Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
SUBMITTED BY,
ABHAYA K AFAGE
KRISHNA SHAJI
SREELAKSHMI S
SREENATH E.S.
MASTER OF SOCIAL WORK.
JAI BHARATH ARTS AND SCIENCE COLLEGE, PERUMBAVOOR, KERALA.
1
CERTIFICATE
This is to certify that Abhaya K. Afage, Krishna Shaji, Sreelakshmi. S and Sreenath
E.S, M.S.W. 2nd year students, Jai Bharath College Of Arts and Science has been placed at
Pondicherry Institute of Medical Sciences, Community Medicine Department, Rural
Health Training Center (RHTC) from April 11th 2019 to April 21st 2019 for their Internship
training, and the activities carried out by them are original.
2
ACKNOWLEDGEMNET
➢ First of all, we would like to thank god almighty who has been giving as everything to accomplish
this one month internship program at Rural Health Training Center, Chunampet.
➢ Our sincere thanks to PONDICHERRY INSTITUTE OF MEDICAL SCIENCES, DEPT. OF
COMMUNITY MEDICINE for giving this opportunity to carry out our internship program at Rural
Health Training Center, Chunampet.
➢ Our sincere appreciation and thanks to Dr. ANIL J PURTY – Professor and Head, Department
of Community Medicine for enriching us with an opportunity in the form of this internship period to
extend our knowledge in the field of Community Medicine.
➢ We owe our deeply sincere thanks to our guide Dr. NEWTON RAJ – Assistant Professor,
Department of Community Medicine for his guidance and time given to us during the course of
internship at Rural Health Training Center, Chunampet.
➢ We wish to express our sincere and heartfelt thanks to Mr. VINCENT ANTONY, MSW CUM
TUTOR, at Rural Health Training Center, Chunampet for his encouragement to do our Internship.
➢ And we thank all faculty members of Jai Bharath college of Arts and Sciences, Department of
Social work.
➢ We deeply thank Dr. REVATHI, Lady Medical Officer, Dr. SIDHARTH GAUTHAM,
Resident Medical Officer, RHTC,Chunampet.
➢ Last but not the least we would like to thank our loving and supportive family, friends and staffs
includes Staff Nurses, Pharmacists, Lab and X-Ray Technician, Attenders, Gardeners, Drivers, Cook,
House Keeping, and Security at RHTC who helped us to complete our Internship successfully.
3
INDEX
2 LEARNING 11
3 ACTIVITIES 14
4 CASE STUDY 16
5 CONCLUSION 22
4
INTRODUCTION
5
INTRODUCTION
Community Medicine: Is the science that concerns with the promotion of health, prevention, control, and
management of diseases, disabilities, and other health problems in the community. It is the branch of medicine
that deals with community rather than individual. "J.M. Last" defined community medicine as 'Study of health
and diseases in population of a defined community.'
Community medicine is often considered synonymous with Preventive and Social Medicine (PSM), Public
Health, and Community Health. All these share common ground, i.e., prevention of disease and promotion of
health. Community Medicine provides comprehensive health services ranging from preventive, promotive,
curative to rehabilitative services. The importance of the specialty of Community Medicine has been very well
recognized and emphasized repeatedly from grass root to international levels, not only in health sector but in
other related sectors too. The scope of medicine has expanded during the last few decades to include not only
health problems of individuals, but those of communities as well.
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About The Rural Health Training Center (RHTC)
Rural Health Training Center (RHTC) is situated in Illedu village that comes under chunampet Panchayath,
Cheyyur Taluk, Kancheepuram District, which is located 113 km from Chennai and 39 km from Pondicherry
Institute of Medical Sciences. RHTC was established in the year 1996 by Sr. Mary Theodore, at the beginning
RHTC was named as MITHRA (Madras institute to Habilitate Retarded Afflicted). The center covers a
population of 15067 and offer services to 20 nearby villages.
The hospital is having 10 beds 10 indoor beds X-ray facilities, Lab investigation facilities and Ambulance
services with 24 hours Emergency care. The women and children are given priority care with daily Health visit
by the Health purpose and monthly visit by the Doctors. All these specialists visit the center every week.
