COMMUNITY MEDICINE PROJECT

FAMILY VISIT
BY ROLL NO – 51, 52, 53, 54, 56,
57
INTRODUCTION
 Family is a group of people who are biologically related by marriage or by
adoption, living together and sharing a common kitchen.
 BIOLOGICALLY – It shares a pool of genes.
 CULTURALLY – It reflects the culture of the wider society and determines
the behavior of its members.
 SOCIALLY – It shares a common physical and social environment
FAMILY DETAILS
 Religion- Hindu
 Caste- SC
 Family type- Nuclear
 Mother tongue - Bengali
 Study area- MAMC Uttarpally ,Durgapur
 House- Own
 Place of origin- Durgapur
 Length of stay- >50 Years
 Date of visit – 23rd to 27th August; 2024
FAMILY TREE
SHANKAR
BAURI
80YRS , M

BIKRAM SATHI
BAURI BAURI
25 YRS,M 26
YRS,F
ADRIJA
BAURI
8YRS,
F
SL NO. NAME Relation Age (in Sex Marital Education Occupation Physical Physiologic
with HOF years) status activity al status

1 Bikram Self 25 Male Married Higher Driver Moderate -

Bauri Secondary

2 Sathi Wife 26 Female Married Middle Housewife Sedentary Non

Bauri School pregnant
Non
lactating
3 Adrija Daughter 8 Female Unmarried Student Student - -
Bauri

4 Shankar Father 80 Male Widower High Retired Sedentary -

Bauri school
MONTHLY INCOME OF
FAMILY (LAST MONTH)
Total Income (in Rs) 15,000
Total Expenditure (in Rs) 13,663
Balance (in Rs) 1337
Total Earning Members 1
Total number of Dependents 3
Per Capita Income (in Rs) 15000/4 = 3750
MONTHLY EXPENDITURE OF
FAMILY
Item Expenditure (in Percentage (%)
Rs)
Food 6000 43.91%

Fuel 2000 14.63%

Clothing 700 5.12%

Education 1100 8.05%

Private Tuition 1000 7.32%

Electricity 833 6.09%

Substance Abuse 130 0.95%

Housing (Rent, Maintenance, 0

Tax)
Social Function (Marriage, 500 3.66%
Festival,etc)

Health and Illness 200 1.46%

Travel/Transport 200 1.46%

Recreation 400 2.92%

Any other expenditure 600 4.39%

Total 13,663 100%

PIE CHART
Sales
2.92

4.39
14.63
3.66

5.12

6.09 8.05

7.32

FUEL EDUCATION PRIVATE TUTION ELECTRICITY

CLOTHING SOCIAL FUNCTION ANY OTHER EXPENDITURE RECREATION
ASSESMENT OF
SOCIOECONOMIC STATUS
(SES)
Name of Head Of Family (HoF) : Bikram Bauri(25 Y/M)
Education of HoF : High School Certificate(Score :4)
Occupation of HoF : Driver (Skilled Worker)(Score : 4)
Total Family Income (Monthly) : 15,000/- (Score :3 as it’s between 8591-
15307)
As per KUPPUSWAMY Scale , Socio-Economic Status is LOWER MIDDLE
CLASS (SES III) (Score :11)
As per MODIFIED BG PRASAD’S Scale, Socio-Economic status is UPPER
MIDDLE CLASS (SES III) (Per capita family income in Rs – 2720-4530)
SUBSTANCE ABUSE
Type User Amount Frequenc Duration Quitted Cost
y or Not incurred
per
month

