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NATIONAL HEALTH MISSION

MOBILE DENTAL CLINIC PROJECT

MONTHLY REPORT: MAY 2014

MAULANA AZAD INSTITUTE OF DENTAL SCIENCES

2, B.S.Z Marg, MAMC Complex, New Delhi-110002

Email: dpmaids@gmail.com maidsnrhm@gmail.com Tel: +91-11-23233925

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CONTENTS

1. INTRODUCTION 3

2. MISSION STATEMENT, VISION AND GOALS 3

3. PLAN OF IMPLEMENTATION 4

i. Road map and Timeline for North East District

ii. Services Provided

4. MANPOWER 6

5. PROGRAM SERVICES & OUTCOMES 8

i. OPD/ Screening Services

ii. Treatment for Basic Dental Diseases

iii. Oral Health Education in the community

iv. Referral Services

v. Community Based Activities

6. APPENDIX 11

i. Picture Templates

ii. Summary

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INTRODUCTION

The primary goal of the program is to increase the access and utilization of

dental care at grass root levels and also create awareness among the community along

with establishing Oral health Data to understand the pattern of dental disease and plan

the manpower better.

PROGRAM GOALS

Reduction in Tooth Mortality Rate by impeding the progression of dental

diseases through timely intervention and dental care.

Prevention and control of non-communicable diseases like Dental Caries,

Gum diseases etc.

Provision of dental health services to special groups and conducting

Promotive programs utilizing all levels of prevention targeting Maternity

and Child Care, Physically and Mentally Challenged groups and Geriatric

sections by Dental Health Education and specific protection.

Nutrition and Tobacco Counselling.

Access to integrated comprehensive primary oral healthcare

PROGRAM TIMELINE

a. Sanctioned Project Plan: 2 Mobile Dental Clinics and 4 IEC Mobile Dental Vans

b. Induction/Preparatory Phase – From 15th

February to April 2014

c. Program Inauguration – 30th

April 2014 by Lt. Governor, Government of National capital

territory of India Honourable Sri. Najeeb Jung

d. Program implementation – From May 2014 onwards

e. Budget Approved: in 2013-14- Rs. 183 Lakhs (Utilization Certificate submitted at DSHM)

: April 2014: Rs. 40 Lakhs for Recurring Cost of the project

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PLAN OF IMPLEMENTATION

The Mobile Dental Clinic Project was launched on 30th April 2014 and the program is

being implemented from 1st May 2014. This project intends to identify and provide

dental services to all rural areas and slums. North East District of Delhi State is the

first designated area for Program Implementation.

MOBILE DENTAL VANS

The Mobile Dental Clinics (MDC) and Information, Education & Communication

(IEC) Mobile Dental Vans work in combination are covering six identified dispensaries.

Two clusters have been made with one MDC & 2 IEC Vans are covering the identified

dispensaries on rotational basis:

1. Cluster 1: Shiv Vihar, Chauhan Pati & Gokulpuri and

2. Cluster 2: Arvind Nagar, Khajurikhas & Gautam Puri.

DAILY SCHEDULE:

They are stationed from 10:00 am to 1:00 pm for five days a week in each of the

identified dispensaries on rotational basis. The last day of every week has been

designated for Periodic Meeting for Formative Program evaluation, Data entry,

Maintenance of the vehicles and contingency planning for the following month at its

Nodal centre, MAIDS, New-Delhi.

Gautam Puri

Khajuri Khas

Arvind Nagar

Shiv Vihar

Chauhan Pati

Gokul Puri

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Mobile Dental Van Schedule for the month of May

CLUSTER I CLUSTER II

FROM TILL MDC - 1 IEC - 3 IEC - 4 MDC - 2 IEC - 5 IEC - 6

5/5/14 9/5/14 Shiv Vihar

Chauhan

Pati Gokulpuri

Arvind

Nagar Khajurikhas

Gautam

Puri

12/5/14 16/5/14 Gokulpuri Shiv Vihar

Chauhan

Pati Khajurikhas

Gautam

Puri

Arvind

Nagar

19/5/14 19/5/14 Chauhan

Pati Gokulpuri Shiv Vihar Gautam Puri

Arvind

Nagar Khajurikhas

26/5/14 30/5/14 Shiv Vihar

Chauhan

Pati Gokulpuri

Arvind

Nagar Khajurikhas

Gautam

Puri

*MDC – Mobile Dental Clinics IEC – Information, Education and Communication Mobile Dental Van

Note: All the Mobile Clinics are stationed at Delhi Government Dispensaries or nearby to them which

have been informed to the CMO/ MO of their respective dispensaries.

Periodic Meetings held in the month of May for Formative Evaluation of the program

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SERVICES RENDERED

1. Each Mobile Dental Clinics screens and makes necessary treatments available to

the out-patients in the respective dispensaries for the oral diseases on a rotation

basis.

2. IEC Mobile Dental Vans indulge in screening, dental health education and referral

of the out-patients in the respective dispensaries for the oral diseases on a rotation

basis.

3. A Comprehensive treatment like Emergency care, Preventive care, Routine

Curative Care, and necessary Referral to the Secondary and Tertiary Care Centers

are being made when necessary.

4. The continuous in house Information Education and Communication is performed

in the Mobile Dental Clinics to motivate people and promote oral health, utilizing

audio-video aids and printed material.

5. Partakes in various other Community Awareness Programs.

Anticipatory Services

Other than providing timely oral health care services at the doorsteps, the program

also intends to assess the oral health status and burden of disease through a

Standard Proforma.

Training of Community Stake holders like ASHA & other health workers, Village

Heads, Teachers, Local Leaders and Social Workers.

