Though the Government has set up Community Health Centres and Primary Health Centres to cover the entire population of the country, facilities at these centres are highly stretched. Adequate resources are generally not available at these centres to cater to the needs of the people. While private entrepreneurs do set up various types of healthcare facilities in urban areas, there are major gaps in rural and semi urban areas, where industries can contribute. The healthcare interventions of the Foundation are aimed to fill these gaps

Goal

To promote health seeking behaviour and provide effective basic healthcare to the community

Objective

• To reach out to the vulnerable communities with lack of good health services and basic information of diseases
• To provide preventive and curative health service in the project areas

Mode of Action

Preventive

Initiated community based pilot project named ‘Swasthya Prahari’ in Public- Private-People Partnerships (4P) mode
‘Nirog Bachpan’-School health check-up programme

Curative

Supplementing health services through mobile/static health clinics in the project areas

Outcome

JBF is supplementing the healthcare services for the community around the manufacturing locations of Jubilant.

Community Health Services - The basic healthcare services are rendered to the community through a static medical clinic, JBF Medical Centre at Gajraula location. The centre provides various services to the patients as Outpatient Department (OPD), Day Care, Lab Tests, Directly Observed Treatment, Short course (DOTS) for Tuberculosis, Integrated Counseling and Testing Centre (ICTC), X-Ray etc. At other locations the basic healthcare services are provided to the inmates through mobile health units

The Medical Centre at Gajraula, set up in 1980s in association with the Sarvajanik Medical Trust, has developed a high level of credibility with the community around due to the dedicated service provided by the centre.

Preventive

Swasthya Prahari (Health Guards) –A pilot program at Gajraula includes  developing women health guards (volunteers) to work on safe motherhood for the target population and promote institutional delivery. It is helping to revitalize the existing Maternal and Child Healthcare (MCH) services at Gajraula. The Swasthya Praharis are the women health guards who are identified from the local community around the manufacturing location. They keep a track of expecting & lactating mothers, malnourished children, birth& deaths. They also make home contacts; motivate people for visiting health institutions.

The key objectives of project:

• Monitoring and reducing Birth rate
• Monitoring and reducing IMR (Infant Mortality Ratio)
• Monitoring and increasing Institutional delivery to reduce MMR (Maternal Mortality Ratio)

There has been a significant increase in the institutional delivery after the inception of the project curbing IMR and MMR. When the project was started in the 2010, 40% institutional delivery was recorded in the project village which increased with the implementation of project to 80% in 2011 and further reached to around 90% by the end of financial year 2012-13.

Nirog Bachpan

A special health check up drive for students under the project ‘Muskaan’. A regular health scan of these students is performed by a doctor at all locations.

Curative

Integrated Counselling and Testing Centre (ICTC) for HIV& DOTS

JBF has started an Integrated Counselling and Testing Centre (ICTC) for HIV/AIDS in association with UP State AIDS Control Society (UPSACS) at Gajraula. It has a tie up with the Anti Retroviral Treatment Centre at the Medical College in nearby town of Meerut, where the patients found positive are referred. Qualified Doctor, counselors and Laboratory technicians operate this centre.

The DOTS centre at Gajraula was started in 2005. The centre has diagnosed and treated more than 4000 patients. The special feature of Jubilant DOTS centre has been the dedicated services of its DOTS providers in following up all positive cases and ensuring full treatment. To old and infirm patients who find it difficult to come to the centre, medicines are provided at their home by trained community workers. This ensures better compliance by this vulnerable group. The State Govt., appreciating the services rendered, elevated the centre to the level of a ‘referral centre’ in the region for microscopic testing of TB.

Success Story

On 28 January, 2014, Munisha a resident of Naipura village in Gajraula gave birth to a healthy baby at Rani Nursing home, a private hospital in Gajraula. In spite of already having a child, this was an unique experience for her as she chose institutional delivery of her child under the supervision of registered gynecologist. She broke the age old practice of home delivery of baby in her family. Munisha’s first child was born at home. The change agent was Ms Prabha Devi, a Swasthya Prahari under health project of Jubilant Bhartia Foundation. She persuaded Munisha and her family for a safe motherhood.

JBF is operating a pilot project ‘Swasthya Prahari’ under health initiative, helping to revitalize the existing Maternal and Child Healthcare (MCH) services at Gajraula. The Swasthya Praharis are the women Health Guards who are identified from the local community around the manufacturing location. There are 40 Swasthya Praharis working in 34 project villages of Gajraula. They keep track of expecting & lactating mothers, malnourished children, birth& deaths. They also make home contacts; motivate people for visiting health institutions.

There has been a significant increase in the institutional delivery after the inception of the project curbing IMR and MMR. The intuitional delivery has increased from 46% in 2010 to 90% in 2014. Earlier due to lack of awareness and existing taboos, the community was practicing delivery of child at home which is an unsafe practice leading to IMR and MMR. The institutional delivery taken place by the registered medical practitioner assures safe motherhood and child delivery.