1

University of Medicine 1, Yangon

Department of
Preventive & Social Medicine
Family Health Care Presentation

Posting Group III (RN 185 to 266)

 2

Main Computer
 May Avril Oo (RN 220)
 Moh Moh Kyaw Zaw (221)
 3

Introduction
&
Objectives
Presenter – Myat Theingi Su (RN- 258)
Computer- Myint Myint Htun Cho (RN-245)
What is family? 4

 Family is a primary unit in all societies.

 Itis a group of individuals related by blood or social

or legal contracts, living together as a household
under the same shelter and eating together from a
common kitchen and sharing a common physical and
social environment.
What is FHC? 5

FHC is provision of comprehensive

Health Care such as promotive,
preventive, curative and rehabilitative
to all the family members.
What is 6
Family Health Care Visit?

 Is a form of organized health care visit to

allotted families in suburban urban
communities where the students participate
in identification of health and social problem
of families concerned.
 FHC Visits 7

• Under the guidance of Department of Preventive &

Social Medicine
• By Final Part 1 students during our posting period
 8

Place of Family Health Care Visit

• Myoma Taung WARD

• THANLYIN TOWNSHIP
 9

Dates of Family Health Care VisitS

· First Visit 19th October, 2017

· Second Visit 26TH October, 2017

· Third Visit 9th NOVEMBER, 2017

 10
WHAT CAN WE LEARN FROM FHC VISITS?
 Components of Comprehensive Health Care

 By practically involving in Promotive, Preventive,

Curative and Rehabilitative health care services to the
assigned families

 Social and environmental factors associated with health

status of the family
Objectives of FHC: 11

1. To let student aware of the community way of life.

2. To develop insight into the environmental factors influencing health
& diseases in a society.
3. To develop students’ ability in analyzing multifactorial causation of
diseases.
4. To promote ability in the practice of comprehensive health care of
the family.
5. To facilitate the development of
(a) Communication skill
(b) Sense of responsibility
(c) Self confidence and
(d) Empathy
 Objectives of Survey 12

1. To describe the socio-economic, socio-demographic

characteristic of respondent of Myoma Taung, Thanlyin
Township.

2. To observe the health risk behavior of respondents.

3. To study morbidity status of studied community.

4. To study the health status of under 5 children.

5. To measure larva index in allotted houses.

 13

Thank
You~
Methedology

Presented by -Phyo Aung Thaw(Roll No: 203)

 15

Study Designs
• cross sectional descriptive study

Study Title
• Family health care Thanlyin Township
I. Study period
I. 1st visit - 19.10.2017
II. 2nd visit - 26.10.2017
III. Last visit - 10.11.2017
I. Study area - Myoma Taung Ward, Thanlyin
Township
II. Study population - about 82 households
Data collection methods
 Personal interview with head of household on demographic and
socioeconomic characteristic of interview
 Anthropometric status for the youngest child
 ( less than 5 years old)
 Physical examination of house hold members
 For housewife questionnaires,
 -the last pregnancy and contraceptive utilisation)
 -EPI program for the youngest child
Tools we use
 Pre-coded questionnaires
 Stethoscope
 Sphygmomanometers
 Glucometers
 Weighing machines
 Measuring Tapes
 Questionnaires for family health care
 Questionnaires for mosquito larvae
 Record Forms
 Essential drugs
Detailed Methodology
 Division

 Allocation

 Briefings for objectives

 Health Education

 Discussion and Suggestion

 Improving QOL & Health Status

Detailed Methodology
 Checking environmental factors

 Asking about reproductive history of couples

 Assessment of under 5 growth and immunisation

 Questions about DHF

 Abate

 Larva assessment in water containers

Detailed Methodology
 Talk about rehabilitative and preventive care

 Explaining about “Well being” for all for ages of life

 Discussion about NCDs

 Preventive life styles

 Correcting their wrong conceptions

Thank you
Phyo Aung Thaw
 23

Township Profile

Presented by Min Khant(Roll No – 227)

Geography & Location 24
(Thanlyin)
 25
Map of Thanlyin (Myoma Taung)
 26
Population
Thanlyin
Total 235874

