A- A A+

Rural Health Unit & Training Centre, Singur

A) Background:

The Centre started in the year 1939 (became part of AIIH&PH in 1944-45). It is one of the three field pilot centres of Primary Health care in India. Presently it is functioning as the “Rural Field Practice Area” of all the public health courses of AIIH&PH, Kolkata and also of many other courses run by different institutions.

AIMS & OBJECTIVES:

1. To provide Rural Field Training of various Undergraduate (UG) & Postgraduate (PG) courses in the field of Public Health.

2. To provide Primary Health Care services catering more than one lakh population in          RHU&TC service area through its 2 Primary Health Centres, 4  Sub-centres  and 12 Health Units.

3. To assist in performing Public Health (Field) Research by the students and experts.

ACHIEVEMENTS:
1. Training:

a. Academic Field Training: This organization gives Rural Field Training to Public Health Students & Professionals of AIIH&PH, Kolkata as well as other institutions of the country. Over last 8 decades, more than 12,000 (Twelve thousands) Public Health Students & Professionals received their Rural Field Training from here.

b. In-service Trainings: It is a regular activity of the department. On an average, about 50 such training sessions are conducted here annually.

2. Research:

Innumerable Public Health (Field) Research studies have been conducted here over last 8 decades. Important Pioneering Researches conducted here are dug well latrine introduced in 1949-50 as part of RCA project, Govt. of India and Tara Pump. It had a pioneering role in General Health Survey and also initiation of Family Survey & Population control as part of National Family Planning Program (1952).

3. Services:

Since inception, this centre is providing Primary Health Care to the people in its service area of 64 villages. Presently, the population in the service area is about 1 lac 6 thousand. Services provided by RHU&TC is reflected by selected important health Indicators@ showing a favorable picture for the majority compared to that of West Bengal or India (without ignoring the role of Social Determinants of Health)

Indicator

RHU&TC

West Bengal

India

Crude Birth Rate (per 1000 MYP)

10.9

18.1

23.3

Crude Death Rate (per 1000 MYP)

4.3

6.1

7.6

Perinatal Mortality Rate (per 103 live births)

25.8

29

35

Neonatal Mortality Rate (per 103 live births)

13.7

24

36

Infant Mortality Rate (per 103 live births)

15.5

33

48

1-4 Yr. Mortality Rate (per 103 live births)

0.86

08

13.3

Maternal Mortality Rate (per 105 live births)

172

145

212

Contraceptive Use Rate ( %)

68.3

50

48.5

Tetanus Toxoid Immunization: (PW %)

97.6

90

76.3

Immunization Coverage (9-11 mo, %)

99.2

90.6

61 (12-23 mo)

Cure Rate (DOTS, %)

89

86

88

@ Data pertains to the year 2013 for RHU&TC, Singur and the latest available comparable     figures obtained from relevant sources e.g. Health on the March, WB, 2011-12:NFHS III / DLHS III:Census 2011:HMIS (WB) 2010-11:RNTCP Report, GOI

B) Present State of the Department:

1.  Faculty / Officers position:

Post

Sanctioned Post(s)

Present Position

Vacant Position

Associate Professor of Public Health

01

01

Nil

Associate Professor of Env. Sanitation

01

Nil

01

MO (RFSPC)                      [Public Health Specialist]

01

01

Nil

MO (Training)

01

01

Nil

MO (MCH)

01

01

Nil

MO (RH)

01

Occupied

Nil

MO (Research)

01

01

Nil

MO (Field Instructor)

01

01

Nil

GDMO

04

04

Nil

Assistant Engineer (Pub. Health)

