PATIENT CARE

The patient care services of Centre for Community Medicine are in two broad areas – Rural (Comprehensive Rural Health Services Project, Ballabgarh) and Urban Health Program and are described separately. In addition, under its rural component it also provides comprehensive community based health care services which are also included in this report.

1. 1.       Comprehensive Rural Health Services Project, Ballabgarh 

Comprehensive Rural Health Services Project (CRHSP), Ballabgarh is the rural wing of the Centre for Community Medicine of the All India Institute of Medical Sciences, New Delhi. It comprises of a sub district hospital (SDH), and two primary health centres (PHCs) at Dayalpur, and at Chhainsa. The Intensive Field Practice area of CRHSP consisting of a total population of 97,558 is served through a network of 12 sub-centres associated with the two PHCs.. In summary, for the year 2016-17, CRHSP Ballabgarh (including two PHCs provided following patient care service:  Patient care at the CRHSP, Ballabgarh is described under following two categories

A. Sub-district Hospital, Ballabgarh

Outpatient Departments:

Total Outdoor Patients

In-patient services: Total no. of beds                                                                                     : 50

Revised National Tuberculosis Control Programme:

SDH Ballabgarh hospital is a Tuberculosis Unit (TU) under the Revised National Tuberculosis Control Programme. Three designated microscopy centres (DMCs) are attached to this unit. Total tuberculosis cases treated at Ballabgarh Hospital from 1^st April, 2016 to 31^st March, 2017 were as follows:

B. Community Health Services

CRHSP, Ballabgarh provides community health services to Intensive Field Practice Area (IFPA) of 28 villages through a network of two Primary Health Centres(Dayalpur and Chhainsa), and 12 sub centres. Domiciliary, outpatient, inpatient, and referral services are provided in the IFPA. Important demographic indicators for the IFPA were as follows:

OPD Services in Intensive Field Practice Area:

Inpatient Services in Intensive Field Practice Area:

Emergency Services at PHCs:

Family Welfare and Maternal Child Health

The following services are provided as per the guidelines of National Health Mission

Other National Health Programmes

National Vector Borne Disease Control Programme: Collection of blood slides are done as a part of passive surveillance in OPD and as active surveillance during domiciliary visits in the IFPA.

Revised National Tuberculosis Control Programme: The Revised National Tuberculosis Control Programme is carried out in the IFPA according to national guidelines.  Dayalpur PHC has been designated as a Microscopy Centre and caters to all villages under the IFPA. Tuberculosis patients treated in the IFPA (category wise) is as follows:

Special services: Out Reach Speciality OPD (ORSO) is a special activity conducted at each PHC where Senior Residents posted at SDH Ballabgarh attend the patients at PHCs on a weekly basis. The services were started in June 2013. For the period, 2016-17, the cases attended at each PHC are as follows:

Anti-rabies vaccination was provided to 105 individuals in PHC Chhainsa and 406 individuals in PHC Dayalpur.

Computerization: Computerized discharge of patients was already in place at both PHCs. Computer facility with internet is available for all the students at SDH as well as in both the PHCs. OPD registration, admission register and discharge summary of patients, and database are all computerised. The network line from National Knowledge Network (NKN) has been received at this hospital in this financial year.

IEC Activities

Group health talk was delivered on following topics: Neonatal care and kangaroo mother care, Breast feeding and weaning, Antenatal care, high risk pregnancy, anaemia in pregnancy, importance of institutional delivery, Immunization, Malaria and Dengue, Tuberculosis, anaemia in children, malnutrition in children, Vitamin-A deficiency, Diabetes, Hypertension, HIV/AIDS, accidents in children, personal hygiene, family planning methods, postnatal care and diet, care of newborn, swine flu, geriatric care, Mental health programme, etc.

Short film shows were screened in Child welfare centre, Ballabgarh, PHC Dayalpur, and PHC Chhainsa on important topics i.e. Breast feeding, antenatal care, child care, female feticide, eye care, Vitamin A deficiency, malnutrition, and diarrhea during OPD timings.

Other activities during the financial year 2016-17:

1. Intravenous Iron sucrose administration during pregnancy: The IFPA has high prevalence of anaemia among pregnant women. Intra venous Iron sucrose administration to pregnant women was initiated to combat the problem. Women during ante natal period are tracked from the regular ante natal clinics in all the villages. They are referred to primary health centres for intra venous iron sucrose. Iron sucrose is given as per doses recommended by the National Health Mission Guidelines. Telephonic tracking of patients are done from PHCs through health workers, ASHAs and patients themselves to improve the coverage, utilization and follow up. A total of 2,204 doses were administered to 600 pregnant women during the reporting period.
2. High risk pregnancy tracking: Ante natal clinics are conducted in each and every village of IFPA. We have started a close tracking system for all high risk pregnancies identified during these clinics in year 2016-17. Details of high risk pregnancy are entered in a software developed by CRHSP based on which a work-plan is generated for further follow up of pregnant woman. Health workers, during their scheduled house to house visits, use this work plan to track the action taken by the pregnant women. This ensures full compliance by the high risk pregnancy in seeking appropriate care. A total of 525 high risk pregnancies were identified and tracked during this year.
3. Availability of Post Partum IUCD (PPIUCD): As per the guidelines of National Health Mission, facility for PPIUCD is available at both the Primary Health Centres from May 2014. Pregnant women are counselled during antenatal and intra-natal period for PPIUCD insertion. PPIUCD insertion is done after taking written informed consent. Follow up is done after 6 weeks of pregnancy either during clinic visit or telephonically.  A total  of 77PPIUCD were inserted during this year
4. Prime Minister’s Flagship programme on Immunization- Mission Indradhanush: Four rounds were conducted during April, May, June and July 2016 covering a total of 1,323 children.
5. Eye Camp for screening of cataract: Eye Camps were organized on 22^nd Aug 2016 and 17^th Mar 2017 at PHC, Chhainsa and Dayalpur with the help of Ophthalmologists from District Faridabad and support from community leaders. A total of 620 patients were examined by the ophthalmologists, and were provided with appropriate treatment and referral.
6. Visit of dignitaries: Dr. Swaroop Sarkar, the Director of Communicable Diseases Division of the World Health Organization (WHO), South East Asia Regional Office visited PHC Chhainsa on 27 Oct 2016. Faculty Member from University of Erasmus, Netherland visited PHC Chhainsa and met with the Panchayati Raj Institutions (PRI) members on 28 Feb 2017.                                              

2. Urban Health Programme

The field practice area of the Urban Health Programme, Centre for Community Medicine is located at Dakshinpuri Extension, Dr. Ambedkar Nagar in South Delhi, consisting of Blocks 1,2,3,4,5,6,7,14,15,19, Subhash camp, Dakhshinpuri catering to a population of around 35,363. Patient care services are provided at the Urban Health Centre.

A. Clinical Services

B. Child Health services

C. Maternal Health Services

D. IEC Activities

National Service Scheme (NSS) Activities at AIIMS:

Four Undergraduate project interventions on “Obstructive Sleep Apnea, Hypothyroidism, Knee Arthritis , Acute Respiratory Infection” were conducted at Urban Health Centre, Dakshinpuri Extension on 13.04.2016, 20.07.2016, 07.09.2016, and 18.02.2017 respectively. Organized an Health Exhibition “Catalyst 2016” for Delhi School Students on Dengue, Malaria, Chikungunya, Heat Wave, Heat Wave, Swachh Bahrat on 25.4.2016 with  SU, AIIMS; NSS Orientaion Programme was conducted for new batch of MBBS 2016 students on 13.07.2016 at AIIMS; Two Training Programmes on “First-Aid’ were conducted for Gyan Bharti Public School teachers, Saket, New Delhi on 05.08.2016 and 15.10.2016 respectively;, Four Role Plays were conducted on 29.08.2016 & 05.09.2016 respectively at Block No. 05 of Dakshinpuri Extention on  Anaemia, Diabetes Mellitus, Diarrhoea, Tuberculosis, Dengue and Chikungunya; Attended NSS conference on “Re-Structuring of NSS” at Vigyan Bhawan on 31.03.2017.

AWARDS, HONOURS AND SIGNIFICANT EVENTS

• Dr. Anand Krishnan was awarded “DR. PN Raju Oration Award “ for 2014 in the category Public Health (non-communicable Diseases) for the research work on “closing the gaps: Linking research, surveillance and program in NCDs”.
• Dr. Sanjay Rai was unanimously elected “Vice President” (north zone) of Indian Public Health Association for the year 2016 – 2018;
• Dr. Partha Haldar Best paper award  - World Congress of Gerontology and Geriatrics at IISc Bengaluru in Nov 2016,
• Dr Kapil Yadav and  Dr Rakesh Kumar were awarded RN Roy Best Paper Award published in Indian Journal of Public Health (Original Article) presented during the 61^st All India Annual Conference of  the Indian Public Health Association for the paper “A reliable and accurate portable device for rapid quantitative estimation of iodine content in different types of edible salt”.

Dr Shashi Kant was external expert for selection of Professor of Community Medicine at Indira Gandhi Institute of Medical Sciences, Patna; Setting of question paper for MBBS examination in Community Medicine for Gujarat University; External expert for Assessment Promotion Scheme of Community Medicine at Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry ; Executive member of Indian Association of Preventive and Social Medicine; Attended National Level Consultation on Urban and Rural Health Training Centres attached with Medical Colleges organized by Indian Association of Preventive and Social Medicine to be held on 12-14 October 2016 at K G Medical University, Lucknow; Nominated as member of Technical Resources Group (Research and Development) of National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India; Member of Scientific Advisory Committee (SAC) of Rajendra Memorial Research Institute of Medical Sciences, Patna; Member of Scientific Advisory Committee (SAC) of Indian Council of Medical Research, New Delhi, for the calendar year 2016; Conducted assessment of High Risk Group HIV sentinel site at Rudrapur, Uttarakhand, on behalf of National AIDS Control Society, Ministry of Health and Family Welfare, Government of India; Participated in National meeting of HIV sentinel surveillance organized by National Institute of Health and Family Welfare, New Delhi; Conducted assessment of High Risk Group HIV sentinel site at Haridwar, and Antenatal clinic site at Gopeshwar, District Chamoli in Uttarakhand, on behalf of National AIDS Control Society, Ministry of Health and Family Welfare, Government of India; Provided supportive supervision of HIV sentinel sites and State Reference laboratory in Uttarakhand; Provided supportive supervision of HIV sentinel sites and State Reference laboratory in Jharkhand; Member of Technical Advisory Committee of National Institute of Medical Statistics, New Delhi on Comparing Methods for Assigning Causes of Death by Verbal Autopsy; Nominated as member of Scientific Advisory Committee of National Institute of Medical Statistics, New Delhi. Attended the meeting on 18.01.2017

Dr Sanjeev Kumar Gupta was a member of the Core Committee of the AIIMS, under the Revised National Tuberculosis Control Programme; he is also a reviewer of journals like The National Medical Journal of India, Indian Journal of Public Health, Indian Journal of Community Medicine; nominated as a Member of the Inspection Committee to conduct inspection at the National Institute of Health and Family Welfare, Munirka, New Delhi in August 2016; is a member of the Expert Committee for revision of the PGDMCH Program at the Indira Gandhi National Open University, New Delhi;  member of the Doctoral Committee in respect of one Ph.D. thesis in the Department of Community Ophthalmology, Dr. R. P. Centre for Ophthalmic Sciences, AIIMS.

