INTEGRATED HEALTH AND NUTRITION PROJECT-WEST BENGAL

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Title
INTEGRATED HEALTH AND NUTRITION PROJECT-WEST BENGAL
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RF_IH_13_SUDHA
THE CHILD-IN-NEED INSTITUTE

The Child-in-Need Institute (CINI) is a voluntary organisation,
registered under the Societies Act. It has two basic objectives:
* To provide integrated health and nutrition services to the
child in need :
* To act as a catalyst in promoting socioeconomic developments
of the poor and needy.
Apart from programmes in nutrition supplementation
and primary health care, provided to mothers and child-. .
ren in the villages and slum areas of South Calcutta, a
concerted effort is being made to improve socioeconomic
conditions of needy families and improve the status of women.
Funding comes partly from the community for services rendered
and partly as donations.

The child in need in the Indian context usually
brings into focus a malnourished child below the age of six
years, suffering from intercurrent infections and living
in a poor family in a village or the sprawling slums of
metropolitan cities. The logical intervention from the humane
point of view is to break the vicious interaction between
malnutrition and infection by providing low cost nutritional
supplement to vulnerable groups, along with primary health
care.

A pediatrician and a nutritionist with the help of
on the job trained MCH workers, set up mother and child
health clinics in Calcutta’s slum areas in late 1974 and
CINI was born.
Clinics, set up in various poverty pockets in
villages and slum areas of South Calcutta, train groups of
mothers to prepare a low cost nutritious food supplement
from a cereal pulse mix (CINI nutrimix). Both at the clinics
and during home visits, the mothers are told about better child
care and low cost nutritious foods with the help of posters,
flannellographs, puppets and slides.
Food Supplementation

Wheat/rice along with moong dal (Fhaseolus aureus
P.oxb) is roasted over coal fired chulas (ovens), ground
at the local mill and packed into 500 gram polythene packets.
These are provided at subsidised rates every week to malnourished
children selected by weight-for-age criteria (below 50 percent of
Harvard).

COMMUNITY H<- alth cell
47/I, (First HoorlS t. Marks Road
. S6i) 001
BANGAlO-'C

. . .2

2

The children provided supplemental food are immunised against
preventible ailments and treated for minor ailments with low
cost medicines and their weights and nutrition status are
monitored regularly on parent retained weight-for-age cards.

Severely undernourished children (kwashiorkor,
marasmus, marasmic kwashiorkor, vitamin A deficiency), referred
by CINI workers or seeking care on their own, are admitted
with their mothers to the Nutrition Rehabilitation Centre.
Intercurrent infections (diarrhoea, chest infection, etc)
take about one to two weeks to be treated.

A further six to eight week stay at the Centre, Where
the mother is trained on low cost food, improves the child
sufficiently to be discharged and to be followed up regularly
at the (weekly) MCH clinics: Mothers of the admitted children
participate in cooking, cleaning and working at the kitchen
garden plots during their stay at the Centre.

Prenatal and postnatal care is provided to village
mothers through prophylactic immunisation, nutrition
supplementation and monitoring the health status of pregnant/
■lactating mothers. A low cost delivery kit (costing fifty paise)
from old sarees, razor blades and cord tie, ail autoclaved,
are made available to pregnant mothers. Trained dais use the kit
to help deliveries at home.
Home based income generation projects are encouraged.
Mothers are trained in skills such as weaving, umbrella
assembly, sewing and kniting. Traditional means of supplemen­
ting the family income by goat rearing or having a kitchen garden
in a small backyard plot, are encouraged. Sometimes repayable
loans are given to initiate small businesses sucha as vegetable/
fish selling, puffed rice making, plying rickshaw vans, setting up
barber shops, etc.

Balwadis, where children are fed a supplemental meal and
involved in preschool activities, are also conducted by mahila
mandals in different village centres, Regular meetings with
mahila mandal members ensure participation and representation
of the members in village development.

A survey of village primary schools, in the two blocks
covered by CINI’s developmental activity, showed inadequate
facilities in terms of class-rooms and teaching aids, and a
high dropout rate among school children. A school welfare commi­
ttee was organised with representation of teachers and CINI staff.
Gradual improvement of facilities has taken place following the
advice of this committee.
...3

3

With the expansion of child welfare programmes in rural
and slum areas by the Department of Social Welfare in many
states, there is a shortage of trained workers at the grassroots
level. CINI trains anganwadi workers for ICDS programmes and
also provides orientation in child care to other categories
of government workers such as BDOs, MO of PHC, etc. Innovative
training strategies and practical case studies from admitted
cases in the Nutrition Rehabilitation Centre are employed.

Community nutrition and child care programmes conducted
by CINI also provide learning opportunities during field visits.
The training unit is staffed by fulltime workers from the areas
of pediatrics, nutrition, sociology, anthropology, graphics, and
community health and development. A total of 1722 workers from the
government as well as voluntary organisations were trained in
1980. Some of them were trained at CINI, others at the block
level by the Mobile Training Team.
A CINI team of two pediatricians left for Karamoja
in Uganda during 1980 to volunteer in the massive famine relief
programme launched there for three and a half months. The team
worked in nutrition rehabilitation centres, in a government
hospital to provide temporary medical manpower, and organised
the movement of food to famine stricken areas as requested by
the World Food Programme and UNICEF. During late 1979 a
CINI team worked in the Kampuchean refugee camps on the ThailandKampuchea border sharing its expertise in the rehabilitation of
children and adults who are severely malnourished

Under CINI’s Research and Evaluation Programme:
* A detailed study on 2000 families covered by CINI activities has
just been completed. The data are being analysed to determine
health, nutrition, literacy and other socioeconomic indicators
of the community.

*.A study was undertaken last year in collaboration with the
Government of West Bengal, UNICEF and the All India Institute
of Hygiene and Public Health to determine the impact of the
Mother and Chile Care Programme, launched as a postflood
rehabilitation effort, in 30 blocks in the state.

* A study on infant feeding practices is now going on, under
the sponsorship of the Nutrition Foundation of India.

IX>E5T S&NG-A

THE MOTHER IN CHILD HEALTH
CARE IN RURAL COMMUNITY
by

Dri S. N. Chaudhuri
Director, CINI - Child In Need Institute
Villi Daulatpur, P.O. Amgachi
Via Joka, 24- Parganas
West Bengal [India]

The Child In Need Institute [CINI] from
its accumulated experience of conducting mother
and ohild care programme during the last six
years has evolved a strategy of community
participation in all spheres of its activities.
Keeping in view the low income profile that is
prevalent in the rural areas and urban slums,
CINI has evolved income generation programmes
for rural mothers generating approximately
Rs. 50/- per month. This will help in poten­
tiating CINI's effort in providing mother and
child care services to the deprived child.
Linkages have also been established between
different aspects of CINI’s programmes such
as functional literacy, nutrition and health
education and primary health care to provide
an integrated programme of mother and child
care at the 'grass root’ level. Details of
the programme will be presented and discussed.

CHILD IN NEED INSTITUTE
Vill.-DAULATPUR, P.O.-AMGACHI
Yia-JOKA, 24PARGANAS
' WEST BENGAL (India)
TELEPHONE : 615-533

THE MOTHER IN CHILD HEALTH CARE IN THE RURAL COMMUNITY

S. N. CHAUDHURI *

A.

GENERAL APPROACH AND PHILOSOPHY

A nutritionist and a pediatrician both concerned at the prevalence
of malnutrition in children belonging to rural areas outside

Calcutta and its peripheral slums, decided to set up weekly under
five clinics at two different points in the city in 1974.

A low

cost indigenously prepared cereal pulse mixture (CINI - NUTRIMIX)
providing daily approximately 200 calories and 10 grams protein,

was given out at the clinics to malnourished children and theii’
weights monitored on weight for age health cards.

Primary health

care including immunisation, treatment of common childhood ailments,

referral and treatment at a nutrition rehabilitation centre for
sovorely malnourished children, health education for the mothers
through home visits by trained mother and child health (MCII) workers

formed the components of the services.

By 1975 approximately 2,400

children were covered in 8 centres, 3 of which were in the slums
and 5 in the villages.

In 1976, CINI — Child In Need Institute was registered as a society

•with the following objectives 1.

To provide integrated health and nutrition services to the child
in need.

2. To act as a catalyst in promoting socio-economic development of

the poor and neody.
Financing

i

A contribution for services availed at the clinic
(30 p./visit) and during food distribution (30 p./pkt.)

* DIRECTOR
C

'

. ... .. _ , ;-,5Hoad
- )1

(2)

was insisted right from the initiation of the project.

Occassion-

ally due to poverty the contribution had to be waived on the recom­

mendations of the MCn workers.

These contributions generated approx­

imately 15-20^ of the running cost and the balance was met from

overseas donors.

B.

DESCRIPTION OF THE PROJECT

A countrywide survey on pre-school children conducted by Indian
Council of Medical Research established the prevalence of malnutri­

tion in this vulnerable group.

This coupled with the failure of the

existing health care services to reach the child in need, promted the
initiation of an integrated child care services in the community.
Till 1977 the emphasis was on the child in need.
then evaluated internally.

The project was

One of the recommendations was for the

promotion of increased participation by the mothers and other members
of the family in CINI's child welfare projects.
Amongst the factors hindering participation, illiteracy and lack of
opportunities to improve family income in mothers were felt important

enough to warrant intervention CINI’s programme vas then designed to
include these non health inputs to make it a truly integrated mother
and child care programme.

At present the programme is functioning in the following manner with
inter project linkages.
I.

Nutrition Supplementation Programme

Malnourished children below 6 years, pregnant/lactating mothers

are provided & nutritious supplement at periodic intervals.
(a) CINI • NUTRIMIX Programme - A low cost nutritious food mode

by the village mothers out of 400 grams of wheat and 150 grams
of Bengal gram is provided through the static under five's

clinic conducted in the village and slum centres.

It provides

1,992 calories and 79.6 grams protein over a week.

During

1979, 37,188 packets have been distributed.

Approximately

800 children and 200 mothers receive this food on a regular

basis.

more

(3)

(b) Nutritious food supplement using imported foodstuffs are

provided to 2,500 children on a continuous basis through
8 centres, both the programmes the weights of the children

are monitored on parent retained weight for ago cards.

Local youth clubs, mahila mondols are involved during food

distribution.
II.

