"ACCESS TO WOMEN’S HEALTH SERVICES" IN MYSORE DISTRICT (6 TALUKS)
Item
- Title
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"ACCESS TO WOMEN’S HEALTH SERVICES"
IN MYSORE DISTRICT (6 TALUKS) - extracted text
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Government of Karnataka
"ACCESS TO WOMEN’S HEALTH SERVICES"
IN MYSORE DISTRICT (6 TALUKS)
FINAL REPORT
T J /.
/ Sponsored By j|
KARNATAKA HEALTH SYSTEMS DEVELOPMENT PROJECT^
GOVT. OF KARNATAKA
* *
1st FLOOR, PHI BUILDING, SESHADRI ROAD, BANGALORE - 560 001
Ph. : 080-2245042, 2277390 Telefax : 080-2277389, 2276356 &
f
| Conducted By
BHARATH CHARITABLE CANCER HOSPITAL & INSTITUTE (TRUST)
# 600/601, IRWIN ROAD, MYSORE - 570 001
Ph. : 0821-563007, 302305, 302306. Fax : 0821-513149
e-mail : sdranganathan@vsnl.com
f
l
/
CONTENTS
PAGE NO.
I
PREAMBLE
01
II
PROFILE OF THE DISTRICT
03
in
OBJECTIVES OF THE PROJECT
07
IV
METHODOLOGY
08
V
PREPARATORY PHASE
08
VI
INTERVENTION PHASE
15
VII
HEALTH PROBLEMS DIAGNOSED AT THE CAMP
18
VIII
OBSERVATIONS
21
IX
THE EFFECT OF THIS PROGRAM ON THE
COMMUNITY AT LARGE
33
X
LEVEL OF ACCEPTANCE OF THE PROGRAM
DURING I & II ROUND OF HEALTH CHECK UP
CAMPS
34
XI
STRATEGIES APPLIED FOR OVERCOMING THE
RESISTANCE FROM THE COMMUNITY
35
XII
GUIDELINES FOR FUTURE IMPLEMENTATION OF
THIS PROGRAM IN OTHER AREAS
35
XIII
DIFFICULTIES NOTED IN IMPLEMENTING THE
PROJECT OBJECTIVES
36
XIV
ACTION TAKEN TO DISSEMINATE THE
INFORMATION GATHERED FROM HEALTH
CHECKUP CAMPS
36
XV
SUMMARY
38
XVI
CONCLUSION
41
XVII
RECOMMENDATIONS
42
XVIII
ANNEXURES
I. PREAMBLE
Bharath Charitable Cancer Hospital & Institute (BCCHI Trust), 1984, Mysore, has
been registered as a Public Charitable Trust is active in the field of cancer
detection, creating cancer awareness in the rural areas. Dr. B.S. Ajaikumar,
Managing Trustee is the inspiration and guidance to its team of dedicated staff.
He is a non-resident Indian, having a well established Cancer Center at
Burlington, IOWA, USA, with more than 25 years of experience in the field of
Oncology. He has taken it upon himself to reach the remotest of rural areas
through the Trust to provide health-screening programs particularly, for women
and also for detection of cancer at an early stage. The Trust has been working in
Mysore, Chamarajanagar, Mandya, Coorg, Hassan and other neighboring
Districts. From 1991 onwards, the Trust has been conducting health screening
programs and cancer education in rural areas through lectures, video programs and
Cancer education exhibitions. The Trust is also providing financial support for
poor cancer patients. It was noticed that anemia, menstrual abnormalities,
reproductive tract infection and cancer cervix are the commonest health problems
among women especially the rural poor. Hence, the Trust considers reproductive
health of women, in addition to downstaging of cancer cervix as a priority area, to
improve health status of women.
Aims & Objectives of the Trust:
- Setting up of a Blood Bank
- Conducting Free Health Check Up Camps in rural areas
Conducting Free Peripheral Clinics in specific locations
- Educating and Training Voluntary Health Workers in rural areas in the field of
health care and identifying symptoms of cancer
- Inducting and Training Multi Purpose Health Workers in rural areas
- Providing financial support to poor cancer patients undergoing treatment
In November 1996, a Project Proposal was submitted to Karnataka Health
Systems Development Project, seeking financial assistance for carrying out a
Project on ‘Community Approach to Control of Cancer of Cervix in Mysore
District’. The Project was conceived with the idea of utilizing available
Government health resources to improve community awareness about Cancer
Cervix.
In 1997, the matter was discussed with Karnataka Health Systems Development
Project (KHSDP) authorities. The proposal submitted by BCCHI was a five-year
program, but KHSDP felt the Project period of 5 years is undesirable. The
revised Project was down sized to 2 years confining to six taluks in the old
Mysore District i.e., Gundlupet, Chamarajanagar, Yelandur, Nanjangud,
T.Narasipura & H.D. Kote. Based on discussions, a revised proposal “Access to
Women’s Health Services” was prepared and submitted by BCCHI Trust to
KHSDP. The revised proposal was a broad based program with a concept of
“LIFE CYCLE APPROACH OF WOMEN” for screening, educating and
training about various diseases affecting women, their symptoms, early detection
and prevention. The program covered women in the age group of 10 - 60 years in
old Mysore District.
The Trust would like to place on record its sincere thanks to KHSDP, Government
of Karnataka, District Health and Family Welfare Officers of Mysore and
Chamarajanagar District, Taluk Medical Officers of the six taluks, Medical
Officers and all other Paramedical Staff of Department of Health & Family
Welfare, for their cooperation, without which the program would not have been a
success.
Our grateful acknowledgement to. the Head of the Department and the staff of
P&SM of Mysore Medical College and J.S.S. Medical College who have helped
the Project by deputing their Interns for the screening programme and Camps.
Our grateful thanks to the Family Planning Association, Mysore Chapter for their
intense support and active participation in the Project. It is needless to mention
that without their active participation the Project would not have been possible.
Our sincere thanks to all the Resource Faculty Members, who spared their
valuable time for sharing their experience and expertise with the trainees during
the Training Phase of this Project.
Our sincere thanks to all the NGOs and the Organisations who were actively
involved in this Project - J.S.S. Mahavidyapeetha, J.S.S. Community Polytechnic
for Women - Mysore, World Vision of
India in Gundlupet Taluk,
MYRADA/PLAN H.D. KOTE, Fedina Vikasa-H.D.Kote Taluk, Mahila
Samukya-Nanjangud Taluk, Mission Hospital of Chamarajanagar Taluk, Jeevan
Jyothi Kutumba Abhivrudhi Kendra (CCF)- Nanjungud and Chamarajanagar
Taluks, Vivekananda Girijana Kalyana Kendra - Yelandur Taluk. We would also
like to acknowledge the service of Mandal Panchayaths in the six taluks.
We would like to convey our sincere thanks to the Deputy Director of Public
Instructions, Block Education Officer and other authorities of the Education
Department in Mysore District & Chamarajnagar District for their co-operation
and excellent support which enabled us to carry out program in the various
schools of the districts. We would also like to acknowledge the assistance
provided by the Assistant Director, Women & Child Welfare and Child
Development Project Officer in Mysore & Chamarajanagar districts who helped
us in conducting the survey. We would like to place on record our appreciation
of the work carried out by Anganwadi Workers who helped us in organising
‘Mother’s Meet’ for carrying out health education and conducting the 'house to
house survey' in Gundlupet, Nanjangud and Chamarajanagar Taluks.
2
IL PROFILE OF THE DISTRICT
a. Geographical Features:
Mysore District is located in the southern part of Karnataka State. It was known
by the name of the State prior to 1973. Mysore city is the headquarters of the
District and is known for its gardens and historical monuments. The total
geographical area of the District is 11,861 square kilometers spread over 1,641
habitations. The land area of the District is covered by plains as well as lofty
mountains, with an average of 800 mtrs. above sea level. The undivided District
may be classified as partly maidan and partly Malnad. Thick forests and tall
mountainous regions enclosing the western, southern and some parts of eastern
district under the taluks of Kollegal, Yelandur, Chamarajanagar, and
Heggadadevana Kote are the habitats of wild animal population like elephants and
tigers.
b. Climate:
The District is endowed with moderate climate throughout the year. The average
rainfall during the year is around 762 mm. Gundlupet, T Narasipura and
Chamarajanagar are drought prone Taluks of the District. The average
temperature varies from a maximum of around 39° C in April - May to a
minimum of around 11° C in December - January of the year.
c. Agriculture:
The district is endowed with perennial flow from the rivers Cavery and Kabini
and their tributaries. The major crops grown in the district are Paddy, Ragi,
Jowar, Pulses and Oil seeds. The other cash crops grown are tobacco, cotton and
sugarcane.
d. Forest:
The District has a rich forest area with 27.2% of the total area being forest, and
this in 1991-92 contributed approximately to one-tenth of the total forest area of
the State. In terms of forest wealth it is second richest district in the state next to
Uttar Kannada. This has made the District a habitat for wild life especially
elephants, tigers, panthers, etc. The habitats of elephants, Bandipur and H.D.Kote
forests are famous wild life sanctuary which falls within the jurisdiction of the
district. Since the district has not yet grown into a major industrial area, it
remains by and large free from industrial pollution.
e. Education :
During the year 1992 - 93, there were 2,935 primary and high schools and 87
colleges. The teacher population ratio in the primary and higher secondary works
out 1:65 and 1:30 respectively. This is similar to the State average. The literacy
rate for the population aged over 6 years in 1991 for the District as a whole was
47.3%, 56.2% for males and 37.9% for females.
f. Population and Economic Level:
The per capita income at current prices, during the year 1991- 92 was Rs.6,500/as compared to Rs.5,898 for the State. The total population of the District
according to the 1991 census was 3,165,018 of which 1,620,624 - males and
1,544,394 - females. Thus, there were 953 females for every 1000 males. More
than 2/3 (70.3%) of this population live in the rural areas, while the remaining
3
29.7% were inhabitants of urban areas. Approximately one-sixths (15.6%) of the
population consisted of children below six years. The proportion of scheduled
caste population in the district was 18.9% while this percentage was 3.2 for
scheduled tribes. In the year 1991, the District as a whole had a density of
population of 265 and this figures for the rural and urban areas works out to be
189 and 4392 respectively. Road length in the District during 1991-92 was 72
km per 100 sq.km of geographical area as compared to 63 in the State. Of this
road length only 62% was surfaced.
During the year 1991-92, on an average, there was one commercial bank for every
12900. The decennial population growth rate during 1981-91 was 21.92%,
32.14% for urban areas and 18.06% for rural areas. Since the fertility in the rural
areas is higher than the urban areas, it clearly indicates that migration contributed
to much of the urban growth rate.
A little more than one-thirds (37.4%) of the population was engaged in some
occupational activity, and this proportion was higher in rural (40.2%) than urban
(30.7%) areas. Two thirds of the population of the District was engaged in
agricultural related activities.
g. Health Care Facilities Available In The District:
In order to facilitate the achievement of the goal “Health for all by 2000 AD,”
it was envisaged that the population to be covered by a Primary Health Center
(PHC) will be reduced to 30,000 in non-tribal areas and 20,000 in tribal areas and
hilly terrain’s. Further there will be a sub-centre for every 5000 population in the
plains and 3000 population living in hilly areas. It was also proposed that there
will be a community health centre (CHC) for every one lakh population which
will have inpatient facilities and the services of a few selected specialists will also
be available. This was to be done by establishing new sub-centres and PHC’s and
through the up-gradation of some PHC’s into CHC's by adding additional
personnel and infrastructural facilities. The District has made considerable
progress in setting up new rural health institutions, according to the latest national
norms.
There are, at present nine Community Health Centers (CHC), 125 PHCs’, 50
Primary Health Units (PHU) and 732 Sub - Centers’ (SC) in the District. In
addition, the District (old Mysore District) also has 52 Dispensaries and Maternity
Homes, one Mobile Health Unit and 9 Leprosy Control Units. The PHU is
peculiar to Karnataka and is staffed by a Medical Officer, a Lady Health Visitor,
a Pharmacist and a JHA(F) and cover a population of approximately 20,000.
This Institution is being phased out and several of the PHUs’ have already been
converted to PHCs’, with the provision of additional manpower and facilities. The
number of beds available in all medical institutions in the District is 3,502, out of
which 1960 (56%) are in the institutions located in Mysore city, the District
headquarters. The people from all over the district and even from adjoining
Districts visit these institutions for specialised services. A further analysis reveals
that there are considerable intra district variations in the location of medical and
health care facilities.
4
On an average a PHC in the District covers a population of 21,400, again with
wide variations among the Taluks comprising the District. While on an average a
PHC in Heggadadevana Kote, a tribal taluk, covers a population of 15900, there is
one PHC for every 28900 population in Krishnarajanagara and T.Narsipur taluks.
There are also tribal taluks of Hunsur and Periyapatna in which the PHCs on an
average cater to a much lower population of 18,500. So far as population coverage
by a sub-center is concerned, on an average there is one sub-center for 3660
population in the District, the average minimum and maximum in various Taluks
of the District being 2,800 in H D Kote and 4,310 in Chamarajanagar Taluks. An
examination of the information relating to the number of beds available in all the
medical and health institutions in the District reveals that on an average there is
one bed for every 970 people. However, most of these beds are attached to the
institutions located in Mysore city and if we exclude the institutions located at the
District headquarters, population-bed ratio increases considerably to a high of
4220 in Yelandur to a low of 1320 in Gundlupet taluk. The ratio for the other
taluks varies and lies between these two figures.
h. Staff Position In Health Institution:
The Junior Health Assistant Female [JHA(F)J is the Key Person of the primary
health care system and is primarily responsible for providing services in the vital
areas of Maternal and Child Health (MCH), which are essential for the
maintenance and promotion of health of the mother and the child and for the
sustenance of the family welfare program. An examination of the data indicates
that in all these taluks there are several vacancies of JHA(F). One in five post for
JHA(F) remain unfilled with maximum vacant post in H.D.Kote (31%) &
Gundlupet (25%) in six taluks (Program area).
The situation with respect to JHA(M) is still worse. In almost all the taluks, a
large number of positions are vacant, the percentage of vacancies in various taluks
range from 15% to 92%. It may be worth noting that T.Narasipur taluk out of a
total sanctioned strength of 36 posts, only 3 persons are in position. The other
taluk which is having a large number of vacant posts for JHA(M) is H.D.Kote
(48%). Since the male workers are by and large responsible for covering the
components of community disease control and environmental sanitation, these
programmes, in the absence of adequate staff, often remain neglected.
The peripheral workers need continued supervision and guidance for effective and
efficient delivery of various health services. Without proper supervision and
guidance, no programme would possibly succeed. However, in the District, a
large number of supervisory posts both in male and female category are lying
vacant.
Out of 89 female supervisory posts in the District, 13 (14.6%) are lying vacant.
As regards male supervisory positions, approximately half (41 out of 86) of the
sanctioned posts in the District are not filled. In the program implementing area,
the highest vacancy of Lady Health Visitor is in H.D. Kote (42%) followed by
Gundlupet (20%) taluks.
5
Vacancies for Senior Health Assistant (SHA)F in Periyapatna was 50%, Kollegal
40% & Gundlupet 32%. In case of SHA(M), the vacany was higher with more
than 65% vacancies in 6 taluks of Gundlupet, Kollegal, Periyapatna, Nanjangud,
H.D.Kote & K.R.Nagar. Gundlupet is most affected taluk with 75% vacancy.
The organisation, mobilisation and education of the community on the preventive
and promotive aspects of health including family welfare is an important
component of the primary health care system. The Block Health Educators (BHE)
is specifically trained and equipped and are assigned overall responsibility for
planning and implementing the health education programmes in their respective
areas. There are 63 sanctioned posts of BHEs in the District out of which
approximately two-thirds (62%) are vacant. Almost all the taluks are equally
affected by the vacancy position in this cadre. In the Program implementing area
the highest vacancy (75%) are in H.D.Kote, Chamarajanagar, Gundlupet taluks
and 50% vacancies in T.Narasipura and Nanjangud Taluks.
In the absence of adequate number of trained extension educators, not only health
education activities remain neglected, this neglect has adverse effect on the
implementation of other health programmes. The promotion and maintenance of
the health of the individuals and the communities is not the responsibility of the
health department alone. The non-governmental agencies and other sectors of the
economy have an important role to play in this direction.
6
!•
III. OBJECTIVES OF THE PROJECT
•
To organize promotion of positive health practices, such as, personal hygiene
especially during menstruation, adequate nutrition, etc.
•
To conduct screening for & treatment of Reproductive Tract Infections and
Sexually Transmitted Diseases.
•
To conduct screening and management of Gynecological problems.
•
To conduct screening, downstage and treatment of cervical cancer.
•
To conduct screening and management of problems associated with on-set of
menarche and menopause.
•
To conduct screening, downstage and treatment for Breast cancer.
•
To study the impact of down - staging of carcinoma of cervix and carcinoma
of breast on target population.
•
To train the health worker (ANM’s, Anganawadi workers, Village level
health workers) for early case detection, health education, early treatment and
follow-up.
•
To conduct I.E.C. activities on menstrual problems, menstrual hygiene,
reproductive tract infections (RTI), gynecological problems, carcinoma of the
cervix and carcinoma of the breast.
•
To set up a population based information system on reproductive tract
infections, menstrual problems, cervical cancer and breast cancer.
7
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IV. METHODOLOGY
The target area was six Taluks of undivided Mysore District •
HD Kote
•
Nanjangud
•
T Narasipura
•
Chamarajanagar
•
Gundlupet
•
Yelandur
The target population to be covered in the above taluks is 400,000 females in the
age group of 10 - 60 years. The duration of the Project was two years from April
1998 - March 2000.
The entire Project was implemented with the concept of “Life Cycle Approach on
Gynecological Problems of Women?9 With emphasis on all the gynecological
problems from menarche to post menopausal period.
The entire Project was divided into three phases :
SI.
Activities
Phase
No.
Duration
1
Preparatory
Training of Government health
personnel
4 months
(Apr 98-July 98)
2
Intervention
Organising camps
16 months
(Aug 98 - Dec 98)
3
Evaluation
Follow up of patients and
inhouse evaluation
4 months
(Dec 99 - March 2K)
V. PREPARATORY PHASE (APRIL 1998 - JULY 1998)
- TRAINING OF GOVERNMENT HEALTH PERSONNEL
During the preparatory phase of four months, the following Government Health
Personnel were trained:
• Medical Officers.
• Supervisory Staff (Block Health Educators, Lady Health Visitor).
• Junior Health Assistant (F)
The training program were designed and conducted in consultation with KHSDP.
Medical Officers, Supervisory Staff and JHA(F) were trained with support of
training modules.
8
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MEDICAL OFFICERS
________ I DAY
Module Content
• Project Overview
• Menstrual Disorder
• Cancer - breast & Cervix
• Combined modality
Cancer treatment
• Reproductive Tract
- Physiology
- Infections including STD
• Evaluation
SUPERVISORY STAFF
________ 1DAY_______
Module Content
• Project Overview
• Menstrual Problems
• Reproductive Tract
- Physiology
- Infections including STD
• Cancer Breast-SBE
• Cancer Cervix - taking Pap
Smear
• Role in the Project including
survey supervision
• Evaluation.
JR. HEALTH ASST.(F)
________ 3 DAYS________
Module Content
• Project Overview
• Menstrual Disorders
• Reproductive Tract infections
including STD
• Cancer Cervix
• Self Breast Examination (SBE)
& taking pap smear (Domestic
approach)
A nnexure-2(a)
Annexure-3(a)
For details refer: Annexure-l(a)
Survey
• Objective & Orientation.
• Pilot survey including pap
smear
• Format scrutiny
• Analysis
• Presentation
• Group Discussion
• Evaluation.
The following is the summary of percentage of attendance during the training
program :
Percentage of attendance during training program
POST
FILLED
ATTENDED
PERCENT
AGE
120
104
87
(62)
15
14
93
07
(12)
53
40
75
434
95
(22)
339
309
91
653
126
(19)
527
467
89
VACANCY
NO.
%
PERSONNEL
APPROVED
POSTS
Medical Officers
120
Block Health
Educators
39
24
60
Lady Health
Visitor
Junior Health
Assistant (F)
Total Man
Power trained
The total expenditure involved in the above first round of training program
was Rs.1,31,501/-.
9
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Re-orientation Training Programmes for Government Health Staff:
We had planned to conduct a re-orientation program for the above staff after we
had finished one round of camps, in all the PHCs/PHUs/GAD so that:
a. We can review the program
b. Find out what are the draw backs of the program
c. To get suggestions of how we can make this program more effective and
useful to the community.
d. That they can get a first hand experience of cancer care and other diseases.
We had planned to conduct this re-orientation program in the month of May-June
1999. But unfortunately, due to delay in the approval of the training program, we
were able to conduct this program only during second week of August 1999 to the
first week of September 1999. The re-orientation program scheduled was planned
and discussed in the Taluk Medical Officers Meeting and 15 days prior notice was
given before the training program was conducted. The duration of the training
program for Medical Officers, Lady Health Visitors, Block Health Educators and
Junior Health Assistants (F) was for one day only at Bharath Hospital and Institute
of Oncology, Mysore. The training module was prepared in such a way that it
included group discussions, lectures and field visits (for pap smears & survey).
We had also reviewed their evaluation sheets of previous training program and
taken whatever was felt needed for the training and then only the training module
was drawn up. (Refer Annexure 1(b) - 3(b) for reorientation module) The
following is the percentage of attendance during the reorientation program.
Intimated
Attended
Percentage
Medical Officer
128
115
90
Block Health Educator
14
14
100
Lady Health Visitor
48
39
81
Junior Health Assistant (F)
345
301
87
Total
535
469
88
Personnel
Attendance was better during reorientation training as compared to initial training
except in case of JHA(F).
The total expenditure involved in the one day re-orientation training program
(second round) was Rs.55,018/-.
For further details regarding training & reorientation to above health personnel
refer to Annexure - 4 to 6. A few Health Education Books and Flip Charts have
been distributed to all the health staff during re-orientation program.
Apart from this, the Information, Education Communication (EEC), materials (Flip
chart-3) prepared, were reviewed. (Refer page 31 for details)
10
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COMPARISON OF GOVERNMENT HEALTH PERSONNEL ATTENDANCE BETWEEN
TRAINING & REORIENTATION PROGRAM
400-f'
375-
350-
309
325-
301
300-
275250225□ Training
□ Reorientation
200-
175150-
104
115
125-
10075-
40
50-
1'
25-
0
14
14
r
i
Medical Officers
Block Health Educator
39
3
Lady Health Visitor
J
vS
liii
_____
p
I
JHA(F)
During orientation and re-orientation program for paramedical staff, taking of pap
smear during field visit was a part of the training program. A total of 632 pap
smear were taken by them under the supervision of Lady Medical Officers and
staff of BCCHL
The following are the Pap Smear Reports taken by Paramedical Staff:
SI.
No.
Particulars
Training
Re-orientation
1
Normal
90
11
2
a) Inflammatory Changes
169
290
b) Inflammatory Changes - suggested
biopsy
02
3
Dysplasia:
a) Mild
12
07
b) Moderate
01
03
4
Post-menopausal smear
02
5
Atropic smear
01
6
Acellular
7
Inflammatory with squamous metaplasia
01
8
Reports inconclusive
06
01
9
Repeat Smear
09
10
Total
293
339
17
During training period, 293 smears were taken, 90 were normal smear and 13
(4.4%) showed dysplasia. In case of smears taken during reorientation 10 (2.9%),
out of 339, showed dysplasia. Overall 23 among 632 smear, showed dysplasia
(3.6%).
Health Education and pap smear kits were given to paramedical staff, so that they
not only impart health education, but also could take pap smears.
Training of Anganwadi Workers :
1253 Anganwadi Workers of four taluks (H.D. Kote, Nanjangud, Chamarajanagar
and Gundlupet) were given training for one day regarding some of the symptoms
of diseases (STD, Cancer and Menstrual Problems) and were also trained in
“house to house” survey (which could identify symptoms of menstrual problems,
RTIs, STDs and cancer of cervix and breast). However, this training program
could not be implemented in T.Narasipura and Yelandur taluks, as they boycotted
our training program for want of higher DA on par with JHA(F). For details of
training refer Annexure - VII (a). For training module refer to Annexure - VII (b).
11
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Teaching Aids used during the Training Program :
a) Audio Visuals like Overhead Projector, Slide Projector, Television, Flip
Charts, Pamphlets.
b) Group discussion and lectures.
c) Demonstration (taking pap smears and self breast examination).
d) Pilot Survey (house to house survey & taking pap smear).
Difficulties encountered during the training program:
Some of the problems encountered during the training program are :
a) Getting Resource Faculty for training of para medical staff at taluk level for
subjects to be covered under the program was quite difficult, as most of the
resource persons were not willing to travel long distances and also spend the
whole day outside their head quarters.
b) We have trained anganwadi teachers of four taluks, but we could not train
them in two taluks (Yelandur & T.Narasipura), as they boycotted our training
sessions, saying that they should also be paid DA on par with what was paid to
the para medical staff, as per norms. We had paid them actual TA and Rs.15/as DA, which was not acceptable in these taluks.
c) During the first round of training, all the Medical Officers of each taluk were
deputed together for training. Though this was not a problem for us, the
Medical Officers during the evaluation session informed, that all the Medical
Officers of the taluk should not be deputed together for such programs, since it
will create a void in the taluk. However, this was rectified during reorientation
training program.
d) The time allocated for training of Medical Officers and Supervisory Staff was
found to be inadequate.
e) The training staff of our Trust had to travel long distances during the training
of Junior Health Assistants (Female) which was held at the taluk level for
almost two months daily, which was found to be exhausting.
f) Organising training hall and hygienic food for the trainees at the taluk level.
Evaluation of the Training program by the participants :
All the Government Health staff (100%) felt that the training and reorientation
was useful, and new subjects learnt (above 92%). 20% of the Medical Officers felt
duration of the training to be increased. The same was suggested by 28% of the
Supervisory Staff and 18% by JHA(F). 15% of the Medical Officers suggested
better training hall should be provided for the training. The following are some of
the participants evaluation and tabulation regarding training and reorientation
program.
12
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Participants Evaluation and Tabulation Regarding Training and Reorientation Program
Medical Officers
SI.
No.
1.
2.
3.
LU
is
z
b:
Junior Health
Assistant(F)
Supervisory Staff
Description
Training
Reorientation
Training
Reorientation
Training
Reorientation
No. of participants
104
115
54
53
309
301
Is the training useful
104
115
54
53
309
301
Percentage
100
100
100
100
100
100
Did you learn anything new (Yes)
100
115
54
52
309
277
Percentage
96
100
100
98
100
92
Did it alter / add to present knowledge
96
110
54
52
'NA
NA
Percentage
92
96
100
98
20
20
06
0
06
NA
NA
NA
NA
NA
NA
NA
NA
4.
