Orissa Projects

  • Introduction
  • Objectives & Activities
  • Photo Gallery

Introduction

KORALEP

Koraput district is a part of the tribal belt in southern Odisha and is home to many aboriginal tribes like the Bonda, Porajas, Koyas and Didayis. Odisha has 62 tribes mainly inhabitants of Eastern Ghat hill range. Koraput district comes under fifth schedule of the India Constitution with more than 50% of the tribal population.
LEPRA KORALEP a direct project is operational since 1991 (with Leprosy Prevalence Rate as 19) in the districts of Koraput and Malkangiri covering 14,598 sq.km with eighteen lakh population. LEPRA KORALEP became a separate project for better and focused administration towards expansion of project activities w.e.f January, 2008 covering 8807 sq.km with twelve lakh population. The project consists of 14 blocks, one Municipality; three NACs spread over 226 Gram Panchayats, 4,389 villages including 117 mostly inaccessible villages of the district.
Koraput caters to four southern inaccessible districts, with maximum load of disabilities cases. The disability management was not integrated with the general health system. The project focuses on public health issues with special emphasis to leprosy, tuberculosis and malaria along with government linkages in HIV and AIDS programmes. A large number of disability cases due to leprosy are still deprived of leprosy services.
As a referral centre, the project covers four districts i.e. Koraput, Malkangiri, Nabarangapur and Rayagada. The referral centre (IP Ward, Koraput) is a specialised unit providing leprosy services to patients with complications, reaction management, Nerve Function Impairment (NFI) and physio-care and reconstructive surgery.
The project concerted efforts contributed towards reduction of Prevalence Rate (from 19 to 1.16 per 10,000 population) and the disability case load (from Grade-I 976 and Grade-II 1703 cases).

 

Foot care for leprosy affected persons
Posterior slab preparation by PT
Observance of Anti Leprosy Day
Ulcer dressing
Post Operative Cases
Focal Group Discussions
with Persons Affected with Leprosy
 
 

Events

Tuberculosis Programme:

After achieving notable results in controlling leprosy, Koralep is highly concentrating on the field of TB as this is the high endemic disease of the undivided Koraput district. With the result of pilot study on Joint Leprosy/TB and HIV awareness programme covering 0.26 million population in Jeypore sub-division funded by DFID by Koralep & as per the recommendation of external experts from London School of Hygiene and Tropical medicine UK after evaluation for expansion of Joint programme, Koralep worked with a coverage of 0.5 million population of entire Jeypore sub-division (funded by E.C. project). Now Koralep is running a DMC ay Jeypore with taking 50000 populations under RNTCP.
In this year 2463 nos of different client were attended at Koralep OPD among them 760 are chest symptomatic. 79 TB cases registered and put on DOTS. The DMC cure Rate is 91% and sputum conversion rate 92%.

Community Approach:

In the process of community mobilization, 802 community people participated to develop their village micro-plan with focus on health. Secondly, all the members of the health resource centre (HRC) are from the community, which is a community owned institution acting as a pressure group for quality health services.
In terms of service, as an entry point programme, health camps were organized through health resource centers (HRCs). In the 4 camps, about 500 people &from 6 HRC 292 suspects availed the services of general health care and suspected TB and Malaria cases were referred to the nearest health institution for diagnosis and treatment with follow up by HRCs. Similarly, in the training programmes the service providers were sensitized on the role of HRC and linkages with health centre and how they could act like a bridge between the two.

Networking

The Project continues networking and Linkages with District Health Administration. The District Coordination Committee comprising of CDMO, DNMO/DTO, and KORALEP is being held on monthly basis to discuss on leprosy and tuberculosis activities. And also the project is keeping networking with other stake holders like NRHM, ICDS staff, ASHA and Forest Department.

Safai Abhijan:

Safai Abhijan A project on Health, Hygiene & Sanitation for four communities of Koraput & Jeypore i.e. Dongaguda, Hatpada, Indracolony & Rangabalikumbha. The project is implemented by Koralep, LEPRA Society & Supported by Mr. Graham Clark, U.K.
The project is working to empower the communities to lead a healthy life with better hygiene & capacity building, sanitary hardware construction, community mobilization and other supportive activities.

Objective:

  • To ensure sustainable development of the quality of life and health of the community.

  • Awareness on the need for sanitation and Hygiene and good living condition

Outcome

  • 5 nos of IHL (Individual House hold Latrine) 4 No of Drainages &2nos Tube well Platform were completed by the labor contribution of the community.

  • 255 nos of SHG member participated and aware about Health, IGP, Networking and advocacy for their community development.

  • 105 persons were benefited from adult education programme.

  • 2nos of health camp organized ,where there were 165 nos of different patients benefited
    Pulse Polio campaign was organized from the HRC of Dongaguda where all the children of the slum (100%) were covered.

  • Two HRCs have started savings scheme within the community for development of their community.

  • 235 cases were referred to hospitals for general health service by the HRC.
    HRCs are performing the role of pressure group for their rights and entitlements. They have written to govt. for their community which resulted in the following.

  • Community came forward & did the construction of tube well platform, drainage, garbage pit
    Repaired street light, construction of road (concrete) and cleaning of slum by NAC in some slums for community advocacy.

  • 12 nos of film show programme was organized where more than 1000 people attended
    After advocacy with Govt in Hatpada a pucca street road constructed by the Municipality.

  • Puppet show team developed by the youths at Dongaguda and performed 134 no’s of puppet show on TB, HIV& Sanitation

Major Events/Camps

1. India Bike Ride
2. Anti Leprosy Day / Week Celebrations
3. Health Exhibition at Maha Sibharatri mela at Gupteswar
4. Big Exhibition at Nelabadi festival
5. World TB day celebration
6. World Health day
7. Intensive IEC campaigning in outreach areas of Jeypore Block.
8. World Population Day
9. Anti Malaria Month.
10. World Disability day
11. PARAB 2009
12. Blood Donation camp
13. International Women’s Day

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