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    A STUDY ON POST- NATAL CARE

    AWARNESS AMONG RURAL WOMEN

    A STUDY ON 1O RURAL WOMEN FOR

    AWARNESS

    REGARDING POST NATAL CARE, BIL VILLAGE,

    VADODARA

    A RESEARCH REPORT SUBMITTED TO

    N.S. PATEL ARTS COLLEGE

    RESEARCH GUIDE RESEARCHER

    AMIT PATEL VIPUL SOLANKI

    N.S.PATEL ARTS COLLEGE, ANAND

    DEPARTMENT OF SOCIAL WORK

    BSW & MSW PROGRAMME- 2010-2011

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    NAME: VIPUL SOLANKI

    CLASS: MSW- II SEMESTER

    ROLL NO: 266

    FIELD WORK AGENCY: SHROFFS FOUNDATION TRUST

    FIELD WORK SUPERVISOR: MR. AMIT PATEL

    AGENCY SUPERVISOR: DR. GAURANG RANAPURVALA

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    PREFACE

    Postnatal is the period beginning immediately after the birth of a childand extending for about six weeks. During this period women should

    care for her new born child as well as herself, she has to take

    nutritional food during this time because after child birth they feel

    week and they have to feed their child eight to ten time in a day,

    there is a need of nutritional food for the mother and new born child

    for good health and their further development. There is a warm

    environment in the mothers womb but after the birth, child comes ina new environment and it is difficult for child to adjust with it so s/he

    has to face many, some time child is death because the lack of post-

    natal care. WHO and Indian government have been worked

    collaborative efforts for the decreased infant and maternal mortality

    rate of our country. There are various organizations worked for the

    same purpose in our country.

    Here the researcher is focusing only to the rural women because therural women are mostly illiterate so that they are misguided by the

    DAYA or the old women. Therefore, it creates problems for the mother

    as well as new born child.

    This study can be helpful for generating awareness among the

    pregnant women especially to the rural women as well as those

    organizations, worked for the betterment of the pregnant women and

    their new baby born. The researcher basically wants to find out the

    problems of the women during their pregnancy and after the

    pregnancy that can be helpful for preparing the strategy for their

    upliftment of the government or many organizations.

    VIPUL

    SOLANKI

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    ACKNOWLEDGEMENT

    At this juncture where I am submitting my Research Report, I

    authentically feel that this report would not have been feasible

    without the support, keen guidance and proper direction of my field

    work supervisor and Shroffs Foundation Trust.

    Firstly I would like to thank the Sarpanch of Bil village panchayat for

    putting trust in me and granting me the permission to collect the

    information as well as helping me to build a clear rapport with the

    Respondents.

    Foremost, I would extend my bottomless respect and gratitude to for

    providing Dr. Gaurang Ranapurvalaal, Project Manager of

    Shroffs- Foundation Trust me with excellent infrastructural

    facilities and training in the field.

    I sincerely thank Mr. Hashmukh Bhrambhatt, Field Worker of

    Shroff Foundation Trust, Kalali who was concern for the students,

    has always made me perform at my level best.

    I acknowledge my deepest indebtedness to Mr. Amit Patel, whose

    immense support, wide knowledge, methodology and proper

    guidance helped me a lot to complete Research systematically to the

    best of my ability in a proper way.

    I am also thankful to all the Respondents without whom this study

    would not have been possible.

    VIPUL

    SOLANKI

    INDEX

    CHAPTER NO.

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    PARTICULARS

    PAGE NO.

    *

    Preface

    3

    *

    Acknowledgement

    4

    *

    Index

    5

    *

    List of Tables

    6

    I

    Introduction/ Research Methodology

    8

    II

    Research Setting

    20

    III

    Data Analysis And Interpretation

    25

    IV

    Findings, Suggestions and Conclusions

    51

    ANNEXURE-I

    Bibliography

    55

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    ANNEXURE-II

    Interview Schedule

    56

    LIST OF TABLES

    SR. NO.

    PARTICULARS

    PAGE NO.

    1

    The table showing Age of Respondents

    2

    The table showing Education of Respondents

    3

    The table showing Occupation of Respondents

    4

    The table showing Cast of Respondents

    5

    The table showing Religions of Respondents

    6

    The table showing Respondents awareness about Postnatal care

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    7

    The table showing by whom Respondents aware about Postnatal Care

    8

    The table showing the place of pregnancy (delivery)

    9

    The table showing the time of Breast feeding

    10

    The table showing the measure of child weight at the time of birth

    11

    The table showing when Bath given to child

    12

    The table showing time of Breast feeding

    13

    The table showing period of Breast feeding

    14

    The table showing the time of giving water to child

    15

    The table showing awareness about Vaccination

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    16

    The table showing number of Respondents Vaccine their child

    17

    The table showing the time of Vaccination

    18

    The table showing the awareness regarding Nutritional food

    19

    The table showing when Respondents started to give nutrition food to

    child

    20

    The table showing registration for Mamta Card

    21

    The table showing registration of child birth at Anganwadi

    22

    The table showing child weight has done every month

    23

    The table showing the number of Respondents take Nutrition food

    24

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    The table showing the number of Respondents take doctor guidance

    25

    The table showing the number of Respondents take Vitamin tablet

    26

    The table showing the number of Respondents get Nutrition food to

    Anganwadi

    INTRODUCTION

    Postnatal (Latin for after birth, from post meaning after and natal

    meaning of birth) is the period beginning immediately after the

    birth of a child and extending for about six week. Another term would

    be postpartum period, as it refers to the mother (whereas postnatal

    refer to the infant). Less frequently used is Puerperium.

    Biologically, it is the time after birth, a time in which the mothers

    body, including women level and uterus size, retunes to pre

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    pregnancy condition. Lohia is post-partum virginal discharge,

    containing blood, mucus and placental tissue.

    In scientific literature the term is commonly abbreviated to px. So

    that day P5 should be read as the fifth day after birth; this is not beconfused with medical nomenclature which used G P to stand for

    number of pregnancy and outcome of pregnancy.

