Activity Report - LIVER FOUNDATION, WEST BENGAL

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FOR THREE YEARS

Hepatitis B Virus awareness, education and prevention- “Science To The Society: An Eastern Dream & Endeavour”

Time Span of the Project: December 2007-November 2010Areas of Activity: Nadia, Birbhum, Purulia, Sundarbans (South 24pgs),

Darjeeling, Murshidabad, Hoogly, Kolkata and Massanjore.

LIVER FOUNDATION, WEST BENGAL12, Dr. M. Ishaque Road, Kolkata- 700 016

Website: www.liverfoundation.in

Supported By

BRISTOL-MYERS SQUIBB FOUNDATION345, Park Avenue, New York, NY 10154-0037

Website: www.bms.com/ foundation

� Hepatitis B Virus awareness, education and prevention- “Science To The Society: An Eastern Dream & Endeavour”

Liver Foundation, West Bengal aims at reaching the mass and increase awareness in liver health problems and associated disorders, with the purpose of reducing liver disorders in India, with proper access to medical science, focusing on liver diseases but also at a wider scale in public health. They aim to enhance the quality of life and try to reduce the burden of liver disease in India through prevention, education, advocacy, improved care and promotion of concepts in public health. We pledge to surge ahead remaining in our cultural inheritance with the philosophy of welfare, keeping in focus the priorities of our country. Liver, its diseases, care & treatment, above all liver transplantation, has always remained out of the reach of the common people.

Liver foundation West Bengal is a voluntary, non – governmental organization (NGO) registered under the Societies Act 1961. It was founded on June 30th 2006 and was formed by a group of medicine specialists and social activists to bridge gaps in clinical, epidemiological and basic science knowledge on liver diseases and public health through a concerted effort of health and social scientists and activists. In order to achieve the goals that we have set forth before us, we solicit the co operation of every individual and institution.

Liver Foundation West Bengal’s primary focus is to take benefits of the advancement of medical sciences to the socio-economically backward section soft the society.

CENTERS IN WEST BANGALThe central office of the organization is located in Kolkata, West Bengal. But the other branches are in:

» Krishnanager, West Bengal. » Suri, West Bengal » Purulia, West Bengal » Pathar Pratima, West Bengal» Siliguri West Bengal » Baharampur, West Bengal» Massenjore, Jharkhand

BACKGROUND: LIVER FOUNDATION, WEST BENGAL

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BACKGROUND: BRISTOL MYERS SQUIBB FOUNDATION

Bristol Myers Squibb’s commitment to corporate social responsibility has remained consistently strong since the Bristol-Myers Fund—now the Bristol-Myers Squibb Foundation which was established in 1955. Since then, BMS has invested in a broad range of programs that reflect our values and serve the needs of society.

The mission of the Bristol-Myers Squibb Foundation is to help reduce health disparities by strengthening community-based health care worker capacity, integrating medical care and community-based supportive services, and mobilizing communities in the fight against disease. The Foundation’s work related to hepatitis in Asia represents a significant part of the Bristol-Myers Squibb Delivering Hope: Awareness, Prevention and Care program. Beyond hepatitis, the Foundation also focuses on HIV/AIDS in Africa through its SECURE THE FUTUREÒ program, cancer in Europe and serious mental illness as well as Diabetes in the United States. Since 2002, the Foundation has supported efforts in Asia, initially focusing on prevention of mother-to-child transmission of hepatitis B and promoting hepatitis B immunization in China. In 2006, the Foundation expanded those efforts to provide broader support for hepatitis B and C awareness, prevention and education as well as encouraging adoption and integration of hepatitis B and C interventions and health education in public health programs. Today, the Foundation’s priority hepatitis B and C programs encompass capacity building for health care professionals and lay health workers, disease education and awareness, and sharing of best practices in the prevention of management of hepatitis B and C to inform public health policy.

The BMS Foundation has partnered with non-profit organizations in India that provide Hepatitis B and Hepatitis C awareness, education and training. To name a few, BMS Foundation supports AmeriCares India, National Liver Foundation both in Mumbai, Hepatitis Foundation of Tripura, Liver Foundation, West Bengal, Hope Initiative in Uttar Pradesh, Christian Medical College in Vellore and Baptist Christian Hospitals in Tezpur, Assam.


An activist from heart, Partha Sarathi Mukherjee is the Project Director and Executive Committee Member of Liver Foundation, West Bengal – a Non Government organization involved in awareness generation on Hepatitis B and innovative interventions in rural health care delivery in West Bengal and Jharkhand. With a specialization in Ergonomics and work physiology, he completed his post graduation in Physiology from the University of Calcutta in 1993 and was awarded the doctorate degree (PhD) in the discipline of Human Physiology in the year 2004.

An ardent seeker of knowledge, Dr. Mukherjee constantly keeps himself attached with various innovative researches on liver and public health. He is also the visiting faculty in the department of physiology, NND College (CU) for the last 10 years. Trained in Public Health-Monitoring & Evaluation from Institute of Public Health, Gandhinagar, his interest lies in the capacity building of Rural Health Care Providers and Public health Campaign- Awareness & Education & Prevention.

PROFILE: DR. PARTHA SARATHI MUKHERJEEPROJECT DIRECTOR, LIVER FOUNDATION, WEST BENGAL

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Liver Foundation, West Bengal is a voluntary, non-government organization (NGO) registered under the Societies Act 1961. It was founded on June 30, 2006 by a group of health professionals and social activists. Its primary objective is to take the benefits of the advances of medical sciences to the socio-economically backward sections of India.Liver Foundation functions through programme-linked financial support generation. Funds meeting recurring expenses come from donations. Liver Foundation is recognized by the Government of India as a charitable organization under Section 80G of the Income Tax rules, by which donors are given significant tax benefits. Projects are funded by extramural funding sources. Liver Foundation, West Bengal is also registered under the Ministry of Home, Govt. Of India for entitlements towards receiving foreign contributions under the FCRA (Foreign Contribution Regulation Act, 1976.)**

Activities and Programmes:

Since its inception, Liver Foundation has been active in primarily two areas: liver health as a focus and public health in general.

A. Liver health awareness programme Liver Foundation has a strong core of liver health professionals, and demystifying liver diseases is one of Liver Foundations primary goals. Its activities gained a new momentum after receiving a grant from the Bristol Myers Squibb Foundation. This program named ‘Science to the Society” spans three years 2007-2010. Through a multi-dimensional approach, Liver Foundation has undertaken a plan of action that will spread awareness on liver disease- its causes, treatment approaches and prevention. The key activities in achieving this goal include:

PREFACE

• Dissemination of information through interactive meetings with paramedical workers, nurses, and students.

• Engaging the target audience through distribution of leaflets, PowerPoint presentations and quiz competitions on Hepatitis B and liver disease.

• Production and screening of a docu-feature film on liver disease: “Liver – a journey through the yellow mist”. The film has been dubbed in six languages and has been distributed all over the country.

• Making use of traditional folk cultural forms for awareness generation and dissemination of scientific information.

B. Mainstreaming of Rural Health care providers for public health and liver health gains: It has long been perceived by researchers as well as planners of India that there is a widening gap in the quality and access to health care between rural and urban areas of the country. While more than 80% of India’s population reside in villages, there is a centralization of health care amenities in towns and cities. Some of the factors that render the health care delivery system sub-optimally useful are:

• Increasing application of technology in medical care

• Privatization of healthcare, and


• Uneven socio economic development in India.

Widespread absenteeism, lack of motivation at all levels and the confusing directives of overall health planning create a situation where even the available trained formal health care human resources are treated by people as “foreign”. One of the primary requisites of any healthcare system is to be close to the people at the grassroots level so they can identify with it and regard it as their own. Ground realities in the villages indicate that despite increasing structural presence of the formal public healthcare system in the rural areas, people largely depend on health workers that have been variously termed as “unqualified” , “less than fully qualified” providers , RMPs , quacks etc . These rural health care providers (RHCP) are mostly village youths who take to the profession of providing curative care to the village residents based on the experience gained while working as chamber assistants to doctors in nearby urban locations. Many of them obtain certificates in this regard by paying some money. Others simply try to learn the tricks of the trade by

closely following prescriptions of doctors for some time. The situation is complicated by the fact that in the rural healthcare market, trained doctors and RHCPs maintain a chain of commercial relationship. However, this is often more implicit than evident and declared. While trained doctors often use the RHCPs as their peripheral outpost, they are not recognized as socially productive health workers. This complex set of circumstances creates a sense of “being used” and a feeling of alienation among RHCPs, who are the primary ambulatory care providers for the rural people. Their availability in times of need and physical proximity to the consumers are the most important factors for their acceptance by the people. Thus, a large and ever increasing number of such workers exist, function and enjoy very close relationship with the people that are beyond the “official” “formal” health care system. The ambivalent attitude of the system makes them an ineffective vehicle for health care delivery. They function in an unregulated way in the villages. Liver Foundation believes that imparting minimum scientific understanding to the RHCPs in the form of a structured program can

• Reduce their negative attributes• Increase their contributions , and • Bring them to the mainstream by providing

them the social recognition they never receive despite their service.

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INTRODUCTION ON HBV PROGRAM

The “Science to Society” project, funded by Bristol Myers’ Squibb Foundation, has completed three years of action and accomplishment in November, 2010. While objective evaluations on the achievements and shortfalls of the activity are being scientifically carried out by a dedicated team of sociologists and outcome analysts with inputs from different social and scientific resources , it has become necessary and pertinent to revisit the project from the viewpoints of a beneficiary subject to social audit and accountability and look forward to continued as well as augmented action plans to consolidate the gains, to maintain and enhance the benefits that the project delivered to the people- the final beneficiaries , to enrich the content of activity with a wider dimension of actions with an eye to integrate Hepatitis awareness , prevention into a matrix of public health actions .

Science to Society: The path traveled and the lessons learnt:

The primary objectives of the project were to create a pro -active social ambience for Hepatitis awareness and action, to empower and enrich the existing health care human resources within the community towards this goal. An important component of this project had been capacity building of the “Rural Health Care Providers”, a clan of informal health workers who serve the basic Medicare needs of the rural people, in order to make them more scientific in their work and perform safer service (thereby reducing some of their negative practices based on medical craftsmanship) to make them more useful to rural people. While the project envisaged and carried out awareness campaigns amongst the diverse category of formal health care resources, looking at these “people in wilderness” had been an

unique strength of the project. Hepatitis had been a non priority amongst people and planners alike in India. Activities hitherto undertaken in awareness had been generating more fear and frightening about Hepatitis B and C amongst people, rather than preaching a scientific, positive approach to the problem. Significant scientific none/ mis-understanding, stigmatization prevail in the community and in the health care profession. A multi directional approach was adopted in the project to overcome some of these. The Groups targeted were:

• Common people: with the help of

INTRODUCTION ON HBV PROGRAM:

The “Science to Society” project, funded by Bristol Myers’ Squibb Foundation, has completed three years of action and accomplishment in November, 2010. While objective evaluations on the achievements and shortfalls of the activity are being scientifically carried out by a dedicated team of sociologists and outcome analysts with inputs from different social and scientific resources , it has become necessary and pertinent to revisit the project from the viewpoints of a beneficiary subject to social audit and accountability and look forward to continued as well as augmented action plans to consolidate the gains, to maintain and enhance the benefits that the project delivered to the people- the final beneficiaries , to enrich the content of activity with a wider dimension of actions with an eye to integrate Hepatitis awareness , prevention into a matrix of public health actions .

Science to Society: The path traveled and the lessons learnt:

The primary objectives of the project were to create a pro -active social ambience for Hepatitis awareness and action, to empower and enrich the existing health care human


interactive web site, community meeting with the help of social welfare clubs, video films, lectures of the experts about the mode of HBV transmission, prevention of HBV infection,

• School students: With the active help of students’ health home, general awareness about the basic facts on HBV will be taught with cartoons, posters etc.

