Health Care

SRADHA has been working to ensure healthy lives and promote well-being for all at all ages. SRADHA calls for achieving universal access to sexual and reproductive health care, reducing maternal death rates, and ending the AIDS epidemic by 2030. Reproductive health problems are a leading cause of ill health and death for women and girls of childbearing age in India.

In project areas of SRSADHA, impoverished women suffer disproportionately from unintended pregnancies, unsafe abortion, maternal death and disability, sexually transmitted infections (STIs), and related problems. Young people are also extremely vulnerable, facing disproportionately high HIV rates as well as barriers to reproductive health information and care.

SRADHA is a leading NGO promoting sexual and reproductive health, including family planning, comprehensive sexuality education and maternal health services. SRADHA works with local community groups to strengthen health systems, including through the training of midwives, who – when properly trained – could avert two thirds of maternal and neonatal deaths. SRADHA also works for the integration of HIV-prevention and treatment programmes into sexual and reproductive health care, so it is as readily available as possible.

Adolescent Reproductive and Sexual Health Programme (ARSH):

Adolescent Reproductive and Sexual Health programme (ARSH) focuses on meeting health service needs of adolescents. SRADHA advocates for steps to ensure improved service delivery for adolescents. SRADHA promotes core package of services including promotive, preventive, curative and counseling services being made available for all adolescents - married and unmarried, girls and boys through Adolescent Friendly Health Clinics. SRADHA has been advocating for an enabling environment for adolescent to seek health care services through a spectrum of programmatic approaches:

  • Facility based health services- Adolescent Friendly Health Clinics;
  • Counseling- Dedicated ARSH and ICTC counselors;
  • Community based interventions- Outreach activities and
  • Capacity Building for service providers.

i. Adolescent Friendly Health Clinics (AFHC): Through Adolescent Friendly Health Clinics, routine check-up at primary, secondary and tertiary levels of care to be provided with services, information and commodities to adolescents for varied health related needs such as contraceptives provision, management of menstrual problems, RTI/STI management, antenatal care and anaemia.

ii. Facility based Counseling services: Counseling services for adolescent on important issues such as nutrition, puberty, RTI/STI prevention and contraception and delaying marriage and child bearing & concerns related to contraception, abortion services, pre-marital concerns, substance misuse, sexual abuse and mental health problems to be provided through dedicated counselors.

iii. Outreach activities: SRADHA organizes outreach activities in schools, colleges, Teen clubs, vocational training centres, during Village Health Nutrition Day (VHND), Health melas and in collaboration with Self Help Groups to provide adequate and appropriate information to adolescents in spaces where they normally congregate.

To further strengthen the outreach component of ARSH programme, SRADHA has enrolled Peer Educators at village level About 680 peer educators have been selected and trained in the last three years.

HIV/AIDS

SRADHA aims to protect and advance the rights of people affected by HIV/AIDS. The majority of all HIV infections are found in marginalized communities. The poor and excluded are at greatest risk for HIV infection and encompass the largest proportions of people living with HIV/AIDS.

Orissa, the most backward state of India, is being categorized at high risk of HIV/AIDS due to combined risk factors of poverty, illiteracy and migration in search of employment. A growing number of adults are being infected due to migration and mobility to metropolitan cities in employment search and back home they infect their wives.In Orissa some groups are at greater risk than others particularly migrant workers, their wives and children. Every alternate household in rural areas of Orissa has at least a person working as a labor in far off cities. Majority of boys of the age of 15 seen today in the village are very likely to land in a distant city tomorrow for work and livelihood.

Interventions

  • SRADHA has been working among source families of migrant workers and supplementing government programmes for Prevention of Parent to Child Transmission (PPTCT)
  • Educating the wives of migrant workers about the disease by engaging 620 SHGs formed by SRADHA regarding the disease, its spreadand safe sex practices.
  • SRADHA has reached 15430 male adolescents and young adults with information on HIV/AIDS and its prevention who are to join the future workforce. The campaign on responsible sexual behavior was undertaken through community youth organizations and secondary level schools.
  • SRADHA is engaged with 1430 front line health workers like ASHAs, AWWs, ANMs,  and Sarpanchs and Ward Members to eliminate violence against Women and Children, eliminating social exclusion including Stigma and ostracisation, counseling and education on prevention of mother to child transmission

Prevention of Parent to Child Transmission:

India has the third highest number of HIV infections in the world with 2.1 million people estimated to be living with HIV. This is nearly 6% of the current global HIV population. HIV treatment coverage in India is only at 36% with 51% of AIDS-related deaths in Asia-Pacific happening in India. In certain states, nearly 90% of newly diagnosed persons infected with HIV were wives of migrant husbands. SRADHA aims to make a significant impact in the fight against HIV and AIDS by accelerating the uptake of PPTCT services amongst women and children in the most marginalised communities of India.

