Following is the detail of Shamlaji Hospital projects

MMR & IMR Projects :

Picture 018Shamlaji hospital is doing following actions to reduce MMR & IMR

  •  Promote Institutional Deliveries – In this rural trible area some patients preferres to do deliveries at home for some reasons. To avoid the complicaiton of home delivery, we are promoting insitutionl deliveries by providing Rs. 250/-  if the patients do delivery at shamlaji hospital. The trust also proivde new born baby care kit to the patient.
  • Regular Checke up of ANC patients – We provide to & fro fare to ANC patients to motivate her for their regular check up to avoid any complicationl. Trust also provide to & fro fare to ASHA Worker if she  comes with ANC patietns at Shamlaji Hospital for patient’s check up.
  • Treatment for low HB One of the main causes of MMR is post partum hemorrhage ie 38%. Majority of our poor tribal pts are anaemic with Vey low HgB and pts with low HgB do not tolerate post delivery bleeding. To increase HB, Trust provides injection iron sucrose thereapy (Course of Five Injection) and sukhadi (supplimentary food) to provide good nutrition to ANC patients having low HB.       Trust provide Rs. 100 for travelling & wage loss allowance to patients having low HB & getting treatment of iron sucrose therapy. Since this require five injection course patients do not come for follow up so we have started Pilot Project of New One Injection course.
  • Monitoring of low hb patients : It is very necessary to monitor of patient of having low HB if her HB increases or not after taking of injection iron sucrose therapy. Hence, we will bring such patients to our hospital & do check up and arppropriate actions.
  • AS per govt. norms patients having HB less 7 gm is required injection iron sucrose therapy, but we are giving this therapy to patients having HB less than 10 gm so that at the time of delivery patients do not have to suffer from complication due to low HB & infant also become healthy.
  • Helping Baby Breath : Under the Helping Baby Breath programme, the infant who has breathing difficulties immeadiately after delivery is being treated wihin golden minute. All the medical officer & nursing staff is wel trained about Helping Baby Breath Programme.
  • Trust participates in all government schemes like Chiranjivi  Yojana & Janani Sishu Suraksha Karyakram, Gujarat Nutrition Integrated Programme etc
  • Trust hired two field workers who goes in field and collect  the diagnostic data e.g. HB, Blood Group, HIV etc of Ante-natal women in prescribed check-list.
  • We have prepared a check-list which includes most of the data of patients & her family. This Data help us to find out patients medical problems so we can treat the patient accordingly.
  •  Moreover our field worker keeps in touch with the pregnant women for any kind of medical help & insure regular insitunal check-up so any complication can be treated before delivery.
  • To involve  Obstetrician , midwife and paramedical staff– to find out any complications of pregnancy and prompt treatment.
  • To involve Paedetrician and Physician-To ensure that child’s family  must have knowledge about  their Blood Group,Rh Factor and girl should have atleast >10gms  Haemoglobin and devoid of Malnutrition, UTI and RTI  etc.
  • Counseling with Ante natal patients during Mamata Session held in Bhiloda Taluka.
  • Routine counseling for post natal care & new born care at the hospital.

Cataract Projects :

BLINDNESS has profound human and socioeconomic consequences. The cost of lost productivity and of rehabilitation and education of the blind constitute a significant economic burden for the individual, the family and society. The economic effects of visual impairment can be divided into direct and indirect costs. The direct costs are those of the treatment of eye diseases, including the relevant proportions of costs for running medical and allied health services, pharmaceuticals, research and administration.

The indirect costs include lost earnings of visually impaired people and their caregivers and costs for visual aids, equipment, home modifications, rehabilitation, welfare payments, lost taxation revenue and the pain, suffering and premature death that can result from visual impairment.

The main cause of blindness in India is: – Cataract  62.60%

The prevalence of blindness in India is 14.9 per 1000. Eighty per cent of this blindness is due to cataract alone. Most of the cataract blinds in the country are in the rural areas while the surgical service delivery network is concentrated in the urban areas. Thus a large proportion of patients in the rural areas continue to remain blind. This situation has many social implications. There is loss of productivity, breakdown of interpersonal relationships, depressive manifestations, loss of self esteem and most patients lead an isolated humiliating life. Patients lack information on the available services and continue to remain blind for years

even after being diagnosed as operable. This is unfortunate because cataract surgery is one of the most cost effective health interventions known and most operated patients, irrespective of the surgical technique, are immensely satisfied with the level of visual rehabilitation after surgery.

catractAction Plan :

  • We do not believe in larg number of operations. Hence, we operate around 20 to 25 pattiens every week of cataract.
  • Currently our Ophthalmic Assistant runs OPD three day a week, which we are going to do everyday a week.
  • We have developed seperate ophthalmic Department for eye patients only.
  • Cataract Protocol is established to avoid any infection or complication.
  • At present we are doing 100 surgeries per month which we want to increse up to 300 per month.
  •  We do culture our Operation Theatre every two months to avoid infections.