• College and University students: Interactive meeting were to be organized at different colleges to increase the awareness about the biology of HBV, their mode of transmission and their prevention.

resources within the community towards this goal. An important component of this project had been capacity building of the “Rural Health Care Providers”, a clan of informal health workers who serve the basic Medicare needs of the rural people, in order to make them more scientific in their work and perform safer service (thereby reducing some of their negative practices based on medical craftsmanship) to make them more useful to rural people. While the project envisaged and carried out awareness campaigns amongst the diverse category of formal health care resources, looking at these “people in wilderness” had been an unique strength of the project. Hepatitis had been a non priority amongst people and planners alike in India. Activities hitherto undertaken in awareness had been generating more fear and frightening about Hepatitis B and C amongst people, rather than preaching a scientific, positive approach to the problem. Significant scientific none/ mis-understanding, stigmatization prevail in the community and in the health care profession. A multi directional approach was adopted in the project to overcome some of these.

HBV prevention

and Management

Increase awareness about HBV among

school students.Increase community awareness about HBV

Interactive meetings with Medical students

about HBV.

Teaching facts about HBV to the college & University

students

Upgrading scientific knowledge about HBV of the Medical practitioners . Teaching basic facts about

HBV transmission, management & Prevention

to the Nursing and paramedical staffs.

Development of counseling service for the HBV infected individuals.

Training of the rural health care providers

Proposed activities of Liver Foundation, West Bengal in the Management & Prevention HBV

The Groups targeted were:

Common people: with the help of interactive web site, community meeting with the help of social welfare clubs, video films, lectures of the experts about the mode of HBV transmission, prevention of HBV infection,

• Students of the Medical colleges: Interactive meeting were to be organized at different medical colleges with the students to enhance their knowledge about the HBV biology, their mode of transmission, pathogenesis, treatment and their prevention.

• Medical Practitioners: With the help of Indian Medical Association, awareness camping about HBV pathogenesis, treatment and prevention were to be discussed at different branches of IMA during their monthly clinical meetings.

• Nursing and paramedical staffs: Awareness meeting about HBV were to be organized at different Medical Colleges, districts hospitals, districts blood banks with the help of video films, posters, cartoons etc.

• Training of rural health care providers: Capacity building for larger community action, integration into mainstream and using them as vehicle for Hepatitis awareness.

Time Frame of Our Activity: December, 2007 to November, 2010

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FIRST YEAR (December, 2007 – November, 2008)

Part – A Organization & Infrastructure building 1) Establishment of Central Office and Three

Peripheral Centres

We have established our central office at 12, Dr. M. Ishaque Road, Kolkata-16 in December, 2007. This is located in the heart of the city, easily commutable to everywhere in Kolkata.

2) We have established four Peripheral Centers in the first year. These are -a) ‘Birsha Munda Memorial Health Facility cum

Training Centre’ at Massanjore, District-Dumka, Jharkhand.

b) ‘Raj Goswami Memorial Liver Counseling Center’, Siliguri of Darjeeling district in West Bengal.

c) Peripheral office at Krishnanagar of Nadia district in West Bengal.

d) Peripheral office at Suri of Birbhum district in West Bengal.

Each of these centres is e-linked with and coordinated from Kolkata. The branch offices help reaching the rural and semi-rural population.

3) Purchase of necessary equipmentsWe have purchased all necessary equipment for the project like computers, LCD projectors, photo copy machines etc. through competitive bidding process. We have completed this procurement by January 4) Up gradation of Website

We have launched our web site in the month of December and upgraded regularly. It is www.liverfoundation.in

5) Documentary Film on HBVAudio visual presentation can infuse a sense of consciousness among people and thus make them aware on this. We have taken a decision to make a documentary film on Liver Health focusing mainly on HBV which will be our important instrument during the awareness programme on Hepatitis – B.

Accordingly, we have decided to offer this responsibility to a reputed and competent organization and it was none other than Buddhadeb Dasgupta productions who are internationally acclaimed for their job. We have finalized the contract in the month of January. The making of the film was completed in two months and during this time we were organizing awareness program with power point presentation.

6) Human Resource Project Director: He is in charge of overall activities of the project and coordinates finally all the executives of the foundation in day-to-day activity particularly the training & awareness programme. He is responsible to communicate with the funding agency from time to time for smooth Functioning of the activities of the society.Administrator: He is looking the day-to-day activity as well as the administration of the foundation. He will arrange to procure consumables and other items to run the programme smoothly.Finance Officer: He is responsible for maintaining the accounts, daily cashbook & vouchers. He also prepares monthly/ quarterly financial report for the funding agency.Office Supervisor: He is responsible for communication with peripheral centers & with other parts of the society regularly.Central Coordinator: He is responsible for counselling of the HBV infected

�0 Hepatitis B Virus awareness, education and prevention- “Science To The Society: An Eastern Dream & Endeavour”

individuals and their family members. He assists the peripheral coordinators in implementing the awareness and training programme.Medical Officer: At the Peripheral Center: He is responsible to provide medical advice to the poor villagers conducts HBV awareness programme and trains the RHCPs.Peripheral Coordinator: He is

responsible for the awareness programme at the grass root level & organizes RHCP training. He will visit regularly the chambers of private medical practitioners in the community, different blood bank; diagnostic centers to collect the names of HBV infected individuals. He will help in implementing the HBV immunization programme and also visit the remote areas to build up HBV awareness among the common people.Office Assistant: He assists in regular office maintenance.

LIST OF THE AWARENESS PROGRAM IN FIRST YEAR

Part – BAwareness Activity

We have organized our activities in 4 districts in the first year. The work was usually promoted through various schools, colleges, universities, paramedics and in those communities in the district where we can cater a vast majority of the population who needs adequate information on health and hepatitis B for better living. In every month, we have conducted at least 4 awareness programs. One awareness program was constituted with three parts. Lectures with power point presentation, documentary film show and quiz contest on the topic covered during the program. Each of the program was very interactive.

LIST OF THE AWARENESS PROGRAM IN FIRST YEAR

1. 5.1.2008 Chittaranjan college Kolkata2. 19.1.08 Budge Budge College Kolkata

3. 30.1.08 Moulana Abul Kalam Azad College.

Kolkata

4. 15.02.08 Woodlands Hospital Kolkata5. 23.2.08 Basanti Debi College Kolkata6. 24.2.08 E.D.F Hospital Kolkata7. 7.3.08 Bijoygarh Jotish Roy College Kolkata8. 13.3.08 Dinabandhu Andrews College Kolkata9. 24.3.08 Calcutta Institute Of Engineering and

Management Kolkata

10. 27.03.08 Bangabasi College Kolkata11. 29.03.08 Netagi Nagar College For Womens Kolkata12 31.03.08 Prasanta Chandra Mahalanobish

MahavidyalayaKolkata

13. 06.04.08 Sheoraphuli Seba Niketan Hooghly14. 13.04.08 United Club Kolkata15. 21.04.08 Vidyasagar College Kolkata16. 29.04.08 Sreerampur Sangha Hooghly17. 08.05.08 Pearless Hospital & B.K. Roy

Reaserch Institute Kolkata

18. 20.05.08 Netajinagar Day College Kolkata19. 20.05.08 South Calcutta Girl’s College Kolkata20 28.05.08 Nilratan Sirkar Medical College &

HospitalKolkata

21. 31.05.08 P.G. Hall (1, Vidya Sagar Street) Kolkata22. 10.06.08

11.06.08RHCP Capacity Building Workshop Kolkata

Part – B Awareness ActivityWe have organized our activities in 4 districts in the first year. The work was usually promoted through various schools, colleges, universities, paramedics and in those communities

in the district where we can cater a vast majority of the population who needs adequate information on health and hepatitis B for better living. In every month, we have conducted at least 4 awareness programs. One awareness program was constituted with three parts. Lectures with power point presentation, documentary film show and quiz

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23. 10.07.08 Rabindra BhabanBaranagar Municipality

Kolkata

24. 20.07.08 Adarsha Sanghati Club Kolkata25. 26.07.08 Maharani Jyotirmoyee Balika

VidyalayaNadia

26. 26.07.08 Jahangirpur Surya Sen High School Nadia27. 27.07.08 Patikabari Girls High School Nadia

28. 28.07.08 N.R.S Auditorium Kolkata29. 15.08.08 Seorafulli Seba Niketan Hooghly30. 20.08.08 Khanpur Boys School Kolkata31. 22.08.08 Madhaipur Palli Mongal Vidyalaya Birbhum 32. 22.08.08 Patharchapri H.D.M.S.High School Birbhum 33 22.08.08 Laujore High School Birbhum 34. 23.08.08 Nagari S.B.Sikshaniketan Birbhum 35. 23.08.08 Nagari Govt. Sponsord Asharam

Type High School for Girls Birbhum

36. 02.09.08 Krishnanagar Govt. College Nadia37. 02.09.08 Akshoy Vidyapith Girls High

School,Nadia

38. 02.09.08 Kalinagar High School Nadia39. 02.09.08 Dharmada Yuba Sangha (Club Nadia40. 03.09.08 Krishnanagar Anglo Vernacular High

School,Nadia

41. 03.09.08 Krishnanagar High School Nadia42. 03.09.08 Krishnanagar Collegiate School, Nadia43. 11.09.08 Shri Guru Vidya Mondir, Siliguri44. 12.09.08 Siliguri Girls High School, Siliguri45. 13.09.08 North Bengal Medical College,

SiliguriSiliguri

46. 13.09.08 North Bengal University, Siliguri47. 26.09.08 Nillratan Sircar Medical College &

HospitalKolkata

48. 02.11.08 Ashoke Park Recreation. Kolkata-49 22.11.08 Stuff Recreation Club- Birati50. 13.11.08 Hut Khola High Madrasha Nadia51 14.11.08 Goas High School Nadia52. 14.11.08 Mohish Bathan Monog Mohan Vidya

MandirNadia

contest on the topic covered during the program. Each of the program was very interactive. In the year 2007-08, we have conducted 52 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. Through these awareness programs there were 6500 direct beneficiaries among which 2625 from schools, 2000 from colleges and 1875 from community and paramedics. Almost 26000 people were sensitized in the first year through transfer of knowledge/ information by the participants.We

have taken an attempt to evaluate the impact of those awareness programs among the participants. Participants were satisfied with the quality of the program and further it is observed that students were much more expressive than the adult participants in response to the questionnaire study (Abstract with result was submitted in the first activity report).

�� Hepatitis B Virus awareness, education and prevention- “Science To The Society: An Eastern Dream & Endeavour”

In the year 2007-08, we have conducted 52 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. Through these awareness programs there were 6500 direct beneficiaries among which 2625 from schools, 2000 from colleges and 1875 from community and paramedics. Almost 26000 people were sensitized in the first year through transfer of knowledge/ information by the participants.We have taken an attempt to evaluate the impact of those awareness programs among the participants. Participants were satisfied with the quality of the program and further it is observed that students were much more expressive than the adult participants in response to the questionnaire study (Abstract with result was submitted in the first activity report).

Figure showing areas in which Hepatitis-B awareness programme have been conducted in 2008

56%26%

9%9%

KolkataNadiaDerjeelingBirbhum

Outcome

ABSTRACT

Title: A Quantitative evaluation on Impact of the Hepatitis-B awareness programme among the participants.

Key Words: Hepatitis-B, Awareness, Impact

Objective: Projections indicate that by 2010, the largest reservoir of HBV infection in globe will be in India, Instead of China. It is a fact that, this disease could be prevented through awareness. We have drawn up a scientific programme on Hepatitis –B awareness as well as on liver health, among the people of West Bengal. Except few sporadic activities on Hep-B awareness, nothing has been done in a systemic and scientific approach in this state. This study was aimed for a quantitative evaluation on the impact of the awareness program conducted by Liver Foundation, West Bengal.

Methodology: Different Schools, Colleges, University, Hospitals and Social Organizations were selected for the study. We have conducted this questionnaire survey in 25 awareness program. Two thousand seven hundred and seventeen persons were the participants, among which two thousand one hundred were

students and six hundred and seventeen were other adult persons. The age range was fourteen to twenty two years in case of students and other adults were from different occupations including nursing staffs of the Hospitals. A questionnaire study was conducted after the awareness program. The awareness programme was included with a film show on Liver Health and Hep –Bin local language and a power point presentation of different scientific documentation on the said topic. Different questions of the study were listed in table 1.

Results: No. of subjects (participants, upto September 2008) were 2717 (n=2717) among which boy students were 45.45% (n=1235), Girl students were 31.84% (n=865), Adult Males were 13.14% (n=357), Adult Females were 9.57% (n=260). In response to the first question, 46.52% students impressed on the programme in comparison the adults, which was 36.79%. In response to the second question 15.72% adults who has positive approach where as 35.95% students reflected positive response. If we combined the first two questions to judge the over all impact of the programme, it was found that 82.48% students were in positive response, where as adults aware 52.51%. In response to third question 1.43% students were answer yes, for adults it was 11.02%. 16.09% students did not respond the questionnaire study where as we did not receive any comment from 36.47% adults. Results are distributed in the figures.

Conclusion: We can conclude from this study that our awareness programme on Hep-B have created good impact among the participants .Further it is

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observed that students were much more expressive than the adults in respect to the questionnaire study. Apparently it seems that awareness activities are

much more effective in the student community. Though it needs more socio-psychological research to establish this.

Table-1

Questionnaire study in different awareness programme on Liver health and Hepatitis-B

Apparently it seems that awareness activities are much more effective in the student community. Though it needs more socio-psychological research to establish this.

Table-1Questionnaire study in different awareness programme on Liver health and Hepatitis-B

No of subject N = 2717

Does this programme help you to protect your liver?

Yes / No

Does this programme encourage you to make your neighbors aware on Liver health? Yes / No

Thisprogramme does not create any impact on you.

Yes / No

Did not receive any comment among the participants

Student Boys (N=1235)

595 386 20 234

Student Girls (N=865)

382 369 10 104

Adult Male (N=357)

144 53 19 141

Adult Female (N=260)

83 44 49 84

Part – C

RURAL HEALTH CARE PROVIDERS TRAINIG

In rural India, people are often misguided due to their lack of knowledge and awareness about proper treatment and management of health related problems. In addition to this, a scarcity of trained doctors in rural India has left a gap for quacks [untrained, self-claimed doctors regarded as rural medical practitioner (RMP)] to be first responders in rural health care delivery system. Though these quacks (renamed as Rural Health Care Providers) are not recognized by the main stream medical system, but rural people mostly depend on them for their medical care. We have taken an endeavor, which is the first program of its kind to build the capacity of RHCPs so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention.Liver Foundation West Bengal aims to reduce the harm inflicted by these rural health care providers with proper knowledge and correct information about the pathogenesis and management of various diseases. Knowledge about HBV is provided to the RHCPs during this training program and they with progress of time spread this information to the rural people, thereby helping in curbing the various prejudices and superstitions prevalent against Hepatitis B in the society.

Part – C


In rural India, people are often misguided due to their lack of knowledge and awareness about proper treatment and management of health related

problems. In addition to this, a scarcity of trained doctors in rural India has left a gap for quacks [untrained, self-claimed doctors regarded as rural medical practitioner (RMP)] to be first responders in rural health care delivery

Fig: 1

Does this program help you to protect your Liver and does this program encourage you to make your neighbors aware on Liver health?


system. Though these quacks (renamed as Rural Health Care Providers) are not recognized by the main stream medical system, but rural people mostly depend on them for their medical care. We have taken an endeavor, which is the first program of its kind to build the capacity of RHCPs so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention.

Liver Foundation West Bengal aims to reduce the harm inflicted by these rural health care providers with proper knowledge and correct information about the pathogenesis and management of various diseases. Knowledge about HBV is provided to the RHCPs during this training program and they with progress of time spread this information to the rural people, thereby helping in curbing the various prejudices and superstitions

The course commences for one year and this one year training program includes preparatory phase, consolidation phase, and enrichment phase. After a detailed survey on RHCPs in respective blocks, a selection test of 25 marks is organized prior to the training period, with an eligibility criterion of minimum secondary level (Class X). Those who secured 20% in the selection test were then selected for the oral interview. Then the final selected candidates are trained with proper guidance and teaching by efficient teachers and doctors working in this field with knowledge on anatomy, function of organs, adverse effect of drug, emergency management obstetric care including antenatal checks and public health programs. There is provision of quarterly exam, after every 4 months in the presence of external moderators, as a part of evaluation of the RHCP trainees. The total marks for examination of the subjects, Physiology, Anatomy, Primary Medicine, Safe Motherhood, Public Health and Child Care is 500. A short term assessment test is also conducted to evaluate the impact of the training.

In the first year we have started our RHCP Training Programme at Massanjore from 1st

March, 2008. We have taken the selection test for this purpose in the month of December. A total number of 78 people were interviewed representing 23 villages of five Panchayats in Massanjore, among which 40 persons were selected for the training (31 male and 9 female trainees).

Liver Foundation, West Bengal has conducted a selection test for 2nd RHCP training programme at Nakashipara, Nadia. 70 people (51 male and 19 female) participated in this selection test. We have conducted a selection test among males as they were already

prevalent against Hepatitis B in the society.

The course commences for one year and this one year training program includes preparatory phase, consolidation phase, and enrichment phase. After a detailed survey on RHCPs in respective blocks, a selection test of 25 marks is organized prior to the training period, with an eligibility criterion of minimum secondary level (Class X). Those who secured 20% in the selection test were then selected for the oral interview. Then the final selected candidates are trained with proper guidance and teaching by efficient teachers and doctors working in this field with knowledge on anatomy, function of organs, adverse effect of drug, emergency management obstetric care including antenatal checks and public health programs. There is provision of quarterly exam, after every 4 months in the presence of external moderators, as a part of evaluation of the RHCP trainees. The total marks for examination of the subjects, Physiology, Anatomy, Primary Medicine, Safe Motherhood, Public Health and Child Care is 500. A short term assessment test is also conducted to evaluate the impact of the training.

In the first year we have started our RHCP Training Programme at Massanjore from 1st March, 2008. We have taken the selection test for this purpose in the month of December. A total number of 78 people were interviewed representing 23 villages of five Panchayats in Massanjore, among which 40 persons were selected for the training (31 male and 9 female trainees).

Liver Foundation, West Bengal has conducted a selection test for 2nd RHCP training programme at Nakashipara, Nadia. 70 people (51 male and 19 female) participated in this selection test. We have conducted a selection test among males as they were already working as a Rural Health Care Provider. All females were without any experience in health care. Ultimately, 50 trainees were selected (39 male and 11 female).

Liver Foundation, West Bengal has conducted a selection test for 3rd RHCP training programme in Birbhum district.

In the year 2007-08, we have trained 120 Rural Health Care Provider at Massanjore in Jharkhand, Nakashipara in Nadia & Suri in Birbhum. For the training programme we take both theory & practical classes one day in a

��

week for one year. About 230 RHCP are sensitized by LFWB in this session in our orientation programme.

Outcome

ABSTRACT

Title: Assessment of an intervention for capacity building of Rural Health Care Practitioners in rural Bengal – A pilot study.

Key Words: RHCP, Examination

Objective: An abysmal scarcity of trained doctors in rural areas is intriguing feature of Indian health care delivery system. Rural Health Care Practitioners are enviable possession of rural India. Years after years they provide their services to the rural people day & night. They are untrained, often traditional healer. They are neglected by the urban society, refused by the licensed healer-the doctors. But they are the most dependable to the villagers in need, in crisis. It appears that improving their scientific understanding might benefit society.

Liver Foundation, West Bengal, perhaps first time in this country, grasped their hands with affection, with love, with care, organized training for their capacity building. Initially we have selected three blocks, two in the districts of West Bengal, one in the district of Jharkhand, where health care facilities are less and rural people mostly dependent on RHCP.

Methods: These RHCPS never attend any training for their capacity building. Their paramedics based on tradition and mostly with personal interaction with health care professionals in and around the locality. Minimum eligibility for the selection test was secondary qualification (class X standard) and those who had secured at least 20% marks in the selection test, they were included in the training Programme.

Ninety RHCPs were included in the study (n= 90). For one-year training programme, a very logical and comprehensive syllabus was framed with both theory and practical classes. Medical officers of different hospitals volunteered to take part and different useful teaching mode namely models, posters, audio visuals etc. were used during the classes. Quarterly exams were held in presence of external examiners and the externals set the question papers also.

Results: This study was aimed to evaluate whether any improvement was occurred so far the teaching and learning was concern among the trainees. It was clearly seen in both Suri & Nakashipara that a significant improvement during the training on the basis of marks obtained by the trainees in the different exams taken in this period. In Suri mean scores of the selection test was 28, SD 18.00, where as in 1st quarterly exam mean = 53.8, SD = 5.08, & in the 2nd quarterly exam mean = 63.02, SD = 14.06. On the other hand in Nakashipara mean score in the selection test was 34.08, SD = 14.26, where as in the 1st quarterly exam mean = 57.83, SD = 9.34. In both cases level of improvement was highly significant as p<0.0001.

Conclusion: We can conclude from this assessment, the empowerment of knowledge among the RHCPs due to training, which is reflected through the examination process.

Results: This study was aimed to evaluate whether any improvement was occurred so far the teaching and learning was concern among the trainees. It was clearly seen in both Suri & Nakashipara that a significant improvement during the training on the basis of marks obtained by the trainees in the different exams taken in this period. In Suri mean scores of the selection test was 28, SD 18.00, where as in 1st quarterly exam mean = 53.8, SD = 5.08, & in the 2nd quarterly exam mean = 63.02, SD = 14.06. On the other hand in Nakashipara mean score in the selection test was 34.08, SD = 14.26, where as in the 1st

quarterly exam mean = 57.83, SD = 9.34. In both cases level of improvement was highly significant as p<0.0001.

Conclusion: We can conclude from this assessment, the empowerment of knowledge among the RHCPs due to training, which is reflected through the examination process.

Comperative statement of evaluation through examination of RHCP Trainees at Suri, Birbhum

010

2030

4050

6070

8090

During Selection Test 1st Quarterly Exam 2nd Quarterly Exam

Mea

n s

core

of

the

trai

nee

s

Comperative statement of evaluation through examination of RHCP Trainees at Nakashipara, Nadia

0

10

20

30

40

50

60

70

80

During Selection Test 1st Quarterly Exam

Mea

n s

core

of

the

trai

nee

s (%

)


Activity Photographs 2007-2008

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SECOND YEAR (December, 2008 – November, 2009)

Part – A

Organization & Infrastructure building

We have established two Peripheral Centers in the second year with the support of Bristol Myers Squibb Foundation. These are -

a) Peripheral office at Purulia Town, District Purulia, West Bengal.

b) Peripheral office at Patharpratima, Sundarbon, District South 24 Pargana, West Bengal.

HEPATITIS ‘B’ AWARENESS PROGRAM (2008 To 2009)

Second Year (December, 2008 – November, 2009)

Part – AOrganization & Infrastructure building

We have established two Peripheral Centers in the second year with the support of Bristol Myers Squibb Foundation. These are -

a) Peripheral office at Purulia Town, District Purulia, West Bengal. b) Peripheral office at Patharpratima, Sundarbon, District South 24 Pargana,

West Bengal.


HEPATITIS ‘B’ AWARENESS PROGRAM(2008 To 2009)

1. 20.12.08 Huda Vidya Pith Higher Secondary School

Nadia

2. 20.12.08 (CPIM) Local Committee at Krishnanagar, Nadia

Nadia

3. 21.12.08 Krishnanagar Public Library, Nadia4. 27.12.08 Choricha Gram Panchyat Birbhum 5. 27.12.08 Kapista Gram Panchyat Birbhum 6. 7.02.09 Serampore College Hooghly7. 20.02.09 Tallyguange Netaji Sangha Kolkata8. 7.02.09 Bhandhab Samiti (Baidya

Bati)Hooghly

9. 24.02.09 Gyanjoti college (Siliguri) Darjeeling10. 24.02.09 Department of Law (N.B.U) Darjeeling11. 25.02.09 Department of M.B.A

(N.B.U)Darjeeling

12 14.3.09 Dr. Ambedkar College krishnanagar

Nadia


13. 14.3.09 S.A.P State Armed Police(Krishnanagar)

Nadia

14. 21.3.09 S.B.I Park St(Branch) Kolkata

15. 29.3.09 Sahid Nagar Colony Kolkata

16. 29.3.09 Asoke Avenue Kolkata

17. 8.4.09 37BN BSF Dhubulia, Krishnanagar

Nadia

18. 8.4.09 Self Helf Group,Janakalyan, Nadia

19. 10.4.09 Netaji Yabuk Sangha Siliguri

20 10.4.09 Bhutkihat Jalpaiguri

21. 11.4.09 North Bengal University Darjeeling

22. 12.4.09 Panihati Gobindo Home Sodh Pur

23. 1.4.09 Self Help Group, Janakalyan Nadia

24. 18.4.09 Santamoyee Girls High School

Purulia

25. 20.4.09 Purulia Zilla School Purulia

26. 20.4.09 Chittaranjan High School Purulia

27. 28.4.09 Bharkata Gram Panchayt Birbhum

28. ...4.09 Ganpur High School Birbhum

29. 29.4.09 Bishnupur High School Birbhum

30. 29.4.09 Dighalgram Birbhum

31. 8.5.09 Patharpratima Bazar Samiti Hall

S 24. Porganas

32. 19.4.09 Barnia High School Nadia

33 19.4.09 Palsunda High School Nadia

34. 19.5.09 Barua Para Nabin Sangha Nadia

35. 21.5.09 Kabi Sukanta High School Siliguri

36. 21.5.09 Tarai Tarapada Adrasha High School

Siliguri

37. 21.5.09 Sathi Sangha Club Siliguri

38. 22.5.09 Siliguri Institute Of Technology

Siliguri

39. 22.5.09 Barada Kanta Bidyapith Girls High School

Siliguri

40. 23.5.09 Deshbandhu Bidyapith Girls High School

Siliguri

41. 23.5.09 Tikia Para Colony Siliguri

42. 30.5.09 Darul Ulom Gosia Purulia

43. 30.5.09 Purulia Mahila Samity Purulia

44. 31.5.09 Purulia Nil Kuthi. Purulia

45. 31.5.09 Purulia Jail. Purulia

46. 31.5.09 Shakti Sangha Purulia

47. 6/6/09 Dhubulia Hospital Nadia

48. 6/6/09 Santipur State General Hospital.Awareness.

Nadia

49 14/06/09 Patharpratima Sunderban.Relief Workshop Materials Distribution For AILA.

Sundarbon

50. 16/06/09 Indian Statistical Institute Kolkata

51 8/7/09 Ranishwar Mairakkhi Gramin College.

Massanjore

52. 8/7/09 Model High School Raghunathpur

Massanjore

53. 9/7/09 Ajoypur High School Massanjore

54. 9/7/09 Rajkriya Krith Rajendra Sidho Uccha Vidyalaya

Massanjore

55. 10/7/09 High School Ranibahal Massanjore

56. 10/7/09 Suri Netaji Bidya Bhavan Birbhum

57. 10/7/09 Suri Netaji Vidya Bhaban Birbhum

58. 10/7/09 Ajoypur High School Birbhum

59. 11/7/09 Ahamod Pur Ram Krishna High School

Birbhum

60. 23/7/09 Asan Nagar College MMT Nadia

61. 23/7/09 Bhiampur Samiji Vidyalaya Nadia62. 23/7/09 Pakurgachi B.C.S.D High

SchoolNadia

63. 28/7/09 Rajasthan Vidyapith Purulia

��

13. 14.3.09 S.A.P State Armed Police(Krishnanagar)

Nadia

14. 21.3.09 S.B.I Park St(Branch) Kolkata

15. 29.3.09 Sahid Nagar Colony Kolkata

16. 29.3.09 Asoke Avenue Kolkata

17. 8.4.09 37BN BSF Dhubulia, Krishnanagar

Nadia

18. 8.4.09 Self Helf Group,Janakalyan, Nadia

19. 10.4.09 Netaji Yabuk Sangha Siliguri

20 10.4.09 Bhutkihat Jalpaiguri

21. 11.4.09 North Bengal University Darjeeling

22. 12.4.09 Panihati Gobindo Home Sodh Pur

23. 1.4.09 Self Help Group, Janakalyan Nadia

24. 18.4.09 Santamoyee Girls High School

Purulia


26. 20.4.09 Chittaranjan High School Purulia

27. 28.4.09 Bharkata Gram Panchayt Birbhum

28. ...4.09 Ganpur High School Birbhum

29. 29.4.09 Bishnupur High School Birbhum

30. 29.4.09 Dighalgram Birbhum

31. 8.5.09 Patharpratima Bazar Samiti Hall

S 24. Porganas

32. 19.4.09 Barnia High School Nadia

33 19.4.09 Palsunda High School Nadia

34. 19.5.09 Barua Para Nabin Sangha Nadia

35. 21.5.09 Kabi Sukanta High School Siliguri

36. 21.5.09 Tarai Tarapada Adrasha High School

Siliguri

37. 21.5.09 Sathi Sangha Club Siliguri

38. 22.5.09 Siliguri Institute Of Technology

Siliguri

39. 22.5.09 Barada Kanta Bidyapith Girls High School

Siliguri

40. 23.5.09 Deshbandhu Bidyapith Girls High School

Siliguri

41. 23.5.09 Tikia Para Colony Siliguri

42. 30.5.09 Darul Ulom Gosia Purulia

43. 30.5.09 Purulia Mahila Samity Purulia

44. 31.5.09 Purulia Nil Kuthi. Purulia

45. 31.5.09 Purulia Jail. Purulia

46. 31.5.09 Shakti Sangha Purulia

47. 6/6/09 Dhubulia Hospital Nadia

48. 6/6/09 Santipur State General Hospital.Awareness.

Nadia

49 14/06/09 Patharpratima Sunderban.Relief Workshop Materials Distribution For AILA.

Sundarbon

50. 16/06/09 Indian Statistical Institute Kolkata

51 8/7/09 Ranishwar Mairakkhi Gramin College.

Massanjore

52. 8/7/09 Model High School Raghunathpur

Massanjore

53. 9/7/09 Ajoypur High School Massanjore

54. 9/7/09 Rajkriya Krith Rajendra Sidho Uccha Vidyalaya

Massanjore

55. 10/7/09 High School Ranibahal Massanjore

56. 10/7/09 Suri Netaji Bidya Bhavan Birbhum

57. 10/7/09 Suri Netaji Vidya Bhaban Birbhum

58. 10/7/09 Ajoypur High School Birbhum

59. 11/7/09 Ahamod Pur Ram Krishna High School

Birbhum

60. 23/7/09 Asan Nagar College MMT Nadia

61. 23/7/09 Bhiampur Samiji Vidyalaya Nadia62. 23/7/09 Pakurgachi B.C.S.D High

SchoolNadia

63. 28/7/09 Rajasthan Vidyapith Purulia


64. 28/7/09 High Madarasha Islamia Vidyapith

Purulia

65. 29/7/09 Manbhum Victoria Institution Purulia

66. 29/7/09 Santamoyee Girls High School

Purulia

67. 30/7/09 Nistarini College Purulia

68. 31/7/09 Chittaranjan girls High School Purulia

69. 31/7/09 Purulia Netaji Vidyapith Purulia

70. 11/8/09 M.M.High School Purulia

71. 11/8/09 Govt Girls High School Purulia

72. 12/8/09 Purulia Zilla School Purulia

73. 12/8/09 Najrul Balika vidya pith Purulia

74. 16/8/09 Nadia Jona Kalian Kendra Nadia

75. 16/8/09 Chapra2 Gram Panchayat RHCPMeeting.

Nadia

76. 18/8/09 Lal Bahadur Shastri Hindi High School

Siliguri

77. 18/8/09 Jyotsnamoyee Girls High School

Siliguri

78. 19/8/09 Shaktigarh High School Siliguri

79. 19/8/09 Ghogomali High School Siliguri

80. 19/8/09 Yuba Jyoti Sangha Suryasen Colony

Siliguri

81. 20/8/09 Banimandir Railway High School

Siliguri

82. 20/8/09 All India SC/ST Railway Employees Association

Siliguri

83. 21/08/09 Siliguri Hindi High School Siliguri

84. 5/9/09 Konnagar High School Birbhum

85. 8/9/09 Kasturba Hindu Balika Vidyalaya

Birbhum

86. 8/9/09 S.T.T.C B.ED College Purulia

87. 9/9/09 Assembly of Good Church Purulia

88. 9/9/09 J.K. College Purulia

89. 10/9/09 Suri Karidha RHCP Traning Centre

Birbhum

90. 11/9/09 Massanjor Rajkiyakrith Asanbani Uccha Vidyalaya

Jharkhand

91. 22/09/09 Nadia Muragacha high school

Nadia

92. 22/09/09 Kuber Nagar high school Nadia

93. 22/9/09 Nadia Boroan Andulia Janokalyan Kendra

Nadia

94. 29/10/09 Kamar Hati Chittaranjan High School

Nadia

95. 29/10/09 Dharmada K.K High School

Nadia

96. 30/10/09 Dhubulia Shyam Prasad High School

Nadia

97. 30/10/09 Belpukur Girls High School Nadia

98. 30/10/09 Dhubulia Gram Panchyat Nadia


In the year 2008-09 we have conducted 99 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. Through this awareness activity, 12,375 people are benefited via transfer of knowledge/ information from the participants. Among the participants, 6000 from school, 1625 from college and 4750 from communities. To make the sessions more interactive and participative we have conducted questionnaire surveys prior to the awareness program and quiz contests immediately after the programs to analyze the impact of our awareness and activity on the people. About 49,500 people are sensitized in this year. This year also we have tried to analyze our work with statistical representation through a mode of random questionnaire studies to get follow up of the impact of our awareness program held in different strata of our society. We have recorded institutional distribution, gender wise distribution, educational qualification of the participants, age & gender wise prevalence of regular physical exercise, medicine intake pattern and reason for regular medicine among the participants. More over we have taken an attempt to measure the transfer of knowledge from the participants to parents among the school students administering the KAP questionnaire module (Abstract with result was submitted in the second activity report).

��

64. 28/7/09 High Madarasha Islamia Vidyapith

Purulia

65. 29/7/09 Manbhum Victoria Institution Purulia

66. 29/7/09 Santamoyee Girls High School

Purulia

67. 30/7/09 Nistarini College Purulia

68. 31/7/09 Chittaranjan girls High School Purulia

69. 31/7/09 Purulia Netaji Vidyapith Purulia

70. 11/8/09 M.M.High School Purulia

71. 11/8/09 Govt Girls High School Purulia


73. 12/8/09 Najrul Balika vidya pith Purulia

74. 16/8/09 Nadia Jona Kalian Kendra Nadia

75. 16/8/09 Chapra2 Gram Panchayat RHCPMeeting.

Nadia

76. 18/8/09 Lal Bahadur Shastri Hindi High School

Siliguri

77. 18/8/09 Jyotsnamoyee Girls High School

Siliguri

78. 19/8/09 Shaktigarh High School Siliguri

79. 19/8/09 Ghogomali High School Siliguri

80. 19/8/09 Yuba Jyoti Sangha Suryasen Colony

Siliguri

81. 20/8/09 Banimandir Railway High School

Siliguri

82. 20/8/09 All India SC/ST Railway Employees Association

Siliguri

83. 21/08/09 Siliguri Hindi High School Siliguri

84. 5/9/09 Konnagar High School Birbhum

85. 8/9/09 Kasturba Hindu Balika Vidyalaya

Birbhum

86. 8/9/09 S.T.T.C B.ED College Purulia

87. 9/9/09 Assembly of Good Church Purulia

88. 9/9/09 J.K. College Purulia

89. 10/9/09 Suri Karidha RHCP Traning Centre

Birbhum

90. 11/9/09 Massanjor Rajkiyakrith Asanbani Uccha Vidyalaya

Jharkhand

91. 22/09/09 Nadia Muragacha high school

Nadia

92. 22/09/09 Kuber Nagar high school Nadia

93. 22/9/09 Nadia Boroan Andulia Janokalyan Kendra

Nadia

94. 29/10/09 Kamar Hati Chittaranjan High School

Nadia

95. 29/10/09 Dharmada K.K High School

Nadia

96. 30/10/09 Dhubulia Shyam Prasad High School

Nadia

97. 30/10/09 Belpukur Girls High School Nadia

98. 30/10/09 Dhubulia Gram Panchyat Nadia


In the year 2008-09 we have conducted 99 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. Through this awareness activity, 12,375 people are benefited via transfer of knowledge/ information from the participants. Among the participants, 6000 from school, 1625 from college and 4750 from communities. To make the sessions more interactive and participative we have conducted questionnaire surveys prior to the awareness program and quiz contests immediately after the programs to analyze the impact of our awareness and activity on the people. About 49,500 people are sensitized in this year. This year also we have tried to analyze our work with statistical representation through a mode of random questionnaire studies to get follow up of the impact of our awareness program held in different strata of our society. We have recorded institutional distribution, gender wise distribution, educational qualification of the participants, age & gender wise prevalence of regular physical exercise, medicine intake pattern and reason for regular medicine among the participants. More over we have taken an attempt to measure the transfer of knowledge from the participants to parents among the school students administering the KAP questionnaire module (Abstract with result was submitted in the second activity report).

