Integrated Community Health Care

PROJECT PROPOSAL
FOR
Integrated Community Health Care

Submitted by
RURAL EDUCATION AND DEVELOPMENT (R.E.A.D)
Sukant Deshmajhi, Chairman
Industrial Estate, Subash Nagar, Brhampur, Ganjam-Dist, ORISSA,India
Tel: 91-680-2292948
Email:[email protected]/[email protected]
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 Integrated Community Health Care

BACKGROUND INFORMATION OF THE ORGANISATION

I. GENERAL DATA
Name of the organizations : Rural Education and Development (R.E.A.D)

Address : Industrial Easte, Subash Nagar,

Brhampur, Ganjam-Dist,ORISSA, India.
Tel: 91-680-2292948
Email:[email protected],
[email protected]
Name of the applicant : Sukant Deshmajhi
Chairman
Legal Status of the organisation : Registered under:
 Indian Trust Act
 Income-tax Act, 1961
 FCRA, 1976
Target areas : Adjoined 50 villages of Kandhamal, Gajapati
andGanjam Districts, Orissa

Target Groups : Men, Women, Adolescent boys and girls &

Children

Time-frame for use of funds : For 3 Years & on going

Project Budget
2011-12 2012-13 2013-14
Period
Grand Total
41935.48 41935.48 41935.48
Bank Details US$
: S/B. A/c. No. 518666531
Indian Bank, Brhampur Branch, Brhampur (5),
Orissa.
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II. ABOUT THE ORGANISATION

 Integrated Community Health Care

Since generation, these people are living in inaccessible mountain terrains and preserving
their culture and identity and rich heritage away from mainstream societal development.
They live in small hamlets scattered all over the hilly terrain without much facilities like
health, education, communication, and other provisions. They are also deprived of enjoying
benefits from the govt. programs and schemes. Comparatively these communities are more
vulnerable, unorganized, illiterate and economically backward. Because of prevalence of
poverty, these communities are unable to support their children for education, health, and
food. As a result, the children, women and the adult of these communities are deprived of
enjoying their basic rights and becoming innocent social victims. The govt. have launched
numerous rural development activities to alleviate and eradicate poverty, illiteracy and health
hazard from the rural area, these programmes have not in any way changed and affected the
live situation of the people of this area. Majority of the people are still cannot read and write,
they do not get a single meal a day, cannot get treatment when they are sick. It is all due to
the inertia and all kinds of corruption by the governance system. Illiteracy, ignorance,
insufficient awareness and lack of organized effort appear to be the root course of the major
problems of socio-economic, educational, health and political backwardness of these people.
Health hazards:
The area is in accessible and isolated from the main road. Govt. health support is not
reaching to the people. A serious patient invites death when they are carried to the hospitals
or to dispensary. Due to financial problem many do not go to hospital, they are treated at the
village by the quacks or herbal medicines, which is not sure of healing. Many children suffer
from malnutrition, polio, and chronic diseases. Vaccination is very rare. As a result, infant
and maternal mortality rate is high. There are govt. health workers but they do not visit these
villages due to forest, distance, no communication facilities. The under lying causes for high
morbidity & mortality are: Inaccessibility to health services, lack of health service and
Rural Education And Development-READ is a voluntary, non-profit, rural development
organization, committed for the empowerment and emancipation of women, men, youth,
children, aged, widows, desolated needy and as a whole disadvantaged people. READ
longstanding desire is to support the under privileged and disadvantaged members of the
society. Awareness and education bring empowerment and empowerment leads to
sustainability is the mantras of READ. The Trust serves the poor in Villages and rural areas
with a goal to empower to make them self-reliant.

