Integrated Concurrent Field Practice Report

INTEGRATED CONCURRENT FIELD PRACTICE - III
Pokhara-27, Laxmi Adarsha Tole
KASKI, NEPAL
GROUP: D
PUBLIC HEALTH PROGRAM
SCHOOL OF HEALTH AND ALLIED SCIENCES
FACULTY OF HEALTH SCIENCES
POKHARA UNIVERSITY
POKHARA, NEPAL
2019

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Integrated Concurrent Field Practice -III
GROUP: D
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
DEGREE OF BACHELOR OF PUBLIC HEALTH (BPH)
AN ICFP-III REPORT SUBMITTED TO
PUBLIC HEALTH PROGRAM
SCHOOL OF HEALTH AND ALLIED SCIENCES
FACULTY OF HEALTH SCIENCES
POKHARA UNIVERSITY
POKHARA, NEPAL
2019

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NAME LIST OF GROUP D (Laxmi Adarsha Tole) MEMBERS
EXECUTIVE MEMBERS
SAJAN GHIMIRE (17370197)
Vice Leader
AAKRITI LAMSAL
(17370178)
BIKASH DANGAURA
(17370186)
RAKSHYA GHIMIRE
(17370195)
Group Leader
SUDIP DHUNGEL
(17370206)
DIPA KHANAL
(17370188)
MAHIMA SHARMA
DHUNGANA (17370191)

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APPROVAL SHEET
This is to certify that group has prepared the ICFP-III entitled “Integrated Concurrent Field
Practice- III of Pokhara Metropolitan City- 27”. This ICFP-III report is prepared for the Partial
fulfillment of the requirements for the degree of Bachelor of Public Health (BPH). This report
has been accepted and approved.
Internal examiners: Signature: Date:
1. Ms. Bimala Bhatta _________________ _______________
2. Dr. Niranjan Shrestha _________________ _______________
3. Prof. Dr. Arun Kumar Koirala _________________ _______________
4. Ms. Shreejana Wagle _________________ _______________
5. Mr. Sandip Pahari _________________ _______________
External Examiners: Signature: Date:
1. ___________________ _________________ ________________
2. ___________________ _________________ ________________
_________________ _________________ _________________
Ms. Bimala Bhatta Mr. Nanda Ram Gahatraj Dr. Damaru Prasad Paneru
Course Coordinator Program Coordinator Director, SHAS
__________________
School stamp

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ACKNOWLEDGEMENTS
The accomplishment of 30 days long integrated concurrent field practice in Laxmi Adarsha Tole
-27, Kaski was the result of several helping hands uniting to help us in every way they can. We
are indebted to each of them for making our effort a success. We cannot ignore but acknowledge
their grateful presence in overcoming our hurdles and facilitating our endeavor in the overall
process of Integrated Concurrent Field Practice - III right from the days of orientation classes to
the preparation of this report.
We are greatly indebted to Pokhara University, Faculty of Health Science, School of Health and
Allied Sciences, Bachelor of Public Health Programme for providing us opportunity to conduct
integrated concurrent field practice.
At first, immeasurable appreciation and deepest gratitude goes to our subject teachers Ms. Bimala
Bhatta, Dr. Damaru Prasad Paneru, Dr. Arun Kumar Koirala, Dr. Niranjan Shrestha Mrs. Shreejana
Wagle and Mr. Sandip Pahari for their continuous guidance, constant inspiration, supervision and
encouragement. Along, with this, we would like to show our gratitude towards Mr, Nanda Ram
Gahatraj, Program Coordinator of BPH program .Dr. Damaru Prasad Paneru, Director of School
of Health and Allied sciences and Dr. Khem Raj Joshi, Dean, Faculty of Health Science. We are
also greatly thankful to all faculty members of Pokhara University, Faculty of Health Science,
School of Health and Allied Sciences, Public Health Department for providing us opportunity to
gain wonderful experience about integrated concurrent field practice.
More specifically, we would like to extend our immense thanks to our mentor Prof. Dr. Arun
Kumar Koirala for his continuous supports, guidance and directions each day with our daily diary
update, daily activities and many more.
We would also like to extend our special thanks to ward member of Pokhara lekhnath
Metropoiltan -27 Mrs. Buddhi Maya Rijal and other official ward members and social workers for
coordination and providing various technical supports. The participation and continuous
coordination of the foundations of our health system- the FCHV’s of Laxmi Adarsha Tole-27,
Kalpana Paudel and chairman of Mothers Group, Mrs. Lakshmi Paudel was not only enlightening
but also an honor.

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Conducting integrated concurrent field practice would not have been as easy and enjoyable
without the help of local stakeholders and community peoples. On a personal front, we are
indebted to our group members for constant support, co-operation and encouragement in each
other so that we are able to make this report efficiently.
We would like to thank all our participants for giving us their valuable time and all the residents
of Laxmi Adarsha Tole-27 for extending their love and support; thus, making our study at the
Laxmi Adarsha Tole comfortable and worth cherishing.
At last but not least we would be like to acknowledge all community people, social leader, ward
coordinators’ and all who helped us directly and indirectly during conduction of our integrated
concurrent field practice.
Group D
BPH 9TH
Batch
Pokhara-30, Kaski

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EXECUTIVE SUMMARY
Integrated Concurrent Field Practice is a comprehensive assessment of the health status of an entire
community in relation to its social, physical and biological environment. We themed our Integrated
concurrent field practice to be progressed with the people thereby, in the process of acquiring
knowledge and skills to identify the health related problems, their causes, and resources to address
those problems. The report embraces an analysis of the verdicts from household surveys,
interviews held with the community members and service providers who reside in Laxmi Adarsha
Tole-27.
The general objective of this study was to assess the health status of the community people of
Pokhara Metropolitan -27 in relation to the social, physical, biological and environment factors
and help the community people to solve the problems by their own actions and efforts.
Quantitative data was collected through semi structured household interview questionnaire. Data
were entered in Epidata 3.1 and analyzed using SPSS 16.
The study population was the general people residing in the survey area since six months and with
age greater than 18 years. The data was collected using semi-structured questionnaire by interview
technique.
Majority of the population residing in the sampled area were Brahmin and Chhetri following
Hinduism. Majority of the population were literate, living under nuclear family and showed very
low rates of smoking and alcoholism. A large proportion of population was found committed to
segregating and managing the household and community waste and practicing good hygiene
practice. Despite a good knowledge on the diet and diseases the burden of various non-
communicable diseases like hypertension, diabetics and gastritis was found quite significant. For
improving this health status, transformation of people's health knowledge into practice was found
to be needed.

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Contents
List of Tables ................................................................................................................................................ x
List of figures............................................................................................................................................... xi
Abbreviation ............................................................................................................................................... xii
A. CHAPTER I: INTRODUCTION.............................................................................................................1
A1. Background of Pokhara Lekhnath Metropolitan - 27 Laxmi Adarsha Tole, Kaski ...........................1
A2. Community Profile:............................................................................................................................2
A3. Map of Pokhara-27.............................................................................................................................3
A4. Objectives...........................................................................................................................................4
General Objective .................................................................................................................................4
Specific Objectives ...............................................................................................................................4
B. CHAPTER II: METHODOLOGY...........................................................................................................4
B1. Study Design ......................................................................................................................................4
B2. Study Area..........................................................................................................................................4
B3. Sample Size........................................................................................................................................4
B4. Study Period.......................................................................................................................................4
B5. Unit of Analysis .................................................................................................................................4
B6. Sources of Data ..................................................................................................................................4
Primary Source of Data.........................................................................................................................4
Secondary Source of Data.....................................................................................................................4
B7. Selection criteria.................................................................................................................................5
Inclusion criteria ...................................................................................................................................5
Exclusion Criteria .................................................................................................................................5
B8. Data collection Techniques & Tools..................................................................................................5
Data collection Techniques...................................................................................................................5
Data collection tools .............................................................................................................................5
B9. Data processing and analysis..............................................................................................................5
B10. Quality Control and Quality Assurance ...........................................................................................5
B11. Ethical considerations ......................................................................................................................5
B12. Logistics of ICFP-II .........................................................................................................................6
C. CHAPTER-III: RAPPORT BUILDING..................................................................................................7
CHAPTER IV: FINDINGS ..........................................................................................................................8

