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Rural and Mobile Clinics

The benefit of modern hospitals did not reach a villager’s life. They turned to hospitals onlyas a desperate last resort. RDT therefore operates rural and mobile clinics in regions lacking goodmedical facilities, to provide basic healthcare and refer patients to hospitals if necessary

The rural health clinics by RDT were started in 1975 with the appointment of 20 doctors with MBBS qualifications. These doctors not only treated the patients, but also spread awareness on primary and preventive health to the communities. They provided quality treatment to the most remote settlements and spread awareness on health, hygiene, safe deliveries, child care and nutrition support.

Very importantly, rural and mobile clinics provide ready-access to institutional support for rural people. The network also refers more serious patients to RDT hospitals in case of severe problems. There are 5 full-time health clinics, 8 school health-clinics running for half a day and 2 mobile clinics,

which function during the morning and evening hours. These are run by doctors with the help of Health Organisers trained by RDT and auxiliary nurse midwives (ANMs) in rural areas and more than

“We are really thankful to all the doctors in the rural and mobile clinics who are proving to be of true service to mankind.”
Anne Ferrer
Executive Director

82,000 persons are treated every year for various common health problems.

School Health Programme

Doctors known as ‘School Health Doctors’ look after health related aspects of school children focusing on early detection of chronic and acute health cases.

Dental Camps

Dental health is a generally overlooked area when outstation clinic or hospital visits are made by villagers. For this reason, RDT conducts dedicated dental camps at villages which provide services like cavity repair by fillings, scaling, extractions and root canals.

Revised National Tuberculosis Control Programme (RNTCP)

RDT hospitals are recognized as a diagnostic, treatment and supervision centre for Tuberculosis (TB) under the government’s RNTCP (Revised National Tuberculosis Control Programme). The World Health Organisation (WHO) has also recognised RDT Hospitals for excellence in TB culture and sensitivity. The rural clinics play an important role in identifying and administering care in TB cases.

Chronic Cases Follow-up

Rural clinics keep track of the children suffering from chronic sickness and maintain records and follow-up of their cases. Follow-up happens once in 3 months and about 1,700 cases are covered. Patients and their families are given awareness on drug usage, and on how to keep a check on the patient’s status.

Immunization Camps

The clinics also take care of the immunization activities of the area by conducting ‘Immunization Camps’ where children are vaccinated for diseases like DTP and Polio. The CHWs maintain immunization cards of their area children which helps them keep a track of the age and category of vaccine to be given to a particular child.

Identifying Epilepsy

It is a wholly treatable condition and is amongst the key changes rural clinics has brought about. Epilepsy was regarded with suspicion and superstition and would either go unidentified, or would be routinely mistreated. An epilepsy patient was spoken about as having ‘the devil inside them’ and shunned. Today, this situation is drastically changed with trained personnel available close at hand to identify the problem and counsel the patient’s family regarding where and how to seek affordable treatment.

Onward Referrals

An important aspect of the rural and mobile clinics is the early detection and onward referral of chronic ailments or cases requiring specialised treatment. Among others, the network has referred patients requiring attention for cardiac problems, dialysis, serious poisoning, cancer, head trauma, serious burn injuries, growth hormone deficiency, and Wilson’s disease.

Mobile Clinics

These clinics in particular service remote Chenchu tribal settlements. This community is starkly cut off from the mainstream, dwelling deep inside the forest. Since April 2013, two doctors, each with an ambulance, provide services to villages in the four regions of Srisailam. The ambulances assemble people from the surrounding villages into one village and arrange checkups to lend support to villagers from 234 settlements every month.

Through its mobile clinics, RDT focuses on:

Running antenatal examinations once in two months in villages handled by ANMs, in collaboration with Government health staff wherever possible.

Conducting school health camps twice or thrice a year for all the children attending community schools

Special health camps especially for women suffering from gynaecological problems

Rural clinics enable the rural poor to address their immediate health problems. Issues that would have gone unchecked, with the access to these clinics are treated safely and hygienically, or escalated to competent institutions as required. These rural health clinics are of great help to people from the nearby villages as well, since the doctors reside on campus are available almost 24 hours a day for emergency cases. Aside from the actual care provided, access to rural clinics boost people’s confidence and prevent serious illnesses or deaths due to the neglect of early-stage small issues.

HIGHLIGHTS
 
STAFF SPEAK
 

“My experience on coming here for the first time, was that 90% of the houses did not have toilets. This was because village elders were not accepting toilets within or near the houses and preferred open defecation. Our team tried numerous means to create better sanitation awareness among the younger generation and students. Many of them   are now coming forward requesting for toilets to be built. RDT has since been working with the government to construct more toilets to prevent the spread of water borne diseases and to control epidemics. We combine this with providing safe drinking water through RO plants so that all water borne threats can be neutralised as far as possible.”

K Sivanna,
Health Co-ordinator, Ananthapuram

SUCCESS STORY
 

Being a priest and a firm believer in God, I believe that RDT’s Dr. Kumaraiah was a divine intervention to my rescue; otherwise I would have never regained my original state of mind. Working as a temple priest in Ramagiri Mandal, Ananthapuram, I was earning Rs 1,600 per month and some loose change. This meagre amount wasn’t enough to support my family therefore I took up tailoring as a secondary profession.

Slowly, I started experiencing an abnormal noise in my ears. An ENT doctor in Ananthapuram prescribed some medicines, drops and injections but I wasn’t relieved. I also consulted some reputed doctors in Kurnool and Bangalore but all my efforts went in vain. The continuous medicine intake caused stomach irritation and face swelling besides loss of hearing and anxiety. I was depressed having spent so much for my treatment and people known to me started thinking that I’ve gone mad when I discussed about the roaring noise in my ears.

One day, I shared my problem with Dr. Kumaraiah, Medical Officer at the RDT Rural Health Clinic who practices both homoeopathy and acupuncture; and he promised me a permanent cure. Initially I was a bit hesitant but eventually agreed after some counselling by him. After just four rounds of acupuncture treatment, I got the kind of relief I had never imagined. Along with the therapy, I was also receiving homoeopathic medicines that were providing further relief. Now I can hear perfectly and my social interaction has also improved greatly. Thanks to RDT and alternate system of medicines that have kept my hopes alive.

“After just four rounds of acupuncture treatment, I got the kind of relief I had never imagined.”

PARADIGM SHIFT
 

Basic ailments are no more a matter of speculation and early treatment leads to lesser aggravated situations. Curbing the disease in the bud enables the rural poor to be always employable and live a stable life

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