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5 Hours Jam

Eyes are among the most important organs of the human body. Without the tiny eye balls one cannot see the beauty of the world. To help people see this beautiful world & make life easier, MAHAN regularly conducts eye surgery camps with the help of like-minded people, organisations, doctors etc.
There are lot of things need to be done as pre work before such operations. Here is one of not so unusual experience during pre work.
Before surgery camp, patients have to be screened. This screening generally happens at villages as due to unavailability of approach roads, lack of means of transportation, lack of awareness & forest area, patients cannot visit hospital.
Dr. Kavita was heading towards one of such villages in tribal part of MP (Madhya Pradesh) state. Team had to cross the river but there was no bridge on the river. As water level had gone drastically down, driver drove the ambulance through the river water but unfortunately it got jammed into river, (in photo below). With some hard efforts, team of driver Fugansa, Rajkumar & Krishna got ambulance out of river. After reaching to village Kavita completed screening.
Next day same team again went to similar area & through same river. However this time experience was different & horrifying. Vehicle got stuck into river & it took 5 hours to take it out with the help of nearby tribal & tractor. Spending 5 hours in forest in aloof area with no nearby assistance is difficult to explain but life long experience. Subsequently team went to village, did screening & returned back.
However the pathetic condition of patients before treatment & post treatment improvement in their daily life, make team forget horrifying obstacles & give work satisfaction.
During this camp an old blind poor tribal lady was weeping in the operation theatre and sharing her woes about her daughter in law who used to scold her because she could not look after her grand-children.
Another patient said that her son and daughter in law had arranged to keep a four year old grandson to take care of her, when they go for daily wages. The grandson, who himself was dependent on others, often used to play outdoors, rather than taking care of his sightless grandmother.
Fifty seven of the poorest of the poor neglected tribal from the remote places of Dharni region and Madhya Pradesh were benefited by the camp.
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World CSR Congress Award-

World CSR congress conferred 'MAHAN' with ' Certificate of Merit' in Feb 2016.

It is for making a difference to the lives of tribal in Melghat India. For the quality of work, rural reach and outlook and ability to contribute value of social change.
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AmeriCares INDIA - 6th Spirit of Humanity Award

Dr. Dani & Dr. Satav Receiving award

AmeriCares India conferred MAHAN with 6th Spirit of Humanity Award 2015. The Spirit of Humanity Awards, by AmeriCares India- partner with Bristol-Myers Squibb, honor excellence by MAHAN working for the underprivileged, especially in the health care sector (especially for child health).
MAHAN was conferred this award in 2011 as well.

http://www.americaresindia.org/india-newsroom/press/americares-india-announces-2015-6th-soh.html

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How and When did this start :-

As a medical student, Ashish visited various rural and tribal health projects run by Dr.Prakash and Dr.Manda Amte ; Drs. Abhay & Rani Bang, Dr. Ravindra Kolhe, Dr. Sudarshan, etc. His visits to tribal areas helped him realize that the tribal areas need medical facilities to a much larger extent as compared to rural areas in our country.
During Post Graduation,at Government College, Nagpur, he lived a very simple life and managed a little savings. In 1998 he resigned from the MGIMS, Sevagram and registered a voluntary organization named 'MAHAN' and started hospital in Melghat. In the beginning, there was no financial support from anybody. He used his savings for running hospital in Melghat. After few months started some help coming in. First one & major help was from honorable Dr.Sushila Nayar President Sevagram Medical college. Click here to read more about supporters.
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WHO honours public health champions-

WHO India cheif Mr. Henk Bekedam
Conferring award to Dr. Ashish
Dr. Ashish Satav, MAHAN is conferred with 'Public Health Champion 2016' award by WHO for 'Outstanding Contribution to Public Health in Country' on 7th Apr 2016 at New Delhi.

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8/11/16
3 Photos - View album

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Our Background :-

MELGHAT known to the outside world by two words “Malnutrition” and “Project Tiger’’, a hilly forest area in the Satpuda mountain ranges is a habitat for Tiger, Bison, Bear, snakes and many more animals. ‘Melghat’ stands for its name, which means ‘cluster of Ghats’.This region is situated 150 Km away from district place Amravati & to reach there one has to cross the forest, mountains & zigzag road(sharp Ghats) of approximately 100 Km. In summer temperature sore up to 48 Deg C, in winter mercury goes down up to 2 Degree C & It rains heavily (up to 1500mm) in rainy season. During rain, many times electricity, communication & transportation system collapses completely, sometimes continuously for 8-10 days. Total 320 villages spread over the area of 4000 sq. km are located far away from each other having population density is about 60-70 person per square kilometer. Many of these villages are with very poor and are deprived of facilities like connectivity, transportation, communication, electricity, basic amenitites. These villagers are highly lacking with facilities to education and health care. Approximately 75% of the population is tribal with Korku as main tribe. Most of the tribal (>90 %) are farmers or labors living very hard life. Most of the tribal (>75%) are below poverty line & illiterate (>50%), living in hamlets (>90%).


Melghat on Health Front -

Government of India has provided Health Care facilities which includes a total 11 primary health centers, 2 rural hospitals & a sub-district hospital in Melghat region. There are two pediatricians who serve in this region however no gynecologist or anesthetist or surgeon works in the area. There is absolutely no facility for conducting cesarean section or neonatal care for new born critically ill babies.

Various health programs are implemented by the Government to improve infant and child care in this area, including integrated child development schemes for food supplementation by Self Help Groups (SHGs) and weight record of children, immunization, de worming and distribution of oral re hydration solution (ORS) by the paramedic workers.

Inspite of above main issues in Melghat were high Premature adults deaths, Maternal mortality rate, malnutrition & deaths to due that & home deliveries (>80%.) [Under 5 children mortality rate was >100 per 1000 live births & Infant Mortality Rate (IMR) was >70 per 1000 live birth. Prevalence of sever malnutrition was more than 10%.]
This is due lack of proper & functional medical facilities (availability of doctors, staff, medicines, instruments etc.)and the tribals owing to their ignorance have consistently failed to seek medical help, instead prefer the traditional faith healers (known as bhoomka's) for treatment. These quacks also known as pujari's sometimes use cruel methods such burning the skin with red hot iron known as "Damma".
Besides, this area is faced with several other health issues such as tuberculosis (pulmonary, skin and spine), pneumonia, malaria, diarrhoea, etc. To add, problems due to addiction (Tobacco, Ganja, Addiction) such as carcinoma, alcoholic gastritis,etc & animal bites are very prevalent.
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MAHAN Trust received several such awards for more details visit http://www.mahantrust.org/awards-felicitation

Village Health Workers (VHW)-Amazing stories

To overcome the issue of patients & doctors reaching each other, Village health worker or bare Foot Doctors are developed. MAHAN has given special training to them & keeps their knowledge updated. These tribal female are semi literate or illiterate. You must have read about this in one of our blogs on same website. This model helped to reduce the under 5 children mortality rate by 55%. In addition to other amazing stories mentioned earlier, here are 2 more.

1. These VHW also give injections also. Till date these VHW has given 2500 injection without any episode of injection abscess .

2. To overcome issue of VHW faces in reading the name of medicine in English, MAHAN has written those in Hindi language. But what about VHW who are illiterate? MAHAN has given them training by which they know which medicine to be given based upon symptoms & these VHW know it by heart. They then ask one of family members or neighbor to find out that particular medicine from Medical kit. Family members or neighbor then read Hindi name of medicine & give it to VHW. This way successful treatment happens.

Our Government policy changes :-

Research, Analysis, Advocacy& Public Interest Litigation (PIL) by MAHAN over the period, resulted into state govt. framing new policies, improving existing policies & implementing the models developed by MAHAN at other places as follows.

* Rajmata Jijau Mother and Child Health &Nutrition Mission’ of Maharashtra Govt., accepted the MAHAN’s finding about real status of severe malnutrition& child deaths in Melghat & later on observed similar findings in all tribal blocks of Maharashtra. This has impact on state level policies for malnutrition.

* Home Based Child Care’ program will be replicated throughout Melghat by govt.

* Village Child Developmental Centers’ (VCDC), a modified version of ‘Home Based Feeding’ concept, devised by MAHAN, is accepted by Rajmata Jijau Mission of Govt. of Maharashtra as state wide policy. MAHAN is part of planning policy committee for the VCDC for the entire state of Maharashtra.

*After recommendation by Dr. Satav (MAHAN + KHS), honorable governor of Maharashtra asked government to attach medical colleges to tribal hospitals. State govt. has made it state policy so that now specialistdoctors will be regularly available in the tribal areas.

and many much more policy changes for more details visit

http://www.mahantrust.org/policy-changes

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For more such success stories You visit our blog -
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