MEGA HEALTH CAMP-AMRELI DISTRICT - … · "MA Mega Health Camp" Heath Branch, District Panchayat-Amreli & General Hospital-Amreli Page 3 The Main focuse of Mukhyamantri Amrutum Yojana

"MA Mega Health Camp" Heath Branch, District Panchayat-Amreli & General Hospital-Amreli Page 1

A REPORT

ON

MEGA HEALTH CAMP-AMRELI DISTRICT

(Under MUKHYAMANTRI AMRUTUM "MA" YOJANA)

02nd

February, 2014

General Hospital, Near Central Bus Stand-Amreli

Health Branch,District Panchayat & General Hospital

Amreli District


INTRODUCTION:

With an Objective to reduce the burden of disease and out of pocket spending for

specialized care for BPL families of Amreli District, State Nodal Cell, Health and Family Welfare

Department-Gandhinagar, Health Branch of District Panchayat-Amreli and General Hospital-

Amreli organized First Mega Health Camp under Mukhyamantri Amrutum Yojana on 2nd

February,2014 at General Hospital, Amreli from 9:00 A.M. to 5:00 P.M.

OBJECTIVES:

The Main objective behind this mega health camp was to screen out BPL Patients for

tertiary care which fitted in MA Yojana Cluster. For that the Patient from village level were

screened by concerned medical officers and provide required consultation, diagnose with

required treatment along with drugs. The patient, who need higher tertiary care treatment are

referred to various network hospitals under MA yojana for further treatment. If any patient are

not covered under MA yojana or not required than referred them to other hospital which are

empanelled with other different health scheme like RSBY. All patients had got the consultation

with free diagnoses and medicines for the treatment required by them at present based on the

diagnoses and also advice them to be in contact with respective PHC/CHC and Medical officers

for future follow-up for the same.


The Main focuse of Mukhyamantri Amrutum Yojana and such Mega Health camp is to

act as safety net for the BPL families who cannot afford costly tertiary care treatments as these

treatments need too much many and quality treatment from expert doctors. The Mega health

camp under MA Yojana aims to hold hands of BPL families in each step of treatment starting

from village level screening by MOs to mobilize them to camp side by concerned

MPHWs/FHWs/ASHA by providing free multi-specialty consultation, all necessary diagnosis,

drugs required at mega health camp. Finally guide them further by referring patients to avail

the needful treatment at nearest empanelled hospital and lastly follow-up under MA yojana.

Beside above all primary objective it also focuses to create public awareness about MA

Yojana and its benefits to common BPL families and provide new enrolment of MA beneficiaries

at camp side as there are 93959 BPL families at Amreli District.

ORGANISING COMMITTEE:

For proper Coordination and smooth Conduction of Mega Health Camp under

Chairmanship of Collector sir meeting was conducted on 06/01/2014.The main organizing

committee was formed who had monitor, Supervise and coordinate all the activities before

camp and during camp with various formed sub-committee for successful implementation of

this camp. Also Periodic review were taken from all sub-committee at various meeting that

were conducted on 07/01/2014, 22/01/2014 and 30/01/2014 under the chairmanship of CDHO

and CDMO. One last review meeting was conducted under the chairmanship of Collector sir on

27/01/2014 to give final touch to the preparation of this mega health camp.

The Main Organizing Committee:

Sr.No Name Designation Designation at MA Yojana Mega Health Camp

1 Shree Ajay Kumar (I.S.A.) Collector-Amreli Chairman

2 Shree V.C.Varma (I.S.A.) D.D.O.-Amreli Co-Chairman

3 Shree P.B.Thakar R.A.C.-Amreli Co-Chairman

4 Dr.S.M.Maheta C.D.M.O. Member Secretary

5 Dr.K.P.Patel C.D.H.O. Co-Member Secretary

6 Dr.J.O.Madhak R.C.H.O. Chief Coordinator

7 Dr.S.B.Satani M.O.-P.P. Unit Coordinator

8 Mr.Rahul Rajyaguru D.C.-MD India Coordinator


Under the umbrella of The Main Organizing Committee different executive committees

were by Main organizing committee of MA Yojana Mega Health Camp for the smooth

functioning of mega health camp work. The list is hereby mentioned with their role and

responsibility.

