Health Camps Research Articles

Understanding dermatological health challenges in rural communities - An epidemiological study

Skin diseases contribute to significant morbidity to the patients which have geographical variation. There are many hospital-based studies describing the distribution of dermatoses but social and preventive health camps conducted in rural areas often give the real portrait of the dermatological burden in entire population. To provide a detailed overview of the prevalence of skin diseases in a rural area. This is cross sectional study conducted in people attending preventive health camps in Pudukottai district over a period of 3months. Patients with various dermatological complaints are diagnosed clinically and details recorded using a proforma tailored for recording dermatology conditions. Statistical analysis was made according to patient profile, final diagnosis and appropriate treatment suggested. Awareness about the preventive measures were educated.In our study, among the 5870 patients attending the dermatology campy, 1468 had dermatological complaints. Males outnumbered females and the most common age group is 40-60years. Non-infectious dermatoses were predominant, some of them include eczema, appendageal and pigmentary disorders. Infectious dermatoses are the second common, among them the fungal infections top the list followed by bacterial and arthropod infections. Planning of the health programmes should be tailored to the individual needs of a community. This study provides valuable insights into the epidemiology of dermatological conditions in the studied rural population. Further researches are warranted to enhance diagnostic, therapeutic and preventive strategies for these conditions.

Role of Pakistani e-libraries in promoting health awareness for the attainment of Sustainable Development Goal-3.

Pakistan is a densely populated South Asian country. It is facing numerous health challenges, as well as problems of the digital divide. The government of Pakistan established e-libraries as a pilot project in 2018. These libraries are functioning through community centers/public libraries in the largest province of the country. This paper examines the role of Pakistani e-libraries in creating health awareness and providing health information to the public. The qualitative research design was based on focus group discussions with the head librarians of all 13 of the 20 e-libraries contacted. The findings revealed that e-libraries actively create health-related awareness and connect the public to health advisors. The e-libraries were engaged in four types of health-related activities (seminars, awareness campaigns, open health camps, and special health day celebrations) with high attendance from the public. Attendees of these programs returned to librarians with additional health-related queries. The study suggests a need for more liaison between the community and local healthcare institutions. This approach can make these programs more effective in helping individuals manage their health. The results of this study can serve as a useful guide for other developing nations in developing similar services.

Exploring the Health Care Seeking Behavior of Rohingya Community during COVID-19 Pandemic

Introduction: COVID-19 was declared a 'pandemic,' and it was the most horrific diseases the world. Objective: The study aimed to explore the healthcare-seeking behavior of Rohingya people during the COVID-19. Materials and methods: It was conducted as a cross-sectional study involving a sample size of 200 participants. Respondents were chosen through convenience sampling methods. The study population was the Rohingya population residing in Cox’s Bazar. A well-designed and pretested set of structured questionnaires was used to collect the information. The total study duration was for 3 months. Informed consent was taken from the participants, and Ethical clearance was taken from the IRB of AIUB. Data were analyzed using IBM STATA 16. Place and period of study: The study was conducted at Cox’s Bazar Rohingya Camp in Bangladesh. Results Majority (40%) of the respondents was aged between 30 to 49 years and 51% of them were female. A significant majority, 88%, expressed a preference for treatment at a Refugee health camp, while 9% opted for a Pharmacy and 3% chose a Traditional healer. Overall, 88% of respondents demonstrated positive behavior, in contrast to 12% who exhibited negative behavior. The results of a multivariate logistic regression analysis indicated that factors such as low educational attainment, fear of visiting health facilities, and a lack of awareness regarding COVID-19 prevention were significantly associated with negative health-seeking behavior. Conclusion: The healthcare-seeking behavior exhibited by the Rohingya community in Bangladesh during the COVID-19 pandemic has been observed to be commendable.

