Lerning experience through the Community Health Programme

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Community Health Learning Programme

March 2010 to November 2010

REPORT

Mr. Mallikarjun
Intern,Community Health Cell

Mentor
Mr.E.Premdas
Coordinator, Community Health Cell
Bangalore

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My learning experiences through the Community Health
Learning Programme
1.

Acknowledgement

It is with immense pleasure I place on record the

experiences of my

learning journey’ as part of my Fellowship at the CHC.

I acknowledge

with a deep sense of gratitude, the support, encouragement, guidance,

motivation that I received from Dr. Smt. M. Bhagyalakshmi, Sri Premdas

and of

course my beloved wife M. Alamelu.

I am

thankful to the

Selection Committee, and the team of facilitators and tutors. Right from

my first day of my entry into the training programme, I had the best of

the support and cooperation from a number of people. I am deeply
grateful from the bottom of my heart all the

friends

Maria Stella,

Pushpa, Mahadeva Swamy, Victor, Ruth Vivek, James, Sarvamangala,
Deepak and Aditya. A special thanks and gratitude to Prahlad and Joyce

Premela.

Friends like Lavanya Devdas, Lakshmi, Rohini and Anand were kind

enough to help me out in getting translated the instructions

and I

profusely thank them. Friends from Jana Arogya Andolana Karnataka
(JAAK) - Sri Karibasappa, Obalesh, Smt. Swarna Bhat, Ashok Hirekar,

Geetha and Father Blaize - were with me all through my field trips and
their timely guidance was very helpful.

I thank my fellow batchmates who were always a source of inspiration. I
owe a lot to Sri. E. Premdas, who continuously kept guiding and
encouraging all through out. Whenever I made mistakes or was on the
3

wrong side, he kept smiling, but never stopped guiding me. I thank every
one who associated with me and made my fellowship a memorable

journey.

2.

Background:

I was earlier working in an organization called Myrada.

Myrada is an

organization that is connected with issues, problems, requirements and

the needs of sex workers. I had organized a number of campaigns and

agitations to improve the working and living conditions of sex workers.
While I was a student, I was an active member of ABVP for a period of 3

I served as the President of Bharatiya Dalit Panthers at the

years.

Taluka level and kept myself very active in placing the demands of the

dalits before the government.

During the course of my work I also

addressed the issues of health and hygiene. But I could not go beyond

these.

I had opportunities to work for women and youth resource centre

called Sakhi and during this time, I became active part in the

developmental programmes. Meanwhile, I got in touch with JAA-K
(Janaarogya Andolana - Karnataka) and started taking active part in it

too..
I gradually understood that the scenario of the public health sector

was found unsatisfactory, filled with corruption, mismanagement and
consequently people were denied of the services they deserved.

There

were lectures, conferences, seminars on all these aspects and it drew my

attention.

On the 23rd December 2009, I had the opportunity of taking

part in the Janata Adalat (Public Hearing) at Davanagere.

It was here

that I had the first hand experience of how public health affair was found

neglected. There was the shortage of personnel, increase in corruption;
the primary health centres and sub-centres were unhygienic, ill-equipped

and the common people were

unattended to. The establishment was

4

negligent.
people.

Many of the officers were deaf towards the demands of the

On the other hand, there was a happy note and I found some

volunteers and officers were very much active, enthusiastic and they
were honest but were silent. This was interesting. With this background,

I made an extensive survey about health centres, their admission details,
I also started

and refusal of taking up cases and things like that.

questioning about the apathy and indifference towards this the state of

affairs by people in general.
Many of the problems about health, medicines and things about
NRHM gave me an insight to probe into it. I started raising questions on

my own.

It was at this juncture Dr. M. Bhagyalakshmi made the

mention about CHC.
Programme was.

I never knew what Community Health Fellowship

And this was my first interview and

I attended the

interview with a confused state of mind and was scared.
I still remember the words of Father Claude D’Souza:

“Mr.

Mallikarjuna, the whole training porgramme would be in English.

Can

you manage?”.

I said, “Let me try”.

I gave up all hopes and remained

silent. I had no hopes of being selected, but I was selected.
After I was selected to this programme, my friends were asking me:
- what are you doing? How are you.. I did not know what

was.

Fellowship

I would just answer - I am working in Community Health Cell.

There is going to be study about service conditions in government

hospitals, to make a report about how the doctors and nurses were

working around. This was all my answer to my friends.
I came to attend the orientation programme about CHC. This was
for a period of 40 days. Normally, I evince lot of interest in such training

programmes. But alas, the very first day I had to lose my interest. I
became dull; because English communication was a big problem.

5

I

lacked knowledge about English, not even the working knowledge of it.

The same thing on the second day. I decided to go back and quit the
course. Thanks to Prem sir, he allowed me and let me know the books

that were available in Kannada and asked me to keep going. I made up
my mind and determined to learn. Ever since, English did not become an
issue at all in my learning.

3.

Aims and objectives of the Fellowship Programme:

a)

Understanding the public health system:
I had a mistaken understaning about health earlier limited to the

medicalised understanding.

Now I have a fair knowledge about health

and determinants of health, beyond doctors, hospitals etc. The first thing
that I understood about health was that health is impossible without

pure air, pure water, balanced nutritious food and healthy environment.
The doctor comes into picture only when a person is unwell or sick.

Doctor is only a part of health set up and not the whole of it.

The

treatment which is apparently free is actually not free but it is managed
from the taxes we pay; we have our own contribution and the

government manages because of it. Hence it is our system and it is our
duty to make it function well.

