1/10/1993-18/10/1993 Voluntary Health Association of India- Maharashtra Earthquake an Update 13/1/1994 (DR. PV Unnikrishnan, Christina De Sa, Dr. Anil P, Nilina Mitra, Sanjoy Sen Gupta and Chandrashekharan
Item
- Title
-
1/10/1993-18/10/1993 Voluntary Health Association of India-
Maharashtra Earthquake an Update
13/1/1994 (DR. PV Unnikrishnan, Christina De Sa, Dr. Anil P, Nilina Mitra, Sanjoy Sen Gupta and Chandrashekharan
- extracted text
-
I
Maharashtra Earthquake - AH UPDATE - (13,Jan'1994)
,1’^1
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VOLUWTAMY InllEAL'HII <’««
MAHARASHTRA EARTHQUAKE - AN UPDATE
Overall situation
New Delhi
/
Three months after the earthquake of 30th September ?
----'
1993,
ongoing
efforts to
tj ensure long term rehabilitation of the victims deserve
a proper analysis and criticism - The activities at different
levels by the government, NGO and Donor Agencies is at a turning
point.The ongoing diologue between the government,
NGOs,
engineers, architects, the donor agencies and the village
connnunities has brought"out’5’some very important issues.
*•
A'
Housing/Con.ctruction
Several NGOs who were part of the relief operations are now
concentrating on construction. Next to loss of lives the greatest
devastation has been done to the building in Marathwada area.
According to the Maharashtra government, about 1,75,500 houses
have developed-cracks and suffered minor damage. An update
brought out by SPARC says that a massive programme of total
reconstruction of about 57 villages and strengthening of
partially damaged houses in about 600 villages in that region is
underway- which will last, between 3 to 4 years. Several donor
agencies have already started the preliminary work even while
negotiations are underway with the World Bank. The dispute
regarding allotment of plots is yet to be settled in ’certain
villages. Some of the villagers expressed reservations about one
of the proposals which will construct houses according to the
area of land one possesses. This has irked disputes which are yet
to be settled. Reports do indicate that the government will give
houses with 250 sq.ft, and the government has already announced
loans to those who are ■ interested in the construction of houses
with a larger area. MHADA is going to undertake construction of
houses in Latur and Killari.
)
CA
/
/
The Advisory Group constituted' by Ministry .of Urban Development
(GOI) on November 1, 1993 and headed by Mr.K.Padmanabhaiah
includes experts like Laurie Baker. A report of the Advisory
Committee, dated December .8, 1993 points out that tine damage
assessment is already delayed and has to bo completed very
quickly. If the government and the NGOs are to ensure community
participation in the construction, the workers need to be
oriented in Earthquake Proof Technology.
Health
Government health department diluted their activities by the 29tL'
day. Subsequently PHC teams have been stationed in the villrio.e.-.;
but villagers compain that services of the radical team are not
adecjuate or needbased.
liAI
Earthquake Rehabilitation Co-ordinating Centre
7HAI Team: Dr. Anil- Christina De Sa
Chandra Sekhar— Sanjoy Sengupta
VI1AI, 30 Shivpuri Colony,OMERGA
Nilina Mitra- Dr.Unnikrishnan
Osmanabad DistMaharashtra.
Tong Swasthya Ohavan,
Phone: 02475(0Merga)52171(7pin-8pm) 40 Institutional Area, Near Qutab Hotel, New Delhi 110 016,
or messages with Dr.Ahankari
Phones 668071, 668072. 665018. 655871. 652953
Fax- 011 6853708
Grams: VOLHEAITH. N D 16
Regular contact place/persor.:
Dr.Ashok Ahankari,Abankari's Clinic
Omerga .Osmanaoad District,
•ft
v
4
The initial flow of drugs in excess quantities has led to misuse,
eg: dependence and the indiscriminate use of tranquilizers has
already started creating problems. The overall situation
regarding the mental health status of victims is depressing. The
very fact that neither the government nor any agency is working
effectively or in cordination, speaks for itself.
Another problem which is presently being felt is the increase in
the consumption of alcohol by youth and others. This further
complicates the plight of the villagers, struggling to regain
normalcy. This phenomenon was pointed out by psychiatrists like
Dr. Harish Shetty, who have visited the affected areas recently.