Development of prediction model for risks of musculoskeletal chronic lumbopelvic pain in Indian women

Chronic lumbopelvic pain (CLPP) and its associated disabilities significantly affect women's social, professional, and personal lives. However, the specific factors contributing to CLPP in women remain unclear. To address this gap, this prospective cross-sectional study aims to identify the risk factors predicting CLPP in women and develop a prediction model that can predict CLPP in women. The study was conducted across Delhi, India, where free health camps were held, and 2400 women were assessed. Among the assessed individuals, the study revealed a high prevalence rate of CLPP among Indian women, standing at 70.4%. Seven risk factors namely, hamstring muscle tightness (> 20° on passive knee extension test), increased lumbar lordosis (> 11.5 cm of the lumbar lordotic index), reduced hip flexibility (> 15 cm on bent knee fallout test), altered foot posture (≥ 20 on foot posture index score), increased perception of psychological stress (> 25 on cohen’s perceived stress scale-10 score), reduced physical activity level (< 475 metabolic/minute on international physical activity questionnaire) and reduced performance of transversus abdominis muscle (≤ 5 on deep muscle contraction scale score) strongly predict the risks of CLPP in women. Identifying these risk factors is crucial for effectively preventing and managing CLPP symptoms, especially considering its high prevalence among Indian women. Health professionals should prioritize raising awareness about CLPP and its causative factors, as well as implementing strategies for early detection and intervention.

The Digital Lives of the Poor: Entertainment Traps and Information Isolation

Smartphones have enabled the delivery of life-improving information services to base-of-the-pyramid (BOP) consumers. However, little is known about how the poor interact with the digital world. Through a novel app we developed to investigate real-time smartphone usage, we identify an unnoticed barrier to digital information access by the poor—data shortages. By analyzing over 9.4 million minutes of smartphone usage data from 929 residents of a Mumbai settlement, we find that entertainment consumes 61% of their phone time. Our data reveal that under universally adopted monthly data plans, low-income individuals binge on YouTube and social media, resulting in data shortages and information isolation in the late-plan period. We offer a practical operational solution to this problem—shorter data-replenishment cycles—which serve as a commitment device to curb binge usage. We randomly assign participants to a “capped plan”—with daily data usage caps—or a standard (monthly) plan. Assignment to the capped plan increases late-plan access of invites to health camps sent via WhatsApp, increases attendance at these in-person camps by 27%, and reduces social media binge usage. Most participants (particularly those with low self-control and high fear of missing out) prefer the capped plan, even when costlier—clearly signaling demand. Because capped plans are inherently cheaper to provide, offering them could enable providers to increase BOP customer value and expand access. Our results suggest an opportunity to amplify the impact of life-improving services targeted at the poor by leveraging users’ interactions with smartphone technology. This paper was accepted by Victor Martínez de Albéniz, operations management. Funding: Financial support from The Wheeler Institute for Business &amp; Development is gratefully acknowledged. Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2024.4989 .

Continuing Medical Education (CME) on the Family Adoption Program

The Family Adoption Program has been incorporated into the MBBS curriculum starting from the 2021-22 batch. This change in the curriculum aims to align it with competency-based medical education and ensure comprehensive coverage of cognitive, affective, and psychomotor domains of learning. The objective of the program is to enhance the accessibility of healthcare services to the rural and underserved people. This is necessary because the existing healthcare facilities in our country are primarily located in urban regions, while the rural areas have a higher concentration of population but limited health care facilities as well as poor access to healthcare. [1] A two-hour session was conducted under the banner of pre-conference CME of JHIAPSMCON 2024 on the topic- Family Adoption Program: A roller coaster ride. There were about 30 participants representing nine medical colleges of Jharkhand. The session was chaired by two faculty from an autonomous Government institution of the state. The agenda for discussion were the brief introduction on Family Adoption Program, its implementation, the role of health camp in FAP and ways in which students may be engaged in health camp and lastly the strengths, weaknesses, opportunities and challenges of the program. The intention was to share the experience of FAP implementation at Manipal Tata Medical College and also exchange of ideas and experiences by all other institutions. The perspective of faculties from other institution were also discussed. [2] There were four resource person for the session which continued one after the other with a brief discussion with the participants at the end of each sub-session.

