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A REPORT ON COMMUNOTY HEALTH DIAGNOSIS Bhajani VDC 5th Falgun 2068 to 5th Baisakh 2069 Kailali, Nepal 2012

Submitted By 8th Batch, Group-A General Medicine students

Submitted to Bhageshwor academy for health sciences Santoshi tole, Dhangadhi, Kailali


5th Falgun 2068 to 5th Baisakh 2069 Kailali, Nepal 2011

Submitted By Gaurab Bohara (Team leader) Ramesh Kumar Kami Dipendra Pant Santosh Raj Joshi Dilip Deuba Harka Bahadur Thapa Haridas Rana Prakash rawat Karina Shahi Saraswati Subedi Submitted to Bhageshwor Academy for Health science Santoshitol, Dhangadhi, Kailali Council for Technical Education and Vocational Training Bhageshwor Academy for Health Science (BAHS) Dhangadhi, Kailali This is to certify that Mr.……………………………. Mr.……………………………. Mr.…………………………….

Mr.……………………………………………… Mr.………………………………………………. Mr.………………………………………………..

Mrs.……………………………….. Mrs.……………………………………..

Mr.……………………………………………….. Mrs.………………………………………………..

The student of General Medicine of this Academy has completed community residential field program (Community Health Diagnosis) as requirement of General Medicine program and submitted “A report on community health diagnosis of…………………….” ……………………………….. External Examiner Date………………………. ………………………………….. Internal Examiner Date………………… ………………………………….. Campus Chief Date………………………. ………………………………………….. Program Coordinator Date……………………………. ………………………………………… Supervisor Date………………………..

AHW -Auxiliary Health worker ANM -Auxiliary Nurse Midwife ARI -Acute Respiratory Tract Infection AIDS -Acquire Immune Deficiency Syndrome ANC -Ante Natal Care ASFR -Age Specific Fertility Rate BCG -Bacillus, Cal matte, Guerin CBR -Crude Birth Rate

Tetanus DOTS -Direct Observed Treatment Short Course DPHO -District Public Health Organization EPI -Expanded Program on Immunization FP -Family Planning FCHV -Female Community Health Volunteers GFR -General Fertility Rate HMIS -Health Management Information System HA -Health Assistant HE -Health Education HIV -Human Immune Deficiency Virus IEC -Information Education & Communication IMR -Infant Mortality Rate INGO -International Non-Government Organization IUD .Integrated Child Development Program KAP -Knowledge.CDD -Control of Diarrhea Diseases CDP -Community Drug Program CDR -Crude Death Rate CMR -Child Mortality Rate CMA -Community Medicine Auxiliary CHD -Community Health Diagnosis CPR -Contraceptive Prevalence Rate DPT -Diphtheria.Intra Uterine Device ICDP . Attitude & Practice MB -Multi Bacillary 1 . pertussis.

MMR .Non.Government Organization OPD -Out Patient Department ORT -Oral Rehydration Therapy ORS -Oral Rehydration Solution ORC -Out Reach Clinic PDT -Population Doubling Time PHC -Primary Health Center PHCC -Primary Health Care Centre PGR -Population Growth Rate RH -Reproductive Health STD -Sexually Transmitted Disease SHP -Sub-Health post SOHS -School of Health Science TB -Tuberculosis TT -Tetanus Toxoid TTR -Total Fertility Rate VHW -Village Health Worker VDC -Village Development committee BAHS -Bhageshwor Academy for Health Science WRA -Women of Reproductive Rate 1 .Maternal Mortality Rate MCH -Maternal & Child Health MP -Malaria Parasite MDT -Multi Drug Therapy MUAC -Mid Upper Arm Circumference NGO .

The duration of our community field very short for these purpose although the programs were conducted according to our plan of action. In our catchment area many people suffering from unhealthy behaviors and superstitions which give rise to many disease and health problems. attitude and behavior appropriately. During our 60 days period. 3rd year 8th batch group ‘A’ would like to give heartily thanks to all the people generously helped in our community health diagnosis program and creation of this report. We had also a valuable opportunity to expose on clinical practice and also some of the managerial aspects of PHCC. We get an opportunity to learn a lot from our stay duration of 60 days. Bhajani VDC lies on the eastern part of Kailali district. 1 . unhealthy attitude and practice are prevalent not only among the illiterates but also among the educated our health education can help to solve the problems by changing these knowledge . we had to conduct many program at Bhajani VDC ward no 1. We collected data.JE -Japanese Encephalitis i. ACKNOWLEDGEMENT We all ten.A. 3rd year. our marks expressed in words do not sufficiently convey our gratitude. 2 & 3 according to random system of selection & staffs of Bhajani PHCC. the students of H.e. it is 24km far from HI ways at southern with Terai. where we had exposures to the unique health problem of Far Western part of Nepal which are coupled with illiteracy. There might be some errors in linguistic approach & technical errors which should also be considered. It is naturally beautiful and contains diversities in populations. –That Is PROLOGUE Being the student of Bhageshwor Academy for health science Dhangadhi 8th batch H.A. We had been sent Bhajani VDC Kailalai for residential community health diagnosis field program. [prioritized them and implemented Micro health project. poverty & environmental problems. analyzed and identified different health problems. There are many people who are not well informed and are not ready to use the health services provided.

social & environmental aspect is called community diagnosis. Netraprasad Upadhaya for his kind cooperation persistent encouragement invaluable suggestion gracious guidance & great positive behavior during our survey. special thanks go to Mr.At first we were highly grateful to our program coordinator Mr. Beth Joshi & Dr.D. 1 .who were help us in community & clinical fields. Mr. club & community people who were cooperative and helpful. Kirana Bhandari. Birendra Sapkota(AHW) Shanti balampakhi (ANM) staffs of PHCC of Bhajani V.C. biological. With best regards Group ‘A’ GM 3rd year Community field student 2069(8th batch) BAHS ABSTRACT Comprehensive assessment of health status of a community in relation to its physical. We convey appreciation & fathomless regard to our campus chief Mr. We also pleased to express our spiritual gratitude to respected store in charge Mr. We are thankful to Bhajani VDC local leader different school & government offices different NGO & project. Lokraj Bhatta. ANM). Sita Bhatta(sr. Padam Sharma (MO). Pravati Bhandary(AHW). AHW). Kailash Chaudhary(Sr. Bed Joshi for this constant encouragement and for providing the necessary information in our community work without whose help this program and our efforts would be meaningless.

regular use of mosquito net. U5MR was 24/1000 CDR was 24.58%. ………….Principle of objective of CHD was to assess the current health status. Positively change their mind into positive health. Tharu.3. At last the conclusion according to MHP suggest.2.80%. Finally we made an evaluation program of MHP & other activities that we done during our stay.16/1000. 1. About …………… % of deliveries was conducted by health person. ………… female having child under two year of age heard about Sarbottam pitho and out of them …………. Dalit..The study also shows that total 441 families use hand pump water.72 IMR was 35. 2. pre testing was done in padariya village of Bhajani VDC and after collection name of household head we decide in no. After finishing first community presentation we find out the existing real health need of the community. 1.63% families sanitary and only 2. incidence & epidemic of JE should be minimized and eradicate from that VDC and improved environmental sanitation. that transmission.08/1000.62. of house for our survey. newar & other were spontaneously 8.02%. Public awareness programme was run by pestering the posters related to various public health aspects. Study found that 2524 people live in our sample area. Among 1000 house of Bhajani VDC ward no.2 Overview of survey area 1.1 Background 1.9.04%house are Pakka for living. We run the MHP regarding MCH. Among them 1274 were males & 1250 were females. Fed colostrums to their baby. Then we prioritized the most important health problems to be shoed first. Male female ratio was 101. 2………….92:100 average family sizes 5.3 objective of survey 1 .1 map of survey area 1.0.72% People of Bhajani Brahmin. Able to give correct answer about preparation of sarbottam pitho. Chapter 1: Introduction 1.23. smoking and drinking.17%. JE.84%. VDC was selected by campus authority & the survey area was selected the coordination of our group & PHC staffs according to the population diversity & distance between PHC & ward.. After completion of orientation program we arrived our community in 2068-11-4. identify the problem and conduct a need based MHP on Bhajani VDC. 2 & 3. we choose 441 houses by simple random sampling of ward no. Almost 62. and TB.35 % use toilet & and also out of 59. kchhetri. Demographic information Variable of study Tools of study Mapping technique Data collection Data processing and analysis Validity and Reliability Limitations Ethical consideration Family types 2.6 1.1.1 Major demographic finding 2.1 demographic and socioeconomic finding Water 1 .7 1.1.1 1.4.11 Morbidity 2.9 Fertility 2.1.5 Education 2.10 Mortality 2.2 Environmental health 2.6 Occupation 2.12 Agriculture product and availability 2.1.2 Religion 2.2.5 1.2 1.3 Caste 1.5 work plan Chapter 2 Major finding 2.7 Total dependency ratio 2.1.4 Methodology 1.8 Age and sex composition 2.

