Community Medicine
Community Medicine

The Department of Community Medicine at Chettinad Hospital and Research Institute has gradually grown in its academic strength and activities, since its inception in 2005. In addition to providing undergraduate and postgraduate training, the department actively participates in community health programs such as immunization drives, geriatric care, screening for non-communicable diseases, family planning services, maternal and child care and health education at both rural and urban areas. Special clinics and Mobile health camps are also provided in the rural areas where healthcare is inaccessible. The department works hand in hand with government organizations in the implementation of national programs.

The Department observes notable health days and health events such as World Geriatric Day, World Health Day, World Breast Feeding week, Global hand washing day, World Diabetic day. Many community-based programs are organized, with the active participation of the students.

The faculty team of community medicine consists of qualified, eminent and well experienced physicians who are continuously involved in various academic activities, community health care delivery and research projects.

The department actively conducts immunization drives, geriatric care, screening for non-communicable diseases, family planning services, maternal and child care and health education at both rural and urban areas. Special clinics for under 5 Children, geriatric population, antenatal mothers, Tuberculosis Patients, and NCD patients. Mobile health camps are also provided in the rural areas where healthcare is inaccessible. Our department also works hand in hand with other organizations such as Chennai corporation and the Infectious Disease Hospital located in Tondairpet where our CRRIs, and Postgraduate receive training.

Our department also takes pride in celebrating notable health days involving all students and from other departments as well. Every year health events such as World Geriatric Day, World Health Day, World Breast Feeding week, Global hand washing day, World Diabetic day etc are being celebrated involving students and community. Periodically, our Department also conducts workshops on basics in research methodology to students and postgraduates of other departments.

The medical undergraduate (MBBS) students are trained in the field of public health with interactive lecture classes and visits to the rural and urban health centers where they actively participate in family survey, field visits and special visits to PHCs, sub-centers and ICDS centers.

CRRIs are posted in the rural and urban health centers where they are trained the aspects of public healthand learn to identify the various factors related to health status like socioeconomic status, cultural and environmental factors. They are also involved in various outreach activities like family surveys, medical camps, health education programs, etc.

Postgraduates (MD Community medicine) are continuously engaged in various academic activities (seminars, journal clubs, case presentations, pedagogies and group discussions), community healthcare delivery and research projects.The department also works hand-in-hand with other organizations like the Chennai corporation and the Infectious Disease Hospital, Tondairpet, where CRRIs and postgraduates receive additional training. Apart from this, they are also trained in teaching skills as well as research especially hands on experience on field research.

Periodically, thedepartment also conducts workshops on basics in research methodology to students and postgraduates of other departments

The department also handles other academic programs such as BSc AHS, MSc AHS, MSc Human nutrition and MSc Occupational health and industrial safety.

Faculty and postgraduates are actively involved in research activities in the hospital as well as in the community (both urban and rural) with an average of 10-15 on-going projects monthly. The department also has a high research output with an average of 15-20 publications per year in PubMed, Scopus, EBSCO and Web of Science indexed journals.
Community based research such as field research, outbreak investigations, occupational based researches and assessment surveys are carried out at the peripheral health center and at the community. Studies focused on specific groups- children, adolescent and geriatrics are being carried out at field level.

CMEs, Guest lectures and workshops are organized by the department from time to time. Basic Research methodology workshop is being conducted every academic year for all first year PGs of CHRI since 2015. Awareness programs and workshops are organized as a part of commemoration of various health days in both RHTC and UHTC as well as in the hospital.

Thrust areas for research include Non-communicable diseases, infectious diseases, vector-borne diseases, MCH, Immunization, Mental health, Occupational health, Geriatric health, National health programs evaluation, Health planning and management, Outbreak investigation, Bioethics.

Milk purity analysis, milk fat analysis and TDS analysis is being done in the department laboratory. All basic laboratory investigations are being done at the RHTC along with spirometry, X-ray and slit lamp examination. Specialized equipment available in department include Ph analyzer, automatic milk analyzer, Nephlometer, Calorimeter, Muffle with furnace, BOD incubator, Electric sterilizer, Autoclave, Hydrometer, Fortin Barometer, Berkefed filter, Fat extraction apparatus

Community organizing involves the process of building a grassroots movement involving communities. The community engagement primarily deals with the practice of moving communities toward change, from either a stalled or similarly suspended position.It enables the health care services to be delivered in an equitable, acceptable and better organized manner bringing more people into the umbrella of better health care. It helps in building social capital-ties, network and support which can be used in providing and sustaining the health care services.

The Chettinad Urban Health Centre located in Karapakkam and Rural Health Training centre located in Poonjeri within 25kms from Chettinad Hospital and Research Institute cover a population of 1,63,111 & 39,545 residents respectively. General health camps are being conducted regularly to provide medical relief and referral services to all these residents along with the available specialist doctors, a medical officer and a dentist accompanies to the camp site and the CRRIs, Post graduates, and the Medico-social worker of Community medicine department attend the camp to oversee the activity. During the medical camp all the patients given free consult with our institution Doctors and free treatment. Important Health days are celebrated in our centres by imparting Health education through posters and AV aids to the community members. Health education was given main priority in celebrating the health days, and during certain health days, nearby high-risk targeted areas have been identified, and the campaigns are conducted to the targeted people in preventing the diseases. For Control and prevention of diseases, training of community members in various skills like handwashing, breast self-examination etc were demonstrated and conducted in field practice areas.

