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अखिल भारतीय आयुर्विज्ञान संस्थान, नई दिल्ली
All India Institute Of Medical Sciences, New Delhi
कॉल सेंटर:  011-26589142

Patiend Education

PATIENT CARE

  
This has been divided into six broad categories

1. C.R.H.S. Project Ballabgarh              

2. Urban Health Programme

3. Sex & Marriage Counselling Clinic

4. AIIMS Delhi Mid-Town Rotary Hospital, Trilokpuri  

(Dental  & Opthalmic services rendered by resp. Depts.)        

5. AIDS Education & Training Cell

6. National Service Scheme Unit, AIIMS
 

1. C.R.H.S. Project, Ballabgarh

     1.1. Referral Hospital, Ballabgarh

     1.2. Community Health Services

     1.1. Referral Hospital, Ballabgarh

          1.1.1. OUTPATIENTS

The following outpatient departments are run:

        a)   General outpatients for adults         

        b)   Child Welfare Centre ­ for children       

        c)   Ophthalmology outpatients ­ Daily

        d)   ENT twice a week

        e)   Dental outpatients ­ Daily

        f)    Obstetrics  & Gynaecology OPD - daily

        g)   Epilepsy Clinic once a  week

        h)   Rehabilitation OPD two days a week

        i)    Psychiatric OPD once a week

        j)    ANC Clinic thrice a week

        k)   Nutrition Rehabilitation clinic once a week    

        l)    Pediatric Surgery OPD cum  surgery - once a  week

       m)   NCD clinic – once a week

                                   OPD LOAD

 New Patients

    68677          

ANC Regn.

4895

 

1.1.2.INPATIENTS 

The number of beds has remained unchanged at    50
(i)Total No. of admissions including Hospital births 5251
(ii) Number of Hospital births  1442
(iii)Bed Occupancy rate

64.6% (including newborns)

 

49.6% (excluding newborns)

(iv)  Average duration of  stay 2.2  days
(v)Admissions Via  Emergency 2990

              Via OPD       

819

              New Born

1442

 

           1.1.3.  DISTRIBUTION OF INPATIENTS BY SPECIALITY

Specialty

 

Number

Percentage

Medicine

747

14.2

Surgery

202

3.9

Obst. Gynae.

2081

39.6

Paediatrics

720

13.7

Ophthalmology

59

1.1

New Born

1442

27.5

Total

5251

100.0

 

            1.1.4.  CASUALTY

Number of patients registered

15302

Number of medico-legal cases

2366

 

             1.1.5. LAB SERVICES

             Diagnostic tests performed

 (i)   Lab investigations

 69932 (Including malaria slides)     

 (ii)  X-ray (Total) 

      7639

(iii)  Malaria slides

      3203  

       Malaria cases

       7

       P. Vivax 

       6

       P.  Falciparum

       1

 

 1.1.6 (i).TOTAL NUMBER OF SURGICAL PROCEDURES

              PERFORMED

Procedures

Number of  cases

Percentage

General surgery

526

45.9

Obst.&  Gynaecology

573

50.1

Ophthalmology

46

4.0

 Total

 1145

 100.0

 

       (ii).TOTAL NUMBER OF SURGICAL PROCEDURES

            (sex wise)

 

 

Adults

    n         %

Children

  n          %

Total

   n       %

Male

 212        20.5

 84       74.3

 296    25.9

Female

 820        79.5

 29       25.7

 849    74.1

 Total

 1032    100.0

 113   100.0

 1145 100.0

 

1.1.7.Revised National Tuberculosis Control Programme (RNTCP) 

 Ballabgarh hospital is a Treatment Unit under the Revised National Tuberculosis Control Programme and has 4 (four) Microscopy Centres under it.Total cases treated at  Ballabgarh Treatment Unit in 2003 was 993.  Of these, 386 were diagnosed at Microscopy centre of Ballabgarh.

Break-up of cases treated at Ballabgarh Microscopy Centre.

 

 Category    I              174
Category   II      52
Category  III 160
 Total 386

Sputum examination of  new cases                1870

1.2.  Community Health Services

Intensive Field Practice Area (IFPA)

This comprises of the two Primary Health Centres ­  Dayalpur & Chhainsa. Outpatient, domiciliary  &  referral  services  are being provided. 