3 KAP about common diseases 2.7 Family planning 2.6 Immunization 2.5 Waste management 2.4.2 Observed need/problems 1 .1 Age at first Pregnancy 2.4 Maternal & child Health (MCH) 2.2 KAP about Transmission of Disease & Treatment of HIV/AIDS 2.2.6 Cooking fuel 2. 2.4.5 KAP about 1st contact for treatment 2.5 Sarbottam Pitho 2.9 Diarrhea Chapter 3 Need Identification Antenatal checkup (ANC) KAP about Transmission of Disease & Treatment of TB.2.2.4 Excreta disposal 2.3 Delivery 2.3.1 Felt need/problem 3.3 KAP about Malaria Knowledge about Pneumonia Breast Feeding 2.4 KAP about JE Shed house distance 2.2.2 Types of house 2.

2 Conclusion Annex Bibliography Questionnaire Interview guideline Detail plan of action Special thanks to 1 .3 Rationale 4.7 Evaluation Chapter 5 PHCC Activities 5.4 Real Needs Chapter 4 Micro Health Project 4.2 Topic of MHP 4.3.1 Criteria for prioritization 4.1 Recommendation 7.2 Function of PHCC Chapter 6 Other activities 6.4 Objective of MHP 4.1 Introduction 5.5 Target population 4.6 Strategy 4.1 Community health education Chapter 7 Recommendation & Conclusion 7.3 Sharing of finding 3.

Among them BAHS is one of the health institute and we are student of 8th batch of this institute.1 Background To upgrade the health status of people of remote area of Nepal. All the students of third are divided into four groups with equal number of students in each. According to the syllabus.Name of household & Respondents Appraisal letters Chapter 1: Introduction 1. CTEVT is producing qualified middle class health manpower as Health Assistant {HA} through different health institutions of Nepal. Among the groups. we are 1 . The duration of community residential field practice is 8 weeks. we have to complete our community diagnosis field practice.

1. After our settlement we were fully engaged in our work. we were not able to take all the wards of Bhajani VDC. In short period.3 objective of the survey The General objective of this study is to assess the current health status of the Bhajani VDC in relation to its social. So it was decided that our programme was limited in wards no. and biological environment to plan. implement and evaluate MHP by utilizing locally available resource with community people. A sent Bhajani VDC for our residential field practice (CHD) and we went there with the help of our BAHS staffs. 1.2 Overview of survey area Bhajani VDC is beautiful VDC surround by Joshipor VDC (east). Khailad VDC (north).  To determine the determinants of health and common diseases of the community. It is nearly 24 km form Sukhad. 2 & 3. 1 .  To determine the socio-culture and economic status of the community. 1. lalboji VDC (South west). The specific objectives of study are:  To determine the demographic characteristics of the community.

the central objective is how to diagnose the whole community rather than on individual and solving the existing health problems within the limited period of time with limited resource. FCHVs. In overall. women having child of less than 2 years of age. FCHV 1000 household 441 household systematic simple random sampling 1. materials. Bhajani VDC ward no. in terms of man. environmental sanitation and educational status.4 Methodology Method is a way of acting in a systematic pattern to achieve the determined goals and objectives to make the program successful.1 Demographic information Study site: Duration of study: Study design: .  To plan. i.2 Variables of study 1 . MCH. FP. 1. 2 & 3 30 days Cross section. 1. 1. mind and minute. money. To assess the common health problems related to nutrition.e.  To conduct clinical field practice in the respective PHCC. descriptive study Type of data: Unit of analysis: Total household: Total sample: Sampling method: primary & secondary household.4. community leaders etc. community leaders.4.  To assess the immunization pattern of under 5 years child. The study is based on door to door data collection. implement and evaluate MHP together with community people directed to solving to their prioritized problems. information were collected from the interview method and our collage provided questionnaire were put forward to the head of household.  To assess the KAP of respondents regarding health problems.

3 tools for study Tools are the pillars for any studies the following tools we used for our study are a) prepare questionnaire for our primary data collection b) direct observation and interview c) Secondary data from FCHVs. practice were the variables of the study these are grouped under following headings. FCHVs. a) Physical  Housing type  Drinking water supply  Sanitary facilities  Latrine facilities b) Social  Educational status  Occupation  Economic status  Religions  Source of health care  Smoking and drinking habits  Family structure C) Biological       Age and sex of each family member Birth past 12 months Death past 12 months Disabling Immunization and WRA Symptoms of illness in past 3 months 1. health.4.Door to door visit for the collection of basic information was the type and the attributes such as serial. teachers etc. total population of VDC. e) Other magazine 1 . and VDC such as name of head of household. behavioral. PHCC. d) Information through local leaders. attitude. knowledge. economy. map of VDC. culture.

we decided them by using symbols like M for male. temple. First of all the study area was observed thoroughly and the boundary and other important place such as school. d. We discussed about many problems and their appropriate solution that might arise during our field time. 1. male female. house & side road. bank.1. 1.4. b. main road. birth death etc. Major vital health in director was calculated by using formulae and also statistical method. The rough map of the study area sketch by the help chief person of the village (valmonsha) c. the questionnaire was pre tested in room. For leader we made leadership questionnaire after group discussion was used.4. FP for family planning they were tabulated and presented in suitable figure and graphs. The questionnaire developed was asked with house leader but questionnaire related to MCH were asked with mothers having children less than2 years.4 Mapping technique Map is mirror is the location of community that’s why the following techniques were applies to obtain a reliable map of study area.7 Validity and reliability Orientation program We were oriented by our respected lectures before departure to community field practice that helped to us work properly in community. Then the data was collected in ward no. caste.4.4.6 Data processing and analysis The collected raw data was processed and analyzed with active involvement of the whole team by dividing responsibility like educational status. jungle. F for female. small river. The questionnaire used is attached in annex of this report. The data collected from each and every house of the catchment areas. 2 & 3 of Bhajani VDC. 1 . a.5 Data collection Before collection of the data. platform wells and tops VDC building. The original map of the study area received by PHCC and matched with the rough sketch. 1. tower of NTC. Finally the required map was prepared by the necessary legends were filled as required such explained above. 1.

rapport building and the way of data collection.Pre testing The questionnaires were pretested before starting data collection before departure to community field practice pre-test was performed at campus. post dinner seminar was conducted and forms were checked by other so that some error was not committed in the next day. taking style. instrumental errors and personal errors were minimizing as for as possible by conducting error editing process.  Some calculated data might not be comparable to the national figures because of small sample size. Sub group formation Then ten students in our group were divided into 2 sub groups for awareness programme in JE in sampling community and 5 sub groups for action on data. The rapport building was done with PHCCs staffs and VDC staffs.4. We explained our aim and objectives of the visit to the field. Rapport building On the second day of stay in Bhajani VDC.  Recall bias on various health related subjects were frequently observed. Minimizing errors Statistical errors. monitoring and supervision with helpful advice and active guidance in survey step of our field works. On the pretesting we collected many experiences about obstacles.  Some people were non co-operative and unresponsive as they know that we were not going to provide them materialistic things 1 . Monitoring and supervision Respected lecture of BAHS were found to performing. They assured that they will help us during our stay in Bhajani.e. 1. I.8 Limitations Limitation of our study include ass following  In few of the household required respondents were not available due to busy schedule in their field.

 Appropriate precautions were taken while speaking about the person sensitive  Assurance understandable term was given on the safety and confinable data.4. th 2 5 Falgun Informal rapport building Rapport building Students 3 Meeting with VDC staffs & Enhance Students PHCC staffs community participation th 4 6 falgun Data collection Survey Students competency  By interview  FGD 5 7-10 falgun Data processing. To be settled Collage make adjustment in administration community.5 WORK PLAN For fulfill the objective we had done our work according to the tentative plan of action developed by our school.9 Ethical consideration  Informed consent was taken prior to entering the community and the interview was made accordingly. SN Date Activities Purpose Responsibility th 1 4 Falgun Departure from collage. Disseminate Students. analysis Summarization of Students & interpretation the findings 6 Planning & preparation of Develop planning Students community presentation competency 7 Community presentation. BAHS which was as followings. 1. finding sharing & overall finding supervisors 1 .1.  Ethical consideration was maintained to minimize the expectation community people. matters of people’s life.

