literate women represent 38.8 % of total population compared to 43.4 % in rural areas and currently married women with 10 or more years of schooling represent 25.9 % total vs 19.9 rural 83 . In this way, age at marriage is younger than the national average: average age at marriage in Haryana is 19,7 years old for total population (19,2 years old in rural areas 84 ). The main occupation of its inhabitants is agriculture. In some area there is canal irrigation but it is mostly rain fed and production rate in Mewat district is low compared to other districts. This limits access to food. Animal products is also a source of income, thus people are used to live with cows, chicken and goats in their courtyard. Health and sanitation The Mewat District has the lowest health indicators in Haryana, compared to other districts. According to DLHS- 3 (2007-2008) there are less than 30 % of institutional delivery and contraceptive use (respectively 46,9 % and 62 % for the state of Haryana). This district also has the poorest immunization rate amongst children from 1 to 2 years old, with less than 25 % having full immunization, compared to 59,6 % for the whole state of Haryana 85 . <strong>Deepalaya</strong>'s dispensary based in Gusbheti welcomes as much as 4088 patients per year (2010-<strong>2011</strong>) 86 . Free governmental health care services are provided to Gusbethi and its surrounding through “Anganwadi”, where people can have access to immunization, ANC and iron tablets, free medicine, health education through awareness by health workers. Standards are about one Anganwadi per 800 population. In Patuka village (population> 3500 people), there are 2 Anganwadi, in Gusbethi (population >2000), there is one Anganwadi. Moreover, health care services are provided to the population of Gusbheti and other 15 villages of the Mewat District, since 2005 by the Chameli Dewan Memorial Rural Health & Mobile Clinic. Through these health facilities, <strong>Deepalaya</strong> provide basic cares. Gynae and obstetric for ante and post-natal cares are an important part of these services. Note that in Haryana, 87,3 % of mothers have received any ANC (85,2% in rural areas) 87 . Other services are delivery, training of dais, immunization, family planning , lab tests along with awareness and health camps on various topics (breastfeeding, ANC, PNC, family planning, child care, anemia, TB, waterborne disease, malnutrition, pneumonia, HIV, communicable diseases, skin diseases, etc.) to about 80 000 people around the Tauru block of Mewat district in Haryana. Promotion of institutional delivery is also a part of these awareness, as Mewati district has less than 30 % of home delivery, but 46, 9 % of delivery are institutional in whole Haryana (42.2% in rural areas) 88 . The price for delivering in Gusbethi Hospital is 1500 Rs and includes, for example, injections, services and transport to home. Other examples of fees charged by the clinic are 60 Rs for 2 weeks of iron tablets if not pregnant. Note that from October 1 st <strong>2011</strong>, due to different reasons, the mobile clinic has stopped but awareness are still going on by healths workers to promote institutional delivery, the dispensary in Gusbethi, staff available 24 hours a day, etc. in order to keep providing health cares to this population. Gusbethi's clinic has X-rays equipment, laboratory room, OT room, delivery equipment. The staff is composed of a general physician, a pharmacist, ANMs, health workers, an optometrist, caretakers, accountants, lab technicians, and ophtalmologists come from Nuh every week to operate cataract surgeries. Eye camps take place every week in different villages in which diagnosis of cataract and promotion of the new clinic are held. Since september <strong>2011</strong>, free cataract surgeries are operated in the main clinic based in Gusbheti to address the increasing needs for eye cares in this area. This surgery is free for patients who have previously attended eye camp given by the staff and 1500 Rs for other patients. 83 R e f e r e n c e 7 , p . 3 84 Reference 7, p. 3 85 R e f . D L H S-3 Haryana, p.7 86 Ref. clinic
Health cares are also provided to all children of <strong>Deepalaya</strong> school as well as general check-ups that take place every month in school. The team is seconded by St Stephens Hospital in New Delhi and patients are referred to Governmen Hospital and other institutions, such as Tauru Hospital (private) for further investigation and specialized cares. Pregnant women also have a free service of amublance (government services) that they can use in case of emergency during delivery. Calling to this number, they can reach the ambulance that will bring them up to the closest government hospital. Anemia, the major disease reported in the clinic during year 2010-<strong>2011</strong>, represents 46% of all disease reported. Some other diseases are malnutrition (5%) and diarrhea (2 %) along with malaria (which is not so prevalent in this area), cold and cough, and others.
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