18 August 2010

நடமாடும் மருத்துவக்குழுவிற்கான வழிகாட்டு குறிப்புகள்

Mobile Medical Unit Guidelines

6136/P3/SHS/06, dated 06.09.2008.State Health Society
1. Fixed tour Plan to be prepared and displayed in all Primary Health Centres / DDHS Office.
2. Villages which are very remote should be selected. Each Mobile Medical Unit should cover at least 25 to 30 remote villages in a month, by combined effort of Deputy Director of Health Services and Block Medical Officer of the concerned HUD.
3. Since presently only 100 Mobile Medical Units are functioning, each Mobile Medical Unit can cater remote villages either within one block (wherever the blocks are hilly or remote) or more than one block. This decision will be taken by the Executive Secretary of the District Health Society.
4. The Mobile Medical Units will be controlled by the respective Patient Welfare Society or the District Health Society taking into consideration the ease of operation as described above. In case the Mobile Medical Units are being controlled by the District Health Society. (i.e. where they cover more than one block), allotment of extra fuel will be considered.
5. Services rendered by Mobile Medical Units ie. Dropout immunization and other RCH activities should be strictly adhered, and the Mobile Medical Units should not be utilized for other activities.

1. Goals and Objectives of the Scheme
i Reduction of Maternal Mortality Ratio.
ii Reduction of Infant Mortality Rate.
iii Healthy family; Healthy village; Healthy nation.
1. To provide high quality Reproductive and Child Health services covering all the villages and hamlets as per the fixed day plan specific for each block.
2. To plan and implement holistic health care strategy covering the key areas of Primary Health components.
3. To provide medical supervision for immunization at the identified locations
4. To enhance the quality of home care of newborns and infants.
5. To provide the listed services in the camp.
2. Mobile Reproductive and Child Health out reach services
The following services are to be provided by the Mobile team:
· Antenatal care \ Post natal care
· Immunisation for the Drop outs.
· New Born screening \ Under five care
· RTI / STI mangement (Syndromic treatment).
· Adolescent care
· Health check up for ICDS children.
· Treatment of minor ailments particularly for women and children.
· Family Welfare counseling including NSV \ Copper T insertion, removal and follow up.
· Fever surveillance.
· Basic laboratory services like PS for MP, Hb estimation, Urine albumin, Urine sugar examination, Sputum for AFB
· TB, leprosy case detection, review and follow up.
· Inspection of village drinking water supply system.
· IEC / BCC / Counselling services.
-High risk family counseling and surveillance to prevent female infanticide / foeticide.
- Adolescent counseling
- Family Welfare counselling
- Mosquito breeding source reduction.
- Water and sanitation issues.
- Anaemia prevention and control.
- Maternal and child health issues.
- IMNCI counseling
3. Camp site
Mobile outreach camps should be conducted in a suitable building identified in consultation with the local health staff, Panchayat and community. Community Hall or School building, ICDS centre or any other suitable building to be identified.
4. Dedicated Mobile Reproductive and Child Health out reach team.
Medical Officer
Staff Nurse
Sanitary Worker
5. Outreach support team
· Block level staff shall attend in turn in all PHC areas.
· ICDS staff and other community partners like FHLVs, adolescent girl volunteers to be encouraged to attend the camp.
6. Principles for planning
· Listed locations to be covered once in a month cycle.
· The no. of locations identified should be at least 25-30 per block for the remotest and inaccessible villages..
· Fixed programme policy to be followed
Example: First Monday forenoon
First Monday afternoon
· Areas around Govt. hospitals, PHC headquarter villages and immediate surrounding villages need not be provided mobile services ie to cover the remotest & inaccessible village only. Decision to be made by the combined effort of DDHS & Block MO.
· On Tuesday afternoon Mobile MO and other team staff should attend the Primary Health Centre review meeting in the block PHC along with the BMO for planning and discussing the issues related to the functioning of the mobile Reproductive and Child Health Out reach units.
· On Wednesdays mobile outreach camp should be conducted in only one village in view of immunization programme.
· Fixed day plan should be followed.
· Day wise plan should be displayed in all the important places.
· If any of the mobile MO /Staff is not available for any reason the DDHS must make arrangements for deputation of doctor or other staff.
· For particular location beneficiaries can come from all around the location irrespective of the jurisdiction of the HSC or PHC
· All the concerned field staff from the surrounding areas should participate in the camp.
7. Head Quarters
Primary Health Centre to which the Mobile Reproductive and Child Health Out reach Unit is sanctioned will be the Head Quarters.
8. Administrative Guidelines
1. Responsibility
· The Mobile Reproductive and Child Health out reach Unit is managed by the concerned Primary Health Centre Patient Welfare Society for which the Unit is sanctioned.
· The Block Medical Officer is responsible for the overall smooth functioning of the scheme.
· All the concerned field staff are responsible for arranging the camps in their concerned areas. Primary Health Centre / Block level supervisory staff should take part in the camps.
· The entire block to be covered.

