august monthly report mrvc dfy 2021
TRANSCRIPT
MRVC DFY
Monthly Report
August
2021
Health for All
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Total Patients at MRVC DFY Lallubhai Centre:
MRVC DFY Lallubhai OPD’s
Patients availing services at
LB
General OPD 843
Maternal and Child Health 575
Dental 313
Physiotherapy 189
Special OPD (Skin + Gynec+ Opthal + Ortho+ENT) 193
Under Five OPD (Immunization + Vitamin A +
Deworming)
418
Tuberculosis ( DOTS + PPSA) 5686
Family Planning Services 46
Pathology (Lab + X-ray+ ECG) 294
Total 8557
Total number of Patients Availed services at DFY Lallubhai Compound Center in the
month of August 2021: 8557 Beneficiaries
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Content:
Sr.No. Topics Page.
No.
1 Introduction 4
2 Highlights of the month 5
3 General OPD services 6
4 Maternal andChild Health services 8
5 Dental care services 10
6 Immunization Services (Outreach + Centre) 12
7 Physiotherapy Clinic (General+ Disability) 14
8 Special OPD Services 17
9 Impact of special OPD 19
10 Investigation of services 21
12 Laboratory Services 21
13 Tuberculosis Clinic 23
14 PPSA 23
15 Family Planning Services 27
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1. Introduction:
Mumbai Railway Vikas Corporation
(MRVC), MMRDA & Doctors for You
(DFY) have been working in the M-east
ward of Mumbai for the past three years
for improvement in the socio economic
and health indicators of the PAP’s
resettlement colonies. The interventions
are being carried out through two health
centers in the area. The Health centre in
Natwar Parikh Area is functional since
2010 and in Lallubhai compound since
2013. The services are provided on daily
basis by the team of doctors,
paramedical staffs and outreach
workers. The services are provided at
the health centers on daily basis like
general OPD, dental OPD, Tuberculosis
treatment, Immunization, family planning
and maternal & child health services.
In the health centre at Lallubhai
compound specialized services
i.e.physiotherapy and disability
rehabilitation, Gynecology clinic, Eye
clinic and Skin disease, Psychiatric,
heart ailments treatment etc. are also
provided. The OPD services are backed
up by laboratory services and pharmacy.
With the opening of health centre,
quality health services are easily
accessible and affordable to residents of
these PAP’s resettlement colonies and
nearby slum areas. DFY have now been
providing health care services to more
than 3 lakh populations.
Apart from services at the health centre,
health services and awareness activities
are also organized in the area through
community meetings, rally, and street
plays etc. The main aim of the project is
to provide preventive and curative health
care services to all.
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2. Highlights of the month
1. Comprehensive care for COVID-19:
Covid 19 Vaccination drive at multiple Health Posts in collaboration with
Government of Maharashtra
Rapid Antigen Test for Covid-19 in the Community and at centre
Referral and transportation of Covid-19 Positive patients to tertiary care
facility through Ambulance services.
2. Maternal and Child Health Care:
Antenatal care to Pregnant Women
Immunization services
Deworming against protozoal infection
Vitamin A Supplementation to prevent blindness and infections in
children.
3. Health Camps
Rural Hedawali health camps
Health Camp at Bainganwadi RCH 2
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With continuous support from MRVC, Doctors For You (DFY) strives to
establishlallubhaihealthcentreastheComprehensivehealthcarecentre with quality
services at affordable cost.OurGeneralOPD services are utilizes by all age
groups where primitive and preventive measures like health education are
availed by the beneficiaries along with treatment of the communicable diseases
like Malaria, dengue etc..
Sr No Particulars August -2021
1 G.OPD Patients 843
2. Male Patients 359
3. Female Patients 484
4. Children Below 5 52
5. Children between 5 and 12 years 62
6. Patients Above 60 Years 124
7. New Patients 472
8. Follow up Patients 371
Graph 3.1
3. General OPD services at Lallubhai Centre:
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7
Picture: 3.2
GOPD
900
800
700
600
500
400
300
200
100
0
843
484 472
364 371
124 52 62
G.OPD Male Female Patients Patients Patients
Children Children Below 5 between 5
and 12 years
Patients Above 60
Years
New Patients
Follow up Patients
Consultation of patients at GOPD
8
8
Gynecological Condition(Women health Care)
500 418 Antenatal Services
400 Family Planning Services
300
200
Immunization Services (outreach + at Centre)
45 59 35 100 14 4 Vitamin A Supplementation
0 De-worming Services 1
4. Maternal and Child Health Services: MCH includes Mother and a child Health
care service which starts with Antenatal care of Mother reaches till immunization
of children.Gynecological Consultation with female Gynecologist at DFY centre
runs twice a week. It also includes family planning awareness and free
distribution of condoms and mala (contraceptives pills) also IUD placement by
gynecologist at our centre.
