monthly report - indian railway · monthly report october 2016 ... room no 201, first floor, ......

MRVC-DOCTORS FOR YOU HEALTH CENTRE

Report Submitted by:

Dr. Amit Kumar Nohwar,Head, Mumbai Operations,

Mob: +91 8693837772

MONTHLY REPORT October 2016

MRVC-Doctors for You Health Centre Mankhurd &

Govandi, Mumbai

Global Hand-Washing Day EventOrganised by MRVC-DFY Lallubhai Health Centre

Mankhurd, Mumbai

MRVC-DFY Health Centre, Room no 201, First Floor, Bldg. no 22, Hiranandani, Lallubhai Compound, Mankhurd, Mumbai-400043

Contents

Contents i

1 Monthly Report October 2016 11.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

1.2 Highlights of the Month . . . . . . . . . . . . . . . . . . . . . . . . . . 2

1.2.1 Global Hand Washing Program . . . . . . . . . . . . . . . . . 2

1.2.2 Improved Pathology lab Services at MRVC DFY Health centres 3

1.2.3 Swaccha Bharat Abhiyan . . . . . . . . . . . . . . . . . . . . . 3

1.2.4 Launch of Outreach Mobile Immunization services at Baingan-wadi area in Govandi . . . . . . . . . . . . . . . . . . . . . . . 3

1.3 Project Status and Statistical Data . . . . . . . . . . . . . . . . . . . . 4

1.3.1 Statistical Data of Health Centre based activities . . . . . . . . 4

1.3.2 Statistical data of Dental Care Service . . . . . . . . . . . . . . 6

1.3.3 Statistical data of Ophthalmic (Eye OPD) Services . . . . . . . 6

1.3.4 Statistical data of Gynecology Services . . . . . . . . . . . . . 6

1.3.5 Statistical data of Dermatology (Skin OPD) services . . . . . . 7

1.3.6 Statistical data of Diabetes and Hypertension services . . . . . . 7

1.3.7 Statistical data of Physiotherapy and Disability RehabilitationServices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

1.3.7.1 General Physiotherapy . . . . . . . . . . . . . . . . . 8

1.3.7.2 Disability Rehabilitation Department . . . . . . . . . 9

1.3.8 Statistical data of Under Five Clinic . . . . . . . . . . . . . . . 9

1.3.9 Statistical data of Immunization Services . . . . . . . . . . . . 10

1.3.10 Statistical data of Special Community Outreach Services . . . . 11

1.3.11 Statistical data of Community Awareness on TB Project (Out-reach service) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ii Contents

1.4 Case stories of patients from Lallubahi compound . . . . . . . . . . . . 121.4.1 Physiotherapy Department . . . . . . . . . . . . . . . . . . . . 121.4.2 General OPD . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

1.5 Project Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Monthly Report October 2016

2 Monthly Report October 2016

1.1 IntroductionMumbai Railway Vikas Corporation (MRVC), MMRDA & Doctors for You (DFY)have been working in the M-east ward of Mumbai for the past three years for improve-ment in the socioeconomic and health indicators of the PAP’s resettlement colonies.The interventions are being carried out through two health centres in the area. TheHealth centre in Natwar Parikh Area is functional since 2010 and in Lallubhai com-pound since 2013. The services are provided on daily basis by the team of doctors,paramedical staffs and outreach workers. The services are provided at the health cen-tres on daily basis like general OPD, dental OPD, Tuberculosis treatment, Immuniza-tion, Growth monitoring OPD, family planning and maternal & child health services.

In the health centre at Lallubhai compound specialized services i.e. physiotherapyand disability rehabilitation, Gynaecology clinic, Eye clinic and Skin disease treatmentetc. are also provided. The OPD services are backed up by laboratory services andphar-macy. With the opening of health centre, quality health services are easily acces-sible and affordable to residents of these PAP’s resettlement colonies and nearby slumareas.DFY has now been providing health care services to more than 1.5 lakh popula-tions.

Apart from services at the health centre, health services and awareness activitiesare also organized in the area through community meetings, rally, street plays etc. Themain aim of the project is to provide preventive and curative healthcare services to all.

1.2 Highlights of the Month

1.2.1 Global Hand Washing Program

On 15th October 2016, ‘Global Hand Washing Day’ was celebrated and a school aware-ness program was organized jointly by MRVC-DFY team & Sealed Air Pvt Ltd’s CSRteam. Awareness session was conducted with children of Shivam English MediumSchool, Mankhurd. Basic steps of hand washing were demonstrated to the children.Along with the awareness session, a total of 1012 recycled soaps along with soap con-tainers were distributed among the children as a part of ‘Soap for Hope’ Project. Themain aim of this program was to inculcate the habit of hand washing in the children.

