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Kiran Sharma, KIET School of Pharmacy

11/27/2013
A state of complete physical, mental, and social
well-being and not merely the absence of
disease or infirmity.

2

Kiran Sharma, KIET School of Pharmacy

11/27/2013
What is public health

 The science and art of preventing disease,

prolonging life and promoting health through
the organized efforts and informed choices of
society, organizations, public and private,
communities and individuals.

3

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Aims of health education
 To inform general public about promotion of

healthy living
 To create an informed body of opinion and
knowledge(social workers, teachers, pharmacist
…)
 To give the public right information regarding
medication
 To facilitate the acceptance and proper usage of
medication
4

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Contents of health education
 Nutrition
 Hygiene
 Childcare
 Breast feeding
 Family planning

 Control of communicable and non communicable

diseases

5

Kiran Sharma, KIET School of Pharmacy

11/27/2013
The World Health Organization (WHO)
identifies core functions of public health
programs including
 Vaccines and immunization – vaccines for small pox,

polio, measles, tetanus, tuberculosis etc are provided

 Disease prevention and treatment – run camps
 Mother and child care
 Environmental sanitation

 Nutrition
6

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Nutrition is defined as the procurement of
substances (nutrients)necessary for growth,
development, maintenance and activities of a
living organism

It is a science the examines the relationship
between DIET and HEALTH

7

Kiran Sharma, KIET School of Pharmacy

11/27/2013
NUTRIENTS - A source of
nourishment, especially a nourishing
ingredient in a food.
 Nutrients are organized in seven groups:

1. Carbohydrates
2. Proteins
3. Fats
4.Vitamins

5.Macrominerals
6.Microminerals
7.Water

 Macronutrients –carbohydrates, fats, fiber,

proteins & water
 Micronutrients – minerals and vitamins
8

Kiran Sharma, KIET School of Pharmacy

11/27/2013
1. Carbohydrates
 Supply energy (4

 Build and repair body

calories per gram).
 Spare proteins to be
used for growth and
maintenance of body
tissues rather than
energy.
 Provide fiber if whole
grain.
9

2. Proteins

tissues.
 Help antibodies fight
infection.
 Supply energy (4
calories per gram) if
more is consumed
than needed to build
and repair body
tissues.
11/27/2013

Kiran Sharma, KIET School of Pharmacy
3. Fats
 Supply the most

10

4. Vitamins
 A, B1, B2, B12,

concentrated source
of energy (9 calories
per gram).
 Carry fat-soluble
vitamins A, D, E, and
K.
 Provide feeling of
fullness and
satisfaction since fats
Kiran Sharma, KIET School of Pharmacy
take longer to digest.

NIACIN, FOLIC ACID,
C, D, E, K

11/27/2013
5. Macrominerals
 Calcium
 Phosphorous

6. Microminerals
 Iron
 Zinc- assists in wound
 healing, blood formation, and

 Magnesium
 Sodium, Chloride, 

Potassium





11

Kiran Sharma, KIET School of Pharmacy

general growth and maintenance of
all tissues
Copper - formation of hemoglobin
Manganese - normal development
of bones and connective tissues
Selenium- Works in conjunction with
vitamin E to protect cells from
destruction
Chromium - Maintains normal
glucose uptake into cells
11/27/2013
Iodine-
BALANCED DIET
A balanced diet is a diet which
contains all the nutrients required for
health, in appropriate proportions.

12

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Relationship between nutrition and health.
NCD, noncommunicable disease.

13

Kiran Sharma, KIET School of Pharmacy

11/27/2013
HYGIENE

14

Kiran Sharma, KIET School of Pharmacy

11/27/2013
HYGIENE is a general term that refers to the
conditions and activities that are used to maintain
health and safety with proper sanitation and
personal cleanliness.
Sanitation involves the hygienic disposal and treatment by the civic
authority of potentially unhealthy human waste
Some types of hygiene:
 Personal hygiene such as oral, dental, and bodily hygiene

 Food hygiene and safe handling and preservation techniques - home

and restaurants
 Agricultural produce production and meat and seafood sanitary
packing and handling
 Public sanitation services - clean water supply, waste disposal,

garbage collection
 Custodial services - buildings, hospital infection control
15

Kiran Sharma, KIET School of Pharmacy

 Home sanitation and cleanliness

11/27/2013
CHILD CARE
CHILD ACRE is the act of caring for and supervising
minor children (newborn to age thirteen).
Child care include many steps
 Mother’s role
 Feeding tips
 Infants movements
 Maintenance of body temperature
 Importance of sleep
 Immunization
 Baby massage
 Height calculator
16

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Mother’s role
 Mothers have historically fulfilled the primary role

in raising children. As health and survival of the
new born depends on the health of mother.

