1. health and fitness

Assenting Action for Changing of Livelihoods (Aachol) Trust
41/13 A, Zikatola, Dhaka Phone: 02-9140296
Web: www.aachol.org Email: [email protected]
Aachol Mobile Health Clinic Project
Monthly Report on March, 2015
Submitted to:
Atom Rahman
Chairman &
Board of Trustees
Aachol Trust
Date of Submission: 05th April, 2015
Submitted By:
Md. Mahadi Hasan Apu
R&DO
Research Department
Aachol Trust
Aachol Mobile Health Clinic Monthly Report on March, 2015
Executive Summary
Alcohol’s Mobile Clinic had been arranged 21 health camps including a Blood
Grouping Camp at Alif Ideal School
in March, 2015 as per maintaining our
schedule which had made for selected vulnerable areas in order to providing
primary health care to the poor and destitute people of those areas and also
these camps were organized at 4 primary schools i.e. Alif Ideal School and
Basila Govt. Primary School, Marsh Model Academy and Easy Method School.
Camps were also organized at Slums and Community Places i.e. Kamrangirchar,
Kalsi, Boubazar, Balurmath at Hazaribag and Samlasi. In this month a total 2408
patients were treated, medicated and counseled.
Proper and adequate health solution is clearly rare in form of our country.
Especially health problems in urban slums of Bangladesh can be addressed
which are caused by many social and economical reasons. As the most common
health problems prevailing in the region where we conducted our Health Camps
are gastric pain, dysentery, skin diseases, diarrhea, pain, general weakness,
jaundice, menstrual problems and anemia amongst females, and fever, cough,
pneumonia, measles amongst children.
Non-qualified allopathic drug-sellers of drug stores located within and nearby the
slums are found to be the main source of health care for slum dwellers. Even in
presence of qualified practitioners, their services are not availed due to their
inability to pay consultation fees. It becomes clear that slum dwellers of the urban
-1-
Aachol Mobile Health Clinic Monthly Report on March, 2015
areas of Bangladesh are one of the most deprived groups in terms of accessing
and enjoying proper health care facilities.
Synopsis of Aachol’s Mobile Health Camp
Venue
No of
Camp
Counseling Patients
Medicated Patients&
Blood Grouping
Total Patients
Health Camp at Kamrangirchar
1
22
80
102
Health Camp at Samlasi
4
35
390
425
Health& Blood Grouping Camp at
4
24
556
580
4
42
328
370
1
9
109
118
Health Camp at Balurmath
4
13
388
401
Health Camp at Kalsi
1
35
104
139
Health Camp at Boubazar
1
1
23
17
108
125
131
142
21
220
2188
2408
Alif Ideal School
Health Camp at Basila Govt.
Primary School
Health Camp at Easy Method
School
Health Camp at Marsh Model
Academy
Total
.
-2-
Aachol Mobile Health Clinic Monthly Report on March, 2015
Our Achievements:
Aachol has provided its medical facilities in multiple places i.e. Schools, Slum
areas, Villages, Garment factories and so on. And serving of those places, we
acquired a lot of experience those should work as motivating and lessoning
factors. Through our Mobile health clinic, Our Health Solution covered areas are
now almost aware of their Sanitation system, Consciousness about multiple
health hazard, come to us for their better treatment instead of Non-qualified
allopathic drug-sellers. Not only our medical Team counseled and medicated
them but also the whole team of Aachol enthusiastically guided themselves about
different phases of Health issues in what cases they usually suffered for. Our
medical Team also visited door to door in many cases to awake the poor and
destitute ones in regards of their health consciousness that’s causing for their
preventive measures before ailment. Now we have highly encouraged seeing the
phenomenon that the treated and counseled people are much more conscious
about various health hazards and take necessary steps, that we counseled them
earlier. Therefore; we have able to ensured sustainable health solution by
providing standardized treatment what they gotten staying in their houses.
-3-
Aachol Mobile Health Clinic Monthly Report on March, 2015
Our Mission,Vision and Values:
To deliver free medical service directly to underserved destitute children, youth
and also adult in their own areas.To provide the ultimate in mobile medical care
to underserved children, youth and adult throughout the dilapidated areas.
Every poor and destitute child, youth and adult is respected and deserves
attentive, compassionate and nonjudgmental health care in where we organized
our mobile health camp. And it also refers Assenting Action for Changing of
Livelihoods
The report is divided into multiples sections. i.e;
 Introduction
 Medical Supporting Areas
 Findings
 Achievements
 Medical and Aachol Team details.
 Appendices
-4-
Aachol Mobile Health Clinic Monthly Report on March, 2015
Introduction
Aachol Mobile Health Clinic is a regular activity of Aachol Trust. Our mission is to
improve the health outcomes and quality of life for individuals who are homeless
and/or low-income. In a non-judgmental environment, we provide a combination
of direct medical services; health promotion and disease prevention activities;
social support and case management and referrals to higher medical treatment.
In this month we had arranged our Health Camp at diversified poverty stricken
areas. Health checkups are not available for primary and higher primary school
students in many schools in Dhaka. It is not feasible for parents who themselves
are suffering from acute poverty and starvation to make a long journey to a
health center to ensure that their child gets treatment. Often children are
suffering from common ailments which can be prevented and cured by health
education and regular monitoring and this socio-economic scenario is also
common in Slum and Remote areas all ages people where our Health Camps
are being conducted. The brief descriptions of Aachol Mobile Health Clinic on
March, 15 have been depicted as follows;
-5-
Aachol Mobile Health Clinic Monthly Report on March, 2015
1.1.Aachol Mobile Health Clinic at Alif Ideal School and
Marsh Model Academy:
Aachol Trust organized a free blood grouping camp for the benefit of students at
Alif Ideal School. Our main objective to arrange such kinds of camps for focusing
the importance of blood grouping and blood donation for saving innocent lives. In
many cases, blood grouping often determined life or death. We believe that the
students will come forward to donate blood whenever possible/getting maturity
and also spread the message of blood donation among masses.
Through our Blood Grouping Camp a 265 students, teachers and guardians of
the students participated and got benefited by means of knowing their blood
group and also they will record it in their identity cards.
-6-
Aachol Mobile Health Clinic Monthly Report on March, 2015
We also arranged 4 Mobile
Health Clinic at here. Firstly
our Aachol Team had given
advice in regarding of many
health hazards and also talked
about
how
healthy
they
life
enjoy
by
a
taking
preventive measures before
we
conducted
our
health
camp. In the Month of March ,
at
here
there
were
580
students, teachers and guardians of the students being medically treated by us.
We also provided medicine towards the 556 treated patients and referred 20
patients in our own medium.
Pictorials: Health Camp session at Alif Ideal School
-7-
Aachol Mobile Health Clinic Monthly Report on March, 2015
Tabular View: Health Camp at Alif Ideal School
Number of patients Number of patients Number of patients
treated and
medicated and
counseled
counseled
Blood Grouping
580
556
24
Percentage (%)
medication
96%
Percentage
(%)
counseling
4%
Graphical: Aachol Mobile Health Clinic at Alif Ideal School
In March, 2015 at Marsh Model Academy, a total of 142 patients were treated,
medicated and counseled. We had provided medicine towards 125 students,
teachers and guardians of this School.
Pictorials : Mobile Health Clinic at Marsh Model Academy
-8-
Aachol Mobile Health Clinic Monthly Report on March, 2015
Tabular View: Health Camp at Marsh Model Academy
Number of patients Number of patients Number of patients
treated and
medicated and
counseled
counseled
Blood Grouping
142
125
17
Percentage (%)
medication
88%
Percentage
(%)
counseling
12%
We have also distributed here a 500 pieces of Oral Saline and also specially
medicated those one who were worm affected.
Graphical: Mobile Health Clinic at Marsh Model Academy
-9-
Aachol Mobile Health Clinic Monthly Report on March, 2015
1.2.Aachol Mobile Health Clinic at Kalsi and Boubazar:
Poverty creates ill-health because it forces people to live in environments that
make them sick, without decent shelter, clean water or adequate sanitation.
Living in filthy areas, social and
economical imbalance, food security
and health hamper social mobility
those mentioned elements are the
most common scenario of a Slum
areas. After a daylong hard work one
should need proper rest and also
have to take adequate food. But
majority of the people those who are
living in a slum have no or little ability
to afford. Sanitation and Congenial
environment
are
almost
absent
rather the people are used to live in an unhygienic environment. Kalsi is such a
place where a large number of migrated people living in a congested means and
causing of poverty thus results of ill health and consequent of Diseases is a
conventional nature of their life style.
By reviewing this miserable condition, Aachol Mobile Health Clinic arranged a
health camp here. For growing awareness through our health program in
regarding of health solution Aachol team along with Aachol medical team were
unitedly working at here. In this Month, there were 139 patients being medically
counseled by us and among them 104 patients were getting medication also.
Health camp overview at Kalsi,Mirpur
Number of
Number of
patients treated
patients
and counseled
medicated
139
104
Number of
patients only
counseled
35
Percentage
(%)
medication
75.00%
Percentage (%)
only counseling
25.00%
- 10 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
In this place the birth rate
is very high and we had
counseled
pregnant
a
and
lot
of
married
women about their health
conscious
matter
birth
and
control
phenomenon. There are
many
myth
and
superstation on regarding of that birth control affairs but our Aachol medical team
had tried to understand them the curse of that malpractice in what they are used
to live in. There had also found some women those who are being married in
their very early age and thus they
are suffering by many means i.e.
Child marriage is driven by poverty
and has many effects on girls'
health: increased risk for sexually
transmitted
cancer,
childbirth,
diseases,
malaria,
and
cervical
death
during
obstetric
fistulas.
Girls' offspring are at increased risk
for premature birth and death as
neonates, infants, or children. Our
Medical Team had counseled them
the ill impact of the above social phenomenon and also checked up their physical
and mental health.
- 11 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Graphical Presentation: Aachol Mobile Health Clinic at Kalsi
Pictorials: Medically counseled and checked up session of Senior Citizen at Kalsi.
Boubazar is also a slum based area where an enormous number of migrated
people are living. The patients of here mostly suffering by communicable
diseases. At every month we have conducted our health camp at here and in this
month of March, 2015 a total number of 131 patients were being medically
treated by us and among them 108 patients got medication.
- 12 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Pictorials: Mobile Health Clinic at Boubazar
Health camp overview at Boubazar
Number of
Number of
patients treated
patients
and counseled
medicated
131
108
Number of
patients only
counseled
23
Percentage
(%)
medication
83%
Percentage (%)
only counseling
17%
A countable number of old aged patients were being provided medical treatment
and we also checked up their blood pressure, tested sugar and measured their
weight and after that we prescribed them as per their diseases in what they
suffering for. We distributed 500 pieces of Oral Saline towards the inhabitant at
here.
- 13 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
1.3.Aachol Mobile Health Clinic at Balurmath in Rayerbazar:
For communities, inadequate shelter and overcrowding are major factors in the
transmission of diseases with epidemic potential such as acute respiratory
infections, meningitis, typhus, cholera, scabies, etc. Outbreaks of disease are
more frequent and more severe
when the population density is
high. And Balurmath is such a
community
where
mentioned
phenomenons
clearly
visible.
the
Through
above
are
our
regular health camp at here, we
are tried to counsel them in
multiple
health
hazards
and
always advised them to live in a
hygienic means.
In our observation we found that a countable number of children are living at here
without any permanent shelter and they have to earn their livelihood of their own
income source. At here we not only provided them to medical solution but also
we have an offer for them to education and also in a regular time being we
distributed clothes towards them.
In March,2015 a total number of 401 patients were treated and among them 388
patients got medicine from us at here.
Health camp overview at Balurmath
Number of
patients treated
and counseled
401
Number of
patients
medicated
388
Number of
patients only
counseled
13
Percentage
(%)
medication
96.00%
Percentage (%)
only counseling
4.00%
- 14 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Graphical Presentation: Health Camp at Balurmath
At here, the numbers of early married women are also so much high and results
on crude birth rate are similarly higher than the other places where we render our
health solution. Adult people of this area are mainly involved in Rickshaw pulling,
Driving of various kinds of vehicles, Carpenter, Mason and so on. These types of
occupations are very laborious. The people at here are losing their physical
strength and good health by engaging with such types of hard works.
- 15 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Pictorials: The male and female patients were counseled & medicated for their
diversified health problems by Aachol medical team.
We also distributed around 800 pieces of Oral Saline towards the local people of
here. And also our Aachol Volunteers counseled them in multiple health issues
by which they usually suffer for.
- 16 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
1.4.Aachol Mobile Health Clinic at Kamrangirchar,Easy
Method School and Basila Govt. Primary School:
Kamrangir Chor and Basila are typical slums on the river Buriganga those are
densely populated by slum dwellers with minimum daily wages. The population of
these slums is approximately one million. These slums suffer all the common
problems noticed in any other slum in Dhaka. Problems that are manifest in
these areas are dynamic and include the areas such as health, social, political
etc. Poverty, illiteracy and social hazards all contribute towards the dilapidating
social and health conditions of these slums. One common belief amongst the
slum dwellers is that they usually equate the person who sits at the pharmacy
and sells medicines, with a health care service provider. Slum dwellers often
resort to pharmacies for availing primary medical services. There are many
pharmacies in this slum. Hence, pharmacies are the most popular choice
amongst these people when it comes to seeking health care services. However,
in Kamrangir Char and Basila, no proper health-care facilities existed within the
areas.
Seasonal diseases are most common here. Besides that Kamrangir Chor does
not have high-quality sanitation system. As a result problems like water log,
itches, dysentery, typhoid, dengue
arises. They also said that they do
not have any accurate place to dump
the waste in the region. As a result
everyone is dumping the waste here
and there. They also think that
because of improper waste dumping
the
children
are
suffering
from
breathing problem. When they were
asked about the reasons of the
breathing problem they said that dust
- 17 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
and cold are responsible for it.
Considering the above social cost, we have conducted our health camp with our
Specialist Doctors, Nurses and expert Volunteers. In March, a total number of
102 patients were being medically treated by Aachol Health Clinic and among
them 80 patients got medication.
Pictorials: Mobile Health Camp at Kamrangirchar and Easy Method School
We had also arranged a Health Camp at Easy Method School at Kamrangirchar
and here 118 Students were being provided medical solution and among them
109 patients got medication. We also provided 500 Oral Saline towards the
students and local people at here.
Tabular View: Health Camp at KamrangirChar and Easy Method School
Number of
Number of
Number of
Percentage
patients treated
patients
patients counseled
(%)
and counseled
medicated
medication
220
189
31
86%
Percentage
(%)
counseling
14%
In at Basila community and Basila Govt Primary School and in this month of
March, a total number of 370 patients were being provided health solution and
among them 328 patients got medication. Our Aachol Volunteers also counseled
- 18 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
them about various health issues i.e. Proper Sanitation and Hygienic system,
necessities of taking nutritious foods, importance of physical exercise and harm
of physical over activity and so on.
Pictorials: Comprehensive Mobile Health Camp at Basila Govt. Primary School and Community
Tabular View: Health Camp at Basila Govt. Primary School& Community
Number of
Number of
Number of
Percentage
patients treated
patients
patients counseled
(%)
and counseled
medicated
medication
370
328
42
88%
Percentage
(%)
counseling
12%
- 19 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Graphical: Mobile Health Clinic at Basila Govt. Primary School and Community
1.5.Aachol Mobile Health Clinic at Samlasi:
The village of Samlasi is located on the near of Dhaka City. Most living people at
here are underfed,
illiterate and do not
have
knowledge
about
nutritional
value of foods. Due
to
poor
and
living,
sanitation
unhygienic
they
often
suffer from contiguous diseases like diarrhea, dysentery, typhoid, dengue and
- 20 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
pneumonia etc. Lack of proper nutrition, they used to have very low immunity and
thus high child death, stillbirth,
blindness
and
physical
malformation are very common.
Considering the living standard of
those
unconscious
and
poor
people, Aachol Trust had arranged
Health Camp at here once in a
week. Our Health Program composed of Health-camping, counseling on
sanitation, immunization; Eye care, Dental care, Child health care, nutritional
status of rural especially for the pregnant women and new born child.
In the month of March, 2015 a total number of 425 patients were being provided
health solution and among them 390 patients got medication through our health
camp.
Tabular View: Health Camp at Samlasi
Number of
Number of
patients treated
patients
and counseled
medicated
425
390
Number of
patients counseled
35
Percentage
(%)
medication
92%
Percentage
(%)
counseling
8%
- 21 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Graphical: Mobile Health Clinic at Samlasi
We had distributed 1000 pieces of Oral Saline towards the native people at here also.
- 22 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Appendix
Health Camp at Kamrangirchar
Health Camp at Basila
Health Camp at Basila Govt. Primary
School
Health Camp at Samlasi Village
- 23 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Health Camp at Alif Ideal School
Blood Grouping Camp at Alif Ideal School
Health Camp at Boubazar
Health Camp at Easy Method School
- 24 -
Aachol Mobile Health Clinic Monthly Report on March, 2015
Health Camp at Marsh Model Academy
Health Camp at Basila Community
Health Camp at Balurmath
Health Camp at Kalsi
- 25 -