Best Practice 2
Best Practice 1
Best Practices: Academic Year 2022-23 [ONE]
Title:
To development of quality improvement model after Assessment health indices of Rural and tribal community, residing in villages of Dhule talukas with relevant therapeutic interventions”.
Objectives:
1.To analyse socio-demographic and health profile of community rural and tribal area
2.To identify the patients for preventive, curative or palliative clinical management.
3.To undertake measures to reduce the gap between existing health care facilities and utilization
4.Counselling for risk factors for improvement of quality of life.
Context:
The rural and tribal population is associated with greater prevalence of disease and disabilities deserve increased preventive and palliative health care due to socioeconomic and educational attributes. There is gap between utilization and availability of health care services. Thus, quality of life scenario is more challenging in rural and tribal areas
Practice:
The villages selected for the study are covered under 4 primary health centers of the based on the illiteracy rate, low socioeconomic status, and awareness about quality health, limited means of public transport to selected areas, which deserve to be addressed to provide improvement in quality of life
Evidence of success:
The college analysed the demographic data of rural and tribal survey during 2016 to 2021 and its conclusions indicated decreases tobacco & alcohol addiction rate, preference to consultation at doorstep of the community, satisfaction with health camps conducted by College, increased knowledge of factors precipitating diabetes, hypertension after health education program.
Problems encountered and resources required:
1.Structured outcome based training of professional
2.Language barriers to be resolved.
Best Practices: Academic Year 2022-23 [Two]
Title: Internalization of Basic life support skill amongst the medical, paramedical and other self-help groups of community. [Two]
Objectives:
1. Pre-knowledge about BLS skill made the imparting of training to Participant.
2. Repeated practice sessions prior to certification
3. Increased pool of trained medical, paramedical and community volunteers
4. Provide resources to BLS trainers
5. Organization of awareness amongst the society for voluntary participation in BLS training.
Context:
The scarcity of BLS skills amongst the community in rural and tribal dominance areas around the college was felt need to undertake this best practice to organised BLS training at large scale to varied section of society to increase pool of BLS trainer, reduce the mortality rate.
Practice:
BLS was adopted as one of the best practice from from 2016 to 2021 years. Many hand-on training sessions were organised to train the individuals across the society to trained in BLS skill. Reflections of the participants were analysed and action plan for the year 2023-24 is proposed for implementation.
Evidence of success:
Impact analysis reveals overall satisfaction of training session and after training most of the participant felt competent to provide primary resuscitation to sustain the vital parameter within survival limit.
Problems encountered and resources required
Reluctance for participation due to lack of awareness
Language barriers during training sessions
Best Practices: Academic Year 2016 to 2021
1. Title: RURAL AND TRIBAL HEALTH CARE FACILITIES- One
2. Objectives:
(i) To assess the health care status of population residing in rural and tribal area of Dhule district.
(ii) To provide health care interventions to improve upon the health status of rural and tribal population in Dhule district.
(iii) To educate the medical students and interns about rural health issues and the requisite health interventions.
(iv) To augment the efforts of welfare schemes of Government and fill the gaps in service deficient tribal areas in the health sector.
3. Context: The district of Dhule consists of tribal and rural population dominantly. The illiteracy, lack of major tertiary health care facilities in tribal area pose a variety of health problems in tribal population. Lack of health education about nutritional issues and inadequate data on health parameters of tribal population poses difficulties on effective health intervention and hence, there is a need of doorstep approach towards tackling health issues of tribal population.
4. Practice: The Department of Community Medicine at ACPM Medical College, Dhule has included a rural health survey activity in the curriculum of undergraduate medical students as well as interns of ACPM Medical College. Visits of medical students and interns are planned to the rural and tribal area of Dhule district so as to focus upon the assessment of health problems of rural and tribal population; healthcare interventions and IEC activities for health education. The activities were well planned and implemented accordingly. The students conducted the Nutritional Survey of the rural population during the study period. The data collected included the socio demographic profile of the population along with the additional data on environment factors, dietary history & nutritional status, socio-cultural factors, family planning, immunization status, addictions, consanguineous marriages and vital statistics.
5. Evidence of success: Nutritional and health profile of the population was conducted, based upon which the health intervention activities can be decided. The IEC activities with special emphasis upon nutritional disorders were conducted with the help of charts, AV clips, lectures, posters, etc. The students took extra efforts to communicate to the population about healthy dietary practices involving the local cuisines. The additional health related data collected through health survey helped in screening the population for a number of lifestyle disorders for which further management was advised. The needy population was advised referral to ACPM Medical College Dhule for further tertiary care facilities. The nutritional survey activity and subsequent IEC activities provided the platform for effective communication and developing the service approach towards patient by the medical students. The felt need of the people was fulfilled by conducting the health interventions for rural and tribal population of Dhule district. This activity had also provided the hands on training in biostatistics to the medical students and interns on Data collection, data feeding, analysis, making tables and graphs.
6. Problems encountered and resources required: There are misconceptions about nutritional requirements and dietary practices amongst the rural population.
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.