Professional Documents
Culture Documents
Venue
Phool Maliyan Bhavan
Bhinay block, Ajmer, Rajasthan
Organized by
Social Welfare Charitable Trust (HQ)
623, Barkat Nagar, Tonk Phatak, Jaipur
Branch Office
Gram Panchayat Building, Bhinay, Ajmer
Prepared by
Dr. Ranjana Vaishnav
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About SWCT
In this concern the trust has followed the modalities, active participation
and need assessment so the attempts have largely been successful. The
trust has project advisory committee of professionals of different fields to
provide consultation for functional modalities keeping in view the prevailing
issues, need and problems of the area. Over the years SWCT has running
following programs:
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The Training Program
The area for training program is Bhinay block of district Ajmer by SWCT in
collaboration with NRHM. A lot of discussions were held with concerned
authorities and resource persons to make it a successful program. ASHA
resource material provided meaningful support in organizing program.
Program of training and list of participants is given in Annexure I and II. The
same training program was followed in all three batches.
• Registration Forms
• Pretesting Forms
• Slip pad, pens
• Feed back Forms
• TA Bill etc.
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The Participants
The participants of the workshop were ASHA member of different villages
of Bhinay block of Ajmer district. Figure 1.1 to figure 1.3 presents the
educational status of the participants and figure 2.1 to figure 2.3 shows the
age of the participants during training program. All of the participants were
educated with experience in their respective field. More than 50 %
participants were in age group 22 to 29 years.
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Figure 1.3 Figure 2.3
The Program
The training programme of first batch was started at Phool Maliyan Bhavan,
Bhinay, Ajmer by eminent guest, Sarpanch Shri Tulsi Ram Ji along with Mr.
S.P. Choudhry, Chairman of SWCT.
The deliberators
• Mr. Choudhry, SWCT
• Mrs. Lalita Verma
• Vaidhya Ashok Pareek
• LHV Mrs. Sheela
• Dr. SK Yadav
The Deliberations
Day 1:
Registration and formal introduction of the participants and trainees were
done. In the brief opening session Mr. Choudhry welcomed participants
and introduced SWCT, Jaipur and its major work on Women and Child. He
requested the participants to fill up pre-testing forms so that the training
programme may address the specific issues with the knowledge more
required among the trainees. The experts in the respective fields discussed
such issues at priority.
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were analyzed. Pre-testing forms revealed the level of awareness and
expectation of the participants with the programme:
The
above figure indicates the responses collected from the trainees. It reveals
lot of issues for generating awareness and knowledge among them.
Particularly, to the question meant to observe the knowledge about the
HIV/AIDS, out of 41 trainees who filled the pre-testing forms only 13 could
answer the question, one did not answer correctly while 10 trainees did not
respond to it and so on. Most of the participants want to know more about
MCH services, HIV/AIDS, AYUSH and TB.
He also gave details on diarrhea, which is one of the most reasons of child
death. He informed treatment of diarrhea can be given easily at home in
primarily stage. Diarrhea causes of dehydration and malnutrition and need
to be extra preventative measures. Along with liquid diet, Oral Rehydration
Salts (ORS) should be given to a child under observation. Liquid diet
includes yogurt, neembu pani, dal ka pani etc. He showed the following
chart to clear the requirement of ORS.
6
month year year
ORS 200-400 400-600 600-800 800-1200 1200-2200
(mm)
Glass 1 to 2 2 to 3 3 to 4 4 to 6 6 to 11
During the session, RCH officer Dr. Gorgio and other distinguished
persons visited the program of first batch. They inspected the training
programme and evaluated the activities of ASHA. Also, he presented
comprehensive details to participants about National Rural Health Mission,
its objectives, activities. He showed keen interest in problems faced by
ASHAs in field and gave valuable suggestion.
LHV Mrs. Sheela gave detail description of Janani Suraksh Yojna, why it is
needed and how it works. She told that Janani Suraksha Yojana (JSY) is a
safe motherhood intervention under the National Rural Health Mission
being implemented with the objective of reducing maternal and neo-natal
mortality by promoting institutional delivery among the poor pregnant
women. The Yojana, launched on 12th April 2005 is being implemented in
all states and UTs. The Yojana is being implemented in all states and
Union Territories. The Yojana has identified ASHA, the Accredited Social
Health Activist as an effective link between the Government and the poor
pregnant women. Her main role is to facilitate pregnant women to avail
Services of maternal care and arrange referral transport.
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Dr. S K Yadav informed about majors to prevent unwanted pregnancy and
abortion. An abortion is the termination of a pregnancy by the removal or
expulsion from the uterus of a fetus/embryo, resulting in or caused by its
death. Spontaneous abortion (also known as miscarriage) is the expulsion
of an embryo or fetus due to accidental trauma or natural causes before
approximately the 22nd week of gestation; the definition by gestational age
varies by country. Most miscarriages are due to incorrect replication of
chromosomes; they can also be caused by environmental factors. A
pregnancy that ends before 37 weeks of gestation resulting in a live-born
infant is known as a "premature birth". When a fetus dies in uterus after
about 22 weeks, or during delivery, it is usually termed "stillborn".
