Ref No. MLDT/P1o/ IPH-4/2011 Dated : 6th January 2011

To Shri S.D. Sharma, Under Secretary to the Government of , Ministry of Health & Family Welfare, Department of Ayush, IRCS Annex Building, New Delhi 110001 Sub: Submission of Utilization Certificate and Progress report of Third installment for the project under the Central Sector scheme for grant-in-aid for Promotion of AYUSH Intervention in Public Health Initiatives during 2009-10… Ref : File No. Z/15014/60/2008 – E&C dated 19th April 2010 Dear Sir, As per above subject cited I am forwarding Statement of Expenditure and Utilization certificate as per your proforma for the project under the Central Sector scheme for grant-in-aid for Promotion of AYUSH Intervention in Public Health Initiatives during 2009-10” Scheme of Department of Ayush. Particulars Amount Remark A Amount recd as 1st 20,70,500 Installment 08-09 B Total expenses during 20,49,863 UC sent on 7/3/ 08-09 09 C A-B=C Balance in hand 20,637 D Add refund from Jeep 68,363 (Equipment) E Total balance in hand 89,000 F Amount recd as 2nd 33,16,000 Installment G C+D+E+F Total 34,05,000 H Expenses till 15th Feb 28,20,244 UC sent on 09 22/2/10 J G-H = J Balance in hand 5,84,756 I Amt recd as 3rd 24,05,744 installment K J+I Total 29,90,500 L Less expenses till 7th 29,87,642 UC enclosed Dec 2010 M Balance in hand 2858

1 The Progress Report of the scheme has also been enclosed herewith. I request you to kindly release the remaining portion of the fund of Phase - I i.e.` 4,97,756/- and the first installment of the Phase - II i.e. ` 31,34,300/- sanctioned grants for the year (2010-11) at an early date to enable us to undertake the regular expenses under the scheme since the amount in balance will suffice for only one month.

Thanking you,

Yours truly,

Dr. K.M. Dhawale Trustee and Head of the Institute Enclosed

1 : Utilization Certificate of non recurring items expenditure 2 : Utilization certificate of recurring items expenditure 3 : GFR Form 4 : Progress Report for the period Jan 10 to Dec 10 along with annexure Annexure 1 MEDICAL CAMPS CONDUCTED Annexure 2 LIST OF SPECIAL ANC CAMPS Annexure 3a ANALYSIS OF ALL CAMPS Annexure 4 HOMOEOPATHIC TREATMENT IN PREGNANCY & LABOUR Annexure 5a HOMOEOPATHIC TREATMENT OF CHILDREN 0-3 YEARS Annexure 5b CHILDREN (0-3) UNDER HOMOEOPATHIC TREATMENT 2010 Annexure 6a ANALYSIS OF INTERMITTENT FEVER CASES IN YEAR 2010 Annexure 6b RESULT OF TREATMENT OF INTERMITTENT FEVER Annexure 6c TREATMENT STATEGIES USED IN CASES IMPROVED Annexure 7 IEC MATERIAL AND POSTERS Annexure 8 LIST OF IEC ACTIVITIES DONE Annexure 9 LIST OF VILLAGES WHERE AYUSH CALENDAR HAS BEEN DISTRIBUTED

2 DR. M. L. DHAWALE MEMORIAL TRUST BMC’s Mother and Child Holistic Care Centre, Harishankar Joshi Marg, Dahisar East, Mumbai 400068

THIRD PROGRESS REPORT OF HOMOEOPATHY FOR MOTHER AND CHILD PUBLIC HEALTH INITIATIVE

(Project period: January 2010 to December 2010)

The Background of the Trust and the broad objectives of its thrust have already been given in the preliminary of the first report submitted on 26-03-09.- 1. DATE OF APPROVAL BY AYUSH:

The approval was given on 14/7/2008 & the first grant was received on 14/7/2008. The Project was commenced on 15-07-2008. The Report of the first grant was submitted on 26-03-09. This project is an attempt to take Homoeopathy as a therapeutic modality to the grassroots in a tribal area. It is also an attempt to explore the role of Homoeopathy as a Public Health Initiative for the Mother and Child segment of the population as also for common local illnesses & epidemics peculiar to the area & population. The challenge is to orient & motivate a population whose health care seeking behavior is rooted in traditional medicine, village god-men or where available, the allopathic system of injections and tablets. The other challenge is the geography of the area that has hamlets scattered over large distances, making it difficult & at times impossible for the health care provider to reach the place and in time. This difficulty is being attempted to be addressed by identifying, motivating, training, supervising & supporting Community Health Volunteers (CHVs) as “Homoeopathic bare foot doctors”, These are basically, semi literate married women from the village. The Mother & child segment is the most neglected & needy section of the population from the angle of health care; especially the women in the reproductive age group & the child in the 0 to 3 yrs period. Hence this segment has been targeted. We are attempting to look at the role of Homoeopathy in ANC, Labour, PNC & illnesses of infants and young children (0-5).

