Shri Vithalrao Joshi Charities Trust’s
    Samarth Nursing College
    Attached to
    B.K.L. Walawalkar Hospital, Diagnostic and Research Centre
    At-Kasarwadi, Post- Sawarde, Taluka - Chiplun, District- Ratnagiri, State - Maharashtra
    (Affiliated to Maharashtra University of Health Sciences and Indian Nursing Council)

Activities

Activities Description


Academic Activities / Events: like workshops, conferences, Yoga day, womens day, mental health day, Nurses day, etc are being conducted

Sports events: sports Events like Athletics, Kho-Kho, Kabaddi, volley Ball, Tug of war, badminton, Shot-put, cricket are being conducted.

Cultural Events: Cultural Events like Annual Gathering and Lamp lighting are being celebrated

Academic Activities


Samarth Nursing College is affiliated to parent hospital, B.K.L. Walawalkar Hospital. During the course duration students are posted for various specialist clinical experiences as per the course curriculum at –
  • Ratnagiri Mental Hospital
  • Chiplun Nagar Parishad
  • Cottage Hospital, Kamathe
  • Sawarda PHC
  • Tata Memorial Hospital, Mumbai

Student Development


  • Many of the successfully passed students are absorbed in the trust’s own hospital and Nursing College
  • They get opportunity to work in specialized hospital such as Tata Memorial Hospital, Mumbai
  • Many of the students get Govt. Job

Inspections


Regular inspections are been conducted by INC, MNC, MUHS every year.Till date no major objections have been stated by inspection committees

Students are encouraged to participate in extra Curricular Activities on


  • Nurses Day
  • WHO Day
  • AIDS Day
  • Nutrition Day
  • Mental Health Week
  • Annual Gathering
They perform Role Plays, Puppet Shows, Health Talks, Presentations, Posters, Rangoli etc.
  • UK Camp
  • Malnutrition Camps
  • Ladoo Vatap
  • Haemoglobin Camp
  • Blood Donation Camps
  • Cleft Lip and Palate Camps
  • Pulse Polio Camps
  • Vitamin – A Supplement Camps
  • Many of the students got a rare opportunity to get experience under the foreign experts Medical Team from UK and Spain.
  • Deputation also given for eligible students.
  • Staff interested in in-service education will be given opportunity to participate in various workshops and conferences.
  • Posting at Urban Health Training Centre, Chiplun & Rural Health Training Centre, Dervan
  • Mobile Medical Unit by NRHM
  • Rural Primary Health Centres,
  • Community Programmes like Maternal and Child Health Care, Child Development Centre (CDC), Health Problems amongst adolescent Girls, School Dental Health Programme, Child Malnutrition Programme

At & Post: Chiplun, Ravtale,

Near “Bandhkam Bhavan”, Mumbai-Goa Highway,

Taluka: Chiplun, District: Ratnagiri, M.S.

OBJECTIVES


PURPOSE OF UHTC:

Chiplun though gifted with all the beauty of nature, had lacunae in healthcare delivery. Hence, B.K.L. Walawalkar Rural Medical College took the lead by starting health unit at Chiplun with an aim of providing routine and emergency 24 X 7 healthcare services, training to undergraduate and postgraduate students along with the tribal/rural/urban slum research.

FUNCTIONS OF UHTC:
  • Training of under-graduate students and interns.
  • To provide basic health care services to backward and urban population in & around Chiplun city.
  • To provide Preventive & Promotive health care services
  • Curative health care services by giving routine OPD services & conducting medical camps.
  • Referral services to B.K.L.W. Hospital, a tertiary care center as and when required.
  • Implementation of National health programmes relevant to the local situation.
  • Behavior Change Communication (BCC) for healthy lifestyle, diseases and their prevention.
  • Training the paramedical staff in Community Medicine.
  • To provide School health services.
  • Carrying out research activities and planning various interventional programmes.
  • Collection and reporting of vital statistics.

SERVICES AT UHTC

Following functions are being provided in UHTC:-

General OPD Daily
Surgery Clinic Monday
Gynaecology & Obstetrics /ANC Clinic Tuesday
Ophthal Clinic Wednesday
Gen. Medicine Thursday
Paediatrics / Immunization Friday
Ortho Clinic Saturday

Referral services and Teaching & Training activities


Referral services:

Patients are referred to B.K.L. Walawalkar Hospital, Dervan

Teaching & Training activities:

A number of research projects in the Department have been completed and are under progress.

