Reduce Malnutrition & Death of 2000 Tribal People

by MAHAN, Wardha
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
Reduce Malnutrition & Death of 2000 Tribal People
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 (32 Villages)

Particulars (September2021)

Numbers

Total Prevalence of SMC (September 2021)

13.16%

Total SMCs treated in SAMMAN

386

Case fatality rate (CFR) of Treated SMC                                                                       

0

Case fatality rate (CFR) of overall SMC                                                                       

0

     Hence, we achieved the target of prevalence of SMC <15%.

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

SUCCESS STORY

SAMMAN

One 3 years 1 months of age, girl from Bhulori village was suffering from severe malnutrition ( MAM/SUW). Her weight was 8.240 kg and height was 81.5 cm on 28-04-2021.  VHW treated her with local therapeutic food (LFT) for six months and medications like Amoxicillin and Albendazole as per her requirement. As a result of this after completion of these 6 months period, she recovered from Severe Malnutrition. On 28-04-2021 her weight was 10.610 kg and height was 85 cm (N/MUW) .

 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 : 2323

Under 5 Mortality Rate.   42.78

 Success STORY

  One poor tribal woman of Biroti delivered a girl at home on 2.08.21 with birth weight of 3.700 K.G. After 2 days, baby had small boils all over the body and pus discharge from umbilical cord. When VHW examined her, baby was lethargic, had reduce movement, reduced sucking and respiratory rate was 60 per minute with hypothermia. VHW diagnosed the case as neonatal sepsis and started her treatment with gentamycin injection once a day and Cotrimoxazole syrup for 1 week. She recovered and now is normal.

 

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 32 villages.

Activities and Impact

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

 Intervention Area

Impact achieved – April to June 2021

Total number of 16-60 years treated

4023

Total Behavior change communication beneficiaries

6025

 

Success story:

A 41 years old male from Nimdhana, had loose motion with blood (7-8 times/day).  VHW went to his house and checked his weight, temp. and elasticity of skin for dehydration and treated him with O.R.S and Norfloxacin immediately. She referred him to nearby hospital for further treatment. After 2 days of treatment at hospital, he recovered.

                                                                                                                                                  

Hospital report:-   

1

Hospital care Beneficiaries (OPD)

1287

Total Hospital Inpatient Beneficiaries (IPD)

151

 

Critical Care Beneficiaries (ICU)

113

 

Success story:

One young poor tribal patient was admitted in our ICU in critical condition who had DM, ketoacidosis, tense ascites, sepsis, septic shock and encephalopathy. She was in ICU for 5 days.

She started abusing doctors. Her family members lost hope about her survival but our doctors counselled them. And our doctors were able to resuscitate her from septic shock and other complications. She was finally discharged with a smiling face. Thanks to MAHAN staff and donors. 

Expenses…Rs. 34,40,000= 00.

 

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Community based approach to improve health and nutritional status and to reduce deaths of tribal of Melghat, Maharashtra

                                           (Report April to June 2021)

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 (32 Villages)

Particulars (June 2021)

Numbers

Total 0-5 years Children

2826

Anthropometry of 0-5 Year Children (measured)

2647

 

Total SMC 

316

Total Prevalence of SMC (June 2021)

11.9%

Total SMCs treated in SAMMAN

231

Case fatality rate (CFR) of Treated SMC                                                                       

0

Case fatality rate (CFR) of overall SMC                                                                       

0

     Hence, we achieved the target of prevalence of SMC <15%.

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

SUCCESS STORY

SAMMAN

One 2 years 4 months of age, girl from Chaurakund village was suffering from severe malnutrition ( MAM/SUW). Her weight was 8.00 kg and height was 83 cm on 28-10-2020.  VHW treated her with local therapeutic food (LFT) for six months and after that she recovered from Severe Malnutrition. On 28-04-2021 her weight was 9.440 kg and height was 84 cm.

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=2205

 Impact achieved

Under 5 Mortality Rate. =67.8

 Success STORY

One 4 years 2 months of age, girl from Sawarya Titamba Village was complaining of cough, fever. She was brought to village health worker (VHW) for the treatment. VHW diagnosed her as probable case of Pneumonia as temperature was 101.8 F, Respiratory Rate 45 per minutes. VHW started her with syrup Cotrimoxazole and syrup Paracetamol for five days and she recovered from the symptoms. 

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 32 villages.

Activities and Impact

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

Impact achieved –

MCPEPAG population

19287

Total number of 16-60 years treated

2450

Total Behavior change communication beneficiaries

8747

Age specific mortality rate per lakh population

311.1

Success story:

1) A 50 years old male from Pohara, was suffering from hypertension since 2 years. His first Blood Pressure was 155 / 100 mm Hg as per record of VHW. After constant health education by VHW and BCC supervisor, along with medicine, Tab. Amlodipine 5mg once a day, his Blood Pressure reduced to 133/85 mmHg. Constant follow up by recording weekly blood pressure is done by VHW and medical supervisors.

 

 2) A 22 years poor tribal female farmer patient, from village Sawarya Titamba, complained of fever and breathlessness. She came to Village Health Worker (VHW) for treatment. VHW checked her SPO2 (98), Pulse rate (89), temperature (99.8-degree F) and respiratory rate (25 per minute). VHW diagnosed her with pneumonia, and treated her with antibiotics and tablet Paracetamol 500mg. Along with the treatment she also gave her health education on Pneumonia and basic hygiene for prevention.  She is normal now.

 

 Hospital report:-   

 

1) Hospital care Beneficiaries (OPD)=814

2) Total Hospital Inpatient Beneficiaries (IPD)=135

3) Critical Care Beneficiaries (ICU)=85

 

Success story:

 We saved very serious young poor tribal patient suffering from Covid-19 with bilateral pneumonia with ARDS with sepsis with CAD with pulmonary embolism with hypo-tension with hyponatremia with hypokalemia with anemia with severe hypoxia with encephalopathy. He was on ventilator for nearly 15 day and on high flow oxygen upto 35 L per min for another 15 days. Since one month he is normal without oxygen.  Thanks to MAHAN staff and donors. 

 

 

Expenses…Rs. 35,69,562.00..

 

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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 (33 Villages)

 

Total under 5 children measured February 2021

2636

Total SMCs treated in SAMMAN – January – March 2021

179

 

Case fatality rate (CFR) of Treated SMC                                                                       

0

0%

 

 

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

SUCCESS STORY

SAMMAN

A girl from Ghota was severely underweight= SUW (starting weight 8600gm and Height 78 cm) on 24/07/2020. She was enrolled in SAMMAN program for 6 months. After 6 months of SAMMAN (end date 24/01/21), she came out from severe malnutrition and now she is healthy.

 

 

HBCC (HOME-BASED CHILD-CARE Program)

Aim of the Project

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

 

33 Villages.

 

No. of 0-5 years patients treated by VHWs – January - March 2021

1441

 

 Impact achieved

Under 5 Mortality Rate.

45.87

 

Success STORY

1)    Angels of Melghat.

A girl of age 2 years and 4 months, from the village Pankhalya, had symptoms of cough, cold and fever for 4 days. When Village Health Worker (VHW) examined her, she had temperature of 102-degree F and respiratory rate 45 per min. She was diagnosed as Pneumonia by VHW. VHW started treatment with Syrup Cotrimoxazole and Syrup paracetamol. After 2 days of treatment, medical supervisor followed up the case and the patient was normal.

   

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 33 villages.

Activities and Impact

Total Behavior change communication beneficiaries in

 33 Villages

=7400

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 – 

Total number of 16-60 years treated

2008

 

 

Age specific mortality rate per lakh population

41.5

 

4) Bare foot doctors are real heroes of tribal areas.

A 20 years aged male, tribal farmer patient, from village Gobarkahu had loose stools and severe dehydration. He came to VHW for treatment. VHW diagnosed him with severe diarrhea and treated him with ORS and Tab. Norfolk 400 mg. She also gave him health education on Diarrhea and basic hygiene so that he can prevent further episodes of severe diarrhea. After few days, the patient became normal.

 

Hospital report:-   

1.  Hospital care Beneficiaries (OPD)=821

2.  Total Hospital Inpatient Beneficiaries (IPD)=108

3. Critical Care Beneficiaries (ICU)=70

 

1)    When there is will, there is way. : 

One 54 years old poor tribal male was admitted in serious condition in our infectious Intensive care unit. His diagnosis was Severe COVID 19, ARDS, Sepsis, Hepatitis, Hypoxia, Encephalopathy.  He was put on oxygen and ventilator ( non invasive) for 3 to 5 days and was given anti viral drug Remdesivir, Enoxaparin and steroid. Our staff  treated with care, compassion and love for more than one week . There was danger of transmission of infection from the patient to staff. But no body refused to treat the patient. Due to dedicated efforts of our staff, the patient became normal.   It would have cost more than 100000 Rs. In city. But we treated him in Rs. 500 because of donor like Mastek foundation etc.

