Showing posts with label community based rehabilitation. Show all posts
Showing posts with label community based rehabilitation. Show all posts

Monday, November 17, 2014

Finger Millet - A Disabled Friendly Crop

This is a guest post written by Ms. Rachel Belda Raj. Rachel serves as Project Manager of the project on Community Based Rehabilitation for the Disabled in NJH.









Working with vulnerable groups for their rehabilitation and empowerment is a challenging task and then there are People with Disabilities (PWDs) who often are the most vulnerable, trapped in the cycle of poverty and disability. The rehabilitation process is time consuming as it involves both helping them discover opportunities as well as facilitate a change in their thought process. In the process of our working with PWDs, disabled friendly opportunities are rare as society is a long way from main streaming. A change in attitude may occur but without the right opportunities, they are not fully rehabilitated, unless they create the opportunities themselves.

Here is an account of a created opportunity towards rehabilitation.

Like most rural communities, agriculture is the main source of income for our community part of the Community Based Rehabilitation (CBR) Project for PWDs. Unfortunately the area we work in is a drought prone area affecting the main source and for most people the only source of income or food. The PWDs also find themselves most vulnerable as their mobility impairments affect their agriculture as well. Surprisingly, this issue has been a recent one as for generations, this area has been a drought prone area but people have survived by cultivating drought resistant crops. But with the green revolution and introduction of cash crops, traditional drought resistant crops were abandoned. Now, with the climate change issues and lack of rainfall, the community finds itself vulnerable as neither they have irrigation facilities or timely rain for the cash crops nor the traditional knowledge of drought resistant crops.

The Community Based Adaptation Project had discovered the long forgotten drought resistant crops of the area especially finger millet which had been part of the community. They are now working to promote Finger Millets both for its drought resistance as well its nutritional content aiming to tackle poverty and mal nutrition.

As a spill over effect of the project work, the PWDs in the CBR Project area had also heard about the work to promote finger millet. Both out of curiosity and desperation, they enquired about finger millet. Most of them had idea as their ancestors had grown and consumed in their homes. As predicted, the lack of rain fall left most of the fields barren. Meanwhile, the CBA project had arranged a training regarding drought resistant crops at Satbarwa, the block headquarters.

The PWDs from the village Patna were encouraged to attend so they would get an idea of Finger millet and its benefits. The meeting was facilitated by Prof. Haider from Birsa Agriculture University, Ranchi. As they presented fascinating facts about Finger Millet, the PWDs were convinced to at least give it a try. As in the end of the meeting seeds were sold at nominal prices, almost 18 PWDs bought about 200gms to cultivate.

The Finger Millet was cultivated and unlike many other crops, this doesn’t need much effort or regular supervision. This was beneficial to most PWDs as they most of them had mobility impairments and were dependant on other people for agriculture. This crop reduced their dependency as there was hardly any effort involved. Of course, regular care of the crop would definitely give higher yields.

When Professor Haider visited the region last week, one of the fields he visited was that of Mr. Manoj who had done cultivation of madwa in one plot of land. He was elated on seeing the yield. In fact, Professor Haider was also taken aback at how finger millet farming has become a boon to a disabled farmer.


The team at Manoj's field . . . 

Prof. Haider interacting with Mr. Manoj . . . 
They now look forward to the harvest. Cultivation of finger millets has not only ensured them some source of food and income but also re kindled hope for the future. 

Friday, February 28, 2014

Very sick patients - request prayers


There has been lot of Community Health work going on over the last 3 weeks. The Lord has been gracious to us after we got some very favorable responses from few of the government departments. I just returned from a technical week celebrations by the local Krishi Vigyan Kendra and the Zonal Research Centre, Daltonganj who asked us to facilitate one day of farmer training. 

As I reached hospital, Roshine and the ACU staff were struggling and baffled by a 9 month old baby who had turned up yesterday late night very sick. She had kept almost Roshine and the Critical Care staff awake last night and it seems that she would continue to do today also. MK had been having diarrhoea over the last 4 days and she was being managed at home. She had suddenly become unconscious yesterday. 

She was gasping and badly desaturating when she reached NJH. The staff had to intubate her as soon as she reached. This 9 month baby weighed 14 kilograms. She was so chubby and in shock too. Roshine had to put an intraosseous line. She was improving over the day. But, she became worse towards evening. 