Health Education
Counseling
Health education
Community Programmes
  • Routine urine, stool and blood tests (Hb%, platelets count, total RBC, WBC, bleeding and clotting time).
  • Lipid profile, LFT, RFT
  • Diagnosis of RTI/STDs with wet mounting, Grams stain, etc. (HIV, HBSAg, VIA/VILI)
  • Blood smear examination malarial.
  • Blood for grouping and Rh typing.
  • Blood Sugar.
Patho Laboratory
Immunization Clinic
Procedure Room/Minor Operation
Dispensary
OPD
IPD

Antenatal care


  • Early registration of all pregnancies ideally in the first trimester (before 12th week of pregnancy). However, even if a woman comes late in her pregnancy for registration she should be registered and care given to her according to gestational age. Record tobacco use by all antenatal mothers.
  • Minimum 4 antenatal checkups and provision of complete package of services. ANC Services, antenatal visits are provided as per WHO norms.
  • Associated services like providing iron and folic acid tablets, injection Tetanus Toxoid etc (as per the “guidelines for Ante-Natal Care and Skilled Attendance at birth by ANMs and LHVs) Ensure, at-least 1 ANC preferably the 3rd visit, must be seen by a doctor.
  • Minimum laboratory investigations like Haemoglobin, Urine albumin and sugar, RPR test for syphilis and Blood Grouping and Rh typing.
  • Nutrition and health counseling. Brief advice on tobacco cessation if the antenatal mother is a smoker or tobacco user and also inform about dangers of second hand smoke.
  • Identification and management of high risk and. Timely referral of such identified cases to BKLW Hospital.

Shree Sahajanand Saraswati Maharaj has envisioned a society with women playing a key role in giving direction to the society and in bringing up a capable & cultured generation. With this philosophy as guiding force, the organization has kept women at the centre of all its programs. The UHTC runs several schemes for making the process of child birth less challenging in the given surroundings. Pregnant women who stay at remote areas are referred to the UHTC using an ambulance.

Every Tuesday, the pregnant women are given guidance by doctors & nurses about child care in terms of upbringing, diet, physical & mental health, exercise etc. She is also given the nutritious “Laddoo” (local delicacy prepared by the organization) along with medicines. Now and then, some pregnant women coming from remote areas get admitted to UHTC and If required they are referred to the BKLW hospital after complications, heavy blood loss, epilepsy etc. The state-of-the-art medical facilities at the BKLW hospital including the blood bank and the specialist doctors have saved lives of many such women & children after conducting specialized surgeries.

To reduce the number of instances needing urgent treatment the Gynecologist visits Primary Health Centers in different villages for medical check-up of pregnant women and gives guidance. Children of those women who are consuming the nutritious “Laddoo” made available by the organization show remarkable improvement in their weight. The UHTC is thus continuing its work of building a society with cultured and healthy mother and child.

Coverage
Population 67536 Male – 33791 Female – 33745
Chiplun City wards 24 wards
Number of Households 15895
New ANC/Month 48
Area (In sq. km) 21.43
Population per sq. km. 3151
Impact
  • Complication free pregnancy by identifying ‘At Risk Pregnant woman’ early in her gestation period.
  • Information, Education and counseling made pregnant women aware of diet, rest and do’s and don’ts during pregnancy.
  • Reduction in unseen financial burden of pregnant woman family.
  • Prevented maternal death, and perinatal infant death & the rate of Birth Weight of newborn children increased from 65% to 91% (>2.5Kg)
  • Proper actions taken for anemic & underweight pregnant woman & Anemic condition reduced from 79.62% to 58.88%
Family Welfare
  • Education, Motivation and Counseling to adopt appropriate Family planning methods.
  • Counseling and appropriate referral for couples having infertility.
Nutrition Services (coordinated with ICDS)
  • Diagnosis of and nutrition advice to malnourished children, pregnant women and Adolescent others.
  • Diagnosis and management of anaemia and vitamin A deficiency.
  • Coordination with ICDS.

In Konkan region, the women remain malnourished because of early marriage, continuous pregnancies, poverty, an addicted husband, insufficient food, and heavy physical labour on farm/home. With the aim of strengthening the society, the RHTC decided to concentrate on health of the pregnant women. A team of doctors & nurses armed with medicines & the nutritious “Laddoo” visits the villages. The great sage Shree Shankaracharya had changed the direction of flow of a river (to make it flow from near his house) to enable his mother to bath in the river. Similarly the hospital decided to treat these poor, malnourished, pregnant women close to their residence.

In Konkan, many stay at remote places and there is a delay in reaching the hospital. To counter the same, the hospital started the “Maher” scheme. In this scheme, the pregnant woman stays at the RHTC since about 7-8 days before the delivery. This period is utilized to guide her on the care of the new born baby, his treatment & bath, his health & clothes and his diet etc. At the time of discharge she is a gifted a range of articles for the use of the new born .It is expected that this way the women are introduced to the proper care of their new born & would also be comfortable in getting the child delivered at the RHTC.

After delivery a mother been taught on importance and techniques of breast-feeding. After the birth of the child, the hospital is concerned about the development of the child, his care & diet at home. A way has been found in monitoring the health of the newly born child and his mother through “Common Birthday celebrations” every month.

This way the child and his mother would remain in contact with the community staff. For every newly born child, 3 birth-day celebrations are organized in the 1st year – after 3 months, after 6 months and after 1 year. Not only the child is blessed at this ceremony and gifts given but also his development is monitored, vaccination schedule checked. Mother is given guidance about avoiding malnourishment of her child and the mother of the healthy child is appreciated.

Every daughter-in-law faces a mountain of expectations from her mother-in-law. Most important among those is the expectation about the birth of a grand-son. UHTC arranges get-togethers of “daughter-in-law & mother-in-law” to keep


this bond pleasant one. Doctors explain them the reasons behind the birth of a daughter or son and how the same are not dependent only on the woman, care to be taken of a newly born baby etc. This all will result in the newly born baby being welcomed with joy & happiness which is exactly the objective of this program. Birth of a child is an event which fills his mother with unlimited joy. Young age, lack of knowledge & awareness about pregnancy, fear of delivery & even fear/stress of the possibility of delivering a girl child causes the pregnant woman to be under stress all the time. To release this stress & pressure, the UHTC arranges Baby Shower ceremony for the pregnant women. This is expected to make the pregnant woman achieve pleasant state of mind, would make her more confident and lead to a stress-free delivery. It is one more way of the UHTC to build life-long bonds with women.


Dohale Jevan (Baby Shower Ceremony)

With an aim to elicit the community participation of ANC mothers and spreading awareness amongst them, a unique initiative was taken up by BKL Walawalkar Hospital for last 10 years. Lack of knowledge, Young age, and fear of delivery causes the pregnant woman to be under stress all the time. To release this stress & pressure, the hospital arranges Baby Shower ceremony for the pregnant women on a monthly basis. B.K.L. Walawalkar Hospital’s Community department has a strong commitment to help and uplift the underprivileged sections of society. The socio-economic differences in society does not make possible for poor people to celebrate such type of activities. We arrange common celebration of all expecting mother and also take this as an opportunity to educate women about managing symptoms, diet, exercise, and general care tips that will keep them and their baby healthy.

Beginning of the married life is one of the important steps filled with joy in the life of the couple. However it is necessary to understand the true meaning of this step for long lasting happiness in life. With this objective, UHTC arranges workshops for newly married couples.

Scientific knowledge is imparted about practices leading to a birth of a healthy child, importance of family planning with respect to the health of the mother & also with respect to the well-being of the entire family; care to be taken of the mother to avoid birth of a mal-nourished child, sexual health, AIDS etc


SOCIAL & CULTURAL ACTIVITIES

A social activity needs connect & association with the people’s representatives and government officials. An important link with the village is the village head-man. There are also others like the village-worker & the toy-school (“Anganwadi”) teacher. For spreading the knowledge about various schemes among the entire population, UHTC organizes separate seminars for all of them. Specialist doctors brief them about the schemes being run by UHTC and hospital. It is yet another way in which the hospital is trying to spread health-awareness.

The hospital aims at helping every human being to achieve and maintain his health and hence happiness. All the seminars, meetings, get-togethers towards achieving this aim involve the relevant government officials from the Ratnagiri district.


Haldi-Kumkum programme

B.K.L. Walawalkar Rural Medical College’s Community department celebrates Haldi Kumkum every year by encouraging women to get together to celebrate their role in society and start fresh with each other for the New Year. Women who express devotion to their families, venerate they would love specially and have symbolic ties of love and affection with this gigantic tree which grows in every region and lives for centuries.

