AIIMS
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Transcript of AIIMS
Comprehensive Rural Health Services Comprehensive Rural Health Services Project (CRHSP)Project (CRHSP)
BallabgarhBallabgarh
Centre for Community MedicineCentre for Community MedicineAll India Institute of Medical Sciences All India Institute of Medical Sciences
(AIIMS)(AIIMS)
AIIMSAIIMS
AIIMS Derives its mandate directly from AIIMS Derives its mandate directly from the Parliament of India.the Parliament of India.
Rated as One of the Top 10 medical Rated as One of the Top 10 medical institutions globally. institutions globally.
AIIMS Premier National Health Institute.AIIMS Premier National Health Institute.
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Source: On Line poll of Internationl online Phyiscian Network.India Today magazine June 2006 Issue.
Ballabgarh HDSSBallabgarh HDSS
Started in1961 with aid of Rockefeller Foundation.Started in1961 with aid of Rockefeller Foundation.
Collaboration between:Collaboration between: All India Institute of Medical Sciences.All India Institute of Medical Sciences. Haryana State Government.Haryana State Government.
Primarily an academic & health delivery set upPrimarily an academic & health delivery set up Initiated to support AIIMS training activities and Initiated to support AIIMS training activities and
consistent with requirement of a Medical College in consistent with requirement of a Medical College in IndiaIndia
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Objectives of CRHSPObjectives of CRHSP
To evolve through practice and research To evolve through practice and research a model of comprehensive health a model of comprehensive health services which is replicable at national services which is replicable at national level.level.
To orient and train undergraduates and To orient and train undergraduates and postgraduates in primary health care postgraduates in primary health care especially rural medicine.especially rural medicine.
The mandate is therefore for training, research and health care delivery
Current Core teamCurrent Core team
Dr. Chandrakant S. Pandav
Dr. Sanjeev K Gupta
Dr. Anand Krishnan
Dr. Puneet Misra
Support faculty membersSupport faculty members
Dr. Kiran Goswami
Dr. Shashi Kant
Dr. Baridalyne N.
Dr. Bir Singh
Dr. Y.S. Kusuma
Ballabgarh HDSS Field Team
Ballabgarh HDSSBallabgarh HDSS
PHCPHCDAYALPURDAYALPUR
Chandawali
Nawada Junehra
Dayalpur
Shahpurkalan
Nirhawali
PHCPHCCHHAINSACHHAINSA
Atali
FatehpurBilloch
Naryala
Chhainsa
Jaya Ladholi
Civil Hospital BALLBHGARH
Population of 85522(Dec 2008)
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1111
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Neonatal Mortality Rate
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Infant Mortality Rate
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BCG DPT -3 OPV-3 Measles
Immunization Coverage
Publications Over The YearsPublications Over The YearsYear of PublicationYear of Publication NumbersNumbers PercentagePercentage
1969-19741969-1974 0505 03.403.4
1975-19791975-1979 0909 06.006.0
1980198419801984 1010 06.706.7
1985-19891985-1989 2424 16.116.1
1990-19941990-1994 2222 14.814.8
1995-19991995-1999 2121 14.114.1
2000-20042000-2004 3838 25.525.5
2005- till date*2005- till date* 2020 13.413.4
TotalTotal 149149 100.0100.0
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Domains Of Publications. Domains Of Publications.
Domains of PublicationDomains of Publication FrequencyFrequency PercentPercent
1. NCDs1. NCDs 3737 24.824.8
2. Child Health2. Child Health 3535 23.523.5
3. Communicable 3. Communicable DiseaseDisease 1717
11.4
4. Women’s Health4. Women’s Health 1616 10.710.7
5. Health Systems/ 5. Health Systems/ Operational ResearchOperational Research 1616 10.710.7
6. Demographic 6. Demographic SurveillanceSurveillance 88 5.45.4
7. Medical Education7. Medical Education 66 4.04.0
8. Others8. Others 1515 10.210.2
TotalTotal 149149 100.0100.01616
Major Historical Contributions in Public Major Historical Contributions in Public Health arena by CRHSPHealth arena by CRHSP
Demographic issuesDemographic issues Realized the need for Realized the need for
DenominatorsDenominators Birth & Death registrationBirth & Death registration
by MPWs -1975.by MPWs -1975.