To run MHP Resource collection & preparation among group Implementation (running) Solve the of MHP prioritized problems Awareness programme Minimized health with health education problems Feedback collection Evaluation of the programme PHCC clinical practice Clinical exposure (MHP) Students Students Students Students 13 14 15 16 17 18 PHCC’s in charge & staffs. performance & collage staffs feedback 19 20 Chapter 2 Major Finding 2. Preparation for Correction of students final PHCC presentation errors PHCC presentation Evaluate our Students clinical performance Return from community Collage administration Preparation for collage To more Students presentation attractive and confidence Collage presentation Evaluate our CHD Students.8 9 10 11 12 discussion Planning for MHP. students Visit HP/SHP of catchment To know Students area of the PHCC management & service providing to community people Planning.1 Demographic Socioeconomic finding 1 .

58% 83. The vital events are fertility.72/family 23. Major demographic findings Table no.4 per women 101. Population is effected by various variables on vital events in the area. growth.52/1000 20. morbidity.63/1000 2.1.22/100 7.77/1000 81.44/1000 35.16/1000 16.The demography is the statistical and quantitative study of characteristics of human population. involving primarily the measurements of size.66/1000 4. distribution of the number of population living being born or dying in the same area of region and the related function of fertility.1.99/1000 . mortality and marriage. 2.92:100 24. marriage and mortality or death. 2: major statistical finding of the survey SN Particulars 1 Total population  Male  Female 2 Family size 3 Fertility rate  CBR  GFR  TFR 4 Model age of first pregnancy 5 Sex ratio 6 Mortality rates  CDR  IMR  U5MR 7 Total dependency ratio 8 Disability rate 9 CPR 10 Incidence rate 11 Literacy 1 Value 2524 1274 1250 5.

2.89% 69.68% 100 As we know that Nepal was one of the Hindu countries in world. Now day freeness in religion however most of the people are Hindu as context of whole Nepal.98% 1.66% 93. Here also about 95.1.T vaccines (at least two dose) BCG DPT+ OPV+ HepB:1 DPT+ OPV+ HepB:3 Measles 69.1.83% 69.11% 98. 420 13 5 3 441 % 95.86% 67% 99.N Religion 1 Hindu 2 Buddhist 3 Christian 4 Muslim 5 others total No.3 religion by distribution S.23 % Hindu.13% 0. 1 caste wise distribution of people 1 .2 Religion Table no.12 13 14 15 16  Female  Male  Total T.3 Caste Figure no.66% 2.23 2.77% 90.

11 693 14.79 .84% .69 % were extended and 17.4 Family type Table no. 30.02% tharu 62.14 13.02 Our study showed that 47.80% newar 0. of family 211 153 76 1 % 47. 2. 346 170 292 Total % No.castewise distribution 3. 347 145 278 % 30.6 24.41 570 % 30.1.17% 2.58% 2.23 0.5 Education Table no.23 % were joint family.17 12. 5 educational status (>5years) SN 1 2 3 1 Education levels Illiterate Only read & write Primary male No. 34.N Types of family 1 Nuclear 2 Extended 3 Joint Total No.23.84 34.1.84% families were nuclear.4 family structure S.70 24.72% chhetri 8.79 315 25. The percentage of nuclear family shows the modern concept and standard of people.69 17.17 female No.

% 803 69. 2 & 3have 69.86 The communities of Bhajani VDC ward no.1.76 `100 Education play vital role in development of community or nation.83 803 69. 2 occupation status (>5 years populations) 6 5 4 Axis Title 3 2 1 0 agriculture1 bissiness 2 student 3 labour 4 household work service Axis Title 1 . % No.91 10. care of children. SN Literacy >5 years populations 1 male female Total No.13 10.89 1606 69.70 10.e. family health. especially female literacy rate indicates the society development in various aspects i.4 5 6 Lower secondary Secondary Higher total 128 125 127 1150 11.6 Occupation Figure no. 2.86 11.46 100 251 246 224 2299 10.86% literacy rate.53 8. % No. where female literacy rate is higher than males.07 100 123 121 97 1149 10.70 9.1.

It reveals the real productive population.government services and retired.72 2.Occupation is the source of income.16 8.25 6.1.98 10.68 14.67 5. 22.77 3. 2 & 3 shows as bellow.65 10.44 4. Total dependency ratio of Bhajani VDC was found to be 35.09 0. 1.16 6.20. 2.67 12.81 4.41 4.32 3.12 10.93 10.67 2.57 6.31 2.63 1.2.4 14.92% were farmer. 57 168 253 295 377 273 216 213 172 109 70 87 118 53 24 39 2524 % 2. 2.22%.36 10.8 0.19 100 Female No.02 11.87% household worker.31 2.8 0. in sample community about 33.96% were labor.09 2. It main cause may be low literacy rate of female in our survey area.2 4.41 1.35 2. 11 90 117 130 183 151 127 77 103 54 40 52 59 35 10 11 1250 % 0.24 4.88 7. According to our survey most of the female were household worker. SN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Age group years 0-1 1-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 >70 Total in Male No.1.44% people were student. 15.64 12.56% people were related with various government and non.08 10.74 4.95 1.81 8.22 9.43 6.2 9.55 8.16 4. 46 78 136 165 194 122 89 136 69 55 30 35 59 18 14 28 1274 % 3.95 15.8 Age and sex composition Age & sex wise distribution of total population of Bhajani VDC ward no.61 6. According to our field survey.88 100 Total No.7 Total dependency ratio The dependency ratio is the ratio of persons in the dependent age (<15years and >64 years) to those in the economically productive age group (15-64years) in a population.54 100 1 .

Disability rate It is defined as any restriction or lack of ability to perform an activity in the range considered normal for human being. Smoking and Drinking habit Healthy behaviors have good effect on health while unhealthy habits have a hazardous impact on the health. 2. In Bhajani VDC the disability rate was found 7. of live births given by the women of reproductive age group (14-45 years) in a specified time & place if they follow current pattern of fertility rate. It is zero type of pyramid resembling the population pyramid of developed countries.1. The sum of the entire age-sex group in the population pyramid equals 100% of the population.92:100.e. Sex ratio It is the ratio of male female in a given population usually expressed as no. The population pyramid of Bhajani VDC is narrower in base border in 5-24 years of age group and is tapering towards old age. Bar for males are given on left of central vertical axis and bar for female on the right taking age group in same class interval i. In our survey among 2299 Population only 1000 male.52 per 1000 population. The bar represents age group in ascending order from the lowest to highest pyramid horizontally on one another. In Bhajani VDC. 900 female smoke which is spontaneously 78% & 86. males for every hundred females. the sex ratio was found to be 101.95% male & 52. Smoking and drinking habit are very harmful to the health of human being so it was also included in the survey. 5 years age group.9 Fertility The fertility is defined as the total no.21% female have only drinking habits.Age & sex composition of population can be displayed by constructing population pyramid that graphically shows the proportion of male and female in each group and consist of horizontal bars. 1 .

live birth per 1000 women in the reproductive age group (16-45) in a given year. of female 183 151 127 77 103 695 Total live birth 10 16 20 8 6 60 ASFR 54.63 per 1000 women of age 16-45 years in Bhajani VDC.62 & TFR=2. General fertility rate (GFR) It is the no.77 per 1000 population of Bhajani. National planning commission (10th 5 years plan for CBR =25.95per women) the survey indicate that the CBR & TFR is 1 . According to our survey in Bhajani VDC 60. of child birth in a year to 1000 women in any specific age group. Age specific fertility rate (ASFR) It is defined as the no. CBR was found to be 23. 8 age specific fertility rate Age group 16-20 21-25 26-30 31-35 36-40 Total Total no.89/1000 58. GFR was found to be 81.64/1000 105. Table no.48 % women are of reproductive age group (1645age). of live births per 1000 estimated mid-year population in a given year. of children would have if she were to pass through her reproductive years bearing children (15-49) at the same rate as the women now in each age group. Crude Birth Rate (CBR) It is the no.48/1000 103. It was found 2.This is very important factor to measure the health status of people living in that place because of the deviation in the ratio of fertility directly effects to the size and composition of the population status and also signifies to the implementation and disease prevalence. Median age at first pregnancy The median age at first pregnancy is 20-24 years.25/1000 Total fertility rate (TFR) It is the average no.96/1000 157.4 per women in Bhajani VDC.

