Our Mission''''

1
EKAM ONENESS COMMUNITY PEDIATRIC
HEALTH PROJECT
2
Ekam is the Community Pediatric Health
Project of CIOSA -Confederation of Indian
Organizations For Service And Advocacy.
CIOSA is a collaborative network of voluntary
organizations, corporates and individuals for the
collective espousal of social causes.
3
CURRENT STATE OF PUBLIC HEALTH ?? Public health
expenditure in India has declined from 1.3 of
GDP in1990 to less than 1 now. Curative
services favor the non-poor for every Re.1 spent
on the poorest 20 population, Rs.3 is spent on
the richest quintile. ?? Only 10 Indians have
some form of health insurance, mostly
inadequate ?? Hospitalized Indians spend on an
average 58 of their total annual expenditure ??
Over 40 of hospitalized Indians borrow heavily
or sell assets to cover expenses ?? Over 25 of
hospitalized Indians fall below poverty line
because of hospital expenses
4
Need For EKAM Limitations of child health
care Absence of access to the holistic health
care to poor and needy children. Inadequate
facilities in Government Hospitals to meet the
demand. Tertiary care is expensive in private
hospitals Non availability of specialist doctors
on a regular basis
5
Community Pediatric Project

• Our
• VISION
• MISSION
• ACTION

6
OUR VISION. RIGHT TO HEALTH
FOR EVERY CHILD
7
Our Mission....

• is to provide every child, regardless of his/her
  financial means, a high quality,
  comprehensive,continuous health care,delivered in
  a respectful, caring and family centred
  environment
• a Happy Healthy Home
  

8
The Way PHASE 1 First 3yrs- 0-5yr old
children- Urban Model -Children in
orphanages of Govt. NGOs Semi-Urban Model-
Children admitted in balwadis/crèches of NGOs
anganwadi centres of ICDS project of Govt.in
Chennai through Public-Private Partnership
6-17yr old children- Urban Model -School
Health Project through Public-Private Partnership
for Corporation schools, Government schools,
Govt. aided schools Schools run by NGOs
Semi-Urban Model- children in slums having
nonformal education through NGOs PHASE2 Next
3yrs- Rural Model-Extending to villages tribal
areas in around Chennai PHASE3 Next
5yrs- Replicating the models (Urban, Semi-Urban
Rural) in other districts of Tamil Nadu PHASE4
Next 10yrs- Replicating the models at National
level
9
Services Primary health care Health
Screening through mobile medical van services
from screening hospitals (Paediatric, Eye
Dental), Continuous health care through
nodal mobile clinics Triaging at triaging
hospitals, nodal mobile clinics. Secondary
Tertiary Health Care 24 hour help line Emergency
ambulance services with rescue team Training
programmes on health awareness for the caretakers
Visit by Nutritionist Nutritional
Rehabilitation for malnourished
children Yoga training by trained Yoga
instructor. Visit by the field staff of local NGO
for follow-up of referrals, home visit for
counselling motivating the parents for follow
up. Child Guidance Clinic for differently abled
children Child Protection Clinics with
de-addiction centre for Child abuse drug
addiction
10
Components

• Holistic Health Care Team
• a. Paediatrician b.Nutritionist
• c.Social Worker/NSS d.Yoga Instructor
• 2. NGOs working for children in Urban, Semi-Urban
  Rural areas.
• 3.Orphanages,balwadis,Corporation schools,
  Government Govt. aided schools.
• 4.Screening Hospitals (Paediatric, Eye Dental),
  Nodal clinics, Triage hospitals Tertiary care
  hospitals
• 5.Nutritional Rehabilitation Centre
• 6.Child Guidance Clinic for differently abled
  children
• 7.Child Protection Clinics with deaddiction
  centre for Child abuse drug addiction
• 8. 24 hour help line, Emergency ambulance
  services with rescue team mobile medical van
  services for SHP Rural project,
• 9.Financing for Investigations and admissions
  with health insurance health coverage with the
  support of Pharmaceutical Companies
  distributors for drugs vaccines, Labs Scan
  Centres ,Blood Banks monetary support from
  Individual Philanthropists, trusts Corporates
  (10 TM )
• 10.Training Programmes Research Projects
• 11.Promoting education through School Health
  Project
• 12.Economic Support through Vocational training
  as paramedical staff Job placements

