dr sumit dubey

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WHY I STARTED Increasing Unemployment among Indian Dental Graduates – High Time to Control Dental Manpower - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385734/ Jobless doctor ends life -(MDS ) - The deceased was identified as Sirjanpreet Kaur, who completed her MDS four months ago and was looking for a job . http://www.tribuneindia.com/2014/20141129/ldh1.htm Dentists seek jobs in PHCs - http://www.thehindu.com/news/cities/Hyderabad/dentists-seek-jobs-in-phcs/article7 Healthy Affordable Solutions Nationally for Aam AAdmi

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Page 1: Dr Sumit Dubey

WHY I STARTED

• Increasing Unemployment among Indian Dental Graduates – High Time to Control Dental Manpower - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385734/

• Jobless doctor ends life -(MDS ) - The deceased was identified as Sirjanpreet Kaur, who completed her MDS four months ago and was looking for a job. http://www.tribuneindia.com/2014/20141129/ldh1.htm

• Dentists seek jobs in PHCs - http://www.thehindu.com/news/cities/Hyderabad/dentists-seek-jobs-in-phcs/article7466054.ece

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 2: Dr Sumit Dubey

NATIONAL ORALHYGIENE CAMPAIGN INDIA

Healthy Affordable Solutions Nationally for Aam AAdmi

Facts & CHALLENGES – An ongoing experience with TRUTH

Page 3: Dr Sumit Dubey

SELF SUSTAINED BUSINESS MODEL

An initiative for Fellow Dental & Medical Practioner to render THERE EXPERTISE for rural India – the back bone of our country – THE FARMERS !

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 4: Dr Sumit Dubey

Dr Sumit DubeyBDS MDS FICOI

Healthy Affordable Solutions Nationally for Aam AAdmi

Rural Dental Clinic Gursahaiganj Kannauj

New Delhi

Page 5: Dr Sumit Dubey

How it started

• Regularly organizing Camps for underprivileged at Delhi/NCR

• So thought of opening a rural dental center

• Opened Dental Clinic in Remote area of district Kannauj, Uttar Pradesh

• Started visiting for two days every week from Delhi

• But that was not sufficient- the ground level Picture was different & Shocking.

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 6: Dr Sumit Dubey

How the Journey started…..

• Villagers believed only in Tooth extractions

• For treatment they travel to 45km / 100km

• They have huge social, personal & Financial problems , couldn’t earn because of Draught / Job crisis

• Many elderly were deprived of treatment, nobody was ready to take them to dentist or Quacks

Healthy Affordable Solutions Nationally for Aam AAdmi

• Oral SubMucous Fibrosis cases were abundant

• Gutkha, bidi, tambhakoo, khaini, betel nut is there bread n butter

Page 7: Dr Sumit Dubey

PROBLEMS ENCOUNTERED

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 8: Dr Sumit Dubey

An Unexplored Oral Health Scenario – Pilot Project

VISION: – To provide Prophylactive & Preventive Oral Care

Remote villages of India– To adopt villages for complete Dental Care– To provide Healthy Affordable Solutions

Nationally for Aam Aadmi ( HASNAA)– To start Dental Camp India , Anti Tobacco / Cancer

Prevention Campaign/ programmes

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 9: Dr Sumit Dubey

Identification of Rural Villages• Discussion

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 10: Dr Sumit Dubey

Door to Door- farm to farm Oral Hygiene Awareness

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 11: Dr Sumit Dubey

UNDERSTANDING THERE NEEDS

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 12: Dr Sumit Dubey

Workshop/ lectures/ Demonstration

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 13: Dr Sumit Dubey

Introducing “KULLA TEAM”

Healthy Affordable Solutions Nationally for Aam AAdmi

Villagers bring there Glasses & everybody does “kulla” as demonstrated.3 member team / local villagers invigilates on daily basis. ( added fun to there life)

Page 14: Dr Sumit Dubey

Interaction

– Discussion– Lectures– Presentation – Pamphlets/Handbill– Multimedia – Animated Movies– Oral Care guiding Hindi Manual– Tobacco Habit Breaking alternatives– Focus on Cancer

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 15: Dr Sumit Dubey

Dental Camps

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 16: Dr Sumit Dubey

Infection / Reaction control Protocol

• Villagers didn’t have any clue about sensitivity test ( before extraction / RCT)

