Aruna. P CHLP 2015-16.pdf
Media
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2015-16
Community Health Learning Programme
A Report on the Community Health Learning
Experience
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School of Public Health Equity and Action
(SOPHEA)
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building community health
Society for Community Health Awareness Research and Action
Report On Community Health Learning Programme
Submitted By,
Aruna. P
Mentor
I.M. Prahlad
Batch-2015-2016
years
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'•2016
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building community health
*3? *'»<» action
Table of Contents
Acknowledgement
ii
.
Why I Joined the Fellowship
1
Collective Session Learnings
2
Field Visits
5
Field Based Learning
6
1st Field work report
6
Organizational Profile:
6
Field Visits
8
Field level awareness activities
9
Orientation visits
10
Understanding community: Kallahalla Hadi
12
2nd and 3rd Field Work Report
15
Organizational Profile
15
Description of the community
16
Field visit
16
Devadasi
16
Waste management
18
MGNREGA
21
Field Study
23
.......
28
Reading list during my fellowship
28
Over All Learning
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Collective Session Learnings
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5
Field Based Learning
lstFie!d work report
tjodd,
Organizational Profile:
Swami Vivekananda
?JDd^ 30 ^rftod
Youth Movement (SVYM)^o?5o^hd.
A
d^ dodoi^ 1984 d<g
^333
TJDsdd
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E±d: 3ao&r&&rttfdd, ^c^osrbdd. dodd ud^crt, £>3ro, ddxcssoi?
stoalssaA 50
eA
dodo
ds s^odd do^odd ssodFdd^ ^dF^do^d.
Vision:
A caring and equitable society, free of deprivation and strife
Mission:
To facilitate and develop processes that improve the quality of life of people
Core values:
Satya -
Truthfulness
Ahimsa-
Non violence (both in thought and deeds)
Seva
Service
Tyaga -
SacrificeThese are the driving force behind our work
?oo^oi^(SVYM) 4
•
^3^
1333*
SVYM^o?jc±o‘4 target group’
R
M
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A
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reproductive
maternal
newborn
child
health
adolescent
6
SVYM xtoTooiX) 4 $3^3^
oiss^odd,
1. Vatsalya Vahini: Reproductive child health programme
Project area: 5 primary health centers of HD Kote taluk.
Beneficiaries: tribal women and children.
Objective: improving the maternal, neonatal, child and adolescent health in
the project area.
Vatsalya Vahini focuses on improving the maternal and child health status of
forest based tribes which come under five primary health centers. 56 tribal
colonies are being cover by 10 trained field workers called health facilitators
who work both at the ground level and at the PHCs in addressing health care
needs. 108 ambulance serviceeare provided free for mothers, children,
adolescents, eligible couples, those with chronic illness.
The primary target groups in the project includes woman in the reproductive
age, pregnant woman, delivered mothers and children below 6 years service
are provided through direct and facilitatory intervention to improve maternal
nutrition. ANC coverage institutional deliveries, family welfare planning,
improving new neotal care, immunization child and nutrition.
2. Arogya Vahini (outreach services)
Goal- to serve as a primary point of contact for the community for their basic health
need and foster a sustained behavioral change for a healthy living.
Objectives• To establish an efficient DTRA (Diagnosis Treatment Referral Awareness)
network in the project area for optimal utilization health recourses.
• To familiarize the community with various government schems as well as
various health, education and development related services of Swami Vivekand
Youth Movement.
3. Mobile Health Unit (MHU)- MHU delivers primary health care through reaching
out to the communities residing in underserved or unserved geographic areas.
SVYM has been operating the mobile health clinic in tribal colonies of HDKote taluk
since the year 199O.The program has gradually developed to provide a
comprehensive health care looking at promotive, preventive,curative and
rehabilitative components.
7
Activities:
• Mobile health unit visits to the colonies. All colonies would be covered once a
week.
• Referral and follow up of all people identified to have illnesses needing
hospitalization.
• Health awareness
• They are referring to phcs
• Regular follow up at the field level as well as the hospital will be facilitated.
