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DOCTORS FOR YOU 2014 MONTHLY REPORT May 2014 Health Centre staff providing MDR Tuberculosis Treatment to 4 year girl Deepika D OCTORS F OR Y OU ,3 H EMU C ASTLE , N EAR G OLIBAI S CHOOL , D ADA B HAI R OAD V ILE P ARLE (W)M UMBAI -400045

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Page 1: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

CONTENT

DOCTORS FOR YOU

2014

MONTHLY REPORT May 2014

Health Centre staff

providing MDR

Tuberculosis

Treatment to 4 year

girl Deepika

D O C T O R S F O R Y O U , 3 H E M U C A S T L E , N E A R G O L I B A I S C H O O L , D A D A B H A I

R O A D V I L E P A R L E ( W ) M U M B A I - 4 0 0 0 4 5

Page 2: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

1. Introduction 2. Highlights 3. Project Status and Statistical data 4. Activities under project VIKAS

A. Out Patient Department B. Immunization C. Rehabilitation Centre D. Dental OPD E. Community Outreach Program

5. Conclusion 6. Photos

1. INTRODUCTION

Mumbai 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 improvement in the socio-economic and health indicators of the resettlement

colonies PAP’s. Earlier services were provided through outreach health camps and

various community based programs but it was realised that there was an urgent

need of scaling up the additional services at Lallubhai compound & Ambedkar

Nagar, Mankhurd. After consultations with community stakeholders and senior officials

from MRVC, It was decided to provide health services on daily basis through the

MRVC health centre at Lallubhai compound. MMRDA supported the proposal to

expand the services and immediately provided 5 extra tenements for the health

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centre. New Centre was inaugurated by Mr Rakesh Saksena (MD MRVC), Mr R S

Khurana, Director Project (MRVC), Mrs Alka Mishra CPO (MRVC) and other

Officials from MRVC on 11th November 2013.

This centre now has dedicated Dental Clinic, Rehabilitation centre for

Physically & Mentally challenged persons, General OPD, Gynaecology OPD,

Pathology laboratory and Immunization OPD etc. All these services are being

provided on daily basis through a team of 41 trained personnel’s (Doctors, Nurses,

Medical Social Workers & support staffs). The main objective of the project is to

provide preventive, promotive and curative health care services in these resettlement

colonies PAP’s. DFY has now been providing health care services to more than 1.5

lakh people, residing in resettlement colonies of MMRDA & MRVC.

2. Highlights of the Month

Assistance in Issue of disability certificate- 2 persons got the certificates

after a 2 month long process.

Adolescent Health Services- Session on menstruation cycle, personal

hygiene and anaemia; Distribution of Iron, Folic Acid and Albendazole.

Physiotherapy camp in Lallubhai compound.

Nutritional education session for Drug Resistant Tuberculosis session.

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3. Project Status and Statistical data

Statistical Data from 1st May 2014 to 31st May 2014

The colony wise details of health care activities undertaken by DFY are given below.

Sr No.

Particulars

NP Compound Colony

Lallubhai Compound Colony

May 2014 Since Oct 2012

May 2014 Since Oct 2012

1 OPD patients 1045 17287 1456 15264

2 Male Patients 442 6863 539 5852

3 Female patients 603 10424 917 9378

4 Children below 5 years 227 3437 260 2855

5 Children between 5 and 12 years 152 2598 189 2049

6 Patients above 60 years 41 787 92 1271

7 Follow up patients 341 4368 338 3537

8 ANC check-up 2 118 11 97

9 Immunization done 143 2052 261 1793

10 Vitamin A Supplementation 89 1714 201 2392

11 Malaria Patients 116 848 40 363

12 Typhoid Patients 11 73 6 124

13 Patients for Sputum Testing 186 3519 10 40

14 TB Patients 5 156 - 33

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15 Family Planning Beneficiaries

38 325 89 687

16 Malnutrition cases 6 100 4 45

17 De-Worming 118 1003 128 2872

Statistical Data of Year 2014-15

Sr No.

Particulars NP Compound Colony

Lallubhai Compound Colony

May-14

Since April 2014 May-

14 Since April 2014

1 OPD patients 1045 1948 1456 2843

2 Male Patients 442 783 539 1105

3 Female patients 603 1165 917 1737

4 Children below 5 years 227 453 260 518

5 Children between 5 and 12 years 152 265 189 371

6 Patients above 60 years 41 104 92 182

7 Follow up patients 341 604 338 709

8 ANC check-up 2 7 11 22

9 Immunization done 143 284 261 568

10 Vitamin A Supplementation 89 220 201 430

11 Malaria Patients 116 168 40 65

12 Typhoid Patients 11 20 6 19

13 Patients for Sputum Testing 186 378 10 17

14 TB Patients 5 12 - 33

15 Family Planning Beneficiaries 38 90 89 201

16 Malnutrition cases 6 20 4 10

17 De-Worming 118 221 128 225

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‘Progress report on ‘Project Vikas’

Physiotherapy and Rehabilitation

Area of work

1. Services at Health centre 2. Community outreach services

Services at Health centre

It includes General Physiotherapy and Disability Rehabilitation Department.