School health camps are conducted on Thursdays and they aid in assessing the health status of school children by screening them for diseases. Base line treatment for all students is also provided. School washrooms and toilets are inspected for proper hygiene. Proper waste disposal awareness given in all the schools. By collecting and analysing the data from schools, Health education sessions are organised in those schools, on the topics of personal hygiene and risk factors for diseases. School health camps are conducted mainly in the perspective of reducing the burden of many preventable diseases.

The undergraduate and postgraduate students are sensitizedto this outreach activity which exposes them to the cultural beliefs and practices of the community. By participating in community engagement, the students develop an awareness about their responsibilities toward the community that they are so closely a part of. This helps enhance their communication skills, organizing, handling and making use of the resources at hand and it is an important tool in capacity building. They become sensitive to the needs to needs of the community and learn to do their part in helping their community.

Department of Community Medicine trains undergraduate and postgraduate medical students in Rural Health Training Centre of Chettinad Hospital& Research Institute (CHRI). Rural health training center is located at a distance of 25 km from CHRI. It caters to 12 villages with population of 39545 and 9769 households. The center is equipped with infrastructure facilities including minor operation theatre, laboratory services, imaging services and pharmacy round the clock. Necessary health manpower such as specialists, medical officers, intern and paramedical staff are available at the center.

a. Teaching and training
Poonjeri is a training center for undergraduates- MBBS, Nursing, dental students and post graduates. Undergraduates are taught via field activities- ICDS visit, primary health center and sub center visit. Implementation of national health program services such as immunization and cold chain management, Anganwadi center and maternal child health services. The students are trained at specified duration in various semesters of their undergraduate period as per curriculum. Postgraduates are trained for planning and execution of research studies, operational research, outbreak investigations and community need assessment.

Family health survey is being carried out by undergraduate and postgraduate students in our field practice area covering 12 villages. Door to door visit is carried out to assess health status of family members, socioeconomic status assessment, dietary assessment and referral for those who require. Disease burden assessment and subsequent resource allocation is one of the outcomes of family health survey. Interns are trained in field activities- health promotion and assessment of nutritional deficiencies, surveillance of diseases including dengue.

b. Health care delivery and Screening of diseases
Outpatient and inpatient services are provided by specialists in the field of obstetrics & gynecology, pediatrics, pulmonology, dermatology, psychiatry, ENT and ophthalmology. Day care surgeries, deliveries, ambulance services, referral services and review of patients are also being done regularly. DOTS therapy for tuberculosis patients, immunization services as per national immunization schedule and anti-rabies vaccine clinic are other features of our center. Screeningfor diseases such as diabetes, hypertension, malnutrition, anemia and assessment of disease morbidity of elderly and adolescentare carried out at the health center School health services are provided in collaboration Department of School Education, Government of Tamilnadu through which more than ten schools under the district.

X-Ray and speciality clinics
Emergency
School health camps
Mobile medical camp

The Chettinad Urban Health Training Centre, a venture established in the year 2005 as a part of Comprehensive Health care to the community, is located at Karapakkam, 15 kms away from the parent medical college, CHRI.

It was a two-floor building with high-end infrastructure, located in the prime city area, surrounded by various IT companies, Educational Institutions and Residential population. The Centre covers a total of five field practice areas of Thoraipakkam, Shollinganallur, Injambakkam, Semmenchery and Karapakkam. It covers a population of 1,61,311 over a 10 km radius. Through the UHTC, general medical as well as specialist care is provided to the public.

The centerorganizes various Health Camps, to encourage the health seeking behavior of the community. Our Out-of-the-Box and innovative Health Education sessions help the people to understand and increase their awareness onhealth-related knowledge. In School health, weekly our doctors visit schools to screen the children and treat or refer them. Health education in terms of Hygiene, awareness on the transmission and prevention of various diseases is given to them.

Aside from the community health, the undergraduate medical students are exposed to the various health issues of the communities, social determinants of health, treatment seeking behaviors, etc. During internship, the UHTC offers the interns opportunities to hone their clinical and other skills. The center also plays an important role in the shaping up of postgraduate students, especially of the Community Medicine Department. They also serve as platforms for implementing the various national health programs, thus contributing to the national health goals.

In addition, the UHTC opens the door for a wide range of community-based research, contributing to public health policy and programs. Collaborative multidisciplinary research has always been our main focus area, as we tread through uncharted territories of the medical research, by joining hands with several NGOs and other institutions.

Our curative services include that of General OPD, Specialty consultation, Laboratory,
Day Care and Referral Services. Our Preventive Services comprises of Field visits, Health education sessions, Health day celebrations and collaboration with the Chennai Corporation.
We also conduct Training for the Health workers, students in various aspects of preventive and social medicine, and also in Research.

