THDC Niramaya : Health Interventions under CSR plan

THDC Niramaya : Health Interventions under CSR plan

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H. L .Bharaj

Good health stimulates almost everything that people desire, to be free from illness and to escape poverty, hunger, to work to secure freedom, to gain education, learning, to be treated without discrimination, to be able to claim their rights and to live in a safe environment.

The United Nations 2030 agenda for Sustainable Development Goals (SDG) embraces these aspirations. SDGs are the basic objectives of a programme that aims to be a comprehensive prototype for human development. SDG- 3 states ‘Ensure healthy lives and promote wellbeing for all at all ages’.

The Millennium Development Goal4, 5 and 6 primarily targeted major causes of illness and death in low-income countries with special focus on child and maternal mortality and major communicable diseases. In contrast, the SDG recognizes that opportunities to improve health can be found not only in specific health interventions (SDG 3), but also through social justice (SDGs 4, 5, 10, 16–17),environmental protection (SDGs 2, 6, 7, 11–15), and shared prosperity (SDGs 1, 8, 9). These three pillars of sustainable development are seen as unified and inseparable. It’s not merely another proposal for mitigating causes of death; it is a vision for a better way of life and recognizes that the many drivers of good health are interdependent. More explicitly than before, health is seen as a “state of complete physical, mental and social well-being.”

World’s second-most-populous country, India faces both unique challenges and miraculous opportunities in the sphere of public health. Data from the Govt. shows that India’s infant mortality fell from 57 to 33 per 1,000 live births from 2006 to 2017 but still remain higher than the global 29.4. Life expectancy at birth has increased from 63 to 69 years, and the maternal mortality ratio has fallen from 374 to 130 per 100,000 live births over the same period. The country also faces perpetual and appall public health challenges, particularly for the poor.

Apart from this India also has a severe shortage of human resources for health, and too primarily concentrated in urban areas. Bringing qualified health workers to rural, remote, and underserved areas is very challenging. Nurses do not have much authority or say within the health system, and the resources to train them are still inadequate.

Uttarakhand has a population of 1.01 crore and a majority of them reside in rural areas. The health system is most affected among villagers living in the hills due to long time in travel apart from limited available means. Tehri distt. of Uttarakhand with a total area of 4421 sq. km, is so far major functional area of THDC. The lack of pathological, radiological & expert facilities etc. also forces the public to travel distant cities to get diagnosed and avail treatment, which in turn puts pressure on city health care facilities, infrastructure & patient kitty.

Keeping in view of this, THDCIL a government hydro major CPSU in North India and being a socially responsible organization, continuously strives to come up with solutions and health services facilities through various health camps and awareness drive with reputed hospitals and institutions.  Some major community oriented efforts of THDC in the area of health are as under-

Allopathic Dispensary at Deengaon, Tehri

Deengaon is located in the remotest area of district Tehri. To cater this issue THDC established an Allopathic Dispensary at Deengaon run by Shaheed Bhagat Singh (Eve) Collage, University of Delhi. Free of coast consultation and medicines are provided. All basic facilities are available (i.e. MBBS Doctor, Paramedical staff, and basic pathological tests, X-ray, ECG, on call ambulance facility (24X7 power backup), Minor OT & free medicines).  This allopathic dispensary caters around 15000 population of surrounding approx. 40 villages. Annual Expenditure of this dispensary is apporx. Rs. 30 lakh.

Till Sept., 2019 total 76,652 no. OPD is registered since inception.

Support to Govt. Health System

THDC India Limited, apart from outreaching to project affected villages through health dispensary and medical camps, also support Govt. Health Infrastructure and systems from time to time by donating necessary health equips and medicines. In the recent past, THDC has donated one X-Ray Machine and 6 Fowler Beds to CHC, Sitarganj, Udam Singh Nagar; one Dental Chair and Machine Equipment to CHC, Lambhagon; one Ambulance to AIIMS, Rishikesh and one to VPHEP, Chamoli. THDC also supports Tehri Distt. Health Dept. to tackle high prevalent anemia among adolescent girls & pregnant women of the region by providing Iron tablet and nutrition supplement in liaison with Chief Medical Officer, Tehri Garhwal,.

Flagging off ceremony of Ambulance to VPHEP, Chamoli by CMD, THDCIL

THDCIL
Flagging off ceremony of Ambulance to AIIMS, Rishikesh by CMD, THDCIL

thdc
CMD-THDC briefing press media on CSR health interventions of THDCIL.

