monthly report - mumbai railway vikas corporationmrvc.indianrailways.gov.in/works/uploads/file/mrvc...

DOCTORS FOR YOU

2014

MONTHLY REPORT

September 2014

A school children being

examined by DFY

doctor during the School

Health services- The

way Healthy Life

Program

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

Report Contents-

1. Introduction

2. Highlights of the month

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 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

I. Health education session on Back ache and Knee joint problems on the occasion

of world physiotherapy day

II. Community Deworming Campaign in Natwar Parikh Compound

III. School Health Services-The road to Healthy life program in Lallubhai compound

and Natwar Parikh Compound

IV. Dental Camp in Lallubhai compound

V. Start of Gynaecological and Eye clinic at Natwar Parikh Compound

3. Project Status and Statistical data

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

Table 1- Statistical data of Natwar Parikh Compound Colony (1st to 30th September)

Sr No.

Particulars Sept 2014

Year 2014-15 Cumulative

Sept 2013


Since Oct 2012

1 OPD patients 1258 6405 1005 4741 21744

2 Male Patients 517 2605 388 1865 8685

3 Female patients 741 3800 617 2876 13059

4 Children below 5 years 242 1454 176 922 4438

5 Children b/w 5 and 12 years 174 923 170 723 3256

6 Patients above 60 years 60 357 51 164 1040

7 Follow up patients 361 2034 302 1098 5816

8 ANC check-up 19 65 6 33 176

9 Gynecological Patients 9 9 0 9

10 Immunization done 129 676 148 562 2444

11 Vitamin A Supplementation 104 517 112 483 2011

12 Malaria Patients 68 655 77 297 1335

13 Typhoid Patients 59 149 6 32 202

14 Patients for Sputum Testing 178 1073 182 913 4214

15 TB Patients 8 42 4 46 186

16 Family Planning Beneficiaries 43 233 9 32 468

17 Malnutrition cases 13 55 2 16 135

18 De-Worming 322 866 100 203 1648

Table 2- Statistical data of Lallubhai Compound Colony (1st to 30th September)

Sr No

Particulars Sept 2014


Sept 2014


Since Oct 2012

1 OPD patients 2291 10526 639 2376 22947

2 Male Patients 886 4676 230 890 9423

3 Female patients 1405 5328 409 1605 12969

4 Children below 5 years 364 2003 130 475 4340

5 Children b/w 5 and 12 years 319 1404 98 394 3082

6 Patients above 60 years 204 785 72 228 1874

7 Follow up patients 705 2973 167 349 5801

8 ANC check-up 20 95 1 23 170

9 Gynecological Patients 70 70 - 0 70

10 Immunization done 226 1488 115 458 2713

11 Vitamin A Supplementation 210 1130 131 806 3092

12 Malaria Patients 99 296 3 117 594

13 Typhoid Patients 51 88 1 1 193

14 Patients for Sputum Testing 14 88 1 5 106

15 TB Patients 9 55 - 0 55

16 Family Planning Beneficiaries 130 665 - 0 1151

17 Malnutrition cases 18 63 - 32 114

18 De-Worming 225 827 - 0 3474

‘Progress report on ‘Project Vikas’

Table 3: Dental OPD at Natwar Parikh Compound

Sr No. Particulars September 2014 Since Oct 2012 Since April

2014

1 Total OPD patients 75 591 113

2 X- Ray taken 7 146 12

3 Extraction Done 6 122 20

4 Restoration Done 2 204 13

5 Scaling done 2 51 4

6 RCT 2 26 4

Table 4: Dental OPD at Lallubhai Compound

Sr No. Particulars September 2014 Since Nov 2013 Since April

2014

1 Total OPD patients 206 1234 656

2 X- Ray taken 16 107 64

3 Extraction Done 38 265 164

4 Restoration Done 5 42 10

5 Scaling done 17 56 30

6 RCT 22 132 59

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 100 (89 New Registration and 11

Follow Up cases).

