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Community Medicine

Established in 1999 and postgraduate programme (MD) was started in 2012. 
 

Vision : To excel in community oriented medical education along with preventive, promotive and curative community care and research.
 

Objectives:

1.    To provide quality community oriented medical education to the undergraduate and postgraduate medical students 
2.    To create social physicians capable of providing comprehensive care
3.    To provide preventive, promotive and curative services to the community through community outreach centers and outreach activities 
4.    To conduct socially relevant field-based research 
5.    To facilitate the implementation of National Health Programmes

 

Core competencies: 

1. Community oriented undergraduate teaching
2.  Comprehensive postgraduate teaching and training
3.  Fostering research, field projects and collaborations
4. Primary health care in the field practice areas
5. Implementation of national health programmes

 

Key features:

1.    Technology Enabled Health and Demographic Surveillance System (HDSS)
Background: Information about health needs and health problems of the community in rural and urban field practice areas is routinely being collected by paper pen method and family folders are updated annually. With objective to establish health and demographic surveillance system (HDSS) it was decided to move from pen paper based data capture to electronic data capture and from household survey to surveillance with special reference to maternal child health, non-communicable diseases and locally endemic diseases.
Pilot study: In order to establish technology enabled HDSS a pilot study was conducted using open access application, EpiCollect, Ver 5.0. Following the form building and training of staff, field workers captured the data in their respective field practice areas using epicollect mobile app. A total of 736 families spread across the field practice areas were covered in the pilot phase. 
Technology enabled HDSS: Following the pilot study technology enabled HDSS titled “Kutumba Aarogya Sarvekshana Hagu Rakshana Yojane” was developed with funding support of 15 lakhs INR from Tech4Dev grant of Chintu Gudiya Foundation, USA and technology partner Samanway research and development foundation, Bengaluru. 

Objectives of Technology enabled HDDS are as follows 
1.    To develop IT platform for community-based efficient, quality-assured data capture, analysis and reporting.
2.    To capture data about socio-demographic profile, family composition, environmental factors, health care facilities, health care utilization and health status of families under surveillance.
3.    Geospatial mapping of health problems 
4.    To collect data from individuals with special needs like pregnant mothers, under five children, history of fever, individuals with diabetes and hypertension and individuals with NCD risk factors on regular basis.
5.    To understand disease trends by collecting longitudinal data.

 

2.    Best practices in undergraduate teaching:

1.    Use of participatory approaches for Community Diagnosis, as part of first clinical postings, during second year MBBS and student research projects, as a part of second clinical postings, during second year MBBS.
2.    Family adoption programme in collaboration with Directorate of Rural Health Care and Development (RHCDC), from first year MBBS to internship. 
3.    E – Learning: with uploading of teaching content, online MCQ tests 

 

3.    Facilities:

•    Public health museum: Models of public health importance are displayed and posters depicting the significant contributions of scientists towards advances in public health exhibited.
•    Departmental library cum seminar hall: Library has an adequate collection of books and journals, which are being utilized by the postgraduates and faculty. 
•    Demonstration rooms: Two spacious demonstration rooms where teaching programmes and practical classes for undergraduates and postgraduates are conducted.
•    Public health laboratory: Public health procedures like water analysis are conducted. Undergraduate and Postgraduate practical classes are held.
•    Research laboratory: The laboratory is equipped with a Computer and instruments of public health importance and is well utilized by the faculty and postgraduates. 

 

4.    Services delivered by the Department through rural and urban  health training centres: 
•    Razia Rural Health Training Centre (RHTC), Harekala: It is situated 13 kilometres from Yenepoya Medical College, catering to a population of 30,045 and delivering 24X7 primary health care and training for interns, postgraduates. Accommodation and mess facilities have been provided. Weekly immunization, antenatal care and deliveries are conducted. It covers five villages: Harekala, Pavoor, Amblamogaru, Boliyar and Phajeer. 
•    Urban Health Training Centre (UHTC), Bunder: It is situated 10 kilometres from Yenepoya Medical College campus and caters to a population of 21,541.  Primary health care with weekly immunization, antenatal clinics , training for interns, postgraduates and transport to carry out field activities are provided. The areas of work include Bunder, Kudroli and Bengre. 

