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| FHAC
- Family Health Awareness Campaigns |
FAMILY
HEALTH AND FAMILY AWARENESS CAMPAIGN
ROUND I, II & III
INTRODUCTION:
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Reproductive Tract Infections (RTI) including
sexually transmitted diseases (STD) are increasingly
recognised as a major cause of Morbidity in Tamil
Nadu. The importance of the control of RTI has
increased with the introduction of HIV/AIDS epidemic
in the country. The risk of becoming HIV infected
after a single sexual exposure is increased 10-30
fold in the presence of a genital ulcer, Thus
more attention has begun to be focused on STD
prevention and care as a means to HIV prevention.
Awareness, which can lead to attitudinal and behavioral
change in individuals and society towards safe
sexual and other health practices is the only
weapon today against HIV/AIDS. Early diagnosis
and effective treatment of RTI/STD can significantly
reduce the transmission of HIV. The Family Health
Awareness Campaign is an effort to address some
of the key issues related to reproductive health
in the community, especially in the rural areas
and other marginalized population. It is a strategy
through which target population, is sensitized
towards the problems and all efforts are being
made for early detection and treatment of RTI/STD
by full involvement of the community.
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OBJECTIVES:
The
overall objective of the campaign is to control the spread of
Reproductive Tract Infections (RTI) including Sexually Transmitted
Diseases (STD) and HIV/AIDS.
The specific Objectives are
| 1 |
To
raise the level of awareness on RTI/STD and HIV/AIDS in rural
areas and other vulnerable groups of population. |
| 2 |
To
encourage Health seeking behaviour in the general population
for RTI and STD. |
| 3 |
To
make the people aware about the services available in the public
health system for the management of RTI/STD. |
| 4 |
To
facilitate early detection and prompt treatment of RTI and STD
by main streaming the programme, with the infrastructure available
under the primary health care system. |
| 5 |
To
implement focused IEC strategy for male population. |
STRATEGY:
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All
the available field level machinery under the
Health and Family Welfare Department and other
social sector schemes were utilized for the intensive
campaign to mobilize people to seek diagnosis
and treatment of RTI and STD during the Family
Health Awareness Campaign.
State level steering cum Medical Conduction Committee
under the chairmanship of the Secretary to Government
Health and Family Welfare Department was constituted
to guide the successful implementation of the
Campaign.
District level co-ordination committee was also
constituted at District level under the chairmanship
of the District Collector involving the Health
and Family Welfare Department and other social
sector scheme.
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MASS
AWARENESS AND SOCIAL MOBILISATION:
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Two - rounds of house to house contact by health
workers have been envisaged prior to the observance
of FHAC. The objective of the household contact
is to inform target group in age range of 15-49
years about reproductive health problems, facilities
available for treatment and ways and means to prevent
sexually transmitted infections (STI). It is proposed
to have sentilization in workshops for community
opinion, leaders, NGOs and representative of Panchayats
of district block and village level to seek their
active participation in the campaign |
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CAPACITY
BUILDING IN MANAGEMENT OF STD:
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A massive training programme is being undertaken
in all the identified districts. For the training
of Medical Officers and each level booklets on Syndromic
management of STD, have been supplied to all districts.
Flip charts are being used for the training of paramedical
staff. |
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PROCUREMENT
OF STD DRUGS:
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Requirements of Drug was placed with the Tamil Nadu
Medical Services Corporation, based on estimated
No. of RTI/STD cases. Since the response from the
public were more than the estimated cases additional
quantity of drugs were also engaged through the
Tamil Nadu Medical Services Corporation. Further
referral camps have also been arranged for cases
requiring further treatment at PHC/ Taluks /District
Hospitals with the specialist services of Gynaecologists
/ Veneroligst. |
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IEC
ACTIVITIES:
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Wide publicity was given through TV, press and radio
for the Health Awareness Campaign. This was done
throughout the campaign period.
Posters and banners were printed and distributed
throughout the districts.
Printing of formats, House-hold cards, referral
slips, wall writing etc. |
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MONITORING
AND EVOLUATION:
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For the effective monitoring and evoluation of the
campaign the following strategy will be adopted.
