SOCIAL PAEDIATRICS
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- Title
- SOCIAL PAEDIATRICS
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SOCIAL PAEDIATRICS
NILOUFER HOSPITAL
HYDERABAD
Department of Social Pediatrics
OSMANIA MEDICAL COLLEGE &
INSTITUTE OF CHILD HEALTH NILOUFER HOSPITAL,
HYDERABAD.
Social (community) Pediatrics is the study of the child in
his own environment. Based on the working and utility of such
deparments in few parts of the world, this department was
created for the first time in the country-Hyderabad A.P. in
February 1970. Following this several departments have come
up in the country and A P. Government has created 7 more
departments in all the remaining medical colleges in Andhra
Pradesh. Since several decades the community medicine was
entrusted to Social & Preventive Departments in the Medical
Colleges but viewing the impact of such departments, who
provide service to the community and who are more acceptable
to the community, pediatricians are now taking over this lead
in the field. Pediatrician are tending to come out of the hospital
and taking services for the people in the Urban, Rural and Tribal
area. This is being done in view of the fact that more than 50%
of the deaths are in the under fives. In order o bring down the
infant & Toddler morbidity and mortality rates tnese departments
may provide an answer to 'reach the unreached'. In the twelve
years of experience of this department at Hyderabad, it has
been a glaring fact that the community is more acceptable to
pediatricians than to the existing other departments.
The team :
Prof, of Social Pediatrics - Dr. Y. C. Mathur, MO.,
DCH., FICA, FICP.,
1.
Asst.
2.
Asst. Prof. Social Obst/Gynec - Dr. Satyavathi,
MD, DGO.,
3.
Asst.
Prof.
Pro*,
Social
of
Pediatrics-Dr.
Ajit Kumar
MD, DCH.,
Social 8- Preventive Medicine
— Dr. Mrs. Gupta.
Staff:-
1.
A.N.M. - 1
2.
Public Health Nurse — 1
3.
Driver — 1.
Functions :
1.
Teaching of Community Pediatric to:-
i)
Undergraduates
ii)
Internees
iii)
Postgraduates
iv)
Orientation to Medical Officers of PHCs.
doing M D. (Ped) DCH., M.D (Obst/
Gynec) D.P.H., M.D. (SPM).
v)
Health Visitors, A.N Ms.
vi)
Dais - Traditional Birth attendants.
vii)
Village Health Workers
viii)
Multipurpose workers.
Anganwadi Workers Gram
Swastikas Community Health
Workers.
ix)
Mother teachers - Balwadi teachers, creche
x)
Pediatricians like UNICEF/WHO sponsored course for
Senior Teachers of Child Health and WHO Course for
M.C.H.
xi)
Orientation to District Medical Officers.
mothers.
2. Service :
Rural & Tribal areas and Urban slums :
1.
Conducting under 5 clinics in sub-centres of different
blocks.
2.
Neonatal clinics
3.
Well Woman’s Clinics
4.
Nutrition Clinics
5.
Immunization Clinics
6
Health checkup
7.
Health & Nutrition Education
8.
Pediatric Health camps
9.
Health surveys
10.
Mobile clinics to remote areas.
OI "F
COMMUNITY HEALTH CELL
2
326. V Main, I Block
Koramongala
Q/( /00
Bangalore-560034
'
3.
Hospital :
1.
2.
3.
4.
5.
6.
7.
8.
4.
Immunization Clinic
Nutrition Clinic
School Health Clinics
Child Psychiatry
Growth Clinics
Clinico-social conferences.
Nutrition Rehabilitation Clinics
Creches and Balwadis - Sishu Vihar.
Research :
Field Research is designed as, applied research relevant
to the needs of the country on common problems depending
upon epidemiological data. Some aspects of this field research
done by the team are as follows
HYDERABAD MIX :
Protein packets consisting of cerealpulse
mixture are being given as a method of
nutrition supplementation and education.
These packets contain the following
ingredients.