01

Nil

01

Health Education Officer

01

Nil

01

Statistician

01

Nil

01

2. Physical Infrastructure Available:
  • RHU&TC, Singur – Administrative Building.
  • Lecture Hall (two) – in S.N. Mallick Building &Admn. building.
  • Hostel with Canteen – Capacity 90.
  • Public Health Laboratory.
  • Public Health Workshop.
  • Transport Section.
  • Primary Health Centres – 2 –  Anandanagar (PHC)  & Nasibpur (PHC)
  • Sub-centres – 4 –  Nasibpur,  Balidipa,  Paltagarh & Dewanveri
  • Health Units – 12
  • Classrooms – Two – Capacity   i) 80 (S.N. Mallick Building); ii) 45 (Admn. Building)
  • Laboratories – 03 (One in RHU&TC & One each in PHC)
3. Courses Conducted:

Being a Rural Field Practice area, no course is conducted on its own. However, it provides Rural Field Training to the students of all the Public Health courses of    AIIH&PH, Kolkata and also many other institutions of India. During the year 2013,    about 330 (Three hundred & thirty only) students of 17 (seventeen) Public Health    courses received their field trainings in RHU&TC, Singur.

C) Present Activities of the department:

1. TRAINING:
a. Academic Training Programs for the year 2013:

Sl. No

Name of the Institution

Name of the Course

No of Students

Duration

1

AIIH&PH, Kolkata

Core Course

78

7 weeks

2

AIIH&PH, Kolkata

DPHM

03

5 weeks

3

AIIH&PH, Kolkata

MPH(Epidemiology)

01

4 weeks

4

AIIH&PH, Kolkata

Dip (Diet)

20

2 weeks

5

AIIH&PH, Kolkata

M.Sc (Applied Nutrition)

14

Do

6

AIIH&PH, Kolkata

DNEA(CH)

01

6 weeks

7

AIIH&PH, Kolkata

DHE

46

6 weeks

8

National Institute of Nursing Education, PGI, Chandigarh

M Sc (Nursing)

04

1 week

9

Eastern Command Hospital, Kolkata

B. Sc. (Nursing)

29

2 weeks

10

College of Nursing, Baba Farid University of Health Sciences, Faridkot, Punjab

M Sc (Nursing)

06

18 days

11

College of Nursing, SSKM Hospital, Kolkata

Do

05

26 days

12

NRS MC & Hospital, Kolkata

Do

04

4 weeks

13

NIOH, Banhoogly, Kolkata

Do

09

2 weeks

14

ESI Hospital, Maniktala, Kolkata

GNM

43

2 weeks

15

Eastern Command Hospital, Kolkata(IGNOU)

Hospital Management

10

01 day

16

SUM College of Nursing, Odissa

M Sc (Nursing)

04

01 day

17.

National Institute of Homeopathy

BHMS

54

01 day

b. In-service Trainings: (during the year 2013):
  1. On AFP & Measles Surveillance by SMO, Hoogly dist. in May ’13. Participants: MOs, PHNS, PHNs, HAs.

  2. IPPI Reorientation Training –    Total 25 sessions.

  3. 9(Nine) Health Personnel received training on WIFS.

  4. 6(Six) employees received Hindi (Praveen) Training in July-November’13 session.

  5. 2(Two) staff nurses received Skilled Birth Attendant (SBA) Training

  6. 5 (Five) Health Worker (female) received IUCD Training.

  7. 4(Four) MOs and 2(Two) PHNs received Modular training on RNTCP.

  8. 2(Two) staff [PHN & DEO] received Nikshay Training on RNTCP.

  9. 16(Sixteen) staffs [2 PHN & 14 Health Workers (f)] received MCTS Training.

  10. Public Health Specialist & PHNS received ToT on Immunization.

  11. 2(Two) PHNs received training on Cold Chain Management.

  12. Public Health Specialist received ToT on PMDT/MDR and AIC.

  13. Public Health Specialist & MO received ToT on TB/HIV.

  14. Public Health Specialist & PHNS attended workshop on Polio Eradication.

2. RESEARCH:

The researches guided, helped and conducted by RHU&TC officers in 2013 follows:

Sl No

Course

Student(s) / Teacher(s)

Title

Guide / Researcher

1.

