Health Care Activities

Health Care Center

The Ashok Nagar office was established two years ago. Initially it began with a Primary Health centre with an objective of providing primary health care services to the underprivileged community and the Drugs users community in and around Ashok Nagar and trilok puri area. Later on other services like, family welfare programs, reproductive and child health care and HIV/AIDS awareness programs were incorporated. Gradually Our services were expand. At Present the projects and other health related activities looked after by this office are:

* HIV/AIDS prevention programs and services for STI for vulnerable Community and their associates, female sex workers & their clients and composite intervention ( STI/HIV/AIDS ) involving other high risk groups.

* Primary health care services, family welfare programs and reproductive and child health care services

Janani

The project aims to increase access to sexual and reproductive health and right (SRHR) information, skills and services in Delhi Uttar Pradesh and Haryana resulting in a reduction in sexually transmissible infections and unplanned pregnancies.

It includes:

* implementing mobile clinical services, introducing new Information, Education and Communication (IEC) materials and expanding health promotion activities to improve access to SRHR services and information
* informing and educating Local leaders to help build an enabling environment for the improvement of SRHR
* Conducting research to establish a sound evidence base for future policy.

* The project offers an integrated approach to improving sexual and reproductive health and rights (SRHR) by:
* Delivering outreach services to communities of need.
* Developing, implementing and advocating for SRHR strategies by community leaders in target locations.
* Delivering SRHR workshops to community leaders from communities of need.
* Discussing the projects SRHR report with political and community leaders.
* Family planning camps were conducted on every 3rd Saturday of the month.
* Immunized children against the 6 killers disease.
* Awareness Camp for pregnant women:
* The organization held an awareness camp at Kondli east delhi for pregnant women.

* Women in deprived conditions face high rates of infant mortality. Maintaining good reproductive health among women is therefore not only a crucial goal in itself, but can lead to increased survival rates of children. Towards achieving this goal, an awareness programme for
* expectant mothers was organized, which was attended by a large number of women. These women were identified through a month long survey conducted by the health workers. Issues like Nutrition, pre Natal Care, Personal Hygiene, Breast feeding, Need for immunization etc., were discussed.
* These issues related to family. Planning and various methods of contraception were also discussed. Such camps are useful towards improving the health of women and children from the community and providing a base for their awareness.

Menstrual Hygiene Project

Development Advocacy & Research Trust (DART) has initiated a project to Menstrual Hygiene Management. DART has always held sexual and reproductive health and rights (SRHR) of women as high priority issues, because it has huge impact on development on the life of girls and women, not only on health but education, security, and gender equality.

In many low- and middle-income areas, where girls receive very limited puberty guidance, and the cost of mass-produced sanitary materials is high, the inadequacy (or complete lack) of safe, private, clean water, sanitation, and disposal facilities creates substantial additional environmental barriers to MHM, The lack of proper sanitation facilities and proper and affordable hygiene materials for the use by adolescent girls and women at home, at school and at workplaces, affects their health, their potential to access education, employment, overall safety and quality of life.

Unsafe and unhygienic materials to absorb menstrual blood can lead to vaginal infections, with possible long-term effects on reproductive health, including psychosocial, educational, work 105 related, and environmental effects.

The goal of this Program is to develop, test and implement a Menstrual Hygiene Management (MHM) Education Guide that can equip girls with the knowledge of what menstruation entails, and how to independently and hygienically manage it.

Within this context, the Menstrual Hygiene Management project uses Nukkad Natak Group discussion as a way to open a dialogue and impart menstrual hygiene education in a playful environment.

Over 3000 women have been trained in menstrual hygiene management thus far in this project. In Madhya Pradesh, Jharkhand, Uttar Pradesh, and Bihar.

AXSHYA PROJECT

Project Axshya aims to improve access to quality TB care and control through a partnership between government and civil society. It will support India’s national TB control programme to expand its reach, visibility and effectiveness, and engage community-based providers to improve TB services, especially for women, children, marginalized, vulnerable and TB- HIV co 124 infected populations.

Objective: The project aims to improve access to quality TB care and control through a partnership between government and civil society. It will support India’s Revised National TB Control Programme (RNTCP) to expand its reach, visibility and effectiveness, and engage community-based providers to improve TB services, especially for women, children, marginalised, vulnerable and TB-HIV co-infected populations. Advocacy, Communication and Social Mobilisation (ACSM) is a major focus.