Most useful session
a.
All sessions
36
b.
Combined modality cancer treatment
23
c.
Outline of Cancer management
29
d.
Group discussion
24
e.
Cervix and breast cancer including demonstration
11
f.
Common Gynaec problem
14
g-
Menstrual problems and RTIs
44
01
09
11
12
30
205
75
11
93
13
h
STD
i
Cervix, breast cancer and other RTI
5
Have you any suggestions to improve the training
program ? Specify
a.
More duration
21
18
b.
Better training hall
16
06
c.
More interaction and less lecture
09
10
d.
More audio-visual aids to be used
09
6.
Quality of Food
o
25
53
32
05
11
42
15
02
06
03
16
57
Good
98
79
48
50
226
217
Average / Satisfactory
01
23
62
24
04
02
01
09
03
02
For details regarding evaluation of participants refer to Annexure - 17 (a) to 17(c).
b:
15
02
No answer
I
15
Very good
Not good
3
46
43
Tasty and hygienic
5*
01
01
VL INTERVENTION PHASE
The Intervention Phase commenced on August 1998 and was completed by
December 1999. The intervention phase comprised of:
A. Health Education.
B. Conducting Camps .
A. Health Education :
i) Health Education to Village Women ;
To make this program effective, so that common people can make use of this
program, health education was being organized one week before the camp at PHC
as well as at Sub-Centre level, through 'Mother’s Meet', which was being
organized by the Anganwadi workers. One staff of our Organization educated the
women regarding menstrual problem, personal hygiene, self - breast examination
and about symptoms of cancer for about two hours. This had become the hub of
our program, as the women, apart from attending camps, motivated other women
to attend camps organized by us.
ii) Health Education for School Children :
This Program was initiated because :
a) Our Project aims at covering the women between the age group of 10-60
years and the School children fall in this age group.
b) Health Education is very much essential & useful for these girls, as some
sensitive questions are not answered by their parents or by their teachers.
c) During the introduction of the Program, we intimate the school children about
the Goal and Objective of this program. We also inform the children to
intimate their mothers, sisters and women folk in their villages, to make use
of this program. This acts as a propaganda of the program and has been
found to be effective.
d) As the Lady Medical Officer will be screening the girls, the girls can be frank
and comfortable and express their doubts and problems quite freely.
We have found from our survey that 65% of females are illiterate, as compared to
62% in the district and even if we distribute pamphlets, it was not that effective.
During health education session school children were asked to read the pamphlets
to their mother’s, sister’s and women folks in their villages to make use of this
program, as symptoms of health problems are printed in the pamphlets. This
created awareness of the program and has been found to be effective. Our
experience shows that school children are vital source for creating awareness
among the illiterate women and enhancing the effectiveness of the camps.
In this program, we initially started from standard V to Degree classes. An one
hour health education was conducted by Lady Medical Officer regarding
adolescence, menstrual problems and personal hygiene. Another half an hour was
spent on question and answer session. Then class-wise health check-up was done.
As this program was conducted by Lady Medical Officers, the students were
frank, comfortable and expressed their problems confidentially.
(iii) Training NGO staff and village Level Health Workers :
To make the program effective and to spread the objectives of the program, we
have collaborated with the following NGOs :
15
interim-bcchi
MYRADA / PLAN H D Kote Project and Fedina Vikas from HD Kote taluk.
Mahila Samakya and World Vision of India in Gundlupet Taluk.
Mission Hospital in Chamarajanagar Taluk
Jeevan Jyothi Kuthumba Abivrudhi Kendra (CCF) in Nanjangud and
Chamarajnagar Taluk.
JSS Polytechnic for Physically Handicapped, Mysore, in T Narasipura Taluk
JSS Community Polytechnic Scheme for Women in Mysore, H D Kote and
Nanjangud Taluk.
Vivekananda Girijana Kalyana Kendra in Yelandur Taluk.
Mysore Medical College.
JSS Medical College.
Family planning Association of India (FPAI), Mysore.
NGO’s and Self - Help Group members, were trained regarding this program.
They (NGOs) have been useful in organizing health education and in arranging
camps, in their respective areas of operation.
We have conducted 415 health education sessions for women covering 9,003
women, 12,686 students and 352 self help group members from 10 NonGovemment Organizations. The summary of Health Education sessions conducted
in six taluks is given in pie chart.
Consolidated Health Education Sessions conducted taluk-wise and month-wise is
enclosed in Annexure - VIII (a) & VIII (b). For Details regarding Health
Education Sessions conducted taluk-wise refer Annexure -IX (a) to IX (f)
B. Camps :
(i) For Women:
The schedule that was adopted for conducting of camps was that, we allot one day
of the week to each taluk i.e.,
Monday
- Gundlupet
Tuesday
- Nanjangud
Wednesday - H.D.Kote
Friday
- Chamarajanagar
- Yelandur & T.Narsipura.
Saturday
On Thursdays, no camps were conducted as it is "Immunisation day" in all the
PHC/PHU and the Govt, staff will be concentrating on that Program. It also
helped our staff to review camp work and plan subsequent activities.
Once the schedule was drawn up in consultation with Medical Officers at Taluk
Medical Officers meeting, letters were sent to each Medical Officer 20 days in
advance, marking a copy to Taluk Medical Officer and District Health & Family
Welfare Officer to depute Lab Technicians for helping in implementing this
Program. The Medical Officers were requested to inform the Lady Health
Visitors, Block Health Educators and Junior Health Asst.(F) to provide health
education at the PHC/PHU and sub centre level, so that the local rural woman
could make use of the camp and also if the Junior Health Asst.(F) has identified
any health problems of the women, they could be advised to come for the camps.
16
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HEALTH EDUCATION CONDUCTED - TALUKWISE
YELANDUR
No. of Sessions
Mothers
Students
NGO
Total
GUNDLUPET
No. of Sessions
Mothers
Students
NGO
Total
- 82
-1803
-1595
- 61
-3459
- 11
-328
- 45
- 0
-373
H.D. KOTE
No. of Sessions
Mothers
Students
NGO
Total
T.NARASIPUR
No. of Sessions
Mothers
Students
NGO
Total
- 96
-2221,
-4135
- 0
-6156
- 76
-1320
-1584
- 107
- 3011
CHAMARAJANAGAR
No. of Sessions
- 57
Mothers
-1646
Students
-1066
NGO
- 51
Total
- 3763
NANJANAGUD
No. of Sessions
Mothers
Students
NGO
Total
- 93
- 1885
- 3261
- 133
- 5279
DETAILS OF CAMPS - TALUK-WISE
H.D. KOTE
YELANDUR
Camps
- 81
Women Screened - 5046
HB < 10 gms
-2845
HB > 10 gms
-1022
Pap smear taken -2010
Pap smear refused - 278
Camps
- 16
Women Screened - 889
HB < 10 gms
- 671
HB >10 gms
- 94
Pap smear taken - 367
Pap smear refused - 41
k
\
■MB
GUNDLUPET
Camps
- 80
Women Screened - 5061
HB < 10 gms
-2893
HB > 10 gms
-1102
Pap smear taken -1834
Pap smear refused - 206
rd
\
i
iiill
(
_____________ M________
T. NARASIPURA
Camps
- 79
Women Screened - 6707
HB < 10 gms
-4305
HB > 10 gms
-2081
Pap smear taken -2986
Pap smear refused - 248
1
NANJANGUD
Camps
- 78
Women Screened - 6564
HB < 10 gms
-4291
HB > 10 gms
-1722
Pap smear taken -2414
Pap smear refused - 297
CHAMARAJANAGAR
Camps
- 63
Women Screened - 5032
HB <10 gms
-2641
HB > 10 gms
- 987
Pap smear taken -1863
Pap smear refused - 163
J
For details regarding the findings of health problem in women & students, please
refer to Annexure XIV. The most common problem has been Anaemia among
women which constitutes 26.44% followed by Leucorrhoea 16.18%.
Referral pattern:
A total of 1721 (4.3%) women were referred to different hospitals from our rural
camps. The break-up is as follows:
Nos.
Particulars
SI.
No.
1.
Bharath Hospital & Institute of Oncology and
Bharath Diagnostic Centre
685
2.
K.R. Hospital
795
3.
J.S.S. Hospital
184
4.
PHC / Others
57
1721
Total
At Bharath Hospital & Institute of Oncology (BH & IO) concessions ranging from
30% to 75% were given to patients, depending on their economic status. The
details of patients referred to BH & IO is explained under the chapter observation
(Page no. 28, 2nd para and also Annexure - 16).
Baby Show :
A total of 107 children participated. Using this (Baby Show) as the platform we
have educated the people about this program. For this program we had involved
the Anganwadi teachers, Anganwadi Supervisors, Panchayath members, Junior
Health Assistants (F), Child Development Project Officer & Medical Officers of 4
PHCs. Two Baby Shows were organized in Nanjangud Taluk - one in Suttur
Jathra and the other at Kasba Circle involving 22 centres. For this competition, the
children were categorized into 3 batches.
6 months
-1 year
1 year
- 3 years
- 5 years
3 years
Prizes were given to the winners.
Health check up and deworming for children were done in all the centres where
the competition was held. In the final round, Bharath Charitable Cancer Hospital
& Institute, Male Medical Officer (1), Lady Medical Officers (2), Peadiatrician
(1), Govt. Medical Officer (1), Asst. Child Development Project Officer (1) and
Anganwadi Supervisors were the judges. All the children were given prizes. A
total of 18 children were identified as malnourished (3rd grade) and they were
given appropriate treatment.
19
interim-bcchi
Survey Report:
We had distributed ‘House to House* Survey formats to be surveyed by
Anganwadi workers in Gundlupet, Chamarajanagar & Nanjangud taluks.
We have received 94,102 household report of 692 villages. This information
is computerised. According to the survey findings, it is found that 65% of the
women above 10 years are illiterate (have not even attended I Std.). 73% of
the girls are getting married before 18 years. Irregular menstruation
(Metrorrhagia) is found in 12% of women. Women not taking bath during
menstruation constitutes about 10%. About 51% of women have undergone
sterilization. 6% of women above 10 years had white discharge. The details
of the survey is enclosed in Page No. 32.
Problems encountered during the intervention phase :
a) Lady Medical Officers : The major drawback in this program has been that
we have not been able to get Lady Medical Officers in the initial phase of the
Project, though we had advertised thrice in National, State, as well as local
newspapers. We had requested the Project Administrator, KHSDP as well as
District Health & Family Welfare Officers to depute Lady Medical Officers
for these camps but unfortunately, because of the lack of Lady Medical
Officers even they have been unable to provide the same to our Project.
However, we had a tie up with the Family Planning Association of India,
Mysore wherein they deputed their Lady Medical Officers four days in a
week to our programs. However we were able to recruit two Gynaecologist
w.e.f. march 1999.
b) Another major problem has been, deputing Government lab technician by the
Government PHC/PHU for our Program. The problem is that there were only
2 to 3 lab technicians in each Taluk and it became very difficult for them to
allot them for our camps. So far out of 397 camps conducted, only thrice lab
technician has been deputed by the Government for our camps. Without lab
technician it was very difficult to provide lab facilities to the patients.
However, to over come the problem of lab technicians, we had to appoint
two lab technician, in order to make the program more effective and
useful to the community, though this involved additional expenditure to
BCCHI (Trust).
c) In many cases urine examination could not be done as in most of PHCs/PHUs
and almost in all sub centres, toilet facilities were not available.
d) Budget provision for medicines was inadequate, hence only a part of the
treatment could be given. Drugs like FS Tablets, paracetamol, deworming
tablets were not available in any of the PHC/PHU till September 1999, though
we were assured by Karnataka Health Systems Development Project
(KHSDP) that enough drugs would be stocked in all the PHCs and PHUs in
the program implementing area. The budget provided in our Project towards
drugs was consequently found inadequate. After the initial phase of the Project
since sufficient funds were not available under this head and we could not
provide sufficient drugs at the camps. We had requested for additional funds
to be earmarked for this purpose, but unfortunately our request was not
accepted and the status quo remained. However the situation eased after
20
interim-bcchi
September 1999 in the Project area with supplies of drugs reaching the
PHCs/PHUs.
e) Through it was not envisaged in the Project originally to organise camps at
sub centre, to enhance participation of the community in the screening
programs, it was decided to organize camps in one sub centre in addition to
the PHC/PHU. In rented sub-centre buildings following difficulties were
encountered: i) lack of suitable place for conducting of camps
ii) lack of electricity
iii) lack of toilets even for collecting urine examination
iv) lack of hygienic food for the camp team, resulting in general reluctance
on the part of the staff to enthusiastically carry out the camps in the sub
centers.
v) lack of roads to approach remote sub-centres.
f) Reluctance on the part of the women for getting pap smear done in the initial
phase of the Project.
VIII. OBSERVATIONS :
Though at the beginning of the Project we had apprehension about the extent to
which the Objectives of the Projects would be achieved, especially with regard to
implementation of a system of health education and awareness, we have been able
to achieve most of our Objectives.
It was experienced during the rural camps, health practices in our rural population
specially among women and children are not encouraging. They are used to their
traditional practices and bad sanitation. Starting from daily habits regarding
personal hygiene, brushing their teeth with mud, rangoli powder, charcoal powder,
etc., not taking bath and not using hygienic cloth during menstruation, taking bath
once or twice a week, defecating in open field, chewing tobacco and “paan”, other
habits like, smoking, alcohol consumptions in men, lack of sexual hygiene,
deliveries conducted in unsafe manner, lack of anti - natal and post - natal care,
etc., all account for poor health.
Undemutrition results from the interaction of several factors, all of which have
their origin in poverty and ignorance. The main factors are :
1.
2.
3.
4.
5.
Poor social economic conditions : These include low income, poor
environment, sanitation and poor housing.
Parental ignorance and illiteracy : This results in inadequate food being
given and prejudice against certain food.
Repeated infections : Diarrhoea, respiratory infections and other infections
contribute to malnutrition. These infections depress the appetite, consume
more energy, cause loss of body weight and lead to malnutrition.
Large families : The more mouths there are to feed, the worse is the nutrition
intake of woman.
Closely spaced families : A spacing of more than 2 years between one child
and the next is ideal, both from the view point of breast feeding and the
health of the mother and child.
21
interim-bcchi
72% of the women who were examined were anemic (Hb<10gm%). Common
complaints with majority of them were - generalized weakness, loss of appetite,
easy fatiguability and more susceptible to infections, etc. The diet they were
consuming was not a balanced diet with deficiency in protein, carbohydrates and
vitamins. While discussing with women, it was noted that the reasons for not
taking balanced diet were poverty, illiteracy, ignorance, food taboos, lack of
availability of food stuff, etc. For eg. In one of the village in Gundlupet taluk,
when women were told to use drumstick and drumstick leaves in their daily diet,
they said : “Drumstick trees are grown in our village like any other tree, but we
were not aware about its utility as a part of our diet.”
It is found in our study (refer Annexure XHI-a ), that anemia (Hb% less than 10)
is found highest between the age group of 26-30 years (16.3%) & 21-25 years
(13.4%), which we can conclude is the child bearing age of women. It is also
found that anaemia is found high in Yelandur taluk (87.7%) as it is a tribal belt.
However the sample size was relatively small.
To get over this lack of health information, we have utilized the help of
Anganawadi workers and Para medical staff to impart health education during
mothers meet, school health programs and other situations like baby shows,
immuzation day, etc., where women get together. It was found in our interaction
with women during the health education sessions that menstrual hygiene was not
satisfactory. According to the house to house survey conducted in 692 villages it
is found that 9.9% of women (15,233 out of 1,53,658 women surveyed) do not
take bath during menstruation. As an off-shoot of this program, education on
menstrual hygiene and distribution of sanitary napkins has been taken up
by us, as a Pilot Project
Until recently, reproductive tract infections (RTFs) including sexually transmitted
infections were not recognized as a problem. Research conducted in India over
the last few years to document the reproductive health needs of its people has
contributed to making these infections noticeable and given priority in public
health agenda. Concern about the spread of HIV epidemic and recognition of the
role STI’s play in HIV transmission, have been the main problems focussed.
As per the ICPD (International Conference on Population and Development held
at Cairo, in September 1994), an ambitious program of action to make
reproductive health services universally available and the aim was to “Prevent and
reduce the spread of reproductive tract infections (RTIs) and sexually transmitted
disease (STDs), including HIV/AIDS and provide treatment for STDs and their
complications, such as infertility, with special attention to increasing the ability of
girls and women to protect themselves.”
RTIs pose grave threats to women all over the world. It includes STD infections
related to procedures such as unsafe deliveries and abortion or IUD insertion and
infection from exogenous or endogenous organism. Men also experience RTIs,
particularly STDs, but the prevalence and the consequences for women are much
more severe.
22
interim-bcchi
Sexually transmitted diseases (STD) are an important public health problem in
India for two reasons. First, the incidence and prevalence of STD is very high,
resulting in considerable morbidity, as well as, long term complications such as
male and female infertility, pelvic inflammatory disease, ectopic pregnancy,
congenital and neonatal infections and death. Secondly the presence of STD’s
would facilitate the acquisitions and transmission of HIV infection.
STD’s are major problems in big cities, industrial towns, pilgrim centers, etc. The
estimate of such occurrence is about 5% in cities and 1% in rural areas. In some
communities and tribal areas, it is as high as 20%. WHO considers that about 50
million cases of syphilis and 250 million cases of gonorrhoea occur all over the
world annually. Each year the number of people at risk is increasing.
As per screening done by us (40,249 during the Project), the number of problems
in women with RTI and STD was 7,725 women (19.19%), of all medical
problems diagonised in women, the following are the findings.
SI. No.
Particulars
Percentage
Nos.
1
Leucorrhoea
6511
84.29
2
Skin lesions
663
8.58
3
Urinary tract infection
447
5.79
4
Pelvic inflammatory disease
82
1.06
5
Ulcers over genitalia
22
0.28
7725
100.00
Total
White discharge is a common complaint seen in women, but was revealed only
after enquiry, as many thought, white discharge to be a normal phenomena. 60 70% of women in rural area have this problem. These women were examined and
treated during our camp. They have been advised to have regular follow-up in
their respective PHC / PHU and in some severe cases, have been referred to major
institutions like Cheluvamba Hospital & JSS Hospital. In most of the cases, both
partners have been treated.
Apart from this, according to our house to house survey conducted by Anganwadi
workers using closed structured questionnaire during the Project period, the
findings are as follows :
SI. No.
Particulars
Nos.
Percentage
1
Leucorrhoea
8733
67.6
2
Itching in private parts
1313
10.2
3
Burning sensation during urination
1717
13.3
4
Ulcers in private parts
575
4.4
5
Pus during urination
575
4.5
12913
100.0
Total
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interim-bcchi
Gynaecological problems are seen both in women of younger as well as older age,
more so in elderly women. A major hazard for both children and mothers are
pregnancies that are too early (under 18 years), too late after (30 to 35 years), too
many (more than four) and too frequent (spacing less than 2 years).
Ignorance or rather lack of awareness of gynaec problem, shyness and being
scared that they would be labeled to have some disease, lack of availability and
accessibility to medical service have been major hurdles in the treatment of
gynaecological diseases.
The commonest gynaecological problem is vaginal discharge (leucorrhoea 16.18%) followed by menstrual irregularities (11.18%). Other common problems
are dysmenorrhoea, backache, prolapse uterus and infertility. All these cause
general ill health and disability in the mother effecting her normal functioning
and fertility.
The causes for these problems are multi - factorial and most of these are
pregnancy related. If identified early, majority of the problems are preventable.
Correct diagnosis and appropriate management is, therefore, very important to
improve general health of women and also to prevent complications due to these
conditions during further child bearing. The delivery should be conducted by
trained personnel like traditional birth attendants or JHA(F).
In China a
significant reduction in maternal and infant mortality were achieved through the
introduction of the ‘three cleans’ principle - ‘a clean surface on which delivery
can take place, clean hands of the birth attendant and clean cutting of umbilical
cord’. Where woman are identified as high risk, should be referred to a Centre
with better facility.
Leucorrhoea is one of the commonest problems seen in women in Gynaec OPD.
Right from a teenage girl to woman till she attains menopause, leucorrhoea is a
common complaint, more so in women in reproductive age group. Unless
detected and treated early leuccorrhoea, would contribute a large extent to
women’s increased morbidity.
Menstrual disorders are frequently seen in gynaecological practice and often affect
adolescent girls or perimenopausal women. The common menstrual disorders
are Dysmenorrhoea, Menorrhagia, Metrorragia, Amenorrhoea, Premenstrual
Syndrome, Dysfunctional Uterine Bleeding, Polymenorrhoea, Oligomenorrhoea.
Pelvic Inflammatory Disease (PID) is a general term used for acute, sub acute or
chronic infections of the upper genital tract, cervix, uterus, tubes and ovaries.
Pelvic cellular tissues and often with involvement of adjacent organs. Of late,
there is an increase in number of cases of PID, commonly seen in age group of 18
to 24 years. PID has increased from 20% to 50% over the past decade in Western
Countries (Western L & E Schenbachetal).
24
interim-bcchi
Varieties of PID and their incidence are :
Pyogenic
STD
Tuberculosis
Others e.g., viral, protozoal, fungal & foreign body
- 45-50%
40-45%
- 5%
- 5 - 10%
From a recent symposium on PID the conclusion was - (a) Rising incidence in
Africa is mainly due to STD and (b) Rising incidence in Asia due to induced
abortion and MTPs.
The importance of PID over and above its varying
symptoms and signs, is because of its sequalae, as we know that PID has a 10
times increased risk of ectopic gestation and 6-60% chance of infertility.
Primary infertility is the inability to conceive even after one year of unprotected
coitus. Secondary infertility implies infertility with proven past fertility, including
ectopic gestations. The incidence of infertility both primary and secondary varies
from 2 - 10% of all married couples. The causes of infertility could be male
factor, female factor, or both.
During the screening of women in our camps the findings are that 457 women
(1.14%) lave gynaecological problems :
SI. No.
Gynaec Problems
Nos.
Percentage
1
Infertility
319
69.8
2
Prolapse uterus
86
18.8
3
Post Hystectomy problems
52
11.4
Total
457
100.0
All the infertility cases have been referred to Family Planning Association of India
or nearby major hospitals for further evaluation and treatment. Patients with post
hysterectomy problems and prolapse uterus have been referred to Cheluvamba and
JSS Hospital, Mysore for further management.
During the screening of 40,249 women in our camps, 4,499 women (11.18%) had
menstrual problems. The following are the data of menstrual disorders among
women screened SI. No.
Menstrual Problems
Nos.
Percentage
1
Dysmenorrhoea
2375
52.79
2
Menorrhagia
1029
22.87
3
Metrorrhagia
714
15.87
4
Oligomenorrhoea
257
5.71
5
Polymenorrhoea
124
2.76
Total
4499
100.00
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interim-bcchi
Apart from this, data from house to house survey conducted in 692 villages are as
follows :
SI. No.
Particulars
Nos.
1
No. of women above 10 years
2
Irregular menstruation
18,825
3
Menorrhagia
16,089
4
Not taking bath during menstruation
15,233
5
Inter-menstrual bleeding
2,811
1,53,658
It was noticed that leucorrhoea (16.18%) and menstrual disorder (11.18%) were
the commonest gynaecological problems encountered. Most of the women with
these problems had not received any treatment earlier, as they were unaware of it.
Carcinoma cervix is the commonest malignancy among women in India, as per
Indian Council of Medical Research (ICMR) - Population Based Cancer Registry
(PBCR) reports. In Western countries cancer of the breast is the commonest. The
ratio between breast cancer and cervix cancer in western countries is 3 : 1,
whereas in developing countries it is 1 : 3. The high incidence of ca. cervix may
be related to early marriage, multiparity, poor local hygiene, STD especially HPV
infection and unattended delivery giving rise to higher cervical injury.
The distribution of cancers in different parts of the genital tract is as follows in
developed and developing countries :
Genital Cancer
Developed Countries (%)
Developing Countries (%)
Ca. Cervix
60
80
25-30
05
Ca. Ovary
10
10-15
Ca. Vulva-Vagina F Tube
1-2
1-2
Ca. Endometrium
Ca. Cervix is more common in rural women and they come for treatment very
late, when cure is difficult and expensive. So, the need of the hour is early
detection. Cervical cancer can be detected in pre-malignant stage by routine Pap
smear done for women over 30 years. Screening reduces the mortality of Ca.
Cervix by 60%. The time interval from dysplasia to invasive cancer takes 5-10
years.
26
interim-bcchi
In this Project 40,249 women were screened and cancer was suspected in 600
women (1.49%).
SI. No.
Probabilities of Cancer
Nos.
Percentage
1
Lumps in body
216
60.17
2
Abnormal (lump) in breast
259
19.00
3
Abnormal Cervix
60
10.00
4
Post coital bleeding
24
4.00
5
Post menopausal bleeding
41
6.83
Total
600
100.00
According to the survey findings post coital bleeding was reported in 723 women
and postmenapausal bleeding in 1411 cases. Both these symptoms are high risk
factors for Ca. Cervix. A total of 11,474 pap smears were taken. Of these 121
smears showed dysplastic changes. These women were referred to BH & IO,
Mysore, for further follow-up.
During this Project 873 (7.6%) women refused pap smear which includes 360
women who were menstruating and their pap smear could not be taken. Apart
from this, 72 women with prolapse uterus, were referred to major Hospitals. From
our prior experience (camps conducted prior to Project period) we have noticed
that in rural areas more than 20 to 25% of women refuse Pap smears. We were
able to achieve such a high compliance rate due to the training given to
Supervisory Staff, JHA (F) and Anganawadi workers, who were able to motivate
the women by creating awareness on the advantages of undergoing pap smear.
The fol owing are the details of the pap smear report:
SI.
“
Particulars
No.
__ 1
Normal
2
a) Inflammatory changes_______________
b) Inflammatory changes - suggested biopsy
3
Dysplasia
a) Mild
-116
b) Moderate
c) Severe
- 05
4
Post menopausal smear
5
Atropic smear_______
6
Repeat pap smear
7
Reports inconclusive
8
Squamous metaplasia
Total
27
Nos.
Percentage
907
9892
15
121
7.90
86.2
0.1
1.1
06
36
431
63
03
11474
0.1
0.3
3.8
0.5
0.0
100.0
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Majority of women had inflammatory changes (86.2%) Dysplasia was reported in
121 women (1.1%). Medical officers and JHA(F) of the concerned PHC/PHU
were given details of women with dysplasia to enable proper follow up. The
patient themselves were informed by post and home visits were made by project
social workers. The women were advised regular follow up with yearly pap
smears. The five patients with severe dysplasia were referred to Bharath Hospital
& Institute of Oncology, Mysore.