Envisioning the future of our establishment in terms of services offered:

  • Extending school health services to private schools
  • Providing health services to migrant population in and around OMR.
  • Tie up with two more existing NGOs to provide better health care to the community.
  • Incorporating Swachh Bharath Abhiyan.
  • Health education campaign on Lifestyle and BCC to all the colleges in OMR.
  • To conduct more research activities in the untapped populations of coastal area.
UHTC, Karapakkam.
Handwashing Training Exercise, School health program, Sholinganallur.
An Awareness Campaign through a Skit on Vector-Borne Diseases, Semmenchery.
A multi-specialty health camp conducted at our Centre, Karapakkam.
Topic of research Researchers Funding Agency
The prevalence of specific micronutrient deficiencies in school going children aged between 6-16 years in 10 cities of India: A Multi-site study Dr Ravivarman G Dept. of paediatrics, K G medical university, Lucknow
Risk and determinants of Respiratory Morbidity among stone sculptors, A community based retrospective cohort study Mr.R.SrinivasaMuthukarupan

(MBBS – 2011-12)

Dr Murali

ICMR
Cross sectional study on knowledge, about menstrual hygiene among adolescent school girls in rural setting Sradha gupta

3rd year MBBS

Dr G Ravivarman

ICMR
Perception, attitude, practice towards medical research among medical students of Chennai Arul Samuel Jose

