Dr. Suman Prabha Tirkey Chhattisgarh

Dr. Sajini PriyaJharkhand

Dr. Naveen Prasanna Karnataka

Born on 15 June 1993, she is a professional badminton player from Spain. She is the Olympic Champion, two time World Champion, three time European Champion and the former World No. 1 BWF rankings for the women’s singles. She is currently ranked No. 4 in the world by the Badminton World Federation. She became the World Champion in women’s singles two times in a row in 2014 and 2015. She won her first Olympics gold medal in women’s singles at the 2016 Rio Olympics after defeating P.V. Sindhu of India.

Send in your answers by 15 June 2018. Three lucky winners will win exciting prize.

Send in your answer by: WhatsApp/SMS: 0.9013380510 or E-mail: helpdesk@cacconnect.in (Please mention your full name and state)

Solution to Contest N-21: Shashi TharoorA big thank you to all our members who participated in the contest!

Volume 6 l Issue 2 l APRIl–JuNe, 2018

Use of Chlorine SolutionChlorine solution is widely used for removal of micro-organisms including Hepatitis B & C virus and HIV from the used items/equipment. Chlorine solution is prepared by dissolving appropriate measures of the bleaching powder or hypochlorite solution in water.

To prepare different concentrations of chlorine solution, standardized formulae should be used.

If bleaching powder is being used for making chlorine solution, following formula should be used: (% chlorine desired / % active chlorine in powder) x 1000 = gms of bleaching powder per litre of water

Identify this gorgeous Olympian!

WINNerS Of CONTeST N-21

Newsletter Contest N-22DID YOu KNOW?

CONTACT uSCAC Connect Secretariat, E 63, Vasant Marg, Vasant Vihar, New Delhi – 110 057, E-mail: helpdesk@cacconnect.in, Phone: 0.9013380510For more information about IDF visit our website https://www.ipasdevelopmentfoundation.org

If chlorine solution is being made from liquid hypochlorite, following formula should be used: (% chlorine in hypochlorite solution / % chlorine desired) – 1 = Total parts of water for one part of hypochlorite solution

Different concentrations of solution is recommended for achieving different objectives.

0.5 % chlorine solution is used for decontamination of used instruments, as a first step in their processing to make them safe for reuse in subsequent procedures. After decontamination with 0.5 % chlorine solution, the instruments are cleaned, sterilized/high level disinfected before storing them for future use.

Higher concentrations (1% or more) is used for disinfection of used materials as per bio medical waste management protocol, before their final disposal. Disinfection by chlorine solution is used for the following: liquid wastes before putting them in sewer; glass waste before sending for recycling; plastics after shredding before final disposal.

Most states have their guidelines on the % of chlorine solution to be used for disinfection. However, the % of chlorine to be used for decontamination during instrument processing across is 0.5%.

Measurement for preparation of 1 litre of 0.5% chlorine solution using bleaching powder

Attention!CAC Connect website is suspended due to technical reasons, the providers are encouraged to visit following link for updates: https://www.ipasdevelopmentfoundation.org/cac-connect.html

WHAT’S NeW?

SheDecides is a global movement to promote, provide, protect and enhance fundamental rights of every girl and woman. The movement is gaining momentum globally as well as in India to stand for girls and women. Increasing access to Comprehensive Abortion Care is one of the core issues being raised by them. SheDecides was formally launched in India on

SheDecides is a people’s movement and every individual counts. The manifesto of the movement is:

IDf’s participation in the event!

Providers are encouraged to sign the manifesto online: https://www.shedecides.com/the-manifesto/

5 March 2018 to coincide with the global launch in the first week of March and launch activities took place through the course of the week. IDf has been a partner with SheDecides for the India launch event on 5 March 2018. Another event ‘Voices in the Silence’ which was a concert with focus on social issues was held on 10 March 2018.

DO YOu KNOW!

Perspective from Odisha

PrOVIDerS SPeAK

eVIDeNCe BASeD PrACTICeI got information about CAC training at RGH Rourkela but was not interested for this training initially. As I had already done so many MTPs (1st & 2nd trimester) and thought what more they will teach me? I got CAC training in November 2015 and received MVA free of cost for practice. But inspite of receiving proper training and tool, I was not using it as I had doubt on the suction capacity of MVA syringe which may result in incomplete abortion. After 2-3 months also I was using EVA. One day I gave Misoprostol for cervical priming before performing 8 weeks MTP but incidentally the power supply was gone and 4 hrs passed... 5 hrs passed… 6 hrs passed… then I saw little bleeding from the vagina, and I decided to complete the procedure by MVA. It was a miracle, from that day till today I have done 60-80 procedures including incomplete and induced abortion with MVA which gave me very good result.

