INDEX

SL NO. CONTENT Page no.

1. Introduction 2

2. Objective of urban community 3

3. Community Identification data 4

4. Area Map 7

5. Analysis of data 8

6. Action Taken for Health Hazards 18

7. Limitation 19

8. Recommendation 20

9. Conclusion 21

10. Vote Of Thanks 22

11. Annexures

1.Permission letter

2.Activity Photo gallery

3.Family proforma

1
 INTRODUCTION

The establishment of Urban Primary Health Centre in community department to provide

integrated health care to people bring on urban area is a history of work in the department of
health science in India's National Urban health Service.

2
 OBJECTIVES

To identify demographic characteristics, health determinates and community health resources

of a urban community through survey for community diagnosis.

1. To know the physical setup of urban primary health centre

2. To know the admission procedures and set up of UPHC

3. To understand the different activities of UPHC

4. To gain knowledge about different reward register maintain

3
 COMMUNITY IDENTIFICATION DATA

Community Identification

General Information :

● Months and year of data collection-

● State-West Bengal
● District-Kolkata
● Block-Ward-64
● UPHC 26, Dilkusha Street
● Kolkata Municipal Corporation
● Area-

Physical Setup:

● OPD
● Pharmacy
● Adolescence clinic
● Dot's clinic
● Laboratory
● Gynae and Obstetric OPD
● Dental OPD and Eye OPD
● Cold chain
● ICTC Centre
● Vaccination Room

Staffing pattern:

● Medical officer-2
● Total staff for vector control-11
● 100 day worker-13
● ANM-1
● Lab Technician-1
● Data entry operator-1
● Peon-1

Facilities available:

● Medical care facilities on outdoor basis.

● Eye clinic every Monday, Wednesday, Friday by Ophthalmologists
● Adolescents clinic

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 ● Dot's clinic
● Antenatal and postnatal check up.
● Immunization
● Referral services

Population according to:

● Age: Maximum age group-20-60 yrs

● Sex: Male-656, Female -696
● Education: Most of the people educational level is mid secondary
● Occupation: Most of the female are home makers and males are labour
● Religion: Hindu, Muslim
● Language: Bengali
● Old people: 39
● 5 Years 91
● Adolescence-225

Social Leader:

● Counselor-1

Environmental Sanitation:

● Ventilation- Not Well

● Air-Fresh
● Water-Tap Water
● Water disposal Drainage System
● Excreta disposal Sanitary Latrine

Resources:

Natural

● Climate-Pleasant
● Availability of fruit and vegetables- Daily market
● Tree and plants- So many present
● Road-Pacca
● Transport Facility- Rall station of Park-circus, auto, van, toto car etc.
● Economic Organization: Self-help group.
● Post Office- Circus Avenue Post-Office.

Health Organization

● Government- Urban PHC

5
 ● School-Total 2
● ICDS center-01
● Recreation Facility-T.V, Mobile, Mela, Radio, Festival

Leadership Pattern:

● Formal leader- Counselor Madam Sammi Jahan

● Medical practitioners-2
● Quack practitioner-5
● GNM-1
● ANM-1
● Lab Technician - 2
● Group D-1
● Pharmacist - 1
● ASHA-3

6
 AREA ORIETATION:

We are the final year post basic B.Sc. Nursing students Govt. College of Nursing, West
Bengal (Calcutta National Medical College & Hospital) had our community experience from
26.02.2024 to 19.04.2024 at Dilkhusha UPHC under Kolkata Municipality Corporation.

We started our journey from Govt. College of Nursing CNMCH through Park-Circus 4, No
Bridge to Dilkhusha Street.

This area is under Kolkata Municipal Corporation. Under this area approx. 50,000
population.

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 AGE

Table No-1

DISTRIBUTION OF FREQUENCY AND PERCETAGE OF POPULATION ACCORDING

TO THE AGE GROUP

n =1026

Age in years Frequency Percentage

0-5 70 6.82

6-12 97 9.45

13-19 213 20.76

20-60 452 44.05

61-80 165 16.08

>80 29 2.83

Total 1026 100%

Table shows that maximum population (44.05%) are under 20-60 years of age group.
Followed by (20.76%) under 13-19 years, 16.08% are 61-80 years, 9.45% are under 6-12
years, 6.82% are under 0-5 years and 2.88% are under > 80 years.

