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Group presentation on goi

1. GROUP PRESENATION ON FIELD VISIT TO APHO DELHI -By Team 3

2. Challenges faced at the work place

3. Challenges faced at the work place The CGHS portal is slow during the working hours.Some of the functions in the portal are not functioning properly(eg. Remarks and diagnosis of the patients entered are not saved, repeatedly getting logged out of the module in the peak hours , to be able to view past history of patients always etc . Majority of the newly joined doctors are attending to on a average more than 80 patients,sometimes going as high as 120-130 patients which adversely affects the quality patient care Shortage of human resources , no timely recruitment to the posts that are lying vacant

4. No formal training for the newly recruited doctors in regard to using digital platforms for data entry and issuing prescription, procurement through GeM portal, PFMS etc The doctors working in CGHS should be briefed about the various medicines available in CGHS formulary and listed investigations and procedures that is permitted through CGHS. Also guidance should be given in regard to obtaining permissions for unlisted investigations and procedures and life saving drugs. Lack of coordination with the officials of various ministries is adversely affecting the implementation of various public health measures especially in the Points of Entry Delay in the office related procedures . Difficulty in making patients understand the way module works. Patients like to have their own way of t/t like undue prescription of antibiotics. . Confrontation with harsh and ill mannered patients threatening with dire consequences. Counseling of patients about generic medicines

5. Totally new working environment working for doctors especially at Port and Airport which is a challenge initially Lack of training in regard to administration. G uidance should be given for those who take up the post incharge(any new higher post) in regard to material and inventory management Infrastructure issues such as – no separate rooms for all medical officers- rented building that are poorly maintained and not suited to function as Wellness Centres(no ramp etc for senior citizens) – No proper hygienic restrooms (no western latrine in some wellness centres) – No Air conditioning for the medical officers who are sitting and attending to patients for longer time period. All new Wellness Centres that is planned to be opened in satellite cities should have sanctioned strength of at least 2 doctors and 2 pharmacists.

6. RECOMMENDATIONS Infrastructure should be good. Well maintained chamber should be there. Dispensary should be on ground floor. CPWD has to take periodical maintenance Induction training programme should be given based on the job profile. Guidance from seniors and reference to books and online journal . Own infrastrcuture ensures smooth functioning and proper maintanence Appointment of Shortlisted candidates in case of non joining duty(NJD) vacancies. To avail an opportunity for aspiring doctors in service to pursue post graduation via in- service quota Appointment of MOs on contractual basis as substitute for those who availed EOL Updates in regard to the government schemes and medicolegal OMs should be conveyed at regular intervals Time bound redressal of grievances is necessary Rude patients should be dealt strictly as per existing rules