 

 

 

Expenses (INR)

40,00,000

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 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 (33 Villages)

Total Severe Malnourished Children- treated in SAMMAN – 263

 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 10 months girl child from Melghat was born on 30th December 2020. The baby was 1.5kg at birth. Her parents were separated after this child was born, her mother also had postpartum depression and couldn’t give proper attention to the child. She had very poor weight gain over the first 6 months. We enrolled her to SAMMAN on 1st of August 2020, at enrollment her weight was 2.7kg, height was 54cm and (MUAC)mid arm circumference was 8cm, head circumference was 37cm. She was severe acute malnourished and severe underweight (SAM+SUW) as per WHO gradation. Her recent anthropometry on 29/9/2020 was 4kg, height 57cm and MUAC was 10cm head circumference was 38cm. She has gained 1.3kg over the period of 2 month and has now recovered from SAM. She will be continued to fed till January 2021.

     

 

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 – 2903

 Impact achieved

Under 5 Mortality Rate.  =60.60

(We achieved the target of reduction of U5MR to less than 70)

 Success STORY

1)    A women from Melghat, delivered on 25th July 2020. The baby’s birth weight was 2.190 kg. Our medical supervisor provided the mother, Kangaroo mother care (KMC) blouse, warm bag and baby blanket. Our supervisor intensively counselled the mother on importance of using KMC and exclusive breast feeding. The mother has regularly used KMC and our VHW have also given regular home visits to the child. At the end of 28 days, the baby had good weight gain 2.725kg and is well and healthy.

 2)    A 1 year 6 months girl child, from Melghat village had complaints of watery stool. The mother brought the child to VHW, on examination it was found that the child had acute diarrhoea with signs of mild dehydration. The VHW treated the child with ORS, Norfloxacin for 3 days, the child got cured and is fine now.

 

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:  5390

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 –  

Total number of 16-60 years illness episodes treated by VHW:      3629

 Age specific mortality rate per lakh population :  245.80

Maternal mortality rate was zero.

So we could achieve target of ASMR and MMR.

Success Story

 

A 24 years woman from Melghat village, had fever – 102.20 F. She had body ache and chills. She approached our VHW for treatment. The VHW used rapid malaria test and she was tested positive for malaria; she was started on Tab. Chloroquine for 3 days and Tab. Paracetamol. After treatment now she is fine and has no other problem.

 

 Hospital REPORT: -  July - September 2020

Hospital care Beneficiaries (OPD) :  1659

Total Hospital Inpatient Beneficiaries (IPD) 170

Critical Care Beneficiaries (ICU): 118

 Success story: One 68 years old poor tribal female patient was admitted in our intensive care unit. She was in comatose condition and was diagnosed as case of Diabetes mellitus with severe hypertension with COVID 19 with diabetic ketoacidosis with urosepsis with salt loosing nephropathy (? Acute tubular necrosis) with Hypokalemia with Hyponatremia with severe Anemia with hypoxia with encephalopathy with quadriparesis. She was very serious and was treated with oxygen, Insulin, antihypertensive drugs, IV Fluids, antibiotics, Potassium and sodium, Iron and other supportive management. She was admitted in our hospital for one month. Due to poverty, her relatives did not take her to city for higher investigations and requested us to manage clinically in our hospital only. We accepted the great challenge and due to very meticulous treatment, she recovered and was discharged. The patient was treated at highly subsidized concessional rates and her life was saved in our tribal hospital in Melghat. We treated her for one month though there was high risk of infection transmission to our team.

Expenses…..

 Hospital care, HBCC, SAMMAN, MCPEPAG : 1,00,00,000

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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

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Organization Information

MAHAN, Wardha

Location: Amravati, Maharashtra - India
Website:
Facebook: Facebook Page
Project Leader:
Ashish Satav
Dr.
Amravati, Maharashtra India
$12,295 raised of $40,000 goal
 
208 donations
$27,705 to go
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Important: GlobalGiving is currently unable to disburse funds to this project. Please note that this is due to restrictions on GlobalGiving’s ability to disburse to Indian-banked organizations and not a reflection on this project. GlobalGiving is one of the many nonprofits on whom these restrictions have been put. Learn more

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