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Jul 21, 2020

Reduce Malnutrition & Death of 2000 Tribal People

MAHAN (Meditation, AIDS, Health, Addiction, Nutrition) is a non-government organization established in 1998 to improve health care in Melghat region. MAHAN was touched by Gandhian teaching that “youths should go to the villages to serve as real India is in villages”. Melghat is the hilly forest area in the beautiful Satpuda mountain ranges. Population is 300,000 & 75% of them are tribal. Korku is the major tribe of Melghat. Most of the tribal (>90 %) are farmers or laborer, living below poverty line (>80%) & very hard life in huts (>90%) mostly without electricity & illiterate (>50%). Medical facilities are grossly inadequate in Melghat as compared to rest of Maharashtra.  Due to lack of proper medical facilities & superstitions, tribals go to traditional faith healers/quacks (pujari & bhumkas) for treatment of illness. Skin is burnt with red hot iron rod for reducing pain known as Damma. This lead to very high under 5 children mortality (>100 per 1000 live births) especially Malnutrition related deaths and very high mortality in age group (16-60 years) & maternal mortality. Moved by such things, we started the project in Melghat in November 1997.  MAHAN Trust has dedicated its work to reduce malnutrition and mortality among under-five children, women and economically productive age group through various programs like HBCC, MCPEPAG and SAMMAN. Below is a snapshot of our achievements in these projects aided by our generous donors.

SAMMAN (Community based Management for Severely Malnourished Children)Aim of the Project

To reduce prevalence and death of severe malnutrition in under 5 children (SMC) (SUW & SAM) using local therapeutic food (LTF) distributed by Village Health Workers (VHWs).

Activities and Impact (34 Villages)

 

Total 0-5 years children in target villages

3063

 

Total under 5 children measured June 2020

2868

 

Total Severe Malnourished Children- as of June 2020

319

 

11.1%

Total SMCs treated in SAMMAN – April - June 2020

241

 

 

Case fatality rate (CFR) of Treated SMC                                                                       

0

<4%

0

Case fatality rate (CFR) of overall SMC                                                                       

1 death (MRCP)

 

0.3%

 

There was not a single death amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.

SUCCESS STORY

 

1)    One 2 year & 10 months aged girl from Tarubandha village was SUW. Her weight was 8.3 kg and height was 74 cm. She was enrolled for SAMMAN on 2-01-20 and was treated with local therapeutic food (LTF) and antibiotics. Her anthropometry on 29/6/20 was 8.9 kg and height was 77cm. She has now recovered from SUW.

  

HBCC (HOME-BASED CHILD-CARE Program)

Aim of the Project

To reduce under 5 children mortality rate and prevalence of malnutrition.

 34 Villages.

 

No. of 0-5 years patients treated by VHWs – April – June 2020

2162

  

Intervention Area

Number of deaths

 Impact achieved

Under 5 Mortality Rate.

98.03

 

Success STORY

1-year-old boy from Khidiki village, had some episodes of watery stools on 26th June 2020.  VHW from village visited him and treated him with ORS. As there was no recovery from diarrhea in a day, VHW started him on Norfloxacin for 3 days. At the end of the treatment, the child was cured. Medical supervisor of village also visited that child. He is fine now and doing well.

 

 

MCPEPAG (Mortality control program for economically productive age group, 16-60 years)

Aim of the Project

To reduce number of deaths in 16-60 years age group from 34 villages.

Activities and Impact

Total Behavior change communication beneficiaries in

 34 Villages

8087

This program involves treatment of patients suffering from hypertension, malaria, diarrhea, asthma and referral of patients of TB, heart diseases, anemia, etc. to hospital.

 

Intervention Area

Impact achieved – January – March 2020

MCPEPAG population

19862

 

Total number of 16-60 years illness episodes treated by VHW

     2567

 

Total number of deaths

12

 

Age specific mortality rate per lakh population

241.6

 

Success STORY

During our BP survey, we found a farmer from Bibamal village whose BP was very high.  He was soon started on antihypertensive drug by our VHW. Our VHW also educated him on life style modifications, provided him regular medicines at his home and checked BP weekly. He is also very compliant for taking medications regularly and his BP is under control. His recent BP was 130/90 mm/Hg. 

Hospital REPORT: -   April - June 2020

Hospital care Beneficiaries (OPD)

1627

 

Total Hospital Inpatient Beneficiaries (IPD)

167

 

Critical Care Beneficiaries (ICU)

116

Success STORY

One young poor tribal patient was admitted in intensive care unit of our hospital in very serious condition. He had DM, Severe HT, Acute myocardial infarction, CRF, Hypokalemia? Renal Tubular necrosis with Pulmonary edema with Sepsis with quadriplegia with Respiratory paralysis with Hypoxia with Coma.  Our team immediately put him on Ventilator (Invasive endotracheal intubation) with oxygen and all essential drugs.   He was on ventilator for 12 hours and on oxygen for 2 days. Due to our intensive perfect treatment at appropriate time, he became normal and started walking on 7th day. We could discharge him after 10 days. The fee was just 500 Rs. When similar ICU in cities would have charged more than one lakh Rs.

