Healthcare Interventions 2012-13
First Thousand Days Program
Household focus on appropriate nutrition of mothers and children has been significantly low in the 8 Blocks of Bankura Sadar sub division . Hence Shamayita Math felt a strong need to work on nutritional aspect of mother and child to ensure healthier and a productive life. It was also felt that investing for better nutrition can help families to break the cycle of poverty. The 1,000 days between a woman's pregnancy and her child's 2nd birthday offer a unique window of opportunity to shape healthier and more prosperous futures. The right nutrition during this 1,000 day window can have a profound impact on a child's ability to grow, learn and hence rise out of poverty. It can also help in shaping a society's long-term health, stability and prosperity. Shamayita Math implemented the program in BANKURA SADAR sub division which comprises of eight development Blocks with 75 Gram panchayats (GP). This program was implemented since May 2012 with grant support from UNICEF.
Awareness and training program-
· Focus on children under two and their mothers with essential nutrition interventions
· Provide quality care for children with severe under nutrition supplemented by prevention and treatment
· To develop and follow up for first 1000 days for each child using IGMSY, PD & IYCF
· Using ICDS platform for the first 1000 days approach
· To strengthen existing system of ICDS, Health and PRI
· To develop convergence among all key players, HEALTH, ICDS & PRI
· To ensure quality services for maternal and child health & nutrition
· To increase awareness & accessibility of target group to avail existing schemes (IGMSY, JSY) available the critical 1000 days
· To improve maternal & child feeding & caring practices in the community
Shamayita Math has been engaged for implementing first 1000 day's program in Bankura Sadar sub-division (namely Bankura I, Bankura II, Onda Chhatna, Gangajalghati, Saltora, Barjora and Mejia)including all 75 GPs of 8 blocks comprising of 1964 ICDS centres.
Nutrition day celebration at a village-
· Early initiation of breastfeeding within one hour of birth;
· Exclusive breastfeeding during the first six months of life;
· Timely introduction of complementary food after six months;
· Age-appropriate, energy and nutrient-dense complementary food for children 6-24 months of age with continued breastfeeding;
· Full immunization and bi-annual vitamin A supplementation (0-35 months) with de-worming;
· Safe handling of complementary foods and hygienic complementary feeding practices;
· Household using adequately iodized salt (>15 ppm);
· Frequent feeding and breastfeeding during and after illness, including oral rehydration therapy and zinc supplementation for children with diarrhoea;
· Improved food and nutrient intake for adolescent girls, particularly to prevent anaemia; and
· Access to care of severely acute malnourished children
The implementing team consisted of 75 GP facilitators (emphasis given on recruitment on female, male=28, female=47), 1 Sub-division Coordinator and 1 MIS coordinator as a team work in close coordination to fulfill the objectives of the program.
During the first 8 months of implementation the appropriate quality and quantity of diet was increased 1.58%, age appropriate immunization was increased 5.77%, attending of counseling sessions / VHND by AWW was increased by 0.78 % home visit conducted by AWW jointly with GP Facilitators was increased by 4.09%. The malnourishment in the total Bankura Sadar was documented to be reduced by .0.75% whereas the percentages of severely malnourished were reduced by 0.5%.
Besides this, different mechanisms for tracking malnourished children, joint home visit including ASHA, ANM, AWWs, AWHs, CHCMI group members PD Facilitators & ICDS Supervisors is done on a regular basis to sensitize the community about the cycle of malnourishment.
Better Health Program
Better health program is implemented in 3 project locations - Durgapur, Burnpur, Asansol, Saltora in West Bengal and 24 villages in Bastar District, Chattisgarh.
Shamayita Math has been a partner to IISCO Steel Plant, Burnpur in fulfilling its mission to provide medical and health care in villages on the outskirts of Burnpur, West Bengal. Also services were provided in a more focused manner in the seven model villages of ISP. The children who have dropped out of immunization are being identified through survey and special efforts are made to ensure immunization of the drop outs in ISP Hospital. Also about 330 children of the primary schools of the model villages, are being covered under school health program, where awareness is created among the students on different aspects of health.
Through IISCO CSR program, 376 camps were organized this year to reach 14,038 patients.
A camp in progress-
Medical service is also provided through mobile dispensary to four villages around Durgapur namely Akandara Bauri para, Akandara Adivasi para, Kantaberia Bauri para, Kantaberia Adivasi Para on fortnightly basis under CSR program of Durgapur Steel Plant.
Through DSP CSR program, 96 health camps were organized this year (8 camps per month) to reach out to 2,310 patients.
Under CSR program of Great Eastern Energy Company Ltd. (GEECL), a private company based in Asansol, mobile medical camps is held in villages under Saltora block of Bankura district and villages on the outskirts of Asansol town. 40 medical camps were organized to treat 2,802 patients at their doorsteps this year through a set of experienced MBBS doctor and paramedical staff.
In Bastar, Chattisgarh the villagers were dependent mostly on traditional practitioners and faith healers. 'Hospital on Wheels' the mobile medical service housed in two Swaraj Mazda vehicle equipped with instant live saving gadgets along with Doctors and Paramedics & medicines, moves to villages as per their fixed schedule and provides health services at the doorstep of tribal families.
Mobile medical treatment at Bastar, Chattisgarh-
Intreventions in Chattisgarh
· Out Patient Treatment to 31,297 patients during FY 2012-13.
· Weekly service on planned schedule, minimum one halt in small villages and 6-7 halts in big villages.
· Health education towards health seeking behavior, hygiene, sanitation.
· Health camps organized.
· Coordination meeting with Govt. health functionaries.
· Referral of serious patients in NMDC Hospital
· Greater acceptance of the health team, specially the doctor by the villagers.
· Reduction in skin disease among school children by almost 90% in Chattisgarh.
· Saving life from poisonous snake bite through awareness generation and use of anti-venoms.
Better health awareness among villagers has been observed. Increase in demand for medical treatment and desire to stay healthy even to the extent of stopping the medical van on the way i.e unscheduled halt to avail service of the doctor and medicine. This is a long way from the intital days of this program when villagers had to be motivated by various programs to come and seek medical attention.
Eye camp at the JeevanSurya Hospital at the Math premises-