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Community Medicine is the branch of medicine concerned with the health of populations rather than individuals. It strives to protect and promote the health and well-being of the community through the primary health care approach.

Health needs of populations are measured and appropriate strategies are developed to improve the health status of the community as a whole through health promotion, disease prevention and health protection.

Undergraduate training in community medicine aims at nurturing primary care physicians who can recognize and mange common health problems in their community. The community-oriented primary care physician will have the ability to identify, prioritize and manage the health problems of the community. He / She would be an effective leader of the health team at primary care level.

Postgraduate training in community medicine aims to create community physicians who demonstrate excellence in academics, epidemiology and health research, and leadership skills. He/she is instrumental in development of public health policy, design, implementation and evaluation of health programme on a broad range of community health issues.

Vision

The vision of the department of community medicine, Mahatma Gandhi Medical College and Research Institute is to be an internationally recognised centre of excellence for training, research and health care delivery for public health.

Mission

The community medicine department is committed to educating medical undergraduates, postgraduates and other health professionals to be community responsive primary care physicians who meet the health care needs of the community and the country responsive to socio-demographic issues using scientific and evidence based approach.

 


Rural Health Training Centre

The rural health training center is located in Seliamedu village under Dept of Community Medicine. The village was adopted in 2001 and it is 4 kilo meters distance from the institute. Initially two villages adjacent to RHTC were the field practicing area. Over the years, the coverage expanded to eight villages in our RHTC.

Objective

To set a primary health care service delivery model as a tool for learning for the undergraduate as well as post graduate medical students

 Functions & Activities
  • Diagnosis and treatment of common medical problems.
  • Training of under graduates and post graduate medical students.
  • Maintain records of Health/demographic profile of the population serve
  • Promoting reproductive and child health services
  • School health program.
  • Involving national health programs/ Importance days
  • Spreading health awareness through Health education programs
  • Reaching the underprivileged through outreach services
 Field practicing area
  1. Seliamedu
  2. Aranganur
  3. Nirnayapattu
  4. Kudirupalayam
  5. Pinnactchikuppam
  6. Adingapattu
  7. Melazhingapattu
  8. Kumaramangalam
Intensive coverage area
  1. Selimedu
  2. Aranganur
  3. Kudirupalayam
  4. Nirnayapattu
Community based services

The RHTC is committed to do community based services in field based area which is training of our CRRIs and PGs. Some of the community activities  are National Pulse Polio campaign, Booth activity in the RHTC, Field activity in Melazhingapattu village.

Apart from these activities RHTC also organizes various Health awareness programme like drawing competition for school students ,  road rally on special occasions to create awareness. Weekly health education programme, Community diagnosis and health camps/ Mobile clinics, School health service etc., are some of the activities carried by RHTC.

Urban Health Training Centre

 Objectives
  1. To serve as a field practice area for the training of medical undergraduates, postgraduates and nursing students as per MCI requirements
  2. To provide preventive, promotive, curative and rehabilitative service to an urban population
  3. To implement of National Health Programs in urban area
  4. To prepare and implement of the short term research projects (ICMR-STS projects) , if any  in the urban community
  5. To have research training for postgraduate students for their MD dissertation
Services & facilities - Patient care 
  • All working days: General OPD
  • Tuesday: Dermatology & Ophthalomology
  • Thursday: ENT
Initiatives and Activities

National health programmes  Department of Community Medicine, UHTC –Ariyankuppam staff along with Interns, Medical officer, Post graduate and faculties take active part on various in Pulse Polio Programme.

Maternal and Child Health Programme

ANMs posted at Ariyankuppam-UHTC visit field practice area of UHTC and look for new ANC cases. They also try to identify any complication among pregnant mothers and refer them to MGMCRI and other hospital for further care. They conduct health education sessions among ANC mothers frequently at UHTC and communicate to pregnant mothers and  her family members when they have home visits. ANMs ensure that all pregnant mothers to get ANC care to have healthy mother and healthy child. Beside this, ANMs also have health awareness programmes on different themes in the vicinity area of UHTC. Interns, medical officer and post graduate students under the guidance of faculty from the department of community medicine are take active part in organizing these sessions.

School Health Education

Health education activities are also carried out in few schools nearby the UHTC Ariyankuppam. Interns , PGs and faculties have discussed topics like personal hygiene, anaemia & HIV AIDS among the students.

Ante natal care services:

New registrations - As soon as any lady is detected of having pregnancy, she is registered by ANM. She will be given time to time advice & checkups will be done. She will be encouraged to have institutional delivery for better outcome.