All these community programmes were implemented by B.K.L.W. Hospital for last 20 years and now all are taken over by UHTC
School Health Programmes

Teachers screen students on a continuous basis and UHTC Staff visit the schools (one school every week) for screening, treatment of minor ailments and referral. Doctors from UHTC will also visit one school per week based on the screening reports submitted by the teams. Overall services to be provided under school health includes-

Health service provision
Screening, health care and referral:
  • Screening of general health, assessment of Anemia/Nutritional status, visual acuity, hearing problems, dental check up, common skin conditions, Heart defects, physical disabilities, learning disorders, behavior problems, etc.
  • Basic medicines to take care of common ailments, prevalent among young school going children.
  • Referral Cards for priority services at UHTC
Micronutrient (Vitamin A & IFA) management:
  • Weekly supervised distribution of Iron-Folate tablets coupled with education about the issue
  • Administration of Vitamin-A in needy cases
De-worming:
  • Biannually supervised schedule
  • Prior IEC
  • Siblings of students also to be covered

In recognition of the urgency of ensuring the opportunity for every child and citizen to have a healthy and productive life, we have formed a Mother and child health Project in Rural area of Ratnagiri district of Maharashtra.


India’s greatest national treasure is our people. We cannot afford to neglect their well being and allow so many of our citizens to face hunger and malnutrition.

One of the major problems in rural India has been malnutrition of children below 6 years of age. With the aim of countering this problem in the vicinity of Ratnagiri & Sindhudurg Districts, children below 6 years of age & Antenatal & post natal mothers in the area were approached. This Malnutrition eradication project is implemented since year 2003. The specially trained teams impart information on Health & Healthy-Diet to this group. For the target group, parameters like Height, weight, Hemoglobin, serum proteins were monitored periodically & Nutritious food (in the form of “Ladoo”, prepared by the Hospital/Trust) was supplied to them on a weekly basis. Children and antenatal mothers are being benefited through this project. The project has created a positive impact on the beneficiaries.

School going children constitute an important fraction of the total population. School children have tremendous latent potential as future human resource of the country. The health issues associated with school children are unique and need special interventions. Malnutrition among school children is widespread in Konkan region of Western Maharashtra and it needs to be dealt with on priority. It is observed that oral hygiene of these children is very poor. Dental caries has severely affected functional capacity of their teeth. This could be one of the contributory factors toward persistent malnutrition.

In the view of above, UHTC is running a School Health Programme which also include Dental Check-up and Treatment i.e. ‘Dental Caries Elimination’ for underprivileged children of remote Konkan region of Western Maharashtra with special emphasis on oral health education. These school children are periodically screened & treated by Medical Officers & Dentists.

  • The approach is both, preventive and curative. The children are not just screened for dental caries but are also treated to eliminate dental caries and to restore functional capacity of their teeth.
  • The activity is on a periodic basis strictly as per well designed schedule that includes oral health education at various levels, screening, step by step treatment and sequential follow-up. This has indeed ensured drastic improvement in the children’s teeth and oral health status.
  • Special emphasis is given on oral health education. Massive oral health education drive is generated by conducting ‘Oral Health Education Programs’ for Ante Natal and Post Natal mothers, Anganwadi Sevikas and Madatnis, School teachers, Students, Parents, Village Sarpanchs etc.



Impact
  • The programme brought down the incidence oral and dental diseases to less than 43.29% from the existence prevalence of 83.64%.
  • Plaque levels were decreased by approximately 15% and dental caries were reduced by 90%.
  • We provided free tooth brush and paste to encourage teeth brushing with proper technique.
  • This program also encourages dental professionals, public health officials, civil leaders & most importantly, parents & educators to come together to emphasize the importance of oral health as part of a child’s overall physical & emotional development.

Adolescent Girl’s Health Care

Adolescent Health clinic is available once a week on a fixed day. UHTC staff arranges workshops in schools, colleges and the Services provided are comprehensive i.e. a judicious mix of promotive, preventive, curative and referral services

  • Adolescent and Reproductive Health: Information, counseling and services related to sexual concerns, pregnancy, contraception, abortion, menstrual problems etc.
  • Services for tetanus immunization of adolescents Nutritional Counseling, Prevention and management of nutritional anemia
  • STI/RTI management

Health Problems amongst adolescent Girls in Rural areas of Ratnagiri District

Adolescent constitute over 21.4 % of the population in India. The onset of Adolescent is a major transition in an individual’s life and has psychological and emotional implications. In the case of girls, the onset of menstruation further complicates their personal life. The psychosocial and emotional problems are of considerable magnitude and they may exert significant influence on their nutritional status. Unfortunately, assessment of nutritional status of adolescent girls has been the least explored area of research particularly in rural India.



