Tribal Health Initiative
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Transcript of Tribal Health Initiative
TRIBAL HEALTH INITIATIVETRIBAL HEALTH INITIATIVE
Experiments in community health care
helping tribals heal themselves…….
Tribals are the indigenous people of India
Red Indians of the Americas
Aborigines of Australia
Invocation
To the tribal Gods who protect our people
Some information about India
4 of the 10 richest men live here 46 dollar billionaires 100 people in Fortune 500 Fast growing middle class IT ‘super power’ Moon mission
Some facts about ‘Bharat’ 60 – 70% population live in villages Medical expenses form 58% of total income Medical care is the 2nd most common cause
of rural debt 24% of rural population don’t seek health care
because they can’t afford it 40% borrow heavily for sickness 16% fall below poverty line Health expenditure is 0.9% of GDP
Source: 2007 National Sample Survey
VISION
Attainment of the highest possible level of health for the
people of Sittilingi valley
The Need for Today
Health Care
available
Affordable
acceptable
Sittilingi Valley …..enveloped by the Kalvarayan and Sitheri hill ranges
Sittilingi and the Avalur valleys have 21 hamlets which are home to about 10,000 people of whom 95% are tribals
A small beginning…..
In 1993 Tribal Health Initiative started off in a small hut
…team of 4 people
The Base Hospital
The Base Hospital now has 24 beds with about 1200 admissions a year
Seeing patients in our OP
Out patients are seen 3 days a week . About 100 – 130 patients use the facility daily of whom more than 70% are tribals.
In 2007 we provided service to 17660 people
All Lab investigations including Biochemistry
X-rays, ECGs & ultrasound
Diagnostic Facilities
In partnership with the GovernmentCenter for Tuberculosis
Counseling and testing center for HIV
Leprosy treatment Center
Deliveries & Neonatal Care
Ante,Intra & Post Natal care.
Advanced Neonatal care
About 30 deliveries a month and 3 - 4 for neonatal care per month
Surgical Work
About 20–30 surgeries every month including emergencies
Government recognized center for family planning surgeries
Go to the people, live with them, begin with what they know, build with what they have. And when you have completed your work, the people will say they have done it themselves
Lao Tse
Health Worker (HW) Training
Training in progress
Training is residential for 1 ½ years and open to only tribal girls. 5 batches of 6 girls each have been trained.
6th batch of training going on
HWs’ manage most of the Hospital
In the Wards Dispensing in the OPD
•See Out patients 3 days a week
•Conduct deliveries and assist surgeries
•Manage Ward, Lab, Xray/ECG
Health Worker – Advanced Training
Health Workers also do minor surgical procedures and anesthesia
Health Auxiliary (HA) training
Learning to weigh
Learning to count respiration
HA training had been for 1 ½ years, for 2 days every fortnight. They still come back every month for 2 days to refresh and share knowledge and data.
Community Health – 1st Tier
•Weighing babies in the field
•Teaching oral dehydration
•Discussing community problems
Community Health – 2nd Tier
Health Workers now plan, implement and follow up the Community Health Program
Field Clinics on 2 days a week.
Pregnant mothers & young children seen
Health Education is the focus
All newborns are seen within one week
Health at the doorstep
HIV prevention work
Started Education on HIV
HIV Counseling & Testing
Treatment of secondary infectionsReady for HIV deliveries
Street plays HIV education in schools
Achievements
No mothers died in child birth – 5 years Infant deaths – from 147/1000 to 32/1000 Malnutrition – down by 50 % Pregnant mothers check up – from 11%
to 95 % Almost 100% completion of treatment
in tuberculosis
That formal education is mandatory to do health care is a myth
Help people heal themselves…..
Stabilised Mud Blocks for Buildings Solar Water Heating Solar Lighting & Water Pumping Biogas from Kitchen & Hospital Waste Drip Irrigation & Rain Water Collection Minimising Disposable materials
There is enough in our world for everyone’s need, but not for anyone’s greed
Mahatma Gandhi
Freedom to learn
Thulir – the educational initiative runs a Resource Center for children
Basic Skills course for school dropouts
Back to Roots
In 2003 , after a 10 year evaluation
we decided to go back to the people
Farming Initiative
•15 Farmers groups [men & women]
•From 4 to 80 organic farmers in 3 years
•Collective selling and buying
•Exposure visits & classes from experts
Women entrepreneurs
Shirts with Sittilingi cotton
Marketing
organically grown by traditional methods
1. ragi 2. ragi powder 3. sprouted ragi powder 4. millet mix 5. bajra 6. bajra powder 7. little millet [samai] 8. bengal gram 9. black gram 10. horse gram 11. field bean 12. tur dhal
13. ground nut 14. rice [red] 15. coconut oil 16. sunflower oil 17. jaggery 18. coriander 19. coriander powder 20. turmeric 21. turmeric powder 22. chilly 23. chilly powder 24. maize 25. foxtail millet
Craft Initiative
Porgai ……..sharing pride
Trade agreement with Fairgrounds UK
Community Initiatives Community certificates Mullikadu dam
Secretary for Rural Development meets villagers
Anti-plastic rally
Future Plans
Start work in the Kalrayan Hills Training more Health Workers More farmers groups Organic Certification Local markets for Porgai
THANK YOU