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INTRODUCTION
• A group of students of 16th A went to karippasseri for conducting a
family survey as part of community medicine posting. We were
briefed by Dr Asha madam. We were accompanied by kavitha madam
Beena madam and John Sir, the health inspector. It was an urban
colony where majority was muslim community .We conducted the
experiment as 2 parts . The first one was conducted in our First
Semester on 27/01/2018 and the second one was on our Fourth
Semester 30/4/2019. 23 students in our batch was assigned each
house .So a total 23 houses were surveyed.The method used for
survey was oral questionnaire method
FAMILY HEALTH STUDY -2
DATA COLLECTION AND ANALYSIS
AGE AND SEX DISTRIBUTION
AGE GROUP MALE PERCENTAGE(%) FEMALE PERCENTAGE(%) TOTAL
0-4 4 8.3 4 6.7 8
5-9 9 18.75 2 3.38 11
10-14 1 2 10 16.9 11
15-19 4 8.3 2 3.38 6
20-24 1 2 3 5 4
25-29 4 8.3 9 15.2 13
30-34 3 6.25 1 1.6 4
35-39 5 10.41 5 8.47 10
40-44 2 4.1 5 8.47 7
45-49 4 8.3 2 3.38 6
50-54 4 8.3 3 5 7
55-59 2 4.1 3 5 5
60-64 1 2 5 8.47 6
65-69 3 6.25 2 3.38 3
70-74 1 2 2 3.38 3
75-79 0 0 2 3.38 2
>80 1 2 0 0 1
TOTAL 49(45%) 60(55%) 109
Table:-1
-10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7 8 9 10 11
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
>80
Number Of Individuals
DISTRIBUTION OF STUDY SAMPLE ACCORDING TO AGE AND SEX
MALES FEMALES
Figure – 1 :-
ANALYSIS OF THE AGE PYRAMID OF THE COMMUNITY
• The age sex composition of the community is shown by the pyramid
• In the age group 0-14 the male population is 2% greater than the female population of the corresponding age group
• The younger population and those of the reproductive age group are forming broader bases which means that the age pyramid is
of expanding type.
• Sex ratio is defined as the number of females per 1000 males.
• Sex ratio of the community = 1000:1224
• Dependency ratio = ( children of 0-14 age group + population above 65 yrs ) / population of 15-65 yrsX100
• Dependency ratio of the community = 57.35 %
Figure:- 2 TYPES OF AGE PYRAMIDS
Figure:-3 KERALA – Age Pyramid INDIA – Age Pyramid
2011 CENSUS
• Age sex structure of kerala highly resembles to that of developed nations.
• The sex ratio in kerala is 1000:1084
• Dependency ratio is 46.6%
• The age pyramid of India is typical of developing countries with a broad base and tappering top
• The sex ratio of India has been generally adverse to women.
• The sex ratio of India is 1000:940 according to 2011 census
• The sex ratio at birth is affected by sex selectivity at birth. The sex ratio at birth in India is 1000:878
• Dependency ratio = 52.2%
• The sex ratio of the community agrees to that of Kerala
• Whereas the dependency ratio resembles to that of India
DISTRIBUTION OF STUDY SAMPLE ACCORDING TO THE RELIGION
FIGURE 1
SAMPLE SIZE - 23 FAMILIES
TYPES OF FAMILIES
NUCLEAR FAMILY :A FAMILY WHICH CONSIST OF A MARRIED COUPLE AND
THEIR CHILDREN
JOINT FAMILY : A CONSANGUINAL FAMILY UNIT THAT INCLUDES TWO OR
MORE GENERATIONS OF PEOPLE RELATED THROUGH EITHER THE PATERNAL
OR MATERNAL LINE WHO MAINTAIN A COMMON RESIDENCE AND ARE
SUBJECT TO COMMON SOCIAL,ECONOMIC AND RELIGIOUS REGULATIONS
THREE GENERATION FAMILY : FAMILY WHICH CONSIST OF PARENT
GENERATION OF THE COUPLES {GRANDPARENTS},THE COUPLES AND THEIR
CHILDREN.
DISTRIBUTION OF THE STUDY SAMPLE ACCORDING TO THE TYPE OF FAMILY
FIGURE 2
SAMPLE SIZE - 23 FAMILIES
According to the 2011 Census , Of Kerala’s total population
54.73% were Hindu families
26.56% were Muslim families
18.38% are Christian families
0.32% are Other religion or no religion
In my study sample of 23 families, the pattern was different with a
Muslim population of 82.6%
Hindu population of 13.1%
Christian population of 4.3%
In these families , 12 families were nuclear families ,9 families were three
generations and only two families were joint families.
LITERACY
• A person is deemed as literate if he or she can read and write with
understanding in any language.
• The literacy rate taking in account the total population in the
denominator is termed crude literacy.
• Literacy rate calculated taking into account the7 years and above
population in the denominator is termed effective literacy rate.
DISTRIBUTION OF STUDY SAMPLE ACCORDING TO
EDUCATIONAL STATUS ( more than7years.)
LEVEL OF EDUCATION MALE
NO. %
FEMALE
NO. %
TOTAL
Illiterate (1) 1 2.5 3. 6.1 4
Primary (2) 1 2.5 3. 6.1 4
Secondary (3) 4 10 6 12.24 10
High school(4) 9 22.5 15. 30.6 24
+2/diploma(5) 17 42.5 15 30.6 32
Graduated (6) 8 20 7. 14.28 15
40 49 89
Comparison with census of 2011.
• %of illiterate males=(1÷40)×100=2.5
• %of illiterate females=(3÷49)×100=6.1
• %of literacy of males=39/40)×100=97.5
• %of literacy of females =(46/49)×100=93.8
• %of total literacy,=95.5
• %of total illiteracy=4.94
• Effective literacy rate in India in 2011 were 80.9% for men and 60.6% for
women.
• growth in female literacy rate was 11.8 was substantially Greater than for
males 6.9% in 2001-2011 decade.
Comparison with Kerala’s literacy rates
The literacy rate of study sample is
95.5%.The literacy rate of males
and females are higher than both
national and state levels.
DISTRIBUTION OF STUDY SAMPLE ACCORDING TO
OCCUPATION(more than 15years)
OCUPATIONAL STATUS MALE
NO. %
FEMALE
NO. %
TOTAL
Unemployed(1) 14. 34.14 33 82.5 47
Unskilled(2) 4 9.7 4
Semiskilled(3) 3 7.3 3
Skilled(4) 6 14.63 1 2.5 7
Clerical,shipowner,farme
r(5)
11 26.8 2 5 13
Semiprofessional(6) 1 2.4 3 7.5 4
Professional(10) 2 4.87 1 2.5 3
81
Comparison
• According to Survey of. 2011 the unemployment rate
of India was found to be 3.8%.
• The unemployment rate in my data is 58.2%
• The male unemployment rate34.14%
• The female unemployment rate is 82.5%.
• The unemployment rate is much higher than the
national rate.
