HELPAGE INDIA-ONGC MMU PROJECT FIELD REPORT FROM ONGC ... and NE.pdf · HELPAGE INDIA-ONGC MMU PROJECT FIELD REPORT FROM ONGC OPERATIONAL AREAS IN TRIPURA, ASSAM AND JHARKHAND. 39

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HELPAGE INDIA-ONGC MMU

PROJECT

FIELD REPORT FROM ONGC

OPERATIONAL AREAS

IN

TRIPURA, ASSAM AND

JHARKHAND

39

ContentsContentsContentsContents

SectionsSectionsSectionsSections DetailsDetailsDetailsDetails Page No.Page No.Page No.Page No.

Section I Project Initiation 41

Section II Process of Gram Panchayat Identification 42

Section III Consultation with Gram Panchayat – Basic

information & Parking location identification

48

Section IV MMU Office – Location & Staff Identification 53

Section V Health Infrastructure at MMU project Locations 57

Section VI Baseline Survey 60

Section VII Important Contacts established 60

Section VIII Security issues related to project operation 61

41

Section I: Project InitiationSection I: Project InitiationSection I: Project InitiationSection I: Project Initiation

The project initiation in the North-east region started with visits to the two operational

states, i.e. Tripura & Assam. The objective of the visit to these two states was to identify

locations for the Mobile Medi-care Units (MMUs) under the ONGC & HelpAge India’s

joint initiative for providing geriatric health care in some of ONGC’s geographical

operational areas. Both the states have been assigned six MMU operative locations. The

table below depicts the details of geographical locations.

TableTableTableTable----1111

Sl Sl Sl Sl NoNoNoNo

Name of Name of Name of Name of the Statethe Statethe Statethe State

Name of thName of thName of thName of the e e e ONGC AssetONGC AssetONGC AssetONGC Asset

Number of Number of Number of Number of MMU Units MMU Units MMU Units MMU Units AllocatedAllocatedAllocatedAllocated

Operation Operation Operation Operation DistrictsDistrictsDistrictsDistricts

Operation Operation Operation Operation BlocksBlocksBlocksBlocks

No. of No. of No. of No. of GPsGPsGPsGPs

1. Tripura Tripura Asset 1 West Tripura

Bishalgarh 5

Buxanagar 3

2. Assam Tricona, Silchar – Forward base of Jorhat Asset

1 Cachar Baskandi 3

3. Assam Jorhat Asset (Cinnamara)

1 Golaghat South Golaghat Development Block

3

4. Assam Assam Asset (Nazira)

3 Sibsagar

Aamguri 1

Gourisagar 4

Khelwa 2

Lakwa 2

Nazira-Chepangani

4

5. Jharkhand CBM Development Project

1 Bokaro Gomia 5

6. West Bengal

MBA Basin 1 NOT DECIDED

NOT DECIDED NOT DECIDED

The fourth location, which has 3 MMUs & 5 operational Blocks as described in the table

above, is divided into three operational units. The operational unit names are:

1. Gelakey area – Covering 5 GPs in Aamguri & Nazira Chepanguni Blocks 2. Lakwa Area – Covering 4 GPs in Lakwa & Khelwa Blocks 3. Rudrasagar (RDS) Area – Coverings 4 GPs in Gourisagar Block

Together with the village (Panchayat) identification, the focus was also to establish initial

contacts with key stakeholders of the MMU project, collect basic demographic information

and initiate survey process for establishment of baseline. The key stakeholders with whom

communications were established were:

• ONGC’s HR/Corporate Social Responsibility Lead Representatives at different Assets

• Elected Gram Panchayat Leaders & functionaries

• Government Health Centres – Primarily NRHM facilitated health bodies like PHCs & CHCs

• District/Sub-division/Block Administration

• NGOs

42

Another important aspect of the visit was also to identify potential candidates for positions that

exist for running of MMU in each operative location. The identified candidates were grouped

based on the vacancies available and were recommended for the next level of screening that will

take place subsequently.

Section II: Process of Gram Panchayat IdentificationSection II: Process of Gram Panchayat IdentificationSection II: Process of Gram Panchayat IdentificationSection II: Process of Gram Panchayat Identification

Village identification was one of the most crucial steps in the whole exercise. The village

identification did not actually start in the field itself but had a bit of background work

involved in it. The HR/CSR departments of concerned operational locations of ONGC

(normally termed as ONGC’s assets or forward base of Assets) were informed before-

hand of the team’s visit and its purpose. They were requested to prepare a list of the

villages, which from ONGC’s point of view would best suit their CSR objectives and

company’s corporate visibility.

On the basis of the list of the villages provided by the concerned HR department of all the

locations, a mapping of the Gram Panchayats was done. This helped in identifying the

GPs which contained the suggested names of the villages. The mapping was important

because of three reasons, which were:

• The MMU operation needs to align itself with the local governance bodies, especially Gram Panchayats as it will require its resources for successful operation. The basic information that will feed into the operation of MMU will come from Gram Panchayats. The locations for parking of the MMU vehicle can be best identified in consultation with GP functionaries. As per the mandate of the MMU project, the parking locations need to be public places (Schools, Community Halls, Anganwadi Centres, Health Sub-centres, etc.) thereby guaranteeing uninhibited access by the target group. These locations in a village are essentially under the jurisdiction of Gram Panchayat and therefore, it becomes important that its consent and participation are elicited at the beginning itself.

• The GP mapping helped in assessing the operational feasibility in terms of distance coverage for the MMU. Here factors like contiguousness of Gram Panchayats, travel distance between the GPs and location for MMU office were looked upon. The second important factor that was looked into was population strength of GP and the corresponding potential patient load that it will be borne by any one MMU. Based on the patient carrying capacity of the MMU and the suggested operational areas by ONGC, coverage of GPs in the project was assessed.

• For determining the exact patient load and generating the corresponding baseline a door-to-door survey was envisaged from the very beginning. The in-principle support of the Gram Panchayat leadership was considered crucial to conduct the survey smoothly and gather the relevant information.

The mapping of the Gram Panchayat was done by locating a field contact, primarily a

Gram Panchayat leader. Supporting help from the field contact was then taken in

mapping the names of the Gram Panchayats corresponding to the names of the villages

suggested by ONGC. In all cases the information on matching the list of villages with

corresponding GPs and other associated conditions like contiguity, operational feasibility

43

keeping the distance factor in view, etc. were collected from more than one source in

order to ensure its correctness and reliability. ONGC personnel helped in locating some

of the field contacts.

The Table 2 depicts the names of the villages suggested by ONGC representatives and its

corresponding GP Mapping.