Smokeless Bikram 5g/day 3 /day Since 5 No 130

tobacco Bauri years
(HoF)
SOCIAL ISSUES
THERE ARE NO UNEMPLOYED MEMBERS IN THE
FAMILY. THERE ARE NO UNMARRIEND/
ABUNDENT/DIVORCED ADULT WOMEN IN THE
FAMILY.
THERE IS NO HANDICAPPED OR CHRONICALLY ILL
FAMILY MEMBERS.
THERE IS ONE CHILD WHO IS NOT A SCHOOL
DROPOUT.
IS THE MOTHER WORKING ANYWHERE- No
POSSESSION – Electricity, Fan(3), Mobile phone(2),
Television(1), Gas Oven(1), Bike(1).
SOURCE OF INFORMATION – Social Media,
Television.
RECREATION – TV, Social Media.
HOUSING PLAN OF HOUSE
HOUSING AND
ENVIRONMENT
 TYPE OF PROPERTY – own
 SITE - Elevated from road.
 SET- BACK AREA – Absent
 TYPE OF HOUSE - Pucca
 MATERIAL OF ROOF AND WALL - Wall brick (Roof is made of tin)
 HEIGHT OF ROOF –13 ft
ASSESSMENT OF OVERCROWDING :-
TOTAL UNIT – 3.5 people in three rooms
NUMBER OF LIVING ROOMS – 3
FLOOR SPACE – 380 square feet
PERSON PER ROOM – 1
Per unit floor space – 95 square feet
Sex separation- Present
Overcrowding- Absent
ASSESSMENT ON VENTILATION :-
CROSS VENTILATION – Absent
Combined windows & door space area – 340 sq ft
Windows & door space area / door space area – 0.238
According to WHO standards there was NO OVERCROWDING and NOT PROPER
CROSS VENTILATION.
 ASSESSMENT OF LIGHTING:-
 LIGHTING – Inadequate
 SOURCE TYPE – Both , natural and artificial
 SOURCE OF LIGHT – Tube light
 CLEANLINESS OF HOUSE:-
 FREQUENCY OF MOPPING OF FLOORS – twice per day.
 MATERIALS USED FOR MOPPING FLOORS –Phenyl.
 PRESENCE OF RODENTS IN HOUSE – Yes, presence of rats and lizards
 PRESENCE OF VECTOR BREEDING PLACES IN & AROUND HOUSE- Yes
 DUSTBIN – Present.
 FREQUENCY OF DUSTBIN CLEANING – every day.
 WATER SUPPLY :-
 DRINKING PURPOSE – Tap(public)
 COOKING PURPOSE – Tap(public)
 WASHING BATHING PURPOSE – Well
 DISTANCE OF DRINKING WATER SOURCE:100 meter
 DURATION OF SUPPLY – All day
 ADEQUACY OF SUPPLY – Adequate according to respondent
 WELL- Deep, Unprotected
 STORAGE AND WITHDRAWAL OF WATER: Bucket
 MATERIAL OF CONTAINER: Plastic, Covered
 FREQUENCY OF WATER REPLACEMENT IN STORAGE CONTAINER:
Once daily
 METHOD OF DRAWING DRINKING WATER FROM STORAGE: Tap
 SPECIAL TREATMENT TO DRINKING WATER AT HOUSEHOLD:
Boiling
• EXCRETA DISPOSAL :-
• LATRINE – Present , Sanitary
• PLACE OF LATRINE – outside house
• SHARING OF LATRINE – Community
• PRIVACY MAINTAINED –No
• HANDWASHING FACILITY – Present
• REGULAR CLEANING FACILITY – Present
• PLACE OF DEFECATION:SANITARY LATRINE
 WASTEWATER DISPOSAL AND DRAINAGE SYSTEM:-
 DRAINAGE SYSTEM AROUND THE HOUSE – Present
 TYPE OF DRAIN – Pucca, uncovered.
 VECTOR BREEDING PLACE IN DRAIN – Yes
 FLY NUISANCE – Present
 DISTANCE OF DRAIN FROM SOURCE OF DRINKING WATER- 100 meter
 KITCHEN

