NGO Involvement under the India Population Project -IX(K) in Support of Family Welfare and RCH Programe
Item
- Title
- NGO Involvement under the India Population Project -IX(K) in Support of Family Welfare and RCH Programe
- Creator
- Gangamallaiah
- Date
- 1987
- extracted text
-
I
NGO INVOLVEMENT UNDER THE INDIA POPULATION PROJECT-IX(K) IN
SUPPORT OF FAMILY WELFARE AND RCH PROGRAME
[Prepared by Sri. Gangamallaiah, Former NGO Consultant, IPP-IX(K)]
Involvement of NGO’s under IPP-IX(K) in support of Family Welfare and RCH
is one of the important activities envisaged under the project. After obtaining NOC from
the Bank for 14 NGOs, are involved in Service delivery EEC and to carryout innovative
activities under the project. NGOs were involved in support of RCH programme to
provide the quality RCH services in out-reach and tribal population.
All the NGOs except one were working since 01-01-2001 for a period of 12
months that is January to December 2001. NGOs are working in 8 districts of the State,
covering the inaccessible, un-served I under served population of 716783. The cost of
all the 14 NGO projects is Rs.3.10 Lakhs. All the contracted 14 NGOs are working at
District / Sub-Distnct level.
The role of NGOs in 1PP-IX covers social mobilization, demand generation, EEC
support service deliveries and innovative schemes under the project. The performance of
each NGO which includes their achievement during 9 months and innovative activities,
budget and expenditure are detailed as follows:
I.
NGO - Family Planning Association of India
Dharwad Branch, Dharwad - Alnawar RCH Project
The 30 villages coming under Alnawar PHC are all scattered and partly in the hill
and the forest areas inhabited by the Tribal population. The main objectives of this
project are to increase the CPR from 46% to 55% and strengthen the EEC activities and
provided quality RCH care services.
')
NGO has demonstrated public
sustainability of the RCH project.
11)
Good relationship established between NGO and Government (Health
Department) at all levels - from SC to PHC, THO and District.
Demonstrated NGO and Government partnership in implementing
RCH programme.
iii)
The concept of village Link-Workers was very well demonstrated. 21
village Link-workers were working with NGO, during the month of
September 2001 these Link-workers have distributed O.P packets to 92
ECs and condoms to 19 ECs. They are also working as community
based depot holders at village level.
iv)
In all Village Health Advisory Committee is formed and conducting
the monthly meetings regularly from 20th to 25* committees members
plan and implement the RCH activities in their villages.
NGO has also demonstrated sustainability concept in his project.
NGO-FiMl_Rcport(CS)
r
pg. i
and
private
partnership
and
y1
Other innovative activities are
♦ 18 PMP are trained and involved in the RCH programme.
♦ NGO-Group Meetings at village to ANC/PNC and ECs giving
good results.
♦ Health checkup camps at village level helped to provide
specialist services at doorstep.
♦ Newly married couples meet, facilitation of prime and pregnant
mothers.
One of the village committee member told that after NGO involvement “we are
able to get good service at SC and PHC. And NGO intervention made PHC & SC staff to
stay at Head Quarters and provide quality services - NGO made them to work”.
NGO Project Key Staffs
communication (IEC)
and their opinion about BCC behavioral change
NGO has moved forward in progress and improve the Health Indicator of the
RCH project because of following interventions. They are mainly behavioral change
communication (BEC) They are:
1. Link workers:
There are 21 Link Workers working with NGO. They are working
as Link between community and the NGO. In other words link between
providers of services that is NGO and PHC and receivers of services that
is ANC PNC etc.
Selection of link workers and training & guidance is an important
aspect of the programme.
2. Taluk Level Co-ordination Committee:
After formation of this committee at Taluk Level under the
chairman ship of THO-which helped NGO and PHC staff to come
together with meaningful co-operation and under standing. It helped
smooth implementation of IPP-IX(K) RCH Project is opinion of the NGO
and Govt, side
3. NGO DPP-IX(K) RCH Project Advisory Committee:
NGO has constituted a project Advisory committee at Dharwar
under the chairmanship of Prof. Usha Murthy, President FPAI Branch,
There are 41 members. Active members / Chairman of village level
Health Committee are the members of this committee. Committee
members taking keen interest and help'NGO and their staff members in
implementation of the RCH activities at village / SC / PHC level.
