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DNHE

Diploma Programme in Nutrition and Health Education (DNHE)

ASSIGNMENTS 1-92004

SCHOOL OF CONTINUING EDUCATIONIndira Gandhi National Open University

Maidan Garhi, New Delhi -110068

Diploma Programme in Nutrition and Health Education (DNHE)ASSIGNMENTS 1-9

2004

Dear Students,

You will have to do nine assignments in all. All the assignments are tutor marked. Each Tutor Marked Assignment carries 100 marks. Out of the nine assignments, three are Tutor Marked Practical Assignments (TPA) and six are Tutor Marked Assignments (TMA). The Block-wise distribution of assignments for each course (1,2 and 3) is as follows:

Assignments 1,4,7 (TMA) - based on Blocks 1 to 3 of DNHE 1,2 and 3 respectivelyAssignments 2,5,8 (TMA) - based on Blocks 4 to 6 of DNHE 1,2 and 3 respectivelyAssignments 3,6,9 (TPA) - based on Practical Manuals 1,2 and 3 respectively

INSTRUCTIONS

Before attempting the assignments please read the following instructions carefully.

1) Read the detailed instructions about assignments given in the Programme Guide.2) Write your roll number, name, full address and date on the top right corner of the

first page of your response sheet(s).3) Write the course title, assignment number and name of the study centre you are attached to in the centre of the first page of your response sheet(s).

The top of the first page of your response sheet should look like this:

Enrolment No…………………….

Name……………………………..

Address…………………………..

…………………………..

Course Title………………………

Assignment No………………….. Date …………………………

Study Centre……………………..

4) Use only foolscap size paper for your responses and tie all the pages carefully.5) Write the question number with each answer.6) You should write in your own handwriting.7) Submission: The completed Assignment should be sent to the Coordinator of the Study Centre

allotted to you.

A Note of Caution

It has been noticed that some students are sending answers to Check Your Progress Exercises to the University for evaluation. Please do not send them to us. These exercises are given to help in judging your own progress. For this purpose, we have provided the answers to these exercises at the end of each Unit. We have already mentioned this in the Programme Guide.

Before dispatching your answer script, please make sure you have taken care of the following points: Your roll number, name and address have been written correctly. The title of the course and assignment number have been written clearly. Each assignment on each course has been written on separate sheets and pinned properly. All the questions in the assignments have been answered.

Now read the guidelines before answering questions.

GUIDELINES FOR TMA

The Tutor Marked Assignments have three parts.

Section A: Short Answer Questions (SAQ) (40 marks)

In this section, you have to answer ten short questions (of 4 marks each). Answer each question in about 100 to 150 words.

Section B: Application Questions (AQ) (40 marks)

This section consists of questions where you have to apply knowledge you have gained in real-life situations.

In these questions you have to think and explain certain applications of theoretical principles and concepts.

Section C: Objective Type Questions (OTQ) (20 marks)

This section contains various types of objective questions.

GUIDELINES FOR TPAs

Assignments 3,6 and 9 are based on Practical Manuals 1,2,3 respectively. Assignment 3 carries specific questions based on your study of Practical Manual 1. Assignments 6 and 9 are based on Practical Manuals 2 and 3 respectively. You would be required to submit your responses to activities given in Practical Manuals 2 and 3 respectively for Assignments 6 and 9. You have been asked to complete five activities from each of these manuals. You have to submit responses to any four in each case.

POINTS TO KEEP IN MIND

You will find it useful to keep the following points in mind:

1) Planning: Read the assignments carefully. Go through the units on which they are based. Make some points regarding each question and then rearrange these in a logical order.

2) Organization: Be a little more selective and analytical. Give attention to your introduction and conclusion. The introduction must offer your brief interpretation of the question and how you propose to develop it. The conclusion must summarize your response to the question.

Make sure that your answer:

a) is logical and coherentb) has clear connections between sentences and paragraphsc) is written correctly giving adequate consideration to your expression, style and

presentationd) does not exceed the number of words indicated in the question.

3) Presentations: Once you are satisfied with your answers, you can write down the final version for submission, writing each answer neatly and underline the points you wish to emphasize.

DNHEAssignment 1 (TMA-1)

Course Code: DNHE-1Assignment Code:DNHE-1/AST-1/TMA-1/04

Last date of submission: 31st July, 2004

Maximum Marks: 100

This assignment is based on Blocks 1- 3.

Section A: Short Answer Questions (40 marks)

There are 10 short questions in this part. Your answer should not exceed 100-150 words. Answer all questions. Each question carries 4 marks.

