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Untitled Document
Zainabiya Health Centre Patna (Bihar) Turning Dreams of the Poor into Reality
 
Islam teaches us the importance and significance of brotherhood. Many people living in developed countries are blessed with the opportunities and facilities to have specialized treatment which is available to them at the click of a button. However, the same opportunities and facilities are dream for the poor people of Bihar. Poor people die without proper treatment. Their relations are left with this feeling “kash elaj hua hota to shayad bach jata”
 
 
   
Mr. Rahil Hussain Kassamali and Dr. M.T.I. Walji inspecting Zainabiya Health Centre Patna
 
With the establishment of Zainabiya Health Centre in Bihar during the year 1993 the dream of the poor has turned into reality. The poor have been provided with opportunities and facilities for specialized treatment at the cost of Health Centre. If the patient comes in contact with Zainabiya Health Centre, Patna, he/she cannot die without proper treatment. Due to efforts of Medical Advisory Board of the World Federation we have funds for specialized treatments at our disposal. Zainabiya Health Centre treats people irrespective of caste or religion. At present three sections are working at Zainabiya Health Centre.
 
  1. A Physician attends the centre on every working day except Friday.
  2. A Lady Gynecologist attends the centre once a week.
  3. In Aeinullah Eye Clinic an Eye Specialist examines the patients once a week. Eye surgeries are done at the centre after examination and pathological tests.
  4. 4. We also organize Free Eye Camp once in a year on the campus of Madrasa Islamia Kujhwa, Siwan. In these Eye camps everybody irrespective of caste or religion has a right to get operated. This is a service to Humanity
 
Primary Health Care
 
Number of Patients Treated at Zainabiya Health Centre - Patna
 

Year

No. of Patients

1993

3155

1994

4355

1995

3499

1996

3322

1997

4302

1998

4876

1999

4158

2000

3257

2001

3704

2002

3349

2003

1980

2004

2044

2005

2277

2006

2731

2007

2160

2008

2234

2009

2822

2010

2245

2011 (JAN to MAR)

614

 
 
Gynecology Section
 
This section was started in 2001. Poor female Patient’s have a Lady Doctor for the treatment of gynecological diseases. The Lady Doctor attends the Zainabiya Health Centre once in a week. This section was closed from April 2006 due to poor response from the females.
 

Year

No. of Patients

2001

89

2002

77

2003

85

2004

96

2005

98

2006

21

 
 
AEINULLAH EYE CLINIC
 
Aeinullah means “EYE OF GOD”. This is the pertinent title of the clinics since the eye, like any other organ is a gift from God and without eyes, the world is dark for the sufferers.
 
There are numerous slums in India. The inhabitants live in abject poverty and gross deprivation. They lack basic facilities like housing, sanitation and clean water. Health care is non-existent. Majority of them are unemployed and are struggling for their daily requirements. Incidence of Eye Disease particularly blindness is very high. Young people in the age of forties have cataract. The poor people living in villages find it difficult to afford eye treatment. These were the main reasons behind forming Aeinullah Eye Clinic in Patna town.
 
DR. M.T.I. WALJI CHAIRMAN MEDICAL ADVISORY BOARD INSPECTING EYE OPERATION IN AEINULLAH EYE CLINIC PATNA
 
Aeinullah Eye clinic started working in ZHC from 1999.An Eye specialist attends once a week. The clinic now treats all kinds of eye disease. The service is available to all needy persons regardless of caste or religion. Eye surgeries are done at the centre as and when required. The cost of eye surgeries for poor is paid by the ZHC.
 

Year

No. of Patients

1999

264

2000

345

2001

390

2002

498

2003

323

2004

330

2005

383

2006

363

2007

161 (Doctor was ill)

2008

332

2009

347

2010

285

2011 (JAN to MAR)

73

 
Daily Healthcare
 
A Physician attends the centre on every working day except Friday.
 
 
Eye Surgery being performed
 
EYE CAMPS
 
For the first time Late Mulla Asgharali M.M. Jaffer had visited Bihar during the year 1989. He started taking interest in our work. A number of schemes were introduced in Bihar.
 
