Preparation of Nutritional Diet in Community Settings

from docx import Document
from docx.shared import Pt, Inches, RGBColor
from docx.enum.text import WD_ALIGN_PARAGRAPH
from docx.enum.table import WD_TABLE_ALIGNMENT
from docx.oxml.ns import qn
from docx.oxml import OxmlElement

doc = Document()

# Base style
style = doc.styles["Normal"]
style.font.name = "Arial"
style.font.size = Pt(11)

NAVY = RGBColor(0x1F, 0x3A, 0x5F)
GREEN = RGBColor(0x2E, 0x7D, 0x32)

def set_cell_shading(cell, color_hex):
    tcPr = cell._tc.get_or_add_tcPr()
    shd = OxmlElement('w:shd')
    shd.set(qn('w:val'), 'clear')
    shd.set(qn('w:color'), 'auto')
    shd.set(qn('w:fill'), color_hex)
    tcPr.append(shd)

def add_heading(text, level=1, color=NAVY):
    h = doc.add_heading(text, level=level)
    for run in h.runs:
        run.font.color.rgb = color
    return h

def add_bullets(items, style_name="List Bullet"):
    for it in items:
        p = doc.add_paragraph(it, style=style_name)

# ---------- TITLE PAGE ----------
title = doc.add_paragraph()
title.alignment = WD_ALIGN_PARAGRAPH.CENTER
run = title.add_run("Step-by-Step Guide")
run.font.size = Pt(28)
run.font.bold = True
run.font.color.rgb = NAVY

sub = doc.add_paragraph()
sub.alignment = WD_ALIGN_PARAGRAPH.CENTER
run2 = sub.add_run("Preparation of a Nutritional Diet in Community Settings")
run2.font.size = Pt(16)
run2.font.color.rgb = GREEN
run2.font.bold = True

sub2 = doc.add_paragraph()
sub2.alignment = WD_ALIGN_PARAGRAPH.CENTER
run3 = sub2.add_run("A Practical Field Guide for Community Health Workers")
run3.font.size = Pt(13)
run3.italic = True

doc.add_paragraph()
note = doc.add_paragraph()
note.alignment = WD_ALIGN_PARAGRAPH.CENTER
r = note.add_run("Adapted from community health nursing and preventive medicine practice\n(Reference basis: Park's Textbook of Preventive and Social Medicine)")
r.font.size = Pt(10)
r.font.color.rgb = RGBColor(0x60,0x60,0x60)

doc.add_page_break()

# ---------- PURPOSE ----------
add_heading("Purpose of This Guide", level=1)
doc.add_paragraph(
    "This guide gives community health workers (CHWs), Anganwadi workers, ASHA workers, "
    "and multipurpose health workers a clear, practical sequence of steps for assessing, "
    "planning, preparing, and monitoring nutritionally adequate diets for families and "
    "groups in the community, using locally available and affordable foods."
)

add_heading("Who Should Use This Guide", level=1)
add_bullets([
    "Community Health Workers (CHWs) and multipurpose health workers",
    "ASHA workers and Anganwadi workers",
    "Auxiliary Nurse Midwives (ANMs) conducting home visits",
    "Community/public health nurses running nutrition or supplementary feeding programmes",
])

doc.add_page_break()

# ---------- OVERVIEW TABLE ----------
add_heading("Overview: The 7 Steps at a Glance", level=1)
steps_overview = [
    ("1", "Assess", "Identify the community's nutritional problem and at-risk groups"),
    ("2", "Plan with local resources", "Choose feasible, affordable interventions using local foods"),
    ("3", "Formulate the diet", "Select food groups and quantities to meet RDA needs"),
    ("4", "Prepare & preserve nutrients", "Cook and store food safely with minimal nutrient loss"),
    ("5", "Educate the family", "Teach food selection, budgeting, and feeding practices"),
    ("6", "Implement via programmes", "Deliver through supplementary feeding / ICDS / school meals"),
    ("7", "Monitor & evaluate", "Track growth and nutritional status; adjust the plan"),
]
table = doc.add_table(rows=1, cols=3)
table.style = "Light Grid Accent 1"
hdr = table.rows[0].cells
hdr[0].text, hdr[1].text, hdr[2].text = "Step", "Focus", "What Happens"
for c in hdr:
    for p in c.paragraphs:
        for r in p.runs:
            r.font.bold = True
    set_cell_shading(c, "1F3A5F")
    for p in c.paragraphs:
        for r in p.runs:
            r.font.color.rgb = RGBColor(0xFF,0xFF,0xFF)

for s in steps_overview:
    row = table.add_row().cells
    row[0].text, row[1].text, row[2].text = s[0], s[1], s[2]

doc.add_page_break()

