"A COMMUNITY HEALTH NURSING PRACTICE REPORT SUBMITTED IN

PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE

CERTIFICATE OF NURSING IN LUGALA COLLEGE OF HEALTH AND
ALLIED SCIENCE 2025"
SUBJECT; COMMUNITY HEALTH NURSING
SUBTOPIC; FAMILY HEALTH ASSESSMENT
TASK: INDIVIDUAL FIELD WORK REPORT

STUDENTS NAME: ANTONY PHILIMON

STUDENTS REGISTRATION NUMBER: NS0539/0105/2019

NAME OF THE SUPERVISOR: SIR.YOBIAS MASONDA

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CERTIFICATION
I certify that is field work candidate carried out during the studies under direct
supervision of teachers of lugala colllage of health and allied science.
‘’The under signed certify that they have read and hereby recommended for acceptance
by lugala collage of health and allied science a community health field report titled as
FAMILY HEALTH ASSESSMENT FIELD WORK REPORT in fulfillment of
certificate in nursing and midwifery
Supervisor
Internal Examiner
Name…………………………………………Signature….,…...
………..Date……………………
External examiner
Name……………………………..……………
Signature……………….Date……………………

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DECLARATION
I declare that this work is my own original work it has not been represented by any other
student.
Name…………………………………….Signature……………
Date…………………………..

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COPYRIGHT
All rights of this field report is protected by copyright ``not part of this field may not be
reproduced, stored in any retrieval system or transmitted in any or by any means
electronic ,mechanical photocopy or otherwise without permission from Antony (author) or the
lugala collage of health and allied science on behalf.

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ACKNOWLEDGMENT
I would like to thanks God for his blessing and keeping me health the whole moment in
the community field work ,also I would like to thank the ministry of health community
development elderly gender and children for giving me a chance to join with lugala
collage of health and allied science as a student of nursing and midwife.
Also I would like to thanks my parents mother and father, For financial support in my
study and field work practice
Also I would like to thanks the following for their contribution by any means in my
success during field work:
 The principle of LUCHAS sir. Onesmo Mpolo
 The school academic of LUCHAS sir.Focus Hamza
 The module codinator sir.Yobias Masonda
 All staff members of Malinyi hospital for their cooperation during field work
 Also all stakeholders who provide support during field work practice
 The family of Mrs. Maganga for their cooperation during home assessment
 All community members of mwembeni village for their acceptance of my
presence in their village.

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SUMMARY OF REPORT
In the family of Mrs. Maganga there is no any inherited health condition, the family
located from Mwembeni Hamlet in Misegese Village.
It is family of six members. I assessed the following health condition, houses, dietary
practice, sanitation, water supply, food storage, communication, sources of income and
family planning
The general environment sanitation, waste disposal practice and unsafe water use, due to
poor environmental sanitation, waste disposal, and the family member are at risk to get
the following disease like diarrhea, malaria, typhoid, cholera and water born disease
Therefore I tried to set priority to health problem identified to the family of Mrs.
Maganga by involving the family members on how to solve their health condition related
to poor environment sanitation
Also I advised family members to dig the pit for waste disposal and tell the importance
of environment sanitation in relation to their health.

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OBJECTIVES OF FAMILY HOME VISITING
At the end of the field work I shall be able to
 To know the historical background of the family
 To identify the member of the family
 To know the family geno-gram and identify inheritance health condition
 To know the type of house(temporary,sem permanent, or permanent)
 To assess sanitation (cleanliness,use of toilet,waste disposal practice
 To know water supply(source,accessibility,safety and water treatment method)
 To know the dietary practice for different groups(type,quality quantity,and
palatability of food eaten
 To know way of communication(availability of radio,television,news paper
facilities)
 To assess food storage
 To assess family health(disease,family health care seeking behavior and healthy
related practice
 To assess main diagnosis(family health strength and problems actual and
potential)
 To plan and implement(priorities,available resource,time,support and evaluation.

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Table of Contents
......................................................................................................................................................................i
CERTIFICATION.........................................................................................................................................ii
DECLARATION.........................................................................................................................................iii
COPYRIGHT.............................................................................................................................................iv
ACKNOWLEDGMENT................................................................................................................................v
SUMMARY OF REPORT............................................................................................................................vi
OBJECTIVES OF FAMILY HOME VISITING................................................................................................vii
FAMILY HEALTH ASSESSMENT.....................................................................................................................1
INTRODUCTION...........................................................................................................................................1
FAMILY DISTRIBUTION.............................................................................................................................2
FAMILY GENOGRAM OF MR.MBINJI........................................................................................................3
TYPE OF HOUSE.......................................................................................................................................4
SANITATION.............................................................................................................................................5
USE OF TOILET.........................................................................................................................................5
WASTE DISPOSAL PRACTICE.....................................................................................................................6
WATER SUPPLY........................................................................................................................................8
SAFE AND WATER TREATMENT METHOD....................................................................................................8
DIETARY PRACTICE FOR DIFFERENT GROUPS...........................................................................................8
SOURCE OF INCOME................................................................................................................................9
COMMUNICATION...................................................................................................................................9
FOOD STORAGE...........................................................................................................................................9
FAMILY HEALTH.......................................................................................................................................9
FAMILY DIAGNOSIS................................................................................................................................12
TERMINATION........................................................................................................................................15
REFFERENCES.........................................................................................................................................16
LANGUAGE USED...................................................................................................................................16

