Health Survey In the present era, health surveys play a vital role in determining the health status of the population and it is a procedure in disclosing the prevalent health issues of the society in relation to other variables. Health surveys generally include measures of risk factors, health behaviours, and non-health determinants or correlates of health such as socioeconomic status. The range of measures that can be included is wide and varies by survey. Age, gender, and race/ethnicity are the basic demographic variables that are included in health surveys. Socioeconomic determinants of health include education, income, geographic region, and place of residence. Strong health differentials are found across these variables, and public programs are designed to eliminate these health disparities. However, the relationship between these measures and health is often complex. Social factors can act as causal agents or they can be affected by health. In order to identify causal relationships between determinants and outcomes, longitudinal designs are needed. The causal pathways are more easily teased apart if health surveys can include a broader array of potential determinants of health (biological, psychological, and social). Tobacco use, alcohol use, diet, and physical exercise are common health behaviours that are included in health surveys. As in the case of health status, these concepts present difficult measurement challenges. Obtaining valid information on behaviours such as diet, smoking, and exercise requires significant survey time. Diet is particularly difficult to capture in the survey context. The information obtained would then be linked to external data bases that contain the nutritional content of foods. These databases are expensive and time consuming to develop. There is also a tendency for respondents to underreport negative behaviours such as smoking, and this is even more of a problem for surveys that obtain information on illegal activities such as drug use. Survey procedures have been developed to improve reporting of health behaviours such as maximizing privacy to encourage accurate reporting and developing aids to enhance memory. By keeping this in mind, Sarada Krishna Homoeopathic Medical College has follows Health Survey as a healthy practice of the institution from the 2004-05 onwards. Department of Community Medicine and National Service Scheme of Sarada Krishna Homoeopathic Medical College jointly organises Health Survey annually in Kanniyakumari District.

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Sarada Krishna Homoeopathic Medical College Sarada Krishna Homoeopathic Medical College was established in 2000, as a self- financing institution, under K.V. Education Trust with the intention to provide value based, research oriented medical education in Homoeopathy and dedicated patient care to the needy and poor in the neighbourhood. The institution presently offers BHMS, PG and research programmes in five areas of specialisation namely Organon of Medicine, Materia Medica, Practice of Medicine, Repertory and Paediatrics. Even though, the college is situated at Kulasekharam, it provides homoeopathic health care throughout the district to the needy without any disparity such as rural or urban, remote or hilly, privileged or under privileged, rich or poor through the Collegiate Hospital or Peripheral Health Centers. Institution provides training to homoeopaths for conducting health survey using standardised questionnaire and analysed and interpreted accordingly. Usually, the analysed reports were handed over to the district administration for policy decision and further action. About District Kanyakumari was part of the Samasthanam () till the early forties of the 20th century. After Independence, it remained as part of Travancore Cochin State until the realignment of districts on linguistic basis. Tamil speaking majority had to struggle to merge with and finally came into existences on the 1st of November 1956, with its head quarters at . Kanyakumari is the southernmost district of Tamil Nadu. The district lies between 77° 15’ and 77° 36’ of the eastern longitudes and 8° 03’ and 8° 35’ of the northern latitudes. The district is bound by District on the north and the east. The south-eastern boundary is the Gulf of Mannar. On the south and the south-west, the boundaries are the Indian Ocean and the Arabian Sea. On the west and north-west it is bound by Kerala. In Kanyakumari three seas merge, which symbolizes unity. Moreover it is a place of pilgrimage. Revenue Administrative set-up of Kanyakumari District

Kanyakumari District consists of two revenue divisions, namely Nagercoil and , each headed by a Revenue Divisional Officer. The Nagercoil Revenue Division consists of two Taluk namely Agasteeswaram and . Nagercoil is the headquarters of Agasteeswaram Taluk and is the headquarters of . The Padmanabhapuram Revenue Division consists of four Taluks namely , , and Killiyoor. and Kuzithurai are headquarters respectively for Kalkulam Taluk and . Similarly, Thiruvattar and

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Tholyavattam are head quarters respectively for Thiruvattar and Killiyoor Taluk. These Taluks are administered by Tahsildars. The district owns four Municipalities namely Nagercoil, Padmanabhapuram, and Kuzhithurai. and nine development blocks. Six blocks , , Killiyoor, Thiruvattar, Thuckalai and Kurunthencode form a part of Padmanabhapuram Development Division and the remaining three , and Thovalai come under Nagercoil Development Division. There are 55 Town Panchayats in this district whereas there are only 529 Town Panchayats throughout the State. The District comprises in six Assembly segments and one Parliament Constituency. The District is purely Agriculture oriented and its economy solely depends on Agricultural production. It is industrially very backward indeed

Revenue Divisions

Nagercoil Padmanabhapuram

Taluks

Kalkulam Vilavancode Agastheeswaram Thovalai Thiruvattar Killiyoor

Development Blocks

Thiruvattar Melpuram Agastheeswaram Munchirai Thovalai Thuckalay Rajakkamangalam Kurunthancode Killiyoor

