Health Camps

Health Camps

Health Aging India aims to provide primary health care to the elderly not only in urban but rural or remote area also. Started in 2011 with first health camp at Kheri Banota, we have Organised more than 50 Health camps over the last 6 years catering to about 40,000 elderly people directly reaching out to remote areas of North India from Delhi, Rajasthan ( Bikaner- Indo Pak Border, Behror), Uttar Pradesh (Hapur, Khurja), Himachal Pradesh (Bilaspur), Gandhinagar, Hazaribagh and Madhya Pradesh (Bhind), etc.. The health camps are held in remote areas where the health status is below the satisfactory line, especially for the geriatric population and also for those population who suffer from various ailments irrespective of age.

We provide a multidisciplinary approach involving a professional team of Doctors- Geriatrician (senior citizens consultant), Pediatrician (for children), Gynecologist (for women), Ophthalmologist (eye specialist), Doctor of Physical Medicine and rehabilitation, Physiotherapist and Occupational therapist - for assessing and making treatment protocol for rehabilitation, Social workers and trained nurses, Media professionals, etc. We provide our services for one or two days according to the population of specific area. During health check-up, detailed medical history through self-reported questionnaire which includes basic socio-demographic data and health related enquiries about vision, hearing, memory, mood, urinary problem and work capacity related questions are asked to them.

Services provided in Health camps are-
  • Detailed medical history through self-reported questionnaire which includes basic socio-demographic data and health related enquiries about vision, hearing, memory, mood, urinary problem, work capacity, joint pain, oral problem etc.
  • Conducting various medical tests such as a) Lung function test (PFT) – to look for respiratory capacity, b) Blood sugar, c) Blood Pressure, d) ECG for cardiac health, e) BMD test for bone health and outlook for osteoporosis.
  • Conducting Elderly specific assessment- a) Body Mass Index- for nutrition, b) Gait speed for walking capacity and speed, c) Timed Up and Go test to assess the fall risk and balance, d) 30 sec chair rising for limb strength and endurance.
Survey, assessment and finding of Health Camps

Our quick survey through Health Camps found out only the tip of the iceberg of the health related problems of the elderly population, but definitely stressing the need of Community Geriatric service specially health promotive and preventive care.

1. BIKANER , RAJASTHAN FREE HEALTH CAMP In association with Urmul Foundation on 5/4/2012

A total of 450 patients were examined by 15 medical professionals from AIIMS, the Bikaner Medical College and from the Urmul Foundation . The mean age of the population was 65.6 (+/-7.5) yrs. Visual and Hearing impairment were important health issues plaguing the local population of the desert area of Bikaner (environmentally challenged). Furthermore, our screening showed that depression and dementia was very high (82.6% and 73.7% respectively), which is an area needing immediate attention. The prevalence of urinary incontinence was also high.

2. Narayanpur, Khurja-U. P. FREE HEALTH CAMP on 17/02/2013

Narayanpur was one of the most backward villages with regards to health where we conducted health camp in. Though they have a building for Primary Health Centre (PHC), but it has never been functional.

A total of 700 patients were examined by 25 members, including 6 Doctors, 11 Physio therapists + OTist attended the camp. The mean age of the population was 58.6 (7.1). This elderly community had a substantial prevalence of visual impairment due to cataract (>85%), urinary incontinence, oral problem ,depression and memory loss.

3. BEHROR-RAJASTHAN FREE HEALTH CAMP ON 7/04/2013

A total of 300 patients were attended by our 19 members including 5 Doctors, 10 therapists and other professionals. The mean age of the population was 65.6 (+/-7.5) yrs.

A significant group of elders (>50%) had visual impairment; primarily due to cataract, which is a correctable entity. Urinary incontinence, a neglected symptom, was a major morbidity for the Behror population. The prevalence of joint pain especially knee joint pain (probably due to osteoarthritis) was very high in this population, which was an important reason for the significant (>30%) decrease in work capacity and immobility.

4. ASHRAM NEW DELHI FREE HEALTH CAMP ON 05/05/2013

A total of 300 patients were seen by 25 members including 5 Doctors, 10 Physiotherapist +Occupatioanal therapist , nutritionist , social worker and others were present in this camp. The mean age of the population was 65.38 (5.96).

As we noticed urban population of the Ashram area had significant depression(>50 %) ,visual impairment(>55%) ,sleep disturbances (>40 %), Knee joint pain (>40%) ,memory impairment (>30 %) and work capacity .But as they had access to medical aid. There is a hooping 17% of the population with poly-pharmacy, common characteristics of the urban elderly population, was also one of the predictor of disability and future mortality .

5. Karawal Nagar, New Delhi Free Health Camp On 09/06/2013

For 500 patients, 35 healthy aging members including 5 Doctors, 17 Physio+OT attended this camp. The mean age of the population was 68.1 (+/-7.5) yrs.