TableTableTableTable----2: Name of Villages Suggested by ONGC Officials before 2: Name of Villages Suggested by ONGC Officials before 2: Name of Villages Suggested by ONGC Officials before 2: Name of Villages Suggested by ONGC Officials before the mappingthe mappingthe mappingthe mapping

Sl. Sl. Sl. Sl. No.No.No.No.

StateStateStateState Name of the Name of the Name of the Name of the ONGC ONGC ONGC ONGC

OperationOperationOperationOperation

Villages Villages Villages Villages Suggested by Suggested by Suggested by Suggested by

ONGCONGCONGCONGC

Final Mapped GPsFinal Mapped GPsFinal Mapped GPsFinal Mapped GPs

1.1.1.1. Tripura Tripura Asset Konaban Konaban

Radha Nagar Radha Nagar

Harihardulla Harihardulla

Kamala Sagar Kamala Sagar

Devipur Devipur

Manikya Nagar Manikya Nagar

Putia Putia

Veluachar Veeluachar

Jugal Kishore Nagar

These three villages were more than 25 Kms away from the rest of the suggested villages & therefore were dropped from MMU coverage GPs

Srinagar

Gabardi

2.2.2.2. Assam Tricona, Silchar – Forward base of Jorhat Asset

Baskandi II Baskandi

Baskandi III Baskandi

East Govindpur II Govindpur Algapur

East Govindpur III

Govindpur Algapur

Algapur I Govindpur Algapur

Algapur II Govindpur Algapur

Durgapur Govindpur Algapur

Some parts of the above villages were recently divided and merged with the adjacent Panchayat- Badrichandrapur. These villages fall in between and hence in order to maintain contiguity were included in the MMU coverage

3.3.3.3. Assam Jorhat Asset (Cinnamara)

Mungapara Koraighat

Majgaon Madhyampur

Jayantipur Jayantipur-Lachitgaon

Chalupathar Madhyampur

Nayajan

Pukhripara Madhyampur

Dhupguri Madhyampur

Golapani Jayantipur Lachitgaon

Haldibari Jayantipur Lachitgaon

44





ONGCONGCONGCONGC


Dimrujan Koraighat

Bidhyapur Koraighat

Gelajan Madhyampur

Dhantula Silonijan

4.4.4.4. Assam Assam Asset – Gelakey Area

Nuniapotty Namti Ali

Nathanikota Napam Barwati

Sunapur Rasi Napukhri

Moran Gaon Napukhri

Lahon Gaon Napukhri

Ukhating Napukhri

Napam Barwati Napam Barwati

Rangagarha Dula Khakoria

Deopani Napam Barwati

Atkhel Gelakey

Moutgaon Borphukhan

Khanikar Namti Ali

Bortani Napam Barwati

Kaliapani Napam Barwati

Bilbasti Napam Barwati

Kalgaon Dula Khakoria

Na Ali Dula Khakoria

Changmaigaon Napam Barwati

Dula Khakoria Dula Khakoria

Seuj Chapari Napam Barwati

Bosa Gaon Napam Barwati

Kukursowa Namti Ali

Assam Asset – RDS Area

Mothadang Rudrasagar

Lahingia Rudrasagar

Bhatiapar Rudrasagar

Decial Rangapur

Dhuliapar Rangapur

Moupuria Rangapur

Dhuliapar Milan Nagar

Rangpur

Dhuliapar Junaki Nagar

Rudrasagar

Bhati Bongaon Rudrasagar

Boliaghat Rudrasagar

Nakatani Rudrasagar

Senswa Rudrasagar

Namdang Rudrasagar

45





ONGCONGCONGCONGC


Silasaku

Salaguri Salaguri

Thakurpara Rangapur

Meteka Rangapur

Amguri Rangapur

Hatikhuk Rangapur

Maupuria Rangapur

Na Ali Rangapur

Julagaon Rangapur

Jatakia Salaguri

Kaloogaon Salaguri

Kharagarh Mograhat

Lunpuria Mograhat

Borpatradole Salaguri

Mograhat Mograhat

Sensuwa Borahi Bari

Natun Changmai Borahi Bari

Purani Changmai

Borahi Bari

Maout Gaon Borahi Bari

Assam Asset - Lakwa Area

Mohan Bhajani Gaon

Chalapathar

Japara Basti Chalapathar

Mohan Deodhai Chalapathar

Chala Chutia Chalapathar

Naragaon Halmara

Chalapathar

Tipomia Lakwa

Borbaruah Maidam

Lakwa

Garmur Basti Chalapathar

Dehingia Konwar gaon

Lakwa

Bhakat Bhajani Chalapathar

Moutgaon Silakuti

Dhamdhuli Hallow phukan

Shyam Gaon Chalapathar

Amlakhi Deosal Lakwa

Rongamati These villages comes under the area called Sufrai and is 25 Kms from Nazira, the proposed location for MMU office

Mohan Gaon

Safarai grant

Bordeodhai These villages comes under the area

46





ONGCONGCONGCONGC


Borgohain Bari called Sufrai and is 40 Kms from Nazira, the proposed location for MMU office Kakotibari

Jajali Pasoli

Moudumuni These villages comes under the area called Lia-plang and is 50 Kms from Nazira, the proposed location for MMU office

Na-katonia

Akhoiya

Japi-sajia

Bakhar Bengena

Salaguri

5.5.5.5. Jharkhand Bokaro Palani Bandh

Ocho Siyari

Mahaliband Bandh

Khudgadda Hazari

Hazari Hazari

Saram Sadam

Dumri Bihar Siyari

Hosir Hosir East

Tulbul Tulbul

Based on the list of the villages and consequent GP mapping and Table 3 below depicts

details of selection of GPs for MMU operation.

TableTableTableTable----3 3 3 3 Selected GPS for MMU operationsSelected GPS for MMU operationsSelected GPS for MMU operationsSelected GPS for MMU operations


StateStateStateState Name of the Name of the Name of the Name of the MMU UnitMMU UnitMMU UnitMMU Unit

MM MM MM MM UnitUnitUnitUnit

GPsGPsGPsGPs GP Selection RemarksGP Selection RemarksGP Selection RemarksGP Selection Remarks

1.1.1.1. Tripura Tripura Asset, Agartala

Unit 1

Konaban These Gram Panchayats cover most of the villages suggested by ONGC and are contiguous. The expected patient load is within the feasible limit

Radha Nagar

Harihardulla

Kamala sagar

Devipur

Manikya Nagar

Putia

Veluachar

Koyadeepa

Gabardi The villages under this GP are more than 25 Kms away from the rest of the GPs & therefore was dropped from MMU coverage area

2.2.2.2. Assam Tricona, Silchar Unit Baskandi These Gram Panchayats cover

47





(Forward base of Jorhat Asset)

2 Govindpur Algapur

most of the villages suggested by ONGC and are contiguous. The GPs are densely populated and the expected patient load is optimal

