1. STRENGTHENING COMMUNITY BASED INTEGRATIVE CARE OFPEOPLE WITH MENTALILLNESS:
RARE has been working on Community Mental Health and Development Programme since 2008 in Subarnapur District with the Support of Basic Needs India, Bangaluru. This phase is from the period 2018 to 2021. The programme aims at improved human rights of people with mental illness, reduced stigma and discrimination in community and resource enhancement of all stakeholders. The Programme is being implemented in Subarnapur District, targeting 500 Persons living with mental illness. 2 full time staff with 10 Community Volunteers are engaged in the process for identification, facilitating the process of treatment & access to entitlement; provide psychosocial education and referral services to PWMIs. On the other hand, periodical meetings have been conducted to activate the local health service provider such as ASHA, ANM and AWW on Mental Health to identify and provide referral services.
- 418PWMI identified and 210 have access to medicine and under regular medication are in stable condition.
- 42 have provided medicine support from the Mental Health Programme and they are in stabled condition.
- 41 have received disability certificate, 41 have got pension and 32 have got PM Awas Yojana/Mo Kudia/Biju PakkaYojana
- 10 Family Support Group (FSG) have been formed with regular strengthening meeting
- 107 ASHA and AWW actively involved in Identification referrals and follow up process
- 285 PWMIs have involved in household productivity activities
- 418 caregiver’s and 210 PWMIs are aware on psychosocial education and they are applying in their day to day life.
- With the continuous advocacy with District Administration and participation at State level Programme the Outdoor Services for Persons with Mental Illness started by trained Dr. Tribikram Pandia with Medicine Support.
- The Mental Health review Board at District Level has constituted where a Stable Persons with Mental Illness as well as volunteer of the programme has nominated as member.
During Covid-19 relief has been supported to 65 families of PWMIs from Action Aid India and The Samaja Relief Fund which has met the timely need of the families.
The District Magistrate & Collector has extended permission during COVID lock down period to meet the family and provide counseling support.
Emergency Response Support to 50 Persons with Mental illness from 10 GP of Binka Block, with the support from Samaj relief Committee,
Sambalpur Zone and RARE Sonepur to the needy persons with mental illness. The support was dry ration kit with soap and mask. During the distribution of ration kit it was demonstrated on hand washing and aware for social distancing.
RARE in collaboration with Zilla Swasthya Samiti Subarnapur had observed the World Mental Health
Day on 10-10-2020 at Kalyan mandap Silati Gram Panchayat. Dr. TibikramPandia the doctor in charge Mental Health Care of outdoor service had attended as Chief Guest and discussed on deferent dimension, symptoms, treatment and rehabilitation process of PWMI also he shared about the action taken activities to outdoor services for the PWMIs at DHH,Subarnapur from October 2020. Guest of honor BSSO Aswani Pande discussed about health right and right and entitlement of PWMIs. Mr. Ananga
Negi General Secretary Cum CEO shared on the objective of the observation and requested all the participants to extend their optimum cooperation for the identification, treatment and rehabilitation process of PWMIs in the region.
Both the support from the Basic Needs India and District Administration have provided back force to carry forward the Mental Health Programme ahead.
2. SEXUAL REPRODUCTIVE HEALTH AND RIGHTS
Health is major aspect of human being. Due to lack of awareness and upon discussion of health many people are neglecting their health care. Among them Sexual and Reproductive health an important aspect which is neither discussed by family members nor at community level. So to strengthen the Sexual and Reproductive Health and Rights the follows activities and result gained.
30 adolescent boys and girls club Formed and are being strengthening regularly for deepening their understanding on mental health.
Menstrual Hygiene management for girls and masturbation for boys are being organized separately so that the discussion was friendly, interactive and fruitful.
Virtual interaction on Child Sexual Abuse was organized times and again to understand challenges on Sexual Health.
Demonstration on uses of Sanitary Napkin with girls at community and School level has organized for safe menstrual hygiene management.
Global Menstrual Hygiene Day has been observed with girls and women to treat is blessing for women and appropriate care.
Life skill training has been imparted to adolescent boys and girls in 6 phases at the project operational area where the hygiene management was major component of the training. In each training there were 50 to 60 participants.
This training has not only impacted to strengthen the hygiene management but also it could able to create mass awareness on prohibition of child marriage.
Adolescent convention and International Women Day have observed with a major discussion on Sexual and Reproductive Health & Rights to initiate a healthy environment among the girls and women.
Following are some quantitative achievement:
- 92 adolescent club members aware on Life skill and Health hygiene
- 80 adolescent girls were aware on child marriage & its impact, different government schemes for the children and adolescent health care & reproductive child health. All the adolescent girls have pledged against child marriage and aware to their neighbours to stop child marriage.
- 1500 members from SHG and VLCPC were aware on the impact of child marriage and pledged to stop child marriage.
- On the observance of International women’s Day 126 member were pledged against Child Marriage.
- 105 members from SHGs were aware on Adolescent Health Care, Education, Gender Based Violence, and Domestic Violence and pledged against Child Marriage.
The members of adolescent girls club are attending the Adwika Session in Saturday organised by AWWs in each AWC area to strengthen the life skill and adolescent health.
3. Establishing a Manufacturing and training Unit of Sanitary napkins andits workshop for caregiver of without parental care and adolescent girls
Menstruation is a normal biological process which maintains the female reproductive cycle. This topic remains indescribable and is even considered unthinkable in different part of the world. In developing country like India, women have to deal with menstruation secretly. Poverty, Gender inequality and
repressive conditioning of women folks continue to deny access proper menstrual hygiene products.
To strengthen the Menstrual Hygiene Management and develop safety health care system RARE has installed a Semi Automated Sanitary Napkin Production and Marketing Unit at Lachhipur. Where the 5 members from supported families have joined and preparing the Sanitary Napkin at the Unit. The members are able to manufacture 150 to 200 Pcs. Sanitary Napkin Per day. The products are bio-degradable and less price in comparison to other products.
For the larger marketing the staff members of RARE is organizing awareness during their project meeting and convincing the target group regarding the safety aspects of using Sanitary Napkin.
The production of sanitary napkin has started and the sample has been sent to “Opal Research & Analytical Services”, Gazihabad, and Uttar Pradesh for testing and approval.