Annual Report 2011-12

ANNUAL REPORT OMRAH 2011-2012
About Orissa Institute of medical Research
& Health Services (OMRAH)
The Orissa Institute of Medical Research and Health
Services (OMRAH) is a non-profit making sociodevelopmental organization, founded by a group
of Health Professionals way back in 1986.
Conceived as a research and service organization,
it has gradually shaped itself as a responsive
Institution to the needs of outreach and
underserved communities living in slums and rural
pockets, with programs addressing to the rights of
children, adolescents and women.
As a responsive Institution, OMRAH has been
acting upon the needs of the communities it
serves. The main focus has been on Health and
Education, and the approach has been an
integration of both. In the process of intervention,
the key stakeholders: the children, adolescents
and women, have occupied the front seat and to
a large extent have owned the programs.
HISTORY
The Orissa Institute of Medical Research and Health
Services (OMRAH), founded in 1986, is a
professional association of medical and
developmental professionals interested in health,
education, and social development of the
communities living under economic hardships,
outreach localities and devoid of adequate access
to basic services. Since the beginning, under the
leadership of Dr. Sashimani Panda, a former
professor of a medical college, friends from various
walks of life have been drawn together to forge
an alliance to promote medical research and health
services. As they moved on, programs of women’s
empowerment, adolescent education, early
childhood education and so on were brought into
focus as a response to local needs.
OMRAH’s Mission:
“To initiate and sustain participatory and people
centered approach for quality health of
vulnerables. Besides, providing basic health care
services, it strives to promote rights of vulnerable
(women, children, and adolescents) to lead a
dignified life based on equality and social justice
by building their capacity, facilitating process of
empowerment, strengthening networks and
advocating on public policies”.
Objectives :
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To undertake scientific activities and research
for development of health care system
including programming, optimally suitable for
the present day society with all its sociocultural environment.
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To promote reproductive and child health
services among disadvantaged population.
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To initiate activities on a wide spectrum of
socially relevant problems including child
rights, women empowerment, care of the
elderly and improvement of livelihood.
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To disseminate knowledge relating to
ecological balance and mitigation of disaster
related risks.
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To strengthen grassroots democracy by
capacity building of Panchayati Raj
Institutions.
Legal Status :
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Registered under society Registration Act,
vide No. 18995/33 of 1987-88
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Registered under FCRA in Ministry of Home
Affairs, Govt. of India vide
OMRAH’s Vision :
“A premier health institution catalyzing the actions
for quality health of vulnerables in State of
Orissa.”.
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No. : 10486007 of 1991.
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Registered under section 80G of Income Tax
Act 1961 and 12 A
ORGANOGRAM
Governing Body
President
Secretary
Projects
Training &
documentation
Research
Administration
Manager
Training
Coordinator
Research
Officer
Administra
tive Officer
Health
Community
empowerm
ent
Education
Medical
Officer
Support
staff
Counselor
Community
mobilization
Staff
ANM
Nurse
Social
Animator
Health
worker
Volunteers
Part time
faculty
Volunteers
Cluster
Coordinator
Animator
Volunteers
Field
Support
Investigator
staff
Accounts
Officer
Support
staff
Governing Body
1.
Field
Social
Workers
animator
Field
investigators
2.
3.
4.
5.
6.
7.
8.
9.
10.
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12.
13.
14.
15.
Dr. Sashimani Panda
Retired Prof. of Obst. & Gynecology,
President
Dr. Almas Ali, Consultant Public Health Vice President
Dr. Chittaranjan Mishra, MD,
Consultant Obst. & Gynecology
Vice President
Dr. Shobharani Das
Retired Prof. of Pathology
Secretary
Dr. P. L. Sai, MS Surgery,
Treasurer
Ms. Nalini Mishra, M.A. (Social Sc.) Joint-Secretary
Dr. Hemalata Swain, MD, Retired Prof.
Obst. & Gynecology
Member
Dr. Ahalya Devi, Medical Practitioner
Member
Dr. Draupadi Devi, MD, Retired Prof.
Obst. & Gynecology
Member
Dr. (Prof.) D. N. Misra, Head of Dept.
Medicine, LHMC P.G.I. Dr. Ram Manohar
Lohia Hospital, New Delhi.
