Interventions and Human Resource Verticals

Case Study - Narmada

Narmada’s First Visit

HEW – Patient Interaction Protocol

The Health Extension Worker (HEW)

Physician extender

First touch point of community

Recruited from the catchment in which we serve

Educational qualifications ranging from Xth Standard

Pass to B.Sc. in Nursing

Expansion of role

The Enrolment ID Is Used to Identify Narmada

Narmada’s Household Is Identified on the HMIS

Population-level Individual Screening Protocol (PISP)

PISP Questionnaire

Anthropometric Measurements - Height

Anthropometric Measurements – Weight

Anthropometric Measurements – Waist/Hip Circumference

Visual Acuity – Near and Distance Vision

PISP Report Handed Over to Narmada

Counseling and Consent for Cervical Screening

Women’s Health Intervention

Cervical cancer screening by VIA/VILI

Diagnosis and treatment of reproductive tract infections (RTIs)

VIA/VILI performed by HEW; supervised by female physician

The Physician

Recruitment and Training of Physicians

Ayurveda, Siddha, Unani physicians

Bridge training course focused on pharmacology, protocols, interventions, practical skill enhancement, technology, patient care

Master Trainers

Nurses trained in specific interventions to bridge the gap of non-availability of specialist trainers.

Monitoring and facilitating quality care delivery with regards to interventions.

Capturing Narmada’s Interaction With the Physician

Assessing Risk for Cardiovascular Diseases (CVDs)

CVD Intervention

Phase I – Risk Assessment

Phase II – Diagnostic TestingBlood SugarLipid Profile

Treatment and Management

The SOAP Methodology – Subjective Assessment

Objective – Physical Examination

System-wise Physical Examination

Assessment – Making a Diagnosis

Treatment Plan

Protocols and Evidence-Based Care

Camp Approach to Community Engagement and Training

Impact of SughaVazhvu on Narmada’s Health

Narmada was identified to be a diabetic, and is currently receiving treatment from SughaVazhvu.

She was found to be VIA/VILI positive. Since then she has received a biopsy, and cold coagulation therapy to treat for early stage pre-cancer. Narmada visits the RMHC regularly for pelvic examinations.