WHY I STARTED
• Increasing Unemployment among Indian Dental Graduates – High Time to Control Dental Manpower - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385734/
• Jobless doctor ends life -(MDS ) - The deceased was identified as Sirjanpreet Kaur, who completed her MDS four months ago and was looking for a job. http://www.tribuneindia.com/2014/20141129/ldh1.htm
• Dentists seek jobs in PHCs - http://www.thehindu.com/news/cities/Hyderabad/dentists-seek-jobs-in-phcs/article7466054.ece
Healthy Affordable Solutions Nationally for Aam AAdmi
NATIONAL ORALHYGIENE CAMPAIGN INDIA
Healthy Affordable Solutions Nationally for Aam AAdmi
Facts & CHALLENGES – An ongoing experience with TRUTH
SELF SUSTAINED BUSINESS MODEL
An initiative for Fellow Dental & Medical Practioner to render THERE EXPERTISE for rural India – the back bone of our country – THE FARMERS !
Healthy Affordable Solutions Nationally for Aam AAdmi
Dr Sumit DubeyBDS MDS FICOI
Healthy Affordable Solutions Nationally for Aam AAdmi
Rural Dental Clinic Gursahaiganj Kannauj
New Delhi
How it started
• Regularly organizing Camps for underprivileged at Delhi/NCR
• So thought of opening a rural dental center
• Opened Dental Clinic in Remote area of district Kannauj, Uttar Pradesh
• Started visiting for two days every week from Delhi
• But that was not sufficient- the ground level Picture was different & Shocking.
Healthy Affordable Solutions Nationally for Aam AAdmi
How the Journey started…..
• Villagers believed only in Tooth extractions
• For treatment they travel to 45km / 100km
• They have huge social, personal & Financial problems , couldn’t earn because of Draught / Job crisis
• Many elderly were deprived of treatment, nobody was ready to take them to dentist or Quacks
Healthy Affordable Solutions Nationally for Aam AAdmi
• Oral SubMucous Fibrosis cases were abundant
• Gutkha, bidi, tambhakoo, khaini, betel nut is there bread n butter
PROBLEMS ENCOUNTERED
Healthy Affordable Solutions Nationally for Aam AAdmi
An Unexplored Oral Health Scenario – Pilot Project
VISION: – To provide Prophylactive & Preventive Oral Care
Remote villages of India– To adopt villages for complete Dental Care– To provide Healthy Affordable Solutions
Nationally for Aam Aadmi ( HASNAA)– To start Dental Camp India , Anti Tobacco / Cancer
Prevention Campaign/ programmes
Healthy Affordable Solutions Nationally for Aam AAdmi
Identification of Rural Villages• Discussion
Healthy Affordable Solutions Nationally for Aam AAdmi
Door to Door- farm to farm Oral Hygiene Awareness
Healthy Affordable Solutions Nationally for Aam AAdmi
UNDERSTANDING THERE NEEDS
Healthy Affordable Solutions Nationally for Aam AAdmi
Workshop/ lectures/ Demonstration
Healthy Affordable Solutions Nationally for Aam AAdmi
Introducing “KULLA TEAM”
Healthy Affordable Solutions Nationally for Aam AAdmi
Villagers bring there Glasses & everybody does “kulla” as demonstrated.3 member team / local villagers invigilates on daily basis. ( added fun to there life)
Interaction
– Discussion– Lectures– Presentation – Pamphlets/Handbill– Multimedia – Animated Movies– Oral Care guiding Hindi Manual– Tobacco Habit Breaking alternatives– Focus on Cancer
Healthy Affordable Solutions Nationally for Aam AAdmi
Dental Camps
Healthy Affordable Solutions Nationally for Aam AAdmi
Infection / Reaction control Protocol
• Villagers didn’t have any clue about sensitivity test ( before extraction / RCT)
• Autoclaved / Sterilized instruments ( which I carry every time to Delhi and bring them back )
• Packed gauge pieces - post extraction is given to them• Patient drape concept / Chlorhexidine mouth rinses before
dental procedure• Compulsory Prophylactic antibiotic pre treatment coverage
(68% patients have periodontal Problem )• In house 48 years experienced well reputed Bsc MBBS (Retd Dy CMO)
Doctor from KGMC Lucknow for any emergency. ( 24 x7 )
Healthy Affordable Solutions Nationally for Aam AAdmi
Appointment for Further Treatment
– Green Pass: They just need Oral Home Care (satisfactory)
– Yellow Pass : They should Visit dentist in 3-4 days times at base center
– Red Pass: Immediate Require Dental Intervention at base center
– Blue Pass: Emergency referral to higher center or Senior Dental Specialist.