3rd year

Dr Aravind

ICMR
2019
B. Surya, S. Loganathan, G. Ravivarman. A cross sectional study on psychological status among patients with diabetes mellitus in Kancheepuram district. Int J Community Med Public Health. 2019 Jan;6(1):156-158 .
Vinoth Gnana Chellaiyan, Aravind Manoharan, M. Jasmine, FasnaLiaquathali. Medical research: Perception and barriers to its practice among medical school students of Chennai. J Edu Health Promot2019;8:134. (DOI:10.4103/jehp.jehp_464_18)
Aravind Manoharan, Vinoth Gnana Chellaiyan, M. Madhusudan. Effect of educational intervention on the knowledge of rabies among medical school students of Chennai. J Edu Health Promot2019;8:208.( DOI:10.4103/jehp.jehp_161_19)
Danasekaran R, Raja TK, Buvnesh Kumar M mHealth: A Newer Perspective in Healthcare through Mobile Technology. J Comprehensive Health 2019;7(2):67-68.
Muthukumar T, Karnaboopathy R, Annadurai K, Raja TK. Forecasting of Malaria in India Using Time series analysis J Comprehensive Health 2019;7(2):
Suganthi S, Raja VP. Poisoning and its pattern among patients in a tertiary care center in Kancheepuram district, Tamil Nadu. J Edu Health Promot2019;8:194.
Hanitha R, Venmathi E. A cross-sectional study on domestic violence following alcohol consumption against women residing in rural area of Tamil nadu. Natl J Community Med 2019; 10(9): 497-501
S.Jeeva, Arun ramanan, Sowmiya KR. Survival Outcome and Its Predictors for Treated Patients with Glioblastoma Multiforme-A Single Centre Retrospective Study. IOSR Journal of Dental and Medical Sciences. .Volume 18, Issue 2Ser. 14 (February. 2019), PP 13-17.
S. Jeeva, V. Arun Ramanan, Sowmiya. KR, P. Balasubramaniam, Vidya, Chandralekha. The Prognostic Factors for Locally Advanced cervical Cancer Patients Treated by Cisplatin Based Concurrent Chemoradiotherpy- A Retrospective Study. Asian Journal of Medical Research. Jan-Mar 2019 8(1). P 5-9
Suruliraman S M, Suganthi S. Vitamin D status among critical children below five years in a tertiary care hospital. MedPulse- International Journal of Community Medicine. Mar 2019 9(3). P 1-5.
Suganthi S, Suruliraman S M, Jeevithan S. A clinico-epidemiological profile of diabetic and hypertensive patients in the suburbs of Chennai. MedPulse- International Journal of Medicine Feb 2019 9(2) P1-4.
Raja Danasekaran, Karnaboopathy Ranganathan. Prevalence of overweight and obesity among rural adolescent school students in Kanchipuram district, Tamil Nadu. Int J Community Med Public Health. 2019 Jan;6(1):173-176
Raja Danasekaran. Better psychosocial work environment calling for well-being of the worker and organization. Indian journal of occupation and environmental medicine.
S. Suganthi, S. V. Mallika. Adherence of patients towards drugs and injections prescribed in a private medical institution in Chennai. Int J Community Med Public Health. 2019 Mar;6(3):1071-1073
Chellaiyan VG, Nirupama AY, Taneja N. Telemedicine in India: Where do we stand?. J Family Med Prim Care 2019;8:1872-6.
Buvnesh Kumar M. Study on impact of training programme on knowledge of maternal health care among ASHA workers in a tribal population, Tamil nadu. IJCMPH-2019
Raja TK, Buvneshkumar M, Raja D, Muthukumar T. Self care management in diabetes mellitus: a pitfall in treatment?. Int J Sci Rep 2019;5(6):159
2018
Shivasakthimani R., Vinoth Gnana Chellaiyan D., Ravivarman G., Murali R. Compliance of anti-rabies vaccine among dog bite victims in an urban slum of Chennai: a cross sectional study. Int J Community Med Public Health. 2018 Apr;5(4):1487-1491
Sriram RM, Sowmiya KR, Gopi Krishna S, Balaji Arumugam. Food handling in plastic containers: Knowledge, attitude and practices among doctors. National journal of research in community medicine. August 2018: 7(1): 16-18.
Sriram RM, SowmiyaKR, Abhirami RE, Balaji Arumugam. Awareness on health effects of RO water usage amongst medical students. National journal of research in community medicine. August 2018: 7(2): 68-71.
R .Karnaboopathy, D. Venkatesan, M. Manikandan, T. Muthukumar, D .Raja, D. Jegadeesh Ramasamy. Forecasting Dengue Incidence in Tamil Nadu, India: An Time series Analysis. Journal of Comprehensive Health, July 2018 6 (2) P1-11
Rajeshkannan S, Parthiban P. Prevalence and perceptions about tobacco use among migrant construction workers: A community-based cross-sectional survey. International Journal of Medical Science and Public Health Online 2018. 7(11)
Rajeshkannan S., Parthiban P., Murali Mohan Reddy G. Alcohol consumption among immigrant construction workers and its correlates, a need for action. Int J Community Med Public Health. 2018 Sep;5(9):3903-3908
Madhusudan M, Aravind M , Arun Gopi , Ajanya, Vinaya Pradeep FabeenaMangaladan U , Sakeer Hussain OC. Prevalence and factors associated with depression among the students of a medical college in Kerala. Indian Journal of Public Health Research & Development, December 2018. 9(12). P 1-13
Vinoth Gnana Chellaiyan, Christina S C Christopher, ShailajaaDaral. Availing entitlements under Janani Shishu Suraksha Karyakram in Tamil Nadu: a reality. Int J of Community Med Public Health. 2018 Mar; 5(3): 1127-1132
Vinoth GanaChellaiyan, Jasmine, FasnaLiaquath Ali, Loganathan Sudarsanam, Sadhu Venkata Mallika. Food safety awareness and Food handling practices among rural population of Tamil Nadu. Int J of Community Med Public Health April 2018.
Sivasakthi Mani, Vinoth Gnana Chellaiyan, Ravivarman G, Murali Ramachandran. Compliance of anti-rabies vaccine among urban slum population of Chennai. Int J Community Med Public Health. April 2018.
Sarkar Tarun Kumar, Jana P K, MrinmoyAdhikary, Jasmine, Vinoth Gnana Chellaiyan. A study on compliance of antenatal care among mothers attending immunisation clinic of Murshidabad Medical college and Hospital, West Bengal. IOSR-JDMS. 2018
Vimal Kishor Bhagat, Vinoth Gnana Chellaiyan, Gokul Kumar, Archana Bhatnagar, MrinmoyAdhikary. Anti retroviral therapy adherence and its determinants among patients attending ART centre, Bhopal. International Journal of community medcine and public health. October 2018.
Vinoth Gnana Chellaiyan, Deepak K Raut, Anita Khokhar. Integrated Counselling and HIV testing Centres (ICTC) of Delhi: An evaluation. J Family Med Prim Care. 2018 Jul-Aug; 7(4): 791-795
Vinoth Gnana Chellaiyan, FasnaLiaquath Ali, Jasmine Maruthappapandia. Association between sedentary behaviour and depression, stress and anxiety among medical school students in Chennai, India. Journal of clinical and diagnostic research, 2018 Nov. Vol 12(11): LC06-LC09
Tarun Kumar Sarkar, Pulak Kumar Jana, Jasmine M, Timiresh Kumar Das, MrinmoyAdhikary, Vinoth Gnana Chellaiyan, Harsh Aggarwal, Neha Taneja. A cross-sectional study on adequacy of blood transfusion and transfusion related infectionsin thalassemic patients attending a medical college hospital, West Bengal. Int J Communiy Med Public Health. 2018 Aug; 5(8): 3596-359
T K Raja. A cross-sectionl study on prevalence of hypertension and its associated factors among rural adults in Kancheepuram district, Tamil Nadu. IJCMPH January 2018.
T K Raja. The unwanted second line: unmet needs of contraception. Journal of Comprehensive health- January 2018
T K Raja. An epidemiological study of road traffic accidents among patients admitted in tertiary care hospital in Puducherry. IJCMPH- August 2018.
Buvnesh Kumar M. A study on prevalence of depression and associated risk factors among elderly in a rural block of Tamil nadu. IJPH june 2018
Buvnesh Kumar M . Vitamin D status in Kancheepuram district, Tamil Nadu, India. BMC public health- 2018
2017
T K Raja. Black dog: A future pandemic. International Journal of scientific reports- December 2017
Vinoth Gnana Chellaiyan, FasnaLiaquath Ali, Murali Ramachandran. Physical Activity in Building Stronger Community Journal of Clinical and Diagnostic Research. 2017 Dec, Vol-11(12): LM01-LM0
Neha Taneja, Vinoth Gnana Chellaiyan, Shailaja Daral, MrinmoyAdhikary, Timiresh Kumar Das. Home based care as an Approach to improve the Efficiency of treatment for MDR- TB: A Quasi-experimental study. Journal of clinical and diagnostic research. 2017 Aug, Vol-11(8): LC05-LC08
JaphereenaMurugavel, Vinoth GnanChellaiyan, Dhivyatharani Krishnamoorthy. Attitude toward learning of community medicine: A cross-sectional study among medical school student. J Family Med Prim Care 2017; 6:83-7.
Reddy MM, Panakkal AM, Loganathan S, Venkatappaiah J. Perception of current medical practitioners about undergraduate community medicine training, implications for future undergraduate curriculum: a cross sectional study. Int J Community Med Public Health 2017;4:160-5
Vinoth Gnana Chellaiyan, Aravind Manoharan, Murali Ramachandran. Knowledge and awareness towards dengue infection and its prevention: a cross sectional study from rural area of Tamil Nadu, India. Int J Community Med Public Health. 2017 Feb;4(2):494-499.
Jana PK, Sarkar TK, Chellaiyan DVG, Adhikary M, Jha SN. Rabies menace and control – Knowledge, awareness, and practices among patients in a tertiary care hospital in West Bengal. Int J Med Sci Public Health 2017;6: (Online First). Doi:10.5455/ijmsph.2017.1164915122016
Sailatha R, Famida AM, Chellaiyan VGD, Vijayalakshmi K, Sathiya S, Renuka S.