Thanlyin
Sex ratio (M:F) 1:1.02

Age Thanlyin
<1 Year 4701
<5 Years 21215
<15 Years 46686
15-49 Years 62893
 27
Wards & Villages

Thanlyin
Wards 17
Villages 66
Village 28
Tracts
 28
Health Facilities
Thanlyin

Station Hospital 1
Other hospital -
Rural Health centers 5
Sub centers 22
MCH 2
School Health Team 1
Disease Control Team (TB, HIV/AIDS, 4
Malaria, Leprosy)
Indigenous Medicine Clinic 1
Private Clinic 57
Private Hospital 1
 29
Health Men Power (Thanlyin)
Public Health

Category LHV MW PHS1 PHS2 HA

Sanctioned 8 40 3 34 6
Appointed 8 39 2 28 5
Vacant - 1 1 6 1

Voluntary Health Worker

VHW C.H.W A.M.W T.T.B.A

Trained 24 44 35
Function 15 45 31
 30
School Health

Percent of 2014 2015 2016

% Coverage of
100 100 97
School Examined

% Coverage of
Primary School 100 100 63
Students Examined
% Coverage of
School with
Sanitary 100 100 90
Environment
Examined
 31

Environmental Health

Percent of 2014 2015 2016

Coverage of Sanitary Latrines

84 89 90
(Urban)

Coverage of Sanitary Latrines

75 95 104
(Rural)

Coberage of Sanitary Latrines

80.2 95.4 100
(Total)
 32
Community Health Care

2014 2015 2016

Rate of General Clinic Attendance (%) 30.5 36.1 20.8

No. of Cases Referred 1565 83923 2288

 33

Reproductive Health (MyomaTaung)

2014 2015 2016

(%) of home delivery BHS 20 14 7

(%) of home delivery (AMW) - - -

(%) of Deliveries at RHC delivery - - -

room
Rate of referral % 9 8 6

Average no. of attendance AN 4 4 4

Average no. of attendance PN 6 6 6

AN care coverage% 99 99 99
 34
Child Health

2014 2015 2016

(%) of Diarrhoea cases with
3 - 0.2
severe dehydration
(%) of <5 children with cough
4 4.1 4.7
and difficult breathing

(%) of <5 children with severe

1.3 0.17 0
pneumonia
 35
Nutrition(Myoma Taung)
Item 2014 2015 2016
Under weight children
114 120 120
(<1 yr)
Under weight children
- - -
(<5yr)

Severe under weight

- - -
children(<5 yr)

Targeted nutritional care

cov; with the jurisdiction - - -
of MW
 36
EPI Programme(Myoma Taung)

Percent of 2014 2015 2016

BCG 89 90 97
DPT 3/ Penta 1 89 90 97
OPV 3 89 90 89
Penta 3 89 90 96
Measles(1/2) 90 96 97
TT(1/2) 90 90 94
Health Impact Indicators(myoma
37
Taung)

In health service covered area 2014 2015 2016

Population Growth Rate(%) 1.8 1.8 1.5

IMR/1000 Live Births 3 13 7

U5 MR/1000 Live Births 3 6 1

MMR/1000 Live Births 1 3 -

 38
NGOs

Thanlyin
MCWA (Branch) 1
MMA Association 1
RED CROSS Association 2
NURSE Association 1
MHA Association 1
Auxiliary Fire 1
Association
 39

Tuberculosis(myoma Taung)
2014 2015 2016

New case detection rate 75 150 160

 40
Malaria (Myoma Taung)
Percent of 2014 2015 2016
% of Malaria cases (OPD) - - -

Cases of fatality rate - - -

Leprosy(Myoma Taung)
Percent of
2014 2015 2016
Prevalence per 10,000 pop - 1 2
New case detection rate per 100,000 pop - - -
 41
Non-Communicable Diseases and
Risk Factors(Thanlyin)

2015 2016

No of Hypertension 2614 3049

% among elderly 10.2 14.8

 42

Accident & Injury(Thanlyin)

Morbidity Mortality
Cases
(2016) (2016)

RTA 4.6 12.8

Suicide 0.2 1

Assault
3.4 0.9
 43

THANK YOU
 44

Finding & Discussion I

DEMOGRAPHIC AND SOCIO-ECONOMIC DATA

Presenter – Min Thwin Khant (RN 232)

 45
Nuclear
Family type 1

2 Joint/Extended

3 Three Generation

34%

52%

14%
 46
Age of Respondents

38.6%
60%

1.4%

<30 Yr 30-60 Yr >60 Yr

Sex Distribution 47

Female
23%

Male
77%
Marital Status 48

72.9%

14.3%
5.7% 5.7%
1.4%

Single Married Divorced Separated Widow

 49

Education

32.9%

17.1% 17.1%
15.7%

11.4%

5.7%

Monastery Primary Middle High University Graduated

School School School
 Occupation 50

31.4%

17.1%

12.9% 12.9%
11.4%

5.7%
4.3%
2.9%
1.4%

Others Dependent House Vendor Farmer Carpenter Business Govern- Professional

-keeper Fisherman Driver ment
Handicraft Employee
Personal Habits 51

Never Ex Current

63%
73%
82%

5.6%
10%
8% 31.4%
17% 10%

Smoking Alcohol Betel

Chewing
Description of Illness Among 52
Family Members Within 3 Months

Illness Within 3 Months

Sex Distribution Among Illness

Type of Treatment

Treatment taken (Where, By Whom)

Illness Within 3 Months 53

No
Yes

34.3%

65.7%
Illness Occurrence 54

Male
37.5%

Female
62.5%
 55
Type Of Treatment

4.17%

16.67%

Western
Traditional
Domestic
79.17%
 Treatment Taken 56
37.5%

25% 25%
(Where)
12.5%

Government Private GP/Clinic Home

Hospital Hospital
50%

25%
(By Whom) 20.83%

4.17%

Specialist Doctor TMP Self

 57
Reproductive History of Eligible Women

Eligible Women in Household

Birth Spacing

AN Care

Child Delivery
 58
Eligible Couple in Household

No Yes
46.3% 53.7%
 59
Birth Spacing
27.6%

20.7% 20.7%

13.8%

6.9%

3.4% 3.4% 3.4%

Nil Daily 1 Month Monthly 3 Month Calendar Female Others

OC Pills Pill Injections Injections Sterilization
(not BS)
Antenatal Care 60

(Place) Taking AN care

GP/Cli... 9.5%
20.7%

Private Hosp... 14.3%

Govt. Hosp... 71.4%

79.3%

Health Ce... 4.8%

Yes No
Types of Delivery 61

56.5%

30.4%

8.7%
4.3%

NSVD Forceps Vacuum Elective LSCS

Place of Delivery 62

56.52%

17.39%
13.04%
8.69%
4.35%

Other Govern- Private GP/Clinic Home

ment Hospital
Hospital
 63
Delivery by Whom

60.87%

21.74%
8.69% 8.69%

Specialist Doctor Nurse/LHV Others

/MW
Health Status of Under Five Children 64

Under 5 Population

Immunization

Breastfeeding

General Appearance
Under 5 Population 65

Female (6) Male (6) Total (12)

FEMALE MALE
50% 50%
Immunization 66

66.70%

25.00%
8.30%

Incomplete Partial Complete

 67
Breastfeeding
No
8.3%
Yes
91.7%

General Appearance
Fat Thin
16.6% 16.7%
Normal
66.7%
Physical Disability & Mental Disability 68

Physical Disability
Yes
7%

No
93%

Mental Disability
 69

Finding & Discussion II

Factors Influencing Health Of The Family

Environmental Factors

Presented by -Phyo Thandar Myint (Roll No –200 )

Computer –Phoo Myint Thwe(Roll No – 187)
 70

Types Of Housing

50
40
30 47.1%
20 27.1% 24.3%
10
1.4%
0
wooden semipucca pucca other
 71

Housing Conditions
60%

60 54.3% Lighti
44.3% ng
50
30%
40
30
10%
20
10 1.4% Ventilation
0 Lighting
Poor Moderate Good
 72

Sources of Water(For Drinking)

