Mayurlep Leprosy Eradication Project- (MAYURLEP)
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| The project area |
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Table showing details of the project area and target group
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| No of Blocks: 26 |
| No of GP :282 |
| No of Revenue village: 3945 |
| Forest and hills coverage- 44.86% |
| Total population: 2221782 |
| People residing in inaccessible areas – Total village –527 Total Population-2,68,509 (M-1,35,611+F-1,32,898) |
| Tribals: 1286938 (57.92%) |
| SCs: 155482 |
| Rural Vs urban population : 93:7 %: 6.3% |
| Dots providers – 1500 Nos |
| Traditional healers identified – 4526 Nos |
| Health department staffs – MPHW- 536, BEE (Block extension educator- 26) Pharmacist – 115, |
| Private practitioners -1560 |
| Below poverty line: 78% |
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| Target group |
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- People living in inaccessible and remote areas
- Community having poor health services and having poor health seeking behaviour
- Pregnant women and children below age of 5.
Formal and informal health providers, community based organisations, Local NGOs, influential key persons, Project staffs and other key stake holder. |
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| Project goal objective and strategy |
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Strategies
* Help the community assess local health problems by adopting Capacity building, Quest method for information promotion, Lobby and Advocacy
* Outreach service delivery in leprosy and malaria as its fundamental approaches and promotes the principle of inclusion, participation, collaboration of varied stakeholders
* For wider and sustained impact, develop partnerships with the local partner NGOs in programme implementation
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Activities and achievement
* 90 Panchayat level Health Rresource Centres, 14 numbers block level information link centers and 770 village health committees were formedby the end of 2007.
* The project has produced 18 types of IEC materials using the QUEST method.
* More than 500 selected stakeholders from government, partner NGOs and communities were trained in the range of activities and approaches based on the skill on Quest and information resource management.
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* The communities developed and disseminated 13 types of IEC materials by using the resources at their level.
* Skill training to service providers on leprosy disability management, tuberculosis and malaria were provided
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Sensitising various stakeholders such as ICDS workers, private practitioners, traditional healers and PRI members on the issues related to the diseases, gender and diversities.
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To monitor and evaluate the community’s health and its own performance, in 118 villages, the Project has introduced Monitoring Tool in 2007 with indicators in the pictorial form. These indicators have become the baseline for determining future improvements.
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The improved community activities of vector control, referral and follow-up of patients and also voicing out issues for advocacy, has been appreciated and incorporated in the 7 “Pallisabha” planning.
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The advocacy efforts of the project have influenced the District Health System to take necessary steps in the gap areas. As a result, the number of DOTS providers has increased from 206 to 273, malaria link volunteers from 348 to 360, leprosy health workers from 51 to 83, fever treatment depot from 780 to 786 and drug distribution centres from 363 to 466. The District Health Authority ensured the availability of Drugs, blood slide collection and use of RDK in inaccessible areas. |
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| Case study -
Strengthening Communities |
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| The people of Nuagaon feel that there is a significant change in their lives. Nuagaon is a remote village with over 70% of tribal population. Because of the remoteness of the village, the people faced inadequate access to safe drinking water. |
| The villagers formed health and sanitation committee with the guidance of MICHP on 01/07/07. The committee prepared micro plan with villagers, participate in health promotion activities, referred people suspected with fever and other diseases to government hospitals. |
| On 14/01/08, a meeting was held at the Nuagaon Shiv Shankar Village Health Sanitation Committee to discuss and assess the causes of ill health in the community. Through the meetings, they found that disease like diarrhoea; jaundice and scabies were common in the community. |
They realised that the contaminated water in the Tube Wells caused problems to health that lead to outbreak of water-borne diseases. The committee submitted a letter on 2/2/08 to the Sarpanch and the Block Development Officer to repair tube wells. After regular persuasion and after a month, the committee succeeded in getting both the tube wells repaired on 10/03/2008. They ensured that the community is ensured with a safe drinking water. And help prevent exposure to such illnesses.
The Sarapanch and BDO congratulated the committee for its sincere efforts. Small but this initial right based initiative increased their confidence to address bigger issues in the community and have increased a sense of unity among the members. |
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