Holy Mother said :

"My child, you have been extremely fortunate in getting this human birth. Have intense devotion to God. One must work hard. Can one achieve anything without effort? You must devote some time for prayer even in the midst of the busiest hours of the day.

Do the Master's work, and along with that practise spiritual disciplines too. Work helps one to keep off idle thoughts. If one is without work, such thoughts rush into one's mind."

Vivek Sanjivani

An Initiative for Healthcare and Education

Annual Report 2021-22

VIVEK SANJIVANI is An Initiative for Healthcare and Education of Ramakrishna Mission Home of Service, Luxa, Varanasi. It provides General Healthcare through six Telemedicine units and six Mobile Medical units along with Mother-Child Primary Health Care, Adolescent Healthcare, Community Mental Healthcare, Visual Health Check-up, General movement Assessment in Neonates and infants, and distribution of Nutritional Food Supplements. It is also engaged in Gadadhar Abhyudaya Prakalpa (Non-formal Primary Education), Value Education Programs, Health Education, Health Education-based and Value education-based film Development, publication of books and research programmes. It conducts Foundation courses in Science and Mathematics, online teachers’ training and teachers’ workshops. Multimedia-based online Science and Communicative English classes are now being regularly conducted for rural children. This department offered Telemedicine services through Twelve Centres in which 6 Telemedicine Units (TMUs) are stationary and 6 Mobile Medical Units (MMUs) are roaming. During 2021-22 we served 23,563 patients through our Telemedicine and Mobile Medical Units and conducted Non-communicable Disease Screening for 17,059 patients. So, altogether we offered services to 40,622 patients.

1. Telemedicine Services:
our Real-time telemedicine solution offers a virtual alternative to the in-person doctor’s visit. It expands access to quality patient care, especially to regions and underserved populations that need it the most. It provides a way to cut down on healthcare spending and keep connected patients throughout the year. Our 12 Telemedicine centres are serving the under-served people.

Telemedicine Units (TMUs) of Vivek Sanjivani: 6 Telemedicine units have been established at different locations viz., Majhawan, Kalwari and Naugawan (district Mirzapur), Lohara (district Sonbhadra) and Lalganj (district Azamgarh) of Uttar Pradesh and Bakhpur (district Udham Singh Nagar) of Uttarakhand for providing medical services to the poor, needy and underserved people. These centres provide telemedicine services generally 3 days per week on a regular basis. In our Telemedicine services we use internet communications and Cloud-based Real time software solutions to provide clinical services to patients without an in-person visit at the Doctor’s chamber. IIT Kharagpur has developed ‘Matri Seva’- a database software, free of cost for keeping patients’ details. The software has been hosted in the Microsoft Cloud-based server to provide easy access to all our centres. It is frequently used for primary healthcare, mental healthcare, follow-up visits, management of chronic conditions, medication management, health education and other clinical services. Our telemedicine programs of Vivek Sanjivani are backed with a 195 bedded referral hospital of our Ashrama in Varanasi.

The physician’s consultations are done from the Expert centre of Vivek Sanjivani at Varanasi or from the Doctor’s dwelling place. Several Physicians from Kolkata, Anand (Gujarat), and Noida are extending help in treatment of patients. Specialist Doctors are providing free services. The total number of people treated through telemedicine service during 2021-2022 was 13,910. All received free medicine from the remote TMUs except in a few cases. Pathological tests like Blood Pressure, haemoglobin % by colour card, Random Blood Sugar (RBS) are done for the patients above 30 years of age.

TMU Male Female Male Child Female Child Total OBC SC ST
6 6,066 6,721 602 521 13,910 5,806 5,776 290

Specialist Services offered through Telemedicine at the door step of village people: Psychiatrist, Gynaecologist, ENT, Rheumatologist, Oncologist, and Medicine.
People are receiving several major fundamental benefits from Vivek Sanjivani Telemedicine services which are: Improved Access, Cost Efficiency-based service, Quality healthcare service and within the reach of their home.

