from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.lib import colors
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, PageBreak, KeepTogether
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY
from reportlab.platypus import BaseDocTemplate, Frame, PageTemplate

# ─── Colour palette ───────────────────────────────────────────────────────────
NAVY   = colors.HexColor("#1a3c5e")
TEAL   = colors.HexColor("#2e7d9e")
LTBLUE = colors.HexColor("#e8f4f8")
GOLD   = colors.HexColor("#c8860a")
WHITE  = colors.white
GREY   = colors.HexColor("#f5f5f5")

# ─── Common styles ────────────────────────────────────────────────────────────
styles = getSampleStyleSheet()

college_style = ParagraphStyle(
    "college", fontSize=12, fontName="Helvetica-Bold",
    textColor=NAVY, alignment=TA_CENTER, spaceAfter=2
)
dept_style = ParagraphStyle(
    "dept", fontSize=10, fontName="Helvetica",
    textColor=TEAL, alignment=TA_CENTER, spaceAfter=4
)
title_style = ParagraphStyle(
    "title", fontSize=16, fontName="Helvetica-Bold",
    textColor=WHITE, alignment=TA_CENTER,
    spaceAfter=6, leading=20
)
h1_style = ParagraphStyle(
    "h1", fontSize=13, fontName="Helvetica-Bold",
    textColor=NAVY, spaceBefore=12, spaceAfter=4,
    borderPad=4
)
h2_style = ParagraphStyle(
    "h2", fontSize=11, fontName="Helvetica-Bold",
    textColor=TEAL, spaceBefore=8, spaceAfter=3
)
body_style = ParagraphStyle(
    "body", fontSize=10, fontName="Helvetica",
    textColor=colors.black, spaceAfter=4,
    leading=15, alignment=TA_JUSTIFY
)
bullet_style = ParagraphStyle(
    "bullet", fontSize=10, fontName="Helvetica",
    textColor=colors.black, spaceAfter=3,
    leftIndent=14, leading=14,
    bulletIndent=4, bulletFontName="Helvetica"
)
footer_style = ParagraphStyle(
    "footer", fontSize=8, fontName="Helvetica",
    textColor=colors.grey, alignment=TA_CENTER
)


def header_table(college, dept, batch, subject, assignment_title):
    """Returns the top header block as a list of flowables."""
    items = []
    # College header box
    header_data = [
        [Paragraph(college, college_style)],
        [Paragraph(dept, dept_style)],
        [Paragraph(f"Batch: {batch} | Subject: {subject}", dept_style)],
    ]
    ht = Table(header_data, colWidths=[16*cm])
    ht.setStyle(TableStyle([
        ("BOX",      (0,0), (-1,-1), 1.2, NAVY),
        ("TOPPADDING",    (0,0), (-1,-1), 6),
        ("BOTTOMPADDING", (0,0), (-1,-1), 6),
        ("BACKGROUND", (0,0), (-1,-1), LTBLUE),
    ]))
    items.append(ht)
    items.append(Spacer(1, 0.3*cm))

    # Coloured title bar
    title_data = [[Paragraph(assignment_title, title_style)]]
    tt = Table(title_data, colWidths=[16*cm])
    tt.setStyle(TableStyle([
        ("BACKGROUND", (0,0), (-1,-1), NAVY),
        ("TOPPADDING",    (0,0), (-1,-1), 8),
        ("BOTTOMPADDING", (0,0), (-1,-1), 8),
        ("ROUNDEDCORNERS", [4]),
    ]))
    items.append(tt)
    items.append(Spacer(1, 0.4*cm))
    return items


def section(title, content_paras, bullet_lists=None):
    """Returns a section block: heading + body paragraphs + optional bullets."""
    items = []
    items.append(HRFlowable(width="100%", thickness=0.5, color=TEAL, spaceAfter=2))
    items.append(Paragraph(title, h1_style))
    for p in content_paras:
        items.append(Paragraph(p, body_style))
    if bullet_lists:
        for bl in bullet_lists:
            if isinstance(bl, str):   # sub-heading
                items.append(Paragraph(bl, h2_style))
            else:                      # list of bullets
                for b in bl:
                    items.append(Paragraph(f"\u2022  {b}", bullet_style))
    items.append(Spacer(1, 0.2*cm))
    return items


def build_pdf(filename, story):
    doc = SimpleDocTemplate(
        filename,
        pagesize=A4,
        topMargin=2*cm, bottomMargin=2*cm,
        leftMargin=2.5*cm, rightMargin=2.5*cm
    )
    doc.build(story)
    print(f"Created: {filename}")


COLLEGE  = "Anugrah Narayan Magadh Medical College & Hospital, Gaya"
DEPT     = "B.Sc. Nursing College | Community Health Nursing II (7th Semester)"
BATCH    = "2022-2026"
SUBJECT  = "Community Health Nursing II"


# =============================================================================
# ASSIGNMENT 1 – ADOLESCENT COUNSELING
# =============================================================================
def assignment_adolescent():
    story = []
    story += header_table(COLLEGE, DEPT, BATCH, SUBJECT,
                          "Assignment 1: Adolescent Counseling")

    story += section("1. Introduction",
        ["Adolescence is the transitional phase of growth and development between childhood and adulthood, generally spanning the ages of 10-19 years as defined by the World Health Organization (WHO). This period is marked by rapid physical, psychological, social, and cognitive changes. These changes often create confusion, identity crises, and vulnerability to risk-taking behaviours, making adolescent counseling a critical component of community health nursing.",
         "Adolescent counseling refers to the process of providing professional guidance, support, and information to adolescents to help them navigate the physical, emotional, and social challenges of this developmental stage. The community health nurse plays a pivotal role in identifying at-risk adolescents, conducting counseling sessions, and connecting them with appropriate services."]
    )

