Screening for women health at New Kandukur Gram Panchayath Office on 01/04/2018

JIMS Homoeopathic Medical College and Hospital

Department of Community Medicine

COMMED/25/2018                                                                                                       Date: 06.04.2018

Camp: Screening for women health

Place: New Kandukur Gram Panchayath Office,

Organized by,: JIMSHMC.

Collaboration: Vikas Tharangini

Date: 01/04/2018 9 am to 4pm

Total Number of Beneficiaries: 124.

Number of colposcopy examinations: 27

Participants:

Staff Students Support staff
1.       Dr Srujana 15 Students of B Batch of III BHMS were selected.

(One student remained absent due to exam preparation; one due to health issue; one day scholar remained absent without informing).

Mr S. Naidu, Krishna Chaithanya, 4 from maintenance department.
2.       Dr Sudhamathi
3.       Dr Kalyani
4.       Dr Anjali
5.       Dr Sridevi
6.       Dr Rajalaxmi
7.       Dr. Laxmiprasad
8.       Dr. Raja Sathish

 

The camp was organized by department of Community Medicine, JIMS HMC in collaboration with Vikas Tharangini of JIVA.

We reached the venue at 9am. Room for screening was prepared for examination. There were two hall areas. On the ground floor we established registration and dispensing. On the first floor screening by students, and consultation with physicians was arranged. Students were divided into groups of 2 for registration, 2 for dispensing, 6 for screening, two for patient movement on rotation basis. Girl students took turn to see the colonoscopy being done.

There were fewer turn out of beneficiaries than expected. Some women expressed that many could not come due to marriages in the village and a funeral to attend.

Students who remained absent are: Amulya due to exam preparation, Karishma due to health issue, Pranay the day scholar without informing. Detailed analysis will be presented soon.

We have identified 15 Gyneac cases for active follow up on priority. 

Camp data analysis:

Fig 1- Age group of all visitors:

Fig 2- Age group of women who underwent colposcopy:

Fig 3- Number of complaints:

All the pains combined, we observe that almost half of the visitors had pain as main complaint or as co- morbidity.

Fig 4- Number of women complaints treated:

Fig 5- Complaints of women who underwent colposcopy

A woman with only complaint of muscle cramps underwent screening, found to be VIA Positive.

Following are the previous learning and our action towards them:

Previous lessons identified Action taken on
An SOP (standard operating procedures) for women screening will be developed.

 

SOPs are ready and we tried to follow the same for this camp
Responsibilities will be distributed

 

Duly distributed
Similar camps will be conducted every month

 

Agreed upon
Follow up of critical cases will be the priority

 

Through contact numbers, these patients are followed up and encouraged to come to hospital
Therapeutic group of remedies will be prepared for future use Work In Progress
Register to be updated to meet objective of reporting to AYUSH

 

Yet to attend for this need

 

Fig 6- Colposcopic examination findings:

Fig 7- Number of remedies and frequency of prescription:

Rhus tox and Bryonia are frequently prescribed for pain related complaints. 

Lessons learnt from this camp:

For students:

  • Organizing a camp in a resource lack setting
  • Screening of large number of patients and presenting to physician
  • Behavioural requirements in a rural setting
  • Colposcopy and comparing healthy and unhealthy cervix
  • With just 100+ patients, they could take detailed history and examined patients
  • Experiencing community service

Learning for community medicine:

  • While selecting a date, we must rule out major social events in the village which keeps people engaged as a priority. This time there were 4 marriages in the village owing to which many could not come for camp. Some managed to come straight from marriage party.
  • There is a need for common way of writing in the papers by students, for which we must prepare a list of terminologies and how the complaints should be recorded in case sheet should be explained.
  • Ask some topic related questions to students and make them come prepared

Sincerely,

Dr Sudhamathi. SM.

Photos

Campaign
Inauguration
 
Registration
 
Screening & Consultation
 
Dispensing
 
The Team
 
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