NGO-Fini>LRcport(CS)
Pg-2
4. Village Level Health Committee:
As on 01-08-2001 NGO has constituted village Health committee
in 29 villages. The committee plan and implement the RCH activities in
villages. Committee meets once in a month between 20th - 25111 of every
month for the meeting. Chairman invites NGO and his Key-staff.
Committee members have NGO-Link Workers, PHC staff in providing
RCH care services to target population.
5. Private Medical Practitioners (PMP):
NGO has identified 18 Private Medical Practitioners in project area
and they were given training on RCH and extending their services at
villages in providing RCH services. List attached.
6. Involvement of Villages Dais:
37 Dais were identified in project area Alnawar and Murgod
PHCs. They were given training in safe delivery at PHC Head Quarters.
As the project area is hilly and forest area NGO has enlisted co-operation
of dais. List attached.
7. Village Level IEC Activities:
NGO has planned and implemented good number of IEC activities
at village level. These activities mostly aimed at providing education and
motivation to target population that is ANC, PNC and ECs.
Group Meeting are very popular in villages - Link workers are organizing
group meeting in a particular places to target population. This is
orgainsed on lane I road wise I group wise. ANC I PNCs, ECs attend the
meeting I ANM, NGO Key-staff and Link Workers conduct the meetings.
NGO is of the opinion after introduction of these group discussions of
their performance was increased. All Link Workers have kept groupmeeting registers. Definitely this will help in providing education for
ANCs and to motivate to accept Family Welfare Method. Group meeting
for target population is a best example to village level IEC activities.
8. Health Check-up camps at out reach tribal colonies.
NGO with the Co-operation of DH & FW Officer Dharwar; THO
Dharwar Taluk, Rotary Club Dharwar Central, Village Panchayat; PHC
arrange Health Check-up camps for the benefit of Gowli tribals who are
living in forest and hilly villages, and in other out reach villages.
Specialist conducted the check-up and provided treatment to ANC PNC
Children and Eye Care check-up and Dental check-up.
Every month NGO organize such camps with the co-operation of
Dept, and rotary and FPAI Dharwar Branch.
NGO-Final.RcporUCS)
Pg.3
9. Opinion and remarks of Prof. Usha Murthy, President FPAI Branch and
Project Team Leader and Branch Manger.
President was of the opinion that they were able to achieve good
progress and increase their project Health Indicators because of
community participation activities and inter sector kco-ordi nation of
different departments an^l elected representatives, out of 33 villages they
could able to establishjvillage Health Advisory Committee in 29 [villages.
Committees are functioning since 2 months' and they have taken much
interest in implementing kCH activities at villages. Health indicators are:
Project Achievements : (Out come)
♦ CPR at the time of survey was 46.7% now it is increased to 54.23%
♦ Immunization coverage - 73.65 to 99%
♦ ANC registration and services provided 100%. NGO registered
1203 ANCS and provided RCH care services including follow up
services.
11
NGO - Mukti Seva Society
Kalaghatgi Tq. Dharwad Dist.
Kalaghatgi Taluk with rural population is being considered as backward and
under served and recorded low performance under Family Welfare and RCH programme.
Out of 6 PHCs in Kalaghatgi Taluk THO handed over PHC Mukkal which was
considered most backward was handed to NGO during January 2001 for implementation % *
of RCH project. PHC which was last in the performance has moved forward in the Taluk
i.e., the opinion of PHC staff Mukkal and THO.
•*
1. NGO has demonstrated NGO and Government partnership in this project.
THO and NGO are interdependent on each other. NGO depends upon
Government for service delivery and THO depends upon NGO for village
level EEC activities. (For full taluk)
PHC Mukkal, which was considered as one of the most backward PHC
in Dharwar district. After NGO activities PHC has moved forward to achieve
objectives I targets of Family Welfare and RCH programmes. The population
of PHC is 23308 and consists of 6 SCs and 6 ANMs are working. ANMs are
happy because NGOs Social workers are helping I assisting RCH activities.
ANMs were given 4 to 5 villages and they are located at a distance of 5 to
6Kms. It is difficult to cover al) SC villages, Social Worker motivate and
educate ANC / PNC / ECs to accept RCH activities.