1. Supervisory visit by state level observers a
standized checklist has been devised for the purpose. |
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TO
CONCLUDE:
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The attendance in the camps was more than our expectation
and the response to the camps was encouraging and
over whelming among women. It has created a long
and lasting impression and awareness among the public
about RTI/HIV/AIDS. It has also created a very good
impact in the minds of the people, to take timely
treatment for STD/RTI without any hesitation, like
any other disease. The Family Health Awareness Camp
is a break through for the genital stigma, prevailing
about the STD. The service facilities provided during
the camps was appreciated and are more expected
by the people. |
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RESULTS:
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The
pilot round of the campaign (Ist phase) was observed
from 26th April to 1st May in 9 Health Unit Districts
viz. Madurai, Dindigul, Palani, Salem, Namakkal,
Trichy, Villupuram, Kallakurichi, Thanjavur and
one urban area in Thanjavur. |
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FAMILY
HEALTH AWARENESS WEEK (26th April to 1st May, 1999)
Round I
| Name
of the State |
:
Tamil Nadu |
| No.
of reporting Districts |
:
7 Revenue Districts (9 HUD & One Urban Area) |
| No.
of Districts Reported |
:
7 Revenue Districts (9 HUD & One Urban Area) |
| Total
No. of households |
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Male
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Female
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Total
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| Total target
population |
2926038
|
2973746
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5899784
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| No. actually
attended |
63064
|
212274
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275338
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| Camp percent
coverage |
2.2
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7.1
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4.7
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| a) With
Ulcers |
1764
|
4221
|
5985
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| b) With
discharge |
4381
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99847
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104228
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| c) Others |
15515
|
48973
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64488
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THE
PHYSICAL PERFORMANCE OF FHAC ROUND I, II, III AND
SPECIAL SIDDHA CAMPS ARE AS FOLLOWS
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FHAC
Round
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FHAC
Phase
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Period
of Campaign
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Districts
Covered
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Amount
Allotted
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Total
No. of camps conducted
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Total
No. RTI/STI cases treated
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I
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I
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26.4.1999
to 5.5.1999 (10 days)
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7
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1,59,11,000
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8,880
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8,29,140
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II
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1.12.1999
to 15.12.1999 (15 days)
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24
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III
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1.7.2000
to 15.7.2000 (15 days)
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9
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II
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1.7.2001
to 15.7.2001 (15 days)
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42
Health Unit Districts and 5 Corporations
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1,70,00,000
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9,115
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6,11,780
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II
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1.7.2002
to 15.7.2002 (15 days)
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42
Health Unit Districts and 5 Corporations.
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2,43,50,000
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14,461
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6,63,330
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Special
Siddha Camp
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19.12.2001
and 20.12.2001
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12
Districts.
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8,89,000
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100
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11,778
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FAMILY
HEALTH AWARENESS CAMPAIGN 1st , 2nd & 3rd ROUND
COMPARATIVE STUDY
| S.No. |
DETAILS |
1st
ROUND |
2nd
ROUND |
3rd
ROUND |
| 1999
& 2000 |
2001 |
2002 |
| 1 |
Total
No. of Camps conductedTotal No. of Camps conducted |
|
9115 |
14461 |
| 2 |
Total
Estimated target population |
M:
14461857
F: 14124401
T: 28586258 |
11837949
11829270
23667219 |
13437674
13138528
26575202 |
| 3 |
No.
of persons actually attended the camp |
M:
191665
F: 931614
T: 1123279 |
168819
665641
834460 |
225966
697201
923187 |
| 4 |
No.
of RTI/STI cases treated |
M:
108653
F: 720487
T: 829140 |
97292
514488
611780 |
136355
526975
663330 |
| 5 |
RTI/STI
cases treated per day |
M:
7244
F: 48032
T: 55276 |
6486
34299
40785 |
9090
35132
44222 |
| 6 |
No.
of days Campaigned |
15 |
15 |
15 |
| 7 |
Prevalence |
2.09
per 100 |
2.58
per 100 |
2.49
per 100 |
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