A community medicine based survey of the above mentioned locality in Ludhiana ,India.

1. Statistical analysis of the health
profile Field Ganj Area- C
(Ludhiana,India)
July-August 2013
- Dr Jerin Kuruvilla
Mrs Sosan Masih

4. BASELINE DATA
Data collected during October 2012 - December
2012 was taken as the baseline data

5. Baseline Data(Oct
‘12-Dec ‘12)
Mar ‘13-April ‘13
Population
4791
2004
Total Families
777
348
Eligible Couples
825
327
% Eligible Couples
17.2%
16.3%
•
Vasectomy
2
2
•
Tubectomy
290
116
•
IUCD
12
1
•
Condoms
226
114
•
OCPs
9
-
Total coverage
65.3%
71.25%
Effective coverage
51.5%
53.8%

6. Baseline: Family Planning
Sales
vasectomy
tubectomy
IUCD
Condoms
OCP

7. March-April 2013 FP
Sales
vasectomy
tubectomy
IUCD
condom

8. VITAL EVENTS
Baseline Data(Oct ‘12-Dec Mar ‘13-April ‘13
‘12)
Total Live Births
20
3
Still births
1
-
Twins
0/0
-
Abortions
1
1
Deaths
1
3
Neonatal Deaths
0
1
Infant deaths
1-5 year deaths
1
0
-
Maternal deaths
0
-
Birth Rate
Total Deaths
Death Rate
5

9. Child Immunization Services

10. CHILD IMMUNISATION SERVICES
0-12 months of age
Baseline Data(Oct
‘12-Dec ‘12)
Mar ‘13-April ‘13
BCG
69(100%)
41(100%)
OPV
39(56.5%)
23(56.1%)
DPT3
39(56.5%)
23(56.1%)
Measles
18(26%)
11(26.82%)
Hepatitis B
23(56.1%)
Hib
9(22%)
Total Children
69
41

11. CHILD IMMUNISATION SERVICES
12-24 months of age
Baseline Data(Oct
‘12-Dec ‘12)
Mar ‘13-April ‘13
BCG
60(100%)
31(100%)
OPV
60(100%)
31(100%)
DPT3
60(100%)
31(100%)
Measles
60(100%)
31(100%)
DPT(B)
60(100%)
31(100%)
Hepatitis B
29(93.55%)
Hib
17(54.84%)
Total Children
60
31

12. CHILD IMMUNISATION SERVICES
0-5 yrs of age
Baseline Data(Oct
‘12-Dec ‘12)
Mar ‘13-April ‘13
BCG
314(100%)
157(100%)
OPV
284(90.4%)
139(88.5%)
DPT 3
284(90.4%)
139(88.5%)
DPT (B)
Measles
85(54.14%)
262(83.4%)
123(78.34%)
HiB
43(27.39%)
Hep B
134(85.35%)
Total Children
314
157

13. Nutritional Status of children
<5years

14. 0-12 months
Male
Female
Total
Total
15
26
41
Weighed
15
26
41
RTH
15
24
39
1st Deg.
-
2
2
2nd Deg.
-
-
-
3rd Deg.
-
-
-

15. 1-2 years
Male
Female
Total
Total
15
16
31
Weighed
15
16
31
RTH
10
12
22
1st Deg.
2
3
5
2nd Deg.
1
-
1
3rd Deg.
1
1
2

16. 3-5 years
Male
Female
Total
Total
41
44
85
Weighed
37
41
78
RTH
28
20
48
1st Deg.
8
15
23
2nd Deg.
-
3
3
3rd Deg.
1
3
4

17. 3rd Degree Malnourished Children
Sr No
Name
House No
Age/Sex
Birth Order
Immunization Weight
Status
(Kg)
1.
Vanshika
600
4/M
2
Complete-HiB 10
2.
Jatin
303
1.5/M
1
Complete-HiB 6.750
3.
Bhawana
141
3/F
1
Complete-HiB 9
4.
Vanshika
165
2/F
2
Complete-HiB 7.8
5.
Raghav
192
3/M
3
Complete-HiB 9
6.
Khushi
366
2.5/F
1
Complete-HiB 9

18. MATERNAL SERVICES
Old Antenatal mothers (a) 14
New antenatal mothers (b) 9
In coming mothers
(c ) 0
Deliveries and abortions(d) 3 & 1
Out going mothers (e) Total (a+b+c)- (d+e) 19

19. Baseline(Oct ‘12-Dec
‘12)
Total Deliveries
Protected with Tetanus Toxoid
Primigravidae
Multigravidae
Live Births
Twins
Still births
Abortions
Male
Female
Hospital Deliveries
Home Deliveries
TBA/ Dai
Nurse
Doctor
Relative/others
Total
21
21
20
0/0
1
1
21
Current Status(Mar ‘13Apr ‘13)
3
3
0
3
3
0/0
1
1
2
1
2
3

20. Due to deliver in next 3 months
S No Name
House No
Age
Gravid TT
High Risk
a
protectio factor if any
Parity n
EDD
Anu
440
23
P0+1
++
-
17 5/13
Neetu
246
22
Primi
++
-
June
Neetu
572
20
P0+1
++
-
June
Rajni
590
20
P1+0
++
-
June
1.
2.
3.
4.

