Site Selection For MMU and Baseline Survey Reportsjvnmmu.co.in/signin/donor_baseline_reports/Khirweri.pdf · 2018-12-24 · MMU unit can play a positive role in it. 25. Only 1.16%

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Site Selection For MMU

and Baseline Survey

Report

Mobile Medical Unit

Khirweri MMU

Octavo Solutions Pvt. Ltd, New Delhi

Site selection and Baseline survey report – Khirweri, Maharashtra

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Table of Contents

Executive Summary ....................................................................................................................................... 3

Key Findings .................................................................................................................................................. 5

Chapter 1: Introduction ................................................................................................................................ 7

Overview ....................................................................................................................................................... 7

Demographic Profile of Ahmednagar District ............................................................................................... 7

Akole Block .................................................................................................................................................. 10

Maps and How to reach Khirweri ............................................................................................................... 11

Chapter 2: Approach & Methodology ......................................................................................................... 12

Objective ..................................................................................................................................................... 12

Scope of the Work ...................................................................................................................................... 12

Methodology ............................................................................................................................................... 13

Secondary Research .................................................................................................................................... 13

Primary Research ........................................................................................................................................ 15

Approach ..................................................................................................................................................... 15

Organization of the report .......................................................................................................................... 16

Chapter 3: Site Selection for Mobile Medical Unit ..................................................................................... 17

Analysis of the Baseline Survey ................................................................................................................ 20

Chapter 4: Demographic Scenario .............................................................................................................. 21

Household Distribution ............................................................................................................................... 21

Age and Gender Distribution of the Population ......................................................................................... 21

Educational Status of the Population ......................................................................................................... 22

Occupational Distribution of the Elderly Population .................................................................................. 23

Per Capita Income ....................................................................................................................................... 23

Status of Sample Household by Types of Ration Card ................................................................................ 24

Caste Distribution of the Sample Household .............................................................................................. 24

Chapter 5: Medical Facility ......................................................................................................................... 25

Available Government Health Facilities ...................................................................................................... 25

PHC’s status at Khirweri .............................................................................................................................. 25

Access and Preference of Medical Facility .................................................................................................. 26

Disability Status ........................................................................................................................................... 27

Habits and Disease of Elderly People .......................................................................................................... 28


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Addiction vs. Gender ................................................................................................................................... 29

Diseases....................................................................................................................................................... 29

Treatment History of Elderly Population .................................................................................................... 30

Chapter 6: Social Involvement and Abuse of Elderly Population ............................................................... 32

Social Involvement of Elderly Population ................................................................................................... 32

Incidence of Abuse: Elderly People ............................................................................................................. 33

Chapter 7: Way Ahead ................................................................................................................................ 34

Annexure ..................................................................................................................................................... 35

Annexure 1: Household Survey Meeting Point with SJVN LTD ................................................................... 35

Annexure 2: Local Administration Contact Details ..................................................................................... 35

Annexure 3: Names of Anganwadi Workers ............................................................................................... 36

Annexure 4: Details of Local NGO Operating in the Areas ......................................................................... 36

Annexure 5: Health facilities details and contacts number (PHC&CHC) in the Survey Villages ................. 37

Annexure 6: Pictorial Evidences of MMU Unit at Khirweri ......................................................................... 37

Annexure 7: Questionnaire for Mobile Medical unit Parking Facility ......................................................... 39

Annexure 8: Village Schedule...................................................................................................................... 40

Annexure 9: Data table of the baseline Survey .......................................................................................... 41


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Executive Summary

The HelpAge India-SJVN collaborative Mobile Medicare Unit (MMU) project has been designed to

provide health care services to the elderly at their doorsteps in selected villages of Khirweri. For

initiating this project the following Panchayats to be mapped as per the information provided by

HelpAge India (HI) and SJVN.

Budhvihar

Thirthaciwadi

Ambyviher

Karwadi

Maanmodi

Chemdevwadi

Wadachiwadi

Ward Number 1

Ward Number 2

Thakurwadi

Upper lane Kombhalne

Together with the sample village visit, 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 of elderly persons in each GP. The key stakeholders with whom

communications were established were:

• SJVN’s Corporate Social Responsibility Lead Officials

• Helpage India representative

• Elected Gram Panchayat Leaders, functionaries and elderly persons

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

• Local Government Administration (Block/Taluka/Mandal/District)

• Non-government Organisations are working in this area

Therefore, on the basis of the list of the villages provided by the concerned HR/CSRdepartment of SJVN

and HelpAge India, a mapping of the villages and sites was done. The mappingwas important because of

four reasons, which were:

The MMU operation needs to align itself with the local governance bodies, especially Gram

Panchayats as it would require the sustained availability 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


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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 village 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 SJVN, 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 SJVN team does not make any differentiation between natural villages/habitats and Village

Panchayats or Gram Panchayats (GP). If one or two villages appear on the list of villages given by

SJVN the MMU operation cannot stop at just reaching out to only these one or two stand-alone

villages. The services have to be made available to the whole GP in order to make it relevant and

participatory. Therefore, GP mapping was essential for making the entire process meaningful.

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

leader from the Gram Panchayat. 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 SJVN. In all cases the information on matching the list of villages with

corresponding GPs and other associated conditions like contiguity, operational feasibility

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

ensure its correctness and reliability. SJVN and HelpAge India personnel helped in locating some

of the field contacts.

After Gram Panchayat meeting our team initiated a door to door survey for listing of elderly population

with the help of pre-designed questionnaire. Two separate questionnaires were also prepared to assess

the need of the mobile medical unit. After identification of elderly population in villages our field team

conducted a baseline survey of 100% elderly households in selected villages. Besides, a good number of

other household where there is no elderly population were interviewed. Data collection, data entry and


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data analysis in the Help Age India’s ‘e-Chikitsa’ HMIS software were done. Octavo developed a Coding

Methodology was developed for data entry. Key findings of the end results are given below:

Key Findings

1. HelpAge has started their MMU activities in the Khirweri region and covering 12 villages in 3

Panchayats through the MMUs. The MMU van runs 5 days in a week in two sessions (morning and

afternoon). The unit provides free treatment, free medicines, basic diagnostics, and home visits of

the patients (in case of bed-ridden), counseling facilities and awareness generation.

2. All the sites parking areas located in public places.

3. It was observed that most of the identified sites have basic amenities like - accessibility, parking

facility, drinking water facility, electricity and mobile network. Only 10% of the sites have toilet

facility, 80% have PHC and 40% have doctors in the village.

4. PHC at Khirweri have basic facilities and enough to cater its service to the mass of Khirweri.

5. Interview with the village Pradhan revealed that MMUs in the Khirweri area is the real time window.

6. Out of 841 household’s, 500 household (59% of the total household) have elderly people (more than

54 years of age) in their house. In those 841 households have total 4085 members.

7. In total population 55% are male and 45% are female. Sex ratio is only 820 which is much lesser than

the national average (National average is 940).

8. Around 16% male and 26% female (overall 20%) respectively are illiterate. Around 43% male are and

48% female are just literate.Till 10th standard around 16% have attended. Around 4% male and 1%

female are graduate and above.