Perfect co-operation and co-ordination exists between Government
Department and NGO. They plap. .and implement all service and EEC
activities at village level. THO was happy with NGO Social Workers
NGO-Final.ReporKCS)
Pg. 4
performance. This project is a model to develop Government Department and
NGO in the field of Health and RCH programme. PHC Kalaghatgi provides
24 hrs delivery services. All prime para and risk pregnancy cases are referred
to PHC Kalaghatgi for delivery services Anganawadi workers help Link
Workers in immunization programme.
2. NGO-Innovative Scheme-Mukti Health Brigade (Arogya Dal)
Ln 5 High School area, NGO has established Health Brigade in 5 Schools.
Members service is being utilized for promotion of Health and RCH activities
in the school and village.
Badges with RCH messages were printed, distributed to members. NGO
has purchased medical plants and distributed to schools. Seeding distribution,
programme by Teams, Jathas, wall paintings, campaign are some of the
activities initiated by NGO.
3. Lambani Folk Songs with Dance:
There are 6 Lambani Thandas in NGO project area. In order to motivate
and educate Lambanis, NGO has developed folk songs with dance
programme. He has developed a troop and the troop will move from one
Thanda to another and spread the message of RCH.
High level of co-operation and co-ordination is responsible for
sustainability of the project activities. The other two important innovative
IEC activities are, organizing exhibitions in all village Fairs and Festivals and
Folk Songs with dance by Lambani Tribe women are equally effective village
level IEC activities. Exhibitions are attracting good crowds and have
educational value.
4, NGO-Link-worker, ANM and Anganwadi workers made a working team at
village level and extending quality RCH care services to the community
Inter-Sectoral co-ordination also yield good results.
5, The other NGO IEC activities are:
♦ Health care exhibitions at village during fairs and festivals
♦ Wall paintings in public gathering spot
♦ Harvest festival (Kanahabba)
♦ Health Meals
6. Project achievements (out comes)
♦ CPR increased from 39% to 54%
♦ All 1437 ANCs were registered and provided TT, IFA, 3 checkups and
arrange delivery services at Hospital I PHC / SC / Trained treated high
risk pregnancies and referred to Hospitals
♦ 416 ECs were undergone sterilization and IUD - 314; OP-970;
Nirodh-668
NGO-Final_Report(CS)
Hb-5
7. The opinion of the PHC staff about the NGO is ‘after their involvement PHC
is able to achieve PHC targets during 2000-01 and also will achieve 2001-02
targets.’
ni
NGO - Shri J.G.Co-operative Hospital & Research Institute
Ghataprabha - Gokak Tq. Belgaum Dist.
i. Project - 1 : NGO has implemented RCH project in Shirahatti B.K. having 3
villages of Hullolli PHC with a population of 5611. During the project period
Jan to Dec 2001 NGO has registered 159 ANCs and provided quality RCH
care services and also quality services to 174 STI / RTI cases and 23 High
Risk Pregnancy Cases were treated and increased institutional deliveries to
100%. 120 children were fully immunized. Infant deaths 6 and no maternal
deaths reported. NGO has registered all the ANCS and provided services
including 3 checkups, TT, IFA and arrange delivery. Hospital delivery
increased from 30% to 45.4%. CPR increased from 55.6% to 61%. All RCH
services provided by them were qualified OBG specialists.
5 TBAs were appointed as link workers and they served as link
between the NGO and the community (beneficiaries) and also provided FW
services to 37 sterilization, 27 IUD 38 OP and Nirodh to 21 couples. All
elected members Anganwadi Workers, Local NGOs, Health Staff were
involved in the project activities and they were given training on RCH
programme. NGO has achieved the objectives of
• IMR less than 50 / 1000
• MMR less than 21 1000 and
• CPR more than 60%
2. Project - II : Under Emergency obstetrics and 24 hours deliver services,
NGO has provided specialist quality services at Hospital they are:
♦ Deliveries
221
♦ Obstetrics operations
64
♦ ANC check-up
671
3. Sustainability of the Project: After completion of the present RCH project
NGO has taken a decision to provide free Ante Natal Care and delivery
services at their Hospitals by specialists. This facility is restricted / limited to
the couples those who are having less than 2 children.
