Mother and child at a improved cookstove workshop
REDUCING MATERNAL AND CHILD MORTALITY IN THE HIMALAYA: Oct-Dec 2013
The beginning stage of the third phase of our project that is largely funded by Sir Dorabji Tata Trust Mumbai, included a baseline survey which was completed in November and involved randomly selected 15 villages and 430 households from Okhalkanda Block. The villages covered were – Paijaina, Dalauj, Kotla, Kafli, Tanda, Putgaon, Sakalwar, Patrani, Bhumka, Thushrar, Takura, Kotli, Baramdhar, Reekhakot and Soude. The data collected is currently being analysed.
Highlights of 3 months of continuation work with the community were:
- Dr. Ramani Atkuri, a consultant under the project conducted a training workshop at Satoli from the 8th -11th of October 2013. She helped in preparing a roadmap for trainers, shortlisted activities that need to be done in the first year and reviewed schedules for reporting and feedback, baseline survey and monthly schedules for supervisors. She also conducted practical training for the supervisors on Haemoglobin testing and taking Blood Pressure.
- Training for the building of smokeless chullahs (improved cooktoves) was conducted by Mr. Saulunkhe from ARTI, Pune from 18th- 20th of October 2013 in Khansyu. The villages- Putpudi, Ramaila and Galni were identified from in and around Khansyu and Karayal and training were given to the masons on how to build the chullahs. Follow up was also done on the chullahs that were built in the past to identify the issues faced by the users using the chullahs. The houses using chullahs have had an immediate decrease in smoke inside the house and have also reported a reduction in consumption of wood.
- A training workshop on mental health was conducted at the Aarohi office in Khansyu by Dr. Mukesh Shah. He gave training to the supervisors on identifying common mental conditions with signs and symptoms of each condition.
Regular monthly meetings were conducted with the health supervisors for planning and the sharing of work done and also on discussions about field related problems.
Mother and Child issues
The health supervisors are in the process of weighing all children in the age group of 0-5 years in the project areas and have identified the malnourished and severely malnourished children. Further advice on the diet is being provided to the mothers.
All pregnant women in the project areas are also being visited and ante natal checkups are being done.
Data on both will be obtained by January 2014.
VHSC (Village Health and Sanitation Committee) meeting
Twelve meetings of the VHSC were conducted. Issues taken up were regular supervision and monitoring of the ASHAs, their incentives, bank accounts, balance funds with the VHSC, other health related issues of the village and roles and responsibilities of VHSC.
- Commcare is a cell phone based application that aims to enable the community health worker at the field level to provide better and more efficient care while also enabling better coordination as well as monitoring and evaluation of the community health program.
- The program is running as per schedule and regular reporting and troubleshooting is performed on a scheduled basis. We have got the permission to scale up our operation by increasing the number of the mobile app users. Dimagi will be supporting us in capacity building and funding for the purchase of more cell phones.
Mobile Medical Unit:
- Aarohi has signed a contract with the Government of Uttarakhand to reactivate the first Medical Mobile Unit to be used in and around the District of Nainital.
- The mobile van will help us to improve the reach of clinical services to remote areas in the districts of Nainital and Almora.
- The van will cover around 50-55 villages in the two districts every month and these are areas where Aarohi already runs its community health program.
- The medical unit will have the services of a general physician, a lab technician, an X-Ray technician and a nurse cum pharmacist. Specialists will be made available for 25% of the camps.
- The unit will be capable of conducting ultrasounds, X-Rays, ECG, distribution of drugs, blood tests for malaria, sputum exam for tuberculosis and family planning services.
A detail of patient care at the Aarohi hospital is reflected below:
TOTAL PATIENTS BENEFITED 1366
TOTAL VILLAGES COVERED 45
SPECIALIST CAMPS HELD 4
PATIENTS TREATED IN SPECIALIST CAMPS 109
TOTAL SURGERIES DONE 7
TOTAL ULTRASOUNDS DONE 28
DENTAL CAMPS HELD 2
TOTAL DENTAL PATIENTS TREATED 141
Post-operative, cheek to cheek with the Surgeon