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Community Health
Stressed on preventive and curative system of community health practice & strived hard to bring health services of Govt. and Non-Govt. sectors. Efforts were put to identify various types of health problems so as to sustain the health practices. Special attention & motivation drives are being organized for careful handling of the primary health care service & system.

Distributed free medicines, TBA kits and other possible necessary items to TBAs, pregnant women, children, sick and weak tribals when & where the need or demand is being felt. In the process organized eye camps, immunization camps, blood donation camps on different occasions.
Constructed low cost latrines in the program villages through sponsorship. Integrated community development & INHP program were implemented as as to give women & girl child education, improve the sanitation condition and increase the nutrition status of the community. Thus, NIPDIT in the health care activities, educates about body literacy, remedies for health problems through improving local system of medicines and accessing to govt. provisions.

Poverty and lack of food security has often been, wrongly, identified as the factors responsible for poor health profile of the tribals. On the other hand, poor health condition of the tribals engenders poverty. Fruits, tubers, roots, leaves available in the forests and indigenous medicinal system contribute to tribal health, but they have increasingly come under tress owing to forest degradation. The prevalent KAP among the tribals & socio-cultural practices of the community rather than the poor socio-economic conditions is important to bring about a change in the health profile. Since socio-cultural rather that socio-economic factors were found to be utmost importance, community based health care approach or “Community health” was adopted by NIPDIT.

 
Health Education & Creation of Community Cadres
Community Health program of NIPDIT has three components-health education, community participation in health care and provision of low cost & accessible health service. Health camps & Immunization camps have been organized to help the community overcome its inhibition to take the benefit of health care facilities. Village level health committees have been formed to monitor village sanitations and community health activities. To help establish health-hygiene interlinkage in the community, Chuans, wells and ponds have been renovated and disinfected, compost pits have been dug and roads cleaned in every village as part of sanitary measures. Kitchen Gardening has been promoted in order to improve the status of nutrition. Low cost latrines have been constructed in program villages. Integrated community development & INHP program were implemented so as to impart health education to women and girl children, improve the sanitary condition and increase the nutrition status of the community.

NIPDIT has trained a number of TBAs (258), health volunteers and adolescent girls on RCH to be primary health workers over the last few years. As a result, people’s knowledge of graded referrals, health-environment and health-sanitation interlinkages have improved. The community health cadres play a catalytic role in immunization, reduction of IMR & MMR as well as in promoting health-seeking behaviour of the people.

 
Program Convergence & Establishment of model
NIPDIT implemented Community Empowerment for Health Care (CEHC) project in 60 villages spread over three Gram Panchayats i.e, jamjahri, Katringia & Duduki of Kandhamal dist. The project started with stimulating community interest in health-promotive, disease-preventive and curative activities. Keeping in mind the pivotal role of community participation, NIPDIT has established community structures ( Village Health Committees, Gramsakhis & VHFs) to undertake apart from the routine job of curative services, health education, campaigns & programs. Considering the community participation in health care & health status of the community, the project area (Dadaki) has established itself as a model of community health.
 
Provision of low cost & Accessible Health Care
Keeping in mind, the unmet demand of health care service of the community and the need for providing low-cost locally available treatment, Indian System of Medicine (ISM) has been emphasized an all the project area. 159 herbal practitioners (67 men 92 women) have been trained to equip them with necessary skills. Trained practitioners treat common diseases like Maalaria, Asthma, Gout, Diarrhoea, skin diseases etc. Access to treatment by the trained herbal practitioners has resulted in reduction of household expenditure on curative health care.
 
Meeting the Challenge: Know AIDS for No AIDS
In order to create mass awareness among the people HIV/AIDS, NIPDIT seeks to make best use of the traditional methods of information dissemination. Awareness generation and Information dissemination on HIV?AIDS have been done through cultural programs, walling & distribution of IEC materials. The taboos & inhibition regarding discussion on HIV/AIDS has worn away among the people. Not only has there been an increase in awareness but also the gap between awareness level among men and women has been bridged. NIPDIT has organized workshops on “Mainstreaming HIV?AIDS” for its staff to help them gain a holistic perspective on the issue with Understanding of its linkage with the importance to preserve natural resource base and secured livelihoods.
 
Ensuring Health Entitlements: Rights-based Activities for Health Rights
Rights-based activities on health rights ensure health entitlements. Rights-based activities are undertaken with a convergence of efforts where people’s organizations, PRI, Youth Clubs, Professionals join together to organize rallies & demonstration to ensure health entitlement. Broad coalition has been formed among NGOs, Pos and activists on the issue of community health rights.
 
Out come
Formation of health Committees (440) in all the programme villages, establishment of 3 herbal gardens and creation of 477 health animators.
Decrease in IMR & MMR in the operation areas, the rates are lower than in the contiguous non-operational areas with similar socio-economic conditions
the initial organizational effort has transformed into sustainable community initiative witnessed in the changed KAP and the health profile of the community.
 
  Activities Achievements
Health committees functioning. 440 Villages
Mother & Child immunization. All areas
Renovated local chuans. 250 Villages
Health camps & cultural programs. All Villages
TBA trained & received kits. 300 Nos.
No. of cases attended by TBAs 2496
Village health camps 700 Nos.
Kitchen garden support 300 villages
Nutritional status increased (families). 3320
Health animators developed 400 Nos.
Herbal garden established. 3 Nos.
125 Varieties
Compulsory saving at ASSK level Rs.13,995
RRC on rural sanitation established. 1 No.
House hold latrine constructed. 577
No. of mason training organized. 16
Masons trained. 480
Rural Sanitary Mart established. (Nirmal) 1 No.
Children’s health insurance. 2000
 
Qualitative Achievements
Families have been supported through kitchen gardening as a result get vegetables around the year for consumption.
Villagers have witnessed that health awareness program through cultural activities health camps left positive impression on them and created a mass awareness. As a result, attendance in hospitals are increased. Villagers themselves organizing sanitation drives in regular intervals.
People of the program areas are accessible to safe drinking water. School children do practice personal hygienic habit and sanitation measures. As a result of sanitation drives, minimum cleanliness is maintained in many of the program areas.
Popularized composting and regular disinfections of water bodies as a measure for house hold and community sanitation and kitchen gardening as a nutrition measures. Revived traditional medicine system by establishing Herbal Gardens, imparted skill trainings to local practitioner with regular monitoring of the progress.
The eligible couple have changed their attitude towards better health care and adopt small family norm.
The trained TBAs are attending cases more actively and confidently. The impact study reveals that about 98% cases have been successfully handled where as cases referred to hospitals are only 2%.They are found well equipped with use of kit boxes provides to them.
Health camps have been organized and referred the identified cases to hospitals. Children were also given preventive after check up.
Encouraged greater involvement of PRIs in health and nutrition and food self reliance activities.
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