MUKHYAMANTRI AMRUTUM YOJANA - · PDF fileMukhyamantri Amrutum Yojana Mega Camp – Panchmahal Page 1of 26 ... PANCHMAHAL –GODHRA was selected and necessary arrangements were made

Mukhyamantri Amrutum Yojana Mega Camp – Panchmahal

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MUKHYAMANTRI AMRUTUM YOJANA

MEGA HEALTH CAMP28th February, 2014

Shri Narayan Dham, Tajpur , Ta-Halol

PANCHMAHAL -GODHRA

DISTRICT - PANCHMAHAL


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INTRODUCTION:

With an objective to reduce the burden of disease and out of pocket spending forspecialized care for BPL families of Panchmahal, State Nodal Cell, Health & Family WelfareDept. Gandhinagar, District Panchayat, Panchmahal, organized First Mega health Camp underMukhyamantri Amrutum Yojana on 28th February, 2014 at Shri Narayan Dham, Narayan EyeHospital, Tajpur, Ta-Halol, and Panchmahal –Godhra from 9:00 A.M. To 17.00 P.M.

OBJECTIVES:

The main objective behind this mega health camp was to screen out BPL patients fortertiary care which fitted in MA Yojana Cluster. For that the patients from village level werescreened by concerned medical officers, and provide special consultation, instant diagnose &necessary treatment along with drugs. The Patients, who need higher tertiary care treatment, areas soon as referred to various network hospitals under MA Yojana for future treatment. If anypatients are not covered under MA Yojana or not required, are referred to hospitals which areempanelled under other different health scheme like RSBY. All patients had got the consultationwith free diagnosis and medicine for the treatment required by them at present based on thediagnoses and also advice them to be in contact with their respective PHC/CHC and Medicalofficers for future follow up for the same.


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Mainly, focus on Mukhyamantri Amrutum Yojana at Panchmahal district, there are manyBPL Families, who cannot afford costly tertiary care treatment as this treatment is costly whichcannot be afforded by BPL beneficiaries. The Mega health camp under MA Yojana aims to actas a safety net for the BPL families only by holding their hands in each step of treatment startingfrom village level screening by MOs to transport them to camp side by concerned FHWs/ASHA,by providing free multi-specialty consultation, all necessary diagnosis, drugs required at megahealth camp, finally guide them further by referring patients to avail the needful treatment atnearest empanelled hospital and lastly follow up under MA Yojana.

Beside above all primary objective it also focuses on to develop public awareness aboutMA Yojna and its benefits to common BPL people. It also focused on provide new enrolment ofMA beneficiaries at camp side.

ORGANISING COMMITTEE:

To properly coordinate and smoothly conduct the Mega Health camp, under thechairmanship of DDO Madam, meeting was conducted. The main organizing committee wasformed, who have to monitor, supervise & coordinate the activities during camp with variousother sub-committee members for successful execution this camp activities. Following aremembers of this committee.

The Main Organizing committee:

Sr.No. Name of the officials Designation

1 Dr.Amarnath Varma CDHO,Panchmahal

2 Dr. Mahesh Pisagar CDMO,Civil Hospital,Godhra

3 Dr.P.K.Shrivastava RCHO,Panchmahal

4 Dr. P. N. Baruva DTO, Panchmahal

5 Dr. Arun Pandit I/C DLO, Panchmahal


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1. IEC Committee – Each level & every level IEC activity, press briefing,Communication with PRIs/NGOs

2. Patient Mobilization Committee & On Camp site Management Committee –Making arrangement to reach the patient at camp site & back drop


1 Dr.Hasmukh Parmar DTO-Mahisagar

2 Mr.Mukesh Parekh DIECO, Panchmahal

3 ALL TIECOs

Sr.No. Name of the officials Des

1 Dr.P.K.Shrivastava RCHO,Panchmahal

2 Mr.Vaibhav P. Darji DPO,RSBY

3 Mrs.B.B.Pandya PHN

4 Mr.R.R.Pandya Supervisor,RBSK

5 Mr.U.K.Parmar DSI,Panchmahal

6 Mr.Natubhai Makvana Immunization

Assistant

7 Mr. Ashish K. Shah Programme Assistant

8 MPHS ALL-PHCs

9 FHS ALL-PHCs


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3. Food & Sanitation Committee – Make arrangement of Food & refreshment & waterand sanitation for camp beneficiaries at camp site

