A

CASE

STUDY A

OF

A

MUD OF

EATER: SPECTICISM

WOMAN

UNDER “SUPPORTIVE SUPERVISION OF COMPREHENSIVE CHILD

SURVIVAL PROGRAMME” IN JAWAN, ALIGARH
SUBMITTED BY:-

A.K.M. GULZAR HUSSAIN
10 MSW-05 (2011) MASTER OF SOCIAL WORK (II SEM)

SUPERVISED BY:-

DR. NASEEM A. KHAN

DR. MOHAMMAD TAHIR

DEPARTMENT OF SOCIOLOGY & SOCIAL WORK, AMU, ALIGARH

1

TABLE OF CONTENTS
CASE OUTLINE PAGES...

PREFACE INTRODUCTION DETAILS ABOUT THE CASE
1. IDENTIFYING INFORMATION 2. PERSONAL HISTORY 3. FAMILY HISTORY 4. SOCIO-ECONOMIC BACKGROUND 5. HEALTH STATUS 5. ATTITUDE OF THE FAMILY 6. NATURE OF THE PROBLEM 7. CAUSES OF THE PROBLEM 8. EFFECTS OF THE PROBLEM ON THE CLIENT 9. SOCIAL DIAGNOSIS

03 04-05 06-12

INTERVENTION
1. DIRECT INTERVENTION 2. INDIRECT INTERVENTION

13-14

PRINCIPLES APPLIED DURING CASE STUDY PROBLEM FACED BY WORKER DURING CASE STUDY DISCUSSION WITH FIELD SUPERVISOR OVERALL EVALUATION OF CASE STUDY CONCLUSION 2

14 15 15 15 16

PREFACE
The National Population Policy adopted by the Government of India in 2000 reiterates the government’s commitment to the safe motherhood programmes within the wider context of reproductive health. Among the national socio-demographic goals for 2010 specified by the policy, several goals pertain to safe motherhood, namely that 80 percent of all deliveries should take place in institutions by 2010, 100 percent of deliveries should be attended by trained personnel, and the maternal mortality ratio should be reduced to a level below 100 per 100,000 live births. But the studies conducted in the country show that majority of the births more particularly in the rural areas are still delivered at home and India has to go a long way to achieve universlization of institutional deliveries. The present study examines the role of various socioeconomic, demographic and health related factors affecting the utilization of institutional services for Delivery and Health practices of Aligarh. The results indicate that receiving one or more antenatal check-ups is the strongest predictor of institutional delivery. This finding has important programme implications. It suggests that it is possible to promote institutional delivery by expanding antenatal care coverage and associated counseling. So the Case Study which was conducted in the Block was based on Home Delivery Practice and its effects.

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INTRODUCTION
A case study is an intensive analysis of an individual unit (e.g., a person, descriptive or explanatory. The latter type is used to explore causation in are established and cases fitting the criteria are included as they become available, or retrospective, in which criteria are established for selecting cases from historical records for inclusion in the study. group, or event) stressing developmental factors in relation to context. The case study is common in social sciences and life sciences. Case studies may be order to find underlying principles. They may be prospective, in which criteria

Thomas offers the following definition of case study:"Case studies are
or other systems that are studied holistically by one or more methods. The study is conducted and which the case illuminates and explicates." Rather than using samples and following a rigid protocol (strict set of rules) to

analyses of persons, events, decisions, periods, projects, policies, institutions,

case that is the subject of the inquiry will be an instance of a class of

phenomena that provides an analytical frame — an object — within which the examine limited number of variables, case study methods involve an in-depth, longitudinal (over a long period of time) examination of a single instance or the researcher may gain a sharpened understanding of why the instance happened as it did, and what might become important to look at more generating and testing hypotheses. event: a case. They provide a systematic way of looking at events, extensively in future research. Case studies lend themselves to both collecting data, analyzing information, and reporting the results. As a result

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Another suggestion is that case study should be defined as a research life context. Case study research means single and multiple case studies, can any mix of quantitative and qualitative include quantitative evidence, relies on multiple sources of evidence and

strategy, an empirical inquiry that investigates a phenomenon within its realbenefits from the prior development of theoretical propositions. Case studies should not be confused with qualitative research and they can be based on research provides the statistical framework for making inferences from concrete data taking techniques and methodological paradigms." (Lamnek, 2005): "The case study is a research approach, situated between evidence. Single-subject quantitative case-study data. This is also supported and well-formulated in

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CASE STUDY

DETAILS ABOUT THE CASE:

INDENTIFYING INFORMATION: Name of the Client …………………………………………….. Mrs. Kamlesh Devi  Age ……………………………………………………………………… 20 years  Sex ………………………………………………………………………. Female  Religion ……………………………………………………………….. Hindu  Caste ……………………………………………………………………. Jatav  Educational Background ………………………………………. Nil Block: - Jawan, Distt: - Aligarh, ASHA- Mukhatiyari.  Occupational Status ……………………………………………… Nil  Marital Status……………………………………………………….. Married

 Address ……………………………………………………………… Vill: - Amrolee,

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PERSONAL HISTORY: Physical Standard ……………………………………………Ectomorph (Moderate  Habits ……………………………………………………………. No Addiction  Number of Children…………………………………………. Two  Personal Income……………………………………………… No Physical Built)

Picture-1, Snap of the Client and her Baby

7

Picture-2, Child of the Client during Illness.

