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08/03/14

Kamineni academy of Medical sciences and Research Centre.

1
Dr. Sunil Pal Singh.C MBBS, MD
Assistant professor
Dept Of Community Medicine
Kamineni Academy of Medical sciences and research centre.

08/03/14

Kamineni academy of Medical sciences and Research Centre.

2
“The secret of national health lies in the
homes of people”.

- Florence Nightingale

08/03/14

Kamineni academy of Medical sciences and Research Centre.

3
Family: The family is group defined by a sex
relationship precise and enduring to provide
for procreation and up brining of children
Maclver

08/03/14

Kamineni academy of Medical sciences and Research Centre.

4
As a cultural unit, family reflects culture of wider
society of which it forms a part and determines the
behaviour and attitudes of its members.

08/03/14

Kamineni academy of Medical sciences and Research Centre.

5
The Family
It is a group of people who are related by blood or
marriage or adoption and living together and

eating from a common kitchen.

08/03/14

Kamineni academy of Medical sciences and Research Centre.

6
Family :

Biological unit
Social unit
Cultural unit
Epidemiological unit

Unit for providing social services
Unit for providing comprehensive medical care.
08/03/14

Kamineni academy of Medical sciences and Research Centre.

7
Stages of Family Formation:
PHASES

EVENTS
Beginning

End

I. Formation

Marriage

Birth of 1st C

II. Extension

Birth of 1st C

B. of last C

III. comp Ex

B. Of last C

1st C leaves

IV. Contraction

1st C leaves home

Last C leaves home

V. Completed
Contraction

Last C leaves home
of parents

1st spouse dies

VI. Disolution

1st spouse dies

Death of survivor

08/03/14

Kamineni academy of Medical sciences and Research Centre.

8
Types of families
• Patriarcial ( father is head ).

• Matriarcial ( mother is head ).

• Matrilocal ( husband go to wife house).

• Patrilocal ( wife go to husband house ).
08/03/14

Kamineni academy of Medical sciences and Research Centre.

9
Types of families
• Matrilinial ( right of property is females ).
Patrilinial (right of property is males ).
• Monogamous (one man marries one woman)
• Polygamous (Husband has more than one wife)

• Polyandrous (One woman marries many men)

08/03/14

Kamineni academy of Medical sciences and Research Centre.

10
Types of families
• An endogamous (consanguineous)
• An exogamous (Non- consanguineous)

(?) What are the problems / health effects of above
types of Family?
08/03/14

Kamineni academy of Medical sciences and Research Centre.

11
Types of families
• Nuclear family: consist of Husband, wife and
their children.
• Joint family: Married couples live with their
parents and their children
• Three generation family: Grand parents, their
married sons and their
off springs
(?) Advantages & Disadvantages of Above type of
family??????
08/03/14

Kamineni academy of Medical sciences and Research Centre.

12
Types of families
Broken family: Parents have separated or death has
occurred.

Problem family: Lags behind the rest of the community

(?) Effects of above said families on health and Community
????????

08/03/14

Kamineni academy of Medical sciences and Research Centre.

13
Functions of Family
• Communication
• Provision of home and surname.

• Satisfaction of sexual needs.
• Procreation and rearing of children.
• Economic security.
08/03/14

Kamineni academy of Medical sciences and Research Centre.

14
Functions of Family
• Education of children.
• Care during sickness, old age, widowhood.

• Socialization.
• Center for religious training, social customs
etc..
• Recreation and stress & strain absorption.
08/03/14

Kamineni academy of Medical sciences and Research Centre.

15
Functions of Family
• Stabilization of adult personality-family is like
shock absorber.

08/03/14

Kamineni academy of Medical sciences and Research Centre.

16
Family Tradition and Health:
• Health perception: perceive health as token of
divine and diseases as form of punishment.
• Housing condition: ill ventilated, ill lighted,
kitchens are neglected, latrine is absent.
• Personal hygiene: bathing, oil massage, turmeric
application, brushing with neem twigs,

08/03/14

Kamineni academy of Medical sciences and Research Centre.

17
Family Tradition and Health:
• Disposal practices: Insanitation – lack of latrine
• Dietary practices: Veg, Non- veg, PEM, food fads,
food taboos, Nutrition during pregnancy and
lactation….
• Life style: Bare foot walking, open air defecation,
smoking, paan chewing,
08/03/14

Kamineni academy of Medical sciences and Research Centre.

18
Family Tradition and Health:
• Child rearing practices: Prelacteal feeds, Delay in
weaning, stopping of breast feeding, stoping of

breast feeding during diarrhea, branding the skin of
child, purgatives, aplying kajal

08/03/14

Kamineni academy of Medical sciences and Research Centre.

19
Family Tradition and Health:
Care of vulnerable: Ignorance and negligence of the

family members towards their vulnerable members
results in late reporting and delayed treatment

Reproductive behavior: Teen age marriages, polygamy,
large family size, gender preference,

08/03/14

Kamineni academy of Medical sciences and Research Centre.

20
Challenges of the Family:
Communication problems
Frequent Arguing.
Financial problems.
Separation.
Grief and Loss.
Depression.
08/03/14

Kamineni academy of Medical sciences and Research Centre.

21
Check the appropriate column based on the needs provided by the parents for

.

the members of the family
Needs provided by the Parents

yes

No

Give advise when problem arises among family
members
Provides education to each and every member of
family
Ensures that all family members eat sufficiently
Provide support to the family members who are
depressed
Annual medical check up to the family members.

