Pune Zilla Parishad publishes doctors’ manual to improve the quality of diagnosis

Pune Zilla Parishad has published a doctors’ manual as part of a new initiative to improve the quality of medical diagnosis. The manual aims to update doctors with the latest Indian Council of Medical Research (ICMR) protocols. The manual prepared by a group of practicing physicians has undergone extensive peer review by medical colleges and experts nationally and nationally. Maharashtra Guardian Minister Chandrakant Patil was the guest of honor at a ceremony held recently where the handbook was released.

Ayush Prasad, CEO of Pune Zilla Parishad, told The Indian Express that the manual will be used for training and as a reference book in primary health care centers and sub-centers. “This would standardize diagnostic, surgical and health extension services in the district. It will enable trainee doctors who are serving their periods of rural servitude and BAMS doctors to diagnose and treat diseases more accurately. This will ensure quality services and accurate referrals,” Prasad said.

The manual integrates identification, testing, diagnosis and treatment.

Additional District Health Officer, Pune Zilla Parishad, Dr. Vijay Kumar Wagh said officials mapped the disease burden in the district to prepare the handbook.

“Some aspects are more district-specific, as we have identified more pronounced symptoms in the district and provided standard treatment protocols, including the use of equipment, the need for diagnostic tests and body scanning. Through the manual, we encourage the use of generic drugs,” said Dr. Wagh.

There are 101 primary health centers in Pune district and over 225 doctors. A survey was conducted to find out common illnesses for which people sought treatment. Details were recorded and analyzed, whether it was a cold, headache, joint pain or communicable diseases like tuberculosis and even non-communicable diseases like diabetes and hypertension. Details have also been listed on medico-legal challenges and cases that doctors at the rural primary health center may face.

Among the list of possible symptoms, one or two may be more common in reported cases in the district and doctors are encouraged to look for them. The manual integrates identification, testing, diagnosis and treatment. It brings together the entire team of doctors, nurses, multi-skilled workers, Auxiliary midwives (ANM, Approved Social Health Activities (ASHA)) in order to provide good care. It holds them accountable by highlighting when and how encouraging the use of equipment was provided under the Pune Zilla Parishad Primary Health Care Centers Upgrading Program which sets out clear responsibilities, Prasad added .

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