Dr. Sanjivi Awards Invitation - 29/08/2013

Ekam in ToI, Mumbai: Lifeline for 117 kids as NGO backs ops

Lifeline for 117 kids as NGO backs ops

Source: http://timesofindia.indiatimes.com/city/mumbai/Lifeline-for-117-kids-as-NGO-backs-ops/articleshow/21289238.cms

MUMBAI: On July 5, Purava was operated on at Bandra's Holy Family Hospital for a congenital heartdisease. As she prances around happily, her mother cannot thank Chennai-based NGO Ekam enough. "The NGO arranged Rs 1 lakh of the total Rs 1.2 lakh surgery cost," says her mother Neha Khamkar.Ekam representatives contacted her through Purava's anganwadi in Govandi. The operation was conducted within 15 days.

Purava is one of 117 beneficiaries of Ekam's pilot project in Chembur, Govandi and Kurla. The NGO, which has extended its services to Mumbai with this intervention, is aided by donation platform GiveIndia.

Philanthropist Ameeta Chatterjee worked with GiveIndia to help Ekam access its funds. She, along with contributions from other benefactors in Mumbai, financed the endeavour. "The project seeks to bridge the gap between the voluntary and corporate sectors," she said. Previously, beneficiaries-poor families-could get their children to private hospitals only as a last resort. "Even then, if recovery was not instant, they would move the child back to a government hospital to limit spending on a lost cause," said Ekam founder Dr Sailakshmi Balijepalli.

Apart from organizing operations for children, Ekam purchases medicines for pediatric patients. It also arranges for high-end equipment like incubators for infants operated on for heart complications. "Such socially beneficial efforts don't always get financial backing they need. Our aim is to help such effective non-profit organizations get funds," said GiveIndia's DeepaVardrajan, who is associated with the NGO's city entry.

The NGO has both private and government hospitals in its network of 100 hospitals in Tamil Nadu. It hopes to get funding from government schemes such as the 

proposed National Urban Health Mission for its interventions in both Tamil Nadu and Mumbai.

a game changer?

Pharma Fault Lines

source: http://www.thehindu.com/sci-tech/health/pharma-fault-lines/article4837601.ece

Poorer sections can benefit from AYUSH's inclusion under private insurance coverage only if comes under the Rashtriya Swasthya Bima Yojana

The National Health Insurance Regulations recently had a significant new entry. A notification passed under the Official Gazette of Government of India, February 18, 2013, paved the way for the inclusion of AYUSH under insurance coverage.

This implies that treatment under AYUSH, which stands for Ayurveda, Yoga, Unani, Siddha and Homoeopathy, will be reimbursed under medical insurance. Naturally, this has been viewed as a game changer for traditional medicine and treatment methods, whose fortunes have dwindled with the onslaught of modern medicine, which produces quicker results.

It is likely that bringing in AYUSH under the insurance scheme will provide the much needed support base to traditional medicine and attract patients, especially those with chronic ailments, to go in for long term treatment; homoeopathy usually takes a much slower route to cure than allopathy. With almost 280 ayurvedic formulations to treat various diseases listed under the scheme, the market looks positive.

Having sensed its growing demands and now the benefits of insurance, major private companies have already tuned in, introducing ayurveda with special covers. They expect profits to soar and the industry to grow substantially. So far, so good.

But does this ensure a complete inclusion of affected populations? Actually, far from it. The private players are unlikely to attract the poorer sections of the population, who cannot afford even basic treatment, nor show much interest in serving them. Ayurveda, though growing, continues to be the alternate preference of the elite — thus leaving the government with the moral duty of extending the benefits of cover treatment of ayurveda to the poor.

However, despite introducing the scheme, the government itself is yet to adopt AYUSH into its health insurance policies. By not extending AYUSH into the Rashtriya Swasthya Bima Yojana (RSBY), which has 28 million beneficiaries, the poor will continue to be deprived of quality ayurvedic treatment at nominal rates, opines Professor Anand Chaudhary of the Banaras Hindu University’s (BHU) Faculty of Ayurveda, Institute of Medical Sciences. He recently wrote to Uttar Pradesh Chief Minister Akhilesh Yadav to include ayurveda in Below Poverty Line schemes in the State and provide reimbursement of treatment of ayurveda to State employees.

In Uttar Pradesh itself, over 60 lakh persons are enrolled under the RSBY. A majority of them cannot afford AYUSH even though it is cheaper than allopathic treatment.

