STUDY ON MOBILE HEALTH CARE UNIT AND SANITATION

PRACTICE OF PEOPLE UNDERTAKEN BY THE CSR

CORPORATE SOCIAL RESPONSIBILITY DEPARTMENT

OF JINDAL STAINLESS STEEL LIMITED,

KALINGA NAGAR INDUSTRIAL COMPLEX, DUBURI, JAJPUR, ODISHA.

SUBMITTED BY- NAME- RISHI CHHIKARA ROLL NO. – IBM (2013-2018) NAME OF THE INSTITUTE- O.P JINDAL GLOBAL UNIVERSITY, SONEPAT

SUBMITTED TO- NAME OF THE COMPANY- JINDAL STAINLESS LIMITED NAME OF THE DEPARTMENT- CORPORATE SOCIAL RESPONSIBILITY REPORTING OFFICER- Mr. - SUKANTA KUMAR RATH GUIDES- Mr. HEMANTA KUMAR BAHALIA Mr. SANJAY KUMAR MOHANTYMr. HEMANTA KUMAR BAHALIA

SOCIAL INTERNSHIP PROJECT REPORT

ACKNOWLEDGEMETMSOCIALINTERNSHIP TIME PERIOD- 1/06/2015 TO 15/07/2015

The social internship opportunity I had with Corporate Social Responsibility (CSR), department of Jindal Stainless Limited, KalingaNagar, and Jajpur was a great chance for learning and professional development. Therefore, I consider myself as a very lucky individual as I was provided with an opportunity to be a part of it. I am also grateful for having a chance to meet so many wonderful people and professionals who led me through this social internship from 1ST June 2015 to 15th July 2015.

My sincere gratitude to Brig. Rajiv Williams, Corporate Head, CSR, Jindal Stainless Limited for his invaluable support and advice since inception till the completion of social internship.

I am grateful to the Head of Corporate Social Responsibility(CSR) department, Mr. Sukanta Kumar Rath who in spite of being extraordinarily busy with his duties, took time out to hear, guide and kept me on the correct path and allowing me to carry out my project at their esteemed company, Jindal Stainless Limited, KalingaNagar, Jajpur. I would like to express my sincere thanks to all my guides for assessing me in each and every step of my visit to field to collect the data required for preparing my project report. My guides’ are-

Mr. Hemanta Kumar BahaliaMr. Sanjay Kumar Mohanty

I would like to give special thanks to the following persons for providing me with all the data required to prepare my project report-

Doctor- Rajib Lochan Pharmacist- Ansuman Aruk Health coordinator- Priyanka Mohanti Assistant- Sukanti Ambulance Driver- Dukhbandu Sahu

Last but not the least I also acknowledge with deep sense of reverence, my gratitude towards my family members and my friends who have supported morally and have been constant source of inspiration during the preparation of this project.

MHU (Mobile Health Care Unity) MHU is the Mobile Health Care Unity sponsored by Jindal Stainless Limited (Jajpur). MHU covers 13 villages in a week. People feel very happy as they are getting the medicines for free which they cannot afford. One awareness camp is conducted every month by the MHU for general awareness about the sanitation and other diseases. Last month i.e. in May the awareness camp was on “Sunstroke”. Sunstroke is an illness because of the environmental heat.

Timings:-

7am to 8am – TRC (Trijanga Rehabilitation colony) 8am to 10am – Visit the village to give medicine to people. 10am to 12am – Visit another village to give medicine to people.

Staff:-

Doctor Pharmacist Health coordinator Assistant

THANKING YOURishi Chhikara

Ambulance Driver

Weekly Routine:-

Day 7am to 8 am 8am to 10 am (village) 10am to 12am (villages)Monday TRC Manatira Kantipur ColonyTuesday TRC Kunbhiragadia KharadiWednesday TRC Asanabahali Manpur/SuanlloThursday TRC Kantipur/Dhanpanki KendudhipiFriday TRC Kaitha BatigothaSaturday Paper work Paper work Paper work

Problem faced by the Staff:-

The staff is really doing a great job by distributing medicine to the needy persons, which cannot be possible without Jindal Stainless Limited as they are sponsoring this. But some time people misbehave with the staff by don’t listening to them and arguing with them. Another problem is some people come to take medicine every time even if they are not ill. I noticed an old lady who use to come every time whenever we go to their village. And by doing this there is the wastage of medicines and money. On the other hand there are some good

people also who behave in a good manner and always wait until the doctor is free from other patient.

