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Subgroup A II 24 – shameer25-Shujauddin26-mohit kadyan
1. Subgroup A II 24 – shameer
25-Shujauddin
26-mohit kadyan
2. i)Name of the head of the family: Hameed
ii)Address: Ansar nagar, Manjanady
iii)Religion: Islam
3. SI
No.
Name of
member
Age Se
x
Relation to
HOF
Literacy
status
Occupati
on
Income
(per
month)
Consu
mption
Unit(C.I
)
1 Hameed 38 M Head Primary
Edu
Shop
keeper
5000
2 Aisha 33 F wife 5th
standard
chef 4300
3 Bfathima 64 F Mother in
law
Unskilled
worker
4 Muneeza 3 F daughter
5 Uniaz 9
mo
nth
M son
5. SI
No.
Particulars Amount Spent % of Total
Income
1 Food 2000 21.5
2 Education
3 Fuel 400 4.3
4 House rent/maintenance 100 1.7
5 Medical BPL
6 Recreation
7 Travel Expenses 100 1.7
8 Other
TOTAL 2600 29.2
6. A) Housing
1) owned
2) no.of rooms : 1
3)No. of living rooms: 1
4) floor: pucca
5) walls: pucca
6)roof: pucca
7)Location: suitable land
7. 8) Ventilation: Inadequate
9) Lighting : Inadequate
10) kitchen:
a) windows : adequate
b) smoke outlet: Absent
c) Floor : Pucca
d) kitchen : separate
e) fuel used : LPG and fire wood
f) Hearth: ground level
11) Garbage and refuse disposal: gutter
12) Disposal of liquid waste: kitchen garden
13) Bathing facility: adequate
14) Washing facility:adequate
8.
9. B) Water supply
i. Source of water supply : sanitary well and
insanitory well
ii. storage of drinking water: boiled and stored
iii. Quantity required per day:- 50 L
iv. Per capita water available:-10 L
Photo: Buckets
of
water left
uncovered in the
10.
11.
12.
13. C) Surroundings of the house:
i. Unhygienic conditions: present: garbage,
stagnating water, crows, wandering hens
ii. Domestic animal : absent
iii. Cattle shed: absent
15. Advice given:
-advised to avoid disposing of garbage
on/around their home
-to avoid keeping water uncovered
-encouraged to increase water usage to
cover needs
16. a) Causation of the disease : rational
b) Cure of the disease: rational
c) Belief in: allopathy
17. SI
No.
Name Age Sex Calorie
s
(kcal/d
ay)
Protein
(g/day)
Calciu
m(mg/
day)
Iron
(g/day)
Vitami
n A
1 Hameed 38 M 2875 60 400 28 600
2 Aisha 33 F 2225 50 400 30 600
3 Bi Fatima 64 F 1875 50 400 30 600
4 Muneeza 3 F 1240 22 400 12 400
5 Unaiz 9m M 441 7.42 500 350
Total 8656 190 2100 100 2550
18. Name of food
article
Quantit
y
(in gm)
Calorie
s
Protein
s
Calciu
m
Iron Vit.A Remar
k
Rice 100 354 6.8 8.6 0.6
Dal 80 268 17.84 58.4 2.16
Green veg 400 122.7 8.2 172.7 3.63 172.7
Potato 1000 970 16 100 7 400
Milk 500 335 16 600 1 870
Oil 40 360
Sugar 50 193.5
Fish 0.4 1456 33.6 388 90.4 1120
TOTAL 4050 98.44 1327.7 104.79 2567.25
19. Total calories consumed:4050cal/day
Expected calorie consumption:8656 cal/day
Calorie deficit of 4606 cal/day.
Advice:-
Family advised to increase the food quantity
to coverup the food deficit.
Advise to take protien and calcium rich food
such as milk and grams.
20. Name of Infant: Unaiz
Age: 9m Gender:M D.O.B: Dec 2012
Name of Mother: Aisha Place of Birth: Hospital
Any difficulty during Delivery: No
Birth Weight: 2Kg
Breast feeding: Non Exclusive
Any supplementary feeding: Boiled Ragi, Bottled
milk.
Immunisation:
Immunisation card: Present
Immun
isation
BCG +
OPVzer
o
DPT +
I OPV
DPT +
II OPV
DPT +
III OPV
Measle
s
Status Taken Taken Taken Taken Taken
21. Mile Stones of development (for that specific
age): Achieved
Personal Hygiene: Moderate
Episodes of ARI within the last 1 month: One
No cases of diarrhoea
Any Specific Advice
22. A. Clinical
◦ General appearance: Normal built
◦ Hair: Normal
◦ Lips: Normal
◦ Tongue: Normal
◦ Gums: Normal
◦ Skin: Normal
◦ Internal Examination: Normal
23. Anthropometry
Weight: 4.5kg Head circumference: 43cm
Height: 66cm chest circumference: 47cm
Mid-upper arm circumference:- 13cm
Skin folds: Normal
24. Name of the child:Muneeza
Age :2 years
Sex:female
DOB:20/7/2011
Name of the mother:Aisha
History of previous illness (during last 1
month):no
Immunization
27. A. Clinical
◦ General appearance: Normal built
◦ Hair: Normal
◦ Lips: Normal
◦ Tongue: Normal
◦ Gums: Normal
◦ Skin: Normal
◦ Internal Examination: Normal