Wheat I Jowar
Bengal Gram
---
35 0 G
---
11.5 G
Ground Nuts
Sugar / Jaggary
Calories
Proteins
1 7.5 G
6.0 G
280
10 Gms.
This is not a rigid formulae but it can be exchanged
according to existing crop pattern in the villages. The idea is
to bridge up the calorie gap in the preschool children and
pregnant and lactating mothers. The latter group is given double
the quantity in the last trimester of pregnancy. These packets
are given for 3-6 weeks during which time the mother is given
health education regarding the importance of cerealpulse mixture
as a weaning food. This has been found to be of value in
overcoming the existing beliefs and taboos about these local
foods
3
Feed back technique-The convinced mother is then asked
to spread the message to the members of the community of the
improvement in her child after using these foods. It has been
found that if a local mother talks to the community, they are
more convinced about the utility of cereal-pulse mixtures and
calorie needs of the child.
These packets can be used as it is, or in the form of
laddoos, or chapathi
If the mother can afford a little oil will
be of value.
Method of preparation - 5 stages :
1.
2.
3.
4.
5.
Weighing
Frying Er Roasting
Powdered
Filling in Polythene bags
Sealing by candle flame.
These packets are being prepared by the Women's Club.
Mahila Mandali in the villages and given to I Er 11 degree
malnourished children. These packets are being demonstrated
in the Welcome Museum in London and also described in the
Pediatric books by Prof. David Morley and G.J. Ebrahim-London.
Identification of malnutrition is done by using arm bands,
weighing the children and plotting on weight chart quackstick
and other anthropometric measurements.
Immunization
Crash programme of Immunization is being done against
the following :
1.
2.
3.
4.
5.
1.
B.CG.
D.P.T,
T.T.
Polio.
Measles.
•
Prevention of Blindness
1. Oral Vit A in Arachis Oil 200,000 units is being
administered as a crash programme to children between 6 months
to 5 years, every 6 months.
4
Oral Rehydration
2.
Simple message of salt sugar solution in clean water is
being advised for all children who suffer from dairrhoea.
Periodical Deworming
3
Piperazine Citrate is being administrated to children living
in endemic areas where there is high parasitic load and the effect
of such programme is seen clearly on weight charts.
Papers Published
V
Social Pediatrics and interdisciplinary approach towards
community at Hyderabad - By Dr. Y C. Mathur. Published
in India Journal of preventive and Social Medicines Vol.
No: 3, March 1972.
2x/
Role of Social Pediatrics in the Interdisciplinary approach
to community health care - by Dr. Ajit Kumar Published in
Indian Journal of Preventive and Social Medicine - Vol
No : 3 March 1972
3
Role of Social Obstetrics in the Interdisciplinary approach
towards rural health care - by Dr. Saleha Qureshi-Published
in Indian Journal of Preventive and Social Medicine : Vol.
3 March, 1972.
'^
4.
Role of Social and Preventive Medicine in an Integrated
teaching of Social Pediatrics - By Dr. N. Pralhad Rao.
Published in Indian Journal of Preventive and Social
Medicine, Vol : No: 3 March, 1972.
5.
Social Pediatrics in Hyderabad - by Dr. Y. C. Mathur and
Dr. Y R Reddi - Published in "Bombay Hospital Journal"
Vol : No : 1 5, No : 1, January, 1 973 pp. 55 57
6
Social Obstetric
Saleha Qureshi.
7^
"Under Five Clinic ' Institute of Child Health Hyderabad by
Dr. Y. C Mathur - Published in ‘‘Indian Pediatrics" Vol No:
XII, No. 1.
8.
Interdisciplinary approach towards the health care of the
community, experiment at Shankerpally (Rural Hyderabad
programme
5
in
rural Hyderabad by Dr.
India by Dr. Youraj Chandra Mathur, Dr. Saleha Qureshi
and Dr. Y Ramachandra Reddi),
9.
Health needs of the community (A comparative study of
Tadlapalli 8- Shankerapally-by Dr. Y. C. Mathur & Dr. Y. R.
