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WHY I STARTED
• Increasing Unemployment among Indian Dental Graduates –
High Time to Control Dental Manpower -
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385734/
• Jobless doctor ends life -(MDS ) - The deceased was
identified as Sirjanpreet Kaur, who completed her MDS four
months ago and was looking for a job.
http://www.tribuneindia.com/2014/20141129/ldh1.htm
• Dentists seek jobs in PHCs -
http://www.thehindu.com/news/cities/Hyderabad/dentists-seek-jobs-in-phcs/article7
Healthy Affordable Solutions Nationally for
Aam AAdmi
NATIONAL ORALHYGIENE
CAMPAIGN INDIA
Healthy Affordable Solutions Nationally for Aam AAdmi
Facts & CHALLENGES –
An ongoing experience with TRUTH
SELF SUSTAINED BUSINESS MODEL
An initiative for Fellow Dental & Medical
Practioner to render THERE EXPERTISE for
rural India – the back bone of our country –
THE FARMERS !
Healthy Affordable Solutions Nationally for
Aam AAdmi
Dr Sumit Dubey
BDS MDS FICOI
Healthy Affordable Solutions Nationally for
Aam AAdmi
Rural Dental Clinic
Gursahaiganj Kannauj
New Delhi
How it started
• Regularly organizing Camps for underprivileged at
Delhi/NCR
• So thought of opening a rural dental center
• Opened Dental Clinic in Remote area of district
Kannauj, Uttar Pradesh
• Started visiting for two days every week from Delhi
• But that was not sufficient- the ground level Picture
was different & Shocking.
Healthy Affordable Solutions Nationally for
Aam AAdmi
How the Journey started…..
• Villagers believed only in Tooth extractions
• For treatment they travel to 45km / 100km
• They have huge social, personal & Financial problems ,
couldn’t earn because of Draught / Job crisis
• Many elderly were deprived of treatment, nobody
was ready to take them to dentist or Quacks
Healthy Affordable Solutions Nationally for
Aam AAdmi
• Oral SubMucous Fibrosis cases were abundant
• Gutkha, bidi, tambhakoo, khaini, betel nut is there
bread n butter
PROBLEMS
ENCOUNTERED
Healthy Affordable Solutions Nationally for
Aam AAdmi
An Unexplored Oral Health Scenario –
Pilot Project
VISION:
– To provide Prophylactive & Preventive Oral Care
Remote villages of India
– To adopt villages for complete Dental Care
– To provide Healthy Affordable Solutions
Nationally for Aam Aadmi ( HASNAA)
– To start Dental Camp India , Anti Tobacco / Cancer
Prevention Campaign/ programmes
Healthy Affordable Solutions Nationally for
Aam AAdmi
Identification of Rural Villages
• Discussion
Healthy Affordable Solutions Nationally for
Aam AAdmi
Door to Door- farm to farm Oral
Hygiene Awareness
Healthy Affordable Solutions Nationally for
Aam AAdmi
UNDERSTANDING THERE NEEDS
Healthy Affordable Solutions Nationally for
Aam AAdmi
Workshop/ lectures/ Demonstration
Healthy Affordable Solutions Nationally for
Aam AAdmi
Introducing “KULLA TEAM”
Healthy Affordable Solutions Nationally for
Aam AAdmi
Villagers bring there Glasses & everybody does “kulla” as demonstrated.
3 member team / local villagers invigilates on daily basis. ( added fun to
there life)
Interaction
– Discussion
– Lectures
– Presentation
– Pamphlets/Handbill
– Multimedia – Animated Movies
– Oral Care guiding Hindi Manual
– Tobacco Habit Breaking alternatives
– Focus on Cancer
Healthy Affordable Solutions Nationally for
Aam AAdmi
Dental Camps
Healthy Affordable Solutions Nationally for
Aam AAdmi
Infection / Reaction control Protocol
• Villagers didn’t have any clue about sensitivity test ( before
extraction / RCT)
• Autoclaved / Sterilized instruments ( which I carry every time to
Delhi and bring them back )
• Packed gauge pieces - post extraction is given to them
• Patient drape concept / Chlorhexidine mouth rinses before
dental procedure
• Compulsory Prophylactic antibiotic pre treatment coverage
(68% patients have periodontal Problem )
• In house 48 years experienced well reputed Bsc MBBS (Retd Dy CMO)
Doctor from KGMC Lucknow for any emergency. ( 24 x7 )
Healthy Affordable Solutions Nationally for
Aam AAdmi
Appointment for Further
Treatment
– Green Pass: They just need Oral Home Care
(satisfactory)
– Yellow Pass : They should Visit dentist in 3-4 days
times at base center
– Red Pass: Immediate Require Dental Intervention
at base center
– Blue Pass: Emergency referral to higher center or
Senior Dental Specialist.