The theme of World Health Day is: Universal health coverage: everyone, everywhere. The slogan is “#HealthForAll”

A few ideas as to what you could do: Individuals, civil society and health workers nCommunicate your needs, opinions and expectations to local policy-makers,

politicians, ministers and other people representatives.nMake the necessary noise to ensure your community health needs are taken into

account and prioritized at the local level, including through social media. nInvite civil society organizations to help raise your community needs to your

policy-makers.nShare your stories as affected communities and patients with the media.nOrganize activities like discussion fora, policy debates, concerts and interviews

to provide people an opportunity to interact with their representatives on the topic of universal health coverage via media and social media.

World Health Day 2018: 7 April 2018

Dr. Abanindra Mishra O&G, CHC Lahunipara, Sundergarh, Odisha

“MVA is a super, effective and excellent instrument for below 12 weeks MTP or incomplete abortion in trained hand.”

Journal of the Medical Association of Thailand, 97 (10): 1009-1015. (October 2014)Punjyashthira A, Pongrojpaw D, Suwannarurk K, Bhamarapravatana K

The effectiveness of sublingual or oral administration of misoprostol for cervical ripening before manual vacuum aspiration in first trimester termination of pregnancy: Randomized controlled trial

OBJECTIVE: To compare the effectiveness of misoprostol sublingual and oral routes before manual vacuum aspiration (MVA) in first trimester termination of pregnancy.

MATERIAL AND METHOD: A double-blinded randomized controlled trial was conducted in first trimester termination of pregnancy cases. Eighty cases were recruited and divided into

sublingual and oral groups. Both groups were randomized to receive 400 microg misoprostol two hours prior to MVA. Main outcomes were cervical dilatation, operative time, complications, side effects, pain scores, and patient satisfactions. RESULTS: Sublingual group had significantly more cervical dilatation and shorter operative time than oral group (7.3 +/- 1.5 vs. 5.9 +/- 1.4 mm, p<0.001 and 5.2 +/- 3.3 vs. 7.3 +/- 4.6 min, p = 0.02, respectively). However there were similar side effects, pain scores, and patient satisfactions in two groups. The present study had no uterine perforation, cervical tear, hemorrhage, or re-evacuation. CONCLUSION: Sublingual misoprostol route was more effective for cervical priming prior to MVA in first trimester therapeutic abortion than oral route.

WATCH OuT fOr

WOrD Puzzle

The photographs used in this publication are for illustrative purposes only; they do not imply any particular attitudes, behaviors, or actions on the part of any person who appears in the photographs.

Questions? Comments? Suggestions? Share with Us!This is your newsletter and we want to feature your thoughts and experiences on CAC and related reproductive health issues.

We WANT TO HeAr frOM YOu

International Women’s Day Photo Contest: Beyond the DoorsServing patients at small Tehsil Silwani

Dr. Sharmin Alam Medical Officer, Silwani Raisen, Madhya Pradesh

enjoying colors of life with profession

Dr. Shaili Garg Medical Officer, Biaora Rajgarh, Madhya Pradesh

HOSPITAl HuMOr

Q: Why did the doctor tell the nurse to walk past the pill cupboard quietly? A: So she wouldn’t wake the sleeping pills.

Patient: ‘Doctor, my hair keeps falling out. Have you got anything to keep it in?’Doctor: ‘What about a cardboard box?’

Q: Does an apple a day keep the doctor away?A: Only if you aim it well enough.

Patient: ‘Doctor, I’ve swallowed a spoon.’Doctor: ‘Sit down and don’t stir.’

Q: What’s the difference between a general practitioner and a specialist?A: One treats what you have, the other thinks you have what he treats.

Patient: ‘Doctor, doctor, will I be able to play the violin after the operation?’Doctor: ‘Yes, of course…’Patient: ‘Great! I never could before!’

form the comparatives of the given adjectives and write them into the grid.

Solution:

Days7 April: World Health Day

25 April: World Malaria Day

31 May: World No Tobacco Day

5 June: World Environment Day

21 June: International Day of Yoga

eventsFOGSI Conference on Multiple Pregnancy and Medical DisordersDate: 18 – 20 May 2018Venue: AhmedabadInternational Women’s Health SummitDate: 1 – 3 June 2018Venue: Delhi, India

Across1. easy5. fat6. big8. much9. happy10. long12. rainy13. pretty

Happy International Women’s Day to all the strong and beautiful women out there. Always believe in yourself!!

Down2. small3. tall4. cheap6. good7. poor9. hungry10. large11. nice

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9

2

10

4

12

7

8

6

5

13

3

11