Key Project Activities :

* Empower communities to enhance their participation in TB services

* Conduct need-based and gender sensitive media campaigns

* Advocate with policy-makers and parliamentarians

* Facilitate involvement of all health care providers to increase the reach of TB services and ensure rational use of diagnostics and drugs

* Synergise civil society’s TB care and control services through partnerships

* Conduct research/training on ACSM, Public-Private Mix, MDR-TB,TB epidemiology, Programme Management and Operations Research

* Support and complement RNTCP diagnostic and treatment services to increase access, especially in difficult and hard-to-reach areas

* Strengthen the state and district level ACSM capacity of programme personne

* Strengthen the linkages between TB and HIV services

* Empower affected and vulnerable communities by facilitating platforms for TB care.

Targeted Intervention (TI) Project for Man having Sex with Man (MSM) and Transgenders (TG)

UNDER NATIONAL AIDS CONTROL ORGANIZATION & DELHI STATE AIDS CONTROL SOCIETY, GOVT. OF NCT OF DELHI

Trust has run the TI Project for MSM/TG at Khanpur , South Delhi from September 2010 to June 2014.

The objective of the program was to reverse the epidemic of HIV/AIDS. The organization worked on 1000 beneficiaries and provided them services from identification of the target group, awaring them about the risks involve in unsafe sex , promotion of condoms during sexual activities, counseling and STI treatment, referral to ICTC for HIV testing and providing them continuum care and support if they are detected HIV positive. The organization has effectively delivered the services and worked to improve the awareness level in the target community and general community as well.

India has made rapid strides in the health sector since independence. However, various eye opening data from National Family Health Survey clearly indicate that access to healthcare still remains a challenge. While the health statistics of rural India continue to be poor, the health status and access to health for the poor in urban slum dwellers has surfaced to be equally deplorable and have less than 4% of government primary healthcare facilities.

Urban slum dwellers suffer from adverse health conditions owing to mainly two reasons-first the lack of education and thus lack of awareness; and second the unwillingness to lose a day's wage in order to reach the nearest medical facility. Healthcare for underprivileged, which is a desperate need, thus remains unaddressed.

The need of the hour is thus a two pronged approach-first to bring quality healthcare services to doorsteps of the needy and second to promote healthcare awareness and contemporary healthcare seeking behavior among the underprivileged.

In such a circumstances DART started health camps and health care centers in needy areas. This is a unique health care programme that seeks to address problems of mobility, accessibility and availability of primary healthcare with a special focus on children and women, in urban slums and remote rural areas.

PROJECT GOAL: To improve the availability and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.

Objectives: To provide health services both at curative and preventive treatment to the community.

To provide accessible health facilities to the deprived community.

To promote good health practices and positive health seeking behaviors through health education sessions, generating health awareness among women & adolescents e.g importance of nutrition , mother & child health (ANC,PNC, promote institutional delivery importance of immunization , hygiene and safe drinking water etc .

To disseminate information on health seeking behavior through awareness campaigns including health meetings, awareness sessions.

To ensure active participation of the community to make community an active partner

To network with the private health professionals as well as the government health care institution for referral services and specialized treatment.

To provide counseling by the doctor and staff on the adoption of good health practices in nutrition, health, hygienic and sanitation.

The DART on Wheels programme has so far provided free healthcare services to more than 7500 children and families.

Key Project Activities

Empower communities to enhance their participation in TB services

Conduct need-based and gender sensitive media campaigns

Advocate with policy-makers and parliamentarians

Facilitate involvement of all health care providers to increase the reach of TB services and ensure rational use of diagnostics and drugs

Synergise civil society's TB care and control services through partnerships

Conduct research/training on ACSM, Public-Private Mix, MDR-TB,TB epidemiology, Programme Management and Operations Research

Support and complement RNTCP diagnostic and treatment services to increase access, especially in difficult and hard-to-reach areas

Strengthen the state and district level ACSM capacity of programme personnel

Strengthen the linkages between TB and HIV services

Empower affected and vulnerable communities by facilitating platforms for TB care.

