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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