11
ACTION. HOW WE WORK..
12
Health Screening NGO/Community/School
Health Camp (Health Card ID
book)
Major illness
Minor illness
Referral Admission
Investigation Treatment
Secondary Tertiary Health Care (By EKAM)
Primary Health Care follow up (By NGO)
13
TRIAGING- Triaging hospitals, nodal mobile
clinics for Primary, Secondary
Tertiary care PRIMARY HEALTH CARE- NGO
Preventive, Promotive Care - Health
Screening, Holistic health care team visit,
Health education -Maintenance of First Aid
Kits, equipments, medicines, Case Sheets ID
books at the home based NGOs. OP CARE- Nodal
Clinics , Mobile clinics-Consultation,
Investigation medicines SECONDARY
TERTIARY HEALTH CARE-EKAM Network hospitals for
Secondary Tertiary care- Inpatient care for
medical, surgical , emergencies intensive
care. Specialty Hospitals for investigations
referrals FOLLOW UP- NGO
14
Acute care during Emergencies.
NGO/Community/School
CIOSA (Contact number)
Rescue Team with Ambulance (network hosp)
Pediatrician Located nearby
Ambulance
Referral Hospital
NGO/Community/School
15
Continuous care during Non camp period
Child brought to the doctor at the Nodal /Mobile
clinic/triaging hospital
Information collected by the field staff
Follow-up of referrals
TRIAGING
Admissions - Secondary Tertiary Care (Network
hosp)
Treat as OP/ Investigate- Primary Health
Care.
Specialist Consultations referrals (speciality
hosp.)
16
NUTRTIONAL REHABITATIONAL CENTRE Gujarathi
Sahayakari Hospital Rehabilitation of PEM
(protein energy malnourished) children through
institutionalized care. Follow up Coordination
of all the Nutritionists their inputs Research
Activities
17
SERVICES FOR DIFFERENTLY ABLED CHILDREN
DIFFERENTLY ABLED CHILDREN PROJECT
Referrals from NGOs taking care of mentally
physically challenged children to the Child
guidance clinic Screening, Early identification,
referrals, early stimulation follow up of high
risk babies of cradle baby organizations Child
Guidance Clinic Training Programmes for
caretakers Vocational training for grownups
18
Child Guidance Clinic....

• Developmental Paediatrician
• Paediatric Neurologist
• Child Psychiatrists
• Psychologists
• Special Educators
• Counsellors
• Social Workers
• Therapists ( Occupational, Speech Physio)
• Hearing Vision assessment

19
Child Guidance Clinic

• The team meets regularly once in 2 weeks.
• Screens all the children
• Early stimulation
• Gives a programme for the children who have not
  been intervened
• Follow-up
• Reinforces by training the caretakers.

20
CHILD PROTECTION CLINIC Networking with TULIR
Centre for Child Sexual Abuse Protection Centre
at Mehta childrens Hospital for Child abuse
Protection Team of Pediatrician,
Gynecologist,Counsellor, Advocate,
Psychologist Counseling Parents
children Rehabilitation DEADDICTION
CENTRE Centre at Mehta childrens Hospital for
children affected with drug abuse especially from
slums Counseling parents children Rehabilitation

21
Training the Caretakers...

• Regular workshops on various aspects of child
  health.
• To bring out a manual in Tamil English.
• Reinforce at the field level by the visiting
  paediatrician.
• 4. Maintenance of the infrastructure
  (Equipments, Case Sheets, ID Book, Medicines
  Vaccines)
• 5. Regular communication with Project
  Coordinator on admissions, Referrals OPD cases.