As per our survey; Urban areas like Karawal Nagar in North Delhi had a significantly high prevalence of depression, visual impairment, joint pain and oral problem . This was inspite of the fact that this population had better accessibility towards medical health care. This population also had a high prevalence of Falls (a major geriatric giant) and joint pains which restricted their work capacity and resulted in related complications. However, due to greater accessibility the rate of hospitalization was also high when compared to the rural population.

6. Yamuna River, New Delhi Free Health Camp On 09/06/2013 - Action in need, service indeed.
7. Hapur U.P.: FREE HEALTH CAMP On Independence Day (15/08/2013) A total of 1500 patients were seen by 21 members including 7 Doctors, 10 therapists, 5 nurses and other paramedics. The mean age of the population was 60 (5.98).

As expected (> 50%) of the population had visual impairment due to cataract, but a significant number of the population had an oral problem (tooth ache, chewing difficulty or unstable teeth), which is an important cause of anorexia (decrease in appetite) in an elderly population. Joint pain was also significantly high in this population which for obvious reason decreases the work capacity.

8. Bhind M. P.: FREE HEALTH CAMP (25/08/2013) A total of 250 patients was examined by a team of 17 members including 4 Doctors, and 9 therapists . In the population of Bhind, the mean age of attendance was 64.6 (+/- 7.5 ). We have examined, the prevalence of visual impairment (>35%), hearing difficulty (20%) and oral problem (21%) was high in this population .
Comparative Study on Sex ratio in Various Clusters

Contradictory to common beliefs, the situation of female members in a community was comparatively better with respect in seeking medical help. In most of the clusters, in both the rural and urban population; the female attendance to the health camps was better than the male population except in HAPUR, with a predominant poor Muslim population. This was as expected as the Muslim women had less representation mainly due to social issues.

Comparative analysis of malnutrition in various clusters of rural and urban elderly population of India

Overall survey of various clusters of rural and urban elderly community shows: That in Bikaner, which is a desert area of Rajasthan, with minimal industrialization and nonexistent employment opportunities for elders, is largely an agrarian society depending largely on the cultivation of Olive and Bajra (Pearl Millet).This can also partly explain the deficiency of essential nutrients prevalent in the population. Another fact demonstrated in our study was that the elderly population in Bikaner had the greatest prevalence (>50%) of malnutrition (BMI< 18.5); followed by Narayanpur village of UP, both having as a common denomination a minimal or nonexistent health care accessibility .Hapur and Bulandsahar inUttar Pradesh, scored third for obvious reasons ,with maximum representation from the poor Muslim community . The health status in the Ashram area of south Delhi, was comparatively the best considering better health awareness and accessibility to medical facilities.

Problem statement and probable solution

1. Health profile of rural elders shows high prevalence of vision and hearing impairment. Most of the cases of visual impairment are due to cataract which is completely or partially treatable. Most of the hearing problem is age related hearing loss and can be relieved by auditory devices.

Solution-

We are going to conduct free cataract surgery with the help of All India Institute of Medical Sciences community Ophthalmology Department.

Once we have adequate support from funding agencies we will distribute hearing aid with the consultation of the ENT surgeons.

2. Lack of awareness, inadequate familial, social support and inaccessibility to the health care system are the important impediments against active aging .There is a significant group of population with depression ,memory problem and urinary incontinence which is neglected by patients and their family members. But these Geriatric giants (depression, memory problem and urinary incontinence) have a major negative impact on quality of life and long term morbidity, disability and mortality.

Solution-

With our multidisciplinary team ,comprising of a Geriatrician ,psychiatrist ,psychologist ,occupational therapist , and social workers ; We will address this issue.We will also attempt to rehabilitate the patients with severe dementia with support from the therapist and caregiver support .We also want to tie up with other NGOs (Helpage India) and organisations (ARDSI) working in the same field .

3. Malnutrition is very much prevalent in the elderly population, more so in rural India due to poverty, lack of awareness about balanced diet and neglect by family members.

Solution-

We organise health awareness talks, which give maximum stress on nutritional management. We also provide advice on balanced diet by our nutritionist.

4. Joint pain particularly of the knee joint is a major limiting factor for elderly population noted in our survey. Commonest cause is osteoarthritis (degenerative disease of elders). Severe joint pain makes them more dependent for day-to-day activity, which is not desirable.

Solution-

Our physiotherapist teaches them proper exercise; the occupational therapist suggests and provides appropriate assistive devices and in case of need we have given an intra-articular injection for prompt relief.

About Us

Healthy Aging India, a not for profit organization, registered under the Indian Societies Act, 1860. It is initiated by its Founder President, Dr. Prasun Chatterjee, Associate Professor from Department of Geriatric Medicine, All India of Medical Science, (AIIMS) New Delhi along with esteemed personalities from multiple walks of life with a vision to ensure quality of life to our ageing populace with the ... Read More

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