Reddi.
10.
Indo-Dutch Project for Child Welfare (story of the Health
team) by Dr. Y. C. Mathur.
11.
A method of age assessment by local-event-calendar (LEC)
and its pitfalls by Dr. Prahlad Rao and Dr. Y. C Mathur,
Published in "Environmental Child Health'* April, 1976
12.
Nutrition services through primary health centres by Dr.
Ajit Kumar - Published in Journal of Research in Indian
Medicine Vol : No : 3 September, 1973.
13.
Study of growth pattern in per-school children or low
socio-economic status in a rural area near Hyderabad by
Dr. Y C. Mathur. Dr. K. Bhaktavatsala Gupta and Dr N.
Pralhad Rao - Published in Indian Pediatrics. Vol. No : IX,
No. 7, July. 1972.
14.
Quack-stick ' field measure for quick assessment of nutriti
onal status'* - by Dr. Y. C. Mathur, Dr P. Srinivas Rao Dr
Fakruddin Khan. Dr Ajit Kumar and Dr. Y. R. Reddi.
15.
Vegetable protein mixture in protein calorie malnutrition by
Dr. Y. C. Mathur, Dr. Y. R. Sachdev, Dr Harish Chandra.
Dr. Narsing Kishore and Dr. V. Madhavi. Published in
Indian Pediatrics, May. 71 Vol. No. : 8, No : 5
2
Experience
with weight
charts at Primary Health
Centre by Dr Y.C. Mathur - Published in India Ped. Vol :
XII, No. 1.
2
16.
17.
A study of the effect of massive vitamin A oral suppliment
in rural preschool children - by Dr Y. C. Mathur, Dr. Prasad
Choudty and Dr. Y. R. Reddi.
18.
"Effect of maternal nutrition supplementation on the birth
weight of the new born" - by Dr. Saleha Qureshi, Dr. N.
Pralhad Rao, Miss. V. Madhavi, Dr Y-C. Mathur and Dr.
Y. R. Reddi, published in Indian Pediatrics. September
1973 Vol : 10, No : 9. Page. 541.
6
2
2
Brief Communication : Processed soya flour as substitute
for dry skim milk in the "protein packet" in the treatment
of protein calorie malnutrition. By Miss. V. Madhavi,
Dr. N, Pralhad Rao, Dr. Y. C. Mathur and Dr. Y, R. Reddi,
Published in Indian Pediatrics Vol. X. No : 3.
Management of P. C. H. in urban and rural nutrition clinics
by Dr. Y. C. Mathur. Published in Indian Pediatrics.
V : XII, No; 1.
Child rearing and weaning practices in a rural area of
Hyderabad - by Dr. Ajit Kumar, Published in Journal of
Indian Medicine April 1973.
Study of Vit. A deficiency in rural area of Hyderabad - By
Dr. Ajit Kumar and Dr. Y. C. Mathur.
A survey of infant feeding and weaning practices in the
village Fathepur - Hyderabad
by Miss
V.
Madhavi
N. Pralhad, and Dr. Y. C. Mathur. Published in Indian
Pediatrics.
Leprosy in childhood in rural and urban areas of Hyderabad
by Dr Ajit Kumar. Dr Y. C. Mathur, and Dr. Pralhad Rao.
Published in Indian Pediatrics. Vol: IX, June, 1972. No: 6.
A Semilongitudinal clinical study of the effect of Liv. 52
on the growth pattern of normal and malnourished
children in a rural are - by Dr. K. S. Sulochana, Dr. Y. C.
Mathur & Dr Y. R Reddy.
Symtpomatic management of cough in preschool age-group
of children-by Dr. G. S Gilda, Dr. Y. C. Mathur, Dr. M.
Nagaraj Rao and Dr. Y. R. Reddi.
"A study of the morbidity pattern amongst pre-school
children in a rural area" by Dr. Ajit Kumar, Dr. Y. C.
