How to Care of the village in disease and health !!@!! Health Care Article Must Read 2019!!@!!

How to Care of the village in disease and health  !!@!! Health Care Article Must Read 2019!!@!!

A small iron closet in a corner of the two room house of  Oma Patel. It has a record handbook written in the form of photocopy of big registers, notebooks, diaries and survey forms inside it. These are all placed on each other in thick platinum bags.

This is the result of increasingly growing paper, in which most of the rural Maharashtra people are registered by the health, approved social health workers (Aasha) - from childbirth, adolescent nutrition, Data related to pregnancy, fitness etc. Uma Maharashtra's record is keeping records of people of Arag village in Miraj Talha in Sangli district since 2009. And trying to guide and guide your village about health problems frequently.

Health Care

In rural Maharashtra, like 45 years old Omma, 55 thousand Aasha workers ensure long-term primary health services in their villages. This work force was established as part of the National Rural Health Mission (NRHM) in 2005. The total health workers, all women, are posted after 23 days training. NRHM has one of the 1000 people (who has studied at least 8th grade) in residential villages, and population of 1500 people (who has passed at least 10 class class) in non-residential villages For a 'Aasha' worker has made it mandatory.

In Arag, which is a big village of about 15600 people, 15 other aspirants work with Omaha every morning around 10 o'clock. The basic phc (basic health center) for Badge, Lunar, Kitti, Shinde Vadari and Lakshmi Vadas villages of Arag Miraj Talha is also - Total population of the population is around 47,000, where 41 Asha workers are deployed.

Each Aasha worker visits each of his swimming pools, and usually takes more than five hours a day for this work. "If the houses are inside the village, 10-15 visits can be done in two hours. But some people live in the fields or fields. It also takes more than five hours to take four visits. And we have to go through bushes, fields and slums. During monsoon it becomes even worse, "Oma says.

How to Care of the village in disease and health  !!@!! Health Care Article Must Read 2019!!@!!
A visit to the house involves relaxing in small diseases such as healthcare, talking about contraception, cough and fever, preparing pregnant women for maternity and breast feeding, newborn children (especially Monitoring of children, children, anemia and low nutrition, ensuring full thimulation, preventing or treating diseases such as tuberculosis and malaria. To try

This is an endless list of tasks. "We make sure that no home should be deprived of any [health] survey or health care. There is no seasonal migrant and his family too, "says Oma, who also cook corn in his acre field with his husband Ashok.

In turn, the monthly earnings of an Asha worker - which is called 'Anento' or 'Azazia' by the Governor - in Maharashtra, the work is based on average, between 2000 and 3000. For example, they get 1 rupee for each packet condom and contraceptive bullets, each rupee 300 rupees to ensure maternal maturity, and 250 rupees for a 42-day trip to newborn children. .

Additionally, in these notebooks, health workers have to maintain all their visits, surveillance and surveillance data. "I earn 2000 rupees each month and spend approximately 800 rupees on Notebook, Photocopying, Travel and Mobile Recharge," Omma says. "We have to do two photocopiers of every original form. One we swear to help and keep the other with us. It takes 2 rupees on one side [photocopying] ... "

These forms are a number of - home based nuburnin farm, junior circus collection forms for children, toilets and drinking water sources for surveying, leprosy statistics - it keeps moving forward. . After that, there is a survey of Village Health and Nutrition Day, which is noted how many involved in this monthly program, hemoglobin level testing, child dysfunction, low nutrition was examined - About 40 details are included.

The data collected through Oma and other Asha workers is uploaded to the state government's NRHM site at the end of every month. When I went there, I saw that an assistant, 28-year old priest of Arag PHC, is trying to update this site. The Health Center has three storey buildings, one computer, a cabin of a doctor and a sitting room, a laboratory for blood test and a store room for medicines. Usually, a 'assistant' supervisors 10 worker workers and works at Ph.C. from 10:00 AM to 6pm. There are also a nurse, a doctor and medical technician in PHC (at least on paper).

Despite this, rural India's Primary Health Service is tied to their land workers, these are workers who are playing important role in improving country's health index. For example, the National Family Health Survey-4 found that in the year 2005-06, in the year 2005-06, the rate of mortality at 38 per cent was diminished in 2015-16, and in the year 2005-06 Maternity Maturity increased from 64% to 3-3% in 2015-16.

