group 5 b batch

8/7/2019 Group 5 B Batch

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PROJECT TITLE:

TARGETING ELDER SIBLING (Sp.

WHO IS NURSING CHILD) FOR

DEHYDRATION CONTROL IN

DIARRHEOA

Ms. Priyanka Sharma (850)Dr. Richa Chaturvedy (860)

Dr. Sanjhi Singh (870)

Dr. Shweta Sandhu (880)

Ms. Trupti Khandelwal (890)

Mr. Yatendra Sharma (900)


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Project Overview Project finds its basis in existing scenario of

dehydration in diarrhea

20% of children in 0-9 age group suffer fromdehydration due to diarrhea each year in Rajasthan .

This project tries to answer the question that if weeducate and train elder sibling (sp.who is nursing

child) in a rural household about dehydrationdiagnosis and management, will it bring down thenumber of admissions due to dehydration in diarrhea


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Project Overview It Includes training of community nominations

Who will in turn educate and train the children

This whole project will be spread over two and a half

months

Will aim at reducing the number of admissions in the

healthcare facilities due to dehydration in diarrhea.


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Background Information: Rajasthan is one of the driest regions in India

Rajasthan has a geographical area of 342,239square

km. and a population 56.51 millions. There are 33 districts, 237 blocks and 41353 villages

The state has a population density of 165 persons persquare km (as against national density averaging at312).

The Infant Mortality Rate in Rajasthan is 6th highestin the Country (nfhs 3)


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Contd.. One out of the every 15 children dies within first year of life

(NFHS 3).

One out of twelve dies before 5 year of age.

Female Literacy Rate according to Census 2001 is 43.29(against 53.7 of the nation).

Our area of study is District Tonk , Tonk has population of12.11 lakhs has 2 Sub Division and 6 Tehsils and 132

Villages. According to NFHS 3, 0 to 4 year population is 11.9%of the total population and 13.8 % of total population isconstituted by children from 5- 9 age group.


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Contd The average number of kids per household is 2.8 (According

to NFHS 3).

Median birth interval in Rajasthan is 30 months, that is almost65% of births occur in three years (nfhs3)

At least 24.4 % of children under the age of 5 and 20%children under the age of 9 suffer from diarrhea each year.

25 % of the suffering were treated with some kind of therapywhich included 17% with ORS and 7% with gruel.

Almost one fifth of the children received same or lesser

amount of fluids One third of the children did not receive any treatment at all

40 % of children under the age of five in Tonk areunderweight;


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RESEARCH QUESTION:

Will educating and training elder sibling in

rural house hold (specially who is nursing

child) in diagnosis and management of

dehydration due to diarrhea reduce admissions

of the children due to dehydration in diarrhea?


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GOAL:

To break the

vicious cycle ofDiarrhea and

Malnutrition.

DIARRHOEAMALNUTRITION


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OBJECTIVE: To decrease the admission of the child due to

dehydration in diarrhea in health care facility

(District hospital, Community health centre,Primary health centre) by 10 %.

To achieve at earliest millennium developmentgoal (reduction in number of diarrhea caseshow much so ever they contribute) ofreduction of under 5 mortality rate by 2/3 rd.


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TARGET POPULATION: Rural children of age group 5-9


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Situational Analysis:

Source: WHO Child Health E idemiolo Reference Grou


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Methodology: Baseline Survey:

Average number of admissions in CHC , PHC

and District hospital (total number 53 nfhs) in an

year of last three years with diagnosis of

dehydration due to diarrhea will be taken (Theyear will be from 1 August to 31 July).


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Methodology: Training the teachers:

Nomination of the candidates

Candidate specifications

132 candidates

2 batches

10 days training

Timings

Venue Doctor and a teacher trainer

Content of training and bilateral relationship


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Methodology: Basic Assumption for village children

number:

Assume villages with 50-300 household 33 each

Average number of kids per household 2.8 (nfhs3)

around 30% of these kids are 0-4 years of age

around 35%are 5-9 years of age.

2/3 rd turn up


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Methodology: Training the kids:

Why kids: Nursing the younger one

Secondary target

Source of potential behavior change of community

Why Teachers 10 days and kids 4 days: Learning capacity

Exhaustive list for teachers

Learning how to train kids


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Methodology: Time Frame of the Training:

4 days , 4 hours

Group one Group

Two

Group

Three

Group

Four

Ist day 26 April 27 April 28 April 29 April

IInd day 3 May 4 May 5 May 6 MayIIIrd day 17 May 18 May 19 May 20 May

IVth day 31 May 1 June 2 June 3 June

Proposed training schedule of the teacher in community


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Methodology: Tools Used in the training

Posters : 3 posters

Drama : better insight

Lecture

End Line Survey

Data Entry

Data Interpretation


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Staff And Administration:

The teachers who will be training will be given

there total pay checks once they have taken all

there classes and the Panch , ANM and

primary school teacher testifies the same


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Logistics PERSONNEL SALARY AND WAGES:

1 Doctor for 10 days @ 30,000 INR/month 10,000 INR

1 Teacher for 10 days @ 12,000INR/month 4,000 INR

Remuneration for candidates during training

for 10 days @ 50 INR/day for 132 candidates 66,000 INR Traveling Allowance for 132 candidates for

10 days @ 20 INR /day 26,400INR

Remuneration for 33 candidates conductingonly I group for 4 days @ 200 INR/day 26,400 INR

Remuneration for 33 candidates conducting2 group for 4 days @ 200 INR/day 52,800 INR

Remuneration for 33 candidates conducting3 group for 4 days @ 200 INR/day 79,200 INR Remuneration for 33 candidates conducting

4 group for 4 days @ 200 INR/day 1,05,600 INR

Data Entry Operator 1,000 INR Data Analysist 6,000 INR Subtotal 3,77,400 INR


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Logistics SUPPLIES &EQUIPMENT Computer 1,000 INR

400 Posters @ 10INR/poster 4,000 INR

Stationary 150 INR

Community Hall 2,500 INR

Total 3,85,050 INR


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Evaluation: Total number of children 0-9 years of age are 81,081

16,217 kids every year will suffer from dehydration

in diarrhea

Assuming that one third of kids suffering from

dehydration due to diarrhea are admitted in hospital

in each year.

Therefore 5,405 children are admitted due to

dehydration in diarrhea.


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Evaluation: Our Study target is to reduce the number of

admissions by 10%.

Therefore the number of case reductionsrequired are 540

That is in case we can after the training

decrease the number of admissions to about4865 than our experiment is successful elsefailure.


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References: Basic statistics Rajasthan, 2001, Jaipur, Directorate of Economics and Statistics Rajasthan,

Jaipur, 2001,201.

Rajasthan National Family Health Survey (NFHS-3) India, 2005, Mumbai, InternationalInstitute for Population Sciences, 2008,120.

Statistical Abstract 2003, Directorate of Economics and Statistics. Rajasthan, Jaipur,2005,418.

Tomar R.P., Census ofIndia1991 Series 21 Rajasthan Dist. Tonk. 1991, Jaipur, Censusoperations, 1994,399.

Census ofIndia 2001 Series 9 Rajasthan, 2001, Delhi Controller of Publication, 2001,213.

Dr.Singh L.P., Research Methods, 2008, Jaipur, Institute of Health Management Research,2008,288.

www.who.org

www.unicef.org www.smilefoundations.com

www.childhealth.com


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group 5 b batch

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