• PLACE : in living room

• TYPE OF FUEL USED : LPG
• SMOKE OUTLET :Present
• STORAGE OF COOKED FOOD : covered steel container and fridge
• STORAGE OF RAW FOOD : Basket and fridge
• KITCHEN GARDEN : absent

• SOLID WASTE DISPOSAL

• MODE OF KITCHEN WASTE DISPOSAL :Municipal service
• MODE OF SOLID WASTE DISPOSAL :Municipal service
• MODE OF LIQUID WASTE DISPOSAL: IN Drains
• MODE OF SANITARY NAPKINS DISPOSAL: Folded in newspaper and thrown with municipal
waste
PERSONAL HYGIENE
 All the members brush twice daily with toothbrush and toothpaste.
 They bathe daily with water and use soap around thrice a week. Female
members wash their hair with shampoo once a week.
 All the members cut their nails properly once a week.
 All the members wash their hands with soap and water before & after
eating and after using toilet.
 MENSTRUAL HYGIENE
 Sanitary pads are used during menstruation.
 Pads are bought from the shop.
 The used pads are wrapped in old newspaper and thrown in dustbin
indiscriminately.
HEALTH STATUS OF THE FAMILY
MEMBERS

NAME BIKRAM SATHI BAURI ADRIJA BAURI SHANKAR

BAURI BAURI
MEDICATION NIL NIL NIL ANTIHYPERTEN
SIVE
CHIEF NIL NIL NIL NIL
COMPLAINT
PAST HISTORY NIL NIL NIL HYPERTENSION
 ANTHROPOMETRY
NAME BIKRAM BAURI SATHI BAURI ADRIJA BAURI SHANKAR BAURI

AGE 25 26 8 80

SEX(M/F) M F F M

HEIGHT(cm) 173 163 128 164

WEIGHT (kg) 73 59 15 40

BMI(kg/m^2) 24.4 22.2 9.2 14.9

Comment on BMI NORMAL NORMAL UNDERWEIGHT UNDERWEIGHT

WAIST(cm) 97 95 - 80

HIP(cm) 105 98 - 90

WHR 0.92 0.96 - 0.88

CENTRAL OBESITY(Y/N) PRESENT PRESENT - ABSENT

Any micronutrient deficiency NIL ANEMIA NIL

COMMUNICABLE DISEASE :
PERCEPTION AND CARE
SEEKING BEHAVIOUR
 Name of respondant: Bikram Bauri
DISEASE EVER HEARD OF (Y/N) CAUSITIVE MODE OF CARE SEEKING
ORGANISM/TRANSMIS PREVENTION BEHAVIOUR
SION

Diarrhoea Yes Water Safe drinking water Primary Health Centre

(PHC)

Pneumonia/cough and Yes Don’t know Don’t know PHC

cold

Malaria Yes Mosquito Mosquito net and PHC

mortine

Tuberculosis Yes Don’t know Don’t know PHC

Dengue Yes Mosquito Mosquito net and PHC

mortine

HIV Yes Sexual contact Using of condom PHC

STD Yes Sexual contact Using of condom PHC

NON COMMUNICABLE DISEASE:
PERCEPTION AND CARE SEEKING
BEHAVIOUR
DISEASE EVER HEARD RISK FACTOR MODE OF CARE
OF (Y/N) PREVENTION SEEKING
BEHAVIOUR

Hypertension Yes Don’t know Don’t know PHC

Diabetes Yes High sugar Low sugar PHC

intake intake
Cancer Yes Microplastic, Less use of PHC
tobacco plastic, tobacco
Stroke/Heart Yes Hypertension Don’t know PHC
disease
HYGEINE: PERCEPTION AND
PRACTICE
PERSONAL HYGEINE PERCEPTION PRACTICE
MEASURES
Handwashing: Before eating, after After coming from
When eating, after touching outside, before and
pet, after coming from after eating
outside, before cooking
With what Soap Soap
Brushing teeth: Twice daily Twice daily
Frequency
With what Toothpaste Toothpaste
Bathing/ Hair Once daily Once daily
Nail Once weekly Once weekly
Menstural hygeine Use of sanitary pad Use of sanitary pad
HEALTH SEEKING
BEHAVIOUR
TYPES PREFFERED HEALTH REASON FOR
CARE PROVIDERS PREFERENCE

