Rural Health Unit & Training Centre, Singur

Introduction

Rural Health Unit & Training Centre (RHU & TC), Singur started as Maternity and Child Welfare Unit in 26th March, 1939. RHU&TC, Singur became a part of AIIH& PH in 1944-45. Student Hostel, Office Building, P.H. Laboratory and Primary Health Centres of Anandanagar and Nasibpur were established in 1956. Sub-centres at Nasibpur, Paltagarh and Balidipa were also established in 1956. 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.

Population. Served : 101,180 (As on 1.4.2019)
Families : ≈ 23,595
64 Villages. (≈ 1/3rd of Singur Development Block. 2/3rd – WBHS)
Total Area: 64.0 Sq. Km.

InfrastructureAvailable

RHU&TC, Singur─ Administrative Building, Lecture Hall – 2, Hostel with Canteen – Capacity 90, Public Health Workshop, Transport Section, Classrooms – 2;
Primary Health Centres – 2; [Anandanagar (PHC) and Nasibpur (PHC)Dearah]
Health Units/ Subcentre -12 units are working. Health units 1 to 6 is under APHC and Health units 7 to 12 is under NPHC. Out of 5 Sub-centre buildings. (4 buildings of SC, i.e. Nasibpur, Balidipa, Paltagarh and Nanda belong to RHU&TC, Singur & 1 SC building, i.e., Dewanvery belonged to District Health Authority.
Laboratories – 3(One in RHU&TC & One in each PHCs)

Teachingactivities

Communityexposure including development of skills of Community Diagnosis wasprovided to PG Students of the institute as per curricular activityof MD (CM), MPH (Epidemiology), M.Sc (Applied Nutrition), DPH, DHPE,MVPH, DPHM, DHS students of the Institute. In addition, PostGraduates, Undergraduates and Paramedical students from variousinstitute in the country also participate in field training Programin Public Health at RHU&TC Singur.

Resources

Officers’ Profile

	Dr. Ananda Kr Biswas OC, RHU&TC, Singur MBBS	E-mail:dranandakrbiswas311268@gmail.com Mobile No.:9432416735/9007898395
	Dr Saurav Ghosh Medical Officer MBBS	E-mail:doctorsouravghosh@gmail.com Mobile No.:9831490480
	Dr. Soumya Patro Medical Officer MBBS	E-mail:Soumya2404@gmail.com Mobile No.:7362906306
	Dr. Shamita Mandal	E-mail: shamitamandal100@gmail.com Mobile No.: 8910197040
	Dr. Akhilesh Kumar Medical Officer MBBS, MD	E-mail: akhileshrims@gmail.com Mobile No.: 91101 56584.

Activities

Teaching & training activities

Community/Field 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.

Field-basedtraining as per curricula was provided for courses of otherinstitutes:

Sl. No	Year	Name of the Institution	Name of the Course	Name of the Training Programme	No of Participants	Duration
	2018	College of Nursing, Eastern Command	Field Training program	Field Training program for college of Nursing , Eastern Command , BSC Nursing 2^nd yr	30	31.12.2018 to 11.1.2019
	2018	college of Nursing, Eastern Command	Field Training program	Field Training program for college of Nursing , Eastern Command , BSC Nursing 4^th yr	30	19.11.2018 to 31.12.2018
	2018	college of Nursing, Eastern Command	Field Training program	Field Training program for college of Nursing , Eastern Command , MSC Nursing 1st yr	8	17.12.2018 to 13.1.2019
	2018	college of Nursing, Eastern Command	Community Diagnosis program	Community Diagnosis program for college of Nursing, Eastern Command , MSC Nursing 2nd YEAR	5	19.11.2018 to 16.12.2018
	2019	NILD Bonhoogly	Field Training program	Field Training program NILD Bonhoogly MSC Nursing 1^st Year.	10	4.3.2019 to 16.3.2019
	2019	AIIMS Jodhpur ,Rajasthan	Field training program	Field training program College of Nursing AIIMS Jodhpur Rajasthan.	3	5.8.2019 to 22.8.2019
	2019	Regional college of Nursing Guwahati, Assam	Field training program	Field training program Regional college of Nursing Guwahati, Assam MSC Nursing 1st year.	5	6.5.2019 to 27.5.2019
	2019	College of Nursing Kolkata Medical college	Field training program	Field training program College of Nursing Kolkata Medical college, BSC Nursing 4^th yr.	39	4.9.2019 to 27.9.2019
	2019	NRS medical college Hospital Kolkata	Field training program	Field training program NRS medical college Hospital Kolkata, MSC Nursing 1^st year .	4	4.2.2019 to 1.3.2019
	2019	National Institute of Nursing Education PGIMER Chandigarh, Punjab	Field training program	Field training program National Institute of Nursing Education PGIMER Chandigarh, Punjab, MSc Nursing 1^st year .	4	27.5.2019 to 1.6.2019
	2019	Baba sahib Faridkot University of Health sciences Punjab	Field training program	Field training program for Baba sahib Faridkot University of Health sciences Punjab, MSC Nursing 2^nd year.	2	4.2.2019 to 21.2.2019
	2019	ESI Hospital Maniktala	Field training program	Field training program ESI Hospital Maniktala GNM students	89	25.3.2019 to 7.4.2019
	2018	College of Nursing SSKM	Field training program	Field training program College of Nursing SSKM BSc Nursing 4^th year	25	13.12.2018 & 9.12.2018
	2019	HC Mukharjee Memorial Health School	Field training program	Field training Program HC Mukharjee Memorial Health School, ANM 1^st year	45	16.1.2019 & 27.2.2019
	2019	College of Nursing , NEIGRIMS	Field training program	Field training program College of Nursing , NEIGRIMS, Shilong MSc 1^st year	3	10.4.2019

