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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