23 Jan 2018
HEALTH is a blessing from GOD. The enjoyment of highest attainable standard of health is one of the fundamental rights of every human being (Preamble to WHO Constitution UN, 1948). According to Human Rights Article 25; every one has the right to... medical care and necessary social services. According to a well-known adage, “He who has health has hope, and he who has hope has every thing”.
Understanding the impact of social inequalities on health has become a public health priority in the new millennium (1). Social, political, and economic factors now are acknowledged to be fundamental causes of disease that affect behavior, beliefs, and biology (2). This recognition is changing the theoretical framework of epidemiology by incorporating the complex, interactive process that creates population health differentials (3). Understanding this socio-biological translation among general masses is critically important because it is very important to know the behavior of general masses that in turn help in prioritizing and planning problems and their solutions. Throughout industrialized countries lower adult socioeconomic status (SES) has been clearly linked to poorer health (4-5).
Whenever we look globally at the health status in different settings, a wide variation is noticed, in terms of Mortality and Morbidity as well as quality of life. In making choices for health funding in low-income countries, policy makers and donor agencies are guided by epidemiological evidence that indicates the burden of disease on the poor. There is a large body of evidence from developed countries demonstrating an association between poverty and risk of common health problems (6).
India is a developing country with one of the most diverse populations in the world. In spite of considerable economic progress in recent years, India continues to face challenges dealing with poverty, unemployment, malnutrition and disease and disability. If we put a cursory glance at Indian health scenario then we can come across certain gruesome health problems such as population explosion problem, hunger and malnutrition (under and over), non-availability of safe drinking water, improper refuse and excreta disposal, high prevalence of communicable diseases, increasing prevalence of non-communicable diseases and lack of medical care facilities. Due to unequal distributions of resources hunger and malnutrition are problems everywhere and have harassed mankind and threatened peace throughout history.
For many people in the rural areas or remote regions of the India, health facilities are inaccessible and beyond means. The cost of staying alive pushes one quarter of Indians below poverty line. In our Country too many people die as a result of no access to even the most Basic Health Services. Our goal should be that not a single individual feels in any way less of human being. That means by making it possible for every person to receive good health through developed Public Health System. Without some utmost efforts and appropriate measures it seems impossible for every person to receive good health through developed public health infrastructure.
Among India’s states, Gujarat has largest coastline and highest number of airports. The population of Gujarat is 5, 0596,992 with a literacy rate up to 70 percent (census 2001). Gujarat has also some of its most impressive traditions (including hospitality) with a vibrant cultural diversity blended with modern amenities of transportation. Gujarat has also quality network of educational institutions. The state has done proud to the nation in socio-cultural, agricultural and industrial (Textile, Cement, Petroleum,
Low-Pressure Gas, and Pharmaceutical) fields. It has also earned its rightful place on the national tourist circuit.
In spite of all these, the fact remains that, overall development in world & in our own country has not mode significant impact on life of salt workers in Surendranagar district & else where in Gujarat. Although government & few voluntary organizations are trying hand to improve life situation of salt workers, programs is too slow. This is because situation is complicated because of various factors like wide geographic area with scattered houses, inadequate water & food supply, inadequate health services, illiteracy, poor economic condition with debt, complex market situation etc.
On other side well within Surendranagar City a Medical College is having altogether more than 800 health personnel, which includes medical specialist, other doctors, nursing staff, interns, medical students, nursing students & other supportive staff. It is also having well equipped hospital for tertiary as well as primary & secondary health care.
Looking at need in area, these rich resources should be utilized at the earliest possible. So with following aims & objectives C.U. Shah M.C. & Hospital have decided to join hands with Govt. & NGO for supporting health care of salt workers of Surendranagar district.
We hope for success & developing a model to be followed in other part of Gujarat & Country.
AIM & OBJECTIVES
Aim:
Improve health status of salt workers & their family members & to develop a system whereby they can be a part of it to maintain their own health.
Objectives:
METHOD
Dept. of Occupational Health Care (Rural) will handle the project under the technical guidance of department of preventive & social medicine & administrative support of Dean, C U Shah Medical College.
PERIOD
The project is planned for One-year duration, which includes need assessment survey, training, implementation, evaluation, documen-tation & dissemination.
