SMT.
MALINI KISHORE SANGHVI HOMOEOPATHIC
MEDICAL COLLEGE AND HOSPITAL
A UNIT OF : DR. M. L. DHAWALE MEMORIAL HOMOEOPATHIC INSTITUTE
“TO UDERSTANDING TOP 5 REASONS
FOR THE NON COMPLIANCE HOMOEPATHIC TRATMENT”
ASSIGNMENT DONE BY
KHATRI MAHAMMAD ADNAN RAHEMATULLA
OF
SMT.MALINI KISHORE SANGHVI HOMOEOPATHIC MEDICAL COLLEGE
MIYAGAM KARJAN
TO
SHRI GOVIND GURU UNIVERSITY GODHRA
IN PARTIAL FULLFILMENT OF THE REGULATION FOR THE AWARD OF
THE DEGREES
BACHELOR OF HOMOEOPATHIC MEDICINE & SURGERY
UNDER THE VALUABLE GUIDANCE OF GUIDE
DR. KRUPALI MISTRY M.D (HOM)
YEAR 2022-2023
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SMT.MALINI KISHOR SANGHVI HOMOEOPATHIC MEDICAL COLLEGE &
HOSPITAL A UNIT OF: DR.M.L DHAWALE MEMORIAL HOMOEOPATHIC
INSTITUTE
1st NABH accredited Homoeopathic Hospital in Gujarat
CERTIFICATE
This to certify that the work contained in this dissertation entitled; “TO UNDERSTANDING TOP 5
REASONS FOR THE NON COMPLIANCE HOMOEOPATHIC TREATMENT.” Is a bona fide work carried out
by KHATRI MAHAMMAD ADNAN RAHEMATULLA (PROVISIONAL REG. NO.:-25638) during the
Internship year 2022-2023 as a partial fulfilment of the regulation for the degree of, “B.H.M.S”.
The above work confirms to standard of the SHREE GOVIND GURU UNIVESITY, GODHRA,
GUJARAT
DATE:
__________ ________________ ____________________
PRINCIPAL SEAL OF COLLEGE Signature of Guide
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INDEX
NO CONTENT PAGE NO
1
1 TIITLE
2
2 CERTIFICATE
3
3 INDEX
4
4 ACKNOWLEDGEMENT
5
5 INTRODUCTIN
6
6 AIM AND OBJECTIVE
7
7 DESIGN OF STUDY
8
8 REVIEW OF LITERATURE
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ACKNOWLEDGEMENT
First of all, I express my sincere gratitude to founder of Homoeopathy DR. SAMUEL
HAHNEMANN who has made our existence on earth. Special thanks to Homoeopathy and my
collage to give me this opportunity.
I express deep sense of gratitude to my guide DR.KRUPALI MISTRY (M.D HOM) (ASSISTANT
PROFESSOR OF PHYSIOLOGY) at Smt. Malini Kishore Sanghvi Homeopathic Medical College and
Hospital, For His Worthy Consul, Encouragement, Guidance, And Personal Kindness and Support
during My Assignment Work.
I am thankful to Community team of our hospital who helped me to make this assignment in
proper manner while during 6 months of survey of patient.
It Is a Time to Surface at My Love and Affection Gratitude to My Father Mr. RAHEMATULLA My
Beloved Mother Mrs. FARZANA Their Efforts, Supports, And Sacrifices, They Educate and Guide
Me During My Entire Study.
I am heartily thankful to my intern colleague MANTHAN, JAY for helping me in selecting and
collecting cases for my assignment and for valuable inputs.
Finally, I Extend my cordial thanks to all those who have been directly or indirectly contributed
in completing this work successfully helpful to me, in any time of my Study period.
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INTRODUCTION
• Homeopathic system of medicine is the world’s second best leading therapeutic
•patient from all own the world are being benefited from the treatment to f Homeopathic
medicine
•homeopathic is completely based on science, experiment & logical application of drugs &
disease knowledge.
•with more scope of homoeopathic there are also some limitation.
•as an intern I went through many opd in hospital also in rural area.