Member
Mr. R.N. Dash, Retd. Engineer,
Mahanadi Vihar Cuttack
Member
Ms. Hemamanjari Jena, M.A (Oriya)
Member
Mr. Subas Ch. Kar, M.A (Economics)
Member
Dr. P. C. Samal, Public Health Consultant
Member
Dr. Radhashyam Kar, MD,
Paediatric Specialist
Member
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CORE COMPETENCY AREAS
Reproductive &
Child Health
services
Training &
Research
Adolescent
Empowerment
Right based
intervention
Women
empowerment
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Health education
Clinic service / MCH centre
Mobile health unit
Referral services
Pathological immunization/X-Ray facilities
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Need Assessment study among MSM/FSW/
IDU
Training of various aspect of health related
to mother & child and specific diseases
Running TOT for other organization staff
KABP study on Adolescent Reproductive &
Sexual Health
Malnutrition study among under five children
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Life skill education / educational materials
Health education & reproductive rights
Health services
Counseling / helpline
Computer kiosk
Facilities for indoor/outdoor games
Capacity building training
Adolescent Resource Centre.
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Community sensitization
Capacity building of community
Sensitizing Govt. Officials
Interface with Govt. and community
Group formation & counseling of children
Mainstreaming in formal school system
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Formation of SHGs for women
Leadership and skill training
Life skill building training
Grass Root level Training for SHGs on
enhancing their basic knowledge on
Accounting & maintains of book of Account
Advocacy initiatives with Govt. Officials
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Disaster
preparedness
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Staff capacity building training
Need assessment & ToT
Preparation of community contingency plan
on disaster Management.
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As district coordinator for voice for child
rights Orissa
Member of Indian Network of NGOs on HIV/
AIDS
Member of Orissa Voluntary Health
Association
Member of Health NGO Research Network
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Alliance building
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INFRASTRUCTURAL FACILITIES
• Administrative building
• Training Centre
• Documentation centre
• Maternity Hospital
• Mobile Medicare Unit
- It has its own Administrative building at Cuttack (2400 sq. ft.) which
serves as administrative office-cum-training centre.
- The Administrative building also has a central training centre to
accommodate 30 participants
- The Administrative building also has facility for a documentation centre
with well furnished library, computers, resource materials, audio visual
equipments a number of OMRAH own published books, reports,
periodicals and news letters.
- A maternity hospital at Kulagaon Ishalo in
Nischintkoli block of Cuttack district with
outpatient department and pathological
laboratory. Regularly visited by specialist
doctors in O & G and other department. A
large number of people both from the
Nischintakoili and other nearby block comes here to take the health
service opportunity being provided by the hospital.
- An ambulance provides services to people in remote areas in transfer
of patients / high risk patients to hospital.
INTEGRATED RURAL PROJECT FOR CHILD DEVELOPMENT
OMRAH is a partner of CRY (Child Rights and
You), Kolkata for last 13 years. With CRY’s support
OMRAH is implementing “Integrated Rural Project for
Child Development since 1998 in an outreach
community, covering nine Gram Panchayats, in
Nischintakoili Block of Cuttack District.
The long term goal of this project is to provide
best possible opportunities to children from poorest of
the poor homes who otherwise would never have gone
to school and have achieved the milestone of
development appropriately. W ith this sifting of
objectives, OMRAH is putting its continuous efforts to
ensure that Rights of Children should not only be
respected but also must not be violated.
Rights of children are fundamental freedoms and
the inherent rights of all human beings below the age
of 18. These rights apply to every child, irrespective of
the child’s, parent’s / legal guardian’s race, colour, sex,
creed or other status. The essential message is equality
of opportunity. Girls should be given the same
opportunities as boys. All children should have the same
rights and should be given the same opportunity to
enjoy an adequate standard of living.
Objectives of the Project
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Ensure improvement in the malnutrition status of
children in the age group of (0-5yrs) by
malnutrition tracking and activation of ICDS
services.
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Tracking of the malnutrition status of 100%
children in the age group of (0-5) in 5 project
villages.
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To activate the pre-schooling and supplementary
food distribution services of ICDS through
community involvement.
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To ensure Improvement of the status of primary
education using the provisions of RTE.
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To facilitate communities for raising demand for
adequate infrastructure and adequacy of teachers
in primary schools as per the RTE act.
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To facilitate communities for raising demand for
adequate infrastructure
and adequacy of
teachers in primary schools as per the RTE act.
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To initiate campaign for enrollment of drop/left
out children with focus on girl child enrollment.
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To facilitate the process of formation of SMC and
capacities of SMC on their role and responsibilities.
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To mobilize communities for improvement in the
delivery of social security schemes.
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To ensure proper delivery of the social security
schemes in the project area. (with focus on PDS/
NREGA) by involving POS & Volunteers.
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Strengthening the process of children collective
action to enable them to raise demand for rights.
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To strengthen the process of children observation
and appeal card on primary education issues.