IV
NGO - The Rural Development Society
Murgod - Belgaum District.
NGO has selected / identified 24 backward / poor performance villages on certain
criteria spread over 4 PHCs in two taluks. The objectives of the project is to provide RCH
care services to SC/ST, hilly are and poor coverage PHCs. NGO has the experience in
community participation projects, and good number of innovative activities were planned
and implemented.
NGO-Fmal_Report(CS)
Pg. 6
1. Sustainability of the Programme : Formation of Health Advisory committee
in all the villages. Monthly meetings are conduced, decisions will be
implemented. There are two separate committees for men and women at the
rate of 11 members in each committee. There are 264 male and 264 female
members. They all trained in RCH programme na dhelps in sustainability of
programme.
2. Another innovative scheme is that NGO has identified 24 traditional birth
attendance covering all the villages. All of them given training at J.G Co
operative Hospital, Ghataprabha and they were given delivery kit to all TBAs
and promoting safe deliveries in out-reach villages where, tribal population
could not visit institution for delivery. These TBAs work as Link-workers.
3. NGO has identified 1102 ANCs and provided 99% TT and 100 IFA service
coverage to ANCs. And the ANCs were examined by Doctor (100%). Good
number of village level IEC activities also planed implemented.
V
NGO - Jayanthi Grama Women and Children Welfare Association
Bijapur
NGO has the experience of establishing of 6 bedded Family Welfare sterilization
ward with GOI assistance and carrying out Family Welfare RCH and Health programes
in Bijapur. NGO is covering PHC Halasangi consist of 30259 population with 3 SCs and
8 villages. Indi Taluk with rural population is being considered as backward and
underserved and recorded low performance under Family Welfare and RCH programe.
NGO has registered 696 ANCs and provided ANC / PNC care through Mobile
Health Clinics. Weekly visits by Mobile clinics are planned to each village and provide
all RCH care Services. During January to December 2001, NGO had 484 visits (weekly
visit) and treated 14095 patients which includes RCH and general patients (mostly
women and children) 5 life were saved, 119 emergency cases were shifted to FRU and 90
emergency cases were treated. 807 children were fully immunized.
NGO has implemented innovative village level IEC activities they are:
1. Parijatha Dramas which are popular in this area were performed in 6
villages.
2. Swasthy Mela - Health checkup camp was organized with the assistance of
BLD Medical College. In the camp, RCH including RTI / STI cases were
detected and treated by specialists.
3. Health Voluntary Mothers club were formed and also involved PMP in
villages to assist RCH programme.
4. In all the Villages Link-Workers were appointed. 11 are working and they
educate and motivate ANC / PNC to attend NGO - weekly clinics.
NGO-Final_Rcport(CS)
Pg. 7
Vi
NGO - Family Planning Association of India
Bidar Branch - Basavakalyana -RCH Project
For intensive work after gaining experience NGO is covering 3 PHCs out of 10
PHCs in the taluk and 35 villages are low performing villages. The CPR increased from
40% to 45% in respect of all methods.
NGO was able to register 2519 ANC cases and provided RCH care services with
the assistance of NGO’s two Mobile Units. Treated 66 RTI / STI and 262 high risk
pregnancy cases. NGO was able to provide Family Welfare Services - Sterlization to
800 ECs, 64 IUD and OP to 560 ECs. NGO Mobile Clinics made 433 visits and treated
6976 patients.
NGO by his innovative IEC activities, able to educate and motivate ECs in low
performing villages. NGO had conducted street plays called ‘Kala Jatha’ to create
awareness about RCH programme and services.
NGO working on networking with SHGs and by involving local leaders and 49
NGOs have opted for working as CBDs. The present immunization coverage is 60 + and
NGO has planned to increase this coverage by the end of the project period.
75 Link-workers are working with the NGO for community participation
activities. Local religious leaders are involved in NGO project activities. Print Media
also developed in Urdu and printed distributed among Muslim community.
VII
NGO - Family Planning Association of India
Gulbarga
Kalagi RCH Project - Chittapur Taluk in Gulbarga District is one of the most
backward Taluk in the State. NGO is working in 5 backward and low performance PHCs
of Chittapur Taluk. The objectives of the project was to provide RCH care services to
under served population and increase CRR 42.37% and NGO accrued 55% at the end of
project period.
NGO has registered 1898 ANCs and provided RCH care services, 497 RTI / STI
and 193 high risk pregnancy cases were detected and treated. 502 sterilization 98 IUD
1006 OP services and 1051 condom were provided during project period. Implemented
certain LEC activities. They are:
Sustainability of the project NGO has appointed voluntary Link-workers with the
purpose of continuation of the project activities after NGO-RCH project. These
Link-workers, numbering 160 are working as Community Based Depot holders (CBD) in
82 project villages and distributing Condoms and Oral Pill packets. Men keep Condoms
and women voluntary workers keep OP packets and NGO social workers follow-up the
activities and provide guidance.
NGO-Einal_Rcport(CS)
Pg-8
NGO - Mobile health units made 570 visits and treated 6431 patients out of
which 3756 are RCH cases, 408 emergency cases were shifted to FRU.
VIII
NGO - Family Planning Association of India
Mysore Branch - Mysore - Hediyala RCH Project
NGO is implementing RCH project in two SCs belongs to PHC Hediyala
Nanjangud Tq, Mysore Dist. Hediyala has less access to transportation and villages are
not easily approachable. This remote place in the district is depriving the population of
the much needed primary health care. NGO proposed 100% ANC care and immunization
promoting institutional deliveries and NGO activities, increase CPR and training to TBAs
and others.
IX
1.
NGO has identified 218 ANC and provided RCH care services. Further
detected 514 STI I RTI and 70 high risk pregnancy cases and provided
services by specialist.
2.
NGO reports that present CPR is 66.9%. NGO has identified 51 dais and
provided training and delivery kit to conduct safe deliveries in out-reach
villages.
1
NGO has implemented innovative village level IEC activities they are:
NGO has arranged Education session to 14 newly married couples. After
the session all of them expressed their willingness to postpone pregnancy for
one year. Out of 14 newly married couples 2 couples opted for depot holders
and promise to serve the community. The programme will help sustainability
of the RCH programme.
4.
NGO also conducted Mega Health check-up camp in the project area inviting
all specialists. STI / RTI cases were treated IMA Nanjangud had directed
medicines for the camp.
5.
NGO Mobile unit had made 26 visits and treated 8192 patients out of which
13 emergency cases were referred to FRU 29 life were saved and 13
emergency cases were treated.
NGO - Action For Rural Reconstruction Movement
Shorapur, Gulbarga Dist, Hallahallv - RCH Project
Hallahallv PHC in Chittapur was underserved and considered as low performance
area. NGO with his experience in Self Help Group and community participation
activities was able to reach the community with his noval ways and methods. After
developing good rapport with community and leaders, NGO identified the felt and health
needs of the communities. The NGO has adopted innovative approach to provide RCH
delivery services including IEC activities. Recently NGO has appointed a nurse and
working in PHC premises with sufficient medicine and referral services to meet the
emergencies.
NGO-Final ReportfCS)
Pg-9
1. NGO Jan to Dec 2001 has registered 711 ANCs and provided RCH care
sendees and further detected 28 STI I RTI and 70 high risk pregnancy and
arranged for treatment. 514 Provided Family Welfare services and full
immunization protection to 481 children with the assistance of PHC staff.
2. NGO has constituted village health committee in 16 villages and they
regularly meet, plan and implement RCH programe. NGO has confident that
he will establish sustainability of RCH project with the help of these
committees.
3. He has promoted institutional deliveries. Out of 620 deliveries in the area 170
are at Hospital and 423 by TBAs.
4. In Lambani tribal colonies, NGO was able to educate and motivate by
innovative EEC activities.
5. NGO has realized / opinion that best IEC is providing services including
referral and attending felt needs of the villages through community
participation approach.
X
NGO - Grama Pragathi Seva Samsthe
Gulbarga - Tengli RCH Project
PHC Tengli in Chittapur Taluk also underserved and low performance area in
respect of health and RCH programme. As the PHC head quarters was not in the central
place. NGO made Dondoti a SC head quarter village as his Project Office. All the Key
Staff are camping and providing RCH care services to the community.