08/03/14

Kamineni academy of Medical sciences and Research Centre.

22
Thank you

08/03/14

Kamineni academy of Medical sciences and Research Centre.

23

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Family

  • 1. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 1
  • 2. Dr. Sunil Pal Singh.C MBBS, MD Assistant professor Dept Of Community Medicine Kamineni Academy of Medical sciences and research centre. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 2
  • 3. “The secret of national health lies in the homes of people”. - Florence Nightingale 08/03/14 Kamineni academy of Medical sciences and Research Centre. 3
  • 4. Family: The family is group defined by a sex relationship precise and enduring to provide for procreation and up brining of children Maclver 08/03/14 Kamineni academy of Medical sciences and Research Centre. 4
  • 5. As a cultural unit, family reflects culture of wider society of which it forms a part and determines the behaviour and attitudes of its members. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 5
  • 6. The Family It is a group of people who are related by blood or marriage or adoption and living together and eating from a common kitchen. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 6
  • 7. Family : Biological unit Social unit Cultural unit Epidemiological unit Unit for providing social services Unit for providing comprehensive medical care. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 7
  • 8. Stages of Family Formation: PHASES EVENTS Beginning End I. Formation Marriage Birth of 1st C II. Extension Birth of 1st C B. of last C III. comp Ex B. Of last C 1st C leaves IV. Contraction 1st C leaves home Last C leaves home V. Completed Contraction Last C leaves home of parents 1st spouse dies VI. Disolution 1st spouse dies Death of survivor 08/03/14 Kamineni academy of Medical sciences and Research Centre. 8
  • 9. Types of families • Patriarcial ( father is head ). • Matriarcial ( mother is head ). • Matrilocal ( husband go to wife house). • Patrilocal ( wife go to husband house ). 08/03/14 Kamineni academy of Medical sciences and Research Centre. 9
  • 10. Types of families • Matrilinial ( right of property is females ). Patrilinial (right of property is males ). • Monogamous (one man marries one woman) • Polygamous (Husband has more than one wife) • Polyandrous (One woman marries many men) 08/03/14 Kamineni academy of Medical sciences and Research Centre. 10
  • 11. Types of families • An endogamous (consanguineous) • An exogamous (Non- consanguineous) (?) What are the problems / health effects of above types of Family? 08/03/14 Kamineni academy of Medical sciences and Research Centre. 11
  • 12. Types of families • Nuclear family: consist of Husband, wife and their children. • Joint family: Married couples live with their parents and their children • Three generation family: Grand parents, their married sons and their off springs (?) Advantages & Disadvantages of Above type of family?????? 08/03/14 Kamineni academy of Medical sciences and Research Centre. 12
  • 13. Types of families Broken family: Parents have separated or death has occurred. Problem family: Lags behind the rest of the community (?) Effects of above said families on health and Community ???????? 08/03/14 Kamineni academy of Medical sciences and Research Centre. 13
  • 14. Functions of Family • Communication • Provision of home and surname. • Satisfaction of sexual needs. • Procreation and rearing of children. • Economic security. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 14
  • 15. Functions of Family • Education of children. • Care during sickness, old age, widowhood. • Socialization. • Center for religious training, social customs etc.. • Recreation and stress & strain absorption. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 15
  • 16. Functions of Family • Stabilization of adult personality-family is like shock absorber. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 16
  • 17. Family Tradition and Health: • Health perception: perceive health as token of divine and diseases as form of punishment. • Housing condition: ill ventilated, ill lighted, kitchens are neglected, latrine is absent. • Personal hygiene: bathing, oil massage, turmeric application, brushing with neem twigs, 08/03/14 Kamineni academy of Medical sciences and Research Centre. 17
  • 18. Family Tradition and Health: • Disposal practices: Insanitation – lack of latrine • Dietary practices: Veg, Non- veg, PEM, food fads, food taboos, Nutrition during pregnancy and lactation…. • Life style: Bare foot walking, open air defecation, smoking, paan chewing, 08/03/14 Kamineni academy of Medical sciences and Research Centre. 18
  • 19. Family Tradition and Health: • Child rearing practices: Prelacteal feeds, Delay in weaning, stopping of breast feeding, stoping of breast feeding during diarrhea, branding the skin of child, purgatives, aplying kajal 08/03/14 Kamineni academy of Medical sciences and Research Centre. 19
  • 20. Family Tradition and Health: Care of vulnerable: Ignorance and negligence of the family members towards their vulnerable members results in late reporting and delayed treatment Reproductive behavior: Teen age marriages, polygamy, large family size, gender preference, 08/03/14 Kamineni academy of Medical sciences and Research Centre. 20
  • 21. Challenges of the Family: Communication problems Frequent Arguing. Financial problems. Separation. Grief and Loss. Depression. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 21
  • 22. Check the appropriate column based on the needs provided by the parents for . the members of the family Needs provided by the Parents yes No Give advise when problem arises among family members Provides education to each and every member of family Ensures that all family members eat sufficiently Provide support to the family members who are depressed Annual medical check up to the family members. 08/03/14 Kamineni academy of Medical sciences and Research Centre. 22
  • 23. Thank you 08/03/14 Kamineni academy of Medical sciences and Research Centre. 23