ANNUAL REPORT 2013-14
Biocon Foundation 20th KM Hosur Road, Electronic City, Bangalore – 560 100 India Tel: +91 80 2808 2808 www.bioconfoundation.org
INTRODUCTION
Biocon believes its Corporate Social Responsibility lies in bringing better infra- structure, effective health services and equal educational opportunities to the doorstep of less privileged rural and urban sectors of India.
Established in 2004, Biocon Foundation has conceptualized and implemented this CSR mission of providing equal access to health services, education and economic opportunities, thereby accelerating social and economic inclusion. By establishing primary health centres, actively creating awareness about dis- ease prevention, public health and sanitation, building model villages and by initiating programs in education, we aim to empower communities to be self- reliant, enjoy better health and in good time, a better standard of living.
Biocon Foundation is a registered trust under the Indian Trusts Act of 1882.
Registration number is IV 410/06-07 dated August 9th, 2006.
The trust is recognized under Section 80G of the Income Tax Act 1961.
Registration under Foreign Contribution (Regulation) Act, 1976 on application dated 18th January 2011.
1 CSR POLICY CSR POLICY
Our CSR Program CORPORATE SOCIAL RESPONSIBILITY AT BIOCON Biocon’s CSR activities are/will be implemented through: “All the wealth in the world cannot help one little Indian village z Biocon Foundation - develops and implements healthcare, educational, and infra- structure projects for marginalized sections of society; if the people are not taught to help themselves” z VÐV@]eËm@¶¾@]]´e¶¶¾e¶]erV¾¾e¾eVx˶eV¾´ZMË Biocon’s Corporate Social Responsibility initiatives, started in 2004, are based on developing high-end talent through advanced learning and industrial training to the principle of making enduring- Swami impact Vivekanandathrough programs that promote social and make them employable economic inclusion. z External Partners – with track records in the CSR area. At Biocon, CSR has been an integral part of our business since inception. The Com- pany is committed to innovation, affordability and access to healthcare. In line with CSR Focus Areas this commitment and as a socially responsible organization, Biocon has, over the last ÏËe@´¶ZÈe¶¾e]¶xrV@¾ËÈ@´Â¶21´x´@¶@e]@¾@x@]qqe´eVe to the lives of marginalized communities.
Our CSR Vision
z To promote social and economic inclusion by ensuring that marginalized com- munities have equal access to healthcare services, educational opportunities, and proper civic infrastructure.
z To create a globally competitive Biotech ecosystem in India through skill develop- ment.
z To bridge the gap of gender disparity in education, healthcare and employment.
Our Philosophy As a socially responsible corporate, Biocon acknowledges its responsibility towards the environment, its consumers, employees, and other stakeholders.
Biocon aims to fund pilot projects in the areas of healthcare and education to dem- onstrate their viability before being scaled up by the government at the state level. Biocon believes that in order to make meaningful impact, we need to partner with the Biocon Foundation government and like-minded organizations. Accordingly, we are engaged in several Biocon Foundation’s initiatives are primarily focused on healthcare, primary educa- public-private partnership (PPP) projects aimed at effectively and transparently imple- tion and civic infrastructure. All projects are developed and implemented by Biocon menting welfare schemes for marginalized communities. Foundation based on need assessment through discussions with local communities, Our CSR Approach and government departments. Project appraisals are done periodically by combining community feedback with evaluation metrics developed by the Foundation. These Affordable.… Accessible…... Innovative... Inclusive…..Transparent… Technology metrics include patient footfall, health indicators, feedback from teachers, community driven…Sustainable satisfaction etc. 2 3 CSR POLICY CSR POLICY
Health Care The Foundation has developed an integrated and holistic healthcare delivery service, Civic Infrastructure which seeks to address critical gaps in the delivery of healthcare in rural India. Our India is facing a big challenge in the area of infrastructure development, especially in efforts are targeted at enabling last mile reach of preventive and primary health ser- rural areas. As a socially responsible organization, we are working with the govern- vices in rural areas. e¾¾MÂ]¾É¶¶Z¶V¶Z¶@¾@¾@]É@¾e´¶Â˾@¾V@qÂr¾eM@¶V needs of rural communities. Our healthcare programs are delivered at three levels: Biocon Foundation has:
U Preventive Healthcare – through education to prevent onset of infectious diseases; z Adopted and rebuilt a township in North Karnataka – 400 houses and the support early detection of chronic diseases through regular community based screening; infrastructure including a school, safe drinking water, health centre, and commu- and facilitating timely help and treatment to improve maternal and child health. nity hall have been built so far.
U Primary Healthcare – through the Arogya Raksha Yojana primary healthcare clinics z Provided access to sustainable and clean sanitation facilities to rural communities and through health camps, which provide a single point see-and-treat model of – 1000 household toilets and several community toilets have been built so far. care aimed at reducing out-of-pocket expenses and time spent away from work. z Provided clean drinking water and set up rain water harvesting system in villages U Tertiary Care – through the Arogya Raksha Yojana Health Micro Insurance Scheme, to provide a sustainable solution for water scarcity. which provides cashless cover for catastrophic illness and surgeries through a net- Provided solar lights for houses in remote areas to reduce dependency on unreli- work of approved hospitals. z able power grid. The Foundation believes that the use of technology can make healthcare delivery ´Â´@@´e@¶´eeqrVe¾¤ ¾@¶Â¶e]È@¾Èe¾eVxe¶¾e@Me¶eÈe´@ Governance initiatives in the sphere of preventive healthcare and is also engaging with state gov- CSR Committee: The CSR Committee is responsible for oversight of all CSR activities ernments to implement a novel e-Health program to deliver Universal Health Care q´¶¾@´¾¾r¶¤ ¾¶@ee¾@¾e@¶¾¾ÉVe@Ëe@´¾e¶Â´eV]eÈe´¶¾¶ through government Primary Health Care Centers. Biocon intends to replicate this CSR goals. PPP model in other parts of India to make a meaningful impact in healthcare delivery. ]e¾rV@¾q´x´@¶q´21Y Programs to be supported via CSR will be select- Education and Training ed by the CSR committee through a transparent process and the selected programs will meet the regulatory requirements. VÂ]@¾MeeÈe¶qÂrx¾e°´x¾¾e]ÂV@¾±MË]eÈe´x©Â@- Budgeting and spend:´e@Vr@V@Ëe@´Z¾eÂ@¾@È@@Meq´21 ity education in innovative ways. Education projects were developed to address the ¶e]xÉMe]ere]@VV´]@Veɾ¾e@V@Me´È¶¶q¾e¶¾@¾Â¾e¤ x@¶ V´¾V@ e@´x @´e@¶ ¾@¾ Ée´e ]e¾re] V¶Â¾@¾ ɾ VÂ¾Ë Ð˶´¶@´¶x¾q21´eV¾¶¶@¾q´@´¾qM¶e¶¶´r¾q¾e leaders and school teachers. The Foundation aims to empower and include under- company. served young people in rural areas by providing them access to experiential learning As per the statute, any unspent budget shall be reported in the Annual Report. in basic maths, computer skills and language skills. Reporting: CSR initiatives of the Company will be reported in the Annual Report Advanced Training through Biocon Academy
The Academy aims to impart advanced training to young graduates in order to pro- vide them with the necessary skills required for gainful employment in the Biopharma 2eV¾´¤4´Âx¾¶¾@¾Èe¾eV@Ëɾ´@¾ÏÏx´@]Â@¾e¶¾er´¶¾ To know more about CSR, please contact Ëe@´¡ÁÏv¢Z@]Ée¾e¾r]@Vee¾@¾M¾eVe¾e´´¶e¶¤VÉ Rani Desai- [email protected] provide 75% of the total program fee as scholarship to all selected candidates. Seema Ahuja- [email protected] 4 5 I.