    Postnatal Care (Puerperium)

    The puerperium covers the 6-week period following birth during which

    time the various changes that occurred during pregnancy revert to

    the non-pregnant state. Physiological changes during this time

    include:

    The cardiovascular system reverts to normal during the first 2

    weeks. The extra load on the heart from extra volume of blood

    disappears by the second week.

    The vaginal wall is initially swollen, bluish and pouting but

    rapidly regains its tone although remaining fragile for 1-2

    weeks. Perinea edema may persist for some days.

    After delivery of the placenta, the uterus is at the size of 20-

    week pregnancy, but reduces in size on abdominal examination

    by 1 finger-breadth each day such that on the 12th day it

    cannot be palpated. By end of puerperium it is only slightly

    larger than pre-pregnancy.

    For the first 3-4 days, lochia comprises mainly blood and

    remnants of trophoblastic tissue. During days 3-12 the colour is

    reddish-brown but then changes to yellow. Occasionally, lochia

    may become red again for a few days due to thrombi at end of

    vessels breaking.

    Postnatal Care

    Women should be offered information to enable them to

    promote their own and their babies' health and well-being andto recognize and respond to problems.

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    At the first postnatal contact, women should be advised of the

    signs and symptoms, and appropriate action for potentially life-

    threatening conditions.

    All maternity care providers should encourage breastfeeding.

    At each postnatal contact, women should be asked about their

    emotional well-being, what family and social support they have

    and their usual coping strategies for dealing with day-to-day

    matters.

    Women and their families/partners should be encouraged to tell

    their healthcare professional about any changes in mood,

    emotional state and behavior that are outside of the woman's

    normal pattern.

    At each postnatal contact, parents should be offered

    information and advice to enable them to:

    o Assess their baby's general condition.

    o Identify signs and symptoms of common health problems

    seen in babies.

    o Contact a healthcare professional or emergency service if

    required.

    Maternal activity

    The mother should start walking about as soon as possible, go to

    the toilet when necessary and rest when she needs to. She may

    prefer to stay in bed for the first 24 hours or longer if she has an

    extensive perinea repair.

    This is an important time for the women to be encouraged to

    breastfeed and learn to care for her infant.

    Uterine contractions continue after birth and some women suffer

    after-pains, particularly when breastfeeding, and may require

    analgesics.

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    Breast and bottle feeding

    Women who chose to breast or bottle feed often need a lot of

    advice and support, especially with their first baby (but

    experienced mothers shouldn't be assumed to know everythingand support and advice should always be available).

    Breastfeeding should be strongly encouraged (first time mothers

    may need a lot of support and encouragement initially).

    Breastfeeding has many advantages, including:

    o Boosts the baby's immune system.

    o Reduction of autoimmune disorders later in life.

    o Reduces risk ofcot death.

    o Reduces gastrointestinal problems.

    o Promotes bonding between the mother and her baby.

    Breast engorgement may cause a lot of discomfort but is usually

    relieved by good bra support and analgesia.

    Women who are unable to breastfeed or prefer to bottle feed alsoneed support and advice, including feeding routines and sterilizing.

    Mother's Health

    The first few days after birth are consumed with the joy of being a mother.

    After the 'blues typically around day 3 (feeling weepy because of the big

    drop in hormones), the job of motherhood gets underway in earnest. While

    all this is happening the body is rapidly returning to normal. Whether the

    delivery is by Caesarean or vaginal the vaginal bleeding should start to

    settle and reduce in the first week. Although it may last for 4 - 6 weeks, it

    should gradually reduce with time. If it increases in the first weeks you

    should return to your doctor for assessment. This is called a secondary post

    (= after) partum (= delivery) hemorrhage (= blood loss) and may indicate

    that there is some infection in the womb.

    http://www.patient.co.uk/DisplayConcepts.asp?WordId=SUDDEN%20INFANT%20DEATH&MaxResults=50http://www.pregnancycare.eu/glossary/http://www.pregnancycare.eu/glossary/http://www.patient.co.uk/DisplayConcepts.asp?WordId=SUDDEN%20INFANT%20DEATH&MaxResults=50http://www.pregnancycare.eu/glossary/http://www.pregnancycare.eu/glossary/
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    The womb itself reduces in size (involutes), returning to normal by about 6

    weeks. The breasts will swell and engorge with milk, which starts to flow

    after about 3 days (Colostrums, the milky fluid in the breast before birth, is

    released in the first couple of days). There will be considerable weight loss

    in the first couple of weeks, but then the weight loss slows.

    Wound healing andinfection

    Whether the wound is from a Caesarean or vaginal delivery, it tends to heal

    rapidly as the mother is young. If infection occurs (about 5%), it is usually

    the patient's own bugs taking advantage of the healing skin. The body

    delays healing, so that it can deal with the infection, It is important

    therefore to control any infection sooner rather than later. This is often by

    local means (keeping the area clean, washing), but will sometimes require

    antibiotics. Bruising can also cause some extra pain. Arnica may help the

    body to absorb the bruise and quicken healing. Bladder infections are also

    common; you should contact your doctor if you have symptoms (wanting to

    go often, pain passing urine). Breast infection (mastitis) occurs when the

    bugs on mother's skin get in through the nipple and infects the gland.

    Antibiotics are usually necessary to help with this problem.

    Breast-feeding

    There is abundant evidence that breast-feeding is beneficial for both the

    mother and baby. However in the developed world the differences between

    bottle-fed and breast fed babies is small, so mums who cannot breast-feed

    for whatever reason should be reassured that they are not endangering

    their baby in any way.

    For the mother, breast-feeding helps with bonding to the baby, weight loss

    and in the long term they have a reduced risk of developing breast cancer.

    There is also the practical advantage of not having to sterilize bottles etc.

    For the newborn baby, breast is best, containing the added value of

    mother's antibodies, which help protect the baby from infection. Breast fed

    babies are less likely to be seen in hospital with infection.

    In the long term it would appear that there is no difference between breast-

    fed and bottle-fed babies.

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    Leg clots - Deep Vein thrombosis

    When we cut our skin, the blood clotting products are activated so that a

    clot forms and we stop bleeding. Sometimes the clotting system

    malfunctions and produces a blood clot (thrombosis) in the veins in thebody, typically in the deep veins in the leg, a deep vein thrombosis or DVT.