According to Professor Chaudhary, by limiting AYUSH to private players, the State is depriving the poor of ayurveda’s benefits. Moreover, not much has been done to bring the new regulations into the domain of the middle class. “Many diseases are best cured by AYUSH. The poor generally depend on traditional methods of treatment. The escalating cost of allopathic drugs is still a challenge to provide quality patient care with minimal resources. When the National Rural Health Mission is serving the public successfully with allopathy and AYUSH, then why not under the RSBY as well?” he wonders.

An expert in quality control and standardisation of ayurvedic medicines, Professor Chaudhary says that the pharmacoeconmics of ayurvedic medicines is much simpler today in light of the notification of Essential Drug List of Ayurvedic drugs by the Department of AYUSH. Two years prior to that, the WHO funded the first meeting of Ayurvedic Swasthya Bima Yojana, held at BHU. Government officials, AYUSH practitioners, academicians and ayurvedic insurance companies represented the meet, where a proposal was passed that the Indian government direct insurance and health companies to include ayurveda into their insurance policies. While that has been done with the latest gazette order, inclusion of AYUSH into the RSBY should be the next step.

Dr. Yashwant Amdekar - Vaccination...

The following is a short note by Dr. Yashwant Amdekar on Vaccination needs for children forwarded to Dr. Sailakshmi of Ekam Foundation.

1. Vaccines that should be given to all children -  EPI vaccines must be given to all children and are available free of charge through government and municipal outlets. These include BCG, DPT, OPV, Measles – primary and booster doses. It is important not to miss booster dose of DPT and OPV at 18 months. If child misses the opportunity, vaccine can be given any time thereafter. In case of missed dose, previous dose need not be repeated even if there is a long gap. HBV (hepatitis B) and HiB (bacterial hemophilus influenza vaccine) is being introduced in phases by the government and if available free or affordable, must be taken.

2. MMR vaccine is ideal only when its coverage in the community is large and in which case, second dose of MMR would be necessary anytime at next planned visit but not before 2 months. IAP recommends it at 5 years. If MMR vaccine coverage in the community is poor, it is better not to give MMR as there is a chance of developing natural immunity due to pool of infection continuing in the community. In fact such an exposure to these infections in childhood will prevent occurrence of such disease in later life. Mumps and Rubella are likely to be harmful in later life as against in early childhood. So, either consider two doses of  MMR or no dose.

3. Rubella vaccine may be ideal if woman has not had Rubella during childhood and is ideally given before pregnancy. However it is not easy to know whether woman has had such an infection early in life. In such a case, it may be ideal to offer Rubella vaccine so as to prevent Rubella syndrome in foetal life. Alternatively MMR vaccine can be given as it is easily available and may offer some more protection against Mumps and Measles besides Rubella. There is no harm of vaccine given to a woman if she has had such an infection in the past.                                                                                                                 

HPV vaccine has some scientific benefits. Firstly as cause of cervical cancer is known to be due to human papilloma virus (16 and 18 serotypes) infection, vaccine is more specific against cervical cancer. Secondly, such an infection is almost universal though only small number of infected women would go on to develop cervical cancer. But in absence of regular screening program in our country (in fact, such screening is not much prevalent even in western countries), diagnosis of cervical cancer is possible only in late stage that is nearly fatal. Worst part of this disease is the fact that it hits women in their 30’s and 40’s and loss of mother at this age is disastrous to the family. From all these points of view, HPV vaccine may be considered if affordable but it cannot be recommended to be included in government program because there are more pressing problems than HPV.

4. I would add about IPV. With near eradication of wild polio infection in India (early January 2014, India will be polio-free), we are all elated. However success is still far away as there have been epidemics of polio in countries who were polio-free for many years and this was due to either importation of wild polio virus from countries who still continue to harbor such an infection or also caused by OPV that is capable of developing vaccine derived polio virus besides vaccine associated polio virus. Unfortunately such virus though not wild, is capable of causing same degree of harm as that of wild virus. In fact, if we don’t take proper care, polio caused by vaccine virus is likely to occur at any age including adults and by then if most adults have lost immunity against polio, such a disease may also be fatal and result in epidemics. So IPV is the need of the hour and government is likely to bring IPV in routine immunization schedule for all children in addition to OPV that may have to be continued for some more years. But under cover of IPV, OPV will not cause any harm and over years OPV may have to discontinued.

Finally I feel if anyone can afford just one extra vaccine beyond EPI vaccines, it must be IPV. Far more important is to improve coverage of EPI vaccines in the country which stands at dismal 50% only in spite of vaccine available free to the community. We need at least > 90% coverage to be effective in preventing pool of infection so that even unvaccinated children would be safe as they would not have any exposure to vaccine preventable infection.

