MP Projects

  • Introduction
  • Activities
  • Advocacy & Case Study
  • Photo gallery

Introduction

Advocacy Communication and Social Mobilization, TB project (ACSM)

USAID and World Vision supported Project- Advocacy Communication and Social Mobilisation (ACSM) commenced in Madhya Pradesh from October 2008. The jump start project aims to contribute to the efforts of Revised National Tuberculosis Control Programme (RNTCP) to reduce TB-related morbidity and mortality and to accelerate progress towards achieving the targets of the Global Stop TB strategy for 2006-2015

Target Areas: The Project is implemented in 10 districts of Madhya Pradesh namely: Raisen, Sehore, Vidisha, Ratlam, Shajapur, Harda, Betul, Chhindwara, Narsinghpur and Shahdol in coordination with NRHM.

Areas of Operation

S No

District

Implementing NGO (SR)

1 Betul LEPRA
2 Chhindwara  LEPRA
3 Harda LEPRA
4 Narsinghpur  LEPRA
5 Raisen LEPRA
6 Ratlam LEPRA
7 Sehore LEPRA
8 Shahdol LEPRA
9 Shajapur LEPRA
10 Vidisha LEPRA

Objectives:

  1. To engage ad empower communities for a greater role in TB control and care through improved knowledge, changed attitudes, and participation.
  2. To improve access to and utilization of TB diagnosis and treatment through engagement of the private health sector

 

 
Advocacy & net working

Advocacy communication and social mobilization component include completion of (788) CBO sensitization, (330) community meeting, (108) PRI sensitization, (205) school sensitization, (22) Lobbying activity, (10) NGO sensitization, (15) World TB Day Activity.
Similarly, Community System Strengthening component include compilation of (175) ASHA / ANM coordination meeting, (17) Civil society meeting with DTO, (31) Patient Charter Sensitization and (3) NGOs meeting with DTO, (7) OD leadership training.
Similarly, Public Private Mix component include compilation of (25) Private Provider Sensitization, (54) Stakeholder Meeting, (12) Private Provider Meeting with DTO.

Project has ensured more than 84000 participants through above-mentioned activities. Meanwhile project get opportunity to promote more than 9000 referrals from field through using of LEPRA referral slip. Around 2500 Suspect reached at nearest microscopy centre for sputum test and near about 250 cases diagnosed as New Sputum Positive cases. After end of first phase of project and 1st quarter end of second phase of project it’s a recognized success and it’s also bust up the team capacity to do more innovation with proposed activity in present proposal.

Outputs
Number of referrals made in ACSM TB project and its contribution to RNTCP

Till 30 September, 09

Last quarter:
October 09 to December, 09

Districts

Suspect Referral

Suspect Reported

NSP
Detected

Suspect Referred

Narsinghpur

1225

107

11

111

Shahdol

1323

586

85

206

Raisen

1015

484

53

284

Harda

305

53

6

68

Betul

989

114

10

117

Chhindwara

2201

469

69

121

Shajapur

360

80

23

115

Ratlam

612

102

25

149

Sehore

230

47

5

86

Vidisha

132

33

13

58

Total

8392

2075

300

1315

 

Case Study 1

Community meetings resulting to identification of TB cases

A community meeting organized on 22nd Jun at Nalatola, Dhanpuri with the help of local NGO, Sankalp Samajik Vikash Samitti. After the meeting Mr. Sabai lal Panika came up and mentioned that he had some symptoms of cough. Mr. Sabai lal is a daily wage labourer living in Dhanpuri block of Shahdol district. The representative of NGO referred him to Dhanpuri DMC with the referral slip. He underwent sputum diagnosis and found to be positive. After detection of positive case, the NGOs representative Dr. Ramesh Panday discussed with patient and taken details about his illness. When the discussion with patients about their problem. He shared that he has the problem for the last 4 years. He also took treatment from local private doctor but couldn’t complete the treatment due to financial problem. This case study is a typical case where patient go to private provider and take initial doses and discontinue their treatment due to financial problem. Our community meetings and communication activities stressing on free and quality treatment

