Report Contents-

DOCTORS FOR YOU

2015

MONTHLY REPORT

FEBRUARY 2015

A student being

examined during the

Health services

camp at Gyansathi

(Informal school by

Karunya Trust) in

Govandi

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

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 35 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

School Health Services- health check up camp for school children of Gyan Vihar (an

informal school run by Karunya Trust) in Govandi on 19th Feb 2015. 71 children were

benefitted. the services provided were Dental check up, Albendazole and Vitamin A

supplementation. In order to promote the dental hygiene, tooth paste were distributed

to children.

Street play for disability awareness in Lallubhai compound

3. Project Status and Statistical data

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

Table 1- Statistical data of Natwar Parikh Compound Colony (1st to 28th February 2015)

Sr No.

Particulars Feb-

15

Year 2014-15

Cumulative

Feb-

14 Year 2013-14

Since Oct

2012

1 OPD patients 1278 12479 873 9061 27818

2 Male Patients 503 5268 347 3592 11348

3 Female patients 775 7211 526 5469 16470

4 Children below 5 years 352 2912 204 1848 5896

5 Children b/w 5 and 12 years 201 1756 123 1344 4089

6 Patients above 60 years 59 717 65 388 1400

7 Follow up patients 503 4186 292 2331 7968

8 ANC check-up 22 178 2 72 289

9 Gynecological Patients 44 101

0 101

10 Immunization done 116 1270 129 1194 3038

11 Vitamin A Supplementation 34 742 54 911 2236

12 Malaria Patients 39 863 58 627 1543

13 Typhoid Patients 59 492 3 51 545

14 Patients for Sputum Testing 263 2254 188 1829 5395

15 TB Patients 3 84 6 80 228

16 Family Planning Beneficiaries 141 703 47 205 938

17 Malnutrition cases 17 108 0 22 188

18 De-Worming 156 1388 65 574 2170

Table 2- Statistical data of Lallubhai Compound Colony (1st to 28th February 2015)

Sr No

Particulars Feb-

15

Year 2014-15

Cumulative

Feb-

14

Year 2013-14

Cumulative

Since Oct

2012

1 OPD patients 2496 22447 1576 9386 34868

2 Male Patients 967 9837 653 3708 14584

3 Female patients 1529 12088 923 5767 19729

4 Children below 5 years 529 4381 319 1617 6718

5 Children b/w 5 and 12 years 372 2972 230 1310 4650

6 Patients above 60 years 207 1811 123 897 2900

7 Follow up patients 738 6668 418 2288 9496

8 ANC check-up 44 244 16 81 319

9 Gynecological Patients 63 243 - - 243

10 Immunization done 250 2517 211 1156 3742

11 Vitamin A Supplementation 224 1779 230 1873 3741

12 Malaria Patients 39 555 27 276 853

13 Typhoid Patients 38 253 29 74 358

14 Patients for Sputum Testing 2 129 5 14 147

15 TB Patients 0 58 0 0 58

16 Family Planning Beneficiaries 90 1240 138 343 1726

17 Malnutrition cases 22 173 0 35 224

18 De-Worming 206 1473 297 1096 4120

‘Progress report on ‘Project Vikas’

Table 3: Dental OPD at Natwar Parikh Compound

Sr No. Particulars Feb-15 Since Oct 2012 Year 2014-15

1 Total OPD patients 42 831 353

2 X- Ray taken 2 157 23

3 Extraction Done 6 170 68

4 Restoration Done 3 220 29

5 Scaling done 0 68 21

6 RCT 1 45 23

Table 4: Dental OPD at Lallubhai Compound

Sr No. Particulars Feb-15 Since Oct 2012 Year 2014-15

1 Total OPD patients 332 2078 1832

2 X- Ray taken 20 170 147

3 Extraction Done 46 435 380

4 Restoration Done 6 67 41

5 Scaling done 4 79 57

6 RCT 30 238 195

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 90 (77 New Registration and 13

Follow Up cases).

Table 5: Showing conditions treated in Physiotherapy in the month of Feb 2015

Sr. No Conditions Treated Number of Patient

1. Back pain 30

2 Knee Pain 21

3. Neck Pain 10

4. Shoulder pain 05

5. Myofacial pain syndrome 05

6. Ankle and Foot 04

7. Elbow pain 04

8. Wrist and Hand region 03

9. Post fracture 02

10 Hip and thigh pain 02

11 Low back pain + knee pain 01

12 Neck pain + knee pain 01

13 R.A / multiple joint pain 01

14 Systemic involvement 01

Total 90

Disability Rehabilitation Department

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

Total 29 patients were treated (10 New Registration and 19 follow up cases).

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

Sr. No Condition Number of Patients

1. Cerebral Palsy 08

2. Hemiplegic / Hemi paresis 08

3. Injury / any deformities 04

4. Paraplegic 03

5. Neuropathy 01

6. M.R / learning disability 01

7. P.P.R.P 01

8. Cerebellar ataxia 01

9. Myopathy 01

10. Speech impairment 01

Total 29

Community Outreach Services-

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

of February 2015.

