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Jan 2, 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. Dr. Ashish Satav (MD) and his wife, Dr. Kavita Satav (MS ophthalmology) left their secure jobs at medical college to start MAHAN Trust which provides healthcare in one of the poorest and most deprived parts of India – the 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 labourers, living below poverty line (>75%) & very hard life inkaccha houses(>90%) mostly without electricity & illiterate (>50%). Medical facilities are worst in Melghat as compared to rest of Maharashtra. Due to lack of proper medical facilities & superstitions, tribal goes 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 women and under-five children through various programs  e.g.. Hospital, Critical Care Facilities, pediatric hospital , Home Based Child Care (HBCC), Malnutrition Eradication (SAMMAN), Providing Locally Prepared Therapeutic Food to malnourished children, Mortality Control Program for Economically Productive Age Group, Blindness Control, De-Addiction Program, Kitchen Garden(KG) and Nutrition Farm (NF) and Counsellor Program for strengthening of government hospitals. Dr Kavita has selflessly supported all of MAHAN’s initiatives and has spearheaded the blindness control program, often personally conducting door to door screenings in over 400 remote villages, spreading awareness to convince tribal to come to the hospital for eye check-ups and surgeries and braving the dangers of the forest environment to personally reach her patients and treat them.

MAHAN’s community health programs have reduced child mortality and severe malnutrition by more than 65%, reduced the death rate in economically productive age group and maternal mortality by more than 50%. MAHAN has provided free services of specialists’ doctors to more than 120,000 patients, saved more than 3000 critically ill tribal patients, provided vision to more than 21,000 tribal patients by cataract surgery and providing spectacles and provided free plastic surgery to >1000 tribal. MAHAN could improve 17 government hospitals benefitting >300000 tribal. MAHAN could improve lives of more than 7,00,000 tribal people especially children and women due to their efforts in changing Government policies, expanding many state health and ICDS policies. MAHAN trust research has been published in many international medical journals like Lancet and Harvard USA, international conferences as key note speaker e.g. London, has won several national and international awards e.g. World Health Organization’s Public Health Champion Award, for social service, advocacy and pioneering medical research. Due to very good work many international organizations e.g. University of Colarado, Denver, USA, Nottingham’s university UK, UNICEF, etc. have collaborated with MAHAN for its work in Melghat. MAHAN could develop >6000 NF, KG in 16 tribal villages producing > 100000 kg green vegetables, pulses, etc. by tribal farmers.

           Due to MAHAN’s efforts, three villages are free from social drinking of alcohol.


Attachments:
Oct 9, 2018

Reduce Malnutrition & Death of 2000 Tribal People

GLOBAL GIVING REPORT JULY-SEPTEMBER  2018.

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 labourers, living below poverty line (>75%) & very hard life inkaccha houses(>90%) mostly without electricity & illiterate (>50%). Medical facilities are worst in Melghat as compared to rest of Maharashtra.  Due to lack of proper medical facilities & superstitions, tribal goes 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 women and under-five children 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 (32 Villages)

 

ParticularFigures of Perform-anceTarget to be achieved at the end of 5 yrRate achieved

No. of villages covered in program

32

Total population in target villages

30007

Total 0-5 years children in target villages

2823

Total under 5 children measured

2608

 

Under 5 Children suffering from SAM

10

<1%

0.38%

Under 5 Children suffering from SUW

177

 

Under 5 Children suffering from SAM+SUW

56

 Under 5 Children suffering from Severe Malnutrition (SAM or SUW or SAM+SUW) at the end of September

243

<

Under 5 Children suffering from Severe Malnutrition (SAM or SUW or SAM+SUW) treated.

320

Case fatality rate (CFR) of Treated SMC                                                                       

2

0.62%

Case fatality rate (CFR) of overall  SMC                                                                       

2

0.82 %

SAM=Severe  Acute Malnutrition.             SUW= Severe Underweight         SMC = Severely  Malnourished Child

Due to our efforts, we could successfully reduce the prevalence of SUW and SAM.  There were two deaths amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.