1. List and describe briefly the functions of food.

2. What do you understand by “action, interaction and balance” between nutrients?

3. Differentiate between available and non-available carbohydrates giving examples.

4. List the Vitamins of the B Complex group giving one major function of each.

5. What is the concept of a balanced diet?

6. List the points to remember about supplementary feeding of infants.

7. What specific pattern should be kept in mind in planning diets for adolescent girls?

8. Which nutrients are of particular importance in pregnancy? Give reasons in brief

9. How are RDIs for adults influenced by age?

10. What is the role of sodium and potassium in the body?

Section B: Application Questions (40 Marks)

There are two questions in this part. Answer both.

1. Cut out any five advertisements for food products from a newspaper. Stick the newspaper cuttings on your assignment sheet and comment on each of them. Do you agree with the claims made in each advertisement based on nutritional considerations? (25 marks)

2. Interview your grandparents regarding their views on the changes in meal patterns over the past decade. Identify any five trends they have noticed. Does this agree with your parent’s views? Discuss. (15 marks)

Section C: Objective Type Questions (20 marks)

This section consists of two questions. Do both.

1. Match the items in column A with those in Column B. (10 marks)

(a) Iron(b) Good Appetite(c) RDIs(d) Imbalance of nutrients(e) Fibre(f) Cholesterol(g) Calcium(h) Indigestion(i) ARF(j) Reference woman

(i) Physical Health(ii) Heart Disease(iii) Bone growth(iv) 20-39 years(v) Non-available carbohydrate(vi) Malnutrition(vii) Anemia(viii) Balanced Diets(ix) Early pregnancy(x) Reduction of bulk of foodsxi) Staple Food

2. Describe the interrelationship between any five sets of terms you have matched in your answer to Question 1 in one or two sentences each. (10 marks)



Last date of submission: 31st August, 2004

Maximum Marks: 100

This assignment is based on Blocks 4-6.

Section A : Short Answer Questions (40 marks)


1. What are the different forms of sugar and other sweetening agents available in the Indian market?

2. What is the role of food laws and food standards in protecting consumers?

3. Why do sugar and salt in high concentrations in food prevent spoilage?

4. What is the interrelationship between nutrient and infection?

5. List the symptoms of :(A) Anemia (B) Xerophthalmia

6. Identify high risk factors in pregnancy.

7. Give four major considerations in dietary management of diarrhea.

8. Describe the role of the anganwadi worker in the ICDS programme.

9. Why has common salt been selected as a vehicle for iodine?

10. What is growth monitoring?



1. Conduct a market survey of ten cereal products available in your area. Comment on their packaging and mention price per kg. (20)

2. Read the labels of any ten processed food products available in the market. List their ingredients and identify any food standard that they conform to (e.g. ISI, Agmark, FPO) in the case of each food product. (20)



1. Match the items in column A with those in column B. (10)

Column A Column B

(a) Grade(b) Food requirement(c) Saccharin(d) Food accessories(e) Adulterant(f) Pest control(g) Wheat protein(h) Hydrogenation(i) Food spoilage(j) Sprouting

(i) Papaya seeds(ii) Gluten(iii) Oils(iv) Microorganisms(v) Food budget(vi) Quality(vii) Spices and herbs(viii) Sweetening agent(ix) Storage(x) Consumer organization(xi) Vitamin C

2. Give the interrelationship between any five sets of terms you have matched in your answer to Question 1 in one or two sentences each. (10)

DNHEAssignment 3 (TPA)

Course Code: DNHE-1Assignment Code:DNHE-1/AST-3/TPA-1/04Last date of submission: 30 September, 2004

Maximum Marks: 100

This assignment is based on Practical Manual 1. Answer all questions.

1. How would you use a household weighing balance? How would you relate weight to standard measures? (10)

2. List the pre-preparation methods and indicate the extent of nutrient losses for any five of them.

(5)

2. How does cooking influence the nutrients in foods? (10)

3. Describe the traditional meal pattern in your area/State. (10)

4. List the steps in planning a diet for an adult man. What is the role of exchanges in diet planning?

(10)

5. Complete the following table regarding diet changes in old age. (10)

Quantity of foods Type of foods Consistency/ texture Meal frequency

6. Prepare a food plan for yourself. (15)

7. Check the day’s diet for inclusion of specific food groups in the case of any one of your family members. (15)

8. Give any three traditional snacks in your region. Describe the method of preparation in each case.

(15)




Maximum Marks: 100This assignment is based on Blocks 1- 3.


There are ten short questions in this part. Your answer should not exceed 100-150 words each. Answer all questions. Each question carries 4 marks.

