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Standard Treatment Protocol Book Part 1

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Standard Treatment Protocol Book Part 1 STANDARD TREATMENT PROTOCOL Public Health Department Government of Maharashtra Message There has been an increase in the expenditure on healthcare, especially in view of the growing rate of urbanisation and rise in the number of lifestyle diseases. Within the limited financial allocation in the Public Health Sector, health care services are needed to cater to majority of the population. This demands rational and efficient utilisation of the limited resources. Standard treatment protocols aim to ensure efficient utilisation of essential drugs to treat majority of population in a standardised manner. Thus, more people can be treated, limiting the wastage of resources over unstandardized treatment modalities. It also ensures that treatment quality & standards are followed. They serve as a guide for health care providers in deciding the best possible approaches for diagnosis, management and prevention of the health issues. I greatly appreciate the work done by the Public Health Department for coming up with the Standard Treatment Protocols for common health issues experienced by the people in the State. I hope that they help the care providers in rational use of treatment modalities and lay the standards for quality health services. M essage W orldwide more than 50% of all medicines are prescribed, dispensed or sold inappropriately, while 50% of patients fail to take them correctly. M oreover, about one-third of the world's population lacks access to essential medicines. In Public Health Care system, which caters to the majority of the population and given the constraint of availability of drugs and commodities, rational use of medicine in treatment and management of illness has attained even more significance. M oreover, the quality of the treatment needs to be standardised for all the levels of health care. The health care provider must have updated knowledge about the latest developments in the treatment modalities and ascertain treatment regimen suitable for the disease. This Standard Treatment Protocols book is meant for medical officers and health care providers from different levels in the public health care system, to refer information about the condition from a concise source. It is supposed to be a guide and aid for making decisions on diagnosis and management of conditions for majority of the population. The management of individual cases would ultimately depend on clinical judgement and skills of the health care provider. I would like to express my appreciation to all those who have participated in various workshops, meetings and video conferences despite their demanding schedule for producing a valuable document. I am positive that this book will be useful to all Health care providers working in my department and ultimately contribute to attain positive health for the patients. Foreword Sustainable Development Goal 3 aims to ensure healthy lives and promote well-being for all ages. The strategic approach currently adopted is maintaining continuum of care throughout the various levels of Healthcare and over the life cycle of the individual. The Public Health Department has been working diligently with the goal of provision of effective and affordable quality health care which is easily accessible to all age groups. The work done is reflected in the SRS reports and the IIMA report for States. Still sustained and vigorous efforts are needed to reach the last mile. To better utilise our resource pool in terms of drugs, laboratory services and human resources while maintaining the qualrty of care, there was a need of a standardised system. There are various guidelines and protocols available for all the diseases. To keep in pace with the recent changes in treatment regimens and technological progress, it was necessary to have Standard Treatnent Protocols (STP) for all diseases of public health importance in the State. With the extensive efforts from specialists working in the Public Health Departmen! Professors from Government, Private Medical Colleges as well as under the guidance of Dr. Prakash Doke, Ex- Director of Health Services, Ex-Bureau Chiefs and department heads, the Standard Treatment Protocols came into fruition. Over a period of 2 years, various deliberations were held in the form of meetings, workshops and video conferences to add the latest changes in the field and include references for further reading of the Health Care provider. I would like to highlight the guidance from our former Principal Secretary, Mrs. Sujata Saunik and our Additional Chief Secretary, Dr. Vijay Satbir Singh who shared their vision for developing this STP. I sincerely hope that the Standard Treatment Protocols would be helpful for effective decision making and in day to day working of the Healthcare providers. ,.c9 (Dr.76charfa Patil) Additional Director, SFWB,Pune. STP Team No.1 Gen. Medicine, ICU, CCU, ICCU, ARV/ASV Sr. Name Post Place of post Mobile No. No. 1 Dr. N. J. Rathod (Team