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evening, after 07.00 PM all participants had dinner and after words cultural
programmes were held for recreation.
Day 2:
LHV Mrs. Sheela talked on MTP Act and gave important details on
menstruation and related prejudices. MTP Act helps in medical termination
of pregnancy but by trained doctors. Simulation exercises and other games
were held with participants to make clear the theme of the session.
She informed that normal menstrual cycle comprises bleeding lasting from
one to 5 days occurring at an interval of 28-30 days. There can be normal
variation in interval, duration and amount of flow. Mild pain may be
associated with perfectly normal cycle.
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After lunch III session was taken by Dr. S K Yadav on T.B. and its
prevention. He explained that Tuberculosis (abbreviated as TB) is a
common and often deadly infectious disease caused by mycobacterium in
humans. Tuberculosis usually attacks the lungs (as pulmonary TB) but can
also affect the central nervous system, the lymphatic system, the
circulatory system, the genitourinary system, the gastrointestinal system,
bones, joints, and even the skin. Tuberculosis is spread through the air,
when people who have the disease cough, sneeze, or spit. One–third of the
world's current population has been infected with M. tuberculosis, and new
infections occur at a rate of one per second.
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He told that when HIV enters our bodies, it attacks and destroys white
blood cells. White blood cells form part of the immune system that protects
our bodies against germs that could cause diseases. After a person
acquires HIV, he/she can spend a number of years looking healthy and
strong. During this time HIV is slowly damaging his/her immune system,
which weakens his/her body’s ability to fight off germs and illnesses,
resulting into him/her suffering from a combination of illnesses, such as
tuberculosis (TB), pneumonia, diarrhoea and skin infections. Infection with
HIV occurs by the transfer of blood, semen, vaginal fluid, pre-ejaculate, or
breast milk.
All participants enjoyed the last session taken by Mrs. Lalita, Mr. Gupta as
cultural activities including dance and quiz competition. After ending of all
sessions of the day, evening was celebrated with dinner and dance party.
Day 3:
Participants reviewed the second day program with the help of Mrs. Lalita
Verma.
Vaidhya Ashok Pareek spoke at length about malaria and its prevention
techniques. He informed that Malaria is a
vector-borne infectious disease caused by
protozoan parasites. Malaria is one of the
most common infectious diseases and an
enormous public health problem. Only
Anopheles female mosquitoes can transmit malaria, and they must have
been infected through a previous blood meal taken on an infected person.
When a mosquito bites an infected person, a small amount of blood is
taken, which contains microscopic malaria parasites. About one week later,
when the mosquito takes its next blood meal, these parasites mix with the
mosquito's saliva and are injected into the person being bitten. The
parasites multiply within red blood cells, causing symptoms that include
symptoms of anemia (light-headedness, shortness of breath, tachycardia,
etc.), as well as other general symptoms such as fever, chills, nausea, flu-
like illness, and, in severe cases, coma, and death. Symptoms of malaria
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include fever, shivering, arthralgia (joint pain), vomiting, anemia (caused by
hemolysis), hemoglobinuria, retinal damage, and convulsions. The
symptom of malaria is cyclical occurrence of sudden coldness followed by
rigor and then fever and sweating lasting four to six hours, can have
recurrent fever every 36–48 hours or a less pronounced and almost
continuous fever. Children with malaria frequently exhibit abnormal
posturing, a sign indicating severe brain damage. Malaria has been found
to cause cognitive impairments, especially in children. It causes
widespread anemia during a period of rapid brain development and also
direct brain damage.
LHV Mrs. Sheela gave details about treatment after burn to the
participants. She informed burn is a type of injury that may be caused by
heat, cold, electricity, chemicals, light, radiation, or friction. Burns can be
highly variable in terms of the tissue affected, the severity, and resultant
complications. Muscle, bone, blood vessel, dermal and epidermal tissue
can all be damaged with subsequent pain due to profound injury to nerves.
Depending on the location affected and the degree of severity, a burn
victim may experience a wide number of potentially fatal complications
including shock, infection, electrolyte imbalance and respiratory distress.
Beyond physical complications, burns can also result in severe
psychological and emotional distress due to scarring and deformity. She
also gave presentations on treatment after burn.
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is hydrophobia. Person gets fits by loud sound, intense light and wind and
can die within 5 to 6 days. Treatment of rabies is followed in three steps i.
e.
• Cleaning of wound
• Wound to be treated with Rabies immune globulin
• Tissue Culture Vaccine (TCV – Anti Rabies)
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In last session Dr. S K Yadav gave details about respiratory infection in
children and national immunization program.
Day 4:
Day four begins with brain storming session taken by Dr. Yadav. All the
participants actively responded the questions raised and reviewed the
activities done in previous sessions.
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consequences for the mother include cardiovascular symptoms, reduced
physical and mental performance, reduced immune function, fatigue,
reduced blood reserves and increased need for blood transfusion in the
postpartum period. Vitamin supplements given orally (folic acid) or
subcutaneously (vitamin B-12) will replace specific deficiencies. In severe
cases of anemia, or with ongoing blood loss, a blood transfusion may be
necessary.