Govindpur Algapur

Badricandrapur

3.3.3.3. Assam Jorhat Asset, Jorhat

Unit 3

Koriaghat Same as above

Haldibari Lachitpur

Madyampur

4.4.4.4. Assam Assam Asset – Gelakey Area

Unit 4

Napam Barwati These Gram Panchayats cover most of the villages suggested by ONGC and are contiguous. The GPs are densely populated and the expected patient load is little bit on the higher side of the feasible limit

Napukhri

Namti Ali

Gelakey

Dulakhakharia

Borpukhan These GPs do not have much of ONGC operations at present and its inclusion would have overburdened the MMU patient load and distance coverage capacity

Borahi Bari

Assam Asset – RDS Area

Unit 5

Rangapur These Gram Panchayats covers most of the villages suggested by ONGC and contiguous. The GPs are densely populated and the expected patient load is on the higher side

Rudrasagar

Mograhat

Salaguri

Assam Asset - Lakwa Area

Unit 6

Chalapathar These Gram Panchayats cover most of the villages suggested by ONGC and are contiguous too. The GPs are densely populated and the expected patient load on the higher side

Silakuti

Lakwa

Cheriadoh

Hallow Phukan This GP does not have much ONGC operations at present and its inclusion would have overburdened the MMU capacity

Sufrai Area All these areas were located at distance of more than 30 Kms. The MMU cannot cover these areas both in terms of patient load & distance coverage feasibility

Banamali Area

Laiplaing Area

5.5.5.5. Jharkhand CBM Development Project

Unit-7

Bandh All these GPs are contiguously placed and at present have drill sites & operations will start soon

Siyari

Hazari

Sadam

Hosir East

Tulbul This Gram Panchayat does not have any operation as such as of now. The GP is also located (both direction & distance-wise) in such a

48





way that it is not operationally feasible for the MMU to cover it along with other GPs. Therefore, this GP was dropped from the operational focus of the MMU programme. Another important factor, because of which this GP could not be covered was that the patient load had already crossed its limit in the above 5 GPs and inclusion of another GP was not possible

6.6.6.6. West Bengal

MBA Basin Unit-8

NOT DECIDED N.A.

The Gram Panchayats that did not qualify on the ground of distance coverage were visited

by the team to ascertain the exact distance. The concerned HR lead officials of ONGC in

each location were also updated on the names of the villages & GP that cannot be

covered under the MMU project. The GP finalization process also involved simultaneous

consultations with the GP leadership and ONGC officials.

List of List of List of List of ONGC Lead Officials Contacted For Field Visit FacilitationONGC Lead Officials Contacted For Field Visit FacilitationONGC Lead Officials Contacted For Field Visit FacilitationONGC Lead Officials Contacted For Field Visit Facilitation

Sl. No.

Name of the State

Name of the ONGC Asset

Number of MMU Units Allocated

Officials Contacted

Designation

1. Tripura Tripura Asset 1 A. N. Reddy DGM – HR

2. Assam Tricona – Forward base of Jorhat Asset

1 Mr. U. K. Das DGM – HR

3. Assam Jorhat Asset 1 Mr. J. Pardeshi Chief – HR

4. Assam Assam Asset 3 Mr. S.D. Vyas GM – HR

Mr. A. Mukherjee DGM – CSR

5. Jharkhand CBM Development Project

1 Mr. C K Prasad GGM

Mr. U K Das DGM – HR

Dr. S S Sen CSR- Coordinator

Section III: Consultation with Section III: Consultation with Section III: Consultation with Section III: Consultation with Gram Panchayat Gram Panchayat Gram Panchayat Gram Panchayat –––– Basic Information & MMU Parking Basic Information & MMU Parking Basic Information & MMU Parking Basic Information & MMU Parking

location identificationlocation identificationlocation identificationlocation identification

Establishing contacts with the Panchayats was the second most crucial step in the project

initiation process. The objective was to appraise the Panchayat leadership on the MMU

49

project and develop a consensual understanding among the local leadership and general

population on the need of the project and the benefits that it is going to extend to the

elderly population.

Gram Panchayat offices in this context were visited and meetings with Panchayat President,

Secretary and other local intelligentsia was held. The meeting participants were introduced to

HelpAge India’s organizational objectives and operation. Thereafter, they were appraised in-

detail about the objectives and operational aspects of MMU project. Their views on the project

were also elicited. In all the cases the Panchayat leadership welcomed the initiative undertaken

by HelpAge India & ONGC and appreciated the working model of project and assured their

support in facilitation of the project.

The Table 4 depicts important information pertaining to Gram Panchayat & its leadership.

TableTableTableTable----4444---- Key information on Gram Panchayat & LeadershipKey information on Gram Panchayat & LeadershipKey information on Gram Panchayat & LeadershipKey information on Gram Panchayat & Leadership

MMUMMUMMUMMU UnitUnitUnitUnit

DistrictDistrictDistrictDistrict BlockBlockBlockBlock Gram Gram Gram Gram

PanchayatPanchayatPanchayatPanchayat No. of No. of No. of No. of WardsWardsWardsWards

No. of No. of No. of No. of Para Para Para Para

Natural Natural Natural Natural VillagesVillagesVillagesVillages

Name of Name of Name of Name of ththththe GP e GP e GP e GP PresidentPresidentPresidentPresident

Telephone Telephone Telephone Telephone NumberNumberNumberNumber

Unit Unit Unit Unit 1111

West Tripura

Bishalgarh Konaban 5 20 Mohan Lal Das Verma

9615313486

West Tripura

Bishalgarh Radhanagar 5 5 Aruna Sarkar

0381-2903016

West Tripura

Bishalgarh Kamlasagar 5 13 Mohan Basi Urang

9862782535

West Tripura

Bishalgarh Devipur 5 5 Rajendra Deb Verma

9863713643

West Tripura

Boxanagar Veluachar 5 5 Pradeep Das

9436455012

West Tripura

Boxanagar Putia 5 5 Feroz Miah 9612418084

West Tripura

Boxanagar Manikya Nagar

5 5 Manik Debnath

9612182889

West Tripura

Bishalgarh Koiyadepa 7 20 Jhunu Begam

Not Available


Cachar Baskandi Baskandi 10 10 Abdul Choudhary

9435259787

Cachar Baskandi Badri chandrapur

10 15 Abdul Rasheed

9435989687

Cachar Baskandi Govindapur Algapur

10 5 Ramola Begum Laskar

9401567988


Golaghat South Golaghat Dev. Block

Koraighat 10 33 Rina Basumatary

9401102680


Haldibari Lachit

10 34 Kamal Kerketta

9401707175


Madhyampur 10 34 Dharni Khakhlani

9859301816

50

MMUMMUMMUMMU UnitUnitUnitUnit

DistrictDistrictDistrictDistrict BlockBlockBlockBlock Gram Gram Gram Gram

PanchayatPanchayatPanchayatPanchayat No. of No. of No. of No. of WardsWardsWardsWards