Nutritional anthropometry predominates over the other methods of nutritional assessment. Several workers have emphasized the importance of Body Mass Index (BMI) as an index of nutritional assessment. As reported elsewhere, high prevalence of under nutrition (BMI<18.5) was observed in adolescent girls of rural area of Ratnagiri District on the basis of this index. This indicates that adolescent girls are the worst sufferers of the ravages of various forms of malnutrition since the beginning of adolescent period. This phenomenon remains uninterrupted throughout their life. Variations in the extent of under-nutrition among adolescent girls could be attributed to differences in socio-cultural practices, level of socio-economic development, value attached to a girl child and prevailing dietary practices in different settings.

The girls who were found to be anemic were started on Iron and folic acid tablets. Health education about Nutrition and menstrual problems was provided to them. After the completion of three months we plan to repeat their CBC & Hb estimation to find out the prevalence & improvement in the Hb level of adolescent girls. To address the menstrual problems, workshop for adolescent girls will be arranged in every three months in coordination with respective departments.

Impact

BMI Status in Adolescence was monitored in teenagers and the girls with hemoglobin percentage is found below normal limits (“anaemic” condition) are treated with proper medicines free of cost.

  • The awareness provided to girls and young people with comprehensive health education and sexual and reproductive information and services protected the rights to education and health, and advances gender equality and the achievement of common goals.
  • Reduction in unseen financial burden of adolescent girl’s family
  • Skills training for wage employment combined with business development services and links to microcredit for young women entrepreneurs strengthened their institutional and capacity-building power

Without community service, we would not have a strong quality of life. It’s important to the person who serves as well as the recipient. It’s the way in which we ourselves grow and develop. For over last 40 years, Shree Vithalrao Joshi Charities Trust is engaged in helping people in the Konkan region to meet their Socio-Economic needs. The basic Objectives of the Trust are – Health for all, Education for all & Self-Respect for all. The trust believes that the achievement of these will lead to Social & Economic transformation in the area.

Since 1996, B.K.L.Walawalkar Hospital has been a prominent medical provider in the Konkan region community, a backward area in Maharashtra State, caring for all, regardless of one’s ability to pay. BKLWH reaches out to those most in need to serve them in their homes, in clinics, and throughout the community. One of the main aspects that make BKLWH unique is our commitment to serving our local community. Shri Vithalrao Joshi Charities Trust has been working since last four decades to build up our resources and ability to care for the individuals and families in this rural and backward area. The healthcare at BKLWH is patient-centered and all of our physicians and medical professionals take the time to listen to your health needs and concerns. General camps are arranged in remote villages by UHTC doctors and nurses on periodic basis.

We understand the importance of a healthy community. Thus, we feel it is our responsibility to provide the program and services required and communicate valuable educational information, in order to best serve medical, social, spiritual and emotional needs. Each year, BKLWH subsidizes the care of patients through its charity care programs. Without this subsidy, patients would not have access to required medical care, preventative treatment or prescriptions requiring co-pays. We feel this is in keeping with our mission to create a transforming, healing presence in our community, regardless of one’s economic situation.

Awareness Activities Workshop:
Child Birth Ceremony: To encourage vaccination & nutritional status assessment 3rd Friday of month
Baby Shower Ceremony /Dohale Jevan: To encourage institutional delivery & safe mother 4th Tuesday of month
Mangalagaur, Pooja: Folic acid to newly married women Every Tuesday in Shraavan
Working:
  • OPD timings – 9:00 am to 5.00 pm daily.
  • Patients are given OPD services and the serious patients receive first aid services
  • Referral to the B.K.L. Walawalkar Hospital as per the need.
  • Ambulance services are available at UHTC for referral services.
  • Surveys are carried out routinely by the RMOs, in the catchment area
  • School health check-ups and Special Health Camps like Gen. Ophthalmic, Dental, Surgery etc. are organized.
  • From time to time following activities are carried out :
  • Special Health Education sessions, Street plays and Role plays,
  • Healthy Lifestyles & Nutrition in Under 5,
  • Kitchen Gardening,
  • Kishori Shakti, Child Development programmes
  • Youth Group training sessions, Women Empowerment.
Activities in residential workshop:
At & Post: Dervan, Taluka: Chiplun, District: Ratnagiri, M.S.

