Directorate of Rural Health Services & Training Programme

Item

Title
Directorate of Rural Health Services &
Training Programme
extracted text
RF_COM_H_19_SUDHA_ PART 2

directorate of rural health service &

TRAINING PROGRAMMES

FOLLOW-UP EVALUATION OF COMMUNITY HEALTH
WORKERS TRAINED IN ST.JOHN'S MEDICAL COLLEGE
PEBFORMA
Instru ctions : .section A and c to be filled in by Community
Health Workers.
Section B to be filled in by those who are doing
health work at present.

(Please keep us Informed regarding change of
Address).

SECTION - A - GENERAL INFORMATION

a) Name : ,Sr. Immaculata Kisku, M„ S.mT’EML
c)^CJiW Course Nn

• nr 6/1?

9) Age 5 35

S d) Name of Congregation
Missionary Sisters of Mary Help
of Christians.

e) Diocese ; Bhagalpur

f) permanent Address
(Mother House / Superior)

g) present Address
(For future correspondence)

St. Mary’s Convent ’’peach-land”
Shillong - 793003
Meghalaya

St. Mary's Convent, Agiamorh
P.O. Deodand, via Poryyahat
San tai parganas
BIHAR
814133

h) What have you bedn doing after the course ?
(If you have changed from place to piece give rys some details
of your work in each place).

I have been visiting villages a.nd trying to organise people
into groups so as to facilitate our conscfcenti zatlon prograamme.
Our aim is to make the parents, especially the women, conscious
of their responsibility to their family and children, to take
better care of their health, to cultivate their land better,
to mhke better homes ahd family.
In our teachings and demonstrations we have been trying to
teach them to take steps for preventing sicknesses that are
prevalent in this area.

fc) Give us a short description of the present team you are
working with and what each member does (not only health
activities )
I work with two other Sisters, one of whom is a registered
Nurse. She is very help Mui in treating the sick and in teaching
the people. We have also chosen lay leaders from among the
villagers. They have been very helpful In gathex-lng rhe pwople
regularly and carrying out our programmes, we nave, so fur,
not oeen able ru train them sufficiently to take care of tne
programmes in their respective villages by tnemselves.

j) Have you attended any course / meeting / workshops
since you completed the Course ?
I attended the regional meeting of the San tai pargana
of the B. V. H» A. on June 5th and 6th at Prakritik
Chikitsa Anusandhan Kendra,Baghmara,Jasidih on
"Non-formal (health) Education".

k) Are you in touch with any of the other Community Health
Workers ? If so give us their recent address.
No.

1) Give in a few sentence a description of the people you
are working with (rural, urban, tribal, non-tribal,
main occupation, other characteristics etc.). How many
villages ? Total population, what distances apart ?
We are working with rural people who are mostly tribals
There are some Hidus and Moslems, but prcticall y all
of them are farmers. Most of them are not educated. The
tribals do not mix el th non-tribals.
At present we are wording only in seven villages with
a population of about 5000. The villages are not too
far apart,and sll these villages are within three to
six miles from the centre.

SECTION - B

a) Give a short description of the health activities you
are involved in.
i. Distributing medicine to the sick, administering
vaccines and other preventives.
ii. Visiting the sick.
ill. Teaching the people, especially in the sick homes,
how to care for the sick, and how to prevent
sickness.

b) How many hours are allotted for this daily/ weekly ?
The morning hours of the weekdays, c. four hours, are
allotted for distributing medicine. The after-nnon
hours are set aside for village visits.
c) Are you functioning independently or with a team of
workers ? If so, how is the health work shared amongst
you ?

I am working with two Sisters. We take turns In making
the village visits, and distributing medicine. In all
these works we keep one another always informed of
what we do and with what cases we come across.
d) Do you get any assistance from the local Primary Health
Centre ?
Yes. we are given medicines for distribution, slides fo
taking blood smears, etc.

e) Do you get ahy assistance from a Taluk / Mission Hospital ?
If sc, specify.

We do not get any help from Taluk or Mission hospitals, but
they have always been of great assistance to us in the
treatment of the sick. We refer the difficult cases to them
and they have always been very $o-operative.

f) Do you work with any special groups in the village (young
farmers, youth, mothers, harijans, etc. ) ?
Mostly with mothers.

g) Do you participate in training of local people ? Grlhinls,
village level workers, mothers, etc.
No.

h) Do you have any of the following programmes ?
Food for Work, Health insurance, GRS- MCH Programme, any
o thers.
We shall begin the GRS-MGH programme in the near future.

i) Are you part of any Diocesan Society or Health Team ? If
so, snecify.
Yes,,we are part of the Diocesan set up for all round
development including health and nutrition. We have periodical
meetings on various schemes and programmes of the Diocese.
G -SECTION(Regarding 1982 project)

a) Give us detailed information on how to reach your village/
project/ centre ?
(By bus and train, a^so from station and bus stop)
To come to our village either from Delhi or Calcutta one
has to come either to Deogarh or to Bhagalpur stations.
From both places there are buses to Poreyahat bus stand.
From Poreyahat he has to come either by private jeep or on
bicycle or on foot eight miles east.
b) Are there any forms of support which a visiting team can
give you next year ?

