Tribal Health Initiative

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Tribal Health Initiative

  1. 1. TRIBAL HEALTH INITIATIVE helping tribals heal themselves……. Experiments in community health care
  2. 2. Tribals are the indigenous people of India Red Indians of the Americas Aborigines of Australia
  3. 3. Invocation To the tribal Gods who protect our people
  4. 4. 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
  5. 5. 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
  6. 6. VISION Attainment of the highest possible level of health for the people of Sittilingi valley
  7. 7. The Need for Today Health Care available Affordable acceptable
  8. 8. Sittilingi Valley …..enveloped by the Kalvarayan and Sitheri hill ranges
  9. 9. Sittilingi and the Avalur valleys have 21 hamlets which are home to about 10,000 people of whom 95% are tribals
  10. 10. A small beginning….. In 1993 Tribal Health Initiative started off in a small hut …team of 4 people
  11. 11. The Base Hospital The Base Hospital now has 24 beds with about 1200 admissions a year
  12. 12. Seeing patients in our OP In 2007 we provided service to 17660 people Out patients are seen 3 days a week . About 100 – 130 patients use the facility daily of whom more than 70% are tribals.
  13. 13. Diagnostic Facilities X-rays, ECGs & ultrasound All Lab investigations including Biochemistry In partnership with the Government Center for Tuberculosis Counseling and testing center for HIV Leprosy treatment Center
  14. 14. Deliveries & Neonatal Care Advanced Neonatal care Ante,Intra & Post Natal care. About 30 deliveries a month and 3 - 4 for neonatal care per month
  15. 15. Surgical Work About 20–30 surgeries every month including emergencies Government recognized center for family planning surgeries
  16. 16. 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
  17. 17. 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
  18. 18. 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
  19. 19. Health Worker – Advanced Training Health Workers also do minor surgical procedures and anesthesia
  20. 20. Health Auxiliary (HA) training Learning to count respiration Learning to weigh 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.
  21. 21. Community Health – 1st Tier •Weighing babies in the field •Teaching oral dehydration •Discussing community problems
  22. 22. Community Health – 2nd Tier Health Workers now plan, implement and follow up the Community Health Program
  23. 23. Health at the doorstep Field Clinics on 2 days a week. Pregnant mothers & young children seen Health Education is the focus All newborns are seen within one week
  24. 24. HIV prevention work Street plays HIV education in schools Started Education on HIV HIV Counseling & Testing Treatment of secondary infections Ready for HIV deliveries
  25. 25. 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
  26. 26. That formal education is mandatory to do health care is a myth Help people heal themselves…..
  27. 27. There is enough in our world for everyone’s need, but not for anyone’s greed Mahatma Gandhi  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
  28. 28. Freedom to learn Thulir – the educational initiative runs a Resource Center for children Basic Skills course for school dropouts
  29. 29. Back to Roots In 2003 , after a 10 year evaluation we decided to go back to the people
  30. 30. 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
  31. 31. Women entrepreneurs Shirts with Sittilingi cotton
  32. 32. Marketing organically grown by traditional methods 1. ragi 13. ground nut   2. ragi powder  14. rice [red]   3. sprouted ragi powder  15. coconut oil   4. millet mix  16. sunflower oil   5. bajra  17. jaggery   6. bajra powder  18. coriander   7. little millet [samai]  19. coriander powder   8. bengal gram  20. turmeric   9. black gram  21. turmeric powder  10. horse gram  22. chilly  11. field bean  23. chilly powder  12. tur dhal  24. maize    25. foxtail millet
  33. 33. Craft Initiative Porgai …….. sharing pride Trade agreement with Fairgrounds UK
  34. 34. Community Initiatives  Community certificates  Mullikadu dam Secretary for Rural Anti-plastic rally Development meets villagers
  35. 35. Future Plans  Start work in the Kalrayan Hills  Training more Health Workers  More farmers groups  Organic Certification  Local markets for Porgai
  36. 36. THANK YOU

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