ANNUAL REPORT 2011-12
Chairman's Message
It gives me immense pleasure to present the Annual Report of"Rural Education And Development (READ)" for the year 2011-2012. READ has been taking rapid strides towards emerging as one of the leading
organization in India working in the arena of health, Education ,livelihood and environment. The organization has undertaken health programs in 60 villages in the state of Orissa India. READ has made Institutional tie ups
and ollaborative partnerships with government and private sector partners have widened the scope of interventions.
"Integrated community health project" has been launched in 60 villages of rural areas to promote interventions to improve the health of the people. and lobby to integrate prevention and control of such diseases into policies across all government departments. The organization has broadened the scope of its intervention by bringing a more direct focus on children, pregnant women, youth and people and capacity enhancement of development
partners and continued medical education for care providers. Rural Education And Development(READ)-Annual Report 2011-2012 With a focus on creating a knowledge base on RCH, expertise to manage countrywide programs and a team of committed individuals, the organization is moving into new areas like RCH, pregnant care,
family planning and Community awareness. On behalf of the Trustees, I wish to thank all those who have contributed to the excellent performance of READ work during the year. I am confident, that the current strategies of READ represent its professional approach towards health improvement and are entirely in keeping with the spirit and the vision of its founders to make it a centre of excellence health care unite. It is also a time to invite like-minded individuals, associations, NGOs, Corporates and Governments to engage with the organization to effectively address the challenging arena of health of people with an approach that is collaborative and one that recognizes the positive power of partnerships.
Sukant Deshmajhi
Chairman READ
From the Secretary Desk
The last 3 years has been an exciting time, as we progressed from an organization establishing its roots to a more mature, technically competent entity. From small projects and awareness generation activities, we moved to program management and grass root level engagement, partnerships and implementation at community level. We are also learning about new issues in the development sector with a focus on health. We are aware of the limitations of our resources in a country as vast and complex as India and so we use the resources in a targeted manner to have the maximum impact. We work in partnership with the government and other like minded institutions in the implementation process to bring in additional resources to the projects we support, to build and strengthen existing systems and establish key partnerships. READ has taken the initial steps towards
spreading its wings to encompass diverse areas like institutional capacity building of partners and public health delivery system, operational research, and advocacy, all focused on health. Our research aims to create a repository of knowledge for clinicians, policy makers and public experts. We are also focusing on modifiable risk factors of health related issues and physical activity and are working in 60 rural villages to spread awareness on these issues. Our audience is as diverse as children, women's groups, rural populations to educated youth. With a small and committed team and Government level bodies with synergetic efforts of its partners and supporters wherever needed. For us the journey has just began and we welcome all on this mission.
S.Maria Gnanapoo
Secretary cum Executive Director
PROGRAMME DESCRIPTION REPORT
Since three years Rural Education And Development (READ) has been effectively implementing the project ''Integrated Community Health Project" in 60 tribal and Dalit villages of Kandhamal, Ganjam and Gajapati Districts so called the adjoined villages which are neglected by Government and private sector. READ has been implementing health and other programs to support and help to live these people in a dignified life. During this 3rd year, the organization carried out the following activities such as (1) Running health center at the village Minjaponka which is the center place of the area, (2) periodically organizing general health camps at the center places for the benefit of the people, (3) Organizing Immunization camps for children and pregnant women at the feasible places for the convenience of the children, (4) Organizing monthly ANC camps to provide health care, (5) TBA trainings, (6) Eye camp, (7) health awareness meetings, trainings and disable camp etc are organized at village level and centre levels too. The above mentioned Programs are implemented with the active participation, cooperation and involvement of the people, staff, Government health workers, consultants, community leader women and men, volunteers and the beneficiaries.
The Goal of the project:-
The ultimate goal of the project is to promote sustainable health program in the rural and inaccessible area, where every human being has equal access to medical service and enjoy survival rights. It is to create healthy society where each individual is free from all kinds of dehumanizing practices and lead a life of human dignity.