• They providing immunization
4. Chaithanyavahini : A rehabilitation initiative for people with disability.
Goal - to develop a sustainable rehabilitation program for the identification,
management and prevention of disability in HDKote taluk.
Activities:
• Mothers meeting
• Village meeting
• Promoters meeting and training
• Street play
• Events / special programme
• Asha / aww training
• Group discussion
• SHG training / SHG meeting
• PHC meeting
• Camps - anc
• Camps - immunization
• School health programme
• Community radio sessions
• Immunization
Field Visits
1. Tribal colony-
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Field level awareness activities
1. Village meeting:
t59d9 aoLQrt $et3 aedeososodo. 3s ^odr^dod) ‘ssado^dcO’ -
dodjd 3so3o dodojdodo.
sort dodo
3s d$od€> 20 ^d z^AodroAddo. d^dooa^sroA dodo dodo^d^
esosadd^
dddeoso^odo.
do&^cdodo dddo^^dessd dSdritf
zjrf, dddcdo zort, ^coo^c^rrt^ zo^ doaMcdodo, d^deoscoodo. ddoocrocdod z^dod ^dod
ddod^9
zod
39 do
^ddo^
dod-djoddd^do^
&rodo^dd
dojoo^
ddo^cdodo^
zortaoOduDooodo.
2. Mothers meeting: 3dedod assad dets Sedeosoaodo. ds roodr^dod) ‘srode^&ao)’ -
dod^d saoddododod^dorto. (dos^djoed^dododo^ edjsfit ssodr^do ) 3s saodr^dodO
20 ^ddsfiodsfiddo. 3s 5DodF^dod<£)doo53-S5DA ‘rtdrr^ ^odo ded zVasDrto^. d3 doe£,
d3 &>d^e, 3Qdo dj^^d dodo do^oo sadradedo,
sod dodo dod ^o^cdood EOedo
d^rddod ^rtod
t?^)d, sacoosac^r sort E^oe^o docd
dod^ oiroe^,
dodeo o3joc&e3 eo3A ^do,>4, dod)
ddcdoK9 aort ddoocrooddeJ ssdort dod
doo^od Oe3cdo£)
A
co
3$&ddo.
9
3. ^odo 7kd3d do^dd^ 20 dzd3dod ^zs6^ odg d-^as^c^o^do.
ds roodF^dddg
dx£LS33A
24
zsd 233Aod3Addd.
ds—’ 53odF3ddd€)
<2J303ddri^
sari
a
*
q
co
n
ddF droderaoMb.
(d^ortas, z^d^dasd^zo) ds 33oi)Fj£d>d<g dzd 3ddoddd dedz, dX) eruzis, zsa, decb, d^^3
es^3d, d.o3x>33 dd^, dddod
ddFdcraosadd.
zart
dS^odda. ddodco
djs&o^cxbdo, ^ddcb.
<s3Qod
rJ
<
Mobile health unitrt^ sori
zoda^dcro,
^0353
^oza
_0 Q
CO
&F53ortddda
d.^,
—' K
3e#c33K.
oo3^oi) zsddo zodrfe ^doo e>F3e^ Oe^at sadrazteb
(SjrtjacS go3&):
> d^oi) &3dd
> ojJ3d dddodd<£)
zadzdd ^odz rias^dddjdo.
> z^zade zodco xjsc^ssrb^de
> 2^ods33rbdd.
d^dzdddz. aodri E333Qdco oiro^rfe dedoi) aorasd^
dodd rt2pr^oi)&rt e323o3oi>
^OTbs^ao.
^zSdsrod
za^doi)^
3odd
sjddzsidd
^cdx^)doc3e
exgd
3&&^o±>dd e>ddexf3 rt$F^ s&Wodzdz &©oio33d. ^ddod tsrbd t?f33dddritf zort e dd&o^oddd
d^doso^dd. ^ddod £do3
Tjsd^^cd,
^ddOdzjessrbdd.
^dd zodn dro^doddd,4 e^doso^dz.