Due to COVID 19, when many of the hospitals stopped treating patients, MAHAN Mahatma Gandhi Tribal hospital staff without fear of infection, are treating patients since last 3 and half months without break for even a single day.  We could save hundreds of serious patients, most of them are poor tribal at very nominal cost or free.

A critical care expert from Amaravati said, tertiary care at primary level.

 

 

 

 

Expenses…..

INR=53,57,000

Links:


Attachments:
Mar 24, 2020

Reduce Malnutrition & Death of 2000 Tribal People

MAHAN (Meditation, AIDS, Health, Addiction, Nutrition) is a non-government organization established in 1998 to improve health care in Melghat region. MAHAN was touched by Gandhian teaching that “youths should go to the villages to serve as real India is in villages”. Melghat is the hilly forest area in the beautiful Satpuda mountain ranges. Population is 300,000 & 75% of them are tribal. Korku is the major tribe of Melghat. Most of the tribal (>90 %) are farmers or laborer, living below poverty line (>80%) & very hard life in huts (>90%) mostly without electricity & illiterate (>50%). Medical facilities are grossly inadequate in Melghat as compared to rest of Maharashtra.  Due to lack of proper medical facilities & superstitions, tribals go to traditional faith healers/quacks (pujari & bhumkas) for treatment of illness. Skin is burnt with red hot iron rod for reducing pain known as Damma. This lead to very high under 5 children mortality (>100 per 1000 live births) especially Malnutrition related deaths and very high mortality in age group (16-60 years) & maternal mortality. Moved by such things, we started the project in Melghat in November 1997.  MAHAN Trust has dedicated its work to reduce malnutrition and mortality among under-five children, women and economically productive age group through various programs like HBCC, MCPEPAG and SAMMAN. Below is a snapshot of our achievements in these projects aided by our generous donors.

SAMMAN (Community based Management for Severely Malnourished Children)Aim of the Project

To reduce prevalence and death of severe malnutrition in under 5 children (SMC) (SUW & SAM) using local therapeutic food (LTF) distributed by Village Health Workers (VHWs).

Activities and Impact (34 Villages)

Total SMCs treated in SAMMAN – January – March 2020

234

Rate of SMC  7.8% ,  achieved the target of <14%.

Case fatality rate (CFR) of Treated SMC 0.                                                                 

There was not a single death amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.

SUCCESS STORY

 

  1. A 30 months old female child from Melghat was enrolled in SAMMAN on 29 may 2019. At the time of enrolment her weight was 9 kg, height 80.5 cm, head circumference 44.5 cm and mid arm circumference was 13. She was under SUW/MAM gradation.

          On treating her with LTF and mineral mix in SAMMAN for six months, she is now out of malnutrition. Her last anthropometry in November, weight 10 kg, height 83 cm, head circumference 46 cm and mid arm circumference is 14. Now she is normal according to WHO gradation.

 

 

HBCC (HOME-BASED CHILD-CARE Program)

Aim of the Project

To reduce under 5 children mortality rate and prevalence of malnutrition.

 

No. of 0-5 years patients treated by VHWs – January - March 2020 :    1229

 

 

 Impact achieved

Under 5 Mortality Rate.  :   67.9 per thousand live birth.

 Success STORY

One  8-month-old boy from Dabida, had  some episodes of watery stools with mucus and blood  on 27th November.  VHW from village visited him and treated him with ORS and liquid metronidazole for seven days. Medical supervisor of village also visited that child. He is fine now and doing well.

 MCPEPAG (Mortality control program for economically productive age group, 16-60 years)

Aim of the Project

To reduce number of deaths in 16-60 years age group from 34 villages.

Activities and Impact

Total Behavior change communication beneficiaries in  34 Villages : 4647

This program involves treatment of patients suffering from hypertension, malaria, diarrhea, asthma and referral of patients of TB, heart diseases, anemia, etc. to hospital.

 Impact achieved – January – March 2020

 

Total number of 16-60 years treated :      1318

Age specific mortality rate per lakh population : 201 . Achieved the target of  ASMR <250.

 One 30 years old male was suffering from cold and intermittent fever on 19/2/2020. This patient was examined by our village health worker (VHW). The temperature was 104.5-degree F and based on the signs and symptoms, he was diagnosed to have Malaria. Our VHW started him on Chloroquine medicine as per our protocol. He recovered completely on 27/2/2020.

