Introduction
RURAL HEALTH & TRAINING CENTRE serves as a hub for training both medical and paramedical students, focusing on promoting and protecting community health. Rural Health Unit & Training Centre (RHU& TC), Singur, Hooghly, started as Maternity and Child Welfare Unit in 26th March, 1939. RHU&TC, Singur became a part of administrative control of AIIH& PH in 1944 – 45. This is the first Rural Health Unit & Training Centre in India which contributed to the “Bhore Committee Report”. This is one of the three field Pilot centres of Primary Health care in India. Rural Health Unit & Training Centre is located at a distance of 35 km. from Kolkata.
Village Map Of RHU&TC ,Singur
The Rural Health Unit and Training Centre at Singur apart from working as a Community Health training Centre and field laboratory for Medical and Paramedical Students, also gives comprehensive Primary healthcare to 64 villages having population of about 1,02,905 through two PHC and 16 units or sub-centres.
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ASHA based enumerated Population under RHU&TC: 1,02,905 (as on 01.11.2023)
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Families: ≈ 25,397
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64 Villages. (≈ 1/3rd of Singur Development Block. 2/3rd – WBHS)
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23 Bricklin’s population. (Population almost 4500 during peak season)
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Total Area: 64.0 Sq. Km.
Objectives
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To provide rural field training of various UG, PG medical and Paramedical courses in Public Health.
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To help in performing Public Health (Field) Research by Students and Experts.
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To provide Primary Health Care in its service area including Public Health Surveillance and Outbreak Management.
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To provide Laboratory Services (Public Health Lab/ Biochemistry Lab) & Sanitary Engineering Services (Construction/Disinfection of Tube wells).
Workforce Statusfor Public Health Services:
| Subcentre/Units | 16 |
| Community Health Officer (CHO) | 0 |
| Health Worker (F) | 7 |
| Health Worker (M) | 0 |
| Health Assistant (F) [ 1 HA for 2 units] | 6 |
| Health Assistant (M) [ 1 HA for 4 units] | 0 |
| Public Health Nursing Officer | 4 |
| Senior Public Health Nursing Officer | 0 |
| ASHA Worker | 97 |
Primary Health Centre
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Primary Health Centres – 2 [Anandanagar (PHC) and Nasibpur (PHC)]
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Health Units/ Subcentre – 16 units/SC
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Health units 1 to 6 and Ayma SC & Boichipota SC are under APHC and Health units 7 to 12, Purusottompur SC and Ramnagar SCare under NPHC.
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Only 5 units out of 16 units have separate infrastructure. (4 buildings of SC, i.e. Nasibpur, Balidipa, Paltagarh and Nanda belong to RHU&TC, Singur & 1 SC building, i.e., Dewanvery belonged to West Bengal Govt.).
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Laboratories –2(One in each PHC.).
Teaching activities
Teaching goal for medical and paramedical is to make them a competent for promotive & preventive health services to the patient and community and also acquire knowledge and skills in identifying health needs, able to do resource mapping and manage community health by use of principles and techniques of epidemiology, health management.
Community exposure including development of skills of Community Diagnosis was provided to PG Students of the institute as per curricular activity of MD (CM), MPH (Epidemiology), M.Sc (Applied Nutrition), DPH, DHPE, MVPH, DPHM, DHS students of the Institute. In addition, Post Graduates, Undergraduates and Paramedical students from various institute in the country also participate in field training program in Public Health at RHU&TC Singur.
Field-based training as per curricula for courses of different institutes:
| Sl.No. | Institute | Course | No. of students | Duration |