No. of No. of No. of No. of Para Para Para Para

Natural Natural Natural Natural VillagesVillagesVillagesVillages

Name of Name of Name of Name of ththththe GP e GP e GP e GP PresidentPresidentPresidentPresident

Telephone Telephone Telephone Telephone NumberNumberNumberNumber


Sibsagar Nazira Chepanguni

Napam Barwati

10 15 Niran Gagoi

9678629883


Napukhri 10 26 Nilah Chetia

9435455511

Sibsagar Aamguri Namti Ali 10 40 Chandra Saikia

9707033244


Gelakey 10 6 Gulapi Das 9859027047


Dulakhakharia 10 35 Ansar Ali 9954950935


Sibsagar Lakwa Chalapathar 10 12 Indira Gagoi

9435463098

Sibsagar Khelwa Silakuti 10 10 Beena Katoky

9435525347

Sibsagar Khelwa Lakwa 10 11 Tarun Raj Konwar

9435294806

Sibsagar Lakwa Cheriadoh 10 23 Nripen Konwar

9854389592


Sibsagar Gourisagar Rangapur 10 45 Saral Baruah

9954433589

Sibsagar Gourisagar Rudrasagar 10 16 BDO (Binod Gagoi) is the In-charge

9435247357

Sibsagar Gourisagar Mograhat 10 14 Parag Chetia

9954908152

Sibsagar Gourisagar Salaguri 10 17 Putul Khatonia

9401284319


Bokaro Gomia Gomia Gomia Gomia Gomia

Bandh NA 7 NA NA

Siyari NA 9 NA NA

Hazari NA 14 NA NA

Sadam NA 11 NA NA

Hosir East NA 30 NA NA

Note:Note:Note:Note: Since there is no functioning PRI system in Jharkhand, Bokaro Unit’s corresponding

information is not available.

After initial discussion with Panchayat members, basic information on demography and

infrastructural facilities were collected. The parameters on which information were

collected were:

• No. of natural Villages in the GP • Population – gender segregated information were also collected

• No. of HHs in the GP o No. of BPL HHs o No of HHs with Job cards – Discussion was held on old age people

participation in MNREGA work o No. of HHs enrolled under Health Insurance programme

• No. of old Age pensioners & pending cases

51

• Administrative arrangement – District, Sub-division, Tehsil & Block

• Basic Infrastructure facilities in GP o Bus Services, Auto & Taxi services o PCO, Mobile Service and Internet o Community hall

• Health & Sanitation o No. of HHs with Toilet facilities o Cooking facilities – LPG & wood based chulha o Drinking water facilities

• Health Infrastructure o NRHM facilities – Sub-center to District Hospital related information o Private Clinics operation o Access to Health facilities

• Any NGO operation on Health issues in the GP

All the above information would be consolidated into a Gram Panchayat information

format for future references. These will also be fed into MS-excel database for project

facilitation. After collection of aforementioned information, discussion was held on

identification of MMU parking locations in the GP. The GP functionaries were instructed to

select minimum location that would be required to cover all the villages effectively, i.e. all

the elderly people can access it without any problem. While selection of the location, the

GP functionaries were also asked to keep two important factors in mind, which were:

• The locations should be public places thereby assuring uninhibited access by all.

• All the location can be accessed by four wheel medium size vehicle (Tata Sumo, Tata winger, Mahindra Bolero, etc. type models) throughout the year.

Based on the above criteria and the projected size of the elderly population, each GP

suggested the minimum numbers of location that they would require. The Table 5 depicts

the detail of the GP population and the corresponding number of locations identified.

Table-5 Details of the GP population and MMU parking sites.

MMU MMU MMU MMU Unit Unit Unit Unit

NNNNumberumberumberumber

Gram Gram Gram Gram PanchayatPanchayatPanchayatPanchayat

No. of No. of No. of No. of Natural Natural Natural Natural VillagesVillagesVillagesVillages

Total Total Total Total PopulationPopulationPopulationPopulation

Population of Population of Population of Population of 55 yrs & 55 yrs & 55 yrs & 55 yrs & Above (as Above (as Above (as Above (as

given by GP)given by GP)given by GP)given by GP)

Projected Projected Projected Projected Population of Population of Population of Population of

55 yrs & 55 yrs & 55 yrs & 55 yrs & aboveaboveaboveabove (13% of

Total)

No. of No. of No. of No. of Parking Parking Parking Parking Location Location Location Location for MMUfor MMUfor MMUfor MMU

Unit 1Unit 1Unit 1Unit 1

Konaban 20 4369 NA 568 3

Radhanagar 5 2882 350 375 2

Kamlasagar 13 3692 600 480 3

Devipur 5 1599 150 208 2

Veluachar 5 2639 400 343 3

Putia 5 2732 200 355 3

Manikya Nagar

5 3100 400 403 2

Koiyadepa 20 4000 300 520 3

Unit 2Unit 2Unit 2Unit 2 Baskandi 10 6852 700 891 4

52

Badri chandrapur 15 11912 900 1549 5

Govindapur Algapur 5 13000 1000 1690 4


Koriaghat 33 10847 1180 1410 6

Haldibari Lachit 34 12188 942 1584 2

Madhyampur 34 12047 870 1566 6


Napam Barwati 15 12874 2862 1674 6

Napukhri 26 8314 NA 1081 6

Namti Ali 40 9640 NA 1253 6

Gelakey 6 10165 1231 1321 2

Dulakhakharia 35 7923 764 1030 4


Chalapathar 12 10500 900 1365 5

Silakuti 10 8759 700 1139 5

Lakwa 11 7062 700 918 5

Cheriadoh 23 10143 1200 1319 5


Rangapur 45 16741 1500 2176 7

Rudrasagar 16 8116 1200 1055 5

Mograhat 14 6000 800 780 4

Salaguri 17 12750 950 1658 4

UnitUnitUnitUnit----7777 Hazari 7 6903 NA 897 5

Hosir east 9 9543 NA 1241 2

Sadam 14 6550 NA 852 6

Bandh 11 6113 NA 795 4

Siyari 30 5084 NA 661 6

TotalTotalTotalTotal 32323232 550550550550 255,039255,039255,039255,039 20,79920,79920,79920,799 33,15533,15533,15533,155 135135135135

Note:Note:Note:Note: NA – Not Available, Some of the Population figure are from census 2001 as the

GPs have not received the new census figures.