Healthy Affordable Solutions Nationally for
Aam AAdmi
Treatment & Results
Healthy Affordable Solutions Nationally for
Aam AAdmi
Functioning/ Maintenance
• Number of Working days two
• One Village in 2 months is covered- Revisit in
that village is given 2 times in a year- follow up of
the patients along with their prognosis/records
• Total number of 40-50 Villages will be covered
• Complete patient record/ Material
(Consumable/Non-Consumable) record are
maintained/audited and checked on weekly basis
Healthy Affordable Solutions Nationally for
Aam AAdmi
• Quarterly assessment of work Progress
Report by the Provider
• 24 x 7 Call facility at a pre- defined number
• SMS/Calls for appointment/follow ups
• Social Media Networking
Healthy Affordable Solutions Nationally for
Aam AAdmi
Functioning/ Maintenance….
Healthy Affordable Solutions Nationally for
Aam AAdmi
Case history
Patient Records
Core Team
Financially Self Sustained Oral
Care Delivery System
• Minimum Treatment Fees
• Dental Insurance Plan at subsidized Rate
– Through Panchayats
– Through state/central Government
– Through Village Health Sanitation Committee
– Adoption of the whole Village under HASNAA
Scheme– Oral Germ Free Society – 50-100 Per
Person Insured Annually for Preventive and
Prophylactic Treatment
Healthy Affordable Solutions Nationally for
Aam AAdmi
• Patients have to pay the fees for
Secondary/Tertiary Treatment – That will also
be at subsidized rate.
Healthy Affordable Solutions Nationally for
Aam AAdmi
Future Goals
• To open 70/75 National Rural Oral Care Base
Centre at villages (HASNAA – NOCI) in each
state of India.
• Self Sustained business Module – Subsidized
Fee Structure – (Which will remain same all over the country).
• Mobile/Tab Application – Videos /Animated
Films of “DAANTWALAAH” family ( yet to start).
Healthy Affordable Solutions Nationally for
Aam AAdmi
• Authentic/ Relevant Data Collected from
Survey/Questionnaire can be utilized to get
Grant / programmes / Projects from Indian
Government, World Health Organization,
NGO’s , Individuals and or other International
Organizations who are working on Public
Health Forum.
Healthy Affordable Solutions Nationally for
Aam AAdmi
Future Goals…
• Opening a channel - Job Opportunity for
Dentist. (as more than 3200 Dentist are
jobless each year).
• Direct placement of BDS Graduate on the day
of Internship completion.
( No more Job hunting, creating independence
and relish dentistry)
Healthy Affordable Solutions Nationally for
Aam AAdmi
Future Goals…
• Open Job Opportunity for Dental Hygienist
• Contribution to overcome dental disease and
increasing cancer awareness in masses.
Healthy Affordable Solutions Nationally for
Aam AAdmi
View this beautifully captured eye opener picture , one of our elderly fellow citizen is
making khaini / zarda/surti/ tambhakhoo on his palm from finger & thumb , who is
hardly 2 meters away from the place ( where everybody will be safe, secure from all
oral health issues) .
