Health Awareness:

Health literacy has been internationally identified as a public health goal in the last decade and is now a familiar concept in health promotion. ‘Health literacy’ is a composite term that generally refers to a set of results through health education and communication activities. Awareness campaigns have a significant impact on promoting health education and thus potential to improve the national health status in emerging economy like Jharkhand. Due to lack of knowledge, information and orientation in health and hygiene the grass root level villagers cannot understand the need of immunization, importance of growth monitoring, technique of low cost nutritious food preparation, different methods of birth control, spacing between two children, importance using sanitary or pit type latrine, preparation of safe drinking water, maintenance of personal hygiene and disposal of waste products from the home and practices to maintain good health. In fact sound health deteriorates herewith the increase of superstition and wrong method of treatment. So the incidence of maternal mortality, child mortality, morbidity, dehydration and malnutrition rate and other infectious diseases are quite high as per our community diagnosis. The existing Dai are not qualified so they cannot diagnosis in the case of high-risk pregnancies properly. The quacks are not trained. They depend on limited indigenous knowledge. The diversity and multiplicity of the problem can be decreased with some comprehensive program in this matter. At the time of feeling pain, they have to take to distant primary Health center but on the way the pregnant women face great problem. Sometime the pregnant women are compelled to give birth their children under the open sky. These programmes complemented District Rural Health Society initiatives and promoted family health and planning services to the marginalized sections of society. Street plays ( Nukkad – Nattak ) were conducted in important male congregation centres and other public locations . Street play is an excellent medium to expose the target group to key messages in simple and entertaining manner. Street plays has been used in education and presents scope to contribute in creating health awareness in rural - Ramgarh, Bokaro, Giridih, Jamtara, Koderma

Objectives.
General Objectives
Specific objectives operational targets.
Methods:
Outreach educators have been using different kinds of dialogue and conversational techniques like focused conversation, Socratic dialogue, appreciative inquiry and persuasive dialogue. The IEC Van campaign also consisted of Nukkad Natak teams and Chou cultural troupes. Troupes promoted simple health interventions, including vaccinations,to reduce the children’s illness. And we educated them about the importance of regular antenatal care and other preventive measures to improve family health.

FOCUS:
  • Maternal Health
  • Child Health
  • Family Planning
  • Save girls child
  • HIV / AIDS
  • Malaria
OUTCOME:
Medicine Distribution:
Objectives of Elimination of Lymphatic Filariasis is to reduce transmission risk by antilarval measures, to reduce micro-filaria load in the community by survey and treatment and to eliminate lymphatic filariasis through mass drug administration.
Rah and Malaria control Department, Bokaro in a joint effort under National Vector Borne Disease Control Programme (NVBDCP) under line population under MDA about 13755 people and distributed medicine (D.E.C and Albendazole) form 12 September to 17 September 2011 in Sector – 4, Bokaro Steel City.
The Inputs for the program are:
  • Source reduction and personal protection measures
  • Up-scaling of larvivorous fish for vector control, wherever feasible
  • Use of larvicides in urban areas
  • Ensuring availability of DEC tablets for all the endemic areas
Strategies:
  • Line listing of manifestation of disease in the community
  • Surveillance in sentinel sites to assess the microfilaria and disease rate
  • Annual single dose mass drug administration of DEC at a dose @ 6 mg/kg Body weight
  • Home based Management of lymphoedema cases and hydrocelectomies in identified CHCs and hospitals
Interruption of transmission of filariasis by Annual MDA:
Cataract Operation Camp:
Overview:
Cataracts are changes in clarity of the natural lens inside the eye that gradually degrade visual quality. The natural lens sits behind the colored part of the eye (iris) in the area of the pupil, and cannot be directly seen with the naked eye unless it becomes extremely cloudy. The lens plays a crucial role in focusing unimpeded light on the retina at the back of the eye. The retina transforms light to a neurologic signal that the brain interprets as vision. Significant cataracts block and white distort light passing through the lens, causing visual symptoms and complaints. Cataract development is usually a very gradual process of normal aging but can occasionally occur rapidly. Many people are in fact unaware that they have cataracts because the changes in their vision have been so gradual. Cataracts commonly affect both eyes, but it is not uncommon for cataracts in one eye to advance more rapidly. Cataracts are very common, affecting roughly 60% of people over the age of 60.
There was an eye camp at target area of Patratu which forms a block of Ramgrah district in Jharkhand on 21th April 2012 where 34 patients were shortlisted for cataract who were later operated the day after on 22th of April 2012 and were also provided with free meals and free medicines. On 23th they were discharged. Glaucoma cases were nil and patients with minor eye infections were non surgically treated on the first day of the camp. Patients who had undergone surgery for cataract removal were called again after a month and retested and were finally deemed fit of no further post surgical treatment. The camp was a success which we hope to emulate in other districts of Jharkhand in the near future. The Surgeries were performed by Dr. Sarwar Alam. The camp was sponsored by Blindness Control Society, Ramgarh.

