MONTHLY REPORT January 2017 MRVC-Doctors for You Health

MRVC-DOCTORS FOR YOU HEALTH CENTRE

Report Submitted by:

Dr. Amit Kumar Nohwar,Head, Mumbai Operations,

Mob: +91 8693837772

MONTHLY REPORT January 2017

MRVC-Doctors for You Health Centre Mankhurd

& Govandi, Mumbai

Dr. Ankita Patil MBBS.MS. (Ophthalmic Surgeon) examing a patient at MRVC-DFY

Lallubhai Health Centre, 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 January 2017 11.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

1.2.1 Inauguration Program of Psychiatry and De addiction OPD atLallubhaiCentre . . . . . . . . . . . . . . . . . . . . . . . . . . 2

1.2.2 Dental OPD Services started in the evening . . . . . . . . . . . 3

1.2.3 Special Orthopedic OPD Launched at Lallubhai Centre . . . . . 3

1.2.4 Special token of appreciation from patient for MRVC-DFY Healthcentre, Mankhurd . . . . . . . . . . . . . . . . . . . . . . . . . 4

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 Opthalmic OPD services . . . . . . . . . . . . . . . . . . . . . 10

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

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

ii Contents

1.3.10.2 Disability Rehabilitation Department . . . . . . . . . 111.3.11 Statistical data of Under Five Clinic . . . . . . . . . . . . . . . 121.3.12 Statistical data of Immunization Services . . . . . . . . . . . . 131.3.13 Statistical data of Special Community Outreach Services . . . . 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 a patient . . . . . . . . . . . . . . . . . . . . . . 17

1.5 Project Gallery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Monthly Report January 2017

2 Monthly Report January 2017

1.1 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 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. physiotherapyand disability rehabilitation, Gynaecology clinic, Eye clinic and Skin disease treatmentetc. are also provided. The OPD services are backed up by laboratory services andphar-macy. With the opening of health centre, quality health services are easily acces-sible and affordable to residents of these PAP’s resettlement colonies and nearby slumareas.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 activitiesare also 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 Inauguration Program of Psychiatry and De ad-diction OPD at LallubhaiCentre

Inauguration Ceremony of De addiction and Psychiatry OPD was held on 4th Januaryat Lallubhai centre. Dr. Usha (pediatrician) from Rotary Club of Deonar inauguratedthe OPDs. Other dognatries present on the occasion were Mr. A.V. Suresh (Presidentof Rotary Club of Deonar and CEO Eureka Forbes Ltd.), Mr. Prabodh Sharma, HeadMedical Programs from Rotary Club of Deonar, Mrs Aria Ohri from Eureka Forbes Ltd,Dr. Anuj Khandelwal and Dr Sonal Khandelwal, Consultant Psychiatrist, Mr. Naresh

1.2 Highlights of the Month 3

Kasar, Senior Police inspector of Mankhurd Police station, Dr. Magdum, De addictionCounsellor from Anvay Foundation, Navi Mumbai and other members of Rotary Clubof Deonar. Dr. Pritish Jalgaonkar, Dr. Rachna Lakhani, Dr. Kamran Shaikh and Dr.Amit Nohwar from DFY were also present for the program. The guests spoke about theimportance of De addiction and Psychiatry services at Lallubhai centre and its pocketsareas. This event was concluded with the refreshments and hence as usual DFY is onestep ahead.

1.2.2 Dental OPD Services started in the evening

Dr. Vaishali Venu (BDS) and team were providing daily dental services in the morning.After prolonged demand from the community MRVC-DFY health centre decided tostart Dental OPD services in the evening also. As a part of its larger commitmentto work towards bringing preventive and curative services in the community, Dentalservices were started from 9th January 2017 from 5 pm to 8 pm.

1.2.3 Special Orthopedic OPD Launched at LallubhaiCentre

A special Orthopedic OPD has been started at Lallubhai centre from 11th January 2017,for the benefit of the patients from different orthopedic problems. The OPD is aimed atenabling the residents of the slum with greater accessibility to quality orthopedic ser-vices. These services are available on every 2nd and 4th Wednesday. The timing of theOPD is from 2 pm to 4 pm. Common problems like arthritis, rheumatoid arthritis, back-ache, vitamin D and calcium deficiency, joint problems are being treated by OrthopedicSurgeon Dr. Vinit Karn MBBS. MS. This special OPD launch is aimed to allow theresidents to save on both time and expenditures that are incurred by patients in travel-ling long distances to avail quality Orthopedic services. Medicine, Laboratory test andPhysiotherapy has also been arranged for the appropriate and adequate treatment of thepatients.


