TAMILNADU VOLUNTARY HEALTH ASSOCIATION
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- Title
- TAMILNADU VOLUNTARY HEALTH ASSOCIATION
- extracted text
-
RF_NGO_1_SUDHA
IS
THERE A
FUTURE
TOMORROW’S
WAR,
POLLUTION,
DISEASES,
DRUGS,
AMIDST
FASHION,
FOR
CHILDREN
AIDS
SO LET US SPEAK UP FOR
TOMORROW’S
WORLD
Dear Sir / Madam,
There is a great concern all over the world on the growing health hazards and increasing
problems that affect the lives of the people. So, many voluntary agencies all over the world are cele
brating ‘One World Week’ from Oct 21-28, 1990. The aims are:
- To explore the links that bind us to our fellow women and men, so that we can
work for Health, Justice and Peace
- To recognise our responsibility to care for the earth, preserve and share its
resources fairly.
- To highlight issues concerning us to make people aware of and act on them.
IF YOU ARE INTERESTED YOU ALSO COULD ORGANISE
separately or jointly programmes to motivate as well as create awareness among our people.
The following topics could be highlighted.
Mental
Health
Awareness
Environment & Health Issues Awareness
Women Issues - Focus on Girl Child
Women & Health
*
Environment Health & Food
*
World Food Day Celebrations (Oct 16) - Food for Health or Fashion
*
World Anti Poverty Day (NOV 1)
Those who need suggestions and resource persons kindly contact us. Let us join hand
to change tomorrow’s world and make it a choice for the new generation.
Working along with you to uplift our people for a healthy world.
Yours
sincerely,
(sd /-) J. P. SAUUNA ARNOLD
EXECUTIVE
SECRETARY
Tamil Nadu Voluntary Health Association
Kilpauk, Madras 600 010.
.^□yr.'.UNITY H -
fH CELL
. 320, V Mein, I Block
Koramenga'a
SECRETARY'S DESK.
FROM
India
Bear Friends,
It is quite a longtime since we communicated through the
news letter.
I have been busy with the seven weeks workshops nn<
on top of it I was down with a fractured leg.
Second reason was
the need for tic to ^settle a few things before I decide on a
definite step regarding my work in TNVHA.
At the last meeting
I had mentioned my desire to hand over, as I have already esta
blished the organisation.
So I have given my Official resigna
tion.
My challenge was to establish what Sr.Jahe had willingly
taken up to start the organisation.
It was her ill-health that
forced her to handover.
TNVHA now has a stable address and the
possibility of a steady source of fund.
The only requirement is
to now go forward with the right personnel.
We have a criteria for membership and people are coming forward
without any propaganda to become members.
There are also drop
outs by not paying the fees for years together.
This can be
rectified by having programmes and services for all categories
of members.
We" have criteria for Board members also.
Brocheures
are renewed and the rules and regulations are revised according
to the latest Tamil Nadu’Societies Registration Rules of-1978.
We have iransfered the registration from Falani to Madras and
after stabilizing the address a re-transfer had to be made from
the south to north Registration office for societies.
We got
the first exemption of tax for one year and the same to get
regularised through the auditors.
We are also being invited to. attend Meeting from the
Government, but we hardly do anything about it.
We need to be
involved with the Government, not only for Mini Health Centres
but as Voluntary Organizations.
Tamil Nadu talks a lot about
collaboration but not in the practical lifeas you know.
Perhaps
only definite publicity and dealings with politicians can bring
about that and that is not meant for a Religious- Our work is
more to work from Eching the screen f For the past 2 yrs I have
been trying out the possibilities of getting assistance for the
same.
Due to the lack of visible sedurity and the manner ’of work
they are used to, they don't get (job satisfaction.
We have to
bring about an official manner of dealings and not the type of
personal contact, and communications at any time in the future.
The office hours and public holidays are to be thought of.
While I thank you for a 11 the moral support you have
given me so for, I request you to help the office in the
future by --1 .
Sending the Membership Fee before the General Body
Meeting and asking for the receipt if you do not getit
within the same month.
2.
Responding promptly the requests of the office so that V
they can function mor@ effectively and efficiently.
There will be a full time Programme coordinator to orga
nise district wise workshops and there will be no move in the
officetoo to continue the day today work-.
Your cooperation is
very much needed.
"OH THE SPOT" Programme may continue for another 2 years Teaching Community Health Workers at their own centre if I
get a suitable person r Mrs. Arokia Mary will continue for
a few more months before she completes her contract.
Now to come to tho Wholisitic Health Workshops, there is
a chance for Personal Growth and Basic Wholistic Health workshop
by Sr. Carol Huss and team in January/Pebruary 1 985 at a very
subsidised rate for ‘those organisations who have been paying
and attending regularly.
For others also we are trying for
concessional rate.
That will not be through TNVHA, but through
. . .2
another organisation - Details will be sent in the next news
letter.
Now, the part of the real News letter is being handed over
to Miss. Sugunthy John, who has taken up the work in the office.
By this, I do not give up my servicesbut I am ready tocassist as
long as my services seem to be a support for TNVHA.
I will
definitely meet you all in person at the General Body Meeting
of 1.985 in Pondicherry.
With regards,
Yours sincerely,
Sr. Muriel Fernandez,
(EXECUTIVE secretary)
Th this present Newsletter we bring to you news on differed
aspects of our activities and the focuses about each programme.
Our Theme for this newsletter is''FOCUS'
This news letter brings to you the news and views of TNVHA, witb
its Focus on a wide range of activities.
Since our activities with regard to Wholistic Health Workshops
were very vigorous, the Newsletters were eclipsed for sometime.
WHOLISTIC HEALTH WORKSHOPS.
Our Workshops on Basic Wholistic Health and Advanced
Wholistic Health went on well from 1 5th July to 29th July in
Dhyanashram .
On Personal Growth and Basic Wholistic Health and from 20th
August to Sth September, Advanced Wholistic Health training at
Trichy.
The wholw programme ended at Bangalore when we had one
week course for those who are thinking of starting stress mana
gement clinics.
NIMHANS•(National Institute of Mental Health)
and the Psychiatric Department of St. John's Medical College
collaborated much with Sr. Carol Huss and team.
As for the workshops for the future I would like to inform
you that there will be another course in January/February 1
in Madras.
The purpose is to have suffiecient personnel to
give atleast the Basic Workshops District wise in Tamil Advanced course will be after July for the organisation who
have been spending money and sending the participants, will be
considered first for concessional rates.
We are trying to get the cost covered by the Caritas
India and the details of which will be published in our
next Newsletter.
About Workshops on Child Birth.
There is a request from Janet Chawla of Delhi to conduct
Workshops on Natural Child Birth, and we are trying to plan
out a suitable programme.
Further details about faculty,. place and date will be informed in our next newsletter.
'Wholistic Health in
a Nutshell.
W - Winding up the energies of the human body in three aspects:
1 . Physical,
-2.
Spiritual
3.
Psychological
H - Healing of the mind and body.
'
0 - Organising the external and internal activities
L - Living out one's life fully.
I r Improving one's knbwledge in different aspects of life.
S - Self loving and mutual loving
T- Teaching oneself and others
I- Integration of one's life by using (R+) + (L+)
brain waves.
C- Continuous learning process.
(Right & Left)
H- Holding on to old remedies which existed with our ancestors..
E- Experiencing purposeful and joyful living.
A- Allowing oneself to take self responsibility
L- Living upto one's maximum productivity
T-Trusting in one's personal resources.
H- Hard work to live in wellness.
MEETINGS;
On the 10th of August the Board Meeting was held at GLRA
all the members wore present.
The dates and Venue were fixed
for the next General Body Meeting to be held in 1 985 at
Pondicherry.
The dates are from 1 st to 2nd March.
Union Budget of 1984-1985 on Hardships caused to charitable
and religious organisations is discussed.
The Government of
Indie and especially the Ministry of Finance is aware of the
good work done by the various charitable and religious trusts
and institutions.
However they are also very much concerned
about the tax avoidance by Industrial and trading groups- through
the medium of trusts.
Since 1970, this matter has been of great
importance and the Focus is on this point.
NEWS..FROM....VHAI.
WHO; A diarrhoeal disease control Programme.
In support of Bio-medical Research Projects in 1985.
In
order to eradicate diarrhoea in dcvelopingcountries , three
dividions are set up by the steering committee of the Scientific
Working Group.
1.
2.
3.
Scientific 'Working group on viral Diarrhoe.
Scientific Working group on Bacteria Enterin Infection
Scientific Working group on Drug development and management.
INFORMATION;
A VHAI Publication of newsletter with their theme being
environment.
"Nature never did betray the heart that loved her" .
They have discussed on aspects like l) Oil lamps: A hazard,
2) Bonded labour 3) Ineffective polio vaccines 4) Pesticides
5) Tubordulos is.
Important Information
1 .
a)
b)
c)
2.
th
There are five viral diseases discovered by the scientists
of India.
Kyassamn forest disease
d) wanowrie
Ganjam
e) Bhanja
Chandipure
A Bright Future; Predictions at a recent World Health day
ceremony indicate that the next .ten years will likely see
the most dramatic break throughs of all time for the health
of-the people of the third world. The most important-of
those anticipated are ;
Massive immunisation programme against six major disease
Dramatic increase in the availability of clean water and
sanitation,
c)
Global eradication of guinea worm.
a)
b)
4
We received a letter from Chandra Kannapiron of VHAI
asking us to contact the members of TNVHA to get informations
regarding tho utilisation of the services of personnel trained.
abroad to get into tho fields of villages and rural area in
India.
Your cooperation in this matter will be very much apprecia
ted.
We are all well aware of Madam Ruth Harnai of VHAI who
worked in the Education department and retired,
She along with her team are close to organising several
" experimental” IIealt?i workers.
ANJJ schools, which are quite
apt for teadhing of knowledge and attitutdes and tasks for
those who are crucial "interface" between government Health
sevices and tho
rural community.
In the latest issue of Health for Million focusses on the female
Health workers who are variously described as the "Key factors".
"the frontliners" and "interface" in primary health care.
It
is estimated that India would require about 1,97,000 Pemale
Healths workers by 1 9‘?1 , but we train only 6,000 every year, tWro
would be a major set back for 1 here would bo lack of personnel in
the health field.
An exhaustive study done by Ruth Harnar and Betsy Lehman,
argues for strengthening of our capacity to train more nurses
and revise the present training system .
S'or it is the female
health workers who part 'a Lion's share of their service to
their community.
Leprosy - A Social Problem
A Meeting was held in GLRA on the 10th of September with
Health officials and doctors to -see the problems of Leprosy.
The focus hero was to consider Leprosy as a social problem and
not just a medical problem of a few.
It was planned to
for health workers,
main problem.
ip action groups and organise programmes
go into the fields were leprosy is the
SCHIEFFELTIi L?P~C ■_i...
'ARCH AND TRAINING.
Centro at ivirigiri which is exclueivoly dealing with lepros••
send their deic.:.
of' courses which they offer.
They are
publishing the? - comres and aa< tivities in their prospectus.
RAWTTAKUPPAM
RCRAL J'lENTRE.
We received a repo&'t of their activities which comes under
three broad heads. 1 .Leprosy control programme 2. Community
health 3. Community development.
This is being giver, as informatory service from the members
to the members,
REMINDER OP METtBERSHTP FEES.
You might have .been getting reminders district wise through the
contact person.
While thanking thoAe who responded, we earnestly
request to send in the membership fees as it’ is already the
end of khe year.
Even after receiving the reminders if you
don't respond you will bo send a reminder card signed by the
Treasurer of TNVHA.
H
32t
, Mein, / Block
Koramcngala
RAWTTAKUPPAM HEMERIJCKX RURAL CENTRE^^f/ROV^LWP.O . ,
SOUTH ARCOT DIST; .
Mla
Leprosy work started in 1 958 at Pondicherry.
Shifted to the present place and functioning under S.E.T. pattern
since 1970. Damien Foundation, Belgium is taking the lead in fund
ing the programme and since 1977, the Govt, of India is aiding
with S.E.T. grant.
Work under the Leprosy Control Programme.
Area coverage - 250 villages - parts of Vanur, Villipuram and
Cuddalore taluks allotted by the govt, of Tamilnad,
2.5 lakh population.
Survey Mass Survey.
Contact survey.
School survey.
Patient-education.
Individual, group and mass
meetings in the villages.
Teachers1 meeting.
School Health Education.
Treatment 23 road-side clinics. Multi-drug therapy for posi
tive leprematous cases.
Domiciliary treatment for the school-children, old
people, etc.
Physiotherapy and labvassessment .
At the Head-quarters 20 beds for male and 10 beds
for ladies are available for the "hospitalisation
necessary" . Cases like chronic ulcers and reaction
cases and inter-current diseases.
Referral Complicated and surgical c ases referred to JIPMER,
Kumbakonam and Karigirri according to necessity.
Rehabilitation- Few patients and families are absorbed in th mainteanance of the centre. As a rule we encourage the
patients to remain in their houses in usual surro
undings and employment. Very few is absolutely ■
unable to strive for themselves and earn. Some are
specifically absorbed at the vocational training
centres run by other organisations. Financial ass
istance for house construction, cattle purchase,
pettyshops, etc. are given for the needy cases.
Education -
At the field level, work is carried out by 1 2 PMWs
sharing each 20 to 25 thousand population, supervised by 2 NMSs.
The Medical Officer with his team attends the clinic once in a
month.
One PMW is responsible for 2 clinics.
Ijhe Medical
Officer, the Health Educators and NMSs are all attending the
village visits to facilitate the work of the PMW like absentee
call, cases assessment, individual, group and village meetings etc
In 1977, the necessity to integrate the leprosy work
with general Health and community Development is felt and to
start with, 5 villages comprising 5000 population, surrounding
the Head quarters were selected for this purpose.
WORK UNDER COMBUNITY HEALTH.
House visits
Individual household contact by the
Public Health Nurse and by the Multi
purpose worker (male) for health,
Nutrition and Environmental sanita
tion education - Treating the minor
ailments - updating the household survey.
Ante-natal and
Post-natal.
A.N. Registration - periodical visits,
immunization, Nutrition education.
Preventive Services
Immunization to children, Bemonstration
on the preparation of Multi Food and
other nutritious food preparations.
Balwadi and School
Health Examination
Medical Check up for all the children
once a year - treating the minor and
deficiency diseases - referral and
follow up for the major ones.
2
Village Health
Workers
Traditional
Birth Atten
dants. (Local
Dais )
Training and coordinating with village Health
workers - one for each 1000 population - sim
ple Health Education, treating minor ailments
Propagating the home remedies - brigading
the service between the centre and community
weekly review meeting at the centre.
Initial training given in colloboration with
JIPMER. . Periddical refresher courses are
conducted - Helping in Ante-natal, delivery"
and post-natal services - Educating the' G.W.
services and methods.
Out patient
Department
Available at the Head Quarters between 3.00
and 5-00 p.m.
Health Education, treating the
minor ailments and referring the major ones
to JIPMER.
The Public Health Nurse and the Male Multi-purpose worker
are the primarily responsible at. the fiels level with the doct
-ors coordination.
The other members of the team are coordina
ting and facilitating the work in the Hospital and training at
the village level.
WORK- UNDER COMMUNITY .DEVELOPMENT
Non formal.
Six centres are functioning - Evening between
Adult educ
7.00. and 8.00 p.m. - conducted by trained
ation Centres.
animators - news paper reading, literacy and
the discussions of syllabus prepared by the
centre are the important points.
Balwadi
Three balwadis - food supplied by the Govt.
Discipline and Education are our responsi
bilities.
Trained teached and aya are
primarily responsible.
Train the boys for 6 months to one yearRope making
Trying to put them under self employment.
training unit
Handloom
Training Unit
Ambar charkha
Pinaneial
.Assistance
- do .-
Gives regular employment for 30 women.
The Tamil Nadu Khadi and Village Indus
tries .Board, and the Sarvodaya Sangh are
collaboerating.
I
Loans are extended for various village ®«btivities like small business, small cottage
industries, cattle purchase etc., through
the state Bank, Pondi/cherry,
Village Organi
Village elders committees, Madhar Sanghoms,
zations
Youth Clubs are organised.
Periddical trai
ning sessions in Development, Health and
Welfare activities are conducted.
The centre
is attending the regular monthly meeting of
these clubs.
Community tree
Community gardens :are created to assure a
plantation.
revenue for future in conducting the lesser
expensive programmes like, VHW, A.E, centre
and the Balwadi.
Laying of rods, :
These works are undertaken with the active
digging and
participation of the respective community.
For instance in most of the cases 1/2 day"
deepening of
wells,
wages are paid whenever.the work is taken.
As a token of encouraging schooling in the
Donation to
;
School buildings.
area, a building for the primary school at
Rawattalcuppam, extension in Gandhi School
and Middle school are given.
At the field level the Development Officer, the Health
Educator, and the Multi-purpose worker, the instructors, the
Animators, the Balwadi teachers and ayas are responsible for
the work.
The team is coordinating and facilitating in plan
ning implementation etc.,.
• «1 • •
XIII - ANNUAL GENERAL BODY MEETING - TNVHA.
The 13th - Annual General Body Meetinc was held at Multipurpose
Social Service. Society, Kumbakonam on 10.3.84, Saturday at 9 a.m.
Er. Antoniswamy was requested to preside over the business Session..
Gen. B. 84/1 .
The meeting sta,rted with silent prayer.
Gen. B. 84/2.
The roll - call was taken by passing the Minutes Book
around.
Gen; B. .84-/3.'
Minutes of the previous meeting was read by Sr, Muriel,
the Executive Secretary and the same was approved after
-it'was proposed by Mr. Shankar and seconded by
Dr. Charles.
Gen. B. 84/4.
The annual report'of the Secretary was reported by
Dr.'Kousalya Devi.
The following points were brought
out.
.
a.
,
b.
c.
It is emphasised that the’TNVHA activities should be
given much more publicity.
The’^ig organisation should come forward to share the
experience and help the smaller institutions.
It was
painfully noted that some bigger institutions were
asking TNVHA in terms of benefits from TNVHA.
It was maintained that equal representation from every
religion is welcome and steps are being taken to
involve Muslem Organisation into TNVHA.
Einally, the Secretary, Dr. Kousalya. Devi thanked all
the members for the affectionate co-operation during
the period of her Secretaryship.
Gen, B. 84/5.
The annual report of the Executive Secretary was
presented by Sr. Muriel.
Action taken over the
previous General Body Meeting Minutes, General
activities datewise and the forthcoming programmes
were discussed at length.
Gen, B. 84/6.
Accounts duly audited for the year ended 31.12.1983
was presented by the Treasurer, Mr. Jayaraj Devadas
and discussed.
Gen. B. 84/7«
He has placed the budget for the’ year 1984 as recom
mended by the Board.
A sum of Rs. 65,700/- as budget
was'proposed/approved,by Mr. Varadan to be approved
and Dr. Charles seconded the same.
■
Gen. B. 84/8.
The Treasurer brought to the notice of the General
Board that the present Auditor, Venkatesh & Co., are
not found co-operative enough with the Association
and hence it is agreed that we appoint- a new Auditor.
Gen, B. 84/9.
It'is resolved that the TNVHA appoint Mr. Nandakumar
Chartered Accountant, Madras from 1st January 1984.
