Abstract of Dissertation

Keyword : Slums; Mobile medical van; urbanization; TAABAR Mobile Medical Van;

Objective : To assess the status of services provided by TAABAR mobile clinic in slums of Jaipur, Rajasthan.

Background : The absolute number of slum dwellers is increasing. With increase in absolute number, rises problems related to urbanization i.e. poverty, urban sprawl, unhygienic living conditions, lack of housing, lack of accessible and affordable healthcare. In order to cater the need of accessible and affordable care, various initiatives are carried out. One such initiative is to provide primary healthcare at the door step of the underprivileged population and such kind of work is done by TAABAR mobile medical van.

Methodology : Study design: Descriptive cross sectional study Study location: Six slums of Jaipur namely Railway station, Kagdiwada, Luniyawas, Jhalana, Khor, Premnagar. Study subject: Patients visiting the facility who are above 18 years of age. Sampling: Simple random sampling, 20 respondents from each place. Data collection: Primary data through personal interviews with the help of semi-structured questionnaire. Secondary data was used from mobile van records.

Findings : As per mobile van’s records, total no. of patients visiting the facility in the past four years has shown increase in numbers reaching to more than 22000 patients served in a year. Both old and new cases as well as no. of males and females receiving the services are increasing continuously indicating mobile medical van’s growing reach and coverage in slums. According to survey, thirty-eight per cent of the patients were newly registered i.e. visiting the facility for the first time and 62% had availed the services before. Among the newly registered patients 67% of them said that they came to know about this facility through awareness campaigning whereas those who were registered previously, 47% of them were informed by awareness campaigning. There were only 3 cases which were to be referred and they were referred to government setting. When enquired about prescription, nearly 68% of the prescription had no mention about diagnosis/symptoms. The basic disease profile of the patients was displayed through the prescriptions which had diagnosis written in them as well as the symptoms reported by the patients. Most widely reported symptoms were fever, cough & cold, knee pain/joint pain, itching and rashes. All the patients had received some or the other medicines and were counselled about its administration. Duration of medicines prescribed was not more than 6 to 10 days for any patient indicating treatment is given for acute illnesses. Patients were counselled about preventive measures and messages such as related to nutrition, personal hygiene, physical activities etc.

Recommendations : For this study assessment of services like referrals, follow-ups, type of registration, distribution of medicines, duration, diseases treated, counselling etc. Prescription filling needs improvement as it is required to mention diagnosis or symptoms of the patient in the prescription as thus provides useful information. Also, information regarding preventive measures and quality of life needs to be spread which can help in educating the community regarding various diseases. Currently mobile van is catering to acute illnesses but with this setup and acceptance among the community, management of chronic illnesses will not only enhance their patient pool but also will make their reach wide.

What is the status of services being provided by TAABAR mobile clinic in slums of Jaipur, Rajasthan?