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4.1. Section A: Socio-Demographic Information .....................................................................................8
4.2. Section B: Social Psychology and Influencing Factors ...................................................................10
4.3. Section C: Epidemiology .................................................................................................................14
4.4. Section D: Health Promotion and Education ...................................................................................27
4.5. Section E: Health Service Management...........................................................................................33
4.6. Section F: Social Problems ..............................................................................................................34
4.7. Section G: Observation Checklist....................................................................................................36
CHAPTER V: COMMUNITY PRESENTATION AND INTERVENTION.............................................39
CHAPTER VI: CONCLUSION .................................................................................................................44
CHAPTER VII: RECOMMENDATIONS .................................................................................................45
CHAPTER VIII: ANNEXES......................................................................................................................46
Questionnaire..........................................................................................................................................46
Action Plan..............................................................................................................................................56
Photos......................................................................................................................................................57

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List of Tables
Table 1 Socio Demographic Information......................................................................................................8
Table 2 Age of Diseased Person .................................................................................................................14
Table 3 Disease Diagnosed.........................................................................................................................16
Table 4 Causes of Diabetes.........................................................................................................................22
Table 5 Control Measures of Diabetes........................................................................................................22
Table 6 Complications of Diabetes.............................................................................................................22
Table 7 Complications Due To Gastritis.....................................................................................................25
Table 8 Contents in Regular Diet................................................................................................................27
Table 9 Satisfaction from services..............................................................................................................34
Table 10 Social crime within last 6 months................................................................................................34
Table 11 Observation Checklist..................................................................................................................37

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List of figures
Figure 2 Smoking Status.............................................................................................................................10
Figure 3 Influencing Factors.......................................................................................................................11
Figure 4 Alcohol Status ..............................................................................................................................11
Figure 5 Influencing Factors for Alcohol Consumption.............................................................................12
Figure 6 Physical Activities........................................................................................................................12
Figure 7 Intensity of Physical Activities.....................................................................................................13
Figure 8 Disease Status...............................................................................................................................14
Figure 9 Sex of Ill Person ...........................................................................................................................15
Figure 10 Disease status..............................................................................................................................16
Figure 11 Heard About Hypertension.........................................................................................................17
Figure 12 Knowledge on Hypertension ......................................................................................................17
Figure 13 Communicability of Hypertension .............................................................................................18
Figure 14 Causes of Hypertension..............................................................................................................19
Figure 15 Control Measures of Hypertension.............................................................................................19
Figure 16 Complications of Hypertension..................................................................................................20
Figure 17 Heard About Diabetes ................................................................................................................21
Figure 18 Knowledge on Diabetes..............................................................................................................21
Figure 19 Heard About Gastritis.................................................................................................................23
Figure 20 Knowledge on Gastritis ..............................................................................................................24
Figure 21 Communicability of Gastritis .....................................................................................................24
Figure 22 Control Measure of Gastritis ......................................................................................................25
Figure 23 Death of Family Member in Last 1 Year....................................................................................26
Figure 24 Frequency of Regular Diet .........................................................................................................27
Figure 25 Frequency of Consumption of Green Leafy Vegetables ............................................................28
Figure 26 Frequency of Consumption of Fruits..........................................................................................28
Figure 27 Know About Balance Diet..........................................................................................................29
Figure 28 Response on Balance Diet..........................................................................................................29
Figure 29 Separation of Biodegradable and Non Degradable Waste..........................................................30
Figure 30 Management of degradable waste ..............................................................................................30
Figure 31 Management of Non-Degradable waste .....................................................................................31
Figure 32 Community effort for the management of municipal waste.......................................................32
Figure 33 Community effort for the management of municipal waste.......................................................32
Figure 34 Place of Treatment......................................................................................................................33
Figure 35 Types of social crime..................................................................................................................35
Figure 36 Utilization of services provided by social institutions................................................................35
Figure 37 Satisfaction from Services Provided...........................................................................................36

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Abbreviation
ANC Ante Natal Care
ARI Acute Respiratory Infection
BCG Bacille Calmette-Guerin
BPH Bachelor of Public Health
CHD Community Health Diagnosis
FCHV Female Community health diagnosis
FGD Focus Group Discussion
HP Health Post
ICFP Integrated Concurrent Field Practice
KII Key Informant Interview
MHP Micro Health Project
PLA Participatory Learning Approach
PNC Post Natal Care
RM Rural Municipality

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A. CHAPTER I: INTRODUCTION
Integrated Concurrent Field Practice refers to the identification and quantification of the health
problems in a community in terms of mortality and morbidity rates and ratios and identification
of their correlates for the purpose of defining those individuals or groups at risk or those in need
of health care. It is also used to study the environmental, social and cultural characteristics of the
society. Generally, it is a comprehensive assessment of the health status of the community in
relation to its social, cultural, physical, psychological & environmental conditions. The main
purpose of integrated concurrent field practice is to reveal the main problems affecting the
community, which is based on the information from the survey and observations of the team &
community members.
With integrated concurrent field practice, it is possible to get an initial picture of a community
and its health problems within short period of time. The process of integrated concurrent field
practice involves initial exploration and interaction with the community, planning the survey in
detail, pretesting the methods, executing the survey and analyzing the results. The final task is to
feed these conclusions back to the community and health workers so as to initiate the process of
interpretation for the planning of health services and activities. The focus of integrated
concurrent field practice is on:
 Identification of the basic health needs
 Identification of health problems of the community
 Prioritization of them for community health action
For BPH student ICFP-III is one of the vital philosophies besides problem-based learning.
Accepting these facts, we, Group ‘D’ of BPH 9th batch of Pokhara University were posted in
Pokhara Lekhnath Metropolitan – 27.
A1. Background of Pokhara Lekhnath Metropolitan - 27 Laxmi Adarsha Tole, Kaski
 Province No. 4 (Gandaki Province)
 Kaski District
 Geographical Location: The ward number 27, with spectacular natural beauty lies 8
kilometers east from Pokhara. The borders of ward are as follows:
North: Pokhara Metropolitan City-28
East: Pokhara Metropolitan City-31
West: Pokhara Metropolitan City-14 and 26
South: Pokhara Metropolitan City- 30

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A2. Community Profile:
 Pokhara Metropolitian City- 27, Lakshmi Adarsha Tole
 Major Ethnic Groups: Brahmin, Kshetri, Gurung, Dalit, Magar and Newar
 Language: Nepali, Gurung and Newari
 Main Religion: Hinduism, Buddhism
 Social Organizations:
 Health Posts: 1 (Archale Health Post)
 Industries: 1 (Lake City Mineral Water Pvt. Ltd.)

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A4. Objectives
General Objective
To assess the current health status of the people of Laxmi Adarsha Tole – 27, Pokhara and to
identify their health needs with an appropriate intervention with the cost-effective and available
resources.
Specific Objectives
 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.
B. CHAPTER II: METHODOLOGY
B1. Study Design: Descriptive cross-sectional study was used including both quantitative and
qualitative method for collecting information, mostly quantitative method was used.
B2. Study Area: We conducted one month of community health survey in Laxmi Adarsh Tole –
27, of Kaski district. The area for our survey was randomly selected. The general objective of this
study was to assess the health status of the community people of Laxmi Adarsh Tole -27 in relation
to the social, physical biological and environment factors and help the community people to solve
the problems by their own actions and efforts.
B3. Sample Size: 84 Houses
B4. Study Period: 2 Magh 2075 to 8 Falgun 2075 B.S.
B5. Unit of Analysis: Individuals, households and community are the unit of analysis.
B6. Sources of Data:
Primary Source of Data:
— Household head or family members
— Staffs of ward office
— Health staffs and FCHVs
Secondary Source of Data:
— Institutional Records
— Report of census

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B7. Selection criteria
Inclusion criteria
 Residing at that area for > 6 months.
Exclusion Criteria:
 Children less than 18 years of age were excluded for information on knowledge, attitude and
practice of Diseases and the people residing less than six month in this community were not
included in this study.
 The people immigrated to this community within six months were also excluded in this study.
B8. Data collection Techniques & Tools
Data collection Techniques
Personal Interview:
 Face to face interview was conducted with any one member of each living households of this
community.
Data collection tools:
 Semi- structured and open-ended questionnaire
B9. Data processing and analysis
The collected data were entered in Entry form created in Epidata 3.1 and analyzed in SPSS 16.
During analysis, the findings were expressed in the diagrammatic form as bar diagram, pie chart
and in tabular form as frequency tables. Besides this, qualitative data were presented in narrative
form.
B10. Quality Control and Quality Assurance:
Pretesting of semi-structured questionnaire was conducted to ensure its quality to collect valid
information.
Orientation, supervision and guidance from faculties were also done.
Statistical analysis was done through the use of reliable data entry and analyzing software.
B11. Ethical considerations:
— Approval from Ward Office-27 to conduct the ICFP-III
— Informed consent for each respondents and proxy consent for those unable to give information
— Explanation of purpose, objectives and benefits will be made to all respondents
— Assurance of confidentiality of information
— Freedom and flexibility to respond to any question

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— Dignity of culture, religion, ethnicity, linguistics, indigenous practice will highly be
considered.
B12. Logistics of ICFP-II
Orientation
Orientation program was conducted for seven days.
Pattern of group working
Every members responsible for their own work and decisions are made after group discussions.
However, specific works are assigned to individuals and they had authority for the decision
regarding to that work.