4. Mandap Committee – Planning & preparation of Stage and Seating arrangementfor camp


1 Mrs.Rita Panchal DMO,Panchmahal

2 Mrs.Jaimini Patel PA-Nutrition

3 Mr.Chaudhri Supervisor

4 Mr.Kalpeshbhai Finance Assistant

5 Mr.J.D.Solanki Laboratory Technician


1 Dr.Kartik Shah QAMO

2 Dr. Ashish V.Patel Epidemiologist,IDSP

3 Mr.B.R.Shah Treatment Organizer

4 Mr.Umesh Suthar Clerk, DTC


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5. Drugs & logistics Committee – Make available of all drugs & logistics required forcamp


1 Dr. Mahesh Pisagar CDMO,Civil Hospital,Panchmahal

2 Dr.A.K.Sharma RMO

3 Mr.Pratik Solanki AHA

4 Mr.G.C.Mehta District Pharmacist

5 Mr.Rajubhai Solanki Head Clerk

6. HR management Committee – Make arrangement of Specialists, Doctors,Paramedical Staff and overall manpower required for camp


1 Dr.B.K.Patel EMO

2 Mr.R.P.Katara OM, RCH-II / NRHM

3 Mr.Bhavin Patel Data Manager

4 Mr.Parmanand Chauhan Data Entry Operator


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7. Transportation Committee – Arrangement of transportation for patients& maintaintraffic, parking site & other discipline at camp site

8. IT & Reporting Committee – make all documentation & reporting, datapreparation, entry & compilation

Funding from Panchmahal rural and corporation area has being estimated; nearly about1000estimated screened patients will be benefited from this mega health camp. So, accordinglyapproximately budgetary estimation has being prepared which is as follows:


1 Dr.P.N.Baruva DTO,Panchmahal

2 All THOs

Sr.No Name of Officials Designation

Dr.Kartik Shah QAMO

1 Dr.Riken Patel DPC

2 Dr.Dipali Sharma DUPC

3 Mr.Hitesh Pandya District ProgrammeAssistant

4 Mr.Bilal Jabar Programme Assistant

5 Mr.Bharat Varia Data Entry Operator


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Committee & work Approximate BudgetIEC Committee for IEC work 135000Patient Mobilization Committee & Security & Parking managementCommittee 100000Food & Sanitation Committee 90000Mandap Committee 60000Drugs, Equipment & Instrument Committee 50000HR Management Committee 10000On Site Camp Management Committee 5000Miscellaneous & Contingency 50000Total 5,00,000

Below mention budget is the amount actually spent in Mega Health Camp based on whichdifferent committee members executed their respective working, bifurcation is as follows:

Committee & work Approximate BudgetIEC Committee for IEC work 117409Patient Mobilization Committee & Security & Parking managementCommittee & Transportation 101212Food & Sanitation Committee 120710Mandap Committee 54680Drugs, Equipment & Instrument Committee 7474Miscellaneous & Contingency 2116ASHA incentives 45600Total 449201


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CAMP PREPARATION & ACTIVITIES:Primary Screening:

Primary Screening was started before One months and at each and every level message waspercolated about this camp. First House to house survey was done for enlisting BPL families andfurther enlisted morbidity or any diseased person of that families. In any villages, if any personshad any serious illness were also enlisted by ASHA & FHW. Prescribed sheet was given whichhad name, head of family full name, age, sex, address, contact number, URN no of either MA orRSBY or BPL score or BPL No and ailments. After the survey this sheet was handed over toPHC medical officer where same was computed by PHC Operator. This sheet was also given toCommunity Health Centers, Sub district Hospitals, District Hospitals and Medical CollegeHospitals and the hospital empanel under MA yojana. This sheet was also given to RSBYNetwork Hospitals where BPL beneficiaries were been coming for secondary care treatment.However data compilation was done at district level. Format is as follows:

નં નામ

ઘરના

નામ ઉમર

જો મા / આર.

એસ.બી.વાયહોય તો તેના નાURN No

ફોનનં નામ / નામ

VENUE:

In order to cover large number of population, Shri Narayan Dham, Tajpur, Ta-Halol, Di-PANCHMAHAL –GODHRA was selected and necessary arrangements were made to smoothly

conduct the mega health camp.