The same was proposed by Mr. T.J. Baskaran and
seconded by Sr. Regina',
Gen. B. 84/10. The members who have not paid for more than 2 years
are considered as drop-outs.
It was felt and suggested
that they should be contacted again before they are
declared as drop-outs.
Hence, only the resignation of
calmer Institute, Adayar is considered.
'..2..
Gen, B. 84/11 .
The following members were given a warm welcome as the
new members of TNVHA.
>
International Carreer Centre, Neyyoor - K.Kk Dt.
Holy Cross Hospital , Vettoonimadam - Nagarcoil 629 003.
3. Pallapatti Medical Relief CentreRajapet Street,
Pallaputt.i - Trichy District.
.
4.
Holy Cross-T.B. Clinic, Malaicode, Edaicode p.o.,
K.K. District.
5• ....-Preventive Community Health Education Programme,
1/290 - Middle Street, Silaiman, Madurai - 625 201.
6.
St. Mary's Health Centre, Arasadipatty, Kummankulam
P.O., Pudukottai District.
1 .
2.
Gon, B« 84/12.
It'is resolved to record tho services of the President,
Dr. Cherian and the Sedretary, Dr. Kousalya'Devi, to
TNVHA during those past three years.
The former is
the founder of TNVHA and has been the President of
VHA for a term. His groat step in giving the loan of
Rs. 50,000/- for TNVHA interest free was the first.; ■ ■vmove towards the stable address of TNVHA,. and the
organisation is grateful for the same — The latter is.
the very soul of TNVHA.
13.
The recommendations of the nomination committee were
accepted. Tho present Board Members are the following
PRESIDENT
VICE - PRESIDENT
Dr. Kousalya Devi,
(Med. Supdt.)
Kasturba Hospital,
Ambathurai,
Gandhigram,
Madurai Dt. - 624 309.
Dr. Ashok Philip Oomen,
(Med. Supdt.)
Medical Eellowship Hospital,
Kothagiri,
Nilgiris Dt.,
Pin Code - 643 217.
SECRETARY
Mr. T.J. Baskaran,
(Administrator)’
leprosy Mission Hospital,
Dayspuram,
Manamadurai ,
Ramnod Dt. - 623 606.
JOINT SECRETARY
Sr. Mary Monica.
(Administrator.)
Daughters of Mary Convent,
Marthandam,
. K.K. Dt.,
Pin Code - 629 165.
TREASURER
Mr. R.S. Mani,
(Technical Advisor)
German Leprosy Relief
Association,
MEMBER
1
Madras - 600 030.
2.
Mary Vijaya,
(Med. Supdt.)
C.S.I. Medicp.1 & Leprosy
Centre, •
R.B, NO; 16, VandaVasij
N. Arcot Dt.,- 604 408.
4.
Mr. R. Kandaswamy,
5.
(Nursing Supdt.)
Sri Ramakrishna Mission,
Sarojini Naidu Road,
Sidhuppr,
Coimbatore - 641 044.
Dr. A.S. Antoniswany,
(Director)
Multipurpose Social Service
Society,
Pondicherry - 605 001 .
Dr. E. Vomsteen,
(Med. Supdt.)
Leprosy Relief Revel Centre,
Chettipatty P;0.,
(Via) Omalur, Salem - ?>■." • '
636 455.
Dr. S.X. Charles,
(Director)
International Career Insti
tute,
Neyyoor,
K.K. District,
Pin Code - 629 802.
.
6..
Gen. B. 84/14.
Cherian
Kousalya Devi
Joyaraj Bcvadas
Felix Sugirthara3
Manohar Bevid
M.B.S. Raman
6
1 .
2.
3.
4.
5.
The New Members are:
Mr. R.S. Mani■
Br. E, VonstcjSn
Brj R. Kandaswamy
Bri S.X. Charles
Br. Bellarmtij^e
5
Gen. B. 84/15.
1 .
2.
Gen. B. 84/16.
1.
Sr. Muriel Fernandep,
TNVHA Office,
Madras,
Pin Code - 600 011.
The Chairman thanked the outgoing members and welcomed
the new members of the Governing Board.
The outgoing
membersare:
Br,
Br.
Mr.
Br,
Br,
Br.
2
3
EXECUTIVE SECRETARY
. .(Ex;-- Officio )
"
Br ..
(Medical Officer),
Maria Matha Hospital,
Arokiancgar,
Saruganei,
Ramnad Bt. - 623 405.
President
Secretary
Treasurer
Member
Member
MKmber
Madras
Salem
Coimbatore
.Nagarc oil
Ramnad
3.
■Sr. Aornina,
St. Pauls’ Health Centre,
Thondamnnthurai, Via. Arumbavur,
Trichy Bistrict. - 621 103.
ll
11
"
<■
Treasurer
Memberi
Member.
Member ’
Member
In order to expand the activities of TNVHA and to
co-ordinate, it is suggested that the. ■ following pereoi
will be the contact person as detailed below:
N. Arcot Bistrict
S. Arcot Bistrict Thirunelveli Bistrict
Coimbatore .
Salem Bistrict
Madras
Tanljoro Bistrict
Hamad Bist’rict
Trichy Bistrict
K.K. Bistrict
Pandichorry’
Nilgiris Bt.
2.
3.
n
11
it
The following members were elected as nomination
Committee for the year 1985.
Mr. Jayaraj Levadas
( Convenuor)
Regional Secretary - G.L.R.A.,
Gajapathy Street,
Madras - 600 030.
Mr. S. Shankar,
CSS.Ii Medical & Leprosy Centre,
P.B. NO. 16, Vandhavasi,
N. Arcot Bt. - 604 408.
P-en-. B. -84/18.
tt
11
11
It is resolved that the Bank accounts of Tamil Nadu
Voluntary Health Association will be with the State
Bank -of India, Madras and the accounts will be jointly
operated by the following.
Mr. R.S. Mani
Treasurer.
Sr. Muriel Fernandes
Executive Secretary.
2.
Gen—B« 84/17.
Term Over.
11
Mri S'. Shankar.
— Sri Irone
- Sr. Vinvont
- Mr.
R. Kandaswamy.
- Br. E; Uomstein.
- Br. Felix Sugirthara3.
- Mrs. Lakshmi Albert.,
- Mr. T.J. Baskaran Rich -.:
- Sri' Vero'ni
— Sr. Vijaya
- Mri Marie Bennet.
- Mr. J. Antoniswamy.
-
It is decided that one of the following theme be
chosen for the 1985— General Body Meeting.
TNVHA role in National Health Policy.
Respect Life.
Human rights.
^4..
The Venue will be are of the following:
1.
2.
Pondicherry.
Nagarcoil.
The dates are
*
-2nd or 3rd Week of January.
T
Gen. B, 84/1 9.
1;
2.
3.
4.
5.
The VHA General Body . Meeting of 1984 will be at Ooty
hosted by TNVHA through Dr. J.S. Antoniswamy - Director
of Multipurpose Spcial Service Society on 26th & 27th
April - 1984.
The following members, are nominated to attend the
meeting as delegates’of TNVHA with voting rights.
Dr, J;S. Antoniswamy.
Dr, Philip Oomen.’
Mr. T.J. Baskaran.
Sr. Regina;
Sr. Muriel.
It is decided to encourage more members as observers
for the educational session’on the first .day since it
is beeing held in our state.
Gen. B. 84/20.
< .
1 .
In the feed-back session the following points were
discussed.
Wholistdc Health Training - Six weeks are given to ? .T 7i
TNVHA’by Sr. Carol Huss.
The venues are still to be
fixed.
The possibility of vaiious organisations cor+r/
contributing to have a solesidized rate is being
thought of.
.
2.
Workshops for community Health workers districtwise
will be continued.
It was requested to send in the
requests well in advance to plan out the programme.
3.
National Health Policy workshops will continue as a
preparation to the next year's General Body Meeting,
starting at Tanjore,
It is aldo decided to get the reports of the centres
who are already working put in the same line ffr the
newsletter.
Both Pondicherry Mutipurpose Social
Service Society and Amerijek Leprosy relief centre
rawthakuppam volunteered to be the first ones to send
in the report's.
It is also requested to send, us the proforma for Nati
onal Directory of Health Centres, if it is not yet
sent to be able to give correct information, to Delhi
office.
Sr. Hermenia explained the’workshop she attended in
Pune on Natural Childbirth.
The main streee was on
Family Centred Community Care,
Psychology of labour.
Birthing Technology.
Ante & Postnatal excercises.
Experience of childbirth etc,,.,
Gen. B, 84/21 ,
Mr. R. Kandaswamy agreed to work into the feesability
of holding it in Coimbatore.
The General Body Meeting ended with Vote of thanks by
Mr. T.J; Baskaran Richard, the newly elected Secretary.
Sr. MURIEL FERNANDEZ.•
EXECUTBVE S]£CREJ?ARY.
""
" 6
REGISTRATION FORM
TNVHA Annual General Body Meeting at Kumbakonam will bo held on
.March 9th & 10th 1984.
1 . Name and' Address ofjfthe
Institution
2.
Name of delegates with
Designation:
5.
Accommodation
if required
4.
Date of Arrival
5.
Date of Departure
f'
Return Ticket
if required
7.
Required/Not required
:
:
Hotel/Convent
;
Bus/Train
Time:
:
:
Required/Not required
:
Train/Bus
Advance Payment for
a)
Ticket with Service Charges ?.s.6/~
b)
Hotel/Convent Accommodation
Rs
c)
Registration Fee
Rs. 25.00
d)
Meals, refreshments & other expenses
Rs. 50.00
Total
Rs
fc.
Send us M.O./DD/Cheque on Tamil Nadu Voluntary HealthAssociation on or before 15th February 1984.
8.
Membership Fee
:
a) Due 1985/84
b) Sen
*
as M.O./DD/Cheque
Flense send your Membership Fee by M.0./DD/Cheque to Tamil Nadu
Voluntary Health Association separately.
Date:
Signature
Tamil Nada Volnntarif ifeallh Association
IVeuPsZetter
-flU
V
A
COMMUNITY HEALTH CELL
326, V Main, I Block
Koram.ngala
Bangalore-560034 '
India
No. 13, 2nd Floor,
23, Siruvallur St. (Main Rd.)
Perambur, Madras-600 011.
NEWS LETTER APRIAL.- 1 984^
Phone ; No. 665285.
■ short'-RepQ^ir’'bT''T7uF"Ge'herajTTo3y “!m'
Meeting, the minutes of the meeting, our Annual Report for those did
not attend the meeting, information regarding the Training in
"Better Living" , new book published, question on TB, and a question
naire to facilitate Bholistic Health Training Programme.
I sincerely
hope you will fill in and return it immedietely to be able to organise
in an effective manner.
'Ph-i R
We are given 6 weeks for Tamil Nadu.
Basic Wholistic Hea^jph is
a MUST prior to the rest.
Any number of participants can.follow that
but for 'the advanced Course only limited number "first come first
served" basis.
There is also a group asking for Advanced Personal
Growth, According to the response, we shall organise.
Even the venue
can be fixed only after that. • It has to be a Residential Course for
various reason^.
The groupings are given
.ber week and you tick
what’you require and the name of the participants who require the
same.
What is given in No. IV.can also be included with rest of the
Programmes if need bo.
A Pew Lines about the General Body Meeting.
Though it is one of the conditions to be present at the Annual Meeting
many did not turn up and for some it is a general routine.
I
sincerely thank those who responded, but were detained due to the .
whether.
Our sincere thanks also to those who took the pains to be
present, Herewith we apologise for the lack of facilities for accom
modation., The last minute response make it very difficult toiorganisc
properly and often it is those who respond in. times that pay for it.
Next year very special attention will be paid for that.
This year as you know the venue was KMSSS, The Director,
Pr. Gregory has very much went out of his way to help us through his
own personnel without which things would have been difficult.
The Inagural Session was at 9.30 a.m.
The Chief Guest being
Dr. Pal'ande, the Chief Surgeon, Sacred Heart Leprosy Hospital,
Sakkottai.
During his inaugural address Dir. Palande said, "Health
care is Tm important aspect of each and every human being.
Even in
legends, the concept, of health is very much emphasised.
We have to
try to achieve the goal, GOOD HEALTH CONDITION in our life.
The Key-note Address was given by Mr. Avertfcanus D'Souza,
Executive Director, VHAI, Delhi. He said, "The methods prevailing
about the concept of health, functional relations, educational
r*
educational system, unawareness, negligence, etc., should
be ex-adicated to achieve the National Health Policy".
The President of TNVHA Dr. Jacob Chprian made stress on Alter
native Strategy. He also spoke on "Mini Health Centres.il1, Pollowing
this, Mr,. R.S. Mani , spoke about the importance of communi
Education and participation to bring about "Health for ajkjK-b.y. 2ooo"
as a REALITY.. Then Dr. Kousa,lya Devi, Secretary, TNVHA .'graze an
Introductory talk about the NHP in Tamil as requested lusfljjglyear by
some participants. After that there was a seminar onUfholistic
Health followed by group discussion and ropoft'^hg sc^-siton.
A
The first day's programme ended at 6.15 p.m. followed by .
cultural films from pondicherry and Feature film "TIJANEER'THANfiER"
at 8 p.m.
’
. .2..
•
■ ■
The second day
*
r.ernin£ wc hold the Business Session which is\
given in the Minutes.
Thci. was followed by a Debate whether this
thene is a myth or reality.
Mr. Averthanus chaired the session.
Dr, Kousalya Devi and Mr. Varadan debated that it is Myth while
Mr. Shankar and Dr. Mary Vijaya reacted it is as a Reality,
It was
a worthwhile session since it highlighted many of the points.
INFORMATION
■ !.
Training Programme on "BETTER LIVING" as an intensive Resi
dential Training at Life Natural Society, Udumalpet — 642 126, dated
May 20 to 27.
Pees - Rs. 140/~-to Rs. 1 60/- inclusive of everything.
Topics - Natural Diet and Therapy, swimming, trekking, .yp.gq,,. sath s
sangh.
Medium of instruction Tamil/English/as required. 'No specific
eligibility.
2.
"Tree Planting" a book in .Tamil recently-pUbiisiied, . aVarlablc
at OXFAM (INDIA) TRUST,. No. 59, Millers Road, Benson. Town.,; Bangalore,
Pin Cade -’560-046.
■, " ’ i
;
••’’u
•
.
■
• ■ ■. '
\ .7' -
3.
■ TNVHA request to Members-; ' We'arw 'still/awaiting-the Members
ship Pee for 1 9&4 and for some even 1982 and 1983. •It would also be
a great help if you pay, attention'to put the name of TNVHA on chea|^/
DD instead’ of Executive Secretary.
While sending,M.0, please writ^^
from-'a'ddress'or put your stamp on-the;M.0. form in the space provi
ded for Communication.
.
..’
VHAI GENERAL BODY MEETING:
This yea r VHAI is.holding their Meeting in our State at Ooty
on 26th '& 27’th Apr,il and the theme is "TB in the Gontxt of Community
Health".
As far as the Technical Adviser to Govt. of India, in-./TB
*
He is
concerned about the . National TB’ .Pr.ograhime. .. It "is’ cent per cent
centrally sponsored "but” it-has not yet been finalised which means the
peripheral Health Institution will have to'depend upon the.Dt. T.B.
Centres and 'the State T.B. Missionary- for the BCG Vaccine and Anti
T.B. drug's 'from the Central Government on a co-operative basis- can
be subjected to reality with' your 'help.
For that we have to- compile
the. following information to •give'a clear picture of State T.B.
care in our areas' and- in-the country to the Government so that the
specific bottlenecks are. eliminated and the availability of'Anti T.B?
dru’gs to the Peripheral Health, Institution is made possible.
10,
Please kindly-forward this 'infdrmation to our office by April
1 984. '■ ■ ■
1.
2.
3.
4.
Ji
66
7.
8.
' INFORMATION REQUESTED FROM YOU
List of names and .ad-dresses of pdpie involved in-TB work,who.
,
could contribute as resource, persons,
,
List.of resources centres where training in TK Care could.be
imported for different levels’ of ..health personnel in the field.
Incidence -.of TB in your Stgte. ’
Prevalence of TB in- your state.
Percentage of TB cases liagnosed as having TB (case finding.rate)
Percentage of'TB cases'on.treatment (case holding rate)
Default rate in your state.
If you can get these, figures for some institutions doing good
TB work as a comparison, it will be very valuable.
Primary and secondary'drug resistance to commonly used pnti-TB
drugs.
..3..
Problems that you see associated with TB care at
x
- State.
- District- PHC and
- Voluntary Health institution level.
- Are there anti-TB drug shortages in your area? What do you think
are the reasons?
- What facilities under the National TB Programme are supposed to be
available to voluntary health institutions in your area from the
Government?
- What attempts have you and other member institutions made to obtain
these facilities?
— What has been your experience?
- What is the average cost of commonly used anti-TB drugs, their
individual prices and cost of the total course pf tft.e regimens.that
you advocate, please specify the duration and drugs recommended?
- What role do you see for yourself and your state VHA?
— In what specific areas do you thank we in VHAI could help?
***********
-.'• ******** *
*******
*****
***
*
GOVERNMENT OF TAMIL NADU
' ABSTRACT
PUBLIC HEALTH - Mini Health Centres Programme - Release of grants to
voluntary Organisation for 1983-84 - Orders issued.
HEALTH AND FAMILY WELFARE DEPARTMENT
G.O. Ms. No.437
Dated :13th March 1984.
Masi 30, Ruthrothkari,
Thiruvalluvar Aandu201 5
Read AGAIN
G.O. Ms. No.1889 Health dt.25.10.79.
Read also:
From the Government of India, Ministry of Health and Family
Welfare Lr. No.P. 1 701 2/1 o/77-RHS(Vol.11$ dt. 17-11-83. .
*****
ORDER:
Under the Mini Health Centres Programme, the cost of running each
centre, estimated at Rs.18,000/- per annum, was hitherto being shared
by the Volunatary Organisation, the State Government and the Central
Government in the following proportions:-
Voluntary Organisations
Siate Government
Government of India
..
..
..
Rsi 9,000/Rsi 4,5OO/~
Rs. 4,500/-
Rs. 18,000/In their letter read above, the Government of India have agreed to the
continuance of the Mini Health Centres Scheme for a period of one year
from 1.9.83 subject to the following conditions:-
1)
the overall ceiling of expenditure per annum per mini
Health Centre will be Rs.27,000/-
2)
The expenditure will be shared by the Volunatary Organisations
Tamil Nadu Government and the Central Government in the
ration of 1:1:1.
3) In such areas where this scheme operates,
sill be withdrawn.
Government staff
The Government of India have been Bequested to agree to the revised
pattern being given effect to from 1.4.84, as against 1.9.83 as agreed
to by them.
2.
The Government direct that with
effect from 1 .9.83,
Voluntary Organisations be permitted to incur an x expenditre of
Rs. 27,000/- (plupees twenty seven thousand only) per annum for running
a Mini Health Centre, the expenditure being shared by the Voluntary
Organisation concerned, the State Government and the Government of India
in the ratio of 1:1:1.