Distribution of study sample according
to Expenditure of Matter
Domain <25% 25-50% >50%
Food 7 15 1
Medicine 15 2
Education 9 9
Pie diagram showing Expenditure of food
Pie diagram showing Expenditure of
medicine
Pie diagram showing Expenditure of
Education
Distribution of study sample according
to percapita income (>7yrs)
Percapita income No
<6323(1) 17
6324-18949(2) 3
18950-31589(3) 3
31590-47262(4) Nil
47263-63178(5) Nil
63179-126356(10) Nil
>126356(12) Nil
SOCIO ECONOMIC
STATUS
EMIL BIJU
Roll no :30
• INTRODUCTION
 Socio –economic status is a measure of economic and sociological conditions
of an individual’s work expertise and of a person’s or family ‘s economic and
social position in regard to different community members .
 Usually ,income ,education and occupation area unit taken into thought to
determins SES
DEFINITION
Position that an individual or family occupies with
reference to the prevailing average standards of
cultural and material possessions ,income and
participation in group activity of the community
The social status may be inherited, but in modern
society ,it achieved on the basis of
 Occupation
 Income
 Type of housing and neighbourhood
 Membership of certain associations and
organizations
 Material possessions etc
SOCIAL ECONOMIC STATUS SCALES
 Hollingshed in USA employed 3 variables
1. Education
2. Occupation
3. Residential address
for measuring socio –economic status
 Kuppuswamy in India prepared a scale based on 3
major variables
1. Education
2. Occupation
3. Income
this is used in the urban area.
Kuppuswamy‘s Socio –Economic Status Scale 2018
Socio-economic class Score
Upper class (I) 26 - 29
Upper middle class(II) 16 - 25
Lower middle class(III) 11 - 15
Upper lower class(IV) 5 - 10
Lower class(V) < 5
Data obtained through our family health study :
distribution of study sample according to socio –economic
status
Socio – economic class Number of family
Upper class(I) -
Upper middle class(II) 3
Lower middle class(III) 13
Upper lower class(IV) 7
Lower class(V) -
Total 22
INFERENCE
 Most of the families belong to lower middle class
 No family belongs to lower class and upper class
THANK YOU
TYPE OF HOUSING AND
OVERCROWDING
FATHIMA HUDA K
ROLL NO.31
16TH BATCH
4TH SEMESTER
HOUSING
• HOUSING IS DEFINED AS THE PHYSICAL STRUCTURE THAT
MAN USES AND ENVIRONS OF THE STRUCTURE INCLUDING
ALL NECESSARY SERVICES,FACILITIES , EQUIPMENTS AND
DEVICES NEEDED FOR PHYSICAL AND MENTAL HEALTH AND
SOCIAL WELLBEING OF THE FAMILY AND INDIVIDUAL.
SOCIAL GOALS OF HOUSING
IT PROVIDE :
■ SHELTER
■ FAMILY LIFE
■ ACCESS TO COMMUNITY FACILITIES
■ FAMILY PARTICIPATION IN COMMUNITY LIFE
■ ECONOMIC STABILITY
TYPE OF HOUSING
THERE ARE THREE TYPE OF HOUSING :
1.KUCCHA
2.SEMI PUCCA
3.PUCCA
KUCCHA
• THIS HOUSE IS
MADE OF
WOOD , MUD ,
STRAW AND
DRY LEAVES
SEMI PUCCA
• EITHER FLOOR
OR ROOF MADE
OF PUCCA
MATERIAL
PUCCA
• HOUSE MADE
OF WOOD,
BRICK,CEMENT,
IRON ROD AND
STEEL
HOUSING STANDARD OF FLOOR AND ROOF
FLOOR
• IT SHOULD BE IMPERMEABLE SO THAT IT CAN EASILY
WASHED AND KEPT CLEAN DRY.
• FLOOR MUST BE SMOOTH AND FREE FROM CRACKS AND
CREVICES TO PREVENT BREEDING OF INSECTS AND
HARBOURAGE OF DUST.
• FLOOR SHOULD BE DAMP PROOF
• THE HEIGHT OF PLINTH SHOULD BE 2 TO 6 FEET.
ROOF
• ROOF SHOULD NOT BE LESS THAN 10 FEET IN THE
ABSENCE OF AIR CONDITIONING FOR COMFORT.
• THE ROOF SHOULD HAVE LOW TRANSMITTENCE
COEFFICIENT.
DISTRIBUTION OF STUDY SAMPLES ACCORDING TO TYPE
OF HOUSE
Type of house No. of families Percentage
Kuccha 0 0%
Semi pucca 1 4.3%
Pucca 22 95.6%
OVERCROWDING
• IT REFERS TO THE SITUATION IN WHICH IN WHICH MORE
PEOPLE ARE LIVING WITHIN A SINGLE DWELLING THAN THERE
IS SPACE FOR, SO THAT MOVEMENT RESTRICTED ,PRIVACY
SECLUDED, HYGIENE IMPOSSIBLE ,REST AND SLEEP DIFFICULT.
• DEGEE OF OVERCROWDING CAN BE EXPRESSED AS NUMBER
OF PERSONS PER ROOM.
HEALTH PROBLEMS IN OVERCROWDING
• SPREAD OF RESPIRATORY INFECTIONS LIKE TB, INFLUENZA AND DIPHTHERIA.
• IRRITABILITY
• FRUSTRATION
• LACK OF SLEEP
• ANXIETY
• MENTAL DISORDERS
DISTRIBUTION OF STUDY SAMPLE ACCORDING TO
PERSON PER ROOM
Person per bedroom No. of family In percentage
Greater than or equal to 4 0 0%
3 3 13.04 %
Less than or equal to 2 20 86.9%
DISTRIBUTION OF STUDY
SAMPLE ACCORDING TO
VENTILATION AND LIGHTING
STATUS OF HOUSE
FATHIMA MEHAR BANU
NO:32
LIGHTING
Good lighting is essential
for efficient vision.If the lighting
condition are not ideal,the visual
apparatus is put to strain which may
lead to general fatigue and loss of
efficiency.
How to measure?
● Luminous intensity -power
● Luminous flux-flow
● Illumination-amount reaching
● Brightness -amount reflected
We used:
Switch off all lights in the living
room,sit in a corner of room and
checked whether we can read
newspaper or not
Lighting condition No: of families
Adequate 23
Inadequate 0
Distribution of study sample
according to lighting of house
Types of lighting
● Natural lighting
● Artificial lighting
Natural lighting
Is derived partly from visible sky and
partly from reflection.
● Orientation
● Removal of obstruction
● Windows
● Interior of the rooms
Artificial lighting
5 system of artificial lighting:
● Direct lighting
● Semi- direct
● Indirect
● Semi-indirect
● Direct-indirect
Biologic effects of light
● Degradation of bilirubin-infants
● Biologic rhythm-temp, physical activity
● Stimulation of melanin synthesis
● Activation of precursor of vit D
● Adrenocortical secretion
VENTILATION
Concept of ventilation implies
not only the replacement of vitiated
air by a supply of fresh outdoor
air,but also control of quantity of
incoming air with regard to
It’s temperature,humidity and purity
with a view to provide a thermal
environment that is comfortable and
free from risk of infection.