1. During project period NGO has registered 949 ANCs and provided RCH care
services. Further detected 150 RTI / STI cases and 153 high risk pregnancy
cases and provided treatment and referred cases to FRU for treatment. 596
children were fully immunized and provided Family Welfare services also sterilization - 139, IUD 39 & OP users - 225.
2. NGO has arranged for treatment to 10 sick infants and distributed ORS
packets in his project villages.
NGO has formed village Health Committee in 16 villages.
identified and involved in the project activities.
4.
15 CBD’s are also working with the NGO.
NGO-Final Rcport(CS)
Pg. io
5 PMP are
XI
NGO — Family Planning Association of India
Bijapur Branch - Bijapur
Nagathan - RCH Project
NGO is implementing RCH project at PHC Nagathan with the support of PHC
and FPAI, Bijapur Branch. LMO PHC - Nagathan and NGO Family Welfare clinics at
Bijapur are providing good quality RCH care services to the community.
L NGO has registered 1065 ANCs and provided RCH care services, detected
139 RTI / STI and 58 high risk pregnancy cases and arrange treatment.
175 - sterilization, 101 - IUD and 213 - OP users were benefited by NGO
activities. 623 children were fully immunized.
2. NGO has appointed 16 Link-Workers (both male and female). They are all
local and working in villages with the co-operation of PHC staff (ANM).
Registering all ANCs and providing RCH services. NGO - LMO regularly
visits SC and conduct clinics (RCH). Follow-up is done by ANM and village
Link-Workers.
2
In 7 villages NGO has constituted village Health Committee and conducting
regular meetings.
4. Adolescence education also another innovative activity of the NGO.
Under TRIBAL SUB-PLAN INVOLVEMENT OF NGOs
xn
M/s. Karuna Trust - B.Rhills, Yelandur Tq. Chamaraja nagar Dist
And M/s. Vivekananda foundation, Mysore,
Two PHCs namely Gumbahally and Thithimathi have been handed over to NGOs
for five years on pilot basis, by Karnataka Government, namely:
(1) PHC - Gumbahally to NGO Karuna Trust.
(2) PHC - Thithimathi to NGO Veivekananda Foundation.
These PHCs were handed over on March 1996 to March 2001 for a period of 5
years. As the PHCs were dominated by the tribals, out of IPP-IX(K) funds Rs.55000/was paid to these two NGO run PHCs to meet the additional budget for drugs and
administrative cost. Again during this year, the term of 2 NGO run PHCs is extended for
a period of 10 years.
Both these NGOs submitted two proposals under RCH programme to provide,
throughout the year emergency medical and obstetric care services to ANC I PNC at
NGO run PHCs - namely Gumbahally and Thithimathi. In addition they have planned to
provide effective ‘Referral Service’ from (FRU) SC to PHC, Taluk Hospital and District
NGO-Final_Report(CS)
Pg. 11
Hospital and specialist services also made available at PHCs Gumbahally and
Thithimathi.
Both the NGOs have planned to provide emergency obstetric care services at their
PHCs. In order to provide these facilities residential quarters should be provided to for
PHC staff in the PHC campus. At PHC Gumbahally under IPP-IX(K), funds were
provided for construction of Quarters to MOH, Nurse and driver and purchase of vehicle,
furniture and equipment and IEC materials, computer. At PHC Thithimathi funds were
provided for repair of existing old quarter buildings and to purchase of furnitures,
equipments, generators, EC materials and computer. In these two PHCs the work is in
progress 50% funds were released and they will complete all facilities provide by EP1X(K) by December 2001. This will help the NGOs to implement RCH programme
which includes; providing 24 hours delivery services and emergency medical and
obstetric care services to the tribal and inaccessible population of Yelundur and Virajpet
Taluks. NGOs aim is to develop these PHCs as ‘MODEL’ PHCs and SCs in the State.
Gumbahallv PHC :
During the year 2000-2001 PHC has registered 274 ANC cases and during April
to August 2001 - 207 ANC cases and provided RCH care services. 94% of the ANCs
registered were less than 12 weeks. 236 children were fully immunized i.e., works out to
90%. During the year 2000-01 Family Welfare Services were provided to 107 female
sterilization (96%), IUD 84 (81%), O.P users 45 (148).
LMO of the PHC conducts ANC clinics at SC and PHC Head Quarters and she is
available throughout the year and provided 24 hour delivery services, and ambulance
services are provided at PHC.