1. The Door to door follows up of irregular patients was carried out by Ms Shakila

Sayeed (Community mobilizer) and Mr Baljeet kalal (Community mobilizer). Total

57 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.

2. Play for peace (13/02/2015 & 14/2/2015)

Social worker Miss Archana and community mobilize Miss shakeela, training session

for street play in khula asaman organization.

3. Street play for disability awareness: In order to raise the awareness about disability

and physiotherapy, a street play by children and DFY staff was organized in Lallubhai

compound. the play was attended by a large number of community members. After

the play, queries were solved by Dr Tajuddin chitapure.

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 56 and 50 at NP compound and Lallubhai

compound health centre respectively.

Table 7.Distribution of children according to their nutrition status at NP Compound

Category Male Female Total

Normal 20 19 39

Moderate Malnutrition 6 4 10

Severe Malnutrition 5 2 7

Total 31 25 56

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

Category Male Female Total

Normal 18 10 28

Moderate Malnutrition 5 4 9

Severe Malnutrition 7 6 13

Total 30 20 50

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 Immunization Beneficiaries at each centre in February 2015

Sl. No Date Area Location Total No. of children

1 02/02/2015 Lallubhai Compound Health Centre 26

2 03/02/2015 Tata Nagar Buddha Panchayat

Anganwadi 14

3 05/02/2015 Lallubhai Compound Health Centre 26

4 06/02/2015 N.P Compound Health Centre 28

5 09/02/2015 Lallubhai Compound Health Centre 17

6 11/02/2015 Tata Nagar Kapileshwar

Mandir 15

7 12/02/2015 Lallubhai Compound Health Centre 18

8 13/02/2015 N.P Compound Health Centre 25

9 16/02/2015 Lallubhai Compound Health Centre 26

10 19/02/2015 Lallubhai Compound Health Centre 17

11 20/02/2015 N.P. Compound Health Centre 33

12 23/02/2015 Lallubhai Compound Health Centre 32

13 26/02/2015 Lallubhai Compound Health Centre 15

14 27/02/2015 N.P. Compound Health Centre 30

15 28/02/2015 Tata Nagar Samata Buddhvihar 37

Total 359

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 3/02/2015

Activity: Immunization and Deworming Camp

Venue: Tata Nagar (Bhudda panchayat Anganwadi)

Services- Immunization ,Vit A and Deworming

Beneficiaries: 14

2 11/02/2015

Activity: Immunization and Deworming Camp

Venue: Tata Nagar(Kapileshwar Mandir)

Services- - Immunization ,Vit A and Deworming

Beneficiaries: 15

3 16/02//2015

Activity: Deworming Camp and Immunization awareness

Venue: Bld.no-18 Hiranandani

Services- Immunization, Albendazole distribution and

Tuberculosis awareness

Beneficiaries: 20

4 16/02//2015

Activity: Maternal and child health counselling

Venue: Bld.No- 7 A, Natwar Parikh Compound

Services- Family planning services, Immunization

Beneficiaries: 35

5 21/02/2015

Activity: Immunization awareness and Disability awareness

Venue: Tata Nagar (Panch Nal)

Beneficiaries: 33

6 28/02/2015 Activity: Immunization Camp and deworming and Vit A

Venue: Tata Nagar (Samta Budhavihar)

Beneficiaries: 37

7 28/02/2015

Activity: Maternal and child Health Counselling

Venue: Bld no- 9 C, Natwar Parikh Compound

Topic: Exclusive Breast Feeding and Diet

Beneficiaries: 30

8 28/02/2015

Activity- Tuberculosis awareness

Venue- Tata Nagar (Panch Nal)

Beneficiaries- 19

Community awareness on TB Programme:

1) Counselling: 169 individuals with their family members were counselled in the month of

February 2015. They were made aware on the preventive measures and importance of

treatment adherence.

2) Home Visits: 51 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: DOTS provider explains importance of adherence to treatment and

completing the complete course of AKT. They also emphasize the problems associated

with irregular treatment and defaulter.

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 February 2015, total 191 women (114 at Lallubhai compound and 77

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- 28th February 2015

Centre Oral Contraceptive Condom Copper T

Feb 2015 Since Nov

2013

Feb

2015

Since Nov

2013 Feb 2015

Since Nov

2013

Natwar Parikh 20 145 44 442 0 0

Lallubhai compound 24 285 66 1410 0 46

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 (Two Fridays per month).

Eye OPD Statistics February 2015

Sr No Health Centre Patients

1 Lallubhai Compound 63

Photo Gallery

Vitamin A and Albendazole was given to children of Karunya Trust in Govandi

DFY team member Mr Arif giving tooth paste for dental hygiene promotion to a school children in

Govandi

DFY Team members and School children performing play for disability awareness in Lallubhai compound, Mankurd

Street play for disability awareness in Lallubhai compound

MCH counsellor Ms Manisha during community meeting at Natwar Parikh compound

DFY Team and Anganwadi workers celebrating with pregnant women and lactating mother

during the programme for safe motherhood

Tetanus Immunization for adolescent girls in Lallubhai compound

Report submitted by

Dr Nidhi Singh

Head, Mumbai Office

Doctors For You

Ph- 08080026090

Email-nids.bds@gmail.