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Under 5 Presentation-2
Under 5 Presentation-2
PRESENTATION OF UNDER5 CHILD
OF MY ALLOTTED FAMILY
SREYA CHAUDHURI
ROLL NO. : 108
6TH SEMESTER
KPCMCH
INTRODUCTION
The term child caring refers to the physical care of
the dependent so that they may survive up to
adulthood and perpetuate their family.
BCG, Hepatitis B(birth dose), OPV(0
At birth
dose)
Pentavalent1, OPV1, fIPV1, *Rotavirus 1,
6 weeks
*Pneumococcal – 1
10 weeks Pentavalent2, OPV2 , *Rotavirus – 2
Pentavalent3, OPV3, fIPV2, *Rotavirus
14 weeks
– 3, *Pneumococcal2
Measles Rubella1, Japanese Encephalitis
9 months 1, *Pneumococcal3 Vitamin
NATIONAL IMMUNIZATION SCHEDULE
AGE OF THE CHILD VACCINES AND SUPPLEMENT
*Measles Rubella2, Japanese
1624 months Encephalitis2 , Vitamin A(2,00,000
st
IU), DPT 1 booster, OPV booster
5 years DPT 2 nd booster
10 years & Tetanus Toxoid1 & Tetanus Toxoid 2
16 years respectively
NATIONAL IMMUNIZATION SCHEDULE
For pregnant women:
GIVEN AT VACCINE
Given as soon as Tetanus Toxoid 1
pregnancy is diagnosed
Given 4 weeks after the Tetanus Toxiod 2
Tetanus Toxoid 1
MILESTONES OF DEVELOPMENT OF
INDIAN INFANTS
AGE MOTOR LANGUA ADAPTIV SOCIO
DEVELOP GE E PERSON
MENT DEVELOP DEVELOP AL
MENT MENT DEVELOP
MENTS
68 LOOKS
WEEKS AT
MOTHER
AND
3 MONTH HOLD BEGINNI
S HEAD NG TO
ERECT REACH
OUT
OBJECT
45 LISTENIN RECOGNI
MONTHS G ZES
MOTHER
68 SITS EXPERI
TRANSF ENJOYS
MONTH WITHOU MENTIN
ER HIDE
S T G WITH
OBJECT AND
SUPPOR NOISES
HAND SEEK
T TO
HAND
910 CRAWLI INCREA RELEAS SUSPICI
MONTH NG SING E OUS OF
S RANGE OBJECT STRANG
OF S ERS
SOUND
1011 STANDS FIRST
MONTHS WITH WORDS
SUPPOR
T
1214 WALKS BUILDS
MONTHS WIDE
BASE
1821 WALKS JOINING BEGINNI
MONTHS NARRO WORDS NG TO
W BASE EXPLOR
E
24 RUNS SHORT DRY BY
MONTHS SENTEN DAY
CES
OBJECTIVES
• To assess the health status of the under five child.
• To detect any health problem if any.
• To assess any socioclinical factor to determine
health problems if any.
• To assess child rearing and child care practices.
• To give recommendations at individual, family and
community level if any deviation is present
➢ STUDY TYPE: Observational, Descriptive, Cross
sectional
➢ STUDY PERIOD: 26.2.18-11.3.18
➢ STUDY AREA: 32,Goswami Para, P.O. Joka,
Kol104
➢ STUDY POPULATION: 3 members
➢ STUDY TOOLS: Measuring Tape, Bathroom
Weight Scale, Stethoscope, Practical Guide
Book.
➢ STUDY TECHNIQUE : Data was collected by
1. Interviewing the mother regarding the child’s diet[Oral
questionnaire 24 hour recall method] and child care
practices.
2. Recording his weight by bathroom weighing machine.
3. Recording the height, head circumference, chest
circumference and mid upper arm circumference.
4. Calculating the values required.
5. Clinical examination.
6. Review of records.
I) INTRODUCTION TO THE FAMILY
• NAME OF THE HEAD OF THE FAMILY: Mukul Das
• ADDRESS: 32 Goswami Para,P.O. Joka, Kol104
• NO. OF FAMILY MEMBERS: 3
• TYPE OF FAMILY: Nuclear family in the phase of Extension
• RELIGION: Hinduism
• MOTHER TONGUE: Bengali
• PER CAPITA INCOME: Rs 3000
• SOCIO ECONOMIC STATUS ACCORDING TO INFLATIONRATE
ADJUSTED MODIFIED KUPPUSWAMY’S SOCIO ECONOMIC
STATUS SCALE (2014): Lowermiddle Class (III)
FAMILY
SL. NAME AGE SE MARITAL RELATIO EDUCATIO
NO.