    story += section("2. Objectives of Adolescent Counseling",
        ["The primary objectives of adolescent counseling in the community health context are:"],
        [["To promote physical and mental health of adolescents.",
          "To provide accurate information about puberty, reproductive health, and sexuality.",
          "To prevent substance abuse, early marriage, and teenage pregnancy.",
          "To address nutritional needs and prevent anaemia and malnutrition.",
          "To promote gender equality and prevent gender-based violence.",
          "To build life skills including decision-making, communication, and coping strategies.",
          "To identify and refer adolescents with mental health concerns.",
          "To encourage school retention and career guidance."]]
    )

    story += section("3. Adolescent Health Problems Requiring Counseling",
        ["Adolescents face a wide spectrum of health challenges that necessitate targeted counseling:"],
        ["A. Physical Health Issues",
         ["Nutritional deficiencies (anaemia, calcium deficiency, vitamin D deficiency)",
          "Menstrual disorders in girls (dysmenorrhoea, irregular cycles)",
          "Skin disorders such as acne vulgaris",
          "Vision and hearing impairments",
          "Obesity and overweight due to sedentary lifestyle and junk food"],
         "B. Reproductive and Sexual Health",
         ["Understanding puberty changes in boys and girls",
          "Prevention of sexually transmitted infections (STIs) including HIV/AIDS",
          "Prevention of early or unwanted pregnancy",
          "Safe practices and responsible sexual behaviour",
          "Menstrual hygiene management"],
         "C. Mental and Psychosocial Health",
         ["Depression, anxiety, and stress related to academic pressure",
          "Low self-esteem and poor body image",
          "Peer pressure and social isolation",
          "Risk of suicidal ideation and self-harm",
          "Substance use disorders (tobacco, alcohol, drugs)"],
         "D. Social and Behavioural Issues",
         ["School dropout and academic underperformance",
          "Delinquency and antisocial behaviour",
          "Early marriage, especially in girls in rural areas",
          "Child labour and exploitation"]]
    )

    story += section("4. Principles of Adolescent Counseling",
        ["Effective adolescent counseling is guided by core principles that ensure trust, effectiveness, and sensitivity:"],
        [["Confidentiality: Ensure all information shared is kept private to build trust.",
          "Non-judgmental attitude: Accept adolescents without bias regarding their behaviour or choices.",
          "Respect and dignity: Treat every adolescent with respect irrespective of gender, caste, religion.",
          "Empowerment: Build skills and confidence to enable informed decision-making.",
          "Holistic approach: Address physical, emotional, social, and spiritual dimensions together.",
          "Evidence-based practice: Use scientifically validated information and techniques.",
          "Cultural sensitivity: Be aware of and respect local customs, values, and norms.",
          "Voluntary participation: Counseling should be sought willingly, never coerced."]]
    )

    story += section("5. Process of Adolescent Counseling (GATHER Approach)",
        ["The GATHER approach is a widely used framework in reproductive and adolescent health counseling:"],
        [["G - Greet the client warmly, introduce yourself, and create a comfortable environment.",
          "A - Ask the adolescent about their concerns, health history, and current problems.",
          "T - Tell the client relevant and accurate information tailored to their needs.",
          "H - Help the client understand the options available and make an informed decision.",
          "E - Explain any procedures, treatments, or follow-up required.",
          "R - Return/Refer: Encourage follow-up visits and refer to specialists when needed."]]
    )

    story += section("6. Types of Counseling Services for Adolescents",
        ["Adolescent counseling encompasses several specialized types:"],
        ["A. Individual Counseling",
         ["One-to-one sessions addressing personal concerns such as menstrual problems, nutrition, or mental health.",
          "Provides privacy and encourages open communication.",
          "Used for sensitive issues like sexual health or substance abuse."],
         "B. Group Counseling",
         ["Conducted with groups of adolescents of similar age or gender.",
          "Peer support and shared experiences enhance learning.",
          "Common topics: life skills, hygiene, nutrition, career guidance."],
         "C. Family Counseling",
         ["Involves parents and family members to improve communication.",
          "Addresses family-related stress and conflict affecting the adolescent.",
          "Important for addressing early marriage and gender discrimination."],
         "D. School-Based Counseling",
         ["Integrated with school health services.",
          "Health talks, guidance sessions, and referral by teachers.",
          "Covers academic stress, peer relationships, and career planning."]]
    )

    story += section("7. Role of the Community Health Nurse in Adolescent Counseling",
        ["The community health nurse is the frontline professional for adolescent health in India. Her responsibilities include:"],
        [["Conducting health assessments including growth monitoring and anaemia screening.",
          "Providing health education on puberty, reproductive health, and hygiene.",
          "Delivering individual and group counseling during school health programs and ASHA/ANM clinics.",
          "Administering Iron and Folic Acid (IFA) supplementation under WIFS (Weekly Iron and Folic Acid Supplementation) programme.",
          "Facilitating Adolescent Friendly Health Services (AFHS) under Rashtriya Kishor Swasthya Karyakram (RKSK).",
          "Conducting sessions under the ARSH (Adolescent Reproductive and Sexual Health) programme.",
          "Identifying and referring adolescents with mental health or reproductive health problems.",
          "Coordinating with ASHA workers, schools, and community leaders for outreach."]]
    )

    story += section("8. National Programmes for Adolescent Health in India",
        ["The Government of India has launched several programs specifically targeting adolescent health:"],
        [["Rashtriya Kishor Swasthya Karyakram (RKSK) – Launched in 2014, targets 10-19 year olds, covering nutrition, reproductive health, mental health, substance abuse, violence, and non-communicable diseases.",
          "ARSH Programme (Adolescent Reproductive and Sexual Health) – Provides reproductive and sexual health services at PHC/CHC level.",
          "WIFS (Weekly Iron and Folic Acid Supplementation) – Addresses anaemia in school and out-of-school adolescents.",
          "School Health Programme – Provides health checkups, vaccinations, and counseling through schools.",
          "Pradhan Mantri Matru Vandana Yojana (PMMVY) – Supports adolescent mothers during pregnancy.",
          "Beti Bachao Beti Padhao – Addresses female foeticide and encourages girls' education."]]
    )

    story += section("9. Conclusion",
        ["Adolescent counseling is a vital component of community health nursing practice in India. The community health nurse, through her presence at the primary healthcare level, is uniquely positioned to provide accessible, confidential, and culturally sensitive counseling services. By addressing the multifaceted needs of adolescents - physical, reproductive, mental, and social - she contributes significantly to building a healthier and more empowered generation. A comprehensive approach that involves the adolescent, family, school, and community is essential for sustained impact."]
    )

