Social Factors & Stratification

1.A 5-year-old boy belonging to lower socio-economic status was referred to a Tertiary Care Hospital for investigation of a Persistent Anaemia, but on examination had mild pitting oedema in both legs, his hair was pale and easily pluckable and a soft liver edge was palpable. A dietary history revealed that for about 2 years the child's diet had contained very little protein.

• a) What is your provisional diagnosis
• b) What is Protein Energy Malnutrition (PEM). Describe the epidemiology, classification, etiology, signs and symptoms of PEM.
• c) Discuss the preventive and control measures of PEM
• d) What are the socio-cultural factors contributing to PEM in India
• e) What measures the Government of India is taking to control Malnutrition in India, discuss the National Programmes related to it and services provided at each level of Health Care

2.Plan a diet for a 30 years old pregnant lady from the lower socio-economic status in an urban slum

1.Prepare a diet chart for a lactating woman with a five month old infant from the lower socioeconomic status in an urban slum

1.Social factors influencing health of the people

2.Acculturation

3.Social problems of elderly people

4.Cultural factors that affect health

1.List any two factors used to measure social differentiation

2.What is social institution

3.An example for a Social organization

4.Behavioural methods of management

5.Indicators used in computing Kuppusamy scale

6.Social classification based on occupations has limitations

7.Ways of acculturation

1.Barriers to dietary preferences in children are

• 1) Food availability
• 2) Cultural preferences of food consumed
• 3) Income
• 4) Advertising
• a) 1, 3 are correct
• b) 1, 4 are correct
• c) 1, 2, 3 are correct
• d) 1, 2, 3, 4 are correct