•I observed that many cases where follow up were not there, many has 1 or 2 follow up &
dropout so I developed interest as why the patient are not regularly coming
•I ask to my guide and she suggested me to do survey on this topic
But before that let us understand that a Physician is a person who completely understands the
Art of Healing; who is well acquainted with the Art of Drugging and who is responsible for the
restoration of patient's health whereas a patient is a person who's physical, mental or social
health has been disturbed.
A physician should always care more particularly for the individual patient than for the special
features of the disease for the cure. He should be capable of removing disease from the roots in
a patient.
To the physician Osler says, “Keep a looking-glass in your own hearts, and the more carefully
you scan your own frailties the more tender you are for the frailties of your fellow creatures.”
Which means that a physician should be sensitive and unprejudiced towards his patients so that
he could understand the patient’s situations and problems permanently with utmost loyalty.
•therefore we could understand the reasons behind PT leaving homoeopathic treatment and
that data will help us/Homeopathic physician to gain number of patients who follow
homoeopathy in future
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AIM & OBJECTIVES
AIM :-
To create a reference material about reasons of dropout patients under homoeopathic
treatment.
To create awareness in the medical staff towards the reasons behind dropout cases.
To know if any non-compliance from patients.
OBJECTIVE:-
• First of all collection of number of patient.
• To understand the reasons behind the dropout of patients.
To correct the faults which produced the number of dropout cases.
Door to door visit for taking their interview
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DESIGN OF STUDY
STUDY TYPE: observational, descriptive
STUDY DESIGN: Cross-sectional study
STUDY SAMPLE: 47 (SCR RECORD VEMAR OPD)
SAMPLE METHODOLOGY: Simple sampling through interview
METHOD OF STUDY:
The present is conducted at karjan at vemar peripheral OPD patient’s interview
At vemar village door to door taking interview
The participant’s preliminary information name , sex and age , are being mentioned in
the survey
STUDY PERIOD : During internship period
INCLUSIVE CRITERIA:
From year 2010 to 2022 drop out cases
Both sex
Only vemar rural OPD’s patient
EXCLUSIVE CRITERIA:
Patients with congenital anomalies
Patients left the treatment for a period of time and then recontinued the treatment
REVIEW OF LITERATURE
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HOMOEOPATHY
“Homoeopathy is the latest and refined method of treating patients economically and non-
violently; government must encourage and patronize it in our country.” – Mahatma Gandhi
Homoeopathy; not a theory of disease, but theory of cure. – Stuart Close
Homoeopathy can be defined as a rational therapeutic system with the aim of curing the
sufferings of a person by administration of drugs which have been experimentally proved on
healthy human beings to posses the power of producing similar suffering.
Stuart Close, the author of the book “The Genius of Homoeopathy”, defines Homoeopathy as
“The department of science in general medicine which has for its principle objects the
observation and the study of the action of remedial agents in health, disease, treatment and
cure of the disease by medication, according to a fixed law or a general principles.”
Etymologically the word Homoeopathy can be divided into 2 parts: “homeos” means similar and
“pathos” means suffering. Thus, Homoeopathy means to cure a patient with those drugs that
produce similar symptoms to the sufferings of the patient.
We can understand any patient’s suffering through a successful case taking. According to
Hahnemann a well-taken case is half cured. Nowadays many physicians lack the art of case
taking and as a result the patients are not cured which results in drop out cases. This is not the
sole reason for the dropout cases but one of the reasons that contribute hugely to the
decreasing number of patients. To be a successful homeopath we should have various kind of
knowledges.
In § 3 & 4 Hahnemann explains about the knowledge the physician must have in order to
restore the sick to health. Hahnemann comments “if the physician clearly perceives” this
knowledge “then he understands how totreat judiciously and rationally, and he is a true
practitioner of the healing art”.
The knowledge the physician has to possess are:
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1. Knowledge of disease
2. Knowledge of medicinal powers
3. Knowledge of application of drug knowledge to disease knowledge
4. Knowledge of choice of the remedy
5. Knowledge of pharmacy
6. Knowledge of proper dose
7. Knowledge of repetition of dose
8. Knowledge of obstacles to cure
9. Knowledge of
i. The things that derange health and cause disease
ii. How to remove them from the persons
If a physician lacks any of the above mentioned knowledges, he cannot become successful at case taking.