    # References
    story.append(HRFlowable(width="100%", thickness=0.5, color=GOLD, spaceAfter=2))
    story.append(Paragraph("References", h1_style))
    refs = [
        "Park K. Park's Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publishers; 2019.",
        "WHO. Adolescent Health. World Health Organization; 2023.",
        "Government of India. Rashtriya Kishor Swasthya Karyakram (RKSK) Guidelines. MoHFW; 2014.",
        "Basavanthappa BT. Community Health Nursing. 2nd ed. New Delhi: Jaypee Brothers; 2008.",
        "ICAR-National Institute for Research in Reproductive Health (NIRRH). ARSH Programme Guidelines."
    ]
    for r in refs:
        story.append(Paragraph(f"\u2022  {r}", bullet_style))

    build_pdf("/home/daytona/workspace/nursing-assignments/Assignment1_Adolescent_Counseling.pdf", story)


# =============================================================================
# ASSIGNMENT 2 – HIGH RISK NEONATE
# =============================================================================
def assignment_high_risk_neonate():
    story = []
    story += header_table(COLLEGE, DEPT, BATCH, SUBJECT,
                          "Assignment 2: High Risk Neonate")

    story += section("1. Introduction",
        ["The neonatal period refers to the first 28 days of life and is one of the most vulnerable phases of human existence. A high-risk neonate is defined as a newborn who is at greater risk for morbidity or mortality than the average neonate due to conditions associated with pregnancy, birth, or the immediate postnatal period. Early identification and intensive nursing care of these infants can significantly reduce neonatal mortality, which remains a significant public health challenge in India.",
         "India accounts for a substantial proportion of global neonatal deaths. The Neonatal Mortality Rate (NMR) in India was approximately 20 per 1000 live births (NFHS-5, 2019-21). The community health nurse's role in identifying, referring, and providing follow-up care for high-risk neonates is therefore of utmost importance."]
    )

    story += section("2. Definition",
        ["A high-risk neonate is defined as 'a newborn, regardless of gestational age or birth weight, who has greater than average chance of morbidity or mortality because of conditions or circumstances superimposed on the normal course of events associated with birth and the adjustment to extrauterine existence.'",
         "- Merenstein & Gardner's Handbook of Neonatal Intensive Care"]
    )

    story += section("3. Classification of High-Risk Neonates",
        ["High-risk neonates are classified based on gestational age and birth weight:"],
        ["A. Based on Gestational Age",
         ["Preterm/Premature: Born before 37 completed weeks of gestation.",
          "  - Extremely preterm: < 28 weeks",
          "  - Very preterm: 28 - < 32 weeks",
          "  - Moderate to late preterm: 32 - < 37 weeks",
          "Post-term: Born at or after 42 completed weeks of gestation.",
          "Term: Born between 37-42 weeks (normal gestational age)."],
         "B. Based on Birth Weight",
         ["Normal birth weight: >= 2500 g",
          "Low Birth Weight (LBW): < 2500 g",
          "Very Low Birth Weight (VLBW): < 1500 g",
          "Extremely Low Birth Weight (ELBW): < 1000 g",
          "Macrosomia: Birth weight > 4000 g"],
         "C. Based on Weight for Gestational Age",
         ["Small for Gestational Age (SGA): Birth weight < 10th percentile for gestational age.",
          "Appropriate for Gestational Age (AGA): Birth weight between 10th - 90th percentile.",
          "Large for Gestational Age (LGA): Birth weight > 90th percentile for gestational age."]]
    )

    story += section("4. Criteria / Risk Factors Identifying a High-Risk Neonate",
        ["Risk factors can be identified during the antepartum, intrapartum, and postpartum periods:"],
        ["A. Maternal / Antepartum Factors",
         ["Maternal age < 16 years or > 35 years",
          "Grand multiparity (parity > 5)",
          "Previous history of stillbirth, neonatal death, or preterm delivery",
          "Medical conditions: diabetes mellitus, hypertension, heart disease, anaemia",
          "Infections during pregnancy: TORCH infections, UTI, STIs",
          "Malnutrition, substance abuse (tobacco, alcohol, drugs)",
          "Rh incompatibility and ABO incompatibility",
          "Placenta previa, abruptio placentae, polyhydramnios/oligohydramnios"],
         "B. Intrapartum Factors",
         ["Prolonged or precipitate labour",
          "Abnormal fetal presentation (breech, face, transverse)",
          "Cephalopelvic disproportion (CPD)",
          "Fetal distress (late decelerations, meconium-stained liquor)",
          "Emergency caesarean section",
          "Cord prolapse or cord entanglement",
          "Birth trauma (forceps or vacuum delivery)"],
         "C. Neonatal Factors",
         ["Low birth weight (< 2500 g)",
          "Prematurity (< 37 weeks)",
          "Apgar score < 7 at 5 minutes",
          "Respiratory distress syndrome (RDS)",
          "Cyanosis, pallor, or jaundice in first 24 hours",
          "Congenital anomalies",
          "Multiple births (twins, triplets)",
          "Neonatal sepsis, hypoglycaemia, hypocalcaemia"]]
    )