1. In Bhajani VDC 61 Infants were reported from our respondents i. Study of mortality in demography can simply be described as the study of the risk of the dying as it varies from one population to another. 16.16per 1000 population.77 /1000 and2. The data gives more comprehensive.1.11 Morbidity Morbidity can be defined as the loss of normal physical or mental well being due to any cause. 2.10 Mortality It refers to death that occurs within a population while we all eventually die. The crude death rate of Bhajani VDC was found 24.low (23. 2. of new cases occurring in a defined population during a specified period of time.e. of infants death (<1year) per 1000 live birth in a given year which is as good indicator of health status of population. The rate can be used to reflect to both infant and child mortality rate.44 per 1000 per live birth.4/women) then the national data.66per 1000 live. Under 5 mortality rate (U5MR) It is the total death occurring in the under 5 age group. Infant mortality rate (IMR) It is the no. The less than 5 mortality rate of Bhajani was found 4. 1 . The family planning service is successful & the community people are eligible & aware of population growth. Incidence rate Incidence rate is defined as “the no. accurate and clinically accurate information on patient’s characteristic than mortality data is taken as essential basic research.99 per 1000 per year. In our survey 212 Cases of illness in a population of 2524 in a year the incidence rate would be 83.”(disease with in three month). of death per thousand populations in specific year in an area. Crude death rate (CDR) It is the total no.

% and ……………% sample population had surplus and can even sell the food product.………. According to economical concept of health. Environmental health Environment indicates all external factors. of family % The survey showed that.……….living materials.1.12 Agriculture product and availability Table no.Table no. which are surrounding mankind that may be living and non.1 Water 1 . 2.……..% of population was found to produce food that is sufficient for less than 6 months .% had food more than 12 months . health is a dynamic equilibrium between man and health unless there is equilibrium in between the ecological system of environmental no health life can be considered. 10 sufficiency of agriculture product SN 1 2 3 4 Time(duration) Less than 6 months 6 months to 1 year More than 12 moths Can to sell also Total Total no.% sample population had sufficient field for 6 to 12 months .. ………. % 2.2. 9 most incidental disease (top 10 diseases) SN 1 2 3 4 5 6 7 8 9 10 disease ARI Skin disease No.

02% 0% not purification 92.2. 5 WATER PURIFICATION 0% purification 7. Figure no.1 Source of water Out of 441 families.2 Water purification In our survey area most of the community people drink water without any purification.4 DISTRIBUTION OF SOURCES OF WATER tubell water 2. the pattern of consumption of sources of water as follows.1.2. the total populations of Bhajani VDC are using tube well water for all water needed activities including drinking purpose. The pattern of water purification is such as.1.2. FIGURE NO. In our survey.98% 1 .

2.04 6 types of house types of home semi-pakka 39.54 kachha 68.3 Method of water purification Among the 441 Houses.15 % have kachha house 39. 68.3 shed.34 0 2.2.2. are such as Table no.2. pakka 2.54 % semi-pakka house 2.15 Out of 441 distance 1 . which are using any procedure of water purification.1. 3 28 0 % 0. 11 water purification methods SN 1 2 3 methods Boiling Filter chemical No.2 Types of house Figure no.68 6.04 % pakka house 2.

Use if non sanitary toilet for excreta disposal and practice of open defecation is the main cause for disease transmission.. only ……. Among 441 families 166 families practice open dedication and 275 Families using latrine.% are far than 25f. Family have cow shed…………. ……houses i. ………% are attached with house and ……….e.e.2. 2. it suggest that health education should be given for there people on this topic. Table no.1 Use of latrine Figure no. ……% have shed not attached with house but near than 25f. % 2. The pattern of excreta disposal is shown here. 12 shed-house distance SN 1 2 3 Shed-house distance Attached with house <25f >25f Total No. i.4 Excreta disposal Human excreta are a major source of gastrointestinal disease manifestation and environmental pollution.4.7 distribution of latrine users DISTRIBUTION OF USE OF LATRINE 62% 38% user non user 1 .e.2.Among 441 families. House i. …….

2.3 Distance between toilet and water source Among 441 houses.4.2. Figure no.63% i.4. among 166 families toilet water source distance is following. 1 .e.36% i. 111 family using non sanitary latrine.2. Types of latrine Among latrine user 59.63% 40.e. only 275 Had got toilet.164 family using sanitary and 40. 8 types of latrine DISTRIBUTION OF USE OF LATRINE Series 1 Series 2 Column1 59.36% sanitary unsanitary 2.

18 4.5.2 Disposal of cattle dung 1 .54% by burning18.13% used others method. solid waste disposing by manure pit.13 100 2.1 Solid waste disposal Most of the people of our survey area. 148 186 20 82 5 441 % 33.2.59 1.2. Improper waste management lead too many health hazards due to vector borne disease water pollution.5.distance between toilet & water <50ft >50ft 2. 13 solid waste disposal SN 1 2 3 4 5 Types of practice Manure pit Dumping Burning Haphazardly throw Other total No.5 Waste management Waste management is one of the important aspects of the environmental sanitation. 2.18% disposed by dumping4.54 18. Table no.59% throwing haphazardly and 1. air pollution.2.56 42. they were 42.

48.  Attitude is the feeling towards someone or somebody which readiness to act or behave in a certain way.2.89% dispose by dumping by burning.82% used other different methods. Table no. following are the cooking fuel. 14 Types of fuel SN 1 2 Cooking fuel Firewood Bio-gas total No. 3. It indicates that.3 KAP about common disease  Knowledge is the understanding of fact and process which is acquired through information and experiences. 420 21 441 % 95.23 4. 0.11% by throwing haphazardly and 3. On our survey we study about following KAP  KAP about transmission and treatment of TB  KAP about transmission and treatment of HIV/AIDS  KAP about transmission and protection from malaria and Japanese encephalitis.In our survey area.  Practice is the process of knowledge in certain way of applicable life.27% dispose by dumping. 2. 2. 43.91% dispose cattle dung in manure pit .  KAP of first contact for treatment of health care.77 100 All people using firewood had oven without chimney. they should be given health education about respiratory illness due to smoke of oven. According to our survey.6 Cooking fuel Most of people in our survey area use firewood as cooking fuel.3.1 KAP about transmission and treatment of TB Heard about TB 1 . 2.

84% that they knew about TB and best of 30. 15 MOT of HIV/AIDS SN 1 2 3 4 5 6 1 MOT Unprotected sex Infected blood Unsterilized Transplacental No idea Other No. ………% through blood. Treatment or not Among the people. …….16% didn’t know.10 % said it is transmitted disease.60% said it can be treated. 2.2% had no idea. Transmission of TB Out of the people who know about TB were asked the transmission of TB. Transmission of HIV/AIDS Out of the who were known about HIV among them 89. we asked TB is treatable or non-treatable disease 57.49 % said it is communicable disease.% through unsterilized syringe.2 KAP about HIV/AIDS Heard about HIV/AIDS In our survey area 66.% had no idea Table no.2% said it is untreatable and 21. % . Among them 55. 30.% said that it transmitted by sexual contact.08% said it is non-communicable and 5.16% said it is non-transmitted disease and 14.74% had no idea. Mode of transmission Among the people who said that HIV/AIDS is transmitted. 5.43% had no idea.When the respondents were asked about TB whether they know about TB or not 69. 21. …….3. ……. who were heard about TB.89% heard and 33..11% not heard.

. who were heard HIV/AIDS we asked it is treatable or not.16ways of prevention of HIV/AIDS SN 1 2 3 4 5 6 7 Ways of prevention Avoiding unprotected sex Using sterilized syringe Using condoms Avoiding birth by infected mother Avoiding injection needle sharing No idea Other No. whether they know about malaria or not then. 5. Figure no.54% said other cause and 15. ……% said by avoiding birth by infected mother. …….……% by avoiding syringe sharing during addiction. ……% said by using condoms.2.30% didn’t know about the malaria. 73.70% know and 26.………. Cause of malaria Out of people who know about malaria were when asked the cause of malaria.Preventive measures of HIV/AIDS Among the respondent who know about HIV/AIDS. ………% had no idea and ………% said others ways. 2. ……% said it is treatable.08% of respondents said that malaria is due to mosquito bite.% had no idea.% said by using sterilized syringes.3 KAP about Malaria When respondents were asked about malaria. 10 cause of malaria 1 . ……% of them said prevented by avoiding unsafe sex.38% had no idea about cause of malaria.% it is untreatable and ……. 79. Table no. % Treatability of HIV/AIDS Among the people.