2. Mobile Medical Units (MMUs): Health on Wheels:
In rural Uttar Pradesh, nearly 60 percent of the total rural population lives below the poverty line. Our Mobile Medical Units help to conduct screenings, basic diagnosis and provide primary healthcare services to complex medical treatments closer to people’s homes.
We have 6 Mobile Medical Units touching several parts of Mirzapur district of Uttar Pradesh. These units are partly based on Telemedicine services. Some patients at 2 locations are offered in-person Doctor’s meetings. Total number of patients treated in villages through Mobile Medical Units during 2021-22 is given in a table:

MMU's Male Female Male Child Female Child Total OBC SC ST
6 4,186 4,708 319 440 9,653 3,026 4,068 939

3. Non-Communicable Disease Screening (NCDS): Screening done for Hypertension (HTN), Diabetes (DM), Oral Cancer (OCE), and Breast Cancer (BCE) among the target age group of 30 years and above through Telemedicine Units (TMU) and Mobile Medical Units (MMU) on the first day of the registration of the patient. Below are the details of screenings doneduring 2021-22:

  Hypertension Diabetes Breast Cancer Oral Cancer Total
No. NCD Screening 5157 5141 1500 5261 17,059

4. Manasik Soundarya (मानसिक सौंदर्य) (Community Mental Health Program): The community Mental Health Program is devoted to the evaluation and improvement of public mental health of poor people affected by mental disorders, emotional disturbances and/or addictions. The patients from Patewar, Kalwari, Naugawan, Lohara, Majhawan, Lalganj, Manikpur, Ramnagar, Gaura, Jalalpur and Deepnagar nd other villages are receiving 3 tiered comprehensive psychiatric and neurological treatment for (i) Common Mental Disorders like Depression, Anxiety, Obsessive Compulsive Disorder (OCD) (ii) Severe Mental Disorders including Psychosis, Bipolar Disorder, Schizophrenia and Major Depression and (iii) Epilepsy. During 2021-22 we offered treatments to 4832 mental health and neurological patients among which 219 OBC, 245 SC and 38 ST patients were served. A tabular representation is added for better understanding:

Common Mental Disorders (CMD):
Unit Male Female Male Child Female Child Total OBC SC ST
TMU 189 461 2 4 656 321 245 14
MMU 151 301 0 9 461 223 147 8
Total 340 762 2 13 1117 544 392 22
Severe Mental Disorders (SMD):
Unit Male Female Male Child Female Child Total OBC SC ST
TMU 648 349 15 4 1016 390 409 0
MMU 596 348 0 0 944 317 396 118
Total 1244 697 15 4 1960 707 805 118
Epilepsy (EPI):
Unit Male Female Male Child Female Child Total OBC SC ST
TMU 358 196 86 33 673 202 370 28
MMU 599 339 53 91 1082 323 444 184
Total 957 535 139 124 1755 525 814 212

5. Visual health Check-up: Cataract and refractive errors are two major public health problems in the context of ocular health in developing countries like India. We offer Eye refraction testing as well as 3Nethra testing at the remote village sites to favour the rural people. During 2021-22 we served the following number of people for visual check-up and cataract surgery:

Eye refraction Testing
New Patients Male Female Male Child Female Child Total
904 409 476 5 14 904
 
Eye Camp (Cataract Surgery)
No. of Units Male Female Total
5 83 81 164
 
Eye Camp (Cataract Surgery)
Sl No. Age Group No. of Beneficiaries
1 41-50 11
2 51-60 37
3 61-70 65
4 71-80 45
5 81-90 6

6. General movement Assessment in Neonates and infants for Early intervention, family Support and Health awareness (G.A.N.E.S.H.):
The unique feature of this project is General Movement Assessment of children especially up to 5 months of age. In this year a total of 185GMs Screening took place and 6 infants suspected for abnormal development were detected, 5 infants were followed up, and referred to Neurologist for special treatments and advice.
We are collaborating with General Movement Trust of Austria for this work. Prof. Christa Einspieler of this organization is providing special training and guidance to our Health workers and assisting in writing papers in reputed journals.

7. Vaccination and Treatment for Tuberculosis:
Total number of vaccines viz., Polio, Penta, Tetanus toxoid, Inactivated polio vaccine etc. administered in villages is 1,096. We offered support to 64 Tuberculosis Patients to receive free medicine and Govt. benefits.

8. Distribution of Nutritional Food Supplements:
Distribution of Nutritional Food Supplements is continuing uninterrupted till date. Nutritional food supplement items (Bajra, Soyabean, Besan, Ground Nut, Jaggery and Mustard Oil) are regularly being distributed on monthly basis to 2,623 poor, pregnant, lactating mothers and malnourished children of villages of Mirzapur and Sonbhadra districts which provide 750 kcal/day and 37 g of additional proteins every day to each woman and child.

9. Promotion of Health Education:
The purpose of our Health education is to positively influence the health behaviour of individuals and communities as well as the living and working conditions that influence their health and empower them to lead healthy lives. Health education activities should enhance the overall goal of the health promotion and disease prevention program. It can trigger far-reaching health improvements in serving vulnerable groups. Films are developed for health education programs which are culturally appropriate and tailored for the rural populations to ensure acceptance of the messages. In developing films, we are addressing cultural and linguistic differences, potential barriers to health promotion and disease prevention in rural areas to increase control over and improve their health through attitudinal, behavioural, social and environmental changes.
Films based on Health education developed by our department screened in different areas which were viewed by 5,437 villagers and students.

