mega health camp district tapi - mukhyamantri … introduction: since tapi is a tribal district with...
TRANSCRIPT
PG. 1
1/25/2014
Mega Health Camp District Tapi Mukhyamantri Amrutam Yojana
CDHO TAPI DISTRICT HEALTH SOCITY TAPI
pg. 2
2
MEGA HEALTH CAMP
25th January, 2014
SHRI DAKSHINAPATH VIVIDHLAKSHI VIDHYALAYA
VYARA
DISTRICT - TAP
0
INTRODUCTION:
Since Tapi is a tribal district
with majority of the population
having low socio economic status.
They lack sufficient financial back
up to afford their health care needs
resulting in more disease burden.
With an objective to reduce
the burden of disease and out of
pocket spending for specialized care by BPL families of Tapi, State Nodal Cell,
Health & Family Welfare Dept. Gandhinagar, & District Panchayat Tapi, in
active coordination organized Mega health Camp of this year under
Mukhyamantri Amrutum Yojana on 25th January, 2014 at Shri Dakshinapath
vividhlakshi vidhyalaya vyara, Dist-Tapi from 9:00 A.M. onwards .
The Mega health camp under MA Yojana aims to act as a safety net
for the BPL families only by holding their hands in each step of treatment
starting from village level screening by MO's to transport them to camp side
by concerned FHWs/ASHA, by providing free multi-specialty consultation, all
necessary diagnosis, drugs required at mega health camp, finally guide them
further by referring patients to avail the needful treatment at nearest
empanelled hospital and lastly follow up under MA Yojana.
1
OBJECTIVES:
The main objective
behind this mega health
camp was to screen out BPL
patients for tertiary care
under MA Yojana Clusters.
For that, the identified BPL
patients from village level
were screened by
concerned medical officers and brought to the health camp to provide
special consultation, instant diagnosis & necessary treatment along with
drugs. The Patients, who need higher tertiary care treatment were referred
to various network hospitals under MA Yojana for further investigation and
treatment. Cases not covered under MA Yojana are referred to hospitals
which are empanelled under other health schemes like RSBY. All patients
were advised to remain in contact with their respective PHC/CHC for future
follow up for the same.
Beside above all primary objective it also focuses on to develop public
awareness about MA Yojna and its benefits to common BPL people. It also
focused on provide new enrolment of MA beneficiaries at camp side.
2
:: Salient Features of Camp ::
1. Coding System: For the purpose of proper documentation of records
and systematic management, Identity Cards were made for ASHAs and
Beneficiaries with special coding system. Each Taluka, Each PHC is given
a unique code and followed by code of ASHA and Beneficiary. For e.g a
beneficiary of ASHA 1 of PHC Balpur, Taluka Vyara will be provided the
UID number- Vya/bal/ASHA 1/A. This system will be base while giving
incentive to ASHAs for IPC and taking beneficiaries to the camp. Further
colour coding was done for ID cards as per colour assigned to taluka for
easy identification.
2. Transportation System: Vehicles were hired as per requirement of
PHCs and Talukas for taking beneficiaries to the camp place and again
drop back for convenience of beneficiaries. With each vehicle, one
MPHW was assigned the responsibility for taking care of the beneficiaries
of that vehicle
from picking up,
during the camp
and to drop back
to ensure no one
gets missing in
the huge camp
place.
3
3. Interdepartmental Co-ordination:
For the inaug ural function, DDO Tapi,
Director DRDA, Deputy DDO, TDO Vyara,
President Nagarpalika Vyara was called to
enhance interdepartmental coordination.
4. Taluka wise registration counters: During the camp, taluka wise
registration counters were made in which ASHAs was assigned the
responsibility to do the registration of beneficiaries of her village. This
further reduced the long queue and ensured the smooth crowd
management as well as patient
convenience. In the
registration counters itself,
proper guidance was provided
regarding referral to respective
specialties.
5. Sitting Arrangement: Camp was conducted in Taluka Shala, Vyara
where in all the specialties were provided one room (Classroom). 7 super
specialists came from private (MA empanelled) hospitals along with their
pharmacist, Lab-technicians, Staff-Nurses and drugs.
15 Specialists from government were arranged by RDD Surat. For them
pharmacist, Lab-technicians, Staff-Nurses and drugs were arranged by
District Authority. Three extra stalls were placed for drugs so that proper
back up is maintained to avoid stock outs.
4
6. Reporting System: All the private hospitals came with their Hospital
Arogya Mitra which were given
the responsibility of maintaining
the line listing of beneficiaries
and all the related records. For
the government specialists, two
FHWs were allocated with each
specialty for the purpose of
maintaining records.
7. Patient Care: Patients after coming to the camp place were provided
the breakfast. There was facility of juice/tea, drinking water was of RO
water plant. They were also provided the lunch. Patient’s convenience
was taken care throughout during the camp.
8. Regular announcements were made throughout the camp for giving
timely guidance to the camp attendees. A control room was
established for the purpose
9. Satisfaction Survey: Exit interviews were done of few patients for
assessing the satisfaction level of the services provided in the camp.
10.
11.
5
12. For counseling of the
beneficiaries, sickle cell &
HIV counselors were also
called in the camp and
their stalls were arranged
near the exit so that after
availing the services and
before leaving the camp place, beneficiaries would be counseled.
Counselors guided them in which hospital they should go for further
treatment and motivated them to avail the services and to enhance
their health seeking behavior.
6
Organization
Committee
To properly coordinate
and smoothly conduct the
Mega Health camp, under the
chairmanship of DDO Tapi
meeting was conducted. The
main organizing committee was
formed to monitor, supervise &
coordinate the activities during camp with various other sub- committees for
successful execution of the camp activities.
Under the umbrella of
main organizing committee
different executive
committees were formed in
letter no 3007-
3016/DP/Health/MA
Camp/14 dated 16.01.14
signed by CDHO Tapi. The list
is hereby attached in
Annexure 1 mentioning their
role and responsibility.
1. IEC Committee – Each level IEC, Designing of different IEC
Material, Internal Signage’s, preparation of IEC corners,
Directional signage’s etc. press briefing, Communication with
PRIs/NGOs
Dr.R. A. Rangoonwala, ADHO Tapi Dr. K. T. Chaudhari - QAMO Tapi
Dinesh Chaudhari, DIECO
All Block IEC Officers
7
2. Patient Mobilization
Committee – Making
arrangement to reach the
patient at camp site & back
drop facility.
DTO, Tapi
All Taluka Health
Officers, Tapi
All PHC Medical
Officers.
3. Food & Sanitation Committee – Make arrangement of Food,
refreshment & water for camp beneficiaries at camp site.
Dr. Vipul Gamit, EMO Tapi
Mr. D.B. Chhachhtiya, DMO Tapi
Dr. Nilesh Chaudhari
4. Mandap Committee – Planning & preparation of Mandap, Counters,
Internal sitting arrangement of doctors.
Dr. Vipul Gamit, EMO Tapi
Mr. D.B. Chhachhtiya, DMO Tapi
Dr. Chetan Chaudhari,
5. Drugs, Equipment & Instrument Committee – make
availablility of all logistics required for camp.
Dr. Naitik Chaudhari, CDMO Tapi
Dr. Vipul Gamit, EMO Tapi.
Mr. Ashok Dahivelkar, District Pharmacist Tapi
6. HR m a n a g e m e n t C o m m i t t e e – M a k e a r r a n g e m e n t
o f S p e c i a l i s t s , D o c t o r s & Paramedical Staff required for camp.
Dr. Naitik Chaudhari, CDMO Tapi
Dr. Hashmukh Chaudhari, DTO, Tapi Dr. Binesh Gamit, MO PHC Algat
8
7. On Camp site Management Committee – Make arrangement of
Smooth Patient flow& treatment at camp site.
Dr. K.T. Chaudhari
Dr. Vinod Chotaliya
Mr. Sameer Abhang, DC Tapi
8. Security & Parking Committee – Maintain traffic, parking site &
other discipline at camp site.
Police Department.
9. Finance Committee – Make & maintain budgetary provision,
Pooling of Fund, UTC preparation
Miss Amita Chauhan - DPC
Mr. Ajay Prajapati, DFO, DHS Tapi
Mr. Amit Patel, DFA, DHS Tapi
Mr. Jignesh Patel, DFA, DHS Tapi
10. IT & R e p o r t i n g Committee – make a l l documentation
& reporting, data preparation, entry & compilation
Rahul Dhimmar – Office Executive - MD India
Mr. Hashmukh Vegade – RC – MD India
Mr. Ravi Rana, TKE Vyara,
Miss Hafsha Kazi, TKE Valod,
Miss. Priyanka Gamit, TKE Songadh,
Miss. Ayesha Gamit, TKE Uchchhal
9
CAMP PREPARATION & ACTIVITIES:
Primary Screening:
Primary Screening was started before two weeks and at each and every
level message was percolated about this camp through grass root level
health functionary’s i.e. ASHA, FHW, and MPHW. House to house survey was
done for enlisting eligible BPL beneficiaries. Prescribed sheet was given
which includes name, head of family, age, sex, address, contact number,
URN no of either MAA or RSBY or BPL score or BPL No. Line list was prepared
accordingly by each PHC. All the diseased person were screened by MO PHC
during the PULSE POLIO supervision and thereafter. Each beneficiary
provided with unique ID. Area wise vehicle assigned to the supervisor/MPHW
to bring the beneficiaries to the camp. Data compilation was done at district
level.
10
VENUE:
Venue was decided in the famous
large school having big ground and enough
rooms for the camp. Shri Dakshinapath
Vividlaxi vidhyalaya, vyara, at Dist-Tapi It is
located on the state highway, and having
enough area for parking as well as for
necessary camp arrangements.
IEC ACTIVITIES:
All the THO’S were instructed to keep Orientation cum Planning meeting
for the MA Mega Health Camp at each taluka place. All the grass root level
health functionary’s i.e. ASHA, FHW, and MPHW were trained in the meeting
for the 1st screening at village level. The aim was to mobilize and disseminate
information about the Mukhyamantri Amrutum Yojana to be undertaken
during the Mega Health Camp & different health schemes. The
mobilization was done with help of following activities.
