DARMAN'S COMPREHENSIVE HEALTH CENTER IN KABUL
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Six days a week the clinic will be open, from 8 am. to 3 pm. After registration, patients will have a doctor’s consultation. Quick and qualified service will be provided. Basic treatment facilities are available in the Centre, most medicine prescriptions will be dispensed by the clinic’s pharmacy. Some cases will be referred for confirmation of diagnosis and/or treatment in higher-level facilities and hospitals.
The special focus will be on awareness and education on basic health issues, such as nutrition, vaccination, and personal hygiene. This will play a strong preventative role in the community.
A small fee is charged to the patients when they register, but many will not be charged as they are too poor to pay for the treatment. Medicine will be provided free of charge.
MOTHER AND CHILD CARE
The child mortality rate for children under five, especially newborn babies, is extremely high in Afghanistan. DARMAN focuses its medical programs on education, prevention, vaccination, and support for pregnant women, and for new mothers and babies. Regular check-ups during pregnancy and after birth are done by a qualified medical (female) doctor and educator. Treatment is given to those in need. The special focus is on encouraging breastfeeding, help in weaning, and on vaccination. Attention is also paid to the practices of local midwives.
MATERNITY DELIVERY CENTER WITH EMERGENCY CARE SERVICE
According to the need and requests of the community, DARMAN is running a 24-hour delivery center with 3 beds. 1 doctor 3 midwives and 3 servants provide 24-hour cover. Medicines are dispensed free of charge.
In the evening and night, transportation to other areas is difficult, and therefore many mothers and babies die during home delivery and premature abortions. There is no other delivery center in the area.
Six days a week, daily medical and surgical services will be available. Patients are checked according to their signs and symptoms
Consultations are with an eye specialist who diagnoses and treats eye diseases and problems.
Medical service: The eye department will provide medical treatment for a range of common eye diseases, e.g. Refractive error, Conjunctivitis, Vernal Keratoconjunctivitis, Keratitis, Corneal ulcer, Blepharitis, Stye, Blepharoconjuctivitis, Uveitis, Glaucoma, Optic Neuritis, CRVO (Central Retinal Vien Occlusion), BRVO (Branch Retinal Vien Occlusion, Diabetic Retinopathy, Central Serous Retinopathy,ARMD (Age Related Macular Degeneration) , CDC (Chronic Dacro Cystitis), Congenital Nasolacrimal Duct Obstraction(CNLDO), eye trauma and etc,
The medicines will dispense as prescribe.
Surgical service: The eye department will also provide surgical treatment for a range of common eye surgical illness, such as. Cataract surgery (SICS), Yag laser capsulotomy, Trabeculectomy, Yag Laser priphral iridotomy(PI), Chalazion surgery, Ptrygeum excision, DCR (Dacryo CystoRhinostomy), NLD probing, Open glob injury repair.
Diagnostic service: Autorefractometry, B Scan, A Scan, Keratometry, and Funduscomy will available in the department.
Eyeglasses shop: After examination of Autorefractometry the patient will send to the eyeglasses shop and regarding the need, desire, and choice of the patient we will provide the eyeglasses for distance, near vision, sunglasses, and glasses for computer.
During the working hours of the clinic, there will be dental services offered to the community. DARMAN focuses on the qualified treatment of dental problems. Registration fees are charged, but no treatment charges for the basic treatment. The costs of more sophisticated treatment will be covered by the patient.
Education and awareness about dental care will function as strong prevention tools.
There is a problem of malnourished children in this area, which is not being addressed by other agencies at present. Through our registration and examination, these children get referred to this component of the program. An educator teaches the
mother of the malnourished child on basic food issues, advises what food to use in the Afghan context, and monitors the process of change of habits. We follow up with the child after 15 days and check the nutrition change.
As we have been implementing this program for the last 5 years, we have seen positive changes in the children’s nutritional status, some even becoming very well nourished.
Severely malnourished children we refer to the Malnutrition Centre in Maiwand Hospital. They distribute nutritious food, minerals, and (multi) vitamins.
The Medical Centre provides an ongoing vaccination program to prevent Tuberculosis, Measles, Tetanus, Whooping Cough, Diphtheria, Polio (the 6 'killer diseases'), plus Pneumonia, Diarrhea, Hepatitis B, and Rota Rix. There is a direct link between this program component and the mother and child component, as well as with the health education component.
The Centre works closely together with the EPI, WHO, and UNICEF, as they seek co-operation to target the entire nation with these prevention programs.
Afghanistan and Pakistan are the last nations, where Polio is still found.
For 2 years, the Ministry of Public Health and Unicef are holding 4 days polio vaccination campaigns every month because of polio cases in Afghanistan. Our clinic serves as an area center.
Many diseases can be prevented with basic knowledge. Prevention is better than treatment and free of cost.
This program of community health education has brought big positive changes in the families who received health education. E.g. in personal hygiene people started to brush their teeth every morning, wash their hands after toilet usage, use toilet paper, etc. Environmentally, we observe changes like people cleaning their houses, toilets, yards; they burn garbage or collect it and bring it to the dustbin rather than just throwing it on the streets.
We also encouraged the community to collect garbage as a small enterprise and generate some income. Now some family members work together and distribute 30 plastic bags for each month to a number of households. Every morning they collect these garbage bags and deliver them to the official city garbage disposal system. For this service, each house pays 150 Afs / month. So this generates income but also keeps the households and environment clean and this practice is copied by other areas as well.
People take better care of themselves, their children, and sick family members and now they are open-minded about vaccination.
There is also an ongoing level of care for community issues. The population reconstructed damaged streets and repaired some of the small water canals at the roadside for better water flow.
A health educator will also be available in the clinic to advise patients on issues such as nutrition, hygiene, etc.
The volunteer community health workers will receive refreshment training if they need it.