1. What are vital statistics? Explain with examples.

2. List the main sources of data or vital statistics.

3. Describe in brief the terminal methods of family planning.

4. What is the role of the environment in spreading of infection?

5. Differentiate between the two kinds of human reservoirs of infection.

6. List the methods of large-scale purification of water.

7. What are the three types of addiction? Give one line on each type.

8. List any eight basic steps in ensuring personal hygiene.

9. What is quarantine? What does it become necessary?

10. How would you define health education? What are its integral components?


There are three questions in this part. Answer all.

1. List any ten important health messages related to prevention of infection. Which target groups would you address with each of these messages? (20 marks)

2. What are the important points you will consider in deciding on messages on AIDS prevention for adolescents? (10 marks)

3. Collect samples of drinking water from your locality in clean glasses. Compare the colour, smell, extent of suspended matter/floating particles. Give your comments in the form of a table.

(10 marks)



1. Match the items in column A with those in column B. (10)

Column A Column B

a) Fertility Measureb) Condomc) Health infrastructured) Animal reservoire) Vectorf) Fomiteg) Virulenth) Hydrological Cyclei) Sedimentationj) Droplet infection

i) Fliesii) CBRiii) Barrier method iv) Health delivery personnelv) Saliva, nasal secretionsvi) Skin infectionvii) Water viii) Suspended impurities ix) Ozonationx) Zoonoses xi) Health Indicators

2. Give the interrelationship between any five sets of terms you have matched in your answer to Question 1 in one or two sentences each. (10)



Last date of submission: 31st August , 2004

Maximum Marks: 100

This assignment is based on Blocks 4- 6.



1. Differentiate between the following sets of terms.(a) Infectious diseases – Communicable diseases

2. List any four common food borne diseases. Discuss briefly the preventive measures you would adopt to prevent occurrence of food borne disease.

3. Name the causative organism for the following disease/ infection. What are the common signs/ symptoms of each of the conditions.i) Choleraii) Infectious hepatitisiii) Ancylostomiasisiv) Ascariasis

4. What is Tuberculosis? How does it spread? Why is it such a dangerous disease?

5. Briefly discuss the presentation and management of poliomyelitis.

6. Discuss the common skin infections found in children.

7. What do you understand by food poisoning? Explain the term giving suitable example?

8. Discuss the common measures you would adapt to prevent/ control food intoxications.

9. Discuss the genesis of the income generation programme in our country.

10. What do you understand by the primary health care approach? Discuss its relevance at the community level.


There are four questions in this part. Answer all.

1. Rani reported to school with red eyes which were itching and she complained of foreign body sensation in the eye.

(a) What do you think is Rani suffering from? (2 marks)

(b) Explain the disease condition – i.e. the causative organism, period of communicability etc. (6 marks)

(c) Suppose you wanted to educate school children about Rani’s problem; write down exactly what you would say and what handy tips related to its precaution/ control you would advocate? (7 marks)

2. List any five messages related to prevention/ control of AIDS you have heard on radio/ seen on television. (5 marks)

3. What are the common sources of environmental pollution? What can you do to prevent it? (10

marks)

4. Suppose you wanted to educate a group of mothers about the benefits of immunization. How would you do it? Write down what you would say and give the immunization schedule for children. (10 marks)


This section consists of three questions. Attempt all.

1. Define the following in 2-3 sentences.

(i) Impedigo(ii) Scabies(iii) TRYSEM(iv) Oxyuriasis(v) Quarantine (10 marks)

2. Match the items in Column 1 with the items in Column 2. (5 marks)

Column 1

1. Whooping Cough

2. Diphtheria

3. Malaria

4. Body ringworm

5. Tapeworm disease

Column 2

a) Tinea Corporis

b) Taenia Saginata

c) Bordetella pertussis

d) Schick test

e) Anopheles Gluviatilis

3. Fill in the blanks: (5 marks)

1. Generally ………………types of ear infections are common.

2. Leprosy is caused by the organism………………..

3. ………………….is the test which is used for the diagnosis of tuberculosis infection.

4. ……………….is the common complicated of measles.

5. Trachoma is caused by …………………organism.

DNHEAssignment 6 (TMA)


Maximum Marks: 100

This assignment is based on Practical Manual 2.

1) You were asked to attempt five out of eight activities in Practical Manual 2. Submit your response to any four out of the five you have completed.

Guidelines

a) Each activity carries 20 marks.b) You would be given credit for originality and creativity shown in performing the

activities. Hence describe methods/ aids/ techniques/ responses etc., in as much detail as possible where asked.

c) Answer questions noting down all relevant points. Use lists, diagrams, flow charts to give a clearer idea of what you are trying to put across.