Health Care through Mobile and Static Under Five Clinics

306 such clinics were held around 15 kms. of the centre over
the year and children were provided immunisation, oral Vitamin
’A’ supplementation, iron and folic acid tablets.

Approximately

3,000 children below 6 years are covered under this health care

programme from the nearby villages and slum centres.

Trained

MCI! workers follow up these children by regular homo visits.

III.

Nutrition Rehabilitation Centre
Severe cases of protein energy malnutrition and other deficiency
diseases are rehabilitated at this centre over 6 to 8 weeks to

ensure survival.

Mothers while at the centre, are given nutrition

and health education and are trained in low cost nutritious diets.

Mothers also help in cooking and house keeping during their stay.
In 1979

IV.

152

cases were rehabilitated.

Antenatal and Post Natal Care

A total of 544 mothers were registered in the antenatal clinic
of CINI where they are provided immunisation, supplementary foods

and health education.

Cases are referred to tho Govt, hospital

for family planning measures.

The mothers are encouraged to deliver

at home with the help of trained village "dais".

An indigenous

low cost delivery kit developed at CINI, is purchased by mothers
for safe delivery at home.

V,

Nutrition and He®1*' 11 Education in the Community
Trained MCH workers carry out health education on different pre­

selected topics by group discussions, cooking demonstrations, posters
flannolographs etc.

340 classes wore held at different village

and slum centres during 1979.

A group of village mothers who are

(3)

(b) Nutritious food supplement using
provided to 2,500 children on s continuous basis
8 centres, both ths programmes the veirhts-

are monitored on parent retained ve.; ’

Local youth clubs, aahila aondol
distribution.
II.

Health Cr.re thr ■

i

(4)

moti.Ta.ted on child care (selected from beneficiaries) also join the

trained MCI! workers in visiting their neighbours to discuss health
and nutrition topics with them.

VI.

Community Action Programmes for Socio-Economic Development
(a) Family Helper Project

500 needy families selected by the community receive holp and a
school going child in each family is provided direct benefits in

the form of clothing, books, medical care and nutritions supple­

ment.

The families are provided income generation opportunities

in order to improve their quality of life.

Goats, coconut seed­

lings, ducks are provided to these families as a one time grant.

The whole village community shares the benefits through repair of
existing schools, provision of teaching aids such as blackboards,
maps etc.

Usually some of these families also receive the benefits

of the nutrition supplementation programme for pre-school children
and thereby cross-linkages are established.

The fbnds for this

project are directed by many overseas sponsored through Christian

Children’s Fund, INC.

(b) Hahila HondoIs

Most of the future income generation programmes in the villages
will be organised through womens groups.

Three such groups in

3 villages have been formed who have taken up functional literacy
programmes.

Sewiiig, weaving and umbrella assembly units of CINI

will now be incorporated through these mahila mondols

VII.

Training of Mother and Child Health Workers
(a) Sishu Kalyanis - At the request of Govt, of Vest Bengal and UNICEF,
CINI has undertaken a training programme for MCH workers.

Each

worker is in charge of 200 children below 6 years in a village

and has been selected by the panchayat.

She provides nutrition

supplement, health education to mothers, refers the children for

immunisation and treatment to tho local ITIC.

1,500 workers are

being trained in 30 community development blocks all over West
Bengal through a mobile training team from CINI.

This has led to

on improvement in nutrition and health status of approximately
3,00,000 beneficiaries all over the State.

(5)

(b) PHC doctors, BBO’s, Project Officers of mothor end child care programme
in 30 blocks as above we also provided orientation in integrated

mother and child care at CINI.
VIII.

Functional Literacy Programme
The first batch of 120 mothers who had commenced classes in 1978, comple­

ted their course in September 1979.

The topics covered present day

village situations such as poverty, safe water supply, money etc. as well
as diorrhoea, malnutrition etc.

All the classes are preceded by active

Those classes are now held by mahila mondol groups where it

discussions.

is United up to income generation opportunities such as sewing, umbrslla
assembly, weaving, kitchen gardens, fish roaring etc.

EVA L £ A T J 0 N s
In 1977, an internal evaluation of CINI’s objectives end programme recommended

active participation of the mother.

It is well known that the child is access­

ible to institutional intervention only to the extent that the mother allows him

to be so.

Involving the mother in mahila mondols through which much of thoso

integrated package of services oak bo chan el li sod. is a sure way of reaching tho

child in need.

Apart from a general improvement in nutritional status and speci­

fically no incidence of severe FEM(maraimus and kwashiorkor) in tho area, there

bar been a change in attitudes of the mothers over the years.

More children

are being brought to the clinic for immunisation and preventive health care.

In

the absence of a base line study, the improvements are difficult to quantify.

TRAINING OF GOVT. M.C.H. WORKERS
It is well known that the bulk of priBie-ry health care is being rendered through
the Govt, infrastructure involving different categories of workers.

It is

possible to improve the efficiency and nwtivation of these workers through
training in integrated ®
procr
*'
1’63’ By traininP Shishu Kalyanis (MCH Workers),

their supervisors

AKli

PHN» Project Officers, MIC doctors there is sure to be

an improvement in the existing MCI! services.

CINI has been able to initiate

and sustain such training programmes at the block level.

Nurses, interns and

post graduate fitudents from different medical institutions are also being given

bidef orientation

ao't^er an<l child cere programmes at CINI.

LEVELS OF COMMUNITT PARTICIPATION IN CINI’S PROGRAMMES
1.

The mothers willingly accept the new formula without milk powder although

m o r e...

(6)

milk has such a status value as a baby food
*
2.

An enhanced contribution of 50 paige is paid, now by the toothers for
the premix and also for clinic registration, decreasing subsidy from
CINI.

3.

Immunisation acceptance spontaneously by mothers is the rule in the
under five clinics
*

4.

The mothers have accepted the MCH workers even for treat: ent purpose
at the under five clinics.

5.

house delivery by dais using low cost delivery kits which mothers buy

from CINI.
*
6

Heturn of two goats (one mother and one feraalo kid) for recycling to
other families at the end of one year.

*
7

Committee of local primary school teachers who allocate funds for school
welfare projects in the area
*

8,

Village based mahila monduls contribute part of their earnings for

development work.

-3

IqEST

u

4Z
TAGORE SOCIETY FOR RURAL DEVELOPMENT
RANGABELIA PROJECT

->

[Development through Peoples Participation]

by

?

• „ 4

Dr. Tushar Kanjilal, Project Director,

Vill. and P.O. Rangabelia, Via Gosaba, 24 Parganas,
\
West Bengal.
..•! Z Z
Rangabelia is one of the isolated islands of the

° ~

Sunderbans. It is part of the delta face between the Hooghly
and Padma-Meghna estnaries. It has its own special topogra­
phical and ecological characteristics and problems.
The island is surrounded by rivers full of saline
water, which often breaches the protective ambankments,
resulting in influx of saline water. It is among the poorest
sections of West Bengal. About 90 percent of the population
is engaged in agriculture which is predominantly monocropped,
and earn an average income of Rs. 170/- per annum. Scheduled
Castes and Tribes account for 6J percent of the total popula­
*
tion
There is no electricity, no industry and communication
facilities are deplorable. Medidal facilities were non­
existent .
In 1974, the local school conducted a detailed socio­
economic survey of the three villages on the Rangabelia island.
Comprehensive development plans were prepared with the help of
the local villagers. In 1975, the following activities were
initiated: Two crops a year with better seeds, Animal husbandry
of different kinds, Pis ci cult tire y -.Weaving, Agro-services and
irrigation and cooperations etc.
After deliberations, a comprehensive health care project
was initiated, details of which will be discussed. Two spam'al
features of the project are: a] Complete involvement of educa­
tional institutions of the area in development work; and b]
Involvement of people at every stage from decision making to

LJe^ /3<=nyal~
- 6

Seva Bharati, P.O. Eapgari, Di. Kidnapore, West Bengal,

came into; existence as a voluntary organisation, in the wake of
independence, in 1947,

Eegistered in 1953-54, it engaged itself

in the task of education and rural reconstruction.

Its establish­

ment was inspired by ideals of Indian heritage and culture expre­

ssed in the form of such institutions as gurukulas and gurugrihas
for imparting knowledge to young people in a congenial atmosphere

which was in striking contrast with- the present condition of the
Bven though India still lives overwhelmingly in the

country.

t

villages, the old cultural leadership is miserably missing, and
so its cultural moorings hove been lost.

7.' x

The institution is an
t ■■

attempt in recapturing those old but eternal values through

education and rural reconstruction.
Objects and Bro grammes a

■ Li

-

; • ■■

.

Objectives of the organisation as given in the constitution
'

are

/iog

1,

Dstablisl/a centre of education and social work equipped

with schools
education-

and institutions for general

and vocational

?or this it will work for;—

a)

evolving a system of education which would provide

b)

modernising agriculture by bringing science and

the local community with a viable economic base;

technology to its aid and by linking agriculture
with industries including Khadi in an organic
way so that it may not only be self-sufficient
but alpo profitable;
a)

bringing about that socio-economic transformation

in which a self-generating economy may be possible
through full mobilisation and full employment
of all the natural resources - human & material;
d)

ensuring everybody in the community full, fair and
equal scope for total development of personality,
inculcating the feeling of oneness among all,
laying stress on tho values that make life rich and
worth living, and promoting universal brotherhood.

CJ

- 7
Programmea :
Agriculture:

A Farm School was first initiated in 1948 and

since expandec wiih support of Gandhi Smarak Nidhi in Ancbal No. 3
Jarabcni Block, District Midnapore.
Live-stock Development:
Kendra (with ICAR support).

Now developed as a Krishi Vigyan

Also a PAD(l) Centre is in operation.

Village and Cottage Industries:

Work initiated in 1948 and

expanded in 1954 under the Fam School Scheme,

develop

Attempt is afoot to

it as the "J.C, Kumarappa School of Village Industries",

inaugurated, in 1975.

Ddueatioa and Training:

Schools of liberal and vocational

education — Pre—basic;, Jr. Basie, Sr. Basic, Secondary, Higher

Secondary end Vocational Agriculture E ,S. School, Degree College
and a Research Centre.

Community Health:

A Government Health Centre established

since 1962.
Family Welfare:

Adult -Education Centre (both for men and

women established).

Apnronriato Technology:

of Seva-Bharati.

This occupies special attention

It has made sone breaktbroxgh in respect of

development of water resource^ water lift and other agricultural
operations.

RecreatiocgJtAnd Cultural Prograr.nes:
drama, and other cultural programmes,

Sports, music,

A Centre of folk arts

(including dance and music) initiated.

Any other:

i)

Orphanage;

ii)

N.S.S, programme;

iii)

a Sarvadharaa Samapwcya Centre.

1
I have been eug-: j'- in this are? for 5 years now.
The first two years I worked as a practitioner and a
develop! n
>rksr in formally an individually,.
Informally, because I did net.have any formal o.r—ni-'
sation nor did I have very cl oar.cut plans. At
that tine I only had certain inclinations and ideas
which I wanted to test out. ’\t this tin? my resources
included about 2 acres of family landed property in the
village, my own meagre income from private practice,
a saving of Rs. 1500/- from ray interneeship days and
a ion tion f it >ut Rs. 200/*
from friends and well
wisl srs.

ye r I worked in a 3.H.C. about
8 ini-les from this villa a as a Meddeal Officer and
there was a break in the continuity of my work in
this village. It is only over the last two
a
that I am working on "a somewhat more-formalised
project under a te isterdd
anisation-.
lourit
of Rs.25,C( /- as
rovi . Co: tl is by
' >r ' n
funding agency called '..’he Broad for the world'.-- ■
The project I ?.r. running has not focussed on health'.-:
activit ■ s such. The rea son is t at even as a
Stu< nt, : I n I ’
tryin : tc as.s< ss th relevance of
training and to: contemplate future action, I
realised that health was do pendent ?on so: letting else
i.e. ecor
development, and:ray subsequent experiences
has mode r.e aware ..of oth®£ dimension;s'. on which health
is dependent namely social cultural. I shall try to .
illustrate this t rough an example. Hence, it is very
commonly held belief shat a woman is filled with
fluid ('rasa') at the tine of delivery; '■■■-■c-.. ■ ■
logical course after delivery' (during the early.puerperiui) is tc c : her u].
>he is ivon as little
water as possible; is allowed to eat a diet of
rather
and unnutritious food. the is also
kept near 'ti . fire pl;
almost all the time. The
res ult is the dryin; up of b-. east milk, (also breaking
down of t e mother’s health). Hence the child is
put either purely on a- solution of thin arrow-root
or of palm candy or .? combination of both. If tho
quantity and concentration are suf_'i cient t..e child
will grow for a time but finally becomes a book picture
c ase of protein-calorie-malnutritipnp Now let us
examine our text b ook i solutions in relationship with

the situations, lerhaps adequate .quantity of cow-milk
will be the first choice. But this is an unrealistic

solution for people where I am working..- Milk
production h?.s been steeply dwindling in this area and
the price of milk being high is beyond the roach of
the c omr.oner. Moreover, pure milk is an unknown
commodity, unless one owns a milch cow. The next
preference will < erhaps s go to milk constituted from
ground nut and soya-bean. . These two crops are not
...
wever, ground-nut is available in.the
market; hut the suggestion itself seems nro-postorous
to those people, rhe'third solution is earl#’ intro­
duction to solid food. Even' this is a cultural taboo
before the 'annaprasana
*
ceremony which is e scripturally
Sup osed to take Jlace not earlier than the age of 6
months for male and 7 months for femeale children.
The most important preventive factor is parent education
and to induce the mother to take plenty’• of fluids and
nutritious diet, soon after child birth. But in. those
atters the control and decision making power lies
with the grand old woman of the family whose attitude
to young doctors like us is. somewhat like this 'Pooh1
You urchin of yestei'da/, come here to loach us child
rearing.- Haven't we oursel ves reared half a dozen
(or ;’?.y be a. dozen)’ children sue essfully by this
sane old method, and wo hod enough milk to breast feed
ou children up to 2{ years even 4 or 5 years. These
young women of-today god knows what has happened to
them. This is 'Chora Kali'.
To. any' one who has faced such situation often it
will bo clear that mere improved technique’or financial
assistance will not do.' This involves intervention
in matters like tradition, culture, social and famili
power relationship and whole gamut of subtle social,
economic and cultural interrelationships’. Renee,
instead of approaching health problems directly I am
trying to roach them indirectly by trying to communicate
a difj ere nt of vic?'.- of like, and a new style of living a style of wholesome, healthful living taking into
Consideration the changed circumstances of the times and
specially throu ;h the youn ar enor; ion.
At present our group consists-- of 16 persons
including myself.
' ere are ers ms of -11 .- es
from 6 to 42 yoarsj three are married -. two with
children, there is a widow with two.children and the
rest unman 1 . poun men.
Ipart from these t ere are
outer roun; boys and girls from the community who com®
and join in the '
sometimes.voluntarily, sometime’s
with ■■■ es dependin on t e nature of the work. Only

two of t;--... nave class X level of education, five of
had crossed primary school, otnei' oigat wore
totally illiterate or almost so when th 0.7 Joined,
:
■: half of them have now acguir (
roficiency
e rough to do tj e daily accounting and keep daily

records of work.
: are mostly dependent on agriculture and weaving
for livelihood; -but apart from those we render curative
services-fora men and animals-mostly against- remu­
neration and help to brin ; governmental preventive
services to thesvillage people.. One of the two with
class X lovcl of education has acquired proficiency
enough to be called a 'bare-foot doctor' - there •
are two others in the making one of them.as a ; .
veterinary and. live-stock adviser.
II. background Information
'-/e do not hav : a ver?/ definite project arc.:- as such
but .our target, propulation is the people of t :.e
villa
of Jhaksimultala and surrounding it. This
is a.village some 8 miles south of the- Sub-divisional
town of Tamluk with which it is linked by a fair
weather bus route. Otho wise walking or.cycle sz are
the nain mediums of communication. There is a Canal
which.is navigable- in rhe rainy season and sometimes
afterwards and is the nain sourso of transportation
during the rain^ season. The villa; e is a 100 %
Scheduled Casto village with a population of 465 and a
growth rate of 2.6 :;o with 40 % literacy according to
the 1971 census. The village is dependent- almost
exclusively on agriculture. There is no mentionable
village industry. Paddy'is the staple food crop
and betel is the chief cash crop. Sweet potato is
another crop widely grown mainly for cash partly
consumed as food. Khesari is the most, popular pulse
crop. 90 ;'j of the- land i s single cropped. This
Village is situated in one of those“rare areas where
land reform had some genuine impact. Absolutely
landless people are r-. ther few though their proportion
s sms to be incre; si? dry by day. Most are i arginal
subsistence or non-viable farmers. There is no family
in tho village with a huge land-holdin .
hut there is
a new class who by virtue of their education has taken
up professional Jobs (mostly teaching) who seem to be
monopolising the power hierarchy.

The people like in mud bouses with roof's
< with straw rather bad] ■ lit and damp.
Jentila
seems
■ poor. The houses of the relatively
well to do are
cious, well lightoc and often
has tiled or tinned roofs. There is no provision of'
privy except in on or two houses, People are use
to defaecatinr in the fields and on trie bunds.
P.ocohtly wo have started the practice of defaecating
in pits, co>-.posting it and using it as manure; but
the practice has ot yet shown any s.pr-..ad effect.
During the late fifties and- sixties almo-stevery
villa ;e in this area had a tube—>11.
!ut over
last six or seven years' they are go ing out of
commission and. no s..riots at .e-pt h's .been maue on.
th ■
■ of the
. -a
. . .■ c< thee ,
o- ;,ev .<.■
in our vill gu
f villagers, .our group md the loc'k
c 1
'■ x >in ■
e tu je-.well two rears
ack one it i
t
.'
. 11.ant
i s ■. vent ias
roi
ar foible fall in the morbidity :
mortality
from savoro dinrrboa. .tide and khbsari were the staple
cereal one pulse rosy actively in the diet of the.
p'e1:; h re, I ' w
shares

I- -- ■ ith
rice ■ jxc
■ i
r..........1 tc do h uso.■ :■ 11
. ■ unts

t« keh '. / ■ lac ; of t i sta 1 j i o irt e.
1c hoi ' sm
1 Llici.t lion
rodu c bion st ms to b sbee )ly
rising in this portion of .the village.. hen mostly
wear sarces without blouse or -petticoat except on.
special occasions. I have previously mentioned that
the villa es has Z!C
literacy but this is only about
1C-15 ; among women. Considering its siz this village
has quite a high proportion of collo ,;o and university
educatedn people' mostly confined to one ;articular
portion of the village.
\s far as the caste stra,tification is concerned
the” village is more or less homogeneous one. A.11
the families belong to the Scheduled Castes 96;i to
the komasudra, J;? Ragdis and IS rapit. i-iost of the
occupants of the neighbouring villages belong to a
higher caste called Mahishya. Though ther are
suoterranean caste feelings these are not very

veh
' .
nt
ste an< love marri?
have be un
:;o be accepted, though this.rogttir s quite a bit of
stru le m t e part of couple concerned.
Ohou ■
most of the institutions a o dominated by the local
ric ,
hol< >n these has started weakening.
•.‘i-.e reaction of the local government officials
including the --.nJ . and 3. 1.0. has been favourable.
This may be because Of my personal back ground- and as
cau ;e we have net yet come into very direct contact.
The village power group has a suspicious attitude
towards us out has not yet come out with an?/ serious
aggressive''posture.. ‘
III. halations with other Health Aroncios '
Other health, a. goncios in the locality include an L.M.F.’
lector in a neighbouring village, a B.H.'.
and sol
Unqualified practitioners of various pathies, The .
doctor's react? n is quite favourable.
Dhe
B.-H.'f. comes about orce in;.?, month; but there is
li ;tle roventive
i
done except small ox
ination and occasional trip] anti ;en inoculation.
...?cent-ly there- has.been some 1
bpraying in the
locality. Tho b.H.V. is not uncooperative but not'
very 'co-operative either
*
Cbe relationship is rather .
c? s 1-.
elationship with the local unqualified
practitioners, special].?/ those practicing modern
medicir.p, is a rat' r uneasy orc. They seem to feci
threatened by
sence. however, ■ ' -j have not
yet shown any agyrossivo posture. But our relationship
with those practicing traditional .medicine, is not- an..
unfavouj?ablajOhd, and it seems possible that in the'
near future''it may be possi le -to form a co-operative‘
relationship. The local veterinary authorities are
much more.co-operative and -it is because of this we .
have been able to do- better preventive work in animal
health.
People are very resentful about governmental .
health agencies because of their inhuman dealings, -low.
efficienc and no.n-availablity at th pro? er time.
Though the medical-skill of the local un-cualifiod
practitioners is not .regarded very highly'they .--re
better, .ccoptec bee u
£‘ thoix
*
■ g availebility.
leoylo seen to he j.wore of uivoir' money nuking do-si...ns
but seas to be helpless in absence of any better
alterne hiv.-. In triis area people's r» • ..en ess about
health;’services s-cojn to be high in certain r-jspwccsj
for example it is hot unusual to find groups of people
organi^ih . a call on the . . '. to vaccin; te them

towards the end of t;-■? -..’inner.
- -

• ■

-

1

'

