AMAGAM

(Area Movement for Awareness Growth Action and Motivation ), Bamunigam

Annual Report :2016-17

Organisational Profile

01

Name of the organisation

AMAGAM(Area Movement for Awareness Growth

Action and Motivation), Bamunigam

02

Address

At/P.O-Bamunigam, Dist-Kandhamal, Odisha, India, PIN-

762021

03 Telephone 06849 249708, Cell - 9438251689

04 Email amagambamunigam@gmail.com

05 Name of Chief functionary Mr.Kishore Baliarsingh, Executive Secretary, AMAGAM

06 Year of establishment 1987

07 Year of Registration 1991

08 Legal Status Registered under SR Act XXI of 1860/FCRA Act 1976/12 AA of IT Act

Genesis

The voluntary organisation AMAGAM(Area Movement for Awareness Growth Action and

Motivation ), Bamunigam emerged in the year 1984 at Bamunigam, under Daringbadi Block of

Kandhamal district (the then Phulbani district) by some enthusiastic youths encouraged by “Jagruti”

NGO, Daringbadi with weeklong awareness camps organised in this remote area. About 25 College

students and village youth leaders were involved in the awareness campaign. Basically the campaign

was organised in view of orientation to the youth and villagers to identify their problems and issues,

analyse it and respond accordingly with community initiatives. Awareness generation to solve the

village problems and issues was the main focus of the campaign. In the process it had been felt that

awareness generation needs to be continuously evolved for which it was decided to establish an

organisation and thus AMAGAM came into existence from September 1st, 1987.Since then this local

NGO have been continuously involved in various rural development programmes and implemented

number of project activities in the tribal populated remote, undeveloped border area of Kandhamal

district.

The organisation obtained its registration in the year 1991 under Societies Registration Act XXI of

1860 and also subsequently registered under FCRA Act 1976 and Income tax exemption under IT Act.

Initially from the year 1987 AMAGAM adopted one Grampanchayat namely Saramuli under

Daringbadi block and initiated some community development programme with the support of

‘Jagruti’ NGO and district level Governmental funds. In the year 1991 Andheri Hilfe, Bonn, a

Germany based donor agency extended its support directly for project activities with the title ’Agro

based income generation for people’s empowerment’. Later from the year 2004 donors like

Trocaire, Ireland and Centre for World Solidarity(CWS) benevolently supported various community

development and people’s empowerment programmes in the area. During the journey the

programmes of National Health Mission (NHM) started with programmes named ‘Reproductive and

Child Health (RCH) in the area. Presently the organisation has undertaken ’Arogya Plus’ programme

(A mobile heath unit) and Maa Gruha (Maternity waiting home-MWh with the support of National

health Mission (NHM), Kandhamal.

Apart from the above described activities the organisation has also been involved in the Antarang (A

solidarity building initiative network in the district of Kandhamal) and Swachha bharat programmes

in the area. Further various need base activities such as accessing and tapping govt. resources,

organising people to access the improvisation of health, education facilities and other governmental

social improvement initiatives by creating awareness among the marginalised and poor people are

carried out in a continuing process.

Vision of the organisation:

The poor Scheduled Caste (Dalit) and Scheduled tribe and other poorest section of the society

including women and children shall live in society where there shall be fulfilment of basic needs,

right over natural resources, gender equality and cultural independency, healthy environment,

devoid of any exploitation, child development, better education and active civic participation.

MISSION:

Asserting the rights of the poorest of the poor Scheduled caste, Scheduled tribe and

women.

Strengthening people’s organisation of vulnerable communities to carry out different

sustainable development initiatives at the grass root aiming at reducing poverty, social

disparities, ensuring basic services, protecting environment and increasing people;s

participation and involvement in local governance.

Net-working the people’s Associations, NGO’s and other development players for proper

policy formulation for the poor.

CORE VALUES:

Participation

Transparency

Accountability

Community management

Solidarity

Gender equity

Justice and peace

Networking

Inclusiveness

Convergence between Government and Civil Society Organisations.

FOCUS AREA:

Strengthening civil society organisation.

Ensure livelihood.

Human rights.

Health.

Natural resource management(NRM)

Education.

Women empowerment.

STRATEGIES:

Role of AMAGAM as NGO is of a ‘facilitator’ to bring people together, create local leaders for

development of the area.

Net-working with other grassroots, block level People’s organisations (PO’s) and linkage with

district, state and national level networks.

Strengthen CSO through capacity building at grass root level with community participation

and involvement at planning and decision making process for collective action.

Facilitate and accompany village level and Panchayat level committees on lobby and

advocacy for mobilisation of Government resources, right based action and policy change.