Door to door surveys by ASHA, health workers During Polio
survey and village level screening by MOs at each PHCs.
The PHC level MOs screening for MA health camp is the
key initiative by Tapi district, which reduced the extra burden
on camp but increase the number of specialty consultation and
referral to really needy patients.
Door to Door distribution of printed MA card & make
awareness of MA with the help of ASHA workers.
Public meetings for publication of Mega Health Camp with
help of FHW & ASHA
Special MA Yojna and mega camp sensitization workshop for
ASHA workers at each Taluka and integrating it in FHW &
MPHW RSBY workshop at each taluka level.
Involving key persons of villages and PRI members in patient
mobilization.
11
GOVERNMENT DOCTORS
Doctors Team:
Sr.no District Hospital
name
Doctor name Speciality
1 Surat Shree B D mehta
Mahavir Hospital
Dr. Pawan Agrawal MD-physician
Dr. Ritesh
Sukharamwala
Cardiaology
2 Surat Unique Hospital Dr. Dhaval MBBS
Dr. Chetan Virani
3 Surat Bharat cancer
hospital
Dr. Nikunj Vithalani Surgical Oncologist
Dr. Jignesh Patel Medical Oncologist Physician
4 Surat Banker's heart
hospital
Dr. Vismay Parmar MBBS Clinical Cardiologist
Dr. Davit Batlawala MBBS
5 Navsari BA Cancer Hospital Dr.Rikin Virpariya Cancer specialty
6 Navsari Yesha Hospital Dr.Pramod Shewale Cancer specialist/cancer
surgeon
7 Navsari Orange Hospital Dr.B.B.Hirpara MS General surgeon
SR.NO NAME OF DOCTORS SPECIALITY
1 Ashvin Vasava Medicine
2 Dipika Patel Medicine
3 Bhautik Patel Medicine
4 Jimit Vadgama Medicine
5 Prafull Bhambhroliya Pediatrics
6 Ankur Patel Pediatrics
7 Manish Patel Orthopedic
8 Shilpesh Champaneriya Medicine
9 Devang Desai Medicine
10 Siddharth Jain Medicine
11 Paresh Zanzmera Medicine
12 Haresh Parekh Medicine
13 Darshan Chauhan Pediatrics
14 Sanjiv Rao Pediatrics
15 Nisha Barot Plastic .burn surgery
12
On Site Issuance of New Ma Card:
In the camp itself MA kiosk were established for BPL
beneficiaries, in total 5 kiosk were present at the camp along with all
the necessary requirement like laptop, printer, internet connectivity etc.
ASHA was instructed to prepare a list of MA beneficiaries who doesn’t
have MA cards. All the taluka kiosks were established at the camp itself
for the betterment of the beneficiaries.
Refreshment & Food Area:
Separate food stalls were set up, food coupons were provided to all beneficiaries and their relatives. Early in the morning arrangement of Sarbat, tea & poha was made for the beneficiaries. Gujarati Thali contained Daal, Bhat, Shak, lapsi, puri was served to all the beneficiaries.
IEC Corners:
As each and every
beneficiary stayed at camp site
for at least 2-3 hrs hour, so in
waiting area, 5 IEC stalls
prepared and pamphlets were
distributed for different health
programs like RNTCP, NVBDCP,
RCH, NLEP, GASCS, NCD .
FACILITIES:
Medical Facilities
Major specialist Doctors were available.
All primary investigation likes laboratory, ECG, 2D- Echo etc
Drugs were provided to patient at free of cost
Emergency Room – 2 with necessary emergency kit
Patient Counseling with councellors.
Pick and Drop Facility for Patient
Waiting area
13
Financial Details:
Actual Expenditure
Perticulars Expenditure
Expenditure IEC 7730
Patient Mobilization 226150
Food & Sanitation 132750
Mandap 147500
Miscellaneous & Contingency 5732
ASHA Incentive 21150
Total 5,41,012.00
14
Summary:
At the end of Mega Health Camp Total Patients detail mentioned below.
Total Registered Patients: 429
Total Screened Patient: 429
Total MA Refer Patient: 93
Total 2D ECHO: 65
Total Lab. Test: 25
Bifurcation of Patient details Specialty wise
Sr. No District Taluka Register Patient
1
Tapi
Vyara 159
2 Valod 90
3 Songadh 114
4 Uchchhal 41
5 Nizar 25
Total 429
Sr. No Hospital Name Refer Patient
1 Yesha super speciality hospital 17
2 Ba cancer hospital 0
3 Orange hospital 5
4 Unique Hospital 9
5 Banker's heart hospital 16
6 Bharat cancer hospital 20
7 Shree B D mehta Mahavir Hospital 26
8 Referred by Govt. Doctors 72
Total 165
15
Inauguration:
Display :
16
Banners/Posters/Display….
17
Registration:
Transportation:
18
Food
Medical Checkup:
19
:: Attachments::
1. Micro planning.
Sample
20
2. Committees: