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FUTURE THRUSTS 

Strategic Planning Process (SPP)

With a Human Rights Based Approach, CHAI has initiated in January 2013 a participatory Strategic Planning Process with its MIs to meet the emerging challenges towards achieving universal access to Humanized, Affordable, Rational and Quality Health Care, and Positive Health for all, especially the socio-economically vulnerable people.  The process is now being partnered with Catholic Bishops Conference of India (CBCI), Conference of Religious India (CRI) and the healthcare networks of other Christian denominations, such as, Christian Medical Association of India (CMAI), Emmanuel Hospitals’ Association (EHA), etc. to form a national level Christian Healthcare Network and advocate the rights to health.

The stated health care network applies ‘hub and spokes’ model – with various types of community health centres in a rural medically underserved cluster/block is affiliated to a secondary level hub hospital, providing technical support to them, while they maintain their individual identity. Various block level clusters with their hubs then gets federated to district level with tertiary hospital acting as a main hub and referral facilities providing critical care. The same hub and spokes model of referral network is replicated at State and National level as part of a National health care network, not only providing technical support to the units down to offer quality health service delivery but also advocating their rights with a view to ensure right to health to the marginalized and engaging in policy practice as a reckoning force – promoting evidence based action resulting from research based evidence. Though out the process, the sisters of various religious congregations under CHAI acting as a national platform are capacitated to take leadership at all levels. They in turn facilitate and enable communities in their respective operational areas to organize, demand and access rights and entitlements from the perspective of right to health, with emphasis on the marginalized and vulnerable communities, especially women and children among them. 

Sr. Dr. Mary Glowrey Knowledge Center (MGKC)

  • To establish a world class ‘Knowledge and Advocacy Centre’ – promoting Evidence-Based-Action resulting from quality research – scientifically rigorous, and field-based, in program settings  (with focus on the public health domain and other determinants of health)
  • To develop and disseminate evidence-based information for policy decisions and interventions, benefitting especially the marginalized
  • To build public health capacities of healthcare professionals
  • CHAI and a national Christian Health Care Network to be a reckoning force in policy practice
  • To build strong relationships among stakeholders at all levels 

Prathyasha (Ray of Hope for the Terminally Ill Patients): A Model Interdisciplinary Holistic/‘Whole Person’ Palliative Care & Training Centre

  • Located at Medchal – Ranga Reddy District of Telangana State
  • Provide hands on training to doctors, nurses and social workers in multidisciplinary ‘whole person’ palliative care
  • Providing pain relief and palliation to the terminally ill patients; counseling services and spiritual support for the terminally ill patients and their family members, including bereavement counseling.
  • Build and facilitate a model Caring Community of Volunteers and family members to assist the patients and their family members
  • Following hub & spokes approach, Prathyasha, acting as a hub, provide technical support via tele-consultation/conferencing to other 10-bed sub-units to be maintained by CHAI MIs within the State of Telangana and other States across the country. 

Re-Positioning of Sister Nurses – The Paradigm Shift as ‘Community Health Activists”:

  • Paradigm shift in the role of sister nurses as ‘Community Health Activists’, meeting the emerging health issues due to changing legal environment, demographic and epidemiological transition.
  • With this end in view, the sister nurses are trained in diverse skills/practices:
  • Hands-On training on Maternal, Neonatal, Child and Adolescent Health (MNCAH)
  • Facilitate a group of village volunteers/mentoring health workers and lead outreach services: pregnant women, new born care, early detection of communicable & non-communicable diseases (using low cost diagnostic tools including HB meter, Oxymeter, etc.) and do referrals
  • Training on Herbal Medicines as home remedies & kitchen gardening and low cost nutrition techniques
  • Training on Family and De-Addiction Counselling
  • Training on Alternative Healing Modes
  • Training on Communitized Health Care – building people’s ownership of village public health programmes/implementation of schemes, etc.