So pass on two important messages. First - every child must take EPI vaccines including booster dose of DPT and OPV. Second – if possible give IPV at least one dose that can prime better immune response to OPV and may avoid vaccine induced disease.   

TEMPER TANTRUM...

TEMPER TANTRUM IN TODDLERS

source: http://www.yokibu.com/communityspeak/?p=1

A temper tantrum is a behavior by which a toddler exhibits his or her protest and it ranges from crying, screaming, hitting to breath holding, head banging or even rolling on the floor.

It is equally common amongst boys and girls and the common age group is between 1 and 4 years.

Tantrums  are a part of normal development and need not be looked upon as negative behaviour but requires appropriate, sensitive and sensible management.

Tantrums peak during that developmental phase when a child understands a lot more than he or she is able to express. The prime reasons may be :-

• Frustration resulting from lack of expression of needs.
• Need to have independence in day to day activities.
• Demanding parents and their over disciplining methods.

The following reasons may precipitate a tantrum

• Fatigue
• Hunger
• Frustration when not getting his or her demands
• ‘’Attention seeking’’

“Prevention is better than cure” – so how does one prevent a tantrum???

• Giving attention for the child’s positive behaviour in order to avoid attention seeking behaviour/ tantrum
• Encourage the child to be independent in little chores of daily life. Allow choice making in simple things like dress, food, play activity etc., to make him/ her feel important and responsible.
• Move from teaching simple skills to complex ones to avoid frustration
• Involve the child in planning any outing or activity based on his/her mood and fatigue level. Do not expect them to follow strict social rules at all times
• If the child’s demands are reasonable, it is better to accept rather than to refuse.if not it results in a mess for both the child and the parents
• If there is a premonitory symptom of a tantrum, one can distract the child and give him/her a new toy or enjoyable activity or just change the environment and monitor for the change
• Prepare the child for places where he/ she might throw a tantrum, eg. Shopping, social gatherings etc.,

If still , there is a tantrum , how does one manage it???

• The most important thing to keep in mind for the parent is , “To keep calm and cool and stay in control”. A parent’s frustration will aggravate the tantrum.
• Parents must look for the precipitating cause and manage accordingly
• The child should not be punished. Hitting or spanking is of no use as the parent is the role model for the child
• If the reason is attention seeking or for unreasonable demands, then the parent must continue their activities paying no attention to the child , even avoid eye contact
• But make sure that one parent stays around and do not leave the child alone as during the tantrum the child will be  in an emotional outburst status which would be worsened by loneliness
• If there is a risk of hurting himself or others , or in the event of a tantrum in a public place, the child has to be taken to a calm place and allow him/ her to settle and talk to him about the behaviour once he/ she has settled
• Do not give in to the unreasonable demands , this will mean you are rewarding the tantrum. This will  teach the child to use tantrums to manipulate those around him and his environment. Possibilities are that such behaviour may continue even into adulthood
• If the tantrum involves the child’s safety issue then, physical restraint or a brief period of “time out”may be required

After storm …….  it must be calm…. so, what does one do???

• Make sure that the parent’s looks and body language indicate that he/ she is willing to comfort and support the child
• The child has to be praised verbally and given reassuring hugs to show that the parent ishappy that the child has regained his or her control
• The parents must talk to the child later about the behaviour and explain  tantrums are incorrect and also about appropriate behaviour which would make them feel happy

So, when will a tantrum require medical attention ???

• Tantrums increasing in frequency, intensity and duration
• Child frequently hurts himself or others
• To rule out physical problems like earache, headache, pain abdomen or vision issues as cause of tantrum
• Underlying behavioural or mood disorders
• Child is in ‘’Demolition – man mode ‘’

Tantrums usually settle as communication improves .Children gradually settle down with their peer group and academic and family settings as they grow up.

GOLDEN RULES IN DEALING WITH A TEMPER TANTRUM

• Remember that you are the role model for your child
• Stay in control and only then you can think of controlling your child or the tantrum
• Encourage positive behaviour to help them exhibit more of good behaviour
• Avoid criticism and punishment
• Express to the children that  you love them a lot and you only hate the inappropriate behaviour

Don’t you feel we can modify the old saying’’ Spare the rod and spoil the child” to  ‘’ Spare the rod and mould the child’’

forwarded and recommended by: Dr. Sailakshmi, Ekam Foundation

Decline of IMR rate in India...

THE SLOW DECLINE IN THE INFANT MORTALITY RATE IN INDIA

 Can governance be an explanation?

