1 NATIONAL HEALTH MISSION MOBILE DENTAL CLINIC PROJECT MONTHLY REPORT-SEPTEMBER 2019 Maulana Azad Institute of Dental Sciences MAMC Complex, BSZ Marg, Delhi-110002 Email: [email protected]
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1
NATIONAL HEALTH MISSION
MOBILE DENTAL CLINIC PROJECT
MONTHLY REPORT-SEPTEMBER 2019
MaulanaAzadInstituteofDentalSciencesMAMCComplex,BSZMarg,Delhi-110002
Email:[email protected]
2
CONTENTS
1. PROGRAM INTRODUCTION 3
2. PROGRAM MPLEMENTATION 4-6
a. Mobile Dental Clinic Schedule
3. PROGRAM SERVICES & OUTCOMES 7- 24
a) OPD/ Screening Services
b) Disease Burden Estimation
c) Treatment Services
d) Dispensary-wise Number of Beneficiaries
e) Oral Health Education in the Community
f) Follow up Appointment Services
g) Referral Services
h) ASHA Training
i) New Horizons
4. APPENDIX 25-26
3
The ‘MOBILE DENTAL CLINIC PROJECT’
The Mobile Dental Clinic Project is one of the landmark oral health care project rendering
preventive, promotive and curative services to the underserved thereby overcoming the
Accessibility, Affordability and Cultural Barriers by Maulana Azad Institute of Dental
Sciences under the umbrella of NHM/DSHM operational since May 2014.
Approximately 2500 people every month are benefitted by the program in different parts
of Delhi.The program has worked its way to integrate Dental health education with its treatment
services thereby fulfilling the primary purpose of creating awareness and promoting oral
health.Further, the program has attempted to integrate oral health into general health provide
comprehensive care to the masses especially target groups like children and geriatrics.
The Mobile Dental Clinic Project at MAIDS is operational in North East and North West
District of Delhi.All the six Mobile Dental Clinics cater to 9 Delhi Government Dispensaries
on rotational basis depending on their division of clusters:
• Cluster I [NORTH EAST]: Yamuna Vihar, KantiNagar and Seelampur
• Cluster II [EAST] Vasundhara Enclave, Mayur Vihar
• Cluster III[CENTRAL] Timarpur
4
• Asha Kiran-Home for Mentally Challenged Children, Rohini.
• Mobile Clinics are stationed for five days a week in each of the identified dispensaries on
rotational basis from 9:30 A.M. to 2 P.M
• Every 1st and 3rd Wednesday of the month Mobile Dental Clinic (MDC’s) will render are
to render care to the Asha Kiran- Home for Mentally Challenged
• Every Wednesday of the week is reserved for School Dental Health Programme for rendering
Dental Screening, Health Education Programs and Referral Services to the schools under
School Health Scheme, GNCT of Delhi by Information, Education and Communication
Mobile Vans (IEC Vans). Currently, two schools under school health scheme have already
been selected and the screening,treatment and health educational services are being
provided.
5
PROGRAM IMPLEMENTATION-MONTHLY SCHEDULE
MOBILE DENTAL CLINICS
Kindly Note*:
- Every Wednesday is scheduled for IEC Mobile Dental Clinics to render care to school
children under School Health Scheme, GNCT Delhi.
- In case of breakdown of Mobile Vans, the respective DGD-CMO/MO will be given prior
information.
