Food for Poor :- Since inception of HLM , HLM garnered the support from government, local agencies, corporates and Individuals and worked on a campaign mode to provide food and shelter to the poorest of the poor in Kakinada under the district of east Godavari. Over a period of 12 years, HLM organized more than 350 camp and provided food to over more than 80000 poor persons. HLM build 3 shelter and handed over that shelter to local agency after managing it for over 3 years. Further, over 60 health camp were organized and more than 1000 person got benefitted with these health camp over a period of 12 years.

 

Flood Relief :

HLM with the help of its volunteers, staff working at the Flood relief camp wherein the volunteers are reaching to the people and providing life saving medicine , food , blankets and transferring them to a safer place. Currently the most part of the Bihar are badly affected and HLM with the support of local people & Corporate CSR trying its level best to reach maximum affected people.

HLM has also opened a camp at Maharshtra and with its volunteer reaching out to people and providing maximum help and support.

Elimination of  Lymphatic filariasis from India:

Lymphatic filariasis, also known as elephantiasis, is a human disease caused by parasitic worms known as filarial worms. Most cases of the disease have no symptoms. Some people, however, develop a syndrome called elephantiasis, which is marked by severe swelling in the arms, legs, breasts, or genitals. The skin may become thicker as well, and the condition may become painful. The changes to the body have the potential to harm the person’s social and economic situation.

The worms are spread by the bites of infected mosquitoes.  Three types of worms are known to cause the disease: Wuchereria bancrofti, Brugia malayi, and Brugia timori, with Wuchereria bancrofti being the most common. These worms damage the lymphatic system. The disease is diagnosed by microscopic examination of blood collected during the night.  The blood is typically examined as a smear after being stained with Giemsa stain.  Testing the blood for antibodies against the disease may also permit diagnosis.  Other roundworms from the same family are responsible for river blindness.

 

 

 

Prevention can be achieved by treating entire groups in which the disease exists, known as mass deworming. This is done every year for about six years, in an effort to rid a population of the disease entirely.  Medications used include antiparasitics such as albendazole with ivermectin, or albendazole with diethylcarbamazine. The medications do not kill the adult worms but prevent further spread of the disease until the worms die on their own.  Efforts to prevent mosquito bites are also recommended, including reducing the number of mosquitoes and promoting the use of bed nets.

In 2015 about 38.5 million people were infected.  About 950 million people are at risk of the disease in 54 countries. It is most common in tropical Africa and Asia. Lymphatic filariasis is classified as a neglected tropical disease and one of the four main worm infections.  The impact of the disease results in economic losses of billions of dollars a year.

Signs and symptoms:

The most spectacular symptom of lymphatic filariasis is elephantiasis, a stage 3 lymphedema with thickening of the skin and underlying tissues. This was the first mosquito-borne disease to be discovered.  Elephantiasis results when the parasites lodge in the lymphatic system and cause blockages to the flow of lymph. Infections usually begin in childhood.

HLM’s role in prevention & Elimination of Lymphatic Filariasis :

Lymphatic Filariasis (LF) is a neglected tropical disease and like any other neglected disease, it disproportionately affects vulnerable populations and perpetuates existing relationships between disease and poverty. Lymphatic Filariasis, however, has a proven strategy for elimination through the administration of effective drug combinations at population level for several years. Lymphatic Filariasis is endemic in India mainly in the eight states of Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Maharashtra, Odisha, Uttar Pradesh and West Bengal. Despite a proven strategy, elimination of Lymphatic Filariasis in India continues to be a distant goal as efforts are largely focused on improving service delivery without any significant focus on demand generation. HLM with the help of PCI India funded through Bill & Melinda Gates Foundation is implementing project that mainly lays focus on demand generation through social mobilization efforts leveraging several existing platforms and channels like State Rural Livelihoods Missions (SRLMs), Panchayati Raj Institutions (PRIs), Front-Line Workers (FLWs), schools, Civil Society Organization (CSO) networks, etc. The project is in eight high endemic states in India with the dual objectives of increasing demand for drugs and improving compliance at population level.

