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MRVC DFY Monthly Report June 2021 Health for All

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MRVC DFY

Monthly Report

June

2021 Health for All

2

2

Total Patients at MRVC DFY Lallubhai Centre:

MRVC DFY Lallubhai OPD’s Patients availing services at

LB

General OPD 697

Maternal and Child Health 526

Dental 292

Physiotherapy 103

Special OPD (Skin + Gynec + Diabetes + Opthal +

Ortho) 193

Under Five OPD (Immunization + Vitamin A +

Deworming) 300

Tuberculosis ( DOTS + PPSA) 5188

Pathology (Lab + X-ray+ ECG) 170

Total 7469

Total number of Patients Availed services at DFY Lallubhai Compound Center in the

month of June 2021: 7469 Beneficiaries

3

3

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.

Hygiene Kit Distribution

Anti tobacco Awareness

Sanitation of Health Centers

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3. General OPD services at Lallubhai Centre:

With continuous support from MRVC, Doctors For You(DFY) strives to establish

lallubhai health centre as the Comprehensive health care centre with quality

services at affordable cost. Our General OPD 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 June -2021

1 G.OPD Patients 697

2. Male Patients 264

3. Female Patients 433

4. Children Below 5 64

5. Children between 5 and 12 years 49

6. Patients Above 60 Years 126

7. New Patients 206

8. Follow up Patients 491

Graph 3.1

0

100

200

300

400

500

600

700

G.OPDPatients

MalePatients

FemalePatients

ChildrenBelow 5

Childrenbetween 5

and 12years

PatientsAbove 60

Years

NewPatients

Follow upPatients

697

264

433

64 49

126

206

491

June-21

7

7

Picture:3.2

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 June-21

1 Gynecological Condition(Women health Care) 12

2 Antenatal Services 7

3 Family Planning Services 82

4 Immunization Services (outreach + at Centre) 300

5 Vitamin A Supplementation 62

6 De-worming Services 63

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Graph:4.1

Picture:4.2

12 7

82

240

62 63

0

50

100

150

200

250

300

1

June-21 Gynecological Condition(Women healthCare)

Antenatal Services

Family Planning Services

Immunization Services (outreach + atCentre)

Vitamin A Supplementation

De-worming Services

9

9

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 233

2 X-Ray taken 28

3 Extraction Done 9

4 Restoration Done 8

5 Scaling done 0

6 RCT 14

Graph:5.1

233

28 9 8 0 14

1

Dental

Total OPD patients X-Ray taken Extraction Done Restoration Done Scaling done RCT

10

10

Picture:5.2

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6. Immunization Services: Immunizationservices are provided at both Centre and

on field at centre 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

June

1 Lallubhai Compound Center 91

3 Immunization on wheels 209

Total 300

Sr. No Vaccination Name No of Beneficiaries

1 B.C.G 4

2 Penta I 27

3 Penta II 28

4 Penta III 23

5 MR 33

6 MMR 35

7 DPTBooster I 45

8 DPTBooster II 27

9 10 Year T.T 24

10 Td for Antenatal Female 18

11 RBS 36

Total 300

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Graph: 6.1

Pictures:6.2

4

27 28

23

33 35

45

27 24

18

36

0

5

10

15

20

25

30

35

40

45

50

1

Immunization

B.C.G Penta I Penta II Penta III

MR MMR DPT Booster I DPT Booster II

10 Year T.T Td for Antenatal Female RBS

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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.

7.1 General Physiotherapy Rehabilitation:

Sr. No. Conditions Treated June 21

1 Spine 9

2 Knee Pain 4

3 Upper Limb 3

4 Lower Limb 11

5 Post-Surgery 16

6 Neck Pain 6

7 Post Fracture 0

Total 49

7.2 Neurological Rehabilitation Services:

Sr. No. Conditions Treated June 21

1 Cerebro-Vascular Accidents 50

2 Cerebral Palsy/ Hydrocephalus 04

3 Nerve palsy 0

4 Delayed Milestone 0

5 Down Syndrome 0

6 Post Seizure 0

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14

7 Paraplegia 0

Total 54

Graph: 7.1

General Physiotherapy Rehabilitation:

Graph: 7.2

Neurological Rehabilitation Services:

