Initiatives at KNMH

Community outreach and patient welfare initiatives at KNMH
The Hospital initiated a Rural Health program in 1986. Shri Rajiv Gandhi, the then Prime Minister of India and President of Kamala Nehru Memorial Hospital Society, laid the foundation stone of Kamala Nehru Memorial Rural Hospital in 1987 at Village Newada Samogarh, Naini, Allahabad. The Rural Hospital was inaugurated in 1988. The Hospital serves as a base centre for preventive oncology and cancer detection at the grass root level in the surrounding villages. A Community Oncology wing was established in the Rural Hospital in 2003.

A. Outreach Services in Reproductive Health Care and Oncology
Primary Health Care facilities have been extended to the rural population of trans Yamuna areas through establishment of this Rural Hospital.
This 20 bedded Hospital has OPD and basic diagnostic facilities, like X-Ray, Pathology. Other facilities include:
• Day care surgeries.
• Regular Special Clinics for High Risk pregnancy.
• Immunization facilities both for ante natal cases and children.
• Mobile Medical Teams visit different cluster of villages by rotation weekly.
• Community Oncology Wing established in the RuralHospital from July 2003.
• Rural RCH Camps are held

B. Urban Health Initiatives
Quality Maternal and Family Planning services were made accessible to city slum population, by establishing 4 Urban Health Posts (UHP) in four corners of the city. Services available in the UHPs include Antenatal care, Family Planning Counselling/ Services for IUD, DMPA injectables, referral for Tubectomy/ Vasectomy, routine blood test. Services are rendered by Medical Officers, Counsellors and Pathology Technicians.
Selected 110 slums of Allahabad (covering population of 2.77 lacs) were provided direct behaviour change communication by 140 urban ASHA, mid media, innovative activities andsatisfied Family Planning User Groups.

C. Project HOPE: Health for the Poor & Enduring
(Reproductive Health Care at Grass Root)
The grass root level health care delivery system was launched in the birth centenary year of Smt. Kamala Nehru on August 1, 1999 by Smt. Sonia Gandhi, President KNMH Society. The services through a mobile medical team, comprising of Consultants of Obstatrics & Gynaecology, Oncology and other specialties, was taken up in far flung village areas in Kaushambi, Chail, Kaurihar, Kasaunda, Chauradih, now in District Kaushambi, and adjoining villages and hamlets. These areas remain un-approached by the established health care system.
Presently, the Hospital has identified 20 villages of Chaka block and urban slums of Naini town to serve as the core intervention area with an objective to provide Health Care for All in the villages and adjoining areas. The Project focuses mainly on polio inflicted children, women, senior citizens, down trodden, poor and marginalized sections of the society.
Cases, which require investigation and admission are referred to the Hospital and are provided FREE treatment.
Over the years about 85000 rural and slum patients have benefited through free medical check-ups and free medicines.

D. Modified District Cancer Control Program
This project was sponsored by WHO & Ministry of Health & Family Welfare between 2002 to 2003. The project had four main objectives:
1. To train the manpower for prevention and control of cancer
2. To impart techniques regarding early cancer detection and prevention of common cancer i.e. breast, oral, and cervix
3. To create awareness about cancers, early detection, and prevention in the public life
4. To access the epidemiological situation of some specific cancers in women existing in the area
Under this project 20 blocks of 6 districts were taken namely: Allahabad, Kaushmabi, Bhadohi, Pratapgarh, Faizabad, and Barabanki. Total 369 community workers were recruited and trained in early signs and symptoms of cancer of cervix, breast, and tobacco related cancers. 10 doctors were hired and trained in supervisory roles.
A total of 274,852 survey forms were filled, out of which 28031 forms were analyzed to know the epidemiological profile of the cancers in these districts. The study helped understanding of behavioral and health seeking practices for cancers in these areas to a great extent.

E. Population Screening Programme for Cancer of The Cervix, Breast, and Oral Cavity
Another WHO-GOI funded project was implemented in Chaka block of Allahabad district. A total number of 19 Medical Officers were trained in diagnostic methods for common cancers, fine needle aspiratation cytology, management of precancers and early cancers, pain relief and palliative care in advanced cancer, and training on Colposcopy to Gynaecologists.In addition to these medical officers, a total number of 47 paramedicals were trained in cancer screening and detection, primary prevention, tobacco control, proper diet, physical activity, genital hygiene, breast and oral cavity examination, collection of pap-smear, treatment options of cancers and the common side-effects of those. Other activities included:
• Community Oncology Wing (COW) was established at the Kamala Nehru Memorial Rural Hospital with cancer screening facilities like X-rays, Colposcope, Pap-smear, FNAC examination and other equipment.
• Trained doctors and para-medical staff was posted at the Rural Hospital. Diagnosed cases were referred immediately to the Regional Cancer Center, Apex Hospital for prompt treartment.
• Coordination established with Community Health Centre (CHC) and Block Development Office (BDC), Gram Pradhans, and other hospitals in Chaka block
• An orientation of Gram Pradhans was conducted on project activities at Rural Hospital
• Regular cancer screening was conducted at COW and community outreach camps

F. Palliative Care Services at KNMH

Palliative care for approximately 40% of cases reported at the RCC in advanced and terminal stages of cancer. One medical officer, one nursing staff, and one social investigator were recruited for palliative care services. Medical Officer successfully completed a 6 week Basic Certificate Course in Palliative Medicine from WHO Demonstration Center at Calicut, Kerela.

A pain clinic has been started in the cancer OPD of the RCC, managed by consultants in the Department of Radiation Oncology, Anaesthesiology, and the Medical Officer of palliative care, along with the supportive staff. Apart from routine analgesics, radiotherapy and nerve blocks, and morphine tablets are procured and distributed from the Hospital Pharmacy free of cost.

G. KNMH: Employee Welfare Initiatives

• With an initiative to have a Clean-Green Environment, the hospital has introduced solar lights within the campus, which not only is reducing the electricity usage but also contributing to a green environment.
• The garbage (type 1, 5 & 6) is disposed by an Incinerator, reducing load on the civic authorities.
• KNMH has sixty six flats in Teliyargunj Allahabad, providing accommodation to class III and IV employees of the hospital. These flats have been acquired from Allahabad Development Authority (ADA).
• For children of hospital employees, KNMH gives Scholarships to meritorious students of Class IX, X and XI.
• Hospital employees avail free/subsidized hospital services.