How to measure?
● Total area of windows or doors
greater than or equal to one fifth of
total floor area OR
● Sum of total area of doors and
windows > or= to 2/5th of total floor
Ventilation condition No: of families
Adequate 15
Inadequate 8
Present Absent
Cross ventilation 15 8
Distribution of study sample
according to ventilation of house
Types of ventilation
1.Natural ventilation
● The wind
● Diffusion
● Inequality of temperature
2.Mechanical ventilation
● Exhaust ventilation
● Plenum ventilation
● Balanced ventilation
● Air conditioning
Benefits of good
ventilation
● Control impurities
● Air regulation
● Stop condensation
● Reduce temperature
● Health benefits
THANK YOU
Study samplebased on the type of kitchen.
• Every dwelling house must have a separate kitchen. The kitchen must
be protected against dust and smoke adequately lighted provided
with arrangements for storing food, fuel and provisions; provided
with water supply; provided with a sink for washing utensils and fitted
with arrangements for proper drainage .Thefloor of the kitchen must
be impervious.
• In the family house survey conducted in Kaipadamugal under the
guidance of the community medicine department a total of 23 houses
were taken account.
• The number of houses with separate kitchen is 22.
• The number of houses with water supply available 22.
• The floors of all the kitchen where pucca.
• The smoke ventilation is present in 17 kitchens and absent in 5
kitchens.
• The fireplace is raised in 21 kitchens and absent in one kitchen.
• 11 houses depend on gas for fuel and 11 houses depend on bothgas
and wood forfuel.
• The are 17 houses in total which has a separate kitchen, watersupply
available, pucca kitchen floor and smoke ventilation.
PATTERN OF WATER SUPPLY IN
THE STUDY POPULATION
Fida Sathar P P
No: 34
16 _ A batch
4 th sem
PATTERN OF WATER SUPPLY IN THE STUDY POPULATION
• Most of the houses have a sanitary well with pump
• Some have public supply with house connection
• Very few have both well and public supply with house connection
• ln this study population there is no scarcity of water
THANK YOU
Waste management in
Households.
Gayathry MJ
4th SEM
Community medicine
Distribution of study population based on
disposal of sullage
(N=23)
Distribution of study population based on
pattern of solid waste material disposal
(garbage) N=23
Distribution of study population based on
pattern of disposal of solid waste material
(refuse) N=23
Distribution of study
population based on
mosquito and fly
breeding places
Gowri Krishna S
Roll no.37
 In the family house survey conducted in Kaipadamugal under the guidance of
community medicine department, 23 families were taken account
 Data was collected from them by asking questions such as
 Whether there is any mosquito breeding places in and around house ?
If yes, give details- water stagnation in compound/septic tank wind pipe
without net/Scattered containers(water coolers/ broken utensils/coconut
shell/egg shells/plant pot)
 Whether there is any fly breeding places in and around house?
If yes, give details- Rubbish dumps containing organic matter or Human /
animal excreta
Result was that none of the 23 houses had places which support breeding
mosquitoes or house flies
What are consequences of having mosquito
and fly breeding places in or around houses ?
 Flies become a nuisance when buzzing around house
 Flies causes contamination food and water
 Both mosquitoes and flies pose a health risk by transmitting a wide range of
diseases
Mosquito borne diseases
 Anopheles : Malaria, Filaria
 Culex: Japanese encephalitis, West Nile fever, Viral arthritis
 Aedes : Yellow fever, Dengue, Chikungunya, Yellow fever, Rift valley fever
Mosquito control measures
 1. Anti larval measures
Environmental control: source reduction by filling , levelling and
drainage ; cleaning up and getting rid of water holding containers such as
discarded tins , empty pots , broken bottles, coconut shells and similar other
artificial collections of water ; aquatic plants to which the larvae attach
themselves should be removed or destroyed by herbicides
Chemical control: larvicides like mineral oils, paris green, synthetic
insecticides
Biological control: fishes which feed readily on mosquito larvae like
Gambusia affinis and Lebister reticulatus
 2. Anti adult measures
Residual sprays: Adult mosquitoes can be commonly controlled by spraying
houses with residual insecticides like DDT, malathion, lindane
Space sprays: are those where the insecticidal formulation is sprayed into
the atmosphere in the form of the mist or fog to kill insects eg. Pyrethrum
Genetic control: Control of mosquitoes by genetic methods such as sterile
male technique, cytoplasmic incompatibility, chromosomal translocations, sex
distortion and gene replacement
 3. Protection against mosquito bites
Mosquito net
Screening : Screening of buildings with copper or bronze gauze
Repellents : Are used mainly for application on skin and the chief
advantage is short duration of protection eg. Diethyltoluamide
Fly borne diseases
 Cholera
 Conjunctivitis
 Dysentery
 Gastroenteritis
 Salmonellosis
 Tuberculosis
 Typhoid fever
Fly control measures
1.Environmental control
Eliminate the breeding places and to bring about an overall improvement in
the environmental sanitation; storing , efficient collection and disposal of
garbage ; provision of sanitary latrines With septic tanks ; stopping open air
defecation; sanitary disposal of animal excreta
2. Insecticidal control
Residual sprays, space sprays ,larvicides can be used
3. Fly papers
Sticky flypaper are useful adjuncts to other methods of control. These
papers can be easily made by mixing two lbs of resin and one pint of castor oil
4. Protection against flies
Screening of houses, hospitals, food markets and restaurants will give
considerable relief from house flies
FAMILY PLANNING
DEFINITION
Family planning refer to practices that help individuals or couples to
attain certain objectives :
1. To avoid unwanted births.
2. To bring about wanted births.
3. To regulate the intervals between pregnancies.
4. To control the time at which births occur in relation to the ages of the
parent.
5. To determine the number of children in the family.
METHODS OF FAMILY PLANNING
• Also known as contraceptive methods.
• Contraceptive methods are preventive methods to help women avoid
unwanted pregnancies.
The contraceptive methods may be broadly grouped into two classes :
1. Spacing methods.
2. Terminal methods.
SPACING METHODS
1. Barrier methods
• Phisical methods – condom , diaphragm , vaginal sponge.
• Chemical methods – foams , creams , jellies , pastes , suppositories , soluble
films.
• Conbined methods.
2. Intrauterine devices.
3. Hormonal methods.
4. Post conceptional methods.
5. Miscellaneous.
TERMINAL METHODS
1. Female sterilization – tubectomy.
2. Male sterilization – vasectomy.
ELIGIBLE COUPLES
An “eligible couple” refers to a currently married couple wherein
the wife is in the reproductive age , which is generally assumed to lie between
the ages of 15 and 45.
