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View the latest Annual Report 2022-2023

Siddharth

This report explores the stories, experiences and aspirations of the people whose lives have been touched by the Foundation’s initiatives. Through their eyes, we gain insights into the challenges they face, the resilience they embody and the transformative impact of compassion and support. From remote villages to bustling urban centres, THF’s work spans across various sectors, including education, healthcare, livelihood and environmental conservation. ‘Through Their Eyes’ is a reminder that empathy and understanding can help build a world where every individual’s voice is heard, valued and respected.

Primary Healthcare Mobile Medical Units

Primary Healthcare Mobile Medical Units

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Healthcare in India is characterised by increasing out of pocket expenses and increasing chronic disease prevalence despite continued efforts to improve access and quality of healthcare. The burden of certain diseases and disabilities fall disproportionately on weaker sections, contributing to the health disparities seen among some sections in our society.

Moreover, access to healthcare services in India is significantly weighted to urban areas. In a country where most of our population lives in rural areas, this means that much of our population is significantly underserved when it comes to even primary healthcare.

Without exploring and implementing new models for meeting the population’s health needs, the existing healthcare system will continue to struggle in delivering adequate and equitable health services. Moreover, access to health care and equitable distribution of health services are the fundamental requirements for achieving the Sustainable Development Goals (SDGs) and the targets set under the National Health Mission (NHM).

In recent times, Mobile Medical Units (MMUs) are believed to be an innovative model of healthcare delivery that could help alleviate health disparities in vulnerable populations and individuals with chronic diseases. Indeed, some studies have concluded that MMUs are particularly impactful in the following contexts: offering urgent care, providing preventative health screenings, and initiating chronic disease management. By opening their doors directly into communities and leveraging existing community assets, MMUs can offer tailored, high-impact and affordable health care that responds dynamically to the community’s evolving needs.

The Hans Foundation’s Mobile Medical Units Program strives to reach out to the most underdeveloped and inaccessible areas of the country to provide quality primary healthcare, referral services as well increase awareness and drive behaviour change for healthier communities. Currently we are operating MMUs in Uttarakhand, Uttar Pradesh and Jharkhand, with plans to expand in Himachal Pradesh and Nagaland in the near future.

Each MMU is led by a qualified medical MBBS doctor and supported by a qualified nurse, a pharmacist, a lab technician, and a driver. In addition, there is a Health Worker situated at the village level (1 Health Worker for 2 villages).

Mental Health & Primary Healthcare for School Children

Mental Health & Primary Healthcare for School Children

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The Hans Foundation has partnered with The Government of NCT of Delhi in launching a first of its kind initiative – providing primary health care and mental health services through School Health Clinics in schools under the Directorate of Education, GNCTD.

Children have been repeatedly recognised as a vulnerable group by social scientists- making intervention at a primary level crucial. The health concerns of school children are mainly in the categories of malnutrition, infectious diseases, intestinal parasites, diseases of skin, eye, ear, dental caries etc. Most of these health situations can be handled at the level of a primary care OPD.

Moreover, rising mental health concerns among school going adolescents is widely spoken about but they largely go undiagnosed in the present health infrastructure present in schools. According to the WHO report, India tops the list of countries with the greatest burden of mental and behavioural disorders and nearly half of all mental health problems originate before the age of 15. A study conducted by Delhi State Legal Services Authority (DSLSA) on 225 government schools found out that 36% of the students who dropped out consumed a substance. 12-13% of school students suffer from emotional, behavioural and learning problems. Suicide rates among children are perilously rising. A 2015 Delhi Commission for Protection of Child Rights (DCPCR) study found that the mean age of street children in Delhi taking drugs was about 13 years with the mean initiation age being as low as 9 years!

As such working providing primary healthcare to children must go hand-in-hand with provision of mental health services as well. Health is a not merely absence of any disease or infirmity but a state of complete physical, mental and social well-being. Holistic healthcare of children needs equal focus on physical as well as mental health.