Success story:-

In Keli village,   1 yr  9 month age girl  had wt. 6.785 kg & length 74 cms  and she was  in SAM & SUW due to neglect by mother. Mother was alcohol addict. She was counselled by our BCC supervisor about deaddiction. Mother was convinced and she stopped drinking alcohol.  She child was in SAMMAN from 14-6-18. The child improved to weight 7.210 kg on 25.7.2018 with >10 gm/day weight gain.

 2)  45 months  girl from Pohra village had wt. 10.270 kg  &  Ht. 79.5 cms. She was  SUW child and was included in SAMMAN on  7-6-18.  She improved to Wt. 11.950 kg on 26-7-18 and upgraded to MUW. Her wt. gain was 3.28 gm/kg/day.

  

HBCC (Home Based Child Care Program)

Aim of the Project

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

Activities and Impact old 10 Villages

No. of U5 patients treated by VHWs :-  778

Behavior change communication  Beneficiaries–  9201

Beneficiaries felt   BCC useful:-  7272   (79.03 % )

Success Story

1)  30 month old girl from Pohara village had Pneumonia on 12-7-18. She was treated by our VHW with Cotrimoxazole & Paracetamol and got cured in 1 week.

 

2)  3 years male child R/o Dabhyakheda  had fever with difficult breathing. He was drowsy for 2 days with Resp. Rate 46/min. He was treated for pneumonia by our VHW with Co- Trimoxazole & Paracetamol for 7 days. The child is 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.

Activities and Impact

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

Report of old 10 Villages:- 

Total number of beneficiaries:- 559

Total number of deaths in this quarter –3 (including one maternal death)

Intervention Area

9 Villages

               Impact achieved

 Age specific mortality rate

 3

229 per lakh population

 

Prevalence of untreated hypertension

112

4.68 %

 Success Stories:-

1)  35 years old female, R/o Berdabalda was having Diarrhea, Vomiting & Dehydration with abdominal pain since 3 days. She was treated by our VHW with ORS, Tab. Domperidone & Norfloxacin  for 3 days. She became normal after 3 days treatment.

                                                                                                     

Report of New 22 Villages:-

No treatment started yet.

Number of 16-60 age group people screened for hypertension are:- 5682  out of which, 505 are found hypertensive. Prevalence of hypertension is 8.88 %

ASMR:- 242.13       ( 8 Deaths in 3 months, Population 13216)

Hospital report:-

Number of patient treated in OPD:-                                         2854

Number of Patients treated in ICU and wards  :-                 274

Deaths in Hospital:-                                                                         0

  

 

 


Attachments:
Jul 10, 2018

Report for period April to Jun 2018

Success Story-

1] Aparna ShantilalDarshimbe, 4.5-year female child from Village Ghota, was identified as SUW with weight 11.160 kg and height 93.5 cm. She was treated with Local Therapeutic Food (LTF) and Mineral Mix. Now child has improved and weight of the child is 11.94 Kg and height is 95.5 cm and she is out of severe malnutrition.

 

2] Priyanka HiralalJamunkar Female Child from Chaurakund aged 11 Months was identified as SAM on 24/4/18 (weight and Height :- 6.2kg and 71.5 cm respectively). She has been given LTF – MN and antibiotics by our VHW under guidance of  upervisors. Now weight of the child is 6.890 kg and Height is 71.5 cms. Child is gaining weight  and today the child is out of severe malnutrition.

 

3) Kartik HiralalJambekar 1yr 4 months Male Child from village Hatnada was identified as SMC on 27/4/18 (weight of the child was 7.350kg and height was 74 cms). He has been given LTF – MN and antibiotics by our VHW under guidance of supervisors. Now the weight has increased to 8.660 kg. Child is gaining wt at 6.8 gram/Kg-Day. Now the Child is normal.

You will find more such stories in the attached report. 

Attached  is a snapshot of our achievements from April to June 2018. This project  is  predominantly funded by our generous donors- Tribal Development  Department Government of Maharashtra & Bajaj Holdings & Investment Ltd. in addition to GG donors. Expenses incurred are USD 50K.

 
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