Mental Health:Pioneering in Mental Health in the State of Odisha
Peoples Forum today is recognized as one of the pioneer organizations working on the issue of mental health in the State of Odisha. It is till date the only organization of its kind in the Eastern part of the Country that support mentally ill destitute women.
Mission Ashra for Mentally Ill (MAMI)as theprogram is now referred to as, envisions to reach out to the remote parts of the Country to provide quality services to the people affected with mental illness. Under the initiative local level satellite centres are being planned to be set up to reach out to a wider population. These centres will provide integrated services, from rescue, treatment, rehabilitation to reunion with their family members and will target both men and women suffering from mental illness. It also plans to bring into its purview old aged people suffering from physical or intellectual disability and having none to take care of them. All the satellite centres will be linked with main Ashra centre through tele-communication and skype facility so that support and regular hand holding can be done from the central team to help these centres become independent. Each of the centre would have a centre coordinator, counselors, case workers, nurses/pharmacist. Besides this doctors would be available on call or on part time basis
Understanding mental health issues – The WHO preamble states that ‘health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’, suggesting there is no health without mental health.
Various statistics suggest that one in four people in the world suffer from mental or neurological disorder in their lifetime. Around 450 million people currently suffer from such conditions, placing mental disorders among the leading causes of ill-health and disability worldwide. Treatments are available, but nearly two-thirds of people with a known mental disorder never seek help from a health professional. Stigma, discrimination and neglect prevent care and treatment from reaching people with mental disorders, says the World Health Organization (WHO). Where there is neglect, there is little or no understanding. Where there is no understanding, there is neglect.
The magnitude of mental health burden is not matched by the size and effectiveness of the response it demands. Currently, more than 33% of countries allocate less than 1% of their total health budgets to mental health, with another 33% spending just 1% of their budgets on mental health. A limited range of medicines is sufficient to treat the majority of mental disorders. About 25% of countries, however, do not have the three most commonly prescribed drugs used to treat schizophrenia, depression and epilepsy at the primary health care level. There is only one psychiatrist per 100 000 people in over half the countries in the world, and 40% of countries have less than one hospital bed reserved for mental disorders per 10 000 people.
The poor often bear the greater burden of mental disorders, both in terms of the risk in having a mental disorder and the lack of access to treatment. Constant exposure to severely stressful events, dangerous living conditions, exploitation, and poor health in general all contribute to the greater vulnerability of the poor. The lack of access to affordable treatment makes the course of the illness more severe and debilitating, leading to a vicious circle of poverty and mental health disorders that is rarely broken.
Community Health:This is an initiative to reach out to urban slum dwellers and outdoor patients and provide support for general health issues, mental problems and cataract treatment.
National Urban Health Mission – People’s Forum is working as NGO partner for National Urban Health Mission to provide support in the field of community mobilization, demand generation and community engagement. The area of operation is Dhenknal and Slums of Bhubaneswar. In Dhenkanal the organization is covering 10 wards ( ward 13- ward 23), about 600 Households. In Bhubaneswar approx 6000 HHs are covered targeting about 23,000 population in 36 slums.
As NGO partner the Organization is playing proactive role in the following spheres –
Strengthening and operationalization of Mahila Arogya Samiti
Fictionalization of ward kalian samiti
Strengthening of ASHA activities
Strengthening of fixed day immunization
Regular observance of urban health nutrition day
Field survey, preparation of health resource map, communication activities
Advocacy on key health related issues
Any other community based activities as per the need of the operational city
About National Urban Health Mission - National Urban Health Mission (NUHM) as a sub mission of National Health Mission (NHM) was approved by the Cabinet on 1st May 2013. It envisages to meet health care needs of the urban population with the focus on urban health care needs of the urban population, by making available to them essential primary health care services and reducing their out of pocket expenses for treatment. This is mainly achieved by strengthening the existing health care service delivery system, targeting the people living in slums and converging with various schemes relating to wider determinants of health like drinking water, sanitation, school education etc implemented by the Ministries of Urban development, Housing and Urban poverty alleviation, Human resource development and Women and child development.
Need based city specific urban health care system to meet the diverse health care needs of the urban poor and other vulnerable sections
Institutional mechanism and management systems to meet the health related challenges of a rapidly growing urban population
Partnership with community and local bodies for a more proactive involvement in planning, implementation and monitoring of health activities
Availability of resources for providing essential primary health care to urban poor
Partnership with NGOs for profit and not for profit health service providers and other stakeholders
The program covers all State capitals, district headquarters and cities/ towns with a population of more than 50,000. It primarily focus on slum dwellers and other marginalized groups like Rickshaw pullers, street vendors, railway and bus station coolies, homeless people, street children, construction site workers etc.