Enhance livelihood through Government programme, Natural resource management and

practice entrepreneurship.

Enhance PRI for better implementation and management of development inputs with

community participation.

Collaboration with Government and non-government organisations/agencies for integral

development of the area.

OPERATIONAL AREA:

State : Odisha

District : Kandhamal

Block : Daringbadi

Grampanchayats-

1 – Godapur

2 – Kattingia

3 –Kumbharigam

4 – Tajungia

5 – Saramuli

6 – Hatimunda

(Other nearby Grampanchayats have been included in health and sanitation programmes)

PROGRAMMES INTERVENTION/ACTIVITIES

1 – AROGYA PLUS (A pilot project initiated and supported by National health Mission in the district

of Kandhamal)

Objective:

Provide access to affordable, equitable and quality health care to the population in rural areas with

special focus on the marginalised sections of society which tends to get excluded from the reach of

the public health service delivery mechanism.

Strategy:

Mobile Health Units (MHU) to provide curative service as well as take part in provision of

RCH services, School health services, family planning services etc.IEC and Social mobilisation

campaign on the issues of health, sanitation and nutrition has been undertaken under the

project.

Service has to be provided by a reputed NGO or CBO, who has strong presence in the service

area, on Public Private partnership (PPP) model under NRHM.

Capacity building of Gaon Kalyan Samiti (GKS) at the village level to strengthen health action

and effective participation in various health programmes. Community based monitoring

system to be evolved.

Local Steering Committee:

A Steering committee of all Stakeholders has been formed at ”Service area” level to guide and

monitor various activities being undertaken by project ‘Arogya’.

Project Activities:

(a) 1 – Curative : Treatment of minor ailments, Referral, Leprosy, TB, malaria treatment and

awareness.

2 – RCH Services

3 – Family planning Services

4 – Diagnostic Services –Haemoglobin, RDK test, Tuberculosis

5 – IEC/BCC – Counselling in RTI/STI/HIV/AIDS, personal/environmental hygienic awareness

6 – Medicine support – free medicine

– Emergency Services

(b) Strengthening of Gaon Kalyan Samitis (GKS)

Training to GKS members

Regular monthly meeting of GKS

Development and implementation of village health and sanitation plan(VHSP)

Integration of Sanitaion and nutrition

Evolving community based monitoring.

Incentive to ASHA as community Resource person.

(c) Community based monitoring system:

Strengthening capacities of LSC(Local Steering Committee), Grampanchayat and GKS.

Collaboration with Zilla Swasthya Samiti.

Organising health Grievance Redressal camp.

Table No.1: Staffing pattern/Team members of Arogya plus project:-

AYUSH Doctor - 01

Pharmacist - 01

Health Worker (Female) – 01

Driver - 01

Attendant - 01

Social Mobiliser - 01

Total -06

Table No.2: OPERATIONAL AREA OF AROGYA PLUS PROJECT

S.No Name of GP Total villages covered

Total Household

Total Population

Male Female Total

01 Saramuli 14 560 1319 1348 2667

02 Tajungia 15 837 1869 1990 3859

03 Hatimunda 17 694 1676 1794 3470

Total 03 GPs 46 2091 4864 5132 9996

Table No.3:

patients treated from April 2016 to March 2017:-

Total tour days to target villages - 267

Total number of times target villages covered - 977

No. of patients treated

Male -3555 Female -5185

Children -7031 Total -15771

No. of patients treated for ARI - 3458

No. of patients treated for Dysentry - 560

No. of patients treated for Skin disease - 791

S. malaria cases treated -3386

Other ailments - 7576

No. of Referral cases - 96

Leprosy detected - 00

Tuberculosis detected/Referred - 26

TB cases follow up - 31

Cataract cases Referred - 16

Cataract cases operated - 01

No. of ORS packets distributed - 2573

No. of open wells disinfected - 53

No. of health education classes imparted in villages -180

Table No.4: School Health Programme:-

No. of Schools visited once - 35

No. of Schools visited twice - 08

No. of students covered - 1978

No. of students treated for ARI - 677

No. of students treated for Dysentry - 121

No. of students treated for skin diseases - 404

No. of students treated for S.malaria - 349

Other diseases treated - 427

No. of RDK tested -354

No. of RDK positive found and treated - 178

No. of fever cases attended - 3175

No. of health education classes conducted in schools - 41

Table No.5: Reproductive and child health (RCH) care service delivered (2016-17)

No. of CC - 22

No. of OP - 199

No. of Sterilisation - 15

Total no. of monthly immunisation - 112

Total no. of periodic immunisation - 04

Ante-natal care:

