STORY OF AFROZ:
Afroz is 36 and lives in the Israeli camp slum of Rangpuri Pahadi, Delhi with her husband Abid and six children. Five of her children are malnourished due to poor pre-natal care. This was primarily because she had managed all her deliveries at home and never visited a formal doctor for any advice. Having gotten to know that Afroz was pregnant for the sixth time the community health worker from Sukarya visited her and counseled both husband and wife about the need to have regular health checkups with a qualified doctor in order to ensure a complication-free during pregnancy. Initially both Afroz and her husband were hesitant in accepting the fact that a doctor's help was needed. However after multiple counseling sessions, they understood the risks and negative impacts on the lives of her and the new baby for not having medical supervision during the pregnancy. Following the sessions Afroz started visiting a doctor regularly and followed all her advice carefully. This led to her having a comfortable and healthy pregnancy without any complications she had faced earlier. As a result she gave birth to a healthy young boy in a hospital. Her son is completely healthy and well nourished because of the guidance from the Sukarya’s doctors and counselors. She now wishes that she had delivered all her children after getting advice from doctors and had healtheir children.
PROJECT REPORT : December 2017 - February 2018
The targeted intervention - prevention and reducing the cases of anemia and malnutrition amongst mothers [15-49] yrs and children [0-6] yrs.
Project is operational in 10 slum locations of Delhi & Gurgaon where access of health services are almost negligible and people are living with poor means and economic vulnerability.
Health Clinic:
-A total 9 health clinics were organized and 1420 patients have been treated.
-357 anemic women identified and treated
-406 women received Post natal care [PNC] services
- 380 pregnant women received Ante-natal care [ANC] services
-Children [0-6] yrs treated- 566
-566 malnourished children identified & treated
-923 women received counseling services on anemia, maternal and child health, nutrition ; dietary intake
-31 patients referred to government hospitals
- 910 home visits /follow ups to targeted patients are done by communityhealth workers
Nutrition Cooking Demo Session: 3 sessions with participation from 65 pregnant and lactating women have
Mother and Child Health Day: 8 mother and child health days were organized in the community.
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Married to a poor vegetable vendor, Suman lives with her husband and mother in law in the Arjun Camp slums of Delhi where the access to basic health care services is not available. Being a proud mother of a boy, her first child born safely in a hospital, Suman is extremely thankful to the team of doctor, nutritionist and community health worker in Sukarya, who supported her throughout her pregnancy till the delivery of her son. She speaks very high of all the support she received from Sukarya, including the counselling diagnosis, lab tests, advice on nutrition, supplements like folic acid and iron tablets. The professional guidance from Sukarya to opt for institutional delivery, helped her in delivering a healthy baby in safe environment.Suman is also very happy for the continuous support and guidance, she received, on post natal care by the community health worker who visits her regularly.
Quarterly Progress Report (September-November, 2017)
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Utsang, 8 months, was brought to Sukarya’s health camp in June this year. As a toddler he has been suffering from severe pain for cramps in his stomach for almost three weeks. He had not slept for those many days. Neither did his parents. His parents live in Arjun Camp, the Delhi slum with no basic hygiene and access to basic healthcare. They live in the most vulnerable conditions trying to meet their daily needs.
Utsang’s mother brought him to the health camp seeking medical treatment with very little knowledge of her son’s serious condition. There she learnt that her son has been diagnosed with worms in his stomach. Utsang was attended promptly by healthcare professionals and was given oral supplements. It was a huge relief for his mother to receive a brief counseling on her son’s health condition followed by home visits by Sukarya’s community health worker to keep a check on his health.
Today, Utsang is healthy and free of any medical issues. His mother is hugely grateful to the team of doctors and Sukarya for the prompt attention, medical diagnosis, and treatment extended to her son followed up by visits from the Sukarya team. Sukarya’s health camp was god-send for her family.
PROGRESS SUMMARY:
During the last quarter [June- August 2017], the USHA project has been able to provide the services to
more than 3000 beneficiaries (Pregnant & lactating mother, children between 0-6 years) . The project aims to reduce the malnutrition and anemic conditions of the target beneficiaries through regular and periodic activities of the project such has health camp , distribution of nutrition supplements ,nutrition cooking demo, sanitation awareness drive , individual or family counseling , follow-up home visits etc.
The target beneficiaries are living in the slums of Delhi and Gurgaon in vulnerable conditions with poor means and virtually no access to healthcare and medical facilities.