Knowledge of disease as we all know is required for diagnosis of a disease and to check the
symptomatology of the same disease in the patient. A physician should be aware about the medicines
that he uses, not just the name of the drug but its effect on human body and the symptoms it produces
in various potencies. After understanding various drugs and diseases we should know the holistic
approach so that we can choose a similimum on the basis of disease, individual and medicine. Now the
core of every knowledge is understanding the vital force and how it gets deranged. The derangement can
only be known by the symptoms which are thrown out by vital force. This symptomatology can be
known by proper case taking.
Case taking is the first step in the process of cure. Man is constantly exposing and reacting to
the surrounding physical and psychological environment. Any maladjustment or incapability to
cope with the pressure or expectations might result into the disturbance of his sensorium which
in turn results in to physical problems.To understand the sick individual case taking is the only
method. Case taking process is the most crucial part. To complete this crucial part a physician
should be
1. Free from prejudice
2. Sound senses
3. Correct and complete observation of facts and phenomenon.
4. Fidelity (Faithfulness) to homeopathic principles is a must.
5. Properly recording the facts without omission:
6. Skillful in developing rapport with the patient
Although a physician might have these knowledges,and qualities he might fail to cure the patient.
He should keep in mind some directions given by Hahnemann like keeping a case record, a
friendly approach towards a patient, eliciting peculiar, queer, rare, strange symptoms etc. but
most importantly he should be aware of the patients who are hypersensitive, hypochondriac,
feigners or indolent. A physician might have to work more to elicit true symptoms from these
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kind of patients. A physician should always avoid leading questions or double barrel question. He
should always keep in mind that physician’s own observation is more important than the words
of the patient. Also that a patient might not remember the accessory symptoms of a disease.
Alongwith these directions there are some obstacles to cure which a physician should keep in
mind. They are:
1. OBSTACLES FROM THE PATIENT’S SIDE
1. PATHOLOGICAL CONDITION OF THE DISEASE:
2. PRESENCE OF MECHANICAL OBSTRUCTION IN THE BODY:
3. PSYCHIC TRAUMA AND EMOTIONAL STRESS:
4. OVER-USAGE OF DRUGS BY THE PATIENT:
5. THE PROBLEM OF DIET:
6. LACK OF PROPER PHYSICAL EXERCISE:
2. OBSTACLES FROM THE PHYSICIAN’S 3 SIDE:
1. SELECTING THE SIMILIMUM ALONE IS NOT SUFFICIENT:
2. THE PHYSICIAN HIMSELF MAY GET CARRIED AWAY BY THE PATIENT’S NARRATION:
3. PRESCRIBING SOLELY BASED ON KEYNOTE SYMPTOMS:
3. OBSTACLES FROM THE REMEDIAL SIDE
1. LACK OF GENUINE MEDICINE:
2. POOR DRUG PROVING:
These obstacles can only be prevented if we follow the above rules and understand a patient as
a whole. After referring to various books and surveying number of patients I understood that a
patient is one of the most difficult tasks that a physician faces. A well-organised programme of
medical education, however, develops in him the proficiency in the various technics required by
a physician. But, getting on with people is an art which develops out of an inherent interest in
people and their environment. A physician has the rare privilege of witnessing the drama of life
with all its joys and sorrows. A person in the clutches of the past, which seems to haunt him at
all times, and who distorts the present and appears to be a helpless victim of fate; a Prince of
Denmark who never can decide 'to be or not to be' and suffers on account of the indecision
which plaques him all along; a husband who fails his wife at the 'crucial moment' because of a
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well-concealed hostility; a 'fatty' who gobbles up everything within reach as he has nothing
better to do in order to relieve the mounting tensions within him as a result of parental
favouritism towards his sisters; a chronically ill woman who, unfortunately, has come to the
stage of believing that illness is the only way left to her to secure the necessary attention from
her husband; a woman with the 'barking cough' badly in need of attention from the Master - if
all these fail to interest a prospective Homoeopathic physician, nothing else will.