In the year 2008-09 we have conducted 99 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. Through this awareness activity, 12,375 people are benefited via transfer of knowledge/ information from the participants. Among the participants, 6000 from school, 1625 from college and 4750 from communities. To make the sessions more interactive and participative we have conducted questionnaire surveys prior to the awareness program and quiz contests immediately after the programs to analyze the impact of our awareness and activity on the people. About 49,500 people are

sensitized in this year. This year also we have tried to analyze our work with statistical representation through a mode of random questionnaire studies to get follow up of the impact of our awareness program held in different strata of our society. We have recorded institutional distribution, gender wise distribution, educational qualification of the participants, age & gender wise prevalence of regular physical exercise, medicine intake pattern and reason for regular medicine among the


participants. More over we have taken an attempt to measure the transfer of knowledge from the participants to parents among the school students

administering the KAP questionnaire module (Abstract with result was submitted in the second activity report).

Figure showing areas in which Hepatitis-B awareness programme has been conducted in 2009

10%

27%

21%13%

23%

6%

KolkataNadiaDerjeelingBirbhumPuruliaMassanjore

Outcome

Abstract:

Title: Assessment of the impact of the awareness program among the school students of three districts in West Bengal and Jharkhand. (Transfer of Knowledge from the participants to their parents- A Report)

Key words: Awareness, informed, not informed, transfer, knowledge.

Methodology: To conduct this study, 210 subjects (parents of the students) were selected out of which 96 family members of boy students and 114 family members of girl students. RHCPs were involved in this third module of KAP study (door-to-door questionnaire survey) which aims to spread awareness and infuse a sense of consciousness on Hepatitis B among the rural population. This also led to an unbiased analysis of the impact of our awareness programs conducted at the schools of these students. The RHCPs along with the peripheral coordinators of the respective districts were participated in the survey. They interacted with the family members of these

Outcome

ABSTRACT:

Title: Assessment of the impact of the awareness program among the school students of three districts in West Bengal and Jharkhand.

(Transfer of Knowledge from the participants to their parents- A Report)

Key words: Awareness, informed, not informed, transfer, knowledge.

Methodology: To conduct this study, 210 subjects (parents of the students) were selected out of which 96 family members of boy students and 114 family members of girl students. RHCPs were involved in this third module of KAP study (door-to-door questionnaire survey) which aims to spread awareness and infuse a sense of consciousness on Hepatitis B among the rural population. This also led to an unbiased analysis of the impact of our awareness programs conducted at the schools

of these students. The RHCPs along with the peripheral coordinators of the respective districts were participated in the survey. They interacted with the family members of these students so as to have an idea about whether the students had found the awareness program enriching enough so as to motivate them to transfer the knowledge learned from that awareness program to their family members. This was assessed through a questionnaire comprising of two parts. Part I included questions on general information like name, gender, educational qualification etc and the Part II consisted of questions regarding liver health and hepatitis B. Part II comprised of 12 questions and for each correct response, 2 marks was given. The surveyed family members were divided according to two classifications, namely family members of boy participants and girl participants and the other classification included informed and not informed family members. The latter classification was done on the basis of the responses given by the family members to the questions in the Part II of the KAP module III.

Results: The study aimed to assess the transfer of

��

knowledge from the participants of the awareness programs to their family members through a

door-to-door survey. A graphical representation of the results obtained is provided below:

students so as to have an idea about whether the students had found the awareness program enriching enough so as to motivate them to transfer the knowledge learned from that awareness program to their family members. This was assessed through a questionnaire comprising of two parts. Part I included questions on general information like name, gender, educational qualification etc and the Part II consisted of questions regarding liver health and hepatitis B. Part II comprised of 12 questions and for each correct response, 2 marks was given. The surveyed family members were divided according to two classifications, namely family members of boy participants and girl participants and the other classification included informed and not informed family members. The latter classification was done on the basis of the responses given by the family members to the questions in the Part II of the KAP module III. Results: The study aimed to assess the transfer of knowledge from the participants of the awareness programs to their family members through a door-to-door survey. A graphical representation of the results obtained is provided below:

Graph Showing Distribution of Total Number of Informed and Not Informed Family Members

84.59

15.45

020

4060

80100

Total Informed Family Members Total Not Informed FamilyMembers

Scor

es in

Per

cent

age(

%)

The above graph represents that 85.24% of the students have informed their family members about the awareness program being conducted at their school and only 14.76% have not informed their family.

Graph Showing Scores Obtained by Informed and Not Informed Family Members

05

10152025


Sco

res Obt

aine

d

SD = 3.84 SD = 3.31

p<0.001

students so as to have an idea about whether the students had found the awareness program enriching enough so as to motivate them to transfer the knowledge learned from that awareness program to their family members. This was assessed through a questionnaire comprising of two parts. Part I included questions on general information like name, gender, educational qualification etc and the Part II consisted of questions regarding liver health and hepatitis B. Part II comprised of 12 questions and for each correct response, 2 marks was given. The surveyed family members were divided according to two classifications, namely family members of boy participants and girl participants and the other classification included informed and not informed family members. The latter classification was done on the basis of the responses given by the family members to the questions in the Part II of the KAP module III. Results: The study aimed to assess the transfer of knowledge from the participants of the awareness programs to their family members through a door-to-door survey. A graphical representation of the results obtained is provided below:

Graph Showing Distribution of Total Number of Informed and Not Informed Family Members

84.59

15.45

020

4060

80100


Scor

es in

Per

cent

age(

%)


Graph Showing Scores Obtained by Informed and Not Informed Family Members

05

10152025


Sco

res Obt

aine

d

SD = 3.84 SD = 3.31

p<0.001


It can be observed from the above graphical representation that there exists a highly significant difference between the scores obtained on the questions asked, by informed family members and those obtained by the family members who were not informed.



Graph Showing Transfer of Knowledge among Informed and Not Informed Family Members of Boys and Girls

77.08

22.91

92.11

80

20406080

100

INFORMEDFAMILY MEMBERS

OF BOYS

NOT INFORMEDFAMILY MEMBERS

OF BOYS


OF GIRLS


OF GIRLS

Sco

res

in P

erce

ntag

e(%)

From the above representation, it can be clearly observed that in comparison to the boys, girls have informed their family members much more about the knowledge acquired from the awareness program conducted at their schools.

Graph Showing Transfer of Knowledge among Informed and NotInformed Family Memvers of Boys and Girls

05

10152025

INFORMEDFAMILY

MEMBERS OF

NOT INFORMEDFAMILY

MEMBERS OF

INFORMEDFAMILY

MEMBERS OF

NOT INFORMEDFAMILY

MEMBERS OF

Sco

res

Obt

aine

d

BOYS BOYS GIRLS GIRLS

p<0.0001 p<0.005

SD = 2.95 SD = 4.46SD = 3.91 SD = 3.72


Graph Showing Transfer of Knowledge among Informed and Not Informed Family Members of Boys and Girls

77.08

22.91

92.11

80

20406080

100


OF BOYS


OF BOYS


OF GIRLS


OF GIRLS

Sco

res

in P

erce

ntag

e(%)


Graph Showing Transfer of Knowledge among Informed and NotInformed Family Memvers of Boys and Girls

05

10152025

INFORMEDFAMILY

MEMBERS OF

NOT INFORMEDFAMILY

MEMBERS OF

INFORMEDFAMILY

MEMBERS OF

NOT INFORMEDFAMILY

MEMBERS OF

Sco

res

Obt

aine

d

BOYS BOYS GIRLS GIRLS

p<0.0001 p<0.005

SD = 2.95 SD = 4.46SD = 3.91 SD = 3.72


This graph shows that there exists a significant difference between the scores obtained among informed and not informed family members of boys and girls.

Conclusion: Hence it can be concluded that there has been a significant number of participants (85.24%) transfer their knowledge and information gathered from the awareness program to their family which will definitely help them in prevention and protection of Hepatitis

B and Liver Health in general. It is also observed that girls students were more active in transferring knowledge to their parents what was acquired from the awareness program. This door-to-door survey also enabled LFWB to spread information on Hepatitis B to those people who were still not enlightened about Hepatitis B, thereby helping

��

to curb the various prejudices and superstitions prevalent about Hepatitis B on a much wider scale. It is also observed that trained RHCPS were actively involved in the survey as part of the public health campaign program, which is one of the important objectives in ‘Science to Society’ Programme.

Limitation of the intervention: • The study was done on a small sample of only 210

subjects.• RHCPs were not involved in the all phases of KAP study. • As much as possible, objectivity and an impartial attitude was tried to maintain during the survey. But more long term interventions are needed for proper validation of the data.

Part – CRURAL HEALTH CARE PROVIDERS TRAINIG

In the year 2008-09 we have trained 220 Rural Health Care Provider at Massanjore in Jharkhand, Nakashipara in Nadia, Suri in Birbhum, Patharpratima in South 24 Parganas and Arsha block in Purulia district. It was one year training program (twice in a week) which includes both theory and practical classes. About 690 RHCP are sensitized by LFWB in this session through orientation programme.

Outcome

ABSTRACT

Title: Science to Society- a harm reduction strategy that uses lay and community health workers in the Hepatitis B fight in West Bengal

Key Words: RHCPS, Selection, examination, knowledge.

Objective: Three Quarters (75%) of the population of West Bengal state, India live in rural areas and have long travel to primary health care facilities with for 51% villages traveling more than 5km. and 27% villages more than 10km. An abysmal scarcity of trained doctors in rural India has left a gap for quacks [untrained, self-claimed doctors regarded as rural medical practitioner (RMP)] to be first responders in rural health care delivery system. These quacks (renamed as Rural Health Care Providers) are not recognized by the main stream medical system. But rural people mostly depend on them for their medical care. Liver Foundation, West Bengal (LFWB) supported by Bristol Myers Squibb Foundation (BMSF) in 2007 launched the “Science

to Society” intervention, which is the first program to build the capacity of RHCPs so that they will serve as a vehicle for information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention.

Methodology: For conducting this study, 259 RHCPs (n=259) were selected from 67 Gram Panchayet of Dumka, Birbhum and Nadia districts. They are to be trained for one year, monitored and their work evaluated in the field. Prior to the training program, a selection test of 25 marks was administered, with an eligibility criterion of minimum secondary level (Class X) and 710 candidates took part in the selection test. Those who secured 20% in the selection test were then selected for the oral interview. The finally selected RHCPs (n=259) were evaluated on a regular basis with examinations held after every 4 months, in the presence of external moderators. The total marks were 500 which include three quarterly examinations with the subjects like Physiology, Anatomy, Primary Medicine, Safe Motherhood, Public Health and Child Care. These enrolled 259 RHCPs were then included in our 3rd module of KAP (HBV) study which consisted of a questionnaire survey among the family


members of the students, those who had participated in our awareness program. For the purpose of this study, 800 door-to-door awareness activities have been conducted by these RHCPs which aim to spread awareness and infuse a sense of consciousness on Hepatitis B among the rural population.