Sr.No. Name of Committee Name of Head Responsibility

1. IEC Committee Dr.J.H.Patel-ADHO Amreli

IEC activity at each level by fixing Banners, by distributing pamphlets, by giving advertisement in news papers etc...

2. Drugs and Logistic Committee

Dr.R.K.Jat-QAMO Amreli

Make available all drugs and equipments at camp site.

3. I.T.Committee Dr.H.D.Yadav M.O.General Hospital

All work related to IT level for enrollment at taluka wise Kiosk.

4. Samayan-Mandap Committee

Dr.C.J.Butani-DTO Amreli

Make arrangement of Samayana, Main Stage, Registration Desk, Kiosk Desk, Sound System, Waiting area and Sanitation Facility for beneficiaries at Camp Site.

5. Traffic Management Committe

Mr. R.B.Gohil Police Inspector,Amreli

To Maintain traffic, parking site and rules & regulation at camp site.

6. Swagat Committee Mr. G.P.Upadhyay DMO-Amreli

Work related to invitation to all V.V.I.P and V.I.P.at State level and District level also manage work of Main Stage and information desk at camp site.

7. Power Supply and Safety Committee

Mr.J.A.Javiya Dy.Enginner (PGVCL)

To maintain electricity supply without interruption at camp site on the day of mega camp.

8. Media Committee Mr.B.S.Basiya, Assistant Director, Information & Broadcasting-Amreli

To make awareness of camp at village level with the help of local news channel and local news paper and present all the updated data of the camp periodically.

9. Kiosk Committee Mr.Janak Joshi N-Code Solution

Arrange Operators and all the equipments (Laptops, Printers, Thumb reader etc...) for to 11 taluka kiosk with back-up.

10. Food and Water Supply Committee

Dr.A.K.Singh Epidemic officer Amreli

To make arrangement of food and water for beneficiaries at camp site.


Sr.No. Name of Committee Name of Head Responsibility

11. Financial and Tender Committee

Dr. K.P.Patel-CDHO Amreli

Provide finance to each committee, pooling of fund and work related to tender if needed.

12. Meeting and Communication Committee

Dr.S.B.Satani MO-P.P.Unit General Hospital, Amreli

Arrange meetings and look after the registry work for mega health camp communication.

13. Accommodation Committee

Dr.D.P.Gandhi M.O. General Hospital-Amreli

Make arrangement for accommodation for guest and doctors by coordinating with Manager of Circuit house-Amreli

14. H.R.Committee Dr.S.M.Maheta-CDMO Dr.K.P.Patel-CDHO Amreli

Arrangement of Manpower in respect of mega camp (Specialist Doctors, MOs, AMOs, Laboratory Technician, Pharmacists, Nursing Staff, DEOs, Peons, Security guards,)

15. Taluka Patient Mobilization Committee

All Taluka Health Officer (THO) Amreli District.

Mobilize beneficiaries at camp site from PHC level and Village level on the day of camp.

16. IEC Committee (Taluka Leval)


IEC activities at PHC and Village level for respective taluka as per instruction given by Head of Main IEC Committee.

17. Transportation and Crowd management Committee (Taluka Leval)


Make the arrangement of Vehicles for patient mobilization on the day of camp and do crowd management with the help of MPHW and FHW of respective PHCs.

18. Taluka Screening Committee


To screen out maximum patients from PHC and village level with the help of Supts .of CHC and MOs of respective PHCs and CHCs.