Multi-Speciality Medical Camps

Every year SEWA-THDC also conducts 10-15 multispecialty medical camps including eye camps in Tehri district through THDC doctors posted at Tehri, Koteshwar projects, Rishikesh and Nirmal Eye Institute Rishikesh. Recently medical camps after MoU with AIIMS, Rishikesh were also being held at Tehri, Koteshwar & Rishikesh to scale up the health services in remote locations in liason with District CMO. Rotary International, another reputed NGO is also being roped in to further enhance the health benefits to remote villages of Tehri Distt. in consultation with State Deptts. Dental camps were also being organized in partnership with Seema Dental College, Rishikesh.

So far till Sept 2019, total 161 medical health camps since 2011-12 with approx 37,519 OPD have been conducted under above efforts and 2181 no. of cataract eye operations have been successfully done.

Tele-Medicine Centers

Tele-Medicine scheme uses telecommunication and IT to provide clinical health care from a distance. First of its kind in Uttarakhand, started in December’ 2017. Total 40 Tele-Medicine Centers are operational in District Tehri in convergence with District Administration, Tehri and serves to the need of 200 Gram Sabhas and approx. 1 Lakh people. All Telemedicine centers are equipped with a medical kit (briefcase) having Pulse Oxymeter, ECG Machine, Wifi ECG recorder, X-Ray view box, Glucometer and other essential tools and a comprehensive pathological kit along with an android tablet having list of 500 essential medicines & portable hot spot to facilitate diagnosis, data transfer and communication with district hospital. Scheme is further linked to AIIMS, Rishikesh for expert services not available in District Tehri.

THDCIL
Tele-Medicine Kit handed over to DM, Tehri by Sh. K.P.Singh, GM (PSP), THDCIL

THDCIL
Tele-Medicine Kit being handed over by Mrs. CMD, THDCIL

THDCIL
Cheque of Rs. 21 Lakh handed over to DM Tehri by ED, THDCIL, Rishikesh

THDCIL along with Tehri District Admin has been conferred with E-Governance Award by Deptt. of Administrative Reform and Public Grievance under Ministry of Public Grievance and Pension, GoI. in March, 2019.

Total OPDs registered at all 40 telemedicine centers till Sept 2019, since inception is 24626 no.

Training of Health Professional

THDC in order to address the shortage of qualified health workers in Govt. and private health systems, started to facilitate skill development of youth from project affected villages in courses like A.N.M since 2017. Since inception total 32 youths are supported through CSR plan of THDC to attain the qualification of trained ANM to serve the society.

Homeopathic Dispensaries

Homeopathy is an alternate form of medicine based on doctrine of like cures like, a claim that a substance that causes the symptoms of a disease in healthy people would cure similar symptoms in sick people. Total 06 dispensaries are operational in District Tehri, Uttarkashi & at Rishikesh through Swami Narayan Mission Society, Rishikesh to provide free of cost consultation and medicine facility. Expenditure of homeopathic dispensaries is approx. Rs. 25 lakh/ year.

THDCIL
Homeopathy Dispensary, Indiranagar, Rishikesh visited by Director (Tech.), THDCIL
Since inception total OPDs registered till Sept 2019 are 7,01,546.

“THDC has spent more than 60 % of its annual CSR budget on Government CSR theme Health Care & Education for the year 2018-19 and is committed to ensure the same in year 2019-20 in govt. directed CSR theme School Education, Health Care & Nutrition.”

Cumulative summary of OPD registered in various health initiatives under CSR plan:

Year Tele-Medicine 555 Health Scheme MC by THDC Doctors MC by Nirmal Eye Institute MC by AIIMS, Rishikesh MC by Delhi University Project MC by HNB University Project MC by other agencies Homeo-pathic Dispensary Allo-pathic Dispensary Total
2019-20 7338 728 174 1844 303 41289 6721 58397
2018-19 15324 8346 2268 1023 1338 265 1413 85251 16272 131500
2017-18 1964 2392 3366 1741 311 622 69 1381 70546 19145 101537
2016-17 3811 1592 66193 13564 85160
2015-16 345 634 597 84142 12722 98440
2014-15 4451 446 91274 8228 104399
2013-14 758 1085 116 2002 70057 74018
2012-13 442 3167 79054 82663
2011-12 1099 71697 72796
2010-11 42043 42043
24626 10738 11718 10700 3493 1003 1112 9365 701546 76652 850953

*MC= Medical Camps
** SEWA-THDC- A registered NGO of THDC India Limited

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