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Annual Plan -2012-13 2012-2013 Annual Plan -2012-13 2012-2013 ANNUAL PLAN OF KARUNA TRUST FOR THE YEAR 2012-2013 HEALTH PROGRAMMES A. PRIMARY HEALTH CARE I. Management of Primary Health Centres under Public Private Partnership Two focus areas planned for the year in the management of PHCs. Improving Quality of PHCs through Accreditation and Quality Certification Scaling up to increase the number of PHCs in Karnataka and other States Karnataka: Existing: 29 PHCs including 1 as CSR Initiative of NPCIL in Kaiga Proposed: o Proposal submitted to take over 6 PHCs in Karnataka o At Kaiga, Livelihood Project (Tailoring) Planned: o NABH Accreditation is under progress and is in the final stage of assessment for PHC at Gumballi o ISO Certification for 13 designated PHCS in Karnataka in partnership with IHMR Andhra Pradesh: Existing: 2 PHCs Proposed: o Proposal submitted to Govt. of Andhra Pradesh to manage PHCs in four Districts : East Godavari, West Godavari, Khammam and Vishakapatnam o 8 PHCs expected to be handed over in East Godavari District o 2 in West Godavari District Orissa: Existing: 10 PHCs Proposed: One PHC in Pandripada in Kandhmal District Arunachal Pradesh: Existing: 11 PHCs; Proposed: 2 PHCs Meghalaya: Existing: 6 PHCs; Proposed: 4 PHCs Manipur: Existing: 3 PHCs; Proposed: 2 PHCs Maharashtra: Existing: 1 PHC – will be continued Proposal submitted to the State Government for PHC management Madhya Pradesh: 10 PHCs Mizoram: 10 PHCs Tripura: 10 PHCs Kerala: 2 PHCs J&K: 10 PHCs Chattisgarh: 10 PHCs II. Mobile Health Units Karuna Trust, in collaboration with Karnataka Health System Development and Reforms Project (KHSDRP), National Rural Health Mission (NRHM) and Nuclear Power Corporation of India (NPCIL) runs nine Mobile Health Units to cater to the underserved, insurgent and remote areas in Karnataka and Maharashtra. These are the areas that have remote habitations and are far from the PHC or have no access to any health facilities Existing: 7 Mobile Health Units - 5 supported by KHSDRP 2 supported by NRHM 1 Mobile Health Units supported by NPCIL in Tarapur Proposed: Expression of Interest submitted to KHSDRP for 10 MHUs in Karnataka III. CSR Initiatives 1. Wienerberger Health Centre Wienerberger is a leading producer of clay building materials, was founded in 1819 by Mr. Alois Miesbach in Vienna (Austria). Wienerberger India was established in Bangalore in the year 2006. Karuna Trust is managing a Health Clinic at Gottikere village in Karnataka since 2009 which is supported by Wienerberger as part of its CSR initiative. 1 more Primary Health Centre in Yeliyur is proposed for the year (included in the 6 PHC proposal of Karnataka) 2. Nuclear Power Corporation of India Limited (NPCIL) NPCIL has initiated to provide healthcare services to the rural India through Health Centres and Mobile Health Units. Karuna Trust is being engaged as its partner to manage the services. Mobile Health Unit Rajasthan: Proposed: 1 MHU at Rawatbhata Tamil Nadu: Proposed: 1 Health Centre at Kudankulam Solid Waste Management Proposed Solid Waste Management Project at Tarapur, Maharashtra in collaboration with Hand in Hand for Rs. 5 crores for 5 years Health/Education/Livelihood Baseline survey proposal has been submitted to carry out any of the three in Health, Education and Livelihood sectors and is budgeted for One Crore Rupees per year. Gujarat: Proposed in Bhavnagar Uttarakhand: Proposed in Narora IV. Innovations in Primary Health Care 1. Integrating Mental Health into Primary Health Care Mental Health has been integrated into primary health care in 27 PHCs of Karnataka. Psychiatric treatment is being provided to the rural community. This intervention is supported by Sir Ratan Tata Trust. The ongoing activities will be continued for this year. 2. Mobile Dental Health Karuna Trust has taken dental care to the villages & PHCs through Mobile Dental Health model. It is now accessible to the poor and needy in Yelandur and T. Narasipura Taluks. The PHC adopted by Karuna Trust at Gumballi has a mobile dental clinic equipped with all the necessary instruments and a dedicated team that visits remote villages in the range of 800 Kms in and around Yelandur and T. Narasipura Taluks on previously designated days and treats patients free of cost. The dental van covers eight PHCs twice a month apart from a tribal clinic at BR Hills and some tribal villages. During the year the unit has covered a distance of about 2000 Kms reaching out to 2910 patients spread. The above activities continue for the current year. 3. Tele Medicine and Communication Technologies for Health Care ISRO-VSAT Technology Karuna Trust acts as a facilitating organization to promote and share knowledge on issues of development, livelihood and education to people living in rural areas