All the locations suggested by the GP members were physically verified for its suitability and access. Based on the parking location visit observation, some of the sites were changed and in some cases deleted also.

Projected Patient LoadProjected Patient LoadProjected Patient LoadProjected Patient Load

During the consultation with GP members on the population of people of 55 yrs & above, an assessment of the patient load on each MMU was also done. The Table 6 gives the detail of patient load on each MMU in the north-east region.

53

Table-6 Details of patient load on each MMU in the north-east region

MMU MMU MMU MMU Unit Unit Unit Unit

NumbeNumbeNumbeNumberrrr

NNNNo o o o of of of of GGGGPPPP

Total Total Total Total PopulatioPopulatioPopulatioPopulatio

nnnn

Elder Elder Elder Elder PopulatioPopulatioPopulatioPopulatio

n n n n Estimated Estimated Estimated Estimated by GPby GPby GPby GP

Projected Projected Projected Projected Elder Elder Elder Elder

PopulatioPopulatioPopulatioPopulation (13%)n (13%)n (13%)n (13%)

MMU MMU MMU MMU AveragAveragAveragAverage No. e No. e No. e No. of of of of

WorkinWorkinWorkinWorking g g g

hrs/dayhrs/dayhrs/dayhrs/day

AveragAveragAveragAverage e e e

Minutes Minutes Minutes Minutes per per per per

Patient Patient Patient Patient RequireRequireRequireRequire

d d d d

MaximuMaximuMaximuMaximum m m m

Monthly Monthly Monthly Monthly Patient Patient Patient Patient Load for Load for Load for Load for MMUMMUMMUMMU2222

Load Load Load Load Deviation Deviation Deviation Deviation

on on on on Projected Projected Projected Projected Elder Elder Elder Elder

PopulatioPopulatioPopulatioPopulationnnn

Load Load Load Load Deviation Deviation Deviation Deviation on elder on elder on elder on elder PopulatioPopulatioPopulatioPopulatio

n n n n Estimated Estimated Estimated Estimated by GPby GPby GPby GP

Unit 1 8 25013 2400 3252 5.5 2 3300 48 900

Unit 2 3 31764 2600 4129 5.5 2 3300 -829 700

Unit 3 3 35082 2992 4561 5.5 2 3300 -1261 308

Unit 4 5 48916 48573 6359 5.5 2 3300 -3059 -1557

Unit 5 4 36464 3500 4740 5.5 2 3300 -1440 -200

Unit 6 4 43607 4450 5669 5.5 2 3300 -2369 -1150

Unit 7 5 34193 NA 4445 5.5 2 3300 -1145 NA

As evident from the table above, the estimation of elderly population has been done at two levels. One is based on the rough estimate provided by the GP and other is based by taking 13% as the estimated population of elders (As per 2001 census of India, population of 60 yrs & above constitute around 10% of the total population). Therefore, the population of 55 yrs & above has been taken 13%).

Section IV: MMU Office Section IV: MMU Office Section IV: MMU Office Section IV: MMU Office –––– location & Staff Identificationlocation & Staff Identificationlocation & Staff Identificationlocation & Staff Identification

All the six MMU units will operate with their own coordination office located at a convenient distance from the operational Gram Panchayats. The coordination office will have working space for all the team members of a MMU unit and will also serve as parking location for MMU Vehicle during non-working hours or days. While identifying locations for offices, care has been taken that the area has minimum infrastructural facilities available for running an office. The Table 7 depicts the proposed sites for MMU coordination offices.

Table-7: Proposed sites for MMU coordination offices.

Sl. No.Sl. No.Sl. No.Sl. No. Name of the Name of the Name of the Name of the StateStateStateState

MMU Unit MMU Unit MMU Unit MMU Unit NumberNumberNumberNumber

DistrictDistrictDistrictDistrict Proposed Location Proposed Location Proposed Location Proposed Location for MMU Officefor MMU Officefor MMU Officefor MMU Office

Average Distance Average Distance Average Distance Average Distance of the of the of the of the

Operational GPs Operational GPs Operational GPs Operational GPs from the officefrom the officefrom the officefrom the office

1.1.1.1. Tripura Unit 1Unit 1Unit 1Unit 1 West Tripura Bishalgarh Town 18 Km

2.2.2.2. Assam UniUniUniUnit 2t 2t 2t 2 Cachar Silchar Town 15 Km

3.3.3.3. Assam Unit 3Unit 3Unit 3Unit 3 Golaghat Sarupathar town 20 Km

4.4.4.4. Assam Unit 4Unit 4Unit 4Unit 4 Sibsagar Nazira Town 18 km



7.7.7.7. Jharkhand Unit 7Unit 7Unit 7Unit 7 Bokaro Gomia Bazar 15 km

2 The calculation has been done keeping in view that a patient will visit MMU once in a month.

3 Elder population estimate of two GPs were not given by the GP representatives. Therefore the actual figure would

be higher than the cited

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For MMU Unit number 1 to 3, the proposed towns for offices are the only town situated close to the operational Gram Panchayats that can offer the minimum infrastructural services required for setting up an office. In context of Unit 3 there might be problem in finding a suitable place for housing the office as Sarupathar is a very small sub-divisional town. This town does not even have a single hotel for accommodation. The nearest town which has hotel accommodation facilities is Golaghat district town, which is around 70 Kms from Sarupathar. But the SDO of Sarupathar, with whom a very good relation has been developed during the project initiation visit, has assured of help in finding a place for housing the office. For MMU unit 4 to 6, there are actually two options available for setting up office. First is that each unit can have its own coordination office. The operational Gram Panchayats of Unit 4 (Gelaky Area) and Unit 5 (Lakwa Area) are closer to Nazira town and can have their office in Nazira. Operational Gram Panchayats of Unit 6 (Rudrasagar or RDS) are located closer to Sibsagar town and can have its office in Sibasagar which is the district headquarters town. The distance between Sibsagar & Nazira town is 12 Kms. Second option is that all the three units can have its combined office at Nazira town. The advantage of having a combined office in Nazira town is multifarious. They are:

• A combined office will considerably reduce the recurring cost in running the office. The most visible impact would be in context of rent of the office premises. It is estimated that a combined office will save at least Rs 10,000.00 per month in comparison to running individual offices.

• There would be slight escalation in Vehicle running cost for MMUs of two locations but it would be negligible if seen in comparison to the money saved on rent. The estimated cost escalation for MMU vehicle would be within Rs. 1,500.00 per month.

• Nazira Town has better communication in comparison to Sibsagar as the Railway station situated at Simalguri is situated only 6 Kms from it, whereas Sibsagar does not have rail connectivity. Nazira Town also contains ONGC’s Assam Asset Headquarters Office.