685 women with suspected cancer were referred to Bharath Hospital & Institute of
Oncology and Bharath Diagnostic Center. Only 106 women came to the hospital
in spite of repeated reminders by post, home visit by area JHA(F) and follow up
home visit by Project social workers. Out of these, 74 women were investigated
as out patients and cancer ruled out . The remaining 32 women had symptoms
highly suspicious of cancer and hence were investigated as regular cases (PID). 11
of these patients had non malignant diseases and were treated accordingly. Out of
21 positive cases, 6 patients have taken full treatment and are at present without
evidence of cancer. One patient is on treatment. One patient had advanced disease
which did not respond to treatment resulting in death of the patient. 13 patients did
not take treatment in spite of all efforts made by the social workers. Patients
referred from camps were given concessions ranging from 30% to 75%,
depending on their economic status. For details of patients refer Annexure -16.
Menstruation is frequently accompanied by physical and nervous disturbances. It
is estimated that only 20% of women are completely free from discomfort during
menstruation. The degree of disturbance however depends to a large extent on the
individual’s outlook towards this physiological process and on her determination
not to allow it to interfere with her normal life. Of all the women the young girls
(adolescents) at the time of menarche and women around the menopausal age are
most disturbed, with physical and emotional disturbances.
Menarche is one of the physiological change seen during adolescence. A change is
also noticeable in the social attitude. The physical changes occurring in young
girls like, spurt in growth, appearance of secondary sexual characters and
menarche demands lot of social adjustments. The age at which menarche occurs
is between 11 to 16 years. Menopause is used to denote the physiological and
psycological changes during the period when the reproductive organs in volute.
In fact, menopause is merely an event in the life cycle of the women.
Most women attain menopause between 45 to 50 years. Most of the problems
faced during menarche and menopause can be effectively tackled with proper
awareness. Women need to be well informed about the mechanisms which
produce them, so that they will be better equipped to tackle the problems arising
out of these natural changes.
Health education was given to school and college girls, as well as women in the
rural areas prior to conducting of Screening Camps. This has also helped in
creating awareness about the Project and its advantages.
In the school health program, health education regarding menarche and menstrual
problems was given by Lady Medical Officers of die Project. In six taluks
28
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covered by the Project, 120 schools were selected for this program & a total of
12,686 students were imparted health education. The response of the students was
overwhelming. Initially the girls were shy and reluctant to hear about sexuality,
anatomy and physiology of (female) human body, conception, child birth,
menstrual hygiene, etc., but later the response was so much, that we had difficulty
in ending the program on time. The strategy of giving empty slips to write down
their doubts without mentioning their names changed the situation from silence to
queries. About 100 - 150 common queries were answered ranging from general
to menstrual disorders, conceptions, menstruation and menopause. As the
educators were Lady Medical Officers the students felt comfortable. Based on
commonly asked questions a booklet ^Nimma Prashnege Namma Uttara” was
prepared for distributions among schools & students. This would continue to
spread awareness about these problems among the students even after the
completion of the Project.
Educating girls and using them to create awareness among illiterate women in
their families and surroundings has proved beneficial. There was an increase in
the attendance in camps, following school health programs.
After health education, all girls underwent general health check - up and
hemoglobin estimation. A total number of 10,950 students were screened.
Hemoglobin estimation was done for 10,834 girls, out of which 3,120 (29%) had
Hb< 10 gms. This incidence of anemia is less than that seen among older women
where the incidence is 72%. Anaemia - 3,505 (32%), Dysmenorrhoea - 1,378
(12.6%), ENT problems - 658 (6%), followed by Gastrointestinal system - 510
(4.7%) were the biggest problems among school children.
Breast cancer is a growing disease in our country. It is mainly seen in women
above 40 years of age. Only one lump in the breast out of 10 is due to breast
cancer. Various risk factors have been identified, of which hormonal factor plays
a major role. Familial aggregation may occur in 18% of the cases.
The purpose of screening for breast cancer is early detection, when it is curable.
Mortality from breast cancer can be reduced by 25%, by early detection through
screening programs. The widely accepted methods are Self - Breast Examination
(SBE), clinical breast examination annually and Mammography. Self - Breast
Examination does not involve any expenditure or visit to the Hospital. This may
easily be done by the woman herself, in the privacy of her home.
Medical officers and paramedical staff were taught the correct methods of self breast examination with charts and practical demonstrations. During our
screening program in villages, all women above 30 years underwent breast
examination by Lady Medical Officers’ and trained nurses. A total of 259
abnormal breasts(lump) were identified (out of 40,249 women screened). Patients
with suspicious nipple discharge were sent for mammography. One patient was
found to be positive for breast cancer (according to FNAC report). According to
the findings of survey conducted in 692 villages of the Project area by the
Anganwadi workers, lump in the breast was noticed in 656 women. The
Anganwadi workers were instructed to refer these women to the area PHC,
through concerned JHA(F).
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Cancer in general is an uncommon disease affecting about 110 women per one
lakh population per year , according to the Bangalore Population Based Cancer
Registry. Cervix cancer has an incidence of 30 per one lakh population and breast
about 15 per one lakh per year. It takes a number of years for a pre- malignant
condition like dysplasia (even if severe), to become invasive cancer. This being
so, it takes atleast 5 years to study the impact of any program, if not longer,
depending on the type of program. It is therefore, too early to study the impact of
this Project with regard to affect of down-staging. The earliest changes will be
noticed in carcinoma cervix because of the effectiveness of Pap smear in
identifying pre malignant condition.
There have been a few positive indicators as follows:
1. Improved acceptability of pap smears - 7.6% pap smear refusal in this Project
compared to our own usual refusal rate of 20 - 25% in our Cancer Control
Program, which we have been doing in rural areas. This is due to increased
awareness created by the health education program.
2. During the Project review on the impact of the Project, in the Medical
Officers’ Re-orientation, it was reported that women are now coming forward
demanding pap smears - a far cry from active refusal earlier.
3. As the Project progressed, the paramedical staff, Anganwadi workers and
others associated with the Project, began to appreciate the importance of early
diagnosis and these staff came forward for pap smears and breast examination.
A Lady Health Visitor of Gundlupet Taluk noticed a lump in her breast
during self breast examination, which was diagnosed as Ca. Breast - stage
II and is at present undergoing treatment at Bharath Hospital &
Institute of Oncology.
The entire Government Health Staff of the Project area were first given training in
the form of class room lectures, group discussions, bed - side clinics and hands on
training in examination procedures, like pap smear and breast examination. Re
orientation was conducted for the entire staff to reinforce the earlier training and
to get a feed back, regarding the adequacy of the training program and any
practical difficulties they faced in the implementation of health education and
screening.
The following points were raised:
• Staff training should be spread out over more time than cramming it into
one day.
• More elaborate training was requested in cancer diagnosis and management as
most of the staff were well aware of other diseases, whereas, most of the
information on cancer was new to them.
• The training program as well as community health education and screening
should be an ongoing program as retention and recall of the training given,
diminishes over time.
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_____________ DETAILS OF TRAINING
SI. No
Designation
Training
Reorientation
1.
Medical Officers
104 (87%)
115 (90%)
2.
Block Health Educators
14 (93%)
14 (100%)
3.
Lady Health Visitors
40 (75%)
39 (81%)
4.
Junior Health Assistant (Female)
309 (91%)
301 (87%)
Apart from this, 1,253 Anganwadi workers in four taluks and 353 self help group
members/VLHWs of 10 NGOs’ have been trained on the above program.
Adequate health education materials have been given to them to create awareness
on the above objective and they have been trained to identify the symptoms of
disease. Pap smear kits have been given to paramedical staff, so that they can take
pap smears and will be able to identify the abnormalities / infections of the cervix.
In order to propagate about this program, different strategies have been used. A
few IEC materials were developed by the institution (Bharath Charitable Cancer
Hospital & Institute {Trust)).
The following are some of the flip charts and hand books prepared.
SL.
PARTICULARS
LANGUAGE
NO.
A. FLIPCHARTS :____________________________
1.
Ruthu Srava (Menstruation)____________________
Kannada
2.
Swayam sthana parikshe (self breast examination)
Kannada
3.
Garbada Antharanga Enu? Hege? (Cervix cancer &
Kannada
taking pap smear)____________________________
4.
Lyngika Rogagalu (STD)______________________
Kannada
B. SMALL HAND BOOKS :_____________________
1,
Evaluation of White Discharge (RTI)_____________
English
2.
Chemotherapy patient information_______________
English
3.
Hand book to Oncology_______________________
English
4.
Outline of Cancer Management_________________
English
5.
Nimma prashnege namma uthara (Menstrual Cycle)
Kannada
6.
Cancer Roga (Cancer Disease)__________________
Kannada
7.
Cancer kayaleyannu prathamika hanthadali kandu
Kannada
hedidalli guna padisa bahdudu (Cancer is curable, if
detected early)_______
8.
Garbadha Antharanga
Enu? Hege? Parikshe?
Kannada
Chikithse?
The above books have been distributed among Government Health personnel
(medical officers, paramedical staff) during the reorientation program, so that they
can use this as health education material. Anganwadi workers were also given
these health education materials. Flip charts (Sl.no. 1 to 3) & hand books (Sl.No.5
to 8). They can make use of these materials to conduct health education sessions,
07495
r *■
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at mother’s meet, baby show, immunization day, etc., whenever opportunity arises
and thus create awareness about some of the health problems in women.
Wall painting on menstrual problem, symptoms of RTI, STD, cancer of breast and
cervix has been taken up in some of the PHC/PHU/GAD, under the purview of the
Project. Pamphlets of the camps were being distributed one week in advance, in
the camp areas using the PHC staff, Anganwadi teachers, Panchayath members
and School children.
In order to set-up a population-based information on Reproductive Tract
Infections, menstrual problems, cervical cancer and breast cancer, a simple survey
format with symptoms of above disease was developed. After this, the Anganwadi
Teachers (1,253) of four taluks were trained and house to house survey was
conducted in three taluks (Gundlupet, Chamarajanagar and Nanjangud), covering
1,53,658 women above 10 years in 94,102 house-holds.
This entire data is computerised and the data analyzed is as follows :
Findings of survey report under'Access to Women’s Health Services'of
Gundlupet, Chamarajanagar & Nanjangud Taluks_
Percentage
Nos.
SI. No, _____________ Description__________
692
No. of villages surveyed_____________
1
94,102
No. of houses surveyed______________
2
No. of female above 10 yrs___________
1,53,658
3
65.2
4
Illiterate females____________________
1,00,109
1,20,703
5
Married women
_________________
87,674
72.6
6
Marriage below 18 years_____________
Family planning (Sterilization)________
61,681
51.1
7
Irregular menstruation_______________
18,825
12.3
8
Change of pads / day during menstruation
9
a) 2 to 3 times______________________
99,857
4.9
b) > 4 times_______________________
7,519
Days of bleeding during menstruation
10
a) 2 to 4 days______________________
88,481
16,089
10.5
b) > 5 days________________________
Not
taking
bath
during
menstruation
15,233
9.9
11
12
White discharge with Foul smelling_____
8,733
5.7
2,811
13
Intermenstrual bleeding______________
1.8
14
Postmenopausal bleeding_____________
1,411
15
Itching in private parts_______________
1,313
16
Ulcers in private parts_______________
575
Burning sensation during urination_____
17
1,717
Pus during urination_________________
18
575
19
Lump in the breast__________________
656
20
Lump or nodes in the thighs___________
655
21
Lump in arm pits______
262
22
Post coital bleeding_________________
723
Pain during coitus
1232
23
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This once compiled, will set - up a population based information on RTI, STD,
menstrual problems, cancer of the breast and cervix.
The Anganwadi workers is the ideal choice for this kind of survey in an ongoing
situation, as she is an “on site” person. However, the JHA(F) is the obvious
choice for this kind of survey, as she has basic medical knowledge and can easily
be trained for this activity. Moreover, her work description involves house visits,
where she is looked upon as a “Health Care Provider.” In this Project initially, we
based our survey mainly on JHA(F), who were given extensive training.
Unfortunately, interest shown by the JHA (F) was not very encouraging, probably
due to work pressure. In comparison, Anganwadi workers showed lot of interest.
The possible reasons for lack of success by JHA(F) is likely to be :
• Each JHA(F) covers a population between 3,000 - 5,000 over a wide area (2 to
6 villages) whereas the area covered by Anganwadi workers is limited to
approximately less than 1000 population and one village.
• JHA (F) has so many other responsibilities that she may not be able to spare
adequate time for this kind of activity.
• As JHA(F) is traditionally oriented to a therapeutic approach.
This being the ground situation, we changed our strategy and based our survey on
the Anganwadi workers.
IX.THE EFFECT OF THIS PROGRAM ON THE COMMUNITY AT LARGE:
•
•
•
•
•
The overall response from the community has been quite positive.
Many of them who were not aware for the need of check up for symptoms of
leucorrhoea, cancer, etc., are now aware of the importance of having such
symptoms being checked up and evaluated.
The community of three taluks where survey was conducted gave their co
operation in furnishing the health data, which has been computerized and this
will form a database regarding the health problems in that area, which can be
used by the Government to analyse the specific areas of health.
The impact of this Program was felt maximum in the younger age group of the
community, where the health education and screening program was conducted
at the school and colleges. The booklet brought out "Nimma Prashnege
Namma Uthara" is a direct result of the awareness among this age group.
One indicator on the impact of the Program regarding self breast examination
is that one of the para medical staff had come to Bharath Hospital & Institute
of Oncology after carrying out self breast examination and finding an
abnormality and it was found to be malignant (Ca.Breast II Stage).
Another example of the awareness created is that one of the JHA (F) of
Thagadur PHC, Nanjangud Taluk trained under this Program has sent
thirty six (36) pap smears after the program, which shows a direct impact
of the Program.
33
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These staff deserve to be commended for their effort and needs further support
from the Govt, to implement the program in future. A total of 269 pap smears
have been taken and submitted by JHA(F) to us for further analysis after the
Project was completed.
X. LEVEL OF ACCEPTANCE OF THE PROGRAM DURING FIRST AND
SECOND ROUND OF HEALTH CHECK-UP CAMPS :
Bharath Charitable Cancer Hospital & Institute (Trust) has been conducting health
screening camps and cancer detection camps from 1991. Organizing health check
up camps was not found to be new and our staff were able to organize the camps
and mobilize the community in the first round, where health education was given
to the community one week in advance.
As compared to the first round the response during the second round was less.
The reason for this being :
a) In rural areas, certain period of the year (e.g. sowing season) is not conducive
for conducting camps and this could also be one of the reasons for number
being lower in certain camps.
b) The time gap between first and second round of camps conducted especially in
T. Narasipur taluk was very less (few months), as the implementation phase
was 16 months only.
c) The same locations were repeated for second round of camps, as discussed in
one of the review meetings with KHSDP. But it was found that the
acceptance of the program among those who attended the health checkup
camps during second round was very encouraging.
Comparison of woman screened taluk-wise between first & second round of
health check-up conducted in 6 Taluks
Increase Decrease
Taluk
II Round
Total
SI.
I
Round
No.
(%)
(%)
1
Gundlupet
2771
2290
5061
17.4
2
Chamarajanagar
2933
2099
5032
28.4
3
Nanjangud
3572
2992
6564
16.2
4
T.Narasipur
4749
1958
6707
58.8
5
H.D.Kote
2474
2572
5046
4.0
6
Yelandur
330
559
889
69.4
Total
16829
12470
29299
25.9
(Refer Annexure XV(a) to XV(f) for details regarding the comparison of patient
screened between first and second round of health check-up conducted in 6
Taluks). Refer to bar chart.
34
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COMPARISON OF WOMEN SCREENED TALUKWISE BETWEEN I & II ROUND
OF CAMPS
5000-1
4749
4500-
■I
I
4000-
3572
HI
3500-
2992
2933
3000-
2771
II
2474
2290
2500-
2099
□ Round I
r
□ Round II
1958
f
2000-
2572
1500■J
/
1000-
559
330
500!
0
[-
1
Gundlupet
Chamarajnagar
T
Nanjanagud
T
T.Narasipur
T
H.D.Kote
Yelandur
XL STRATERGIES APPLIED FOR OVERCOMING THE RESISTANCE
FROM THE COMMUNITY:
• The main resistance was for the community subjecting themselves for pap
smear. This was overcome by educating and counseling the individual
women about what is pap smear and how it will be useful to her.
• Another important strategy adopted to overcome the resistance of the
community was through health education and counseling to the groups
during Mothers’ Meet which was conducted prior to the camp.
• Resistance to pap smear was overcome by carrying out the pap smear
being taken by the para medical staff at the individual’s house. Perhaps,
this was the first type that such a method was adopted to overcome the
resistance.
• Since most of the screening of women were being conducted inside the
premises of PHC/PHU and school building in absolute privacy by Lady
Medical Officers, the resistance was largely contained.
XIL
GUIDELINES FOR FUTURE IMPLEMENTATION OF
PROGRAM IN OTHER AREAS :
THIS
• The time frame for the training program of the Medical Officers and Para
Medical Staff should be increased. For Medical Officers it should be for
five working days and for the Para Medical Staff it should be for three
days.
• Government Nursing Staff should also be included in the Training
Program.
• Lab Technicians should be trained to carry out analysis of pap smears.
• Anganwadi teachers should be trained on conducting the survey before the
Project is initiated and the data should also be computerized which can be
used very effectively while conducting the camp. This should be done in
the preliminary phase itself.
• Identify local NGOs who are working in the area of operation and train,
collaborate and involve them during the preliminary phase itself, as they
will be helpful both in health education, as well as in organizing camps.
• To organize a meeting of elected Panchayath members, to make them
aware of the Program, to make the Program become more effective.
• The time allocated for this Program should be longer based on the areas of
operation and population coverage.
• To make the Program effective, involving the girl students of High
Schools and the lady teachers of such institutions and colleges in the area
is very essential. Health education and health check up for them should
form the first part of the implementation program, since such students will
be able to propagate about the Program in their respective villages.
• Government health infrastructure in the Project area should have sufficient
Lady Medical Officers and Lab Technicians.
35
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• Wall painting regarding the symptoms of the diseases should be
prominently displayed on outside walls of PHC / other strategic locations
in the preparatory phase of the Project.
• Sufficient quantity of basic drugs should be stocked in the PHC/PHU
before the implementation phase.
• Health education should be conducted in surrounding villages at least one
week in advance before the camp is organized by the Lady Health
Visitors/Junior Health Assistant (F) to have better participation from the
community in the health screening programs.
• In order to have effective implementation of this Program, Medical
Officers and Para Medical Staff should be made compulsorily to report
regarding number of health education session conducted, pap smear taken,
following up of dysphasia cases, etc. as is being done in case of other
national program.
• Involvement of private practioner during training & implementation phase.
• Even after the Program is completed in a certain area, the concerned
PHC/PHU should be made accountable for carrying out the Program as an
“Ongoing Program”.
XIII. DIFFICULTIES NOTED IN IMPLEMENTING THE PROJECT
OBJECTIVES :
• The time period for carrying out this Project was inadequate and perhaps
could have been done more effectively with a longer time span.
• Though this Project was to cover 400,000 women in effect, we could cover
directly only about 2,15,948 women approximately (survey - 1,53,658,
Camps - 40,249, Health education - 22,041). This was achieved with only
the team of Bharath Charitable Cancer Hospital & Institute and anganwadi
workers. We had envisaged that the Government health infrastructure
would also be a partner in carrying out this Program, which would have
resulted in covering the target population, but due to various reasons this
has not happened.
XIV.
ACTION TAKEN TO DISSEMINATE THE INFORMATION
GATHERED FROM HEALTH CHECK UP CAMPS :
a) After every camp, the Medical Officer in-charge of the PHC/PHU
concerned was being handed over the details of the camps like number of
patients who have attended, number of pap smear taken, number of pap
smear refused, number of patients referred to different institutions, etc.
b) Results of the smears taken particularly where abnormalities were found
were intimated to:
i) Patient - By post card
i) Concerned JHA (F) - By post card
ii) Concerned Medical Officers in the Taluk Medical Officers Meeting through letter
36
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iii) Copy of the entire report was given to the Taluk Medical Officer for
information and follow up.
c) Quarterly Reports of the activities conducted at the camp were being
submitted to Karnataka Health Systems Development Project Office,
District Health Office and Taluk Medical Offices of the concerned Taluk
and District. A Final Report with all activities will also be presented to the
above offices.
d) Patients who had health problems such as TB, Ca. Cervix and Breast,
Prolapse Uterus, Infertility, STD, etc., were referred to specialized centers
for further management.
e) All the data collected pertaining to the health problems in the camps have
been fed into the system and has been presented in this report.
37
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XVI. SUMMARY :
Objectives of the
Project
Action taken
*to organize promotion Camps were conducted at all the PHCs,
PHUs & General Hospital and one sub
of positive health
center in each PHC & PHU area, so that
practices such as
women would not have to travel for
personal hygiene
more than 3 kms. A total of 40,249
especially during
females were screened in 506 camps
menstruation,
(397 general camps + 109 school
adequate nutrition,
camps).
Haemoglobin estimation was
etc.
done for 35,488 females. 29% of
students and 72% of adult women were
anemic. Apart from this 415 health
education sessions were conducted in
the 6 taluks of the Project area.
Remarks
Overall, response from the
community has been quite
positive. Many of them,
who were not aware of the
significance of symptoms
of
leucorrhoea,
post
menopausal bleeding. Pap
smear examination, self
examination of breast etc.,
are now aware of the
problems.
* to conduct screening
for and treatment of
reproductive tract
infections and STD.
7725 patients were screened treated & Gynaecological problems
the following is percentage under RTI were treated during camps.
&STD
UTI: 5.8%
Pelvic inflammatory disease : 1.0%
Ulcers over genitalia : 0.3%
Leucorrhea: 84.3%
Skin lesions : 8.6
* to conduct screening
and management of
gynaecological
problems
40,249 women were screened during the
health checkup camps and 11.18% were
found to be having menstrual problems.
Dysmenorrhoea: 52.8%
Menorrhagia: 22.9%
Metrorrhagia: 15.9%
Oligomenorrhoea: 5.7%
Polymenorrhoea: 2.7%
Dysmenorrhoea forms a
major gynecological
problem among the
menstrual disturbances.
*to conduct screening,
downstage and
treatment of cervical
cancer
11,474 Pap Smears were taken and
examined, 86.2% of these women had
inflammatory changes. In 1.1%
dysplasia was noted. Abnormal cervix
was noticed among 60 women
Some of the women are
coming for Papsmear
examination voluntarily,
which is a positive step.
The
profile
of the
gynecological problems in
the rural women has been
brought out clearly. The
incidence of dysplasia is in
conformity
with
the
national incidence.
309 JHA(F), 40 LHV’s & 115 Medical
Officers were trained on taking pap
smear. Kits were given to LMO's,
JHA(F) & LHV’s 1253 Anganwadi
workers were trained on importance of
pap smear. Health education covering
9003 women & 352 NGO & VLHWs
were oriented on the importance of pap
smear and health education kits were
given.
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*to conduct screening
and management of
problems associated
with onset of
menarche and
menopause
Under school health education 12,686
students from 120 schools were
covered. Apart from this, anganwadi
teachers and 352 village level health
volunteers from 10 NGOs were trained.
BCCHI experience showed that school
children were a vital resource for
creating awareness and to spread
information among illiterate women,
who account for 65% of the female
population. 10,950 girls were screened
at various school health checkup camps.
29% of them had Hb<10 gms.
Reproductive health
including nutrition
education should become a
part of the school
curriculum. Even lady
teachers require training in
these areas to teach
students.
*to conduct screening,
downstage and
treatment for Breast
Cancer
Screening for breast lumps was done for
all the women who attended the camps
(40,249). All the medical and
paramedical staff were given training on
the concept of self-breast examination.
259 abnormalities (lump) in the breast
were noted. Anganwadi workers noticed
656 lumps in the breast.
All female health workers
have to be trained about
the concept to self
examination of the breast.
Mammography facilities
should be made available
at all district hospitals.
* to study the impact
of downstaging of
carcinoma of cervix
and ca.breast on
target population.
The action taken for downstaging It takes number of years
cervical and breast cancer has already for cervial dysplasia to
manifest as clinically
been explained.
diagnosable Cancer of the
cervix. It is too early to
study the impact of
downstaging of
malignancies.
* to train the health
workers (ANM's,
Anganwadi workers,
village health
workers) for early
detection, health
education, early
treatment of follow
up
Training Details
I round
II round
104 (87%)
115(90%)
MO:
BHE:
14 (93%)
14 (100%)
LHV:
40 (75%)
39 (81%)
301 (87%)
JHA(F): 309(91%)
The training program consisted of
lectures, group discussions, and hands
on training in special procedures like
pap smears. Flip charts, descriptive
booklets, pap smear kits were
distributed to the participants. Health
education was given to 9003 women,
12,686 school girls, 1253 anganwadi
workers & 352 village level health
workers
39
The training program has
raised the level of
awareness among the
medical and paramedical
staff. Health education
program given to women,
school children,
anganwadi teachers &
VLHWs has raised the
health awareness among
them.
interim-bcchi
.
.
i___________
*to conduct EC
activities on
Menstrual problems,
menstrual hygiene,
reproductive tract
infections.
Gynaecological
problems, carcinoma
of the cervix and
carcinoma of the
breast
Flip charts, descriptive booklets and pap EEC material developed
smear kits were distributed to the can be utilized while
extending the concept to
participants
newer areas while
imparting training to
paramedical staff.
*to setup a population
based information
system on
reproductive tract
infections, menstrual
problems, cervical
cancer and breast
cancer.
Anganwadi teachers conducted a survey
to assess the extent of common medical
problems faced by women. A simple
survey format was prepared for this
purpose. 1,53,658 females in 94,102
households in 692 villages were
covered. Further, through the trained
health personnel, awareness was created
in the large section of women
population.
Evaluation of training
given to Medical
Officers, Supervisors
and Junior Health
Assistants (F)
Using a open ended questionnaire 100% of health personnel
having 8 main variables was used as a felt that the training was
tool during orientation and reorientation useful, as well as new
knowledge learnt (92%).
to evaluate training.
20% of Medical Officers
felt duration to be
Same
was
increased.
suggested
by
28%
Supervisory Staff and 18%
of Junior Health Assistant
(F).
40
Data collected from the
survey will form the basis
for establishing a
comprehensive database of
problems of women.
Similar institutions may be
identified in different parts
of the state to impart
training including BCCHI.
interim-bcchi
ANNEXURE - VI
TRAINING AND REORIENTATION TO JUNIOR HEALTH ASSISTANT (F) WITH PERCENTAGE OF ATTENDANCE
TALUKS
DATE OF TRAINING
FROM
TO
JUNIOR HEALTH ASSISTANT (F)
APPROVED VACANCY ATTEND.