Dr. Kiran Goswamiis the Programme Coordinator of NSS Unit at AIIMS; was involved in field Certification for Madhya Pradesh in National Certification Committee for Polio Eradication-tOPV to bOPV Switch Validation Activity, June 2016; Selection Committee Meeting for Assistant Professor of Public Health & Community Medicine at Central University of Kerala, Sept. 2016; Trainer field team for  INCLEN Project ‘Evaluation of Home Based New Born care Program at Districts Level’, Madhya Pradesh; Member Technical Advisory Group (TAG) on “Childhood Pneumonia and Public Health Programme in India”  INCLEN; attended CMCL-FAIMER Fellowship Training Workshop (2^nd contact program) at Ludhiana 4 – 8 Feb. 2017; Chaired session 61^st Annual National Conference of Indian Public health Association  at Jodhpur, 26 Feb. 2017; Participated level one debate 61^st Annual National Conference of Indian Public health Association  at Jodhpur, 25 Feb. 2017; was member Expert Committee SEED Division, TIASN, DST; External Examiner M.D. at Sharda University, Greater NOIDA June 2016 &  Aligarh Aug. 2016; MBBS 3^rd Professional final Exam. at AIIMS Raipur, Dec.- Jan 2016 – 17,  Delhi Nov. 2016, Feb. – Mar. 2017.

Dr Anand Krishnan Led the WHO Team visit to draft the National Health Research Policy of Bhutan; consultant to Ministry of Health and Sports Myanmar to draft the National Strategic Plan for Prevention and Control of NCDs; attended as Member of the WHO Global Expert Group  the WHO Annual Burden of Influenza Meeting 11-14 July 2016; attended the Eighth WHO meeting on development of influenza vaccines that induce broadly protective and long-lasting immune responses23 and 24 August 2016, Sheraton Grand Chicago Hotel, Chicago, USA; attended the Regional Consultation of the WHO Collaborating Centers in the South-East Asia Region, New Delhi, India from 20 to 21 October 2016; Chairman Scientific Committee of International Symposium on "Is Sugar the New Tobacco? Organized by Centre for Dental Education and Research, AIIMS New Delhi, 11^th November 2016; Attended Meetings of Global Adult Tobacco Survey as a part of the National Technical Advisory Group; Attended National Technical Advisory Group meeting of National mental Health Survey; technical Lead for the National NCD Monitoring Survey by ICMR; Member of the Non-Communicable Disease Technical Advisory Group (NCD TAG) to operationalize the roll out for Prevention, Screening and Control of Common Non-Communicable Diseases: Hypertension, Diabetes and Common Cancers (Oral, Breast, Cervix); attended as panelist and moderator working group at  National Civil Society Consultation on NCDs in India 25-27 April, 2016; PHD Chamber of Commerce, August Kranti Marg, New Delhi; member AIIMS Intramural Research Grant Project Review Committee; Member Dean’s Research Committee; attended WHO -MoHFW  National Consultation on NCDs in India, Hotel Le Meridien, New Delhi  22 June 2016; member GBD India Expert Group Diabetes.

Dr Baridalyne Nongkynrih was a member of the Project Advisory Committee (PAC) for cancer screening in North East India under ICMR. Member of the Teaching schedule committee, AIIMS; attended WHO Collaborating Centre meeting in WHO-SEARO from 20-21 October 2016. Member of ICMR project review committee ENT. Reviewer for the Indian Journal of Community Medicine, Global Health Action, Indian Journal of Maternal & Child Health and Journal of Health, Population and Nutrition, ICDDR Bangladesh, International Journal of Medicine and Public Health, International Journal of Advanced Medical Research, WHO South-East Asia Journal of Public Health, BMC public health.

