HEALTH POLICY-CUM-FIELD OFFICE MANUAL -ASSEFA HEALTH PROGRAMME
Item
- Title
-
HEALTH POLICY-CUM-FIELD OFFICE MANUAL
-ASSEFA HEALTH PROGRAMME - extracted text
-
(
HEALTH POMGY
-GUM- FIELD OFFICE MHNURL
-ASSEFA HEALTH PROGRAMME
ASSOCIATION FOR SARVA SEVA FARMS
279 AVVAI SHANMUGAM ROAD,
ROYAPETTAH, MADRAS - 60® 014.
J
I
)
CONTENTS
I
PAGES
SECTION I
- POLICY
3
18
SECTION II
- PROGRAMMES
19
56
SECTION III
- ANNEXURE
92
POLICY
PAGE
1) AIM
4
2) PRINCIPLE
5
3) TENETS
6
4) PROGRAMME
7
5) OBJECTIVES
10
6) LEVELS OF PREVENTION
11
7) METHODOLOGY
15
8) GOAL INDICATORS
13
SECTION:!
POLICY
1. AIM:
TO
FACILITATE MAXIMUM POSSIBLE PHYSICAL AND MENTAL HEALTH OF
INDIVIDUAL, FAMILY AND
COMMUNITY
SO AS
TO LEAD
AN
THE
ECONOMICALLY
PRODUCTIVE, SOCIALLY RESPONSIVE AND SPIRITUALLY MEANINGFUL LIFE.
)
2 PRINCIPLE:
2.1
In ASSEFA an "Holistic Health Approach" is envisaged. By
'Holistic Health Approach' ASSEFA does not merely mean,, inte
grating diffemt Systems/Pathies of Health Care delivery as in
the conventional sense but a comprehensive outlook in which
promotion of Human Health as well as the Health of Flora and
Fauna, on this planet earth, is being considered. Cognising the
fact
how man has become iotrognic to himself and
the
environment, a symbiotic mutually sustainable life style and an
appropriate health care system alternative to the marketing
forces of 'high technology health care industry' is envisaged.
(1)
2.2
1)
In principle a 'A participatory Movement of Primary Health
Care' is envisaged in order to achieve maximum possible individual health, with focus on the family as a functional unit,
planned and implement-id by people themselves, as a science that
could be practised by all, affordable by all and accessible to
all, more readily to vulnerable of the population viz.,
(2)
'Antyodaya'.
MEDICAL NEMESIS - Ivan llich, Centre for
Cuernavaca, Mexico.
Interculrural
Documentation,
2) Essential Health Care
* HEALTH FOR ALL
Universally Available
-l Community
Accessible, Acceptable,
Participation
and Affordable to the
+ Appropriate =
+ Community
community.
Technology
* ALL FOR HEALTH
involvement
(
3) CARDINAL TENETS
3.1)
Community based and not just people oriented.
3.2)
Self-evolving, self-supportive and not superimposed from above.
3.3)
Simple, technically appropriate, viable and not techno-centric.
3.4)
Empowering, liberating and not 'professional-dependant'.
3.5)
Affordable by all, cost-effective and not selectively
beneficial to some.
3.6)
Symbiotic, culturally acceptable to people and not alien /disruptive
/culturally threatening.
3.7)
Promotes the environment, sustains growth and not exploitative
and destructive to environment.
3.8)
Nurturing, promoting healthy life style and not encouraging
maladaptive behaviour.
3.9)
Promotive, aims at primary prevention and not overtly dependant
on secondary/tertiary preventional strategies.
3.10) Addresses health issues at global level, while acting localy
and not sectarian / biased towards any particular approach.
3.1i) Conscientises at. all levels and not thrusting/canvassing at
any one group/concept/ideology.
3.12) Promotes indigenous systems of medicine relevent to the needs,
while upholding the principles of scientific/objactive facts/truth.
4) PROGRAMME POLICY - AN APPROACH
4.1) TAKING INTO ACCOUNT THE INVEITABLE NEXUS BETWEEN HUMAN HEALTH
and Survival, with that of EARTH'S (FAST DEPLETING) RESOURCES,
IT'S HEALTH and sustainability, while planning a strategy of
(3)
health care system.
MACRO
4.2) Giving due importance to PROMOTION OF ENVIRONMENT AT
(village level) by finding alternative methods of
LEVEL
use of energy so as to lessen the
tapping / modifying
dependance on fast depleting fossil fuel and prevent release
of harmful pollutants that endanger the stratosphere, and
(4)
Human Health.
4.3)-PROVIDING AN ENERGY EFFICIENT FUEL SYSTEM AT MICRO LEVEL
(each and every household), that is ergonomically sound,
economically viable, and releases women from the chain/bond
that binds them to the kitchen, for more than 2/3rds of their
waking hours, thus limitting their time for creativity, child
(5)
programmes
.
rearing and income generation
4.4) MASSIVE EFFOK? AT PROMOTION OF GARDEN BOTH AT THE BACKYARD
AND IN THE COMMUNITY with the multiple objectives of :
i)
THE ATMOSPHERIC POLLUTANTS (eg. utilisation of JarSPONGING
bon-di-oxide for photosynthesis by leaves) - which is direct
effect of nefarious activities by us, human beings ON THIS
PLANET EARTH -, (who are late comers, but fast depletors in the
(6)
history of earth !)
ii) INCREASING THE "SOURCE OF one and the only cost- effective
OXYGEN BANK" (emission of Oxygen during photosyntheiss).
iii) ENRICHING THE ONLY VIABLE AND NATURAL 'SOLAR ENERGY CONVERTORS
(Preparation of starch by .jhotosynthesis) which makes avail
able sun's energy in an assimilable form to all beings on
earth's surface.
3) Environment and Human Health
- SOCIAL WELFARE, April 1990.
4) Rapid utilisation of fossil fuel, 'Ozone layer depletion', 'Green House
Effect' andI resultant change in the climate and cropping pattern had
indirectly affected the pattern of food consumption causing malnutrition. Directly it has increased the incidence of respiratory diseases,
skin cancer, cataract etc.
5) Household energy or lack of it and household pollution affect heatlh of
as fuel
women and children. A women cooking in stove, with firewood
(90% of rural households use firewood as fuel) inhales toxic material
equivalent to smoking 200 cigerettes
per day. - ENVIRONMENT NEW DIGEST.
6) Environment - Our Future - OkrORL1 Ul;IvER^I_i PL
iv) INCREASING ACCESSIBILITY TO NUTRITIVE FOOD AMONG THE COMMUNITY.
v) TO COVER ONE THIRD OF SPACE AROUND EACH HOUSEHOLD WITH VEGETABLE
GARDEN AND ANOTHER ONE THIRD BY FRUIT/FOOD/FODDER GIVING TREES.
4.5) PROVISION OF SAFE METHODS OF DISPOSAL OF WASTE BOTH
MICRO LEVEL, with the twin objectives of
AT MACRO
i) Lessening the chances of water, land and air
pollution.
AND
ii) Reducing chances of oro-faecal contamination and resultant
diseases.(7)
4.6) PROVISION OF PERENNIAL POTABLE WATER SOURCE WILL GO A LONG WAY
IN SAVING MILLIONS OF LIVES (8) AND SHALL GREATLY REDUCE THE
LOSS OF MANDAYS (9) THERE BY INCREASING PRODUCTIVITY.
4.7) BUILDING AWARENESS IN THE COMMUNITY
with i.'i.e objectives of:
i) ENHANCING PEOPLE’S ABILITY TO SELF-HEAL .
ii) TO EMPOWER
PEOPLE WITH KNOWLEDGE ON HEALTH so as to reduce
their dependancy on ‘‘Organised Marketing Forces that sell Health"
(A pill / needle for
— each
- eve andhealth problem)
iii) TO EQUIP PEOPLE WITH THE KNOWLEDGE TO CH''. SE APPROPRIATE HEALTH
CARE SYSTEM for specific problems. (10)
iv)
TO SAFEGUARD PEOPLE from vested interests of the COMMUNICATION
MEDIA (eg. T.V.) whose effort at DSINFORMATION could be the
source of Ill Health. (11)
As the role of health education in pr.jtary prevention of diseases is
enormous, :it is
* vital to DEVELOPE A PLANNED STRETi-GY OF TARGET -SPEMESSAGE - SPECIFIC, REINFORCING EFFORTS / INFORMATION
.—J DISSEMINATION :involving both traditional (eg. folk media like Puppet show,
Villupattu) and modem media (eg. slide show,, vedio, cinema).
INDIVIDUAL COUNSELLING SESSIONS HAVE GREATER EFFECT
TIONAL CAMPAIGNS.
7)
THAN MASS EDUCA-
Enhancing the ’sanitation’ — barrier alone would result in
reduction
of 70/o of communicable diseases.
8) 5 Million children die of diarrhea revery year in the world.
9) 70 Million mandays lost in India duea to diarrheal diseases alone.
10) My Name is Today - David Morlay
11) Eg. Baby foods, Panparak, 2 minute noodle, Cigarrette for women,
bottled drinks (BVO)
4.8) Address the HEALTH NEEDS OF THE VULNERABLE AMONG THE POPULATION
viz., Children, Women and the aged, with a planned strategy so as
to TAKE^ HEALTH CARE SERVICES TO THEIR DOOR STEP
TOWARDS EARLY
DIAGNOSIS AND THERAPY m order to minimise morbidity and mortality.
4.9) EVOLVE A REFERAL SYSTEM WITH THE ORGANISED GOVERNMENT HEALTH CARE
SERVICES ffor all the health problems that could not be managed at
the village itself, by equipping the village level health worker
with the knowledge when to refer, where and for what problem. (12)
4.10) EVOLVING A PEOPLE BASED HEALTH CARE SYSTEM
that reinforces
their
faith in self healing and that which
is
nottechnocentric, non-dependant on professionals, technical!}7
feasible, costwise affordable by the people and above all
culturally acceptable to the people.
12) Though assefa's thrust is on primary prevention, it utilises
other
organised health care system for secondary and
prevention.
govt, and
tertiary
5) OBJECTIVES OF HEALTH PROGRAMME
5.1)
To ESTABLISH COMPREHENSIVE FAMILY HEALTH CARE PROGRAMME reaching
especially the vulnerable among the population, viz. Women, Chil
dren, and Elders.( 3 60 years)
5.2)
To establish an ’UNIVERSAL MATERNAL CARE
active participation of women's forum.
PROGRAMME',
with
the
5.3)
To establish an 'UNIVERSAL UNDER-FIVE CARE PROGRAMME',
active participation of Village Health Committee.
with
the
5.4)'- To CREATE AN ENVIRONMENT CONDUCIVE FOR HEALTHFULL LIVING
at the family (MICRO) and at village (MACRO) LEVEL.
both
5.5)
To EVOLVE A PROGRAMME OF EFFECTIVE COMMUNICATION at all
levels, aimed at 'PEOPLE'S MOVEMENT' towards the goal of
'HEALTH FOR ALL’.
5.6)
To‘‘ MAKE PEOPLE REALISE THE IMPORTANCE OF UTILISING
the
exisiting government and non-govemment health care services
as REFERAL CENTRES.
5.7)
To INVOLVE PEOPLE AT ALL LEVELS of planning, implementing,and
monitoring health care programme that is technically feasible and
easily manageable by people themselves.
5.8)
To EXPERIMENT 'PRIMARY HEALTH CARE AS A STRATEGY to help the
people
attain 'Maximum Possible Status of Health' through
a gradual process OF EMPOWERING PEOPLE TO HEAL THEMSELVES AND
PROMOTE ‘HOLISTIC HEALTH'
5.9)
To develop village level Health Cadre as a resource person who
shall be able to function independaitly at the end of three
years.
5.10) To involve indigenous medical practioners and mid-wives and to
develop a referal system with Government and Non-Govemment
health care sectors.
6) LEVELS OF PREVENTION
A) ATTEMPS AT PRIMARY PREVENTION
6.1) PROMOTION OF INFRASTRUCTURE: (ENVIRONMENT AND ENERGY RESOURCES)
TO CREATE, A HEALTHY ENVIRONMENT BOTH AT MICRO (HOME) AND
(VILLAGE) LEVEL. The priority shall be
on establishing
i)
MACRO
A HYGIENIC, PERENNIAL, DRINKING WATER SOURCE
a) To install hand ipumps (Mark II/III types) ably
managed by
village health guide□ women forum members.
b) To mark the wells 'ideal' wherever people use well
as source
of drinkoing water. (13)
ii)
METHODS OF SAFE DISPOSAL OF WASTE,
a) To build lavatories, with people’s participation wherever there
is felt need towards safe disposal of night soil.
b) To motivate and e
---encourage
people to have composit pits in order
to promote vector control
--- and
—J organic manuaring.
iii)
POLLUTION FREE, ENERGY EFFICIENT, HOUSEHOLD FUEL
a) To introduce Bio-•gas plants in households with 3
or more cattle.
b) To install smokeless chulas in households that
use firewood as
fuel.
iv)
PROMOTION OF BACKYARD HORTICULTURE to facilitate Improved access
to nutritious food wherever there is space around the household.
13) For ideal well rconcept
*
refer booklet '•Primary Health Care
science that matters
-3 to people by ASSEFA.
11
As
a
6.2) HEALTH AWARENESS (TARGET SPECIFIC CONSCIENTISATION)
i) TO CREATE AWARENESS TOWARDS SUSTAINING A
deplative, non-exploitative LIFE STYLE.