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 Distribution of Population according to their Age group

n = 1026

20.76; 21%

44.04; 44%
9.45; 9%

6.82; 7%

2.83; 3%

16.06; 16%

20-60 yr 61-80 yr >80 yr 0-5 yr 6-12 yr 13-19 yr

Fig No: 1

Inference: figure describe that distribution of population according to age group represent
that maximum population (44.04%) are under 20-60 years of age group followed by
(20.76%) under 13-19 years, (16.06%) years 61-80 years, (9.45%) years under 6-12 years,
(6.82%) are under 0-5 year and (2.83%) are under >80 years.

SEX
9
Table No.-2

DISTRIBUTION OF FREQUENCY AND PERCENTAGE OF POPULATION

ACCORDING TO SEX

n =1026

Population Frequency Percentage (%)

Male 490 47.79

Female 536 52.21

Total 1026 100

INFERENCE: Table shows that maximum population (52.21%) is female,

followed by (47.79%) is male.

EDUCATIONAL STATUS
Table No. 3
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 DISTRIBUTION OF POPULATION ACCORDING TO
OCCUPATIONAL STATUS

n = 1026

Educational No of female No of male No of total Percentage %

Status population

Illiterate 120 91 211 20.56

Primary 164 159 343 33.43

Secondary 156 142 298 29.04

Higher 47 52 99 9.64
secondary

Graduate 29 46 75 7.30

Total 536 490 1026 99.97

Table no 3 shows that maximum 33.43% primary education, 29.04% is secondary, 20.56%
population is illiterate, 9.64% population is higher secondary education and 7.30% population
is graduate.

OCCUPATIONAL STATUS

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Occupation status is one component of socio economic status summarizing the poorer Income
and educational requirements with various positions in the occupational structure.

Total number of population 1026 and under 5 children are 70.

Table No-4.

DISTRIBUTION OF POPULATION ACCORDING TO OCCUPATIONAL

STATUS
n=1026

n1=1026-70=956

Occupation Male Percentage Female Percentage Total Percent

(%) (%) age (%)
Unemploye 60 6.28 110 11.5 170 17.78
d
Business 150 15.7 - - 150 15.69

Service 60 6.28 11 1.15 71 7.4

Labour 140 14.6 56 5.85 196 20.5

Housewife - - 200 20.9 200 20.9

Student 80 8.36 89 9.3 169 17.68

Total 490 466 956

INFERENCE: Table shows that 20.9% are housewife, 20.5% are labour,
17.78% are unemployed, 17.68% are students, 15.69% are businessman,
7.4% are service holder.

FAMILY PLANNING

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 ( eligible couple)n2 = 244

Different Contraceptive Methods

41.07
% of eligible couple------>

22.77

17.41

13.84

8.19
4.91

Inj DMP Cu T Oral Pill Barrier Method Safe Period Tubectomy

Contraceptive Method --------------->

Different Contraceptive Methods

Fig no. 2
The bar diagram denotes different contraceptive methods. 4.91% use inj DMP, 13.84% use
CuT, 41.07% use oral pill, 22.77% use barrier method, 17.41% use safe period, 8.19% has
tubectomy.

SANITATION

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 n = 1026

Distribution of family according to sani-

tation

Won Sanitasion
39% Public Snitatin

61%

Fig no. 3

This figure depicts distribution of family according to sanitation. 39% use won sanitation and
61% use public sanitation.

HEALTH PROBLEM
(Under 5 diseased children) n3 = 14

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 Under five children health problem
50
45 42.86
40
35.71
35
% of children

30
25 21.43
20
15
10
5
0
DIARRHOEA ARI OTHERS

Under five children health problem

Fig no. 4
This figure depicts the health problem of under 5 children. 35.71% suffering from diarrhoea,
21.43% suffering from ARI and 42.86% suffering from other health related problem.