MOTHER EDUCATION IS VERY
IMPORTANT FOR RIGHT CARE OF
THE CHILD
 About 56% of maternal deaths occur in Sub-

17

Saharan Africa and another 29% in South Asia
 Afghanistan, Central African Republic and Malawi
are the most dangerous in terms of maternal
death
Kiran Sharma, KIET School of Pharmacy
11/27/2013
 Fathers should take a bigger childcare role
Feeding tips
 For the first six months of life breast milk is the

only food that your baby needs to grow and be
healthy.
 Avoid cow’s milk or formula milk till six months of
age
 When your baby is six months old he is ready for
solid foods

18

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Pharmacists’ role in encouraging
breastfeeding
Pharmacists can provide advice on:
 Infant nutrition and breastfeeding
 breast milk is the normal and optimal food for infants; always sterile and
80% f cells are macropharges
 It is an important immediate and long-term preventive health care measure
for child and mother
 It provides food security and an economic advantage for families
 No baby is allergic to mother’s milk, although they may have a reaction to
something the mother eats.
 It lowers the risk of breast and ovarian cancers
 Recognition and management of common breastfeeding problems;
 Referral to appropriate health professionals (eg. child health nurses,
lactation consultants, or Association counsellors
 Information on the use of medicines in lactation; and use of bottles
 Nutritional content and appropriate use of breastmilk substitute products.
 with the variety of breastmilk substitutes available on the market, parents
may need assistance inof Pharmacy and safe use of an appropriate product
the choice
Kiran Sharma, KIET School
11/27/2013
19
 inappropriate preparation and use of breastmilk substitutes may expose
 babies who are not breastfed are more likely to

become obese in later childhood
 most recent infant feeding survey confirmed that
low maternal age, low educational attainment and
low socioeconomic position continue to have a
strong impact on patterns of infant feeding.

20

Kiran Sharma, KIET School of Pharmacy

11/27/2013
follows
pharmacists who sell breastmilk substitutes, baby food and
ancillary breastfeeding products to be familiar with the
WHO/UNICEF Code and monitor their marketing practices
 No advertising of breastmilk substitutes to the public.
 No free samples to be given to mothers.
 No promotion of products in health care facilities.
 No gifts or personal samples to be given to health workers.
 No words or pictures idealising artificial feeding, including
pictures of infants, to appear on the labels of the products.
 Information to health workers should be scientific and factual.
 All information on artificial infant feeding, including labels, should
explain the benefits of breastfeeding, and the costs and hazards
associated with artificial feeding.
 Unsuitable products, such as sweetened condensed milk,
should not be promoted for babies.
 All products should be of a high quality and take account of the
climate and storage conditions of the country
21

Kiran Sharma, KIET School of Pharmacy

11/27/2013
Pharmacist role in promoting healthy
diet for pregnant women
 Provide education about the importance of the health

22

benefits associated with healthy diet for proper
development of fetus
 Provide patient support through advocacy of prenatal
vitamins (folic acid) and documentation of checklists
of contraindicated medications/supplements during
pregnancy
 Need of dietary supplements (calcium, protein etc)
 Engage parents in discussions about diet and
exercise during pregnancy
 Smoking in pregnancy is associated with many foetal
and neo-natal problems such as low birth-weight, preterm delivery, placental damage, miscarriage and
sudden infant death syndrome.
Kiran Sharma, KIET School of Pharmacy
11/27/2013
 Double the average consumption of fruit and
 Women who are overweight or obese before they conceive

have an increased risk of complications during pregnancy
and birth. This poses health risks for both mother and baby
in the longer term

There are some foods that could be unsafe for
your baby:
 Unpasteurised milk (buffalo or cow's milk) may contain

23

listeria.
 Raw or undercooked meat, poultry, and eggs. These can
contain harmful bacteria. Cook all meat until there are no
pink bits left. Fully cook your eggs till they are hard.
 Raw seafood, such as oysters or uncooked sushi.
 Large predator fish, such as shark or swordfish as it may
contain unsafe levels of mercury. These fish absorb the
mercury from contaminated water.
 Alcoholic drinks. Drinking too much alcohol can cause
physical defects, learning disabilities, and emotional
problems in children. So many experts recommend that
you give up alcohol while you are pregnant
Kiran Sharma, KIET School of Pharmacy
11/27/2013
 Cut down on caffeine. Drinking more than 200mg of
IMMUNIZATION
Immunization, or immunisation, is the process by which an
individual's immune system becomes fortified against an
agent (known as the immunogen).
National Immunization Schedule
 At Birth: BCG, Oral Polio Vaccine
 6, 10 and 14 weeks: DPT, Oral polio vaccine
 6 to 9 months: Oral polio vaccine
 9 months – measles vaccine
 15 to 18 months – DPT booster, oral polio
 5 years – DPT, Oral polio
 10 years – tetanus toxoid
 15 years- tetanus toxoid

