Outcome of Swa-Prerit Adrash Gram Yojana & Project Interventions among Rural Population of Budhera Village, Gurugram, Haryana

This project investigated the overall morbidity pattern of the village area including the antenatal cases, immunization status & elderly health conditions. This scheme called Swa-Prerit Adarsh Gram Yojna to upgrade the Basic Amenities to bring them at par with those in the Urban Areas and betterment of health. The project involved two phases: Collection of Basic data of health and socio-demographic variables by household survey of the village & Specific interventions regarding health problems e.g. RCH, Immunization, Adolescent health, Reducing risk behavior were undertaken. The study was carried out using pre-tested schedule consisting of information on socioeconomic profile, type of living conditions, water supply, History of pregnant females within 24 months, any currently pregnant females, and immunization status of children, any chronic diseases or disabilities in the family. Sex ratio of study population was found to be 1000: 878 houses were pucca (74.5%), 84.3 % houses had separate kitchen and 15 % families used biomass/wooden fuel, 90.5 % piped water supply, Sanitary latrines were installed in 97.6% houses. ANC registration 81%, TT coverage 98% and Iron Folic Acid Tablet (100 tablets) compliance morbidities were studied. Specific interventions were undertaken to achieve 100% ANC registration, IFA Compliance, TT and complete Immunization from 93% to 100%. An integrated approach to health problems in rural health is an effort to delineat | Volume – 1 | Issue – 5 | July-Aug 2017 6470 | www.ijtsrd.com | Volume Journal of Trend in Scientific and Development (IJTSRD) International Open Access Journal Prof. Chinna Devi Dean, Faculty of Nursing, SGT University, Budhera, Gurugram


INTRODUCTION
Health improvements over the last century have been impressive, but health systems have turning point. Despite increasing health expenditures and unprecedented advances in modern medicine over the last century, people today in villages are not necessarily healthier in mind and body. Neither are they more content with the hea Access, patient safety and quality and responsiveness of care are important and pressing global issues The present project Swa-Prerit Adarsh Gram Yojna strives to upgrade the basic amenities to bring them at par with those in the urban areas betterment of health 2 . Health project under Swa Prerit Adrash Gram Yojana has been pioneered and implemented by Department of Community Medicine under which Budhera village has been targeted for health care activities with the objective to study common morbidity pattern, analyze existing gaps under national health programmes and implement appropriate health interventions for them.

MATERIALS AND METHODS
The project involved two phases: Prerit Adarsh Gram Yojna to upgrade the basic amenities to bring them at par with those in the urban areas and started for . Health project under Swa-Prerit Adrash Gram Yojana has been pioneered and implemented by Department of Community Medicine h Budhera village has been targeted for health care activities with the objective to study common morbidity pattern, analyze existing gaps under national health programmes and implement appropriate health interventions for them.

MATERIALS AND METHODS
The project involved two phases: International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 @ IJTSRD | Available Online @ www.ijtsrd.com | Volume -1 | Issue -5 | July-Aug 2017 Page: 998 Phase 1-Collection of Basic data of household regarding health status and socio-demographic variables by household survey of entire village.
Phase 2a) Specific interventions regarding health problems identified which include promoting RCH activities, Immunization, child feeding & weaning practices, adolescent health, reducing risk behavior and identification & care of chronic diseases and disability among study population. b) Evaluation after specific interventions after 6 months to study the outcome on the village population.
The study was carried out in village Budhera, district Gurgaon, Haryana from 01 Jan 2015 to 31 December 2016. Initially to build the rapport with village natives, meetings were organized with the villagers and representatives of the village. Family heath survey team consisted of Medical, Dental, Physiotherapy, Nursing, Clinical Psychology to form integrated one health team. The data was collected using predesigned, pre-tested, family health survey schedule. Health Team gathered information on a structured questionnaire on socioeconomic profile, type of living conditions, water supply, history of pregnant females within 24 months, any currently pregnant females, and immunization status of children, any chronic diseases or disabilities in the family. Treatment for basic ailments is provided then and there and patients were referred to medical college hospital for specialized investigation & care. Three revisits were done for missed out houses during the scheduled visits before declaring them non contactable. Data was entered in excel spread sheet and analyzed using SPSS version 21.0 (IBM).

RESULTS
Out of total 720 houses listed in the village, 584 could be contacted. Remaining houses were found locked in spite of three visits. Reasons were migration to city, staying in another house due to owning of multiple houses.

Socio demographic profile of village population:
Total Population covered during house-to-house Visit was 3838 out of which 2044 were males and 1794 were females. Sex ratio of study population was found to be 1000 males: 878 females (table 1)  The prevalence of Hypertension was quite low (0.91%) in the present study when compared with a meta-analysis study conducted by Raghupaty A et al 11 on Hypertension in India where they concluded that about 33% urban and 25% rural Indians are hypertensive but denominator considered by them were adults. The overall prevalence of diabetes was low (0.42%) as compared to WHO data 12 on diabetes which was 8.7% among adults. Most of the elderly suffered from Joint Pains and other musculoskeletal disorders. Substance use and pattern of tobacoo use is concordant with other studies 13 .
In the present study, interventions have brought major beneficial impacts on the village population. Similar results were indicated by other similar projects 14,15 .

Conclusion:
An integrated approach to health problems in rural health is an effort to delineate the health disorders and mitigate them by specific interventions. It has also helped in identifying the gaps in targets fixed and achieved for various National Health Programmes