9. The main occupations of Elderly people are faming (42%). 69% of the elderly male members and 8%

of the female members are engaged in farming.

10. In our sample 59% of households belong to BPL group and rests41% APL.As BPL people are more in

every village and they do not have affordability to access medical facility, MMU could play an

important role to provide medical facility.

11. It is mainly tribal areas. According to the caste wise distribution 43% families who have elder people

belong to the OBC group, 34% and 9% ST and SC respectively.

12. Around 84% avail private clinics and doctors’ for their treatment, 80% get treatment at Sub

centers/PHCs, 61% and 62% prefers Chemist shop and Govt. Hospital respectively.

13. Around 71% respondents have chosen more than two options for availing treatment.

14. Around 41.5% have opted for household remedies as their first option.


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15. Around 55% of the total population and 61% elderly people haveorthopedic problems.Out of the

total orthopedic disable elderly people 21% are having problems in hand and 79% in leg.

16. Most of the elderly are addicted with tobacco (53% are tobacco consumers, 7% are beedi smokers).

Only 4% elderly people consume alcohol.

17. Around 69% of the addicted people are male and the rest of 31% are female.

18. As most of addicted people (74%) are occasional MMU has a major role to increase awareness about

the negative effects of these addictions and to reduce those.

19. Out of the total elderly population 35 % are suffering from joint pains and 8% are suffering from

hypertension.

20. Among the people who consume tobacco 68% suffer from joint pain.

21. Around 100% patients have availed treatment for Diabetes, Allergies, Heart problem, Hypertension

and Ulcer. In Asthma and Joint Pain more than 90% people have availed their treatment.

22. 54% have availed treatment at private clinics, 32% have availed treatment at Govt. Hospitals and

13% at Sub Centres/PHCs. It is clearly understood as people are going to Private clinic if MMU can

provide better facility at free of cost people will avail treatment from MMU.

23. Overall 86% (90% of elderly males and 81% of the elderly female) of people are involved in different

activities. Female participation is much lesser than male participation. Elders mostly participate in

social activities (74%) and in religious activities (71%).

24. Overall 32% of elderly people (35% Male and 29% Female) are aware about their rights. It can be

concluded that awareness about their rights in this area is very low. MMU unit can play a positive

role in it.

25. Only 1.16% families reported abuse, 2.26% observed abuse of elderly people. Almost around 96%

have confirmed of no abuse of elders. After the intervention of MMU units in the area awareness

level among household have increased through the interaction with the MMU staffs and HelpAge

India’s officials.


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Chapter 1: Introduction

Overview

Ahmednagar is the biggest district of Maharashtra in terms of area and population. The total

geographical area of the district is 17.41 lakh. The net cropped area is 12, 56,500 ha, out of which an

area of 3, 30,000 ha. (26.27 %) is under canal (84,000 ha) and well irrigation. About 9, 26,500 hectare

(73.73%) area is rain fed. The area under Kharif crops is 4, 60,000 ha. (36.6 per cent) while 7, 58,000 ha

(60.32 per cent) area is under Rabi crops. A multiple cropping system is followed on 1, 10,500 hectare

area. A total of 8.73 per cent area of the district is under forest.1

Total population of the district is 40.88 lakhs of which 32.84 lakhs is living in the rural area whereas 8.04

lakhs lives in urban area. The literacy of the district is 75.82 percent. The female to male ratio of the

district is 941.2

In the district, there are 6.8 lakhs farming families, out of these 32.45 per cent farmers are having less

than 2 hectares of land holding, 57.89 per cent farmers are having land holding is between 2-10 hectares

and 9.66% farmers have a land holding with more than 10 hectares.

Total 3.8 lakhs are agriculture labourers, 7.88 lakhs are SC/ST population, 2.11 lakhs are dairy and sheep

owners and total working population is 14.32 lakh.3

Demographic Profile of Ahmednagar District

State Name -- Maharastra

District Name –Ahmednagar

Total Area 17412.71 Sq.Km.

Total Forest Land 1515.71 Sq.Km.

Land under Cultivation 13168.99 hectares

Sub Division 4

Cities 18

Tehsils 14

Municipal Councils 01

Panchayat Samiti 14

Gram Panchayat 1309

1 District website

2 District website

3 District website


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State Name -- Maharastra

District Name –Ahmednagar

Villages 1581

Population Total (Census 2011) 40,88,077

Male (Census 2011) 21,06,501

Female (Census 2011) 19,81,576

Literacy rate 75.82

Population density 234

Source: District website

Housing Amenities

Educational Infrastructure

Educational Infrastructure

Primary Schools 3308

High Schools 745

Higher Secondary Schools 182

Colleges 40

ITI 9

Source: District Social and Economic Analysis, Ahmednagar Zila Parishad

Health Infrastructure

Housing Amenities

House with electricity 80.1%

House with drinking water facility 81.7%

House with toilet facility 52.3%

House with LPG connection 35.7%

Pucca house 39.3%

BPL household 25.8%

Source: District level household and facility survey, 2007-08

Health Infrastructure Institution % of Villages

Sub-centre 52.5%

PHC 17.5%

Any government facility of health 55%

Having doctors 40%

ASHA workers 2.5%

Anganwadi 100%

Source: District level household and facility survey, 2007-08


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Vital Statistics

Economy

The district economy is mainly dependent on co-operative sector. Late Padmashree Dr. Vitthalrao Vikhe

Patil started the first co-operative sugar factory in the district at Pravaranagar during the year 1949,

which was the first of its kind in the Asian continent. Ahmednagar is a pioneer district in co-operative

development and in up-scaling of sugarcane cultivators through the sugar factories. Similarly dairy co-

operatives have also developed as a secondary movement for the benefit of the dairy farmers.

Fourteen co-operative sugar factories, 9310 co-operative societies, 1281 co-operatives dairy societies

and 4 fruit and vegetable co-operative societies are the backbone of the district providing impetus to

the rural economy. The irrigation water co-operatives and transports co-operatives are also playing an

important role in the district. The problem related to credit inputs and marketing has been addressed to

a great extent that has made the farming community free from the clutches of middlemen and private

lenders through the dynamic leadership of the co-operative movement.

Thus, co-operative sector in the district is dealing with all types of needs of the farming community,

village prosperity and all-round socio-economic development of the district.

Approximately 573,982 households are dependent on agricultural activities and among these, nearly

498,355 households are cultivators and the remaining are agricultural laborers. It is one of the twelve

districts in Maharashtra which receiving fund from the Backward Regions Grant Fund Programme.

Vital Statistics

Indicator Rate Crude birth rate 16.6

General fertility rate 61.1

Total fertility rate 1.8

Gross reproduction rate 0.9

General marital fertility rate 83.0

Total marital fertility rate 2.9

Infant Mortality Rate 25

Death Rate 6.3

Still Birth Rate 6

Source: Census of India


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There are many small and large industries also. The small industries include gathering of medical plant,

Rolling of Bidi, Jaggery making etc. While on the other hand large scale industries include producing of

Ayurveda medicine, sugar factories and industries making engine and pump sets.

Culture

Ahmednagar district Known as a spiritual center of India. It witnessed the great souls like Dnyandeo,

Dyaneshwar, Sai baba, Sant Tukaram, Meher Baba and many more. Marathi is the most widely spoken

language of the district. Hindi too is largely used by the people of Ahmednagar. Hindi however, is

influenced by Hyderabadi Urdu and Marathi dialect. Christianity has been Ahmednagar third-largest

religion, followed by Islam and Hinduism respectively. Every village has one or more resident families as

Christian and every village has its own church for worship. Ahmednagar Christians are called Marathi

Christians and a majority of them are Protestants plus large scale of Banjara communities.

Akole Block

SJVN project is located at Khirweri village of Akole Block under Ahmednagar district. The project location

belongs to Khandesh and Northern Maharashtra region and Nasik Division. It is located 127 KM towards

west from District headquarters Ahmednagar and 22 KM from Akole. Total area of the block is 150508

Hector. Total population of the block during 2011 was2, 71,719.Sex ratio of the block is 974. Total

population involved in agricultural activities is 69,7714

Khirweri village is146 KM from State capital Mumbai. Postal head office is Akole,Pin code is 422601.

Sangavi (5KM), Shenit (6KM), Kombhalne (7KM), Pimparkane (8 KM), Waranghushi (10 KM) are the

nearby Villages to Khirweri. Khirweri is surrounded by Sinnar Taluka towards North, Igatpuri Taluka

towards West, Sangamner Taluka towards East, Nashik Taluka towards South. Sinnar, Sangamner,

Nashik, Junnar are the nearby Cities to Khirweri. Marathi is the Local Language at Khirweri. Total area of

Khirweri is 2331 hectares.Total population of Khirweri is 3068 .Males are 1541 and Females are 1,527

living in 508 Houses. Nearest city of the project location is Sinnar (31 km). Lahavit is the nearest railway

station which is 26 km of the project location. Lohegaon airport is 132 km away from the project

location.

4 District website


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Maps and How to reach Khirweri


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Sinnar is the nearest town of Khirweri. It is 31 km from Khirweri. There is a motorable road between

Sinnar and Khirweri. There is no railway station at Khirweri. The nearest railway station is Lahavit which

is 26 km away from Khirweri.

Chapter 2: Approach & Methodology

Objective

Health infrastructure of this area is very poor and due to poor economic conditions people could not

afford the available medical facilities.The current study deals with the identification of elderly

population (age more than 54 years).Besides, this study also looks into the available health facility in the

project location and identifies the site for mobile medical unit and finalizing an operational plan for the

same.

Scope of the Work

Identification of villages in the proposed MMU location in consultation with local sponsor officials

and Help Age India team

Visiting MMU location and all identified villages in each location in order to prepare detailed

operational plan

Active consultation with major stakeholders in the identified villages to elicit their opinion regarding

inclusion of their villages in the project and soliciting their active participation during the

implementation period of the project i.e. 3 years

Conducting baseline survey in each location consisting of a number of villages or gram panchayats

by recruiting local investigators/surveyors in order to arrive at the exact numbers of elders in each

village and location

Identifying central locations in consultations with Help Age India and sponsor for establishing the

project office where the MMU staff would gather, stocks would be kept, records would be

maintained and MMU would be parked during non-functioning days and hours


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Methodology

The methodology for the study includes the field survey and secondary research.

Secondary Research Octavo team carried out secondary research in which documents relating to the current project were

collected from the varied sources (who were in the public domain). In the secondary study our

researchers saw the following parameters:

District demographics including health indicators

Social and financial scenario of the project location

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

process. There were many objectives for establishing this contact. They are as follows:

Appraising the Panchayat leadership on the MMU project and develop a consensual understanding

among the local leadership and general population on the need of the project and the health as well

as psycho-social benefits that it is going to accrue to the elderly population.

Mapping of basic infrastructure was another requirement which would help the project run from

those points. Resources like government schools, Anganwadi Centres, Health Sub-centre, Village

Community Halls, Temples, etc. are counted as basic infrastructure available in the villages or

habitats. Usually all people in the village have access to these resources and these would serve as

the parking place for the MMU. The MMU would park at these locations at predetermined time

slots and would offer the health and counseling services to the elderly of the nearby

villages/hamlets within a particular village. Since Gram Panchayats (GP) have many such hamlets the

MMU would need to park at more than one location within the GP.

A basic understanding of the constitution of the Gram Panchayat, its geographical spread, number

of hamlets/natural villages, population with necessary disaggregation (male/female, BPL/APL, no. of

elderly persons, etc.), etc. is required to address the health needs through this programme.

Unless it is known as to how many elderly persons (for this project an elderly person is one who is 55

years old and/or above) live in a village, how many households have elderly people, their habits,

their disease history, etc. it would be imprudent to start the project because the benefits that

accrued to the elderly people because of this intervention cannot be measured or evaluated at a

later point in time. Monitoring would also not be possible without a baseline. Moreover, individual

cards would be issued to each elder for tracking his/her individual health status at the time of


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his/her visit to the MMU. The consent and cooperation of the GP leadership to conduct this baseline

survey is considered essential.

Since the project will run for a period of five years sustained support and assistance would be

required from the GP leadership for its smooth operation and conflict resolution in case of any

eventual need. Therefore, a relationship building exercise is also at the core of establishing contact

with the GP leadership.

The first point of contact was usually the Gram Panchayat offices and a meeting with Panchayat

Pradhan, Secretary and other key people of the village was held. In such meetings the participants

were introduced to HelpAge India’s organizational objectives and operation. Thereafter, they were

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

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

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

continued support for smooth running of the project.

After initial discussion with GP leadership basic information on demography and infrastructural facilities

were collected. The parameters on which information were collected were:

• Population – with necessary disaggregation

• No. of Households (HHs) in the GP

No. of BPL HHs

No of HHs with M-NREGA Job cards – Discussion was held on elderly people’s

participation in M-NREGA work

No. of HHs enrolled under any government Health Insurance scheme

No. of old Age pensioners (& pending pension applications, if any)

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

• Basic Infrastructure facilities in GP

Bus Services, Auto & Taxi services

PCO, Mobile Service and Internet

Community hall

• Health & Sanitation

No. of HHs with Toilet facilities

Cooking facilities

Drinking water facilities


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• Health Infrastructure

NRHM facilities – Sub-center to District Hospital related information

Private Clinics operation

Access to Health facilities

Any NGO operating on Health issues or on old age care in the GP

All the above information is being consolidated into a Gram Panchayat information format for future

references. After collection of aforementioned information, discussion was held on identification of

MMU parking locations in the GP. The GP functionaries were advised to select minimum number of

locations that would be required to cover all the constituent hamlets/villages of the GP effectively, i.e.

all the elderly people can access it without many problems.