POST
05.05.98
11.05.98
10.08.98
07.05.98
13.05.98
12.08.98
90
14.05.98
18.05.98
10.08.98
16.05.98
20.05.98
12.08.98
80
21.05.98
25.05.98
23.05.98
27.05.98
12.08.98
81
04.06.98
08.06.98
10.08.98
06.06.98
80
YELANDUR
11.06.98
13.06.98
23
NANJANGUD
22.06.98
25.06.98
10.08.98
24.06.98
27.06.98
12.08.98
80
H.D.KOTE
GUNDLUPET
CHAMARAJNAGAR
10.08.98
T.NARASIPUR
TOTAL
22
21
14
31
16
08
25
29
01
55
55
% OF
ATTEND.
81
67
DATE OF
TRAINING
JUNIOR HEALTH ASSISTANT (F)
TOTAL
ATTEND.
TOTAL
POSTED
ATTEND.
21.08.99
25.08.99
06.09.99
62
18.08.99
27.08.99
60
20.08.99
28.08.99
70
67
%
31 }
01 }
29 }
61
98
32 }
22 }
54
90
29 }
26 }
55
79
29 }
28 }
01 }
58
87
93
34
31
02
100
03
56
97
24.08.99
25.08.99
06.09.99
05
16
16
89
08.09.99
20
13 }
13
65
11
30
25
05
23.08.99
07.09.99
66
29 }
31 }
60
91
60
87
309
309
91
301
301
87
22
10.06.98
12.08.98
434
TOTAL
ATTEND.
95
28
25
345
ANNEXURE - VII (a)
DETAILS OF TRAINING TO ANGANWADI WORKERS
Taluk
H.D.Kote
Gundlupet
ANGANWADI WORKERS
Batch Date of Approved Vacancy Attended Sub
Training Positions
Total
I
II
III
22.05.98
23.05.98
30.05.98
189
I
II
III
26.05.98
16.06.98
17.06.98
18.06.98
205
510
IV
V
VI
VII
VIII
IX
X
06.07.98
08.07.98
09.07.98
04.08.98
05.08.98
05.08.98
06.08.98
06.08.98
07.08.98
07.08.98
I
II
III
IV
V
VI
14.07.98
14.07.98
15.07.98
16.07.98
17.07.98
18.07.98
516
IV
Nanjangud
Chamarajnagar
Grand Total
I
II
III
1420
03
04
03
10
%
60
35
65
160
85
57
34
43
45
179
89
30
42
28
54
45
42
64
35
70
46
456
90
50
48
82
102
92
84
458
89
1253
89
Note : In T.Narasipur & Yelandur Training was not conducted due to boycott by them
ANNEXURE - VII(b)
TRAINING MODULE OF ANGANAWADI WORKERS
Time
Subject
Resource faculty
9.30 - 10.00 AM Registration
BCCHI Staff
10.00 -10.15 AM Prayer and Welcome
Anganwadi Workers
10.15 -10.35 AM Overview of the Program
Bharathi / Harish
10.35 -12 NOON Symptoms of the diseases (STD / RTI, Dr. Manjunath /
Mr. Harish
menstrual problems, cancer - cervix
and breast)
12.00 -12.45 PM Explanation of survey format
Harish / Bharathi
12.45- 1.15 PM
Lunch Break
1.15-3.45 PM
Field visit - Survey
BCCHI team with
JHA(F)
3.45 - 4.45 PM
Review & Verification of Survey
Format
BCCHI Staff
4.45-5.15 PM
Role of Anganawadi Workers in the
Program
Bharthi / Harish
ANNEXURE - VIII (a)
Consolidated Health Education Sessions - Taluk Wise
SI. No.
1
Taluk
HD Kote
No. of
Sessions
No. of participants
Students NGO
1584
107
Total
76
Mothers
1320
57
1646
2066
51
3763
93
1885
3261
133
5279
96
2021
4135
82
1803
1595
11
328
45
415
9003
12686
3011
Annexure -IX (a)
2
Chamarajanagar
Annexure -IX (b)
3
Nanjangud
Annexure -IX [c]
4
T Narasipura
6156
Annexure -IX (d)
5
Gundlupet
61
3459
Annexure -IX (e)
6
Yelandur
373
Annexure -IX (f)
TOTAL
352
22041
ANNEXURE- VIII (b)
CONSOLIDATED HEALTH EDUCATION SESSIONS - MONTHWISE
NO. OF
HEALTH MOTHERS
EDUCATION
SESSION
NGO
STUDENTS
AT
SCHOOL
PROGRAM
TOTAL
SL
NO
MONTH
01
JUL 1998
01
60
60
02
AUG 1998
03
61
61
03
SEP 1998
17
484
04
OCT 1998
15
554
05
NOV 1998
18
06
DEC 1998
07
70
02
554
39
24
01
617
705
22
98
04
825
28
479
26
3567
10
4072
JAN 1999
22
432
1550
10
1982
08
FEB 1999
22
699
51
407
06
1157
09
MAR 1999
31
972
107
205
05
1284
10
APR1999
16
540
540
11
MAY 1999
32
680
680
12
JUN 1999
45
876
13
JUL 1999
43
622
14
AUG 1999
8
15
SEP 1999
16
1579
17
2455
1652
20
2381
70
316
4
386
36
527
1742
14
2269
OCT 1999
14
316
17
NOV 1999
31
500
137
8
637
18
DEC 1999
33
426
1339
19
1765
TOTAL
415
9003
12686
120
22041
107
316
352
ANNEXURE - IX (a)
HEALTH EDUCATION SESSIONS IN H.D KOTE TALUK
SL.
NO.
DATE
01
09.09.98
02
VILLAGE
KYATHANAHALLI
NO.OF PARTICIPANTS
MOTHERS STUDENTS
50
03
16.09.98
HAMPAPURA
47
04
23.09.98
MADAPURA
27
HYR1GE
20
05
06
07.10.98
SHANTHIPURA
24
07
24.10.98
K.BELTHUR
37
08
04.11.98
SAGARE
40
09
11.11.98
DADADHAHALLI
17
10
18.11.98
ANTHARASANTHE
10
11
02.12.98
B.MATAKERE
31
12
09.12.98
HEBBALAGUPPE
18
13
16.12.98
MULLUR
44
14
23.12.98
N.BELATHUR
10
15
23.12.98
MAGGE
41
16
30.12.98
BADAGALAPURA
63
17
06.01.98
MUTHEGEHUNDI
27
18
13.01.99
D.B.KUPPE
25
BALLE
07
19
20
21
14.01.99
REMARKS
MOTHER'S MEET
36
ANNUR
NGO
STUDENTS
MOTHER'S MEET
16
MOTHER'S MEET
& STUDENTS
MOTHER'S MEET
07
MOTHER'S MEET
& STUDENTS
MOTHER'S MEET
H.D.KOTE
88
ST.MARYS HIGH SCHOOL
H.D.KOTE
96
VISHWA BHARATHI HIGH
SCHOOL & JR. COLLEGE
MOTHER'S MEET
GOVT. HIGH SCHOOL
& JR. COLLEGE
187
22
19.01.99
H.D.KOTE
25
23
13.04.99
N. BEGUR
20
24
12.05.99
ANNUR
16
K YEDATHORE
8
KYATHANAHALLI
20
II
ALANAHALLI
15
•I
HAMPAPURA
22
KOLAGALA
11
MADAPURA
15
II
HYRIGE
15
II
25
26
Z1
28
29
30
19.05.99
H
27.05.99
II
09.06.99
31
16.06.99
MADAPURA
33
w
K BELATHUR
20
34
II
CHAKKUR
15
CHIKKANANDI
36
PURA
24
36
23.06.99
•I
38
39
30.06.99
•I
GOVT. HIGH SCHOOL
MOTHERS MEET
II
GOVT. HIGH SCHOOL
113
K. BELATHUR
37
MOTHERS MEET
42
32
35
MOTHERS MEET
SARGUR
51
THUMBUSOGE
35
MOTHERS MEET
II
40
01.07.99
SARGUR
225
GOVT. HIGH SCHOOL
& JR. COLLEGE
41
02.07.99
SARGUR
71
JSS HIGH SCHOOL
42
II
THUMBUSOGE
105
GOVT. HIGH SCHOOL
43
07.07.99
CHIKKANANDI
39
44
II
45
14.07.99
H D KOTE
SAGARE
II
107
16
NGO MYRADA - MAHILA
SANGHA LEADERS
MOTHERS MEET
AGATHUR
46
MOTHERS MEET
10
THUMBUSOGE
35
GOVT. HPS
23.07.99
HOMMARAGALLI
187
GOVT. HIGH SCHOOL
49
04.08.99
AGATHUR
24
GOVT. HPS
50
09.09.99
HEGGANUR
15
MOTHERS MEET
51
15.09.99
DADADAHALLI
10
MOTHERS MEET
DEVALAPURA
20
•t
B MATAKERE
15
It
KATAVALU
25
MULLUR
25
47
•I
48
52
53
54
II
22.09.99
•I
70
MOTHERS & STUDENTS
55
29.09.99
56
<•
KALLAMBALU
18
57
27.10.99
BADAGALAPURA
15
vt
58
10.11.99
MUTTIGEHUNDI
15
It
59
••
KADU BEGUR
28
60
It
61
17.11.99
62
n
63
18.11.99
64
65
If
19.11.99
66
MOTHERS MEET
VI
14
BADAGALAPURA
MOTHERS MEET
DB KUPPE
35
BALLE
10
ANTHARASANTHE
20
HOSAHOLALU
20
KOTHEGALA
15
II
SHANTHIPURA
15
•I
•»
67
26.11.99
KOTHEGALA
7
68
26.11.99
SHANTHIPURA
21
69
01.12.99
BECHANAHALLI
15
30
BIDRAHALLI
40
25
HEBBALAGUPPE
26
70
71
72
08.12.99
II
GOVT. HPS
BEDARAHALLI
GOVT. HPS
•I
MOTHERS & STUDENTS
MOTHERS MEET
54
GOVT. HIGH SCHOOL
15.12.99
HEBBALAGUPPE
74
16.12.99
N BEGUR
25
KENCHANAHALLI
15
75
76
24.12.99
MOTHERS MEET
If
GOVT. HIGH SCHOOL
38
KENCHANAHALLI
TOTAL...
GOVT. HIGH SCHOOL
40
73
1320
1584
107
ANNEXURE - IX(b)
HEALTH EDUCATION SESSIONS IN CHAMRAJNAGAR TALUK
SL.
NO.
DATE
01
04.09.98
02
II
VILLAGE
NO.OF PARTICIPANTS
MOTHERS STUDENTS
NGO
REMARKS
THAMMDALLY
23
MOTHER S MEET
HARVE
32
II
•I
03
25.09.98
BAGALLI
36
04
09.10.98
V. CHATRA
39
05
II
HARADANAHALLY
52
HALLIKERE HUNDI
35
NAVILUR
85
II
24
MOTHER’S & STUDENTS
MOTHER'S MEET
06
16.10.98
07
II
08
26.10.98
SANTHEMARHALLY
65
II
09
06.11.98
KOTHALAVADI
44
II
10
13.11.98
HONGANURU
77
IRRASAVADI
46
KAGALAVADI
24
43
NAGAVALLI
26
15
11
24
MOTHER'S & STUDENTS
MOTHER S MEET
12
20.11.98
13
II
14
27.01.99
CHAMARAJNAGAR
339
JSS HIGH SCHOOL
15
28.01.99
CHAMARAJNAGAR
585
GOVT.JR.&DEGREE
COLLEGE
16
05.02.99
KOLIPALYA
17
12.02.99
GANNAGANOOR
18
19.02.99
BEESALAVADI
19
03.04.99 V CHATRA
20
21
22
23
II
HARADANAHALLI
09.04.99 ALLUR
CHANDAKAVADI
16.04.99 UDIGALA
MOTHER'S & STUDENTS
II
’ 43
MOTHER'S MEET
51
88
26
14
55
30
NGO - CCF-SHG MEMBERS
MOTHER'S & STUDENTS
MOTHERS MEET
•I
MOTHERS MEET
48
52
MOTHERS MEET
24
25
26
27
II
THAMMADAHALLI
13.05.99 PANYADAHUNDI
•I
BENDARAVADI
14.05.99 HARAVE
27
II
66
II
17
•I
39
28
MARALURU
22
•I
29
21.05.99 SANTHEMARAHALLI
19
II
KEMPANAPURA
20
II
31
28.05.99 KOTHALAVADI
32
II
32
04.06.99 HONGANURU
89
•I
30
33
34
•I
II
IRASAWADI
11.06.99 KUDERU
42
17
35
MOTHERS MEET
YELAKKUR
26
36
18.06.99 UMMATHUR
37
24
37
25.06.99 HALLIKEREHUNDI
18
50
29
35
•I
MOTHERS & STUDENTS
MOTHERS & STUDENTS
It
MOTHERS MEET
38
•I
NAVILURU
39
II
UMMATHUR
81
GOVT.HIGH SCHOOL
40
•I
BAGALI
18
GOVT H.P.S
09.07.99 HALLIKEREHUNDI
53
JSS HIGH SCHOOL
41
42
II
KAGALAWADI
. 20
43
II
NAGAVALLI
27
44
45
46
47
48
16.07.99 NAGAVALLI
II
KAGALAWADI
23.07.99 HALLIKEREHUNDI
II
NAVILURU
02.08.99 CHAMARAJANAGAR
18
MOTHERS MEET
•I
53
ST.PHILOMENAS HIGH
SCHOOL
159
T S SUBBANNA PUBLIC
SCHOOL
50
MOTHERS & STUDENTS
MOTHERS MEET
29
143
SEVA BHARATHI KAN. MED.
HIGH SCHOOL, JR.COLLEGE
49
03.09.99 CHAMARAJANAGAR
50
08.09.99 ATTAGULLIPURA
51
16.09.99 CHAMARAJANAGAR
52
53
••
B ALARAPATNA HIGH
SCHOOL
158
MOTHERS MEET
. 24
CHAMARAJANAGAR
61
SEVA BHARATHI ENGLISH
HIGH SCHOOL
29
SRI RAMACHANDRA TTI
18.09.99 GODLMUNDI
12
GANIGANOOR
28
II
55
22.10.99 CHAMARAJANAGAR
40
II
56
07.12.99 BESALAVADI
38
II
57
14.12.99 BIS ALAWADI
54
If
TOTAL . .
MOTHERS MEET
92
1646
2066
GANGADESHWARA HPS
& HIGH SCHOOL
51
ANNEXURE - IX (c)
HEALTH EDUCATION SESSIONS IN NANJANGUD TALUK
SL.
NO.
DATE
01
08.09.98
02
VILLAGE
NO.OF PARTICIPANTS
MOTHERS STUDENTS
NGO
REMARKS
THAGADUR
27
GANDHIASHRAM
70
ft
It
MOTHER’S MEET
03
15.09.98
DASANOOR
30
04
26.09.98
SUTTUR
22
05
06.10.98
BELUGULI
22
It
06
13.10.98
HOSKOTE
28
It
07
23.10.98
HADINARU
25
It
08
27.10.98
KUDLAPURA
54
09
03.11.98
KALALE
71
10
10.11.98
KASSUVENAHALLI
51
11
17.11.98
MADUVANAHALLI
22
12
01.12.98
HURA
42
13
08.12.98
CHANDRAVADI
22
14
28.12.98
to
29.12.98
NANJANGUD
15
31.12.98
NANJANGUD
16
05.01.99
NANJANGUD
96
GOVT.SC/ST HIGH
SCHOOL
17
11.01.99
NANJANGUD
130
J.S.S. JR. & DEGREE
COLLEGE
18
04.02.99
NANJANGUD
42
GOVT.JR.COLLEGE
19
09.02.99
VALLAGHERE
41
20
16.02.99
HEMMARAGALA
10
21
09.03.99
YALAHALLI
33
tt
MOTHER’S & STUDENTS
38
MOTHER'S MEETS
GOVT. HIGH SCHOOL & JR.
COLLEGE
1170
26
NGO-MAHILA SAMUKYA VLHW's
MOTHER S MEET
108
MOTHER’S MEET &
STUDENTS
MOTHER'S MEET
22
11.03.99
HADYA
47
23
13.03.99
HADYA
60
24
16.03.99
MARALLUR
56
25
16.03.99
YACHGALLI
27
26
19.03.99
YEDIYALA
46
27
26.03.99
HULLAHALLI
46
28
26.03.99
HEGGADAHALLI
67
29
30.03.99
HARAVE
53
30
II
MALLKUNDI
18
31
06.04.99
KIRUGUNDA
24
32
II
SONAHALLI
15
33
04.05.99
HEDATHALE
33
34
11.05.99
DEVANUR
16
II
BADANAVALU
21
II
THAGADURU
20
•I
KARAPURA
20
DASANURU
10
KONANURU
10
•I
II
35
36
•I
18.05.99
37
38
25.05.99
39
II
40
08.06.99
SUTHUR
10
41
II
SARGUR
10
BELAGULLI
15
12
42
15.06.99
43
•I
ESHWARAGOWDANAHALLI
44
•I
SARGUR
45
22.06.99
46
•I
47
06.07.99
48
It
HOSKOTE
16
THUMB UNERALE
22
HADHINARU
10
HADHINARU MOLE
21
NGO-CCF-SHG MEMBERS
II
MOTHER S MEET
II
MOTHERS MEET
II
II
II
21
GOVT. HPS
66
MOTHERS & STUDENTS
MOTHERS MEET
61
MOTHERS & STUDENTS
MOTHERS MEET
49
50
13.07.99
51
HOSKOTE
66
SRI GURUMALLESHWARA
HIGH SCHOOL
HADINARU
56
GOVT. HIGH SCHOOL
KUDULAPURA
30
MOTHERS MEET
52
w
MELLAHALLI
25
If
53
20.07.99
NANJANGUD
42
fl
55
03.08.99
56
57
14.08.99
58
59
17.08.99
60
01.09.99
to
02.09.99
61
KERALAPURA
15
II
KESUVINAHALLI
25
II
SURALLI
15
If
468
HEMARAGALA
20
18
07.09.99
HEMARAGALA
14.09.99
67
ft
68
21.09.99
69
If
70
28.09.99
71
If
72
25.10.99
73
If
74
26.10.99
GOVT. HIGH SCHOOL
fl
NANJANGUD
63
66
87
KESUVINHALLI
YEDIYALA
tf
MOTHERS MEET
15
02.09.99
64
GOVT.HIGH SCHOOL
KALALE
62
65
67
KUDALAPURA
54
100
MOTHERS & STUDENTS
MOTHERS MEET
131
GOVT. HIGH SCHOOL,
THAYURU
25
NAGARALE
21
II
VALAGERE
22
II
ARATHALE
25
If
NERALE
32
DODDAKAVALANDE
12
ft
MARALURU
20
ft
YACHAGALLI
20
tf
HALLARE
35
ft
HAGGINAVALU
15
ft
KIRUGUNDA
32
MOTHERS MEET
75
fl
SOMAHALLI
12
40
MOTHERS MEET
76
16.11.99
YALAHALLI
77
23.11.99
DUGGAHALLI
78
25.11.99
HULLAHALLI
28
79
tl
HEGGADAHALLI
20
II
80
26.11.99
MADUVINAHALLI
25
11
HOSAVEEDU
18
11
81
GOVT. HPS
14
MOTHERS MEET
82
03.12.99
HEGGADAHALLI
93
83
07.12.99
MADUVINAHALLI
59
84
10.12.99
HURA
25
MALLAKUNDY
20
CHANDRAVADI
30
II
HARADHANAHALLI
35
11
85
86
87
11.12.99
II
GOVT. HPS & HIGH SCHOOL
II
MOTHERS MEET
88
HULLAHALLI
152
GOVT. GIRLS HIGH SCHOOL
89
HULLAHALLI
68
JSS HIGH SCHOOL & JR.
COLLEGE
46
GOVT. HPS,
122
SRIKANTESHWARA GIRLS
HIGH SCHOOL
90
17.12.99
MALLAKUNDY
91
29.12.99
HULLAHALLI
TOTAL
1885
3261
133
ANNEXURE - IX (d)
HEALTH EDUCATION SESSIONS IN T NARASIPURA TALUK
SL.
NO.
NO.OF PARTICIPANTS
MOTHERS STUDENTS NGO
REMARKS
DATE
VILLAGE
01
03.12.98
GARGHESHWARI
17
02
tl
KERGASUR
23
03
04.12.98
to
05.12.98
T.NARSIPURA
487
GOVT.HIGH SCHOOL
07.12.98
to
10.12.98
T.NARSIPURA
800
VIDHYODAYA HIGH
SCHOOL, JR. & DEGREE
COLLEGE
11.12.98
BANNUR
421
G.V.GOWDA GIRLS
HIGH SCHOOL &
JR. COLLEGE
BANNUR
50
LIONS HIGH SCHOOL
04
05
06
07
12.12.98
08
KUPYA
47
KEMPIAHNAHUNDI
27
MOTHER’S MEET
MOTHER’S MEET
133
VIVEKANANDA HIGH
SCHOOL&JR.COLLEGE
17
175
MOTHER'S MEET/GOVT.
JR. & DEGREE STUDENTS
BANNUR
17
276
MOTHERS MEET & GOVT.
HIGH SCHOOL
19.12.98
RANGASAMUDRA
33
17
13
19.12.98
THUMB ALA
27
14
01.01.99
MADAPURA
17
15
If
HEMMEGE
30
CHIDRAVALLI
57
NERGYATHANAHALLI
42
KAVERIPURA
30
BANAVE
25
09
14.12.98
BANNUR
10
tt
BANNUR
11
18.12.98
12
16
08.01.99
17
18
22.01.99
19
ff
It
MOTHERS MEET
12
MOTHER'S MEETS
& STUDENTS
MOTHER’S MEET
MOTHER'S MEET
fl
20
30.01.99
21
tt
22
06.02.99
23
24
13.02.99
25
fl
26
20.02.99
27
T.N.PURA
12
HOSATHIRAMAKUDALU
24
MUGUR
30
KURD UR
45
VYSARAJAPURA
42
SOS ALE
40
MALANGI
07
T.DODDAPURA
31
tl
80
MOTHER'S MEET &
STUDENTS
MOTHER’S MEET
97
MOTHER'S MEET &
STUDENTS
MOTHER'S MEET
50
MOTHER'S MEET &
STUDENTS
MOTHER’S MEET
28
27.02.99
BANNUR
60
29
06.03.99
THALAKADU
71
30
II
HALETHALAKADU
30
31
II
MUDUKUTHORE
42
32
10.03.99
THURUGANUR
15
77
33
II
C.HALLI
06
44
34
12.03.99
KAYAMBALLI
36
35
II
BENAKANAHALLI
12
36
17.03.99
KODAGALLI
36
37
If
GADIJOGIHUNDI
36
ft
38
20.03.99
RANGASAMUDRA
28
If
THUMB ALA
21
YACHENAHALLI
48
ATHAHALLI
24
MUTHALAVADI
48
KARGALLI
16
K G KOPPAL
29
39
40
24.03.99
41
42
31.03.99
43
11
44
07.04.99
MOTHER'S MEET &
STUDENTS
MOTHER'S MEET
42
MOTHER'S MEET &
STUDENTS
MOTHER'S MEET
It
II
MOTHERS MEET
45
17.04.99
46
tt
47
21.04.99
B BETTAHALLI
60
It
BASAVANAHALLI
22
It
DODDAMALAGUDU
59
It
KADAKOTHANAHALLI
55
It
48
tt
49
15.05.99
KUPYA
23
50
22.05.99
RANGASUMDRA
10
It
It
MOTHERS MEET
51
If
THUMB ALA
20
52
29.05.99
MADAPURA
18
53
05.06.99
CHIDRAVALLI
15
tt
NARAGYATHANAHALLI
13
If
19
54
tt
55
19.06.99
KAVERIPURA
56
tt
CHIDRAVALLI
96
GOVT. HIGH SCHOOL
It
57
06.09.99
TALAKADU
127
58
09.09.99
TALAKADU
37
GOVT. PU COLLEGE,
TALAKADU
143
T S SUBBANNA PUBLIC
HIGH SCHOOL
59
It
60
10.09.99
TNPURA
40
61
17.09.99
TALAKADU
30
62
It
MUDUKUTHORE
15
63
20.09.99
T. MALANGI
64
It
KETHUPURA
15
65
tt
SOMANATHAPURA
20
66
27.09.99
KETHUPURA
67
04.10.99
KAYAMBALLI
12
BENAKANAHALLI
15
ft
69
11.10.99
BANNUR
40
70
21.10.99
KODAGALLI
25
MADIGALLI
20
If
200
MOTHERS & STUDENTS
MOTHERS MEET
57
GOVT. HIGH SCHOOL,
105
MOTHERS & STUDENTS
MOTHERS MEET
56
68
71
MOTHERS MEET
GOVT. HIGH SCHOOL,
MOTHERS MEET
tt
It
72
29.10.99
DODDAMALAGUDU
10
11
73
12.11.99
B BETTAHALLI
25
11
74
II
BASAVANAHALLI
20
11
75
15.11.99
B BETTAHALLI
76
20.11.99
MUGUR
30
9
77
II
HEGGADAHALLI
15
78
II
KOTHEGALA
20
29.11.99
KOTHEGALA
80
03.12.99
HEGGUR
20
K G KOPPAL
25
SOSALE
30
VYASARAJAPURA
12
81
82
83
II
06.12.99
II
84
10.12.99
85
It
86
13.12.99
87
II
88
89
90
22.12.99
•I
31.12.99
MOTHERS MEET
II
MOTHERS MEET
24
79
II
It
•I
82
HEGGUR
102
40
CHALLI
30
GOVT. HPS
MOTHERS MEET
K.G.KOPPAL
THURUGANOOR
GOVT. HPS
GOVT. HPS & HIGH
SCHOOL
MOTHERS MEET
II
CHALLI
70
GOVT. HIGH SCHOOL
THURUGANOOR
57
GOVT. HPS & HIGH
SCHOOL
BANNUR
86
GOVT. HIGH SCHOOL,
91
11
BANNUR
104
GV GOWDA HIGH SCHOOL
92
II
BANNUR
19
LIONS HIGH SCHOOL
TOTAL
2021
4135
ANNEXURE - IX (e)
HEALTH EDUCATION SESSIONS IN GUNDLUPET TALUK
NO.OF PARTICIPANTS
MOTHERS STUDENTS
NGO
SL.
NO.
DATE
VILLAGE
01
31.07.98
SOMANAHALLY (SC)
60
02
07.09.98
BELAWADI (SC)
22
03
14.09.98
SHIVAPURA (SC)
13
SHIVAPURA 2ND CENTRE
27
BACHALLY (PHC)
52
04
05
21.09.98
07
05.10.98
08
KODOSOGE
27
DEEPAPURA
23
09
17.10.98
GUNDLUPET
10
22.10.98
THERAKANAMBI
38
11
02.11.98
PADAGURU
49
KELSUR
42
KABBALLI
40
MUDGHUR
38
12
13
09.11.98
14
MANGALA
16
16.11.98
S.BEGUR
64
KOTEKARE
44
BARGI
10
HONGALLI
19
BELLACHAVADI
42
BERATHANAHALLY
40
MADAPATNA
11
DADDADAHALLI
25
28.01.99
19
20
29.01.99
21
22
23.