It is this individualizing process that maintains the interest for all time in Homoeopathic
practice. Every new patient presents a new challenge to the resourceful Homoeopathic
physician and demands all the effort and ingenuity that he is capable of.
A physician who has got the picture right will have little difficulty in identifying it in the
Homoeopathic materia medica. The physician is left with a mass of symptoms at the end of
'Receiving the Case'. He has to create order out of this chaos. The order can only be created if
he has individualised the patient and treated him with all the techniques given by Hahnemann.
The process prevents the physician from falling into monotony and thus enables him to retain
that intellectual freshness about him even after years of medical practice.
VEMAR PATIENTS ’INTERVIEW
INTERVIEW IS DONE THROUGH GOOGLE FORM
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ANALYSIS
NAME OF PATIENT :
47 responses were available from Vemar.
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Patel priyal devesh bhai 15
Patel madhuben rajnikant 55
Ghanchi abdul bhai 64
Patel madri rajeshbhai 14
Patel kantabrn ramanbhai 61
Rathva chhaganbhai gokulbhai 60
patel manisha ben h 37
PATEL HANSABEN RAJESH BHAI 56
PATEL KASHIBEN CHANDUBHAI 75
VASAVA CHATURBHAI VAJIRBHAI 70
PATEL HANSABEN RAJESH BHAI 56
NAI RITESH KUMAR RASHIKBHAI 23
PATEL NILAMBEN GAURAV 28
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PATEL RAJESH MAHADEV 51
PATEL PANKAJBHAI C 46
PATANVADIYYA PARUL YADAV 37
PATEL ARVINDBHAI KALIDASH 71
PATEL NIRALIBEN PRETNA 36
DHAMGAPE RAVIKANTABEN BHAILALBHAI 55
PANCHAL DHVANI P 16
PARMAR MADHUBEN PRAGJIBHAI 68
VASAVA PUSHPABEN VINABHAI 30
PATEL JAYESHBHAI SURESHBHAI 50
PATEL KAPILABEN THAKORBHAI 63
PATEL KAPILABEN ASHVINBHAI 54
PATEL INDIRABEN MANUBHAI 65
VASANA HEENABEN RAJUBHAI 15
PRABHABEN D PATEL 49
GHANCHI SHAHISTABEN M 22
PATEL BHAVANABEN RAJESBHAI 46
PATEL VRAJ JAYESHBHAI 19
PATEL RAVINBHAI NAGINBHAI 39
DHAMGAJ AMRAPALI AMINBHAI 27
DHANGAJ AMITABEN BHAILALBHAI 38
PRAJAPATI SANABHAI CHHITUBHAI 64
PATEL RAMILABEN INDRAWADAN 45
PATEL SAGARBHAI AJAY 26
PATEL KRISHNABEN 15
JOSHI NEHABEN 22
PATEL PANNABEN RAJNIBHAI 40
PATEL HARSHDA NARENDRABHAI 14
PATEL HEMESH BABARBAI 42
PATEL HEMESH BHAI BABRBHAI 42
KASAR ANANDIBEN NAGJIBHAI 40
VAGHARI BHIKHIBEN K 60
PATEL KETULKUMAR RAJESH 20
PATEL NILESHBHAI JASBHAI 45
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Male 36.2%
Female 63.8%
Out of 47 patients, 36.2% were male and 63.8% patients were female.
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All the survey participants were taken from Vemar.