Apart from this, the repeated tremors (called after-shocks) still
creates panic among the villagers. People painfully realise that
the disaster can strike again, anytime.
The VHAI strategy
Selection of Project Areas:
Extensive field visits were made to 27 of the affected villages
in both Latur and Osmanabad districts.From among the worst
affected areas, neglected villages with poor access to health
services and marginal or poor involvement of local agencies were
carefully screened and a total of 5 villages in Osmanabad
District have been selected for intervention.
Assessments for Intervention:
In the Osmanabad District it has been found that out of the 1493
cases admitted to the local government hospitals, around 50% were
found to be orthopaedic injuries.Since October-November 1993, the
VHAI team has been intensively involved with other health
professionals in a quantitative assessment of orthopaedic injury
cases residing in the selected villages. Todate more than 130
cases needing immediate attention in the 5 villages have been
identified based on house-to-house surveys, individual interviews
and an analysis of available medical records, Preliminary
findings of this village based study also indicate a substantial
case load of mentally traumatised individuals requiring
assistance. This situation is likely to intensify during the
rehabilitation phase.
■>.
Collaboration with other Agencies:
Although the initial fervour of agencies involved in relief
activities has decreased substantially, the presence and
involvement of health/development agencies in rehabilitation
activites is still evolving and rather dynamic. Activites and
plans of voluntary/government agencies involved in health,
women's 'development, income generation and house reconstruction
programmes
activities in the area are also being closely
monitored and field level collaboration being sought whenever
possible.
2
t
—
The SOS Children Village has finally started
started a Centre at Latur
tor around 200 orphans of both Latur and Osmanabad Districts. The
Government has given land and SOS is in the process of setting up
a children's village for comprehensive care.
The long term rehabilitation of orthopaedic cases through regular
interventions by physiotherapists is going on in certain villages
in Osmanabad.
The activities
for groups like Handicap
International, Samuha, VHAI and other like minded groups has
significantly addressed the issue of rehabilitation of
crchopaedic cases.
Community Based Strategy
A group of resident community volunteers have already been
•selected from the 5 villages.
villages, On the site orientation
orientation and
, training sessions are ]being conducted periodically to identify
new cases, provide regular and timely followup, facilitate
utilisation of available services, mobilise local resources and
organise group activities.
r
’ ‘ * professionals and students
Health
from the College of Physiotherapy, Func
Pune anC
and Sion Hospital, Bombay
have also been mobilised and are providingJ on the field support,
training and assistance on a regular basis.
The VHAI team has; been involved in the liaison with local
agencies as well ias the coordination, close monitoring and
supervision of field-----activities
• an ongoing basis.
----- on
*****
VHAI team:
Dr. P.V.Unnikrishnan,
Christina De Sa, Dr.Anil.P,
Nilina Mitra, Sanjoy Sen Gupta and Chandrashekaran.
)
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The sltilT of tin Ahmcdabad-based ice cream company serving cooked food
at a camp at Holi. '•
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• 'lately noted down.
Department, Solapur; the Jai Jawan
’N-i'here are two distinct categories of Singh Factory, Nalegaon; the Rig
voluntary organisations which offer Owners Association, Solapur; the
different types of aid. Many charitable ' Swami Narayana Swainy Mandir,
and philanthropic organisations re Bombay; the Gurdwara Mandal,
sponded almost immediately by under Nanded; the Seva Bhavi Samstha and
taking to conduct mass feeding pro- the Khandesh Vidarbha Sangh.
. grammes, and free distribution, of esA group that responded immediately
. sentiul items such as clothes, utensils,
to the crisis was the medical commubuckets and stoves. Each village was nityt According to Rajiv Jalota, Chief
allocated to one-organisation.
Executive OfIs -’r of the Osmanabad
In Talani village,the local Manjira - Zilla Parishad, 22 organisations (in
Sugar E'actory started a public kitchen eluding the Indian Medical Associ
• from the second day of the earthquake.
ation, Parbhani; the Lions Club,
Food (rice, dal, a vegetable and puris) Karad; the Ashla Medical Association, '
' was being cooked in a makeshift shel Ashla; Balasaheb Thorat Association;
ter. 'The factory runs kitchens in eight the Indian Navy; the Red Cross,
cc
s and feeds 2,000 persons twice a* Andhra -Pradesh; the Wadia Muslim'
day. At Ganjankheda, the feeding pro
Mission, Hyderabad; the Lokal Medi
gramme had been yjven to volunteers cal Association, Natheputhe; and the
from the Al BEA and an organisation of Seva Phani Trust, Pune) sent a total of
youth from Bombay called the Yuvak 227 doctors.