SYMBIOTIC,
non
ii) TO MAKE PEOPLE UNDERSTAND WHEN AND WHERE TO SEEK APPROPRIATE
MEDICAL HELP when the system breaks or when disharmony sets
in.
iii) ENRICHING PEOPLE WITH HEALTH INFORMATION especially on
Family Health Care, so as to elicit social response
spontaneous’ action.
and
iv) To evolve 'Social Marketing' as a strategy to empower people
to prevent the drain of natural resources and their products
of labour to ’market economy'. (14)
v) To emphasis the importance of attitudinal, behavioural
change in promotion of health.
vi) To make people realise the interdpendancy of health
among the flora and fauna on this planet earth,
therefore the necessity of environment promotion to
sustain human health.
11‘
14) Development strategy with priority on 'Income Generation Programmes',
result in food products of nutritive value (eg. Milk, Eggs, Vegetables,
Fruits etc.,) being drained from villages to benefit already developed
areas /regions.
12
6.3) DEVELOPMENT OF HEALTH CADRE
To
TRAIN PERSONNEL FROM AMONG RESPECTIVE VILLAGES," who
i)
shall initirliy function under the guidance of trained
project level Health Workers, to function independantly
later on.(15)
EACH
ii)
To TRAIN A DAI (Village level mid-wife) FOR
VILLAGE TO ASSIST IN MATERNAL care programme.
iii)
THE VILLAGE LEVEL MALE AND FEMALE GUIDE SHALL IN- THE
LONG RUN BE TRAINED TO BECOME EQUIPPED ENOUGH with
knowledge and skills to carry out growth monitoring and
promotional programme, Maternal Care programme and
Minimal Curative Programme.
iv)
To TRAIN THE VILLAGE HEALTH GUIDE who functions as a
BE
local
resource person for health and
SHALL
FINANCIALLY SUPPORTED BY VILLAGE HEALTH COMMITTEE.
v)
THE PROJECT LEVEL HEALTH WORKERS SHALL BE SELECTED FROM
who
have completed school and trained for 12 to
ANIMATORS
i
18 months in: a recognised institution. (16)
vi)
ALL PROJECT LEVEL HEALTH CADRE, viz. Male and Female
Multipurpose Health Worker, Programme Associate, Health
Programme
Organisor SHALL GET
PERIODIC,
REGULAR
INSERVICE AND EXTERNAL TRAINING, towards enhancing the
quality of service rendered by them.
B) ATTEMPTS AT SECONDARY PREVENTION
6.4) A PLANNED CURATIVE PROGRAMME
Reaching the needy among the population to
mortality among them, with priority
reduce
ANTENATAL,
morbidity,
PERINATAL
AND
i)
To
OFFER COMPREHENSIVE
POSTNATAL SERVICES.
ii)
To
REDUCE
THE
INCIDENCE OF
MALNUTRITION
UNDERFIVES THROUGH 'GROWTH MONITORING AND PROMOTION’
PARTICIPATORY PROGRAMME BY WOMEN.
iii)
To
AMONG
AS A
PREVENT BLINDNESS' AMONG CHILDREN AND AGED.
15) The village level health cadre shall be the contact person for proj ect
level health worker.
16) For recognised training centres in Tamilnadu and elsehwere refer
annexure.
iv) To ERADICATE ENDO, ECTO PARASITIC DISEASES.
v) To
REDUCE
DISEASES.
THE
INCIDENCE
OF
WATER
BORNE/WASH
vi) To REDUCE THE INCIDENCE OF COMMUNICABLE DISEASES.
vii) To OFFER MINIMAL CURATIVE AND REFERAL SERVICES
THROUGH
STRATEGICALLY PLACED MINI HEALTH CENTRES.
C) ATTEMPTS
AT TERTIARY PREVENTION
In
all
tertiary
REHABILITATION OF
preventional
(strategy)
programmes,
viz.
a) Mentally Retarded
b) Physically Handicapped
c) Leprosy patients
d) Mentally ill, etc. .
ASSEFA may tap the resources of District level units by Government viz.
Leprosy Control Units, Tuberculosis Control Units and
Non-Governmental
Organisations like Hind Khusth Nivaran Sangh, Spastic Society7 of India,
Aravind Eye Hospital, Meenakshi Missional Hospital etc.
7) METHODOLOGY
ARRIVING AT AN ”OU CLINE SAGE” (17) - INITIAL COMMUNICATION PHASE
7.1) HEALTH WORKER INTRODUCES HIMSELF TO THE COMMUNITY ('RAPPORT
BUILDING') THROUGH HEALTH CAMPS
7.1.1) HEALTH
WORKER
INTRODUCES HIMSELF/HERSELF
by
directly
addressing (ie., examining, identifying, and treating) the
health needs of the vulnerable among the community viz.
women, children and elders.
7.1.2) THE ABOVE PROCESS IS DONE THROUGH "HEALTH CAMP APPROACH", at
the end of which that particular health worker is known among
his/her area of coverage (usually 8/10 villages) as a
"Person with Abilities to Heal".
7.1.3) THE ABOVE PROCESS IS ABLY AND ACTIVELY ASSISTED BY A
QUALIFIED PHYSICIAN, who utlises the health camps to train
the MPHW, both male and female to diagnose the most
mos t common
diseases among Children, Elders and Women and treat them at
village itself.
7.1.4) THE PHYSICIAN ALSO APPRAISES AND TRAINS THE HEALTH TEAM IN
REFERAL ASPECTS - ie., when to refer, for what problem and
where.
7.1.5) THE CHIEF OBJECTIVE OF THE ABOVE PROCESS IS TO MAKE THE
HEALTH WOREKR ACCEPTABLE IN THE COMMUNITY as a person with
necessary skills to treat most common, simple health problems
at village itself.
7.1.6) Generally paramedical workers at village level are not accepted by
j-.ople
as much as the allopathic physician. HENCE THE
NEED TO
IMPART SKILLS
.
TO HEALTH WORKER IN THE PRESENCE OF THE COMMUNITY
(THROUGH. CAMP APPROACH) AND THE HEALTH PROFESSIONAL '(PHYSICIAN)
AUTHENTICATES THEIR. SKILLS TO DIAGNOSE AND TREAT, thereby making
them more acceptable in the community. (18)
7.1.7) Besides, THE HEALTH PROFESSIONAL AND TEAM GETS TO KNOW THE
MORBIDITY
PROFILE OF THE ’’VULNERABLE AMONG THE POPULATION”
(Women, (Children and Elders) thereby enabling them to plan
out Primary, Secondary Preventional strategies.
17) SAGE - Situation Assessment and Goal Establishment.
18) Rural Health Care - KURUCHETHRA Jan. 1990
15
7.2) ORGANISING THE COMMUNITY (ALL FOR HEALTH)
7.2.1)
A VILLAGE LEVEL HEALTH COMMITTEE, IS FORMED WITH VOLUNTEER
MEMBERS FROM BOTH SEXES with the objective of planning and
coordinating all health and health related activities.
7.2.2)
MAJOR ROLE IS PLAYED BY WOMEN FORUM MEMBERS, as chief focus
cf ASSEFA's health programme is on Women and Children.
7.2.3)
mainly
THE MALE MEMBERS of the Village He."th Committee,
'
youth, SHALL ACTIVELY INVOLVE THEMSELVES IN 'ENVIRONMENT
PROMOTIONAL ACTIVITIES’.
7.2.4)
A VILLAGE LEVEL HEALTH GUIDE (preferably a women, 8th to
10th std. completed) IS NOMINATED BY THE VILLAGE HEALTH
COMMITTEE in consultation with gramsabha, who shall liason
;with the multi purpose health worker to implement all health
programmes besides maintaining few relevant data registers.
7.2.5) .A 'VILLAGE HEALTH COMMITTEE FUND'1 SHALL BE COMMENCED, in
which all the people's contribution towards the services
that they receive shall go into. For the.first 3 years the
fund is left to accumulate, at the end of which equal amount
shall be contributed by the gramsabha and / ,.the project.
From then on the VHG honororium shall be met from this fund.
7.2.6)
THE
VILLAGE ’HEALTH COMMITTEE FUND’ shall be the 'CORF ;S'
EMERGENCY
LOANS”
FROM WHICH THE PEOPLE COULD HAVE ’’HEALTH
free of interest.
7.2.7)
A 'MOTHER INSURANCE SCHEME' IS STARTED, when Antenatal,
Perinatal, Postnatal Care, programme is introduced and
the
money thus collected goes to 'Village Health Committee Fund'.
7.2.8) ’GROWTH MONITORING AND PROMOTIONAL PROGRAMME', is actively
coordinated by WOMEN FORUM MEMBERS, WHO SHALL FORM A LOCAL
COOPERATIVE (Cluster level) TO SUPPLY NUTRITIVE MIX to under
nourished mother and children, as a part of Women Development
Programme.
LIKE 'MATERNAL CARE INSURANCE SCHEME', CHILD CARE INSURANCE
SCHEME IS ALSO INITIATED eg.- Registration fee (Rs.5/- to
10) at the time of entry into GM/P, and Rs.l /month from all
those whoKreceiveFnutritive mix. The fund thus collected
V i ‘
may go into 'Village Health Committee Fund'.
•; ;•
:
• u.; : tij
7.2.10) A 'VILLAGE CULTURAL. TROUPEh• MAY BE FORMED.' with traditional
artists, Village Health Committee Members, Health Animator
and the Health .Worker concerned,, ’with- the-' purpose of
periodic information sharing through "performing arts".
7.2.9)
7.3) DATA COLLECTION TOWARDS SAGE:
7.3.1)
WITH THE HELP OF "PRE-TESTED FORMAT" RELEVANT TO THE NEEDS
AND OBJECTIVES OF HEALTH PROGRAMME, NECESSARY INFORMATION
ARE COLLECTED, at household level and consolidated in a
"Village level format".
7.3.2)
Prior to the actual process, THE PURPOSE / OBJECTIVE OF THE
SURVEY IS APPRAISED TO THE PEOPLE, THROUGH VILLAGE HEALTH
COMMITTEE. Infact it would be ideal to involve the Village
Health Committee members even while designing the survey
format.
7.3.3)
The survey format ineed to be s imple,
consuming and shall give information
aspects:
7.3.4)
precise, not-time
on the following
i) DEMOGRAPHILE PROFILE OF VILLAGE.
ii) POTABLE WATER SITUATION.
ill) AVAILABLE WASTE DISPOSAL METHODS.
iv) ACCESSIBILITY TO NUTRITION (KITCHEN GARDEN ETC.)
v) EXTENT OF MATERNAL AND CHILD MALNUTRITION.
vi) IMMUNISATION STATUS.
vii) ATTITUDE AND PRACTICE TOWARDS BIRTH PLANNING AND
FAMILY WELFARE.
viii) HOUSEHOLD LEVEL FUEL AVAILABILITY.
ix) PREVALANCE OF COMMUNICABLE DISEASES.
x) NUMBER OF UNDERFIVES AND ELDERS (360 YEARS)
xi) MISCELLANEOUS DATA TO ARRIVE AT SPECIFIC INDICATORS
LIKE IMR, MMR, U5 MR etc.,
xii) ACCESSIBILITY TO HEALTH CARE SERVICES (GOVERNMENT,
PRIVATE, INDIGENIOUS MEDICINE PRACTITIONERS ETC.)
A DOZIER ON EACH VILLAGE IS PREPARED TOWARDS THE PURPOSE OF
ARRIVING AT "COMMUNITY DIAGNOSIS" (19), by collating all ihouse
hold data into the ’village format*. General information like
presence of electricity, accessibility by road and other civic
amenities are also noted.
7.3.5)
THE HEALTH PROFESSIONAL/HEALTH PROGRAMME ORGANISOR COLLATES
THE INFORMATION TO ARRIVE AT A SAGE REPORT, by a process of
discussion and deliberation with the health team members.
The Health Programme Organisor/Programme Associate (Health)
actively assists the above process.
7.3.6)
At this level an OUTLINE SUMMERY OF SAGE document evolves, and
is available to the health team, which they shall place before
the Village Health Committee / Gramsabha for
19) Like an individual, who after a visit to hospital has a file on his
health status with information leading c.i to 'Provisional Diagnosis',
the village at the end of 'Initial Communication Phase' shall have a
data profile compiled, to evolve a "SAGE DOCUMENT".
17
8) GOAL INDICATORS
It is important that all the projects develop their own area specific goal
indicators in order to effectively monitor the health programme. The
following fifteen key indicators mentioned in the "Health For All 2000 AD."
concept shall be of guidance with regard to the above.
’HEALTH FOR ALL' 2000 AD
- CERTAIN KEY INDICATORS HEALTH INDICATORS
1980 *
INDIA
GOAL
2000 AD
1)
Infant Mortality Rate
127
2 60
2)
Perinatal Mortality Rate
60-109
30-35
3)
Pre-School Mortality Rate
20-24
10
4)
Maternal Mortality Rate
5-8
22
30
10
2
5)
Birth Weight
6)
Crude Birth Rate
33.2
21
7)
Crude Death Rate
12.5
9
8)
Family Size
4.4
2.3
9)
ANC Coverage %
30-40
100
10) Delivery by trained Dais /o
10-15
100
11) Net Reproduction rate
1.67
1.25
12) Couple Protection rate
22
60
13) Immunisation Coverage 7O
60
100
14) Growth Rate
1.91
1.25
15) Life expectancy at birth:
Male
Female
52.61
51.61
64
2500 gms 7a
7/
*
Source 1980 censes.
In all ASSEFA projects, an attempt shall be made to achieve the ’’Health
for All 2000 AD. Indicators” before the end of 1996 itself and it is
feasible given the 'micro-level-intensive-operational strategies' and
people's participation.
13
SECTION:IZ
■
PROGRAMME COMPONENTS
. I-
CONTENTS
PAGES
1) PROGRAMME OUTLINE
21
2) ENVIRONMENT PROMOTION
22
3) CONSCIENTISATION
35
4) PREVENTIONAL PRGRAMMES
42
I
20
x) PK^GK.iMuE
FOR OPERATIONAL EFFCIENCY, TO FACILITATE PARTICIAPTORY MONITORING AND EVALUATION, THE PROGRAMME COMPONENTS
3 MAJOR ASPECTS VIZ.,
1) 'ENVIRONMENT PROMOTIONAL' ACTIVITIES BOTH AT HOUSEHOLD AND VILLAGE.
2) CONSCIENTISING VARIOUS SEGMENTS OF COMMUNITY
3) PREVENTIONAL STRATEGIES ADDRESSING THE HEALTH NEEDS OF VULNERABLE AMONG THE POPULATION.
I
ENVIRONMENT
PROMOTION
1
HOUSEHOLD WASTE DISPOSAL
Lava tory
Composte Pit
Kitchen Garden
Soakpit
HOUSEHOLD ENERGY
Smokeless Chula
Solar Cooker
Biogas
PROGRAMME OUTLINE
p— — — —
CONSCIENTISATION 2
DIVIDED
ADDRESSING
3
PROGRAMMES
THE VULNERABLE
Maternal Health
Underfive Care
(Growth Mornitoring
and Promotion)
School Health
Women Health
Geriatric Health
MEDIA:
Mental Health
POTABLE WATER
TRADITIONAL
SPECIFIC ILLNESS
Source,
Storage
Usage
Villupattu
Therukkoothu
Puppet Show
Drama/Skit
Prevention of
Blindness,
Communicable
Disease control,
Parasite Controle,
Prevention of
Micro-nutrient
deficiency Viz., Anaemia,
Vi tain in-A Deficiency.
and
VILLAGE SANITATION
OTHERS:
Hand Pump
Ideal Well
Soakage Pit
Wind Mill
Flash Card, Flannel
graph, Slide Show
Vedio Show, Cinema.
INTO
1
PREVENTIONAL
STRATEGIES
PARTICIPANTS
Mothers, Women’s
Forum, Youth Club,
Night School, ASSEFA
School, Govt. School
Village Health
Committee, Gram
Sabha, Village
Common, Dais
Animator, Health
Worker.
Dais
ARE
NOTE:
1) All 'environment promotional activities' shall be the focus of intersectoral coordination between
community development and
health sector.
2) All conscientational (Health Education) efforts shall be the
focus of Intersectoral coordination between education (Sa rva
Seva Schools) and health sector.
3) In all preventional strategies ASSEFA shall take the active help of Government and other voluntary
sector.
1) ENVIRONMENT PROMOTION
(Infrastruetrue Promotion) *
"k
CONVENTIONALLY THE TERMINOLOGY INFRASTRUCTURE IN HEALTH SECTOR IS USED
TO DENOTE NUMBER OF AVAILABLE HEALTH PROFESSIONALS, PARA PROFESSIONALS,
HOSPITALS, BED
STRENGTH ETC. IN ASSEFA IT IS USED TO DENOTE MICRO,
MACRO ENVIRONMENT THAT IS FUNDAMENTAL TO HUMAN HEALTH VIZ. WATER, LAND
FLORA AND FAUNA IN THE WHOLE ECO-SYSTEM.
22
PROGRAMME
COVERAGE
(infrastructure Promotion)
r—
MICRO LEVEL
(Household)
I
Ell ERG Y
I
Biogas
Solar
Cooker
;
Smokeless
Chula
WATER
WASTE DISPOSAL
-Source
- Lavatory
—Storage
- Composte
Pit
(-Usage
1— Soak Pit
NUTRITION
Backyard
Horticulture
L/Garden.
MACRO LEVEL
(Village Level)
r
WATER
NUTRITION
WASTE DISPOSAL
- Handpump
I- Herbal Garden
kIdeal Well
-Pisciculture
"• Sanitary
Cattle Shed
ENERGY
W indin i J1
( Biogas
-Compost Pit
- Nutritive Mix
1 Solar
'Lamps
LPond
'- Orchard
Soak Pit
* ALL ENVIRONMENT PROMOTIONAL PROGRAMMES SHALL BE THE FOCUS OF INTER-SECTORAL
COORDINATION BETWEEN COMMUNITY DEVELOPMENT AND
HEALTH SECTOR OF ASSEFA.
23
ENVIRONMENT PROMOTION
CONTENTS
PAGE
1
HOUSEHOLD LAVATORY
25
2
COMPOSTE PIT
26
3
SOAK PIT
27
4
SMOKELESS CHULA
28
5
BIO GAS
29
6
SOLAR COOKER
30
7
WINDMILL
31
8
HAND PUMP
32
9
IDEAL WELL
33
34
10 BACKYARD HORTICULTURE
24
i-1) HOUSEHOLD LAVATORY
OBJECTIVE:
PRIMARY:
To enhance ’Sanitation Barrier'.
i)
ii) To reduce incidence of 'Water Borne'diseases
Viz. Cholera, Typhoid, Jaundice, Polio.
iii) To reduce the incidence of 'Intestinal Parasitosis'.
SECONDARY:
To reduce faecal contamination of water source.
i)
ii) To reduce land pollution by faecal matter.
iii) To provide 'Privacy' for women and children in rural areas.
TERTIARY:
To reduce man-day loss due to ’faecal borne diseases'.
i)
ii) To prevent economical drain due to faecal borne diseases,
iii) To prevent infant and child mortality and morbidity.
TYPES OF LAVATORY
ADVANTAGE
DISADVANTAGE
1) Wardha Type dry latrine
Composte,
Less of Water
Low Cost
Involves more manual
Labour.
2) ’Ventilation Improved Pit’
(VIP) Latrine
Low Cost,
Less Water
Children might fear
falling inside
3) RCAP Latrine
Convenient for
children and adults
Cost factor.
4) Sulah Souchalaya
Biogas could be
attached.
Community Latrine
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Village level Progamme
Manual on ’’Environment Promotion”.
ASSEFA, Madras.
2) Pamphlets/Literatures published
by ASSEFA
ASSEFA, Madras / Sarva Seva Achagam,
Natham.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications, Madras.
4) "Neerinal Paravum Noigal"
(Waterborne Diseases)
New Centuray Book House Publications
Madras.
5) Handout and Literature by
Sanitation faculty - Ambathurai.
6) Health Education Materials by CMC.,
25
C.M.C., Vellore.
■
ma
1.2) COMPOSTE PIT
OBJECTIVES:
PRIMARY
i) To prevent incidence of vector (Mosquito) borne diseases like
Dengue Fever, Brain Fever (Japanese 'B' Encephalitis), Malaria,
Filaria etc.
ii) To prevent incidence of vector (House fly) borne diseases like
Cholera, Typhoid, Jaundice, Poliomyelitis, Intestinal parasitosis.
iii) To enhance sanitation in and around household
SECONDARY
i) To prevent/control vector (Mosquito, Houseflies) breeding in
and around households.
ii) To dispose household (Kitchen) waste in a sanitary manner.
iii) To dispose cattle waste (cowdung etc.) in a sanitary manner.
TERTIARY
i) To composte the household and cattle waste into bio-fertiliser.
ii) To meet the need for manure for Kitchen Garden.
iii) To curtail the need for artificial fertiliser and the incurring
expend!ture.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on "Environment
Promotion"
ASSEFA, Madras.
2) ASSEFA Pamphlets
ASSEFA, Madras.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications, Madras.
4) Literature on ’Composte Pit'
’Man and Ecology Programme',
P.O. Box 11, Pondicherry
1.3) SOAK PIT
OBJECTIVES
1
I
PRIMARY
I
i) To facilitate proper disposal of sullage water.
I
ii) To control vector breeding eg. flies mosquitoes.
I
iii) To enhance village sanitation around Handpump, Well and other potable
water source by avoidance of contamination with sullage water.
SECONDARY
I •
i)
To reduce incidence of vector borne disease like Malaria,
Fever, Filaria.
ii)
To reduce Incidence of water borne diseases Viz., Jaundice,
Typhoid, Cholera, Gastero entritis.
Brain
Polio,
iii) To reduce incidence of Intestinal Parasitosis.
TERTIARY
i) To reduce child mortality, morbidity
ii) To reduce mandays lost due to common illness which are preventable.
iii) To enhance sanitation around the house.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on 'Environment
Promotion'.
ASSEFA, Madras.
2) ASSEFA Pamphlets
ASSEFA, Madras.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications, Madras.
4) Literature by Sanitation Faculty
Ambathurai.
5) Literature by Dept, of Home
Science , G.R.I.
DHS., Gandhigram Rural Institute.
27
1.4) SMOKELESS CHULA:
OBJECTIVES
PRIMARY
i) To reduce the incidence of respiratory illness among women
and children.
ii) To reduce the incidence of 'Acute Respiratory Infection' (ARI)
among underfives.
iii) To reduce 'air-pollution' within the household.
iv) To reduce the consumption of firewood by enhancing fuel efficiency.
v) To prevent eye sore and eye related problems.
SECONDARY
i) To curtail deforestation.
ii) To reduce the drudgery of cooking.
iii) To reduce the time spent by women at the stove.
TERTIARY
i) To enable women to have more time for herself and children.
ii) To enable women to have more time for fora activities, Backyard
Horticulture and cultural activities.
iii) To enable women to have more time for maintaining household sanitation.
iv) To reduce 'Green House Effect'.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on "Environment
Promotion"
ASSEFA, Madras.
2) ASSEFA Pamphlets
ASSEFA, Madras/Sarva Seva Achagam,
Kuttupatty, Natham.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications, Madras.
4) Literature from 'Department
of Home Science'
Gandhigram, Madurai.
5) Literature/Training Programmes
Gandhiniketan Ashram,
Kallupatti.
23
1.5) BIOGAS
OBJECTIVES
PRIMARY
SECONDARY
TERTIARY
Efficient Fuel
Time Saved increases
leisure.
Skill learning
Cost-effective
Less of chemical manure
Female Education
Rich source of manure
Less of expenditure
Less of school dropouts
among female children
Less Consumption of
Fire wood
Less of deforestation
Less of toxicity in
food, better health
Safe waste disposal,
Effective Sanitation
Barrier, Avoidance of
air-pollution in the
household
Improved rain, soil
conservation
Cost efficiency,
monetary savings on
fertilisers.
Less of diarrhea, acute
respiratory diseases,
intestinal parasitosis.
Betterment of child
and women health,
reflecting on family
health.
To reduce ’Green House
Effect'.
Better agricultural
output.
Hygienic, efficient
water management.
SOURCE OF LITERATURE
CONTACT
1) Literature from Institute
of Rural Science, Gandhigram
Trust.
Gandhigram, Madurai.
2) Energy resource Centre
Auroville, Pondicherry.
MATERIAL RESOURCE
1) Panchayath Union Funds.
lj!
2) IRDP Subsidy/ Loan
3) Nationalised Banks.
■
1
29
1.6) SOLAR COOKER
OBJECTIVES
PRIMARY
i) To tap non-exhaustible, non-polluting energy source.
ii) To enhance fuel efficiency of a small family unit.
&
iii) To curtail the expenses^ipn non-replenishable fuel resource like
Kerosine.
iv) To reduce the dependency on fire-wood as fuel.
SECONDARY
i) To achieve time and labour efficiency in cooking.
ii) To reduce deforestation.
iii) To reduce dpendancy on fossil fuel.
TERTIARY
i) To reduce environmental pollution due to burning of firewood.
ii) To empower people with knowledge and resource on 'appropriate
technology'.
iii) To enable women to have more time for creativity, self-empowerment,
cultural and group activity.
iv) To reduce ’Green House Effect’.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on "Environment
Promotion".
ASSEFA, Madras.
2) ASSEFA Pamphlets
ASSEFA, Madras,/Sarva Seva Achagam,
Kuttupatti.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications, Madras.
4) Information brochure by
Tamilnadu Energy Development
Association
TEDA.
5) Energy Section.
Auroville.
30
1.7) WIND MILL
OBJECTIVES
PRIMARY
i) To tap non-exhaustible, non-polluting energy source.
ii) To draw and store drinking water in overhead tanks.
iii) To store energy through batteries.
SECONDARY
i) To facilitate drinking water supply to village.
ii) To increase accessibility to water in the household.
iii) To reduce dependency on conventional energy source (eg. Hydro, Thermal
Power, Diesal) to lift water from wells.
TERTIARY
i) To reduce environmental pollution through operating diesal pumps.
ii) To curtail the dependency on delpletable fossil fuel.
iii) To safeguard ozone layer and to reduce ’Green House Effect'.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on 'Environment
Promotion'.
ASSEFA, Madras.
2) ASSEFA Pamphlets/Booklets
ASSEFA, Madras, Sarva Seva Achagam,
Kuttupatti.
3) Information Brochure by TEDA
TEDA
4) Information Brochure by Auroville
Energy Resource Centre, Auroville
5)'Literature/Technical assistance
from Murugappa Polytechnic.
Murugappa Polytechnic, Ambathoor.
31
1.8) HAND PUMP
OBJECTIVES
PRIMARY
i) To make available one perennial source of potable water for
every 30/50 households.
ii) To reduce the time taken to meet household need for water.
iii) To emphasis the need for using clean potable water.
SECONDARY
i) To reduce the incidence of water borne / water wash diseases.
ii) To reduce morbidity, mortality among children.
iii) To enhance the time available to women for other activities.
TERTIARY
i) To reduce Acute, Gasteroentritis and intestinal parasitosis among
children.
ii) To reduce the incidence of Child Malnutrition.
iii) To reduce the incidence of Infant and Child Mortality due to
to acute Gasteroentritis and other water borne diseases.
iv) To prevent Endo, Ecto parasitic infection among children.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on ’Environment
Promotion’
ASSEFA, Madras.
2) ASSEFA Pamphlets/Booklets.
ASSEFA, Madras.
3) Literature by "Kalvi
Gopalakrishnan"
Abirami Publications, Madras.
4) "Neerinal Paravum Noigal"
(Water Borne Diseases)
New Century Book House, Madras.
5) Technical assistance for drilling.
AFPRO
6) Technical assistance for water
testing.
Guindy/Sanitation Faculty, Ambathurai
for water testing.
Jaipoor for water testing kit.
32
9) IDEAL WELL
OBJECTIVES
PRIMARY
i) To safe guard water source from pollution by making necessary
precautionary measures.
ii) To make available clean potable water for other household use
whole through the year.
iii) To build a platform and sidewall around the well and a drainagp
ending in a soak pit to avoid source contamination.
SECONDARY
i) To reduce the incidence of Water Borne/Water Wash Diseases.
ii) To establish a soak pit away from the well.
iii) To establish community garden with the use of sullage water from
well.
TERTIARY
i) To establish civic sense and cleanliness while using a community
well.
ii) To reduce incidence of morbidity and mortality due to water borne
diseases among children.
iii) To enhance community participation in establishing and maintaining
an ideal well.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on 'Environment
Promotion'.
ASSEFA, Madras.
2) ASSEFA Pamphlets/Booklets
ASSEFA. Madras.
3) Flash Cards, from C.M.C.,
Communication Cell, Christian
Medical College, Vellore.
4) Literature on water and
saniCarlon.
Sanitation Faculty, Ambathurai.
1.10) BACKYARD HORTICULTURE
OBJECTIVES:
PRIMARY
i) To increase the accessibility to nutritious food.
ii) To utilise the space around the household in a constructive way,
to grow 'Food, Fodder giving plants and trees'.
iii) To reduce prevalence of malnutrition, especially micro-nutrient
deficiency among women and children.
SECONDARY
i) To put to good use the sullage water from the household.
ii) To prevent sources of vector (houseflies, mosquito) breeding around
the household.
iii) To make fresh yellow and dark green leafy vegetables readily available.
TERTIARY
i) To economise, the household expenditure on food and other essentials.
ii) To save the time spent by women in the search food and other
essentials for household.
iii) To create awareness on economical use of water available at the
household.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on 'Environment
Promotion'.
ASSEFA, Madras.
LIVIA, Madras.
2) Booklets by ’’Kalvi Gopalakrishnan"
Abirami/Pragathi Publications,
LIVIA, Madras.
3) Booklets by "State Non-formal
Educational Centre".
13, 3rd Cross Street,
Nanthanam, Madras - 600 035.
4) "Maram Vazharpom” by Cre-A
Cre-A Publications, Madras.
5) Booklets, literature from
TINIP/ICDS.
TINIP, ICDS,
Regional Centres.
6) State Nursery/Social Forestry
Schemes.
Regional Block level forestry
promotional centres.
34
2) CONSCIENTISATION
(Health Education) *
*
CONSCIENTISING THE COMMUNITY SHALL BE THE MAINSTAY OF
ASSEFA’S
'COMMUNITY HEALTH PROGRAMME’ AND SHALL BE CARRIED OUT AS A ’CONTINUING
MOVEMENT OF COMMUNITY HEALTH EDUCATION’. THIS SHALL FORM THE; FOCUS OF INTERSECTORAL COORDINATION BETWEEN EDUCATION AND HEALTH SECTORS OF
ASSEFA.
35
CONSCIENTISATION
(HEALTH EDUCATION)
r
k
PARTICIPANTS
(Target Group)
1/
i'
MEDIA
(Methods)
MESSAGE
(Syllabus)
VISUAL ARTS
Mothers
Flash Card
Mother Care
Children
Flannal Graph
Child Care
Women’s Forum
Games
Geriatric Care
Night School
Fixographs
Women Health
Sarva Seva School Children
PERFORMING ARTS
School Health
Govt. SChool
Traditional
Environment
Promotion
Village Health Committee
Skits
Grama Sabha
Role Play
Household Energy
Village Assembly
Drama
Sanitation Barrier
Dais
Puppet Show
Nutrition and Diet
Animators/VHV
"Villupattu"
Primary Prevention
Health Worker
"Therukkoothu"
Secondary Prevention
Tertiary Prevention
Non-Traditional
Communicable
Diseases
Slide Show
Prevention of
Blindness
Vedio Show
Cinema
Deficiency
CONSCIENTISATION
CONTENTS
1
PAGE
2.1
AMONG WOMEN
38
2.2
AMONG CHILDREN
39
2.3
AMONG VILLAGE COMMUNITY
40
2.4
AMONG VILLAGE HEALTH VOLUNTEERS
41
37
2.1 HEALTH EDUCATION AMONG WOMEN
TARGET GROUP
MESSAGE
Women’s Forum
Physiology of Mensturation
Pregnant and
Lactating Mothers,
Physiology of Conception
LITERATURE
ASSEFA Manual on 'Maternal
Care'.
Physiology of Parturition.
ASSEFA Booklets/Phamphlets.
Adolescent Girls,
Scince of Spacing,
Village Health
Committee Members.
Contraception.
Pages 99 to 365 (Chapter
19,20) from Where There is
No Doctor.
Antenatal Care
Perinatal Care
Postnatal Care
Booklets By Kalvi
Gopalakrishan - Abirami
Publications.
Books By 'Medical Team*
New Centuary Book House.
Infant Feeding
Breast Feeding
Diarrheoa in Children
Respiratory illness
in Children
Immunisation
Oral rehydration
Supplimentary Feeding
Growth Monitoring and
promotion
Six Killer diseases
Women’s diseases
Smokeless Chula
Backyard Horticulture.
Household Lavatory.
Composting
Soakpit
38
Mid-wifery booklet in
Tamil.
2.2 HEALTH EDUCATION AMONG CHILDREN
TARGET GROUP
MESSAGE
Night School Children
Personal Cleanliness
Sarva Seva School
Children
Elementary Anatomy,
Physiology
Govt. School Children
Nutrition and Diet
Most Common Diseases
among School Children.
Six Killer diseases
School Garden
Waste Disposal
Potable Water
Food Hygiene
LITERATURE
ASSEFA Manual on
School Health Programme.
ASSEFA Pamphlets/Booklets.
Pages 122 to 129 on
"School Health” in
'Childhood diseases and
child welfare' by
Dr. Chandra
Pages 357 to 387 in
'Where there is No
Doctor'. (Tamil Version)
Booklets by "Kalvi
Gopalakrishnan”
-Abirami Publications.
Balanced Food.
Environmental Health.
"Kutty Doctor” Posters
- Emma Publications.
Lavatory/Urinal
Literatures by
TINIP.
’’Bethiyin Sethi” - Tamil
version of Dialogue on
Diarrhoea' - by RHUSA,
Vellore.
’’Nail Vazhi”, P.B. 35
Pune 411 001.
39
2.3 HEALTH EDUCATION AMONG VILLAGE COMMUNITY
TARGET GROUP
LITERATURE
MESSAGE
Village Community,
Village Sanitation
ASSEFA Pamphlets/Booklets
Village Health
Committee,
Composte Making
ASSEFA Manual on ’’Environment
Promotion, Curative Programme".
Grama Sabha,
Bio Gas
Booklets by "Kalvi Gopalakrishnan"
Club
Lavatory
Youth
Soak Pit
Booklets by ’Medical Team'.
- New Centuary Book House.
Sanitation Barrier
Relevant Pages in the Book
Where there is no Doctor.
Ideal Well
Hand Pump
Maintenance
Bulletin "Nam Nalampera"
By Emma.
Literature from TINIP/DANIDA.
Community Garden
Water, borne diseases
Air borne diseases
Vector borne Disease
Communicable disease
Viz., Leprosy,
Tuberculosis, Sexually
Transmitted Diseases.
40
2.4 HEzXLTH EDUCATION AMONG HEALTH VOLUNTEERS
I
I
TARGET GROUP
i
MESSAGE
(Training Content)
LITERATURE
Dai
Environment Promotion
ASSEFA Pamphlet/Booklets
Animator
Village Sanitation.
Village Health Guide/
Village Health Volunteer.
ASSEFA Village level
Programme Manuals.
Portection of drinking
water source.
Germ concept of
diseases.
Control of
Communicable Diseases
Maintenance of Medical
Kit.
ASSEFA Question Bank
for VHG/MPHW training.
"Childhood Diseases and
Child Care" by Dr. Chandra
by New Centuary Book House
Communicable Diseases by
Dr. Natarajan
by Abirami Publications.
Referal Aspects
Maternal Care
Child Care
Relevant Pages in the
Book Where there is no
Doctor, (in Tamil)
by Cre-A Publications.
Prevention of Blindness
Vit.A, Deworming
prophylasis
Mid Wifery Notes (in Tamil)
by Corner Stone Printers,
Bangalore.
Health Communication
Methods/Media and
syllabus.
Maruthuva Thathiar Kaiyedu
by DANIDA
TINIP/ICDS For Health
Education Resource
Materials
DAI’s Training through
PHC/D.H.Q. hospitals.
41
3) PREVENTIONAL PROGRAMMES
I
•k
ASSEFA FOLLOWS TRI-PRONGED PREVENTIONAL STRATEGY TO TAKE CURATIVE CARE
TO PEOPLE'S DOOR STEP. ALL PRIMARY PREVENTIONAL PROGRAMMES ARE CARRIED
OUT WITH ACTIVE INVOLVEMENT OF VILLAGE HEALTH COMMITTEE AND PEOPLE'S
PARTICIPATION. ALL THE SECONDARY, TERTIARY PREVENTIONAL PROGRAMMES ARE
CARRIED OUT WITH THE HELP OF OTHER N.G.O. AND GOVT. HEALTH CARE AND
REHABILITATIVE UNITS FUNCTIONING IN RESPECTIVE AREAS.
42
PREVENTIONAL PROGRAMMES
AN OUT-LINE
PRIMARY
PREVENTION
SECONDARY
PREVENTION OF
TERTIARY
PREVENTION
Maternal Care
Tuberculosis
Rehabilitation
of
Blind, Deaf
and Dumb
Infant Care
Leprosy
Underfive Care
Sexually Transmitted
Diseases
Mentally
Handicapped
School Health
Other Endemic diseases
Physically
Handicapped.
Women Health
Endo, Ecto para. ..tosis
Geriatric Care
Opthalmic Care
Micro Nutrient Deficiency
Viz., Vitamin-A Deficiency
Anaemia, Angular
Stomatitis
Mental Health
Mental Illness
Growth Promotion
, 43
PREVENTIONAL PROGRAMMES
CONTENTS
PAGE
3.1) MATERNAL CARE
45
3.2) GROWTH MONITORING AND PROMOTION
47
3.3) SCHOOL HEALTH
49
3.4) WOMEN HEALTH
50
3.5) GERIATRIC CARE
51
3.6)
PREVENTION OF BLINDNESS
52
3.7)
COMMUNICABLE DISEASE CONTROL
54
3.8)
PARASITE CONTROL
55
3.9)
MENTAL HEALTH
56
3.1) MATERNAL CARE PROGRAMME:
3.1.1) COMPREHENSIVE MATERNAL CARE PROGRAMME IS INTRODUCED THROUGH A PREDESIGNED CARD / village manual to meet the needs of pregnant and
lactating mothers.
3.1.2) At this stage it is important that THE FEMALE HEALTH WORKERS ARE
TRAINED BOTH AT THE PROJECT OFFICE (theoretical aspects) AND IN THE
FIELD
(practical aspects) BY HEALTH PROFESSIONAL
(consulting
physician) to effectively carry out all the components of the
programme.
I
I
3.1.3) THE
i)
ii)
iii)
OBJECTIVES OF THE PROGRAMME IS
TO REDUCE THE MATERNAL AND PERINATAL MORTALITY.
TO REDUCE MATERNAL AND CHILD MALNUTRITION.
TO REDUCE MATERNAL AND CHILDHOOD ANAEMIA.
iv) TO REDUCE THE NUMBER OF CHILDREN BORN BELOW 2.5 KG. BIRTH WEIGHT
v) TO
UPDATE MOTHER’S KNOWLEDGE and modify/reinforce
her
attitude and practice towards breast feeding/infant feeding,
birth planning and Family Welfare.
(20)
3.1.4) MOTHERS AT VILLAGE LEVEL MUST BE MADE TO ACCEPT IT As THEIR
PROGRAMME, designed to improve the health status of their progeny.
Besides, THE COST EFFECTIVENESS OF THE APPROACH MUST BE EXPLAINED TO
THEM.
3.1.5) MOTHERS ARE ASKED TO C
------- RS.5/- at the time of registration,
CONTRIBUTE
(MATERNAL CARE INSURANCE SCHEME) and thereafter Rs.1/—• every month
towards the services that they receive. The amount thus collected
goes to the Village Health Committee Fund, which could be utlised at
times of health emergency as interest free loans.