Mifepristone: an alternate to dinoprostone in induction of labour. Int J Reprod Contracept obstetGynecol2017;6:1880-4

Chellaiyan VG, Raut DK, Khokhar A. Job satisfaction of counsellors at integrated counselling and testing centres (ICTCs) of Delhi, India. Int J Community Med Public Health 2017;4:675-9.
Adhikary M, Chellaiyan VG, Chowdhury R, Daral S, Taneja N, Das TK. Association of risk factors of type 2 diabetes mellitus and fasting blood glucose levels among residents of rural area of Delhi: a cross sectional study. Int J Community Med Public Health 2017;4:1005-10.
Sarkar TK, Adhikary M, Chellaiyan DVG, Jana PK, Rai A, Biswas I. An observational study on career aspiration among students of a medical college in Kolkata. Int J Med Sci Public Health 2017;6 (Online First). Doi: 10.5455/ijmsph.2017.1164815122016
Ravish HS, Aravind M, Ashwath Narayana DH, Yannick P, Phaneendra MS. Safety of intradermal rabies vaccine as pre-exposure prophylaxis among veterinary students. Int J Community Med Public Health. 2017 Feb;4(2):396-399
Murali R, Munish N. A community based cross sectional study on domestic violence among married women dwelling in urban slum tamilnadu. Global Journal for research Analysis. Jan 2017;6(1) :681-684
2016
T K Raja, Anisha Mohan P, Upilli Venkat Ragavan M, G Murali MohanReddy, R Murali. Analysis of drug consumption in rural health centerof tertiary care teaching hospital,Kancheepuram district, Tamil Nadu. MedPulse – Internatinal MedicalJournal January 2016; 3(1): 69-72
Suruliraman SM, Anjan S, Kulkarni AG, Suma K. health status of plantation workers: A cross-sectional study. MedPulse-International Medical Journal. 2016; 3(4): 365-369.
2015
Anisha Mohan P, Suruliraman SM, R Murali. Health status of workers in a hair processing factory, Chennai, Tamilnadu: A cross-sectional study. Int J PrevenCurat Comm. Med. 2015; 1(3): 64-69.
Suruliraman SM, suma K and Anjan S. Assessment of Quality of Life among plantation workers using WHOQOL-BREF. MedPulse-International Medical Journal. 2015; 2(12): 829-831.
2014
Vijayalakshmi K, Reddy GM, Subbiah VN, Sathiya S, Arjun B. 2014. Clinico-pathological profile of adnexal torsion cases: a retrospective analysis from a tertiary care teaching hospital. Journal of Clinical and Diagnostic Research. 8(6): 4 -7.
Vasudevan J, Reddy GMM, Jenifer A, Thayumanavan S, Uma Devi, Rathinasamy M. 2014. Prevalence and factors associated with vitamin D deficiency in Indian children: a hospital based cross sectional study. Pediatric Oncall. 11(3). DOI: 10.7199/ped.oncall.2014.47.
Vasudevan J, Jenifer A, Reddy GM, Thayumanavan S. 2014. Serum alkaline phosphatase for screening of hypovitaminosis D. Indian Pediatrics. 51(1): 60-61.
2013
Vasudevan J, Reddy GMM, Thayumanavan S. 2013. Usefulness of cord bilirubin as a screening test to predict newborns at risk of hyperbilirubinemia. PediatricOncall. 10(9). DOI: 10.7199/ped.oncall. 50.
Syed Meraj Ahmed. 2013. An Objective View of Problems in Rural Healthcare Infrastructure in India. Chettinad Health City Medical Journal. 2(1): 4-6.
Sarkar M. 2013. Personal hygiene among primary school children living in a slum of Kolkata, India. Journal of Preventive Medicine and Hygiene. 54(3):153-158
Sarkar M,Konar H and Raut D. 2013. Clinico-pathological features of gynecological malignancies in a tertiary care hospital in eastern India: importance of strengthening primary health care in prevention and early detection. Asian Pacific Journal of Cancer Prevention. 14(6):3541-3547.
2012
Sarkar M, Wolf MG. 2012. Simple ovarian cysts in postmenopausal women: scope of conservative management. European Journal of Obstetrics & Gynecology and Reproductive Biology. 162(1): 75-78.
Sarkar M, Konar H, Raut DK. 2012. Gynecological malignancies: epidemiological characteristics of the patients in a tertiary care hospital in India. Asian Pacific Journal of Cancer Prevention. 13(6): 2997-3004.
Reddy GM, Singh A, Singh D. 2012. Community based estimation of extent and determinants of cost of injuries in a north Indian city. Indian Journal of Medical Sciences. 66(1): 23-29.
Dhabadi BB, Athavale A, Meundi A, Rekha R, Suruliraman M, Shreeranga A, Gururaj S. 2012. Prevalence of asthma and associated factors among school children in rural south India. The International Journal of Tuberculosis and Lung Disease. 16(1): 120-125.
2011
Sarkar M, Konar H, Raut DK. 2011. Knowledge and health care-seeking behavior in relation to gynecological malignancies in India: a study of the patients with gynecological malignancies in a tertiary care hospital of Kolkata. Journal of Cancer Education. 26(2): 348-354.
2010
Sarkar M, Konar H, Raut D. 2010. Symptomatology of gynecological malignancies: experiences in the gynecology out-patient clinic of a tertiary care hospital in Kolkata, India. Asian Pacific Journal of Cancer Prevention. 11(3): 785-791.
Sarkar M. 2010. A study on domestic violence against adult and adolescent females in a rural area of West Bengal. Indian Journal of Community Medicine. 35(2): 311-315.
Malini K and Logaraj M. 2010. Awareness, Attitude and Treatment Seeking Behaviour Regarding Tuberculosis in A rural Area of Tamil Nadu. Indian Journal of Tuberculosis. 226-229.
Name of faculty Date Name of award Event Authority
Dr Murali 14.08.2012 Life time achievement award