Kanyakumari District Revenue Divisions, Taluks and Blocks

Among the six Taluks, Thovalai and Thiruvattar differentiates itself from other Taluks by its topography that has long tracts of hilly and paddy fields and no coastal area in itself. Kanyakumari district has six legislative constituencies they are Kanyakumari, Nagercoil, Padmanabhapuram, Colachel, Killiyoor, and Vilavancode. Details are given in table-1. Table - 1 Details of Revenue Divisions in Kanyakumari District Sl. No. Category Number 1. Firkas 18 2. Revenue Villages 81 3. Village Panchayats 99 4. Town panchayats 55

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5. Municipalities 4 6. Taluks 6 7. Panchayat Unions 9 8. Revenue Divisions 2 Based on physiographic, the district can be divided into three natural divisions. The north-eastern portion of the Thovalai Taluk constitutes a mountainous division with spurs from Western Ghats running into it, called High Lands. The west and South-West portion of the District is the sea coast which is flat and fairly fertile and called the Low lands. Between the mountain range (high lands) and the sea coast (low lands) there exists a strip of undulating valley, the midlands with a few streams available for cultivation. Vital Statistics S.No Details Number 1 Birth 33308 2 Death 14464 3 Infant Death 165 4 Birth Rate (per 1000 Population) 11.05 5 Death Rate (per 1000 Population) 6.2 6 Infant Mortality (per 1000 live birth) 9.2 7 No. of deaths of women due to problems related to child birth At the time of Delivery 7 During Pregnancy 0 After Child Birth 0

List of Town Panchayat List of Town Panchayat are as follows:

Name of the Town Sl. no 15. Kaliyakkavilai Panchayat 16. Kallukuttam 1. Agastheeswaram 17. Kanniyakumari 2. Alagappapuram 18. 3. Alur 19. 4. Anjugrammam 20. Keezhkulam 5. 21. Killiyoor 6. Asaripallam 22. Kollancode 7. 23. Kothanallur 8. Azhagiapandipuram 24. 9. Boothapandy 25. Kulasekharam 10. Edaicode 26. Kumarpuram 11. 27. Manavalakurichy 12. 28. 13. 29. Marungur 14. 30.

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31. Mylaudy 44. Thenthamaraikulam 32. Nalloor 45. Therur 33. 46. 34. 47. 35. Palappallam 48. Thiruvattar 36. Palugal 49. Thiruvithancode 37. 50. 38. 51. Valvaithankoshtam 39. Puthukkadai 52. 40. 53. 41. Suchindrum 54. 42. Thazhakudy 55. Villukuri 43.

Demographic Details of Village Panchayat Demographic details of Village Panchayat are provided as follows;

Sl. No. of Total Total Total Total SC SC Total ST Panchayat Union ST Female No. Village Population Male Female SC Male Female ST Male 1 Agastheeswaram 12 43,632 21,745 21,887 3,721 1,836 1,885 96 51 45 2 Thovalai 16 61,765 30,665 31,100 7,313 3,667 3,646 282 144 138 3 Rajakkamangalam 12 88,200 43,734 44,466 4,891 2,407 2,484 36 20 16 4 Thackalai 7 57,180 28,468 28,712 2,419 1,224 1,195 21 8 13 5 Kurunthancode 9 65,282 32,902 32,380 1,947 992 955 26 14 12 6 Thiruvattaru 10 70,834 35,270 35,564 1,743 890 853 2,191 1,061 1,130 7 Killiyur 8 56,537 28,135 28,402 851 399 452 127 63 64 8 Munchirai 11 1,27,016 62,997 64,019 1,908 937 971 25 12 13 9 Melpuram 10 75,995 37,268 38,727 1,753 875 878 1,089 511 578 Grand Total 95 6,46,441 3,21,184 3,25,257 26,546 13,227 13,319 3,893 1,884 2,009

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Block wise particulars 1. Agasteeswaram Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 Eraviputhoor 1,709 855 854 187 92 95 - - - 2 Karumpattur 3,331 1,656 1,675 118 56 62 - - - 3 Kovalam 7,638 3,696 3,942 59 24 35 13 6 7 4 Kulasekarapuram 2,853 1,405 1,448 304 144 160 21 11 10 5 Leepuram 6,068 3,141 2,927 125 63 62 - - - 6 Maharajapuram 1,646 798 848 226 108 118 - - - 7 Nallur 3,209 1,622 1,587 613 307 306 10 5 5 8 North Tamaraikulam 3,278 1,662 1,616 235 118 117 - - - 9 Panchalingapuram 2,148 1,086 1,062 81 42 39 10 4 6 10 Ramapuram 4,775 2,378 2,397 630 314 316 30 18 12 11 Swamithope 3,139 1,538 1,601 85 43 42 3 2 1 12 Therekalpudur 3,838 1,908 1,930 1,058 525 533 9 5 4 TOTAL 43,632 21,745 21,887 3,721 1,836 1,885 96 51 45