80
60
40 35.7%

20
1.4% 1.4%
0
surface shallow tube well Rain
water well

Drinking water
 73

Sources of Water(For Domestic Use)

100 88.6%
80
60
40
20 8.6%
2.9%
0
shallow well tube well purified water
Domestic water Number-70
 74

Household Sanitation

94.3%

100 88.6%

80
60 Kitchen
Refuse
40 5.7%
11.4%
20 Refuse
0 Kitchen
Sanitary Insanitary
 75

Latrine Types
100.0 90%
80.0
60.0
Latrine
40.0
20.0 2.9% 7.1%
0.0
.. .
r ...
it a
ar
y ...
san ni
t t ic
n p
i sa se
 76
Pest Activities Of Households
Present Absent
88.6%

58.6%
57.1%
41.4%
42.9%

11.4%

Mosquito
Flies
Rodents
 77
Economic Status of Households…

Average annual Percent of

per capital income monthly
expenses on
health

Mean 359742.37 6.46

Std. Deviation 793488.016 20.920

Minimum 22500 0

Maximum 6000000 16.8

Number-81
 78

THANK
YOU
<3
 79

Finding & Discussion III

Dengue Haemorrhagic
Fever
PRESENTER- MOETHIHA
COMPUTER-MYAT MAHAW KYAW
 80
Sex of Chart
Respondents
Title

M
28%

F
72%
 81
Education
Chart Title
50%
45% 43.20%
40%
35%
30%
24.70%
25%
21.00%
20%
15%
10%
4.90%
5%
0%
high Sch Uni graduate other
 82
Chart TitleMember
Family

22%

1 2

78%
 83
source of information

100%
12.30%
90% 22.20%

80% 43.20%

70% 55.60%
58.00%
25.90%
60%

50%
86.40%
40% 64.20%

30% 45.70%

20% 28.40%
21.00%
7.50%
10%

0%
Radio Tv N.paper Health Internet other

1 2
 Knowledge Of prevention
and control of DHF 84
Chart Title
1 2
Chart Title
1 2
1%
23%

77%

99%

Cause of DHF
Chart Title
Mode of
1 2
transmission

16%

84%

Heard about DHF

 Chart Title
100%
95.10%
85
90%

87.70%
80%
79.00%

70%

60%

53.10%
59.35%
50%

40%
45.70%

30% 32.10%

27.00%
20%

24.00%
10%
7.40%
3.70% 11.10% 17.30%
11.10%
0%
c.org
mos b t
vulner vector breed
s and s
medicine
vaccine
avoid pnc
larviv F
salt abate
chlorine
 86
Attitude of prevention and control of DHF

100% 0% 1% 1% 1%
7% 6%
0% 12%
90% 24%

80% 41%
48%
70% 53% 63%
65% 62%
75% 59% 70%
60% 70%
63%
50% 52%
Disgree
40% Agreee
SA
51%
30%
51%
20% 42%
35% 37% 37%
33%
25% 25% 28% 25%
24%
10%
7%
0%
y s l r t S
ilit on ite er ro ve ne ve nd DS in
g ES
ib ati qb ia n nt rc
o d lee ou gg
s in os
nt co
te be ng
s gr fo
on m m va ee
esp eli Co lar wa lo ff
r co
 87
Practice of prevention and control of DHF
100%
90%
80%
70%
60%
50%
88% 83% 85% 89%
40% 80%
69%
30%
20% yes
10%
0%
 88

Thank you
 89

Sample Family
Presented by - Min Thiri (Roll no. 231 )
 90

FIRST VISIT
 91
Description of the
Family
 Head of Family – Daw Myint Myint Kyi

 Type of Family – Joint \ Extended Family

 Size of Family – 5

 Address – No.18, Htan Na Pin

Street, Thanlyin Township

 Race and Religion – Burmese and Buddhist

 92
Family Tree

Daw Myint Myint Kyi U Tin Win Myint U Sein Win Myint

Ma Theint Theint Thu Mg Ye Wai Yan Thu

 93

Discussion of FamilyTree

 Daw Myint Myint Kyi who has two brothers U Tin

Win Myint and U Sein Win Myint, and her niece,
Ma Theint Theint Thu and her nephew, Mg Ye Wai
Yan Thu, live together in Thar-Kay-Ta township.
 Personal habit