Regular free health camps are organized in the villages for Treatment, Immunization and Health Education. The
organization collaborates with Government Primary Health Center in delivering the services.
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ORGANISATION STRUCTURE
Pharmacist (1)
ANM
Attender (2)
Driver (1)
Gardener (1)
Cook (3)
Security (3)
8
Activities of RHTC Dept. of Community Medicine
COMMUNITY LEVEL
House To House Visit
❖ Social economic condition
❖ Health Status
❖ Housing Condition
❖ Social Mapping
ACADEMIC LEVEL
❖ Research
❖ Presentation
❖ Publication
❖ Training Programs
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Community Health and Information Management System (CHIMS)
The center is continuously collecting and maintaining the family and individual records since 1992.
These records were computerized since 2014 which is named as CHIMS. Data were entered with
the help of EPIDATA software. Each individual was assigned an eleven digit UID (Unique
Identification Number) which is mandatory while collecting data. Social mapping of villages also
done whose house numbers were interlinked with UID. By this each individual can be traced after
collecting data, conducting study or for further intervention. This software program may be shared
on request for free of cost.
10
LEARNINGS
11
NATIONAL IMMUNIZATION SCHEDULE
12 Months Hepatitis – A 1
15 Months MMR-2 1
Varicella 1
PCV Booster 1
12
16 – 18 Months DPT B1 1
IPV B1 1
Hib B1 1
18 Months Hep – A 1
13
ACTIVITIES
14
Activities
This session briefly introduces the activities that we have undergone during the period of posting at the
community medicine department of Rural Health Training Centre (RHTC), PIMS
Presentations
During the two week of posting, as per the instruction from Mr. Vincent Antony (Medical Social Worker,
RHTC) we had presented two presentations on the following topics:
Patient who is consulting for the first time or who doesn’t have an OP card their names are entered in New OP
Register and patient who has an OP card their names are entered in the Old OP Register. All the medical records of
the patients are maintained with confidentiality. The facilities of the RHTC include, Medical Officer Room, Doctors
Room, Pharmacy, Dispensary, X-Ray, Laboratory Services, Male and Female General Ward, Counseling Room,
Poisonous cases unit.
15
CASE STUDIES
16
CASE STUDY – I
AGE : 45 Years
SEX : Female
OCCUPATION : Agriculture
HOUSE :Pakka
B.P : 142/86
PULSE : 77
17
CASE STUDY – II
NAME : Mrs.Mariammal
AGE : 38 years
ADDRESS : Chunampet
NO, OF CHILDREN :3
18
CASE STUDY – III
Suggestion
Keep regular consultation with doctor
Maintain personal hygiene
Follow regular medications
19
CASE STUDY IV (Leprosy)
.
Name: Mrs. Mariyaal
Age: 91 Years
Sex: Female
Religion: Christian
No of Children: 1 Son (deceased)
Occupation: House Wife
Marital status: Widow
Monthly Income: Receives Rs 1000 as pension and also economic support by the Bishop
Newbegin Church
Diagnosis: Affected by Leprosy on both hands
History of Present Illness
Mrs. Mariyaal, 91 years old female, had been undergoing the treatment for years.
History of Past Illness
No history of any specific past illness and previous hospitalization
Family History
Patient herself a 91 year old widow, she has 1 son who died many before.
Drug History: No history of any allergy to drugs
Immunization History: Unknown
Socio-Economic Status
Patient is residing in a concerte house which is provided by the Catholic Begin Church Community
Earns a monthly income of Rs 1000 as pension
Suggestion
Keep regular consultation with doctor
Maintain personal hygiene
20
CASE STUDY V (Leprosy)
Suggestion
Keep regular consultation with doctor
Maintain personal hygiene
21
CONCLUSION
22
CONCLUSION
The period of 12 days posting at the Rural Health Training Center (RHTC) was really helpful. It enabled us to
learn about the RHTC and services provided here, and also to analyze the socio-economic status, demographic
profile, lifestyle and medical history of the village community. We take this opportunity to thank Mr.Vincent
Antony, for his guidance and providing us a practical exposure both on hospital and community setting. We
also thank all the staffs who support us to complete our training successfully.
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HOME VISITS
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LEPROSY COLONY VISITS
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