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A
nn
ual
Rep
ort
20
11
-12
Aro
gy
a F
ou
nd
ati
on
of
Ind
ia
Working towards healthier
Rural and Tribal
India….
Registered office:
AROGYA FOUNDATION OF INDIA
Plot No. - 8, Local Shopping Complex,
Okhla Industrial Area, Phase - II,
New Delhi - 110 020
Ph: 011 40503331 / 09487508930
Admin office:
No. 102/106, 1st Floor,
Zaitoon Apartment, Goregaon Station Road,
Goregaon West, Mumbai - 400062
Message from Chairman
I am delighted to introduce the 2011-12 Annual Report of the Arogya
Foundation of India. It is clear that the ARF goes from strength to strength,
riding on the wave of interest in health systems strengthening. ARF has
forged ahead in advocating cost effective health care facilities and provide
easily affordable prices with locally available resources.
The credit of eradication of many dreadful diseases and prolongation of life
span has been attributed to the advert of modern medicine. But it is quite evident that it was the indigenous
medical knowledge that maintained a misery free life from time immemorial. As per the claimed records they
still continue to be the major solace for the majority. Indians being multicultural in nature, seek solution to
their health problems not just from a hospital, clinic or a doctor, they even approach religious places and persons
and certain scientific studies have found these measures to be effective.
However the drastic changes happening to the social life have created a more suitable situation for modern
medicine. Health is an individual’s birth right. The maintenance of that health is an individual responsibility;
the state intervenes only to ensure that birth-right. Traditional medical systems have a role to give the
responsibility to the patient and not to the pill, what we see today is that a citizen from the rapidly urbanizing
rural population doesn’t have the right to responsibility mentioned. The life in these villages, where ARF is
providing healthcare, too has changed with the traditional practices fading out and the convenience of the “a-
pill-for-an-ill” concept gaining popularity. Hence a modern medicine dominant health care system becomes the
norm. ARF is not for or against any medical system. It is just for health is against ill- health. What it tries is to
reinstall this right and the responsibility among the villagers by reinforcing traditional healing wisdom their
past generations were adept of, by remaining co-extent with the ethical best of conventional medical system.
Our support and wishes will strengthen this movement” Sarve Bhavantu Sukhina… Sarva Santu Niraamaya”
(Let everyone become happy…. Let everyone remain healthy)
Yours In the service of mankind,
P.R.Krishna Kumar
AROGYA FOUNDATION OF INDIA
ANNUAL REPORT 2011-12
Introduction:
Arogya Foundation of India (ARF), an all India organization works with the motto of taking health care facilities to remote and tribal areas of our country with the support of Ekal Vidyalaya Movement (EVM). EVM, a people’s movement, is doing immense work in lighting up the lives of children and inhabitants of rural & Tribal India. It has in fact grown to become India’s largest NGO education movement and has brought together almost 38,500 Villages and over 1000000 students all over India into a network of learning and empowerment.
Imagine catching a cold and walking to kitchen garden, instead of the nearest drug store, to pluck your medicine and recovering without any side effects. This is how some tribal communities cure not only common cold and fever, but also fracture and jaundice. As one of the activity Arogya Foundation of India (ARF) is trying to revitalize these indigenous health practices among rural and tribal areas.
Growth of Arogya Foundation of India
Ekal Vidyalaya aims at bringing free education to those who have no access to formal schools. Later, it is felt that education alone will not help better development of the county. So it has been decided to form a separate wing to look after the health care activities.
MISSION
To provide quality healthcare activities to the villages having Ekal Vidyalaya (EVD) / Ekal Vikas Kendra (EVK) by using locally available resources without spending more money.
HISTORY OF AROGYA FOUNDATION OF INDIA
Arogya Foundation of India was
established in the year 2003 with a view
provide cost effective quality health care
services to all the Ekal Vidyalaya villages.
The Ekal Vidyalaya movement aims to
help eradicate illiteracy from rural and
tribal India. To date, Ekal Vidyalaya is a
movement of over 38,500 teachers, 7,500
(Approximately) voluntary workers, 22
field organizations (scattered in 22 Indian
states). It is felt that education alone
cannot fetch the better development of any
country, so health care also should be
taken cared. AFI has taken as its mission
to carryout health care services in Ekal
villages.
Inspired by the philosophy of Swami
Vivekananda, a group of young
educationists began work among the
primitive tribes in Jharkhand in 1986.