Moreover, All the Sub Committees consists 6 to 7 members from various department of

District Panchayat and General Hospital as per designation and particular experience in their

work. All the Sub Committees have to Coordinate with Main Organizing Committee and do the

assigned work, in respect of MA Yojana Mega health Camp-Amreli


CAMP PREPARATION & ACTIVITIES

PRIMARY SCREENING:-

Primary Screening was started before 1 months and the message about this mega

health camp was percolated at every level. A special screening tool in printed form was given to

all DH/SDH/THO/PHC/CHC to screen out patient from every level, this screening tool has simple

question related to beneficiaries health, habit, history of past treatment, history of family with

their personal information like...Name, age, gender, address, contact number, BPL card No.,

MA/RSBY URN No. so that Non-medical person like MPHW, FHW, and even ASHA workers can

screen out suspected patient from village level. First house to house survey was done to enlist

BPL families and further enlisted morbidity or any diseased person of those families with the

help of given screening tool. After the survey this sheet was handed over to concern Medical

Officer PHC.

SELECTION OF VENUE:-

In order to tackle large number of population on the day of mega health camp, General

Hospital-Amreli was selected as a venue of mega camp. The key reason behind selection of

General Hospital-Amreli as a venue of mega camp was because of familiarity of place among

the beneficiaries and another reason was that smooth transportation is available for every

person and for movement of equipments and logistic as it is situated at the center of city.

Campus area (ground) was utilized for primary screening, main stage, kiosk center,

common drug distribution, waiting area and food area for beneficiaries, while existing OPD

wing of General Hospital-Amreli was utilized for category wise Secondary Screening and

Category wise drug distribution and investigation reports like...ECG,ECHO.


IEC ACTIVITIES:

Around 30-35 days before District panchayat team, General hospital team, PHCs, CHCs,

MPHWs, FHWs, and ASHA Workers started to visit various areas of Amreli District to provide

information about MA yojana and Mega Health Camp. The aim was to mobilize and disseminate

information about the Mukhyamantri Amrutum Yojana to be undertaken during Mega Health

Camp and different health schemes. The Mobilization was done with the help of following

activities.

Door to Door survey by MPHWs, FHWs, ASHA and village level screening by MOs at

respective PHC/CHC level.

CDHO and CDMO, Amreli ware phoned to all public leaders for the invitation and for

wide spared of camp information.

In total 60 Banners and 1,00,000 hand bill was distributed from PHC/CHC level on the

day of POLIO Programme (19/01/2014) from every POLIO booth of District,


Public meetings and ASHA worker meeting by CDHO, ADHO, RCHO, QAMO,MOs and

organizing committee at different area of district.

Advertisement in local News Papers and advertisement scroll at local TV channels for

the publicity of Mega camp.

PRE MEGA HEALTH CAMP MEETINGS:-

A pre mega health camp meeting was conducted on 28/12/2013 at General Hospital,

Amreli under the chairmanship of CDMO and CDHO. In that meeting various committees ware

planned for mega camp. After that another meeting was conducted on 02/01/2014 for further

division of work.

However, under the chairmanship of Collector, First meeting of main organizing

committee was conducted on 06/01/2014 and detailed orders ware executed. After that on

07/01/2014 and 22/01/2014 meetings ware conducted under the chairmanship of CDMO and

CDHO for the in-depth review of mega camp activities of all sub committees.

On 27/01/2014 one last meeting was conducted under the chairmanship of Collector to

know final status of mega camp preparation and final status of all committee members' work

and discussion on route planning.

On 30/01/2014 on-site committee members meeting was conducted under the

chairmanship of CDMO and CDHO in which on-site duties were assigned and in-depth

discussion ware taken place for mega camp.

PATIENT MOBILIZATION:-

There ware number of vehicles arranged for mobilization of patients from different

taluka, PHCs and Villages to camp site. All taluka health officers were assigned duties to hire

vehicles at local level. Detailed route planning was also done by all taluka health officers, as per

suggestions of medical officers, If PHC wise bus were provided than patient mobilization would

be on timely bases, a time table was prepared for all talukas to reach at camp site on time and

also to avoid any over crowed situation at camp site.

Pick up point and routes were decided previously and each bus/vehicle was assigned

one FHW and one MPHW. Strict instruction were given to not bring seriously ill bed ridden and

mentally retired patient but allowed to bring their medical documents with family members

and also allow to come with one family member.


