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1/25/2014

Mega Health Camp District Tapi Mukhyamantri Amrutam Yojana

CDHO TAPI DISTRICT HEALTH SOCITY TAPI

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MEGA HEALTH CAMP

25th January, 2014

SHRI DAKSHINAPATH VIVIDHLAKSHI VIDHYALAYA

VYARA

DISTRICT - TAP

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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.

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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.

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:: 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.

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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.

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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.

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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.

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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

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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

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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

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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.

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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.

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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

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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

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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

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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

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Inauguration:

Display :

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Banners/Posters/Display….

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Registration:

Transportation:

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Food

Medical Checkup:

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:: Attachments::

1. Micro planning.

Sample

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2. Committees: