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

2. 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

3. 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

4. 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

5. 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 mobile services (FDHS) in respective villages
Report unusual health occurrences
Record cases and report monthly to DM & HO

6. 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.

7. 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

8. (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

9. 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

10. Thank You