HEALTH CARE

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HEALTH STATUS OF TRIBAL COMMUNITY

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Pangi and Bharmour two tribal blocks of Chamba district are located in the far northwest of Himachal and have a population of around 57,000 living in scattered enclaves in the upper valleys of the Himalayas, between 2000m to 6000m altitudes. These isolated mountain communities rely on subsistence farming and livestock.

The tribal region of Chamba district is the most difficult mountain region and sustains more than 57 thousand people and the impact of harsh climate on the lives is 3 times as compared to population living in the plains. Because of their isolation and remote living areas, mountain people generally have poor access to employment, health, social services, roads, markets, electricity and other conveniences that others take for granted in their own daily lives.

The overall pattern of ill health in tribal region is dominated by infectious diseases, nutritional disorders, maternal and prenatal diseases. Metabolic disorders like diabetes and B.P. which were hitherto unheard of in these areas are now household maladies.  It is paramount therefore in any primary health care approach to consider the burden of disease within the community and link any proposed health interventions to this analysis. Such an approach allows for a better use of resource in tribal region.

The population groups which exhibit the highest levels of mortality, morbidity and malnutrition are women and young children.

The basic causes of the problems are associated with various issues including sociological, cultural, structural and economic and the lack of livelihood opportunities to break the grinding cycle of poverty.

In this region poor hygiene, quality of water and sanitation, malnutrition, vitamin deficiency, gastrointestinal ailments (including diarrhea, worms and gastritis), acute respiratory infections, chronic bronchitis, measles, tuberculosis, leprosy etc. all add up to serious health problems.

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CEVA and Health Care Services

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Since the establishment of organization CEVA is working for the most indigenous community in the Himalayan region and to improve their health status through raising awareness and organizing health check-up camps in remote and far flung areas especially Pangi, Bharmour, Lahaul Spiti and Kinnaur.
Our health camps were conducted this year in Pangi, Bharmour and Kinnaur. These camps were held in the far flung villages rather than headquarters so that we could get a clear picture of the health scenario.Doctors from HimVeda Dharamshala volunteered for the purpose. It was found that malnutrition was rampant in school going kids.
This malnutrition leads to disorders like anemia and suppurative otitis media which is the main cause of preventable deafness. So awareness can go a long way in preventing deafness. Similarly majority of the women were found to be suffering from leucorrhoea which results due to hard labour and is easily preventable by awareness.
Likewise tuberculosis can also be kept at bay. Apart from awareness we would also like to follow up on the patients under our treatment to clinch the issue.
These camps were on volunteer basis but this time we would like to seek the help of the health department in this regard.

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