2. Thovalai Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchaat Total Males Females Total Males Females Total Males Females 1. Arumanalloor 3,482 1,758 1,724 115 58 57 5 3 2 2. Beemanagari 1,975 965 1,010 339 162 177 4 2 2 3. Chenbagaramanputhur 5,108 2,519 2,589 1,472 730 742 17 8 9 4. Derisanamcope 1,381 680 701 25 10 15 - - - 5. Erachakulam 5,185 2,570 2,615 962 485 477 6 2 4 6. Esanthimangalam 3,832 1,879 1,953 330 159 171 - - - 7. Gnalam 3,786 1,904 1,882 220 116 104 - - - 8. Kadukkarai 2,722 1,369 1,353 272 133 139 - - - 9. Kattupudur 3,230 1,622 1,608 197 94 103 - - - 10. Madhavalayam 4,133 2,046 2,087 454 229 225 2 1 1 11. Sahayanagar 6,678 3,333 3,345 693 353 340 4 2 2 12. Thadikarankonam 6,241 3,087 3,154 268 142 126 198 98 100 13. Thellanthi 1,957 984 973 683 347 336 - - - 14. Thidal 2,021 1,010 1,011 147 69 78 - - - 15. Thirupathisaram 3,702 1,816 1,886 667 334 333 1 - 1 16. Thovalai 6,332 3,123 3,209 469 246 223 45 28 17 TOTAL 61,765 30,665 31,100 7,313 3,667 3,646 282 144 138

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3. Rajakkamangalm Panchayat Union

Sl. Name Population Scheduled Castes Scheduled Tribes of No. Panchayat Total Males Females Total Males Females Total Males Females 1 Althikkattuvillai 2,526 1,243 1,283 144 63 81 - - - 2 Dharmapuram 17,476 8,768 8,708 925 448 477 4 1 3 3 Elluvilai 2,954 1,449 1,505 112 52 60 - - - 4 Kanyakulam 6,852 3,419 3,433 1,271 633 638 14 9 5 5 Kesavanputhenthurai 4,177 1,972 2,205 ------6 Manakudi 6,111 2,901 3,210 2 1 1 - - - 7 Melakrishnanpudur 2,238 1,123 1,115 57 33 24 - - - 8 Melasankarankuzhi 14,091 7,079 7,012 214 113 101 - - - 9 Pallanthurai 5,386 2,675 2,711 12 8 4 - - - 10 Parakkai 4,051 2,025 2,026 403 205 198 - - - 11 5,576 2,798 2,778 634 317 317 18 10 8 12 Rajakkamangalam 16,762 8,282 8,480 1,117 534 583 - - - TOTAL 88,200 43,734 44,466 4,891 2,407 2,484 36 20 16 4. Thuckalay Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 Athivilai 7,401 3,575 3,826 49 25 24 1 1 - 2 Chadayamangalam 3,583 1,805 1,778 220 113 107 - - - 3 Kalkurichy 6,192 3,076 3,116 179 86 93 - - - 4 Maruthurkurichi 5,579 2,768 2,811 19 8 11 6 2 4 5 Muthalakurichy 4,201 2,133 2,068 343 176 167 - - - 6 Nullivilai 16,138 8,080 8,058 664 342 322 14 5 9 7 Thickanamcode 14,086 7,031 7,055 945 474 471 - - - TOTAL 57,180 28,468 28,712 2,419 1,224 1,195 21 8 13

5. Kurunthancode Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 Kakkottuthalai 3,622 1,781 1,841 358 190 168 - - - 2 Kattimancode 8,541 4,331 4,210 157 87 70 - - - 3 Kurunthancode 7,838 3,944 3,894 195 92 103 - - - 4 Muttam 14,483 7,357 7,126 4 2 2 2 1 1 5 Nettancode 2,655 1,323 1,332 170 82 88 - - - 6 Simoncolony 9,836 5,072 4,764 7 3 4 4 2 2 7 Thalakkulam 3,921 1,915 2,006 243 136 107 - - - 8 Thenkarai 2,280 1,119 1,161 152 77 75 - - - 9 Vellichandai 12,106 6,060 6,046 661 323 338 20 11 9 TOTAL 65,282 32,902 32,380 1,947 992 955 26 14 12

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6. Thiruvattaru Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 5,203 2,564 2,639 9 4 5 9 3 6 2 Ayacode 8,874 4,335 4,539 556 281 275 8 4 4 3 Balamore 306 150 156 99 46 53 3 1 2 4 Cherukole 9,952 4,961 4,991 64 34 30 16 9 7 5 Kannanoor 7,747 3,921 3,826 16 9 7 - - - 6 Kattathurai 17,271 8,598 8,673 42 25 17 - - - 7 Kumarankudi 5,541 2,757 2,784 16 8 8 - - - 8 Pechiparai 8,686 4,340 4,346 738 385 353 2,054 1,001 1,053 9 Surulacode 2,498 1,225 1,273 188 90 98 97 41 56 10 Yettacode 4,756 2,419 2,337 15 8 7 4 2 2 TOTAL 70,834 35,270 35,564 1,743 890 853 2,191 1,061 1,130