Primary Research On the basis of secondary research and Gram Panchayat meeting’s findings Octavo researchers designed

the survey questionnaires to tap the perception of local people regarding the health facility and also to

capture their social and financial status. We have collected information from the elderly population as

well as the head of the household.

Approach

Meeting and consultation with key stakeholders i.e. donor representatives, local health clubs, NGOs

to select the villages

Identification of possible MMU office location within the MMU operational area of the nearest

place with sufficient infrastructure i.e. basic amenities such as electricity and water and voice / data

connectivity

Identification of health issues of elderly persons and community as general and available health

infrastructure in the proposed villages

Two separate questionnaires were prepared to assess the need of the mobile medical unit which is

given at Annexure 7 and 8.

Conducting baseline survey of 100% elderly households in selected villages as well a good number of

other household where there is no elderly population.

Data collection, data entry and data analysis in the Help Age India’s ‘e-Chikitsa’ HMIS software

Coding Methodology was developed for data entry.

Report Preparation and submission to Help Age


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Organization of the report

The report consists 6 chapters. Chapter 1 deals with overview of the project, whereas chapter 2 deals in

approach and methodology. Chapter 3 deals with the mobile medical unit. Chapter 4 narrates the

sample size and demographic scenario of the project location with a special emphasis on elderly

population. Chapter 5 deals with status of medical facility. Chapter 6 describes the status of social

involvement and incidence of abuse of the elderly population. The last part of the report is way ahead.


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Chapter 3: Site Selection for Mobile Medical Unit

SJVN decided to give mobile medical unit (MMU) facilities through HelpAge in the affected villages of

Khirweri as a part of their corporate social responsibility. The MMU project aims at reaching out to

provide healthcare to older persons above 55 years of age as well as the communities they live in—in

the operational areas—who have limited or no access to healthcare either due to poor services by the

existing healthcare facilities or because affordability issues due to lack of financial resources or other

physical / mobility reasons.

Village wise Status of Basic Infrastructure

Village Power Supply Transport Facility Approach road

Khirweri Adequate Adequate Pucca

Kombhalne Adequate Adequate Pucca

Poperewadi Adequate None Pucca

Village wise distance from the petrol pump

Name of the Panchayat Name Distance (Kms)

Khirweri Thangaon 20

Kombhalne Thangaon 13

Poperewadi Thangaon 15

Village wise distance from the School

Name Distance (Kms)

Khirweri (in the village) 0 km

Kombhalne (in the village) 0 km

Poperewadi (in the village) 0 km

HelpAge has started their MMU activities in the Khirweri region and covering 3 panchayats (12

locations) through the MMUs. They have already identified certain sites over there for the parking of the

mobile van. The MMU unit runs 5 days in a week in two sessions (morning and afternoon). In every

village they have selected 2-3 places. The unit provides free treatment, free medicines, basic diagnostics,

and home visits of the patients (in case of bed-ridden), counseling facilities and awareness generation.


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100% 100%

60%

10%

80%

40%

100% 100%

0%

20%

40%

60%

80%

100%

120%

Easilyaccessible byfour wheeler

Parking facility Drinking waterfacility

Toilet facility Primary HealthUnit in the

Village

Doctors in theVillage

Commonparking place

Mobile networkconnectivity

Availability of facilities

Survey team wanted to gauge the basic facilities in the MMU sites on the basis of few parameters like –

accessibility, parking facility, drinking water facility, electricity, toilet, primary health unit’s availability in

the village, availability of doctors, mobile connectivity and storage facilities of the medicines and other

equipment. During field visit of the survey team it was revealed most of the identified sites have basic

amenities like - accessibility, parking facility, drinking water facility, electricity and mobile network. Only

40% villages have doctors and only 10% villages have toilet facility.

Site wise Availability of Facilities

Therefore it is clear from the above charts that the selected sites in the beneficiary villages are

appropriate and accessible for the patients as well as medical teams. The elderly persons in the project

areas are now facilitate with basic medical support to live with dignity and respect. Interview with the

village Pradhan revealed that MMUs in the Khirweri area is the real time window.


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Mobile Medical Unit Parking Site Details

Village Name

Site Name Landmark Criteria Day Shift Time Name of Gram Panchayat

Khirweri

Vegetable Market Khirweri

Near Community

Hall

Public place Monday

09:15AM To 1:00PM

Khirweri

Chawadi Khirweri

Chawadi Public place

Monday 01:30PM To

05:15PM Khirweri

Kombhalne

Hanuman Temple

Kombhalne

Hanuman Temple.

Public place Tuesday

09:15AM To 1:00PM

Kombhalne

Thakurwadi Kombhalne & Wind Power Project Area

Thakurwadi & Wind Power Project Area

Public place

Tuesday 01:30PM To

05:15PM Kombhalne

Poperewadi

Kalamjai Tample

Poperewadi

Kalamjai Temple

Public place Wednesday

09:15AM To 1:00PM

Kombhalne

Z. P. School Ground

Poperewadi

Near Z. P. School Ground

Public place Wednesday

01:30PM To 05:15PM

Kombhalne

Khirweri

Wadachiwadi Khirweri

Wadachiwadi Public place

Thursday 09:15AM To

1:00PM Khirweri

Bhairawnath Temple Khirweri

Bhairawnath Temple

Public place Thursday

01:30PM To 05:15PM

Khirweri

Kombhalne

Sable Chawk Kombhalne

Sable Chawk Public place

Friday 09:15AM To

1:00PM Kombhalne

Upper Lane Kombhalne

Upper Lane kombhalne

Public place Friday

01:30PM To 05:15PM

Kombhalne


Page 20 of 43

Analysis of the Baseline Survey


Page 21 of 43

563

221

57

325

141

34

0

200

400

600

Khirwire Kombhalne Poperewadi

Household Distribution

No. of Household Household with Elderly population

31% 49%

20%

55% 29%

51% 20%

45%

0%

50%

100%

Child (n=1227) Adult (n=2040) Elder (n=818) Total

Gender wise distribution of Child, Adult & Elderly

Male (n=2245) Female (n=1840)

50% 55%

60% 57% 64% 67%

55% 50%

45% 40% 43%

36% 33%

45%

0%

10%

20%

30%

40%

50%

60%

70%

55-60 yrs(N-347)

61-65 yrs(N- 171)

66-70 yrs(N-152)

71-75 yrs(N-82)

76-80 yrs(N-42)

Above 80Yrs (N-24)

TotalElderly

population (n=818)

Age group wise for Elderly population

Male (n=448) Female (n=370)

Chapter 4: Demographic Scenario

Household Distribution

Our sample contains information about 841 households from 3 villages. Out of 841 household 500

household (59% of the total household)

have elderly people (more than 54 years of

age) in their house. This means there is a

huge scope for intervention of MMU units

in the area, as 59% of the household

reported with elderly population and those

population have minimum access to the

nearest available medical facilities.

Age and Gender Distribution of the Population

Age distribution is similar almost

similar in Akole block in Ahmednagar

district in Maharashtra. In total

population 55% are male and 45%

are female.Sex ratio is only 820 which

is much lesser than the national

average (National average is 940). Awareness should be created in this regard.