DISTRIBUTION OF ELIGIBLE COUPLES
BASED ON THE AGE GROUP
AGE-GROUP NUMBER OF
COUPLES
PERCENTAGE
OF COUPLES
15 - 24 2 10
25 - 34 6 30
>/=35 12 60
TOTAL 20 100
ACCORDING TO 2001 CENSUS REPORT
PERCENTAGE OF
ELIGIBLE COUPLES
KERALA 15.9
INDIA 16.8
STUDY POPULATION 18.35
By comparing the
data, there is a percentage
increase of eligible couples
in the population.
DISTRIBUTION OF ELIGIBLE COUPLES BASED
ON THE NUMBER OF CHILDREN
NUMBER OF
CHILDREN
NUMBER OF
COUPLES
PERCENTAGE
OF COUPLES
0 0 0
1 9 45
2 8 40
>/=3 3 15
TOTAL 20 100
ACCORDING TO THE CENSUS
CONDUCTED IN THE YEAR 2001 IN INDIA
NUMBER OF
CHILDREN
PERCENTAGE OF
COUPLES
0 7.87
1 20.1
2 35.58
>/=3 36.45
TOTAL 100
Comparing the data, there is a
decrease in the number of couples
having no children, an increse in the
number of couples having one child
, a slight increase in the number of
couples having two children and the
number of couples having three or
more children have almost decreased
to half.
DISTRIBUTION OF ELIGIBLE COUPLES IN THE STUDY
POPULATION BASED ON KNOWLEDGE OF FAMILY PLANNING
METHODS
METHODS OF
FAMILY PLANNING
NUMBER OF
COUPLES
PERCENTAGE OF
COUPLES
OCP 3 15
IUD 1 5
CONVENTIONAL
METHODS
0 0
TUBECTOMY 4 20
VASECTOMY 1 5
TOTAL 9
ACCORDING TO THE SURVEY CONDUCTED IN
THE YEAR 2014-15 IN KERALA
METHODS OF FAMILY
PLANNING
PERCENTAGE OF
COUPLES
BARRIOR METHOD 96.7
IUCD 94.9
NATURAL METHODS 92.6
PERMANENT METHODS 96.8
Comparing the data,
there is decline in the
knowledge of various family
planning methods in the
study population.
ACCORDING TO THE SURVEY CONDUCTED IN
THE YEAR 2013-14 IN INDIA
METHODS OF FAMILY
PLANNING
PERCENTAGE OF COUPLES
OCP 54.4
IUD 31.2
CONDOM 60.6
TUBECTOMY 70
VASECTOMY 69.6
OTHERS 22.9
Comparing the
data, there is a decline in
the knowledge of various
family planning methods
in the study population.
DISTRIBUTION OF STUDY
SAMPLE ACCORDING TO
HEALTH STATUS
WITH RESPECT TO AGE
HILMAA R
Roll No. 41
4th Semester
ACUTE DISEASES & CHRONIC DISEASES
■ Acute disease is an illness with rapid onset, progression, short duration and need
urgent care
– Eg. Typhoid, cold, cough, appendicitis, pneumonia
■ A chronic condition is a disease that is persistent or otherwise is long-lasting in its
effect. The term chronic is usually applied when course of disease last for more than
three months
– Eg. Diabetes, COPD, AIDS, cancer, arthritis, asthma
■ Acute condition are severe and sudden in onset. This could describe anything from
broken bone to an infection. A chronic condition, by contrast is long-developing
syndrome, such as osteoporosis or asthma. Acute condition if untreated may lead to
chronic syndrome
18-01-2021 103
DISTRIBUTION OF STUDY SAMPLE
ACCORDING TO HEALTH STATUS WITH
RESPECT OF AGE
Health
Status
0-5 5-15 15-45 45-65 65
A/c 1 1 2 4
C/c 1 1 1 11 7 21
Healthy 8 19 39 16 2 84
18-01-2021 104
Distribution of study sample
Acute Diseases Chronic Diseases
18-01-2021 105
INFERENCE
18-01-2021 106
THANK YOU
DISTRIBUTION OF SAMPLE
ACCORDING TO UTILISATION OF
HEALTH FACILITY
JAYALAKSHMI B
ROLL NO. 44
16A BATCH
DIAGRAM NO:1
DIAGRAMNO:2
CONCLUSION
JEET JACOB
4TH SEM
ROLL NO :45
From the survey we conducted
• We found out that Karippassery is a Muslim based community
comprising of 82.6 % of muslims
• The lower middle class prevail in the community .The per capita
income of the community is <6328 for 70 % of the people.
• The literacy rates of the community stands 95.5 % which is
comparable to the literacy rate of kerala which is 93.9 %
• Almost all the houses in karippassery was pucca ,had normal
lighting and a majority of the had normal ventilation.
• None in the community suffered from scarcity of water
• The area was clean with no mosquito and fly breeding places
• 45% of the eligible in the community avail some form of family
planning techniques in which tubectomy prevailed
• 27.5%of the individuals between the age 45-65 where suffering
from chronic health diseases and 5 % from acute diseases
• No risk factors prevailed in the community.
These are some of the data we were able to find about
karippassery
summary
JEEVA SHAJI
ROLL NO: 46
BATCH: 16A
▪ SOCIODEMOGRAPHIC STATUS
▪ Of the 23 families in the community ,52.5%were nuclear families and
consisted of 82.6% were muslims .
▪ Age sex ratio was 1000:1224.Dependency ratio was 57.35%.The age
pyramid was of expanding type Most of the families belonged to lower
middle class with the expenditure details as follows
▪ 65.7%population had food expenditure in 25-50%range
▪ 77.8% population had medicine expenditure less than 25%
▪ 52.5%population had education expenditure in 25-50%range .
▪ More than 70%population had percapita income less than 6328 rupees .
▪ % OF ILLITERATE MALES =2.5
▪ % OF ILLITERATE FEMALES =6.1
▪ % of literacy of males =97.5
▪ % of literacy of females =93.8
▪ %total literacy =95.5
▪ % of total illiteracy =4.94
Summary
▪ The type of house was pucca house in 95.6%
families and the study sample according to the
persons per room indicated that about 86.9 %
families had less than or equal to 2 persons per
bedroom .
▪ Majority about 65% had adequate ventilation and
cross ventilation adequate lighting in all families .
▪ Majority had separate kitchens with the fire place
raised depends on gas for fuel had smoke
ventilation and pucca kitchen floor
Housing
▪ Most of the houses have a sanitary well with pump
and the distance of the water source was less than 30
minutes for all houses
▪ Source of contamination within 50feet of the well is
11.7%
▪ The method of garbage disposal was dumping
followed by a majority and majority had sanitary
latrines there were no fly breeding and mosquito
places and cattle shed and pet dogs were absent in
majority of the families .
ENVIRONMENT
▪ The greater % 45% couples had I child . 60%
couples were of age greater than 35 years and
20%couples had knowledge of tubectomy followed
by 15%of the couples who had knowledge of OCPMother and child
▪ The distribution of the health status on of study
sample according to age showed people suffering
from chronic diseases 21%was greater than the
people suffering from acute diseases .there were not
any risk factors in the community .The health care
facilities were availed equally from both allopathy
and homeopathy .
Disease

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Community medicine family health study

  • 1. INTRODUCTION • A group of students of 16th A went to karippasseri for conducting a family survey as part of community medicine posting. We were briefed by Dr Asha madam. We were accompanied by kavitha madam Beena madam and John Sir, the health inspector. It was an urban colony where majority was muslim community .We conducted the experiment as 2 parts . The first one was conducted in our First Semester on 27/01/2018 and the second one was on our Fourth Semester 30/4/2019. 23 students in our batch was assigned each house .So a total 23 houses were surveyed.The method used for survey was oral questionnaire method
  • 2. FAMILY HEALTH STUDY -2 DATA COLLECTION AND ANALYSIS AGE AND SEX DISTRIBUTION
  • 3. AGE GROUP MALE PERCENTAGE(%) FEMALE PERCENTAGE(%) TOTAL 0-4 4 8.3 4 6.7 8 5-9 9 18.75 2 3.38 11 10-14 1 2 10 16.9 11 15-19 4 8.3 2 3.38 6 20-24 1 2 3 5 4 25-29 4 8.3 9 15.2 13 30-34 3 6.25 1 1.6 4 35-39 5 10.41 5 8.47 10 40-44 2 4.1 5 8.47 7 45-49 4 8.3 2 3.38 6 50-54 4 8.3 3 5 7 55-59 2 4.1 3 5 5 60-64 1 2 5 8.47 6 65-69 3 6.25 2 3.38 3 70-74 1 2 2 3.38 3 75-79 0 0 2 3.38 2 >80 1 2 0 0 1 TOTAL 49(45%) 60(55%) 109 Table:-1
  • 4. -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7 8 9 10 11 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 >80 Number Of Individuals DISTRIBUTION OF STUDY SAMPLE ACCORDING TO AGE AND SEX MALES FEMALES Figure – 1 :-
  • 5. ANALYSIS OF THE AGE PYRAMID OF THE COMMUNITY • The age sex composition of the community is shown by the pyramid • In the age group 0-14 the male population is 2% greater than the female population of the corresponding age group • The younger population and those of the reproductive age group are forming broader bases which means that the age pyramid is of expanding type. • Sex ratio is defined as the number of females per 1000 males. • Sex ratio of the community = 1000:1224 • Dependency ratio = ( children of 0-14 age group + population above 65 yrs ) / population of 15-65 yrsX100 • Dependency ratio of the community = 57.35 %
  • 6. Figure:- 2 TYPES OF AGE PYRAMIDS
  • 7. Figure:-3 KERALA – Age Pyramid INDIA – Age Pyramid 2011 CENSUS
  • 8. • Age sex structure of kerala highly resembles to that of developed nations. • The sex ratio in kerala is 1000:1084 • Dependency ratio is 46.6% • The age pyramid of India is typical of developing countries with a broad base and tappering top • The sex ratio of India has been generally adverse to women. • The sex ratio of India is 1000:940 according to 2011 census • The sex ratio at birth is affected by sex selectivity at birth. The sex ratio at birth in India is 1000:878 • Dependency ratio = 52.2% • The sex ratio of the community agrees to that of Kerala • Whereas the dependency ratio resembles to that of India
  • 9. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO THE RELIGION FIGURE 1 SAMPLE SIZE - 23 FAMILIES
  • 10. TYPES OF FAMILIES NUCLEAR FAMILY :A FAMILY WHICH CONSIST OF A MARRIED COUPLE AND THEIR CHILDREN JOINT FAMILY : A CONSANGUINAL FAMILY UNIT THAT INCLUDES TWO OR MORE GENERATIONS OF PEOPLE RELATED THROUGH EITHER THE PATERNAL OR MATERNAL LINE WHO MAINTAIN A COMMON RESIDENCE AND ARE SUBJECT TO COMMON SOCIAL,ECONOMIC AND RELIGIOUS REGULATIONS THREE GENERATION FAMILY : FAMILY WHICH CONSIST OF PARENT GENERATION OF THE COUPLES {GRANDPARENTS},THE COUPLES AND THEIR CHILDREN.
  • 11. DISTRIBUTION OF THE STUDY SAMPLE ACCORDING TO THE TYPE OF FAMILY FIGURE 2 SAMPLE SIZE - 23 FAMILIES
  • 12. According to the 2011 Census , Of Kerala’s total population 54.73% were Hindu families 26.56% were Muslim families 18.38% are Christian families 0.32% are Other religion or no religion In my study sample of 23 families, the pattern was different with a Muslim population of 82.6% Hindu population of 13.1% Christian population of 4.3% In these families , 12 families were nuclear families ,9 families were three generations and only two families were joint families.
  • 13. LITERACY • A person is deemed as literate if he or she can read and write with understanding in any language. • The literacy rate taking in account the total population in the denominator is termed crude literacy. • Literacy rate calculated taking into account the7 years and above population in the denominator is termed effective literacy rate.
  • 14. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO EDUCATIONAL STATUS ( more than7years.) LEVEL OF EDUCATION MALE NO. % FEMALE NO. % TOTAL Illiterate (1) 1 2.5 3. 6.1 4 Primary (2) 1 2.5 3. 6.1 4 Secondary (3) 4 10 6 12.24 10 High school(4) 9 22.5 15. 30.6 24 +2/diploma(5) 17 42.5 15 30.6 32 Graduated (6) 8 20 7. 14.28 15 40 49 89
  • 15. Comparison with census of 2011. • %of illiterate males=(1÷40)×100=2.5 • %of illiterate females=(3÷49)×100=6.1 • %of literacy of males=39/40)×100=97.5 • %of literacy of females =(46/49)×100=93.8 • %of total literacy,=95.5 • %of total illiteracy=4.94 • Effective literacy rate in India in 2011 were 80.9% for men and 60.6% for women. • growth in female literacy rate was 11.8 was substantially Greater than for males 6.9% in 2001-2011 decade.
  • 16. Comparison with Kerala’s literacy rates The literacy rate of study sample is 95.5%.The literacy rate of males and females are higher than both national and state levels.
  • 17. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO OCCUPATION(more than 15years) OCUPATIONAL STATUS MALE NO. % FEMALE NO. % TOTAL Unemployed(1) 14. 34.14 33 82.5 47 Unskilled(2) 4 9.7 4 Semiskilled(3) 3 7.3 3 Skilled(4) 6 14.63 1 2.5 7 Clerical,shipowner,farme r(5) 11 26.8 2 5 13 Semiprofessional(6) 1 2.4 3 7.5 4 Professional(10) 2 4.87 1 2.5 3 81
  • 18. Comparison • According to Survey of. 2011 the unemployment rate of India was found to be 3.8%. • The unemployment rate in my data is 58.2% • The male unemployment rate34.14% • The female unemployment rate is 82.5%. • The unemployment rate is much higher than the national rate.