58% through waste and 6.90 13.54% no idea 15. 17 preventive measure of malaria SN 1 2 3 4 Preventive measured Use bed net Screening door/window Cleaning water ditches Other No.47. Transmission of JE Out of the people who know about JE were when asked the transmission.38% 0% mmosquito 79. Table no. whether they had heard about JE or not 34.CAUSE OF MALARIA other 5.91% said through pig.76 10.87% other way.28 26.2. Table no.4 KAP about JE Heard about JE When respondents were asked about JE.5.47% heard and 65.18 MOT of JE SN 1 MOT No. 248 66 133 50 % 49.06 2. % .64said that transmitted through mosquito bite. 39.53% didn’t hear about the JE.08% PREVENTION FROM MALARIA Out of people who know about malaria were when asked the preventive measure of malaria the answer was following.

8%) said the unscientific cause of disease such as evil.89 25.5 KAP of first contact for treatment of health care Knowledge about cause if disease Majority of respondent. Table no.64 39. 10 first place of treatment 1 . 112 22 52 16 % 55.92% said other ways.44 100 First place of treatment In our study.3.45% said using bed net. 331 30 80 441 % 75.25. Figure no. 20 knowledge about cause of disease SN 1 2 3 cause Scientific cause Unscientific cause No idea total No.74%said environmental sanitation and7.92 2.45 10.06)% of them said the scientific answer of causation of disease such as poor sanitation pathogens.10. we asked about the place or institute were they used to go first treatment.44%) told no any idea.55. e.8 18. and sin of god 80(18.06 6. 331 (75. And 30(6.1 2 3 4 By Mosquito By pig By waste Other Total 111 93 13 16 233 47. 19 preventive measure of JE SN 1 2 3 4 prevention Use bet net Screening door Environmental sanitation others No.87 100 Prevention of JE Out of the people who know about JE were when asked the preventive measure of JE.89% said screening door. i. sprits of devils. Table no. dirty food and water.91 5.74 7.58 6.

29% 5.91 100 In our survey area.77 .59 2.38% said the correct answer (nutrition and sanitation or scientific cause) 21.76 8. 328 17 96 % 74.67% people believe on traditional healers.85% said worshiping god.45% 31.22 preventive measure of disease SN 1 2 3 1 Preventive measure Correct answer Worshiping god No idea No. This indicates still some people lack health knowledge.9 24.24 11.9 0.7 48. On the our survey for not going to PHCC are as following Table no 21 not going to PHCC SN 1 2 3 4 5 6 7 Cause HW not stay at PHCC Uncoordinated HW No faith No drug Due to far distance No money Others Total Knowledge on prevention of disease No. Table no.38 3. when the respondents were asked about the preventive measure for disease about 74.59% hospital/HP medical dhamijharki other Form above.85 21. only 5. 5 1 5 42 82 20 15 170 % 2.77%said they had no idea 3.Chart Title Series 1 Column1 Column2 61.67% 1.

Total 441 100 2. It is true for the context of Bhajani too.1 Age at first pregnancy It is best to become pregnant only after 20yrs of age because the entire reproductive organ get matured and they get their baby easily delivery. Table no. curative and rehabilitative health care for mother and child. who were 61 in number. It is found that more than 60% women were pregnant before 20yrs of age.4.2 Antenatal care (ANC) ANC is the care of mother during pregnancy i. Antenatal care is subjected to promote maternal and child health.4 Maternal and child health (MCH) Maternal and child health refers to the promoting. still birth and abortion.45% of mother had visited ANC check up at health institution among them 98% had gone at PHCC/Hospital and rest 2% had gone at private clinic. It enables to defect our risk of mother and child during pregnancy.e. Among 107 mothers 93. % 2 3 4 2.4. preventive. Emphasis is given on maternal and child health care. Maternal and child health care is poor in our country as compared to other developed country. So as to reduce maternal and child health mortality the following data are obtained from those women who have child of under 2 years. 1 . mother and child care taken as one unit because a healthy mother bring a healthy baby. 2. 22 Age at first pregnancy SN 1 Age group <15yrs 15-19yrs 20-24yrs 25-29yrs Total no. after conception till the baby is born.

However. 0 4 21 75 100 % 4 21 75 100 2. in our survey we found that majority of women.4. 45 55 100 % 45 55 100 2.4.3 Rest in pregnancy It is recommended that pregnancy women should have adequate rest. in our survey most of the mother 1 . they don’t have knowledge about it 71. majority of mother in Bhajani VDC had visited to health services for 4 or more than 4 times.2.4. Table no.1 Frequency of ANC visit On our survey.28% and others 14.2. 23 frequency of ANC visit SN 1 2 3 4 Frequency Single visit only 2 visit 3 visit 4 visit Total No.2. So additional food is required for mother herself as well as for the growing fetus.42%. 2. 24 Rest at pregnancy SN 1 2 Rest at pregnancy Done Not done total No. Table no.2. However. them are 75% of total ANC visitor. their main reason were.2 Reason for not attending ANC Among the respondents who were not attending ANC.4. distance between PHCC and their house is far 14.4 Feeding practice during pregnancy The following fetus gets nutrition from its mother’s diet. Very less % of the sample population used to have rest. had to work as usual during pregnancy.2.28%.

2. vaccination at last pregnancy SN 1 2 3 4 vaccine TT II TT III TT IV TT v total No. Table no. Iron tablets supplementation during pregnancy Yes  Complete: 59(59%)  Incomplete: 41(41%) No : 0(0%) 2.5 T. of female 67 20 12 1 % 67 20 12 1 This study shows that the vaccine coverage in our community is good although 6. T. out of 107 Mother 93.2.68(68%) consumed the usual quantity of food and only 32(32%) at more quantity of food than before pregnancy.45% had taken T.4. post partum hemorrhage etc.6 Iron tablets during pregnancy Anemia is the condition in which hemoglobin content of blood is lowered.T vaccination at last pregnancy To prevent mother as well as baby from tetanus.2. Anemia due to deficiency of iron and folic acid during pregnancy period is one of the major problems resulting in pre-mature birth.54% respondent had not taken.54% of women are far from the service of TT immunization till now.T. And rest 6. since sufficiency iron and folic acid may not be available in daily diet of pregnant mother supplement iron and folic acid is supplied to pregnancy women from 2nd trimester of pregnancy to 4th day after delivery.4. 2. vaccination during their last pregnancy.T.3 Delivery 1 .4.T vaccination is one of the best means. 25 T. In our survey area.

3. there would be high risk of disease like tetanus. 2.4.42%) are delivery non-user.3. In our survey. soap and plastic that are required during delivery. thread.3.3.2. In the survey we found among the home deliveries. among those who delivered 1 . 70.4. 2.4 Cord cutting practices Cord cutting instruments after delivery of a baby should be sterilized.4.e. If it is contaminated. 71 34 105 % 67.2 assistant for home delivery In our survey we found that majority of the home delivery was assisted elder member of the community. 26 place of recent delivery SN 1 2 Site PHCC/hospital Home Total No.58% are delivery kit user and 10(29.61% 2. 24 i.61 32.3 Use of delivery kit Delivery kits are the set of instruments that contain sterile blade.38% PHCC/hospital 67.38 100 Figure 12 place of recent delivery place of recent delivery 0% 0% home 32.1 place of recent delivery Most of the delivery among our sample population were conducted in hospital Table no.4.

In our survey.4 Breast feeding 2. 2. 6 3 1 % 60 30 10 2.66s%). there were various cause.89%) had taken vitamin A capsule within 6 weeks of delivery from PHCC/hospital/FCHV27.e.1 Colostrums feeding Colostrums is the best nutrient for new born baby that provides the baby more nutrient and immunity to fight against the disease.66 33. 104 3 107 % 97.19%. Table no.19 2.3.4. 97.11% were not taken. 2 1 % 66. Majority used new blade 60% some of them had even used old blade Instruments New blade Old blade sickle No. Fortunately colostrums feeding practice is high i. 28 Colostrums feeding SN 1 2 practice Colostrum feeding Colostrums non feeding Total No. we know the majority of the women (72.5 Vitamin A capsule within 6 weeks of delivery home and didn’t use delivery kit.4. the cause that mother told were that it may harm to the child or think it as dirty thinks(66.81 100 If not why? Among those who didn’t feed colostrums to their baby.34 . 29 Reason for not feeding colostrums Reason Think it is dirty It may harm 1 No.4. so to fulfill the total demand of vitamin A for body can be supplemented by vitamin a capsule.4. Table no. A is necessary to the women after delivery.

