BASELINE /HOUSEHOLD SURVEY
A comprehensive Mandal level Household and Family Health Survey was initiated in dec 2013, to understand and document the health, socio-economic and demographic status of the population residing across 195 habitats of the 32 gram panchayats of Thavanampalle Mandal, Chittoor District, Andhra Pradesh. Survey objective was to identify the health and economic demands among this population and to develop a strategy to meet these demands and enhance the health and economic status and thereby the quality life of the people in Thavanampalle Mandal. As of Dec 2019 the survey has covered 33,960 individuals among 11,375 households. Survey is still continuing with an aim to cover the entire population. Repeated visits are being made to the households but total coverage is not being achieved as a lot of the population specially the younger population is working and residing out of the mandal.
Access to basic Primary Health Care remains a challenge in the mandal as indeed in the rest of the country, as has been corroborated by the survey. Lack of transportation, especially in inaccessible far-flung remote hamlets and villages, is a major barrier for the public in seeking quality and affordable health care.
In keeping with the idiom “If Mohammed will not go to the mountain, the mountain must go to Mohammed”, Total Health introduced the concept of “Mobile Clinics” which cater to health care requirements including investigations for the people in far flung hamlets and villages of the mandal, with periodic visits at their door steps. Quality Primary Health Care services are delivered to the community though these Mobile Clinics which includes consultation, basic investigations, counseling and required medication. Need based Special health care camps are also organized with the help of specialists from Apollo Hospitals at Aragonda,Chittoor & Chennai.
02 Mobile Clinics deliver services on weekly basis among the villages of 21 Gram Panchayats covering 104 habitations with a population of 20,000. About 30% of the population is under regular coverage of these clinics with special stress on NCD patients.
As mobile clinic by themselves cannot be the panacea for providing all spheres of Primary Health Care to the community. And the challenges of Non-Communicable Diseases specially hypertension and diabetes which require regular monitoring have led to the establishment of “Satellite Clinics” with an objective of delivering primary health care services at the door steps for basic ailments and non communicable diseases with emphasis on monitoring of hypertension and diabetes. Total Health’s first satellite clinic was inaugurated on 28th June 2015 by Mr. Narotham Reddy, President, Materials, AHEL, at Thodathara village followed by second at Thavanamaplle. These two clinics provide health care services for 15,000 population across 09 Gram Panchayats covering 47 habitations.
NUTRITION SUPPLEMENTATION CENTERS
Nutrition plays a crucial role in Infant and Maternal Mortality which is one of the main objectives of the Sustainable Development Goals charted by UN in 2015. The IMR is targeted to be brought to less than 25 per 1000 live births, as also the Under 5 mortality, and the MMR below 70 per 1 lakh live births with Zero hunger. In order to achieve these goals Total Health started Nutrition Supplementation centers for Pregnant and Lactating Mothers along with their under 5 children and Adolescent Girls (AGs) who will be potential mothers in the near future. At present total 11 centers are operational which provide Nutrition Supplements to registered beneficiaries as per ICMR Dietary guidelines six days a week along with monthly health checkups. In addition to this, project is also running three Special Nutrition centers for Elderly people to address their needs. They are referred to as the Elderly Day Care or Geriatric centers.
As health issues cannot be addressed through Allopathic system of medicine alone especially in a resource constrained rural setting. The vision of Apollo hosps Chairman Dr. Prathap C Reddy for integration between Allopathic System of Medicine and AYUSH for Holistic Health Care Services to the community has been carried out with visible benefits for the community. Total Health introduced an AYUSH Wing as a pilot project at AAH, Aragonda village, Thavanampalle Mandal. On 16th November 2015, Ms. Sangita Reddy, JMD, AHEL inaugurated this Wing. Seeing the success of the model the wing was shifted to a larger standalone facility and currently an exclusive AYUSH center is being built at the project site.
Swarna Bindu Praashana
Swarna bindu is an Ayurveda immunization vaccine and it is administered in the early years of 0 to 16 years for brain development. It helps to maintain a healthy state of mind and body. Swarna Bindu Prashana provides specific immunity along with many other benefits. About 6321 children have been covered under this initiative. In keeping with the ancient tradition, the vaccine is administered only on PUSHYAMI NAKSHATRAM DAY as it is considered as an auspicious day for its administration as per Ayurveda doctrine.