Table 5: Showing conditions treated in Physiotherapy in the month of September 2014

Sr. No Conditions Treated Number of Patient

1. Back pain 37

2 Knee Pain 26

3. Lower back pain and Knee Pain 03

4. Foot and Ankle 03

5. Shoulder pain 01

6. Neck Pain 15

7. Myofascial pain syndrome 07

8. Rheumatoid arthritis 02

9. Wrist and Finger joint pain 02

10 Plantar Fascitis 03

11 Elbow Pain 01

Total 100

Disability Rehabilitation Department

In this department all neurological and paediatric related disability condition are treated.

Total 21 patients were treated (08 New Registration and 13 follow up cases).

Table 6: Showing conditions treated in the month of September 2014

Sr. No Condition Number of Patients

1. Cerebral Palsy 05

2. Knee / lower leg deformity 03

3. Hemiplegic / Hemi paresis 08

4. Myopathy 01

5. Neuropathy 01

6. Paraplegia (Spinal cord Injury) 02

7. Cerebellar ataxia 01

Total 21

Community Outreach Services-

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

of July 2014.

1) Door to door patients follow up.

2) Assisting in disability certification for the identified patients.

3) Physiotherapy camps in community

The Door to door follows up of irregular patients was carried out by Mr Harshad Wankhade

(Social Worker) and Mr Baljeet kalal (Community mobilizer). Total 25 no. of 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.

Two persons with disability (PWD) received Disability Certificate and concession

certificate.

Institutional Visits- Tehseel office in Mulund on 15th

September 2014 for disability pension

certificates and pension certificate.

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 10 and 51 at NP compound and Lallubhai

compound health centre respectively.

Table 8.Distribution of children according to their nutrition status at NP Compound

Category Male Female Total

Normal 16 10 26

Moderate Malnutrition 5 2 7

Severe Malnutrition 3 3 6

Total 24 15 39

Table 9. Distribution of children according to their nutrition status at LB Compound

Category Male Female Total

Normal 6 11 17

Moderate Malnutrition 4 5 9

Severe Malnutrition 5 4 9

Total 15 20 35

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.

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

31st September 2014.

Sl. No Date Area Location Total No. of children

1 1/9/2014 Lallubhai Compound Health Centre 18


4 5/9/2014 N.P. Compound Health Centre 34










Total 355

Follow ups of children in both areas is being conducted simultaneously. 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.

Community outreach activity on Immunization & Health Awareness:

Sl. No Date Particulars

1 6/9/2014

Activity: Health Talk on Family planning, Breast Feeding,

Immunization and Disability prevention

Venue: Lallubhai Compound Bldg No-5 B

Topic: Immunization, family planning and breast feeding

Beneficiaries: 28

2 12/9/2014

Activity: Family planning and Immunization awareness

Venue: Lallubhai Compound Bldg No-19-B

Topic: Immunization, family planning and Health Awareness

Beneficiaries: 28

3 12/9/2014

Activity: Health talk on Knee and Back problems

(Awareness, prevention, rehabilitation and restoration of

functions)

Venue- MRVC Health Centre, Lallubhai compound

1. Topic- Anatomy of knee & back in brief with pictures &

videos

2. Causes of knee & back pain

3. Symptoms & signs

4. How physiotherapy will help them restore the function

& improve quality of life.

5. Ergonomic advice.

Beneficiaries- 35

4 13/9/2014

Activity: Health Talk on Family planning and Immunization

Venue: Lallubhai Compound Bldg No-14 B


Beneficiaries: 32

5 14/9/2014

Activity: Dental Health Check up

Venue: MRVC Health Centre, Lallubhai compound

Services- Dental check up , health education and treatment

(Extraction- 9, Scaling-9)