Mathur and Dr. Harish Chandra. Published in "Indian
Pediatrics" June 1972. Vol: IX, No: 6.
Effect of K-mix 2 on protein claorie malnutrition - by Dr.
Y. R Reddi Dr. Y. C. Mathur, Miss V. Madhavi, Dr A.
Venkatesh and Dr Sarada.
Village level production of supplementary food (Indo Dutch
Project for Child Welfare, Hyderabad - By Dr. Youraj
7
Chandra Mathur and Miss V. Madhavi).
30.
Study of morbidity in preschool children of rural Hyderabad
in relation to family size and birth interval-By Dr. Ajit
Kumar, Dr. Saleha Qureshi and Dr. Y. C Mathur (This
paper was awarded Dr. James Flett Award, First Prize
gold medal to Dr. Ajit Kumar in Social Pediatrics at the All
India Pediatric Conference at Kanpur 1974)
Papers Read from Department of Social Pediatrics:
1)
in
1.
At many All India Pediatric Conferences
various places.
2.
International Conf, of Pediatrics at New Delhi
3
British Pediatric Association Meeting at York Dr. Y. C Mathur.
4.
Pediatric Association of New Castle Upon Tyne
Dr. Ajit Kumar.
5.
College of General Practitioners.
6.
7.
Indian Medical Association Meeting
Invited as Visiting Professor to University of Sandiego.
held
Dissertations:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Periodic Deworming in Pre School Children in Rural
areas and its effect on the growth of the child.
- DR. ANASUYA
Study of Anthropometry in rural chidren,
- DR. B. GUPTA
VIT 'A' Prophylaxis in Rural India.
Effect of protein packet-Hyderabad MIX for the con
trol and management of PCM children.
Study of B. C. G. in Rural India:
Feasibility study of Measies Immunization in Pre
School Children
Quack stick Method as a Measure of early detection
of Malnutrition in Rural Children.
A study of Knowledge, Attitude and Practise in Ado
lescence in Rural India.
Effect of Bi-th Interval and Family size on the Mor
bidity and Mortality in Rural India.
Methods of Neonatal and Perinatal care in Rural India.
8
2)
Awards and Foreign Assignments :
1972 - Dr Y. C. Mathur at All India Pediatric Conference at
at Agra "James Flett Gold Medal in Social Pediatrics".
1974 - Dr. Ajit Kumar at All India Pediatric Conference at
Kanpur "James Fiett Gold Medal In Social Pediatrics".
1979 - Dr. Goud-at All India Pediatric Conference at Calcatta
"James Flett Gold Medal in Social Pediatrics",
1979 - Heinz Award - Dr. Y. C. Mathur.
1968 - W.H.O. Fellowship - Dr. Y. C. Mathur Unicef/Who
Course.
1974 - Who Fellowship to U. K. & Europe - Dr. Ajit Kumar.
1972 - Short term Who consultancy-Nairobi-Dr, Y.C. Mathur.
1976 - Ford Foundation-Anand-India - Dr. Y.C. Mathur.
Visit of the Team of Social Pediatrics to Korea, Thailand &
Phillipines in 1973 -For Inter Country course for Population
Dynamics and Human Reproduction.
Social Pediatric Team
visit to Bangla Desh for Study on Human Reproduction and
Population Dynamics.
Social Obstetrician - Dr. Saleha Qureshi-Commonwealth
Fellowship to United Kingdom.
Contribution in Books
1.
CHAPTER IN 26.
MCH - Around the World by Wallace,
G. J. IBRAHIM-Day Care Services.
2.
CHAPTER IN
Text Book of Social Pediatrics.
SATYA GUPTA,
International Year of Child Commemorative Volume-lndian
Academy of Pediatrics-Morbidity & Mortality in Children.
3.
CHAPTER IN
Commemorative Volume-Silver Jubilee
J. J. Group of Hospital - Bombay
' Deprivation Syndrome".