- Every 1st and 3th Wednesday of the month Mobile Dental Clinic (MDC – 1 & 2) respectively
will render care to Asha Kiran-Home for Mentally Disabled
6
PROGRAM SERVICES & OUTCOMES (As on 25.09.2019)
OPD/ Screening Services: Total Number of patients screened by
Mobile Dental Clinic Project–3177
NEW OPD OLD OPD TOTAL OPD
1927 1250 3177
Oral Disease Burden
Total Patients
Screened
Dental
Caries
Periodontal
Disease Malocclusion
Pre-
Malignant
Lesions
Others
3177 1701 1522 78 10 61
415 424
636565
474
663
0
100
200
300
400
500
600
700
MDC1 MDC2 MDC3 MDC44 MDC5 MDC6
TotalScreeningsbyeachclinics
7
Percentage Burden 53.5% 48.0% 2.5% 0.3% 1.9%
Fig:2: Distribution of Dental Diseases
Dental Treatment Services: Total Number of patients treated: 1203
53.50%48%
2.50% 0.3% 1.90%
Prevalenceofdiseases
DentalCaries
PeriodontolDiseases
Malocclusion
Premalignant
Flurosisandothers
8
Fig.3 Treatment services provided by Mobile Dental Vans
Fig. 4 Dental Treatment Services Provided By Individual Clinics
Referral to MAIDS:
584558
61
0
100
200
300
400
500
600
700
OralProphylaxis Restoration Extraction
TotalTreatment
154
96
212192
110
162
67
89
174163
101
208
2311
32 33
8
44
0
50
100
150
200
250
MDC1 MDC2 MDC3 MDC4 MDC5 MDC6
DetailsofTreatment
OP
Rest
Ext
9
Fig. 5 Referral to Tertiary care centre (total referrals = 459)
Dispensary-Wise Break Up of the Services:Dispensary Wise OPD=2441
Fig.6 Area wise Total OPD and Treatment Services
56
45
8276 78
31
0
10
20
30
40
50
60
70
80
90
MDC1 MDC2 MDC3 MDC4 MDC5 MDC6
RefertoMAIDS
706
519471
334368
14 29
275243
210
125168
8 60
100
200
300
400
500
600
700
800
Seelampur YamunaVihar MayurVihar Kantinagar VasundharaEnclave
Timarpur AshaKiran
Dispensary-wiseOPDandTreatment
OPD
Treatment
10
Table: Area wise Total OPD and Treatment Services
AREA NUMBER OF DAYS TOTAL OPD TOTAL TREATMENT
Seelampur 18 706 275
Yamuna Vihar 15 519 243
Mayur Vihar 18 471 210
Kantinagar 12 334 125
Vasundhara Enclave 14 368 168
Timarpur 2 14 8
Asha Kiran 1 29 6
Recall Appointment Services: Total Recall appointments: 1879
244
196
418388
219
414
0
50
100
150
200
250
300
350
400
450
MDC1 MDC2 MDC3 MDC4 MDC5 MDC6
TotalFollowupbyeachMDC
11
Fig.8 Details of recall appointments
Health Education Services in the Community:
Total Number of Health Educational Programs organised on Importance of Oral
Health, Impact of Oral Health on General Health and Tobacco Cessation:
154
96
212
192
110
162
67
89
174163
101
208
2311
32 33
8
44
0
50
100
150
200
250
MDC1 MDC2 MDC3 MDC4 MDC5 MDC6
DetailsofFollowup
OP
Rest
Ext
4
1
3 3
2
4
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
MDC1 MDC2 MDC3 MDC4 MDC5 MDC6
HealthEducationSession
12
17 Sessions
Age-wise Oral Disease Distribution:
Fig.9. Age wise Disease distribution
SCHOOL DENTAL HEALTH SCHEME –NEEV
1) Total Students Screened : 736
2) New OPD: 568
3) Old OPD: 168
57
376
878
390
0
212
814
158
0 5
245
88
0
100
200
300
400
500
600
700
800
900
1000
0-5 6--15 16-50 51andabove
Agewiseoraldiseasedistribution
CariousGingivitisPeriodontitis
13
183195 200
158
2
2843
109
0
50
100
150
200
250
GSSCivillines RajkiyaPratibha1 RajkiyaPratibha2 GujratissSchool
SchoolwiseOPDandTreatmentOPDTreatment
14
NEW HORIZONS
1. Project AMMA: Comprehensive Oral Healthcare Program for the Elderly
Mobile Dental Clinic Project has initiated a newer horizon for Geriatric Oral Health Care:
Project “AMMA”:Comprehensive Oral Healthcare Program for the Elderly. The program has
been initiated with collaboration with Department of Social Security which supervises old age
homes (Dept. Of Social Welfare) under GNCTD for further coordination and organizing various
activities.