    If the clot breaks away it will travel to the lung (a pulmonary embolus),

    where it will block some of the lung's ability to provide oxygen for the body.

    This can be a life threatening complication.

    Situations that increase the likelihood of a DVT includes air travel (economy

    class syndrome) clotting factor defects, being immobile for whatever reason

    and pregnancy. In pregnancy a woman is at particular risk after having her

    baby, particularly if there has been a long labour, a forceps delivery or

    Caesarean section (see Labour and Delivery).

    If you are considered to be at increased risk of having a DVT you will be

    given heparin or a derivative of heparin (low molecular weight heparin).

    Heparin is a compound that occurs naturally in the body, which acts as a

    balance for the clotting system. By giving the patient extra heparin (by

    injection), we can reduce the risk of you getting a clot.

    If you are unfortunate and suffer a DVT you may have to be placed on

    stronger anti-clotting (or anti-coagulant) drugs such as Warfarin.

    Coping with baby

    After the excitement of being pregnant, after the ecstasy and anxiety of

    labour and delivery, after the indescribable joy of seeing your own child

    alive in your arms, you realize that you have a living human who you are

    responsible for, an awesome challenge. There are major changes in lifestyle

    as you learn to adapt to your new situation. Both parents will be shocked by

    the extent to which their life is altered, an even greater challenge for the

    single parent. It is important to recognize the strain and keep talking to

    each other about the change in your life, especially in the first few months

    of the baby's life. Within months everyone adapts and life becomes more

    enjoyable.

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    Postnatal depression

    About three days after birth, when the hormone levels from pregnancy

    rapidly return to their normal pre-pregnancy values, the new mother may

    feel weepy for no particular reason. This is called 'The Blues' and usuallyonly lasts a day or two.

    Many women feel mildly depressed in the first few months after birth,

    reflecting the great strain brought about by becoming a mother. For some

    women many repressed issues surrounding their own personality and

    childhood experiences can no longer be hidden away and must be

    addressed.

    If you feel this way you are not alone. Please talk to someone and get

    professional help, so that you can enjoy your experience of being a mother

    (and father, as the case may be). A very small number of women develop

    severe depression or psychosis after delivery, typically becoming quiet,

    withdrawn and inappropriate in their behaviour. These women need

    specialist psychiatric help, often requiring formal admission and drug

    therapy to restore the mother to her normal self.

    POSTNATAL CARE FOR MOTHER

    Wounds to the uterus, perineum (the area between the vagina and

    anus) and vagina heal rapidly. Exercising the vagina will help it regain

    its original shape quickly. After delivering the child, the levels of the

    hormone progesterone are restored to normal. Hence, a number of

    problems related to pregnancy disappear on their own. Heartburns

    vanish, varicose veins get better and constipation is reduced. Piles

    take a longer time to get better. During pregnancy, hormones soften

    the joints of the pelvis and spine, and these take time to return to

    normal. You can have trouble with your back for many months after

    delivery, so one should avoid lifting and carrying things that are very

    heavy. The stomach muscles that have been stretched to twice their

    length, regain their firmness in a few months.

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    A Healthy Diet

    A healthy diet for the new mother is essential to recuperate from the

    physical strains of pregnancy. One should take a nutritious diet

    containing bread, cereals, potatoes, fresh fruits and vegetables,beans, lentils, dry fruits etc. Milk and dairy foods, meat, fish and other

    protein alternatives are also essential. These fruits easily make up for

    most part of your diet. It is important to eat five meal portions in a

    day. Eat in moderate amounts and choose lower fat version wherever

    possible.

    Excess Pregnancy Weight

    Most of the weight is lost within a few days of childbirth, as the

    excess water carried during pregnancy is flushed out as urine.

    Thereafter, weight loss slows down, but if you continue to breastfeed

    your baby for more than six months, you will find that your weight in

    decreasing naturally. However, regaining your originally weight may

    take some time and effort from your side.

    Emotional Healing

    The entire process of being pregnant and childbirth is an emotional

    time. It will help if you have someone to talk to about how you feel

    and what your fears and apprehensions are. If you cannot find anyone

    to talk, write it down. Even this will help you feel better. Some

    maternity homes allow the new parents to speak about the

    experience they had. Doing this helps to reduce the emotional impact

    for the parents. If the parents are dissatisfied by the care given to

    them at the maternity home, they can express their concerns.

    VACCINATION

    Vaccination is the administration of antigenic material (a vaccine) to

    stimulate adaptive immunity to a disease. Vaccines can prevent or

    ameliorate the effects of infection by many pathogens. There is strong

    evidence for the efficacy of many vaccines, such as the influenza vaccine,

    the HPV vaccine and the chicken pox vaccine among others. Vaccination is

    http://en.wikipedia.org/wiki/Antigenhttp://en.wikipedia.org/wiki/Vaccinehttp://en.wikipedia.org/wiki/Adaptive_immune_systemhttp://en.wikipedia.org/wiki/Immunity_(medical)http://en.wikipedia.org/wiki/Infectionhttp://en.wikipedia.org/wiki/Pathogenhttp://en.wikipedia.org/wiki/Influenza_vaccinehttp://en.wikipedia.org/wiki/HPV_vaccinehttp://en.wikipedia.org/wiki/Varicella_vaccinehttp://en.wikipedia.org/wiki/Antigenhttp://en.wikipedia.org/wiki/Vaccinehttp://en.wikipedia.org/wiki/Adaptive_immune_systemhttp://en.wikipedia.org/wiki/Immunity_(medical)http://en.wikipedia.org/wiki/Infectionhttp://en.wikipedia.org/wiki/Pathogenhttp://en.wikipedia.org/wiki/Influenza_vaccinehttp://en.wikipedia.org/wiki/HPV_vaccinehttp://en.wikipedia.org/wiki/Varicella_vaccine
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    generally considered to be the most effective method of preventing

    infectious diseases. The material administered can either be live but

    weakened forms of pathogens (bacteria or viruses), killed or inactivated

    forms of these pathogens, or purified material such as proteins.

    The word vaccination was first used by Edward Jenner in 1796. Louis Pasteur

    furthered the concept through his pioneering work in microbiology.

