Kamlesh Sahu CHLP 2015-1-FR 82.pdf
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SucfitA
2015-16
Community Health Learning Programme
A Report on the Community Health Learning
Experience
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School of Public Health Equity and Action
(SOPHEA)
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building community health
Society for Community Health Awareness Research and Action
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ftelay with Soch
2015-16
MENTOR: A S MOHAMMAD
Kamlesh Sahu
SOCHARA Fellow
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1.5 Learning from collective sessions
o Health, community and community health.
o Mantal health in social
o Community building and development.
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o Public health and different of community health.
o Paradigm shift model
o Primary health care and basic principle of community participant.
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o Social exclusion and marginalization.
o System and soft system methodology
o Social determinants of health.
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o Globalization
o Environmental health
o Research work with community
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o
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o
<cii<-^r wcb<?'^iui
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f^rpTT MxJi^d
A
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I
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S
RteO M^Rd Ptcf 4 afq M-dlddl cRK M-dlddl ^7 ^TRlf # dTet afeT ddl’i) F73cfT
FOTRFT FRRT RT ‘RRT^'t ctcft
cRJT 3^7 qTRjf ^T ctWriR
dd^l
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PTW cT^IT Fldld che-dNl 3nf^^7 £Tft 3=t ^rpferft Wt 3ft 4r7Rf d^ct |
PteTT Hqiqd
FIPiPmT P«*-d
oftf^eTT MdHd ^7q^tFReidl Ft FlqiPld ^cfl (?
w
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o chl^cblfl FiPlPl
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o
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o
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74cTT Fl 15^1 Id FT^fUTd’ SlPlP’Md, 1992
d$d
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f^HT ?11WFRff
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dd’Tl'M 3TTFRT cddF^JT 3ft W jftF ^t M'dl’ilcfl FToT cddF^TT ^F
f^TFT ^T ^T 3ft
FWT Ft ^t TqelT 3TT F^T
25
dRT ^7
RH^cT 3RT
dd<l
q^TTFRT cddF^TT dft
rfr Kwn} 3?
h^wt
dJI'Tl’M ?inW cqq^^TT
HJI'D’M 4Mdl
cwt i 3ToT 1993 # ywiRd wftfer arfWrw ^7 stor qr
JlMdl’MI
3tk 3ft Mftcj^<r| f^T uncT
d<H<M d<H^ qi
?T^fr ^fioRTT 3fr HWrfeTH
411^^13^ ^7 3fTW BT
^RR #
f^Tzt
3jf^r ^7 3Mq|d| qTT fa Pl’MB 3ftl
o
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o
M....-.^.^««». a.—...... ..............JsK3|giiw&<*
t
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I dd|^|q 3lPr^T, M3fa<u|
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o
c3f3d BpB'leld f>) ^7f^?ft 33 ^TOWTI Jla-^l MTed31
ddI’flq P^ffidl
o
B^
'HW
3>d-D e)<r||
o^ d dj^lq B’d-'Hfa^TSfr, aht qi^7, 3c\qi<r|, ^eT 33 <£falH $<-31 fa
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o BTT37pf37, $tSHPl3> 34tr dVd^M^ 3^333#
c3q^2JT
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o
a1l<ric|<l ^7 uPr 9b<dl 37t <13^dl
dc-B-B<u| BI<Rs3cp| R3BT (oia-B-B<u| rfafl^ur Bfad)
o
F
o
eft37 B<d BfaRRt
o
33R3, 33T WIM, eft37 BffaVT ?lPld
TW-q333r.
-w
1.5.15 Paradigm shift model of health:
’Hcbdl
<dIdl
oisf d^) $T 3oT ’dfcJfcJTSfT 3FT 3M4bl
sftr d'HdJ’M ^T ^TPfl?jTr
111^1^14) f^^TH
26
^<11^ ^T
3TT
c-qa^^rT
3TTaF
<1(^41
^TTT ^T
feTV
<HI5d ^1
Ffrrr^Kcf
fttht3ft
arra^^w t? Pid<^ wFvTT^TTcR?w
^aKFr^di
Medical model
Social model
Individual
Community
Patient
*
Disease
People
Providing
Enabling
■
Dealth
■"
knowledge social processor
Drugs technology processor
1.5.16 Environment
7-ciTF'U FTH^FT ^7 folkJ fcrldoTl aild^chdl ?ll'TlRcb F-d(jflcfl
MdlcKui
aft
M^d<ur
afr Uc^tst ^rr aw^rsr w ft
%- ftft ^cdlcTl
did ftl oM cf-j^ 3ft aidoild dftl
wr aftr
fftrft
wr
fttft ft 6<hi<i ftr^ft^r
f^FTT FTTHT
$ftifAu Fnrt fftv Mdid<ui
d^A
arrw
w^r arrar^r
didd^d ftT M^pid
tkt ft ^ftdl aftr
dftd^u) 3ftc^ld ^Tft3Tft dRd7
o
^FJ Mc^u|
o
aw^rar
cbc-Mdl ftt
37T
dl^dl, ail< di I < dl I dl ft fftdTelft dldl
ft Mcftd")
ft TFT t? !
3TeT Mc^l<J|
Pi>h<A
ft d^cd nft fftr ftratift^bhr aidftis’di
aidftl aild^debdiaft ft ebl<uI d^d fftdl FTT <^>l ft $ftl eb^ cbl<ul
o
aild^dcbdl
^rft wfr, arnwr, ^r,
eftaj ftfft
Mdld<u| ftr
5d°T)
wiiRd
27
^!
fttftftt 3ft cRtthr
KAdA ^dd Hftd<uI
1.5.17 Social determinants of health.
Age: WT2T
# 3TRT
<r'MIcjl 41 |HI■?! fl4 $T <1
ffcfT
aik kk kk 3m ^r
WL
gT|<H 1^1
T
cb<^ ^TeTT
Udch
<6<A dlft efFft 3TT ddld^T 3iW>l TFcTT
.^■F
3TcT: Mdid'iui 3ft ^t d«HM
WM
efFftTORtTOTO3RTOFt°f
TOR TOR
3ftT oTFT
eft t
5" efftT f^tf^H Ftcf
f^rftcT 3TTO
^K0! 5)«Hl< 3ttr JidddRF^f ^tTWdlddl <rdl<;i TFcfr f?
jM—
Water : foTTT TW^FT ^TT F<HM Jt
nr
15d-Tld
TFcfr
dd<5
srf^T dsJidi TFct Cldil 5" TOT ^T TOT 5)«HI< Ft^ aftl F^fr
TT3fr TOR^I
cb'(A t?
FdTF^T FHT ^t f^TUfftFT
^TeTT TJ^T <H<Sd cb<<t>
Education: fotH dddjd it WW 3? Slf^t f^tSTT
<$dI
dl^ellSft 3ftT TOT TOf it
FFft
15^ ^T q^’cRUI rfT ^F
ddld^T ^ft f^llftd
kwra^rr
Srt’STT dTO TOT if ddld^T TOf ^t
Sft?
^t <$<A die) pfftft ^T Fdld^I if PlTldC 5TsT| cdlcfl
dl^
aii<41
kkt k -■«
M. IWk
3Tlt^7 FTSHIddl ^tcfr
Environment: f^Tft
dc-^ ^31
7WT ^31
srarv k ^jtht sk fkr k 4knr 31k a^eW kk
aft ^HWfaT^^TF^T
Gander:
cb<H
=TFT^ f^M-Od W-TJ 3W
cRK 3m 'Hun Ik 41 ^-TTT?f k fkkrkcT mk k
^nkr i?
