Health and Hygiene Program

Mother–child welfare and family planning services are being provided since the last 4 decades, as a result of which there is a rapid decline in the mortality rate but very less decline in birth rate. Our initial efforts were directed towards providing health services and facilitating in accessing government health services with regards to ANC, PNC, immunization, family planning, information dissemination and awareness generation. For sustainable improvement in the health related issues integrated efforts are needed like sensitization and behavior change in adolescent, women and their families. Still lot of the efforts are needed for attitudinal change, behavior change and sensitize the women, adolescent and male counterparts for long term well being of the children and the women.

To improve the health status of the stakeholders and to strengthen service delivery of mother and child health services, we are providing health services in the unreached slum areas of Durgapura and Sanganer. In this regard we are providing special attention to the expansion of health delivery services in slums, change in the process of setting up targets for family planning, community involvement, pre & post natal services to the pregnant and lactating mothers, institutional delivery, vaccination, linking people with national programs like DOTS & NACP and participating in pulse polio campaign and Vitamin A campaign. The major projects and activities under Health and Hygiene Program are described as under.

Facilitation of Reproductive Child Health (URCH) Project:

We are running Urban Reproductive Child Health (URCH) Centre in the Durgapura and Sanganer of Jaipur with the support of Directorate of Medical, Health and Family Welfare and National Rural Health Mission. The URCH Centre began from 13th June 2008 and initially, we were working in 7 slums of Durgapura and Sanganer in the year 2008-09. In 2009-10 we got additional 4 slums of Durgapura. Thus we are providing RCH services in the 11 slums of Durgapura and Sanganer.

Goal of reproductive child health program is to safely reduce unwanted pregnancy by providing high quality services and fulfill the reproduction needs of people. Apart from this take care of population control, child protection and child health.

Main Objectives of RCH Center:

Community Need Assessment (CNA) Survey:

Community Need Assessment Survey is the integral part of our strategy to collect and analyze the health related information of our targeted area.  The information collected is total population, male, female, number of eligible couples, number of children in different age groups, family size, number of pregnant women etc. The CNA survey was undertaken in all the 11 urban slums in the beginning of the year. The survey data were instrumental in Resetting our targets for ANC, PNC, immunization, family planning services. The slums which were surveyed are as follows:

O.P.D services though RCH centre:

We are providing OPD services to the people of the slum areas. The Medical Officer attend patients, undertake medical examination, give prescriptions, provide free medicine and as per need provide counseling services. In the centre we have facilities for treatment minor ailments, seasonal ailments, referral services, laboratory testing services, immunization, IFA tablets, check-up of pregnant women and vaccination services. In the period of 1st April 2009 to 31st March 2010 total number of patients benefited by the organization’s OPD was 7855 persons in number. Maximum number patients were suffering from fever, cough, cold, loose motion, stomach ache, breathing problem, pain in joints & knees and allergy etc.

Health examination

Organization conducted a health examination for school children in whom their weight, height, eyes, ears, teeth etc. were examined and they were given health related information. From time to time organization arranges health care camps in different slums.

Vaccination:

Vaccination is the best way to protect human body against infectious diseases. To provide specifically made vaccines which is injected in human body that provides immunization against certain diseases is called vaccination.

Objectives of vaccination:-

Reduce child mortality rate.Reduce mother mortality rate. Deaths due to child birth can be controlled to a certain extent by immunizing mothers during pregnancyControl infectious diseases and their carriersImprove health standards by developing immunity towards diseases. Description of vaccination done by the organization from April 2009 to March 2010 is as follows:-
B.C.G   POLIO D.P.T MEASELS Complete Vaccination
674 858 858 753 706

Organization's aim was to do the following things—
SN. Interventions Target Work done
1. Vaccination / MCHN Day 192 113
2. ANC Check-up 1500 606
3. Motivation for Institutional Delivery 1350 1117
4. Home to home contract --- 12137
5. Identifying malnutrition 150 50
6. Distribution the Iron tablets 1500 1244

Organization of Health Camps:

For providing health services to the door steps of the slum habitations and awareness generation we organize health camps in the targeted slums of our working area. The Medical Officer and supporting staff go to the field and organize camp and provide information, consultation, counseling regarding personal health & hygiene, pre & post natal services, reproductive health, safe sex behavior, RTI / STI infection & treatment, use of condoms, HIV / AIDS etc. as well as the Medical Officer provide health services like check-up of patients, write prescriptions and distribute free medicine to the patients. We organize health camps in all the 11 slums turn by turn. In the year 2009-10 we organized 34 camps in which 5654 persons were benefited through treatment, consultation and counseling.

