The Swastha Kendra (Health Center) is now open to see patients five days a week. Over the last few months, we have been transitioning the space that was formerly the diarrhea treatment center into a health center that can treat all manner of minor illnesses. While before we had a ‘health camp’ once a week, we now have a fully staffed clinic in order to better serve the needs of Fakir Bagan. The patients are seen by a nurse for basic vitals, then see the female doctor for a full examination and finally receive any necessary medications along with counseling on proper administration and possible side effects of medications as well as beneficial behaviors in the home in relation to the specific illness or complaint.
This transition is an effort both to make the clinic space more cost-effective per patient treated, but is also an answer to the needs of the community. In the month of February, 226 clinical visits took place in comparison with an average of 126 visits from July to December. These 100 visits were made possible by the additional hours.
Transitioning to this health center approach has also allowed us to start implementing a clinical protocol based on the Integrated Management of Neonatal and Childhood Illness (IMNCI) guidelines. These guidelines are used worldwide for the simple diagnosis and treatment of childhood illnesses with minimal and inexpensive, but effective, medications. Having a full time doctor also allows us to treat more conditions than would be possible simply following IMNCI. It also helps to increase the level of confidence that the patients have in these relatively simple treatments.
The diarrhea treatment center is still fully functioning and will be an increasing part of clinical care as diarrhea season approaches. The only change is that diarrhea treatment is now a part of a larger clinic rather than sharing a space with the health camp once per week.
We have also incorporated a new nutrition corner where mothers can be counseled on a regular basis including observed breastfeeding and observed feeding of complementary foods. Look out for a post in the next few weeks about Ajay and Promila who have been taking advantage of this nutrition corner. – Dora Levinson
Note: We are looking for a sponsor to endow the Swastha Kendra and ensure that these services can continue. For more information about this endowment please write to Noah@calcuttakids.org.