Orissa Projects
Introduction Targeted Intervention Project - KHURDA Injection drug use (IDU) is now the main mode of transmission of HIV/AIDS. The negative health consequences of IDU are not limited to just HIV infection. Sharing injection equipment carries a high risk of transmission of other blood-borne infectious diseases such as hepatitis B and hepatitis C. Supported by the State AIDS Control Society (OSACS), Orissa, Targeted Intervention Project for IDUs in Bhubaneswar City’ started from July 2006 with 346 IDUs and subsequently increased to 600 IDUs. The figure might stagger to 1200 IDUs in 2008. Aims To facilitate preventive activities and interventions among Intravenous drug users (IDUs) by implementing action-oriented programmes on the context and health consequences of drug injection behaviour in urban slums of Bhubaneswar. Objectives: HIV prevention among IDUs through increased access to educational information, understanding & and awareness on individual protection among IDUs (syringes) to reduce the risk of transmission of HIV Activities a) Mapping of ID Users, Programme Outcomes • The activities started with area mapping. The areas are divided into 9 clusters with 44 sites for intervention. • By the end of March 2008, the project identified 900 IDUs • In different program 232 users are in drug substitutions and 214 needle syringe programme. 48 IDUs are referred to the drug de-addiction centre and clean for on an average of last 2 months to 14months. • Organised 35 street plays within the city on different issues of drug uses. • Involvement of the family members in drug substitutions creating a positive impact on social trust aspect among the users. • GIS develop with consultation with the team to maintain the information base of IDUs as well as monitor the impact of prevention activities. • Facilitating OSACS in sentinel site survey with IDUs in Bhubaneswar. Collected 250 blood sample from different site by December 2007. Networking & Linkage • Linkages are established with 4 drug de-addiction centres and MSJE in Bhubaneswar for referring IDUs • Narcotics Anonymous Group and recovery addicted are actively involved through the support group activity. • Established linkages with ICTC for blood test of target group and their family members. Those found HIV positive are referred to KNP+ (positive network). • Linkages with Jana Sikhan Sanstha and Employment Misson, Government of Orissa for vocational training to recovered IDU • Linkages with other organisations namely; Action Aid, UNDP, UNFPA, VJSS, OLS, and PURVASHA to improve technical capacities to provide more sustainable response in the different area of activity Achievements It is found that 33% minimised the consumption of drugs. Needle & syringe exchange programme led to 70% of them returning the syringes Sl. No Activities Achievement Coverage/Remarks 1 One to One Interaction 2925 300 FSW were covered 2 One to Group Interaction 218 1139 FSW s were repeatedly covered in Group discussions 3 STI Referral of New Cases 366 4 Counseling 863 300 core group were counseled by our counselor repeatedly to High risk behavior 5 STI Treatment Taken 239 More then 80% of core group were covered under STI Treatment. 6 Referred to ICTC 1364 300 core group and their clients were repeatedly referred by project 7 ICTC Visited 582 300 Core group were visited with repeat test 8 Referred to CCC 24 Old and new identified PLHA were referred to CCC for OI treatment and Counseling, care and support 9 Advocacy Meetings 4 60 nos. of ASHA and PRI members covered. 10 Health Camps organized 10 Around 600 population were given health treatment including our core groups in health camps 11 Free Condom distributed 37,026 300 core groups were distributed time to time during one to one, PP clinics and in DIC. 12 Social Marketing condom distributed 23,260 Distributed through outlets in 21 hotspots Photo Gallery 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. 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. The support could provide relief in old age by restoring the vision 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. 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. 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. 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. Photo Gallery
b) Needle & syringe exchange programme,
c) Drugs substitution programme,
e) Abscess care,
f) Vain care management,
g) Over dose management,
h) Safer injecting practices,
i) Condom promotion,
j) Focused Group Discussions with ID Users and family members,
k) Training programmes for staff, Peer Educators and Outreach Workers,
l) Sensitization programmes for ID Users,
m) Collection of Blood Samples for the purpose of the sentinel site survey (one time activity),
n) Linkages with drug De-addiction Centres,
o) Linkages with other secondary stakeholders etc.
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.
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.
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.
Orissa Projects
Introduction Targeted Intervention Project - KHURDA Injection drug use (IDU) is now the main mode of transmission of HIV/AIDS. The negative health consequences of IDU are not limited to just HIV infection. Sharing injection equipment carries a high risk of transmission of other blood-borne infectious diseases such as hepatitis B and hepatitis C. Supported by the State AIDS Control Society (OSACS), Orissa, Targeted Intervention Project for IDUs in Bhubaneswar City’ started from July 2006 with 346 IDUs and subsequently increased to 600 IDUs. The figure might stagger to 1200 IDUs in 2008. Aims To facilitate preventive activities and interventions among Intravenous drug users (IDUs) by implementing action-oriented programmes on the context and health consequences of drug injection behaviour in urban slums of Bhubaneswar.
