1. Assessment of Children of age group 3-5 years By Team 4

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

4. Introduction As 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 12 th January 2011 to assess various aspects of children 3 to 5 years of age.

5. Objectives To 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

6. Methodology Study design: Cross-sectional observational study. Study area: urban slum in Munirka, New Delhi Study Period: 9 am to 12 pm, on 12 th January 2011. Study techniques: Interview, observation and physical examination. Study tools: Measuring tape and weighing balance, MUAC measurement tape.

7. Results Socio-demographic status of family: Name of Child: Muskaan (lali) Date of birth: 31 July 2007. Age: 3 years 5 months Type of family: Joint family. No. Of members : 14 Monthly 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 families Water supply: piped water Disposal of waste: dumping

8. growth and development and nutritional status Anthropometry Height:93 cms Weight: 13kg Muac:15.4cms All developmental milestones were within normal limits as stated by her mother.

13. Health seeking behavior Occasionally visits anganwadi Goes to safdarjung hospital for minor and major ailments

14. Health education Personal hygiene and hand washing. Encourage her parents to take the child to anganwadi centre regularly Deworming Management of common illness like ARI, diarrhoea Immunization

15. Dietary history by 24 hours recall method TimeMealQuantityCalories 8:00 amMilk125ml120 cal. biscuits5175 cal 10.amparantha1200 cal 1 :00 pmroti2120 cal Vegetable (aaloo gobhi) 1/2 BOWL50 cal oil½ tea spoon24 cal 4:00 pmMilk125ml120 cal. Bread2 slices50cal 9:pmRoti160 cal Vegetable(aaloo gobhi) 1 bowl100 cal Total1019

16. Recommendation FOR THE CHILD Personal hygiene including Handwashing Utilise the ICDS services including sending her to anganwadi centre. Regular deworming Immunisation Balanced diet

17. FOR THE MOTHER & FAMILY Antenatal Care Family Planning & Spacing Proper Diet & Rest During Pregnancy Regarding Proper Waste Disposal Environmental sanitation. Health education on common morbidities of under five child.