GROUP-D4

FAMILY HEALTH CARE

BATCH OF 2022
RG KAR MEDICAL COLLEGE AND
HOSPITAL

1
PREVIEW :-
1.Introduction
2.Socio-economic characteristics
3.Environmental study
4.Family’s knowledge & practice of healt
5.Nutritional profile of the family
6.Health status of under 5 & immunisati
7.Health check-up of obstetric history of
mother
8.Individual health check-up of the famil
9.medico-social diagnosis 2
10.Action taken & recommendations
 1

INTRODUCTIO
N

3
COMMUNIT
Locality
Y Belgachia
Typ
Name :
Urban slum

e:
Locatio Olai Chandi Road , Belgachia ,
Kolkata-700037
n:
LANDMARKS
1.Parasnath Digambar Jain Temple
.2.Lalit Memorial Boys’ Hostel
Locality
Map

4
 Family
• No. Of family members : 04
• Head of theIntroduction
family : Mahadev pal
• Other members : 1. Ila pal
• 2. Priyanka sarkar
• 3. Aradhya sarkar
• Type of family : Joint
• Address : Olaf chandi road, belgachia,
• Kolkata -37
• Religion : Hinduism
• Mother toungue : Bengali
5
 Family Tree
MAHADEV ILA
PAL
PAL
62Y
52 Y

PRIYANKA
SARKAR PRIYA PAL
25Y

ARADHY
A NILARD
SARKAR A
6
10M PAL
 PARTICULARS OF THE
Relation
FAMILY
Educatio
Age & Marital Physical Physiologi occupati
NAME with n
Sex Status activity cal status on
HOF level

MAHADEV 62Y
Self Married Illiterate Sedentary Geriatric Potter
PAL M

Post
52Y
ILA PAL Wife Married 9th pass Sedentary Menopausal Homemaker
F
Female

PRIYANKA 25 Y NP & L
Daughter Married 12th pass Sedentary Homemaker
SARKAR F Female

7
ARADHYA Grand 10 M
- - - Infant -
SARKAR daughter F
 2
STUDY OF SOCIO-
ECONOMIC
CHARACTERISTICS OF THE
FAMILY
8
 MONTHLY INCOME OF THE
Total Income
FAMILY ₹14000

Total Expenditure ₹12000

Balance ₹2000

Total Number of Earning

1
Members

Total Number of Dependents 3

Per Capita Income ₹3500

• Saving Method: None
9
• Availing any health insurance or others: None
thly expenditure of the fa Percenta
ITEM EXPENDITURES
ge

Food ₹4000 33.4%

Clothing ₹1000 8.3%

Health and
₹4300 35.8%
illness

Fuel & Electricity ₹1500 12.5%

Housing ₹300 2.5%

Travel/transport
&
₹900 7.5%
other
10
expenditures
ASSESMENT OF SOCIOECONOMIC STATUS
BY MODIFIED KUPPSWAMY SCALE , 2024
Parameter value Score

Education of the Head Illiterate 0

Occupation of the Head Potter (skilled worker) 4

Total Family Income ₹14000 2

Total 6

score
As per the modified KUPPSWAMY SCALE of 2024, the pal family lies in the UPPER
LOWER CLASS(IV) with a KUPPSWAMY score of 6 .
11
 ASSESMENT OF SOCIAL
PROBLEMS
ny unemployed member in the family : No
Substance use:
no who is unmarried , divorced or abandoned by husband’s
Any mother
familyill: no
Any handicapped or chronically
family
Anymember : no
children above 5 years not
going to
Is the mother school : no
working
anywhere?
Child labour : : no
no OTHER RELEVANT
INFORMATION
Possession of : bicycle ,fan electricity,television,mobile
phone,refrigerator
How do they pass their free time : resting ,gossiping,
watching
How does family get television
information/news : 12
Television, mobile
 3
Study Of Environment
And Housing Of The
Family
13
 STUDY OF HOUSING AND
HOUSIN ENVIRONMENT
• Site: not elevated
G
• Set back
area :no
• Approach
Road :narrow
• Type :
Mixed
• Ownership :
Rented

14

Front view of house

 PLAN OF
HOUSE
W W3
WW2
2
be
Bed

D2

Bed

Kitchen
D1 W1

Approach Road
15
 ASSESSMENT OF
OVERCROWDING
• Number of living
rooms: 02
• Total area of living rooms (floor space):(10ft.x10ft.)+(8ft.x10ft.)=
180sqft.
• Per unit floor space: (180/3)=60sqft.
• Person per room :
1.5:
• Sex separation : yes
• Overcrowding: not present