Dr Puneet Misra is Member, Technical Resource Group (TRG), MOHFW, Government of India on Adolescent health.  He is also member and Co-Chairperson of Program Advisory Council, Department of Science and Technology, Government of India.  He is involved with assessment of project for DST and other agencies including ICMR, DBT CPCB.  Also with Thesis evaluation for B.P.Koirala Institute of Health Sciences Dharan Nepal, Reviewer for ICMR Short Term Studentship (STS) programme online review, South Korea Radio Talk on shortage of Doctors, TV talk on Dengue, Zika and HIV, geriatric problems, at channels like  Rajya Sabha TV, Lok Sabha TV, NDTV,.  He also served as PG examiner, CMC Ludhiana, MBBS examiner at KGMU, Lucknow during 2016-17.  Have been reviewer of papers for Journals both National and International. Dr Misra is a member for “On the spot assessment of Core support projects by DST's Expert team”; expert member and Co Chair of the committee on “Scheme for |Young Scientists and Technologists (SYST)”; expert member “Technological Interventions for Tribal Empowerment (TITE)” for DST; attended Group Monitoring Workshop of Scheme for Young Scientists and Technologist at Salem for DST; attended Group Monitoring Workshop of TITE Scheme for DST at Bansthali; attended Expert group meetings for ICMR at New Delhi; Evaluated ICMR projects as an subject expert; TBS Radio South Korea on shortage of doctors in India; Mid Term review by Expert Group of DST on various projects at WWF, New Delhi; Attended state consultation on ‘Functioning of grassroots service providers for improved health and nutrition status of the rural communities’ supported by Unicef at Hyderabad; attended Technical Resource Group Meeting of the Adolescent Health Division of Ministry of Health, Govt. of India as an expert member.

Dr Sanjay Rai was nominated by Baba Farid University of Health Sciences, Faridkot, Punjab as a member of the Board of Examiners for MD Community Medicine. As external examiner conducted MD Community Medicine examination at Government Medical College  Patiala from 16-17 June 2016; Nominated by Pt. BD Sharma University of Health Sciences, Rohtak,  and AIIMS Bhubaneshwar, as a member of the Board of Examiners in Community Medicine. As external examiner conducted MBBS final professional examination in Community at PGIMS, Rohatak on April 21, 2016,  and at AIIMS Bhubaneshwar from 5-6 December 2016; Technical Advisory Group (TAG) Member on “Research Programme to Emphasize Public Health Significance of Childhood Pneumonia in India” for the INCLEN in Bill and Melinda Gates Foundation supported programme and participated in TAG meeting on 27^th March 2017 at New Delhi; Nominated by National AIDS Control Organization (NACO), Department of AIDS Control (DAC), Ministry of Health and Family Welfare, Government of India as a “focal person” for providing technical assistance for HIV Sentinel Surveillance (HSS) to five northern states (Delhi, Bihar, UP, UK and Jharkhand) of India; Strategic group member of “Maternal and Newborn Working Group” of INDEPTH and received travel grant to attend the Strategic Planning meeting with working group leaders held at Johannesburg, South Africa, from 4-5 August 2016; Reviewed manuscript for publication in various journal e.g. “Health & Population Perspective and Issues”, Indian Journal of Public Health, Indian Journal of Community Medicine, International Journal of Epidemiology, Indian Journal of Pediatrics, NMJI etc.; Conducted supervisory field visits of Bihar, Jharkhand, Delhi, Uttarakhnad and UP to monitor HIV Sentinel Surveillance and provided technical support to these states; Deputed by AIIMS examination centre to supervise the Online CBT for MD/MS/MDS) entrance examination at Ranchi on November 30, 2016; Member of the core committee of the AIIMS under the Revised National Tuberculosis Control Programme; As a member of Standing Selection Committee of Quality Council of India (QCI) assisted for the selection of Dy. Director, Asst. Director on April 30, 2016; Participated as an expert in National Certification Committee for Polio Eradication in India; Chaired the plenary session of World Trauma Congress -2016 at Vigyan Bhawan, New Delhi on August 20, 2016.

