Charutar Arogya Mandal

Karamsad, India


Charutar Arogya Mandal (CAM) is a registered trust and a society established in the year 1972 by late Dr. HM Patel for providing health care services to the rural population of Anand and Kheda districts of Gujarat. Currently, it manages an 800 bedded tertiary care hospital ( Pramukhswami Medical College), a Cardiac centre, a Cancer centre, a Nursing College, Physiotherapy college and several other paramedical and allied institutions. Shree Krishna Hospital is a NABH accredited hospital with NABL accredited laboratories and caters to around 500000 patients every year. Under its Ashirwad scheme, 450 general beds provide free medical services to the patients, charging only for the medicines. The Medical College has 150 undergraduate seats and around 85 post-graduate seats. It is a nodal and regional centre with the Medical Council of India for training medical faculty of the various college of the country in medical education. The institution publishes an extensive number of quality research papers in Pubmed indexed journals from the State of Gujarat.

Shree Krishna Hospital’s Programme for Advancement of Rural and Social Health, (SPARSH) Programme is an innovative programme which is being implemented in 150 villages of Anand, Kheda and Panchmahal districts for diagnosing and treating Non-Communicable Diseases in the community. SPARSH is designed to create systems and processes that enable the last person in the villages it operates in, to access appropriate healthcare facilities. Launched three years ago, it is being funded by Sir Dorabji Tata Trust, GMM Pfaudler and Shamdasani Foundation. The goal is to develop and test a model of non-communicable Disease prevention and care in a rural, primary care setting.

The objectives are to implement the SPARSH model in150 villages in Anand, Kheda and Panchmahal districts and evaluate the package. The entire NCD spectrum covers Hypertension, Diabetes, COPD, Cancer, Mental Health, Neurological disorders and musculoskeletal diseases.

Charutar Arogya Mandal is designated as an Innovation and Learning Centre by NHSRC (National Health Systems Resource Centre) for Comprehensive Primary Healthcare (CPHC) initiative of Government of India. As a part of this project, we started two training programmes for the Medical Officers and Community Health Officers of Health and Wellness Centres of Dahod block of Dahod Districts, Gujarat. Dahod district is one of the two “Aspirational Districts” in Gujarat where the majority of the population belongs to the tribal population. The aim of the programme is to equip them with conceptual knowledge and understanding and case-based learnings regarding the different components of CPHC. Since, CAM is one of the first few ILC centres to start the ECHO hub, the learnings from this program will be useful in designing future courses and capacity building of other organizations.

Charutar Arogya Mandal has also started another pilot project titled “Effectiveness of the tele-mentoring ECHO model in improving ASHAs’ knowledge, skills & practice in comprehensive healthcare in India”. In the pilot project, ASHAs from 3 PHCs will be tele-mentored for a period of 6 months with the help of ECHO model and the effectiveness of the trainings will be assessed after a period of 6 months.

Objectives

Primary Objective:

To assess the incremental effectiveness of the tele-mentoring ECHO model when added to traditional (F2F) training in changing skills, attitude and practices of trained ASHAs in comprehensive healthcare.

We launched the programme for ASHAs on 23rd of February 2020 in presence of Officials from NHSRC, Block Health Officials, National Trainers, State Trainer and Officials from ECHO India Trust. We conducted a didactic session on Maternal Health care followed by case presentation in which 3 ASHAs presented cases related to Maternal health which were explained by the State Trainer. The sessions will be conducted twice monthly for a duration of 6 months in forthcoming months.

We also launched the ECHO-CAM programme on 2nd of March 2020, in which 44 Community Health Officers participated and the didactic session was conducted on Health Promotion and Disease prevention followed by case discussion. The session was observed by Officials from NHSRC, State health officials and ECHO India for quality purposes. Similar sessions will be conducted for the Medical Officers in the upcoming days. These virtual sessions will be conducted once every month for both the cadres for a period of 6 months.