A study on scenario and assessment of health camps in north Karnataka by KLE’s Dr. Prabhakar Kore hospital: facilitate health care to community people

Background: Health-camps offering specific populations brief medical interventions could be helpful as 60% of India’s population lacks access to basic medical facilities. This study provides useful insights for organizing, planning, and implementing health-camps by epidemiologically analyzing a health-camp event in a rural area in southern India; arranging and planning health-camps, as well as using exit interviews to gauge participants’ expectations and levels of satisfaction; determine the health issues that impoverished residents of Belagavi district. Health-camp is a strategy for universal health coverage used by highly qualified doctors to offer the underprivileged affordable care. Methods: A self-structured questionnaire was utilized to interview 219 beneficiaries for the research. These were divided into sections containing participant sociodemographic data, 21 items that evaluate satisfaction of health camps and question concerning expectations of post camps. 4-point rating system was employed to collect the responses: poor (1) to excellent (4). Ages ≥14 for men or women. Along with medical or non-medical services, the questionnaire also included questions about camp site accessibility, reception counters, initial medical check-ups, screening tests, behavior of doctors and other staff, waiting times, drug supply, preliminary information, referrals, length of health camp, cleanliness, and camp performance overall. The participants’ average age was 40.2 years. Results: Both genders participated equally in study, 76% married and 46% participants studied up to high school. 59% of the participants, belong to a nuclear family, rural residence (81%), occupation 33% housewife and 26% business. More number of participants (46.51%) received information about camps through the village announcement. Conclusions: The health camp was conducted and appreciated by most of the participants and suggested to continue the same health camps programme to promote good health every one the area.

Frequency and pattern of Skin Disorders in Adolescents in a School of Kathmandu

Introduction: Skin disorders are one of the major causes of morbidity in Nepal. The objectives of this study are to determine the relative frequency and pattern of skin disorders in a cohort of adolescents 9-18 years of age. Methods: The study was conducted in a residential school of Kathmandu. A detailed information about the study was given to the student members of a school club and they in turn, informed all the other students of the dermatologic health camp, which was conducted subsequently. All students appearing at the camp were examined by a dermatologist and information regarding age, gender, school grade and diagnosis were recorded in a pre-validated format. Results: In the school there were a total of 950 students (627 m, 323 f). Of them 242 (116 m, 126 f) had skin disorder with a point prevalence of 25.5%. Female students had significantly higher prevalence (29%) than male (18.5%). The most common skin disorders were acne, eczemas and urticaria, and the 10 most frequent diagnoses comprised 87% of all skin conditions. Conclusion: This study demonstrates that 1/4 of the students had one or more identifiable skin disorders. Despite the wide range of dermatoses, only a few of them accounted for a major proportion of the skin disorders. This study provides data for targeting health care programs for prevention and treatment of skin disorders in this age group.

A Study of Sexually Transmitted Infections Among Patients Attending Suraksha Clinic &amp; Targeted Intervention Clinics In Nainital District: A Cross-Sectional Survey

Background: Sexually transmitted infections (STIs) pose a global health threat, particularly among vulnerable populations. Aligned with the National AIDS Control Program, this study focuses on estimating the prevalence of STIs in India, targeting Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum, and Trichomonas vaginalis. The aim is to identify gaps, understand factors influencing STI screening, and propose improvements. Objectives: Uncover barriers in STI screening, diagnosis, and management at Suraksha and targeted intervention clinics. Identify socio-demographic factors associated with screening barriers. Methodology: Sample unit: Patients at Suraksha and TI clinics. Sample size: 577 participants, including community-surveyed and health camp attendees. Sampling design: Complete enumeration. Cross-sectional survey in specified Haldwani and Nainital clinics. Results: Age group 20-40 exhibits higher symptomatic individuals, underscoring the need for screening in young and middle-aged adults. Only 55% of positive cases sought treatment, citing stigma, mild symptoms, and unawareness. Health workers, especially spouses, play a crucial role in testing and counseling. Delayed presentation at health facilities due to long waiting times, mild symptoms, lack of awareness, and distance. Conclusions: While the program succeeds in various aspects, infrastructure improvement, heightened awareness, and addressing stigma are crucial. Recommendations include more staff, wider service publicity, and better availability of essential resources.