Biradari. In Narangwadi village, the
The second category of voluntary
rudev Sidha -Peet, Ganeshpuri, was intervention has come from those non
tiding 1,500 persons twice a day.
governmental organisations (NGOs)
At Sastur village, a large but which have been involved with rural
' disciplined crowd was being given a development in other parts of the
lull kitchen kit (stove, lantern, rations, country, and which intend to involve
utensils, bucket and blankets) by rep themselves with the long-term reha
resentatives of the Akhil Maharashtriya bilitation of the people of the area. The
•Jain
Sanghatana.
According
to Church’s Auxiliary for Social Action
.Vijaykumar Bedmutha, its district rep (CASA), the social service arm of 23
resentative, the organisation was in Protestant organisations and which has
charge of nine villages and fed 15,000 worked before in disaster-hit areas, is
. persons twice a day. “This is a rich working in several of the badly-affect
area, fully irrigated. So we arc also, in ed villages. According to Vinial
collaboration with the Times of India Sonwani of CASA, “We have distri
Relief Fund, providing families with buted of 10,000 relief kits and 20,000
MAHYCO’s hybrid sunflower seeds,” TABC vaccines. But these are just fire
) 'he said.
fighting measures. We would like to be'
1
The range of organisations involved involved with rehabilitation, followed ■
m this type of relief is quite varied. up by development work. ”
k
. They include such innocuous-sounding
Die Voluntary Health Association of ■
- erganisatiohs as the Soil Conservation Indkf jVnAl) is anotheForganisatiSir'
9 .
FRONTLINE
NOV 5,1993
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which ha-; plans to involve itself wi’h
.'10ii|’,-tcini rcl).i‘ii'i,:i!i' n ol Ijhe v! »i• • r..
according to Hs.icpicscnlalllVe, r'r. P.
V. Unnikri sL n a i r, ‘‘Alter u .ss l'. ja* I ies people develop what is called PTSD
(Post 'Trauma Stress Disorder), the
symptoms of which arc loss of coordi
nation and violent rcspon-es to
stressful situations. Treating this v.
be part of our long-term rehabilitation
effort. We will move in alter the iniftl
medical needs of die affected pcopL’
are taken care of.’’
f
A group of '10 NGOs have aln-'dv
come tope''
to cm"
■ ,i rd .
forts belter. NGOs with tr.i :i smaller
resources but committed workers are
well equipped to han.l.c the more sen silive'areas ol rehabililation — lil-e or
phan and widow rehabiliintion, for
example. The Mahaiashlra Govern
ment seems to have recognised this po
tential ol die NGO initiative
The Shiv Sena is also trying to make
its p’rcsence fell, a'.!hough there seem-;
to be a conscious clforl to conf-ic it •elf
Io areas where it can be seen. I’orD-d
snilion Ila’’/; arc planted alonv the mam
highways and important vijlages, but
h'ardiy in the inlciior areas.
The third category <’l t•
has totne
from loicig!i p.ovei rnnenls and. volun
!ar\ groups.- According to Naud Lal.
Settlement (’ommissioner, Maharash
tra, who is in charge ot iclie! supplies
to Osmanabad distiict, UKAID sent
4S8 terns, eight lorrvloads of plastic
iarpau: ns, and nearh. ■-.(.'■'M watet con
tainers. The Biilish Government sent
b!".nkets and •im» tents. Japan sent 8(M)
blankets, . water* blooms,
water,
purifiers, 60 generators, cord reels anil
emergency medical kits. Pakistan sent
MB tents. GAR!- f Cooperative for
American Relief Everywhere) Interna
tional has aheady committed $ 30,001
towards relief, and according to R. C.
Mahajan, Coordinator for Earthquake
Relief of C/\RE, “We would like m he
part ol (he Governmentre pabilit ti;'»n 1
programme, particulalrly its ICDS i
(Intergrated
Child
T
Development }
Scheme) in the area.’- At the core of
the relief system is the mass feeding r
programme which gives affected pnpu'alions two incals a day. This will be
withdrawn when the transition from
relief to rehabilitation is made.
W,hat will happen then? How will
this vacuum bi- tTled? Will the focus
be on generatin'', employment? Dn Dasara day, a major phase of the rehabili
tation programme will start with the
construction of new villages. It remains
•t to be seen if the Government will be
able to direct a cbmprclicnsive pro- *
gramme of tehabililaiion with the same I
efficiency as it showed in providing
'
lief. I?
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THE EVENING NEWS (DELHI) OCT 20th 1993 .
')
Conscience qtiakes,.?
•^duake relief |
Evening News Correspondent
around the affected ares. Vital in
NEW DELHI, Oct. 20 — The formation regarding the relief and
Continued From page 1 col. 2
Heoltli Association of rehabilitation operations could not
trauma-related psychiatric cases,
A ' an umbrella Bo3y
disseminated among the
\V IAI
orthopaedic injury related cases
„ more than 3,500 affected villages leading to chaos
representing
and injury or damages to internal
I health and community develop- w‘l^ distribution of emergency • organs due to crushing.
ment organisations
in its
________ _ __
_ report supplies.
The report said that in Solapur
following an on-the-spot assessreport claims that while J district reported alone 77 cases of
ment of earthquake hit areas of emergency supplies and assistParaplegic were dealt with, and no
ry Maharashtra has pointed out once has been concentrated in
long-term
rehabilitation
plans
<■
several bottlenecks in the relief terrain
certain villages a wide crosscros
were envisaged yet. There was no
I work in the villages. The report has section of affected villages was
y<
mechanism to listen to grievances
J also categorised rampant corrup- being neglected.
j
of victims and survivors. There
-J tion and misbehaviour by the auAn on-the-spot survey of types
was rampant corruption and mis
authorities.
of medical cases in affected vilbehaviour of authorities. The re
The report states that there was lages and hospitals revealed that
port hints at village sarpanches
<2
much ditTici
'\ in obtaining the rnajor case load comprised of
:ulty
extorting money from village .to
authentic and reliable
--------data
--- -- Jat and
Continued on back page col. 2
issue resident certificate.
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f ax: 011 6853708
G'ramr,: VOI.HEAI 1H. N.I) b.
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THE HINDU
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20 th OCT 1993
belief operations marred
by corruption: report
I
1
From Our Staff Reporter
.
NEW DELHI. Oct. 19.
With emergency supplies and assistance con
centrated in certain villages, a number of quakeaffected villages in the Marathwada region have
been neglected, according to a status report
brought out recently by the Voluntary Health
Asso5raUoh~on?iaiarVHAD7——
7Xh on-th^sporassessment made by the Delhi
( based voluntary organisation has suggested
identification of specific needs of selected clusi------------ters of affected ..:n
villages receiving :—
inadequate
as
sistance before disbursing relief.
According to the report, relief operations,
* but there
were, no doubt taken on a war footing,
I was no mechanism or machinery
i-----1':—/ to listen to
*- ‘the
ucted victims and to deter[ grievances of the affected
1 mine their long-term needs. It also recorded ram
,
r
pant corruption
hampering
relief operations.
The VHAI report also called for monitoring of
----- rr.
----- ------ r*
Tong Sv'nrthyn
40 lnsti|i'’ior'r'i Arj «
I’Ikhv•; Hl lit)/1, i.; '■>
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' Grams: VOLIK Al III i! !) |h
Interventions and strategics undertaken by stat”
agencies in order to identify specific grievances
and channelise resource distribution at local
levels.
|
Stating
l
stating that
that there
there was
was much
much difficulty
difficulty in
in L
fobtaining
^'n'nf9 authentic
au^ent’c and
an^ reliable data at and
ana arohnd
arodnd
, affected
'’ected areas, the VHAI reonrt
report <said vital information regarding the relief ;
arid
-y rehabilitation
_■ •operations
could -.not
disseminated among
i
— - be w
a:'ecj5^. villagers and this led to chaos
affected
chao! in the
distribution of emergency supplies.
Among the major recommendations, the _re;
port called for indetification of beneficiaries in
negTected villages.
The four member team comprised Mr. P. V.
