Health for the Millions, Vol. 6, No. 1, Feb. 1980
Item
- Title
- Health for the Millions, Vol. 6, No. 1, Feb. 1980
- extracted text
-
August 31, 1981
On or after such date as the
State Government may, by noti
fication in the official Gazette,
appoint in this behalf, no person
other than a registered pharma
cist shall compound, prepare,
mix, or dispense any medicine
on the prescription of a medical
■Practitioner.
HEALTH FOR THE MILLIONS
Vol VI
No. 1
February 1980
CONTENTS
Whither Voluntary
Health Sector
1
Growth ? Yes, But
with Justice
4
Where is Your Pharmacist?
6
Think Before You Sack Them
13
Our Hospital Promotes
Breast Feeding
15
News from the States
16
Opportunities
5
Forthcoming
14
State VHA Calendar
16
Editor : Dr. J. S. Tong
Executive Editor: Augustine Veiiath
Production : P. P. Khanna
Assistance : Cynthia Browne
Circulation : L. K. Murthy
Owned and published by the
Voluntary Health Association of
India, C-14, Community Centre,
Safdarjang Development Area,
New Delhi-110 016, and printed
at Recorder Press, D-27 NDSE
Part-1, New Delhi - 1 1 0 0 4 9,
Editorial
The past few years have been rich in legislation promoting
social justice in health care. As early as December 10, 1948,
the United Nations General Assembly adopted and proclaimed
the Universal Declaration of Human Rights. Article three states:
“Everyone has the right to a standard of living adequate for the
health and weil-being of himself and his family, including food,
clothing, housing and medical care, and necessary social
services, and the right to security in the event of unemployment,
sickness, disability, widowhood, old age or other lack of liveli
hood in circumstances beyond his control”.
This right was confirmed and accepted by the international
health conference convened in Alma Ata, Russia, in September
1978. As a manner of responding to this right in a practical
way, it was agreed by all present at the conference, — and India
was represented, that at least primary health services should
be provided for all citizens not later than the year 2000.
Further confirmation of this right of ail citizens to at least
basic health services, occurs in the International Covenant on
Economic, Social and Cultural Rights, which came into force in
the UNO on January 3, 1976. This document was accepted
and signed by India on April 10, 1979. Article 12 states:
1. Governments who sign this Covenant recognize the right
of every citizen to the enjoyment of the highest attainable stan
dard of physical and mental health.
2. The following numbers list the means to accomplish this
goal.
As food and clean drinking water are more important than
tablets and tonics, we also call attention to the United Nations
’Universal Declaration on the Eradication of Hunger and Malnu
trition’. This was endorsed by the United Nations General
Assembly on December 17th, 1974.
The energy of the new legislation is towards a wider distri
bution of health as a basic human right to be acknowledged,
promoted and maintained everywhere.
Growing out of this conviction that health is a basic human
right, came our Indian Government legislation in 1977, provid
ing for the training of village health workers, more officially
called community health volunteers. Despite the controversy
over methods, this concept of people’s participation is highly
valid.
Progressively people are learning to provide simpler levels of
health service for themselves. Progressively also the main
tenance of health is being recognized as a more effective goal of
health services than the traditional more limited goal of simply
curing illness. The enthusiasm of the people helps to make the
legislation effective.
WHITHER VOLUNTARY
HEALTH SECTOR ?
As we studied the existing (b) the multipurpose workers
'health services, both Govern
scheme in which there is
one male and one female
mental and voluntary, in a
multipurpose worker for a
certain district, many questions
population of 5,000.
relevant to the /future role of the
voluntary sector in health care
It was decided to implement
arose in our minds.
this programme in three phases.
The promotion of health care
services in the rural areas has
In Phase I, 733 PHCs were
always been one of the issues chosen. This covered all the
taken up by political parties. It Primary Health Centres of the
was included in the election 28 districts which had already
manifesto of the Janata Party. implemented the multipurpose
It envisaged an attempt “to workers scheme and one PHC
bring simple medical aid within
the reach of every citizen by
organising a cadre of medical
and
paramedical
community
health volunteers among whom
the trained practioners of indi
genous medicine will be a part’’
In keeping with its pledge to
provide better health facilities
to the rural population, the Gov
ernment launched
its rural
health schemes on October 2nd,
1977. All States and Union
Territories except Jammu and
Kashmir, Kerala, Tamil Nadu,
Arunachal Pradesh and Laksha
dweep accepted
this
prog
ramme.
This programme
consisted of:
essentially
(a) the training of community
■health volunteers (CHV); a
person chosen from the
community to serve a popu
lation of 1,000, after under
going a training period of
three months;
Dr. SATYMALA MB, BS is a member
of VHAI's Health Services Development
Team. This article was written after a
study she conducted with her colleague
Ms. Simone Leigeois.
HEALTH FOR THE MILLIONS/FEBRU ARY 1980
from each of the remaining dis
tricts from the States.
Phase II started on Octo
ber 2, 1978. 1,056 PHCs were
chosen. The third phase started
on the same day in 1979 and
was expected to cove 1,230
PHCs. According to the plan by
1981-82, the whole country will
be covered by some level of
health worker professional or
para professional.
So the plans are there, the
money has been allotted and
the results are awaited. But
after so many years of waiting
for the Government to provide
an acceptable rural health ser
vice, people remain skeptical
about the result of these plans.
We can safely assume that the
health needs of the majority ot
the people are still not being
met.
Apart -from this, the 106 medi
cal colleges continue to churn
out more than 10,000 doctors
every year. For long there has
been a certain amount of un
employment among the doctors.
The number of unemployed doc
tors is on the increase now that
the U.S. has closed its doors to
immigration and the U.K. de
grees are no longer recognized
in India for new graduates.
Even specialists are settling
down >n the semi-urba.n and
rural areas as private practition
ers. Small towns with a popula
tion of 5,000 sometimes have
more than 20 private practition
ers. This state of affairs will
escalate in the years to come.
In the meantime the voluntary
sector has been contributing in
a small way, to setting up a
parallel system of health care.
Many of the voluntary hospitals
and community health projects
have been assisted by foreign
funds, especially for new build
ings and equipment.
was high, while it was low in
the voluntary institutions, though
often their staff is better quali
fied and motivated than in Gov
ernment institutions. This prob
lem was discussed with persons
in charge of the different volun
tary health institutions. All of
them mentioned two reasons to
explain this.
for the survival of their institu
tion in this competitive situa
tion.
In places where the new
scheme of the Government is
being implemented there are for
a population of 5,000, two multi
purpose health workers and five
community health volunteers to
meet the basic health needs.
1. The financial difficulties of There are besides three doctors
their institutions and the working full time in each PHC.
inability of most of the peo
ple to pay for the care given
We are quite aware that even
to them, and the inability of if the new scheme is fully im
their Church to meet the plemented it is unlikely that all
deficit of their institutions.
the health needs of the popula
tion will be met. There are seve
2. The increase of private ral reasons for this, two of them
practitioners and nursing being the poor motivation of
homes generally patronised the workers and the lack of
by the rich patients, thus interest of the people in the
drawing a potential finance health programmes. But sup
away from the voluntary posing that the Government
health institutions.
staff and the financial means
should become available, it is
All the persons met in the relevant to ask if there would
voluntary institutions mentioned still be a place left in the com
the difficulties met by them and munity for the voluntary health
the struggle they have to endure sector and a justification for it.
Better Staffed Better Motivated and under Utilized.” The picture shows
Trained Staff Screening the Patients for Referral In a Voluntary Hospital.
In proportion to population,
the Government funding is so
meagre that additional funds
from abroad do not make the
total even sufficient, surely not
excessive. Still, some impro
priety occurs due to the princi
ple of fee for service on which
the voluntary hospitals and
health centres subsist.
During our study we noticed
that all the Government hospi
tals we visited, were over
crowded (1J to 2 patients
per bed), while all the voluntary
hospitals in the same area were
under utilised (40 to 60% bed
occupancy). The daily average
of the outpatients treated in
Government hospitals and PHCs
2
HEALTH FOR THE MILDONS/FEBRUARY 1980
Already now, most of (the com of our people towards health,
munity health programmes at and then provide the services
tached to 'the various voluntary for them. We, as health pro
health institutions are function fessionals, have a certain skill,
ing in territories assigned to and we create needs in the
Government programmes for the people, and then satisfy those
same villages. Further, the Gov needs. Whether we cal] it ‘real’
ernment has confused the con need is immaterial. Our proce
cept of the community health dure in this regard is somewhat
worker as we understand it—a similar to a merchant who
service to the community ori creates need for his wares
ginating from the community through
advertisements,
and
and not as a salaried job. At then sells his goods and servi
least in one district that we ces.
know, the first activity of the
The cost of training doctors,
CHV’s was fo form a union to
demand better wages! The bare running medical colleges, hos
foot workers in other countries pitals and research centres is
succeeded because there was borne by society. Apart from the
a people’s organisation. With fact that it is the social obliga
out this essential prerequisite tion of trained professionals to
the programme is bound to fail work for the people, isn’t it the
and probably has failed in many right of the people to demand
that we work for them? One
places.
hears doctors working in rural
It appears to us that if the health projects repeatedly say
voluntary sector still, wants to ing that they have sacrificed so
help in improving the health of much to work in the villages.
the people, they will have to Where 'does this word sacrifice
reconsider their role. At this come in when we only return
stage, we can still see one way. to the people what we have re
Volunteer groups can help in ceived from them?
the community heajth service.
Everyone talks about the ulti
It is to propose to the Govern mate solution of health problems
ment that a voluntary group
would staff and manage health
programmes in a definite area. Government Hospital
Beds
and implement all the health
A
250
programmes, including family
planning as required by the
Government.
B
28
Another way to help the peo
ple would be at a later stage.
once the proposed plan is fully
C
implemented. We could make
the people aware of the existing
services meant to help them.
Also together with the people,
D
the voluntary sector could exer
cise reasonable pressure on the
Government health staff, so that
E
the people could receive what
would be their right, i.e., good
basic health care and the possi Voluntary Hospitals
bility of further treatment, if
A
needed, by qualified staff in well
B
equipped Government institu
tions.
C
D
One result of our voluntary
community health projects has
E
been to increase the awareness
HEALTH FOR THE MILLIONS/FEBRUARY 1980
lying in the solution of socio
economic-political problems. The
criticism that the policy makers
are responsible for the ill organ
ised health care system con tn
nues. So long as the powerful
elite class continues to make
the policies, we can presume
that policies are not going to
change appreciably out of a
surplus of the milk of human
kindness! It is a valid question
to ask whether the time has
come for us in the voluntary sec
tor to spend jess time, money,
energy and personnel planning
community health projects of
three to five years duration, as
we have been doing, and look
for long term solutions which
lie in the education of our peo
ple.
Reflective
education
will
create a heightened awareness
of their rights and responsibili
ties out of which a conscious
action would emerge towards
both demanding and providing
for themselves a moderately
good health service based on
a just return of society to them
for their contributions of labour
and tax money.
In Patient
Out Patient
304 on visit
a day
64
1,200
per day
290/300
patients
daily
72
50% more than
before
4
50% more than
before
200/300
patients
daily
200/300
patients
daily
150 per day
Beds
In Patients
Out Patients
86
83
35
20
220
60%
60.1%
40%
40/50
25/30
60/80
100
100
68%
3
T ADEOYE LAMBO
Growth ? Yes,
But with Justice
“ By ‘faith in man' we mean here the more or less active and
fervent conviction that mankind as an organic and organized
whole possesses a future : consisting not merely of succesive
years but of higher states to be achieved by struggle..,,”
(Pierre Teilhard de Chardin: “The Future of Man”)
This article will focus on the
dialectic of man’s future in spite
of the socio-economic and poli
tical constraints that surround
him and alienate him, impede
his self-reliance, undermine his
rights in determining his future.
Every man, in every society—
simple or complex—has his own
horizon, beyond which 'his pre
tensions do not extend. They
reach the edge, but they do not
cross it. That which a man is
in himself, that which accom
panies him into solitude, and
which none can give him or take
from him, is necessarily more
essential than all that he may
possess or all that may appear in
the eyes of others. The supreme
and all-important elements of
happiness and fullness of life
are
subjective
possessions,
such as noble character, a
capable mind, an easy disposi
tion, and a well-organized and
healthy body; and it is these
“gifts”, many non-western cul
tures rightly insist, that should
be cultivated and preserved,
even at the expense of wealth
and emoluments.
so earnestly desired by non
western societies. Indeed, it
may fairly be said that the latter
hold in utter contempt the en
tire machinery of modern tech
nology, and look upon the
whole thing as a toy for im
beciles.
Nothing more clearly illus
trates the 'need to reform the
present imbalanced and lop
sided socio-economic order, as
well as to promote total human
well-being, than the recurrent
crisis that have overtaken the
world during the last decade.
It is now over 35 years since
the United Nations Charter was
signed and inaugurated in an
international effort to establish
a new international order. This
constituted one of the most
striking and hopeful features of
the UN. Among many obscure
pronouncements on 'humanita
rian ideals and the kinship of
men were some concrete instru
ments aimed at achieving grea
ter human ends, or meeting
human aspirations; they sought
to guarantee security and needs
in a new human context, and to
The claims of contemporary formulate a policy by the great
western societies to possess "civilized” governments to ex
high-powered technology and tirpate social and economic
wealth, and the excessive reli slavery from the world. These
ance they place on these mate aims were thought to be right.
rial possessions in an effort to What is right, however, need
keep in the swim, are not very not necessarily be realized. To
conducive to the quality of life day, that international order has
4
The pious hope held for more than 35
years that rapid economic growth bene
fiting the few will “trickle down" to the
mass of the people has proved to be
illusory.
reached a critical turning point;
its hopes of creating a better
life for the whole human family,
and of transforming society,
have turned out to be illusory.
