Project Pehal:

Health & Sanitation

UTC, CCS INDIA

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Project ‘Pehal’ is a community development initiative started in Chakkarpur community, Gurgaon in 2013. With the intention of improving lives in migrant communities the health objectives  are:

  • To promote the health and well-being of the women, girls, men and youth in the community through evening clinic, health camps, awareness on institutional deliveries and immunization
  • To understand the community dynamics and challenges around local issues such as waste management, improvement in sanitary conditions, disaster preparedness in situations such as fire, etc.

 

Health

A clinic was set up in 2013 under project Pehal, offering Out Patient Department (OPD) and referral services to the targeted community during evening hours. After the initial success it was planned to scale the operation. In 2016 a full scale clinic offering diagnostic, curative, referral services and IT enabled was set up. A Lifecycle approach for implementing priority high impact interventions for saving lives was put in place, along with a strong referral arrangement with government and private hospitals for management of complications and specialty cases.

 

The Pehal Clinic deploys a team of qualified medics, paramedics and community Health Workers. Takes health services to the doorstep of the community by providing home-based counselling services, organizing community awareness outreach/ mobilization and health camps aimed at improving the community’s awareness about chronic diseases, non-communicable diseases, home based new born care, diarrhea,  breast feeding, malaria, pneumonia, diarrhea and HIV/AIDS. The clinic is well furnished, follows all relevant medical guidelines, uses Health care innovations like point of care diagnostics, medicines, over 60 in house diagnostic tests and m-Health solutions within the framework of  RMNCH+A 1000 day best practices for all Women and adolescent girls, early NCD screening and management & follow up of patients.

 

Project Interventions

  • 01 Smart health clinic established in operational area
  • Organizing health camps on General, Eye, skin, dental care, Anemia, Blood Sugar and TB testing camps
  • Organizing awareness sessions in schools and Community engagements by formation of women health clubs
  • Vaccination/Immunization drives
  • Supporting and facilitating National Health Program ,Government of India such as PradhanMantri Sawatha Matritawa Yojna, National drive on Vitamin A and deworming, Breastfeeding Week, prevention & management of diarrheal disease

 

Outcome of the program

  • 12,656 community members have been treated through health clinic and health camps ,Over 50% of the beneficiaries were women
  • 325 expectant mothers have availed ante-natal care and 190 institutional deliveries facilitated
  • 45 Eligible Couple availed Family planning services (DMPA-5, OCP-12, IUCD-6, CC-22)
  • Point of care diagnostics total 2487 ( Anemia Screening-1580, U-Check-12, Su-check-459, MPL-436)
  • Community members were linked with Government Health facility, Scub-Centre, Primary Healthcare Centers, General Hospital, Gurgaon and charitable clinics/trusts and private hospitals
  • 11 Community members underwent sputum test to diagnose TB infection, of which 05 are found infected and are linked with DOTS
  • 908 people underwent HIV testing and no HIV positive case has been detected
  • 60 Women Health Clubs formed benefiting around 900 women
  • 541 spectacles are given to those diagnosed with low vision
  • 30 Pregnant women are assisted to get ultrasound procedure performed at lower cost
  • Mass screening of 524 Students for Anaemia- 35.35% children were found anemic. Anemic children and caregivers were counselled on the dangers of anaemia and the importance of a healthy diet for good health.
  • 459 person were screened for Blood Sugar and Blood Pressure during Haat Campaign rolled out in fixed strategic locations, 13% were found in the High risk category.

 

Impact of the program

  • Clinic is providing easy, timely and quality health care services
  • Increased institutional deliveries which has led to Safe deliveries, timely referrals of high-risk pregnancies avoid morbidity in mother & child
  • Strengthening home-based newborn care and prompt referral by regular home visit
  • Various health camps with specialized doctors benefited community with specific needs
  • Significant impact in the community, which is evident by willingness of people coming for ANC , Integrated management of childhood diseases, HIV tests, family planning methods, TB tests
  • School sessions have helped young girls become aware about anemia, menstruation, RTI/STI and basic health to take preventive measures early

 

Sanitation

The sanitary condition was bad at the beginning of the project and defecating in open was a common practice due to absence of toilets. Poor condition of the toilets, drainage system, and washing platforms resulted in stagnant water, thereby acting as catalyst for the spread of certain water borne diseases. Much before the launch of ‘Swacha Bharat Campaign’ by the Government of India on 2nd October, 2014; the project carried out community cleaning actions regularly in various slum clusters with the active participation of members of  women health clubs and community leaders. (July, 2013 onwards).  During the cleaning actions, project staff sensitizes the community members about the importance of keeping not only their homes but even the surroundings outside their homes including the community toilets clean.

 

Project Interventions

  • 44 toilets, bathing places, drainage systems repaired
  • 7 bathrooms constructed
  • 60 toilets being cleaned every day by a janitor
  • 26 Cleaning Actions organised
  • 9,097 women and youth mobilized for maintaining a healthier environment
  • 20 garbage bins were installed around the community.

 

Outcome

  • Repair of the washing platform and connecting it to the main drainage halted the spilling of used water during washing clothes and other activities into the main drainage system keeping the area clean and safe for living
  • Cleaning and covering of the draining channel.
  • The community was involved to take the responsibility of removing the collected solid wastes from the drains on a regular basis to ensure proper functioning of the drainage system
  • Construction of toilets has encouraged the community members to stop defecating in open and the toilets are cleaned everyday by a Janitor
  • Cleaning action educated the residents about the importance of maintaining good health and hygiene through regular cleaning of the surroundings
  • Community members are prompted to dispose garbage at a common place away from the slums and 20 garbage bins were installed at the various sites.
  • People took initiative to participate in cleaning actions wherein they cleaned the pathways, clogged drainages and surroundings.

 

Impact

  • New bathing facilities and the clean action drives made the operational areas cleaner and more hygienic.
  • Cleaning action mobilized people on the importance of cleanliness in the surrounding living areas as well as promoted the adoption of hygienic practices
  • The cleanliness drives have made people aware about the cleanliness in their surrounding from the aesthetic point of view and to prevent water borne diseases
  • Incidence of water borne diseases and skin infection has declined due to no surface water stagnation.