Unnikrishnan, Christiana De Sa. Raj Bhujbal and
SioghTThe'on-the-spot"assessmenT was
taken during theTfrst w^eR-jH order to plan speci |
no interventions and strategies through VHAI al I
the'Central and local level. ■ ---------------- - >• >
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CHS
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9tn KCVEMasR 1993
Latur, Osmanabad rggidents live in fear of o uakes ■
Sriprakash Menon
ZZZZ
I THE FEAR of earthquakes has
i gripped villages in the districts
of Latur and Osmanabad. The
inhabitants, mainly farmers
and farm labourers, spend their
nights outside their homes in
maeshiftpandals.
Even though itis over a month
since the catastrophe, “fear is
i the night” for the still shell| shocked villagers. The main
j reason for their being scared of
the darkisthefactthattheearthquake hit them at dusk. All this
was evident from the villagers
who are still recovering from
their ordeal at various rehabili
tation centres
Their fear is compounded by
continuing minor tremors expe
rienced in villages near Umerga
and Khillari. These minor.quai kes. termed by experts as “after
I
_
shocks,” are said to generally
Latur district collector Praveen Pardeshi, overseeing the
mammoth earthquake relief
operations, however, said:
“Geologists have not given
anything in -writing to the admi
nistration saying that the ‘after
shocks’ are natural. It is true tre
mors are still being felt in some
villages; 70 of them have been
reported to date. Geologists and
officialsfromthelndiaMetereology Department are studying
the phenomenon of quakes and
after-shocks.”
Even though Divali is just a
week away, their is little festivitym Latur, the main commercial centre m the area. “Most
shops are normally illuminated
well m advance and there is a
huge movement of people to
and fro during Divali. This year,
however, many non-resident
I^atur families are not planning
tocomehereortoeveucelebra- affected areas Village nnt
^L
’n the
the rehabilitation'
Au^"'5
counter productive. The NG Os
. t f!SdV?::;an2“t0™k,,shaw included in
rehabilitation
At a in^rs^elr Ca?PS’ h
^e asret‘O ’.'abse that a jc^
pointed out.‘People m Latur- scheme ha”* also been exerting quake victims
sulfe'r'from both
H.a.V^nOlbeKn.nJuCn?£!'ect?dbj’ pressure
Pressure to build ftemporal physical"and r
effort would be much more
- - -- — J mental trauma. effective, he at ded.
the quake, but thev have been sheds forthem
” he said.
said
”
moved by the relief rehabiiita- sheds
Thefor them,”.heA......
v..
Orthopaedic cases are not get
Volunteers of the VivekananThem jst important task befo ting proper post-hospitalisation
tion process going on around re the administration, says Parda Medical Foundation and
attention.
them.”
Research Centre, Latur, operadeshi, is to obtain more land for
*
The
Delhi-based Voluntary 1 ting under tl e banner of Jan
Moreover, villages around the various rehabilitation sche- Health
/
-.cJCi Association ^f India,
Latur are rife with rumours that
government has with its team oi social workers Kalyan Samit., have rendered
. * ‘“-3 714 hectares headed by Dr L-nnikrishnan and medical <.itei.;;on to about 400
them on Divali. Such rumours ot land3 in
earthquake v.^tims. The Samiti
which various civic
__
_
have been doing the rounds for amenities, such as roads and Ajay Kumar, is engaged in hel has 1,500 vo unteers active in
quite
x i sometime. In Latur, power supply, will be provided. ping out such patients. Christi around 10villages. Aware India,
i
of VHAi, I another NGG, is helping out in
people ...
ai „ generally not bothe- Over 75,000 people have been na De Sa, a member
red about a quake
x ’ .J as there was accommodated in these tempo- said that post-medical attention health caie i;i Latur and Osmafor orthopaedic patients was nabaddistric s.
hardly any damage during the rary shelters, he said.
I
essential as some of them were
.previous one.
Around forty earthquake vic
The
rehabilitation
proccs
process
temporarily
-------sttlu
*
-J
handicapped. tims being trated at the Viveka-.
Meanwhile, Pardeshi said has, however, been criticised ii
that “each fair ly had been
a jsection of ♦he ______
_ being. Aeglect could well lead to per nanda Hosp lai, Latur, are not
press
as
given a cubicle of 170 square “slow and ineffective.” A local manentdisability, she added.
B.Ravinathan^raph^hefeet in the temporary’ structures
f
---- ’ in
’ around* *40- villages. leader reported that many rapist
from
ba^prt
HOm/the
he PondhicherryPondhlcherrj'- Iilation and relief operations
erected
Hems, including essential com- ?
rThe
._____
_ problem U1C
based
a!> .t Handicap
Hant!lcaP International, under whfeh-thev would be
next
the admi- modities
meant
for
the
quake
nistration is faced with
said that non-g?”e“msjit c.
