This is the report presentation slide of Community health diagnosis project (CDP) Group-B by the students of Devdaha Medical College teaching Hospital. The CDP was performed in Ward number 8 of Devdaha municipality located in Rupandehi district.

1. Community Diagnosis Project
(CDP)
Location: Ward no. 8, Devdaha Municipality
Report Presentation By Group B

2. Group Members
• Kapil Sharma
Neupane
• Jitendra Yadav
• Bibek Shrestha
• Darshil Rathod
• Shahina Khatun
• Shiva Raj Sahani
• Subodh Yadav
• Ishan Rawat
• Bhavana Gupta
• Smriti Raj

3. Definition of Community Diagnosis
• It is a quantitative and qualitative description
of the health of citizens and the factors which
influence their health.-WHO
• It is a comprehensive assessment of health
status of a community in relation to its
physical, biological and social environment.
• It identifies problems , proposes areas for
improvement and stimulates action.

4. Methodology
GROUP DIVISION AND HOUSE SELECTION
• Group Division: The total students of MBBS-II Year, 3rd
Batch (41 students) were divided in 4 groups, one group
with 12 students, 2 groups with 10 students, and
another group with 9 students. Our group was named as
Group B, consisting of 10 students.
• Selection Of Houses: We selected the area of Devdaha
municipality (Ward no. 8) purposively for our
convenience, and 205 houses were selected using
simple random selection of probability sampling
method, 5 houses for each student, a total of 50 houses
for our group.

5. Methodology
• Tools And Techniques: Tools and techniques like
questionnaires, interviews, Focused group discussion for data
collection during the first week.
• Timing: The timing for the field visit was 13:00-16:00 and was
conducted for 15 days.
• Survey method: Descriptive cross-sectional method
STUDY FRAME
• No. of households=50
• No. of individuals=264
• Married females of Reproductive age=52
• Children of age less than 5 years=14

6. • Data editing
On the very day of interview, we examined the collected data to
delete unnecessary information and correct the data.
• Data tabulation
Data tabulation was done with the help of IBM SPSS version
25. We filled master and dummy tables to arrange the data under
different heading using rows and columns systematically. Data
under each heading was used during analysis and interpretation.
• Data presentation
Charts, graphs and diagrams were made using Microsoft Excel
and presentation slide was made using Microsoft Powerpoint to
present data.
Methodology

7. • Data analysis and interpretation
Data was analysed with respect to other
findings on the basis of which we prioritised the needs
and problems for MHP. IBM SPSS, Microsoft Excel and
Microsoft Access was used during data analysis.
f) Presentations And Micro Health Projects
Health related community presentation and school
presentation was conducted for uplifting the standard
of people, changing KAP of individuals towards
betterment in various health related aspects during the
second week.
Methodology

8. MAPPING

9. Individual Characteristics

10. Members
1
7
18
7
4
7
3
2
1
0
2
4
6
8
10
12
14
16
18
20
2 3 4 5 6 7 9 10 16
No. of family members
No.offamilies
Mean=5.32
Median=4
Mode=4

11. Sex Wise Distribution Of Age
No.ofindividuals
AGE GROUP
Mean=30.18
Median=27
Mode=27
0
5
10
15
20
25
30
35
40
14
24
32
20
11 12
6
2 1 1
23
29
38
16
12
14
5 4
0 0
Male
Female

12. Gender
Male, 123, 47%
Female, 141,
53%
Male Female
Hence, the sex ratio is found to be 87.23 males per 100
females.

13. Marital status
Single, 108,
41%
Married, 144,
55%
Widow, 11, 4%
Divorced, 1, 0%
Single Married Widow Divorced

14. EDUCATION
0
20
40
60
80
100
120
140
160
180
61
165
30
7 1
No.ofindividuals

15. OccupationNo.ofIndividuals
0
10
20
30
40
50
60
70
80
90
28
15
3
13
35
83
72
11
4

16. Current Health Condition
234,
89%
30, 11%
Healthy Unwell
13, 43%
3, 10%2, 6%
6, 20%
2, 7%
2, 7% 2, 7%
HTN Diabetes
HTN DM Arthralgia
Vision problems Piles
Others

17. Smoking
249, 94%
15, 6%
No smoking Smoking

18. VITALS

19. SYSTOLIC BP
55
77
18
3
0
10
20
30
40
50
60
70
80
90
90-110 110-130 130-150 150-170
Mean=120.14
Median=120
Mode=110
Systolic BP in mm of Hg
No.ofIndividuals