COVID-19 Awareness Programme

Awareness programs on Covid 19 were conducted in Delhi, Uttar Pradesh (Ghaziabad and Rampur, Moradabad, Gonda, Azamgarh ), Haryana (Faridabad, Palwal) during korona period to control the spread of pandemic disease in above mentioned area. Through intensive visits about 1500 villagers and migrant workers were provided Ration, mask and sanitizers. The methods of immunity boosting were demonstrated among rural resident through medicinal kadha preparation, tulsi extract and yoga practices. Saplings of Giloe, Bramhi, Tulsi, Butch, Piper, stevia were also distributed free of costs to the villagers for kitchen gardening and for domestic uses. Migrant workers were also motivated for yoga and ayurvedic kadha.

The DART team and some volunteers participated in awareness campaign on prevention of COVID-19 Distributed Pamphlets, Mask & Hand Sanitizer , demonstrated hand washing technique , health talk regarding COVID-19.

It was a challenging task to arrange for such activity during the lockdown, the IEC was delivered to the general public as pre-recorded audio media through speakers installed in a tempo traveler.

In view of the Covid-19 pandemic, IEC activity was planned by our Department to be done in areas around our institution to increase the level of awareness and to promote preventive measures to break the transmission chain of COVID19.

Total Coverage - 2500

Drugs de-addiction & HIV prevention program

Millions of Indians are dependent on alcohol, cannabis, and opiates, and drug misuse is a pervasive phenomenon in Indian society.

According to a Government report, India had 2.3 crore drug addicted users. From traditional plant-based drugs such as cannabis, cocaine, and heroin to synthetic drugs such as tramadol, consumption of narcotic substances in India has increased manifold in recent years.

In terms of users, India's illicit drug markets are mostly dominated by Alcohol, cannabis and opioids.

Cannabis in the form of bhang is legal in India. Its other forms; ganja (marijuana) and charas (hashish) are illegal.

Uttar Pradesh has the highest number of cannabis users, followed by Punjab.Roughly one-third of drug addiction cases are from Uttar Pradesh, Punjab, Haryana, Maharashtra and Delhi. However, in terms of population percentage, the north-eastern states top the list. Many pharma products are also used for their sedation effects.Some drug users take the inhalation route for psychoactive drugs.

Nearly 18 lakh adults and 4.6 lakh children fall in the badly addicted category, according to the AIIMS report.

Realizing this, DART, beginning Drugs de-addiction & HIV prevention program. DART providing the services for the vulnerable community in distress and providing them regular counseling and medical advices. This programme with special emphasis on reducing trauma & provide counseling help the victim MSM & IDUs . Our organization objectives are to-preservation, prevention and promotion of healthy environment congenial for living and facilitate prevention and creative health care interventions especially for drugs addicts' community.

Objective of the project

Build an enabling environment through empowering communities at risk so that their vulnerability is reduced.

Increase access to condoms at intervention sites

Increase the accessibility of the BCC

Increase condom use with non-paying/regular partners and increase/maintain the current levels of high condom use with paying partners.

Improve access to STI services for sex workers and MSM.

Increase the utilization of STI/HIV/AIDS related services by sex workers, MSM and their partners in project intervention sites.

To provide Innovative and effective BCC to MSM/TG in order to promote safe behavior.

To ensure the qualitative STI/RTI treatment.

To ensure that HIV counseling and testing facilities are available.

To reduce stigma and discrimination attaché with MSMs

To motivate drug abusers for de- addiction.

To provide treatment to the admitted drug addicts.

To provide Psycho-social services for Rehabilitation of drug abusers.

To create awareness among the people regarding the impact of drug abuses by organizing various programmes such as Song & Drama/Skits, Seminar, Camps, Rallies, Exhibitions, Educational Competitions etc.

To provide awareness about HIV prevention and drugs abuse.

Outcomes

Improved enabling environment for HIV & drugs de-addiction prevention.

Reduce stigma and discrimination

Reduction in drugs addiction & STI from the target area.

Prevent the New Infection from the target area and group

Increase knowledge and use of condoms to target community.

Creation of sustainable network of PE, MSM & IDUs group, their own development.

Since its inception in 2004, more than 4500 drugs addicts, sex workers, MSM and their partners have directly benefitted from the Drugs de-addiction & HIV prevention program.