Our Commitment
Through this programme, SRADHA is committed to directly benefiting pregnant mothers in the most marginalised communities of India by increasing the uptake of PPTCT services.

This programme will:

  • Help build skills amongst peripheral health workers under the general health system in PPTCT services for increasing the uptake in a sensitive manner
  • Conduct outreach and follow up of HIV positive women and HIV exposed infants

Main Objectives

The main objectives of the programme are to:

  • Facilitate HIV testing for at least 70% of all pregnant women in the project areas
  • Facilitate access to comprehensive PPTCT services to at least 90% of the pregnant women who are tested positive for HIV infections during Antenatal Care (ANC)
  • Facilitate access to early infant diagnostics to at least 90% of HIV exposed infants
  • SRADHA aims to test pregnant women for HIV and follow up with those who are HIV positive through interventions designed to accelerate the uptake of PPTCT services

Key Interventions

  • Identifying and connecting affected mothers to Government ICT (Integrated Care and Treatment) services
  • Increasing the uptake of PPTCT services in pregnant mothers from 30% to 70% within a timeframe

Tobacco Control Programme

SRADHA has been working to bring about greater awareness about the harmful effects of tobacco use and about the Tobacco Control Laws. The interventions under the Tobacco Control Programme have been largely planned at the primordial and primary levels of prevention. The main thrust areas are as follows:

  • Training of health and social workers, local NGOs, school teachers,  CBOs etc.
  • Information, Education and Communication (IEC) activities.
  • School Programmes.
  • Drawing attention of enforcement officers on violation of tobacco control laws.
  • Co-ordination with Panchayati Raj Institutions for village level activities.
  • Linkage with cessation facilities including  pharmacological treatment facilities

Stop TB Initiative:

SRADHA is engaged in advocacy, communication and social mobilization (ACSM) to supplement National TB Programmes and other initiatives to:

  • Improve case detection and treatment adherence
  • Combat stigma and discrimination
  • Empower people affected by TB
  • Mobilize political commitment and resources for TB

One of the initiatives is engaging rural youths and students as Stop TB Ambassadors

  • SRADHA identified & built a cadre of 580 Student Ambassadors (mostly Youth)  of 15-18 years from 65 schools committed to propagate awareness messages about TB and its control
  • Generated an effective movement in fight against TB in two districts of Odisha, India through a network of student ambassadors, community based institutions, public health facilities and schools.
  • Evolved and established a stronger community commitment by involving 125 community youths, 160 community based institutions (SHGs and Youth Clubs), 65 schools and 12 local self-government institutions for combating the TB problem.
  • Initiated a successful advocacy campaign in 2 Blocks each of Sundergarhand Jharsuguda districts by mobilizing communities and community based institutions to face the problem of TB. The activities have largely helped to empower patients through information, education and communication to face the disease. The local advocacy activities have greatly reduced stigma, discrimination, gender bias by increasing community level awareness. This has resulted in increased school attendance of children from affected families and reduced dropout rates from schools.
  • Educated 9200 School Children from 65 schools to further transmit information and education messages about the TB in their families and 65 neighboring communities.
  • Functioning of trained Youth ambassadors in community setting substantially increased the case detection and treatment, reduced stigma and discrimination and created scope for scaling up of intervention.

Control of Vector Borne and Tropical Diseases :

Malaria Control programme

The activities undertaken by SRADHA includes Integrated Vector Management (IVM) by training youths for Indoor Residual Spray (IRS) (167- youths trained)

  • Training SHGs (320 SGHs trained) for making and marketing of Long Lasting Insecticidal Nets (LLINs) / Insecticide Treated bed Nets (ITNs)
  • Anti larval measures and breeding source reduction in 172 locations
  • Other supportive interventions include capacity building, Behavior Change Communication (BCC) and participating in Monitoring and Evaluation (M & E) of the programme at the district level.

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