The visiting team can offer us dferectlcnas for dlognislng and
using curative methods for the sicknesses that are
frequent in this area. The sicknesses that we come across
are malaria, fj&larla, T. B. and scabies.

Date: g. , „

Si gnature

Please use the remaining blank space to give any further
details for which there was no t adequate space in the questional

St. Mary's Convent
Agiamorh
P.O. Deodand
via Pore ya hat
Santai parganas
814133
BIHAR

8. 1.82
Dear Doctors,
Thank you very much for your kind letter inquiring
about my health work here in thia locality.

Kindly accept my apology for- xiot «x-iriing to you
earlier.

I had taken much interest in the work but my
health failed. I am still under observation. Because of
my illness I could not join the refresher course also.
However, I am anxious to get back to my work.
I have filled the proforma according to what I
was doing before I got sick. I hope this information will
meat Jder expectation, and will be found satisfactory.

Thanking you again and hoping to hear from you,

Sincerely yours,

Sr. Immaculata Kisku,MSMHC

FROJECT
BY
Sr. PIEF.LISA KOONTHAMALLATHIL

Introduction:

Thakurnagar village was under Krishnagar diocese. *

At present it is under Calcutta diocese.
Few years back foreign
missionary fathers were working there. We sisters of providence
came there only at the end of .March 1979. Two sisters of Mary
Immaculate used to come every Saturday and Sundays they go back.

They were coming from far about 40-50 km. When we came did not
known the local language i.e. Bengali. When we picked up little bit
of Bangalore went to house visiting; to know the people, there-life.
style, customs etc., 2 years back our parish priest organized a fee

operation camp for a week.

Operation was only for one day. 1st 2day:

selected the people those who were needed the operation
various test. About 30 people had major eye ope- at ions
cataract and a^out 10 people had minor eye ope ations.
this eye operation camp in the Government High School.

by doing
for the cata:
We arranged
We selected

some boys and girls as volunteers to help the patients.
There was 1
our jeep always ready in case of any needs. Those who had eye
operation we gave them spectacles too. They were very happy of .
this camp. Others were asking sisters when will have next camp et'i

In our area we have 12 villages. They are 5 to 10 km far fro"
one village to another. In our parish there is a jeep but recently
we have got two bicycle to go to the village. We cannot go all
12 villages so we usually go 3-4 villages only.
In sub-centre most'
of them are very poor and they are refugees from Bangladesh, so the\
are living on the road side or railway line etc. Som catholics came\
away from their huts and settled with other people in the village.

I

so also some Hindus. From one of our village many Christians return'
back to Hindu Religion. Because they requested to the parish priest’

their felt needs those are;
oet them.

roads, ponds or lake etc.

They did not.

In our village there is a Government Hospital, a Government
!-rimary School, opper Primary School, high school till class 12.
Then Assembly of God's mission's primary school and a catholic
pr-imery school.

In our school we have mid-meal from C.n.S. Every

\

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there is meeting for all teachers with parish priest.

Population of our village more or less 4000.

are Hinc’us 2% only Christians.

Most of them

Christians also are divided in

many groups. Catholics, Oxford Mission, Assembly of God,
salvation of Ary etc., some of them (men) are working in foreign

countries as south Arabia some others are agricultures, working
in fields, rikshovalas, some are doing cottage industries, like
basket making with bamboo. Thakurnagar means: Takur=God, Nagar=
village, '.'e have a living Thakur. He is the village leader. People

come from all over the village for his birth day, by dancing and
claying tamburine etc,, And they do their dances in his court yard.
Then they will take both in his pond.

one week.

Curation of the feast is

They they have differents kinds of pooja, as Loky pooja,

sarosothy poojs, Kalipooja.

far.

Our centre is not very far fromthe city. It is only 15 to 20km
Every half an hour we have elctric train services and to get t

the bus we have to go by riksho to the main road. Climate most
of the time is hot. One of the natural resources of Bengal is the
lakes or ponds.
There are some rivers. Education level is quite
good. They are primary School close by most of the villages.

Agricultural level is good because everywhere there is water
supply by motor pumps for the irrigation. Main cultivation is
Jute. They use the sticks ofthe jute to make walls of the houses
and make fire wood etc. They other cultivation are: rice, wheat,
few coconut trees, vegetables.