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To develop exit strategy for the present set of 18
villages where organization is working based upon
the assessment.
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PROGRAMME AND ACTIVITIES
Programme Conducted during the Year 2011
January - 2011
Orientation Workshop of Govt. Health Personnel
on Malnutrition issues.
February-2011
Malnutrition status Identification for malnutrition
tracking
Training on ICDS provisions and monitoring
technique for staff PO’s and women group and
tracking.
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March 2011
Training to village volunteers on monitoring social
security schemes .(PDS / NREGS)
Training to PO’s representatives and volunteers
on RTI filling.
- Malnutrition tracking among 0-5 yrs children
in 5 project villages.
April-2011
Malnutrition status identification for malnutrition
tracking.
Training on ICDS provisions and monitoring
techniques for staff, PO’s and women group.
Block level workshop on RTE State Rule (PO
Representatives,CBO’s teachers, SMC members)
May-2011
Exposure to staff and CBO for learning on
Intervention of child Right.
Observation of Labour Day
June - Malnutrition tracking among
Networking meeting with Cadre,Po’s,CBO’s &
NGOs.
November
Workshop with Govt.health personnel,CBO’s
representative on ICDS functioning.
Workshop on right to education monitoring
techniques for youth, adolescents group members
and PO’s members.
August
Qly meeting of women group members and PO’s
representatives on ICDS monitoring report sharing.
September- Malnutrition Tracking
Padayatra by PO’s members for creating
sensitization on RTE.
December
Training to PO’s representative and volunteers on
RTI filling. Media Workshop by Pos
Sharing workshop on education status of the
project area Education Deptt. and PRI members.
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INITIATIVES CARRIED OUT TO MEET THE OBJECTIVE
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Staff orientation on Malnutrition tracking.
Preparation of plan for data collection &
plotting for identification of malnourishment
status.
Enlist under-five children in five villages.
Physical health check-up of all children in
above five villages.
Record keeping of all children.
Identification of Malnutrition status among
under-five children in five operational
villages.
Sharing the report with PO’s & women group.
Information collected regarding ICDS centre
in operational area and analyzes it in staff
review meeting.
Identification of inactive centre in the area
according to the data collected.
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Prepared a plan for activation of the centre
(How & whom).
Organized capacity building programme for
women group & PO’s on ICDS services and
provision of ICDS.
Sharing the identified issues with PO’s
representatives and women groups.
Regular follow –up and preparation of village
report card regarding basic six services of ICDS
by women group and sharing it with village
committee.
Organize interface meeting among service
providers and beneficiaries.
Demand generated by community members
for service activation.
Action taken by the village committee &
women group.
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QUANTITATIVE ACHIEVEMENTS
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RTI Filing by Gopinathpur Village Community
members on ICDS services.
100% immunization in 9 villages of the area
like (Bodhanga, KulagaonIshalo, Danpur,
Gopinathpur, Narendrapur, Mangalpur,
Kesulo, Buhalpur and Mallickpur)
Identified malnutrition status among under
five children in five operational villages.
Twenty-two children were identified in Red
zone who are found suffering in malnutrition.
Among them only 4 are included in govt.
record. in first quarter.
Eighteen children were identified in Red zone
who were found to be suffering in
malnutrition in the period of Second quarter.
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Sixteen children identified in Red zone who
were found to be suffering in malnutrition
the period of in third quarter period.
Out of 22 ICDS Centre, 10 ICDS Centre were
found to be active in 3- Services like PreSchooling, Nutrition and Immunization.
(Bodhanga, Naiguan, Gopinathpur, Buhalpur,
Bilipalda, Nahalpur, Narendrapur, Mangalpur,
Kesulo and Mallickpur)
6 Women group have capability to monitor
the ICDS services by preparing report card
independently.
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Qualitative achievements
Gaps identified
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Increased Institutional delivery (90%)
Immunization camp regularly conducted
in the project area.
Members of VC in every village have
ownership for improvement of services
at community level
Women group regularly monitor the six
basic services at ICDS in project area.
Increased ownership of community
members for monitoring the ICDS services
at community level
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Lack of proper co-ordination between
PO’s, CBO’s and Block, District officials.
Political pressure is of a big hindrance
for proper service delivery
Lack of proper advocacy strategy on
ICDS issues.
Lack of confidence of village women
to monitor the process of preparing
report card at long term.