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FAMILY HEALTH ASSESSMENT

INTRODUCTION
The purpose of conducting family health assessment is to recognize health problem which are
present in the family and solving immediately by involving the family member and provide
education and advice related to health issue
On 08 June 2025 at 11:30am,I visited the family of Mrs Maganga at Misegese village. I
welcomed with Veronica Ferus (the mother of the family) and we shared greetings each other
I introduced my self to wife of Mr Maganga in-order to get cooperation during family
assessment, she prepared chair near by the house and sit down and i started to assess the family
by asking the questions in-order to identify the health problem facing the family.

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FAMILY DISTRIBUTION
The table below show the family member
NAME SEX DATE RELATIO RELIGI EDUCATIO OCCUPATIO
OF N SHIP OUS N N
BIRT
H
VERONICA FEMAL 3/8/19 MOTHER CHRISTI _ FARMER
FERUS E 44 AN
NGALEKELA
OTILA MALE 12/3/1 SON ISLAM _ FARMER
MARCUS 960
MAGANGA
INOSENZIA FEMAL 20/5/1 DOUGHT CHRISTI STANDAR FARMER
MARCUS E 964 ER AN D VII
MAGANGA
SELESTINA FEMAL 7/9/19 DOUGHT CHRISTI STANDAR FARMER
MARCUS E 76 ER AN D VII
MAGANGA
ISIDONI MALE 4/6/19 SON CHRISTI STANDAR FARMER
MARCUS 78 AN D VII
MAGANGA
CHRISTINA FEMAL 11/4/1 DOUGHTI CHRISTI - FARMER
MARCUS E `982 ER AN
MAGANGA

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 FAMILY GENOGRAM OF MR.MBINJI

The figure no 1 ; show the family genogram of mr and Mrs Mbinj

MUSSA MAYOKELA FERUS NGALEKELA MWANAHAMISI

MAGANGA MARIA LUSANGE MISHAMO
MBINJU MASANJA

MARCUS MUSSA VERONICA FERUS

MAGANGA NGALEKELEA

OTILA MARCUS ISISDONI MARCUS

INOSENZIA MARCUS SELESTINA MARCUS
MAGANGA CHRISTINA MARCUS
MAGANGA MAGANGA MAGANGA
MAGANGA

KEY:
FEMALE:

MALE:

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TYPE OF HOUSE
The family of Mrs Maganga have Semi-Permanent house which made up with blocks,soil and It
consist of three rooms, one used as store of crops and home supplies another room for sleeping.

Figure no 2; shows type of house

Ventilation

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The houses have no good ventilation because the window are too small which can not allow air
to pass free from one side to another, due to that the family at risk to get air born disease such as
tuberculosis and meningitis.
Advice
I provided the advice to the family of Mr Maganga about to build permanent house with
large window which may allow air to pass free in order to prevent family from air born disease

SANITATION
cleanliness
The environment of Mr and Mrs Maganga’s family is not clean because there is a long grasses
around the house and they do not have pit rubbish and sweeping the grasses and collect near the
house without burning
Advice
Encouraged the family members to construct pit for waste disposal in order to prevent family
from eruption of disease.

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USE OF TOILET
The family of Mr and Mrs Maganga use semi permanent toilet,. they do not have hand washing
facilities after visiting the toilet, due to that the family members they are prone to acquire fecal
oral route diseases for example diarrhea
Advice
I encourage the family members to prepare place for hand washing facility for cleaning their
hands after using the toilet in order to be free from fecal oral route disease.

Figure no 3; shows type of toilet

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WASTE DISPOSAL PRACTICE
According to assessment have been conducted it show that the family of Mr and Mrs
Maganga have no pit for waste disposal

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figure no 3;show pit rubbish preparation

ADVICE
I advices the family members to dig the pit rubbish and educate on proper management of waste
product in order to reduce risk of acquire diseases.