20. DIASTOLIC BP
52
56
25
0
10
20
30
40
50
60
50-70 70-90 90-110
Mean=78.13
Median=80
Mode=80
No.ofindividuals
Diastolic BP in mm of Hg

21. Temperature
92.5-95.0
13%
95.0-97.5
37%
97.5-100
47%
100-102.5
3%
92.5-95.0 95.0-97.5 97.5-100 100-102.5
Mean=97.38oF
Median=97.6oF
Mode=98.6oF

22. Pulse
10
131
42
2 1
0
20
40
60
80
100
120
140
40-60 60-80 80-100 100-120 120-140
Mean=76.53bpm
Median=76.50bpm
Mode=78bpm
Pulse in bpm
No.ofindividuals

23. Anemia
151, 81%
35, 19%
Absent Present

24. Height
Mean=144.25cm
Median=152cm
Mode=160cm
Height in cm
No.ofindividuals
0
10
20
30
40
50
60
70
80
90
4
10
6
12
57
88
9

25. Weight
0
10
20
30
40
50
60
70
80
0-20 20-40 40-60 60-80 80-100
25
21
79
53
8
Mean=51.63kg
Median=55kg
Mode=55kg
Weight in kg
No.ofindividuals

26. BMI
0
10
20
30
40
50
60
70
42
64
13
33
24
10
No.ofindividuals

27. MATERNAL AND CHILD HEALTH

28. No. of live birth
No. of live births No. of female
0 2
1 13
2 25
3 6
4 1
5 3
8 1
11 1
Total 52
Mean=2.29
Median=2
Mode2

29. No. of alive children
No. of alive children No. of female
0 2
1 13
2 26
3 6
5 4
6 1
Total 52
Mean=2.10
Median=2
Mode2

30. Knowledge of respondents regarding Ideal
no. of children
3, 6%
47, 90%
2, 4%
1
2
3
Mean=1.98
Median=2
Mode2

31. age at marriage
0
5
10
15
20
25
30
35
10--15 15--20 20--25 25--30
6
31
13
2
Age in years
No.offemale
Mean=19.27
Median=19
Mode=20

32. Knowledge of respondents regarding Right
age of marriage
0
2
4
6
8
10
12
14
16
18
20 21 22 23 25 28
18
2
12
4
14
2
Mean=22.38
Median=22
Mode=20
No.ofwomenofreproductiveage
Age in years

33. No. of antenatal checkups
No. of checkups
0
2
4
6
8
10
12
14
16
0 1 2 3 4 More
than 4
2
9
8
7
16
8
No.offemaleofreproductiveage
Mean=3.07
Median=3
Mode=4

34. Place of last delivery
Place of last delivery No. of female
Home 17
Hospital 27
Nursing home 6
Total 50

35. At home where delivery conducted
16, 94%
1, 6%
Living room
Others

36. Umbilical cord cut by
33, 66%
5, 10%
8, 16%
4, 8%
Safe delivery kit
New blade
Sterilized instrument
Other

37. Delivery conducted by
16, 32%
29, 58%
4, 8%
1, 2%
Family
Doctor
CHW
Other

38. First food at birth
35, 70%
12, 24%
3, 6%
Colustrum
Breast milk
Other

39. FAMILY PLANNING

40. Knowledge about family planning
47, 90%
5, 10%
Yes
No

41. Ever used FP method
33, 63%
19, 37%
Yes
No

42. Reason behind not using Family Planning
5, 26%
5, 26%
4, 21%
2, 11%
3, 16%
Religion
Partner
Side effect
Want more child
No need

43. Do you discuss about FP with your partner?
41, 79%
11, 21%
Yes
No

44. Ever used family planning?
0
2
4
6
8
10
12
14
16
18
20
Condom Oral pills Depo
provera
Copper T Norplant
19
5
4 4
5
No.ofwomenofreproductiveage

45. IMMUNISATION STATUS

46. Immunization Status
0
12
14 14 14 14 14 14 14 14 14
10
14
10
9 9
2
0 0 0 0 0 0 0 0 0
4
0
4 4
5
0
2
4
6
8
10
12
14
16
No.ofchildrenofage0-5years
Yes
No

47. Immunization to Female
23
22
21.4
21.6
21.8
22
22.2
22.4
22.6
22.8
23
23.2
Female TT1 Female TT2
No.ofwomenofreproductiveage