    story += section("5. Common Problems of High-Risk Neonates",
        ["High-risk neonates are susceptible to a range of clinical complications:"],
        [["Respiratory Distress Syndrome (RDS): Due to surfactant deficiency in preterm lungs.",
          "Hyaline Membrane Disease (HMD): Collapsed alveoli due to lack of surfactant.",
          "Intraventricular Haemorrhage (IVH): Bleeding into brain ventricles.",
          "Necrotizing Enterocolitis (NEC): Intestinal inflammation and necrosis.",
          "Neonatal Jaundice (Hyperbilirubinaemia): Especially pathological jaundice.",
          "Neonatal Sepsis: Bacterial, viral, or fungal infection in first 28 days.",
          "Hypoglycaemia: Blood glucose < 47 mg/dL in neonates.",
          "Hypocalcaemia: Serum calcium < 7.5 mg/dL.",
          "Apnoea of Prematurity: Cessation of breathing > 20 seconds.",
          "Retinopathy of Prematurity (ROP): Abnormal retinal blood vessel development.",
          "Thermoregulation problems: Hypothermia due to poor fat stores.",
          "Feeding difficulties and poor sucking reflex."]]
    )

    story += section("6. Nursing Assessment of High-Risk Neonate",
        ["A thorough initial assessment using the APGAR score and systematic examination is essential:"],
        ["A. APGAR Score Assessment (at 1 and 5 minutes)",
         ["Appearance (Skin colour) - 0: Blue/pale all over, 1: Blue extremities, 2: Pink all over",
          "Pulse (Heart rate) - 0: Absent, 1: < 100 bpm, 2: >= 100 bpm",
          "Grimace (Reflex irritability) - 0: No response, 1: Grimace, 2: Cry/sneeze",
          "Activity (Muscle tone) - 0: Limp, 1: Some flexion, 2: Active motion",
          "Respiration - 0: Absent, 1: Weak/irregular, 2: Strong cry"],
         "B. Ballard Score",
         ["Assesses gestational age through neuromuscular and physical maturity markers.",
          "Score ranges from -10 to 50, corresponding to gestational age of 20-44 weeks."],
         "C. Physical Examination",
         ["Head circumference, chest circumference, length, and weight measurements.",
          "Assessment of fontanelles, skin colour, tone, reflexes.",
          "Respiratory rate, heart rate, temperature.",
          "Assessment for congenital anomalies."]]
    )

    story += section("7. Nursing Management of High-Risk Neonate",
        ["The '7 B's' approach of nursing management covers all critical aspects of neonatal care:"],
        ["A. Breathing Support",
         ["Ensure airway is clear - suction if necessary.",
          "Provide supplemental oxygen via nasal prongs, CPAP, or mechanical ventilation.",
          "Monitor oxygen saturation using pulse oximetry (target SpO2: 90-95% in preterm).",
          "Administer surfactant therapy (SURFACTA) as prescribed for RDS."],
         "B. Body Temperature Regulation",
         ["Prevent hypothermia - use incubator, radiant warmer, or Kangaroo Mother Care (KMC).",
          "Maintain room temperature at 25-28°C.",
          "Warm all equipment, blankets, and IV fluids.",
          "Monitor axillary temperature every 2-4 hours (normal: 36.5-37.5°C)."],
         "C. Blood Glucose Maintenance",
         ["Monitor blood glucose regularly (every 2-4 hours initially).",
          "Early initiation of feeds (breast milk preferred).",
          "IV dextrose if hypoglycaemia is present."],
         "D. Breast Milk / Feeding",
         ["Initiate breastfeeding or expressed breast milk as early as possible.",
          "For very preterm infants: gavage (nasogastric tube) feeding.",
          "Kangaroo Mother Care (KMC) facilitates breastfeeding and bonding.",
          "Monitor weight gain (expected: 15-20 g/kg/day after initial weight loss)."],
         "E. Bilirubin Monitoring (Jaundice)",
         ["Assess for jaundice - cephalocaudal progression.",
          "Monitor serum bilirubin levels.",
          "Phototherapy: 12-16 hours/day using blue light (wavelength 420-480 nm).",
          "Exchange transfusion for severe hyperbilirubinaemia."],
         "F. Blood Pressure and Circulation",
         ["Monitor vital signs frequently (every 1-4 hours).",
          "Maintain IV access for fluids and medications.",
          "Administer dopamine/dobutamine for hypotension as prescribed."],
         "G. Bonding with Parents",
         ["Encourage parental involvement in care - KMC, holding, and feeding.",
          "Provide emotional support and education to parents.",
          "Prepare parents for discharge and home care."]]
    )

    story += section("8. Kangaroo Mother Care (KMC)",
        ["Kangaroo Mother Care is an evidence-based intervention for low birth weight and preterm neonates. It involves:"],
        [["Continuous skin-to-skin contact between mother and neonate (chest to chest).",
          "Exclusive breastfeeding or expressed breast milk feeding.",
          "Early discharge from hospital with support and follow-up.",
          "Benefits: Reduces hypothermia, hypoglycaemia, infections, and mortality.",
          "WHO recommends KMC as a standard of care for LBW neonates.",
          "In India, KMC is promoted under National Health Mission (NHM) through Special Newborn Care Units (SNCUs) and Newborn Stabilization Units (NBSUs)."]]
    )

    story += section("9. Role of Community Health Nurse",
        ["The community health nurse's role in managing high-risk neonates extends from hospital to home:"],
        [["Conducting home visits within 24 hours and then on Day 3, 7, 14, and 28 as per HBNC (Home-Based Newborn Care) protocol.",
          "Assessing newborn using HBNC checklist - temperature, feeding, danger signs.",
          "Promoting and supporting exclusive breastfeeding.",
          "Ensuring vaccination schedule (BCG, OPV-0, Hepatitis B-0 at birth).",
          "Identifying danger signs: poor feeding, fast breathing, fever, jaundice, convulsions.",
          "Referring high-risk neonates to SNCU/NBSU without delay.",
          "Educating mothers on cord care, bathing, warmth, and hygiene.",
          "Counseling on KMC for LBW babies at home.",
          "Facilitating Janani Shishu Suraksha Karyakram (JSSK) benefits for free treatment."]]
    )

    story += section("10. Danger Signs in Neonates (IMNCI)",
        ["The Integrated Management of Neonatal and Childhood Illness (IMNCI) identifies key danger signs requiring urgent referral:"],
        [["Not able to feed or stopped feeding",
          "Convulsions",
          "Fast breathing (respiratory rate >= 60/min)",
          "Severe chest indrawing",
          "Temperature >= 37.5°C or < 35.5°C",
          "Severe jaundice (palms and soles appear yellow)",
          "Umbilical redness extending to skin",
          "Pus from eyes",
          "Cyanosis (bluish discolouration)"]]
    )