  • 19. Distribution of study sample according to Expenditure of Matter Domain <25% 25-50% >50% Food 7 15 1 Medicine 15 2 Education 9 9
  • 20. Pie diagram showing Expenditure of food
  • 21. Pie diagram showing Expenditure of medicine
  • 22. Pie diagram showing Expenditure of Education
  • 23. Distribution of study sample according to percapita income (>7yrs) Percapita income No <6323(1) 17 6324-18949(2) 3 18950-31589(3) 3 31590-47262(4) Nil 47263-63178(5) Nil 63179-126356(10) Nil >126356(12) Nil
  • 25. • INTRODUCTION  Socio –economic status is a measure of economic and sociological conditions of an individual’s work expertise and of a person’s or family ‘s economic and social position in regard to different community members .  Usually ,income ,education and occupation area unit taken into thought to determins SES
  • 26. DEFINITION Position that an individual or family occupies with reference to the prevailing average standards of cultural and material possessions ,income and participation in group activity of the community
  • 27. The social status may be inherited, but in modern society ,it achieved on the basis of  Occupation  Income  Type of housing and neighbourhood  Membership of certain associations and organizations  Material possessions etc
  • 28. SOCIAL ECONOMIC STATUS SCALES  Hollingshed in USA employed 3 variables 1. Education 2. Occupation 3. Residential address for measuring socio –economic status
  • 29.  Kuppuswamy in India prepared a scale based on 3 major variables 1. Education 2. Occupation 3. Income this is used in the urban area.
  • 30. Kuppuswamy‘s Socio –Economic Status Scale 2018 Socio-economic class Score Upper class (I) 26 - 29 Upper middle class(II) 16 - 25 Lower middle class(III) 11 - 15 Upper lower class(IV) 5 - 10 Lower class(V) < 5
  • 31. Data obtained through our family health study : distribution of study sample according to socio –economic status Socio – economic class Number of family Upper class(I) - Upper middle class(II) 3 Lower middle class(III) 13 Upper lower class(IV) 7 Lower class(V) - Total 22
  • 32. INFERENCE  Most of the families belong to lower middle class  No family belongs to lower class and upper class
  • 34. TYPE OF HOUSING AND OVERCROWDING FATHIMA HUDA K ROLL NO.31 16TH BATCH 4TH SEMESTER
  • 35. HOUSING • HOUSING IS DEFINED AS THE PHYSICAL STRUCTURE THAT MAN USES AND ENVIRONS OF THE STRUCTURE INCLUDING ALL NECESSARY SERVICES,FACILITIES , EQUIPMENTS AND DEVICES NEEDED FOR PHYSICAL AND MENTAL HEALTH AND SOCIAL WELLBEING OF THE FAMILY AND INDIVIDUAL.
  • 36. SOCIAL GOALS OF HOUSING IT PROVIDE : ■ SHELTER ■ FAMILY LIFE ■ ACCESS TO COMMUNITY FACILITIES ■ FAMILY PARTICIPATION IN COMMUNITY LIFE ■ ECONOMIC STABILITY
  • 37. TYPE OF HOUSING THERE ARE THREE TYPE OF HOUSING : 1.KUCCHA 2.SEMI PUCCA 3.PUCCA
  • 38. KUCCHA • THIS HOUSE IS MADE OF WOOD , MUD , STRAW AND DRY LEAVES SEMI PUCCA • EITHER FLOOR OR ROOF MADE OF PUCCA MATERIAL PUCCA • HOUSE MADE OF WOOD, BRICK,CEMENT, IRON ROD AND STEEL
  • 39. HOUSING STANDARD OF FLOOR AND ROOF FLOOR • IT SHOULD BE IMPERMEABLE SO THAT IT CAN EASILY WASHED AND KEPT CLEAN DRY. • FLOOR MUST BE SMOOTH AND FREE FROM CRACKS AND CREVICES TO PREVENT BREEDING OF INSECTS AND HARBOURAGE OF DUST. • FLOOR SHOULD BE DAMP PROOF • THE HEIGHT OF PLINTH SHOULD BE 2 TO 6 FEET.
  • 40. ROOF • ROOF SHOULD NOT BE LESS THAN 10 FEET IN THE ABSENCE OF AIR CONDITIONING FOR COMFORT. • THE ROOF SHOULD HAVE LOW TRANSMITTENCE COEFFICIENT.
  • 41. DISTRIBUTION OF STUDY SAMPLES ACCORDING TO TYPE OF HOUSE Type of house No. of families Percentage Kuccha 0 0% Semi pucca 1 4.3% Pucca 22 95.6%
  • 42. OVERCROWDING • IT REFERS TO THE SITUATION IN WHICH IN WHICH MORE PEOPLE ARE LIVING WITHIN A SINGLE DWELLING THAN THERE IS SPACE FOR, SO THAT MOVEMENT RESTRICTED ,PRIVACY SECLUDED, HYGIENE IMPOSSIBLE ,REST AND SLEEP DIFFICULT. • DEGEE OF OVERCROWDING CAN BE EXPRESSED AS NUMBER OF PERSONS PER ROOM.
  • 43. HEALTH PROBLEMS IN OVERCROWDING • SPREAD OF RESPIRATORY INFECTIONS LIKE TB, INFLUENZA AND DIPHTHERIA. • IRRITABILITY • FRUSTRATION • LACK OF SLEEP • ANXIETY • MENTAL DISORDERS
  • 44. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO PERSON PER ROOM Person per bedroom No. of family In percentage Greater than or equal to 4 0 0% 3 3 13.04 % Less than or equal to 2 20 86.9%
  • 45. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO VENTILATION AND LIGHTING STATUS OF HOUSE FATHIMA MEHAR BANU NO:32
  • 47. Good lighting is essential for efficient vision.If the lighting condition are not ideal,the visual apparatus is put to strain which may lead to general fatigue and loss of efficiency.
  • 48. How to measure? ● Luminous intensity -power ● Luminous flux-flow ● Illumination-amount reaching ● Brightness -amount reflected
  • 49. We used: Switch off all lights in the living room,sit in a corner of room and checked whether we can read newspaper or not
  • 50. Lighting condition No: of families Adequate 23 Inadequate 0 Distribution of study sample according to lighting of house
  • 51.
  • 52. Types of lighting ● Natural lighting ● Artificial lighting
  • 53. Natural lighting Is derived partly from visible sky and partly from reflection. ● Orientation ● Removal of obstruction ● Windows ● Interior of the rooms
  • 54. Artificial lighting 5 system of artificial lighting: ● Direct lighting ● Semi- direct ● Indirect ● Semi-indirect ● Direct-indirect
  • 55. Biologic effects of light ● Degradation of bilirubin-infants ● Biologic rhythm-temp, physical activity ● Stimulation of melanin synthesis ● Activation of precursor of vit D ● Adrenocortical secretion
  • 57. Concept of ventilation implies not only the replacement of vitiated air by a supply of fresh outdoor air,but also control of quantity of incoming air with regard to
  • 58. It’s temperature,humidity and purity with a view to provide a thermal environment that is comfortable and free from risk of infection.