It is also not. unusual
e

'

-

V3 gj ;in

t no -avail; il5tr an lack
i
s.
- --■

.to. is risii
n
it is ny no means unusual to fo.ee question like 'why
shoul;' a child bo'injected in.'absence of fovor' or illness

t official

17. Lodicql ■ •>■0.1 th Pare -fork
... vara is iiarr o as and intestinal parasitic
inf stations form the lajor he 1th >rpblem of the area.
I ■ ;ic ulc . -. respira’
infections (including tuber­
culosis) are quite common. Sc; i i s - n< various forms
of fun 1 ir
tions of :
skin are very common.
Anemia and. white dioehargc are quite' common'in women,.
P.C.ti. and vitamin'. A deficiency are common in children
next . various forms of infant diarrhoae's. ' ■ : —
tension, Asthma and chronic respiratory infection are
quite common in the aged.
We deliver health education and preventive ..advice
mostly as an adjunct of curative service! though we
have initiated community' action on resinking a tube­
well and now trying to initiate community action on
sanitary disposal of night soil and other village
refuse, !./e try- to .bring out-the connection , between
insanitary disposal of night soil and tie diarrheas
during our informal discussion with the-villagers.
V. Evaluation
Wo do not have any ’inbuilt system of evaluation' .as
suchj but wo review .our work in the evening meetings
held every alternate evening. Then we have more wideranging periodic reviews. 7a'change our patterns or
style of work accordingly.
Though objectively sneaking health promotion and
disease prevention work has a greater effect on
community health, people tend to consider curative
service to be "tore important to the community. This
may be because of several reasons. One is the concept
of a good doctor.
A good doctor is one who can effect
quick‘and miraculous cure, i.e. one who can bring back
almost p
patients.
Phis agoin may be d e to some­
thing-like 'on the snot demonstration1 effect of curative
work, -whereas the effect of preventive? work is more
i; erce tilly spr<ad over a longer peri- ' . f time. Hence
pure preventive work has a low acceptability and has to
be administered as an adjunct -of cur.?, five work. Such

7
edeas-pf-t^e-^ep^re-e-afSeet

ideas of the people affect the doctor as well, who
in his search for prestige and -renter subjective
s° bi -.faction tend to project himself as a miracle man.
It also happens that preventive advise given by one
who is not considered a 1 good doctor1 is not much
heeded to, .but the same advice by a ’good doctor1 has
a much greater acceptability. This is a contradiction
which does not, seem to have an easy- resolution in the
near future.
In curative'work the cost of modern medicine is
a formidable barrier; then ideas about these medicines
beii
' strong' and 'hot' makes it very difficult
to follow a proper course of a particular medicine.
To mo it seems that the latter is a subjective defence
mechanism to the- former. If it‘be possible to bring
down .the/cost of medicines within the reach of. the
ordinary man th n the ideas about their being 'strong'
and 'hot' will gradually disappear >
It is of ton 'detrimental for a doctor to take
up the role' of project n 11 Lstr cor as well, unless
he has a good standby because the two have two different
ki
' de . nds.
he project adi inistrator has
often to wander out of the-.project ere?-, whereas a
doctor is <■ cted to be available on the spot.
for this reason-it scons to me that the two activities .
should be handled by.two different persons of equal
competence'.'
fund. raisi' g is a >i problem for us.
have
not yet b en very successful in tappin : local resources.
fence we have to depend on external funds, ,.’o are
. ptin to become self-reliant through our economic
activities like agriculture and weaving; It is
possible to foresee self-reliance in the near future.
Another reason for this weakness is that we have not
been able to p lie it. wide peoples participation. To
a. certain extent this is because of our calculated
seclusion from the-day to day community activities.
I had mentioned before® that it is our objective to
imbue the community■with a new view of life and.
living-specially the youth. This being so it requires
a cadre who have at least glimpse of the re.-.lity and
the desired direction and are inspired by this vision.
Till now our work has been confined to this cadre
formation. It is believed by us that in this phase
it require a certain amount of detachment from the

- 8 -

* routine of community life. But we have already started
emerging out of. this self imposed seclusion and. there
are silver linings which indicate greater people's - '
participation in the .near future.
. ^n<3 of the strongest points of our ^roup- is that
o.ll the members are ,,ropted in the'rural comriunity. ■
All except myself are from very poo't ■ families. J Inis
has done away- with much-culturalalienation and
alien-.hostility. Hence, we do, not see any serious’
problem in. reaching- the lowest rung of community
except their buying power., wnis strong -point is at
the same time its weakest .point too .because running
a pro’joct roo-. icertain managerial and . -’other, skills.
and discipline,and a new vision requires a dew, language
and a new p..ttern 'of .interaction. I'hes’e .things'they ■■■
riru
inst their >r- in and find it difficult to
acquire. However, tnis is not unsurmountable; this
is a. matter of time and proper leadership.. Another
weakness of this project is”'that it -is aw one person
■centred reject --t at single person boi ■ myself.
Thih-. may lay the roots of'-ijaliyidiial dbninatio^-ahd ?
personality cult.
VI, Future Plans
Nou-that wo are emeryiry from our’preparatory phase',
wo plan to embark .on'community action. For this we
.are now conducting a thorough survey of the village
in' order to formulate a micro-level plan and embark
on community action. All this survey and • planning
is being done and will-be done by the group .in./o
collatoration with the villageers. ”o plan to embark
on .’our new programme by ’the beginning: of the next
ye’.r.

.(1.1/ Khanra)Tamluk • 1 idnapore
West Bengal.

Lokasiksha Parishad
Report by the Ramakrishna Mission
Ashrama, Narendrapur (24-Parganas),
West Bengal.

T^RUE to the ideals of the Ramakrishna Mission
that service to humanity is the best form of
worship, this Ashrama, a branch of the Mission,
is carrying on welfare activities through its
Institute of Social Education & Recreation (Loka­
siksha Parishad).

They were so prepared that they could read
newspapers and publicity bulletins in simple
language, maintain household and farm accounts
and fill up application forms of banks and co­
operative societies.

The Institute also known as Lokasiksha Pari­
shad stepped into 20th year of its existence dur­
ing the year 1976-77, vigorously pursued its
multipronged programme of social education,
child and youth welfare, and village uplift in the
rural areas mainly through 36 rural youth wel­
fare centres in the districts of 24-Parganas
and Midnapore.

Those who pass the First Examination know
the alphabets, can write simple words with the
letters. They can also do simple additions and
subtractions.
Those passing the Second Examination are
able to form sentences, write the same, and also
read and write short paragraphs.

All the centres are run by local people, mostly
youths, with guidance from this Parishad. It is
worth mentioning that 17 are in the backward
area known as the Sundarban in 24-Parganas
District. The population in the area where these
17 centres are located are mostly of Scheduled
Castes and Tribals. Most of the other centres (in
the districts) are in the backward area of the
■districts.

Apart from adult literacy the centres main­
tained courses especially intended for young
school drop-outs with 308 such students.

In many of our literacy centres the pupils
organised and took part along with studies in
dramatic performances, musical entertainment,
rural indigenous games like Ha-du-du (very
similar to Kabadi). In several cases these adult
pupils were found to be active in development
efforts such as earthwork for construction and
Acting on the ideals of Swami Vivekananda re-construction of roads, bundhs, canals, tanks,
that education should be taken to the doors of etc.
the villagers the importance of adult literacy was
A very important feature of the adult literacy
recognised by the Ramakrishna Mission long ago. centres was the fact that discussion forums were
Keeping this in view this Parishad had been frequently organised with guest speakers on
running a number of adult literacy centres since various facets of rural life such as agriculture,
its inception.
animal husbandry, fish-culture, co-operative
During the year 20 centres were maintained societies, help from banks, medical care and
for 440 students. During the year 118 persons public health, communication etc. Students of the
were examined and declared to have been made centres and other villages always took active part
fully literate in the effective sense. They were in the discussion.
found suitable for class IV of high school in all
In all 420 such forums were held with 1,520
subjects including Arithmetic but excepting Eng­
lish which is not taught in adult literacy centres. students and villagers participating.
December 1977

25

An adult night high school was started in 1971
with the object of educating up to the school final
examination those who are engaged in factories,
fields and other occupations during the day and
are thus unable to attend the regular day schools.
During the year there were 200 students on the
roll. Three appeared in school final examination,
two passed.
With the increase in literacy, library services
become imperative so that the neo-literates do
not revert to illiteracy for want of suitable read­
ing materials. Moreover, books go a long way in
building up good character, a national integration
and a sense of values so necessary for the citizens
of tomorrow. Keeping all these in view library
service was encouraged in the centres. As many
as 70 of our rural centres now have their own
library.

The Institute also regularly publishes a Bengali
monthly magazine named "Samaj Siksha” which
is now in its 20th year of publication. The object
of the magazine is, as its name implies, social
education, and is intended mainly for the rural
people.
From 1974-75 larger emphasis has been placed
on the neo-literate section by bringing it at the
beginning of each issue. It is hoped that this will
mean greater attraction to the neo-literates, draw
more of their attention and make them feel that
the magazine is their own.
It is accepted on all hands that suitable follow­
up literature is an essential item in any adult
literacy programme. With this end in view the
publication of a number of volumes suitable for
adult neo-literates has been taken up by the
Parishad. So far 18 volumes have been published.

In order to encourage the habit of good read­
ing and maintain this, particularly amongst wo­
men, children, school drop-outs, neo-literates and
others in rural area, a mobile library was estab­
lished in 1973-74. At the end of 1976-77 it has
been possible to establish 119 distribution centres.
1,222 books were purchased during the year
bringing the total number to 12,966.
The number of readers—women, children,
school drop-outs, neo-literates, and others
increased considerably showing that our efforts

26

have been bearing fruit. Total number of books
issued during the year was 47,600.
Tutorial classes were arranged in several wel­
fare centres to help the students to be well up
in the subjects of study. In many instances good
students of senior classes in the school or of
nearby colleges or teachers themselves came
forward in the work. Students in far away
colleges coming home on vacations were also
found rendering necessary help. The most
heartening feature is that the workers are all
voluntary and the benefited students did not
have to pay any fees for the coaching they receiv­
ed. Nearly 1,000 children get the benefit.
Free textbooks and financial aid were given to
21 needy children. Eighteen needy children were
awarded scholarships.
Textbook banks at Narendrapur headquarters
and 4 of the village centres maintaining high
schools continued their activities in this regard
vigorously benefiting more than 1,000 students to
whom textbooks were given, on loan. A book bank
was maintained at Narendrapur headquarters as
well. 1,189 books were given to these textbook
banks in the shape of assistance from the
Parishad. Besides this the Adult night high school
at Narendrapur gave on loan all the required
textbooks to all the studets on the roll.
Emotional satisfaction on the right lines contri­
butes to a great extent to the development of a
total child and youth leading him to be a fit
citizen of tomorrow. Further, in a country like
India where the large majority lives in villages
and is still today illiterate education has to be
non-formal. This non-formal education and emo­
tional satisfaction in villages have been carried
out over the ages through India’s rich heritage
of folk music, devotional songs like 'Kirtan’ and
'Baul’, musical renderings of the universal truth
of religion like 'Kathalmtha’, 'Ramayana Gan’
and ’Yatra’ dramas. These had also been foster­
ing the sense of eternal values of discipline,
patriotism, home life. All those go to form what
we know as rural culture and entertainment.
These are still prevalent in the rural areas and
to a large extent in the cities too. Great care is
taken for the promotion of these activities, since,
otherwise, there would be a void in the cultural
life of the rural society.
Voluntary Action

A PROJECT FOR THE DELIVERY OF HEALTH CARE TO RURAL
CHILDREN AND MOTHERS AND ASSESSMENT OF NEONATAL AND
INFANT MORTALITY AND MORBIDITY IN RURAL WEST BENGAL
by

Dr. Sisir-K,- Bose,. .Director',Institute of Child Health.
Calcutta.

A pilot project involving 11 villages and 1500 families
in the Memari area of Burdwan district of West Bengal is in
progress, which is in keeping with the spirit and general
directives of the Alma Ata Declaration on Primary Health Care.
The project is the product of experience gained from
exploratory health camps in a number of rural areas of West
Bengal run in collaboration with a Society of Rural Reconstru­
ction with on-going programmes in a broad socio-economic field.
It is also meant to be supplementary and complementary to all
official and non-official efforts. The. Institute of Child
Health seeks to provide the maternal and child health component
to the socio-economic development programme of the area on the
broadest possible basis.
The size of the project, in order to be replicable, is
neither too big nor too small. I-fc covers 11 villages in the
Memari area of Burdwan district about 90 kilometers from
Calcutta. We are concerned with 1500 families in all consisting
of around 7000 men, women and children. The Tagore Society of
Rural Reconstruction has been carrying on the work of social
development in the area. Community grain depots or Dharmagollas
have already been established in these communities, cooperative
irrigation facilities have been promoted and literacy campaigns
undertaken. Thus, the project has the advantage of having a
target community of families who have already been at least
partly motivated and prepared to receive integrated primary
health care.

—: 2: —

The principal target of the project are
the newborns and their mothers. The morbidity
and mortality of the newborns will be studied.
In accordance with the concept of the
project, there will be inputs from the popular
as well as the professional fronts. The principal
organs of the popular contribution are the Palli
Unnayan Samiti [Village Development Society] and
the Mahila Samiti [Women's Association]. The
professional inputs will be provided by the
professional staff of the Institute of Child
Health and the para-professional staff recruited
locally. Details of these inputs will be presented.
For purposes of continuous evaluation,
base-line data on all possible aspects of the
life of the community are being collected by
detailed questionnaires in simple .Bengali which
have been drawn up and circulated.
Evaluation will proceed on the basis of
follow-up questionnaire and statistical analyses
w-iT.1 be carried out with the assistance of the
Indian Statistical Institute and the Institute
of Management, Calcutta University.

S0CI3TZ

TAGC.L3

?CP.

?.uaal

NT7BL0BENT

Inspired by Sahindranath Tagore’s concept of rural recons­
truction, this institution was founded in 1949 by Sri Jayaprakash

Narayan and Sri Pannalal Dasgupta "to bring back life in all its

completeness, making the village self-reliant and self-respectful,
acquainted with the cultural tradition of their own country and
competent to make an

efficient use of modern resources for the

fullest development of their physical, social, economic and

intellectual conditions."

In fulfilment of the above ideal, the Society undertakes
action programmes for economic, social and cultural development of

selected rural communities, helps then and other voluntary agencies

to undertake agricultural development schemes.

It cooperates and.

collaborates with international and national agendes/zorking in

rural areas and undertakes and conducts training and research

programmes leading

to the formation of new occupational skills,

functional literacy and aesthetic development.

Objectives :
As already stated, rural reconstruction is the main
concern of 'the society.
and social change.

These two words mean planned development

These then constitute the main objective of

the society.
The manner in which the objective is sought to be fulfilled

is, however, two-fold: first of all, the Society seeks to experiment
with certain methods and techniques of rural development and to
secure through the application of such techniques

in selected areas

known as pilot projects, substantial improvements in the functioning

of the total productive system.

This stage of experimentation and

direct service is wide, for they cover large tracts of human habitat
and lands so that the application of techniques even in the experi­

mental stage will

add

to the total production of the area, if not

9

the state and the country aa a tvbole.

Secondly, the Society nates an evaluation of the techniques
and net bods it has evolved in the light of the concept of rural
reconstruction of Eabindranath Tagore, as well as in the context

of the corpus of knowledge known as planned, social change.
Programmes ?

The emphasis of the prograrxies is on providing an irra­

diate agricultural breafe-threngh for a rapid economic recoveryto
be achieved by individuals and. social efforts of groups of

individuals inhabiting an area.

The Society is aware that nothing

short of a total programme of rural reconstruction
the ultimate

purpose of development.

would serve

The projects that it has

undertaken so far are wi th this approach to total programme.
The Society is running 4 such projects in Bolpur, Sinulpur,
2angabelia and Tapan, all in 'Jest Bengal.

The Bolpuw project was initiated in 1974 with emphasis on
developing infra-structure for agriculture and

creating irrigation

facilities By constructing cheek dans, tanks and shallow tube wells.

Presently the programmes cover 25 villages and is planned to cover
170 villages

when allprogrammes are in full swing.

Other programmes are fishery and livestock development and

introduction of poultry, piggery and goatery for marginal farmers
and landless labourers.

Necessary training is given in. agriculture,

irrigation and animal husbandry etc.

kxhibition^&nd

annual fairs are

organised as port of its recreational and cultural programmes.

The Simulpur project was initiated, in 1974 with the same

objectives as above.

It benefits about 1500 families.

pre graine in Simulpur is the promotion of handicrafts.

A new

For this

purpose, loans are advanced to the poor artisans engaged, in

various village crafts.

The Eangabelia project, started in 1975 cavers 5 villages
consisting of S71 families and 500C population.

Provision for

irrigation and drainage, demonstration and training in agricultural
practices and methods, storage and marketing through cooperatives,
development of fisheries, goatory and piggery are its main

programmes.

The Tnpan project was started in 1977 in a group of 5
with stress on agricultural development and

villages

promotion

of village crafts.

Workers ;

The Society has
chief engineer cf

two technical advisers, one a retired

the Government of West Benjpl, and the other

a electrical engineer belonging

to the State Electricity Board.

In all, there are 134 workers, of whom 44 are

workers and the rest are voluntary workers.

full-time paid

GANDHI

VICHAR

PASISiAD,

BAl'ETOA

Started as a Tatva Prachar Centre of Gandhi Sterak Nidhi

in 1958 and adopted, by Gaudi Peace Poundattion in 1962, Ganthi

Vichar Parisbod became an autonomous institution in 1975 when it
was registered as a Society.

It is located at School Danga, P.O.

and. District Bankura 722101, West Bengal.

Objectives ?
Its constitution enumerates 21 items which more or less

confona to the areas listed in the"Constructive Programme';

As

such its main emphasis bap£>een on the generation of consciousness

among the town people with whom the centre had. worked, in its
earlier Tatva Praohar phase and thereby on creation of an active

group of people who are not just interested but actually involved
in rural development.
Programmes ;

As already indicated., the earlier life of the institution

as a centre for disseminating C-andhian ideas was confined to the
urban area with the Gandhi stydy circles and other town-based

activities.

It was an example of how town people could be

interested in rural development after they were exposed to Gandhij

ideas

of village development.

/

The first experience of the centre in rural development
was through relief work thrust on it by the government.

Although

the centre was aware that test relief was not an 6newer to

recurring problems of drcugldj

unemployment, poverty and ignorance

it undertook the responsibility at soma village^vlere the centre
did spectacular work witi/ihe be Ip and cooperation of various

student groups let by teachers of local colleges.

This afforded

not only the opportunity to work in village but also provided
necessary training for students in village conditions which ins­
pired them into more coordinated efforts in years to come.

This resulted in its first 10 villages integrated develop—
riant scheme with emphasis on agricultural improvement, creation of

irrigation facilitiesand introduction of a number of subsidiary
industries-in order to augment the villagers’ income and to provide

work to the unemployed.

At present these programmes are in progress

in all the 10 villages covering 450 families.
A village council composed of representatives from these

10 villages functions as an open body of the individual village

councils composed of all adults which really

function at the

village level.
Workors ;
The institution has 11 full-time paid workers including

two experts in rural development and agriculture who have
recently joined it after their retirement from government

service.