4 <*>
a
4
-c
Orientation visits
1. Community Radio:
7jdx>C53od deQoirae deod,^February?4, 2012 dodd ;s3dE3 d33da3cOddz. d^^O^A ds
zsddc^
e3OZJ3dd health,
communitydeQoifsedfO
^dddf
wns
education,
tribals
33od>FdE&4
rt^rroA
coverwrbdd. ^dzzcrooddcO
180
e>dde
de^^3^33d.
iooooo
SdF&TMd.
d^oSaszodo
papulation
ds
^3riddA)
^C33C).
ds
communityradio d<0 dx>£)S53A doddoz^, e>odd 353dd<g 3 E33d e>$F rtodritf 530
dd3dC33odd€) z33A)7dd z^ddri dzddozsd ssodF^dodd), dd drodcjsrbdd.^dz dd.de «C33
roodF^dodd^
^dFSodz^d.
233 23^3
ods^dodd.
y>d)
•
<^233^ £)7jOi)
®
233$3 rjdcp3
•
efod
3deJ
xs
•
lofted
•
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•
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•
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•
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•
oi)dE323edE3
^20
dortssc^ dorbsid
ctodC^d dac>r5
ds&j3dd
tsoior^ed
&
zidsdd Ae3
10
Understanding community: Kallahalla Hadi
1. Understanding and describing a community
1.1 Physical
aaadodo
aspects:
dadeo
saQcdod
tsdddcd
d^cdoa
ddozaa
doodd^fid <^odd de^zododa. edd ^d
d^_c ^ozooda do^Ado
dddo&od
^d <^oda
ro
4
O
c5 Zi
du^zjdddd.
1.2 Infrastructure:d5ard^ ds ^od^aaa^d daas^saaA djaec^d d^d^ da da <a<d$Wo3ada4
daaa&radd.
dadodda,4 dddoaaod
^dasad
eaoda de^zaadda.
eJ
ci! 2d
-e
1.3 Demographics:
Male
102
83
185
Name ___________ Families
A hadi_____________ 53
B hadi______________ 40
Total ______________ 93
Total
Female
83
72
185
154
339
155
4 de^oi) drirrfc^ ^arazaadda. tsd; cxdad)dodd,
d? edaroA) ziEaaoridg
o±>dd^, z^sda^dazaa,
dts&dazaa.
cJ
©
tj
1.4History:
djsdo ^(gd ^erooddddd dddooQ
djadoo sssdrt ^odd
zoodo dd dodd
2x)^oi)g ^ddo. do^d
wodcb. (ods^ ewddod
sADcb / s^Qo^od asD^d gjodda tsodd djadco e
eJ
oirocraddo ddd « dddda,
z^odd erwddod dzdjseodd
enjsod zodd^dda.
(' 60 ddrd kod ).
_o
_c Q
'
dodd & &?jaortd<g (z^da ddazo) odrooadd/a ddd e>ddda4 erwdd odzsdaadda
zjoo
e>ddda, daa^dd daad ena e d.Scda dddo^ddda, daadeaartadda. cnjadd cdazsdaadda
drtdd daad. «ddda^ erw^deaa ?ja^aaariadda.
(ddsadda) ^oaaadg tsdd daadoa
djaz^-dad^d^ aaodja ctfazsdaadde aaoda de^zaaozda. ^dd ddaad / d^add) tsds^dg
^d. tsde cao dddda, erw^dasad.
dj^d daacsad.
1.5Culture: ^dd d.e^arod dw zdjsd^ dedd dzo. ^ddz dxa^srofi
dsrod^ dj^fA djsd daacsad. odrooaddja ddde e>dd& t?ddd), ^d^ dja^^Sdasad. z^oda
&
_0
-0
V
des? d^dododd d^d 3d4ex) waaad
z-oda de^ oirod)de sqa,^
«<
_£>
saQdg z^edojaa^ sq^^cdad^ (z3o£) Padded,
e>odd 3 ddd z^d oirodjcraddja z^oda sqa,^
zadad.
1.6 Health status:^ ttosotf sroQoixg
gjoabbs^d)
CJ
O
13
3
de^zodddd.
1.7 Food: d3, roA, $d, djaetf, e^o^d, daod, dddd^sb.
l.SFestivakdearods?, oi^nad, d^rod.