Objective:
  • To reduce the blindness through identification and treatment of blind.
  • To develop Eye Care facilities in the area.
  • To develop human resources for providing Eye Care Services.
  • To improve quality of service delivery.
  • To secure participation of doctors in eye care.
Outcome:
SDM & LAM Awareness:
Overview:
This program was funded by Institute for Reproductive Health. The programe was carried out in the districts of Hazaribag from 22 march – 28 march 2012. Fertility awareness refers to basic knowledge of the male and female reproductive systems as it relates to fertility and the ability to reproduce. It is knowledge about the signs, symptoms and patterns of fertility during the menstrual cycle and throughout the woman's reproductive life, the male reproductive potential, and combined male and female fertility.
SDM : The Standard Days Method (SDM) is a simple fertility awareness-based method of family planning based on the timing of ovulation, the functional life of the sperm and the ovum, and the resulting likelihood of pregnancy on particular days of the menstrual cycle. Appropriate for women who usually have menstrual cycles between 26 and 32 days long, the method identifies days 8 through 19 as the fertile days. To prevent pregnancy, the couple avoids unprotected sex on the fertile days.
LAM : The Lactational Amenorrhea Method (LAM) is a modern, short-term family planning method based on the natural effect of breastfeeding on fertility. The act of breastfeeding, particularly exclusive breastfeeding, suppresses the release of hormones that are necessary for ovulation. If certain conditions are met, the method provides protection from pregnancy for a woman immediately following birth until the child is 6 months old.
Objective :
  • To raise awareness of SDM & LAM
  • Offer an opportunity to other methods of family planning.
  • To raise awareness about the knowledge of women’s bodies and their menstrual cycle.
  • Social marketing of Mala Chakra
  • To raise awareness of the breastfeeding practices and good infant nutrition
  • To raise awareness of a woman’s birth spacing interval, thus lowering her risk of pregnancy and related peri natal morbidity and mortality.
Outcome :
Condom Promotion :
The Population Health Serves India funded condom promotion progrme was run in the following six districs of Jharkhand: Bokaro, Dhanbad, Hazaribag, Giridih, Deoghar, Dumka. This program was awarded by Population Health services (india).
Along with strategies about abstinence and being faithful, consistent and correct use of the male condom (A B C practice) is a critical measure for preventing STI-related morbidity and mortality. Yet condom use remains low worldwide.
During the Condom promotion program Street Plays were conducted from 01-12-2011- 15-12-2011 and viewed by 26344 people, average per day contacts were 1882. The strategy focused on changing sexual behavior by encouraging safer sex practices including abstinence, being faithful to the sex partner, partner reduction, and correct and consistent condom use. This approach first aims at creating awareness. Outreach educators have been using different kinds of dialogue and conversational techniques like focused conversation, socratic dialogue, appreciative inquiry and persuasive dialogue.
Objective :
The main objective of the project was to design and implement Behaviour change interventions, to support the adoption of low risk behaviour by their people. The strategy focused on changing sexual behaviour by encouraging safer sex practices including abstinence, being faithful to the sex partner, partner reduction, and correct and consistent condom use.
Outcome of the programme are to: