QUATERLY PROGRESS REPORTSOctober 2017 to December 2017

Submitted to: Submitted by:

Smile Foundation Relaxo Foundation

Introduction

Relaxo and Smile Foundation mobile health unit is performing a worthyful role in order to provide

qualitative and door-step health facility in thr underprivileged area of Bhiwadi region. The health system of

this area is not adequate to support the health needs of the community. Because of which large number of

local people of this region struggle for basic Healthcare

Facility. Bhiwadi is an industrial hub in Rajasthan. It is a

part of NCR. It is 70 km away from the New Delhi, 190 km

from Jaipur, 90 km from Alwar. Bhiwadi is close to

Gurgaon about 45 KM and as the geteway of Rajasthan

State. Most of the area of Bhiwadi falls in rural terrain.

The main occupation of the people here is agriculture.

Agricultural land use covers cultivated land, dairy farming

and nurseries. But, with passage of time employment in agricultural activities is declining and increasingly

shifting to industrial and service sector activities. Majority of the population residing in Bhiwadi consist a

mixture of Hindu, Muslim and Sikh religion. Apart from it Bhiwadi also has large number of people who

have settled from other states of India, in search of job, as Bhiwadi is an industrial area.

Smile Foundation has started primary healthcare invervention from July’2017 onwards with the valubale

support of Relaxo Foundation. Smile-Relaxo health mobile team provides primary healthcare services in 14

villages of Bhiwadi which cover maximum of more than 100400 inhabitants.

Apart from the curative services, emphases have also been given to preventive and promote measures to

raise awareness among the masses.

H I G H L I G H T S 81 OPD’s

3802 beneficiaries were covered through mobile clinics

154 pathological tests were conducted.

981 beneficiaries were sensitized on different Health issues.

25 different IEC activities were conducted.

MOBILE HEALTH CLINICS (OPD)Mobile

Smile-Relaxo mobile unit is working on every aspect to provide proper health care delivery to improve

health condition of women and child and also putting efforts for improving nutrition level in the working

area. We are providing primary healthcare services on a regularly schedule basis so that local people can be

accessed door-step health facility. Health unit

delivers free health checkups, some pathological test,

pre and post natal care and IEC (Information

Education Communication) sessions. Patients tend to

embrace the use of mobile healthcare delivery

because they know the health unit is coming to

perceive them. They do not have to travel to a

medical centre and deal with long lines and medicines

cost. In many cases women can now access healthcare that was unavailable due to lack of health service

accessibility. People working at jobs could take less time to get treatment because the mobile unit comes to

their door step and could get free medicines. A local network system is establishing with the engagement of

primary care givers such as PHC’s Doctors, Aganwadi worker, ASHAs and ANMs in the working area. During

the reporting period a total of 81 OPD’s were organized in different locations of Bhiwadi as per the planned

roster.

Mobile Clinic Detail

Health sector is one of the predominant sectors in

India where gender inequalities exist significantly.

This negative impacts the overall women and children

towards Health care. Differential access to healthcare

occurs because women typically are entitles to a

lower share of household resources and thus utilize

healthcare resources to a lesser degree than men. In

this quarter from October’17 to December’17 total

3802 beneficiaries were diagnosed through SoW

mobile clinics. The month wise details underlined

below explain the importance of mobile clinics for the

Mobile Clin-ics M15%

Mobile Clin-ics F17%

Mobile Clin-ics M Child

11%

Mobile Clinics F Child7%

Mobile Clin-ics Total

50%

success of initiation of the healthcare program can be visualized:- We can see this difference in disease

pattern table below, because some patients were suffering multiple diseases.

Note:- Total beneficiaries are 3802 of reporting period but we have diagnosed 4171 diseases .