ON SITE CAMP MANAGEMENT:-

On site Camp Management require to allocate the places and designations where the

chambers are to be prepared, how patients are to be sand for secondary screening by avoiding

rush at particular chamber, there ware detailed discussion on the place of primary screening,

food stole, pharmacy, Lab/ECG/ECHO, kiosk, water and sanitation facilities. Specially, to avoid

any contingency 20 Experienced MPHWs were assigned duty as a MESSENGER at camp site to

tackle any difficult situation and to manage crowed.

As per the requirement and estimated numbers of patients, by consulting with PIU

Engineers a layout plan/map was designed. According to layout plan and enlisted activities,

there was uniform one directional patient flows (from entrance till exit) which would not lead

to any crowding. Entry point and Exit point were totally on opposite direction, starting from

registration, and primary screening of the patients screening out for secondary level where

specialist doctors were positioned and further visit the pharmacy section and if any

beneficiaries MA card is not issue to them than 11 MA kiosk was set up and lastly directed

patient to food section. It is the responsibility of 20 MPHWs who worked as MESSENGER at

camp site to maintain this one directional flow with the help of nursing staff, security guards,

peons and other members.

Each assigned area, planning and size of chambers was designed based on the

requirement by the main organizing committee. Accordingly logistic, equipments and

manpower requirement was calculated. At the ground of General Hospital, Amreli 12 separate

chambers were set up for registration and primary screening including waiting area and

common pharmacy, 15 chambers were set up for the Secondary screening at existing OPD

section of General Hospital, Amreli including category wise pharmacy and ECG and ECHO, 11

kiosk were also set up for the new enrollment. Photograph of camp lay out is attached herewith

in Annexure.


REGISTRATION DESK:-

The camp was started as per scheduled time 9:00 hrs and the first step for any BPL

family is to get themselves register and for that separate counters were prepared for different

talukas. in total there were 12 registration desk, out of which 11 was provided to concerned

talukas and 1 was provided to Urban Area of Amreli. At each counter separate Registers, Mega

camp files for beneficiaries, stationeries, food coupons, category wise stickers and blank sheet

was provided. Taluka wise unique ID was given. Each beneficiary was provided with separate

Unique ID based on that patients will be tracked in whole mega health camp post camp.

PRIMARY SCREENING:-

In total were 12 chambers were prepared for primary

screening and in each chamber 2 Medical Officers, 2

Registration clerk, 3 MPHWs, 3FHWs and 1 peon were

designated, there were total 24 medical officers at

primary area. Each chamber had provided examination

table with equipments, drug list and list of OPD

department so that MOs can refer the patients for

further secondary screening as per primary diagnosis.

For easy screening, waiting/seating arrangements were

done for the beneficiaries and concerned MPHWs/FHWs

maintaining the queues for male and female as per

arranged barricading so as to have smooth patient flow at primary level. The staff of police

force (Male and Female) was also allotted duty by the order of collector to maintain crowed

and to maintain rules and regulation at primary screening area and at parking area.

Unique Code Unique ID Code Name of Taluka

AML Amreli

LIL Liliya

LTH Lathi

BAG Bagasara

KUK Kukavav-Vadiya

BAB Babara

RAL Rajula

JAF Jafrabad

DHA Dhari

KMB Khambha

SKD Savarkundla


SECONDARY SCREENING:-

In total there were 15 chambers were set up for Secondary Screening, In each chamber

1 specialist doctor, 1 Medical Officer, 2 Nursing Students,1 Registration clerk and 1 Messenger

and 1 peon ware designated with curtains, table, equipments, drug list, refer coupons for

laboratory, ECG, ECHO and there were separate Pharmacy for each specialty at Secondary

Screening Stage. Following table show the details of Secondary Screening Team as per category.

The Patient were referred from primary screening by concerned medical officer to

concerned specialist doctors at concerned OPD on the basis of primary diagnosis, proper

signage were placed at every specialist chamber that signage were exactly match (design,

colour) to the category wise sticker which was pasted on the file at the time of primary

screening so that beneficiaries can easily identified respective specialist chamber even by

themselves. When patients were referred to specialized doctors, in each OPD there were

Messengers, who ware designated to guide the patients and maintain the separate queues for

males and females.

