Health Care of Salt Workers in Surendranagar District

wellness misgiving of Salt Workers in Surendranagar DistrictINTRODUCTIONHEALTH is a b littleing from GOD. The enjoyment of highest attainable touchstone of wellness is one of the funda psychological rights of every human being (Preamble to WHO Constitution UN, 1948). According to Human Rights obligate 25 every one has the right to wellness check examination c ar and necessary companionable services. According to a vigorous-known adage, He who has health has hope, and he who has hope has every thing.Understanding the impact of social inequalities on health has become a public health priority in the new millennium (1). Social, political, and frugal factors now are acknowledged to be fundamental causes of disease that affect behavior, beliefs, and biology (2). This actualization is changing the theoretical framework of epidemiology by incorporating the complex, interactive process that creates race health differentials (3). Understanding this socio-biological interpreting a mong general rabble is critically important because it is very important to know the behavior of general masses that in turn help in prioritizing and planning problems and their solutions. Throughout industrialized countries lower adult socioeconomic status (SES) has been clearly linked to poorer health (4-5).Whenever we look globally at the health status in different settings, a wide variation is noticed, in terms of Mortality and Morbidity as well as quality of life. In making choices for health funding in low-income countries, policy makers and donor agencies are guided by epidemiological evidence that indicates the burden of disease on the poor. There is a large(p) body of evidence from developed countries demonstrating an association between poverty and risk of common health problems (6).India is a developing country with one of the most diverse populations in the world. In spite of considerable economic progress in recent years, India continues to face repugns dealing with poverty, unemployment, malnutrition and disease and disability. If we put a cursory view at Indian health scenario then we can come across certain gruesome health problems such as population explosion problem, hunger and malnutrition (under and over), non-availability of safe drinking water, improper refuse and excretory product disposal, high prevalence of communicable diseases, increasing prevalence of non-communicable diseases and lack of medical awe facilities. Due to nonequivalent distributions of resources hunger and malnutrition are problems everywhere and abide harassed mankind and threatened peace throughout history.For numerous bulk in the rural areas or remote regions of the India, health facilities are inaccessible and beyond means. The woo of staying alive pushes one quarter of Indians below poverty line. In our Country too many people die as a result of no access to even the most Basic wellness Services. Our goal should be that not a single individual feels in any way less of human being. That means by making it possible for every person to receive good health through developed Public wellness System. Without some utmost efforts and appropriate measures it seems impossible for every person to receive good health through developed public health infrastructure.Among Indias states, Gujarat has largest coastline and highest number of airports. The population of Gujarat is 5, 0596,992 with a literacy rate up to 70 percent (census 2001). Gujarat has also some of its most impressive traditions (including hospitality) with a vibrant cultural diversity blended with modern amenities of transportation. Gujarat has also quality network of readingal institutions. The state has done proud to the nation in socio-cultural, agricultural and industrial (Textile, Cement, Petroleum,Low-Pressure Gas, and Pharmaceutical) fields. It has also acquire its rightful place on the national tourist circuit.In spite of all these, the fact the Great Compromiser tha t, overall development in world in our own country has not mode epochal impact on life of flavor workers in Surendranagar district else where in Gujarat. Although government few unpaid organizations are trying hand to improve life situation of salt workers, programs is too slow. This is because situation is alter because of various factors like wide geographic area with scattered houses, short-handed water food supply, inadequate health services, illiteracy, poor economic condition with debt, complex market situation etc.On different side well within Surendranagar City a Medical College is having altogether more than 800 health personnel, which includes medical specializer, new(prenominal) doctors, nursing staff, interns, medical students, nursing students other supportive staff. It is also having well equipped hospital for tertiary as well as primary secondary health care.Looking at lack in area, these rich resources should be utilized at the earliest possible. So wi th following aims objectives C.U. Shah M.C. Hospital have decided to join hands with Govt. NGO for