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Hph General Hospital Sirsa New Ppt


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Hph General Hospital Sirsa New Ppt

  1. 1. 06/23/09 Evaluation of General Hospital Sirsa as a Health Promoting Hospital Presented by:- Dr.Jaideep Master in public health (Student) Panjab university, Chandigarh
  2. 2. 06/23/09 <ul><li>I want to give special thanks to </li></ul><ul><li>DR.S.K.SHARMA </li></ul><ul><li>M.D. (Forensic medicine) </li></ul><ul><li>C.M.O. General Hospital, Sirsa </li></ul><ul><li>DR.S.L.AGARWAL </li></ul><ul><li>Medical Superintendent </li></ul><ul><li>General Hospital,Sirsa </li></ul><ul><li>DR.VIRESH BHUSHAN </li></ul><ul><li>M.B.B.S.,D.H.A. </li></ul><ul><li>R.M.O. General Hospital, Sirsa </li></ul>Acknowledgement
  3. 3. Hospitals in India: Traditional Model 06/23/09 H O S P I T A L Building Staff (Medical/ paramedical Health care facilities OPD (Patients and Escorts) Indoor services Mainly curative Health services
  4. 4. Health Promoting Hospital: Changing scenario <ul><li>Ottawa Charter Declaration in 1986 </li></ul><ul><li>Integration of health promotion into all the activities of the institution </li></ul><ul><li>Creation of healthy environment for staff and clients </li></ul><ul><li>Against this background,I conducted my study </li></ul>06/23/09
  5. 5. Objective <ul><li>To evaluate </li></ul><ul><li>GENRAL HOSPITAL SIRSA </li></ul><ul><li>as a Health Promoting Hospital </li></ul><ul><li>Key words: HPH (Health Promoting Hospital) </li></ul>06/23/09
  6. 6. 06/23/09 Introduction To Hospital: General Hospital Sirsa strives for the best spirit of Health Care and Welfare. This hospital is 120 bedded multi specialty hospital located in urban area of Sirsa city catering to population of more than 3 lacs. This is main Dist. Hospital in Sirsa in Govt. sector. It has specialist wards for the patients requiring care by specialists like Physician, General Surgeon, Orthopaedic Surgeon, Eye Surgeon, Gynaecologist & Obstetrician, Pediatrician, ENT Surgeon, Dental Unit and Physiotherapy Centre. All the specialists also give their services in the OPD. Hospital is having a separate casualty and ICU facility having 8 beds catering to patients of different kinds needing intensive care. ICU, OPD’s, Gynae Unit, and Operation Theatres are fully equipped with all modern and latest facilities. Almost 5-7 major General /Orthopaedic/ Gynae/ Eye Surgeries are being performed including Emergency Care. Family planning operations are done every day. Lower strata of society are taking the full advantage of this Govt. hospital as most of the services are provided without any cost or on a nominal fee. The Radiology Dept. has State of Art facilities like Spiral CT, Color Doppler, 500 MA X-Ray fixed and portable.
  7. 7. 06/23/09 Gen. Hospital Bed 100 Daily OPD:- 600 Bed occupancy rate :- 85
  8. 8. 06/23/09 Methodology Study Area :- General Hospital, Sirsa, Haryana. Study Period:- January 2009 Study design:- Crossectional & observational study Study Tools:- 1.Self assessment for Health promoting indicators of the hospital. 2.Interview of Health workers 3.Observation of functioning of the Hospital.
  9. 9. <ul><li>1.Green cover:Partialy covered </li></ul>06/23/09 Evaluation of HPH indicators
  10. 10. 06/23/09
  11. 11. 06/23/09 2. Noise level Noise level is not lies with in permissible limit inside hospital and OPD due to marriage palace situated near the hospital. marriage palace Common boundary wall of hospital & marriage palace Hospital
  12. 12. <ul><li>3. Natural light and ventilation </li></ul>06/23/09 <ul><ul><li>Limited assess to fresh air and natural light at all levels </li></ul></ul>
  13. 13. 4.Disabled friendly 06/23/09 <ul><li>Ramps available No adequate Wheel chairs are available No lifts for handicapped patients </li></ul>
  14. 14. 06/23/09 5.Seating facility <ul><li>Adequate seating facility for patients in hospital OPD. </li></ul>No seating facility for attendant of patients inside hospital IPD.