MD (CM)

Dr.  Sourav Naiya

An Epidemiological study on Depression among Undergraduate students of Medical colleges in Kolkata

Dr. Sanjoy Kr. Sadhukhan

(Guide)

2.

MD (CM)

Dr. Somak Majumder

A study on the Evaluation of Integrated Child Development Services programme in a Borough of Kolkata Municipal Corporation.

Do

3.

MPH(Epid)

Dr. Koushik Show

Assessment of Risk factors of NCDs among Secondary School Teachers in selected govt. schools of South 24 Parganas dist., West Bengal

Do

4.

M Sc (Applied Nutrition)

Priyatama Aown

Assessment of Vitamin C content and Effect of Temperature and Storage on it in Amla and Lemon

Do

5.

DPH

Group 2

(2011-13)

A study on early marriage and its associates at Mathurapur-I Block, South24 Parganas, West Bengal

Do

6.

DPH

Group 1

(2012-14)

A study on Morbidity, Health Care Utilization and Health Expenditure in Tarakeswar Block, Hoogly dist. West Bengal

Do

7.

MPH

Dr. P. Bhattacharya

A Study of the factors responsible for diagnostic delay in oral cancer patients attending a tertiary care hospital in Kolkata.

Do

(Guidance to Protocol )

8.

MS-Opth (RIO)

Dr. Ankit Vinayak

A study on the effect of Pterygeum operation on different Eye parameters in RIO Kolkata

Do

(Guidance to data analysis)

9.

Do

Dr. S. Dawn

Prevalence and associates of macular edema among Uncomplicated Phaco-emulsion operated patients.

Do

10

Do

Dr. A. Chattopadhyay

A Comparative Study of Ocular Morbidity between Students of Government Schools & Madrasahs in Kolkata

Do

(Guidance to protocol, data analysis & report writing)

11.

DPH

Group-5

(2012-14)

Evaluation of RNTCP at RHU&TC, Singur with special reference to Failure, Relapse and Defaulter cases.

Dr. Lina Bandyopadhyay

(Guide)

12.

Dr. K. Bhattacharya

Asst. Prof. of Psychiatry, Medical College, Kolkata

Association of Metabolic Syndrome and Depression;  a  case control study in a tertiary care institution of Kolkata.

Dr. Sanjoy Kumar Sadhukhan

(Guidance to data analysis

13.

A study on Assessment of the Reasons for  Specialization in Public Health among Students of All India Institute of Hygiene & Public Health, Kolkata.

Do

(Researcher)

3. PUBLICATIONS:

Publications by the Officers of RHU&TC, Singur in 2013 are as follows:

  1. Baur B, Sarkar J, Manna N & Bandyopadhyay L: The pattern of Dermatological disorders among patients attending the skin OPD of a Tertiary care Hospital in Kolkata, India: IOSR Journal of Dental & Medical Science (JDMS) ISSN: 2279-0853 ISBN: 2279-0861. Vol-3,Issue 4(Jan-Feb 2013) , PP 04-09

  2. Manna N, Sarkar J, Baur B, Basu G & Bandyopadhyay L: Sociobiological determinants of low birth weight : A community  based   study from  rural  field practice  area  of Medical college, Kolkata, West Bengal(India), India: IOSR Journal of Dental & Medical Science (JDMS) ISSN : 2279-0853 ISBN : 2279-0861. Vol-4, Issue 4(Jan-Feb 2013) , PP 33-39

  3. Sadhukhan SK & Mukherjee S: Women Empowerment and Health; An Experience in a Rural Community of West Bengal: National Journal of Medical and Allied Sciences 2013; 2(1): 1-9 [eISSN: 2319-6335]