INTRODUCTION
  • Dervan, Kharavte, Vahal, Furus villages are situated at a radial distance of 30 Km from B.K.L. Walawalkar Rural Medical College, Kasarwadi, Sawarde surrounded by Sahyadri Hill.
  • Ratnagiri district is a part of very narrow riverine plains that fringe the cost line. Over 85% of the land surface of the district is hilly. The main system of hills is the Sahyadri & it’s off shoots.
  • Transport is considered as an index of gearing of local regional resources at the best. The Ratnagiri district is known for hilly terrains cress-cross, uneven plateaus and limited plain. These natural barriers are responsible for slow development of transportation and communication network in the district.
  • According to census 2011, total 55.01 % population of Ratnagiri district was nonworking while 44.99% population was engaged in various economic activities. It has observed that near about 50% population of the district do not have regular income source. It has adversely affected on economic development of the region and people. Agricultural sector of the district is also not well developed; while young population is yet migrating towards Mumbai & gulf countries for employment purpose.
  • The RHTC’s at different villages can reduce the burden over poor people in this region and can benefit to patients from all over the district
OBJECTIVES
PURPOSE OF RHTC:

Dervan though gifted with all the beauty of nature, had lacunae in healthcare delivery. Hence, B.K.L. Walawalkar Rural Medical College took the lead by starting health unit at Dervan with an aim of providing routine and emergency 24 X 7 healthcare services, training to undergraduate and postgraduate students along with the tribal/rural research.

FUNCTIONS OF RHTC:
  • Training of under-graduate students and interns
  • To provide basic health care services to backward and rural population in & around Dervan village
  • To provide Preventive & Promotive health care services
  • Curative health care services by giving routine OPD services & conducting medical camps.
  • Referral services to B.K.L.Walawalkar Hospital as and when required.
  • Implementation of National health programmes relevant to the local situation.
  • Behavior Change Communication (BCC) for healthy lifestyle, diseases and their prevention.
  • Training the paramedical staff in Community Medicine.
  • To provide School health services.
  • Creating innovative Public health models
  • Carrying out research activities and planning various interventional programmes
  • Carrying out research – Departmental Projects, Sponsored projects funded by national agencies
  • Collection and reporting of vital statistics
Rural Health Training Centre, Dervan

Rural Health Training Centre is providing Comprehensive Health Care to the Community and Catering to population of village Dervan.

Location: The Rural Health Training Centre is situated at Dervan Following functions are being provided in RHTC:-
OPD Services & Specialty clinic
General OPD Daily
Ophthal Clinic Monday
Gen. Medicine Tuesday
Paediatrics Clinic /Immunization Wednesday
Orthopedics Clinic Thursday
Gynaecology & Obstetrics / ANC Clinic Friday
Surgery Clinic Saturday
Lab Facility (Tests): Basic Laboratory and Diagnostic Services-
  • Routine urine, stool and blood tests (Hb%, platelets count, total RBC, WBC, bleeding and clotting time),
  • RFT
  • Diagnosis of RTI/STDs with wet mounting, Grams stain, etc. (HIV, HBSAg, VIA/VILI)
  • Blood smear examination malarial
  • Blood for grouping and Rh typing
  • Blood Sugar.
24 hours emergency services
appropriate management of injuries and accident, First Aid, stitching of wounds, incision and drainage of abscess, stabilization of the condition of the patient before referral, Dog bite/snake bite/scorpion bite cases, and other emergency conditions.
Opd
Female Ward / PNC
Female Ward / PNC
Labour Room
Pathology Laboratory
Procedure Room/Minor O.T
Demo Room
Immunization Room
Store Room
Medical Officer Room