Documentation of rates and causes of death at Documentation of rates and causes of death at different ages especially childhooddifferent ages especially childhood
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Focused on Demographic issues till about mid-eighties when focus shifted to disease specific projects
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Major Historical Contributions in Public Major Historical Contributions in Public Health arena by CRHSPHealth arena by CRHSP
Operational / Health System ResearchOperational / Health System Research Multipurpose Purpose Health Multipurpose Purpose Health
Worker Scheme -1972.Worker Scheme -1972. Addition of Curative services Addition of Curative services
to MPWs – 1973.to MPWs – 1973.
Computerized Health management information system-Computerized Health management information system-1988.1988.
1818Focused on delivery of health services to rural areas
Pulse Polio strategy Pulse Polio strategy (vaccinating all on a single day) -1985.(vaccinating all on a single day) -1985.
Diarrhea epidemiology and controlDiarrhea epidemiology and control
ARI epidemiology and controlARI epidemiology and control
Measles Epidemiology and ControlMeasles Epidemiology and Control
Field trial of High Dose Iron & Folic Acid for Pregnancy-1987.Field trial of High Dose Iron & Folic Acid for Pregnancy-1987.
Major Historical Contributions in Public Major Historical Contributions in Public Health arena by CRHSPHealth arena by CRHSP
1919All address national health priorities and we have led the way
Facilitating the national response to epidemiological transition
Contribution in NRHMContribution in NRHM
Technical Support – Member of Task Force(s) Technical Support – Member of Task Force(s) Indian Public Health Standards (IPHS)Indian Public Health Standards (IPHS) Medical EducationMedical Education Urban healthUrban health MOU with National Health Systems Resource CentreMOU with National Health Systems Resource Centre
Training - National Level trainers for Training - National Level trainers for Integrated Management of Neonatal and Child Integrated Management of Neonatal and Child
IllnessesIllnesses Integrated Disease Surveillance Project Integrated Disease Surveillance Project District EpidemiologistsDistrict Epidemiologists
Contribution in NRHMContribution in NRHM
Implementation – Implementation – Ballabgarh BlockBallabgarh Block Providing mentorship to two districts – Faridabad, Providing mentorship to two districts – Faridabad,
PalwalPalwal
EvaluationEvaluation Janani Suraksha Yojana (JSY) evaluation in Janani Suraksha Yojana (JSY) evaluation in
JharkhandJharkhand Accredited Social health Activist (ASHA) and JSY Accredited Social health Activist (ASHA) and JSY
evaluation in Faridabadevaluation in Faridabad
Future Plans- Infrastructure upgradeFuture Plans- Infrastructure upgrade
Upgrading Infrastructure Upgrading Infrastructure New HospitalNew Hospital New Community Health CentreNew Community Health Centre Extramural training- Hostels and training Extramural training- Hostels and training
facilitiesfacilities TelemedicineTelemedicine
Increasing the population base to over Increasing the population base to over 100,000.100,000.
Stronger collaboration with District LevelStronger collaboration with District Level
Future Plans- Areas of interestFuture Plans- Areas of interest
Disease Burden- Influenza, CVDsDisease Burden- Influenza, CVDs
Community Intervention Trials: Community Intervention Trials: Vaccine –InfluenzaVaccine –Influenza Behavioral- NCDsBehavioral- NCDs
Neonatal Health care delivery ModelNeonatal Health care delivery Model
Collaboration with INDEPTHCollaboration with INDEPTH
Fertility MonographFertility Monograph Mortality MonographMortality Monograph Member of Following Interest GroupsMember of Following Interest Groups
NCDsNCDs COPDCOPD Vaccines and child survivalVaccines and child survival Sexual & Reproductive HealthSexual & Reproductive Health TuberculosisTuberculosis
Other Research CollaboratorsOther Research Collaborators
NationalNational Indian Council for Medical Indian Council for Medical
ResearchResearch Media Lab AsiaMedia Lab Asia National Health system National Health system
Resource CentreResource Centre Ministry of Health & Ministry of Health &
Family WelfareFamily Welfare
InternationalInternational World Health World Health
OrganizationOrganization Centers for Disease Centers for Disease
ControlControl University of AlabamaUniversity of Alabama
In Conclusion…….In Conclusion…….
Unique features of Ballabgarh HDSSUnique features of Ballabgarh HDSS Forty eighth year of existenceForty eighth year of existence Run by Public fundsRun by Public funds Primary Health Care Service ProviderPrimary Health Care Service Provider Run by Medical CollegeRun by Medical College Computerized database since 1991Computerized database since 1991 Monthly update of the databaseMonthly update of the database
Welcome to all of Welcome to all of you from you from Balabgarh HDSSBalabgarh HDSS