<Hci I t><H
=rH 3tpj k33?TWiia<d 1
jicksjt<l<ii yfci'dtw stjtht «ii<a <dicTl
^TcTT
3<r|4> ?l41< ?t <4 JI SI fcl <1
Mir| I k! sfloTl <f <41 ct-ifl
B’STWTT <H<=l<r|l<H f?T?J # 3^] 1^1
3ik
W?!
33J ft
34J|+I f^TWcfr
efFr
^T ^TFft FTW jflr
^7 feHT aftr dH^dj
FtcTT
Ft V^r
wfr to jtoFt
Terr hto jftr
<h 1 ft’Mi Q^piA $t fiiddi5 a-’Ui^i TFcft
cdl^d tft ^TeT^cT 3iId^^dljft
TO ^R RtRt TO TOR^T
3ttT eildI Jlddd^T
<det
3^ 4^T 3TeT 3ft f^Rft dddjd fiJS’fa ^T FdRTO TO
«H<sdl f^rtfrnrchi<cb
Health Fecilities:
fi<hc;H Wi?
cH'ldl'l ^>t ’FcIlF^T ^tT <H<si| F^T
f£lei<A ^Tefr FII’W
aft
qr
cb^cTl f? ol^l <<11^21 <df^WTT ^T 3Md®^r oT
F^TRI ^T ^TFt W^cT TFT 3TT TT^HT
28
eft 3FT
culture: WFRT 3ft PrtfifteT
<bR3->l # d^l’N
p3RT UMdl4 3Tpt
Rciioi attr d\-cbfci sfr £?, Tj|'d4> arr^iR m< <4 <41cid <41 cl
ft^raft 3ft aiMdidi ^t ^!
frfeT-
oTt ^■>'41 Tlfcl-
3ft Pr^fifteT 3^ ^!
^rar-wr afre M^dH anfe
1.5.18 Disease:
I^Efr rfr d<Hc;i3 #^tri d<Md4t 3ft^ar 3ft^ ^t ^naft eft e^r ^r 3afr T^efr
Hfcft 3ft araaft
>Hdai3
3^ ^t ^trt d^o-^fr
d4d T^ar
wfet
ddid 3T
f^difWIW^fr aft ciiJffd 3ftxH^cTi
aftaraar rhrt3ftarar3^^feN ddcjd 3ft
dif^u ^T 3^ <sTi«hr ^Pr
3T ar^feT aR3T^r 3? war fpf
3T3
f^erfst 3ft sidl4 Wdl dlPu f^RRt 3^T 4)<HR
arPT ^7 3T3 ^T dItsiIeTl3>1
1.5.18.1
I
ib
ddlai at3^333T^tf4dindT3Rfrarr dM^etl
3^ ’
3^ ^r wirt ^t
cb<<dl
1
clM f^foToT :
4d« «il <4 f^f^rar ct t4 «h i ft 31
aft $31
33RT 43-d< ddeb 3T3TH M^d<A
arrt^d
^>dcfl
337 Rrrar
^3e<
c^rft rtft 3T <h33sTI ^7
PPld #? 3idd<ld delft31 ,5l3ft3l,
ftlcbddPl3l, 3Hl^^
IwMMiS
1.5.18.2 31?33WPPlai :
3i^< 41 <4 f^rar -ft aaPimi3 ad 41 dift31 -ft
aft 3r-3mi<41 ^7 ^dd ^7 3>rui 3ar3eft
f43fr c3f3d 3T3rd^3ft
eft 33T edRd 3T
33 Mc^ftld FtdT
3ft 41P13I, 3e€T, 3TeT,
tan., 5i3ft3i, dftft3i ^3ft aw 41dift3l ffPt ^t Wr^wuddi 3afr T^?fr ^ar 41dift31 ^t
3137333 ^7 Prv
3lf^Q ^t dd3 dd3 33 3iafT^t 3dO.dl ^t affar 3Rp 3? 3^3?3ft ^7333
333'3333W33 War<<sldl dlf^U !
1.5.18.3
infold :
^fr rfr Ftcfr I?
'dMeb
3il<A
f^fr
c|£ 'K4IRT c-ilfcj"cl
c^Rxi ^ki f^fr ax^r tMT cqf^d
41<HI'Tl
5■(Tl
3icfr Krfr <sFi<hiR41 ^ft
f^f^r
^T- XpET 3TT^ 3V , ^<1, )<floi , £T.^T. ^c’MIcTl
29
<yiIdI
arrcTi
!
eft $^1 M^R ^Ft
ftfoToT :
1.5.18.4
4) 'HI ft ’MI
d<6
4i<Hin
oft 4>c|ei 3<Tl ci| fq^i
£1cT)
czri^d
FtriT
cb^-’Mpli'sld
oft cilftfcl 3^T
SJlilfcId Cb<cfl
# an^r
?Wr
^t
4)^1 <r| id I f?!
^T-
3ik eft
, Sl£sl<£)d , ^itSTc^F, Ml$ed ^r^lc^l
I
1.5.19 Communication and health
wH
Communication T^fTI aft cqj^d ^7 ofldd ^T
3lM«A cFM1 ^tY U’t, Mftc||<, FHcHIoi RT Fldc^l’M 3tft oPId
cfc (^ct|<|
^RTeT d’H^ui
^YcTT
RT RTR ch^d|
zjt M^Rdl
slid
f^FFil FtcTT f? ^1? RCFRRT FRshui
3TR 4?!^ G^lfcfd RT Fldf? f^Rft
<R|Rri
PlR 3RY aY R^ Rl^dl
FRR-R df^RafT <tY rff 3TRTR MlRI d I d I t? Fl I «H I fol R RPYRcfr
SYMTcFT
di arra^RR $■ atYr rt^Y fwtoT r TYRTRicrraYf
“k,ch
Fi«Hj? ^Y ^Y^ FP^RI
dY3R ^FRT cRf^FT RT FPR? 3R RfRY cRf^d RT RR^
3FTl SPY ?Y d’H^t Mdl f? ftrlFi 3RY
R'NRdi rt
FTP! ‘FH Mdl
McbR
FRcRf RT
FR^PT RT
rftk1 RR RRTcfY Fl <hsl u |
^Yr zY arr^fY ^cRnyt ^iftlRi
FTRRPT RT 3PT FTR1? # RRTeT FF^PT RT 3TT§TTR gW
RFPT R^ FRIFR Rf^RftY
FFRRR ^T RclKi ^Y oll<A RT ^!Y dd Fi<HRIR Rt RY MPd d^Y ?Y RTcfY
FF^PT Rt ^FT f^Fd
d<6 ^Y cpffcbd R't FIrA
i>
o
<»
V^eT ’HMhui Jtft <11^^
1.5.19 Occupation health:
^Kd 3=T
cilld’dlftjcb chl^ (? EJldcPl doiei
^rr c^f^d ^T
T^M'Tid
cilol «Haic^lc| ^|fj|chl
<Ho1^D Tt 3ft
Fl l«H I fol ch Sttr cq
d | ri dcbdl'F*!
3R3tk3RR WM^!
3^Rnfr ^TT <HaicJ<l
3TT
TSth-A
cMdl
R?T f? foRT^T d<ri£
36MI MSdl f? 4-4) ^T 3R dldl
^T^TFTT^T JoT-erfJpFtFTT^Tufe?
30
3^ ^ftdlftcfr
RRT oflfcjcbl ^T 3JPT
3ftf^RTFnFTT
Sfl’i f^crcri f^|(txtI
’dl^4lf^lcb
Jt ’(“dIU, crtI'd^&TT
^TT
'H'^.^TT, Jilfsjcb ’d^l^ldl
^TR^T Sttr 'df^^TTSTt ^>T ’KH 3iddI 3Hod<*I $ldl f?
