BCT - Visit Report

On the 19 September, I visited Bhagavatula Charitable Trust, a Not-for-Profit organization who's vision is "To transform 100 villages in 3 mandalas, viz. Yellamanchilli, Atchyutapuram and Rambilli of Visakhapatnam District, Andhra Pradesh into model villages in such a way that all able bodied persons are gainfully employed, that substantive improvements in the state of literacy, health and economic sustenance take place and that local leadership and facilitation is fully developed."

Here are my notes from my discussions with Mr.B.Sri Ram Murty, Joint Secretary of the organization.

Current Organization strength is around 80.
Villages Covered : 40

Activities of BCT:
Education
Agriculture
Women's Empowerment
Skill Training for Disabled
HealthCare

Going forward, the organization will concentrate more towards Education and Livelihood training for Children and Youth.

BCT believes in Programs and not in Projects. What is the difference?
Ramesh (as Mr.Sri Ram Murty is fondly called) says "Projects have a beginning and an end which comes with a report on how the project has started, progressed and closed, submitted to organizations/people who have funded/supported the project. However, Program is more longsighted and typically does not have an ending. We believe in designing programs keeping the grass-root level problems in mind and work towards making changes in the program if necessary as it progresses".

Let me dig a little deep into the current activities and share my observations.

Education
BCT has been into Education since the beginning (infact, the organization started with a School). BCT schools are categorized as follows:
Class 1-5 : 144 Schools
Class 6-7 : 16 Upper Primary Schools
Class 8-10 : 1 Model High School

As per research information, over 45% of Indians are un-employed and over 95% (very high number) of Graduates are un-employable (There is a lot of difference in being employed and being un-employable, I will explain in detail in another post). BCT has identified three main categories in education system and is working towards building the same and implementing in their schools:

A) Academics
B) Vocational Training
C) Values

Academics are important (Social, Science, Mathematics and Language) and taught in all schools and in all classes.

Vocation Training encompasses providing skill based training to children which will add the value of implementing what they have learned through academics. It is not mandatory that what is taught in school should be practical and implementable, but what is practical and implementable should definitely be taught during the school days.
I find this absolutely correct. If we look back, how many of us agree that what we have studied in our school / collage days is what we implement today? I really don't know and I personally am not implementing most of the things. I did my graduation in Economics and Computer Applications during the days when 'Career' is only Engineering/Medicine and both subjects are of use to me today.

Values - The most important aspect of education and bringing up are "Values". In today's world, most of us are just being for ourself - me and my family. But, we are part of the society and we do play an important role in living in the society. Are we any time taught the principals governing "Society". Values are most important aspect of education and this is what BCT is trying to incorporate into their education system.

One basic question I have is that India has attained independence 60 years back and the education system was build over the period of time since then. We are one of the world's largest democracy. Is there any subject in school/collage which educates children on "Democracy"? We can vote after we turn 18, but before that, are there any classes which teach children on what is Voting? How do you select your leader? What are your responsibilities? (I do know this is what we learn in Civics subject, but that is lot more generic and I do remember what I learned). This is where we need thinking and setting direction.

Now, let us look at what BCT has in its syllabus for inducting Vocation Training and Values into their education system.
Academics - Andhra Pradesh State Syllabus is followed
Vocational Training - Orientation in Agriculture (Bio-Intensive Gardening)
Values - Moral / Ethical / National Values

What is Bio-Intensive Gardening (BIG)?
This is interesting, Each student / group of students are given a 100 Sq.Foot area in which they would need to grow vegetables for a family of 5. All the required education, seeds, medication are provided by BCT and the student(s) have to grow vegetable themselves. This teaches students to be self-sufficient as they grow.

BCT also has KVK (Krishi Vidyana Kendra) which concentrates completely on Agricultural Research.

I have also visited their Baking Department where children are taught to bake biscutes and cakes which are sold in the local market.

They have a campus for Disabled Training program which concentrates on training disabled children in paper-bag making, stitching etc.

Please note that all Vocational Training Programs which generate any money will go to the person/child who has earned the same. Each child has bank accounts which are opened by BCT and any monetary benefit will be deposited in the account.

You can see few pictures of the organization at my flickr account.

If you are interested to know more/contribute to any of their programs, please contact:

Bhagavatula Charitable Trust
BCT Farm Complex,
Haripuram - 531 061
Visakhapatnam District
Andhra Pradesh. India
+91.891.255 0084 Phone
www.bctindia.net
bctindia@yahoo.com

Corporates addressing Social Concerns

Reliance Industries now wants to enter into HealthCare working on developing 1500 Primary HealthCare Centers (PHC) in-line with the Government Health System in India.

Reliance would want to Invest Rs.25,000 Crores into this venture. In the article, there is a questions which has been put across whether this would fit into the Corporate responsibility or is there a business angle to it?

I feel that there is corporate touch to each aspect of service anywhere in this world. Probably, the NGO segment does not fall into this, but even NGO's work towards creating a model for self-sustainence and longitivity of the organization. So, will this work?

My opnion is that these kind of initiatives will definitely work, and especially, when corporates this big would want to venture into social problem related areas, there would be a huge impact on people. However, corporates venturing into Social problems need to have a different strategy while working on solutions. Traditionally, corporate thinking is different from a common man's thought process. Here are few pro's and con's of corporate involvement in social aspects:

Positives

1. Initiatives are well marketed - People know about big organization and tend to look at what they are trying to do and play a role in it.
2. Financial Strength - Organizations have good money and they are ready to take the risk of investing and taking risks.
3. Management ability - Experienced people have good understanding of basic problems and hence they can manage solutions effectively.