General Physiotherapy

In this department patients with muscular related joint pain and muscle pain are treated. The total number of patient treated in General Physiotherapy is 80 (74 New Registration and 6 Follow Up cases).The conditions treated in the month of May 2014

Sr. No Conditions Treated Number of Patient

1. Back pain 24 2 Knee Pain 21 3. Lower back pain and Knee Pain 12 4. Foot and Ankle 05 5. Shoulder pain 05

6. Neck Pain 03 7. Multiple joint pain 02 8. Neck pain and Back pain 02 9. Writ and Finger joint pain 02 10. Elbow joint 01 11. Heel pain 01 12. Calf pain 01 13. Coccydynia 01

Total 80

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Disability Rehabilitation Department

In this department all neurological and paediatric related disability condition are treated. Total 17 patients were treated (8 New Registration and 9 follow up cases).

Sr. No Condition Number of Patients

1. Cerebral Palsy 07 2. Knee / lower leg deformity 04 3. Hemiplegic / Hemi paresis 03 4. (PPRP) Post polio residual paralysis 01 5. (CIPD) Chronic Inflammatory demylenating

disease 01

6. Paraplegia (Spinal cord Injury) 01 Total 17

Community Outreach Services-

Community work being the major focus area of several activities were organised in the month of May 2014.

1) Door to door patients follow up

2) Assisting in disability certificate for the identified patients

3) Physiotherapy consultation camp.

4) Institutional visits.

The Door to door follow up and Counselling of irregular patients was carried out

by Mr Rajesh Sawant (Social Worker) & Mr Baljeet kalal (Community mobilizer).

Total 25 visits were made in the community. All the patients were informed about

the centre activity and were motivated to come to the centre for the follow up

treatments.

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Disability and concession certificates- Assisting the persons with disability in getting

certificate is one of the major activities covered under social rehabilitation of PWDs.

Due to 2 months long follow up with Govt authorities by DFY Team, 2 patients

received disability certificate.

Physiotherapy consultation camp was held in the community on 24th May 2014. The

camp was organized to cover for the general physiotherapy conditions and the

special cases related to the child development.

The camp was held in community, Anganwadi no 103, building No, 4B, Lallubhai

Compound. Total patients treated in the camp were 18 (male - 02 and females –

16)

Sr No Condition treated Number of patients

1 Neck Pain 05

2 Back Pain 04

3 Lower Back pain and Knee Pain 04

4 Multiple Joint Pain 02

5 Neck pain and Back Pain 01

6 Shoulder Pain 01

7 Wrist Pain 01

Total 18

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Institutional Visits:

1. Advance training centre (Vocational rehabilitation centre for Handicapped ) : 2nd

May 2014 by Mr Rajesh Sawant (Social Worker)

Purpose of visit: To understand the working environment of the centre and

services provided to the disabled patient

2. National Society for equal opportunities for the handicapped, India. (NASEOH): 5th

May

Purpose of visit: To know the working environment of the centre and services

provided to the disabled patient.

3. Government printing press, Charni Road, Mumbai : 6th May 2014

Purpose of visit:To know the various schemes issued by the Government of

India for the disabled patients.

4. Education, Training and services centre for PWDS, Navi Mumbai : 15 May 2014

Purpose of visit: To know about the services provided at Education, Training and

Services Centre for PWDs.

Plan for the month of June’14

o Training and sensitization of the workers in the NGOs working in the

community about the disability and related problems.

o Mapping the buildings with the disabled patients and Sourcing the disability

data from the Aanganwadi.

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o Vocational training to the patients, who have issued the disability Certificates

in at vocational training centres nearby community.

Under Five Clinic- This clinic was started for the children of 0-5 year age

group. This group is the most vulnerable age group for malnutrition and subsequent

mortality due to under nutrition complicated by infections. The aim of Under five

Clinic is to promote health of mother and 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 at free of cost. Since this is health promotion clinic, mother is asked to

follow up every month with child for growth monitoring.

Total beneficiaries for the under five clinic was 54 and 48 at NP compound and

Lallubhai compound health centre respectively.

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Distribution of children according to their nutrition status at NP Compound

Category Male Female Total

Normal 4 3 7

Moderate Malnutrition 2 0 2

Severe Malnutrition 1 3 4

Total 7 6 13

Distribution of children according to their nutrition status at Lallubhai Compound

Category Male Female Total

Normal 5 8 13

Moderate Malnutrition 0 1 1

Severe Malnutrition 0 3 3

Total 5 8 17

Immunization

Under the immunization programme our target is to achieve 100%

immunization of children in below 5 years age group. To achieve the target our

immunization team has been organising camps building wise.

Page 12: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

Statistical data of total number of children covered in each building 1st May to 31st

May 2014.

