Innovations

Improving communication with adolescents :

 To improve the communication with adolescents, letter boxes were introduced in 6 selected schools in a block in Panchkula in Haryana to serve as an entry point to understand the prominent concerns of adolescent boys and girls in the rural areas. A system has been evolved to respond to these concerns by maintaining anonymity and confidentiality. The approach has been very successful in the schools and more than 3000 questions have been received and clarified in about 6 months time. The questions broadly covered concerns on physical development, psycho social development, sexual and reproductive health and substance abuse. In the beginning, most questions were related to their physical development and body image as well as common minor health problems. They asked some questions on interpersonal relationship and psychosocial problems. As their confidence and trust developed, questions on sexual health and sexuality and reproductive health increased remarkably. To begin with SWACH staff responded to the questions and teachers listened to the responses. As the teachers gained in confidence and started to take interest they volunteered to respond to the questions which they felt comfortable in answering. This approach has been successful in improving the communication with the adolescents.

Frequently asked questions (FAQs) by adolescents :

 Frequently asked questions were compiled from the letterboxes. These were then categorized under main headings. Responses were prepared after a review of the available literature, discussion with experts and a review by the faculty at SWACH. These were revised based on the experience with adolescents and their teachers. This reference guide is the first of its kind based on the real concerns of the adolescents in the rural areas. This is considered as work in progress. It will be refined and revised based on further feedback. Its scope is being enlarged based on the interactions with out of school adolescents.

Home based mother child linked card  :

SWACH has worked with WHO HQs to produce guidelines for home based mother’s card. After that SWACH has designed and developed a home based maternal and child card that covers the key maternal and child health events in children below the age of 3 years. It is retained by the family and empowers the family to take up the responsibility of health care in partnership with the health care workers and health volunteers. It is used for recording information about the past pregnancy, present antenatal, delivery; post natal status, newborn health record, immunizations and growth chart. The card is colour coded where the red colour indicates the need for referral. The card is simple and self explanatory for the client and the service provider. It helps in the participation of the family and health workers and helps in developing linkages. The card is being used in SWACH field area and by field NGOs in Haryana covering an additional 110,000 population.

Disposable delivery kits (DDKs)  :

SWACH has introduced and provided DDKs to the Traditional Birth Attendants (TBAs) and pregnant women in the project area for the last 16 years to ensure safe and clean delivery. DDK is produced locally by voluntary women’s organization. The key components are sterilized in the government PHC. The kits are supplied free of cost in the project villages. The DDK is distributed to the TBAs during their training. It has helped in increasing the motivation of the TBAs to participate in the training. It is cost effective and has helped to eliminate neonatal and maternal tetanus. The problem of neonatal and puerperal sepsis has been reduced considerably. Twelve field NGOs providing MCH services in the districts in Haryana are providing DDKs and distributing it to the TBAs and pregnant women. This has helped to increase the access to DDKs in an additional population of 110,000.

Tube and mask for reviving asphyxiated newborn babies  :

The use of corrugated tube and silicone rubber mask has been introduced by SWACH after a multi country field trial. Originally the equipment was supplied by Laerdal. The TBAs shave shown that they can generate satisfactory pressure and frequency of breathing and are able to save many newborns from dying. It is a low cost effective tool that provides breathing support to asphyxiated newborns until spontaneous breathing is established. The technology of bag and mask has been indigenized and this can now be introduced as a cost effective life saving intervention. Selected TBAs who conduct a large number of deliveries (more than 25 per year) have been trained and supplied the equipment. The correct use of this life saving equipment has improved the survival of asphyxiated newborn babies.

Disposable mucus suction trap  :

Disposable mucus suction trap is provided to the TBAs by SWACH. They are trained to use this simple device only in babies who do not cry or breathe within one minute after being born. This device is mouth operated and has a built in trap to prevent the secretions into the mouth of the operator. Therefore, it is safe to use. About half the babies who do not cry or breathe at the time of birth are successfully revived by the use of this equipment and do not require artificial breathing. The negative pressure generated is safe for the newborn babies and no untoward incidents have been reported. Disposable mucus suction trap is affordable. It is cost effective since suction is required in about 4-6% births only.
 


 


Contact Information

Address : sector 16 panchkula Haryana  India

 


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