Detection of Cervical Precancer Using Visual Inspection Method with Acetic Acid.

Cervical cancer screening is the priority activity of the government. Visual inspection with Acetic acid (VIA), Pap smear Liquid-based cytology, and HPV DNA testing are different methods of screening. VIA-based screening is the cost-effective method of screening in a resource-constrained setting like in our country as this doesn't require cyto-histological testing, can be performed by trained paramedics too, and is as accurate as a cytological test. The aim is to explore pre-cancer cervical lesions by screening women in the community by visual inspection using acetic-acid. Community-based cross-sectional study done at a health camp setting for three months from March to June 2023. The married non-pregnant women of 30-60 years were screened. Descriptive tests as well as sub-group analysis performed by Chi-Square tests. From ten community health camps, 1255 cases were screened and screen positivity was 14.3%. Positive results were proportionately distributed to all parity by 13-19%. Half of the positive results (47.2%) were in the 34-40 age group. There were no significant differences in screen positivity by parity or vaginal discharge. Menopausal women had 7.7% screen positivity. The prevalence of VIA positivity in the community was found double the previous facility-based prevalence; and there was no significant difference by parity, menopausal status, and vaginal discharge. The positivity was more in 30-45 years of age.

The forgotten old or the soviet experience of forming a “healthy space” using the example of children’s summer health camps

The difference between the modern “symptomatic” and systemic Soviet approaches to the formation of a “healthy space” is analyzed, using the example of the creation of children's health camps. The research and chronology of a small part of the work in this direction is presented. The current state of the issue is considered. The article comprehends part of the processes of creating a “healthy space” and a “healthy city”.

METHODS AND ACTIVITIES OF HEALTH COMPETENCE DEVELOPMENT IN NON-FORMAL ENVIRONMENT: EXPERIENCE OF CHILDREN WITH TYPE 1 DIABETES MELLITUS

Diabetes mellitus is a disease when certain processes in the body, which maintain a normal blood glucose concentration, get imbalanced. Research object is educational methods and activities used for the development and training of health competence. The aim of the research is to reveal educational methods and activities used for the development of health competence in non-formal environment, based on the experience of children with type 1 diabetes mellitus. Research methods: theoretical – analysis, comparison, and generalization of scientific literature; empirical – the use of focus group discussions with children with diabetes mellitus for data collection; Empirical research revealed that various educational methods and activities aimed at developing health competences are carried out for children with type 1 diabetes mellitus in non-formal educational environments (medical facilities, summer camps and health camps). The following activities and classes are used in medical facilities: lessons, conversations, questionnaires, and games. Activities used in summer camps are as follows: walks, cycling, games designed to develop physical activity skills. In the educational environment of health cams, the following educational methods and activities are used for the development of health competence for children with type 1 diabetes mellitus: lessons, games, educational activities, trips, and creative activities.

Unani Fundamentals portraying Public Health and Healthy Nation

The establishment and upkeep of national health depends heavily on public health. The endeavor entails employing diverse tactics and measures to safeguard, enhance, and elevate the well-being of societies. Unani medicine, an ancient system of healing that originated in Greece and was later developed and enriched by Persian and Arabic physicians, has its own set of principles that can contribute to public health and the creation of a healthy nation.Unani fundamentals approaches health holistically, taking into account physical, mental, social and spiritual factors.In addition to providing customized care based on a patient's constitution (temperament or Mizaj), Unani system of medicine has several other benefits for the general public's health for example prevention and maintenance of one’s health through ‘Asbab Sitta Daruriyya waGhair Daruriyya’ that includes dietary recommendations, lifestyle modifications, sleep patterns and performing practices like cleanliness and moderation, doing exercise etc. Additionally, integrating Unani medicine into community health programs like health camps, awareness sessions and distribution of herbal formulations for common ailments can provide a holistic approach to healthcare. In summary, Unani medicine's emphasis on holistic health, preventive care, individualized treatment, natural remedies, lifestyle modifications, community health, and integration with modern medicine aligns with the goals of public health. The objective of this study is to shed light on the foundations of Unani medicine, which is crucial for preserving health at all levels and enhancing it when combined with contemporary medical procedures to improve health both nationally and among individuals.