Sl # Month Mobile Clinics

M F M Child F Child Total

1 Oct 367 415 259 172 12132 Nov 409 529 240 171 13493 Dec 373 459 210 198 1240

Total 1149 1403 709 541 3802

Age Wise Patient Details

Focusing on a population’s age composition is one of the most basic ways to understand age wise disease

pattern. This helps us to understand the lifestyle of the person. During our reporting period distribution of

various diseases was as follows: age group between of 0-14 years of age was diagnosed with cold/cough,

fever and fungal, age group between 15 to 24 years is considered to be the most productive age in the

human life. But in today’s era this age group is highly surrounded by the various diseases due to poor life

style and lack of awareness. The major disease within this age group was fever, cough and cold. 25-40 year

were the largest number of people that came to SoW for treatment, and most of them were suffering from

Fever, cold/cough, body pain and scabies . The catchment area, has huge number of Muslim population and

they are not very well aware about the best practices of personal hygiene and domestic garbage disposal

mechanism. Apart from it, industrial area also influences their health. The underlying issues are been taken

care, as Smile Foundation organizes various awareness sessions and personal counseling for every

beneficiary on how they can work on their well-being and on the well-being of the society.

Sl. No.

Age Group Oct Nov Dec Total

1 0-5 124 153 189 466

2 6-14 221 187 140 548

3 15-24 196 212 228 636

4 25-40 344 408 367 1119

5 41-59 192 221 183 596

6 60< 136 168 133 437

Total 1213 1349 1240 2562

Disease Pattern

To track the record of disease prevalent in an area, disease pattern is very important. The medicines are

procured as per the disease pattern. The pattern also helps to understand the kind of health issues

prevalent in the community. During the reporting period more than 22 types of diseases were found in the

catchment area.

S.No. Diseases Oct Nov Dec

1 Skin/Scabies/Fungal 352 355 3982 Cough/Cold 292 322 2573 Fever 221 199 1184 Joint Pain 98 61 555 Backache 79 72 596 Pain 70 41 467 Anemia 57 65 568 Headache 38 33 319 Eye infection 35 45 3210 Injury 33 42 2111 Gastritis 27 28 3012 Abdominal Pain 25 26 2913 Other* 23 43 3614 ENT Infection 21 35 1715 Diabetes 18 20 3

12%

14%

17%29%

16%

11%

% wise distribution of diseases

0-5 years 6-14 years 15-24 years 25-40 years 41-59 years 60< years

16 Diarrhea 16 21 1517 Hypertension 15 26 718 Constipation 9 12 619 Dental Problem 6 6 920 UTI 3 11 821 Jaundice 1 0 022 Piles 1 2 423 AIDS 0 0 024 COPD 0 17 825 Dengu 0 0 026 Pelvic Inflammatory Diseases 0 1 227 HIV/AIDS 0 0 028 Malaria 0 1 029 Osteoarthritis 0 0 0

*(Diseases in other category includes problems like loose stool, constipation, migrane, renal infection, etc, i.e. those diseases which don’t have any specific

head and are less in number).

Disease

Anemia

Backach

e

Cough/Cold

Diabete

s

Eye in

fection

Fever

Joint Pain Pile

s

Skin/Sc

abies

/Fungal UTI

Total

178 210

871

41 112

538214

7

1105

22

4171Disease Pattern

Detail of Pathological Tests

Pathology services are very essential part of health

care services provided to patients and the

community. They underpin the quality and cost

effectiveness of health care. Pathological tests are

used in the diagnosis, treatment and management

of an increasing rang e of clinical conditions. During

this quarter a total of 154 lab tests. 28 HB test

were done and 26 were found Anemic, means their

HB level was below the average level. In case of

sugar test 46, 29 cases were found negative and 17

people had high level of sugar. Note:-For more detail refer to attached doc file.

S.No Test October November December Result Total

Not in reference range

Within normal reference range

1 HB 3 15 10 2 26 282 Typhoid 1 10 19 14 16 303 Glucose 11 23 12 17 29 464 Cholesterol 1 5 9 2 13 155 Bilirubin 0 2 0 0 2 26 SGPT 0 2 0 0 2 27 SGOT 0 2 0 0 2 28 Malaria 0 0 6 0 6 69 Creatinine 0 0 2 0 2 2

10 Uric Acid 3 9 4 6 10 1611 Urea BUN 0 0 0 0 0 012 Urine Pregnancy Test 0 0 5 2 3 513 ECG 0 0 0 0 0 0

Total 19 68 62 43 111 154

IEC ACTIVITIES

This is one of the most important objectives of Smile on Wheels to strive for health education. Thus, SoW

team ensures that IEC activities or sessions are carried out on regularly basis with the women, children and

community people. IEC programs are aimed to bring a positive behavior change among the community and

to aware them about the aspects of health care. On the other hand, prevention is better and cheaper than

cure. The IEC activities are designed to create awareness and influence

individual behavior. A detail of the same is given in the below table that

we have conducted some sessions on different topics as per villages and

schools wise. Special days have also celebrated in villages and schools

during village health camps.

During the reporting period a total of 981 beneficiaries were sensitized

through 25 different IEC activities.

S.No.

Date Village Topic Covered/Specialization No. of Participants

1 3.10.17 Burhi Bawal Importance of Personal Hygiene and Sanitation 19

2 6.10.17 Gwalda Importance of Personal Hygiene and Sanitation 36

3 10.10.17 Kehrani Importance of Personal Hygiene and Sanitation 27

4 11.10.17 Chopanki Importance of Personal Hygiene and Sanitation 26

5 12.10.17 Karoli World Arthritis Day Celebration 356 13.10.17 Santhanlka Importance of Personal Hygiene and

Sanitation 267 15.10.17 Harchandpur Celebration of Global Hand Washing Day in

School113

8 1.11.17 Jhiwana Personal sanitation and hygiene issues. 499 14.11.17

KehraniAwareness Session on Preventive measures that can be taken to avoid Diabetes 58

10 15.11.17Jhiwana

Importance of Personal Hygiene and Sanitation 21

11 16.11.17 Nimbaheri New Born Baby Care Week 2812 17.11.17 Gwalda New Born Baby Care Week 4813 20.11.17 Tapukera New Born Baby Care Week 2614 21.11.17 Burhi Bawal New Born Baby Care Week 2015 22.11.17 Khijuriwas New Born Baby Care Week 1816 22.11.17 Chopanki New Born Baby Care Week 4517 28.11.17 Kehrani New Born Baby Care Week 2318 1.12.17

GwaldaImportance of Personal Hygiene and Sanitation 79

19 4.12.17Tapukera

Importance of Personal Hygiene and Sanitation 45

20 5.12.17Burhi Bawal

Importance of Personal Hygiene and Sanitation 23

21 6.12.17Nimbaheri

Importance of Personal Hygiene and Sanitation 58

22 12.12.17 Kehrani Importance of Personal Hygiene and 35

Sanitation23 14.12.17

KaroliImportance of Personal Hygiene and Sanitation 38

24 20.12.17Jhiwana

Observation of World AIDS Day in Govt Sen. Sec. School Jhiwana. 46

25 21.12.17

Nimbaheri

Celebration of National Pollution Prevention Day in Junior High school Nimbaheri 39Total 0

Anti Natal care (A.N.C.)

A good care during the pregnancy is most important for mother and the physical development of unborn

baby. Pregnancy is a crucial time to promote healthy behaviors and parenting skills. Good ANC links the

woman and her family with the formal health system increases the chance of using a skilled attendant at

birth and contributes to good health through the life cycle. Inadequate care during this time breaks a link in

the continuum of care, and affects both mother and child as well. To making it more highlight care of ANCs

and PNCs, meeting with held with primary care givers such as Aganwadi worker, ASHAs and ANMs. Personal

counseling has done some times with the attendant. But, still it is a challenge about the health of pregnant

women who have given birth earlier 5 to 7 children, especially in Muslim’s families.

During this quarter, 32 ANC were recorded.

The maximum age of ANC woman that was

recorded was 40 while the minimum age

that was recorded was 20. Surprisingly, most

ANC were found Anemic. The highest Hb

level was 12 gm and lowest was 8 gm.

