Superspeciality in Community Medicine

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
In Nashik

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Important information

  • Course
  • Nashik
Description

Important information
Venues

Where and when

Starts Location
On request
Nashik
Vani Road, Mhasrul, Nashik , 422004, Maharashtra, India
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Course programme

Superspeciality in Community Medicine

The overall goal of training programme is to produce a competent public health specialist
who can function as a leader of health team and is able to provide effective health care at
the primary, secondary and tertiary levels.

COURSE CONTENTS.
Health Systems in India and The World - Historical Perspective
1. History of Public Health in India
 History of Health Services in India
 Indigenous Systems of Medicines in India
 Bhore Committee's and other "Committee Reports on Health Services,
Health care and Health Professional Education in India.
 National Health Policy
 An update of achievements of the country vis-à-vis the Health for all
Indicators
2. History of Public Health in the World
 Influence of the various systems of Medicine i.e. Chinese, Mesopotamian,
Egyptian, Geek etc.
 Concepts in Public Health
· Disease Control
· Health Promotion
· Social Engineering
· Health for All
3. Primary Health Care
 Concepts of Primary Health Care
 Principles of Primary Health Care
 Elements of Primary Health Care
 Models of Delivery of Primary Health Care
 Current status of Primary Health care the world over
4. The Health Care System in India - Structure and Function
 Central Level
 State Level
 District Level
 Taluka Level
 Primary Health Centre Level
 Village Level
 Urban Level
SOCIO- CULTURAL DIMENSION IN HEALTH
1. Principles of Sociology and the Behavioral Sciences
 Concepts of Sociology and Behavioral Sciences
 Influence of Social and Cultural Factors on Health and Disease
 Social Structures and Social Organisation
2. Principles of Social Psychology
 Principles of psychology
 Principles of behavioral sciences
 Principles of social anthropology
3. Application of Sociology in Health and Development
 Social Problems in Health and Disease
 Use of Sociology in addressing problems in Health and Disease
PRINICIPLES OF EDUCATIONAL SCIENCE AND TECHNOLOGY
 Curriculum Planning, Educational objectives
 Principles of Learning
 Teaching/ Learning methods
 Teaching skills including Micro Teaching
 Preparation and Use of Teaching Aids and Learning Research Materials.
 Methods of Evaluation
PRINCIPLES AND PRACTICE OF INFORMATION, EDUCATION AND
COMMUNICATION.
1. Principles of IEC Health Education
 Objectives of Health Education
 Content of Health Education
2. Communication Skills
 Principles of Communication
 Communication blocks
 Body Language
3. The use of Media for IEC
4. Practice (Methods) of IEC and its application in Community Health
5. Evaluation of impact
PRINICIPLES OF NUTRITION AND APPLIED NUTRITION
1. Nutrients, Daily Requirements, Balanced Diet, Primordial Prevention of Lifestyle
related disease.
 Classification of Foods
 Daily Requirements of Nutrients
 Balanced Diet
 Nutritional Profiles of Major Foods
2. Nutritional Deficiencies
 Nutritional Requirements
 Protein Energy Malnutrition
 Vitamin Deficiencies
 Mineral Deficiencies
 Deficiencies of Trace elements
3. Assessment of Nutritional status in a community and approach to a programme
 Assessment of an Individual's Nutritional Status
 Assessment of Community Nutritional Status
4. Nutritional Programmes in India - Critical Review
 Nutritional Problems in India
 Programmes to combat these problems
 Nutritional Surveillance
 Social Problems in Nutrition
5. Other Aspects of Nutritional
 Food Borne Disease
 Food Hygiene
 Food Adulteration including PFA Act
PRINICPLES OF ENVIRONMENTAL HEALTH
1. Water
 Sources of water
 Water Pollution
 Purification of water
 Water Quality Standards
 Water borne disease - Epidemiology and Control - Investigation of
outbreak of water borne disease and report including water testing
2. Air
 Indices of thermal comfort
 Air Pollution including monitoring
 Effects of air pollution and prevention and control
 Ventilation
3. Housing including domestic and industrial housing standards
4. Noise and noise pollution
5. Radiation
6. Meteorological Environment including temperature, humidity and rainfall
7. Lighting
8. Disposal of Waste and Sanitation
 Sources and Classification of wastes
 Disposal of Solid Wastes
 Excreta Disposal
 Sewage Disposal
 Health Care and Hospital Waste Management
9. Environmental Pollution
 Sources of Environmental Pollution
 Monitoring of Environmental Pollution
 Prevention and Management of Environmental Pollution
10. Medical Entomology
 Insecta: Mosquito, Flies, Lice, Fleas and Bugs
 Arachnida: Ticks and Mites
