Impact India Foundation

Motivation of a mother for vaccinating her 10 month old daughter against Measles

Sub Center–Ujjaini December 2013

Smt. Sangeeta Sanjay Bambre from Sakharshet village did not bring her daughter, Suvarna, aged 10 months, for Measles vaccination at the Government’s scheduled immunization session.

She was informed in advance by the Government Anganwadi(crèche) worker of the schedule but did not heed her and went to work at her farm instead.

Therefore, Irequested the Government Auxiliary Nurse Midwife (ANM) to accompany me and went to Sangeeta’s farm to explain to her, and her parents-in-law, the danger of Suvarna contracting Measles pneumonia were she not immunised against the disease. They listened to us and agreed to get Suvarna vaccinated against Measles.

Kashinath Palave, Field Officer, Ujjaini

Suvarna, 10 month old baby vaccinated against Measles

Capacity Building of an Anganwadi Worker

Sub Center- Mangrul

The active Government Anganwadi worker in my area is exemplary. She works at Varshala Grampanchayat. She attends community capacity building orientation programmes regularly.

She has studied all the health modules prepared by Impact really well. She easily explains the modules to the community in their language. As a result, the community has grown in awareness of health issues due to her frequent interaction.

She guides lactating mothers in Varshala on Breast feeding and Immunization. She expresses her gratitude to Impact for the health knowledge gained from the organisation.

Madhukar Mahala, Field Officer, Mangrul

Active Anganwadi Worker – a good resource for Varshala village

Daily Round Table meet on health updates

Sub Centre – Parali

In the past 6 months the Field staff at the Community Health Initiative (CHI) read modules on Mother and Child Health prepared by Dr. V. M. Tapshalkar, the CHI Project Director, at the CHI office at Wada every morning between 9.00 a.m. to 10.00 a.m.

Dr. Tapshalkar also gives us additional medical literature like “Arogyapatrika” which has improved our knowledge. We discuss the problems and challenges we face with the community with Dr. Tapshalkar, Mr. Londhe and Mr. Mule and they call upon their experience to guide us with solutions. We are proud to be CHI members and our work is made easier. This gives me great joy and satisfaction.

Madhukar Mahala, Field Officer, Mangrul

Upgrade of Health knowledge in the CHI

Mentoring the village ASHA

Sub Centre - Mandwa

The Accredited Social Health Activist (ASHA) worker at Mandwa Sub Centre attends every Community Capacity Building (CCB) training programme conducted by India Foundation’s CHI staff at Parali Primary Health Centre (PHC). She invariably provides help to the CHI staff. Her communication skills are good.

Every month she attends Immunization and Ante Natal Cases (ANC) clinics without fail, ensuring that all pregnant women in her area are present. Her immunization instructions are followed by every ANC mother, whom she tracks along with their children for complete immunisation coverage. Moreover, she conducts Community Capacity Building programmes independently, supported by the modules developed by Dr. Tapshalkar.

Sandeep Gawari, Field In Charge, Mandwa

Active ASHA at Sub Centre Mandwa

Building the capacity of the Government health staff

Sub Centre - Gargaon

The process of handing over the work of Community Capacity Building (CCB) to Anganwadi and the ASHA is important to me.

I have attended 15 CCB sessions every month in my Sub Centre in December 2013. I motivated the ASHA and the Anganwadi worker to conduct CCB sessions independently.

I provided them with a question paper and community attendance sheet to complete and return to me after each CCB session. This was tried in six Anganwadis. I received the question papers with their answers.

I visited few homes of the community to check and they confirmed that they had attended the CCB sessions. I am going to increase the number of CCB sessions given to the ASHAs and Anganwadi workers every month.

Devidas Palve, Field Officer, Gargaon

Empowering ASHAs and Anganwadi Workers

Ante Natal Case – first pregnancy

Sub Centre – Mangrul

During the Community Capacity Building (CCB) and Village Health Committee meetings at Patilpada, I noticed that Smt. Surekha Sharad Lachake, a first time pregnant woman, appeared to be very weak and pale. I asked her to bring her Ante Natal Case (ANC) care card. I discovered her Haemoglobin (Hb) to be low, and noted the swelling on her feet and face.