The release of grants siiall in future be
regulated as follows
1) First Instalment of advance grant
Rs.6,000/- (one third of Rs.18,000/-)
5
j
2)
Second instalment of advance grant
Rs.6,000/- (one third of Rs.18,C00/-)
5
J
3)
Third instalment of Rs. 4,200/- after the
Voluntary Organisation furnishs audited
statements
In Apr:L1
111 September
(
(j
(
15th April(of
succeeding year)
4) Balance amount of Rs.1,800/~
After internal audit
party furnishes certi
ficates. .
3.
The Director of primary Health Centres is requested to
release the grants to which the Volunatary Organisations are eligible,
including arrears of grants immediately and in any case before 31.3.84
The enhanced rate of grant of Rs. 27,000/- per annuin on the < agreed
pattern shall be paid only from 1.9.83
*
4.
In the light of the decisions taken at a meeting of Officers
of the State Government and representatives of the Voluntary Organisa
tions held on 9.1.84 the Government also direct that,
1) Where qualified Auxiliiary Nurse Midwives are not available
the Voluntary Organisation may continue to employ candidates
trained at
(1)
Voluntary Health Services, Adyar or
(2)
Christian Medical College Hospital, Vellore, or
(3)
Christian Fellowship Community Health Centre, Ambilikai, or
(4)
Institute of Rural Health and Family Planning, Gandhigram,
as Female Health Workers upto the end of the Sixth Plan period.
The
Voluntary Organisations will fc not be refused grants for the mere
reason that fully trained candidates have not been employed but this
permission will be for the period upto end of Sixth Flan Period only.
(ii) That in the case
of Mini Health Centres already sanctioned and
established, the rule that there shall be no other medical
or health care institution within a radius of 5 kms. shall be
relaxed, but in future the rule should be observed.
5.
This order issues with the concurrence of the Finance
Department - Vide its U.0 '. No.184/JS/S)/84 dt.24.2.84.
(By Order of the Governor)
R. SHUNMUGAM,
Commissioner and Secretary to
Government.
To
The Director of Primary Health Centres, Madras-6 (by spl.messenger)
The
:Director of Public Health and preventive Medicine, Madras-6
The Accountant General, Madras-18
The Accountant General, Madras-18 (by name.)
The Pay and Accounts Officer(s) Madras-35
The Executive Secretary, Tamil Nadu. Voluntary Health Association,
13—2nd Floor, 23, Main Road, Perambur, Madras-11
Copy to Finance Department, Madras-9
Copy to Senior P.A. to M (h).
/True copy: Forwarded by order/
Section Officer
APPLICATION FOR WHRKSHOP
(&6QSIC Pz?/25oA|/7CnZ?c(r/Tl4
® fiJNEK C(2S>
Workshop on
\
Dates
JL!iz.Cz22^z2e^j •
\.
Venue
Name & Designation of the
participants
Address
Fees
Members
Non-Members
Other
State<
Registration
Adva.noe for Boarding &Lodging
Rs. 15/50/~
Rs.20/50/75/-
Rs.25/'
/n)
jW-
50/■
Z60/<^20/-
Tution & other expenses
(.(jC'jib'D/s
(THE BALANCE MAY BE PAID' IN PERSON AT THE VENUE)
Meals
a) Vegetarian
Rs •
W-
b) Non-Vegetarian
Rs •
Rs •
/^ry- Per dayT
A1/-'
Per day.
Accommodation
Per. day.
Time of arrival
Time of departure
Yes/No
Return ticket required
Designation, Age & Date of
- Closing date
After
V
the seats will be given out to Non-Members.
A cheaque/Draft for Rs.
is enclosed in favour of
TAMIL NADU VOLUNTARY HEALTH JKjSSSOXATION.
M.O; for Rs.
Please return this form to
'
sent on
__ ________
Sr. MURIEL >ERNANDBZ
EXECUTIVE SECRETARY,
25, MAIN ROAD,
PERAMBUR,
MADRAS - 600 011 .'
************
''?/w£c
/MJ
• )0t
is'/ff
•
'
TAMIL NADU VOLUNTARY HEALTH ASSOCIATION
31 Mandabam Road, Kilpauk, Madras 600 010
Registered under Societies Act. S.No. 33 of 1971, revised on 20th Feb. 1982.
Business Hours: 9 a.m to 5 p.m weekdays
9
a.m to 1 p.m Saturdays
Sunday Holiday
TNVHA is a Branch of Voluntary Health Association of India, New Delhi,
AIM: To render the highest possible level of Health care, preventive, promotive, curative and reha
bilitative in nature by creating an awareness within the community for Primary Health Care
through planned use of available resources.
To attain health for all with the objective of 'Health through people'.
Functions of TNVHA
TNVHA is basically a liaison agency between
Voluntary Organisations and Government.
It functions as
a net-working agency
a training agency
It is not a funding agency
It is an association of Voluntary Organisations
TNVHA with these functions and objectives initiates seminars, workshops, training program
mes, awareness campaigns and research in collaboration with other agencies, in regional
and State levels on HEALTH ISSUES
For further details, contact:
The Executive Secretary
TNVHA
31 Mandabam Road
Kilpauk, Madras 600 010
BUSES: Stop: Kilpauk Garden
From Central: 7C, 7E,7H, B7, C7, 71, B71
From Egmore : 40, 27 A
Buses coming from south through Poonamallee:
get down at Pachayappa College and take
14, 14Aand 29 E
other buses: 26, 34, 34A, 27A,47A
Direction: Between
Kilpauk Water Tank
COMMUNITY HALL
and off New Avadi Road
To C entral
---- POONAMALEE HIGH ROAD — ► To A minjikarai
TAMIL NADU VOLUNTARY HEALTH ASSOCIATION
(in accordance with the Societies Registration Act XXI I860)
and
Tamilnadu Societies Registration Act XXVII of 1975
with
The Tamilnadu Societies Registration Rules 1978
a- Name;
The name of the Society is
TAMIL NADU VOLUNTARY HEALTH
ASSOCIATION (SOCIETY)
b.
Registered Office:
Elat No:13, 2nd Floor,
23, Main Road,
Ferambur, Madras 600 011 .
c.
Date of Formation
of Society
"
S.No:33 of 1971
revised on 20th February 1982
d.
Registrar's Office: MADRAS NORTH
e.
Business Hours of
9 ara -to ;1 2.30 pm
the Society
: 1.30 pm to 5 pm.
f.
Aims and Objects of the Society:
To render the highest possible level of Health Care,
Preventive, Promotive and Curative in nature - by
creating an awareness within the community for Primary
Health Care through planned use of available community
resources as local. Government and other Voluntary
agencies holding promarily the local community responsible
for making HEALTH A REALITY FOR ALL THE PEOPLE OF India.
In particular -
1 . To collaborate with other medical agencies working to
ensure HEALTH FOR ALL through conservation of resources
with as wide a public health coverage as possible,
2.
To help to build as many health centres as possible by
planning project meeting, implementation and evaluation.
3.
To promote greater co-operation between Volunatry and
Government Health Agencies by undertaking joint-coverage
for community Health Work.
4.
To acquire by purchase, lease, gift, legacy, bequest or
otherwise all movable or immovable properties needed
for the administration of this Society.
5- To deposit monies in a reliable- bank,
6.
To raise money for any of the above purposes by sale,
mortgage or change of all or any property of the Society.
7.
To accept sunscriptions and donations, to invest, to lay
aside, to deposit in Banks or otherwise deal with the
monies or funds of the Society, not immediately required
for the objects of the Society and to subscribe for
purchase, acquire, hold, sell, endorse and negotiate in
every way all monies and property belonging to the
Society.
8.
To enter into arrangements with any Government or
authority whether Central, State, Municipal, District,
Local or otherwise that may seem conducive to accomplish
the objects of the Society.
9- To hire employ, remove and dismiss any personnel and
staff necessary to the proper function of the Society.
10.
To establish and maintain the functions and services
needed to fulfill the objects of the Society and to do
or cause to be done all acts or things necessary or
incidental to carrying out the onjects of the Society, and
to have perpetual succession by its common seal.
-211.
To collect, disseminate and exchange information.
12.
To study trends and developments in the health field.
13.
To arrange consulting services in the fields of
accounting, legal liability matters, public relations
and others.
14.
To work towards uniformity in adminiatrative procedures
in the field of Health.
15.
To maintain contact with State and other health agencies.
16.
To present the views of voluntary health workers to
legislative bodies, Governmental units and other
regulatory agencies.
17.
To bring about better understanding between hospital and
health workers in different Government and voluntary
health organisations and to high light the members by
the newsletters about the activities of' the Association
and to impart important informations regarding the
health matters.
18.
To encourage better standards of patient care and
extension of general health services of member agencies
by advisory services or any other means.
19.
To represent voluntary health groups in conferring with
State wide organisations relating in one way or other
to health work and workers.
20.
To interpret health problems and view-points to allied
organisations and to provide for the member institutions
when requested, by conducting on the spot study and
helping them to plan, organise and implement better
health care delivery methods, according to the need of
times when concepts of attaining health are constantly
changing.
21.
To conduct seminars, workshops, training courses and
conferences for health personnel to refresh the members
on their on-going learning.
22.
To conduct or help conduct research studies into health
fields and related fields.
23.
To do all such other lawful things us are incidental or
conducive to attainment of any of the above objects.
g.
Activities of the Society in furtherance of its objects
as given in the Brochure:
I
The Association is established for carrying out the
objects expressed in the Memorandum of Association.
h.
Name of the' person or officer if any authorised to sue
and be sued on behalf of the Society:
The. Society shall sue and be sued in the name of the
President.
i.
The name of the person who is empowered to give directions
in regard to the business of the Society:
The President shall be the person who is empowered to
give directions in regard to the business of the Society.
j.
Membership and Qualifications:
Section 1. Criteria for membership - is based on VHAI Philosophy.
-VHAI stands for making HEALTH A REALITY for all the
people of India with their participation and involve
ment, demanding BASIC HEALTH AERVICES AS A HUMAN RIGHT.
-VHAI being a people's Movement with specific aims and
objectives increase in Membership is not the priority,
but the members STAND for strengthening bonds of friend
ship and brotherhood, reducing areas of discord.
-The members■emphasize Social Justice and Fair Piny in all
areas of work and life with firm belief to co-operation
and not competition.
-Active participation of the members throughout the year
for the spread of VHAI Movement and for the realisation
of a HEALTHY COMMUNITY.
(New Members are introduced into this Movement by the
recommendation of an active VHAI member)
Section 2. There are four types of members:
Type I. Hospitals, both General and Special and Big Health and
Development Projects.
Type
II. Organisations for the diagnosis and treatment of the sick
and Primary Health. Centres.
Type III. Social Service Organisations with VHAI Philosophy that
have been and continue to be formally approved by the
Governing Board.
Type
IV. Associate Members - are individuals who are interested
in the objectives of this movement, with no eligibility
for the institutional membership. These Associate Members
do not have the right to vote and no active voice.
(in accordance to the objective No:20, tnenbere of other
Developmental organisations may join this Society under
this group)
Section J.
-The following is the annual membership fee payable on
or before March 1st of every Calender Year.
Hospitals and institutions with
150 §,n< more beds.
|
Hospitals and Institutions with
100 to 150 beds
|
Hospitals and Institutions with
50 to 100 beds
|
Hospitals and Institutions with
less than 50 beds
(
5
Rs.
200.00
Rs.
150.00
Rs. 100.00
Rs.
75.00
Dispensaries without beds, organ- §
isation and Primary Health Centres^
Rs.
50.00
Social Service Organisations and
Health Projects
0
j
Rs. 100.00 to
200.00
Associate Members
0
Rs.
50.00
Registration Fees at the time of
enrolment of new members
0
J
Rs.
25-00
The General Body by means of a resolution has the right
to change the- above rates.
k.
Determination of Membership:
Any member of the Association will continue to be so unless
Section i.A member resigns his or her membership in writing addressed
to the President and the same is accepted by the Governing
Board.
Section ii.A member is removed by the General Body by means of a
resolution.
.4
-4Section iii.If the member fails to pay the annual subscription
within 60 days from the due date or within, such time
as the Governing Board may fix in the interest of the
Association.
1.
Rights, obligations and previleges of members:
The members shall abide by the VHAI Philosophy and
ideals.
The members shall have right to vote as contained in
these rules.
3. The members shall have right to inspect the Registers
and accounts maintained in the office.
1.
2.
m.
The manner in which the Society shall transact business:
Section 1 . Powers;
The Management of the Society shall be vested in the
Governing Board. The Governing Board shall be charged
with the management and control of the Society and may
make such rules and regulations for the management and
operation of the Society, not inconsistent with these
rules, as the Board may deed necessary or desirable.
The Governing Board shall have the charge of the property
of the Governing Board and shall have authority - To control and manage the affairs and funds of the Societ^\
- To make ultimate decisions regarding the acts of the
committees and Officers;
- To recommend candidates for the Governing Board through a
Nomination Committee elected at the General Body meeting
- To establish its own administrative regulations ;
- To accept on behalf of the Society grants, contributions,
gifts bequests or devices to further the purpose of
the Society;
- To make distribution of the Society funds or properties
to foundations or other organisations for research,
educational activities and other objects listed by the
Society of benefit to the hospital or health and
development project field;
- To act as a referral committee to which resolutions and
proposed rules amendments shall be submitted prior to
being placed before the General Body;
- To determine which reports shall be submitted annually to
the General Body and to do and perform all acts and
functions not inconsistant with these rules or with any
action taken by the General Body.
- To carry out the Resolutions of the General Body.
Section 2. ELECTION OF BOARD MEMBERS.
Members elected by the Nomination Committee in consultation
with the members is approved at the General Body Meeting.
The Governing Board elects co-opted members according to
the functional need of the Society for. the year at the
first meeting with the newly elected members and intimate
the same to the General Body Meeting through the newsletten
Section 3. OFFICERS AND MEMBERS OF THE GOVERNING BOARD.
The Governing Board Members are expected to accept the
Nomination in writing and also to accept the duty of
attending atleast one meeting each year.
The term of office shall be three years and after the
term they are eligible for re-election.
5
-5n.
Governing Board.
I.
Constitution
of Governing Board.
Section 1: The Governing Board shall be elected by the Nomination
Committee approved by the General Body.
Section 2. The Governing Board shall consist of a President, a
Vice-President, a Secretary, a Joint Secretary, a
Treasurer and four or six other members.
Section 3. The term of the office of the Governing Board is 3 years.
Section 4. On the expiry of the term of office, the members of the
Board shall be eligible for re-election by the nominating
committee for one more term.
Section 5- Whenever in its judgement, the Governing Board feels
that the best inteiests of the Society will be served by
such action, any officer or member may be removed by
majority votes of the Governing Board at any meeting.
II.
Meetings of the Governing Board;
Section 1 . The Meetings of the Governing Board shall ordinarily
be held atleast in six months.
Section 2. The quorum for the meeting of the Governing Board shall
be /2+1 i.e. half the number of members plus 1 to trans
act business. In urgent matters the President or VicePresident, Secretary or Joint Secretary, Treasurer and
atleast 2 other members of the Board form the quorum.
The same is notified later to the absent members.
Section 3. It is the duty of the Secretary on the advice of the
President to convene the meeting of the Governing Board.
Section 4. The Secretary shall convene the meeting of the Governing
Board if 6 or more members of the Governing Board give a
written requisition.
Section 5. If no such meeting is called for by the Secretary the
signatories to the requisition may convene the meeting
of the Governing Board and transact business.
III.
Functions of the Office Bearers.
Section 1. Duties and Functions of Presdient:
The President is the official representative of the
Society.
All the meetingd including General Body, Governing Board
or Executive Committee' of the Society shall be presided
over by the president. The President is the chief spokes
man of the Society and is the official representative of
the Society.
The President is having the right to place on the Agenda,
any item which he feels should be considered by the
General Body or Board. He has to countersign the proceed
ings and authorise their printing and publication.
He has to see that the resolutions passed by the General
Body is carried out taking the spirit behind such
resolutions.
To Represent TNVHA in Government and all other important
bodies.
To have the right to assume the functions of any office
bearer when such a member fails to carry out the duty
allotted to him by the Governing Board or General Body
To discharge such other duties as delegated to him by the
Governing Board or General Body.
The President will, have a casting vote which can be
exercised in case of a tie, except in financial
.matters and in elections.
-6The President or Executive Secretary will be the
co-signatory of all the cheques and other transactions
of the bank along with the Treasurer.
Section 2. Duties and Functions of Secretary:
The Secretary will keep the minutes of all the meetings
and send copies of the Resolutions to all concerned.
The Secretary shall be responsible for the administration
of the Society in all its activities.
The Secretary is responsible for all the correspondence,
minutes, records and information.
To prepare agendas for all the meetings in consultation
with the President.
To represent the report to the General Body about the
activities of the Society and its programmes and progress
To convene special meetings or meetings of any committee
requested by the Executive Secretary, Governing Body
or General Body.
To review the work of the Executive Secretary once in 6
months.
To arrange for all elections and to facilitate ballotting. 4
To prepare and despatch agenda received from the members
and to give notice for all the meetings of the Goveening
Board and the General Body.
To maintain the membership roll of the Society and to
maintain the list of the Executive Members of the
Governing Board.
Any addition and removal is to be done by the Secretary,
after the concurrence approval of General Body and the
Executive Committee. The same is to be submitted to the
Registrar of the Society periodically for any perusal.
To bring to the Executive Committee or General Body any
problems connected with the personnel of the Society.
To be generally responsible for the administration of the
Society, its plans and personnel.
Files and Records to be kept:
1. Correspondence
2. Activities and plans of the Society
VHAI
3..
and Regional Communications
4. State Newsletters.
5. Copies of the correspondence with the Govt.
6. Reviews of the Executive Secretary
7. Governing Board Meetings with Agends and Minutes
8. General Body Meetings with Agenda and Minutes.
Section 3. Duties and Functions of Executive Secretary;
The Executive Secretary is responsible for carrying out
the duties assigned to the Secretary, on behalf of the
Secretary. All the functions and duties hitherto
mentioned for the Secretary is to be carried out by the
Executive Secretary on behalf of the Society.
The Executive Secretary is to function as per the direction
of the Secretary in all matters concerning the Society
and is responsible to the General Body and the Governing
Board in the Execution of all duties and functions
allotted to the Secretary.
The Executive Secretary is appointed in consultation with
VHAI and can be 5. paid member of the State VHA and will
be the ex-offico member of all the committees and bodies
including the Executive Committee, Governing Board and
General Body and is having the right of floor in the
Society, but without the voting right.
-7-
The Executive Secretary shall be the custodian of all seals
- '
and papers connected with ‘the Society and will be the
’ -co-signatory of all cheques and finaleial matters
connected with the Bank along with the Treasurer of the
Society.
The Executive Secretary is responsible for all the physical
. - - property of the ■ Society and is generally responsible for
the office personnel and administration on behalf of the
Secretary.
To submit, report of the- activities- to the Soard or its
officials- authorised by the. Committee.
To serve as Liasioh Officer and to channel all official
communications and contacts between the Society,, the
Board and VHAI.through the. Regional Office.
To share information through periodical newsletters.
To organise Educational and Training Programmes for the
members.
To visit member institutions’ regularly and identify
resources.
To perform such other duties as may be assigned by the
Governing Board or .General Body.
To prescribe duties, responsibilities and employment con
ditions of all the employees in consultation with the
,Secretary.