The key reason behind selecting Shri Narayan Dham, Tajpur area was, as there was hugeavailable space for managing the large number of patients, availability of seating arrangementsfor patients as well as cabins for Doctors were also available there.

IEC ACTIVITIES:

Around 30 days before Mega Health camp Jila Panchayat team, PHCs, CHCs, ASHAworkers, FHW started visiting local areas of the district and provided information regarding MAYojna and mega health camp. The aim was to mobilize and disseminate information about theMukhyamantri Amrutum Yojana to be undertaken during the Mega Health Camp & differenthealth schemes. The mobilization was done with help of following activities.


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Door to door surveys by ASHA, health workers and village level screening by MOs ateach village level.

The village level MOs screening for MA health camp is the key initiative by Panchmahaldistrict, which reduce the extra burden on camp but increase the number of specialtyconsultation and referral to really needy patients.

Door to Door distribution of printed MA card & make awareness of MA with the help ofASHA workers.

Displayed 9 hordings at Public places (Bus Stand) and at different talukas In total 150 Banner and 40,000 hand bill. Public meetings for publication of Mega Health Camp with help of FHW & ASHA. Special MA Yojna and mega camp sensitization work shop for ASHA workers at each

Taluka and integrating it in FHW & MPHW RSBY workshop at each taluka level. Advertisement in newspaper and other Medias. . Printed Invitation letter to leaders. Involving key persons of villages and PRI members in patient mobilization. Chairman of Public Health Committee, District Panchayat Panchmahal phoned to

Sarpanch of villages of large BPL population

PRE MEGA CAMP MEETING WITH COMMITTEE:

A pre mega health camp first meeting was conducted on 11th February 2014 at DistrictPanchayat,Panchmahal under the chairmanship of Regional Deputy Director. In that meetingvarious committees were planned for mega health camp. In that meeting, under each committeevarious activities were prepared and further division of work was done primarily.

However under chair-ship of CDHO sir, First main organizing committee meeting wasconducted on 17th February 2014 In that meeting in-depth review had being done by thechairman by taking a review of day to day working of all the committee members. On 20th

February also review meeting was conducted for all committees under charimanship of CDHOsir.

On 20th February 2014 on- site committee members meeting was conducted under thechairmanship of Regional Deputy Director in which MA mega health camp on-site duties wereassigned and necessary requirement of camp at on-site was discussed.

On 24th February 2014 MA mega health camp meeting was conducted under thechairmanship of DDO Madam to know the final status of mega camp and to know the final statusof all the committee members.


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PATIENT MOBILIZATION:

There were number of vehicles arranged for mobilization of patients from differenttalukas, PHCs & Villages to camp site. All taluka health officers were assigned to hire vehicle atlocal level. Detailed meeting with medical officer was conducted under chairmanship of CDHOsir to plan patient mobilization. As per Taluka Health Officer’s suggestions, if Taluka wise buswere provided than patient mobilization would be on timely bases. Taluka wise vehicle hired arementioned below:

Pickup point and routes were decided previously and each bus was assigned one bus supervisorthat was Multipurpose health Supervisor (MPHS).Strict instructions were given to not to bringseriously ill bed ridden patients but allowed to bring their medical documents with familymember.

On site camp Management committee:-Onsite Camp Management require to allocate the places and designations where the chambersare to be prepared and require meticulous planning at each and every step. Meeting regarding onCamp site management was conducted on18th February 2014 under the chairmanship ofRCHO sir, Panchmahal. All The members of on Camp site management committee attended thismeeting. In that meeting activities at camp site was discussed - Registration and Counseling,Primary screening area, Secondary Screening area, Lab, Pharmacy, Kiosk, Food, Emergencyservices, Water and Toilet facility, Food zone and Kiosk locations.

As per the requirement and estimated load of Patients, layout map was designed. According tolayout map and enlisted activities, there was uniform one directional patient’s flows (fromentrance till exist) which would not lead to any crowding. Entry point & exit point were totallyon opposite direction. Starting from registration, primary screening, of them patients screeningout for secondary level where consultant and super specialists were positioned and further visitthe pharmacy section and if any beneficiaries MA card is pending for them ,2 MA Kiosk waslocated and lastly food zone.

