AP Projects
- Introduction
- Awareness Programs
- Activities
- Photogallery
Introduction
| Mobile Health Clicnic (MHC) |
MHC started in 2006 in 18 villages and covers senior citizens, women and children do not have access to PHC. The aim of the project “To provide treatment for primary illness in the inaccessible areas to the underserved groups like senior citizens, children below 5 years, adolescent girls and pregnant women”
During this year project covered 17 villages of 4 mandals, in Musunuru, Chatrai, Ramankkapeta and Bapulupadu PHCs of Nuzvidu area. The area population is 20 867 and the total target group beneficiaries covered under this project are 5293 including new registration during the year. Mobile health clinic treated the patients’ disorders as well as informed on self-care practices thereby reduce the severe form of illness.
The mobile health clinic carried out their planned activities as per the objectives, organized 196 clinics, 82 awareness meetings to Adolescent, ANCs and Geriatric persons and 23 exhibitions conducted and sensitized on low cost nutrition and minor health problem. MHC continued the network and linkages local referral health facilities and health institutions for support the community. 3 special health camps are conducted on Eye care, and diabetic with the involvement Doctors / Professors from both private and public health sectors. |
Objectives:
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To provide Preventive, & Curative health Services: (Diagnosis, prescription and the spot dispensing of medicines for the common ailments and referral)
To provide Research: (Develop a health profile and analysis of the health issues in rural areas. The health profile should include age, gender, caste, class and location specific data besides creating a general profile of the health status. This may have implications for health policy)
To provide Educational and awareness programs: (Raise awareness among the Community about preventive health care issues including family planning, communicable and other diseases) |
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| Awareness programs |
| Health awareness meetings: |
Apart from the clinics staff conducting health awareness meetings in the villages with the beneficiaries and community, service providers like, A.W.Ws, PHC Staff, PMPs and volunteers. Provided the information on Puberty changes, the ill effects of early pregnancies , Physical and hormonal changes during puberty and cautions to be taken to avoid unwanted pregnancies, the importance of breast milk and cautions to be followed by a lactating mother for the well being of a baby as well as mother shared with the group. Importance of ANC, PNC care, family planning methods, personal hygiene during menstrual period, and its ill effects, the causes of Anemia, preventive measures to avoid anemia and the role of nutrition for adolescent girls and lactating mothers also discussed. They have shared some tips to prepare nutritious food with locally available materials. Other than that provided the information on seasonal diseases and communicable diseases like TB, Leprosy, HIV/AIDS, STI s, testing facilities is being informed. |
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Sl. No |
Beneficiaries group |
No. of Meetings |
Persons Sensitized |
1 |
Geriatric persons |
33 |
983 |
2 |
Adolescents girls |
13 |
154 |
3 |
ANC |
10 |
142 |
4 |
lactating Mothers |
15 |
195 |
5 |
ASHA |
9 |
125 |
6 |
AWWs |
6 |
42 |
7 |
PHC staff |
6 |
52 |
|
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| Health Exhibitions: |
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23 Health Exhibitions conducted and sensitized 714 community on low cost nutrition, communicable diseases on leprosy, TB, HIV/AIDS and Maternal health. |
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| Samoohika Sreemantaham: |
| SAMOOHIKA SEEMANTHAM is a traditional and women function where it celebrates for 7th month pregnant women to wish the happy delivery and have healthy baby. On this event generally, it is custom to felicitate the pregnant women with fruits, flowers, new clothes and bangles etc. Conduct this event as social function in villages and incorporate the health awareness of pregnancy, health well baby, HIV test, importance of nutrition and promote institutional delivery. Total two functions conducted and community participation is remarkable. 53 ANCs are benefited by the programs. |
| Special Health Camp: |
| During the routine services of the MHC, the staff has noticed that majority of the people in this village are suffering with Diabetic and eye problems. To address this problem, project staff organized Special health two camps on Diabetic camps at Tummagudem and one eye & general health camp at Gogulampadu. |
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The diabetic camp was organized with the support of Dr. Suresh and Dr. Srinivas, Diabetalogist from Vijayawada, total 123 patients screened for diabetes among that 15 new cases were conformed and 35 Diabetic established clients availed services through special health camps. Provided counseling on diabetic management and prevention. The doctors advised the community on regularly walking, health checks up and balanced diet was most important for the diabetic patients.
