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PONDICHERRY INSTITUTE OF MEDICAL SCIENCES

(A unit of Madras Medical Mission)


DEPARTMENT OF COMMUNITY MEDICINE
RURAL HEALTH TRAINING CENTER (RHTC), CHUNAMPET
AN INTERNSHIP REPORT
UNDER THE GUIDANCE OF
Dr. ANIL PURTY, Professor
(HEAD OF THE DEPARTMENT – COMMUNITY MEDICINE)
Dr. NEWTON RAJ (Assistant Professor)
Mr. VINCENT ANTONY (Medical Social Worker – Tutor)

SUBMITTED BY,
ABHAYA K AFAGE
KRISHNA SHAJI
SREELAKSHMI S
SREENATH E.S.
MASTER OF SOCIAL WORK.
JAI BHARATH ARTS AND SCIENCE COLLEGE, PERUMBAVOOR, KERALA.

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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.

Dr. ANIL J PURTY Dr. NEWTON RAJ


Professor and Head Assistant Professor
Department of Community Medicine Department of Community Medicine
PIMS, Pondicherry PIMS, Pondicherry

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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.

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INDEX

Sl. No. Contents Page No.


1 INTRODUCTION 5

2 LEARNING 11
3 ACTIVITIES 14
4 CASE STUDY 16
5 CONCLUSION 22

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INTRODUCTION

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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

Head of the Department (Dr. ANIL PURTY)

Center Supervisor (Dr. Newton Raj)

Resident Medical Officer (Dr. Sidharth Gautham)

Lady Medical Officer (Dr. Revathy)

Medical Social worker Cum Tutor (Mr. Vincent Antony)

Pharmacist (1)

Staff Nurse (4)

Lab Technician (1)

X- Ray Technician (1)

ANM

Attender (2)

Driver (1)

Gardener (1)

Cook (3)

House Keeping (3)

Security (3)
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Activities of RHTC Dept. of Community Medicine

COMMUNITY LEVEL
House To House Visit
❖ Social economic condition
❖ Health Status
❖ Housing Condition
❖ Social Mapping

Conducting School Health Programs


❖ Health Check up
❖ Health Education

Conducting Free Medical Camp


Conducting Health Day Programs
Conducting Training Programs for the Community
Follow up of Referral Cases
❖ Follow up of Poisonous cases
❖ Counseling Mobilization

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.

Service Areas of RHTC


1. Agaram
2. Andarkuppam
3. Arasoor Colony
4. Arasoor Village
5. Chunampet
6. Illedu
7. Kavanoor
8. Kayanalloor
9. Mampakkam
10. Manapakkam
11. Mamapattu
12. Othivilagam
13. Puthirankottai
14. Pudhuppattu
15. Thangal
16. Vaniyanallore
17. Vellakonda Agaram
18. Villipakka
19. Durayur
20. Venandhal

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LEARNINGS

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NATIONAL IMMUNIZATION SCHEDULE

AGE VACCINE DOSAGE


Birth Bacille Calamatte Guerin (BCG) 1
Oral Polio Vaccine
Hepatitis B (Hep B1)
6 Weeks Diphtheria, Pertusis, Tetanus (DPT) 1
Inactivated Polio Vaccine (IPV) 1
Hepatitis B (Hep B2) 1
Haemophilus Influenza Type B (Hib 1) 1
Ritavirus 1
Pneumococcal Conjugate Vaccine (PCV 1) 1
10 Weeks DPT-2 1
IPV-2 1
Hib-2 1
Rotavirus-2 1
PCV-2 1
14 Weeks DPT-3 1
IPV-3 1
Hib-3 1
Rotavirus-3 1
PCV-3 1
6 Months OPV-1 1
Hep-B3 1
9 Months OPV-2 1
MMR (Measles, Mumps, Rubella)-1 1
9-12 Months Typhoid Conjugate Vaccine 1

12 Months Hepatitis – A 1

15 Months MMR-2 1
Varicella 1
PCV Booster 1

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16 – 18 Months DPT B1 1
IPV B1 1
Hib B1 1
18 Months Hep – A 1

2 Years TCV Booster 1

4-6 Years Varicella-2 1


MMR – 3 1
OPV- 3 1
OPT B2 1
10-12 Years T dap/1d 1
HPV (Human Pappilloma Virus) 1

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ACTIVITIES

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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:

(a) Role of medical social worker in community medicine.


(b) Role of medical social worker in medical setting.

Managing Out Patient Registrations at RHTC


For a period of two weeks we had managed the outpatient registrations of Rural Health Training Center (RHTC)
from 8.30 A.M. till 6. 00 P.M. Each patient who comes for the consultation has to register their names at the OP
Counter. Totally 317 patients are received and provided care by the RHTC, in which 190 of them were males and
127 of them were females. Majority of the cases were accident cases. Some of the patients were having fever,
myalgia, testing sugar and pressure, poison consumption cases, poisonous arthropod bites and skin diseases.

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.

Field Visit to Illedu village.