1.2.1 Indices

(i)   Population  78562
(ii)  Birth Rate per 1000 population  

     25.1

(iii) Death Rate per 1000 population 7.0
(iv) Neonatal Mortality Rate per 1000 live births 25.9 
(v)  Infant mortality rate  per 1000 live births 54.3
(vi) Maternal mortality rate per 1000 live births 0.5

1.2.2  Load of OPD Patients at various Centres  in  IFPA

 

Name of PHC New  cases Repeat Visits  Total
Dayalpur  PHC 9855 10749 20604
Chhainsa PHC 11444 10192 21636

 

1.2.3 FAMILY WELFARE & MATERNAL CHILD HEALTH

 

The Project area is dependent on the District Family Welfare and Immunisation Offices for the supply of    
vaccines and other items.        

                   

(i)Total AN cases (new registration)   2314
Total AN cases carried over last year 1148
(ii)Pregnant women receiving AN care 95.7%
(iii)Complete TT coverage of registered cases 87.7%
(iv)Deliveries conducted by staff or hospital 524
(v) Eligible couple protection rate 53.6%  
(vi) Total number of persons who accepted Family Planning methods In the year 2003 1961
           Tubectomy 420
        ­ Vasectomy 5
           ­ CC users 827
          ­  IUD  268
        ­ Oral  pills   441 

 

Expanded Programme on Immunization

Coverage of 12 to 23  month of age

BCG 98.7%
OPV (3 doses) 98.6%
DPT (3 doses) 98.6%
Measles 97.7%
Complete Primary Immunization 97.7%

 

Beside this,   Oral Polio vaccine was also given under the Intensified Pulse Polio Programme on 6/4/03, 1/6/03, 14/9/03, 9/11/03, 4/1/04 and 22/2/04. The coverage was 99.9%. Each Polio Programme lasted for 4 days.

 

 1.2.4 NATIONAL PROGRAMMES

 

 1. MALARIA

 Collection of blood slides is done by active and  passive   surveillance in the IFPA.

 

Total number of  slides collected  11519
Total number of  positive cases  0 

    Indices

(i)  Annual blood examination rate 14.7 %
(ii) Annual parasite incidence rate 0
(iii) Slide positivity rate 0 %
   

2. TUBERCULOSIS

 

The Revised National Tuberculosis Control Programme is carried out in the IFPA on the national pattern.   Dayalpur PHC has been designated as a Microscopy Centre and caters to all villages under the IFPA.  The break-up of patients treated in the total Field Practice Area is as follows:

 

Category   1

49

Category   2

30

Category   3

38

Total

117

 

2.  Urban Health Programme:

2.1  Mobile Health Clinic : Mobile Van visits field Area (Ambedkar Nagar) on all days of week except Tuesdays/ Sundays/ Holidays from 9.30 AM to 12.00 PM.

 

 a)Total number of Patients seen at
     Ambedkar Nagar  

20,921
 b) Total number of Referrals 512
 c) Total number of Health talks given on different health topics at:Ambedkar Nagar 170
 d)    Immunizations  
       O dose OPV                                       112
                 BCG 397
                 DPT I 469
                 DPT II  420
                 DPT III 437
                 DPT B 303
                 OPV I  469
                 OPV II  420
                 OPV III 437

OPV B

          303

DT I + OPV

           64

DT II + OPV

           36

DT ( Booster) + OPV

          117

Measles

          431

M.M.R

          469

TT I (ANC)

          181

TT II (ANC)

          122

TT (Booster)

           56

TT Others + above 6 years

          109

Hepatitis B   O dose

           54

                   I  dose

          553

                   II dose

          454

                   III dose

          511

Vitamin  A

 

                   I dose - II dose

          358

                   Folifer (Adult)

607 X 30 Tabs

                   Folifer (Paedatric)

258 X 30 Tabs

e) Family Planning Services

 

                   Nirodh

     156 X 30

                   Oral Contraceptive Pills

     81 Cycles

f) Laboratory Services:

 

                   Blood smear for M.P.

         614

                   Haemoglobin

         596

                   Sputum for AFB

         119

   Urine routine & microscopic examination

         316

                   Urine Pregnancy Test

          69

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