Sr. No. Particulars August-21
1 Gynecological Condition(Women health Care) 14
2 Antenatal Services 4
3 Family Planning Services 45
4 Immunization Services (outreach + at Centre) 418
5 Vitamin A Supplementation 59
6 De-worming Services 35
Graph:4.1
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Picture:4.2
Immunization and Vit A supplementation at MRVC DFY Centre& Health Camp
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DENTAL
22 25 29
6 6
Total OPD patients
X-Ray taken Extraction Done
Restoration Done
Scaling done RCT
5. Dental care services: DFY lb Centre Operates Dental OPD on Daily basis which
includes Consultation and provide other dental Facilities like Extraction, Implants,
Scaling, Restoration and root canal Treatment
Sr.
No Particulars Beneficiary
1 Total OPD patients 225
2 X-Ray taken 22
3 Extraction Done 25
4 Restoration Done 6
5 Scaling done 6
6 RCT 29
Graph:5.1
225
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11
Picture:5.2
6. Immunization Services: Immunizationservices are provided at both Centre and
on field atcentre the Immunization activity is done twice a week on Monday and
Thursdaywhile immunization on field is done on daily basis. It also includes
supplementation of Vitamin A and Deworming to the children.
Sr.
No. Health Centre
Number of children Immunized in
August
1 Lallubhai Compound Center 38
3 Immunization on wheels 380
Total 418
Dental OPD at MRVC DFY Lb Centre
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Sr. No Vaccination Name No of Beneficiaries
1 B.C.G 10
2 Penta I 60
3 Penta II 53
4 Penta III 42
5 MR 33
6 MMR 30
7 DPT Booster I 57
8 DPT BoosterII 62
9 10 Year T.T 53
10 Td for Antenatal Female 18
Total 418
Graph: 6.1
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Immunization
57
1
B.C.G Penta I Penta II Penta III
MR MMR DPTBooster I DPTBooster II
10 Year T.T Td for Antenatal Female
60
62
53 53
42
33 30
18
10
Pictures:6.2
Immunization at LB Centre
14
14
7 Physiotherapy Clinic Services: Physiotherapy services include both general
rehabilitation and disability rehabilitation which is provided on daily basis.
General Physiotherapy services include Joint-muscle pain, sports injury,
agronomical Advice and postural improvements while neurological rehabilitation
includes Stroke and Cerebral Palsy patients with developmental delay in
children’s.
General Physiotherapy Rehabilitation:
Sr. No. Conditions Treated August 21
1 Spine 21
2 Knee Pain 17
3 Upper Limb 18
4 Lower Limb 14
5 Post-Surgery 8
6 Neck Pain 6
7 Post Fracture 12
Total 96
Neurological Rehabilitation Services:
Sr. No. Conditions Treated August 21
1 Cerebro-Vascular Accidents 91
2 Cerebral Palsy/ Hydrocephalus 0
3 Nerve palsy 2
4 Delayed Milestone 0
5 Down Syndrome 0
6 Post Seizure 0
7 Paraplegia 0
Total 93
Graph: 7.1
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General Physiotherapy Rehabilitation:
Graph: 7.2
Neurological Rehabilitation Services:
Picture: 7.3
Physiotherapy Consultation by Dr. NidaKoti Physiotherapy Modalities for patients
25
21
20 17
18
15 14 12
10 8 6
5
0
1
Spine Knee Pain Upper Limb Lower Limb Post-Surgery Neck Pain Post Fracture
16
16
100
90
80
70
60
50
40
30
20
10
0
91
0 2 0 0 0 0
1
Cerebro-Vascular Accidents
Nerve palsy
Down Syndrome
Paraplegia
Cerebral Palsy/ Hydrocephalus
Delayed Milestone
Post Seizure
8. Special OPD Services:
Special OPD includes Ophthal, Gynaec, Dermat, and Chronic on communicable
disorder and Orthopedic OPD which are operated weekly on allotted days
Ophthalmology once in a week
Gynecology OPD twice in a week
Dermatology OPD once in a week
Orthopedic OPD once in a Month
Chronic OPD – once in a week
Sr. No. Health Centre Beneficiaries
1 Ophthalmic (Eye OPD) 24
2 Gynecology OPD 18
3 Dermatology (Skin OPD) 118
4 Non Communicable OPD 0
17
17
5 Ortho OPD 24
6 ENT 9
Total 193
Graph: 8.1
Pictures: 8.2
118
120
100
80
60 24 18 24
40 9
0 20
0
1
Ophthalmic (Eye OPD) Gynecology OPD
Non Communicable OPD Ortho OPD
Dermatology (Skin OPD)
ENT
18
18
ENT Special OPD at LB Center
Consultation at Dermatology OPD
Gynecology Special OPD
19
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9. Impact of Special OPD in our Community
As the urban slum redevelopmental areas does have general opds and doctors
available but for special OPDs there are no available services in nearby 5km. DFY on
other hand provides the community with Doctors to avoid delay in treatment with
consultation at bare minimum amount.