    story += section("11. Conclusion",
        ["The high-risk neonate requires vigilant assessment, prompt intervention, and compassionate nursing care. The community health nurse serves as the bridge between institutional care and home care, ensuring that every high-risk baby receives appropriate follow-up and that mothers are empowered with the knowledge to recognize danger signs early. A combination of clinical expertise, community-based monitoring through HBNC, and national programme support through NHM, SNCUs, and JSSK forms the cornerstone of reducing neonatal mortality in India."]
    )

    story.append(HRFlowable(width="100%", thickness=0.5, color=GOLD, spaceAfter=2))
    story.append(Paragraph("References", h1_style))
    refs = [
        "Park K. Park's Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publishers; 2019.",
        "Meharban Singh. Care of the Newborn. 8th ed. New Delhi: CBS Publishers; 2015.",
        "MoHFW, Government of India. Home-Based Newborn Care (HBNC) Programme Guidelines; 2014.",
        "WHO. Kangaroo Mother Care: A Practical Guide. Geneva: World Health Organization; 2003.",
        "Harriet Lane Handbook, 23rd Edition, Johns Hopkins Hospital."
    ]
    for r in refs:
        story.append(Paragraph(f"\u2022  {r}", bullet_style))

    build_pdf("/home/daytona/workspace/nursing-assignments/Assignment2_High_Risk_Neonate.pdf", story)


# =============================================================================
# ASSIGNMENT 3 – UNDER FIVE CLINIC
# =============================================================================
def assignment_under_five_clinic():
    story = []
    story += header_table(COLLEGE, DEPT, BATCH, SUBJECT,
                          "Assignment 3: Under Five Clinic")

    story += section("1. Introduction",
        ["Children under five years of age represent approximately 10-15% of India's total population and are the most nutritionally and immunologically vulnerable segment. The under-five period (0-59 months) is characterized by rapid growth and development, and is also the period when children are most susceptible to preventable infections, malnutrition, and developmental delays.",
         "The Under Five Clinic (UFC) - also called the Well Child Clinic or Under-Five Care Clinic - is a specialized child health service organized at the primary healthcare level to promote, protect, and restore the health of children below five years of age. The concept was introduced by the World Health Organization (WHO) and integrated into India's maternal and child health services under the National Health Mission (NHM)."]
    )

    story += section("2. Definition",
        ["An Under Five Clinic is a comprehensive child health service that provides promotive, preventive, and curative care for children from birth to five years of age, operating at the primary healthcare level (PHC/Sub-centre/Anganwadi centre)."]
    )

    story += section("3. Goals and Objectives",
        ["The Under Five Clinic aims to:"],
        [["Reduce infant and child morbidity and mortality.",
          "Monitor growth and development of children regularly.",
          "Ensure complete immunization against vaccine-preventable diseases.",
          "Detect and manage malnutrition early through growth monitoring.",
          "Prevent and control common childhood illnesses (diarrhoea, ARI, malaria).",
          "Provide nutritional guidance and supplementation.",
          "Promote breastfeeding and appropriate complementary feeding.",
          "Provide health education to mothers and caregivers.",
          "Identify and refer children with developmental delays or disabilities.",
          "Promote early childhood development and psychosocial stimulation."]]
    )

    story += section("4. Organization of Under Five Clinic",
        ["The Under Five Clinic is typically organized using the 'Triangles Model' which is a visual representation of services:"],
        ["A. The Six Triangles Model",
         ["The clinic is organized into 6 triangular sections, each representing a functional area:",
          "Triangle 1 (Top - Registration): Child registration, card maintenance, and weighing.",
          "Triangle 2 (Right - Immunization): Vaccines as per National Immunization Schedule.",
          "Triangle 3 (Left - Nutrition): Growth monitoring, nutrition assessment, supplementation.",
          "Triangle 4 (Bottom-Right - Curative): Treatment of common illnesses (ORS for diarrhoea, ARI management).",
          "Triangle 5 (Bottom-Left - Promotive): Health education and counseling for mothers.",
          "Triangle 6 (Centre - Referral): Referral of seriously ill or malnourished children to higher facilities."],
         "B. Physical Setup",
         ["Separate waiting area for mothers and children.",
          "Registration desk with child health records/cards.",
          "Weighing area with standardized infant/toddler scales.",
          "Immunization corner with cold chain equipment.",
          "Nutrition corner with growth charts.",
          "Examination area for clinical assessment.",
          "Oral Rehydration Therapy (ORT) corner.",
          "Health education area with posters and models."]]
    )

    story += section("5. Activities / Functions of Under Five Clinic",
        ["The clinic carries out a comprehensive range of activities:"],
        ["A. Growth Monitoring",
         ["Weighing the child at every visit using standardized scales.",
          "Plotting weight on the Road to Health Chart (Growth Chart/WHO growth standards).",
          "Identifying underweight (weight-for-age), stunting (height-for-age), and wasting (weight-for-height).",
          "Grading malnutrition using IAP (Indian Academy of Pediatrics) classification.",
          "Providing counseling based on growth trend (flat/falling curve = at risk)."],
         "B. Immunization",
         ["Following the National Immunization Schedule (NIS):",
          "  Birth: BCG, OPV-0, Hepatitis B-0",
          "  6 weeks: OPV-1, IPV-1, Pentavalent-1, PCV-1, Rotavirus-1",
          "  10 weeks: OPV-2, Pentavalent-2, PCV-2, Rotavirus-2",
          "  14 weeks: OPV-3, IPV-2, Pentavalent-3, PCV-3, Rotavirus-3",
          "  9-12 months: Measles/MR-1, JE-1 (endemic areas), Vitamin A-1",
          "  16-24 months: DPT booster-1, OPV booster, MR-2, JE-2, Vitamin A (every 6 months)",
          "  5 years: DPT booster-2",
          "Maintaining cold chain (2-8°C for most vaccines).",
          "Recording in MCH register and child health card.",
          "Tracking defaulters and ensuring 100% coverage."],
         "C. Nutritional Supplementation",
         ["Vitamin A supplementation: First dose at 9 months, then every 6 months up to 5 years.",
          "Iron and Folic Acid (IFA) supplementation for children 6 months - 5 years.",
          "Zinc supplementation during diarrhoea episodes.",
          "Referral to Nutrition Rehabilitation Centre (NRC) for severe acute malnutrition (SAM)."],
         "D. Curative Care",
         ["ORS administration and promotion for diarrhoea management (IMNCI guidelines).",
          "Treatment of ARI (Acute Respiratory Infections) - amoxicillin for pneumonia.",
          "Treatment of fever and malaria.",
          "Deworming with Albendazole every 6 months after 12 months of age.",
          "Eye care: Vitamin A for xerophthalmia."],
         "E. Health Education",
         ["Exclusive breastfeeding for 6 months.",
          "Complementary feeding after 6 months.",
          "Personal hygiene and sanitation.",
          "Safe water and hand washing.",
          "Danger signs requiring immediate medical attention.",
          "Prevention of accidents and injuries at home."]]
    )