TARGETED INTERVENTION AMONG IDUS OF
CUTTACK CITY ON STI/sHIV/AIDS
OMRAH has been implementing Targeted
intervention project among 300 IDUs of Cuttack
city on prevention and control of STIs/HIV/AIDS
with support from Orissa State AIDS Control Society,
(OSACS) Department of Health and Family Welfare
since October 2008 till now. The programme is
continuing as the core populations are more
vulnerable to HIV transmission.
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Goals :
PROGRAM COMPONENTS :
To contribute to the reduction of HIV/AIDS
incidence among injecting drugs users, their
partners and families and reduces the pool of
infection. This will in turn contribute to increased
quality of life for IDUs in Cuttack urban slums.
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To reduce the transmission of HIV/AIDS
among the IDU community.
To reduce the transmission of HIV/AIDS from
IDUs to partners, offspring ’s and wider
community.
To create an enabling environment people
already suffering from AIDS.
Community Mobilization
STIs care
Condom Promotion
Behavior Change Communication
Needle-Syringe exchange and
minimization for IDUs.
Enabling environment.
Referral & linkage
harm
QUANTITATIVE ACHIEVEMENT :
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PROGRAM OBJECTIVES :
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22 new community members were
registered.
43274Condoms were distributed free to the
HRG’s and outlet.
523 IDU’s referred to ICTC
475 tested at ICTC. No one found positive.
To increase the utilization of risk reduction
services by IDUs in Cuttack city. The project
will provide risk reduction services to at least
300 IDUs and 150 shadow users & partners in
8 different areas during the period of one
year.
To bring about Behavioral Change by switching
over from Needle sharing to safer injecting
practices.
To reduce the number of the people who are
injecting
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59909 Syringe distributed.
73412 Needle distributed.
256 of target population undergone syphilis
testing.
929 undergone Regular Medical checkups.
24 HRG’s have been treated for STI.
19 Abscess treatments done.
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QUALITATIVE CHIEVEMENT :
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It was noticed that there has been substantial
improvement on knowledge level of target
population on HIV/AIDS. On this, it has been
observed that there is behavioral changes
among the target group which resulted in
consistent use Condom.
Now most of them are aware that they are at
risk because of their needle and syringe
sharing and exposure to unsafe sexual
behavior.
Behavior change communication – In this
comprehensive approach, 50% IDUs have
stopped sharing.
IDU’s are buying Needle and syringe.
51% of them are engaged in working as Peer
Educators in our Project. They are earning
their livelihood, attending N.A meeting and
living happily.
One CBO in the name “JOIN HAND’S” has been
formed by the community members.
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program. The training was very informative for
them. Definitely their capacity will improve their
basic knowledge on book keeping, Business plan
and marketing management.
Rural Adolescent Resource Center
The Adolescent Resource Center of the Orissa
Institute of Medical Research and Health
Services(OMRAH) is located in the premises of
the Matrumangal Kendra (Maternal Health Center)
at Kulagaon Ishalo, in Nischintakoili block of
Cuttack district which is functioning since August
2010. This is also place for adolescents to meet
regularly to share their concerns, and there by
improve their life skills. The center has been
established with support from UNFPA, Odisha.The
very purpose of the Adolescent Resource
Center(ARC) is to increase access of rural
adolescent boys and girls to knowledge on ARSH,
and to provide opportunities to acquire life skills.
The centre provides facilities of computer, T.V,
library, news paper, Magazines & that too indoor
game facilities
ACTIVITIES
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GRASS ROOT LEVEL TRAINING
PROGRAM FOR SELF HELP GROUPS
With the financial support from National Bank for
Agricultural & Rural Development (NABARD)
OMRAH Organised two training progrmms on
strengthening capacity of Self Help Groups on their
knowledge on accounting and maintenance of
books of accounts. Around 60 Women SHG
Members from 12 SHGs participated in the training
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Conducted knowledge, Attitude and Practice
study on ARSH among adolescents
Mobilisation and formation of Adolescent
groups to take ownership of the adolescent
Resource Centre and to operationalise it as a
hub for adolescents.
Orientation workshop of Adolescents boys
and girls on ARSHH, & Life Skills.
Training of 60 Adolescents as Peer Educators.
Organised Competition among Adolescents
on Essay, Debate and Art.
Establishment of Computer KIOSK.
Painting interior and outerior walls with
messages on health, Nutrition and education
theme.
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Library has been set up with collection of
books, Magazines, journals and CDs/DVDs on
topics of health, Nutrition, hygiene.
The computer corner with internet connectivity is
in great demand than expected. The Library corners
has about 1000 books, few magazines, and other
publications. Besides OMRAH has placed its past
and present IEC materials (flip charts, handbooks,
leaflets) in good numbers for adolescents for using
the same in their group discussions in the center.