2. SECOND AND THIRD INSTALLMENT OF FUNDS BY AYUSH:

The second installment was received on 11/08/2009 and a report submitted on 22-02-2010. The third and final installment of the first year of Rs.24,05,744/- (Twenty four lakhs, five thousand seven hundred and forty four only) was received on 19-04-2010.

3. POSITION BEFORE THE THIRD INSTALLMENT WAS RECEIVED

We had completed the program planning & implementing village level meetings within the organization & with the decision makers of 25 villagers. The Arogyamitra training program of the 1st batch of CHVs was over & 81% of them had successfully cleared the exams. The process of new CHV selection was on. Training program for Medical Officers & MPWs was completed. We had conducted a pre-orientation homoeopathic awareness survey & the analysis was included in the report. Time table for the 2nd mobile van was planned after discussing with the villagers. Medical screening & ANC camps were being conducted regularly. We were now poised to cover all the villages of the 1st phase of the project.

3 5. UTILIZATION OF THE GRANT

We are submitting the utilization certificate. Given below is a brief idea about the general headings under which the funds have been utilized:

Sr. Sanction/Head Fund Fund Expenditure Balance No sanctioned Released as on 31st Dec 2010 1st UC 2nd UC 3rd UC Total A B C D E F D+E+F 1 equipment 945070 194595 127854 1267519 2858 2 Activities and 549792 1399458 1547362 3496612 Health Care 82,90,000 7792244 3 Administration 322414 550290 562858 1435562 4 Personal 161218 414278 316660 892156 5 Training 71369 261623 432908 765900 8290000 7792244 7857749

5. HEALTH ACTIVITIES CARRIED OUT AND ITS EFFECTS AS ON 31.12.10

A. PROGRESS IN PATIENT INFLOW

Table 1: PATIENTS SEEN IN THE COTTAGE HOSPITAL

Hospital 2007 2008 2009 2010 % INCREASE SINCE AYUSH AYUSH PROJECT PROJECT STARTED STARTED OPD 3302 3821 6289 9820 157 Casualty 0152 0422 0662 711 68 IPD 0036 0101 0175 312 208 Total 3490 4344 7126 10,843 149

Table 2: OUT COME OF IPD ADMISSIONS till Dec 2010

Sr. No. Outcome of Admission 2008 2009 2010 1 FTND 75 126 230 2 Patient transferred to higher institute 08 19 47 3 Discharge taken against medical advice 12 15 24 4 Discharge taken on request 03 04 09 5 No relief in complaints 02 00 00 6 Pt absconded 01 01 02 TOTAL 101 165 312

4 Table 3: MOTHER CARE AT COTTAGE HOSPITAL

Clinical activity 2007 2008 2009 2010 % increase since AYUSH Project (2008) Total Deliveries conducted at 02 18 32 76 320 ANC registration at Bhopoli No record 136 252 817 500 New case definitions No record 229 336 504 120 New screenings 539 606 809 1806 198

Table 4: BREAK UP OF MOTHER CARE ADMISSIONS IN COTTAGE HOSPITAL

Hospital Deliveries at Bhopoli Cases under MCH 2009 2010 Normal deliveries 09 43 FTND with Rh Incompatibility 01 Normal deliveries with Perineal tear 08 Normal deliveries with Perineal & Cervical tear 01 Normal FTND with Para Urethral tear 01 Normal FTND with Perineal & Para Urethral tear 01 Normal deliveries with episiotomy 16 14 Normal deliveries with episiotomy with Vaginal & Cervical tear 01 Normal deliveries with episiotomy with Cervical tear & PPH 01 01 Normal deliveries with episiotomy with Cervical tear 01 Normal deliveries with episiotomy with Cervical & Perineal tear 02 Forceps 01 Breech Breech preterm LBW with birth asphyxia. 01 LSCS nil Preterm 02 01 Preterm with episiotomy 01 Preterm Breech 02 Total 32 76