“Best Doctor award”

Teacher’s day The Tamilnadu Dr MGR Medical University
Dr Loganathan 12.08.2016 Appreciation award August 2016

For conducting health awareness camp

World Alliance for breast feeding action
Dr Murali 17.09.2016 Eminent medical personality award Health services award ceremony Tamilnadu Medical practitioners’ association
Dr Murali 07.04.2017 Organizing chairperson World Health Day 2017 IAPSM
Dr Vinoth Gnana Chellaiyan D 07.04.2017 Nodal person honour World health day 2017 IAPSM
Dr Buvnesh Kumar M 07.04.2019 Nodal person honour World health day 2019 IAPSM

A case of Ichthyosis vulgaris, diagnosed in RHTC Poonjeri and referred to Department of Deratology, CHRI for further evaluation and management.


Department of Community Medicine

About the Department

The Department of Community Medicine at Chettinad Hospital and Research Institute has gradually grown in its academic strength and activities, since its inception in 2005. In addition to providing undergraduate and postgraduate training, the department actively participates in community health programs such as immunization drives, geriatric care, screening for non-communicable diseases, family planning services, maternal and child care and health education at both rural and urban areas. Special clinics and Mobile health camps are also provided in the rural areas where healthcare is inaccessible. The department works hand in hand with government organizations in the implementation of national programs.

The Department observes notable health days and health events such as World Geriatric Day, World Health Day, World Breast Feeding week, Global hand washing day, World Diabetic day. Many community-based programs are organized, with the active participation of the students.

The Team

The faculty team of community medicine consists of qualified, eminent and well experienced physicians who are continuously involved in various academic activities, community health care delivery and research projects.

Community Care

The department actively conducts immunization drives, geriatric care, screening for non-communicable diseases, family planning services, maternal and child care and health education at both rural and urban areas. Special clinics for under 5 Children, geriatric population, antenatal mothers, Tuberculosis Patients, and NCD patients. Mobile health camps are also provided in the rural areas where healthcare is inaccessible. Our department also works hand in hand with other organizations such as Chennai corporation and the Infectious Disease Hospital located in Tondairpet where our CRRIs, and Postgraduate receive training.

Our department also takes pride in celebrating notable health days involving all students and from other departments as well. Every year health events such as World Geriatric Day, World Health Day, World Breast Feeding week, Global hand washing day, World Diabetic day etc are being celebrated involving students and community. Periodically, our Department also conducts workshops on basics in research methodology to students and postgraduates of other departments.

Teaching activities

The medical undergraduate (MBBS) students are trained in the field of public health with interactive lecture classes and visits to the rural and urban health centers where they actively participate in family survey, field visits and special visits to PHCs, sub-centers and ICDS centers.

CRRIs are posted in the rural and urban health centers where they are trained the aspects of public healthand learn to identify the various factors related to health status like socioeconomic status, cultural and environmental factors. They are also involved in various outreach activities like family surveys, medical camps, health education programs, etc.

Postgraduates (MD Community medicine) are continuously engaged in various academic activities (seminars, journal clubs, case presentations, pedagogies and group discussions), community healthcare delivery and research projects.The department also works hand-in-hand with other organizations like the Chennai corporation and the Infectious Disease Hospital, Tondairpet, where CRRIs and postgraduates receive additional training. Apart from this, they are also trained in teaching skills as well as research especially hands on experience on field research.

