NOTES EVALUATION REPORTS & ANSWERS TO QUESTIONNAIRE FORM THE COMMUNITY HEALTH DEVELOPMENT COURSE-JYOTHY SADAN

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NOTES EVALUATION REPORTS & ANSWERS TO QUESTIONNAIRE FORM THE COMMUNITY HEALTH DEVELOPMENT COURSE-JYOTHY SADAN
extracted text
RF_COM_H_26_SUDHA_ PART 1

Xeport oa the class held on 8th of September,1938.

-.other end Child Care and I.nmunaization. By Dr.doni.

Ao-

•■-.C..;. (hotncr an i Child Care)

:

The jrograuime of the government is always based on some
identification of the problem. Government sees the ill-health

of the motherfan based on from this three aspects:

- ,.al nutrition.
- Infections.

(

- uncontroled fertility;
Over the years the government has come up with M.C.H. programme

in order to prevent the mortality of the mothers during pregnancy
ana birth even it is to tackle the problem before pregnancy.
Antinatxal care

- check-ups before pregnancy.

Prenatal care

- check-ups during pregnancy.

Postnatal care

check-ups after delivery.

Child under five Clinic.
This all come under the programme of .-iother and child health.

The pregnant wo.:.an has to meet the doctor once a month for
the first eight months of pregnancy, and once a week during the
last ..-onth.
The .linor Problems Luring the Pregnancy are:

- Jausea or vomiting.
- Burning or pain in the pit of the stomach or chest.
- swelling of the feet.
- Low back pain.
- Anemia and malnutrition.
-SWellen veins.

- Piles (hemorrhoeds).
- Constipation.
Labger faurxn Signs in pregnancy:

- Bleeding.
- Severe anemia.
- Swelling of the feet, hands, and face with head ache, dizziness
and sometimes blurred vision, are signs of toxemia or poisoning
of pregnancy. Sudden Ewwight gain, high blood pressure, and a

lot of protein in the urine are other important signs.

-2To avoid all this'problem they have to see. the doctor and have

a check/of the followings:

b-



- ..’eight.
- trine test.
- Blood pressure test.

v Placement of the child.
How to stay healthy during Pregnancy;

- The mother should eat well..
- <ood hygiene.
- should not .take any medicine without the advice of the doctor.
- Should not smoke or drink.
- Getting enough exercises and rest.

'

- Tetanus"-vaccination to prevent tetanus.
Vr.der five clinc is focussed on:

- Growth monitoring (charting).
- Preventing some preventable diseases.
- oome nutritious education.
School Health;

There will be screening of any of the sensory defects. All
this programmes are generally planned from dealing with the above

mentioned three problems: malnutrition, infection and uncontroled
fertility. Thus the government thinks that the health of tihe
mothers are safeguarded. But we should know that health is not

absent of sickness. Cur programme are directed at removing the
trippie problems by which we think adequate health could be given
Hospitals are geared with only ill-health, but they don't deal
with how to provide health.

IMMUJAIZriTIO'.I.
Vaccines give protection against many dangerous diseases.

The injection is given and the body produces antibodies to fight
against the disease. The substance what we inject is called

vaccine. The vaccine is the same bacteria or virus which causes
the sickness, but it is altered so that ifc cannot cause sickness,
it can prevent the sickness.

The comraon vaccines which sm we have are
- B.C.G. for T.B.
- . ? .T. for Diptheria, ./hooping cough (pertussis) and Tetanus.
- QPV (Oral Polio vaccine) for Polio.

- D.T. for Diptheira and Tetanus.

T.T.

(Tetanus toxide) for Tetanus.

Measles vaccine
- TAB for Typhoid.

.• .

,

. , .

.

.....

..

- Cholera vaccine.
Tne disease which children below five■years should be vaccinated
arc:

-3-

- Tuberclosis.
- Diptnerra.

-.■hooping cougn.
- Tetanus.
— .lessiss .

—" * A single injection is given in to the skin of the right

shoulder. This can be given from birth to up to 13 years. But
childhood is preferable. This is a live organism(Vaccine). There

are few reactions due to this vaccine. Reaction will start only

after a ...onth, swelling, ulcer will form. It -will take roughly

3 ...onths for curt and a scar will be formed. Some children also
may develop swellings in arm pit. Bven in such cases you needn't

worry. Give one of the T.13. medicines IWH for some days. This

is because the child has very low resistance.

