This case study presents information on a nuclear family consisting of Pyarelal Chauhan (31 years old), the head of the household, and his wife Geetadevi Chauhan (26 years old). The family lives in a rented semi-permanent house in a rural area and has a low monthly income of Rs. 5000. Pyarelal suffers from azoospermia and knee pain, while Geetadevi has loss of appetite and anemia. The family was advised to seek medical treatment, improve their nutrition, and maintain better hygiene in their home.

1. Family Case Study Presentation… By Asmita Chavan Roll no. 11

2. Head of the family- Pyarelal Chauhan Name- Pyarelal Chauhan Age- 31yrs Gender – male Address – Plot no. 117, Bhairavnath nagar, kusgaon budruk. Pin- 410401 Duration of stay in the above address – since last 8 yrs

3. Religion – Hindu Total no. of family members – 2 No. of Children- no children

4. Loss of appetite since 4 months married Housewife Wife 5 th std 26yrs Geetadevi Chauhan 2 1.Pain in right knee joint. 2.Azoospermia married Labourer Head of Family 8 th std 31yrs Pyarelal Chauhan (index case) 1 Health problem Marital status Occupation income Relt’n with HOF Education Age/ Sex Name Sr. no

5. 3.Type of the family- Nuclear family 4.Economic data: No. of earning members: 1 Total monthly income:Rs.5000/- No. of dependants:1 Per capita family income:Rs.2500/- Monthly pattern of family expenditure (in approx): Rs. 3600/- Food: approx Rs. 1800/-

6. Fuel (Rs.200/-) & Electricity (Rs. 350/-): Education: - Medicines: - House rent:Rs.1000/- Clothing and Entertainment:Rs.150/- Others/loan/saving: others

7. Socio-Economic status Total income is Rs. 5000/- Per capita income Rs. 2500/- So According to modified B.G Prasad Classification- the family belongs to Class II

8. Social History Relationship amongst family Members & neighborhood: good & healthy. Habits of the family members: tobacco addiction in past and ocassional consumption of alcohol.

9. Utilization of Health Services: Private doctor

10. Nutritional data 1. type of diet – Mixed 2. weekly Pattern of food purchase 3. type of food – vegetables, pulses, milk , meat, cereals.

11. Daily diet: Morning: tea &3 chapati & sabji(695 cal) Lunch: 4 chapatis & 2 bowls sabji, rice(1110 cal) Dinner: dal, rice and sabji 2 chapati(750 cal) Total calorie intake:2545 cal. Calorie deficit: 1255 cal.

12. Reproductive health Age of marriage: Male: 20 yrs Female:18yrs Eligible couples in family: 1

13. Housing Environment Location : rural Type of house: rental semi pakka No. of rooms – 2 Total sq. ft area: 500sq. Ft Ventilation: inadequate Light: inadequate Disposal of solid wastes: collected in dustbin & dumped in open space Liquid wastes: gutter

14. Sewage disposal: open field Open space surrounding house is present No pets Water supply: intermittent Source: hand-pump & tap water Distance from house: two house distance

15. Vital events in last one year No significant events

16. Problems in the family Medical: Mr. Pyarelal: Azoospermia and right knee joint intermittent pain. Mrs. Geetadevi: loss of appetite since four months and anemic Social: Discrimination in society Economical: Low socioeconomic condition

17. Nutritional: Calorie deficient diet. Environmental : Open Bathroom in kitchen only No facility for garbage disposal No proper storage of water.

18. Advice to the Family Advised to visit RHTC Kusgaon. To have proper nutritional diet To maintain hygienic condition at home. Consult a doctor if infertility is untreatable, can adopt a child.

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