Program Objectives:
Programs activities:
1. General Health Camps: This program has been organized quarterly basis in the project area. The main aim of this program is to provide medical support of different diseases for the remote tribal and Dalit poor people who are unable to reach to the government or private hospital to get treatment. The other aim is to provide basic knowledge on health and hygienic practices. In this year we invited Government health workers from Daringbadi public health center. The chief Medical Doctor, co-doctors, Medicine specialist from different department
and including ANM, Lab technician, provided health services to the people in our health center.
This program was conducted twice in this year. During the camp women, men, youth and children about 325 people under gone health check up and provided medicines
2.Rural Health Center: India is celebrating its independent every year and saying that we are developing but they do not see how the rural hilly terrain people suffer. This area people could not get health support since so many years It is God blessing is that with the support of Manos Unidas Spain, these remote area people could get a health center with medicines and other medical treatment facilities at their door step. The health center is a great blessing of Jesus to this tribal and dalit people who are very poor, illiterate and neglected. This center is regularly providing medical treatment to 60 targeted villages' people and those who need. The center provides medicines, injections, saline, blood checkup and required treatment with its capacity.
Serious patients are been referred to the medical collage or near by hospital for treatment. During this year 2011-12, 1250 number of patients been treated in our health center.
3. Immunization Camps: Children age 12-60 months or 12-36 months at the time of the interview with the mother were classified into three categories: not immunized, partially immunized, and fully immunized. Fully immunized children were those children who had received one dose of BCG, three doses each of DPT and OPV, and one dose of measles vaccine. If the child received any of these doses but not all, the child is considered partially immunized. In this remote area most of the children are partially immunized due to non availability of Government workers and not attending the mothers regularly.
This camp is organized in every month in different villages at the center places to give all children under the age group of 3 years. The main aim is to achieve 100% immunization in this remote area and prevent child diseases. In every camp Government ANM and Anganwadi workers attended along with READ staff. After our interventions 50% of the children of this area could get immunization. In some areas immunization is done in regular basic and some areas it is not regular due to non availability of ANM and remoteness but still we are trying to reach this program in each child. Our workers are regularly visiting villages and giving awareness to people. In this year 25 to 30 children are immunized in each camp. In this year total 742 children have received immunization.
4.ANC Camps: The main objective of this program is to good health of the pregnant mother and child. The major causes of infant, child, and maternal mortality are due to inadequate maternal care during pregnancy. This camp also is done on the same time of immunization of children. In each camp 10 to 12 mothers under go health check up and provided medicines, vitamin tablets, iron tablets and TT. So far in this year 275 pregnant women have got health check up and received medicines. With our interventions 60% of the pregnant women got health care support. Hence maternal and infant mortality rate have reduced in our operational area up to 90% in our survey report. During this camp our workers, ANM and ASHA workers.give instructions to the pregnant mothers to go for institutional delivery. 90% of the mothers go for institutional delivery at the PHC by the help of ASHA workers
5.TBA Training: This training is conducted regularly to capacited the illiterate women with the modern methods of care to the pregnant women and help during delivery. In our project area 30 numbers of TBA get regular training by the trained nurse and doctor. They help the poor people in their villages.
6. Special Eye Camp: This is the non budgeted activity organized by READ to help the poor tribal and Dalits who are really suffer from eye site problem. This program is done twice in a year in our project area with the support of ECOS eye hospital in Berhampur city. During this year 97 people have gone eye check up and given free medicines, 7 old people have under gone cataract operation.
7. Disable camps: READ is exploring different programs for the disadvantaged people of this remote area. We applied a project to Abilis foundation to support the disables in our area. Mrs. Jaya from Mobility India, Bangalore visited our project and met all the disable person in our health center. She was very happy to see our work in the inaccessible area. She met our board members, main functionaries, documents etc. Our aim is to care, support and rehabilitate the disables
Key Success of Health Programs.
