Health is one of the important indicators of social development. Health is also a major segment of human capital. Unfortunately, the health status of majority of community members in this area is far from satisfactory. In spite of various health policies and infrastructure, the threat of communicable and fatal diseases is increasing. After the new economic reforms, the public expenditure on health is steadily declining and the burden of health care is increasingly falling on poor family and individuals. In simple terms, this means that healthcare becomes an unaffordable commodity for the poor. Parbhani district is one of the 100 poorest districts of India. It has 9 blocks, and all of them are very poor. . As per govt India finance ministry 72% population in rural earn below rs.10,000/ per month. (its rs.6000/ only) Our block has population of 1.15 lacks and literacy level of 63.07% (male – 77.66% / female – 47.93%). Some of the health indicators underscore the dismal situation in this district:

One example can put enough light in current unhygienic condition of girls and women. This year WHO has promote a “Awareness week for menstruation” throughout the world. We were also a part of that. And we conducted camps of adolescent girls daily in one village. On the first day of this program, we conducted meeting in a village and 32 girls attended this meeting. All were students of junior college. (11th -12th Std) . Surprisingly out of 32 girls only 2 girls were aware about “sanitary napkin”. No one was using, and even knowing about. From next day our trainers kept bundle of such napkins to show the girls in the meeting. No question arises about their mother, whether they use sanitary napkins.

The approach in this program is to empower the community by imparting knowledge about how they can improve their health status by

  • Focusing on producing enough nutritional food at home and
  • Motivate and educate the community to adopt healthy and hygienic behavioral practices.

Activity includes –

  • Awareness Camp (Public Performance) will be arranged for educating the community for healthy life:
  • Meeting with women and adolescent girls
  • Exhibition for all villagers

Swacch –Bharat concept need to be implemented properly in each village. This is not going to happen automatically, Or not possible only to the government people to do it. We should motivate and educate the community to implement this concept everywhere. One day in the month “Swachh Bharat” concept campaign will be arranged. All pRI members/ teachers and other important persons of the village will actually work to clean the village. Every month we will have this program.

In this area 100% population are depend or related with agriculture. If decided each one can produce enough vegetables, can keep milking animal cow or goat. Natural conditions are favorable. But due to uneducated and traditional system they do not know healthy and hygienic practices. i.e. women are not taking bath for 4 days in monthly period, hardly a woman using sanitary napkin, hardly 5-7% families are having latrine at home, all families allow their drainage water to flow on road and its became open draining in villages on all roads. People do not wash hands with soap after coming from latrine.

Besides government having rural health center and primary health centers, primary health center is for 5000 population and at each village there is a health worker/Aanganwadi Sevika. The mortality rate is very high in the district, it is 10.49% for newborn children, and 22.46% within one year and 27.01% in first five years. In primary health center only 56% pregnant woman coming for check up, and only 15.65%. children between 0-6 years age group turned up the checkups . Naturally this is affecting very badly on the health status of women and children, what we are suffering already.

We see the possibility in improving current health status by creating awareness and proper education to the masses, we hope we can change the mindsets of the society within short period.

No. of Villages Total Households Total Population
10 2101 9657