Table 5: RECORD OF PREGNANT MOTHERS TRANSFERRED TO PALGHAR (RHH) HOSPITAL

Hospital 2007 2008 2009 2010 Deliveries Transfer cases--Cases under MCH

Normal deliveries 01 05 07 27 Normal deliveries with Perineal tear 01 Normal deliveries with episiotomy 01 Normal deliveries with episiotomy with Perineal tear 01 Forceps 00 00 04 06 Breech 01 LSCS 01 03 06 19 Preterm 01 Total 02 08 17 57

5 B. ANALYSIS OF PATIENT FLOW OF MOTHER AND CHILD SERVICE:

Given below is a breakup analysis of the patient inflow under various categories. The purpose is to get an idea about the target population of beneficiaries. This gives us an idea of the Impact due to the project activity.

IPD service: Total admission 312 cases in 2010 TABLE 6: MOTHER AND CHILD PATIENTS IN THE IPD No of cases % of total admissions ANC period 57 18.26% Post partum care 15 4.80% Reproductive Age( Females) group—General pt 42 13.46% 0-3 yrs Children’s—male and female 26 8.35% Delivery—Labour cases 95 30.44% Total 235 75.31%

Casualty service: total cases 711 in 2010

Table 7: MOTHER AND CHILD IN CASUALTY

No. Cases % of Casualty patients ANC cases 60 8.44% Reproductive female 180 25.31% Children 0-3 yrs 120 16.87% Labour cases 50 7.03% Total 410 57.65%

OPD services: total cases 9820 in 2010 Table 8: MOTHER AND CHILD IN THE OPD

No. Cases % of OPD patients ANC cases 1920 19.55% Reproductive female 2000 20.38 Children 0-3 yrs 2077 21.15% Total 5997 61.08%

Mobile Services: Total cases: 8692 in 2010 Table 9: MOTHER AND CHILD CARE ON THE MOBILE

No. Cases % of mobile patients ANC cases 2478 28.50% Reproductive female 1500 17.25% Children 0-3 yrs 2554 29.38% Total 6532 75.14%

6 C. MEDICAL CAMPS

We have conducted 24 general camps in the last 1 year & 10 special ANC camps. The objectives of the camps were to detect pregnancy, carry out ANC check ups; to identify anemia; identifying high risk pregnant women; diagnose and treat other medical problems & carry through orientation. The details of the camps conducted are given in the Annexure 1

D. SPECIAL ANC CAMPS:

We conducted 10 special ANC camps from July to December 2010. The purpose of these was to try and cover those pregnant women who have been unable to come to the hospital or even to the mobile dispensary for regular checkups. This happens as they are either busy with farming work or have migrated due to work. The details of the camps & a sample of the analysis is attached in Annexure 2.

E. MANAGEMENT OF ANEMIA IN PREGNANCY

Table 10: HOMOEOPATHIC TREATMENT OF ANEMIC WOMEN & PREGNANT LADIES:

NO.OF PATIENTS HOM.TREAT % IMPROVEMENT UNDER ANC DIAGNOSED INSTITUTED TREATMENT PATIENTS AS ANEMIC SEEN 817 238 55 23 23 22

We have added a sample break up of the analysis of the camps & homoeopathic treatment at Annexure 3a & 3b

Table 11: RESULTS OF HOMOEOPATHIC TREATMENT IN PREGNANCY & LABOUR: Details in Annexure-4

STATE No. of COMMON Outcome cases. REMEDIES ANC ACUTE OPD 267 List is given in Annexure 80% improvement noted under treatment ANC ACUTE IPD 28 List is given is Annexure. 65% improvement

ANC CHRONIC 73 List is given is Annexure. 90% improvement

LABOUR 07 List is given is Annexure. All seven cases responded. 100% TOTAL 375

F. HOMOEOPATHIC TREATMENT OF CHILDREN 0-3 YRS

Children (0-3 years) cases: A list of clinical conditions and the homoeopathic treatment has been attached. 70 to 80% of the children improved with treatment in a short period of time. Some needed prolonged treatment as there was underlying malnourishment. The failure rate has been about 10 to 15 %. (See Annexure-5)

7

G. HANDLING OF EPIDEMIC OF CONJUNCTIVITIS IN ASHRAM SCHOOL CHILDREN

We had an opportunity to handle an epidemic of conjunctivitis in school children from the Ashram schools in the month of October & November 2010. About 75 affected children were treated with remedies like Pulsatilla & Arsenic album. The rest of about 250 of the school children were given prophylactic dose of the same medicines.80 % of the children escaped the attack of the epidemic.