To have the custody of and. use. of the seal of the Society
and to represent the Society to Government and other
bodies on behalf of the Society with the permission of
the. President/Secretary .
Registers to be maintained;
Proper books of account as usual for this type of Society
and all the registers of the societies to be kept in the
office.
Section 4. Duties and Eunctions of the Treasurer:
To deposit the funds of the Society in any Bank approved by
the Governing Board in the name of the.Society.
To be responsible for all the receipts and expenditure.
To make payment for all expenses sanctioned by-the Executive
Committee.
To prepare Annual Budget for presentation to the Governing
Board for approval, with the expected receipts and
expenditures. . ,
To be the co-signatory of all the cheques in all Bank trans
actions along with the President/Executiye Secretary.
To bring the Audited statement to the General Body for its
approval.
To give perid'dical report to the Governing Board about the
financial position of the Society.
To be responsible for any other assignment that may be
given to him by the Governing Board.
In general, to be responsible for all. financial matters
connected with the Society and to work in collaboration
with the Executive Secretory.
Registers to be maintainad.
1.
2.
3.
Annual Subscription book
Cash book of receipts and payments
Piles of Vouchers and Payments
• »..8
.
-8-
o.
The Secretary shall file the necessary records, copies of
the ’resolutions and other statements with the Registrar
as required by the Societies Registration Act and the
Rules.
p.
Audit of accounts and balance sheet of the financial year
with reference to Section 1 6:
The auditor appointed under the direction of the General
Body shall audit the accounts and the audited accounts
shall be circulated to the members and be placed before
the General Body for approval.
For this purpose and for the other purposes the financial
year shall be from Hanuary to December.
q.
The Association shall print the rules and make it available
to the members on such fee as the Governing Board may
decide.
The General Body may with annual or special meeting impose
fine not exceeding Rs.200/~ on officers who commit breach
of these rules.
s. The Treasurer shall be the custodians of the funds of the
Association. The funds of the Association shall be deposit
ed in such a Bank as the Governing Board may decide. If t^
Governing Board so decides the funds may be invited in
proper securities.
r.
t.
INCOME.
All income and earmarked funds of the Society shall be
expanded solely on the objects of the Society authorised
under the new law and for. no other purpose. No portion
thereof shall be distributed among by way of profits,
Dividents, bonuses, etc.
u.
Day to day transaction of the Society, the expenditure to
be incurred thereof shall be carried out by the Executive
Secretary in collaboration with the Secretary/Treasurer.
An imprest account shall be maintained for this purpose.
v.
I. ANNUAL GENERAL BODY MEETING.
Section 1, The General Body of the Association shall be the Supreme
Authority.
Section 2. All the members of the Associations shall constitute the fl
General Body of the Association.
Section 3. There shall be atleast one annual meeting of the General
Body in one year.
Section 4. Notice of atleast 21 days shall be given to all the
members specifying the date, Venue and time for the meeting
of the General Body Meeting - preferably in February.
Section 5. In case any amendment in “the Memorandum or Rules is
intended to be proposed, the notice shall contain the
copy of such amendment.
Section 6. The Agenda should reach members atleast 14 days prior
to -the meeting.’
Section 7. The notice shall be sent to the members by local delivery
or by post or by publication through press.
Powers of the General Body.
The General Body shall have the following powers:
Section 1. To sanction the annual.budget and to discuss and approve
the income and expenditure, account, the balance sheet
and the administration report -of- the Association for the
previous year.
. . .9
-9-
Section 2. To direct the Governing Board to audit the accounts and
..balance- sheet.far:the financial year with reference to
se.ction 1 6 and the'- person or persons appointed to do
'such audit.
Section 3. To elect -members of the Governing Board and other
Committees,, if • any.’
Section 4. To remove any memberfrom, the Membership.
Section 5- To accept resignations.
-Section 6. To evaluate the needs, of ,.members to initiate programmes,
to' satisfy those' needs and to provide directions further.
Section 7. To pass other resolutions and amend the rules.
Section. 8.? To acquire to sell,- exchange-, mortgage, lease or otherwise
dispose of immovable properties.
Section 9. To decide on all ‘matters referred to it by the Governing
Board.
SectionlO. To approve the recommendations.of the Governing Board
and other Committees.
II.
Extra-ordinary General Meeting or Special Meeting.
Section 1. The Managing Committee -shall call for a special meeting
on a requisition by not less than 25 members of the
Society. Such call shall be notified by mail not less
than ten (10) days in advance of the date for which the
meeting is called with the purpose. Not less than 1/3 of
the total membership present in person shall constitute
a quorum for the transaction of business and no other
business than what is specified may be transacted at
such special meetings.
Section 2. If the stipulated number of members request for an extra
ordinary General Meeting, it shall be called within one
month from the date of receipt of the requisition and the
notice should be despatched at least 21 days prior to the
meeting. If the Managing Committee.fail to call for the
Meeting in accordance with the requisition, the requisitionists shall have the power to call for such a meeting,
themselves.
w.
I. Special Resolution.
Section 1. Special Resolution is one which should be passed by
votes of 3/4 of the members present at the General Body
meeting either in person or through proxy.
Objectives for special Resolutions are:
1 . The amendments of - the Memorandum
2.
The amendments of the Rules
3.
The amalgamations of the Society
4.
The decision of the Society
5.
The liquidation of the Society
Section 2. The Special Resolution may be passed at a General Body
Meeting;
a) After giving notice specifying the Special Resolutions
with explanation to all the members of the Society.
b) Notice is sent 21 days before the Meeting.
c) /3 of the majority at the meeting approve of it.
II. ORDUNARY RESOLUTIONS
Ordinary Resolutions is one which requires only a simpl_e
majority of votes, (eg.) any percentage of votes more
than 50% of the total members present at the General
Meeting either in person or in proxy.
Election of the Managing Committee, appointment of the
Auditor with the prescribed qualifications.
The. Treasurer is responsible for all the Bank Transactions
with the President/Executive Secretary as the co-signatoay.
The Register of members, Minutes'Books and Account Books
shall be,available with the Executive Secretary during
office hours for inspection by its members free of charge.
Dissolution of the Association: •
-
As time progresses, should a dissolution of the said
Society be found necessary from whatever cause, Government
shall first be informed and in accordance with its direc
tions and the Section 40 of the said Societies Registrar
tion Act, if any property or assets remain over after the
satisfaction of the debts and liabilities, the. same shall
not be paid to be distributed among the members of the
Society or any of them,, but shall be given to some other
Society which.shall be determined by the- votes not less
than three-fifths of the members present, personally or
by proxy, at the General Meeting convened for the said
purpose.
In the absence of any provision in the above articles,
the Societies Registration Act shall apply.
Whenever any vacancy in ths Governing -Board arises by
reason of,removal, death, resignation or otherwise, it
shall be filled in by election with next meeting of the
General Body.
( Sd. )
President
(Sd;.) .
Secretary
(Sd.)
Treasurer
TAMIL NADU VOLUNTARY HEALTH ASSOCIATION
(in accordance with the Societies Registration Act XXI I860)
and
Tamilnadu Societies Registration Act XXVII of 1975
with
The Tamilnadu Societies Registration Rules 1978
a.
Name:
The name of the Society is
TAMIL NADU VOLUNTARY HEALTH
ASSOCIATION (SOCIETY)
b.
Registered Office:
Flat No:13, 2nd Floor,
23, Main Road,
Perambur, Madras 600 011.
c.
Date of Formation
of Society
:
S.No:33 of 1971
revised pn 20th February 1982
d.
Registrar's Office: MADRAS NORTH
e.
Business Hours of
9 do-to :12.30 pm
the Society
: 1.30 pm to 5 pm.
f.
Aims and Objects of the Society:
To render the highest possible level of Health Care,
Preventive, Promotive and Curative in nature - by
creating an awareness within the community for Primary
Health Care through planned use of available community
resources as local. Government and other Voluntary
agencies holding promarily the local community responsible
for making HEALTH A REALITY FOR ALL THE PEOPLE OF India.
In particular -
1.
To collaborate with other medical agencies working to
ensure HEALTH FOR ALL through conservation of resources
with as wide a public health coverage as possible.
2.
To help to build as many health centres as possible by
planning project meeting, implementation and- evaluation.
3.
To promote greater co-operation between. Volunatry and
Government Health Agencies by undertaking joint-coverage
for community Health Work.
4..To acquire by purchase, lease, gift, legacy, bequest or
otherwise all movable or immovable properties needed
for the administration of this Society.
5.
To deposit monies in a reliable bank.
6.
To raise money for any of the above purposes by sale,
mortgage or change of all or any property of the Society.
7.
To accept sunscriptions and donations, to invest, to lay
aside, to deposit in Banks or otherwise deal with the
monies or funds of the Society, not immediately required
for the objects of the Society and to subscribe for
purchase, acquire, hold, sell, endorse and negotiate in
every way all monies and property belonging to the
Society.
8.
To enter into arrangements with any Government or
authority whether Central, State, Municipal, District,
Local or otherwise that may seem conducive to accomplish
the objects of the Society.
9.
To hire employ, remove and dismiss any personnel and
staff necessary to the proper function of the Society.
10.
To establish and•maintain the functions and services
needed to fulfill the objects of the Society and to do
or cause to be done all acts or things necessary or
incidental to carrying out the onjects of the Society, and
to have perpetual succession by its common seal.
-211.
To collect, disseminate and exchange information.
12.
To study trends and developments in the health field.
13.
To arrange consulting services in the fields of
accounting, legal liability matters, public relations
and others.
14.
To work towards uniformity in adminiatrative procedures
in the field of Health.
15.
To maintain contact with State and other health agencies.
16.
To present the views of voluntary health workers to
legislative bodies, Governmental units and other
regulatory agencies.
17.
To bring about better understanding between hospital and
health workers in different Government and voluntary
health organisations and to high light the members by
the newsletters about the activities of the Association
and to impart important informations regarding the
health matters.
18.
To encourage better standards of patient care and
extension of general health services of member agencies
by advisory services or any other means.
19.
To represent voluntary health groups in conferring with
State wide organisations relating in one way or other
to health work and workers.
20.
To interpret health problems and view-points to allied
organisations and to provide for the member institutions
when requested, by conducting on the spot study and
helping them to plan, organise and implement better
health care delivery methods, according to the need of
times when concepts of attaining health are constantly
changing.
21.
To conduct seminars, workshops, training courses and
conferences for health personnel to refresh the members
bn their on-going learning.
22.
To conduct or help conduct research studies into health
fields and related fields.
23.
To do all such other lawful things as are. incidental or
conducive to attainment of any of the above objects.
g.
Activities of the Society in furtherence of its objects
as given in the Brochure:
The Association is established for carrying out the
objects expressed in the Memorandum of Association.
h.
Name of the person or officer if any authorised to sue
and be sued on behalf of the Society:
The Society shall sue and be sued in the name of the
President.
The name of the person who is empowered to give direct ions
in regard to the business of the Society:
The President shall be the person who is empowered to
give directions in regard to the business of the Society.
j.
Membership and Qualifications:
Section 1 . Criteria for membership - is based on VHAI Philosophy.
-VHAI stands for making HEALTH A REALITY for all the
people of India with their participation and involve
ment, demanding BASIC HEALTH AERVlCES AS A HUMAN RIGHT.
-y-VHAI being a people's Movement with specific aims and
objectives increase in Membership is not the priority,
but the members STAND for strengthening bonds of friend
ship and brotherhood, reducing areas of discord.
-The members emphasize Social Justice and Fair Flay in all
areas of work and life with firm belief to co-operation
and not competition.
-Active participation of the members throughout the year
for the spread of VHAI Movement and for the realisation
of a HEALTHY COMMUNITY.
(New Members are introduced into this Movement by the
recommendation of an active VHAI member)
Section 2. There are four types of members:
Type I. Hospitals, both. General and Special and Big Health and
Development Projects.
Type
II. Organisations for the diagnosis and treatment of the sick
and Primary Health. Centres.
Type III. Social Service Organisations with VHAI Philosophy that
have been and continue to be formally approved by the
Governing Board.
Type
IV. Associate Members - are individuals who are interested
in the objectives of this movement, with no eligibility
for the institutional membership. These Associate Members
do not have the right to vote and no active voice.
(in accordance to the objective No:20, members of other
Developmental organisations may join this Society under
this group).
Section 3.
-The following is the annual membership fee payable on
or before March 1st of every Calender Year.
Hospitals and institutions with
150 and more beds.
6
0
Rs. 200.00
Hospitals and Institutions with
100 to 150 beds
0
0
Rs. 150.00
Hospitals and Institutions with
50 to 100 beds
0
0
Rs. 100.00
Hospitals and Institutions with
less than 50 beds
5
O
Rs.
75.00
Dispensaries without beds, organ- {
isation and Primary Health Centres^
Rs.
50.00
Social Service Organisations and
Health Projects
0
j
Rs. 100.00 to
200.00
Associate Members
0
Rs.
50.00
Registration Fees at the time of
enrolment of new members
0
J
Rs.
25.00
The General Body by means of a resolution has the right
to change the above rates.
k.
Determination of Membership:
Any member of the Association will continue to be so unless
Section i.A member resigns his or her membership in writing addressed
to the President and the same is accepted by the Governing
Board.
,
Section ii.A member is removed by the General Body by means of a
resolution.
4
-4Section iii.If the peaher fails to pay ,the annual subscription
within 60:days from the due date or within such time
as the Governing Board may fix in the interest of the
Association.
1.
Rights, obligations and 'previleges of members:
The members shall abide by the VHAI Philosophy and
ideals.
The members shall have right to vote as contained in
these rules.
3. The members shall have right to inspect the Registers
and accounts maintained in the office.
1.
2.
m.
The manner in which the Society shall transact business:
Section 1. Powers:
The Management of the Society shall be vested in the
Governing Board. The Governing Board shall be charged
with the management and control of the Society and may
make such rules and regulations for the management and
operation of the Society, not inconsistant with these'
rules, as the Board may deed necessary or desirable.
The Governing Board shall have the charge of the'property
of the Governing Board and shall have authority -
- To control and manage the affairs and funds of the Society.
- To make ultimate.' decisions regarding the acts of the
committees and Officers;
.- To recommend candidates for the Governing Board through a
Nomination Committee elected at the General Body meeting
- To establish its own administrative regulations ;
r To accept on behalf of the Society grants, contributions,
gifts bequests or devices to further the purpose of
the Society;
- To make distribution of the Society funds or properties
to foundations or other organisations for research,
educational activities and other objects listed by the
Society of benefit to the hospital or health and
development project field;
- To act as a referral committee to which resolutions and
proposed rules amendments shall be submitted prior to
being placed before the General Body;
- To determine which reports shall be submitted annually to
the General Body and to do and perform all acts and
functions not inconsistant with these rules or with any
action taken by the General Body.
- To carry out the Resolutions of the General Body.
Section 2. ELECTION OF BOARD MEMBERS.
Members elected by the Nomination Committee in consultation
with the members is approved at the General Body Meeting.
The Governing Board elects co-opted members according to
the functional need of the Society for the year at the
first meeting with the newly elected members and intimate
the same to the General Body Meeting through the newsletter
Section 3. OFFICERS AND MEMBERS OF THE GOVERNING BOARD.
The Governing Board Members are expected to accept the
Nomination in writing and also to accept the duty of
attending atleast one meeting each year.
The term of office shall be three years and after the
term they are eligible for re-election.
.5
-5Governing Board..
n.
I. Constitution
of Governing Board.
Section 1: The Governing Board shall be elected by the Nomination
Committee approved by the General Body.
Section 2. The Governing Board shall consist of a President, a
Vice-President, a Secretary, a Joint Secretary, a
Treasurer end four or six other members.
Section 3. The term of the office of the Governing Board is 3 years.
Section 4. On the expiry of the term of office, the members of the
Board shall be eligible for re-election by the nominating
committee for one more term.
Section 5. Whenever in its judgement, the Governing Board feels
that the best interests of the Society will be served by
such action, any officer or member may be removed by
majority votes of the Governing Board at any meeting.
T. . .
II. Meetings of the Governing Board:
Section 1. The Meetings of the Governing Board shall ordinarily
be held atleast in six months.
Section 2. The quorum for the meeting of the Governing Board shall
be /2+1 i.e. half the number of members plus 1 to trans
act business. In urgent matters the'President or VicePresident, Secretary or Joint Secretary, Treasurer and
atleast 2 other members of the Board form the quorum.
The same is notified later to the. absent members.
Section 3. It is the duty of the Secretary on the advice of the
President to convene the meeting of the Governing Board.
Section 4, The Secretary shall convene the meeting of the Governing
Board if 6 or more members of the Governing Board give a
written requisition.
Section 5. If no such meeting is called for by the Secretary the
signatories to the requisition may convene the meeting
of the Governing Board and transact business.
III.
Functions of the Office Bearers.
Section 1. Duties and Functions of Presdient:
The President is the official representative of the
Society.
.
, .
All the meetingd including General Body, Governing Board
or Executive Committee of the Society shall be presided
over by the president. The President is the chief spokesman of the Society and is the official representative of
the Society.
The President is having the right to place on the Agenda,
any ifem which he feels should be considered by the
General Body or Board. He has to countersign the proceed
ings and authorise their printing and publication.
He has to see that the resolutions passed by the General
Body is carried out taking the spirit behind such
resolutions.
To Represent TNVHA in Government and all other important
bodies.
To have the right to assume the functions of any office
bearer when such a member fails to carry out the duty
allotted to him by the Governing Board or General Body
To discharge such other duties as delegated to him by the
Governing Board or GeneralfBody.
The President will have a casting vote which can be
exercised in case of a tie, except in financial
matters and in elections.
-6The President or Executive Secretary will be the
co-signatory of all the cheques and other transactions
of the bank along with the Treasurer.
Section 2. Duties and Functions of Secretary:
The Secretary will keep the minutes of all the meetings
and send copies of the Resolutions to all concerned.
The Secretary shall be responsible for the administration
of the Society in all its activities.
The Secretary is responsible for all the correspondence ,
minutes, records and information.
To prepare agendas for all the meetings in consultation
with the President.
To represent the report to the General Body about the
activities of the Society and its programmes and progresi
To convene special meetings or meetings of any committee
requested by the Executive Secretary, Governing Body
or General Body.
To review the work of the Executive Secretary once in 6
months.
To arrange for all elections and to facilitate ballotting.
To prepare and despatch agenda received from the members
and to give notice for all the meetings of the Governing
Board and the General Body.
To maintain the membership roll of the Society and to
maintain the list of the Executive Members of the
Governing Board.
Any addition
after the
Executive
Registrar
and removal is to be done by the Secretary,
concurrence approval of General Body and the
Committee. The same is to be submitted to the
of the Society periodically for any perusal.
To bring to the Executive Committee or General Body any
problems connected with the personnel of the Society.
To be generally responsible for the administration of the
Society, its plans and personnel.
Piles and Records to be kept:
.
1. Correspondence
2. Activities and plans of the Society
3. VHAI and Regional Communications
4. State Newsletters.
5. Copies of the correspondence with the Govt.
6. Reviews of the Executive Secretary
7. Governing Board Meetings with Agends and Minutes
8. General Body Meetings with Agenda and Minutes.
Section 3. Duties and Functions of Executive Secretary:
The Executive Secretary is responsible for carrying out
the duties assigned to the Secretary, 6n behalf of the
Secretary. All the functions and duties hitherto
mentioned for the Secretary is to be carried out by the
Executive Secretary on behalf of the Society.