Awareness Camps on Women & Child Reproductive Health:

VANI has organized awareness camps on Women & Child Reproductive Health so that the people can understand the importance of their own health and act accordingly. The lower status of women always kept them as last recipients in everything. Poor health status of women is the main outcome of this system. In the camps information regarding ANC, PNC, vaccination, institutional delivery, colostrums feeding, spacing methods, permanent sterilization, government facilities available for mother & child care, linkages with national programs etc. were provided to the people specially to the women. The awareness camps were organized turn by turn in all the 11 slums where we are operating. Thus in total 38 awareness camps were organized in 11 urban slums of Durgapura & Sanganer.

Support to pulse Polio Drive:

Organization has supported the administration in pulse polio drive in all targeted slums area. Organization has played an important role in motivating community regarding the importance of pulse polio drop for good health and reducing the cases of disability. Our ANMs were deputed in the pulse polio drive in different slums for giving two drops of polio vaccine to the children.

Support to Vitamin – A Campaign:

Organization has collaborated with Department of Women & Child Development and Health Department in Vitamin – A campaign in all targeted slums area. Organization has played an important role in motivating community regarding the importance of Vitamin – a doze for good eye health and reducing the cases of blindness and prevention of vision loss. Our ANMs were deputed in the Vitamin – A Campaign in different slums for giving drops of Vitamin – A doze to the children.

National AIDS Control Program (NACP) Phase III:

We are the project partner in NACP Phase III from January 2010 in Jaipur District of Rajasthan. The lead NGO is CULP. We are the member of the CSO Forum constituted at the district level. We had participated in the CSO Forum meetings and undertaking interventions in our project area with our main stream RCH project, SGSY and SHG Bank Linkage Program. It is part of our strategy to mainstream HIV / AIDS interventions with our other project activities. The main activities are awareness generation, IEC activities, sensitization, counseling etc.

Awareness Generation, Sensitization and Counseling:

In order to create awareness regarding general health status, reproductive health and HIV / AIDS, we provide information, education to the women, men and adolescent through meeting with individuals, organization of home visits and meeting with SHGs. We discuss with them on personal health & hygiene, pre & post natal services, reproductive health, safe sex behavior, RTI / STI infection & treatment, use of condoms, what is AIDS, how it spreads and how can we prevent from contamination. We provide complete information to the family members regarding HIV / AIDS and preventive measures. We encourage, guide and sensitize them for safe sex behavior and use of condoms and timely treatment of RTI & STI. If there are any case found for infection of RTI & STI, we provide counseling services to them, break their shyness and hesitation and our Medical Officer provide treatment to them. In the last year we had contacted 2978 persons for awareness generation including men, women and adolescent.

Condom Distribution:

We encourage and sensitize people for adopting small family norms, safe sex behavior, prevention and control of RTI / STI infections, prevention of HIV / AIDS and other sexually transmitted infections. We motivate and educate people for use of condoms, benefits by use of condoms and proper way of use of condoms especially to the male counterparts. In the last year we had distributed 29511 condoms among our targeted community.

Treatment of RTI / STI Infections:

At the time of family and home visits we undertake awareness generation regarding personal health & hygiene, pre & post natal services, reproductive health, safe sex behavior, RTI / STI infection & treatment, use of condoms, HIV / AIDS etc. If we get any of the patients infected with RTI / STI infection we provide counseling services to them, break their shyness and hesitation and our Medical Officer provide treatment to them. In the last three months our Medical Officer had provided treatment to the 896 persons who were having RTI / STI infections.

Total Sanitation Campaign:

Government of India conceived total Sanitation Campaign in 1999 to promote sanitation & hygiene in rural areas. Launching TSC is a paradigm shift from the earlier allocation based approach to a comprehensive demand driven approach. It emphasizes on total package of sanitation. Greater emphasis has been given on software interventions to charge the mindset of the rural people. Informed choice of technology option is considered as a key element to ensure the use and maintenance of the facilities created under the project. Hence, IEC has been taken as an important component for generating demand for sanitation.
The organization is working in 97 villages of Amber block in Total Sanitation Campaign with Collaboration of District Water Sanitation Committee. Under this Project following activities has been implemented in 2009-10.

PCPNDT Act:

The Centre for Advocacy and Research (CFAR) in collaboration with six leading NGOs from Rajasthan and supported by Tata Education Trust (TET) since 2009 and from IFES -2005-2008 have been implementing in Rajasthan a project to strengthen the Implementation of the PCPNDT law. VANI is member of the District Level Advisory Committee for Jaipur District and actively involved in strengthening the implementation of the PCPNDT law. The gender discrimination begins at the very birth of the child. The underlying reason for the gender discrimination is the social psyche that the girl child is a liability while a boy is an asset and is heir to the family name and honor. In the last two decades sex determination and sex selection has emerged as a major social immorality. This can be noted by the high rate of abortions. Our efforts are directed towards creating awareness, education and sensitization through IEC activities, behavior change communication and counseling etc. The change in scenario is yet to be assessed though people are and in particular more aware of adopting small family norms either they do not have male child. This is a positive sign of change in the social psyche. Still we need to do more on this issue.