It has proved impossible to meet
the minimum health and social
needs. On the contrary, more
are today hungry, sick, shelter
less and illiterate than when the
UN was first set up to erase all
these inequalities and the dearth
of opportunities.
HEALTH FOR THE MILLIONS/FEBRUARY 1980
At the same time, new and
unforeseen concerns in the
field of human rights have begun
to darke-n the international pro
spects. Environmental degrada
tion, the lack of a clear-cut
strategy to improve ‘human con
ditions, the questionable moral
conduct of big powers and the
rising pressure on resources—
all these raise the question whe
ther man’s social integrity may
not be at risk.
And to these preoccupations
must be added the realization
that the next three decades
•may bring a doubling of world
population. Another world on
top of this one, equal in num
bers, demands and hopes.
gress and imbues us with an
intense feeling of shame, doubt
and guilt. In a world where the
gigantic scientific and pheno
menal technological achieve
ments command our admiration
and almost fetish acceptance,
we are witnessing an intolerable
degradation of man. Our pride
in belonging to a generation
that for the first time since the
genesis of man has set foot on
another planet cannot, 'however,
disguise the awful ’truth that
it may be easier to travel to the
moon than to erase from the
surface of the earth the image
of inevitable poverty, human
exploitation, injustice and the
degradation of human welfare.
Our first concern is to re
define the whole purpose of
development. This should not be
to develop things but to deve
lop man. Human beings must
have basic needs: food, shelter,
clothing, health, education. Any
process of growth that does not
lead to human fulfilment—or
even worse, that inhibits it—is
a travesty of the idea of deve
lopment. We are still in a stage
where the most important con
cern of development is the level
of satisfaction of differential
needs for the poorest sections
in each society, which can
amount to as much as 40 per
cent of the population. The
primary purpose of socio-eco
Much of the world has not nomic growth and development
yet emerged from the historical should be to ensure improved
consequences of almost five conditions for these groups. A
centuries of colonial control development process that bene
which concentrated economic fits only the wealthiest minority
power so overwhelmingly in the and maintains or even increases
hands of a small group of na the disparities between and
tions. To this day, at least three- within countries is not develop
quarters of the world’s income, ment. It is exploitation. And
investment, services and almost the time for starting the type of
all of the world’s research are true development that leads to
in the hands of one-quarter of better distribution, and to the
its people. The developing na satisfaction of minimum but
tions are still struggling with effective needs for all, is TODAY.
•the problem of how to bring We believe that the pious hope,
about socio-economic equity held for more than 35 years,
and a palpable improvement of that rapid economic growth
their lot.
benefiting the few will ‘‘trickle
down” to the mass of the peo
What is happening around us ple has proved to be illusory.
shakes our complacency, chal One is justified, therefore, in
lenges our faith in 'human pro rejecting the idea of “growth
These critical pressures need
give no reason to despair of the
human enterprise, provided we
undertake the necessary chan
ges. The first point to be under
lined is that the failure of world
society to provide “a safe and
happy life” for all is not caused
•by any present lack of physical
resources. The problem today
is not primarily one of absolute
physical shortage, but of eco
nomic and social maldistribu
tion and misuse; mankind’s pre
dicament is rooted primarily in
economic, social and political
structure, and in behaviour
within and between countries.
HEALTH FOR THE MIL'LIONS/FEBRU
first, justice in the
of benefits later”.
For those who have at heart
the advancement of man, espe
cially as it relates to health, the
first and strongest feeling must
be gratitude to the spirit of the
Alma-Ata Conference. Primary
Health Care, judiciously followed
by “Health for All by the Year
2000” is, to me, the outward
sign by which the future histo
rian will trace the onset of the
health revolution. These are
great historic moves to meet
the need for a new, integrated
and compelling vision of human
destiny.
—WORLD HEALTH—
OPPERTUIMITIES
We require three doctors with
specialisation in Medicine, Sur
gery and OB and Gyne, for our
hospital. Preference will be
given to those with Post Gradu
ate
qualification.
However,
MBBS with three years experi
ence in any one of above spe
cialisations may also apply.
Write to the
Administrator
Nazareth Hospital
Mokameh P.O.
Patna Dist.
Bihar-803302.
WANTED
IMMIDIATELY
An experienced Registered
Christian Male Nurse with spe
cial qualification in community
health to remain in-charge of a
Rural Health Clinic at Laxmipur
at pay scale: Rs. 240-10-320-EB15-425 + D.A. 25% +Rs. 50 spe
cial allowance. Free accom
modation available. Village vi
sit at least three days per week
with appropriate T.A. and D.A.
compulsory. Apply to the Direc
tor, Christian Rural Health Pro
gramme, Doliambo, P.O. Semiliguda, Dist. Koraput, Orissa,
stating Age, qualification, expe
rience, marital status and testi
monials from the employer and
any respectable person of the
society.
COMMUNITY HEALTH CELL
326, V Main, I Block
Koramangala
Sangalore-560Q34
India
distribution
WHERE IS YOUR PHARMACIST?
by Our Legal Correspondent
It is important for all our plus a 3-month practical course India, Part 111, Sec. 4, dated
institutions, but especially for (Part II) in a hospital, dispen 14/10/78):
our smaller ones, to be aware sary or. pharmaceutical. factory
Academic
that pharmacy legislation is approved by the Pharmacy
being more rigorously applied. Council of India. The above
“6. Special provision relat
courses may begin only after
ing to certain pharmacists:
We have many health centres high school.
Irrespective of the date of the
in which a nurse prescribes
Education Regulations hav
The above course is com
medicines. The justification for
ing come into force in any
this is often that there is no pletely described in a small
State, but not later than 31st
one else available, especially in book of 50 pages called: “Edu
August, 1981, the pharma
villages. Still, even as early as cation Regulations, 1972, for the
cists practising for not loss
1948, the Pharmacy Act, Sec Diploma Course in Pharmacy”
than two years in hospitals,
This book is published by the
tion 42, still valid, states:
dispensaries—and
possess
Pharmacy Council of India,
ing matriculation—and
are
“Dispensing by unregister Combined Councils Building,
ed persons. (1) On or after Temple Lane, Ko'tla Road, New
desirous
of
taking
up
the course of training for
such date as the State Gov Delhi-110002, information about
ernment may, by notification the course may also be had by
Diploma in Pharmacy (Part
in the official Gazette, ap writing to the VHAI office.
I), shall be permitted to
point in this behalf, no per
appear at the preliminary and
We are attaching herewith a
son other than a registered
the final examination for Dip
pharmacist shall compound, complete list of approved insti
loma in Pharmacy (Part I)
prepare, mix, or dispense any tutions giving
this
two-year
at intervals of six months
medicine on the prescription Diploma Course. A few institu
only, if they have to the satis
of a medical practitioner.”
tions are also appended which
faction of the 'head of the
are giving the course, but have
institution attended in subs
tance, the regular course in
Of course, this does not not yet received approval.
an approved linstitution i-mr
apply to a doctor prescribing
We are also attaching a list
parting full time tuitions by
for his own patients.
of the State Pharmacy Councils
day or evening classes.”
The Pharmacy Amendment from which you may get the
local information you need.
Act, 1976, states:
Practical
“Where no date has been
appointed by the State Gov
ernment under Section 42, it
shall be automatically effec
tive on the expiry of five years
from the date of the Pharmacy
amendment Act.”
Opportunity
For those who are not
Pharmacists but have
experience in Dispensing
Medicines
“17. Irrespective of the
date of the Education Regu
lations having
come into
force in any State, but not
later than 31st August, 1981,
the experience gained by the
pharmacists practising for not
less than two years in hos
pitals, ’dispensaries, shall -be
treated as being equivalent to
the practical training done
under these Regulations.”
There are numerous rural
health centres where medicine
is provided by a nurse or per
son with some other related
qualification. To make it pos
sible for these persons to pass
the pharmacy diploma course
Privileges now Mostly
For a pharmacist to become in a simplified manner, the Phar
Run Out
registered it is necessary that macy Council of India, with ap
he completes a two-year -aca proval of the Central Govern
When the Pharmacy Act was
demic course (Part I) in an ment, makes the following pro passed, the States opened their
a p prove d teach i n g in s tit uti on, visions (Source: Gazette of first Pharmacy Register.
To
The
termination
date
is
August 31, 1981. After this, ac
cording to the Act, a registered
pharmacist will be necessary
for dispensing medicine.
6
HEALTH FOR THE MILLIONS/FEBRUARY 1980
make it easier for 'matriculate
pharmacy practitioners,
who
'had as much as five years of
experience, but no formal train
ing to become registered, there
was temporary provision for
them to register equally with
those who ’had a diploma. By
now, that original register allow
ing this special leniency has
been closed in most States. In
their contemporary register in
its final form they no longer
accept names of persons who
•have not passed at least the
pharmacy diploma examination.
be allowed to dispense medi
cines, other than household
remedies.
Our recommendation is that
health planners, hospital ad
ministrators and the responsible
superiors begin immediately to
send more personnel to take
The States one by one have at least the diploma course in
been closing that original regis pharmacy.
ter. For that reason probably
Of course, according to the
even the few States mentioned
above will not for very long in gentle spirit of India, one may
the future continue to hold that reasonably expect some leni
original privilege register open. ency in application of the law
in the first couple of years after
The conclusion is that gra 1981. Still, this reminder to the
There are a few States, how dually, and more urgently in wise hopefully will stimulate
ever, where that original privi some States than in others, many to be prepared for the
lege still exists. According to nurses and mid-wives will not strict application of the law.
the latest information those
States are: Himachal Pradesh,
Meghalaya, Arunachal Pradesh,
Manipur, Mizoram and Madhya
Pradesh. Apparently in Rajas
than the diploma is required
but not enforced.
List of Addresses of the State Pharmacy Councils and
Registration Tribunals
1.
.’The Registrar,
A.P. Pharmacy Council,
C/o Dte of Medical
Services, A.P.,
Hyderabad-500001.
2.
|The Registrar,
Assam Pharmacy Council,
Dispur P.O., Gauhati-791006.
3.
The Registrar
Bihar Pharmacy Council,
Rajendra Nagar,
Patna-800001, Bihar.
4.
’The Registrar,
Gujarat State Pharmacy
Council,
15, Srima.li Society,
Navrangpura,
Ahmedabad-380009.
5.
The Registrar,
Haryana Pharmacy Council,
29, Sector 18, Urban Estate,
Panchkula-134109.
6.
7.
The Registrar,
Pharmacists Regn. Tribunal.
H.P. State Hospital,
Snowdon, Simla-171001.
The Registrar,
Karnataka Pharmacy
Council,
C/o Office of Drugs
Controller for the State of
Karnataka,
Palace Road, P.B. No. 5377.
Bangalore-560001.
The Registrar,
Kerala State Pharmacy
Council,
C/o Drugs Controller,
Kerala,
rr-rivan dr um-695001.
9. The Registrar,
Registration Tribunal
(Pharmacy),
Q. No. 1250, T.T. Nagar
Hamidia Hospital,
Bhopal-462001.
15.
The Registrar,
Rajasthan Pharmacy
Council,
Building of P.HT. Institute,
Jaipur-302004.
16.
17.
Sikkim—status not known.
The Registrar,
Tamil Nadu Pharmacy
Council,
No. 79-81, Mount Road,
Madras-600006.
10.
The Registrar,
Maharashtra State
Pharmacy Council,
‘Soorya Mahal’, Medows
Street, Burjorji Barucha
Marg,
Bombay-400001.
18.
The Registrar,
Uttar Pradesh Pharmacy
Council,
195-98, Jag at Narain Road,
Grown Gate,
Lucknow-226003.
19.
11.
Meghalaya—under conside
ration.
12.
The Registrar,
Pharmacists Regn. Tribunal,
C/o Dte. of Health Services,
Nagaland, Kohima-797001.
The Registrar,
West Bengal Pharmacy
Council,
8, Lyons Range,
Calcutta-700001.
8.
13.
The Registrar,
Orissa Pharmacy Council,
C/o Dte. of Health Services,
Bhubaneswar-751001.
14.
The Registrar,
Punjab Pharmacy Council,
Kothi No. 88, Phase III, B-1
S.A.S. Nagar (Mohali) near
Chandigarh.
HEALTH FOR THE MILLIONS/FEBRU - RY 1980
Union Territories
20.
The Registrar,
Registration Tribunal
Arunachal Pradesh,
C/o Dte. of Health Services.
Shillong-793005.
21.
The Registrar,
Chandigarh Pharmacy
Council,
General Hospital, Sector-16.
Chandigarh-160016.
7
23. The Registrar,
22. The Registrar,
Delhi Pharmacy Council,
Pharmacists Regn. Tribunal,
Room No. 198,
Andaman & Nicobar Island,
Main Building,
C/o West Bengal Pharmacy
Old Secretariate,
Council,
Delhi-110054.
8, Lyons Range,
24. Mizoram—P.R.T. .not yet
formed.
Calcutta-700001.
25.
The Registrar,
Pondicherry Pharmacy
Council,
C/o Food & Drugs
Administration,
Post Bag No. 50,
Pondicherry-605001.
DIPLOMA INSTITUTIONS
(List of institutions providing Diploma in Pharmacy)
NOTE: The list shows the names of the institutions, number, of
dmissions and the authorities con
ducting the courses, nd the examinations. Information taken from records available in
the office.
S. No.
Name of the Institute
No. of
seats
Authority conducting the
course
Authority conducting the
examination
A. INSTITUTIONS CERTAINLY APPROVED
Andhra Pradesh
23 Board of Tech. Ed. &
St. Board of Tech. Edu.;
1. * Govt. Polytechnic for
Training, A.P.