The Executive Secretary is to function as per the direction
of the Secretary in all matters concerning the Society
and is responsible to the General Body and the Governing
Board in the Execution of all duties and functions
allotted to the Secretary.
The Executive Secretary is appointed in consultation with
VHAI and can be 51 paid member of the State VHA and will
be the'ex-8ffico member of all the committees and bodies
including the Executive Committee, Governing Board and
General Body and is having the right of floor in the
Society, but without the voting right.
-7-
-
—
.The.Executive Secretary shall be the custodian of all seals
. and papers connected with the Society and will be the
co-signatory of all cheques and finalcial matters
connected with the Bank along with the Treasurer of the
Society.
■ The Executive Secretary is responsible for all the physical
property of the Society and is generally responsible for
the office personnel and administration on behalf of the
Secretary^
To submit report of the activities- to the Board or its
officials authorised by the Committee.
To serve as Liasion Officer and to channel all official
communications and contacts between the Society, the
Board and VHAI through the Regional Office.
To shore information through periodical newsletters.
To organise Educational and Training Programmes for the
members.
. .
To visit member institutions regularly and identify
resources.
To perform such other duties as may be assigned by the
Governing Board or General Body.
To prescribe duties, responsibilities and employment con
ditions of all the employees in consultation with the
Secretary.
To have the custody of and use of the seal of the Society
and to represent the Society to Government and other
bodies on behalf of the Society with the permission of
the President/Secretary.
Registers to be maintained:
Proper books of account as usual for this type of Society
and all the registers of the Societies to be kept in the
office.
Section 4. Duties and Furtctions-of the --Treasurer;
'To deposit the funds of the Society in any Bank approved by
the Governing Board in the name of the Society.
To be responsible for all the receipts and expenditure.
To make payment for all expenses sanctioned by the Executive
Committee.
To prepare Annual Budget for presentation to the Governing
Board for approval, wilbh the expected receipts and
expenditures.
To be the co-signatory of all the cheques in all Bank trans
actions along with the President/Executive Secretary.
To bring the sudited statement to the General Body for its
approval.
To give periodical report to the Governing Board about the
financial position of the Society.
To be responsible,for any pther assignment that may be
given to him by the Governing Board.
In general, to be responsible fpr all financial matters
connected with the Society and to work in collaboration
with the Executive Secretary.
Registers to be maintained.
1. Annual Subscription book
2. Cash book of receipts and payments
3. Piles of Vouchers ar.d Payments
..8
.
-8-
o.
The Secretary shall file the necessary records, copies of
the resolutions and other statements with the Registrar
as required by the Societies Registration Act and the
Rules.
P. Audit of accounts and balance sheet of the financial year
with reference to Section 16:
The auditor appointed under the direction of the General
Body shall audit the accounts and the audited accounts
shall be circulated to the members and be placed before
the General Body for approval.
For this purpose and for the other purposes the financial
year shall be from Hanuary to December.
q.
The Association shall print the rules and make it available
to the members on such fee as the Governing Board may
decide.
The General Body may with annual or special meeting impose
fine not exceeding Rs.200/~ on officers who commit breach
of these rules.
s. The Treasurer shall be the custodians of the funds of the
Association. The funds of the Association shall be deposit
ed in such a Bank as the Governing Board may decide. If 1^.Governing Board so decides the funds may be invited in
proper securities.
r.
t.
INCOME.
All income and e&rnarkod funds of the Society shall be
expanded solely on the objects of the Society authorised
under the new law and for no other purpose. No portion
thereof shall be distributed among by way of profits,
Dividents, bonuses, etc.
u.
Day to day transaction of the Society, the expenditure to
be incurred thereof shall be carried out by the Executive
Secretary in collaboration with the Secretary/Treasurer.
Ah imprest account shall be maintained for this purpose.
v.
I. ANNUAL GENERAL BODY MEETING.
Section 1. The General Body of the Association shall be the Supreme
Authority.
Section 2. All the members of the Associations shall constitute the
General Body of the Association.
Section 3. There shall be atleast one- annual meeting of the General
Body in one year.
Section 4. Notice of atleast 21 days shall be given to all'the
members specifying the date, Venue and time for the meeting
of the General Body Meeting - preferably in February.
Section 5. In case any amendment in the Memorandum or Rules is
intended to be proposed, the notice shall contain the
copy of' such amendment.
Section 6. The Agenda should reach members atleast 14 days prior
to the meeting.
Section 7. The notice shall be sent to the members by local delivery
or by post or by publication through press.
Powers of the General Body.
The- General Body shall have the following powers:
Section 1. To sanction the annual budget and to discuss and approve '
the income and expenditure account, the balance sheet
and the administration report of the Association for the
previous year.
. .9
-9Section 2. To direct the Governing Board to audit the accounts and
balance.sheet for the financial year with reference to
section 1,6 ,gnd the person or persons appointed to do
such audit.
Section 3. To elect members of the Governing Board and other
Committees .if any.
Section 4. To remove any member from the Membership.
Section 5. To accept resignations.
Section 6.. To evaluate the needs of members to initiate programmes,
to satisfy those, needs and to provide directions further.
Section 7. To pass other resolutions and amend the rules.
■Section 8. .Tor acquire to sell, exchange, mortgage, lease or otherwise
'
dispose of immovable properties.
Section- 9. To decide on all matters referred to it by the Governing
Board.
SectionlO. To approve the recommendations of the Governing Board
and other Committees.
II. Extra-ordinary General Meeting or Special Meeting.
Section 1 . The Managing Committee shall call for a special meeting
QDi.a requisition by not less than 25 members of the
Society. Such call shall be notified by mail not less
than ten (10) days in advance of the date for which the
meeting is called with the purpose. Not less than 1/3 of
the total membership present in person shall constitute
a quorum for the transaction of business and no other
business than what is specified may be transacted at
such special meetings.
Section 2.
If the stipulated number of members request for an extra
ordinary General Meeting, it shall be called within one
month from the date of receipt of the requisition and the
notice should be despatched at least 21 days prior to the
meeting. If the Managing Committee fail to call for the
Meeting in accordance with the requisition, the requisitionists shall have the power to call for such a meeting,
themselves.
I. Special Resolution.
w.
Section 1 .
Special Resolution is one which should be passed by
votes of 3/4 of the members present at the General Body
meeting either in person oh through proxy.
Objectives for special Resolutions are:
1. The amendments of the Memorandum
2. The amendments of the Rules
3. The amalgamations of the Society
4. The decision of the Society
5. The liquidation of the Society
Section 2. The Special Resolution may be passed at a General Body
Meeting:
a) After giving notice specifying the Special Resolutions
with explanation to all the members of the Society.
b) Notice is sent 21 days before the Meeting.
c) 1/3 of the majority at the meeting approve of it.
II. ORDUNARY RESOLUTIONS
Ordinary Resolutions is one which requires only a simplte
majority of votes, (eg.) any percentage of votes more
than 50% of the total members present at the General
Meeting either in person or in proxy.
Election of the Managing Committee, appointment of tho
Auditor with the prescribed qualifications.
-10-
The Treasurer is responsible for all the Bank Transactions
with the President/Executive Secretary as the co-signatory.
x.
The Register of members, Minutes Books and Account Books
shall be available with the Executive Secretary during
office hours for inspection by its members free of charge.
y.. Dissolution, of the Association:
As time progresses, should a dissolution of the said
Society be found necessary from whatever cause, Government
shall first be informed arid in accordance with its direc
tions and the Section '40 of the said Societies Registrartion Act, if any property or assets remain over after the
satisfaction of the debts and liabilities, the same shall
not be paid to be distributed among the members of the
Society or any of them, but shall be given to some other
Society which shall be determined by the .. votes not less
than ,three-f if ths of the members present, personally or
by proxy, at the General Meeting convened for the said
purpose.
In the absence of any provision in the above articles,
the.Societies Registration Act shall apply.
z.
Whenever any vacancy in the Governing-Board arises by
A
reason of removal, death, resignation or otherwise, it
shall be filled in by election with next meeting of the
General Body.
(Sd.)
'President
(Sd.)
Secretary
(Sd.)
Treasurer
TAMILNADU VOLUNTARY HEALTH ASSOCIATION.
7th Dec.'79
Since the possibility of working together with the Government is
otend to us through Mini Health Centres by Voluntary Agencies aided
by the Government, this paper is being prepared by taking extracts
from the papers of Dr.IC. S . San jivi , Dr. S. A. Kabir and the latest
Government Orders regarding MHC's.
This cen be a guide for those who
whnt to start these centres as well as for those who have started it»
Let us st'rt with —
The Philosophy of VHAI by Fr.Tpng.
What is our new vision of Health Care? What mokes it appealing? All
we have to say is contained in the simple words: 'Community health^
We begin with the community.
Our goal is a health of the commmunity‘
We promote social justice in the provision and distribution of
health care.
We believe in people.
We work with people.
Webelieve
that people grow better when they are encouraged to do whatever
they can for themselves.
We hope that good health may become^, reality
for all the pepjble of India.
We say that tax money marked for health must be reasonably shared with
all the people.
It is mainly the Government's duty to provide health
services for the people.
Persons and associations classed as Voluntary have a great
opportunity to help people see the value of good health.
We help
them to WANT health services.
It is good for us to encourage people
to demand health services as a human right.
The health seryices we
speak of are mainly basic or primary.
These most commonly meet the
needs of the largest number of people.
We believe in a referral system.
Primary health ,care is the base of
the pyramid. This is most important.
But it rises towards hospitals
and medical education.
Vie believe also in research, higher knowledge
But our first faith is in
and the advancement of health sciences.
Sharing.
We emphasize health services for the poor and neglected.
They
are in greater need.
We know enough already to provide all citizens
with simple health care.
,.u poor die. no c hs.vc ’-c-t-.lth ctre,
If the poor did not have health'care, it is not because we donot have
sufficient knowledge.
It is because we as the organised- people of
India, lack the will.
Our old health services have been built to
favour the educated, the previliged and the powerful.
Our newyision
is community and community health.
We wish all goods and services to
be more equally shared with the whole community.
The world community.
joins us to proclaim "Health for all by the year 2000"
Village/Community Health Volunteers-by Dr.K.S.Sanjivi.
SECTION 1- Primary Health Cere.'
This part of the monograph is for trainers.
The "Trainers"—will include the Medical Officer, the mole ahji female-multi-purpose
workers at the mini health centres level (5000 population)and the
supervisors who look after 20,000 population.of. .four. mini .Health—Centres.
It is most important that the trainers should .have clear-ideas... regarding..
the programme for the..Delivery of PRIMARY HEALTH CARE., the monograph
therefore starts with a description of Primary--Health ..Care—itsnli. It is essential, ths t~the • doctor as the..leader ■ of the .health team
should not merely understand but also be committed to the-concept-of--Primary Health Care.
The WHO has laid down the-.-seven ..basic - principle.s...of Primary-Health
Care as follows-:—
1 . Primary Health Care should be -shaped around the-life' patterns- of
the population it is to serve and should meet the needs of the
community.
2.' Primary Health Care-should ..be hn integral part • of. the national
health system, and other echelons of service should ba designed in ..
Y support of the needs of- the prripherial level, especially with|regard
to technical supply, supervisory, and referal support.
^^.ErimarJ: Health Care activities should be fully, integrated- with thel(4‘ activities of the other sectors involved in. community development
(agriculture, education, public works, housing .and. communications)
....
-2-
4.
-
The local population. should ••••be actively involved in thefcirculation
and implementation of health care activities, so that health care
can be brought into line with local needs and priorities.
Decisions
as to the Community's needs should be based on a continuing dialogue
between the people and the services?
Health Care offered should place maximum reliance on available
Community resources, especially those that have hitherto remained
untapped, and should remain within the.strictest cost limitations.
6.
Primary Health Care' should use an# intEgra.ted apprbach of
preventive, promotive, curative and rehabilitative services for the
individual, family and community.
The balance between these
services should vary according to community needs and mayfoell
change in the course of time.
5.
7.
The- majority of health interventions should be undertaken' at the
most peripheral level possible of the health services by those
workers most suitably trained to perform these activities.
SECTION 11 APPLICATION TO INDIAN CONDITIONS.
The APPLICATION Of THE general principles laid down by WHO to INDIAN
CONDITION can be summarised as follows:
Primary Health Care may be highlighted as follows:
a.
Immediate attnntion at the doorstep of the family where the problem
arises.
b.
Preventive and promotional assistance is even more important than
curative services.
c.
The services contemplated, under Primary Health Care are best
carried out by functionaries who reside in the community which thl^
serve and have received an orientation within their capacity.to learn.
d.
Obviously Primary Health Care can be acceptable and’ can succeed only
if it is linked with secondary and tertiary levels of health care.
The ’ideal set up for community health must then provide for the
following essential requirements: (a) A health post manned by a communit
health worker (CHW) for every 1000 population (b) A mole anda female
multi-purpose worker (MPW) for every 5000 population (c) a£Loctpr
being available at the Mini Health centre level for atleast three hours
a day on three- days a week (d) The identification of, and liaison with,
a referal hospital within a reasonable distance.
The Community Health Worker ideally will be^woman permanently resident
in the village who has been given a training for four weeks to start
with and continuous in-service training later on.
The training will
emphasise basic points in mother and child care, Immunization,
Nutrition,. First Aid. .hnd. .the most common diseases. ' ’
The second level is t >e .health team functioning at the health centre
which has been called multi-purpose worker level-mini her 1th centre
with the availability of ?. part time doctor (Part time as far as the
health centre is concerned) and the properly trained para-medical
workers.
This health centre can solve almost 9.0% of the health
problems that may arise in the community.
For the more difficult problems of diagnosis, investigations, hospital^
isation, surgery etc. a referal hospital is very important.
’T
mho
rive criteria of good medical care have been brought
out in the above paragraphs:-
1 . Compsehensiveness 2. Continuity of care 3. Family centred.
2- Prevention oriented 5 of the highest quality.
The proposals 1 id down also tkke care of two basic principles, viz,
1 . No person who has been specially trained for o. particular pro
fession should be called upon to do work which does not require his/
her training. (2) No person who is not technically trained should
be called upon to do o. job which she/he is not competent to discharge.
As regards the mini health centres arouiii which-all the rural
programmes revolve some more explanations are needed.
The token payment of 0.5% of the families' income subject to’ a minimum
of Ns.0.50 per mensem or Rs.6 per o.nnurp is considered essential.
-1The intention is not to present o. barrier to. the sick but to collect the
contribution quarterly or annually without referenceto any illness in the
f-mily.
Such a contribution will not only prevent over use of the
services but ensure full participation of the families.
The doctor should remember that at the mini he.- 1th centre level only
primary health core is mostly possible and will suffice, if the referal
system ir- used diligently.
The question of drugs has turned out to be extremely complex, un
doubtedly one of the most intractable from the point of view of control.
’/he doctor should have some idea of the cost of drugs and make a
determined effort to keep within the allotment.
As a matter of fact
the provision of Rs.3000/- for drugs in the budget of the mini health
centres (5000 population) will mean Rs. 60,000 per annum for a^.block of
1 ,00,000 population.
This is much more than what is now available for
block.
Unnecessary, non specific and costly medication should not be
employed.
Some doctors oppose the mini centre programme with the component of
community health workers without carefully considering the pros and cons.
It should be rembered that fir almost 80^> of the country’s population
that live in rural sheas, the choice is not really between a fully
qualified doctor and an auxiliary but between an auxiliary and no one
at all.
This will be a classic a sample of making the best the enemy of ’
the good.
Merely bringing people together in one place does not automatically
cre-te a ’team1'.
For ideal benefit from team work, each member muat
not only know his/her skills but also the skills and limitations of
the others in the team; communication must be free and full; co
ordination and building of bridges between the workers should be effected
The leaders of the team may well be the public health nurse if the doctor
feels so.
The monograph has been prepared on my concept of the CHW that (1) the
CHW is a woman always (2) she will function as first aides only
(3) she will be totally independent of the political pulls in the
village (4) only the allopathic system will be used in her training
(5)
the main emphasis in her training is on health education 6) the
post intimate an'1 constant contact obtains between the CHW and the
community on the ont: side and the' trainers on the other side.
( 7) the CHW does not run a clinic for two to three hours a day but is
available in her own house all the 24 hours.
It is impossible to get all persons concerned the doctors, official
haerachy of health workers, community health workers, the different
economic strata in the community, the administrators and politicians
to accept a single programme of training for the CHWs.
People everywhere
have their own ideas about that should be done on such matters. The
essential point therefore is to take a pragmatic view and evolve a
methodology for training which will satisfy to the maximum possible
extent the rigid ideas of the technical person and the crying neds of
the illiterate, poor, rural citizens.
It will be noted that the weightage in the training of the CHWs is
very much in favour of preventive and promotive steps rather than on
treatment.
The CHW continues her usual domestic duties and the training itself is
given as ne' r her home as possible.
The period of her absence from home
is kept at a minimum; it is usually only about 4 to 5 hours even during
the preliminary training period of four weeks.
Finally the first requistite, before the- actual selection and training
of the CHW is considered, is to be certain that the trainers accept
the community health worker as a very important, extended limb of the
health centre, who by virtue of her permanent residence in the village,
offers the best communication between the health centre staff and the
community.
Section 111 Health Education .
1 . Briefly the objects of health education are (a) to educate people
and -.Iter the behaviour, where necessary, to promote and maintain
their health.
-4-
(b) to import the minimum knowledge required for people to be aware of
the the factors that affect health and recognise the early symptoms of d'
disease, (c) to assure the people of the availability of the needed
sertices and the accessibility of those services to the poorest/family.
’.It has been shown that it is comparatively easy to achieve success in
situations depending on techniques eg. Vaccinations, ijiosquito control.
But where techniques play only a minor part and people must be per
suaded to change their habits, the situation becomes much more
difficult eg. choice of correct food, smoking, family planning.
33lt will thus be seen .that health education must adopt different
approaches and must be continuous and simple.
4.Most authorities believe that mass media do not produce as consistent
and. good results, as personal man to man approach.
Obviously the
lat'er will require m
ny
*
more teachers of health education; that is
why health education is stressed as the most important functioon of the
0HW.
5.Health Education is a consumer oriented activity.
We should know
all the conditions that can be prevented by anticipatory steps: we
should know the felt need of the community and. also obtain their
complete participation and confidence.
We should also gather feed
back information on the health needs, health status and attitudes of
the community.
6.The CHW therefore is utilized mainly to find out what the community
wants to know and wants as assistance.in the health field. Health
education in short is the ultimate goal.
7.Health education Specialist is a profession practically non-existent
in India; it is questionable whether we can afford a new category; s
every health worker should therefore be a he'lth educator.
8.The chapters in the monograph for the CHW contain a considerable
amount of useful information that should be given to the community.
Health education is nothing more then making sure that the CHW
understands these aspects of health care and transmits the knowledge
to the community.
Group talks ’ ith members of the community from time
to time will enable the trainer to assess the extent of percolation of
such health education.
9.The Pepole are hungry for health education.
