This document summarizes a study of a family living in Kamalghat, Shantipara. The family consists of Shimul Bhadra (head), his wife Aparna, daughter Trinindita, and mother Rajlakhsmi. Shimul works as a news editor and the family's monthly income is Rs. 13,000. The family lives in a two room pakka house with one kaccha room. The document analyzes the family's health, nutrition, living conditions, and environment in detail over three visits. It is determined that the family's income meets expenses and nutrition is slightly excessive. The main issues are Aparna and Trinindita being underweight, and lack of

1. AGARTALAGOVT. MEDICAL COLLEGE
Dept. of Community Medicine
Clinico-psycho-socio-environmental
study
PRESENTED BY:-
ROLL NO. 53 to 57

2. IDENTIFICATION OF THE FAMILY
DATES OF VISITS:-
IST:-20/07/2022
2ND:-29/07/2022
3RD:-08/08/202
ADDRESS :-Kamalghat,Shantipara PIN-799210
NAME OF HEAD OF THE FAMILY:- Shimul Bhadra
RELIGION:- Hindu
COMMUNITY:- Bengali
CASTE:- SC

3. Family composition
SL
.
N
O.
NAME RELATION
WITH HOF
AGE SEX MARITAL
STATUS
EDUCATIO
N
OCCUP
ATION
INCOME
PER
MONTH
HEALTH
STATUS
1. Shimul Bhadra Self 35 M Married 12th pass News
channe
l editor
Rs
10,000
App.
Healthy
2. Aparna Das
Bhadra
Wife 30 F Married 7th pass House
wife
Rs 3000 App.
Healthy
3. Trinindita
Bhadra
Daughter 6 F Unmarri
ed
Nursery Studen
t
Nil Healthy
4. Rajlakhshmi
Bhadra
Mother 62 F Widow NIL House
maker
nil Hyperte
nsion

4. Type of the family:
Third generation family

5. FAMILY BUDGET
 Total MONTHLY FAMILY INCOME :
=(10000+3000) Rupees
=13000 Rupees Only

6. Per Capita Income Of the Family
 Total Number of Family Member= 4
 Total Family Income = RS 13000/=
 So the Per Capita Income is = RS 3250/=

7. According to modified BG Prasad
scale(2021),SINCE THE PER CAPITA INCOME
OF THE FAMILY IS RS 3250, THIS FAMILY COMES
UNDER THE CATEGORY OF MIDDLE CLASS.
MONTHLY PER CAPITA INCOME
IN RS
SOCIOECONOMIC CLASS
7008 & ABOVE UPPER CLASS
3504-7007 UPPER MIDDLE CLASS
2102-3503 MIDDLE CLASS
1051-2101 LOWER MIDDLE CLASS
BELOW 1050 LOWER CLASS

8. FAMILY EXPENDITURE
CATEGORIES COST PER MONTH
FOODINGS RS 5500
MEDICINE RS 100
EDUCATION RS 500
MAINTENANCE RS 3000
FUEL RS 1500(petrol for bike)
ELECTRICITY RS 300
LPG RS 650 (RS 1300 in 2 months-1 cylinder)
PUJA RS 300
TOTAL RS 11850

9. FINANCIAL STATUS
 Income is Rs 13,000
 Expenditure is Rs 11,850
 So the financial status of the family is
balanced

10. GENERAL HEALTH STATUS OF THE FAMILY
NAME BUILT PULSE
RATE
BP WEIGHT
(KG)
HEIGHT
(CM)
SIGNS OF
NUTRITIONAL
DEFICIENCY
SYSTEMIC
EXAMINATION
REMARKS
Shimul
Bhadra
Avg.
indian
built
67 124/86 47kg 154 cm No signs found No
abnormal
ity found
healthy
Aparna
Das
Bhadra
Avg.
indian
built
70 100/70 38kg 145 cm No signs found No
abnormal
ity found
healthy
Trinidita
Bhadra
Avg.
indian
built
71 122/82 13kg 85 cm No signs found No
abnormal
ity found
healthy
Rajlaxmi
Bhadra
Avg.
indian
built
82 148/90 40kg 142 cm No signs found No
abnormal
ity found
healthy

11. MEDICAL PROFILE
 CHIEF COMPLAINTS: No apparent problem
 HISTORY OF PRESENT ILLNESS: None
 HISTORY OF PAST ILLNESS: In 2020 shimul had a
wrist fracture
 FAMILY HISTORY: Father had Tb and died due to
it
 PERSONAL HISTORY: Shimul Bhadra has no
addiction,his mother and wife eat paan supari.