1.2 Highlights of the Month 3

1.2.2 Improved Pathology lab Services at MRVC DFYHealth centres

MRVC-DFY health centre, Lallubhai Compound, Mankhurd houses a Pathology Lab-oratory which provides laboratory services to patients at highly subsidized cost. Thepatients from MRVC Natwar Parikh Centre, Govandi are also provided this facility byarranging for sample collection at the centre and its timely transportation. Recentlywith the joining of Dr. Kamlesh R. Vishwakarma, MBBS, MD (Microbiology), thelaboratory services are being upgraded to higher level. Many new pathological test ser-vices namely ASO, CRP, RPR/ VDRL, Viral IgM, Anti HCV, etc have been introduced.Many new pathological tests are planned in near future KOH for skin scraping, Gramstaining, ZN staining, etc. Appropriate training is being provided to the lab Attendantin this regard. This has now added a new dimension to the MRVC-DFY Health centre.

1.2.3 Swaccha Bharat AbhiyanAs a part of ongoing Swaccha Bharat Abhiyan, cleanliness activities were organized on10th Oct 2016 at both the Natwar Parikh and Lallubhai center. The Staff participated inthe cleanliness drive at the center.

1.2.4 Launch of Outreach Mobile Immunization ser-vices at Bainganwadi area in Govandi

MRVC-DFY had been conducting outreach immunization camps at Mandala slums,Mankhurd. As a part of scaling up of outreach immunization services, new outreachspots have been identified in Bainganwadi area of Govandi in consultation with MCGM.Awareness sessions are conducted in the areas and beneficiaries are provided free Im-munization services along with Vitamin A supplementation and Deworming services.A total of 18 camps had been conducted in the month of October as a part of thisimmunization campaign. A total of 145 children were immunized, while 62 were ad-ministered Vitamin A and 65 children were given Deworming treatment. Free soapsalso were distributed to the beneficiaries for the promotion of hand hygiene under theSoap for Hope project.


1.3 Project Status and Statistical DataThe area wise details of health care activities undertaken by DFY are given below:

1.3.1 Statistical Data of Health Centre based activities

General OPD services at Natwar Parikh Compound Colony CentreTable 1.1

Sr. No. Particulars Oct 16 Year

2016-17Oct 15 Year

2015-16

Total Since

Oct 2012

1 OPD patients 1465 7846 1277 1323 51525

2 Male Patients 545 2761 473 3643 19669

3 Female patients 920 5085 850 5312 31676

4 Children below 5 years 238 1426 295 2333 11388

5 Children b/w 5and 12 years 248 1147 198 1524 7377

6 Patients above 60 years 106 652 83 586 3107

7 New patients 944

8 Follow up patients 521 1815 535 3726 15903

9 TB patients 7 50 3 58 392

10 Malnutrition cases 19 107 10 66 482

MCH services at Natwar Parikh Compound CentreTable 1.2


2016-17Oct 15 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 38 152 36 313 937

2 Family Planning Services 68 563 27 624 2589

3Immunization Services

(ANC+ Routine)119 865 150 865 5597

4 Vitamin A Supplementation 63 648 51 234 3546

5 De-worming Service 93 977 133 630 4613

1.3 Project Status and Statistical Data 5

General OPD services at Lallubhai Compound Colony CentreTable 1.3


2016-17Oct 15 Year

2015-16

Total Since

Oct 2012

1 OPD patients 2402 13627 2381 15839 76195

2 Male Patients 1080 5744 945 5954 31329

3 Female patients 1322 7933 1436 9885 44361

4 Children below 5 years 462 2621 481 3136 14777

5 Children b/w 5and 12 years 208 1701 320 1812 9654

6 Patients above 60 years 175 1194 143 1057 6344

7 New Patients 1261

8 Follow up patients 1141 4096 676 4860 21323

9 TB patients 1 22 1 18 106

10 Malnutrition cases 40 195 55 337 1147

MCH services at Lallubhai Compound CentreTable 1.4


2016-17Oct 15 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 36 216 81 446 1384

2 Family Planning Services 102 550 84 792 4106

3Immunization Services

(ANC+ Routine)273 1815 197 1278 8328

4 Vitamin A Supplementation 211 1631 139 886 6913

5 De-worming Service 347 3164 154 571 8894


1.3.2 Statistical data of Dental Care Service

Dental care services at Lallubhai Compound CentreTable 1.5

Sr. No. Particulars Oct 16Year

2016-17

Total Since

Oct 2012

1 Total OPD patients 387 2496 12551

2 X- Ray taken 7 47 437

3 Extraction Done 35 272 1618

4 Restoration Done 6 71 379

5 Scaling done 5 59 460

6 RCT 20 198 1377

1.3.3 Statistical data of Ophthalmic (Eye OPD) Ser-vices

The Eye Clinic in was inaugurated in August 2014 at MRVC Health centre, Lallubhai.The opthalmic services are provided twice a week on Wednesday and Saturday.