JT^" chK^ldl ^TT3^1
^IeT^R^TT34k^rf^TT^cTqi^!
dl’H^lPJcb 'HIKT ’R
feT7 3M
<hR^I ol4)6i (c^adid ^kT)
i
qani ^RR #
xTRF sHIIdl # 3RT 3R^T
BRT 3Tt7W
RMT ^Ul^T k
f^IT ald^
3d^J^Rr Rf^RT^
foldcbl 3rf^Rr $ifJ:l4>l ^t
n^nPi^i 3^
3RT T^RT
^fri
3tk 3110171 ^TR (a^<HlH Wt) ^7
c\cti<i afr RtR
si<rii<r) Rik ^(Jlcbi
RRT 3i^IR ^kr f^RTT f? ToIrt)
^FfT doic^l ^T
R3RRT
3fT ?lI’Tlkcb 3ik 3Tlf^ Rraifeh^t
3R Sfcfr
RH’
Ip’ wl
3Tt^IR
3dddI 3fRR <Io^'l 7t
qaKI R<H$1 ’THT
3lf*l«hl ^o-^T ^T R-dkT
W?4
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r
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ijV<Ji
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i
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31
■
1.6 Organization and institution exposure visits
1.6.1
cqj^d^ ^7 <i«H6 37T ARcL^el
■^T ^HT^JT v^7 <4<HI<r|
d$l AddR
3ftvTifBd dW^TTar^fr Aciiu u^rtcMdi
cbcld 3‘-Mid ^T dfTl fcb’i-i olldl f? «! k^b do-^ 3d I c41 <Tl
idd <3dleiR
m TTlA’ ^7
crtt
$^4)1 $elM WTcF
dl'Hl'Cl
3W^^n7
Al^d 3TT3T
jftr <ldfl
4)^ d<6
rtm^d c^f^d^
d fA £-11U SfT M (Aid ^T oilcTl ^! d^l RT
<H 'll od Til A f?! T^T TlMoil H<l $ell<rl cb<| ^R^T
oifl 3i I c)
TFlA"
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# >H<H^ HW 2JT
W
TF^T <I«H^ ’K
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sfr^nfT
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dMdl Stt? <1<H$dl<dl ^cT
cqRd rfr Refer TTFT C^A’
qt f^Rst afrr
<41^1^
M d I du 11 dblA) H cpcTl
'dA$ c\|cr|
chi ^5 jftr $ d I ol ^71
3TT
d’Tl^l 3ft sldldl RRT <rfr d-Tloi ^7 ToK1 yfcl^d $ldl 1? d<r^lA ‘Mdl'MI ^T TT^fT d'Tld'l 37T M$e)
Mofldd ^FHT
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dfloi RFT RT ^7^ fijdf ^7
ddRld cqdd^T ^T TflAt
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RC 3^ WR f^RTT 3TTHT
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c\ \
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3^ ddld WR RT 3nfrft^7 jftr dldRlcb
HReT ddlA A?
Sttl TlcdfA^dTH
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feRT d’^ft TlPldl^ cbl^sbd f^T TTlA’
dd>l’MI TUBT
■H'Tld'l cfTT M5d ^7 dT^T dTR ST ^T 37T 3fT oiTd kbd oildl SlPldl^ ^Idl
3rftJ^7T?TcT V^d d'Tloi') 37t ST ^T
37T -dddl ^dT RcTT
, ^H-cR ddlcfl
! d^d ^7T dl^Hd f^AT
A’ c£dt cd Rd
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JilA -fT M^ddl
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Rld^A
rx
3tk RRt ^T
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cd Rd
df^7 dK dlddd RrJT TtAT cd Rd ^7 dT^T AtA 3=T
dldlo-d cd Rd rfr TRfT dd aTTcTT ??!
ddR
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$d 41 <hiri ^>T 3imA ?i■?!< 31 iA ^T rt Si $d4i Rk1 trSTr ddT 3TTt <io-d dd< dr dd
dddjd d7T oilddcb RtR 3TT RT
3ftd ^d sTldl'Tl
^7 Rd d^T dkR^Td- Rf ddR d#T
Rr^Turr^rt’
1.6.2 DOTS (Directly Observed Treatment Short Course) centre
aidadM< RdT £lRdcd ^7 RRc R dRRF dots centre R W ST4T dd $dloi dR^T ^RT 3Rr
A' dRT dki J3TF ^d dRld dK $T STd" A ST 4T ^7 ^rt A" ddldl
A
sTldl'Tl cfruficch <|<rd
A dHK di^r TRd dAT do-dl A o-didi Ft tAT^^STAt AT sTldiA TrftTRsTcT: wA ATarAw
32
a-’Mlc^l ^<sT) aJT <ftl ft 3a=fttft 4 d 141 ft ^T 4$ (ft
c?r sft 4tT ft^T ^TT 41 <H I ft
dlftdljft 3ft< RftfftRft
fftRft 2ft 3TRT it IftRft 2ft cq f^d 4ft Rift) 2ft Odl^l ftT <141 ft) ft 3TR 4ftft c^lR^d 3RTft 5lfR 44
RK 4)<Hlft aio-d ftft eRTF aTTcft ft
4ft ftt <i^dl6 ft
fttw R4H 2ftRRT dftt rt rrt ft ?ft tftft tffr
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4)dlft # RRSTTcT RRft ft? STlft ft ftftft ft 3T^ 472ft RRft
ftt RTHT ft eft 34T c^R^d 4ft €t ftt ftlft efr <R=2iT^dT ftlft eRT Rlftt ft
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f^T fW^T BKTm # c^TT
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3iM<^ -did Midi HT ^RT ^Id 'Rddl ^tcTT
<0<ld <5T oil<A a|d) ^RfT
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1.6.3 National tuberculosis institute, Bangalore
J
$<t ew ^Rdd’Me ft <ftr ftlRd ft? <ft)<i<i ft ft ftr
ft4d< ft fftft ftt ftiftk ft srt 4ft
d<MI !
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<41 d I ftt ft ft ftdlft 411344R cTld Rd< 47" Rt4T oildl ft 4$e) Rd< 4T c4fftd ft <r4141 Rift)
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six months
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42
Chaptar-2
1. Information of Bhopal!
2. Muskan Oraganization
43
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LfGEND
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Copynijrvi • ’ 201A www,ma[rac>findla.coni
iLerst Updcited cn Stn Juty
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BHOPAL
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Bhopal Memorial
Hospital and Research Centre *
O
Central
Jail
*Raja Bhoj Airport
Bhanpur
Dronachal
Nariyakheda
Arif Nag ar
Sal Baba
Residency
Bhopal Sulrania
Infantry
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T.B. Hospital
Idgah Hills
Kabirpura
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Old
Secretariat
Main Palaceq
Taj Mahal
Palace
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Ramsons
International
Sophia Masjid
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Gandhi Medical
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Tilkles
Talkies
Pul Pukhta" .
JnmaMa^ld
College
Khanu Gflon
Hantidia *
Railway Colony
Taxtila
Mill
klpana
All
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Or
inema
*
Jyoti,'
★
Taj ell Masjid •+
Archaeological q
Gr««n City
Chhola
Sadrir rvUinzil
^and Hotel
^jAlshbagh Stadium
Sultania
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Moti Masjid + Su,tani- Road/-^^;7
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Rani Kamlapati Palacel
Lake,
Jahangirabad .
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VidWan
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Bourson
SaUhu
Catholic Church
Polytechnic
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Hamldla
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Bhi
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oQfd Central Jail
Hospital
Upper Lake
Old Subhash Nagar
Govind pure
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Shnmla Hill
Shamla Hills
I
OZoo
Regional College
Archaeological Museum ®
Major Road
Ocher Road
— * Railway
Waterbody
★ Hotel
♦ Hospital
* Cinema
■♦- Religious Place
wr education
O : -’y Londinarl
+ Ai rport
Manav Sangrahalaya O
North
T.T. Nagar
o'1’
Regional
Science Centre ■' Rng
Mahal
Shastri Nag ar
J’
■*■ '>arrhak
Nagar
Stadium
©Vidhan Sabha
Q Birla Museum
®Satpura Bhawan
Malviya
Nagar
MP Nagar
Jal Prakash
DB City Mall©
Hospital 4_
* Red Cross Hospital
Shivaji
Nagar
South T.T. Nagar
\
*l«m HoarJND
Nutans Girls College
Sewa Sedan
q MPSRTC Office
IKuaNa s
Map not to Scale
Cifj
>Py«{pht
www.mapsofindia.com
(iipdatediijri <ttt^No.veHiber 2014)
Chitragupt
Nagar
Rachna
Nagar
Bidi
tndir
Mar
Raj Bhavan O
Char Imli
Bharat
Talkies
Gohar
Mahal
Motel Shir az'*'
& Restaurant
Maulana A/ad
* College of lechnrMogy
A. Basic Indicators of the Bhopal
S.
Indicator
Year
44
Bhopal
Kasturba
'Nagar
Source
IHabibganJ
A
HabibganJ
R9
No
1
Population
2011
23,68,145
Census of India
2
Male
2011
12,39,378
Census of India
3
Female
2011
11,28,767
Census of India
4
Growth Rate (%)
2011
28.46%
Census of India
5
Rural Population
2011
4,53,806
Census of India
6
Urban Population
201 1
19,14,339
Census of India
7
Child population (0-6 years)
2011
2.93,294
Census of India
2011
12.38%.
Census of India
hi
Ubfc
total
8
Child population
Population
9
Sex ratio (Females per 1000 males)
2011
911
Census of India
10
2010-11
912
Annual Health Survey
11
Sex Ratio at Birth, Total
.
Sex Ratio at Birth, Rural
2010-11
825
Annual Health Survey
12
Sex Ratio at Birth, Urban
R2010-11
934
Annual Health Survey
13
Child sex ratio (0-6 years; girls per 1000
2011|
boys)
916
Census of India
14
Percentage share of district population
2011
3.3
Census of India
15
Literacy Rate, Total
2011
82.26
Census of India
16
Literacy Rate, Male
2011
87.44
Census of India
17
Literacy Rate, Female
2011
76.57
Census of India
18
Gross Enrolment Ratio
2009- 10
113.4
DISE
19
Crude Birth Rate, Total
2010- 11
19.2
Annual Health Survey
20
Crude Birth Rate, Rural
2010-11
24.9
Annual Health Survey
21
Crude Birth Rate, Urban
2010-11
18.3
Annual Health Survey
22
Crude Death Rate, Total
2010-11
5.8
Annual Health Survey
23
Crude Death Rate, Rural
2010-11
7.6
Annual Health Survey
(0-6
years)
to
45
Sno,
j___
2 __
3 __
4 __
5 __
health facilities____________ _______ Bhopal____________
m.p.
Distric hospital____________ _______ 1 V4 (250 bed)
48
Civil hospital______________ _______ 2_________________
54
C.H.C.___________________ _______ 3_________________
278
P.H.C.___________________ _______ 10________________
1142
Sub health center__________
63________________
8834
Family welfare enter_______ _______ 6_________________
73
Urban health post__________ _______ 8_________________
80
Civil dispensary
92
18
Sorce: health services, satpura bhavan bhopal,2001 I
6 __
7 __
8
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Total population
500
Male
330
Boys :
120
Households
80
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270
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80
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4.0 RESEARCH STUDY
80
■
I
4.1 TITLE OF THE STUDY
UA study of psycho-social effect on adolescent children their parental
alcohol abuse in slum community in Bhopal in Madhya Pradesh”
Name of Mentor : Dr.AS Mohammad
....
Principal investigator: kamlesh sahu
OHbiMA
■mwi. 4
....
Address of Principal investigator: Fellow, Community Health learning programme
359, 1st Main, Koramangala 1st Block, Bangalore -560034; Phone:9946308710
B
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Site contact details (address/ phone no of place where research will take)
>
’X.
1.
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Address: Muskan organization in Bhopal,(Madhya Pradesh)
Telephone: 463010, +917552559949, Email: muskaan.office@gmail.com
4.2 BACKGROUND
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India is a fastest growing economy in the world and from last twenty years the number of
cities increased. The size, population of cities increased every year, Bhopal is a capital of
Madhya Pradesh and it has 375 slums (Registered) in and outside of city area. The condition
of slums in Bhopal is very bad there is not proper housing, water & sanitation facilities,
electricity etc. These living conditions affect the life of residents of the area and most of the
residents belongs from low income group. They are involved in various trades like domestic
house worker, car painter, mason, rag picker etc. Most of residents in Goutam Nagar belongs
rag-picking occupation. Their adolescent children aged between 9-19 years, boys and girls
are going for rag picking and some stay in home and work there. Their parents consume
alcohol regularly inside and outside home and after that they fight with others and in the
family also. This problem affects adolescent’s psychosocial condition and it affect them
emotionally and physically. The parents are not aware about their responsibilities towards
family and community.
4.3 INTRODUCTION
Definitions:
Adolescent:
81
• The World Health Organization (WHO) defines adolescents as those people between
10 and 19 years of age. Adolescence is often divided into early (10-13 years), middle
(14-16 years) and late (17-19years) adolescence [1]
• Other overlapping terms used in this report are youth (defined by the United Nations as
15-24 years) and young people (10-24 years), a term used by WHO and others to
combine adolescents and Of course, a 10-year-old is very different from a 19-yearold.[l]
•
Psycho-social: Psycho-social health involving both psychological and social aspects
of one's life, and relating the social conditions to mental and emotional health.[2]
Alcoholic:
• Alcoholics are obsessed with alcohol and cannot control how much they consume,
even if it is causing serious problems at home, work, and financially.[3]- ,
Alcohol abuse
1
J
Alcohol abuse generally refers to people who do not display the characteristics of alcoholism,
but still have a problem with it - they are not as dependent on alcohol as an alcoholic is; they
have not yet completely lost their control over its consumption.[3]
4.4 REVIEW OF LITERATURE:
•
•
•
•
The study was conducted on 3,220 adults in Sehore district, using the Alcohol Use
Disorders Identification Test 2.8% of adults with Alcohol Use Disorder (AUD)
sought treatment for problems with drinking,23.9% people with AUD spoke about
drinking to their spouse/partner or a friend.4
Substance and alcohol abuse can have deleterious effects not only on the individual
user but on immediate family members as well, especially children.
Alcohol abuse is significantly associated with suicide and violence.
. .... Alcohol is the
most significant health concern communities because of very high rates of alcohol
dependence and abuse; up to 80 percent of suicides and 60 percent of violent acts are
a result of alcohol abuse in Native American communities.[5]
Another research conducted on Sambalpur Slum area, Odisha. They surveyed 502
adolescent (297 male and 205 female) 218 (43.4%) admitted to substance abuse with
overall males abusing more 147 (49.5%) than females 71 (34.6%). In the age
between 16-19 highest numbers are found of substance abuse. In this research they
found that 14.7 % are taking alcohol.[6]
4.5 AIM OF THE STUDY:
‘To identity the psycho-social effects on adolescence due to parental alcohol abuse”
82
Objectives:
• To understand psychological impact on adolescent behavior due to parental alcohol
abuse.
• To understand social impact on adolescent behavior due to parental alcohol abuse.
• To identify the coping mechanism of adolescent due to parental alcohol abuse.
