Center for Health Communication (CHC)
Vision & Mission
The vision & mission of (CHTP & CHC – RMU) is based on the philosophy of shifting the
notion of “healthcare for the people” to the “healthcare by the people” by empowering individuals & families with
information and skills which they need to behave appropriate in all matters pertinent to their own, family &
communal health.
We dream to transform people of Rawalpindi through behavior change communications & other health
promoting public health interventions into a community which would be healthier, health-literate, having health
prone attitude & right behaviors by year 2029.
This initiative intends to combine university intellect and community strengths under a consequential mechanism
for a visible health gain by the people of Rawalpindi. CHC aspires to be highest resource for community health
promotion as a part of medical university in the region and over the country.
Health development through behavior change communication.
Rawalpindi Medical University Communication for health awareness program was established (2018) to involve potential areas of the subject of community medicine & public health, strengths of the subject faculty, and medical students in the public health practices beyond the campus & conventional limits in the service of the community living in close vicinity of the un
Health message development to dissemination: under concept of “0ne-hundrad community touch-points”-project. (100CTP-Project)
Health message development to dissemination: under concept of “0ne-hundrad community touch-points”-project. (100CTP-Project)
Translational Model of Behavior Change
- It is the stage in which people are not considering changing their behaviour within the near future (defined as the next 6 months
- It is the stage in which people intend to change their risky behaviour soon ( defined as the 6months)
- It is the stage in which people intend to change in the immediate future (defined as the next month)
- It is the stage in which people have made explicit change to their behaviour, environment, and lifestyle for less than 6 months. These changes are observable and therefore seen as action-oriented.
- It is stage in which people continue their behaviour changes and do not relapse into a previous stage for more than6 months
- It is stage in which people are no longer susceptible to the temptation of relapse and ⦁ possess complete self-efficacy
Breast Cancer Awareness
"VISION-RMU"
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Community involvement
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Partnership for Health
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Resource Partners
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Political Leadership
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Educational Institutions of the Area Govt Private
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Department of Community
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Social Workers / Community Groups
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NGOs in the Area Community Groups
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Gynae & Obstetrics RMU 2. Healthcare delivery
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Professional Groupsin the Area like Barbers-, Food-sellers-, hotels-,Medical Stores Unionsoffice etc in the Area.. Trade Unions or
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2. Municipal Corporation
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NGOs in the area
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Target community
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Who will deliver
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Priority work
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Who will do
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Potential groups like
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Community
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Community
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Faculty of CM & PH
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School teachers & senior students
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Medical students surveys
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Environmental
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Health education
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Health risk professions health risk
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Health
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Healthcare
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Trained
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DENGUE ACTION PROGRAM
AWARENESS PROGRAMS
COVID VACCINE AWARENESS PROGRAM
- It included Awareness through videos Health from home sessions Date: 16-26 June 2021. All the members of Health department participated in it. Side effects and myth busters Were covered https://drive.google.com/file/d/1lOaUNo0vFjog6uYmM0Vutb8X bbz2iENw/view?usp=sharing
HEPATITIS AWARENESS PROGRAM
- It included Hospital awareness sessions Health from home sessions Poster Making (Credits Ayesha Tabasum and Haris Mumtaz) Participation by Haris Mumtaz Nawal Minallah Zainab Amnah Tariq Ayesha Sadiqa Lairaib Date 10 July- End of month
BREAST CANCER AWARENESS PROGRAM
- Poster Making Health from home sessions (participation by all the members) Hospital awareness sessions 2nd September Participation by Ayesha Tabasum Haris Mumtaz Amnah Tariq Zainab DATE: 15August- 5Sept
AIDS AWARENESS PRGORAM
- Hospital awareness sessions Health from home sessiom Date :1st Sept- 20th Sept 2021
MENSTRUATION HEALTH AWARENESS
- That’s the project of this month
Introduction
Community heathy center is established in Rawalpindi to create awareness of different diseases in community which are preventable if the community is educated about these diseases in an organize manner. There are different project which are run by University, the important one is hepatitis-C free Rawalpindi initiative.Thousands of patients are living health education regarding the risk factors of hepatitis-C transmission
In Pakistan, more than 10 million population are suffering from Hepatitis C Virus (HCV) with high morbidity and mortality. Presently, the prevalence of HCV is 6.7% and Hepatitis B is 2.5-3% respectively1,2. Local data suggests that most affected age group involves patients from 20-50 years. Every 3rd or 4th death in hospital is related to Hepatitis C infection and hepatocellular carcinoma is the 4th commonest malignancy in Pakistan. At present more than 01 lac people need liver transplant in the country and there is no national liver transplant program in Pakistan except one center in private sector. Hepatitis B and C is 100% preventable by controlling the risk factors like, injudicious use of therapeutic injections, used syringes, unscreened blood transfusions, unsterilized surgical, delivery and dental equipment.