H. HANDLING OF EPIDEMIC OF MALARIAL FEVER IN THE ADULT POPULATION

During the months of July to September 2010 (Monsoon period) we had 70 patients suffering from intermittent fever with chills. We could manage all these patients with homoeopathy. Treatment strategy was to use Tuberculinum bovinum as the inter current followed by the indicated deep acting constitutional remedies such as Natrum.Mur, Kali.Carb. Sepia. Silicea, Calc.Carb., etc. A detailed analysis of this experience is available in Annexure 6.a,b,c

I. COMMUNITY HEALTH VOLUNTEER (CHV) TRAINING

The second batch of 35 CHVs completed the Arogyamitra course. 31 were eligible to appear for the exam out of which 21 passed, 5 failed & 5 were absent giving a pass % of 80. We now have enrolled a fresh batch of 35 CHVs for the course who will appear for the exam in May 2011.

The training included development of bedside skills like BP measurement, temperature checking, height and weight measurement of children, use of foetoscope, etc. These were done in the OPD, IPD & on the mobile in the villages. We then conducted a practical exam to assess their examination skills.

This was followed by training for homoeopathic case taking skills. Each worker was asked to collect raw data about the patient in the Location, Sensation & Modality format. This data was then verified by physicians attending the mobile. This helped us to get raw & virgin data in the patient’s own language. We now ask them to keep getting written data and then analyze them for homoepathicity.

Homoeopathic Orientation Poster Kit for CHV(Annexure 7)

Each eligible CHV has been given an examination kit that has the following items:  BP instrument  Weighing machine  Measuring tape  Foetoscope  Stethoscope  Thermometer  Torch light.

Each CHV uses this to conduct orientation program in homoeopathy in the hamlets. Copy of the orientation posters is attached in the annexure.

8

Work on CHV training manual (theory & practical) is in process and is likely to be completed in a short while.

J. MOBILE DISPENSARY SERVICES

We are now covering 25 villages with 2 mobile dispensary services. This completes the requirement of the FIRST PHASE of the program. The following activities are done by the mobile: 1. ANC checkups, blood collection for ANC profiling. 2. Homoeopathic orientation 3. Homoeopathic case taking and treatment. 4. CHV practical training. 5. IEC programs on general health for the Mother & child population. 6. Health check-up camps for the mother & child. 7. Transport of any high risk mother in labour or any medical emergency. The no of patients seen has been mentioned in Table 9.

K. LIST OF IEC ACTIVITIES DONE

We have conducted about 48 village meetings in the last one year for the following purposes:

1. Meeting with Villagers for Ayush Programme & CHV Selection 2. Open meeting with women to orient them to the importance of ANC care & Homoeopathy Awareness 3. Adolescent Awareness Meetings. 4. Homoeopathy Awareness Meeting with ANC Mothers & Adolescents 5. Meeting with women & adolescent girls to impart awareness about menstrual cycle & causes of infertility and hence to treat their disbeliefs. 6. AYUSH orientation meeting with villagers: To introduce them to the clinical facilities provided by MLDT through the AYUSH project. 7. Discussion with villagers to receive feedback about the services of the program. 8. Monitoring & supervision meetings.

A detailed list of meetings with venue & date is attached as Annexure 8.

AYUSH calendar has been distributed in villages to key persons. These calendars will be present throughout the year as a reminder of the AYUSH program & Homoeopathy. Copy of the AYUSH calendar has been attached in Annexure 9.

6. WHAT HAS BEEN ACHIEVED SO FAR :

Project outcomes were:  The entire Taluka will be aware of Homoeopathy as a medicine to avail of when in need.  The reduction in the anemia of pregnancy to 20% from the current state.  The reduction of IMR from the current figure of 106 by 40% to 64.  The reduction of MMR by 50%  The existing govt. health care services will be monitored by an enlightened & empowered community

9 Achievements in the first phase of the project:

We have now completed most of the work of the PHASE I. We are now covering 25 villages with 2 mobile dispensary services. This completes the requirement of the FIRST PHASE of the program.