  • 59. How to measure? ● Total area of windows or doors greater than or equal to one fifth of total floor area OR ● Sum of total area of doors and windows > or= to 2/5th of total floor
  • 60. Ventilation condition No: of families Adequate 15 Inadequate 8 Present Absent Cross ventilation 15 8 Distribution of study sample according to ventilation of house
  • 61.
  • 62.
  • 63. Types of ventilation 1.Natural ventilation ● The wind ● Diffusion ● Inequality of temperature
  • 64. 2.Mechanical ventilation ● Exhaust ventilation ● Plenum ventilation ● Balanced ventilation ● Air conditioning
  • 65. Benefits of good ventilation ● Control impurities ● Air regulation ● Stop condensation ● Reduce temperature ● Health benefits
  • 67. Study samplebased on the type of kitchen. • Every dwelling house must have a separate kitchen. The kitchen must be protected against dust and smoke adequately lighted provided with arrangements for storing food, fuel and provisions; provided with water supply; provided with a sink for washing utensils and fitted with arrangements for proper drainage .Thefloor of the kitchen must be impervious. • In the family house survey conducted in Kaipadamugal under the guidance of the community medicine department a total of 23 houses were taken account. • The number of houses with separate kitchen is 22. • The number of houses with water supply available 22.
  • 68. • The floors of all the kitchen where pucca. • The smoke ventilation is present in 17 kitchens and absent in 5 kitchens. • The fireplace is raised in 21 kitchens and absent in one kitchen. • 11 houses depend on gas for fuel and 11 houses depend on bothgas and wood forfuel. • The are 17 houses in total which has a separate kitchen, watersupply available, pucca kitchen floor and smoke ventilation.
  • 69. PATTERN OF WATER SUPPLY IN THE STUDY POPULATION Fida Sathar P P No: 34 16 _ A batch 4 th sem
  • 70. PATTERN OF WATER SUPPLY IN THE STUDY POPULATION
  • 71. • Most of the houses have a sanitary well with pump • Some have public supply with house connection • Very few have both well and public supply with house connection • ln this study population there is no scarcity of water
  • 72.
  • 73.
  • 75. Waste management in Households. Gayathry MJ 4th SEM Community medicine
  • 76. Distribution of study population based on disposal of sullage (N=23)
  • 77. Distribution of study population based on pattern of solid waste material disposal (garbage) N=23
  • 78. Distribution of study population based on pattern of disposal of solid waste material (refuse) N=23
  • 79. Distribution of study population based on mosquito and fly breeding places Gowri Krishna S Roll no.37
  • 80.  In the family house survey conducted in Kaipadamugal under the guidance of community medicine department, 23 families were taken account  Data was collected from them by asking questions such as
  • 81.  Whether there is any mosquito breeding places in and around house ? If yes, give details- water stagnation in compound/septic tank wind pipe without net/Scattered containers(water coolers/ broken utensils/coconut shell/egg shells/plant pot)  Whether there is any fly breeding places in and around house? If yes, give details- Rubbish dumps containing organic matter or Human / animal excreta Result was that none of the 23 houses had places which support breeding mosquitoes or house flies
  • 82. What are consequences of having mosquito and fly breeding places in or around houses ?  Flies become a nuisance when buzzing around house  Flies causes contamination food and water  Both mosquitoes and flies pose a health risk by transmitting a wide range of diseases
  • 83. Mosquito borne diseases  Anopheles : Malaria, Filaria  Culex: Japanese encephalitis, West Nile fever, Viral arthritis  Aedes : Yellow fever, Dengue, Chikungunya, Yellow fever, Rift valley fever
  • 84. Mosquito control measures  1. Anti larval measures Environmental control: source reduction by filling , levelling and drainage ; cleaning up and getting rid of water holding containers such as discarded tins , empty pots , broken bottles, coconut shells and similar other artificial collections of water ; aquatic plants to which the larvae attach themselves should be removed or destroyed by herbicides Chemical control: larvicides like mineral oils, paris green, synthetic insecticides Biological control: fishes which feed readily on mosquito larvae like Gambusia affinis and Lebister reticulatus
  • 85.  2. Anti adult measures Residual sprays: Adult mosquitoes can be commonly controlled by spraying houses with residual insecticides like DDT, malathion, lindane Space sprays: are those where the insecticidal formulation is sprayed into the atmosphere in the form of the mist or fog to kill insects eg. Pyrethrum Genetic control: Control of mosquitoes by genetic methods such as sterile male technique, cytoplasmic incompatibility, chromosomal translocations, sex distortion and gene replacement
  • 86.  3. Protection against mosquito bites Mosquito net Screening : Screening of buildings with copper or bronze gauze Repellents : Are used mainly for application on skin and the chief advantage is short duration of protection eg. Diethyltoluamide
  • 87. Fly borne diseases  Cholera  Conjunctivitis  Dysentery  Gastroenteritis  Salmonellosis  Tuberculosis  Typhoid fever
  • 88. Fly control measures 1.Environmental control Eliminate the breeding places and to bring about an overall improvement in the environmental sanitation; storing , efficient collection and disposal of garbage ; provision of sanitary latrines With septic tanks ; stopping open air defecation; sanitary disposal of animal excreta 2. Insecticidal control Residual sprays, space sprays ,larvicides can be used 3. Fly papers Sticky flypaper are useful adjuncts to other methods of control. These papers can be easily made by mixing two lbs of resin and one pint of castor oil
  • 89. 4. Protection against flies Screening of houses, hospitals, food markets and restaurants will give considerable relief from house flies
  • 90. FAMILY PLANNING DEFINITION Family planning refer to practices that help individuals or couples to attain certain objectives : 1. To avoid unwanted births. 2. To bring about wanted births. 3. To regulate the intervals between pregnancies. 4. To control the time at which births occur in relation to the ages of the parent. 5. To determine the number of children in the family.
  • 91. METHODS OF FAMILY PLANNING • Also known as contraceptive methods. • Contraceptive methods are preventive methods to help women avoid unwanted pregnancies. The contraceptive methods may be broadly grouped into two classes : 1. Spacing methods. 2. Terminal methods.
  • 92. SPACING METHODS 1. Barrier methods • Phisical methods – condom , diaphragm , vaginal sponge. • Chemical methods – foams , creams , jellies , pastes , suppositories , soluble films. • Conbined methods. 2. Intrauterine devices. 3. Hormonal methods. 4. Post conceptional methods. 5. Miscellaneous.
  • 93. TERMINAL METHODS 1. Female sterilization – tubectomy. 2. Male sterilization – vasectomy.
  • 94. ELIGIBLE COUPLES An “eligible couple” refers to a currently married couple wherein the wife is in the reproductive age , which is generally assumed to lie between the ages of 15 and 45.