3.1.6) WOMEN CO-OPERATIVES COULD BE FORMED TO PREPARE LOW COST NUTRITIONAL
MIX to be supplied to undernourished mother and children. This might
serve as an interlink (INTER SECTORAL COORDINATION) between women
development
(IGP) programmes and nutrition promotion in
the
community.
3.1.7) MEANWHILE THE HEALTH PROFESSIONAL, with the assitance of Health
Programme Organiser shall DEVELOPE ’’GOAL SPECIFIC INDICATORS” on
maternal mortality, Perinatal mortality, Incidence of Low Birth
Weight, Maternal Anaemia etc. which is collated and
processed.
i
’INTELLIGENCE’THUS DEVELOPED IS NOT ONLY SHARED WITH THE HEALTH TEAM
BUT ALSO WITH THE MOTHERS in a way comprehensible to them.
3.1.8) For universal immunsiation of all Pregnant .--’others, the assistance
and resource of Government Health Care Services may be taken.
20) At present about 20 to 30% children born weigh below 2.5 Kg.
45
SOURCE OF LITERATURE:
CONTACT
1) ASSEFA programme manual on
'Maternal Health'.
ASSEFA, 279 Avvai Shanmugam Road,
Royapettah Madras 600 014.
LIVIA, 83, Sapthagiri Apartments,
T.T.K. Road, Madras - 600 018.
2) "Udar Koorum Udar Room iyalum"
Anatomy and Physiology
Corner Stone Printers,
Venkateshpuram, Nagawara Main Road,
Arabic College Post
Bangalore 560 045. Tel. 566938.
- Mid-wifery Notes
3) "Maruthuva Thathiyar Kaiyedu”
Practical Guide-cum-Manual for
DAIs. - DANIDA
Danida Health Care Project,
Kuralagam, Madras - 600 108.
4) Chapters 19 and 20 (Pages 299 to
356) of the book Where There is
No Doctor. (’’Doctor Illatha Idathil)’’.
Cre-A, Publications,
268 Royapettah High Road,
Madras - 600 014.
5) "Karpinigal Gavanathirku"
(For The Attention of Pregnant
Mothers.) - prepared by Emma for
DANIDA
Emma, 32 Collge Road,
Nungambakkam,
Madras - 600 006.
46
3.2) GROWTH MONITORING AND PROMOTIONAL PROGRAMME:*
3.2.1) THIS IS AN IMPORTANT COMPONENT OF CHILD SURVIVAL STRATEGY, which
could be used as an entry point for health care programme, AROUND
WHICH WHOLE PACKAGE OF PRIMARY HEALTH CARE ACTIVITIES COULD
REVOLVE.
3.2.2) The single, most important aspect of this programme is that IT
NECESSIATES MEETING OF THE MOTHER AND CHILD EVERY MONTH REGULARLY
WITH
THE HEALTH WORKER, THERE BY A CONTINUOUS PROCESS
OF
INFORMATION SHARING IS INITIATED.
3.2.3) THE
HEALTH PROFESSIONALS, MUST
UNDERSTAND THE
IMPORTANCE,
IMPLICATIONS, LIMITATIONS AND DRAWBACKS OF THIS PROGRAMME, before
proceeding to train the health workers. (Refer Indian Journal of
Paediatrics Jan.
Feb. 1988 supplement)
3.2.4) THE HEALTH WORKERS MUST BE PERIODICALLY TRAINED depending upon the
feed back from the field and the perception
of the mothers
concerned.
3.2.5) THE SUCCESS OF THE PROGRAMME LIES IN THE PARTICIPATION OF 'WOMEN
IN THE WHOLE PROCESS, and in the end they themselves carry out the
programme with the help of village Health Guide, when the female
health worker could phase out from the area to extend her services
to contiguous areas.
(21)
3.2.6) THE MOST COMMON PITFALLS TO BE AVQIDED IN GM/P. ARE
i) Mother viewing ’ROAD TO HEALTH CARD' AS
RATION CARD to get nutritive mix.
ii) WRONG
FOCUS OF AGE ie., Focus on the
A
KIND
OF
child
after
2 years.
ill) GIVING IMPORTANCE TO NUTRITIONAL STATUS and not on
direction of "growth curve", (ie., weight gain)
the
iv) NEGLECTING THE HEALTH EDUCATIONAL COMPONENT.
v) NEGLECT OF REFERAL ASPECT.
3.2.7) For Universal Primary Immunisation of all infants, the resources of
Government Health Care Services must be tapped.
21) Reference :Symposium: Growth Monitoring and Promotion: An International
perspective, INDIAN JOURNAL OF PEDIATRICS, Jan-Feb 1988, Suppliment
Vol.55. No.l.
47
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Progamme Manual on
"Growth Monitoring and Promotion".
ASSEFA, LIVIA
2) “Sugathara Adipadail Valarchiai
Kankanithal” (Health and Growth
Promotion) Bulletin by RHUSA.
Dr. Rajarathinam Abel,
Head of RHUSA Dept., Christian
Medical College & Hospital,
RUHSA Campus P.O. - 632 209,N.A. Dt.
3) "Kulzhandai Paruva Noigalum,
Kulzhandai Nala Pathukappum"
(Childhood diseases and Child
Welfare by Dr. Chandra.)
New Centuary Book House,
136, Anna Salai,
Madras 600 002.
4) "The book Doctor Illatha Idathil"
(Where There is No Doctor)
Chapter 21 (Pages 357 to 371)
Cre-A, Publications, Madras.
5) Booklets/Literatures by ICDS/TINIP.
TINIP,570 Anna Salai, Madras-2.
43
3-3 SCHOOL HEALTH PROGRAMME
*
OBJECTIVES
PRIMARY
i) To enhance learning capacity of a child.
ii) To provide conducive, hospitable learning environment to the child.
iii) To form 'School Health Committee', who shall carry out the School
Health Programme (CHILD to CHILD Programme).
SECONDARY
i) To reduce the morbidity among school children.
ii) To enhance the nutritional status of School Children.
iii) To conscientise School Children on personal hygiene, environment
promotion.
TERTIARY
i) To create a model environment in the school itself with pupil
participation.
ii) To establish methods of 'Safe Disposal of Waste' in the school
premises.
iii) To establish a referal care system for those problems that are
not managable at school.
CONTACT
SOURCE OF LITERATURE
LIVIA
1) ASSEFA Progamme Manual
on 'School Health'
ASSEFA,
2) ASSEFA Booklets /Pamphlets.
ASSEFA, Sarva Seva Achagam.
3) "Palli Chirar Nalam" - Pages:
122-128 of the book ’’Childhood
diseases and Child Welfare"
by Dr. Chandra.
New Centuary Book House, Madras
4) Literatures by TNVHA.
TNVHA,
31 Mandapam Road, Kilpauk Garden,
Madras - 600 010.
* Refer Section III (Annexure 1) of Field Office Manual.
49
3.4 WOMEN HEALTH
OBJECTIVES
PRIMARY
i) To conscientise women on their own body in illness and health.
ii) To give information and knowledge on physiological events like
mensturation, conception, parturition etc.,
iii) To address the health needs of women collectively through women’s
forum.
SECONDARY
i) To assess the ’Felt need of Women' with regard to women health and
diseases.
ii) To train village level workers to identify and treat women health
problems.
iii) To identify and refer for those problems that are not managable
at village itself.
TERTIARY
i) To create awareness on and early identificatin of Cancer of Breast,
Cervix and uterus.
ii) To creat awareness on and treatment of anaemia among women.
iii) To increase accessibility to nutritious food at home.
CONTACT
SOURCE OF LITERATURE
LIVIA
1) ASSEFA Progamme Manual on
’’Curative Programme'
ASSEFA,
2) ASSEFA Pamphlets and Booklets.
ASSEFA, Sarva Seva Achagam.
3) Pages 291 to 296, 343 to 356 of
Crea-A Publications.
the book "Doctor Illatha Idathil".
(Where there is no Doctor).
New Centilray Book House, Madras.
4) Booklet on 'Women Health* by
Dr. venkatasamy et al.
50
3.5 GERIATRIC CARE:
OBJECTIVES
1) Prevention of Blindness amond elders.
2) Prevention of Communicable Diseases among elders.
3) Prevention of deficiency disorders among elders.
4) Promotion
of Mental Health among elders.
5) Early detection and management of Organic Brain Syndrome.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Progamme Manual on
"Curative Programme”
ASSEFA,
2) "Mana Noiyum Indraiya
Maruthuvamum” (Mental Health)
By Dr. 0. Somasundaram.
New Centurary Book House, Madras.
3) Aravind Eye Hospital Materials.
Aravind Eye Hospital, Madurai.
4) Relevant pages in the book
’’Where there is no Doctor”
(in Tamil).
Cre-A Publication, Madras.
LIVIA
0^7^^
zo' r
°(
7
51
ANO
> roeCUMcNTATK>N )
UNH
3.6 PREVENTION OF BLINDNESS
3.6.1) AMONG CHILDREN
OBJECTIVES:
PRIMARY:
1) To prevent blindness among children due to Xeropthalmia
(Vit.A Deficiency)
2) Early identification and treatment of Xeropthalmia.
3) Prophylactic administration of Vit.A (2 Lak. Units) to all
children between 12 to 60 months twice yearly.
SECONDARY:
1) To deworm all children in the age group of 12 to 60 months,
twice yearly.
2) To immunise all children between 9/12 to 1 year with measles
vaccine.
3) To educate mothers on the importance of feeding colustrum.
TERTIARY:
1) To increase Vit.A intake in the community.
2) To promote ’Backyard Horticulture’.
3) To promote pisciculture.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Progamme Manual on
'Growth Monitoring and Promotion'.
ASSEFA,
2) ASSEFA Booklets /Pamphlets.
ASSEFA, Sarva Seva Achagam.
3) Booklets by "Kalvi Gopalakrishnan"
Abirami Publications.
307 Linki Chetty Street, Madras-1.
4) Relevant pages in "Where there is
No Doctor "Doctor Illatha Idathil"
Cre-A, Publications, Madras.
5) "Palli Chirar Nallam" Pages:
122-123 of the book "Childhood
diseases and Child Welfare"
by Dr. Chandra.
New Centuary Book House, Madras.
6) TINIP/ICDS Literatures.
TINIP, Madras.
52
LIVIA
3.6.2) PREVENTION OF BLINDNESS AMONG ELDERS
OBJECTIVES
i) To prevent blindness due to cataract.
ii) To identify early cataract.
iii) To offer timely surgery
iv) To provide corrective glasses.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Manual on ’Curative
Programme’
ASSEFA
2) ASSEFA Booklets /Pamphlets /
Publications.
ASSEFA /Sarva Seva Achagam.
3) Aravind Eye Hospital Literature.
Aravind Eye Hospital
1, Anna Nagar,
Madurai - 625 020.
4) Relevant Pages in the book "Where
there is No Doctor"
(Doctor Illatha Idathil).
Cre-A, Publications, Madras.
& LIVIA
TO CONTACT DISTRICT LEVEL GOVERNMENT OPTHALMIC SURGEON, BLOCK DEVELOPMENT
OFFICES AND OTHER VOLUNTARY EYE HOSPITALS (EG. ARAVIND :EYE HOSPITAL,
MADURAI, ST. JOSEPH’S HOSPITAL, TRICHI) WHO HAVE SET ANNUAL. TARGETS FOR
CATARACT SURGERY.
53
3.7) COMMUNICABLE DISEASE CONTROL
OBJECTIVES
PRIMARY:
i) To reduce morbidity, mortality due to communicable diseases.
Viz., T.B., Leprosy and 'Sexually Transmitted Diseases’.
ii) Early identification and treatment.
iii) Referal of all suspected cases to District level Govt.
Quarters Hospital / Medical College Hospitals.
Head
SECONDARY:
i) To educate the community on prevention of communicable diseases.
ii) To attempt at behaviour medication viz., not spitting in public,
using condom, stop smoking etc. ,
iii) To make people realise the importance of appropriate treatment in
adequate dosage for required number of days.
TERTIARY:
i) To emphasise the importance of Water Sanitation and Sanitary disposal
of waste in control of communicable diseases.
ii) To make people understand the relationship between vector borne
diseases and village sanitation.
iii) To consientise people on the importance of ’Sanitation barrier’,
(eg. the role of lavatory) in preventing 70% of communicable diseases.
SOURCE OF LITERATURE
CONTACT
1) ’Thottru Noigal’ by Dr. K.
Natarajan.
Abirami Publications, Madras.
2) Series of books on Health by
Dr. Venkatasamy et al
New Centuary Boole House, Madras.
3) Booklets by "Kalvi Gopala
Krishnana"
Abirami Publications, Madras.
4) Health Educational Materials
by communication cell.
C.M.C. Vellore.
5) Health educational Materials.
Sanitation Faculty, Gandhigram.
54
3.8 PARASITE CONTROL
OBJECTIVES
PRIMARY
i) To reduce morbidity due to ectoparasitic diseases like Scabies,
Pediculosis and Fungal Infection.
ii) To reduce morbidity due to endo parasitic illness like Malaria,
Filaria, intestinal worms, etc.,
iii) To curtail vector-breeding
diseases.
(eg. Flies, Mosquito) which spread
SECONDARY
i) To reduce mandays lost due to endoparasitic illnesses.
ii) To reduce incidence of Malnutrition due to intestinal
parasitosis.
iii) To establish prophylactic programmes to curtail the incidence
of endo, ecto parasitosis, eg., Chloroquin Prophylaxis,
Prophylactic deworming.