So, for better coordination and execution of camp activities, RCHO and DPO. Each assignedarea, planning and size of chambers was designed based on the requirement. Accordinglylogistic, equipment and manpower requirement was calculated. At the camp sight, huge hall isutilized for primary screening, in total 11 Table for primary and in total 10 rooms for secondaryscreening. In primary screening Medical Officers were designated and in secondary screening,consultants of new and MA empanel hospitals were designated in respective concerneddepartments. Huge hall for pharmacy Store, containing 5 windows for distribution. 2 Table forMA card kiosk, and including the waiting area, refreshment room and emergency room.

Godhra Taluka 1 Bus Kadana Taluka 1 BusShaheraTaluka 1 Bus Morva Hadaf Taluka 1 BusLunawada Taluka 1 Bus Ghoghamba Taluka 1 BusKhanpur Taluka 1 Bus Halol Taluka 1 BusKalol Taluka 1 Bus Santrampur Taluka 1 BusJambughoda Taluka 1 Bus


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REGISTRATION DESK:

The camp was started as per scheduled time 9.00 hrs and the first step for any BPL familyis to get themselves register and for that separate counters were prepared for different talukas andcorporation. In total there were 24 registration desks, out of which 14 was provided to concernedtalukas and 10 was provided to Panchmahal Corporation beneficiaries. At each counter separatelaptop, MA file for beneficiaries, pen and food coupons, Excel sheet, and blank sheet. Talukawise and city area ward wise unique ID was generated. Each beneficiary was provided withseparate unique ID based on that patients will be tracked in whole mega health camp post camp.

PRIMARY SCREENING:

In total there were 10 chambers were prepared for primary screening and in each chamber1 medical officers were designated. There were in total 10 medical officers at primary screeningarea. At each chamber had examination table with curtains, equipments, drug list, and list ofOPD Departments were provided so that the MOs can refer the patients further to concerneddepartment as per the primary diagnosis. However medical officer had asked to maintain referralsheet to enter patients ID number, so tracking can be done. For easy screening, waiting/seatingarrangements were done for the beneficiaries and concerned FHWs/MPWs maintaining thequeues for male and female so as to have smooth patient flow at primary level.


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SECONDARY SCREENING:

In total there were 12 specialized chambers for secondary screening. The patients are referredfrom primary screening by concerned medical officer to concerned OPD by designating different

OPD number based on the primary diagnosis. Properly Signages and Layout Map was placed tovisualization properly. As per the list given by specialist equipment & Instrument & logisticswere placed. And that was assured by liaison officer assigned for that area. When patients werereferred to specialized doctors, in each OPD there were separate FHW and MPHW, who weredesignated to guide the patients and maintain the separate queues for males and females.

In each OPD department all the specialized doctors were provided with list of drugs, list oflaboratory test available at camp site itself, MA cluster list and along with that secondaryscreening sheet in which the doctors need to specify the cluster number if patient is coming inany of the cluster mention in the list along with the unique ID of that concerned patient. Thespecialized doctors diagnose the patients and prescribe the drugs and lab test if required any.Separate Laboratory, Radiology and ECG department was set up if any doctor prescribes for thesame. Those patients were not fit in the MA Cluster than they were referred further in RSBY.Accordingly, patients were bifurcated for Secondary and Tertiary care and those patients werefollowed once the camp is finished with the help of the details provided by the concerneddepartments.


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OPD FORM


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REFFRAL CARD


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Layout


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LIST OF SPECIALIST/CONSULTANTS:

There were many specialist doctors deputed in Mega health camp for beneficiaries. The specialtywas as follows:

PRIVATE PARTICIPANT:There were all MA empanelled hospitals who had participated in Mega Health Camp

with their specialist Doctors (Cardiologist, Uro surgeon, Cancer Specialist and Para medicalstaff) and necessary equipment and instrument.