Distributing Happiness:-

In Kaitha village a girl named Pratibha who is suffered from thyroid. Thyroid is a large ductless gland in the neck which continuously grow by the time. Her family condition is very poor because her father is a regular drunker and he never gave a single penny for her treatment. The whole expenses for her treatment is given by the JSL and still taking all her medicines expenses. People are very happy by this medical services by the company. I talked some people and they appreciate this and they also said if the medical service was not there then many of us don’t have that much money to go to the city and take medicine.

Common Diseases Found:-

Cold Arthritis Neuritis Loosen torn

Dermatitis Injury Fever Gastric

Conclusion:-

After my research on the MHU, I think there are some things to improve. First of all there should be some type of control on the people who take medicines without any reason as this is the wastage of medicines and the money both. For this the doctor should personally check the patient and then give the medicine not only by listening to them. Another thing to improve is the timing for every village. I think the time for a single village should be increase and should be fixed. What our doctors are doing, they leave the place whenever they feel that there are no more patients. There may be a possibility that someone who is ill and need some time to reach to the ambulance. So there must be a fix time to leave the place.

On the other hand there are some good points also like the whole staff is very well behaved. They always talk nicely to the people ignoring their behavior. They help each other in every possible way. The paper work is very good, they record every patients name with the medicine they take. I think the CSR department is doing a great job and should continue this practice in future also.

Report on the health and sanitation practice of People.

Objective of the report:-

To create awareness about the sanitation and to solve the problems people are facing in their health and cleanliness of their surroundings.

To know if they are willing to give a try to the new concept “PeePoo” bags for the defecation.

Focus areas for the study:-

Water quality and management Personal hygiene Environmental hygiene Improved sanitation

Imaginary Parameters:-

Drinking water supply Hygiene practice Surrounding sanitation Diseases by unhygienic environment Defecation area

Survey Methodology:-

Process of the data collection-

Connection building with people Transact walk Interview Observation

Tool for data collection-

Household routine and schedule

Sample Size

Village Sample Size

Hudisahi 60Bainsipur 138

Sex and Age in Bainsipur

7068

SEX

MaleFemale

53

53

32

AGE

Less than 3030-50More than 50

About 49.57% are female and 50.43% are About 23.18% are above 50 years, 38.43% are male. <30 and 38.43% are 30-50.

Sex and Age in Hudisahi

32

28

Sex

MaleFemale

20

25

15

Age

less than 3030-50More than 50

About 46.66% are females About 25% are >50 years, 33.3% are

and 53.34% are male. <30 years and 41.6% betw. 30-50.

Literacy and Occupation in Hudisahi:-

24

36

Educationn

LitterateIlliterate

48

12

Occupation

EmployedUnemployed

About 60% are educated. About 80% are employed in Hudisahi

Literacy and Occupation in Bainsipur:-

82

56

Education

LitterateIlleterate

96

42

Occupation

EmployedUnemployed

About 59.43% are educated About 69.56% are employed

Defecation Practice:-

3723

Hudisahi

Toilet in homeOpen fields

131

7

Baisinpur

Toilet in homeOpen fields

About 38.33 % people go out in fields Only 5.07% people go out in for defecation in Hudisahi. fields for defecation in Bainsipur.

Disposal of Garbage:-

1822

14 6

Hudusahi

Garbage pitsOutside the houseParksIn drain

48

46

15

6

23

Baisinpur

Garbage PitsOutside the houseParksIn drainBurnt

Garbage pit and open place where people throw the garbage.

Garbage pit inside a home

Openly thrown garbage near colony.