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WATER SUPPLY
Source
The family of mr and mrs Maganga depend on tap and deep wells water
Accessibility
Water is avalable but does not fullfil the needs of the community there is few numbers of tap and
deep wells compered to the total population of Misegese village

SAFE AND WATER TREATMENT METHOD

The family of mr Maganga have no tendence of treating and boiling water before use there for
they drinking unsafe water due to that the family members prone to aquire water born disease
Advice
I encouraged the family member to prepare safe drinking water by boiling and filter water
inorder to make family free from infection
DIETARY PRACTICE FOR DIFFERENT GROUPS
The family of Mr and Mrs Maganga use different type of food forexamples cabohydrate
such as cassava,bannana rice and ugali,protein such as fish ,meat and beans, vegetable such as
spinach, cabbage and fruit ,minerals and lipids which help the family member to build up their
health and increase imunity
Quality
The family of Mr Maganga has a tendence of preserve food which used for whole
year,they eat three time per day,morning they take breakfast with sweat potatoes but some time
with food which remain at night,afternoon ugali with fish some time with green vegetable,and at
night eat rice with beans or fish,mrs cook ¾ kg of ugali and 1kg of rice at night and its enough
to the member of the family because they eat and satisfy their needs.
The food eaten to the family of Mr Maganga is good but have low quality because daily they eat
ugali and rice that make them to get the same nutrient every day and lack some other nutrients
required by the body for nourishment.
Advice
I advised the family member according to resource available about eating balance diety
which contain seven types of food inorder to build their body and to be with good health.

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Palatability of food eaten
The family member eat food wich is palatable because every member of the family enjoy
when eating food and fullfil their needs every day.
SOURCE OF INCOME
The family of Mr and Mrs Maganga depend on Agriculture activitise as source of
income in the family,they cultivate maize and paddy,after harvesting the paddy some are used for
food and remain for buisness to get money inorder to meet their basic needs such as shelter and
clothes.
COMMUNICATION
Availability of radio
In the family of Mr and Mrs Maganga the source of communication used is radio and cellphone.
The family has no television which can help them to watch different information and
events found in the country and out side the country and get different advertisment about healthy
issue.
Newspaper
There is no availability of newspaper in the family of Mr Maganga.
Telephone facility
The family use only telephone as a type of communication and exchange the information in the
family and other member in the community,but mother and father have a phone that means of
communication.
Advice
I was encourage the family to have other source of communication for example radio which can
help them to get different information.

FOOD STORAGE
The family of mr and mrs Maganga store their food by artificial for example maize are preserved
in special sac which contain chemical which affect the insect fail to destroy the maize and to be
good for future use,that method is good because food are preserved for long period at time
without to be destroyed and remain in its quality.

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FAMILY HEALTH
Disease
According to story provided by Mrs Maganga as the mother of the family said that``there is no
identified chronic health condition rather than season health condition common cold,urinary tract
infection(UTI) and malaria.
Advice
I educated family members about source of disease in the community forexample malaria by
provide health education on the causes,effects,treatment,complication, prevention and control
like use of insectside treated net and slashing grassess around the house that can help to destroy
the habitant of mosquitoes, also tell the family about envoronment sanitation.
Family health care seeking behaviour
In the family has a tendence of going to hospital to seek for health services at Malinyi district
hospital if the family member have health problem.
Health related practice
In the family pregnant mother are not allowed to conduct heavy work and after delivery mother
get time for breastfeeding her baby and provide diet rich in protein in order to make her health
and facilitate the production of milk for breasfeeding her baby,also they use family planning
method inorder to get the number of children they want in specific interval of three years. FAMILY

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DIAGNOSIS

The strength of mr Maganga family

 They have proper storage of food
 The family send their children to school in order to get education.
 Also the family use family planning inorder to get children in specific interval of three
years
 They have fertile land for agriculture activities
 Family living good life without any conflict in the family and community
 Also the family have good interaction with other member of the community
 The family have own source of income which helps to meet the needs of the family

Family problem
 They have no pit rubbish,collect the waste product behind the house
 The family use un treated water
 The family do not have hand washing facility after visting the toilet
 The house around with long grassess which atract the mosquitoe
 In proper way of waste disposal
 They drinking un treated water
Actual problems
 Risk to get infection among the family member related to inproper use of toilet
 There is long grassess around the house and toilet
 The family have no hand washing facilty after visting the toilet
 Poor information supplied like TV,News paper and radio
 Risk to get water born disease related to drinking unsafe water
Potential problem
 Potential to acquire vector born disease like malaria to poor environmental sanitation
 Potential to acquire fecal oral disease in the family related to poor use of toilet due to lack
of hand washing facility
 Potential to air born disease such as tuberculosis and miningitis related to poor ventilation
of house

