Project Kiran Demonstration Project Cuddalore

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Project Kiran .....Living with Dignity
Demonstration Project Cuddalore
Experience Community Based palliative care Model
Presentation By Dr.Sathiya Babu
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About HelpAge India

• Is an nationwide NGO working for the cause and
  care of disadvantaged aged persons and to improve
  their quality of life.
• Since its inception in 1978, HelpAge India has
  supported 3084 projects at a cost of Rs. 184
  crores. These include 600 grants to old age home,
  
• 132 day care centres, 244 income generation
  programmes, running 52 mobile Medicare units
  which provide free medical treatment to 10.85
  lacks beneficiaries, conducting 50000- 60000
  cataract surgeries per annum, supporting 17000
  grant and many other activities.

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Objectives of Demonstration Project

• To empower the local community to look after the
  chronically ill, elderly and the bed-ridden
  people in their area.
• To establish a cost effective and locally
  driven system for the provision of PC in the
  community.

To Achieve the above.

• The project is implemented together by HI,
  Institute of Palliative medicine and the Indian
  Association of Palliative Care, supported by Help
  the Aged and Help the hospice.
• The implementing partners have specific roles and
  activities to achieve in the project,
• HIs one of the main responsibility is developing
  and implementing community based demonstration
  projects in PC. The initial one is based in
  Cuddalore.

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To Achieve the above.

• Help Age India

• IPM
• IAPC
• NNPC

• Demonstration Technical support
• Through appointing staff

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Process of Demonstration Project

• Staff appointment and Staff orientation at
  Calicut,
• Awareness building and Need assessment - Key
  members meetingESHG, President, SHG, Youth,
  Local members, NGOs.
• Village Mapping - with the local group,
  Resource Mapping for whole Cuddalore.
• Identified patients - during the Village wise
  Sensitisation Meeting using Mapping methods
• Starting of Home Care /Nurse/Doctor
• Identification of volunteers- Village wise
  Sensitisation Street play Programme with IEC
  Banners.

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Process Con

• Volunteers Training
• Continues Volunteers follow-up over phone
• Volunteers regular meeting as schedule
• Organising volunteers as a groups in village wise
• Identified local resource
• Land ( OP centre at Government hospital)
• Manpower
• Aids for patient
• Food support
• Educational support

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Process Con.

• Formation of Society and Preparation of Bye law
• Registration of CPCI
• Health care professional Training
• Preparation of OP Centre with available local
  resource and Preparation of Sub Centre with
  local Contribution
• Sensitisation of other resources Institutions
  Govt, Private and other general public.

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Future Plan

• Handing over process
• Staff Appointment - Nurse and coordinators
• (Government nursing will be used for home
  care services)
• Daily expenses Through Fund Raising
• Medicine requirement
• Rehabilitation assistance
• Fuel of Home Care vehicle
• Mobilising Doctors

• This will be done in a period of two to three
  years time.

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Sensitization Street Play

• Total Number of street Play 13
• Total Number of People Sensitized Participated
  - 1320
• Number of Volunteer came forward - 110

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Village meeting

• Total Village meeting Contacted 36
• Total members participated 1080
• Total VLF meeting 24
• Total DLF meeting 2
• WSHG meeting 12
• Meeting with panchayat representative 3
• Sensitization for School Students - 72

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Home Care Visited

• Total Patients 62
• No. of Patients Expired 15 with good care
• Physiotherapy - 16 - Regular care is being
  given through family members
• Nursing Home Care visits by nurse Weekly three
  days
• Doctors Home Care two
  day per week
• Volunteers Home Care -
  Continuing
• Physiotherapy Home Care

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Volunteers Meeting

• 1. Total Volunteers enrolled 223
• 2. Trained Volunteers 115
• 3. Active Volunteers - 64
• 4. Total Volunteers Meet 6

Review Meeting
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Health Care Professionals Training

• Nursing Students 55 ( 14 hours )
• Nursing Tutors - 5
• Doctors Training 14 th - 15 th December
  (scheduled)

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CPCI OP Center Cleaning

• Volunteers involved 52
• Donation Raised (53700)
• Rs. 6000/- for Gate
• Rs. 1500/- Worth labor for Gate
• Rs. 2000/- for JCB
• Rs. 1000/- Worth labor for Electrical work
• Rs. 1000/- worth labor for Plumbing work
• Rs. 6500/- worth Red sand
• Rs. 2400/- worth for Cement bag
• Rs. 1200/- worth labor for concrete pillar for
  gate

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Achievements- Tangible

• 62 patients family received total care
• 224 volunteers for the support of the patients
• Cuddalore Palliative Care Initiative registration
• Staring of Palliative Care OP in Govt Hospital
• 3 sub centres identified by the volunteers
• 3 volunteer trainings (trained 115 volunteers)
• Health Care Professionals training (60 Nurses)
• Training of Trainers (15 Volunteers)
• Raised Physiotherapy Aids as donation
• Donation raised for Deepawali from EfEF and lions
  ( cloths)
• Food support provided by EfE for 28 patients,
  cloths donated
• Linkages with Educational Health Dept

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Future plans

• OP centre- Govt. hospital- free of cost
• Three sub centres- Nanamedu, Gunduppalavadi,
  Sinagarathoppu
• 2nd Home care team
• Extension of six more villages
• In-patient and Rehabilitation centre
• Sensitisation programme for schools Collages
• Fund raising through various means
• Private hospital wise sensitisation
• Linking with NRHM- Initiated
• Strengthening of office bearers- CPCI

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Message of the project

• The chronic diseases and the associated problems
  are not the sole responsibility of the patient
  the family but of the community the society
  also in which he is living in.