1. All 25 villages of the first phase have been oriented regarding Homoeopathy & IEC posters have been displayed in them at strategic locations. We have also distributed AYUSH calendars in all these villages & to key & important persons in the taluka govt. offices; including the PHC, & health officials. 2. We have trained about 100 CHVs to a reasonable level of functioning. Out of them 70 to 80% are able to function in a sustained manner. There have been dropouts due to various unavoidable situations, like childbirth, poverty, farming related work, migration, social & other political issues. Distance of residence from training center has also been a major factor. 3. We have now been able to motivate a majority of the mothers to get regular ANC check ups done. The statistics give a clear indication of the change in the patient inflow since the AYUSH project has begun. There is a further 3- 4 fold increase in casualty, IPD & deliveries. The mobile patient inflow has also increased. 4. The statistics indicate that 70% of the total patients that were treated were from the target population of Mother & child group. 5. We also have been able to motivate about 45% of the patients to take homeopathic treatment. There is a slow but steady & definite shift of the population towards homoeopathy. We have been able to produce results in 80% of the patients under homoeopathic treatment. 6. 25% results seen in cases of Anemia in pregnancy. 7. 4 infant deaths were reported in the project area. 8. No maternal deaths were reported in the project area. 9. The increase in the health seeking behavior of the population indicates the awareness related to the various govt. & non govt. health facilities

7.. OPPORTUNITIES IN FUTURE :

The Trust has the potential to demonstrate the role of trained grass root workers in the spread of & use of Homoeopathy as mainstream medicine for the poor of the tribal region. This will allow us to develop a model that can be used all over the country in areas with a similar background.

We will also be conducting a post awareness survey to assess the level of awareness about Homeopathy. There is a definite shift in the orientation and awareness of the population towards homoeopathy. One of the major reasons for this shift has been the long presence of the organization in the area and its insistence on using Homoeopathy as its major module of therapy. It is important that this momentum is maintained by sustained activity.

We also need to commence the PHASE II of the project. This is urgent as we have witnessed that patients from the villages adjacent to that of PHASE I are now demanding work to be done in their villages.

All the above will need the urgent release of the remaining portion of the funds of Phase I i.e. Rs.4,97,756/- & the first installment of the Phase II i.e. Rs.31,34,400/-

10 Annexure 1

MEDICAL CAMPS CONDUCTED

Sr. No. of no. Patients Name Of Village Date Seen 1. Karsod 04/1/2010 175 2. Ghanede 18/1/2010 150 3. Chinchghar 3/2/2010 130 4. Kurnze 17/2/2010 80 5. Bhopoli Centre 12/3/2010 90 6. Kev 25/3/2010 120 7. Talavli 16/4/2010 150 8. 30/4/2010 180 9. 8/5/2010 80 10. Vilshet 22/5/2010 90 11. Satkhor 9/6/2010 200 12. Dolhari Kdr. 23/6/2010 100 13. Chinchghar 14/7/2010 170 14. Bandhan 22/7/2010 130 15. Bhopoli Centre 10/8/2010 160 16. 20/8/2010 220 17. Khandeghar 9/9/2010 180 18. Dherje 17/9/2010 160 19. Upralr 13/10/2010 70 20. Apati 23/10/2010 150 21 Kondgaon 16/11/2010 160 22 Karsod 22/11/2010 180 23 Kev 9/12/2010 160 24 Bngerchole 18/12/2010 130 Total Camps 3415

11 Annexure -2

LIST OF SPECIAL ANC CAMPS

Objectives Of ANC Special Camp:

o ANC check up. o Detection of New pregnant – early detection of pregnancy. o Detection of Hb and those who had not done ANC profile –collection of blood sample for ANC profile. o Detection of High risks Pregnancies and posting them for Homoeopathic case definition. o Distribution of Iron and calcium Tablet. o Homoeopathic medicine for acute complaint during pregnancy. o To increase Hemoglobin by distributing Dates (‘Khajur’.)

