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Health Program

Home / Health Program

Blindness Control Programme

COODU has conducted several eye camps periodically in several blocks of Coimbatore district in association with Aravind Eye Hospital. As a result of these camps, children are identified with eye disorders and referred to AEH for further treatment. Aged people are tested for cataract and blindness and also referred for free operations and spectacles. Through such camps, COODU has made the rural people aware of measures for healthy living.

Iodine Deficiency Programme

In association with the Field Publicity Office of Government of India, COODU has conducted Iodine Deficiency Awareness Campaign in all wards in Coimbatore city. This programme was done by involving all SHG members and Government of India staff.

CONDUCT OF MEDICAL CAMPS

  • Treated more than 3000 persons in various health camps
  • Health check up for heart diseases and cancer to a few thousands of people
  • Referred more than 2500 people to Government Hospitals for treatment of various diseases

TRAINING ON NATUROPATHY AND YOGA FOR WOMEN

The National Institute of Naturopathy , Pune has approved training on Naturopathy and Yoga for 40 rural women in Coimbatore District in the year 2002-03, for a period of 6 months. The organization motivated and mobilized women SHG leaders who are eligible and organized the training in Kalapatti town panchayat, Coimbatore. The training on Naturopathy and Yoga was imparted by a medical practitioner and paramedical personnel to 40 women who now practice in rural areas.

PREVENTION OF HIV / AIDS AMONG TRIBAL IN COIMBATORE AND NILAGIRI DISTRICT

Under the National AIDS Control Programme (NACP), COODU undertook IEC activities with messages, materials, activities and events taking into account audience profile, barriers to communication and positioning in different channels for maximum impact, which also lead to behavior change, boosted by formation of National Council on AIDS.

GOALS

With the goal of creating on enabling environment that encourages HIV related prevention, care and support services and also to reduce stigma and discrimination at all levels.

METHODOLOGIES

  • Awareness creation about risks and the need for behavior change among tribes, especially youth and women
  • Demand generation and facilitating an increase in utilization of HIVS / AIDS related health services by providing details of services and its locations
  • IEC materials like posters and flip charts used among tribes to awareness through Interpersonal Communication (IPC)
  • Films containing awareness messages screened in tribal hamlets
  • Pamphlets containing information on various services like counseling, testing, condoms, treatment and care for STI distributed among tribes
  • Condom demonstration and distribution among tribes
  • Organizing exhibitions with information display booths of posters, banners, leaflets and brouchers
  • Awareness through folk arts / street theatre staged by 8 artists
  • IPC by staff trained by resource persons
  • Programs supervised by Project coordinator
  • Documentation through videos & Photos

COVERAGE

20 tribal villages in the panchayats of 24 Veerapandi comprising ten tribal villages in Coimbatore District, Solurmattam comprising four villages, Kunjapanai comprising two villages and kadasolai, Thenadu, Kodanadu and Aravenu panchayats in the Nilgris

DURATION

Four (4) weeks

HIRED IEC MATERIALS

  • Vehicles
  • PA system
  • LCD projector

MATERIALS PURCHASED

  • Dress materials for artists
  • Make up materials

PROGRAM CONCEPTS

By resource persons

CONSTRAINTS

  • Inaccessibility and lack of public transportation in hilly terrain
  • AUDIENCE: Mobilisation of tribes only during late evenings and night
  • Interruptions in electricity supply
  • Chill climate
  • Preparation of scripts for tribal audience

IMPLEMENTATION

January to February 2010

HUMAN RESOURCES

  • HIV / AIDS resource persons
  • Street theatre experts
  • NGO workers
  • HIV positive network members
  • Theatre artists
  • Field workers
  • Adivas; Association members
  • SHG members
  • Community members
  • Elected representative

SELECTED FEEDBACK FROM TRIBAL AUDIENCE

  • Very simple and lucid way of awareness creation
  • Understand ways to prevent AIDS
  • Wonderful awareness programme on HIV /AIDS. Thanks to TANSACS and COODU
  • Street theatre is very good and easy to reach common man
  • All my doubts cleared about AIDS
  • I can tell others on prevention menthods and availability of services
  • Nirodh (Condom) – I have seen it for first time. I will use it correctly when needed
  • Now I know where to go for STD treatment and HIV testing
  • Awareness programme was simple, humorous and thought provoking