She continues to be on manual mechanical ventilation. 

Please pray for her. 

One more person we request prayers. AA, who came about 2 days back. AA had fallen from a height and ended up a paraplegic. Due to lackadaisical care, he developed a bad bed sore which was also neglected. He was brought in a very bad state and with probable pulmonary tuberculosis. 

We were very sure that he needed a miracle to recovery. We told of our limitations. 

They requested a referral to a higher centre. He had already been treated in Ranchi. 

Kindly pray that he would get good treatment in Ranchi and he would get healed. 

Our CBR program has already identified that falling from heights is one of the major causes of acquired disabilities in the countryside. And most of such villagefolk live miserable lives. 

As we explore further avenues of facilitating Community Based Rehabilitation, we pray for more skilled and committed hands . . . Do also remember Dr. Titus, who recently was accepted for post-graduate training in ENT at the Christian Medical College, Vellore would leave us in a couple of days along with his wife, Dr. Grace . . .  


Thursday, December 12, 2013

Disability Day Celebrations - Latehar

The final part of our celebration of the International Day of People with Disabilities. This was organised in Latehar, our neighbouring district. The Community Based Rehabilitation Project works in 4 blocks of Latehar district - Barwadih, Manika, Latehar and Chandwa.

We thank the Lord specifically for the program today as we had some untoward incidents of social unrest. There were couple of more landmine blasts on the way to Latehar just before the team was returning from Latehar after the program.

Snaps from the program . . .

Lighting of the lamp

Welcome song by children from Carmel Asha Kendra

Dr. Roshine welcoming the gathering

Dr. Harold Hansda giving the felicitation

Mr. Manoj, a disabled friend singing a song

The guests

Dance by students from Carmel Asha Kendra

Tiny tots from Carmel Asha Kendra doing an action song

The audience

Saturday, August 10, 2013

Village Visit - Latehar District (1)

Last week, we had a supervisory visit to Latehar district as part of the Community Based Rehabilitation of the Disabled. The scenery of the villages we visited was awesome. Few snaps from the visit. 

I had real difficulty in selected the best snaps . . .

A river through which we had to wade across.

Sr. Banosa, Rachel, Sunita along with villagers walking back

The stunning snaps of the rice fields. The hills of Mahuadand are in the background.

A small lake which we saw on the way . . .

Snap through the windshield of the jeep. 

Rice grown by the Systemic Rice Intensification method. 

The visits included long walks through such paths . . .

A snap which I got on the drive back . . .
Amazing . . . isn't it? 

The snaps are quite evident of how beautiful the place is. 

Thursday, March 21, 2013

Community Based Rehabilitation

This is a guest post written by my colleagues, Ms. Rachel Belda Raj who serves as a Project Officer in the Community Based Rehabilitation Project. This is in response to mails from readers about what Community Based Rehabilitation exactly is. Ms. Rachel is a Masters in Social Work from the Madras Christian Collge and has served at the Physical Medicine and Rehabilitation Department, Christian Medical College, Vellore before joining NJH





Disability has been an age old problem in our societies and would continue to be present. People with Disabilities(PWDs) have always been excluded from the mainstream society. As human rights developed, PWDs started raising their voices for their rights but it has been limited to the educated society who are aware of their rights but the majority continue to live in ignorance of their rights and under discrimination. But approaches to disability have evolved and view of disability have changed from giving charities to a medical perspective and finally to an empowerment model. Hence the development of the Community Based Rehabilitation.

The Community Based Rehabilitation Project, as the name suggests involves in working in the community using the community resources as opposed to an institutional based rehabilitation where more focus is on the medical condition. Hence, CBR involves Persons With Disabilities (PWDs), along with their families, community they live in and the respective government including policy makers and implementers. The dream of the CBR project would be to facilitate a just society where PWDs are given equal opportunities in all spheres of life. The first step towards this goal would be for PWDs to know and access their rights and move forward into the mainstream society.

This project facilitated by Nav Jivan Hospital is the first of its kind in the area and covers a area of 10 blocks with a population of approximately 1.5 million. The initial feel from the field reveals that ideas about disability are still very raw. Therefore a community based project would be a good start in dealing with disability in the area.