(Diseased adults) n4 = 278

Health problem of community people

50
43.85
45
40
35
% of people----->

30
24.46
25
20
13.67 12.54
15
10
5 2.88 2.52
0
HYPER- DIABETES COPD ARTHRITIS EYE PROBLEM SKIN DISEASE
TENSION

Health problem------>

Health problem of community people

Fig no. 5
The bar diagram depicts the health problem of community people. 43.85% suffering from
hypertension, 24.45% suffering from diabetes, 2.88% suffering from COPD, 13.67%
suffering from arthritis, 12.54% suffering from eye problem, 2.52% suffering from skin
disease.
ECONOMIC STATUS

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The economic status is the description of class standing of an individual or group. It is
measured by number of factors including income, occupation and education.

We visited 200 families in urban community and found a variety of occupation. We calculate
the economic status based on total family visited and their income.

Table No-5

DISTRIBUTION OF FAMILY ACCORDING TO INCOME PER MONTH

(family)n5 =200

Income No of family Percentage

<5000 rupees 21 10.51%

5000-10000 rupees 115 57.49%

>10000 rupees 64 32%

Total 200 100

Table 5 denotes that maximum 57.49% family income per month 115is Rs.5000-10000/-
then 32% family whose monthly income is Rs. > 10000/-then 10.51% family whose monthly
income is Rs. < 5000/-

VENTILATION

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 (family)n5 = 200

Distribution of family according to venti-

lation

28%
Inadequate
adequate

72%

In this Pie diagram distribution of family according to ventilation. 28% of family has
inadequate ventilation and 72% of family has adequate ventilation.

ACTION TAKEN FOR HEALTH HAZARD

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1. BP Checking

2. Weight checking

3. Physical examination

4. Demonstration-making of ORS, ROM exercise, hand washing.

5. Health teaching given on-

● Importance of immunization
● Care of Child
● Importance of breast feeding
● Prevention of worm infestation

LIMITATION

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During our urban visit we face so many problem like-

● Local authority is not so cooperate

● Local people language are mainly Hindi
● The festive season they cannot allow us.
● The area was very clumsy and congested
● No of people are not interested in any kind of service

Some limitations faced by us during the survey n visits were

● Full-fledged acceptance of community people

● NoVoluntary participation of the community people
● No Rigidity towards contraception use.
● Difficulty in counseling people in areas of environmental sanitation, certain food
habits (excessive consumption of red meat)

Service:

● Several year we visited this some area so they can not interested in this work

OUR ACTIVITIES

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We all see after the survey that are so many people have living. They are mainly lived in
small room and single room. There are not have any proper ventilation, poor sanitation, poor
waste disposal. All the people have mainly suffering from hypertension, COPD, Arthritis,
Diabetes and children under five year mainly suffering from ARI and diarrhea.

Hypertension:

● People who are suffering from HTN we advised them to check BP properly and daily
● Check BP and record it and follow up to the nearest UPHC
● Daily medication is mostly taken
● Salt restricted diet must taken
● Avoid junk food and cold drinks
● Avoid taking alcohol and smoking
● Daily weight check and exercise also done

Diabetes:

● Daily CBG check and record it

● Daily medicine taken properly
● Some patient had taken insulin properly and demonstrate them how to take care of
● insulin side properly
● Advise them to take sugar restricted diet.

Arthritis:

● There are few older people who suffering from arthritis. We given health talk about
them
● Purin free diet must be taken
● Loss excess weight, weight measure weekly
● Avoid any lifting and climbing stairs
● Rom exercise demonstrate

For children:

● Avoid any kind of package food, junk food

● Maintain proper hygiene
● Given purified water to them
● Immunization status must be monitored
● Follow up to UPHC must be done
● Weight and height check properly

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 RECOMMENDATION

There is a little information about how clients leads their life style which we observed
during our community visit.

Most of them experienced negative emotion, lack of motivation, frustration, unhealthy

life style, lack of knowledge about various environment sanitation, lack of healthy
food choices, obesity, lack of knowledge about various disease e.g. HTN, DM, cancer
etc.

We provide professional information and psychological support to them:-

● Information given about various disease condition and its prevention.

● Performed various nursing activities e.g. checking BP, CBG, weight, give
demonstration on ROM exercise, breast feeding technique etc.

Peoples perceived our health information. We arranged programme on HTN, DM,

cancer which was very client centred for empowering their life style modification.

21
 CONCLUSION

After completion of report we gained knowledge and experience about arrangement

of awareness programme and fulfill our objectives.

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