1.90ccupations:djsez3Z)6&oe Tjadrod^ zsFrooddddg d^oiosad. «dd
dodo-oO
^H)djZ)df KcTOortdddd 3J^zodo ondoSjaefidd^d.
-o
s^ortdddb
12
1.10 Education:^
co
y
3osQod<£)
co
doajddd ^ddd^Add
djzdd
_c
Q
c-A
co
y
o53dod£)
5 de
co
ddrt^o&ddrta srad ^o&jodd ^d. edd 6 de ddd^o^od lode ddri3odddrto & ddts^dd
cJ
djsedde^rddd.
1.11 Water sources:^
^aodod £edd d.dd
^o&jodo zto.Ad.
co
a
q
<\
1.12 Sanistation:open defecation
1.13 Existing group:
•
zssd ddsro^j dddTO dod (10)
•
^e adetf AD&dd o&ddtfd do^ (12)
1.14Alcohol-menand
women
80
%
dssbeJ
^Qoddssd.
-c
d^drd,a
^ode <30.
e^TOortd<go5de <30. zsg deeded:, dwO ds
3od#xj■6 dj^erd^d.
Male- 200, female- 150
_0
1.15 Sources of incomers&d
SxTOortdddd
CO
dJ3 &£)dd3sd
e^odo de^wdddd. e?dd « dd ^<5 drod dosrodd drodd
drsddo,
« dd£,■d
_o
<
-6 4
djsd, erodoiteeAddasd. edd dddodd dedddd^ ded dddde& ^odo oioedd droddsgSo.
d^ d ^edtood
1.16 Mental
co
30 ne.aoe djadd&d <aodd de^waddo.
00
9
health:djadd£
e&Qertdd^ed^
a
co y
zOTortdddd dtdosod ddodjiosAdzaa&do
O
e>ddexg rt$eF^
dSo&daddda
^aresodadd.
dxa3.sroA
a
^<£)d
co
d^eoda ex£)d
^Eaaoddddd
co
*
dad^odd: ddoddssd. ^ddod da^ daeeSoda do^ad)
edjae^ sadodarddd
1.17 Community
co
saed
e>dd
^oed ^odoaodda.
learders:ds
^eodad
tfoaotf,
zbaedoe^dddda
^)Qode)
co
d3;&
ddddcroodd
d^de)
eJ
co
^rood^ddd^
ci
4
cS^djsdo
oij.ddddETOcdd^dddd,
v
&
a
ci
4
d&o&dasad.
1.18Class:^<gd ^E^oddddd
^rfr^ deoddasd.
2. Understanding community problems riorities:
•
ri$F^ ddd^oddd &Qo&d33d.
•
zjsq. £)^d
•
dod djaerb^dd.
•
e^r^sroA &>odx>dcrad.
5
3. Understanding community priorities:
aoDQoi) ^Eraortd^d
>
zSedd djsdod t573 edd
> T^dd 5sQd€) djsfrtco od^d^o.
>
ec^co Tjsd,^.
dddo dodod^d doaood 3s?dD djaerb-sd.
13
oirasgcroddd oirae&FS zoodbe tsdd
35^5^ :
•
£>gra
•
ed,d3, Mradg 5c)0d)F ddrgoTb^cbdddo zjdosdra cdrortde^.
erisfcfc. dd&
zjodd ^zpd^a «zd3d ^ocd 3s?^dcb.
0e3
sodod zsEroortddcd 3do& assart
odse&sd &>ert ajodtf d^a,Acd3d
esocd 3s?A)dcd. &>ert odaez^d soodd
<=<
-C
^saoda d^oaddoodoa
Tjsc^asszd^d asoda ^oduaodda.
edjsert^ ^oaood sjtso^ ^wddja £roo3dd sjodd ^£0 ££>e^od oix)^
esd/Der^ sroMoi)
tjoxjccoou
z^ddoi)^ Irac^rb^rf
3^ o±c^^ )
^dood etOd ^^ortddod cdro^de 0f3oi)<g tsdjDfrt^ dozood dfe3o^ djaodd wrd^jdo £>odo
3^oi)eJ3o^sb.