22
Financing- Health Coverage with the support
of- Pharmaceutical Companies distributors
for drugs vaccines Labs Scan Centres.
Blood Banks Monetary Support- Individual
Philanthropists, Trusts Corporates (10 TM )for
monetary help.
23
NEAR FUTURE PLANS To cover One Lakh children in
North Central Chennai in the next one year
through 1.HEALTH INSURANCE 2.PUBLIC- PRIVATE
PARTNERSHIP
24
HEALTH INSURANCE Health insurance for all the
children registered in Ekam community Pediatric
Project Child will get cashless treatment when
admitted for secondary tertiary care. There is
no exclusion criteria. Health insurance should
cover all the children screened
25
PUBLIC-PRIVATE PARTNERSHIP 1.Health Screening
Primary Health care- Integration of Ekam
community pediatric project with the -Govt.
School Health Project run by Govt. Hospitals
Corporation dispensaries for 6-17 yr
old children
-Govt. ICDS project run by Anganwadi Centres
for 0-5yr old children 2.Secondary
Tertiary Care for children admitted in Govt.
Hospitals through Public-Private Partnership.
26
Research Activities
Vocational training for the
capable inmates as paramedical staff as Lab, EEG,
ECG, X-Ray technicians, TBAs Rescue team in
ambulance services.

• Analysis of various inputs given by the team
  members to shape health policies
• Proposal of Research Projects for Nutrition
  Social Work students to International
  Organisations like WHO UNICEF.

27
1st Phase So far..
EKAM

• Acute care 24hr online
• Continuing holistic health care
• Nutritional rehabilitation centre
• Child guidance clinic
• De -addiction Centre
• Child Protection Clinics
• Training Programmes
• Health coverage

• Health Insurance
• Public-Private partnership
• Vocational training
• Research

..in future
ONENESS
28
ADMIN COORDNATION CIOSA

• MANPOWER
• NGO Caretakers/Volunteers
• Field staff Project Coordinator of Ekam
• Corporation school Balwadi teachers
• Paediatricians
• Nutritionists
• Yoga instructors
• Rescue team with Ambulance Services
• Call taxi/Mobile medical van services
• Enthusiastic Youth Volunteers- EYU
  (corporates,slums villages)

FINANCING HEALTH INSURANCE HEALTH
COVERAGE (Subsidized costs)

• Pvt.Hospitals
• Pharmaceutical . Labs Scan Centers
• Blood Banks
• MONETARY-
• Trusts, Corporates
• Philanthropists

HOLISTIC CHILD HEALTH CARE
SERVICES Primary,SecondaryTertiary
Care Follow-up REHABILITATION-NRC,CGC,CPC
TRAINING RESEARCH VOCATIONAL TRAINING
29
PROJECTS- Phase 1- First 3yrs- 1.EKAM cradle
baby child health care project-0-5yr old
children- Urban Model -Children in home
based care cradle baby organisations
Semi-Urban Model- Children admitted in
balwadis/crèches of NGOs anganwadi centres of
ICDS project in Chennai through Public-Private
Partnership 2.EKAM school slum children
health care project-6-17yr old children-
Urban Model -School Health Project through
Public-Private Partnership for Corporation
schools, Government schools, Govt. aided schools
Schools run by NGOs Semi-Urban Model-
children in slums having nonformal education
through NGOs Phase 2- Next 3yrs- 3.EKAM
community paediatric rural health project
30
Other Projects in 1st Phase Disaster
management Cell Rejuvenation Centre. Tying up
with 1098 Save A Girl Child Project Trans
Gender awareness Project
31
EKAM cradle baby child health care
project 0-5years
32
Shelter Based Children
33

• 1.Children from home based care NGOs taking care
  of Cradle babies
• 2.Children in slums through anganwadi centres of
  ICDS project NGOs taking care of balwadis