4;
CHAPTER IN
Com nemorative Volume - Silver Jubilee
Niloufer Hospital - Hyderabad;
Social Pediatrics:
9
Workshops Participated
1.
2.
3.
4.
5.
6.
7.
8.
Re-Union Meeting Who/Unicef Course
Inter-Country Course in MCH
U. G. C. Seminar - Varanasi
Workshop on Neonatology
I. C. M. R.
Workshop for Under Five Clinic'
Postgraduate Teaching Programme
Internship Programme - Study Designed By W.H.O.
Field Practice Areas
1.
Indo Dutch project for child welfare - rural Chevella block urban slum - Yadgar Hussaini kunta.
2.
Urban centre Puranapul in collaboration with Municipal
Corporation of Hyderabad.
Rural health centre - Pattancheru - Interst Training Programme.
Primary health centre attached to Osmania Medical College.
I.C.D.S. - Tribal area - Utnoor - Adilabad.
Pediatric camps in rural areas.
3.
4.
5.
6.
10
Curriculum Vitae of Dr. Y. C. Mathur,
MD„ DCH., FICA., FICP.
Name
:
Dr. Y.C. Mathur
Designation
:
Professor of Social Pediatrics, Niloufer
Hospital, Osmania University, Hyderabad,
India.
Age
:
47 years
Qualifications
:
Passed MBBS from Osmania Medical
College in 1957. Passed D.C H. from
Bombay in October. 1958 Stood 1st
Bombay D C. H. Passed M. D. from
Osmania University in 1962.
Job Experience
Worked as Assistant Professor of Pedia
trics at Niloufer Hospitel and also in the
capacity of Resident Pediatric Research
Officer, Promoted to Professor of Social
Pediatrics in 1970.
Working for the Indo-Dutch, Project for
Welfare and Consultant to Integrated
Child Development Scheme, Govt, of
India, at Utnoor Project Adilabad.
Teacher to undergraduates and Post
graduates at the
Osmania Medical
College for 20 years.
Tutor to WHO/UNICEF Course in Hydera
bad since 1970.
Total Service
Experience
:
22 years
Awards
:
Awarded the following Gold
Medals :
1.
The Shockress Gold Medal for the
Best Student of Hyderabad Public
School in 1950.
r /
COMMUNITY HEALTH CEL^
''7
1!
326. V Main, I Block
'
Koramongala
Bangalore-56003^
India
2.
Awarded the James Flett Gold
Medal for Social Pediatrics in 1972
by Indian Academy of Pediatric
3.
Awarded the Gold Medal at Golden
Jubilee Celebration of 0 M.C. for
outstanding
work done by old
students.
Took International Certificate Course in
Nutrition at Hyderabad.
Awarded Fellowship of the International
College of Angiology.
Awarded Fellowship of
International
College of Pediatrics.
Membership
:
Member of the Advisory Committee of
Health on several occasions for Govt of
India.
Indian Council of Medical Research and
WHO Expert Committees (SEARO)
Member of Indian Medical Association
Member of the
College of General
practitioners
Member of Indian Academy of pediatrics
Member of Nutrition Society of India
Member of the Dietetics Society of India
Member of Indian Academy of Infectious
Diseases
Member of the Nutrition Sub committee
of Indian Academy of pediatrics
Advisor to Mother & Child Welfare
Society, AP Govt.
Advisor to Child to Child Programme and
Member of National Committee
Foreign
Assignments
:
1968-69
UNICEF / WHO
sponsored
course for Senior Teachers of
Child Health.
1972
WHO Temporary Advisor in
Nairobi Kenya at the Kenyatta
National Hospital. (3 months)
12
Adviser to the Glender Ford
Foundation (India) for deve
lopment of health co-opera
tives.
Worked
with the
National Dairy Development
Corporation Anand.
U.K. for 3 months on Senior
Heinz
fellowship.
Visited
various centres in U.K.
W.H.O. Fellowship to Indo
nesia. Visited Bangkok and
Singapore.
1976
1978
Publications
:
Published about fifty articles in national
and international journals.
Other
Information
:
— Tutor to
WHO/UNICEF sponsored
course for senior
teachers child
health for 10 years.
— Member of M.C.H. Committee of
Government of India and W.H.O.
— Contributed a chapter in 'M.C.H.
around the World' by G.J. Ebrahim
and Helen Wallace and to several
other books.
— Edited commemorative Volume of the
Silver Jubiles of Niloufer Hospital.
— Contributed chapter in the Comme
morative Volume in J.J. Hospital Silver
Jubilee.
— Published article in "der Kinderarzt".
— Chairman of Scientific Committee of
All India pediatric Conference.
— Chairman of a session at International
Conference of Pediatrics.
— Read a paper at the British Pediatric
Association Conference in York, U.K.
— Has been an examinar for M D. and
D.C.H. examinations of various univer
sities in India.
13
Bio-Data of Dr. Ajit Kumar,
MD., DCH , FICA., FlCP.
Name
:
Dr AJIT KUMAR.
Date of Birth
:
29th January 1937.
Disignation
:
Dy. Civil Surgeon, Niloufer Hospital,
Asst. Prof. Social Pediatrics, Osmania
Medicai College.
Qualification
:
M.BBS.
1960.
DBH
1964.
Stood 1 st.
M.D.
1969.
Applied Nutrition - 1973.
F.I.CA.
1978.
F.IC.P.
1979.
Total Service
:
20 Years
Job Experience
:
Worked as Asst. Prof, of Pediatries, at
Niloufer Hospital, Fever Hospital, T.B.
Hospital, ESI. Hospital worked as Resi
dent Medical Officer, Niloufer Hospital.
Now working as Dy, Civil Surgeon and
Asst. Prof, of Social Paediatrics, Niloufer
Hospital.
Working in Indo-Dutch Project at Shankarpalli Primary Health Centre since
1970.
Regular Teacher fof Undergraduate and
Post graduate
Teaching
programme :
Participated in the training of medical
and paramedical staff in I.C.D.S.
Training of Gram Swastikas, Community
Health workers, Primary Health Centre
medical officers' Multipurpose workers
at Regional Family Planning Centre.
14
Participated actively in the training of
UNICEF/WHO Senior Teachers in Pedia
trics since 10 years and now UNlDEF/
WHO MCH course.
Academic
Achievements
:
1. Recipient of James Flett Endowment
Gold Meda I in Social Pediatrics at
at All India Pediatric Conference at
Kanpur 1974.
2.
Recipient of WHO Fellowship to
study the working in the field of
Social Pediatrics in UK, Franco, Net
herlands, Poland and Sweden in
1973-74.
3.
Stood 1st in DCH Examination.
4.
Awarded Fellowship of the
national College of Angiology.
5.
Awarded Fellowship of International
College of Pediatrics.
Inter
6 Took Certificate for the International
Course in Nutrition.
Membership
:
1. Life member
India.
Nutrition
Society of
2 Member Indian Academy of Paediat
rics’
3
Member Comford.
4. Member Indian Medical Association.
5. Member Indian Diebetic Association.
6.
Member Indian Association of Com
municable diseases.
7.
Member of Association of Preventive
& Social Medicine.
8.
Member under Five Clinic Workshop.
9.
Organiser training of the I.C.D.S. for
health officials of South India.
10.
Teek part in UGC Seminar at Varanasi.
15
11. Member child to child
Workshop.
Publication
Contribution in
Text Books
Programme
45 papers in National and International
Journals.
Archives of Diseases of Childhood.
Journal Der Kinderart.
:
:
1. A chapter in MCH around the world
Hellen Wallace and G. J. Ibrahim.
2. A chapter in Text Book of Social
Paediatrics - Satya Gupta.
3. A chapter in Commomoration volume,
Silver Jubilee - J.J. Group of
Hospitals.
4. Chapter in Commomoration volume Silver Jubilee, Niloufer Hospital.
- Media
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