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Doctors for You initial assessment team reached Kathmandu on Monday, 27th April 2015 to start the initial assessment work. | Doctors for you attends health cluster meeting in Kathmandu and pledges support to Nepal focusing on public health and women and child care. | Doctors For You team undertaking Initial Rapid Assessment in Kokrajhar and Chirang district of Assam. | Doctors For You is appealing for support in its response to the Assam violence. | Post September 2014 flood, DFY has served over 26000 beneficiaries in flood affected districts of Kashmir region. |
DOCTORS FOR YOU MOVES TO KATHMANDU TO PROVIDE MEDICAL AND PUBLIC HEALTH AID
More than 5057 people are known to have died alone in Nepal and almost 11,000 injured since the earthquake, measuring 7.9 on the Richter Scale hit Nepal on the 25th April. Some parts of north and north-eastern India as well as areas in China have also been affected. Government reports in Nepal have confirmed that 30 out of 75 districts in the country have been affected in the Western and Central Regions, including Kathmandu Valley districts.
Golden Ruby Award, 2015 for excellent contribution to Health Services
For standing out in the field of medical humanitarian services, Doctors For You was awarded the Ruby Jubilee Healthcare award in Mumbai on 23rd March 2015. The RUBY awards recognize community members younger than 40 who have made their marks in a wide range of professions and enterprises.
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Doctors For You (DFY) and Doctors For You-USA (DFY-USA) , together appeal to all citizens, voluntary organizations, Government and non-government organizations, charitable institutions, employees and their organizations, business and industrial houses across the world, to extend their financial support and wholehearted co-operation for relief operations in Nepal Earthquake Response, 2015. DONATE NOW BY CLICKING THIS LINK.
More than 5057 people are known to have died alone in Nepal and almost 11,000 injured since the earthquake, measuring 7.9 on the Richter Scale hit Nepal on the 25th April. Some parts of North and North-Eastern India as well as areas in China have also been affected. Government reports in Nepal have confirmed that 30 out of 75 districts in the country have been affected in the Western and Central Regions, including Kathmandu Valley districts.
The report estimates the death toll could reach over 10,000 in the coming days. Besides widespread infrastructural destruction, thousands of people are missing including a large numbers of tourists. People are sleeping in the open or accommodating themselves in provisional camps and tents in the capital Kathmandu, as strong aftershocks continue. Rains are predicted in the following days, increasing the risk of landslides and flooding and so hamper search, rescue and relief work. Nearly one million children have been severely affected by this earthquake, a spokesman of UNICEF declared. With hundreds of thousands of people are sleeping out in the tents or in the open, UNICEF said its relief workers were watching for waterborne and infectious diseases.
The United Nations Office for Coordination of Humanitarian Affairs (UNOCHA) updated the following on Nepal
- UN warns for diarrheal disease
- UN fears Measles outbreak due to shortage of vaccines
- 16 shelter camp areas have been identified
- Priority needs for health: medical tents, medication, body bags and public health staffs.
- Psychological support is urgently needed.
- Big gaps for supplementary feeding for the most vulnerable groups (Pregnant & Lactating women, Infants & Young children etc.)
- Hospital capacity is overwhelmed with no Intensive Care Unit (ICU), beds available in hub hospitals.
The UN agency declared that over 50,000 pregnant women are likely affected by the devastating earthquake in Nepal while the UNICEF also stated that over one million children are affected in this disaster. The government of Nepal has officially requested international assistance and declared a state of emergency.
DFY USA and DFY have joined forces to respond to this disaster in a coordinated effort, with DFY USA focus on raising financial and volunteer support, while DFY India team managing the execution of the relief efforts. The first team of DFY reached Kathmandu, Nepal on April 27th for initial need assessment of the affected population. The team is working in collaboration with various partner agencies and stakeholders to gather more information and retrieve ground level updates.
Post assessment, Doctors For You (DFY) team will be intervening and will look to provide medical relief to the affected population in Nepal and its neighboring areas by setting up medical relief camps for the affected victims and their families especially focused on Reproductive health needs of pregnant women, adolescent girls along with provision of basic nutrition for Infants and Young children in need.
Volunteers including doctors and support staffs experienced in disaster relief work will be sent from Delhi, Mumbai, Assam and other neighboring states to the affected sites, for providing care to patients with any physical trauma and psycho-social issues and for initial assessment of the current situation.
Following are some of the immediate services that DFY has decided to implement:
Initial assessme§nt of the current situation
Primary Health Care (general health check-ups and supply of medicines)§
§ Reproductive Health Care Services (ANC check-ups, supply of clean delivery kits, sanitary kits, medicines related to reproductive health and others)
Water sanitation and hygiene§
Doctors For You (DFY) is providing its services in Assam in collaboration with Assam State Disaster Management Authority (ASDMA) through its capacity building trainings. The disaster preparedness and capacity building trainings are conducted in four specific modules i.e. 1.Community Based Disaster Preparedness (CBDP), 2.Mass Casualty Management (MCM), 3.Hospital Preparedness and Mass Casualty Management including Hospital safety Plans (HPMCM) and 4.Public Health in Emergency (PHiE). These four modules were modified keeping in mind the category of training participants, their level of perception and capabilities to cope up disasters and emergencies. Feedbacks from last year’s training participants also helped to make this module practical and as per the need of the community. Till December 2014, for the year 2014-15, DFY has conducted CBDP trainings in 4 districts, MCM and HPMCM trainings in 11 districts and PHiE trainings in a total of 5 districts of Assam.