STRATEGY
An integrated family health care will be provided with 50 community based Agaria Prathmik Swasthya Kendra with support of 5 Agaria Swathya Kendra. Each Agaria Prathmik Swasthya Kendra will cover around 100 families & it will include following facilities.
9.Supportive facility for informal education.
The 5 Agaria Swathya Kendra will be supported with 5 paramedical staff & specialist in field of community health, pediatrics, gynecology & medicine. It will also be equipped with two wheeler (one per center) & 2 mobile health care units.
MAJOR HEALTH PROBLEMS WHICH NEEDS ATTENTION
ORGANIZATIONAL STRUCTURE
Dean & Trustees
|
|
Project Director
|
Panel of consultants, doctors, occupational health experts, sociologist etc
|
Project coordinator & field coordinator
|
Agaria Swasthya Kendra coordinators (ASK)
|
Agaria Prathmik Swasthya Kendra (APSK)
(Community health volunteer)
|
Salt workers & their family members
Non-recurring expense | Calculation | Total cost |
Furniture of Agaria Swasthya Kendra (ASK) | 5 x 20,000 | 1,00,000 |
Folding Tent for ASK | 5 x 30,000 | 1,50,000 |
Solar light system (ASK) | 5 x 30,000 | 1,50,000 |
Solar distillation plant (ASK) | 5 x 20,000 | 1,00,000 |
Folding Tent for Agaria Prathmik Swasthya Kendra | 50 x 10,000 | 5,00,000 |
Furniture of Agaria Prathmik Swasthya Kendra | 50 x 5,000 | 2,50,000 |
Solar distillation plant (Small capacity) | 50 x 6,000 | 3,00,000 |
Solar light System | 50 x 2,000 | 1,00,000 |
Jeep for Agaria Mobile Dispensary & Health unit | 2 x 6,00,000 | 12,00,000 |
Motor cycle | 6 x 30,000 | 1,80,000 |
Cycle (with dynamo & Light) | 50 x 2,000 | 1,00,000 |
Printers & scanner | 10,000 | |
Laptop Computers | 2 x 30,000 | 60,000 |
Equipment for ASK | 5 x 10,000 | 50,000 |
Equipment for APSK | 50 x 2,000 | 1,00,000 |
Family folders | 10 x 5,000 | 50,000 |
Health Education & training material & Equipment | 5,00,000 | |
Need Assessment survey | 2,00,000 | |
Training of Volunteers at APSK | 50 x 10,000 | 5,00,000 |
Training of Health co-ordinates at ASK | 5 x 20,000 | 1,00,000 |
Evaluation | 1,00,000 | |
Documentation & Dissemination | 2,00,000 | |
Total non-recurring expense | 50,00,000 |
Recurring expense | Per month | Per 1 years |
Manpower | ||
Project Co-ordinator | 15,000 | 1,80,000 |
Tutor cum medical officer (2 x 10,000) | 20,000 | 2,40,000 |
ASK Coordinators (5 x 4,000) | 20,000 | 2,40,000 |
Data-entry operator cum clerk | 5,000 | 60,000 |
Pharmacist | 5,000 | 60,000 |
Driver cum case - clerk (2 x 4,000) | 8,000 | 96,000 |
Community Health Volunteers (50) | 50,000 | 6,00,000 |
Honararium & Misc work | 1,00,000 | |
Drugs (Allopathic, Ayurvedic etc) | 5,00,000 | |
Stationary & Printing | 30,000 | |
Plantation (Medicinal) | 100x50x50 | 2,50,000 |
P.O.L & maintenance of vehicles | 15,000 | 1,80,000 |
Communication | 10,000 | 1,20,000 |
Contingency | 3,44,000 | |
Total recurring expense | 30,00,000 |
Teaching staff of PSM Department
MSW of PSM Department
Department of Pathology & Microbiology
All Museums & One Tutorial Room for Training
Clinical Department Staff
Ophthalmology
Chest & TB
Medicine
Pediatrics
Surgery
Obstetrics & Gynecology
Others as per the need
Intern Doctors at least 4 on rotation basis & Medical Students for need assessment & health education & awareness purpose. Nursing students will also join when necessary for RCH programme.
(Our students had actively participated in SUNAMI, flood relief etc. & right now they are active in training of village level youth in Kutch & Surendranagar slum & rural area)
(If we convert cash for one year, it will amount to be not less than 50,00,000/-)
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