With the advent of new Direct Acting Antivirals (DAAs) the whole scenario of hepatitis C had changed. By using DAAs and with effective prevention strategies hepatitis C can be 100% eradicated.
Aims and Objectives of Program
- Awareness and Prevention in community and health professionals
- To make Rawalpindi 1st Hepatitis free city of Pakistan
- Moving from hepatitis C cure to elimination
Operational Plan
- Firstly community screening camps will be organized ward wise
- The population will be screened by using kit method for hepatitis B and C
- The anti HCV patients will have their PCR done
- Patient’s history and examination will be performed by doctors/nurses/consultants
- Appropriate laboratory tests will be performed including CBC, LFTs, PT, APTT, etc and Ultrasound Abdomen in patients who require treatment
- Free /subsidized treatment will be provided to all patients
- Regular follow-up of patients with PCR at the end of treatment and 3 months post treatment will be performed
Operational Plan
- Firstly community screening camps will be organized ward wise
- The population will be screened by using kit method for hepatitis B and C
- The anti HCV patients will have their PCR done
- Patient’s history and examination will be performed by doctors/nurses/consultants
- Appropriate laboratory tests will be performed including CBC, LFTs, PT, APTT, etc and Ultrasound Abdomen in patients who require treatment
- Free /subsidized treatment will be provided to all patients
- Regular follow-up of patients with PCR at the end of treatment and 3 months post treatment will be performed
- Awareness Campaign
- As this program will be ineffective without the public awareness, education of society and stake holders regarding HCV treatment, transmission and prevention, following measures will be taken
- Involvement of primary physicians of area
- Education of dispensers, nurses, lady health workers, quacks and other health care workers
- Awareness amongst barbers, beauticians and the people involved in tattooing and ear, nose piercing etc
- Focused group discussions with local community/political workers and religious leader
- The health awareness campaign will be simultaneously initiated regarding hepatitis control and treatment
- Project Time Line
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o 46 months from the date of launch
Demographic Data of Rawalpindi City - Total Population of Rawalpindi District 5405633
- Total Population of Rawalpindi City: 2098231
- Implementation Strategy
- Population between 20 – 50 year people 944203
- per Ist phase screening protocol
- Total Cases to be screened: 944203
- Total UC of Rawalpindi 46
- Approximate population of each UC 20,526
- Total number of wards of each UC 6 wards
- Approximate population of each ward 3421
- Each camp target 2 wards (6,842)
- Patient to be screened 20,526 (every month)
- Total Project time line 4 years Approximate Cost of the Project
- Screening Cost Option 1
- Population to be screened 1 million
- Lab cost including, banners, hand bills, screening tests, PCR (Per patient) Rs. 150 Total Rs. 141.63 million (Our project adopted option I) Option 2
- Lab cost including banners, hand bills, screening, PCR, CP/USG/SVR/LFTs 300
- Per patient total cost 300 Total Rs. 283.26 million
- Treatment Cost Approximate number of patients to be treated 56652 (Prevalence 5-6%) Treatment cost per patient (Subsidized) Rs. 5000/- Estimated cost Rs. 283.62 million Total Cost expected for eradication 424.89 million (Option 1) Rs. 566.52 million (Option 2)
Contributors/Implementation
- Provincial Government Pakistan
- Center for Liver and GI Diseases Holy Family Hospital, Rawalpindi
- Pakistan Society of Hepatology, Rawalpindi/Islamabad Chapter