Complaints and Advices of Alternative Medicine among Pilgrimages Visitors in Vivahpanchami at Janakpurdham, Nepal

Background &amp; Objectives: Potential health related risks and spread of communicable disease is one of the challenges of religious mass gatherings. With the rise of globalization, parts of Ayurveda are now popularized as a form of alternative medicine. In Nepal, Ayurveda medicine faces lots of challenges, and is under threat due to inadequate funding, ignorance of modern diagnostic technologies, and insufficient quality research. It is vitally important to continually monitor and promote Ayurveda in the modern era of allopathic medicine. Thus, this study aimed to identify the main complaints and advices on Ayurvedic medicine among pilgrims visiting Vivahpanchmi in Janakpurdham, Madhesh Province, Nepal. Materials and Methods: The information was gathered from the registration book of pilgrims who attended an Ayurveda health camp at Rangbhumi Maidan (Barahbigha) in December 2023, organized by the Ayurveda and Alternative Medicine center, Janakpurdham Sub Metropolitan office, Dhanusha, Madhesh Province. The extracted data were imported into MS Excel and SPSS 20 was used for analysis. Data were expressed in frequencies and percentage. Results: Of the 707 pilgrims, 97.7% were from India and 2.3% were from Nepal; 68.9% of the visitors were women and 31.1% were men. Out of all visitors, less than 10% were over 60, and more than half were between the ages of 41 and 60. Gastritis accounted for the highest percentage (45.9%), followed by joint pain, weakness, back pain (31.3%), and coughing (17.1%). Only 4.4% of people reported being constipated. Conclusion: The most common complaints from Pilgrims were related to gastritis (Amlapitta), which was followed by joint discomfort, weakness, and back pain (Vata). The possible ayurvedic advices and medications were provided and distributed among the pilgrims during Vivahpanchmi.

Anemia Awareness Program in a Suburban Middle School: A Pilot Study Promoting Students as Public Health Advocates in Their Community.

Almost a quarter of the people on earth are anemic, and most of them reside in regions of sub-Saharan Africa and South Asia. Anemia in children is linked with impaired cognitive and motor development and affects the future earning capacity. The most common cause of anemia is iron deficiency. The Indian Government has initiated multiple programs for the eradication of anemia. The prevalence of anemia has not decreased despite the improvements in the country's economy. It increased from 58.7% in 2015-16 to 67.1% in 2019-21 in childrenand from 50.4% in 2015-16 to 52.2% in 2019-21 in pregnant women. Maternal education, socioeconomic status, and number of children in the family are some factors that influence the prevalence of anemia. As these factors cannot be improved in a short time, we aimed to increase awareness about this issue by targeting school students from rural/semi-urban backgrounds. This pilot study aimed at promoting school students as public health advocates in their community. Anemia Awareness Program was conducted ina local middle school in the suburban area, which was attended by 153 class eight students (72 female). Pre- and post-test questionnaires comprising 20 multiple-choice/true-false type questions were used. Pre- and post-test scores were obtained. The second part of the study was the identification of students with anemia. Blood hemoglobin levels of 127 students (58 female) were measured from venous blood samples. The students were also asked to inform their friends/relatives about anemia and to send people with symptoms of anemia to the free two-day Anemia Awareness Camp organized by the Medical College Hospital for check-ups. The mean post-test score (15.68/20) was much higher than the pretest score (2.99/20). Thirty-eight (25 female) out of 127 students had mild/moderate microcytic hypochromic anemia, suggesting iron deficiency. Thirty-two persons visited the free health camp to receive information from the students, of whom four had normal hemoglobin levels. This pilot study showed that physician-conducted anemia awareness programs are relatively low-cost methods to spread information amongthe general population in India.