No
Name Age Sex
Relation to
head
Marital
status
Education Occupation
94
Betel
Smoke Alcohol chewing

1 Daw Myint Myint 64 F Head Single 9th Standard Government - - -

Kyi employee
(retired)

2 U Sein Win Myint 62 M Brother Single 10th Standard Government + - -

employee current
(officer)

3 U Tin Win Myint 56 M Brother Married 10th Standard Government - - -

employee
(officer)

4 Ma Theint Theint Thu 19 F Niece Single 10th Standard Student - - -

5 Mg Ye Wai Yan Thu 12 M Nephew Single 6th Standard Student - - -

 95
1. Biological Needs
a) Health Status of Family

Daw Myint Myint Kyi (Head)

Health Status

64 years old

No habit of smoking, alcohol drinking, betel chewing
She doesn’t have diabetes or hypertension

Discussion
Advise her to
 Check her blood sugar level regularly
 Take regular exercise
 Check her blood pressure regularly
 96

a) Health Status of Family (Cont;)

U Sein Win Myint (Brother)

Health status
62 years old
He has a habit of smoking since young
No habit of alcohol drinking, betel chewing

Discussion
Advise him to
Reduce smoking
 Take regular exercise
 97

a) Health Status of Family (Cont;)

U Tin Win Myint (Brother)

Health status

56 years old

He is rarely ill
No habit of smoking, alcohol drinking, betel chewing

Discussion

Advise him to

 Take regular exercise

 Check his blood pressure regularly
 98

(a) Health Status of Family (Cont;)

Ma Theint Theint Thu ( 19 years old, niece)

Mg Ye Wai Yan Thu (12 years old, nephew)

Health status

They are currently healthy

No habit of smoking and betel chewing

Discussion

Explain them
 About healthy lifestyle
 To care for their health
 Explain about reproductive health
 99

(b) Nutritional Status of Family

3 meals per day

Eat fish , meat, and vegetables
Uses 100,000 kyats per month for nutrition expanse

Discussion

I advised Daw Myint Myint Kyi

 To avoid cooking oily food

 Also explains her about 3 groups of food( energy yielding ,
body building & disease preventing)
 To eat balanced diet
 10
0

(c) Personal Hygiene

Healthy lifestyle
Always wash hands before eating and after going to toilet

Discussion

Advise them

 To give sunlight to pillows ,blankets

 To wash the blankets and mosquito nets monthly
 Give HE about how to wash the hands properly
 Explain them the importance of hand washing
 10
1
2. Economic Needs
Daw Myint Myint Kyi gets 50,000 kyats as a retired
government employee.
U Sein Win Myint gets 100,000 kyats as an officer
U Tin Win Myint’ s salary is 150,000 kyats as an officer
The total income is 300,000 kyats per month
They use 100,000 kyats monthly for nutrition expanse and
other necessary things

Discussion

Advise them to

Save money for health so that it can be used in medical

check up and for drugs
 10
2
3. Education
Both U Sein Win Myint and U Tin Win Myint have
passed 10th standard.
Daw Myint Myint Kyi has passed 9th standard.
Ma Theint Theint Thu is attending university.
Mg Ye Wai Yan Thu is attending school.

Discussion

Advise them to
Watch health programs on television
Read article about health in newspaper and
journals.
 10
3
4. Environmental Sanitation
(1) Compound sanitation

Has wide place for passage of people and some

flower pots.
The compound has only one house.

Discussion

Advise them to

 Clean the discarded things that can hold water

 Dispose the rubbish to prevent rodents coming.
 10
4

Compound and housing condition

 10
5
4. Environmental Sanitation
(2) Housing condition

Wooden house
The house is 990 square feet large. (18 ft x 55 ft)
Neatly built and has good lightning and through and
through ventilation.