• A combined office will give opportunity to re-organize the staff structure required for facilitation of MMU and add value to HR. The details of staff re-organisation have been discussed elaborately in the section ahead.

Identification of Staff for MMUIdentification of Staff for MMUIdentification of Staff for MMUIdentification of Staff for MMU During the consultation with GP representative, information related to the vacancy available with MMU units were shared in all the GPs. Other stakeholders like NRHM Health Centers, people from administration, individuals working in social sector were also informed of the vacancies. As a result of this, discussion with interested candidates was held related to all the positions. Based on these discussions a list of potential candidates has been prepared for next level of screening at Guwahati. Discussion held with all the candidates for concerned positions have raised some important & critical observations. They have been depicted in the table below:

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Table-8

PositionPositionPositionPosition ObservationsObservationsObservationsObservations Suggestions/RemarksSuggestions/RemarksSuggestions/RemarksSuggestions/Remarks

DoctorDoctorDoctorDoctor The salary offered for this post is acting as a major deterrent in finding potential candidates. Most of the Doctors with whom discussion were held raised their concern related to it. In locations like Sarupathar, which has only two private doctors practicing for the whole town, finding a doctor, preferably a retired one, would be a big problem. One of the doctors in Sarupathar has been engaged by ONGC itself on contract basis with monthly remuneration in the range of Rs. 35,000.00 – 40,000.00 In all the locations it was found that most of the Retired Doctors are either engaged with NRHM on contract basis or are into private practice.

The salary offered for Doctor’s position needs to be increased i.e. somewhere between Rs. 25,000.00 to Rs. 30,000.00. In places like Sarupthar, Doctor’s duty engagement needs to be made flexible. The only retired doctor available in Sarupathar has given his consent only if he is allowed to work either in first or second half of the day as per his convenience. Similarly in other places, Junior Doctors working in private nursing homes can be contacted for engagement with the project with higher salary offer. The risk of them leaving the project for other options exists but it is the only way out if retired doctors are not available or not willing to work.

Social Social Social Social MobilizerMobilizerMobilizerMobilizer/Project /Project /Project /Project CoordinaCoordinaCoordinaCoordinator tor tor tor

Candidates with the minimum stipulated qualification are not available locally. Most of the candidates with whom discussion were held for the position lacked either in basic qualification or work experience. The method currently being used to spread information related to vacancy i.e. through word of mouth and first hand contact established, limits the choices of candidates.

The minimum qualification both in terms of education & work experience needs to be reviewed keeping in mind the level of locally available capacities. Option of bringing in management graduates from Universities & institutes from outside should be kept open. Other medium of advertisement (like press, local cable network etc) of vacancy should be explored with an underlying rider that local candidates would be preferred (of the district).

NurseNurseNurseNurse Applications for this position were received in healthy quantity. But in most of the cases the nursing certificates were found not recognized by either State nursing council or National nursing council. Mostly candidates with very less work experience or no experience at all applied for the job.

The salary package for this post is very handsome in the project keeping in mind the current prevailing trend, especially in private nursing homes. Selection of candidates for this post will not be much of a problem and response to this vacancy was most encouraging

DriverDriverDriverDriver Application for this post also was received in healthy quantity in all the locations.

The salary package offered for this post is very attractive and led to submission good number of applications from each locations

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Proposed Changes in the Staff Structure for MMU Units- 4, 5 & 6

Since there is an option of integrating the coordination office of the three MMU units, it also opens door for restructuring the existing HR arrangement. As of now one unit consists of the following position:

• One Doctor

• One Project Coordinator/ Social Mobilizer

• One Nurse

• One Driver

Integrating three offices will lead to all staff of three units converging into one office. The three positions that are non-negotiable in terms of restructuring are the post of Doctor, Nurse & driver. These three are essential HR requirement for MMU’s operation. But the post of Social Mobilzer can be re-arranged to add value to the programme and develop a programme based hierarchical structure to the integrated office. Instead of having three Social Mobilzer, a Single senior level manager position can be created along with three supervisor’s position that will be attached to each MMU. The chart below depicts the HR structure for the integrated office.

Figure-1: Proposed Staff Structure at Nazira Office

The budget for creation of the new posts can be drawn from the already existing salary pool of social mobilzer. The budget calculation can be worked out in the following way:

• Cumulative monthly fund that will available through office integration for social mobilizer post = Rs. 15,000 x 3 = Rs. 45,000

• Proposed Monthly salary for Senior Manager = Rs 21,000

• Proposed Monthly Salary of Supervisor = Rs. 8,000 • Cumulative Monthly budget required for Supervisor’s Salary

= Rs. 8,000 x 3 = 24,000

• Total monthly fund required for the new posts = Rs. 21,000 + Rs. 24,000 = Rs. 45,000 (equivalent to the cumulative fund available for Social mobilizer post)

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The Senior Manager will be a management graduate with credible work experience of managing projects. The proposed salary is quite handsome and will attract good candidates to the post. Addition of experienced senior manager will not only add value to the MMU operation but will create dedicated space & time for quality reporting, database management, developing linkages with important stakeholders. The Senior Manager will also look into accounts and budget related issues. The post of Supervisor will be attached to each MMU, which will look after social mobilization issues at Gram Panchayat level. The supervisor will work in direct coordination with both the senior manager & MMU Doctor. The senior manager will provide quality inputs to the supervisor for better action plan formulation and its implementation. An important advantage that will accrue to HelpAge India is that it will have a fully functional and sizeable office operation in Nazira, thereby creating brand image and credibility at local level. Vehicle Purchase for MMUVehicle Purchase for MMUVehicle Purchase for MMUVehicle Purchase for MMU During the project initiation visit it was observed that the conditions of roads in all the six location of both the state are not very good. Road conditions especially in Assam based MMU location are very bad. The inter-linking roads between GPs are marred with pot holes and eroded top layers. In some cases the approach to parking locations are kucha (plain earth filling). The soil of Assam is very loose and slippery and there is always a threat of vehicle getting stuck or skidding during the rainy season. The period of rain in a year in Tripura & Assam is very high (normally four months). Therefore, it is recommended that vehicles which would be purchased for building MMU should have following feature:

• High Ground Clearance: This would help in effective negotiation of potholes and

eroded top layers by the vehicle.

• Four Wheel Drive: Four Wheel driven vehicles have better manoeuvring capability

in loose soil and slippery condition in comparison to conventional vehicles.

Section V: Health Infrastructure at MMU project locationsSection V: Health Infrastructure at MMU project locationsSection V: Health Infrastructure at MMU project locationsSection V: Health Infrastructure at MMU project locations

MMU operation will primarily address primary health issues related with old age people. Therefore it becomes important that effective referral links are established with mainstream health system. The mainstream Health system functions under State’s NRHM umbrella.

