Success-Stories-on-Health-Sector

ProbleM stateMent
There was no prenatal screening for birth anomalies
especially in the government sector in this country
with few exceptions. Ultrasound is a non-invasive
technique of identifying some of the common birth defects
during antenatal visits by the pregnant mother but is not
used for identification of birth defects routinely.
PrograMMe DescriPtion
Started
First Phase: 2010-2013 and Second Phase: Since April 2014.
Area and population covered in
• Phase 1: 2010-2013: in 30 districts, 504 doctors of
256 PHCs screened 149600 cases approximately and
detected 1648 anomalies.
• Phase 2: April 2014: planned for 105 CEmONC centres,
16 Medical college hospitals and 154 Block PHCs at 30
districts.
the following activities were done under the intervention
a. Establishing the hardware: Computers/laptops are
provided at the centre with net connectivity.
b. Installing a dedicated software which will ensure
auditing of all the images.
c. Orientation of the doctors, online theoretical course
and mentoring of each doctor for the next 18 months
to validate their findings.
d. Software monitoring the number of scans done, quality
of scans and finally the diagnosis of each of the trained
doctors and a rating is done for each trainee.
e. Tracking of the positive cases and their outcome
through software.
The training objectives of this project are to train the
participants in Pregnancy dating, to identify most common
malformations, to diagnose IUGR, identify Placenta previa,
assess Liquor abnormalities, know when to refer to higher
centre and absorbing and tracking the outcome.
PrograMMe outcoMes
• Increase the skills of the Obstetricians to detect
fetal abnormalities and to identify other gestational
problems.
• Increase the skills of the Medical Officers from PHC
in the usage of ultrasound during the screening of
antenatal mothers so as to detect high-risk pregnancies
and fetal abnormalities.
• Preventing and managing birth defects.
• Identification of high-risk pregnancies for appropriate
and early referral.
iMPleMenting Partners
Mediscan System, Medall Health care Pvt. Ltd. and
Government of Tamil Nadu.
financial investMent
Approximately the cost of training each medical officer is
Rs. 46,500/- for a period of 18 months. The required funds
are provided through the State plan as well as NHM.
scalability
This programme can be implemented in any of the States.
It can be linked with a genetic lab service facilities and
RBSk.
conclusions/lessons learnt
The scientific technology of Ultrasound could be used for
improving the outcome of pregnancy in respect to both
mother and child. This would also reduce the burden of
birth defects.
In Phase-1, across 30 districts 504 doctors of 256 PHCs
screened 149600 cases and detected 1648 anomalies