Sr.No Date Village Name No. Of ANC 1 01.7.10 Bandhan 23 2 23.8.10 Dolhari B 25 3 21.9.10 Kondgaon 38 4 27.9.10 Chinchghar 22 5 5.10.10 Boranda 28 6 25.10.10 Apti 19 7 11.11.10 Bhopoli 07 8 15.11.10 Uprale 18 9. 03.12.10 Talavali 13 10. 14.12.10 Tetvali 27 Total 220

12 Annexure 3a ANALYSIS OF ALL CAMPS: (DOLHARI, BHOPOLI, SATKHOR, APTEPADA AND UPRAYAN):

TOTAL ANC PATIENT NO ANAEMIA MILD MODERATE SEVERE SCREENED 95 60 26 6 3

Annexure-3b CASES OF ANAEMIA DURING PREGNANCY IN 2010

Sr. Name of pt Hb% before Hb% after Homoeopathic medicine No treatment treatment 1 Mrs. M. G M 18/3/2010— 27/9/2010— Silicea 200 1dose wkly 9.1gm% 13gm% 2 Mrs. P P G 14/5/2010— 31/7/2010— Cal. carb 200 1dose wkly 9gm% 11.2gm% .3 Mrs. S R C 19/4/2010— 2/7/2010--- Nat. Phos 200 5.2gm% 7.2hm% 1 dose wkly 4 Mrs. S S G 28/4/2010— 8/9/2010— Ferr. phos6x TDS 8.5gm% 9.5gm% Nat. Mur 200 1 dose wkly 5 Mrs. S R G 15/8/2010--- 17/8/2010— Blood transfusion. 5.5gm% 7.9gm% ( Malaria—Vivax and Falciparum positive) 26/10/2010--- Tuberculinum 1M 1 dose then 11.6gm% Nat. Mur 200 1 dose. 6 Mrs. P N G 14/7/2010--- 19/10/2010--- Nat. Mur 200 1 dose wkly 8.8gm% 12.5gm% 7 Mrs. S B G 4/8/2010 --- 5/10/2010— Sepia 200 1 dose wkly 8.3gm% 12.1gm% 8 Mrs. A A N 10/8/2010— 6/10/2010— ( Malaria—Vivax and Falciparum positive) 8.7gm% 11.7gm% Tuberculinum 1M 1 dose then Kali Carb. 200 1 dose. 9 Mrs. S J K 17/3/2010— Ferr. phos6x tds 6.2gm% Nat. Mur 200 1 dose wkly. 10 Mrs. S S j 11/2/2010— Silicea 200 1 dose wkly 7.6gm% 11 Mrs.M M D 16/10/2010 – 4/12/2010 – Ferr. phos6x tds 8.3gm% 10.2gm% 12 Mrs.S S S 7/8/2010- 12/11/2010- Cal.Carb 200 1dose 8.4gm% 11.2gm%

13 Annexure 4 HOMOEOPATHIC TREATMENT IN PREGNANCY & LABOUR

STATE No. of COMMON REMEDIES cases ANC ACUTE OPD: 267 Nux.Vom. Rhus.tox. Pulsatilla, Ars.Alb. UTRI; COLITIS; VIRAL FEVER; Bryonia; Hepar.sulph; Ipecac; Cantharis; APD; APTHOUS ULCER; Symphoris Carpus; kali.Bi; Belladonna; Borax; TOOTHACHE; PRE-TERM Graphites; Mag.Phos; Spigelia; Merc.Cor; LABOUR PAIN; FISSUR IN ANO; Capsicum; Aesculus; Merc.Sol PHARYNGITIS ACUTE BRONCHITIS; BOILS; HYPER-EMESIS; ANC ACUTE IPD 28 Pulsatilla; Nux.Vom; Colocynth; Rhus.Tox; Malaria; AGE; pre-term Bryonia; Sepia; labour pain; Viral fever; Typhoid; pneumonia; Hyperemesis; Renal colic; PIH;

ANC CHRONIC 73 Calc.Carb; Silicea; Sepia; Natrum.Mur. Anemia; PIH; bad obstetric Calc.Sil; Calc.Phos. Nat.Phos. Kali.Carb; history; repeated abortions; Tuberculinum Bov; Mag.Carb; Graphites; malaria; Hbs Ag +ve; Baccillinum; Phosphorus; Hypothyroidism; Hyperthyroidism; Typhoid with Malaria; LABOUR 07 Pulsatilla; Caulophyllum; Kali.Carb; Secale Prolonged 1st & 2nd stage; os Cor; Calc. Carb; rigidity; post dated; pre-term with meconium stain; TOTAL 375