TERTIARY
i) To promote sanitory disposal of solid wastes to avert breeding
sites.
ii) Proper disposal of sullage water to avert breeing sites.
iii) To conscientise people on the role of 'environmental sanitation’
in parasite control.
SOURCE OF LITERATURE
C O'N T A C T
1) ASSEFA Manuals on "Environment
Promotion’ and "Curative
Programme"
ASSEFA,
2) Booklets by "Kalvi Gopalakrishnan”
Abirami Publications, Madras.
3) Relevant pages from the book
"Where there is No Doctor"
(Doctor Illatha Idathil)
Cre-A Publications, Madras.
4) Books/Booklets by Dr.Venkatasamy
et al.
New Centuary Book House, Madras.
5) Health Educational Materials from
C.M.C., Vellore,
Sanitation Faculty,
Gandhigramam.
55
LIVIA.
3.9 MENTAL HEALTH
OBJECTIVES
PRIMARY
i) Early identification, referal and treatment of psychological
problems.
ii) To dispel the myths on mental illnesses.
iii) To curtail overt dependance on magico-religious treatment
for mental illness.
SECONDARY
i) To conscientise people on the ill effects of alcohol and other
dependance forming drugs.
ii) To dispel the stigma attached to mental illness.
iii) To rehabilitate mentally ill.
TERTIARY
i) To inform people on primary prevention of mental retardation.
ii) To inform people on primary prevention of other psychiatric
disorders.
iii) To conscientise people on primary prevention of 'drug dependance’,
iv) To identify early and treat Epilepsy.
SOURCE OF LITERATURE
CONTACT
1) ASSEFA Progamme Manual on
"Curative Programme’
ASSEFA,
2) ASSEFA Pamphlets/Booklets.
ASSEFA/Sarva Seva Achagam.
3) "Mana Noiyum Indraiya
Maruthuvamum" (Mental Health)
New Centurary Book House, Madras.
56
LI VIA
SECTION III
ANNEXURE
CONTENTS
PAGE
I
I
I
1) SCHOOL HEALTH PROGRAMME.
60
2) JOB SPECIFICATION
71
3) QUESTION BANK
80
4) ADDRESSES
88
i
II
58
ANNEXURE 1
SCHOOL HEALTH PROGRAMME
*
*
SCHOOL HEALTH PROGRAMME1, AS OUTLINED HERE, HAS EVOLVED OUT OF 3 YEARS
OF EXPERIENCE OF EXCLUSIVELY EXPERIMENTING IN SCHOOL BASED COMMUNITY
HEALTH IN 28 SARVA SEVA SCHOOLS IN MADURANTHAGAM.
59
I
1) IMPORTANCE
1.1) ACCESSIBILITY:
THE CHILDREN ARE AVAILABLE DURING THE DAY , for substantial number of
days (minimum of 200 to 250 days) in an year, and HENCE THE HEALTH
WORKER CAN SAVE THEIR VALUABLE TIME, AND RENDER HEALTH CARE BETTER
(TIME EFFECTIVE)
1.2) CATCHMENT POPULATION:
As one segment 3Ge population, of SAME AGE GROUP (Pre School - 3 to
5 and Primary School 6 to 10 years) WITH SIMILAR HEALTH PROBLEMS
AVAILABLE AT ONE PLACE, the task of health worker is simplified
children get benefitted most.
ARE
and
1.3) AS A PREVENTIONAL STRATEGY:
Many serious DISABILITIES OF CHILDHOOD COULD BE PREVENTED when a
Comprehensive School Health Programme is implemented, as
■<
it encompases
all levels of prevention. (PRIMARY, SECONDARY, TERTIARY).
1.4) ENHANCEMENT OF LEARNING ABILITY:
THE CHILDREN WHEN FREE OF DISEASE, AND WHEN THEIR NUTRITIONAL STATUS
IS IMPROVED HAS BETTER ABILITIES TO GRASP AND IMBIBE: KNOWLEDGE, for
the functional efficiency of brain neuronal cells which
i
forms the
basis for learning, is directly proportional to the nutritional
status.
1.5) BEHAVIOUR MODIFICATION PROCESS:
AS
THE HEALTH KNOWLEDGE GIVEN TO THE STUDENTS AT YOUNGER AGE, IS
GOING TO BE THE BASIS FOR THEIR ATTITUDE AND BEHAVIOUR TOWARDS THEIR
OWN
BODY AND HEALTH as adults, the teacher and health worker mus t
formulate a strategy of health education in schools.
1.6) AS A BONDING PHENOMENA BETWEEN STUDENT / TEACHER./ PARENT
When THE A TEACHER, in cooperation with health worker, PLAYS THE ROLE
OF ’HEALER’, A RAPPORT IS BUILT
between the child, parent, and the
community.
1.7) PLAY / RECREATION
/ HEALTH
The school health programme shall also plan for ENHANCEMENT OF MOTOR
SKILLS / AND ABILITY, by recommending / adapting appropriate play for
respective age groups.
1.3) LEARNER DESERVES, TEACHER DUTY BOUND.
THE LEARNER DESERVES A HilALTHY ENVIRONMENT, to maximise their learn
ing and THE TEACHER / EDUCATOR IS DUTY BOUND TO GIVE BETTER HEALTH to
each and every child, — for without optimum health, the efforts of the
teacher at educating the child might become tougher due to sub—average
intelligence and resultant poor/low ability to grasp.
60
2) COMPONENTS
The following may form part and parcel of school health programme in ASSEFA
Schools:
I) NUTRITION BETTERMENT.
II) CONTROL OF PARASITIC DISEASES
III) CARE OF SPECIAL SENSE ORGANS.
IV) EDUCATION ON FUNDAMENTALS OF HEALTH.
V) HYGIENIC SCHOOL ENVIRONMENT
VI) NUTRITIVE GARDENING AROUND SCHOOL.
VII) PERSONAL CLEANLINESS - CHILD TO CHILD PROGRAMME.
VIII) SAFE DISPOSAL OF HUMAN WASTE.
IX) LEARNING THROUGH PLAY AND PRAXIS.
X) PERIODIC CURATIVE AND REFFERAL SERVICES FOR COMMON
AILMENTS.
While the above may take care of physical health, prayer, meditation
nd yogasanas shall be promoted to enhance mentalhealth, PLAY and
praxis towards the afternoon not only BREAKS THE MONOTONY OF VERBAL
LEARNING but also encourages children towards promoting inter-personal
-communication,
group
activity, learning skills,
and
infuse
leadership qualities.
61
3) FUNCTIONS OF SCHOOL HEALTH TEAM/COMMITTEE
PRIMARY LEVEL
TEACHERS
PARENTS
CHILDREN
ANIMATORS
(Health/Education)
i) Education on health
and personal Hygiene.
i) Educational measures
amidst members of mathar
mandram.
i) Personal cleanliness
- Child to Child Programme.
i) Dissemination of
education on health in the
community.
ii) Observe health day
every week
ii) Follow up of medication at
home
ii) One afternoon in turn
for occupational skills
participation.
ii) Integration of
night school and
regular school
iii) Environmental sani
tation around school
iii) Assistance in nutritive
gardening around school.
iii) Maintenance of
Lavatory, garden
in turns.
iii) Follow up of
medication
iv) Follow up of medica
tion and maintenance
of individual health
record.
iv) Cooperate in activities
like, immunisation,
periodic deworming and
vit. A administration.
iv) Mutually inspecting
for minor ailments,
child to child,
programme.
iv) Notification
of minor ail
ments to health
workers.
v) Inspection of children
for minor ailments weekly and notification
v) Following up referal
Programme.
v) Nail clipping on
weekly health
period.
v) Assisting in the
referal programme.
6a
FUNCTIONS OF SCHOOL HEALTH TEAM/COMMITTEE
SECONDARY LEVEL
HEALTH WORKER
I) Monthly/Fortnightly School visit
ii) Identification and treatment of minor
ailments.
iii) Maintenance of school medical kit.
iv) Maintenance of individual health record
at each school.
v) Periodic prophylactic dewormingJ and vit.A
administration, Iron, Calcium, Riboflavin
adminiss tration.
vi) Conduct immunisation camp physical checkup
with assistance of local PHC.
vii) Education on Nutrition, Common parasitic
diseases, communicable diseases, care of
special organs, and personal cleanliness,
Environment Hygiene.
viii) Promotion of environment in the school
campus.
COMMUNITY WORKER
i) Assist in maintenance of environmental sanitation
at school.
ii) Active partlcipaton in nutritive gardening at
school.
iii) Assist in the development of vocational
skills at school level.
iv) Notification of health problems among school children
to the
health worker.
nc xc :s )F SC OC. LJAx-TH rE^M / GJMiiIliEh
TERTIARY LEVEL:
programme
HEALTH
associates
EDUCATION
i) Monitoring evaluation of health
worker's visit to school
ii) Monitoring the health records
records of
of
individual child, drug inventory.
lii) Reporting, cluster level to the
project Incharge.
v) Establish a referral system with
locally available specialists.
1)
i) Evolve a syllabi on health for
different age group.
ii) Integrate, mathar mandram and
village health committee, in
providing education on health to
the community.
lii) Integraton of night school with
regular school.
iv) Enlisting active collaboration
with primary health centre
towards universal immunisation
of all school children.
The PROJECT INCHARGE shall guide,
prime tasks shall be:
COMMUNITY DEVELOPMENT
iv) Use of drama, p
--puppetry,
video,
slide shows towards imparting
health education.
i) Offering guidliness to maintain school
garden.
ii) Monitoring environmental hygiene
school level..
iii) Integration of ggramsabha village
health committe in SHP.
iv) Active integration of parents
association with SHP.
administer and evaluate at all levels in the above
mentioned functions.
Overall
Some of
his
manitoring, evaluating and planning.
ii)
of the unique needs of the project based
lii)
Link up with head office towards
streamlining the school health programme.
iv) Organising twice yearly physical check
up for each child- by physician.
at
4) SCHOOL HEALTH PROGRAMME
SI.No.
- AN ACTION PLAN
Activities
Personale
Responsible
Time Frame
Resource
Materials
I. PROVISION OF INFRA-STRUCTURE
1. NUTRITIVE GARDENING
Objective: To enhance the skills
of the child, in gardening and to
emphasis the role of school
gardening in improving nutritional
s tatus.
Children,
Village Health guide,
Community Worker,
Animator, Teacher.
Each child may get chance
twice a week in the after
noon to learn gardening.
Bucket, Spade,
Manure, Seedlings,
Seeds etc.
Children, Community
Worker, Village Health
guide, MPHWs., Teacher.
Each child gets a chance
to clean the lavatory,
sweep the surroundings
twice a week.
Brooms, disinfec
tant, water
source etc.,
Community Worker,
Grama Sabha Members,
Teachers, Student
leaders, Programme
Associates (Edn.)
Earliest possible time
good ground
water level,
Tank with pipe
outlets, pumpset
etc.
2. ENVIRONMENTAL SANITATION
Objective: To make the child realise
the importance of clean surrounding
in promoting health.
3. POTABLE WATER
Objective: To provide perennial
water source to the school,
preferably a well with overhead
tank and one pipe outlet per
25 to 30 children.
C C
4) SCHOOL HEALTH PROGRAMME
SI.No.
C C C C C q, q
- AN ACTION PLAN (Cont...)
Activities
Personale
Responsible
Time Frame
Resource
Materials
4. PLAY GROUND
Objective: To provide opportunity
for students to mingle and indulge
in group activity like play, to
enhance learning by praxis, improve
physical capabilities, to promote
commeraderie.
Students, Teachers,
Physical education
Instructor,
Programme Associate
(Education)
Each child gets chance
to indulge in play
activity or vocational
skills on alternative
days.
Play materials,
Maize, Open place
around school.
5. SCHOOL STRUCTURE
i
To provide a place for learning
scientifically designed, keeping
in mind the floor space per child,
ventilation, lighting etc.,
Members of Grama Sabha,
IWithin
” ” * 1-2
' “ years of
Programme Associate(Edn.) establishingJ a school
Project Incharge,
with a strength not
Engineer.
less than 30.
Labour Contribution
by people, school
site donated by
people, part of
other materials for
construction by
contribution.
SCHOOL HEALTH PROGRAMME - AN ACTION PLAN
SI.No.
II.
Activities
Personale
Responsible
Time Frame
Resource
Materials
HEALTH EDUCATION
OBJECTIVES:
1. To promote educaton on health
by formal methods.
Teacher
1-2 Class/week
Charts, flip charts,
flannel card.
2. To evolve syllabus on commonly
occuring illness, personal
hygiene, care of special organs,
nutrition, mode of spread of
disease.
MPHW
2 Classes/month
Slide show and other
audio visual
equipments.
3. Child to child, Child to family
methods adopted to disseminate
education on health in the
community.
Child to child mutual
inspection for personal
hygiene.
Members of Mathar Mandram
or parents association.
Village health guide,
village cultural troupes.
On weekly health
day.
Monthly Meet
Once in a month.
Materials for
puppetry, drama,
skits etc.
)
>
73) Name the diseases caused by following organism ?
- Salmonella
- E.Coli
- Bordetella pertussis
- Trepanema Pallidum
74) How long to give breast feeds
75) Colostrum
76) Factors of 'Highrisk Pregnancy’
77) Slogan of 'Child Care'.
78) Types of Ulcer
79) 30 years old male with fever for 3days,
80) Methods of spacing.