Health and demographic indicators of selected districts of India: An impact of Swasthya Rakshan Programme (SRP).

Swasthya Rakshan Programme (SRP) provides health care services through Ayurveda, an initiative of the Government of India that aims to survey and create alertness of essential health appliances to ameliorate society from its grassroots level. The present study aimed to survey the prevailing health standards of residents in certain districts of India and to record the prevalence of diseases among them according to their living conditions, food habits, lifestyle, education, occupation and other socio-economic status. Data was collected through a community-based cross-sectional survey conducted from April 2018 to March 2019 in 22 Districts of 19 states in India. A stratified multi-stage sampling design was adopted for the survey. Documentation of demographic profile, food habits, lifestyle, hygiene status, and existing health conditions was assessed. A pre-designed semi-structured questionnaire was used for the collection of the data. Before initiating the programme, written consent was obtained. In this study, from 162 selected villages/colonies/areas, a total of 562,913 population and 81,651 households were surveyed. Sixty-nine thousand three hundred nineteen patients were cared for various ailments through health camps. The study found that the most prevalent disease in the concerned population was 'Sandhivata' (Osteo-arthritis), that is, 43.0%, followed by 'Dourbalya' (Debility), that is, 11.7%. The study includes insightful analyses of comprehensive demographic and health indicators classified by various socio-economic categories. The collected data regarding the prevalence of diseases with their sociodemographic correlations may provide a better understanding of the locality and thus may help in all future health endeavours.

IJCM_389A: A community based cross-sectional study on perception, attitude, and stigma towards mental illness among the rural community in Mangalore

Introduction: Mental disorder is a behavioral pattern which causes either suffering or poor ability to function in ordinary life. According to WHO health report 2022, 970 million people suffer from mental illness globally. 80% people with mental illness live in low and middle-income countries, which is a matter of concern for India being the most populated country in the world. This study aims to assess the attitude and perception of people towards mental illness and to identify the presence of stigma towards mental illness in the community. Methodology: This cross-sectional study was conducted among 320 individuals aged above 18 years from Jeppinamogaru, Boloor, Shiv Nagar and Neermarga of Mangalore. Data was collected using a pretested semi-structured questionnaire of the CAMI scale rates a total of 40 items on a 5-point Likert scale (1 = strongly agree to 5 = strongly disagree) and analyzed using SPSS version 25. Results were expressed as proportions using appropriate tables and graphs. P&lt; 0.05 was considered as statistically significant. Results: Out of 320 individuals assessed, 73.1% were females, with 50% aged over 45 years. The lower middle class constituted 35.3%, while only 0.6% belonged to the lower class. Awareness of mental illnesses was low, with only 42 individuals (13%) are knowledgeable. Most relied on behavior to identify mental illness, and 54.1% favored hospital treatment. 31.6% believed mental illness was genetically inherited as it is running through families. Medium stigma was prevalent across all domains of the CAMI scale, with the least stigma observed among the upper class. Conclusions: The study revealed low to medium level of stigma toward mental illness among lower and upper middle-class SEC individuals, alongside insufficient knowledge about mental health issues. Addressing these gaps, necessitates community awareness campaigns, enhanced education in schools, and increased accessibility to community-based mental health services and health camps.

