Report 2011 - Deepalaya

AND THE ACCESSIBILITY OF THE CLINIC IN GUSBETHI
MANAGEMENT OF MEDICAL WASTES
According to the ONU, the medical wastes are considered as the most dangerous wastes after the radioactive
wastes. About 15 to 25% of them are contaminated and represent high risks for health. All around the world,
use of medical stuffs is increasing but there is no more way to eliminate them. Nevertheless, we have been
noticed that in Gusbethi clinic, used needles are thrown in the same waste bin as others medicals and nonmedicals
wastes. The risk of infection is thus increased, because anybody can hurt himself with these needles
especially the sweeper while cleaning the clinic and even some patients. Our recommendation would be to use
special containers (e.g. BioHazard boxes) that cannot be opened by anyone for used needles and these wastes
should then be destroyed in the right way.
In the clinic, we have seen a machine that can grind and cut the needles after use, but it is not used by staff
people because it is not always working. This is also a good option but needles box is more affordable and more
secure to people in the clinic.
HUMAN RESSOURCES AND ACCESSIBILITY OF THE CLINIC
For sure a recommendation to improve the efficiency of the clinic would be to get more staff but we know that
because the clinic is located in a small village it is usually difficult to achieve.
We think that improving the access to the clinic would be very beneficial. With these roads conditions, the lack
of electricity and the difficulties to villagers to get transportation up to the clinic, this is sometimes difficult to
reach it. Transport service provided by Deepalaya from and to the clinic is an excellent way to overcome this
problem and should be continued.
In the clinic we have also noticed that all X-Rays equipments are available and we think that partnership could
be made with another Hospital, e.g. Tauru Hospital, to operate X-Rays in Gusbethi without hiring a radiologist.
With the help of a technician who would come periodically to the clinic, X-Rays could be operated and then
sent to Tauru Hospital to be read by the doctor.
Conclusion
From what we’ve learned of this research project, we can now say that in the area deserved by Deepalaya's
health services in Gusbethi, a lot of factors contribute to the high rate of anemia in the area, as seen in overall
India. Malnutrition, lack of iron in diet intake, blood losses and infections such as malaria, hookworms and
parasites are responsible for a big part of the problem. The water access, lack of hygiene, family planning,
education, non-utilization of footwear and open air defecation contribute to anemia. By preventive measures,
outcomes on pregnancy such as low birth weight of the baby, maternal mortality, abortions and new-born
mortality, postpartum hemorrhage and sepsis can be reduced. Otherwise, Deepalaya’s organization could
improve the situation in Mewat’s district by improving the knowledge of the population about anemia; what is
it How to prevent it and to reduce it Creating more awareness on anemia in the villages and give advices to
the people about nutrition, hygiene, treatment of the water and family planning methods must constitute a
good way to achieve this goal. Promotion of iron and calcium supplementation, regular antenatal care visits and
hospital deliveries is also essential. With time and knowledge, everything is possible.