Exclusive breast feeding up to 6 months provides all the necessary nutrients for growth and development of child. Table no.85% after 8 hour of baby birth.4.29 1.07 3.3 Feeding immediately after birth In our survey majority of babies (97. they fed sugar (1. cow milk(0.4.07% female have practiced Exclusive breast feeding properly.1. known as bounding.85 100 2. 30 period of breast feeding after delivery SN 1 2 3 Period Within a hour 1-8hrs After 8hrs Total No. Although there is little milk at that time.4 Exclusive breast feeding Exclusive breast feeding up to 6 months age is recommended provided that mother’s milk is sufficient to satisfy child hunger.2%) were not fed thing immediately after birth before breast feeding. 83 23 3 109 % 76.29% 1-8 hours. Breast feeding should be initiated within an hour.2 Period of breast feeding after delivery Baby should be breast fed as soon as possible after the birth.4. From our survey.85% of them fed within 1 hour. 31 exclusive breast feeding SN 1 2 3 4 months <5 months 5 months 6 months >6 months Total No.8%).4. it helps to establish feeding and close mother child relationship.2.85 21.4.66 88. Table no. Among those who were fed.4. 21.91%) 2.77 100 1 . 5 4 96 4 109 % 4. we found that 76.91%) and honey(0.5 3. About 88.

4. diphtheria.4.1Methods of preparing sarbottam pitho Among the respondents. % 2.7 FAMILY PLANNING ‘Delay the first. Those diseases are TB.31%) can prepare it properly and other can’t prepare. postpone the second and prevent the child’ Family planning is way of thinking and living that is adopted voluntary upon the basis of knowledge.2. 2. pertussis. the available vaccines are against major eight killer disease.4. It is one of the superior weaning foods given at the age of 6 months. attitude and responsible division by individual and couple in order to promote 1 .27 (55. poliomyelitis. 49(44.4.6 Immunization Expanded immunization is one of the prioritized programs of government of Nepal under this program.05%) found to be unheard about sarbottam pitho.5 Sarbottam pitho Sarbottam pitho is the ideal supplementary food for the infants that consist of necessary nutrients for the growth and development of baby. In our survey.32 immunization coverage vaccines BCG DPT/HEP -B-1 DPT/HEP B--2 DPT/HEP B-3 POLIO MEASLES JE No. Table no. 2. who were listened about it. tetanus. Hep-B and Japanese encephalitis.95%) were found to be heard and 60(55. measles.5.

Those who thought 2-3yrs. of children While asked about ideal no. 34 ideal no.2 Ideal no. of children for a happy family. High population growth rate is one of the burdens of developing countries to control PGR. 88 122 69 279 % 31.54 43. of children SN 1 2 3 No.% of the respondents said there should be the space of more than 5yrs for the health of both mother and child.4.72 24. feel that babies would grow together if the birth space lesser…….7. of children 2 children 3 children 4 children Total No.74 100 2.4.the health and welfare of family groups and thus contribute effectively to the social development of a country.79%) replied that two children are enough. ……% of respondents felt that birth spacing should be 4-5yrs even it is not in their practice ……. Table no.1 Concept of birth spacing Birth spacing is one of the major factor in reducing family size along with this it also promotes the health of the mother and child as well. majority mother (67.4.8 KAP on Pneumonia 1 . 33 concept of birth spacing SN 1 2 3 Spacing 2/3yrs 4/5yrs 5yrs Total No. In our survey.62 100 2. 2. Table no. Family planning service not only helps in reducing the fertility rate but also promotes the reproductive health and family health and also maternal and child health. 221 103 2 326 % 67.% felt it should be more than 2-3yrs. Family planning methods should be employed effectively.7.59 0.79 31.

66% have no idea.4.4. poor hygiene. 2. On the question of.45 % said they didn’t know.2 Cause of diarrhea All mother of our survey are. 2.55% said they knew and rest of 12.9. Among 225respondents 40% were able to give correct answer.35 cause of pneumonia SN 1 2 3 Cause Cold Dust/smoke No idea Total No.8. 2.66 4.9.66% said that they prevent babies from pneumonia by keeping warm. 2.9 Diarrhea Diarrhea is the one of the disease which takes away life of many people in our country.1 Cause of pneumonia Among them.4.When we asked the sample mother whether heard about pneumonia or not then 87.4.88% by taking health institution. damaged food is major cause of diarrhea.4. polluted water. should feed or not breast milk during diarrhea? Almost mother replied that breast milk should fed during diarrhea. 2.46 100 2. 2.88 6.8.2 prevention from pneumonia Majority of respondents 86. who knew that pneumonia about the cause they said that Table no.8.4. Realizing this fact we felt necessary to assess people KAP on diarrhea.9.1 Definition of diarrhea Presence of watery stool more than 3 times in 24hrs or a day is diarrhea.3 Management of diarrhea According to our survey majority of the sample population know that ORS can cure diarrhea 1 . 200 15 10 225 % 88.

36 management of diarrhea Management ORS Fluid diet No.01% had no idea on the question of can you prepare or do you know how to prepare ORS? NEED IDENTIFICATION Felt need/ problem Felt need are those health need which are realized or felt by community people themselves.22 0. Is the top most health problem.Table no.11 2. Unstructured interview with local leader.4 method of preparing ORS In our community 65.9. Felt need are think by community people for the development of their health and socioeconomic status. We will prevent these problems by educating them. traditional healer. FCHVs etc and the result obtained out 40 respondents were as follows.88 100 2.74% told wrong and 4. fluid Other No idea Total No. 175 36 7 5 2 225 % 77. Felt health need experienced by the community SN 1 2 3 4 5 6 7 Problem/needs Numbers Percentage From the above table……….4. Who is responsible for these problem solving? SN 1 2 1 responsible Local leaders Government Number Percentage .25% told correct answer and 30.77 16 3.

Nfjf 7. Ff 5.Bsh This shows ……………….3 5 Community Others Total It shows that the most of community people are assuming it is the responsibility of community to solve the problem. F 4. Jfhj 4. Hd 1 . is the major problem towards the health of the catchment area of BHAJANI VDC. 1. revealed that there were various problems in BHAJANI VDC. OBSERVED NEEDS/PROBLEMS Observed needs are termed those health and/or development needs which were find using different tools. Top 10 disease of BHAJANI PHCC According to monthly report of BHAJANI ( falgun to baisakh )the top disease were as follows. Hhhh 2. and paramedics of our survey area BHAJANI 1.Some of the needs that had been identified through data collection by vs were as follows:hhhgd 1. Dff 6. dhami.& 3. Fn 5. Above data is taken by questionnaire based interview with FCHVs. Gkkjkjdfjk 3. dGkkjkjdfjk 8. 2. teachers. Upper rti 2. Fgg 7. techniques. Fn 10. Gf 8. Bsh 6. Dd 3. findings. Jfhj 9..

pie-chart. Gaurab bohara . Diil deuba-present about disease tuberculosis 8. student. teacher. Santosh raj joshi-present-present about malaria disease 4. FCHVs. 1 . Ramesh kumar kami-present about iron taken by women 3. The presentation was an opportunity for us to disseminate the community with the major finding with further discussion on our observed needs and their felt needs for the identification of real needs. Saraswati subedi –present about postnatal checkup 6. All the students 10 were present and analyzed data.announcer. representative of VDC official and PHCC staffs. graph to present to participant. Although some members are illiterate our verbal expression helped them to understand.  To participate the community people for planning and implementation for micro health of the students and their subject matter is mentioned below:1. Dipendra pant –present about top 10 disease of BHAJANI PHCC 5.  First community was base for us to prioritize the problem prevailing in the community.the HA coordinator of bhageswor academy and kiran bhandari class teacher were chief guest of the programme.Harka bdr thapa-delivery in PHCC Sr. There were altogether 20 participants in the presentation including local leader. Haridas rana – present about immunization in PHCC 10. BHAJANI-1 we had arranged necessary sitting arrangement and had made necessary provision of drinking water.AHW kailash chaudhary the staff of BHAJANI PHCC was the chairperson mr. It was held on 29th falgun 2068. Karina shahi-present about delivery done by women 7.present ANC 2. Prakashrawat-present about vitamin taken 9.  Identification and generalization of the real needs after the observed and felt need was emphasized.Sharing of the findings After we had identified felt and observed needs we had conducted community presentation.  Objective  To disseminate all the finding of survey to community people and to generate the possible solution. The conducted programmed in CHETANSIL SAMAJ hall. We prepare bar diagram.bed joshi .

