MALHOTRAS ASHI-ANGEL CONCEPTFOR EFFECTIVE MANAGEMENT OF HEPATITIS B AND C

Hepatitis B and C is prevalent in certain parts of India like Andhra Pradesh, North Eastern states, Punjab, Haryana, Uttarakhand and Uttar Pradesh. There are many challenges in these patients which start from identification of the disease, bringing them on treatment and getting it completed and later on problems faced in life even after successful completion of treatment. Our department is model treatment center under National Viral Hepatitis Control Program (NVHCP) and is high flow center and daily 70-80 patients of hepatitis B & C, including both new and old come for consultation and treatment.We have till date enrolled more than ten thousand patients of hepatitis B and treated 25,000 patients of hepatitis C in last fourteen years. Ashi in English means Smile, laughter, joy or blessing and Angel in English means messenger of God. Hepatitis B & C are transmissible diseases and not only general population but health care workers try to avoid these patients which leads to development of complex in these patients. We as a team were coming to know all this discrimination through patient and their relatives first hand version. Thus, it made us well versed with all kind of hurdles, challenges, myths, social taboos being faced by these patients and their family members.The health care workers should have empathy and not only sympathy towards patients. They should treat and help patients with human angle, thus giving joy & smile on their faces(ASHI) and, thus patients will accept them as messenger of God(ANGEL)which will lead to good compliance and successful outcome of treatment. This is MALHOTRAS ASHI-ANGEL CONCEPT in interest of better patient care and it is already showing its positive results.

乙型病毒性肝炎（Hepatitis B）与丙型病毒性肝炎（Hepatitis C）在印度部分地区呈流行态势，涉及安得拉邦、印度东北部各邦、旁遮普邦、哈里亚纳邦、北阿坎德邦及北方邦。此类患者面临多重困境：从疾病确诊、启动治疗到完成治疗的全流程均存在挑战，即便治疗成功结束，患者在日常生活中仍会遭遇各类难题。我科室为国家病毒性肝炎防控计划（National Viral Hepatitis Control Program, NVHCP）认定的示范诊疗中心，同时为高流量接诊中心，每日有70至80名乙肝、丙肝患者前来就诊咨询并接受治疗，其中包含初诊与复诊患者。截至目前，我们已累计纳入超过1万名乙肝患者，并在过去14年间完成了25000名丙肝患者的诊疗工作。Ashi在英语中意为微笑、欢笑、喜悦或祝福，Angel则意为上帝的使者。乙肝与丙肝属于传染性疾病，不仅普通民众，甚至部分医护人员也会刻意回避此类患者，这会使患者产生复杂的心理负担。我们团队通过患者及其家属的亲身讲述，全面了解到这类患者及家属所面临的各类歧视、困境、认知误区与社会禁忌。医护人员应对患者抱有共情而非仅仅停留在同情层面，应秉持人文关怀开展诊疗与帮扶，为患者带去笑容与喜悦（即ASHI），让患者将其视为上帝的使者（即ANGEL），此举将提升患者的治疗依从性，保障治疗获得成功结局。此即MALHOTRAS ASHI-ANGEL CONCEPT（马尔霍特拉微笑-天使理念），旨在优化患者诊疗体验，目前已显现积极成效。