| 1 | AIIH&PH | MSc Applied Nutrition &Dip.Diet | 51 | February 2023 |
| 2 | AIIH& PH | Core course student 2022 | 21 | Sep 2022- January 2023 |
| 3 | AIIH& PH | Core course student 2023 | 20 | 11.12.2023 – 12.01.2024 |
| 4 | AIIH&PH | DHPE & MSc in Public Health | 06.02.2023 – | |
| 5 | College of Nursing Eastern Command Hospital,Kolkata | BSc Nursing &MSc Nursing (2nd yr) | 30 | 06.02.2023-05.03.2023 |
| 6 | Regional College of Nursing,Guwahati. | MSc Nursing 2nd yr. | 6 | 01.07.2023 – 16.07.2023 |
| 7 | College of Nursing,Tripura | MSc Nursing 2nd yr. | 2 | Two months |
| 8 | Sikkim Manipal Institute of Medical Science,Gangtok | MSc Nursing 2nd yr. | 5 | 03.07.2023-22.07.2023 |
| 9 | National Institute for Locomotor Disabilities,Bon Hooghly,Kolkata | MSc Nursing | 10 | 19.02.2022 -30.09.2022 |
| 10 | Tata Medical Centre,Kolkata | MSc Nursing 1st yr | 8 | 01.05.2023 -11.05.2023 |
| 11 | Aliah University | BSc Nursing | 64 | 02.01.2023 – 25.02.2023 |
| 12 | The Calcutta Homeopathy Medical College and Hospital,Kolkata | BHMS | 25 | 19.07.2023 |
| 13 | National Institute of Nursing Education,PGIMER,Chandigarh | MSc Nursing 1styr | 5 | 29.05.2023 – 02.06.2023 |
| 14 | College of Nursing, Bankura Sammilani Medical College. | MSc Nursing 2nd yr | 5 | 12.02.2023 – 10.03.2023 |
Training of Field Functionaries
| Observation of World Cancer Day | 08.02.2023 | All staffs of RHU&TC, Singur |
| CME on MRVC. | 21.11.2023 | HW, HA, PHNO |
| Orientation on Menstruation Hygiene Scheme. | 14.02.2023 | HW, HA, PHNO |
| Sensitization on Updated Family welfare Programme. | 22.02.2023 | HW, HA, PHNO |
| Observation of World Tuberculosis Day. | 24.03.2023 | HW, HA, PHNO |
| Workshop on National Iron Plus Initiative programme. | 03.03.2023 | ASHA |
| Sensitization on Intensified Mission Indradhanush 5.0 ,2023. | 7 -12 August, 11-16 September, and 9-14 October 2023 | HW, HA, PHNO |
Diseases (Clinical & Lab based) 2023
| Name of the Disease | Emergency | OPD |
| Diarrhoea | 175 | 158 |
| Helminths | 152 | 168 |
| Other GI ( Acidity /pain /indigestion ) | 711 | 680 |
| ARI | 1215 | 2081 |
| Fever | 289 | 320 |
| Fever with Rash | 0 | 0 |
| Vectorborne disease | 4 | 0 |
| Skin disease | 224 | 245 |
| STD/RTI | 1 | 0 |
| Musculoskeletal | 917 | 840 |
| TB | 3 | 8 |
| Hypertension | 1629 | 1972 |
| Diabetes | 1286 | 790 |
| Anaemia | 5 | 11 |
| Antenatal &Postnatal | 14 | 108 |
| Gynaecological | 21 | 43 |
| Respiratory(expect ARI/TB) | 318 | 146 |
| Others | 1963 | 2178 |
| Total | 8927 | 9748 |
Performance Report of Public Health Laboratories
| Type of Sample | No. of Test | No. of (+)ve | |
| A | Glucose | 3150 | 1246 |
| B | Cholesterol | 623 | 208 |
| C | Uric Acid | 457 | 26 |
| Grand Total | 4230 | 1480 |
| Antenatal Mother | ||
| Type of Sample | No. Of Sample | Positive |
| Hb% | 583 | 146 |
| VDRL | 577 | 00 |
| Gr-Rh | 576 | — |
| Stool | 480 | 16 |
| Urine | 581 | 47 |
| Sugar estimation | 578 | 03 |
| HBsAg | 582 | 00 |
Community/Public Health Services
| Important Indicators of PW- ANC Activities under RCH programme | |||||||||||||||||||||||
| % 1st trimester | Apr -Oct % 180 Iron Folic Acid (IFA) tablets & % 360 Calcium tablets | ANC 4 or More Check Up | |||||||||||||||||||||
| Total number of pregnant women registered for ANC | Out of the total ANC registered, number registered within 1st trimester (within 12 weeks) | % 1st trimester | Number of PW provided full course 180 Iron Folic Acid (IFA) tablets | Number of PW provided full Course 360 Calcium tablets | % 180 Iron Folic Acid (IFA) tablets | % 360 Calcium tablets | Number of PW received 4 or more ANC check ups | % 4 or more ANC check ups | % PW given one Albendazole tablet after 1st trimester | Number of PW givenTd1+Td Booster | % of Td1+Td Booster coverage | ||||||||||||
| 989 | 955 | 96.50% | 889 | 866 | 89.80% | 87.50% | 861 | 91% | 98.2 | 989 | 100 | ||||||||||||
| Important Indicators of PW- ANC Activities under RCH programme | |||||||||||||||||||||||