03.02.99
MOTHER’S MEET
NGO-WORLD VISION -VLHW’s
MOTHER'S MEET
22
12.11.98
18
GOVT. HIGH SCHOOL
39
15
17
MOTHER’S MEET
20
BACHALLY
06
REMARKS
NGO -MISSION HOSPITAL
-VLHW's
MOTHER'S MEET
10
MOTHER’S MEET &
STUDENTS
MOTHER'S MEET
MOTHER'S MEET
24
10.02.99
25
26
15.02.99
27
28
17.02.99
29
HEGGADAHALLI
20
HASGULLI
25
ALATHUR
45
MACHALL1
19
BANNITHALAPURA
17
VEERANAPURA
46
30
22.02.99
NENEKATTE
54
31
05.03.99
KAGGALADHA HUNDI
41
GOPALAPURA
03
33
HANGALA
33
09
KALEGOWDANAHALLI
32
MANGALA
29
36.
ELACHATTI
19
37
05.04.99 HUNDIPURA
17
32
33
15.03.99
34
35
38
22.03.99
tt
BELAVADI
07.05.99 BACHAHALLI
18
40
ANKAHALLI
23
41
10.05.99 KODASOGE
10
43
44
45
46
47
•I
DEEPAPURA
17.05.99 THERAKANAMBI
•I
9
28
KANDEGALA
24
31.05.99 SOMAHALLI
24
H
RANGANATHAPURA
07.06.99 BOMMALAPURA
36
21
48
SHIVAPURA
49
49
14.06.99 PADAGURU
12
50
II
KELASURU
MOTHER'S MEET
17
39
42
MOTHER'S MEET
STUDENTS
20
60
MOTHERS & STUDENTS
MOTHER'S MEET
51
52
21.06.99 PADAGURU
tl
53
54
57
16
MUDUGURU
32
28.06.99 SBEGUR
KOTEKERE
55
56
KABBALLI
58
60
05.07.99 BERGI
61
62
151
MOTHERS & STUDENTS
MOTHERS MEET
MOTHERS MEET
27
It
30.06.99
GOVT.HIGH SCHOOL
11
29.06.99 GUNDLUPET
59
61
366
NAGARATHNAMMA HIGH
SCHOOL
59
GOUTHAM JR.COLLEGE
31
MADDANESHWARA
HIGH SCHOOL
305
DODDAHUNDI BOGAPPA
HIGH SCHOOL & JR.
COLLEGE
MOTHERS MEET
13
S.BEGUR
12.07.99 HONGALLI
70
GOVT.HIGH SCHOOL &
JR. COLLEGE
27
GOVT. HPS
63
BELACHAVADI
10
MOTHERS MEET
64
BERATANAHALLI
21
MOTHERS MEET
65
66
67
68
19.07.99 HORIYALA
n
C V PURA
23
26
34
RANGUPURA
70
27.07.99 GUNDLUPET
71
29.07.99 YEDAVANAHALLI
23
72
VANAKANAPURA
14
73
31.08.99 HORIYALA
74
23.10.99 ALATHUR
75
MANCHAHALLI
tl
197
27
JSS JR. & DEGREE COLLEGE
MOTHERS MEET
II
62
18
GOVT. HPS
MOTHERS MEET
27
69
MOTHERS & STUDENTS
MOTHERS MEET
29
BELACHAVADI
24.07.99 AREPURA
60
JSS HIGH SCHOOL
MOTHERS MEET
76
12.11.99 NENEKATTE
26
77
13.11.99 DADADAHALLI
21
78
•I
MADAPATNA
19
79
19.11.99 NENEKATTE
25
80
20.11.99 MADAPATNA
23
81
HOSAGULLI
20
82
HEGGADAHALLI
15
TOTAL
1803
GOVT. HPS
MOTHERS MEET
1595
61
ANNEXURE - IX (0
HEALTH EDUCATION SESSIONS IN YELNDUR TALUK
NO.OF PARTICIPANTS
MOTHERS STUDENTS NGO
SL.
NO.
DATE
VILLAGE
1
31.08.98
KUMARANAPURA
12
2
GANIGANOOR
30
3
GUMBALLI
19
YELANDUR
50
AMBLE
37
4
26.06.99
5
6
03.07.99 GUMBALLI
62
7
B R HILLS
16
DUGATTI
19
HONNURU
43
AGARAMAMBALLI
25
MALLIGENAHALLI
15
TOTAL
328
8
10.07.99
9
10
11
17.07.99
ft
REMARKS
MOTHER'S MEET
MOTHERS MEET
•I
45
MOTHERS & STUDENTS
MOTHERS MEET
45
ANNEXURE - X(a)
SUMMARY OF CAMPS CONDUCTED FOR WOMEN - TALUK WISE, ALONG WITH DETAILS OF INVESTIGATIONS CONDUCTED
BETWEEN JULY 1998 TO DECEMBER 1999
TALUK
NO. OF
NO. OF
CAMPS PATIENTS HB<10 HB>10
HELD SCREENED
PAP FNAC NO. OF PATIENTS REFERRED
SMEAR TAKEN BHIO KRH JSS
OTHER
TAKEN
PAP
VAGINAL URINE
SMEAR
SWAB
INVT.
REFUSED
URINE
URINE
SUGAR ALBUMIN
POSITIVE POSITIVE
GUNDLUPET
ANNEXURE-11 (a)
80
5061
2893
1102
1834
66
93
154
45
10
206
03
267
09
21
CHAMARAJANAGAR
ANNEXURE-11(b)
63
5032
2641
987
1863
66
132
100
30
12
163
14
226
08
28
NANJANGUD
ANNEXURE-11(c)
78
6564
4291
1722
2414
62
151
176
31
07
297
73
538
18
13
T.NARASIPURA
79
6707
4305
2081
2986
56
172
204
46
09
248
94
656
34
27
H.D. KOTE
ANNEXURE-11(e)
81
5046
2845
1022
2010
39
125
136
26
19
278
37
458
17
16
YELANDUR
ANNEXURE-ll(f)
TOTAL
16
889
671
94
367
12
12
25
06
00
41
11
105
02
14
397
29299
17646
7008
11474
301
685
795
184
57
1233
232
2260
88
119
ANNEXURE-11(d)
ANNEXURE - X (b)
SUMMARY OF NO. OF CAMPS CONDUCTED - MONTHWISE ALONGWITH DETAILS OF INVESTIGATIONS
CONDUCTED BETWEEN JULY 1998 TO DECEMBER 1999
SL.
NO.
MONTH
NO. OF
NO. OF
CAMPS PATIENTS HB<10 HB>10
HELD SCREENED
FNAC NO.OF PATIENTS REFERRED
PAP
SMEAR TAKEN BHIO KRH JSS OTHER
TAKEN
VAGINAL URINE SUGAR ALBUMIN
PAP
SWAB
INVT.
+VE
+VE
SMEAR
REFUSED
36
01
02
19
170
04
12
01
02
324
692
535
23
43
11
02
08
36
2216
885
379
’ 788
17
82
08
04
03
180
28
2172
991
350
753
32
62
03
19
04
63
DECEMBER 1998
14
1147
326
493
545
13
41
01
02
1999
12
1153
589
402
539
14
19
07
04
04
23
8
FEBRUARY 1999
33
3145
1839
1256
1603
49
101
50
19
05
89
9
MARCH
1999
28
3109
2175
904
1465
38
98
104
24
01
97
10
APRIL 1999
22
1814
1339
454
776
27
50
59
17
3
103
11
MAY 1999
28
1897
1491
386
737
13
27
50
18
1
97
12
JUNE 1999
34
2404
1799
548
916
27
34
102
28
1
13
JULY 1999
29
1916
1728
187
752
22
32
109
17
14
AUGUST 1999
10
985
734
251
331
11
9
71
2
1
JULY
1998
01
114
2
AUGUST
1998
17
972
73
3
SEPTEMTER 1998
25
1864
4'
OCTOBER
1998
26
5
NOVEMBER 1998
6
7
JANUARY
06
70
02
07
89
12
34
5
93
7
28
119
12
192
8
37
7
93
36
290
7
16
2
31
23
181
9
2
/
57
22
518
19
13
46
34
361
9
7
4
51
3
194
4
64
5
1
72
95
325
13
795
184
57
1233
232
2250
88
15
SEPTEMBER 1999
26
1282
972
306
422
8
18
59
11
16
OCTOBER 1999
19
969
836
130
379
2
23
51
3
17
NOVEMBER 1999
22
1002
561
98
319
9
45
18
DECEMBER 1999
23
1138
984
153
408
23
TOTAL
397
29299
17646
7008
11474
685
301
1
1
119
ANNEXURE -XI(a)
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN GUNDLUPET TALUK
SL
NO
DATE
CAMP
1
2
3
NO. OF
PAP
FNAC
NO.OF PATIENTS REFERRED
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS
OTHERS
SCREENED_________________ TAKEN
12
9
10
11
8
6 _____ 7
4_____
5
6
1
PAP
SMEAR
REFUSED
13
2
1
31.07.98
GUNDLUPET (GH)
114
36
2
10.08.98
SOMHALLY (SC)
166
17
RANGANATHPUR (PHU)
35
KAGGALADAHUNDI(PHU)
43
7
GOPALAPURA (SC)
40
2
HANGALA (PHC)
23
7
KALLEGOWDANA HALLI (PHU)
62
19
MANGALA (PHC)
57
5
YELACHATTI (SC)
18
10
HUNDIPURA (PHC)
89
23
59
25
5
BELAWADI (SC)
52
06
43
11
3
BOMMALAPURA (PHC)
47
21
16
17
2
2
SHIVAPURA (SC)
88
31
30
28
2
1
BACHALLY (PHC)
33
23
10
09
ANKANAHALLY (SC)
45
44
3
4
17.08.98
5
6
24.08.98
7
8
07.09.98
9
10
14.09.98
11
12
21.09.98
13
14
15
05.10.98
16
1
1
1
1
1
2
1
4
1
12
VAGINAL
SWAB
URINE
INVST.
14
15
URINE
URINE
SUGAR ALBUMIN
+VE
+VE
16
17
16
12.10.98
17
18
26.10.98
19
20
09.11.98
21
22
16.11.98
23
24
23.11.98
25
26
01.02.99
27
28
03.02.99
29
30
08.02.99
31
32
10.02.99
33
34
35
15.02.99
30
34
27
1
17
3
KODASEGE (GAD)
92
DEEPAPURA(SC)
91
49
THERAKANAMBI (PHC)
64
26
KANDEGALA (SC)
29
7
PADAGUR (PHC)
69
KELSUR (SC)
51
KABBALLY
39
MUDUGUR
60
S.BEGUR (PHC)
81
66
7
20
KOTAKERE (SC)
67
54
9
• 15
1
2
1
BARGI (PHC)
115
42
72
46
5
1
2
HONGALLI (SC)
75
70
5
38
BELACHAWADI (PHU)
77
72
4
41
BERATHANAHALLY (SC)
83
07
76
45
HORIYALA (PHC)
64
61
2
38
1
CHENNAVADEYANAPURA(SC)
80
14
65
21
1
1
MADAPATNA (PHC)
75
51
21
53
3
4
DADADAHALLY (SC)
29
7
22
7
HEGGADAHALLY (PHC)
76
57
14
40
4
7
HASAGULLI
112
60
52
35
1
3
34
25
20
1
13
19
1
1
5
2
10
24
3
2
2
5
1
1
13
1
1
1
17
2
1
r
1
1
1
5
3
7
1
3
5
2
1
1
3
36
17.02.99
37
38
22.02.99
39
ALTHUR (PHC)
70
49
21
40
MANCHANAHALLY (SC)
67
52
13
45
BANNITALAPURA (PHC)
100
78
20
56
VEERANAPURA (SCO
45
40
5
18
5
4
4
NENEKATTE (PHC)
148
75
73
76
4
3
41
15.03.99
KAGGALADAHUNDI (PHC)
48
44
4
24
2
1
GOPALAPURA (GAD)
39
32
7
18
1
HANGALA (PHC)
135
115
20
60
4
KALEGOWDANAHALLI
36
23
12
19
MANGALA (PHC) •
64
42
22
20
YELACHATTI (SC)
41
32
9
HUNDIPURA (PHC)
45
38
BELAWADI (SC)
91
BACHAHALLI (PHC)
22.03.99
44
45
05.04.99
46
47
12.04.99
48
49
10.05.99
50
51
17.05.99
52
53
24.05.99
54
55
07.06.99
04
6
2
1
24.02.99
43
5
01
4
40
42
7
3
1
4
3
1
7
2
2
3
3
2
14
12
18
1
2
3
5
1
1
1
7
13
1
2
8
7
3
1
2
72
19
45
4
4
2
1
2
65
52
13
20
2
1
3
8
2
4
ANKAHALLI (SC)
26
17
9
9
2
4
1
KODASOGE (GAD)
102
83
14
49
4
3
DEEPAPURA (SC)
17
11
5
3
THERAKANAMBI (PHC)
32
25
7
17
KANDEGALA(SC)
33
26
7
11
SOMANAHALLI (GAD)
139
117
22
55
2
1
1
1
3
3
7
5
1
1
1
1
2
2
1
3
1
7
6
2
56
57
14.06.99
58
59
21.06.99
60
61
28.06.99
62
63
05.07.99
64
65
12.07.99
66
67
19.07.99
68
69
09.08.99
70
RANGNATHAPURA (PHC)
56
41
12
22
BOMMALAPURA (PHC)
60
34
26
19
SHIVAPURA (SC)
62
47
15
PADAGURU (PHC)
62
52
KELSUR (SC)
33
KABBALLY (PHC)
4
3
4
3
1
5
1
2
2
1
5
19
3
3
2
7
16
1
3
3
29
4
2
2
6
128
110
17
52
4
2
6
MUDUGUR (SC)
52
45
7
15
1
10
2
3
S.BEGUR (PHC)
45
45
5
1
3
KOTEKERE (SC)
46
25
1
1
1
1
BARGI (PHC)
31
31
1
6
HONGAHALLY (SC)
41
37
4
9
BALACHAVADI (PHC)
52
48
4
20
BERATANAHALLY (SC)
34
34
HORIYALA (PHC)
80
53
27
28
CHENNAVADAYANAPURA(SC)
148
128
20
53
2
3
1
21
21
17
4
11
1
1
1
1
3
2
17
1
2
3
05
8
1
61
1
3
9
5
29
2
8
01
71
16.08.99
G.HOSPITAL, GUNDLUPET
96
72
24
33
72
23.10.99
BANNITHALPURA (PHC)
43
38
5
11
6
3
2
15
VEERANAPURA (SC)
53
48
5
17
1
1
4
22
ALATHUR (GAD)
43
36
7
7
1
MANCHAHALLY (SC)
22
22
73
74
75
30.10.99
11
1
6
2
2
6
1
1
1
1
1
1
1
12
3
4
1
4
1
7
2
23
1
4
13
1
3
2
2
1
3
1
22
22
3
5
1
1
6
19
17
2
5
1
1
1
10
5061
2893
1102
1834
154
45
64
76
19.11.99
NENEKATTE(GAD)
66
11
20.11.99
MADAPATHNA (PHC)
39
DADADAHALLY (SC)
41
39
HOSAGULLI (PHC)
25
HEGGADAHALLY (SC)
78
79
80
27.11.99
TOTAL
2
66
93
1
10
206
03
267
09
21
ANNEXURE - XI(b)
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN CHAMARAJANAGAR TALUK
SL.
NO.
1
DATE
CAMP
2
3
14.08.98
2
PAP
FNAC
NO.OF PATIENTS REFERRE PAP VAGINAL URINE URINE URINE
NO. OF
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS OTHERS SMEAR SWAB INVST. SUGAR ALBUMIN
TAKEN______________________ REFUSED
+VE
+VE
SCREENED
7
8
9
10
11
12
13
14
15
6
16
17
4
5
ATTAGULIPURA (SC)
21
21
05
KOLIPALYA (SC)
80
42
15
01
01
01
3
21.08.98
CHAMARAJNAGAR (GH)
69
12
01
4
28.08.98
PANNAYADHUNDI (PHC)
82
13
04
01
BENDRAVADI (SC)
74
11
02
01
HARAVE (PHC)
60
26
04
MALIYUR (SC)
48
19
02
UDIGALA (PHC)
31
THAMMADAHALLY (SC)
99
ALUR (PHC)
141
32
68
35
03
05
CHANDAKAWADI (SC)
103
21
37
21
04
02
KUDERU (PHC)
40
05
35
14
YELAKUR (SC)
56
UMATHUR (PHC)
112
BAGALLI (SC)
91
5
6
04.09.98
7
8
11.09.98
9
10
18.09.98
11
12
25.09.98
13
14
15
09.10.98
06
21
04
35
61
03
01
03
05
09
03
06
47
34
01
03
01
38
19
01
01
04
07
01
05
16
16.10.98
17
18
23.10.98
19
20
06.11.98
21
22
13.1198
23
24
20.11.98
25
26
27.11.98
27
28
12.02.99
29
30
19.02.99
31
32
26.02.99
33
34
09.04.99
105
32
01
09
55
02
05
15
38
01
09
01
42
07
20
02
09
01
V.CHATRA (PHC)
125
HARADANAHALLY (SC)
155
HALLEKERE HUNDI
95
60
NAVELLUR
118
85
KEMPANAPURA
67
SANTHEMARAHALLY
73
48
16
25
KOTHALAWADI
25
11
11
12
02
KELIGERE
39
16
01
HONGANUR
238
ERASAWADI
119
KAGALAWADI
203
NAGAVALLY
156
BEDAGULI (PHC)
31
31
KOLIPALYA (SC)
75
14
60
50
GANGANOOR (PHC)
86
56
30
45
GODLIHUNDI (SC)
39
31
07
19
B ESALAWADI (PHC)
190
129
61
90
07
08
07
B.G. HALLY (SC)
67
40
27
27
01
01
05
V. CHATRA (PHC)
55
36
18
3
1
3
2
181
24
87
26
171
18
09
01
02
01
03
03
02
08
03
01
01
02
03
13
05
05
104
02
04
01
40
08
04
01
01
04
14
03
01
02
04
02
02
02
3
1
1
35
36
16.04.99
37
38
23.04.99
39
40
14.05.99
41
42
21.05.99
43
44
28.05.99
45
46
04.06.99
47
48
11.06.99
49
50
18.06.99
51
52
53
25.06.99
3
HARADANAHALLY (SC)
26
19
7
12
ALUR (PHC)
80
60
20
38
CHADAKAVADI (PHC)
114
73
32
48
UDIGALA (PHC)
94
60
32
33
1
THAMMADALLI
24
17
7
10
1
PANYADAHUNDI (PHC)
149
119
29
60
2
BENDRAVADI (SC)
104
77
27
34
2
1
HARVE (PHC)
115
74
39
54
2
2
MALIYUR (SC)
53
41
12
24
1
KEMPANAPURA (SC)
75
61
14
23
2
SANTHEMARHALLY (PHC)
54
39
14
17
1
KOTHALAVADI (PHC)
124
89
35
66
3
KEELAGERI (SC)
28
25
3
13
1
HONGANUR (PHC)
188
115
73
75
1
IRASAVADI
103
90
13
41
KUDERU (PHC)
89
55
31
36
1
YELAKUR
26
23
2
12
1
UMMATHUR (PHC)
71
59
12
29
1
BAGALI (SC)
17
15
2
2
4
13
1
3
3
7
4
3
1
2
2
2
4
5
4
4
1
5
i
7
1 •
3
5
2
1
3
1
1
6
15
r
1
3
1
1
i
1
3
1
7
3
4
7
2
11
2
1
4
8
1
2
1
2
2
2
1
2
i
1
1
1
6
2
1
1
1
5
1
5
5
4
9
3
2
21
2
1
2
2
4
3
4
54
09.07.99
55
56
16.07.99
57
58
18.09.99
59
60
25.09.99
61
1
HALLIKEREHUNDI (PHC)
40
33
7
14
NAVILURU(SC)
18
16
2
2
KAGALAWADI (PHC)
72
69
3
25
1
NAGAVALLI (SC)
46
46
18
3
BEDAGULI (PHC)
26
19
7
4
ATTAGULIPURA (SC)
95
73
22
39
GANIGANUR (PHC)
17
13
4
GODLIHUNDI (SC)
20
13
21
5
2
2
1
1
8
6
1
6
8
35
5
1
1
6
6
2
1
2
62
29.10:99
C'NAGAR (GH)
87
78
9
' 38
2
63
14.12.99
BESALAWADI (PHC)
14
10
4
6
1
5032
2641
987
1863
TOTAL
1
66
132
11
1
9
13
7
9
2
30
12
163
26
2
7
1
100
1
14
226
08
28
ANNEXURE -XI[c]
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN NANJANGUD TALUK
SL
NO
DATE
CAMP
2
3
NO. OF
PAP
FNAC NO.OF PATIENTS REFERRED
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS
OTHERS
SCREENED
TAKEN
9
10
12
4
5
6
7
8
11
PAP
VAGINAL URINE URINE URINE
INVT. SUGAR ALBUMIN
SMEAR
SWAB
REFUSED
+VE
+VE
16
17
13
14
15
01
1
11.08.98
NANJANGUD (GH)
17
06
2
18.08.98
HEDATHALE (PHC)
83
21
01
3
08.09.98
DEVANUR (PHC)
172
06
110
43
03
04
03
01
4
15.09.98
THAGADUR (PHC)
165
40
111
38
05
06
03
01
5
22.09.98
DASANUR (PHC)
182
68
60
46
6
06.10.98
SUTHUR (PHC)
143
27
83
45
05
01
7
13.10.98
BEELAGALLI (PHC)
178
90
50
72
02
10
8
20.10.98
HOSKOTE (PHC)
68
60
02
08
01
02
03
9
27.10.98
HADINARU (PHC)
113
67
27
42
01
03
09
10
03.11.98
KUDLAPURA (PHC)
127
68
09
34
01
03
11
10.11.98
KALALE (PHC)
170
86
56
48
04
09
06
12
17.11.98
KESUVINAHALLY (PHC)
67
26
29
32
01
02
02
13
24.11.98
MADUVINAHALLY (PHC)
45
40
05
22
02
04
14
08.12.98
HURA (PHC)
116
41
67
69
05
01
01
01
08
13
02
01
17
08
15
15.12.98
CHANDRAWADI (PHC)
114
30
77
62
16
09.02.99
NAGARLE (GAD)
48
43
04
30
THAYUR (GAD)
112
24
86
30
01
05
17
03
06
06
02
03
02
18
16.02.99
VALAGERE (PHC)
112
66
46
75
03
06
01
19
23.02.99
HEMMARAGALA (PHC)
105
75
30
62
02
06
06
20
02.03.99
D. KAVALANDE (GAD)
119
61
58
51
07
01
NERALE (GAD)
84
64
20
33
03
03
01
02
21
22
13.03.99
HULLAHALLY (PHC)
25
19
06
12
02
02
23
16.03.99
YALAHALLY (GAD)
101
89
12
55
01
02
24
19.03.99
MARALLUR (GAD)
154
150
03
78
YACHAGALLI (PHC)
75
62
13
36
25
06
1
3
2
11
35
2
1
1
5
25
42
3
3
1
48
2
8
1
1
62
23
27
30.03.99
HULLAHALLI (PHC)
160
124
35
57
HEGGADAHALLI (SC)
163
110
53
76
165
137
28
55
MALLAKUNDI (SC)
75
58
17
KIRGUNDA (PHC)
113
88
SONALLI (SC)
50
HEDATHALE (PHC)
88
11.05.99
03
07
27
33
02
03
65
32
11
01
36
13.04.99
05
11
115
31
03
05
151
30
04
03
YEDIYALA (PHC)
06.04.99 HALLARE(PHC)
08
04
23.03.99
29
09
02
26
28
01
06
03
1
1
3
4
4
3
2
2
34
35
18.05.99
36
37
25.05.99
38
39
08.06.99
40
41
15.06.99
42
43
22.06.99
44
45
06.07.99
46
47
13.07.99
48
49
20.07.99
50
VEERANAPURA (SC)
46
41
5
11
1
1
DEVANUR (PHC)
52
42
9
20
1
1
BADANAVALU (SC)
77
54
23
30
THAGADURU (PHC)
108
79
28
45
KARAPURA (SC)
107
89
18
50
DASANUR (PHC)
29
18
10
12
KONANUR (SC)
121
109
12
64
SUTHUR (PHC)
73
51
22
27
SARGUR (SC)
50
43
6
10
BELAGULI (PHC)
40
ESHWAREGOWDANAHALLY (SC)
97
70
HOSAKOTE (PHC)
44
THUMMENRALE (SC)
1
6
01
02
02
1
4
5
6
7
1
2
3
3
4
5
1
3
5
1
1
2
02
1
3
2
4
7
1
1
4
1
4
1
27
60
5
33
11
13
65
52
13
29
1
3
3
HADINARU (PHC)
108
98
10
38
2
3
HADINARUMOLE (SC)
63
63
12
KUDLAPURA (PHC)
14
14
4
MELLAHALLI (SC)
52
50
2
17
6
1
1
1
6
6
2
1
1
2
1
17
1
1
4
1
3
3
6
4
3
3
1
1
9
1
1
2
1
1
51
03.08.99
NANJANGUD (GH)
175
115
60
61
1
52
10.08.99
KALALE (PHC)
136
107
29
37
1
1
4
1
7
25
1
3
1
29
5
11
19
1
4
1
5
1
1
53
54
17.08.99
55
KERALAPURA (SC)
106
70
36
28
KUSUVINAHALLY (PHC)
69
51
18
36
SURALLI (SC)
84
67
17
24
3
3
4
3
2
4
1
2
8
40
3
07.09.99
HEMMARAGALA (PHC)
21
15
6
9
1
57
08.09.99
HEDIYALA (PHC)
53
40
13
21
2
58
14.09.99
NAGARLE (GAD)
39
28
10
21
TYAYUR (GAD)
74
49
25
23
VALAGERE (PHC)
28
24
4
4
HARATHALE (SC)
74
‘ 60
14
30
NERALE (PHC)
74
65
9
24
D.KAVALANDE (GAD)
23
21
2
2
YACHAGALLY (PHC)
30
26
4
10
1
MARALUR (GAD)
41
38
3
12
3
2
16
HALLARE (PHC)
42
37
5
10
3
2
20
HAGGINAVALU (SC)
70
51
19
29
4
1
6
34
KIRGUNDA (PHC)
100
25
2
27
1
1
6
1
SONAHALLY (SC)
10
10
YALAHALLY (GAD)
40
31
9
13
2
1
5
DUGGAHALLI (SC)
42
35
7
17
2
1
3
60
21.09.99
61
62
28.09.99
63
64
05.10.99
65
66
26.10.99
67
68
16.11.99
69
70
71
23.11.99
3
1
1
1
4
4
4
20
3
1
22
3
39
2
15
34
2
1
1
10
56
59
1
2
3
2
1
1
1
31
9
1
1
1
11
I
4
22
I
72
03.12.99
73
74
07.12.99
75
76
17.12.99
77
78
18.12.99
80
76
4
30
HEGGADAHALLY (SC)
57
50
7
7
3
MADUVINHALLY (PHC)
30
24
6
12
4
HANCHIPURA (SC)
61
55
6
23
HURA (PHC)
89
81
8
29
MALLAKKUNDI (SC)
4
3
1
HARADANHALLY (PHC)
106
87
19
14
6564
4291
1722
2414
TOTAL
2
4
7
7
HULLAHALLY (PHC)
151
3
1
1
1
176
1
7
16
62
17
1
1
31
07
3
2
2
4
26
35
08
14
28
297
73
538
4
18
13
ANNEXURE - XI(d)
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN T.N.PURA TALUK
SL
NO
1
DATE
CAMP
2
3
12.12.98
2
3
19.12.98
4
5
08.01.99
6
7
22.01.99
8
9
29.01.99
10
11
06.02.99
12
13
11.02.99
14
15
20.02.99
NO. OF
PAP
FNAC NO.OF PATIENTS REFERRED
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS
OTHERS
SCREENED______________ TAKEN
12
10
11
8
9
4
6
7
5
25
77
39
GARGESHWARI (PHC)
108
KERAGASUR(SC)
25
KUPYA (PHC)
71
54
14
42
KEMPAIAHNAHUNDI (SC)
107
40
56
56
MADAPURA (PHC)
127
81
35
64
HEMMEGE (SC)
101
CHIDRAVALLY (PHC)
137
99
33
60
NARAGYATHANHALLI(SC)
101
59
30
CAUVERYPURA (PHC)
158
75
KALIHUNDI (SC)
192
T.N.PURA (GH)
02
VAGINAL
PAP
SWAB
SMEAR
REFUSED
14
13
01
04
06
07
02
03
12
06
01
02
01
04
01
03
01
68
02
03
81
109
02
71
121
41
73
11
61
45
02
HOSATHIRUMAKODALU (SC)
62
38
19
26
01
06
01
MOOGUR (PHC)
182
126
48
108
01
01
02
KURUBUR (SC)
109
25
79
53
03
04
VYSARAJAPURA (SC)
129
83
46
71
01
06
31
01
02
01
09
02
09
01
04
01
01
URINE
INVEST.