Please find the link below,

http://iph-partnership.org/images/6/6b/6_Slow_decline_of_IMR_..._87-102.pdf


Dr. Sai

World Bio-Diversity Day!

May 22nd is the World Bio-Diversity Day as declared by U.N. This recent need to acknowledge that diversity is important for the collective future of mankind has resulted in such declaration (its merely 11 yrs now). World over the loss of diversity in crops, particularly food crops have been noticed with great concern by scientists and concerned citizens alike. The loss of diversity in food in particular and all crops has resulted in them becoming vulnerable for pest attacks of all kinds and need more fortification in terms of fertilizers and chemical pesticides. A look at the drop in the diversity can be seen in the image (link).

What's all this got to do with human health?, one may ask. Its not just the crops, but, also human health that needs more fortification to sustain life in a mono-cropped world. Children in some many parts of the world today receive 12 times more vaccine than what they received seventy years ago. We have heard so many times during our field interactions when village elders reveal how they ate diverse forms of millets and stayed healthy till old age whereas youngsters brought up in just rice today often are not as strong even in their teens and twenties and fall pray to diabetes in their thirties. Diversity of crops provided the eco-system to withstand diverse types of changes, mono-culture rendered them more vulnerable. Same way, diversity of food provides our bodies better nutrition and good health. Let's celebrate diversity in our food and environment and stay healthy (read more here).

ram

Village Health Committee Meeting at Thally block Krishnagiri dist on 13th Feb 2013

Village Health Commitee Meeting and  PHC Center Visit @ Thally block  Krishnagiri Dist

       On 13^th Feb 2013 we are conducting a Village Health Commitee Meeting at Thally block in Anchetti Panchayat office  ( Mavanatti village) .Participated in Village Health Commitee members Ms.Shanthi President ,Mr.Madevi Nanjundan Ward member,Ms.Shantha VHN,Ms.Tamilselvi VHN,Ms.P.Kavitha SHG,Ms.Uma SHG,Ms.M.Kavitha volunteer . To the processes of village sanitation, maternal and child nutrition and health, pregnancy and Services health related topics we  are discussed . On Friday the first week of each month to have the Village Health commitee Meeting decision at this meeting. Village Health commitee members and all the names and responsibilities, their phone number, written on the card  from  Anchetti PHC Hospital and panchayat office been in for all to see.

Some Snap Shots on 13^th Feb 2013

 

PHC Center Visits and Some details Collecting :

S.No	Name	Destination	Ph Number	Note
1	Dr.Shankar Ganesh	BMO	9444359438	4 Block Medical officers
2	Dr.Udayakumar	BMO	9894191432
3	Dr.SanthoshKumar	BMO	9789416641
4	Dr.Ashok kumar	BMO	8754102922
5	Ms.Shantha	VHN	9445132487	Total 9 VHN ,currently 3 VHN working ,6 VHN debtation.
6	Ms.Tamilselvi	VHN	9445132486
7		VHN
8		Staff Nurse		4 Members
9	S.Manonmani	SHN	9488458769
10	S.Malarkodi	CHN	9442563031
11	Albonsha	ANM
12		ASHA Volunteer		Total 20 members
1	Shoba	ASHA Volunteer	9489880039
2	Munilakshmi	ASHA Volunteer	9787145861
3	D.Radha	ASHA Volunteer	9486313302
4	Sivarathinamma	ASHA Volunteer	7679143688
5	P.Chitramma	ASHA Volunteer	8675582285
6	Sivarathinamma	ASHA Volunteer	9443810529
7	Muthu	ASHA Volunteer	9655676636
8	Jothi	ASHA Volunteer	8489478153
9	Amutha	ASHA Volunteer	7639055271
10	Roobakala	ASHA Volunteer	9488431800
11	Radha	ASHA Volunteer	8489134768
12	Rammeka	ASHA Volunteer	9047377992
13	V.kala	ASHA Volunteer	9751252292
14	Radha	ASHA Volunteer	9443534880
15	V.Gowri	ASHA Volunteer	9159241199
16	Palaniyammal	ASHA Volunteer	9751269549
17	Chandra	ASHA Volunteer	7373881625
18	Kalaivani	ASHA Volunteer	8489537051
19	Bhuvaneshwari	ASHA Volunteer	8124607541
20	Pattamaa	ASHA Volunteer	9751886227

--
P.Gokulavasan
Regional Coordinator
Ekam Foundation
No,16/19,2nd Floor,
jayalakshmipuram 1st Street,
Nungambakkam,Chennai-34.
PH:9790377575
044-43582125.