Disposal of garbage:-

Some people throw the daily garbage inside their home itself. This practice of throwing garbage inside home can cause disease

in their family and can be very harmful for their health. They should at least throw the garbage in the nearly common

garbage pit.

Garbage thrown inside the home in Bainsipur.

Another home throwing garbage inside their home itself in Bainsipur.

Garbage thrown openly outside:-

People throw their daily garbage outside in open field. They think that if they throw it far away from their house then

there will be no diseases near them. And also some people said that all people throw at this place so

we are doing.

Garbage thrown openly.

Drinking Water Supply:-

54

6

Hudisahi

PipelinesHandpumps

90

48

Baisinpur

PipelinesHandpumps

About 90% people in Hudisahi About 65.21% people indrink water from pipelines. bainsipur drink water from pipelines.

Filling water by pipelines.

Practice of hand wash after defecation:-

41

19

Hudisahi

SoapMud

103

35

Baisinpur

SoapMud

About 31.66% still wash their About 25.36% still wash their hands with mud after defecation. hands with mud after defecation.

Handling of drinking water vessel:-

60

Hudisahi

covereduncovered

120

18

Baisinpur

CoveredUncocered

In Hudisahi everyone About 13.04% people stillcovers their water vessel. don’t cover their water vessels.

Open water vessels in Bainsipur:-

Open drinking water vessels.

Water stored openly outside.

Blocked Drains:-

Some drains are blocked by the solid garbage and it causes the water stand at one place.

If water stays at one place openly then the mosquitos will come and spread diseases.

Blocked drainage also affects the water supply by pipelines. Some pipelines have holes in it and if the drains are blocked then

the blocked dirty water go inside the pipeline and mix up with the drinking water, which can causes deadly diseases.

Blocked drain in Bainsipur.

Wastage of Water:-

There are many families who are wasting the water like it will never finish.

This practice of wasting water may one day make them sit without water.

People start the water tap and move away for some time then later come and first they pick up the vessel and then close the tap.

Wastage of water by running tap.

*** Case Studies***

I went to every person’s place and talked to them.

I have collected data about them and their family. I have made many case studies of many peoples. Some of those case studies are given below.

NAME- SURENDER PATRA

Age- 60

Education- 9th pass

In Surender’s family he has 5 members. He is a shopkeeper. His son is a worker in JSL. For defecation they use their own toilet at home and never go out for it in the fields. Whole family use soap to wash hands after defecation. The drinking water is taken from water pipelines. Also the whole family washes their hands with soap before having food. The family put the drinking water in mud vessels on the floor. The best thing is they boil the water before drinking it simply. They throw the daily garbage in the garbage pit near by the house. Finally they said that there is no need of PeePoo bags in our family as they are having their own toilet and never used to go out for defecation. There are no diseases by the sanitation problem and the only problem is Mosquitos which come because of dirty surroundings.

NAME- MANGAL CHAMPIA

Age- 40 years

Education – Matric pass

Occupation- Unemployed

In Mangal’s family there are 5 members. For defecation the whole family us the toilet and before they built toilet, they used to go out for defecation. Also they use soap for washing their hands after defecation. The drinking water is taken from water pipelines. Also the whole family washes their hands with soap before having food. The family put the drinking water in plastic buckets at the table level. The best thing is they boil the water before drinking rather than taking it directly. They throw the daily garbage in the garbage pit near by the house. Finally they said that there is no need of PeePoo bags in our family as they are having their own toilet and never used to go out for defecation.

NAME- RAVI MOHAKUDU

Age- 50 years

Education- Illiterate

Occupation- Self-Employed

There are 7 members in Ravi’s family. There is no toilet in their home and the whole family goes in the fields for defecation and also they wash hands with mud and water after defecation. The toilet is under manufacturing and by end of this month it will complete. They use soap for washing hands before having food. They take drinking water from pipelines and put the water in steel vessels like bucket and pot. According to them the water pipeline is having some holes in it and by this they have diseases like jaundice and malaria etc. So for pure water they boil the water and then drink it. They throw their daily garbage in the park inside their home only. Animals waste is also thrown at the same park for fertilizers. After all this they are not willing to give a try to PeePoo bags.