A.P., Hyderabad.
Women, Guntur
Hyderabad
2.
Kamla Nehru Polytechnic 50 Exhibition
-doSociety,
for Women, Exhibition
Grounds, Hyderabad
Hyderabad
3.
Government Polytechnic,
30 Board of Tech. Edu. & Trg.,
-doHyderabad
Hyderabad
4.
Government Polytechnic
30
-do-dofor Women, Kakinada
20
-do-do5.
Government Polytechnic,
Visakhapatnam
6.
S.V. Govt. Polytechnic,
30
-do-doTirupathi
20 T/T. Devasthanam,
-do7. * Sri Padmavati Women’s
Tirupathi
Polytechnic, Tirupathi
Assam
8.
Institute of Pharmacy,
Assam Medical College,
Dibrugarh
80 Director of Health Services,
Assam
Bihar
9. * R.L.S. Yadav Maha100 R.L.S. Yadav Mahavidyal aya,
vidyalaya,
Bakhtiarpur
Bakhtiarpur
9A. * Anisabad, Patna-800002
10.
School of Pharmacy,
100 Govt, of Bihar
Gulzarbagh, Agam Kuan,
Health Deptt.,
Patna
Patna
Dibrugarh University,
Dibrugarh.
Examination Committee,
C/o Director, Health Services,
Patna.
-do-
Gujarat
11.
L.M. College of Pharmacy 100 Ahmedabad Education
Navrangpura,
Society, Lai Bhavan,
Ahmedabad-9.
Ahmedabad-6
Gujarat University Ahm^dahad
y’ MnmeaaDaa
HEALTF FOR THE MILLIONS/FEBRUARY 1980
1
2
4
3
5
12.
Sri Mohan Lal Narain
Das College of
Pharmacy, Bethak Road.
P.B. No. 20, Cambay
80 Khembat Taluka,
Sarvaiaaik Kalavan. Mandal,
Ahmedabad
13.
Government Polytechnic.
Rajkot.
30 Govt, of Gujarat Health &
F.W. Deptt.,
Sachivalaya, Ahmedabad.
Saurashtra University, Rajkot.
60 Dte. of Industrial Training,
Haryana, Chandigarh.
Dte. of Tech. Education
Chandigarh
Haryana
14.
Tech. Institute for
Women, Ambala City.
15.
* Janta College of Phar
macy, Butana, Sonepat.
60 Janta Vidhya Bhawan,
Butana.
-do‘
-do-
70 ■Maharishi Dayanand
University, Rohtak.
M. Dayanand University,
Rohtak.
17. @ Govt. College of
Pharmacy, Lal Bagh,
Bangalore.
75 Drugs Control Deptt.,
Govt, of Karnataka,
Bangalore
Board of Exam. Authority, Office
of Drugs Controller, Palace
Road, Bangalore-1.
18.
School of Pharmacy,
Rajaji Nagart Bangalore.
65 Karnataka Liberal Education
Society, Belgaum.
-do-
19.
K.L.E. Society’s School
of Pharmacy,
J.N Medical College,
Belgaum.
90
-do-
-do-
20.
Municipal College of
Pharmacy, Chickba.llapur.
30 Municipal Committee,
Chickba.llapur.
21.
B.E.A.’s School of
Pharmacy, Davengere.
35 Bapuji Education Society,
Davengere.
Board of Examing Authority, C/o
Drugs Controller, Govt, of
Karnataka, Bangalore.
-do-
22.
H.K.E. Society’s College
of Pharmacy, (M.R.
Medical College),
Gulburga.
50 Hyderabad Karnataka Edu.
Society, Gulbarga.
-do-
23.
J.S.S. College of Phar
macy, Ramanuja Road,
Mysore.
60 J.S.S. Mahavidyapeetha,
Ramanuja Road, Mysore.
-do-
24.
College of Pharmacy,
Kasturba Medical
College, Manipal.
31 Academy of General
Education, Manipal.
-do-
25.
V. L. College of
Pharmacy, Raichur
60 Academy of Medical
Education, Raichur
Board of Examining, C/o Drugs
Controller, Govt, of Karnataka,
Bangalore.
26.
National Education
Society’s Institute of
Pharmacy, Shimoga
60 National Education
Society, Shimoga
-do-
16.
Medical College,
Rohtak.
Karnataka
HEALTH FOR THE MILLIONS/FEBR ARY 1980
9
1
2
Kerala
27. @ T.D. Medical College,
Alleppey-5
28. @ Calicut Medical College,
Calicut
29.
College of Pharmacy,
Lisie Hospital,
Ernakulam
30. @ Kottayam Medical
College, Kottayam
31. @ Medical College,
Trivandrum
Madhya Pradesh
32.
S.V. Govt. Polytechnic,
Bhopal
3
5
4
Director, College of Pharm.
Sciences, Medical College,
Trivandrum.
-do-
25 Health Department,
Govt, of Kerala,
Trivandrum
40
-do25 Lisie Hospital,
Ernakulam
-do-
30 Health Deptt.,
Govt, of Kerala,
Trivandrum
50
-do-
-do-
-do-
30 Govt, of M.P.
Education Dept.,
Bhopal
Board of 'Tech. Edu.,
M.P., Bhopal.
60 Board of Tehc. Edu.,
Bombay
80 Maulana Azad Edu.
Society, Bombay
60 S.N.D.T. Women’s
University,
Bombay
Board of 'Tech. Exams.,
Bombay.
-do-
Maharashtra
33.
34.
35.
36.
37.
38.
39.
40.
Govt. Polytechnic,
Amravati
Kamla Nehru College of
Pharmacy, Aurangabad
Premilla Vithaldas Polytechnic, S.N.D.T.
Women’s University,
Juhu Campus, Bombay
Govt. Polytechnic,
Jalgaon
College of Pharmacy,
Karad
Arts, Science, Commerce
and Pharmacy College
Panchvati, Nasik
Armed Forces Medical
College, Pune
Principal, K.M. Kundani’s
College of Pharmacy,
Ulhasnagar, Dist Thana
Crissa
41.
S.C.B. Medical College,
Cuttack
Punjab
42.
Govt. Medical College,
Patiala
43.
Govt. Polytechnic for
Women, JuJIundur City
10
S.N.D.-T. Women's University,
Bombay.
60 Board of Tech. Edu.,
Bombay
60
-do-
Board of 'Tech. Exams.,
Bombay.
-do-
60 Adivasi Sewa Samiti,
Panchvati, Nasik
P-oona Uniersity, Poona.
40 DG: AFMS: Min. of
Defence, DHQ,
New Delhi
30 The Hyderabad (Sind)
National Collegiate Board,
Bombay
Board of Examiners, appointed
by the DG: AFMS: Min. of
Defence, New Delhi.
-do-
66 Govt, of Orissa
Health Local Deptt.,
Bhubaneshwar
Exam. Committee appointed by
the Health & F.W. Deptt., Govt.
of Orissa, Bhubaneshwar.
70
Punjabi University, Patiala.
30 Dte of Industrial
Training, Pb.,
Chandigarh
Board of Tech. Education, PB,
Chandigarh.
HEALTH FOR THE MILLIONS/FEBRUARY 1980
1
2
Rajasthan
44.
Deptt. of Pharm.
Sciences, S.M.S.
Medical College
Public Health Training
Institute, Jaipur.
3
5
4
40 Medical & Public
Health Deptt.,
Rajasthan, Jaipur
Rajasthan University,
Jaipur.
Board of Examiners,
Madurai Medical College,
Madurai.
-do-
Tamil Nadu
45.
Madurai Medical College,
Madurai
125 Govt, of Tamil Nadu,
Health & F.W., Madras
46.
Christian Medical
College, Vellore
20 Christian Medical
College Assn.,
Vellore
Tripura
47.
Health Training Institute,
Agartala
Uttar Pradesh
48. @ G.S.V.M, Medical
College, Kanpur
49.
Govt. Polytechnic,
Dwarahat
50.
Govt. Polytechnic,
Uttar kashi
51. @ L.L.R. Medical College,
Meerut
40 State Govt.
Director of Health
Services, Tripura
Board of Examiners
appointed by the Govt, of
Tripura.
60 Swasthya Avam
Pariwar Niyojan
Sachivalaya,
Lucknow
30 Dte. of Tech. Edu.,
Kanpur
30
-do-
State Medical Faculty, U.P.,
Lucknow.
60 Swasthya Avam
Pariwar Niyojan
Sachivalaya,
Lucknow
State Medical Faculty, U.P.,
Lucknow.
60 Dte. of Health Services.
W.B., Calcutta
60
-do-
State Medical Faculty of W.B.,
Calcutta.
-do-
30 Board of Tech. Edu.,
U.T., CHD
60 Dte. of Employment
Trg. & Tech. Edu.,
Delhi Admn.,
New Delhi
30 Hamdard College of
Pharmacy Society,
Madangir, New Delhi
Board of Tech. Edu., Ph., CHD.
30i Govt, of Goa, Daman
& Diu, Public Health
Deptt. Secretariat,
Panaji
Govt, of Goa, Daman & Diu
Public Health Deptt.
Panaji.
Board of Tech. Edu. UP,
Lucknow.
-do-
West Bengal
52.
53.
Institute of Pharmacy,
Jalpaiguri
Institute of Pharmacy,
Kalyani, Nadia
Union Territories
54.
Govt. Polytechnic for
Women, Chandigarh
55.
College of Pharmacy,
Pusa Campus,
New Delhi
56.
57.
Hamdard College of
Pharmacy,
P.O. Madangir,
New Delhi-110062
Goa College of
Pharmacy,
Panaji, GOA
HEALTH FOR THE MILLIONS/FEBRLARY 1980
Board of Tech. Edu., Delhi
Admn., Delhi.
-do-
community HEALTH CELL
326, V Main, I Block
Koramangala
Sangalore-560034
India
j
11
5
B. THE FOLLOWING INSTITUTIONS ARE NOT RECOMMENDED FOR APPROVAL
Poona College of Phar
macy, Poona—
Maharashtra.
2. @ Medical College,
Amritsar (Approved upto
30-6-77).
3.
S.N. Medical College,
Agra, U.P.
1.
4.
M.L.N. Medical College,
Allahabad—U.P.
60 Bharthi Vidyapeeth,
Arandvane, Poona.
Board of Tech. Exam.; M.S
Poona.
80 Govt, of Punjab, R.M.E.
Deptt., Chandigarh.
Guru Nanak University,
Amritsar.
60 Swasthya Avam, Pariwar
Niyojan, Sachivalaya,
U.P., Lucknow.
125
-do-
State Medical Faculty, U.P
Lucknow.
-do-
c. The Following institutions were Started after March , 1978, but not inspected
and approved as detailed information was awaited
School of Pharmacy,
Ranchi, Bihar.
2.
Dr. Ram Manohar Lohia
Memorial Pharmacy
College, Ranchi, Bihar.
Birla Edu. Cultural Develop
ment Society, Ranchi.
3.
Hindu College of Phar
macy, Sonepat, Haryana.
132 Management of Hindu Edu
cational Society, Sonepat.
Awaited
4.
Sh. Tegginmath Educa Awaited
tion Society, Harnaphalli,
Karnataka.
Awaited.
Awaited
5.
N.M. Patil Society,
356/6, Chokshi Building,
Ranada Road, Dadar,
Bombay-28.
Modern Medical Training
Institute, Dr. Ambedkar
Marg, Nagpur.
Awaited
N.M. Patil Society,
256/6, Chokshi Building,
Ranada Road, Dadar,
Bombay-28.
Awaited
Awaited
Awaited.
Awaited
7.
Nabira Mahavidyalaya,
Katol Post-Graduate
(Commerce) College,
Nagpur.
Awajted
Management of
Nabira,
Mahavidyalaya,
Katol.
Awaited
8.
S.V. Bhavasar Education
Society, Akot, Dist.
Akola, M.S.
N.D.M.V.P. Samaj’s Col
lege of Pharmacy,
Gangapur Road,
Nas:k-422022, M.S.
50 S.V. Bhavsar Education
Society, Akot.
Awaited
6.
9.
10.
1
60 Dte. of Health Services,
Govt, of Bihar, Patna.
1.
Institute of Pharmaceuti
cal Science, Care Hinjelicut Science College,
Berhampur, Orissa.
60 Nasik Dist., Maratha Vidya
Prasarak Samaj, Nasik.
48 Management Board of Ins
titute of Pharm. Sciences,
Berhampur.
Pharmacy Exams. Committee
constituted by Govt, of Bihar.
-do-
Poona University, Poona.
Awaited
Foot Notes: 1. Institutions marked @ require intermediate science as minimum for admission.
2. *Approval status not certain. •
12
HEALTH FOR THE MILLIONS/FEBRUARY 1980
-a
G. R BAZLIEL
THINK BEFORE
Y©0 SACK THEM
Administrators the world over, blem such as this is confronted.
at some stage or. the other, face
1. Length of service
the dilema of whether to termi
2. Performance and accom
nate the services of a trouble
plishments
some employee or not. It is
3. Skills involved versus la
very seldom that all relating fac
bour market
tors make it an easy decision.
4.
Absenteeism/tardiness
Unforeseen,
drastic,
circum
stances may call for an em
5. Attitude and personality
ployee to be suspended—but
6. Legal risks
even in this event, every ad
7. Level within the organiza
ministrator has to sit down—
tion
after having “cooled it’’—and
begin to weigh the pros and
cons of the situation before
arriving at a final decision.
with marks 1 to 4—either for or
against the particular situation,
that is in the positive or nega
tive sense respectively. Marks
1 to 4 are further classified as
follows:
1. Mark 1—Minor, but some
thing to think about.
2. Mark 2—Moderately
impor
tant—could
effect
decision if all other
items balance out.
