MONTHLY REPORT Febuary 2017 MRVC-Doctors for … · MRVC-DOCTORS FOR YOU HEALTH CENTRE Report Submitted by: Dr. Amit Kumar ... Mob: +91 8693837772 MONTHLY REPORT Febuary 2017 MRVC-Doctors

MRVC-DOCTORS FOR YOU HEALTH CENTRE

Report Submitted by:

Dr. Amit Kumar Nohwar,Head, Mumbai Operations,

Mob: +91 8693837772

MONTHLY REPORT Febuary 2017

MRVC-Doctors for You Health Centre Mankhurd

& Govandi, Mumbai

Dr. Shivlaxmi Murti (Physiotherapist) taking exercise session to the child at MRVC-DFY Health

Centre, Lallubhai Compound, Mankhurd

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

Contents

Contents i

1 Monthly Report February 2017 11.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

1.2.1 Tuberculosis awareness meeting . . . . . . . . . . . . . . . . . 2

1.2.2 Dental Health Camp . . . . . . . . . . . . . . . . . . . . . . . 3

1.2.3 Diabetes Health Camp and Sugar Check up . . . . . . . . . . . 3

1.2.4 Malnutrition Prevention session . . . . . . . . . . . . . . . . . 3

1.2.5 Outreach Mobile Immunization services at Mandala, Baingan-wadi and Shivaji Nagar area in Govandi . . . . . . . . . . . . . 4

1.3 Project Status and Statistical Data . . . . . . . . . . . . . . . . . . . . 5

1.3.1 Statistical Data of Health Centre based activities . . . . . . . . 5

1.3.2 Statistical data of Dental Care Service . . . . . . . . . . . . . . 7

1.3.3 Statistical data of Ophthalmic (Eye OPD) Services . . . . . . . 7

1.3.4 Statistical data of Gynecology Services . . . . . . . . . . . . . 7

1.3.5 Statistical data of Dermatology (Skin OPD) services . . . . . . 8

1.3.6 Statistical data of Diabetes and Hypertension services . . . . . . 8

1.3.7 Geriatric OPD Services . . . . . . . . . . . . . . . . . . . . . . 9

1.3.8 Psychiatric and Deaddiction OPD Services . . . . . . . . . . . 9

1.3.9 Orthopedic OPD services . . . . . . . . . . . . . . . . . . . . . 10

1.3.10 Statistical data of Physiotherapy and Disability RehabilitationServices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

1.3.10.1 General Physiotherapy . . . . . . . . . . . . . . . . . 10

1.3.10.2 Disability Rehabilitation Department . . . . . . . . . 11

1.3.11 Statistical data of Under Five Clinic . . . . . . . . . . . . . . . 12

ii Contents

1.3.12 Statistical data of Immunization Services . . . . . . . . . . . . 131.3.13 Statistical data of Special Community Outreach Services and

Health Camp . . . . . . . . . . . . . . . . . . . . . . . . . . . 131.3.14 Statistical data of Community Awareness on TB Project (Out-

reach service) . . . . . . . . . . . . . . . . . . . . . . . . . . . 141.4 Case stories of patients from Lallubahi compound . . . . . . . . . . . . 16

1.4.1 Case Story of a Child . . . . . . . . . . . . . . . . . . . . . . . 161.4.2 Case Story Of Dental Patient . . . . . . . . . . . . . . . . . . 171.4.3 Case Story of a child . . . . . . . . . . . . . . . . . . . . . . . 18

1.5 Project Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Monthly Report February 2017

2 Monthly Report February 2017

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. physiotherapy anddisability rehabilitation, Gynaecology clinic, Eye clinic and Skin disease treatment etc.are also provided. The OPD services are backed up by laboratory services and phar-macy. With the opening of health centre, quality health services are easily accessibleand affordable to residents of these PAP’s resettlement colonies and nearby slum ar-eas.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 activities arealso 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 Tuberculosis awareness meetingOn 28th February, 2017 MRVC-DFY team had conducted Tuberculosis awareness meet-ing at Natwar parikh centre, Govandi, Mumbai. In this meeting DFY team memberswere taking counselling session, disease related preventive measures and beneficiarieswere given free soaps to promote handwashing hygiene. Patients were told to maintaincleanliness to their surroundings.In addition to that DFY team have explained major sign and symptoms of tuberculosislike:

• Evening rise of fever

1.2 Highlights of the Month 3

• Weight loss

• Loss of appetite

• Cough with expectoration more than 15 days if there then they are advice toconsult MRVC/ DFY TB clinic immediately.