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C. CHAPTER-III: RAPPORT BUILDING
Rapport building is the process of making the healthy relationship with the community people as
far as we can. We contacted the ward president, social workers and some community people who
were renowned in the community. They all got participated in our program and we told them all
about us, who are we? Why we had gone there? What was our objective? When they heard that,
they all were so much happy and the responded us positively. They promised to do anything they
can to make our program successful. Then we travel to different parts of the community observing
the available resources and areas bounded by the ward.
Date: 2075-10-16
Venue: Laxmi Adarsha Tole-27
Objective:
 To build rapport with health care service providers and community people
Description of the Program:
Our group leader gave a brief description of our program and highlighted the objective of our visit.
Community people helped and guided in every step and other group members worked coordinately
to draw health information of the community and provide appropriate intervention. Community
people told everything that was in their locality, from ward office, health post, temples, schools,
chautara, roads, etc. Rapport building helped us in making stronger bond with the community
people and healthcare service providers. The program helped us how to cope with the people with
different views and ideas. It was challenging job but we had fun and our objective was met.

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CHAPTER IV: FINDINGS
Both quantitative and qualitative data are analyzed within different sections of socio-
demographic information, health education, health behaviors, health facilities available, maternal
and child health and health needs of the community. Overall health status can be overviewed
through above mentioned different areas.
4.1. Section A: Socio-Demographic Information:
Socio-demographic information includes different demographic and social aspects such as
occupational status, source of income, religions, and ethnicity and also include educational
status, alcohol consumption, and smoking status, etc. In this section, the findings related to the
socio-demographic information of Laxmi Adarsha Tole are represented:
Table 1 Socio Demographic Information
Socio-demographic characteristic
Frequency (n=84) Percentage (%)
Type of family
Nuclear 43 51.2
Joint 33 39.3
Extended 8 9.5
Total 84 100
Gender
Male 194 49.45
Female 198 50.55
Total 392 100
Source of income
Agriculture 25 29.8
Service (All types) 17 20.2
Business (All Types) 20 23.8
Daily wages 7 8.3
Pension 4 4.8
Foreign labor 6 7.1
Foreign Service 5 6.0
Total 84 100
Monthly Income
<10000 20 23.8
10000-20000 18 21.4
20000-30000 18 21.4

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30000-40000 13 15.5
40000-50000 8 9.5
> 50000 7 8.3
Total 84 100
Religion
Hinduism 73 86.9
Buddhism 10 11.9
Christian 1 1.2
Total 84 100
Ethnicity
Brahmin 54 64.3
Chhetri/Thakuri 8 9.5
Gurung 10 11.9
Magar 2 2.4
Dalit 9 10.7
Others 1 1.2
Total 64 100
Literacy Rate
<25% 2 2.38
25-50% 6 7.14
50-75% 15 17.86
>75% 61 72.62
Total 84 100
Smoking Rate
<25% 77 91.67
25%-50% 5 5.95
50%-75% 2 2.38
>75% 0 0
Total 84 100
Alcoholism Rate
<25% 78 93.56
25%-50% 4 4.06
50%-75% 2 2.38
>75% 0 0
Total 84 100

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In our study 51.2 %(n=43) had nuclear family, 39.3%(n=33) had joint family while remaining
9.5%(n=8) had extended family. We found that 29.8%(n=25) of the respondents were engaged in
agriculture, 20.2%(n=17) in service, 23.8%(n=20) in business, 8.3%(n=7) were dependent in daily
wages, 4.8% (n=4) were dependent in pension, 7.1%(n=6) were engaged in foreign labor and
6.0%(n=5) were engaged in foreign services. Similarly, majority of family followed Hindu 86.9
%(n=73), 11.9% (n=10)followed Buddhism and 1.2% (n=1) followed Christianity. With regard to
ethnicity, 64.3%(n=54) were Brahmin, 9.5%(n=8) were Chhetri, 11.9%(n=10) were Gurung,
2.4%(n=2) were Magar and remaining 10.7%(n=9) were Dalit out of total respondent. Due to
limited sample size of household other minorities’ religion and caste could not be discovered.
4.2. Section B: Social Psychology and Influencing Factors:
This section includes various sociological and psychological and other influencing factors such as
smoking and alcoholism status and different intensities of physical activities that directly or
indirectly influences the health status of population.
Figure 1 Smoking Status
According to the data we collected, we found out that 7% (n=6) people consumed cigarette
whereas the remaining 93% (n=78) did not smoke.
Smokers
7%
Non Smokers
93%
Smoking Status
Smokers Non Smokers

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Figure 2 Influencing Factors
According to our data, we found that among 6 persons smoking, 50% (n=3) said to reduce
anxiety/stress as an influencing factor for smoking, 33.33% (n=2) said addiction as influencing
factor for smoking and 16.67% (n=1) said to give company to friend as an influencing factor for
smoking.
Figure 3 Alcohol Status
Company to Friend
17%
Addiction
33%
To Reduce
Anxiety/Stress
50%
Influencing Factors for Smoking (n=6)
Company to Friend Addiction To Reduce Anxiety/Stress
Alcoholics
7%
Non Alcoholics
93%
Alcohol Status (n=84)
Alcoholics Non Alcoholics

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Among total 84 participants, 7.14% (n=6) were alcoholics and 92.86% (n=78) were non
alcoholics.
Figure 4 Influencing Factors for Alcohol Consumption
Among 6 participants consuming alcohol, 50% (n=3) said company to family members as an
influencing factor for alcohol consumption, 33.33% (n=2) said addiction and 16.67% (n=1) said
company to friends as an influencing factor for alcohol consumption.
Figure 5 Physical Activities
Company to Family
Member
50%
Company to Friends
17%
Addiction
33%
Influencing Factors forAlcohol Consumption (n=6)
Company to Family Member Company to Friends Addiction
Performing
93%
Not Performing
7%
Physical Activities (n=84)
Performing Not Performing

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Among total of 84 participants, 92.9% (n=78) perform physical activities and 7.1% (n=6) do not
perform physical activities.
Figure 6 Intensity of Physical Activities
Among total of 78 participants performing physical activities, 63% (n=49) perform Light
intensity physical activities, 36% perform Moderate intensity physical activities and 1% perform
Vigorous intensity physical activities.
Light Intensity
63%
Moderate Intensity
36%
Vigorous Intensity
1%
Intensity of Physical Activities (n=78)
Light Intensity Moderate Intensity Vigorous Intensity

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4.3. Section C: Epidemiology
This relate to aspects of various diseases and health problems that are prevalent in the
community. In this survey the two major non communicable diseases are studied which are
considered to be the major cause of global morbidity and mortality. The diseases mainly focused
in this study are Diabetes, Hypertension and Gastritis focusing the peoples suffering from these
diseases and studying their present health conditions and their health and lifestyles and
behaviors. Under this section the various findings and results related to these two diseases are
presented and discussed, which are as follows.
Figure 7 Disease Status
Among total 84 participants, 14% (n=12) had diseased person in their family and 86% (n=72)
did not have diseased person in their family.
Table 2 Age of Diseased Person
Diseased
14%
Non Diseased
86%
Disease Status (n=84)
Diseased Non Diseased
Age of Diseased Person Frequency(n) Percentage (%)
<20 1 8.3
20-40 2 16.7
40-60 5 41.7
60-80 3 25.0
>80 1 8.3
Total 12 100.0