■S’T,'TV
Koi ardor-n- i^
' ‘r' fjn&/I'°re-56(J034 • /

India

JALPAmi WELfA&E ORGANIZATION

Souvenir For Health Education.
1985
jy,

2X)'7'

Sum! Mitra

DEPUTY COMMISSIONER
JALPAIGURI

No
Dated September, 1985

I am

happy

to

learn that a souvenir

education will be brought out by Jalpaiguri Welfare

on

health

Organisation,

Keranipara, Jalpaiguri. The souvenir, I am confident, will be of interest
and of educative value to its readers.

I wish this endeavour of the Organisation, all success.

Sd/ =
( Sunil Mitra )

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.......



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For Confident & Qualitative
Construction & Consultancy Work.
M-

&
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ASK — GAP ENGINEERS .
ENTERPRISES,^

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( Jdn Enterprise of Graduate Engineers )

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MASKALAIBARI : JALPAIGURI.

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“EVERY BLOOD OWNER IS
A BLOOD DONOR ” —
Know Your Blood Group

*

Purpose of Blood Grouping

Tne main purpose behind doing grouping Is to prepare blood for
trahsfusion-or to have information that will make easier or quicker
to available blood for transfusion at a future date.
Who is a donor

Persons above 18 Years and less than 60 Years can give

blood

as best donor.

Persons can donate blood every three months interval.

Persons

having jaundice, Syphilis, Tuberculosis, Malaria, etc are not taken as

donors.
Chart showing the nature of donors and receipients in blood

transfusion.
Persons belonging

Blood Group

Can donate blood

Can receive

to Persons belonging

blood from

to

to group

persons belonging
to group.

AB
B. AB

A
AB

AB

A.0
B.O
A.B.AB.O

0

A.B.AB.O

0

A.

B

In order to keep Blood Donation as a safe, harmless procedure,

we must keep it in mind that')

Donation Must Be Harmless to The Donor.

ii) The Blood Donated Must Not Be Harmful

To The Patient Who Receives It ( The Receipient)
And Further It Should Be Helpful,

8!

%

Wefim When there is no doctor
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s®at®,

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SCSI'S ®IC^ JtfU 5H?l<r m ( Gum disease)

sjista cam csx'F u?wh ’r’icsa

c*ii®t

w j?ic^ 5??ca ^c® »iica i

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*ffK
®ii

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emia su$l seal »is <iiac uic«i wacaa Iaa;c’a usa'a

*

*

s

ca»i) sea 6i5si sfu siac ua,sr *ns?i ’8?t ’iicasi, si^an, Raa ^laia afasia sat.® sea i
uaa c^iiui *iaa

’iju sa;a i

in§ ’tfsai a'a sacaa rt i

>iifii afstfR sacaa— sii^c® ^iaia cats saaia

aao

The person with

diarrhoea is

like a pot of salt water with

a

hole in the bottom. A dead pati­

ent is like on

emty pot,

It

is

most important to keep the pot
full.
Primary level guide, WHO

w5®

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®i§caifsaia

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SJCMI 3C®JC<r3 Saa^ 4 3S«3 ^sj |

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?a 1

si^ra^aai

si«iai ®1a
*i

sn^tca ctf:ai fac« ■mica 1

Si^cafaai m’rffa sicn-( Dia - Water, rrhoea - Pass cu« )

^cm ca ®ic’?i *1^3

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cafacs a>a <aa? malca seas ^iJfe c*mi
( Dehydration ) 1 msfta

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*<>

wa 1

( Mild )

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a53

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5a 1

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©m

f®?i§r§mn
^atmae

mthfaam (Pottassium' iaa? a£-

m;®?K fesiscgmn sc?: mate
*

5isi®t (Electrolyte Balance) fa?g 5

asisi sia^icv

r’K'p

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malca

cT<mm;fa maia'cm-caifcaia (Sodium) 1
(Bicarbonate) 1

®ra

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afa mraminia mem

©sta

m»ic«i‘ fafaa macma

fasitegmacar fenfi. ♦a'ica

(Moderate)

^‘cma ma'isc^

^ai ?a 1

Severe

(The Treatment of Diarrheea)
sag EfT»f s-

c’tr;

»ia'ira fc^cgna w ®i fRtfa *
ai i
siraifaaia srsn ramla f®$i§c®?in

»w *a;a

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■gig

Mild, Moderate siaai Severe.

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“The Dedication Of Jalpaiquri Welfare
In Service Of Suffering Humanity is
Highly Applauded. ”

l&injit h^oy
JALPAIGURI DOORS MINI BUS OWNERS’ ASSOCIATION

u
ii
Printed at

Jrfiriti Press, Beguntary

Jalpaiguri

VEST BENGAL VOLUNTARY HEALTH ASSOCIATION
L_ SAROJINI NAIDU SARANI
CALCUTTA 700017

.WBVHA NEWS-LETTER JUNE/JULY182

COMMUNITY
HEALTH CELL
32e- V Main,
I Block
Koram-ngafa
Ban9alore-560034
India

OFFICE ADDRESS

The office of the Executive Secretary, West Bengal VHA has been shifted
to 8 Sarojini Naidu Sarani (Rawdon Street), Calcutta 17 from 1st July
1982. We therefore request you to note this change of address and
correspond in the new address. We shall greatly be encouraged to have
you in our new office in any day in between Monday to Friday from 9-30
a.m. to 5-J0 p.m. All VHAI publications and other educational materials
are available with us. May be some of them will be of much help to you.
Why don't you make an appointment to visit us. We hope to see you.
WBVHA ANNUAL SUBSCRIPTION

From our register we are able to make out that many of you so far have
not yet paid the yearly subscription for 1982. We request you to help
us with your contribution as early as possible. Please note that members
failing to pay their annual membership fees by 50th April shall automartically forefiet their membership in the association. Such members mgiy
re-instated at the discretion of the Executive Board on payment of their
dues.

VISIT TO YOUR PROJECT
Two persons from WBVHA Central Purchase Unit will be visiting your project
in the month of July/August in connection with fixing up the mode of
supply of medicines and also the purchase of handicrafts if any produced
by you. We hope you will extend your whole hearted co-operation in order
to help us to make this project successful.

IMPORTANT APPEAL FOR YOUR GENEROUS DONATION TO WBVHA
While we are grateful for your kind co-operation and contribution to
WBVHA we desire to let ydu know one’of our practical difficulties. You
must be aware that WBVHA is a voluntary organisation and an association
of associations in the State of West Bengal. Till today WBVHA is being
run with the contribution made by our different well wishers. We feel
greatly honoured to know that you are one of them and your co-operation
and contribution has largely helped WBVHA in it's growth and expansion.
In the Executive Board Meeting of WBVHA in the last year it was decided
to purchase a scooter for WBVHA. We could not buy it due to shortage of
fund. We were advised by some of our well wishers to make appeal to you
all for your generous support. A donation of Rs. 100/- or more or less as
per your convenience can help us and lead to the purchase of a scooter for
WBVHA. We are sure that your good self will come forward with your
helping hand to help WBVHA. We shall appreciate any amount payment in
cheque payable in favour of West Bengal Voluntary Health Association.
Looking forward to your kind response.
A GLIMPSE OF TRAINING PROGRAMMES ORGANISED BY WBVHA BESIDES ORGANISING
DIFFERENT SanNARS"AND WORKSHOPS'

No. of
Duration
Participants

Dates

Venues

SI.No.

Training Programme

1.

Community Health and
Development

27

20 days

8-28th
Sept'80

Dhyan Ashram
24 Prgs.

2.

Community Health and
Development

50

10 days

10-20th
Nov'80

Ananda Bhawan
Howrah.

2.

- 2 SI.No.

Training Programme



Community Health and
Development

26

1 month

24th Aug E.S.I.I.
-22nd Sept Durgapur
1981
Burdwan

4.

Community Health
Orientation and
Follow-Up of 1st batch
trainees

11

2 days

22nd &
25rd Nov
1981

Bandel
Church,
Hooghly

5.

Community Health and
Development

21

1 month

15th Feb
-17th Mar
1982

Ananda
Niketan,
How ah

6.

Nutrition and MCH

31

7 days

14th
• Bishop's
-20th Apr House
1982
Krishnanagar
Nadia.

No. of
Duration
Participants

Dates

Venues

POPULATION EDUCATION TRAINING IS ON PROCESS

It has been now well realised by all political parties and personalities
that all our efforts to ameliorate the condition of our people even after
the increase in production and our ceaseless strides to provide them with
better standard of living cannot be accomplished if we are not able to
balance.the resources with the curb on our population. As such all those
who are responsible for expressing the aspirations of the people and
leading them to attain their goal for better living have to join hands in
educating the masses about the population problem. The Family Welfare and
Population Education Institute, Calcutta, a sister concern of our member
organisation, Calcutta Family Welfare Programme has started an one week'
training programme leading to a certificate on Population Education from
5th July. Those who are working in villages and 10th Class passed are
eligible to participate. Course fee is Rs.20/-. This is a non-residential
training and will be conducted every month from 5-5 p.m. If interested
please get in touch with us- for further details.

FORTHCOMING TRAINING PROGRAMMES
SI.No.

Training Programme

Duration

Poultry Management

15 days

7-21st July Ramakrishna Rs. 125/1982
Mission
Ashram
Narendrapur
Dt. 24 Prgs.

2.

Human Relation and
Communication

5 days

26-50th
July 1982-

5.

Pottery Training
for Artisans

10 months 1st Aug'82 Regional
-50th May'85 Pottery
Training
Centre.
Gramodaya
Sangh.
Bhadrawati,
M.P.

4.

Workshop on
Holistic Health

5 days

26-50th Apr Dhayan Ashram Rs.l50/1982
Madras

5.

Community Health and
Development

20 days

16th Aug
Ananda Niketan Rs.200/-4th Sept'82 Bagnan,Howrah

Dates

Venues

Fees

Retreat House Rs.150/Begumpet
Hyderabad.

Stipend
will be
given
Rs. 150/per month.

5.

SI.No.

6.

7*

Training Programme

Duration

Dates

Village Development
for Social Workers,
Field Workers, Commu­
nity Organisers and
Development Workers.

10 days

17-28th
Aug’82

Xavier
Institute of
Social Service

. Workshop on the
3 days
alternative strategy for
the Health for all by
2000 A.D.

