PROJECT WORK

ON
DENGUE FEVER
DNHE-4
Submitted by:
Medha Gajula
Roll No

DENGUE
CONTENTS
1. INTRODUCTION :
- About the Problem.
- Cause of Transmission.
- Symptoms.
- Diagnosis.
- Treatment.
- Fatal Form.
- Management.
2. OBJECTIVE
- Prevention.
- Change in KAP.
- Message Area.
3. METHODOLOGY
- Identification of Problem.
- Identification of Target Area.
- Identification of Target Group.
- Sampling.
- Method and Media.
- Plan of Action.
4. OBSERVATION
- Pre Test.
- Collection of Data.
-
5. EVALUATION
- Analysis of Data.
- Feed Back.
- Result.
6. CONCLUSION
1. INTRODUCTION :

The Dengue is a type of a fever . It is a Flu like viral disease

which is spread by the bite of infected mosquito.
The AEDES AEGYPTI mosquito is most important transmitter or vector of
Dengue virus. It is called dengue fever due to the febrile symptoms of the patient..
A. CAUSE OF TRANSMISSION :
Dengue Viruses are transmitted through the bite of infected Female Aedes
Aegypti mosquitoes. The mosquitoes become infected with Dengue virus when it
bites a person who has dengue fever and after a week, it can transmit the virus
while biting a healthy person.
Dengue cannot spread direct from person to person through droplet spread.
B. SYMPTOMS :
Dengue fever is an acute febrile infection. The principal symptom of Dengue is
high fever, severe headache, backache, joint pain, nausea and vomiting, eye pain
and skin rashes. Generally, younger children have a milder illness than older
children and adults.
C. DIAGNOSIS :
The diagnosis is most important by a blood test. The test can show whether the
blood sample contains dengue virus or antibodies to the virus.
D. FATAL FORM :
Sever form of the dengue is the Dengue Hemorrhagic Fever (DHF). It is caused
by infection with the same virus that cause dengue. It can be fatal if unrecognized
and not properly treated, because in this state the bleeding from nose and GI tract
may occur during the Febrile period. Sometimes rashes appear in which intense
itching makes uneasiness.
E. MANAGEMENT :
There is no specific medication for Dengue Hemorrhagic Fever. It can be treated
by fluid replacement therapy.
If an early clinical diagnosis is made, with good medical management mortality
due to DHF can be less than 1%.
The mosquitoes that spread dengue live among humans and breed in discarded
tyres, flower pots, old oil drums and water storage containers close to human
dwellings.
2. OBJECTIVE :
The objectives of this study is to teach the target group for
Prevention from dengue through the appropriate measures.
Prevention is better than cure – In poor communities treatment mean spending
money on something, which could easily have been avoided if proper preventive
measures had been taken. Therefore, for implementing any message some steps
have to be taken:-
A. First to identify the main problem and cause of the small group selected from the
Community.
B. Find preventive measures relevant to the problem.
C. Develop suitable message for the target group.
D. Spread the message with the help of teaching aids and means.
E. Check the effect, result of the message on the target group, and modify the
message if required.
MESSAGE AREA:
A. Before spreading the Dengue –
i. Do not let mosquitoes breed in and around the house or locality.
ii. Clean all the stagnant water drains.
iii. Put a little kerosene oil on pools and marshes.
iv. Never left any broken pots and containers, which can collect water.
v. Keep communication with the health workers of the area.
vi. Always use mosquito net for sleeping.
vii. If you suspect disease than immediately get the treatment.
B. Management after spreading Dengue –
i. The diagnosis is most important by a blood test. The test can show
whether the blood sample contains dengue virus or anti bodies to virus.
ii. Some symptoms may indicate the dengue as high fever, sever
headache, nausea and vomiting, sever joint pains, muscular pain and
rashes on skin.
iii. No isolation of the patient is required and patient should be
encouraged to drink plenty of fluid for cleaning bowels to prevent
from constipation.
iv. Dengue fever is a specific fever, which runs a certain course.
Therefore, there is no any rapid care for the febrile affection.
v. Treatment of the confirmed case of the dengue is recommended with
medicine to control the high fever and pain.
vi. During the acute febrile state of illness virus can be isolated from the
blood by using new advance techniques
 3. METHODOLOGY :

A. IDENTIFICATION OF THE PROBLEM : In the month of July 2018, there

was out-breaking of Dengue in the NCR region. I visited the nearby area to ensure
the existing problem.