The eye care camp was organized with collaboration of GMH (Gifford memorial Hospital) Mr. Rambabu, Opthalmist, GMH screened 114 persons for eye care, identified 21 cataracts and referred 14 cases and 12 cases undergone for surgery, two cases were rejected due to their health condition at GMH. |
| Sl. No |
Disease/problems |
No benefitted |
1 |
Diabetes |
123 |
2 |
Eye |
114 |
3 |
General health Camp |
112 |
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| Self care camp on Filaria and Leprosy |
Nuzividu is one of the endemic pockets for filariasis in Krishna district; lot of persons already affected LF in the urban. Morbidity management of individuals already affected by LF is an important based on this project Organised filarial and Leprosy self care camp at Nuzividu on 13th January’2010. Dr. Jaya Sahu, Daughter in law of Dr. S.K. Rao, former Chairman of LEPRA Society visited the camp. 10 Leprosy patients and 10 filarial clients received services. The self care practices are promoted by educating them and with the involvement of their family members. The demonstrations and exercises (Limb Care) were done. Mr.Sathiraju, Project Coordinator –ROH facilitates the Visit. |
Support Activities: |
Linkages with Primary Health Care staff, and 104 services and Referral Hospitals:
MHC develops linkages with local panchayatraj, philanthropists, health care providers like; AWWs, PHC staff, 104 &108 services and NGOs and nearest referral facilities like; St. Joseph Dental College& hospital and Giffered Memorial hospital. The following details are details of the year.
Local resource mobilization for clinic support:
MHC facilitates the resource mobilization by the community / beneficiaries in the form of medicine, refreshments and other arrangements during special diabetic health camps, Eye screening camps and empowers them to keep life saving drugs at PHCs.
Health forums supervision and participation:
MHC enhances the participation of forum as expected. The requirements like; space provision to conduct clinic, provision of chairs for clients sitting, keeping the clients in queue etc., Organizing camps and awareness activities are managing by the community with the involvement of NGOs, PHC staff, inviting doctors, collecting resources for other drugs. Other arrangements like; shamiana, refreshments to patients, travel expenses for investigations and treatment during routine activities. Managing the program responsibility and found acceptance by them.
ICDS participation:
The MHC team initiated a social support programme by mobilizing the Nutritional supplement with the support of ICDS project for pregnant women, lactating mothers and adolescent girls and Double nutrition for children with malnutrition. |
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| Activities |
To provide Preventive, & Curative health Services: Diagnosis, prescription and the spot dispensing of medicines for the common ailments and referral)
Clinic performance: Total 196 clinics conducted and treated 5293 targeted population among that 931 are newly registered, provided necessary counseling to clients was an advantage of the project. Availed MHC services as an average 3 times per year, 1135 persons referred for special services. |
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Illness Vs Targeted Population |
S.No |
Type of Illness treated |
Senior citizens |
Adolescent girls |
< 5 years children |
Pregnant Women |
General |
|
|
M |
F |
F |
FC |
MC |
FC |
|
M |
F |
1 |
Respiratory |
|