Healthcare HEALTH CARE HEALTH CARE HEALTH UNIVERSAL HEALTHCARE THROUGH based treatment for every ailment of MANAGING CHRONIC CONDITIONS- E-HEALTH every citizen. E-Health using Informa- A NEW PERSPECTIVE tion technology to manage patient care can be used very effectively to deliver “Ensuring equitable access for all In- In recent years India has experienced health and collect data that is critical to dian citizens, to affordable, account- ¶xrV@¾ eVV x´É¾ @¶ Ée delivering evidence based healthcare able, appropriate health services of as the growth of a number of chronic programs. Biocon Foundation has de- assured quality - including promotive, ailments like cardiovascular diseases, veloped an Electronic Medical Records preventive, curative, and rehabilitative cancers, diabetes, anaemia and mal- system to improve management of health”.1 Universal Healthcare has to nutrition. WHO has found: patient care. Biocon Foundation also have a very strong focus on preven- uses a number of mHealth programs By 2020, chronic diseases in India, tive and primary healthcare, including z to deliver screening and health educa- are expected to claim 7.63 million general health awareness and health tion, and to collect data that helps de- lives every year. Further, a Price promotion; antenatal care, food se- velop evidence based health interven- Waterhouse report predicts that curity, prevention and early detection tions. The foundation is now entering the proportion of death from long of chronic diseases – we believe that into a public private partnership with term maladies will rise from 53% in these aspects of healthcare should ac- state governments to further develop 2005 to nearly 67% in 2020. count for at least 70% of all healthcare the E-Health services and implement expenditure. Cardiovascular Diseases (CVD), these in Primary Health Centres in the z respiratory diseases, cancer and country. Effective delivery of Universal Health- diabetes today account for 53% of care hinges on systematic, evidence early deaths in India – more than 1 High Level Expert Group Report on Uni- those caused by infectious diseas- versal Health Coverage for India – Planning es. In addition, high blood pres- Commission of India, November 2011 Chronic disease management at ARY, Kaladgi sure causes 4.9 million deaths, and 4.4 million deaths are caused by z Anaemia
obesity, poor nutrition and other We continue to provide basic primary causes.1 healthcare services through the ARY India faces a looming health crisis. Rec- Clinics and network of health work- ognizing the criticality of this, Biocon ers, and secondary and tertiary care Foundation has consciously increased through our network of partner hospi- focus on Prevention and Management tals. The long term goal is to create a of Chronic Conditions including: sustainable health ecosystem, through our Integrated Healthcare Initiative. z Cancer The Annual report highlights our Diabetes Mellitus & Hypertension z work in Managing Chronic Conditions z Malnutrition within the framework of our existing infrastructure and using specialists 1 Non-Communicable Disease: The Battle Comes and tertiary partners where possible. to India – Ratna Devi Patients at the Diabetic camp, ARY, Huskur 8 9 HEALTH CARE HEALTH CARE HEALTH A SUSTAINABLE HEALTH ECOSYSTEM Primary care and preventive care for Anganwadi Survey – Mapping and infectious diseases, mother and child Assessing Robust outreach through Primary health – affordable health continue at all clinics. Patient Mapping of the Anganwadis is essential preventive health access to data is captured and stored in the ARY to develop a strategy to monitor U ÂÎ@¾ Clinic Management System, this helps U $e]V@V¶Â¾@¾ undernourished children in Badami U $¾e´@]V]e@¾ ensure the continuum of care for all U $e]Ve¶ Taluk in Bagalkot. Severely malnourished U /´eÈe¾q patients. children are mapped and tracked using communicable diseases U @x¶¾V¾e¶¾¶ U @´Ë]e¾eV¾F the mobile phone app. management of chronic U eV¾´Ve]V@ MOBILE HEALTH (mHEALTH) illnesses records Mobile Health – the provision of Oral Cancer Screening and Re- U ÐÉ@´ee¶¶qe@¾ health related services through mobile insurance mote Diagnosis communication devices has provided The mobile phone based oral immense scope for innovation and cancer screening programme has better coverage. Biocon Foundation, the potential to reach the last mile, uses low cost mHealth technologies thus decreasing the incidence and Informed health seeking behavior to ensure that healthcare reaches the severity of oral cancer, and decreasing last mile in remote and underserved the cost burden on the healthcare communities, in a very cost effective machinery. Population or community manner. Reduction in hospital admissions based screening is cost effective when compared to hospital based Key deliverers of mHealth are screening. The data collected during Community Health Workers. They the screening process is uploaded to are literate women from the local Increase in customer base a server, and is reviewed by a doctor communities with or without experience As more people can be protected with health insurance even from a remote location. The e@¾V@´e¤/´eV¾¶eVrV¾´@x prescribed treatment is then sent back is given to them. to the health workers phone and she conveys this to the patient. Manageable risk for insurance companies Tool: Smart phones with the Poi Map- per app
mHealth technology is used for: Sustainable and improved healthcare services Data collection - Baseline survey Using PoiMapper, the baseline survey questionnaire is loaded on Lower insurance premiums basic smart phones. Once the survey is complete, a program is developed based on the date collected and this ¶ ee¾e] ´ re] ´@V¾Ve Healthy Communities areas.
10 11 HEALTH CARE HEALTH CARE HEALTH BASELINE SURVEY KEY HEALTH DATA IN ARY CLINIC PRACTICE AREAS Total Population Tobacco + Information Collected Clinic % DM + HT % Population > 16 years Alcohol z Demographic details Huskur 4287 3301 854 25.87 207 6.27 Basic Health Details (Diseases / z Hennagara 11674 8545 1064 12.45 685 8.0 Immunization / Family Planning) Austin town 6285 4621 613 13.26 650 14.06 z Vital Events (Births / Deaths / Migrations) K R Puram 12741 9972 4644 46.57 512 5.13
z Antenatal information Kalkunte 7758 5872 1103 18.78 407 6.93
z Utilization of Health Services/ Chikkballapur 10431 7663 3706 48.36 1188 15.50 Income / Medical Expenses Mandya 8761 6673 985 14.76 694 10.40 Socio-economic data (housing / z Kaladgi 10680 7776 1237 15.90 495 6.36 sanitation / water) and scored us- ing Kuppuswamy socio-economic Mangalgudda 2217 1493 622 41.66 18 1.2 V@¶¶rV@¾ @¶¶xe] ¾ e@V Data collection with mobile phone TOTAL 74834 55916 14828 26.51 4856 8.68 family
POPULATION SURVEYED IN 2013 – 2014 5 – 10 KMS RADIUS AROUND ARY CLINICS Clinic Health Workers Volunteers Villages Households Population
Huskur 3 74 8 1035 4287
Hennagara 3 14 8 2964 11674
Austin Town 2 18 10 1724 6285
K R Puram 2 8 13 2690 10431
Kalkunte 3 8 7 1966 7758
Chikballapur 3 11 15 3245 12741
Mandya 4 9 7 2918 8761
Kaladgi 2 22 1 2525 10680
Mangalgudda 3 0 1 398 2217
TOTAL 25 164 70 19465 74834 Health worker counselling people in the community, Austin Town 12 13