Variables:
Independent variable: parental alcohol abuse!
hW
Dependent variable: Emotional and psychosocial behavior of adolescent
1
4.6 METHODOLOGY:
T
I have used the Qualitative method and Quantity method in a study of “A study of psycho
social effect on adolescent children their parental alcohol abuse in slum community in Bhopal
in Madhya Pradesh”
4.6.1 Study Design:
Cross sectional research design, by adopting in-depth interview technique using in-depth
interview guide. And I have also used the strength and difficulties questionnaire to study the
psychosocial effect due t^parental alcohol abuse. The strength and difficulties questionnaire
consists of 25 items comprise 5 scales of 5 items. It is
4.6.2 Study Area:
Gautam Nagar slum community in Bhopal, Madhya Pradesh in India
4.6.3 Sample selection and size:
Sample size for assessment the 29 adolescents boys and girls.were randomly selected aged
10-19 years.
83
Who were willing to be a respondent was included in the study.
The sample selection for in-depth interview is based on the purposive sampling-10 adolescent
children of Goutam Nagar slum community but could collect only 6 adolescent children in
this study. Because I went many adolescent children in my study and during this study I had
some challenges like the festival. And other challenges like of my health.
4.6.4 Data Collection Technique and tool
I did In-depth interview and survey for research study. I collected 6 adolescent children for
iH'depth Interview Guideline and used the “scoring the strengths & difficulties questionnaire”
given by National institute of mantel health neuron sciences for Age 4-17 year
(NIMHANS). They have used in a research study “Assessment of self-reported Emotional
and Behavioral difficulties Among Pre-University College Student in Bangalore,
India”[7] in 2011. I had done 29 adolescent responder surveys on Emotional problem scale,
conduct problem scale, hyperactive problem scale, peer problem scale and pro-social scale.
Tool for Qualitative
I have developed standard for qualitative during taking interview I did recording of the full
interview of each responder adolescent boys and girls and asked for acceptation. After
acceptance only, I started interview with field notes and audio recording on cell phone.
r
Tool for quantitative:
Strengths and Difficulties Questionnaire (SDQ)[7]
The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening
questionnaire about 4-19 year olds. It exists in several versions to meet the needs of
researchers, clinicians and educationalists. Each version includes between one and three of
the following components:[7]
1. Emotional symptoms (5 items)
2. Conduct problems (5 items)
3. Hyperactively (5 items)
4. Peer relationship problems (5 items)
84
5. Pro-social behavior (5 items)
The strength and difficulties questionnaire consists of 25 items comprise 5 scales of 5 items.
It is usually easiest to score all 5 scales. ‘Somewhat true’ is always scored as 1, but the
scoring of ‘Not True’ and ‘Certainly True’ varies with the item, as shown below scale by
scale. For each of the 5 scales the score can range from 0 to 10 if all items were completed.
These scores can be scaled up pro-rata if at least 3 items were completed, e.g. a score of 4
based on 3 completed items can be scaled up to a score of 7 (6.67 rounded up) for 5 items.
This Strengths and Difficulties Questionnaire (SDQ) was developed in the year 1997 by
“Robert goodman” from London, united kingdom. They have used 2001 the Reliability
was 62.
1
Last time this S&DQ are essentially used by National institute of mantel health neuron
sciences and some their partner institute of Karnataka and Tamil Nadu Stats in India, their
research study was “Assessment of Self-Reported Emotional and Behavioral Difficulties
Among Pre-University College Student in Bangalore, India”
4.6.5 Data analysis:
The data was collected through in-depth interviews and was manually analyzed using the
principles of the data collection software and excel software. Santander questionnaire had
used to know about the psychosocial problems to Alcohol affect-
4.6.6 Ethical Consideration
Risks and Benefits:-
a.
What are the potential risks to the respondents? Consider social and emotional risks as
well as more obvious physical risks.
No risks are anticipated for the participants, but sometime emotional and parental risk
come forward
b.
What are the compensations for unexpected risks?
No unexpected risks are foreseen
85
c.
What are the potential benefits to the respondents?
This study doesn’t have any immediate benefits for the respondent; however, the
study will help identify various psychosocial issues in the slum. The field placement
organization will be implementing new programme for the adolescents to improve their
lifestyle
4.6.7 Consent:-
a.
How will consent be obtained from respondents? Will there be a written explanation
of the study? How will risks and benefits be explained? „
J
“
Qral or wr’Hen informed consent (Annexure 1) will be obtained after explaining the
’nt£nt’on
t^ie study and providing a participant information sheet (Annexure 3) in local
language.
b.
How will it be made clear that respondents are under no compulsion to participate and
may withdraw at any time without jeopardizing any service delivery or their relationship with
the researcher?
If there is any risk identified during the study it will be addressed. Every respondent
will be free to withdraw anytime during the study and this right will be informed to each and
every respondent. On the withdrawal, any personal data collected during the study will be
erased to protect the confidentiality
c.
What data will be collected on those who refuse consent?
None
4.6.8 Confidentiality:-
Confidentiality is a right of every respondent and it will be protected during the study and
after the study, all data will be encrypted as anonymous at the researcher level and codes will
be used to identify the different respondents. Identity will not be disclosed to anyone
including research supervisor and organization.
4.6.9 Dissemination:-
I. The research finding will be translated and shared with the respondent, other respondent
and my field placement organization (muskan org) Bhopal.
2. The findings will help be further dissemination and circulated to SOCHARA ,Bangalore in
India.
86
4.1 RESEARCH FINDINGS
The age of the children who were interviewed in Gautam Nagar is 10 to 19 years of age.
They have mental and social issues. The study done in relation to this is through the use of
“Scoring the Strengths & Difficulties Questionnaire” and in-depth interview. I have
understood the psychosocial effect on the children through “Scoring the Strengths &
Difficulties Questionnaire” and In-depth interview. The survey has been conducted on 29
adolescent children (15 boys and 14 girls) and in depth interview has been conducted on 6
J
children (3 boys and 3 girls).
■'j
4.7.1 Findings to the in-depth interview
bM...
During the In-depth interview, I understood that almost all boys and girls were suffering due
their parents taking alcohol. These children used some coping mechanism for self. They had
psychological and social problems.
4.7.1.1 Alcohol consumption:
Parents of many children consume alcohol in excess; they drink at home or within the
settlement. Some mothers drink on occasion of festivals. Some parents drink in the morning
before leaving for work and in the evening they come back after drinking. They drink
whenever they want. A boy told that he also felt like drinking and another boy said he seldom
drinks.
“Ve to kabhi bhi sharab pee lete hai, jab unke paas pese hote hai’
“mere mammy or papa dono hi sharab ko peete hai, kbhi kbhi to ve jyada hi pee lete hai ” J
■
•
■
.
.
.
.
■
•
■■
■
4.7.1.2 Effect to alcohol:
Parents: Because of drinking they become weak and also get ill. After consuming alcohol
they fight and often get beating from family members. Due to excess use of alcohol they
become useless and often lie down in the filth.
87
“Mere papa daru ki kar kam nhi kar pate hia or so jate hai, unka sara kam mujhe hi karna
padhta hai”
Family: Their family gets affected due to alcoholism, a boy told that as many parents fights
after drinking, small issue becomes big and some time they don’t even get food at home.
They also have less money because they spent most of their money on alcohol, they spend
around 50-60 rupees in a day, when they don’t have money they borrow. Money lenders ask
for their money back and fights when they don’t get it back.
“kbhi kbhi papa paise nhi late or khoob daru pee kar ate hai”
w
Community: Half of children said that their families often indulge in quarrel with neighbors
and other community people due to alcohol consumption; their parents get beaten and often
get blame for theft.
............ —
“mammy jab daru pee kar kisi ko bhala bura bolti hai to ve log hamse bhi ladayi karne a jate
hai”
■
■
■
■
■
:
3
“kbhi kabhi papa ki vajha se ghar par ladhne bhi a jate ahi”
—_ ___
_
I
4.7.2 Consequences:j
Psychological
> Physical violence
> Headache|d|
> feeling Stress
> Fear
> Disappointed
crying
Uncomfortable
Tension
Disturbed Sleep
Worried
> Emotional
> Want to run away from
home
>
>
>
>
>
Social
> Compelled to do household work
> Food is not available to eat
> They too drink (imitation)
> Less/no care & affection
Coping mechanism
> Go out from home
> Go to other family members
> Ignorance
66
'
e..:-
4.7.2.1 Psychological effect on adolescent children:
Physical violence
t
Jfk
<
Almost in every house, children are being physically abused and because of that they suffer
with musculoskeletal problems, their parents often use stick, and house hold things to beat
them. One boy said his parents have beaten him so badly that he had started bleeding. Their
parents also beat each other.
“Mere papa mujhe bhi marte hai or
saman ki mar dete hai ‘
mami se paise mangate hai vo to hath paav kisi bhi
“Mummy ne muhe ek din chammach ki mari thi to mere khoon a giya,fir me ghar se nanai ke
paas chala gaya
Headache
Many children get headache due to alcohol fume, their parents shout and use abusive
language which also cause headache.
“Mera jab sir dard hota hai to me to mathe par kapda band kar so jati hu unki sharab ki
badhboo se mera matha dukta hai”
Feeling stress
Many children feel stress, some children can’t understand the feeling of stress and remain
annoyed and often release their anger on younger ones.
89
I
“Papa mammy ki vajaha se aaj kal mai chid-chidi ho gayi hu or har kisi se kuch bhi bone lag
jati hu bina vajaha se”
Sleep disturbance
Maximum children have sleeplessness, some girls said their parents often quarrel and shout
uselessly.
,__________ ?____________________________________________________ ______________
“Papa rat ko jyada pee lete hai, or annd-sannd tej tej bolte hai or gane gate hai to me to rat
!
bhar so bhi nhi pati hu”
T
Fear
■
All children afraid of their father more than mother, girls face this problem more than boys.
_____________________
"Me to mar khatti rahti hu
ab mai kyakaru, mujhe to bahut dr lagta hai papa se.
•___
J
Disappointmen
All children have some or the other kind of disappointment which also affect their thinking
ability, they feel disappointment even while being home.
“Bhaiya mujhe kuch bhi accha nahi lagta hai to mai choto ko bhi mar deta hu gusse me”.
Crying
Most of the children feel like crying because of beating and scolding they get at home.
“Sharab peekar ve mujhe jabarjasi hi marte hai to me roti rahti hu par ve chup bhi nhi karte;
Uncomfortable
90
More than half children do not want to live with their parents, they said their parents trouble
them too much after drinking alcohol.
“Jab mummy daru pee leti hai to ganda ganda bolti hai, mujhe ghar me accha nahi lagta hai”
Tension
Most of the children said they are worried about their parents because they consume alcohol
during day also and they are afraid of accident of their parents, they are worried if any quarrel
became big. One Girl said she is afraid that his father might kill her mother because he beats
her with extreme anger.
“Tension bani rahti hai, kab tak mai yah sab jhelti rahungi” “jab papa mummy ko marte hai to
tension bani rahti hai ki jyada kamti na ho jaye”
------------------ >
4.7.3 Social effect on adolescent children
Comments by Community
People comments on children about their parental deeds, girls get affected more than boys.
“ha na bhaiya, log bolte hai na
kyun vo daru peete hai?”
.mujhe to bura lagta hai.... gussa a jata he ki unse hi kaho
________________________________________________
Compelled to do household work
wwF
v
All parents give too much work to their children. Girls said that they are not able to go to
school because of too much work and they have to do complete work without any help.
wxwewwcw:
WWWIWI
“mujhe ghar ka sabhi kaam karti rahti hu nahi to mammi marti hai or kahti hai ghoomti
rahegi din bhar”
No food
Sometime children don’t get food in the family and because of this fight do not eat properly
and children sleep crying.
91
kbhi kbhi to niami daru pi leti hai or khana bhi nahi banati”
“Me to ladayi ke kaaran kabhi roti bhi nahi khati
Less/no care and affection
All children said their parents don’t care about them when they cry, fall ill or go away.
“mere papa-mamai ko koi bhi parvah nahi hoti chahe muhje kuch bhi ho jaye’
—-————-
1
They too drink (imitation)
*
Because their parents drink at home, some children feel like drinking, one boy seldom drinks,
one boy said he had drunk once.
‘ek bar mene dosto ke sath peeche baitha kar pee thi “
------- ;_____________
_______
4.8 Coping mechanism
Go out from home
Most of the children wantjo go out when their parents quarrel after drinking alcohol, some
children go out and sleep anywhere. Some girls also want to run away but they are afraid.
“vo jyada karte hai to ghar se nikal jata hu or ek bar to me rat bhar thele par sota raha’
________________________ __________ ______ 1__________________ ______________________ £_______________
Go to other family member
When father or mother comes home drunk, only few children go to other family members for
safety. They do discuss it with them.
92
“Bhaiya vo jab marte hai na, to me apni nani ke pas chali jati hu"
Ignore the situation
Some children said “when my father is beating me then I have ignore the situation”.
___
“Me dhyan nahi deti apna kam karti rahti hu’
___________
'I
.. 1
4.8 Findings in SurveyDemographics Details:
Gender wise table in Goutam Nagar slum in Bhopal
Gender
Percent
Frequency
Adolescent Girls
14
48.30%
Adolescent boys
15
51.70%
Total
|29j
100.00%
Tabled
This table give details about participants during the use of standardize scale. The survey had
48.3% girls and 51.7% boys.(Table.l)
M
/
4
Age GroupWise Table in Goutam Nagar slum in Bhopal:
Adolescent Age group
Early adolescents
middle adolescents
late adolescents
Frequency
Total
93
Percent
5
17.24%
15
51.73%
9
31.03%
29
100%
Table.2
Age group distribution of the respondents is as ffollows”
early adolescent is 17.24%, late
adolescents, 31.03 % and middle adolescent --------51.73%. Most respondents are middle
adolescents. (Table.2)
Psychological status of respondents in various domains in Goutam Nagar slum in Bhopal
_______________
______________ ------- --EmotionalI Conduct
IHyperactivity Peer
Problem
Problem
Probtem
Pro-social
10(34.1)
22(72.4)
7(24.10)
14(51.7)f„
4(13.8)
6(20.7)
4(17.2)
1(3.40)
8(24,1)~
3(10.3)
13(44.8)_______ 3(10.3)
21(72.4)
7(34.1)
22(75.2)
-------- ---------29___________ 29
29
29
29
------------- TTable.3
Status / domains
Abnormal
Border line
Normal
Total
According to table shown above, most of the respondents in abnormal status have conduct
problem and peer problem. They have conduct problem 72.4 % and peer problem 51.7 %. In
emotional problem 34.1%^ hyperactivity 24.10% and pro-social 13.8 % lot of childreni are
^X-K*-***-^Itrnwowciitiitiofot.
*
-
*
vhhhi
D ,
T
JHHR
Border line status shows that children have emotional problem 20 %, conduct problem
17.2%, hyperactivity 3.40%, peer problem 24.1% and are pro-social 10.3%.
.
___ J
Normal line status shows children have emotional problem 44.8 %, conduct problem 10.3%,
hyperactivity 72.4%, peer problem 34.1 % and are pro-social 75.2%.
To conclude, the respondents mostly have conduct problem and are the least hyperactive.
(table.3)
Age group and psychological status of adolescent respondents in gout am nagar slum in Bhopal.