27-29th
Sejit'82

Dhyan Ashram Rs. 4 5/24 Prgs

Fees

Venues

8.

Workshop on Psychiatri
and the Psychological
Problems.

2 days

11th & 12th Dhyan Ashram Rs. 30/Oct'82
24 Prgs

9*

Community Health and
Development

1 month

1-30 Nov
1982

10.

A residential condensed 45 days
course on Homeopathy
leading to a certificate
for rural health workers
from all over India and
abroad.

E.S.I.I.
Durgapur
Burdwan

Rs. 325/-

1st Dec’82 Dhyan Ashram Rs.45O/-15th Jan'83 24 Prgs

If interested we request you to get in touch with us. Candidates who come
first will be given first preference. All payment should be made in
favour of West Bengal Voluntary Health Association.
HEALTH EQUIPMENT MAINTAINANCE TRAINING PROGRAMME ORGANISED BY VHAI.NEW DELHI.
Applications are invited for the one year following a two year diploma in
electrical trade or refrigeration and airconditioning. For sponsored
trainees the duration could be less than one year, or more than one year,
depending on the needs of sponsoring institution.
For one year programme the minimum qualifications ares

1.

A two year National Council of Vocational Trades (1TCVT) diploma in
electrical trade, or refrigeration trade and airconditioning or
equivalent.

2.

An understanding of simple English and ability to read and write
simple technical English.

J.

An aptitude and interest in equipment technology and maintainance.

Requirement 1 can be waived for sponsored candidate who show strong technical
aptitude. But in such case a science background (Physics and Maths) in high
school is essential.
Also VHAI would be willing to consider specific short term requests for
training in specific areas of health equipment. In such cases the details
are worked out by mutual agreement between sponsoring institution and
Voluntary Health Association of India.

Cost, Fees, Stipends etc.:

The total cost of course is Rs. 555
00
*
year.

per month, i.e. Rs.6,66O.OO per

Some financial aid is available in form of stipends:
Candidates sponsored by the hospital would be required to contribute a
part or the whole of this cost. This would be decided based on the

- 4 sise of the hospital. However, a minimum contribution of Rs.225.00 per
month is expected from all sponsoring institutions. In addition the
sponsoring institution will have to bear the cost of travel, special
outstation allowances etc., when the candidate is placed in Chandigarh
and other places for training. This cost would normally not exceed
Rs. 1,000.00 per year per student.

VHAI and NTI are making possible the above subsidy because of a small
grant from donor agencies.

The application should reach by July 1982.
Application form and prospectus can be obtained from:

The Programme Co-ordinator
Health Equipment Maintenance Training Programme
Voluntary Health Association of India
C-14 Community Centre
Safdarjang Development Area
New Delhi 110 016.
SUPPLY OF VACCINES FROM GOVERNMENT 07 VZEST BENGAL THROUGH WBVHA
We are glad to inform you that the authority of the health dept, of Govt.
of West Bengal has kindly given their consent that through WBVHA vaccines
could be made available to it's member organisations only who are not able
to get it from Government fcr various reasons and therefore would like to
collect it from WBVHA are earnestly requested to furnish us the following
informations at the earliest.
1.
2.
5.
4.
5.
6.

7.

8.
9.

Name of the Institution
Address
Name of responsible authority
Activities in details of the institution
Population covered
Are you in position to collect, store and provide vaccines and
preventive medicines, if so, please state details. How you
would like to collect it?
Are you already engaged.in providing vaccines. If so from where
and how you get it? Do you still like to get the vaccines from
WBVHA?
Reasons for taking vaccines from, WBVHA.
Requirement in quantity of vaccines and preventive medicines.

Date;

Signature
Institute:

Seal
The moment we hear from you we shall take every steps to negotiate this
matter with the Health Dept, of Govt, of West Bengal, and let you know
the progress.

We are looking forward to hear you.
REPORT OF VHAI CONVENTION HELD AT AHMEDABAD ON APRIL 27 - 28TH '1982.

The theme of the convention was "The Great Health Robbery". It called
attention to commercial exploitation of five identified vulnerable groups.
Infants from whose mouths monter's love' and milk are being snatched away
by the ruthless infants formula companies, and feeding bottle manufacturers

Consumers who are persuaded to take drugs they do not need, and-in greater
quantities than needed.
5.

- 5 -

People who need medicine often essential medicines such as for malaria,
leprosy, polio, tuberculosis are not available due'to less profit in these.

Women, who as a group have been neglected and exploited.
Workers, especially with regard to dangerous occupational hazards.
Averthahus D'Souza, Executive Director of Voluntary Health Association of
India, in a statement characterised the deliberate promotion of harmful
drugs as a gross violation of human rights. He called upon people to inform
themselves about the indiscriminate use of drugs. He alleged that drugs
companies use their economic strength to subvert national interests and
corrupt medical practitioners. He called on all alert people to give force
and focus their efforts to prevent the Great Health Robbery.

Poster Exhibition; The first day April 27 / began with Ruth Harner, Augustine
Veliath and other explaining the significance of the poster exhibition. It
was over two floors of the meeting hall.
SEWA; Ms. Ela Bhatt represented that Self Enployed Women's Association (SEWA).
This means the un-organised section of women workers, small traders, those
engaged in low skill services, street side vendors, handicraft producers
etc. Many of these need a small capital. To save them from exploiting
money lenders, the Association has started a women's bank. This is a
unique institution. All depositors and borrowers are women, all the
employees in bank are women. There has been struggle through the Association
for the women to get the stipulated minimum wage.

AWAG; Ms. Amina Amin presented a paper in the name of the Ahmedabad Women's
Action Group (AWAG). This paper gave numerous examples of exaggerated
claims in advertising that result in health robbery of women and children.
Mr. M.D.Zaveri spoke of low wages and health hazards suffered by tobacco
workers, especially women who roll bidis.

Village Law Service; Father' Mathew Kalathil spoke on a village law service,
with which he is connected, and which has its headquarters at the Rajpipla
Social Service Society in Bharuch District. The law group are primarily
concerned with the casses of exploitation, especially of. land aggression.
As a part of the service, selected young men from'the villages are trained
to do simple things like searching for all the facts, making petitions,
being liasion between the society and the village people. The society has
a senior advocate to present?their cases in court, and to pursue them as
far as necessary even all the way to the Supreme Court.
Consumer Education'Research;.Ms. Rani Advani represented the Consumer
Education Research Centre. They expose false misleading advertising,
adulteration and sub-standard quality articles on the market. If necessary,
they make a lawsuit against the malafide preparators of such social injustices.

Drugs Excesses and Pricing; Dr. Samuel Joseph and Dr, Aehwin Patel spoke
on the excesses in pricing- and prescribing on undue amoung of drugs.

Discussion Groups; In the evening, five groups were formed for discussions
and their reports were given next morning.
Membership Fees to VHAs and VHAI: It was recommended by the Executive Board
and resolved at the 8th General Body Meeting of VHAI at Ahmedabad that the
State and regional VHAs be firm that voting rights in their General Body
be related to the payment of agreed membership fees. Procedures for setting
membership fees ensuring payment need also to be worked out. Annual
membership fees of state and regional VHAs, as in the Constitution of VHAI
have also been reviewed. There is obligation for each member to pay an
annual membership fee. The amount to be paid is not stated in the Rules,
but is determined by the Generai Body.

The General Body may, from time to time, determine the membership fees to
be collected from members and associate members.

Annual fees shall be for the calender year, and shall be payable by.31st
January of each year,.
Hext VHAI Convention; VHAI Annual Convention 1983 will be held in Pune. At

6.

- 6 VHAI management meeting on May 14, a suggestion that 'Communication in
*
Health
should be the theme of this conventionj_was proposed. This would
be appropriate as 198} has been designated as nternational Year of
Communication by the U.K. VHAI invites opinion from you all so that
a note based on them can be presented to the Executive Board.

THE WAR OF BABY FOODS
The National Alliance for the Nutrition of Infants (NANI) recently
formed for the promotion and protection of breast-feeding, has an interest­
ing component in its plan of actions"Immunisation of health workers and
institutions against the potentially harmful effects of commercial baby
food promotion". The idea is to challenge the "unquestioning acceptance
of gifts, samples, trips and conferences from the big baby food firms,"
by doctors, nurses and other health professionals, who, more than the adver­
tisements, have acted as a potent channel in reaching the baby food message
to mothers.

NANI, whose members include health groups, consumers association and
development action groups, is an Indian counterpart of the many such
pressure groups that have formed all over the world in the last decade
to fight against unecruplus promotion of baby foods.
NANI is initiating a nation wide campaign in which every person who
believes in the cause has been urged to join. Two health groups in this
new association are the Medico Friend Circle (MFC) and the Voluntary Health
Association of India (VHAI) both of such have been active in the recent
campaign against hormone drugs.that harm unborn babies.

(Excerpt from 'SUNDAY
*-

20-26 June’82)

INDUSTRIAL DISPUTES ACT (AMENDMENT) BILL 1982
The Industrial Disputes (Amendment) Bill, 1982 has just been introduced
in Parliament. It- redefines 'industry and excludes hospitals, educational
institutions etc. from the purview of this term. But the workmen'employed
in these establishments also need protection. A machinery for the resolu­
tion of-their individual and collective industrial disputes has been
provided for. If you wish to get a copy of the HOSPITAL AND OTHER
INSTITUTIONS (SETTLEMENT OF DISPUTE) BILL, 1982, kindly write to C.B.C.
Commission for Labour, Catholic Centre, Armenian St., Madras - 600 001
with’Rs.2.50 per copy plus postage.

Urgent; Since the Bill has already been tabled and is likely to come up for
debate in the session of Parliament which begins in early July, it is urgent
that any suggestions for improvement in the Bill be sent to VHAI at the very
earliest.

WE NEED YOU IN THE MOVEMENT OF WBVHA
Are you a family member of the WBVHA in it
* s low cost health care movement?
If not, why not join today? WBVHA services may also’be helpful to you.
Kindly fill up the form below given and return to us at the earliest. If
you are already a member, we request you to handover this form to some one
whom you know and who-is interested in WBVHA and would like to be associated
with WBVHA. Please remember you cannot if you do not.

7.