    Vaccination (Latin: vaccacow) is so named because the first vaccine was

    derived from a virus affecting cowsthe relatively benign cowpox virus

    which provides a degree of immunity to smallpox, a contagious and deadly

    disease. In common speech, 'vaccination' and 'immunization' generally have

    the same colloquial meaning. This distinguishes it from inoculation which

    uses unweakened live pathogens, although in common usage either is used

    to refer to an immunization. The word "vaccination" was originally used

    specifically to describe the injection ofsmallpox vaccine.

    Vaccination efforts have been met with some controversy since their

    inception, on scientific, ethical, political, medical safety, religious, and other

    grounds. In rare cases, vaccinations can injure people and, in the United

    States, they may receive compensation for those injuries under the National

    Vaccine Injury Compensation Program. Early success and compulsionbrought widespread acceptance, and mass vaccination campaigns were

    undertaken which are credited with greatly reducing the incidence of many

    diseases in numerous geographic regions.

    RESEARCH METHODOLOGY

    Title:

    A Study on Postnatal Care awareness among rural women

    Sub Title:

    A study on 10 Respondents for Postnatal care awareness among

    women of Bil village of Vadodara district.

    Significance of the study:

    http://en.wikipedia.org/wiki/Pathogenhttp://en.wikipedia.org/wiki/Bacteriahttp://en.wikipedia.org/wiki/Virushttp://en.wikipedia.org/wiki/Proteinhttp://en.wikipedia.org/wiki/Louis_Pasteurhttp://en.wikipedia.org/wiki/Latin_languagehttp://en.wikipedia.org/wiki/Cowhttp://en.wikipedia.org/wiki/Vaccinehttp://en.wikipedia.org/wiki/Virus_(biology)http://en.wikipedia.org/wiki/Virus_(biology)http://en.wikipedia.org/wiki/Cowpoxhttp://en.wikipedia.org/wiki/Smallpoxhttp://en.wikipedia.org/wiki/Inoculationhttp://en.wikipedia.org/wiki/Immunizationhttp://en.wikipedia.org/wiki/Smallpoxhttp://en.wikipedia.org/wiki/Vaccine_controversyhttp://en.wikipedia.org/wiki/National_Vaccine_Injury_Compensation_Programhttp://en.wikipedia.org/wiki/National_Vaccine_Injury_Compensation_Programhttp://en.wikipedia.org/wiki/Vaccination_Acthttp://en.wikipedia.org/wiki/Pathogenhttp://en.wikipedia.org/wiki/Bacteriahttp://en.wikipedia.org/wiki/Virushttp://en.wikipedia.org/wiki/Proteinhttp://en.wikipedia.org/wiki/Louis_Pasteurhttp://en.wikipedia.org/wiki/Latin_languagehttp://en.wikipedia.org/wiki/Cowhttp://en.wikipedia.org/wiki/Vaccinehttp://en.wikipedia.org/wiki/Virus_(biology)http://en.wikipedia.org/wiki/Cowpoxhttp://en.wikipedia.org/wiki/Smallpoxhttp://en.wikipedia.org/wiki/Inoculationhttp://en.wikipedia.org/wiki/Immunizationhttp://en.wikipedia.org/wiki/Smallpoxhttp://en.wikipedia.org/wiki/Vaccine_controversyhttp://en.wikipedia.org/wiki/National_Vaccine_Injury_Compensation_Programhttp://en.wikipedia.org/wiki/National_Vaccine_Injury_Compensation_Programhttp://en.wikipedia.org/wiki/Vaccination_Act
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    Women should be offered information to enable them to promote

    their own and their babies' health and well-being and to recognise

    and respond to problems. At the first postnatal contact, women

    should be advised of the signs and symptoms, and appropriate actionfor potentially life-threatening conditions. All maternity care providers

    should encourage breastfeeding. At each postnatal contact, women

    should be asked about their emotional well-being, what family and

    social support they have and their usual coping strategies for dealing

    with day-to-day matters. Women and their families/partners should

    be encouraged to tell their healthcare professional about any changes

    in mood, emotional state and behaviour that are outside of the

    woman's normal pattern. At each postnatal contact, parents should

    be offered information and advice to enable them to:

    Assess their baby's general condition.

    Identify signs and symptoms of common health problems seen

    in babies.

    Contact a healthcare professional or emergency service if

    required.

    Objectives of study:

    To study various factors that affect child and Mother Life.

    To know the awareness among villagers for Child health Care.

    To know that whether the parents provides their child better

    nutrition food or not.

    To know the effectiveness of health facilities provided by

    Government.

    Research Design:

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    The research design was exploratory cum descriptive in nature as it

    explores various facts and opinions regarding postnatal care and

    parents nutrition practice for their 1 -6 years children.

    Universe:

    The universe of the study was lactating mothers of Bil village of

    Vadodara disrict.

    Sample and Sampling:

    My samples for the study were 10 Lactating mothers of the Bil village.

    The sampling procedure for the study was simple random sampling.

    Variables:

    1. Independent variable: It includes all personal information

    like Age, Qualification, and Occupation.

    2. Dependent variable:The aspect that studies was Postnatal Care

    awareness.

    Tool of data collection:

    1)Primary source: Structured interview schedule of objective

    questions.

    2) Secondary source:

    a. Websites of organization

    b. Annual reports of the organization.

    Reference period:

    The data was collected from 1st Feb 2011 to 28th Feb 2011.

    Limitations of the study:

    Less time period for data collection.

    The Respondents were not able to answer properly due to the

    threat of management.

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    The Respondents were hesitant to give the sufficient answer to

    the question.

    There were no any relation between researcher and the

    Respondents.

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    RESEARCH SETTING

    BIL VILLAGE

    PROFILE OF VILLAGE

    The rural community of society is different from that of the urban

    society in many ways through there are similarities also but the

    difference is vast. The major differences are occupational difference

    in the density of population, difference in the system of social

    interaction, difference in the direction at migration etc. The rural

    community is attracted towards the urban community through the

    dwelling is worse than rural areas but in urban area these are other

    facilities which attracts rural people i.e. economic development and

    industrialization.

    DEFINITION

    Rural community can be defined as a group of people living in contiguousgeographical area and interacting to meet their needs.