Any Sunday issue of a daily
of-any weekly will confirm this.
Health Education is better given
personally by the members of the health team rather than by the
fictitious doctors of these mass media.
A two way traffic in
communication is better than a one way.
Section 1V Select'- The CHW
The method employed by us for Selecting the CHW is as follows:
We identify an area of 1000 population which may be a single village
or a cluster of villages and ask for local women who have completed
8th class and are interested in undergoing training as a CHW. Quite
often 3 or 4 volunteer to have the training and we give training to all.
the four.
Most of the training is in the nearest mini health centre/
block^HC/referal hospital.
During the period of training if the
volunteers h-..ye to travel away from their village, we give themk
bus fare and ajlungh before leaving the PHC or referal hospital.
No other stipend is given.
The period of training is fo'r four weeks, five days a week and four
hours a dry, 9 aqi to 1 pm.
This basic training is followed by
continuous in-service supervision, revision and discussion of specific
problems as they arise.
At the end of the training the selection of the CHW, who will be given
the first aid kit, Hundi box and a stipend of Rs.50/- per month, is
made on her merits of application, intelligent grasp and earnestness
by a committee consisting of the public health nurse, the doctor at the
mini health centre and the community health department.
It will thus
be seen that the selection is not left to the Panchay.-.t authorities and
there is no political bams whatever.
.
;
-5Kowever after deciding on the candidate, the public nurse invariably
introduces the candidate to the P^nchayat Officers who will in their
turn discover her family background and accept the choice.
All kinds of criteria have been laid down for the selection of the CHW
some of these arc quite impossible. It is worth asking whet}.er such
rigid methods are applied in the selection of the medical student or
of the medical teacher. It is in view of these difficulties of selection
prior to the training that we prefer training three or four persons from
a village and choosing the best candidate on our assessment.
The assessment of the candidate goes on throughout the first four weeks,
noting their performance in the class room, clinic, and field situation:;.
The grading of t' e candidates ranges from very good, good, fair to poor
and is based on the following qualities, alertness, intrest,initiative,
punctuality, ability to express ideas, potential for learning, awareness
of needs of others, flexibility, personal appearance and general approach
to others,
Mini Health Centre for Rural Health Service-by Dr.S.A.Kabir.
I.
What is a Mini Health Centre.
A Mini Health Centre is a multi-purpose unit to be organised by the
Voluntary Agencies in collaborat on with Goverment for the delivery of
curative, preventive and promotive health services to the rural populat
ion. One Center is to cater to the needs of 5,000 population or 1 ,000
families. A part-time doctor and two para medical workers and 5 lay
first aiders will work in each^cf these centres. A total recurring 2
expenditure of Rs.18,000/- is required for each Mini Health Centre and
50% of this expenditure should be met by the Voluntary Agency and the
balance will be provided by Goverment as grant-in-aid. Thus the Mini
Health Centre provides an opportunity for the Voluntary Organisations ;
who arc interested in health work to supplement their efforts with thoss
of the Goverment for the delivery of comprehensive health care to the
rural population.
. The Mini Health Centre should bo located in a place where no other
Medical/Health Care Institutions are available within a radij^us of about
5 kilometers.
The Mini Health Centre should provide comprehens" Health Care Services
for 1,00 families i.e. for about 5,00 population. To get this 1,000
families registered in the Mini Health Gentre^
the Voluntary Organisat
ion should find a catchment area of a set of villages (numbering from
1 to 5 or 6 ) with a total population of about 5,000.
To get the community paticipation in running the Mini Health Centre,
the Voluntary Organisation should do intensive "education" among them to
demand these services, and so that init ially 1,000 families in adjacent
areas get enrolled by subscribing Re.l/- per family per month by issu4
ing a membership card, ( for giving treatment for minor ailment and foy
health checkup.for immunisation and advise on matters that will promote
tl e general health of the individuals of the community and their habitat]
The enrolled families should be "held" within this frameworkh of Mini
Health Centre as long as possible maintaining proper recording of their
Health status, Health Services etc., so that, the health record of each
of the family is available readily with the Mini Health Centre.
:i. Staff pattern and its budget:
The staff pattern together with the financial requirements for a
Mini Health Centre:
1. Part-time Doctor Rs. 250/- P.M.
Rs. 3,000/-
2. One Female Worker Rs.300/- PCM.
(Nurse/Auxiliary Nurse Mid-Wife)
Rs. 3,600/-
3- One Male Worker Rs.300/-P.M.
(Multi purpose Worker)
Rs.
4. Drugs.
Rs. 3,000/-
3,000/-
5.
6.
-6Health Posts (3) (lay first aiders)
(Rs. 800/-per annum 3x800)
Rs. 2,400/-
Contingencies
Stationery, Specialist visit,
Supervision etc.,
Rs.
Total expenditure per annum.
2,400/-
__13,00°/-
The amount of Re. 18,000/- earmarked for each Centre per annum does not
include expenditure on supervisory staff, capital expenditure on build
ings, equipment, furniture etc. A suggested scale of equipment, furnitun
etc., is furnished in the Annexure'B.
The annexure to G.O.Ms. No 1222. Health dated 14-7-'78.
It specifies only tle staffing pattern of Mini Health Centres and does
not. specify t’ at the expenditure should be restricted to the amount
mentioned therein. Any Voluntary Organisation which spends more is
welcome to do so and infact the Government would encourage such expend itr
*
The annexure only lays down guidelines relating to the staffing pattern
and the minimum item of expenditure which must be spent under the various
sub-heads of expenditure. It is intended only to regulate such of those
Mini Health Centres which may alter this pattern only with a view to get
Government grant, but at the same time not discharge its obligation of
running t’ e centre with its own funds. The - Government would have no
objection if any Voluntary Organisation spends over and above Rs.9,000/
(Representing its contribution) under these sub-heads including the paj^k
of the Doctor, Para Medical Staff, etc. But the Government would restr
its grant to a maximum of Rs.9,000/Sd/P. .Murari,
Commiss ioner and Secretary to Government.
III.
How yo_apply for Mini Health Centre.
Any registered Voluntary Organisation can apply in mriting to the
Dix-ector of Public Health and Preventive Medicine,Madras, in the
proforma (Annexure'A') for opening a Mini Health Centre.
How to staff Mini Health Centre.
ifter .receipt of orders of the Director of Public Health and
reive Organisation should undertake of Mini Health Centres, the
:ary Organisations should under take to start them within a months
by making the following arrangements:
;re should net be any medical or health institutions in those
.laces where the Mini Health Centres are proposed.
A building with atleast 3 rooms should be selected for the Mini
Health Centre. This may be a donated building or rented one. The
cost of the building is the responsibility
„ of the Voluntary
v
Organisations.and should not be met fyom Rs. 18,000/- earmarked for
the maintenance.
•he selected village should also have buildings for the accommodaton of the staff. The house rents for the residential accommodation
should not be mc-t from the grant-in-aid.
?he equipment and furniture mentioned in the Annexure'B' may be as
’ar as possible procured by the Voluntary Agencies. The cost on this.
.tern should be met by the Voluntary Agencies.
Registers and forms may be printed by the Voluntary Agencies. The
:ost on t' is item may be met butof the contingencies allotted in the
>g e:
6.
The following staff should be appointed:
2. Female Worker
:
:
:
:
One
One
Three
One
-7-
.In connection with this the Government D.O. No.81790/Q1/7S-6
dated 14-3-1979, is as follows:
In continuation of the D.O.cited, I am to recall the discussions you
had with the Secretary-Health and to state that with reformer. to i •
problem No.1 , indicated by Dr.Jacob Cherian, you need not insist on
qualifications of Sanitary Inspectors and A.N.Ms. The multi-purpose
Health workers trained by the Christian Fellowship Community Health
Centre, Ambilikkai, may be declared as eligible for appointment in
their Mini Health Centres. I am also to request you not to insist on
the condition 2 referred by Dr.Jacob Cherian. It is enough if the
stock of medicines available at the end of the year is taken into
account. However, the stock of medicined at the end of the year wj:ll
be taken into account, only when Rs.3,000/- worth of medicines is
utilised by the end of the year and thennonly the grant will have to
be released.
The Male Workers:
A candidate qualified in Sanitaf’y Inspector's Course with training in
multi-purpose health workers programmes is preferable. In case such
t.
candidates are not available the Voluntary Agencies can employ persons
who have passed S.S.L.C. or failed but trained in multi-purpose workers
programme whether at Government Primary Health Centre or a Voluntary
Health Organisation according to the approved syllabus.
Their Duties:
The duties are similar to the Male Workers in the multi-purpose
programmes i.e. Immunisation. Health Education, taking slides for ’a
malaria,collecting sputum for the immunisation of Tuberculosis, treat
ment for minor ailments, maintenance of health records and so on.
Female Workers:
Women candidates who have passed auxiliary nurse mid-wife course and
undergone multi-purpose health workers programme are preferable.In
case such candidates are not available, as an alternative, candidates
who have passed 6b failed in S.S.L.C. Examination with a training in
multi-purpose , health workers programme and in the. conduct of deliveries
antenatal, postnatal chock up and child care may be employed.
Their Duties:
Same as Multi-purpose Health Workers (Female).
hey should make antenajral visits and post-natal visits and conduct deliveries. They should
treat minor ailments, immunise children, Educate the rural masses in
health and nutrition aspects and so on.
Lay First Aiders:'-
Under the scheme there arc three health posts manned by lay first
aiders. The health posts arc to function at the extreme periphery of
the mini health centre area, each post ideally serving a population
of about a’ thousand. Health posts are not required for the 2,000.
population immediately adjacent to the Mini Health Centre. They are
given four weeks•training, five days a week, 4 hours a day in health
education, treatment of minor ailments and delivery of preventive
health services followed by continuous inservice training and supervis
ion while employed in the health posts. A book of instructions about
the Training is available with Voluntary Health Services, Adyar. The
Lay First Aiders function is tp provide first aid to the persons in the
immediate- neighbourhood and what is more important he is a first :' ■
informant of the happin her area to the health team. She also
helps the health tears on their periodical visits to the particular
villages by moblilising the children in need of immunisation , the
pregnant women in’need of antenatal care, the eligible couples for
family planning and generally the persons atrisk. They should function
as a link between community and health staff W«
selection of lay first aiders to women in the firm belief that they will
obey the instructions and not transgress th.ir limitations. They are as
FIRST INFORMANTS when any "untoward" events affecting the health of the
individual/community accurs in those villages.
The Lay First Aiders are health workers below the level of paramedicals
and should be selected from the community in the villages and should
.z
have t’e normal qualification of ability to read and write in Tamil.
One of the main criteria for selection is that they should be resident
of that locality/village. Middle aged women who arc social service
minded or already engaged in conducting deliveries may be preferred.
These Lay First Aiders are only part time workers and may be paid in
honorarium of Rs. 50/- per month.
Their Duties:
They will render first aid and give simple treatment for Head Acho,
Diarrohea etc., and also motivate the eligible couples for Family ’
Welfare Programme and co-ordinato with the male and female workers
whenever they visit the village?.
Pa
Fart Time Doctors:
One part time Doctor will be posted -for each Mini Health'Centre, who wi
will be paid a sum of Rs.250/-F.M. If this Doctor is given 3 Mini Health
Centres he may bo paid a consolidated pay of Rs.75O/-P.M. In such cases
he will visit the three Mini Health Centers"’ and the evening for one
Mini Health Centre.
* every day distributing his morning hours for A
2 Mini Health Centres
*
He should have his residence in one of the Mini Health Centre villages.
He will use his own conveyance either cyclo, motor cycle or cart for
his travel for which as allowance may be paid by the Voluntary Agencies
from the contingencies.
A bank account has to be opened in the name of Mini Health Center and a
sum of Rs.3,000/- has to be deposited in the Nationalised Bank by the
Voluntary Organisation. The date of opening the Mini Health Centro has
to be reported and the Bank Certificate has also to be sent to the
Director of Public Health and Preventive Medicine office f rough the
District Health Officer., concerned for releasing the advance grant of
Rs.3,000/- by this office. For this purpose they will build up close
lison with f e Medical Officer -and other staff of Mini Health Centres.
Wherever,Mini Health Centres are started, the Panchayat Union, Auxiliary
Nurse Midwives and other para-medicale staff will be withdrawn to avoid
duplication of work. However, the Government staff will continue to
have jurisdiction in their areas for the- control of epidemic diseases
and for the implementation of the Acts.
(
The Voluntayy Organisations are requested to take care to select suit
able buildings, adequate furniture and essential equipments at their ew
own cost.
V. The following equipments and furniture arc suggested for a Mini
Health Centre:-
Equipm ante.
1 . B.P. apparatus
2. Clinical thermometers
3. weighing machine (Dial type) Baby
4. Weighing machine (Adult)
5. Stove - 2
6. Syringes with needles for subcutaneous
Intra muscular
, „
Intra venous injections
7. Scissors and forceps
8.<:Suturing needles and suturing materials
' . Artery forceps
1 0.Scalpels
1 1 .Maternity kit box - 1
-9-
-9-
12. Trays -2
1 3 • Kidney trays -2
1 . :Urihecglass -1
15. Wash, basin with stand -1
16. Catheters -4
i 7 . Vulsulum -1
1 8. Speculum -1
1 9. Gloves -4 sets
20. Bedpan -1
21 . Saline sets -2 (preferable pre-sterilised
disposable infusion, sets)
22. Saline stand
23. Cots.
VI. How to run Mini Health Centres:
Comprehensive Care:
Every type of preventive and curative service that can reasonably be
expected to be done with the minimum facilities as under may be render
ed by the Mini Health Centro.1 . Maintenance of Health Records':
Which includes physical examination for each member of the family
■ and preparation of an 'At risk register' , Nutritional assessment for
every member in the family, laboratory investigations wherever
required, providing treatment and follow-up services depending upon
the clinical and laboratory investigations and referral services to
the locally identified referral hospital. A monthly report (as given
below) about this programme should be sent to the Director of Public
Health every month.
2. Maternity Service:
The Multi-Purpose worker (Female) provides ante-natal and post-natal
services for pregnant women and side by side offer, family planning
advise to eligible couples. Folic acid and Iron tablets are distribut
ed to women from the 5-th month of pregnancy through-out ante-natal
period and the first six months of post-natal period. Each mother is
visited approximately once a month during the period of pregnancy
and lactation.
Child Welfare Services:
These include:
Maintaining a record of normal growth and development of-child
(weight).
b. Preventive services consisting of immunisation procedures like small
pox, vaccination, administration of Triple Antigen, BCG and Oral
Polio on a priority basis and others when indicated.
c. Preventive procedures for Nutritional diseases like Vitamin
deficiencies, and Protine Calorie Malnutrition etc. is undertaken
by giving nutritional supplements and advice regarding the utilisati
ion of locally available food stuff.
a.
Family Welfare Services:
Family welfare advice is offered to all eligible couples as part of the
package of services including the regular health care and preventive
services depending upon the need and acceptability of the families.
Cases for operative procedure are referred to the Family Welfare
Centre or undertaken at Mini Health Centre.
Medical Care:
Regular clinics are conducted for out patients for three hours in each
centre by the Doctor. Medical Care in this project is offered to attract
the people so that the other Preventive services can be pushed through
effectively. After gaining the confidence of t’ e community, the prevent
ive work should be stepped up. The salient features of medical care
component are:
-1 0-
-10-
a.
b.
c.
d.
Treatment of minor oilments.
Domiciliary treatment for Tublerculosis/Loprosy.
Screening of cases for Hypertension and Diabetes amoung adults above
35 years by routine B P check up and urine analysis.
Ear-y detection of Anaemia, Toxaemias etc., in women of child bearing
e. Search for parasitic infestation in children.
?.. School Health Examination.
g. Referral of cases for specialist consultation.
Continuous Care;
The Cooperation of the local people is absolutely essential to run a
project of this kind. The people should feel that it is their own scheme
and not a paternalistic condesending gesture of better off urban dwellers
to their inferiors. There is no better method of assuring this involve
ment than by making them members and subscribers to t’ e plan. Each
family is persuaded, to contribute on a^insurance basis for the maintance
of the health, csf i’tefamily menbers as it does for providing food,
education, clothing, shelter etc. Pamily will consist of subscriber,
his wife and children only. Any other people living with the subscriber
must be enrolled separately unless totally dependent on the head of the
family. The rates that could be charged is Rs. 1/- per month per family
with poor proplc such as agricultural labourers, and Rs. 5/- from richer
groups. A subscription card may be maintained for this purpose for each
family. Shortfalls in the collections can be made up by 'Free for 1 •«.
Service' and Re. .1/- for one injection and 25 paiso for tablets and
mixture or the shortfalls cun be adjusted by collecting donations every
year. This is only a suggestion but/ the Voluntary Agencies are at
liberty to devise their own methods for collection of funds to meet the
50% of recurring expenditure.
National Health Programme and State Goverment Health
programmes should be undertaken by the Mini Health Centre.
Community Participation:
This is tbe nucleus of the project. Apert from enrolling families as
subscribers to the plan, community participation is ensured in several
ways such as:
a.
making the community provide the accommodation and minimum furniture
free of cost for accommodating the Mini Health Centre.
b.
Formation of locS.1 action committee consisting of local leaders,
Panchayat, Members, official and other residents.
c.
Holding periodical meetings, film shows, demonstrations etc.
A
Conducting orientation courses for village leaders regarding diseases
that may be the starting point of an epidemic.
Officer and
The District Health-Officers of the Directorate of Public Health and
i reventive Modi cine.'.will be inspecting the Mini Health Centre
periodically to provide guidance and consultation. The operational
details by RUHSA MHC.
d.
VII. Government Aid to the Mini Health Centre:
1.
50% of the expenditure will be givon as grant—in—aid i.e. Rs.9,000%
per year.
2.
A&D capsules, Iron and folic acid tablets, vaccine and food materia';
under the CARE Programme will be supplied to the Mini Health Centre
free of cost. The indent for the supply of the above materials
s’. ould be placed to the Director of Public Health and Preventive
Medicine, Madras.
3. The cases referred by the Mini Health Centre to the Government
Hospital will be given priority. The Geovennniont staff stationed
for 5000 population in the area covered by Mini Health Centres will
be withdrawn after the Mini Health Centre establishes, itself in
that area.
-11 Release of grant to V.H.O. according to G.0.Ms.951, Health and
Family Welfare department dated 30.5.'79.
The Director of Public Health and Preventive Medicine had
suggested the following as guidelines for the release of grant to the
Voluntary Heilth Organisations concerned:a.
Steps should be taken to ensure- that one part time Allopathic
Doctor assisted by one male worker and one female worker in each
Mini Health Centro as indicated in the staff pattern have been
appointed by the Voluntary Health Organisation. In addition, the
expenditure on drugs should, be, for a minimum of Rs. 3,000/-. The
txpcndituiE on the items stated in para 1 above should be satisfied
and the overall expenditure should not exceed Rs.18,000/- per annum
per centre. In respect of centres which were opened in the course
of a year, the release of grant of Rs.9,000/- should be proportion
ate to the period of its existence of the Mini Health Centre and
that this proportion need not be insisted upon in respect individual
breakup details subject to the condition that the part time AllopathicMedical Officer, one female worker and one male worker have- been
appointed to the Mini Primary Health Centre and. the expenditure on
drugs is not less than Rs.3.000/-. The question of reduction in
grant will only arise if there is any deficiency in these- four items.