—i are the victims, pave
have reached the --- -------- -governmentorga- entitled to free housing as wel’ I
J
...............
demands
by villagers residing homes of ‘fair price’ shop nisations were doing a good job, as lhfl 01h, r re]jer measurc<.
on the fringes of-the quake- owners. The matter is being but a lack of coordination being
provided
by
the
among them was proving to be government
*«>«**.
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(MALAYALAM DAILY)
MATHRUMBOaMI
1993
-OCT 10,
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VII Al Media Coverage
THE SUNDAY OBSERVER.
(February 6Z
EARTH
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■Govt apathy compounds quake-hit victims. misery
’ RAJ NEESH DHAM
* " -Of Ind ip, the apex body of every two days, but volunteers onwards. If that is not done,
the person could be paralysed.
.------ ------ - ------- ” !'. . .'3,000 voluntary organisations, allege that they come once
BOMBAY,’ ’FEBRUARY
' in the country, finds'that the' ‘ every eight days and do not Similarly, group counselling is
Voluntary organisations are initial flow of drugs in excess often move out. Neither do not available for trauma vic
/•Concerned XClibOUi; .-■/ the- quantities has led to a state multi-purpose health workers tims.”
VHA] conducted extensive
who fear that medicine and |
.Maharashtra
government’s ofdrug dependency. The report
: fa re to develop a plan for also says that psychiatrist Dr expensive equipment lying in field visits to 27 of the affected
in
Latur • and
the PHCs may be pilfered. villages
/lohg term rehabilitation 'of..‘’.Harsh Shelly of Bombay, and
‘‘Though the government has- Osmanabad districts, looking
I orthopaedic ;and traqma vic-;./, others, who visited the affected
“ ‘ rfor
“" those —
which
* ~l- *-had
- *-----poor
^tims bf last September’s earth- areas, have found an increase sent psychiatrists to rural hos- out
.access to health services and
pitals in Umcrga and Latur,
’■’.qUakc which devastated 72 , .in the consumption of alcohol,
their presence is hardly of marginal or poor involvement
ivillages in 4 the districts of
Compounding the anxiety
any
importance as trauma of local agencies. They selected
lOsmanabad ’ and Latur. Re- of the volunteers is the failure
victims are still in a comatose four villages in Osmanabad
ports have trickled in. from of the state government-run
doctors and psychiatrists work primary health centres to pro state and refuse to leave their — Taushigad, Kate Chincholi,
temporary sheds to visit hospi Udaipur and Murshadpur —
ing in the areir about * the vide physiotherapy and other
abuse of tranquillisers and
follow-up for orthopaedic pa tals," says D S Gaekwad, a for medical attention.
selection of
-Following
. ........... o the --------alcohol in several villages.
tients, and psychiatric inter volunteer from Udatpur
Says Dr P V Unnikrishnan |tjie villages, the tVHA
......... I conFollowing complaints of in- vention including group coun'
’ an extensive door-tosomnia, loss of appetite and selling for trauma victims. In 1 of the VIIAI: ‘‘Long-term ’ ducted
'sbmnia,
rehabilitation of orthopaedic door survey and discovered
' restlessness (also known as
fact, the government health
injury-related disability and 130 cases needing immediate
post-traumatic stress disorder),
department has been criticised
trauma-related cases is crucial. attention. These cases are part
multi-purpose health workers for scaling down its activities
Experts say that 50 per cent of the 1,493 cases admitted to
' vIPHWs) stationed at primary,. .. jn the jifl'ected districts..
of such cases should be cured the local government hospitals,
ealth centres have been doling.'
Though the government has
>ut sleeping tablets and pain /primary health1 centres in the in six months. But this is half of them tor orthopaedic
only possible if physiotherapy injuries. On an average,, the
killers in substantial quantities.
affected villages, doctors do
cases of
is started at the right time, | VIIAJ also found ten'easi
A report prepared by the - not have to be stationed there;
that is, from the 45th day trauma per village.
| Voluntary Health Association! they arc allowed to visit once
'
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RF_DM-3_LAT-2_SUDHA.pdf
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