7. Killiyoor Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 13,097 6,650 6,447 8 - 8 - - - 2 Kollanchy 5,101 2,560 2,541 10 7 3 - - 3 Mathicode 6,532 3,177 3,355 417 193 224 - - - 4 8,625 4,279 4,346 138 70 68 5 3 2 5 Mullaginavilai 4,836 2,348 2,488 ------6 Nattalam 7,674 3,821 3,853 105 49 56 - - - 7 Paloor 6,818 3,357 3,461 164 75 89 122 60 62 8 Thipramalai 3,854 1,943 1,911 9 5 4 - - - TOTAL 56,537 28,135 28,402 851 399 452 127 63 64

8. Munchirai Union

Sl. Name of Population Scheduled Castes Scheduled Tribes NoNo.. Panchayat Total Males Females Total Males Females Total Males Females 1 Adaikkakuzhi 8,888 4,408 4,480 214 112 102 4 2 2 2 Choozhal 6,807 3,373 3,434 140 75 65 16 7 9 3 Kulappuram 7,677 3,797 3,880 81 37 44 3 2 1 4 Mankadu 4,889 2,390 2,499 79 37 42 - - - 5 Methukummal 19,41719,417 9,513 9,904 297 163 134 - - - 6 Munchirai 2,383 1,158 1,225 260 127 133 - - - 7 Nadaikavu 8,727 4,369 4,358 123 55 68 - - - 8 23,630 11,709 11,921 384 176 208 - - - 9 16,478 8,371 8,107 48 19 29 - - - 10 Vallathurai 19,758 9,8039,803 9,955 204 103 101 2 1 1 11 Vavarai 8,362 4,106 4,256 78 33 45 - - - TOTAL 1,27,016 62,997 64,019 1,908 937 971 25 12 13

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9. Thiruvattaru Panchayat Union

Sl. Name of Population Scheduled Castes Scheduled Tribes No. Panchayat Total Males Females Total Males Females Total Males Females 1 Devicode 8,459 4,191 4,268 235 124 111 48 21 27 2 Malayadi 7,812 3,821 3,991 124 65 59 - - - 3 Mancode 6,481 3,143 3,338 117 50 67 1,012 474 538 4 6,840 3,300 3,540 151 76 75 9 4 5 5 Maruthancode 8,277 4,082 4,195 579 292 287 2 1 1 6 Muzhucode 8,000 3,945 4,055 182 89 93 5 2 3 7 Puliyoorsalai 6,361 3,085 3,276 167 89 78 7 5 2 8 Vanniyoor 4,319 2,092 2,227 104 48 56 - - - 9 Vellomcode 12,715 6,256 6,459 34 16 18 6 4 2 10 Vilavancode 6,731 3,353 3,378 60 26 34 - - - TOTAL 75,995 37,268 38,727 1,753 875 878 1,089 511 578

Goal of the Practice The institution conducts health survey along the length and breadth of Kanniyakumari District in order to evaluate the health status of the population and potential determinants of health which in turn helps undergraduate students in Homoeopathy to acquire experience in the field, knowledge about the health status, communication skills and health issues of that community. The specific objectives of conducting health survey by the institutions are: 1. To identify the healthy behaviours, demographic and socio-economic variables. 2. To identify recent peaks in prevailing health issues and thereby adopts appropriate measures including preventive mechanism to improve the health status of the people. 3. To provide insight in assessing overall health status and to evaluate the antecedental history of diseases in the population. 4. To submit survey data to the district administration in order to make policy decision on health issues. 5. To provide wide exposure to homoeopathic students on community learning. Process and Procedure Students of medical science have to acquire experience and develop skills in health issues of the people directly by visiting their place of residence in different geographical areas including rural, urban, tribal, coastal, socially and culturally underdeveloped areas in order to render health services. This practice immensely develops the core knowledge, skill and attitude in approaching public health care services. Geographical location of the district and its natural setup itself makes it prone to epidemic outbreaks such as Dengue fever, Chikungunya, Chicken pox, Diarrhoea, Hepatitis and similar diseases. The district health

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authorities adopt several measures including awareness and preventive measures to keep the outbreaks under control. Thus, the data collected by the students will help them to understand the health issues of the society and policy makers to frame strategies for providing health care for the betterment of the society. This experience helps the students to interpret survey data as well as to develop practical strategies for assessing and responding to the needs of the public. The importance of health survey in medical education, tools used for data collection, descriptions about survey tool, procedure for data collection, precautions to be followed during survey are well explained by the respective teacher-in-charge during the initial phase. The survey tool consists of questions related to socio-economic conditions, life style diseases, events of birth and death during last five years, immunisation history, details of physically challenged and bedridden members in the family, family planning, housing management including waste disposal, sanitation, supply of electricity, etc. The second phase, the students are divided into smaller groups consisting of 5-7 students. They conduct survey in assigned places as per the schedule and provide brochures to all householders. They are properly guided and monitored by the respective guides. In the final phase, the collected data are evaluated and interpreted by the students, major health issues are identified and draft report is prepared. The same is further evaluated and refined to final report by the teacher-in- charge. This report is submitted to the health authorities of the district. Evidence of Success The students participate actively in collection of data for health survey, and develop skill in interpretation of statistical data. The district administration has also accepted our report and data as source for their health planning mechanism for the welfare of the society. Details of Survey Conducted Details of Health Survey conducted by SKHMC in Kanniyakumari District are given below: Table Details of Survey Conducted Month & Year Panchayat Total houses visited Total Population covered March 2005 Ayacode 1166 5104 March 2005 Kadayal 608 2645 March 2006 Pechipparai 624 2425 May 2006 Azhahiya pandipuram 1135 4719 November 2006 Surulode 329 1373 March 2007 Kollancode 509 2719 April 2007 Buthapandi 1672 7339 November 2007 Thiruvattar 2765 11571 April 2008 Verkilambi 2976 11884

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April 2008 Aruvikkarai 593 2375 March 2008 Ponmanai 1571 6769 October 2008 Attoor 2017 8422 March 2009 Kumarpuram 1620 6303 May 2009 Cherukol 863 3780 May 2009 Vellancode 1978 8272 March 2010 Vilavoor 738 3228 September 2010 Manjalumoodu 944 4202 March 2011 Vellancode 956 4004 April 2011 Edaicode 2837 11430 November 2011 Pacode 3554 14144 March 2012 Tenkarai 340 1364 April 2012 Arumanai 2346 8285 November 2012 Muzhicode 1110 4457 April 2013 Nullivilai 889 3542 April 2013 Chadayamangalam 828 3401

Findings: 1. Ayacode – March 2005 Cough Common diseases prevalent Acute respiratory disease Rheumatism Diabetes mellitus

2. Kadayal panchayt 2005 Common Diseases prevalent Respiratory Tract Infections Asthma Gastro Intestinal Infections

3. Pechipparai- March 2006 Common diseases prevalent Rheumatism Allergy Asthma 4. Azhahiya pandipuram- May 2006

Common diseases prevalent Communicable Diseases Viral Fever Diarrhoea Respiratory Infections Non communicable disease Diabetics Mellitus Hypertension Heart Problems Kidney Problems

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5. Surulode – November 2006

Common diseases prevalent

Communicable disease Viral Fever Dengue Pneumonia Non communicable disease Diabetics Mellitus Hypertension Kidney Problems Cancer

6. Kollencode – march 2007 Common diseases prevalent Polio Filariasis Rheumatism Communicable Diseases Viral Fever Tuberclosis Non-communicable Disease Diabetics Mellitus Hypertension Heart Problems Cancer

7. Buthapandi – April 2007 Disease Common diseases prevalent Pneumonia Communicable disease Tuberculosis Dermatitis Heart problems Non communicable disease Diabetes mellitus Hyper tension Asthma Cancer

8. Thiruvattar – November 2007 Disease Common diseases Total prevalent Viral fever 469 Communicable disease Tuberculosis 9 Diarrhea 25 Heart problems 2 Non communicable disease Diabetes mellitus 205 Hyper tension 142 Asthma 105

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Cancer 3 Allergy 31

9. Verkilambi – April 2008 Common diseases prevalent Male Female Total Communicable disease viral fever 205 206 411 Dengue 5 11 16 Chikunguniya 47 41 88 Hepatitis 1 3 4 Diarrhea 2 1 3 Malaria 1 1 Diabetes mellitus 178 146 324 Non communicable disease Hypertension 117 133 250 Asthma 93 136 229 COPD 11 7 18 Kidney stone 1 1 Rheumatism 165 241 406 Cancer 3 1 4 Heart problem 8 7 15

10. Aruvikkarai – April 2008 Diseases Common diseases Male Female Total prevalent Viral fever 58 56 144 Communicable disease Tuberculosis 2 1 3 Chicken pox 53 11 64 Hepatitis 5 2 7 Chikunguniya 78 52 130 Diabetes mellitus 70 48 118 Non communicable disease Hyper tension 68 64 132 Rheumatism 69 86 155 Allergy 6 4 10 Asthma 29 40 69 Cancer 4 3 7 Goiter 4 4 Heart problem 6 1 7

11. Ponmanai – 2008 Types Common diseases prevalent Communicable disease Viral fever

Diabetes mellitus Non communicable disease Hyper tension Asthma Allergy

12. Attoor – October 2008 Common diseases prevalent Male Female Total

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viral fever 291 217 508 Communicable disease Tuberculosis 1 1 2 Chikunguniya 9 8 17 Hepatitis 1 1 Diarrhea 30 43 73 Diabetes mellitus 178 178 356 Non communicable disease Hypertension 125 105 230 Asthma 50 43 93 COPD 58 75 133 Rheumatism 149 216 365

