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]
Monthly Report on
Aachol Mobile Health Clinic Project on May, 2015
Submitted to:
Submitted By:
Atom Rahman
Chairman &
Board of Trustees
Aachol Trust
R & DO
Research Department
Date of Submission: June 04, 2015
Aachol Trust
Executive Summary
Aachol’s Mobile Health Clinic arranged 22 health camps in May, 2015 including a
Special Health Camp at Kamrangirchar Thoda and the others were being
arranged in pre-scheduled places that always been vulnerable and remote areas
in order to render primary health care to the poor and lackluster inhabitant of
those areas.
These camps were organized at 3 primary schools and 2 Garment Factories i.e.
Basila Govt. Primary School and Alif Ideal School and Friends for the Poor
People School and 7-One Tex Pvt. Ltd & Four Design Pvt. Ltd . Camps were
also organized at Dhaka Uddan, Looter Char, Kamrangirchar Thoda, Jhauchar
,Balurmath , Salmashi, Bakutta and Rupgang. In this month a total 2862 patients
were treated, medicated and counseled where we provided medicine 2482 to the
patients and 196 patients being referred to specialists.
Regular health exams and tests can help find problems before they start. They
also can help find problems early, when your chances for treatment and cure are
better. By getting the right health services, screenings, and treatments, you are
taking steps that help your chances for living a longer, healthier life. Your age,
health and family history, lifestyle choices (i.e. what you eat, how active you are,
whether you smoke), and other important factors impact what and how often you
need healthcare.
1
Synopsis of Aachol Mobile Health Clinic
Venue
No of
Camp
Only Counseling
Patients
Both Medicated &
Counseled Patients
Total Patients
Health Camp at Rupgang
1
22
103
125
Health Camp at Basila Govt.
Primary School
3
39
202
241
Health Camp at Friends for the
poor people School
1
13
72
85
Health Camp at Kamrangir Char
3
22
179
201
Health Camp at Looterchar
2
34
130
164
Special Health at Kamrangirchar
Thoda
1
103
1009
1112
Health Camp at Jhauchar
1
17
55
72
Health at Alif Ideal School
1
23
39
62
Health Camp at Salmashi
1
22
47
69
Health Camp at Vakutta
1
09
166
175
Health Camp at Four Design
Pvt.Ltd
2
34
156
190
Health camp at 7-One Tex Ltd
2
14
141
155
Health Camp at Dhaka Uddan
1
16
74
90
Health Camp at Balurmath
2
12
109
121
22
380
2482
2862
Total
2
Our Achievements:

Special Health Camp at Kamrangirchar: Our Medical support services are
being spread over this local area with blended efforts. Our providing
Mobile Clinic medical service is helping to grow health related
consciousness significantly in this area. In medium of our Special Health
Camp we were able to ensured health solution on a modern means of a
notable number of patients.

Health Camps at School Places: Our medical team as well as Aachol
volunteers gave advice them to get prevention of infectious Diseases by
improved sanitation, clean drinking water, hand washing, taking nutritious
foods and others need base diseases preventive measures. Our ongoing
medical services increase the awareness about health related issue
among the students in where we arranged our Mobile Health Camp of this
month.

Health Camp for Community/Slums: We come forward to provide medical
facilities towards the poor people and thus the inhabitant of here get
sound medical facilities. We observed that many local people those who
were before ignored about health hazards and now after our health camps
most of the treated and counseled patients as well as local inhabitant are
much more conscious about their Health.
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...
3

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.
Introduction:
It is inspiring that Bangladesh is currently on track to achieve the primary target
of MDG 4 and 5 with a goal to reduce maternal and child mortality. Despite these
achievements, the condition in urban slums is worse compared to urban nonslum areas with respect to health, nutrition, housing, water and sanitation. This
makes urban health and development issues, especially of the slum dwellers, a
high priority.
People living in marginalized spaces like slums in cities around the world have
limited scope to engage with power structures, access resources and direct
change in their own lives. Their voices are rarely heard in policy debate. There is
much to learn from both conventional and unconventional actor’s experience in
the health and development spheres. There should have to give more emphasize
in regards of health solution.
4
Aachol Mobile Health Clinic is running on to ensure health solution towards the
marginalized and of course poor ones in a sound means. In May, 15 the following
areas are the subject matter of our ongoing Mobile Health Clinic Program and
that is scrupulously focused with details in below;
1.1.Health Camp at Salmashi and Jhauchar :
The purpose of the Rural Mobile Health Clinics program is to encourage and
stabilize the provision of outpatient primary care in underserved rural areas
through the use of physicians, physician assistants, nurse practitioners.