1. Pediatric - 12. Orthopedic -23. Physician - 14. Cardiology - 16. General Surgery - 17. Oncology - 1

8. E.N.T. - 29. Gynecology - 110. Uro surgeon - 1


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Pharmacy

PHARMACY:

In total there were 4 separate windows for pharmacy. All primary drugs were available onvarious pharmacy stalls on camp site. Drugs were provided to patient free of cost. Availabledrug list is attached herewith:


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Sr. No. Name of Medicines Consumption

1. Tab. Aceclofenac 100 mg 1000 Tab.

2. Tab. Acetyl Salicylic Acid 75 mg 300 Tab.

3. Tab. Albendazole 400 mg 100 Tab.

4. Tab. Amlodipine 5 mg 600 Tab.

5. Cap. Amoxycillin 500 mg 400 Cap.

6. Cap. Ampicillin 250 mg 500 Cap

7. Tab. Ascorbic Acid 500 mg 600 Tab.

8. Tab. Atenolol 50 mg 560 Tab.

9. Tab. Atorvastatin 10 mg 700 Tab.

10. Tab. Calcium Gluconate 500 mg 1000 Tab.

11. Tab. Chlorpheniramine Maleate 4 mg 1200 Tab.

12. Tab. Clotrimazole Vaginal 100 mg 100 Tab.

13. Tab. Diclofenac Sodium 50 mg 700 Tab.

14. Tab. Dicyclomine 20 mg 500 Tab.

15. Tab. Digoxin 0.25 mg 100 Tab.

16. Tab. Enalapril 0.5 mg 300 Tab.

17. Tab. Eteo. With Theophylline 100 mg 900 Tab.

18. Cap. Fluconazole 150 mg 100 Cap..

19. Tab. Folic & Ferrous (Adult) 1500 Tab.

20. Tab. Folic Acid 5 mg 500 Tab.

21. Tab. Frusemide 40 mg 200 Tab.

22. Tab. Glibenclamide 5 mg 1000 Tab.

23. Tab. Ibuprofen 400 mg 1000 Tab.

24. Tab. Isosorbide Dinitrate 10 mg 700 Tab.


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NEW ENROLMENT OF MA CARD & DISTRIBUTION:

In the camp itself MA kiosk were established for BPL beneficiaries, in total 2 kiosk werepresent at the camp along with all the necessary requirement like laptop, printer, internetconnectivity etc. All the taluka kiosks were established at the camp itself for the betterment ofthe beneficiaries.

25. Tab. Metformin 500 mg 800 Tab.

26. Tab. Metronidazole 400 mg 600 Tab.

27. Tab. Norfloxacin 400 mg 1000 Tab.

28. Tab. Paracetamol 500 mg 1000 Tab.

29. Tab. Polyvitamin (Prophylactic) 1000 Tab.

30. Tab. Trimethoprim & Sulphamethoxazole 480 mg 800 Tab.

31. Cap. Vit. A & D 200 Cap.

32. Cap. Vit. A 200 Cap.

33. Syp. Dextromethorphan 60 ml 50 Bot.

34. Syp. Paracetamol 60 ml 50 Bot.

35. Syp. Trimethoprim & Sulphamethoxazole 50 ml 50 Bot.

36. E/D Ciprofloxacillin 5 ml 50 vial

37. Clotrimazole Ear Drop 50 vial

38. Tab. Famotidine 20 mg 3000 Tab.

39. Calamine Lotion 10 Bot.

40. GBHC Lotion 10 Bot.


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FOOD STALLS:Separate food stalls were set up, beneficiaries with food coupons were provided for food..

Food contained Dal, Rice,Puri & Shak with break fast .

FACILITIES: Medical Facilities Major specialist Doctors were available. All primary investigation likes laboratory, sonography, etc Drugs were provided to patient at free of cost Emergency Room – 2 with necessary emergency kit Patient Counseling General Facilities Pick and Drop Facility for Patient Waiting area Fans Pure Drinking Water Hygienic Food


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Summary:

At the end of Mega Health Camp Total Patients detail mentioned below.

Total Screened Patients: 720

Total registered Patient: 690

Total registered BPL Patient : 520

Total MA Refer Patient: 174

Total Lab. Test: 58

Total Super Specialist Doctors :6

Total Specialist :10

Total Medical Officer :30

Total Paramedic Staff :100

Bifurcation of Patient details Specialty wise

Taluka

Patientsscreened atvillage level Registration Mobilization

ReferredtoHospital(MACluster)

Proportion ofReferred(MACluster)