Nagaon Emergency Management Exercise (NEMEX):
DFY conducted trainings on two modules i.e CBDP and PHiE in Nagaon district as part of the Nagaon emergency Management exercise in association with ASDMA. The emergency exercise was conducted in three phases of trainings on the above mentioned modules followed by table top exercise, and mock drill.
Goalpara Flood Response:
Besides conducting this disaster preparedness and capacity building trainings under DFY-ASDMA project, The DFY-NERO (North East Regional Office) was also involved in Goalpara Flood response. In the month of September 2014, Assam’s Goalpara district was severely affected by flash floods leaving more than 3 lakhs people affected. Doctor For You executed its mission in flood hit Goalpara district with health cluster assessment of the affected population. The primary objective of the assessment was to get a comprehensive picture of existing camps, humanitarian situation and response pertaining to health needs of those affected by the Flood. As per the data collection and recommendation of the Initial Health Cluster Assessment in the flood affected areas Doctors For You launched its medical health response for the population and organised health camps in 12 clusters covering 24 no. of villages.
BMGF /CARE is supporting Bihar Govt. in achieving goal decided by the 12th Five year plan and in Manav Vikas Mission i.e. Reduction in MMR, IMR & Total Fertility rate. Capacity and skills of the doctors is one of the major challenges in achieving these goals. Learning lessons from capacity building of Nurses & midwifes by Mobile Nursing training team, BMGF/CARE now plans skill building and mentoring of doctors working in the public health facilities using mobile doctors mentor team in the all 8 districts where CARE is working. In the first phase CARE has identified 7 District hospitals and 1 sub divisional hospital for these training and handholding program. Gopalganj was the first district selected for these trainings.
Project Mobile doctors mentoring team
1. Enhancing frontline health workers’ skills, knowledge and use of innovative tools
2. Improve health practices by providing mentoring, hand holding and supportive supervision to doctors at district and block health facilities.
To increase in the use Lower Segment Caesarian sections, as opposed to Classical Caesarian sections, overall increase the rate of Caesarian sections, Increase in the use of Spinal anesthesia as opposed to the Open Ether Anesthesia and Increased capacity to handle complicated obstetric emergencies at Level 3 health facilities in the targeted districts.
BeneficiariesThe beneficiaries include pregnant women, lactating mothers, children and families residing in remote & rural areas and lack access to life-saving emergency obstetric surgical interventions for any pregnancy-related conditions.
1. Sub-Divisional hospital (Danapur)
Focus area in the second Phase
The September 2014 flood in Jammu and Kashmir region had completely devastated the life in 8 districts of Kashmir and 3 districts of Jammu. Approximately 60 lakh people were directly affected and many more were indirectly affected. This was the first urban flood which had completely paralyzed the capital of a state, disrupting not only administration but also the spinal cord of state health system.
On 13th September 2014, Doctors For You had dispatched an assessment team followed by three mobile medical teams. DFY was one of the early responders to intervene and extend the medical support to the flood victims. In the acute phase, DFY ensured the continuation of the essential health services for six districts of Kashmir region by providing preventive and curative health services.
DFY had received overwhelming support especially from individuals and organizations. DFY-USA chapter was one among the important contributors who helped in organizing medical health camps and school activity (mass de-worming and health education talk). DFY had also partnered with local and national NGOs for better reach to the far flung areas. The DFY partners in Kashmir are: Islamic Relief, IGSSS, Hope foundation, Hope for Humanity and Handicap International.
1. Overall DFY had served in 75 different locations of 6 districts namely Srinagar, Budgam, Pulwama, Bandipora, Baramulla and Kulgam. Till now DFY has served over 21,000 people who were either displaced or affected by the flood.
2. Health camps: DFY had organized health camps in form of static camps and Mobile Medical Unit (MMU). DFY had conducted 110 Medical camps in 70 different locations in both urban and rural areas and served 10800 people. In addition DFY had partnered with five other NGOs and supported them with medicines and doctors.
3. Health education camp and De-worming: DFY had reached 39 schools and 17 Anganwadi Center for health talk and served over 4904 individuals through its de-worming campaign to prevent the worm infestation among the children. Currently, DFY has also started vitamin A distribution with this programme.
4. Adolescent health and hygiene promotion: DFY had given health talk for 214 adolescent females and school teachers.
5. IEC activity (WASH promotion): During the early intervention, DFY had distributed 24400 chlorine tablets and IEC material (WASH) in 42 locations and reached over 6120 individuals.
6. Maternal and Child health care: DFY had distributed delivery kits and nutritional supplements in 7 of the remote villages, where the hospitals/PMCs/SCs are partially or completely damaged. DFY has also organized ANC checkup in Gundi-Nowgam, Sumbal, Bandipora.