Dr. Y. S. Kusuma was Member of ‘NCD Risk Factor Collaboration (NCD-RisC); The Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration Group’; served as reviewer for Indian Council of Medical Research (ICMR) and Department of Science and Technology (DST); Serve as Editorial Board Member for Studies on Ethno-Medicine and Afro-Asian Journal of Anthropology & Social Policy; Served as Reviewer to international and national professional journals.

Dr Kapil Yadav was nominated as member of Technical Committee of National Iodine Deficiency Disorders Control Program (NIDDCP) by MOHFW; special invitee to Iodine Task Force constituted by Indian Council of Medical Research; nominated member of IEC Committee on NIDDCP by MOHFW; Advisory Board of Conference titled "Delivering for Nutrition in India: Learnings from Implementation Research" organised by IFPRI on 9^th-10^th November in Delhi.

Dr Sumit Malhotra was selected as PH-Leader and participated in yearlong mentored programme on Public Health; Leadership and Implementation Academy sponsored by US National Institute of Health; organized a workshop on operational research for faculty and scientists in support with Department of Health Research under Human Resource Development Health Research Scheme (16-19 January 2017); participated in an intensive programme on public health leadership at Rollins School of Public Health, Emory University, USA from July 27 to August 12, 2016; attended Global partnerships to advance Non Communicable Disease Research within sustainable development goal agenda conference on 8 and 9 August 2016 at Emory Conference Centre, Atlanta; participated in protocol development workshop organized by World Health Organization (WHO) Regional Centre for Implementation Research from 12-16 December 2016; attended 44^th National Conference of Indian Association of Preventive and Social Medicine from 10-12 February 2017; participated in Basic Course in Medical and Health Professions Education organized by CMET, AIIMS from 15-17 February 2017; was invited as a selection committee member by Indian Council of Medical Research (ICMR) for selection of research staff in ICMR research project; continues to be a resource faculty for the post-graduates course on research methodology conducted by the AIIMS, New Delhi; evaluated thesis for B.P.Koirala Institute of Health Sciences, Dharan Nepal.

Dr Anil Kumar Goswami was Patron of a national body “All India Association of Medical Social Work Professionals” Chandigarh. 2016-18; Designated Nodal Officer of “Disease Prevention Outbreak Response Cell” (DPORC) AIIMS since 2008 till date; Member  of  “Scientific Advisory Committee” of a National Seminar of  “All India Association of Medical Social Work Professionals” 2017; Was a member sub-committee for “Hygiene Promotion” (KRA-7 of Clean and Green AIIMS) under KAYA KALP (Clean Hospital Campaign); Was a member sub-committee for “Public Feedback” (KRA-8 of Clean and Green AIIMS) under KAYA KALP; attended Review Meetings. on “Vector Borne Diseases Prevention & Control Preparedness” attended a workshop on “Prevention and Control of Vector Borne Diseases” at India Habitat Centre, organized by SDMC on 18.04.2016; attended a meeting of Joint Monitoring group on Emerging Diseases Chaired by Director General Govt. of India on 12.08.2016, attended session on innovation in “Tobacco Harm Reduction” at Shang–ri-las Hotel Janpath on 18.08.2016; participated in a workshop on Dengue organized by Medicine department at Conference Hall; attended dengue review meeting at Nirman Bawan, New Delhi, attended “World Alzheimers Day 2016” and “Panel Discussion”; attended seminar on “Influenza: recent update” on19.10.2016 and Zika on 21.10.2016; attended Indian Public Health Association Conference 2017 (IPHACON 2017) at Jodhpur, Rajasthan w.e.f. 24-26 February 2017.