In every elderly age group

proportion of male is more

than proportion of female. In

age group of 55-60 years male

and female population are

almost equal. In the age group

of 76-80 years male are 64%

in comparison to 36%

females. In age group above


Page 22 of 43

5%

16%

43%

12%

17%

4% 3%

5%

26%

48%

5%

14%

1% 1%

5%

20%

45%

9%

16%

3% 2%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Non-School GoingChildren

Illiterate Literate Intermediate Maticulation Graduate and above Diploma

Educational Qualification of the Population

Male (n=2245) Female (n=1840) Total (n=4085)

80 years male is 67% and female is 33%. Overall 55% of the elderly populations are male.

Educational Status of the Population

Around 20% of the total populations are illiterates. Illiterate females (26%)are more compared to the

males (16%). Around 43% malesare and 48% females are just literate. About 16% of them have obtained

up to 10th standard education. Merely 3% of the population are graduate and above degrees.


Page 23 of 43

69%

0%

12% 8%

6% 3%

1% 1% 0%

8%

66%

11% 9%

4% 2%

0% 0% 1%

42%

30%

11% 8%

5% 3%

0% 0% 0% 0%

10%

20%

30%

40%

50%

60%

70%

80%

Farmer(n=342)

House wife(n=243)

nil (n=93) Daily wage(n=69)

Business(n=39)

Pensioner(n=23)

Service (n=4) Others (n=3) S SPensioner

(n=2)

Occupational pattern of the Elderly populations


Occupational Distribution of the Elderly Population

Akole block is mainly an agriculture belt. The main occupations of Elderly people are faming. Overall 42%

elderly populations (69% male and 8% female) are involved in farming activities. Most of the elderly

female (66%) populations are housewives. Other engagement of the elderly population is towards daily

wage earner and business.

Per Capita Income

During the field survey information were collected from the respondents on ‘Total Monthly Income’

from all sources. Form this researchers have computed monthly household income and monthly per

capita income per members (after summing up all income sources and then divided by the number of

household members). By multiplying the number with 12 we have arrived at per capita income per

annum. It was observed that most of the household are farmers and tribal. The average per capita

income reported Rs. 24,700. This is far below the district per capita income of Rs. 71,054 (Maharashtra

Economic Survey 2012-13). Even the reported per capita income is below than Akole block’s per capita

income of Rs. 58,627.


Page 24 of 43

203

70 23

296

122 71

11

204

0

200

400

Khirwire Kombhalne Poperewadi Total

Site wise Household status for Elderly People

BPL APL

6% 9% 34% 43%

9%

0%

50%

Gen SC ST OBC Other

Caste wise Distribution: Elderly people

Status of Sample Household by Types of Ration Card

In our sample 59% of

household belong to BPL group

and rests41% are APL. The

primary survey revealed that in

almost every village BPL

populations are more than

APL. As BPL people are more in

every village and they do not have affordability to access medical facility, MMU could play an important

role to provide medical facility.

Caste Distribution of the Sample Household

According to the caste wise distribution

43% families who have elder people

belong to the OBC group, 34% and 9%

ST and SC respectively. Only 6% belong

to General caste.

n=500


Page 25 of 43

Chapter 5: Medical Facility

Available Government Health Facilities

As per census data there is

one district hospital, 2 sub-

district hospitals, 96 PHCs

and 555 sub centres in

Ahmednagar.

PHC’s status at Khirweri

There are 10 PHCs in Akole block, out of which only one PHC located in Khirweri, which is tribal PHC.

Particular Details Functioning on 24 X 7 hours basis No

Have doctor Yes

PHCs with at least 4 beds Yes

PHCs with AYUSH doctor No

PHCs having residential quarter for Medical Officer NA

New born care services on 24 X 7 hours basis No

Having referral services for pregnancies/delivery on 24 X 7 hours basis No

So it is clear that facilities in the PHC’s at Khirweri are equipped with basic maternal delivery system and

not sufficient enough to cater the entire mass of Khirweri. During survey our field investigators observed

following constraints at the PHC:

Non-availability of doctors /paramedics

Shortage of ANMs/ LHVs / MPWs.

Shortage of Drugs/ vaccines

Dysfunctional equipment

Untimely procurements

No minimum mandatory service provision standards for every facility in place which makes full

use of available human and physical resources and no road map to how desirable levels can be

achieved.

No local initiatives or role, Centralized management and schematic inflexibility

Lack of indicators and local health status assessments that can contribute to local Planning.

Poor capability to design and plan programmes.

Health Infrastructure No. of Unit in Ahmednagar District

CHC 23

PHC 96

Sub-Centre 555

District-Hospital 1

Sub district Hospital 2

Source: Census of India 2011


Page 26 of 43

80% 62% 61%

84%

1% 0%

50%

100%

Sub centre/PHC

Govt.Hospital

Chemistshops

Privateclinics/doctors

TraditionalHealing

Access and preference to Medical Facilities

Access and Preference of Medical Facility

Most of the residents in the area

avail multiple medical facilities for

their treatment. Around 84% avail

private clinics and private doctors

for their treatment. 80% of them

go the Sub centers/PHCs for their

treatment. About 62% avail medical facilities in Govt. Hospital. So, it is clear majority of people are

dependent on Private clinics/doctors for their basic treatment. MMU can play an important role here.

Around 71% respondents have chosen more than two options, which is similar in Khirweri and

Kombhalne village and in Poperewadi village. 51% respondents have chosen more than 2 options. As

people are choosing multiple options, either they are not satisfied with the single option or they want to

try different options. People opined that MMU provides better service than others they will choose

MMU for their future treatments.

As these villages are mainly tribal villages, they still opt for in household remedies at the first instance

(41.5%). In the second option 59.3% have selected modern medicine as their preference. Whereas,

34.6% have again taken household remedies as their third option.

Site wise Access and preference to medical facilities for common ailments (n=841)

Village Sub center/ PHC

Govt. Hospital

Chemist shops

Private clinics/ doctors

Traditional Healing

Divine Healing

Single option

2 options

3 or more options

Khirweri 434 355 347 499 6 1 1% 25% 73%

Kombhalne 190 147 141 155 2 0 1% 28% 71%

Poperewadi 52 20 21 54 1 1 2% 47% 51%

Total 52 20 21 54 1 1 1% 27% 71%

Household preference to various forms of medicine (n=841)

Preference Household remedy Homeopathy Modern Medicine Ayurveda Unani Siddha Yoga

First 41.5% 1.2% 18.7% 37.5% 0.1% 0.2% 0.0%

Second 13.7% 2.6% 59.3% 22.1% 0.0% 0.2% 0.0%

Third 34.6%s 9.6% 16.4% 9.4% 0.2% 0.7% 0.1%


Page 27 of 43

22%

78%

Orthopedic Disability

Hand

Leg

18%

56%

14% 8%

4% 8%

53%

19%

8% 11%

15%

55%

16%

8% 6%

0%

10%

20%

30%

40%

50%

60%

Visual Disability Orthopedic Hearing impaired Mental Problem Speech impaired

Disability Status

Male (N-73) Female (N-36) Total (N-109)

18%

54%

16% 5% 7% 8%

53%

19% 14% 6%

15%

62%

0% 15% 8%

0%

50%

100%

Visualdisability

Orthopedic Hearingimpaired

SpeechImpaired

MentallyRetarted

Disability vs. Education

Illiterate (n=61) Literate (n=36) Matric or Above (n=13)

Disability Status

Around 3% of the total

4085 people are

disabled. Overall

orthopedic disability is

around 55%, visual

disabled is around 15%

and hearing impaired is

16%. Speech impaired

and mental disabilities

are less compare to other form of disabilities, around 6% and 8% respectively. Out of total disable

people 67% are male and 33% are female.

