Mainstreaming Of Rural Medical Practitioners ( RMPs /PMPs) In Health Care Delivery System Of

1. Mainstreaming Of Rural Medical Practitioners ( RMPs /PMPs) In Health Care Delivery System Of Andhra Pradesh

2. Rural Medical Practitioners Features • Worked under qualified medical doctors • Education qualification low • Gained experience in treating various illness • Now working on their own • Around 90,000 all over the State • Serving people in underserved areas

3. Rural Medical Practitioners Strategy • Mainstreaming through a process of ‘Training, Examination and Certification’by AP Para Medical Board • Be called ‘Community Paramedics’ • Restriction • Not to call themselves as “Doctors” and • Not to ‘Prescribe / Dispense any Scheduled drugs’ other than Over The Counter (OTC) drugs

4. Role of Community Paramedicsafter certification • Act as first responder and provide ‘First- aid, Cardio Pulmonary Resuscitation (CPR), arrest bleeding, positioning and mobilize qualified care’ • Manage ‘acute minor ailments’ within the ambit of protocols and training status • Identify and refer to qualified practitioner for chronic diseases • ‘Follow-up the treatment’ as prescribed by the qualified practitioner

5. Role of Community Paramedicsafter certification Provide ‘Home care’ for chronically ill, disabled, HIV positives, elderly and infirm under the advise of a qualified practitioner Assist in ‘National Health Programmes’ Create awareness and participate in 104 - mobile services (FDHS) in respective villages Report unusual health occurrences Record cases and report monthly to DM & HO

6. Methodology • RMPs shall undergo a Certificate Course of ‘Community Paramedic' for1000 Hrs over a period of 1 year in their respective districts • Theory (180 Hrs) • Primary treatment and management of common ailments • Emergency event management • Pharmacy - Dispensing OTC and other drugs commonly prescribed by qualified medical practitioners- • Indications, usage /doses, reactions, side effects and mode of administration • dos and donts in administration.

7. Methodology • Clinical Training (360 Hrs) • History taking, assessment of patient for referral to hospital • Skills of routine care, demonstration of signs and symptoms • Advanced medical skills for supporting a doctor • Disability limitation skills • Emergency event management and first aid • Field Training (100 Hrs) • Fixed Day Health Services in villages • Distant Learning in Public Health (360 Hrs) • 104 Help Line Advise and study material

8. Eligibility • Must have assisted a qualified Medical Practitioner in health delivery for 3 years or more (to be certified by the concerned Doctor) • Must be working independently in health delivery activities for 5 years or more (to be certified by Registered association of RMPs) • Must be physically fit and mentally sound (to be certified by a qualified Doctor) After examination, all successful candidates will be awarded certificates as “Community Paramedics” and registered by AP Para Medical Board Certification

9. Plan for training • Theory(180 Hrs) PHCs/ Govt. Hospitals/ Recognised Para Medical Institutions where faculty, infrastructure available • Clinical(360 Hrs) Government or Private nursing home (minimum 10 bed capacity) where IP care is available with qualified clinicians to train • Field Training(100 Hrs) Fixed Day Health Services (FDHS) in villages • Distant Education(360 Hrs) 104 help line advise, reading material,etc

10. Thank You