HIV/ AIDS Prevention, Control, Care and Support

HIV/ AIDS activities form an important component of development within COODU’s development framework. COODU has offered a wide range of services on the HIV/ AIDS continuum beginning with prevention efforts, moving over to referrals for treatment and diagnosis and currently provides care and support services through the TANSACS-supported COODU Community Care Centre for You (C4U).
In Coimbatore district alone, COODU has undertaken a wide range of intervention efforts among different target groups that include students, teachers, government departments, and the general public. It has also conducted awareness campaigns and assisted in implementation of BSS among high risk behaviour groups such as truckers, commercial sex workers, IDUs, MSM, male and female industrial workers, slum populations and others.
COODU has now embarked on providing Care and Support services through its 10-bedded facility for People Living with HIV/ AIDS (PLHAs) covering a wide spectrum of activities including basic services – food and nutrition, shelter; education services - treatment literacy and treatment adherence; psycho-social services - counselling and referrals; medical services – diagnosis and treatment for Opportunistic Infections and drugs/ medicines and referrals for Anti-Retroviral Therapy (ART); recreational services – resource-cum-documentation centre for PLHA with facilities such as television, DVD, audio players and indoor games; bereavement services – assisting in funeral of PLHA; psychological support to PLHA and their families. The project focuses on reducing stigma and discrimination and enabling PLHA lead better quality lives through proper care and support. Focus is on Yoga. Medication and Psychological counselling for improving life span and reducing mental agony faced by PLHA.
Among the project personnel appointed in COODU Community Care Centre, most of the staff are People Living with HIV/ AIDS (PLHA) thus adhering to the principles of Greater Involvement of People with AIDS (GIPA). This indicates that PLHA are being empowered by COODU and integrated into planning and making decisions that have a direct influence on PLHA.

REHABILITATION OF WOMEN AND GIRLS AFFECTED BY TRAFFICKING,
HIV/AIDS IN COIMBATORE DISTRICT UNDER UNDP-TAHA

Under the UNDP- TAHA project, COODU has undertaken Trafficking And HIV/AIDS (TAHA) project

Mapping of high risk areas

It is proposed to identify the high risk areas in the district where TAHA is more prevalent on considering the following high risk factors

  • Coimbatore District is a commercial centre; with plenty of Industries and cotton mill, oil mill that attracts numerous merchants, mobility and migrant workers to the district throughout the year.
  • Increased floating population due to commercial purposes coupled with increase in the number of commercial sex due to poverty are the main causes of HIV transmission among the rural population
  • Increase in mobility (Truck drivers) heavy flow of merchants throughout the country from other districts, forces the female industrial to choose sexual affair women involved in sex for money, extra material relationship, husband or wife involving in sex is either of their absence are some of the reasons that transmit HIV.
  • In remote areas of the district, there are no proper and intensive sex education measures have been launched on RCH, STI, HIV/AIDS to the youth, adolescents and the mobility and migrant workers. So the illiterate adolescents, women and the people work in fire and match industries are more vulnerable to RTI/STI/HIV transmission.
  • Young girls working in industries are sexually exploited that makes them more vulnerable to STI, and also with HIV

Selection and orientation of Peer educators

On identifying the suitable women among WIPs who have the ability, knowledge and skill social consciousness are developed as Peer Educators through meetings and training programmes. Peer education is the one of the important aspect for the successful implementation of the programme. Peer education is important to deliver message of culturally sensitive issues by an individual WIP from the community and influence the target community as the health issues, much as to adopt safe sexual practices, in have Condom negotiation skill and take appropriate treatment of STD. To strengthen Peer educational activity regular weekly and fortnight meetings of peer educators have to be organised and discussions will be made on the issues and problems and progress of the FSWs on STD / HIV / AIDS prevention. Efforts will be taken to strengthen the peer educators groups organised to ensure the sustainability of the project through the formation of Self-organisation, for welfare of their family and children, and availing benefits from the Government.

Community sensitization programmes through street theatre

The first step is to create awareness about a particular issue among the participants. Once the participant has relaxed, more information about HIV/AIDS, stigma and discrimination etc are given out. Street theatre performance to the rural populations level of comprehension and needs because developed the script based on the existing condition of the community / village.
After the performance, the street theatre groups mix with the audience for discussion and feedback. Before and after the show, the participants receive questionnaires. The information from the questionnaires helps to assess the impact of the interaction. The question and clarification elicited from the audience after the interaction and at the temporary information booths are the first indicators of changing attitudes and behaviors.
After establishing rapport with Primary Health Centre, Government Hospitals and Voluntary Counselling and Testing Centers, education programmes will be carried out on a symptomatic and undetected STD among ignorant women through the counsellors. The importance of early diagnosis and correct and full counselling treatment of STD is the preventive health measure in preventing HIV infection.

Women SHG sensitization activity

It is planned to develop765 Women Self Help Groups organized by COODU as the grassroots functionaries will play to role of HIV/AIDS prevention activities at the hamlet/panchayats/block level . With these points of view, prevention the strategy development is critical unless involvement of partners should be ensured. This can be achieved, as COODU proposes, to involve and develop ----- Women Self Help Groups organised by COODU as community based outreach groups to undertake the preventive measures such as condom promotion, behavioural communication change (BCC) as the Peer pressure on the Community / Village they belong to.