CHART X STATUS N WITH N
HOF
1. MR. 29 M MARRIED HOF XII PASSED
MUKUL YEARS
DAS
1.PROFESSION OR 7
HONOURS
2.GRADUATE OR POST 6
GRADUATE
3.INTERMEDIATE OR 5
POST HIGH SCHOOL
DIPLOMA
4.HIGH SCHOOL 4
CERTIFICATE
5.MIDDLE SCHOOL 3
CERTIFICATE
6.PRIMARY SCHOOL 2
B.OCCUPATION OF HOF SCORE
1.PROFESSION 10
2.SEMIPROFESSION 6
3.CLERICAL,SHOP OWNER, 5
FARMER
4.SKILLED WORKER 4
5.SEMISKILLED WORKER 3
6.UNSKILLED WORKER 2
7.UNEMPLOYED 1
FAMILY INCOME PER MONTH (IN Rs.) SCORE
1. >36,997 12
2. 18,49835,996 10
3. 13,87418,497 6
4. 924913873 4
5. 55479248 3
6. 18665547 2
7. <1865 1
TOTAL SCORE SOCIOECONOMIC CLASS
2629 UPPER(I)
1625 UPPERMIDDLE(II)
1115 MIDDLE LOWERMIDDLE(III)
510 LOWER UPPERLOWER(IV)
<5 LOWER(V)
SOCIOECONOMIC STATUS OF MY ALLOTTED
FAMILY ACCORDING TO MODIFIED
KUPPUSWAMY’S SOCIOECONOMIC STATUS SCALE
A. EDUCATION SCORE
1. HIGH SCHOOL CERTIFICATE 4
B. OCCUPATION
1. SHOP OWNER 5
C. FAMILY INCOME PER MONTH
1. 55479248 3
TOTAL SCORE SOCIOECONOMIC CLASS
12 LOWERMIDDLE(III)
SOCIOCLINICAL CASE :
UNDER5 CHILD
INTRODUCTION
• NAME OF CHILD – Amit Das
• D.O.B. –02/03/2015
• AGE –36 months
• SEX – male
• PRESENT WEIGHT – 13kg
• HEIGHT –94cm.
BIRTH HISTORY
DELIVERY DETAILS
of Vit A on 12/3/17 , 11/9/17 and 10/3/18
respectively.
REMARKS – The child has received all the vaccines due till
date
GROWTH AND DEVELOPMENT
Neck Holding – 3 months
Sitting – 5 months
Crawling – 6 months
Standing with support – 8 months
Higher function (speech) – 12 months (normal)
PERSONAL HYGIENE
Bath – Regular
Washing of hands before feeding – Yes
Washing of hands after defecation –
Yes
Cutting Nails Regular
SUMMARY
The allotted nuclear family of Mr. Mukul Das (HOF)
has three members and their family is in the Phase of
Extension . Their monthly income is Rs. 9000 and
they belong to lower middle class according to
Inflationrate adjusted modified Kuppuswamy’s socio
economic status scale (2014). The priority members
of the family are Mrs.Champa Das (belongs to
reproductive age group) and Amit Das (under 5 child).
Amit Das , aged 36 months is an
apparently healthy child with a
satisfactory diet(except for the absence
of fruits), normal growth and
development. He has received all
vaccines till date.
RECOMMENDATION
S
RECOMMENDATIONS AT THE INDIVIDUAL
LEVEL
1. Proteinaceous food like daal, egg, fishes
should be given to the child.
2. Fruits such as banana and other seasonal
fruits should be included in the diet.
3. Artificial feeding should be avoided.
4. The child should be taken to the
Anganwadi centre for immunization,
health checkups for the under 5 children.
RECOMMENDATIONS AT THE FAMILY LEVEL
1. The family should maintain adequate hygiene
regarding the child’s feeding habits to prevent
infectious diseases of the gastrointestinal tract.
2. They should reside in a clean surrounding free
from vectors.
3. Mrs. Champa Das and Mr. Mukul Das should be
adopt family planning methods.
4. The family should go for regular health check ups.
RECOMMENDATIONS AT THE COMMUNITY LEVEL
1. The Anganwadi Centre present nearby should be able
to provide immunization, health checkups and also
referral services for the under5 children.
2. The community should also organize campaigns
related to Integrated Management of Neonatal and
Childhood Illnesses.
3. The mother should be made aware of all health
related aspects of under 5 children by health workers.
ACKNOWLEDGEMENT
I wish to express my sincere gratitude to
our allotted family members for their co
operation. I am grateful to all the
respected teachers of the Community
Medicine department for giving us this
opportunity and their support and
guidance.
I would like to thank the field workers
and community leaders for their
guidance.
I am also thankful to my friends for their
BIBLIOGRAPHY
Park K.Park’s Textbook of Preventive And
rd
Social Medicine.Nutrition And Health.23
Edition.Jabalpur:Bhanot
Publishers.2015.Pg 555645.
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