However, these women were counseled to

take Iron folic acid as prescribed by the

Medical Officer of the Team and to have a

balanced diet to increase HB level.

Note: ANCs details are attached in the doc file.

Detail of Referred Cases

The Mobile Medical Unit not only provides curative services but also acts as a bridge between the

community and Government. This service also links the patients with contacts of hospitals for advanced

treatments, as & when required. Smile on Wheels has linkages with the below mentioned Government

hospitals which can provide specialized care at affordable prices to the beneficiaries. In this reporting

period 3 patients were referred to Govt. Hospital Bhiwadi.

A total of 3 were referred to the Government Hospital for advance treatment:-

S.No Name Diseases Referred to Status

1 Akil Ear Ache Refer to Govt. Hospital Bhiwadi

Not visited

2 Ajay Jaundice Refer to Govt. Hospital Bhiwadi

Visited

3 Toufa Cough (Tuberculosis)

Refer to Govt. Hospital Tapukera

On going

4 Jubeda Fever, cough Sputum

Refer to Govt. Hospital Bhiwadi

Visited

5 Nurja Cough (Tuberculosis)

Refer to Govt. Hospital Bhiwadi

On going

6 Sita Ram Vein Refer to Govt. Hospital Tapukera

Visited

7 Seema Typhoid Refer to Govt. Hospital Tapukera

Visited

8 Arshida Anemia Refer to Govt. Hospital Jhiwana

On going

9 Arjina Typhoid Refer to Govt. Hospital Bhiwadi

Visited

10 Khushiram ENT Infection Refer to Govt. Hospital Bhiwadi

Not visited

11 Shyam Lal EYE Infection Refer to Govt. Hospital Tapukera

Visited

12 Nusrat Abdominal Pain Refer to Govt. Hospital Bhiwadi(ANC)

Visited

13 Vikas Cough Sputum, Blood Sputum Analysis

Refer to Govt. Hospital Bhiwadi

On going

14 Shashi Piles Refer to Rock Land Hospital, Manesar Gurgoan, Hariyana.

Not Visited

15 Uma Devi Piles Refer to Rock Land Hospital, Manesar Gurgoan, Hariyana.

Not aware

16 Gulab Piles Refer to Rock Land Hospital, Manesar Gurgoan, Hariyana.

On Going

17 Preety Piles Refer to Rock Land Hospital, Manesar Gurgoan, Hariyana.

Not visited

Case Study

Beneficiary’s Name: Joginder

Age: 35 yrs Genders: Male

Father’s/Husband Name: Makhan Singh

Address: Bhiwadi District: Alwar

Problem:- Scabies

Family Background of Beneficiary:- Joginder belongs from Jhiwana village. He works as a carpenter in his

village. Joginder is head of his family. Family main occupation is farming. He has two children. Before

attending Relaxo-Smile foundations’ village health camp at Jhiwana, Joginder visited for his treatment in

Govt. hospital nearby village but he couldn’t get appropriate treatment.

Three months ago he came to our Jhiwana’s village service point with the complaint of skin/fungal infection

in his both feet and legs. Joginder was suffering from this ailment for last two years. Because of this ailment

he was unable stand or sit properly.Because of his ailment, his professional life was also getting affected.

Our SoW Doctors checked him properly and took his treatment history, prescribed medicines and advice to

take some precautions. When he came second time, he was very satisfied and shared that now there is

slight recovery from this disease. Joginder continued to visit in Jhiwana village health camp.

Our doctor has changed some medicines and suggested to follow the same practice as he is doing at home

to take bath daily and keep neat and clean. We have also advised him to share this hygiene and sanitation

practice with his family members and neighbors. Now Joginder is recovering and satisfied with the Relaxo-

Smile’s primary healthcare services.

Services provided to beneficiary Total no. of visit: 3

Medicine provided to patient and repeated: Oint. Clotrimazole, Tab. Fluconazole, Tab. Cetrizine, Tab.

Calcium and Lotion scabies.

Post treatment status: Patient was recall again and now he is recovering fast than earlier treatment.