# ---------- STEP 1 ----------
add_heading("Step 1: Assess the Community's Nutritional Status", level=1)
doc.add_paragraph("Before planning any diet, find out what the actual problem is and who is affected.")
add_heading("Actions", level=2)
add_bullets([
    "Identify high-risk groups: infants, preschool children, pregnant and lactating women, and the elderly.",
    "Conduct simple body measurements (weight, height, mid-arm circumference) and clinical checks for visible signs of malnutrition (pallor, edema, poor growth).",
    "Carry out a basic diet/nutrition survey in a sample of households to learn what foods are actually eaten, how often, and in what amounts.",
    "Record dietary and non-dietary contributing factors: food taboos, poverty, lack of clean water, frequent infections, poor feeding practices.",
    "Use growth charts (for children under 5) and Anganwadi/health centre records where available.",
])
add_heading("Field Tip", level=2)
doc.add_paragraph(
    "Always record findings by household so you can revisit and compare progress at later monitoring visits."
).italic = True

doc.add_page_break()

# ---------- STEP 2 ----------
add_heading("Step 2: Plan Using Local, Feasible Resources", level=1)
doc.add_paragraph(
    "Once the problem and at-risk groups are known, choose an approach that fits the community's "
    "own resources rather than relying on costly or imported foods."
)
add_heading("Actions", level=2)
add_bullets([
    "List foods that are grown, sold, or easily available locally and seasonally.",
    "Match direct interventions to the problem: supplementary feeding for malnourished children, iron-folic acid tablets for anemic women, vitamin A supplementation, food fortification where accessible.",
    "Check the average household food budget - food expenditure is often 50-70% of family income, so any plan must remain affordable.",
    "Identify community assets that can support nutrition: kitchen gardens, poultry-keeping, local milk cooperatives, Anganwadi centres, ration shops.",
])

doc.add_page_break()

# ---------- STEP 3 ----------
add_heading("Step 3: Formulate a Balanced Diet Plan", level=1)
doc.add_paragraph(
    "A balanced diet supplies energy, protein, fats, carbohydrates, vitamins, and minerals in the "
    "right proportions for health, growth, and a small reserve against short periods of food shortage."
)
add_heading("Core Principles", level=2)
add_bullets([
    "Protein should provide about 10-15% of daily energy intake - meet this requirement first.",
    "Fat intake should be kept within 15-30% of daily energy intake.",
    "Carbohydrates rich in natural fibre (whole grains, millets) should make up the remaining energy.",
    "Micronutrient needs (iron, calcium, iodine, vitamin A, folate, vitamin B12, vitamin C) must be covered according to age, sex, and physiological status (pregnancy, lactation, growth).",
])
add_heading("Practical Formulation Steps", level=2)
add_bullets([
    "Select a variety of foods across groups: cereals/millets, pulses/legumes, vegetables (including green leafy), fruits, milk/dairy, oils/fats, and a modest amount of sugar/jaggery.",
    "Adjust portion sizes to the specific age group and physiological need (e.g., extra protein and iron for pregnant/lactating women; energy-dense small frequent meals for young children).",
    "Reference national RDA tables (e.g., ICMR-NIN RDA for Indians) for target quantities of protein, calcium, iron, and vitamins by age/sex/activity level.",
    "Correct harmful food taboos identified in Step 1 - e.g., restricting nutritious foods during pregnancy or illness - with sensitive counseling, not confrontation.",
])

doc.add_page_break()

# ---------- STEP 4 ----------
add_heading("Step 4: Prepare and Preserve Nutrients During Cooking", level=1)
doc.add_paragraph("How food is prepared can add or destroy much of its nutritional value.")
add_heading("Do", level=2)
add_bullets([
    "Wash vegetables and fruits before cutting, not after, to reduce loss of water-soluble vitamins.",
    "Use minimal water and shorter cooking times (steaming, pressure cooking) rather than prolonged boiling.",
    "Reuse nutrient-rich cooking/vegetable water in soups, gravies, or dough instead of discarding it.",
    "Cook cereals and pulses together where culturally appropriate to improve protein quality (complementary proteins).",
    "Cover pans while cooking to retain heat-sensitive vitamins and reduce cooking time.",
    "Cook eggs, meat, poultry, and fish to safe, fully-cooked temperatures.",
])
add_heading("Avoid", level=2)
add_bullets([
    "Excessive peeling that removes nutrient-rich outer layers of vegetables and grains.",
    "Deep frying or repeated reheating, which destroys heat-sensitive vitamins (A, C, B-complex).",
    "Leaving cut fruits/vegetables exposed to air for long periods before cooking or serving.",
])
add_heading("Food Safety and Hygiene", level=2)
add_bullets([
    "Keep hot foods hot and cold foods cold; do not let cooked food sit at room temperature for long.",
    "Wash hands, utensils, and food preparation surfaces before and after handling food.",
    "Use separate utensils/cutting boards for raw meat and other foods to avoid cross-contamination.",
    "Store leftovers promptly in a cool place or refrigerator if available; reheat thoroughly before eating.",
    "Use safe drinking water for cooking and washing food.",
])

doc.add_page_break()