|
|
|
|
|
|
|
|
1.1 |
Upper Respiratory Infection(URI) |
132 |
168 |
24 |
32 |
9 |
14 |
16 |
4 |
3 |
1.2 |
Asthmatic Bronchitis |
182 |
176 |
24 |
19 |
0 |
0 |
0 |
0 |
0 |
1.3 |
Allergic Bronchitis |
62 |
48 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1.4 |
Poly Pneumonia |
58 |
64 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2 |
Gastro Intestinal |
|
|
|
|
|
|
|
|
|
2.1 |
Acid Peptic Disorders |
66 |
128 |
41 |
48 |
0 |
0 |
0 |
28 |
19 |
2.2 |
Gastritis |
218 |
262 |
12 |
16 |
0 |
0 |
0 |
32 |
27 |
3 |
Orthopedic |
795 |
832 |
0 |
0 |
0 |
0 |
0 |
48 |
66 |
4 |
CNS (Peripheral Neuritis) |
8 |
13 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
4.1 |
Parkinson |
2 |
1 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
5 |
CVS |
3 |
4 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
6 |
ENT |
48 |
22 |
6 |
4 |
8 |
5 |
7 |
9 |
15 |
7 |
Eye |
96 |
132 |
4 |
2 |
0 |
0 |
0 |
14 |
19 |
8 |
Skin |
158 |
172 |
12 |
9 |
0 |
0 |
5 |
22 |
35 |
9 |
Non Healing Ulcers |
6 |
3 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10 |
Wound & cuts |
4 |
6 |
0 |
0 |
0 |
0 |
0 |
1 |
2 |
11 |
Burns |
2 |
4 |
2 |
1 |
1 |
2 |
0 |
4 |
5 |
12 |
UTI |
48 |
66 |
8 |
9 |
0 |
0 |
0 |
4 |
8 |
13 |
Genital Track Infections |
8 |
13 |
1 |
18 |
0 |
0 |
0 |
9 |
18 |
14 |
Deficiency diseases |
|
|
|
|
|
|
|
|
|
14.1 |
Vitamin A Deficiency |
162 |
186 |
48 |
52 |
26 |
19 |
12 |
42 |
39 |
14.2 |
Vitamin B Complex Deficiency |
148 |
175 |
32 |
28 |
42 |
16 |
6 |
38 |
52 |
14.3 |
Iron deficiency anemia |
88 |
136 |
22 |
19 |
9 |
6 |
32 |
22 |
64 |
15 |
General Weakness |
192 |
201 |
31 |
28 |
6 |
18 |
3 |
18 |
25 |
16 |
Leprosy |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
17 |
Diabetes |
591 |
732 |
0 |
0 |
0 |
0 |
0 |
|
|
18 |
Worm Infestations |
48 |
62 |
26 |
38 |
12 |
19 |
0 |
12 |
18 |
19 |
Dental |
62 |
48 |
15 |
6 |
0 |
0 |
2 |
14 |
25 |
20 |
STI |
0 |
0 |
2 |
0 |
0 |
0 |
0 |
0 |
3 |
21 |
FEVER |
148 |
169 |
2 |
19 |
35 |
46 |
25 |
39 |
48 |
22 |
HIV/AIDS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1 |
23 |
Dysmenorrheal |
0 |
0 |
9 |
8 |
0 |
0 |
0 |
0 |
9 |
24 |
Diarrhea |
65 |
78 |
19 |
24 |
15 |
13 |
9 |
28 |
39 |
25 |
Hypertension |
568 |
623 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
26 |
Constipation |
18 |
47 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
27 |
Odema |
2 |
1 |
0 |
0 |
0 |
0 |
0 |
1 |
2 |
28 |
Renal Problem |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
29 |
Tonsillitis |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2 |
4 |
|
Total |
3988 |
4572 |
481 |
406 |
163 |
158 |
117 |
391 |
546 |
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| Clinic Performance: Major Problems in Geriatric wing |
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| Major health problems reported in the geriatric wings are, URI, Asthmatic Bronchitis, Allergic Bronchitis, Acid Peptic Disorders, Gastritis, Orthopedic, Eye, diabetes and hypertension etc. |
| Clinic Performance: Problem in Adolescents Girls |
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Major health problems reported in the groups of Adolescent Girls are, URI. Asthmatic Bronchitis, Acid Peptic Disorders, Orthopedic, ENT, Skin, UTI, Vitamins Deficiency and worm infections etc. |
Clinic Performance: Problem in children < 5 Years |
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Major health problems reported in the children below 5 years are respiratory, ENT, dermatological, worm infestations, vitamins deficiency and diarrhea.