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4 HEALTH CARE HEALTH preventive andprimaryhealthcare prevention programintoitscurrent a cervicalcancerscreeningand Tertiary CancerCenterstoincorporate Biocon Foundationcollaborateswith services. vices, anddiagnosticand/ortreatment mation andeducation,screeningser- be linkedtogether:communityinfor- vice deliverycomponentsthatmust trol programrequiresthreekeyser- A cervicalcancerpreventionandcon- cases arelinkedtoinfectionwithHPV. ly preventable.99%ofcervicalcancer cal cancereventhoughitiscomplete- 74,000 womeninIndiadiedofCervi- WHO datain2011,revealedthat OF CERVICAL CANCER EARLY DETECTION&PREVENTION Austin town Hennagara KR Puram Kalkunte TOTAL Huskur Clinic Field practice Field practice area radius m3781 6 Km 1627 5 Km m24 StJohn’s Hospital 2843 7 Km m4113 9 Km K 59StJohn’s Hospital 2569 5Km Target group(women above 16years)** 14933 @¾¤ Âr¶VÉ@¶ V@ r´¶¾ conducted inMay2013. '´ "@´@¾@@¤ model throughournetworkof9clinics . Specialistfromthetertiarycenter 4. Healthworkersusethereproductive 3. 2. Eligibility criteriaforwomanto HealthworkerandStafftraining 1. Screening Module: screens 20pre-registeredwomen visits eachcliniconceamonthand in thecommunity. health moduletocreateawareness who haveundergonehysterectomy. menstruating womenand HIV positivewomen;pregnantor 3 years.Exceptionstothisrule- years, sexuallyactiveformorethan be screened-Womenabove21 Dr SmithaBinodand Mazum- Mazumdar ShawMedical Mazumdar ShawMedical dar ShawMedical Centre Tertiary partner Centre Centre 9. Further investigation 9. Further 8. Normal Cytologyandnormal 7. Pathologists attheMazumdar PatientsfoundtohaveCandidiasis 6. 5. Screening method: Pelvic examina- LEEP, Cryotherapy. Colposcopy, Biopsy, centers, thisincludes at theTertiary subsidized rates are doneatspecially investigation requires further cervix- Patient cytology/ unhealthy after 6mths.Abnormal Pap smearrepeated pelvic examination. and askedtocomeforfollow up with appropriatemedication t@@¾´Ë¶e@´/@¾e¾¾´e@¾e] to repeatthePapsmearafter5yrs. pelvic examination-Patientsasked rate. the slidesforusatadiscounted Hospital bothinBangalore,report Shaw MedicalCentreandStJohn’s appropriate medication. or Cervicitis/vaginitisaregiven tion andPapsmear. Breast cancer. Breast Examinationtoscreenfor speculum) andperformsaClinical examination (pervaginaandper examination includingapelvic per session.Shedoesasystemic
Cervical cancer awareness inthe community, Kalkunte village z z z z z Limitations &Challenges Health workerswerereluctant Women withproblemsare Wordofmouthisanimportant Thecampsarebasedonpre- available. used basedontheexpertise on thescreeningmethodtobe Our TertiaryCarepartnersdecide as thesuccessofworkshops workers. Thisisalimitingfactor e@]qrVe¾e´e¶eVeqe@¾ therefore heldbystafffrom the topic. Theinitialworkshopswere uncomfortable talkingaboutthe health education,astheywere to startthereproductive follow up. encouraged tovisittheclinicfora clinics. tool tospreadawarenessofthese registration format. 1
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6 HEALTH CARE HEALTH Austin town Hennagara K RPuram Kalkunte Group-D, Huskur Biocon TOTAL Cervical Cancer awareness sessionatthecommunity ,Hennagara screened Number Number 6402266422 0 1 – 2 1 107 163912110 166601000 82110100 122–112 1 1 – 2 2 71 51303000 Colpos- copy Biopsy HPV DNA Pre-can- cer Biopsy) 1 ugr Cancer Surgery (Cone 0 z 1. Shanti (namechanged), 35years, Case Studies q@˶MeerV@¤ most caseswehavefoundinvolvingthe required toconvincethepatient.In with cancer.Frequenthomevisitsare and thestigmaofbeingdiagnosed r@V@M´]eZqe@´q¶¾@Î@¾ The primaryreasonsforattritionare Motivating patientsforfurther before it progressed to full blown before it progressedto fullblown that her conditionwas diagnosed diseased tissue. Sheisveryhappy a shortprocedure toremovethe pre-cancerous lesion. Sheunderwent cervical intraepithelial neoplasia,a investigation she wasfoundtohave follow upinvestigations.Onfurther and herdaughtertothehospital for health workeraccompanied her The BioconFoundationcommunity to theabsenceoffamilysupport. on followupbutwasscared due report wasabnormal,shekeen husband). WhenShanti’sPapsmear are stillstudyingandanalcoholic 3 dependents(twodaughters who sole breadwinnerofthefamily with one oftheurbanslums.Sheis the attended thescreeningfacilityin training andguidedworkshops. this challengewithmotivational health workers.Wehaveovercome ]ee]¶¾eVr]eVeq¾e smear ispositive: investigation andtreatmentifthe and herhealth. reiterated theimportanceofa woman easy accessibilitytothespecialist has infections. Theeducationand the and discomfortassociatedwith these talking aboutit,toleratingthe pain because theywereuncomfortable common reproductivetractinfections, @¶Meer¾e]ÉeÉ@Èex´e] ¶xrV@¾e¶¶ZM¾¾e´x´@@¶ These areexamplesofladieswhohad 45 changed), (name 2. Chinamma is lookingforwardtoahealthylife. ment. Shehashadhersurgeryand took fullresponsibilityofhertreat- family wasverysupportiveand @@°¶ q@ˤ e´ ɾ ¶¶Âe sought permissiontodiscussthe Foundation counselledherand want totroubleherfamily.Biocon poned followupasshedidnot her abnormalpapreport,shepost- facility. Whenshewasinformedof years attendedaruralscreening future. daughters haveasecureandhappy is backtowork,ensurethather 2@¾ ¶xrV@¾Ë¤ e´ M´]e cancer, thusreducingtheeconomic 1
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8 HEALTH CARE HEALTH is completelypreventable,delaysin than smoking.Thoughoralcancer common practicesinruralIndia, tobacco andarecanutwhichare Oral canceriscausedbychewing Cancer. deaths inIndiaarecausedbyOral country. Inaddition30%ofallcancer 80,000 caseseveryyearacrossthe government recordingastaggering number ofOralCancercases,withthe Globally, Indiaaccountsforthehighest OF ORALCANCER EARLY DETECTION&PREVENTION Role play conductedon“No Tobaccoday” toaddresscauses ofOralCancer treatment especiallyinruralareasare: Reasons fordelayindiagnosisand costs topatients. low treatmentoutcomesandhigher presentation anddiagnosis,resultin z z z z z Poor infrastructure and connectivity Economicandsocialbarriersto Poor awareness Inadequatediagnosticservices Lack oftrainedspecialists seek help Specialists viewtheuploadedinformation andidentify cancerous lesions are treated with vitamin A solution and cancerous lesions aretreatedwithvitaminAsolution and risk mitigation education. Cases which need referral are risk mitigationeducation. Caseswhichneedreferral are Trained CommunityHealthworkerinterviewspatient Biopsies oflesions aredoneatnodalcentre.Pre- @]r¶©Âe¶¾@´e¾eMee@ x´¶x´Â]e¾re]q´M@¶ee WORK FLOW-ORAL CANCERSCREENING Information uploadedonOpen MRS patients withprecancerouslesions referred to thenearestcancer centre Takes picturesoforallesions survey