0

2

4

6

8

10

12

14

16

18

Spine Knee Pain Upper Limb Lower Limb Post-Surgery Neck Pain Post Fracture

0

10

20

30

40

50

60

CVA Cerebral Palsy Nerve palsy Del.Milestone

DownSyndrome

Post Seizure Paraplegia

15

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8.Special OPD Services:

Special OPD includesOphthal, 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) 9

2 Gynecology OPD 7

3 Dermatology (Skin OPD) 40

4 Non Communicable OPD 137

5 Ortho OPD 0

Total 193

Graph: 8.1

9 7

40

137

0

20

40

60

80

100

120

140

160

1

Special OPD

Ophthalmic (Eye OPD) Gynecology OPD Dermatology (Skin OPD)

Non Communicable OPD Ortho OPD

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Pictures: 8.2

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.

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9.1 Case study

Name:Mr Prakash Palav

Gender: Male

Age: 56 years old

Address:Lallubhai Compound, Mankhurd, Mumbai-43

Problem:He had a complain of headache and nausea for last one month and was

taking Tab Crocin on his own but got no response to it.

When he visited our GOPD, we immediately checked

his vitals and BP was elevated.

Treatment: So Doctor started Angiotensin Receptor Blocker (ARB) which gave good response to Patient and now he is feeling better. Duration: On the 16th of June, 2021, a patient presented to the doctor with a complication of headache and nausea, for which he was treated. On the 21st of June, 2021, he returned for a general checkup, where he was improving and was prescribed the same medication.

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10. Investigations Services: 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.

Graph: 10.1

89

5

76

0

10

20

30

40

50

60

70

80

90

100

1

June-21

Laboratory Services ECG X-Ray

Department Beneficiaries

Laboratory Services 89

ECG 5

X-Ray 76

Total 170

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10.2Laboratory:

Sr. No. Name Of LAB Test June-21

1 CBC 38

2 TSH 05

3 PP 25

4 Fasting 28

5 Blood Group 03

5 Widal 06

6 Creatnine 08

7 Calcium 04

Total

89

Graph: 10.3

11. TB Clinic

38

5

25

3

6 8

4

0

5

10

15

20

25

30

35

40

1

LAB Test

CBC TSH PP Fasting Blood Group Widal Creatnine Calcium

20

20

Sr.

No. Activity

Beneficiary

1 New Registrations of TB Patients 02

2 Follow up of TB Patients 29

3 Counseling of Individual & their Family members 02

4 Home Visits of the TB patients 02

5 Patients consulted in TB OPD 31

6 Total 66

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.

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Graph:11.1

2

29

2 2

0

31

0

5

10

15

20

25

30

35

New Registrationsof TB Patients

Follow up of TBPatients

Counseling ofIndividual & theirFamily members

Home Visits of theTB patients

T.B Nutrition kitsdistribution

Patients consultedin TB OPD

DOTS

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22

12. PPSA

Sr. No. Indicators M East M West Grand Total

1 NEW REGISTRATION 1107 437 1544

2 CXR 804 297 1101

3 CBNAAT 221 128 349

4 POSITIVE RS 61 37 98

5 MDR RR 19 5 24

6 TOTAL NEGATIVE 141 86 227

7 FDC STARTED 132 91 223

8 TOTAL CLINICALY 55 53 108

9 TOTAL MICRO 80 57 137

10 TOTAL PTB 98 62 160

11 TOTAL EPTB 41 45 86

12 TOTAL DM 121 104 225

13 TOTAL HIV 111 86 197

14 TOTAL DBT 108 79 187

15 TOTAL NOTIFICATION 141 110 251

16

NO. OF CONTACT

TRACING 118 87 205

TOTAL 3358 1764 5122

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Graph: 12.1

1107

804

221

61 19

141 132 55 80 98

41 121 111 108 141 118

1544

1101

349

98 24

227 223 108 137 160

86

225 197 187 251 205

0

200

400

600

800

1000

1200

1400

1600

1800

Series1 Series2 Series3

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12. Family Planning Services

Family Planning Oral

Contraceptives

Condoms Copper T Counseling For

Sterilization

Lallubhai Centre 0 82 2 4

Graph: 12.1

0

82

2 4 0

10

20

30

40

50

60

70

80

90

Lallubhai Centre

Lallubhai Centre

Oral Contraceptives Condoms Copper T Counseling For Sterilization

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Contact Us

Email: [email protected],

Website: www.doctorsforyou.org