  4. Bhattacharya K, Guha P, Ghosal M and Sadhukhan SK: Association of Thought Disorder with Cognitive Dysfunctions in Schizophrenia, A Cross Sectional Study in a Tertiary Centre in Kolkata, India: German  Journal of Psychiatry, 2013; 16(4): 137-142 [ISSN 1433-1055]

4. SERVICES PROVIDED: (2013)
a. Patient care services: Provided through 2 PHCs & 4 Sub-centres.

Services

Performance

OPD patients attended

30956

Treatment of Emergency patients

6558

Admission

86

Delivery

09

Referral Service

(Referral Transport Scheme beneficiaries )

305

OPV “O” dose immunization

397 (includes babies delivered outside)

b. Community/Public Health Services:   Provided through 12 Health Units in 64 villages

Catering about 1.06 lac population.(Average:  5+ villages, more than 8800 population / Health Unit) including 24 Brick fields.

Services

Performance

Antenatal cases

Total Registered

1381

Registered within 1st Trimester

1118 (80.9%)

Registered < 19 yrs.

90 (6.5%)

Pregnant mother

≥3 ANCs

1276 (92.3%)

Hb level

< 11 gm/dL

417 (30.2%)

< 7 gm/dL

03 (0.2%)

Complete TT Immunization

1348

Deliveries

Institutional

1155 (97.8%)

Home

26 (2.2%)

Post Natal Visits

         Within 48 hrs.

173 (14.6%)

         48 hrs -14 days

486 (41.1%)

Primary Immunization :    Infant (9-11 mo)

1220

Use of F. P. methods:

IUCD (Cu T)

24

OCP distributed

2890 cycles

Condom distributed

14693 pc

c.Revised National Tuberculosis Control Program (RNTCP):

                 DOTS

Performance

Cure Rate

89%

Case Detection Rate

59%

ICTC Referral

100%

MDR Case

01

MDR Suspect

03

d. Public Health Laboratory Services:

Services

Performance

Total Urine samples examined (RE, ME)

935

Total Stools sample examined(OPC)

1044

Total Blood samples examined

Routine Examination (Hb, TC, DC, ESR)

186

ABO grouping  & Rh typing

615

Blood Sugar

(GOD-POD method)

Fasting

941

(> 110 mg/dL = 250)

Post Prandial

2333   (>120 mg/dL = 675)

Serum Cholesterol

141 (> 200 mg/dL = 72)

Pregnancy Test

236

VDRL tests (Preg. women)

615 (+ve: Nil)

Malaria Slides

170 (+ve: Nil)

Total Sputum tests done for AFB

548 (75 +ve)Diagnosis:   356 (41+ve)

Follow-up: 192(34 +ve)

e.  Public Health Engineering Services:

Services

Performance

No of Tube-wells disinfected

132

f. Outbreak Management:

i) Routine Surveillance– through IDSP

Selected Surveillance (IDSP) Information [No of Cases] from RHU&TC, Singur, 2013

Syndromes

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

Total

Only Fever (< 7 Days)

274

211

337

410

1232

Fever (< 7 Days) + Rash

50

59

16

23

148

Diarrhoea  (< 2 Wks) + No Dehydration

512

616

668

514

2310

Diarrhoea (< 2 Wks) + Some/Severe Dehydration

165

323

215

192

895

Acute Dysentery (< 2 Wks)

1

1

1

2

5

Acute Dysentery (< 2 Wks)

2

2

ii) Others:

Nature of Outbreak

Number of Outbreaks

Total Number of Cases

Total Number of cases hospitalized

Total Number of Deaths

Acute Diarrhoeal Disorders

07

152

36

Nil

g. Miscellaneous:

i) Pulse Polio Immunization:

Total No of IPPI  Rounds

06

Total Target Children

41230

Total Children Covered

40596

% Children Covered

98.5%

ii) Observation of Breast Feeding Week 2013

  • Number of Sessions – 06
  • Number of Mothers attended – 246

iii) Village Health & Nutrition Days (VHNDs)

All India Institute of Hygiene & Public Health