Self Care Groups (SCG) inSelf Care Groups (SCG) inNLR Supported Districts inNLR Supported Districts in

West BengalWest Bengal

Review Meeting Review Meeting

AtAt

Y W C A Of DelhiY W C A Of Delhi

33rdrd, 4, 4thth & 5 & 5thth May 2010 May 2010

Mr. K.G. PatraNon Medical Supervisor Burdwan Zone (WB)

Outline of PresentationOutline of Presentation

IntroductionIntroduction

Map of West BengalMap of West Bengal

Out Come of SCG CohortsOut Come of SCG Cohorts

Need for Physical RehabilitationNeed for Physical Rehabilitation

Need for Socio-economic RehabilitationNeed for Socio-economic Rehabilitation

Problems encountered and their Solutions Problems encountered and their Solutions

Unsolved ProblemsUnsolved Problems

IntroductionIntroduction

No. of district with PAL Homes = 2

No. of PAL Homes in these districts : 18

No. of PAL Homes where PAL have started SC Practice in Groups – 7No. of Block where PAL have started SC Practice - 2

Outcome of SCG CohortOutcome of SCG Cohort(As on 31(As on 31stst March 2010) March 2010)

Cohort as per Cohort as per the no. of the no. of months months

completedcompleted

TotalTotal

SCGSCG

MembersMembers

PALPAL

WithWith

UlcerUlcer

No. No.

Healing Healing

ObservedObserved

No.No.

NoNo

ChangeChange

No. No.

>> 9 – 11 9 – 11 2424 99 44 55

>>1212 -- -- -- --

TotalTotal 2424 99 44 55

Outcome …. Cont.Outcome …. Cont.Cohort as per the no. of Cohort as per the no. of

months completedmonths completedTotal SCG Total SCG MembersMembers

Status of Skin on Status of Skin on startingstarting

Status of Skin as of Status of Skin as of nownow

Dry No. (%)Dry No. (%) Dry No. (%)Dry No. (%)

>> 3-5 (Cohort ‘1’) 3-5 (Cohort ‘1’) 2626 96%96% 8%8%

>> 6-8 (Cohort ‘2’) 6-8 (Cohort ‘2’) 55 100%100% 20%20%

>> 9-11 (Cohort ‘3’) 9-11 (Cohort ‘3’) 2424 82%82% 8%8%

>> 12 (Cohort ‘4’) 12 (Cohort ‘4’) -- -- --

TotalTotal 5555

In the District Burdwan one PAL Home SCG Practice Started on March’2010, Total PAL – 24

In the District Paschim Medinipur one PAL Home SCG Practice Started on March’2010, Total PAL – 36

Need for Physical Rehabilitation-District wiseNeed for Physical Rehabilitation-District wiseDistrictsDistricts No. of No. of

PAL PAL HomesHomes

Self Care Self Care Materials Materials SuppliedSupplied

MCR MCR Footwear Footwear Neded/ Neded/

SuppliedSupplied

CrutchesCrutches ArtificiaArtificial Limbsl Limbs

Grips Grips AidsAids

Wheel Wheel Chairs / Chairs /

Tri Tri CycleCycle

GogglesGoggles Hand Hand StricksStricks

BurdwanBurdwan 55 5757 54 / 3054 / 30 11 22 44 4/04/0 1212 22

Paschim Paschim MedinipuMedinipu

rr

22 5656 56/2056/20 00 11 22 ½½ 22 11

TotalTotal 77 113113 110/50110/50 11 33 66 5/25/2 1414 33

Need for Physical Rehabilitation-District wise (Block)Need for Physical Rehabilitation-District wise (Block)DistrictsDistricts No. of No. of

BlocksBlocksSelf Care Self Care MaterialsMaterials

MCR MCR FootwearFootwear

CrutchesCrutches GogglesGoggles

BurdwanBurdwan 11 3434 3333 22 11

Paschim Paschim MedinipuMedinipu

rr

11 3737 3232 22 00

TotalTotal 22 7171 6565 44 11

In the district Burdwan One Block SC Practice Started on March, 2010 – Bahadurpur Block – Total PAL – 34

In the district Paschim Medinipur One Block SC Practice Started on March’2010 – Hijli Block – Total PAL - 37

Need for Socio-economic RehabilitationNeed for Socio-economic Rehabilitation(District wise)(District wise)

DistrictsDistricts No. of PAL HomesNo. of PAL Homes EducationEducation

No.No.

PensionPension

No.No.

EmploymentEmployment

No.No.

BurdwanBurdwan Out of 14 SCG started in Five Out of 14 SCG started in Five PAL HomesPAL Homes

6464 3232 1212

Paschim Paschim MedinipurMedinipur

Out of 4 SCG Started in Two Out of 4 SCG Started in Two PAL Home and One PAL Home PAL Home and One PAL Home

Assesment doneAssesment done

3939 5656 --

TotalTotal Out of 18 SCG started 7Out of 18 SCG started 7 103103 8888 1212

Need for Socio-economic Rehabilitation (District wise) (Block)Need for Socio-economic Rehabilitation (District wise) (Block)DistrictsDistricts No. of BlocksNo. of Blocks EducationEducation

No.No.PensionPension

No.No.

BurdwanBurdwan 11 1616 2121

Paschim MedinipurPaschim Medinipur 11 3232 2424

TotalTotal 22 4848 4545

Problems Encountered & SolutionsProblems Encountered & SolutionsS. S. No.No.

Name of DistrictName of District Problem encounteredProblem encountered How it was solvedHow it was solved

1.1. BurdwanBurdwan

Urban PAL Urban PAL HomesHomes

Dressing Materials are not Dressing Materials are not supplied at the Block supplied at the Block level to the Facilitator. level to the Facilitator.

Dressing Materials are not Dressing Materials are not supplied from any cornersupplied from any corner

At present Supply of Kits At present Supply of Kits to the facilitators by the to the facilitators by the Block PHC but not regularBlock PHC but not regular

Discussed with Act ZLO Discussed with Act ZLO requested to supply the requested to supply the dressing materials from dressing materials from ZLO end from State ZLO end from State budget.budget.

2.2. Paschim Paschim MededinipurMededinipur

Urban PAL Urban PAL HomesHomes

Supply Kits from BPHC Supply Kits from BPHC

No ProblemNo Problem

Dressing materials are not Dressing materials are not supplied from any corner.supplied from any corner.

--------

Discuss with ZLO & Discuss with ZLO & requested to supply requested to supply dressing materials from dressing materials from state budgetary provison.state budgetary provison.

Unsolved ProblemsUnsolved Problems

There are large PAL Homes in Urban areas like Asansol and Durgapur Municipal area at Burdwan District and Khargapur and Medinipur (Sadar) Municipal area of Paschim Medinapur District as there is no Government Health Infrastructure in the URBAN areas. The matter is discussed with the CMOH and DN Team of the districts the problem is solved partially – still needs attention.