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Malti was pregnant for four months. In spite of having two children, she had never heard of immunization and having iron as the essential supplement in her diet. She was very apprehensive about immunization and institutional delivery too. Our community health workers frequently met Malti, counseling her on the importance of receiving adequate antenatal care and eating healthy nutritious food. Through group meetings she received information about antenatal and post-natal care, importance of institutional delivery, receiving nutritional supplements and breastfeeding her infants. After multiple rounds of counseling, she and her family took a decision for an institutional delivery and a beautiful baby girl was delivered at the nearby community health center. The baby weighed 2.5 Kgs and was fed colostrums within the first hour of birth. Today, Malti is a happy mother and grateful to Sukarya for helping her have a safe and healthy pregnancy.
As per National Family Health survey, more than half of women in India (55%) have anemia and almost 80% of them have iron –deficiency in their diet. About 30- 40 percent of newborn suffer from low birth weight due to maternal anemia and malnutrition. Almost 50% of the children under the age of 5 are malnourished or undernourished and it is even worse among the children living in the slums.
About Urban Slum Health Action project:
The goal of this on going project is to detect, treat, and prevent malnutrition & anemic condition among mother & children living in the slums of Delhi and Gurgaon by helping them with counseling on nutrition, immunization and providing them improved care at the community level. The project aims to support the provision of basic health services, contribute to the response to the nutrition issues and ensure that the marginalized population has access to basic health checkups, vaccines and essential medicines.
Broad Objectives:
1. To reduce IMR [Infant Mortality rate], Child malnourishment /Malnutrition and Child morbidity.
2. To improve Maternal Health- reduce morbidity, reduce & prevent anemic conditioning.
Project Period: 3 yrs (extension based on yearly reviews)
Project Locations:
10 slums of Delhi and NCR/Gurgaon [Rangpuri Pahadi /Mahipalpur Inder camp, Israil camp, J.J .bandhu cluster, Arjan camp, Shankar camp, Jai hind colony, Naala paar area ,Tarachand colony ,Delhi , Behind Ardee city mall sector -57 and Near Waziarabad sector -59 ,Gurgaon].
Estimated Population: 100,000 approximately.
Target Group/Beneficiaries:
15-49 yrs- Women [Pregnant, Lactating & Adolescent girls]
0-6 yrs - Children
Key Services under the Project:
1. Detection, treatment and prevention of Malnutrition & Anemic conditioning amongst mother & children.
2. Providing basic health care services like Pregnancy, ANC & PNC health checkups along with counseling.
3. Ensuring timely immunizations included in National Immunization Program.
4. Promoting adequate Nutrition for mothers, infants and young children.
5. Promote Basic Micro nutrients.
6. Promoting home based and community based Nutrition solutions /Dietary interventions to combat Malnourishment and anemic conditioning amongst mothers and children.
Major Activities under the Project:
- Monthly Health Clinic at each location
- Counselling by Doctor and Nutritionist
- Laboratory check ups
- Medicine disbursements /supplements
- Disbursement of Nutrition supplements
- Cooking demonstrations
- Health awareness sessions
- Sanitation drive/campaign
- Celebrating Mother and Child health day
- Home visits and Follow ups
- Referrals
- Promoting institutional delivery
Expected outcome /Impact:
1. Malnutrition children identified & provided with health supervision & community based care.
2. Anemic women [pregnant & lactating] identified & provided with health supervision & community based care
3. Community based Nutrition solutions /dietary intervention would build healthy food practices and understanding which in turn reduce the anaemic conditioning & malnutrition.
4. Overall Knowledge, attitude and practice of community on Health, Maternal Child Health and Nutrition would be positively changed.
Around 10,000 Reproductive age women and children would directly be benefited and their health conditions would be improved through this intervention.
Project Progress Report for two months [April and May 2017]
Activity Indicators:
Health Clinic-
Total no. of Health clinics organized - 18
Total no. of patients treated - 784
Counselling
Total no. of patients counseled on Health and Nutrition- 444
Immunization and Mother and Child Health Day
No. of MCH day organized- 1
No. of children immunized during MCH day- 11
No. of pregnant women vaccinated during MCH day-07
Total no. of child immunization- 316
Total no. of Vaccination to pregnant women-182
Nutrition /Cooking Demo
No. of Nutrition Cooking Demo conducted- 02
No. of Participants attended the session- 43
Nutrition Supplement distribution
No. of patients received nutrition supplements- 146
Home visit /Follow ups by Community Health workers
Total no. of home visits and follow ups done by Community health workers-662
Referrals
Total no. of cases referred to district hospitals -07
Under weight children referred to ICDS- 98
Sanitation Drive
No. of Sanitation awareness campaign conducted- 01
No. of participants attended the campaign - 30
Detection of anaemia and Malnutrition cases
No. of anemic cases identified- 193
No. of Malnourished cases identified- 108
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