15
URINE
URINE
SUGAR ALBUMIN
+VE
+VE
16
17
06
SOSALE(PHC)
234
141
92
118
02
04
T.MALANGI (PHC)
169
78
82
91
02
12
05
18
T.DODDAPURA (SC)
106
93
13
50
04
06
01
19 06.03.99
BANNUR (PHC)
241
111
112
120
07
11
01
02
SOMANATHPURA (PHC)
90
48
42
41
01
05
KETHUPURA (SC)
87
26
61
23
TALAKADU (PHU)
102
70
32
38
MUDUGOTHORE (SC)
144
74
70
THURAG ANUR (PHC)
114
76
B.C.HALLY (SC)
148
KAYAMBALLI (PHC)
16
17
20
27.02.99
10.03.99
21
22
12.03.99
23
24
17.03.99
25
26
20.03.99
27
28
24.03.99
29
30
27.03.99
31
32
31.03.99
33
34
35
07.04.99
02
02
02
08
01
05
11
89
01
03
02
38
50
01
05
08
10
117
31
85
03
03
07
01
89
71
12
52
01
06
BENAKANAHALLI (SC)
89
63
26
44
01
01
KODAGALLI (PHC)
146
99
47
59
01
02
GADUOGIHUNDI (SC)
52
39
12
21
RANGASAMUDRA (PHC)
110
57
51
55
THUMBALA (SC)
82
69
13
YACHANAHALLI (PHC)
203
174
ATTALLI (SC)
122
MUTTALAWADI (PHC)
KARGALLI (SC)
05
07
07
04
01
03
04
14
08
01
02
07
02
46
01
01
29
105
09
06
73
49
53
01
02
04
115
88
26
51
01
07
47
27
16
22
01
02
03
02
01
03
01
04
01
06
05
07
02
06
06
05
20
04
06
36
17.04.99
37
38
21.04.99
39
40
15.05.99
41
42
22.05.99
43
44
29.05.99
45
46
05.06.99
47
48
19.06.99
49
50
26.06.99
51
52
04.09.99
53
03
06
02
02
04
16
08
05
01
05
06
08
K.G.KOPPAL (SC)
100
68
31
50
HEGGUR (PHC)
124
97
27
55
02
B.BETTAHALLI (GAD)
141
105
36
70
04
BASAVANAHALLI (SC)
122
81
41
56
04
K.K.HALLY (PHC)
54
49
05
16
DODDAMALAGODU (SC)
36
31
05
18
KEMPAIAHNAHUNDI(PHC)
40
27
12
05
07
KUPYA (PHC)
40
33
06
17
04
03
RANGASAMUDRA(PHC)
80
64
15
24
03
06
THUMBALA (SC)
58
53
05
22
MADAPURA (PHC)
60
31
29
22
HEMMIGE (SC)
38
29
09
13
CHEDRAVALLY (PHC)
41
40
01
17
01
02
04
NARAGYATHNHALLY (SC)
36
23
13
01
01
01
CAUVERYPURA (PHC)
60
50
10
24
KALIHUNDI (SC)
56
41
15
07
GARGESHWARI (PHC)
77
44
33
29
KERAGASUR (SC)
13
10
02
06
54
17.09.99
T.NARASIPURA (GH)
65
45
20
18
55
20.09.99
T.MALANGI (PHC)
12
10
02
02
01
01
01
01
01
01
01
02
03
01
04
02
01
06
02
01
02
04
14
04
01
01
03
02
01
01
01
01
02
01
02
08
04
04
03
07
04
11
01
01
07
26
03
01
02
05
31
05
04
03
05
02
03
04
01
01
01
01
02
06
01
01
01
06
03
56
57
24.09.99
58
59
27.09.99
60
61
11.10.99
62
T.DODDAPURA (SC)
32
31
01
02
THALAKADU (PHC)
85
63
21
32
MUDUKUTHORE (SC)
66
47
19
17
SOMNATHPURA (PHC)
61
44
17
28
KETHUPURA (SC)
74
51
23
KAYAMBALLY (PHC)
19
17
BENAKANAHALLY (SC)
12
01
03
05
03
13
02
27
10
02
02
07
03
02
11
01
02
01
02
04
04
01
02
16.10.99
BANNUR (PHC)
126
102
23
65
64
25.10.99
MADIGALLY (PHC)
121
116
05
56
03
65
KODAGALLY (GAD)
60
44
16
24
05
66 05.11.99
DODDAMULUGUD (PHC)
51
47
04
22
11
67
K.K.HALLY (SC)
21
19
02
06
B.BETTAHALLY (PHC)
56
BASAVANAHALLY (SC)
65
55
10
17
01
03
MUGUR (PHC)
45
35
10
17
01
02
KOTHEGALA(SC)
60
43
17
20
02
MUTHALAWADI (PHC)
43
33
09
13
03
HORALAHALLY (SC)
28
27
01
13
01
01
HEGGUR (PHC)
19
19
10
01
02
K.G.KOPPAL (SC)
08
08
15.11.99
69
70
29.11.99
71
72
06.12.99
73
74
75
10.12.99
01
04
63
68
02
01
02
22
06
01
01
02
12
04
31
05
25
01
23
02
36
02
10
01
02
01
09
01
19
55
03
02
07
38
02
03
25
01
25
01
19
02
01
05
03
01
01
08
17
02
25
03
16
01
14
01
02
01
06
05
01
76
13.12.99
77
78
79
22.12.99
SOSALE(PHC)
85
77
08
32
01
08
VYASARAVAPURA (PHC)
22
20
02
6
01
02
THURGANUR (PHC)
94
79
15
36
05
07
36
36
02
B.C.HALLY (SC)
29
25
04
07
02
04
08
10
02
TOTAL
6707
4305
2081
2986
248
94
656
34
02
56
172
204
46
09
01
19
06
27
ANNEXURE - XI (e)
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN H.D.KOTE TALUK
SL.
NO
DATE
CAMP
1
2
3
NO. OF
PAP
FNAC
NO.OF PATIENTS REFERRED
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS
OTHERS
SCREENED______________ TAKEN
12
10
11
9
8
4
5
6
7
BEECHANALLY (PHC)
43
3
H.D.KOTE (GH)
41
15
SARGUR (PHC)
77
THUMBASOGE (SC)
16
ANNUR (PHC)
79
K.YADATHORE (SC)
62
27
KYTHANAHALLY (PHU)
104
35
ALANAHALLY (SC)
21
07
HAMPAPURA (PHU)
51
19
26
18
10
KOLGALA (SC)
35
15
15
04
11 07.10.98
MADAPURA (PHC)
78
17
34
30
12
HYRIGE (SC)
38
SHANTHIPURA (PHC)
113
KOTHEGALA (SC)
56
1
20.08.98
2
3
26.08.98
4
5
09.09.98
6
7
16.09.98
8
9
13
14
23.09.98
14.10.98
10
18
103
19
57
10
URINE
VAGINAL URINE URINE
PAP
SWAB
INVT. SUGAR ALBUMIN
SMEAR
+VE
+VE
REFUSED
16
17
14
15
13
1
12
1
1
5
1
27
4
5
1
2
1
2
2
2
1
1
09
13
2
1
08
30
2
1
23
27
6
3
42
1
15 28.10.98
K.BELATHUR (PHC)
58
16
CHAKKUR (SC)
87
17 04.11.98
CHIKKANANDI (PHC)
85
18
PURA (SC)
26
19 11.11.98
AGATHUR (SC)
14
20
SAGARE (PHC)
39
HEGGANUR (GAD)
42
10
30
14
22
DADADAHALLY (PHC)
103
47
44
38
23 25.11.98
ANTHARASANTHE (PHC)
70 '
59
10
21
24
HOSAHOLALU (SC)
65
25 09.12.98
B.MATAKERE (PHC)
102
26
KATWALU (SC)
27
27 16.12.98
HEBBALAGUPPE (PHC)
116
28
JAKKALLY (SC)
85
29 23.12.98
MULLUR (PHC)
52
30
KALLAMABALU (SC)
65
31 30.12.98
N.BELATHUR (PHC)
46
39
4
27
32
MAGGE (SC)
113
25
42
36
3
33 06.01.99
BADAGALAPURA (PHC)
141
102
26
62
5
21
18.11.98
10
20
62
02
19
12
35
1
16
3
1
1
1
02
38
1
1
05
3
3
8
1
4
11
2
2
11
23
69
9
6
17
29
3
2
31
10
10
39
59
52
4
33
24
28
44
1
1
3
5
12
30
1
1
6
1
1
3
CHANNAGUNDI (SC)
81
37
44
40
MUTTEGEHUNDI (PHC)
47
31
15
28
36
KADBEGUR (SC)
15
37 21.01.99
D.B.KUPPE (PHC)
33
28
3
25
38
BALLE (SC)
20
6
14
9
39 20.4.99
KENCHANAHALLY (SC)
66
45
18
29
1
40
N.BEGUR (PHC)
62
48
14
36
1
ANNUR (PHC)
76
68
8
35
42
K.YADATHORE (SC)
60
42
17
19
43 26.5.99
KYATHANAHALLI (PHC)
43
39
3
15
44
ALANAHALLI (SC)
107
93
14
62
45 9.6.99
HAMPAPURA (PHC)
98
62
36
46
46
KOLAGALA (SC)
101
86
13
39
47 16.6.99
MADAPURA(PHC)
130
84
44
59
48
HYRIGE(SC)
59
52
7
18
49 23.6.99
K.BELTHUR (PHC)
59
56
3
19
50
CHAKKUR (SC)
18
8
10
2
51 7.7.99
CHIKKANANDI (PHC)
66
53
13
25
1
1
52
PURA (SC)
60
57
2
28
2
6
34
35
41
13.01.99
19.5.99
4
1
3
2
2
6
1
1
4
1
2
2
1
1
2
3
1
2
1
3
4
3
1
8
3
3
2
1
2
1
4
10
4
3
15
5
3
4
9
8
2
5
1
4
3
5
4
3
2
2
1
1
7
4
1
14
2
2
1
1
2
6
6
6
4
2
16
2
3
1
3
1
4
53 14.7.99
SARAGUR (PHC)
148
124
24
54
54
TUMBUSOGE (SC)
72
71
1
25
55 21.7.99
H.D.KOTE (GH)
240
214
26
121
03
56 4.8.99
SAGARE (PHC)
62
43
19
18
1
57
AGATHUR (SC)
29
28
1
13
58 15.9.99
HEGGANUR (GAD)
72
63
9
34
59 22.9.99
DODADAHALLY (PHC)
42
26
16
7
60
DEVALAPURA (SC)
68
62
6
15
61 29.9.99
B.MATTAKERE (PHC)
46
33
13
10
62
KATAWALU (SC)
25
23
2
11
63 6.10.99
MULLUR (PHC)
64
55
7
24
64
KALLAMBALU (SC)
32
31
1
17
1
65 13.10.99
JAKKAHALLI (SC)
33
27
6
15
1
66 27.10.99
N.BELTHUR (PHC)
22
21
1
5
2
67
MAGGE (SC)
49
38
11
19
1
68 10.11.99
BADAGALAPURA (PHC)
23
18
5
2
2
69
CHENNAGUNDI (SC)
8
8
70 17.11.99
MUTTIGEHUNDI (PHC)
33
4
71
KADBEGUR (SC)
24
21
01
9
2
10
7
5
1
5
16
07
26
2
1
1
2
10
26
3
19
3
2
30
2
4
5
1
2
4
4
2
5
4
8
1
1
28
2
2
2
13
1
1
2
3
18
3
3
14
1
2
15
4
2
11
4
3
1
1
6
1
10
2
14
2
12
10
2
10
3
3
4
5
1
1
11
8
85
1
5
30
12
13
1
3
4
18
104
86
18
46
1
1
9
19
HOSAHOLALU (SC)
62
56
6
27
1
2
6
24
77 8.12.99
BEECHANAHALLI (PHC)
30
18
12
15
3
1
2
1
7
78
BIDARAHALLI (SC)
55
49
6
31
4
79 15.12.99
HEBBALAGUPPE (PHC)
34
29
5
12
3
80 24.12.99
N.BEGUR (PHC)
63
59
4
32
81
KENCHANAHALLY (SC)
21
13
8
7
TOTAL
5046
2845
1022
2010
72 24.11.99
D.B.KUPPE (PHC)
181
28
73
BALLE (SC)
11
10
74 26.11.99
KOTHEGALA (SC)
42
75 4.12.99
ANTHARASANTHE (PHC)
76
39
1
8
125
136
’
26
1
3
25
5
13
1
1
1
29
1
19
278
458
17
2
2
1
37
16
ANNEXURE -XI(f)
CAMPS HELD BETWEEN JULY 1998 - DECEMBER 1999 IN YELANDUR TALUK
SL.
NO.
1
CAMP
06.09.98
B.R.HILLS (PHC)
23
GUMBALLY (PHU)
41
13
04
07
01
YELANDUR (PHC)
22
10
10
09
02
AMBALE (SC)
109
90
13
47
01
HONNUR (PHC)
51
41
10
10
DUGGATH (SC)
52
AGARMAMBALLY(PHC)
16
MALLIGENHALLY (SC)
16
YALANDUR(PHC)
96
79
17
43
AMBALE (SC)
64
52
12
30
GUMBALLY (PHC)
56
55
1
B.R.HILLS (S.C.)
23
22
HONNUR (PHC)
92
86
DUGGATH (SC)
111
111
AGARMAMBALLY(PHC)
69
63
MALIGENAHALLY (SC)
48
TOTAL
889
2
3
17.10.98
4
5
24.10.98
6
7
07.11.98
8
9
03.07.99
10
11
10.07.99
12
13
17.07.99
14
15
16
NO. OF
PAP
FNAC NO.OF PATIENTS REFERRED
PATIENTS HB<10 HB>10 SMEAR TAKEN BHIO KRH JSS OTHERS
SCREENED
TAKEN
DATE
24.07.99
02
13
VAGINAL
SWAB
URINE
INVT.
URINE
SUGAR
+VE
URINE
ALBUMIN
+VE
03
11
22
PAP
SMEAR
REFUSED
02
01
02
01
01
02
05
01
05
07
09
3
1
5
1
1
1
3
27
14
1
4
9
22
1
6
1
1
4
1
6
45
3
3
6
2
4
4
30
51
2
6
2
6
29
1
5
2
47
1
27
1
1
1
1
5
21
671
94
367
12
25
6
41
11
105
12
12
1
2
1
2
14
ANNEXURE -XU (a)
SUMMARY OF SCHOOL CAMPS CONDUCTED TALUKWISE BETWEEN JULY 1998 TO DECEMBER 1999
SL.
NO. TALUKS
HB
NO. OF NO. OF
HPS STUDENT <10
SCREENED
HB
>10
HB
NO. OF
NO. OF
STUDENT <10
HIGH
SCHOOL SCREENED
HB
>10
HB
NO. OF
NO. OF
JUNIOR STUDENT <10
COLLEGE SCREENED
HB
>10
HB
NO. OF
NO. OF
DEGREE STUDENT <10
COLLEGE SCREENED
HB _______ TOTAL
>10 NO. OF HB
STUDENT <10
HB
>10
1386
508
877
41
1771
695
1071
1
H.D. KOTE
6
155
100
55
12
1100
400
699
3
131
8
123
2
CH’ NAGAR
3
110
81
29
10
1452
553
894
2
154
47
107
2
55
3
NANJANGUD
5
163
87
76
13
2382
571
1806
4
268
4
264
1
73
71
2886
662
2217
4
T NARASIPUR
5
79
39
31
19
2623
517
2043
6
515
3
506
2
194
193
3411
559
2773
5
GUNDLUPET
4
101
62
16
8
1116
581
534
3
197
50
147
1
82
3
79
1496
696
776
TOTAL . .
23
608
369
207
62
8673
2622 5976
18
1265
112
1147
6
404
17
384
10950
3120
7714
HPS : HIGHER PRIMARY SCHOOL
14
ANNEXURE - XII(b)
SUMMARY OF SCHOOL CAMPS ORGANISED MONTHWISE FOR GIRLS BETWEEN
DECEMBER 1998 TO DECEMBER 1999
NO. OF________ NO. OF__________
STUDENTS
JUNIOR
HIGH STUDENTS
SCREENED
SCHOOL SCREENED
COLLEGES
NO. OF
DEGREE
STUDENTS
COLLEGES SCREENED
SL.
NO.
MONTH
01
DEC 1998
08
2704
06
614
02
194
3512
02
JAN 1999
06
1161
04
261
02
99
1521
03
FEB 1999
01
42
42‘
04
JUN 1999
02
39
10
1332
01
66
1437
05
JUL 1999
03
88
12
1113
03
153
06
AUG 1999
02
51
03
206
01
59
07
SEP 1999
08
1201
01
37
08
NOV 1999
08
137
09
DEC 1999
08
293
15
956
01
33
TOTAL
23
608
62
8673
18
1265
NO. OF
STUDENTS
EPS
SCREENED
01
82
TOTAL
STUDENTS
1436
316
01
29
1267
137
1282
06
404
10950
ANNEXURE- XII [c]
DETAILS OF SCHOOL CAMPS CONDUCTED BETWEEN DECEMBER 1998 - DECEMBER 1999
SL.
NO.
01
02
03
04
DATE
NAME OF SCHOOL
PLACE
TALUK
04.12.98
05.12.98
GOVT.HIGH SCHOOL &
JUNIOR COLLEGE
T.N.PURA
T.N.PURA
07.12.98
VIDYODHAYA HIGH
SCHOOL & COLLEGE
11.12.98
11.12.98
G.V.GOWDA HIGH
SCHOOL & JR. COLLEGE
LIONS HIGH SCHOOL
HPS HB HIGH
% SCHOOL
HB
%
JUNIOR
COLLEGE
487
II
487
127
186
800
>127
>180
06
07
08
09
14.12.98
14.12.98
421
>404
>127
>277
50
50
H
41
VIVEKANANDA HIGH
SCH. & JR.COLLEGE
II
II
GOVT.GIRLS
HIGH SCHOOL
28.12.98
GOVT.HIGH SCHOOL
& JR. COLLEGE
N.GUD
SC/ST GOVT.HIGH
SCHOOL
N.GUD
II
133
92
>52
>174
276
>274
136
1034
>1019
<12
N.GUD
>66
276
>274
N.GUD
175
67
52
56
>128
>92
>56
18.12.98
29.12.98
05.01.99
>49
>36
GOVT. HIGH SCHOOL,
JR. COLLEGE & DEGREE
>792
127
294
>49
05
HB % GRAND
TOTAL TOTAL
>408
<43
>18
<03
>485
BANNUR
DEGREE HB
COLLEGE %
21
466
>390
<40
II
HB
%
1170
>135
<01
>1154
<13
96
96
>96
>96
10
11
12
13
14
11.01.99
14.01.99
14.01.99
19.01.99
27.01.99
JSS JR.COLLEGE
& DEGREE
ST.MARY'S HIGH
SCHOOL
VISHWA BHARATHI
HIGH SCHOOL &
JUNIOR COLLEGE
••
II
88
>88
>37
<01
>95
<01
>71
>169
<18
187
71
116
II
96
38
58
II
>58
>98
<18
C.NAGAR
339
339
C.NAGAR
>243
<94
>243
<94
15
16
28.01.99
04.02.99
GOVT.HIGH SCHOOL,
JR. & DEGREE COLLEGE
GOVT.JR.COLLEGE
II
464
•1
26
95
>80
<15
>379
<83
N.GUD
15.06.99
GOVT. HPS
SARGUR
N.GUD
19
16.06.99
19.06.99
GOVT. HIGH SCHOOL
GOVT. HIGH SCHOOL
MADAPURA
CHIDRAVALLI
H.D.KOTE
T.N.PURA
>475
<108
42
>41
<01
21
21
>10
<11
>10
<11
18
585
>16
<10
42
N.GUD
>41
<01
17
>128
88
H.D.KOTE
>88
GOVT. HIGH SCHOOL &
JR. COLLEGE
JSS HIGH SCHOOL
>71
>57
H.D.KOTE
130
73
57
H
42
42
>33
<09
>33
<09
>23
<73
>23
<73
96
96
20
21
22
23
21.06.99
23.06.99
25.06.99
25.06.99
GOVT. HIGH SCHOOL
GOVT. HIGH SCHOOL
GOVT. HIGH SCHOOL
GOVT. HPS
PADAGUR
K.BELTHUR
G.PET
C.R.NAGAR
>29
<31
>29
<31
>42
<71
>42
<71
>38
<42
>38
<42
113
113
H.D.KOTE
UMMATHUR C.R.NAGAR
BAGALI
61
61
81
81
18
18
>10
<08
>10
<08
24
25
28.06.99
29.06.99
GOVT. HIGH SCHOOL
NAGARATHNAMMA
KABBALI
G.PET
G.PET
G.PET
244
27
28
29.06.99
29.06.99
30.06.99
GOUTHAM HIGH
SCHOOL
G.PET
MADDANESHWARA
HIGH SCHOOL
G.PET
DODDAHUNDI
BOGAPPA HIGH SCHOOL
& JUNIOR COLLEGE
G.PET
G.PET
G.PET
G.PET
>131
<113
>193
<173
>193
<173
>33
<26
>33
<26
>04
<27
>04
<27
366
366
HIGH SCHOOL
26
244
>131
<113
59
59
31
31
66
239
>103
<136
305
>35
<31
>138
<167
29
30
31
32
33
34
35
36
01.07.99
02.07.99
02.07.99
05.07.99
06.07.99
07.07.99
09.07.99
12.07.99
GOVT. HIGH SCHOOL &
JR. COLLEGE
SARGUR
JSS HIGH SCHOOL
SARGUR
GOVT.HIGH SCHOOL
SRI GURU MALLESHWARA HIGH SCHOOL
HOSKOTE
JSS HIGH SCHOOL
GOVT. HPS
71
>52
<19
>52
<19
>52
<53
>52
<53
105
105
54
G.PET
13.07.99
GOVT. HIGH SCHOOL
CHIKKNANDI H.D.KOTE
66
>47
<19
>31
<08
>31
<08
>07
<46
>07
<46
39
39
HALLIKERE- CR.NAGAR
HUNDI
HADINARU
53
53
27
27
>04
<23
56
56
N.GUD
>20
<36
38
14.07.99
GOVT. HPS
THUMBSOGE H.D.KOTE
>26
<44
>47
<19
>04
<23
37
>11
<05
66
N.GUD
G.PET
70
16
>15
<39
HONGHALLI
>88
<137
71
H.D.KOTE
THUMBSOGE H.D.KOTE
S.BEGUR
GOVT. HIGH SCHOOL
>15
<07
>73
<130
GOVT. HIGH SCHOOL &
JR. COLLEGE
225
22
203
H.D.KOTE
>20
<36
35
35
<35
<35
39
40
41
16.07.99
16.07.99
19.07.99
ST.PHILOMENA'S HIGH
SCHOOL
NAGAVALLI CR.NAGAR
T.S.SUBBANNA PUBLIC
HIGH SCHOOL
KAGALVADI CR.NAGAR
GOVT. H.P.S.
BALCHAVADI
G.PET
53
53
>11
<42
>11
<42
>09
<150
>09
<150
159
159
26
26
>04
<22
>04
<22
42
43
44
45
46
20.07.99
23.07.99
27.07.99
02.08.99
04.08.99
GOVT. HIGH SCHOOL
KUDLAPURA
N.GUD
UMMARAGALI
H.D.KOTE
JSS JR. & DEGREE
COLLEGE
GUNDLUPET
G. PET
SEVA BHARATI KAN.
MED. HPS, HIGH SCHOOL
& JUNIOR COLLEGE
CR.NAGAR
GOVT. H.P.S.