 Crustacea: Cyclops
 Identification of the arthropods
 Diseases transmitted by arthropods
 Control of Arthropods and Disease borne by them
 Insecticides and Insecticide Resistance
 Rodents and Anti-Rodent Measures
 Integrated Vector Control
MATERNAL HEALTH, CHILD HEALTH AND FAMILY WELFARE (RCH)
1. Common Maternal and child health problems at an individual level
 Antenatal Care
 Risk Approach
 Antenatal visits
 Preventive services
 Intranetal Care
 Postnatal Care
 Care of the mother
 Child Health Problems
 Low Birth Weight
 Growth and Development
 Childhood Infections
 Care of the infant
2. Genetics and Health
 Common genetic problems
 Management of Genetic Problems
 Preventive and Social Measures in Genetics
3. Structure of MCH and Family Welfare services in India
 Problems of Maternal Health in India
 Delivery of Maternal and Child Health Services
 Trends in the MCH services
 MCH related programmes in India eg.RCH,CSSM,ICDS
 Family Planning
 Methods of family planning
 Indicators of MCH care
4. Demographic Trends in India
 Demographic Cycle
 Trends in the world
 Demography related indicators
 Demographic trends in India
5. School Health services
 Objectives
 Components of school health services
 Planning for school health services
 Care of handicapped children
 Behavioral and Learning Problems in Children
6. Social Paediatrics
 Juvenile Delinquency
 Child Abuse
 Child Labour
 Street Children
 Child Guidance Clinic
 Child Marriage
 Child Placement
PRINICIPLES AND APPLICATION OF EPIDEMIOLOGIC METHODS IN HEALTH
RESEARCH
1. Research Methodology
2. Principles of Epidemiology
3. Epidemiologic Studies
 Descriptive
 Analytical
 Experimental
BIOSTATISTICS
Collection/ Organisation of data / Measurement scales
Presentation of data
Measures of Central Tendency
Measures of variability
Sampling and planning of health survey
Probability, Normal distribution and inductive statistics
Estimating population values
Tests of significance (Parametric/Non-parametric including qualitative methods)
Analysis of variance
Association, correlation and Regression
Vital statistics
Evaluation of health and measurement of morbidity / mortality
Life table and its uses
Use of computers
Census
PRINCIPLES OF TROPICAL MEDICINE
1. Infectious and non Infectious Disease Epidemiology
 Respiratory Diseases such as Small Pox, Chicken Pox, Measles, Mumps,
Rubella, Diphtheria, Pertussis, Influenza, Tuberculosis, ARI etc.
 Intestinal Infections such as Poliomyelitis, Hepatitis, Food Poisoning,
cholera, Enteric Fevers, Amoebiasis, Worm Infestations etc.
 Arthropod Borne Infections such as Malaria, Filaria, Dengue and others
 Zoonotic Diseases such as Brucellosis, Rickettsial Diseases, Parasitic
 Surface Infectious Diseases of Public Health Importance
 Non-Infectious Diseases of Public Health Importance
 Cardiovascular diseases, diabetes, blindness, accidents, cancers
 Emerging and reemerging disease
NATIONAL HEALTH PROGRAMMES
The origin, historical development, interventions, current state and critique of the
different National Health Programmes: National Family Welfare Programme (NFWP)
 National Tuberculosis Control Programme
 National Leprosy Eradication Programme
 National Diarrhoeal Diseases Control Programme
 National Malaria Eradiation Programme
 National Filariasis Control Programme
 National Acute Respiratory Infections (ARI) Control Programme
 National AIDS Control Programme
 National Guinea Worm Eradication Programme
 National Kala Azar Control Programme
 National Japanese Encephalitis (JE) Control Programme
 National Iodine Deficiency Disorders (IDD) Programme
 National Programme for the Control of Blindness
 National Cancer Control Programme
 National Mental Health Programme
 National Diabetes Control Programme
 Child Survival and Safe Motherhood (CSSM)
 Reproductive Child Health (RCH)
 Universal Immunization Programme (UIP)
 National Water Supply and Sanitation Programme
 Minimum Needs Programme
 National Rural Health Mission
The implementation of NHPS at a programme level and in the community
COMMUNITY MENTAL HEALTH
1. Principles of Mental Health
 Types, Causes and Warning signals of Mental Illness
 Preventive aspects of mental Health
2. The Approach to Mental Health Problems in a Community
 Primary Health Care approach to mental health problems
 Mental Health Services in the country
OCCUPATIONAL HEALTH
1. Principles of Occupational Health
 Occupational Environment
 Occupational Hazards
 Absenteeism
 Problems of Industrialization
 Health Protection of Workers
 Prevention of Occupational Disease
2. Legislation in Occupational Health
 Factories Act
 Employees State Insurance Act
 Workmen's Compensation Act
 Mines Act
 Plantation Labour Act
3. Basics of Industrial Toxicology
4. Principles of Industrial Psychology
5. Basics of Ergonomics
HEALTH CARE OF THE AGED AND THE DISABLED