81) Classification of Xeropthalmia
82) Urine Examination
83) Shall's Haemoglobinometer
)
84) Foetoscope.
83
What will you do ?
51) What is the measure of your normal ’foot step’ ?
52) How would you frame question in Tamil to collect data on immunization ?
53) How will you frame the question in Tamil to collect data on income
and social status ?
54) Role of Latrines in 'Community Health'
55) Composting is better than tipping and heaping. Explain.
56) When to Breast Feed, Why ?
57) Colostrum.
58) What will you ask the mother to ascertain whether the child is MR. ?
59) Treatment for Epilepsy ?
60) Treatment for Arthritis in old age ?
61) Anaemia in pregnancy.
62) Explain vicious cycle of malnutrition - diarrhoea poverty/ignorance.
63) ORS
64) What are the methods of purification of water.
65) ’Coliform test’
66) An immunization schedule should be restarted when the interval is
more than
- 1 Year
- 6 Months
- 2 Months,
- 8 to 10 weeks
67) Bitots spot alone is classified as
68) Phrynoderma
69) ’Rickets' occurs in:
- Vit.A deficiency
- Vit.D deficiency
- Diarrhoea
- Iron Deficiency
70) Vit.C containing foods
71) ASON
72) Treatment for Scabies
32
25) "Alcoholism is a factor of morbidity in the family" - Discuss.
26) What are the problems of elderly you can think of ?
27) Why should we take up the probem of elders as a priority next to
the paediatric age group ?
28) What are "routes of entry", give examples ?
29) How would you approach a person with fever ?
30) A person with loose stools - what are the poosibilities you think of ?
31) Advice a mother with an infant having diarrhoea
32) How would you motivate a person with cataract ?
33) Advantages of breast feeding to bottle feeding ?
34) Name organisms causing dysentry ?
35) Prevention of ’Brain Fever’
36) Short notes on ’Communicable Diseases’.
37) How will you calculate infant mortality of a population.
Mention its importance ?
38) Term delivery
39) Amenorrhoea
40) MTP
41) Stages of Labour
42) Viability
43) Role of DAI
44) Write few lines on infant mortality rate ?
45) When do you start breat feeding - Why ?
46) When do you start on "Semi-solids" - Why ?
47) What are ’factors of high risk pregnancy ?
48) In present area of allocation, what are the activities so far you
have taken up ?
49) Explain how will you proceeed to ask for IMR in Tamil ?
50) How would you enquire communicable disease in Tamil ?
81
QUESTIONS
1)
Aim in life.
2)
Purpose in present occupation.
3)
Why choose to work as Health Worker ?
4)
What are the important problems in Health you identify at
in the villages you have covered ?
5)
Riboflavin containing foods ?
6)
Bitots spots
7)
Treatment of night blindness ?
8)
What are the things you that occur to you on seeing a triangle ?
9)
Worm infestation prophylaxis.
present
10) What is an ideal drinking water well ?
11) What is the importance of composting ?
12) In public health engineering why should we take into account
type of fuel used in the household ?
the
13) Imagine you are explaining the importance of immunization
group of mothers, and write how would you proceed to :
to
14) Imagine you are explaining about the importance of safe disposal
night soil (human waste) to a group of village youtih and write how
would you proceeed to:
15) What is the slogan/principle in reaching villages ?
16) How much time you took to complete the proforma/family ?
17) Mention any specific difficulties you came across in the collection
of data family record.
18) Imagine you are visiting a village for the first time. How would
you initiate the process of data collection for family record.
19) Define an "Eligible Couple" ?
20) What is Cataract ?
21) What is the rationale of taking into account Ventilator in the
house in Publich Health Engineering ?
22) What is "Primary Immunization"
?
23) What are the causes of Anaemia ?
24) Why should we choose "Paediatric Population" as a priority in
therapeutic measures ?
30
a
J
ANNEXURE
3
QUESTION BANK
(For Training And Evaluating Village. Health Volunteers/Health Workers)*
i
*
THIS QUESTIONNAIRE EVOLVED OUT OF PRACTICAL EXPERIENCE, USED TO TRAIN,
EDUCATE AND EVALUATE ANIMATORS AND HEALTH WORKERS OVER A PERIOD OF 18
TO 24 MONTHS, (THROUGH FORTNIGHTLY MEETS) IN UTHIRAMERUR.
79
II
V) REMUNERATION:
a)
Any where between Rs.75 to Rs. 150 may be given
DEPENDING ON WORK LOAD INDIVIDUAL PARTICIPATION /
PROGRAMME THRUST unique to the project area concemed.
b)
For all practical purpose the
health/education
animator (or VHG) shall be GUIDED BY, AND IS ACCOUNTABLE TO THE WOMEN'S FORUM AND GRAM SABHA.
c)
The remuneration shall be ROUTED THROUGH 'WOMEN'S
FORUM' OR VILLAGE HEALTH COMMITTEE INITIALLY, Later
on when enough money accumulates in VILLAGE HEALTH
COMMITTEE, then it shall meet the same.
d)
In the long run, 'WHEN PHASING OUT PROCESS' BEGIN
THE HEALTH/EDUCATION ANIMATOR SHALL FUNCTION INDEPENDENTLY OF THE PROJECT LEVEL TEAM (with the periodic guidance and training from the project level
health team) accountable to the Women's Forum and
Village Health Committee.
78
C)x CONSCIENTISATION:
i)
Shall create awareness among people and motivate for
SAFE DISPOSAL OF NIGHT SOIL.
ii)
Shall create awareness on advantages
PIT, SOAKAGE PIT, and motivate people.
iii)
Motivate people and promote SMOKELESS CHULA, KITCHEN
GARDEN.
iv)
Promote ‘spacing births’, to postpone next child
birth untill the previous child goes to school.
v)
Create awareness on IMPORTANCE OF GIVING COLUSTRUM,
BREAST FEEDING, FEEDING SUPPLIMENTATION, IMMUNISATION, ORAL REHYDRATION THERAPY.
of
COMPOSTE
IV) LIASION WITH HEALTH WORKER (PROJECT LEVEL)
1)
animator
health
In
all the above areas the
(Syn.:VHG) shall SEEK THE ACTIVE HELP OF PROJECT
LEVEL HEALTH TEAM.
ii)
If the part-time health worker had been a practising
Dai' in the community (either trained or iuntrained)
she shall also FUNCTION AS A DAI, OFFERING! ’PERINATAL SERVICE'.
iii) If the part time worker is not taking up the job of a Dai, he/she
shall DOUBLE UP AS EDUCATION ANIMATOR, working towards •’UNIVERSAL
LITERACY”.
iv)
TO
The chief role of village Health guide shall be
the
to
THE
"FELT
NEEDS
”
OF
THE
COMMUNITY
APPRAISE
project level health functionaries as well as inform
people about all the components of ASSEFA’s Health
Programme.
v)
TO INTIMATE PEOPLE DOOR TO DOOR, ORGANISE AND ASSEM
BLE THEM AT ONE PLACE whenever there is a Health
Camp/Village Health Committee Meet/Health Consultant
visit etc.
77
xi)
To maintain "ASSEFA HEALTH SERVICE
REGISTERS”,
Manual I
: Environment Promotion
Manual II
: Health Education in the community
Manual III : Curative Programme
Manual IV
Manual
V
Manual VI
xii)
: Maternal Care Programme
: Growth Monitoring and Promotional
Programme
: School Health Programme (Wherever there
is ASSEFA school)
To maintain records pertaining to VILLAGE
COMMITTEE RESOLUTION AND FUND PARTICULARS.
HEALTH
B) DRUG DISTRIBUTION/KIT MAINTENANCE:
i)
to
IRON, FOLIC ACID, Nutrition supplimentation
pregnant mothers, and VITAMIN-'A for lacatating
mothers.
ii) Twice yearly DEWORMING (Tablet Mebendazole / Albendazole
for children between 12 to 48 months).
iii) Twice yearly Vit.'A. administration (2 lak. Inter
national Units) to children between 12 to 48 months.
iv) ORAL REHYDRATION sachets for needy.
v) MAINTENANCE OF FIRST AID KIT / minimum needs drug kit.
Viz. T.Paracetamal, T.Vitamin-C, T.Sulphadiazine,
T.Chlorpheniramine maleate.
FOR EXTERNAL APPLICATION:
Benzyle
Benzoate,
Whitefield
76
Ointment,
Furacin Ointment.
VILLAGE HEALTH GUIDE
(Syn. Health Animator)
I) SELECTION CRITERIA:
i)
Candidate
part-time
from the Village Community
worker intend to serve.
itself,
the
ii) Preferably 10th (S.S.L.C.) completed or atleast
standard.
Sth
iii) Female in the age group of 18 to 35.
iv) Preferably married
ID
with one or two children.
MAN HOURS / DAYS
i)
Shall give 1 to 2 hours
moming/evening or both.
ii)
3 to 5 days in a week as the work demands.
)
daily
either
in
the
iii) Other than the above, occasionally may have to help
the concerned Health worker as the situation demands.
)
III) JOB SPECIFICATION:
A) RECORD KEEPTING
i) Maintenacne of BIRTH, DEATH REGISTER.
ii) Maintenance of ELEGIBLE COUPLE REGISTER.
iii) Registration of PAEDIATRIC POPULATION
and notification of diseases to Full Time
Project level
health worker (FMPHW/MMPHW)
iv)
Record of UNDERNOURISHED CHILDREN, degree wise,
the children elegible to get nutritive mix.
v)
Registration of GERIATRIC POPULATION and
tion of diseases to Male MPHW.
vi)
Registration of PREGNANT MOTHERS and notification of
High Risk Mothers to Female Multipurpose Health
Worker (Project Level).
and
notifica-
vii) Maintenace of NUTRITIVE FOOD MIX, STOCK REGISTER,
and attendance register wherever the programme is
functioning.
viii) To maintain DRUG STOCK REGISTER, supplied to her/him.
ix)
To keep SEEDS/SEEDLINGS REGISTER, requirement and stock.
x)
To MAINTAIN HANDPUMP
updated by Male MPHW.
75
(CGT CARD)
which
shall
be
iv) To identify and treat micro nutrient deficiency diseases (viz.
Anaemia, Vitamin-/! deficiency) as well as prophylactically manage
the same.
v) To train the Female Multipurpose Health Worker to offer
Ante, Peri and Post natal care, conduct deliveries, identify
High Risk Mothers and refer when "hospitalised delivery care" is
warranted.
vi) To train Female Multi Purpose Health Workers in Growth Monitoring
and child survial strategies.
vii) To train multi purpose health workers to carry out curative programme
in "Sarva Seva Schools".
Ill) CURATIVE / CLINICAL SERVICES
i) To offer minimal curative services to paediatric, geriatric
age group in the village itself. (CAMP APPROACH)
ii) To offer curative services to pregnant women, either at Assefa
Mini Health Centres or in the household itself.
I
iii) To offer curative services to ASSEFA School Children, through
School Health Programme once an year.
iv) To offer clinical and diagnostic services to the Community
through strategically placed Mini Health Centres.
IV) CO-ORDINATION AND MANAGEMENT
i)
Co-ordination and integration of ASSEFA's Health Programme with
other ASSEFA sectors of development. (Education, Community
Development etc).
ii)
Co-ordination with local Government Health Services (Primary
Health Centre, District Head Quarters Hospital etc.)
iii) Co-ordination with other local NGOs rendering health care
services.
iv)
Development of a simple management system, managable by health
team at project level, and by the people at village level.
v)
Collation, interpretation of data and development of "Intelligence"
towards- effective monitoring of health programme.
vi)
Horizontal
and vertical communication of
"Informa tion
and
Intelligence," towards developing a concensus and elliciting the
active participation of health team and other sector supervisory
personnel, in all levels of planning and implementation of Health
Programme.
vii) To consult the Project Director and Programme Officers of other
sectors of development in all aspects of inter-sectoral coordination.
74
<
2) HEALTH WORKER
A) TO TRAIN MULTIPURPOSE HEALTH WORKER IN ENVIRONMENT PROMOTION
B)
i)
To identify the causative factors in the environment that is
conducive to ill health.
ii)
To bring about changes / modification in the environment
both at the household and at village level to promote
healthful living.
ill)
To provide safe and efficient energy source at household
level, ie. Smokeless Chula / Biogas / Solar Cooker.
iv)
To provide perennial safe drinking water for the village,
To repair handpumps, To make wells an ideal potable water
source.
v)
To provide resources at household level
nutritional status of family.
ie. Backyard Horticulture.
vi)
To provide means/methods of safe disposal of waste, especially
night soil. ie. building lavatories in the community.
vii)
To promote the environment in Sarva Seva Schools, in terms of
waste disposal, potable water, school kitchen/Dinning hall
hygiene etc.
to
improve
the
TO TRAIN THE MULTIPURPOSE HEALTH WORKER IN HEALTH COMMUNICATION
i)
To communicate effectively at village level, exclusive fora
such as Women's Forum, Youth Fourm, Village Health Committee
etc.
ii)
To use slide projector and other such audio visual methods
of communication.
iii)
To train the health workers to convey messages to the
community through traditional methods like puppetry, drama
role play etc.
iv)
To train health workers to impart specific health messages
to 'Sarva Seva School Children'.
C) TO TRAIN MULTI PURPOSE HEALTH WORKERS IN 'CURATIVE SKILLS'
i) To identify, diagnose, and treat (and refer when need
arises) diseases/problems among children, women and elders.
ii) To identify, refer and offer followup of treatment of
communicable diseases particularly Tuberculosis,
Leprosy, sexually trasmitted diseases.
iii) To identify treat (and refer when necessary) Endo, Ecto
Parasitic diseases ie. Helminthiasis, Scabies, Pediculosis.