 

5.    Other services delivered by the Department:  

•    Outpatient services at Mangalore University: Daily outpatient services at Mangalore University, Konaje. 
•    St Lawrence rural health centre: OPD services on selected days 
•    Urban Primary Health Centre (UPHC), Bunder:  Evening clinic and special outreach camps are conducted in coordination with UPHC, Bunder.
•    National Health Programmes: Department is involved in the implementation of various National Health Programmes, in coordination with the District Health and Family Welfare Department.
•    Family Medicine OPD:  Department runs a Family Medicine OPD in the teaching hospital. Beneficiaries are screened for early detection of diabetes mellitus, hypertension and cancers. Health education on NCD prevention is conducted twice a week in the hospital wards. 
•    Mother Craft Clinic: Conducted twice a week at postnatal wards.  
•    Water Surveillance: Conducted on a monthly basis in the various hostels of the campus.

6.    Research grants: (from 2012 till date): Read more 
Received from ICMR, Tata Education and Trust UNICEF, DFID and The UNION for Structured Operational Research Course, Chintu Gudiya Foundation, USA and Samanway Research and Development Foundation, Bengaluru and RNTCP (NTEP) Operational Research State task force, Karnataka. 

 

7.    Publications (from 2012 till date): Read more
Department has a total of 192 publications from 2012 till date, with impact factor ranging from 0.39 to 8.22 and H-index from 1-6. 

 

8.    Awards and recognitions: Read more 
        
i.    Department of Community Medicine received the Department with Research potential award from Yenepoya (deemed to be University) on occasion of National Science Day 2019. 
ii.    Department of Community Medicine received the Department with Highest Publication Output award from Yenepoya (deemed to be University) on occasion of National Science Day 2020. 

9.    Conferences/workshops/short courses organized: Read more
Department of Community Medicine has conducted State Conference and various workshops, CMEs in collaboration with the State RNTCP Task Force, National Institute of Epidemiology, Chennai and International Union against Tuberculosis and Lung Disease, South East Asia Office, New Delhi.

 

10.    Collaborations:

1.    District Health and Family Welfare Society, Dakshina Kannada:
A.    Posting of interns at two primary health centres
B.    Deliver evening clinic services at UPHC Bunder 
C.    Conduct special outreach camps

2. International Union Against TB and Lung Diseases (The Union): Following courses have been organized as a part of this collaboration:
A. Quality Assured Data Capture using mobile phones
B. A beginner’s course on Geographic Information System using QGIS 
C. National Operations Research Course 2019 (SORTIT) 

3. Chintu Gudiya Foundation, USA and Samanway Research and Development 
Foundation, Bengaluru: Funded Technology enabled HDSS
4. UNICEF: Partnership regarding maternal and child health, adolescent health
5. Mangalore University: Department runs daily outpatient services at Mangalore 
University, Konaje

 

About the discipline:

Community Medicine deals with promotion of health and prevention of diseases, involving people’s participation. This subject will help to inculcate a holistic view of health and medical interventions primarily focused on the community. It will enable the learners to  acquire knowledge, skills, competencies in primary, secondary and  tertiary care, control and prevention of outbreaks/epidemics, community diagnosis, health needs assessment, epidemiological assessment, research and planning evidence-based health policies and programmes. The main purpose of Community Medicine teaching and training is to  create a cadre of professionals who are competent to meaningfully contribute their expertise in planning, implementation, co-ordination, monitoring, evaluation of primary health care programmes based on scientific evidence.
 

Programs run by the department: 

1.    Undergraduate medical training (MBBS)-5 ½ years 
2.    Post-graduation in Community Medicine (MD)-03 years: intake of four MD seats per year.