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Arogya

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Overview

India’s health system is currently facing dual burden of disease. Although the absolute burden from diseases such as diarrhoea, respiratory infections, tuberculosis, and neonatal disorders is reducing, but it remains high. At the same time, the contribution to health loss of non-communicable conditions such as heart disease, stroke, and diabetes is rising. The precise nature of this challenge, though, varies across the country. While all states have experienced a change in disease patterns to some degree, clear differences emerge both in terms of the extent of this change and the rate at which it has occurred.

Arogya

VHAI in collaboration with Lal Pathlabs Foundation is implementing Project Arogya in District Kamrup Metropolitan, Assam and District Lucknow, Uttar Pradesh with the overall objective of creating awareness among the population about non-communicable diseases and its associated risk factors and also helping in early diagnosis and treatment of the patient through community based screening and proper referrals of positive patients.

Objectives

  • To sensitize, educate and empower target population about their health & wellbeing and risk factors associated with NCDs.
  • To motivate them to adopt healthy lifestyle and food habits through behavior change and communication.
  • Creation of comprehensive smoke-free environments
  • To help them in developing health responsible behavior
  • To screen the high risk population for common risk factors for NCDs, proper referral and help them in getting proper treatment at local government health facilities and follow up.
  • To build capacity of Government health workforce of the proposed district
  • To strengthen the relationship between the community and government health

Key Activities

Regular sensitization of the communities is very essential not only to increase their awareness levels about healthy lifestyle and the risk of NCDs but also to make them aware of the existing facilities and services being provided by the existing government health services and schemes in the state/district especially the new schemes like Health & Wellness Centers (HWCs) and Ayushman Bharat. Community awareness was done through:

  • Awareness sessions at the community level such as Anganwadi center, community halls, religious places etc.
  • Sensitization meetings with Community leaders, self-groups, patient support groups, women groups, Village Health and Sanitation Committee, ASHAs, ANMs etc.
  • School health awareness activities.
  • Nukkad Natak were organized at the common places to encourage people to adopt healthy lifestyle and prevent NCDs as well as wall paintings.

Based upon the Community Based Assessment Checklist (CBAC) of the Government’s National Programme for Cardiovascular Diseases, Diabetes, Stroke (NPCDCS), symptomatic screening of the high-risk cases is done during the awareness camps. Those cases whose (CBAC) score read 4 or more were screened at the screening camps.

Screening camps are conducted in difficult to reach and inaccessible pockets of the districts where parameters like Random Blood Glucose level, Blood Pressure, Weight, Height and Waistline measurement (for abdominal obesity) are checked.

Proper counselling of the positive cases as well as high-risk identified patients was provided to encourage them to take preventive measures and make lifestyle changes to combat the chronic problem due to NCDs.

Proper referral of the positive cases to the closest government health facilities has been an integral component of the Arogya project. All positive cases of the screening camps were referred to the local government health facilities. The follow up of the cases were closely done by the volunteers or block coordinators who follow up through visits/ phone calls or through the local Anganwadi workers (AWWs), Accredited Social Health Activist (ASHAs) etc.

Current Updates

on NCDs in collaboration with the National Health Mission, Uttar Pradesh
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The Tele-Counselling services are provided on COVID-19 management to the patients living with the co-morbidities (especially hypertension and diabetes). Approx. 5000 patients have been counselled in UP & 3500 patients in Assam till June 2020.

In April and May 2020, the Arogya team in Lucknow worked with the staff of CMO in COVID-19 epidemiology section to help them in data collection and updation. The extensive efforts of VHAI Arogya team have been appreciated by various government authorities including NHM, as well community leaders at block and ward level.

VHAI and LalPath Lab Foundation in close collaboration with National Health Mission, Government of Uttar Pradesh launched Project “Arogya- A Community Based Intervention on Prevention and Control of NCDs in Uttar Pradesh” on 10 February, 2020 in Lucknow.
Hon’ble Minister of Medical Health and Family Welfare, Government of Uttar Pradesh, Shri Jai Pratap Singh, graced the occasion by his presence. Other esteemed members present were Dr Amarendra Bahadur Singh, General Manager, NHM; Dr. Om Manchanda, Chief Executive Officer, Lal Pathlabs Foundation; Bhavna B Mukhopadhyay, Chief Executive, VHAI; Dr P. C. Bhatnagar, Senior Director, VHAI; along with other guests and invitees from various organisations and institutions. The event was widely captured in English and local newspapers.

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A Set of Information Education Communication (IEC) Material

VHAI has developed a comprehensive IEC material to strengthen and support the project activities. This set of IEC material is available in Hindi, Assamese and English and can be used by community health workers, NGOs, educational institutes and other key stakeholders to sensitize the general population on NCDs and their risk factors.

Health Awareness Campaign

Media Coverage

Words that value

“It came as a shock to me that my blood sugar level was as high as 505mg/dL during the screening camp. I am so thankful to Arogya team who have helped me to know from which problem I am suffering and linked me with the health center for treatment free of cost. I am feeling much better no.”
Putuli Begum
Putuli Begum 52 years old woman
“The root cause of NCDs are increasing population, unhealthy life style. Govt of Uttar Pradesh has introduced Mukhyamantri Jan Arogya Yojna to combat with NCD in state. We are mobilizing community on Sunday's for turning up to govt health centres (PHC). We really appreciate efforts of VHAI and Dr Lal Path lab Foundation, who is initiating NCD program to provide strengthening to the Govt health system. We are looking forward to get positive end results”.
Shri Jai Pratap Singh
Shri Jai Pratap SinghMinister Health and Family Welfare, Government Of Uttar Pradesh
“Voluntary Health Association of India in collaboration with Lal Path Lab Foundation started screening and Awareness campaign on NCDs especially Hypertension & Diabetes in the area of Panikhaiti Health Sub Centre. The communities of these areas are highly benefitted from these camps and it has also helped the Community Health Intermediaries at large. We are grateful for this initiative of Voluntary Health Association of India & Lal Pathlabs Foundation and hope that such camps are conducted on a regular basis in our area”.
Shri Kalpana Kalita
Shri Kalpana KalitaPanikhaiti Health Sub Centre
“Government has introduced 3000 Health and wellness center Which is bound to control non communicable diseases in Uttar Pradesh. The main focus of VHAI Arogya project is not only screening of the patient who are from high risk category but to motivate them for regular treatment and realizing the significance of follow up in such treatments. Arogya is more concern about community awareness for bringing positive Changes in life style. Government encourages this program in Lucknow district and hope to implement in other districts of the state.”
Dr Amarendra Bahadur Singh
Dr Amarendra Bahadur SinghGM, NHM, Uttar Pradesh
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