48. HOUSEHOLD
CHARACTERISTICS

49. Religion
45, 90%
2, 4%
2, 4% 1, 2%
Hindu
Buddhist
Kirat
Other

50. Caste
11, 22%
8, 16%
3, 6%
28, 56%
Brahmin
Chhetri
Newar
Other

51. Type Of Family
31, 62%
12, 24%
7, 14%
Nuclear
Joint
Extended

52. KNOWLEDGE ABOUT...
32
40
47
19
0
5
10
15
20
25
30
35
40
45
50
DOTS HIV/AIDS Malaria Anemia

53. DO HOUSE HAVE KNOWN CASE OF….
0
2
4
6
8
10
12
14
16
2
5
0
15
3

54. ENVIRONMENT

55. Situation of house
3, 6%
11, 22%
19, 38%
17, 34%
Very Congested
Congested
Moderately congested
Spacious

56. Type Of Residence
23, 46%
22, 44%
5, 10%
Pakki
Semi Pakki
Kachhi

57. Construction material Of House
5, 10% 3, 6%
39, 78%
3, 6%
Mud
Wood
Concrete
Temporary

58. Main Floor Material
7, 14%
1, 2%
42, 84%
Earth/Mud/Dung
Ceramic Tiles/Marble
Chips
Cement

59. Main roof materials
3
5
24
2
16
0
5
10
15
20
25
30
Mud Bricks Brick With
Plaster
Bamboo With
Mud Plaster
Other
No.offamilies

60. Residence
46, 92%
4, 8%
Own
On Rent

61. No. of rooms
0
2
4
6
8
10
12
14
16
18
2 3 4 5 6 8 9
17
13 13
3
2
1 1
No. of rooms
No.offamilies
Mean=3.38
Median=3
Mode=2

62. No of windows
0
2
4
6
8
10
12
14
16
18
20
1 2 3 4 5 6 8 9 13
2
6
4
19
7
8
2
1 1
No.offamilies
No of windows
Mean=4.46
Median=4
Mode=4

63. Characteristics of House
0
5
10
15
20
25
30
35
40
45
8
29
8
29
32
45
42
21
42
21
18
5
Present
Absent
No.offamilies

64. Household appliances
0
5
10
15
20
25
30
35
40
45
50
50
43 42
23
13
15
Present
Absent
No.offamilies

65. No of rooms/person
0
2
4
6
8
10
12
14
16
18
0.2-0.5 0.5-0.75 0.75-1.00 1.00-1.25 1.25-1.50 2.5
18
7
18
1
5
1.0
No.ofhouseholds
Room/Person ratio
Mean=0.82
Median=0.77
Mode=1

66. Kitchen characteristics
0
5
10
15
20
25
30
35
40
45
50
41
46
14
43
location sanitation Smoke condition Ventilation
Inside house Sanitary with smoke Present
No.offamilies

67. Cooking fuel
0
5
10
15
20
25
30
35
40
45
Traditional
Firewood/Charcoal/Dung
LPG Kerosene
4
45
1
No.offamilies

68. Attached bathroom
36, 72%
14, 28%
Abesent
Present

69. If absent, where to bath?
19, 53%
17, 47%
In a court yard
Temporary construction

70. Drainage
17, 34%
25, 50%
8, 16%
Soakpit
Kitchen Garden
Other

71. Toilet type on the basis of sullage disposal
15, 30%
29, 58%
6, 12%
Dug hole
Water seal
Septic tank
Every households have latrine in their house.

72. Toilet type on the basis of construction
6, 12%
32, 64%
12, 24%
Flush
Traditional pit
Ventilated improved

73. Drinking Source
31, 62%
19, 38%
Within House
Outside house

74. Source if within house
18, 58%
3, 10%
10, 32%
Piped water
Both
Tube well

75. Source sanitation if within house
10, 32%
21, 68%
Non-sanitary
Sanitary

76. Water source if outside
7, 37%
2, 10%
10, 53% Piped water
Dug well
Tube well

77. Source sanitation if outside
2, 11%
17, 89%
Sanitary
Non-sanitary

78. Distance of source from house if outside
17, 89%
2, 11%
less than 25m
Greater than 25m

79. Time to reach water source if outside
17, 89%
2, 11%
Less than 5 Minutes
Greater than 5 Minutes

80. Frequency of disinfection of source
13, 26%
13, 26%9, 18%
15, 30%
Once a month
Once a year
Not disinfected
Unknown

81. Who disinfects the source?
19, 38%
9, 18%
22, 44% Individual
Others(Health post/VDC/
Organisations
Don't know

82. Water Characteristics
0
0.5
1
1.5
2
2.5
3
3.5
4
Turbidity Colour Odour Taste
0
3
4 4
No.ofhouseholds

83. Solid waste collection
0
5
10
15
20
25
30
Dustbin Plastic bgs Bucket
16
28
6
No.offamilies

84. Who does the removal of waste?
0
5
10
15
20
25
30
35
Individual Community Municipality
31
5
14
No.offamilies

85. Method of waste disposal
0
5
10
15
20
25
30
35
Compost Others
19
31
No.offamilies

86. Presence of Arthropods
All families have some arthropods present in their
house.
Arthropods type No. of families
Fly 50
Mosquito 50
Rodents 24
Ticks 3
Cockroach 8