21. Due to deliver in next 3 months
S No Name
House No
Age
Gravid TT
High Risk
a
protectio factor if any
Parity n
EDD
Tanu
240
23
Primi
++
-
July
Rosy
507
25
P1+0
++
-
July
Rajni
588
21
P1+0
++
-
July
Suman
602
20
P1+0
++
-
July
Tara Devi
328
33
P3+1
++
Anemic
July
1.
2.
3.
4.
5.

22. Tuberculosis!!

23. TB STATUS DURING THE POSTING
• Number of patients continuing from previous quarter- 14
• Number of patients newly diagnosed put on treatmentDOTS- 3
Non-DOTS- 0
•
•
•
•
•
Defaulters- 0
Relapse- 0
Treatment completed- 3
Transfer out- 0
Deaths- 0

24. Total patients currently on treatment-14
House
No.
Name
Age
Sex
DOTS
Provider
Category
Started on
Site
HIV
Screenin
g done
573
Mohit
34/
M
FG
I
27 7/12
Lung
Yes
639
Deepika 24/
F
FG
II
4 8/12
Ext-Pul
Yes
482
Tania
18/F FG
I
3 10/12
Lung
Yes
601
Sanjana 14/
F
II
2 11/12
Ext-Pul
Yes
FG
Contact
Screenin
g done

25. House
No.
Name
Age
Sex
DOTS
Provider
Category
Started on
Site
HIV
Screenin
g done
564
Mohind
er
42/
M
FG
II
21 11/12
Lung
Yes
716
Sarabjy
ot
19/
F
FG
I
3 12/12
Lung
Yes
621
Shiv
20/
M
FG
I
6 12/12
Lung
yes
595
Jassi
20/
F
FG
I
9 1/13
Ext-Pul
Yes
564
Rocky
20/
M
FG
II
25 2/13
Lung
+ve
Contact
Screenin
g done

26. House
No.
Name
Age
Sex
DOTS
Provider
Category
Started on
Site
HIV
Screenin
g done
589
Rekha
20/
F
FG
II
4 2/13
Lung
yes
564
Deepak
23/
M
FG
II
12 1/13
lung
yes
564/3
Poonam 14/
F
FG
I
11 3/13
lung
Yes
Yes
583
Sandee
p
FG
I
4 3/13
Lung
yes
Yes
401
Santosh 46/
F
Dr
Narinder
I
22 4/13
lung
yes
yes
18/
M
Contact
Screenin
g done

27. Tb plaguing our Youth

28. Morbidity profile of the commmunity
DIAGNOSIS
OPD
Acute upper respiratory infection
Anemia
Asthma
Bitten or struck by dog
Candidiasis of vulva and vagina
Cough
Depressive episode
Dermatitis
Diarrhea and gastroenteritis
Essential (primary) hypertension
Fever unspecified
Gastroesophageal reflux disease
Giardiasis [lambliasis]
Gout
HOUSE VISIT
1
3
3
1
3
1
2
6
20
10
4
2
5
2
1
3
27
8
2
1
2

29. Pain in joint
3
2
Pica
8
6
20
33
Urinary calculus
1
1
Urinary tract infection
3
1
84
101
Type 2 diabetes mellitus
TOTAL

30. DEATHS IN THE COMMUNITY
H.No:
Name
Age/Sex
Cause of
death
Pre-existing Date of
morbidities death
Place of
death
203
B/o Kavita
4d/ M
Fetal
distress?
-
26 3/13
Hosp
371
Rakha Ram
99/ M
Shock/
Dyselectrol
ytemia
-
1 3/13
Home
642
Pritpal
75/M
Pneumonia
DM, Htn
15 3/13
Hosp

31. COMMONEST MORBIDITY IN THE COMMUNITYDIABETES MELLITUS
• Considered as heterogeneous group of diseases
characterized by chronic hyperglycemia
• Sugar cut-offs for FBS- 126 mg/dl, and for PPBS
200mg/dl, or RBS > 200 in presence of symptoms of
diabetes.

32. • Awareness regarding chronicity of the disease was provided
• Need for regular sugar checks, follow up, regular medication
was emphasized
• Stress was given on dose adjustment of various oral agents
• Knowledge regarding long term sequelae such as neuropathy,
retinopathy, effects on cardiovascular system was provided
• Importance of foot care, prevention of injuries to extremities
and eye check ups were explained
• Advice regarding diet control, high fiber diet was given

33. ACHIEVEMENTS DURING THE POSTING
• House visiting, communication skills
• Wound debridement, dressings
• I/M injections
• Journal presentation-Long term calcium intake and rates of all
cause and cardiovascular mortality: community based
prospective longitudinal cohort study
• Topic presentation- Gluten Sensitive Enteropathy Epidemiology and scope
• Participated in the Pulse polio program
• Pharmacy management
• Cash management

34. Thank You!!