  

Hospital report:-   JANUARY – MARCH 2020

1. Hospital care Beneficiaries (OPD)   2033

2  Total Hospital Inpatient Beneficiaries (IPD) : 280

3  Critical Care Beneficiaries (ICU)  : 97

 One  28 year old patient from Melghat village was admitted in our hospital on 9th Feb. 2020 in very serious condition. After examination he was diagnosed as a case of acute Alcoholic intoxication and hypoxia. After treatment with oxygen and other drugs and continuous monitoring, the patient got better and he is now doing fine.

 

  

Expenses…..

 

Expenses(INR)   Rs. 4631235

Links:


Attachments:
Dec 27, 2019

Reduce Malnutrition & Death of 2000 Tribal People

MAHAN (Meditation, AIDS, Health, Addiction, Nutrition) is a non-government organization established in 1998 to improve health care in Melghat region. MAHAN was touched by Gandhian teaching that “youths should go to the villages to serve as real India is in villages”. Melghat is the hilly forest area in the beautiful Satpuda mountain ranges. Population is 300,000 & 75% of them are tribal. Korku is the major tribe of Melghat. Most of the tribal (>90 %) are farmers or laborer, living below poverty line (>80%) & very hard life in huts (>90%) mostly without electricity & illiterate (>50%). Medical facilities are grossly inadequate in Melghat as compared to rest of Maharashtra.  Due to lack of proper medical facilities & superstitions, tribals go to traditional faith healers/quacks (pujari & bhumkas) for treatment of illness. Skin is burnt with red hot iron rod for reducing pain known as Damma. This lead to very high under 5 children mortality (>100 per 1000 live births) especially Malnutrition related deaths and very high mortality in age group (16-60 years) & maternal mortality. Moved by such things, we started the project in Melghat in November 1997.  MAHAN Trust has dedicated its work to reduce malnutrition and mortality among under-five children, women and economically productive age group through various programs like HBCC, MCPEPAG and SAMMAN. Below is a snapshot of our achievements in these projects aided by our generous donors.

SAMMAN (Community based Management for Severely Malnourished Children)Aim of the Project

To reduce prevalence and death of severe malnutrition in under 5 children (SMC) (SUW & SAM) using local therapeutic food (LTF) distributed by Village Health Workers (VHWs).

 

Total under 5 children measured

2745

Total Severe Malnourished Children

           11.3%

Total SMCs treated in SAMMAN

252

 

Case fatality rate (CFR) of Treated SMC                   0

Case fatality rate (CFR) of overall SMC                     1   (0.28%)

 

There was not a single death amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.

Success STORY                         

 A 4.8 years old kid from Kara village was identified as severely malnourished child. On 29/8/19 the child was recorded to be 11.37 kg and height 105 cm. The grade was SUW+SAM. The child was started on LTF. The anthropometry done on 30/10/19 shows weight 14.85 kg and height 105 cm. the child is recovered from severe malnourishment.

 

HBCC (HOME-BASED CHILD-CARE Program)

Aim of the Project

To reduce under 5 children mortality rate and prevalence of malnutrition in 34 Villages.

 No. of 0-5 years patients treated by VHWs: -1524

  Impact achieved

Under 5 Mortality Rate.  57.80

 Success STORY

 A 35 months old female child from Pankhalya village. She Visited to Arogyadooth to seek treatment for cough and cold. On Examination Arogyadooth found that her respiratory rate was high (50/min) with 1010 F fever. She treated her with Amoxicillin and paracetamol for seven days.  Baby got relief from pneumonia within four days and now she is doing well.

  

MCPEPAG (Mortality control program for economically productive age group, 16-60 years)

Aim of the Project

To reduce number of deaths in 16-60 years age group from 34 villages.

Activities and Impact

Total Behavior change communication beneficiaries in 34 Villages

6441

This program involves treatment of patients suffering from hypertension, malaria, diarrhea, asthma and referral of patients of TB, heart diseases, anemia, etc. to hospital.

Intervention Area

Impact achieved

MCPEPAG population

20842

Total number of Patients beneficiaries

1941

Age specific mortality rate per lakh population

211

Prevalence of untreated and uncontrolled hypertension

7.3%

 

Success story:-

 A lady from Borikheda had 5 – 6 episodes of diarrhea with blood in it. VHW from village treated her with ORS, Norfloxacin  and Metronidazole for 7 days. 

  

Hospital report:-   (OCTOBER to December 26)

 

 

1)  Hospital care Beneficiaries (OPD)      2491

2)  Total Hospital Inpatient Beneficiaries (IPD)   327

3)  Critical Care Beneficiaries (ICU) :   76

4)  Surgery camp :  133

 Success story : 

 This poor 60 years old tribal female patient was suffereing from cancer of breast since many months. Due to poverty she couldnot go to cities for surgery. She was operated free of cost by our expert visiting oncosurgeron and plastic surgeon. She is now improved a lot.

Expenses…..

 Expenses(INR)

 

Hospital care, HBCC, SAMMAN, MCPEPAG:   Rs. 39,50,797/-

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Attachments:
 
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