SECONDARY SCREENING MA"Speciality No.of Teams

Cardiac 5 Team

Cancer 4 Team

Renal 2 Team

Neo-Natal 1 Team

Polytrauma 1 Team

Neuro 1 Team

Burns 1 Team


The specialized doctors diagnose the patients and prescribe the drugs and lab test if

required any, separate Laboratory, ECG and ECHO departments were set up if any doctor

prescribed for the same. Those patients were not fit in the MA cluster than they were referred

further in other scheme like..RSBY. Accordingly, patients were bifurcated for Secondary and

Tertiary care and those patients were followed once the camp is finished with the help of

MPHWs, FHWs, ASHA Workers on the basis of detailed provided by the concerned beneficiary .

PRIVATE PARTICIPATION:-

Following table shows the details of Private Participant

Sr.No. Private Participant Specialist

1. Indian Medical Association-Amreli Physician, ENT Surgeon, Orthopedic Surgeon, Pediatrician.

2. B.T.Savni Kidney Hospital-Rajkot (MA Yojana Empanelled Hospital )

Urologist, Nephrologists, Para medical Staff and Administrative Staff

3. Navjivan General Hospital-Amreli Cardiologist and Gynecologist

4. Radhika General Hospital-Amreli ECG instruments

On the request and invitation of CDHO and CDMO Dr.Bhattcharya gave his services in

MA Mega Health Camp.


PHARMACY:-

In total there were 7 separate MA Yojana Category wise chambers for the Pharmacy at

the stage of Secondary Screening and one large chamber was set up for the common drugs at

the stage of Primary screening. The list of available drugs at Mega Health Camp is attached

herewith in Annexure.


NEW ENROLMENT OF "MA" CARD & DISTRIBUTION:-

In the mega camp itself MA kiosk were set up for BPL beneficiaries, in total 11

(taluka wise) MA card kiosk were present at the camp along with all the necessary required

instrument like Laptops, Printers, Blank card, Thump impression device and internet

connectivity etc...In total 31 MA Card were printed during camp.

FOOD STALLS:-

Separate food stall was set up to avoid crowded situation at main camp site and to

distribute food packets among beneficiaries, food coupons were given to all beneficiaries and

to their relatives also at the time registration. Food packets contained Mohanthal and

Ganthiya with a water pouch, 3 tankers of waters were also arranged with the help of GWSSB

and Nagarpalika-Amreli.

Shyam Sunder Group of Amreli was the donor

of food packets and water pouch to each

beneficiary and their relatives who came at

camp, approximately 3700 hygienic food

packets were distributed on the day of camp.


IEC STALL FOR EXHIBITION:-

As each beneficiary and their relative stayed at camp site at least for one hour at

the waiting area so that to capitalized this opportunity one IEC cum Exhibition Stall was set up

at the waiting area where pamphlets and information was available for different health

Programmes like RNTCP,NVBDCP,RCH,NLEP, GASCS, NCD etc...

FACILITIES AVAILABLE AT CAMP:-

Medical Facilities

Specialist Doctors

All Primary investigation likes Laboratory, Sonography, ECG, ECHO etc..

Drugs were provided to Patient at free of cost

Patient Counseling

Pick up and Drop Facility for beneficiaries from their village

Wheel Chairs and Stretchers for disabled patient at the entrance of camp

Hygienic Food and Pure Drinking Water

Ambulance and 108 for any emergency


MEGA HEALTH CAMP PATIENT DATA:

Taluka Primary Screening

Secondary Screening

Category wise Secondary Screening

Cardiac Renal Cancer Neo-Natal

Poly- trauma

Burns Neuro

Amreli 1147 382 241 18 35 19 11 04 54

Babara 155 133 90 11 07 05 02 09 09

Bagasara 97 72 28 14 04 00 08 05 13

Kunkavav 111 93 42 13 10 02 06 02 18

Lathi 167 139 85 05 12 06 08 03 20

Liliya 81 57 32 05 03 01 07 02 07

Dhari 134 73 41 07 06 01 04 00 14

Khambha 51 38 25 02 00 04 01 00 06

Rajula 76 66 32 06 03 07 04 05 09

Jafrabad 67 53 38 00 05 00 03 02 05

Savarkundla 273 232 109 28 33 10 12 03 37

District Total

2359 1338 763 109 118 55 66 35 192

Taluka "MA" Category wise Referred Patient

Cardiac Renal Cancer Neo-Natal Poly-trauma Burns Neuro

Amreli 10 13 08 14 04 03 07

Babara 02 06 02 00 02 08 02

Bagasara 01 07 01 00 05 03 00

Kunkavav 04 09 06 00 05 02 00

Lathi 03 05 04 06 05 02 00

Liliya 00 04 01 01 03 01 00

Dhari 03 06 00 01 03 00 02

Khambha 03 02 00 01 00 00 00

Rajula 05 05 02 07 02 05 01

Jafrabad 01 00 02 00 01 02 00

Savarkundla 05 13 02 10 03 02 03

District Total

37 70 28 40 33 28 15


SUMMARY OF MEGA HEALTH CAMP:-

Total Registered Patients (Primary Screening) : 2359

Total Secondary Screening: 1338

Total MA Refer Patients: 251

Total Lab. Test: 942

Total ECG: 149

Total ECHO: 57

Total Sonography: 7

Total MA Card Issue: 31

A help desk was available for beneficiaries to guide them and for awareness of MA

Yojana

CDMO invited Shree Parbatbhai Patel (Hon.Minister of State,Health & Family welfare-

Gujarat) but due to his busy schedule he was not able to come for mega health camp

yet he express his good wishes for the success of MA yojana Mega Healthcamp.

Leader of BJP Shree Dilipbhai Sanghani (Ex-Agriculture Minister of Gujarat) visited mega

health camp and gave his Good wishes for the success of Camp.

President of District Panchayat-Amreli also visited the camp and gave short speech

about mega health camp and gave his good wishes for the camp.

Identity Cards were given to all the on duty Officers and Employees on the day of camp.

Team of Nagarpalika-Amreli helped to clean Mega Health Camp site before the camp,

after the camp and during the camp.

At Last due to the Genuine efforts of all the Medical and Para medical staff (like..All the

officers, Specialist Doctors, Medical Officers, Pharmacists, Laboratory Technician,

Operators, Nursing Staff and Students, MPHWs, FHWs, CBVs, Peons and Security guards)

of District Health Society, Amreli, General Hospital, Amreli and Staff of MD India Health

Care Networx, Mega Health Camp-Amreli under Mukhyamantri Amrutum Yojana got

success and serve the objective to provide good Medical Services to the BPL

Beneficiaries.


ANNEXURES

Man Power:-

Sr.No. Specialist No.of Manpower

1 Cardiologist 1

2 Physician 3

3 Gynecologist 2

4 ENT Surgeon 1

5 Pediatrician 1

6 Orthopedic Surgeon 2

7 General Surgeon 2

8 Medical Officers 31

9 Ayush Medical Officers 15

10 MDn India Healthcare Networx Staff (1 RC, 2 DC, 3 Executives, 1 Arogyamitra, 2 Executives from PO Gandhinagar)

9

11 Laboratory Technicians 19

12 Pharmacists 28

13 MPHWs 60

14 FHWs 43

15 Nursing Students 40

16 Taluka Kiosk Executives (N-code) 11

17 Data Entry Operator 17

18 ECG Technician (with Trained Nursing Students) 5

19 Peons 20

20 Security Gaurds 16

Total Man Power 326


Drug List:-



Photograph of Mega Health Camp Layout:-


Identity Card, Food Pass and "MA" Category wise Stickers:-

Documents

MEGA HEALTH CAMP-AMRELI DISTRICT - … · "MA Mega Health Camp" Heath Branch, District Panchayat-Amreli & General Hospital-Amreli Page 3 The Main focuse of Mukhyamantri Amrutum Yojana