Therefore, on 18 Dec 2013 I urged Surekha to visit Gurgaon Primary Health Unit (PHU) for three days to receive Orofol Injections to raise her Hb level. She was referred to Rural Hospital Wada for further treatment where she was admitted for a course of Orofol Injections. Now, her Hbhas increased to 8 gms/dl and the swelling has disappeared. She has been counselled on diet improvement.

Bhaskar Chaudhari, Field In Charge, Mangrul

Surekha Sharad Lachake’s first pregnancy

Activating Kashivali Village Health Committee

Sub Centre – Manivali

The Kashivali Village Health Committee (VHC) was established on 28th August 2012 by the CHI staff. Every month CHI staff guided members and motivated them to participate in the monthly health activities such as Immunization, ANC check-ups, Hospital deliveries etc. The VHC provided a cot / bed to facilitate ANC check-ups at Batrepada Anganwadi. It took an interest in the regular distribution of additional food to Anganwadi children for 6 months.

The chikki was provided by CHI with the support of an NGO. The VHC supervised water purification; helped pregnant women deliver at Rural Hospital (RH) Wada, and even applied to the Child Development Project Officer (CDPO) for establishing a mini Anganwadi at Kashiwali, which has commenced. The VHC arranged a Health Camp at Kashivali under the guidance of CHI staff, which was supported by the Jeevdani Trust, Virar.

The VHC is engaged in constructing a Samaj Mandir for the conduct of meetings and other functions.

Sunil Mahale, Field Officer, Manivali

Activities of Kashivali Village Health Committee

Referring a high-risk pregnancy case to Thane Civil Hospital

Sub Centre – Manivali

During a Community Capacity Building session at Kawathpada I noticed Rani was absent. I sent the ASHA to call her. I noted the swelling on her feet and advised her to keep them raised on a pillow at night. I called her to Rural Hospital (RH) Wada for a check-up. Dr. Ubalefound her Blood Pressure (BP) to be 180/190 and detected the presence of albumin in her urine. Dr. Ubale referred her to Thane Civil Hospital.

Rani and her husband were not prepared to travel the distance to the Civil Hospital, Thane. Nor was any lady ready to accompany her. Therefore, CHI staff contacted her mother and her mother-in-law and motivated them. They grew ready to accompany Rani to Thane Civil Hospital. In addition, the Nurse from Rural Hospital, Wada, also went with her. At the Thane Civil Hospital the Doctor wanted to induce labour as Rani’s BP was high. However, her relatives were not ready. I counselled her mother and her mother-in-law on the telephone and told them if labour was not induced, Rani and her baby’s lives would be in danger.

Labour was induced and on 5th Dec 2013 Rani delivered a female baby safely, weighing 2.800gms. As Rani’s BP was high she was kept at Thane Civil Hospital longer than normal and discharged later. There was no vehicle to bring Rani home so I contacted a Driver on the telephone. Rani was brought home on 20th Dec 2013 with her baby weighing 2.200gms. To help the baby gain weight I started treatment with the Embrace Nest Baby warmer. By 27th Dec 2013 the baby’s weight increased to 2.600gms. Rani and her family members are very happy and thanked me and the CHI staff for their involvement and guidance.

Mamata Nipurte, Field In Charge, Wada III

Rani – a high-risk pregnant woman, suffering from pre-Eclampsia

Incubation helps babies gain weight

Sub Centre- Wada II

Smt. Arati Ajit Satham, aged 30 years old, from Wada town was a registered Ante Natal Case (ANC) with Dr.Gandhe. Her sonography reports of the 3rd, 5th and 7th months, revealed normal twins. Arati’s Hb was 11 gm% and weight - 57 kgs. On 6th November, due to a leaking membrane, labour was induced. The 1st twin, a male weighed 1.500 gms. The 2nd twin, a female, weighed 1.200 gms, was born transverse and was delivered by manipulation. Both babies were placed in Infant Warmers for 12 days after discharge from the hospital.

I visited Arati for a Post Natal visit and also saw the twins and advised her to follow the Kangaroo method of keeping the babies warm. I also advised her to avoid bathing the twins for two weeks and to continue usage of the Infant Warmers.

Arati keeps her babies in the Warmers for 8 to 10 hours a day. As a result the weight of the babies is increasing at the rate of 200 gms per week.

Sumita Patil, Field In Charge, Wada II

Using the Embrace Nest Infant Warmer to save babies’ lives


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