4. NRHM:
PHC- & ddW^d PHCri
^zpoiradd rtorfcb:
UtJ^eod rr^m
>
dj^doLcOd^d.
3dcco dd^d dorbdd dddrad d.droradd^ ^Tddjcd.
> Ecjosd,^ d^edrt^d^ ?5odd
god, d^eoodro, dozd^ dddossd sjDODdr^dd°\,
dodo^ra djscddjdd.
> d^eodsrofi wdddzoadcrod cdsertrt^d^ dodo^ddjcd.
> 1000 &5ddo<sd.rt
2^20”Jdo3 rrodd
doddO
‘ezra’ e&oert ^odr^drodFd,
eoddrod
5
-J
eJ m 6
-6
tjddjsodii edddsofi ^drod^drod^^cdd
> eoers
W ^dddoddjsdoazd^cd.
ddjsoz^jod T^^odrd^d d^cd, Sdd, c^dodcd, srodd d^odr
dod^r T^dritfd^ 2^dfi;ddjcd. dsaodg Tjadrz^ori
eocg d^oz^rt^o &zddo3
djocdc^jcd.
wdj^ez^ ^eo^d ^o&rtsfc :
> d^d djsdr
dedoard^cd.
> rtzpr^od dJ3focror§ djad socd^c^r dedoordd:.
>
3 23^0 d^eod
djsdoozd^dd.
> ^draso^d dja^d^d^ Sedejozd^d.
> t3,&3 <302^^
dedejszd^d.
0J1
_c
> d32oed3ri
2333/>» 3d3d_o rtoc3ao3d dorioddo,4 zdcb3X) djs3-0 —3dd
S.zdasterazd^d.
-0
’
e)
v
_p
> 233r®o3rt e>d3dd^) ^ed dedosztdd.
> djad a^)Od £JOed£<303od
sortn ^ods?3 dcdcrazd^d.
5
_o
>
dd3d dd£<?rf
u
?)ed(^zd3d.
14
>
U
d^ddEd <a dddra djatsdc^ddd.
—
0
> zjaej^d^od juaod^rts? dodo^ra add dud dedejaddd.
5j)oi)r^^rcb 7
PHCo&<£)co
—’
2Odd3^c3.
rtdcidcddrf 3d?3ca)A
rtd^dE33c5imrnuniz3tiorioix
_o
<
z>j
a
2nd and 3rdField Work Report
^ojor^e^,
z^etsrioci)
cj> —J r
^dd&Qoc&,
(?>
z5eL3
e±o<5D.a ervdez^odd
?jo^oi)
aSdo^O.a rtb
o
q)
TjO^oI)^ e5cpra&aQ&r3oc£), 7o^c^o±)d<g zpaAoiiaA
_j
3£o&)E§dd zira^rt ^o&r^i)r^<g zpart^Tjoao^^d.
Organizational Profile:
7j^) e)odc> o&ad/aoSrto aaes?&r^<zjarid tso^dortd
7j£) 13 ^Epraod Tjs&Dcrooi^A
oio^zs^d 3<£)3fidd^ z^oda
d£ ^oddd
ejgOdA E5eO3. &>odd$d, dcDd, e’odo.soad ddaacjaodd^ ododz^dO/i
^d^d drosaAd.
z^oc&
odadssdort ^>^ra dezs daoj ^d^cd cdad darooaAd.
3<£)£od ^ddz^Addo^dcd.
6
dd) dododa
dd^
(p
—1 -D
dao^ssaA 3<£);d^d^o3 ^odad
adadded aaoja&d
dd3dx3<£)d 10 d^9 dad_0
0O_C_C
5 dort^<0 ^oddda, drocd^d.
CO
CO
=<
_D
Vision:ei>gd ^Osjpode <ac0
sojaddjsci)^ z3^&) ^osj 23e&
LdA^^oc^H§da.
Goal:&ocb9ed d£>3
Objectives:^)^)^ wo^^FcS E&ac&^c±).
zoddSrVaorf:
n^cto,
^oda^ac^^da.