Personal, grudges and a list
ening ear lent to those who
delight in gossiping are only a
couple out of many factors
which often sway the admini
strator from making the correct
choice. Many a time a snap
decision is made in the heat of
the moment—this is wrong. On
the other hand, at times a fear
complex grips the mind of the
administrator leaving him or her
incapable of making the right
decision
This fear is simple
because of the uncertainty in
facing consequences that might
follow after terminating the ser
vices of an employee. These
may be “political’’ consequen
ces—external or internal—as
well as repercussions or re
actions from other employees
or even organizational supe
riors.
To sum up, a number of fac
3. Mark 3—Very
important—
8. Supervisory capabilities
tors need to be given serious
will
have
significant
9.
Investments
(money,
time
consideration—and
the
pros
impact
of
final
and training)
and cons weighed very care
decision.
fully before arriving at a final 10. Personal consequences
decision whether to “sack" or 11. Effect on other employees
4. Mark 4—Serious enough to
“not to sack” an employee. 12. “Political” consequences.
Listed before are 12 vital fac
be a “knocked out”
Each of the categories men
tors that require “weighing in
or redeeming fac
tor by itself
the balance” every time a pro tioned above can be graded
HEALTH
FOR THE MILLIONS/FEBR MW 1980
13
To simplify matters below is a form with all the items listed. Marks against each factor are placed
under the column labeled importance, either in the positive or in the negative square as the case
May be.
DECISION INDICATOR
Factors to Consider:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
REMARKS
(Comments or Pertinent Information)
IMPORTANCE
+
—
Length of Service
Performance and Accomplishments
Skills involved vs labour, markets
Absenteeism/tardiness
Attitudes and Personality
“Legal” risks
Level within Organization
Supervisory capabilities
Investment (money, time, training)
Personal consequences
Effect on other Employees
“Political” Consequences
+
TOTAL
—
‘Assign Marks as follows:
1. Minor, but something to think 2. Moderately Important—cpuj.d 3. Very important—will have sig
affect decision if all other
nificant impact on final deci
about.
sion.
items balance out.
4. Serious enough to be
a
“knock-out”
or
redeeming
factor by itself.
After answering all 12 factors higher aggregate gives an an
and placing marks in the corres swer as to which way you should
ponding column, either in the decide. Higher aggregate in
positive or negative square as the positive column means. “Do
decided—a total of the positive not sack” and higher aggregate
column and another total of the in the negative column means
negative column is made. The “sack your employee.”
Forthcoming
Training Programme at the Phi
ladelphia
Leprosy
Hospital,
Salur:
1.
Six weeks Doctors’ course
in Leprosy (VIII Batch)
16th Oct. to 27th Novem
ber, 1980.
2. Non-medical
supervisor’s
course in Leprosy of 4
months
(VI Batch)
2nd
June 1980 to 30th Septem
ber.
3.
14
Physiotherapy technician’s
course in Leprosy of 9
This form is best used both
in difficult and easy cases of de
cision—thereby causing the ad
ministrator to justly weight up
all factors before finally coming
to a conclusion.
For all the above courses
months (IV Batch) 1st Au
gust 1980 to 30th April, sponsored candidates only will
be taken.
Private candidates
1981.
will not be accepted for any
4. Paramedical worker’s trai course. All the above courses
ning course in Leprosy of are recognized by the Govern
ment of Andhra Pradesh and the
6 months (X Batch) 14th Government of India and recog
February 1980 to 13th Au
nised certificates will be issued.
gust 1980).
The medium of instruction for
all courses is English.
5. Laboratory
technician’s
course in Leprosy of 6 For further information contact—
months (1 year laboratory Dr. Alexander Thomas, Medical
Superintendent,
General course may start
if the Government gives re Philadelphia Leprosy Hospital,
cognition) 1st May 1980 to Salur-532 591,
30th October 1980.
Vijayanagram Dist., A.P.
HEALTH FOR THE
MILLIONS/FEBRUARY 1980
OUR HOSPITAL PROMOTES
BREAST FEEDING
‘ Obstetrical procedures and
practices in our ’hospital
promote and support breast
feeding.
MILK
diitted
‘We initiate breastfeeding as CHEESE
soon as possible after deli
very (normally within the
first half hour).
‘We encourage and permit
mothers to keep their ba
bies with them postpartum
to facilitate on-demand feeding.
WHEY
CORN OIL
‘We discourage supplemen
tary bottlefeeding of water
or
formula for
optimal
breastfeeding.
‘We start complementary feed
ing after 4-6 months only if
the mother is healthy, wellnourished, and fully breast
feeding her infant.
‘We advise only on contra
ceptives which do not inter
fere with lactation.
‘We make facilities available
to mothers of hospitalized
infants so that they can
continue to breastfeed.
‘All our health workers who
provide information to mo
thers on breastfeeding are
committed to the promotion
of breastfeeding.
Campaign for a national code
regulating the marketing of in
fant formula and other products
used as breastmilk substitutes.
Included in this code should be
statements like:
—There should be no sales
promotion (including
pro
motional advertising) of pro
ducts to be used as breast
milk substitutes or bottlefed
supplements and feeding
bottles to the public.
HEALTH
FOR THE
you must bejvkiruf
nilK
SOY OIL
—Promotion of such products
to health personnel should
be restricted to factual and
ethical information.
—Facilities of the health care
system should never be
used for the promotion of
artificial feeding.
—Advertising or promotional
distribution of samples of
breastmilk
substitutes
through 'health service chan
nels should not be allowed.
directly include the promo
tion of formula.
—Foods produced and distri
buted for infants and young
children should be labeled
to indicate proper and safe
home preparation.
—Artificial feeding should not
be openly demonstrated in
health facilities.
—Governments should adopt
the recommended interna
tional standards
covering
foods for infants and young
children that have been de
veloped by the Codex Alimentarius Committee
on
Foods for Special Dietary
Uses.
—In order to avoid the risk of
conflict of interest, no per
sonnel paid by companies
producing or selling breast
milk substitutes should be
allowed to work in the health
care system, even if they
are assigned more general
responsibilities that do not
—Products that are not suit
able alone as weaning foods
should be required by pro
per regulations not to be
packed, labeled, advertised,
or otherwise promoted in
ways that suggest they be
used as a complement or
substitute for breastmilk.
MILLIONS/FEBRU <kRY 1980
15
New from States
WEST BENGAL
tacting WB VHA.
WB VHA invites all member
institutions to participate in the
one year training programme
they propose to set up for the
grass root workers. The pro
gramme is arranged in the Cen
tre of the Child In Need Insti
tute, Village Daulatpur, P.O.
Amgachi via Joka Dist., 24 Parganas. It consists of a conden
sed course of six weeks to take
place in three phases of two
weeks each. Rs. 90 is to be
charged towards food for each
candidate, all other facilities in
cluding residential accommoda
tion being free. Further infor
mation can be obtained by con
ber, 1979 where the faculty consisted of Mr. George Ninan,
VHAI, Southern Coordinator and
KARNATAKA
Mr. K. M. George, KVHA, organ8IBS Health and Rural Deve izing secretary.
lopment
Project,
Bangarapei
The seminar aimed at making
have selected five villages for
intensive health care and other the participants aware of the
rural development work. The need for social justice within
health staff undertake various ac the hospital, unjust personnel
tivities (leading to the promo practices, good personnel man
tion of rural health) including agement systems for hospitals,
health education and training of and hospital legislation.
VHW (village health workers).
The TN VHA General Body
Meeting was held on Febru
TAMIL NADU
ary 8 and 9, 1980. The pro
A seminar was held on ‘Per gramme included discussions
sonnel Management’ at AICUF and talks by eminent health
House from 13th to 16th Decem- consultants.
The State VHA Calendar, Feb.-June, 1980
Venue
Contact Person
Jeevan Jyoti Training Centre,
near Bharat Television,
Begumpet,
Hyderabad-500016
Nellore, A.P.
Mr. Srinivasan, VHAI,
C-14. Community Centre, SDA,
New Delhi-110016
Fr. J. S. Tong, VHAI
Mr. D. Rayanna, AP VHA,
10-3-311/7/2, Vijayanagar
Colony, Hyderabad-500457
Programme
ANDHRA PRADESH
Community Health Outreach
Programme
M.P.
Community Health &
Training VHWs
28 Apr. to May 3
Catholic Centre,
Jhabua, M.P.
ORISSA
General Body meeting
2nd week of March
Catholic Mission Hospital
Kalunga or Christian
Hospital, Bissamcuttack
Medical Records Workshop
Miss Marjorie Hill, MP VHA,
MIBE Graduate School,
P.B. No. 170,
Indore-452001
Mr. Bipen Chandra Maharatha
Maternity Child Welfare
Centre, Giri Market Road,
Berh mpur-760001
-do-
6-11 March
TAMIL NADU
Hospital Management
April, 1980
NORTH-WESTERN REGION
Annual G.B. meeting
21 Feb., 1980
C.M.C., Ludhiana
WEST BENGAL
Seminar on Community
Health & Development
Feb., 1980
Sr. Murial Fernandes, TN VHA
2, Jaganathan Road,
Nungambakkam,
Madras-600034
Mr. V.
. Oomen, C.M.C &
Hospita Ludhiana-141008
4
16
Mr. D. P. Poddar,
Organizing Secretary,
P1/4/1, CIT Scheme, Vll-M,
VIP Road, Kankurgachi,
Calcutta-700054
HEALTr FOR THE MILLIONS/FEBRUARY 1980
/
?
./
' r
The world’s best known health care manual comes to India.
Where There Is No Doctor
is more than a book of first aid. It covers a wide range of things that affect the health of
the villager — from diarrhea to tuberculosis, from helpful and harmful home remedies to
the cautious use of certain modern medicines Special importance is placed on cleanliness.
a healthy diet, and vaccinations. The book also covers in detail both childbirth and family
planning. Not only does it help the reader realize what he can do for him elf. but it helps
hirn recognize which problems need the attention of an experienced health worker.
This book is for...
The villager who lives far from medical centers.
It explains in simple words and drawings what he
can do to prevent, recognize, and treat many com
mon sicknesses.
The Teacher in a rural school. The booK will
help her give practical advice and care to the sick
and injured. It also gives - guidelines for teaching
children and adults in her community about the
problems of health, cleanliness, and nutrition.
Village leaders of all kinds, social workers,
development workers, animators, motivators or any
one who is concerned of the health and wel.'—being
of their community.
I his English edition has a new introductory
section for the village health worker, discussing
wa\s to determine needs, share knowledge, and
involve thv community in activities that can better
people's health.
Mothersand Midwives will find useful the clear, easy-to-understand information for
home birth, care of the mother, and child health.
This book has been revised for India by Voluntary Health Association of India with
the help of several Communits Health Programmes from various parts of the country.
A Revised Indian Edition
HEALTH I’l BLICAHOXS
Voluntary Health Xssociatinn
of India
( 14, Community
Centre
S. D. A. Xc» Delhi-110016
TO ORDER THE BOOK
Fill out the form attached and mail to :
VOLUNTARY HEALTH ASSOCIATION Ol INDIA
C-14, Community Centre
S. D. A. New Delhi - 110 016:
New from States
WEST BENGAL
tacting WB VHA.
WB VHA invites all member
institutions to participate in the
one year training programme
they propose to set up for the
grass root workers. The pro
gramme is arranged in the Cen
tre of the Child In Need Insti
tute, Village Daulatpur, P.O.
Amgachi via Joka Dist., 24 Parganas. It consists of a conden
sed course of six weeks to take
place in three phases of two
weeks each. Rs. 90 is to be
charged towards food for each
candidate, all other facilities in
cluding residential accommoda
tion being free.
Further infor
mation can be obtained by con
ber, 1979 where the faculty con
sisted of Mr. George Ninan,
VHAI, Southern Coordinator, and
KARNATAKA
Mr. K. M. George, KVHA, organ
SIBS Health and Rural Deve izing secretary.
lopment Project,
Bangarapel
The seminar aimed at making
have selected five villages for
intensive health care and other the participants aware of the
rural development work. The need for social justice within
health staff undertake various ac the hospital, unjust personnel
tivities (leading to the promo practices, good personnel man
tion of rural health) including agement systems for hospitals,
health education and training of and hospital legislation.
VHW (village health workers).
TAMIL NADU
A seminar was held on ‘Per
sonnel Management’
at AICUF
House from 13th to 16th Decem
The TN VHA General.
Body
Meeting
was held on
Febru
ary 8 and 9, 1980. The
pro
gramme
included
discussions
and talks by eminent
health
consultants.
The State VHA Calendar, Feb.-June, 1980
Programme
ANDHRA PRADESH
Community Health
Programme
Venue
Outreach
Jeevan Jyoti Training Centre,
near Bharat Television,
Begumpet,
Hyderabad-500016
Nellore, A.P.
M.P.
Community
Health
&
28 Apr. to May 3
Catholic Centre
Jhabua, M.P.
'
°FUSSA
Ceneral
Body
meeting
2nd week
.. of March
Ka’unga
Hospital
r-
HoSp’,tal
Christian
• S'ssamcuttack
6'11
March
APr‘l,
198q
Mr. Srinivasan, VHAI,
C-14, Community Centre, SDA,
New Delhi-110016
Fr. J. S. Tong, VHAI
Mr. D. Rayanna, AP VHA,
10-3-311/7/2, Vijayanagar
Colony, Hyderabad-500457
Miss Marjorie Hill, MP VHA,
MIBE Graduate School,
P.B. No. 170,
Indore-452001
jyiaharatha
Mr- Bipen Chandra
are
Maternity Child
Road,
Centre, Giri
Berh rnpur-7600
-do-
$r- Murial F6C
2, Jaganath^m.
H'JngambaKj^^.