With School Health Clinics, we seek to pair the interventions of diagnosis, treatment and prevention related to physical and mental health concerns of the children. Regular health check-ups and tests can help find health issues before they start and help find problems early where the chances for treatment and cure are better. Therefore, providing the right health services, screenings and treatments for children in schools will help them have a healthier life.

Each clinic will have one Psychologist, one ANM (Nursing Officer) and one Multi-Task Worker along with one Doctor (MBBS) for a cluster of five schools, who will visit each of these five schools once-a-week on rotational basis. These clinics will start functioning in 15 schools, as a pilot project.

Protecting the Forests of Uttarakhand from Forest Fires

Protecting the Forests of Uttarakhand from Forest Fires

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Almost 71 per cent of Uttarakhand’s total geographical area is covered in forests. 12 percent of its total geographical area is part of protected regions with 6 National Parks, 7 Wildlife Sanctuaries, 4 Conservation and 1 Biosphere Reserve area. Other than the environmental aspect, the forest contributes significantly in the state’s revenue due to forest produce and tourism.

Garhwal region is one of the most botanically diverse areas of the Indian Himalaya. However, due to rampant wildfires, certain areas of the hill slopes are now devoid of vegetation, contributing to the loss of biodiversity and subsequent erosion of topsoil incurring both environmental and social costs with repercussions both in the mountains and the adjoining plain eco-systems.

Since 2000, forest fires have affected over 48,000 hectares of the state. Uncontrolled fires contributed heavily to the depletion and exhaustion of natural forests, biodiversity, soil fertility and sustainable forest-based production. They usually produce large tracts of eroded and weed infested lands, altering ecosystems, disturbs and destroys fauna and several smaller animal habitats. Due to this phenomenon climate change in the form of erratic rainfall or reduced precipitation or heavy rainfall increased temperatures in the mountain. It has a direct and indirect adverse impact on agriculture, forests and livelihoods of the people.

While there is not much substantiated research for exact causes behind forest fires, it is commonly considered to be caused by a combination of Environmental and Anthropological reasons.

The forest department cites four causes of wildfires in the state– deliberate fires by locals, carelessness, farming-related activities and natural reasons. According to a government report, locals set forests on fire for growth of good quality grass, to cover up illegal cutting of trees, for poaching and sometimes to even take revenge from somebody including government employees.

The Hans Foundation ​​is planning a two years pilot program, designed to alleviate this problem by sustainably reducing the incidence of forest fires in the targeted area of Garhwal by leveraging involvement of the local community.

Management of forest fires involves four broad components- Mitigation, Preparedness, Response and Recovery. Each component can have multiple strategies. The THF project will be working on Mitigation and Preparedness to complement the forest department’s work on Recovery.

Extending a helping hand

Extending a helping hand

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Disasters lead to immediate physical injuries and loss but also impact victims’ attitudes, communities, and local economies potentially for decades to come. In such difficult times, a quick response is needed to try and save lives. THF along with its partners across India has always worked to provide timely relief to the affected people during adversity.

COVID-19 was a disaster of epic proportions and in the COVID-19 crisis food security, public health, and employment and labour issues, in particular workers’ health and safety converged. Unquestionably, humankind has gone through a new and unprecedented experience. THF has led the way in response to the COVID-19 outbreak. Along with its partners, THF conducted relief support drives for those affected and also helped the hospitals and the front line workers.

In order to combat the increasing number of COVID patients, The Hans Foundation supported the setting up of quarantine centres that could accommodate up to 10,000 people. For these quarantine centres 6,000 beddings, mosquito nets, electric fans and other amenities were also provided. This support was extended to a total of 135 quarantine centres in Uttarakhand. Besides this, the foundation assisted various state governments by providing a total number of 2,650 Oxygen concentrators, 5200 medical bedding sets and 1000 Oxygen flowmeters to Haryana, Madhya Pradesh, Delhi, Chhattisgarh, Rajasthan, Uttar Pradesh, Uttarakhand, Nagaland, Karnataka, Jharkhand and Odisha.

