Odisha Projects

  • Introduction

 

Sankalp

Combined approach to tackle Lymphatic Filariasis & Leprosy
Holistic approach to tackle LF and leprosy

A new project named ‘SANKALP’- Tackling Lymphatic Filariasis and Leprosy was formally launched on November 23, 2015. This will be an integrated project, as LF and leprosy have many components in common. Both diseases, if diagnosed late or left untreated, can cause severe disabilities, immobility and impairment and need wound care, dressing and physiotherapy. LF and leprosy are associated with discrimination and disability and lead to loss of livelihoods, breakdown of relationships, school drop-outs, loss of self-esteem, and mental health issues. WHO also recommends common intervention package for disability care. It emphasises long self-care by affected persons for chronic conditions as disability. There is a clear need for more focus on morbidity and disability management, emphasised in the Neglected Tropical Diseases Cross-cutting Issues Workshop, held in February 4-6, 2015, at Utrecht, The Netherlands.
Filariasis has been considered as a major public health problem, next to malaria, in Odisha. This State occupies the fourth place in filarial endemicity in India. Twenty out of 30 districts are endemic to filariasis and the coastal districts namely Puri, Nayagarh, Balasore, Ganjam, Cuttack and Khurdha are more endemic in comparison. As per the India LF Elimination Report 2013, 3.70 million in Ganjam, 2.42 million in Balasore, 1.74 million in Puri and 0.98 million people in Nayagarh are at risk of lymphatic filariasis. Though the micro filaria rate is less, the number of persons affected by lymphoedema is very high. In 2015 annual new case detection rate of Leprosy in the state of Odisha was 24.40 as against the National average of 9.49.
This project has been designed based on the learning of LEPRA Society through its LF projects in Puri district, Odisha and Bihar. It will be implemented in collaboration with the Department of Health, Government of Odisha. The project will cover 1,272 villages of seven blocks i.e. five blocks of Puri district and two blocks of Nayagarh district, Odisha. The goal is to “contribute to break transmission, prevent disability and address issues of dignity and poverty of people affected by lymphatic filariasis and leprosy in seven blocks of Puri and Nayagrah districts of Odisha” and the activities of the project include mapping/line listing, baseline study, IEC, formation of Self-Support (Care) Groups, support to MDA Campaign, vector-control measures, school health education programme, work with Private Medical Practitioners, sensitisation and capacity building of service providers, Morbidity Management and Disability Prevention (MMDP), Mobile Footwear Unit (Provision of Footwear), facilitation of surgical care, facilitate support for socio-economic rehabilitation, undertake operational studies, empowerment etc.
LEPRA has always been working for diseases associated with stigma and discrimination and stands to its commitment as the present project nomenclature “SANKALP” denominates.

 

Photo Gallery

 

Cheyutha weekly Clinic at Gaddiannaram

Children summer camp

World AIDS at LIHQ
International Women day at Gaddiannarma
Contact Address:

H.No.16-11-578,

Red Cross Hospital Premises,

Gaddiannaram,

Dilsukhnagar
Hyderabad-500 060;

Phone: 040 66789220;

Email: cheyutha@leprahealthinaction.in

  • Supportive programme:
     

    S.No.

    Activity

    benefitted

    1

    Nutrition supplement

     

     

    A

    ATMIT Powder

    101

     

    B

    Ration support

    50

    2

    New born baby kit

    150

    3

    Summer camp

    35

    4

    Children’s day celebrations

    40

    5

    Picnic

    35

    5

    Education support

    109

     

    Rehabilitation

    4

    Cheyutha promoted leadership and initiative of the People Living with HIV/AIDS (PLHA) to take up activities to enable them to address the various needs, especially psycho-social and rehabilitative support. The group proved capable enough to successfully handle responsibilities entrusted to them by Andhra Pradesh State AIDS Control Society, including PPTCTC plus project.

    One of the important activities this year was the formation of district wise network to be affiliated to state-wide and nation-wide networks.
    Cheyutha in Bhongir of Nalgonda district also got strengthened. India HIV/AIDS Alliance, Delhi, channelised DFID Challenge Fund projects in Hyderabad, Bhongir, Kamareddy and Bhubaneswar sites, which envisages PLHA leadership in community-led sexual health and HIV awareness programmes leading to better acceptability of PLHA in the community. Cheyutha has also taken up rights-based issues including institutional discrimination, property and inheritance rights etc. These issues will be further pursued along with rehabilitation, child support and other welfare activities. In 2007, Bhongir and Kamareddy sites will be given priority, while achievements at Hyderabad will be further consolidated.
     

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.

 

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