    story += section("6. Malnutrition Assessment and Grading",
        ["Malnutrition is a major concern in children under five. Assessment tools include:"],
        ["A. Anthropometric Measurements",
         ["Weight-for-age (underweight)",
          "Height/Length-for-age (stunting)",
          "Weight-for-height (wasting)",
          "Mid-Upper Arm Circumference (MUAC): < 11.5 cm = severe acute malnutrition"],
         "B. IAP Grading of Malnutrition (Weight-for-Age)",
         ["Grade I: 71-80% of expected weight (mild malnutrition)",
          "Grade II: 61-70% of expected weight (moderate malnutrition)",
          "Grade III: 51-60% of expected weight (severe malnutrition)",
          "Grade IV: < 50% of expected weight (very severe/marasmus)"],
         "C. WHO Classification",
         ["Moderate Acute Malnutrition (MAM): MUAC 11.5-12.5 cm or W/H -2 to -3 SD",
          "Severe Acute Malnutrition (SAM): MUAC < 11.5 cm or W/H < -3 SD or bilateral oedema"]]
    )

    story += section("7. IMNCI in Under Five Clinic",
        ["Integrated Management of Neonatal and Childhood Illness (IMNCI) is the standard protocol used in India for managing children under five:"],
        [["IMNCI covers assessment and treatment of: diarrhoea, pneumonia, fever (malaria/dengue), malnutrition, ear problems, and anaemia.",
          "Classification-based treatment: children are classified as 'Urgent Referral', 'Treat at Home', or 'Follow-up'.",
          "IMNCI also includes counseling for the mother on feeding, fluids, and when to return.",
          "IMNCI training is mandatory for health workers managing under-five children."]]
    )

    story += section("8. Health Records Maintained at Under Five Clinic",
        ["Accurate record-keeping is essential for monitoring individual child progress and program evaluation:"],
        [["MCH (Mother and Child Health) Register",
          "Child Health Card / Growth Card",
          "Immunization Register",
          "Road to Health Chart (Growth Chart)",
          "Stock register for vaccines and medicines",
          "Monthly reports submitted to PHC/district"]]
    )

    story += section("9. Role of Community Health Nurse in Under Five Clinic",
        ["The community health nurse is central to the functioning of the Under Five Clinic:"],
        [["Organizing and conducting regular clinic sessions (weekly/fortnightly).",
          "Weighing and plotting growth charts for every child.",
          "Administering vaccines following cold chain protocols.",
          "Providing nutritional counseling and supplementation.",
          "Treating minor ailments using IMNCI guidelines.",
          "Identifying and referring SAM, severely ill children.",
          "Maintaining registers and submitting monthly reports.",
          "Conducting home visits for follow-up of at-risk children.",
          "Coordinating with ASHA workers, Anganwadi workers, and mothers.",
          "Educating mothers on exclusive breastfeeding, complementary feeding, hygiene."]]
    )

    story += section("10. Indicators for Evaluating Under Five Clinic",
        ["The effectiveness of the Under Five Clinic is measured through:"],
        [["Immunization coverage rate (target: >= 90% for all antigens)",
          "Percentage of children with normal growth trend",
          "Prevalence of stunting, wasting, and underweight",
          "Under-five mortality rate (U5MR)",
          "Proportion of children exclusively breastfed up to 6 months",
          "Defaulter rate for immunization and growth monitoring"]]
    )

    story += section("11. Conclusion",
        ["The Under Five Clinic is a cornerstone of preventive and promotive child health services at the community level in India. By integrating growth monitoring, immunization, nutrition, curative care, and health education in a single platform, it provides holistic care to the most vulnerable segment of the population. The community health nurse's role in organizing, running, and evaluating these clinics is indispensable in reducing child morbidity and mortality and achieving the Sustainable Development Goal 3 (SDG 3) of good health and well-being."]
    )

    story.append(HRFlowable(width="100%", thickness=0.5, color=GOLD, spaceAfter=2))
    story.append(Paragraph("References", h1_style))
    refs = [
        "Park K. Park's Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publishers; 2019.",
        "MoHFW, Government of India. IMNCI Guidelines. National Health Mission.",
        "UPUMS. Under-Five Clinic – Teaching Material. Saifai; 2024.",
        "WHO. WHO Child Growth Standards. Geneva: World Health Organization; 2006.",
        "Basavanthappa BT. Community Health Nursing. 2nd ed. New Delhi: Jaypee Brothers; 2008."
    ]
    for r in refs:
        story.append(Paragraph(f"\u2022  {r}", bullet_style))

    build_pdf("/home/daytona/workspace/nursing-assignments/Assignment3_Under_Five_Clinic.pdf", story)