AGATHUR
GOVT. HIGH SCHOOL
67
67
>09
<58
>09
<58
>129
<58
>129
<58
187
187
>101
<14
CR.NAGAR
27
57
H.D.KOTE
17.08.99
GOVT. HIGH SCHOOL
KASUVINAHALLI
N.GUD
>180
<17
143
>27
<32
>75
<68
24
24
>04
<20
47
>79
<03
59
>38
<19
<17
197
82
115
>04
<20
87
87
>48
<39
>48
<39
48
49
50
51
52
53
31.08.99
JSS HIGH SCHOOL
HORIYALA
NANJANGUD
01.09.99
02.09.99
GOVT. HIGH SCHOOL
03.09.99
BALARAPATNA
HIGH SCHOOL
CR. NAGAR
GOVT. HIGH SCHOOL
TALAKADU
06.09.99
07.09.99
09.09.99
GOVT. HIGH SCHOOL
GOVT. JR. COLLEGE
G. PET
N.GUD
CR.NAGAR
T.N.PURA
HEMMARAGALA
N.GUD
TALAKADU
T.N.PURA
62
62
>26
<36
>26
<36
>278
<188
>278
<188
>103
<55
>103
<55
>64
<63
>64
<63
>60
<71
>60
<71
468
468
158
158
127
127
131
131
37
37
>37
>37
54
55
56
57
09.09.99
16.09.99
16.09.99
20.09.99
T.S.SUBBANNA PUBLIC
HIGH SCHOOL
TALAKADU
SEVA BHARATI ENG.
MED. HIGH SCHOOL
CR. NAGAR
SRI RAMACHANDRA
TEACHERS TRG. INST.
CR.NAGAR
GOVT. HIGH SCHOOL
T.MALANGI
T.N.PURA
CR.NAGAR
143
143
>86
<57
>86
<57
>56
<05
>56
<05
61
61
29
29
CR.NAGAR
>25
<04
T.N.PURA
>25
<04
57
57
>23
<34
>23
<34
58
27.09.99
GOVT. HIGH SCHOOL
KETHUPURA
56
56
T.N.PURA
>27
<29
59
60
61
62
23.11.99
26.11.99
26.11.99
10.11.99
GOVT. H.P.S
GOVT. HPS
GOVT. H.P.S.
GOVT. H.P.S.
DUGGALLY
KOTHEGALA
SHANTIPURA
N.GUD
H.D.KOTE
H.D.KOTE
BADAGALAPURA
H.D.KOTE
14
14
>02
<12
>02
<12
>02
<05
<12
<05
>16
<05
>16
<05
>09
<05
>09
<05
7
7
21
21
14
14
63
15.11.99
GOVT. H.P.S.
B.BETTHALLI
T.N.PURA
9
64
19.11.99
GOVT. H.P.S.
NENEKATTE
G.PET
25
9
25
>08
<17
>08
<17
65
20.11.99
GOVT. H.P.S.
MADAPATNA
G.PET
23
66
29.11.99
GOVT. HPS
KOTHEGALA
T.N.PURA
24
23
24
>07
<17
>07
<17
67
03.12.99
GOVT. HPS & HIGH
SCHOOL
HEGGADAHALLI
N.GUD
>27
<29
93
45
48
>40
<08
>42
<03
>82
<11
68
69
07.12.99
08.12.99
GOVT. H.P.S. & HIGH
SCHOOL
MADUVINAHALLI
N.GUD
GOVT. H.P.S.
BIDARHALLI
H.D.KOTE
34
59
25
>15
<44
>09
<16
>06
<28
54
54
>24
<30
>24
<30
70
71
72
73
74
75
76
10.12.99
10.12.99
11.12.99
11.12.99
14.12.99
15.12.99
17.12.99
T.N.PURA
GOVT. H.P.S. & HIGH
SCHOOL
K.G. KOPPAL
GOVT. H.P.S & HIGH
SCHOOL
HEGGUR
GOVT. GIRLS HIGH
SCHOOL
HULLAHALLI
JSS HIGH SCHOOL &
JUNIOR COLLEGE
HULLAHALLI
GANGADARESHWARA
H.P.S. & HIGH SCHOOL
BISALAWADI CR.NAGAR
GOVT. HIGH SCHOOL
HEBBALAGUPPE
H.D.KOTE
MALLKUNDI
N.GUD
GOVT. H.P.S.
>06
<02
T.N.PURA
82
74
8
>53
<21
>59
<23
>53
<21
>68
<34
>87
<65
>87
<65
102
74
28
>15
<13
152
152
N.GUD
>32
<03
22.12.99
GOVT. HIGH SCHOOL
>09
<56
B.C. HALLI
T.N.PURA
>31
<02
>63
<05
92
27
65
>10
<17
>19
<73
>16
<24
>16
<24
40
40
46
46
>18
<28
>18
<28
77
68
33
35
N.GUD
70
70
>29
<41
>29
<41
78
79
80
81
82
83
22.12.99
24.12.99
29.12.99
31.12.99
31.12.99
31.12.99
T.N.PURA
GOVT. HPS & HIGH
SCHOOL
TURAGANUR
GOVT. HIGH SCHOOL
KENCHANAHALLI
H.D.KOTE
SRIKANTESHWARA
GIRLS HIGH SCHOOL
HULLAHALLI
N.GUD
GOVT. HIGHSCHOOL
BANNUR
>03
<07
G.V. GOWDA HIGH
SCHOOL
BANNUR
LIONS HIGH SCHOOL
BANNUR
TOTAL
Hb% more than (>) 10 gms
Hb% less than (<) 10 gms
57
47
10
>17
<30
>20
<37
>27
<10
>27
<10
>60
<62
>60
<62
>50
<36
>50
<36
>36
<68
>36
<68
>15
<04
>15
<04
38
38
122
122
86
86
T.N.PURA
104
104
T.N.PURA
19
19
T.N.PURA
207
369
5976
2622
10950
404
1265
8673
608
1147
112
384
17
7714
3120
ANNEXURE - XIH (a)
AGEWISE, TALUKWISE ANALYSIS OF HB% FOR WOMEN CONDUCTED IN
SIX TALUKS DURING CAMPS
Gundlupet
>10 <10
Total
90
68
1190
212
178
165
2706
163
299
147
382
3392
80
168
443
187
473
4114
14
68
93
292
111
287
2444
426
9
68
72
281
89
288
2415
152
345
2
86
53
197
68
237
1868
322
162
339
3
75
69
247
71
234
1905
62
205
91
190
2
22
41
124
51
162
1134
99
63
198
78
188
2
14
32
123
42
161
1043
195
109
564
112
449
6
86
51
312
68
436
2443
TOTAL 1022 2845 1722
4291
2081 4305
94
671
987
2641
1102
2893
24654
Nanjangud
>10 <10
T.N.Pura Yelandur Ch’Nagar
>10 <10 >10 <10 >10 <10
Age
H.D. Kote
>10 <10
<15
107
130
106
192
50
222
9
19
86
111
16-20
160
307
224
506
220
493
16
66
159
21-25
143
422
258
578
304
595
14
87
26-30
138
528
313
707
420
640
17
31-35
109
326
189
319
218
418
36-40
89
265
164
390
274
41-45
59
232
127
310
46-50
81
195
107
51-55
38
146
56-60
43
>60
55
ANNEXURE -XIII(b)
CONSOLIDATED STATEMENT OF HB%
CONDUCTED AGEWISE
AGE
HB>10
PERCENTAGE
HB<10
PERCENTAGE
<15
448
6.4
742
4.2
16-20
957
13.6
1749
9.9
21-25
1029
14.7
2363
13.4
26-30
1243
17.7
2871
16.3
31-35
734
10.5
1710
9.70
36-40
697
10.0
1718
9.70
41-45
461
6.6
1407
8.0
46-50
493
7.0
1412
8.0
51-55
285
4.1
849
4.8
56-60
260
3.7
783
4.4
>60
401
5.7
2042
11.6
TOTAL..
7008
100
17646
100
ANNEXURE - XIII(c)
TALUKWISE HAEMOGLOBIN (Hb) STATUS OF WOMEN AT
CAMPS IN PERCENTAGE
>10 HB
PERCENTAGE
<10 HB
PERCENTAGE
TOTAL
H.D. KOTE
1022
26.4
2845
73.6
3867
NANJANGUD
1722
28.6
4291
71.4
6013
T.NARASIPURA
2081
32.6
4305
67.4
6386
YELANDUR
94
12.3
671
87.7
765
CHAMARAJANAGAR
987
27.2
2641
72.8
3628
GUNDLUPET
1102
27.6
2893
72.4
3995
TOTAL
7008
28.4
17646
71.6
24654
TALUK
ANNEXURE - XIV
FINDINGS OF HEALTH PROBLEMS OF WOMEN & STUDENTS WHO HAVE COME
FOR SCREENING & OUR DOCTOR’S DIAGNOSIS
WOMEN STUDENTS TOTAL
%
I. MENSTRUATION PROBLEM :
1. DYSMENORRHOEA
2. MENORRHAGIA
3. METRORRHAGIA
4. OLIGOMENORRHOEA
5. POLYMENORRHOEA
SUBTOTAL
997
806
699
227
95
2824
1378
223
15
30
29
1675
2375
1029
714
257
124
4499
11.18
254
214
60
41
24
593
05
2
259
216
60
41
24
600
1.49
1.70
II. PROBABILITIES OF CANCERS :
1. ABNORMAL BREAST (LUMP)
2. OTHER SWELLINGS (LUMP IN BODY)
3. ABNORMAL CERVIX
4. POST MENOPAUSAL BLEEDING
5. POST COITAL BLEEDING
SUBTOTAL
07
III. SYNDROME OF SEXUALLY TRANSMITTED
DISEASE( STD):
1. SKIN LESIONS
2 .ULCER OVER THE GENETALIA
SUBTOTAL
IV.
164
499
22
521
164
663
22
685
6180
431
80
6691
331
16
02
349
6511
447
82
7040
17.49
319
86
52
457
1.14
REPRODUCTIVE TRACT INFECTION :
1. LEUCORRHOEA
2. URINARY TRACT
3. PELVIC INFLAMMATORY DISEASE
SUBTOTAL
V. GYNAECOLOGICAL PROBLEM :
1. INFERTILITY
2. PROLAPSE UTERUS
3. POST HYSTERECTOMY
SUBTOTAL
319
86
52
457
VI. GENERAL PROBLEM
1. SKELETAL & MUSCLE PROBLEMS
2. GASTRO INTESTINAL SYSTEM
3. ENT PROBLEMS
4. CARDIO VASCULAR SYSTEM
5. RESPIRATORY SYSTEM
6. PYREXIA OF UNKNOWN ORIGIN (PUO)
7. CENTRAL NERVOUS SYSTEM
8. EYE PROBLEMS
9. ENDOCRINE SYSTEM
10. LYMPHADENITIS
11. DENTAL PROBLEMS
SUBTOTAL
3260
1813
748
1164
928
911
739
363
190
235
88
10439
VII. AMENORRHOEA
519
VIII. ANAEMIA
7139
IX. NORMAL
GRAND TOTAL
412
510
658
45
127
52
65
135
62
11
106
2183
3672
2323
1406
1209
1055
963
804
498
252
246
194
72622
31.36
519
1.29
3505
10644
26.44
116
3067
3183
7.91
29299
10950
40249
100%
ANNEXURE - XV (a)
COMPARISON OF PATIENTS BETWEEN FIRST & SECOND ROUND OF HEALTH
CHECK-UP CONDUCTED IN GUNDLUPET TALUK
________ SECOND ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
SL.
NO. DATE
_________ FIRST ROUND
PHC/SUB CENTRE NO. OF DATE
PATIENTS
1
31.07.98
GUNDLUPET (GH)
114
16.08.99 GUNDLUPET (GH)
96
2
10.08.98
SOMHALLY (GAD)
RANGNATHPUR(PHC)
166
35
07.06.99 SOMHALLY (GAD)
-”RANGNATHPUR(PHC;
139
56
3
17.08.98
K.G. HUNDI (PHU)
GOPALPURA (SC)
43
40
15.03.99 K.G. HUNDI(PHU)
-”GOPALPURA (SC)
48
39
4
24.08.98
HANGALA (PHC)
KALLEGOWDANAHALLY (PHU)
23
62
22.03.99 HANGALA (PHC)
-"KALLEGOWDANAHALLY (PHU)
135
36
5
07.09.98
MANGALA (PHC)
YELACHATHI (SC)
57
18
05.04.99 MANGALA (PHC)
-”YELACHATHI (SC)
64
41
6
14.09.98
HUNDIPURA (PHC)
BELAWADI (SC)
89
52
12.04.99 HUNDIPURA (PHC)
-”BELAWADI (SC)
45
91
7
21.09.98
BOMLAPURA(PHC)
SHIVAPURA (SC)
47
88
14.06.99 BOMLAPURA(PHC)
- ’’ SHIVAPURA (SC)
60
62
8
05.10.98
BACHALLY (PHC)
ANKAHALLY (SC)
33
45
10.05.99 BACHALLY (PHC)
-”ANKAHALLY (SC)
65
26
9
12.10.98
KODASOGE (GAD)
DEEPAPURA (SC)
92
91
17.05.99 KODASOGE (GAD)
-”DEEPAPURA (SC)
102
17
10
26.10.98
THERKANAMBI (PHC)
KANDEGALA (SC)
64
29
24.05.99 THERKANAMBI (PHC
-”KANDEGALA (SC)
32
33
11
09.11.98
PADAGUR (PHC)
KELSUR (SC)
69
51
21.06.99 PADAGUR(PHC)
-"KELSUR (SC)
62
33
12
16.11.98
KABAHALLY (PHC)
MUDUGUR (SC)
39
60
28.06.99 KABAHALLY (PHC)
-”MUDUGUR (SC)
128
52
13
23.11.98
S.BEGUR(PHC)
KOTAKERE (SC)
81
67
05.07.99 S. BEGUR (PHC)
-"KOTAKERE (SC)
45
46
14
01.02.99
BARGI(PHC)
HONGALLI (SC)
115
75
12.07.99 BARGI(PHC)
- ’’ HONGALLI (SC)
31
41
15
03.02.99
BELACHAWADI (PHC)
BERATANHALLY(SC)
77
83 *
19.07.99 BELACHAWADI (PHC
-”BERATANHALLY(SC)
52
34
16
08.02.99
••
HORIYALA (PHC)
C.V.PURA (SC)
64
80
09.08.99 HORIYALA (PHC)
-”C.V.PURA (SC)
80
148
17
10.02.99
MADAPATNA (PHC)
DADADAHALLY (SC)
75
29
20.11.99 MADAPATNA (PHC)
-”DADADAHALLY (SC)
39
41
It
18
15.02.99
HEGGADHALLY (SC)
HASAGULLI (PHC)
76
112
27.11.99 HEGGADHALLY (SC)
HASAGULLI (PHC)
19
25
19
17.02.99
ALATHUR (GAD)
MANCHNHALLY(SC)
70
67
30.10.99 ALATHUR (GAD)
-"MANCHNHALLY(SC)
43
22
BANITALPURA (PHC)
VEERANAPURA (SC)
100
45
23.10.99 BANITALPURA (PHC)
- VEERANAPURA (SC)
43
53
NENEKATTE (GAD)
148
19.11.99 NENEKATTE (GAD)
66
TOTAL....
2771
fl
20
22.02.99
•i
21
24.02.99
_________ 2290
Decreased by 17.4%
ANNEXURE - XV (b)
COMPARISON OF PATIENTS ATTENDANCE BETWEEN FIRST & SECOND ROUND OF
HEALTH CHECK-UP CONDUCTED IN CHAMARAJANAGAR TALUK
SL.
NO.
DATE
_______ FIRST ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
DATE
SECOND ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
1
14.08.98 ATTAGULIPURA (SC)
KOLIPALYA (PHC)
21
80
18.09.99 ATTAGULIPURA (SC)
12.02.99 KOLIPALYA (PHC)
95
75
2
21.08.98 CHAMARAJNAGAR(GH)
28.08.98 PANNYADAHUNDI (PHC)
BENDRAVADI (SC)
69
82
74
29.10.99 CHAMARAJNAGAR(GH)
14.05.99 PANNYADAHUNDI (PHC)
BENDRAVADI (SC)
87
149
104
3
04.09.98 HARAVE (PHC)
MALIYUR (SC)
60
48
21.05.99 HARAVE (PHC)
MALIYUR (SC)
115
53
4
11.09.98 UDIGALA (PHC)
THAMMADAHALLY (SC)
31
99
23.04.99 UDIGALA (PHC)
THAMMADAHALLY (SC)
94
24
5
18.09.98 ALUR (PHC)
CHANDAKAWADI (PHC)
141
103
16.04.99 ALUR (PHC)
CHANDAKAWADI (PHC)
80
114
6
25.09.98 KUDERU(PHC)
YELLAKURU (SC)
40
56
18.06.99 KUDERU(PHC)
YELLAKURU (SC)
89
26
7
09.10.98 UMATHUR(PHC)
BAGALLI (SC)
112
91
25.06.99 UMATHUR (PHC)
BAGALLI (SC)
71
17
8
16.10.98 V. CHATRA (PHC)
HARDANAHALLY (SC)
125
155
09.04.99 V. CHATRA (PHC)
HARDANAHALLY (SC)
55
26
9
23.10.98 HALLEKEREHUNDI(PHC)
NAVILLURU (SC)
95
118
09.07.99 HALLEKEREHUNDI(PHC)
NAVILLURU (SC)
40
18
10
06.11.98 KEMPANAPURA (SC)
SANTHEMARHALLY(PHC)
67
73
28.05.99 KEMPANAPURA (SC)
SANTHEMARHALLY(PHC)
75
54
11
13.11.98 KOTHALWADI (PHC)
KELIGERE (SC)
25
39
04.06.99
12
20.11.98 HONGANUR (PHC)
ERASWADI (SC)
238
119
11.06.99 HONGANUR (PHC)
ERASWADI (SC)
188
103
13
27.11.98 KAGALWADI (PHC)
NAGAVALLY (SC)
203
156
16.07.99 KAGALWADI (PHC)
NAGAVALLY (SC)
72
46
14
12.02.99 BEDAGULLI (PHC)
31
18.09.99 BEDAGULLI (PHC)
26
15
19.02.99 GANAGANOOR (PHU)
GODLIHUNDI (SC)
86
39
25.09.99 GANAGANOOR (PHU)
GODLIHUNDI (SC)
17
20
16
26.02.99 BEESALAVADI (PHC)
B.G. HALLY (SC)
190
67
14.12.99 BEESALAVADI (PHC)
B.G. HALLY (SC)
14
TOTAL....
2933
KOTHALWADI (PHC)
KELIGERE (SC)
124
28
2099
I Decreased by 28.4 %|
ANNEXURE - XV [c]
COMPARISON OF PATIENTS ATTENDANCE BETWEEN FIRST & SECOND ROUND OF
HEALTH CHECK-UP CONDUCTED IN NANJANGUD TALUK
_________ FIRST ROUND
NO. OF
PHC/SUB CENTRE
PATIENTS
SECOND ROUND
PHC/SUB CENTRE
SL.
NO.
DATE
1
11.08.98 NANJANGUD (GH)
17
03.08.99 NANJANGUD (GH)
175
2
18.08.98 HEDATHALE (PHC)
83
11.05.99 HEDATHALE (PHC)
VEERANAPURA (SC)
88
46
3
08.09.98 DEVANUR(PHC)
172
18.05.99 DEVANUR(PHC)
BADANVALU (SC)
52
77
4
15.09.98 THAGADUR (PHC)
165
25.05.99 THAGADUR (PHC)
KARAPURA (SC)
108
107
5
22.09.98 DASANUR(PHC)
182
08.06.99 DASANUR (PHC)
KONANNUR (SC)
29
121
6
06.10.98 SUTHUR(PHC)
143
15.06.99 SUTHUR(PHC)
SARGUR (SC)
73
50
7
13.10.98 BELAGULLI (PHC)
178
22.06.99 BELAGULLI (PHC)
ESHWARAGOWDANAHALLY (SC)
40
97
8
20.10.98 HOSKOTE(PHC)
68
06.07.99 HOSKOTE (PHC)
THUMBENERALA(SC)
44
65
9
27.10.98 HADINARU (PHC)
113
13.07.99 HADINARU (PHC)
HADINARUMOLE (SC)
108
63
10
03.11.98 KUDLAPURA (PHC)
127
20.07.99 KUDLAPURA (PHC)
MELAHALLY (SC)
14
52
11
10.11.98 KALALE(PHC)
170
10.08.99 KALALE (PHC)
KERALAPURA (SC)
136
106
12
17.11.98 KESUVINHALLY(PHC)
67
17.08.99 KESUVINAHALLY (PHC)
SURALE (SC)
69
84
13
24.11.98 MADUVINHALLY(PHC)
45
07.12.99 MADUVINAHALLY (PHC)
HANCHIPURA (SC)
30
61
14
08.12.98 HURA(PHC)
116
17.12.99 HURA(PHC)
MALKUNDI (SC)
89
04
15
15.12.98 CHANDRAWADI (PHC)
114
16
09.02.99 NAGARLE(GAD)
-"THAYUR (GAD)
112
48
14.09.99 NAGARLE (GAD)
THAYUR (GAD)
74
39
17
16.02.99 VALLAGERE (PHC)
112
21.09.99 VALLAGERE (PHC)
ARATHALE (SC)
28
74
18
23.02.99 HEMMARGALA (PHC)
105
07.09.99 HEMMARAGALA (PHC)
21
DATE
NO. OF
PATIENTS
28.09.99 NERALA (GAD)
D. KAVALANDE (GAD)
74
23
101
23.11.99 YALLAHALLY (GAD)
DUGGALLI (SC)
40
42
19.03.99 MARALLUR (GAD)
-"YACHAGALLI (PHC)
154
75
05.10.99 MARALLUR (GAD)
YACHAGALLI (PHC)
41
30
23
23.03.99 YEDIYALA (PHC)
151
08.09.99 YEDIYALA (PHC)
53
24
30.03.99 HULLAHALLI (PHC)
-"HEGGADAHALLY (SC)
160
163
03.12.99 HULLAHALLI (PHC)
HEGGADAHALLY (SC)
80
57
25
06.04.99 HALLARE(PHC)
-"MALLAKAHUNDI
165
75
26.10.99 HALLARE (PHC)
HAGGINAVALU (SC)
42
70
26
13.04.99 KIRGUNDA (PHC)
-"SONHALLY (SC)
113
50
16.11.99 KIRGUNDA (PHC)
SONHALLY (SC)
100
10
18.12.99 HARDANAHALLY (SC)
106
19
02.03.99 NERALA(GAD)
-"D. KAVALANDE (GAD)
84
119
20
13.03.99 HULLAHALLI (PHC)
25
21
16.03.99 YALLAHALLY (GAD)
22
TOTAL....
3572
___________ 2992
Decreased by 16.2%
ANNEXURE - XV(d)
COMPARISON OF PATIENTS ATTENDANCE BETWEEN FIRST & SECOND ROUND OF
HEALTH CHECK-UP CONDUCTED IN T.NARASIPURA TALUK
SL.
NO.
DATE
______ FIRST ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
DATE
SECOND ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
1
12.12.98 GARGESHWARI (PHC)
KERGASUR (SC)
108
25 •
04.09.99 GARGESHWARI (PHC)
KERGASUR (SC)
77
13
2
19.12.98 KUPYA(PHC)
KEMPAINAHUNDI (SC)
71
107
22.05.99 KUPYA(PHC)
KEMPAINAHUNDI (SC)
40
40
3
08.01.99 MADAPURA(PHC)
HEMMEGE (SC)
127
101
05.06.99 MADAPURA (PHC)
HEMMEGE (SC)
60
38
4
22.01.99 CHIDRAVALLI (PHU)
NARGYATHANAHALLI (SC)
137
101
19.06.99 CHIDRAVALLI (PHU)
NARGYATHANAHALLI (SC)
41
36
5
29.01.99 KALIHUNDI (SC)
CAUVERIPURA (PHC)
192
158
26.06.99 KALIHUNDI (SC)
CAUVERIPURA (PHC)
56
60
6
06.02.99 T. NARASIPURA (GH)
HOSATHIRUMKUDULU(SC)
73
62
17.09.99 T. NARASIPURA (GH)
65
7
11.02.99 MUGUR(PHC)
KURUBUR (SC)
182
109
29.11.99 MUGUR(PHC)
KOTHEGALA (SC)
45
60
8
20.02.99 SOSALE(PHU)
VYSARAJPURA (SC)
234
129
13.12.99 SOS ALE (PHU)
VYSARAJPURA (SC)
85
22
9
27.02.99 T. MALLANG1 (PHC)
T. DODAPURA (SC)
169
106
20.09.99 T. MALLANGI (PHC)
T. DODAPURA (SC)
12
32
10
06.03.99 BANNUR(PHC)
241 .
16.10.99 BANNUR(PHC)
126
11
10.03.99 SOMNATHPURA (PHC)
KETHUPURA (SC)
90
87
27.09.99 SOMNATHPURA (PHC)
KETHUPURA (SC)
61
74
12
12.03.99 TALKAD(PHC)
MUDUKATHERE(SC)
102
144
24.09.99 TALKAD(PHC)
MUDUKATHERE(SC)
85
66
13
17.03.99 THURGANUR (PHC)
B.C. HALLY
114
148
22.12.99 THURGANUR (PHC)
B.C. HALLY
94
29
14
20.03.99 KAYAMBALLI (PHC)
BENKAHALLY
89
89
11.10.99 KAYAMBALLI (PHC)
BENKAHALLY
19
12
15
24.03.99 KODGALLY (GAD)
GADUOGIHUNDI
146
52
25.10.99 KODGALLY (GAD)
MADGALLI
60
121
16
27.03.99 RANGASAMUDRA (PHC)
THUMBALA (SC)
110
82
29.05.99 RANGASAMUDRA (PHC)
-"THUMB ALA (SC)
80
58
17
31.03.99 YACHANAHALLI (PHC)
ATTAHALLY (SC)
203
122
18
07.04.99 MUTHALWADI (PHC)
(KEBBEHUNDI)
KARGALLI
115
43
47
06.12.99 MUTHALWADI (PHC)
(KEBBEHUNDI)
HORABAHALLY
17.04.99 HEGGUR(PHC)
K.G. KOPPAL
124 .
100
10.12.99 HEGGUR(PHC)
K.G. KOPPAL
19
08
ft
19
28
20
21
21.04.99 B. BETTAHALLY (GAD)
BASAVANAHALLY (SC)
141
122
15.11.99 B. BETTAHALLY (GAD/PHC)
BASAVANAHALLY (SC)
56
65
15.05.99 DODAMULAGUDU (SC)
K.K. HALLY (PHC)
36
54
05.11.99 DODAMULAGUDU (SC)
K.K. HALLY (PHC)
51
21
TOTAL
4749
T
1958
Decreased by 58.8%
ANNEXURE - XV(e)
COMPARISON OF PATIENTS ATTENDANCE BETWEEN FIRST & SECOND ROUND OF
HEALTH CHECK-UP CONDUCTED IN H.D. KOTE TALUK
SL.
NO.