16
 ASSESSMENT OF
area :
VENTILATION
• Combined windows and door space (13.75x2) +(3.75x3)
(2.5x5.5)=13.75sqft (per door) =38.75sqft
(1.5x2.5) =3.75sqft (per window)
• Combined windows and door space area / total floor
space area :
(38.6/180)=0.21

• Cross ventilation :
present
• Lighting: inadequate

INADEQUATE VENTILATION AND LIGHTING

17
KITCHEN
• Kitchen presents in : Living room

• Types of fuel used : LPG

• Smoke nuidance : present

• Storage of food :
Kitchen in living
room
• Raw food : under bed (in open basket ) and in
kitchen
• Cooked food : in
refrigerator
18
DRAINAGE SYSTEM
• Drainage system around the
house:Common municipality drain present 3m from house
• Drainage of household
waste water
All household : water goes into common municipality drain
waste
• Breeding place for
mosquitoes:
Mosquitoes can breed in stagnant water present inside the drain

• Fly and Rodent Present

nuisance :

19
Drainage
 WATER
SUPPLY
Source of water (drinking/cooking/washingPublic
• Duration of supply: Intermittent.
or bathing).
tap water

• Adequacy of supply :
• Adequate
Type of containers : Plastic bottles and buckets (covered)
• How they draw carry & stores water in house: They connect a
pipeline from public tap water source to their kitchen and store in plastic buckets

• Is drinking given any special treatment at households: no

20
EXCRETA DISPOSAL
• Latrin
• Present outside the house
e: • Sanitary
• Community latrine
• Where family members go to defecate ?
• Sanitary latrines

• Where do they dispose child stool ?

• Sanitary latrines

• Any arrangarment of regular cleaning of

• Yes (by bleaching powder)
latrine?

21
 REFUSE DISPOSAL
• How do people dispose Common dustbin (present outside)
of refuse:

• How is th kitchen waste

disposed
• Solid : Common dustbin
waste : waste Drain
• Liquid
(sullage) :
• How are used sanitary Discarde in Common Dustbin after wrapping
napkins disposed : with plastic

22
 Problems
• No identified
separated kitchen
• Inadequate light inside house
• Rodent nuisance present
• Floor is not elevated
• No set back area present
• Approch road is very narrow

23
 4

Family’s knowledge and

practice of health

24
 knowledge about the following
communicable diseases

Care seeking behaviour (past and present) : NO, did not show
25

interest in knowing about it

 knowledge about the following non
communicable diseases

Not Known Not Known

Not Known

care seeking behaviour (past and present):

26
Not willing to say
 Visit to health facilities
• For minor ailments : Govt. ( RG Kar Medical College and Hospital )

• For major ailments : Govt. ( RG Kar Medical College and Hospital )

• For antenatal , natal , post natal care : Govt. (RG Kar Medical College
and Hospital )

• For preventive services ( immunisation , family planning ) : Govt ;

for vaccines of COVID –19 taken

• Which system is preferable to the family : Allopathy

27
ANTENATAL PRACTICES :

Item Knowladge Practice

Early Registration Yes Yes

Antenatal Visit(min. 4) Yes Yes

Examination during
No Yes
Pregnency

Yes Taken Iron & Calcium tablet

Drugs & vaccines
(About the medicine) And 2 doses of Td

Diet Taken extra meal and visit to ICDS

Yes
(Extra meal, Visit to ICDS) but not regularly
28
Post natal
practices

29
 Child Feeding
Items Practices
Knowledge Practice

First food
offered after She has some knowledge Practice done
birth

Colostrum She has knowledge Practice done

Initiation of BF Soon after Birth(after 4hr) Practice done

30
EBF(Exclusiv
e Only mothers milk
Done
Breastfeedin for 6months
g)

Demand
Yes Done
Feeding/Cue

How long can

BB be Yes Done
continued

Complement
Knowledge there Practice done
ary Feeding

Feeding
Have some knowledge Practice done
during illness 31
 Family Planning
Items Practices
Knowledge Pactice

Have knowledge (Male-

Legal age of marraige Practice done
21Y,Female- 18Y)

Interval of pregnency No idea Currently have one child

Reproductive
intention Not more than two Currently have one child
(How many children)