1.2.4 Special token of appreciation from patient forMRVC-DFY Health centre, Mankhurd

Mr. Jagganath Pawer,a Local Person from Hiranadni always come to MRVC-DFYLallubhai centre to receive treatment. He was happy with the services offered at thecentre and also highly impressed with Dr. Pritish Jalgaonkar’s treatment to him. Withhis compassionate heart he donated a Digital BP Machine to the centre. Thanks to Mr.Jaggnath Pawar for his kind donation.

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 Jan 17 Year

2016-17Jan 16 Year

2015-16

Total Since

Oct 2012

1 OPD patients 1659 12081 1227 12289 55760

2 Male Patients 652 4321 470 4814 21229

3 Female patients 1007 7760 757 7475 34351

4 Children below 5 years 239 1911 312 3136 11873

5 Children b/w 5and 12 years 186 1651 168 1992 7881

6 Patients above 60 years 216 1126 93 804 3581

7 New patients 893

9 Follow up patients 766 3960 409 4757 18084

10 TB Patients 10 76 0 103 418

11 Malnutrition cases 64 222 46 158 597

MCH services at Natwar Parikh Compound CentreTable 1.2


2016-17Jan 16 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 21 231 47 431 1016

2 Family Planning Services 0 670 28 780 2696

3Immunization Services

(ANC+ Routine)99 1185 183 1324 5917

4 Vitamin A Supplementation 116 1091 114 493 3989

5 De-worming Service 236 1774 191 1054 5410


General OPD services at Lallubhai Compound Colony CentreTable 1.3


2016-17Jan 16 Year

2015-16

Total Since

Oct 2012

1 OPD patients 3281 21530 1795 21476 84098

2 Male Patients 1142 8728 727 8146 34313

3 Female patients 2139 12852 1068 13330 49280

4 Children below 5 years 302 3609 402 4245 15765

5 Children b/w 5and 12 years 154 2302 224 2541 10255

6 Patients above 60 years 1039 3016 368 1696 8166

7 New Patients 2961

8 Follow up patients 320 5864 368 6040 23091

9 TB patients 0 30 0 24 114

10 Malnutrition cases 40 305 87 586 1257

MCH services at Lallubhai Compound CentreTable 1.4


2016-17Jan 16 Year

2015-16

Total Since

Oct 2012

1 ANC check-up 52 365 71 638 1533

2 Family Planning Services 137 922 68 1262 4478

3Immunization Services

(ANC+ Routine)114 2651 195 1868 9164

4 Vitamin A Supplementation 176 2199 89 1171 7481

5 De-worming Service 109 4085 148 984 9815


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 507 3847 13902

2 X- Ray taken 29 97 487

3 Extraction Done 41 421 1767

4 Restoration Done 13 109 417

5 Scaling done 7 77 478

6 RCT 42 284 1463

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 and Saturday.

Eye Clinic (Ophthalmic) Services at Lallubhai CompoundTable 1.6

Sr. No. Health Centre Patients

1 Lallubhai Compound 104

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 96

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 19

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 1st and 3rd Friday at Lallubhai compound and 2nd and4th Wednesday at Natwar Parikh in every month.


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



2 Natwar Parikh Compound 50

Total 124

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 Friday 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 1st and 3rd Wednesday. These OPD’s are being sponsored by Rotary club ofDeonar.

Psychiatric and De addiction OPD Services at Lallubhai CompoundTable 1.11

Sr. No. Services Patients

1 Psychiatric 35

2 Deaddiction 8


1.3.9 Orthopedic OPD servicesThe orthopedic OPD services was inaugurated in 11th January 2017, at MRVC-DFY Lallubhai health centre. The orthopedic services are provided twice a month on every 2nd and 4th Wednesday from 2 pm to 4 pm.