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Among total 12 diseased person maximum i.e., 41.7% (n=5) were of age group 40-60 years
followed by the age group of 60-80 years i.e., 25% (n=3).
Figure 8 Sex of Ill Person
Among total of 12 diseased persons, 42% (n=5) were males and 58% (n=7) were females.
Male
42%
Female
58%
Sex of ill person (n=12)
Male Female

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Table 3 Disease Diagnosed
Disease Diagnosed Frequency(n) Percentage(%)
Cancer 1 8.3
Common cold 1 8.3
Diabetes 1 8.3
Fracture 1 8.3
Gastritis 1 8.3
Gout 1 8.3
Heart problem 1 8.3
Jaundice 2 17
Piles 1 8.3
Renal Problems 1 8.3
Viral Fever 1 8.3
Total 12 100.0
According to our survey, we found that higher percentage of people accounted for Jaundice i.e;
17% (n=2) followed by Cancer, Common cold, Diabetes, Fracture, Gastritis, Gout, Heart problem,
Piles, Renal problem, Viral fever, i.e: 8.3% (n= 1).
Figure 9 Disease status
Out of 12 number of people who visited health institution, 42% (n=5) people were recovered
whereas 50% (n=6) people are yet on regular medication and 8% (n=1) people were died.
Recovered
42%
On medication
50%
Death
8%
Disease status (n=12)
Recovered On medication Death

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Figure 10 Heard About Hypertension
In our study, we found that 69%(n=58) people heard about hypertension among 84 household.
Figure 11 Knowledge on Hypertension
Yes
69%
No
31%
Heard About Hypertension (n=84)
Yes No
37
22
19
6
1
0
5
10
15
20
25
30
35
40
Knowledge on Hypertension (MR, n=58)
Increase in blood pressure Heart problem Obese related disease Don’t know Other

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Among 58 people heard about hypertension, 64%(n=37) response hypertension as increase in
blood pressure ,38%(n=22)response as heart problem, 33%(n=19) as obese related disease,
10%(n=6) don’t know about hypertension and 2%(n=1) response hypertension as other like
headache.
Figure 12 Communicability of Hypertension
In our study, 97%(n=56) response hypertension as non-communicable disease and 3% (n=2)
were unknown about communicability.
No
97%
Don’t know
3%
Communicability of Hypertension (n=58)
No Don’t know

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Figure 13 Causes of Hypertension
The data revealed that 34.55%(n=48) said hypertension is due to excessive dietary fats and salts,
17.29%(n=24) said due to mental stress, 16.54%(n=23) said due to genetic, 15.27%(n=21) said
due to smoking/alcohol and tobacco consumption, 13.6%(n=19) said due to lack of physical
activities and the remaining 2.8%(n=4) said they don’t know the causal factor.
Figure 14 Control Measures of Hypertension
According to our study we found that 34.38%(n=48) said that hypertension can be control by low
intake of dietary salts and fats, 24.2%(n=34) said that hypertension can control by prohibition
48
24 23 21 19
4
0
10
20
30
40
50
60
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
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

20
smoke and alcohol and 18.57%(n=26) ,10%(n=14),10.71%(n=15), by Physical activity, avoiding
mental stress, regular health checkup respectively whereas 2.14%(n=3) don’t know any control
measures.
Figure 15 Complications of Hypertension
The data relevant on complication due to hypertension was 31.25%(n=30) are heart attack,
26.24%(n=25) are renal problems, 18.06%(n=18) as eye problems, 15.15%(n=14) as death,
8.2%(n=8) don’t know any complication and 1.1%(n=1) said other like dizziness.
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

21
Figure 16 Heard About Diabetes
In our study community, we found that 64%(n=54) people heard about diabetes among 84
household.
Figure 17 Knowledge on Diabetes
Yes
64%
No
36%
Heard about Diabetes (n=84
Yes No
Increase in blood
glucose level
88%
Don’t know
9%
Others
3%
Knowledge on Diabetes (n=54)
Increase in blood glucose level Don’t know Others

22
Among 54 people heard about diabetes, 88%(n=47) response diabetes as increase in blood
glucose level ,9%(n=5) don’t know about diabetes and 3%(n=2) response diabetes as others.
Table 4 Causes of Diabetes
Causal Factors Frequency(n) Percentage(%)
Excessive intake of sweets and sugary foods 44 46.31
Lack of Physical activity 28 29.47
Genetics 15 15.78
Smoking/Alcohol and tobacco consumption 5 5.26
Don’t know 3 3.18
Total 95 100.0
The data revealed that 46.31%(n=44) said diabetes is due to excessive dietary intake of sweets
and sugary foods,29.47%(n=28) said due to lack of physical activity, 15.78%(n=15) said due to
genetic, 5.26%(n=5) said due to smoking/alcohol and tobacco consumption, and the remaining
3.18%(n=3)% said they don’t know the causal factor.
Table 5 Control Measures of Diabetes
Control measures Frequency(n) Percentage(%)
Fat control 24 18.75
Intake of balance diet 29 22.65
Low intake of sweets and sugary foods 38 29.68
Physical activity 27 21.09
Prohibition of smoking and alcohol 8 6.25
Don’t know 2 1.58
Total 128 100.0
According to our study we found that 29.68%(n=38) said that diabetes can be control by low
intake of sweets and sugary foods, 22.65%(n=29) said that diabetes can control by intake of
balance diet, 21.09%(n=27) said that diabetes can control by physical activity, 18.75(n=24) said
that diabetes can control by fat control, 6.25%(n=8) said that diabetes can control by prohibition
of smoke and alcohol where as 1.58%(n=2) don’t know any control measures.
Table 6 Complications of Diabetes
Complication due to Diabetes Frequency(n) Percentage(%)
Eye problems 20 22.22
Delayed healing of wounds 32 35.55
Renal problem 17 18.88
Death 9 10
Others 1 1.11

23
Don’t know 11 12.24
Total 90 100.0
The data relevant on complication due to diabetes was 35.55%(n=32) are delayed healing of
wounds, 22.22 %(n=20) are eye problems, 118.88%(n=17) as renal problems, 12.24%(n=11)
don’t know any complication and 1.11%(n=1) said other complication like liver problem.
Figure 18 Heard About Gastritis
In our study, we found that 83%(n=70) people heard about gastritis among 84 household.
Yes
83%
No
17%
Heard about gastritis (n=84)
Yes No

24
Figure 19 Knowledge on Gastritis
Among 70 people heard about gastritis, 48.06%(n=62) response gastritis as excessive intake of
spicy foods ,26.35%(n=34)response as not taking meal on time, 20.15%(n=26) response as
fasting and 5.44%(n=7) response as mental stress.
Figure 20 Communicability of Gastritis
In our study, 99%(n=69) response gastritis as non-communicable disease.
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
Yes
1%
No
99%
Communicability of Gastritis
Yes No

25
Table 7 Complications Due To Gastritis
Complication due to Gastritis Frequency(n) Percentage(%)
Heart Burn 40 24.24
Nausea 38 23.03
Loss of appetite 29 17.57
Water brash 50 30.32
Laziness 8 4.84
Total 165 100.0
The data relevant on complication due to gastritis are 30.32%(n=50) is heart burn, 24.24%(n=40)
is 40, 23.03%(n=38) is nausea, 17.57%(n=29) is loss of appetite, 4.84%(n=8) is laziness.
Figure 21 Control Measure of Gastritis
According to our study we found that 66.9%(n=69) said that gastritis can be control by avoiding
excessive intake of spicy food, 19.41%(n=20) said that gastritis can control by avoiding smoking
and alcohol and 13.69%(n=14) said by avoid fasting when ill.
69
20
14
0
10
20
30
40
50
60
70
80
Control measures
Control Measures of Gastritis (n=70)
Avoiding excessive intake of spicy foods Avoiding smoking and alcohol Avoid fasting when ill