Beneficiaries: 33

6 16/9/2014

Activity: Health Talk on Family planning, Breast Feeding

Immunization and physiotherapy awareness

Venue: Lallubhai Bldg No- 8 B


Beneficiaries: 33

7 20/9/2014


and Immunization

Venue: Hiranandani Bldg No- 20 B

Topic: Immunization, family planning ,breast and

physiotherapy awareness

Beneficiaries: 31

8 22/9/2014

Activity: Health Talk on Tuberculosis awareness

Venue: Hiranandani Bldg No- 18

Topic: Tuberculosis prevention and control

Beneficiaries: 28

9 24/9/2014


Venue: Lallubhai Compound, Bldg No- 53


Beneficiaries: 27

10 25/9/2014


Venue: Hiranandani Bldg No- 19 A


Beneficiaries: 30

11 26/9/2014


,Immunization and physiotherapy awareness

Venue: Hiranandani Bldg No- 16 B


Beneficiaries: 26

12 29/9/2014


Venue: Lallubhai Compound, Bldg No- 20 A


Beneficiaries: 25

13 29/9/2014

Activity- Health talk on Tuberculosis and Immunization

Venue- Lallubhai Compound, Bldg no-18B

Topic- Tuberculosis disease control and prevention and

Immunization

Beneficiaries- 29

14 30/9/2014

Activity: Healthy Baby Competition

Venue: MRVC Health Centre, Lallubhai Compound

Topic: Growth Monitoring and Immunization

Beneficiaries: 17

Community awareness on TB Programme:

1) Counselling: 212 individuals with their family members were counselled in the month of

September 2014. They were made aware on the preventive measures and importance of

treatment adherence.

2) Home Visits: 59 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.

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.

Family Planning Services

In the month of September 2014, total 310 women (198 at Lallubhai compound and

112 at Natwar Parikh compound health centre) were counselled regarding maternal and child

health conditions. The topics covered were family planning, immunization, exclusive breast

feeding, child nutrition and personal hygiene.

Distribution of Condoms, Mala N & Copper T from 1st-30

th June 2014

Centre Oral Contraceptive Condom Copper T

Sep 2014 Since Nov

2013

Sep

2014

Since Nov

2013 Sep 2014

Since Nov

2013

Natwar Parikh 16 90 27 296 0

Lallubhai compound 32 154 95 1011 3 38

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

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.

Ophthalmic Services-

The eye clinic in Lallubhai compound was inaugurated in August at MRVC Health centre,

Lallubhai. During the month of September eye services were also started at Natwar Parikh

Health centre from 26th

September (Every Friday).

Sr No Health Centre Patients

1 Lallubhai Compound 79

2 Natwar Parikh Compound 3

Total 82

As the eye services were started without much publicity in the Natwar Parikh Compound, a

eye screening camp is planned on 2nd

October 2014.

School Health Services-

During the week long activity conducted from 22nd

September to 30th

September 2014, 200

children and adolescents attending Balwadi and informal classes at Door Step school in the

Lallubhai compound and Natwar Parikh compound were examined.

Following services were provided to beneficiaries-

1. General Health Check up

2. Dental screening and check up

3. Deworming

4. Vitamin A supplementation

5. Health education to children, adolescents and their family members.

Community Deworming Campaign-

On 16th

September, Deworming camp was organized in the Natwar Parikh compound, during

which 182 children and adults with age ranging from 4 years to 45 years were benefitted.

During this camp, role of periodic Deworming was highlighted by Ms Archana Khrat and Mr

Arif Shaikh. Iron supplementation, Tablet Albendazole and Vitamin A were distributed to the

beneficiaries.

Photo Gallery

DFY worker noting down details of beneficiaries during the community deworming

programme at Gyan Vihar School with the help of Karunya Trust in Govandi

DFY workers distributing Albendazole, Vitamin A and Iron Folic Acid supplementation

Height and weight being measured by Ms Archana Kharat (Social worker) during school

health services

Dr Ankita (Physiotherapist) explaining about knee and back problems with the help of audio-

visual aids to beneficiaries.

Beneficiaries during the program on Knee and Back problems on the occasion of World

Physiotherapy day 2014 at MRVC Health Centre, Mankhurd

Dr Vaishali (Dentist) performing dental procedure on a male patient during the dental camp

DFY Team workers distributing pamphlet for awareness and dental camp in the community

Health educator Mr Lalit Pant explaining effects of tobacco on oral health, at the same time

emphasizing good oral practices

Anganwadi Mukhya Sevika Ms More giving prize to winners during Health Baby

Competition organized by DFY

School children waiting for their turn during School Health Services program at Natwar

Parikh Health centre

Report submitted by

Dr Nidhi Singh

Head, Mumbai Office

Doctors For You Ph- 08080026090

Email- nids.bds@gmail.

monthly report - mumbai railway vikas corporationmrvc.indianrailways.gov.in/works/uploads/file/mrvc...

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