Posts filed under ‘Kalahandi Balangir Koraput (KBK) region’

Survey finds health care in trauma in Kalahandi and Balangir districts

Following is a report from the Telegraph

Bhubaneswar, Aug. 12: Another case of dengue death was today reported from the SCB Medical College and Hospital in Cuttack, while swine flu has already claimed nine lives in the state this year.

When the state is facing multiple health issues, a Bhubaneswar-based organisation, the Centre for Youth and Social Development (CYSD), has conducted a survey on the issue and challenges of primary heath care facilities in the two most backward districts – Kalahanadi and Balangir. The survey reveals how people are still not getting basic health services, including ambulance services.

The study was conducted in Balangir and Patnagarth constituencies of Balangir district and Narla and Junagarh constituencies of Kalahanadi district. The infamous Daana Majhi case that was reported last year, where Daana had to carry the body of his wife for nearly 12 kilometres after being unable to get the ambulance, was reported from Kalahandi district. In these four constituencies, a total of 37 primary health care centres have been selected by the organisation. The study covered primary health care centre, sub centres, villages and communities in these areas.

The expert team interviews 50 per cent of out patient department (OPD) patients visiting each PHC. The patients were selected on the basis of convenience and snowball sampling method. They were asked to share their satisfaction levels and experience at the primary health care centres. Total 370 patients (10 patients from each primary health care centres) were covered. Besides, the grassroots services providers – Accredited Social health Activists (Asha), auxiliary nurse midwives and anganwadi workers were interviewed on implementation of various government schemes.

They find unavailability of buildings as a major problem in imparting health care service to the patients. In absence of adequate and habitable staff quarters, it won’t be possible to put a check on doctor absenteeism and 24X7 primary health care centres won’t function smoothly. The primary health care centres need to be converted into 24X7 centres with in-patient department facilities.

Provision of safe drinking water and power back up (important in case of power failure during emergencies) are also major issues at the primary health care centres. The unavailability of diagnostic services and referral transport is causing a lot of difficulties for the people. While in some instances people are bound to pay higher prices in getting their medical condition resolved, in other cases, many are often showing lack of interest due to lack of money (thus, turning again to traditional healing methods or quacks).

The service providers also showed displeasure in many aspects. The doctors showed discontent regarding unavailability of staff quarters leading to daily commuting to the primary health care centres (few of them which are in remote areas).

Though medicines never run out of the stock and the quality of the medicine is good, the people don’t trust the quality of medicines as they think that government medicines are free and therefore, might be of poor quality. In many cases, doctors allegedly prescribe expensive medicines that patient parties have to buy from outside.

Asha and auxiliary nurse midwives are the health activists in the community who create awareness on health and its social determinants and mobilise the community towards local health planning and increase utilisaton and accountability of the existing health services. But these service providers face various issues at the ground level, such as communication problem, excessive field area and too much workload.

The survey report also alleges that the Asha workers are losing interest and motivation to carry out their regular duties as they are not getting incentives at the right time. Some of them also remained absent on the MAMATA Divas which is held on the second Friday of every month. Due to this continuous absenteeism, the beneficiaries have started losing trust on Asha workers.

Another major issue is lack of ambulance facilities and the people depend on their own bikes and bicycle, to reach to hospitals. Lack of ambulance facilities often turn out to be fatal for pregnant women. The status of 102 and 108 ambulance services is in highly deteriorated condition and people have been grossly disappointed.

CYSD co-founder Jagadananad said: “The study is an attempt to understand the nuances of the primary health care services provided at the grassroots and to gather the perceptions of the community regarding the services like access to health, infrastructure, human resources.”

Delivery in auto-rickshaw

A woman of Sunakhandi Tikarpada village in Kalyansighpur block of Rayagada district delivered a baby in an auto-rickshaw on her way to the hospital on Saturday. Her family members alleged that though they called the 102 ambulance service to rush her to Kalyansinghpur Community Health Centre after she complained of labour pain, the ambulance did not turn up.

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August 16, 2017 at 7:20 pm Leave a comment

How a 75-year-old tribal man grew a forest in Kalahandi

Debabrata Mohanty
Hindustan Times, Bhubaneswar
Forest officials say the work by Majhi and local tribals in Kalahandi is an important step in guarding the forest resources.

The septuagenarian Kondh tribal from Kalahandi’s Boringpadar village may not have studied much, but has brought cheer and hope to a place where death is an annual feature.