As regard, determining the cost of mediedhe utilised in a year it
will be worked out with reference to the actual cost paid for less
stock on hand at the end of the financial year. It is enough if the
stock of medicines available at the end of the year is taken into
account and carried over as opening balance for the next year and
this may be given due credit for the subsequent year so that the
institutions are not put to any inconvenience. However, the stock
of medicines atthe end of the year will be taken into account, only
Rs.3,000/- worth of medicines is utilised by the end of the year
and then only the grant will be ruleased.
c.
In the case of contingent expenditure, the permissible amount for
the release of the grant under contingcnties should be confined to
Rs.2,400/-P •A. only, irrespective of the nature of expenditure
incurred by the Voluntary Health Organisation. If there is any
deficiency, they will also be allowed to be spent towards cost of
medicine,
The Government after careful consideration, approve- the above
guidelines suggested by the Director for determining the amount of
grant to be paid to the Voluntary Health Organisations concerned
for running a Mini Primary Health Centre,
1
I
< '■
J fo
VIII. Auditing:
" '
' '
7
The accounts of the Mini Health Centres will be audited bjr the
parties of tl e Director of Public Health and Preventive Medicine
before the final grant is released to the Voluntary Organisation.
The registers and records required by the Audit Party will take up
the auditing of the accounts and complete it during March of every
year.
How to Claim Grants:
The Voluntary Agencies should apply for grants with particulars of
their performances during the year along with the audit report
together with replies to objections if any raised by the audit
parties. The administrative report may also be enclosed with the
application for grant. The grant of the previous year will be
released in the beginning of the succeeding financial year.
Procedure to be followed for release of advance grant according
to GO Ms No:1889, Health dated 25.10.'79 Health and Family development.
In the Government orders second to fourth read above, sanction was
accorded for the opening of 104 Mini Health Centres by Voluntary
Organisations with 50^ recurring Government grant of Rs.9,000/-P.AI.
for each centre during the years 1°77-78 and 1978-79 for providing
comprehensive- Health care to the Rural population. The Voluntary
-1 2-
-1 2-
Organisations have to deposit the initial amount of Rs. 3,000/for each centre as required in the G.O. first read above.
The Mini Health Centres run by Volunta,ry Organisations with 5O/o
of financial assistance from the-. Government will normally be
incurring a total expenditure of Rs. 1 8,000/-P4.H. But in many cases
the total amount of expenditure of Rs .18,000/- is exceeded, The
50/ grant is released only after the closing of the Financial year
aft^r duly auditing the accounts of the Mini Health Contres. This
procedure normally takes a few months before the grant is actual!/
received by the Voluntary Organisations.
Some of the Voluntary Organisations which are running Mini Health
Centres have represented that as they get the Government grant
for the year only 'after the audit of accounts of the previous
year is.done they are unable to run the Centres and serve the
public on account of thr procedure mentioned in para 2 above
which puts them to great financial stress. They have, therefore,
requested that the grant amount may be released to them in advanca
in two instalments so as to run the centres without financial
strain.
4.
The Director of Public Health and Preventive Medicine, to whom ths
matter was referred to, has suggested that a sum of Rs.3,000/- may
be released at the beginning of the- financial year, another sum
oftRs 3
Misfit ef feix muhthsaniid-hht remaining grant of Rs.3,000
after completion of the audit and that this procedure will main
tain the Mini Health Centres in a sound financial position to be
run by the Voluntary Organisations with the full complement of
Health services.
5.
The Government, after careful consideration, accept the suggestion
made by the Director of Public Health and Preventive Medicine in
paragraph.4 above. The Government., accordingly direct that the
recurring grant of Rs.0,000/-PJA. to be sanctioned for a year be
released to the needy Voluntary Organisations who are running the
Mini Health Centres in throe instalments as indicated below:
1. The first instalment of Rs.3,000/- during the months of AprilMay of the year.
2. The second instalment of Rs.3,000/- during the months of ?
September-October of the year; and
3.
the third and the final instalment of Rs 3,000/- after auditing
of the accounts is over.
The Director of Public Health and Preventive Medicine is informed
that the procedure in para 5 above need not be taken as a general
rule for all the Voluntary Organisations. Payment of advance
grants as formulated in para 5 may be made to the needy Voluntary
Organisations as and when specific requests are received from
them for financial assistance. The Director of Public Health and
Preventive Medicine is requested to obtain from the Voluntary
Organisations an undertaking that will atart and function the
Mini Health Centres before releasing the first instalmontrof the
grnt failing which the advance grant will be recovered in full.
The Director is also requested to ensure that theye is no increas
ed appropriation on account of release of grants anr’ that advance
grants for the current year as well as the final grants of the
„
previous year are accommodated within the Budget provision itself.
Regarding referral service between Primary Health Centre
and Hospitals - G.O.Ms. No:625, health dated 6.4.’78
The Primary Health Centres can render only ordinary treatment for
common ailments and emergency care within the scope of the training and
practice of ^^practitioner . If a complicated case requires consultation
with a specialist or with a senior colleague with more experience or
sx? requires investigations with sophisticated instruments, the Primary
Health Centro Doctor has to refer the cases to them. But in the Health
care delivery system as existing today the referral service is in a
rudimentary stage and limited to few only. The less previlleged citizens
in rural areas are unable to avail of specialists services due to va
various reasons. In order to provide a quality services to rural masses
-13-
-1 3whose physical condition require sophisticated, medical technology for
diagnosis and treatment, systemic referral service have to be developed
in Tamil Nadu.
The Government have sanctioned Mobile Health Service in 124 Primary
Health Centres and in the remaining Primary Health ,Centres. This
programme will bo implemented in a phased manner. Further the Government
have sanctioned 104 Mini-Health Centres that are run by the Voluntary
agencies for the delivery of comprehensive health care in rural areas.
The referral services have to be built up between these peripheral units
with the nearest higher medical institutions in urban areas, (i.e.)
Taluk Headquarters Hospitals, district Headquarters Hospitals and /
teaching institutions.
Therefore the Director of Medical Services and Director of Medical
Education. a»e'. rdqnestad-to^idsue instructions to the.Medical: institutions
under their control for building up a referral service.
All the taluk district and medical institutions attached to the
Medical Colleges should pay special attention to the cases that bring
referral cards from the Primary Health Contres and the Mini Health
Centres. Priority should be given for admission of deserving cases and
for treatment in the out-patient clinics. Depending upon the nature of
the disease, investigations may be done and, if necessary, reports may
be- sent to the Primary Health Centres or the Mini Health Centres for
Continuation of treatment at the village itself.
Registers should be maintained for having sent the cases, and for
having received the cases along with the action taken by them.
One Medical Officer in the Hospital should be made responsible for
the referral service.
Sd/-.
P.Murari,
Director General of Health Services
.and Family Welfare: Madras - 6.
PLANNING INDIA'S HEALTH
By Dr. K.S.Sanjivi
(PRACTICAL SCHEME FOR MINI-PHCs)
Bearing in mind the requirements of a medical care organisation
for our country ^he following practical scheme is suggested:
1 .
2.
A Primary Hnaith Unit operating from a Primary Health Centre will
have the responsibility to partly provide ihd partly organise
comprehensive medical care for two thousand families or a population
of approximately ten thousand. This new definition of a Primary
Health Centre,..as apposed, to the present one of taking care of the
entire block with a population of 60,000 to 80,000 or even morepeople, is very important and is equally applicable to both urban
and rural areas.
The staff for each Primary Health Centre (Mini-PHC) will be as
follows: One part-time d'oetor and six full-time members of profess
ions supplementary to medicine. These will be (i) one health
administrator, (ii) one nurse, (iii) one Midwife-cum-hcalth visitor,
(iv) one nutrition worker, (v) one pharmacist and (vi) one laboratory
worker. Members i, ii, iii, and iv will also be trained in family
planning work and will amphasise its importance in their daily
contacts.
Every family must by law contribute 0.5 percent of its annual
income to the Mini-PHC as a health cess.
4.
Families irrespective of their income and urban of rural location
will get an initial health check up with maintenance of health
cards of each member of the family and personal prophylactic help
to d_al with the following ten problems: i. Too many children,
ii. Protein calorie malnutrition, iii. Smallpox, iv. Typhoid,
v. Cholera, vi. Diphtheria, vii. Whooping cough, viii. Tetanus,
ix. Tuberculosis, x. Poliomyelitis.
5.
The medical officer together with the para-medical workers will bo
responsible for maintenance of these health records.
6.
'The standard health record forms (on punch cards) will be supplied
to each I’.H.C. by the central Government
(perhaps, by the
statistical section of the Indian Council of Medical Research).
7.
TThe collection of the annual payments from an average of seven '
"1
families and the health check up of 33 persons a day, on an average
of - 300 working days a year is a throughly practical undertaking.
The para-medical workers can carry out much of the routine history
taking and physical examination. starting with a self-filled questiona ire. And the doctor basing his physical examination on the points
already elicited can easily do this- in a brief time.
8.
The doctor in charge of the I.H.C. will be paid Rs.3.00 per year
per family in areas.outside municipal limits and Rs.1.50 per
family per year in areas within city limits. He will also be given
a loan for the purchase of a car. He may be permitted to give in a
nearby urban or semi-urban area.
9_.
.The members of the profess ions■supplementary to medicine at the
R.H.'C. level will get loans for bicycles. They must live in the
centre of the area covered-by the F.H.C. where the office of the
P.H.C-i will be located. (All vehicles are to be owned and maintained
by the employees themselves). The teams will,be given monetary merit
awards for more than 80 per cent successful coverage of each of the
following:a. Maintenance of health cards,
b. Eligible' couples practising family planning,
c. Immunisation procedures,
d, Tuberculosis patients taking regular treatment without a break.
,10. The F.H.C. doctor will be expected- to spend a minimum of three hours
a day in operating a clinic.for preventive and curative service for
the population under his charge,
1 1 . The block level medical officer will be a permanent government
servant of the state medical service cadre and bo assisted by an
equal strength of para-medical workrs. Re will be provided with a
government owned, and maintained station wagon-cum-ambtilance. His'
responsibility will be - to keep a strict control over the professional
and administration efficiency of the PHCs in his area.'
12.
For all families earning less than Rs.2,00.00 per mensem-drugs will
be provided free. Such families will also get completely free
treatment in government hospitals, including diet and costly
medicines.
13.
In the case of families earning Rs.200.00 and above, charges for
subsequent services (after the annual health check up and prevontii^P
procedures) will bo levied by general practionors and public
institutions in ease of hospitalisation and the provision of
specialist services. The expenses on such services will be reimbursed
by the employer on a-uniform schedule of rates whether the employer
is the government or private organisation. The question of reimburse
ment of charges will not arise if, as in the;, case of the government,
services are provided by the government in government hospitals or '
if the employer has paid the 5 per cent or larger contribution to
the Employees State Insurance scheme (2.5% from the worker and, 2.5
to 5% per cent from himself). Employers will be compelled to make
such contributions on behalf of all their employees irrespective of
whether it is a factory employing power or not. The employer will be
given the choice of either a regular contribution to the E.S.I.
scheme or providing the same benefits of comprehensive care and
sickness payment using the services of the existing government or
voluntary medical institutions.
I
It may also be seen that primary medical care is provided for
everyone, irrespective of this living in an urban or rural area
and irrespective of his status in life, by the FHC doctor, who is the
'doctor of first contact.'
The provision in the rules of the contributory health service scheme
(covering central government servants) that "persons drawing Rs.800.00
or above a month can directly consult a specialist® while /others can r”
avail of specialist services only on a roferc-nce from the dispensary
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-1 5-
medical officer, is untenable in any democratic public organisation,
Obviously th c specialists' time must be utilised for a real problem and
not wasted on a minor problem of a more well-to-do .citizen.
The absurddclause in the medical attendance certificate for
Government of India employees, that no claim is allowed for reimbursement
of expenses incurred for prophylactic and immunisation services, still
persists. This must be removed forthwith.
"0.5 per cent of the annaual income" contribution from every family
towards the set up of the Mini-PHC will bo made compulsory by law. As
explained elsewhere this half per cent, taken from the present collects:
ion from the S.S.I. and C.H.S. subscribers, will be transferred to the
PHC scheme. It is' a matter of hbsolute negligence of the duty to comply
with the requirements of modern medicine that today practically none of
the prophylactic measures enumerated above have been implemented by the
E.S.I. scheme.
It will, also be seen that the Minit-EHC will be made entirely
responsible for the institution of family planning procedures for all
eligible couples among the 2000 families in their charge. There will be
no separate, isolated and extravagant family planning department.
For the acceptance of advice on family planning and other health
matters, there is no doubt that ten words spoken personaly to the persons
concerned will achieve much better response than 10,000 words shouted
on the radios.Further , the advice coming from a team of health workers
who are the constant friends, philosophers and guides of the family will
be readily trusted and acted upon.
The very fact that the families have had an annual health check up
and! other records are maintained by the EEC workers will ensure the
co-operation of the families.
There will be no question of anyone having a sterilisation operation
performed at the any other place without the PHC team being aware of it
and indicating this in itsracords. This will put a stop to the present
complaints of bogus operations on persons with imaginary addresses and
the inflated returns. Lastly, with the cafeteria approach of the family
planning drive, the continuous supply of the conventional contraceptives
con be assured with proper records of the success or failure in their use.
There are no two opinions on the grant urgency for checking the
population explosion or the equally true, but regretable fact, that
familyn planning has not been accepted by the very strata of the society
in maximum need of this advice.
Who two prevailing approaches in medical organisation which have
been referred to in the chapter on the Voluntary Health Services have
definitely failed to solve our health problems and it is imperative that
this third, personal, direct community approach should replace the other
Our own personal experience has shown that abundant cooperation ; -o
from the community t^ill always be forthcoming once it is assured of the
sincerity of the staff at the PHC. Different projects, each one concents
rating on its own work, have necessarily to cover the- same area of fom:
domicile and numbers of population. For example, at present a P.H.C. in
a block serves a population of approximately 80,000. Likewise, an urban
family planning unit serves about 60,000 people. The organisation for
the control of tuberculosis in the city of Madras has been attempted at
14 regional centres, each one covering about 1,50,000 people. Naturally,
the- achievements in allsphcres of nativity have been much below the
targets.
The- logical conclusion, breed on the experience of the country
since its independence- and our own experiments , is wh.-.t has been
suggested in this monograph, viz., that the primary health centre should
be held responsible only for 2000 families or a population of 10,000 and.
that its responsibility must be total and comprehensive. Any unit larger
than this cannot achieve the targets or be effectively supervised.
The concept of each family member having a health check up and a
health card may be considered extravagant but it is absolutely essential
and practial in the new PHC with the doctor heading a team of medical
atm iliaries.
-1 6-
Thc great importance of strengthening; the. infrastructure of the
medical organisation has bv.cn emphosied by several authorities.
Brockington in his excellent book ? says
"The infrastructure is the most peripheral viable organ of administ-.’
tration in a health service. It is designed to undertake day-to-day
activities in any field, curative or preventive, under the direction,
with varying degrees of autonomy, of higher policy-making bodies....
The infrastructure of health is thus woven like a fabric throughout
the nation. It is knit together into a wider frame-work of public health
administration; but with freedom of manoeuvre at the local le>vel
equipped with doctors, nurses, midwives, sanitarians, social workers
and auxiliaries, they can deal with maternity and child welfare, scljool
health, sanitation industrial health, the control of infection and : n
animal-borne diseases, health oduention, vital statistics and medical
care at the community level. For much of its motive force-as for
planning, technical advice, finance, trained personnel, hospitals,
laboratsry services, special services for disease eradication and r^ »
research—f-'c unit depends upon intermediate and higher levels of govern
ment, i. e.d ist'ricts and regions... The infrastructure is concerned
•
mainly with condjtions which do not require hospital care; their
relationship is directly with home and family; they give continuing
medical and nursing care for adults and children at home or in a centre.
There is care in childbirth by professional midwives, and where these
are not available by village women with in-service training. The
confidence and respect engendered by high-level clinical care provides
t e background to an active programme of health education".
Th t the poorer and more extensive the country, the greater the need
for a more effective organisation of the periphery is also brought out
by the recent r.port on the practice of rural medicine in China. Each
commune has around 1OyOOO members and its own co-operative medical set
up, partly p-id for by the community itself.
The co-operation of the community is best secured by insisting on
each family making a contribution to the Mini-PHC CO
per cent of the
annual income). The idea that all mcdic-l services should bo'free1
is
wrong and should go. The Mini-1HC will thus ensure comprehensive, -<-n
continuous, and. co-operation community care.
N.B.
What is given in Pago no.£. is only a model. It need not be
adhered to strictly in respect of Financial commitment.
However, the structure of the staff should not change.
Dr. S;A. Kabir,
MONTHLY RESORT FORM
No:of
cases
treated
Cases
Referred
Iron &
Folic
Cases
delivered
Children
Regrd.
under
Immun i s at i on
, DPT___
I
II
III
T.B
IUD
tablets
B.C.G.
Nutrition
supplements
30 30
100
Leprosy
Malari
slides
taken
Vitamin A
No: of
Nutrition
&Health
Education
No:of
ANC
Regd.
_____
I
B&D detected
& reg
T.T.
II
School
children
examined,
III
In India, says Edwin on the subject of social audit and
Non-Governmental Organisations, we are still not comfortable
with individual or independent initiatives
NGOs in the public eye
OME election time, it is open
season on NGOs. Calumny, after
calumny is heaped on the social
worker. In India we are still not com
fortable with individual or independent
initiative. We can and do condone the
worst excesses of other sections of so
ciety — for instance the shenanigans
of the politicians — but when it comes
to independent initiatives that are self
less and highly motivated for the
upliftment of the weaker sections of so
ciety, there is no end to the harassment
that these dedicated souls have to en
dure.
If they are foreign funded, then
heaven help them. If the aim is to be
agents of change — as opposed to
agents of delivery — though it is in re
sponse to the call of the government it
self, one is lucky not to be branded a
naxalite.
To top it all, one has to hear constant
sermons from different sections of so
ciety as to what and what not NGOs
should do.
NGOs often fill in vacuums in the sec
tors that the state has been unable to
fill. Let us take the case of housing. It
is a sad fact that the Indian state has
C
not been able to fulfill, with any degree
of success, the housing problem in the
nation.
Rural areas are almost totally outside
the ambit of the interventions that
exist Into this picture comes the NGO,
with a few committed people, who agree
to do the work if the government can
allot the money.
Poor fools, little do they know what
awaits them. Instead of being happy
that these people are helping to fill the
slack, the state puts innumerable
hurdles on their way.
The social worker or group first
identifies, usually through a survey, the
people who qualify for the assistance,
as per the government norms. This re
source input is seldom reimbursed —
though the government pays its employ
ees, and builds up a vast infrastructure,
for just this purpose.
The money — a measly sum one
should add — is seldom released on
time. So, with the houses half done, and
monsoons around the comer, the group
is left in the lurch. If they do not finish
the houses, the construction will be
damaged and the hopes of the people,
which have been raised, will be dashed.
It is at this time that the public ‘ser
vants’ turn extortionist.