87. Presence or Absence of Livestocks
18, 36%
32, 64%
No Yes

88. Livestock type
Livestock type No. of families
Chicken 8
Hen 12
Goat 18
Cattle 13
Pig 1
Others 4
Total 32
NOTE : Some families have more than 1 livestocks

89. Presence of cattleshed
21, 42%
29, 58% Absent
Present

90. Location of cattleshed
24, 83%
5, 17%
Outside house
Inside house

91. Sanitary condition of cattleshed
9, 31%
20, 69%
Non-sanitary
Sanitary
Everyone has cattleshed outside kitchen.

92. Monthly income of families
0
2
4
6
8
10
12
10
12
9
8
5
4
2
No.offamilies

93. Receives remittance??
4, 8%
46, 92%
Yes
No

94. Case of sterility in household?
47, 94%
3, 6%
No
Yes
Only single couple is found to be sterile in those house where sterility is found.

95. Preference to son/Daughter
4, 8%
1, 2%
45, 90%
Son
Daughter
Any
100% of families believe girls should go to school.

96. Do you keep women away during
menstruation?
40, 80%
10, 20%
No
Yes
Those who keep away during menstruation,
keep them in separate room.

97. HEALTH SERVICES

98. Cause of sickness
18, 25%
39, 53%
14, 19%
2, 3%
Undernutrition unclean food/water Germs Others

99. Where do you go when you have health
problems?
16, 32%
2, 4%
32, 64%
Health post Both Hospital

100. Heard about Health facility in your VDC?
6, 12%
44, 88%
No Yes
All these 44 know that the free iron tablets
are provided during ANC/PNC visits.

101. How do you know about health facility in
your VDC?
6, 12%
13, 26%
31, 62%
Use and also encourage others to use Only heard Use it

102. Distance of Health post from home??
0
2
4
6
8
10
12
14
16
18
20
1500 2500 3000 15000
3
13
19
9
Distance in meters
No.ofhouseholds

103. Time to reach health post??
0
5
10
15
20
25
30 40 50 60
18
2
3
21
No.ofhouseholds
Time in minutes

104. Quality of service provided by health post
1, 2%
27, 62%
12, 27%
3, 7%
1, 2%
Very good Good OK Unsatisfactory Useless

105. Do you know the danger signs of
pregnancy?
5, 10%
45, 90%
NO Yes

106. Danger signs of Pregnancy
0
5
10
15
20
25
30
35
40
40
34
4
20
6 7
No.ofwomenofreproductiveages

107. How can maternal deaths be averted?
29, 58%
8, 16%
13, 26%
ANC
Health education
Both
No women has died due to pregnancy in
those families.

108. Disability
• No. of disabled =4 (Male-3, Female-1)
• Age- 12,20,32,92 years
• Types of disability
Deaf and dumb-1
Deaf and handicapped-1
Mental retardation-2

109. since last year
• No death has occurred in those families.
• No births has occurred in those families.
• 2 families had spontaneous abortion.
• No any cases of induced abortion.
• A case of still birth was found.
• No cases of pre & post term delivery is found.

110. NUTRITIONAL
ANALYSIS

111. Morning Breakfast
25, 50%
14, 28%
11, 22%
Tea only
Tea + Roti
No Breakfast

112. Calorie intake during breakfast
0
5
10
15
20
25
No breakfast <100 100-200 200-300
11
25
6
8
No.ofhouseholds
Calories in Kcal

113. MIDDAY LUNCH
• 100% of household heads consume rice,
pulses and vegetables as lunch.
• Some take additional food items like eggs,
milk, prickles etc.

114. Calorie intake during midday lunch
0
5
10
15
20
25
30
35
500-700 700-900 900-1100 1100-1300 >1300
11
0
33
3 3
No.ofhouseholds
Calories in Kcal

115. SNACKS
• Other include those who consume rice, noodles, pasta
or fruits. Additional items like curd, vegetables are also
consumed along with those items.
11, 22%
3, 6%
8, 16%
11, 22%
6, 12%
11, 22%
Roti
Tea only
Chowmein
Roti+Tea
Others
No snacks

116. Calorie intake during snacks
0
2
4
6
8
10
12
14
16
18
No snacks 100-200 200-300 300-400 400-500 500-600
11
8
17
8
3 3
No.ofhouseholds
Calories in Kcal

117. DINNER
33, 66%
13, 26%
4, 8%
Rice
Roti
Dhindo
People consume additional food items like milk, curd,
meat, pulses and vegetables along with those food items.

