Health

Objectives

Emphasizing on issues of low health status of rural community ; mother and child; women of all age groups and children; and lack of community awareness in health and its influencing aspects.

Process

*Communication, guidance, information, education, training ,referral services, campaign building, awareness drive and innovative experiments .

Capacity building and mobilization of health related committees , groups, and community to initiate their participation in improving the quality of public health systems and its influencing aspects like food security schemes (Ration), availability of drinking water schemes etc.

Association with regional and national networks to address public health system’s program and implementation related issues.

Interventions undertaken

AIDS intervention program

Awareness , counseling and medication were provided to prevent HIV/AIDS infection in women , children, rural community with focus on the most sensitive group of truck drivers and cleaners from 2000 to 2007. Truckers of the order of 150,330 and community from twenty villages had been covered under this program.

Mother and child health improvement initiatives

Initiatives were undertaken from 2001 to 2008 about family planning awareness, reducing the rate of infant death, child birth registration, mother and child care , nutrition and immunization of the mother and child, new born child care, sanitation and hygiene and availability of public health services and health schemes to upgrade mother and child health status in 57 villages.

Health determining aspects

Capacity building programs were carried out for village groups & health committees to make them oriented about health influencing issues like availability of safe drinking water ,food security schemes (ration) , ration cards, public health services . The process in 25 villages improved the work of public food distribution service centers ,public health services and reduced drinking water problems.750 families received ration cards .

Current interventions    

Preventive health care amongst women .

80% rural women are anemic and having gynecological and other health related problems. Health services are poor in rural area and even if they are there, women rarely get benefits of them.

Through this program community women are being trained and oriented on women’s’ anatomy, reproductive, respiratory and digestive systems in context with anemia , reasons of anemia and remedies ,preparation of medicine from medicinal plants, kitchen garden formation, vermiculture beds formation, use of iron utensils for cooking, adoption of healthy food habits and lifestyle.

The program is running in 7 villages . Community women are following these new practices in their daily life. They are adapting healthy food habits and life style. The effect is seen as increase in Hb levels of in 68% women

Community Based Monitoring and planning under National Rural health mission

The National Rural Health Mission (NRHM- central Government program ) was launched with the goal of improving the availability of and access to quality health care for people, especially for those residing in rural areas, the poor, women, and children. Community Based Monitoring and Planning was introduced as important component in order to ensure that the services reach those for whom they are meant.

The main aim of this program is to enable the community, community based groups and committees to become equal partners in the health planning process. It would increase the community’s sense of involvement and participation to improve responsive functioning of the public health system.

It is national level program and Rachana is facilitating this process in sixty villages in Bhor and Velha Talukas of Pune district with population of 123000 ,which is a backward & mountainous region. The work is focusing on 6 Public health centers, 16 health sub centers, 2 rural hospitals and 60 village health sanitation water supply & nutrition committees .The process is making an impact on 21000 rural population and 6000 children.

The process is being successful to achieve its goals. The community is monitoring aspects of public health care systems including its coverage; access; quality; effectiveness; presence of health care personnel and their behavior at service points; possible denial of care and negligence towards community and other needs of community. Community members are providing feedback about functioning of public health services .

Village health committees in sixty villages are actively working. PHC & Taluka level committees are empowered . Women and children related health services on village level are well functioning. Health services in 6 primary health centers and 16 sub centers are improved. The supply of medicine and the process of recruitment of medical staff are regularized.

The number of outdoor and indoor patients admission is doubled in comparison with previous number. Also the number of deliveries(child birth) in PHC is increased. Availability of immediate health services and free delivery(child birth) services are now regularized . Hygienic conditions are improved . PHC staff is more attentive towards patients . Planning of utilization of Patients welfare funds is improved due to involvement of people’s representatives in its monitoring.

The complaints made by community are addressed by district level officials on immediate basis. The community representatives like journalists, advocates and NGO members have started to participate in the improvement of public health services. The issue of “land for rural hospital in velhe taluka.” is being followed up by community and similarly other such issues are also taken up by community.

Nutrition Rights Program

(“Promoting comprehensive and rights based approach to address malnutrition in Maharashtra”)

The program launched by NS Foundation to create an enabling environment for reduction of malnutrition in Maharashtra state through making nutrition services more effective , through generation of appropriate knowledge, reshaping relevant policies and programs, and promotion of the Community monitoring approach for improving health and nutrition services.

Rachana is implementing this program to promote community participation towards making nutrition related programmers [Integrated child development services and Jijau Mission] more effective. Under this project, RACHANA is working in 15 villages with population of 11500, focusing on 504 children enrolled in ICDC Centers ,750 parents and community .

The program process bringing outcomes

  • The malnutrition in children decreased by 50%
  • 750 mothers empowered by knowledge of children health care and nutrition.
  • The village level mother and children nutrition groups were formed.
  • Community groups monitoring the weight of children and nutritious diet provided by ICDC centers along with its other services.
  • Community representatives, local governance members actively involve to make ICDC services more effective.
  • The 10% village level women and children welfare fund is being utilized for children nutrition related expenses.
  • Community control is being established on ICDC annual expenses.
  • The ICDC centers facilities and maintenance like floor repairing, water supply etc. are being looked after by community representatives.
  • The program is being instrumental to communicate and coordinate from village to district level in concern with ICDS services improvement.