Need Attention

1. Organizations need to involve well-known and respected personalities who have worked/have been working in solving social problems. Having respective background knowledge would be a huge advantage.
2. Corporates should not give/create their own direction to solutions of these problems, instead work in association with Government and people who are experienced in the respective fields.

This is a good change in thinking of corporates, I hope this goes in a good and meaningful direction.

HealthCare Personnel in India

The number of registered Doctors in India has increased from 61,800 in 1951 to 6,45,825 in 2005, which translates to 0.61 Doctors for every 1000 people. To give a comparative analysis, Cuba has 5.91 Doctors for every 1000 people in 2002.
India has 5.9 Doctors, 0.8 Nurses and 0.47 Mid-Wives for 1,000 people which add up to 1.86 Health workers for 1,000 people. As per the Joint Learning Initiative launched by Rockefeller Foundation, on an average, countries with less than 2.5 Health Care workers fail to achieve 80% coverage rate. According to Union Ministry of Health and Family Welfare’s (MOFHW) “Health Information India”, 2004, we had 67, 576 Doctors; which translates to 1 Doctor for 15, 980 people.
The Government’s estimated requirement of specialized surgeons, obstetricians, gynecologists, physicians and pediatricians in 2001 for Community Health Centers in rural areas is 12, 172, but only 6, 617 posts were sanctioned and only 4, 124 positions were filled.

• There are 122 Private Medical Collages and 119 Government Medical Colleges in India.
  
• As per CNN-IBN Lives article published on 30 August 2007, there is 1 Doctor for every 2,200 people.
  
• According to an Escorts Heart Institute research document prepared in 2005, it is estimated that India would need 1,00,000 qualified nurses and 5,00,000 Doctors by 2012.
  
• There are close to 8000 Hospitals in India with a total of 6,00,000 beds, which translates to only 7 beds for every 10,000 population.
• India spends around 10% of its GDP (amount) towards HealthCare.

Online Grievances in India

Department of Administrative Reforms and Public Grievances which falls under the Ministry of Personnel, Public Grievances and Pensions has initiated the Online Public Grievance Lodging and Monitoring System which you could use to record any of your grievances to the Government.

India is truly developing and these are small steps to reach there. So, next time when you have a concern, try this. You don't know, it might just work.

9 C's of Leadership

Times of India, on 31 August 2007, published an interesting column by Lee Iaccoca. In this article he writes of the 9 C's which he feels will make a leader:

1. A leader has to be Creative
2. A leader has to show Curiosity
3. A leader has to Communicate
4. A leader has to be a person of Character
5. A leader must have Courage
6. To be a leader, you have got to show Conviction
7. A leader should have Charisma
8. A leader has to be Competent
9. You cannot be a leader, if you don't have Common Sense
   

PHC's in India

Statistics of PHC's (Primary Health Center) in India:

There is 1 PHC for every 25,000 population
PHC for - Promotive, Preventive, Curative and Rehabilitative Care
This implies offering a wide range of services such as health education, promotion of nutrition, basic sanitation, the provision of mother and child family welfare services, immunization, disease control and appropriate treatment for illness and injury.

Each PHC is a hub for 5-6 Sub-Centers.
Each PHC is covers 3-4 Villages.
Each PHC is coordinated by a ANM (Auxiliary Mid Wife)

PHC's will be referral centers for Community Health Centers (CHC), which is a minimum 30 bedded-hospital or higher at the Taluk or District Levels.

WHO Report
According to WHO, PHC's in India specifically attribute to deterioration of quality services due to parameters like - lack of political commitment, inadequate allocation of financial resources to PHC's and stagnation of inter-sectoral strategies and community participation. Also in the list of reasons are bureaucratic approach to HealthCare implementation, lack of accountability and responsiveness from general public.

Key Points to observe:
1. PHC's through out the country have the same number of ANM's even though the fertility rate varies in different parts of the country.
2. Political interference in creating PHC's.
3. Government departments are more involved in ensuring government norms are implemented, salaries are paid and minimum facilities are available rather than concentrating on measuring Health System Performance.
4. The DHO (District Health Officer), responsible for implementation of Public Health Systems are not adequately trained.

Strengthening the capacity for Public Health Management at the District and Taluk level is crucial to improving public sector performance.

Why the system is not working as required?
1. Lack of accountability in the system.
2. No formal feedback mechanism to ensure proper implementation of the system.
3. No incentives for Doctors to work in the Rural areas.
4. Irresponsible mind-set of ANM's (this happens as there is no feedback mechanism)
5. Lack of resources (staff).
6. Current budget allocation of Rs. 75,000 / PHC / Annum is very less when considering the population each PHC has to cater to (5000 people).

What do we do?
1. Periodic HealthCare Education in Schools, Panchayat/Taluk Offices - NGO, Private Institutions and Social Entrepreneurs.
2. Community involvement - Government / Private Partnership
3. Public Health Training programs for DMO's and other staff - Government / Private Partnership.
4. Appropriate and functioning feedback mechanism to ensure people understand that they are cared for and their feedback is valued for betterment of the system - Government

I will revisit this topic of what we can do better in my forthcoming writings.

Due credits to Neesha Patel, author of Evaluating the role of Primary Health Centers in India.

India HealthCare Project

India HealthCare Project, is an initiative of CMC which designs and develops PDA (Personal Data Assistant) systems to ANM (Auxiliary Nurse Midwife) who works at the grass-root level of delivering HealthCare. This project has been piloted and implemented in the Nalgonda District of Andhra Pradesh.

Read more on this project at http://www.iimahd.ernet.in/egov/ifip/jun2003/article4.htm.