Annual Report 2012-13
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Annual Report 2012-13 i Table of contents Abbreviations ........................................................................................................... iv Executive Director’s Note .......................................................................................... vi Introduction ............................................................................................................. 2 I . Health .................................................................................................................. 3 A. Primary Health Care ............................................................................... 3 1. Primary Health Centres .............................................................................. 3 2. Mobile Health Units .................................................................................. 10 3. Collaboration with Corporate Social Responsibility (CSR) Initiatives .............. 12 4. Innovations in Primary Health Care ............................................................. 17 a. Integrating Mental Health into Primary Health Care ................................... 17 b. Mobile Dental Clinic ............................................................................. 18 c. Tele Medicine and Communication Technologies for Health Care ............... 19 d. Management of Non-communicable Diseases ........................................... 21 e. Mainstreaming Traditional Medicine........................................................ 22 f. Emergency Medical Services ................................................................... 22 g. Promotion of quality low-cost generic drugs & rational drug use ................. 23 h. Management of Communication disorders in PHC…………………… . 23 i. Integrating Primary Eye Care into Primary Health Care .............................. 26 B Secondary Health Care ................................................................................... 27 1. Vivekananda Eye Hospital ......................................................................... 27 2. First Referral Unit ..................................................................................... 28 3. Citizen Help Desk ..................................................................................... 29 4. Innovative Projects .................................................................................... 31 a. Scaling Up Project with the John D & Catherine T MacArthur Foundation ... 31 b. Mental Health Project ............................................................................ 32 c. Integrating Primary Eye Care into Primary Health Care .............................. 38 d. Repositioning Family Planning at Primary Health Centers .......................... 39 e. Water Quality Management .................................................................... 42 f. Sukeshma – Maternal, Neonatal and Child Health ...................................... 46 g. Comprehensive District HIV/AIDS Program (CDHP) ................................ 47 h. Embrace Baby Warmers ......................................................................... 50 ii i. Birthing kits ........................................................................................... 51 j. Niveditha ANM Training School .............................................................. 51 k. Homeopathy Clinic ................................................................................. 51 l. BMC Scholarship program ....................................................................... 52 II Livelihood & Sustainable Development ................................................................. 52 III Financial Report ................................................................................................. 58 IV Proposed Projects ............................................................................................... 61 1. New Primary Health Centres ...................................................................... 61 2. New Mobile Health Units .......................................................................... 61 3. CSR Initiatives ......................................................................................... 61 i. Nuclear Power Corporation of India Limited ............................................. 61 ii. National Thermal Power Corporation (NTPC) .......................................... 62 4. Cold chain management with Sugiyama Gen ................................................ 62 5. Cold chain management with Energize ........................................................ 62 6. Enhanced Eye Care through 3nethra device .................................................. 62 7. Nutrition project with Ashoka .................................................................... 63 8. Integrating Primary Eye Care into Primary Health Care ................................. 63 9. Water Quality Management ........................................................................ 63 10. TOMS Shoes ............................................................................................ 63 11. Research and Advocacy ............................................................................. 63 V Awards & Recognition ........................................................................................... 64 VI Donors List .......................................................................................................... 67 VII Annexure ........................................................................................................... 67 iii Abbreviations List of Abbreviations/ Acronyms in the Report AIISH All India Institute of Speech GP Gram Panchayat and Hearing ANC Ante Natal Care HMIS Health Management Information System ANM Auxiliary Nurse Midwife IMR Infant Mortality Rate ARS Arogya Raksha Samiti ICTC Integrated Counseling and Testing Centre ASHA Accredited Social Health IPD In Patient Department Activist BCC Behavioural Change IEC Information, Communication and Communication Education BPL Below Poverty Line IHMR Institute of Health Management and Research CABA Children Affected By AIDS IMIS Integrated Management Information System CAC Collation Against Corruption IUCD Intra Uterine Contraceptive Device CDHP Comprehensive District KHSRDP Karnataka Health Systems Reform and HIV/AIDS Program Development Project CHD Citizen Help Desk KHPT Karnataka Health Promotion Trust CNA Community Need Assessment LIC Life Insurance Corporation CSR Corporate Social LOCOST Low Cost Standard Therapeutics Responsibility DAPUC District AIDS Prevention and MARYP Most At Risk Young People Control Unit DBCS District Blindness Control MMR Maternal Mortality Rate Society DRP Drug Resistance Program MHW Male Health Worker iv EMS Emergency Medical Services MNCH Maternal Newborn and Child Health ENT Ear Nose and Throat NABH National Accredited Board for Hospital and Healthcare Providers EVYP Especially Vulnerable Young NGO Non Government Organization People NRHM National Rural Health Mission NPCIL Nuclear Power Corporation of India Limited OPD Out Patient Department PPTCT Prevention of Parent To Child Transmission ORS Oral Rehydration Solution PMOA Para Medical Ophthalmic Assistant PHC Primary Health Centre RCH Reproductive Child Health PPP Public Private Partnership UNICEF United Nations International Children’s Fund PRA Participatory Rural Appraisal VGKK Vivekananda Girijana Kalyana Kendra PRED Panchayat Raj Engineering WHO World Health Organization Department v Executive Director’s Note The spirit of dedication and motivation that has been propelling us in all our humble endeavours have lead us to achieve two major milestones during the year. Firstly, our Primary Health Centre at Gumballi has been accredited for Quality by National Accreditation Board for Hospital and Healthcare Providers (NABH) which is the second in the country after Gujarat. Secondly, Karuna Trust won The Times of India Social Impact Award 2012 under Health-NGO category for our zealous effort to serve the underserved across the country. We are grateful to our partners and stakeholders who have been kind and participative. They have been extending their continued support for the ongoing work and in implementing projects that were proposed during the beginning of the year. Apart from the comprehensive primary health care where various other health services are integrated in our Primary Health Centres, our focussed effort on demystifying and integrating mental health has been significant. As always, our deep felt thanks to the people whom we serve as they are the pivotal force and purpose behind our work. The challenges and changing dynamics in the sector have made us emerge stronger and orient to stay connected firmly grounded with the principles we have believed in. We immensely thank our dedicated team and march ahead with renewed energy to serve better. There are diversified projects planned for the year ahead aiming at comprehensive primary health care and livelihood and sustainable development of the people we serve. Ms. Radhika Modur Executive Director vi Introduction Karuna Trust, established in 1986 is affiliated to Vivekananda Girijana Kalyana Kendra (VGKK) located at Biligiri Rangana Hills (BR Hills) in Chamarajanagar district of Karnataka that works for tribal empowerment. The Trust was established to respond to the widespread prevalence of leprosy in Yelandur Taluk of Karnataka and has been singularly successful in addressing this problem. Drop in the prevalence of leprosy from 21.4