VULNERABILITY MAPPING OF RAYAGADA DISTRICT FOR EPIDEMIC DIARHHEA
Core committee for diarhhea management in Rayagada.
A core committee has been set up at the district level under the chairmanship of Collector Rayagada. The CDMO is the member convenor and the other prominent members are DFO, DPM NRHM, Executive engineers of PWD, Rural Development, Rural Water supply and Sanitation, DPC DPEP, DWO, DSWO, and others. In the core commitee meeting issues related to the planning of management of epide mic diarrheal disease were discussed. Later in a press conference, the details of the plan were explained to the media persons.
The diarhhea management plan includes:
1. Vulnerability mapping of the entite district based on the folllowing indicators:
A Previous incidences of epidemic diarhheal disease, its intensity and length
b Connectivity profile of thst area which includes analysis of the terrain, icluding telecommunication aspect
c Coverage fro health sector such as PHCs, sub centres and like anS Secd Presence of other linked depts such as ICDS and Veternary
d and lastly, the prevelant socioal and cultural traits of community
Accordinly six compact zones have been identifies as the most vulnerable, these include
1. Siripai subcentre area of Kashipur PHC along with Sunger, Adajore and Mandibisi GPs
2. Serigumma subcentre area of Shikarpai PHC of Kalyansinghpur block.
3. Sahada PHC and Madhuban PHC area of Bissamcuttack and Gudari block
4. Both the DKDA area, Chatikona of Bissamcuttack block and Parsali of Kalyansinghpur.
5. Kumbhikota ICDS sector of Rayagada block
6. Jangili and dangodi area of Jemadeipentho PHC area Rayagada block.
Along with these six, two morw compact zones i.e, Lanjia saura devlopment agency area in Gunupur block and Bijapur subcentre area of Chandrapur block have also tentatively included in vulnerable category. The rest of the district is in the alert category.
2. As a preventive meaure, the district administration intends to start Temporary treatment centres ( TTC) in atleast three places in the first two vulnerable zones, which was the focal point of last years diarrhea outbreak. The support of the state govt's health dept is much required by the way of temporary deployment of doctors in these TTCs and filling up the vacant posts of doctors in the long run.
3. Surviellance of of utomost importance for prevention of any epidemic outbreak and for a prompt response in case of any eventual outbreak. A nodal officers system from the village to block level for atleast two blocks, Kashipur and Kalyansinghpur, has been worked out, which will report to the health control room in the district HQ hospital. Along with this a mobile surviellance system is to be put in place to oversee the situation.
4. Infrastructure and manpower of Village level 'vana suraksha samiti' is also to be utilised for this purpose.
5. SOUTHCO the electrical dist com, has been entrusted witht the task of completion of the electrification of all the PHC new and subcentrs in the vulnerable area.
6. RWSS has already completed most of the projects for tubewell sinking and pipe water scheme in the vulnerable as well as other areas.
7. As per the sugesstion of the district administration the state governemtn has already set up a branch of Regional Medical Research centre in Rayagada. This will help to analyze the trend of devlopment of dirahheal disease and enable us to anticipate the time and location of occurence of any epidemic, in case one arises. Already water samples and rectal swabs are being collected from different areas and analysis of it will begin from monday, 18th july 2011.
8. Lastly the aspect of sensitization of community was discussed and explained in detial. The measures such as massive postering campaign, sensitisation of GKS and aspect of sensitization through audio visual meduim such as Jingles on AIR and telefilm in Kui language was explained in detail to the press.
As a part of the preparation for the come rainy season and to counter any possible outbreak of diarhheal disease epidemic in the district, Rayagada district administration had planned for massive sensisitisation of the community, particularly the tribal communities in remote interior areas such as Kashipur, Bissamcuttack and Gudari. The strategy for sensitisation is to explain the correlation of unsafe drinking water with diarhheal diseases such as cholera and also that during rainy season water in the natural streams tends to get more contaminated beacuse of mixing of contaminating material such as filth from the nearby villages and feacal matter due to open defeacation. The consumption of this type of water leads to epidemic diarhheal disease' such as cholera.
The district adminstartion has planned massive sensitization on this aspect. The strategy involves pasting thousands of posters bearing pictorgraphical messages regarding Dos and Donts about diarhhea. Jinles are being played on All India Radio and to add to it district administration is liberally using the audio visual medium.
To elucidae this aspect and genesis of epidemic diarhheal disease, in a way the tribal communities can understand, appreciate and internalize, Rayagada district administratin with the support of NRHM has made a short film in the local 'kui' language.
The short film is made from the concept of Dr.Nitin.B.Jawale, IAS Collector and District Magistrate Rayagada and is directed by Sri. Ashok Mishra of All India Radio, Jeypore station. This short film, which has also been uploaded on the district youtube channel, will be shown in all the villages, at all Haat (market) location, in schools and other important public locations such as bus stands and railways stations and PHCs. Sensitisation is the key in not only preventing diarrhea epidemics, but also to manage the situation in case of an outbreak.
Another important aspect is to sensitize people about individual and community sanitation, which includes sensitisation of Gaon Kalyan samitis about their role in overall health management in their village in general and diarrhea & malaria management in particular. CARE is the nodal NGO identified by NRHM to senistise GKS through a network of other NGOs.
AREA OF OPERATION: THE TWO STREAMS MARKED WITH BLUE BALL PEN
EXPLAINING THE PLAN OF ACTION
DIARHHEA MANAGEMENT: DOWN STREAM CONTROL MEASURES KOLNORA AND BISSAMCUTTACK BLOCK
After the recent detection of four diarrhoea cases in two blocks ( 2 in Jhigidi village, Bissamcuttack and 2 in Kumbhaiguda village, Kolnora block) the district administration has started full fledged control measures in these two block in a village cluster and downstream management mode. Collector Rayagada visited the cluster of villages around Kumbhaiguda village and assessed the situation there. Similarly Sub Collector Gunupur, Jayakumar, IAS was sent to the Jhigidi village to conduct similar control exercise.
Downstream control measures involves sanitising the entire stream on whose banks even a single village reports case of epidemic diarrhoea. The process involves disinfection of the stream by the way of chlorination starting from atleast 4 villages upstream and covering the entire length of the stream till its meets the major water body. The places for sanitisation/ chlorination is at the place about 100 meters upstream from a place where the village folk utilises the water. Tube well chlorination have been completed twice, but in such cases as a precautionary measure all the tube wells in this cluster is chlorinated once again. this practice was started last year and was a brain child of Collector Rayagada. This year its efficacy and preventive value will be studied in detail by RMRC scientist and RWSS, by measuring the chlorine concentration at the user point.
STREAM SANITIZATION BY CHLORINATION
For last one week there have been no cases and if the situation is kept under control for another two weeks this season will pass off without any epidemic. Collector Rayagada said that the the district administration is very serious about its objective to prevent any epidemic outbreak and even a single cases is fought with the same seriousness as what would be required to fight a big epidemic.
