Accessibility to Primary Healthcare for Villages around Pilani – A Telemedicine based Solution for Rural Women The UGC Center for Women Studies, BITS, Pilani has initiated an activity on Accessibility to Primary Healthcare for Villages around Pilani – A Telemedicine based Solution for Rural Women during 2007.
Technology plays a prominent role in development initiatives. The advances and convergence of IT and telecommunication can bring the entire health care services to the patient’s doorstep. Telemedicine is delivery of health care information across distances using telecom technology. Despite the large health infrastructure set up by the government to serve the rural population, healthcare does not reach all the villages. Villagers end up traveling long distances to access medical facilities. It may be noted that generally 90 per cent of the patients do not require surgery and if so the doctor generally need not touch the patient and in that case both need not to be at the same place. They can be at different locations and still the patient can be treated.
Pilani is a town surrounded by many small villages. Road connectivity in the rural areas is poor and vehicles are not easily available. Women mostly work and stay in the same village and seldom go to the town. It is difficult for them to get Primary Health Care in the village itself. Traveling to Pilani is not always easy and is also costly as well as time consuming.
Objectives- To provide basic health check-up and monitoring in the village itself with help of Information and Communication Technology
- To improve accessibility of health care and utilization of available primary Health Care for infants, children, women and elderly
- To provide low cost health care to the villages
- To improve immunization levels of children and pregnant women
- To educate young mothers regarding diarrhea, acute respiratory infections, hygiene, general cleanliness
Telemedicine Centre established by the UGC Centre for Women Studies, BITS-Pilani at Sewa Bharti, Pilani was inaugurated by Prof. L. K. Maheshwari, Vice Chancellor, BITS-Pilani on 15th August, 2007 with the above mentioned objectives:
Prof. Niruprama Prakash, Chief, Women Studies & Societal Development Unit, informed that the Computer, Software & the peripheral equipments have been provided by the UGC Centre for Women Studies, BITS, Pilani.
Speaking on the occasion, Dr. R. P. Pareek said that the Centre is only of its kind in Rajasthan in terms of telemedicine facilities being provided. Highlighting technical details of the Telemedicine Centre, Dr. Pareek said that the doctor sitting at BITS, Pilani Medical Centre can directly communicate with the patient at the other end through internet. Using the telemedicine kit, the patients can get their blood pressure, pulse rate, condition of the lungs and ECG measured and then examined live by the doctor sitting at the other end. He said that this can easily be performed at the patient’s end under the supervision of a trained technician or a nurse.
After the inauguration, Dr. Pareek demonstrated the working of the telemedicine kit to Prof. L. K. Maheshwari and others present. For this, a patient was examined by him and all the parameters were recorded by the telemedicine kit. An ECG was also recorded by a trained technician and all the reports were immediately sent through internet to Dr. Ashok Chaturvedi at BITS Medical Centre. Dr. Chaturvedi analyzed the patient’s report and gave his consultation to the patient live through teleconferencing. He also talked to the persons present in the room and gave some vital information regarding management of Diarrhea. The center will be using this method for health education for women, children and other patients.
Prof. Maheshwari appreciated the initiative and congratulated Dr. R. P. Pareek and Prof. Nirupama Prakash for a successful launching of the Telemedicine Centre which would provide low cost health care to the villages.
On this occasion, Shri K. S. Sharma, Coordinator, Sewa Bharti welcomed everybody and said that the Centre would improve the immunization levels of children and pregnant women in Pilani and surrounding villages.
The Deputy Directors of BITS, Pilani Prof. K. E. Raman and Prof. G. Raghurama congratulated team members of CWS for its achievement and said that the Center would go a long way in educating young mothers regarding diarrhea, acute respiratory infections, hygiene and general cleanliness. Most of the Deans and Unit Chiefs of BITS-Pilani, Scientists from CEERI, Pilani and eminent local citizens were present during the occasion. Unit members of WSSDU, Dr. S N Fatmi & Dr. S K Maharana actively helped in organizing the event. Prof. Nirupama Prakash thanked all persons for their co-operation and announced that Dr. R. P. Pareek, Medical Superintendent, Medical Centre, BITS-Pilani would be in charge of the Telemedicine Centre.
Since the establishment of the Telemedicine Centre, a time schedule has been planned. It has been designed to suit the patients, the doctor and also the person dealing at the consultation centre. Presently, patients are seen by both, on-line and store & forward techniques of tele-medicine. The patients, seen by the doctor himself on Sundays, have been asked to report on Wednesday evenings in case of any queries regarding the ongoing treatment.
New patients are also registered on Wednesdays and their complaints are fed in the computer programme. These patients have an interaction with the doctor and primary data are then recorded by the trained worker. The data and some of the recordings are examined by the doctor and basic medicines are given to them on doctor’s advice.
Sometimes the patients and healthy people also drop in at the Sewa Bharti Kendra for check up on other days of the week. If the trained worker is present at the centre he collects the data and also stores the findings. These are then forwarded to the doctor and he views them at his convenience. The patients are advised to leave their contact numbers/address and if the doctor finds something which requires immediate treatment, they are informed accordingly. Five sessions have been done so far and 22 patients have been given consultations. Out of them 16 were females and 5 males. ECGs were recorded for two patients. Medicines are provided by Sewa Bharti only after the doctor’s advice.