26
Figure 22 Death of Family Member in Last 1 Year
According to our study we found that death in family within 1 year was 5% (n=4) and 95%
(n=80) said no death occur within 1 year in their family.
Yes
5%
No
95%
Death in family within 1 year (n=84)
Yes No

27
4.4. Section D: Health Promotion and Education
This section relates to various aspects of health promotion and education like diets and nutrition,
waste disposal and their impacts on health conditions of individuals and community as a whole.
This also relates to various beliefs and concepts regarding health educations and its proper
utilization in individual and community level for the promotion of health status of individuals
and community as a whole. The real situation of the health promotion and educations are as
follows:
Figure 23 Frequency of Regular Diet
In our survey among 84 household, majority of people i.e. 74%(n=62) eat food thrice a day,
whereas least people i.e 11%(n=9) eat food more than 3 times a day and 15% (n=13) take food
twice a day.
Table 8 Contents in Regular Diet
Content in regular Diet Frequency(n) Percentage (%)
Rice 84 26
Pulse 84 26
Vegetable 84 26
Dairy products 31 9
Meat and Fishes 19 6
Tortilla/Roti 12 4
Pickles 9 3
Total 323 100
In our survey among 84 households, majority of the people eat rice ,vegetable ,pulses as their
daily diet.
2 times
15%
3 times
74%
more than 3 times
11%
Normal frequency of regular fooding(n=84)
2 times 3 times more than 3 times

28
Figure 24 Frequency of Consumption of Green Leafy Vegetables
In our survey among 84 household, we found that majority of people i.e. 92% (n=77) consume
vegetable always, whereas least people i.e. 3%(n=3) consume vegetable sometimes.
Figure 25 Frequency of Consumption of Fruits
In our survey among 84 households, we found that majority of people i.e. 36.9%(n=31) consume
fruits sometimes, whereas least people i.e. 15.5%(n=13) consume fruits occasionally.
Always
92%
Sometimes
3%
Seasonally
5%
Consumption of greenleafy vegetable(n=84)
Always Sometimes Seasonally
31
24
16
13
0
5
10
15
20
25
30
35
Sometimes seasonally Always Occasionally
Consumption of Fruits(n=84)
Sometimes seasonally Always Occasionally

29
Figure 26 Know About Balance Diet
In our survey among 84 household, majority of people i.e. 65.5%(n=55) know about balanced
diet whereas remaining 34.5%(n=29) people don't know about balanced diet.
Figure 27 Response on Balance Diet
Yes
65%
No
35%
Know about balanced diet(n=84)
Yes No
Daal , bhat ,tarkari
23%
Food with all the
nutrients
53%
What we eat
24%
Response on Balanced Diet (n=55)
Daal , bhat ,tarkari Food with all the nutrients What we eat

30
In our survey among 55 people, who know about balanced diet majority of people i.e. 52.7%
(n=29) said that balanced diet means food with all nutrients whereas least people i.e. 23.6%
(n=13) said its all about what we eat.
Figure 28 Separation of Biodegradable and Non Degradable Waste
In our survey among 84 household, majority of people i.e. 95%(n=80) separate degradable and
non-degradable waste ,whereas remaining 5%(n=4) don't separate.
Figure 29 Management of degradable waste
Yes
95%
No
5%
Separation of Biodegradable Waste and Non Degradable
Waste(n=84)
Yes No
63
40
12
0
10
20
30
40
50
60
70
Burrying compost manure Feeeding livestocks
Management of degradable waste (MR, n=115)
Burrying Compost manure Feeding livestocks

31
Among the people who separate both degradable and non-degradable waste, Most of people
i.e.55%(n=63) manage degradable waste by burying whereas least of them i.e.10%(n=12)
manage it by feeding livestock.
Figure 30 Management of Non-Degradable waste
Among the people, Who separate both degradable and non-degradable waste, Most of people i.e.
88%(n=80) manage non -degradable waste by municipal waste management whereas remaining
12%(n=11) manage it by incineration.
Municipal waste
management
88%
Incineration
12%
Management of Non-Degradable waste (MR,n=91)
Municipal waste management Incineration

32
Figure 31 Community effort for the management of municipal waste
In our survey among 84 household, Majority of people i.e. 87%(n=73) said that ,There is
combined community effort for the management of municipal waste where remaining
13%(n=11) said there isn't.
Figure 32 Community effort for the management of municipal waste
Public dustbin
15%
Municipal vechile
85%
Community effort for the management of municipal
waste(n=73)
Public dustbin Municipal vechile
Yes
87%
No
13%
Combined community effort for the management of
muncipal waste(n=84)
Yes No

33
Among 73 household, Who said there is combined effort of community for the management of
municipal waste , we found that majority i.e.85%(n=62) people said that there is facility of
municipal vehicle whereas, remaining 15%(n=11) said that there is facility of public dustbin.
4.5. Section E: Health Service Management
This section includes various information about people's knowledge on Health Service
management and their implications in local community level in their impacts on health. The
detailed information on health service management are discussed below in detail.
Figure 33 Place of Treatment
In our study among 84 household, majority of people i.e. 87%(n=73) go health facility(all type)
for treatment whereas remaining 13%(n=11) go clinic for their treatment.
Health facilities (all
type)
87%
clinic
13%
Place of treatment(n=84)
Health facilities (all type) clinic

34
Table 9 Satisfaction from services
Satisfaction from services Frequency(n) Percentage (%)
Satisfied 51 60.7
Unsatisfied 17 20.2
Neutral 8 9.5
Fully unsatisfied 6 7.1
Fully satisfied 2 2.4
Total 84 100.0
In our survey among 84 household, majority of people i.e 60.7(n=51) are satisfied with the
facility provided by health services, whereas 20.2 %(n=17) are unsatisfied.
4.6. Section F: Social Problems
This section includes various information regarding social psychology and social crimes
prevalent within the community and their possible solutions. The detailed information
concerning about social problems are discussed below in detail.
Table 10 Social crime within last 6 months
In our survey among 84 household, only 7% (n=6) people said that, there occurred social crime
within last 6 month.
Yes
7%
No
93%
Social crime within last 6 months (n=84)
Yes No

35
Figure 34 Types of social crime
Among 6 people , 83%(n=5) people said that there occur thief/robbery whereas rest of them i.e.
17%(n=1) said there occur quarrel/fights.
Figure 35 Utilization of services provided by social institutions
Thief/ Robbery
83%
Quarrel/ Fights
17%
Types of social crime (n=6)
Thief/ Robbery Quarrel/ Fights
Yes
86%
No
14%
Utilization of services provided by social institution (n=84)
Yes No

36
In our survey among 84 household, majority of people i.e. 85.7%(n=72) utilize the service
provided by the social institution whereas, remaining 14.3%(n=12) don't utilize.
Figure 36 Satisfaction from Services Provided
Among the people who utilize the service provided by social institution (n=72) majority of
people i.e 67%(n=56) people were satisfied with the service provided by social institution
whereas remaining 33%(n=28) were not satisfied.
4.7. Section G: Observation Checklist
This section includes the various observations like type of house, surrounding environment,
environmental sanitation which were directly observed during the process of data collection and
analyzed on the basis of standard guidelines. The detailed information on observation checklist
are as follows:
Yes
67%
No
33%
Satisfaction from service provided (n=84)
Yes No

37
Table 11 Observation Checklist
Observation Checklist
Frequency Percentage (%)
Type of House
Temporary 19 22.6
Permanent 65 77.4
Total 84 100
Main Fuel for
Cooking
LP Gas 77 91.7
Biogas 3 3.6
Traditional Stove 3 3.6
Modern/Smokeless Stove 1 1.2
Total 84 100
Surrounding
Environment
Around House
Very Clean 12 14.3
Clean 70 83.3
Stagnant Water 2 2.4
Total 84 100
Kitchen and Living
Room
Together 7 8.3
Separate 77 91.7
Total 84 100
Type of Latrine
Water Seal 82 97.6
Bore Hole 1 1.2
Dugwell 1 1.2
Total 84 100
Availability of Water
in Latrine
Available 84 100
Total 84 100
Availability of Soap
in Latrine
Available 83 98.8
Not Available 1 1.2
Total 84 100
Presence of Shed
Present 23 27.4
Absent 61 72.6

38
Total 84 100
Location of Shed
Attached to House 5 21.7
Separate from House 18 78.3
Total 84 100
Overcrowding
Yes 15 17.9
No 69 82.1
Total 84 100

39
CHAPTER V: COMMUNITY PRESENTATION AND INTERVENTION
Introduction
After the completion of data collection, analysis and interpretation, it was essential for us to
inform the relevant findings to the community people, in order to let them know about what sort
of situation is prevailing and about intervention that they need to adopt to solve the problems.
For this, a community presentation was thus planned and organized. Community people and
important stakeholders were called for the participation in the project.
Goal
To explain about knowledge on health problems and behavioral status to the community people
where we visited and conducting awareness for the intervention of problems.
General Objective
 To aware the community people of Laxmi Adarsha Tole about knowledge on health
problems, behavioral status.
Specific Objective
 To educate community people with adequate knowledge on Hypertension, Diabetes and
Gastritis;
 To aware people about healthy food habits;
 To make people aware about waste management methods;
 To sensitize community people about social problems ;
 To sensitize people about the responsibilities and the works done by the social
organization of their community;
 To create general awareness on overcrowding.
Activities
COMMUNITY
PRESENTATION
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

40
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
and
Audio
Visual
Aids
Schedule of the Presentation
Date of program 2075/11/06
Venue of program Mother' Group Community Building
Tools of presentation Charts, Flip Chart, Flash Cards and IEC material
Time 11:30 am
Chairman Rakshya Ghimire
Number of participants 31
Chief guest Buddhi Maya Rijal
Special Guest Fchv, Ms. Kalpana Poudel
Guest Chairperson of Mother's Group, Ms. Mina Timilsina
Announcer Sajan Ghimire
Introduction By every members of group
Socio Demographic Info. Deepa Khanal
Social Psychology and Risk
Factors
Sajan Ghimire
Epidemiology Mahima Sharma Dhungana
Health Education Sudip Dhungel
Health Service Management Aakriti Lamsal

41
Social Problems Rakshya Ghimire
Observation Checklist Aakriti Lamsal
Speech I Chairperson of Mother's Group Ms. Laxmi Poudel
Speech II FCHV Ms. Kalpana Poudel
Speech IV Ward Membere Ms. Buddhi Maya Rijal
Closing speech Rakshya Ghimire
Subject Matters Presented
 Socio-Demographic Findings
 Social Psychological and Risk Factors Findings
 Epidemiological Findings
 Health Education Findings:
 Nutrition Related Findings
 Waste Management Related Findings
 Health Service Management Findings
 Social Problems Findings
 Checklist
Intervention:
 The intervention was conducted so community people can develop with adequate
knowledge and skills for uplifting of health problems.
 Monitoring of Blood Pressure was done
 Role Play was conducted on Uterine Prolapse as most of the people were suffering from
it.
Date of program 2075/11/06
Venue of program Mother' Group Community Building
Tools of presentation Charts, Flip Chart, Flash Cards and IEC material
Time 11:30 am
Chairman Rakshya Ghimire
Number of participants 31

42
Chief guest Buddhi Maya Rijal
Guest Fchv, Ms. Kalpana Poudel
Guest Chairperson of Mother's Group, Ms. Mina Timilsina
Special Guest Bph Program Coordinator, PU, Mr. Nanda Ram
Gahatraj
Special Guest Mentor, Prof. Dr. Arun Kumar Koirala
Announcer Sajan Ghimire
Introduction By every members of group
Intervention I Rakshya Ghimire
Intervention II Sajan Ghimire
Intervention III Mahima Sharma Dhungana
Intervention IV Bikash Dangaura
Intervention V Aakriti Lamsal and Deepa Khanal
Speech I Chairperson of Mother's Group Ms. Laxmi Poudel
Speech II Chairperson of Shantinagar MOthers Group, Ms. Mina
Timilsina
Speech III FCHV Ms. Kalpana Poudel
Speech IV BPH Program Coordinator, SHAS, PU, Nanda Ram
Gahatraj
Speech V Mentor, Prof. Dr. Arun Kumar Koirala
Speech VI Ward Member Ms. Buddhi Maya Rijal
Closing speech Rakshya Ghimire
Evaluation of community presentation and Intervention
We examined the presentation program in order to determine whether it has gained its goal and
objective from which effectiveness of our program can be measured. After completion of program,

43
we asked the participants of programs and knew about how they felt about the program conducted.
We found very positive response from them and they sounded so happy about the conduction of
program in their community for them. Also, they claimed that they would be very happy if such
program will be conducted in their community on regular basis.
The program was concluded in about one and half hour and we thanked them for their help and
cooperation on every step of our program. After snacks distribution with their blessings we
departed from the venue.

44
CHAPTER VI: CONCLUSION
Pokhara ward no.27 is a naturally profuse and geographically diversified place. Various ethnic
groups reside here harmoniously sharing their cultures and traditions. A remarkable number of
population here are educated, where both the male and female population have equal opportunity
towards education. Majority of the population here rely upon agriculture and business for
livelihood.
A large number of residents of Laxmi adharsha tole are committed towards good hygiene and
sanitary practices; both individual and community level actions are made for waste management.
Asides a few, majority of population followed good dietary patterns and low high risk behavior
to remain healthy.
The level of awareness and health education on diseases like hypertension, diabetics, and
gastritis was found satisfactory. Although a good knowledge on these diseases significant
numbers of populations were found morbid due to these diseases. For management of these
problems individuals are recommended to change their knowledge into action and health
institutes are recommended to provide more patient oriented health service.
We also tried to find out the real needs of the community and after prioritization we provided a
health education on uterine prolapse and reproductive health to the participant mothers in our
health intervention program.

45
CHAPTER VII: RECOMMENDATIONS
Recommendations for health institution
 Patient oriented health services should be provided irrespective of their case, race, sex,
age or economic classes.
 Sufficient essential drugs must be kept at store.
 Regular health camps can be conducted.
 Additional recruitment of experienced health service providers can be done.
Recommendations for governmental and local organizations
 Skill based trainings should be conducted focusing on disadvantaged groups and house
wives.
 Dustbins should be installed beside the road at different locations for easy waste
management.
Recommendations for community
 People should transform their health knowledge into practice.
 Proper utilization of available health in their locality.
 Families must improve their lifestyles for controlling hypertension.

46
CHAPTER VIII: ANNEXES
Questionnaire
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A2 kl/jf/sf] cfDbfgLsf] d'Vo >f]t M
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(INTEGRATED CONCURRENT FIELD PRACTICE-III)
@)&%

47
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48
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%= 5'§} ^= cljjflxt t/ ;+u} a:g] )= cg'ko"Qm
z}lIfs :t/ M )= lg/If/ != cgf}krfl/s @= cfwf/e't #= dfWolds
$= :gfts %= :gftsf]Q/ jf ;f] eGbf dfly
k]zf M != s[lif @= ;]jf -hflu/_ #= >lds $= Jofkf/
%= a}b]lzs dHb'/ ^= a}b]lzs ;]jf &= cGo -v'=_ ============== )= NA
dBkfg÷w'd|kfg M != u5{' @= ulb{g #= cg'ko'Qm
v08 @ M;fdfhLs dgf]lj1fg / sf/s tTj
B1 s] tkfO{n] w'd|kfg ug{' x'G5 < != u5'{ @= ulb{g (If no, go to B3)
B2 tkfO{n] w'd|kfg lsg ;]jg ug'{x'G5<
s= 3/sf cGo ;b:onfO{ ;fy lbgnfO{ != xf] @= xf]O{g
v= ;fyL efO{nfO{ ;fy lbg != xf] @= xf]O{g
u= nt a;]/ jf gvfO{ gx'g] eP/ != xf] @= xf]O{g
3= lrGtf sd ug{ != xf] @= xf]O{g
ª= cGo -v'=_ ================
B3 s] tkfO{n] dfbs kbfy{ ;]jg ug{' x'G5 < != u5'{ @= ulb{g (If no, go to B5)
B4 tkfO{n] dfbs kbfy{ lsg ;]jg ug'{x'G5<
s= 3/sf cGo ;b:onfO{ ;fy lbgnfO{ != xf] @= xf]O{g
v= ;fyL efO{nfO{ ;fy lbg != xf] @= xf]O{g
u= nt a;]/ jf gvfO{ gx'g] eP/ != xf] @= xf]O{g
3= lrGtf sd ug{ != xf] @= xf]O{g