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0 HEALTH CARE HEALTH done atacommunitydentalcampinPoshetahalli. Dental Sciences&ResearchandonBioconcampuses.Opportunistic screeningwas British BurmanTradingCentre(BBTC),Coorginassociation with CoorgInstituteof Huskur andKalkunte.Workplacescreeningwascompleted in SkandaFoundation, Oral Cancerscreeningprogramfortheyear2013-14,wascompleted inHennagara, reliable way toaccesspeople whoare at riskofdeveloping orallesions. screening, doneinawork placeorother groupsetting hasbeenafaster andmore for ourcommunity healthworkers,thushindering thepaceofprogram. Group ´@e¶¶¤ÐÈ@@M¾Ëqee@]x¶¾V]qrV¾e¶ In 2013-14,almost 4,000highriskpatientswere screenedbyourhealthworkers for Hennagara Kalkunte Poshetahalli Huskur Details TOTAL Kalkunte Virajpet Skanda Details Biocon TOTAL BBTC tion above 16 tion above16 Total popula- 71 0120 5 24 253 2609 3021 17718 years 3184714 0 41 781 854 3301 5516 6 1 24 111 964 1064 8545 8210 6 0 0 101 864 1103 5872 population ORAL CANCERSCREENING2013-2014 High risk High risk 0413 9 75 191 1436 2014 0 0 171 71 104 300 1 1 61 36 611 611 6 6 40 0 3 44 1 38 260 117 318 260 117 700 62 0 1 26 26 COMMUNITY SCREENING population High risk High risk GROUP SCREENING Population screened Population screened Premalignant Premalignant lesions Premalignant Premalignant lesions ´Èe]¾MeV@exx Biopsies Biopsies Worker NarayanHealth Dr SojanAntony,PsychiatricSocial Mazumdar ShawMedicalCentreand of Psychiatry,NarayanaHealth, Goutham N,HeadDepartment at NarayanaHealthbyDrDiwakar was conductedon12thFebruary2014, q'´@@Ve´¤'´r´¶¾4É´¶ important steptowardsriskmitigation Tobacco CessationCounsellingisan Tobacco CessationCounselling reduce thenumberofpatientswho biomarkers. Suchaninterventionmay year, toidentifysalivaryoralcancer of Cancer(EPOC),wasinitiatedthis A researchstudyonEarlyPrevention Research Vitamin A solutiondispensed totheindividual withorallesions randomised clinicaltrial. of Turkudecidedtoundertakea were encouraging,andtheUniversity ¶@e¶¾¶eVre]x´Â¶¤1e¶Â¾¶ we weresuccessfulinstratifyingthe patients. Fromthesalivarysamples users withoutlesionsandfromcancer tobacco userswithlesions, were collectedfromnormalindividuals, Bangalore. InPhase1-salivasamples Finland &AxxonetTechnologies, association withUniversityOfTurku, This researchstudyisbeingdonein has beenverypoor. lesions. Complianceratesforbiopsies investigation forthediagnosisof Biopsy isanessentialbutinvasive require biopsiesandcontrolattrition. 2
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2 HEALTH CARE HEALTH turn malignant. depicts thegroup withlesionswhichcan The bluecolorcoding belowthetangent do notconsumetobacco inanyform Green -peoplewith healthyoralcavitywho not havelesions Red- peoplewho consume tobaccobutdo have lesions Blue -peoplewhoconsumetobacco and control group. which haslesionfromthenon- and The graphshowsseparationofthe group SALIVARY SAMPLES LIQUID FINGERPRINTINGOF provide fullsupport. for anyremissionandarecommited to health workersaremonitoring closely follow upplanforherorallesion. Our given upchewingtobaccoandisona she isonthepathtorecovery.Shehas After arigoroustwomonthschedule, referred toNIMHANSfordeaddiction. was workedoutforher.She personalised approachtotreatment her togiveupthebadhabit.A effects oftobaccoandencouraged workers counselledherabouttheill to severalmouthlesions.Ourhealth very restrictedmouthopening,due Foundation, itwasfoundthatshehad screening campaignofBiocon tobacco. DuringtheOralcancer family wasaddictedtosmokeless from averysupportivemiddleincome Maya (namechanged),ahomemaker Case Study z z z AWARDS ANDNOMINATIONS Finalist Namma Bengaluru Awards, FinalistNASSCOM SocialInnova- SocialInnovationAward2014for sibility 2013 forCorporate SocialRespon- tion Honors,2014 CSR Congress Oral CancerScreeningattheWorld Work Plan: communities. the healthcareburdeninunderserved ment ofchronicdiseasescanreduce prehensive andadequatemanage- Biocon Foundationbelievesthatcom- DYSLIPIDEMIA HYPERTENSION - DIABETES MELITUS– based onresources available. guide themwith optimalmanagement email/EMR withspecialistmentors who È@ re¶ V@¶e ¾e´ ¶@´e ]V¾´¶ Ð1= Mentor Model: z z z z CapacitybuildingofARYdoctors- e´ ɾ ¶e´ÈVe¶ q ´¾rV@¾ Regular follow upofpatients; StandardizeChronicDiseaseCare doctors improvetheirclinicalskills series ofworkshopstohelp the our clinics odic consultationsbyspecialists at ance rates. control ofparametersandcompli- sessment ofcomplicationrates; care attheendofoneyearbyas- study theimpactofstandardized in theARYclinic -
standard oftreatment byARYdoctors. uing medicaleducation willraisethe shop fortheARYdoctors.This contin- conducted adiabeteseducation work- Reddy, BangaloreDiabetesHospital Dr. PrasannaKumarand Sanjay area. ´e¶Â´Ve¶@È@@Me¶re]´@V¾Ve to managethediseasewith limited standing ofthediseaseenabling him physician hasacomprehensive under- therefore becomesimperative that the health relatedissuesinruralareas. It and oftentheonlypointofcontactfor 4e/´@´ËV@´e˶V@¶@´e¾er´¶¾ Capacity BuildingofMedicalOfficers Progress: and separators. health educationliterature,checklists V¾@ re¶ 4e¶e Me¾¾e´¤ @Me¾e¶ to helpthemunderstandandmanage @¾e¾ e@V ¾ xÈe @´e re¶ 4e¶e Diabetes ManagementFiles: the monthlyspecialistclinic. Complex casesarepre-registeredfor Specialist Visit:
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Specialist Clinics Fasting bloodsugartesttakenpriorto 2013. fall of2867sincetheirinception inJuly Our specialistclinicshaveseen afoot- the lastmile. and complicationscreeningreaches portunities forspecializedfollowup last mile.Theseclinicsensurethatop- sive diseasemanagementreachesthe sure thatprotocolbasedcomprehen- The objectiveoftheseclinicsistoen- speciality clinic Huskur and AustinTown R lncLcto Specialistpartner ARY ClinicLocation Hennagara K RPuram Kalkunte Kaladgi uaiiihHsia,Bglo Monthly Tulasigirish Hospital,Bagalkot Bangalore Diabetes Hospital aaaaHat,BnaoeMonthly Narayana Health, Bangalore rRms,BnaoeMonthly Dr Ramesh,Bangalore IA,BnaoeMonthly JIVAS, Bangalore JIVAS Austin Town Hennagara K RPuram Kalkunte Kaladgi Huskur TOTAL Clinic Frequency Specialist Patients seenat specialist clinic Monthly (2013-14) Clinic 2867 1232 290 446 591 246 62 Once thedoctordrawsmanagement plan,therequiredlaboratorytests are done.Testsavailableatthe clinicaredoneattheorsamples - Footscreening forDiabetic neuropathy - Screening oftheeyefor retinopathy - UrineMicroalbumin andSerumCreatinine - ECG #]´re Screening forAssociated problems&Complications withthefollowingtests: Propaganda byhealthworkersinthecommunityandARYdoctor referral Free GlucometerFastingBloodSugarandPostPrandial sugar 1ex¶¾´@¾q@¾e¾¶@]@¶¶xx¾e@Me¾e¶@@xee¾ The prescribedmedicinesareavailable attheclinicpharmacy WORK FLOW-DIABETES SPECIALISTCLINICS Consultation withSpecialistdoctor Patients arepre-registered at discountedprices. sent tothehospital. h re 2
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2 6 CARE HEALTH project is: country. Ourprimaryfocusinthis replicated acrossthestateand model ontheground,whichcanbe We hopetobuildastrongworkable child malnutritioninBadamiTaluk. have acommonvision–toeradicate and theGovernmentofBagalkote, Malnutrition. BioconFoundation childhood deathsareattributedto communities. Fiftypercentofall especially amongpoorer,illiterate seen asachronichealthchallenge public healthissueinIndia,isalso Childhood malnutrition,amajor (MOM) MANAGEMENT OFMALNUTRITION nutritional statusofachild Weight is adeterminantto understand a PHCtoensureoptimalcare. Each Anganwadiistaggedto z z z NAME OFTHEHEALTH FACILITY AND Educatingfamiliesabouttheim- Regularhealthcheckupsand Foodsecurityoftheunder5 NUMBER OFANGANWADIS UNDER Badami Taluk Hospital nutrition portance ofgoodandadequate when needed timely medicalinterventions child Nandhikeshwar PHC Guledagudda CHC Pattadakal PHC HalakurkiPHC Mustigerri PHC Togunashi PHC Health Facility Hoolageri PHC KakanurPHC KatageriPHC KulageriPHC KerurCHC Belur PHC TOTAL ITS CARE Anganwadis Number of WORK FLOW-DIABETES SPECIALIST CLINICS 388 33 29 28 33 20 26 33 30 37 26 24 42 27