Referral services: Patients are referred to B.K.L. Walawalkar Hospital, Dervan
In-patient services – Separate for Male and Female
Research & Training:
1.A number of research projects in the Department have been completed and are under progress.
2.Department of Community Medicine is committed for better community health by means of teaching, training of UG, Interns & patient care at community level.
3.Department celebrate all Health Days with theme
Maternal and Child Health Care Including Family Planning
Antenatal care
  • Early registration of all pregnancies ideally in the first trimester (before 12th week of pregnancy). However, even if a woman comes late in her pregnancy for registration she should be registered and care given to her according to gestational age. Record tobacco use by all antenatal mothers.
  • Minimum 4 antenatal checkups and provision of complete package of services. ANC Services, antenatal visits are provided as per WHO norms.
  • Associated services like providing iron and folic acid tablets, injection Tetanus Toxoid etc (as per the “guidelines for Ante-Natal Care and Skilled Attendance at birth by ANMs and LHVs) Ensure, at-least 1 ANC preferably the 3rd visit, must be seen by a doctor.
  • Minimum laboratory investigations like Haemoglobin, Urine albumin and sugar, RPR test for syphilis and Blood Grouping and Rh typing.
  • Nutrition and health counseling. Brief advice on tobacco cessation if the antenatal mother is a smoker or tobacco user and also inform about dangers of second hand smoke.
  • Identification and management of high risk and alarming signs during pregnancy and labour. Timely referral of such identified cases to FRUs/ other hospitals which are beyond the capacity of Medical Officer PHC to manage.
  • Tracking of missed and left out ANC.
Intra-natal care
  • (24-hour delivery services both normal and assisted)
  • Promotion of institutional deliveries.
  • Management of normal deliveries.
  • Appropriate and prompt referral for high risk cases as pregnant mothers are malnourished & anemic in this area.
  • Management of pregnancy Induced hypertension including referral.
  • Minimum 48 hours of stay after delivery.
  • Managing labour using Partograph.

Proficient in identification and basic first aid treatment for PPH, Eclampsia, Sepsis and prompt referral

As per ‘Antenatal Care and Skilled Birth Attendance at Birth’ Guidelines

Postnatal Care
  • post- natal care for 0 & 3rd day at the health facility both for the mother and new-born and sending direction to the ANM of the concerned area for ensuring 7th & 42nd day post-natal home visits.
  • Initiation of early breast-feeding within one hour of birth.
  • Counseling on nutrition, hygiene, contraception, essential new born care (As per Guidelines of GOI on Essential new-born care) and immunization.
  • Others: Provision of facilities under Janani Suraksha Yojana (JSY).
  • Tracking of missed and left out PNC.
Family Welfare:
* Education, Motivation and Counseling to adopt appropriate Family planning methods.
* Management of Reproductive Tract Infections/Sexually Transmitted Infections
* Health education for prevention of RTI/STIs.
Nutrition Services (coordinated with ICDS)
a. Diagnosis of and nutrition advice to malnourished children, pregnant women and others.
b. Diagnosis and management of anaemia and vitamin A deficiency.
c. Coordination with ICDS.
New Born care
i. Facilities for Essential New Born Care (ENBC) and Resuscitation (Newborn Care Corner in Labour Room/OT
ii. Early initiation of breast feeding within one hour of birth.
New Born Care in Labour Room /OT:

Delivery rooms in Operation Theatres (OT) and in Labour rooms are available.

Services provided in the Newborn Care are:

Care at birth
01. Resuscitation
02. Provision of warmth
03. Early initiation of breastfeeding
04. weighing the neonate

Janani Suraksha Yojana:

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. This scheme integrates cash assistance with delivery and post-delivery care.

A malnourished child who is not responding to the treatment at his home is admitted to the “Child Development Centre” with his mother for 21 days

A schedule is drawn-up for 21 days focusing on the child’s diet and his overall development. In some cases the malnourished child is fed nutritious food every 2 hours. To improve her understanding, she is offered counseling about child development. Pictures, films are used to elaborate the stages of growth & development of a child while reasons for malnourishment are explained. Sessions dedicated to culture, sports, and readings are conducted. Speech-therapists give guidance on speech improvement. They are also taught how to construct a pit-latrine. Guidance is given on growing a garden in their neighborhood which would help in making the area clean & beautiful. In this way CDC helps to treat severe grade of malnutrition. CDC programme is held once in three months and till date thousands of children are benefited through this programme.

Sometimes, women and other family members neglect minor ailments of the children & this may lead to a severe health issue at a later date. Sometimes a common cold can turn into a serious respiratory problem or asthma. As the saying goes “A stitch in time saves nine”. A timely treatment improves the health of the child. The RHTC gets the child admitted for 3 days in case of minor ailments. All the necessary tests are carried out and treatment administered for free of cost under the guidance of expert doctors while providing nutritious food.