Contraceptive
methods
Have some knowledge Couple use condom
(avilable methods, 32
sources, usefulness)
 Knowledge and Practice regarding
Reproductive and child health practices

Use Sanitary
Napkins
Use sanitary napkins
3-4 3-4
perper day
day

33
 5
NUTRITIONAL
PROFILE OF
THE FAMILY
34
 Diet survey by 24hr
INDIVIDUAL ITEMWISE TOTAL QUANTITY
FOOD GROUPS FOOD ITEMS

CEREAL
recall method
1. Wheat
QUANTITY (gm/dl)

1. 400
FOOD ITEM WISE

650
2. rice g
S g
2. 250
PULSES Lentil dal 100gg 100g

GREEN LEAFY
_
VEGETABLE - _

ROOTS & TUBERS potato 450g 450

1. 100g g
1. lady fingers
OTHER VEGETABLES 2. pointed gourd 2. 100g 400
3. onion 3. 200g

FRUIT — _ _
g

S 35
MILK & MILK
PRODUCTS cows milk 500ml 500ml
FLESH FOODS Fish 300 300
g g
FATS AND Mustard oil 250g 250g
OILS
SUGAR & Sugar 250g 250g
JAGGERY

NUTS & OIL — — —

SEEDS
Chilli 1. 5g
SPICES & Turmeric 2. 10g
CONDIMENTS Garlic 3. 5g
25g
Ginger 4. 5g

MISCELLANEOU
S
— — — 36
Food group wise dietary requirement of the
family and balance

37
 Dietary intake of the
QUANTIT CALORIES PROTEINS IRON VIT A CALCIUM
FOODITEM
S
Y (g/dl) (k/cal) family
(gm) (mg) ( micro (mg)
WHEAT 400g 1364 48.5 19.6 gm) 19
7.25
RICE 250 18.75 8 22.5 22
865
LENTIL DAL g
100g 343 12.4 7.58 5
6
270
LADY FINGER 100g 35 89.6 0.32 52 9
2
ONION 200g 100 2.4 1.2 0 0
93.8
POTATO 450g 436.5 7.2 2.16 108 4
POINTED 5
100g 20 2 17 153
GOURD 1
300g 333 219 2.7 3
FISH 0 1
38
OIL 50
250g 135 0 0 1875
 Dietary intake of the
QUANTIT CALORIES PROTEINS IRON VIT A CALCIUM
FOODITEM
Y (g/dl) (k/cal) family
(gm) (mg) ( micro (mg)
S
25 99 0.25 0.3875 gm)
0
SUGAR 30
0 5
TURMERIC 10 34.9 0.63 6.78 3 15
RED CHILLI 5 12.3 0.115 17.25 8
1.59
GARLIC 5 7.25 0.135 0.06 0 1.5
GINGER 5 3.35 0.115 2
0.157 1
MILK 250 335 1 265
16 600
TOTAL
CONSUMPTIO 2825 5019.3418.57 67.1075 2675 2703.3
39
dietary requirement
and balance

r
ng
mothe
Lactati

40
agram for Balance of intake and requirement of nutrien
in the family

41
 6
HEALTH STATUS OF
UNDER 5
&
IMMUNIZATION
42
 FUNDAMENTALS
1.Pulse- 94/ min
2.Respiratory Rate- 24/min
3.Weight- 10 kg
4.Height- 76 cm
5.Palor/Oedema/Cyanosis/Jaundice/Clubbing- ABSENT
6.Feeding Habits- Cerelac/Rice --- At small amount at an interval of 2hrs
7.Sleep- Proper
8.Chest Circumference- 46 cm
9.Exclusive Breast Feeding- 6 months
10.Mid Upper Arm Circumference- 15 cm 43
BASIC INFORMATION
Name- ARADHYA SARKAR
Age- 10 Months
Sex- Female
Birth Weight- 2.5Kg
Date Of Birth- 18.07.2024
Place Of Birth- R.G.Kar
Medical College and Hospital
Delivery Type-Term delivery
C- Section
44
 IMMUNIZATION STATUS
Taken from UPHC-05,Belgachia,Kolkata

• BCG -1day
• Dpt-1 -1month
24days
• Penta-1 - 1month 24days
• DPt-11 -3months
• Penta-11 - 3months 5days
5days
• Penta-111 - 4months 9days
• dpt-111 -4months
• hep-b -18/07/24
9days
• ipv-1 - 1month 24days
• opv-0 -1day
• ipv-11 - 4months 9days
• opv-1 -1month
• Je-1 - 9months 5days
24days
• Mr(1st) - 9months 5days
• OPv-11 -3months
5days 45

