Rural Health Centre
Voluntary poverty is one thing but compulsory poverty is quite another.
The villagers were poor and diseased …...
the damage wrought by centuries of privation
could not be wiped away in a few years.
- J Krishnamurti
Affordable Primary Level Health Care to Below Poverty Line Rural Families
The Rural Health Centre, an outreach programme of the Rishi Valley Education Centre, was set up in July 1999, when a doctor (an old student) joined Rishi Valley with an intent of working with the rural poor.
- Area covered – approximately 60 revenue villages with a Below Poverty Line population of 200,000, located in the northern parts of Chittoor, contiguous parts of Anantpur and YSR (Kadapa) districts in AP and adjoining parts of Karnataka state
- Annual patient load of 22000
- 98% of patients have an annual income of < 48000.
- 2500 children (< 15 years) provided free/subsidised treatment and investigations annually.
- 30 - 50 children treated free at Secondary/Tertiary Care centres annually
- 2500 elderly patients (> 65 years) provided free/subsidised treatment and investigations annually.
- 70 - 80% of adult patient load is Non-Communicable Diseases – primarily Diabetes, Hypertension
- 20 – 30 pregnant women registered annually; Institutional Deliveries; Increase in birth weight and decrease in Infant and Maternal Mortality
Day Care: where patients are cared for obviating the need for admission and transfer to a hospital. We are able to resuscitate and manage most acute illnesses, e.g Acute Severe Asthma, Diabetic Hyperglycemic state, Acute febrile illnesses, Gastro enteritis with dehydration etc, at this centre.
Treatment Room: Dressings, wound care particularly of diabetic feet are done here.
Non Communicable Diseases – A team Approach
The majority of the workload of the RHC is in the management of Non Communicable Diseases (Hypertension, Diabetes, Thyroid Disorders, Chronic Obstructive Pulmonary Diseases, Arthritis etc).
What is worrying is the number of younger adults who present with these diseases.
Nurses as Physician Assistants: All our nurses are trained to interview patients and ask them questions relating to their health and well-being.