No Name of the Block No. of SHGs participated Total women members
1 S.S.Kulam 67 938
2 Thondamuthur 125 1750
3 Perianaicken palayam 56 784
4 Tiripur (Special) 129 1878

School going girls sensitization

The school children are the future generation who should be sensitized on sex education , HIV/AIDS , Trafficking, child rights and participation etc., COODU has organized the following sensitization programmes for the school going children on their vulnerability and exploitation:

No Name of the Block No. of girl children participated
1 S.S.Kulam 750
2 Thondamuthur 1650
3 Perianaicken palayam 850
4 Tirupur (Special) 2050

Adolescent girl sensitization)

The adolescents in the target region are developed as the education groups by involving them in adolescent girls groups at community level. During the weekly, (at the initial stage) and forthright meetings (at later stage), peer educators prepare the adolescents to learn the knowledge of Adolescent Reproductive Health (ARH) such as:

  • Child and early marriage and consequences
  • Importance of education
  • Population education
  • Reproductive health issues and conserves
  • RTI/UTI/STI/HIV/AIDS prevention and symptomatic observation and treatment.

All the adolescent girl groups will be linked with Government Hospitals and Primary Health Center in the nearby town.

No Name of the village No. of adolescents participated
1 S.S.Kulam 85
2 Thondamuthur 110
3 Perianaicken palayam 60
4 Tirupur (Special) 158

CARE & SUPPORT OF PLHAs

COODU intends to ensure the rights of the PLHAs who are more vulnerable in rural settings. Due to self-stigma and being discriminated by their husbands, relatives, neighbours and the community many tried to commit suicide. Many PLHAs survive for the welfare and prosperous future of their children. The proposed project intends to establish and strengthen the support groups for the PLHAs through various inputs and exposures not only to develop positive thinking, self acceptance but also to develop as a force to advocate their rights, protection and participation with the community, schools, health care settings and stakeholders on stigma and discrimination, myth and misconception of HIV/ AIDS and to ensure community based care and support to the PLHAS

Trainings to PLHAs

Care and support to PLHAs which includes psychological, social, health care economical and spiritual supports.

  • Psychological supports, self care and home care trainings and inputs
  • Increased accessibility to medical services and ARV Stigma and discrimination
  • Networking with other HIV+ networks at the state as well as national level so that their advocacy capacity and positive attitude will be developed
  • Stakeholder sensitisation and involvement in reducing stigma and discrimination

Medical support to PLHAs

As the part of the care and support programmes, medical assistance and support to the PLHAs are provided to cure and prevent Opportunistic Infection (OI) and access to ART from Government Hospital.

PLHAs REACH DETAILS

No Programme Male Female Total
1 Number of Reach 271 232 503
2 Number of In Patient 275 168 443
3 Number of Out Patient 61 61 122
4 Number of Counselling 183 128 311
5 Number of VCTC (Ref) 116 118 234
6 Number of STI (Ref) 69 117 186
7 Number of ART (Ref) 127 93 220
8 Number of TB (Ref) 32 23 55
TOTAL 1134 940 2074

Awareness meetings with PLHAs

1. The PLHAs in general, WAA in particular are subject to stigma and discrimination in the family, society and health care settings.
2. Antagonism, hostility and refusal to interact with the HIV infected are common in these areas as in found elsewhere.
3. The families of PLHAs are forced to live away from the neighbors. Depriving of wives of inheritance right, coercing the wives to undergo testing for HIV and blaming of the wives for being source of infection and forcing her to leave.
4. The community boycotts the businesses run by WAA. And above all denial of treatment for HIV/AIDS and isolation of PLHAs which leads to unwillingness of PLHAs are to reveal their status that contributes to rising infection rates and delay in accessing treatment.
5. Due to frequent illness and physical weakness of parents, the children are in the condition to take up ht responsibility of managing the home by withdrawing from the school.

No Programme Name No of Participants Care Home Other Place Total
1 Psycho Social Support Meeting 401 6 14 20
2 Yoga Training 174 13 0 13
3 Nutritional Food Intake for PLHAs 168 13 1 14
4 Training on Terminally ill Patients 261 1 10 11
TOTAL 1004 33 25 58

COMMUNITY HEALTH PROGRAMME

COODU has outreached community Health and rural sanitation. In order to promote community health and Reproductive and Child Health, Total sanitation programmes in rural areas of Coimbatore district, through the women Self Help Groups of COODU, as community based Peer Pressure Groups, the following inputs need to be given to the women SHGs and other horizontal sections of the community.

No Activity No. of Training held No.of Participants
1 Training to programme women on anaemia prevention 5 120
2 Training on Infant care to mothers 15 325
3 Training on herbal medicine 7 90
4 Capacity Trainings to Traditional leaders 3 50
5 Community awareness meetings 20 5000