The Hans Foundation is also working to set up Oxygen plants in UP, Jharkhand and Nagaland in collaboration with the governments, to strengthen the medical infrastructure in these states.

New equipment provided to Gandhi Shatabdi Center for Ophthalmic Sciences, Dehradun – 28 th  Jan 2019

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Hon’ble Chief Minister of Uttarakhand in the presence of Gen Mehta- CEO THF, Secretary- Health Uttarakhand and District Magistrate Dehradun inaugurated and released the equipments to Gandhi Shatabdi Centre for Ophtalmologic Sciences on 27th  January 2019 in Dehradun (Uttarakhand). Gandhi Shatabdi Center for Ophthalmic Sciences, Dehradun is a 200 bedded eye specialty government institute. The hospital was not well equipped with the required machineries and equipments to perform requisite tests and surgeries. At the behest of Government of Uttarakhand, THF invested more than Rs. 2.00 crore and provided 11 equipments like- IOL master, OCT spectral, Phacoemulsification machine with vitrectomy, operating microscope with attached camera etc. to strengthen the capacity of the institute. Now the hospital is fully equipped to provide best eye care services to its patients.

 

Bringing the Invisible victims to the forefront – Launch of The Centre for Mental Health and Inclusive Development Supported by The Hans Foundation

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The Hans Foundation and Banyan launched the Centre for Mental Health and Inclusive Development Supported by The Hans Foundation. The Centre for Mental Health and Inclusive Development is being supported through an endowment grant of $2 million ( 15 crores) by The HANS Foundation to The Banyan. The endowment ceremony took place 9th of December 2018, at Chennai. The event saw discussions among diverse stakeholders on the theme of fostering alliance to bolster mental health care in India and social inclusion of people with mental health issues and illness.The objective of this initiative is to create Inclusive Living Options for Persons with Mental Health Issues for whom hospitalisation is no longer beneficial and exit options are not available. It will work on social inclusion of people with mental illness by enabling transitions out of psychiatric hospitals to supported and independent community living options that offer graded levels of support. Through this, the Centre will also work on reorienting the paradigm of care in these facilities to offer user-centred and rights-oriented services.

 

Home Again offers people with mental illness with long-term needs the unconditional opportunity, with no requirements of community readiness, to live in a home, either back with their family or in a formed family of peers from similar circumstances, with the option of an onsite personal assistant to assist in diverse domains of living from caring for self, finding jobs, use of transport, socialisation support to pursuit of leisure in ways that service users desire. Multisite evaluation of Home Again in Kerala, Tamil Nadu and Assam reveals that this approach offers significant community integration gains – people transitioned from a sick role of a parent in a hospital to taking charge of their households, forming relationships, casting their vote in elections and even being invited as chief guests at local community events. It offers these gains at a fraction of what it costs for life-long stay in an acute care facility. Operationalised using a quasi-experimental design, the housing with supportive services approach was piloted and translated to scale up with the support of Grand Challenges Canada (GCC). GCC is funded by the Government of Canada and is dedicated to supporting Bold Ideas with Big Impact in global health Home Again is offered in three variants:

 

  • Reintegration with Families: People with mental illness are supported to journey back to their families and communities of choice. Clustered Group Homes: For some with people with mental illness with histories of homelessness, return to family is not an option.
  • Clustered group homes co-located with facilities that allow for community interface such as the academic sister organisation The Banyan Academy of Leadership in Mental Health (BALM) are offered as an option in such instances.
  • Housing with supportive services: Where people with persistent mental illness across a spectrum of low- to high-support needs prefer to transition to shared homes in rural, peri-urban and urban neighbourhoods and renew their definition of what home can be alongside personalised supportive services.

 

As part of this objective, of ensuring that people are not languishing in psychiatric hospitals THF is also involved in a “ Study on National Strategy For Inclusive and Community Based Living For Persons With Mental Health Services”. Under, this as a task force has been set up with the aim of unifying efforts and to evolve a long term sustainable strategy for de-institutionalisation at the State and National level. The study will cover 44 Mental Hospitals spread across the country and will study patients who have been in the facility for more than one year.