73
D) TASKS OF HEALTH PROFESSIONAL
I) SYSTEM DEVELOPMENT
for the following programmes:
1) Maternal Care Programme
2) Growth Monitoring Programme
3) School Health Programme
4) Communicable disease control programme
5) Parasite disease control’-programme
6) Geriatric Care
7) Prevention of Blindness programme
8) Micro-Nutrient Deficiency reduction programme
9) Mental Health, inclusive of Alcoholism/Drug addiction
10) Micro / Macro level Environment promotion
11) Effective communication system at all levels both Vertical
and Horizontal.
12) To evolve a simple management information system with
people’s participation.
II) STAFF TRAINING
1) VILLAGE HEALTH GUIDE:
TRAINING VILLAGE HEALTH GUIDE:
i) To identify and treat most common
population.
ailments
of
paediatric
ii) To identify and treat most common ailments of geriatric age
group (above 60 years of age)
iii) To identify and treat most common diseases among women.
iv) To maintain a ’medical kit’ at village level.
v) To collect necessary / relevant data, and maintenance of
service register.
vi) To impart knowledge on when to refer for what kind of problem
to whom/where.
vii) To promote environment both micro and macro level.
viii) To assist project level health workers in implementation of all
health and related programme activities.
72
<
HEALTH CONSULTANT ROLE AS A COMMUNITY PHYSICIAN
A) QUALIFICATION
A qualified physician of any system of Medicine who had completed
5
years of study and one year of Compulsory Resident Rotatory Internship
(CRRI). A person with the a Diploma/MD in Child Health or Community
Medicine is prefered.
B) REMUNERATION / CONSULTANCY
i) In the first year of service Rs.ISO/- day shall be given .
ii) At the end of one year depending on the workoutput, involvement
etc. the consultancy could be raised by mutual aggreement.
iii) An additional allowance of Rs.100/- per month shall be given,
for each post graduate diploma/degree the person is holding.
iv) Actual field travel expenses shall be reimbursed.
v) Any other contigency that needs to be
decided upon by mutual agreement.
met, shall be
vi) The organisation shall desire atleast a 3 year period of
service from the health professional/consultant.
continued
C) MAN-DAYS / MAN HOURS
IN PRINCIPLE:
i) A health professional shall give 40 hours of workoutput in a
5 day week.
ii) He/She give one or two sessions in the night/late evening, towards
Health Education every week, in the villages other than routine work.
iii) He/She shall give one or two sessions early in the morning towards
monitoring
various programmes in the field level, eg.
Growth
Monitoring Programme, Antenatal Care Programme.
iv)
He/She shall conduct one or two training programmes
month other than routine work for Health Worker /
Animator / Teacher.
71
per
ANNEXURE
2
I
JOB SPECIFICATION
j-
*
THE FUNCTIONS AT DIFFERENT LEVELS IN THE HEALTH TEAM MUST
BE
DELINEATED. THE FUNCTIONS OF VILLAGE HEALTH VOLUNTEER (ANIMATOR) AND
THE HEALTH PROFESSIONAL ARE OUTLINED HERE.
70
SCHOOL HEALTH PROGRAMME
SI.No.
- AM ACTION PLAN
Activities
Personale
Responsible
Time Frame
Resource
Materials
3. PROMOTIVE ASPECTS:
i) IMMUNISATION:
Objective: to enlist active
cooperation of Primary Health
Centre in ensuring universal
immunisation in all schools.
ii) NUTRITION SUPPLEMENTATION:
To ensure protein, vitamin
enriched food with required
calories and to promote
education.
MPHW
Programme Associate
(Health , Edn.)
MPHW
Teacher, Students,
Mathar Mandram
Quarterly
One Mid-day Meal/
Twice Snacks and Milk
With Assistance
of PHC
Link up with ground
nut cake, Shakthimalt
manufacturing unit/
poultry, milch
animal beneficiaries.
school health programme - an action plan
Si.No.
ill.
Activities
,
Personale
Responsible
Time Frame
Resource
Materials
THERAPEUTIC PROGRAMME
1. CURATIVE MEASURES:
To treat common ailments like anaemia, Child to Child in
angular stomatities, Vit. A deficiency, identification
ear sepsis, dental carries, worm
Teacher - Inspection for
infestation, cuts and injuries,
common ailments.
parasitic, illnesses.
Health Worker
Weekly health day
Drug bank, First Aid
kit at school
Weekly health day
Monthly visit
Physician
Once in 6 months/quarterly
Teacher - follow up of
medication to notify
illness to MPHW
Weekly
2. PREVENTIVE MEASURES:
To prevent commonly occuring illness
through drugs, Integration of health
at family level.
Student - by sharing
knowledge with other
other members of family.
MPHW - Vit. A Adminis
tration.
6^
2 times/year
Drug Bank,
First Aid Kit.
1
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ANNEXURE
4
RESOURCE CENTRES/CONTACT ADDRESSES *
*
KINDLY MARK A COPY TO HEAD OFFICE, ASSEFA, WHENEVER YOU ARE CORRESuXlDING WITH OTHER ORGANISATIONS/AGENCIES, SO AS TO INITIATE / ENHANCE
FOLLOWUP ACTION, BESIDES HELPING TO AVOID DUPLICATION OF WORK.
33
ADDRESSES IN TAMIENADD
AVAILABLE RESOURCE
CONTACT
1)
Booklets on Health and
Community Development.
Abirami Publications.
307 Link! Chatty Street,
Madras - 600 001.
2) Aravinc Eye Hospital,
1, Anna Nagar,
Madurai - 625 020.
Referal centre for Cataract
Surgery, squint surgery and
all eye problems.
3) Auroville,
Pondicherry.
For rural energy systems.
4)
AFPRO Field Unit III,
69 Valluvar Street,
Tatabad,
641 012.
Coimbatore
Consultancy, Training and
Education on Environment
Sanitation.
5)
Arogya Agam.
Aundipatty - 626 512,
Madurai District.
For Educational Materials on
Leprosy.
6) Christian Fellowship Community
Health Centre and Christian Edn.,
Health e Development Society,
Santhipuram, Ambilikai - 642 612,
D.Q.M. District.
Training and educational centre
for Multipurpose Health Workers
and other para professionals.
7) The Director, Christian Fellowship
Hospital, Oddanchatram - 624 619,
D.Q.M. District.
Training and educational centre
for Multipurpose Health Workers
and other para professionals.
8)
Com Creations,
106, L.B. Road,
Adyar, Madras - 600 020.
Health Educational Materials
on Selected topics.
9)
Project Co-Ordinator,
Comprehensive Medical Services
in India,
93, Pantheon Road, Egmore,
Madras - 600 008.
For the purpose of Low Cost
Drugs.
10) Principal
CSI-Polytechnic
Yercaud Road,
Salem 636 007.
Solar Cooker.
11) The Head of Audio-Visual Unit,
Christian Medical College &
Hospital, Vellore - 632 004.
Health Education Materials.
12) Directorate of Social Welfare,
485 Anna Salai,
Nandanam - 600 035.
Literature, Education Programme
on Women and Child Welfare.
89
CONTACT
-■w
t
»-•
•
t •
13) Durgabai Deshmukh Hospital,
Andhra Manila Sabha,
No.:11 Dr. Durgabai Deshmukh Road,
Madras - 600 028.
For Female Multipurpose Health
Worker Training.
14) Danida Health Care Project,
Kuralagam, Madras - 600 108.
For Health Educational Materials
15) Emma Communications,
32 Collge Road,
Nungambakkam,
Madras - 600 006.
Health Educational Materials
Short training for animators.
16) The Director,
Faculty of Rural Health and
Sanitation, Gandhigram Rural
Institute, Ambathurai R.S. Post,
D.Q.M. District.
Training and educational centre
for multipurpose health worekrsl
and otehr para professionals.
Communication materials on MCH
and other Community Health
related Health Educational
Materials.
17) Hindustan Antibiotics Ltd.,
3, Murray's Gate Road,
Alwarpet,
Madras - 600 018.
For the purpose of ordering
Drugs.
(A Govt, of India undertaking)
18) Indian Drugs
Pharmaceuticals Ltd.,
109, Anna Saiai,
Madras - 600 002.
For the purpose of ordering
Drugs.
(A Govt. of India undertaking)
19) The Director,
Institute of Rural Health and Family
Welfare (IRHFW),
Ambathurai Post,
D.Q.M. District.
Training and educational centre
for multipurpose health workers
and otehr para professionals.
Communication materials on MCH
and other Community Health
related Health Educational
Materials.
20) Kasturba Hospital, Gandhigram Trust,
Ambathurai R.S. P.O - 624 309,
D.Q.M. District.
For Female Multipurpose Health
Worker Training. Referal centre
for MCH services.
21) Legal Resource for Social Action,
18, Periamelamaiyur Road,
Vallam, Chengalpattu - 603 002.
Literature on National Health
Policy, Drug Policy etc..
22) Lok Swasthya Parampara Samuardhan
Samithi,
C/o. PPST Foundation, No.6, Second
Cross Street, Karpagam Gardens,
Adyar, Madras - 600 020.
For Literature, education and
training on "Local Health
Trnditions".
23) Murugappa Polytechnic
Ambathoor, Madras - 600 052.
Winr-iill
90
CONTACT
AILABLE RESOURCE
24) Meenansni Mission Hospital C
Research Centre,
Lake Area, Melur Road.
Madurai - 625 107.
Referal centre for cancer
detection and treatment.
Community Health Camps.
25) M.A. Chidambaram Institute of
Community Health,
Voluntary Health Services,
Medical CEntre, Adyar,
MADRAS - 600 113. ’
Training and Educational
Centre for MPHW and Para
Professionals.
26) New Centuary Loor. House (P) Ltd. ,
136 Anna Salai, Madras - 600 002.
Books, Booklets on Health.
27) Natural Energy Processing Co.,
3, Groomes Street,
Madras - 600 001.
Consultancy regarding Wind Mill
Installation.
28) RHUSA,
Christian Medical College & level
Hospital,
R.UHSA Campus P.O. - 632 209,
North Arcot District.
18 months MPHW course, middle
managerial courses in
Community Health, Bulletins,
Tamol version of ‘Dialogue on
Diarrhea’ short course for
29) Rural Health Centre,
A.V.R. Educational Foundation of
Ayurveda, Patanjalipuri P.O.,
Thadagam, Coimbatore - 641 108.
For literature on ’Ayurveda’
and Naturopathy'.
"Sarani" - a Tamil Magazine on
Health and related areas.
30) Richardson & Cruddas Ltd.,
23 Rajaji Salai, P.B.No: 1276',
Madras - 600 001.
For supply of India Mark II
Deep Well Hand Pump.
31) Sulabh International TN. Branch,
E-45/2, 21st Cross Street,
Besant Nagar, Madras - 90.
Community Lavatory attached
with Biogas.
32) Tamilnadu Voluntary Health Association,
31 Mandabam Road,
Kilpauk Garden,
Madras - 600 010.
Educational materials, News
letters on Community Health,
Networking with.other NGOs.,
doing Health Work, short
training programmes.
33) Tamil Nadu Energy Devt. Agency,
Jhaver Plaza, IV Floor,
1-A, Nungambakkam High Road,
Madras - 600 034.
Solar Cookers, Windmill.
34) TINIP
570 Anna Salai,
Madras - 600 002.
For Health Educational Materials.
35) Prakathi Publications
15 Hird Street,
Parameswari Nagar,
Adyar, Madras
600 020.
Literature on Health Education
for Animators.
91
f
ADDRESSES ELSEWHERE IN INDIA
CONTACT
AVAILABLE RESOURCE
1) Chethna
Drive-in Cinema Building
Ilnd Floor,•
Thaltej Road,
Ahmedabad - 380 054.
Training and educational
materials in English,
Hindhi, Gujarathi.
2) Child in Need Institute,
Vill. Daulatpur,
P.O. Amgachi, Via.-Joka,
Pin Code: 743512,
24 Parganas, West Bengal.
Training and consultancy in,
Community Health Projects,
MCH and Nutrition Inter
vention Programme.
3) Centre for Devt. Communications,
23 Jabbar Building,
Begumpet, Hyderabad - 500 016.
Health Communication Materials
in English and Telugu.
4) CFTRI,
Mysore - 570 013.
Literature, training guidance
on Weaning food, Nutrition and
related areas.
For Water testing kit.
5) Centuary PP Industries,
182, Sayar Sadan,
Opp. Bal Niketan School
Jodhpur - 342 001.
Dai's women leader training
in MCH Programme.
6) Health Action,
PB 2153 Gunrock Enclave,
Secunderabad
Andhra Pradesh.
For the Journal in English
Health Action.
7) Institue of Health Managemnt
Pachod
District Aurangabad 431 121
MAHARASHTRA.
Education and training programme
in Community Health and
Management for middle level
Workers and Professionals.
8) Jeevaniya,
C-3/5, River Bank Colony,
Lucknow - 226 108.
For A bimonthly Magazine on
Local Health Traditions.
9) VHAI,
40 Institutional Area, (Near
Qutab Hotel), South of I.I.T.,
New Delhi - 110 016.
Educational Materials in all
Indian languages.
Networking with other NGOs
Workers in Community Health.
Documentation Centre for
Community Health.
Traiing and consultanty
services in Community Health.
Re i: A: / ws1 / p 1 anman. ua 1
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