1. Community Geriatrics
 Implications of demographic charges in Indian Population
 Health Problems of the aged
 Preventive Health Services for the aged
2. The Disabled and Rehabilitation
 Problem of disabled in the country
 Types of disabilities and their management
 Rehabilitation of the disabled
 Community Based Rehabilitation
Health Care of Tribal people
VOLUNTARY SECTOR IN HEALTH
Role of the Voluntary Sector in Health
 Activities undertaken by Vos in the Health Sector
 Activities of specific Vos in Health
 Innovative Approaches in the Voluntary Effort in Health
HEALTH CARE ADMINISTARTION AND HEALTH MANAGEMENT
1. Principles of Planning and Evaluation
 Plan Formulation
 Execution
 Evaluation
 Planning Cycle
2. Health Management
 Methods and Techniques of Health Management
 Behavioral Sciences in Management
 Quantitative Methods in Health Management
3. Basics of Health Systems Research
4. Basics of Health Economics
5. Basics of Health Information Systems
RECENT ADVANCES AND TOPICS OF CURRENT INTEREST
1. Rational drug policy, Nutrition Policy, Health Policy, Population Policy
2. Computers in Health
3. Agricultural Medicine and Plantation Health
4. Introduction to Counseling
5. Community Ophthalmology
6. Qualitative Research and Operational Research
7. Disaster Management and Public health emergencies
8. Nosocomial Infection and Hospital Infection Control
9. Other Free Topics
COURSE CONTENTS FOR PRACTICALS
1. Microbiology applied to Public Health (Dept.of Microbiology)
 Hands off experience in staining techniques and interpretation of:
 Leishmann stain
 Grams Stain
 JSB Stain
 Alberts Stain
 Ziehl-Neilson Stain
 Peripheral blood examination of Thick and Thin Smears and Reporting
 Collection and Dispatch of Samples to Laboratory
 Experience in the collection, examination and interpretation of simple
laboratory tests on blood, stool and urine.
 Interpretation of commonly used serological tests such as
Widal/HIV/Hepatitis B/VDRL/Viral Antibody Titres
2. Medical Entomology
 Collection of mosquitoes/fleas/ticks/other
 Hands on experience on mounting and reporting
 Entomological Survey
3. Public Health Chemistry
 Interaction of Commonly used tests with reference water solutions / water
purifiers
4. Epidemiological Exercises and Case Studies (including family studies) to
illustrate principles and practice of community Health
 Statistical Exercises to illustrate Principles and Practice
 Investigation of an Outbreak of a disease and Measures to control
5. Exercises in Public Health Administration
 Planning Exercises
 VED Analysis etc
 Beneficiary Need Analysis
 Preparation of Annual Plan
 Budgeting at the PHC level
 Supervision of a PHC/SC
 Requirement of Vaccines, Medicines, Stationary at the PHC level
 Organisation of a Family Welfare Camp
 Conduction of an Immunization Camp
6. Diet and Nutritional Survey of a Community
 Collection and Dispatch of Food Samples
7. Study of Environment and its influence on health in
 Work Places
 House-hold
 Community
 This includes the study of air pollution, noise pollution, temperature,
humidity and other meteorological factors and their effect on health.
8. Study of sanitation problems to illustrate the principles and practice of community
health
9. Environment Sanitation
 Collection of Water Samples / Analysis / Reporting
 Analysis of physical, chemical and microbiological quality of water
 Study of Waste Management Methods
 Adaptation of water supply methods and waste disposal methods to an
industry or Plantation setting
 Study of Requirement of Water in Urban and Rural Setting
10. Visits/ Postings to the following institutions
 District Health Office
 District Hospital
 Taluka Hospital
 PHC/ SC/CHC
 ICDS office / Anganwadi Centre
 Public Health Laboratory
 Sewage Treatment Plant
 Visit to Local Ward Office
 Infectious disease Hospital
 Malaria/DTC/Filaria units
 Visit to factory/Inspectorate of factories/ visit to Industry
 Home for the aged
 Blindness Rehabilitation schools
 Deaf and Dumb schools
 Spastic society
 Physically Handicapped Centre
 Market Place
 Slaughter Home
 Hotel
 Milk Dairy
 Food and Beverages Processing Units
Posting to Obstetric and Gynecology
1. Obstetrics (Urban and Rural Health Centres)
 Antenatal Care
 High Risk pregnancy
 Intranetal care - The Management of normal Labour
 Postnatal Care
 Family Welfare
2. Gynecology
 Adolescent Health
 Reproductive Tract Infections
 Cancer of the reproductive tract especially Carcinoma cervix
Posting to Paediatrics (Hospital and ICDS)
1. Paediatric Infectious diseases
2. Nutrition problems
3. Immunization
4. Neonatal Problems
5. Growth and development monitoring
Students doing MD Community Medicine can be allowed to do one semester / Posting in
Obst Gynace / Medicine / Paediatric in 2nd Year.


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