• Opv-111 -4months
 7
HEALTH CHECK UP AND
OBSTETRIC HISTORY OF MOTHER

46
PARTICULARS OF THE MOTHER
Name - PRIANKA SARKAR
Age - 25 years
Age of marriage - 21 years
Parity - P1+ 0

Chief complaint - no serious complaint

47
MENSTRUAL HISTORY
AGE OF MENARCHE 12 -13 years
-
MENSTRUATION Regular
-
VOLUME - 3-4 pads /day

DURATION - 7 days

PERIODICITY - 21 days ± 7 days

48
 HISTORY OF PREVIOUS
PREGNANCY
Order of pregnency- 01
Age of pregnency- 23 Years
Outcome - live birth
Type of delivary- cesarean section
R G Kar Medical
Place of delivary- College & Hospital
Conducted by- Doctors

Complications- Not present 49

OTHER SIGNIFICANT HISTORIES
1RELEVENT MEDICAL ILLNESS : Not Present
2 ANY ABDOMINAL OPERATION
:
Not Present

3 RELEVANT FAMILY HISTORY : Not Present

4 SIGNIFICANT PAST
ILLNESS :
Not Present

ANTENATAL CARE :
IFA SUPPLIED /CONSUMED : YES

TT /Td GIVEN : YES

50
CLINICAL EXAMINATIONS
: CURRENT WEIGHT : 76 kg
CURRENT HEIGHT : 165cm
BMI : 27. 5 KG /Sq m ,
PULSE : 70 /MIN
BP :130/70
PALLOR : NO
OEDEMA : NO
CYANOSIS : NO
JAUNDICE : NO
RESPIRATORY RATE : 16 / MIN 51
 SYSTEMIC EXAMINATION

RESPIRATORY SYSTEM •:
Respiratory rate is normal (16 / min)
• Normal vesiculer breath sound is heared
• no added sound
ABDOME Soft and non tender
N:
CVS S1 and S2 sound is heard
:
CNS CNS examination is not done
EXAMINATION : 52
SUMMARY OF THE CASE

A 25 years old lactating mother having 10

months old baby was examined , her bmi
is 27.5 kg / sq m(overweight )she has no
significant illness at present.

53
MANAGEMENT OF THE
CASE : The mother is advised to visit icds
center nearby regularly for proper
nutrition and also advised to complete
rest vaccines of the child as per nis

54
 8
INDIVIDUAL
HEALTH CHECK-
UP
OF FAMILY 55
 PATIENT’S
Serial number: 01 PARTICULARS
Date of
examination:14/05/25
Name of the patient: Mahadev Pal Age: 62 y Sex: Male
Occupation: Potter
MEDICAL HISTORY:

• Presenting complains with duration: • Generalized weakness and sleeping disturbances for
about 3-4 weeks

• History of present illness: • Weakness through out the day

• Mild to madarate headaech at frontal area of head
• Insomnia for 6 months
56
• History of relevent past illness: • Hypertension for 8-10 years
• Joint pain for 4-5 years

• Family history: • No significant family history of hypertetion, diabetes, cancer or

glaucoma have been found

• Personal history: • No significant personal history

• No history of substance cosumption

57
 CLINICAL EXAMINATION
GENERAL
SURVEY
PALLOR:Absent

PULSE:: 96 bpm HEIGHT : 66 m

JAUNDICE:Absent

CYANOSIS:Absent WEIGHT: 74 Kg
BP: 110/80
CLUBBING:Absent
BMI: 26.85 Kg/M²

OEDEMA: Absent
58
 SYSTEMIC EXAMINATION
• EXAMINATION OF • Respiratory rate: normal(14/min)
CHEST: • Normal vesicular breath sound present
• S1 & s2 are normal

• EXAMINATION OF • No swelling
ABDOMEN: • No tenderness present
• No palpable mass can be found
• No organomegally has been seen
• SIGNIFICANT INVENTIGATION FINDINGS:
• HYPERTENTIO
N Takes Medication - combination of Telmisartan (40 mg ) and Amlodipine ( 5mg )
• INSOMNIA
Takes Medication - Alprazolam(0.25mg) 59
• SHORT SUMMARY OF CASE:
Mahadeb pal was examined on 14/05/25. He is 62 years old, having a BMI of
26.85 (overweight) is Potter by profession and having a sedentary lifestyle.
He has a history of hypertension, insomnia and currently suffering from minor
general weakness.
• MANAGEMENT OF THE CASE:
• He is advised to visit R G Kar Medical College & Hospital for regular
check-up and to take prescribed medications regularly & properly.
• Advised to consume low salt diet.
• Health education related to hypertension and insomnia has been given.
• He was advised to do some walking and free hand exercises to control
obesity.
60
 9

Medico Social
Diagnosis

61
 MEDICO SOCIAL
DEMOGRAPHIC DIAGNOSIS : Joint hindu family consisting of 4 members ,
DIAGNOSIS
residing at olai chandi road , Belgachia .