Minor Ailment Government hospital Free of cost

Major Ailment Private hospital Better care
Anti-Natal/ Intra-Natal and Private hospital Better care
Post-Natal care

Disease of Children Private hospital Better care

Immunization Government hospital Free of cost
Family Planning Private hospital Better care
KNOWLEDGE AND PRACTICE
REGARDING FAMILY
PLANNING
TOPIC PERCEPTION PRACTICE COMMENT
Legal age of Male – 21 years Male – 17 years Perception is
marriage Female – 18 years Female- 18 years correct for both but
practice is not at
par with perception
for the male
Ideal age of 20 years 18 years Practice is not at
pregnancy par with perception
Birth spacing 5 years 10 years -
Reproductive 2 child 1 child -
intention (no. of
children)
Gender preference Male Male Perception is wrong
Contraceptive Condom, OCP OCP Perception is
method (method, correct and practice
 SCHEDULE FOR DIETARY ASSESSMENT:
DIETARY INTAKE OF THE FAMILY (FOOD
GROUP WISE)
FOOD CEREALS PULSES GREEN ROOTS OTHER FRUITS MILK AND FLESH FATS AND SUGAR/ NUTS AND SPICES MISCELLA
GROUP LEAFY AND VEGETABL (SPECIFY) MILK FOODS OILS JAGGERY OILSEEDS AND NEOUS
VEGETABL TUBERS ES PRODUCT INCLUDIN (SPECIFY) CONDIME
ES (SPECIFY) (SPECIFY) S G EGG NTS
(SPECIFY) (SPECIFY)

FOOD ITEM Rice, Roti Dal, Chana Spinach Potato Papaya Banana Milk Tea Egg Mustard oil Both Dryfruits Packet Puffed Rice
(Wheat) Spices (muri)

INDIVIDUAL 350gm 60 gm 200 gm 350gm 1kg 750gm 200 ml 4 eggs 30 ml 10 gm 30 gm 20gm 100gm
ITEM WISE (1000gm)
QUANTITY 180 gm 50 gm
(gm/ml)

TOTAL 530 gm 140gm 200gm 350gm 1000gm 750gm 200 gm 200gm 30gm 10gm 30gm 20gm 100gm
QUANTITY
DIETARY INTAKE OF THE
FAMILY (NUTRIENT WISE)
Food Items Rice, Roti Dal, Spinach Potato Papaya Banana Milk Tea Egg Mustard Both Dryfruits Packet Puffed
(Wheat) Chana oil Spices Rice
(muri)

Quantity 530 gm 140gm 200gm 350gm 1000gm 750gm 200 gm 200gm 30gm 10gm 30gm 20gm 100gm
(gm)

