INRECA Sansthan is engaged in health awareness and SBCC activities since last 25 years. We had realized to start OPD hospital with some few beds at our existing premises so that health services could be imparted to the local tribal community. Truly demand is on higher side but due to financial constraints facing a lot of problems in rendering services properly. So, we decided to approach to Ministry of Tribal Affairs, New Delhi under GIA scheme which has been duly considered our request under GIA- 10 or more bedded Hospital Scheme by Ministry of Tribal Affairs, New Delhi Future Plan for expending hospital in full-fledged manner by seeking loan from Nationalized bank and develop a SUPER SPECIALITY HOSPITAL named NARMADA HOSPITAL & RESEARCH CENTRE (NHRC) in order to provide quality medical facilities in remote and tribal area. Currently operating 49 bedded hospital servicing since 2017-18 and provide treatment for Typhoid, Dengue, Malaria, Abdominal pain. Diarrhea, Sickle cell Disease, Food poisoning Substance Abuse, Addictions in tobacco. Dysentery. Scene diseases, Blood pressure Dialysis, LFT, CBC, Anemia Patients. Most of the services started in response to Covid-19 and Cholera (2017-18) epidemics as per the demand from the community. Upon was felt that the patients analysis of past records and interaction with the patients, were recovering from the diseases. The hospital provides 3 meals for the IPD patients and calm environment. The campus of the hospital is highly functional with the air condition and cleaned. The scheduled tribe's and other local community members of the villages were also happy with the services. The organization has recently started some other services in the hospital; example: Sickle cell disease camps and treatment, Dialysis, LFT, CBC, Anemia also Doctor's visited as required and scheduled for specialist of Hematologists, Ortho, Pediatrician, Gynecologist, ENT, Eye Specialist etc. All the records of the patients capturing directly in the MIS system and it's fully paperless and online system.
There was active participation of the villagers and village leaders/influencers in ensuring that protocols for the lockdown were in place. They ensured that the roads leading to and out of the village were closed; people did not gather in large numbers and maintained social distancing. They also helped in making arrangements for staying for people who came from outside the village and also took them to the PHC for check up. In Tilakwada; Nandod and Garudeshwar they did not pass on the message of wearing mask to the people or frequently washing their hand. This was done in Dediyapada and Sagbara. The priorities of the villagers used to be to ensure that their family had food and their livestock had fodder. The villagers were allowed to go to their farms for farming and majority of the farmers were busy in their fields. The low number of infections tell us that there was active cooperation by the villagers in maintain the lockdown protocols. In the various Talukas the villagers adopted various types of coping mechanisms during the lockdown. In Talakwada they helped each other in getting necessities while in Nandod and Garudeshwar they ensured that they did not allow outsiders to enter the village and this was done in the other Talukas as well. Social distancing was not m e n t i o n e d i n m o s t o f t h e F G D s . Though in some of the FGDs they mentioned that they received all the services related to maternal and child health during lockdown the ground reality is that there were gaps in the delivery of these services.
Eye Camp & General Health Camp:
INRECA is involved in conducting eyes camps and general health camps in tribal area since 1988 with the assistance of Dr. Doshi of Gujarat Blind Prevention Trust, Chikodra, Rotary Club; Ankleshwar, Lions Club, Vadodara etc. The local folks are being treated free of cost and hundreds of patients have been treated to by the INRECA & renewed salt merchant of Ankleshwar Shri Sureshbhai Jayantilal Shah had organized a big Eye camp at INRECA in association with Vishwa Hindu Parishad which covered almost entire Dediapada operations are carried out, the patients were kept in INRECA complex for at least 7 days. Free lodging and boarding had been arranged. Spectacles distribution had also conducted free of cost. INRECA had organised one general camp in INRECA complex in association with Sardar Sarovar Punrvasvat Agency, Vadodara & penal of doctors of Rajpipla jointly. Main emphasis was given to displaced families of Narmada dam as well as the patients of hear by villages likewise about 300 patients work treated during the camp of various diseases.
Across the world adolescents are recognized as young people aged between 10 to 19 years. It is a transitional stage of physical, physiological and psychological development from puberty to legal adulthood. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. India has the largest adolescent population in the world. Ensuring adolescent friendly and quality health, nutrition and education services is a certain investment to securing the development, security and prosperity of their futures and those of generations to follow. Programmes for adolescents are fragmented at present and do not comprehensively address all psycho-social, emotional, physical and aspirational needs of adolescent boys and girls. Access and availability of health care services are severely limited. Negative norms and taboos accentuate access and opportunity to make life choices especially for adolescent girls. Lack of accurate information, absence of proper guidance, inadequate opportunities to build life skills and ignorance of parents and elders along with the patriarchal structures inhibit their active participation in decisions that affect their lives.