1. READ has established Rural health center at the village Minjaponka. Since 2009 on wards we have been rendering health services through this health center to the rural poor people. In this health center we are giving health services such health checkup, providing medicines, blood checkup (malaria test), urine test, sugar test, BP test, etc. During this year (July-2011 - June-2012) 1250 patients have received treatment, blood check up has been done 568, urine test is done 102, 60 to 70 percent malaria cases and other diseases also treated. All most all the sick cases have been taken care in the health center. Serious patients like cerebral malaria, typhoid, nemonia also treated here. Delivery and many other complicated cases are referred to medical collage Berhampur or near by PHC. This health center is a great blessing of this area people.
2. During this year 742 of under 5 years children have received immunization, received polio, TT. Vaccination, diphtheria and polio dozes. 70% of the under 5 years children have partially immunized and 30% of the children are fully immunized.
3. In our project area Infant and maternal mortality rate has been reduced to 8% through the support of our activities.
4. Institutional delivery has promoted up to 90%. Those mother who go for institutional delivery they get Rs.1500/- support from the Government.
5. As per the roles and policy of our organization People are contributing 50% medicine and investigation cost. From the beginning till today we have collected Rs. 35,000/- this money is kept in a separate account.
6. Some of our programs are run by the support of Government health workers. In every program health personnel's such as ANM and medical staff come to the health center and conducting camps. We get 75% cooperation from the Government health department.
7. Government has given health programs to our organization to facilitate women, children and youth to be aware of health related programs and try to get benefit out of this.
8. By the support of Government 50 villages have constructed cement road, tube well and toilets. Water and sanitation 60% good in our project area.
9. In the project area 40% of the people are aware of malaria prevention and care.
10.READ health program became highlighted in the district of Kandhamal. Health personnel from the district head office Phulbani visited our health center. They are very happy to see our work in the inaccessible area. The district collector, CDMO, DPMO (district project management officer) has decided and approved V4 (Vulnerable
villages) project. This project mainly for the health support to the vulnerable villages.
11.The socio economic condition of this area is not so good. Most of the people are very poor. 95% of the tribal people are holding lands and 5% of the Dalits having half a acor of their own land rest of the people are not having land. They are all daily labor with semi-skilled. In a year only 3 to 4 months people get work rest of the month they remain with out work. Hence most of the young boys and girls go to cities to work and earn some money which is a great support to them. Even 12 to 20 years old youth work in hotels. In conclusion the economic situation is not good in this area. We have found out that in health aspect now they spend very less amount as before. Government has introduced some schemes for the poor people which give the clear picture of this area status food security of the people.
Economic condition: The project area people are very poor in economically. In Each month the poor people get 25 kgs of rice under BPL (Below poverty line) category at the rate of Rs.2/- and some people get 35 kgs of rice Antadaya scheme which is a small support for the poor families. But this support is not sufficient to the big families. Most of the Dalit people are landless. They are daily wage labour. To day the market rate is very high which is these poor people can not afford to buy their things. Hence most of the young boys and girls go to cities for work. In average we have found out that the socio economic conditions have been improved to 25% in the project area.
Unemployment problem: In our project area unemployment is another issue. In some villages there are youths who have completed graduation, +2 but they are unemployed. These tribal and Dalit youth can not compete with other people. This is due to very low percentage of mark. Therefore they are unemployed. Most of these youth migrate temporarily to cities for work. They earn good amount of money out side and lead a good live in their villages.
Education: There is a provision from Government that primary education is compulsory and free. In our project area most of the villages are having primary schools. Most of the tribal village schools are not functioning. Teachers are appointed but not going to schools due to remoteness and hilly terrain. Absence of teachers affects the children education. Children also loose their interest to go to school. We have found out that 50% of the Dalit children are studying in different schools and hostels and 10% of the tribal children go to schools with the interest of parents. READ conducts meeting with the parents and give awareness on education to them. As a whole literacy rate is very low in this area.
Case study-1: (treatment of typhoid): Mama Nayak is an age about 28 years old, village Minjaponka, District Kandhamal. She was suffering from Malaria and Typhoid since one month. She is working as teacher in a school. She got treatment in other hospital but again she was suffering from fever and head ache. Her parents advised her to go to our health center. She was diagnosed that she is having typhoid.