Repeat ANC visits - All ANCs in the field practice area are being visited regularly. Iron Folic acid tablets and TT immunization is being advised to those who have not taken according to guidelines.

High risk cases identified - High riskpregnancies are identified and referred to higher center for better management.                                                                   

UNIVERSAL IMMUNISATION PROGRAMME

ANMs are visiting in the field practice area of UHTC-Ariyankuppam and ensure that each child under five years of age must receive all vaccines against vaccine preventable diseases. Usually it is seen that children are being immunized at government Primary Health Centers/hospitals.

ANC TT IMMUNISATION

Any pregnancy lady found to be not immunized for tetanus toxoid, they are given at UHTC center.

 ICTC

Patients will be referred to newly started ICTC (Integrated Counseling & Testing Center) at MGMCRI.

Dental OPD

Dental OPD is running at UHTC-Ariyankuppam. Full time dentist and interns from Indira Gandhi Dental College are giving services in dental OPD. Services like dental scaling and dental filling & extraction and other routine dental problem are given at UHTC free of cost.

Laboratory service

Ariyankuppam UHTC also has laboratory services. Lab technician is able to do following investigation (free of cost) at lab with available infrastructure. Those tests are Hb estimation, Blood group, ESR, Urine-Albumin &sugar and blood sugar levels etc. While for lipid profile, Thyroid profile and other test, sample is taken and sent to MGMCRI central lab for report on payment basis. This has helped people in a great way.

VILLAGE KNOWLEDGE CENTRE

In 1992 an interdisciplinary dialogue was held at the M S Swaminathan research Foundation (MSSRF) in Chennai, India, on the theme "Information Technology, Reaching the Unreached". The outcome of this discussion was a belief that Information and Communication Technologies (ICT) had great potential for supporting rural development and sustainable agriculture in developing countries.

Information Village Research Project was launched with financial support from International Development Research Centre, Canada, in the Union Territory of Pondicherry in South India, in January 1998.

It is a network of ten villages with computers, printers, telephones, very high frequency (VHF) duplex radio devices and other accessories. VKC in Veerampattinam was started on 4th April 1999 and in Pannithitu was 6th August 2000.

As per the official tie up with M.S. Swaminathan Research Foundation (MSSRF) for providing rural health care at the Village Knowledge Centres (VKC), MGMC&RI has adopted two Village knowledge centres (VKC) at Pannithitu & Veerampattinam.

Department of Community Medicine, MGMC & RI inaugurated the weekly clinic in Pannithitu and Veerampattinam on 8th & 9th September respectively. Thereafter postgraduates are posted for the weekly clinic in Pannithitu and Veerampattinam on Tuesdays and Thursdays regularly.

 


Initiatives and Activities

Outreach health camps – Every year the Department organizes multi-specialty health camps in collaboration with other organizations. In these camps IEC materials prepared by students are displayed to aim at promoting health seeking behavior in the long term. Unlike other general curative health camp, these camps targets more of preventive and promotive health working, majorly on building awareness regarding common ailments, family planning methods, nutrition, hygiene and sanitation. At times these medical camps also provides comprehensive multi specialty health services at free of cost. Faculty members across various departments of the institution also contribute to these camps. Seven such camps were organized in the year 2013 at places like Azhagiyanatham, Pooranamkuppam, Melazhigipattu, Kumaramangalam, Kurivinatham, Melazhipattu, Erulansanthai .

Health related events – The department also engages itself in conducting various health related events on special health days. These events focus mainly on creating awareness among public on various health related issues. Some of the initiatives of the department are as follows:-

World No Tobacco Day 2013 - A road rally was organized by Indira Gandhi Institute of Dental Sciences on 31 May 2013 to mark the ‘World No Tobacco Day - 2013’.

World Population Day 2013 - Department of community medicine actively involved along with IGIDS and KGNC to celebrate the World Population Day 2013 on 11th July by participating in road rally, poster competition. The Department also organized drawing competition for high school students on “Avoid Adolescents pregnancy”.

Regular  visits to establishments/centres

Regular visits are being done by the post-graduates to get the exposure of functioning of government health care systems namely Sub-Health Centre, Primary Health Centre, Community Health Centre, Anganwadi centre, Vector control research centre, Government hest Clinic , Sewage treatment plant, Water treatment plant, District Leprosy centre, Pondicherry AIDS control Society (PACS), Commune Panchayat.