- Advanced Liver and GI Center, Commercial Center, Satellite Town, Rawalpindi
- Tehzeeb Bakers
- Pharmaceuticals
- Rawalpindi Chamber of Commerce and Industry
- Lions Club International
- Rotary Club
- Haji Feroze Khan Trust
- VFAHT
- Shifa4u
Logistics – Human Resource Following Human Resource required for each camp
- Doctor 5
- Medical Students 8
- Nurse 1
- Technician 8
- Community Worker 6
- Computer Operator with Computer 1
Project Proposal
- This project will be done in 3 phases, with the help of six teams comprising of 6 people in each team: two dispensers, two nurses, one community worker and 5 doctors
- Approximately 100,000 patients from age group 20-50 years will be screened for Hepatitis B and Hepatitis C during phase I. As per study by PMRC2 the prevalence of Hepatitis C patients is 5%, so approximately 5000 patients will need PCR for HCV. Patients with positive PCR will be offered treatment according to their affordability.
- A0 Totally Non-Affording
- A1 Partially Affording
- A2 Affording
Pilot Project Activity Report (UC-1 Ratta Amral Rawalpindi)
- Pre-screening meeting was done on 4th Feb 2019 with chairman UC-1 Mr. Umar Mushtaq and ward chairman and councilors regarding launching of the training program and sensitization of the community.
- Second meeting was done on 1st March 2019 in the community hall of UC-1 in which following attended the meeting
- Bushra Khaar
- Arshad Ali Sabir
- Zahid Mahmood Minhas
- Sarfraz Ahmad DDHO Rawalpindi
- Naveed DDHO Rawalpindi
- Umar Mushtaq Chairman UC-1
- Haji Arshad Ward No. 1
- Shahid Rahila Lab
- Other members of UC-1 and Health Team
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1. Camp will start from 8th – 10th March 2019 in Jinazgah which is the central point of Ward 1 UC-1 from 9am – 3pm.
2. Pre camps different activities like focus group discussions, hand bills, posters, school visits and announcements during Jumma Prayer. - On 5th March 2019 all women of the ward-1 were gathered in community hall of UC-1 and Faculty of Community Medicine of RMU motivated all women of ward-1 to take part of the screening for active participation of the family members i.e. husband, children’s and also neighbors.
- On 6th March 2019 team visited the schools of ward-1 and gave awareness to the children about the hepatitis and were asked to motivate there family members to come for screening in hepatitis free camp.
- On 6th March 2019 banners of hepatitis camp were placed at three important sides of ward and hand bills containing awareness campaign and prevention strategies with camp site date and time.
- The camp was successfully completed with help of Society of Therapeutic Endoscopy Pakistan (STEP), Centre for Liver and Digestive Diseases (CLD), Medical Unit-1, Community Medicine Department RMU, VHAFT and local efforts of local councilors.
References
- Gower E, Estes C, Shearer KR, Razavi H, Global Epidemiology and genotype distribution of the hepatitis C virus infection, J Heptol, 2014 Vol 61J S45-S57
- Qureshi H, Bile KM, Jooma R, Alam SE, Afridi HUR, Prevalence of hepatitis B C viral infection in Pakistan, Findings of a national survey appealing for effective prevention and control measures, East Mediterr Health J 2010;16 Suppl S15-23
References
A community awareness move focusing prevention of Hep-C, availability of a Curative treatment against Hep-C, opportunity of getting free treatment of Hep-C disease through screening , and schedule of screening camps in the area was done. For rapid spread of information community groups, high risk groups, school teachers & senior students and women groups were targeted. Banners & specifically designed awareness handbills were also used. Team of CHC was instrumental behind this work.
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