-* ~ * * This is a trippie antigen for biptheria, Efertussis (Whoo­
ping cough),and for Tetanus. This can be given 6 weeks of the birth
of the child, but the government recommends from 3 months. For
full protection the child needs 3 injections: 3rd, 4th, 5th

months, the break can be upto 3 months. After one year a fourth

dose(booster dose) should be given. Then between age 4-5 one
more booster should be given. Then the child will be protected

for life.
Reactions: Fever and swelling, the same night or the next day.
Hot finnantation and a fever tablet could be given. If puss comes

out due to faulty procedure further treatment should be given.
D.T :This fox is for Diptheria, and Tetanus. When Trippie anti­
gen is available why do we give this D.T.? The reason is thet
whooping cough is rare after 3 or 4 years. For school going

children B.T. is enough. It won't produce more reaction. The dose
is same like C.P.T.
x-leasles Vaccine: It should be given from 9 months upto 3 years.
Because children don't get this sickness before 9 months. Only

one dose should be given. The reaction is same as D.P.T.
Typhoid vaccine(TAB)T This is given once in 6 months. It is better

to give during the summer months. The person may'have pain and

swelling in at the site of the injection. Give aspirin tablets
to relieve pain.
Cholera vaccine: This is also given once in 6 months especially
in summer or if there is any case of cholera in that area. The

person may get fever and pain at the sight of the injection.
In order to achieve goodresult;
- you have to educate and motivate.

- you have to tell the reaction.
- The vaccine for Polio should not be given during the rainy
season or the person has cold, fever, diarrohea, because any

injection rightly produces paralysis.

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The accupunture has been taken by Dr. Theku, on monday
(l*2;^of August . This system was practised by Tsin - dynasty, in 3&00
B.C’ , in china . At that time they had produced a book on about
this , for the universal purpose, and preseveved this knowledge. This

' knowledge or study based on , the energy of body^ It has consisted
two aspectes such as , balanced health and in balanced health that is
illness. In 1952 those people dicovered a imperative fact that, all

accupunture pulses are near to nerves. And also all kind s of'killing chemi<
are released by body. It says about 300 points, which we can use as

accupuncturein uurbody. This fact is allowed by international authorities
■'"‘moun^. these 300 points , we have selectedonly 22 points for ourstudy.
___ _.22-_ooints_
1. The-point between thumb and fingers. It "is used for all upper part
of the body, and also it can be use for lungs problem, cough, asthma
all the problems of upper limb .

2.

It is in end of the cr as.-

will hel.
3.

-It reduse the blood pleasure, and it

for the mental illness,

This point is that the three fingers above, the wrist crease middle
it can beese

use fore

,

peptic ulcer,vomiting, for the motion problem

and fever.

4.

It is in the highest

xpoint of the shoulder . It is for^ upper

part of limb , sprain of the neck , head ache.
5. It is in the back side of the neck, it is using for the back ache

head ache giddiness.
6. It is on the back side

of the head , this point can be use for

the head ache, neck strain , B.p.
7. It is onthe top of the skull, it is covering itself and regulates

all the other points. It can be used for all other problems, and also for

the memory power.
8. E.‘AX- I, on the fore head -

it is use for the head ache , cold

watering from the nose, giddiness , epistaxis and bleeding,
9, C: V: 26- RENZHONG^ - It is in between nose and mouth. This poin t
may use for the cold, sincesitis , and also head ache, morethan that
it is a well point for all purpose.
10.
T;W. 23- SIZHUKONG, it is on the end of the eyebrows, and it is

using for fronal head aches , cold sinecesitis, eyeproblems.and migraine
11.
ST. 7- XIAGUAN& it is in front of the ear , onthe head . It is mainl?

using for head ache , upper tooth ache, sinectis and for rin-the pain

in the ear .
12.
JAICHE-

at the angle of the jaw , it is over the muscle, it is use

for lower tooth ache and also pain in mumps13. L.I. - 20 - XINGXIANG- It can be use for the-

cold upper thooth

ache .
14. This purticular point is, on the chest - C. V- 17, SHANXHONG,.

it

on the level of the fourth rib - it is sue for the cough, chest pain

asthma, sprains of the chest musceles .
15. V.B, 24- CIHAISHV. alt is on the side of the spinal

at the level of iti

it is use for all the back aches/ urinary problem s and dysenteryproblems.
16. V. 13 - it is on the mid point of the qluteal sulcus it is use for

leq pain .
17 . V. B. - 57 CHENGAHAN^-

it is mid point of calf - undr the knee,

below the musceles , it can be use for the all problems of knee , leq,ankle,

leq strain etc.
18. K— 3 . TAIXI-%---the leq,arthric

19. U. B. 6-

it is near to foot , it is use for/ parelysis, pain of-

knee , ankle and of the urinary problem .

KUNLUN - it is more orless same to the 18 th one .

20 . U. B
62 - SHENMAI. It is use for sleepinq and fot strain etc.
21. St. 44- DADUN - it is . in between third and second toe.

It is mainly for the all problems of ther belownavel leqs.
A
22. S. P.
- SANGINFIAC-4$-it in the inn er side of the leq . xt is a meetii
meetinq point of liver and kidney. ^t is use for urinary ,problemand costipur
**

****

* •

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The Report

The following aspects were covered up by Dr. Manni on 31st
g:uly. He brought forth a few more points with regard to MCH as the
continuation of the previous class, -‘•hey are both Birth rate and
Death rate mostly in India. It is said that every out of 1000 people

35 are being born$ in a year, and 13 are being died. We come to the
conclusion that the massive progress of this populaton shows the

control of death facilities are improved verymuch than ever.