supporting health care of salt workers of Surendranagar district.We hope for conquest developing a model to be followed in other piece of Gujarat Country.AIM OBJECTIVESAim mitigate health status of salt workers their family members to develop a system whereby they can be a part of it to maintain their own health.ObjectivesTo assess the present situation of salt workers.To address immediate hire for medical care.To develop health care system in which salt workers will participate actively for farseeing term impact on their life future generation.To cooperate with other health related activities for salt workers.To carry out operational research for better effective management of resources as well as to solve problems related to occupational health.To sensitize young students work force for sustaining such activities in future.To adjudicate the process outcome for develo ping effective model health care services for salt workers.To scroll disseminate findings about this model, so that it can be implemented immediately at reasonable woo in other parts of Gujarat.METHODDept. of Occupational Health Care (Rural) will handle the digest under the technical guidance of department of preventive social medicine administrative support of Dean, C U Shah Medical College.PERIODThe project is planned for One-year duration, which includes need assessment survey, training, implementation, evaluation, documen-tation dissemination.POPULATION all salt workers, presently working in Surendranagar district will be covered under the project. about 5,000 families are expected to be the direct beneficiaries of the project.STRATEGYAn integrated family health care will be provided with 50 community based Agaria Prathmik Swasthya Kendra with support of 5 Agaria Swathya Kendra. Each Agaria Prathmik Swasthya Kendra will cover around hundred families it will include fol lowing facilities.Health check upTreatment of minor ailmentsFacilities for referring patients to higher referral centres.Health Education AwarenessPreventions of diseases with Special emphasis on Occupational Health Guidance.Maternal Child careGuidance about how to have access to essential life commodities.Guidance for alternative employment for atypical period.9.Supportive facility for informal education.The 5 Agaria Swathya Kendra will be supported with 5 paramedical staff specialist in field of community health, pediatrics, gynecology medicine. It will also be equipped with two wheeler (one per center) 2 mobile health care units.MAJOR HEALTH PROBLEMS WHICH NEEDS ATTENTIONSkin Problems run dry Skin, Warts, cracks, Fungal InfectionEye Itching, Watering, CataractHypertensionTuberculosis MalariaBackache joint painVitamin A Deficiencies, anemia and other malnutrition problemsGynec Problems White discharge, excessive bleeding during mensesSpread of STDs / HIVDiarrhoea ARIPro blems of mother children (ANC, PNC, INC etc.)Others as per the need assessment ongoing monitoring.ORGANIZATIONAL STRUCTUREDean Trustees subdivision of Community MedicineProject music directorPanel of consultants, doctors, occupational health experts, sociologist etcProject coordinator field coordinatorAgaria Swasthya Kendra coordinators (ASK)Agaria Prathmik Swasthya Kendra (APSK)(Community health volunteer)Salt workers their family membersREFERENCESAdler NE, Ostrove JM. Socioeconomic status and health what we know and what we dont. Ann N Y Acad Sci. 1999 896 3-15.Link BG, Phelan J. Social conditions as fundamental causes of disease. J Health Soc Behav. 1995 (special issue) 80-94.Kriger N. Theories for social epidemiology in the 21st century an ecosocial perspective. Int J Epidemiol. 2001 30 668-677.Adler NE, Boyce T, Chesney MA, et al. Socioeconomic status and health the challenge of the gradient. Am Psychol. 1994 49 15-24.Macintyre S. The black report and beyond what are the issues? Soc Sci Med. 1997 44 123-145.Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bulletin of World Health Organization 2003 81 609-615.BUDGETCONTRIBUTION OF C. U. SHAH checkup COLLEGEManpower of following category of persons (cost to be born by CUSMC)Teaching staff of PSM DepartmentMSW of PSM DepartmentDepartment of Pathology MicrobiologyAll Museums One Tutorial Room for TrainingClinical Department StaffOphthalmology bosom TBMedicinePediatricsSurgeryObstetrics GynecologyOthers as per the needIntern Doctors at least 4 on rotation basis Medical Students for need assessment health education awareness purpose. Nursing students will also join when necessary for RCH programme.(Our students had actively participated in SUNAMI, flood relief pitcher etc. right now they are active in training of village level younker in Kutch Surendranagar slum rural area)Office staff at our premisesSome of the drugs as well as solid used in operation etc.Ho spital OPD services as well as indoor services.Cost of food accommodation for patients relatives (1 per patient)LibraryHealth education material (including Health Exhibition set)Emergency services including ambulance services.(If we convert cash for one year, it will amount to be not less than 50,00,000/-)