Therefore in all the MMU locations a mapping of the Health center starting from Sub-center to District hospital was done. This helped in identifying the following:

• No. of Sub-centers operating in a Gram Panchayat

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• Names of Mini-PHCs (if in operation) catering to the Rural population of the target

GPs

• Names of PHC under which the operational GPs of the MMU project falls

• Names of Sub-division level Hospitals for the concerned project locations

• District Civil Hospitals

Names of all the health centers are as given in Table 9 below for future reference. Visits to all the PHCs operating in all the project location were made and the Medical Officers’ In-charge (MOIC) was appraised about the MMU project. All the MOICs expressed happiness for the initiative in the area of geriatric care and assured necessary help in this context.

TableTableTableTable----9 Details of Health Centres in the Project Operational Areas9 Details of Health Centres in the Project Operational Areas9 Details of Health Centres in the Project Operational Areas9 Details of Health Centres in the Project Operational Areas StateStateStateState MMU MMU MMU MMU

UnitUnitUnitUnit PHC/MiniPHC/MiniPHC/MiniPHC/Mini----PHCPHCPHCPHC CHC/SubCHC/SubCHC/SubCHC/Sub----divisional divisional divisional divisional

HospitalHospitalHospitalHospital District/Civil HospitalDistrict/Civil HospitalDistrict/Civil HospitalDistrict/Civil Hospital

Tripura Unit 1 Boxanagar PHC Dr. R. Majumdar MOIC Mob.: 0-9436167785

Bisalgarh Sub-divisional Hospital Dr. R. Chakraborty MOIC Tel.: 0381-2362593 Dr. P. S. Chakraborty SDMO Tel.: 0381-2361420

Dr. B. R. Ambedkar Hospital Dr. Jeevan Nag, MS Tel.: 0381-2232159

Madhupur PHC Dr. S.S. Saha Medical Officer Mob.: 0-9436927057

Assam Unit 2 Baskandi PHC Dr. J.R. Fariheim MOIC Mob.: 0-9435070395

Lakhimpur Govt. Hospital Dr. P.S. Pal Mobile: 0-9435072712 Tel.: 03842-287112

Civil Hospital, Cachar Dr. B. S. Das CMO Tel.: 03842-266966

Assam Unit 3 Sarupathar PHC Dr. D. Gogoi, MOIC Mobile: 0-9435488783

N.A. Civil Hospital Golaghat Dr. A. K. Hazarika MS Mob.: 0-9435053718

Assam Unit 4 Namti Ali Mini PHC Dr. Preetimoni Gogoi MOIC Mob.: 0-9435221197

Ligripukhri Sub-divisional Hospital Dr. Kalpana Saikia Mob.: 0-9435057007

Civil Hospital, Joysagar, Sibsagar Dr. R. Changmai, MS Mob.: 0-9435057764

Geleky PHC Dr. M. Rahman MOIC Mob.: 0-9435058593

Assam Unit 5 Tengapukhri Mini PHC Dr. Nihar J. Gogoi Mob.: 0-9854041030

Same as above Same as Above

Khelwa PHC Dr. Robin Gogoi

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SMO Mob.: 0-9954432804

Assam Unit 6 Kalugaon PHC Dr. Nripen Boruah SMO Mob.: 0-9854131645

NA Same as Above

Jharkhand Unit-7

Information on the ailment profile among the old age people was also collected from the PHCs. The Table 10 given below depicts the major aliments that were cited by the PHCs of the respective MMU operation locations. TableTableTableTable----10 Major aliments of the Elderly10 Major aliments of the Elderly10 Major aliments of the Elderly10 Major aliments of the Elderly

StateStateStateState MMU Unit MMU Unit MMU Unit MMU Unit numbernumbernumbernumber

Old Age Ailment profileOld Age Ailment profileOld Age Ailment profileOld Age Ailment profile

Tripura Unit 1 Osteoporosis, COPD (Chronic Obstructive Pulmonary Disease), Hypertension, Ulcer, Malnutrition induced weakness, Gastro-intestinal disorder

Assam Unit 2 Breathing trouble, Heart ailments, Diabetes, Mal-nutrition

Assam Unit 3 Respiratory tract Infection, Pulmonary TB, High Blood Pressure, Diabetes, UTI (urinary tract infection )

Assam Unit 4 Chronic Respiratory Infection (tobacco induced), Cerebral Vascular Accident, Arthritis, Hypertension, Diabetes (prevalent in Tea garden workers), uterine prolapse (in women)

Assam Unit 5 Same as Above


Jharkhand Unit 7 Hypertension, Diabetes, Peripheral neuritis (limb weakness), Anemia and Multiple Joint Pain

Along with NRHM health centers, information on private clinic and nursing homes were

also collected, which are frequently visited by the local population. Information on some

prominent private hospitals is given below in Table 11.

TableTableTableTable----11111111---- Detail of Important private hospitals in the areaDetail of Important private hospitals in the areaDetail of Important private hospitals in the areaDetail of Important private hospitals in the area

StateStateStateState MMU UnitMMU UnitMMU UnitMMU Unit Private Nursing Homes & ClinicsPrivate Nursing Homes & ClinicsPrivate Nursing Homes & ClinicsPrivate Nursing Homes & Clinics

Tripura Unit 1 Sarkar Nursing Home, Agartala Dr. Uttam Lodh Tel.: 0381-2324323

Lifeline Nursing Home, Agartala Dr. Ajit Majumdar Tel.: 0381-2323829; Mob.: 0-9436122630

Assam Unit 2 Emmanuel Rural Hospital, Pailapool Dr. Nameena 03842-284225, 284227

Burras Memorial Charitable Hospital (BMCH), Alipore Dr. P. Raja; Mobile: 0-9435712628 Emergency Phone: 0-9435175646

Assam Unit 3 Dhansiri Polyclinic, Padumoni, Sarupathar Dr. Atal Dutta; Mobile: 0-9435478850

Assam Unit 4 Pragati Hospital & Research Centre, NH Byepass, Sibasagar Dr. Dhrubajyoti Saikia, MS

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Mobile: 0-9435034602, Hospital No.: 0-9435487715



Jharkhand Unit 7

Section VI: Baseline Survey Section VI: Baseline Survey Section VI: Baseline Survey Section VI: Baseline Survey

As part of GP consultation, discussion was held on the baseline survey that would be conducted in Households, which have elder family member. The Gram Panchayat leadership was requested to provide qualified people who would assist in conducting the survey. The payment modalities for conducting the survey were also discussed. Except for Tripura MMU Unit, in all the locations two persons from each Gram Panchayat were identified and trained on the process of administering the survey tool. For each location one supervisor was also appointed for coordinating the survey and provide handholding support wherever needed for smooth conduct and completion of baseline survey in the focus GPs. In Tripura communication was established with a local NGO called Dishari, which has taken all the responsibilities for conducting the survey in 8 GPs of MMU Unit 1. The Table 10 below depicts the training and survey related details. TableTableTableTable----10 Baseline survey schedule10 Baseline survey schedule10 Baseline survey schedule10 Baseline survey schedule