    CHARACTERISTICS

    1) Definite geographical area

    2) Sense of we feeling

    3) Joint family system

    4) Faith in religion

    5) Importance of nature

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    6) Impact of conservation

    7) Loss of self sufficiency

    8) Simplicity

    9) Local self government

    10)Peace and simplicity

    BASIC INFORMATION

    OCCUPATION

    The major occupations of village are,

    1) Agriculture

    2) Service in private and government sector

    3) Labour work

    4) Industrial labour work

    5) Animal husbandry

    RELIGIONS

    Hindu

    Christian

    Muslim

    TYPES OF HOUSE

    Kachcha house

    Pakka house

    Majority of the Total population have very good well constructed

    housing facility

    FACILITIES

    ELECTRICITY:

    Electricity facility was started from 1964 and also street light facility

    is available in the village for 24 hours under Jyoti Gram Scheme

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    DRAINAGE SYSTEM

    In the whole village some areas under ground drainage system is

    available and other some areas open drainage system is available.

    TELE COMMUNICATION

    Tele communication facility is available in the village. Landline and

    cellular phones are available

    WATER FACILITIES

    The water facility is also available in the village through underground

    pipe line, water supply in all the areas.

    EDUCATIONAL INSTITUTION

    There are two schools one is primary schools which provide1 to7

    standers education and other is high school which provides 8 to 12

    standers education.

    MANDALS OF VILLAGE

    Sakhi Mahila Mandal

    Ladies bhajan mandal

    Yuvak mandal

    PROBLEMS OF VILLAGE

    Alcoholism

    Addiction

    Gambling

    Girl Illiteracy

    CO-OPERATIVEINSTITUTION

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    MILK DAIRY OF BIL VILLAGE:-

    STRUCTURE OF DAIRY

    Chairman

    Mr. Maheshbhai Fulabhai Patel

    Secretary

    Mr. Ravjibhai Vasava

    Helper

    Mr. Bhupendabhai Padhiyar

    Clerk

    Mr. Fulabhai patel

    ORGANIZATIONAL STRUCTURE OF BIL VILLAGE

    Gram Panchayat

    Elected Body Government Members

    Sarpanch Talati

    Mrs. Dharmisthaben patel Mr.Rameshbhai Mori

    Deputy Sarpanch Gram Sevak

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    Mr. Shanabhai Vasava Mr. Dilipbhai Bhatt

    Panchyat Members Clerk

    1. Mrs. Anitaben Parmar Mr. Rajubhai Patel

    2. Mr. Arvindbhai Gohel

    3. Mr. Kanjibhai Vasava Peon

    4. Mr. Bhpendrabhai Vasava Mr. Melabhai Parmar

    5. Mr. Vipul Vyash

    6. Mr. Mustufbhai Vohra

    7. Mr. Somantbhai Dodia

    8. Mr. Dineshbhai Gohel

    9. Mrs. Dariyaben Tadvi

    10. Mr. Prashantbhai Rabari

    11. Mr. Somabhai Gohel

    DATA ANALYSIS AND INTERPRETATION

    Table 1

    The table showing age of the Respondents

    Sr.

    No.

    Age (Years)

    Frequency

    Percentage (%)

    1

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    20 to 25 years

    03

    30%

    2

    25 to 30 years

    05

    50%

    3

    30 to 35 years

    01

    10%

    4

    35 to 40 years

    01

    10%

    Total

    10

    100%

    From the above table, it can be interpreted that 05[50%] Respondents

    were in the age group of 25-30 years, While 03[30%] of the

    Respondents is in age group of 20-25 years.

    Thus, it can be concluded that majority of the Respondents i.e.50%

    were in the age group of 25-30 years

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    Table 2

    The table showing the education of the Respondents

    Sr.

    No.

    Education

    Frequency

    Percentage (%)

    1

    Illiterate

    04

    40 %

    2

    Literate

    01

    10%

    3

    Informal

    01

    10%

    4

    Primary [1 to 7]

    02

    20%

    5

    Secondary [8 to 10]

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    02

    20%

    Total

    10

    100%

    From the above table it can be interpreted that 04[40%] Respondents

    are illiterate, while 01[10%] Respondents had informal education.

    01[10%] of the Respondents had taken secondary education, 02[20%]

    of the Respondents had taken primary education, While, 02[20%] of

    the Respondents had taken secondary education.

    Thus it can be concluded that majority of the Respondents i.e.40%

    were illiterate.

    Table 3

    The table showing the occupation of Respondents

    Sr.

    No.

    Occupation

    Frequency

    Percentage (%)

    1

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    House Wife

    04

    40%

    2

    Labor

    06

    60%

    Total

    10

    100%

    From the above table it can be interpreted that 04[40%] Respondents

    were house wives while 06[60%] of the Respondents were doing labor

    work.

    Thus it can be concluded that majority of the Respondents i.e.60%

    were house wives.

    Table 4

    The table showing the caste of Respondents

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    Sr.

    No.

    Caste

    Frequency

    Percentage (%)

    1

    General Caste

    03

    30%

    2

    Schedule Caste

    02

    20%

    3

    Schedule tribal

    04

    40%

    4

    Other Backward Caste

    01

    10%

    Total

    100

    100%

    From the above table it can be interpreted that 04[40%] Respondents

    belonged to Schedule tribal, 03[30%] of Respondents belonged to

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    general caste while the 02[2%] of the Respondents belonged to

    schedule caste and 01[10%] of the Respondents belong to other

    backward caste.

    Thus, it can be concluded that majority of the Respondents i.e.40%

    belonged to Schedule tribal.

    Table 5

    The table showing the religion of Respondents

    Sr.

    No.

    Religion

    Frequency

    Percentage (%)

    1

    Hindu Religion

    09

    90%

    2

    Muslim

    01

    10%

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    Total

    10

    100%

    From the above table it can be interpreted that 09[90%] belonged to

    Hindu religion while 01[10%] of the Respondents belonged to Muslim

    religion.

    Thus, it can be concluded that majority of the Respondents i.e.90%

    belonged to Hindu religion.

    Table 6

    The table showing that Respondents aware about Postnatal

    care

    Sr.

    No.