They refined the concept of the 'one-
teacher-one school' amongst the tribes of
Gumla (125 km away from Ranchi,
Jharkhand),
Inspired by the success of the Jharkand
experiment, organisations from all over the
country have joined the Ekal Vidyalaya
movement in the last decade. The Ekal
Abhiyan Trust now serves as the umbrella
organisation for various NGOS that run
the one-teacher schools in their respective
areas. Arogya Foundation of India is
affiliated to Ekal Abhiyan Trust which
plays role to provide health care services
in all these Ekal Vidyalaya villages.
THE ORGANIZATION’S PHILOSOPHY AND BELIEFS
Health care is one of the most important components in our life. Disease or illness can really mean a down turn in our life. The biggest asset we can have in life therefore is health. Health care is normally defined as the management or treatment of any health problem through the services that might be offered by medical, nursing, dental or any other related service. Health care can be for an individual or for a large group of people depending on how the systems are organized. Importance of health care cannot be overemphasized. In society, people are worried a bout the kinds of systems there are, to deal with issues of health. In developed countries, their systems are designed to cater for all people; whether poor or rich. However, the systems are lacking in regard to flaws. In developing countries, people usually take care of health as an individual thing and, if you do not have enough money, you might not get access to quality care. There are so many disparities and, some systems in certain countries are becoming worse; not able to deal with demand of health. Health is not a cheap affair; it has to have a good system. Governments have the responsibility to create or formulate policies that will favor people in this regard. Good systems of
health can be erected by the top most leadership of a state. But it is dif ficult government alone cannot carry out all the work and it has failed in many situations in providing health care services to the people. Particularly in remote rural and Tribal areas people have difficulty in accessing good health care facilities. In such cases ARF strongly believes that the innovative projects will be boon for people. It will always strive to give good health care facilities in cost effective manner with the help of many people. Most people, when provided with simple and clear information can prevent and treat most common health problems in their own homes — faster, cheaper, and often better than some doctors. The most valuable resource for the health of the people is the people themselves. Only when people become actively responsible for their own and their community’s health, can important changes take place. Today in over-developed as well as under-developed countries, existing health care systems are in a state of crisis. Often, human needs are not being fully met. There is very little equity in the healthcare system. Too much is in the hands of too few. Let us hope that through a more generous sharing of knowledge, and through learning to use what is best in both traditional and modern ways of healing, people everywhere will develop a kinder, empathetic and a more practical approach to caring—for their own health, and for each other. The health status of India's Rural & Tribal population is a cause for concern, especially when health care is increasingly provided by private hospitals, and spending on health is increasingly beyond the reach of rural poor. The Arogya Foundation of India aims to be a platform for providing health related services to people by Providing information on Primary He alth Care using locally available resources Implementing special schemes related to rural health and sanitation Linking health providers in cities with Rural & Tribal communities in the best way possible
NO. OF VILLAGES COVERED FOR HEALTH CARE ACTIVITIES
S.No State No. of
Villages
covered
First aid medicines
beneficiaries (No of people
approx.)
No. of First aid
boxes given
1 North East 2970 225127 2681
2 West Bengal 1583 125515 1534
3 Orissa 1770 486608 1590
4 Jharkhand 2250 353792 2160
5 Bihar 1140 88160 1050
6 Uttar Pradesh 8400 922426 8309
7 Uttaranchal 720 59110 720
8 Himachal Pradesh 1890 133515 1590
9 Punjab 330 3512 330
10 Haryana 150 5156 150
11 Jammu &
Kashmir
2487 162870 1950
12 Rajasthan 1830 108916 1305
13 Madhya Pradesh 2910 187774 2263
14 Chhattisgarh 2490 208525 2490
15 Maharashtra 2310 183622 2201
16 Andhra Pradesh 1585 117214 1440
17 Karnataka 1524 87758 990
18 Tamil Nadu 1530 106013 1320
19 Kerala 630 20502 270
Grand Total 38499 3586115
34343
YEARWISE EXPANSION OF VILLAGE HEALTH CARE ACTIVITIES
YEAR
3376 4882
6342 7521
10000
14178
16086
18225
24006
26314
28050
34343
38,499
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
99 00 01 02 03 04 05 06 07 08 09 10 11
No. of
Villages
ACCOMPLISHMENTS FOR THE YEAR
There are several activities held during the year 2011 -12
like health camps, awareness programmes, health volunteer
training camps etc., have conducted throughout the country
during the year.