49
ª= cGo -v'=_ ================
B5 s] tkfO{ zfl/l/s lqmofsnfk ug'{x'G5 < != u5'{ @= ulb{g
B6 olb ug{'x'G5 eg] s'g zf/Ll/s lqmofsnfk ug'{x'G5 <
!. Light intensity Physical activity
@. Moderate intensity Physical activity
#. Vigorous-intensity Physical activity
Vf08 M # M Olkl8dLof]nf]hL
C1 ljut Ps jif{df tkfO{Fsf] kl/jf/df s'g} jRrfsf] hGd ePsf] 5 <
!= 5 -5 eg] ===============hgf_ @= 5}g
C2 laut ^dlxgfdf tkfO{ cyjf tkfO{sf] kl/jf/sf cGo sf]xL ;b:o la/fdL x'g' ePsf] lyof] <
!= lyof] @= lyPg
C3 olb tkfO{sf] kl/jf/df of] ^ dlxgf leq sf]xL la/fdL x'g' ePsf] lyof] eg] ljj/0f lbg'xf];M
S No lj/fdLsf] gfd lnË pd]/ /f]usf] ljj/0f pkrf/ u/]sf] 7fFp xfn /f]usf] l:ylt
C4 tkfO{Fn] pRr /Qmrfk (Hypertension) sf] af/]df ;'Gg'ePsf] 5 <
!= 5  k|Zgx? ;f]Wb} hfg'xf]; . @= 5}g  C5 df hfg'xf]; .
C4a pRr /Qmrfk eg]sf] s] xf] <
!=d'6'sf] ;d:of x'g' @= df]6f]nfO{ nfUg] /f]u #= z/L/df /utsf] rfk ;dfGo eGbf al9 x'g]
$=cGo -v'=_ ================= %= yfxf 5}g

50
C4b pRr /Qmrfk ;?jf /f]u xf] <
!=xf] @= xf]O{g #= yfxf 5}g
C4c pRr /Qmrfk u/fpg ;Sg] sf/s tTjx? s] s] x'g < (MR)
!=j+zf0f'ut @= g'g÷lrNnf] w]/} vfgfn] #= dfgl;s tgfjn] $= zfl//Ls cEof; gugf{n]
^= w'd|kfg÷ dBkfg÷;'tL{÷u'6vf ;]jg ugf{n]
&= cGo -v'=_ ==========
*= yfxf 5}g
C4d pRr /Qmrfksf] /f]syfd tyf lgoGq0f s;/L ug{ ;lsG5 < (MR)
! =g'g÷lrNnf] yf]/} vfg]
@= w'd|kfg÷ dBkfg÷;'tL{÷u'6vf ;]jg gug]{
#= zfl//Ls cEof; ug]{
$= dfgl;s tgfj glng]
%= lgoldt :jf:Yo hfFr ug]{ ^= cGo -v'=_ ========================== &= yfxf 5}g
C4e pRr /Qmrfk ePkl5 x'g;Sg] :jf:Yo ;DaGwL hl6ntfx? s] s] x'g < (MR)
!= cfFvfdf uDeL/ ;d:of jf cGwf] @= d[uf}nfsf] ;d:of #= xf6{ c6ofs $= d[To'
%= cGo -v'=_================== ^= yfxf 5}g
C5 dw'd]x jf ;'u/ (Diabetes) af/] ;'Gg'ePsf] 5 <
!= 5  k|Zgx? ;f]Wb} hfg'xf]; . @= 5}g  C6 df hfg'xf]; .
C5a dw'd]x eg]sf] s] xf] < (MR)
!= df]6f]nfO{ nfUg] /f]u @= zl//df lrgLsf] dfqf a9L ePsf] #= cGo -v'=_ ================= $= yfxf 5}g
C5b dw'd]x ;?jf /f]u xf] <
!= xf] @= xf]O{g #= yfxf 5}g
C5c dw'd]x /f]u nfUg'sf sf/0f s] s] x'g < (MR)

51
!=ld7fO{ jf u'nLof] a9L vfgfn] @= zfl//Ls cEof; gugf{n] #=j+zf0f'ut $= w'd|kfg÷
dBkfg÷;'tL{÷u'6vf ;]jg
%=cGo -v'=_ ========================================== ^= yfxf 5}g
C5d dw'd]x /f]usf] /fsyfd tyf lgoGq0fsf pkfox? s] s] x'g < (MR)
!=df]6f]kg 36fpg @=;Gt'lnt ef]hg ug]{ #= ld7fO{ jf u'nLof] sd vfg] %=lgoldt zfl//Ls cEof; ug]{
^= w'd|kfg÷ dBkfg÷;'tL{÷u'6vf ;]jg gug]{ &=cGo-v'=_ ========================== *= yfxf 5}g
C5e dw'd]x ePkl5 x'g :jf:Yo ;DaGwL hl6ntfx? s] s] x'g < (MR)
!= cfFvfsf] uDeL/ ;d:of @= 3fp ;dodf gLsf] gx'g] #= d[uf}nfsf] ;d:of x'G5 $= d[To'
%= cGo -v'=_ ================== ^= yfxf 5}g
C6 tkfO{Fn] Uof:6«fO{l6;sf] af/]df ;'GGf'ePsf] 5 <
!_ 5 @_ 5}g - olb 5}g eg] C7 df hfg'xf];_
C6a olb ;'Gg'ePsf] 5 eg], Uof:6«fO{l6; s] sf/0fn] x'G5 < -ax'pQ/_
!_ lrNnf], lk/f], d;nfbf/ vfgf vfgfn] @_ ;dodf vfgf gvfgfn] #_ dfgl;s tgfj
$_ vfln k]6 jf j|t a:gfn] %_ cGo ^_ yfxf 5}g
C6b Uof:6«fO{l6; Ps JolTfmaf6 csf]{ JolTfmdf ;5{ ls ;b}{g <
!_ ;5{ @_ ;b}{g #_ yfxf 5}g
C6c Uof:6«fO{l6; ePdf s:tf] nIf0f b]vf kb{5g < -ax'pQ/_
!_ d'6' b'Vg] / kf]Ng] @_ jfsjfsL nfUg] #_ vfg dg gnfUg' $_ d'vdf cldnf] kfgL cfpg]
%_ cN5L nfUg] %_ cGo============= ^_ yfxf 5}g
C6d Uof:6«fO{l6;af6 s;/L aRg ;lsG5 < -ax'pQ/_
!= lrNnf], lk/f], d;nfbf/ vfgf gvfg] @= dBkfg / w'd|kfg gug]{ $= :jf:Yo l7s 5}g eg] j|t ga:g]
%= cGo -v'_==================== ^= yfxf 5}g
C7 ljut Ps jif{df tkfO{Fsf] kl/jf/df s;}sf] d[To' ePsf] 5 <
!= 5 -=================hgf_ @= 5}g -olb 5}g eg] k|= g+= D1 df hfg'xf];_

