Introduction
The
more powerful a nation is the greater also must be its commitments
to the betterment of the lot of those whose very humanity is constantly
being threatened by want, need and sickness.
Thus the govt. of India launched in 1970 the multipurpose
mobile training cum service hospital scheme which has the following
main objectives:
1. To orient the final year medical and nursing students and interns
to the curative, preventive and promotive aspects of rural community
medicine with a view to enabling them to practice in rural areas.
2. To render competent health and medical care and specialist and
family planning services to the hitherto neglected rural population
near their homes with the help of teachers from medical colleges
working in 50 bed tented hospitals.
3. To give a boost to all our national health and family planning
programme by ensuring a close cooperation between the teachers working
in the mobile hospitals and all programmes at all levels from the
top to the bottom.
4. To ensure active participation of the medical and para-medical
staff of the primary health cetres in those vicinity the camp of
the mobile hospital may be set up, so that they can be properly
trained in all aspects of rural community medicine and they can
also follow up the cases treated in the mobile hospital after it
moves to another area.
5. To hold clinical meetings and refresher courses with the help
of the teachers working in the mobile hospital and guest lecturers,
so that the primary health centre doctors and private practitioners
practicing in the vicinity of the camp can attend them in order
to keep their professional knowledge up to date and
6. To render medical relief at any place with short notice during
an emergency or a calamity in view of the mobility of the hospital.
Udaipur division mainly comprises of rural and tribal
areas; which are situated in very remote and secluded places, poorly
connected by roads and communication means. Hence arose the necessity
to provide door step services to those poor and needy people formation
of Mobile Surgical Unit Udaipur was a step forward towards this
service.
This unit was started under the blessings of Late Dr. B.N. Sharma,
Principal and Controller of Medical College and Associated group
of hospitals, Udaipur with the following staff:
M.O. (Medical Officer) : 1
Staff Nurse : 2
Theater assistant : 1
Radiographer : 1
Dark room assistant : 1
Senior technician : 1
UDC cum store keeper : 1
L.D.C. : 1
Driver : 2
Electrician : 1
Fitter : 1
Cook : 2
Class IV servant : 6
Sweeper : 4
Total : 25
The first camp was in year 1972 and it lasted for
2 months in which 10,525 patients were examined in out doors, 536
operations were done. Since then regular camps are organized. In
year 1974 one of these camps was visited by the then Chief Minister
Late Shri Hardeoji Joshi and was very much appreciated.
The Then Chief Minister Late Shri Hardeoji Joshi accompanied
by principal Late Dr. Shurveer Singh visiting the camp
The Then principal Dr. M.L. Gupta, HOD (PSM) Dr. T.P. Jain and MO
I/C Mobile unit Dr. Vallabh Parikh viewing the camp in 1977
•
Initially the principal and controller of medical college was the
administrating officer of the unit with only one post of medical
officer.
• In 1990 an additional post of junior specialist Surgery
was created.
• In 1993 a post of J.S. medicines was also added in the staff
totaling to three doctors.
• In 1996 the administrative control of this unit was transferred
from principal medical college to the Director Mobile Surgical Unit,
Jaipur.
• In 2002 this unit was reconstituted along with the Jaipur
unit.
This
unit is primarily to operate in the rural and tribal areas of Udaipur,
Rajsamand, Banswara and Dungarpur dist. It is a 100 bedded unit
with the annual budget of Rs. 8 lakhs, other than salary and wages.
Now, the staff pattern is as follows:
S.S. Surgery : 1
J.S. Ophthalmology : 1
J.S. Gynae and Obs. : 1
M.O. ENT : 1
U.D.C. : 1
L.D.C. : 1
Nurse grade I : 2
Nurse grade II : 6
Lab Technician : 1
Anasthesia Technician : 1
Driver : 2
Class IV servant : 8
Total : 26
CAMP
ACTIVITIES:
This unit is frequently organizing camps in the rural and tribal
areas with cooperation and help of NGOs; local social groups and
leaders. Generally camps are organized from the month of September
to May.
First
of all the camp site is decided which is usually such that large
number of persons are benefited, and the space is sufficient. About
15-20 days prior to the camp; publicity and propaganda is done.
Publicity is done in near by villages by pamphlates and loudspeakers
on jeep. The camp proper last for about 15 to 20 days; during which
the O.P.Ds. are conducted; patients are examined, investigations
including x-ray and ECG done, medicines are given free to all the
patients. Patients requiring surgery are admitted; investigated;
operated and looked after till they are well and discharged.
• A follow up team remains in camp to lookafter operated cases.
• High risk cases are referred to medical college hospital;
where they are investigated and operated.
• The unit is equipped with anaesthetic machine and surgical
instruments.
• Theater is generally set up in a pacca hall, fumigation
is done and thorough asepsis is maintained.
• All types of major and minor surgical, gynaecological and
eye operations are performed in camps eg. Cholecystectomy, Gastro
Jejunostomy, Lump Abdomen, various types of big and small Hernias,
Hydrocle, Piles, Cleft Lip, Brun Contractures, Hypospadius, Hystrectomies
and IOL etc.
• For indoor purpose big tents are erected with accommodation
of 100 beds and more if required. If building for OPDs is not available,
outdoors are also run in tents.
• Diet is also given free to all the admitted patients.
INVESTIGATIONS:
Mobile Surgical Unit has its own pathological laboratory where all
necessary investigations like blood tests, urine tests, blood transfusion
facility, blood sugar, urea, creatinine etc. are available. This
unit has a x-ray machine and E.C.G. machine to provide full facility
to patients. All investigations are completed within 24 hours, so
that they can be operated at earliest in same camps.
CAMP
ACHIEVEMENTS:
The following is the details of camps organized, patients seen in
O.P.D., cases investigated, treated and operated:
Highlights
of Mobile Surgical Camp:-
1. Doorsteps services.
2. Medicines supplied free of cost.
3. Diet to the patient given free of cost.
4. Good interaction between doctors and local people.
5. Patients benefited by all Major & Minor Surgical operations.
SHORT
COMINGS:
In the effort to provide medical services to the lesser privileged:
the unit is facing many hinderances and limitations to enlist some:
Funds: The unit is generally running short of funds,
without the financial help from NGOs, to organize a camp is difficult.
In remote areas again there is difficulty in finding local NGOs
who can partly finance the camp.
Lack of proper vehicles
Shortage of staff: For any programme to be successful,
human resources are important. Staff allotted to this unit is insufficient
and on top of that many posts are lying vacant. No post of accountant
in the unit.
Medical equipments: This unit is not having some very important
emergency and non-emergency medical equipments like Cardiac Monitor
and Defibrillater, pulse oxymetre, temperature compensated and caliberated
halothene vaporizer, blood urea test kit, electric cautery machine,
sonography machine, operating eye microscope etc.
Inspite
of all the shortcomings and limitations, the unit team’s zeal
and enthusiasm has been able to deliver good medical services to
those in need and deprived.
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