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PLANING AND IMPLEMENTATIONACCORDING PRIORITY,AVAILABLE
RESOURCE,TIM AND EVALUATIONS
PROBLE OBJECTI ACTIVI RESPONSI PERSON RESOUR TI EVALUA
MS VES TIES BLE AL TO CE ME TION
PERSON IMPLEM AVAILA
ENT BLE
Risk to To ensure To Nurse Family soap,clea Tw The family
fecal oral the family encourag student and members n o successed
and have hand e family water,buc day to preper
urinary washing member members ket with s hand
tract facility of the tape washing
infections after family to facility
related to visting hand
improper toilet washing
use of facilities
toilet
Potential To ensure To Nurse Family Slasher,h Thr The
to vector environm encourag student and members oes and ee environme
born ent e family family man day nt around
disease around member members power s the house
like the house to clean is cleaned
malaria is clean environm
related to ent and
poor demostra
environm te by
ental slashing
sanitation the
grassess
around
the house
Risk to To ensure To Nurse Family Hand Thr Pit was
get the family encourag student and members hoes,spea ee diged and
infection have pit e family family d and day family
related to for waste member members man s member
poor disposal to dig pit power start to
managem rubbish dispose
ent of waste
waste product
product

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 EVALUATION
After the advice and counseling in the family which I visited during my field practice,
I tried to make follow up in this family of Mr. and Mrs.salim according to the implementation
which I performed it seems that the advice has been understood as evidenced with follows:

 The family has managed to boil water as the means of water treatment.

 The family started to perform proper waste disposal and good environmental sanitation

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LESSON PLAN PART A
TOPIC: HAND WASHING
FACILITATORNAME: ANTONY PHILIMON
LEARNER’SCHARACTERISTICS: FAMILY MEMBERS
TIMEALLOTMENT: 24MINUTES
DATE:08 June 2025
TEACHINGMETHODOLOGY: DISCUSSION AND LECTURING
TEACHINGMATERIALS: FLIP CHART, PEN
VENUE: HOME

LEARNING OBJECTIVES(2MIN)
At the end of this session learners are required to be able to;
1. Define hand washing
2. Identify points where hand washing is applied(indicators)
3. Identify equipment’s required for hand washing
4. Explain importance of hand washing.

INTRODUCTION (3minutes)
Hand washing is a procedure of cleaning hands by using liquid soap, running water and towel to
keep hands safe. It is important to wash hands because we remove dirty and other
microorganisms that threatens our health. Equipment’s used in hand washing is like liquid soap,
running water and towel.

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 LESSON PLAN PART B

Table no4: shows lesson plan part B

TIME OBJECTIVES CONTENTS TEACHER’S LEARNER’S EVALUATION
ACTIVITIES
ACTIVITIES
2min Definition of Hand washing -To ask family -Respond to Through
hand washing is the procedure to define hand teacher’s responding to
of cleaning washing questions teacher’s
hands by liquid questions and
-Defining -Attentive
soap, running asking questions
hand washing listening
water, and it shows
towel to keep -To respond -Ask if any familyhas
them safe questions question from understood
family family
5min Identify -Before and -To ask family -Respond to Through
indication of after eating to identify teacher’s answering to
hand washing indications of questions teacher’s
-Before and
hand washing questions and
after attending -Attentive
attentive
toilets -Identifying listening
listening this
indications of
-Before and -Ask if any shows family
hand washing
after cooking question from understood
and serving -Respond to family
food any question
5min Identify -Liquid soap -to ask family -respond to Through
equipment’s to identify teacher’s answering to
-Buckets with
required for equipment’s questions teacher’s
tape
hand washing required for questions and
-attentive
-Running water hand washing asking questions
listening
and attentive
-towel -identify
-ask if any listening shows
equipment’s
question family
required for
understood
hand washing
-responding to
any questions
5min Explain -to keep hands -to ask family -respond to Through

16
 importance of safe from to explain teacher’s answering to
hand washing microorganism importance of question teacher’s
s hand washing questions and
-attentive
attentive
-to prevent -explain listening
listening this
fecal oral importance of
-ask if any shows that
diseases hand washing
question from family
-to reduce respond to family understood
microorganism any
s on the hands question
from
family

SUMMARY(2 minutes)
Hand washing is a procedure of cleaning hands by using liquid soap, running water, and towel to
keep them safe. The importance of hand washing is to reduce microorganisms on the hands, to
keep hands clean and attractive also to prevent fecal oral disease

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TERMINATION
The activity of conducting family health assessment it need support and cooperationI would like
to thank my heaven father for his bressing and giving me a good health and all member of the
family in whole period of conducting assessment
Also I would like to thanks all member of the family of Mr Maganga for their cooperation during
assessment which help me to identify health related condition and solving identified problem
according to resource available, and tell the family member about the importance of being with
good health.

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RECOMMENDATIONS AND CONCLUSION.
 I advised the family members to boil and filter water before drinking to avoidwater
borne diseases
 All community readers and members of the community should be involved in all
things that affect their health.

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REFFERENCES
 Family members
 Community members Misegese village
 Hamlet chair person of Mwembeni hamlet

LANGUAGE USED
The language used is simple and well understood

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