Apart from these visits the department also collaborates with other non-profit organizations / units like SOS Village, Helpage India and Village Knowledge Centre (VKC) to provide preventive and curative services.    

 

Outreach Activities


Under Construction

 


Ongoing Research Projects- Faculty

S.NO NAME PROJECT TITLE
1 Dr. K. A. Narayan Sero Spatial analysis of vector borne diseases in a district of Tamilnadu.
2 Dr. K. A. Narayan Tele-monitoring of chronic illnesses  in Puducherry
3 Dr. K. A. Narayan Standardisation of evaluation processes of SBVU
Dr. N. Seetharaman Perception and Practices of e-waste disposal in a private medical university
5 Dr. D. R Bharati Study of childhood bronchial asthma and its associated risk factors among school children in rural Puducherry.
6 Dr. Rajkumar Patil Awareness about eye donation among adult population in rural Puducherry
7 Dr. Partha Nandi Prevalence and factors of depression among geriatric population-community based qualitative study in Rural Puducherry
8 Dr. Partha Nandi A comparative study of effectiveness of homeopathic and allopathic medicine for allergy among geriatric population. A community based study in rural Puducherry.
9 Dr. Partha Nandi Burden of type 2 diabetes mellitus and determinants of glycemic control in diabetic patients. A study from Pondicherry-South India
10 Dr. Partha Nandi Effect of monthly internal assessment test on chronic abseentism and truancy among 6th semester MBBS students
11
  1. Shib Sekhar Datta
Feedback of medical interns regarding peripheral postings in Community Medicine:   Qualitative  findings from a teaching medical institution in Pondicherry, South India
12
  1. Shib Sekhar Datta
Introducing sex education in school curriculum: Perception of school teachers in peri-urban Pondicherry.
13
  1. Shib Sekhar Datta
How booster training of medical interns drastically improves their prescription behaviour: Evidence from a teaching medical institution from Pondicherry, South India.
14 Dr. Abhijit Boratne Predictors of selected menstrual hygiene practices among adolescent girls in Pondicherry
15 Dr. Abhijit Boratne Perception and practices regarding menstruation among adolescent school girls in Pondicherry
16 Dr. M. Prabakaran Study on utilization of Family Planning Services in the Rural commune of Puducherry
Dr.Kanagarajan P A Longitudinal study on School Health, Rural Puducherry.
18 Dr. Vaithiyanathan A study on Alcohol dependence and associated factors among adult males of Veerampattinam Village, Rural Puducherry.

Ongoing research projects Post-graduates

 
S. No NAME PROJECT TITLE GUIDE CO-GUIDE
1 Dr.Ramya Comparison of prevalence of obesity and its co-morbidities in rural and urban area of Puducherry Dr.K.A.Narayan Dr. M. Prabakaran
2 Dr. Hemapriya A study of menstrual hygiene and related personal hygiene practices among adolescent girls in rural Puducherry Dr. Partha Nandi -
3 Dr. Fredrick Stephen Prevalence of hypertension and its associated factors in rural and urban Puducherry Dr. Rajkumar Patil Dr. Abhijit V.Boratne
Dr. Krithiga An epidemiological study of common mental disorders and associated risk factors among rural married women in rural Puducherry Dr. D. R. Bharati Dr. Eswaran (Dept. of  Psychiatry)
5 Dr.Ramkumar Health related quality of life among tuberculosis patients under RNTCP in  Rural& Urban Puducherry. Dr. N. Seetharaman Dr.Pajanivel (Dept. of Pulmonary Medicine)
6 Dr.Nishanthini Study to determine Medico Social Dimension of Menopause in Rural area of Puducherry. Dr. Partha Nandi Dr.K.A.Narayan
7 Dr. Nitesh Mangal Subjective assessment of sleep quality and its correlates among adult population in Urban Puducherry-A Cross-Sectional Study Dr.Rajkumar Patel Dr. M. Prabakaran
8 Dr.Arthi  An epidemiological study of malnutrition and the effect of health education among under 5 children in rural Puducherry. Dr. D.R .Bharati Dr.K.A.Narayan
9 Dr.Ramya Effect on maternal weight gain during pregnancy on nutritional status on newborn using clinical assessment of nutritional status score (CAN) Dr. Yogesh A. Bahurupi   Dr.K.A.Narayan -
10 Dr. Fredrick Stephen Utility of a journal as a tool for framing PBL exercises Dr.K.A.Narayan   Dr. P. Vaithiyanathan
         