We were also talked about family Planning and its methods-

Farnily Planning

- deciding to have a child
- to decide next one after having- a gap of

years
- spacing
- health education for marriage

- sterility
- sex education

genetic counselling

2

Methods

There are 'temporary'and 'permanent1 for both men and women
In India it is mostly based on women.

Men

Women

1. Condom (Nirodh)

1. Pill

2. Vasectomy (Man's opperation)

2. I.U.C.D
3. Diaphram

4. Spemicidal jelly
5. Injections

6. Tubectomcy

It is pointed out that all these methods are not safety
exccept 'vasectomy' and ’tubectotay.'

Reported by Bro. Luckose,CMSF.

1

Report

DR. Mani Kaliath.

Health care and delivery System in india

Health care and delivery system aSlL available at public

sector,private sector, Indigenous system and at voluntry Institutions.

The public sector consists of Cov. hospitals, dispensaries,

maternal home, sanatorium. In the private sector we find hospital,

nursing home, clinic,dispensaries, reneral practibionares, and these
Instituaticns often and usually found in urban area.

Indgenous system compromises of Homeapathy, Ayurveda, Unani,

Nature pathy etc... As a whole there are many institutions and

systems, serves the needs of the needy.

In Rural area, we have Rural Hospital which is gove ned by
cheif medical officer, who is assisted by 3 deputies and C.M.O is

governed by state Health director, then he by director

the state

health ministry. Ofcourse the state government is helped by Centrel

govenment, centrel directorate of health and by centrel council of

health



2

A Rural hospital will be situated in district level, which
spreads its hel s t

every corner by P.H.C iss and one P.H.C will

have 1OOOCC people and approaximatly of 10 villages. One PHC will
have right around 30 workers, consits of 2 doctors, male and female
etc... Then gHC wmll be civeded again into sub divisions where ANM
and multi purpose workers will look after. ?or 8 subdivion there is

a health visitor and a health Inspector, driver etc... We even find

trained 'dai' and village health1 guide', who will work with ANM.

for the well running of the PHC there Rural hospital at large.

g|

Thanks

Bro. Shaji Kuttiani, CMSF.

nd

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Ckx'L-

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V I c hrz"
CCMMU.'ITY HEALTH /M-J DEVLLOPi.Er.-T
One of the important needs for man's existence is good health.
All the people one way or another long to have good health but few

possess it. Though all people long to have good health very few
have the real knowledge of health for when they think of health the

first thought comes to the mind is having no sickness of free from

ailment.
First of all this course gives me a clear vision on health.

X had rather a mis concept that health is a state of abspenee of

sickness. But now X am sure that thdJst two days classes have giben
me some true knowledge about health.The defenition given by the World

Health Organisation is: the state of physical, mental, social and
spiritual well being and not absence of decease or disability.

Health is not decease and medicine.
(
Doctors/ Nurses

Health is not

■(
/



Dispensaries
Hospitals.

Health includes medicine but medicine is not health. The doctors
are only floor moapers but the health worker is a tap opener.

According to Biblical tradition to heal means to make whole. To make
whole in. mentai, physical, social and spiritual dimension.
I Man needs
| all this

y'

Physical

- Doctors

Mental
Social
Spiritual

- Psychologists
- Politicians
- Religious.

I believe this course of ours will provide all this aspects.
Health and social problems are very much connected or linked with

each other. Unless we tackle the social problems we cannot achive the

the goal of health for every one. e.g.Diarrhoea. Mass death takes

place in the rural communities because of diarrhoea for there is no

proper water supplies and they don't have their own land to work and
to have their eqk cultivation. This are the social problems . Unless

we tackle this problems we cannot irracicate this diarrhoea.
Health is not a private property but it is the right of all

people to enjoy health. Hence the government should take adequate
measure to ensure health to all people.
Phsysical health:
Working well - energy

Good appetiete- digestion
Good sense
Good physique.

Mental health: Happiness, satisfaction with oneself, capacity of judg­
ment, able co make Giecision.
Anger, despair, distress, fear, guilt feeling. If these negative

emotions are very strong and continues and not allow us to do any­

thing then mentally we are not healthy. If we don't express these
feelings then we will be. affected with psychosomatic sicknesses, such
as: headache, muscles pain and so on. It is normal for a man or woman

to have noth negative and positive feelings.

Social health ;
family

Relationship

friends
neighbours
superiors

inferiors
This relationship should be genuine and not indifferent, should be

frank or oppenness and it should be giving and receiving or taking.
Each of us have to delvelop as we grow our social role; for each one of

us have a particular role to play in the society. Civic sense- the
feeling of involvement with social life in your community.

Spiritual;

All of us hue.an being need to have relationship with some­

thing beyond us, what ever we may call it Ya^r Yahweh, Allah Eeswara,
Jesus.
Community: Community must be physically healthy nienas adequate food,

shelter, water, good environment,must be accessible to people.
atignepfe Sign of mental social health in the community is society is

built on justice, relationship in 'which all the needs of people are

met, liberty, confidence"in the people, feeling of togetherness.
The goal of community health and development is: It is a gradual process
to build a better world. All our work is to try to ensure all the people
in the community ax® to reach their full human potentiality. Humani­
zation.

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