Problems identified in Pregnant Women: Major health problems identified in the pregnant women are deficiency diseases, anemia and fevers. |
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Impact |
This program was initiated by community structures developed by the project. Earlier no substitute health services available to address the health problems among geriatric, adolescent girls and the children below 5 years of age.
Now, MHC bridges the above gaps by rendering the services and building health promotion with community & service providers’ participation.
Initially the villagers only arranged shelter for clinic. Now they took the lead in manage the public and support smooth function. MHC not only treats the illness but empowering the community and linking other health care facilities with villages also. Anti natal care is given utmost importance; regular medical checkup, immunization schedule, nutrition and deliveries at hospitals are encouraged.
Earlier they depend on family attendant to reach PHC. Now they have easy access to treatment and counseling and eliminated patients’ travel and time consumption. Local private practitioners support also remarkable. |
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Decreased the infant deaths from 23 to 3 which contributes the MDG Goal 4:
(reduce infant mortality) |
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Observational days: |
Global Hand Washing Day:
Observed Global Hand washing day, at ZP High School, Marlapalem of Chatrai mandal of Krishna District on15 October2009 and educate them importance of hand washing with soaps every day before taking food. |
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Washing the hands with soap and water is one of the most effective interventions reduces diarrhea-related deaths by more than 40 per cent and cases of acute respiratory disease by about 25 per cent. The promotion of hand washing with soap is also a key strategy for controlling the spread of the H1N1 virus Hand washing with soap positively impacts children, families, communities and nations by reducing disease”.
International Women’s day:
Observed international women’s day at Muumuu PHC on 8th march’2010 18 SHGs and 7 PHC staff participated in the programme and sensitized women rights and gender issues. |
| Future plans: |
- Carry out mobile health clinic
- Organize special health camps
- onitor Health indicator in Tummagudem and Gogulampadu villages
- Conduct filarial self care camps
- Facilitate community awareness meetings
- Expand the services to other new villages.
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Case Studies
The support restored the Childhood |
Kumari Jyotsna sethi, 14 years old, daughter of Banamali sethi belongs from Rajanpali village of Boudh district. She is the only child of her parents and that is why she gets all the affection from her parents. She grows up with much love in the family. She studies in class 8th at Butupalli, High school of Boudh district.
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Her father is a small farmer with one acre of agriculture land. The annual income is not sufficient to manage the family economy. However, with the income from his own agriculture land as well as labour work sometimes, her father manages the family and the education of Jyotshna.
Time passes and one day her mother observes that Jotshna is not able to tracing the things and domestic appliances properly and father also observes the same. School teachers complains that Jyotshna is not keeping any interest on study. Her father also observes the same. The school teacher says that she is not able to look at the black board and reading properly. Subsequently, friends and neighbours starts to address her as the blind Girl in the community. Gradually Jyotshna becomes depressed and stops going to play with her friends and avoids the gathering in the community. She also expresses her unwillingness for study. One of the neighbors observes a white spot on the right eye pupils. Her father contacts the local traditional healer for treatment who fails to recover the same through his treatment. The parents make lots of expenses for the treatment of Jyotshna. Then they takes Jyotshna to Boudh District Head Quarter Hospital for treatment. The doctor diagnoses her with immature cataract and asked them for contacting the Mahanadi Netra Chikitsalaya of Birmaharajpur of Sonepur district.