The Resource center has also been catering to the
recreational needs of the adolescent boys and
girls. They are spending their afternoon in playing
indoor games like ludo, Chinese checker and
carom etc.
Adolescent boys and girls, already involved with
various programs of OMRAH were further
mobilized to form small groups to take ownership
of the Resource Center, and to run it as a
knowledge hub, and act as voluntary peer
educators.
Empowerment of women through skill Development
On empowering women on their skill
development, OMRAH is running a Tailoring
Institute at Kulagaon Ishalo and providing skill
training in Cutting, Tailoring & Dress making since
last one year or so, with two tailaring Intructors.On
completion of the courses, Certificate is given to
the successful candidates by our organization. As
being observed this training programme has
helped some women group as their source of
income. Besides, different programmes on health
and welbeing were organised time to time for
them.
Deepashikha Institute of Technology
(An Unit of OMRAH)
Vocational Training Providers (VTPs)
Vocational Training is a concurrent subject under
the Constitution. The Central and state
Governments share responsibility for effective
implementation of vocational training system in
the country. At the national level, the Directorate
General of Employment and Training (DGE&T),
Ministry of Labour & Employment (MoLE), is the
nodal body for formulating policies, laying down
norms, standards, conducting trade test and
certification of vocational training under the aegis
of training advisory body National Council of
Vocational Training (NCVT).
The training under SDI scheme is provided at
various Vocational Training Providers (VTPs)
registered under Central Government, State
Governments, Public and Private Sector and
Industrial establishments/Institutes etc. VTPs
provide counselling & vocational guidance,
training facilities as per norms, impart quality
training, post training support to trainees in
getting employment. VTPs optimally utilise the
training infrastructure available. VTPs also
maintain data base on trainees trained and the
outcome of the training, develop training
infrastructure in the emerging areas. It also tracks
the trainees for three years or till they get
gainfully employed.
Deepashikha Institute of Technology (An unit of
OMRAH) has been registered by Directorate of
Industries, Govt of Odisha,Cuttack for Short course
Vocational Training on 14 modules relating to
medicals & Nursing. As to the guide lines of DGE&T
the candidates on successful completion of their
modules, can get certificate from DGE & T and can
get employment opportunities in Govt NonGovernment , health institution & nursing homes..
It also provides counseling, impart quality training
and post training support to trainees in getting
employment. The said institute is being functioned
soon.
Observance :
World Health Day: A mass meeting was organized
on the occasion of world Health Day on 7th April
2011 at MM Kendra. A quiz program on health
related issues was organized among woman SHGs.
Labour day : On 1st May 2011 Labour Day was
organized in collaboration of NGUS at Harachandi
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Temple premises. More than 200 local leaders,
SHGs, local labours participated and discussed
about labour Act and related issues
World Breast feeding Week : This Day was
observed by the SHGs and lactating mothers with
a meeting and discussion about the importance of
Breast feeding for a healthy baby.
Beheraline in Cuttack urban slum. Local leader and
the women groups particip[ated in the program. A
Health check up camp was organized by OMRAH
on this occasion. A quiz program on HIV/AIDS was
conducted by TI staff among the IDUs to
disseminate knowledge on HIV/AIDS among the
general mass.
Children’s Day : OMRAH celebrated Children’s Day
on 14th November 2011 with fun and joy as like it
has observed for past several years. About 400
children gathered in a meeting with their parents
and guardians graced by local leaders and
Teachers, PRI members. Cultural shows were
International Women’s Day : The international
Women’s Day was observed on 8th March 2012 at
our Matrumangal Kendra, Kulagaon Ishlo. More
than 100 women participated. Young girls
staged by the Balkalkars. Debate competition on
Right to Education was conducted by children and
prizes were distributed to them. Incentives was
given by the guests to the scholars among the
class IX & Class X students reading in the local
schools.
World AIDS Day-2011 : On 1st December 2011 World
AIDS Day was observed by OMRAH at SCB
participated in debate and essay competition and
prizes were distributed to the best participants.
World Population Day : It was observed in the
OMRAH’s Rural Health Centre being participated
by local opinion leader, P.R.I. members & members
of SHGs and discussed on the effect of huge
increasing population of the world & its
stabilizations.
For more information please visit: www.omrahs.org
Or contact: Program Officer, OMRAH, Friends colony, Bajrakabati Road, Cuttack 753 001, Orissa, India.
Tel: 91-671-2415950, 2412787, Fax: 91-671-2415950 E-mail: [email protected]
Printed at Graphic Art Offset Press, Cuttack-1. Ph (0671) 2301822
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