Capacity Building of Health Care Providers on GIRC under MCSP-Program

Now- a- days public health is the most demanded topic for all i.e People, Policy Makers, Media Persons, students as well as Academicians. Being a new arena not only it gathers concepts from the existing disciplines such as: Sociology, Psychology, Statistics, Management, Medical Science but also engage professionals from various backgrounds such as Health Care, Communication, Management as well as Social Sciences. This apart it has also used some of the proven strategies such as: Research and Development, Capacity Building, Awareness generation through IEC/BCC activities, Monitoring and Supervision, as well as Advocacy to optimize the output. Among all Capacity Building is an important strategy for improving understanding, generating awareness among the end users, Change Agents as well as the Internal staffs.

Capacity Building Exercise

In a country like India, women and child are found to be the most vulnerable section whose rights have been violated in all areas of development.  Health is not excluded from this.  High mortality and morbidity rate enforces the Govt. and Other Development Agencies to focus on Reproductive and Child Health. A number of programs are on the ground to improve the situation but still their rights are not safeguarded.

Team Work

Group Presentation

In order to ensure gender equitable, socially inclusive and respectful health care services (especially in Family Planning) Centre for Catalyzing Change (C-3) in collaboration with Health & Family Welfare Department, Odisha planned to trained, near about 17000 health care providers starting from the grassroot level worker (ASHA, ANM) to facility based service providers (Surgeons, SNs, Program Managers/ Administrators etc) under the umbrella of Maternal Child Survival Program (MCSP). The program is currently implemented in 12 MCSP focused districts of Odisha and Chhattisgarh.  Hope the capacity building exercises will have a positive impact on the health care providers and act as a stepping stone for advocacy on Seven Universal Rights of Child Bearing Women. 

Dichloro Diphenyl Trichloroethen (DDT) Vs. Synthetic Pyrethroid (SP)

DDT (50%)

In order to reduce the incidence rate of Vector Born Diseases, the Govt adopted dual strategies like Reduction of Vector growth as well as Reduction of Parasitic growth. The reduction of the vector growth can be achieved through effective use of insecticides. Generally, this happens in 02 different ways: 1. Release into air in the form of Vapour (Fogging) 2. Application to the surface in form of spray/deposit. In case of Kala Azar, though the vector is found inside the room, hence the second strategy is found to be more effective than the first one. In public health when we choose any insecticide for Residual spray, few things have been taken in

Synthetic Pyrethroid

to account i.e Toxicity to the targeted vector, Longevity on given surface, Lethal effect/not repellent, Acceptance in the community, Safe for Human as well as Domestic Animals, Suitability in storing and transportation, Cost effectiveness.

Stencilling

During the initial period DDT has been used for IRS in Kala Azar elimination program implemented in all the 33 Kala Azar affected districts of Bihar. Over a period of time it has been observed that the rate of reduction in the incidence rate is very slow. It was suspected that due to continuous use of DDT leads to resistance in sand-flies which reduces the lethal effect and the second major cause was reduction of community acceptance due to white stains on the wall & bad odour.

Spray using Stirrup Pump

In order to speed up the reduction rate, Govt.of Bihar has taken initiative to change the insecticide i.e shifting from DDT to Synthetic Pyrethroid. This not only overcome the above drawbacks but also more effective in terms of storage & transportation, Water solubility & longevity etc. Though SP (Synthetic Pyrethroid) is water soluble, doesn’t leave any stains on the wall/surface and odourless, hence easily accepted by almost all communities irrespective of caste, class, race & religion.