Providing Mobile Heath Services to 27 villages
- Sukhmati Oryami of Penta village had a ear soar that spread upto neck for lack of treatment. Dr. Sumit Mishra , Medical Officer of Hospital on wheels, Team A attended to her on 4th April, 2009. Today, when the village is visited her father Mr. Sunder Oyami is a happy man. He is thankful to Hospital on wheels service that has cured his daughter’s agony and pain that would have briskly moved the child of 7 years to the clutches of death.
- Raju Nag of the same village hurt his leg with an axe. Unable to move with the swollen feet, he risked infection that would have spread to his body. Attended by medical officer of HOW, he has healed to a great extent.
- Masse of Markamiras village had developed a deep abscess in her breast from a cut wound .The wound was found infected when medical officer of Hospital on wheels first attended her on 16th July 2009. The abscess has been completely healed by two months. She is happily living with her family.
There are many many more stories…
Key Highlights of the Health Services Program-
Health Support Services are provided to people of 28 villages along a distance of 55 kilometers. The major pillars of the Health Support Services are-
- Take Healthcare services to the doorsteps of those who need it, as they do not have the means to access good quality services.
- Improve health seeking behavior among villagers, who are normally disinclined to seek modern medical care.
- Educate the people about preventive methods and hygiene as a means of preventing various conditions.
The Healthcare Support services program runs “Hospital on Wheels” (HOW) with two well- equipped Mobile Hospital vans. These vans are equipped with equipped with anexamination table, ECG, multipara monitor, colorimeter, first-aid kit, IV fluid transmissionhook, nebulizer, centrifuge for pathological tests, oxygen cylinders, stretcher, autoclaves,small chiller-cum-refrigerator, generator, and public address systems.
Functional team of HOW consists of:
- A male and a female doctor, i.e4 doctors render their services for HOW
- 4 female para medical staffs, two each in both vehicle
- 1 Lab technician
- 1 pharmacist
There are 29 villages covered by Hospital on wheels.
The Process at each of the villages includes:
- Mobilisation of patients
- Registration of patients
- Treatment (Medical and/or Surgical) and counseling
- Dispensing Medicines
- People accessing the health services at their doorsteps. Ailments causing irritations and hampering the work of the people dependent on daily wage earning has been reduced. Generally, the tribals of these areas never consult hospital unless the health problem threatens life.
- Cases of endemic diseases like Malaria, deficiency diseases like anaemia, infectious skin diseases, infections and inflammations have been treated. Many of them would have lived with the suffering. This would have in turn had an economic impact. Their capacity to earn would be hampered.
- Beliefs of modern medicines are rising among the people.
- Demand for the services of Hospital on wheels is rising and villagers keep vigil that the Hospital on wheels is on schedule in villages.
Seeking the Acceptance of the Community
In all welfare programs the support of the community is crucial to its success. There is suspicion and deficit of trust in the initial stages of welfare programs. At this stage mobilizing the community plays an important role in making the people access and use the services provided.
In the Health Services a number of initiatives are carries out to fulfill this objective.
Appointment of the Village Health Worker
The tribals in the area have a strong belief in the traditional healing by Badde. Any form of health support introduced from outer world, medicines or health check- up, are either ignored or greeted with suspicion. Resistance of this degree would register a poor turnout of villagers opposed to health seeking behavior. A local person as a facilitator is required. He acts as a bridge between community and Hospital on wheels to project a health-seeking environment and enhance acceptance of services among the villagers. They encourage villagers ignorant and tuned to traditional atrocities (using hot iron rods etc.) in the name of treatment for health seeking behavior. They, as catalysts for HOW, collect the patients near the Hospital on wheels for treatment. This is a challenging task provided the strong belief on traditional medicines, ignorance and lack of faith in process of modern methods of treatment.
The village health workers collect the patients and bring them to the mobile van. This is an important support activity to maximize the utilization and impact of the Health Services.
Village Health Day
Raising Community demand is essential for delivery of health services. There are a series of institutions and personnel that claim stake in community’s access to health services. These stakeholders are community including women, the village leaders, and government functionaries including village level informal institutions. In this backdrop, the Village Health day is held to generate health seeking behavior among community.
Street plays are organized to inculcate health consciousness, improve healthcare seeking behavior and sense of hygiene.
The village health day sees participation by villagers, panchayat representatives like Sarpanch and government functionaries like Anganwadi workers, ANMs.
The key address for the health camps is delivered by village leaders for a better degree of program acceptance. Audio visual aids besides IEC materials like posters and Kalajathas for awareness building are used.
Demonstration and lecture on the common forms of diseases and ante natal and post natal care are focused by medical officers for awareness building.
In addition to the street plays, lectures, Each Village Health Day typically sees between 200-300 cases being treated.