Case study
Name:
Gender: Male
Age: 56 years old
Address: Lallubhai Compound, Mankhurd, Mumbai-
43
Problem:Psoriasis vulgaris
Treatment: Given tab methotrexate 15mg weekly for 4weeks then 10mg weekly for 2 weeks and 5mg weekly for 2 weeks.
Tab folvite 5mg once daily on all days except days of mtxVenusia max lotion twice daily Tab levocet g twice dialyCap hhomega twice daily.
After 1month of methotrexate Patient was continued on Cap HH omega Venusia max lotion twice daily and to switch to Dove soap tab levocet 5 mg sos.
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10. InvestigationsServices:Blood test services are provided by DFY at reasonable
amount on daily basis. So the community has access to health centre with other
investigatory services, we also provide X-Ray and ECG services for the community.
Department Beneficiaries
Laboratory Services 230
ECG 3
X-ray 61
Total 294
Graph: 10.1
61, 21%
3, 1%
227, 78%
Laboratory Services
ECG
X-Ray
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10.2Laboratory:
Sr. No. Name Of LAB Test August-21
1 CBC 73
2 TSH 02
3 PP 37
4 Fasting 38
5 Blood Group 03
6 Widal 25
7 Creatinine 04
8 Calcium 03
9 LFT 09
10 TFT 13
11 RFT 04
12 Sputum AFB 03
13 HBA1C 05
14 Urine Routine 07
15 HBsAG 02
16 Electralyte 01
17 Sputum Culture 01
Total 230
Graph: 10.3
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Sputum Culture
Electralyte
HBsAG
Urine Routine
HBA1C
Sputum AFB
RFT
TFT
LFT
Calcium
Creatinine
Widal
Blood Group
Fasting
PP
TSH
CBC
1
1
2
7
5
3
4
13
9
3
4
25
3
38
37
2
73
0 10 20 30 40 50 60 70 80
11. TB Clinic
Sr.
No. Activity
Beneficiary
1 New Registrations of TB Patients 4
2 Follow up of TB Patients 26
3 Counseling of Individual & their Family members 4
4 Home Visits of the TB patients 4
5 Patients consulted in TB OPD 43
6 Total 81
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Activities at Tuberculosis OPD:
1. Home environment: Importance of environment such as space, ventilation,
over- crowding in the prevention of spread of TB.
2. Medicines: DOTS provider explains importance of adherence to treatment
and completing the complete course of AKT. They also emphasize the problem
associated with irregular treatment and defaulter.
3. Awareness among family members: The family members are educated
about mode of TB transmission, precaution to be taken to prevent spread of
disease and importance of timely intake of medicines and development of drug
resistance due to incomplete and inadequate treatment. Family members were
also advised to visit the health centre in case of symptoms such as Cough
(>2Weeks), Fever and decreased appetite.
Graph:11.1
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24
DRTB OPD at Meast ward Consultation at DRTB
T.B Clinic 50
40 43
30
20 26
10 4 4 4
0
New Registrations of TB Patients
Counseling of Individual & their Family members
Patients consulted in TB OPD
Follow up of TB Patients
Home Visits of the TB patients
Linear (Patients consulted in TB OPD)
25
25
Sr. No. Indicators M East M West Grand Total
1 NEW REGISTRATION 1321 554 1875
2 CXR 901 205 1106
3 CBNAAT 213 152 365
4 POSITIVE RS 52 44 96
5 MDR RR 17 11 28
6 TOTAL NEGATIVE 144 95 239
7 FDC STARTED 144 92 236
8 TOTAL CLINICALY 58 47 105
9 TOTAL MICRO 90 58 148
10 TOTAL PTB 103 70 173
11 TOTAL EPTB 43 36 79
12 TOTAL DM 132 101 233
13 TOTAL HIV 129 99 228
14 TOTAL DBT 121 79 200
15 TOTAL NOTIFICATION 146 106 252
16
NO. OF CONTACT
TRACING
141
101
242
TOTAL
3755 1850 5605
12. PPSA
26
26
PPSA Department at M-east ward
Graph: 12.1
Pict
ure:
12.1
2000
1500
1000
500
0 Series1
Series1 Series2 Series3
27
27
45
40
45
35
30
25
20
15
10
5
0
0 1 0
1
Family Planning Oral
Contraceptives
Condoms Copper T Counseling For
Sterilization
Lallubhai Centre 0 45 1 0
Graph: 12.1
12. Family Planning Services
Oral Contraceptives Condoms Copper T Counseling For Sterilization