The Project’s activities include:
1. Oral health Screening at Old Age Homes and Senior Citizen’s recreation centres
2. Oral Health Promotion Activities like health education & Tooth brushing demonstration.
3. Referral for dental treatment services.
In the month of September 2019, we conducted a Geriatric Oral Health Camp on 25th September
at Mata Pita Samman Sewa Trust Recreation Centre, Ayanagar, Chhatarpur (South Delhi). A
team of NHM staff consisting of Dr. Swati Jain, Dr. Neha Gangil, Paramedics and Driver
conducted the camp, providing dental screening services and oral health educational activities.
In total 43 patients were screened and referred for dental services. The program was highly
commended and was also covered in 04 local dailies. It has been a huge achievement for the
Mobile Dental Clinic Project.
15
Glimpses of Geriatric Oral Health Program, alongwith Media Coverage
16
2. ASHA Humari Muskan 24/09/19 at RBTB Hospital: Under the ongoing ASHA Training Program, to boost the services under continuous
initiatives, the Mobile Dental Clinic Project put another feather in its cap through the initiative:
ASHA HAMARI MUSKAAN.
This initiative has intended to screen and treat ASHA workers who have been trained
under the program and also to provide dental services to their family members. The “ASHA
HUMARI MUSKAAN” initiative targets the Maternal and Child Oral Health in Delhi through
ASHAworkers acting as our grass root soldiers.
The project has gone a step ahead by developing avery unique way of incentivizing
ASHA workers through a Family Program wherein oralhealth screening and treatment services
are provided only to ASHA workers attending thetraining session on oral health showcasing their
interest and their family members on adesignated date. One such camp was conducted in RBTB
Hospital at Civil Lines on 24/09/2019, benefitting 69 patients under the camp.
ASHA Humari Muskan at RBTB Hospital, Civil Lines (24/09/19)
17
3. IEC Material Dissemination (Central and East Districts of Delhi) Mobile Dental Clinic Project has developed various IEC material to educate and disseminate
knowledge regarding oral health to be displayed at various health facilities. Various posters and
pamphlets have been developed in local language for easy understanding of the public.
Two posters per dispensary were disseminated on the topic:
a. “Maukhik Swaathya ke Teen Niyam”(03 golden tips for Good Oral Health)
b. “Swasth Mukh Swasth Garbhaavastha” (Healthy Mouth Healthy Pregnancy)
In this regard, IEC Material were disseminated to the entire East District of Delhi, consisting of
32 sets, one for each dispensary.
IEC Material disseminated to East District of Govt. of NCT of Delhi
4. Lecture on Qualitative Research by Dr. Swati Jain on 07/09/2019 Dr. Swati Jain, Consultant, Mobile Dental Clinic Project, presented a powerpoint
presentation on ‘Qualitative research’. Qualitative research is an important component which
could be applicable in the ongoing program to improve the oral healthcare delivery in the
18
existing system. Qualitative research is a scientific method of observation to gather non-
numerical data.
This type of research “refers to the meanings, concepts definitions, characteristics,
metaphors, symbols, and description of things” and not to their “counts or measures”. t is used to
gain an understanding of underlying reasons, opinions, and motivations. It provides insights into
the problem or helps to develop ideas or hypotheses for potential quantitative research.
5. Group Activity, organized by Dr. Nishtha A group activity was conducted called “Glass Stack” by Dr. Nishtha Sri Saini on
26/09/2019 with an aim to imporive the communication, trust and other communication skills
among the team members of the Mobile Dental Clinic Project (Doctors, Paramedics, Drivers and
Other support staff).
This was a simple but meaningful activity that sets the tone for an event and it also
helped in unearthing innovative ideas and showed the diversity of opinion within a team. This
activity encouraged staff members with unconventional views who otherwise wont speakup to
participants.
Group Activity: “Glass Stack” (26/09/19)
19
6. Oral Potentially Malignant Cases in the Community The Mobile Dental Clinic Project has taken an advanced step of identifying Oral
Potentially Malignant Lesions in the field through a Mobile-based online data collection app,
EpiCollect5. EpiCollect is a tool (android and iOS app) which could be used at the field for data
collection.