The doctor started giving medicines and injection. Regularly she got treatment in our health center. After 15 days she was fully cure. Now she is in good health.
Case study-2: (Treatment of Brain malaria): Subasini Majhi age about 35 years old, village Rambuli, and District kandhamal. She was suffering from brain malaria since one week. She was treated a home by herbal medicines but she was not cure. Since they are tribal they believe in herbal treatment. After few days she came to our health center to ask medicine. She was diagnosed that she is suffering from brain malaria. She was treated by our doctor in our health center. Regularly she was under treatment for one week. She got fully cured. Now she is no malaria, she is happy.
Case study-3 (treatment of Anemia and gastric): Sanorisa Mallick age about 15 years old, village Ghodaponka District Gajapati. She was suffering from anemia and gastric since 6 month. Due to poverty she was not gone to any hospital for treatment. Her parents are very poor. She is illiterate girl staying in a tribal village. She was brought to our health center by the TBA from that village. She was diagnosed that she is suffering from anemia and gastric. She was treated at the health center, given necessary medicines. She got fully cure. Now she is happy, doing all work at home and out side.
Future plan:
Chairman's Message
It gives me immense pleasure to present the Annual Report of"Rural Education And Development (READ)" for the year 2011-2012. READ has been taking rapid strides towards emerging as one of the leading
organization in India working in the arena of health, Education ,livelihood and environment. The organization has undertaken health programs in 60 villages in the state of Orissa India. READ has made Institutional tie ups
and ollaborative partnerships with government and private sector partners have widened the scope of interventions.
"Integrated community health project" has been launched in 60 villages of rural areas to promote interventions to improve the health of the people. and lobby to integrate prevention and control of such diseases into policies across all government departments. The organization has broadened the scope of its intervention by bringing a more direct focus on children, pregnant women, youth and people and capacity enhancement of development
partners and continued medical education for care providers. Rural Education And Development(READ)-Annual Report 2011-2012 With a focus on creating a knowledge base on RCH, expertise to manage countrywide programs and a team of committed individuals, the organization is moving into new areas like RCH, pregnant care,
family planning and Community awareness. On behalf of the Trustees, I wish to thank all those who have contributed to the excellent performance of READ work during the year. I am confident, that the current strategies of READ represent its professional approach towards health improvement and are entirely in keeping with the spirit and the vision of its founders to make it a centre of excellence health care unite. It is also a time to invite like-minded individuals, associations, NGOs, Corporates and Governments to engage with the organization to effectively address the challenging arena of health of people with an approach that is collaborative and one that recognizes the positive power of partnerships.
Sukant Deshmajhi
Chairman READ
From the Secretary Desk
The last 3 years has been an exciting time, as we progressed from an organization establishing its roots to a more mature, technically competent entity. From small projects and awareness generation activities, we moved to program management and grass root level engagement, partnerships and implementation at community level. We are also learning about new issues in the development sector with a focus on health. We are aware of the limitations of our resources in a country as vast and complex as India and so we use the resources in a targeted manner to have the maximum impact. We work in partnership with the government and other like minded institutions in the implementation process to bring in additional resources to the projects we support, to build and strengthen existing systems and establish key partnerships. READ has taken the initial steps towards
spreading its wings to encompass diverse areas like institutional capacity building of partners and public health delivery system, operational research, and advocacy, all focused on health. Our research aims to create a repository of knowledge for clinicians, policy makers and public experts. We are also focusing on modifiable risk factors of health related issues and physical activity and are working in 60 rural villages to spread awareness on these issues. Our audience is as diverse as children, women's groups, rural populations to educated youth. With a small and committed team and Government level bodies with synergetic efforts of its partners and supporters wherever needed. For us the journey has just began and we welcome all on this mission.