A quote from beneficiaries’ family’s “Thanks to your organization who is giving health services in our remote village. We all are happy by your works” ……….. said by Joginder.

Case Study

Beneficiary’s Name: Raj

Age: 50 yrs Genders: Female

Father’s/Husband Name: Dayakishan

Address: Karoli District: Alwar

Problem:- Scabies

Family Background of Beneficiary:- Raj belongs to Karoli village. She does petty household work at home.

Family main occupation is farming. Her husband is a farmer. Before attending Relaxo-Smile foundations’s

village health camp at Karoli, Raj visited for her treatment in Govt. hospital and in private clinic nearby her

village but she couldn’t get appropriate treatment.

Two months ago she came to our Karoli’s village service point with the complaint of skin/fungal infection in

her body. Raj was suffering from this ailment for last one year. Due to this ailment her work was affecting at

home. Our SoW Doctors checked her properly and took her treatment history, prescribed medicines and

advice to take some precautions. Our doctor changed some medicines and suggested to follow the same

practice as he is doing at home to take bath daily and keep neat and clean. We have also advised him to

share this hygiene and sanitation practice with his family members and neighbors. Now Raj is recovering

and satisfied with the Relaxo-Smile’s primary healthcare services.

Services provided to beneficiary Total no. of visit: 3

Medicine provided to patient and repeated: Oint. Clotrimazole, Tab. Fluconazole, Tab. Cetrizine, Tab.

Calcium and Lotion scabies.

Post treatment status: Patient was recall again and now she is recovering fast than earlier treatment.

A quote from beneficiaries’ family’s “This is a very good thing for our villagers, that Smile Foundation van is coming in our village and give best health services. We all are satisfied by your works” ……….. said by Raj.

Annexure:01

Some of the Sample Questionnaire that were used during IEC Activity

12 th October 2017

Pre and Post Assessment Questionnaire

1) Have you ever heard of the term Arthritis? Yes/No

2) Does Arthritis affect all joints? Yes/No

3) Does Arthritis starts with joint pain? Yes/No

4) Is excess body weight, one of the cause that can lead to Arthritis? Yes/No

5) Is hot fomentation helpful in relieving pain during Arthritis? Yes/No

6) Does regular exercise helps in improving condition of patients suffering from Arthritis? Yes/No

7) Can Arthritis be genetically transferred from one generation to other? Yes/No

8) Can an injury lead to development of Arthritis? Yes/No

9) Is Arthritis, a condition that is more common in females then in males? Yes/No

10) Can a person develop deformity if Arthritis is not treated on time? Yes/No

11) Does certain occupation that involves repetitive knee bending and squatting can increase the chance

of person, for developing Arthritis? Yes/No

Annexure: 02

World Aids Day-2017

1) Have you ever heard of HIV/AIDS? Yes/No

2) Do you know that every year World Aids Day is celebrated across the world on 01st December?

Yes/No

3) Do you know that HIV/AIDS are different with each other? Yes/No

4) Do you know that HIV/AIDS is caused due to a virus? Yes/No

5) Do you know that HIV/AIDS can be prevented? Yes/No

6) Do you know that HIV/AIDS does not spread through hugging, kissing, eating together or sharing

toilet sheet with an infected person? Yes/No

7) Do know that there are only 04 ways by which HIV virus is transmitted from one person to other?

Yes/No

8) Do you know that 04 means of spreading HIV/AIDS are through infected needles, blood transfusion,

from mother to its child and through unsafe sex? Yes/No

9) Do you that HIV/AIDS virus weaken our immune system? Yes/No

10) Do think that we should stigmatize a person who has HIV/AIDS? Yes/No

Annexure:03

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Annexure:04

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Pre Assesment World Arthritis Day

Yes No

PHOTO GALLERY

Beneficiaries receiving medicines

Patient is being checked at Static clinic

H

ave

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Post Assesment World AIDS Day

Yes No

Hav

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Do

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ear W

orld

Aid

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10152025

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Pre Assesment World AIDS Day

Telling best practice of hand washing to the children