er¾qV´e´Me@´e@¶ U U U from themapping: We derivedthefollowinginferences lenges. ami Taluk,tounderstandlogisticchal- Anganwadis inOctober2013Bad- Biocon Foundationmappedthe TALUK ANGANWADI MAPPINGINBADAMI manpower Evaluation ofinfrastructureand children acrossAnganwadis Distribution ofmalnourished
MAM: ModeratelyAcuteMalnutrition SAM: SeverelyAcuteMalnutrition No ofChildrenunder5 (as onOctober2013) oml18766 Normal MAM Total SAM 28,592 9658 168 2
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Number ofmalnourished childrenhigher inanganwadis withoutkitchens, store-
malnourished childrenwerehigher inAnganwadisthatwerehousedTemples
80 %oftheAnganwadibuildings wereingoodcondition.However,numberof Infrastructure: WhereistheAnganwadiHoused? Potable Water Store room Electricity aiiyYes (%) Facility Kitchen Temporary construction Toilets
Community Building Facilities availableattheAnganwadi: yeo uligPercentage Type ofBuilding Rented Building School Building
Youth mandal and othernon-schoolstructures Own building Panchayat
Temple rooms and electricity. 91 45 030 48 39 70 52 61 10 63 9 2 3 3 4 6 No(%) 55 9 z z patory approach: Community Awareness &apartici- STRATEGY z tor atPaediatric Camp,Mushtigere Growth monitoring chart explained bythe doc- Focused awareness workshops for BioconFoundation isworkingwith IntensiveIECeffortstoincrease dren. V ]erVeVe¶ ¾´¾@ q fects ofmalnutritionandsymptoms tion, bestrearingpractices,illef- ished children,aboutgoodnutri- parents orcaregiversofmalnour- havior. Me VÂ¾Ë q tÂeVe´¶ eË community. Thesegroupsbecome Women SelfHelpgroupsinthe themselves. dio stationsandthecommunities nudges throughthecommunity ra- into bestpractices.Behavioral awareness andgetfamiliestobuy - - z Infrastructure z z z Focus ontheoscillators z Leverage existing government de- SAMchildren whoimproveand Appropriateinterventionslikepa- Strengthen the convergence be- tainable nutrition. ture toachieve optimalandsus- livery mechanisms andinfrastruc- malnourished again. that theydonotbecomeseverely checkups for6monthstoensure with supplementationandhealth These childrenarefollowed up them backtotheSAMcategory. or nutritionalaberrationcanpush are Oscillators-thatis,anyillness become moderatelymalnourished when theyentertheSAMcategory. egory, asagainstinterveningonly as childrenentertheMAMcat- health issuesareinitiatedassoon rental counsellingandtreatmentof tion levels –thePublic Distribution responsible formaintaining nutri- tween thedifferent departments erately malnourishedchildren. children alsofocusesonthemod- ing careofseverelymalnourished Biocon Foundationwhilefacilitat- severely malnourishedchildren. Most programsconcentrateonthe 2
9 HEALTH CARE
30 HEALTH CARE HEALTH tion tothechildren. tor aredistributedbyBioconFounda- supplements asprescribedbythe doc- Protein, calcium,ironandmulti vitamin Anganwadi supervisorsandworkers. port, followupsandcoordination with Foundation facilitatesthiswith trans- @ nourished childismandatory. Biocon ¶eÈe´eË ¾e q qrVe´ e]V@ Monthly HealthCheck-upbythePHC Health CheckUps z z Anganwadis Anganwadiswithspacehavebeen ThepresentAnganwadinutrition on allroundholisticdevelopment. the well-beingofachilddepends short listedtostartplayareasas vegetables. ply ofmicronutrientrichfruitsand order toprovideacontinuoussup- Anganwadis whichhavespace,in tion hasstartedkitchengardensin of rawmaterials.BioconFounda- program islimitedbytheshelflife ment. and theWomenChildDepart- System; theHealthDepartment 8 825292 750 9826 28592 28 388 Kitchen Gardens tion Anganwadi tion Anganwadi Biocon Founda- wadi Beneficiaries) Children (Angan- Total number of - imparted. regarding bestpracticesis also and trytoworkonsolutions.Training We discussproblemsfacedby them monthly anganwaditeachers’meeting. Our teamalsoparticipates in the strategy isplannedandexecuted. lems areenumeratedamanagement core problemareas;oncethe prob- with AnganwadiSupervisorsto discuss attend theregularmonthlymeetings Biocon Foundationrepresentatives Solving Capacity BuildingandProblem children (moder- Kitchen gardenplantedbyBiocon Undernourished Undernourished ate andsevere) Foundation inKutakanakeri Children who received Children whoreceived sponsored Nutritional sponsored Nutritional Biocon Foundation Biocon Foundation supplementation improve overallhealth. healthier behaviorthatwill courage peopletoadopt munication requiredtoen- the educationandcom- tion continuestoprovide Preventive healtheduca- MENTATION HIGHLIGHTS EDUCATION &IMPLE- PREVENTIVE HEALTH z z z z z z z z 2013 /2014 Education -Topics In Preventive Health
house visits Malnutrition screening &during up Hypertension follow- continued (MNCH) withemphasison women during oralcancer and CervicalCancer Diarrheal diseases First Aid Personal hygiene workshops Mother Neonatal&ChildHealth Anemia inpregnant Tobacco cessation Diabeties & Reproductive Health doctors onChildhealthandNutrition, z z z
Home &Environment Hygiene Dengue &Chikungunya Safe &Cleandrinking water Awareness programconducted by Mushtigere
31 HEALTH CARE
32 HEALTH CARE HEALTH program. under 5were vaccinated duringthis drops. More than 12,000children than 5yearshad receivedthepolio survey toensure thateverychildless employees conductedadoor to door Following thisBioconFoundation from Biocontotheinteriorvillages. tempo travellerstoferry65volunteers January, 2014.Bioconprovided 10 Hebbagodi GramPanchayaton 19th to helpwiththepulsepoliodrive in The Anekalgovernmentasked Biocon NATIONAL PULSEPOLIO PROGRAM KEY INFLUENCERSREACHEDTHROUGHPREVENTIVEHEALTH EDUCATION aeo h lncKeyinfluencerstrained Name oftheclinic Chikballapur Austin town Hennagara K RPuram Kalkunte Mandya Kaladgi Huskur TOTAL 30823 7250 5225 4468 4685 1345 4750 1750 1350 Oral Polio Vaccination and children: @]]¾@¶eVrV¶e´ÈVe¶q´Ée health platformweareabletoprovide requirements. Throughourprimary mising womenandchildren’shealth r@V@ constraints oftenresultincompro- @] #x¶¾V ¶e´ÈVe¶¤ V@´e cess tooptimal,standardizedhealth- that iswomenandchildren,haveac- vulnerable groupsinourcommunities, Biocon Foundationtriestoensurethat HEALTH MATERNAL NEONATAL ANDCHILD z z z
Awareness session for parents atMaternal, Neonatal and Childcamp, Mushtigere
Workshops ontheImportanceof MotherandChildHealthclinic, ObstetricsandGynaecology (OBG)
Breast Feeding Kalkunte clinic, Kaladgi
information duringtheseclinics. instructions andbestrearingpractices health education,antenatalcare price. Womenaregivenreproductive of cost.Drugsaredispensedatcost are doneforallantenatalwomenfree clinic onceamonth.Haemoglobintests from Bagalkot(25kmsaway),visitsthe underserved area.AGynaecologist improve women’shealthinthishighly started inJuly2013,isaninitiativeto The OBGspecialistclinicatKaladgi, z z