Emotional
Problem
Score
Abnormal
Early
Middle
Adolescence Adolescence
3(10.3%
4(13.8%)
94
Late
Adolescence
Grand Total
3(10.3%
10(34.5%
Border Line
Normal
Grand Total
2(6.9%
0(0.0%
5(17.2%)
1 (3.4%)
10(34.5%)
—15(51.7%)
3(10.3%
3(10.3%
9(31.0%)
6(20.7%
•3(44.8%
29
conduct
problem
score
Abnormal
Border Line
Normal
Grand Total
Early
Adolescence
Middle
Adolescence
Late
Adolescence
Grand Total
5(17.2%
0.0%
0.0%
5(17.2%)
12(41.4%)
1(3.4%)
Igg2(6.9%)
15(51.7%)“
5(17.2%
3(10.3%
1(3.4%
9(31.0%)
22(75.9%
4(13.8%
3(10.3%
Hyperactive
problem
Score
Abnormal
Border Line
Normal
Grand Total
Early
Adolescence
Middle
Adolescence
Late
Adolescence
Grand Total
0.0%
0.0%
5(17.2%
5
5(17.2%
0.0%
10(34.5%
15"
2(6.9%
1 (3.4%
6(20.7%
9
7(24.1%
1 (3.4%
21(72.4%
29
Peer
Problem
score
Abnormal
Border Line
Normal
Grand Total
Early
Adolescence
Middle
Adolescence
Late
Adolescence
Grand Total
3(10.3%
1 (3.4%
1 (3.4%
5
4(13.8%
6(20.7%|
5(17.2%
___
7(24.1%
1 (3.4%
1 (3.4%
9
ir. w
29“
_________
________________
14(48.3%
8(27.6%
7(24.1%
29
Pro-social
Early
Middle
Late
Grand Total!
Score
Adolescence Adolescence Adolescence _____________ _
Abnormal
0.0%
2(6.9%
2(6.9%
4(13.8
Border Line _____
1 (3.4%
1 (3.4%
1(3.4%
3(3.3%
Normal
4(13.8%
12(41.4%
6(20.7%
22(75.9%
29~
Grand Total
5
9
Table.4
:zz
This table shows the particular status of psychological domains with respondent’s age groups.
In this table, as mentioned earlier, hyperactivity, peer problems, and pro-social domains are
less compared to conduct problem score. In conduct domain, the middle age group has
abnormal statues 41.4%, border line has 3.4%, and normal has 6.9%. In conduct domain
95
again, middle adolescent group is 51.7% out of the 29 respondents, early adolescent group is
31.0% and late adolescent is 17.2%.
Children in late adolescence have more Peer problems and the table shows percentages asearly adolescent is 10.3%, middle adolescent 13.7% and last adolescent is 24%. (table.4)
Gender and psychological domains discrimination of the responders in Goutam nagar, Bhopal
Emotional
problem
Abnormal
Border Line
Normal
Grand Total
Girls
_____
4 _______ 6_
3
7
6
14
15
Conduct
problem
Abnormal
Border Line
Normal
Grand
___
; Total
___
Girls
_____________
Hyperactive
problem
Abnormal
Border Line
Normal
Grand Total
I
Pro-social
problem
Abnormal
Border Line
Boys
__
Girls
Boys
77'_
_„14
_____
Girls
Girls
7
13.8%
10.3%
24.1%
48.3%
girls
12
2
22
IT
3
29
r
Grand
Total
7
^2T
o
n?
Grand
Total
14
""ISF
291
7
7
Grand
Total
24.1%
10.3%
13.8%
48.3%
girls
4
3
96
0.0%
3.4%
44.8%
48-3%
girls
7
5
3
2
2
34.5%
6.9%
6.9%
48.3%~
girls
7
“T
I o■
Boys
2
13
29
Grand
Boys
4
14
girls
10
“T
15
7
|
______
Grand
Total
Total
______
10
2
2
14
_____
1
Peer problem
Abnormal
Border Line
Normal
Grand Total
Boys
6.9%
3.4%
_______
male
Grand
Total
20.7%
34.5%
10.3%
20.7%
20.7%
44.8%
51.7%
100.0%
male
Grand
Total
41.4%
75.9%
6.9% '
13.8%
3.4% ___ 10.3%
51-7%
male
24.1%
0.0%
27.6%
51.7%;
100-0%
Grand
Total
24.1%
3.4%
72.4%
100.0%
male
Grand
Total
24.1%
48.3%
17.2%
27.6%
10.3%
24.1%
51.7% |
male
1Q7o%~
Grand
Total
6.9%
13.8%
6.9%
10.3%
Normal
22
11
37.9%
37.9%
75.9%
This table is showing is how many girls or boys have abnormal status, border line status,
normal status and base on the Emotional problem, conduct problem hyperactive problem peer
problem and whether are pro-social .
In Emotional problem domain 13.8% girls and 20.7% boys have the abnormal status, 10.3%
girls and 10.3% boys have border line status and 24% girls and 20% boys have normal status
out of 29 responders.
In conduct problem domain 34.5% girls and 42.4% boys have abnormal status, 10% girls and
10% boys have border line status and 6.9% girls, boys 3.4% have normal status out of
29adolescent.
In hyperactive problem domain, 0.0% girls and 24.1% boys have abnormal status and 3.4%
girls, 0.0% boys have border line status and 44.8% girls, 27.6% boys have normal status out
W
‘F
of 29adolescent.
In peer problem domain, 24.1% girls and 24.1% boys have abnormal status, 10.7% girls,
17.1% boys have border line status and 13.8% girls, 10.3% boys have normal status out of
29adolescent.
In prosocial domain 5.9 % of girls and 5.9% boys have abnormal status, 3.4% girls and 5.9%
boys have border line status, 37.9% girls and 37.9% boys have normal status out of
29adolescent.(table.5)
4.9 DISCUSSION
Most of the slum people are rag pickers and earn up to 200 rupees in a day. They are
uneducated and ignorant. They are children are also uneducated and working with them.
They also do lot of house hold work. These children are getting psychological and social
problems. During in-depth interview I found that the parents drink in excess and at any time.
They spent portion of their income on alcohol and fight with family and neighbors
The
sample size has almost 48% girls and 52% boys. Most of the children are in the middle
adolescent age. The survey shows children have more abnormality in various domains.
Conduct problem and peer problem are special areas. Children are normal in pro-social and
hyperactive domain. Almost 34% children have emotional problems.
In-depth interviews we found that fear, disappointment, crying, tension, stress, and worry
affects then a lot. During the analysis I saw less than half children have emotional problems.
During in-depth interview children also mentioned that they indulge in physical violence like
beating younger ones and getting angry almost three -fourth of the children have conduct
97
problems in the analysis. Hyperactivity is found in very less children. Peer problem is found
in almost fifty present of the children.
Similarly it was found that almost 3/4lh children are pro-social. During the in-depth interview
I found that same children have social problems like being teased by the community, house
hold workload, absence of food , love and affection. According to the analysis very few
children have emotional problems and they cry, share with others when disappointed. Middle
adolescent children have maximum conduct (41.4%) problem. Again very few children are
hyp^active .but in middle adolescent almost (33%) are hyperactive. Almost children of all
age group have peer problems. Children in late adolescent have more peer piproblems
' niiiiiu-ijn.-
*
The analyses showed that both boys and girls have psychological issues in adolescent age. It
is seen that boys are more hyperactive then girls. Both boys and girls have conduct problem,
similarly both girls and boys have peer problems also. Anyhow both boys and girls are pro
social. Bringing together, the in-depth interview and the survey shows that, there are psycho
social effects on children of parents with alcohol abuse in Goutam nagar community. One
child has tried alcohol also in past.
is
if
All most adolescent Children have different kind of coping mechanism to deal with parents
under alcohol abuse. Some girls go to other family members to avoid parent under alcohol
abuse. They share their problem with them and try finding solution. Some boys go to out of
home when there is a drunken parent in the house they are out during the night and are unsafe
of them have no choice but to ignore the situation in the home. Children recommend that
their parents should not drink and government should provide counseling to the parents.