Healthy Affordable Solutions Nationally for Aam AAdmi
Treatment & Results
Healthy Affordable Solutions Nationally for Aam AAdmi
Functioning/ Maintenance
• Number of Working days two• One Village in 2 months is covered- Revisit in
that village is given 2 times in a year- follow up of the patients along with their prognosis/records
• Total number of 40-50 Villages will be covered • Complete patient record/ Material
(Consumable/Non-Consumable) record are maintained/audited and checked on weekly basis
Healthy Affordable Solutions Nationally for Aam AAdmi
• Quarterly assessment of work Progress Report by the Provider
• 24 x 7 Call facility at a pre- defined number
• SMS/Calls for appointment/follow ups
• Social Media Networking
Healthy Affordable Solutions Nationally for Aam AAdmi
Functioning/ Maintenance….
Healthy Affordable Solutions Nationally for Aam AAdmi
Case history
Patient Records
Core Team
Financially Self Sustained Oral Care Delivery System
• Minimum Treatment Fees • Dental Insurance Plan at subsidized Rate– Through Panchayats– Through state/central Government– Through Village Health Sanitation Committee– Adoption of the whole Village under HASNAA
Scheme– Oral Germ Free Society – 50-100 Per Person Insured Annually for Preventive and Prophylactic Treatment
Healthy Affordable Solutions Nationally for Aam AAdmi
• Patients have to pay the fees for Secondary/Tertiary Treatment – That will also be at subsidized rate.
Healthy Affordable Solutions Nationally for Aam AAdmi
Future Goals
• To open 70/75 National Rural Oral Care Base Centre at villages (HASNAA – NOCI) in each state of India.
• Self Sustained business Module – Subsidized Fee Structure – (Which will remain same all over the country).
• Mobile/Tab Application – Videos /Animated Films of “DAANTWALAAH” family ( yet to start).
Healthy Affordable Solutions Nationally for Aam AAdmi
• Authentic/ Relevant Data Collected from Survey/Questionnaire can be utilized to get Grant / programmes / Projects from Indian Government, World Health Organization, NGO’s , Individuals and or other International Organizations who are working on Public Health Forum.
Healthy Affordable Solutions Nationally for Aam AAdmi
Future Goals…
• Opening a channel - Job Opportunity for Dentist. (as more than 3200 Dentist are jobless each year).
• Direct placement of BDS Graduate on the day of Internship completion.
( No more Job hunting, creating independence and relish dentistry)
Healthy Affordable Solutions Nationally for Aam AAdmi
Future Goals…
• Open Job Opportunity for Dental Hygienist
• Contribution to overcome dental disease and increasing cancer awareness in masses.
Healthy Affordable Solutions Nationally for Aam AAdmi
View this beautifully captured eye opener picture , one of our elderly fellow citizen is making khaini / zarda/surti/ tambhakhoo on his palm from finger & thumb , who is hardly 2 meters away from the place ( where everybody will be safe, secure from all oral health issues) .
This is the challenge I have to bring out the changes, improvise my self and educate and or else use new tools to make them understand about ill effects of tobacco and its products. I will because I can
Healthy Affordable Solutions Nationally for Aam AAdmi
Nav Bharat Times HT CITY
Healthy Affordable Solutions Nationally for Aam AAdmi
The unsaid words, d buried emotions, never ending painful stories & their unfold mystery will b revealed n Healed , as I move slowly & gradually in villages it will now create History
Healthy Affordable Solutions Nationally for Aam AAdmi