13. Kumarpuram – March 2009 Common diseases prevalent Communicable disease Viral fever Diabetes mellitus Non communicable disease Hyper tension Rheumatism

14. Cherukol – May 2009 Common diseases prevalent Total Communicable disease Viral fever 113 Diarrhea 7 Diabetes mellitus 154 Hyper tension 134 Non communicable disease Rheumatism 225 Asthma 138 Cancer 5 COPD 13 Allergy 18

15. Vellancode – May 2009 Common diseases prevalent Male Female Total viral fever 111 130 141 Communicable disease Tuberculosis 4 4 Chikunguniya 1 1 Hepatitis 2 2 Diarrhea 4 4 Dengue 2 1 3 Diabetes mellitus 151 158 309 Non communicable disease Hypertension 117 167 284 Asthma 81 121 202 COPD 5 2 7 Rheumatism 205 337 542 Allergy 33 49 82 Goiter 2 8 10 Heart problem 4 3 7

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Cancer 4 1 5

16. Vilavoor – March 2010 Type of Disease Common diseases prevalent Male Female Total Viral fever 17 16 33 Communicable disease Diarrhea 13 8 21 Mumps 3 3 6 Diabet es mellitus 97 77 174 Non communicable disease Hyper tension 45 45 90 Rheumatism 28 57 85 Allergy 5 4 9 Asthma 2 6 8 17. Manjalumoodu – September 2010 Common diseases prevalent Male Female Total Viral fever 42 41 83 Communicable disease Tuberculosis 2 1 3 Chikunguniya 1 1 Hepatitis 2 2 Diabetes mellitus 96 97 193 Non communicable disease Hyper tension 76 90 166 Rheumatism 120 135 255 Allergy 11 10 21 Goiter 1 9 10 Cancer 1 2 3 COPD 66 56 122 Heart problem 3 3 6 PCOD 1 1

18. Vellancode – March 2011 Common diseases prevalent Male Female Total Viral fever 18 21 39 Communicable disease Tuberculosis 1 1 Dengue 1 1 2 Hepatitis 1 1 Diabetes mellitus 60 67 127 Non communicable disease Hyper tension 43 51 94 Rheumatism 82 101 183 Allergy 24 5 29 Asthma 29 25 54 Cancer 4 1 5 19. Edaicode – April 2011 Common diseases prevalent Male Female Total Viral fever 29 28 57 Communicable disease Tuberculosis 6 3 9 Mumps 2 1 3 Chicken pox 4 4 8 Diabetes mellitus 433 354 787

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Non communicable disease Hyper tension 323 453 776 Rheumatism 181 244 425 Allergy 11 2 13 Asthma 83 134 217 Cancer 4 4 COPD 13 14 27

20. Pacode – November 2011 Common diseases prevalent Male Female Total

Viral fever 305 113 418 Communicable disease Chicken pox 36 30 66 Tuberculosis 8 4 12 Pneumonia 5 1 6 Diarrhea 4 8 12 Dengue 6 6 12 Typhoid 2 1 3 Chikunguniya 6 11 17 Malaria 2 1 3 Diabetes mellitus 399 305 704 Non communicable disease Hyper tension 300 253 553 Rheumatism 320 419 739 COPD 8 2 10 Asthma 107 130 237 Cancer 7 8 15 Heart problem 2 3 5 Allergy 47 41 88 Rheumatic fever 18 40 58

21. Tenkarai – March 2012 Common diseases prevalent Male Female Total Communicable disease Viral fever 10 40 50 Diabetes mellitus 44 36 80 Non communicable disease Hyper tension 50 45 95 Rheumatism 26 42 68 Heart problem 1 1 Asthma 16 25 41

22. Arumanai – April 2012 Common diseases prevalent Male Female Tot Viral fever 15 22 37 Communicable disease Chicken pox 4 3 7 Chikunguniya 6 3 9 Hepatitis 4 6 10 Diabetes mellitus 290 306 596 Non communicable disease Hyper tension 298 243 541 Rheumatism 275 388 663 COPD 2 1 3

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Asthma 52 47 99 Cancer 1 1 2 Heart problem 10 3 13

23. Muzhicode - November 2012 Common diseases prevalent Male Female Total Viral fever 33 47 80 Communicable disease Chicken pox 11 4 15 Tuberculosis 3 3 Hepatitis 2 - 2 Diarrhea 3 3 Dengue 7 7 14 Diabetes mellitus 112 77 189 Non communicable disease Hyper tension 98 86 184 Rheumatism 40 51 91 COPD 1 3 4 Asthma 26 26 52 Cancer lungs 2 2 Heart problem 1 1 2

24. Nullivilai – April 2013 Common diseases prevalent Male Female Total Viral fever 3 10 13 Communicable disease Chikunguniya 1 3 4 Tuberculosis 1 1 Measles 7 1 8 Dengue 2 2 Diabetes mellitus 87 55 142 Non communicable disease Hyper tension 77 46 123 Rheumatism 64 57 121 Goiter 2 10 12 Asthma 26 20 46