Out of the total orthopedic disable people

22% are having problems in hand and 78% in

leg. So it can be said MMU is the best fit

medical facilities for those orthopedic

disabled at their doorsteps.

Primary data revealed that 54% of the total illiterate persons belong to orthopedic category (as this has

highest share). On the other

hand this category of people

has highest number of matric

and above (62%) population.

Whereas, 18% and 16%

illiterate are from visual

disability and hearing

impaired.


Page 28 of 43

21%

64%

13% 3% 5%

13%

57%

26%

4% 17% 18%

61%

18%

3% 10%

0%

50%

100%

Visual Disability Orthopedic Hearing impaired Mental Problem Speech Impaired

Disability of Elderly People

Male (N-39) Female (N-23) Total (N-62)

21%

79%

Orthopedic Disability of Elderly People

Hand

Leg

1% 7%

53%

1% 0% 4% 0% 0%

20%

40%

60%

Cigarettes Beedi Tobacco Gutkha Opium Local liquor ForeignLiquor

Adiction of Elderly people

Out of total 818,

62 elderly (7%) are

disabled. On

account of total

disabled 57%

disabled are

elderly. Out of

those 62 elderly disabled 61% elderly people are orthopedic disabled. Around 18% each are visually

disabled and hearing impaired. Out of total elderly disabled people 63% are male and 37% are female.

Out of the total orthopedic disable elderly

people 21% are having problems in hand and

79% in leg.To cater these persons health

facility MMU plays an important role.

Habits and Disease of Elderly People

Most of the elderly are

addicted with tobacco

(53% are tobacco

consumers, 7% are beedi

smokersand around 1%

each from Gutkha and

Cigarettes). Only 4% elderly people consume alcohol.

So there is a need of awareness campaign in the area.


Page 29 of 43

Addiction vs. Gender

Out of total 818 elderly

populations around 67%

elderly are addicted with

some kind of addiction.

However out of total

addicted elderly 74% are

occasional users. Around69%

of the addicted people is

male and the rest of 31% are

female. As most of addicted people are occasional MMU has a major role to increase awareness about

the negative effects of these addictions and to reduce those.

Diseases

Out of the total elderly population 35%

are suffering from joint pains and 8%

are suffering from hypertension.

Around 6% are suffering from diabetes

and 3% from Asthma. Rest of the

people did not report any kind of

disease.Among the cases who

mentioned that they are currently

suffering from disease, 60.57% from

joint pain, 14.37% are suffering from

hypertension. Diabetes and asthma are the ones least in the population reported, i.e. 9.86% and 5.95%

respectively.

Habits Regular Occasional

Male Female Male Female

Cigarettes 2 1 8 0

Beedi 19 3 37 1

Tobacco 67 36 204 123

Gutkha 1 0 9 1

Opium 0 0 0 0

Locally brewed alcohol 10 0 20 4

Foreign liquor 2 0 1 0

Total 101 40 279 129

Disease Currently Suffering Availed Treatment

Male Female Male Female Diabetes 0 0 39 9

Hypertension 0 0 47 23

Tuberculosis 0 0 5 0

Heart problem 0 0 8 4

Asthma 0 1 20 9

Allergies 0 0 9 7

Ulcer Diseases 0 0 10 2

Joint Pain 11 6 156 140

Total 11 7 294 194


Page 30 of 43

100% 100%

97%

100% 100% 100%

95%

100%

90%

95%

100%

105%

Diabetes(n=48)

Allergies(n=16)

Asthma (n=30)Heart problem(n=12)

Tuberculosis(n=5)

Hypertension(n=70)

Joint Pain(n=313)

Ulcer (n=12)

Treatment availed

13%

32%

1%

54%

0% 0% 0%

20%

40%

60%

Sub Centre/ PHC Govt. Hosp. Chemist Shop Private Clinic Trad. Healer Devine Healer

Place of Treatment

12% 9%

27% 22%

10% 12% 13% 13% 14% 11% 12%

1% 2% 3% 7%

2% 4% 7% 7% 6% 4% 2% 4%

0%

14%

6% 3%

67% 63%

47%

71%

56%

68%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Alcohol locallyBrewed(n=49)

Beedi(n=68) Cigarettes(n=15) Foreign Liquor(n=7) Gutkha(n=18) Tobacco(n=366)

Habit vs. Disease

Diabetes Hypertension (BP) Tuberculosis Heart Problem Asthma Allergies Joint Pains

Among the people who consumelocal alcohol of which 67% suffer from joint pain also those who

consume tobacco68% suffer from joint pain. Joint pain is the most affected disease in this area. Almost

in every form of consumption elderly people are suffering from joint pains.

Treatment History of Elderly Population

All of the diseases Diabetes, Allergies, Heart problem, Tuberculosis etc. have affected the population.

Around 100%

patients have

availed treatment

for diseases apart

from Asthma and

Joint Pain. In

Asthma and Joint Pain more than 90% people have availed their treatment.

54% have availed

treatment at private

clinic, 32% have availed

treatment at Govt.

Hospital and 13% at Sub

Centre/PHC. Only 1%

have availed their


Page 31 of 43

treatment at chemist shop. It is clearly understood as people are going to Private clinic if MMU can

provide better facility at free of cost people will avail treatment from MMU.


Page 32 of 43

90%

81%

86%

75%

80%

85%

90%

95%

Male Female Total

Elderly people involved in different activities

35%

29% 32%

0%

10%

20%

30%

40%

Male Female Total

Elderly aware about their rights

47% 42%

37% 33%

27% 29% 22%

15%

74% 71%

59%

48%

0%

20%

40%

60%

80%

Social activities Religious activities Cultural activities Village meetings

Perticipation of elderly people in different activities


Chapter 6: Social Involvement and Abuse of Elderly

Population

Social Involvement of Elderly Population

Overall 86% (90% of elderly males

and 81% of the elderly female) of

people are involved in different

activities.Female participation is

much lesser than male

participation.

Elders mostly

participate in social

activities (74%) and in

religious activities

(71%). 59 percent elders

are involved in cultural

activities and 48% in

village meetings.

Participation in different

activities is good in Khirweri area.

Overall 32% of elderly people

(35% Male and 29% Female) are

aware about their rights. It can

be concluded that awareness

about their rights in this area is

very low. MMU can play a

positive role in it.


