The yawning gap of inequity between health needs of the people and access to health facilities poses the greatest challenge. This is literally an area ‘where no doctor has ever been to before’. There are no facilities for emergency obstetric care within a 150 km distance. It is available only in the district headquarters in Bhawanipatna and Rayagada which are equidistant for us from Kerpai. This is a thickly forested, hilly area with poor infrastructure and no communication facilities. The people here predominantly belong to Kutia Kondh tribe and some to Dongria Kondhs too, both of whom are classified as particularly vulnerable tribal groups.
Baseline survey done by Swasthya Swaraj in 2014-15 in 76 villages revealed the following:
The Infant mortality rate (IMR) was 152 per 1000 live births, Under-five children’s mortality rate was 284 per 1000 live births which means that every 4th child did not live to see his/her 5th birthday. The maternal mortality is very high too >800/100000 live births. Home delivery or unassisted self-delivery is the norm Malaria was attributed as the cause of 56% of the deaths (fever-related deaths).
Fortunately, these are showing downward trends. In 2017-18 the Infant mortality is come down to 90 per 1000 live births and maternal mortality down to 700 per 100,000 live births.
In this scenario, we have set the following goals:
Reduce the deaths and burden of diseases due to preventable diseases by 50% in 5 years
Reduce maternal mortality to acceptable limits.
Reduce infant mortality to 50 per 1000 and under-five mortality to 60 per 1000.
Improve the literacy levels through an innovative education model.