# ---------- STEP 5 ----------
add_heading("Step 5: Educate the Family", level=1)
doc.add_paragraph(
    "Nutrition education is the single most powerful tool available to the community health worker - "
    "it is estimated that appropriate education can resolve about half of all nutritional problems."
)
add_heading("Key Messages to Deliver", level=2)
add_bullets([
    "How to select the right local foods within the family's budget.",
    "How to plan a nutritionally adequate day's diet for each family member's needs.",
    "The importance of exclusive breastfeeding for the first months of life and appropriate complementary feeding afterward.",
    "Special nutritional needs during pregnancy, lactation, infancy, and early childhood.",
    "How to identify and gently correct harmful food taboos or misconceptions.",
    "Caution about misleading commercial advertising, especially regarding infant formula and baby foods.",
    "Encourage low-cost home food production: kitchen gardens and poultry-keeping to add protective foods (vegetables, eggs) to the diet.",
])
add_heading("Who to Involve", level=2)
doc.add_paragraph(
    "Educate whoever manages food in the household - often the mother/housewife, but in many families "
    "the male head of household influences food purchase decisions and should also be included in counseling sessions."
)

doc.add_page_break()

# ---------- STEP 6 ----------
add_heading("Step 6: Implement Through Community Programmes", level=1)
doc.add_paragraph("Link individual family plans to organized community nutrition programmes wherever they exist.")
add_bullets([
    "Supplementary nutrition/feeding programmes (e.g., Anganwadi/ICDS centres) for malnourished children, pregnant, and lactating women.",
    "School feeding programmes to support children's nutrition and serve as a platform for nutrition education.",
    "Distribution of iron-folic acid tablets, vitamin A supplements, and other micronutrients to target groups.",
    "Promotion of fortified/enriched staple foods where available (salt, oil, flour).",
    "Referral of severely malnourished cases to health centres or nutrition rehabilitation centres for urgent treatment; less severe cases can be managed at home with guidance.",
])

doc.add_page_break()

# ---------- STEP 7 ----------
add_heading("Step 7: Monitor and Evaluate", level=1)
doc.add_paragraph(
    "Diet preparation in the community is not a one-time event - it is a continuous cycle of "
    "assessment, action, and re-assessment."
)
add_bullets([
    "Conduct regular nutritional surveillance: repeat growth monitoring, weight checks, and simple clinical observation at home visits.",
    "Track whether families are following the diet plan and using recommended cooking/hygiene practices.",
    "Revisit food taboos or barriers that resurface and re-counsel as needed.",
    "Record and report progress to the supervising health centre; flag any case of worsening malnutrition for prompt referral.",
    "Update the community-level plan periodically as seasonal food availability, prices, or health data change.",
])

doc.add_page_break()

# ---------- QUICK CHECKLIST ----------
add_heading("Quick Field Checklist", level=1)
checklist = [
    "Identified at-risk individuals/households in my area",
    "Recorded a basic diet history for at-risk families",
    "Chosen foods that are locally available and affordable",
    "Planned meals meeting protein, fat, carbohydrate, and micronutrient needs by age group",
    "Demonstrated safe, nutrient-preserving cooking methods",
    "Delivered nutrition education to the food-preparer(s) in the household",
    "Linked family to available supplementary feeding/ICDS/school meal programme if eligible",
    "Scheduled a follow-up visit for monitoring growth/nutritional status",
]
for item in checklist:
    p = doc.add_paragraph(style="List Bullet")
    p.add_run("☐ " + item)

doc.add_page_break()

# ---------- REFERENCE NOTE ----------
add_heading("Reference Note", level=1)
doc.add_paragraph(
    "This guide is based on standard community/preventive medicine and nursing practice for "
    "nutrition programmes, drawing on principles described in Park's Textbook of Preventive and "
    "Social Medicine (balanced diet, action at family and community levels, nutritional surveillance) "
    "and general community health nursing guidance on nutritional assessment and safe food handling."
)
doc.add_paragraph(
    "Health workers should always follow their national/local health authority's current nutrition "
    "guidelines and RDA tables, and refer complex or severe malnutrition cases to a qualified "
    "dietitian, nutritionist, or physician."
)

doc.save("/tmp/workspace/community-diet-guide/output/Community_Diet_Preparation_Guide.docx")
print("Saved.")