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Department of Community Medicine

Department of Community Medicine. UHS Exam. THEORY : SEQs: = 70 MCQ: = 65 Internal Assessment: = 15 Total: 150. VIVA/PRACTICAL :. OSPE: = 10×4 = 40 Marks Research activity = 10 House Hold Servey = 05 Field Visits = 05 Press Cutting = 05 Internal Assessment = 15

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Department of Community Medicine

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  1. Department of Community Medicine

  2. UHS Exam • THEORY: • SEQs: = 70 • MCQ: = 65 • Internal Assessment: = 15 • Total: 150

  3. VIVA/PRACTICAL: • OSPE: = 10×4 = 40 Marks • Research activity = 10 • House Hold Servey = 05 • Field Visits = 05 • Press Cutting = 05 • Internal Assessment = 15 • Internal = 35 • External = 35 • Total: ________ 150

  4. HEALTH A state of complete physical, mental and social well being and not merely the absence of disease or infirmity and ability to lead a socially and economically productive life.

  5. PUBLIC HEALTH The Science and art of preventing disease, prolonging life and promoting physical and mental health and efficiency through organized community efforts for the sanitation of the environment, control of communicable infections, education of the individuals and the organization of medical and nursing services for the maintenance of health.

  6. PREVENTIVE MEDICINE It is a branch of medicine which deals with healthy people. It is the science and art of • Promotion of physical and mental health, • Prevention of diseases, • Disability limitation and • Prolonging life and efficiency.

  7. Bacterial Vaccines and anti sera Antiviral vaccines Synthetic Insecticides Nutritional Deficiency Diseases Chemoprophylaxis Mass drug treatment Screening of Diseases & risk factors Prevention of chronic & Degenerative diseases Hereditary Diseases Geriatric Problems Disease Eradication Population explosion Education of people Anticipatory Medicine SUCCESSES OF PREVENTIVE MEDICINE

  8. COMMUNITY MEDICINE It is an art and science of application of technical knowledge and skills to the delivery of health care to a given community designed in collaboration with related professions as well as human and social sciences on the one hand and the community on the other.

  9. DETERMINANTS OF HEALTH Health is multifactorial In the individual – Genetic make up In the environment Health promoting deleterious effect

  10. BIOLOGICAL DETERMINANTS • Physical & mental traits – genes • Genetic make up is unique • Genetic Diseases – chromosomal abnormalities - Errors of Metabolism - Mental Retardation - Diabetes & CVD. Health: a state which is based upon the absence from genetic constitutional serious defects and presence of normal chromosomal characterization to express potential of his genetic make up.

  11. Behavioural and Socio-cultural Conditions • Life style the way people live • Social values, attitudes & activities • Personal habits • Behaviours – promoting health • Adverse effects on health • Association between health & life style • Health problems Developed - CHD - Lack of sanitation - Obesity - Poor nutrition - Lung cancers - Personal hygiene - Addiction - Human habits - Physical activity - Smoking & Addiction

  12. Environmental Determinants - Internal - External - Physical - Biological - Psychosocial - Direct impact on health - favourable - Unfavourable - Protection & Promotion of family and environmental health

  13. Socio-economic Conditions • S.E development • Per capita Income, GNP • Education • Nutrition • Employment/Occupation • Housing • Political System

  14. Health Services • Personal & family services • Community services For - Treatment of diseases - Prevention of diseases - Promotion of health - Improve health status of people - Decrease – Morbidity _ Mortality • Services - Social periphery - Equitable distribution - Accessible to all - Affordable cost - Socially acceptable

  15. Aging of the population • In world more than one billion in 2020 • Two third in developing countries • Increase in chronic diseases • Increase in disabilities

  16. Gender • Increased conc. Of women’s issue • Action on women’s health for - Nutrition - Reproductive health - Health consequences of violence - Life style & related conditions - Ageing - Occupational environment

  17. HEALTH FOR ALL • The main social target of govt. and WHO is “attainment by all citizens of the world by the year 2000 a level of health that will permit them to lead socially and economically productive life. It was social goal for all Governments

  18. Health Indicators • Measure Health status of a Community/country • Comparison of health status between two communities/Countries. • Assessment of health care needs • Allocation of scare resources • Monitoring & Evaluation of health services, activities & programmes. • The extent to which the objectives & targets are being attained.

  19. Mortality Indicators • Crude death rate • Expectation of life • Infant mortality rate • Child mortality rate • Under -5 Mortality rate • Maternal mortality rate • Disease specific mortality rate • Proportional mortality rate

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