Project Planning: Srihari Rameswarm Manokamna Sidh Pith Mandir Trust
In 2015, VISHESH Hearing & Speech Clinic & SHRM Mandir Trust will launch a program that supports research on key unanswered questions about hearing loss and social engagement. The aim of the project is to identify areas for future research as currently, limited research has examined the impact of hearing loss, whether treated with devices or not, and the related effects on social engagement.
We will begin by convening a small group of distinguished experts who represent medicine, engineering, psychology, sociology, law, government, health economics, health policy, industry, technology and advocacy to elaborate key issues, compile existing evidence and identify questions to which answers are needed in order to guide research, inform policies and improve products and services.
The VISHESH Hearing & Speech Clinic & SHRM Mandir Trust has developed a model of “launch” conferences that is different from a traditional academic meeting: instead of focusing on what experts have learned and know as a means of sharing scholarship, a launch conference is a means of identifying new opportunities for advances in scholarship, policy, and practice, by focusing on what experts don’t know and should learn, and how. Launch conferences consist of directed discussions based on clear and results-oriented agendas. The goal is to address key questions that lead to consensus-building and concrete next steps. We would identify the key areas of focus for future research.
The Hearing Project at the , VISHESH Hearing & Speech Clinic & SHRM Mandir Trust on Longevity will include developing research and policy program around the following questions:
Access, Prevention and Education
1. How can we increase access to hearing aids and other hearing devices?
2. How might we simplify and clarify the choices for obtaining this technology?
3. How can we increase the use of hearing aids and other hearing devices?
4. Do we know all of the reasons why people are not using them?
5. What interventions can help remove the barriers to using hearing devices?
6. What is the best way to educate the population on the prevention of hearing loss as well as the effects of untreated hearing loss?
7. What can we do to educate users on all the technical features of hearing aids, and how they can interact with other devices
Technology
Do we need to develop new technologies that accommodate diverse situations What technologies that exist but are not yet being used optimally in service to the hearing impaired?
Policies
What are the means by which we can develop and support policies that allow for greater access to contemporary innovative hearing aids and other hearing devices? What can be done to support policies for improving the integration of assisted listening devices in public spaces?
Acoustics and Built Environments
- How can we make acoustics in noise-sensitive areas more inclusive and create more optimal acoustic environments for conversation and social engagement?
- How can we encourage architects, developers and builders to incorporate technology specifically designed to decrease acoustic barriers in their site planning, architectural design, and construction methods?
The results of this project will provide actionable insights into the usage, technology, and policies related to greater adoption of hearing aids and other hearing devices, and as well as related methods for acoustically improving an environment. Further, the results of this project will provide insights into the buffering effects of hearing devices and improved acoustics in noise-sensitive areas on improving communication ability among individuals with varying degrees of hearing loss. Data and resources collected by the Hearing Project may serve as a starting point for sources of information applicable to hearing device adoption and determine future research. Ultimately, the Hearing Project seeks to improve the overall psychological, physical, and cognitive well-being of hearing-impaired populations.
Health and Nutrition
The health programme of the organization has broadly two components; Community health and Institutional health. It has its own trained health workers who actively disseminate health information on pregnant mother care, child health and immunization, and hygienic practices, and motivate pregnant mothers for institutional delivery.
The organization has its own equipped Rural Health Team of Doctors nurses, Pharmacists audiologists in the remote Lucknow region district of Uttar Pradesh, which provides services like general Check Up, pharmacy, pathology, etc. People access services at the time rural /urban Camp from this also ambulance service in emergencies. Project Objectives:
To provide curative and preventative healthcare services to people in UTTAR PRADESH, through MANOKAMNA TRUST Rural Health and Training Centre and Out-Reach Centers.
To ensure safe motherhood in the UTTAR PRADESH by providing optimum pregnancy care to all pregnant women in the target area, reducing maternal and infant mortalities by 10%
The impact objectives are:
70% reduction in mortalities from preventable diseases
The number of cases of dysentery and diarrhea reduced
Maternal mortality reduced Infant mortality rate reduced
The process objectives are:
Institutional delivery increased
Increased awareness level among program beneficiaries.
Project Strategy
Village Mapping and Cluster Formation
The project covers 24 villages which are very spread out. Villages are further divided in to wards / booths with 200 to 250 families. Each Health Worker will be given responsibility for a cluster of two or three wards. A profile of the villages with information on physical assets and institutions with in the village will be developed to help with programme planning.
Mapping will include household number, name of the family head and members, number of children within one year and identification of eligible couple. The overall process can be seen below.
Home Visits
Health Workers will conduct home visits to provide pre and post natal care to pregnant and lactating women including measuring weight and height, blood pressure, hemoglobin, albuminuria, fundal weight, risk screening from history and complaints. They will also provide counseling on pregnancy care including registration of all pregnant women at sub-centres and ensuring that all mothers receive tetanus toxide vaccination. They will also encourage mothers to attend ante-natal care camps and to opt for institutional delivery, particularly for those women identified as at risk
Project Activities
Recruitment of Health Workers – Srihari Rameswarm Manokamna Sidh Pith Mandir Trust
Health workers, will be recruited and trained as Health Workers. 5 of these health workers will be made supervisors. The following criteria will be used in the selection of health works
- Ability to develop detailed operational plans and implement accordingly.
- Understanding of village level
Srihari Rameswarm Manokamna Sidh Pith Mandir Trust . Ante-Natal Care Clinics
We will conduct at least 1 ANC camps each month through health workers in our targeted ares. For at least one camp, it is required that the ANM of the relevant sub-centre is present to ensure optimum ANC services. After identification of pregnant women, the health workers will motivate them to attend ANC clinic for periodic check-ups including weight, blood pressure, hemoglobin, albuminuria, fundal weight, risk screening from history and complaints. They will also mobilise pregnant women to avail of USG facilities
Specialized Clinics – Srihari Rameswarm Manokamna Sidh Pith Mandir Trust
Specialized clinic Disability Rehabilization Camp (3 per month in 4 GPs) where pregnant women (mainly at risk and poor mothers) are able to avail of specialized care and services from doctors will be organized. Free nutritional supplement drugs (Vitamin B Complex, Vitamin C, Calcium Citrate, Vitamin D and Ferous Fumerate) will be supplied to any pregnant women that were required
Curative Healthcare
Curative healthcare services will be delivered through Manokamna Trust Medical Team existing healthcare infrastructure, which includes a Rural Health and Training Centre at AYODHAYA & LUCKNOW .With other Hospital Tyup
Out Patient Department
In-door department including 20-bed ward.
Operation theatre
Investigation facilities including pathology, X-Ray, USG and ECG
Eye-care unit
Pharmacy
Ambulance (car )
Health Cards
Health cards will be given to families . These beneficiaries will be selected based on need. Priority will be given to those families who are considered Poorest of the Poor. A comprehensive beneficiary selection process will be conducted, utilisise extensive Self-Help Group (SHG) network. SHGs will be responsible for identification and selection of suitable families for health cards
Mobile Clinics
Mobile health clinics will be conducted twice a month . Both general and specialised health camps will be conducted. Specialist doctors have already been recruited to conduct camps and will attend all mobile health clinics. These camps will ensure that basic healthcare services are accessible to the entire community. Camps will include general health, eye-care, child nutrition and pregnancy care. Specialized doctors have already been recruited to conduct such camps.