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
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:
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/-
Links:
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%) & illiterate (>50%). Medical facilities are grossly inadequate 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 led 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). (SAM=Severe Acute Malnutrition, SUW=Severe underweight)
Activities and Impact (34 Villages)
Total severely malnourished children treated =264
Case fatality rate (CFR) of Treated SMC = 1 (0.37%)
We have achieved WHO target of CFR of <4%.
Success STORY (SAMMAN)
A poor tribal boy, age 2 year 07 Months from Chaurakund village was MUW-SAM (on 30-05-2019, his weight was 9.540 kg & height was 88 cm). We started LTF to him from 30/05/2019 and on 31/08/2019 his weight and height was 10.920 kg and 89 cm respectively. In few Months, he gained good weight with the support of LTF and Medicines. Now he is out of severe malnutrition
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=1582
Under 5 Mortality Rate. = 52.24 per 1000 live births. Achieved the target.
Success STORY (HBCC)
One poor tribal girl, age 2 years, 3 months from Chaurakund Village, had 4-5 Episode of watery stool in a day (from 17/08/2019). So VHW of the village diagnosed her as a case of Diarrhea and gave her treatment in the form of Tablet Norflox, and ORS for 7 days. After few days VHW visited her on 28-08-2019, when the child was 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
This program involves treatment of patients suffering from hypertension, malaria, diarrhea, asthma and referral of patients of TB, heart diseases, anemia, etc. to hospital.
Total number of Patients treated=1765
Total Behavior change communication beneficiaries=11571
Total number of deaths=11
Age specific mortality rate=214.8
Achieved our target.
Success STORY: - (MCPEPAG)
One poor tribal female, age 48 year from Pankhalya Village, had complaints of watery stool 4-5 episodes in a day, felt thirsty & stomach pain (from 23/08/2019). So VHW of the village diagnosed her as a case of diarrhea and gave her treatment in the form of Tablet Norflox (400mg), ORS for 5 days. After few days Arogyadoot and Medical supervisor visited him, when she was cured.
Hospital report:-
Hospital care Beneficiaries (OPD)=2179
Total Hospital Inpatient Beneficiaries (IPD)=217
Critical Care Beneficiaries (ICU)=98
Success Story (HOSPITAL): A 65 years old poor tribal man from Sadrabadi was admitted in very critical condition in our hospital. He was suffering from hypertension with cerebrovascular episode with coma with supranuclear 7th nerve palsy with bilateral Aspiration Pneumonia with coronary artery disease with chronic renal failure with left sided Hemiplegia. He was treated successfully with our team and after few days, he was discharged in normal condition.
Expenses…...
Rs. 39,59,420
Links:
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, 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 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)
Total under 5 children measured
2604
Total Total severely malnourished children treated =SMCs treated in SAMMAN
280
Case fatality rate (CFR) of Treated SMC
0
Case fatality rate (CFR) of overall SMC
1=0.36%
There was not a single death amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.
Success STORY
Tribal girl, age 1 year 6 Months from Tarubanda village was SUW-MAM (on 14.1.2019, her weight was 6.460 kg & height was 70 cm). We started LTF to her from 14.1.2019 and on 21/04/2019, her weight and height was 7.220 Kg and 71.5 cm respectively. In very few days, she gained good weight with the support of LTF and Medicines. Now she is out of severe malnutrition.
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: -1304
Number of deaths
Under 5 Mortality rate =64.2
Success STORY
Tribal girl, age 8 months from Borikheda village, had cough, cold , indrawing of chest and her respiration rate was 56/min (from 20-04-2019). So VHW of the village diagnosed her as case of Pneumonia and gave her treatment in the form of Syrup Paracetamol. & tablet Amoxicillin for 7 days. Medical Supervisor visited her on 27-04-2019, when the baby was 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 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, anemia, etc. to hospital.
Intervention Area
Impact achieved
Total number of Patients benefitted= 1932
Total number of deaths=8
Age specific mortality rate=206.2 (Target achieved)
Success story:-
Tribal male, age 36 year from Ghota Village, had complaint of watery stool 4-5 episodes in a day & stomach pain (from 20/05/2019). So VHW of the village diagnosed her as a case of diarrhea and treated him with Tablet Norflox & ORS for 3 days. After 3 days VHW and Medical supervisor visited him, when he was cured.
