Professional Documents
Culture Documents
ON
DENGUE FEVER
DNHE-4
Submitted by:
KARAN SINGH
ENROLLMENT No.: 042889491
Project Report No.3825
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 :
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 :
A. First to identify the main problem and cause of the small group selected from the
Community.
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. TARGET AREA: A small slum basti, BIHARIPURA near village Kar Kar
Manden in district Ghaziabad.
C. TARGET GROUP: In this Basti BIHARIPURA, 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.
QUESTIONNAIRE:
Q.No.6. Have you got any Health Check-up by the health department?
F. PLAN OF ACTION:
I met all the twenty selected persons of the target group, asked the questions of
the questionnaire separately, and noted their responses.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
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.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: Never.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
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.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
Q.No.6. Have you got any Health Check-up by the health department?
Answer: No.
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.
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.
. 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.
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.
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.
A. ANALYSIS OF DATA:
KNOWN UNKNOWN DO NOT KNOW
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:
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.