Identification of problems:

Most of the houses' have got cows or

goats, chickens etc.
Foor people have pigs, goats some other don't
have enough to eat. Then how they can feed the animals?

Villages are clear, because they use the leaves also to make fire
and dry cow dung. The stagnation of water is a problem. Because
it is ideal place for breeding of moscuitoes. six Sanitary latrine
are very few. Everywhere these are tube well. Propier housing is
another problem. Because most of the people are really poor and thei
resources are very few.

They cannot keep much for the future.

They

live with what they get daily work.
But they are not worrying about
their future. In the rainy season really it is a problem. Because
they can't go to work in the field. Many times those who work in the
field for mid-day meal they have sprouted rice and tea.
j

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As common diseases, they have cole’, cough, fever, diarrhoea,
disentary, scabies, boils and sore mouth.

All these because of

malnutrition and lack of hygine and lack of health education.
.’■'other and children are the vulnerable group and their resistance
are ver'’ low. Preventable disease in children is very common . Prenata

and cost natal care in mothers are very necessary to avoid mothers e’eat.
during preganacy and any diseases and to have healthy child birth.
Immunization in children is essential Health ecucation in the school
and medical check up is needed.Death rate of children in our village 1^
because of malnutrition, many of them arc- under ^nourished, only few
children are well nourished . ’.'.e did not have any mothernal mortality
since we arc- there.
Because we have Government Hospital usually
they co to the Hospital only some remote village they don't go to Hospit

because hospital is quite far.
Mot only, they don't know' the importance
of the medical check up.
In this 1 year period there was only one case
very serious from one of th our village and we took her in the Hospital
by our jeep, she was a pregent lady who was suffering from pre-eclamptic

toximia. They were thinking that she is profeed by evil spirit. They
did some mantra and put some string on her wrist and waist. Many people

are ignorant to the medical check u>' and its value.

In this case k-Kspix?

Health Education is very important. Most of them don't know about
localy available igood which arc the cheapest and nutritious.

Fixing Priority:

I think I have to give priority to Health Educa ion

immunization and M.C.H.progra e.
Then also school Health Programme,
povery and ignorance and ill health are the main problems of our

village. To get rid of these I can help the people to open their eyes
and to be aware of the situation in which structures are preventing
the attainment of basic needs for many, so that they may discovers and 8S
solve with the co-operation of the- leaders and community.

It is necessary to be aware of a 1 serfices available.

It needs

to co-operate and co-ordinate with others for the upliftment of the
total community. It is necessary to analyse with people the best use of
locally available resources.
and can get.

What are the materials existing, needed,
.

Formulate ,t-h e plan: I am planning to do
C. H. programme, under 5 clinic,
school Health programme. 1st of all I will speak with my pariesh priest
about my plan anc contact with lo’cal doctor. And with help of another
sister who recently trained from St. John's Medical College I will try to
start all 3 of this program.
For e g.

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care, child Health care and helath education to the mothers,

to space the child birth, better child care, nutrition, importance
of immunizations etc.
School Health Programme: Produce health consciousness in the
children, reseach their studing, contact with parents prevent
the communicable diseases as scabies, sore, e^es, pediculosis,

caugh, fever etc., - check up other problems: like malnutrition,
hygiene, Dental Carice, ear discharge, anxiety, jeoulous, backward
in the- studies, shyness, over active and any handicapped kind of
problems. - A'edicaJ. checkup: at the entery of the school after
3 years one more chec ■; up and when they have i.e. weight, height,
chest measurement? eye examination for vision, examining of hearing
car discharge, dental eariee, scabies, skin problem, deformity,

mental nroblem, nose- and throat check up, personal history i.e. any
body of the family is diabetics, have caugh etc. check up whether he

can hear, see speach and behaviour school environment sanitation,
school garden, drinking water facility etc.
Immunization: explanation about vacination and its value
Planning Implementation: '.'e have 12 villages. He hav are not able
to follow up all, so we go only 4 villages i.e. Modolpara, Joudunga,

chandpara, istopoor. once in a week.
we can go other villages.

Once they arej self sufficien,


Dvaluation : After my basic course here in §t. John's I wanted to 1
do many things in my village but I was only the person who trained ’

C H Y; course.
I took lessons to the women about N F P, but this
J
mucus method illiterated woae-n everybody couldn't understand. Andfl
was inefficient to explain in other way, Because of any langaug^^B
problem.
It seems to me difficult.
So any 1st enthusiam gradi^^H
I tried to explain with the example of cultivation method in

seeds need water to germinate , human being also like that
is the bePt period of reproduction. So they have to see

=11111

period.
row another sister from my community also trained fl
basic course recently.
so we will See the plar< together
way to start our week with new enthusiasm.
Wlll==l

Position: 2256 (4 views)