NAME- BABLI

Age- 38

Education- Illiterate

Occupation- Unemployed

There are 5 members in Babli’s family, but his one son is leaving away and never come to see them. Babli’s family uses their home toilet for defecation and never goes out for it. They fill the drinking water from the neighbor’s pipe line. They put the drinking water in the steel vessels on the floor itself. They drink water without boiling it. They throw their daily garbage in their park and they also throw animal’s waste in the same park for the fertilizing the plants. They wash their hands by mud after defecation and with soap before eating.

Babli was a worker in JSL plant and unluckily he got fracture in his leg and then after he is not able to work. His both sons are also unemployed and they are not getting work anywhere. So the family condition of the family is very poor. Babli said that “ JSL has done nothing for him or his family after he got fracture and he is unemployed from last 2 years”.

NAME- AJAY KUMAR NAYAK

Age- 32

Education- Matric Pass

Occupation- Mechanic in JSL

There are 5 members in Ajay’s family. Whole family uses their own home toilet for defecation and never goes out for it. The whole family use lifebuoy soap after defecation and before having food daily. Ajay fill the drinking water from the water pipeline and put that water in the mud vessel. They put the water vessel on the floor. They boil the water before using it for food and drinking. The family throws the daily garbage in the pit nearby their house. According to them there are no harms which they are facing due to sanitation problem. Sometime they clean the drainage in the street by themselves for clean surroundings. They also don’t want to try the PeePoo bags as they are having toilets in their homes itself.

NAME- MUKUND NAIK

Age- 30 years

Education- illiterate

Occupation- Unemployed

There are 4 members in his family. All family members use to go out for defecation and they have to take their children also with them for open defecation rather than inside home toilet because of money problem. They are not financial strong to build a toilet for their family. Initially he was an employee in JSL and the company asked him to leave the company because of some reason. Then after he is unemployed and it’s very difficult for him to fulfill his family needs. They fill the drinking water from the water pipelines and use it for food and drinking without boiling it. Mukund throw all the daily garbage in the field very near by his house and he himself increasing the mosquitos as he was complaining about them. His family also faced problem of dyria and malaria because of unhygienic surroundings. Mukund throw his animal’s defecation at the same place where he uses to throw the garbage which is very near by his home.

Place where Mukund and some other families throw Garbage.

People throw garbage openly and then complain for mosquitos. They themselves should take care of it.

NAME- MANDVA NAIK

Age- 65 years

Education- Illiterate

There are 8 members in the Mandva’s family. The all family members do defecation in the open fields near by the village. The whole Family use mud for washing their hands after defecation. And before eating food all wash hands with soap. They take drinking water from the water pipelines and use it for making food and drinking without boiling. They keep the drinking water in steel and plastic buckets. The store water for the future use has been kept in a handmade container openly without covering it. They throw the daily garbage just outside their own house not even at the place where all other throw their garbage. The main problem I have seen is their children are running around on the garbage area without wearing sleepers in their feet which may cause any dangerous disease. Again they are also complaining about the mosquitos, but I tried to tell them that if they will stop throwing garbage around here and there then the mosquitos’ problem will itself decrease.

NAME- VISHNU PATRA

Age- 70 years

Education- illiterate

Occupation- unemployed

There are 7 members in Vishnu’s family. His both sons are working in JSL plant. All the family members use their own toilet for defecation and never go out for it. The whole family use soap for washing their hands after defecation and before eating something. The Vishnu’s family fill the drinking water from the water pipeline and put it only in the bottles. They do not boil the water before drinking and before using it for the cooking food. The most wrong thing they are doing is they are throwing the daily garbage inside their home only at a particular place but openly which is very harmful for the health. They also throw the animal’s defecation at the same place inside home itself. He said he will try to improve this and will stop throwing the garbage and animal defecation in that place.

