Mr. Ramesh, Mr. Raman, Mrs. Rupali, Mrs. Kamla, Dr. Sudeshna, Dr. Vandana. Dr. Chintu Choudhary

IntroductionAs a part of public health nutrition

training programme from January 10 to 14,2011 held at NIHFW New Delhi, we visited a nearby urban slum on 12th January 2011 to assess various aspects of children 3 to 5 years of age.

ObjectivesTo assess the socio-demographic conditions

and environmental sanitation.To assess the growth and development and

nutritional status of the child To assess the health seeking behaviour of the

family To provide health education

Methodology Study design: Cross-sectional observational

study.Study area: urban slum in Munirka, New

DelhiStudy Period: 9 am to 12 pm , on 12th January

2011.Study techniques: Interview, observation and

physical examination.Study tools: Measuring tape and weighing

balance, MUAC measurement tape.

ResultsSocio-demographic status of family: Name of Child: Muskaan (lali)Date of birth: 31 July 2007.Age: 3 years 5 monthsType of family: Joint family.No. Of members : 14Monthly income of family: 5000 approx.Per capita income:Rs. 357.Housing: mixed type, overcrowed, ill ventilated, and

inadequately illuminated.Sanitation: common sanitary latrine shared by 15 familiesWater supply: piped waterDisposal of waste: dumping

growth and development and nutritional status AnthropometryHeight:93 cmsWeight: 13kgMuac:15.4cmsAll developmental milestones were within

normal limits as stated by her mother.

Health seeking behavior Occasionally visits anganwadiGoes to safdarjung hospital for minor and

major ailments

Health educationPersonal hygiene and hand washing.Encourage her parents to take the child to

anganwadi centre regularly Deworming Management of common illness like ARI,

diarrhoea Immunization

Dietary history by 24 hours recall method

Time Meal Quantity Calories

8:00 am Milk 125ml 120 cal.

biscuits 5 175 cal

10 .am parantha 1 200 cal

1 :00 pm roti 2 120 cal

Vegetable (aaloo gobhi)

1/2 BOWL 50 cal

oil ½ tea spoon 24 cal

4:00 pm Milk 125ml 120 cal.

Bread 2 slices 50cal

9:pm Roti 1 60 cal

Vegetable(aaloo gobhi)

1 bowl 100 cal

Total 1019

RecommendationFOR THE CHILD

Personal hygiene including HandwashingUtilise the ICDS services including sending

her to anganwadi centre.Regular dewormingImmunisationBalanced diet

FOR THE MOTHER & FAMILY

Antenatal CareFamily Planning & SpacingProper Diet & Rest During PregnancyRegarding Proper Waste DisposalEnvironmental sanitation.Health education on common morbidities of

under five child.