Community Ushered Regional Effort in Health Care in North East India (CURE)

is being Implemented in 5 states; Manipur, Meghalaya, Assam, Mizoram and Arunachal Pradesh.

Project Goal

Promotion of safe motherhood and child health and enhance community competency towards malaria management in 254 remote villages

  • Our focus/ objectives

1. Mother and child care- Institutional delivery and immunization, adolescent health  

2. Reduction of Malaria

3. Strengthening of existing  health centers

  • Key activities

  • 1.Village level orientation on MCH cum nutritional camp-ANC, PNC
    2. Training and orientation on maternity benefits/ schemes for pregnant women and mothers to various stakeholders and health personnel
    3. Health Teaching
    4. Training on Emergency Care at ANC, Labor and PNC to  community and health personnel 
    5. Training on Herbal Medicine/nutritional supplement  to community , health personnel
    6. Public Consultation meeting with Primary Health Centre and other Government stakeholders.
    7. Health Awareness seminars (SRH) for adolescent girls
    8. Malaria awareness  and detection camp at villages level/HFC level
  • 9. Sensitization meetings with Peoples Organizations
    10. Motivation and animation meeting / training with VHTFs/VHSNC/HCC
    11. Equipping the health facilitation centers based on their identified need to keep them functional.
    12. Regional Networking meeting with health care departments
    13. Organizing a regional Level Community Health Summit
    14. Capacity Building, Coordination, Monitoring and Evaluation Activities
  • Capacity Building for health personnel of Seva Kendra, Miao and Field Visits to project implementing area

  • Capacity Building for health personnel of Seva Kendra, Miao and Field Visits to project implementing area Capacity building training was conducted on 17th July for the health coordinator and health supervisors of Cure project at Tinsukia. The purpose of two days training was to motivate the health workers and
    supervisors to implement the project activities well. Topics discussed were project goal, objectives, activities, writing reports and filling data formats. While planning for the coming months, the group decided to address issues such as alcoholism, early marriage, broken families, illegitimate pregnancies, abortion , lack of education facilities for drop outs, lack of health centers , issues of safe water, insufficient transportation and communication facilities, lack of good health, hygiene and sanitation and superstitious beliefs while carrying out the regular activities. After the completion of the training for two days the regional
    coordinator visited Divine health centre, Tissa in Tirap District and St. Thomas health centre Pongchau, Longding District. There was group meeting with health workers at the health centre and interaction with people in the village and on the following day the meeting was organized at the village Pongchau, Longding District.healthSome of the social and health problems of the community that emerged during discussion were not having health facilities near the
    village, difficult terrain to reach far away health centers, negligence in health checkups on time and lack of sufficient knowledge to deal with health issues etc. Inputs were given on improving mother and child health, nutrition, Institutional deliveries, taking children for immunization, timely health check up, ANC and PNC care and malaria care.
  • Achievements
  • S.No

    Data

    Aizawl

    Imphal

    GGSS

    Miao

    Diphu

    Silchar

    Shillong

    Total

    1

    Total House hold

    4052

    3294

    7470

    3163

    2976

    2782

    2275

    26012

    2

    Total population

    22118

    15547

    36806

    20154

    15863

    14906

    13396

    138790

    3

    Children (0-2)yrs

    1007

    1191

    2520

    1393

    1374

    1082

    1562

    10129

    4

    Mother’s availing ANC

    200

    689

    1469

    320

    376

    142

    342

    3538

    5

    High Risk pregnancies

    5

    502

    501

    6

    4

    0

    9

    1027

    6

     Total Delivery cases

    162

    195

    1207

    318

    690

    166

    377

    3115

    7

     Mothers availing PNC

    136

    83

    940

    195

    690

    88

    260

    2392

    8

    Patients treated at Health C

    2510

    2247

    1260

    584

    11408

    2837

    26089

    46935

    9

    First Aid treatment given atHC

    348

    904

    1164

    1138

    281

    148

    5077

    9060

    10

    Patients referred to Hospitals

    126

    79

    1166

    1259

    592

    1438

    1032

    5692

    11

    Number of children Immunized

    348

    556

    1723

    555

    714

    851

    903

    5650

    12

     Number of Adolescents

    1411

    976

    1697

    1357

    1124

    878

    1464

    8907

    13

    SRH reached to Adolescents

    1411

    902

    1697

    1287

    987

    878

    1327

    8489

    14

    Malaria cases  positive

    2

    16

    627

    64

    613

    2

    493

    1817

    15

    People Using Mosquito Net

    19217

    10434

    31840

    16743

    12165

    14500

    12715

    117614

    16

    Number of children under 2 yrs treated at Health centre

    334

    306

    822

    560

    834

    148

    827

    3831

    Outcome (Qualitative level)

  • A.Mother and child Health

    1. Health of the mothers and children has improved through better hygiene and balanced food intake.
    2. Pregnant women are going for regular Antenatal and post natal checkup.
    3. Majority of the child births are taking place in hospitals or health institutions.
    4. Mothers and family members voluntarily take their children for immunization  at sub centers and hospitals
    5. Women’s knowledge to care for their health and children have shown marked improvement.
    6. Women have begun to grow vegetables   in their homesteads which in turn have improved the intake of nutritious food.
    7. Mothers have the skill to prepare herbal medicines, vitamins, supplementary food and tonics at home.
    8. Mothers and community are educated on maternal benefits, health schemes like JSY, health insurance, Mamta kit and have accessed the schemes.
    9. Adolescent girls and boys have enhanced knowledgeon reproductivehealth, behavioral problems andare able to acceptpositively the physical changesat this stage of their life.
    10. High risk pregnancies are referred to hospitals and community participates in transferring the patient to hospitals by arranging vehicles and calling ambulances provided by government or private agencies.

    B. Management of Malaria

    1. People participate effectively in awareness programmes organized by NGOs and GOs in the villages or health centers.
    2. Government / NGOs provide the RDT kit for detection of malaria casesthat leadsto timely treatment.
    3. Villagers have adopted preventive measures like sleeping under medicated mosquito nets, sprayingDDT, usingmosquito repellents,   keeping surrounding clean from stagnated water and bushes, proper maintenance of drainages, watertanks,wearing longsleeved cloths in the evening and ventilating   the rooms.
    4. Government agencies distributemedicated mosquito nets topeopleoccasionally.
    5.  VHSNCs(villagehealth nutrition and sanitation committee) are aware of the preventive measures of malaria and help to educate people on the same.

    C. Strengthening of Health centers

    1. Patients are given quality care at health centers through outpatients and inpatients care.

    1. Health education and medical camps have helped the people become aware of health issues   and access health facilities on time.
    2. Health workers and ASHAs are capacitated with knowledge on health related topics and provided with First aid medicines to take care of the needy ones in the villages.
    3. Patients are referred to bigger hospitals when required further treatment
    4. Improved collaborationwith private and government departments with medical and social

    Development agencies, officers, doctors, ANMS, ASHAS and anganwadi teachers.