All the feedbacks and remarks made by us happy and more responsible to bring change regarding KAP of the entire community people. At last cold drinks. All the speaker thank us and bhageswor academy for health science for conducting such a community based programme and at the same time they expressed that they are ready to help us . some of the leader were requested ton put forward their option. REAL NEEDS REAL NEED IDENTIFICATION FELT NEEDS (by community) OBSERVED NEEDS(by student)     HE on MCH HE on RTI (pneumonia) HE on JE HE on women health AFTER DISCUSSION  Awareness on MCH  Safe drinking water  Awareness on JE  REAL NEEDS Community health awareness on:Japanese encephalitis 1 .At the end of the programme. banana party was arranged to the present guest & participants.

micro health project is a small form of a short-term project the fundamental nature of which is to develop health related skill and self relianceof the community people according to the prioritization of real needs through the identification and utilization of local resource. We decided the topics of MHP by collection all the information expressed by the community people and local leaders and we analyzed them. disease prevention activities. We should also consider that a micro-health project needs to be a simple action but effective and of community people 4.Chapter 4: micro health project Like the name suggests.2 Topics of MHP JAPANESE ENCEPHALITIES      Causative agent of encephalitis Pathophysiology Sign and symptom Treatment Prevention 4.3 Rationale 1 . The essence of MHP is to stimulate community interest in health primitive . After discussion according to following criteria we decided the topic MHP.1 criteria for prioritization         Severity of disease /problem State of harm caused by the problem Felt need Resource available National health policy Community participation Our knowledge on topics Time . 4.

 Mothers groups  FCHVs  Teacher.8 Evaluation Technique/method  Group discussion  Question answer/interview  Re-demonstration For sustainability of MHP refreshing community health education program will be conducted by PHCC BHAJANI.5 JAPANESE ENCEPAHALITIS  To provide health education to the community people. mind and minute are the basic fundamentals for the effective implementation of the programme.6 Target Population To carry out MHP the target populations were.1 introductions 1 . Man. money & material. So planning is important for the proper use of such fundamentals and to finish the task in determined time. Chapter 5: PHCC activities 5. we have to consider so many things in mind.7 Strategy  Community health education 4.4 objective of MHP 4. 4. chaudhary and tharu community because every people of this community have duck and pig in their home.Why MHP on JE? JAPANESE ENCEPHLITIS It is common in rana. 4.  To disseminate cause symptom and preventive measure of Japanese encephalitis 4. Most of people haven’t heard about these diseases about >60% people are unknown about these diseases. For the effective implementation of the programme . local leaders  Student of lower secondary and secondary level. We developed the detailed plan of action as shown in annex.

maintain filling letters record register. logistic management. financial record. we all were involved for all administrative function from our involvement we get lots of knowledge about administrative with the help and co-operation of PHCC staffs. There is staff quarter also.        b.AHW-1 Staff nurse-1 AHW-2 Lab assistant-1 ANM-1 VHW-1 Non-technical staff Kharidar-1 Peon-1 As PHCC is the first referral centre of the electoral area level it provides preventive.   Technical staff: Doctor-1 Health assistant/Sr. The summary of our PHCC activities in the PHCC of BHAJANI is as follows in which we were involve actively. a.phcc have its own small building but now new building is in construction. record maintaining writing letters . Administrative function This function include planning of health service.lalboji vdc. TECHNICAL FUNCTION Daily activities 1 . Staffing pattern The staffing patterns of BHAJANI VDC are as follows. Catchment area of this PHCC is khailad vdc . promotive & curative health service to the people of catchments area. During the period of community field practice.1 at behind of Nepal telecom. As well it also helps in administration of its office and two sub-health posts situated on khailad VDC & lalboji VDC.Primary health care centre of our catchment area is situated in BHAJANI VDC ward no. HMIS from billing and managing other. dispatch & entry of letter coming from the other institution and DHO.

and address. HIV test by ELISA. Lifebuoy soap. blood grouping. Abortion services There is free cost abortion service f. age. emergency service There is emergency service available 10 to 5 pm. Lab services There is only one pathology room.DC.a. Provisional diagnosis is done and treated according to the available drug in PHCC. MATERNAL AND CHILD HEALTH a. urine/ stool routine and microscopic examination is done by lab assistant. type of needed service such as FP. h. Delivery is conducted by medical officer and trained staff nurse and ANM. TC. MP test by RDT.The complicated cases is referred to higher centre. e. Delivery services There are two beds for delivery. Sterilization and Disinfections There is autoclave for surgical instrument sterilization.That include patient’s name. In spite lack of necessary chemicals. OPD service PHCC has been providing OPD service daily except government and local holiday. sex. ESR. Dressing is provided for wound and minor surgical procedure. equipments and manpower sputum AFB. d. Injection and dressings There are also services of dressing and injection. OPD and ANC. c. patient registration Each patient patient is provided a ticket without cost (free).UPT. ANC services 1 . g. spirit tincture iodine is available for disinfection. b.

Gupta sweet house 1 . Mr. birendra sapkota 4. Shanti balampakhi 9.Chanda devi chaudhary 16. Mrs hemanti awasti 6. Mrs . SPECIAL THANKS TO 1.Gunjan nath yogi 12. kailash chaudhary 3.Shanty lama 14. Dr. Padam prakash dev Sharma 2. Mr. Ashok magar 10. parvati bhandari 5.Arjun chaudhary (mahuniyal higher secondary school) 13.Jag bahadur saud 11. Mrs sita bhatta 7.Fulpati chaudhary 15. Kriti pathak 8.

17.Minu joshi NAME OF HOUSEHOLD HEAD/ RESPONDENT Ward no.1 SN NAME 2 Milan chaudhary 3 Puspa sunar 4 Rupa chaudhary 5 Rampati chaudhary 6 Maya chaudhary 7 Tilak chaudhary 8 Sagar b.k 9 Prabhat chaudahry 10 Ashik Ram kumara dangaur Bimala chaudhary Dharma bk Sunita bk Gagan singh bk Niran cahudhary Nathuram chaudahry Pratap bk Kamala devi bk Sita chaudhary Kalaya devi chy Netra bdr chaudhary Jay singh bk Suntali bk Khema devi bk Shakiya khatun Binaya lal chaudhary Mitchya devi chaudhary Rajpati chaudhary Sandip chaudhary Laxmi bk Shiva Shankar chaudhary Asharam chaudhary Fuliram chaudhary Sumitra chaudhary Dungini chaudhary Nilam chaudhary Urmila pun Dil devi chaudhary

Puja pun Bhojram chaudhary Sarita bk Sarad malla Puja bk Laxmi bk Indtra suaud Maya bk Shyam devi dangaura Rina khatri Kailash dangaura Jamuna pariyar Khadak singh bam Rajudevi bk Laxmi bk Bindu devkota Parsuram dangaura Ratna bk Poonam dangaura Pakhilal dangaura Fagura chaudhary Khusha devi chaudhary Ram bdr chaudhary Rampyari dangaura Anuradha cahudhary Laxmi chaudhary Bhakta bdr sunar Kaluram chaudhary Sunita gharti Bhim bdr shahi Anura bhushal Nurma devi bam Manju chaudhary Sitaram chaudhry Shankar bk Ram chaudhary Dil bdr bk Ram dulari chaudhari Ratana bk Binita saud Sapana khadka Bhukali dangaura

Dipak pun Tularam kami Chandra devi bk Sunita devi shrestha Kamal singh saud Shova dangaura Rekha bk Jaluram kumal Rampati chaudhary Ramesh chaudhary Sudhiya dangaura Pancharam kumal Bhaguram chaudhary Munshi kumal Chotelal chaudhary Chandra singh bk Gautam chaudhary Hirasingh bam Harish singh bk Urmila chaudhary Devraj bk Tilak sunar Jagat ram kumal Shov bdr kumal Mani ram chaudhary Dagram chuadhary Anandram bk Indra devi bk Sangita devi chaudhari Arjun shah Shiva dangaura Arati devi chaudhary Dhana tamata Dipadevi chaudhary Mangali bk Asha gharti Sangita bk Ramlal dangaura Tekram chaudhary Hauwa dangaura Mahajan devi chaudhry Janaki chaudhary

Prabat khatri Pharendra chaudhary Gulav chaudhary Netra khadka Lahami chaudhary Dil bdr bk Kamal raj chaudhary Kopila devi bk Jail devi khatung Ravendra kumal Chandralal chaudhary Krishnadevi chaudhary Sureshkumar chaudhary Birbhan bk Prem lal sunar Chengaura chaudhary Gulav lal chaudhary Olani devi chaudhary Devlal chaudhary Ram bdr bk Puran lal chaudhary Kushi lal chaudhary Sushil chaudahri Radha devi chaudhary Desh raj cahaudhay Pancharam chaudhary Pakul Husain Dilip kumar chaudhry Lok bdr pun magar Sharmila chaudhary Mahirul nisha Mayadevi chaudhary Sabita chaudhary Sunita chaudhary Holidevi dangaura Balini cahudhary Jayram dangaura Fulrani chaudhary Kailali devi chaudhary Dularam chaudhary Kamala devi chaudhary Fatya chaudhary 1 .