    Awareness

    Frequency

    Percentage (%)

    1

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    Yes

    04

    40%

    2

    No

    06

    60%

    Total

    10

    100%

    From the above table it can be interpreted that 06[60%] of the

    Respondents are not aware about Postnatal Care. 04[40%] of the

    Respondents are aware about Postnatal Care.

    Thus it can be concluded that majority 60% of the Respondents has no

    Awareness about Postnatal Care.

    Table 7

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    The table showing that who made aware the Respondents

    about Postnatal Care

    Sr.

    No.

    Person

    Frequency

    Percentage (%)

    1

    PHC worker

    01

    10%

    2

    Aaganwadi worker

    01

    10%

    3

    Doctor

    02

    20%

    4

    Not applicable

    06

    60%

    Total

    10

    100%

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    From the above table it can be interpreted that 02[20%] of the

    Respondents has informed by Doctor about Postnatal Care, while

    01[10%] of the Respondents has informed by Aanganwadi worker and

    PHC worker.

    Thus it can be concluded that majority 60% has no information or

    awareness regarding Postnatal Care.

    Table 8

    The table showing the place of Delivery (Pregnancy) of the

    respondents

    Sr.

    No.

    Place

    Frequency

    Percentage (%)

    1

    At Home

    08

    80%

    2

    At Hospital

    02

    20%

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    Total

    10

    100%

    From the above table it can be interpreted that 08[80%] had their

    pregnancy at Home, while 02[20%] of the Respondents had their

    pregnancy at Hospital.

    Thus it can be concluded that majority of the Respondents i.e.80% had

    their pregnancy at Home.

    Table 9

    Table showing the time of breast feeding to child by mother

    Sr.

    No.

    Time Duration

    Frequency

    Percentage (%)

    1

    Immediately

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    08

    80%

    2

    After 30 minute

    01

    10%

    3

    After one hour

    01

    10%

    Total

    10

    100%

    From the above table it can be interpreted that 08[80%] Respondentsfeed their child immediately, while 01[10%] of the Respondents has

    feed after 3o minutes and One hour.

    Thus it can be concluded that 80% Respondents are aware about

    importance of Breast feeding.

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    Table 10

    Table showing the weight have measured at the time of Birth

    Sr.

    No.

    Measurement of the weight of your child

    Frequency

    Percentage (%)

    1

    Yes

    05

    50%

    2

    No

    05

    50%

    Total

    10

    100%

    From the above table it can be interpreted that 05[50%] Respondents

    has measured the weight of their child and 05[50%] has not.

    Thus it can be concluded that the Respondents i.e. 50% has aware

    about Postnatal Care.

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    Table 11

    The table showing the Respondents when give Bath to their

    child.

    Sr.

    No.

    Time

    Frequency

    Percentage (%)

    1

    Immediately

    1

    10%

    2

    After one hour

    3

    30%

    3

    After one day

    6

    60%

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    Total

    10

    100%

    From the above table it can be interpreted that majority of the

    Respondents i.e. 06[60%] gives bath after one day, while the 03[30%]

    of the Respondents gives after one hour, and 01[10%] has

    immediately.

    Thus it can be concluded that majority of the Respondents i.e. 60% are

    not aware about when child has to bath after pregnancy.

    Table 12

    The table showing the time of breast feeding in a day

    Sr.

    No.

    Time

    Frequency

    Percentage (%)

    1

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    One time

    01

    10%

    2

    Four time

    01

    10%

    3

    Six time

    04

    40%

    4

    Ten time

    04

    40%

    Total

    10

    100%

    From the above table it can be interpreted that 04[40%] has feed their

    child six to ten time, while 01[10%] has one to four time.

    Thus it can be concluded that majority of the Respondents i.e. 40% are

    aware about the important of Breast feeding.

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    Table -13

    The table showing the time period of Breast feeding

    Sr.

    No.

    Time period

    Frequency

    Percentage (%)

    1

    Three month

    01

    10%

    2

    Six month

    01

    10%

    3

    Eight month

    04

    40%

    4

    One year

    04

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    40%

    Total

    10

    100%

    From the above table it can be interpreted that 04[40%]) had give

    eight tone month Breast feeding to their child, while 01[10%] had give

    three to six month.

    Thus, it can be concluded that majority of the Respondents i.e. 40%

    had give Breast feeding for more than 01 year.

    Table 14

    Table showing when mother started to gives water to child

    Sr.

    No.

    From the time

    Frequency

    Percentage (%)

    1

    After one month

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    01

    01%

    2

    After six month

    09

    90%

    Total

    10

    100%

    From the above table it can be interpreted that 09[90%] has give

    water to their child after one year, while 01[10%] of the Respondents

    give after one month.

    Thus, it can be concluded that majority of the Respondents i.e. 90%

    are know that when started to give water to child.

    Table 15

    The table showing Respondents are aware about Mother and

    child Vaccination.

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    Sr.

    No.

    Mother and Child Vaccination awareness

    Frequency

    Percentage (%)

    1

    Yes

    05

    50%

    2

    No

    05

    50%

    Total

    10

    100%

    From the above table it can be interpreted that 05[50%] Respondents

    have knowledge about Mother and Child vaccination, while 05[50%]

    are no knowledge about Vaccination.

    Thus it can be concluded that 50% of Respondents has knowledge and

    no knowledge about Mother and Child Vaccination.

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    Table 16

    The table showing the number of Respondents vaccine their

    child

    Sr.

    No.

    Vaccination

    Frequency

    Percentage (%)

    1

    Yes

    10

    100%

    2

    No

    00

    00%

    Total

    10

    100%

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    From the above the table it can be interpreted that 10[100%]

    Respondents has vaccine their child.

    Thus it can be concluded that majority of Respondents i.e. 100% are

    aware about important of vaccination.

    Table 17The table showing the time period when Respondents started

    to vaccine their child

    Sr.

    No.

    Period of vaccination

    Frequency

    Percentage (%)

    1

    One month

    09

    90%

    2

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    Second month

    01

    10%

    Total

    10

    100%

    From the above table it can be interpreted that 09[90%] Respondents

    are currently taking vaccination and it was started from the one month

    of the Birth, while 01[10%] of the Respondents have started to take

    vaccination from second month.