Madras-60003
C M
,k
Contact Person
■■ L,|ahlana
world’s besH^'Vn health
here J here 7vmanA rcowes ^ndia>t <=overs a ,z 6
r.n a
/Vo
'vide
Docto
ot things that affect the lnesi
hh
*
of
ms use of certain modern medicin .s Cinec'i i'• ' and harmful home remedies to
diet, and vaccinations. The book also // . . lrPP°rtance is placed on else.. nhness.
• t
.. * vrs ,n detail both childbirth and iamily
- which problems need the attent; A ’z<_svbat be can do for himself, but it helps
ienuon of an experienced health worker.
This book is for ...
1 he villager who lives far from medical
nters
It explains in simple words and drawings Wnathe
can do to prevent, recognize, and treat manx- com
mon sicknesses.
Th<j Feather in a rural school. The book will
her give practical advice and care to the sick
' -s.1 injured. It also gives- guidelines for teaching
v lulren ami adults in her community about the
^vVblciris, of health, cleanliness, and nutrition
Village leaders of all
kinds,
social
workers
K.-welopnicnt workers, animators, motivators or <ir>v'
. »• , r’>‘
xvet; -r—c.ng
n«cwho is concerned ol the health
■ F their communits.
*i' English edition has a n
t a °r«
v,llage health wc
e\p ,Crm’ne needs. share
eornmunity in activities
7
i
and N-ij
lh»
. help
can better
ll?c clear- casv-to-under^txxnd information for
Voluntary Health
’'■""ntes from wtriA." .?.« -.
*■ ’' ““
Indi:s "i!h
» tt.u.ni pi bi it \rioxs
k. <'lent.ir> licalth association
of India
C ornmunits
Centre
—
-A. No, O.lh.HOTU
< mi. the bo
Hi,, uhiil
V
"At ,
iq
Excuse me, friends, I rr.’jst catch my jet
I’m off to join the Development Set:
My bags are packed, and I’ve had ah my shots,
I have traveller’s checks and pills for the trots!
The Development Set is bright and noble.
Our thoughts are deep and our vision global:
Although we move with the better classes.
Our thoughts are always with the masses.
In Sheraton hotels in scattered nations
We damn multi-national corporations:
Injustice seems easy to protest
In such seething hotbeds of social rest.
We discuss malnutrition over steaks
And plan hunger talks during coffee breaks.
Whether Asian floods or African drought.
We face each issue w.-.n an open mouth.
The language of the Development Set
Stretches the English alphabet;
We use swell words like epigenetic,
Micro, Macro, and logarithmetric.
It pleasures us to be esoteric—
Il’s so intellectually atmospheric!
And though establishments may be unmoved,
Our vocabularies are m ;ch improved.
When the talk gets deep and you’re feeling dumb
You can keep your shame to a minimum:
To show that you, too, are intelligent
Smugly ask, is it really development?
Or say, That’s fine in practice, but don’t you see:
It doesn't work out in theory!
A few may find this incomprehensible,
But most will admire y^u as deep and sensible.
Development Set homes are extremely chic.
Full of carvings, curios, and draped with batik:
Eye level photographs subtly assure
That your host is at home with the great & the
poor.
Enough of this verse—on with the mission:
Our task is as broad as the human condition:
Just pray God the biblical promise is true
The poor ye shall always have with you.
—Ross Coggins
Science for Villages.
April, 1979
COMMUNITY HEALTH CELL
326, V Main, I Block
Korarribngala
Bengalore-560034 •
India
CHINU, RENU and MALA
Man age merit Without Apo I og ies
(With the onset of the eighties, the work of what was once the HCAE project group in VHAI, starts a
new phase.
The Health Care Administration Education project actually started in 1974 for a five
year period.
The project period has elapsed but the same spirit and dynamism and creativity
prevails.
Here is the story of a group, notorious for its infectious enthusiasm.)
For too long, management has
been a dirty word. Some even
found it obscene.
were expecting mashed potatoes | has been incessantly travelling,
and boiled vegetables to go with criss-crossing, shouting, screamchutney—something
down-to- i ing, sharing and laughing the
loudest for these many years
earth, simple and useful.
|
and
more of the HCAE—all in the
Management
training
and
A respected director, of a cause of better management of
management education have had
J teaching hospital once even told i people and health care institutan even worse fate. It was some
thing pipe-smoking, double-brea ' us,“ I hate the word management. i ions. As Project Manager of the
HCAE, she was the innovator of
sted, calculating men did while It smacks of manipulating men
cloak and dagger. many new
effective training
sipping caviar and cocktails in something
I
prefer
the
word
administration.
’
’
ideas.
(See
Box
on page 3).
five-star set-ups. And the masses
One does not know whether
Ashok Subramanian, a keen
: the word administration was
smiling,
young
management
i used in VHAI’s
Health Care
: school graduate, joined as the
1 Administration Education (HCAE)
Programme Coordinator.
The
project, for this reason. But in
team of Sr Carol and Ashok
the five and more eventful years
(and others to come in the next
of the HCAE project, all this
, few years) blended well, worked
image has changed to a great
hard and were well received in
' extent. And the HCAE has had
many a hospital, dispensary and
a considerable role to play in community health project.
, this change of image.
Hard, competent, dedicated
, work by a small group of enthu
siastic persons in the HCAE has
been behind this silent revolution
of rising awareness.
The Lady without the 'Black Dog'
HEALTH FOR
THE
MlLLlONS/JUNE
One participant wrote after
a typical HCAE training progra
mme: “Dear Sr Carol, we were
delighted and excited to have
you and Ashok at our place for
the seminar......... And Ashok,
The Lady and the ‘Black Dog’ I the nicest, dirtiest black dog if
No mention of HCAE can I there ever was one ” The canine
overstate the pioneering role of epithet was a reference
to
a vociferous, determined and cre I Sr Carol’s one time habit of endative person called Sr Carol Ann j earing her sons with “Some dirty
Morgan Huss. Sr Carol Huss, ' black dog has taken my pen
an American by birth (and an i again. I do not know which one
Indian by seme spiritual alchemy) ! is this.”
1980
I
During these three years, a | Some of the persons who were
tremendous effort was put in to | trained in the earlier years of the
A grant of DM 375,000 was achieve the objectives out-lined ' HCAE Project, are now the key
sanctioned by the Government of earlier. Things did not move i resource persons participating in
Federal Democratic Republic of exactly as planned. For instance the regional activities. The ‘Six
Germany. This grant was to the HD of many hospitals could plus Ones' which were initially
finance three years of training not be taken up as envisaged. managed by the Centre, have
programme in Hospital Manage There were several reasons for become the responsibility of the
ment. The project was to reach this—firstly, a block was faced State VHAs and are now called
the personnel of existing non because of lack of information ■ ‘Regional Administrators’ Train
more
government
voluntary
health and communication with the top ' ing’ groups. More and
centres in India, systematically, personnel of hospitals. Secondly, training programmes are being
in seminars of training and persons with the right training organised by the State VHAs
follow-up work and to acquaint and skills were not available at | than by the Centre. The Centre’s
them with modern methods of that stage. However, the results role has become secondary and
hospital administration.
were not unencouraging and | supportive — consultancy
and
the project was extended for a ! man-power are available when
The original intent of the pro further period of two years.
ever a need for them is ex
ject holder was to use the 'Suc
pressed.
cess Motivation *Institute courses Development and Decentrali
to achieve the aims. This idea sation
Changing Approach
was subsequently dropped and
of the Centre
During the first five years, there
it was decided to run seminars
VHAI at the Centre is begin
and training courses with quali was an increase in the volume
fied. persons, in this way provi of work done in the area of health ning to place less emphasis on
So much the IIDs. Because of the early
ding a more
personal
and care administration.
intensive contact between trainer so, that for the activities in the experiences, the focus now is
so uthern part of India, an office not on concentration of resources
and trainee.
had to be set up in Bangalore. I in the hospitals. Now, instead of
The details of the programme
i deploying two analysts full-time
as envisaged at that time were: George Ninan, oneof the HCAE i to the client hospitals, personnel
mana . are sent out for on-going short
training to personnel in health Residency graduates,
care
institutions
would be ges the affairs of the southern term projects (In St Martha’s
States through his office *.
provided through—
Hospital, Bangalore, VHAI perThe State Voluntary Health : sonnel were invited to help in
Associations were developed. setting up a Personnel System).
i 6 + 1 programmes
History of the HCAE
Intensive Institutional
ii
Development (I I D)
iii Residency programmes
iv National Seminars
v State VHA Programmes
vi Surveys and Studies and
Publications
vii
Further details of these are given
in the box item (page 3).
* Shifted to Kalamassery in April '80.
2
THE BUDS THAT BLOSSOMED. Most of those who have gone through HCAE
Programmes are now spread all over the country and are available as resource persons for
VHAI and State VHAs.
HEALTH FOR THE MILLIONS JUNE
1980
By and large, the training
programmes that
are being
organised are based on the
HCAE Project Plans
exclusive needs of a particular
institution.
The
involvement 6-4-1 Programme
of the VHAI is mainly in the It was planned that in the first
human element of the organi year
top
personnel
of six
sation. Sr Carol’s earlier appro hospitals would be trained at
ach was to start with organi a base hospital, Holy Family
sational change with the objective Hospital, Delhi.
After
the
of bringing about change in the first year, the hospitals whose
community and in the individual. I personnel were trained would
There has been a shift in the | function as the base hospitals.
thinking and the individual is in j They would
in
turn, each
the main focus today. The i help train persons from six more
individual changes his behaviour hospitals.
and style. He then becomes
instrumental in bringing about I Intensive Institutional Develop
change in his organisation and ment (HD)
finally in the community.
The hospitals would be developed
A few cases can be mentioned by placing trained persons there
as illustrations. One of ourformer to provide help in improvement
Correspondence Course students, in structures, processes and pro
Sr Delphine, has been released cedures. Improving these would
from her nursing post
to involve training of the hospital
undertake full scale community personnel. It was envisaged that
programmes in a hospital run by twelve model hospitals in four diff
their group. Sr Bernadina, a erent regions would be developed
6-|-1 alumnus, who was also the under the IID programme by the
administrator of Nirmala Hospital, end of three years.
Calicut (1st fID), is today looked
upon as the chief OD Resource ; Residency Programmes
person by her community.
'■ Preceptors—qualified
hospital
i administrators would be selected
Personal Growth
i and to each preceptor, students
In order to make individuals j would be assigned for training—
aware of their fu llest potential ! practical and theoretical — as
and in order to facilitate them to ' hospital administrators. In three
eighteen hospital adfunction at this potential, more ■ years,
| ministrators would be trained in
and more attention has been
this manner.
devoted to Personal
Growth
Workshops.
Increasing impor National Seminars
tance of team functioning and
communication in the effective ’ Training of top administrators in
Health
Care
Administration
ness of any organisation is being
was envisaged. Eleven intensive
realised; and so the interventions
courses
of
3-4
weeks
in most hospitals are taking the
duration were scheduled for the
form
of
role analysis
and
communication
improvement three years. Three Executive
Development Programmes of ten
sessions. It is being realised
that procedural and systems’
HEALTH FOR THE MILLIONS/JUNE
1980
days duration were planned for
the middle management level.
State VHA Programme
Voluntary Health Association in
eleven Indian states would be
developed. Their function would
be to conscientize the members
regarding Community Health and
preventive medicine and also
to provide consultancy services
and prepare practical models
which could be used for training
purposes.
Surveys and Studies
General
information
on
medicine,
specific
medicotechnical and medico-economic
data would be gathered and
made available to
hospitals.
In the second and third years of
the project, a correspondence
course in Health Care Adminis
tration would be started.
Publications
The experience gained in the
planning
and
executing
of programmes
would
be
made available to interested
persons in the form of brochures,
folders, reports, etc.
Central Administration.
The HCAE Project would be
managed from
an office in
Delhi.
In
addition to
the
Project Manager the
Project
would start off with a Programme
Co-ordinator and a steno-typist.
Kannapiran has been our stenotypist-cum-know all man.
changes
would follow more
easily if the persons implement
ing the procedures and systems
are attitudinally ready.
Another notable feature is
the shift from the general to
the specific in the training work
shops, whereas, initially, semi
nars on Hospital Administration,
were conducted, now subjects
li ke ‘Financial Management’ or
'Materials
Management’,
or
‘Medical Staff Organisation' are
dealt within depth.
Transactio
nal Analysis ( T A) has been
successfully used.
HCAE and Community Health
TO SWOT OR NOT TO SWOT?
Seminar. The keen
VHAI’s attempt has always
been to make the health care
institutions in the country realise
that their orientation has to be
not only towards providing cura
tive services but also towards
eradication of the root cause of
disease, hunger and malnutrition.
In this regard, the HCAE Project’s
The scene of action is an HCAE
discussion is on the strengths, weaknesses, opportunities and
threats in an institution.
It may be said without exactivities blended very well with i
the philosophy and activities of , aggeration that much of VHAI’s
an
VHAI. The hospitals and other i strength and growth as
health care institutions were en 1 organisation were due to the
couraged to take a look at their I rigorous planning, development
activities and expand them to ' and progress achieved by the
include community development. HCAE project. Sr Carol was
The HCAE personnel organised, ! invited by the government to
and participated not only in Hos become a member of a study team
pital Administration programmes • which worked on low cost build
but also in Community Develop- ing construction for hospitals
• ment programmes The Corres and health care centres.
pondence Course in Hospital
Many academic institutions
Administration has a compulsory
are
recognising the action reseterm paper in its first year on a
;
arch
being done by HCAE and
community survey with projection
;
VHAI.
The University of Delhi
plans. This process has triggered
has
started
an MBA degree
many a new community health
(
programme
in
Hospital
and Health
programme of a hospital, and
■ Care Administration. This was
revitalised and redirected already
done with the help of VHAI.
existing ones.'
