Curricular visits

Introduction

Healthcare at PHCs constitutes efforts to serve the population at the grassroot levels. Thus, the members of the department of community medicine strive to keep up the motto. In conjugation, building a comprehensive & most importantly realistic approach in Rotatory Medical/Surgical Interns is a very vital aspect.

Health Training Centres

Currently, the Rural Health Training Centres (RHTC) at Fatuha PHC and Phulwarisharif PHC, and the Urban Health Training Centre (UHTC) at Gardanibagh Hospital Patna are attached to the Department of Community Medicine, Patna Medical College.

Urban Slums

The urban slums near Patna Medical College, and at Adalatganj area of Patna are attached to the department for the purpose of study and exposure of medical students towards family study, ICDS services and NHM initiatives. These are regularly visited by Interns and 7th semester medical students for advancement of their outlook towards primary care.

Photos of visit to urban slum:

Others

Water treatment facility
Milk processing factory

History

Initially, 3 Additional PHCs namely Neora, Sorampur and Sadisopur had been attached for rural training of Interns. Interns went to these centres regularly in batches tp get first hand community exposure under supervision of faculty members of the department.

Issues arising out of the condition of these APHCs were discussed at the IAPSMCon 2007. Some salient features of these centres (at that time in October 2007):

Neora

Distance – 22 km (one way)
Commuting time about 1 hr.
Metalled Rd except for last 200m
Building (1000 sq. ft) in good condition but still small for all needs
Nearest PS – Danapur 8 km away
No of patients in 07: >1930
Safe deliveries/ MTPs conducted (RCH II) - Nil.
FP work – very limited in 2007
No of immunizations - Data Not available in 2007
Fixed days RI from Bihta PHC
Other National Programs - RNTCP & NLEP
Limited no of essential drugs available
Training Inadequate

Sorampur

Population covered – 12,000
Distance – 30 km (one way)
Road bad, last 1.5 km stretch kucha – had to be covered on foot
Almost 2 hours to reach
Structure – damaged, inadequate for clinical work (500 sq. ft)
Nearest PS – Phulwarisharif 10 km
No of patients since in 07: >2646 Safe deliveries/ MTPs conducted (RCH II) - Nil.
No of immunizations: >1913
Fixed days RI from Phulwari PHC
Other National Programs - RNTCP & NLEP
Limited no of essential drugs available
Limited opportunities to develop clinical & managerial skills

Sadishopur

Population covered - 35,283
Distance – 45 km (one way)
Commuting time 2-3 hrs.
Road in very bad shape, last 1 km stretch kutcha - unmotorable during monsoon
Structure – (800 sq. ft) dilapidated & inadequate for clinical work
No of patients since Jan 07: >1348
Safe deliveries/ MTPs conducted (RCH II) - Nil.
No of immunizations: >1798
Fixed days RI from Bihta PHC
Other National Programs – RNTCP & NLEP
Limited no of essential drugs available
Training Inadequate

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