The patient contact details were noted who
were suspected of having any lesion in the oral
cavity and a chronic tobacco use history. This
patient was then called personally for follow-up
and recall at the Maulana Azad Institute of Dental
Sciences for further biopsy, confirmatory diagnosis
and treatment.
In the month of September, 12 patients
reported with Oral Potentially Malginant Disorders,
and they were called a total of 03 times for further
visit to MAIDS. However, two patients turned up at
the institute, and got its diagnosis completed and
treatment initiated.
Out of rest 10 patients, 05 Declined to visit
owing to their daily wages, 03 agreed but did not
turn up and 02 were unreachable through their provided contact numbers.
7. Field Visits by Consultant Starting July 2019, the two consultants employed under the Project, Dr. Swati Jain and
Dr. Shekhar Grover have been given the additional charge of conducting individual field visits
and supervising the on-going routine activities of the vans every alternate day.
20
The field visit of the consultants was initiated keeping in mind the increasing demand of
dental health care service by the target population, and to ensure the smooth conduction of the
rotuine activities at the point of care. Also, consultants were directed to meet the respective
authorities at the dispensaries to enhance collaborative activities and tackling minor problems, if
any, ancountered by the dispensary staff.
The details are as below:
Name of
Consultant Van No. Date Location
Dr. Swati Jain
3 03/09/19 Civil Lines school
2 09/09/19 Kantinagar
6 12/09/19 Seelampur
1 16/09/19 Yamua Vihar
Dr. Shekhar
Grover
5 02/09/19 Mayur vihar ph3
3 10/09/19 Vasundhara Enclave
4 13/09/19 Kantinagar
1 26/09/19 Kantinagar
21
PROGRAM SUMMARY (As on 25th September 2019)
MDC 1 MDC2 MDC 3 MDC 4 MDC 5 MDC 6 Total
patients
Total Patients
Screened 415 424 636 565 474 663 3177
Dental Caries 118 293 328 373 281 308 1701
Periodontal Disease 120 327 306 365 178 226 1522
Malocclusion 6 7 22 23 9 11 78
Pre- Malignant
Lesions 2 6 2 1 1 0 10
Others (Fluorosis,
Prosthesis, Fractures,
periapical Pathology,
Hypoplasia, Wasting
diseases, Sensitivity)
2 11 24 7 15 2 61
Tobacco Usage 15 24 22 19 31 32 143
Total Patients
Treated 181 145 243 209 72 353 1203
Oral Prophylaxis 110 55 113 94 47 165 584
Restoration 65 78 110 99 20 186 558
Extraction 6 12 20 16 5 2 61
Total Referrals 56 45 82 76 78 31 368
Total Recall
Appointments** 244 196 418 388 219 414 1879
Total Working
Days 12 18 19 18 14 16 96
TOTAL NO OF
BENEFICIARIES
BY MDC
3177
22
MAULANA AZAD INSTITUTE OF DENTAL SCIENCES
NATIONAL HEALTH MISSION
MONTHLY REPORT – September - 2019
S.No Work Done Total No.of
Patients
1. Total No .of Patients screened by vans 3177
2. Total No. of Dispensary OPD 2441
3. Total No. of School OPD 736
4. Total no. Of Patients screened with dental caries 1701
5. Total no. Of Patients screened with Periodontal Disease 1522
6. Total no. Of Patients screened with Malocclusion 78
7. Total no. Of Patients screened with Pre Malignant
Lesion 10
8. Total no. Of Patients screened with Tobacco Usage 143
9. Total no. Of Patients screened with Dental Fluorosis,
Tooth Fractures,Wasting Diseases etc. 61
10. Total No.of Treatments 1203
11. Total No.of Oral Prophylaxis 584
12. Total No.of Restorations 558
13. Total No.of Extractions 61
14. Total No.of Oral Health Education Sessions Given 17
15. Total Monthly New O.P.D 1927
16. Total Monthly Old O.P.D 1250
17. Total No.Of Referrals 368
18. Total No.of Recall Appointments 1879
19. Total No.of beneficiaries 3177
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