EYE CAMPS
BLESSINGS OF LATE MULLA ASGHARALI M.M. JAFFER
 
For the first time in 1993 we started organizing free Eye camp in Madrasa Islamia Kujhwa. In these camps every body irrespective of caste or religion had a right to get operated. For eye surgeries eye specialists from Patna were called to Kujhwa. The doctors performed eye surgeries for removing cataract.
With the Financial Assistance of World Federation of KSIJ, London, Prof. Sami Askari organized several free Eye Camps in village Kujhwa and Siwan Town. Poor patients belonging to any caste and religion were examined by Eye Surgeons of Patna and chosen for free of cost Cataract surgeries. .
Lens were implanted free of cost. Free of cost spectacles were also provided to every poor patients after the operation. From 1993 to 2001 nearly two thousand poor persons were operated in these Eye Camps. The Eye-Camp of Madrasa Islamia Kujhwa was very popular among poor people. People were coming from surrounding areas as far as 200 miles and adjoining U.P. borders. From 2002, under the order of Central Government of India, New Delhi, all such private Eye-Camps all over India were not allowed to undertake any type of Eye Surgeries.
 
Eye camps were closed by the order of Government of India in 2002. Now patients are operated for any type of eye disease in our Aeinullah Eye Clinic. It is needless to say that after each eye surgery we give spectacles to every patient. During Eye-Camps also we give spectacles to patients who need it on the advice of the doctor. This brings relief to the poor people whom we want to serve.
 

Year

No. of Patients

1993

60

1994

100

1995

105

1996

244

1997

250

1998

267

1999

243

2000

253

2001

245

 
 
A patient being escorted to waiting area after surgery Patients awaiting eye surgery at a Free Eye Camp
 
SPECIALIZED TREATMENT FOR THE POOR AND NEEDY
 
We have Medical Relief funds for specialized treatment for the poor and needy. We have helped poor people from this fund for different types of treatments including Cancer, Gall Bladder, Hysterectomy, Orthopedic cases and others. All these treatments were possible due to availability of fund from Medical Advisory Board. For specialized treatments the patient contacts the Medical officer of ZHC who examines the patients and refers him/her to specialists. To date, 136 males and 145 females have been provided with specialized treatment.
 
ERADICATION OF TUBERCULOSIS
 
In Bihar the economic condition of people is pitiable. Most of the poor people suffer from Tuberculosis. We are trying our best to screen such patients. We give full course of Medicine for the treatment of Tuberculosis. We also pay for all investigations.
 

Year

No. of Patients

1995

1

1996

1

1997

2

1998

ZERO

1999

8

2000

6

2001

6

2002

13

2003

10

2004

12

2005

17

2006

16

2007

7

2008

12

2009

11

2010

10

2011 (Jan to Mar)

4

 
 
HEART SURGERY
 
In Bihar no poor could have imagined any type of heart surgery. Recently a lady about 35 years old was helped to get this life saving heart surgery in New Delhi. Her full treatment was funded by this Medical Relief fund. She has made excellent recovery.
 
CANCER
 
We have helped 5 people who were suffering from Cancer. All possible treatments were done including surgeries and chemotherapy. These poor patients knew that the disease is not curable yet at least they had access to correct treatment funded by our organization.
 
BRAIN SURGERY
 
A young poor man with brain hemorrhage collapsed. He underwent emergency surgery and made excellent recovery.
 
ORTHOPEDIC SURGERIES
 
Recently, one of the Maulana was involved in a serious road traffic accident. A young boy was killed but he survived though seriously injured with multiple fractures. His full treatment was funded from this fund and his life was saved.
 
REMOVAL OF STONE FROM KIDNEY AND GALL-BLADDER
 
Three cases of removal of stone from kidney were taken up. Two cases of Gall-Bladder were done. The cost of operation was met from the above mentioned fund.
 
HYSTERECTOMY, OVARIAN CYST AND CAESAREAN
 
A poor lady underwent major surgery (Hysterectomy). Her husband is a labor. They had two handicapped children.
 
Two further cases of Hysterectomy, one case of Caesarean section and one case of Ovarian Cyst were also funded from this project. In addition to above cases we have funded for the operation of hydrocoel, treatment of hepatitis-b, kalazar, mental disease, motor neuron disease etc.
 
Our services to the poor people of Bihar may continue for a long time till the help from The World Federation continues. Thanks to the Medical Advisory Board of the World Federation.
 
Training for Community Health Workers
Kujhwa, Siwan
24th December 2007
 
Objectives
 
  • To introduce useful information common diseases to the health workers and community
  • To help health workers and community identify the commonly occurring diseases
  • To educate community in prevention of these diseases
  • Promote Overall Health of the community through health education by Community Health Workers in community meetings
 
REPORT
 
People living in rural area lack the basic knowledge especially related Health. Training for capacity building of Community Health workers on preventive aspects of health was conducted in Kujhwa (Siwan) on 24th December 2007.
 
On completion of this capacity building programme, the participants will have a clear concept of Health, Hygiene and causation of diseases in community and control of these diseases.
 
