A Concept Note on Mother’s clubMrs Monikha Bura Gohain District Programme ManagerNational Health MissionDibrugarh

Mothers’ Club A drive for community

development in Tea Estates through

Women Empowerment with Support from Tea Garden

Management and Community

INTRODUCTION Assam is the highest tea producer state in the

country with 55% of the total production. About 20% of the total population of the state belongs to the tea growing communities. Many studies on the health status revealed that amongst them anaemia, hypertension, malnutrition and diarrhoeal diseases are major contributing factors to morbidity resulting in high maternal and infant death.

It was also observed that there was increase in maternal mortality ratio (MMR) i.e. 436 in 2011-12 to 404 in 2012-13 (Annual Health Survey) in

upper Assam which comprises of maximum numbers of tea gardens. It was revealed that

maximum number of maternal deaths in PHCs, CHCs and District hospitals were from the tea

tribe community.

Community awareness is one of the way by which we can educate them by forming Mothers’ Clubs in the Tea

gardens.

Aim

Overall development of Tea community in Tea

Gardens

ObjectiveCreate awareness on family welfare activities

among Tea Garden women population for overall community development

MethodologyFormation of Steering CommitteeSelection of VolunteersTraining of VolunteersSelection of thrust areasRegular monitoring & TrainingDischarge of duty

Steering CommitteeChairman: ManagerVice Chairman: Dy. Manager/ Asst. ManagerPresident: Estate Medical OfficerSecretary: Labour Welfare OfficerSupervisor: Health AssistantMembers: ANM, School Teachers, Union

Representative (President &

Secretary), Line Chowkidars

VolunteersPreferably educatedLeadership qualityAcceptance by peopleWorker / Non-worker1 / 2 per Line (Approx 500 pop / Volunteer)Identification: White Sari /c green

boarder,green blouse, Bag, Pen, notebook

TrainingPrior forming M. Club:

4 days short course with set modulesTraining by trained TrainersJoint training

Post forming M. Club:Monthly during monthly meetings

Thrust AreasMCH care

Family planning: Sterilization, Oral Pills,Condom

VaccinationAnte & post natal check upCare during pregnancy: distribution of

Iron FA

Assisting hosp. delivery

Breast feedingCare during weaningVit. A

Common Medicine depotORSFever Diarrhoea

Follow up of diseases – TB, malaria, GE etcEducation – school drop out etcOrganizing Line meeting, Street play etc.Reporting of birth & deathSavings: AlcoholismCommunicable diseases: soil, water & air

borne reporting & action

Hygiene & sanitationPersonal: daily bathing, nail trimming, clean dress,

Washing hands, storage of drinking water, use of mosquito nets & repellants, utensil care

Community: Water, Aqua Privy, Open air defaecation

Housing, excreta disposal, compound cleaning, School,

Economic:family budget, Common diseases: worms, diarrhoea, malaria,

TBLiaison: Social Taboos

Regular Monitoring & TrainingWeekly meeting: with the SupervisorMonthly meeting: with Steering Committee

Update of activities carried out during last month

Analysis of activitiesTarget setting for the next monthTraining on Thrust Areas by Estate medical

officer /LWO/ othersPerformance Returns

Discharge of DutyResponsibility rather than duty24 hrs responsibility: at work, social

gathering,& casual gathering etc

Regular Line Visits:Twice a week: pref. 3 / 4 PMAccompanied by Supervisor every visitOnce a month by Medical Officer & LWO

During emergency & other need

OutcomePopulation controlImprovement on literacy rateImprovement on health of people Social harmonySocioeconomic developmentReduction on birth rate, death rate, Infant

Mortality rate & Maternal Mortality

Rate etc.

UNTOLD STORYHealthy WorkforceReduction in absenteeismReduction in sicknessReduction in unlawful activitiesBetter Management-Worker relationshipCost saving

Reputation in business

Special Thanks :Special Thanks :Dr. P. KhoundDr. P. Khound

Ex- P.M.O.Ex- P.M.O.Assam Tea CompanyAssam Tea Company