OUR MAJOR PROJECTS

  • In collaboration with RNTCP, since 2010, CHAI is implementing Project Axshya (The UNION / GFATM – Round 9: Civil Society Engagement in prevention & control of TB” ) for TB, in collaboration with 2880 Health Volunteers (Axshya Mitras) of 380 NGOs, in 96 districts across 10 states (Maharashtra, Kerala, Karnataka, Tamil Nadu, Jharkhand, Madhya Pradesh, Chhattisgarh, Uttar Pradesh, Punjab and Nagaland). The aim is to improve the reach, visibility and effectiveness of RNTCP through civil society, with a strategic thrust towards the engagement of community groups and healthcare providers, empowering the affected communities and strengthening health systems. CHAI Akshya Project has reached over one million people through various interventions in last one year. The Axshya Mitras have visited 1,156,862 households creating awareness about TB actively identifying people with symptoms and linking them to with diagnostic and treatment services under RNTCP. These have led to over 44,178 symptomatics undergoing sputum examination, nearly 138,343 sputum samples collected and transported to the DMCs. Of these, 16,647 patients diagnosed with TB & 16,630 put on treatment.
  • People with Disabilities (PwDs): CHAI with support from various donors, especially Liliane Foundation (LF), provides education, health & rehabilitation support annually for over 10,000 differently abled children/young adults, mainly in partnership with 116 Partner Organizations (POs), spread across 8 States of India (Andhra Pradesh, Telangana, Maharashtra, Karnataka, Tamil Nadu, Kerala, Orissa and Gujarat) provides support for comprehensive rights based assistance to persons with disabilities, belonging to marginalized families.
  • With Misereor’s continued support, CHAI implements the project Community health services, scaling up its interventions, carried out in the past project phase, on communicable diseases with special focus on HIV/AIDS (mainly PPTCT), NDCP, promoting collaboration with Govt./National Health Mission (NHM) to complement public health schemes under PPP mode and promoting communitized health care, in 390 village communities, covering 9 States (Andhra Pradesh, Telangana, Madhya Pradesh, Chhattisgarh, Uttar Pradesh, Rajasthan, Tamil Nadu, Odisha and West Bengal), involving 390 Community Health Volunteers under the facilitation of 60 Community Coordinators of 60 Member Institutions under the facilitation of CHAI’s 6 Regional Units.
  • Supported by Kindermissionswerk – Germany, CHAI has initiated a pilot project “Promoting MCH through Mothers’ Clubs” in 7 states (Jammu & Kashmir, Uttar Pradesh, Jharkhand, Kerala, Rajasthan, Madhya Pradesh and Uttarakhand) – providing comprehensive maternal health care (antenatal/ Intranatal/ postnatal care, nutrition support, child care, mothers’ club for awareness creation, etc.) to 1000 pregnant women, identified through CHAI’s ten Member Hospitals in rural areas, over a period of 1000 days – from pregnancy to the child’s 2nd birth day. The project is also an Action Research to refine the model for sustainable scaling up.
  • With support of GAVI / CRS, implements ‘GAVI*-CSO Alliance’ project, facilitating a nationwide platform of 188 CSOs, as on date, under “the Alliance for Immunization in India” (Aii), to engage them effectively in country’s immunization programme, covering 4 States (Rajasthan, UP, Bihar and Jharkhand) with a National Steering Committee located in Delhi. The Steering Committee is constituted of representatives of UNICEF, WHO, UNDP, PHFI-ITSU, PATH, CORE Polio, MCHIP, BMGF, Save the Children, CMAI, ADRA, PCI, GHS, MAMTA, World Vision, IAP and functions in collaboration with the Ministry of Health & Family Welfare, Gov. of India. Currently, Aii collaborates with Mission Indradhanush – intensified Routine Immunization campaigns to reach the immunization coverage from 65% to 90% – in 201 high focus districts in 28 States/UTs which account for nearly 50% of all partially vaccinated or unvaccinated (no vaccination) children. (*Global Alliance for Vaccines and Immunization)
  • In spite of the fact that Govt./NACO stopped supporting them in April 2013, as part of mainstreaming HIV/AIDS into general health system but without proper transition plan, CHAI MIs continue to implement 90 Holistic Care Centres (HCCs) supporting PLHIVs – formerly Community Care Centres (CCCs), covering 17 States (Andhra Pradesh, Telangana, Bihar, Chhattisgarh, Gujarat, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Nagaland, Rajasthan, Tamil Nadu Goa, Delhi, Manipur, Odisha and Maharashtra). Thirty of these HCCs are being supported by Misereor, Germany.
  • With support from WDF and in collaboration with 8 MIs covering 5 districts of Uttar Pradesh, CHAI implements the 2nd phase of prevention and control of diabetes project. In the 1st phase, reached over 400,000 with messages on diabetes; screened and tested 51,002 – with 7.64% & 2.38% of 1300 pregnant women, tested positive for diabetes and referred for treatment. The 2nd phase of the project starts in July 2015.
  • CHAI implements the CMAI – CDC QMSBB project – one of the key priority areas of NACP IV, in 5 zones covering 22 States/UTs (Madhya Pradesh, Chhattisgarh, Uttar Pradesh, Uttarakhand, Bihar, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Tripura, Sikkim, Arunachal Pradesh, Gujarat, Rajasthan, Dadra Nagar Haveli (DNH), Daman and Diu, Maharashtra, Mumbai, Goa, A.P and Telangana). The project aims to strengthen and support the quality management systems in blood banks to ensure access to safe and quality blood in remote areas in the shortest possible time. The project’s core activities for providing technical support to DAC are: situation Analysis of the National blood transfusion systems; strengthening National Blood Transfusion Council (NBTC) & State Blood Transfusion Council (SBTC); capacity Building of health care providers; quality systems strengthening of blood banks; estimation of national blood requirements and E-Blood Banking.
  • With support from Kindermissionswerk, provides nutrition and education support to Orphan & Vulnerable Children (OVCs), infected and Affected by HIV/AIDS, covering 2 States (Andhra Pradesh, Telangana and Karnataka).