Calorie(kcal) 3529.8 480.2 52 339.5 270 870 134 346 270 39.8 171.1 325

Protein(gm) 98.05 35.14 4 5.6 70 9 6.4 26.6 0 0.01 7.59 7.5

Iron(mg) 26.5 10.64 2.28 1.68 9 6.75 0.2 4.20 0 0 0.75 6.6

Retinol 920 4 0 97.5 17.66 140 0 0 0.86 0

B1 3.71 0.63 0.06 0.35 0.01 0.37 0.1 0.2 0 0 0.27 0.21

B2 1.16 0.28 0.52 0.03 0.01 0.6 0.38 0.8 0 0 0.03 0

C 0 0 56 59.5 120 52.5 4 0 0 0 0 0

 SCHEDULE FOR DIETARY ASSESSMENT:
DIETARY ASSESSMENT OF FAMILY (FOOD
GROUP WISE)
FOOD GROUP AMOUNT REQUIREMENT
ACCORDING TO BALANCED DIET (mg)
SL NO. AG SEX TYPE OF PHYSIOLOGIC CEREAL PULSE GREEN ROOTS OTHER MILK & FAT & Sugar
E WORK AL STATUS & & LEAFY & VEGETABLE FRUIT MILK OILS &
MILLETS FLESH VEGETABLES TUBER S S PRODUC Jagger
FOOD S TS y
1 25 Male Moderat - 450 90 100 200 200 100 300 30 30
e
2 26 Femal Sedenta Non- 270 60 100 200 200 100 300 20 20
e ry pregnant,
Non-lactating
3 8 Femal - - 180 60 100 100 100 100 500 30 20
e
4 80 Male Sedenta - 37.5 75 100 200 200 100 300 25 20
ry
TOTAL 1275 285 400 700 700 400 1400 105 90
REQUIREME
NT (R)
TOTAL 630 340 200 350 1000 750 200 60 10
CONSUMED
DIETARY INTAKE
100
87.5

80

60
42.85
40

16.17
20

0
et
s
od
s
er
s s ts ct
s ls y
ill fo ble
b ble
r ui u oi ger
ta ta d
-20 & m sh e tu e
F od an ja
g
e g d g pr ts d
al d
fl ve an ve ilk a an
r e n y s r F
Ce-40
a af ot he d
m ar
ls
e
n
le Ro o t
an Su
g
u e
P
re ilk -42.85
G M
-50.58 -50 -50
-60

-80
-85.91
-90
-100
 DIETARY ASSESSMENT OF
THE FAMILY (NUTRIENT
WISE)
FOOD GROUP AMOUNT REQUIREMENT ACCORDING TO
BALANCED DIET (mg)
Sl no. Age Sex Type of Physiologic Calorie Protein Iron(mg) Retinol Thiamine( Riboflavin( Vitamin C
Work al Status (kcal) (gm) mg) mg) (mg)

1 25 M Moderate 2730 60 17 600 1.4 1.6 40

2 26 F Sedentary Non-
pregnant,
Non-
lactating
3 8 F 1690 29.5 16 600 0.8 1 40
4 80 M Sedentary 2320 60 17 600 1.2 1.4 40

TOTAL 8640 204.5 71 2400 4.4 5.1 160

REQUIRE
MENT (R)
TOTAL 6827.4 269.89 68.6 1180.02 5.91 3.27 292
CONSUM
ED (C)
BALANCE -20.97% 31.91% -3.38% -50.83% 34.31% -35.88% 82.5%
(C-R/R)%
DIETARY INTAKE
100

82.5
80

60

40 34.31
31.91

20

0
Calories Protein (mg) Iron (mg) Vitamin A (g) Thiamine Riboflavin Vitamin C
(kcal) -3.38 (mg) (mg) (mg)

-20
-20.91

-40 -35.88

-50.83
-60
SALT USAGE PATTERN BY
FAMILY
 Type of Salt : IODISED
 Container Of Salt : Covered
 Salt Iodine Level : 15ppm (Adequate)

Individual Consumption of Salt Per Day:8.33 gm

We assessed the blood pressure of each of the family members , one of

them is currently hypertensive.
 SUMMARY
TOPIC IMPORTANT ATTRIBUTES
SOCIO-DEMOGRAPHIC A 4 membered Hindu, Joint family resides in Uttar Pally, . The family has one
CHARACTERISTICS couple with children(1 adolescent girl). The girl is of school going age. According to
Kuppuswamy Scale, the family belongs to Upper Lower Class(Grade IV)