  • 95. DISTRIBUTION OF ELIGIBLE COUPLES BASED ON THE AGE GROUP AGE-GROUP NUMBER OF COUPLES PERCENTAGE OF COUPLES 15 - 24 2 10 25 - 34 6 30 >/=35 12 60 TOTAL 20 100
  • 96. ACCORDING TO 2001 CENSUS REPORT PERCENTAGE OF ELIGIBLE COUPLES KERALA 15.9 INDIA 16.8 STUDY POPULATION 18.35 By comparing the data, there is a percentage increase of eligible couples in the population.
  • 97. DISTRIBUTION OF ELIGIBLE COUPLES BASED ON THE NUMBER OF CHILDREN NUMBER OF CHILDREN NUMBER OF COUPLES PERCENTAGE OF COUPLES 0 0 0 1 9 45 2 8 40 >/=3 3 15 TOTAL 20 100
  • 98. ACCORDING TO THE CENSUS CONDUCTED IN THE YEAR 2001 IN INDIA NUMBER OF CHILDREN PERCENTAGE OF COUPLES 0 7.87 1 20.1 2 35.58 >/=3 36.45 TOTAL 100 Comparing the data, there is a decrease in the number of couples having no children, an increse in the number of couples having one child , a slight increase in the number of couples having two children and the number of couples having three or more children have almost decreased to half.
  • 99. DISTRIBUTION OF ELIGIBLE COUPLES IN THE STUDY POPULATION BASED ON KNOWLEDGE OF FAMILY PLANNING METHODS METHODS OF FAMILY PLANNING NUMBER OF COUPLES PERCENTAGE OF COUPLES OCP 3 15 IUD 1 5 CONVENTIONAL METHODS 0 0 TUBECTOMY 4 20 VASECTOMY 1 5 TOTAL 9
  • 100. ACCORDING TO THE SURVEY CONDUCTED IN THE YEAR 2014-15 IN KERALA METHODS OF FAMILY PLANNING PERCENTAGE OF COUPLES BARRIOR METHOD 96.7 IUCD 94.9 NATURAL METHODS 92.6 PERMANENT METHODS 96.8 Comparing the data, there is decline in the knowledge of various family planning methods in the study population.
  • 101. ACCORDING TO THE SURVEY CONDUCTED IN THE YEAR 2013-14 IN INDIA METHODS OF FAMILY PLANNING PERCENTAGE OF COUPLES OCP 54.4 IUD 31.2 CONDOM 60.6 TUBECTOMY 70 VASECTOMY 69.6 OTHERS 22.9 Comparing the data, there is a decline in the knowledge of various family planning methods in the study population.
  • 102. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO HEALTH STATUS WITH RESPECT TO AGE HILMAA R Roll No. 41 4th Semester
  • 103. ACUTE DISEASES & CHRONIC DISEASES ■ Acute disease is an illness with rapid onset, progression, short duration and need urgent care – Eg. Typhoid, cold, cough, appendicitis, pneumonia ■ A chronic condition is a disease that is persistent or otherwise is long-lasting in its effect. The term chronic is usually applied when course of disease last for more than three months – Eg. Diabetes, COPD, AIDS, cancer, arthritis, asthma ■ Acute condition are severe and sudden in onset. This could describe anything from broken bone to an infection. A chronic condition, by contrast is long-developing syndrome, such as osteoporosis or asthma. Acute condition if untreated may lead to chronic syndrome 18-01-2021 103
  • 104. DISTRIBUTION OF STUDY SAMPLE ACCORDING TO HEALTH STATUS WITH RESPECT OF AGE Health Status 0-5 5-15 15-45 45-65 65 A/c 1 1 2 4 C/c 1 1 1 11 7 21 Healthy 8 19 39 16 2 84 18-01-2021 104
  • 105. Distribution of study sample Acute Diseases Chronic Diseases 18-01-2021 105
  • 108. DISTRIBUTION OF SAMPLE ACCORDING TO UTILISATION OF HEALTH FACILITY JAYALAKSHMI B ROLL NO. 44 16A BATCH
  • 109.
  • 112.
  • 113.
  • 115. From the survey we conducted • We found out that Karippassery is a Muslim based community comprising of 82.6 % of muslims • The lower middle class prevail in the community .The per capita income of the community is <6328 for 70 % of the people. • The literacy rates of the community stands 95.5 % which is comparable to the literacy rate of kerala which is 93.9 % • Almost all the houses in karippassery was pucca ,had normal lighting and a majority of the had normal ventilation. • None in the community suffered from scarcity of water • The area was clean with no mosquito and fly breeding places
  • 116. • 45% of the eligible in the community avail some form of family planning techniques in which tubectomy prevailed • 27.5%of the individuals between the age 45-65 where suffering from chronic health diseases and 5 % from acute diseases • No risk factors prevailed in the community. These are some of the data we were able to find about karippassery
  • 118. ▪ SOCIODEMOGRAPHIC STATUS ▪ Of the 23 families in the community ,52.5%were nuclear families and consisted of 82.6% were muslims . ▪ Age sex ratio was 1000:1224.Dependency ratio was 57.35%.The age pyramid was of expanding type Most of the families belonged to lower middle class with the expenditure details as follows ▪ 65.7%population had food expenditure in 25-50%range ▪ 77.8% population had medicine expenditure less than 25% ▪ 52.5%population had education expenditure in 25-50%range . ▪ More than 70%population had percapita income less than 6328 rupees . ▪ % OF ILLITERATE MALES =2.5 ▪ % OF ILLITERATE FEMALES =6.1 ▪ % of literacy of males =97.5 ▪ % of literacy of females =93.8 ▪ %total literacy =95.5 ▪ % of total illiteracy =4.94 Summary
  • 119. ▪ The type of house was pucca house in 95.6% families and the study sample according to the persons per room indicated that about 86.9 % families had less than or equal to 2 persons per bedroom . ▪ Majority about 65% had adequate ventilation and cross ventilation adequate lighting in all families . ▪ Majority had separate kitchens with the fire place raised depends on gas for fuel had smoke ventilation and pucca kitchen floor Housing
  • 120. ▪ Most of the houses have a sanitary well with pump and the distance of the water source was less than 30 minutes for all houses ▪ Source of contamination within 50feet of the well is 11.7% ▪ The method of garbage disposal was dumping followed by a majority and majority had sanitary latrines there were no fly breeding and mosquito places and cattle shed and pet dogs were absent in majority of the families . ENVIRONMENT
  • 121. ▪ The greater % 45% couples had I child . 60% couples were of age greater than 35 years and 20%couples had knowledge of tubectomy followed by 15%of the couples who had knowledge of OCPMother and child
  • 122. ▪ The distribution of the health status on of study sample according to age showed people suffering from chronic diseases 21%was greater than the people suffering from acute diseases .there were not any risk factors in the community .The health care facilities were availed equally from both allopathy and homeopathy . Disease