2. Attendance
§ Attendance should be maintained in the Primary Health Centre where the unit is sanctioned.
§ As per the Fixed schedule they will go on camp as like any other field staff.
3. Salary for the Mobile team doctors and staff
Staff salary will be sent to the District Health Societies from the State Health Society. Salary to be paid to the staff as per the norms given in the Government Order through the Patient Welfare Society of the concerned Primary Health Centre.
4. Leave
a. Sunday is fixed week off for the Mobile team doctors and staff.
b. Second Saturday holiday for the Mobile team
c. All Government Holidays are holidays for the doctors and staff.
d. They are eligible for one day Casual Leave for every month.
All leave to be informed to the Block Medical Officer and Deputy Director of Health Services, well in advance. The Block Medical Officer and Deputy Director of Health Services should make alternate arrangements for conducting the camps. On any account the fixed camp should not be cancelled or postponed
9. IEC
· Board informing the fixed outreach session day and time should be displayed at the camp site.
· Banner to be displayed at the camp site.
· Banner to be displayed on the outreach vehicle also.
· Fixed outreach plan to be printed and distributed to all elected representatives, SHGs, NGOs, ICDS and other stakeholders.

10. Reporting
A web based software is developed for on line reporting. The mobile medical officer should transmit the daily camp report on the same day through online.
· The second level officers in the DDHS office should assist the DDHS in preparation of micro plan, conduct of camps, reporting, monitoring and evaluation.
· All block microplan should be collected and compiled in booklet form and made available at DDHS office and also in all PHC. The copy of the micro plan should be submitted to the District Collector, the Mission Director and Director of PH&PM.
· DMCHO should ensure cent percent daily on line reporting and feedback report to be sent to the M.O, Mobile Outreach Unit periodically.

நடமாடும் மருத்துவக்குழுவில் தடுப்பூசிப்பணி

நடமாடும் மருத்துவக்குழு தங்களது பணியின் போது தடுப்பூசி தொடர்பாக மேற்கொள்ள வேண்டிய பணிகள் குறித்த 10 கட்டளைகள் கீழே கொடுக்கப் பட்டுள்ளது.ஆவணப்படுத்தும் நோக்கில் இங்கே.

Each MMU should cover at least 25 to 30 villages in a month. At present, outreach immunization is done by Mobile Medical Units (MMU) on Wednesdays only. During the technical committee meeting on Immunization, it has been decided to provide Immunization services in all MMU camps among other services irrespective of wednesdays. Hence, the following guidelines are issued.
1) Operational guidelines already issued for conducting mobile outreach camps should continue.
2) Apart from the services already earmarked for Mobile Medical Units, immunization services should also be provided on all camp days. The objective of this is to facilitate to cover dropouts and left outs in all remote areas wherever the outreach camps are conducted.
3) As per fixed tour plan, the Mobile Medical Units should collect vaccines from the PHC with proper cold chain. Two vaccine carriers shall be used, one for forenoon session and another for afternoon session. The quantum of vaccines to be packed in first and second vaccine carrier shall be based on the anticipated beneficiaries in FN and AN sessions respectively. The vaccines earmarked for FN session should not be used in the AN session even when unused vaccines are available; but ice packs must be replaced to maintain proper cold chain. Likewise, vaccine lifted for AN session alone be used for that session.
4) Adequate ice packs should also be carried in a 5 litre cold box to replace ice packs whenever need arises. Required AD syringes and immunization cards should also be collected from the PHCs. The VHN of the area where the camp is going to be held should co-ordinate the Immunization process and accompany the team.
5) The balance of vaccine if any should be returned with proper cold chain to the PHC from where the vaccines were collected on the same day itself. The returned vaccine from the camp should be utilized at the very next immunization session to be held at the PHC after verifying VVM. The list of children covered by Mobile Medical Units should be reviewed at the Tuesday review meeting.
6) The MMU vehicle can be utilized to bring the children from the nearby area to the camp site and they must be dropped in their area safely after immunization.
7) The VHN of the area should actively mobilize the children in her area with proper recording in the register. Due list of children must be available with the VHN for easy mobilization during the camp.
8) The concerned SHN/VHN should ensure that the children covered in the MMU camp sites shall be included in the relevant PHC coverage. The Medical officer of the MMU should ensure that the reports are entered through ONLINE after necessary provisions are made in the software.
9) All safety protocols including Double check of vaccine vials, diluents, AD syringes etc as already issued from this office must be strictly adhered during immunization in order to avoid any AEFI.
10) On an average, 250 to 300 outreach immunization sessions are additionally available for each HUD during every month through daily camps (except holidays) conducted by MMU. This advantage must be best utilized by the DDHS to achieve full immunization in their HUD. Suitable monitoring plan should be evolved and followed to ensure proper functioning of MMU.
(R. No. 76881/ Immn/ S3/2009 dt.3.8.09)

பிரசவங்கள் ஒப்பாய்வு

தோகமலை வட்டாரத்தில் 31.07.2010 வரையிலான பிரசவங்களின் எண்ணிக்கை சென்ற வருடம் இதே காலத்தில் நடைபெற்ற பிரசவங்களைக் காட்டிலும் குறைவாக இருப்பது கீழ்கண்ட சார்ட் மூலம் தெரிய வருகிறது.சென்ற வருடத்தைக் காட்டிலும் ஜனனி சுரக்‌ஷா,திட்டம் எளிமைப்படுத்தப்பட்டுள்ளது.முத்து லட்சுமி ரெட்டி மகப்பேறு நிதி உதவித்திட்டத்தில் போதுமான நிதி ஒதுக்கீடு இருப்பில் உள்ளது.இந்நிலையில் சென்றவருடத்தைக் காட்டிலும் அதிகமான பிரசவங்கள் நடை பெற்றிருக்க வேண்டும்.

சார்ட்டை பெரிதாக்கிப் பார்க்க படத்தில் கிளிக் செய்யுங்கள்