Case Study of a Mud Eater in Aligarh District.

8/3/2019 Case Study of a Mud Eater in Aligarh District.

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A CASE STUDY OF A MUDEATER: A WOMAN OFSPECTICISM

UNDER SUPPORTIVE SUPERVISION OF COMPREHENSIVE CHILDSURVIVAL 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


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TABLE OF CONTENTSCASE OUTLINE PAGES...

PREFACE 03

INTRODUCTION 04-05

DETAILS ABOUT THE CASE 06-12

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

INTERVENTION 13-14

1. DIRECT INTERVENTION

2. INDIRECT INTERVENTION

PRINCIPLES APPLIED DURING CASE STUDY 14

PROBLEM FACED BY WORKER DURING CASE STUDY 15

DISCUSSION WITH FIELD SUPERVISOR 15

OVERALL EVALUATION OF CASE STUDY 15

CONCLUSION 16


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PREFACE

The National Population Policy adopted by the Government of India in 2000 reiterates the governments

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,

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

descriptive or explanatory. The latter type is used to explore causation in

order to find underlying principles. They may be prospective, in which criteria

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.

Thomas offers the following definition of case study:"Case studies are

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

or other systems that are studied holistically by one or more methods. The

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

phenomena that provides an analytical frame an object within which 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

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

event: a case. They provide a systematic way of looking at events,

collecting data, analyzing information, and reporting the results. As a result

the researcher may gain a sharpened understanding of why the instance

happened as it did, and what might become important to look at more

extensively in future research. Case studies lend themselves to both

generating and testing hypotheses.


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Another suggestion is thatcase study should be defined as a research

strategy, an empirical inquiry that investigates a phenomenon within its real-

life context. Case study research means single and multiple case studies, can

include quantitative evidence, relies on multiple sources of evidence and

benefits from the prior development of theoretical propositions. Case studies

should not be confused with qualitative research and they can be based on

any mix of quantitative and qualitative evidence. Single-subject

research provides the statistical framework for making inferences from

quantitative case-study data. This is also supported and well-formulated in

(Lamnek, 2005): "The case study is a research approach, situated betweenconcrete data taking techniques and methodological paradigms."


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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

Marital Status.. Married

Educational Background . Nil

Occupational Status Nil

Address Vill: - Amrolee,

Block: - Jawan, Distt: - Aligarh, ASHA- Mukhatiyari.


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PERSONAL HISTORY:-

Physical Standard Ectomorph (Moderate

Physical Built)

Habits . No Addiction

Number of Children. Two

Personal Income No

Picture-1, Snap of the Client and her Baby


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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 Age Sex Relationship Education Occupation

1 Nirmood 24 M Husband 12th Shopkeeper

2 Ram Prasad 65 M Father-in -

Law

Nil Nil

3 Ravi 20 M Brother-in-

Law

8th Farming

4 Surajmuki 55 F Mother-in-

Law

Nil Nil

5 Seema 18 F Sister-in-

Law

9th Nil

6 Monoj 8 M Son Nil Nil7 Baby 20

days

F Daughter Nil Nil

SOCIO-ECONOMIC BACKGROUND:-

Housing Status Owned, Pucca and 3

Rooms.

Assets and Property . 3 Buffaloes

Sources Available .. Tube Well, No

Sanitation, No Electricity.

Total Number of Earning Members.. Two

Total Income of the Family.. Rs. 3000/-

No Children/Siblings is working under 14 years of Age.

No Women is working under any Job Setting.

Family is indebted from external sources.


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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

The attitude of the family towards Education is quite positive but

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

Child Education.

Attitude of the Family towards Health

The attitude of the family towards Health was also positive but they

sometime believe on Pandiths advice and Experienced Neighbors

advices. The family doesnt have much experience on the Institutional

Delivery, they usually follow the cheap and easy method of Home

Delivery practices.


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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

much easier to eat this. She herself states that the Mud is an item which is very

tasteful for her. The family also doesnt have much touch with any Doctor

regarding their other Health Care and Delivery Practices.

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 Follower of Home Delivery

Feeling of testy item


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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

Diagnosis. As per as the term Social Diagnosis which means the problem

which are responsible for Social Factors. There are various social factors

which are responsible for the problem, such as

Other women of the Clients neighbor have the same problem.

Social support of these women is very fruitful for the Client.

There is no supervision of the Client from her Husband.

The Client is not regular receiver of any medical check-up.

The Client is always undergoing with her own ideas.

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.

In that case the case worker first CRYSTALLIZE the problem of the Client,

the worker made it very definite and clear to the Client.

Then the case worker SENSITIZES the client about the problem that it is

very dangerous for your Health. The worker makes aware the client about

the positive and negative impact of the problem.

Then the case worker MOTIVATES the client that you are doing such a

harming thing, which has impact on your Health and also on your Child.

The case worker also give the PSYCHOLOGICAL SUPPORT to the client

that it may be the ill psychological effect that you are doing your own harm

which is very illogical for you and your successors.

The case worker also makes a LINK WITH RESOURCES like nearest CHC

Jawan for Government Medical treatment.


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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 clients Health

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

Non-supportive role towards Mud Eating. Along with this the Case Worker

also aware about the deadly nightmare of the situation if persist further.

PRINCIPLES APPLIED DURING CASE STUDY:-

Principle of Acceptance

Principle of Individualization

Principle of Non-judgmental Attitude

Principle of Confidentiality Principle of Purposeful Expression of Feelings

Principle of Controlled Emotional Environment

Principle of Self-determination


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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

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

responses of the client and their living environment.

OVERALL EVALUATION OF THE CASE STUDY:-

The case worker was fully successful about the case study. The case workerwas able to take all necessary information which was required for a fruitful

case study. Despite of some hindrances the case worker satisfied the client

and make effective intervention for such avoidable problems.


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CONCLUSION

To conclude it can be said that Ethical, Moral, Psychological, Spiritual and

Educational awareness plays a vital role for changing any condition. In the

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

clients responsibility to be fit of her own, the responsibility also lies on family

members, neighbors, local health visitors like ASHAs. If above all instruments

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

expected.

.

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Case Study of a Mud Eater in Aligarh District.

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