This is the challenge I have to bring out the changes, improvise my self and educate
and or else use new tools to make them understand about ill effects of tobacco and its
products. I will because I can
Healthy Affordable Solutions Nationally for
Aam AAdmi
Nav Bharat Times
HT CITY
Healthy Affordable Solutions Nationally for
Aam AAdmi
The unsaid words, d buried emotions, never ending painful stories & their unfold
mystery will b revealed n Healed , as I move slowly & gradually in villages it will now
create History
Healthy Affordable Solutions Nationally for
Aam AAdmi

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Dr Sumit Dubey

  • 1. WHY I STARTED • Increasing Unemployment among Indian Dental Graduates – High Time to Control Dental Manpower - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385734/ • Jobless doctor ends life -(MDS ) - The deceased was identified as Sirjanpreet Kaur, who completed her MDS four months ago and was looking for a job. http://www.tribuneindia.com/2014/20141129/ldh1.htm • Dentists seek jobs in PHCs - http://www.thehindu.com/news/cities/Hyderabad/dentists-seek-jobs-in-phcs/article7 Healthy Affordable Solutions Nationally for Aam AAdmi
  • 2. NATIONAL ORALHYGIENE CAMPAIGN INDIA Healthy Affordable Solutions Nationally for Aam AAdmi Facts & CHALLENGES – An ongoing experience with TRUTH
  • 3. SELF SUSTAINED BUSINESS MODEL An initiative for Fellow Dental & Medical Practioner to render THERE EXPERTISE for rural India – the back bone of our country – THE FARMERS ! Healthy Affordable Solutions Nationally for Aam AAdmi
  • 4. Dr Sumit Dubey BDS MDS FICOI Healthy Affordable Solutions Nationally for Aam AAdmi Rural Dental Clinic Gursahaiganj Kannauj New Delhi
  • 5. How it started • Regularly organizing Camps for underprivileged at Delhi/NCR • So thought of opening a rural dental center • Opened Dental Clinic in Remote area of district Kannauj, Uttar Pradesh • Started visiting for two days every week from Delhi • But that was not sufficient- the ground level Picture was different & Shocking. Healthy Affordable Solutions Nationally for Aam AAdmi
  • 6. How the Journey started….. • Villagers believed only in Tooth extractions • For treatment they travel to 45km / 100km • They have huge social, personal & Financial problems , couldn’t earn because of Draught / Job crisis • Many elderly were deprived of treatment, nobody was ready to take them to dentist or Quacks Healthy Affordable Solutions Nationally for Aam AAdmi • Oral SubMucous Fibrosis cases were abundant • Gutkha, bidi, tambhakoo, khaini, betel nut is there bread n butter
  • 8. An Unexplored Oral Health Scenario – Pilot Project VISION: – To provide Prophylactive & Preventive Oral Care Remote villages of India – To adopt villages for complete Dental Care – To provide Healthy Affordable Solutions Nationally for Aam Aadmi ( HASNAA) – To start Dental Camp India , Anti Tobacco / Cancer Prevention Campaign/ programmes Healthy Affordable Solutions Nationally for Aam AAdmi
  • 9. Identification of Rural Villages • Discussion Healthy Affordable Solutions Nationally for Aam AAdmi
  • 10. Door to Door- farm to farm Oral Hygiene Awareness Healthy Affordable Solutions Nationally for Aam AAdmi
  • 11. UNDERSTANDING THERE NEEDS Healthy Affordable Solutions Nationally for Aam AAdmi
  • 12. Workshop/ lectures/ Demonstration Healthy Affordable Solutions Nationally for Aam AAdmi
  • 13. Introducing “KULLA TEAM” Healthy Affordable Solutions Nationally for Aam AAdmi Villagers bring there Glasses & everybody does “kulla” as demonstrated. 3 member team / local villagers invigilates on daily basis. ( added fun to there life)
  • 14. Interaction – Discussion – Lectures – Presentation – Pamphlets/Handbill – Multimedia – Animated Movies – Oral Care guiding Hindi Manual – Tobacco Habit Breaking alternatives – Focus on Cancer Healthy Affordable Solutions Nationally for Aam AAdmi
  • 15. Dental Camps Healthy Affordable Solutions Nationally for Aam AAdmi