24

Kiran Sharma, KIET School of Pharmacy

11/27/2013
THANKS

25

Kiran Sharma, KIET School of Pharmacy

11/27/2013

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Health education

  • 1. 1 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 2. A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. 2 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 3. What is public health  The science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals. 3 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 4. Aims of health education  To inform general public about promotion of healthy living  To create an informed body of opinion and knowledge(social workers, teachers, pharmacist …)  To give the public right information regarding medication  To facilitate the acceptance and proper usage of medication 4 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 5. Contents of health education  Nutrition  Hygiene  Childcare  Breast feeding  Family planning  Control of communicable and non communicable diseases 5 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 6. The World Health Organization (WHO) identifies core functions of public health programs including  Vaccines and immunization – vaccines for small pox, polio, measles, tetanus, tuberculosis etc are provided  Disease prevention and treatment – run camps  Mother and child care  Environmental sanitation  Nutrition 6 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 7. Nutrition is defined as the procurement of substances (nutrients)necessary for growth, development, maintenance and activities of a living organism It is a science the examines the relationship between DIET and HEALTH 7 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 8. NUTRIENTS - A source of nourishment, especially a nourishing ingredient in a food.  Nutrients are organized in seven groups: 1. Carbohydrates 2. Proteins 3. Fats 4.Vitamins 5.Macrominerals 6.Microminerals 7.Water  Macronutrients –carbohydrates, fats, fiber, proteins & water  Micronutrients – minerals and vitamins 8 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 9. 1. Carbohydrates  Supply energy (4  Build and repair body calories per gram).  Spare proteins to be used for growth and maintenance of body tissues rather than energy.  Provide fiber if whole grain. 9 2. Proteins tissues.  Help antibodies fight infection.  Supply energy (4 calories per gram) if more is consumed than needed to build and repair body tissues. 11/27/2013 Kiran Sharma, KIET School of Pharmacy
  • 10. 3. Fats  Supply the most 10 4. Vitamins  A, B1, B2, B12, concentrated source of energy (9 calories per gram).  Carry fat-soluble vitamins A, D, E, and K.  Provide feeling of fullness and satisfaction since fats Kiran Sharma, KIET School of Pharmacy take longer to digest. NIACIN, FOLIC ACID, C, D, E, K 11/27/2013
  • 11. 5. Macrominerals  Calcium  Phosphorous 6. Microminerals  Iron  Zinc- assists in wound  healing, blood formation, and  Magnesium  Sodium, Chloride,  Potassium    11 Kiran Sharma, KIET School of Pharmacy general growth and maintenance of all tissues Copper - formation of hemoglobin Manganese - normal development of bones and connective tissues Selenium- Works in conjunction with vitamin E to protect cells from destruction Chromium - Maintains normal glucose uptake into cells 11/27/2013 Iodine-
  • 12. BALANCED DIET A balanced diet is a diet which contains all the nutrients required for health, in appropriate proportions. 12 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 13. Relationship between nutrition and health. NCD, noncommunicable disease. 13 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 14. HYGIENE 14 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 15. HYGIENE is a general term that refers to the conditions and activities that are used to maintain health and safety with proper sanitation and personal cleanliness. Sanitation involves the hygienic disposal and treatment by the civic authority of potentially unhealthy human waste Some types of hygiene:  Personal hygiene such as oral, dental, and bodily hygiene  Food hygiene and safe handling and preservation techniques - home and restaurants  Agricultural produce production and meat and seafood sanitary packing and handling  Public sanitation services - clean water supply, waste disposal, garbage collection  Custodial services - buildings, hospital infection control 15 Kiran Sharma, KIET School of Pharmacy  Home sanitation and cleanliness 11/27/2013
  • 16. CHILD CARE CHILD ACRE is the act of caring for and supervising minor children (newborn to age thirteen). Child care include many steps  Mother’s role  Feeding tips  Infants movements  Maintenance of body temperature  Importance of sleep  Immunization  Baby massage  Height calculator 16 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 17. Mother’s role  Mothers have historically fulfilled the primary role in raising children. As health and survival of the new born depends on the health of mother. MOTHER EDUCATION IS VERY IMPORTANT FOR RIGHT CARE OF THE CHILD  About 56% of maternal deaths occur in Sub- 17 Saharan Africa and another 29% in South Asia  Afghanistan, Central African Republic and Malawi are the most dangerous in terms of maternal death Kiran Sharma, KIET School of Pharmacy 11/27/2013  Fathers should take a bigger childcare role