Background: The proposed project area is dominated by Tribal and Dalits. Orissa is pre-
eminently agricultural. The most important economic unit is the villages. Over the years,
Orissa has witness a trend decline in the incidence of poverty. Years of Independent have not
changed its economic, educational, health facilities, satisfactorily. Estimated the ratio of
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people living below the poverty line in the state is to the more than 70 percent. However, the
official figure of the rate of poverty at present is estimated to the 47.2 percent (2005).
 Integrated Community Health Care

communication due to hilly, forest terrains, lack of motivation among the people, poor
quality of drinking water, insufficient number of Govt. staff, poor/ inadequate infrastructure.
Low level of immunization coverage and lack of maternity care is seen. Children are prone to
infectious diseases (Diarrhea, ARI (acute respiratory infection) & six killer diseases) repeated
pregnancy without adequate spacing (LBW. (Low birth weight) /PMB (pre-mature birth),
birth Aphasia, neonatal care, intranasal care, Placenta prevail, retained placenta etc.)
Malaria is the very common and dangerous fever in this area. Many people die of malaria.
The govt. health worker rarely visits these villages. Thus, health and sanitation is much
neglected. The major diseases are related to protein and caloric deficiency and contamination
of water viz. Anemia, scabies, diarrhea; deice try, polio, small fox and tuberculosis and now
HIV/AIDS became emerging issues in the area.
Target Groups: Rural Women, Children, youth and men living in and around border area of
three adjoined districts of Kandhamal, Gajapati and Ganjam. These villages are isolated and
not being given attention from Government or NGO.

Present Activities
1. Awareness Camps: Various awareness camps are conducted to raise awareness among
the people on their burning issues children education, Government programs on
development activities etc. Family ties are stronger among rural families and are often
desperately influenced by lack of awareness in common agendas of life. Family
awareness enables the unorganized families to plan better for the future, including
parents, children and girl child in the family.
2. Self-Help Groups (SHGs): The Trust has formed 25 SHGs among rural women and also
trained them in savings and credit. Micro-finance is one of the major activities of the
SHGs, which empowered many rural women to launch their self-employment-cum-
income generation business. However, all the SHGs are functioning as good-will
associations of 215 women.
3. Integrated health program: READ is working in 60 tribal and Dalit people of remote
villages of Kandhamal and Gajapati District. Health is a major concern among the
targeted people. We are running a community health center to render first aid support to
the poor tribal and dalit people. We conduct general health camps, Immunization camps,
ANC camps and support to the pregnant and Delivery women. With our intervention
some people are getting health support leading a good life. We want more activities and
support to bring these people to the mainstream. With this experience we are preparing
this project to extend in other areas where people are vulnerable to health specially the
women and children.
III. PROJECT DESCRIPTION
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 Integrated Community Health Care

This project has a centralized of Rural health center and covers 50 Villages with the existing
population of 25000 thousand and adding population of 500 every year (New born, migrants
and others).

The project will have RCH services through out-reach from the health center to 50 Villages
(The vulnerable section of the society) which have till now substantially been left out of the
RCH facilities. We include younger and older women as well as those of childbearing age,
and men as well as women.

The project will provide the following services: Prenatal and postal care, general medical and
child health services, information, consultations and referrals for complications, and trained
attendants in child birth, in addition to family planning and sexual health care, immunization
camps, ANC camps, adolescent training. The project will also provide protection and
screening against sexually transmitted diseases including HIV/AIDS, teaches responsible
sexual behavior, eye-camps, Gender equality training, Entrepreneurship training to raise
income of women.

V. PROJECT OBJECTIVES

 To address reproductive health of adolescents by providing appropriate trainings

counseling and services.
 To organize regular Immunization camps for under five year’s children and for pregnant
women. To provide medicines and nutritious food to reduce malnourishment among
children and women.
 To adopt integrated approach of contraception issues, maternal health issues and good
health status.
 To build the knowledge and awareness among couples to have sexual relations free of
fear of pregnancy and of contracting diseases.
 To promote reproductive and child health services in the target areas.
 To narrow the gender gap and enhance the decisive role of women for social
development.
 To train health attendants and health workers in and around the targeted location on
reproductive and child health.
 To empower the women in target areas by developing women skills and livelihood
options (income generating trainings) through entrepreneurship.
 To intervene for improving survival of newborns to ensure adequate care and ensure that
the life of the mother and of the newborn are not in angered.
 To emphasize breastfeeding education and support services which can simultaneously
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contribute to birth spacing, better maternal and child health and higher child survivals.
 Integrated Community Health Care

Goal Outcomes
 Adolescent girls and boys from the project villages will have better knowledge on
reproductive health.
 50 villages will have health awareness and effective preventive care for health
problems.

