Training Paramedical Workers at THI
-
Upload
lalitnarayan -
Category
Health & Medicine
-
view
1.911 -
download
0
Transcript of Training Paramedical Workers at THI
![Page 1: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/1.jpg)
TRIBAL HEALTH INITIATIVESittilingi, Tamil Nadu, India
Experiences in training Para-medical Workers
Dr. Lalitha Regi
Presentation at ARSICON2008
Wardha
Helping tribals heal themselves……
![Page 2: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/2.jpg)
Invocation
To the tribal Gods who protect our people
![Page 3: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/3.jpg)
Sittilingi Valley …..enveloped by the Kalrayan and Sitheri hill ranges
Sittilingi and the Avalur valleys have 21 hamlets which are home to about 10,000 people of whom 95% are tribals
![Page 4: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/4.jpg)
Need of the area Remoteness – nearest referral centre was
100km away No “modern” facilities Staff need to understand and empathise
with the tribal population Villagers need to feel comfortable with
health care providers
![Page 5: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/5.jpg)
Selection Initially looked for
educated girls – 8th Std Now we send out
information – applicants have a written test on basics of language and mathematics; then interview
Selection based on aptitude, attitude, region, income levels
6th batch in progress
![Page 6: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/6.jpg)
Health Worker Training
Caring , respect and shared concern
Balance classes with practical work
![Page 7: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/7.jpg)
Training – general principles Design according to the need of the area Emphasize student’s role as educator How things are taught is more important than
what is taught Caring , respect and shared concern Balance classes with practical work Understand social causes of ill health Make people more self reliant and less
dependant on institutional health care Participatory training
![Page 8: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/8.jpg)
HWs’ manage most of the Hospital
•See Out patients 4 days a week
•Conduct deliveries and assist surgeries
•Manage Ward and emergencies
![Page 9: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/9.jpg)
Deliveries & Neonatal Care
Advanced Neonatal care
About 30 deliveries a month and 3 - 5 for neonatal care per month
![Page 10: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/10.jpg)
Surgical Work
About 20 – 30 surgeries every month including emergencies .
![Page 11: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/11.jpg)
Surgical training· 1. How to do basic dressings
· 2. Injuries – how to examine, clean, debride and do the suturing if needed.
· 3. Check ante-natals, monitor and assess labour and conduct deliveries including some of the abnormal deliveries like breech delivery
· 4. Examine and do incision and drainage of abscesses
5. Surgical removals of small swellings like sebacious cyst, lipomas etc.
· 6. Local anaesthetic blocks, giving and managing of drugs like ketamine and thiopentone
7. Manage spinal blocks and intra-operative management of general anaesthesia
![Page 12: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/12.jpg)
Surgical Training
Simple surgical procedures like cysts and other swellings
![Page 13: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/13.jpg)
Surgical Training
Dressings, I & Ds
Assisting Major surgeries
![Page 14: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/14.jpg)
Anaesthesia training
General Anaesthesia
Spinal Blocks
![Page 15: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/15.jpg)
Community Health
Health Workers now plan and implement the Community Health Program
Health Care at the doorstep – postnatal care
![Page 16: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/16.jpg)
Field Clinics
Health education is the key
![Page 17: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/17.jpg)
LaboratoryTechnician
Basic tests we taught – practical & theory Biochemistry & maintenance – other hospitals Government recognised lab – TB & HIV Seniors train juniors and we check – 5 have skills All Health Workers learn basics TB/HIV – Government uses our lab as an example
![Page 18: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/18.jpg)
X-ray/ ECG technician
1. Theory taught by us2. Practical learnt in large hospital1. Seniors train juniors , theory we teach 2. 5 Health Workers know
![Page 19: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/19.jpg)
Pharmacy
Drug names and actions taught – to all Basics of dispensing taught – to all Stock keeping and ordering – one person
specialises, one assistant
![Page 20: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/20.jpg)
Advantages/Disadvantages
•Brings down workload
•Treatment inexpensive
•Knowledge passed onto community
•Increased confidence & self esteem
•Gives us time to look into other problems in the community
LEGAL PROBLEMS !!!?Non – Recognition from other hospitals
![Page 21: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/21.jpg)
Achievements No maternal death – 5 years Infant mortality – from 147/1000 to 32/1000 Malnutrition – down by 50 % Antenatal mothers check up – from 11% to 95 % Almost 100% completion of treatment in TB Hospital attendance from our area – decreased from
50 % to 20%
![Page 22: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/22.jpg)
Tribal Hospital – Staff patternNon tribals
3 doctors 1 Administrator
Locals 14 Health Workers 2 Lab Techs 1 X-ray tech 2 Pharmacists 3 Admin assts 2 Drivers 7 HW trainees
![Page 23: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/23.jpg)
That formal education is mandatory to do health care is a myth
Help people heal themselves…..
![Page 24: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/24.jpg)
References Health for all-Alma Ata declaration and
after-N.H.Antia The Alma Ata declaration and goal of
health for all-David Werner Health Care in India ‘a profile’-Devraj Chauhan,N.H.Antia,Sangita Kamdar
![Page 25: Training Paramedical Workers at THI](https://reader033.fdocuments.net/reader033/viewer/2022052411/557ae71ed8b42a63778b553d/html5/thumbnails/25.jpg)
Thank you
For more information check out
www.tribalhealth.org