EarlyDetectionandPreventionof EradicationofMalnutrition,Badami Cervical Cancer
33 HEALTH CARE
34 HEALTH CARE HEALTH doctors from theDepartment OfCommunity Medicine, StJohn’s The Mother andChild Health clinicat Kalkunteisconducted oncea monthbythe September 2013 February 2014 October 2013 January 2014 August 2013 March 2014 MothersandChildrenatMotherChildhealthcamp,Kaladgi July 2013 ot bttisGneooyTotal Patients Gynaecology Obstetrics Month TOTAL THE OBGSPECIALISTCLINICAT KALADGI 0 7 282 176 106 73 49 39 32 22 17 17 12 34 35 23 17 11 18 53 45 30 15 42 42 38 28 24 14 14 Hospital. Vaccines associated withbreastfeeding. for best answers.Theworkshop wasvery interactiveand helpedabolish manymyths workshop. Weconcluded theworkshopwitha quiz competitionandprizedistribution Of Community Medicine, StJohn’sHospital.50 pregnantandlactatingattended the Maternity Hospital inAustinTownAugust2013, incollaborationwithDepartment A Workshopon theimportanceofBreastFeeding, wasconductedatthe BBMP Auxiliary NurseandMidwife,tomaintaincontinuityofcare. cold chainmaintenance.AntenatalandImmunizationdata issharedwiththe Health Centreonthedayofcamp,inordertoensurestandard vaccinesand for immunizationarecollectedinavaccinecarrierfromthe GovernmentPrimary September 2013 November 2013 December 2013 February 2014 October 2013 January 2014 August 2013 March 2014 April 2013 June 2013 May 2013 July 2013 ot Obstetrics Month TOTAL THE MOTHER ANDCHILDHEALTH CLINICAT KALKUNTE 36 6 324 166 65 93 1011122 1041524 18928 9 8 11 1141631 628 16 4 8 533 25 3 5 126 11 9 61310266 58923 734 17 8 9 523 15 2 6 219 12 1 6
yaclg muiainTotal Patients Immunization Gynaecology
35 HEALTH CARE
36 HEALTH CARE HEALTH z z or NGOs. clinics collaboratewithlocalhospitals our outreachcamps,forwhich In additionwetreatpatientsthrough 60,050 patientsacrossallourclinics. munities. Thisyearwehaveseen to unreachedandunderservedcom- ics continuetoofferclinicalservices The nineArogyaRakshaYojanaClin- RAKSHA YOJANA (ARY) CLINICS PRIMARY HEALTHCARE -AROGYA Each clinicoffersmedical TheARYClinicsfocusonproviding charged nominally,90%ofthe cost diagnostic tests.Allservices are consultation, genericdrugsand for theconvenienceofourpatients. primary careservicesatonepoint possible byprovidingtherangeof of primarycare.Thisismade a single-pointsee-and-treatmodel Patients atDiabeticRetinopathy Camp, Huskur village z z z z Clinicscontinuetopromotehealth Clinicsarethefocal pointsfortrain- Wecontinuetocollaborateclosely Allpatientswhoaretreatedinour ance schemesforBPLpatients. surance orthegovernmentinsur- could betheARYHealthMicroIn- critical surgeriesarecovered–this insurance topatientsensurethat tive healthinterventions. and forimplementingthepreven- ing thecommunityhealthworkers tive healthprogrammes actively involvedwithourpreven- health centres.ASHAworkersare with thelocalgovernmentprimary a centralserverinBiocon. their dataisstoredelectronicallyin clinics getauniquepatientIDand the foundation. of theclinicservicesareborneby Kalkunte. at Chikkaballapur and to setupnodal centres helped Biocon Foundation Sciences, Bangalore has Society’s Institute ofDental Ligayath Education(KLE) communities. Karnataka and accessibletorural treatment affordable health andtomakedental awareness aboutoral are establishedtocreate The dental nodalcentres
Chikkballapur Austin Town Hennagara Old Clinics KR Puram Kalkunte Mandya Kaladgi Huskur lnc 0620 0820 0021 0221 2014 2013 2012 2011 2010 2009 2008 2007 2006 Clinics TOTAL Patients waitingformedical consultation atARYClinic, Kaladgi 19 54 43 65 31 28 23 42 05 310646 60050 64526 62731 42088 23517 16656 14839 15148 11091 7642 0520 20744 3280 2802 1045 4821 3746 3596 08 17 24 38 43 33 11431 13034 14230 13287 12845 11274 10385 9367 7345 6427 4993 8052 5601 4182 2678 6454 5833 6731 1654 4858 6146 7352 793 1067 6359 102 2164 645 3 4 8448 6337 2894 3673 5613 10135 10370 4384 11364 2874 9364 945 1956 635 946 759 9021 8637 8481 27 12018 12473 8712 6834 3576 2846 2015 960 CLINIC STATISTICS- NUMBEROFPATIENTS YEAR 103198 16438 20157 18749 27433 21018 44894 49434 Total 9325
37 HEALTH CARE
38 HEALTH CARE HEALTH use oftoiletsarecarriedoutinthecommunity. drinking water.Inadditionregularbehavioralnudgestopromote handwashingand are nowworkingcloselywithlocalPanchayatstoensurethat theseareasgetclean and Gastroenteritiscontinuetobethemaininfectiousdiseases seenattheclinic.We Respiratory infectionsandviralfeverfollowedbywaterborne diseaseslikeTyphoid Chikkballapur Chikkballapur Austin Town Austin Town Hennagara Hennagara KR Puram KR Puram Kalkunte Kalkunte Mandya Mandya Kaladgi Kaladgi Huskur Huskur TOTAL TOTAL lncNumberofvisits forChronicDiseases Clinic InfectiousDiseases Clinic aai egeTyphoid Dengue Malaria Diabetes Diabetes Mellitus 403 5 4 268 844 358 30 0 14 71 1 6530 2911 3909 2635 414 19 17 5916 5 1 0 219 158 1461 1589 8037 5 8 5 683 359 3770 4850 9 8 279 487 596 5 0 2 18797132 967 867 31 3 1 52628540 125 238 148 226 31 25 1 0 5 0 0 1113367170 667 333 171 11 0 1 2 8997 78 123 113 0 0 81140400 480 101 38 0 0 9 4 1 0 9 340 394 4 7 60 96 0 476 444 5 21 0 0 103 17 52 254 4 4 4 0 0 1 103 7 147 28 345 591 443 520 2 6 3 0 133 0 165 222 8 4 23 22 0 340 984 Hypertension INFECTIOUS DISEASES CHRONIC DISEASES Cardiovascular Cardiovascular Disease Acute gastro- enteritis Tract infection Respiratory Respiratory shaCancer Asthma Others OTHER OUTREACHSERVICES –HEALTH CAMPS–2013-2014 Growth monitoring atMother andChild Clinic,Kalkunte OA 56080 55 58 116 1327 34 6 195 4000 6 30 TOTAL 1 350 Physiotherapy camp 3 8 Orthopaedics camp Dermatology camp 1 Ophthalmology camp JIVAS St. Ann’s, Bangalore VDRMT G N.CmsNo.Patients No.Camps NGO
39 HEALTH CARE
4
0 HEALTH CARE HEALTH approved hospitals. up toRs.100,000throughanetworkof 280 ($4.68),arecoveredforsurgeries members whoenrolforasumofRs. poverty. Thisisaself-paidprogram, them intoaviciouscycleofdebtand catastrophic illnesswhichoftenlead to protectpoorercommunitiesfrom Micro Insurancewaslaunchedin2005 The ArogyaRakshaYojanaHealth Insurance Arogya RakshaYojana HealthMicro HEALTHCARE SECONDARY &TERTIARY No. ofLives Claim Ratio (%) Avg. ClaimCost (Rs.) Value ofclaims (Rslakhs) No. ofclaims No. ofhospitals Premium perlife(Rs) Premium (Rs.Lakhs) 1302,8 3902,0 19,533 21,300 69.15 23,900 78.17 23,183 134.95 21,370 186.28 236.00 112.62 260.00 163.76 34,500 146.4 36,700 125.55 58,864 79,529 74,754 38 1.39.09.281.57 95.42 96.40 116.43 93.85 2010 2 6 4 19117% 81.9 140 354 160 367 122 565 452 527 03 53 34 38 35 35 30 CLAIMS ANALYSIS 2011 services attheARYClinics. entitled toanumberofconcessional to theinsurancethesemembersare membership everyyear.Inaddition customers whohaverenewedtheir line. ARYInsurancehasroughly30,000 for peoplelivingbelowthepoverty a numberofhealthinsuranceschemes The governmentofKarnatakanowruns 022013 2012 2014 lns rcdrs(0321)%of total Procedures (2013-2014) Illness Cardiac Procedures C -Section Normal delivery OB /GYN TOTAL All others Ophthalmology Hysterectomy Arogya Raksha Yojana micro insurance handedoverto thebeneficiary, CLAIMS BYILLNESSES Chikkaballapura 5 100 55.6 354 197 822 8.7 4.5 5 78 31 16 18 1.6 2.2 6 8 4
1 HEALTH CARE
4