1950
1585
1140
2490 360
150
1890
2487
2250
1524
630
2910
2970
1770
330
1830
1530
8400
720
1583
Map illustrates the villages
of Health care activities by
Arogya Foundation of
India
ANAEMIA CONTROL PROGRAMME
Two pilot camps of the Arogya Anemia Control programme were held in tribal areas of UDAIPUR Anchal of Rajasthan on 5th and sixth July. Dr Harish Anand and Dr. Sarita Mittal members of Central Team participated in the camp. The first camp was organized at Bachher Village in Pai Sanch- in Udaipur anchal on 5th August. Four doctors led by Dr. Madhusudan Sharma and Dr. L.N.Srimali participated in the camp. The camp was attended by 285 patients out of which the there were 105 males 95 females and 85 children. Proper Hb testing was done and upto 80% (Hb less than 6-8 g %)of the women are reported to be suffering from moderate Anemia, 10% were having severe Anemia (Hb less than 6 g %) and 10% hard mild anemia (Hb less than 8-10 g %). The second camp was organized at Madala Village in Bhagpura Sanch on 6th of August. Three doctors led by Dr. R.P.Chawla participated in the camp The camp was attended by 265 patients out of which the there were 110 males 95 females and 60 children. Proper Hb testing was done and upto 75% (Hb less
than 6-8 g %)of the women are reported to be suffering from moderate Anemia, 15% were having severe Anemia (Hb less than 6 g %) and 10% hard mild anemia (Hb less than 8-10 g %). Along with medicine for general illnesses, each anemic women was admnistered Albendazole tablet directly on the spot and were given 60 Iron tablets for one month. The children were admistrered Albendazole syrup. Along with anemia the other medical problems which were diagnosed and treated included PID, Diarrhoea, Pain abdomen, fever, joint pains, and Skin diseases . Dr. Sarita also took Health Talk on hygine and use of GUR -Chana in diet. The local angawadi workers and Asha workers were also involved in the camp. After that they shall be given 10 tablets by our Arogya Samity worker for once a day consumption every 10th day. Ms. Diksha and the committee members took the responsibility of distributinig the Iron Tablets to anemic ladiesAs per our strategy the camp and Hb testing shall be done every six months.
HEALTH CAMPS
In all the cluster level (30 villages) one camp will be conducted every
month in all 38,500 villages.
FIRST AID KIDS
The villages are in very remote places and rare access to health facilities. Even if they have
any small health problems they need to go for long distances in turn they loss their daily
earnings. In such cases we provide Firs aid kids in which all the basic medicines are
available. In addition we give periodical training to know how to use that. It is extremely
useful for these people
Regular Awareness programmes
In all the cluster level AFI has contact of local doctors and hospital who conduct free
awareness programmes in all the Ekal villages of our country.
FIRST AID TRAINING
Our health workers trained to handle basic first aid methods which are most needed in remote
Tribal and Rural areas. The chances of someone recovering more easily, or even surviving an
accident or injury can be greatly improved if someone immediately uses first aid knowledge
to help assist them. Specifically in these places it is must to know the basic first aid methods
because it may take long time to reach the hospital. In such case these methods are useful.
We conduct camps for teaching basic first aid methods.
Community Based Interventions to
Prevent and Treat Anaemia among Women & Children in Rural& Tribal Villages of India through Home remedies.
INTRODUCTION:
Importance of Health Awareness:
In India a large number of people live without access to the
basic education and primary health facilities. The situation is more
complex in distant rural and tribal villages compared to the urban
areas which have access to modern health facilities.
AROGYA ANEMIA CONTROL PROGRAMME
Anaemia is a global public health problem, as compelling and
harmful as the epidemics of infectious diseases.
With a global population of 6,700 million, at least 3,600
million people have iron deficiency and 2000 million out of
these suffer from iron-deficiency Anaemia.
Children and women in reproductive age group are most
vulnerable.
WHO estimates that over one third of the world's population
suffers from Anaemia.
India continues to be one of the countries with the highest
prevalence of anaemia.
National Family Health Survey (NFHS) 3 estimates reveal the
prevalence of anaemia to be 70-80% in children, 70% in
pregnant women and 24% in adult men.
Prevalence of anaemia in India is high because of low dietary
intake, poor availability of iron and chronic blood loss due to
hook worm infestation and malaria.
According to government sources, in India 45 children die
every hour due to respiratory infections. One child dies every
2 minutes due to diarrhea. And annually, about 2 million
children under the age of 5 years die due to preventable
diseases.
The situation calls for timely care and diagnosis which can
reduce the incidence of morbidity and mortality, especially
among children and women.
Proposed Intervention program by AFI.
The intervention period shall be one year which includes
baseline Survey, HB check up for all the women of
fertility age group (Before & after intervention),
Administration of Anthelmintic ,Iron, Folic Acid &
Educating them to use the locally available resources
such as Traditional food habits, using locally available
Herbals etc & Impact assessment of the program.
Each project area will be having 90 villages.