  • 18. Feeding tips  For the first six months of life breast milk is the only food that your baby needs to grow and be healthy.  Avoid cow’s milk or formula milk till six months of age  When your baby is six months old he is ready for solid foods 18 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 19. Pharmacists’ role in encouraging breastfeeding Pharmacists can provide advice on:  Infant nutrition and breastfeeding  breast milk is the normal and optimal food for infants; always sterile and 80% f cells are macropharges  It is an important immediate and long-term preventive health care measure for child and mother  It provides food security and an economic advantage for families  No baby is allergic to mother’s milk, although they may have a reaction to something the mother eats.  It lowers the risk of breast and ovarian cancers  Recognition and management of common breastfeeding problems;  Referral to appropriate health professionals (eg. child health nurses, lactation consultants, or Association counsellors  Information on the use of medicines in lactation; and use of bottles  Nutritional content and appropriate use of breastmilk substitute products.  with the variety of breastmilk substitutes available on the market, parents may need assistance inof Pharmacy and safe use of an appropriate product the choice Kiran Sharma, KIET School 11/27/2013 19  inappropriate preparation and use of breastmilk substitutes may expose
  • 20.  babies who are not breastfed are more likely to become obese in later childhood  most recent infant feeding survey confirmed that low maternal age, low educational attainment and low socioeconomic position continue to have a strong impact on patterns of infant feeding. 20 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 21. follows pharmacists who sell breastmilk substitutes, baby food and ancillary breastfeeding products to be familiar with the WHO/UNICEF Code and monitor their marketing practices  No advertising of breastmilk substitutes to the public.  No free samples to be given to mothers.  No promotion of products in health care facilities.  No gifts or personal samples to be given to health workers.  No words or pictures idealising artificial feeding, including pictures of infants, to appear on the labels of the products.  Information to health workers should be scientific and factual.  All information on artificial infant feeding, including labels, should explain the benefits of breastfeeding, and the costs and hazards associated with artificial feeding.  Unsuitable products, such as sweetened condensed milk, should not be promoted for babies.  All products should be of a high quality and take account of the climate and storage conditions of the country 21 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 22. Pharmacist role in promoting healthy diet for pregnant women  Provide education about the importance of the health 22 benefits associated with healthy diet for proper development of fetus  Provide patient support through advocacy of prenatal vitamins (folic acid) and documentation of checklists of contraindicated medications/supplements during pregnancy  Need of dietary supplements (calcium, protein etc)  Engage parents in discussions about diet and exercise during pregnancy  Smoking in pregnancy is associated with many foetal and neo-natal problems such as low birth-weight, preterm delivery, placental damage, miscarriage and sudden infant death syndrome. Kiran Sharma, KIET School of Pharmacy 11/27/2013  Double the average consumption of fruit and
  • 23.  Women who are overweight or obese before they conceive have an increased risk of complications during pregnancy and birth. This poses health risks for both mother and baby in the longer term There are some foods that could be unsafe for your baby:  Unpasteurised milk (buffalo or cow's milk) may contain 23 listeria.  Raw or undercooked meat, poultry, and eggs. These can contain harmful bacteria. Cook all meat until there are no pink bits left. Fully cook your eggs till they are hard.  Raw seafood, such as oysters or uncooked sushi.  Large predator fish, such as shark or swordfish as it may contain unsafe levels of mercury. These fish absorb the mercury from contaminated water.  Alcoholic drinks. Drinking too much alcohol can cause physical defects, learning disabilities, and emotional problems in children. So many experts recommend that you give up alcohol while you are pregnant Kiran Sharma, KIET School of Pharmacy 11/27/2013  Cut down on caffeine. Drinking more than 200mg of
  • 24. IMMUNIZATION Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an agent (known as the immunogen). National Immunization Schedule  At Birth: BCG, Oral Polio Vaccine  6, 10 and 14 weeks: DPT, Oral polio vaccine  6 to 9 months: Oral polio vaccine  9 months – measles vaccine  15 to 18 months – DPT booster, oral polio  5 years – DPT, Oral polio  10 years – tetanus toxoid  15 years- tetanus toxoid 24 Kiran Sharma, KIET School of Pharmacy 11/27/2013
  • 25. THANKS 25 Kiran Sharma, KIET School of Pharmacy 11/27/2013