Best Practices: One
1. Title: Application of e-Sanjeevani OPD in Family Adoption Program Survey at a private medical college
2. Objectives:
i. To assess knowledge of first MBBS students about eSanjeevani.
ii. To estimate proportion of family members aware about eSanjeevani portal
iii. To educate family members regarding the eSanjeevani
iv. To assess impact of E Sanjeevani as a part of the quality improvement measure in rural health
3. Context: eSanjeevani enables people to get OPD services from their homes. This application can be used during Family Adoption Survey for getting e-consultations.
4. Practice:
In 1st phase, MBBS students were sensitized about eSanjeevani. Pre and post-test knowledge was assessed. 2ndphase survey estimated proportion of families which are aware of eSanjeevani. In 3rdphase (Ongoing) families are being educated about use of E Sanjeevani. Their enrolment for ABHA (Ayushman Bharat Health Account) is being encouraged.
5. Evidence of success:
Pre-&Post-Sensitization: 91 students participated. Significant improvement in knowledge among students was found after sensitization session. Cross-sectional survey about knowledge: A total 118 families are surveyed. Among them, only 32 (26.9%) have ever heard about eSanjeevani. Among those who have heard about eSanjeevani, less than half 15 (46.9%) have used eSanjeevani application.
Best Practices: two
1. Title: Basic Life Support for Students and Community
2. Objectives:
(i) To train the undergraduate medical students in providing Basic Life Support skills.
(ii) To conduct training sessions and demonstrations in emergency Basic Life Support skills so as to train the general population.
(iii) To create a pool of trained manpower from the general population who are trained in Basic Life Support skills.
3. Context:
The basic concept of timely intervention through Cardio-Pulmonary Resuscitation (CPR) saves number of lives in the society. The ‘Golden Hour’ concept of timely intervention of Basic Life Support skills helps in reducing cardio-respiratory mortality and morbidity. The ACPM Medical College caters to the population residing in a tribal and rural areas surrounding Dhule district. The illiteracy, dominance of tribal population, lack of expert medical facilities in rural areas lead to the late arrival of patients in tertiary care facilities / hospitals and result into death. In order to create awareness amongst general population about Basic Life Support skills, an innovative programme of awareness and training of medical undergraduate students and general population was initiated by ACPM Medical College, Dhule.
4. Practice:
A module on Basic Life Support skills was introduced in the curriculum of all the undergraduate medical students and interns of ACPM Medical College. The combination of training and demonstration of Basic Life Support skills at roadside, to the medical students made all the students confident about giving CPR at any place and save the lives of patients. These trained medical students were used as the trainer for general population for demonstrating those Basic Life Support skills. The duration from OPD clinic postings of the medical students was utilised to impart the training of Basic Life Support skills to the students. The trained medical students were further qualified as trainer to train the general population about Basic Life Support skills. The general population visiting Hospital OPDs as well as the visits of medical students and intern in rural areas during medical outreach camps used their training skills to make the general population aware about the concept of ‘Golden Hour’ and trained them in Basic Life Support skills.
5. Evidence of success:
The CPR measures helped to keep the vitals of the patient stable due to these early interventions and further management of the patient could be done under the respective specialists. The confidence level of medical students in handling the emergencies by giving Basic Life Support skills was improved and also, the students gained the confidence by improving their communication skills in terms of imparting the training of Basic Life Support skills to the general population.
6. Problems encountered and resources required:
The medical students and general population were little reluctant to participate in resuscitations as they felt unprepared. We felt the need of refresher courses on the same Basic Life Support skills to the medical undergraduate students as they felt under confident due to lack of practice.