ROLE OF WORLD FEDERATION
 
For the past decade World Federation has been constantly working towards various indicators of Health and Hygiene especially rural areas. A need to strengthen community awareness and participation was felt and there by this project is planned.
 
Venue : Madrasa Islamia Kujhwa, Siwan
 
Date : 24 December 2007
 
Date : 24 December 2007 Dr Neeraj Agrawal, Program officer,
Immunisation, Unicef, Bihar
  Dr Sufia Askari, Imnc Consultant,
Unicef, Bihar
   
Participants: 20 youth volunteers selected from Gopalpur, Bheekhpur and Kujhwa villages of Siwan.
 
The training started at 2 pm with Prof Sami Askari briefing the participants about the objectives of the training.
 
  • To aware the participants on various aspects of preventive healthcare
  • To develop skill to handle health issues effectively
  • To develop participants as service providers/capacity builders in the community to reduce IMR, MMR, Improve immunization and nutritional status of children.
 
He then introduced the trainers and the formal training started with a participant giving a brief introduction of them.
 
Dr Neeraj Agrawal asked the participants to enlist the diseases which they thought were commonly found in their areas so that at the end of the session we could see how many of these were addressed. The diseases enlisted were:
 
  • Cough, pneumonia, bronchitis
  • Tuberculosis
  • Malaria,
  • Kalazar
  • Typhoid
  • Jaundice
  • Diarrhea
  • Cancer
 
The participants were praised as they demonstrated good participative attitude and stress on good communication skills was laid down.
 
Then the objectives of the training were discussed briefly. The resource persons used a power point presentation; a printout of the Hindi version was distributed to all the participants.
 
Tuberculosis
 
Introduction:
 
  • TB is an infectious disease caused by M. tuberculosis
  • Primarily affects lungs; sometimes affects intestines, meninges, bones and joints, lymph glands and skin
  • Almost 30% population is infected in countries like India and remain in risk of disease
  • Almost 1.5 new cases occur every year per 1000 population
 
How does TB Spread?
 
  • Source of infection:
  1. Human source - Sputum positive cases of Pulmonary TB
  2. Bovine source - Infected Milk 
  • Affects all ages
  • Poor Housing, poor sanitation, overcrowding, early marriages, lack of awareness, lack of education and under nutrition contribute to spread
  • Mode of Transmission
  1. Through Cough of sputum positive patients
  2. Not transmitted by sharing of food or other articles with patients
 
Signs and Symptoms:
 
  • Cough for more than 3 weeks not responding to treatment
  • Fever, weight loss, loss of appetite
  • Chest pain
  • Hemoptysis – Blood in sputum
  • Enlarged lymph glands
 
Diagnosis:
 
  • Sputum Examination
  • X ray
 
Prevention:
 
  • Case finding and treatment with DOTS
  • BCG Vaccination
General Measures like boiling milk, preventing overcrowding, proper nutrition, creating awareness, seeking early treatment
 
It was explained how in a country like India 30 out of every 100 people are at risk of infection of the disease while 1.5 cases occur every 1000 population per year emphasizing the role of the preventive and nutritional aspects in prevention of the disease.
 
Mode of transmission, symptoms which should arise suspicion was discussed. Many misconceptions were clarified and it was good to see that the participants were enthusiastic.
 
Importance of sputum test in diagnosis as well as line of treatment was emphasized as majority did not know about the sputum test and agreed that many practitioners did not even get the patients tested for it before starting the treatment.
 
DOTS treatment and DOTS centre was also discussed. The need to link the services was felt as the participants had very faint idea of the government services provided. The preventive aspects were discussed at length.
 
Importance of BCG vaccination was stressed and the participants were told that the ANM (auxiliary nurse midwife) comes to their village once a month on Wednesday for immunization. They were requested that if they would ensure vaccination of the children of their village they would do a lot for the people of their community.
 
Acute Respiratory Infections (ARI)
 
Introduction:
 
  • Respiratory infections are the commonest human ailment
  • May be caused by bacteria (e.g. Cough, Diphtheria, Pertusis, Pneumonia etc), viruses (e.g. Influenza, Pneumonia etc) or other organisms
  • Severely affect groups like young infants, children and elderly
  • Children in India suffer almost 5 attacks every year
  • Almost 13% children’s deaths in hospitals are due to Respiratory infections
 
How do Respiratory Infections spread?
 