52
v08 $ M :jf:Yo lzIff
kf]if0f ;DaGwL
D1 ;fdfGotf tkfO{sf] kl/jf/sf] b}gLs vfglkg slt k6s x'G5<
!_ @ k6s @_ # k6s #_ # k6seGbf a9L
D2 ;fdfGotf tkfO{sf] kl/jf/sf] b}lgs vfglkgdf s]–s] k|of]u ug'{x'G5< -ax'pQ/_
!_ eft @_ bfn #_ t/sf/L $_ /f]6L %_ crf/
^_ df5fdf;' &_ b'wbxL *_ cGo-v'nfpg]_==================
D3 tkfO{sf] kl/jf/df vfglkgsf nflu xl/of] ;fu;AhL sltsf] dfqfdf k|of]u x'g] ub{5<
!_ ;w}+ @_ slxn]sfxL+ dfq #_ lj/n} $_ df};dcg';f/ %_ slxNo} gvfg]
D4 tkfO{sf] kl/jf/df vfglkgsf nflu kmnkm"n -df};dcg';f/_ sltsf] dfqfdf k|of]u x'g] ub{5<
!_ ;w}+ @_ slxn]sfxL+ dfq #_ lj/n} $_ df};dcg';f/ %_ slxNo} gvfg]
D5 tkfO{+nfO{ ;Gt'lnt ef]hgsf] af/]df yfxf 5 <
!_ 5 @_ 5}g
D6 obL yfxf 5 eg] ;Gt'lnt ef]hg eg]sf] s] xf]<
!_ bfn, eft, t/sf/L xf]
@_ z/L/nfO{ cfjZos kg]{ kf]ifs tTjx? ePsf] vfgf
#_ xfdLn] h] vfG5f}+ ToxL
$_ cGo -v'nfpg'xf];_=================
kmf]xf]/ Joj:yfkg ;DaGwL
D10 tkfO{+n] 3/jf6 lgl:sPsf] s'lxg] / gs'lxg] kmf]xf]/x? 5'§ofpg] ug{'ePsf] 5<
!_ 5 @_ 5}g
D11 s'lxg] kmf]xf]/nfO{ s;/L Joj:yfkg ug'{x'G5< -ax'pQ/_
!_ vfN6f]df uf8g] @_ dn agfpg] #_ ufO{a:t'nfO{ lbg] $_ cGo -v'nfpg]_========================
D12 gs'lxg] kmf]xf]/nfO{ s;/L Joj:yfkg ug'{x'G5<

53
!_ hnfP/ @_ kmf]xf]/ kmfNg] uf8Ldf xfNg] #_vf]nfdf kmfNg]÷aufpg]
D13 tkfO{sf] ;d'bfodf lgl:sg] b}lgs ?kdf lgl:sg] kmf]xf]/ Joj:yfkgsf nflu ;+o'St ?kdf s]xL sfo{ u/LPsf] 5<
!_ 5 @_ 5}g -5}g eg] E1 df hfg'xf];_
D14 obL 5 eg] 5 eg] s]–s] Joj:yf u/LPsf] 5< -ax'pQ/_
!_ 7fpF7fpFdf efF8f /flvPsf] 5 @_ d=g=kf= sf] kmf]x]/sf] uf8L cfpF5 #_ cGo -v'nfpg]_================
v08 %: :jf:Yo ;]jf Joj:yfkg
E1 tkfO{sf] kl/jf/sf ;b:ox? lj/fdLkbf{ w]/}h;f] sxFf hfg'x'G5 < -ax'pQ/_
!= :jf:Yo ;+:yf -;a} k|sf/sf_ @= j}B -k/Dk/fut j}1flgs_ #= cf}ifwL k;n÷lSnlgs
$= wfdL÷emfFqmL %= cGo -v'_ =============================
E2 tkfO{Fsf] ;d'bfodf /x]sf] :jf:Yo ;+:yfaf6 pknAw x'g] ;]jfx?af6 slQsf] ;Gt'i6 x'g'x'G5 <
!= k"0f{ ?kdf c;Gt'i6 @= c;Gt'i6 #= t6:y
$= ;Gt'i6 %= k"0f{ ?kdf ;Gt'i6
E3 tkfO{ cfkm' :j:Yf /xg s]s:tf sfo{x? ug{'x'G5 <
==========================================================================================================================================================
==========================================================================================================================================================
v08 ^ M;fdflhs ;d:of
F1 uPsf] ^ dlxgfleqdf tkfO{sf] ;d'bfodf s'g} k|sf/sf] ;fdflhs ck/fw 36]sf 5g <
!=5g @= 5}gg -obL 5}g eg] F4 df hfg'xf];_
F2 obL 5g eg] tL s]s] x'g <
!=rf]/L÷ 8s}tL @= dlxnf lx+;f #=sn÷ emu8f
$=afnzf]if0f %=cGo
F3 tkfO{+sf] ljrf/df tL ck/fwx?÷;d:ofx? Go"gLs/0f ;dfwfg ug{sf nfuL s]–s:tf sfo{x? ePsf 5g <
!= k'nL; k|zf;g4f/f sfg'gL sf/jfxL

54
@= ;/sf/L÷ u}/;/sf/L ;+3 ;+:yf4f/f cfjZos kxn
#= ;fdflhs ;d'x h:t} cfdf ;d"x, o'jfSna 4f/f cfjZos kxn
$= hgr]tgfd'ns sfo{qmd
%= cGo===========================
F4 tkfO{sf] ;d'bfodf ePsf ;+3;+:yfx?jf6 lbOg] ;]jf ;'ljwfx? k|fKt ug'{ePsf] 5 <
!= 5 @= 5}g
F5 s] tkfO{ cfkmgf] ;d'bfosf tL ;+3 ;+:yfaf6 kfOPsf ;'lawfx?jf6 ;Gt'i6 x'g'x'G5 <
!= 5' @= 5}g
F6 obL ;Gt':6 x'g'x'Gg eg], tL ;+:yfx?sf] sfo{ ;'wf/ ug{ s] ug{ ;lsG5 <
!=xfnsf] gLlt÷lgodx?sf] sfof{Gjog @=lgoldt lgu/fgL #= cGo
F7 tkfO{sf] ;d'bfodf ePsf ;d:ofx?sf] Go'gLs/0fsf] nfuL ;+3;+:yfx?sf] s:tf] lhDd]jf/L bfloTj /x]sf] 5 <
!=hgr]tgfd"ns sfo{qmd @= l;kd"nstflnd ÷sfo{qmd #= cGo
F8 tkfO{Fsf] ;d'bfosf] ;d:ofx?sf] ;dfwfgsfnflu s] tkfO{n] s] s:tf sfo{x? ug'{ePsf] 5 <
!= cfly{s ;xof]u @= ;fdflhs sfo{x?df ;+nUgtf b]vfP/
#= ;d'bfosf dflg;x?nfO{ r]tgf / pTk|]/0ff a9fP/ $= cGo
%= s]lx klg ulb{g
CHECKLIST
! 3/sf] k|sf/
!= sRrL  @= kSsL 
@ r'Nxf]sf] k|sf/
!= k/Dk/fut r'Nxf]  @= cfw'lgs÷w'jfF/lxt r'Nxf]  #= Pn kL Uof+;  $ uf]a/ Uof+; 
# 3/ j/k/sf] jftfj/0f
!= w]/} /fd|f] ;kmf  @= dWod ;kmf  #= kfgL hd]sf] 7fp+  $= kmf]xf]/ 

55
tYofÍ ;+sng sfo{df ;xefuL eP/ ;xof]u ug'{ ePsf]df w]/} w]/} wGojfb .
$ efG;f sf]7f / ;'Tg] sf]7f
!= ;+u}  @= 5'§f5'§} 
% rkL{sf] k|sf/
!= jf6/ ;Ln  @= af]/–xf]n  #= 8uj]n  $= eL=cfO{=kL= 
^ rkL{df kfgLsf] Jj:yf
!= 5  @= 5}g 
& rkL{df xftw'g] ;fa'g
!= 5  @= 5}g 
* uf]7
!= 5  @= 5}g 
( obL uf]7 5 eg]
!= 3/ leq}  @= 3/ ;+u hf]l8Psf]  #= 3/ eGbf 5'§} 
!) sf]7fsf] ;+Vof kl/jf/sf] ;b:o ;+Vof
!  @ 
@  # 
#  % 
$  & 
%  !) 
% eGbf a9L  !) eGbf a9L 
Overcrowding Yes  No

56
Action Plan
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)

57
Photos
Group Leader Rakshya Ghimire Collecting Data
Group Member Deepa Khanal Collecting Data

59
Group Members Bikash Dangaura and Sudip Collecting Data
Group Members Bikash Dangaura and Sudip Dhungel Collecting Data
Group Members Sajan Ghimire and Mahima Sharma Dhungana Preparing Charts for
Community Presentation

60
Group Members Sudip Dhungel and Aakriti Lamsal Preparing Charts for Community Presentation
Group Member Bikash Dangaura Preparing Charts for Community Presentation

63
Mentor Prof. Dr. Arun Kumar Koirala Speaking on Healthy Lifestyles in community Intervention
Group Member Bikash Dangaura measuring Blood Pressure in Community Intervention Program

64
Community People and SHAS representatives attending Community Intervention Program
Group Picture after the completion of Program

Integrated Concurrent Field Practice Report

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