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Arogyam project is implemented in Parangipettai as a corporate social response of IL&FS Tamil Nadu Power Company Limited (ITPCL). DESH is executing the project since year September 2013. The project activities are focused in the block Parangipettai. This block has 177 villages and the project has covered till date 118 villages/hamlets. The conceptual framework of project is as below.

To achieve the concept the following approaches are adopted:

  • Community Intervention
  • Clinical Intervention
  • School Intervention
  • Networking and linkages
  • Advocacy

The community intervention focused on creating awareness and mobilization of the community. The groups which are covered in the community intervention include women and children, mother and child, general community, adolescents in school and out of school. The main objectives with the specific community groups is to reduce RTI,  anaemia and malnutrition among women and children, decreasing the diarrhoeal Disease and managing the disease among infants and children, lowering the progression to cardio vascular diseases and other non communicable diseases among the general community and among adolescents reduce RTI, anaemia. The awareness focuses on preventive education among all the groups.

Efforts are taken to increase the health seeking behavior of community. Outreach is the main activity of the community intervention. The outreach is carried out by trained health educators and community health educators. The outreach activities of the health educators are supervised by block coordinators. The block coordinators have additional roles like advocacy with local leaders to get entry and support to conduct awareness in the selected villages. The entire outreach team closely works with the clinic team and networked hospitals. To support the health educator’s initiatives trained community health educators mobilize the community, create demand for health services and also mobilize community. Barefoot counselors provide counseling in the static clinic and in the mobile health clinics.

The clinical intervention is carried out in Arogyam static clinic functioning at B. Mutlur and M- Health clinic offering services in the villages. The clinical intervention team is headed by a medical officer and supported with para medicals, lab technicians, ANMs etc. The clinical intervention addresses the existing complaints of the community and also focuses on lowering the cardio vascular diseases by early diagnosis of the disease conditions like diabetes, hypertension, cholesterol, anemia, BMI etc. In addition the team also conducts special screening drives for early detection of cancer, RTIs, diabetic retinopathy, vision impairment etc.

The school intervention focuses on the following components 1. Nutrition  2.Sexual and Reproductive health (SRH) 3. Non-communicable diseases (NCDs) 4. Substance misuse 5. Injuries and violence 6. including gender-based violence (GBV) and 7. Mental health. Awareness sessions and events are conducted focusing on the above components. The program is implemented in ten panchayat union middle schools.

Networking and linkages play a vital role for facilitating referral services, conducting campaigns and events. The project has networked with the hospitals in the surrounding areas, the networked hospitals include Mahatma Gandhi Medical College & Research Institute, Aarupadai Veedu Medical Hospital, Pondichery Institute of Medical Science (PIMS), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) and Aravind Eye Hospital.

The project has advocated with all the local panchayat and traditional leaders for their support to offer the project services in the villages. Almost all the leaders have extended their support to the project. They take immense interest to participate in the project important events and programs. They also express their needs for their villages to the mentoring team. Government hospital and primary health care centre support the project clinical services, screening, referrals and follow ups. The block development officer plays a vital role in extending the services to the hard to reach areas.

 

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