2 HEALTH CARE HEALTH ¾@]Î] e¾¶ ´eVe] ]er¾¶ ¶¾@]@´]Îe] performance measurementtoolswith Healthcare metricsareagroupof the reachandimpactoftheirwork. rics thatcanhelporganizationsassess jointly developedasetofhealthmet- & InvestmentStandards(IRIS),have tions (CHMI),andImpactReporting The CentreforHealthMarketInnova- ASSESSING REACH&IMPACT IRIS. health metricsdevelopedbyCHMI& have beentakenfromthecatalogueof e´ formance indicatorsforourprograms 2eVrV 1 2¤ @] $ MË e] GROWTH INNUMBEROFPATIENTS-AROGYARAKSHAYOJANA CLINICS KEY PERFORMANCEINDICATORS PRIMARY HEALTHCARE - - vesting industry). grow thecredibilityofimpactin- @] ]e@¶Z eÈ@Â@¾e ¶ÂVVe¶¶Z r@V@ to measuresocial,environmental,and rics thatleadingimpactinvestorsuse, generally acceptedperformancemet- world’s poor.IRISisthecatalogueof tions affordableandaccessibletothe care deliveredbyprivateorganiza- and practicesthatmakequalityhealth (CHMI –promotesprograms,policies, t1BUJFOUTBUUFOEJOHTQFDJBMJTUDMJOJDT DMJOJDT t1BUJFOUTGBNJMZNFNCFSTFEVDBUFE t1BUJFOUTXJUI%JBCFUFT.FMMJUVT)ZQFSUFOTJPO DIABETES MELLITUSHYPERTENSION t.BMJHOBOUMFTJPOT t1SFNBMJHOBOUMFTJPOT t#JPQTJFTEPOF t#JPQTJFTSFDPNNFOEFE t1FSDFOUBHFPGQPQVMBUJPOTDSFFOFE t/VNCFSPGQBUJFOUTTDSFFOFE t)JHISJTLQPQVMBUJPO t1PQVMBUJPO BCPWFZST JOBSFBTPGTDSFFOJOH ORAL CANCERSCREENING t$BODFS t1SF$BODFS t#JPQTJFTEPOF t#JPQTJFTBEWJTFE t$PMQPTDPQJFTEPOF t$PMQPTDPQJFTBEWJTFE t8PNFOTDSFFOFE ZFBST t,FZJOnVFODFSTDPVOTFMMFE ZFBST t8PNFOBCPWFZST CERVICAL CANCEREDUCATION &SCREENING t5PUBMOVNCFSPGDIJMESFOJNNVOJ[FEBU,BMLVOUF t5PUBMOVNCFSPG"OUFOBUBMDBTFTTFFOBUUIFDMJOJDT Estimated reachofpreventive healtheducation encourage themtoreachouttwofamilies/eightpeople) odically visitedbyhealthworkers,theypropagatethemessagesincommunity. We (Motivators arepeoplewhohavereceived healthinformationfrom theARY staff andare peri Key motivators’counselledin2014 At riskfordiabetesandhypertension At riskforOralCancer Population surveyed ensure thatmeasures aretaken toprevent anepidemic The notifiable infectiousdiseases arereportedtotheGovernment PrimaryHealth Centre to t5ZQIPJE t%FOHVF t.BMBSJB Infectious Diseases inARY clinics(num) and promotional healthservices) (This metricisintended tocaptureindividualswhoprovidepreventive, curative,rehabilitative Ratio ofARY caregivertototalpopulation Percentage of newcasefiles(2013–2014) Percentage ofpopulationusing ARY clinicservices Total populationliving inARY clinicareasofcare Individual casefilesregisteredontheARY EMR(ClinicManagementSystem) t,JUDIFOHBSEFOT t$IJMESFOSFDFJWJOHOVUSJUJPOBMTVQQMFNFOUBUT t.BMOPVSJTIFEDIJMEFSO 4"..". t$IJMESFOTVQQPSUFE t"OHBOXBEJTTVQQPSUFE MATERNAL NEONATAL &CHILDHEALTH KEY PERFORMANCEINDICATORS NON-COMMUNICABLE DISEASES PREVENTIVE HEALTH METRICS PRIMARY HEALTH METRICS BASELINE SURVEY MALNUTRITION - 14,828 (26%) 4,856 (9%) 246,584 74,834 30,750 30,823 19,732 12,903 25,179 28,592 74,834 1:850 2,867 6,272 4,826 4,045 5,035 1641 9826 41% 23% 80% 358 114 414 640 750 388 80 99 19 17 12 24 32 28
1 2 4 6 4
3 HEALTH CARE II.
Education EDUCATION EDUCATION
CHINNARA GANITHA Evidence shows that too often Place Std 1 Std 2 Std 3 Std 4 Std 5 Std 6 Std 7 Total children leave school without acquiring the basic knowledge and skills they Anekal / need to lead productive healthy lives Kalkunte / 6284 6871 3792 3983 3726 3615 3515 31786 and to attain sustainable livelihoods. IISc Schools (Excerpt from Learning Metrics Task Force Report – UNICEF). Critical gaps Chikballapur 1800 1569 1664 1454 1454 1485 1529 10955 in learning include language and numeracy skills. Coorg 1600 1800 1750 1650 1800 1800 1900 12300
Biocon Foundation tries to plug the gap in math education through the Mandya 2580 2210 2594 2813 2895 2400 2831 18323 Chinnara Ganitha Math workbook. This workbook tries to approach math through activities and games, Badami 600 550 600 650 650 700 700 4450 and it tries to inculcate self-reliance in the children. From 2006 we have been distributing these workbooks Kaladgi 300 300 300 250 250 325 250 1975 to children in government schools in Karnataka. These children are the most underserved and they learn under very Dandeli 600 800 800 750 800 800 950 5500 challenging conditions. In 2013 – 2014, 110,000 books were distributed to Joida 1500 900 950 950 925 925 975 7125 children in 1,407 government schools in 9 districts in Karnataka. Haliyal 1800 2800 2800 2500 2700 2700 2500 17800 In June 2013, Biocon Foundation, Pratima Rao, and Macmillan India, launched the Chinnara Ganitha Student with Chinnara Ganitha-easy to TOTAL 17064 17800 15250 15000 15200 14750 15150 110214 Teachers’ Training Programmes in learn math book the Taluks where the books were Chinnara Ganitha books were distributed to Government schools in distributed. We have conducted 1407 2013-14. orientation programs for 300 teachers as resource persons for the orientation. across districts in order to ensure that Several tips with experiments on how ¾eV]´e´eVeÈe@ÊÂMeer¾ to make Math class an interesting “Strengthening the learning of basic math concepts from our program. Well known teachers period for the children were shared ¾ere]q$@¾e@¾V¶Ée´e¶e] with the teachers. through experiential learning”. 46 47 EDUCATION EDUCATION
AATA PAATA WADI OUTCOMES The Aata Paata Wadi in Thithimathi, Kodagu, continues to serve children periodic health check-ups. Along with Though this is a small program with lim- from local government schools; it height and weight, blood grouping ited scale, a few schools have adopted is a place where children are taught and other ailments were checked and ´ ]e @] xÈe´e¾ qrV@¶ spoken English & digital literacy. treated. Used clothes were collected visited our centre. Through this program we hope to by the centre staff and distributed to expose children from economically the children. 1. ee]M@V q´ xÈe´e¾ qr- weaker sections to opportunities that cials - Mr. Iranna from the Ministry are provided in urban schools. 192 In spite of many challenges, at the year- of Human Resource Development V]´e @Èe Meer¾¾e] q´ ´ end, there has been vast improvement and Mr. Nagesh from the Institute centre and at present we have 20 in the children’s overall perception of of Social and Economic Change children. life, education, health, environment, q@ËZ e¾V¤ 2xrV@¾ V@xe¶ @Èe on V.K.R.V. Road, Bangalore vis- The children were taken to Primary been observed in height and weight, ited the centre. They were doing Health Center, Thithimathi for and personal hygiene levels. a survey on Sarva Shiksha Abhiyan and during their interaction with children in G.M.P. School, Thithi- mathi, they noticed that some of the children were more aware than Art workshop at Aata Paata Wadi Centre, the others. On further enquiry, they Thithimathi were told that these children had attended Aata Paata Wadi. It is en- 3. Crash course in basic computers couraging to note that the children was conducted for 32 children of from Aata Paata Wadi stand out in Grade 7 from GMP School, Thithi- school. mathi
2. Two government schools have re- 4. Introduced value education classes quested the centre to sponsor the to the residential school children Phonic book – Level 1 to use the through the Ramakrishna Sharada same for the Grade 1 children. Ashrama, S. Kodagu.