There is no counselor or elder in the community to help these children. Children do not have
any religious connection also. Government should support these children by providing care
and counseling.
’
JHi
4.10 CONCLUSION:
This research study is done to understand the psycho-social effect on adolescent children due
to parental alcohol abuse. Most of the children have Conduct and Peer Problems. They
children fight with their brother and sister. Maximum number of respondents is from middle
adolescent age group. Children face fear, disappointment and sadness when their parents get
drunk. They have some Emotional issues but more boys were found to get Hyperactive. Both
boys and girls were found to have conduct and peer problems. There may be other factors for
this psycho-social status of Adolescent children but I have focused on parental alcohol abuse
and done the study. Most the time children are unable to do anything when their parents are
98
drunk so they have emotional issues like, fear, stress and tension. Some time they touch to the
other family members or neighbors.
4.11 RECOMMENDATION:
During this research study I have found it’s happening the psycho-social effect on the
adolescent children due to alcohol abuse by their parents in Goutam nagar community. They
have no Idea for go out this alcoholic situation of the home. But some children are using
coping but not much effective. Someone and two organizations is working there on health
and Education. They should be take this issue of adolescent children and do some action in
slum communities of Bhopal.after this research study I have**«b 't1*-11
I
JI
4.12 References:
[IJAdolescent health [intemetj.[place unknown]:world health organization;[2016 Jan 17]
available form:
http://www.wold health orgnisasion .php
[2] Medical dictionary. Psychosocial [internet].dictionary;[2016jan!7]. Available from:
r
http://medical-dictionary.thefreedictionary.com/psychosocial
[3] Nordqvist Christian. MNT since blog.what is an alcoholic? How to treat alcoholism;
2003 [2015 September] Available form:
http://www.medicalnewstoday.com/arto tides/157163.php
[4] Santoshi N. Hindustan times. One in four men counsumer alcohol in rural m.p. study
[internet]. 2016 January 06 Available form:
http://www.hindustantimes.com/bhopal/one-in-four-men-consumes-alcohol-in-rural-mpstudy/story-aSpCmkuRCIFzs5XY0EeAgJ.html
[5] Jiwa, A.; Kelly, L.; Pierre-Hansen, N. Healing the community to heal the individual:
literature review of aboriginal community-based alcohol and substance abuse programs. Can
Fam Physician [2008jan] Available form:
http://www.ncbi.nlm.nih.gov/pubmed/18625824
99
[6]Sarangilisa, acharya p himanshu, panigrahi p om .Indian jamal of community
medicine.Indian j community;2008oct[2016jan5]availableform:form:
[7] bhola P,sathyanarayanam V,rekha P,Danil S,Thomas T.Original article.
Assessment of Self-Reported Emotional and Behavioral Difficulties Among Pre-University
College
Student
in
Bangalore,
India”
St.jhon’s
research
institute,
Bengalore;[2016may]available from:
http://www.ijcm.org.in on Friday, may 06, 2016, ip: 106.51.235.111
100
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I
Annexure-3
Certificate of Consent
"‘A study of psycho-social effect on adolescent children their parental alcohol abuse in slum
community in Bhopal in Madhya Pradesh”
<
1
Name of the researcher: kamlesh Sahu
Name of the Institution: SOCHARA, Bangalore.
1
I have been invited to take part in the study about health care seeking behavior. I understand
that it involves me taking part in a interview. I have been explained the purpose and
procedure of the study.^I have been informed that no risk is involved in taking part in the
study and that there will not be any direct benefits for me. I understand that the information I
will provide is confidential and will not be disclosed to any other party or in any reports that
could lead to my identification. I also have been informed that the data from study can be
used for preparing reports and that reports will not contain my name or identification
characteristics. I am aware of the fact that I can opt out of the study at any time without
having to give any reason. I have been provided with the name and contact details of the
researcher whom I can contact.
I have read the foregoing information, or it has been read to me. I have had the opportunity to
ask questions about it and any questions I have been asked have been answered to my
satisfaction. I consent voluntarily to be a participant in this study.
Name of Participant
Signature of Participant
Date
Thumb print of participant
If illiterate
I have witnessed the accurate reading of the consent form to the potential participant, and the
individual has had the opportunity to ask questions. I confirm that the individual has given
consent freely.
104
Name of witness
Signature of witness.
Date
Statement by the researcher/person taking consent
I have accurately read out the information sheet to the potential participant, and to the best of my
ability made sure that the participant understands that his/her participation in the study is
voluntary and that he/she can choose not to take part in the study. I have explained all the
elements including the nature, purpose, possible risks and benefits of the above study as described
in the consent document to the participant. I have also explained the participant about the
confidentiality of information collected.
I confirm that the participant was given an opportunity to ask questions about the study, and all
the questions asked by the participant have been answered correctly and to the best of my ability.
I confirm that the individual has not been coerced into giving consent, and the consent has been
given freely and voluntarily.
■
A copy of this consent form has been provided to the participant.
Name of Researcher
Signature of Researcher
Date
w
■
105
Annexure-4
HON SB
k I
^T
Dear Participant,
I am kamlesh sahu. I am doing my fellowship programme in Public Health Learning
Programme, SOCHARA, Bangalore. Thank you for your time and willingness to hear and
read about the research I intend to do. This note provides an explanation of the nature of the
research. This study will be done as part of my fulfillment of the Fellowship program
requirement. This consent form may contain wofds that yob do not undhlstand. If there is
anything you need clarity on, please feel free to ask me. At the end of this information sheet
you will find my contact details.
TITLE OF THE STUDY
“A study of psycho-social effect on adolescent
’ ’
children their parental alcohol abuse in
slum community in Bhopal in Madhya Pradesh”.
■■
Hh
PURPOSE OF THE
TFIE STUDY
The purpose of this study is to find out the difficulties faced by adolescent children from their
parental alcohol abuse of slum community in Bhopal, thy are many straggling on our social
and psychology problems
1W
flHHi
DESCRIPTION OF THE STUDY
The study will be based on individual interview that are expected to last about 45 minutes. I
will be asking you information on your facilities at the slum community and access,
utilization of health services. If you do not wish to answer any of the questions included in
the survey, you may skip them and move on to the next question.
RISKS AND BENEFITS:
There are no risks involved in taking part in the study. You do not have to answer any
question if you feel the question(s) are too personal or if talking about them makes you
uncomfortable. There will be no direct benefits for you but your participation will help
improve the understanding of barriers in accessing health services.
CONFIDENTIALITY
106
I have taken all the necessary steps to maintain confidentiality of the information collected.
The information that we collect from this research project will be kept private. The study
supervisor dr. shivani tanejawill have access to the information collected. I will not reveal
your name or any identifying characteristics to any other party and also will not include them
in the final report.
VOLUNTARY PARTICIPATION AND WITHDRAWAL
Your participation in this study is entirely voluntary and should you wish to withdraw from
the study at any time you may do so without giving reasons.
CONSENT
Your consent is required for your participation in the study. You can decide to participate or
JI
*
CONTACT DETAILS:
Kamlesh Sahu (SOCHARA fellow)
Contact Detail: 07697273360
Mail Id:sahukamlesh515@2mail.c0m
107
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Sahu
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SOCHARA
Madhya Pradesh
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fellow
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Community Health Learning Programme is the third phase
of the Community Health Fellowship Scheme (2012-2015)
and is supported by the Sir Ratan Tata Trust, Mumbai and
International Development Research Centre, Canada.
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School of Public Health, Equity and Action (SOPHEA)
SOCHARA
# 359, 1st Main,
1st Block, Koramangala,
Bengaluru - 560034
Tel: 080-25531518; www .sochara.org
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