1.2.2 Dental Health Camp

On 16th and 25th of February Dental health camp had organized at MRVC-DFY Lal-lubhai and Natwar Parikh Health Centre.In a regular DFY practice and in association with De-addiction centre MRVC/ DFYteam conduct Dental Health Camp. As this area and surrounding 90% people are ad-dicted for pan, tobacco and smoking. So naturally dental health is epidemically at high-est risk. MRVC-DFY team had conducted oral hygiene awareness and dental healthcamp. Beneficiaries were 32 in Natwar Parikh Centre and 68 in Lallubhai Centre.

1.2.3 Diabetes Health Camp and Sugar Check up

On 8th and 14th February, 2017 DFY team had organized free diabetes health campat both MRVC-DFY Lallubhai health centre and Natwar Parikh Centre in afternoonsession. In that session some activity has done like Checking of random blood sugar,blood pressure, Health talk regarding diet, life style modification, exercise, follow upcheckup.Special training was given for nutritionl deficiency and currentive measures. Total 34and 56 patients were benefited from Natwar Parikh Centre and Lallubhai MRVC-DFYHealth Centre respectively. Total Beneficiaries were 90 patients. Some patients de-tected their high level sugar first time in life. That’s aim of diabetic camp.

1.2.4 Malnutrition Prevention sessionDFY team organized a malnutrition prevention session with Anganwadi workers in theLallubhai compound on 16th Feb 2017. During this session 26 women were well edu-cated regarding Malnutrition.In fact all these women were convinced and they have admitted also that “ we were


not knowing that effect of junkfood, stored food, readymade food, cold drinks, choco-lates, maggy, biscuits can cause so much harm for health but DFY team given us goodeducation regarding malnutrition”.

1.2.5 Outreach Mobile Immunization services at Man-dala, Bainganwadi and Shivaji Nagar area in Go-vandi

MRVC-DFY had been conducting outreach immunization camps at Mandala slums,Mankhurd in association with MCGM and Zahara Hasanat Trust, Mumbai. As a partof scaling up of outreach immunization services, new outreach spots have been identi-fied in Bainganwadi and Shivaji Nagar 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.Two sessions at different spots are conducted each day. Every month new places forconducting the session are identified and added to the list. A target of total 40 Immu-nization spots and sessions in a month has been set for this Mobile Outreach Immuniza-tion Project increasing by 5 spots every month. To incentivize the families availing thisservice and to promote the concept of Hand Hygiene, free soaps also were distributedto the beneficiaries for the promotion of hand hygiene under the Soap for Hope project.

1.3 Project Status and Statistical Data 5

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 Feb 17 Year

2016-17Feb 16 Year

2015-16

Total Since

Oct 2012

1 OPD patients 1311 13392 1033 13322 57071

2 Male Patients 541 4862 341 5155 21770

3 Female patients 770 8530 692 8167 35121

4 Children below 5 years 200 2111 257 3393 12073

5 Children b/w 5and 12 years 150 1801 129 2121 8031

6 Patients above 60 years 158 1284 82 886 3739

7 New patients 692

9 Follow up patients 619 4579 354 5111 18667

10 TB Patients 2 78 3 106 420

11 Malnutrition cases 21 243 8 166 618

MCH services at Natwar Parikh Compound CentreTable 1.2


2016-17Feb 16 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 32 263 0 431 1048

2 Family Planning Services 79 749 211 780 2775

3Immunization Services

(ANC+ Routine)119 1304 133 1324 6036

4 Vitamin A Supplementation 75 1166 79 493 4064

5 De-worming Service 775 2549 145 1054 6185


General OPD services at Lallubhai Compound Colony CentreTable 1.3


2016-17Feb 16 Year

2015-16

Total Since

Oct 2012

1 OPD patients 2993 24523 1833 23309 87091

2 Male Patients 990 9718 695 8841 35303

3 Female patients 2003 14855 1138 14468 51283

4 Children below 5 years 287 3896 342 4587 16052

5 Children b/w 5and 12 years 159 2461 242 2783 10414

6 Patients above 60 years 1096 4112 154 1850 9262

7 New Patients 2403

8 Follow up patients 590 6454 408 6448 23681

9 TB patients 0 30 0 24 114

10 Malnutrition cases 30 335 71 657 1287

MCH services at Lallubhai Compound CentreTable 1.4


2016-17Feb 16 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 46 411 56 694 1579

2 Family Planning Services 96 1018 211 1473 4574

3Immunization Services

(ANC+ Routine)107 2758 200 2068 9271

4 Vitamin A Supplementation 217 2416 79 1250 7698

5 De-worming Service 101 4186 145 1129 9916


1.3.2 Statistical data of Dental Care Service

Dental care services at Lallubhai Compound CentreTable 1.5


2016-17

Total Since

Oct 2012

1 Total OPD patients 536 4383 14438

2 X- Ray taken 25 122 512

3 Extraction Done 55 476 1822

4 Restoration Done 6 115 423

5 Scaling done 9 86 487

6 RCT 34 318 1497

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 (two times in a day)and Saturday.

Eye Clinic (Ophthalmic) Services at Lallubhai CompoundTable 1.6

Sr. No. Health Centre Patients

1 Lallubhai Compound 148

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.


Gynecology Services at Lallubhai and Natwar Parikh CompoundTable 1.7



2 Natwar Parikh Compound 174

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. This services are available four times in a month in every Thursdayfor both the centers and out of 1st and 3rd week services have been sponsored by DignityFoundation and rest of are founded by Doctors For You.

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



2 Natwar Parikh 23

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 Friday at Lallubhai compound and every Wednesdayat Natwar Parikh in every month.


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



2 Natwar Parikh Compound 40

Total 104

1.3.7 Geriatric OPD ServicesMRVC DFY Health Centre, Lallubhai Compound, Mankhurd has started a new Geri-atric OPD services in collaboration with Dignity Foundation from 5th December 2016which have been provided from Monday to Saturday in every week.

Geriatric OPD Services at Lallubhai CompoundTable 1.10



1.3.8 Psychiatric and Deaddiction OPD ServicesMRVC-DFY health centre has also started a special Psychiatry OPD and DeaddictionOPD on 23rd and 16th November 2016, respectively. Those services are provided onevery week on Wednesday. These OPD’s are being sponsored by Rotary club of Deonar.

Psychiatric and De addiction OPD Services at Lallubhai CompoundTable 1.11

Sr. No. Services Patients

1 Psychiatric & Deaddiction 28


1.3.9 Orthopedic OPD servicesThe orthopedic OPD services was inaugurated in 11th January 2017, at MRVC Healthcentre, Lallubhai. The Orthopedic services are provided every alternate Wednesday.

Orthopedic OPD Services at Lallubhai CompoundTable 1.12

Sr. No. Services Patients

1 Orthopedic 93

1.3.10 Statistical data of Physiotherapy and DisabilityRehabilitation Services

1.3.10.1 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 1.13

Sr. No. Conditions Treated Number of Patients

1 Spine 175

2 Knee Pain 162

3 Upper limb 27

4 Lower Limb 29

5 Post –Surgery 2

6 Neck Pain 21

7 Weight gain 10

8 Fracture 3

9 DM+HTN+Cholesterol 3

Total 432

1.3.10.2 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 1.14

Sr. No. Conditions Treated Number of Patients

1 Cerebro-Vascular Accidents 101

2 Cerebral Palsy 179

3 Paraplegia 23

4 Delayed Milestone 6

Total 309


1.3.11 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 1.15

Category Male Female Total

Normal 6 9 15

Moderate Acute Malnutrition (MAM) 1 2 3

Severe Acute Malnutrition (SAM) 1 2 3

Total 8 13 21


Under 5 Clinic at Lallubhai Compound CentreTable 1.16

Category Male Female Total

Normal 5 8 13

Moderate Acute Malnutrition (MAM) 4 5 9

Severe Acute Malnutrition (SAM) 5 3 8

Total 14 16 30

1.3.12 Statistical data of Immunization ServicesTarget to achieve 100% immunization coverage of 0-5 age group children.

Immunization Services (0-5 age group children)Table 1.17

Sr. No. Centre NameNumber of children

Immunized

1 Natwar Parikh Compound Center 119

2 Lallubhai Compound Centre 107

3 Mandala Camp 261

Total 487

1.3.13 Statistical data of Special Community OutreachServices and Health Camp


Special Community Outreach Services and Health Camp StatisticsTable 1.18

Topic Dates VenueNo. of

Beneficiaries

Immunization

CampFebruary 2017

Mandala, Bainganwadi

and Shivaji Nagar area

in Govandi

261

Dental Health

Camp16th and 25th of Feb., 2017

Lallubhai health centre and

Natwar Parikh Centre100

Diabetes Health Camp

and Sugar Check up8th and 14th Feb., 2017

Lallubhai health centre and

Natwar Parikh Centre90

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

Community Awareness on TB services (Outreach services) at Natwar ParikhCompound CentreTable 1.19

Sr. No. Activity No of beneficiaries

1 Counselling of Individuals and their Family Members 177

2 Home Visits of the TB patients 17

• 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.