2. Comment in detail on the problems or difficulties/ successes/ interesting points that emerged as you performed the activities in a community setting. Make notes for all your activities submitted for question 1. Also indicate whether you undertook activities in addition to those asked. If so, give details.




Maximum Marks: 100




1. List the steps in community diagnosis of a food and nutrition problem.

2. Describe briefly the major determinants of community health .

3. Identify any four important themes in nutrition education. List one message you would like to convey for each theme.

4. How would you classify the information -centred methods? How would you improve the

instructional value of each method?

5. List the advantages and limitations of radio.

6. What are the tips for making effective teaching aids?

7. How will you use flash cards for nutrition education?

8. Describe the major aspects in planning and preparation of scripts for radio and TV.

9. How would you conduct a group discussion?

10. Describe the inquiry – discovery method.


There are three questions in this part. Answer all.

1. Prepare a script for a 5 minute talk on food groups. (15)

2. Suppose you want to organise a group discussion in your locality on “prevention of anaemia”. Describe the steps you will follow and the points you will keep in mind. (15)

3. Prepare a diagram of a poster on any theme of your choice. (10)



1. Match items in Column A with those in Column B (10)

Column A Column B

(a) Role Play(b) Printed Media(c) Economic Factors(d) Diarrhoea(e) Teaching Aid(f) Overhead Projector(g) Software (h) Advantages of soft diet(i) Themes(j) Community

(i) Transparency(ii) Audio Cassette(iii) Social Awareness(iv) Newspaper(v) Instructions(vi) Malnutrition(vii) Post Operative Patient’s Education(viii) Determinants of food behaviour(ix) Messages(x) Environmental determinants(xi) Plan of Action

2. List any ten important messages in nutrition education indicating the target group for each. (10)



Last date of submission: 31st August , 2004

Maximum Marks: 100




1. Several approaches are available for nutrition and health education communication. Explain these approaches briefly.

2. Participatory approaches may be required to prepare the ground before an instructional approach is applied. Do you agree with the statement. Give justifications.

3. List handy guidelines you would adopt for developing games in nutrition and health education.

4. Briefly discuss the importance of community contact in developing an overall comprehensive programme to develop the community.

5. Elaborate on the various community strategies you can use to impart nutrition and health education.

6. Which types of messages would be best communicated through child-to-child programme. Give your opinion.

7. Discuss the importance of evaluation as a step in the process of nutrition education.

8. Elaborate on the levels at which the nutrition/health programmes can be organised.

9. Give four examples of how modern approaches can be used in spreading awareness about health, hygiene in the community.

10. List the feeding programmes run by the government to combat malnutrition. How can these programes be used to impart nutrition education? Explain briefly.



1. Design and develop an educational game to impart message related to eating balanced diet among school children.

Guidelines:- Prepare a sample of the game on paper.- Write the procedure for playing the game and submit. (20 marks)

2. Suggest two ways in which women-to-women strategy could be used to spread messages related to prevention of anaemia among pregnant women. Write the procedure briefly.

(20 marks)


This section consists of three questions. Attempt all.

1. Define the following terms in 2-3 sentences.

(i) KAP(ii) Field Testing(iii) Innovators(iv) Change Agent(v) PRA. (10 marks)

2. Prepare five nutrition and health messages suited for urban slum community. (5 marks)

3. Fill in the blanks. (5 marks)

1. ……………… style of story telling is known as Burrakatha in Andhra Pradesh.

2. ………….is an effective folk approach practised in many cultures.

3. The …………….approach is essentially an intensive sharing of ideas, skills and experiences among two individuals.

4. Persuading people to view change as positive and therefore act is the process of …………………approach.

5. Modern approaches are ………………….in nature.

DNHEAssignment 9 (TMA)


Maximum Marks: 100

This assignment is based on Practical Manual 3.

You were asked to attempt five out of eight activities in Practical Manual-3. Submit your responses to any four out of the five you have completed. In addition comment on the problems/ successes/ interesting points that emerged as you performed the activities in a community setting.

Guidelines

i) 80 marks are allotted for the answers to the questions mentioned in the activities. Note down all relevant points. Use lists, diagrams, flow charts to give a clearer idea of what you are trying to put across.

ii) 20 marks have been allotted for your comments on the problems/ success/ interesting points noted during your work in a community. Make notes on all four activities submitted. Also indicate whether you undertook other activities in addition to those asked. If so, give details.

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