District Level TOT Programs Received:

Training on IDSP & RCH Portal entry for DEOs on 12.12.2018
Training on LDDC Campaign for PHN on 19 & 21.12.2018.
TOT for cold chain Handlers on 22.1.2019 attend by PHNs.
NID Workshop TOT attend by PHNs
TOT on MCPC & Bridge attended by MO, & PHN.
ToT ON Dengue and other Vector borne Disease under chairmanship of District Collector attended PHS & PHNS.
Workshop on HIMS attends by DEOs & PHNS.
Workshop on Rota virus vaccination attended by PHNs.

Service to the Community

Patientcare services: (Provided through 2 PHCs & 12 Units)

Diseases ( Clinical and or laboratory based)	OPD	Beyond OPD hours (including Emergency)
Diarrhoea	890	488
Soil Transmitted Helminths(STHs)	220	13
Viral Hepatitis	5	3
ARI	3559	321
Fever	2061	936
Fever with rash	13	12
Vector Borne Diseases	45	17
Skin diseases	635	190
STI/RTI	205	10
Musculoskeletal	2855	117
TB	54	15
Hypertension	4974	107
Diabetes	2572	150
Antenatal & Postnatal	2305	194
Others ( Acidity, Abdominal pain, Dental, Gynaecological problem, Eye Disorders, Respiratory problem (Excluding ARI & TB) Probelm, Gyenco	15656	7767
Total	36049	9500

Community/PublicHealth Services

MCH Services			Performance
Expected ANC cases : 1184
Antenatal Cases	Total registered		1092 (92%)
	Registered within 1st Trimester (n=1064)		998(92%)
Pregnant Mothers	>4 ANCs		936
	Hb level	<11 gm/dl	469 (42%)
		<7 gm/dl	Nil
Complete TT immunizations			1092 (100%)
Deliveries (for the whole service area including Non-RHU&TC facilities)	Institutional		1085(99.9%)
	Home		1 (<1%)
Post Natal Visit	Within 48 hrs.		0 (0%)
	48 hrs. – 14 days		719 (66%)
Children 12-23 months – fully immunised by one year			1111(99.9%)
Use of F.P. methods No of Eligible couples 10466	IUCD (Cu T)		245
	OCP distributed		8173
	Condom distributed		22930 pkts
	DMPA		26
	Ligation		292 (current year) Total 5992

PublicHealth Laboratory Services

Type of sample	No. of Test
Blood	11539
Hb%	3063
TC	1092
DC	1095
ESR	1040
Gr. & Rh.factor	1341
B.T. & C.T.	34
Malaria Parasite	3113
A.C.D.	1927
P.C.D.	1187
VDRL	761