# =============================================================================
# ASSIGNMENT 4 – JOB RESPONSIBILITIES OF COMMUNITY HEALTH WORKER
# =============================================================================
def assignment_community_health_worker():
    story = []
    story += header_table(COLLEGE, DEPT, BATCH, SUBJECT,
                          "Assignment 4: Various Job Responsibilities of Community Health Workers")

    story += section("1. Introduction",
        ["Community Health Workers (CHWs) are a diverse cadre of frontline public health workers who serve as the vital link between formal health systems and the communities they serve. In India, the term encompasses several categories of health workers including ASHA (Accredited Social Health Activist), ANM (Auxiliary Nurse Midwife), MPW (Multipurpose Health Worker), Anganwadi Worker (AWW), and others. Each category has a distinct but complementary role in delivering primary healthcare services at the grassroots level.",
         "These workers are essential for achieving Universal Health Coverage (UHC) and meeting the health targets of the Sustainable Development Goals (SDGs) in India. Their work spans health promotion, disease prevention, maternal and child health, immunization, family planning, disease surveillance, and health education."]
    )

    story += section("2. Types of Community Health Workers in India",
        ["The major categories of community health workers in the Indian healthcare system are:"],
        [["ASHA (Accredited Social Health Activist) - Under NHM, selected from the community (one per 1000 population).",
          "ANM (Auxiliary Nurse Midwife) - Posted at Sub-centre level (one per 5000 population in plains, one per 3000 in hilly/tribal areas).",
          "MPW - Male (Multipurpose Health Worker Male) - Also at Sub-centre level.",
          "Lady Health Visitor (LHV) / Health Assistant Female - Supervisory role at PHC.",
          "Anganwadi Worker (AWW) - Under ICDS (Integrated Child Development Services), one per 1000 population.",
          "Community Health Officer (CHO) - Mid-level provider at Health and Wellness Centres (HWCs).",
          "Village Health Sanitation and Nutrition Committee (VHSNC) members."]]
    )

    story += section("3. Job Responsibilities of ASHA (Accredited Social Health Activist)",
        ["ASHA is the first point of contact for health services in rural India. Her responsibilities include:"],
        ["A. Maternal and Child Health",
         ["Motivating pregnant women for early registration (first trimester ANC).",
          "Accompanying women to health facilities for ANC, delivery, and PNC.",
          "Facilitating institutional delivery through Janani Suraksha Yojana (JSY).",
          "Providing Janani Shishu Suraksha Karyakram (JSSK) information.",
          "Conducting home-based newborn care (HBNC) visits on Days 1, 3, 7, 14, 28.",
          "Promoting exclusive breastfeeding for 6 months.",
          "Ensuring timely immunization of infants."],
         "B. Family Planning",
         ["Promoting birth spacing and family planning methods.",
          "Distributing contraceptives (condoms, OCPs) to eligible couples.",
          "Motivating couples for permanent family planning methods.",
          "Maintaining eligible couple register."],
         "C. Disease Surveillance and Reporting",
         ["Reporting cases of fever, diarrhoea, ARI, tuberculosis, malaria.",
          "Collecting sputum samples for TB suspects.",
          "Reporting deaths and births to ANM/PHC.",
          "Reporting any unusual clustering of illness (outbreak alert)."],
         "D. Nutrition",
         ["Identifying and referring SAM/MAM children to NRC/Anganwadi.",
          "Distributing Iron and Folic Acid (IFA) tablets to pregnant and lactating women.",
          "Promoting dietary diversification.",
          "Referral of malnourished children."],
         "E. Sanitation and Hygiene",
         ["Promoting use of sanitary latrines and open defecation-free (ODF) villages.",
          "Motivating community for use of safe drinking water.",
          "Promoting hand washing with soap."],
         "F. Administrative Duties",
         ["Maintaining village health registers.",
          "Participating in Village Health, Sanitation and Nutrition Day (VHSND) - a monthly outreach.",
          "Attending monthly meetings at PHC.",
          "Maintaining drug kit and submitting accounts."]]
    )

    story += section("4. Job Responsibilities of ANM (Auxiliary Nurse Midwife)",
        ["The ANM is a trained health worker posted at the Sub-centre, responsible for a population of 5000 (plains) or 3000 (hilly/tribal areas):"],
        ["A. Maternal Health Services",
         ["Antenatal care: Registering pregnant women, providing ANC checkups (minimum 4 visits), and TT immunization.",
          "Conducting normal deliveries at sub-centre or home when institutional delivery is not possible.",
          "Postnatal care: Home visits on Day 1, 3, 7 after delivery.",
          "Identification of high-risk pregnancies (anaemia, hypertension, malpresentation) and timely referral."],
         "B. Child Health Services",
         ["Weighing newborns and monitoring growth.",
          "Administering vaccines as per National Immunization Schedule.",
          "Managing common childhood illnesses using IMNCI protocols.",
          "Vitamin A supplementation and deworming.",
          "Identifying and referring SAM children."],
         "C. Family Planning",
         ["Counseling eligible couples on family planning methods.",
          "Inserting IUCD (Intra-Uterine Contraceptive Device).",
          "Distribution of contraceptives and conducting motivation camps."],
         "D. Disease Control Activities",
         ["Treatment of minor ailments using drug kit (paracetamol, ORS, cotrimoxazole, IFA, Vitamin A).",
          "Maintaining surveillance for communicable diseases.",
          "Participating in National Disease Control Programmes: RNTCP, NVBDCP, NLEP.",
          "Collecting blood smears for malaria diagnosis."],
         "E. School Health",
         ["Conducting school health checkups and maintaining school health records.",
          "Mid-Day Meal nutritional assessment.",
          "Deworming under National Deworming Day."],
         "F. Records and Reports",
         ["Maintaining Sub-centre registers: ANC register, MCH register, Family Planning register, Disease surveillance register.",
          "Submitting Monthly Progress Reports (MPR) to PHC MO.",
          "Maintaining drug and vaccine stock registers."]]
    )