More and more young people
from management, social work
, and behavioural science institutes
The strongest pat on the back i are coming forward to join VHAI.
for the HCAE and VHAI was the i The philosophy of VHAI and
HCAE has remained the same
evidence of change for the better
since 1973 — train them and place
in individuals, groups and health them. Many of those trained by
HOW MATERIALISTIC CAN WE BE!
care institutions which sought the HCAE and VHAI are now
Kabir helps out in the materials management
help.
of a hospital stores.
(Continued on page 11)
Recognition
4
health fob the millions/june
1980
FROM OUR OD CORRESPONDENT
pad, Miss Sigamoni and Renu
was acclaimed as the case best
representing the spirit and values
of OD!
LIVING IN OD TIMES
, Deeds of the Immediate Past
I
The last VHAI seminar on OD
: was from February 1 to 6, 1980
The annual OD Seminars of
The entire HCAE project could at Hyderabad. Topics discussed
the HCAE have become an eage be viewed as an OD effort at the
range from a new leadership
level of the voluntary health sys
rly awaited event. Old co-co
*stumodel and career issues of indi
dents. residents, previous seminar tem in the country.
viduals in hospitals to how sur
participants, staff from hospitals
vey feedback can help reorient
which had an I ID or any specific VHAI and OD
and change a State Voluntary
on-the-spot help—all come and
The HCAE project of VHAI Health Association.
report on the progress made by
them and their institutions in the was among the first to introduce
previous year. Presentations and the idea of planned change and
Dr Shah from Holy Spirit
reports are critiqued, analysed, OD in voluntary health institut Hospital, Bombay, shares with
new knowledge and new experi ions. These efforts have come to the group how an organisation
ences shared and new resolutions be so well accepted that last year can be born healthy and continue
and plans made with fresh hope an agricultural institute wanted to be healthy by certain right
help from VHAI to base their
and determination.
: practices and policies.
strategy on similar lines I A
It is little wonder, these meet review of all OD work in Indian
Rajamma from St Joseph’s,
ings have come to be called industry and service institutions i
organisation renewal seminars. was done through a national Dindigul, leads a discussion on
Along with the learning and sha seminar at Nev/ Delhi in February the diagnostic study cone in her
ring in these OD seminars, goes 1979. The CMCH Ludhiana case i hospital by VHAI and what has
a lot of screaming, screeching presented by Dr K N Nambudri- j been happening ever since.
fun and’laughter—laughter that
heralds freedom.
What is OD?
What is OD? OD stands for I
Organisation Development. It is
the science and art of anticipating
and planning changes in organi
sations, hospitals and community
health projects included. OD is
based on certain positive assum
ptions and values about man and j
organisation.
OD
objectives ■:
include
increasing openness, ,
trust, support and personal satis
faction. CD aims at increasing
the level of self and group
responsibility in planning and
implementation.
HANDWAVING MANAGEMENT ? Not quite. Ashok Subramanian leads an
* Correspondence Course
HEALTH FOR THE MILLIONS/JUNE
OD Seminar session.
1980
One of the ex-residents reports
on value conflicts faced by him
in his present hospital. The
group discusses the options open
to him.
Sr Delphine, Sr Josephine
and George Ninan report on
some creative and inspiring OD
work done in Vijay Marie Hospi
tal, Hyderabad, to redesign and
expand their community health
programme.
A practical conflict situation
faced by the top administration
in a hospital is presented to the
group by one of the hospital staff.
The group thrashes out various
angles of the problem and comes
out with numerous alternatives.
There is yet another progress
report of a diagnostic study and
after by Kanchan of CSI Hospital,
Udupi. Later in the day, Mala
reports on OD work attempted at
VHAI by her. Areporton on-going
64-1 programmes and troubles
faced by them, a case from Kurji
Hospital and a community health
survey and planning report by
K J John, a co-co student, are
among other things presented on
various days. There is even a
conceptual attempt to integrate
holistic health and OD I
Guy Alling, an American
observer from CNI, says, “There
Our Fifth O D
Seminar will
be held from February 1 to 6,
1981 at Hyderabad.
For further details contact:
Ms Renu Khanna, Voluntary
Opportunity
Action for Food Production
(AFPRO) has announced a trai
ning course on dairy manage
ment from July 7 to July 19,
1980.
It will be held at P A U Ludhiana.
Course fees Rs. 65/- per head.
Medium of instruction Hindi. For
furthar details write: AFPRO,
C-17 Community Centre, SafdarDevelopment Area, New Delhi 110016.
Health Association of India,
C-14, Community Centre,
Safdarjung Development Area,
Advertisement
New Delhi-110016, India.
Watch out
(and read this article).
is the same spirit prevailing here
as in the old-fashioned American
family reunions."
And that possibly captures
the flavour of the OD meetings—
an annual coming together for
sharing and learning, for better
health care administration.
O
in August for the
Management
Book!
Village Health Workers Convention !
Theme : “LOW COST
COMMUNICATION"
Dates : August 22, 23, 24,
1980
Place : Hyderabad. A.P.
Distance and money are no
bar either.
Many
community
health
programmes in the voluntary
sector are training village health
workers. Each project has its
unique method of training and
there
are many
interesting
successes.
Come in a team - - for each
major
VHW programme, we
suggest a team of 3-6 participants
plus
one leader, one member
can act as translator.
So we invite you to come
together and share. Language
is no bar - we shall communicate
through picture, dance songs,
skits or whatever you fancy.
6
VHAI will bear cost of travel by rail
(second class) to and fro. Board
and lodging will be provided too
Come prepared - - to present a
programme of folk media, be it a
skit, puppet show, song or dance.
Bring displays of handicrafts,
posters, flashacrds and other
communication materials.
Bring exhibition samples
of
teaching materials
produced
locally and kits used in work.
Come and share - - information
on home remedies, indigenous
medicine etc.
We will work out the prog
ramme once we hear what you’ll
be bringing.
For further details contact:
Nirmala Sundaram, VHAI,
C-14, Community Centre,’
Safdarjung
Development
Area, New Delhi-110 016
HEALTH
FOR THE
millions/june
1980
The Embarrassment Of Being'
(Young and) Earnest
Renu Khanna,
Programme Officer,
still giggles and boils
with indignation when
she speaks of the
gatekeeper who
stopped her going to
one of the student
filmshows in CMCH
Ludhiana. Reason :
Children under 18
years not allowed .
George Ninan put on weight and got married while
Malabika Shaw insisted on increasing heels, chosen
with a saree to hide. Chinu is trying an exotic oil
to become bald.
Sr Carol Huss with her tremendous faith in the
potential of youth has consistently thrown many a
baby from the management school into the water
and let it swim. If track record is anything to go by,
most of these babies are competent swimmers.
The “Welcomeyoung
man/lady!” by many a
hospital administra
tor to the average
HCAE team member
(average age 25 years on entry; Sr Carol Huss, 54,
and E E Nabert, 51, excepted), may mean many
things. It may mean surprise, shock, amusement
and condescension.
These being in the nature of occupational hazards
have drawn a variety of coping responses from
the HCAE members.
Tom Kalliath decided not to shave and nourished
a beard and a sling bag. Sisters have subsequently
mistaken him for a priest. Ashok Subramanian
decided to grow grey hair and to talk with a
maturity uncalled for his age. Nesa gave up
pretending old and went to become an assistant
administrator in Kurji Hospital, Patna. And Kabir
Jayathirtha went off to teach little children at a
valley in Bangalore.
RENU
Workshop on Holistic Health
Come explore with us in our
Workshop on Holistic Health.
Perhaps, at one time or the
other, everyone has observed that
mental tension leads to physical
ailments or that faith has cured
when medicine seemed ineffective.
From a collection of such
observations it became clear
HEALTH
FOR THE MILLIONS JUNE
that we must look at a person's
health from three view points i.e.
the physical, mental and spiritual.
Thus the term “Holistic Health".
Should the concept excite you,
invite yourself to this workshop.
Faculty : Sr Carol Huss, who
has been studying this subject
for some trme now, will lead the
1980
workshop.
Dates : July 8-15, 1980
Venue : Dindigul Dist. Tamil
Nadu. Please let us have your
application by June 15, 1980.
For further details contact
Renu
Khanna,
Programme
Coordinator,
V H A I,
C-14,
Community
Centre,
S.D.A.,
New Delhi - 110016.
I
HEALTH AND ADULT EDUCATION
THE MANDAR EXPERIMENT
Mukhtaruzzaman, Project Officer of the Mandar Adult Education Programme graduated in
1979 from VHAI’s correspondence course in Hospital Administration. The term paper of
Zaman on “Health and Adult Education” got the prize for the most creative project.
T VIJAYENDRA reports on this project.
Where to begin ?
That was the starting point of
the Adult Education Programme
at Mandar, Holy Family Hospital,
in Ranchi District, Bihar. The
hospital is located in a really
remote region of tribal Bihar and
has been doing interesting work
in community health for the last
15 years. It has also a very wellequipped nurses, training school.
Mandar Block in 1978. Mr Mukhta
ruzzaman and Sister Germai
ne took a serious
interest
and very imaginatively applied the
educational technique that has
been
developed
by Paulo
Freire. In this they had the ad
vantage of working with
Fr
Bogaert of Xavier Institute of
Social
Service,
Ranchi. Fr
Bogaert and his colleagues, have
been working in the area of adult
education for several years.
Where to begin ? That is the
question people often ask in conn
ection with rural development work.
Quite often community health
is the first priority area since it
appears to be the most visible
and felt need of the people. And
it appears feasible too, considering
the fact that some of the most
effective programmes and some
The need for a literacy prog
of the most innovative approaches ramme was felt by the community
have been based around commu health staff at Mandar because
nity health work. Yet those of us they found that although health The Programme
who are involved in community and sanitation was a pressing
The objective of the prog
health work in rural India are only need, due to illiteracy, poverty, ramme has been to achieve fun
painfully conscious that health backwardness and fear, people ctional literacy that will support
alone is not sufficient; people’s were not coming forward. They the integrated community health
participation and generation of began the project under the development programme. Keeping
self confidence among them is National Adult Education Prog disease prevention as the core
ramme and took up 10 villages in of the programme, learning,
not easy.
reading, writing and numeracy are
viewed as necessary tools to
achieve this objective. The moti
vation for learning is achieved by
keeping such aims as recognis
ing and becoming aware of one’s
rights and duties, putting learning
into practice, to develop organi
zation among the poor to fight for
their rightful dues and to improve
socio-economic conditions.
FOOD FOR GROWTH.
Frelre's methods.
8
The Adult
Education
lesson inspired by Paulo
The villages chosen had 82%
illiteracy and are almost fully
tribal. Initially, the organisers
convince the village leaders
about the programme. A com
mittee of six villagers is formed
and 30 learners are recruited. The
HEALTH FOR THE
MILLIONS,JUNE
1980
learners
themselves,
choose
their instructor from their own
village. The instructor and the
committee are responsible for
carrying out the decisions, ensur
ing attendance and sort out
difficulties. Quite often, the instr
uctor is a member of the village
committee. Some 15 centres are
running today.
Innovative Techniques
For the success of the pro
gramme, the instructor is the key
person. A six day training pro
gramme is held for training and
motivating the instructors. The
training
involves
discussion
about problems of rural India
and preventive health care. The
programme
included
several
practical exercises for achieve
ment
motivation, games on
communication, confidence build
ing, problem solving and deci
sion
making. Several games
that have been developed over
the last decade are used that
make the training very
enjoy
able and a high degree of partici
pation is achieved. The technique
involves, responding to a picture,
narrating a story, building blocks
with handicaps, games to build
cooperation
and
confidence
etc. The training is followed up
by weekly meetings of the instruc
tor with the organisers. The
training programmes have proved
highly successful and the Holy
Family staff have been asked to
organise it for other institutions.
Naya Ujala (New Light), Dhan ki
Vaigyanik Kheti (Scientific Culti
vation
of
Paddy),
Hamara
Swasthya (Our Health), Marua Ki
Kheti(Cultivation of Marua-a local
coarse grain) and Turn Theek
Kahatey Ho (You Said it Right).
and child health, and infect'
ious diseases spread through
water, food, air and insects.
They have even developed
songs on Adult Education ! The
literacy programmes are followed
by a Market
Library where
villagers can borrower buy books
in the weekly market. A book is
lent for a week for a fee of 10
paise.
These books have been widely
used by now. They generally
follow the Paulo Freire method,
introducing pictures and concepts,
over which a discussion follows. Achievements
The learners learns to read and
The programme has made the
write a few new letters and
functioning of the mother and
words almost every session.
The book ‘Hamara Swasthya’ child health programme, more
(Our Health) has been written by successful. Various vaccination
Sr Germaine and Mukhtaruzzaman and immunization programmes
on the basis of their experience have been implemented almost
within
6 to 9
months
and includes pictures and lessons fully
on food, cleanliness, maternity in the village Sosai. Besides two
t-—
----------
Teaching Material
Learning materials were made
in collaboration with Xavier Insti
tute of Social Service, Ranchi.
In October, 1978, a writers’ work
shop was organised and four
books were developed. They are:
HEALTH
FCR THE MILLIONS JUNE
1980
THEIR BODIES THEMSELVES.
The book “Hamara Swasthya'1 by Germaine
and Mukhtaruzzaman abounds in visuals which provoke discussions .
New Arrivals !!!
women, village health workers ' person, there is still the problem
I of corruption of lower level
are working without any remuner
ation from the hospital. Instead officers and fear on the part Using the Method of Paulo Freire
’ of the villagers.
in Nutrition Education: An Ex
they pay to the hospital for the ■
|
perimental Plan for Community
medicines they take !