12. ANTHROPOMETRY
SL.
NO.
NAME HEIGHT(CM) WEIGHT(KG) BMI
(WT IN kg/HT
IN m^2)
REMARKS
(1) Shimul Bhadra 154 47 19.81 Normal
(2) Aparna Das Bhadra 145 38 18.07 Underweigh
t
(3) Trinindita Bhadra 85 13 15.31 Underweigh
t
(4) Rajlaxmi Bhadra 142 40 19.83 Normal

13. VITAL EVENTS
 THERE IS NO VITAL EVENT LIKE
BIRTH,DEATH,MARRIAGE,DIVORCE,ADOPTIO
N THAT HAS OCCURRED IN 2022

14. HEALTH SEEKING BEHAVIOUR OF THE
FAMILY
 Usually from the nearby public healthcare facility
( Subcentre or Mohanpur CHC ) for common
illness.
 Sometimes from tertiary health care institute i.e
AGMC & GBPH.
 Availability of public health facilator nearby :
ASHA & GNM.

15. ENVIRONMENTAL SANITATION
HOUSING
 Location: Plain area
 Accessibility from road: Accessible,200m from
road
 Setback: Adequate
 Courtyard: Adequate
 Dampness: Slight
 Artificial Ventilation: Present
 Type of house: Pakka(two living rooms) &
Kaccha(one living room & kitchen).

16. OVER CROWDING
 TOTAL FLOOR SPACE:243 sq. ft
 PER CAPITA FLOOR SPACE: 60.75 sq. ft(min. req. is 50sq
feet)
 NO. OF PERSON SLEEPING IN EACH ROOM:
ROOM 2: 3 persons
ROOM 1: 0 persons
ROOM 3: 1 persons
 PERSON OVERCROWDING: absent
 SPACE OVERCROWDING: absent
 SEX OVERCROWDING: absent

17. CUBIC SPACE
 HEIGHT OF ROOF: 10 ft.
 CUBIC SPACE: 2436.75 cubic ft.
 PER CAPITA CUBIC SPACE:609.18 cubic ft.
CUBIC SPACE IS ADEQUATE.

18. NATURAL VENTILATION:- Present in all the
rooms.
Total areas of the windows-
Living room 1 had 18.8 sq feet for 2 windows
and 17.7 sq feet for door
Living room 2 had 9.4 sq feet for window and
17.7 sq feet for door
Living room 3 had 18.8 sq feet for windows
and 40 sq feet for 2 doors
Total area of the doors = 53.1 sq feet
Cross-ventilation is present in Room 1 and 3.

19. Natural lighting
 On a bright sunny day(29/07/2022) with
-All artificial lights off
-All doors,windows and curtains opened and
-Standing in the middle of the rooms
I was able to read a newspaper placed at a
distance of 25 cm from my eyes with proper optical
correction and without any strain.

20. KITCHEN
 IT IS SEPARATE FROM THE LIVING ROOM.
 FUEL USED: LPG + wood
 WASHING FACILITY: Water from tubewell
 STORAGE AND FOOD: Cooked food in covered
utensils,uncooked food on racks
 SMOKE OUTLET: Absent
 DRAINAGE: No drainage present

21. WATER SUPPLY
 SOURCE: From shallow tubewell
 LOCATION: Behind kitchen
 APPROX. DISTANCE: : Approx. 2 metres
 STORAGE: In buckets
 MODE OF MAKING POTABLE: Cemented filter

22. BATHROOM
 PERMANENT
 PRIVACY: Maintained
 DRAINAGE: No permanent drainage
structure ; waste water is drained by
,manmade sloping behind it.