“An after-school resource center for underpriviledged children”.
Children at after school resource centre, Thithimathi 48 49 EDUCATION EDUCATION
BIOCON WOMEN’S SELF-HELP GROUP, KELSA+ THITHIMATHI Kelsa+ provides a platform to low 4e@e¶¾@qq@´e©Â¾eVr]e¾@] income support staff to learn basic they work independently. They have knowledge in computers. Two created individual email ids, Facebook different sections are made available pages and play online games. for the male and female staff. Three internet enabled computers Based on requests from the have been installed in the campus. MeerV@´e¶Z ¾e V¾e´ ¾e´@VË Two trainers teach the staff to use programme for the ladies has now computers, search engines, read eÊ@]e]¾¶eVrV¶]eÈee¾¤ newspaper online, place online ads, The ladies painted Diwali diyas in their create Facebook page, open e-mail free time and put up a stall in our accounts, etc. various campuses, the diyas were sold out.
SHG woman engaged in making gift wraps, Thithimathi
The women’s self-help group started April 1st 2013 to 12th Feb 2014 the in 2012 with 5 women from the local group earned Rs.27,023/- area to enhance their income and M¶¾ ¾e´ ¶eqVr]eVe¤ 4´¶@ This year the women sold 100 Ponappa trained the women on gift wrap sheets at the Coffee to make gift wrap paper and gift Santhe in Bangalore, and continue eÈee¶Â¶xV@t´@¤ to sell at Orange County-Sidapur, Bamboo Club - Pollibeta, Nambikay- We continue to improve our products Madikeri and Nilgiris Supermarket - and introduce new designs. From Gonikoppal.
Women at Kelsa + session
50 51 III.
Infrastructure INFRASTRUCTURE INFRASTRUCTURE HUSKUR VILLAGE BIOCON NAGAR- MANGALGUDDA, BAGALKOTE Huskur Gram Panchayat, in Anekal Ta- ment plant was needed. This plant will Biocon Foundation constructed luk is 20 kms from Bangalore City. Its be ready and operational by October v ¶e¶ q´ ¾e t] ÈV¾¶ population of 4287 people is spread 2014. over seven villages. This Gram Pan- Bagalkote. The houses were handed over to the district administration chayat is famous for the ancient Mad- MADDURAMMA KALYANI duramma Temple which attracts thou- in December 2012. Now that most sands of devotees and vendors for the The Madduramma Temple Tank will of the houses have been occupied, holy pilgrimage, held in April every be restored to form a beautiful water we will begin the construction of the year. For one week, Huskur plays host body which will also be able to harvest health and community centre, and the to more than 40,000 people who visit rainwater. We hope that this project primary school. this temple. For the rest of the year, will encourage the community to there is a steady stream of pilgrims to conserve water in other villages. These this temple, each year the temple re- two initiatives are being developed cords about 100,000 pilgrim visitors. and implemented in collaboration This has increased the demand for san- with the Government of Karnataka, itation, and though we have been able the Madduramma Temple Trust, the to provide toilets and bathing areas Huskur Panchayat, and ARC Consulting (in 2006), a sustainable sewage treat- Services.
The Madduramma Temple Tank, Huskur village Resident with livestock, a daily sight at Biocon Nagar 54 55 INFRASTRUCTURE
WATER PURIFICATION SYSTEM NEW INITIATIVES Biocon Foundation joined hands with Under this project, electronic diag- Due to inadequate access to safe and Orissa Trust of Technical Education nostic facilities and e-Health centres clean drinking water, our clinics are still (OTTET) to augment and implement are being set up at all primary health seeing many cases of gastrointestinal a unique mega ICT-based e-health centres (PHC) of Odisha government. infections, typhoid etc. project in the state. OTTET is already These are managed by local young en- providing access to quality healthcare ¾´e´ee´¶É@´e´È]e]r@V@ to 51,000 villagers in Odisha through assistance by Canara Bank. They are its e-Health program in collaboration being trained by Biocon Foundation with the Government of Odisha. E- and OTTET to support the medical of- Health forms the backbone of the rVe´@¾¾e/q´È@´Â¶e@¾V@´e proposed universal healthcare pilot and diagnostic services such as:
project in Karnataka and Odisha. z Measuring each patient’s vital stats like blood pressure , pulse, Our project is focused on delivering haemoglobin and blood sugar evidence-based healthcare to Providing diagnostic tests that the effectively deal with primary health and z doctor prescribes and requires for chronic conditions in communities with accurate diagnosis poor access to quality healthcare. This ¶xe¾Z°¶ee@]¾´e@¾±]eq z Providing telemedicine consulta- Water samples were tested by e-Health centre is critical to improve tion for patients who require spe- authorised water testing agencies the health of rural communities for cialist advice and based on the report, a water whom even reaching a PHC is a major ´rV@¾¶Ë¶¾e¶@e]¤ challenge. The project focuses on capturing all patient records on the electronic 4e ¾´@r¾´@¾ ¶Ë¶¾e É Me This project is also aligned to our system with a view to providing easy installed in Huskur village and an RO commitment towards inclusive access for treating doctors both at the plant will be installed in Biocon Nagar, development by empowering rural PHC and at tertiary hospitals. Patient Mangalgudda. communities. This PPP model will data will also be available to the achieve all-round socio-economic and government to study disease patterns national development as it will result and to create a database, which will in creation of jobs and development of help implement evidence-based semi-skilled individuals. healthcare interventions.
56 57 Universal Health Care (UHC)
Expectations from UHC
z Equitable access across socio- economic strata
z Affordable and appropriate quality healthcare
z Promotive, preventive, curative and rehabilitative health servic- es
z Government to be the enabler, a provider and a reimburse of services
z Private sector as a provider of services
Source: Adapted from High Level Expert Group Report on Universal Health Coverage 2012
eHC Model: Fulfilling Expectations from UHC
Providing access to quality healthcare to all socio-economic strata of Greater the society by reaching out to the most remote locations and cater- Equity ing to both APL/BPL patients
Increasing healthcare access to patients who were previously unable Improved health to obtain the same and were undiagnosed. Early prevention of dis- outcomes ease through availability of specialist consultation will help improve long term health outcomes
Efficient, Information & Communication Technology deployment within every Accountable & eHC ensures a check and balance system, which will ensure effective Transparent Health monitoring, accountability and transparency at all levels
58