Rural Micro Health Centre
Village-based, along with KGFS
Catchment Population – 10,000 people
Human Resource – Doctor, Nurse,
Extension Worker
Technology – Internet, Computers, HMIS,
Blood Collection
Power Back-up
6 Days a Week; 09:30am
– 06:00pm
Pre-enrollment Rapid ScreeningComprehensive
Screening
Community Based
Consultation
Disease/Emergency Protocol
New Patient
Repeat Patient
Pre-
Consultation
RM
HC
ba
se
d
Demography, HH geo-tag, Family Composition
ONLY FOR ADULTSHt., Wt., WC, HC, BP, Smoking & Alcohol Habits, Pregnancy Status, Sudden Wt., Family &
Personal History
Pre-enrollment, Rapid ++; Vitals, Detailed Physical Examination, Mental Health, VA,
Acute Illness.
Adolescents, Children and Infants –Pre-enrollment, Standardized PISP
Ht., Wt., WC, HC, BPVitals: Temp., Pulse, RR, Heart & Lung Sound
Infants: MUAC, Head Cir.
SOAP Process: (Targeted Physical Exam)
Emergency Cases!
Ch
eck-
ou
tC
hec
k-o
ut
freefree
Screening Protocol
Assessment
Pre-Enrollment & Risk Screening
Demography – Address with pre-
populated street and village details
Household Geo-tag
Family Composition – Members, Age,
Relationship
Risk Screening: Height, Weight, WC,
HC, BP, Smoking & Alcohol Habits,
Pregnancy Status, Sudden Wt. Loss,
Family & Personal History
GPS Enabled Android Mobile Phones
DAY 1
DAY 2
DAY 3
Pre-Enrollment
Andipatti, RMHC Catchment:
12,000 people (2,500HH) mapped in
four days
Chelampatti
KarkaripattiAndipatti & Mudalipatti
Ayyampatti
Pachur
Kotaitheru
UppundarpettiThekku
Adanakottai
Pre-Enrollment
Andipatti, RMHC Catchment Area
PISP Age Based (Non-Invasive) – Infant, Child, Adolescent, Adult
Demography
Acute Conditions – Persistent Cough, Fever, Diarrhea,
Weakness, Fatigue, Vomiting, Worms in Stool, Difficulty
Breathing, Pain in Abdomen, Genital Ulcers, Painful Urination,
Swelling in Ankles, Difficulty Hearing, Skin Problems/Irritation,
Chest Pain, Paralysis, Night Sweats, Weight Loss
Chronic Conditions – Height, Weight (BMI), Waist
Circumference, Blood Pressure
History – Family and Personal
Visual Acuity
Infant – Immunization and Feeding Practice & MUAC
Nicotine Dependence (Tool - Fagerstrom Tolerance
Questionnaire)
Alcohol Dependence (Tool – FAST)
Diagnostics
Haematology: Complete Blood Count (Sysmex KX-21
Autoanalyzer)
Biochemistry: Blood Glucose, Urea, Creatinine, Uric Acid,
Lipid Profile (triglycerides, total cholesterol, HDL), Liver
Function Test (LFT) (SGOT, SGPT, Albumin, Bilirubin Total,
Bilirubin Direct), HbA1C, Magnesium (Semi-autoanalyser
CHEM-7)
Strip Tests: Malaria, Pregnancy, Urine
Consultation and Medication
THERAPEUTIC ACTIVITY CLASS NUCLEUS MOLECULE FORMULATION STRENGTH
ENDOCRINE SYSTEM
Anti Diabetic Biguanide Biguanide Metformin HCl Tablet (500 mg)
Anti Diabetic Sulfonyl Urea Sulfonyl Urea Glibenclamide Tablet (5 mg)
Anti Diabetic Sulfonyl Urea Sulfonyl Urea Glimepiride Tablet (1 mg; 2 mg)
CARDIO VASCULAR SYSTEM
Anti Anginal Isosorbide trinitrate Tablet (10 mg)
Anti Hypertensive Calcium Channel Blocker Dihydropyridine Amlodipine Tablet (5 mg; 2.5 mg)
Anti Hypertensive Angiotensin II Antagonist Losartan pottassium Tablet (50 mg)
Anti Hypertensive Beta 1 Receptor Blocker Napthalene Atenelol Tablet (50 mg)
Diuretic / Anti Hypertensive Loop Diuretic Anthranilic Acid Frusemide
Tablet (40 mg); Injection
(10 mg / ml)
Diuretic / Anti Hypertensive Sodium Chloride Symporter Benzothiadiazine Hydrochlorthiazide
Hyperlipidemia HMG-CoA Reductase Statin Atorvastatin Tablet (10 mg)
ICTPH Essential Drug List
ICTPH Essential Drug List – 67 Single Formulations
12 Categories: Endocrine System, Cardiovascular System,
NSAID, Respiratory System, Gastro-Intestinal Tract, Immune
System, Anti-infectives, Nutritional, Vaccines, Local Anesthetics,
CNS, Skin.
Others: ORS, IV-electrolytes, RL, DNS, D5, NS and Vitamin
B-Complex capsules
Cohort ManagementS
ugh
aV
azhvu R
MH
C C
atc
hm
ent
Popu
lation
~ 1
0,0
00
pe
ople
Absence of Measurable Risk Factors
HMIS
CVD
Diabetes
Infants
Pregnancy
Pre-enrollment
PISP
Nam
e, A
ge,
Fam
ily M
em
bers
,
Rela
tionship
, H
H G
PS
Ag
e r
ela
ted
ris
k
bio
ma
rke
rs
Wellness Management Dashboard
1. -----
2. -----
1. ------
2. ------
3. ------
1. ------
2. ------
3. ------
1. ------
2. ------
Daily Activity Index
Interventions:
Infant Nutrition Supplementation
Is your child between
6-24 months old?
We recommend Sprinkles
micronutrient powder
Unless you child has one of the following:
Acute infection Severe Anaemia Severe Acute Malnutrition
Iron (12.5 mg)
Zinc (5 mg)
Folic Acid (160 µg)
Vitamin A (300 µg)
Vitamin C (30 mg)