Page 33 of 43

Incidence of Abuse: Elderly People

Only 1% families reported abuse, 3%

observed abuse of elderly people.

Almost around 96% have confirmed

of no abuse of elders.

After the intervention of MMU units

in the area awareness level among

household have increased through

the interaction with the MMU staffs

and HelpAge India’s officials.

1% 3%

96%

0%

20%

40%

60%

80%

100%

Abuse Reported Abuse Observed No Abuse

Incidence of Abuse: Elderly People


Page 34 of 43

Chapter 7: Way Ahead

The MMU units at Khirweri a collaborative efforts between SJVN and HelpAge is a real time window for

providing health services to the residents, especially elderly residents in the Khirweri area. MMU

operation is primarily addressing health issues of old age people. Therefore, it becomes important that

effective referral links are to be established with the mainstream health system. After introduction of

MMU units in the area awareness among household have risen and they prefer modern medicine as

their first preferred remedial option.

Besides, providing health services MMU units are also supporting in the awareness generation of the

Khirweri area for elderly population. As a result abuse in the area was found negligible. This can be a

role model for other adjacent areas also.

The Project Coordinator or Project Officer plays the role of a socialmobilizer and counsellor in order to

create demand for health services among the elderly population by conducting door-to-door visits and

also working along with the availablegovernment health infrastructure and the Gram Panchayat system.

All the elderly persons are motivated and counselled to seek timely health intervention.

In a nutshell it can be says that MMU units could be one of important centre for seeking basic health

related remedies in the area and could be one of the important hub for information of the localites to

introduce other government and non-government schemes in the area.


Page 35 of 43

Annexure

Annexure 1: Household Survey Meeting Point with SJVN LTD Mr. Jamil. D. Patil, Social Protection Officer at Helpage India, introduced Mr. Manoj Kumar, Field

Manager at Octavo Solution Pvt. Ltd., and Mr. A.K. Jindal, General Plant Manager at SJVN Pvt.

Ltd.

Mr. Kumar discussed the tools being used for the survey, the scope of work and about the E-

Chikitsa data entry software.

Mr. Jindal gave Mr. Kumar permission to conduct the baseline survey in three villages—

Khirwere, Kombhalne and Poporewadi.

Mr. Jindal said the survey and the mobile medical units would only be required in these three

villages; rests of the villages are not relevant for the study.

Mr. Jindal said that not to involve local politicians in conducting the survey.

Mr. Jindal said SJVN Pvt. Ltd does not have any Memorandum of Understanding with Octavo

Solution Pvt. Ltd so Mr. Kumar should submit the findings of the survey to HelpAge India Pvt.

Ltd.

Mr. Jindal asked Mr. Kumar to identify two site locations for the mobile medical units near the

SJVN Pvt. Ltd. plant locations.

Mr. Kumar asked Mr. Jindal for a formal approval, giving permission to conduct the survey in the

three identified villages. Mr. Jindal said he would not be able to give any written approval but if I

needed any other assistance he would be happy to oblige.

Annexure 2: Local Administration Contact Details

SL. No. Name of Gram Panchayat

Name Designation Mobile Number

1. Khirweri 1- Ganpat Namdev Dagale 1- Pradhan 8275921670/02424-265002

2. Kombhalne 1- Sadgir Dattu Devram 2- Sankru Vitthal Pathve

1- Vice Pradhan 2- Pradhan

9011911204/9881057655

3. Kombhalne 1- Dagale K.B. 2- Sadgir Dattu Devram 3- Sankru Vitthal Pathve

1- Head master Primary School

2- Vice Pradhan 3- Pradhan

9372463647 9011911204/9881057655


Page 36 of 43

Annexure 3: Names of Anganwadi Workers SL. No. Village Name Area Name Aganwadi Worker

Name Name of ASHA Worker

1. Khirweri Budhvihar Prabha Laxman Rawate

Head of person Tai Bhakar Gare

2. Thirthaciwadi Manda Kashinath Dethe

3. Ambyviher Gangubai Ganpat Dagale

4. Karwadi Alimunisha Pathan Lila Rao Ji Dagale 5. Maanmodi Meera Sakru

Mengal

6. Chemdevwadi Ranjana Suresh Parad

Mansha Balu Suryavanshi

7. Wadachiwadi Yamuna Bankule Dagale

8. Kombhalne Ward Number 1 and 2

Sobha Shivaji Sadgir Anita Bhima Dagale

9. Thakurwadi Lata Bamble

10. Poperewadi Poperewadi Sunita Khokle

Annexure 4: Details of Local NGO Operating in the Areas

SL. NO

NGO Name Address Contact Person

Contact Number

E-mail id

1 SMRUTI GRAMIN ADIVASI VIKAS BAHUDDESHIYA SEVABHAVI SANSTHA

C/O-Expert Computers Opp S.T.Stand,K.G.Road At/Po/Tal-Akole Dist-Ahmednagar

Deshmukh Vivek

02424-223680/ 09423462260

[email protected]

2 BEROBA ADIVASI BAHUDDESHIEY KALAYNATMAK SEVABHAVI

kauthwadi tal:-akole dis:-ahmadnagar p.i.n:-422 604

Deshpande prakash

9423464614/ 02424-221989

[email protected]

3 KALAMBA MATA YUVA PRATISHTAN

Kalamba Mata Yuva Pratishtan At-Kalas bk. Tal-Akole

Yogesh Wakchaure

02424-243271/ 9860490320

[email protected]

4 SANKALP RURAL SEVA PRATISHTAN

Agasti Bakery,Gujari Bajar At/Po/Tal-Akole Pin-422601

Ganesh Kanawade

02424-221532/ 9960943232

[email protected]

5 ANTARBHARATI RURAL INTERNATIONAL MEDICAL EDU

At Post Virgaon Tal Akole Dist Ahmednagar Pin 422605

Anil Rahane 9765431168 [email protected]

mailto:[email protected]









Page 37 of 43

Annexure 5: Health facilities details and contacts number (PHC&CHC) in the

Survey Villages SL. No.

Name of the PHC/ CHC Village Name

Designation Name of name Contact Number

1. Primary Health Center Khirweri Khirweri Medical officer Prakash Kamble

09370212113 09405288763

Medical Assistant

Bharade 9325999685

Health Assistant Gaikwad 8888678790

2.