Eye Clinic (Ophthalmic) Services at Lallubhai CompoundTable 1.6

Sr. No. Health Centre Patients

1 Lallubhai Compound 101

1.3.4 Statistical data of Gynecology ServicesThe Gynec Clinic in was inaugurated in September 2014 at MRVC Health Centre,Lallubhai. The Gynecology services are provided twice a week on Tuesday and Fridayin Lallubhai Centre and every day in Natwar Parikh.


Eye Clinic (Ophthalmic) Services at Lallubhai and Natwar Parikh Com-poundTable 1.7



2 Natwar Parikh Compound 25

1.3.5 Statistical data of Dermatology (Skin OPD) ser-vices

The Skin OPD (Dermatology) services were started at MRVC Health Centre, LallubhaiCompound in July 2015. The same service has been started at Natwar Parikh fromSeptember 2016. The services are available twice a month on 1st and 3rd Thursday.

Skin Clinic (Dermatology) Services at Lallubhai and Natwar Parikh Com-poundTable 1.8



2 Natwar Parikh 30

1.3.6 Statistical data of Diabetes and Hypertension ser-vices

Diabetes and Hypertension services were started at MRVC Health centre, LallubhaiCompound and Natwar Parikh centres from August 2016.The services are available every 2nd and 4th Thursday at Lallubhai compound and 1st

and 3rd Wednesday at Natwar Parikh in every month.


Non-Communicable Disease ( NCD ) Diabetic & Hypertension OPD Ser-vicesTable 1.9



2 Natwar Parikh Compound 8

Total 22

1.3.7 Statistical data of Physiotherapy and DisabilityRehabilitation Services

1.3.7.1 General Physiotherapy

In this department patients with joint pain and muscle pain are provided with Physio-therapy based treatment.

General Physiotherapy Clinic at Lallubhai compound centerTable 1.10

Sr. No. Conditions Treated Number of Patients

1 Spine 127

2 Knee Pain 73

3 Upper limb 28

4 Lower Limb 32

5 Post –Surgery 30

6 Neck Pain 57

7 Weight gain 58

8 Fracture 6

9 DM+HTN+Cholesterol 33

Total 444


1.3.7.2 Disability Rehabilitation Department

In this department all neurological and paediatric patients with disability conditions areprovided with Physiotherapy services.

Disability Rehabilitation Clinic at Lallubhai Compound CentreTable 1.11

Sr. No. Conditions Treated Number of Patients

1 Cerebro-Vascular Accidents 56

2 Cerebral Palsy 110

3 Paraplegia 9

4 Delayed Milestone 22

4 Parkinsonism D 22

Total 219

1.3.8 Statistical data of Under Five ClinicThis clinic was started for the children of 0-5 year age group. This group is the mostvulnerable age group for malnutrition and subsequent mortality due to under nutritioncomplicated by infections. The aim of Under-five Clinic is to promote health of motherand children of this age group.Services:

• Measurement of Height and weight

• Treatment of common conditions of mother and child

• Assessment of immunization status

• Provide nutritional education to mother

• To provide family planning counselling and services

In this clinic both mother and child are provided comprehensive health care services atfree of cost. Since this is health promotion clinic, mother is asked to follow up everymonth with child for growth monitoring.


Under 5 Clinic at Natwar Parikh Compound CentreTable 1.12

Category Male Female Total

Normal 7 8 15

Moderate Acute Malnutrition (MAM) 2 2 4

Severe Acute Malnutrition (SAM) 0 0 0

Total 9 10 19

Under 5 Clinic at Lallubhai Compound CentreTable 1.13

Category Male Female Total

Normal 4 7 11

Moderate Acute Malnutrition (MAM) 8 9 17

Severe Acute Malnutrition (SAM) 9 3 12

Total 21 19 40

1.3.9 Statistical data of Immunization Services

Target to achieve 100% immunization coverage of 0-5 age group children.