| Number of PW tested for Haemoglobin (Hb ) 4 or more than 4 times for respective ANCs | No of PW < 11 gm Hb | Number of PW tested for Blood Sugar using OGTT(Oral Glucose Tolerance Test) | % PW tested with OGTT | Number of pregnant/Direct-In-Labor (DIL) women screened/tested (with RDT/PoC) for Syphilis &HIV | Number of pregnant women screened/tested (with RDT/PoC) for HBsAG | Total High Risk Pregnancy (HRP) Antepartum (Only New Cases are to be reported) | Total High Risk Pregnancy (HRP) Antepartum (Only New Cases are to be reported) attended PMSMA clinic | ||||||||||||||||
| 954 | 113 | 521 | 55.4 | 978 | 596 | 91 | 82 | ||||||||||||||||
| Pregnancy Outcome & Postnatal Care | ||||||||||||||||||
| Total Delivery — 929 | ||||||||||||||||||
| Caeserian section | Normal delivery | Live birth-Male | Live Birth -Female | Birth Weight >2.5 kg | Birth weight < 2.5 kg | Nursing Home | Govt Hosp | Home Delivery | Abortion( Spontaneous) | Stillbirth | Infant Death | 6 HBNC by ASHA | Ligation | |||||
| Within 24 hrs | Within 4 wks | Within 1 yr | ||||||||||||||||
| 640 | 285 | 478 | 451 | 772 | 197 | 434 | 492 | 1 | 49 | 7 | 0 | 8 | 0 | 881 | 249 | |||
| Distribution of Eligible Couples by Age and practice of F.W. Methods as on 31.03.2023 | ||||||||||||
| Age Group | Not practicing F.W.Methods | Vasectomy | Tubectomy | Total(3)+(4) | IUCD Users | C.C.Users | OCP Users | Antara Users | Chhaya Users | Total (5) to (11) | Total (2)+(12) | |
| Interval | PP- IUCD | |||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
| 15-19 | 113 | 0 | 3 | 3 | 0 | 34 | 119 | 20 | 4 | 4 | 184 | 297 |
| 20-24 | 877 | 0 | 271 | 271 | 8 | 258 | 924 | 606 | 19 | 16 | 2102 | 2979 |
| 25-29 | 860 | 0 | 890 | 890 | 18 | 273 | 919 | 716 | 7 | 18 | 2841 | 3701 |
| 30-34 | 894 | 1 | 1313 | 1313 | 12 | 78 | 663 | 592 | 4 | 5 | 2667 | 3561 |
| 35-39 | 821 | 1 | 1225 | 1225 | 7 | 43 | 422 | 293 | 4 | 1 | 1995 | 2816 |
| 40-44 | 699 | 1 | 1037 | 1037 | 2 | 0 | 224 | 130 | 0 | 0 | 1393 | 2092 |
| 45-49 | 509 | 0 | 671 | 671 | 0 | 0 | 65 | 38 | 0 | 0 | 774 | 1283 |
| Total | 4773 | 3 | 5410 | 5410 | 47 | 686 | 3336 | 2395 | 38 | 44 | 11956 | 16729 |
Couple Protection Rate – 71 %
| Child Immunisation Performance Report ( Source- HMIS Report ) | |||||||||
| BCG | Penta 1, OPV1, RVV1, fIPV1, PCV1 | Penta 2, OPV2, RVV2 | Penta 3, OPV3 , RVV3, fIPV2, PCV2 | MR1, JE1, PCVB,fIPV B | MR2, JE2,DPT B1, OPV B | Full Immunization | MRVC Target | MRVC Achieved | |
| 55 | 890 | 862 | 888 | 901 | 901 | 901 | 24555 | 15298 | |
Adolescent Programme
Menstrual Hygiene scheme Report
| Total No of Girls Covered | 735 |
| Total No. of sanitary napkin distributed | 6470 pkts |
| To no of Adolescent meeting conducted by ASHA | 431 |
National Tuberculosis Control Programme :
GP wise Screening report ( Sputum for AFB )
Pulse Polio Immunisation Programme:
| Anandanagar GP | 98 |
| Boichipota GP | 58 |
| Bagdanga Chhinamote GP | 181 |
| Nasibpur GP | 226 |
| Bariipara Paltagarh GP | 82 |
| Gopalnagar GP | 36 |
| Total Case diagnosed and on treatment | 41 |
| Cure rate | 90% |
| Success rate | 91.3% |
| Death | 1 |
Total round -2 May 2023 & December 2023
Number of child (0 – 5 yr.) Immunised – 5545 in each round
National Iron PLlus Initiative:
Total MALE child Covered – 1898
Total Female Child Covered – 1881
National Leprosy CONTROLL PROGRAMME:
Total CASE ON TREATMENT — 4 (MB Adult)
National Blindness Control Programme
Sanitary Engineering Section
| Nature of Work | Total Number |
| Disinfection of Tube Well & Tube well Platform | 159 |
| Tube Well Repairing | 19 |
| Water sample collection for Routine Chemical Analysis of water Sample | 05 |
| Routine Chemical Analysis of water sample | 05 |
| Classes taken on method of chemical Analysis of drinking water | 10 |
| Demonstration given on Environmental Sanitation. | 13 |
| Tube well maintenance work | 11 |
| Bacteriological Analysis of water Sample (During Outbreak , using H2 S Kit) | 11 |
| Regular maintenance of Demonstration corner at RHU&TC,Singur | |
| Give Awareness to the villagers of the service area during disinfection work about utility of keep the tube well platform clean to avoid source contamination in drinking water (No of village cover) | 21 |
| Take Part in Dengue Awareness at Khosalpur ,Noapara , and Balitipa village. | 16 |
| Households Numbering for student programme at Gomotia village.(in Days) | 03 |
| Sanitary Survey at Eighty One (81) houses of Gobindapur Village along with SHI students. (in Weeks) | 01 |
