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Health Services of Prayas

Prayas Health Services: Primary Care Services and Continuity of Care Funded by: Kamla Devi Jain Charitable Trust

Prayas Health Services since 1994 addressing the primary health care need of the urban slum population in communities of Delhi, Bihar and Arunachal Pradesh with special focus on poor populations living in listed and unlisted slums, other vulnerable populations such as homeless, rag pickers, street children, rickshaw pullers, construction workers, sex workers, and temporary migrants. An important focus area of ‘Prayas Health Services’ is to achieve convergence among the wider determinants of health by focusing in providing by strengthening the better secondary prevention  as an integral part of Urban Health Needs. Improved health seeking behavior, influenced through capacity building of the community based organizations & establishments of an appropriate referral mechanism are also an important component of Health Services. Services providing:

  • Free OPD Services: 2 hours in the morning and 2 hours in the afternoon/evening (5 days a week)
  • Free antenatal check-ups and referrals to nearby hospitals like Janki Das, Acharya Bhikshu and Deendyal hospital.
  • Regular camps with Max Hospital and Mahavir international with free distribution of supplements for children and mothers to be.
  • 40 percent cases are children below 12 years of age for diarrhea, skin infections, vaccination, jaundice, urinary tract infection and regular seasonal viral with cough, cold, ear infection.  
  • 20 percent cases are gynecological referral and antenatal checkups 
  • 10 percent cases are geriatrics with pain in knee, spine, orthopedic referrals, diabetes, cataract, difficulty in breathing, bronchitis.       
  • 10 percent cases are emergency cases.
  • 10 percent cases are of tuberculosis out of which more than half are relapse cases.        
  • Counseling of community is done on family planning, importance of clean drinking water and sanitation, taking balanced diet, identification of high risk pregnancies, promotion of institutional deliveries.   
  • Free Beauty parlour courses and tailoring courses for the community children
  • Staff- 2 doctors, 1 nurse, 1 mobiliser,1 community health worker,1 ambulance driver,1 beautician course teacher,1 tailoring teacher.    
  • Medical Health Van (Ambulance) used for referral services from community to nearby hospitals
Major Medical support from INOX CSR FOUNDATION
  • 24 hours Emergency Services: Stabilisation of the condition of patient before referral to Hospital, Dog Bite/Snake Bite, Scorpion Bite and other Emergency cases
  • Early registration of all pregnancies ideally in the first trimester (before 12th week of pregnancy)
  • Minimum 3 antenatal checkups and provision of complete package of services. First visit as soon as pregnancy is suspected/between 4th and 6th month (before 26 weeks), second visit at 8th month (around 32 weeks) and third visit at 9th month (around 36 weeks).
  • Associated services like providing iron and folic acid tablets, injection Tetanus. Toxoid etc (as per the “guidelines for ante-natal care and skilled attendance at birth by ANMs and LHVs)
  • Laboratory investigations like hemoglobin, urine albumin, and sugar, RPR test for syphilis
  • Nutrition & Health Counselling/Identification of High Risk Pregnancies/ Appropriate Management/ Promotion of institutional deliveries

Prayas Janhit Swasthya Kendra-Primary Health Centre-(PHC), Wakro, Arunachal Pradesh

Prayas Health Centre (named as Prayas Janahit Swasthya Seva Kendra) provides services to the entire neglected community in the Lohit District of Arunachal Pradesh. The centre aims to create a model health care delivery system in an innovative way. It modernizes the deprived health care system with all the modern equipments so that we can render services to the entire community.The Bhore Committee in 1946 gave the concept of PHC as basic health care unit to provide integrated curative and preventive health care services to rural population. Prayas Janhit Swasthya Kendra is providing services to the rural population of more than 15,000 since 2006 in Wakro, which falls in Lohit District of Arunachal Pradesh. It is running its services on unique public private partnership under National Rural Health Mission and Government of Arunachal Pradesh. It is committed to provide comprehensive primary health care services to the community through its trained and qualified staff. It has upgraded its services to align with the set of standards being recommended for Primary Health Centre to be called as Indian Public Health Standards (IPHS) for PHCs. The Hans Foundation Mobile Health Care UnitThe Hans Foundation ‘Mobile Health Care Unit’ programme is being implemented with financial support from The Hans Foundation, New Delhi. Under the programme all residents of 17 villages of Wakro namely Parsuram kund, Tillai, Somba, Naukilo, Mainuling, Londvin, Tumba, Manthi & Tishu are being provided medical and health services.  The main target of the programme is on girls and women. Apart from service delivery, health workers are provided training, health camps are organised and awareness camps held. The programme has 27,516 beneficiaries. Under the programme, an ambulance visits each village twice in a month and provides services.:

Objectives:

  • To improve health status of villagers primarily women, men, adult, children and old
  • To provide health facilities in remote villages
  • To provide facilities easily and on time so time and money both are saved
  • To counsel beneficiaries on topics like sanitation, clean environment, nutritive diet, eye care, mental health counselling, substance abuse, etc.
  • To get women included in the family as an important part of the family apart from making them feel importance of health
  • To make health facilities accessible in villages
  • To motivate for ante and post natal care and promote safe deliver
IMPACT Report
  • 120 Health Camps been conducted during the year
  • 27,516 villagers in total been benefitted through Mobile Medical Unit, (MMU)
  • 2400 children been immunized

Creating Impact at the Field: On January 12, 2017 there was an outbreak of diarrhea, in Parsuramkund during Mela.37 numbers of pilgrim suffered due to that outbreak. When we got information then our MMU team rushed there and found  out the case of diarrhea. We had seen that people from that area were  having negligence for drinking water and sanitation .Our MMU team encouraged them and gave them  proper treatment .After three days all diarrhea cases were subsided .Now they have good riddance from their illness.TestimonialMr.Rahenso Dilang (Gao Bura) Age: 55 Yrs Vilage: ManthiWe are very happy to have such type MMU team in our backward Area. They are giving to our villagers a very good service in a regular basis. We need continuous help from there. Thank you Hans foundation .Thank you MMU team.Project Overview – (Wakro-Arunachal Pradesh)

The Availability and effective utilization of health services are necessary preconditions for improvement of the health status of the population. The long-term goal of the Indian government has been to provide health care to rural communities through PHCs. Even more important is a social reality: there just are not enough trained and qualified doctors to adequately serve the entire urban and rural populations of India even if we could provide financial incentives for them to work in rural areas. The need to rectify this problem has become critical especially given the fact that over 650 million people live in rural areas across the country with poor awareness of health issues. This ignorance, coupled with the increased mobility between rural and urban areas, has led to an explosive increase in the spread of diseases like HIV/AIDS and Hepatitis B and C. We envisage PHCs functioning as the first level in a hierarchical system of health care facilities. At this primary level, PHCs will play two equally important roles: First, diagnosis of diseases based on symptoms and simple laboratory tests, and their treatment either at the centers or through referral. Second, health education leading to family planning, better hygiene and sanitation, and prevention of communicable diseases, especially sexually transmitted diseases. The government has shown keen interest in finding private partners to revitalize the PHCs. To this end Prayas JanhitSwasthyaSeva Kendra in collaboration with the Government of Arunachal Pradesh and National Rural Health Mission which defies one’s perception of the primary health care centers (PHCs) dotting the rural landscape is running Primary Health Care Center at Wakro and two sub-centers at Medho and Tillai. The PHC has under its 21 villages in Lohit District and covers a population of more than 15,000.

Prayas Janhit Swasthya Kendra acts as a cornerstone in providing health services since 2006. Through its 24×7 range of curative, promotive, and preventive health care services and with appropriate linkages, plays an important role in increasing institutional deliveries thereby help to reduce maternal mortality and infant mortality. It acts as a centre of activity for all centrally sponsored schemes of immunization, vaccination, pulse-polio and JananiSurakshaYojana.Prayas JAC Society with support from HANS Foundation will initiate comprehensive range of health care services to under privileged communities in outreach, remote rural areas and at distant places where to provide consistent health services is a constant challenge through an equipped mobile medical van. The program will focus on providing wide range of promotive, preventive and curative health care of services. The program will based on innovative concept of “Community based Self Sustainable Health Delivery Model”.PHC MEDO – Arunachal Pradesh

The project came into existence in 2006 in collaboration with National Health Mission to run a Public Health Centre (PHC) to reach thousands of people in need of health care services. The project has successfully promoted equitable and high quality health care in rural areas with a special focus on woman and children. Wakro is a circle under Lohit district of Eastern part of Arunachal. Presently, Alok Prayas is running one Primary Health Centre located at Wakro, having population of 9000 approx. This is a public private partnership project with Govt. of Arunachal funded by Planning Commission of India. The NGO is given entire responsibility of functioning and management of Prayas Health Centre. The attendance ranges from 70-120 patients per day.