  • Augustine Stewardship Fund– implemented currently by 25 MIs – of 12 States (AP, Telangana, MP, Nagaland, Manipur, Mizoram, Karnataka, Tamil Nadu, Chhttisgarh, Delhi, Jharkhand and Rajasthan) – providing support for children infected/affected by HIV/AIDS.
  • CHAI implements the USAID-KHPT CABA project with the goal of increased access to priority health, educational, social protection and welfare services by children affected by HIV/AIDS (CABA). The projects main objectives are: to identify and profile girls and boys living with HIV and affected by HIV, and provide quality and timely treatment, care and support; to increase access to and utilization of priority health, educational, social protection and welfare services, by children affected by HIV/AIDS and their families; and to strengthen inter-sectorial collaboration between various government departments to ensure that CABA are provided all essential services. Towards realizing these objectives, CHAI currently implements the project in 7 districts of the State of Maharashtra (Dhule, Ahmednagar, Yavatmal, Solapur, Sangli, Kolhapur & Mumbai) by undertaking district-wise situational need assessment; resources mapping of all facilities with sick children; formation of a network of all the mapped institutions; trainings for the care givers and counsellors/nurses in CLHIV institutions, with special emphasis on providing psychological support.
  • Telemedicine project in 60 Centers – by effectively linking them to expert doctors – annually benefitting 93,600 patients of medically underserved areas.
  • Supported by Misereor, Solar Energy Initiative helps CHAI MIs become energy-efficient and sufficient and environment friendly – in 57 MIs’ health care facilities of 5 States (Odisha, Jharkhand, Bihar, Uttar Pradesh and West Bengal).
  • Provides support annually for over 200 poor patients for kidney dialysis, with V-Guard Industries
  • With support of WonderWork, USA, helps more than 400 patients from the marginalized families undergo free Cataract Surgeries, in collaboration with MIs.
  • Research: During the last one year, 25 research papers were presented at international conferences and concept notes were accepted by various national and international agencies. The most recent ones being: 8 Poster Presentations at World Conference on Lung health held in November 2014 in Barcelona & 3 abstracts for oral presentation and 2 for poster presentation at the World Public Health Congress (11th to 15th February 2015) in Kolkata – with its poster on diabetes accepted as one among 20 out of 420 posters & 1 abstract for oral presentation and 1 for poster at 16th World Conference on Tobacco or Health, March 2015 in Abu Dhabi.
  • Capacitated over 10,000 health personnel in last five years on various issues: community based rehabilitation; herbal/alternative system of medicine; spiritual/pastoral care; telemedicine technology; HIV/AIDS – care, support and treatment; geriatric care; nurse practitioners training and hospital administration.
  • Nursing Schools & Colleges: As on date, out of 134 Catholic nursing institutes, 91 are school of nursing training GNMs (6 training ANMs) & 43 provides training in B.Sc. Nursing (including 3 having M. Sc. Nursing). While 38% are located in rural areas, 62% are in urban areas. 40 of them are catering mostly to tribal and backward populations. All these institutions together, as of now, train over 8500 students a year. (34 of these nursing institutes are CHAI MIs.)
  • Education Scholarship Funds – for providing scholarships to women religious for medical studies
  • CHAI Internship is frequented by volunteers and interns who come here from all over the country and go back with an enriching experience. The internship placements provide the students with an opportunity to apply their knowledge to practical work and develop skills in various sectors and contribute as a volunteer to health and for the development initiatives.
  • ‘Health Accessories for All’ (HAFA), the publication wing of CHAI publishes a monthly magazine Health Action – with subscription base of over 5000.
  • Advocacy: CHAI being the national body of catholic health care institutes across the country, it shoulders the responsibility of advocating for health policies and interventions at national, state, districts and grassroots level.
  • Disaster interventions: CHAI’s has the ability and availability for instant response in mobilizing resources and personnel to carry out relief work, providing medical aid, psychological, social, emotional and spiritual rehabilitation and attending to hygiene and sanitation issues.  CHAI’s post flood disaster relief intervention at Uttarakhand in June to December 2013, reaching out to over 65258 victims, won great appreciation from the government. Certificate of Merit was awarded in recognition of the commendable medical and relief work done during the devastating disaster that struck Uttarakhand on 16 and 17 June 2013. CHAI’s Member Institutions also rendered remarkable outreach services in Sep. 2014 in the flood-affected areas of Jammu & Kashmir. Currently teams from CHAI MIs do medical camps and psychological first aid activities in Nepal.
  • Partnering with Vitamin Angels – USA & the AmeriCares India Foundation, CHAI MIs provides vitamin A tablets, multiple micronutrients supplements and essential medicines to save lives, reduce illness and promote physical and cognitive development. 
  • E-learning: CHAI is collaborating with Wadhwani Foundation for providing high quality, technology enabled E-Courses to Nurses working in our member Hospitals to equip them with latest skills needed to be effective professionals.
  • In collaboration with IBHAR Technologies Pvt Ltd., CHAI facilitates its MIs in NABH Entry Level Accreditation process.
  • CHAI partners with IIEMS for conducting American Heart Association (AHA) certificate courses, in basic life supporting skills, at the campus/sites/hospitals of CHAI Member Institutions’.
  • Launched Nutrition Fund providing nutrition support to PLHIVs/CLHIVs with special emphasis on those infected by TB among them & other TB patients as part of treatment adherence and continuum of care.

 

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