Jambughoda 25 30 120% 16 64%Halol 156 335 214% 62 40%Kalol 61 75 122% 24 40%Godhra 35 57 162% 20 57%Sahera 49 18 37% 4 8%Morva Hadaf 27 21 78% 8 30%Lunanawada 114 42 37% 13 11%Khanpur 11 35 318% 3 9%Santrampur 40 36 90% 16 40%Kadana 69 42 60% 6 9%Ghoghamba 88 54 61% 9 10%


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S.No. Specialty Referred in MA CLUSTER1. General OPD 690 (Screened by Medical

Officer )2. General Physician 563. General Surgeon 384. Pediatric 215. Cardiology 686. Gynecology 97. Oncologist 178. Orthopedic 289. ENT 19

Dermatology 512. Nephrology/Urology 22

Total 283

As mentioned during screening prior to camp activity, it had been asked at each and every levelto not refer patients having minor complains. So, taluka wise line list of suspected beneficiarieswere received before camp. With the proper mobilizing planning and provision of vehicles ateach and every level, patients were mobilized for MA Camp. All most 100% mobilization wasfrom Halol,Kalol,Godhra and Jambughoda Taluka, However lowest patient mobilization wasfrom Lunawada Taluka,Sahera Taluka, Out of total primary screened patients, half of thepatients were referred for secondary level screening that was done by consultant and superspecialist present in the desired chambers. After the screening at secondary level by consultant,174 patients were suspected for MA Clusters and referred for further treatment.

ANNEXURES:

1. LABORATORY TEST

S.No. Laboratory Test Available1 Hb2 RBS3 Urine Routine Micro


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2. MAN POWER

S.No. Specialist No. of Manpower1 District Co-ordinator 12 Regional Co-ordinator -3 Taluka Health Officer 84 MPHW Supervisor 145 E-node (Mr. Jaideep vaghela,Ankit Patel, and Mr. jitendra

Panchal,Bhavansinh Rathva)4

6 Female Health Workers (FHW), 107 MPHW 638 Medical Officers 309 Physician 1

10 Cardiology 111 Uro Surgeon 112 General Surgeon 113 Oncologist 214 ENT 215 Gynecologist 416 Pediatric 117 Orthopedic 218 Radiologist 019 Lab Technician 1020 Pharmacists 1221 Wardboy 722 Driver 15

TOTAL 179


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3. LIST OF DOCTORS

Deputed Doctors for Mega health camp-PanchmahalS.No Hospital Name Type Doctor Name Contact No. Specialty1 Dhiraj Hospital Private Dr. Tanvi 9426866999 Cardiologist2 Dhiraj Hospital Private Dr. Bhavin Shah 9723456713 Cancer3 Shreeji Hospital Private Dr. Rajesh Korant 9427453353 Cancer4 Dhiraj Hospital Private Dr. Jyoti 9727470612 Gynecologist5 SSG Govt. Dr. Sachin Mehta 9638913210 Gynecologist6 Dhiraj Hospital Private Dr. Parthan Joshi 9879852020 Urosurgeon7 Dhiraj Hospital Private Dr. Kunal Kishor Neurosurgeon8 Dhiraj Hospital Private Dr. Dinesh 9824790996 Physician9 VIROC Hospital Private Dr. Vrajesh Shah 9227473101 Ortho10 Shreeji Hospital Private Dr. Amit Modi 9825162246 Ortho11 SSG Govt. Dr. Himanshu Shah 9426384419 Ortho12 SSG Govt. Dr. Anurag Yadav 8758664939 Surgeon13 SSG Govt. Dr. Priyank Kantwala 9925224346 Surgeon14 SSG Govt. Dr. Vaishali Chanpura 9825013180 Pediatric15 SSG Govt. Dr. Jaiman Raval 9909519755 ENT16 SSG Govt. Dr. Mukesh Rathwa 9426926446 Skin17 SSG Govt. Dr. Ankit Bharti 7600418578 Skin18 SSG Govt. Dr. Kalpa Bhatt 9428588749 Ophthalmology19 SSG Govt. Dr. Hitesh Balera 9427538390 Ophthalmology

Chief District Health OfficerDistrict PanchayatPanchmahal,Godhra

Regional Deputy DirectorVadodara

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MUKHYAMANTRI AMRUTUM YOJANA - · PDF fileMukhyamantri Amrutum Yojana Mega Camp – Panchmahal Page 1of 26 ... PANCHMAHAL –GODHRA was selected and necessary arrangements were made