Statistical analysis of the health profile -

Field Ganj Area- C(Ludhiana,India)July-August 2013

- Dr Jerin Kuruvilla

Mrs Sosan Masih

BASELINE DATA

Data collected during October 2012 - December 2012 was taken as the baseline data

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%

Baseline: Family Planning

Sales

vasectomy

tubectomy

IUCD

Condoms

OCP

March-April 2013 FP

Sales

vasectomy

tubectomy

IUCD

condom

VITAL EVENTS

Baseline Data(Oct ‘12-Dec ‘12)

Mar ‘13-April ‘13

Total Live Births 20 3

Still births 1 -

Twins 0/0 -

Abortions 1 1

Birth Rate

Deaths 1 3

Neonatal Deaths 0 1

Infant deaths 1 -

1-5 year deaths 0 -

Maternal deaths 0 -

Total Deaths 5

Death Rate

Child Immunization Services

CHILD IMMUNISATION SERVICES0-12 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

CHILD IMMUNISATION SERVICES12-24 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

CHILD IMMUNISATION SERVICES0-5 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) 85(54.14%)

Measles 262(83.4%) 123(78.34%)

HiB 43(27.39%)

Hep B 134(85.35%)

Total Children 314 157

Nutritional Status of children <5years

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. - - -

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

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

3rd Degree Malnourished Children

Sr No Name House No Age/Sex Birth Order ImmunizationStatus

Weight (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

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

Baseline(Oct ‘12-Dec

‘12)

Current Status(Mar ‘13-

Apr ‘13)

Total Deliveries 21 3

Protected with Tetanus Toxoid 21 3

Primigravidae 0

Multigravidae 3

Live Births 20 3

Twins 0/0 0/0

Still births 1

Abortions 1 1

Male 1

Female 2

Hospital Deliveries

Home Deliveries

TBA/ Dai

Nurse

Doctor

Relative/others

1

2

Total 21 3

Due to deliver in next 3 monthsS No Name House No Age Gravid

a

Parity

TT

protectio

n

High Risk

factor if any

EDD

1.Anu 440 23 P0+1 ++ - 17 5/13

2.Neetu 246 22 Primi ++ - June

3.Neetu 572 20 P0+1 ++ - June

4.Rajni 590 20 P1+0 ++ - June

Due to deliver in next 3 monthsS No Name House No Age Gravid

a

Parity

TT

protectio

n

High Risk

factor if any

EDD

1.Tanu 240 23 Primi ++ - July

2.Rosy 507 25 P1+0 ++ - July

3.Rajni 588 21 P1+0 ++ - July

4.Suman 602 20 P1+0 ++ - July

5. Tara Devi 328 33 P3+1 ++ Anemic July

Tuberculosis!!

TB STATUS DURING THE POSTING

• Number of patients continuing from previous quarter- 14

• Number of patients newly diagnosed put on treatment-

DOTS- 3

Non-DOTS- 0

• Defaulters- 0

• Relapse- 0

• Treatment completed- 3

• Transfer out- 0

• Deaths- 0

Total patients currently on treatment-14

House

No.

Name Age

Sex

DOTS

Provider

Category Started on Site HIV

Screenin

g done

Contact

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

FG II 2 11/12 Ext-Pul Yes

House

No.

Name Age

Sex

DOTS

Provider

Category Started on Site HIV

Screenin

g done

Contact

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

House

No.

Name Age

Sex

DOTS

Provider

Category Started on Site HIV

Screenin

g done

Contact

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

18/

M

FG I 4 3/13 Lung yes Yes

401 Santosh 46/

F

Dr

Narinder

I 22 4/13 lung yes yes

Tb plaguing our Youth

Morbidity profile of the commmunity

DIAGNOSIS OPD HOUSE VISIT

Acute upper respiratory infection 1

Anemia 3

Asthma 3

Bitten or struck by dog 1

Candidiasis of vulva and vagina 3

Cough 5

Depressive episode 1 2

Dermatitis 2 1

Diarrhea and gastroenteritis 6 3

Essential (primary) hypertension 20 27

Fever unspecified 10 8

Gastroesophageal reflux disease 4 2

Giardiasis [lambliasis] 1

Gout 2 2

Pain in joint 3 2

Pica 8 6

Type 2 diabetes mellitus 20 33

Urinary calculus 1 1

Urinary tract infection 3 1

TOTAL 84 101

DEATHS IN THE COMMUNITY

H.No: Name Age/Sex Cause of death

Pre-existing morbidities

Date of death

Place of death

203 B/o Kavita 4d/ M Fetal distress?

- 26 3/13 Hosp

371 Rakha Ram 99/ M Shock/ Dyselectrolytemia

- 1 3/13 Home

642 Pritpal 75/M Pneumonia DM, Htn 15 3/13 Hosp

COMMONEST MORBIDITY IN THE COMMUNITY-DIABETES 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.

• 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

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

Thank You!!