Prayas-Hans Foundation Project -Arunachal Pradesh

The 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 benefited 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.

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 Janhit Swasthya Seva 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 Janani Suraksha Yojana.

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 under served 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 under insured.
• 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.

Prayas ImpactReal Impact, Measurable Results

270
fundraising & donation campaign
89
of beneficiaries have increased coping skills
93
of beneficiaries saw an increased income or educational level
83
increased community needs

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