"A bridge works between Aasha, the community and the public health system. Their roles are important for improvement in health and child health. Continuous contact with people about their frequent visits to home and sickness is a precautionary step, "says Dr Naran Chauhan, a female pediatrician, at Mumbai's official folk Maine Tulak Municipal General Hospital.

And this is often Aasha workers who work as the first line of safety in any medical condition. "Six months ago, a man had swine flu in Lakshmi VDC [three kilometers away]. Asha of this village immediately told Arag PHC, "Oma says. "A team of doctors and analysts went there and surveyed all 318 houses in one day. We sampled everybody with a sign, but nobody else got it (swine flu). "

However, Asha workers recognize people of the village. "I never saw the hospital, for the first time two years ago, while watching Mochi Ben's operation," an elderly woman says Shamabhai Kore. Oma guided us. He took care of my daughter-in-law Shanti Bai, two years [2011-12] when he became a tuberculosis. These young women [Aasha] are ensuring the health of the elders, youth and children like me. There was nothing like this in my age. Then who was there to guide us? "Sharma says.

How to Care of the village in disease and health  !!@!! Health Care Article Must Read 2019!!@!!
Chanderkant Natik, a 40-year-old farmer in Arag, speaks similar experiences. "Three years ago, when my four-year-old nephew had a stomachache and began to turn away, we did not understand what to do. I went to Oma's house to help. They called an ambulance. We took it to PHC ... "

Aasha workers are committed to dealing with such anxiety, and usually spend their own money. Aisha Karkin, 32, of Chandigarh Gangdard, 32, of Timibak village, Timbikashwara Taluka of Nakk district, remembers an incident: "At 8 pm at night when Yashudhara started hurting Surya. We kept waiting for ambulance for approximately 45 minutes. Then I rent a private vehicle from a boss owner in the neighborhood. We took it to the Civil Hospital [approximately 26 km away] of Nachak. I stayed there all night. She gave birth to a girl who is now three years old.

"I am very grateful to Chandrakela Tai," says Joshua (25). The hospital and the doctors were out of our reach. But Tai helped. "To ensure that 'Institutional Maternity', Rs. 300 rupees under Chandra Kala's central government's headache (whose purpose is to reduce mother and child mortality). As found They spent 250 rupees to the car owner and spent 50 rupees on tea and biscuits.

In such situations, Aasha Karnakaran has to stay in the hospital at night, as Chandrakkala did. That means no food, no place to relax. "In emergency, who has the time to pack food? We have to leave our children and family behind. I kept wondering that night, keeping a mirror on the floor without lying, "says Chanddarkela, who also carries wheat or dough in her acre field with her husband's satisfaction. "For us, Sunday is nothing. We have to be careful all the time. Nobody can ever call me for help. "

Chandrakila Ambaboli is one of the 10 working workers working under P.C.C, where they go to meetings twice in the month with other medical staff of the villages of Timibikeshwar Talha. "They talk about all the same experiences. Asha Karman is from poor families. They are struggling themselves economically, but work hard to keep the village healthy, "Chanddarkala says crying.

Like other skilled workers, they also want to increase their honor. "It's not a big demand. Honor should be doubled, should be paid for travel and other expenses. After placing all our life on the health of others, we can at least ask, "Chanddarkala says in a broken voice.

Asha unions and organizations have done many agreements, demanding that the government should increase their money and overcome other concerns. In September 2018, Prime Minister Narendra Modi announced an increase in payment-or 'incentives' for some continuous activities; for instance, instead of Rs 100, instead of Rs 100, to maintain the health register of the village.

But medical staff and Aasha workers criticized this proposal. "We have repeatedly demanded a fixed [minimum] monthly salary of Rs. 18000. Along with the insurance cover, pension, and aspirant workers should be made permanent [with facilities]. Increasing competitive antenna will not solve the problem, "says Shankar Pajri, based in Sangli, who is the president of Maharashtra Asha workers and medical staff. Meanwhile, Oma and other women are talking about protest demonstrations in Araig village Phra, which Aasha Karman is planning to hold in Mumbai in January. "Another eyelash," says Oma. ''what should we do? Asha Karkaran [which means hope] only lives in Aasha. "

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