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Date Of Starting Treatment
3/18/2020
3/16/2022
6/24/2020
8/19/2020
9/6/2013
1/16/2019
10/25/2013
8/3/2013
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2/2/2018
2/9/1215
6/6/2018
12/6/2017
8/11/2012
6/19/2013
9/22/2021
2/14/2018
5/11/2022
6/10/2015
1/10/2018
3/10/2018
1/21/2018
8/19/2020
3/28/2018
12/5/2018
3/27/2019
8/2/2017
11/15/2017
1/12/2012
12/19/2020
7/3/2019
4/8/2015
4/2/2015
6/24/2015
3/1/2017
5/1/2015
1/1/2013
12/15/2015
2/4/2018
1/9/2013
1/8/2020
10/2/2019
5/8/2017
5/30/2018
4/26/2012
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Diagnosis
Skin disorder
Neurological
CNS complain
Skin complain
RA rheumatoid arthritis
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Skin complain
RA + GOUT
OA KNEE LT SIDE
IBS
GERD
OA KNEE LT SIDE
SKIN COMPLAIN
DYSMENORRHEA
NEUROLOGICAL DISORDER
GERD
UNRESOLVED PNEUMONIA
VITILIGO + HTN
HYPOTHYROID
TENSION HEADACHE
ALLERGIC RHINITIS + PHYSIOLOGICAL LEUCORRHEA
CERVICAL SPONDYLOSIS + GERD
CHRONIC RHINITIS
GERD
HTN + WARTS + GERD + LUMBER SPONDYLOSIS
OA + SCIETICA + VITILIGO
RA
PHYSIOLOGICAL AMENORRHEA
SKIN COMPLAIN
PLANTER PSORIASIS
PSORIATIC ARTHRITIS
CHRONIC BRONCHITIS
2 INFECTED TINEA CORPORIS
LUMBER SPNDYOLOSIS
TENSION HEADACHE
ALLERGIC CONTACT DERMITITIS
MSS
GENERALISED ANXIETY DISORDER
SKIN COMPLAIN
HYPOTHYRODISM
IBS
LEUCORRHEA + DYSMENORRHEA
DM + HYPERTESION
DM + HYPERTENSION
HYPERTENSION
VASCULAR HEADACHE
SKIN COMPLAIN
25
DM
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27
1 year
2 year
3 year
5 month
5 YEAR
1 MONTH
11 MONTH
6-7 YEAR
1 MONTH
6 MONTH
3 MONTH
17 YEAR
13 YEAR
3 YEAR
3 YEAR
6 YEAR
1 MONTH
2 YEAR
7 MONTH
1 MONTH
3 MONTH
3 YEAR
3 YEAR
3 YEAR
1 MONTH
4 MONTH
4 YEAR
1 YEAR
8-9 YEAR
6-7 YEAR
3 MONTH
2 YEAR
1 MONTH
1 YEAR
1 MONTH
1 YEAR
1 YEAR
1 MONTH
9 YEAR
9 YEAR
NO RECORD
1 MONTH
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1 MONTH
2 YEAR
Consultant Percentage of cases
Dr. Pankaj Bhatt 25.5%
Dr. Jigar Shah 74.5%
Out of 47 patients, 25.5% came from Dr. Pankaj Bhatt’s OPD and 74.5% came from
Dr. Jigar Shah’s OPD.
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Percentage of patients No. of days treatment taken
13.6% 7 days
6.8% 15 days
9.1% 4 weeks
13.6% 8 weeks
9.1% 4 to 6 months
18.2% 6 to 8 months
29.5% More than 1 year
Out of 47 patients, 13.6% took treatment for 7 days, 6.8% took treatment 15 days,
9.1% took treatment for 4 weeks, 13.6% took treatment 8 weeks, 9.1% took
treatment for4 to 6 months, 18.2% took treatment for 6 to 8 months and 29.5%
took treatment for more than 1 year.
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Percentage of patients Reasons of patient
8.5% Abroad
14.9% More than 50 bettter
10.6% No cure
0 Not believe in homeopathy
19.1% I feel medicine is not working
0 Many doctors came
36.2% Feels better but no cure
2.1% Slowly working
6.4% Death
2.1% Almost cure
Out of 47 patients, 8.5% had reason of going to abroad, 14.9% patients were
better by treatment, 10.6% patients had no cure, 19.1% patients felt that
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medicine was not working, 36.2% patients felt better but no cure, in 2.1% patients
medicines were working slowly, 6.4% patients expired & 2.1% patients had almost
cure. There were 0 patients who did not believe in homoeopathy and 0 patients
who had changed many doctors.
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