SOCIO-ECONOMIC DIAGNOSIS : The head of the family is 62 year old Mahadev

Pal . Total income of the family is ₹14000 with savings of ₹2000. The family
belongs to upper lower socioeconomic class according to Modified KUPPSWAMY
SCALE 2024 with KUPPSWAMY score of 6.

ENVIRONMENTAL DIAGNOSIS: There is lack of proper lighting and ventilation.

They don’t have separated kitchen. They don’t have any set back area.Fly and
rodent nuisance is present and mosquito breeding places are also present.
They use common community latrine . They have adequate intermittent water
supply from public tap . They store drinking water in covered plastic containers and
drinking water is not given any special treatment . Hand dripping is present while
62
drawing water from the storage.
 KNOWLEDGE AND PRACTICE OF HEALTH AND HEALTH RELATED
BEHAVIOUR : Health awareness is minimal. The wife of the family has some
knowledge about malaria
COVID,Tb,dengue but almost no knowledge about AIDS . She also has knowledge
about
hypertension, diabetes and heart failure.Daughter of the family head has some
knowledge
NUTRITIONALaboutDIAGNOSIS
condom ,ocp.:SheTheinformed us diet
family aboutishandwashing
deficient ofpractices and
green leafy
brushing twice
vegetables andwith toothpast
other .Menstrual
vegetables, hygiene
milk and is maintained.
milk products, root and tubers . They
lack fruit in the diet.
They have deficiency of vitamin A, iron and calcium. They have low calorie and
protein PROBLEMS :The head of the family has hypertension, joint pain and
HEALTH
excess diet.
insomnia. He has BMI of 26.85kg/m2 and he is overweight.
The under 5 child of 10 months has normal weight for age according to ICDS
growth chart and her immunisation is up to date and regular.
The daughter of the head of the family has a BMI of 27.5kg/m2 and she
63 is
overweight
 10
ACTION TAKEN &
RECOMMENDATIONS

64
 ACTION
• They are instructed to use large handle mug to avoid hand dipping.
TAKEN
• They are advised to use rodenticide and mosquito nets.
• We have taught them about some home remedies for common diseases .
• we advised them to make a habit of intaking honey with basil leaf .
• We advised them to take home available fluids like dal soup ,rice water,
coconut water at the time of diarrhoea
• We have taught them proper use of hand washing and ors preparation.
• We have asked them to avail the ICDS service for nutritional supplements
• We advised them regarding hygiene maintenance and basic knowledge
about disease and warning signs
• We advised them to take proper nutritional meal
65
 RECOMMENDATIO
N
• We recommended them for using covered metal containers for storage of
drinking water.
• we advised them to intake more leafy vegetables and fruits.
• Head of the family is advised for bp check up regularly as he has
hypertension.
• Regular growth monitoring recommended for the child.
• Continuation of regular immunisation is recommended.
• Breast feeding recommended to continue till 2 years of age
• Excercise is recommended to the head of the family .
66
 Ackowledge
We would like to thank Community Medicine Department for giving us the
ment
opportunity to take part in the Family Health Care program. It helped us learn a lot from
people in the community.

We also sincerely thank Prof Dr. Samir Roy Sir(Head , Dept.of

Community Medicine) and Assoc. Prof. Dr Tapobrato Guha Roy
Sir for their invaluable guidance.

Our gratitude extends to the faculty member Dr. Mousumi Saha Ma'am for her
support.

67
Lastly, we appreciate the families for their cooperation, making this learning
 Team
Members
• Satpal Singh (C)
• Samriddhi Singh
(VC)
• Samrat
Chattopadhyay
• Samrat Saha
• Sanchari Bag
• Sarfaraj Ahmmad
• Satyam Kumar
Singh
• Saurabh Mandal 68
• Sayan Kumar Char
Thank you for your
attention

69