She comes to MNC 5th August 2009 and was admitted for cataract surgery. Her Uncle and Parents are counseled by the Ophthalmic Assistant for the surgery. The cataract surgery is conducted on her right eye on the same day through phaco with the intra ocular lens (IOL) in free of cost. Free spectacles and medicines are provided to her as per the prescription of the Ophthalmologist of the Mahanadi Netra Chikitsalaya of LEPRA Society. After the successful surgery, her parents express their happiness and gratitude to LEPRA Society as well as the person or institution who provides support for this noble work. Jyotshna is now very happy she becomes able to see. Now she has got back her earlier life stile i.e. in relation to continuing her study, playing with friends and joining the community gathering. |
The support could provide relief in old age by restoring the vision |
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Basanti Mahananda, 65/F, she is an old widow lady belongs to very poor family of the Menda village of Tarabha Blcok of Subarnapur District. Long back her husband dies due to heart stroke. She has 3 daughters only without a son who already have married. So, Basanti is living alone and manages her by wage works in different households. She is landless. |
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| However, she gets the oldage pension which is Rs. 200/- (Rupees Two Hundred only) per month. Suddenly, she feels vision problem which increases gradually. She becomes unable to see and work properly. Cooking for herself and earning for herself becomes difficult. As her daughter are in their in-laws’ house, there is no scope of getting support from them. In the course of time, Basanti loses his complete vision. She could know about the community eye screening camp of Mahanadi Netra Chikitsalaya of LEPRA Society at Tarava. She requests her elder son-in-law to guide her to the screening camp. Basanti attends the screening camp and diagnosed with matured cataracts. She is brought to the Mahanadi Netra Chikitsalay by the project outreach bus on 13th August 2009 and was registered for cataract surgery. On 14th August 2009, her right eye is operated through the use of phaco and operating microscope and IOL is implanted. The surgery becomes successful and Basanti gets back her vision in the right eye. After seven days of her surgery, her vision is tested and found with very good vision. She also expresses her happiness as she is able to see the things and do her daily activities independently. She is waiting eagerly for the surgery in her left eye. |
Restoration of Childhood |
Sumanta Beriha,7/M of C/O Bhagban Beriha, hails from Jatasingh village of Boudh District. He is the youngest son of his parents with three brothers and only one sister. Being the youngest son of his parents Sumanta is being loved by everybody in the family. His elder brother was having eye diseases which led him to incurable blindness. Sumanta was all of sudden lost his vision at the age only 4 years. His father is a farmer and also works as a labourer. The mother is a house wife and sometimes works as labourer. When Sumanta is admitted into the school, the irony that he is found to have very low vision in both of his eyes for which he faces lot of problems in reading and writing. Gradually Sumanta was pushed into more and more darkness. Sumant is not able to carry out independently the daily activities, reading and playing. Gradually he stopped school going, playing with friends. He loses his childhood. The parents have no money for the treatment of their beloved son and because of the same reason and ignorance their elder son becomes blind. They have to only cry and blame their lucks. The parents go to the District Head Quarter Hospital, Sonepur but, the treatment could not be possible as the hospital is not having facilities for children surgery.
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In course of time, his uncle who is staying nearby MNC informs his parents to come to MNC for treatment. The parents come with the son on 7th February 2009 and Sumanta is registered bearing the MR No 47526/09. He is detected with congenital cataract in both his eyes. Parents and the uncle are counselled for the surgery. Sumanta is admitted on the same day. His right eye is being operated with Small Incision Cataract Surgery (SICS) with IOL on 8th February 2009. His vision is improved to 6/18 in his right eye.
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Now, he is able to play, read and write and he is happier that his vision has again restored. His parents are too happy as the childhood of their beloved son is getting restored and have expressed their gratitude to MNC for great support to their child and family. After few days, his left eye will be operated. |
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Resources |
Infrastructure: The hospital is housed in its own two storied building having a covered area of 5000 sq. ft.. MNC has accommodation for 30 beds, suitable surgical and therapeutic equipment are available for providing eye care. The hospital has a minibus for outreach activities and transportation of patients identified with cataract to the base hospital for surgical intervention.
Physicians/Staff:
There are 30 full time/part time workers at the MNC hospital. These include one full time doctor, nurses, paramedical staff and non-clinical personnel. The physicians are well supported by a multitude of staff members such as nurses, refractionists and technicians who actively participate in the health care team
Work Times: The hospital works six days (Mon-Sat). Patients usually come at 9 a.m. and the work day ends at 5 p.m.
Food: Breakfast, lunch and dinner are also provided free of cost to the patients and their attendants. On an average food is provided to 30 numbers of people per day at MNC. |
