Rural Medical Practitioners Health Care Delivery System Mainstreaming Of Rural Medical Practitioners ( RMPs /PMPs) In Health Care Delivery System Andhra Pradesh

Rural Medical Practitioners Features Worked under qualified medical doctors Education qualification low Gained experience in treating various illness Now working on their own Around 90,000 all over the State Serving people in underserved areas

Rural Medical Practitioners Strategy Mainstreaming through a process of ‘Training, Examination and Certification’by AP Para Medical Board Be called ‘Community Paramedics’ Restriction Not to call themselves as “Doctors” and Not to ‘Prescribe / Dispense any Scheduled drugs’ other than Over The Counter (OTC) drugs

Role of Community Paramedics after certification Act as first responder and provide ‘First- aid, Cardio Pulmonary Resuscitation (CPR), arrest bleeding, positioning and mobilize qualified care’ Manage ‘acute minor ailments’ within the ambit of protocols and training status Identify and refer to qualified practitioner for chronic diseases ‘Follow-up the treatment’ as prescribed by the qualified practitioner

Role of Community Paramedics after certification Provide ‘Home care’ for chronically ill, disabled, HIV positives, elderly and infirm under the advise of a qualified practitioner Assist in ‘National Health Programmes’ Create awareness and participate in 104 - mobile services (FDHS) in respective villages Report unusual health occurrences Record cases and report monthly to DM & HO

Methodology RMPs shall undergo a Certificate Course of ‘Community Paramedic' for 1000 Hrs over a period of 1 year in their respective districts Theory (180 Hrs) Primary treatment and management of common ailments Emergency event management Pharmacy - Dispensing OTC and other drugs commonly prescribed by qualified medical practitioners- Indications, usage /doses, reactions, side effects and mode of administration dos and donts in administration.

Methodology Clinical Training (360 Hrs) History taking, assessment of patient for referral to hospital Skills of routine care, demonstration of signs and symptoms Advanced medical skills for supporting a doctor Disability limitation skills Emergency event management and first aid Field Training (100 Hrs) Fixed Day Health Services in villages Distant Learning in Public Health (360 Hrs) 104 Help Line Advise and study material

(to be certified by the concerned Doctor) Eligibility Must have assisted a qualified Medical Practitioner in health delivery for 3 years or more (to be certified by the concerned Doctor) Must be working independently in health delivery activities for 5 years or more (to be certified by Registered association of RMPs) Must be physically fit and mentally sound (to be certified by a qualified Doctor) After examination, all successful candidates will be awarded certificates as “Community Paramedics” and registered by AP Para Medical Board Certification

Plan for training Theory(180 Hrs) PHCs/ Govt. Hospitals/ Recognised Para Medical Institutions where faculty, infrastructure available Clinical(360 Hrs) Government or Private nursing home (minimum 10 bed capacity) where IP care is available with qualified clinicians to train Field Training(100 Hrs) Fixed Day Health Services (FDHS) in villages Distant Education(360 Hrs) 104 help line advise, reading material,etc

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