Kutch Mahila Vikas Sangathan KMVS Proposal for Pachchham Women's Clinic

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Kutch Mahila Vikas Sangathan (KMVS)Proposal for
Pachchham Women's Clinic
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Background

• Pachcham is located in a region called Kutch
  situated in the northwest state of Gujarat,
  India. The population is predominantly Muslim
  followed by Harijan, Kolis, etc.
• Pachchham is one of the most remote areas of
  Kutch, where there is only one severely
  understaffed government healthcare facility for a
  population of more than 40,000 people.
• The patriarchal mindset prevalent in the
  community generally restricts women's mobility
  and freedom to access healthcare. Multiple
  children and malnutrition also take a toll on
  womens bodies.
• As a result women often silently suffer from
  various forms of health problems particularly
  gynecological and reproductive health issues.
• However, over the past 10 years, the status has
  improved due to the sustained efforts and
  training by a team of urban and rural health
  workers with the local organization Kutch Mahila
  Vikas Sangathan. The community has now started
  demanding services that are accessible and high
  quality.

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KMVS Brief History

• 1989 Sushma bahen began organizing Mahila
  Mandals in villages across Kutch.
• Small projects began in all areas depending on
  the need and interest expressed by women in the
  mandals
• 1990-2000
• Dais were trained in hygiene and risk assessment.
  
• The Sangathans collaborated with Bhojay Sarvodaya
  Trust in setting up gynecological camps in
  Khavda.
• 1996 Pachcham Sangathan came together to build
  an office in Khavda, and elected a committee of
  women to lead major projects
• 2001 Massive Earthquake
• 2003 KMVS begins to revive health activities

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Health Insurance Project

• Problem
• Because of working and living conditions, women
  tend to have extremely poor health.
• While families spend an enormous amount of money
  on health problems (about ¼ of their monthly
  income), women are rarely prioritized
• There are few services available locally in
  Pachcham. Women would have to travel far (at
  high costs) in order to access any reliable or
  appropriate service.
• Private insurance in such an area is practically
  impossible

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Health Insurance Project

• KMVS Solution
• Cooperative health insurance program among KMVS
  women
• Women would be guaranteed high-quality services
  when they are in need, regardless of the expense
  for a particular problem
• The services would focus on gynecological and
  reproductive health, those services most needed
  for women
• The program would emphasize preventative and
  prenatal care

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Services

• Through the insurance scheme, a woman will
  receive services at 3 different locations.
• Services provided at Sangathan Khavda Clinic
• Deliveries (normal and complicated, not requiring
  an operation)
• Antenatal and Postnatal Care
• Gynaecological diagnosis and treatment
• Paediatric diagnosis and treatment for children
  0-3
• Blood testing
• Provision of Dai Kits
• Provision of Contraceptives
• Services provided in Bhuj (through collaboration
  with a private hospital and linkage with the
  government hospital)
• Operations required for delivery (caesarean,
  etc.)
• Sonography
• Blood Bank
• Family Planning operations
• Services provided by Bhojay Sarvodaya Trust
  Hospital
• Operations for serious gynaecological issues
• Operations for serious paediatric issues
• Transportation from Khavda will be provided when
  patients are referred.

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Winning Combination

• Health Insurance Memberships
• Monetary help from the local citizens and other
  institutions
• Partnership with the government
• The doctors will provide scientific diagnosis and
  allopathic treatment
• The staff nurse will provide vaccinations and
  conduct antenatal and postnatal checkups
• The dais (local midwives) will provide
  traditional knowledge and counselling.

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Membership and Payment Scheme

• Self-sufficiency at the end of a five-year
  period.
• 5000 women members, paying a Rs.375 yearly
  premium.
• This will cover the running costs for services at
  all 3 locations of Rs.18,72,000.
• For the first year the target is 500 women, which
  would result in the collection of Rs.1,87,200.

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Running Costs (In Indian Rupees)
Salaries
Services
Administrative
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Total Running Costs
Road to Self-Sufficiency
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Government Partnerships
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Local Awareness
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Local Awareness
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Recent Progress

• A referral clinic was inaugurated on February 11,
  2005
• Clinic building was donated by the government
• Tripartite partnership between the Government,
  community and the Non-Government Organization
  (NGO) KMVS
• The clinic will serve primarily women and their
  young children.
• The women's care will focus on gynecological and
  reproductive health issues and child care will
  cover basic ailments and vaccinations.
• The clinic has a check-up room, labour room, one
  ward (5 beds), a waiting room with reception and
  medicine counter, a counselling and
  patient-education room, living quarters for
  staff, and a training hall.
• 9 successful deliveries so far
• Positive response from the community

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Recent Progress

• Members from other blocks realize the need for
  such a clinic at accessible distances
• Several training programs are scheduled over the
  next few months (practical hands on training,
  class room trainings, awareness camps and
  meetings at the village level)
• PMVS have organized 6 trainings during the last
  quarter.
• These trainings have focused on the importance of
  safe and hygienic delivery, clean and healthy
  habits and other related issues.
• Other blocks (SJS, Nakhatrana) have also
  organized orientation and trainings during the
  last quarter.

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Training Camps
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The Future KMVS Womens Health Clinic

• Run by the women of KMVS
• Services provided by both local Dais and an
  in-resident doctor
• Specialized womens services reproductive and
  gynecological healthcare
• not overlapping with services that the government
  can be held accountable for
• Partnership with government
• Partnership with the whole community funded by
  the community health insurance program
• sustainable
• Not just to provide health services but also to
  impart health knowledge
• Train village health workers
• Engage citizens in activism about the health of
  their communities

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Contact Information

• ASHA Cleveland Chapter
• Email asha_cleveland_at_yahoo.com
• Vishal Haria (ASHA Volunteer)
• Phone [phone]
• Email Vishal.Haria_at_gmail.com
• Sheela Maru (KMVS Volunteer)
• Phone [phone]
• Email Sheela.Maru_at_gmail.com