7. Capacity Building Programme: DFY is conducting a state-wide capacity building programme for health workers on ‘public health in emergency’ in partnership with National Health Mission (NHM). The programme has been designed in three phases and in first phase DFY had trained 70 state level trainers in Srinagar and Jammu for all the three region. In the second phase DFY had conducted District level TOT in Ladakh region -Leh and Kargil District; Kashmir region- Kulgam, Shopian, Baramulla, Srinagar, Kupwara, Ganderbal, Pulwama, Ananthnag and Budgam . In third phase, DFY targets to train 12000 ASHAs through the 800 trainers trained in District level ToT and 70 trainers trained in State level ToT.
8. Health facility support: DFY had supported 5 health facilities- 3 in Pulwama, 1 in Baramulla and 1 in Bandipora. DFY is also involved in health facility assessment for 75 flood affected health facilities (CHCs, PHCs and SCs).
1. Mobile Medical Unit: DFY is supporting its partner organization Islamic Relief in operating MMUs in 47 flood affected villages of Bandipora and Baramulla district.
2. Capacity building: DFY is undertaking 30 District level ToT and will conduct 50 more ASHA training to support the existing health facility.
3. Vitamin A programme: DFY is involved in Vitamin A distribution in 6 districts of Kashmir region. This programme is implemented in coordination with ICDS and Health Department.
4. Mass de-worming distribution: DFY is continuing its de-worming programme in all the six districts.
5. Health facility Assessment and Support: DFY is supporting 75 flood affected Health centres to become functional and re-strengthen to serve the community during the extreme winter. DFY would be providing medicine, and equipment support with special focus on maternal and child health care services.
Health services to Project Affected People’s urban slum resettlement colonies
Mumbai, a city in which life is so fast paced, that no one stops for anyone, even if someone is dying. In this city, Doctors For You team led by Dr Ravikant Singh, has been working toward universal access to quality health care services to all, specially the under privileged section of society such as slum dwellers, project affected population and migrants since 2010.
Doctors for You has been providing comprehensive health services in M East ward of Mumbai, which has large slum population, through two community health centres in Govandi and Mankhurd. At both the sites, services are provided at the centre and at the community level. It provides curative and health promotive services. Services provided at the health centre are general health check up, Immunization, family planning, Dental services, ophthalmic services, tuberculosis prevention and control and physiotherapy and neuro rehabilitation. The daily case load in various OPDs range from 150-180 patients.
In the community, DFY team has been working closely with other stake holders in order to raise the health awareness regarding immunization, tuberculosis, family planning, disability rehabilitation, personal hygiene and dental services. Tuberculosis is a major health problem in this area, currently 110 patients are receiving DOTS therapy at both the centres among which 30 multiple drug resistant cases are provided nutritional supplements to fight against the disease. With the efforts of DFY team and stakeholders cooperation, DFY has achieved 100% immunization coverage among children below 5 years of age in the area.
Doctors For You has touched directly or indirectly, approximately 1.5 laks lives of this area. The physiotherapy and disability rehabilitation centre in Lallubhai compound, Mankhurd is one of its own in the entire area of M East ward. At this centre, a team of physiotherapist and social workers is working effortlessly for physical and social rehabilitation of Person’s With Disability (PWD).
Touching the human life:
One year back, 25 years young Ezaz Ahmad, a diagnosed case of progressive neuro degerative disorder was living in the area with his 60 years old father and 54 year old mother. The eye’s old parents were filled with pain seeing their only son lying in bed unable to stand and hold anything in his hands. In this phase of life, when their son was supposed to be their support, Ezaz was dependent on his parents even for daily routine and personal care. Doctors from municipal hospitals advised him physiotherapy for a long period. The nearest government facility was 17-18 kms away from his residence, taking one hour of commuting after changing two buses. In the private physiotherapy centres (available 3 kms away), he had to pay 150 rupees per session, apart from 80-100 rupees for travelling. During this phase of darkness in his life, a hope came with the start of physiotherapy and neuro rehabilitation services in the area. The services were provided free of cost by DFY and was around 500 meters from his house. Under the treatment of Dr Tajuddin chitapure (Masters in Neuro rehabilitation), during the first 3 months of regular follow up, he regained power in hands from grade 2 to grade 4 and in lower limbs grade 1 to grade 3. Now, he was able to walk with support. In the mean time, our team guided his family for disability certificate. With the follow up for 2 months, he got the disability certificate. Now, he is able to walk without support, can write and take care of himself. Doctors For You arranged for his vocational training course at nearby institute since 1st December 2014. With the physical rehabilitation and disability certificate, he will be able support his family after vocational training. He comes to health centre for exercises, now with a hope to lead a independent life.
A school children being examined by DFY doctor during the School Health services- The way Healthy Life Program
Ophthalmologist examining a patient during eye screening camp at Natwar Parikh Compound on 2nd October 2014
Nutritional supplements being given by DFY Team Member to MDR/XDR Tuberculosis patients at MRVC Health centre.
Identification of musculoskeletal deviation and disability in children of BMC School,
DFY in Press