    story += section("5. Job Responsibilities of Anganwadi Worker (AWW)",
        ["The AWW is the grassroots implementer of the Integrated Child Development Services (ICDS) Scheme:"],
        [["Non-formal preschool education for children 3-6 years (early childhood care and education - ECCE).",
          "Supplementary nutrition provision to children 6 months - 6 years, pregnant and lactating women.",
          "Growth monitoring and promotion: monthly weighing and plotting of children.",
          "Nutrition and health education to mothers and adolescent girls.",
          "Immunization facilitation in coordination with ANM.",
          "Preschool education (Balsevika) for 3-6 year olds.",
          "Referring sick children, malnourished children, and pregnant women to health facilities.",
          "Maintaining records: beneficiary register, nutrition register, preschool attendance.",
          "Conducting VHSND (Village Health, Sanitation and Nutrition Day) monthly."]]
    )

    story += section("6. Job Responsibilities of Male Multipurpose Health Worker (MPW-M)",
        ["The Male MPW is responsible for environmental health and disease control activities:"],
        [["Malaria vector control: anti-larval measures, IRS (indoor residual spraying), distribution of ITNs.",
          "Water quality surveillance: collection of water samples, chlorination of water sources.",
          "Sanitation activities: solid and liquid waste management, promotion of sanitary latrines.",
          "Leprosy surveillance: identifying suspects and referring for diagnosis.",
          "School health activities: mid-day meal surveillance, environmental sanitation.",
          "Vital registration: recording births and deaths in the village.",
          "Filariasis control: DEC drug distribution during Mass Drug Administration (MDA).",
          "Keeping records: Disease surveillance register, vector control register."]]
    )

    story += section("7. Job Responsibilities of Community Health Officer (CHO)",
        ["CHOs are mid-level health providers deployed at Health and Wellness Centres (HWCs) under Ayushman Bharat:"],
        [["Providing comprehensive primary healthcare services including management of 12 NCDs.",
          "Screening for hypertension, diabetes, oral cancer, breast cancer, and cervical cancer.",
          "Teleconsultation with specialists and referral.",
          "Yoga and wellness sessions for the community.",
          "Supervising ASHA workers and community-based activities.",
          "HMIS data entry and quality assurance.",
          "Conducting health and wellness activities."]]
    )

    story += section("8. Coordination and Teamwork Among CHWs",
        ["The effectiveness of community health workers is maximized when they work as a coordinated team:"],
        [["VHSND (Village Health, Sanitation and Nutrition Day): Held monthly at Anganwadi centre. ANM, ASHA, AWW coordinate to provide immunization, ANC, growth monitoring, and health education.",
          "Monthly meetings at PHC: ASHA workers, ANMs, and LHVs meet to review performance, solve problems, and receive training.",
          "Referral chain: ASHA identifies and refers - ANM treats or further refers to PHC/CHC/DH.",
          "Data flow: ASHA and AWW collect field data - ANM compiles and submits to PHC - PHC to District to State.",
          "National Programs: All CHW categories contribute to RNTCP (TB), NVBDCP (malaria, dengue), NLEP (leprosy), NPCB (blindness), etc."]]
    )

    story += section("9. Challenges Faced by Community Health Workers",
        ["Despite their critical role, CHWs face several challenges:"],
        [["Heavy workload with multiple program responsibilities.",
          "Inadequate compensation - ASHA workers are incentive-based, not salaried.",
          "Limited educational qualifications restricting scope of practice.",
          "Insufficient training and refresher courses.",
          "Lack of transportation and communication facilities in remote areas.",
          "Social and community resistance in some areas.",
          "Inadequate drug supply and equipment.",
          "Gender-based challenges for female workers in conservative communities.",
          "High turnover due to low remuneration."]]
    )

    story += section("10. Competencies Required by Community Health Workers",
        ["To perform their roles effectively, community health workers need:"],
        ["A. Knowledge",
         ["Basic anatomy, physiology, and disease processes.",
          "National health programs and their protocols.",
          "Maternal and child health care principles.",
          "Community health concepts and social determinants of health."],
         "B. Skills",
         ["Communication and health education skills.",
          "Basic clinical skills (BP measurement, blood glucose testing, weighing).",
          "Record-keeping and data management.",
          "Emergency care (ORS preparation, basic first aid).",
          "Counseling and motivation skills."],
         "C. Attitude",
         ["Commitment to community welfare.",
          "Non-discriminatory approach.",
          "Respectful and empathetic communication.",
          "Accountability and responsibility."]]
    )

    story += section("11. Conclusion",
        ["Community health workers are the backbone of India's primary healthcare system. They bridge the critical gap between the formal health system and underserved communities, delivering essential promotive, preventive, and curative services at the doorstep. The success of flagship national programmes like NHM, Ayushman Bharat, and various disease control programmes is largely dependent on the dedicated work of these frontline workers. Strengthening their capacity through training, improving compensation, providing adequate supplies, and building a supportive supervisory system is essential for achieving universal health coverage in India."]
    )

    story.append(HRFlowable(width="100%", thickness=0.5, color=GOLD, spaceAfter=2))
    story.append(Paragraph("References", h1_style))
    refs = [
        "Park K. Park's Textbook of Preventive and Social Medicine. 25th ed. Jabalpur: Bhanot Publishers; 2019.",
        "MoHFW, Government of India. ASHA Training Modules 1-7. National Health Mission.",
        "MoHFW, Government of India. ANM Training Curriculum. National Health Mission.",
        "Basavanthappa BT. Community Health Nursing. 2nd ed. New Delhi: Jaypee Brothers; 2008.",
        "WHO. Community Health Workers: What Do We Know About Them? Geneva: WHO; 2007."
    ]
    for r in refs:
        story.append(Paragraph(f"\u2022  {r}", bullet_style))

    build_pdf("/home/daytona/workspace/nursing-assignments/Assignment4_Community_Health_Worker.pdf", story)


# ─── Run all ──────────────────────────────────────────────────────────────────
if __name__ == "__main__":
    assignment_adolescent()
    assignment_high_risk_neonate()
    assignment_under_five_clinic()
    assignment_community_health_worker()
    print("All 4 assignments created successfully.")