  • Source of infection – Patients suffering from respiratory infections
  • Affects all ages – young children and elderly are severely affected with high mortality
  • Poor housing, low socio-economic status, overcrowded places, poor nutrition and intense indoor smoke are pre - disposing factors
  •     Mode of transmission
  1. - By airborne route
  2. - By person-to-person contact
 
Signs and Symptoms
 
  • Cough, Sore Throat, Running Nose
  • Difficulty in Breathing
  • Fever
  • Earache, ear discharge
 
Diagnosis:
 
  • History
  • Looking for danger signs in children under 5 years –
    • Fast Breathing
    • In-drawing of chest
    • high fever or low body temperature
    • Whistling sound on breathing
    • Unable to drink, convulsions and cyanosis are danger signs pointing to very severe infection like pneumonia
 
Prevention:
  • Proper nutrition, protection of children from cold
  • Prevention of indoor smoke pollution
  • Immunization with DPT and Measles vaccine
  • Seeking prompt medical care and treatment
With 5 attacks of ARI in a year and 13% of the hospital deaths of under 5 children (not to count the deaths at home) the importance of ARI was explained.
   
Mode of transmission and signs and symptoms were discussed. Danger signs which need urgent referral to hospitals were explained.
Prevention, Kangaroo mother care, DPT and Measles vaccination were discussed.
 
Diarrhea
 
Introduction:
  • Diarrhea is passage of loose, liquid or watery stools
  • Children in India suffer up to 4 episodes of diarrhea per year
  • Almost 17% of all hospital deaths in children are due to diarrhea
  • May be caused by bacteria (e.g. Cholera, Salmonella, Shigella etc), viruses (e.g. Rotavirus, enteroviruses etc) or other organisms like Giardia, amoebiasis, worms
 
How does Diarrhea spread?
 
  • Source of infection – human or animal feces, infected food materials, milk
  • Affects mainly younger children as they directly come in contact with source of infection as they begin to crawl
  • Some types of diarrhea show seasonal variations, peaking around rainy season
  • Mode of Transmission – fecal-oral route
    • Water borne
    • Food borne
    • Through fingers or objects
 
Prevention:
  • Appropriate Treatment
  • Oral Rehydration with ORS and Home Available Fluids like Shikanji, Lime water, Butter milk etc
  • Appropriate feeding
  • Continue breastfeeding for newborn infants
  • Normal food to children as soon as they are able to eat
  • Drug Treatment with Antibiotics as needed
  • Promotion of Breastfeeding
  • Other Measures
  • Improved sanitation – Proper Excreta disposal – prevention of open field defecation, sanitary latrines
  • Food hygiene, boiling of milk, safe drinking water source like tube-well
  • Hygienic practices –
  • Hand washing before eating, cooking, feeding a child
  • Hand washing after defecation, after Cleaning a child who has defecated
  • Fly Control
  • 6 monthly De-worming of children
  • With 4-5 episodes of diarrhea per year and contributing to 17% of hospital deaths of children and purely preventable by maintaining proper hygiene, diarrhea was discussed at length.
  • Mode of transmission and the role of hand washing practices were talked about.
  • The participants were very much aware that deaths in diarrhea occurred basically due to dehydration. Oral rehydration with ORS and home available fluids were discussed.
  • Continuation of Breast feeding in children was also emphasized as the common practice was to stop breast feeding during diarrhea.
 
Malaria / Kalazar
 
Introduction:
 
  • Malaria and Kalazar are insect-borne diseases, causing high morbidity and mortality
  • Kalazar is highly endemic in Bihar state

How do Malaria and Kalazar Spread?

    • Malaria is caused through bite of Anopheles mosquito, Kalazar through bite of Sand fly
    • No person to person transmission
    • Vector:
 
 
Signs and Symptoms:
  • Malaria: Headache, malaise, nausea, fever with chills followed by sweating
  • Kalazar: Fever, anemia and weight loss. There may be darkening of skin of face, abdomen and hands
 
Prevention:
 
  • Treatment of cases with drugs
  • Vector Control
    • Spraying of Insecticides like DDT, or Malathion
    • Control of breeding spaces – keeping surroundings clean, preventing water accumulation, keeping cattle shed away from houses, sealing cracks in walls and rodent burrows
  • Personal prophylaxis
    • Sleeping under mosquito bed nets
    • Keeping body covered while sleeping with full shirt and pants
    • Using insect repellent creams/coils
    • Avoiding sleeping on the floor
    • Fine mesh on doors and windows
 
With Bihar contributing to almost 90% of the countries case load of Kalazar (Leishmaniasis) and a significant no. of cases of Malaria, they were also discussed.
  • Signs and symptoms and need for proper treatment was discussed briefly. The prevention of these diseases either by vector control or personal prophylaxis was discussed at length.
  • This was followed by a lunch break.
 