Programmes:
>
>
>
>
Chilipili
Waste management
Youth exchange
Devadasi
15
Description of the community
Hospet Population - 459991
Urban
-188965
Rural
-271026
Male
-229338
Female -230653
Total Anganawadi centers - 202
6 month to 3 year children -6036
3 year to 6 year children - 7660
ANC
-1077
PNC
-1119
Education:
Middle school - 61
High school - 294
Graduate
- 06
Post-graduate - 02
Water sources: thungabadra dam
Agriculture : paddy, onion, redgram, cotton, tomoto, black eyed peas, banana.
Field visit
1. Anegundhi
2. Jindal
3. Govt hospital
4. Medical shop Nagenahalli
5. Waste management
6. Devadasi survey
7. Hampi university- Samvada
8. Anganawadi centers
9. Market
10. Municipal offices
Devadasi: dedust dd&otfo&bb
?jdddC5Do±)d<g ^ddOTd^dd^Dd.
^os^podd
dedcro^cOdod
d^^o&dd
j&ozss
e>dD$£)&nad. eAd ^od dedcro^odd dfdddooz^d^Ad. ded <^odde-^dd djaedd
droddwdd
deddddd, ddA^odo djaerb^crod.
droddedd
eJ
_o G)
CJ
—'
dd^&oodd djaerbdddd.djadd
doosro
^dod
^ddo.
tsdddsAd
ifeod
dedcro^oddo
deddddozro
s> Q Q
Q
dddfc3d. sadra dsAd d^dd ddro&d<g?3dddedd d^sro^^K djaedA&aodd djseAd^dood
e>dod oTOoto dddd
csoddHIV/AIDS sododd
16
£bktfc&d
0
20^^
s&jac&3o833
•
Kstod
•
c^Odjc)CCJcJ d
O
•
riocdd
coja>ert)^d^
<x>Jc)C5bEd)CJ^
u
^ed^sdra
^^C5ac&cft0£)d507b3do^
CO
-T
■
ck^teA; ^o&^o&dF^ zjjs^
■
oooc^ edoao ^d^d)
■
23t3d^ <dfZ)
z^ert^^od:3dojd:3ad
^dd^Sug
(^ ^onsdoi))d^ s&^od sj^zi^aog
Fd^Tozde^o
■
2^202J ^oru)do±)^.«cd>
“I
C
■
sjcxd cTO^OcJs^oixgdodoi) s^dd^d^acg
■
dd^oaosddd. ssde
■
^dOdcto^dee^od^^dd^Sug
■
^od Edddrteb ^dd^Scgco
aoj^rbsDd
-C
<
■ &oa3^ wdd^Geg
ssdrozWo:
> ^ddsSoirortde^dd^dd
> ajc^^E^
> e^FdsroA Soodd^add^dd
> dcdot aodn ds&ri Se^Odd
> odro^de $d,d<3dd^e>cg (dod)
>
^e^exi atrodo^cg
Government Facilities:
ssc^r, sbd&oz^, oj»
^disS
Seda, rbdd^^fts,
e^D^u^r, zro.o^^o^,
O
O
d®<saoo±), s^ddaSetS/des^sD^r, ervd^e^aro^idF, acro^F s3ed^.”
sfcOo&sfccS
ao$p3d<g
180
de^cjsA)O^dd^^d^E±). siWd ao^eoixO 80% ds^^crod^ort (c3^croA>) ^aocb
^dDS^d £)C3D^7j (2
skk^oiicb
&Z3)
17
dcdca^jOdda,< dcd daadasad?
_a
Tiad daa^d dad daaod^ocaad (ddd) aaa# dodd dz3 ddda aa^ ^aaedd ddda dcd da^d dar§
daed 3a$d dadad de^B daaQ daaedd daadddaad 3a«p 3^da3ad. ( ddd daada3fc3d daed e>da
zadad
ddd
dadadodadzaadda.
2d
<
dod^dtOoiae ddad^ ( swdd^^arw^) dedcsa&odassa^A daacdsad. daa^aaaA-sovad,
d^nao*
dedziad
- da^dda,&’ ododa,
d^ded.