149

PROSPECTUS FOR COMMUNITY HEALTH DEVELOPMENT
TRAINING FOR VILLAGE HEALTH WORKERS AND
SUPERVISORS AT THE PREMISES OF SEVA KENDRA,
5?B, RADHANATH CHOUDHARY ROAD, CALCUTTA-15
jROM lat TO 30th NOVEMBER 1982,

Dear Friend,
The need for Community Health is being rapidly recognised. The entire
health system is getting oriented towards a community approach. Do we under­
stand what it means? How do we really put these ideas into action. WBVHA is
committed towards this approach to health for the people.
We recognise that there are many dispensaries and small institutions in
rural areas trying hard to work towards this goal. This commitment and enthusiams of these people make them a very important resource in the health care
system.

To make "Health for all by the year 2000" an attainable objective, many
organisations both in voluntary and Government sectors have launched program
mmes in primary health care in the village and' slum areas. Apart from funds,
there is now shortage of adequately trained and motivated worker who could
provide leadership and know how to run these community health projects.
Unfortunately the teaching curriculam in most training institutes, do not
provide optimum field experience to their trainees. Also enough exposure
is not given for the growth of "teamwork spirit" which is so. essential to
their subsequent liking to work in community:health programmes.

This training course will provide an on-the-job learning experience in
the field of community health care both for workers and supervisors. This ex­
perience will hopefully make them realise the immense job satisfaction oppor­
tunities which are attainable in working with programmes of community health
care. This will open up new opportunities in community health programmes
specially in the field of human relation, communication, community approach,
health education, mother and child care, prevention of diseases, environmental
sanitation, socio political analysis, income generating projects and management
concepts.
This training is designed for those people who are in the rural areas,
who would like to know the concepts, principles and skills required in organi­
sing and management of community health work.

Who can participate

s

*

Any one who is working or plan to work in health
centres, hospitals, dispensaries or other health
care programmes in rural areas of West Bengal.

*

Any one who is interested and going to be involved
in community health and development work.

*

Candidate must be able to speak, read and write
Bengali and understand English preferably.

*

Candidates must be recommended by any voluntary
organisation where they are working or intend
to work.

= 2 =
We wish to limit the total number of participants to twentyfive only.
Preference shall be given to participants from- the institutions of West
Bengal.

DURATION OF THE TRAINING COURSE ■ s
VENUE

S

FIELD TRAINING

:

1st to 30 th November 1982.
SEVA KENDRA, 523, RADHA NATH CHOUDHARY ROAD,
CALCUTTA - 700 015.
- CINI (Child In Need Institute)

- RKM (Ramakrishna Mission)
COURSE FEES

s

.LAST DATE OF APPLICATION

s

30th September 19.82.

APPLICATION TO SUBMIT

s

Please send the application form along with
the cheaue of Rs. 375/
*
in favour of WEST
BENGAL VOLUNTARY HEALTH ASSOCIATION. Many
of: you did not get chance in our last train­
ing programme. Therefore please book your
seat as early.as possible to avoid disappoint­
ment in the last moment.

Rs. 375/~ (Rupees Three hundred Seventy-five)
only. This includes food, lodging and expenses
for tution. but not any other expenses. This
is a subsidised fees for the voluntary health
institution our actual expenses will be Rs.75O/per candidate. Travelling expenses has to
bourne by the candidate.
w

The complete application form must be
■ submitted by hand or by post to Mr. B. Bose,
Training Co-ordinator, West Bengal Voluntary
Health Association, 8 Sarojini Naidu Sarani,
Calcutta 700 017. Please pass on this informa­
tion to those whom you know and will be
interested in this type of training programm^^
PHONE NO



s

WBVHA- - 43-2468
SEVA ,'CENDRA - 21-2.641
THANKING YOU,

DR. JOYCE BISWAS
SECRETARY, WBVHA
.

Dated Jlst August 1982<

MR. D.P. PODDAR
EXECUTIVE SECRETARY
WBVHA

- 5 TRAINING COURSE OUTLINE

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Self Introduction by participants
Introduction to the C.H.Training Programme
Introduction to WBVHA/vHAI/CUS/RKM/CINI
Thoughts on Community Development
Definition of Health - Community
Human Relation and effective communication essential for
C.H.Programme.
Components of Community health programme
- Preventive and promotive aspects of health.
a.
A general talk on Community health and its
main components, what these are and how they
influence health.
b.
Health Education and Alvs.
c.
Nutrition
d.
Maternal & Child Health Services
e.
Environmental Sanitation
f.
Common minor ailments
g.
Common & Communicable diseases
Thoughts i.e. T.B., Leprosy etc.
h.
Simple record keeping and its importance
i.
Training methods - Talks, discussion,
preparation of charts and posters, cooking
demonstration, MCH clinics.
j.
Leadership/Mahila Mandal/Deshi Davai/Weight
Card.
Mental health community's responsibility
Community health and development problems, what are its cause
and how to prevent it
Role of VHWs/CHVs and how to select them
Survey and survey report/selection of villages
Approaches to community involvement and community organisation
Socio political analysis
Role of.adult education in the total development
Analysing community/community needs and priorities
The role of community and the team in community health programme
Over all view of Govt, policies and programmes at all levels
Administrative structure of health services at the local and
state level and how to co-ordinate with them
Planning a low cost health programme
Slide show/film show/puppet show/posters/flash cards/Role play
/drama/case studies on different aspects of health ahd development
Income generating projects
Management concepts
First Aid
Field work>. report writing on field work and discussion on
field work experiences.
Training programme evaluation and certificate distribution.

*******************

(PLEASE fill it bp and send back as

quick as possible)

APPLICATION FOR TRAINING IN COMMUNITY HEALTH •
1.

Training programme applied for.,

2.

Name

3.

^Address :

...........................

. PIN

PIN

PHONE

PHONE
Age . ............ 3. Sex

4.

..................

6. Marital Status..........

Education (including Technical/Progessional qualification, if any)

7.

Name & Location
of Institution

Date of Study
(From - To )

Name of Degree/
Diploma

Date
Received

Service Experience (Start with present employment)

8.

Name & Location
of Institution

Title of Position

Inclusive dates
of employment

What language do you know?

9.

Read s
Write i
Speak s

10,

.

Permanent,.

Presents

.......................................
..........
................................

A statement of your plans for utilizing the proposed training
and experience. What are your specific expectations in this
training programme.

Date

.......................................
Signature of applicant

Seal

Signature with designation
of- the sponsoring authority

PROSPECTUS
FOR

COMMUNITY HEALTH DEVELOPMENT

TRAINING

ONE MONTH RESIDENTIAL TRAINING ON COMMUNITY HEALTH DEVELOPMENT
LEADING TO A CERTIFICATE ORGANISED BY WEST BENGAL VOLUNTARY HEALTH
ASSOCIATION, A STATE UNIT OF VHAI (VOLUNTARY HEALTH ASSOCIATION OF
INDIA, NW DELHI) WITH A GROUP OF EXPERTS FROM DIFFERENT PROJECTS
OF VOLUNTARY ORGANISATIONS AND THE HEALTH DEPARTMENT OF THE GOVERN­
MENT OF WEST BENGAL.

VZEST BENGAL VOLUNTARY HEALTH ASSOCIATION
8, SAROJINI NAIDU SARANI
CALCUTTA - 700 017.

SOMETHING ABOUT WBVHA WHICH YOU MUST KNOW

WBVHA is a non-profit registered society. Its constitution is secular.
WBVHA assists in making health a reality for all the people of West
Bengal with thoir involvement and participation through the voluntary
health sector. Membership in WBVHA and opportunity for its services are
open to individuals as well as all health and health related institu­
tions in the voluntary non-profit sector of health care irrespective of
religious affiliation.

Community health is WBVHA's main thrust. WBVHA promotes and provides
the education of village based COMMUNITY HEALTH VOLUNTEERS.
WBVHA helps people to develop or extend Community Health Services and
Programmes, conducts seminars, workshops, meetings, conference and
Training Programmes. It helps its member institutions to plan, to
implement and to evaluate different programmes. Also helps in provi­
ding consultancy and Resource Persons according to the need.

WBVHA provides liaison for members with related Govt., National and
International organisations. It strives to keep members informed
throng? its monthly news-letter on the latest development in Community
health ?are and Govt. Policies. Representing to Govt, bodies the
problerrs of member organisations. Promoting the highest possible level
of health care through planned use of available resources in collabora­
tion with Govt, and other agencies. Keeping contact with numerous,
local, nation?! and international organisations and encourage the
formation and development of associations similar to ours in the
different districts of West Bengal. Co-ordinators from WBVHA's state
office and VHAI:j central office keep in contact with the organisations
scattered all over West Bengal and assists them with their activities.

Interested persons are invited to write for any further information
required.

WEST BENGAL VOLUNTARY HEALTH ASSOCIATION

8 SAROJINI NAIDU SARANI CALCUTTA 700 01?

MEMBERSHIP APPLICATION_FORM

1.

Name of Organisation/Individual:

s°Tbnaa,a'

2.

Address:

3.

Phone No.:

4.

How to reach your place:

5.

Type of Organisation:

6.

Activities:

7.

Do you have any training facility
in your organisation, if so, what:
(Please give details).

8.

What are the successes of your
organisation:

9.

What are the problems & failures:

10.

n.

What future, do you see:

■ How many bedstrength you have:

12.

Do you want %o get help from us in
providing training on Community
Health to your staff and others:

13.

Do you have Community Health
Development Programme, if so
Please give details:

14.

Type of membership you want:

15.

If you want individual membership,
are you related to any social
welfare organisation, if yes who
are they. How is your relation
with them: •
'


16.

As individual member, what do you
expect from us. and what would you
like to do for us:

.

l/We de hereby declare that the information furnished in this application
form are true to my/our knowledge and l/we do hereby agree to fulfil all terms
& condition of your association to become member .
l/We will be ready to
pay membership fees in time.
Enclosed herewith a cheque of Rs.
... in favour of West Bengal
Voluntary Health Association for membership for the year 198...

Dated
Full Signature of the applicant

Designation
RATE OF ANNUAL SUBSCRIPTION;

Any Individual : Rs.25/- , no voting right.
Any Institution/Dispensary/Clinic/Registered Society: Rs.75/- , one voting right.
Any Hospital : Rs.l20/~ , one voting right.

Position: 1099 (4 views)