Total Behavior change communication beneficiaries in 32 Villages=10044
Hospital report:-
Number of patient treated in OPD: Hospital care Beneficiaries (OPD)= 1973 .
Number of Patients treated in Intensive Care Unit and wards: -
Total Hospital Inpatient Beneficiaries (IPD)=223
Critical Care Beneficiaries (ICU)= 129
Success Story
Tribal, 3 months male child R/o Duni having Pneumonia with Respiratory Distress was brought to our hospital in critical condition, on 10th June 2019 at 5 pm. He was treated with Iv fluid, antibiotic, Paracetamol, Oxygen supplementation, nebulization & supportive care. He was relieved well till next morning. He was well throughout the day. He was discharged & was followed up at home. He became absolutely well in next 5 days.
Expenses(INR)
= Rs.25,44,400/-
Links:
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, 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 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)
Under 5 Children suffering from SAM =115 , 1.74%
Total Severe Malnourished Children= 645, 9.78 %
Total severely malnourished children treated =189
Case fatality rate (CFR) of Treated SMC = 0
Case fatality rate (CFR) of overall SMC =0
There was not a single death amongst treated SMCs and hence we could achieve WHO target of CFR of <4%.
Success STORY
One, 2 years and 1-month aged boy, from Bibamal village was SAM & SUW (on 2-10-2018 his weight 8.500 kg & height was 76 cm). We started LTF to him from 2-10-2018 and on 29-01-2019, his weight was 10.250 kg & height was 78 cm respectively. He gained very good weight with the support of LTF and Medicines. Now he is out of severe malnutrition.
HBCC (HOME-BASED CHILD-CARE Program)
Aim of the Project
To reduce under 5 children mortality rate and prevalence of malnutrition.
Activities and Impact 32 Villages
No. of patients treated by VHWs: =1084
Under 5 Mortality Rate. (per 1000 live births)=89.74
Success STORY
A girl, 2 year- 9 Months aged, from Kokmar village, had coughing, difficulty in breathing, wheeze and fever (101.3-degree F). Her respiration rate was 48/ min for 3 days (from 9/2/2019). So VHW of the village diagnosed her as case of pneumonia and gave her treatment in the form of Syrup Asthalin, syrup Paracetamol, and Cotrimoxazole. As there was no significant improvement, in 2 days VHW stopped Cotrimoxazole and started dispersible tablet Amoxycillin. After 7 days of treatment, she had no sign and symptoms of pneumonia. She was cured. Kokmar is one of the most remote village in dense forest of Melghat. Death is only solution for such critical children as the primary health care is 35 km away from the village with very bad road through dense forest. Hence such treatment by VHW is an angel work.
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, anemia, etc. to hospital.
Total number of beneficiaries =848
Total number of deaths=12
Age specific mortality rate=309.3
Prevalence of untreated and uncontrolled hypertension=5.6%
Success story:-
A 45 years old female, residence of Ghota had loose motions with blood & mucus. VHW of the village gave her treatment in the form of ORS for 2 days & Tab. Norfloxacin for 5 days since 24/1/2019. After completion of the treatment on 30/1/2019, she was cured.
Total Behavior change communication beneficiaries in 32 villages= 4957
Hospital report:-
Number of patient treated in OPD: - 1862 .
Number of Patients treated in Intensive Care Unit and wards: -201
Success Story
A 3 days male newborn child R/o Ranamalur presented in our hospital on 6/2/2019 at 10 am with sluggishness, not accepting breast feeds, week cry. He was diagnosed as case of Early Neonatal Sepsis. He was treated with IV fluids, IV Ceftriaxone & expressed breast milk feeds. Same day in the evening he had bradycardia, treated with Inj Adrenaline, Dexamethasone & Oxygen by face mask. He was better in the next morning. He was treated in hospital up to 8.2.2019. He was accepting breast feed well, Spo2 was normal and vitals were stable. He was discharged on request of parents on 8.2.2019 on oral Cefpodoxime, Zincovit & Vit. D drops. He was followed up & well after 1 week.
Project
Expenses (INR)
1) Hospital care =Rs. 7,12,636.88
2) HBCC, SAMMAN, MCPEPAG = Rs. 25,56,171.00
Links:
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