S.Maria Gnanapoo
Secretary cum Executive Director
PROGRAMME DESCRIPTION REPORT
Since three years Rural Education And Development (READ) has been effectively implementing the project ''Integrated Community Health Project" in 60 tribal and Dalit villages of Kandhamal, Ganjam and Gajapati Districts so called the adjoined villages which are neglected by Government and private sector. READ has been implementing health and other programs to support and help to live these people in a dignified life. During this 3rd year, the organization carried out the following activities such as (1) Running health center at the village Minjaponka which is the center place of the area, (2) periodically organizing general health camps at the center places for the benefit of the people, (3) Organizing Immunization camps for children and pregnant women at the feasible places for the convenience of the children, (4) Organizing monthly ANC camps to provide health care, (5) TBA trainings, (6) Eye camp, (7) health awareness meetings, trainings and disable camp etc are organized at village level and centre levels too. The above mentioned Programs are implemented with the active participation, cooperation and involvement of the people, staff, Government health workers, consultants, community leader women and men, volunteers and the beneficiaries.
The Goal of the project:-
The ultimate goal of the project is to promote sustainable health program in the rural and inaccessible area, where every human being has equal access to medical service and enjoy survival rights. It is to create healthy society where each individual is free from all kinds of dehumanizing practices and lead a life of human dignity.
Program Objectives:
- To prepare a village health plan, for the primary health care activities and referrals, based on local priorities and perceived health needs of the community.
- To establish village health fund with community Contribution in order to make health
- To ensure with the Panchayat and government the maintenance of the water sources and appropriate sanitation in the community and do the requisite awareness and advocacy program for this.
- To establish linkages with the sub centre, PHC, CHC and district hospital as well as private medical establishment in the area for seeking appropriate support for organizing preventive, promotive and curative health activities and for referrals.
- To under take preventive health activities for the special needs of mothers, children, adolescents, men and women in general.
- To operate under the guidance of PHC medical officer or private medical doctor, provide treatment for the routine ailments and the endemic diseases in the area and arrange for the referrals where necessary.
- To improve the quality of health services by establishing a community health post in Alligonda parish
- To promote and skill development of village volunteers such as TBAs for the immediate service of the delivery care and manage village health activities.
- To organize ANC camps for periodical check up of pregnant mothers, T.T. vaccinations and investigation including treatment.
- To organize immunization camp for all 0-5 years children to prevent from 6 killer diseases (Diptheria, pertusis, tetanus, polio, Tuberculosis and Measles).
- To create awareness among people of these communities on malaria control, both preventive and protective measures.
Programs activities:
1. General Health Camps: This program has been organized quarterly basis in the project area. The main aim of this program is to provide medical support of different diseases for the remote tribal and Dalit poor people who are unable to reach to the government or private hospital to get treatment. The other aim is to provide basic knowledge on health and hygienic practices. In this year we invited Government health workers from Daringbadi public health center. The chief Medical Doctor, co-doctors, Medicine specialist from different department
and including ANM, Lab technician, provided health services to the people in our health center.
This program was conducted twice in this year. During the camp women, men, youth and children about 325 people under gone health check up and provided medicines
2.Rural Health Center: India is celebrating its independent every year and saying that we are developing but they do not see how the rural hilly terrain people suffer. This area people could not get health support since so many years It is God blessing is that with the support of Manos Unidas Spain, these remote area people could get a health center with medicines and other medical treatment facilities at their door step. The health center is a great blessing of Jesus to this tribal and dalit people who are very poor, illiterate and neglected. This center is regularly providing medical treatment to 60 targeted villages' people and those who need. The center provides medicines, injections, saline, blood checkup and required treatment with its capacity.
Serious patients are been referred to the medical collage or near by hospital for treatment. During this year 2011-12, 1250 number of patients been treated in our health center.
3. Immunization Camps: Children age 12-60 months or 12-36 months at the time of the interview with the mother were classified into three categories: not immunized, partially immunized, and fully immunized. Fully immunized children were those children who had received one dose of BCG, three doses each of DPT and OPV, and one dose of measles vaccine. If the child received any of these doses but not all, the child is considered partially immunized. In this remote area most of the children are partially immunized due to non availability of Government workers and not attending the mothers regularly.