Method of learning:
• Visits to health centres - observations

b)

•

Interviews and discussions

•

Participation in JAA-K activities in districts

•

Study of books and references

Role and responsibilities of ASHA

The role of ASHA was found significant according to NRHM 2005
programme.

This aims at prevention, infant deaths and death of neo6

natal nursing mothers.

ASHA operates from the grassroots level and

serves all mothers expectant and infant babies, she serves and nurses -

plays the role of the mother and thus plays an important role.

Method of learning:
•

Reading

guidelines

NRHM

on

and

framework

of

implementation

• Visit of ASHA - interviews and discussions
•

c)

Study of 5 learning hand books (modules) about ASHA

Study about service, facilities available to HIV affected people in

the public health programmes.
Earlier, the HIV patients never identified themselves as

HIV infected.

But now thing about HIV is changed. HIV patients now come forward to
make use of the services available to the society prescribed by the
government. However they are still deprived of the services available and

I wanted to understand the same.

Methodology of learning:
•

Interviews with HIV infected persons and discussion;

• Visit to government

centres and NGOs and collection of

information (data);

d)

Taking part in the JAA-K activities and understanding about

health rights.
I am now able to get a total picture about elementary health programme
- thanks to JAA-K.

This gave me a good amount of knowledge,

information and data. Registering cases against denial of health services

to people, services to be available at PHC and other health cetnres, bring

the grievances before the officers concerned, - arranging of Public Health

7

Dialogues, etc. There are the things I have benefited by my participation

and association.

Methodology of learning:
• Arranging programmes

- Public Health Dialogues

and

participation

• Taking part in field trips and workshops;

4.

•

Cases about denial and health services - visits and interviews

•

Study of books related to health rights.

Opportunities that were made available

to me for my personal

growth:
Lectures, trainings, discussions, debates, and other things during
Orientation programme made me also a good

trainer and helped me

organize trainings. Field trips enabled me to get a feeling and importance
of community participation,

inter-relationship between government

offices and various associations and agencies.

• This Training helped me take an active part in the ‘health
movement’ and enabled me to grow up as an activist.

•

I had the opportunity organizing two workshops - Chikkodi and

Khanapur of Belgaum district. I had the opportunity to participate

as facilitator of sessions which

•

gave me lot of self-confidence.

I visited Potnal (Raichur district). I got in touch with technique of
using herbal plants which locally grow to cure some basic ailments
like cold and cough.

•

I have now acquired the art of getting information through ‘Right to

Information’.

8

•

I have acquired skills or soft-skills of talking with the officials and
convincing them.

•

I am now a better experienced counselor and have developed my

skills of getting along with the community.
•

I am now in a position to understand and analyze situations
regarding health in the villages

•
•

I now have a better understanding on NRHM guidelines.
CHLP has prepared me as a fine trainer and helped me develop the
art and skills of planning and organizing good training sessions.

•

I have now built myself a library of books during the course of
CHLP, which is beneficial to children and youth around my place.

When I introspect myself and go back to the days of my stay at CHC,

feel quite excited.

I

The values I have acquired are good and are very

valuable - punctuality, being regular and being on time, talking or

expressing in a slow tempo, being cheerful always in what I say in public,

spirit of inquiry, trying to be innovative and making an in depth study
about issues and involve all/others in the processes etc.
I am now a better person - refined, and reoriented. I am now more

than satisfied.

This programme has inspired me for a renewed

commitment to the people, and looking back I feel that this fellowship
programme has been a great milestone in my life.

Every time I leave an organization after having served there, my

next question was What next? Where to go? How to learn?’

This

Programme now has increased my level of confidence, knowledge and
understanding.

When I record these experiences and values I have

acquired, without my knowledge tears rolled down my eyes and I sobbed.

9

Oh, what an amount of experience I gained skills and information I
acquired! I have grown due to the human touch I felt and experiences I
had. Thanks to Dr. M. Bhagyalakshmi, E. Premdas and CHC team and

CHLP.

Thanks to everyone who associated with CHC and made me a

new person - prepared to meet any challenge in my life.

With regards,

Yours,

Mallikarjuna. K

10

fcSFi) 200^-3

SI. No
1.
2.
3.

Abbreviations
RTI
ABVP
M YRADA

4. PRA
5. NRHM
6. NGO
7. CHC
8.
9. IPHS
10. KAP
11. IMS
12. NJMO
13. JAAK
14. PDS
15. ART
16. T.B
17. NREGA
18. MSW
19. BSW
20. CRP
21. KCLP
22. VHSC
23. EDD
24. HRP
25. ANM
26. VHW

Meaning
Right to Information
Akhila Bharatha Vidyarthi Parishath
My-Source resettlement and development
Agency
Participatory Rural Appraisal
National Rural Health Mission
Non-Governmental Organisation
Community Health Cell

xssdF'KDu Hdtocrt sfadrf
Indian Public Health Standard
Knowledge, Attitude, Practice
Jagrutha Mahila Sanghatane
Nava Jeevana Mahila Okkuta
Janaarogya Andolana-Karnataka
Public Distribution System
Anti-Retro Therapy
Tuberculosis
National Rural Employment Guarantee
Agency
Master of Social Work
Bachelor of Social Work
Community Resource Person
Karnataka Child Labour Programme
Village Health and Sanitation Committee
Expected Date of Delivery
High Risk Pregnant Woman
Auxiliary Nurse Midwife
Village Health Worker

11

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49

Media: Mallikarjun CHLP 2010-8-FR57.pdf

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