34
Organization Profile-

• -Home based care NGOs taking care of 0 to 5 yr
  old children all over Chennai
• Children admitted in balwadis/crèches of NGOs
  anganwadi centres of ICDS project- Central
  North Chennai
• Administration Coordination CIOSA
• - Paediatric Fraternity , Specialists, Screening
  hospitals ,Nodal Clinics, Triage tertiary care
  Hospitals- Primary , Secondary Tertiary Care
• Nutrition ,Social Work students, NSS students
  Yoga instructors -all over Chennai
• Ambulance Services - Network Hospitals

35
EKAM school slum children health project
(6-17years)
36
School/Community
37
School Health Project for -Corporation,
Government Government aided Schools -Schools
run by NGOs for underprivileged children
Health screening for children in slums through
NGOs for -non formally educated children like
Street / abandoned/Child beggars
Child labour / abuse
38
Organizational Profile- Corporation ,
Government Government aided Schools of North
Central Chennai Schools run by NGOs of North
Central Chennai Slums of North Central Chennai
Administration- CIOSA Project Coordinator from
Ekam-1 Local NGO-BroSiga Screening Hospital-
KKCTH Nodal Clinics- clinics of the local
pediatricians Triage Hospitals-Stanley, CSI
Rainy, Ezhil, National, Apollo Tertiary care
hospital-KKCTH Project location- North Central
Chennai Age group- 6-17yrs-Schools,
0-5yrs-Slums Field officers-1 Time-9am-1pm
SCHOOL HEALTH PROJECT
39
OVERALL ACTIVITY DETAILS 2007-2008


40
NGOs

• Total number of NGOs associated -75
• NGOs covered by Ekam - 52
• Home based NGOs (orphanages
  shelters)-28
• Community-9
• Community Home-7
• Special schools-7
• Special homes-1
• NGOs having their own doctors-10
• NGOs not screened-13

41
Hospitals Holistic health care team
Total No .of hospitals Networked- 51
Paediatric- 30
Eye- 7
Dental-
4 Cardiac-
7 ENT-
3 Total No. of Paediatricians
volunteered-172 Screening doctors-
40 Referral doctors- 132(nodal
clinics) Total No. of Nutritionists
visited-2 Total No. of Yoga teachers
visited-2 Total No. of children screened-9848
42
Health Screening referrals of home based care
NGOs OP Screening of children in -3,500 Total
No. of Admissions past 1yr- 98 Intensive
care-23 NICU-17 PICU-6 General
ward-69 Surgical interventions-6
Hypospadiasis correction-1 Cardiac
surgery-1(intra cardiac repair) Lymph node
biopsy-2 Tonsillectomy-2 VP shunt
revised thrice-1
Cost of Health Care
43
Health screening-SCHOOL/COMMUNITY

• TOTAL SCHOOLS SCREENED 11
• Total children Screened (school) 3954
• Total children screened (community)2394

44

• PAEDIATRICIANS

45
SCHOOL/COMMUNITY Referrals

• General Pediatric referrals 66
• Treated 23
• Cardiac referrals 8
• Treated 3

46
SCHOOL/COMMUNITY Referrals

• DENTAL
• Referred 1096
• Treated 45

47
SCHOOL/COMMUNITY Referrals

• EYE
• Eye 303
• Treated 30

48
SCHOOL/COMMUNITY Referrals

• SURGERIES
• Pyelolithotomy-1
• Cardiac-3
• (Angiogram done for 1- cardiac surgery postponed)
• Submandibular cyst excision -1
• Scalp Abscess drained-1

49
Referrals to Child Guidance Clinic Developmental
Delay-50 (malnutrition,delayed variant, lack of
stimulation) Cerebral Palsy- 4 Speech delay-
2 Autism - 1 GSD -
1 Lebers Optic Atrophy-1
50
BUDGET DETAILS
51
DONATIONS

• DIRECT TO HOSPITALS
• Rs.9,94,800.00
• Donations to CIOSA/SET
• Rs.4,68,384.00

52
EXPENSES
53
FUTURE PROJECT EKAM community paediatric rural
health project
54
The start of something newbrings the hope of
something great,ANYTHING IS POSSIBLE.
_ By Unknown.
55
LET US ALL LOVE UNCONDITIONALLY