B. TARGET AREA : A small labour basti, in Kotla Mubarakpur.

C. TARGET GROUP : In this Basti 157 families are living, all

industrial worker/laborer and also illiterate. I found four people lying sick in their
homes.

D. SAMPLING : I selected 20 persons out of the target group, who were interested
to discuss the problem.

S no NAME AGE SEX PROFESSION

1 Shyam Lal 68 M Labour Contractor
2 Shiv Ratan 57 M Laborer
3 Ramdev 40 M do
4 Bhartu 28 M do
5 Samaru 30 M do
6 Anaro 42 F Mid Wife
7 Molly 19 F House maid
8 Kansi 32 F House Maid
9 Rizwan 45 M Carpenter
10 Mahto 41 M Carpenter Helper
11 Rita 36 F Laborer
12 Surjee 29 F do
13 Bhola 22 M Rickshaw Puller

14 Naam dar 63 M Blacksmith

15 Ballu 28 M Helper
16 . Naresh 26 M Helper
17 Jannu 30 M Labourer
18 A Attar 33 M do

19 . Sujan 48 M Painter

20 Hemu 51 M Factory Peon

 NAME AGE SEX PROFESSION
1. Shyam Lal 68yrs. M Labor Contractor
2. Shiv Ratan 57yrs. M Laborer
3. Ramdev 40yrs. M - do-
4. Bhartu 28yrs. M -do-
5. Samaru 30yrs M -do-
6. Anaro 42yrs. F Mid-Wife
7. Molly 19yrs. F House Maid
8. Kansi 32yrs. F House Maid
9. Rizwan 45yrs. M Carpenter
10. Mahto 41yrs. M Carpenter Helper
11. Rita 36yrs. F Laborer
12. Surjee 29yrs. F -do-
13. Bhola 22yrs. M Rickshaw puller
14. Naam dar 63yrs. M Black-Smith
15. Ballu 28yrs M Black-Smith Helper
16. Naresh 26yrs. M Black-Smith Helper
17. Jannu 30yrs. M Laborer
18. Attar 33yrs. M Laborer
19. Sujan 48yrs. M Painter
20. Hemu 51yrs. M Factory Peon
E. METHOD AND MEDIA :
(PARTICIPATORY APPROACH) I used participatory
approach, so that the members may learn and co-operate in action plan.
For this I prepared a questionnaire to know their knowledge and practice
regarding the problem.
QUESTIONNAIRE:
Q.No.1. Which disease is spreading around your area?
Q.No.2. What are the main cause of this problem?
Q.No.3. Do you know the symptoms of this disease?
Q.No.4. Who is responsible for this situation?
Q.No.5. Who can help to eradicate the problem?
Q.No.6. Have you got any Health Check-up by the health department?
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Q.No.8. To whom you may go for medical treatment in emergency?
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Q.No.10.What are the safety precaution to prevent from disease?
F. PLAN OF ACTION:
A. Personal visit to contact the Individuals.
B. Activity done.
C. Interaction with selected individuals.
D. Questionnaire – To know their knowledge level.
E. Response of the Questionnaire by the Target Group.
F. Feed Back to the Target Group.
G. Media used. No Machine/electronic Media, Only Poster and Charts.
RESPONSE TO THE QUESTIONNAIRE:
I met all the twenty selected persons of the target group, asked the questions of
the questionnaire separately, and noted their responses.
1. Shyam Lal, 68yrs, Male, Labor Contractor.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: High Fever and Joint Pain.
Q.No.4. Who is responsible for this situation?
Answer: Our Hygienic and Cleanliness position.
Q.No.5. Who can help to eradicate the problem?
Answer: Ourselves with the help of health workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: There is no any nearby Doctor or Hospital.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To a nearby village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Because of expenses we go to hostpital in serious cases only.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By checking and preventing mosquito breeding.
2. Shiv Ratan, 57yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Do not know.
Q.No.3. Do you know the symptoms of this disease?
Answer: No.
Q.No.4. Who is responsible for this situation?
Answer: No-One.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: In nearby village.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Have no time and money.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Do not know.
3. Ramdev, 40yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Fever with pain.
Q.No.2. What are the main cause of this problem?
Answer: Weather.
Q.No.3. Do you know the symptoms of this disease?
Answer: Hot Body.
Q.No.4. Who is responsible for this situation?
Answer: Weak Body.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: No Knowledge.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To nearby village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Because they charge heavily.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness.
4. Bhartu, 27yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Fever with pain.
Q.No.2. What are the main cause of this problem?
Answer: Weather.
Q.No.3. Do you know the symptoms of this disease?
Answer: Fever with body pain.
Q.No.4. Who is responsible for this situation?
