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Corporate Social Responsibility

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Sustainable Healthcare for Remote Rural Communities in Jharkhand and Odisha
Introduction:
Tata Steel operates in the metals and mining industry with mining and manufacturing assets located
in some of the remotest areas in Jharkhand and Odisha in Eastern India. These areas are
geographically largely in hilly, forested and generally inaccessible terrain with a large predominance
of tribal communities residing in them.
Through its flagship Corporate Social Responsibility (CSR) deployment arm Tata Steel Rural
Development Society (TSRDS), Tata Steel aims to improve the lives of people in the communities
around its areas of operations who do not have access to many basic facilities which privileged
urban communities consider to be commonly available. TSRDS emphasizes on various aspects of life
primarily health, education and livelihood while meaningfully engaging different sections of these
communities through sports, engagement in tribal culture, environmental initiatives and also
support through selected infrastructure to fill up the gaps between the most critical needs and
public resource availability.
To enrich the impact of its social mandate, TSRDS collaborates with governments, the social sector,
domain experts, other corporates and with academic institutions as required to multiply its
effectiveness and harness multi-faceted talent towards its cause.
Background:
In its health segment, TSRDS has been active in its rural geographies in the following ways
(1) Access to basic healthcare through running regular clinics, mobile vans / ambulances,
conducting both speciality health camps (for specific ailments) and also multi-speciality
camps to address a range of health requirements and further, provision of medical referrals
for institutional care as and when required
(2) Disease specific programmes to address large volumes of beneficiaries e.g. cataract
programme targeting thousands of villagers through sustained awareness and mobilization
campaigns
(3) Adolescent and maternal health programmes both through

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a. An adolescent sexual health programme (Regional Initiative for safe Sexual Health for
Todays Adolescents - RISHTA) which also caters to engaging them on dreams and
aspirations, academic and career issues, adventure and leadership aspects to bring
confidence and flair into their lives
b. Regular maternal and child health clinics providing a full range of advice for mothers
and their children including immunization, pre and post delivery care and nutrition
c. Targeted intervention (Maternal And Neonatal Survival Initiative - MANSI) to address
neonatal (less than one month old child), infant (less than one year old child) and
maternal mortality - in cases where delivery of the child is at the home through
training, supervision and monitoring and hand holding based on the Home Based
Neonatal Care (HBNC) system
Challenges Faced:
In the provision of healthcare, TSRDS does not have resources to be able to provide treatment akin
to a hospital to its communities and there are also limitations of availability of skilled healthcare
workers ready to stay in rural areas for long periods of time. Further, cost of healthcare is another
issue since health is a sensitive subject with deep personal, financial and societal implications and
drawing the line at what is possible to provide and what is not becomes an emotional matter.
Looking at healthcare from the prism of CSR, a purely curative approach seems progressively
unmanageable and unsustainable and probably more emphasis needs to be laid on preventive and
promotive aspects.
Critical Case Questions
(1) How can healthcare for remote rural communities become sustainable over the immediate
and the long term?
(2) How can resource utilization be maximized considering the vast scope of what can be
provided in healthcare?
(3) Who are the key stakeholders in community health and what collaborations between these
stakeholders can be established to maximize both effectiveness and efficiency?

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