The Future
Action in North East Brazil.
The learners take decisions
— Therese Drummond Rs. 22.00
i
The organisers and the staff
after their lessons and implement
of the Mandar Hospital are consc- Care of the Newborn in Develop
them. Decisions such as, putting
i ious of the difficulties ahead. The ing Countries —
bleaching powder in the well,
G J Ebrahim Rs. 35.00
Mandar story is an unique experfilling of pits and spray of DDT
• iment in community health and Breast Feeding the Biological
were taken in the programmes,
• development. Their experience has Option — GJ Ebrahim Rs. 25.00
and implemented 1
j yielded a wealth of information
Practical Mother and Child Health
An important area of achieve j and ideas regarding the techniin Developing Countries
ment has been that the villagers ! ques of adult education for
— GJ Ebrahim Rs. 32.00
J
development.
are now getting some of their
A
Hand Book of Tropical Pae
rightful dues from the govern
It
may
not
be
possible
to
diatrics
— GJ Ebrahim Rs. 28.00
ment. Previously, quite a few
schemes got blocked at the block repeat the experiment along Regulation and Education: Strate
level. The organisers help the identical lines. Modifications will gies for solving the Bottle
villagers know about the schemes, 1 be needed. A number of helpful Feeding Problem
bring the officers and villages I factors and people have contri— Ted Greiner Rs. 21.00
together and get sanctions for | buted to this experience. What Project Planning Formulation and
animal husbandry schemes, food , emerges clear, however, is the
Evaluation — T K Mathew Rs. 4.00
for work, dry area farming etc. A fact that adult education can be
Better
Care in Leprosy
a
powerful
tool
for
community
supportive factor in this achieve
health
and
development.
It
is
a
(Tamil)
*
Rs. 4.50
ment has been the block develop
beautiful
way
of
making
our
ideas
ment officer who is an exception
Better Care in Leprosy (Telugu) *
ally
motivated
person. The of community participation and '
Special
hospital helps him with transport. self-responsibility in health come I
price
Rs. 2.50
true.
(till subsidy lasts)
A food for work programme is
going on in all the 15 villages.
The work is not equally distri
buted. Quite often, the same
villagers work in several progra
mmes, one after the other. Although, the B D O is a motivated
Reprints:
Management of Common Snake
bite poisoning
— Dr J Jacob MB, MR C P
(Lon).
If Doctors learnt from Architects
— F M Shattock
Do you have jobs for us ?
Jamkhed Comprehensive Rural
Health Programme
Health Promoters of Raigarh
Ambikapur
Community Health Where do we
begin — J A McGilvray
Christian couple interested to
take up jobs in Christian hospital
preferably in a hospital above 100
beds situated in North India.
Wife, MBBS, D G O,
13 years of experience.
Salaries negotiable.
Husband, trained
hospital
administrator (M H A), 25 years
experience in hospital administra
tion of Christian hospitals and as
an expert to a foreign governm
ent for hospital administrative
work.
Please write to: Health for
the Millions, Voluntary Health
Association of India, C-14, Com Order From:
munity Centre, Safdarjung Deve
Voluntary Health Association of
lopment Area,
New
Delhi- India, C-14, Community Centre,.
110016.
SDA, New Delhi-110 016
10
has
HEALTH FOR THE MILLIONS/JUNE 1980
Continued from page 4
I the 93 students admitted to the
holding positions of responsibility ' correspondence course progrand in their turn sharing with I amme in Hospital Administration,
others.
33 have to date
graduated
succesfully. The number of
Looking back
seminars, training programmes
Looking back, it has been a and T.A. workshops conducted
story of quiet success for the are simply too numerous to be
HCAE group.
counted.
6-{-1s have become now a very i
The idea of training in prof
popular and common method of essional management and admi
training. Bihar Voluntary Health nistration is now being increasin
Association will be completing gly accepted by voluntary health
yet another 64-1 in July 1980. care institutions. Management is
AP VHA has a 6H-1 model train hardly seen as a dirty word.
ing programme for dispensaries, Management training for health
not to mention the beautiful adap care institutions can be down-totation of the 6-|-1 idea by Father earth, useful and effective, they
Lawrence
Thottam
in
the are saying, we are told.
•
Trivandrum “Health
for the
I '■'fl T fl I '..I
mwma r—
Million” project.
Advanced T A
Numerous
hospitals have
been
helped on-the-spot : in Workshop
the
areas of administration Dates: July 21 - 26
through HDs, diagnostic studies
For further details contact
and specific projects in particular Sr Muriel Fernandes,
ICM,
departments. 13 Administrative i Organizing Secretary, TN VHA,
residents have graduated under | 2, Jagannathan Road, Nungamthe residency programme; of I bakkam Madras-600 034
Human Relations
Workshop
Eastern Region VHA.
Dates : October 6-10
Venue : Gopalpur-on-the-Sea,
Orissa.
For further details contact
S Srinivasan, VHAI, C-14
Community Centre, S.D.A.,
New Delhi - 110 016.
A Medical Officers’ Training
Course in Leprosy is being
organised by Schieffelin Leprosy
Research
and
Training
Centre.
The course
covers
the entire field of leprosy and
is designed for doctors in full
time leprosy service.
Duration of the course: 6
weeks (July 14 to Auguest 23, 80)
Doctors with a degree from any
recognised university can apply
on payment of Rs. 10/- towards
registration fee and Rs. 75/towards tution fee. For applica
tion, prospectus and further
details, contact the Training
Officer, SLR & TC, via Katpadi,
Pin Code 632 106, Tamil Nadu,
on or before the 15th of June
1980.
Correspondence Course in Health Care Administration
A two-year correspondence course is offered in Health Care Administration, for administrators,
chief executives and departmental heads and those incharge of out-reach programmes with three to
five years experience and sponsored by the institution.
The course is conducted through assignments. Each student has also to attend three one-week
workshops, in the beginning, middle and end of the course. The faculty visits each student at
least once. In the second year the student can specialize in hospital administration or in
community health.
The session this year starts on December 3, in Bombay. For prospectus and application form,
please send a crossed postal order of Rs. 5.00 to VHAI, C-14, Community Centre, S.D.A., New DePhi 110 016. The last date for application is September 30, 1980.
HEALTH
FOR THE MILLIONS/JUNE
1980
COMMUNITY HEALTH CELL
326, V Main, I Block
Koramongala
Bangalore-560034
. India
H
wn
Tamil Nadu
Quest for Low Cost Drugs
□ TN VHA has had a brilliant
idea in wanting to standardize
prescription procedures in small
health centres, so that only a
limited number of good quality,
low cost drugs are used. The
first panel formed for this
purpose, met on March 30, in
Madras, and was chaired by
Dr Rajasekar Reddy. The panel
decided to hold two workshops,
one for medical personnel (to be
held in Gandhigram, June 21-22)
and the other for Community
Health Workers (to be held in
October), before drawing conc
lusions on suitable prescription
procedures. We will eagerly await
more news from them.
and wants to stop organizing
seminars and workshops.
It
seems a majority of the partic
ipants
register only at the
eleventh hour, which throws the
arrangements out of gear.
MADHYA PRADESH
ANDHRA PRADESH
The Many and the Mini
□ The fourth meeting of 6 + 1
for Cuddapah district was held at
O L F Hospital, Porumamilla, on
29-30 March, 1980. The topic of
this workshop was Mother and
Child Health (MCH) Programmes.
Resource persons for the work
shop were Miss Sashi Rajagopalan and Mr Rayanna. Various
□ TN VHA also organized two aspects of the MCH programmes
seminars in April.
were discussed and participants
gave demonstrations on health
The seminar on Hospital Admi I education.
nistration was conducted from
April 8-11 at Madras. It was □ Miss Zina F Kidd conducted
attended by 15 participants from another mini - community health
top and middle management workshop at Our Lady of Health
levels. The course coordinators Hospital, Narasaraopet, for the
were
George Ninan and S. Sisters of St Ann of Phirangipuram.
Fourteen enthusiastic
Srinivasan from VHAI.
sisters
from eight of their
□ The Workshop on Basic hospitals and health centres
Human Relations and Communi learnt how to train community
cation (T A) was also held at health volunteers from Miss Kidd.
Madras,
from
April 25-30. She is planning to hold some
Resource persons were George more of these workshops later
Ninan and Renu Khanna from
this year.
VHAI.
UTTAR PRADESH
□ Sr Muriel Fernandez, Organi
zing
Secretary, TN VHA, is
facing a peculiar problem though, □ The Uttar Pradesh VHA is
12
actively engaged in streamlin
ing its operations. Their recently
constituted working committee
met on April 18,1980 at VHAI,
New Delhi. One of the suggest
ions at the meeting was of having
a full time Organizing Secretary
for the VHA. Dr David W.
Thomas offered the services of
one of his staff, Mr Daniel
Chaudhri, who is a trained hos
pital Administrator. The next
meeting of the UP VHA is sched
uled for July 26, 1980.
□ Undeterred by the eclipse, over
200 Village Health Promoters
from various places in the
districts of Raigarh and Ambikapur participated in the Village
Health Promoters Rally held in
Kunkuri on February 16-17, 1980.
An inspiring feature of the rally
was the enthusiasm with which
the VHPs reported on the work
they had done in their villages.
The VHPs also put up skits on
health for which Duldula VHP
walked away with the first prize
and Tamumunda. Tapkara VHP,
the second prize. Congratulations.
WEST BENGAL
□ West Bengal Voluntary Health
Association held its Annual
General Body Meeting at the
Assembly of
God Hospital
Conference room on April 30,
1980.
Dr
James S
Tong,
Executive
Director,
VHAI,
attended the meeting and chaired.
all the sessions.
HEALTH FOR THE M1LU0NS/JUNE 1980
One of the significant develop
ments made by WB VHA in the
lastyearis increasing its member
ship by 14. They now have a
total of 52 members.
The post-lunch session of the
meeting was devoted to some
very interesting and enlightening
talks on Community and Commu
nity Health. The speakers were
Mr Amit Sanyal, Ramakrishna
Mission; DrS N Chowdhury, CINI;
Prof. Parimal Kar, Bengal Social
Service League; Dr D S Chow
dhury, GRECALTES and Ms
Mary D’ Souza, Institute of Cult
ural Affairs.
Bhagalpurfrom 18-20 March, 1980.
It was attended by 50 participa
nts including fathers, sisters
and brothers greatly involved
with development programmes
of the diocese.
Born out of the desire of the
diocese to make its development
programmes more effective, the
seminar dealt with “the meaning
of Development”, “Planning and
Development” and then “Possi
bilities of development in Bhagalpur Diocese”. Among the resou
rce persons were Dr Jessie Tellis
Nayak, I S I, who spoke on
“Women and Development”, and
Mr Augustine Veliath, VHAI,
who spoke on . “Promotional
Activities in Health”.
□ The fifth meeting of the 6+1
group held on April 28-29, at
Mercy Hospital,
Jamshedpur,
went of successfully. The theme
of the meet was “Legislations”.
Resource persons included Dr.
LBM Joseph, CMC Vellore, Mrs
Renu Mattoo, XLRI Jamshedpur
and Mr K D Prasad, a leading
lawyer. The next meeting will be
in July and the theme will be
“Evaluation”.
KERALA
BIHAR
Wages of Revision
□ Duncan Hospital, Raxaul, celeb
rated its fifteenth anniversary on
the 22nd and 23rd of February.
A highlight of their two day
programme was a tableau depict
ing the major events in the hist
ory of the hospital. The tableau
opened with Dr Duncan, a young
Scottish Missionary, coming to
India and caring for the sick of
Raxaul and ended with a visit
from a Drug Inspector!
Minimum
Wages
□ KVHS
was invited by the constituted
Minimum
Wages
Advisory Advisory Board on April 25.
Board to look into provisions for The decision of the Advisory
pay scales as outlined in the Board is eagerly awaited.
Gazette Notifications. Represent
atives of KVHS attended the □ KM George, Organizing Secret
meeting held for this purpose ary of Kerala Voluntary Health
on March 27, 1980, at Kottayam Services (KVHS) has shifted his
and were asked to suggest a office to Kalamassery. He will be
categorization of hospital emplo working in coordination with
yees and to propose pay scales | George Ninan, Southern Region
for them.
VHAI coordinator, who has also
Their
recommendations have i shifted his office from Bangalore
, been submitted to the newly ! to Kalamassery.
□ Ms Anney Kurien, Organizing
Secretary, BVHA, together with | GUJARAT
Sr
Marie
Therese and Sr
Josephine from Kurji Holy Family
Hospital, conducted a one week
Seminar on ‘Nutrition’ in the first □ A follow up meeting of the old i part of the resource group.
week of March.
participants of the six week
The purpose of the meeting
Jamkhed Course was held on
St Camillus Dispensary, Harimo- April 19-20 at St Lourdes Con i was to create a link between
hra, in Bhagalpur had requested vent, Surat, Gujarat. It was atten i people working in community
it for a group of people from ded by eight people working in health in the same area so as to
centres in Bhagalpur and Santal the tribal areas of South Gujarat, share
common
experiences,
Fr Urrutia GVHA, Ms. Simone knowledge
and resources, to
Parganas.
Liegeois, VHA! and Dr Satya- support one another when need
□ A “Diocesan Development mala, VHAI. Fr Jerry Fernandes arose and to do a periodic group
Orientation Seminar” was held in was invited to the meeting as evaluation of their work.
Much after the Six Weeks
HEALTH
FOR THE MILLIONS'JUNE 1980
13
From Delhi and Elsewhere
fu" A King is Crowned
artisans “to use to their
Dr Pauline E King’s 23 years
Responsive Structures capacity” by providing services,
like product promotion, marketing, service record
in the field of
has
been
The Annual General Body consultancy, training, and in- ' Community Health
held
..