Proposes the Creation of Central Databank for Monitoring and Information System

(MIS) for Oral Health Status, Needs and Treatment provisions.

MANPOWER RECURITED

i. Twenty Five contractual appointments have been made as on 30.5.2014.

ii. For the smooth functioning of the project, for every MDC two dental surgeons,

one dental hygienist, one chair-side assistant, one helper and driver is recruited

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iii. Every IEC Van one dental surgeon, one chair side assistant and driver is

engaged.

Human Resource Augmented under NRHM (25 Contractual Appointments as on

30.05.2014)

Staff Designation No. of Sanctioned

Posts No. of Filled Posts No. of Vacant Posts

Consultant – Dental

Public Health 01 01 -

Dental Surgeons 08 08 -

Dental Hygienist 02 02 -

Chair Side Assistant 06 06 -

Helper 02 02 -

Driver 06 06 -

Data Entry

Operator 01 01 -

Trainings received by Staff (During Pre-Launch Period):

a. Basic Life Support Training for Consultant, Dental Surgeons & Chair-side

Assistants by American Heart Association.

b. Clinical Postings for two months in different dental departments for

Dental Surgeons and Chair-side Assistants.

c. Orientation Lectures on Basic Oral Health Survey and Medical

Emergencies for the dental surgeons by Consultant and MOI/C NRHM.

d. Orientation Lectures on Biomedical Waste Management and Infection

Control Protocol for dental surgeons, chair-side assistants and helpers by

Consultant and MOI/C NRHM.

e. Hands-on and Lectures on various preventive procedures for the dental

surgeons by Consultant and MOI/C NRHM.

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PROGRAM OUTCOMES

1). OPD/ Screening Services:

Total Number of patients screened – 3000

New OPD Cases Old OPD Cases Total OPD

2580 420 3000

1. PERCENTAGE OF ORAL DISEASES OBTAINED DURING SCREENING

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2. TREATMENT FOR BASIC DENTAL DISEASES

Total Number of patients treated – 764

3. HEALTH EDUCATION IN THE COMMUNITY

Every day the respective Mobile Dental Unit Teams visit the dispensaries according to

the schedule and give Health Talk via use of Audio-visual aids to the beneficiaries

followed by Oral Health Check-up.

Total Number of times Health Educational Programs organised – 10 Sessions

Sessions on: Importance of Oral Health, Ways to maintain good general and oral

health, Tobacco cessation

4. REFERRAL SERVICES

The Referral System works at two levels:

a. First Level include identifying and enlisting patients by the IEC Mobile

Dental Vans after initial dental screening and rendering the possible dental

care to Mobile Dental Clinics for the treatment. A separate referral schedule

system is developed to cater the patients in Mobile Dental Vans.

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b. The patients were also referred to the nearest location based on their

convenience where adequate treatment like Jag Pravesh Hospital, Shastri

Park or GTB Hospital, Dilshad Garden for providing secondary dental care.

c. In case any Tertiary care if required patient is referred to MAIDS or other

Tertiary Care Referral Centre for further treatment like advanced surgical

intervention, prosthetic replacement of teeth and Endodontic care.

Total number of Referrals – 1212

5. COMMUNITY BASED ACTIVITIES

The NRHM team actively participated in creating awareness amongst the masses

by organizing Health Exhibition and Lecture on World Health Day at its Nodal

center, MAIDS ON 7th April, 2014. The main focus of the program was to create

awareness regarding the importance of oral health amongst the masses and to

make them aware of the 2-way relationship existing between the systemic and

the oral health.

The NRHM team also participated in World No Tobacco day Rally on 30th May

2014 MAIDS for creating awareness amongst the masses for Tobacco cessation.

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PICTURE TEMPLATE

NRHM TEAM NETWORKING WITH MEDICAL OFFICER AT CHAUHAN PATI DISPENSARY

COMMUNITY PARTICIPATION FOR UTILIZATION OF DENTAL CARE

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PICTURE TEMPLATE

SCREENING SERVICES IN MOBILE DENTAL CLINICS

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PICTURE TEMPLATE

TREATMENT SERVICES IN MOBILE DENTAL CLINICS

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PICTURE TEMPLATE

SCREENING & TREATMENT SERVICES IN IEC VANS

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PICTURE TEMPLATE

HEALTH EXHIBITION ON WORLD HEALTH DAY ON 07-04-2014

COMMUNITY ORAL HEALTH AWARENESS EDUCATIONAL PROGRAM

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PICTURE TEMPLATE

WORLD NO TOBACCO DAY 31-05-2014

COMMUNITY AWARENESS RALLY

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SUMMARY

MDC 1 MDC 2 IEC 3 IEC 4 IEC 5 IEC 6

Total Patients

Screened 638 534 515 524 589 200

Dental Caries 246 247 313 187 260 108

Periodontal

Disease 305 230 290 219 359 93

Pre-malignant

Lesion /

Oral Cancer

02 01 05 02 03 0

Malocclusion 10 01 22 15 17 02

Others (Dental

Fluorosis,

Prosthetic

Replacements,

Tooth Fractures,

Peri-apical

Pathologies,

Hypoplasia,

Wasting diseases

of teeth, Tooth

Sensitivity)

43 69 12 02 58 9

Total Patients

Treated 328 178 66 52 91 49

Oral Prophylaxis 164 110 65 52 86 32

Restoration 152 59 01 0 05 17

Extraction 12 07 0 0 0 0

Total Referrals 143 116 395 299 180 79

TOTAL

NUMBER OF

BENEFICIARIES

3000