Discussion

Advise them to

Open windows for sunlight so that good ventilation can

prevent respiratory tract infection.
Clean house regularly
 10
6
4. Environmental Sanitation
(3) Water supply

Use tube well for drinking and domestic purposes

The water is apparently clean

Discussion

Explain them about water borne diseases, water

based disease and water related diseases.
To cover the water container with lids after using
water.
 10
7

Water supply
 10
8
4. Environmental Sanitation
(4) Food sanitation

Buys meat and vegetables at the market

Cleans the used knives & other kitchen staffs after
handling
Covers food to prevent from flies

Discussion

Advise her to

Clean vegetables in water with salt to prevent

insecticide exposure
Give HE about Alfla toxin found in chili
 10
9
4. Environmental Sanitation
(5) Kitchen sanitation

Uses electric stove and electric cooker

Also cooks by firing if electricity cuts off.
Sanitary

Discussion

Advise her to

Clean kitchen very often

Avoid placing dishes & kitchen staffs without washing
as rodents may come .
 11
0

Kitchen
 11
1
4. Environmental Sanitation
(6) Excreta disposal

Use indirect pit latrine

It is fly proof ,clean and odorless
Excreta are collected regularly by
excreta collecting car

Discussion

Explain them

About excreta borne diseases

And advised to wash hands after coming
out from latrine
 11
2
4. Environmental Sanitation

(7) Refuse disposal

Collect the refuse in garbage bin and refuse

collecting car comes to get them every week.

Advise them to

Dispose the refuse regularly

To cover the garbage bin to prevent from rodents.
 11
3

Refuse
collecting
 11
4
4. Environmental Sanitation

(8) Drainage

 Water drainage is good.

Discussion

Advise them to

 fill land to prevent vector borne

diseases
 11
5
4. Environmental Sanitation
(9) Domestic animals

They don’t have domestic animals.

 11
6
4. Environmental Sanitation

(10) Pest activities

There are no flies and rodents in the house.

Use fumigation to prevent from mosquitoes bites

Discussion

To clean the compound regularly

To cover the water container with lids
 11
7
5. Others
(a) Health facility

A clinic which opens at night every day is near their

house.
They have digital blood pressure cuff in their house.

Discussion

Advise them to

Go to the clinic for check up every 6 months

Buy a device to measure blood glucose level
 11
8
5. Others
(b) Recreational facility

They enjoy watching television.

Daw Myint Myint Kyi usually reads newspaper when she is
free.

Discussion

Advise them

 to have more time for sharing their daily experience as this

can gain happiness and relieve stress.
 11
9
5. Others
(c) Transportation

U Sein Win Myint go to work by bus

U Tin Win Myint and his children use the motorcycle.

Discussion

Advise them to

Wear helmet whenever they rides motorcycle.

 12
0
6. Family Health Problem
Health threats

Drinking water from tube well is not safe

As plants and grasses from other houses are not cleared, they may
be breeding places for mosquitoes and it may be crisis of vector
borne disease.

Discussion

Advise them
To boil water before drinking to prevent from water borne disease
To cover the water containers to prevent from mosquito breeding
 12
1
6. Family Health Problem

Health deficits

 There is no chronically ill person in the family.

 12
2
6. Family Health Problem
Foreseeable crisis

There is no unusual demand on the individual or

family in terms of adjustment.

Discussion

Advise them to

 Prevent from mosquitoes biting

 Sleep with mosquito net , use repellent and
change water in flower vase.
 12
3

SECOND VISIT
 12
4
Health Education Needs
In Second Visit,

 All the family members are in good health.

 They have some knowledge of dengue like covering
water and filtering .
 But they don’t know which mosquito carry dengue.

Discussion

Advise them

 To give more interest in their health and shouldn’t delay to

go to the doctor.
 Give them HE for dengue
 12
5
Environmental Sanitation
Compound sanitation

Uses fumigation to keep mosquitoes away

Found plants in front of the house which can make
mosquitoes stay

Discussion

Advise them
To clean the compound and bushes

Water supply

They use tube well

 12
6
Environmental Sanitation
Food sanitation

 Always wash hands after handling the food

 Uses cover for fly proof

Excreta disposal

 The latrine is clean and odorless

Drainage

 Good drainage system

Discussion
 Advise them to wash hands before and after meals
 12
7
Family Health Problems

Health threat

U Sein Win Myint’s smoking habit can develop lungs disease.

Discussion

Advise him

To reduce smoking

 12
8
Family Health Problems
Foreseeable crisis

If the family members inhale the smoke, they can also
develop certain lungs diseases.
 12
9

THIRD VISIT
 13
0
Findings about Health Status
 All the family members are in good health physically and
mentally.

Discussion

 To go to the clinic if they have any health problems

 To measure blood pressure and blood sugar level regularly
 13
1
Environmental Sanitation
Compound sanitation

 Observe water containers and found there are 5 water containers

with varying sizes
 They are covered with lids

Action taken

 Add abate into water containers and

 Explain them that water can be used after 30 minutes

Advise them

 To remove if larvae are found

 To change water in flower vase regularly
 To discard things that can hold water like old layer.
 13
2
Conclusion of the Visit

This family has healthy lifestyles.

They have some knowledge about health,

environmental sanitation, food sanitation and refuse
disposal.
They rarely go to the clinic unless the disease is
serious.
I advised them to give more time for family members
and their health status. By giving more interest in
health and living without stress can make them
healthy.
This can also be a part of improving the health status
of the country.
 13
3

THANK YOU
 13
4

Health Services

Presenter – Ya Mohn Myat Mon (RN 264)

 13
Health Services 5

 Health is a dynamic status

 Health services are also one of the promoters of health

 Health and family welfare services focus on strengthening the family

health care
 13
6
Objectives of Health Services
Promotive

Preventive
To obtain optimal level of health and
well-being throughout life
Curative

Rehabilitative
 13
7

Major Health Services in FHC

 Measure BP
 Random blood sugar
 Treat For minor illness
 HE
 13
Health Promotion 8

 Improving general status of health from

Healthy Healthier Healthiest

 Promotive measures:
 General health education
 Environmental sanitation
 Personal hygiene
 Good nutrition
 Improve the standards of living
 13
Prevention 9

“Prevention is better than cure”

 Preventive measures for vulnerable people
1. Preventive measures for 14
0
Under 5 Children
 Measure Weight and Height
 Assessment of immunization status of children
 Vitamins supplement
 Deworming
 Examination for personal hygiene
 General examination
 Systemic examination
 Respiratory
 CVS
 Abdominal
 CNS
 14
Health Education 1

Personal hygiene
Prevent mosquitoes
and environmental Balanced Diet and
bites for prevention
sanitations to its Importance
of DHF,malaria
mother
Check environmental 14
sanitation 2
 14
2. Preventive Measures for Pregnant Mother and
3

Reproductive Age Women

 Past obstetrics history
 number of pregnancies
 number of live births, still births and number of abortions
 ANC
 delivery by skilled health personnel
 PNC
 utilization of health services

 Family planning and birth spacing

 HE on reproductive health
 Examination of
pregnant women
14
4
 Provide folic acid and
iron supplements
 Health Education for pregnant 14
mothers 5

To have birth Encourage

To take regular To have healthy
attended by a breastfeeding and
antenatal care lifestyle
trained personnel not formula feeding
 14
3. Preventive Measures for Elderly 6

 History taking
 Past medical history

 Past surgical history

 Drug history

 Family history

 Measure blood pressure

 Measure Random Blood sugar

 Provide multivitamins for elderly

Health Education For Elderly 14
7
 Regular physical exercise

 Have healthy lifestyle

 Avoid smoking, alcohol drinking and betel chewing

 HE on NCDs that are common in elderly and how to avoid them

 To take regular medical check up and take drugs regularly

4. Preventive measures for 14
8
High Risk Persons

 HE
 Hazards of smoking, alcohol drinking, and betel chewing
 Avoid them as soon as possible for healthy life and happy
family
Prevention of DHF 14
9

 Vector surveillance (Larva Survey)