    Thus it can be concluded that majority of the Respondents i.e. 90% are

    Respondents are understand the important of the vaccination.

    Table 18

    The table showing that Respondents have information

    regarding the Nutrition food

    Sr.

    No.

    Nutrition food knowledge

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    Frequency

    Percentage (%)

    1

    Yes

    03

    30%

    2

    No

    07

    70%

    3

    Total

    10

    100%

    From the above table it can be interpreted that 07[70%] Respondents

    have information regarding the nutrition food, while 03[30 %] have no

    any information regarding it.

    Thus it can be concluded that majority of the Respondents i.e. 70%

    have know about nutrition food.

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    Table 19

    The table showing that when Respondents started to give

    Nutrition food to their children

    Sr.

    No.

    Started Nutrition food

    Frequency

    Percentage (%)

    1

    After six month

    3

    30%

    2

    After eight month

    2

    20%

    3

    After one year

    5

    50%

    Total

    100

    100%

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    From the above table it can be interpreted that 05[50%] are started to

    give nutrition food to their children after year, while 03[30%]

    Respondents started to give from six month and other 02[20%]

    started to give after eight month.

    Thus it can be concluded that majority of the Respondents i.e. 50%

    have started to give nutrition food on perfect time.

    Table 20

    The table showing the Respondents register for MAMTA Card

    Sr.

    No.

    Register for MAMTA Cards

    Frequency

    Percentage (%)

    1

    Yes

    09

    90%

    2

    No

    01

    10%

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    Total

    10

    100%

    From the above table it can be interpreted that 09[90%] have register

    for MAMTA Card, while 01[10%] have not register.

    Thus it can be concluded that majority of Respondents i.e. 100% has

    register for MAMTA Card.

    Table 21

    The table showing Respondents register their child birth date

    at Aanganwadi

    Sr.

    No.

    Respondents register child Birth Date

    Frequency

    Percentage (%)

    1

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    Yes

    04

    40%

    2

    No

    06

    60%

    Total

    10

    100%

    From the above table it can be interpreted that majority of the

    Respondents i.e. 06[60%] did not register their child birth Date

    Aanganwadi, while 04[40%] has register their chil Birth Date.

    Thus it can be concluded that majority of the Respondents i.e. 60% did

    not register their child name.

    Table 22

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    The table showing the Respondents has weight their child

    every month

    Sr.

    No.

    Every month weight

    Frequency

    Percentage (%)

    1

    Yes

    08

    80%

    2

    No

    02

    20%

    Total

    10

    100%

    From the above table it can be interpreted that 08[80%] did measures

    their child weight every month at Aanganwadi, while other 02[20%]

    did no measures their child weight.

    Thus it can be concluded that majority number of Respondents i.e.

    50% are aware about child growth.

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    Table 23

    The table showing Respondents take Nutrition food.

    Sr.

    No.

    Respondents take Nutrition Nutritional food

    Frequency

    Percentage (%)

    1

    Yes

    05

    50%

    2

    No

    05

    50%

    Total

    10

    100%

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    From the above table it can be interpreted that equal numbers of the

    Respondents i.e. 05[50%] take Nutrition food and other did not take.

    Thus it can be concluded that equal number of the Respondents i.e.

    50% did not take Nutrition food.

    Table 24

    The table showing whether Respondents take doctor

    guidance

    Sr.

    No.

    Doctor Guidance

    Frequency

    Percentage (%)

    1

    Yes

    02

    20%

    2

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    No

    08

    80%

    Total

    10

    100%

    From the above table it can be interpreted that 08[80%] not in doctor

    guidance, while 02[20%] of the Respondents in the guidance of doctor.

    Thus it can be concluded that majority of the Respondents i.e. 80% are

    not take doctor guidance.

    Table 25

    The table showing that Respondents take a vitamin tablets

    Sr.

    No.

    Vitamin tablets take

    Frequency

    Percentage (%)

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    1

    Yes

    02

    20%

    2

    No

    08

    80%

    Total

    10

    100%

    From the above table it can be interpreted that 08[80%] not take

    vitamin tablets, while 02[20%] has take vitamin tablets.

    Thus it can be concluded that majority of the Respondents i.e. 80%

    not take vitamin tablets.

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    Table-26

    The table showing Respondents is get nutrition food from

    Aanganvadi.

    Sr.

    No.

    Respondents get food from Aanganwadi

    Frequency

    Percentage (%)

    1

    Yes

    10

    10%

    2

    No

    00

    00%

    Total

    10

    100%

    From the above table it can be interpreted that 10[100%] have get

    Nutrition food from the Aanganwadi.

    Thus it can be concluded that majority of the Respondents i.e. 100%

    have take the benefit of the government policy.

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    FINDINGS, SUGGESTIONS AND CONCLUSION

    FINDINGS

    1) Age of Respondents- 50% of the Respondents fall in the

    age group of 25-30 years.

    2) Education of Respondents- 60% of the Respondents are

    literate.

    3) Occupation of Respondents- 60% of the Respondents are

    involved in labor work.

    4) Cast of Respondents-40% of the Respondents are

    belonged to General Caste and tribal.

    5) Religion of Respondents- 90% of the Respondents are

    Hindu Religion.

    6) Post-natal Care awareness- 60% of Respondents are not

    aware about Postnatal Care.

    7) Aware by- 20% of the Respondents are award by

    Aanganwadi worker for Postnatal Care.

    8) Place of Pregnancy- 80% of the Respondents had their

    pregnancy at Home.

    9) Time of Breast feeding- 80% of the Respondents feed

    their child immediately.

    10) Weight Measurement- 50% of the Respondents had

    weight their child at the time of birth, while50 5 had not weighttheir child.

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    11) Time of Bath- 60% of Respondents had give bath to their

    child after one week.

    12) Time of Breast feeding- 60% of Respondents give Breast

    feeding their child in a day.

    13) Duration of Breast feeding- 40% of the Respondents has

    not feed their child still one year.

    14) Time of give Water- 90% of the Respondents stared to

    give water to child after six month.

    15) Vaccination information- 50% of the Respondents know

    and did not about Mother and Child Vaccination.

