Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

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Thakor G. Patel, MD, MACP, Chairman, USAHemant Patel, MD, Co-Chairman, USARanjita Misra, PhD, Co-Chairman, USA

Padmini Balagopal, PhDKirtibhai D. Patel, India

affiliatesTexas A&M UniversityM.S.University, India

University of Maryland, MDBhartiya Seva Samaj, India

Sponsored byAAPI & Federation of NY-NJ AAPI

Supported by Pfizer Inc.

Sevak Project: A Model for Access to Care in Rural India

Page 3: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

Sevak Project is based on the U.S.Navy model of Independent Duty Corpsman

A village per district (26) was selected from the state of Gujarat

The average population of the village was about 1500-2500

Sevaks were identified with average education of 12th grade and above

Page 4: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

The state was divided into 4 regions and a coordinator was appointed for each of the region with graduate level education

Sevaks occupation was farming, college or unemployed but had to live in the village to participate in the project

They were brought to Vadodara, provided with lodging, boarding and other support

Page 5: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

Government Medical College, Vadodara provided faculty for teaching

Yoga and English classes daily each for one hour

Afternoon, clinical lectures and practical

One week in Ahmedabad for environment, sanitation and leadership education

Page 6: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

Graduation after 10 weeks with competency tests in health education, glucometers, BP and training the trainer.

The Chancellor of M.S.University, also a former Queen of the State of Baroda was the keynote speaker

The project has been approved by the Chief Minister of Gujarat, Mr. Modi

Page 7: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

The sevaks are in their respective villages doing screening for diabetes and hypertension along with recording other health care problems

They are required to educate the village folks about the merit of having house toilet and smokeless stoves ventilated to the outside

Page 8: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

The coordinators will meet in Vadodara once a month and are required to visit the villages in their region once every two weeks

Sevaks will meet in Vadodara quarterly and do brainstorming of ideas and lessons learned. Will get refresher training

Video teleconferencing and education of the villages is being looked at, but will require funding

Page 9: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK

This is a three year pilot project to demonstrate that preventive model works in keeping farmers at work without illness. Identifying those with diabetes and hypertension will prevent complications

Such a model has not been tried as a system

The success of this model is very important as it can be applied in any developing country

Page 10: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

PREVALENCE OF DM 7 PRE-DIABETES IN RURAL & URBAN INDIA

Page 11: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

DR. T.G.PATEL WITH J & J REPRESENTATIVES

Page 12: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAKS IN AHEMEDABAD

Page 13: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

LEARNING TO BLOOD SUGAR CHECK

Page 14: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

CHANCELLOR ADDRESSING THE SEVAKS

Page 15: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

LECTURE ON PUBLIC HEALTH

Page 16: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

WITH THE MEDICAL SCHOOL DEAN & STAFF

Page 17: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

CLINICAL ROTATION AT THE MEDICAL SCHOOL

Page 18: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

CLINICAL ROTATION AT THE MEDICAL SCHOOL

Page 19: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

INSULIN COOLER

Page 20: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

YOGA CLASS

Page 21: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

COOKING STOVE IN THE HOUSE

Page 22: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SMOKELESS STOVE

Page 23: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

CONSTRUCTION OF TOILET

Page 24: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

NEWLY TRAINED SEVAK CHECKING FBS

Page 25: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK COLLECTING DATA

Page 26: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK CONDUCTING AN EDUCATION CLASS

Page 27: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

SEVAK VISITNG PATIENTS IN KUTCH

Page 28: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

Page 29: Thakor G. Patel, MD, MACP, Chairman, USA Hemant Patel, MD, Co-Chairman, USA Ranjita Misra, PhD, Co-Chairman, USA Padmini Balagopal, PhD Kirtibhai D. Patel,

THANK YOU!

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