SOCIO-ECONOMIC  Substance Abuse- Present

PROBLEMS  Bikram Bauri - chewing tobacco since last 6 years
 Sathi Bauri (Wife of HoF)- Overweight for her age
 Adrija Bauri (Daughter of Hof)- underweight for her age
 Shankar Bauri(Father of HoF )- hypertensive and underweight
TOPIC IMPORTANT ATTRIBUTES
HOUSING AND TYPE OF HOUSE –Pucca ( with 1 Living room, 2 Bedrooms and separate Kitchen )
ENVIRONMENTAL  OVER CROWDING –Absent
PROBLEMS  PERSONAL SANITARY LATRINE WITH HAND WASHING FACILITIES-Absent (use
in share with 1 neighboring family)
 VENTILATION -Inadequate
 NATURAL LIGHTING - Inadequate ; ARTIFICIAL LIGHTNING
- Inadequate
 HANDLING OF DRINKING WATER – Appropriate
 SMOKE OUTLET- Present
 OPEN DRAINS- Present
 SOLID WASTE DISPOSAL- Municipality Dustbin
 LIQUID WASTE DISPOSAL- Inappropriate(disposed in open drains)

HYGIENE  The members of the family bathe daily, and they brush their teeth twice daily.
(KNOWLEDGE  Menstrual hygiene is maintained. Sanitary pads are thrown in dustbin.
AND PRACTICE)  Nails are cut at regular intervals and are clean.

DISEASES  Some knowledge regarding both Non Communicable , Communicable Diseases and
( KNOWLEDGE STDs.
AND PRACTICE)  Health seeking behavior is adequate.
TOPIC IMPORTANT ATTRIBUTE

CALLO
FAMILY PLANNING ( KNOWLEDGE  Knowledge and Practice both are adequate.
AND PRACTICE) AND  They know about Contraceptive Methods
IMMUNISATION like condoms, OCPs.
 According to MCP card, all vaccines are
taken.

NUTRITIONAL PROBLEMS  Diet of the family is deficient in Calorie and

protein and vitamin A.
 Sathi Bauri

HEALTH PROBLEMS  One of the family member aged 80years /male has
hypertension and is on antihypertensive drugs
 INTERVENTION
PROBLEM INTERVENTION
INADEQUATE NATURAL LIGHTING INCREASED COMPENSATION BY ARTIFICIAL LIGHT
VECTOR BREEDING PRESENT  COVERING OF WELL
 COVERING OF DRAINS
 HEALTH EDUCATION ON VECTOR BORNE DISEAES
IMPROPER DISPOSAL OF LIQUID HEALTH EDUCATION ON PROPER WASTE DISPOSAL
WASTE COVERING OF DRAINS
NUTRITIONAL PROBLEM  IRON SUPPLEMENT AND VITAMIN A, B1 AND B2
SUPPLEMENT IS ADVISED
 DIETARY ADVICE WAS GIVEN AND LIMITED USE OF OIL
AND SPICES WAS EMPHASIZED
 HEALTH EDUCATION ON BALANCED DIET, PRACTICING
REGULAR EXCERCISES.
MEDICO-SOCIAL DIAGNOSIS
 Mr. Bikram Bauri’s family is a 4 membered joint, Hindu family belonging to
lower middle class according to modified Kuppuswamy Scale. The family
lives in adequate housing conditions with no overcrowding, proper
ventilation but inadequate lighting. The liquid wastes are disposed in the
open drains in the neighbourhood but for solid wastes municipal dustbins
are used. they have sonme knowledge about non communicable diseases ,
communicable diseases and STDs. The head of the family is addicted to
chewing tobacco. the father of the head of family is hypertensive. and is on
medications. the daughter of the head of family is underweight. the child
has taked all the vaccines according to their MCP Card. the family has no
history if diabetes mellitus or thyroid.
 ACKNOWLEDGEMENT

We would like to thank the faculties of Community Medicine department for

their help and relentless support throughout the visit.
 REFERENCE
 1. Park’s textbook of Preventive and Social Medicine
 2. Family Healthcare Practice exercise book
THANKYOU