DATE
_______ FIRST ROUND
NO. OF
PHC/SUB CENTRE
DATE
SECOND ROUND
PHC/SUB CENTRE
PATIENTS
1
NO. OF
PATIENTS
41
08.12.99 BEECHANAHALLY (PHU)
-" BEDRAHALLY
21.07.99 H.D. KOTE (GH)
30
55
240
20.08.98 BEECHANAHALLY (PHU)
43
H.D. KOTE (GH)
2
26.08.98 SAGUR(PHC)
THUMBASOGE (SC)
77
16
14.07.99 SAGUR(PHC)
-"THUMBASOGE (SC)
148
72
3
09.09.98 ANNUR(PHC)
K. YADATHORE (SC)
79
62
19.05.99 ANNUR(PHC)
-"K. YADATHORE (SC)
76
60
4
16.09.98 KYATHANAHALLY (PHC)
ALANAHALLY (SC)
104
21
26.05.99 KYATHANAHALLY (PHC)
-"ALANAHALLY (SC)
43
107
5
23.09.98 HAMPAPURA (PHC)
KOLGALA (SC)
51
35
09.06.99 HAMPAPURA (PHC)
-"KOLGALA (SC)
98
101
6
07.10.98 MADAPURA (PHC)
HYRIGE (SC)
78
38
16.06.99 MADAPURA (PHC)
- " - HYRIGE (SC)
130
59
7
14.10.98 SHANTHIPURA (PHC)
KOTHEGALA (SC)
113
56
26.11.99 KOTHEGALA (SC)
42
8
28.10.98 K. BELATHUR (PHC)
CHAKKUR (SC)
58
87
23.06.99 K. BELATHUR (PHC)
-"CHAKKUR (SC)
59
18
9
04.11.98 CHICKKANANDI (PHC)
PURA (SC)
85
26
07.07.99 CHICKKANANDI (PHC)
-"PURA (SC)
66
60
10
11.11.98 AGATHUR(SC)
SAGARE (PHC)
14
39
04.08.99 AGATHUR(SC)
SAGARE (PHC)
29
62
11
18.11.98 HEGGANNUR (GAD)
DADADAHALLY (PHC)
42
103
15.09.99 HEGGANNUR (GAD)
22.09.99 DADAD AHALLY (PHC)
-"DEVALAPURA (SC)
72
42
68
12
25.11.98 ANTHRASATHE (PHC)
HOSAHOLALU (SC)
70
65
04.12.99 ANTHRASATHE (PHC)
-"HOSAHOLALU (SC)
104
62
13
09.12.98 B. MATAKERE (PHC)
KALIVALU (SC)
102
21
29.09.99 B. MATAKERE (PHC)
-"KALIVALU (SC)
46
25
14
16.12.98 HEBALAGUPPE (PHC)
JAKKAHALLY (SC)
116
85
15.12.99 HEBALAGUPPE (PHC)
13.10.99 JAKKAHALLY (SC)
34
33
15
23.12.98 MULLUR(PHC)
KALLAMBALLU (SC)
52
65
06.10.99 MULLUR(PHC)
-"KALLAMB ALLU (SC)
64
32
16
30.12.98 N. BELTHUR (PHC)
MAGGE (SC)
46
113
27.10.99 N. BELTHUR (PHC)
-"MAGGE (SC)
22
49
17
06.01.98 BADAGALAPURA (PHC)
CHERINAGUNDI (SC)
141
81
10.11.99 BADAGALAPURA (PHC)
-"CHERINAGUNDI (SC)
23
08
18
13.01.98 MUTHIGEHUNDI (PHC)
KADBEGUR (SC)
47
15
17.11.99 MUTHIGEHUNDI (PHC)
33
24
-"-
KADBEGUR (SC)
19
21.01.98 D.B. KUPPE (PHC)
BALLI (SC)
33
20
24.11.99 D.B. KUPPE (PHC)
-" BALLI (SC)
181
11
20
20.04.98 KENCHANAHALLY (SC)
N. BEGUR (PHC)
66
62
24.12.99 KENCHANAHALLY (SC)
-"N. BEGUR (PHC)
21
63
TOTAL
2474
_____________ 2572
Increased by 4%
ANNEXURE - XV(f)
COMPARISON OF PATIENTS ATTENDANCE BETWEEN FIRST & SECOND ROUND OF
HEALTH CHECK-UP CONDUCTED IN YELANDUR TALUK
SL.
NO.
DATE
FIRST ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
DATE
SECOND ROUND
PHC/SUB CENTRE
NO. OF
PATIENTS
1
06.09.98 GUMBALLY (PHC)
-"B.R. HILLS
41
23
10.07.99 GUMBALLY (PHC)
B.R. HILLS
56
23
2
17.10.98 YELANDUR (PHC)
-"AMBALLE (SC)
22
109
03.07.99 YELANDUR (PHC)
AMBALLE (SC)
96
64
3
24.11.98 HONNUR(PHC)
-"DUGGATTI (SC)
51
52
17.07.99 HONNUR(PHC)
DUGGATTI (SC)
92
111
4
07.11.98 AGARAMAMBALLY (PHC)
-"MALLIGENAHALLI (SC)
16
16
24.07.99 AGARAMAMBALLY (PHC)
-"MALLIGENAHALLI (SC)
69
48
TOTAL...
______________ 559
330
I
Increased by 69.4%
ANNEXURE - XVI
LIST OF PID PATIENTS RECORDED
SI.
No.
Name & Address
Age
Yrs.
Diagnosis
Advice
Remarks
Measures
taken
Sth cycle CT
taken
Expired on
22/7/99
Follow up on
25/3/2000
Discharged
on 31/10/98
Follow up on
25/3/2000
Treatment
1
Mrs. Gangama
W/o H D Sanjeev Shetty,
Homaragalli Village,
Hampapura H D KOTE.
62
Poorly differentiated
metastatic carcinoma
liver.
2
Mrs. Basamma
W/o Mr. Shivappa,
Hommaragalli Village
Hampapura, H D KOTE
65
Ca. Cervix
Regular
follow up
20 fractions RT &
ICR completed, on
29/10/1999
3 Mrs. Lakshmamma
W/o Mr. Janardhan
Somnathapura, T N PURA
55
Ca. Cervix-II B.
Moderately Differenti
ated squamous cell
Ca.
Radiation
therapy
RT + CT + ICR
Follow up on
Drop out after 2
visits (16/3/99) RT 8/3/00 Ltr. sent on
planning not done
23/3,7/4 &
12/11/99
4 Mrs. Meena
W/o Mr. Siddegowda,
SRP RD Opp. Govt. Hospital,
Bannur, T N PURA
30
Papillary Ca. Thyroid
Surgery
Completion left
thyroid with left
FND
Still she is having
Ca. Thyroid
5 Mrs. Doddamma
W/o Mr. Siddegowda
Yediyala, NANJANGUD
75
Ca. Left brest, stage
IV
First visit
Palliative
CT.
Not come for
follow up
Follow up on
3/3/00
Refused treatment Follow up on 8/3/2000
after 9 fractions
6 Mrs. Bettamma
W/o Mr. Late Sidde Gowda
Kethupura, TN PURA
48
Ca. Cervix, stage-IV
10 fractions of
moderately differentia- pallitative RT
ted squamous cell
carcinoma.
7 Mrs. Mahadevamma
W/o Late Javaraiah,
Benakanahalli Village & Post
TN PURA
50
Ca. Cervix, stage-I B
Biopsy &
radiation
therapy
8 Mrs. Rudramma
W/o Mr. Rangaswamy Naik,
Chandakavadi, CH'NAGAR.
38
Cervical adeno,
axillary node.
Excision
biopsy
9 Mrs. Papathi Bai
W/o Mr. Tholasia Naik,
Kaijambally Village,
TN PURA
50
Ca. cervix
Completed RT +
ICR
Last follow up on
23/3/2000
10 Mrs. Mahadevamma
W/o Mr. Shankar Shetty
Yelakur Village,
Mangala Post CH' NAGAR
40
Ca. cervix
stage - IB
Completed RT +
ICR-2
pollow up on 31/8/99
11 Mrs. Chinnamma
W/o Mr. Basavaiah, Halepura
Post, Doddakavalande Hobli
Mallahalli, N'GUD
30
Chronic myeloid
leukaemia
On treatment till
7/9/99
Biopsy report not
collected
Came for only 1 pbllow up on 7/3/2000
Itr sent on 7/4 &
visit not able to
19/4/99
find the patient
Letter sent on 16/6/99
Drop out after 7
fractions
12 Mrs. Kamalamma
W/o Mr. Madaiah,
Honganur Village
Santhemarahali Post,
CHAMRAJNAGAR
38
Ca. Cervix stage IV A
25 fraction of RT+
ICR
13 Mrs. Mahadevamma
W/o Late Mr. Siddegowda
Marigudi Rd, Chamanahalli
TNPURA
40
Ca. Breast, stage BIB
Surgery. T4NOMO
Modified radical
mastectomy with
B.O.
14 Mrs. Ningamani
W/o Siddegowda
S. Martially, C. Nagar.
55
W.D.P.V.
First visit.
Regular follow up
15 Mrs. Savithri
30
Nipple discharge
Mamography
normal
No follow up
16 Mr. Rudramma
40
Cancer phobia-sore
throat.
17 Mrs. Lakshmi Devamma
55
Cronic endocervicitis
18 Mrs. Nanjamma
W/o Mr. Siddashetty
Belagali Village & Hobli
NANJANGUD TALUK
50
Ca. Cervix
Biopsy
19 Mrs. Shasirekhamma
W/o Mr. Narayana Shetty
Kotekere Village & Post
Begur Hobli, G.PET TALUK
50
Ca. Breast
Biopsy
D/L scopy
Drop out
20 Mrs. Kempananjamma
Hosahalli Village, Annur Post
HDKOTE
75
Ca. Cervix
21 Mrs. Nanjamma
W/o Mr. Srikantappa
Metikoppa village & post
HDKOTE
60
Ca. Cervix
22 Mrs. Parvathamma
W/o late Javaranayak
Hanaganchi, Devanur Post
NANJANGUD TALUK
50
Ca. Left Breast
23 Mrs. Ningamma
W/o Late Madaiah
Hoskote Village
NANJANGUD TALUK
50
Advance ca. Thyroid
24 MrsNeelamma
W/o Mayanna K N
553, Vokkalageri
Near Siddappaji Tempe
NANJANGUD TALUK
50
Ca. Post record taken
25 Mrs. Padma
W/o Kappannenayaka
Chandrawadi
CHAMRAJNAGAR TALUK
24
Ca. Breast
Complete RT &
Breaky - follow up
for 2nd breaky
Drop out
Taken RT at KMIO
Chemo
2-4 cycle
2 cycle chemo
completed under
treatment
Ltr. sent on
21.10.98
45
26 Mrs. Alamma
W/o Byregowda
Motta Village, Hullahalli Hobli
NANJANGUD TALUK
Ca. Cervix
RT&
Chemo
Drop out
27 Mrs. Mahadevamma
W/o Mahadevashetty
Near Dodammathai temple
Honnur, YELANDUR
45
Ca. Cervix
RT
Treatment
completed
28 Ms. Kalamani
35
Ca. Breast
29 Mrs. Basamma
W/o Late Siddappa
Demahalli Village .& Post
S.Marahalli Hobli
CHAMARAJANAGAR
60
Ca. rt foot maleanoma
30 Mrs. Mahadevamma
W/o Late Muddappa
B. Mattakere
H.D. KOTE
65
31 Mrs. Ballamma
W/o Late Haroshetty
B.R. Hills
YELANDUR
50
Infl. Smear with
moderate dysplasia
32 Mrs. Siddamma
W/o Marigowda
Dasegowdana Koppalu
T. NARASIPURA
40
Ca. Cervix ?
Drop out
Biopsy
Drop out
RT
Post operative
RT
Drop out
Biopsy
Drop out
Biopsy done
ulcerative
endocervical
tissue
Repeat biopsy
drop out
ANNEXURE - XVII(a)
EVALUATION OF TRAINING & REORIENTATION TRAINING OF MEDICAL OFFICERS
TOTAL NOS ATTENDED
TRAINING
104
RE-ORIENTATION
115
1. Is the training useful?
-Yes
104
115
2. Did you leam anything new?
- Yes
-No
100
4
115
3. Did it alter/add anything to your present knowledge?
- Yes
- No answer
96
8
110
5
36
23
14
11
7
20
4. Which was the most useful session?
-All
- Combined modality cancer treatment
- Common Gynaec problems
- Cancer of Breast and Cervix
- STDs in women & combined modality cancer treatment
- Combine modality cancer treatment & cancer of
breast and cancer of cervix
- STDs in women
- Combine modality cancer treatment & common gynaec
problems
- Outline of cancer management
- Group discussion
- Is access to women's health services project useful
to the rural women
- Can we be more effective in implementing the
program
- Can the PHC/PHU take over this program? If so,
what support would they need ?
- Outline of cancer management & group discussion
- Recent approaches in management of breast cancer
- Outline of cancer management & gyanecological
problems
- Gynaec malignancies
- No answers
5. Have you any suggestion to improve the training
program ? Specify.
- More duration
- More interaction & less lecture (with mass media)
- Medical officer should be informed earlier about
the program
- Do it in PHC level
- More on modem & advance treatment of cancer
- IEC materials should be given
- Practical oriented training & screening proceedures
- Better training hall should be provided
11
5
4
4
29
24
10
9
7
3
2
21
9
18
10
1
1
3
5
16
4
8
6
- More information on cancer
- More subject should be covered
- Frequent training should be given
- More detection camps in the field
- More audio visual aids should be used
- More on OBG & Surgery
- More publicity should be given about camps
- Camps should start early morning
- More information about RT & CT
- More about early detection than treatment
- More on surgical oncology
- Better speaker should be called
- Better to conduct training at BDC building
- Training should be given at taluk level
- Flow chart of the therapy should be shown
- More health education should be given to the community
- Regular follow up of the patient
- Quality should be improved than quantity
- Free treatment should be given to cancer patients
- Clinical based diagnosis & other investigations
- No answer
6. Would you like to get more information on any subject
dealt in the training program? Specify
- Yes
-No
- On treatment of cancer
- On leukemia
- About cancers other than cervix and breast
- More on cancer of cervix & breast
- On surgical oncology
- On gynaec problems
- On STDs
- Detection of cancer
- Advanced cancer treatment
- Taking pap smear
- Demonstration
- More on RT & CT
- More on RTI
- On Womens health
- IEC materials should be given
- More health education & follow up of patients
- Training should be more interactive
- Early detection of cancer at PHC level
- More on different types of cancers
- Cancer detection & management
- Para medical staff should be trained
- Better training hall
- Mode of radiation therapy
- None
- No answer
4
4
15
1
9
7
8
5
21
2
4
3
15
7
6
5
8
3
2
3
9
11
10
1
1
1
5
2
1
1
1
2
1
1
1
1
1
1
38
4
8
4
5
2
1
14
3
1
1
1
1
2
8
3
1
2
2
52
9
7. Have you got any suggestion to improve the program?
- Should organize frequently & more duration
- Patients referred to Bharath Hospital & Institute
of Oncology by PHCs should be given concession
& PHC Medical Officers should be informed about
the patients
- Follow up of patients correctly
- Frequently camps should be heald
- Training hall should be improved
- Improve the quality of food
- Implement the program in proper way
- Enhance T.A & D.A
- Demonstration of counselling the patients
- Pap smear reports should be sent earlier
- Gyanecologists should be trained for three months
on gynae malignancies
- More health education at village level
- Vacancies should be filled up
- Transportation should be provided
- Supply of minimum medicine to PHCs should be
ensured
- No answer
8. Quality of food?
-V.Good
- Good
- Satisfactory
- Unsatisfactory
- No answer
8
4
5
1
6
2
2
5
1
2
1
2
1
1
1
73
2
98
1
3
2
79
23
9
2
ANNEXURE - XVII(b)
EVALUATION OF TRAINING & REORIENTATION OF SUPERVISORY STAFF
TOTAL NOS ATTENDED
ORIENTATION
54
RE-ORIENTATION
53
1. Is the training useful?
- Yes
54
53
54
52
1
2. Did you learn anything new?
-Yes
- No answer
3. Did it alter/add anything to your present
knowledge?
- Yes
- Training should be for more duration
- Learnt about STD
- Have learnt more on cancer
- No answer
4. Which was the most useful session?
-All
-STD
- General overview of menstrual problems & RTJ
- General overview of cancer with special emphasis on
SBE & Cervix Ca. Including demonstration of
taking pap smear
- Group discussion
- Menstrual disorder and Ca.Cervix & Breast
- No answer
5. Have you any suggestion to improve the training
program ? Specify.
- Training should be given to the NGOs
- Training should be for more duration
- Audio visual aids should be used more
- More duration needed & monthly detection camps
required in the field
- IEC materials should be given
- Pap smear kits should be given
- Film show should be arranged
- Field training & demonstration of the case needed
- Arranged in a better hall & training should be given
frequently
- Transportation facility should be provided
- Counseling with the patients
- LHV's, BHE's, JHA(F), Anganawadi workers should
be given education
- No changes needed
- Service aspects should be added
- Information needed on MTP
- More interaction needed
- Changes needed will intimate later
- No answer
25
5
9
8
7
20
13
12
6
1
30
9
11
1
3
1
6
15
11
3
3
3
2
2
15
3
5
3
4
9
5
7
2
1
1
1
6
ANNEXURE - XVII(c)
EVALUATION OF TRAINING & REORIENTATION FOR JR.H.A. (F)
TOTAL NOS ATTENDED
ORIENTATION REORIENTATION
309
301
1. Is the training useful?
- Yes
2. Have you learnt anyting new?
- Yes
- No answer
3. Do you want any changes added to the training program
-Yes
-No
- More on STD (should be in detail)
- More on Cancer
- More details about the Project
- Film show should have been arranged
- More information on all subjects
- Training should be arranged at BHIO
- Pap smear kit should be given to all Jr.H.A (F)s
- More duration & frequent training
- One day field visit should be there to take the
Pap Smear
- More on Aids
- Cancer detection camps should be held regularly
in rural areas
- More health education should be given to the community
- Paramedical staff should be given more training
and through them the community should be trained
- Lab demonstration needed
- More duration & TV show should be arranged on
different cancer cases and surgery of cancer cases
- More on RTI
- More on gynaec problems
- NGOs should be trained
- No answer
4. Would you like to get more information on any subject
dealt in the training program? Specify
- Yes
-No
- More information should be given to paramedical staff
as well as to the community
- More duration
- LMOs should be provided to all the PHCs
- More on STD
- Frequent training on new subjects should be given
- More on different types of cancers
- More on CT & RT
- Pap smear kit should be given
- Health education should be given to all school children
- Interaction with the patients
309
301
309
277
24
28
5
20
51
2
57
58
- 25
17
25
30
95
5
15
27
53
12
7
30
25
2
1
2
1
2
1
3
11
Not Applicable
55
61
15
9
3
1
7
24
28
24
3
9
17
45
- Audio, visual aids should be used
- No answer
5. Which was the most usefull session ?
3
6
93
44
19
- Yes
-All
- Menstrual problems and RTI
- Group discussion
- Learnt how to give health education to the community
- Introduction & demonstration of taking pap smear,
menstrual problem & RTI & Group discussion
- Cervix & Breast cancer including demonstration
- STD & other RTI
- Cervix & Breast cancer and STD & other RTI
- Field visit for taking pap smear
- No answer
6. On which subject have you gained more knowledge in
this training? Would you like to give any useful
suggestions?
- Taking pap smear, Cancer & STD
- Learnt about cancer & inpatients
- Information needed on contageous disease
- Ca.Cervix & breast and Pap smear
- Learnt on STD & RTI
- Film show should be arranged for village people
-Yes
- Learnt about taking pap smear
- Ca.Cervix & self breast examination
- On menstrual problems and RTI
- Learnt more about the project
- Pap smear kit should be given
- Learnt about inpatient and RTI
- Learnt on STD, Ca.Cervix & Breast
- More information on STD needed
- More information on cancer needed
- Awareness should be created in the community about
personal hygiene
- Such program should be telecasted through
Doordarshan
- Training should be for more duration
- Learnt on womens health
- HE materials should be given in time
- No answer
205
46
43
15
46
75
15
195
56
1
31
8
18
2
5
93
45
83
6
11
3
3
1
2
5
1
5
7
1
28
7. Do you have any suggestion to improve the training
program ? If so, please mention.
- Yes
-No
- Group discussion should be held before doing survey
in the field
- Field visit should be for 2 days
- Awareness creation in villages including men
- Awareness on personal hygiene to community
- Film show should be arranged to the community on
18
15
6
9
37
25
55
107
health aspects
- Audio, visual aids should be used more in the training
- Exposure to cancer hospital & interaction with
the patients
- More on Ca.Cervix & Personal Hygiene
- More on RTI
- RTI subject to be covered
- IEC materials should be in colour
- More health HE should be given to community
- More on STD
- School teachers & club members should be trained
- Training and pap smear taking should be taught
to the dais
- Better resource faculty should be invited
- More time should be alloted for group discussion
- Lab techinician should be provided to each PHC
- Better training hall
- LMO should be provided to each PHC
- No answer
8. Quality of food
- Good
- V.Good
- Average
- Tasty & Hygienic
- Not good
- No answer
73
42
15
46
3
15
2
10
29
1
2
18
226
- 16
62
4
1
2
1
2
2
32
9
34
217
57
24
2
1
ANNEXURE - XVIII
RESOURCE PERSONS
1. Dr. H Hanumanthappa, MD., DVD.,
Asst. Professor,
Dept, of Skin and STD.,
K R Hospital,
MYSORE.
2. Dr. Meena Despande, MBBS., MD (OBG), DNB (OBG).,
Consultant Gynaecologist,
B M Hospital,
MYSORE.
3. Dr. Damayanthi, MBBS., MD.,
Prof, of Obstetrics & Gynaecology,
K R Hospital,
MYSORE.
4. Dr. Pramila, MBBS., MD.,
Gynaecologist.
K R Hospital,
MYSORE.
5. Dr. Nirmala,
District Surgeon,
MYSORE.
6. Dr. Prasanna Raj, MBBS., MD., MCH
Prof. Of Community. Med.
JSS Medical College,
MYSORE.
7. Dr. Ajaikumar, MBBS., MD.,
Medical Oncologist,
Burlington,
U.S.A.
8. Dr. Anil Thomas, MS., M.Ch.,
Chief Surgical Oncologist & Medical Superintendent,
Bharath Hospital & Institute of Oncology,
MYSORE.
9. Dr. M S Vishveshwara, MBBS., DMRT., MD (KIDWAI)., DNB.,
Head, Division of Radiation Oncology & Medical Superintendent,
Bharath Hospital & Institute of Oncology,
MYSORE.
interim-bcchi
10. Dr. Y S Madhavi, MBBS., M.D.,
Radiation Oncologist,
Bharath Hospital & Institute of Oncology,
MYSORE.
11. Dr. Ramana Rao, MD.,
Oncologist,
Bharath Charitable Cancer Hospital & Institute,
MYSORE.
12. Dr. Rama, MBBS., DEW., FCGP.,
Lady Medical Officer, FPAL,
MYSORE.
13. Dr. Vijaya Srinivas, MBBS., DEW., Dip. G.O., FCGP.,
Lady Medical Officer, FPAL,
MYSORE.
14. Dr. M B Pashupathi, MBBS.,
Sr. Medical Officer, BCCHI,
MYSORE.
15. Dr. Manjula, MBBS, DGO.,
Gynaecologist, BCCHI,
MYSORE.
16. Dr. Usha, MBBS., DGO.,
Gynaecologist, BCCHI,
MYSORE.
17. Mr. C H Sridhar, B.Sc., (RT) (MT).,
Radiotherapy Technologist, BH & IO,
MYSORE.
18. Mr. K S Nanjappa,
Project Co - ordinator, BCCHI,
MYSORE.
19. Ms. T Bharathi, B.Sc., B. Ed.,
Social Worker, BCCHI,
MYSORE.
interim-bcchi
%LIGHTING OF INAGURAL LAMP BY DR. VIJAYALAXMI
REOROTCTWN training progrh/wME
ACCESS TO WOMENSHEHLTHSERVICES
KHSDP * a££HI
l»l
MYSORE.
■
DR. DHANYA KUMAR, DY. DIRECTOR, KHSDP,
BANGALORE, ADDRESSING THE MEDICAL
OFFICERS ATBCCHI, MYSORE.
DON’T CONSIDER ALL LEUCORRHOEA CASES
\ARE GOING TO BECOME CANCERS,
f- Dr. DAMAYANTHI.
-4ft-
/
Reorientation training programme
KHSOP
'V-SORE
i
AWARENESS ABOUT THE COMBINED MODOUTY^
OF CANCERS’ TO M.O’s BY DR. ANIL THOMAS.
•
' *■
*
OGRflrt
PVIGES
What a surprise!, How you are working with
such difficulties in the rural areas’ - Dr. Ajaykumar*
'-^4
z
■
R, T. TECHNOLOGIST EXPLAINING
ABOIJTCOBALTMACHINJz TOJM^/S
JQGKHtiu’"-
u(67
;L
IS DIFFICULT
M.O'S EXCHANING THEIR VIEWS.>
“MENSTRUATION IS A PROBLEM ?” - Dr. RAMA
4 '
I
LHV DOING HER HOUSE VISIT AT HOOTAGALU, MYSORE.
W
4i>-
-A-
/.
RtOf,,tN ‘’““N TRAINING PrkhpmME
JIM
U..H.V. SHARING HER FIELD EXPERIENCE.
I
' Dr. MADHAVI EXPLAINING ABOUT TAKING
J PAP SMEAR & ITS IMPORTANCE TO JHA(F).
■f
GROUP DISCUSSION BY JHA(F) ABOUT
THEIR ROLE IN THEIR FIELD^
chamarajanagarON BYJHA(F) OFX
4
■ ■ wr^'
Ml
an
MR. HARISH EXPLAINING ABOUT
SURVEY TO ANGANWADi IVOPK^ jl
Dr. MANJUNATH GIVING HEALTH
EDUCATION TOANGANWADI WORKERS
J
if
are you over weight or under weigh^
*
. <1
w
“WOW! MY BLOOD PRESSURE IS NORMAL.
11
J
J
“DOCTORS AT WORK”^
“TAKE YOUR TABS REGULARL Y
DOWT CHEiy BETEL NUT”±
F"';
Ff
Mr"
■^‘‘MAINTAIN YOUR PERSONAL HYGIENE”
^HEALTH EDUCATION BY Dr. VIJAYA SRINIVAS
frM
*
“KOt/ KNOW, I AM GOING FOR HEAL TH CHECK-UP”
ft
“CHECK YOUR WEIGHT & HB
3
<c >
-f
EDUCA TION THROUGH MASS MEDIA
MBLrO THE COMMUNITY
* ut
1PUBLIC AWARENESS OF CANCER
'
“WEIGHT YOUR CHILD EVERY MONTH"
‘MALNOURISHED ?” TAKE TKlft
*
“YOU ARE WINNER” - BABY SHOW CONTEST
ATNANJANGUD TALUK
- Media
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