through the Village Resource Centre. The organization has one Resource Centre at Mysore and 18 student sites located in rural areas in different districts of Karnataka. information. Task of re-orienting the satellite position has been outsourced by ISRO and due to this transition, the VSAT connectivity is non functional at present about which Karuna Trust is following up with the concerned to have the systems in place at the earliest possible time. Proposed: Telemedicine services in 1 PHC in collaboration with Cisco Assessment of mHealth Intervention Harvard Institute for Global Health, South Asia Initiative, has launched a study to assess the impact of a mHealth intervention on adherence to antenatal care appointments and infant vaccinations in a population served by NGOs in primary health Centres in rural Karnataka, India. Secondary aim is to explore possibility of deployment of this technology in other areas of health care delivery and treatments. Karuna Trust has been selected for this study as we are extensively serving the rural population. Necessary training was provided by two students from Harvard Public School, USA. The project was piloted in 5 PHCs run by Karuna Trust in Karnataka. There are plans to scale up to 6 more PHCs during the current year at no cost to Karuna Trust 4. Management of Non-communicable Diseases Hypertension, Cardio-Vascular diseases and Diabetes clinic are held at Gumballi PHC on second & fourth Sundays of every month. It caters to the people of Yelandur, Kollegal, Chamarajanagar, Gundlupet Taluks and Mysore rural areas. Consultation is provided by Senior Radiologist cum Physician, Dr Y.N.I.Anand who has served in the Indian Army. Medicines are prescribed at no profit and no loss rate. The services will continue for the current year. 5. Mainstreaming Traditional Medicine (AYUSH) The integration of traditional medicine into the PHC network is an effective method to deliver the concept to the people. Karuna Trust has utilized the PHCs it is running in Karnataka to mainstream traditional medicine, and currently 20 PHCs and five government Ayurvedic dispensaries are actively offering traditional medicine as an option to its patients. Training programs have also been conducted for PHC staff in order to orient them to the uses and value of traditional medicine, as also SHG members, who have been trained in the use of traditional medicine at the household level for common illnesses. The program will continue with the above activities for the current year. 6. Emergency Medical Services Karuna Trust’s initiative is to improve management of emergency cases at Primary Health Centres (PHCs) in Karnataka. The “Primary Emergency Care” initiative includes wall posters, an Emergency Toolkit, an Emergency Drug box. Training sessions and refresher courses are conducted to the health staff. The goal is to decrease morbidity and mortality at the PHC level by standardizing management of emergency patients through simple yet effective interventions. EMS will continue to be operational in all PHCs of Karnataka. 7. Promotion of Quality low-cost generic drugs & Rational drug Use Karuna Trust stocks and distributes good quality, low cost generic drugs from LOCOST, a voluntary organization. The contract has been renewed and LOCOST has resumed the drug supply to the PHCs managed by Karuna Trust. 8. Management of Communication disorders in PHC in collaboration with AIISH Evaluation process of rehabilitation and its efficacy for prevention of communication disorder in three outreach service centres at three PHCs: Akkihabbalu in Mandya, Hullahalli in Mysore and Gumballi in Chamarajanagar Districts was initiated. The activities of Material Development, Selection of Volunteers, Orientation and door to door survey activities continue for the current year at the service centres. Planned to scale up to three Talukas and 21 PHCs B. SECONDARY HEALTH CARE 1. Vivekananda Eye Hospital The Vivekananda Eye Hospital at Gumballi has been offering quality eye care services to the community free of cost that includes screening, consultation and surgery. Equipped with modern equipments, the hospital is integrated into the primary health care. The main activities are: Screening, examination, evaluation and surgery for blindness due to cataract Promotion of Vitamin A supplementation through ANMs/male health workers Strengthening immunization services, particularly measles Early detection, health education and treatment of chronic diseases like Diabetes Mellitus through special Sunday clinics Compulsory annual screening and examination for retinopathy changes for hypertensive and diabetic patients Routine out-patient services, emergency eye care and correction of refractive errors Weekly eye camps The above mentioned activities continue for the
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