Apart from the regular Primary Health Care, specialist services and referral
services are available at PHC. Sickle Cell Anemia screening programme, Blindness
control programme, Mental Health and Epilepsy control programme, Medical interns
training programme, Health Education and School Health programme, immunization
national and safe drinking water and sanitation are also organized by NGO. PHC is
committed to provide essential drugs and all the essential drugs are made available at the
PHC. NGO has employed 4 ANMs trained tribal girls to handle their 4 SCs. All of them
staying at SC and conducting deliveries at SC buildings.
xm
PHC-Thithimathi Virajpet Taluk Kodagu, Coor Dist.
The PHC at Thithimathi caters to population of 13683 spreads over 6 SCs and
providing Primary Health Care, specialist services are done at PHC. Apart from Family
Welfare and RCH all National programmes are being monitored with special importance
to Blindness control programme, Mental Health programme and dental health
programme.
>*
NGO-Final_Rcport(CS)
Pg. 12
i.
XIV
NGO - Swamv Vivekananda Youth Movement
Kenchanahally - H.D Kote Taluk, Mysore Dist
NGO working since 1987 (14 years) in Kenchanahally, H.D.Kote Tq. engaged in
the field of health care for tribals in the taluk. RCH programme under the project
IPP-IX(K) was formally launched from 01-07-2000. The programme activities follows a
project log frame for 18 months (01-07-2000 to 31-12-2001). The cost of the project is
Rs 83.52 Lakhs.
The project covers 111 tribal colonies consisting of 14172 population and the
geographical areas been divided in to zones 1 to 6 for logistical convenience. The tribal
colonies have been located in zones 1 to 4. An enumerative survey of all the tribals
residing in these zones done.
Project activities focusing on the following areas have been launched.
1. Family Planning including Infertility work ups
2. Safe motherhood (Ante Natal, Natal & Post Natal Care)
3. Care of children including immunization with focus on ARIs, Diarhoea &
Vit-A deficiency.
4. Gynecological disorders.
5. Adolescent pregnancies
6. STIs, HIV, AIDS
The programme used the resources of Vivekananda memories hospitals at
Kenchanahally Sargur and Yerahalli and out-reach services.
Diagnosis, Treatment, Referral and Awareness (DTRA) services given from these
above resource centres.
12 Health Facilitators (HFs) have been trained as per detailed training curriculum
that has been proposed. The HFs underwent a continuous training programme on every
Thursday that has been prepared as per the HFs trainers, manual that has been prepared.
An orientation programme about the RCH project for core team of SVYM was
conducted.
Progress towards achieving purpose.
To establish RCH care for Tribals communities of H.D.Kote Taluk Indicators are
1. 12 HFs working for 111 Tribal colonies.
NGO-Final_ReporUCS)
Pg. 13
2. RCH wings of SVYMs Hospital at Kenchanahally and Sargur, providing
DTRA services by July 2000 and June 2001 respectively established.
3. Two Mobile Health Teams (MHTs) providing DTRA ambulance and
Emergency services to tribal colonies working Since, July 2000 and June
2001.
4. Government and Private Health Resources regularly used by project.
Ex. (a) Project HFs regularly refer patients to Government Hospitals
(b) Vaccines for immunization etc.,
Progress towards achieving outputs
The outputs are:
1.
Buildings; Hospitals and other equipment for RCH wings of SVYM’s
Kenchanahally and Sargur Hospital communized by July 2000 and Jun 2001
respectively.
2.
Construction of the new hospital at Sargur in progress. But equipment and
vehicles for Mobile Health Team at Sargur operational by June 2001.
3.
The Mobile Health unit with Audio Visual and communication equipment
for RCH DTRA network operational by November 2000.
4.
Equipment and vehicle for HFs deployed as needed.
5.
Manuals in English and Kannada for operation, quality, information,
institutional learning, monitoring and impact assessment field tested and in
use by December 2000.
6.
Monitoring systems has been participatively evolved.
7.
An enumerative Health Research of all Tribal indicators is in progress.
Activities of the project from 1** July 2000 to Dec 2001 - 8 Months.
