Better Healthcare for Tribal Families in Bhadradri District – District Administration Kothagudem
The Malaria incidence has reduced from 1081 cases in 2018 to 250 cases in 2020 with zero mortality.
Problem
- The project area was not faring well with regard to several health parameters
- Due to the terrain and remote areas, it was difficult to get access to health services
- Health issues such as malaria, dengue, TB and diseases relating to women and children were rampant
- Anaemia in pregnant women, maternal mortality, infant mortality, and malnourishment was high
Solution
- Capacity building of service providers to improve overall quality.
- Introduction of Total Sanitation Drive (TSD) to control vector-borne diseases.
- Establishment of surveillance and rapid response teams to conduct house to house surveys.
- Arrangement of mobile vehicles to make services accessible to interior remote areas.
- Introduction of De-worming programme, anaemia reduction programme, nutrition rehabilitation centre and DEIC to target beneficiaries
Outcomes
- The Malaria incidence has reduced from 1081 cases in 2018 to 250 cases in 2020 with zero mortality.
- The Dengue cases reduced from 694 in 2018 to 26 cases in 2020 with zero mortality.
- The Typhoid cases reduced from 2183 in 2018 to 56 cases in 2020.
- The MMR which was 180 per one lakh live births in 2018 reduced to 82 MMR in 2020.
- The IMR which was 24 in 2018 reduced to 17 in 2020
- Became the only Green zone district from Telangana State during the pandemic period
Project Details
Category: Government – District
Sub-category: Governance
Project: Better Health Care for Tribal Families in Bhadradri District
Organisation: District Administration Kothagudem
Start Date: 11-Nov-2016
Problem
Bhadradri is a district that has 2/3rd tribal population, most of which are below the poverty line with high illiteracy rates. The district has some deep-rooted health concerns that need to be addressed. Access to government health services is a real challenge for the district. The reasons behind this are illiteracy, hard to reach areas and traditional practices followed by the residents. The medical history of the district also reflects several deep issues. Many villages were affected by a bout of malaria resulting in 1081 cases in 2016, dengue rose upto 694 cases in 2018 and TB rose to 1716 cases in 2016. Besides all this, anaemia in pregnant women, maternal mortality, infant mortality, and malnourishment were markedly noticed in the tribal population.
Solution
To start with, the organization started awareness campaigns and meetings with stakeholders and provided training to all service providers in their respective areas of concern like mother and child health care services. To make services accessible to the interior remote areas, they established 23 mobile vehicles with health teams to provide health services for NCDs, rapid testing for COVID, antenatal care services, palliative care services; 102” ambulances for ANC checkups and immunization services. 12 RBSK vehicles were deployed for screening children for diseases, deficiencies, developmental delays and birth defects. 20 “108” ambulances and 6 FLR bike ambulances were deployed for emergency services in hard to reach areas. The surveillance and rapid response teams were established to conduct house to house surveys/visits. Other strategies were also adopted for controlling diseases such as disinfection of hotspots, installation of the proper drainage system, pulse polio immunization and regular periodical de-worming programme along with the establishment of the Nutrition rehabilitation centre and giving utmost importance to target children.
Outcomes
With meticulous efforts, it became the only Green district from Telangana State in the COVID pandemic period which was mentioned in the list of 23 districts at the National level by Mr Lav Agarwal, IAS Joint Secretary, Health and Family Welfare, Govt. of INDIA and secured Bronze Medal at national level for TB reduction and working towards A TB free district – TB free India. The Malaria incidence has reduced from 1081 cases in 2018 to 250 cases in 2020 with zero mortality. The Dengue cases reduced from 694 in 2018 to 26 cases in 2020 with zero mortality. The Typhoid cases reduced from 2183 in 2018 to 56 cases in 2020. The MMR which was 180 per one lakh live births in 2018 reduced to 82 MMR in 2020. The IMR which was 24 in 2018 reduced to 17 in 2020. There is 100% De-worming in the district for the continuous 3 years. Along with that, the district achieved 100% Target in Pulse Polio Vaccination for the past 3 years. Also, 99% COVID Vaccination has been achieved for the health care workers. So overall, the drive proved to be a massive success.
