Concepts in Public Health A Case Study of Diarrhea公共卫生的概念个案研究腹泻.pptVIP

Concepts in Public Health: A Case Study of Diarrhea Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, INDIA Dr Baridalyne N, Dr Kapil Yadav, Dr Palnivel C Prof. Chandrakant S Pandav * Babita, Age – 2 years The Story……………. Baby girl aged 2 yrs Large family -5 siblings Diarrhea Dehydration Grandmother told not to feed child during diarrhea No health facility in village Couldn’t go in the night –had to look after other children drunken husband Mother walks to nearby hospital-10 kms away! Unfortunately the girl child dies * Causes of death among children under five years of age in India * Source- WHO- India: Mortality Country Fact Sheet 2006 Burden of Diarrheal Diseases in India 9.1% of all deaths below 6 years1 158,209 diarrheal deaths per year1 2 week prevalence- 12.2% in children 3 years2 10.5 episodes per child per year 3 1- National Commission on Macroeconomics and Health, 2005. 2- National Family Health Survey 3 (2005-06) 3- Bhattacharya SK, 2003. NMJI, 16 (S 2): 15-19. * What were the factors that led to Babita’s death? * What were the factors that led to Babita’s death? No family support Many siblings No transport Poor hygiene Diarrhea Dehydration Wrong Cultural beliefs practices No medical facility Lack of care Illiteracy Poverty Female child 2 yrs old * Malnutrition Web of Causation * No family support Many siblings No transport Poor hygiene Diarrhea Dehydration Wrong Cultural beliefs And practices No medical facility Lack of care Illiteracy Low socio economic status * Female child Malnutrition YES Was the death preventable? No family support Many siblings No transport Poor hygiene Diarrhea Dehydration Poverty No medical facility Lack of care Illiteracy * Wrong Cultural Beliefs practices Female child Malnutrition No family support Many siblings Poor hygiene Diarrhea Dehydration Wrong Cultural Beliefs