Orthopedic OPD Services at Lallubhai CompoundTable 1.12

Sr. No. Services Patients

1 Orthopedic 55

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 107

2 Knee Pain 95

3 Upper limb 30

4 Lower Limb 64

5 Post –Surgery 13

6 Neck Pain 12

7 Weight gain 29

8 Fracture 0

9 DM+HTN+Cholesterol 44

Total 394

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 91

2 Cerebral Palsy 119

3 Paraplegia 24

4 Delayed Milestone 0

Total 234


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 29 23 52

Moderate Acute Malnutrition (MAM) 4 6 10

Severe Acute Malnutrition (SAM) 1 1 2

Total 34 30 64


Under 5 Clinic at Lallubhai Compound CentreTable 1.16

Category Male Female Total

Normal 10 5 15

Moderate Acute Malnutrition (MAM) 5 2 7

Severe Acute Malnutrition (SAM) 8 10 18

Total 23 17 40

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 99

2 Lallubhai Compound Centre 114

3 Mandala Camp 211

Total 424

1.3.13 Statistical data of Special Community OutreachServices


Special Community Outreach Services at Lallubhai compound CentreTable 1.18

Immunization

CampDecember 2016

Mandala, Bainganwadi

and Shivaji Nagar area

in Govandi

211

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 131

2 Home Visits of the TB patients 39

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 15

• 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.


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

Jan

2017

Since

Nov 2013

Jan

2017

Since

Nov 2013

Jan

2017

Since

Nov 2013

Natwar Parikh 0 363 0 1413 0 0

Lallubhai compound 15 475 120 3002 2 101


1.4 Case stories of patients from Lallubahi com-

pound

1.4.1 Case Story of a ChildOn 6th January, 2017 a three year old girl was brought to the Lallubhai health centrewith suffocation and breathing problem. She was playing toys but suddenly she hadbeen experiencing respiration problem with suffocation. Through the physical exami-nation it was suspected that she may have a steel bolt put into nostril during playing.DFY Doctors with their expertise and assistance from other staff members managed thecase well and removed the bolt.

Steel nut removed from the nostril of a baby girl successfully at Lallubhai CompoundCentre, Mankhurd.

Figure. 1.1

1.4 Case stories of patients from Lallubahi compound 17

1.4.2 Case story of a patientOn 21st January, 2017 a female patient came to Lallubhai Centre with complaints ofheadache since many months. She has consulted many physician in the locality forthis but no relief. Ultimately she came to MRVC-DFY Lalllubhai Centre’s OphthalmicOPD and got examined for refractive error and was found to have abnormal eye sightwhich was the reason of her headache. Although a simple case, there are many caseshere in this localityremainingundiagnosed due to ignorance and illiteracy prevalent inthis area. Eye OPD is helping poor patient to deal with their headache and similarproblems like this. Eye OPD attendance exceeds more than limits. At the same timewe do awareness campaigning for vita deficiency.

Dr. Ankita Patil MBBS. MD (Ophthalmic Surgeon) examing a patient at MRVC-DFYLallubhai Health Centre, Mankhurd.

Figure. 1.2


1.5 Project Gallery

Inauguration Program on Psychiatry and De addiction OPD at MRVC-DFY LallubhaiCentre, Mankhurd.

Figure. 1.3

1.5 Project Gallery 19

Dr. Vaishali Venu in the Evening dental OPD at MRVC-DFY Lallubhai compound.

Figure. 1.4

Dr. Vinit Karn MBBS. MS (Orthopedic Surgeon) conducting Orthopedic OPD atLallubhai Centre, Mankhurd.

Figure. 1.5


Mr. Jagganath Pawer, a Local Person and patient of MRVC DFY Health Centre,Mankhurd donating a Digital BP machine to the centre. Received by Dr. PritishJalgaonkar.

Figure. 1.6

Sister Manisha Mhatre was giving immunization services at Mandala.

Figure. 1.7

1.5 Project Gallery 21

Health Assistant student was participating in the Swaccha Bharat Abhiyan at MRVC-DFY Lallubhai Centre, Mankhurd.

Figure. 1.8

Miss. Fareen Shaikh was participating in the Swaccha Bharat Abhiyan at MRVC-DFYNatwar Parikh Compund, Govandi.

Figure. 1.9

Report Submitted by:Dr. Amit Kumar Nohwar,

Head, Mumbai Operations,Mob: +91 8693837772

Documents

MONTHLY REPORT January 2017 MRVC-Doctors for You Health