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Community Medicine

Community Medicine is the branch of Medical Science that deals with health of populations. It measures the health needs of the population both sick and healthy,  plans and administer services to meet their needs and engage in research and teaching related to public health. Public health refers to "the science and art of preventing disease,  prolonging life and promoting health through organized efforts and informed choices of society,  organizations,  public and private,  communities and individuals."

 


HISTORY


Community Health Department in the MOSCMM Hospital and was established in 1972. The department was inaugurated by President of India Shri Varahagiri Venkata Giri.  Dr Valsa Thomas (1972 To 1996) was the founder Head of Department. The department started organizing Community Extension Clinics at various localities with collaboration and support of local population around the institution. Besides conducting Regular clinics various Research and Community Education activities were carried out by the department with the support from various donor agencies. 


Dr Marina Rajan Joseph (1996 to 2003) was the Head of Department after retirement of Dr Valsa Thomas. The department was actively engaged in service delivery and research activities connected with Revised National Tuberculosis Control Programme in collaboration with Health services Department. Baby Friendly Hospital initiative was implemented in the Hospital in collaboration with Indian Academy of Paediatrics and UNICEF.  Services were provided to those attending the Hospital for immunization and Family Welfare in addition to Postpartum Sterilization Services under All India Hospital Post-Partum Programme by Community Health Department
Community Health Department was providing Services to the population around some peripheral outreach centres established in collaboration with parishes located in and around the institution covering a population of about 40,000. Regular clinics were conducted in these outreach centres by a team from the department in these centres. 


Community Medicine Department succeeded the Community Health Department when the Medical College was established in 2002. The community served by the department continued as the field practice area for training of MBBS students. The projects carried out in the field practice area continued under Community Medicine Department. 


Dr Ramla Beegum M, Retired Professor from Government Medical College Kozhikode took over as Head of Department in 2003. Community Health Department was modified into a teaching establishment during her tenure (2003 – 2009). A Rural Health Training Centre and Urban Health Training Centre were established during this period.  The present head of Department Dr Accamma P K took over charge in 2009.Rural and outreach postings of interns in Primary and Secondary care Hospitals in Idukki District was started during this period.


INFRASTRUCTURE


Community Medicine Clinic: Community Medicine Clinic is functioning in the hospital building on all working days from 9:00 AM To 4:00 PM. Dr Arun Bhatt is the Nodal Officer for TB Control functioning from this clinic as single window service delivery for tuberculosis patients. Directly Observed Treatment Short course is provided from this Clinic. Faculty from Community Medicine is posted to this Clinic on rotation basis.


Family Welfare Clinic: Family Welfare Clinic is functioning in the hospital building on all working days from 9:00 AM To 4:00 PM. The major services include CuT insertion and removal,  Oral contraceptive pills & condoms supply,  materials being provided by the Govt. of India. Faculty from Community Medicine is posted to this Clinic on rotation basis.


Surveillance: Acute Flaccid Paralysis and Measles Surveillance of the WHO and Weekly Vaccine Preventable Diseases reporting to the DMO.

Counselling Services:  AIDS/STD Counselling,  family counselling,  adolescent counselling and Individual counselling Services are being provided in the Community Medicine department on all working days.

Outreach Services: Outreach services are provided at the service area of Community Medicine on Regular basis at Rural Health Training Centre Kunnackal & Urban Health Centre Vazhappilly and four Rural Health sub centres. In all centres outpatient clinic and mobile clinic for home bound patients are conducted. In all the centres service of JPHN is available daily from 8:30 am to 5:00pm
Rural Health Training Centre Kunnackal  Situated about 8 Km away from Medical College Hospital and caters to 7300 population residing in Mazhuvannoor Panchayath (Part) and Valakom Panchayath. OP Timings: 9:00 am to 4:00 pm (Monday- Saturday)

Urban Health Centre Vazhappilly
Situated about 15 Km away from Medical College Hospital and caters to 5217 population residing in Muvattupuzha Municipality.  OP Timings: 9:00 am to 1:00 pm (Monday- Saturday)

Sub Centre Kandanad 
Situated about 18 Km away from Medical College Hospital and caters to population 5400 residing in Udayamperoor & Mulanthuruthy Panchayath. OP Timings: 9:00 am to 1:00 pm (Wednesday & Saturday)

Sub Centre Kunnakkurudy 
Situated about 12 Km away from Medical College Hospital and caters to population 10971 residing in Mazhuvannoor Panchayath 
OP Timings: 9:00 am to 1:00 pm (Thursday)

Sub Centre Nechoor 
Situated about 15 Km away from Medical College Hospital and caters to population 5230 residing in Manned Panchayath 
OP Timings: 9:00 am to 1:00 pm (Tuesday)

Sub Centre Vettickal  
Situated about 15 Km away from Medical College Hospital and caters to population 7500 residing in Thiruvaniyoor,  Mulanthuruthy & Chottanikara Panchayath. OP Timings: 9:00 am to 1:00 pm (Monday & Thursday)
 


