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 serviceLearning 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.