IJCM_416A: Health Profile of Anganwadi Workers: a camp-based study conducted at a Tertiary Hospital, Mumbai, India

Background: As part of the Integrated Child Development Services program, The Anganwadi system is mainly managed by the Anganwadi worker (AWW). The fundamental tasks performed by Anganwadi workers are crucial and must be completed as effectively as possible. Hence the good health of Anganwadi workers decides how efficiently they can do their allotted work. So, this study was conducted to assess the health profile of Anganwadi workers. Objective: To assess the health profile of Anganwadi workers attending a Health checkup camp at a Tertiary Hospital. Methodology: A cross sectional descriptive study was conducted at a free health camp in a Tertiary Hospital of Mumbai, India, by the staff and interns of the Department of Community medicine. All AWWs who attended the camp were included in the study. AWWs who attended the health checkup camp were assessed for morbidity. Data collected by semi structured questionnaire was entered into Microsoft Excel and analysed using SPSS version-17.0. Results: Most of AWWs were from the age group of between 41-50 years; more than half of them were matriculate and 34(69.38%) workers had an experience of more than 10 years. Around 49% of them were having abnormal BMI and 53% were anaemic. PAP smear findings were abnormal in 4% AWWs. Conclusion: AWWs are considered cornerstone in providing ICDS services, but in this study, we found that most of AWWs themselves were not at their good health. Regular health checkups of healthcare workers of each level should be done to efficiently deliver the healthcare services to people of our country.

IJCM_261A: Reaching the unreachable: An outreach based approach of IGMC Shimla to organise Ayushmann Health Melas/ Camps at Secondary level facilities in 03 districts of Shimla, Solan and Bilaspur in vicinity of the college

Background: Soul of India lives in its villages with &gt;65% population living in rural settings. Saturation of all services especially Health services is at core of “leave no one behind” in line with principle of ‘Antyodaya’ reaching out at all. To build momentum with Pradhan Mantri Jan Arogya Yojana Ayushman Health Camps were organised by IGMC Shimla at secondary level facilities under flagship campaign Ayushman Bhavah Objective: Evaluation of health care services delivered by IGMC Shimla in Ayushmann Health Melas at secondary level facilities of 03 districts of Himachal Pradesh. Methodology: Ayushman Melas organised by IGMC Shimla at secondary level facilities from September 2023 to December 2023 in 03 districts Shimla (25); Solan (12) and Bilaspur (13) for providing clinical services to beneficiaries. Real time portal based reporting and analysis of same alongwith specialitywise footfallbifurcation is core. Results: As per Real time-based portal report analysis a footfall of 10379 registered out of which 9055 (87.24%) availed specialists services and 1324(12.74%) general physician services. A net of 2672 (29.5%) beneficiaries availed internal medicine specialist services, 458 (5.05%) surgical, 1619 (17.87%) orthopaedics, 772 (8.52%) obstetrics and gynaecology, 1460 (16.12%) Opthalmology, 698 (7.7%) Otorhinolaryngology, 152 (1.67%) psychiatry, 493 (5.44%) dermatology and 731 (8.07%) paediatric services respectively. 1012(9.75%) new diagnosed Hypertensives and 945 (9.10%) new diagnosed Diabetics, 1492 14.37%) beneficiaries screened for Oral Cancers, 804 (7.75%) for breast cancers and 468 (4.5%) for cervical Cancers. 299 (2.88%) new diagnosed cataract cases. 10379 beneficiaries were tested for 11102 tests (106.96%). Conclusion: Comprehensive health care service delivery by camps to unreachable for screening, diagnosis, one stop multi-speciality consultancy, referral and digitalisation of health vitals.

Utilization of Health services among older adult of selected community of Birgunj, Parsa

Health services are the service that consists of medical professionals, organization and health care workers who provide medical care to those in need for the purpose of promoting, maintaining or restoring health. The objective of the study is to find the utilization of health services among older adult of age 60 and above. A descriptive cross-sectional research design is adopted for the study. Total 52 respondent were selected by using non probability convenience sampling method was used for the study. Data were collected by structured interview schedule. The obtained data were entered in Statistical Package for Social Science (SPSS) version 26 and analyzed by using descriptive statistics. The study findings reveal that 80.8% of the respondents utilized the health services and 19.2% of the respondents did not utilized health services. The study concluded that nearly one-fourth of the participants did not utilize the health services. To improve the utilization of health services various health educational programs, health camps should be organized by health administrator and concerned authority in order to encourage the older adult to utilize health services.