 The children and new born of the project area will gain good health.
 The immunization ratio will increased from 15% to 80%.
 The women will receive vaccination and get regular medical checkup.
 In the project area and the near by villages gender discrimination will be reduced.
 In the target area women will under go income generations training programs and
avail regular income source.
 Women and children’s health will be improved.
 Woman will know the importance of breast feeding and do it 100%.
 The men and women will gain reproductive health care.
 Infant and maternal mortality rate is reduced.

VI. ACTIVITIES
- Organize monthly Immunization camps.
- Regular ANC camps.
- Training to adolescent girls and boys on sex education.
- Providing medicines to all the patients.
- Providing supplementary nutritious food to pregnant women and children.
- Training to men and women on child spacing and family planning.
- Training to postnatal women on breastfeeding and newborn care.
- Organize General health camps.
- Social camps on visual impediment.
- Enterprenoship training to mothers.
- TBA Training
- Health workers training.
- Regional meeting
- Village meeting

VII. PROJECT DESIGN AND IMPLEMENTATION PLAN:

Organize monthly Immunization camps: This seeks to raise support for
conducting immunization camps in 50 villages reaching out to approximately 900
children. The immunization camps will be conducted by a trained Nurse. READ will
also recruit an Assistant to assist the Nurses during the camp. The supply of vaccines
will come from the Government. The camps will be open to all children below 5
years of age. During the camps food will be provided to the children and attendance.
The camps will be organized on a fixed date and time and at a fixed place in the
hamlet. The place will be decided in coordination with the local level workers so as to
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make sure that the place is accessible to the whole community.

 Integrated Community Health Care

Regular ANC camps: This camp also will be organized in every month to do health
check up to the pregnant mothers in 4 or 5 camps according to the convenience of the
mothers. This camp also will be conducted by the trained Nurse. From 50 villages
more then 250 pregnant mothers will under go health check up. During the camps
Iron tablet, Vitamin, TT and folic acid will be provided to them. Date and time will
be fixed with the local people in the regional committee meeting. Food will be
provided to the mothers and attendance.
- Providing medicines to all the patients: General health camps will be organized in
the center places by the resources person called medical Doctor. Medicines will be
distributed to the poor and sick people. Primary treatment will be done in our health
center. Serious patients will be sent to Government hospital for treatment. During the
camp health awareness tips also will be given to the people. Food will be given to the
participants.
- Providing supplementary nutritious food to pregnant women and children:
Supplementary nutritious food will be supplied to the mothers and children every
month. Anemia, in general, reduces the capacity to do physical and mental work
reduces resistance to fight infection, causes in creased mortality and morbidity.
Therefore, Supplementary food will build prevention of nutritional Anemia of mother
and children in the geographical area. From the 50 rural villages 250 pregnant
mothers and 900 under 5 years children will get this support.
- Child health: 1) The project will ensure the following under child health:
Antenatal care to all pregnant women, promoting safe delivery practices, providing
essential care to all newborns, identification and referral of newborns “at risk“,
prevention of hypothermia and prevention of infection.

2) Control of Acute Respiratory Infection (ARI): Under ARI Pneumonia control will be
taken care because acute reparative are a major cause of death of infant and children
under the age of five years.

To control infant and child mortality rate:

The experience gained with in the geographical area and outside has amply enable us to
establish that the health of women in the reproductive age group and of small children
below the age of five years is of crucial importance for effectively tacking the problem of
growth of population. This is because if parents are assured of good health of their
children they take initiative to keep the family small. Most effective way of ensuring
good health of the child is to ensure good health of the mother. The major causes of
infant and child mortality are due to inadequate maternal care and nutrition during
pregnancy, inadequate newborn care, acute respiratory infections, diarrhea diseases and
vaccine preventable diseases. These will be treated during the project period.
Training to postnatal women on breastfeeding and newborn care. This training will be
organized to educate parent for the importance of breast feeding. Pregnant women and
other family members attending antenatal service will be informed of the benefits and
management of breastfeeding so that no child is denied the advantage of exclusive
breastfeeding due to information by the mother, even if the women choose to deliver at
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home. Diarrhoea is a major cause of death of many infants and also among the children
under the age group of five years.
 Integrated Community Health Care