Shanty devi chaudhary Sita devi dangaura Firulal dangaura Hariwa tharu Lok bam Tara singh bk Mangiram dangaura Rajendra chaudhary Sumitra chaudhari Laxmidevi chaudhary Ram kumara devi chaudhary Gohanidevi chaudhary Chedulal chaudhary Gopi chaudahry Binita chaudhary Balram chaudhary Ankita chaudhary Anarkali devi chaudhary Kushum devi chaudhary Babulal tharu Hira kumal Satish chaudhary Gajesh chaudhary Mangal kumar kumal Jayram dangaura Dhagiya devi chaudhary Laxmi sunar Lahar kumar kumal Bam bdr kumal Bathu dangaura Tuliram chaudhary Gauridevi chaudhary Mangaldash dangaura Marthari chaudhary Kalawati sunar Amar singh bk Ruplal chaudhary Biksharan kumal 1 .

Soma chaudhary 33.khina dangaura 16.rajkumari chaudhary 13.Radhe shyam chaudhary 28. Ram Milan chaudhary 7.Shanty devi chaudhary 27.ravindra chaudhary 22. Chandra prakash chaudhary 2.Ganga chaudhary 32.bhagatram chaudhary 14.sumitra chaudhary 21.Ward no .Sagrani chaudhary 30.Sitarani chaudhary 34. Ranjita kumara chaudhary 4. Tulsa devi saud 3. Ramkrishna chaudhary 10.Laxman chaudhary 29.Fachram chaudhary 1 .arjun chaudhary 25.sundar chaudhary 18. Krishnadas chaudhary 8.bifi chaudhary 19. Krishna chaudhary 5. Amir Prasad chaudhary 9.2 1.anjali chaudhary 23.Krishna devi chaudhary 26.chaturprasad dangaura 17.sunita chaudhary 12.tikaram chaudhary 20.Dilipkumar chaudhary 35.rajesh chaudhary 24.ramcharan dangaura 15.Lautan chaudhary 11.Bisa chaudhary 31. Apeba chaudhary 6.

Asharam chaudhary 57.Amar chaudhary 40.Dulari chaudhary 73.Kaladevi chaudhary 59.36.Krishna bdr chaudhary 62.Pulsikumar chaudhary 72.Krishna devi chaudhary 64.Fulmati chaudhary 43.Kusum tharu 39.Ramesh chaudhary 53.Dilip chaudhary 45.Ramkisan chaudhary 49.Sushmita chaudhary 69.Binita chaudhary 55.Fulpati dangaura 66.Bilesh dangaura 38.Dubnarayan chaudhary 65.Sarad chaudhary 42.Thagni chaudhary 50.Jhokiram chaudhary 70.Kriti chaudhary 51.Ranipa chaudhary 47.Amir Prasad dangaura 67.Shreeram chaudhary 71.Asharam chaudhary 44.Choelal chaudhary 63.Haerani devi dangaura 54.Nirupa chaudhary 48.Aparna chaudhary 37.Bhagwandin chaudhary 61.Rita devi chaudhary 52.Prem bdr dangaura 60.Manish chaudhary 41.Minadevi chaudhary 68.Tikaram chaudhary 46.Chetarm chaudhary 58.Papatidevi chaudhary 1 .Ram bdr shahi 56.

74. Ratiram chaudhary 5.purnaram chaudhary 78.Ramdin chaudhary 13.pashupati chaudhary 83.shanty chaudhary 80.anita chaudhary 89. Srijana bk 8.gauri rawat 81.harilal chaudhary Ward no .Sonika khatri 11.Sugiram chaudhary 16.Bisram chaudhary 14. Bhawana jaishi 7.rupadevi chaudhary 85. Bisna chaudhary 4.lalita chaudhary 87.Amrita chaudhary 77.rangila chaudhary 88.Deuma bohara 17. Anita kumal 10. Ganga bk 9.liladevi chaudhary 86.Babita chaudhary 12.jogram chaudhary 79.bijaya chaudhary 90.panthidevi chaudhary 82.3 1.Chahari devi chaudhary 75. Laxman bk 2. Dipak bk 3. Janaki bk 6.sitaram chaudhary 91.Jogadevi kunwar 1 .Laxmi chaudhary 76.batiya dangaura 84.Ramrati chaudhary 18.Sova chaudhary 15.

Laxmi mijar 44.Sitadevi chaudhary 33.Pabitra bk 24.Devsara budha 52.Sunitadevi chaudhary 32.Lalbdr tiruwa 47.Sarada chaudhary 42.Rangadevi bohara 56.Desraj chaudhary 29.Chandra bdr bohara 48.Suji bohara 28.Hema bk 49.Khusiram chaudhary 37.Durgadevi bohara 46.Srijan dhami 20.Urmila devi chaudhary 31.Ranga bk 45.Befrani chaudhary 38.Lahun dangaura 30.Tejram chaudhary 40.Man bdr chaudhary 1 .Sitajanaki chaudhary 26.Kuniram chaudhary 43.Karisma chaudhary 27.Ramprasad chaudhary 41.Radha bk 54.Krishna chaudhary 50.Ganesh bdr tiruwa 51.Isworimati kathariya 39.Sushmadevi chaudhary 34.Gangarani chaudhary 23.Rajkumar chaudhary 36.Santari chaudhary 25.19.Saraswati chaudhary 22.Gauri bk 53.Rambhusan kalanki 55.Ramlal dangaura 35.Buslidevi chaudhary 21.

Nandadevi bohara 92.Udayaram bk 88.Tejram chaudhary 65.Jayram chaudhary 73.Urmila chaudhary 71.Lotu dangaura 78.Karan singh bk 63.Panpati devi chaudhary 70.Jhuthari chaudhary 66.Bisna devi sarki 81.Chandra bk 68.Mata bk 93.Dhana devi budha 86.Mahabir bk 69.57.Jayarani chaudhary 59.Gita chaudhary 80.Gagan bk 84.Belaram chaudhary 76.Narsingh bk 85.Dhan bdr tiruwa 79.Minadevi dangaura 1 .Bhajan singh bk 75.Minadevi bk 61.Dhanbdr bohara 94.Sagun chaudhary 77.Khusiram chaudhary 67.Bal bdr bk 60.Bhojlal dangaura 74.Ashadevi chaudhary 62.Ramkumar chaudhary 64.Dipak budha 90.Kaludevi kathayat 83.Lautan chaudhary 91.Min bdr budha 87.Lalita puri 89.Ramkisan chaudhary 72.Jamuna pariyar 82.Laxmi bohara 58.

Balram chaudhary 115. Gangadevi budha 103. Ram bdr chaudhary 117. Premlal kathariya 112. Bishna devi bk 109.Lila chaudhary 100. Jahari bk 129. Fulmati chaudhary 125. Khojram chaudhary 101. Suman tharu 128. Lalbdr budha 114.95. Sundari chaudhary 123. Saradadevi bk 126. Haerani kumara chaudhary 132.Badal chaudhary 96.Arunadevi chaudhary 99.Yasodha chaudhary 97. Suraj chaudhary 113. Krishna chaudhary 102. Hariram dangaura 120. Khema kathayat 106. Rup bdr bk 1 . Rupa raji 127. Fulmati chaudhary 121. Diradevi chaudhary 108. Sunita chaudhary 104. Guhan tharu 119. Dhanbdr dangaura 116. Sunita basnet 118. Narjit bk 131. Asha tharu 105. Satnadevi chaudhary 122. Dhanadevi kathayat 107. Hariram chaudhary 111. Thaggu bk 130. Khushiram chaudhary 124.Suliya chaudhary 98. Chotelal dangaura 110.

139. 135. Sunita sop Devi tiruwa Ramkumari dangaura Kuniram dangaura Dikra kumal Basanti devi chaudhary Ganga budha Ram dulari chaudhary Manish chaudhary 1 . 136. 140. 134. 141. 137. 138.133.