—
‘
i
national
award
Meeting of VHAI was
crowned with a l
formation.
in Hyderabad from April 12 to
The society invites interest ed frorn the President of India.
meet14, 1980. Minutes of this
individuals and instructions to '
ing have been circulated to all
become members of the society.
members.
For further details write to: RISS,
The address of Dr Raj Arole, S-102,
Greater
Kailash-1,
President of VHAI, was read in
New
Delhi11
C048.
his absence. Dr Arole called for
%
a close look at ourselves, our
s
institutions and our structures
At the 33rd world health
that are attempting to respond to
assembly at Geneva, the WHO
the health needs of the millions.
i Director, Dr Mahler, announced
The meeting reaffirmed VHAI ■ •--x
r
that small nnY
pox had
had been
been eradipriorities as being community
r>
cated from the planet.
health. There was also need for
>..
closer working with the State
Addressing the plenary sessand Central Governments, me- I ion of the assembly, on behalf I
of the South-East Asian Region,
mbers felt.
the Union Health and Family
Welfare Minister, Mr B ShankarThe Private Member’s Bill anand expressed his gratitude
entitled “The Mercy Killing Bill and appreciation of the efforts
1980” introduced in the Lok of W H O and other agencies in
Pauline King
Sabha on March 14, 1980 by Mr freeing the region from smallpox.
Many readers of “Health for the
M C Daga, Congress (I) M.P. from ! India was declared free from
Millions” will be familiar with the
Pali,
Rajasthan, has evoked i smallpox by the Global Commicolourful flash cards distributed
interest and concern about the I ssion in April 1977.
by VHAI’s publications services.
question of euthanasia among the
These flash card come from
general public.
VHAI Information
the
Audiovisual
Unit,
CMC
Under the Bill, completely inva
Vellore, organized by Dr King.
Service
lid persons and persons suffering
Dr King came to India in 1955 to
has prepared
two lists of work in Christian Medical College
from
from diseases
diseases declared to be
incurable by a medical authority duplicated documents :
and Hospital, Vellore. She did
1. Selected list of Community her
shall have the option to file an
B Sc
(Nursing)
from
Health Projects in the Vol Columbia in 1938 and Master in
application for mercy killing with
untary Sector in India and their Public Health Nursing in 1961.
the surgeon
of the District
services (45 projects of all The early part of her life was
Hospital concerned.
devoted to community nursing
the States.)
2. Selected List of Funding work. Later on,
she did her
The Villages are Here
Agencies and their priorities doctorate and
came
back to
The “Rural Industries Service
(52 Indian and foreign agencies CMCH Vellore, to help
__ in post
Society (RISS)” was launched in
graduate
nursing
education.
10 pages)
New Delhi on May, 1, 1980. The
She retired officially in 1977. But
Kindly
send
your
order
to
the
main thrust of the society is to
then, people like her never retire^
help small scale rural industries, VHAI Distribution Section. Cost
(Photo Courtesy TNAI)
i
Re.
1/each.
small entrepreneurs and rural
.
Never again Mr Pox
Licence to Die
HEALTH
14
FOR
THE
MILLIONS JUNE
1980
SELF CARE
IF YOU MEET THE BUDDHA ON THE ROAD, KILL HIM I. Sheldon B
Kopp, Bantam Books, New york, Pages 250, S 2.25
After psychotherapy’s confus
ed efforts over a century to
"cure” pilgrims trying to sort out
their lives in an effort to find
"meaning”, somewhere along
somebody rediscovered that all
such efforts are useless.
The worstshock man can have
is that nobody can teach him.
There are no fathers, mothers,
gurus
and
psychotherapists.
There are only brothers and
sisters. The guru is just another
guy who is struggling. That is all
there is to it. Freedom is when
you have nothing more to lose.
This book is important. It is
relevant to our concept of health.
If you see the Buddha on the
Ultimate health is only by assum
ing total self-responsibility, be I road, kill him.
★
★
LEPROSY CARE
A MANUAL OF LEPROSY
Thangaraj RH, MBBS,
FACS, F1CS,
The Leprosy Mission, New Delhi.
Pages 342 Rs. 30/- [Hard Cover]
Dr R H Thangaraj, Secretary
for Southern Asia, The Leprosy
Mission, and his co-authors have
revised and re-written "Text Book
of Leprosy for Students and
Paramedical Workers.”
The book needs no introduct
ion. In its early edition it has been
used by all categories of leprosy
workers including paramedics,
professionals, training centres
and students of medicine.
The list of twenty contributors
who, through the twenty-seven
chapters and numerous illustrat
ions covering all aspects of
leprosy, like pathology, immuno
logy,
treatment
including
management of medical and
HEALTH FOR THE MILLIONS/JUNE
1980
it common cold, crisis of faith or
schizophrenia. The story is told
of the man who talked of suicide
with a sage whose clear and gen
tle eyes seemed forever to be
gazing at a never-ending sunset.
"Dying is no solution,” he
affirmed. "And living?” the man
asked. "Nor living either,” he
conceded. "But, who tells you
there is a solution ?”
★
surgical
complications
and
control, reads like a ‘who is
who, of eminent leprologists.
CHILD CARE
RAISING KIDS O K,
Dorothy E Babock <& Terry D
Keepers, Avon Publishers,
New York,
Page 310
S 1.95
Ever since Berne’s Transact
ional Analysis (T A) was okayed
by an athirsting, sceptical crowd
of laymen,
churchmen
and
professionals, the applications of
T A have been proliferating.
Breastfeeding and immunizat
ion are important and necessary.
But whoever bothers to prevent
junior from splashing his milk
clumsily at the ages of 7, 14 and
21 years; from consistently getting
low grades and beingthe loser?
This book is addressed to
parents who may pass on their
problems, frustrations and fears
to their kids in well intentioned
ignorance without realising the
harm done to their children and
to society.
A neat, well-compiled book,
this is laced with care and
concern- Recommended reading
for all parents and paedatricians.
Raising Kids OK is a wel
come addition to this genre of
writings. This book is for mama
and papa who want to help their
children grow healthy psychologi
cally into creative, beautiful
persons.
15
The book has been well
written. It was written after consi
derable data collection in a 15
year research study at the Sloan
School of Management.
India, C-14, Community Centre,
Safdarjung Development Area,
New Delhi - 110 016
The contents of this book will
be of special interest to the
administrators and managers of
voluntary hospitals. Most of
these hospitals started and have
grown to their present state with
This
book examines the a certain set of persons. Are
complex issues related to an these persons holding the same
individual within an organisation. jobs as they did when the hospital
Schein submits that an individual started functioning? Are their
in an organisation has three skills and knowledge suited to the
forces acting upon him - the present situation? How can dead
demands and needs of his family, wood be prevented from forming
his own needs and aspirations among the staff of a hospital?
for self-development and the Schein's thoughts will be of value
administrator
demands of his work setting. The to the hospital
author takes the reader systema who seeks to create a dynamic,
tically through three parts dealing living organisation which will be
suited to Indian conditions.
with these three forces.
Dr David Inderjeet, MBBS,
DOMS, Fellow of Royal Society
of Health, seeks appointment in
India as (Medical) Health Service
and Hospital Administrator.
The first part “The Individual
and the Life Cycle” discusses the
development and progress of an
individual from the point of view
of the degree of interaction and
involvement with the family. The
Woman Doctor (MBBS 1974)
second part “Career Dynamics: seeks advanced
training in
The individual/organisation in Obstetrics-Gynaecology, approp
teraction” starts off with a riate for work in underdeveloped
discussion on an individual’s , rural area. As alternative to cityentry into an organisational I based DGO/MD Course, wishes
career. It then develops a new to work for mutually specified
and a very interesting concept, that periods with experienced guid
of Career Anchors (we will leave ance of obstetrician-gynaecolo
you to read about it in the book). gists having heavy case load in
Also discussed in this part are | rural areas. Salary not required
the problems of mid-career and the i but board/lodging
requested.
reasons underlying them. In the Has five years experience in
final part, the perspective shifts rural M.P. with non-religious
to that of the manager. From the development project. Fluent in
point of the organisation and its wrilten/spoken
Hindi;
partial
needs for human resources how knowledge of Marathi.
can a total system be designed—
a system which will identify, Please write to
develop and manage the human
resources through the entire
Editor, Health for the Millions,
Voluntary Health Association of
career cycle?
Those interested, may contact
him at
CAREER CARE
CAREER DYNAMICS—MATCHING
INDIVIDUAL AND ORGANIZATIO
NAL NEEDS—Edgar Schein
Addison - Wesley
Publishing Company,
Available from
India Book House, New Delhi-1
Pages 282
$ 6.50
Is There a Job
For Me?
16
Presently in London, he will
be completing a diploma course
in Health Service and Hospital
Administration by July 80.
He has worked in Oman as
Medical Officer (1971-75), and later
as Junior Specialist Opthalmologist (1975-79). An Indian natio
nal, aged 43, he can speak, read
and write English and Hindi. He
can also speak Tamil.
86 M I House,
1-5 Lambeth Road
London SEI 7DQ
England (till July 80)
and at
P O Box 4244 RUWI
Muscat, Sultanate of Oman
S.E Arabia (after July 80)
A trained social worker with
an M A from the Tata Institute of
Social sciences seeks suitable
opening. Has some experience
in community health. Also has a
B Ed Degree. Please write to the
Vo uantary Health Association of
India, C-14 Community Centre
SDA, New Delhi 110016
health
for the
milmons.june 198Q
Looking For A Change ?
Public Health Worker
Wanted urgently
Accounts Clerk
I
Wanted a committed Christian
. lady for the post of Accounts—
The Lok Kalyan Samiti has 1. Two
Medical
Registrars - . cum-Typist clerk. Single accomm
recently taken up medical work |
MBBS, one female, one male odation may be available. Age:
in the villages around Delhi. They |
for a period of one year. 25 to 40 years. Qualifications:
are greatly in need of a Public |
Salary Rs. 700/- p.m. with free I Minimum school final. Experience
Health Worker to work in the
accommodation.
j or Training : Accounts and good
villages
where their Mobile
' speed in typing. Salary Scale :
Medical Team is working. For
2. One Pathologist : An experi 250-10-290 EB-15-380 EB-20-480,
further details write to : Mr K. S.
enced post-graduate will be Dearness Allowance : 20% of
Gupta, General Secretary, Lok
preferred. Opportunities avail the basic.
Kalyan Samiti, Sucheta Bhavan,
able for research and teaching.
Also wanted a committed
Vishnu Digamber Marg, New
Salary as per Mission’s rules.
Christian for the post of Works
Delhi 110 002.
Supervisor. Qualifications: Mini
I
mum school final. Training or
3. One Building Supervisor to
Experience :
Maintenance
of
look
after
maintenance.
Buildings, Diesel Engine, etc.
Should be qualified diploma
Age 30 to 40 years (active retired
holder in civil engineering
person with good health also may
Retired engineer will also be
Wanless Hospital, having a |
apply).
Accommodation : may
considered.
budget of over one crore and I
be available. Salary Scale: 250-10employing about 6C0 persons
290 EB-15-380 EB-20-480, Dearness
requires the following personnel:
4. Auxiliary Nurse - Midwives or Allowance : 20% of the basic.
posts,
Trained Health Workers to Apply for the above
Hospital Engineer
indicating
qualifications,
experi
work at the Comprehensive
Purchasing Officer
ence
and
full
particulars
includ
Health Care Unit at ParvathiStores Officer
ing name and address of two
puram village. Only persons
Personnel Officer
references to the Business Mana
knowing Telugu need apply.
Accountant
ger, St Luke's Hospital, P O
I Hiranpur,
Santal
Parganas,
Bihar-816
104
5. Lady Teachers:
Graduates
with B.Ed.. capable of teaching
Doctors
in English medium are required
Applicants must be graduates .
Applications invited from quali
for the Local Lion’s Club
having exprience in the relevant .
fied
doctors (couples or one
English
medium
school.
field. Persons below 45 years of j
I male and one female) for posts
Persons
who
nave
studied
in
age, having Christian committ- !
English
medium
will be ' of RMO in a rural Hospital in
ment, will be preferred. Retired I
preferred. Salary Rs. 450/- p.m. NE India. It is a busy General
persons may be considered for ■
Hospital with well developed
short term appointment. Apply |
Maternity and Children Depart
immediately to :
ments
and Eye Department also.
Apply to:
I
Salary
scale is under revision.
The Superintendent
Director
Apply
to : The
Medical
Philadelphia Leprosy Hospital
Wanless Hospital
Salur - 532 591
; Superintendent, St Luke’s HospiMiraj - 416410
Vizianagaram Dist
tai, P O
Hiranpur,
Santal
Andhra Pradesh
i Parganas, Bihar - 816 104.
Maharashtra.
COMMUNITY1 HEALTH CELL
HEALTH FOR THE MILLIONS/JUNE I960
326, V Main, I Block
Koramongala
Bangalore-560034
India
Praurh
Shiksha
Bless the day *that brought
a jeepful of young and old
smiling and talking
of Adult Education
Men and women
father and son
uncles, cousins, everyone
Where seeds are cheap
where loans come from
Government’s gifts
Block ’Khaad’ schemes
would we have known
could we have thought
had it not been for
Adult Education
inked their thumbs
in agreement
to participate
in Adult Education
Men and women
father, son
come together everyone
the darkness goes
greet the dawn
of learning and growing
from Adult Education
Ploughing and sowing
reaping and mowing
dawn to dust
we are out of door
evening brings us home
to the light
waiting there our teachers
of Adult Education
For Private Circulation Only
(A Mandat tribal song translated
by Mala)
— Courtesy : Zaman
Position: 1857 (4 views)