Periodically, thedepartment also conducts workshops on basics in research methodology to students and postgraduates of other departments

The department also handles other academic programs such as BSc AHS, MSc AHS, MSc Human nutrition and MSc Occupational health and industrial safety.

Health research

Faculty and postgraduates are actively involved in research activities in the hospital as well as in the community (both urban and rural) with an average of 10-15 on-going projects monthly. The department also has a high research output with an average of 15-20 publications per year in PubMed, Scopus, EBSCO and Web of Science indexed journals.
Community based research such as field research, outbreak investigations, occupational based researches and assessment surveys are carried out at the peripheral health center and at the community. Studies focused on specific groups- children, adolescent and geriatrics are being carried out at field level.

CMEs, Guest lectures and workshops are organized by the department from time to time. Basic Research methodology workshop is being conducted every academic year for all first year PGs of CHRI since 2015. Awareness programs and workshops are organized as a part of commemoration of various health days in both RHTC and UHTC as well as in the hospital.

Thrust areas for research include Non-communicable diseases, infectious diseases, vector-borne diseases, MCH, Immunization, Mental health, Occupational health, Geriatric health, National health programs evaluation, Health planning and management, Outbreak investigation, Bioethics.

Special Tests

Milk purity analysis, milk fat analysis and TDS analysis is being done in the department laboratory. All basic laboratory investigations are being done at the RHTC along with spirometry, X-ray and slit lamp examination. Specialized equipment available in department include Ph analyzer, automatic milk analyzer, Nephlometer, Calorimeter, Muffle with furnace, BOD incubator, Electric sterilizer, Autoclave, Hydrometer, Fortin Barometer, Berkefed filter, Fat extraction apparatus

Outreach/ Community engagement activities

Community organizing involves the process of building a grassroots movement involving communities. The community engagement primarily deals with the practice of moving communities toward change, from either a stalled or similarly suspended position.It enables the health care services to be delivered in an equitable, acceptable and better organized manner bringing more people into the umbrella of better health care. It helps in building social capital-ties, network and support which can be used in providing and sustaining the health care services.

The Chettinad Urban Health Centre located in Karapakkam and Rural Health Training centre located in Poonjeri within 25kms from Chettinad Hospital and Research Institute cover a population of 1,63,111 & 39,545 residents respectively. General health camps are being conducted regularly to provide medical relief and referral services to all these residents along with the available specialist doctors, a medical officer and a dentist accompanies to the camp site and the CRRIs, Post graduates, and the Medico-social worker of Community medicine department attend the camp to oversee the activity. During the medical camp all the patients given free consult with our institution Doctors and free treatment. Important Health days are celebrated in our centres by imparting Health education through posters and AV aids to the community members. Health education was given main priority in celebrating the health days, and during certain health days, nearby high-risk targeted areas have been identified, and the campaigns are conducted to the targeted people in preventing the diseases. For Control and prevention of diseases, training of community members in various skills like handwashing, breast self-examination etc were demonstrated and conducted in field practice areas.

School health camps are conducted on Thursdays and they aid in assessing the health status of school children by screening them for diseases. Base line treatment for all students is also provided. School washrooms and toilets are inspected for proper hygiene. Proper waste disposal awareness given in all the schools. By collecting and analysing the data from schools, Health education sessions are organised in those schools, on the topics of personal hygiene and risk factors for diseases. School health camps are conducted mainly in the perspective of reducing the burden of many preventable diseases.

The undergraduate and postgraduate students are sensitizedto this outreach activity which exposes them to the cultural beliefs and practices of the community. By participating in community engagement, the students develop an awareness about their responsibilities toward the community that they are so closely a part of. This helps enhance their communication skills, organizing, handling and making use of the resources at hand and it is an important tool in capacity building. They become sensitive to the needs to needs of the community and learn to do their part in helping their community.

Chettinad Rural Health Training Center, Poonjeri

Department of Community Medicine trains undergraduate and postgraduate medical students in Rural Health Training Centre of Chettinad Hospital& Research Institute (CHRI). Rural health training center is located at a distance of 25 km from CHRI. It caters to 12 villages with population of 39545 and 9769 households. The center is equipped with infrastructure facilities including minor operation theatre, laboratory services, imaging services and pharmacy round the clock. Necessary health manpower such as specialists, medical officers, intern and paramedical staff are available at the center.

a. Teaching and training
Poonjeri is a training center for undergraduates- MBBS, Nursing, dental students and post graduates. Undergraduates are taught via field activities- ICDS visit, primary health center and sub center visit. Implementation of national health program services such as immunization and cold chain management, Anganwadi center and maternal child health services. The students are trained at specified duration in various semesters of their undergraduate period as per curriculum. Postgraduates are trained for planning and execution of research studies, operational research, outbreak investigations and community need assessment.