118. Calorie intake during dinner
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
200-400 400-600 600-800 800-1000 1000-1200 >1200
3.0
8.0
9.0
16.0
9.0
5.0
Calories in Kcal
No.ofhouseholds

119. Total calorie intake
0.0
5.0
10.0
15.0
20.0
25.0
1000-1500 1500-2000 2000-2500 2500-3000 3000-3500
6.0
14.0
23.0
5.0
2.0
No.ofhouseholds
Calories in Kcal

120. MID-ARM CIRCUMFERENCE
0
1
2
3
4
5
6
7
8
Severely
malnourished(<12.5cm)
Mild-moderately
malnourished(12.5-13.5cm)
Satisfactory(>13.5cm)
1
5
8
No.ofchildrenofage0-5years

121. Weight For Age
0
1
2
3
4
5
6
0
6
3
4
1
No.ofchildrenofage0-5years

122. Height For Age
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
Normal(>95%) Mildly stunted(87.5-
95%)
Moderately
stunted(80-87.5%)
Severely
stunted(<80%)
8.0
4.0
0.0
2.0
No.ofchildrenofage0-5years

123. Weight For Height
0
1
2
3
4
5
6
Normal(>90%) Mildly
wasted(80-90%)
Moderately
wasted(70-80%)
Severely
wasted(<70%)
6
5.0
2.0
1.0
No.ofchildrenofage0-5years

124. SWOT ANALYSIS

125. STRENGTH
• Every households have latrine and electricity services
in their houses.
• The average age at marriage is higher in young couples
than older ones i.e. child marriage is about to end.
• Most of the families has 4 members in the family
indicating the balanced population.
• Most of the adults and all the children are literate.

126. • Very few members smoke(6%) as compared to national
data. (Nepal being ranked 3rd by percentage in smoking
population, 3rd in male and 1st in female).
• Mean, median and mode of blood pressure,
temperature and pulse are in normal range indicating
most of the people are healthy.
• High ANC visits represents better maternal and child
health care in the community.
• Immunization status of children under 5 years is
satisfactory.

127. • Many people following different caste and religion are
living in harmony, representing unity in diversity.
• Very low people receiving remittance indicates adult
population residing in own country reducing brain drain.
• Knowledge regarding maternal deaths during pregnancy is
adequate.
• The inequality between son and daughter is decreasing
indicating pavement towards gender equality.
• All the people seek for medical attention(allopathy) during
illness.
• There is not much inequality on the basis of caste and
religion as compared to other areas of the nation.

128. Weakness
• Awareness regarding family planning is not sufficient.
• Knowledge regarding diseases seems to be insufficient.
• Majority of concrete houses represents good
construction materials of houses. But the engineering
details (setback, ventilation etc) is not adequate.
Overcrowding is observed in most of the families.
• Knowledge regarding compost preparation for waste
management is not adequate.

129. • Water sanitation is not adequate. People are drinking
water from dug well without purification. Chemical
status of water is still unknown.
• Every households have arthropods in their house which
may be the major source of arthropod borne diseases.
• Many families have low income representing many
number of people under poverty line and low quality
of life.
• High spontaneous abortion and still birth indicates
maternal health still needs to be uplifted.

130. OPPORTUNITIES
• We had got many experiences and knowledge
during that period.
• We had so much fun interacting with community
members and school kids.
• We received warm welcome and better co-
operation by the people of the community.
• We were exposed to know about different
disease prevalent in the community.

131. THREATS
• Insufficient secondary data available there
was no proper system for maintenance in the
ward office.
• The respondent felt difficulty in answering the
questions related to family planning.
• Insufficient equipments.

132. RECOMMENDATIONS
• Knowledge regarding family planning, nutrition, various diseases, compost
preparation, household engineering, water sanitation, arthropod borne
diseases seems to be inadequate. Concerned authorities should play their
role to increase awareness.
• The ward office do not have exact data regarding demographic,
socioeconomic, sociocultural and other determinants. Proper survey and
data analysis should be done to collect those data by municipality or ward
office.

133. • Local people seeks for chemical examination of water, proper supply of tap
water and timely collection of waste materials by municipality.
• The rating of people to quality services provided by DMCTH is not
satisfactory. Services in various wards, OPDs and emergency services is
unsatisfactory according to public. Many people rated Gynae/Obs
department to provide excellent services.

134. THANK
YOU