Community Health Center Kombhalne

Poperewadi Medical officer Prakash Kamble

09370212113

Kombhalne Medical Assistant

Harade 0750740084

Annexure 6: Pictorial Evidences of MMU Unit at Khirweri

Special Pooja by S.J.V. N. donor Mr. A.K. Jindal at Kombhalne Sub Station


Page 38 of 43

Mobile Medical Unit Khirweri Team Member Contact Person

Households Survey Sample Back Checking by Village Khirweri, Kombhalne and Poperewadi site seen

Helpage team Member

Team Work and Fun ‘N’ Food

Left to 3rd

Mr. Patel Jamil Dadamiya ( S.P.O)- 9270001586

Left to 1st

Dr. Bagad Kundlik M. ( Medical Consultant) -9763113204

Left to 4th

Mr. Sonar Jitendra N. (Pharmacist )-9689140208

Left to 2nd

Mr. Ekhande Santosh B. ( Driver)- 8378047412


Page 39 of 43

Annexure 7: Questionnaire for Mobile Medical unit Parking Facility

Field supervisor village observation schedule

SL .No Question Response

1. Name of the Village

2. Name of the Gram Panchayat

3. Name of the Block

4. Name of the District

5. Name of the State

6. Total Population in the Village

7. Total number of old age persons in the Village Male________ Female_________

8. Name of the centre point of the village MMU parking point

Hamlet Name__________

9. Mobile medical unit parking time 1st

half 2nd

half

YES NO REMARK

10. Easily accessible by four wheeler

11. Availability of Parking facility

12. Availability of drinking water facility

13. Availability of electricity

14. Availability of toilet facility

15. Availability of Primary Health Unit in the Village

16. Availability of doctor in the Village

17. Parking place is common property?

18. Available of network connectivity

19. Available of storage facility (like medicines, register, files)

Other observations of the surveyor about Village & Villagers ----------------

_____________________________________________________________________________________________

_____________________________________________________________________________________________

____________________________________________________________________________________________

Field supervisor remember

Please drawing the map of Village

Name of the supervisor


Page 40 of 43

Date

Annexure 8: Village Schedule Village Schedule : Part 1: General Information on Villager Conditions

Sl. No. Question Details Response

1. State

2. District

3. Name of the Tehsil/Block

4. Name of the Village

5. Name of the Panchayat

6. Total Population of the village

7. Total Number of Households in the Village

8. Total Number of old age population in the village (55

years and above)

Male______________ Female____________

9. Main approach to Village Pucca Road=1 Kuccha Road=2 Both=3 Other=4

10. Nearest Primary School (distance from Village) Name

Distance (Kms)

11. Nearest Town (distance from village) Name

Distance (Kms)

12. Nearest Hospital (distance from village) Name

Distance (Kms)

13. Nearest Primary Health Unit (distance from village) Name

Distance (Kms)

14. Nearest Mandi for Vegetable and Fruit

Milk & Products, Egg, Fish, Mutton,

Name

Distance (Kms)

15. Nearest Petrol Pump(distance from village) Distance (Kms)

16. Name of ASHA Worker (working In the Village )

17. Name of the Aganwadi Worker (working In the

Village )

18. Major sources of drinking Water facility in the village Tube well -1 Well -2 River -3 Pond -4 Tap water -5

19. Major sources of occupation in the Village

20. Power Supply in the village Available=1 Not Available =2

21. Status of power supply Very Inadequate=1 Just adequate=2 Adequate=3 None=4

22. Status of Transport Facility available in the village for

goods

Very Inadequate=1 Just adequate=2 Adequate=3 None=4

Respondent details:

Name:

Designation:


Page 41 of 43

Mobile Number: Landline Number :

Date of Interview

Annexure 9: Data table of the baseline Survey Table 1: Distribution of sample household (who have reported elderly population)

Village District Block Family Status Caste wise Family Distribution

BPL APL Total Gen SC ST OBC Other Total

Poperewadi

Ah

emad

nag

ar

Ako

le

12 10 22 0 0 20 0 2 22

11 1 12 0 0 12 0 0 12

Khirweri 28 25 53 3 3 11 8 28 53

95 56 151 2 4 68 75 2 151

56 36 92 22 18 11 34 7 92

24 5 29 0 3 18 8 0 29

Kombhalne 3 35 38 0 0 0 38 0 38

31 7 38 2 14 16 6 0 38

12 5 17 0 0 11 6 0 17

24 24 48 0 1 3 39 5 48

Grand Total 296 204 500 29 43 170 214 44 500

Table 2: Age-group distribution of sample households

Village Total Members

0-18 19-54 Elders Age

55-60 61-65 66-70 71-75 76-80 > 80

M F M F M F M F M F M F M F M F M F

Khirweri 1483 1237 431 354 764 635 105 117 63 49 65 45 34 23 13 8 8 6

Kombhalne 592 467 200 138 266 228 52 41 21 25 23 16 11 11 12 7 7 1

Poperewadi 170 136 58 46 78 69 16 16 10 3 3 0 2 1 2 0 1 1

Grand Total 2245 1840 689 538 1108 932 173 174 94 77 91 61 47 35 27 15 16 8


Page 42 of 43

Table 5: Awareness among elders on their rights

Village Total elders Age >55 Elders aware of their rights

Male Female Male Female

Khirweri 50 35 10 6

113 99 54 30

71 53 29 31

29 14 11 5

Kombhalne 28 23 4 4

29 19 11 3

15 8 9 4

35 31 21 17

Poperewadi 24 11 7 3

9 7 1 3

Table 3: Access and preference to medical facilities for common ailments

Village Sub center/ PHC

Govt. Hospital

Chemist shops

Private clinics/ doctors

Traditional Healing

Divine Healing

Khirweri 62 79 67 99 3 1

208 184 164 213 2 0

130 63 79 134 0 0

34 29 37 53 1 0

Kombhalne 45 54 51 41 1 0

52 19 16 48 1 0

24 16 15 37 0 0

69 58 59 29 0 0

Poperewadi 23 7 3 25 0 0

29 13 18 29 1 1

Table 4: Household preference in consulting medical facilities for common ailment

Village Single option 2 options 3 or more options

Khirweri 1 20 86

2 59 190

3 51 94

1 12 40

Kombhalne 0 5 57

1 26 25

1 20 16

0 10 60

Poperewadi 1 16 8

0 10 20


Page 43 of 43

Table 6: Involvement of elders in social, cultural and religious activities

Village Total elders (>55 Year)

Involvement of elders in

Social activities Religious activities

Cultural activities

Village meetings

Male Female Male Female Male Female Male Female Male Female

Khirweri 50 35 30 27 35 13 35 17 36 14

113 99 95 64 77 77 75 52 56 42

71 53 67 25 54 42 40 24 36 12

29 14 29 11 24 8 19 9 24 8

Kombhalne 28 23 25 16 14 9 19 9 11 5

29 19 27 16 25 14 17 9 12 4

15 8 12 7 13 7 11 3 9 3

35 31 22 18 23 19 16 23 21 9

Poperewadi 24 11 14 5 22 8 23 3 22 7

9 7 7 3 8 5 7 5 5 2

Table 7: Incidences Of Abuse Reported/Observed In Elderly Households

Village N/A Abuse Reported Abuse Observed No Abuse

Khirweri 59 0 0 48

136 2 6 109

96 0 0 53

21 0 0 33

Kombhalne 38 0 1 23

35 0 0 17

31 0 0 6

39 2 2 27

Poperewadi 15 0 0 10

25 0 0 5

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Site Selection For MMU and Baseline Survey Reportsjvnmmu.co.in/signin/donor_baseline_reports/Khirweri.pdf · 2018-12-24 · MMU unit can play a positive role in it. 25. Only 1.16%