The Primary Healthcare Services provide the first level of contact between the population and healthcare providers. In the real scenario many of the existing sub-centers, PHCs and CHCs lack essential physical infrastructure. The main reason behind the poor functioning was inappropriate location, poor access, lack of maintenance, lack of professional staffs, lack of funds for essential drugs and diagnostics machines and lack of First Referral Units (FRUs) for linkage of referral services. BJUP believes secondary and tertiary care is needed to give a valuable support to primary health care.
- Mother and Child Health Care
Keeping above situation into mind, the BJUP has framed Health and Nutrition program for its operational areas. These intervention programs have been framed with an objective of “Bettering Health and nutrition status of women and children in the most marginalized, underprivileged and vulnerable sections of community. The project has been aimed to achieve an outcome of 30% children (0-6 years) and 40 % women have improved their Health & Nutrition status in the intervention. For achieving above mentioned outcome of health and nutrition, following intervention strategies have been developed:
- Improved quality of checkup and early referral services available at community level.
- Improved quality of services at Anganwadi level
- Malnourished children identified and treated at community based nutrition camps and follow up interventions.
- Improved access to safe drinking water facility.
- Health Camps:
BJUP organizes health camps in its operational areas with an objective to screen the patients in each and every participating village to give health related awareness, distribute medicines to treat common diseases and refer, as the case may be for surgery/treatment. Medical camps are conducted to carry out health promotion, education, minor medical or surgical treatments and preventive healthcare services.
Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with human body’s ability to fight the organisms that cause disease. HIV is a sexually transmitted infection (STI). It can also be spread by contact with infected blood or from mother to child during pregnancy, childbirth or breast-feeding. Without medication, it may take years before HIV weakens the immune system to the point that one has AIDS. There’s no cure for HIV/AIDS, but there are medications that can dramatically slow the progression of the disease. These drugs have reduced AIDS deaths in many developed nations.
Keeping enormity of problem, BJUP with the support of Bihar State AIDS Control Society runs initiative of Targeted Intervention Project. This project is being implemented in four blocks of Nalanda District of Bihar. The High Risk Group (HRG) who are in the age group of 18-45 years, are eligible to register under this project. Targeted interventions are aimed at offering prevention and care services to high risk populations ( Female Sex Workers- FSW, Male having Sex with Male- MSM and Injecting Drug Users- IDUs) within communities by providing them with the information, means and skills they need to minimize HIV transmission and improving their access to care, support and treatment services.
This project envisages that engaging Community Based Organization (CBOs) in programme management through developing their capacity and ownership leading to steering of community agenda through themselves only. Presently the TIs have been able to provide services through peers representing the community.
Beside targeted intervention BJUP also runs the Vihaan project, a national initiative on the issue of Care and Support to HIV/AIDS positive people. It is getting implemented by BJUP with the support of NCPI+. This project has three important components like iintensifying and Consolidating Prevention services with a focus on HRG and vulnerable populations, expanding IEC services for general population and high risk groups with a focus on behavior change and demand generation and ccomprehensive Care, Support and Treatment.
- Sanitation & Hygiene:
BJUP in collaboration with Arghyam Bangalore started a Pilot Project to promote sustainable sanitation by Reviving Toilets (Defunct) and piloting appropriate technology in Bihar. BJUP implemented this project in Nine Villages of 5 Panchayat of Giriyak Block of Nalanda District. Target groups for the project were women, socially excluded groups, Mahadalits, old age persons, specially challenged persons, girls and school going children. The targeted communities have remained deprived since centuries from provision of water supply and sanitation due to their traditional status as agricultural labors who were destined to live in a very small piece of low land allotted by the landlords for their stay and as a result the whole solid and liquid waste used to get accumulated in their settlement. The project implemented in selected 9 villages of Giriyak block of Nalanda district of Bihar to provide safe and basic sanitation facilities to the people.