Q
00
&’
_0
ddod£^dddedddd^ dd£ drocsad. aoza &oi)<£)
So^do
dedoddedd dddd^C d^d-
dadd
d^oiraodd
&raodd
diaed
‘’emdjae’,eaoda?ydoddddd)d^d2oQdadedode?dd^oi)daldjac3ad. dcdcia^d:2o^odda«dF^, ^adad^,
ddddd^d^a^d^d^^oda«>ddda^drddjao^ ^o^odad^rttfd^ ^ejacoada.
erocaa:
deddA)
ddoodada
daadada?ded
dadaaaaoda^od/da^doda?
^oasa^enadd:
dd^aaoaa,
dedcaa^j eddd ?aad} ^zaaa, draa da^sb. dadd 3aadod dart'd, dadodd daaedadddaodada^e.
^daa^sadra^ dd4 dadod<g zauaa,. &>ert e>de3 oe^od d,d4rt^da4 e>dd<g 3e^oaoaad.
Waste management:
caoddto dda. dad^d^ datsadodd z^aadd aaodd ^daoda^jdeOedodtgmidcdjaedEsada^^o.
e>da d^ eaoza u!zaaddcaod^odaa
daaataadd.
*
oo eo
_o
caoddtfra
ddad «&d dad ^d, dadodcDro
cO|
zsetfadodd 3d djaewoWcD
zae^adodd 3d dd_0 d3TJ ^dadodd 3d, ddoQ 3d, emdoiraeAdd
r>J
OO
dedc/, 3do*, zaatsed d^a, daadddoaaoddododadjde ddadda^ erodoiraeAdd doddedda^ 3d
eaoda deeded. 3d eaoddgraeao Oedod 3ddda4 3d eaoda dodz^daded. 3d eaoaaada tsdaaed^
^ddod
jTOt^aartadd.
o&ado±)£) :orto±> ^rt^s3?
> Agricultural waste
> Food waste
> Aanimal by products
> Biomedical waste
>
>
>
>
> Chemical waste
> Clinical waste
> Composite waste
House hold waste
Industrial waste
Medical waste
Municipal waste
> Organical waste
3zJd£)cdad
3d ^zuaodosd^odd:
CO
> Medical waste
> Chemical waste
> Electronic waste
>
zocM
da^3e^ d^da.
dortdra daadde^dd
daad, ^dozs^, ^at3Ed,
zaadaaa^-oj ^d)rt^da.< dedrddde^caart
eJ-^
Q
rJ
G>
E^rt^da^
daatsa^ddod
^E3aod30odartadodd
jsa^^dadd.
e>deOe>BodaA
18
d53dde^dd^3u3od530cdJ3rbdd.
dodo
ddoA9d34
do<£)dzfo)9odd.
dddd
zodo^ddod
dd
33,20,
-j
55
rte>od
^dasd
3od^A9o
3ododod
3co^ddj39odd.
£edo
333^^
co «J
dfdFdddde^dd^do 2^<^od deOddmdF&odj 3QdddrV39odd.
3362o5
ddort9€)
d,d3362o6
336205rt9d^
ddoassAcd.dd
do&aodo
^ddode^odO
£odad2od3C33Ad. doadododcjsA dd 33,20,3g e^do^ add, zodco add, 535J3Fdd9o oas/da <3dde
dooaodod adad zodadd.
ds d.dss^dd^ doodadoe^odg ddFdra daadod eidd^^dadd.
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22
Field Study
A study on factors associated with and health impacts of domestic violence in Hospet
Taluk, Bellary District.
Background
Violence against women is globally prevalent, and exists in every country and is
seen across boundaries of culture, class, caste, education, income, ethnicity and age.
Domestic violence in India includes any form of violence suffered by a person from a
biological relative, but typically is the violence suffered by women by male members
of her family or relatives. Article 1 of the United Nations declaration on the
elimination of violence against women defines as “any act of gender based violence
that results in, or is likely to result in, physical, sexual or psychological harm or
suffering to women, including treats of such acts, coercion or arbitrary deprivations
of liberty, whether occurring in public or private life”. Domestic violence in India is
defined by the protection of women from Domestic Violence Act of 2005.