Results: The study aimed to spread awareness and correct information on Hepatitis B among the rural population with the help of the RHCPs by improving their level of scientific understanding. Preliminary monitoring and self evaluation reports indicate that there had been a significant improvement in the level of their knowledge during the training program as can be

observed from the marks obtained by the trainees. There exists positive changes between the marks obtained by the trainees in their selection test, 1st quarter, 2nd quarter and 3rd quarter as the level of significance can be observed from their p values (p < 0.001). A constant improvement in the Mean Scores for all the examinations can be observed with m= 27.55, m=55.9, m=65.54 and m=79.55 for selection test, 1st quarter, 2nd quarter and 3rd quarter tests respectively. There is also a continuous decline in the Standard Deviation (SD) scores of the examinations and the corresponding SD values for selection test, 1st quarter, 2nd quarter and 3rd quarter are ±16.3, ±15.8, ±11.07 and ±8.71 respectively (Fig. 1) Recently after an awareness intervention camp in a community at Suri, Birbhum, 120 individuals got vaccinated within a span of 2 months of the program being conducted. The RHCPs were also involved in that program.

intervention camp in a community at Suri, Birbhum, 120 individuals got vaccinated within a span of 2 months of the program being conducted. The RHCPs were also involved in that program.

Improvement of knowledge of the RHCP Trainees during the Training Program

0102030405060708090

100

Selection test 1st quarter test 2nd quarter test 3rd quarter test

Mea

n Sc

ores

of t

he tr

aine

es (%

)

SD=16.3

SD=15.80

SD=11.07SD=8.71

p<0.001

p<0.001 p<0.001

Fig. 1: Figure shows improvement of knowledge of the RHCP trainees through the examination process.

Conclusion: Thus it can be concluded that there occurs a significant improvement in the level of knowledge of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population.


Conclusion: Thus it can be concluded that there occurs a significant improvement in the level of knowledge

of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population.

��

intervention camp in a community at Suri, Birbhum, 120 individuals got vaccinated within a span of 2 months of the program being conducted. The RHCPs were also involved in that program.

Improvement of knowledge of the RHCP Trainees during the Training Program

0102030405060708090

100

Selection test 1st quarter test 2nd quarter test 3rd quarter test

Mea

n Sc

ores

of t

he tr

aine

es (%

)

SD=16.3

SD=15.80

SD=11.07SD=8.71

p<0.001

p<0.001 p<0.001


Conclusion: Thus it can be concluded that there occurs a significant improvement in the level of knowledge of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population.

Activity Photographs2008-2009


THIRD YEAR (December, 2009 – November, 2010)

Part – A

Organization & Infrastructure building

We have established one Peripheral Centre in the third year of the project. We have started functioning of Baharampur office in Murshidabad district of West

Bengal. We have also planned to open another peripheral center in Purba Medinipur district of West Bengal, but due to severe political problems in that district, it was not happened. In that situation we have organized few awareness programs in Hoogly district, which is adjacent to Kolkata district.

Part – A

Awareness Activity

HEPATITIS ‘B’ AWARENESS PROGRAM (2009 To 2010)

Third Year (December, 2009 – November, 2010)


We have established one Peripheral Centre in the third year of the project. We have started functioning of Baharampur office in Murshidabad district of West Bengal. We have also planned to open another peripheral center in Purba Medinipur district of West Bengal, but due to severe political problems in that district, it was not happened. In that situation we have organized few awareness programs in Hoogly district, which is adjacent to Kolkata district.



1. 02.12.09 Ramakrishna Saradha Moyee Devi School

Nadia

2. 02.12.09 N.F. Railway Pensioners Association(Community)

Siliguri

3. 03.12.09 Deshbandhu Hindi High School

Siliguri

4. 03.12.09 Siliguri Jagadish Chandra Vidyapith

Siliguri

5. 04.12.09 Ghurni High School Nadia

6. 04.12.09 Ghurni Swarnamoyee Girls High School

Nadia

7. 16.12.09 Birbhum Zilla School Birbhum

8. 22.12.09 Ramakrishna Sarada Moyee Devi School

Siliguri

9. 22.12.09 N.F. Railway Pensioners Association

Siliguri


Siliguri


Siliguri

12 24.12.09 Ghurni High School Nadia

13. 24.12.09 Ghurni Swarnamoyee Girls Hig/h School

Nadia

14. 8.01.10 Paninala SPRSS Niketan Nadia

15. 23.01.10 Sheoraphuli Seva Niketan Hooghly

16. 29.01.10 Siliguri Mohila College Siliguri

17. 29.01.10 Siliguri Corporation 30no word

Siliguri

18. 30.01.10 Surya Sen Mahavidyalaya Siliguri

19. 16.2.10 Nursing Training School, Shakti nagar

Nadia

20 16.2.10 Padmamela M.S.K Nadia

21. 25.2.10 R.H.C.P Pathar Pratima(Sundar Bon)

22. 10.3.10 Govt. Girls High School Nadia

23. 10.3.10 Queens Girls High School Nadia

��

Third Year (December, 2009 – November, 2010)


We have established one Peripheral Centre in the third year of the project. We have started functioning of Baharampur office in Murshidabad district of West Bengal. We have also planned to open another peripheral center in Purba Medinipur district of West Bengal, but due to severe political problems in that district, it was not happened. In that situation we have organized few awareness programs in Hoogly district, which is adjacent to Kolkata district.



1. 02.12.09 Ramakrishna Saradha Moyee Devi School

Nadia

2. 02.12.09 N.F. Railway Pensioners Association(Community)

Siliguri


Siliguri


Siliguri

5. 04.12.09 Ghurni High School Nadia

6. 04.12.09 Ghurni Swarnamoyee Girls High School

Nadia

7. 16.12.09 Birbhum Zilla School Birbhum

8. 22.12.09 Ramakrishna Sarada Moyee Devi School

Siliguri

9. 22.12.09 N.F. Railway Pensioners Association

Siliguri


Siliguri


Siliguri

12 24.12.09 Ghurni High School Nadia

13. 24.12.09 Ghurni Swarnamoyee Girls Hig/h School

Nadia

14. 8.01.10 Paninala SPRSS Niketan Nadia

15. 23.01.10 Sheoraphuli Seva Niketan Hooghly

16. 29.01.10 Siliguri Mohila College Siliguri

17. 29.01.10 Siliguri Corporation 30no word

Siliguri

18. 30.01.10 Surya Sen Mahavidyalaya Siliguri

19. 16.2.10 Nursing Training School, Shakti nagar

Nadia

20 16.2.10 Padmamela M.S.K Nadia

21. 25.2.10 R.H.C.P Pathar Pratima(Sundar Bon)

22. 10.3.10 Govt. Girls High School Nadia

23. 10.3.10 Queens Girls High School Nadia


24. 31.3.10 Belapukur uccha Balika Vidyalaya

Nadia

25. 31.3.10 Akshaya Vidya Pith Nadia

26. 20.04.10 Haiderpara Budha Bharati High School Siliguri

27. 21.04.10 Mahananda Vidya Mandir Siliguri

28. 21.04.10 Nilnalini Vidya Mandir Siliguri


30. 15.05.10 Khudi Band School Purulia

31. 21/5/10 Chander Ghat High School Nadia

32.14.06.10 Dalahi High School

Massanjore

3315.06.10 Amjora High School

Massanjore


Massanjore

35.26.06.10 Akshay Vidya Pith

Nadia

36.26.06.10 Belpukur Girls High School

Nadia

37.28.06.10 Santomoyee Girls High School

Purulia

38. 28.06.10 Chittaranjan Girls High School Purulia39. 29.06.10 Chittaranjan Boys High School Purulia40.

29.06.10 Purulia M.M High School Purulia

41.14.07.10 Vivekananda Vidyalaya

Siliguri

42.14.07.10

Haiderpara Budha Bharati High School

Siliguri

43.14.07.10 Mahananda Vidya Mandir

Suliguri

44.15.07.10 Nilnalini Vidya Mandir

Nadia

45. 23.07.10 Dayer Bazar Vidya Mandir Nadia46. 29.07.10 Tati Para IT Girls High School Birbhum

47.30.07.10

Tati Para Noba Kishore Vidya Niketan Birbhum

48. 31.07.10 Mukti Pur High School Birbhum 49 10.08.10 Holy Family Girls high School Nadia50. 10.08.10 Pukhuria High School Nadia51

10.08.10Sayedul Hoque Muslim Girls Hostel Nadia

52. 20.08.10 Taki School Kolkata53. 3.09.10 Aditya Birla Group (Salt Lake) Kolkata54. 10.09.10 Krishnanagar B.ED College Nadia55.

10.09.10Krishnanagar Debnath High School Nadia

56. 15.9.10 Jai Pur Girls High School Purulia57. 15.9.10 Jai Pur R.R.B High School Purulia58. 16.9.10 Hura Girls High School Purulia59. 16.9.10 Hura Boys High School Purulia60. 21.9.10 Institute of Serology Kolkata61.

24.9.10Govt. High School, Mosliya

Massenjore 62. 24.9.10 Mohonpur High School Massenjore 63.

25.9.10Sido Kanhu High School

Massanjore64. 8.10.10 Sakthi Nagar High School Nadia65. 8.10.10 Lady Carmile Balika Vidyalaya Nadia66. 26-11-10 Bishop Morrow School Nadia67. 26-11-10 Minerva PTTI Academy Nadia

In the year 2009-10 we have conducted 67 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. It is estimated that 8375 people are benefited through this awareness Programme of which 6875 from school, 750 from college and 750 from communities. Almost 33500 people are sensitized in the third year of this project. People participated in these programs from all strata of our society, which shows that they are getting involved in the awareness activities for better living. In this year we were more focused on school students as we have taken an interventional study to asses the impact of the awareness programs among the school students. We found that although a 2 hour intervention program or one time awareness program may create some empowerment of knowledge, from the broader perspective, it seems quite difficult to bring about a long term change in attitude and practice. This research paper will send for publication.

��

24. 31.3.10 Belapukur uccha Balika Vidyalaya

Nadia

25. 31.3.10 Akshaya Vidya Pith Nadia

26. 20.04.10 Haiderpara Budha Bharati High School Siliguri

27. 21.04.10 Mahananda Vidya Mandir Siliguri

28. 21.04.10 Nilnalini Vidya Mandir Siliguri


30. 15.05.10 Khudi Band School Purulia

31. 21/5/10 Chander Ghat High School Nadia


Massanjore

3315.06.10 Amjora High School

Massanjore


Massanjore

35.26.06.10 Akshay Vidya Pith

Nadia

36.26.06.10 Belpukur Girls High School

Nadia

37.28.06.10 Santomoyee Girls High School

Purulia

38. 28.06.10 Chittaranjan Girls High School Purulia39. 29.06.10 Chittaranjan Boys High School Purulia40.

29.06.10 Purulia M.M High School Purulia

41.14.07.10 Vivekananda Vidyalaya

Siliguri

42.14.07.10

Haiderpara Budha Bharati High School

Siliguri

43.14.07.10 Mahananda Vidya Mandir

Suliguri

44.15.07.10 Nilnalini Vidya Mandir

Nadia

45. 23.07.10 Dayer Bazar Vidya Mandir Nadia46. 29.07.10 Tati Para IT Girls High School Birbhum

47.30.07.10

Tati Para Noba Kishore Vidya Niketan Birbhum

48. 31.07.10 Mukti Pur High School Birbhum 49 10.08.10 Holy Family Girls high School Nadia50. 10.08.10 Pukhuria High School Nadia51

10.08.10Sayedul Hoque Muslim Girls Hostel Nadia

52. 20.08.10 Taki School Kolkata53. 3.09.10 Aditya Birla Group (Salt Lake) Kolkata54. 10.09.10 Krishnanagar B.ED College Nadia55.

10.09.10Krishnanagar Debnath High School Nadia

56. 15.9.10 Jai Pur Girls High School Purulia57. 15.9.10 Jai Pur R.R.B High School Purulia58. 16.9.10 Hura Girls High School Purulia59. 16.9.10 Hura Boys High School Purulia60. 21.9.10 Institute of Serology Kolkata61.

24.9.10Govt. High School, Mosliya

Massenjore 62. 24.9.10 Mohonpur High School Massenjore 63.