Malnutrition
 
Introduction:
  • More than half of children in Bihar are malnourished
  • Malnourishment increases susceptibility of children to diseases
  • Underweight, wasting, nutrient deficiencies like Night Blindness etc are some manifestations of malnutrition
   
Prevention:
  • Adequate Feeding
    • Newborn infants up to 6 months: Exclusive Breastfeeding
    • At 6 months: Continue Breastfeeding and Initiation of semi-solid weaning foods
    • AT 9 months: ½ katori semi-solid foods at least 4 times a day
    • At 1 Year: ½ katori semi-solid foods at least 5 times a day, add cooked green vegetables, ½ to 1 teaspoon oil/ghee
    • 1 – 2 years: feed child home cooked food
  • Nutritional Supplementation
    • Vitamin A supplementation at 9 months, 1 ½ years and at 6 months intervals thereafter
  • Deworming of children
  • Growth Monitoring – Weighing of children every 3 months to see increase in weight
  • Maintenance of Hygiene while cooking food
    • Wash hands before cooking
    • Wash vegetables and meat properly before cooking
    • Wash utensils clean before feeding
  • In case of malnutrition, seek prompt treatment

 
With the recent government data showing malnutrition (under 3yrs) in Bihar at 58% and proper nutrition providing protection against so many diseases, malnutrition was discussed at length.
 
The resource persons emphasized exclusive breastfeeding till 6 months, complementary feeding at 6 months, 6months – 1 yrs 3 times of homemade semi-solid food with breast feeding or 5 times if not breast fed, Breast feeding till 2yrs of age.
 
From the discussions it came out that people were still using diluted milk and practices like giving “’dal water” are still prevalent. Need for Vitamin A doses every six months for a child between 9 months to 5 yrs was discussed.
 
 
All the above immunizations (except Hepatitis B) are available at Sub-centers and PHCs free of cost.
 
National Immunization Schedule
 
Dr Neeraj explained the immunization schedule and urged the participants to ensure the vaccination of the children in their areas.
 
The training ended with an assurance from Prof Askari to continue this programme on priority basis. Prof Sami Askari requested all the participants to go through the literature which has been given to them and come prepare next time for group discussion so that they may be able to disseminate information to other persons.
At the end of the programme every participants were paid Honorarium for attending the programme.
 
The World Federation has a proposal to Arrange Health Lectures in Bihar during Muharram
 
To raise awareness on good personal health care, hygiene and illness prevention in Patna, Bihar, The World Federation has organized volunteers to visit the various villages in Bihar to present a 5-minute health talk during the evening Majalis programs in the Month of Muharram. The people of rural Bihar lack basic knowledge and information on various health related issues. These health talks are a wonderful opportunity to address the health needs of our brothers and sisters living in the villages in Bihar.
 
Twenty youth volunteers were selected from Gopalpur, Bhikhpur and Kujhwa villages of Siwan to assist with this program. To ensure that these volunteers are adequately prepared to speak at the upcoming gatherings, a workshop to train these individuals was conducted in December 2007 in the Kujhwa (Siwan) district of Bihar.
 
The workshop commenced with a brief introduction by Professor Sami Askari who spoke about the objectives of the program:
 
  • To introduce useful information about common diseases
  • To help the health care workers and community members identify commonly occurring diseases
  • To educate the community members in prevention of these diseases
  • To raise awareness on the various aspects of preventive healthcare measures
  • To develop skills to handle health issues effectively
  • To develop participants as service providers/capacity builders in the community to reduce IMR, MMR, improve immunization and nutritional status of children
  • To promote overall good health of the community through health education by Community Health Workers in community meetings
 
The instructors were then introduced and the formal training began. Dr Neeraj Agrawal, one of the key resource persons at the workshop, asked the participants to identify diseases which they thought were commonly found in their geographical areas. The common diseases were discussed at great length with the use of a power point presentation and a printout in Hindi was distributed to all the participants. Finally, Dr. Neeraj explained the importance of immunization and urged the participants to ensure the vaccination of all children in their areas.
 
The training ended with an assurance from Professor Askari to continue this vital program. He requested all of the participants to go through the literature which was given to them and come prepared next time for a group discussion so that they may be able to disseminate information to other persons.
 
The World Federation is extremely grateful to Professor Sami Askari for all of his assistance and efforts in ensuring the success of this program in Bihar. Professor Askari expressed: “these are unchartered territories and I pray that Allah (swt) gives me the strength to implement these health talks across the villages in Bihar.”
 
 
 
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