14 ANNEXURE-5 a

HOMOEOPATHIC TREATMENT OF CHILDREN 0-3 YRS

Clinical condition Indicated Homoeopathic . No of cases Medicines Recurrent UTTI Nat.Mur, Cal. iod, Cal. flour, 05 Cal. carb Boil Cal. iod 01 Hepatitis Cal. phos 01 Acute Bronchitis Chamomilla, Aethusa 02 Diarrhoea, Conjunctivitis Tuberculinum 01 Malnourishment, pneumonia Cal. phos 02 Worm infestation Tub 01 Burn Causticum 01 AGE Cal. phos, Cal. iod 03 Scabies, CSOM Cal. carb 01 Viral Fever Cal. carb 01 Vitiligo Sil 01 Dacryocystitis, gastritis Cal. iod 01 Scabies Cal. sulph, 01 CSOM Lycopodium 01 Malnourishment Tub- Cal. carb 01 Febrile convulsion, Cina--Tub 01 Pneumonia Pneumonia ,dehydration Ant. tart 01

15 Annexure-5 b

Children (0-3) under Homoeopathic Treatment 2010

Bhopoli Mobile Homoeopathic remedies Clinical Conditions Hospital Visit Acute cases-- 223 361 Pulsatilla,Ars. Alb, Nux. Viral Fever, Dysentery, OPD Cases Vom,Sulphur, Hep. Sulp., AGE, cute bronchitis, Merc. Sol, Chamomilla, Bronchiolitis Cina, Cal. Sul, Coccus cacti, URTI, Staphylococcal Ant. Tart Podophyllum, Infection—Boil, Ars. Iod, Bismuth, Merc Umbilical cord sepsis. Cor, etc Acute gastritis

Acute cases- 27 -- Pulsatilla, Tuberculinum, Viral Fever, Dysentery, IPD Cases aloe, Nux vom.Coccus AGE, Malaria- Cacti,Lycopodium,Cal. Intermittent fever, Carb. Ant. Tart, Pneumonia, acute Chamomilla, Cal. Iod, bronchitis, Bronchiolitis Sulphur, Podophyllum, silicea, Cal. Phos, Cina

Chronic 28 06 Cal carb, sil,Kali Carb, Nat. Recuurent URTI, cases Mur, Ferr. Met. Cal. Iod, Intermittent fever, Cal. Phos. Tuberculinum, malnourishment, Thuja. Gastroenteritis. Chronic remedy was prescribed after subside of acute illness. Total 278 367 Total Cases 645 at Hospital and Mobile service are

16 Annexure 6a Analysis of Intermittent fever cases in year 2010

Month No. cases May 01 Jun 02

July 15

August 16

September 10

TOTAL 44

ANNEXURE-6 b

Results of treatment of Intermittent Fever

OUT COME TOTAL NO. %

Relief 26 59.10%

DAMA 09 20.45%

Referred 07 15.91%

Discharge on request 02 4.54%

TOTAL 44 100%

17 ANNEXURE-6 c

Treatment strategies used in cases improved

Treatment strategies No. of %

Cases

Tuberculinum then Constitutional 08 30.77%

Tuberculinum then constitutional 14 53.85%

Tuberculinum then Phasic 02 7.70%

Tuberculinum then Phasic 01 3.84%

Phase/Acute—-Tub-Chronic 01 3.84%

Total 26 100%

18

Annexure 7 IEC MATERIAL

19

[tkI maaihtI ka ivacaartat Æ p`%yaok vya@tI svaBaava ¸vat-NaUk ¸KaNyaa ¹ipNyaacyaa va [tr AavaDI¹inavaDI CMd AaiNa baaOiQdktaa ASaa Anaok pOlaUmauLo dusa¹yaa vya@tIpoxaa vaogaLI Asato.tsaoca p`tokacaI p`kRtI va Aajaar pNa vaogavaogaLyaap`karo vya@t haot Asatat.jasao eKadyaacaI saaMQaoduKI halacaala kolyaanao kmaI haoto tr kuNaacaI ivaEaMatInao.qaaoDyaat Aajaar ekca Asalaa trI %yaacaI laxaNao¸ tIva`ta¸ ~asa kmaI jaast krNaaro GaTk p`%yaok maaNasaat vaogavaogaLo idsatat.maga ekca AaOYaQa savaa-naa ksao laagaU pDola Æ haoimaAaop^iqak AaOYaQaacaI inavaD raogaava$na haot nasaUna P`a%yaok vya@tIcaa naOsaiga-k vaogaLopNaa ivacaartat Gao}na haoto.