Case studie:2

Defaulter Patients Name Badri Prasand Hariram Dagi
Defaulter Patients Age 40 Yrs
Defaulter Patients Address     Gulabganj
Sputum Diagnosis Date 08/05/2010  lab. No. 886
Date of starting DOTs date 08/05/2010
Discontinuing of DOTs            02/02/2010
Re start of DOTs 08/05/2010

A community meeting was organized at Aganwadi Center with support from Rambabu Yuwak Mandal. In this meeting a lady participant said that her husband has symptoms of TB and also started taking medicine but he now stopped the treatment without completing it. She wanted to know if her husband can restart the treatment. The district coordinator gave a referral slip to the lady and asked to come to the DMC the next day. The next day the lady with her husband visited the DMC and got him tested for Tuberculosis. His treatment was started on the same day and after a week the treatment box was provided to AWW in anganwadi center. Now is in under treatment and he is in better condition and has promised to complete the treatment this time.

Case studie:3

Defaulter Patients Name Shri Mangeelalji Maieka
Defaulter Patients Age 26 Yrs
Defaulter Patients Address     Near temple of Kitkhedi
Referred Person ASHA
Referred Date 12/12/2009
Referred DMC Tal
Sputum Diagnosis Date 15/12/2009
Sputum Diagnosis status Positive
Date of starting DOTs date 18/12/2009

Shri Mangeelalji Maieka is one the participants which participated in community meeting at Kitkhedi. He was suffering from coughing from last six month and was in a weak condition. He took treatment from Udaipur, Rajasthan from private provider but due to high cost of treatment he stopped going to the provider. He was counseled to go to the DMC with a referral slip and the next day he underwent testing in Tal DMC and found to be positive. He was put on DOTS the same day by the ASHA worker of the village. Same day treatment has been started by the ASHA worker. We followed up the patient and found that he has completed his treatment and is completely cured now.

Photo Gallery

  •  
    CBO Sensitisation Chindwara Tamia IEC being shown
    CBO Sensitisation Chindwara Tamia oath is being taken
     
    CBO Ramtak Rayyat, Harda
    Vidisha Collage students
     

Case Studies

The support restored the Childhood

Kumari Jyotsna sethi, 14 years old, daughter of Banamali sethi belongs from Rajanpali village of Boudh district. She is the only child of her parents and that is why she gets all the affection from her parents. She grows up with much love in the family. She studies in class 8th at Butupalli, High school of Boudh district.

Her father is a small farmer with one acre of agriculture land. The annual income is not sufficient to manage the family economy. However, with the income from his own agriculture land as well as labour work sometimes, her father manages the family and the education of Jyotshna.
Time passes and one day her mother observes that Jotshna is not able to tracing the things and domestic appliances properly and father also observes the same. School teachers complains that Jyotshna is not keeping any interest on study. Her father also observes the same. The school teacher says that she is not able to look at the black board and reading properly. Subsequently, friends and neighbours starts to address her as the blind Girl in the community. Gradually Jyotshna becomes depressed and stops going to play with her friends and avoids the gathering in the community. She also expresses her unwillingness for study. One of the neighbors observes a white spot on the right eye pupils. Her father contacts the local traditional healer for treatment who fails to recover the same through his treatment. The parents make lots of expenses for the treatment of Jyotshna. Then they takes Jyotshna to Boudh District Head Quarter Hospital for treatment. The doctor diagnoses her with immature cataract and asked them for contacting the Mahanadi Netra Chikitsalaya of Birmaharajpur of Sonepur district.
She comes to MNC 5th August 2009 and was admitted for cataract surgery. Her Uncle and Parents are counseled by the Ophthalmic Assistant for the surgery. The cataract surgery is conducted on her right eye on the same day through phaco with the intra ocular lens (IOL) in free of cost. Free spectacles and medicines are provided to her as per the prescription of the Ophthalmologist of the Mahanadi Netra Chikitsalaya of LEPRA Society. After the successful surgery, her parents express their happiness and gratitude to LEPRA Society as well as the person or institution who provides support for this noble work. Jyotshna is now very happy she becomes able to see. Now she has got back her earlier life stile i.e. in relation to continuing her study, playing with friends and joining the community gathering.