    16) Child Vaccination - 100% of the Respondents vaccine their

    child.

    17) Time of Vaccination- 90% of the Respondents started

    vaccination from the One month.

    18) Nutrition food information- 70% of Respondents did not

    know about nutrition food.

    19) Time of nutrition food- 50% of the Respondents not

    started to give Nutrition food to child from one month.

    20) Registration for MAMTA Card- 90% of the Respondents

    registered for the MAMTA Card.

    21) Registration of child Birth- 60% of the Respondents did

    not register their child Birth date at Aanganwadi.

    22) Monthly weight measurement- 80% of the Respondents

    did measure their child weight on every month.

    23) Nutrition food- 50% of the Respondents did take and didnt

    take Nutrition food.

    24) Doctor guidance- 80% of the Respondents did not take a

    guidance of the doctors and PHC worker.

    25) Vitamin tablet- 80% of the Respondents did not takevitamin tablets.

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    26) Feeding during child Sickness- 50% of the Respondents

    feeding and not feeding their child during his sickness.

    27) Get Nutrition food- 100% of the Respondents did get

    Nutrition food from the Aanganwadi.

    SUGGESTIONS

    Nutrition food is most important for the pregnant women and

    by that they can get vitamins and maintain their health, and

    weight can also increase.

    Minerals and Vitamins that can help maintain & improve health.

    There should be a regular medical checkup for the lactating

    mother and pregnant women.

    There is a need of seminar, workshops, seminar, and general

    presentation for awareness about postnatal Care, Nutrition food,

    physical changes during Prenatal and Postnatal.

    There is a need for individual counseling, so one can raise the

    living pattern & can be a clear about their belief, superstitions,

    thought etc.

    Self care also should be taken by the lactating mother, proper

    sleep, and food taking on time to time. Avoiding smoking, avoiding

    stress providing conducive to provide a social & familiar

    environment which can reduce the hazard of life.

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    CONCLUSION

    In Rural area there is a problem of lack of Post-natal care awareness

    among women because of illiterate and superstition family, in village

    elders are like to follows their old and traditional way of child rearing

    and child care practices. They do not believe in Doctors guidance.

    They are force their daughter-in-law and their daughter for follow old

    ways of Post-natal Care, rural women also hesitating by the surgery

    and that is why they are avoiding medical treatment. Most of the

    women are aware about the postnatal care but they are used their

    olden ways and some time it create problem for mother as well as

    young child.

    Some time woman of rural area wants to admit in hospital during

    pregnancy but they have no money to spend in medical treatment,

    because they are not economically sound, only 20% women are

    aware about Post-natal Care and 80% are not aware. While 80%

    women have pregnancy at home it saws the unawareness regarding

    Safe child birth and Care. India is a country of villages and there is a

    vast different in rural and urban it means there is also different in

    Child Care, child is a future of the country and if he is not healthy

    then how he will provide his service for the country. Mostly vasava

    community people are not aware about Post-natal Care and they

    follow unsafe and unhealthy Post-natal Care, it creates serious

    problems for the young child or infant.

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    ANNEXURE

    BIBLIOGRAPHY- I

    www.postnatal care.com

    www.mother care .com

    www.vaccination.com

    www.babycare.iloveindia.com

    Shroffs Foundation Trust booklet on pre and postnatal care

    Interview Schedule-II

    http://www.mother/http://www.babycare.iloveindia.com/http://www.mother/http://www.babycare.iloveindia.com/
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    A study on Post-natal care awareness among rural women

    (a) Personal information

    (1) Name:

    (2) Address:

    (3) Age

    a) 20 to 25

    b) 25 to 30

    c) 30 to 35

    d) 35 to 40

    (4) Education qualification

    a) Illiterate

    b) Literate

    c) Literate but no formal education

    d) Primary (1-7)

    e) Secondary (8-10)

    f) Higher secondary

    g) Graduate

    h) Post-graduate

    (5) Occupation

    a) House wife

    b) Service

    c) Other

    (6) Caste

    a) General

    b) Schedule caste

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    c) Schedule tribal

    d) Other backward caste

    (7) Religion

    a) Hindu

    b) Islam

    c) Christian

    d) Sikh

    (8) Do you know about Post-natal care?

    a) Yes

    b) No

    (9) If yes, by whom do you know?

    a) PHC worker

    b) Aaganwadi worker

    c) Doctor

    d) Not applicable

    (10) Where had your delivery (Pregnancy)?

    a) At hospital

    b) At home

    (11) When did you breast feed your child?

    a) Immediately

    b) After 30 minute

    c) After 1 hour

    d) Dont know

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    (12) Did you weigh of your child at the time of birth?

    a) Yes

    b) No

    (13) When did you bathe your child after birth?

    a) Immediately

    b) After one hour

    c) After one day

    d) After one week

    (14) How much time has you feed your child in a day?

    a) One time

    b) Four time

    c) Six time

    d) Ten time

    (15) How long you feed your child?

    a) Three month

    b) Six month

    c) Eight month

    d) One year

    (16) When did you start to give water to your child?

    a) From the birth

    b) After one month

    c) After three month

    d) After six month

    (17) Do you know about child and mother vaccination?

    a) Yes

    b) No

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    (18) Do you vaccine your child?

    a) Yes

    b) No

    (19) If yes, from which month?

    a) One month

    b) Two month

    c) Three month

    d) Nine month

    (20) Do you know about Nutrition food?

    a) Yes

    b) No

    (21) When did you start to give nutrition food to your child?

    a) After three month

    b) After six month

    c) After eight month

    d) After one year

    (22) Have you register for MAMTA CARD?

    a) Yes

    b) No

    (23) Have you register your child birth date at Aanganwadi?

    a) Yes

    b) No

    (24) Do you weigh your child every month?

    a) Yes

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    b) No

    (25) Do you take nutrition food?

    a) Yes

    b) No

    (26) Are you in doctor guidance?

    a) Yes

    b) No

    (27) Do you take Vitamin Tablets?

    a) Yes

    b) No

    (28) Do you feed your child during its Sickness?

    a) Yes

    b) No

    (29) Do you get Nutrition food from Aanganwadi?

    a) Yes

    b) No