NAME- LAGOGUIA

Age- 55 years

Education- Illiterate

Occupation- Worker in JSL plant

There are 7 members in Lagoguia’s family. All family members never go out for defecation and always defecate inside their home toilet. The whole family washes their hands after defecation and before having food with the same soap, which is not a good thing. They fill the drinking water from the water pipeline and put that water in the mud vessels on the floor itself. The whole use the water for cooking and drinking without boiling it. The whole garbage from the house has been burnt by the family in the open field and by which they pollute the environment. Again they also don’t want to give a single try to the PeePoo bags.

NAME- SHAD HABRU

Age- 35 years

Education- Matric pass

Occupation- Self- employed

There are 6 members in Shad’s family. All family members always defecate in the home toilet and never go out. They all wash hands with same soap after defecation and before eating food. They fill the drinking water from pipelines and put it in the mud vessels on the floor. They boil the water before using it for cooking food and for dinking. They throw the garbage in the open field and then burn it openly.

***PEOPLE REFUSE TO GIVE PHOTOGRAPHS***

NAME- SUDAM

Age- 38

Education- Illiterate

There are 10 members in Sudam’s family. All family members never go outside for defecation. They all wash their hands with soap after defecation and before having meals. They fill the drinking water from the water pipelines and fill it in the mud vessels and the mud vessels on the ground. Before drinking the water and using it for the cooking they boil the water. Sudam’s family throws the garbage outside openly and sometimes they burn it.

NAME- SINGAY BADRA

Age- 29

Education- 5th pass

There are 5 members in Signay’s family. All family members never go outside for defecation. They all wash their hands with soap after defecation and before having meals. They fill the drinking water from the water pipelines and fill it in the mud vessels and the mud vessels on the ground. Before drinking the water and using it for the cooking they boil the water. Signay’s family throws the garbage outside openly and sometimes they burn it.

NAME- SHINGRE HAMBRAM

Age- 72

Education- Illiterate

There are 7 members in Shingre’s family. All family members always go outside for defecation. They all wash their hands with mud after defecation and before having meals. They fill the drinking water from the water pipelines and fill it in the mud vessels and the mud vessels on the ground. Before drinking the water and using it for the cooking they boil the water. Shingre’s family burns the garbage outside openly and sometimes they throw it.

NAME- GARDIA

Age- 30

Education- Matric pass

There are 4 members in Gardia’s family. All family members never go outside for defecation. They all wash their hands with soap after defecation and before having meals. They fill the drinking water from the water pipelines and fill it in the mud vessels and the steel vessels on the ground. Before drinking the water and using it for the cooking they never boil the water. Gardia’s family throws the garbage outside openly outside the house.

PeePoople bags:-

The other objective of this report is to know if people are willing to give a try to PeePoo bags.

But not even a single person or family is willing to give a try, because approximately all the families have toilets in their houses.

And the people who don’t have toilet they are also not ready to give a try as they have to spend some money on it.

Need for dustbins:-

When I asked people why they throw the garbage openly, then all people said that there are no dustbins anywhere.

So I recommend to put at least one dustbin between two houses. If we fix the dustbins in villages and assigned some workers to go

and pick the garbage from the dustbins on the daily basis, then there will be more cleanliness all around.

Conclusion:-

The people are now much more sensitive about the defecation practice and more than 85% people are defecating inside their home toilet.

People also drink water after boiling it and they keep the drinking water vessel covered.

The other main challenge is the water quality and maintenance of water points.

People are falling ill by drinking the water from current pipeline because there are holes in it and the drain’s dirty water sometime mix with drinking water

Drains exist but they are chocked due to solid wastes.

Safe disposal of wastewater was not observed because the pits which soak wastewater do not exist.

About 85% of solid wastes are disposed off openly in the environment.

Water pipelines are the main sources of drinking water. There are some families who fill water from other sources like hand pumps.

Mostly people are happy with the drinking water supply but not all.

Many people are still going out for defecation and some said they don’t want to spend money on toilet and some people have half built toilets in their homes.

THANKS!