FAMILY HISTORY: Type of Family ……………………………………………………….. Joint Family  Total Family Members ……………………………………………. Seven (7)  Family Income (Sufficient to meet out the Expenses). Not Fully

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 Details about the Family Members – Sl.No. Name 1 Nirmood 2 Ram Prasad 3 4 5 6 7 Ravi Surajmuki Seema Monoj Baby Age 24 65 20 55 18 Sex M M M F F M F Relationship Husband Father-in Law Brother-inLaw Mother-inLaw Sister-inLaw Son Daughter Education Occupation 12th Shopkeeper Nil Nil 8th 9th Nil Nil Nil Farming Nil Nil Nil Nil

8 20 days

SOCIO-ECONOMIC BACKGROUND: Housing Status …………………………………………………… Owned, Pucca and 3  Assets and Property ………………………………………………. 3 Buffaloes  Total Number of Earning Members……………………….. Two  No Children/Siblings is working under 14 years of Age.  No Women is working under any Job Setting.  Family is indebted from external sources.  Total Income of the Family…………………………………….. Rs. 3000/Sanitation, No Electricity. Rooms.

 Sources Available ……………………………………………….. Tube Well, No

9

HEALTH STATUS :-( Related to Delivery Practices)    

Food Practices…………………………………………….. Not Nutritious Antenatal Care (ANC)…………………………………… Partially Iron Folic Tablets…………………………………………. Partially Place of Delivery…………………………………………...Home(Matter of Fact)

ATTITUDE OF THE FAMILY: Attitude of the Family towards Education – Child Education. The attitude of the family towards Education is quite positive but

poverty is the only hindrances. But parents are optimistic towards their

 Attitude of the Family towards Health –

The attitude of the family towards Health was also positive but they sometime believe on Pandith’s advice and Experienced Neighbor’s Delivery practices. Delivery, they usually follow the cheap and easy method of Home

advices. The family doesn’t have much experience on the Institutional

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NATURE OF THE PROBLEM:The nature of the problem was very severe that the Client was a Frequent Mud Eater. The Client eat the Mud without any hesitation, she feel much tasteful for her. The family also doesn’t have much touch with any Doctor regarding their other Health Care and Delivery Practices. much easier to eat this. She herself states that the Mud is an item which is very

CAUSES OF THE PROBLEM:As per as my study, the causes of the problem are as follows It is a kind of Psychological effect  Lack of Health Consciousness  Get support from neighbor  Feeling of testy item  Follower of Home Delivery

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EFFECTS OF THE PROBLEM ON THE CLIENT:It has very dangerous effects on the Client, these are –  The Client gets fully malnourished.  The Client is unable to feed her Child fruitfully.  Due to lack of milk, the Child is also gets malnourished.  The Child is incrementing towards danger sign.

SOCIAL DIAGNOSIS:All the causes which are responsible for the problem are sidelined with Social which are responsible for the problem, such as –  Other women of the Client’s neighbor have the same problem.  Social support of these women is very fruitful for the Client.  The Client is not regular receiver of any medical check-up.   The Client is always undergoing with her own ideas.   There is no supervision of the Client from her Husband. Diagnosis. As per as the term “Social Diagnosis” which means the problem which are responsible for Social Factors. There are various social factors

The Client is always thinking that whatever she is doing is Correct.

The Client is always getting encouraging remarks from her Neighbor.

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 The Client thinks that it has no such ill effect as her predecessors had done.

INTERVENTION:Direct Intervention: The direct intervention is a kind of strategy where the Counselor/Case Worker directly analyzed the problem along with the Client. the worker made it very definite and clear to the Client. the positive and negative impact of the problem. In that case the case worker first CRYSTALLIZE the problem of the Client, very dangerous for your Health. The worker makes aware the client about harming thing, which has impact on your Health and also on your Child. which is very illogical for you and your successors. Jawan for Government Medical treatment.

Then the case worker SENSITIZES the client about the problem that it is Then the case worker MOTIVATES the client that you are doing such a that it may be the ill psychological effect that you are doing your own harm

The case worker also give the PSYCHOLOGICAL SUPPORT to the client The case worker also makes a LINK WITH RESOURCES like nearest CHC

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The case worker also gave various SUGGESTIONS AND ADVICES which are necessary for the Client.

Indirect Intervention: The worker also makes indirect intervention through Environment Modification. The worker make an awareness to the Family Members of the client that the Mud eating is very harmful things for the client’s Health also aware about the deadly nightmare of the situation if persist further. Non-supportive role towards Mud Eating. Along with this the Case Worker

and also for the new born Child which may strike its shadow in long-term.

The case worker convinces the Family Members of the client about the

PRINCIPLES APPLIED DURING CASE STUDY: Principle of Acceptance  Principle of Individualization  Principle of Confidentiality

 Principle of Non-judgmental Attitude  Principle of Self-determination

 Principle of Purposeful Expression of Feelings

 Principle of Controlled Emotional Environment

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PROBLEMS FACED BY WORKER DURING CASE STUDY:There were various problems faced by worker during case study, which are as follows:  Non co-operation from the Family Members  Less expected response from the client  Unnecessary comment from the neighbors

DISCUSSION WITH FIELD SUPERVISOR:There were very informative and curious discussions taken place with the supervisor. The case worker discussed with the Supervisor about the previous visit of the client. The case worker also discussed with the Supervisor about responses of the client and their living environment.

role of ASHA in this kind of problems. The case worker takes some previous

OVERALL EVALUATION OF THE CASE STUDY:The case worker was fully successful about the case study. The case worker case study. Despite of some hindrances the case worker satisfied the client and make effective intervention for such avoidable problems. was able to take all necessary information which was required for a fruitful

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CONCLUSION
To conclude it can be said that Ethical, Moral, Psychological, Spiritual and client’s responsibility to be fit of her own, the responsibility also lies on family expected. Educational awareness plays a vital role for changing any condition. In the members, neighbors, local health visitors like ASHAs. If above all instruments

case of the above client who have lack of all these traits. This not only the

are active in their own part then there will be a more effective result as

…………………………………………………….

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