PHC MEDO: Government of Arunanchal Pradesh, Department of Health and Family Welfare approved the establishment/up gradation of SC to PHC in Lohit district as per the order dated 31/7/14. MEDO Sub Centre was one of them and was one of the sub centres run by Prayas, however the exact date of its launch is not known. Looking into the performance of Prayas and increasing number of beneficiaries, Govt. of Arunachal Pradesh decided to upgrade the sub-centre to primary health centre.

As tea gardens and rubber plantation in MEDO are expanding, it is leading to insurgence of migrant population, which is resulting number of new beneficiaries day by day. MEDO is functioning very smoothly and efficiently giving service to 8000 plus population covering 9 villages and other neighbouring villages of other districts. The daily OPD registration is approximately 70-80 patients and we also get various emergency cases in our 24 hour casualty/emergency service and delivery services. Immunisation and antenatal checkups held on every Tuesdays and outreach sessions for left out and drop outs are held on every Thursdays in 4 problematic villages. PHC MEDO also deals with pregnancy cases and new ANC registration of Pregnant Women and Infant Immunisation registration are on an average recorded to be 16-20 every week, while some days it reaches to 23-26 registration. With an average of 70-80% population falls into the category of migratory labour and 80% population is anaemic and most of the children are malnourished. In this regard we also distribute Deworming, Iron Folic tablets and multivitamins to the target audience.

Objectives :

  • To improve the overall health & hygiene status of marginalized groups with health care issues with the special focus on Reproductive, Maternal, New born, Child and Adolescent (RMNCH+A)
  • To demonstrate a PPP model to provide and facilitate the use of health service delivery, especially in geographically constrained regions with poor access to primary health care services
  • To enhance community capacity and participation in order to sustain health initiatives beyond the life of the Project.
  • To provide mobile health care services in Lohit District by covering 50 villages where the basic access to health service is lacking.
  • Increase access to health care in an underserved area: The primary objective of the mobile clinic is to bring health care into a community with limited access, specifically to those who are uninsured or underinsured.
  • To ensure curative health care: To prescribe and dispense medicines on the spot for the common ailments and referral to hospital for other cases.
  • To educate and build health awareness: To raise awareness about preventive health care issues including family planning, communicable and other diseases, audio visual equipment and a large screen will be fitted in the van. With the help of this facility educational films can be shown in villages.
  • The clinic also integrates patients into existing social services and health care systems through referrals.
  • To provides free episodic care at a time and place chosen to best serve our target population.
Activities Covered :
  • Conduct a baseline survey in first month of the project to assess the health status of project area, grappling with health care issues with the special focus on Reproductive, Maternal, New born, Child and Adolescent (RMNCH+A). Special emphasis on preparing a detailed list of pregnant women as per their trimesters (1,2and 3) & services to be offered and the status of new born.
  • Prepare a monthly visit schedule for the MMU for medical check-up and ensure the operation resonates with the plan.
  • 2 no. of training programs would be conducted for health workers for enabling them to provide effective community based maternal, new born and child care their communities.
  • 1 no. of medical camps (ENT, Eye, and Dental) would be organized Quarterly selected villages.                                           
  • Maintain daily/monthly records of beneficiaries, inventory, referral cases, medical camps etc.
  • Awareness programs for Village on different health issues in clusters for 30 villages

Targeted beneficiaries:
The underprivileged population living in the target areas is the beneficiaries under the program. The program specially focuses on women and children.

Additional Primary Health Centre (APHC)-Supaul (Bihar)

The APHC was inaugurated on Oct 12, 2009 by the Civil Surgeon of the then Supual. It runs 24 hour services OPD as well as Reproductive Child Health Services. The services which we provide are as follows: Nutritional Rehabilitation Centre: Area Covered:  District of Supaul        

 Objective:

  1. To control Severe Acute Malnutrition (SAM) and provide facility-based care to SAM children among 6-59 months children in the district.
  1. To halve the percentage of SAM children in the state by 2015.

The NRC has been providing medical and nutritional care to severe acute malnourished (SAM) children 20 in number at one batch. They are kept in the NRC for three weeks. Along with medical care, special focus goes on timely, adequate and appropriate feeding to the children and special care has been taken to improve skills and understanding of their mothers with respect to Nutrition, Health and Hygiene issues. In addition to this their mothers are the preparation of low cost, nutritious diets from locally available food stuffs.   

The Goal of the Project is to improve the availability of and access to quality health care for people especially those residing in rural areas.

  • Delivery System
  • Essential New Born Care
  • Provision for Referral
  • Anti Natal
  • Immunization for children and pregnant women
  • Post Natal Care
  • Family Planning Services
  • Prevention and Management of RTI/STI
  • Essential Laboratory Services