25. Chadayamangalam – April 2013 Common diseases prevalent Male Female Total

Viral fever 28 24 52 Communicable disease Hepatitis 8 3 11 Tuberculosis 7 2 9 Dengue 22 18 40 Diabetes mellitus 79 61 140 Non communicable disease Hyper tension 168 55 223 Rheumatism 20 35 55 Allergy 12 7 19 Asthma 17 11 28 COPD 4 3 7

26. Pacode – November 2011

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Common diseases prevalent Male Female Total Viral fever 305 113 418 Communicable disease Chicken pox 36 30 66 Tuberculosis 8 4 12 Pneumonia 5 1 6 Diarrhea 4 8 12 Dengue 6 6 12 Typhoid 2 1 3 Chikunguniya 6 11 17 Malaria 2 1 3 Diabetes mellitus 399 305 704 Non communicable disease Hyper tension 300 253 553 Rheumatism 320 419 739 COPD 8 2 10 Asthma 107 130 237 Cancer 7 8 15 Heart problem 2 3 5 Allergy 47 41 88 Rheumatic fever 18 40 58

DETAILS OF HEALTH SURVEY For 2013-2019

Year No. of Health Medical PGs Interns Students No. of Total Population Surveys Officers Houses Covered 2013-2014 5 29 6 46 296 2832 11331 2014-2015 3 13 6 - 212 2072 8768 2015-2016 2 16 6 25 126 2222 8457 2016-2017 5 36 16 162 237 5683 22473 2017-2018 2 25 - 90 50 1992 7659 2018-2019 5 65 - 127 555 5751 20639 TOTAL 22 184 34 450 1476 20552 79327

Total health survey- 22 Total medical officers-184 Total PGs- 34 Total interns-450 Total students-1476 Total houses visited -20552 Total population visited-79327

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DETAILS OF HEALTH SURVEY (2013 to 2019) Academic Sl. Year & Participants No. of houses Total population year Date Place No Month MO PGs Interns Students visited covered 9.12.2013 to Devicode (Interns & 1. 2013 Dec 2 - - 57 1083 4594 10.12.2013 Students) 2. Feb 2014 22.02.2014 Colachel(NSS) 7 - - 75 170 640 13.5.2014 to 3. 2014 April Puliyoorsalai (Interns) 3 - 46 - 765 3155 2013-14 14.5.2014 4. 2014 May 20.05.2014 Kadayalumoodu (NSS) 12 - - 85 48 200

5. 2014 Oct 16.10.2014 Mancode (IV BHMS) 5 6 - 79 766 2742

21.04.2015 to 6. 2015 April Kovalam (NSS) 4 6 - 55 625 2722 23.04.2015 15.05.2015 to Manjalumoodu 7. 2014-15 2015 May 5 - - 85 944 4002 16.05.2015 (swasthyarakshan) 27.7.2015 to 8. 2015 July Pechipparai (Interns) 4 - - 72 503 2044 28.7.2015 24.11.2015 to Kadayalumoodu (IV 9. 2015 Nov 12 - - 95 858 3070 25.11.2015 BHMS) 2016 March 5387 2015-16 1.3.2016 to Sahayanagar 10. 4 6 25 31 1364 4.3.2016 Vellamadam (NSS)

8.11.2016 to 11. 2016 Nov Pacode (IV BHMS) 2 - - 96 872 3487 9.11.2016 28.11.2016 to 12. 2016 Nov Thoothoor (NSS) 5 5 - 44 554 2407 1.12.2016 2016-17 13.2.2017 to Manjalumoodu 13. 2017 Feb 11 - 79 - 1228 4431 14.2.2017 (Internee) 29.5.2017 to 14. 2017 May Ayacode (Internees) 7 7 83 - 1333 5094 30.5.2017 15. 2017 Oct 23.10.2017 to Colachel (IV BHMS) 11 4 - 97 1483 6191

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24.10.2017 10.12.2017 to 16. 2017 Dec Vellimalai (NSS) 10 - - 50 1110 4457 16.12.2017 2017-18 16.4.2018 to 17. 2018 April Vellancode (Internees) 15 - 90 - 882 3202 17.04.2018 11.12.18- 12.12.2018 2018 Resurvey: Puliyoorsalai (IV 18. 17 - 35 103 1121 4259 December 22-12-2018, BHMS- UBA) 27-12-2018, 28-12-2018 17-12-2018, 18-12-2018 2018 Dec Mancode (IV BHMS- 19. Resurvey: 19 - 29 109 1135 4234 2019 Jan UBA) 15-01-2019, 2018-19 16-01-2019 31-12-2018 - 2018 Dec 03-01-2019 Ayacode (IV BHMS- 20. 10 - 23 113 1228 4466 2019 Jan Resurvey: UBA) 14-01-2019 03-01-2019, 04-01-2019, Aruvikkarai (IV BHMS- 21. 2019 January 10 - 23 115 951 3318 Resurvey: UBA) 17-01-2019 08-01-2019 Vellamcode (IV BHMS- 22. 2019 January 9 - 17 115 1316 4362 09-01-2019 UBA)