Sl.

No

Date Buildings Total No. of

children covered

Since November 2013

1 1/05/2014 Health Centre 23

Total no. of buildings covered Natwar Parikh compound-21 (Wing A ,B & C) Lallubhai compound-52 (Wing A & B)

2 5/05/2014 Health Centre 17

3 7/05/2014 1AB/2R/16R 10

4 8/05/2014 Health Centre 29

5 12/05/2014 Health Centre 22

6 14/05/2014 6AB/7AB/8R/11A/12AB/10B 33

7 15/05/2014 Health Centre 29

8 19/05/2014 Health Centre 17

9 21/05/2014 58AB/59ABC/60ABC 10

10 22/05/2014 Health Centre 24

11 26/05/2014 Health Centre 13

12 28/05/2014 61/62/63 (ABC) 32

13 29/05/2014 Health Centre 26

Total 285

Follow ups of children at Natwar Parikh compound was conducted through home

visits. This would help us to track the children who have been dropped out and

missed out due to various reasons such as unavailability of the caretaker of the

child, absence of family members at home.

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Community outreach activity on Immunization & Health Awareness: Sl. No Date Particulars 1

17/05/2014 Activity: TB awareness meeting

Venue: Building No 10C Natwar Parikh Compound

Topic: Explained TB as a disease. Its prevention,

protection and hygiene practices

Beneficiaries: 20

2 22/05/2014 Activity: TB awareness meeting

Venue: Building No 22 Lallubhai Compound

Topic: Explained TB as a disease. Its prevention,

protection and hygiene practices

Beneficiaries: 21

Community awareness on TB Programme: 1) Counselling: 161 individuals with their family members were counselled in the

month of May 2014. They were made aware on the preventive measures and

importance of treatment adherence.

2) Home Visits: 35 visits were made at tuberculosis patients home. Points covered

were:

Home environment- Importance of environment such as space, ventilation, over-

crowding in the prevention of spread of TB.

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Medicines: social worker and DOTS provider ensure that the patients are taking

medicines on regularly on time.

Awareness among family members: the family members are educated about

mode of TB transmission, precaution to be taken to prevent spread of disease

and importance of timely intake of medicines and development of drug resistance

due to incomplete and inadequate treatment. Family members were also advised

to visit health centre in case of symptoms such as Cough (> 2 Weeks), Fever

and decreased appetite.

Health Awareness:

CareMother Kit: The CareMother Kit is a mobile health kit for basic ante natal check up of pregnant women where all the instruments for check up can be carried anywhere and the services can be provided at the door steps of beneficiary. The services provided through this kit are as follows:

1. Haemoglobin Test 2. Blood Sugar 3. Urine Sugar 4. Foetal Heart Rate 5. Blood Pressure

Statistical Data of New ANC registration at Natwar Parikh Compound

Particular may 2014 Since November 2013

ANC CareMother Kit 1 35

Page 15: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

Distribution of Condoms, Mala N & Copper T from 1st-31st May 2014

Centre Oral Contraceptive Condom Copper T

May

2014

Since

Nov 2013

May

2014

Since

Nov 2013

May

2014

Since

Nov 2013

Natwar Parikh 12 46 26 207 - -

Lallubhai compound 9 76 80 762 7 25

Topics covered for Community Health Awareness are:

Our social workers have been sensitizing the community through one to one

counselling as well as group counselling during the immunization programme on the

importance of

A) Exclusive breast feeding: The right infant feeding practices, importance of

exclusive breast feeding- advantages, and disadvantages of feeding other than

mother’s milk.

B) Family Planning measures: under family planning our social workers educate the

women on the importance of family planning, use of various types of family

planning measures- condom, Oral contraceptives, Copper T, and advantages and

disadvantages of each.

C) Immunization: The parents visiting the immunization camp are made aware on

the importance of immunization and the complications if a child is not being fully

immunized

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D) Counselling: women and adolescent girls visiting the OPD are counselled on the

various health topics such as Menstrual Hygiene, family planning, Exclusive

breast feeding and nutrition.

Photo Gallery

DFY Nurse giving Injection to the MDR TB Patient at MRVC Health Centre Lallubhai Compound, Mankhurd

Page 17: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

DOTS Provider Mr Niwas Dispensing medicine to a MDR TB patient.

DFY Immunization Team Nurse Mrs Relekar explaining Immunization schedules to a mother

Page 18: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

Immunization Session at Health Centre

Physiotherapy Consultation Camp

Page 19: MONTHLY REPORT - Mumbai Railway Vikas Corporation · 2019-10-17 · ‘Progress report on ‘Project Vikas ... o Vocational training to the patients, who have issued the disability

Maternal and Child Health Counsellor, Mrs Manisha Nikam explaining about Copper T a women. Report submitted by Dr Nidhi Singh Head, Mumbai Office Doctors For You Ph- 08080026090

Email- nids.bds@gmail.