Friday October 19, 2018
Home India ASHA: Deliver...

ASHA: Delivering healthcare services to ethnic tribes in Arunachal Pradesh

An organisation saving large number of lives in Anpum forested area of Arunachal

1
//
128
'ASHA' workers Source: Wikimedia Commons
Republish
Reprint

Anpum (Arunachal Pradesh): Washed out bridges, absence of roads and uncertainty of reaching destinations deep in the forest, do not come in the way of ASHA workers in their effort to provide precious healthcare services to ethnic tribes in Arunachal Pradesh.

Till a decade ago, un-staffed Public Health Centers (PHCs) in this corner of India often led to the deaths of two-three tribesmen of the Adi clan every week.
Poor roads and remains of washed out bridges is what the ASHA workers have to face every time here in Arunachal Pradesh while delivering the medical services. Poor roads and remains of washed out bridges is what the ASHA workers have to face every time here in Arunachal Pradesh while delivering the medical services.

But the situation started improving after the state government handed over 11 of its PHCs to the Karuna Trust, an NGO, under the public-private partnership model to ensure better health services around six years ago.

Now, the entire task of providing healthcare at the PHCs has been entrusted to the efficient hands of trained ASHA (Accredited Social Health Activist) workers. And the results are visible.
Such has the dependence on ASHA workers grown over the years, that their absence could possibly push the tribes inhabiting the Anpum forested area of Arunachal Pradesh back to what existed earlier.

Everytime ASHA worker Kenjir Perme (name changed) is tasked with immunising children in a far off village, she prepares herself to tackle the tough hurdles she has to overcome to reach her destination.

Covering miles on foot through muddy roads that pass through deep forests full of wild animals, waiting for hours to cross a river on boat, and then uncertainty of being able to return home, is what she has to confront every time.

The presence of an ambulance at the PHC meant for taking ASHA workers to their destinations hardly matters, as often unexpected downpours play foul. Once stuck in the deep muddy roads, the ASHA workers have to wait for hours before being rescued by a tractor, a rarely available transport here.

“This is a regular phenomenon here and we are quite used to it. Just because there is virtually no mode of transportation we cannot afford to ignore the health of the vulnerable tribespersons living in this forest area, and providing them medical services on time,” Perme, who is among a few ASHA workers at the Anpum PHC operated by Karuna Trust, told the visiting IANS correspondent.
Though the PHC also has two other sub-health centers, at a distance of at least 15-20 km, the task of ASHA workers remains the same — delivering health services, including immunisation and drug delivery and reproductive and child health programmes, to all the villages in the area.
Locals say the healthcare has got a new lease of life after the PHC was handed over to the Karuna Trust.
“Earlier, our people would die of minor health problems, due to lack of medical care at the PHCs. But now, we are happy at the healthcare being provided,” Robin Tayeng, a local Adi tribesperson, told IANS.
With an area of 83,743 sq km and a population of 14 lakh, Arunachal Pradesh has one of the toughest geographical terrains in India. Even today about 70 percent of its area is inaccessible and it takes days to reach from state capital Itanagar.

In the initial years Karuna Trust also received funds from the Population Foundation of India to strengthen its medical care facilities in the PHCs.

“To reach some of our PHCs one has to trek, walk on foot for miles as no roads are available. But we have trained our ASHA workers to overcome all such hurdles,” Annop Sarmah, co-ordinator for Karuna Trust NE, said.

The state’s tribal population has benefited immensely from the handing over of the PHCs to the NGO, and they are now provided with services like family planning and immunisation. Today ASHA workers under Katuna Trust ensure that all the newborns are immunised against all major diseases.
Efforts of the ASHA workers has helped bring down the Total Fertility Rate to 2.1, from a previous high of over 3.

PN Thungon, Mission Director, National Health Mission, told IANS: “The ASHA workers are our lifeline. They have made the impossible, possible. Looking at the way Karuna Trust is training its ASHA workers to disseminate health services against all odds makes us feel that we can hand over some more government PHCs to it.” (IANS)

 

Click here for reuse options!
Copyright 2016 NewsGram

  • Pashchiema Bhatia

    This is a really good initiative. The Government should also take initiatives for the upliftment of tribal people. Social Activists like Soni Sori are fighting for a good cause.

Next Story

Illegal Loggers Threaten ‘Uncontacted Indigenous Tribes’ In The Amazon

The environmental protection agency Ibama responded by sending in patrols in May, which temporarily halted the logging.

0
Members of an uncontacted Amazon Basin tribe and their dwellings are seen during a flight over the Brazilian state of Acre along the border with Peru. VOA

Illegal loggers and militias cleared an area three times the size of Gibraltar in Brazil’s Amazon this year, threatening an “uncontacted” indigenous tribe, activists said on Tuesday.

Satellite imagery collected by Instituto Socioambiental (ISA), a Brazilian advocacy group, detected about 4,600 acres (1,863 hectares) of deforestation this year in the Ituna Itata indigenous land in northern Para state.

“This situation is very worrying,” Juan Doblas, senior geo-processing analyst at ISA, told the Thomson Reuters Foundation.

“There is a series of risks, not only to indigenous territories of uncontacted tribes, but also to other indigenous territories in the area.”

Amazon
Ecuadorian Amazon rain forest. Wikimedia Commons

The indigenous affairs agency Funai and the federal police were not immediately available to comment. The environmental protection agency Ibama said in a statement that official data on Amazon deforestation will be released in November.

Brazil’s uncontacted tribes, some of the last on earth, depend on large areas of unspoiled forest land to hunt animals and gather the food they need to survive.

They are particularly vulnerable when their land rights are threatened because they lack the natural immunity to diseases that are carried by outsiders, rights groups say.

Forest loss in Ituna Itata — from which outsiders were banned in 2011 to protect the uncontacted tribe — spiked to about 2,000 acres in August from 7 acres in May, said ISA, which has monitored the area through satellites since January.

Amazon
This Sept. 15, 2009 file photo shows a deforested area near Novo Progresso in Brazil’s northern state of Para.. VOA

South America’s largest country is grappling with scores of deadly land conflicts, illustrating the tensions between preserving indigenous culture and economic development.

ISA filed a complaint in April to federal and state authorities about forest destruction and illegal logging in the area during the rainy season, which is unusual, said Doblas.

“It was a sign that something very serious was going to happen,” he said. “It was a preparation for the invasion.”

Also Read: Spix’s Macaw Parrot from Brazil Is Now Extinct

The environmental protection agency Ibama responded by sending in patrols in May, which temporarily halted the logging, he said, adding that ISA plans to file another complaint this week, using updated data and satellite images. (VOA)