1. Eleventh Five Year Plan(2007-2012)
• Goals
• Reducing Maternal Mortality Ratio to 1 per 1000 live
births.
• Reducing Infant Mortality Rate (IMR) t0 28 per 1000 live
births.
• Reducing Total Fertility (TFR) to 2.1.
• Providing clean drinking for all by 2009 and ensuring no
slip backs.
• Reducing malnutrition among children of age group 0-3
to half its present level.
• Reducing anaemia among women and girls by 50%.
• Reducing the sex ratio for age group 0-6 to 935 by 2011-
12 and 950 by 2016-17.
14. World Health Day Themes
Year Theme
1975 Small pox – point of no return
1976 Foresight prevents blindness
1977 Immunise and protect your child
1978 Down with high blood pressure
1979 A healthy child – sure future
1980 Smoking or health – choice is yours
1981 Health is wealth
Year Theme
1995 Target 2000 ad – world without polio
1996 Healthy cities for better life
1997 Emerging and re emerging infectious diseases:
global respponse and global alert
1998 Safe motherhood – pregnanacy is special. Let
us make it safe
1999 Active ageing makes the difference
2000 Safe blood starts with me; blood saves lives
2001 Mental health – stop exclusion, dare to care
2002 Physical health – move for health
2003 Healthy environment for children shape the
future of life
2004 Road safety
2005 Make every mother and child count
2006 Working together for health
2007 International health security
2008 Protecting health from climate change
2009 HEALTH FACILITIES IN EMERGENCIES
15. It is of a serial record of
Child’s weight plotted
periodically on a Chart
Plotting of Weight
The age of the child is
shown in X axis
The weight is shown on
the Y axis
The wt should be
plotted in the center of
the two lines of the
months.
Write the weight below
the box of that month.
Join the plotted weight
with previous months to
make the growth
curves.
Growth Chart
16. Growth curves
child growth is healthy. •Flat growth curve indicates no
weight gain.
•Requires attention of AWW /
Mother /M.O.
17. • It indicates weight
loss of child.
• It indicates some
health problems or
illness
• Requires attention
of AWW / Mother
and M.O. with
immediate health
interventions
18. Growth chart
Interpretation:
A child with weight being
•80% of Median and above – Normal
• Between 70 – 80 % – Gr.I Malnutrition
• Between 60 – 70 % – Gr.II
Malnutrition
• Between 50 – 60 % – Gr.III
Malnutrition
• Below 50 % – Gr.IV Malnutrition
Weighing how often?
Monthly - from birth to first year
Every two months up to 2nd year
Every three months – 3rd year to
5th year of age
•Regular monthly recording weight of the
children and ploting on the growth chart
which enables us to see the changes in the
weight and giving advice to mother about the
growth of child is called GROWTH
MONITORING.
19. 80 %
70 %
60 %
50 %
Normal
Gr.I
Gr.II
Gr.III
Gr.IV
(as per the recommendations of the
Indian Academy of Paediatrics)
20. Media
n
80 %
70 %
60 %
Normal Growth with Direction of
the Curve upwards
Media
n
80 %
70 %
60 %
21. Median
80 %
70 %
60 %
Growth Faltering between 6 and 11 months while the Child
appears Normal to the Mother. Improvement after intervention
22. Measurement
Data
I
Analyzing
Differences
Count Data
More than 2
Treatment
Groups
2 Treatment
Groups
Cohort /
Experimental
Case -
Control
Cross
Sectional
Matched
Matched
Not Matched
Matched
Matched
Not Matched
Not Matched
Not Matched
McNemar’s
Pooled ‘t’
Test
Paired ‘t’
Test
ANOVA
McNemar’s
Chi Square
Chi Square
Decision Tree approach : Selection of appropriate Test of statistical
significance
23. Design of a Cross Sectional study
Exposed:
Have Disease
Exposed;
Do not have disease
and No Disease
Not Exposed;
Have disease
anease
Not Exposed;
Do not have disease
Reference
Population
Sample
Gather data on
exposure and disease
Sampling
26. Purification of Water on A Large Scale
Storage Special
Treatment
Sterilization
Filtration
• Slow Sand Filter
• Rapid Sand Filter
• Katadyne
• UV Rays
• Ozone
• Lime
• Chlorine
Chlorine gas
Bleaching Powder
• Break Point Chlorination
• Free Residual Chlorine
• Super chlorination
Chlorination
• Demineralization
• Hardness
27. Purification of Water on A Small Scale
Boiling Chemicals Distillation
• Chloramines
• Potassium Permanganate
• Iodine
• Berk Field
• Pasteur Chamberland
Filter
28. Food Classification
By Origin Chemicals Main Function Nutrients Food Items
Animal
Vegetable
Fats
Carbohydrates
Proteins
Minerals
Vitamins
Body building
(Meat, Fish, Egg)
Protective
(Vegetables,Fruits)
Energy giving
(Fats, Oils)
Macronutr
ients
Micronutr
ients
Cereals
Pulses
Vegetables
Sugar and
jaggery
Meat and
fish
Nuts
Fruits
Eggs
29. Impurities in Water
Inorganic Organic Microorganism
• Algae
• Living plants
• Bacteria
• Crustacae
• Cholera
• E. coli
• Larvae
• Eggs of Parasites