Community Awareness on TB services (Outreach services) at LallubhaiCompound CentreTable 1.20

Sr. No. Activity No of beneficiaries

1 Counselling of Individuals and their Family Members 43

2 Home Visits of the TB patients 17

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 1.21

CentreOral Contraceptive Condom Copper T

Feb

2017

Since

Nov 2013

Feb

2017

Since

Nov 2013

Feb

2017

Since

Nov 2013

Natwar Parikh 4 367 75 1488 0 0

Lallubhai compound 3 478 93 3095 0 101


1.4 Case stories of patients from Lallubahi com-

pound

1.4.1 Case Story of a ChildA 3 year old boy came with the complaints of black eye all over right side due totrauma. Parents were very anxious and decided to consult with ophthalmologist inMRVC-DFY Health Centre on 4th February, 2017. Child was experiencing severe painand unable to cooperate daily activity. Dr. Faraz ( Ophthalmic Surgeon ) had attendthe boy and find out the diagnosis was Ecchymosis . Doctor has given advice to locallyapply cold compression and anti inflammatory drug. After two weeks the boy hascompletely recovered and gets relief. These are just few examples, but DFY team dealswith many complicated which otherwise would have been neglected by their patentsdue to unavailability of expert doctors and illiteracy.Therefore now Ophthalmic OPD increased from once in a week to three times in a weekdue to overwhelming demands from local area people.

The baby boy was with black eyes all over right side.

Figure. 1.1

1.4 Case stories of patients from Lallubahi compound 17

1.4.2 Case Story Of Dental PatientA 24 years young patient came with Chief Complaints Of Missing Tooth. He wanted toget a replacement which will last a life time . DFY team suggested him dental implants.These implants are one of the most advanced branch of dental field. It is milestone ofthe Dental Team & DFY- MRVC health center.

Dr. Zaheer (BDS, Oral Implantologist) had been performed dental Implants surgerywith the help supported doctors of at MRVC DFY Health Centre..

Figure. 1.2


1.4.3 Case Story of a childA 4 years old boy came with the complaints of tightening of upper arm and lowerlimb and not able to put his arm in the mouth and also complaints of not able to standproperly. The boy has been continued his treatment to MRVC-DFY Health Centre sincelast 1 year. When he has come the centre he cried a lot and not to cooperate with doctorsand staffs. Dr. Shivlaxmi Murti (Physiotherapist) attended the child, given advice andcounseled about exercise and diet. After completing many follow up checkup he isimproving with reduce tightening of upper arm and he is now self sufficient to takefood.

Dr. Shivlaxmi Murti (Pysiotherapist) taking exercise session to the child at MRVC-DFY Health Centre, Lallubhai compound, Mankhurd.

Figure. 1.3

1.5 Project Gallery 19

1.5 Project Gallery

DOTS provider Shyna Shaikh was taking tuberculosis awareness meeting at NatwarParikh centre, Govandi.

Figure. 1.4

Malnutrition Prevention Session Conducted by DFY team at Anganwadi, Mankhurd.

Figure. 1.5


Oral hygiene & dental health camp had conducted on 16th and 25th of February, 2017at Natwar Parikh Centre.

Figure. 1.6

Oral hygiene & dental health camp had conducted on 9th , 10th and 28th of February,2017 at Lallubhai Centre and in one case pre cancerous white lesion seen.

Figure. 1.7

1.5 Project Gallery 21

Beneficiaries of diabetic patients are seen and listening to Manisha Nikam (Coun-selor) regarding Nutritional Deficiency and life style changes at MRVC/DFY lallubhaiHealth Centre, Mankhurd.

Figure. 1.8

Sister Manisha Mhatre was giving vaccine to a child.

Figure. 1.9


DFY staff participating in the Swaccha Bharat Abhiyan at MRVC-DFY Health Centre,Lallubhai Compound & Natwar Parikh Center.

Figure. 1.10

Report Submitted by:

Dr. Amit Kumar Nohwar,Head, Mumbai Operations,

Mob: +91 8693837772

Documents

MONTHLY REPORT Febuary 2017 MRVC-Doctors for … · MRVC-DOCTORS FOR YOU HEALTH CENTRE Report Submitted by: Dr. Amit Kumar ... Mob: +91 8693837772 MONTHLY REPORT Febuary 2017 MRVC-Doctors