1. Interventions and
Human Resource
Verticals

2. Case Study - Narmada

3. Narmada’s First Visit
HEW – Patient Interaction Protocol

4. The Health Extension Worker (HEW)
 Physician extender
 First touch point of community
 Recruited from the catchment in which we serve
 Educational qualifications ranging from Xth Standard
Pass to B.Sc. in Nursing
 Expansion of role

5. The Enrolment ID Is Used to
Identify Narmada

6. Narmada’s Household Is Identified
on the HMIS

7. Population-level Individual
Screening Protocol (PISP)

8. PISP Questionnaire

9. Anthropometric
Measurements - Height

10. Anthropometric
Measurements – Weight

11. Anthropometric Measurements
– Waist/Hip Circumference

12. Visual Acuity – Near and
Distance Vision

13. PISP Report Handed Over to
Narmada

14. Counseling and Consent for
Cervical Screening

15. Women’s Health Intervention
Cervical cancer
screening by VIA/VILI
Diagnosis and treatment
of reproductive tract
infections (RTIs)
VIA/VILI performed by
HEW; supervised by
female physician

16. The Physician

17. Recruitment and Training of
Physicians
 Ayurveda, Siddha, Unani physicians
 Bridge training course focused on
pharmacology, protocols, interventions, practical
skill enhancement, technology, patient care

18. Master Trainers
 Nurses trained in specific interventions to bridge the
gap of non-availability of specialist trainers.
 Monitoring and facilitating quality care delivery with
regards to interventions.

19. Capturing Narmada’s
Interaction With the Physician

20. Assessing Risk for Cardiovascular
Diseases (CVDs)

21. CVD Intervention
Phase I – Risk Assessment
Phase II – Diagnostic
Testing
Blood Sugar
Lipid Profile
Treatment and
Management

22. The SOAP Methodology –
Subjective Assessment

23. Objective – Physical Examination

24. System-wise Physical Examination

25. Assessment – Making a Diagnosis

26. Treatment Plan

27. Protocols and Evidence-Based Care

28. Camp Approach to Community
Engagement and Training

29. Impact of SughaVazhvu on
Narmada’s Health
 Narmada was identified to be a diabetic, and is currently receiving
treatment from SughaVazhvu.
 She was found to be VIA/VILI positive. Since then she has received a
biopsy, and cold coagulation therapy to treat for early stage pre-cancer.
Narmada visits the RMHC regularly for pelvic examinations.