Leader) Ex. Addl. DHS Mumbai 9322890107 2 Dr. A.L. Kakrani Prof. Medicine Dr. D. Y. Patil Medical 9823972424 College, Pimpri 3 Dr. Umakant Shetkar Prof. Medicine Smt. Kashibai Navale 9960011820 Medical College, Pune 4 Dr. Mrs. Swati C. Aundhekar Prof. Medicine KIMS, Karad 9766535255 5 Dr. Priti Dave Prof. Dept. of Bharati Vidyapeeth Medical 9822790490 Medicine College, Pune 6 Dr. (Col) P.K. Sharma Asso. Prof. MD AFMC, Pune 9823071758 (Med) 7 Dr. Mrs. Priti P. Dhande Asso. Prof. Bharati Vidyapeeth Medical 9922426840 (Pharmacology) College, Pune 8 Dr. Sujata Abhay Jadhav Asso. Prof. M.D. KIMS, Karad 9423262871 Pharmacology 9 Dr. Madhulika Mahashabde Asso. Prof. Dept. of Dr. D. Y. Patil Medical 9850015831 Medicine College, Pimpri 10 Dr. Kiran K. Khalate Class I, Physician D.H. Ratnagiri 9850493260 11 Dr. Shyamsundar H. Nikam Physician, Medical RRH Amravati 9423124973 Superintendent 12 Dr. Sukrut V. Purandare Lecturer, Medicine Dinanath Mangeshkar 9881568748 Hospital, Pune 13 Dr. Shingade Madhuri M. Physician T.C.M. Hospital, Pune 9763825105 14 Dr. Khalate Physician Civil Hospital, Ratnagiri 9850493260 15 Dr. Nikam Medical VSSH, Amravati 9423124973 Superintendent 16 Dr. Miss Rande Physician District Hospital, Pune Team No.2 National Health Programme, NRHM Sr. Name Post Place of post Mobile No. No. 1 Dr. Dodwad Ex. Addl.DHS Pune 9421014106 Dr. Vandana A. Kakrani Prof. Community Dr. D. Y. Patil Medical 9373324064 2 Medicine College, Pimpri (Team Leader) Dr. Prasad D. Pore Prof. Community Bharati Vidyapeeth 9921073540 3 Medicine Medical College, Pune Dr. Abhay Mane Professor MD (PSM) Smt. Kashibai Navale 8975008663 4 Medical College, Pune 5 Dr. Uddhav T. Kumbhar Asst. Prof. MD (PSM) KIMS, Karad 8983374099 6 Dr. Pavan Salve Addl. MOH PCMC 9922501584 7 Dr. Rahul D. Anerao MO PHC, MD (PSM) PHC Hasegaon, Latur 9881337338 8 Dr. Mangesh A Patil MO, PHC MD (PSM) Jalgaon 9403313482 9 Dr. Ganesh S. Lokhande THO, MD (PSM) THO Patoda, Beed 9922373120 Sr. Name Post Place of post Mobile No. No. 10 Dr. R.G. Chaudhari MO PHC, MD (PSM) Nashik 9403505910 11 Dr. Sanjiv Kamble Jt. Director (TB & TB & Lep. Office Pune 9869972056 Leprosy) 12 Dr. Madhukar Pawar Dy. Director (TB & TB & Lep. Office Pune 9404194042 Leprosy) 13 Dr. Pradeep Aawte SSO IDSP Pune 9423337556 Team No.3 General Surgery, Ortho., Burn & Trauma General Surgery Sr. Name Post Place of post Mobile No. No. 1 Dr. Mrunal N. Ketkar Prof. Surgery Bharati Vidyapeeth Medical 9623019743 College, Pune 2 Dr. D.P. Pande (Team Leader) Prof. Surgery Smt. Kashibai Navale 9422320164 Medical College, Pune 3 Dr. Nitin Bilolikar OSD to Hon. Health Mantralaya, Mumbai 9422189337 Minister 4 Dr. N.L. Vyas Prof. Surgery Navi Mumbai 9322956914 5 Dr. S.R. Kulkarni Prof. Surgery KIMS Karad 9423606439 6 Dr. K. Sahoo Prof. Radiologist KIMS Karad 9970173439 7 Dr. Sanjay Padale Surgeon YCMH Pimpri 9922501324 8 Dr. Bolde A.N. Surgeon CS Beed 9822195062 9 Dr. B.H. Shinde Surgeon DH Pune 9420202731 10 Dr. Ajit Gawali Surgeon CS Raigad 9422096363 11 Dr. Ashish Chitharanjan Surgeon Pune 9822931328 12 Dr. Shinde Med. Superintendent District Hospital, Pune 9420202731 13 Dr. Rathod Addl. Civil Surgeon Civil Hospital, Thane 9422877733 14 Dr. Sonar Med. Superintendent VSSH, Amravati 9422754136 Orthopedic Sr. Name Post Place of post Mobile No. No. 1 Dr. M.S. Diggikar Jt. Dir (NVBDCP) Pune 9325398011 2 Dr. Hemant Parekh Asso. Prof. Ortho. Smt. Kashibai Navale 9011020901 Medical College, Pune 3 Dr. Chintamani Latkar Asso. Prof. Ortho. Bharati Vidyapeeth Medical 9823028036 College, Pune 4 Dr. Piyush P. Jakkal Ortho. Surgeon, Cl.I D.H. Bhandara 8888865848 Sr. Name Post Place of post Mobile No. No. 5 Dr. Ranjit Deshmukh Consultant Dinanath Mangeshkar 9822058954 Hospital, Pune 6 Dr. P.K. Dake Med. Superintendent Ortho. Hosp. Parbhani 9823529336 7 Dr. Anupam Hivlekar Class I, Ortho Surgeon D.H. Wardha 9422841044 8 Dr. Ravindra Gunaki (Team Orthopedician KIMS Karad 9422039510 Leader) 9 Dr. Saurabh Kale Orthopedician YCMH Pimpri 9960902842 11 Dr. A. K. Bnajdr Orthopedician YCMH 9552595521 12 Dr. Sanjog Kadam Orthopedician DH Satara 9422606782 13 Dr. Santpure Orthopedician DH Pune 8308667603 Team No.4 Pediatric & Neonatology Sr. Name Post Place of post Mobile No. No. 1 Dr. Dilip N. Patil (Team Ex. Dy. Director Aurangabad 9421407574 Leader) 2 Dr. C. D. Aundhekar Prof. Paed. KIMS, Karad 9960697814 3 Dr. Maya Borle Assoc. Prof. Pune 9890192458 4 Dr. Kavita Srivastava Assoc. Prof. (Paed.) Bharati Vidyapeeth Medical 9850825791 College, Pune 5 Dr. M. V. Deshpande DCH YCMH, Pune 9922501322 6 Dr. Rohini Nagarkar Paediatrician YCMH, Pune 9922501571 7 Dr. Sagar Khedu Paediatrician D.H. Alibag 9224367253 8379006796 8 Damale Kalpana T. Dietician Osmanabad 9423073368 9 Dr. Lohare B.S. M.O. Pediatrician RH Panvel 8655007705 10 Dr. Sanjay Jaiswal Paediatrician Daga Hospital, Nagpur 9422150677 11 Dr. Anupama Nadkarni Paediatrician Dinanath Mangeshkar Hospital, 9890599646 Pune 12 Dr. Ramdas N. Khune Med. Superintendent SDH Pen, Dist. Raigad 9271705557 13 Dr. Manoj Patil Paediatrician Dr. D. Y. Patil Medical College, 9922417017 Pimpri 14 Dr.
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