10. Vivek Sanjivani Shiksha:
We try to provide quality and relevant secondary level education to rural children. During teaching-learning programs we follow the ‘Constructivism’ method which enables each learner to build their understanding in an individualistic way and to find different personal connection points of relevance in their learning. We have On-site and Online classes for various groups at secondary level. Our educational programmes emphasise on concept-based learning, trying to bridge social, regional and gender gaps and minimizing digital divide among the urban and rural children.

Vivek Sanjivani Shiksha (Science) Class VI Class VII Total
No. of Centres No. of session (On-site) Boys Girls Boys Girls
2 66 180 307 194 98 779
 
Online Classes
No. of Centres Class Subject No. of session Boys Girls Total
5 X Science 17 155 84 239
6 VIII Communicative English 14 63 224 287
    Total 31 218 308 526
    Computer Classes 60 240 523 763

11. Health Education Film Development:
We have developed the video ‘Amulya Jeevan’, a cancer awareness film in Hindi and another ‘Nishabd Ghatak’, a film based on respiratory problems due to indoor pollution in rural areas in Hindi to create awareness among the vast majority of rural and urban people.

12. Non-formal Primary Education: Gadadhar Abhyudaya Prakalpa (GAP):
Under this program a total of 200 children of poor families of Rampur, Gaura (district Mirzapur), Lalganj (district Azamgarh) and Lohara (district Sonbhadra) have been enrolled in our 4 child-friendly holistic non-formal schooling units. These kids receive holistic education in their natural environment. They get nutritional snacks on a daily and monthly basis depending on the items along with free learning and literacy materials, hygiene and sanitation items, uniforms and school bags for overall growth and development.

13. Jivansudha (Value Education Programmes):
Inculcation of higher human values is one important objective of the Vivek Sanjivani programmes particularly in the youth. Values imbibed and practised in one’s own life makes life valuable and living joyous. To inculcate the attitude of practising higher ideals in life and to influence young minds right from the school days, Vivek Sanjivani has taken up this Jivansudha - value education programme, which used multimedia presentations to illustrate Ramakrishna-Vivekananda teachings for students and adults of various age groups. We have published the book ‘Jivan Mein Safalta’ to propagate the ideas presented by the illustrious child of India, Swami Vivekananda. We have started Online Value Education classes for students to foster positive thinking. Sri Ramakrishna’s sayings are the inspirations for living daily life based on eternal values. Keeping this in mind, we have developed 5 films in Hindi and one film in Bangla based on stories told by Sri Ramakrishna. All the 6 films are dubbed in English. We conducted value Education programmes in several villages in which the number of participants was 3,589.

14. Empowering Rural Women (ERW):
Our aim is to empower rural women to claim their rights to land, leadership, opportunities and choices, and to participate in shaping policies and programmes at least at the local level. We hope that this programme can enhance growth and improve development prospects for current and future generations. Our initiative also promotes equal rights, opportunities and participation so that rural women can benefit from trade and finance, market their goods and make a strong contribution to inclusive economic growth.
We have started our work in Lohara village of District Sonbhadra of Eastern Uttar Pradesh, an under-developed area. We made groups of ladies in each locality of Lohara village. We have provided financial support to some of the ladies of the Lohara village to start some business of their own. We have regular discussions with the members of the women groups about several rights given to them by the constitution. We discuss Microfinance in the groups to work together and save money and use it for other purposes like raising animals, starting small scale businesses - weaving, fishery etc.

15. Relief Works:
During 2021-22, our relief programmes supported 372 pregnant, 2,031 lactating mothers, 129 malnourished children, and 91 others and 303 GAP students and their families, 300 patients with epilepsy and severe mental disorder, diabetes, hypertension, poor and old women, 5 community health workers, 940 poor villagers of Manikpur, Patewar, Gaura, Kalwari, Majhawan and Naugawan of Mirzapur, Lalganj of Azamgarh of Uttar Pradesh, Bakhpur of Udham Singh Nagar district of Uttarakhand on different occasions with essential food items, clothes, masks etc. On various occasions 300 pcs sarees, 71 pairs of pant and shirt for kids, 350 pcs blankets, 321 pcs gamchhas, 5 pcs T-shirts, 5,114.85 kg millet, 2,491.85 kg soyabean, 1,180.35 kg jaggery, 918.05 kg peanut butter, 918.05 kg edible oil, 326 pcs masks were distributed.