RCH CARE SERVICES PROVIDED BY NGO
1) ANC-services:
01-07-2000 to 31-12-2001 NGO has identified 531 ANC and provided
ANC care, current ANCs on hand is 116 and 26 high risk pregnancies.
2) Deliveries
242 at home
87 in hospital
NGO-Final_Rcport(CS)
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3) Deaths
Maternal deaths: At Hospital-1
Infant deaths : At Hospital-7
At Home-1
AT home-27
4) FWMethods
No. ofECs- 1079 protected 409
CPR
- 40 %
Service provided
Sterilization
136
IUD
11
OCD
206
Condoms
88
5) Immunisation
Coverage
Immunized
NGO hospital
Other
Mobile Units
193
706
1486
2385
69.42%
To be immunized 3464
6) Services provided by
Mobile Units
Patient treated
Tribal
8167
Non tribal
Total
3882
12049
7) Health Awareness Camps
12 Programmes were organized
275 persons attended
8) RCH / Cancer detection camps
3 camps were organized in tribal colony
92 patients were attended the camp
Expenditure - Rs.500.00
9) Health exhibition and awareness programmes
8 programmes were organized
Expenditure - Rs.22245.00
NGO-Final_Rrpon(CS)
Pg. 15
10) Services Delivery - Hospitals
No. of Beds Kenchanahalli - 10
Sargur - 6
16
Patient Treated
In-patient
Tribal
302
Non-tribal
1032
Total
1334
8669
32288
40957
8971
33320
42291
In-patient
289
698
Out-patient
Out patient
TOTAL
RCH
3681
409
9760
TOTAL
3970
10169
Emergency cases
Surgeries
Surgeries RCH
89
42
184
849
449
307
11) ANC Care
Cases in Hospital
ANC Registered and Handled
297
Tribal
Non Tribal
550
847
TOTAL
NGO-FinalRcportfCS)
Pg. 16
13441
14139
938
491
491
INNOVATIVE SCHEME
Service Delivery in Tribal Areas - ANM Training to Tribal Girls
Under Tribal Sub-plan of the project IPP-EX(K) during 1997-98 in 1st batch 40
Tribal girls were selected for undergoing ANM Training in the Training centres Mysore
and Madikeri, 37 Tribal girls have completed the ANM Training during March 1998 and
all of them have been employed in NGO run PHCs Gumbahalli and Thithimathi in
special Tribal SCs created under EPP-EX(K) in Chamarajnagar, Kollegal and Virajpet
taluks through two NGOs (1) M/s. Karuna Trust, B.R.Hills and M/s. Vivekananda
Foundation, Mysore.
Achievements of ANM Trained Tribal Girls
Tribal ANMs were appointed to IPP-IX(K), special tribal SCs are staying at head
quarters and providing quality RCH care services in tribal SCs colonies. They were
appointed in un-served and underserved tribal colonies. After their appointment
deliveries by trained was increased and also tribals accepted Family Planning methods.
There is also increase in child immunization coverage. All the 25 tribal ANMs have
achieved the RCH targets given to SC, since their appointments - i.e., July 1999.
Tribals are happy because tribal ANMs stay at SC head quarters and provide
24 hours services, both RCH and medical services. ANM trained tribal girls are happy
because they got training at Government cost and a job in tribal SC. This innovative
scheme has helped quality of health and RCH services in out-reach tribal colonies.
ANM Training for Tribal Girls H Batch
For II Batch of ANM Training for Tribal girls 30 girls were selected for Training.
They are undergoing ANM Training of 18 months duration at ANM Training Mysore,
Madikeri and Mangalore. At the end of February 2001 they have completed the training
course. 28 girls were passed in the ANM Training. These Trained ANMs were appointed
and posted in Tribal SCs / Mobile Tribal Health units in the HFW shortly.
ANM Training for Tribal Girls III Batch
it is planned and selected 34 Tribal girls in III Batch, during 2001-02. The
Chairman of the selection committee has sent the list to the Project Director, RCH for
approval. The list has been approved and tribal girls have been joined the ANM training
course along with regular batch trainees during Feb / Mar - 02 at ANM training centres Mysore, Madakeri and Mangalore. The duration of the training is 18 months and stipend
is paid out is by RCH budget.
Email: Jrhs@ysnLcom
NGO-FinalRcporUCS)
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