Family health survey is being carried out by undergraduate and postgraduate students in our field practice area covering 12 villages. Door to door visit is carried out to assess health status of family members, socioeconomic status assessment, dietary assessment and referral for those who require. Disease burden assessment and subsequent resource allocation is one of the outcomes of family health survey. Interns are trained in field activities- health promotion and assessment of nutritional deficiencies, surveillance of diseases including dengue.

b. Health care delivery and Screening of diseases
Outpatient and inpatient services are provided by specialists in the field of obstetrics & gynecology, pediatrics, pulmonology, dermatology, psychiatry, ENT and ophthalmology. Day care surgeries, deliveries, ambulance services, referral services and review of patients are also being done regularly. DOTS therapy for tuberculosis patients, immunization services as per national immunization schedule and anti-rabies vaccine clinic are other features of our center. Screeningfor diseases such as diabetes, hypertension, malnutrition, anemia and assessment of disease morbidity of elderly and adolescentare carried out at the health center School health services are provided in collaboration Department of School Education, Government of Tamilnadu through which more than ten schools under the district.

X-Ray and speciality clinics
Emergency
School health camps
Mobile medical camp

Chettinad Urban Health Training Centre, Karapakkam

The Chettinad Urban Health Training Centre, a venture established in the year 2005 as a part of Comprehensive Health care to the community, is located at Karapakkam, 15 kms away from the parent medical college, CHRI.

It was a two-floor building with high-end infrastructure, located in the prime city area, surrounded by various IT companies, Educational Institutions and Residential population. The Centre covers a total of five field practice areas of Thoraipakkam, Shollinganallur, Injambakkam, Semmenchery and Karapakkam. It covers a population of 1,61,311 over a 10 km radius. Through the UHTC, general medical as well as specialist care is provided to the public.

The centerorganizes various Health Camps, to encourage the health seeking behavior of the community. Our Out-of-the-Box and innovative Health Education sessions help the people to understand and increase their awareness onhealth-related knowledge. In School health, weekly our doctors visit schools to screen the children and treat or refer them. Health education in terms of Hygiene, awareness on the transmission and prevention of various diseases is given to them.

Aside from the community health, the undergraduate medical students are exposed to the various health issues of the communities, social determinants of health, treatment seeking behaviors, etc. During internship, the UHTC offers the interns opportunities to hone their clinical and other skills. The center also plays an important role in the shaping up of postgraduate students, especially of the Community Medicine Department. They also serve as platforms for implementing the various national health programs, thus contributing to the national health goals.

In addition, the UHTC opens the door for a wide range of community-based research, contributing to public health policy and programs. Collaborative multidisciplinary research has always been our main focus area, as we tread through uncharted territories of the medical research, by joining hands with several NGOs and other institutions.

Our curative services include that of General OPD, Specialty consultation, Laboratory,
Day Care and Referral Services. Our Preventive Services comprises of Field visits, Health education sessions, Health day celebrations and collaboration with the Chennai Corporation.
We also conduct Training for the Health workers, students in various aspects of preventive and social medicine, and also in Research.

Envisioning the future of our establishment in terms of services offered:

  • Extending school health services to private schools
  • Providing health services to migrant population in and around OMR.
  • Tie up with two more existing NGOs to provide better health care to the community.
  • Incorporating Swachh Bharath Abhiyan.
  • Health education campaign on Lifestyle and BCC to all the colleges in OMR.
  • To conduct more research activities in the untapped populations of coastal area.
UHTC, Karapakkam.
Handwashing Training Exercise, School health program, Sholinganallur.
An Awareness Campaign through a Skit on Vector-Borne Diseases, Semmenchery.
A multi-specialty health camp conducted at our Centre, Karapakkam.

Funded Research Projects (Ongoing and completed)

Topic of research Researchers Funding Agency
The prevalence of specific micronutrient deficiencies in school going children aged between 6-16 years in 10 cities of India: A Multi-site study Dr Ravivarman G Dept. of paediatrics, K G medical university, Lucknow
Risk and determinants of Respiratory Morbidity among stone sculptors, A community based retrospective cohort study Mr.R.SrinivasaMuthukarupan

(MBBS – 2011-12)

Dr Murali

ICMR
Cross sectional study on knowledge, about menstrual hygiene among adolescent school girls in rural setting Sradha gupta

3rd year MBBS

Dr G Ravivarman

ICMR
Perception, attitude, practice towards medical research among medical students of Chennai Arul Samuel Jose

3rd year

Dr Aravind

ICMR

Department publications
Achievements/Recognitions

Name of faculty Date Name of award Event Authority
Dr Murali 14.08.2012 Life time achievement award

“Best Doctor award”

Teacher’s day The Tamilnadu Dr MGR Medical University
Dr Loganathan 12.08.2016 Appreciation award August 2016

For conducting health awareness camp

World Alliance for breast feeding action
Dr Murali 17.09.2016 Eminent medical personality award Health services award ceremony Tamilnadu Medical practitioners’ association
Dr Murali 07.04.2017 Organizing chairperson World Health Day 2017 IAPSM
Dr Vinoth Gnana Chellaiyan D 07.04.2017 Nodal person honour World health day 2017 IAPSM
Dr Buvnesh Kumar M 07.04.2019 Nodal person honour World health day 2019 IAPSM

Interesting cases

A case of Ichthyosis vulgaris, diagnosed in RHTC Poonjeri and referred to Department of Deratology, CHRI for further evaluation and management.

Success stories

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