25.9.10Sido Kanhu High School

Massanjore64. 8.10.10 Sakthi Nagar High School Nadia65. 8.10.10 Lady Carmile Balika Vidyalaya Nadia66. 26-11-10 Bishop Morrow School Nadia67. 26-11-10 Minerva PTTI Academy Nadia

In the year 2009-10 we have conducted 67 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. It is estimated that 8375 people are benefited through this awareness Programme of which 6875 from school, 750 from college and 750 from communities. Almost 33500 people are sensitized in the third year of this project. People participated in these programs from all strata of our society, which shows that they are getting involved in the awareness activities for better living. In this year we were more focused on school students as we have taken an interventional study to asses the impact of the awareness programs among the school students. We found that although a 2 hour intervention program or one time awareness program may create some empowerment of knowledge, from the broader perspective, it seems quite difficult to bring about a long term change in attitude and practice. This research paper will send for publication.

In the year 2009-10 we have conducted 67 awareness programs in schools, colleges and communities in various districts of West Bengal and Massanjore in Jharkhand. It is estimated that 8375 people are benefited through this awareness Programme of which 6875 from school, 750 from college and 750 from communities. Almost 33500 people are sensitized in the third year of this project. People participated in these programs from all strata of our society, which shows that they are getting involved in the awareness activities for better living. In this year we were more focused on school students as

we have taken an interventional study to asses the impact of the awareness programs among the school students. We found that although a 2 hour intervention program or one time awareness program may create some empowerment of knowledge, from the broader perspective, it seems quite difficult to bring about a long term change in attitude and practice. This research paper will send for publication.



7%

41%

23%

6%

14%

9%


To make the sessions more interactive and participative we have conducted questionnaire surveys prior to the awareness program and quiz contests immediately after the programs to analyze the impact of our awareness and activity on the people. In addition to above methods, Liver foundation have developed a continuing intervention module (CIM) in the form of KAP study which analyze transfer of Knowledge, changes in Attitudes as well as changes in Practice / Lifestyle. This tool is a four step Methodological study which includes:-

Module I This is pre intervention questionnaire survey. This tool will provide preliminary information regarding the attitude of the participants. This is generally been done before the start of the program.

Module II This is post intervention questionnaire survey. This parameter of study will provide information regarding immediate transfer and gathering of knowledge. This is conducted immediately after the awareness program.

Module III

This is door-to-door questionnaire survey, is done on the family members of the participants after a period of 15days of the conducted program. This study is done to analyze the transfer of knowledge and endorsement of positive attitudes among the parents.


Module I

This is pre intervention questionnaire survey. This tool will provide preliminary information regarding the attitude of the participants. This is generally been done before the start of the program.

Module II

This is post intervention questionnaire survey. This parameter of study will provide information regarding immediate transfer and gathering of knowledge. This is conducted immediately after the awareness program.

Module III


Module IV

This is impact analysis study of this short term intervention among the participants . This study is usually done on the same surveyed population/community after 2 months of the conducted program. This study or parameter will provide information on their changes in their lifestyle practices

Outcome

ABSTRACT

Title: “Health Awareness in one day do not have sustained & cumulative impact among the school students”: A Study in 3 Districts of West Bengal to fight against Hepatitis-B & Liver Diseases.”

Key Words: Students, awareness, liver disease, KAP study.

Objective: To assess the impact of health awareness intervention among the school students through KAP study and the transfer of knowledge from the participant to their parents.

��


7%

41%

23%

6%

14%

9%



Module I This is pre intervention questionnaire survey. This tool will provide preliminary information regarding the attitude of the participants. This is generally been done before the start of the program.

Module II This is post intervention questionnaire survey. This parameter of study will provide information regarding immediate transfer and gathering of knowledge. This is conducted immediately after the awareness program.

Module III


Method: This study was carried out on 456 school students (Boys = 257, Girls = 199). 411 parents of the students were surveyed along with 273 parents were taken as control for the assessment. On the basis of certain norms subjects were selected. Questionnaire was developed and validated by the standard norms. The study tool designed for impact analysis was 4 steps KAP module which analyzed transfer of Knowledge, positive changes in attitude as well as changes in practice. Using SPSS-13 statistical was computed for the present study.

Summary: The results of the study revealed that in the three stages (KAP I, II, IV) of intervention, there have occurred a significant changes with regard to empowerment of knowledge and attitude from the mean scores, 12.89 ± 4.03, 16.50±4.12, 14.37± 3.72 respectively. In all cases the level of significance was high with p<0.001. In case of gender-wise distribution also, the same result have been obtained. In an attempt to make the study more specific, the basic level of knowledge possessed by the intervention group, assessed through their KAP-I scores, was further segregated into two, on the basis of their Percentile Ranks (Below 50% was categorized as one

group and Above 50% was categorized into another group.) Same trend in result was observed. Transfer of knowledge from the participating students to their parents also measured. It was found that 88.12% parents were informed by the students and significantly, an empowerment of the knowledge occurred among the informed group in comparison with the control group where mean scores were 16.20± 3.72 and 8.85± 5.47 respectively. In the regression analysis it was found that the relative contribution of empowered knowledge over empowered practice was not very high (Adjusted R square = 8.8%). How ever the empowerment of knowledge among the students was also supported by the regression analysis result but through one day awareness intervention, it seems quite difficult to bring about a long term change in attitude and practice as there is a decrement of mean score in all cases of KAP-IV study.

Part – C


In the year 2009-10 we have trained 238 Rural Health Care Provider at Massanjore in Jharkhand, Chapra in Nadia, Suri in Birbhum, Patharpratima in South 24 Parganas and in Purulia district. About 673 RHCP are sensitized by LFWB in this session through orientation Programme

Outcome

ABSTRACT

Title: Impact of the very initial integration of the RHCPs in to main stream public health action in four blocks of Birbhum districts.

Key Words: RHCP, DOTS, awareness, public health.

Objective: Controlling TB in India is a tremendous challenge. The TB burden in India is still staggering. Every year, 1.8 million persons develop the disease, of which about 800,000 are infectious; and, until recently, 370,000 died of it annually —1,000 every

day. We have taken an endeavor, which is the first program of its kind to build the capacity of RHCPs (known as Quack or RMP, the first responder in rural health care delivery system) so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population and also can take part in public health action like DOTS defaulter retrieval program.

Method: 171 RHCPs in four Blocks in Birbhum district have taken care about 6 lacks population for one year. They have selected locally and worked under the close supervision of 2 medical officers. Prior that they have participated in one year basic training with regard to medical science and general health & hygiene. Moreover they have participated one month


special training on DOTS with regard to Tuberculosis (TB).

Summary: The RHCPs have organized 380 awareness programs on Tuberculosis in the 4 blocks with the help of health staff. As an outcome it has been observed that the case detection rate has been increased significantly in the year 2009-2010 which was 3594 in respect of previous years which were 3042 & 3722 respectively. The symptomatic patients referred by the RHCP in different DMC for sputum examination are more accurate and

increased up to 17.37% in comparison to previous years, which were 16.93% & 15.83 % in the year 2007 and 2008. The death rate has been decreased in four Blocks remarkably in the year of 2009-2010 after the intervention of RHCPs which was 5.25% in comparison to previous year, which was 6.03%. As the RHCPs are within the community they have been able to look after the DOTs patients in a regular fashion and with all sincerity, it has been also observed that DOTS defaulter rate also decreased significantly which was 8% in the last year with their intervention in comparison to previous year which was 12.43%. Therefore it can be suggested that these RHCPs will be a strong work force in different public health action.

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Activity Photographs2009-2010


OVAR ALL THREE YEAR ACTIVITY: A SUMMARY

ACTIVITIES AND ACHIEVEMENTS OF THE PROJECT:

A.INFRASTRUCTURAL DEVELOPMENT, AUGMENTATION AND MANTAINANCE ACTIVITIES:

1. Establishment and development of a central office at Kolkata :

Liver Foundation, West Bengal was a budding organization with social commitment at the point of time the grant was received. The grant helped the organization to crystallize organizationally, function as an organization socially visible, contributory and productive in promoting liver health awareness. A key feature of this organizational development had been establishing a central office at Kolkata to function as the apex station of all the activities and integrating the peripheral work stations in districts through E network.

2. Peripheral Centers:

In order to carry out the different outreach activities and to establish a bridge between rural people and the organization , the project helped development and functioning of six peripheral centers – each self contained awareness and action units with Computer facilities , closely interacting with people . These centers are the pedestal through which the project is deeply routed in the minds of the people.

3.Development of Content for awareness campaign :

As we were pledged to approach awareness from a different angle,

content development was a crucial issue. Through repeated dialogues with Liver specialists, psychologists, sociologists and health promotion activists – the different materials for dissemination amongst people were developed. This included leaflets, folders, posters, slides for projection etc. An important achievement of this project is development of a Docu- feature Film on Liver Health Awareness that was prepared in six Indian languages and viewed by Millions all over the country. The film was shared between other grantees under the “Delivering Hope” program. Regular publication of a news letter, maintenance of a web site with facilities for Counseling people on Liver Health and Hepatitis, publication of books in regional languages in simplistic modes are other activities that were undertaken.

4. Establishment and Running of A health care Facility at Massanjore , Jharkhand :

Jharkhand is the poorest state in the country and have very low indices of health and Human Development. Massanjore is located in Dumka District in a Hilly terrain and is the centre of a large group of villages, inhabited by tribal population. No health care facility existed in this area before the Science to Society Project allowed Development of the “Birsha Munda Memorial Health Care Facility” there.

Primarily a free clinic for the surrounding villages, run thrice in week, funded by the project’s total number of 12,296 people have been seen in this clinic in the past three years. Liver Foundation, West Bengal was recently donated an Ambulance by Mahindra Finances, a national corporate philanthropy to operate from this centre. Thus, this centre is gaining lot of respect from the society.

��

Jharkhand is the poorest state in the country and have very low indices of health and Human Development. Massanjore is located in Dumka District in a Hilly terrain and is the centre of a large group of villages, inhabited by tribal population. No health care facility existed in this area before the Science to Society Project allowed Development of the “Birsha Munda Memorial Health Care Facility” there. Primarily a free clinic for the surrounding villages, run thrice in week, funded by the project’s total number of 12,296 people have been seen in this clinic in the past three years. Liver Foundation, West Bengal was recently donated an Ambulance by Mahindra Finances, a national corporate philanthropy to operate from this centre. Thus, this centre is gaining lot of respect from the society.

Fig. 1 Patient treated in the free clinic at Massanjore with the support of Bristol Myers Squibb Foundation in last three years.

Service provided by the Free Health Clinic Center at Massanjore

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

2008 2009 2010

No

of p

atie

nts

No of Patients

5. Development of A Model Centre in Birbhum :

Liver Foundation, West Bengal is setting up a centre for action and research in rural health in Birbhum .The funding is coming from donations. We plan to use this centre as a field centre for application and innovations in rural health, keeping the priorities of the society in backdrop. This centre will be the peripheral co ordination and thought generation centre also. The construction of the centre is nearing completion and we are planning to start functioning from January, 2011. We plan to have a library, a classroom, a meeting room, a service (treatment facility) in this structure. The science to Society Project also contributed towards this centre.

B .PROGRAMMATIC ACTIVITIES AND IMPACT:

1. Hepatitis B & Liver Health awareness activities :

Fig. 1 Patient treated in the free clinic at Massanjore with the support of Bristol Myers Squibb Foundation in last three years.

5. Development of A Model Centre in Birbhum :

Liver Foundation, West Bengal is setting up a centre for action and research in rural health in Birbhum .The funding is coming from donations. We plan to use this centre as a field centre for application and innovations in rural health, keeping the priorities of the society in backdrop. This centre will be the peripheral co ordination and thought generation centre also. The construction of the centre is nearing completion and we are planning to start functioning from January, 2011. We plan to have a library, a classroom, a meeting room, a service (treatment facility) in this structure. The science to Society Project also contributed towards this centre.

B .PROGRAMMATIC ACTIVITIES AND IMPACT:

1. Hepatitis B & Liver Health awareness activities

Our awareness programs are conducted with the aim of spreading information on Hepatitis B and liver diseases in a simplistic fashion to the common people. As per as our activities which we are doing or trying to implement to bring about some changes in our activity range. We have tried to measure statistically and graphically through a mode of random questionnaire study that how much impact our extended awareness Programme has on the mind of people who are listening to it and

how much they are capable to retain in the long run. We also try to make the session a little more interactive so that questions and doubts raised on spot could be clarified. We have three sessions in one awareness Programme- Lectures & power point presentation, health documentary film show & quiz contest. We have conducted 218 awareness programs in last three years and the target groups were paramedical workers, nurses, school students, college and university students and general masses of the community. We have tried to analyze our work, by a graphical representation studying on a model of random questionnaire survey, to get follow up of the impact of our awareness program held in different strata of our society. The sessions are specifically made interactive by clarifying the questions and doubts on the spot. The questionnaire is based on medical and paramedical aspects. In future we expect more participation on the part of the people to spread correct information on Hepatitis B and liver health in general.


Statistical presentation of the awareness programs in three years

January, 2008 to November, 2010

DISTRICT WISE AWARENESS PROGRAMME FROM JANUARY 2008 TO NOVEMBER 2010

30

14

53

0 0

10

26

21

13

6

23

5

26

16

3

6

11

0

5

10

15

20

25

30

35

Kolkata Nadia Siliguri Birbhum Massanjore Purulia

NAME OF THE CENTRES

NU

MB

ER O

F A

WA

REN

ESS

PRO

GR

AM

M

20082009

2010

NUMBER OF AWARENESS PROGRAMME (N) = 218

Fig: 2

AWARENESS PROGRAMME ORGANIZED IN DIFFERENT SECTORS OF THE SOCIETY

0

10

20

30

40

50

60

School College/University Community/Paramedics

NAMEOF DIFFERENT SECTORS

NU

MB

ER O

F A

WA

REN

ESS

PRO

GR

AM

M

2008

2009

2010


Fig: 3

DISTRICT WISE AWARENESS PROGRAMME FROM JANUARY 2008 TO NOVEMBER 2010

30

14

53

0 0

10

26

21

13

6

23

5

26

16

3

6

11

0

5

10

15

20

25

30

35

Kolkata Nadia Siliguri Birbhum Massanjore Purulia

NAME OF THE CENTRES

NU

MB

ER O

F A

WA

REN

ESS

PRO

GR

AM

M

20082009

2010


Fig: 2

AWARENESS PROGRAMME ORGANIZED IN DIFFERENT SECTORS OF THE SOCIETY

0

10

20

30

40

50

60

School College/University Community/Paramedics

NAMEOF DIFFERENT SECTORS

NU

MB

ER O

F A

WA

REN

ESS

PRO

GR

AM

M

2008

2009

2010


Fig: 3

Fig. 1

Fig. 2

Figure showing areas in which Hepatitis-B awareness programme has been conducted from 2008 to 2010

20%

31%19%

10%

15%5%


6. Capacity Building of Rural Health care Providers:Liver Foundation, West Bengal (LFWB) supported by Bristol Myers Squibb Foundation (BMSF) in 2007 launched the “Science to Society” intervention, which is the first program of its kind to build the capacity of RHCPs so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention. The course commences for one year and this one year training program includes preparatory phase, consolidation phase, and enrichment phase. We have organized curriculum development program, Workshops for RHCP training during this period and many eminent doctors, researchers, scientists have taken part in those program. We have taken an attempt for the assessment of their knowledge empowerment through the examination process. Trained RHCPs are involved in different activities and they served as a vehicle for information and generation of awareness to fight against Hepatitis B among the rural population. It is observed that there occurs a significant improvement in the level of knowledge of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population. In addition to empowering the RHCPs by providing training for harm reduction, they are also being involved in various kinds of projects like the Defaulter Retrieval Project under R.N.T.C.P (Revised National Tuberculosis Control Program) where 170 RHCPs were involved. In another study conducted by the Institute of Pulmocure Research on COPD: Rehabilitation in rural areas- A Camp Approach, the work of the RHCPs have been acknowledged and appreciated. {Ref: Chest (Official Publication of the American College of Chest Physicians), Indian Edition}, Vol: 1, No. 5 Pg No. 263-264}.

��

Figure showing areas in which Hepatitis-B awareness programme has been conducted from 2008 to 2010

20%

31%19%

10%

15%5%


6. Capacity Building of Rural Health care Providers:Liver Foundation, West Bengal (LFWB) supported by Bristol Myers Squibb Foundation (BMSF) in 2007 launched the “Science to Society” intervention, which is the first program of its kind to build the capacity of RHCPs so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention. The course commences for one year and this one year training program includes preparatory phase, consolidation phase, and enrichment phase. We have organized curriculum development program, Workshops for RHCP training during this period and many eminent doctors, researchers, scientists have taken part in those program. We have taken an attempt for the assessment of their knowledge empowerment through the examination process. Trained RHCPs are involved in different activities and they served as a vehicle for information and generation of awareness to fight against Hepatitis B among the rural population. It is observed that there occurs a significant improvement in the level of knowledge of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population. In addition to empowering the RHCPs by providing training for harm reduction, they are also being involved in various kinds of projects like the Defaulter Retrieval Project under R.N.T.C.P (Revised National Tuberculosis Control Program) where 170 RHCPs were involved. In another study conducted by the Institute of Pulmocure Research on COPD: Rehabilitation in rural areas- A Camp Approach, the work of the RHCPs have been acknowledged and appreciated. {Ref: Chest (Official Publication of the American College of Chest Physicians), Indian Edition}, Vol: 1, No. 5 Pg No. 263-264}.

Fig. 3

6. Capacity Building of Rural Health care Providers:

Liver Foundation, West Bengal (LFWB) supported by Bristol Myers Squibb Foundation (BMSF) in 2007 launched the “Science to Society” intervention, which is the first program of its kind to build the capacity of RHCPs so that they can serve as a vehicle for propagation of information and generation of awareness to fight against Hepatitis B among the rural population. “Science to Society” is primarily a prevention and harm reduction intervention. The course commences for one year and this one year training program includes preparatory phase, consolidation phase, and enrichment phase. We have organized curriculum development program, Workshops for RHCP training during this period and many eminent doctors, researchers, scientists have taken part in those program. We have taken an attempt for the assessment of their knowledge empowerment through the examination process. Trained RHCPs are involved in different activities and they served as a vehicle for information and generation of awareness to fight against Hepatitis

B among the rural population. It is observed that there occurs a significant improvement in the level of knowledge of the RHCPs through this training program, thereby creating a strong force to help spread awareness on Hepatitis B among the rural population. In addition to empowering the RHCPs by providing training for harm reduction, they are also being involved in various kinds of projects like the Defaulter Retrieval Project under R.N.T.C.P (Revised National Tuberculosis Control Program) where 170 RHCPs were involved. In another study conducted by the Institute of Pulmocure Research on COPD: Rehabilitation in rural areas- A Camp Approach, the work of the RHCPs have been acknowledged and appreciated. {Ref: Chest (Official Publication of the American College of Chest Physicians), Indian Edition}, Vol: 1, No. 5 Pg No. 263-264}.


District wise RHCP Trained from 2008 to 2010

0

10

20

30

40

50

60

70

80

90

Purulia Nadia Massanjore Sundarban Murshidabad Birbhum

Name of different districts

Num

ber o

f per

sons

2008

2009

2010

Total RHCP Sensitised & Trained in 3 Years

230

120

690

220

673

238

0

100

200

300

400

500

600

700

800

RHCP Sensitised RHCP Trained

Num

ber o

f per

son

2008

2009

2010

��

2008

Ben

efic

iar

ies

Prog

ram

(Lev

el 1

D

escr

ipto

r)

Tota

lB

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icia

ries

Tota

lse

ssio

ns

Not

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cour

se d

ocs

Org

aniz

atio

nPr

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m (L

evel

2

Des

crip

tor)

20

08pr

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m(e

ach

prog

ram

incl

udes

3 sess

ions

)

Cou

ntry

20

09B

enef

icia

ries

2009

prog

ram

(eac

hpr

ogra

min

clud

es3 se

ssio

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2010

Ben

efic

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s

2010

prog

ram

(eac

hpr

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min

clud

es3 se

ssio

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LFW

B-

Sci

ence

to

Soc

iety

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dia

Key

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aren

ess

Prog

ram

.

650

0 52

12

375

99

8

375

67

27

250

Key

sta

keho

lder

is th

e pa

rtici

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.D

ocum

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ry fi

lm,

fold

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eafle

t, pp

t etc

w

ith re

sour

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218

scie

nce

to

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Indi

aco

llege

stud

ents

train

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ns

200

0 1

6

1625

13

7

50

6

43

75

35

Do

scie

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to

soci

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apa

tient

stre

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(mas

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linic

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426

2

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3

606

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1

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18

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scie

nce

to

soci

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aR

HC

Pse

nsiti

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Inte

ract

ion

prio

r se

lect

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230

NA

69

0N

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3N

A 1

593

16O

rient

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n P

rogr

am

scie

nce

to

soci

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Indi

aR

HC

Ptra

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train

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sess

ions

120

2day

s/w

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/ bat

ch

220

2day

s/w

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/ bat

ch

238

2day

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ch

57

8 99

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/ w

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The

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260

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4950

0

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3

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One

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Pro

gram

26

25

21 (N

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(No.

of

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6875

55 (N

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choo

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ciet

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dia

Com

mun

ity

& para

med

ics

.

Aw

aren

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Pro

gram

18

75

1547

5038

750

6

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59

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TF T

AP

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AM

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Ben

efic

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Prog

ram

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Tota

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Not

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Org

aniz

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Des

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20

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prog

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Cou

ntry

20

09B

enef

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2009

prog

ram

(eac

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min

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ssio

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2010

Ben

efic

iarie

s

2010

prog

ram

(eac

hpr

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min

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es3 se

ssio

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LFW

B-

Sci

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to

Soc

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Key

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650

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scie

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Indi

aco

llege

stud

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train

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200

0 1

6

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6

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Do

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apa

tient

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426

2

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4428

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2296

18

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230

NA

69

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593

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rogr

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Indi

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120

2day

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220

2day

s/w

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238

2day

s/w

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57

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/ w

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260

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0

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N

A10

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NA

One

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(Tra

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in

form

atio

n on

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to a

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55 (N

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V

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Total sessions: 1724

Total Beneficiaries: 142599 (Approx.)

Total Programs: 226 awareness programs (HBV + HCV), 998 days RHCP training, 16 orientation program of RHCP, 32 days MT training = 1256 (Excluding workshops, Meeting, survey work etc.)

Avg sessions / Program: 3

Avg Beneficiaries / Program: 625/ Awareness program. 45 RHCP / Training program, 10 Medical Technicians / Training program


ACTIVITY ASSESSMENT (SELF APPRISAL)

We have monitored our activity consistently in last three years on the basis of following points in the core areas of our functioning.

A) Administration: 1) Regularity, 2) Punctuality, 3) Reporting and communication with central office, 4) Attitude towards work, 5) Efficiency, 6) Ability to manage/ handle problems, 7) Quickness in execution of work, 8) Innovative idea generation, 9) Implementation & organizational capacity of extra responsibility, 10) Involvement with work & 11) Following of rules & regulation.

B)Awareness Activity: 1) Number of programs, 2) Quality of programs,

3) Infrastructural management, 4) Attitude of the authorities of the institutions, 5) Attitude of the participants, 6) Level of interaction with the participants, 7) Overall organization of the program, 8) Whether the program was cost- effective, 9) Whether proper arrangement made for the resource persons, 10) whether the program was informed to the central office in well advance, 11) Whether proper paper work ( record keeping) and formalities were done.

C) RHCP Training: 1) Proper field survey to identify RHCPs in the villages, 2) RHCP sensitization, 3) Number of participants in the selection test, 4) No. of finally selected students, 5) No. of dropouts, 6) Attendance of the students, 7) Organization of schedule classes, 8) Following of the curriculum, 9) Conduction of examination as per schedule, 10) Teaching quality and interaction with the trainees, 11) Proper maintenance of all records.

ANNEXURE: 1

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Feed back on awareness program:

After each awareness activity we have received certificate of appreciation. We have enclosed few documents here with.

ANNEXURE: 2


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ANNEXURE: 3

Press review on our activity

ANNEXURE: 3


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Documents

Activity Report - LIVER FOUNDATION, WEST BENGAL