 Search Lava
 15
Curative Care 0

 Treating of minor illness

 Patients with hypertension

 provide antihypertensive drugs

 HE on lifestyle and dietary management

 Patients with scabies

 HE on personal hygiene

 Treatment
 Rehabilitation 15
1

1. Medical rehabilitation

 Patients with physical disabilities

 advise to train physiotherapy

 Poor eye sighted persons

 refer to ophthalmologist

 Hearing disabilities

 refer to ENT department

 15
Rehabilitation 2

2. Social rehabilitation

 Restore their relationship with family members and community

 Social encouragement

 Advise to meet social worker especially for Social problems

 HE about the nature of the diseases they are suffering and how to
get treatment
 15
Rehabilitation 3

3. Psychological rehabilitation

 Restore their personal dignity and self-confidence

 Advise family members to encourage these physically and

mentally crippled persons

4. Vocational rehabilitation

• Advice to change suitable job to earn money

Take home message… 15
4
Health services provided…
 Promotive
 Preventive
 Under 5
 Pregnant mothers
 Elderly
 High risk persons
 Curative
 Rehabilitative
 Medical
 Social
 Psychological
 Vocational
 15
5

THANK YOU
 15
6

Conclusion & Recommendation

Presented by
Moe Thuzar Nwe (Roll No – 224)
Computer :
Min Zarni (Roll No- 228)
 15
7
Conclusion
 Type of family – Nuclear type (52%)

 Most of the respondents – >30 years (98.6%)

 Male – 77%, Female – 23%

 Education status – High School (32.9%)

 Occupation- Government Employee( 31.4% )

 17% - Current smoker, 10% Alcohol drinker

 31.4% - Betel chewer

 15
8
Conclusion
34.3% were ill and 50% took treatment from doctors at

in GP clinics (37.5%) with Western type treatment

(79.17%)

 53.7% are eligible couples

20.7% use 3-month injection and monthly injection for

contraceptive measures

79.3% took A.N care at government hospitals(71.4%)

 15
9
Conclusion

Complete immunization –67%

 8.3% - incomplete immunization

 25% - partial immunization

Breast feeding – 91.7%

 Health status of the children –66.7%( Healthy )

 16
0
Conclusion
 Disability – 7%

 Mental Handicap – nil

 Majority of houses are wooden(27.1%) with 54.3% of good lighting

and 60 % of them have through and through ventilation

 Sanitary kitchen – 88.6%

 Sanitary refuse disposal – 94.3%

 Sanitary pit-90%
 16
1
Conclusion

 46% get purified water for drinking purpose and

8.6% use tube well for the domestic purpose

mosquitoes were found in 88.6%, flies in 41.4%

and rodents in 42.9% of houses

Annual household income - > 350000

Monthly expense on health – 6.46%

 16
2
Conclusion

Knowledge of prevention and control of

Dengue Hemorrhagic Fever

 Most of the respondents knew about DHF such as it

mainly occurs in rainy season(96.7%) and most venerable

group are children(7.4%).

 Biting time – Daytime – 53.1%

 Breeding places – Clean water– 32.1%

 16
3
Conclusion
Practice

 Practice - > 80% of the respondents have good practice

for prevention and control of DHF.

 16
4
Conclusion

 Sign and symptoms – fever + coffee ground vomiting –79%

 Prevention by covering water storage containers- Yes- 32%

 Prevention by using mosquito nets- 53.1%

 Prevention by adding abate – 17.3%

 16
5
Conclusion
Larval Survey

 House Index – 23.9 % ( High risk of transmission )

 Breteau Index – 77.2% ( High risk of transmission)

 16
6
Recommendation
 DHF is fatal and yet preventable so preventive measures must

be carried out effectively.

 Environmental sanitation plays an essential role .

 They must keep up the good practice and attitude.

 Health education about prevention and control of larva and

mosquito must be given widely through any kind of media.

 Transmission risk is high in this area ,so effective transmission

control measures must be done.

 16
7
Recommendation
 Under five immunization rate is 67%.

 So, EPI program must be done more extensively ..

 Health status of the under five children is quite good

 Community awareness should be raised.

 Reproductive health education must be done more

efficiently.

 Complete and sufficient basic health services will be

strengthening.
 16
8

THANK YOU
 16
9

Acknowledgement

Presented by Yamin Thu (RN 262)

 17
0
Thank You