• Autoclaved / Sterilized instruments ( which I carry every time to Delhi and bring them back )

• Packed gauge pieces - post extraction is given to them• Patient drape concept / Chlorhexidine mouth rinses before

dental procedure• Compulsory Prophylactic antibiotic pre treatment coverage

(68% patients have periodontal Problem )• In house 48 years experienced well reputed Bsc MBBS (Retd Dy CMO)

Doctor from KGMC Lucknow for any emergency. ( 24 x7 )

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 17: Dr Sumit Dubey

Appointment for Further Treatment

– Green Pass: They just need Oral Home Care (satisfactory)

– Yellow Pass : They should Visit dentist in 3-4 days times at base center

– Red Pass: Immediate Require Dental Intervention at base center

– Blue Pass: Emergency referral to higher center or Senior Dental Specialist.

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 18: Dr Sumit Dubey

Treatment & Results

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 19: Dr Sumit Dubey

Functioning/ Maintenance

• Number of Working days two• One Village in 2 months is covered- Revisit in

that village is given 2 times in a year- follow up of the patients along with their prognosis/records

• Total number of 40-50 Villages will be covered • Complete patient record/ Material

(Consumable/Non-Consumable) record are maintained/audited and checked on weekly basis

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 20: Dr Sumit Dubey

• Quarterly assessment of work Progress Report by the Provider

• 24 x 7 Call facility at a pre- defined number

• SMS/Calls for appointment/follow ups

• Social Media Networking

Healthy Affordable Solutions Nationally for Aam AAdmi

Functioning/ Maintenance….

Page 21: Dr Sumit Dubey

Healthy Affordable Solutions Nationally for Aam AAdmi

Case history

Patient Records

Core Team

Page 22: Dr Sumit Dubey

Financially Self Sustained Oral Care Delivery System

• Minimum Treatment Fees • Dental Insurance Plan at subsidized Rate– Through Panchayats– Through state/central Government– Through Village Health Sanitation Committee– Adoption of the whole Village under HASNAA

Scheme– Oral Germ Free Society – 50-100 Per Person Insured Annually for Preventive and Prophylactic Treatment

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 23: Dr Sumit Dubey

• Patients have to pay the fees for Secondary/Tertiary Treatment – That will also be at subsidized rate.

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 24: Dr Sumit Dubey

Future Goals

• To open 70/75 National Rural Oral Care Base Centre at villages (HASNAA – NOCI) in each state of India.

• Self Sustained business Module – Subsidized Fee Structure – (Which will remain same all over the country).

• Mobile/Tab Application – Videos /Animated Films of “DAANTWALAAH” family ( yet to start).

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 25: Dr Sumit Dubey

• Authentic/ Relevant Data Collected from Survey/Questionnaire can be utilized to get Grant / programmes / Projects from Indian Government, World Health Organization, NGO’s , Individuals and or other International Organizations who are working on Public Health Forum.

Healthy Affordable Solutions Nationally for Aam AAdmi

Future Goals…

Page 26: Dr Sumit Dubey

• Opening a channel - Job Opportunity for Dentist. (as more than 3200 Dentist are jobless each year).

• Direct placement of BDS Graduate on the day of Internship completion.

( No more Job hunting, creating independence and relish dentistry)

Healthy Affordable Solutions Nationally for Aam AAdmi

Future Goals…

Page 27: Dr Sumit Dubey

• Open Job Opportunity for Dental Hygienist

• Contribution to overcome dental disease and increasing cancer awareness in masses.

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 28: Dr Sumit Dubey

View this beautifully captured eye opener picture , one of our elderly fellow citizen is making khaini / zarda/surti/ tambhakhoo on his palm from finger & thumb , who is hardly 2 meters away from the place ( where everybody will be safe, secure from all oral health issues) .

This is the challenge I have to bring out the changes, improvise my self and educate and or else use new tools to make them understand about ill effects of tobacco and its products. I will because I can

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 29: Dr Sumit Dubey

Nav Bharat Times HT CITY

Healthy Affordable Solutions Nationally for Aam AAdmi

Page 30: Dr Sumit Dubey

The unsaid words, d buried emotions, never ending painful stories & their unfold mystery will b revealed n Healed , as I move slowly & gradually in villages it will now create History

Healthy Affordable Solutions Nationally for Aam AAdmi