  15. 15. 06/23/09 Water cooler without water No sufficient water coolers found to be at required places inside hospital. Bio-medical waste Open panel 6. Safe drinking water :-
  16. 16. 06/23/09 Water cooler with water
  17. 17. 06/23/09 Water tank with water
  18. 18. 06/23/09 Incinerator of hospital Started in 1998, Cost 9 lakhs 19 thousand. (Not used by hospital authority) <ul><li>7. bio-medical waste management </li></ul>
  19. 19. 06/23/09 Availability and position of dustbins in wards Card box was used as dustbin
  20. 20. 06/23/09 Medical Ward Card box was used as dustbin
  21. 21. 06/23/09 Surgical Ward
  22. 22. 06/23/09 Ortho Ward
  23. 23. 06/23/09 Gyn.Ward
  24. 24. 06/23/09 EMERGENCY WARD
  25. 25. 06/23/09 Guidelines for use of Red dustbin Red dustbins in civil hospital
  26. 26. 06/23/09 Red dustbins in civil hospital
  27. 27. 06/23/09 Guidelines for use of yellow dustbin Yellow dustbins in civil hospital
  28. 28. 06/23/09 Yellow dustbins in civil hospital
  29. 29. 06/23/09 Yellow dustbins in civil hospital
  30. 30. 06/23/09 Guidelines for use of blue dustbin Blue dustbins in civil hospital
  31. 31. 06/23/09 Bio-medical waste mixed with Municipal waste in G.H.Sirsa campus Human Placenta
  32. 32. 06/23/09 Medical waste
  33. 33. 06/23/09 Rag pickers with BMW
  34. 34. 06/23/09 Transportation of BMW from G.H.Sirsa
  35. 35. 8.Sanitation 06/23/09 Toilet/Bathroom Cleaning
  36. 36. 06/23/09 Toilet/Bathroom Cleaning
  37. 37. 06/23/09 Toilet/Bathroom Cleaning
  38. 38. 06/23/09 Near the canteen & Trauma center CLEANLINESS
  39. 39. 06/23/09 Backside of hospital On the First floor
  40. 40. 06/23/09 Backside of hospital Backside of staff residence
  41. 41. 06/23/09 Backside of Gyn. ward
  42. 42. <ul><li>Parking facility near hospital without any shed for vehicles. </li></ul><ul><li>No security measures for parked vehicle at night. </li></ul><ul><li>No speed level < 20 Km./hr board is displayed inside campus to avoid mishaps. </li></ul>9.Traffic safety 06/23/09
  43. 43. 06/23/09
  44. 44. 10.Electrical Safety and Power backup 06/23/09 Dead generator <ul><li>Generators are not in working condition. </li></ul><ul><li>Open electrical wires and panels are present in hospital building. </li></ul><ul><li>Only one electrician for entire hospital. </li></ul><ul><li>Generators are declared to be dangerous to building and human life by hospital authority. </li></ul>Dead generator
  45. 45. 06/23/09 Open electrical wires and panels
  46. 46. <ul><li>No Fire safety measures are applied in the hospital . </li></ul><ul><li>No Fire safety measures are applied in the newly constructed Trauma center . </li></ul><ul><li>The building of C.T.Scan Center is accompanied by all the fire detecting & fighting equipments . </li></ul>06/23/09 11.Fire safety
  47. 47. 06/23/09 View of Autoclave Room only a small gate for entry & exit 12.Safety in Autoclave Room
  48. 48. <ul><li>No security measures are applied for the security of hospital furnitures and staff. </li></ul>06/23/09 13.Security
  49. 49. 14.Work place health promotion 06/23/09 <ul><li>Strategy to reduce health risk to staff: </li></ul><ul><ul><li>Apron compulsory to staff nurses while at work . </li></ul></ul><ul><ul><li>No gloves, masks, gowns used by staff. </li></ul></ul><ul><ul><li>No needle destroyer at place </li></ul></ul>
  50. 50. 15. Health promotion services for patients and their relatives <ul><li>No May I help you desks inside hospital </li></ul><ul><li>No News paper stands at places inside hospital </li></ul><ul><li>No meeting place for voluntary groups like alcohol Anonymous (AAA), Breath free group </li></ul>06/23/09 <ul><li>Free counseling centre like VCTC . </li></ul><ul><li>Blood bank society, Thallasemia society to help needy patients </li></ul><ul><li>Langar( free meal/milk) by voluntary agencies for poor patients and their attendants </li></ul>
  51. 51. <ul><li>No posters and panels </li></ul><ul><li>No gushing fountains </li></ul><ul><li>No television sets </li></ul><ul><li>No beautiful view inside hospital </li></ul>16.Recreational and IEC services 06/23/09 No recreational and IEC services are available in the hospital
  52. 52. 17. Health promotion services for staff 06/23/09 No Health promotion services are available for staff.
