Why ?
• To provide medical out reach services at village level
• Attempting to redefine the AN care
- at least 5 check ups by doctor
- at least three ultrasonogram examinations
- Hb, Blood grouping, Rh typing,
VDRL, urine albumin, sugar examination
-clinical parameters monitored by doctor
- TT immunization
- IFA
Objectives of out reach programme
• To provide MCH coverage by Medical Officer at village level
• To provide medical supervision for immunization at the identified locations
• To enhance the quality of home care of newborns and infants
• To provide the listed services in the camp
Objectives
To plan and implement holistic health care strategy covering the key areas of primary health care components.
Outreach services
• antenatal care
• postnatal care
• newborn screening
• under five care
• RTI / STI management
• adolescent care
• health checkup for ICDS children
• treatment of minor ailments particularly for women and children
• family welfare counseling including NSV
• lab services
• fever surveillance
• TB, leprosy case detection , review , follow up
• copper T insertion , removal and follow up
• IEC activities
• high risk family counselling and surveillance to prevent female infanticide / foeticide
• inspection of village drinking water supply system
• convening of health and nutrition village committee மீட்டிங்
Laboratory Services
• urine albumin
• urine sugar
• sputum for AFB
• PS for MP
Principles for planning
• Listed locations to be covered once in a month cycle
• Fixed programme policy to be followed
Example: First Monday fore noon
First Monday after noon
• Listed locations should not be more than 35 per block
• Areas around the Government Hospitals, PHC Headquarters village and immediate surrounding villages need not be provided Mobile services
• On Tuesday afternoon, the Mobile MO and team should attend PHC review meeting in their block on rotation.
• On Wednesdays mobile out reach camp should be conducted in only one village in view of immunization programme
• Total number of camps for the mobile out reach teams per month
Monday camps(2 camps) - 8
Tuesday camps(1 camp) - 4
Wednesday camp(1 camp) - 4
Thursday camp(2 camp) - 8
Friday(2 camp) - 8
Saturday(1 camp) -3
Total -35
• For a particular location beneficiaries can come from all around the location irrespective of the jurisdiction of the HSC or PHC.
• All the concerned field staff from the surrounding areas should participate in the camp
Dedicated Mobile Outreach Team
• Medical Officer
• Staff nurse
• Worker
• Driver
Outreach Support Team
• VHN
• SHN
• HSC health inspector
• PHC health inspector
• Block level staff shall attend in turn in all PHC Areas.
• ICDS staff and other community partners like FHLVs, adolescent girl volunteers should be encouraged to attend the camp
IEC
• Board informing the fixed out reach session day and time should be displayed at the camp site
• Banner to be displayed at the camp site
• Banner to be displayed on the outreach vehicle also
• Fixed outreach plan to be printed and distributed to all elected representatives, SHGs, NGOs, ICDS and other stakeholders.