This camp is organized in every month in different villages at the center places to give all children under the age group of 3 years. The main aim is to achieve 100% immunization in this remote area and prevent child diseases. In every camp Government ANM and Anganwadi workers attended along with READ staff. After our interventions 50% of the children of this area could get immunization. In some areas immunization is done in regular basic and some areas it is not regular due to non availability of ANM and remoteness but still we are trying to reach this program in each child. Our workers are regularly visiting villages and giving awareness to people. In this year 25 to 30 children are immunized in each camp. In this year total 742 children have received immunization.
4.ANC Camps: The main objective of this program is to good health of the pregnant mother and child. The major causes of infant, child, and maternal mortality are due to inadequate maternal care during pregnancy. This camp also is done on the same time of immunization of children. In each camp 10 to 12 mothers under go health check up and provided medicines, vitamin tablets, iron tablets and TT. So far in this year 275 pregnant women have got health check up and received medicines. With our interventions 60% of the pregnant women got health care support. Hence maternal and infant mortality rate have reduced in our operational area up to 90% in our survey report. During this camp our workers, ANM and ASHA workers.give instructions to the pregnant mothers to go for institutional delivery. 90% of the mothers go for institutional delivery at the PHC by the help of ASHA workers
5.TBA Training: This training is conducted regularly to capacited the illiterate women with the modern methods of care to the pregnant women and help during delivery. In our project area 30 numbers of TBA get regular training by the trained nurse and doctor. They help the poor people in their villages.
6. Special Eye Camp: This is the non budgeted activity organized by READ to help the poor tribal and Dalits who are really suffer from eye site problem. This program is done twice in a year in our project area with the support of ECOS eye hospital in Berhampur city. During this year 97 people have gone eye check up and given free medicines, 7 old people have under gone cataract operation.
7. Disable camps: READ is exploring different programs for the disadvantaged people of this remote area. We applied a project to Abilis foundation to support the disables in our area. Mrs. Jaya from Mobility India, Bangalore visited our project and met all the disable person in our health center. She was very happy to see our work in the inaccessible area. She met our board members, main functionaries, documents etc. Our aim is to care, support and rehabilitate the disables
Key Success of Health Programs.
1. READ has established Rural health center at the village Minjaponka. Since 2009 on wards we have been rendering health services through this health center to the rural poor people. In this health center we are giving health services such health checkup, providing medicines, blood checkup (malaria test), urine test, sugar test, BP test, etc. During this year (July-2011 - June-2012) 1250 patients have received treatment, blood check up has been done 568, urine test is done 102, 60 to 70 percent malaria cases and other diseases also treated. All most all the sick cases have been taken care in the health center. Serious patients like cerebral malaria, typhoid, nemonia also treated here. Delivery and many other complicated cases are referred to medical collage Berhampur or near by PHC. This health center is a great blessing of this area people.
2. During this year 742 of under 5 years children have received immunization, received polio, TT. Vaccination, diphtheria and polio dozes. 70% of the under 5 years children have partially immunized and 30% of the children are fully immunized.
3. In our project area Infant and maternal mortality rate has been reduced to 8% through the support of our activities.
4. Institutional delivery has promoted up to 90%. Those mother who go for institutional delivery they get Rs.1500/- support from the Government.
5. As per the roles and policy of our organization People are contributing 50% medicine and investigation cost. From the beginning till today we have collected Rs. 35,000/- this money is kept in a separate account.
6. Some of our programs are run by the support of Government health workers. In every program health personnel's such as ANM and medical staff come to the health center and conducting camps. We get 75% cooperation from the Government health department.
7. Government has given health programs to our organization to facilitate women, children and youth to be aware of health related programs and try to get benefit out of this.
8. By the support of Government 50 villages have constructed cement road, tube well and toilets. Water and sanitation 60% good in our project area.
9. In the project area 40% of the people are aware of malaria prevention and care.
10.READ health program became highlighted in the district of Kandhamal. Health personnel from the district head office Phulbani visited our health center. They are very happy to see our work in the inaccessible area. The district collector, CDMO, DPMO (district project management officer) has decided and approved V4 (Vulnerable
villages) project. This project mainly for the health support to the vulnerable villages.