  53. 53. 18. Welfare activities for staff <ul><li>No welfare activities are planned for staff. </li></ul>06/23/09
  54. 54. 19. Social and cultural activities <ul><li>No social and cultural activities are organised in the hospital campus. </li></ul>06/23/09
  55. 55. 06/23/09 No Temples, Gurdwara and Church inside campus 20.Religious sentiments
  56. 56. 06/23/09 Canteen of Hospital
  57. 57. 06/23/09 View of the gallery of O.T. 21..Sterilization in the Operation theater
  58. 58. 06/23/09 View of the gallery of O.T.
  59. 59. 06/23/09 View of the gallery of O.T.
  60. 60. 06/23/09 At the gate of main O.T.Room Gate of main O.T.Room View of the gallery of O.T.
  61. 61. <ul><li>The scene of the condition & working in the main operation theater was not captured, because permission was not granted by the authority by giving the reason of sterilization . </li></ul>06/23/09
  62. 62. 06/23/09 Bathroom was locked. 22.Sterilization in Burn Ward
  63. 63. 06/23/09 Two pediatricians are available in the hospital but both are working as program officer and do not have sufficient time for pediatric care. 23. Child Care in the hospital
  64. 64. 06/23/09 Machine is not in working condition 24.Family Planning measures
  65. 65. 06/23/09 Furniture without care Furniture without care Furniture without care 25..Furniture care
  66. 66. 06/23/09
  67. 67. 06/23/09 Old New Steps to make hospital building more attractive
  68. 68. 06/23/09 Old Floor New Floor
  69. 69. 06/23/09
  70. 70. Equipments available in I.C.U. for critical care of patients. 06/23/09
  71. 71. 06/23/09
  72. 72. Results <ul><li>Strengths: </li></ul><ul><li>Many types of modern medical equipments & machines like C.T.Scan, ventilators, cardiac monitor, digital X-ray machine etc. are available in hospital. </li></ul><ul><li>Steps are taken by the authority to make hospital building more attractive. </li></ul>06/23/09 Strengths and weaknesses of HOSPITAL as per HPH standards <ul><li>Weaknesses: </li></ul><ul><li>Lack of man power (medical/para-medical/others) for proper functioning of health services. </li></ul><ul><li>Programme for quality assessment for health promotion activities not </li></ul><ul><li>available. </li></ul><ul><li>No criteria is maintained for expenditure on health according to patients need. </li></ul><ul><li>Lack of coordination between the different dept. working for health services. </li></ul><ul><li>No project formation is prepared & reviewed before & after implementation of different strategies by the specialized persons of Public health. </li></ul>
  73. 73. Conclusion <ul><li>Though the score of HPH standards is very low, but lot of positive HPH aspects of HOSPITAL were witnessed during my study (not tailored as per scale but own initiative of the hospital administration). </li></ul><ul><li>Suggestion for improvement:- </li></ul><ul><li>The possible ways to overcome low score and to improve the image of HOSPITAL as a HPH: </li></ul><ul><li>By assessing the need of man power and other things for hospital work and by fulfilling of all the requirements </li></ul><ul><li>Criteria for expenditure on health should be maintained according to patients need. </li></ul><ul><li>Clear cut HPH policy should be framed. </li></ul><ul><li>HPH activities should be declared and labeled as Health Promoting activities. </li></ul><ul><li>Quality assessment of Health promoting activities be done from time to time. </li></ul><ul><li>Specific personnel need to be deputed to promote HPH activities. </li></ul><ul><li>The will and spirit of HOSPITAL fraternity is the main thing </li></ul>06/23/09
  74. 74. 06/23/09
  75. 75. 06/23/09 Thanks !!