Community Health
 
INTRODUCTION :
The main target group of ADF is the deprived and poor people of the community. Its efforts and energies are centred on these people who are unable to fulfill their basic human needs substantially, and who remain mostly deprived for long periods. They lack on many fronts; socially, educationally or available healthcare.

Government healthcare infra structure is inadequate and deficient and is unable to reach these people in any good measure. Private healthcare is expensive and is out of reach for these and large segments of the population as well. They also fall prey to or at best have to make do with local quacks. Also qualified medical doctors living and practicing in rural settings is not a common sight. This is the background in which ADF has to operate. Its initiatives are in Social, Educational, Healthcare sectors with special focus on women & children.

MAIN AIM/OBJECTIVES: Is to provide –
  1. Curative, Preventive, Promotive health services  to needy community members;
  2. Build and promote awareness about basic health issues and local common communicable diseases
  3. Sensitize community on special, important issues like HIV/AIDS, TB and De-addiction etc
CHALLENGES/ACTIVITIES:

Coverage of healthcare in the area being what it is, ADF’s Aims and Objectives, Programmes and Activities are geared to meet the needs of these people with the available resources. Government healthcare infrastructure is almost irrelevant; private sector healthcare is expensive, worse often questionable; quacks are doing good business.

ADF believes in tapping the resources available in the community itself, in self-help which is of lasting benefit. Healthcare infrastructure may be very week, but under National Rural Health Mission (NRHM), few reasonably good national health programmes are being carried out. ADF supports and supplements government’s efforts and initiatives in at least three central government and one state government programme in the area. ADF supports TB programme, called Revised National TB control Programme (RNTCP), HIV/AIDS Control Programme, Polio Eradication Programme of central government, and Mobile Health Scheme (MHS) meant for the poorer sections of Northeast District is a Delhi state government initiative.

MAJOR INITIATIVES:
  1. Many thousands of community members suspected of having TB have been screened and thousands of TB patients diagnosed and treated since the inception of this programme called DOTS. Last year close to 6500 patients (4000 women) were screened and 300 confirmed cases of TB cured in the TB Clinic of ADF. In MHS last year 23031 patients were treated for various local diseases. Dual infections with HIV/AIDS are another group engaging ADF’s attention.
  2. Immunization: Another major initiative is the ADF’s Immunization for children under 5 years. (This is an especially vulnerable group with India accounting for the major chunk of death of under fives worldwide.)  Last year - 570 children in MHS and 967 in IRDP (an ADF community development initiative) were immunized for Tetanus, Pertusis, Diphtheria, Measles, BCG, Hepatitis B and Typhoid. Also 933 children were immunized for Polio at our Health Centre last year. ADF has received offers of joint initiatives from private sector agencies like Max India Foundation and District Government Health Authorities in this activity. It would increase our Immunization coverage.
  3. ADF supports children of many age groups right from the new born to small pre school and crèche to school going and rag picking / poor children. Their health status is being monitored and healthcare and free medicines and counseling are provided. There are two orphanages for boys and girls whose entire needs like boarding, lodging, food, clothes, healthcare and education and technical training are being looked after by ADF. There is health check up and monitoring of health status of needy children under various projects. Children with special problems are referred for specialist care to major tertiary care hospitals.
  4. Awareness Promotion and capacity building relating to basic health, local disease, health and healthcare issues. This is done through community and public meetings, healthcare camps, rallies, street plays and observing and highlighting relevant issues on special days or occasions like International Women’s Day (8th March), World TB Day (24th March), World Health Day (7th April), International Day for Women’s Health and Reproductive rights ((27th May), World No tobacco Day (31st May), World AIDS Day (1st December) and others.
 
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