11.The socio economic condition of this area is not so good. Most of the people are very poor. 95% of the tribal people are holding lands and 5% of the Dalits having half a acor of their own land rest of the people are not having land. They are all daily labor with semi-skilled. In a year only 3 to 4 months people get work rest of the month they remain with out work. Hence most of the young boys and girls go to cities to work and earn some money which is a great support to them. Even 12 to 20 years old youth work in hotels. In conclusion the economic situation is not good in this area. We have found out that in health aspect now they spend very less amount as before. Government has introduced some schemes for the poor people which give the clear picture of this area status food security of the people.
Economic condition: The project area people are very poor in economically. In Each month the poor people get 25 kgs of rice under BPL (Below poverty line) category at the rate of Rs.2/- and some people get 35 kgs of rice Antadaya scheme which is a small support for the poor families. But this support is not sufficient to the big families. Most of the Dalit people are landless. They are daily wage labour. To day the market rate is very high which is these poor people can not afford to buy their things. Hence most of the young boys and girls go to cities for work. In average we have found out that the socio economic conditions have been improved to 25% in the project area.
Unemployment problem: In our project area unemployment is another issue. In some villages there are youths who have completed graduation, +2 but they are unemployed. These tribal and Dalit youth can not compete with other people. This is due to very low percentage of mark. Therefore they are unemployed. Most of these youth migrate temporarily to cities for work. They earn good amount of money out side and lead a good live in their villages.
Education: There is a provision from Government that primary education is compulsory and free. In our project area most of the villages are having primary schools. Most of the tribal village schools are not functioning. Teachers are appointed but not going to schools due to remoteness and hilly terrain. Absence of teachers affects the children education. Children also loose their interest to go to school. We have found out that 50% of the Dalit children are studying in different schools and hostels and 10% of the tribal children go to schools with the interest of parents. READ conducts meeting with the parents and give awareness on education to them. As a whole literacy rate is very low in this area.
Case study-1: (treatment of typhoid): Mama Nayak is an age about 28 years old, village Minjaponka, District Kandhamal. She was suffering from Malaria and Typhoid since one month. She is working as teacher in a school. She got treatment in other hospital but again she was suffering from fever and head ache. Her parents advised her to go to our health center. She was diagnosed that she is having typhoid.
The doctor started giving medicines and injection. Regularly she got treatment in our health center. After 15 days she was fully cure. Now she is in good health.
Case study-2: (Treatment of Brain malaria): Subasini Majhi age about 35 years old, village Rambuli, and District kandhamal. She was suffering from brain malaria since one week. She was treated a home by herbal medicines but she was not cure. Since they are tribal they believe in herbal treatment. After few days she came to our health center to ask medicine. She was diagnosed that she is suffering from brain malaria. She was treated by our doctor in our health center. Regularly she was under treatment for one week. She got fully cured. Now she is no malaria, she is happy.
Case study-3 (treatment of Anemia and gastric): Sanorisa Mallick age about 15 years old, village Ghodaponka District Gajapati. She was suffering from anemia and gastric since 6 month. Due to poverty she was not gone to any hospital for treatment. Her parents are very poor. She is illiterate girl staying in a tribal village. She was brought to our health center by the TBA from that village. She was diagnosed that she is suffering from anemia and gastric. She was treated at the health center, given necessary medicines. She got fully cure. Now she is happy, doing all work at home and out side.
Future plan:
- Our future plan is to continue this project for some years so that these people will have good future especially the children and women. We are not so sure about the Government intervention. Government works are unpredictable. Due to remoteness and inaccessibility the Govt. health workers could not land up.
- We have taken V4 project from Govt. to give awareness to people on health especially on maternal health, child health, adolescent and reproductive health, prevention and management of RTI &STI and Strengthening of community process. Care, support and rehabilitation of disables in the project area.
- People have to contribute 100% medicine cost.
- Water facilities at the health center.