Societies often justify domestic violence which results in woman's inability to speak
about the violence inflicted on them due to shame, fear of further abuse on
themselves or their children and lack of options. Further gender based norms mean
that in many cultures it is considered that men have the right to control their wives,
discipline them, and also punish them. All this leads to domestic violence being
frequently ignored, trivialised or denied by the family, community, judicial system
and women themselves.
Dowry, wife's inability to perform house hold chores, house not well managed,
economic constrains, children not well cared for, meals not well prepared and meals
not being ready on time are cited as common causes of domestic violence in India.
Alcohol is not a direct cause of domestic violence, but there is a connection between
alcohol use and domestic violence. Other risk factors identified include women who
had children before the age of 21 and inability to maintain stable employment.
Domestic violence manifests in the form of physical abuse, mental abuse, sexual
abuse and economic or property abuse.
As per the National Family Health Survey in 2005 the total lifetime prevalence of
domestic violence was 33.5% and 8.5% for sexual violence. Accordingly to this
report domestic violence was seen to be lowest among Buddhist and Jain women
and highest among Muslim women in India. A 2014 study published in the Lancet
23
reported that the over 27.5 million are affected women by sexual violence their life
time.
Why the study?
Violence against women has both social, economic and health consequences. Domestic
violence not only affects women as individual but also their families including children
their entire community and also the economic conditions and development. It affects
woman’s physical and mental health, sexual and reproductive health, self-esteem and
ability to work and to make decisions about their fertility. It has both direct costs and
indirect economic costs. I am interested to do this study in understand and later address
the impact of domestic violence on the women’s health.
Aim of the study
To identify the factors associated with and health impacts of domestic violence against women
inHospet Taluk, Bellari District.
Objectives:
•
To identify factors associated with domestic violence in hospet taluk
•
To identify health impacts of domestic violence To understand perception of the
community regarding domestic violence
•
To understand perception of the community regarding domestic violence
Methodology:
•
Study Design- Cross Sectional Study
•
Study Methodology- Qualitative
•
Study Area- Two villages of Hospet taluk, Bellary district, Karnataka
•
Study Population- Women living in the two villages in Hospet Taluk
•
Sampling-
•
•
Sampling method- Purposive sampling
•
Sample Size- 1FGD and 6 indepth inerviews (including 3 Devadasis)
Inclusion criteria- Women above 18 years of age and willing to take part in the
study
Data collection
Objectives
1,2 and 3
Tool
Technique
Focus group discussion (FDG ) Guide
and In-depth interviews
24
Topic Guide for Focus Group Discussion
»
Perceptions regarding domestic violence
»
Causes of domestic violence
»
Health impact
»
Physical
»
Mental
»
Reproductive
•
Data analysis- Thematic analysis of the data wasdone manually
•
Risk and Benefits: No risks were anticipated for the participants. During discussions
emotional outbursts might happen which the researcher will be able to deal with as she
has previous experience of counseling women who have experienced domestic violence.
No unexpected risks are foreseen. There were no direct benefit to the participants. Based
on the findings of the study, SAKHI will evolve strategies for addressing the issues.
•
Consent:Consent was obtained after explaining the purpose of the study using a
participant information sheetin local language which was given to the respondents.
Individual consent was obtained after explaining the purpose of the study in a
private setting. The respondents were informed of their right to withdraw from the
study at anyone point of time by providing the contact details of the researcher.
•
Confidentiality: Participants were asked not to disclose names at the time of
conducting focus group discussions. Further, the data was transcribed and analysed
the researcher herself and hence data was not shared with others. In the study
report names are withheld.
Dissemination:
1. The research findings were shared with the respondents and field mentoring
organisation.
2. The findings were shared with other fellows of CHLP and team members at
SOCHARA.
Findings:
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27
Over All Learning
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Good Communication Skills
Leadership Quality
Team Management
Training Program
Good Report Writing Skills
Way Of Taking
Immunization
Street Play
Participatory Rural Appraisal
Reading list during my fellowship
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School of Public Health, Equity and Action (SOPHEA)
SOCHARA
# 359, 1st Main,
1st Block, Koramangala,
Bengaluru - 560034
Tel: 080-25531518; www .sochara.org
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