Ongoing research projects - Undergraduate Students

 
S.No NAME PROJECT TITLE GUIDE
ICMR-STS Projects -Completed in 2013
1 R.Pandiyan A study to assess feasibility of Short Messaging Service in effectively delivering maternal & child healthcare messages in rural area of Tamil Nadu Dr. Shib Sekhar Datta
2 Murugavangini E A study of knowledge and practices regarding birth preparedness and readiness of complication among the mothers of infants in rural Puducherry Dr.Abhijit V. Boratne
3 BojjaSaradaSireesha A study to assess household expenditure on illnesses during infancy in rural Puducherry Dr.Yogesh A. Bahurupi
ICMR-STS Projects -Proposal Submitted  for 2014
1 DhivyaNarasimhan A study to assess feasibility of social media in effectively promoting reproductive health among             unmarried females (18-25 years) in an urban area of Pondicherry Dr. Shib Sekhar Datta
2 Visakan B A community based study of domestic injuries among pre-school children in a rural area of Puducherry. Dr.Abhijit V. Boratne
3 DivyasreeKasikuppam An epidemiological study to assess body image perception and its effect on well-being among adolescent girls in rural areas of Pondicherry Dr.Yogesh A. Bahurupi
 

 

 


Undergraduate training

As part of the curriculum for the medical degree awarded by our institution, students undergo training in community medicine during their first, second and third year MBBS. At any given point in the year, the department would be handling seven batches / semesters of MBBS students, in addition to interns – which is a very unique aspect of the department. This is also reflected in the fact that ours is the only department to have both clinical postings and practical classes, apart from theory classes.

At the end of the training in community medicine, the students are required to meet certain objectives drawn from the departmental and institutional goals.

The objectives are
  • to appraise the health status of a community
  • to be familiar with the health care service delivery system of our country
  • to become a competent primary health care physician

In addition to class-room teaching, MBBS Students are taken to the field-practice areas of Urban / Rural health centres to study the pattern of health & disease in the community settings and to relate to the psycho-social and cultural dimensions of health. Students are trained to carry out family surveys, diet surveys & morbidity surveys, meet village leaders and are imparted the skills of diagnosing the community health problems and to identify the solution along with the community members.

Study visits are made to the Government Health Sub centers, ICDS centers, Primary Health centers, Schools, Old age homes and also to the TB, Leprosy and Filaria Control Units to have first-hand information on their role in primary health care. Visits are also made to special schools with differently abled children to understand re-habitation and to have overview about organization and functioning of a Non-governmental organisation.

For each batch of undergraduate students, a separate faculty has been designated as their batch coordinator to ensure scheduling of classes, to follow up students attendance reports, academic performance and to report to the head about defaulters (if any) and to conduct end semester examinations. The coordinator for a particular batch would be moving along with his batch of students as they progress from the first to the seventh semester.

The teaching schedule has been restructured in such a way that the weightage has been given to topics based on their public health importance and in the view of undergraduate exams.

Innovations in Undergraduate Teaching
  • A module for I MBBS students has been designed with an objective to improve and achieve the skills on communication, Basic Life Support, First Aid & transport of injured patients and also to understand importance of sociology, universal precautions and health care system.  Module also includes early clinical exposure to know the applied aspects of anatomy and physiology of growth and development.
  • In III semester clinical postings research methodology including both qualitative and quantitative research, data analysis using software and skills in organizing a health camp has been incorporated in existing village health survey.
  • The practical sessions for III semester students has been converted in Problem Based Learning (PBL) for the topics like housing & surrounding environment, water & sanitation, air pollution, integrated vector control methods and waste management including Bio-medical waste.
  • During  V semester practical’s Family Health Advisory Programme (FHAP) has been organized with an objective to understand that the family is a basic unit for the health care in the community and also to obtain practical experience in health promotion, specific protection, early diagnosis, prompt treatment, disability limitation and rehabilitation.
  • In VI semester, Problem Solving Exercises (PSE) has been introduced in topics like essential drugs, ethics, screening, immunization, maternal and child health, disaster management and nutrition.
  • In VII semester clinical postings, the module has been created in such a way that the students will attain knowledge on particular disease and management associated clinic-social factors and exposure on nationalized programme to control/eliminate/eradicate that particular disease.
Post-graduate training

MD (Community Medicine) curriculum was revised in the year 2013. Curricular objectives have been redefined based on current advances in the field of public health. Newer topics were introduced to meet the curricular objectives. Posting of PG students are modified to make it more relevant to Public health.