Dr Partha Haldar was member of National Working Group (NWG) for HIV Estimates in India, of the National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India; Provided technical support to NACO for deriving National level and State level estimates on HIV prevalence, incidence, deaths, and mother requiring PMTCT, and adults and children requiring ART;was a Member of the National Working Group for HIV Estimates in India for year 2016, constituted by the NACO, MoHFW; was Guest Faculty for Executive Education Programme on the Health Care Analytics- Indian Institute of Management, Bengaluru [Mar-2017]; was Member Central Regional Institute constituted at AIIMS, New Delhi for HIV Sentinel Surveillance; participated in the National Conference of IPHA 2017 at AIIMS Jodhpur in Mar 2017; was invited as a guest faculty at the ‘Statistical Workshop on analysis using R Software’ conducted by the Dept of Biostats, NIMHANS, Bengaluru in Oct 2016.

Dr Ravneet Kaur participated in the meeting of the technical working group for finalizing guidelines for screening of cancers in India held at National Institute of Cancer Prevention and Research, Noida on June 14, 2016; Participated in the International Public Health Management Development Program held at PGIMER Chandigarh (Dec 16-20, 2016).

Dr Harshal Salve participated in 12^th Disease Prevention and Outbreak Response Cell (DPORC) Meeting at CCM, AIIMS, (9^th May, 2016); participated in expert group meeting for developing standard guidelines for management of Chronic Respiratory Diseases at Primary Care organized by Department of Pulmonary medicine and Sleep Disorders at AIIMS, new Delhi 25^th – 26^th June, 2016 and 24^th – 25^th September, 2016); participated in DST – ICMR Workshop on Climate Change and Health, New Delhi  (25^th  - 26^th July, 2016); participated in Quality Improvement Workshop organized by AIIMS  at Board room AIIMS, New Delhi (2^nd to 3^rd August, 2016); participated as member of team (Unicef-IGN) for evaluation Universal Salt Iodization (USI) Strategy of Bangladesh in Dhaka Bangladesh (20^th – 29^th August, 2016); participated in Expert Group Meeting on Developing Operational of National NCD Monitoring Survey at CCM, New Delhi ( 2^nd to 3^rd September, 2016); participated in Expert Group Meeting for Reviewing Guidelines for Management of Chikungunya in India at MOHFW, Nirman Bhavan, New Delhi (14^th September,2016); participated in National Workshop on Heat Action Plan at Hotel Park, New Delhi (21 September, 2016); participated in meeting on discussion and dissemination of USI review mission in Dhaka Bangladesh (28^th – 30^th September, 2016); participated as the resource faculty in training of field teams under pilot of National NCD Monitoring Survey at New Delhi (6^th – 10^th October, 2016) and Chennai (17^th to 18^th October, 2016); contributed in preparing Training Manual for Program Managers under NPCDCS Program, Government of India; participated in 44^th Annual Conference of Indian Association of Preventive and Social Medicine (IAPSM) at Kolkata (10^th – 12^th February, 2017); participated in National level workshop for building climate resilience for ensuring transformational health outcomes organized by NIEHS and Teri at IHC, New Delhi (6^th – 7^th March, 2017).

Dr Rakesh Kumar attended the technical committee meeting on implementation of National Iodine Deficiency Disorders Control Programme (NIDDCP) at Directorate General of Health Services (DGHS), Govt. of India; was resource person for operational research workshop for faculty and scientists in support with Department of Health Research under Human Resource Development Health Research Scheme; attended workshops “Capacity Building Workshop & Symposium on Quality Improvement” organized jointly by AIIMS, New Delhi, USAID and Institute of Healthcare Improvement, Cambridge, Massachusetts on 2-3 August 2016 and   “Workshop on operational research, ethics and data analysis in HIV/AIDS” conducted by National AIDS Control Organization on 30 January-2 February 2017; reviewed MD thesis from B.P. Koirala Institute of Health Sciences, Dharan, Nepal; is reviewer for Indian Journal of Public Health, The Journal of Obstetrics and Gynecology of India and International Journal of Medicine and Public Health.

VISITING SCIENTIST

NIL