Immunization Services (0-5 age group children)Table 1.14

Sr. No Centre NameNumber of children

Immunized

1 Natwar Parikh Compound Center 119

2 Lallubhai Compound Centre 128

3 Mandala Camp 145

Total 392


1.3.10 Statistical data of Special Community OutreachServices

Special Community Outreach Services at Lallubhai compound CentreTable 1.15

Topic Dates Venue No. of Beneficiaries

Global Hand

washing Program15th Oct 2016

Shivam English Medium

School, Mankhurd1012

Immunization Camp Oct-16 Mandala 145

1.3.11 Statistical data of Community Awareness on TBProject (Outreach service)

Community Awareness on TB services (Outreach services) at Natwar ParikhCompound CentreTable 1.16

Sr No Activity No of beneficiaries

1 Counselling of Individuals and their Family Members 105

2 Home Visits of the TB patients 27

Community Awareness on TB services (Outreach services) at LallubhaiCompound CentreTable 1.17

Sr No Activity No of beneficiaries

1 Counselling of Individuals and their Family Members 38

2 Home Visits of the TB patients 18


• Activity and Topics are covered:

1. Home environment: Importance of environment such as space, ventilation, over-crowding in the prevention of spread of TB.

2. Medicines: DOTS provider explains importance of adherence to treatment andcompleting the complete course of AKT. They also emphasize the problems as-sociated with irregular treatment and defaulter.

3. Awareness among family members: The family members are educated aboutmode of TB transmission, precaution to be taken to prevent spread of disease andimportance of timely intake of medicines and development of drug resistance dueto incomplete and inadequate treatment. Family members were also advised tovisit health centre in case of symptoms such as Cough (> 2 Weeks), Fever anddecreased appetite.

Family Planning ServicesTable 1.18

CentreOral Contraceptive Condom Copper T

Oct

2016

Since

Nov 2013

Oct

2016

Since

Nov 2013

Oct

2016

Since

Nov 2013

Natwar Parikh 8 346 60 1323 0 0

Lallubhai compound 5 442 97 2669 0 95

1.4 Case stories of patients from Lallubahi com-

pound

1.4.1 Physiotherapy DepartmentCase Study:A woman (Usha Abbihmannu Khandeyrao) from lallubhai Compound hadaroad traffic accident two months ago. She is 37 years old, has two kids a boy age of19 and girl age 17. As a result of the accident, she had severe pain in her back, severedifficulty and pain standing up on her right leg, unable to stand up straight and her daily

1.4 Case stories of patients from Lallubahi compound 13

activities were restricted.As per Orthopaedic Doctor’s advice, she was told complete bed rest for two monthsand laterphysiotherapy sessions. Private physiotherapy centre in nearby areas provideservices at high cost, making it completely non affordable for Usha. She is now underthe treatment of MRVC-DFY Health Centre under Physiotherapist Dr Shivlakshmi atvery nominal charges. She has undergone 10 sessions with the centre and now she isable to walk straight and happy to do house hold works. Now she is keen to continueher treatmentand she is full of praise and thankful to MRVC DFY Health centre forproviding quality physiotherapy services in the community at such a nominal cost.

Usha Abhimannu Kanderao receiving therapy at Physiotherapy Department of MRVClallubahi center

Figure. 1.1

1.4.2 General OPDA 4 years female child came with the complaints of not able to walk properly to theMRVC DFY Health centre, Lallubhai Compound, in the month of June 2016. She wasdiagnosed with mineral deficiency problems and malnutrition. After getting treatmentfrom MRVC DFY OPD within 2 months she started to walk and after 4 months sheeven can run now.


Dr. Rachna Lakhani, consultant at MRVC DFY Lallubhai Centre treated to the child

Figure. 1.2

1.5 Project Gallery 15

1.5 Project Gallery

Global Hand Washing Day being celebrated at Shivam English medium High Schoolby MRVC-DFY and Sealed Air Pvt Ltd CSR team.

Figure. 1.3


Dr. DevangSoni, Consultant Dermatolgist conducting Skin OPD at Lallubhai Com-pound Centre

Figure. 1.4

Dr. KamleshVishwakarma, MD (Consultant Microbiologist) reviewing the services atMRVC DFY Health centre, Mankhurd

Figure. 1.5

1.5 Project Gallery 17

Staff Participating in Cleanliness Drive at MRVC Lallubhai Centre

Figure. 1.6

Staff Participating in Cleanliness Drive at Natwar Parikhcentre

Figure. 1.7


Sister Malti giving Immunization at Mandala

Figure. 1.8

Report Submitted by:Dr. Amit Kumar Nohwar,

Head, Mumbai Operations,Mob: +91 8693837772

monthly report - indian railway · monthly report october 2016 ... room no 201, first floor, ......

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