Answer: Weak Body.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: No Knowledge.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Home Treatment.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Believe in Home Treatments.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness.
5. Samaru, 30yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Hot body and pain.
Q.No.2. What are the main cause of this problem?
Answer: Bad surroundings.
Q.No.3. Do you know the symptoms of this disease?
Answer: Hot Body with body pain.
Q.No.4. Who is responsible for this situation?
Answer: No one.
Q.No.5. Who can help to eradicate the problem?
Answer: No one.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Far away.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: No necessity.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Good food and rest
6. Anaro, 42yrs, Female, Mid-Wife.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: High Fever and body pain.
Q.No.4. Who is responsible for this situation?
Answer: Unhygienic surroundings.
Q.No.5. Who can help to eradicate the problem?
Answer: Ourselves.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: No nearby Doctor or hospital.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To Government Hospital.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Due to costly treatment.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By god house-keeping.
7. Molly, 19yrs, Female, House-Maid.
Q.No.1. Which disease is spreading around your area?
Answer: Hot body and Body pain.
Q.No.2. What are the main cause of this problem?
Answer: Do not know.
Q.No.3. Do you know the symptoms of this disease?
Answer: Sharp body pain.
Q.No.4. Who is responsible for this situation?
Answer: Weak Body.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Do not know.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: never go anywhere.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Do our treatment at home.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness and food.
8. Kansi, 32yrs, Female, House-Maid.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: Hot body and pain.
Q.No.4. Who is responsible for this situation?
Answer: Bad surroundings.
Q.No.5. Who can help to eradicate the problem?
Answer: Ourselves with government workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: They are in city.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Far away and costly too.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By cleaning drains and homes.
9. Rizwan, 45yrs, Male, Carpenter.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue Fever.
Q.No.2. What are the main cause of this problem?
Answer: By Mosquito bite.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever and body pain.
Q.No.4. Who is responsible for this situation?
Answer: Ourselves and government.
Q.No.5. Who can help to eradicate the problem?
Answer: We with help of Health workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: There is no nearby doctor and hospital.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To village Doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Far away and Costly.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness and Pesticide spray.
10. Mahto, 41yrs, Male, Carpenter Helper.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: By Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever, pain and weakness.
Q.No.4. Who is responsible for this situation?
Answer: Ourselves with untidy surroundings.
Q.No.5. Who can help to eradicate the problem?
Answer: Government health department.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: There is only one doctor in nearby village.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Far away and costly.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness and pesticide spray.
11. Rita, 36yrs, Female, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: Headache and vomiting.
Q.No.4. Who is responsible for this situation?
Answer: Mosquitoes.
Q.No.5. Who can help to eradicate the problem?
Answer: Health workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Her is no doctor or hospital.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Near by village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: No time and money.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By Cleanliness and killing mosquitoes.
12. Surjee, 29yrs, Female, laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Hot body and pain.
Q.No.2. What are the main cause of this problem?
Answer: More work.
Q.No.3. Do you know the symptoms of this disease?
Answer: Hot body, pain and vomiting.
Q.No.4. Who is responsible for this situation?
Answer: No proper food.
Q.No.5. Who can help to eradicate the problem?
Answer: Do not know.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: In the village.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: No money for treatment.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Do not know.
13. Bhola, 22yrs, Male, Rickshaw Puller.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: Headache, vomiting and pain.
Q.No.4. Who is responsible for this situation?
Answer: Mosquito bite.
Q.No.5. Who can help to eradicate the problem?
Answer: Government by spraying pesticide.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Far away.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: near by village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Because of more money expenditure and time.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness, medication and spray.
16. Naamdar, 63yrs, Male, Black-Smith.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito bite.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever with body ache.
Q.No.4. Who is responsible for this situation?
Answer: Ourselves and government.
Q.No.5. Who can help to eradicate the problem?
Answer: We with help of Government worker.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: It is far away.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To city doctor or hospital.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: We go in case of very serious illness.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By stopping mosquito breeding.
15. Ballu, 28yrs, Male, Black-Smith helper.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: Body ache and vomiting.
Q.No.4. Who is responsible for this situation?
Answer: Our dirty surroundings.
Q.No.5. Who can help to eradicate the problem?
Answer: Government by destroying mosquitoes.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Doctor and hospital are far away.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To doctor and hospital.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Very far and costly.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Safety from mosquito and medication.
16. Naresh, 26yrs, Male, Helper.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: Body ache.
Q.No.4. Who is responsible for this situation?
Answer: Our area.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Do not know.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Near by village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: No necessity.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Cleanliness and spray.
17. Jannu, 30yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever with Body pain.
Q.No.4. Who is responsible for this situation?
Answer: Community members.
Q.No.5. Who can help to eradicate the problem?
Answer: Government health workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: There is not any doctor and hospital.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To nearby village doctor.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Due to no time and money.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: By cleanliness and destroying mosquitoes.
18. Attar, 33yrs, Male, Laborer.
Q.No.1. Which disease is spreading around your area?
Answer: Fever.
Q.No.2. What are the main cause of this problem?
Answer: Do not know.
Q.No.3. Do you know the symptoms of this disease?
Answer: Hot body and pain.
Q.No.4. Who is responsible for this situation?
Answer: Weak body.
Q.No.5. Who can help to eradicate the problem?
Answer: Government.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: Do not know.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: Takes only home treatment.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Due to high expenses.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Good food and cleanliness.
19. Sujan, 40yrs, Male, Painter.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever and Body ache.
Q.No.4. Who is responsible for this situation?
Answer: Ourselves and government department.
Q.No.5. Who can help to eradicate the problem?
Answer: We with help from of health workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: No nearby but far away.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To a doctor and hospital.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Only goes in emergency cases.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Destroying mosquito by spray.
20. Hemu, 51yrs, Male, Peon.
Q.No.1. Which disease is spreading around your area?
Answer: Dengue Fever.
Q.No.2. What are the main cause of this problem?
Answer: Mosquito bite.
Q.No.3. Do you know the symptoms of this disease?
Answer: High fever, pain and vomiting.
Q.No.4. Who is responsible for this situation?
Answer: Members negligence.
Q.No.5. Who can help to eradicate the problem?
Answer: Members with help workers.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: No nearby but in city.
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: To doctor or hospital.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: Go in serious illness.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Daily drains cleaning and pesticide spray.
As above, all the selected members gave almost same answers, they could not
response
properly because they are illiterate and never learnt about the hygiene and cleanliness.
They think that the diseases are given by the God according to the deeds.
They are poor so they cannot afford the fees and medicine bills and avoid going to
Doctor
or Hospital until they fall seriously ill.
ACTIVITY:
After receiving the response of the questionnaire, I went to the District Hospital,
Ghaziabad and met the Hospital Superintendent Dr.Y.C.Gupta, and told him about the
position of sick persons of the target community.
Dr.Gupta at once sent two health workers with me to check the problems,
Mr.Rampravesh and MrBalmiki, health workers took the sick persons to the hospital for
treatment.
Three out of them were found with dengue symptoms and one of them was relieved
after
some treatment.
Next day health workers came with pesticide sprayers, to spray in the drains and
homes.
I gathered nearly 50 members of the group with the help of health workers to make
them
to know about the facts and answers of the questionnaire.
INTERACTION:
I explained the answers of the questionnaire with the help of health workers to all the
gathered members.
QUESTIONNAIRE WITH APPROPRIATE ANSWERS:
Q.No.1. Which disease is spreading around your area?
Answer: The spreading disease in the area is Dengue Fever.
Q.No.2. What are the main cause of this problem?
Answer: Main Cause of spread is through bites of Mosquito (Aedes Aegypti).
This mosquito bites during the day and lay eggs in fresh stored water.
Q.No.3. Do you know the symptoms of this disease?
Answer: Main symptoms of the Dengue are high fever, sever headache, nausea
and vomiting, joint pains and rashes on the body.
Q.No.4. Who is responsible for this situation.?
Answer: All members of the community are equally responsible for the situation,
because good sanitation and cleanliness of drains and surrounding are
more important to prevent diseases.
Q.No.5. Who can help to eradicate the problem.?
Answer: We ourselves with the help of health workers may do better
environment, health workers may teach new tools and technology to
prevent and eradicate the problems.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: It is essential to keep in touch with the health department to persuade
them in organizing the health checkup camps and spray pesticides in the
effected area.
Q.No.7. Where is nearby Doctor and Hospital for Medical Help?
Answer: All the towns have hospitals and primary health centres for medical
services. Our PHC (Primary Health Centre) is in Loni and hospital is in
Ghaziabad from where
we can have medical services at nominal fees..
Q.No.8. To whom you may go for medical treatment in emergency?
Answer: You may go to PHC, Hospital or to near by Doctor for Medical
treatments. Also, I suggested the name of Dr. Ravindra Singh., who is
practicing in the village Kar Kar Manden since a long time and is very
generous for poor people.
Q.No.9. Why you do not go to Doctor or Hospital for treatment?
Answer: All the PHC and Hospital treat poor patients at very nominal fees or
sometime free also, So never hesitate to go to a Hospital.
Beside this the telephone numbers of the health workers and hospital
were given to community members to call for Medical help in case need
arises for health services.
Q.No.10.What are the safety precaution to prevent from disease?
Answer: Never let the mosquitoes breed in and around the house and locality,
keep all the drains and pot holes clean by putting some kerosene in
them. Never left any broken pot or container which can store water.
Always keep contact with the health workers of the area. If suspect any
disease then immediately get the treatment.
MEDIA:
I used Non-Machine (no electronic) Media. I pasted the Posters on every house
with the help of group members, which were provided by the health department,
Also the charts of instruction and Location of PHC and Hospitals with their
phone numbers were distributed, So that the community members may utilize the
health services.
This kind of Posters were given by the Health Department.
4. OBSERVATION:
By Observation we may check the progress and obstruction in the planned
activity.
A. PRE-TEST :
Before starting any activity we have to observe the attitude and
practice level of the community members because without their cooperation no
any type of activity may be done.
I met the Community members to see their interest in solving the problem, in
beginning there was not any awakening towards the problem, but when I again
and again told about the seriousness of the problem they agreed to participate.
When the plan action started I recorded their cooperation and neglecting in doing
the cooperative work as cleaning the drains and filling the pot holes of their
surroundings.
After teaching and persuading them to do work for their own benefits they agreed
and did the full cooperation in doing work with their full strength.
I used participatory approach to motivate them
B. COLLECTION OF DATA :
After using questionnaire and interviews with the twenty selected members of the
target group following data was collected. :
1. About the spreading of disease a) 3 out of 20. Do not know.
b) 7 out of 20. Know about Dengue.
c) 10 out of 20 . Know only fever.
2. About the Cause of problem a) 13 out of 20. Mosquito.
b) Don’t know name of Mosquito.
c) 7 out of 20. Bad weather and
surroundings.
3. About the symptoms of disease a) 10 out of 20.Know High Fever
and Body Pain.
b) 10 out of 20 .Hot body and Pain.
4. About who is responsible a) 3 out of 20.Government
department and members of
community.
b) 9 out of 20.Non Hygienic
conditions of the area due to
members and government.
c) 8 out of 20 .Do not know
5. About the eradication of problem a) 12 out of 20.Comunity members
and health workers.
b) 6 out of 20.Government
Department.
c) 2 out of 20.Do not know.
6. About the health check-up a) 20 out of 20.Said No
7. About the location of doctor & Hospital a) 12 out of 20.Far away in the city.
b) 5 out of 20.Only 1 village doctor.
c) 10 out of 20.Do not know.
8. About the medical treatment a) 12 out of 20.Go to village doctor.
b) 5 out of 20.Go to city doctor and
hospital.
c) 3 out of 20.Do home treatment.
9. About the doctor or hospital treatment a) 12 out of 20.Very far and costly.
b) 4 out of 20.When seriously ill.
c) 4 out of 20 .No necessity.
10. About the prevention a) 15 out of 20.Daily cleaning and
pesticide spraying
b) 5 out of 20.Do not know.
5. EVALUATION:
Evaluation is a process to measure the failure or success of a Planned Activity.
A. ANALYSIS OF DATA:
KNOWN UNKNOWN DO NOT KNOW
1. About the spreading of disease 35% 50% 15%
2. About the Cause of problem 65% - 35%
3. About the symptoms of disease 50% 50% -
4. About who is responsible 45% 15% 40%
5. About the eradication of problem 60% 30% 10%
6. About the health check-up - - 100
7. About the location of doctor &
Hospital 60% 25% 15%
8. About the medical treatment 25% 60% 15%
9. About the doctor or hospital
Treatment 60% 20% 20%
10. About the prevention 75% - 25%
After the discussion of the collected data and interviews these analysis were received :
i.) Known - the percentage of the person, who know the actual facts.
ii.) Unknown – the percentage of the person, who know the facts but not have
proper knowledge of the facts.
iii) Do not know - The percentage of the person, who are unaware about the position
and the facts.
B. FEED BACK:
After a week, I visited the target area with the health workers and
asked questions from the members regarding health problems and cleanliness and
made them understand about the safety precautions.
All the community members are ready to do all possible efforts for eradication of
the problem
We fixed a Big Board of instructions and precautions to make them alert and
beware of deadly mosquitoes.
C. RESULTS :
After conducting many discussions and visits, I found that the members
of the target group were conscious towards their health and Dengue.
They were doing drains clean and all potholes were filled, beside this they were
familiar with the health workers and were not hesitating to ask questions about the
health check-up camps medicines and pesticide sprays etc.
Members of the target group are now persuading other community members to
change their practice and they are conscious about the dengue fever and the
prevention of disease.
Now the known person’s percentage is increasing day by day after change in
knowledge, practice and behavior.
6. CONCLUSION:
A Message is an effort to improve the health status of the target group by
promoting medifications in their behavior.
Message is developed and conveyed to change the knowledge, attitude and
practices of the persons. By using different methods and media and with the help
of key persons and leaders of the groups. For sustaining the impact or effect of a
message, it is important to enhance the community participation.
Community participation is a process of involving people to understand their
situations and problems.
All the problems of the community may be solved by teaching and persuading the
community members. With the effort, support, help, guidance and teaching every
member of the community may be made conscious and starts doing work for the
community.