Combined community effort for the management of muncipal waste(n=84)
Yes No

53. Health Service
Management

54. Health Service Management
87%
13%
Place of treatment(n=84)
Health facilities (all type) clinic

55. Health Service Management
86%
14%
Utilization of services provided by social institution (n=84)
Yes No

56. Health Service Management
67%
33%
Satisfaction from service provided (n=84)
Yes No

57. Social Crime

58. Social Crime
7%
93%
Social crime within last 6 months (n=84)
Yes No

59. Social crime
83%
17%
Types of social crime (n=6)
Thief/ Robbery Quarrel/ Fights

60. Observation Checklist

61. Observation Checklist
23%
77%
Types of house (n=84)
Temporary Permanent

62. Observation Checklist
77
3 3
1
0
10
20
30
40
50
60
70
80
90
Type of stove(n=84)
LP gas Biogas Traditional stove modern/smokeless

63. Observation Checklist
14%
83%
3%
Surrounding environment around house (n=84)
Very clean Clean Stagnant water

64. Observation Checklist
8%
92%
Kitchen and living room(n=84)
Together Separate

65. Observation Checklist
98%
1% 1%
Type of Latrine(n=84)
Waterseal Bore hole Dugwell

66. Observation Checklist
100%
Availability of water in latrine
Yes

67. Observation Checklist
99%
1%
Availability of soap in latrine(n=84)
Available No available

68. Observation Checklist
27%
73%
Presence of shed(n=84)
Yes No

69. Observation Checklist
78%
22%
Location of shed(n=23)
Separated from house Attached to house

70. Observation Checklist
18%
82%
Overcrowding (n=84)
Yes No

71. Community Presentation

72. First Community Presentation
• Date : 6th Falgun 2075
• Venue : Mother's Group Building, Laxmi Adarsha Tole
• Time : 1:00pm to 2:30 pm
• No. of Participants: 31
Objectives:
• To explain demographic status, behavioral patterns, Knowledge on
diseases, dietary patterns and about their environmental status.

73. Chairman- Rakshya Ghimire
Chief Guest- Buddhi maya Rijal(Ward Member)
Special Guest-Kalpana Poudel (FCHV)
Guest- Lakshmi Poudel (Chairperson of women’s group)
Guest-Mina Timilsina (Chairperson of Shantinagar Tole Sudhar Samiti)

74. Activities
Activities DATE VENUE PROGRAM METHOD MEDIA
Community presentation 2075/11/06 Mother's Group
Building, Laxmi
Adarsha Tole
Provision of information
on status of various
aspects of community and
awareness to community
people
Mini Lecture Chart paper

75. Community Intervention
• Date : 8th Falgun 2075
• Venue : Mother's Group Building, Laxmi Adarsha Tole
• Time : 11:30am-1:30pm
• No. of Participants: 31
• Objective
To present people about their real need and future program to solve their
problem.
To recommend the community people for the betterment of the health
status of the community.

76. Activities
Activities DATE VENUE PROGRAM METHOD MEDIA
Intervention 2075/11/08 Mothers Group Building
Laxmi Adarsha Tole
Information regarding hand
washing techniques, Prevention
and control of
NonCommunicable Diseases
and Wsate Disposal
Mini Lecture and
Demonstration
Chart Paper, Flash
Cards, Pamphlet
and Audio Visual
Aids

77. MINI HEALTH PROJECT
Date Topic Programme/
Activities
Target Group Resource Methods Venue
2075/11/08 Counselling
for blood
pressure
Blood
Pressure
checkup
Community
people
BPH students BP
measurement Shanti Nagar
And finally, we thanked them for their participation, cooperation and their valuable time for our
program.

78. CONCLUSION
• Peoples were made aware about the need of
regular health checkup and the intervention
measures.
• The highest burden of hypertension was seen for
non- communicable disease.
• People were suggested about prevention and
control for balance of hypertension, diabetes and
gastritis.
• Maximum percentage of respondent separated
bio-degradable and non-degradable waste from
their home.

79. • Highest number of people of Laxmi Adarsh Tole have knowledge
on balance diet.
• 7.1% of respondent used smoke whereas 7.14% of respondent
used alcohol.
• The major occupation of the people was agriculture and business.
• Total number of male population in our sample is 194and female
population is 198.

80. Recommendations
• Community people should be encouraged for participation to build
positive attitude towards their health.
• Focuses should be given on the awareness related to health mainly on
non communicable diseases.
• People should transform their health knowledge into practice.
• Proper utilization of available health in their locality.
• Families must improve their lifestyles for controlling hypertension.

81. Acknowledgement
We would like to express our gratitude to our supervisors and
community people who have directly and indirectly guided us during
our ICFP –II.
• Faculty Director : Dr. Damaru Prasad Paneru
• Program Coordinator : Mr. Nanda Ram Gahatraj
• Subject Coordinator : Mrs. Bimala Bhatta
• Group Mentor :Dr. Arun Kumar Koirala
• Lecturer:Ms. Bimala Bhatta, Dr. Damaru Prasad Paneru, Dr. Arun
Kumar Koirala, Dr. Niranjan Shrestha, Mrs. Shreejana Wagle and Mr.
Sandip Pahari
• All faculty members of BPH program
• All community people of Lamxi Adarsh Tole

82. Action Plan

83. S.No. Date
Jan/Feb
Jan16-
Jan 23
Jan
24
Jan
30
Jan
31-
Feb
4
Feb
4 -
Feb
17
Feb
18
Feb
20
Feb
22
Feb
24
Activities
1 Field Orientation
2 Tool Finalization and
Pre-Testing
3 Health facility visit
and Social Mapping
4 Data collection
5 Data analysis,
interpretation and
report preparation
6 Preparation for
community
presentation
7 Community
Intervention
8 Report final draft
submission
9 Final (College
presentation)

84. Photo gallery
Field Visit

87. Preparation for community presentation

89. First community presentation

91. Second Community Presentation

93. Mini Health Project

94. Completion of the presentation

95. THANK YOU 