Salmashi is a village which located
on near the Dhaka city and In this
month we arranged our health camp
at here for providing health solution to the
students of Marsh Model Academy and
the local inhabitants of here. Prescribed
patients were being gotten medicine and for generating awareness we distributed
500 pieces of Oral Saline among the local people.
There were 69 patients being medically treated by our Medical Team and among
them 47 patients got medicine and rest of them were being treated as only
counseled for their different kinds of ailment.
5
Health Camp Overview at Salmashi
Number of patients Number of patients both
medicated&counseled
treated and
counseled
69
47
Number of
patients only
counseled
22
Percentage (%)
medication
Percentage (%)
counseling
68%
32%
Figure: 1.1. Both Tabular and Graphical Overview of Mobile Health Clinic at Shalmashi
In Jhauchar, we arranged our health camp at Matrichaya Ideal School but here
the local people were being also medically served by us. In this month a total of
72 patients were medically treated which include men women and children on
that locality. Among them 55 patients were medicated while 17 patients were
given general advice.
6
Pictorials: Health Camp at Jhauchar (Matrichaya Ideal School)
Health Camp Overview at Jhauchar
Number of patients Number of patients both
medicated&counseled
treated and
counseled
72
55
Number of
patients only
counseled
17
Percentage (%)
medication
Percentage (%)
counseling
71%
29%
At here we also observed that to lack of nutritional status, presence of upper
respiratory tract infection, worm infestation, anemia, diarrhea, malaria, typhoid
and so on and we prescribed and medicated them accordingly.
7
1.2.Health Camp at Alif Ideal School and Rupgang:
An assessment on health and hygienic conditions of students at Alif Ideal school
was undertaken by Aachol Mobile Health Clinic, poor hygiene with lot of health
problems particularly malnutrition problems. Most of the students at this school
are financially poor and unable
to consult doctors for routine
medical examinations with their
own expenses. Hence we were
providing
examination,
free
medical
performing
general checkup and creating
awareness of their health and
general care for the students at
this school, by organizing a
medical camp in a regular schedule means. The local people along with senior
citizens were being provided medical treatment including medication also by us.
In this month a total of 62 patients were medically treated which include men
women and children on that locality. Among them 39 patients were medicated
while 23 patients were given general advice.
Health Camp Overview at Alif Ideal School
Number of patients Number of patients both
medicated&counseled
treated and
counseled
62
39
Number of
patients only
counseled
23
Percentage (%)
medication
Percentage (%)
counseling
63%
37%
8
Graphical : Mobile Health Clinic overview at Alif Ideal School
Aachol Mobile Health Clinic has arranged its health camps at diversified areas
where the inhabitants are mostly earn their livelihood in a hard ways and means.
Our objective is to provide health care to the vulnerable community’s. Rupgang is
such an remote area where most of the people are living on hand to mouth.
Health facilities are not satisfactory and in this matter they are depend on the
local quack of there.
After surveying the social
cost of the people at here,
we
were
arranged
a
mobile health clinic at here
to
introduce
modern
medical facilities . In this
month a total of 125
9
patients
were
medically
treated which include men
women and children on that
locality. Among them 103
patients
while
22
were
medicated
patients
were
given general advice.
Health Camp Overview at Rupgang
Number of patients Number of patients both
medicated&counseled
treated and
counseled
125
103
Number of
patients only
counseled
22
Percentage (%)
medication
Percentage (%)
counseling
63%
37%
Graphical : Mobile Health Clinic at Rupgang
10
1.3.Health Camp at Basila Govt. Primary School and Balurmath:
In the month of May,2015 We organized our mobile medical health camp for the
poor and destitute people at Basila. During our medical camp a large number of
people
came
and
took
medication and counseled from
the Aachol’s doctor as well as
it’s team. Most of the people in
that locality hav e little capacity
to fulfill the proper nutrition of
their family members so that
they are (especially children)
seriously
malnutrition.
affected
Because
by
of
malnutrition new born babies are
coming to the light with serious
health hazard and pregnant women are facing life risk in period of giving birth.
We are raising our voice against the malnutrition through our regular health camp
and various social events.
11
In this month a total of 241 patients were medically treated which include men
women and children on that locality. Among them 202 patients were medicated
while 39 patients were given general advice.
Health Camp Overview at Basila Govt Primary School
Number of patients Number of patients both Number of
medicated&counseled
treated and
patients only
counseled
counseled
241
202
39
Percentage (%)
medication
Percentage (%)
counseling
83%
17%
Graphical: Mobile Health Clinic at Basila Govt. Primary School
In this month, at Balurmath, a total
of 121 patients were medically
treated which include men women
and children on that locality. Among
them 109 patients were medicated
while
12
patients
were
given
general advice.