There are problems on both the demand as well as the supply side. HLM with the monitoring and supervision level support from PCI primarily addresses the demand side problems in the endemic districts where MDA rounds take place, namely the eight states  Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Maharashtra, Odisha, Uttar Pradesh and West Bengal. For improving drug demand and compliance, our demand side intervention is focussing mainly on social mobilization using existing channels and platforms to:

1.   Create awareness about the disease, fear about its consequences, prevalence and endemicity in the locality, possibility of prevention and the role of MDA;

2.   Popularizing the MDA dates among community in the program locality;

3.   Generating expectation of the community about receipt of free drugs from the Government drug distributors (primarily, Front Line Workers as per the current national strategy), and making them aware about their right to get the benefit of this important and free preventive drug distribution from the Government; and,

4.   Building capacity of health workers, mainly ASHAs, to effectively disseminate LF and MDA related information among the target community.

Our Reach:

In order to reach the community in an effective and efficient manner, and accelerate the process of social mobilization, HLM with the support from PCIINDIA implementing this program at the ground level through effective ways of mobilization of resources for eliminating the disease from the country. For successful accomplishment of social mobilization for LF MDA, it is important to create a buzz in the community and for that it is vital that the communication reaches the community through multiple channels and touchpoints.

HLM is putting its focus on demand generation through social mobilization, leveraging several existing platforms like State Rural Livelihoods Missions (SRLMs), Panchayati Raj Institutions (PRIs), Front-Line Workers (FLWs) on health and nutrition, local network of schools, the network of Civil Society Organizations (CSOs) etc. This includes engaging resources, train them and popularize the date of MDR in the effected districts.

HLM have developed district level social mobilization plan in consultation with key stakeholders , Organized district level orientation of key stakeholders before the MDA rounds , Coordinated with the health department to ensure the guideline reaches the Drug Distributors before the MDA days, Established linkages with key stakeholders and officials in select platforms and departments at the district level with the help of PCI, Coordinated and followed up for supply of IEC materials at the field level , Coordinated with district level point persons for operationalizing the social mobilization plan, Provided relevant presentation and reading materials for orientation at the block level.

Organized ToT (Training of Trainers) to identified master trainers (e.g., BCM, BHM, ASHA Facilitator etc. – as identified by the district authority) for training of FLWs;

Provided direct training to FLWs in some selected high-risk blocks

Coordinated with School and arranged participation of School Children for popularization of MDA round.

Integration of Health, Nutrition & Sanitation amongst SHG of Jeevika Bihar:

JEEViKA Technical Support Programme (JTSP) was conceptualized in 2015 as a unique initiative to promote better quality of life in terms of improved health (including maternal and child health), nutrition, and sanitation outcomes among the poorest and most marginalized populations in rural Bihar, India. JTSP emerged as a result of the robust impact of the Parivartan project, which was implemented from 2012 to 2015 to test the efficacy of an integration strategy based on the premise that specific health, nutrition, and sanitation (HNS) interventions among self-help groups (SHGs) lead to improvements in maternal and child health, nutrition and sanitation indicators at the family level.

JTSP in Bihar is set to integrate 170,000 SHGs of JEEViKA in 101 blocks of 11 districts. JTSP’s goals are to:

·   Enhance quality of life on a sustainable basis by improving maternal, child health and nutrition outcomes in Bihar with a focus on family planning, women and children nutrition, appropriate management of diarrhea, and newborn and child health

·   Integrate and internalize the Health and Nutrition within Jeevika program’s mandate, capacity and systems to drive HN integration, leaving a sustainable integrated livelihood, health and nutrition (LHN) system in place

·   Drive innovation and evidence-based approaches and capacity within Jeevika to scale-up through their SHGs across Bihar.

 

HLM’s intervention in JTSP:

Integrating health, nutrition and sanitation: HLM with the guidance from PCI India funded thru Bill & Melinda Gates Foundation is providing support to JTSP for integrating health, nutrition and sanitation at block level.

 

·         Providing training and support to the Community Mobilizer (CMs) for ensuring implementation of the HNS activities at SHG and VO level

·         Assisting Community Mobilizers (CMs), Area Coordinator, Community Coordinators and Cluster Mentors in Planning, Monitoring and reviewing program outcomes at block level

·   Maintaining and updating the Block profile

·   Supporting the M-H&N in organizing and conducting training activities at block level

· Attending BPIU level review meeting organized by BPM and providing updates on HNS related issues and developing block level action Plan for HNS.

· Facilitating process to increase interface between Jeevika community institutions and FLWs (AWW, ANM and ASHA) to increase in Service access in block

· Coordinating with block level officials of Health and ICDS to strengthen convergence

·   Maintaining HNS data flow from field, block to District level

·   Generating monthly brief block level progress reports including success stories on Behaviour Change, collective action etc.

· Providing data and reports as per programmatic requirements under guidance of designated authority of JTSP.