ACADEMICS


Training Programme for MBBS students:
The training in Community Medicine starts from the 1st year of MBBS curriculum. The practical lab for learning Community Medicine is the Community. To know more about the community the department organizes Community Living Programme for the first year students for a period of one week after 4 days of theoretical sessions.
The aim of this programme is to develop among medical students

  1. General awareness about the status and dynamics of health and socio economic conditions about the community in which they live.
  2. Ability to live together with people from different background, adjust among themselves and share work and thus learn team spirit.
  3. Skill to communicate with people of different social and cultural background.
  4. Skills for basic data collection and simple analysis.
  5. Clinical orientation through vertical integration by means of discussion of common clinical problems, which they come across during house visits.

The programme is organized in the field area of Community Medicine department. All the students and faculty of the department live together in the community. The students are divided into batches. Each batch visits 10 houses in the identified geographic area. During their house visits, they collect demographic and other information using a structured survey questionnaire. They present the report of their study in the final day. On each camp day,  afternoon sessions are meant for clinical study. Specialists from our hospitals lead the clinical camps and clinical discussions. Community integration programme is organized at the campsite in co-operation with the community. Students and community members take part in the cultural meet. 


As part of the 4th and 5th Semester teaching programme in Community Medicine,  the MBBS students visit institutions of public health importance like MILMA,  Sewage Treatment Plant,  Meat Products of India, Water Treatment Plant,  Old age home,  Juvenile Observation Home,  Blind School,  Deaf School,  Factory,  Anganwadi under ICDS project etc. They also conduct survey cum service programme in the health center area. The students conduct general morbidity survey in the health center area. Based on the morbidity pattern they assess,  plan,  organize and conduct medical camps and health education classes under the guidance of faculty members. Students themselves raise the resources for the programme. As part of the research work, they prepare the protocol for their Research Project.

The 7th Semester MBBS students as part of clinical posting in Community Medicine visit institutions of public health importance like Port Health Organization,  District TB Hospital,  Malaria and Filaria Control units,  VCTC,  Leprosy Hospital,  Gramapanchayat,  Block Panchayat,  Municipality etc. They also conduct Health Education classes in the Health center area under the guidance of faculty. The students complete their research project work in the 7th Semester. 

The 7th Semester students as part of their curriculum conduct School Health camps and health awareness classes at schools in RURAL and TRIBAL AREAS 

 

Dr. Valsa Memmorial Merit Award 


To honour the founder and HOD of Community Medicine,  late Dr. Valsa Thomas,  Self Help Association for Development and Empowerment (SHADE),  a community project under department of community medicine instituted Dr. Valsa Memmorial Merit Award for:

  • Cash award and Medal for the undergraduate medical student for scoring highest in Community Medicine from M.O.S.C Medical College
  • Cash award for the children of Community Health Volunteers who score highest in Community health related subjects
  • Cash award for the children of members in our Community project area who score highest in Community health related subjects

The amount for the cash award has been mobilized as donations from the friends,  relatives of Dr. Valsa and from our community project area.

 

Internship training


Interns are given training in Community Medicine for a period of 2 months,  which includes 1 month stay posting at Tribal Health centre and 1 week at Rural Health training center. During the remaining training period, they are posted in the Rural Health Training Centre, Urban Health Training Centre and sub centres where they take part in conducting the OP clinics, field visits and research project under the guidance of the respective medical officer and other clinic staffs. Also they need to attend the Family Welfare clinic, DOTS clinic, Immunization clinic and do VPD surveillance. 


In order to orient them on research, a project work is mandatory during their training. Daily evening classes on topics of public health importance and journal presentations are conducted.

Paramedical personnel training include

  • Training for MSW trainees 
  • Training for multipurpose health workers

The department also co-operates with the government initiatives in the total health care of the community. 

Ongoing Projects and Research

  • Geriatric care Programme
  • Non Communicable Disease Prevention Programme
  • Field studies on recently emerging health issues in an around the institution

NEWS & EVENTS

Post Graduate Research Guidance Programme
Observing all important Health Days in collaboration with other departments / Organisation:

  • World Cancer Day – 2nd February
  • World Kidney Day – 10th March
  • World TB Day-24th March
  • World Health Day – 7th April
  • World Immunisation Week – 24th to 30th April
  • World Asthma Day- First Tuesday in May
  • World No Tobacco Day- 31st May
  • World Environment Day- 5th June
  • World Blood Donor Day- 14th June
  • International Day against Drug abuse and illicit trafficking-26th June
  • World Hepatitis Day – 28th July
  • World Breastfeeding Week-1st to 7th August
  • World Alzheimer’s Day – 21st September
  • World Mental Health Day- 10th October
  • Global Handwashing Day-15th October
  • World Diabetes Day- 14th November
  • World AIDS Day – 1st December

Faculty