Phase 1 shall be taken up in 90 villages each in the
following states of India. (Total 450 villages)
Assam, Rajasthan, Tamilnadu, Jharkhand & Himachal
Pradesh.
Based on the success & effective implementation we shall
take up the second Phase in all the other states. (We have
reach to 40,000 villages across the all states of India.)
ARF aims to reduce the prevalence of Anemia in these villages
to 40% after the intervention program.
.
METHODOLOGY:
A project team will be formed to implement the project in a
systematic way. The project will move ahead as shown below: (see
annexure 2 - survey form)
Base line Survey
• 3 months
Project Implementation
• 6 months
Project Evaluation
• 3 months
Monitoring & Evaluation:
AFI will form a Special team under the leadership of Dr.H.K.MIttal for monitoring the
implementation of this program. The team will regularly evaluate the process and give inputs
& value additions wherever necessary.
Monthly progress report will be submitted to the Donor agency and Impact assessment
Report also will submitted at the end of the program.
SUSTAINABILITY OF THE PROJECT:
As AFI promotes awareness and use of locally available resources, it is feasible for
the target population to understand their conditions. This will make it easier for them to
prevent future occurrences also.
The project, being carried out in established Ekal Vidyalaya villages with field staff
already present, will make follow up convenient. The Community is fully involved and we
are creating awareness also. Once the community is aware they will find out the required
resources.
Training of village health workers on Home Remedies
A pilot project has been undertaken by Arogya Foundation of India (AFI) to revive
and provide cost effective natural health care facilities to rural and tribal people with the
support of Ekal Vidyalaya movement. AFI is to provide cost effective medical services by
utilizing the locally available herbals. Grama Arogya Sevika – GAS, (Village Health
Volunteer) is selected from a village to work as a volunteer to carryout health care work. He /
She will be trained by expertise in filed of Ayurveda who will work as GAS to handle the
basic health problems.
AROGYA FOUNDATION OF INDIA – Karanataka Modal
ARF in Karnataka is active in various health care activity programmes in various places of
the state. It has been taken as modal for implementing in other parts of the country also. The
following are the details of activities carried for the last year.
HEALTH CARE ACTIVITIES Total No of People
Suspected TB and Referred to other Hospital 56
Suspected HIV and referred for Screening 8
suspected RTI/STI and referred for other hospital 33
Treated for FLU / Viral fever refered to screening and treatment
207
Treated for Arthritis 130
Suspected cardio Problem & refered for Seva Clinic 21
Scabies Treated 199
Anemia Treated 452
Deworming done 1607
Personal hygiene (counseling done) 571
Cat Surgery +IOL 496
Spectacles 160
Referred to base hospital for further evaluation 70
No fo Surgerry Done by Vittaia Hospital 78
Surgery Done By other Hospital 72
Surgerry done other Districts Childrens 116
Surgerry Details
For Children (upto July 2010) Viltala Hospital 166
POT Adults i Vittaia) 10
Cairact Surgerry Done By other Hospital 71
Total Surgerry Done
General and Eye Screening clone for Male 247
General and Eye Screening done tor Female 813
General and Eye Screening Done for Chiidrens 875
General and Eye Screening Done for AM 359
Total 3047
FUTURE PLANS
1. Regular Medical Consultation Camps :
Periodical medical camps will be organized in the cluster centers. Expert Doctors
from both the disciplines (Indian Medicine & Western Medicine) this will be a free
consultation & referral camp. One program coordinator will be appointed in every
Kshetra (State) for the coordination of Medical Camps & other activities of AFI.
2. Regular Awareness programs
Awareness programs will be conducted in the villages (This could become a weekly
awareness program( Saptahik Padasala) as planned in Ekal Movement). The VHV or
Medical college students or Medicos during their Internship period as a part of
community medicine will be involved for this purpose.
3. Organic farming of Medicinal Plants
To improve the financial condition of the villagers especially the VHV, proper
training will be given on planting & production of quality medicinal plants / products
using organic farming techniques. Buy back arrangements will be made with the
Ayurvedic drug manufacturing industry.
4. Arogya Samithi (Village Health committee)
In every Ekal Village we will have Arogya Samithi. The in charge of the Arogya
Samithi or preferably one married women from the Arogya Samithi will be “Arogya
Sevika” in the village.
5. Frequent Training camps
The Arogya Sevika will be given training for 24 hours once in six months along with
Masik Abhyas Varga (Monthly Training Camp) in the Sanch (Cluster-30 villages)
which is being held part of Ekal Vidyalaya training system. The Doctors from the
Arogya Samithi shall be helpful in imparting training.
When you contribute to this movement, you will invest in India’s future, an India
beyond the Metros, an India waiting to be explored, embraced and nurtured.
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