Cuts of up to 10 per cent are not
unknown. In fact, the prevailing opin
ion in the NGO sector is that it is a
miracle if one gets to even this stage
without paying bribes.
Naturally, one does not admit this
formally. The irony of the situation!
One has to bribe the government even
for helping it to do its own programs.
Now the juicy part: The units of
schemes completed (in this case houses)
are counted as part of the government’s
target fulfillment!
Talking of targets, the target that the
government sets for social forestry is
90 per cent survival of the trees planted,
whereas in the government planted
areas it is in the range of 30 to 35 per
cent at best.
What does the voluntary worker get
out of this for completing the govern
ment program? A highly insecure job.
A salary that is hardly a fifth of the
public servant. No benefits — like pen
sion, gratuity, house rent allowance,
travel allowance... at all.
In fact none of the perks that the pub
lic ‘servants’ enjoy as a matter of right
— though they do the job of the govern
ment in much more inhospitable ter
rain.- The places where they do work
are often so inhospitable that the public
servants, even with hardship allow
ances, consider these places as punish
ment postings and refuse to join up for
duty there.
If it stopped at this point, it would be
alright. But it doesn't. Building houses
for the weaker sections invariably sets
of social tension in the area. For this,
the social worker is termed a rabble
rouser and therefore faces constant har
assment — most often from the public
servants.
This could be due to the crab mental
ity that we have, and the strict hier
archy that is inculcated in us in all
spheres — social or cultural, domestic
or administrative — that we feel
threatened and turn very violent on
seeing the betterment of anyone above
their allocated position in the hier
archy.
That is only the explanation, but no
excuse. The state says that it is on the
side of the weaker sections. But those
at the grassroots know that in order to
balance its pro-poor verbiage, the state
is pro-rich in practice.
In the nineties, since international
aid has been tied to it, the state has re
luctantly accorded recognition to the
NGOs.
The people also have accorded them
a rather reluctant space in the environ
ment, more due to familiarity, rather
than any change of heart.
This despite the fact that NGOs are
there in times of need and are the only
institutions engaged in systematic de
velopment work through the year. The
psyche is difficult to change.
The Indian, though willing to accept
dole and assistance from an other en
tity, is still loath to accord legitimacy
to any initiative other than the paternal
state.
So we routinely hear of politicians
and academics telling NGOs what they
should do.
This is despite the fact that NGOs are
always with the people, and the aca
demics and the politicians are, in
varying degrees, divorced from them.
The politician faces a test only once
in five years — at the time of elections
— an academic never.
Once an academic gets a job, it is for
life in most institutions. If academic in
stitutions had to raise their funds from
the people, or submit their accounts for
audit to them, how many would be
funded? If a researcher wants to do re
search on a village in Kolar district,
how many of them would the people of
the area fund?
And for what topics? One does hear
of academic institutions having inter
nal meetings to discuss the syllabus.
But that is within the academic
world. Would they submit for an audit
from their students, let alone the gen
eral public?
The NGO, on the other hand, is under
audit every day. Every move is evaluat
ed.
And not by other NGOs alone, but by
people and entities that interact with it
— government departments ranging
from the police, the central govern
ment’s intelligence bureau, the minis
try of home affairs, the income tax de
partment to the registrar of societies;
all the donors both national and inter
national; other NGOs and, most impor
tant, by the people whom they interact
with.
All NGOs have a program by which
they raise the awareness of the people,
and they teach the people to question.
This the people do — starting with
the NGO.
Any NGO worth its name has a strict
internal and external audit process.
This is in two parts, the financial and
the program.
The financial audit is done by exter
nal auditors, at the request of the NGO.
cieties.
If it receives foreign funds, then it has
to be registered with the Ministry of
Home Affairs.
In that case, it has to send an audited
statement of accounts to them also.
It also has to send detailed accounts
to all its donors — government depart
ments, Indian Institutional donors and
foreign donors, if any. Accounts cannot
be sent piecemeal. All acocunts have to
be sent to all donors.
Some NGOs have also gone to the ex
tent of showing and getting the villagers
their accounts.
Can any academic institution, politi
cal party or politician claim to do the
above?
All interventions, since they bring
added resources to the weaker sections
in society, do bring about social change.
Interventions as innocuous as nutrition
and health, drinking water and hous-.
ing, can and do lead to at least a dilu
tion of the caste system.
This means that even these innocu
ous interventions are potentially ex
plosive, and do create Taw and order’
problems.
Please note 'dilution' and not ’eradi
cation' of the caste system.
Even in bringing about social change,
the NGO cannot be as radical as the
theorists would like.
. Voluntary workers are outsiders to
the village, though many voluntary
workers would not like to admit that,
and have gone to great extents to ident
ify themselves closely with the people.
So they are a minority. Social change
pits them against the powerful. The
powerful interests of the village, as
every school child knows, also control
the state machinery.
The poor and the marginalised dread
the powerful.
So in bringing about change, the
voluntary worker has to tread the thin
line between what is possible and what
is ideal.
It is not an easy task to push society
in a direction its powerful do not want
to go. The voluntary worker has to
gauge how much change society is
ready for and then work towards it.
This is an ongoing process in which the
space for change is constantly widened
and filled.
So the voluntary worker really does
not need armchair analysts to point out
what the people want and what the peo
ple are ready for.
If the worker cannot gauge that, it is
not only the job but often even the life,
sometimes of the other villagers, that
is on the line.
Voluntary workers have an instinct
ive and experiential analysis of reality.
For them, to quote Dewey, one of the
greatest modem philosophers, the truth
In addition, the NGO also has to sub is that which works. True, they cannot
mit its accounts to the Commissioner articulate it in the paradigm that is re
of Income tax and the Registrar of So quired by the academics.
Unlike academics, voluntary workers
do not stay awake nights wondering if
what works in practice will work in the
ory. Look at it this way: who would you
like to be your swimming coach: the
person who has never seen water, but
can go on for hours about the ’scientific'
methods of swimming — the vectors,
the energy curves and the wave theory,
or a person who is not able to describe
in a academic manner how to swim, but
is a good swimmer and can teach you
how to swim? The wealth of experience
of voluntary workers is awesome.
Many academics have got their
doctorates just writing down their con
versations with the voluntary workers.
The best part I have saved for the end:
the program audit. The NGOs have a
regular process of audit, ‘evaluation’ in
NGO parlance, that lets different classes
of people evaluate its work. There is an
internal evaluation every year. This is
done by the entire staff, with the help
of an external facilitator. Once in three
years, five at the outside, and indepen
dent external evaluator is called to do
a program audit and give a third opin
ion. This is not an academic exercise.
Future funding support depends on this
to a considerable degree.
This audit is by someone who is
within the voluntary sector or someone
who has considerable knowledge of it.
This can be broadly equated with the
syllabus review of the academics.
The audit process does not stop here.
The reports of the programs are also
sent to all the donors. It is sent to the
internal security arms of the state. The
Ministry of Home Affairs gets a copy if
foreign funds are Involved. And the peo
ple themselves sit in evaluation of the
project. Sometimes it is informal: if the
program is not done well in a year, then
the NGO is not allowed to work in the
villages the next time around. If people
hear of an NGO doing good work in a
nearby village, then they call the NGO
to start operations in their villages.
But recently, there has been a shift
to formal program evaluation by the
villagers themselves. When will the gov
ernment dare to do this? If the fate of
the public ’servant’ was to be decided
in audits like these, how many would
retain their jobs?
The voluntary sector, like the rest of
society, does have its saints, its crooks
and black sheep. Ombudsmen to over
see it from other sections of society are
welcome — and NGOs do welcome pub
lic participation from the public in
their activities and have disinterested
people from all walks of Ifie on their
boards to oversee their activities.
The accounts of any society — and
most NGOs are registered under the So
cieties Act — are in the public domain
and can be had for scrutiny by any in
terested person.
The voluntary sector does need con
structive criticism, and a lot of guid
ance. But not from armchair analysts.
Let the coaches enter the water first.
^129 1993
i
By SanjitRoy
I
~tT"T’S big business and there is good
■.'.I moneyandsecurity tobefoundinit.
H No, I am not discussing computer
-^-programming or fashion designing
oradvertising.Iamreferringto the prof
its to be raked in by talking about
poverty, reporting on ecological hazards
and suggesting models for sustainable
living.
Nearly seven years ago when I was
still in the Planning Commission it was
suggested in the Seventh Plan document
that voluntary agencies should get
together and decide on a common code
of conduct.
In the interest of financial discipline
and public accountability with govern
ment and foreign funds coming into the
voluntary sector it was necessary, nay
desirable, to start cleaning up the sector
from within.
Since Independence with typical
Gandhian patience we have seen a mock
ery inadeoutofthe laudableideas behind
the words self-control and self-disci
pline.
The moral courage of eminent Gandhians collapsed before the infamous
Kudal Commission and these very peo
ple who set such a poor example for die
youth to follow coopted themselves to
join subsequent governments and spoke
against any code being discussed. leave
alone adopted.
For, it would open a stinki g can f
worms—it would expose mtny big vol
untary groups that survived entirely on
theirpast reputation and foil; w-d uneth
approved.
Professional project
proposal writers have
mushroomed at the
district level: retired
middle-level govern
ment
functionaries
who have never had a
constructive thought
in their lives have reg
istered
voluntary
agencies writing pro
for
small
ical practices in their own organisation posals
while championing the cause of tribals groups.
Groups and individ
and the weak.
That wasn’t all, international funding uals whoknow the way
organisations pumping crores into these of worming them
white elephants stood to lose in the eyes selves upwards into
of their own public back home if ques favour with funding
tions were asked about how crooks and agencies have as a
scoundrels were being supported in such result built empires for
themselves. With bud
large numbers in India.
Leading lavish lifestyles, they gets running into sev
claimed to speak for the rural poor, and eral crores, employing
were involved safely in what is called thousands of people
’advocacy' work. Fighting ostensibly and
claiming
to
for minimum wages through written ’’cover” hundreds of
campaigns and hectic lobbying, they villages across several
collected salaries against which the districts, they have
emoluments of the President of India never stopped and
would pale.
asked themselves—
The threat from within to the volun When does a voluntary
tary sector is more real and dangerous agency cease to be vol
than ever before. On the face of it there is untary ?
nothing to be panicky about the rot that
It’s a tragic situa
has set in deep and no one is prepared to tion. Funding agencies
admit the near moral bankruptcy that this cannot stop wasting
sector has been reduced to. This sector’s money on projects
‘leaders’ have much to answer for—bitt they know are. totally
the truth is that they arejust not bothered. useless because after
They see has-been crooked politicians the great publicity they have given the
who have lost elections start voluntary project how will they, answer for the
agencies with their uncles and aunts— Withdrawal of support back home ?
the latest is manipulating mahila
In turn, these individuals with mega
sangamsin the South—Irrlfug in for lomaniac tendencies cannot stop
eign funds using pressure, connections expanding because of their own insecu
and blatant intimidation.
rity and die desperate desire for recogni
tion of any kind. When they should be
creating a second and third line of lead
ership from within, the, older and more
senile they get the more indispensable.
Is this what volunteerism has been
the laws of this coun
reduced to ? To be identified, labelled
try.
It does not make and slotted with intellectually and finan
matters any better cially dishonest hypocrites ?
Today volunteerism needs to be
when these very peo
ple' (who do not pay equated with courage and not with the
minimum wages in gutless people who give press confer
their own organisa ences, and li veoffthe experiences ofothtions) then use the ers. Volunteerism is about promoting
Supreme Court and self-respect anddignity and equality and
public interest litiga- there are any number of living examples
tion.to popularise their in villages where partnerships between
own image as leaders groups and thecommunity have worked.
That’s happened because they have
of the masses.
But they are safe followed unwritten code among thembecause governments, . selves—live simply, take a living not a
both Central and State, market wage: set an example for others
love them. They have to follow; respect and observe laws; treat
already, willingly and people as equals and like human beings;
openly been coopted practice and adopt non-violent means.
However, the code will only work if
into the system. Which
means they are quite ther e is a sense of security and confi
prepared to stop ask dence in the spirt of volunteerism.
It’s a sad commentary on volun
ing awkward ques
tions, turn a blind eye teerism in this country that if we were to
to the exploitation, apply this code strictly and honestly, 90
injustice and harass per cent of the groups would fail to make
ment they hearabout in the grade.
What’s even sadder is that foreign
their project area from
funding agencies who have been respon
the rural poor.
■ They are prepared sible for creating several megalomani
to stop using their acs in this country would rather not have
intelligence,
allow such a code enforced. The failures these
corrupt practices to funding agencies have been responsible
pass unnoticed or go for are never publicised (what sort of
unreported so that they code is that ?), so funds keep coming in
remain in the good to support the same crooks, albeit under
books.of petty district a different name.
Petty, small, not-willing to share,
officials. They pamper
, the officialdom by always wanting attention and wanting to
The mental and social distances asking them to speak in village func be in the limelight—with such people
between the upper echelons and the tions, print invitation cards, send gifts around any code would destroy the
‘other’ staff is so wide it’s usually a one- and thus keep the police away from their image they have of themselves.
Of course one common flaw in all of
person show. That is entirely because doorsteps.
Our hopes lie with the small village- them is that they singularly lack a sense
critical information is not freely shared
and distributed and discussed openly in . based groups struggling and battling it of humour. They do not have the ability
to
laugh at themselves and see the comic
the organisation itself. The salary struc out and keeping the spirit of volungures that they arc.
ture and perks are unjust (sometimes in
(The author. better l-tttr.-. a as
the ratio of 1:10); the staff are treated
unfairly, the bigger .aid seemingly more
., estar
invincible-the organisation the more
casually and disp—wint'ly they observe
CROSSCURRENTS
Calling the Third Sector
Non-governmental organisations have a vital role to play in motivating people to manage
their own resources better
P V NARASIMHA RAO
I
enabling and empowering the people to fully receive
what is intended for them. The NGOs have a crucial part
AM happy that a large number of to play in this task.
leading non-governmental organisa
tions (NGOs) are meeting for a consul
tation with key development min
istries. I had addressed a gathering of
NGOs in December, 1991, where I had
offered to withdraw the government
from certain areas altogether, provided
the NGOs take over the responsibility
’of implementing all development programmes in those
places.
Our goal of uplifting the poor can be achieved only if
the government and the NGOs work together, despite the
differences in our work and style. I don’t see any difficul
ty provided we understand how to harmonise our respec
tive roles. What is clear to me is that the early eradica
tion of poverty is not possible unless all the resources
available to us — human, material and
organisational — are mobilised and effi
ciently directed to areas and programmes
which need them most.
We have to remember that the people
must occupy the centrestage. They
should be the focus of all that we aim to
do. Therefore, when I talk of a participa
tory approach to development, what I
have in mind is an approach where the
people would be'helped to help them
selves. If a particular area is taken up by a
NGO, a time should come when the peo
ple are fully mobilised and empowered to 4
deal with their own problems. In other i
words, the NGO should withdraw after |
the task is done.
2.
As far as the government is con
cerned, the concept of withdrawal is equally important.
The formulation of policies, initiating programmes and
schemes consistent with such policies and the provision
We now have the Constitution (73rd Amendment)
Act, 1992, under which we would have self-governing
panchayats elected by the people. As many as 29 areas of
development, including agriculture, watershed develop
ment, small-scale industries, rural housing, drinking
water, primary health care, fuel and fodder, public distri
bution system and education would be in the hands of
the panchayats. This is a revolutionary step that we have
taken. Here, the NGOs have a crucial role to play as
external catalysts.
Don’t ask me what the NGOs have to do when the
panchayats come. Motivating the people, working among
them, not getting into a clash with anyone — that is the
crux of the whole thing. The sarpanch, who has some
power at the village level, should be able to appreciate
the work of the NGO. Otherwise, he will say, “This is
another parallel sarpanch coming and
interfering with my work." I am warning
all the NGOs that this is going to happen
more often in the villages. Please be clear
as to where the panchayat's power ends
and the persuasive power of the NGOs
begins so that the panchayat does not
misunderstand the NGOs as meddlers.
Already, the panchayati raj institutions
are likely to clash with the legislature.
Seen in the local perspective, the
sarpanch is more powerful in his own
field than the Prime Minister of India.
The challenge before the NGOs,
therefore, is clear. The question is how to
take full advantage of the environment
that the government has created through
formulation of policies and schemes that
are helpful to.the poor, particularly the rural poor. They
also have to take advantage of the decentralised institu
tions created at 'grassroot levels and work in harmony
of ndoqunfo rosourcos for the progrnniinos — all this is
with thnni to empower the poor.
the legitimate duty of the government. However, the flex
ibility required to take initiatives is sometimes lacking.
This quite often defeats the very purpose of the pro
grammes designed for the people.
I am aware that we have a few thousand voluntary
organisations in our country. At the same time, I am also
aware that the spread of these is indeed limited. While
commending the work being done by all these organisa
tions, I would like to take this opportunity to invite more
and more people of goodwill to come forward to work in
the rural areas.
Tomorrow, the nyaya panchayats are coming. Let me
tell you that the panchayat is a very powerful body
because it is a combination of the legislature and the
executive and also the judiciary in the nyaya
panchayats. Now, how are the NGOs going to interact
with this very, very powerful body? ■
Agents of delivery
We ar-; changing all this but we need the assistance of
the NGOs in some areas. NGOs, being the agents of deliv
ery, need not make things better for the people. What is
important is to prepare the people, which is what the
NGOs can do most effectively. It is this preparation
which is going to be the most important aspect of the
NGOs’ programme. They are also better equipped to give
the government feedback. So, a meaningful dialogue
between the NGOs and the government is necessary
before the state launches any programme. The central
issue in all development is social mobilisation —
This is abridged from the Prime Minister's speech to the
Conference on Collaborative Relationship between
Voluntary Organisations and the Government, held in
the Capital in March this year.
45
DOWN TO EARTH APRIL 30,1994
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Tamil Nadu Voluntary Health Association,
23, Siruvallur, Madras 600 611.
GlaetrsSssrir ^irasrrsvf^i
Saulina Arnold
Printed at SIGA. Madras -10
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WAYS TO INCREASE
CLEAN AIR IN THE HOUSE
REDUCE Indoor air pollutants
1,
Increase air circulation - have more window
and ventilators and keep them open.
2.
Cultivate plants in pots inside the rooms
3.
STOP smoking in the house. Smoke affects
the health of every one including mother
and children
4.
Install an exhaust fan or hood oven your gas
range
5.
If the flame on your gas stove is not blue,
call the repair man
6.
Do not burn charcoal inside the house
7.
Do not store kerosene inside the house
8.
Keep medicines in safe place
9.
Do not accumulate dirty materials
them
10.
Do not keep over night waste food openly in
plates and vessels
dispose
HEALTH IS IN OUR HANDS LEARN & ACT
Tamil Nadu
Voluntary Health Association
23, Siruvallur Road, Perambur,
Madras-11
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Voluntary Health Association of India
40 Institutional Area
> South of IIT< New Delhi 110 016
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pAZ Fax No - 011-676377
\ / Telegram: Volhealth - New Delhi 16
Thanks To UNICEF
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Acknowledgement: UNICEF, WHO, DPH & PM
Printed & Published by: TNVHA,
31, Mandabam Road,
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Madras-600 010.
Madras-600 010
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