Outreach Medical Clinics -Manthai
Mobile Medical clinics 

Map source: http://www.ifsp-srilanka.org/html/administrative_map_jaffna.html

Village
DS Division
Viddathalthivu Manthai
Kovilkulam
Atthimodai
Sannar
Echchaillawakki
Kaliyadi
Papamotti( Kannady, Maliyathudal, Minikkan)
Paliyaru
Thevanpiddi
Vellankulam
Elluppakkadawai

Silavaturai Musali
Arrippu
Ilathikullam
Kullankullam
Manalkullam
Poonochchikullam
Pandarawelli
Allawakkaisirukullam

Click Here: Report

.Schedules in Manthiwest DS Division

Location

Weekly schedule

Time

1 Viddathalthivu Every Friday 8.30 am to 4.00 pm
2 Kovilkullam Every Friday 8.30 am to 4.00 pm
3 Arthimoddai Every Friday 8.30 am to 4.00 pm
4 Sannar Every Saturday 8.30 am to 4.00 pm
5 Echchaillawakki Every Saturday 8.30 am to 4.00 pm
6 Kolliyaddi Every Saturday 8.30 am to 4.00 pm
7 Papamotti( Kannady, Maliyathudal, Minikkan) Every Tuesday 8.30 am to 4.00 pm
8  Paliyaru Every Tuesday 8.30 am to 4.00 pm
9 Thevanpiddi Every Wednesday 8.30 am to 4.00 pm
10 Vellankulam Every Thursday 8.30 am to 4.00 pm
11 Illuppaikkadawai Every Monday 8.30 am to 4.00 pm

 

Schedule in Musali DS Division

 

Location

Weekly schedule

Time

1 Silavathurrai hospital Every day 8.30 am to 4.00 pm
2 Arrippu West
Arrippu East
Puthukkuddirrpu
Every Friday 8.30 am to 4.00 pm
3 Kokkupudiyan Every Monday 8.30 am to 4.00 pm
4 Akkathimurrippu Every Tuesday 8.30 am to 4.00 pm
5 Illanthaikullam
Koolankullam
Manatkullam
Poonochchikkulam
Every Wednesday 8.30 am to 4.00 pm
6 Pandarawelli Every Thursday 8.30 am to 4.00 pm
7 Allawakkaisirukullam Every Saturday 8.30 am to 4.00 pm

Needs

In 2009 October the resettlement was commenced in Manthaiwest 1008 families with 5040 members were resettled in the above mentioned location in Manthaiwest. These returned IDPs were depended on the Palamadhu hospital when it was functioning before the displacement. After these returnees settled down in their own areas they needed to go Mannar town hospital for medical treatment. To assist these returned IDPs CHA did needs assessment in early March 2010, in the above locations. Overall these villages were in urgent need of health services as none of them had their own hospitals and had to travel far distances to main hospitals in Mannar town and Murunkan towns. There was also the problem of communicable diseases brought in by the resettlers from Vanni and cases of spread were noted. Although not many cases of such diseases were identified at the time of the assessment, relevant government authorities and public health inspectors felt that it would soon become a problem if preventive action was not taken. Silavaturai hospital has not been functioning since 1990. The people in Musali DS are needed health mobile clinics.

Preliminary Preparation completed at district with CHA Head office, District Staff, RDHS Mannar, and Health Directorate at Chettikulam on 23rd March 2010

Activity

Progress

Meeting with district officer

Recheck the health programme schedule and finalized with health programme staff

Meeting with recruited new health staff

Program induction was done
Establish relationship with administrator and the health staff

Meeting with RDHS Mannar

Discussed on the clinic schedule, time duration, medicine store room, publicity of the program, patient card, reconfirm the medicine and equipments and doctor’s accommodation.

Visit to Silavaturai hospital

Identified the logistics gaps in the doctors Quarters and advocated with RDHS Mannar for the restoration.

Meeting with the doctors team from ministry of health and nutrition at RDHS Mannar

Shared the health programme scheduled and  arrangement done for the doctors team from health department to make preliminary field visits at the selected ;locations where we have finalized for the health clinics

Assessment to select the venues for conducting health clinics 
Field visits were conducted on 26 March 2010 and 28 March 2010 in some selected villages in Manthei west and Musali DS divisions in order to find out suitable places and resources available for the Mobile medical clinics above scheduled.

Manthei West DS Division

Musali DS Division

Clinic Details
1. Targeted population

 

Location

No of families targeted (approx.)

1 Viddathalthivu 250
2 Kovilkullam 50
3 Arthimoddai 16
4 Sannar 50
5 Echchaillawakki 150
6 Kaliyadi 61
7 Moonarampiddi 120
8 Paliyaru 60
9 Thevanpiddi 60
10 Vellankulam 67
11 Illuppaikkadawai 130
12 Silavathurrai 150
13 Arrippu 400
14 Kokkupudiyan 150
15 Akkathimurrippu 200
16 Koolankullam 50
17 Manatkullam 31
18 Illanthaikullam 25
19 Poonochchikkulam 56
20 Pandarawelli 150
21 Allawakkaisirukullam 36

Manthei West DS Division
Musali DS Division
2. Resource Arrangement 

Team is developed with two medical doctors, an Administrative officer a Nurse, a pharmacist and two health Assistants. The mobile vehicle is arranged with the necessary equipments and the Medicine is fully distributed by the health team within the programme budget. Locations and infrastructure for the clinics are arranged by the RDHS Mannar. The appointed health team provides training on following areas to ensure the CAP standard.

3. Coordination 
Coordination is ensured with the Regional Director of Health Services in the district. Other health related implementers such as PSL, MSF and MOH also being coordinated in providing aid. District Health coordination meeting, headed by RDHS also is being attended. Other implementing agencies were visited before commencing of the programme to ensure the duplication and overlapping.

4. Supervision
Technical supervision is being provided by RDHS to ensure the quality of services in place. Local MOH Staff also involved in facilitation of this programme.

5. Service delivery 
This mobile health programme is being conducted from 1st week of April in 06 villages in Manthei and Musali DS divisions in Mannar district. It is basically programmed for 04 months, and will continue upon the needs, availability of resources and request. The team visits each village everyday according to the schedule given by RDHS. Approximately over 120 patients are benefited each day through this initiation. They are provided consultation, referrals and medicine for free of charge. Team is conducting Health education during the mobile health service in the villages.