Dudeja Puja, Singh Amarjeet, Jindal A K
PhD Student, School of Public Health, PGIMER, Chandigarh, India.
Professor, School of Public Health, PGIMER, Chandigarh, India.
Med J Armed Forces India. 2014 Jan;70(1):64-7. doi: 10.1016/j.mjafi.2013.10.001. Epub 2013 Dec 16.
Army Medical Corps provides comprehensive health care services to troops and their dependents. This approach is in consonance with the concept of Health Promoting Hospitals (HPH) initiative introduced by WHO in 1986. However, the concept is still at an infancy stage in civil health care system in India. This article describes the experiences and advantages of establishing a Well Women's Clinic (WWC) in a station of North India.
A system analysis approach was followed for analyzing input, process and output of the WWC during 2007-2009. Inputs included manpower and material i.e public health expert, non medical attendant and a nursing officer charts, poster, models, Television with Compact Disc (CD) player and CDs etc. Health promotion activities were conducted in the form of lectures, demonstrations, workshops, training, screening of movies, quiz, essay writing and declamation contests etc.
Overall 385 lectures, 12 competitions, 07 training capsules were conducted. Coverage of target population was 92%. First aid training workshop trained 300 women. Six percent of the counseled women opted for tubectomy. Twelve new cases of diabetes and four new cases of hypertension were detected through screening. Seventy-two women were referred for dental treatment after a dental screening camp.
Establishment of WWC using HPH approach was quite cost effective.
陆军医疗队为部队及其家属提供全面的医疗保健服务。这种做法与世界卫生组织1986年提出的促进健康医院（HPH）倡议的理念相一致。然而，这一理念在印度的民用医疗保健系统中仍处于起步阶段。本文描述了在印度北部一个驻地建立妇女健康诊所（WWC）的经验和优势。
采用系统分析方法，对2007 - 2009年期间妇女健康诊所的输入、过程和输出进行分析。输入包括人力和物力，即公共卫生专家、非医疗护理人员和一名护理军官，图表、海报、模型、带光盘播放器的电视机和光盘等。健康促进活动以讲座、示范、工作坊、培训、电影放映、知识竞赛、征文比赛和朗诵比赛等形式开展。
共举办了385场讲座、12场竞赛、7次培训单元。目标人群覆盖率为92%。急救培训工作坊培训了300名妇女。接受咨询的妇女中有6%选择了输卵管结扎术。通过筛查发现了12例糖尿病新病例和4例高血压新病例。在一次牙科筛查活动后，72名妇女被转诊接受牙科治疗。
采用促进健康医院方法建立妇女健康诊所具有很高的成本效益。