23. SOLID WASTE DISPOSAL
 COLLECTION: Plastic buckets & polythene
packets.
 SEGREGATION: No
 FREQUENCY OF REMOVAL: Once in 1-2 days
 FINAL DISPOSAL METHODS: Dump in
manmade bare hole 3m behind the house.

24. EXCRETA DISPOSAL
 SANITARY LATRINE IS PRESENT.
 WATER FACILITY FOR TOILET: Tubewell water is
collected and stored in buckets.
 DISTANCE FROM WATER SOURCE: About 8 m away

25. CROSS-SECTIONAL SKETCH OF THE
HOUSE

26. DOMESTIC PETS AND ANIMALS
 They have domesticated cows and ducks.
 Cows have their own shed.
 Ducks have duck pan.
 No. of cows = 3 cows
 No. of ducks = 4 ducks
 Adequate space is provided to each animal in
their shelters.

27. PSYCHO-SOCIAL ENVIORNMENT
 INTRA FAMILY RELATIONSHIP = GOOD
 INTER-FAMILY RELATIONSHIP = GOOD
 RELATIONSHIP WITH THE NEIGHBOURS =
GOOD
 PARTICIPATION IN SOCIAL GATHERINGS =
ACTIVE PARTICIPATION

28. RECREATION
Television
Mobile Phone
Gossiping

29. INDEX CASE
 UNDER FIVE IS ABSENT
 PREGNANT WOMAN IS ABSENT
 LACTATING MOTHER IS ABSENT
 CHRONIC DISEASE SUFFERER IS PRESENT
 ELIGIBLE COUPLE IS PRESENT

30. NUTRITIONAL ASSESSMENT

31. CALORIC CONSUMPTION UNIT OF THE
FAMILY
Serial No Name of
Family
Member
Age Sex Type of
Activity
Consumpti
on Unit
(1) Shimul
Bhadra
35 Years Male Moderate 1.2
(2) Aparna Das
Bhadra
30 Years Female Moderate 0.9
(3) Trinindita
Bhadra
6 Years Female Sedentary 0.6
(4) Rajlaxmi
Bhadra
62 Years Female Sedentary 0.8

32. TOTAL CONSUMPTION UNIT= 3.5
Total calorie requirement of the family =
( Total Consumption Unit × 2320 ) Kcal/Day
=( 3.5 × 2320 ) Kcal/Day
= 8120 Kcal/Day

33. TOTAL PROTEIN REQUIREMENT OF
THE FAMILY
Total Protein Requirement Of the Family =
( 47 + 38 + 13 + 40 ) gm/day
= 138 gm/day

34. TOTAL CALORIE AND PROTEIN CONTENT OF THE
FOOD CONSUMED BY THE FAMILY MEMBERS IN
LAST 24 HRS
FOOD ITEM QUANTITY (gm) ENERGY(Kcal) PROTEIN(gm)
RICE 1500 5190 112.5
DAL 150 500 25.65
POTATO 100 97 1.6
ONION 100 0.6 nil
BRINJAL 200 50 2
DRY FISH 30 33.6 5.91
COOKING OIL 100 ml 900 nil

35. CONTD….
FOOD ITEM QUANTITY(gm) ENERGY(Kcal) PROTEIN(gm)
TEA 6 cups(900 ml) 474 5.4
BISCUIT 94 372.12 6.72
COW MILK 800 536 25.6
TOTAL 8153.32 185.38

36. DIETARY INTAKE OF THE FAMILY
 PROTEIN REQUIREMENT= 138 gm/day
 ENERGY REQUIREMENT= 8120 Kcal/Day
 THEREFORE,CALORIE INTAKE OF THE FAMILY IS
8153.32 Kcal/day
 THE PROTEIN INTAKE OF THE FAMILY IS 185.38 gm

37. Dietary intake of the family
 Therefore the calorie intake of the family
is- EXCESS (BY 33.32Kcal)
 Therefore the protein intake is-EXCESS (BY
47.38 gm)

38. PROBLEMS AND COUNSELLING

39. FACTORS AFFECTING THE HEALTH OF THE
FAMILY
UNDERWEIGHT
IMPROPER DRAINAGE
SYSTEM
IMPROPER VENTILATION

40. THANK YOU