The support could provide relief in old age by restoring the vision

Basanti Mahananda, 65/F, she is an old widow lady belongs to very poor family of the Menda village of Tarabha Blcok of Subarnapur District. Long back her husband dies due to heart stroke. She has 3 daughters only without a son who already have married. So, Basanti is living alone and manages her by wage works in different households. She is landless.

However, she gets the oldage pension which is Rs. 200/- (Rupees Two Hundred only) per month. Suddenly, she feels vision problem which increases gradually. She becomes unable to see and work properly. Cooking for herself and earning for herself becomes difficult. As her daughter are in their in-laws’ house, there is no scope of getting support from them. In the course of time, Basanti loses his complete vision. She could know about the community eye screening camp of Mahanadi Netra Chikitsalaya of LEPRA Society at Tarava. She requests her elder son-in-law to guide her to the screening camp. Basanti attends the screening camp and diagnosed with matured cataracts. She is brought to the Mahanadi Netra Chikitsalay by the project outreach bus on 13th August 2009 and was registered for cataract surgery. On 14th August 2009, her right eye is operated through the use of phaco and operating microscope and IOL is implanted. The surgery becomes successful and Basanti gets back her vision in the right eye. After seven days of her surgery, her vision is tested and found with very good vision. She also expresses her happiness as she is able to see the things and do her daily activities independently. She is waiting eagerly for the surgery in her left eye.

Restoration of Childhood

Sumanta Beriha,7/M of C/O Bhagban Beriha, hails from Jatasingh village of Boudh District. He is the youngest son of his parents with three brothers and only one sister. Being the youngest son of his parents Sumanta is being loved by everybody in the family. His elder brother was having eye diseases which led him to incurable blindness. Sumanta was all of sudden lost his vision at the age only 4 years. His father is a farmer and also works as a labourer. The mother is a house wife and sometimes works as labourer. When Sumanta is admitted into the school, the irony that he is found to have very low vision in both of his eyes for which he faces lot of problems in reading and writing. Gradually Sumanta was pushed into more and more darkness. Sumant is not able to carry out independently the daily activities, reading and playing. Gradually he stopped school going, playing with friends. He loses his childhood. The parents have no money for the treatment of their beloved son and because of the same reason and ignorance their elder son becomes blind. They have to only cry and blame their lucks. The parents go to the District Head Quarter Hospital, Sonepur but, the treatment could not be possible as the hospital is not having facilities for children surgery.

In course of time, his uncle who is staying nearby MNC informs his parents to come to MNC for treatment. The parents come with the son on 7th February 2009 and Sumanta is registered bearing the MR No 47526/09. He is detected with congenital cataract in both his eyes. Parents and the uncle are counselled for the surgery. Sumanta is admitted on the same day. His right eye is being operated with Small Incision Cataract Surgery (SICS) with IOL on 8th February 2009. His vision is improved to 6/18 in his right eye.

Now, he is able to play, read and write and he is happier that his vision has again restored. His parents are too happy as the childhood of their beloved son is getting restored and have expressed their gratitude to MNC for great support to their child and family. After few days, his left eye will be operated.

Resources

Infrastructure: The hospital is housed in its own two storied building having a covered area of 5000 sq. ft.. MNC has accommodation for 30 beds, suitable surgical and therapeutic equipment are available for providing eye care. The hospital has a minibus for outreach activities and transportation of patients identified with cataract to the base hospital for surgical intervention.
Physicians/Staff: There are 30 full time/part time workers at the MNC hospital. These include one full time doctor, nurses, paramedical staff and non-clinical personnel. The physicians are well supported by a multitude of staff members such as nurses, refractionists and technicians who actively participate in the health care team
Work Times: The hospital works six days (Mon-Sat). Patients usually come at 9 a.m. and the work day ends at 5 p.m.
Food: Breakfast, lunch and dinner are also provided free of cost to the patients and their attendants. On an average food is provided to 30 numbers of people per day at MNC.

 

Photo Gallery