The document summarizes the results of a family health survey conducted by 16th batch medical students in an urban colony. Some key findings include:
- The majority population was Muslim (82.6%) with some Hindu (13.1%) and Christian (4.3%) families.
- Most families were nuclear (12 families) or three generations (9 families) with few joint families (2 families).
- Literacy rates were high with 95.5% literacy overall compared to national and state averages.
- Unemployment rates were also very high, especially for women at 82.5% compared to the national average of 3.8%.
- Most families fell in the lower middle
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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
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 %
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
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.
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
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%
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
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
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
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
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
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.
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.
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
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