In 1979, Majhi started planting sapling on the 97 acre barren land adjoining a hillock near his village with support from the Nehru Yuva Kendra. Villagers who used to grow millet on that land had no idea what Majhi was up to, but grudgingly came around to support him for next three years.

Some 35 years later, the 97 acres of once-barren land near his village is home to a luxuriant forest consisting of Sal, Teak, Acacia, Chakunda and several other timber and fruit-bearing trees. In the process, he showed the ability of free Indians to battle the most adverse of circumstances, and the transformation that takes place when society and state collaborate.

Epicentre of starvation

Kalahandi in the 60s was known as Ethiopia of India for its acute starvation triggered by long periods of drought. After a particularly protracted spell of drought in 70s and 80s that forced poor parents to sell their children, former Prime Minister Rajiv Gandhi visited the region. While its forested landscape was being slowly eroded by timber smugglers who valued the rich Kalahandi teak, the shifting cultivation of tribals took its toll on the forest cover

“When I was young I came to realise that without rains we would not have any hope. My father told me that the only way we can have regular rains is through forests,” said Majhi. This was the time when a young Majhi got serious about ways to prevent drought.

An old picture showing Manjhi and others planting saplings (HT photo)

 

With some handholding by local forest officials and help from Nehru Yuva Kendra in Bhawanipatna, Majhi and his elder brother Bali through Boringpadar Yuvak Sangha started planting saplings on the barren land, that was recorded as forest in government files. Soon the rest of the villagers joined in. The remunerations were not great – all that the villagers got was a sack of potatoes and two sacks of rice.

“At times when people were not willing to go for planting, I used to mortgage my umbrella and utensils at home to pay people and a security guard to keep an eye on the saplings,” said Majhi, standing next to a sal tree which he planted. Tejiraj Pradhan, a young farmer, still remembers how he used to plant saplings with Kartik mausa.

The transformation

Ten years later as the saplings grew in length, the once-barren area sported a different look. “It was like seeing a desert bloom,” said Majhi’s friend Kirtan Majhi.

Impressed with his work in creating a forest out of a barren land, the forest department in late 90s entrusted Boringpadar Yuvak Sangh the task of looking after the 500 hectares of reserve forest near his village. The villagers also keep an eye on another 500 hectares of forest near the hills adjacent to the village.

Forest officials say the work by Majhi and local tribals in Kalahandi is an important step in guarding the forest resources.

“Creating a forest and guarding can never be done by the forest department if individuals like Majhi are not involved. A forest guard is supposed to guard an area of 20-25 km. Is it possible on his part to keep an eye on so large an area,” asked Suresh Pant, regional chief conservator of forests of Bhawanipatna.

Preserving the legacy

Despite efforts by Majhi, old-timers of the district are not so hopeful of seeing the luxuriant forest cover of mid-80s when 50% of its geographical area was under forest cover. The last Forest Survey of India published in 2015, put the forest cover at 30%. “The success of people like Majhi is important, but it’s very difficult to get back what we lost,” said former Kalahandi MP Bhakta Charan Das.

Now 75, Majhi can’t walk properly and has problems in his sight. But his son Shankar seems to have inherited his father’s legacy as he goes to the forest with his friends to keep an eye on anyone cutting forests. This year a dozen villagers entered the reserve forest area and tried to cut the trees. They were promptly fined Rs 6,000 by the Yuvak Sangh volunteers.

Majhi says forests are intrinsic to the well-being of tribals. “We can’t always travel to the hospital in Narla block, which is 15 km away. If we suffer from malaria, we take crushed leaves of Nyctanthes, black pepper mixed with honey. The forests give us everything. Jungle is mangal for us,” said Majhi.

August 14, 2017 at 10:02 am Leave a comment

Kalahandi livestock on depletion path

Following report is from TNIE:

BHAWANIPATNA: THE cattle population in Kalahandi district has witnessed substantial decline since 2001. With no support from the local administration, the animal husbandry sector is a victim of manpower shortage and poor infrastructure.
Kalahandi district has three veterinary hospitals, 18 veterinary dispensaries, 119 livestock aid centres, 126 artificial insemination centres. But, the district does not have a regular Chief District Veterinary Officer (CDVO) with the Sub-Divisional Veterinary Officer of Dharamgarh holding the additional charge of the CDVO.

The district requires eight veterinary surgeons but the posts at Lanjigarh, Karlamunda, Borda and Charbahal are lying vacant. The surgeon of Ladugaon veterinary dispensary has been deputed to work in Odisha Biological Products Limited (BOPL) at Berhampur. Similarly, out of 13 posts of assistant veterinary surgeons, seven are vacant. The Bhawanipatna District Veterinary Hospital is functioning without a Deputy Director while assistant veterinary surgeon post is being managed by the livestock inspector. The Deputy Director has been deployed to work at Nayagarh. While the district has 12 sanctioned block veterinary officer posts, seven of them are lying vacant in Kesinga, M Rampur, Thuamul Rampur, Kalampur, Koksera, Jaipatna and Golamunda.
As far as infrastructure is concerned, out of 305 gram panchayats, 142 have no livestock aid centres. Of the existing 119 aid centres, 95 have no power supply. As a result, vaccines and medicines cannot be preserved in refrigerators.

There are 126 artificial insemination centres in the district but 16 of them do not have permanent building. Although there are 115 mobile veterinary units to cater to needs of livestock farmers in inaccessible pockets, several posts in these units are vacant. Each mobile unit requires one veterinary surgeon, a livestock inspector and one attendant.
According to the cattle census of 2001,2007 and 2012, there has been a consistent reduction in livestock population in the district. It is attributed to lack of manpower and infrastructure apart from cattle smuggling by traders to slaughter houses.

The cattle population (cow) came down from 4,81,056 in 2001 to  3,11,732 in 2007 and 3,10,875 in 2012. Similarly, buffalo population declined during the period. In 2001, it was 95,534, in 2007 it was 55,747 and in 2012, the number came down to 43,764.
Currently, the district administration is preparing for 2017 cattle census. Field staff of the Animal Husbandry Department said the livestock population is likely to come down further this time.

WHERE ARE THE VETS?

  • The dist requires 8 veterinary surgeons but 4 posts at Lanjigarh, Karlamunda, Borda and Charbahal are lying vacant
    ● Out of 13 posts of assistant veterinary  surgeons, 7 are vacant
    ● District Veterinary Hospital is functioning without a deputy director

June 30, 2017 at 3:38 pm Leave a comment

Three airports from western Odisha to get connected under UDAN scheme

utekela

From the Sambad:

UDAN

March 31, 2017 at 6:02 am 1 comment

Starvation death in Kalahandi: Odia daily

Following is a report from the Sambad:

Kalahandi

K

March 27, 2017 at 7:30 am Leave a comment

Naveen seeks release of funds for five medical colleges from Centre

Following is a report from the Sambad:MC

March 20, 2017 at 6:26 am Leave a comment

Separate hospital for Balangir medical college

Following is a report from the TNIE:

BHUBANESWAR: The State Government has decided to build separate hospitals for the new medical colleges at Balasore, Balangir and Puri. The hi-tech hospitals are likely to be ready within next six months.

While construction of buildings for the medical colleges is underway, it was earlier decided that the existing district headquarters hospitals (DHHs) will be upgraded as per the norms of Medical Council of India (MCI).

The Centre had approved establishment of five Government medical colleges and hospitals at Balasore, Koraput, Balangir, Baripada and Puri in 2014. It was announced that all five medical colleges would have student intake capacity of 100 each and around `200 crore would be spent for upgradation of the DHHs to a full-fledged medical college and hospital in each district.

While existing DHHs at Koraput and Baripada are being upgraded as per the MCI norms, it is not feasible to upgrade the hospitals of rest three districts, sources said.
Health Secretary Arti Ahuja said at a high-level meeting chaired by the Chief Secretary, it was decided that separate hospitals will be constructed for the medical colleges at Balasore, Puri and Balangir.

“The Works Department will prepare the estimate for these new hospitals on and without turn-key basis. The estimate for equipment, instruments and furniture (EIF) will be prepared separately,” she said.Though it has not been decided whether the construction work will be done on turn-key basis, the Works Department has been asked to submit the estimate on turn-key basis and also separate estimates for civil work and EIF by September 30.

Since the Government is willing to start admission in these new medical colleges next year, ideally the infrastructure should be ready by March next. The admission can only be possible after a team from MCI gives its nod following infrastructure inspection.
While Chief Minister Naveen Patnaik had laid the foundation stone for the medical college at Balasore on October 28, 2014, the same at Puri and Balangir was done on July 4 and August 30 last year. The Government has also created posts for these medical institutions.

October 17, 2016 at 4:50 pm Leave a comment

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