MMU Unit MMU Unit MMU Unit MMU Unit NumberNumberNumberNumber

Date of TrainingDate of TrainingDate of TrainingDate of Training Date of Commencement Date of Commencement Date of Commencement Date of Commencement of Surveyof Surveyof Surveyof Survey

Expected date for Expected date for Expected date for Expected date for completion of surveycompletion of surveycompletion of surveycompletion of survey

Unit 1Unit 1Unit 1Unit 1 27/5/2010 1/6/2010

15 to 20 days from date of commencement


Unit3Unit3Unit3Unit3 4/6/2010 6/7/2010



Unit 6Unit 6Unit 6Unit 6 15/6/201015/6/201015/6/201015/6/2010 16/6/201016/6/201016/6/201016/6/2010


Section VII: Important Contacts EstablishedSection VII: Important Contacts EstablishedSection VII: Important Contacts EstablishedSection VII: Important Contacts Established

In course of project initiation exercise, important & critical linkages were established with institutions and individuals. These institutions and individuals were found to be extremely resourceful and forthcoming in extending help. They provided valuable inputs in successful completion of the project initiation exercises. Following are the names of the institutions & individuals, who played a crucial role in assisting the project initiation process

• Dishari – Dishari is an Agartala based NGO. The reference of the organization was given by ONGC, as it collaborates with it for Health related interventions. Dishari’s Chief functionary name is Mr. Kamal. Mr. Kamal readily agreed to assist

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project initiation team’s visit to the target Gram Panchayat. Mr. Kamal provided his coordinator level staff to accompany the team for translation related services. Dishari is also coordinating the survey in the 8 GPs of MMU Unit 1.

• Mr. C. D. Singha, SDO Dhansiri Sub-division – Mr. C D Singha played a very crucial role in facilitating the visit in Gram Panchayats of MMU unit 3. He in fact participated in the first day of the visits to the GPs and assured availability of all the basic information from GP secretaries to the team. Mr. Singha has taken very keen interest in the project and has assured of all possible help from his office for its smooth implementation.

• Mr. Nripen Gagoi – Mr. Nripen Gagoi is the GP president of Napam Barwati that fall under MMU Unit 4 (Gelakey Area). He was the primary contact in Gelakey area and helped in establishing contacts with other GP presidents of the Unit 4. He personally facilitated the team’s visit to other GPs. He also played a crucial role in conducting training for surveyors in Gelakey area.

• Mrs. Kanika Gogoi, Block Panchayat Vice President Lakwwa Development Block – Mrs. Kanika Gogoi, a very dynamic woman is well recognized by all the GPs members of MMU Unit 5. She also helped the team extensively in coordinating the visit to GPs of Unit 5. She has assured of extending help in future also for smooth implementation of MMU project. She has also agreed to co-supervise the survey process in 4 GPs of Unit 5.

Above contact are very crucial and will serve as an asset for smooth implementation of the MMU project in the concerned locations.

Section VIII: SecuriSection VIII: SecuriSection VIII: SecuriSection VIII: Security issues related to Project operationty issues related to Project operationty issues related to Project operationty issues related to Project operation

Some of the operational areas for MMU project in North-east are under extremist/insurgent group influence. The locations where security is a concern are following:

• MMU Unit 1, West Tripura – Here it was observed that ONGC personal operate in the interior areas of the district with heavily armed escorts especially because this area is close to the India-Bangladesh international border. Some of the target villages are actually living on the international border. Local sources say that situation is moving toward normalcy but some extremist groups are still active. Kidnapping for extortion is a threat that exists in the operational GPs of Unit-1. Therefore, it is suggested that future operation in this area keep this threat under consideration and take preventive measures.

• MMU Unit 3, Golaghat District – The Gram Panchayats selected for this unit fall under the disputed land between Assam & Nagaland governments. The dispute is related to right of accession by both the states and started after separation of Nagaland from erstwhile greater Assam. Though, constitutionally the disputed land at present falls under the jurisdiction of Assam state but Nagaland has been vehemently asserting its claim on the land. Naga insurgent groups are very active in the area. The disputed land has been divided into six sectors i.e. sector A, B, C, D, E & F. The three GPs selected for MMU operation falls under sector C. The law & order situation in the six sectors are maintained by CRPF. The judicial matters are under the state machinery’s jurisdiction but the actual control is of CRPF. Therefore, any operation in the focus GPs needs to be done with official permission of CRPF. Hence it is suggested that MMU team needs to establish contact with CRPF authorities and apprise them of the project operation modalities

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and always keep them updated on their movement in the disputed zone. The MMU team should also be careful in establishing local contacts and do a thorough background check before relying on any sources of information - from individuals or organisations alike.

• MMU Unit 7, Bokaro-Since the area is affected by Maoist extremism, the staff must be well prepared not to get into avoidable controversies, arguments, etc. and concentrate on the core activity, i.e. providing health care to elderly persons and also help any other patient in case of emergencies so that the project does not face any kind of harsh treatment by extremists.

Above are the two locations, which require adoption of special security & safety measures for smooth operation of MMU. However, usual precautions are to be maintained in all the six locations since the areas are highly sensitive and dispute prone because of a history of extremism and insurgency which is yet to wither away completely. With a view to ensure safety of operations and the staff some of the DOs and DON’Ts are as follows:

DOs:DOs:DOs:DOs:

• Formally inform civil administration authorities, CRPF personnel and police authorities of all the operational details like schedule of MMU operation, office contact details, emergency contact numbers, etc.

• Maintain good relationships with GP leadership at all times

• Back to office positively before dark

• Maintain the MMU visit schedule scrupulously

• Involve GP leadership and civil administration in conflict resolution as and when they crop up

• Make all local purchase processes transparent

DON’Ts:DON’Ts:DON’Ts:DON’Ts:

• Not make any changes in MMU schedules without informing government and security authorities

• Not make location changes without consultation with GP leadership

• Not make promises that cannot be kept

• Not get into intra-GP politics and inter-GP conflicts in any way

• Suspend MMU visits during bandh calls and strikes declared by any organisation

******

Documents

HELPAGE INDIA-ONGC MMU PROJECT FIELD REPORT FROM ONGC ... and NE.pdf · HELPAGE INDIA-ONGC MMU PROJECT FIELD REPORT FROM ONGC OPERATIONAL AREAS IN TRIPURA, ASSAM AND JHARKHAND. 39