- Special camps on visual impediment. Eye testing program will be organized for the
elderly people and the children in the project area. After the testing spectacles will be
provided to the people. In every camp around 200 people will under go eye-checkup.
Eye specialist from Berhampur city of ECOS HOSPITAL will be consulted and their
team will be conducted the camps. This program also will be arranged in the center
place. During the camps food will be provided to the participants.
- Entrepreneurship training to mothers: This training will be organized in the
project area for the women groups. This training will held for 5 days duration on
various trades. Resource person will be invited to give the training. After consulting
with the women venue will be fixed for training. During the training food, travel.
Boarding for the participants will be met by the project. After the training mother will
start small business to earn their families which will strengthen their economical
status and lead a good life.
Geographical area: 50 nos of boarder villages in Ganjam, Gajapati and Kandhamal District
The project activities will be carried out in the project areas with the support of health
resource persons and Government health personnel.

Sustainability

The health center will run by collecting a nominal fee to meet the administrative and
management cost. For programmes we will tie-up with local Government. For further
expansion we will raise local donations from business houses and corporations located
near by who will support the exiting facility.

VIII. MONITORING AND EVALUATION

Plan for Monitoring

A steering evaluation committee will be appointed to monitor the implementation and

performance of activities to achieve the project objectives on concurrent method, by
conducting monthly staff review meeting and medical team meeting. Each staff will
monitor the activities at their level.The administrator will monitor the administrative and
field staff. The Medical Officer will monitor the medical personnel performance and
overall performance of the project.

Quarterly project review meeting, half yearly project review meeting and annually project
review meeting will be done with the target group, representatives like women’s group,
youth association representative and local leaders. These are internal monitoring and
evaluations also will be done by the outsider appointed by the organization.

IX. PLAN FOR EVALUATION:

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 Integrated Community Health Care

Annual Evaluation and project overall evaluation will be done by external evaluators by
adopting indicator of number.
Indictors for evaluation:
Number of children immunized.
Number of pregnant women under gone health checkup.
No of women and children supplied nutritious food.
No of children and people had eye checkup
No of women are trained on entrepreneurship and started small business.
No of people received medicine in general health camps.
No of volunteer heath committee formed however the environmental sanitation is
maintained.

Situation Analysis

An assessment of projects performance is made through:

An inventory of equipment and services at health center
Observation of client visits
Exit interviews with observed chants
Interviews with staff and people.
Physical verification.

This technique gives programme manager and staff client and immediate feedback, which
can be used directly to improve service quality.

Budget for three years:

S.N PARTICULARS 1st Year 1st Year 2nd Year 2nd Year 3rd Year 3rd Year TOTAL TOTA
O. INR. USD$ INR. USD$ INR. USD$ Rs. L USD$

01 Procurement                
  Medicines 200000 4,511.62 200000 4,511.62 200000 4,511.62 600000 13534.9
  Immunization for children
300 children x @ 100 x 360000 8,120.91 360000 8,120.91 360000 8,120.91 1080000 24362.7
12 months
 
Nutriciour food per
person @ 5 x 20 days x 660000 14,888.34 660000 14,888.34 660000 14,888.34 1980000 44665
550 people x 12 months
  ANC camp 250 women x
225000 5,075.57 225000 5,075.57 225000 5,075.57 675000 15226.7
@100 x 9 months
  Eye -camps x 50 people x
20000 451.16 20000 451.16 20000 451.16 60000 1353.49
@ 100 x 4 quarters
  Enterprenourship training
50 women x 4 days x @ 40000 902.32 40000 902.32 40000 902.32 120000 2706.97
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300/-
02 Administration
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  Health Workers Salary 7

nos. x @2500 x 12 210000 4,737.20 210000 4,737.20 210000 4,737.20 630000 14211.6
Months
  Accountant 01 no x 5000
60000 1,353.49 60000 1,353.49 60000 1,353.49 180000 4060.46
x 12
  Project Diroctor 01 no x
84000 1,894.88 84000 1,894.88 84000 1,894.88 252000 5684.64
7000 x 12
 
Sub Total 1859000 41,935.48 1859000 41,935.48 1859000 41,935.48 5577000 125806

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