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Communicable Diseases (2013-2019)

S.NO Viral Fever Chicken Pox Dengue Hepatitis Typhoid T.B Chikungunya Measles Diarrhoea Malaria Panchayats M F M F M F M F M F M F M F M F M F M F Devicode 23 23 - - 35 10 28 18 Puliyoorsalai 1 4 12 12 3 4 2 Mancode 15 13 12 16 Kovalam 15 12 19 8 17 10 Manjalumoodu 2015 42 41 2 2 1 1 3 2 Pechipparai 2015 53 46 30 26 1 7 3 12 11 Kadayalur moodu 2015 34 50 22 29 3 3 5 1 1 14 8 5 6 Sahayanagar 11 2 1 9 1 1 Pacode Nov 2016 17 17 7 9 2 3 1 2 1 8 5 Thoothoor 9 5 Manjalumood Feb 2017 49 50 4 2 2 3 1 1 1 Ayacode May 2017 30 29 1 2 4 1 1 1 Colachel Oct 2017 23 24 32 34 2 1 13 20 19 20 Vellancode April 2018 21 16 17 9 8 10 2 2 2 2 1 1 5 8 2 1

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Non-Communicable Disease (2013-19)

S.No Panchayat D.M HTN Bronchial COPD CA Allergy Rheumatism Heart Kidney Goiter Asthma Problems Problem M F M F M F M F M F M F M F M F M F M F 1 Devicode 26 20 22 23 16 29 20 26

2 Puliyoorsalai 15 16 14 18 16 16 14 17 10 21 9 23 3 Mancode 109 95 107 86 30 29 4 1 3 1 3 11 3 4 4 Kovalam 75 50 79 65 18 16 12 7 29 25 70 50 5 Manjalumoodu 2015 96 97 76 90 66 56 1 2 11 10 120 135 3 3 6 Pechipparai 2015 120 99 100 87 27 34 5 1 15 14 90 84 3 2 2 7 Kadayalu moodu 116 76 107 70 16 27 11 14 4 16 18 52 87 1 4 2015 8 Sahayanagar 216 177 174 140 1 4 4 75 82 9 Pacode Nov 2016 113 86 74 58 23 31 9 8 46 66 1 9 10 Thoothoor Nov 2016 50 40 5 2 1 1 1 2 4 10 15 1 11 Manjalu moodu 2017 220 183 160 149 57 68 3 9 5 3 22 31 8346 156 7 5 12 Aycode May 2017 135 99 112 103 15 14 4 4 1 4 6 112 66 1 2 6 13 Colachel Oct 2017 263 134 210 135 38 38 15 10 59 130 14 Vellancode April 167 90 78 55 36 24 2 1 3 55 2 2 2018

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Health Survey Visuals

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Impact of Health Survey  Health survey helped the students to understand health dynamics of the society and socio-economic status of the neighbourhood community.  They develop skill on conducting health survey and interpretation statistical data.  Reaching Homoeopathic care system to every nook and corner of the district.  Incalculate values like empathy, and attachment to the community among homoeopaths.  Conducts sensitization programme related health issues of the society.  Collaboration with Social and Voluntary agencies like Seva Bharathi and Malar Self Help Group to reach homoeopathic care throughout the district.  Institution undertakes Central Government initiatives namely UBA and upload the particulars to the public domain.  Identifying prevalent diseases of the society and develop homoeopathic strategy to adopt preventive, promotive and curative measures.  Based on the outcome of the survey, institution conducts free medical camp, distribution of free medical kit (minimum required homoeopathic medicine) and awareness programme on communicable and non-communicable diseases.  Institution establishes Peripheral Health Centers for providing Homoeopathic health care particularly in remote and interior places.  Homoeopathic cares are provided to the needy through the Collegiate Hospital and Peripheral Health Centers.  As a role model, faculty leads and supervise students for health survey and institution provides conveyance for the purpose. Evidence of Success The students participate actively in collection of data for health survey, and develop skill in interpretation of statistical data. The district administration has also accepted our report and data as source for their health planning mechanism for the welfare of the society. Problem Encountered and Resources Required Problem encountered during the health survey are distance of the targeted area from the institution, time limit, permission from the appropriate authority to conduct health survey, availability of sufficient number of faculties to guide the students, safety and security of students during survey.

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Resources required are manpower for collection and interpretation of data, survey tools, brouchers and conveyance to the site. Contact Details Name of the Principal : Dr. N.V. Sugathan Name of the Convener : Dr. Ajith Kumar, M.V., Dept. of Community Medicine Name of the Institution : Sarada Krishna Homoeopathic Medical College , Kanyakumari District, Tamilnadu – 629 161 04651-279448, 09443606679 [email protected], www.skhmc.org.

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