Detected – 233, TT given – 436, IFA – 136

No. of delivery cases transported by MHU - 42

Table No.6: Ante-natal care (ANC) during the year 2016-2017:-

Total no. of meetings held - 36

Total No. of women attended - 532

No. of pregnant women (new) identified - 239

TT Administered – 1st dose – 235, 2nd dose – 209

Iron folic acid (IFA) provided - 171

ANC cases check up:-

Haemoglobin (Hb)-285, weight – 285, B.P – 285

No. of Sugar test - 285

No. of complete ANC check up - 171

Table No. 7: Diseases detected, Referred and other services provided:-

No. of leprosy cases detected - 00

No. of TB cases detected - 30

No. of TB cases under follow up - 48

No. of cataract cases detected - 21

No. of cataract cases referred/ operated - 01

No. of ORS given - 2772

No. of halogen given - 221

No. of open well disinfected - 69

No. of Health education sessions imparted - 211

2.MATERNITY WAITING HOME (MWH)(MAA GRUHA)

(Special initiatives for promotion of institutional delivery in inaccessible pockets of Tribal areas)

Programme Starting year : 2011

Supported by : National Health Mission

Maternity centre venue : AMAGAM Premises, Bamunigam

Objectives :

To establish alternative support infrastructure for addressing communication problems in

difficult tribal pockets for ensuring institutional delivery.

To increase institutional delivery in the difficult tribal pockets.

Maternity Waiting home – in a nutshell

It is a temporary home for expectant mothers where they can wait for safe delivery. On onset of

labour, they are to be shifted to nearby health facility having Basic Emergency Obstetrics Care

(BeMOC) facilities for delivery.post partum cases are not entitled to stay at this home.

Core activities of the home:

Accommodation facilities for expectant mothers and her escorts.

Provision of food for expectant mothers, dependants and escorts.

Lady health Care Assistant for attending cases on shifts.

Provision for shifting of cases from Maternity Waiting home to hospital.

Regular health check up by Doctor.

Health education sessions through IEC and Audio visual aids.

Recreation facilities at MWH like TV, CD player etc.

Client friendly environment and support.

The Home accommodates 6 pregnant mothers at any point of time and average 20 cases in a month.

Under any circumstances the cases coming for admission are not refused. The expectant mothers

are advised to stay in the home for at least 5-7 days before the expected date of delivery or as

advised by the Medical Officer. In special cases readmission of cases are allowed for a limited

number.

Table No-8: Staff structure of Maternity Waiting Home:-

Trained Health Worker (Female)-cum-Coordinator : 01

Lady Health Assistant : 03

Doctor (Part time) : 01

Cook-cum-Helper : 01

Total : 06

Table No-9: OPERATIONAL AREA OF MATERNITY WAITING HOME

Name of the Block : Daringbadi

Total GPs covered : 06

Total villages covered : 95

Total remote villages : 28

Total Household covered : 4750

Total population covered : 22678

Total male : 11079

Total female : 11599

Nearest PHC : Bamunigam under Daringbadi CHC

TableNo- 10: GPwise Operational area of MHW :-

S.No Name of G.P Total villages tagged

Total Household

Total Population

Male Female Total

01 Saramuli 14 605 1319 1348 2667

02 Tajungia 15 837 1869 1990 3859

03 Hatimunda 17 694 1676 1794 3470

04 Godapur 11 916 2357 2257 4616

05 Kattingia 15 880 2092 2261 4353

06 Kumbharigam 23 818 1766 1949 3715

G.Total 95 4750 11079 11559 22678

Table No- 11: Admission details of Maternity Waiting Home(2016-17):-

Total number of expectant mothers admitted -310

Age Group:-

Below 18 18 - 25 26 - 35 36 - 45 45 above TOTAL

03 181 122 04 00 310

Category wise admission details:-

PTG ST SC Others Total

00 213 85 12 310

Distance, target coverage, delivery details

Distance covered by cases in Kms.

01 – 05 Kms 06 – 10 Kms 11 – 15 Kms 16 – 20 Kms 20 Kms above

00 22 93 135 60

No. of cases from Target area No. of cases from Non-target area

302 08

Duration of admission before delivery

5 days 10 days 15 days

46 152 112

Accompanied by

ASHA Family member Relatives

259 44 07

Table No.12:- Delivery Status:-

Delivery at MHW : NIL

Delivery at Hospital :

PTG ST SC Others Total

00 192 72 11 275

Cases Referred - 12

Left before delivery - 09

No. of days stayed at MHW:

Below 03 days 4 – 6 days 7 days above

70 118 122

No. o normal delivery - 266

No. of CS delivery - 09

No. of L.B - 272

No. of S.B - 03

Mode of transportation

Bi-cycle Motorbike Auto-rickshaw/oth Jeep/Ambulance

00 04 228 78

Total no. of days visited by

Doctors CDMO DPM DMCH MO BPO/BAD Others

05

02

03

00

16

17

District Collector – 01 MLA - 01 Block Chairman - 01 CDPO - 01 Supervisor, ICDS - 04

Table No.13 – Statistics of Pregnant women in Maa Gruha during the year:

Total No. of Pregnant women admitted 310

Total No. of delivery against admission 275

Average monthly case lodged 25

% of 1 G.No admitted 34%

% of delivery against admission 88.7%

Average monthly delivery 22

% of target villages accessed the MWH 97%

Average monthly day stay 03

3.Sanitation Programme:

AMAGAM have been facilitating the construction of Individual Household Latrine in the Block of

Daringbadi covering all the twenty four Grampanchayats sponsored and fully funded by Swachha

Bharat Mission.The role of the organisation is to deal with motivational aspects as well as to

monitor, supervise and linkage with the line department specifically the Block administration.

Following table depicts the progress of IHHL construction during the year.

Table No.14 – Status of construction of IHHL – SBM

Sl.No. Name of the GP Target of IHHL as per BL survey

No. of IHHLs completed

Balance

01 Badabanga 950 537 413

02 Bamunigam 1328 565 763

03 Bhramarbadi 519 519 -

04 Budaguda 1064 650 414

05 Danekbadi 880 802 78

06 Daringbadi 2130 1127 1003

07 Dasingbadi 769 392 377

08 Gadapur 951 512 439

09 Greenbadi 900 656 244

10 Gumikia 832 410 422

11 Hatimunda 1093 520 573

12 Jhinjiriguda 810 388 422

13 Katingia 1165 470 695

14 Kirikuti 1043 562 481

15 Kumbharigan 1029 421 608

16 Partamaha 1568 602 966

17 Saramuli 794 401 393

18 Siangbali 867 555 312

19 Simanbadi 1187 560 627

20 Sirkabarg 628 249 379

21 Sonepur 890 390 500

22 Sraniketa 1189 890 299

23 Tajungia 877 484 393

24 Tillori 1006 445 561

Case Study No.1 – Project Arogya Plus:

Kabita Muthamajhi, aged about 22 years, wife of Linga Muthamajhi of village Mahagudi, padasahi

under Tajungi GP of Daringbadi Block is a poor, landless tribal (Kandh) woman is having chronic and

known case of Sikcle cell anaemia and jaundice was identified by the ANM of the project Surama

Sabhapati during the visit on2.3.2017.She has been tested for haemoglobin level and found that a

very low level with 4 gram and her weight was only 39 kgs with 90/60 blood pressure level, thus with

a very dangerous symptom. She has been advised to visit the hospital for further check up and been

provided with multivitamin, calcium and folic acid tablets. The project ANM along with the ‘Arogya’

team visited the pregnant lady continuously on 9.5.2017, 15.7.2017, 8.9.2017 and guided her for the

care during pregnancy and referred to the District Head quarters hospital, Phulbani for higher

treatment. While visiting on 2.11.2017 she was already blessed with a male child and at Daringbadi

CHC and both the mother and child were safe. She was also found in normal lactation stage.She

extended her gratitude and thankfulness for the intensive guidance which saved the live of both of

them.

Case study prepared by: Surama Sabhapati, ANM, Arogya Project, AMAGAM, Bamunigam.

Case Study No.2 – Promotion of institutional delivery:

Jyhoschhna Muthamaji realises importance of Institutional delivery

Jyhoschhna Muthmajhi, wife of Kishana Muthamjhi of villgage Gandargudi under the GP of Gadapur

under Daringbadi Block was a reluctant lady for an institutional delivery while identified the Arogya

project team.As she has lost her three childrens out of five deliveries she could not cope to deal with

the pain and the loss gone through.She has been motivated persistently by the team and finally

agreed to admit in the MWH.Her village is in a totally remote without any motorable facility.Cases of

Still births and infant mortality rate is high in the village.However, she has been motivated for the

process of an institutional delivery and shifted to the MWH, Bamunigam.Later she has been

transferred to PHC, Bamunigam and blessed with a girl child with good health.After her delivery in

the PHC she had been facilitated by the state provided Ambulance (102) to drop at Dhusarigam since

there has been no road connection to her village Gandargudi.She and her husband were happy and

overwhelmed for the facilitation and guidance provided by AMAGAM.Case Study Prepared by:

Susama, MHW, AMAGAM, Bamunigam