IJCM_33A: Comprehensive Women’s Wellness and Family Welfare Clinic: A Promising Approach for Holistic Healthcare in PGIMER Satellite Sangrur, Punjab

Abstract

Background: Women’s health disparities, often rooted in sociocultural discrimination, prompted the establishment of the ‘Women’s Wellness and Family Welfare Clinic.’ Objective: The objective of this clinic was to address the adolescents and women-related issues, screening, counselling, mental health, diet and nutrition and, family planning services under one roof. Methodology: The initiative was launched in September 2023 with collaborative efforts between the Department of Community Medicine & SPH and the Department of Gynaecology and Obstetrics at the PGIMER satellite center in Sangrur, Punjab. The clinic comprehensively, recorded socio-demographic profiles, clinical histories and various health dimensions, including physical parameters, mental well-being, social factors, NCD risks, and family planning. Positive screening results prompted referrals for further evaluation. Results: A total of 252 participants underwent screening, of whom 98 (38.9%) were aged 30-39, 32 (12.7%) were planning pregnancy, and 146 (57.6%) were using contraception, with tubal ligation being a prevalent choice 64 (43.4%). Beyond gynaecological concerns, participants reported chronic lower backache (59; 23.4%) and numbness of hands or feet (56; 22.2%) as common symptoms. More than one-third, 96 (39.09%), were found to be at risk for non-communicable diseases (NCDs), with 19 (7.5%) having hypertension, 10 (3.9%) with pre- diabetes/diabetes, and 5 (2%) presenting with breast lumps. Visual Inspection with Acetic Acid (VIA) revealed a 1.2% positivity rate among 117 participants. However, 161 (63%) participants had a BMI over 25, and 121 (48%) consumed fried snacks daily. Domestic abuse was reported by a mere 2 (0.4%) participants, shedding light on the clinic’s potential role in uncovering hidden health issues. Conclusion: The success of this initiative underscores the feasibility of the model wellness clinic in an evolving phase of satellite centre. By offering comprehensive health assessments and facilitating timely referrals, the clinic stands as a promising approach to enhance early detection and treatment, contributing to the holistic well-being of women.