  • 16. Infection / Reaction control Protocol • Villagers didn’t have any clue about sensitivity test ( before extraction / RCT) • Autoclaved / Sterilized instruments ( which I carry every time to Delhi and bring them back ) • Packed gauge pieces - post extraction is given to them • Patient drape concept / Chlorhexidine mouth rinses before dental procedure • Compulsory Prophylactic antibiotic pre treatment coverage (68% patients have periodontal Problem ) • In house 48 years experienced well reputed Bsc MBBS (Retd Dy CMO) Doctor from KGMC Lucknow for any emergency. ( 24 x7 ) Healthy Affordable Solutions Nationally for Aam AAdmi
  • 17. Appointment for Further Treatment – Green Pass: They just need Oral Home Care (satisfactory) – Yellow Pass : They should Visit dentist in 3-4 days times at base center – Red Pass: Immediate Require Dental Intervention at base center – Blue Pass: Emergency referral to higher center or Senior Dental Specialist. Healthy Affordable Solutions Nationally for Aam AAdmi
  • 18. Treatment & Results Healthy Affordable Solutions Nationally for Aam AAdmi
  • 19. Functioning/ Maintenance • Number of Working days two • One Village in 2 months is covered- Revisit in that village is given 2 times in a year- follow up of the patients along with their prognosis/records • Total number of 40-50 Villages will be covered • Complete patient record/ Material (Consumable/Non-Consumable) record are maintained/audited and checked on weekly basis Healthy Affordable Solutions Nationally for Aam AAdmi
  • 20. • Quarterly assessment of work Progress Report by the Provider • 24 x 7 Call facility at a pre- defined number • SMS/Calls for appointment/follow ups • Social Media Networking Healthy Affordable Solutions Nationally for Aam AAdmi Functioning/ Maintenance….
  • 21. Healthy Affordable Solutions Nationally for Aam AAdmi Case history Patient Records Core Team
  • 22. Financially Self Sustained Oral Care Delivery System • Minimum Treatment Fees • Dental Insurance Plan at subsidized Rate – Through Panchayats – Through state/central Government – Through Village Health Sanitation Committee – Adoption of the whole Village under HASNAA Scheme– Oral Germ Free Society – 50-100 Per Person Insured Annually for Preventive and Prophylactic Treatment Healthy Affordable Solutions Nationally for Aam AAdmi
  • 23. • Patients have to pay the fees for Secondary/Tertiary Treatment – That will also be at subsidized rate. Healthy Affordable Solutions Nationally for Aam AAdmi
  • 24. Future Goals • To open 70/75 National Rural Oral Care Base Centre at villages (HASNAA – NOCI) in each state of India. • Self Sustained business Module – Subsidized Fee Structure – (Which will remain same all over the country). • Mobile/Tab Application – Videos /Animated Films of “DAANTWALAAH” family ( yet to start). Healthy Affordable Solutions Nationally for Aam AAdmi
  • 25. • Authentic/ Relevant Data Collected from Survey/Questionnaire can be utilized to get Grant / programmes / Projects from Indian Government, World Health Organization, NGO’s , Individuals and or other International Organizations who are working on Public Health Forum. Healthy Affordable Solutions Nationally for Aam AAdmi Future Goals…
  • 26. • Opening a channel - Job Opportunity for Dentist. (as more than 3200 Dentist are jobless each year). • Direct placement of BDS Graduate on the day of Internship completion. ( No more Job hunting, creating independence and relish dentistry) Healthy Affordable Solutions Nationally for Aam AAdmi Future Goals…
  • 27. • Open Job Opportunity for Dental Hygienist • Contribution to overcome dental disease and increasing cancer awareness in masses. Healthy Affordable Solutions Nationally for Aam AAdmi
  • 28. View this beautifully captured eye opener picture , one of our elderly fellow citizen is making khaini / zarda/surti/ tambhakhoo on his palm from finger & thumb , who is hardly 2 meters away from the place ( where everybody will be safe, secure from all oral health issues) . This is the challenge I have to bring out the changes, improvise my self and educate and or else use new tools to make them understand about ill effects of tobacco and its products. I will because I can Healthy Affordable Solutions Nationally for Aam AAdmi
  • 29. Nav Bharat Times HT CITY Healthy Affordable Solutions Nationally for Aam AAdmi
  • 30. The unsaid words, d buried emotions, never ending painful stories & their unfold mystery will b revealed n Healed , as I move slowly & gradually in villages it will now create History Healthy Affordable Solutions Nationally for Aam AAdmi