Aim
Aim of Child Development Centre is to try to bring the malnourished children belonging to grade3/grade4 to normal by providing them proper health and diet.
Awareness Activities Workshop:
Child Birth Ceremony: To encourage vaccination & nutritional status assessment 4th Wednesday of month
SBaby Shower Ceremony /Dohale Jevan: To encourage institutional delivery & safe mother 2nd Friday of month
Mangalagaur, Pooja: Folic acid to newly married women Every Tuesday of month
Child Development Center: Focusing malnourished child’s diet and his overall development in 21 days at RHTC Every three months
Gen. Medicine Thursday
‘Maher’ (Mother’s House): To treat the poor, malnourished, pregnant 15 days prior to delivery at RHTC 15 Days prior to delivery
R.H.C./P.H.C
  III III IV
a)Name of the centersB.K.L.W. R.H.C. DervanPHCPHCPHC
b)Location of each CentreDervanKharavteVahal Furus
c)Population covered by each centre19,41211,29420,84914,453
d)Distance from college5 km9 km20 km10 km
Transport facilities for
(i)Students + Interns: 2 Star Buses + 2 Tempo Traveler
(ii) Staff: 1 Bolero jeep
(iii) Supportive Staff: 2 Winger jeeps
(iv) Capacity of each Vehicle:2 Ambulances
  2 Star Buses 2313Capacity of 23 +1
  1 Eicher Mini BusCapacity of 20+1
  2 Tempo travelers Capacity of 17 +1
  1 Maxx CruiserCapacity of 9+1
  2 Winger jeepCapacity of 9+1
  1 Bolero jeepCapacity of 5+1
  1 Pickup van Utility van
Schedule of PHCs:
ActivitiesPHCDay
ANCVahal Every Thursday
 KharavteEvery Saturday
 FurusEvery Wednesday
Immunization / Paediatric under 5 clinicVahal Every Saturday
 KharavteEvery Saturday
 FurusEvery Wednesday
KHARAVTE PHC:
  • Antenatal Clinic – Every Saturday
  • Immunization – Every Saturday
Workshops & Cultural activities:
  • Mother in law workshop- Every 3rd Friday
  • Baby Shower Ceremony – Every 3rd Friday
  • Child Birthday Ceremony- Every 2nd Thursday
VAHAL PHC:
  • Antenatal Clinic – Every Thursday
  • Immunization – Every Saturday
Workshops & Cultural activities:
  • Mother in law workshop- Every 3rd Friday
  • Baby Shower Ceremony – Every 3rd Friday
  • Child Birthday Ceremony- Every 2nd Thursday
FURUS PHC:
  • Antenatal Clinic – Every Wednesday
  • Immunization – Every Wednesday
Workshops & Cultural activities:
  • Mother in law workshop- Every 3rd Friday

Not every village has a government run medical centre. For medical services to be offered to the people from these villages, the staff visits them with medical-team-on-wheels in a specially prepared vehicle under the National Rural Health Mission. This Mobile Unit is run by B.K.L.Walawalkar Rural Medical College, RHTC since 2010. The vehicle has a small pathology laboratory, operation theatre & medicine store. Using this vehicle, a team visits villages in remote & inaccessible parts to meet their needs of medical services. With a properly planned schedule the team visits one village every day. The village representatives, leaders, qualified persons from the village and the women from the self-help groups support this activity of medical examination of villagers, pregnant mothers and adolescent girls. Free medicines are distributed and in case of a need of further treatment the patient is brought to the hospital where he is treated by specialist doctors. This is the way the B.K.L. Walawalkar Rural Medical College is contributing to the government initiative of National Rural Health Mission.

Coverage
TalukaPHCs coveredNo. of Villages
Chiplun937
Guhagar12
Khed13
Sangameshwar23
 
Average Screening per day (OPD) = 110 , Paediatric opd = 40/day  
Average Investigations per day (Lab tests) = 60   
RCH per day = 8  
  • OPD timings – 9:00 am to 5.00 pm daily.
  • Patients are given indoor services for snakebites and other minor illness.
  • Referral to the B.K.L. Walawalkar Hospital as per the need
  • Ambulance services are available at RHTC for referral services.
  • Surveys are carried out routinely by the RMOs and Interns, in the catchment area.
  • School health check-ups and Special Health Camps like General medicine, Ophthalmic, Dental, Surgery etc. are organized.
  • From time to time following activities are carried out :
  • Special Health Education sessions, Street plays and Role plays,
  • Education for Healthy Lifestyles & Nutrition in Under 5,
  • Kitchen Gardening,
  • Kishori Shakti, Child Development programmes
  • Youth Group training sessions, Women Empowerment
Activities in workshop

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