Before taking her detailed session Mrs. Sheela inquired participants about
health problems of new born and its treatment and than answered in detail
of their questions. She told that after birth a new born should be observed
in following manner:
• Underweight (below two years)
• Abnormal size of head
• Breathing problem
• Blue or pale body color
• Any accident or injury during delivery
• Problem of fits on second day
• Unable to breastfeed
• High fever
She told if any of the above mentioned symptoms are visible, a child has to
be refer to the doctor and primary treatments could be given.
Vaidya Ashok Pareek informed about Ayurveda, Yoga & Naturopathy,
Unani, Siddha and Homoeopathy (AYUSH) launched in November, 2003
with a view to providing focused attention to development of Education &
Research in Ayurveda, Yoga & Naturopathy, Unani, Siddha and
Homoeopathy systems. Its main objectives are to upgrade the educational
standards in the Indian Systems of Medicines and Homoeopathy colleges
in the country, to strengthen existing research institutions and ensure a
time-bound research programme on identified diseases for which these
systems have an effective treatment, to draw up schemes for promotion,
cultivation and regeneration of medicinal plants used in these systems and
to evolve Pharmacopoeial standards for Indian Systems of Medicine and
Homoeopathy drugs. He also informed how ASHA helpful in achieve these
objectives.
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Mrs. Lalita Verma informed participants about role of ASHA in safe
motherhood and delivery. She told ASHA is responsible for reorganization
and registration of pregnant women within 6 to 12 weeks of pregnancy. A
pregnant woman should be informed about balanced diet and benefits of
Janani Suraksha Yojna. She also emphasize on the need of care pre and
post delivery and how ASHA can play her role for delivering safe
motherhood services.
Day 5:
In stating of 5th day participants looks lit bit exhausted, so a simulation
exercise was done and chart sheets, pen/pencil was distributed among all
the participants. They asked for draw their role and way of working or
counseling on given charts and were divided in batches for easy task. After
this preparation they have to present role play accordingly. These whole
process brought enthusiasm among them.
LHV Mrs. Sheela and Mrs. Lalita detailed the role of ASHA in Mother &
Child Health and Safe motherhood practices. They informed that ASHA
should maintain record of pregnant women in their area and should
encourage pregnant women to come at AWC on MCH day and give regular
counseling as needed. They told that few points should be remembered
when counsel with pregnant women and their family:
LHV Mrs. Sheela explained how to care the woman during delivery.
Pregnant woman should be taken to nearby hospital immediately after
labour pain. If not possible, ANM or trained midwife to invited for safe
delivery. Also, new born is to be fed with first milk within half an hour of
birth. If there is excessive blood flow, fever, tetanus or unconsciousness
and new born is under weight, woman and child should be admitting to
hospital. ASHA should ensure about vaccination and pre and postnatal
health tests and provide IFA tablets. She should contact with families to
motivate them to use iodized salts and deliveries at hospitals.
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Mrs. Lalita presented how to be good counselor and improve behavioral
practices to ASHA. She advised ASHA should use language that
beneficiaries understand and motivate them to consult their problems
without any hesitation. She also gave guide line how to care new born.
ASHA visit regularly to new born and give necessary instruction and should
maintain weight and growth chart. Mother should be motivated to only fed
breast milk for first six months and after that semi solid food to be given.
They should advise about complete vaccination.
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included in the iron supplementation programme. They shall be
supplemented at the dose rates for adults.
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some measures to improve the program which will be considered in
organize trainings.
Annexure I
1st day
Time Subject Methodology Facilitator
9.30-10.00 Registration - Mrs. Lalita and team
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MTP Act and menstruation Poster presentations LHV Mrs. Sheela
11.45-01:30 and GD
1:30-02:00 Lunch break
02.00- 03. 30 T.B. and its prevention Charts and lecture Dr. S K Yadav
03:45- 05:30 HIV/AIDS Lecture questionnaire Vaidhya Ashok Pareek
method
05:45-06:30 Cultural program and quiz Mr. SP Gupta, Mrs.
competetion Lalita
Day 3:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team
Malaria Lecture and question- Vaidya Ashok Pareek
10.00-11.30 answers
Treatment after burn Poster presentations LHV Mrs. Sheela
11.45-01:30 and GD
1:30-02:00 Lunch break
02.00- Rabies and snake biting Charts and lecture Dr. S K Yadav
03. 30
03:45- 05:30 Child marriage and sex selective Brain storming Mrs. Lalita Verma
abortion
05:45-06:30 Respiratory infection in children Dr. S K Yadav
and national immunization
program
Day 4:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team
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Day 5:
Time Subject Methodology Facilitator
9.30-10.00 Review - Mrs. Lalita and team
Mother & Child Health and Lecture and question- Dr. S. K. Yadav
10.00-11.30 Safe motherhood answers
Counseling GD, Role play LHV Mrs. Sheela ,
11.45-01:30 Behavioral practices of Mrs. Lalita and
ASHA participants
1:30-02:00 Lunch break
02.00- continue Role play -
03. 30
03:45- 05:30 Concluding remarks, - Guest, Vaidhya Ashok
Certificate distribution PareekMr. SP
Choudhry
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