Urine	3930
Albumin	1633
Sugar	1695
Microscopy	258
Preg. Test	318
BS-BP	14
OBT	12

Stool	1052
OPC	1044
OBT	08

Sputum	1541
Diagnosis (Slide)	1440
Follow up(Slide)	101

TOTAL	18062

Biochemical Investigation

Investigation	No. of Test
Glucose	5445
Cholesterol	971
Uric Acid	660
Total	7076

Sanitary Engineering Section

Nature of Work	Total Number
Disinfection of Tube Well & Tube well Platform	310
Disinfection of Pond During Out Break	01
Tube Well Repairing	09
Water sample collection for Routine Chemical Analysis of water Sample	17
Routine Chemical Analysis of water sample	17
Classes taken on method of chemical Analysis of drinking water	11
Demonstration given on Environmental Sanitation.	13
Water sample collection for Bacteriological Analysis of water Sample (During Outbreak , using H₂S Kit)	11
Bacteriological Analysis of water Sample (During Outbreak , using H₂S Kit)	11
Dakat Kali Mandir Disinfection Work top maintain proper Sanitation during SrabaniMela (In Days)	06
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)	38
Take Part in Dengue Awareness Rally (In Days)	01
Organizing Quiz Competition on Water, Sanitation, Hygiene (WASH) and Water borne Diseases at Paltagarh RadharaniSikshaMandir on 12/04/2019. (In Days)	01
Sanitary Survey at Eighty One (81) houses of Gobindapur Village along with SHI students. (in Weeks)	01
Survey on Mosquito and fly breeding source at Eighty One (81) houses of Gobindapur Village along with SHI students. (in Weeks)	01
Survey on Knowledge , Attitude and Practice (KAP) and awareness among Three Higher Secondary School Students (Paltagarh RadharaniSikshaMandir , Gobindapur Purnachandra Vidyatan , Hakimpur T.C High School) on Water, Sanitation, Hygiene (WASH) . (In Days)	3
House Hold Numbering during student Programme (In Days)	10
Carpentry Repairing work at office (In Days)	42
Tap Cock Repairing at Office	06
Repairing of Demonstration corner during student programme (in Weeks)	3
Supervision of Construction of Latrine and Tube Well , during student Programme.

Achievements:

1) Deliver Presentation by Chemist Amal Dutta on Chemical and Other Parameters of Drinking Water held at Department of Microbiology,BN,Campus,and Salt Lake on 23/04/2019.

2) Delivered Presentation by Chemist Amal Dutta in the WASH training programme held at UHU &TC ,Chetla on 04/05/2019 and 05/09/2019.

3) Attain Training Programme on Office Ergonomics Held at Department of Occupational Health , AIIH & PH on 24/04/2019

Outbreaks

Nature of Outbreak	Number of Outbreaks	Total Number of Cases	Total Number of Hospitalized Cases	Total Number of Deaths
Diarrhoea	1	180	95	nil
Dengue	2	32	28	nil

Pulse Polio Immunization

Total No. of IPPI Rounds – 3
Total Target Children – 6600 in each round
Total Children Covered – 98.5%

Village Health & Nutrition Days (VHNDs)

Number of sessions: 522
Total Attendance: 9657

Senior citizen Health Check up camp

Sessions – 2
No of GPs camps conducted- 4
Total beneficiaries– 1167

Observation of Integrated Diarrhoea Control Fortnight (IDCF).

Total villages- 64
Total Children visited-5345
ORS distributed–5345
Zinc Tablets -70
VHSNC Conducted – 48
No of schools where hand washing demonstration carried out – 4

Visual Inspection with Acetic Acid (VIA) Program

Carried out at APHC and NPHC
Beneficiaries -52

National Iron Plus Initiative Program

Total No of Children covered per month – 4676

HIV screening among Antenatal mothers

Total mothers screened – 1092
Total HIV infected detected – 0

Junior WIFS (Junior weekly Iron Folic Acid supplementation Program)

Conducted in 68 Primary schools in RHU&TC Service area

NLEP (National Leprosy Elimination Program)

Total 3 cases were enrolled in previous year. 3 cases were released from Treatment (RFT).

Achievements under National Health Program

ACF (Active case finding for Tuberculosis) has been conducted in RHUTC service area during from to 07.1.2019 to 21.1.2019.
LCDC campaign was conducted from 28.1.2019 to 10.2.2019
Implementation of PMMVY (Pradhan mantri matru Vandana Yojana).

Demographic Indicators for the Service area (i.e. 64 Villages)

Indicator	RHU&TC
Crude Birth Rate (per 1000Population)	10.7
Crude Death Rate(per 1000 Population)	11.2
Perinatal Mortality Rate (per 1000 Live births)	7.3
Neonatal Mortality Rate (per 1000 Live births)	5.2
Infant Mortality Rate (per 1000 live births)	10.12
1-4 Yr. Mortality Rate(per 1000 Childs)	Nil
Maternal Mortality Rate (per 100000 live births)	Nil
Contraceptive Use Rate (in %)	68.5%
Tetanus Toxoid Immunization: (PW in %)	100%
Immunization Coverage (12-23 Months, in %)	99.9%

Publications

A cross-sectional study on Magnitude of Geriatric Health Problems in a Rural Area of Singur, West Bengal. R Panigrahi, P Das , A Dan, A Datta Paper in Indian journal of Hygiene and public Health (Vol 3, Issue2, Dec 2017, ISSN 2455-1813).

New Initiatives Proposed During 2019

Improve infrastructure at RHU&TC Singur and Sub Centres.
Creation of 20 Health Sub centres/Units from present 12 along with provision for HR for them.
Up-gradation of Public Health Lab and provision for CBNAAT machines an Autoanalysers.

Mega Rally on Dengue at Anandnagar