On 15/04/2019 along with Mr. Vincent Antony (MSW) we had visited the Illedu village. The main aim of the visit
was to collect information regarding the research focusing on the Prevalence of Diabetes Retinopathy among the
diabetic patients. We filled the questionnaire and tested the vision, B.P, B.M.I. and other information. We also
conducted socio economic study on two families.

Leprosy Colony Visit


During the period of posting had an opportunity to visit the leprosy colony. The leprosy colony is situated in
Agaram village which is situated 3 km Away from RHTC. The leprosy colony was established in the year 1973;
presently there are 24 houses, 11 families and 4 patients affected with Leprosy. The Houses as well as the financial
support is provided by the catholic Begin Church Community. We had an opportunity to interact with the leprosy
patients and collected three case studies.

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CASE STUDIES

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CASE STUDY – I

NAME : Ms. Renuka

AGE : 45 Years

SEX : Female

FATHERS NAME : Manikyan

MOTHERS NAME : Angala

MARITAL STATUS : Unmarried

OCCUPATION : Agriculture

MONTHLY INCOME: 1000 Rs.

HOUSE :Pakka

HEALTH CONDITION: Good

B.P : 142/86

PULSE : 77

WATER SOURCE : Public standing pipe

SANITATION : Open defecation

LIVING AREA : 10 * 10 sq. ft.

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CASE STUDY – II
NAME : Mrs.Mariammal

AGE : 38 years

HUSBAND’S NAME : Velu

ADDRESS : Chunampet

OCCUPATION : Home maker


HUSBAND’S OCCUPATION : Security

TOTAL MEMBERS IN THE FAMILY :6

NO, OF CHILDREN :3

FRIST CHILD :Venmathi Velu


AGE 17
EDUCATIONAL QUALIFICATION : Degree
SECOND CHILD :Adhithyan Velu
AGE 12
EDUCATIONAL QUALIFICATION :7 std
THIRD CHILD :Augustia Velu
AGE :10
EDUCATIONAL QUALIFICATION : 5 std
DETAILS REGARDING THE OTHER FAMILY MEMBERS
MOTHER (Velu) : Valiammal
PRESENT ILLNESS : Mouth Ulcer ( 58 year old woman have a history tobacco consumption)

MONTHLY INCOME: 20000 SANITATION: Attached toilet


HOUSE: Concrete WATER SOURCE: Bore well
HEALTH CONDITION: Good LIVING AREA: 8 * 8 sq ft
B.P: 112/75 PULSE: 73

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CASE STUDY – III

Name: Mr. Elumalai


Age: 70 Years
Sex: Male
Religion: Hindu
No of Children: 2 Sons
Occupation: Farmer
Marital status: Married
Monthly Income: Receives Rs 1000 as pension and also economic support by the catholic
Begin Church
Diagnosis: Affected by Leprosy, has rashes on both hands and right knee
History of Present Illness
Mr.Elumalai, a 70 year old male had been undergoing the treatment for leprosy since 1965. At the time of first
discovery consulted at a hospital in Pulambakkam. Presently he has rashes on both hands and right knee.
History of Past Illness
No history of any specific past illness and previous hospitalization
Family History
6 Members in the family, two male i.e, 1 patient himself 70 years old and his wife 65 years old woman, 1 son,
daughter in law and 2 children
Personal History
Patient is purely both vegetarian and non-vegetarian
Drug History: No history of any allergy to drugs
Immunization History: Unknown

General Physical Examination


General condition fair
Patient is well conscious and well oriented to time, place an person

Suggestion
Keep regular consultation with doctor
Maintain personal hygiene
Follow regular medications

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CASE STUDY IV (Leprosy)
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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

General Physical Examination


General condition fair
Patient is moderately conscious and not well oriented to time, place and person

Suggestion
Keep regular consultation with doctor
Maintain personal hygiene

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CASE STUDY V (Leprosy)

Name: Mrs. Jane Mary


Age: 67 Years
Sex: Female
Religion: Christian
No of Children: 1 Daughter
Occupation: House Wife
Marital status: Widow
Monthly Income: Receives Rs 1000 as pension and also economic support by the Bishop
New begin Church
Diagnosis: Affected by Leprosy on both hands
History of Present Illness
Mrs. Jane Mary, 67 years old female, had been undergoing the treatment for the past years. She started the treatment
when it was first discovered and it gradually increased in size and numbness affecting both the hands.
History of Past Illness
No history of any specific past illness and previous hospitalization
Family History
Patient herself a 67 year old widow, she has 1 daughter who is married and make periodical visits.
Drug History: No history of any allergy to drugs
Immunization History: Unknown
Socio-Economic Status
Patient is residing in a concrete house which is provided by the Catholic Begin Church Community
Earns a monthly income of Rs 1000 as pension

General Physical Examination


General condition fair
Patient is well conscious and well oriented to time, place an person

Suggestion
Keep regular consultation with doctor
Maintain personal hygiene

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CONCLUSION

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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

LEPROSY COLONY VISITS

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LEPROSY COLONY VISITS

HOME VISIT AT ILLEDU VILLAGE

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