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HEALTH – SOCIETY FOR NATURE EDUCATION & HEALTH
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HEALTH

HIV/AIDS & STDs Program

Location: Salia Sahi Slum, Bhubaneswar, Odisha

SNEH has been working on an impactful and inclusive HIV/AIDS prevention and control programme since 1995. The first few STD clinics were set up in JKPur and Rayagada, but now SNEH has shifted its HIV/AIDS intervention entirely to Salia Sahi slum in Bhubaneswar, one of the most congested and underserved pockets of the Odisha capital.

SNEH’s direct intervention includes one-on-one or group counseling, awareness programs, public rallies, street plays, group-education programs, quiz competitions, sports events, condom distribution – all with an eye to creating an enabling environment that will foster an attitude and behavior change in the slum communities.
The main objectives of SNEH’s flagship ‘Youth in Action Against HIV/AIDS’ program has been to increase public awareness about STDs/HIV/AIDS among the youth, as well as the older slum inhabitants. Engaging the youth is essential to the project’s success: It accords them a sense of ownership and, as future leaders, gives them a voice in decisions that will impact their lives.

The Salia Sahi youngsters’ energy and outlook has been an essential resource in the expansion of the HIV/AIDS project. Sports, music, theatre and workshops have been an innovative and creative means to reach the message to a critical target group that has been feeling a disconnect with the primary issues of sexual health and hygiene. Also, prevalent gender inequity has kept girls out of the mainstream when it comes to education and training programs, leaving them at greater risk to violence and STDs.

The great mismatch between job opportunities and skills training (backed by relevant education), has led to fewer employment and entrepreneurship prospects, especially in the slums. And finally, parental care, peer approval and support from the wider community can be strong influences to help the slum youth stay away from substance abuse, alcoholism, violence, suicide and of course unsafe sexual behaviour. Having someone to confide in and count on during a crisis; someone to give advice and care can be of tremendous help.

SNEH’s staff at the local Sampriti Resource Center, and the Youth Cells in Salia Sahi, fulfil this role excellently. These are venues for programs, meetings, knowledge-sharing, community dialogue or just a place for the youngsters to get together. A Youth Cell for the adolescent girls and young women of the slum has also been set up, and is managed by a trained psychologist who provides counseling and moral support to victims of gender and domestic violence. The cell is used for training programs, workshops for the stakeholders, and also has space (and privacy) for inter-personal counseling. Different training programs on reproductive health rights, gender and peacebuilding and motivation and aspiration, are conducted at the center. Among the special events held here are International Women’s Day and World AIDS Day commemorations; and football and kabaddi tournaments for adolescent girls. ‘Freddie for A Day’—a musical event spreading awareness on the life and achievements of rock star Freddie Mercury, is organized every year on September 5.

Health and Livelihood program

Location: G. Udayagiri Block, Kandhamal District, Odisha

SNEH began its peace-building intervention in the G. Udayagiri Block of Kandhamal district in Odisha, in the immediate aftermath of horrifying communal conflicts in 2008. Initiatives on conflict resolution and restoration of communal harmony and peace were undertaken in the beginning. Later, endemic issues like malnutrition, health, hygiene and sanitation, and livelihood strengthening activities were also included in the intervention.

SNEH initially focused on women and child healthcare in 10 villages of the Ratingia G.P of G. Udayagiri block (the Infant Mortality Rate in Kandhamal district is the highest in the state). Pregnant women and lactating mothers have been included as the main stakeholders of the programme, and both curative as well as preventive healthcare practices have been adopted to improve the health status of the target population. A convergent approach was followed to integrate the intervention with government programs like Mamata and Janani Surakshya Yojnas. Various awareness and sensitization programs have been undertaken through trainings, workshops, camps, rallies and events relating to nutrition, health, sanitation and mother and childcare.

The main source of livelihood of the people of the district is agriculture and the collection of Non-timber Forest Produce (NTFP). Not having a rail head, Kandhamal has poor connectivity with the other districts of Odisha. Only 12% of its total area is cultivable, while 71% comprises forests and the rest is barren land. The farmers are mostly marginal or landless share-croppers who adopt shifting cultivation on the hill slopes. After a harvest of paddy in October-end, the rural workforce migrates to the neighboring states of Andhra Pradesh, Chhattisgarh and Telangana in search of work.

SNEH has introduced modern farming practices through popularisation of SRI (System of Rice Intensification) and row transplantation of paddy. Farmers have been trained in ‘natural farming’ through the use of Indigenous Micro Organisms (IMO) prepared by using locally-sourced materials. This new technology has also contributed to improve the health and nutrition of the local people.

SNEH has also introduced new cash crops like maize, sunflower, pulses and mushroom in the area through crop diversification training programs. Capacity-building programs for women farmers have been organized to benefit the village women who have formed Self Help Groups (SHGs) linked to local banks. Vocational training programs like masonry, mobile-handset repair and IT and computer training have been organized to reinforce the livelihood activities of the youth of Kandhamal district.

NUHM Mahila Arogya Samiti

Location: Paradeep Municipal Area, Odisha

SNEH has been identified by the National Urban Health Mission (NUHM), Government. of Odisha, to take steps for the formation and capacity-building of Mahila Arogya Samitis (MAS) in the Paradeep municipal area. Seventeen MAS’ have been formed in the 17 slums of the area.  SNEH has also sensitized the dwellers of another 22 slums on health-related issues, superstitions, maternal healthcare, new-born care and the welfare schemes of the Central and State governments through staging of Pala (a folk dance form) and organizing slum meetings. The meetings, which are informative and participatory, are conducted by SNEH’s trained personnel, and are attended by community leaders, local corporators and district officials.

ASHA Training Program

Location: Kanjiakana village, Jagatsinghpur District, Odisha

SNEH’s office at Kanjiakana village in Jagatsinghpur, Odisha, has also been designated a District Training Site (DTS), a training and facilitation hub to carry out field training for Accredited Social Health Activist (ASHA) workers under the National Health Mission scheme in Jagatsinghpur. ASHA workers are trained in reproductive health, maternal health, newborn care, child and adolescent health. The trainings, which are completely residential and participatory, are led by experts from related fields are hired for the programs.

Rural Health Clinic

Location: Kanjiakana Village, Jagatsinghpur District, Odisha

Following the devastation of Odisha by the super-cyclone of 1999, SNEH set up a Health Clinic in Kanjiakana village of Jagatsinghpur district, the area that was the worst-hit. The clinic provides free healthcare services, including medication and support for critical ailments, and is manned by a doctor, a pharmacist and a trained woman health worker. SNEH has also extended healthcare services through its trained health workers and TBAs, to support the government health drives on HIV/AIDS, Pulse Polio, Hepatitis-B and other programs. SNEH’s on-ground staff have been sensitizing and conducting outreach programs in the local villages on health, hygiene, sanitation and nutrition.

Six hundred seventy seven children and over 2,700 adults benefited from the clinic’s round-the-clock services in 2016. Children get frequent health check-ups, and are provided with free medication, along with life-saving treatments, as and when required.