12
Health Camp Overview at Balurmath
Number of patients Number of patients both
medicated&counseled
treated and
counseled
121
109
Number of
patients only
counseled
12
Percentage (%)
medication
Percentage (%)
counseling
90%
10%
1.3.Health Camp at 7-One Tex Ltd and Four Design Pvt. Ltd:
The occupational health problems affecting workers of our country, in fact
workers of any developing country are liable to be much more complicated and
dangerous as compared to that of developed countries because of the reasons
of; Poor health status due to poverty, overcrowding, illiteracy, malnutrition, higher
prevalence of infections, parasite and other diseases, lack of adequate medical
and
health
care
facilities
and
a
host
of
other
factors.
Our health programs are being run with the motto of providing health solution
towards poor and destitute ones and this month we arranged our health camp at
two Garment Factories named 7-One Tex Ltd and Four Design Pvt. Ltd.
Non-industrial illnesses form a
major
part
of
the
health
problem of Garments workers.
In fact incidence of many
common
illnesses
like
respiratory
ailments
(flue
bronchitis,
tuberculosis,
cough,
peptic
asthma),
ulcer,
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dysentery etc. are higher among industrial workers as compared to the general
population.
A total number of 155 workers& employees were being checked up for their
different kinds of ailment by Our Specialist at 7-One Tex Ltd. in this month of
May,2015 and also we provided medicine towards the prescribed patients.
Pictorials: Mobile Health Clinic at 7-One Tex Ltd.
Health Camp Overview at 7-One Tex Ltd.
Number of patients Number of patients both
medicated&counseled
treated and
counseled
155
141
Number of
patients only
counseled
14
Percentage (%)
medication
Percentage (%)
counseling
91%
09%
14
In this month, at Four Design Pvt. Ltd. a total of 190 patients were medically
treated which include male and female workers of that factory. Among them 156
patients were medicated while 34 patients were given general advice.
Pictorials: Mobile Health Clinic at Four Design Pvt. Ltd.
Health Camp Overview at Four Design Pvt. Ltd.
Number of patients Number of patients both
medicated&counseled
treated and
counseled
190
156
Number of
patients only
counseled
34
Percentage (%)
medication
Percentage (%)
counseling
82%
18%
Graphical: Mobile Health Camp at Four Design Pvt. Ltd.
15
1.4.Health Camp at Friends for the Poor People School and Looterchar:
Every student of Friends for the poor people school is very poor and slum
dwellers. Aachol regularly arrange health camp for that poor and destitute slum
child and give health solution of
that
lackluster.
In
this
month
through our health camp, we found
some
common
diseases
i.e.
headache, diarrhea, skin problem,
fever
etc.
Our
medical
team
checked them and medicated them
with patience. We also found two
babies who has whole in his heart. We collected the cases history and will take
the necessary step.
Pictorials : Mobile Health Camp at Friends for the Poor People School
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Health Camp Overview at Friends for the Poor People School
Number of patients Number of patients both Number of
medicated&counseled
treated and
patients only
counseled
counseled
85
72
13
Percentage (%)
medication
Percentage (%)
counseling
85%
15%
Graphical: Health Camp at Friends for the Poor People School
In this month a total of 164 patients were medically treated which include men
women and children at Looterchar. Among them 130 patients were medicated
while 34 patients were given general advice.
17
Health Camp Overview at Looterchar
Number of patients Number of patients both
medicated&counseled
treated and
counseled
164
130
Number of
patients only
counseled
34
Percentage (%)
medication
Percentage (%)
counseling
79%
21%
Graphical: Health Camp Overview at Looterchar
1.5.Health Camp at Friends for the Dhaka Uddan(Madinatul Ulum Islamia
Madrasa & Eatim Khana):
Madinatul Ulum Islamia Madrasa & Eatim Khana is an organization which runs
their institute by assistance from other organizations due to have little/no capacity
to afford to fulfill the basic needs of the inhabitant (orphan) of that institute. By
consideration this humanitarian circumstances Aachol Trust support them by
health solution and counseling them the awareness of health and food habit. For
that Aachol Trust organized a medical camp at this institution and medicated &
counseled the orphan child in this Month. Aachol also provided free medicine &
oral saline among poor and destitute orphan students of that institution.
18
In this Month, a number of 90 patients were being treated medically by our
medical team and we provided medicine towards 74 patients.
Health Camp Overview at Dhaka Uddan( Madinatul Ulum Islamia Madrasa & Eatim Khana)
Number of patients Number of patients both Number of
Percentage (%) Percentage (%)
medicated&counseled
treated and
patients only
medication
counseling
counseled
counseled
90
74
16
82%
18%
Graphical: Health Camp Overview at Dhaka Uddan( Madinatul Ulum Islamia Madrasa & Eatim
Khana)
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1.6.Health Camp at Vakutta Village:
Mobile Health Camps is one such special initiative of Aachol Trust to provide
healthcare services to meet the immediate health care needs of the marginalized
community in remote rural areas and slums through standalone camps. This
month our health camp organized at Vakutta village for offering comprehensive
health services – curative, preventive, promotive and referral, to a large number
of people.
In this Month, a number of 175 patients were being treated medically by our
medical team and we provided medicine towards 166 patients.
Health Camp Overview at Vakutta Village
Number of patients Number of patients both
medicated&counseled
treated and
counseled
175
166
Number of
patients only
counseled
09
Percentage (%)
medication
Percentage (%)
counseling
95%
5%
20
1.7.Special and General Health Camp at Kamrangirchar Thoda:
Many people live in fear in Kamrangirchar Thoda of sickness and injury simply
because they have little or no access to basic medical care. Economic status is
making a great barrier on account of that to get the proper health solution. Most
of the earning people of here earn their livelihood by daily basis and majority is
classified as daily labor.
Aachol
Trust
had
arranged
a
comprehensive free Health& Blood
Grouping Camp at Kamrangirchar
Thoda on the day of 1st May
(International Labor Day)and there,
we
were
providing
primary
healthcare and hygiene awareness
education to some of the most
severely affected people in that remote
areas. A large number of poor people of that
locality had been getting health solution for
their different kinds of ailments. Most of the
treated patients are suffering by malnutrition
21
and water borne diseases because of using and living in polluted means . We
provided medicine towards the prescribed patients and distributed around 2000
Oral Saline among the treated patients and local inhabitants.
We
also
referred
kept
patients
record
on
forfurther
treatment.
Our
full
segmented
arrangement
by
different
was
p
ortions i.e. Registration for
22
Medical Check Up, Different Medical Specialists Department, Medicine
Distributing Department, Emergency Department, Referred Patients Record
Keeping Department.
In medium of this Special camp, A total number of 1112 patients were being both
counseled and medicated for their diversified diseases. Among the
23
total number of patients 1009 patients were medicated and also over 100 patients were
being referred in medium of our reference. On the Health Camp session the Founder
and Chairman of Aachol Trust, Atom Rahman had presented and cooperated with the
Aachol Team.
Special Health Camp Overview at Kamrangirchar Thoda
Number of patients Number of patients both Number of
medicated&counseled
treated and
patients only
counseled
counseled
1112
1009
103
Percentage (%)
medication
Percentage (%)
counseling
90%
10%
Case Study of Raton (a referred patient from our Special Health Camp):
Once upon a time Ratan was a
boatman of River Buriganga which is
flowing over the Kamrangirchar and
by his earnings he was passing his
days happily with his family. One day
he was beaten by an Insect and he
was taken his treatment by a quack
and local pharmacists those have no knowledge about the medical science. He
spent his all asset for his treatment. Now he is totally destitute and living in a
village which is very far from Dhaka city and also totally detached from the family
because his family believes that he (Raton) is cursed by the Almighty.
We got this patient through our Health
Camp at Kamrangir char. We referred
him to a specialist and also arrange his
higher/better treatment. But he had no
afford to stay in City Dhaka and he went
to his native village. When we contracted
with him then he were knowing him that
he is staying his village in Barishal and
24
we brought him from there and admitted to a reputed Hospital.
There had been completed every kinds of tests i.e. X-Ray, FNAC (From the
Swelling on the right side of Back of chest), what the Specialist suggested us to
do for him. Finally, He has been advised for Open Biopsy and it also being done,
but we will get this report on Next week. After getting the Biopsy Report the
Specialist will advise us what to be done for him.
Besides of our Special Health camp at here, we also arranged 3 mobile health
camp here on this month of May, 2015. Through these Camps a few numbers of
high risk pregnant mothers had been identified and our Medical team counseled
and medicated them properly. In general health checked-up session, people had
advised for hypertension, diabetes and blood sugar. The blood pressure and
weight were being also measured.
In this Month, a number of 201 patients were being treated medically by our
medical team and we provided medicine towards 179 patients.
Mobile Health Camp Overview at Kamrangirchar Thoda
Number of patients Number of patients both Number of
medicated&counseled
treated and
patients only
counseled
counseled
201
179
22
Percentage (%)
medication
Percentage (%)
counseling
89%
11%
25
APPENDIX
Health Camp at Jhauchar
Health Camp at Shalmashi
Health Camp at Alif Ideal School
Health Camp at Balurmath
26
Health Camp at Rupgang
Health Camp at Four Design Pvt. Ltd.
Health Camp at Basila Govt. Primary School
Health Camp at 7-One Tex Ltd.
27
Health Camp at FFPPS
Health Camp at Dhaka Uddan
Health Camp at Kamrangirchar
Health Camp at Looterchar
28