20 IEC POSTERS AT CHV’s HOMES

21 Annexure 8 LIST OF IEC ACTIVITIES DONE.

S.N Date Village Name No of Male No of Female 1 2.1.10 Chinchghar Gavthan 19 08 2 4.1.10 Savade Kobad Pada 10 12 3 6.1.10 Kondgaon Shelke Pada 07 15 4 7.1.10 Uprale 15 12 5 9.1.10 Kondgaon Gorat Pada 13 15 6 21.1.10 Hatne 05 30 7 27.1.10 Tetwali Zirve Pada 12 15 8 28.1.10 Bandhan Gavthan 25 12 9 11.2.10 Ghanede Bhaver Pada 07 05 10 18.2.10 Appti 11 25 11 4.3.10 Kev Ravte Pada, Sutar Pada 11 10 Vedge Pada , 12 13.3.10 Satkhor Gavthan 35 20 13 18.3.10 Deharje Gavthan 25 16 14 24.3.10 Tetwali Gavthan 07 17 15 7.4.10 Vedhe 00 12 16 29.4.10 Boranda Mater pada 09 19 17 5.5.10 Boranda Gavthan 13 16 18 6.5.10 Karsod Gavthan 10 35 19 10.5.10 Hatane 11 17 20 12.5.10 Tetwali 15 22 21 13.5.10 Chinchghar 12 35 22 15.5.10 Deharje 16 19 23 1.7.10 Bandhan 05 19 24 26.7.10 Dhodade Pada 12 11 25 31.7.10 Dolhari Pagi Pada 10 17 26 23.8.10 Dolhari Gavthan 00 25 27 8.9.10 Hatane 15 12 28 21.9.10 Kondgaon 00 38 29 23.9.10 Kondgaon 12 10 30 27.9.10 Pachmad 00 23 31 2.10.10 Bhopoli 00 22 32 5.10.10 Boranda 00 28 33 20.10.10 Uprale 10 20 34 21.10.10 Khandeghar 08 07 35 15.10.10 Satkhor 00 18 36 11.12.10 Chari 00 35 37 14.12.10 Deharje 07 05 38 21.12.10 Dolhari 17 15 39 23.12.10 Vedhe 08 03 40 27.12.10 Karsod 20 10 41 20.11.10 Karsod 10 12 42 24.11.10 Vedhe 08 13 43 20.11.10 Ghanede 05 10 44 24.11.10 Talawali 11 17 22 45 1.12.10 Vilshet 15 12 46 1.12.10 Bangarchole 07 13 47 3.12.10 Shil Pandhre Pada 12 10 48 1.12.10 Chinchghar Gavthan 11 07 TOTAL 348 797

23 ANNEXURE -9 LIST OF VILLAGES WHERE AYUSH CALENDAR HAS BEEN DISTRIBUTED Ayush Calendars has been distributed in 39 villages to village key persons like: Sarpanch, Vice Sarpanch, Police Patil, Tantamukta Samiti, Forest right Samiti member, All SHG President, Sub centre, Anganwadi Centre, ZP School & CHV & ASHA

Village wise distribution was as follows

Sr.No Name of Village Qnty. 1 Chinchghar 24 2 Karsod 35 3 Kondgaon 35 4 Savade 26 5 Hatane 09 6 Sheel 12 7 Ghaneghar 10 8 Boranda 09 9 Bandhan 17 10 02 11 02 12 Kegva 02 13 Khand 02 14 Apati 19 15 Ghanede 07 16 Vilshet 17 17 Tetvali 21 18 Deherje 19 19 Bangerchole 06 20 Kev 19 21 Bhopoli 23 22 Satkhor 15 23 02 24 Sukhsale 02 25 Vehalpada 02 26 Alonde 02 27 Kurnze 33 28 Chari 15 29 Vedhe 20 30 Dolhari kdr. 25 31 Khandeghar 09 32 Talavli 24 33 Shilshet 09 34 Uprale 14 35 Talvada 02 36 Gadade 02 37 Balapur 02 38 Sakhara 02 39 Dolhari bdr. 02 498

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