Post on 15-Apr-2018
89
HELPAGE INDIA-ONGC MMU
PROJECT
FIELD REPORT FROM ONGC
OPERATIONAL AREAS
IN
ANDHRA PRADESH AND
TAMIL NADU
91
CCCContentsontentsontentsontents
SectionsSectionsSectionsSections DetailsDetailsDetailsDetails Page No.Page No.Page No.Page No.
Section-I Project Backdrop in South India 93
Section-II Project Initiation 93
Section-III The Gram Panchayat Identification Process 94
Section-IV Consultation with Gram Panchayats for Mapping
Basic Infrastructure, Collection of Demographic and
Other Basic Information, Identification Of MMU
Parking Locations and Relationship Building for
Smooth Project Operation
99
Section-V Conducting Baseline Survey for Mapping Elderly
Population, their Health, Psycho-social, and Family
Related Issues
104
Section-VI Suggested Office Locations for MMU Units and
Search For Prospective Candidates
105
Section-VII Linkages Established with Government and Private
Health Resources
107
Details of Parking Locations 109
List Of ONGC Officials Met During Project & Field
Visits
113
Field Observations from Andhra Pradesh & Tamil
Nadu
114
93
Section I. Project Backdrop in South IndiaSection I. Project Backdrop in South IndiaSection I. Project Backdrop in South IndiaSection I. Project Backdrop in South India
The HelpAge India-ONGC collaborative Mobile Medicare Unit (MMU) project is designed
to provide basic health care to services to the elderly at their doorsteps in selected Districts
of two states of South India (Andhra Pradesh and Tamil Nadu). The following ONGC
project locations were to be mapped as per the information provided by the ONGC and
HelpAge India (HI).
1. Rajahmundry Asset4
2. Kakinada Asset
3. Karaikal Asset
4. Chennai Asset
Section ISection ISection ISection II. ProjectI. ProjectI. ProjectI. Project IIIInitiationnitiationnitiationnitiation
The field team of FourX4 was further suggested by HAI to start the baseline and project
operational process at Rajamundry Asset. Accordingly, the General Manager, Human
Resources Department, Rajahmundry Asset, who is responsible for Corporate Social
Responsibility (CSR) activities, was contacted and the FourX4 field team called on the
official at Rajahmundry. It was learnt during the meeting with GM-HR at Rajahmundry that
Kakinada Asset is a separate administrative unit which has been allotted one MMU. A
meeting was organized with the Top Management of Kakinada Asset led by its Executive
Director (ED). It was very aptly articulated by the ED of Kakinada Asset the MMU project
must focus on villages in and around its soon-to-be-functional permanent Gas Collection
Station (GCS) at Odalarevu Village in the Allavaram Mandal of East Godavari District.
Accordingly, villages (village Panchayats) were identified in and around Odalarevu with
the help of ONGC field officials where ONGC is presently having Drilling Units, oil and
gas producing Wells, etc. Table-1 reflects the number of village panchayats selected for
the operation of MMU.
In the meeting with the GM-HR of Rajahmundry Asset, it was made clear by ONGC
officials that their established operations are mostly concentrated in Malkipuram,
Sakhineti Palli, Razole and Mamidi Kuduru Mandals of East Godavari district and there is
great potential for future operations in Penugonda, Poduru, Achanta and Elamanchili
Mandals of West Godavari district. Therefore, it was decided to map these Mandals for
identifying the specific focus villages (village Panchayats). Table-1 reflects number of
village panchayats selected for the operation of MMU for Rajahmundry Asset.
Similarly, in the meeting with the GM-HR of Karaikal (Cauvery Basin) Asset it was
suggested by ONGC officials that villages belonging to two separate districts may be
mapped for MMU operations. After a thorough discussion with the field team it was
4 An operational unit is referred to as an Asset in the ONGC lexicon.
94
decided to limit the operations to one district only, i.e. Nagapattinam. The neighbouring
district of Thiruvarur was the other operational location which was suggested by ONGC to
be included in the same MMU operation. However, this was dropped later on because of
lack of feasibility which is discussed in Table-2. Table-1 reflects the number of village
panchayats selected for the operation of MMU for Karaikal (Cauvery Basin) Asset.
The field team also met the Deputy General Manager-Field Operations of the Karaikal
forward base of Chennai Asset and after a discussion with the field team a number of
villages were suggested by ONGC officials for inclusion in the MMU operations. Table-1
reflects the number of village panchayats selected for the operation of MMU for Chennai
(Karaikal Forward Base) Asset.
TableTableTableTable----1: 1: 1: 1: Details of village panchayats selected for the operation of MMU for Chennai (Karaikal Forward Base) Asset
Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState ONGC Field ONGC Field ONGC Field ONGC Field UnitUnitUnitUnit
MMU MMU MMU MMU Units Units Units Units AllocatedAllocatedAllocatedAllocated
Operation Operation Operation Operation DistrictDistrictDistrictDistrict
Operation Operation Operation Operation Mandal/BlockMandal/BlockMandal/BlockMandal/Block
No. of No. of No. of No. of Village Village Village Village Panchayats Panchayats Panchayats Panchayats SelectedSelectedSelectedSelected
1. Andhra Pradesh
Kakinada Asset 01 East Godavari Allavaram 08
2. Rajahmundry Asset
02 East Godavari Razole 01
Sakhinetti Palli 07
Mamidi Kuduru 01
Malkipuram 06
West Godavari
Poduru 01
Achanta 01
Elamanchili 02
3. Tamil Nadu
Karaikal (Cauvery Basin) Asset, Neravy
01 Nagapattinam Kilvelur 04
Thirumarugal 04
4. Tamil Nadu
Karaikal Forward Base, Chennai Asset
01 Cuddalore Bhubanagiri 07
Keerapalayam 02
Katumanarkovil 07
Together with the focus village identification, the focus was also to establish initial contacts
with key stakeholders of the MMU project, collect basic demographic information and
initiate survey process for establishment of baseline. The key stakeholders with whom
communications were established were:
• ONGC’s HR/Corporate Social Responsibility Lead Representatives at different
Assets
• Elected Gram Panchayat Leaders & functionaries
• Government Health Centres – Primarily NRHM facilitated health bodies like PHCs
& CHCs
• Local Government Administration (Block/Taluka/Mandal/District)
• Non-government Organisations
Section III:Section III:Section III:Section III: TTTThe ghe ghe ghe grrrram panchayat identification processam panchayat identification processam panchayat identification processam panchayat identification process
Since almost all the operational areas of ONGC in the two focus states of South India are
located in villages, village identification was one of the most crucial steps in the whole
95
exercise. Since ONGC has arguably the highest stake in this process to highlight its
corporate image and augment its visibility in its operational areas, the village
identification process had to initially begin with a consultation with the ONGC team at all
concerned Assets or Forward Bases. The HR/CSR departments of concerned operational
locations of ONGC were informed before-hand about the team’s visit and its purpose.
They were requested to prepare a list of the villages, which from the ONGC’s point of
view would best suit their CSR objectives and its corporate visibility. The ONGC team
usually shared a list of villages with the FourX4 team which did not have any other
associated details like demography, distance of villages from one another, the
corresponding administrative structure details like Gram Panchayat or Block or Taluka,
etc. the list was to be further decoded for developing finer operational details for the
project.
Therefore, on the basis of the list of the villages provided by the concerned HR/CSR
department of ONGC, a mapping of the Gram Panchayats was done. This helped in
identifying the GPs which contained the suggested names of the villages. The mapping
was important because of four reasons, which were:
• The MMU operation needs to align itself with the local governance bodies,
especially Gram Panchayats as it would require the sustained availability its
resources for successful operation. The basic information that will feed into the
operation of MMU will come from Gram Panchayats. The locations for parking of
the MMU vehicle can be best identified in consultation with GP functionaries. As
per the mandate of the MMU project, the parking locations need to be public
places (Schools, Community Halls, Anganwadi Centres, Health Sub-centres, etc.)
thereby guaranteeing uninhibited access by the target group. These locations in a
village are essentially under the jurisdiction of Gram Panchayat and therefore, it
becomes important that its consent and participation are elicited at the beginning
itself.
• The GP mapping helped in assessing the operational feasibility in terms of
distance coverage for the MMU. Here factors like contiguousness of Gram
Panchayats, travel distance between the GPs and location for MMU office were
looked upon. The second important factor that was looked into was population
strength of GP and the corresponding potential patient load that it will be borne by
any one MMU. Based on the patient carrying capacity of the MMU and the
suggested operational areas by ONGC, coverage of GPs in the project was
assessed.
• For determining the exact patient load and generating the corresponding baseline
a door-to-door survey was envisaged from the very beginning. The in-principle
support of the Gram Panchayat leadership was considered crucial to conduct the
survey smoothly and gather the relevant information.
• The ONGC team does not make any differentiation between natural
villages/habitats and village Panchayats or Gram Panchayats (GP). If one or two
villages appear on the list of villages given by ONGC the MMU operation cannot
stop at just reaching out to only these one or two stand alone villages. The services
have to be made available to the whole GP in order to make it relevant and
96
participatory. Therefore, GP mapping was essential for making the entire process
meaningful.
The mapping of the Gram Panchayat was done by locating a field contact, primarily a
Gram Panchayat leader. Supporting help from the field contact was then taken in
mapping the names of the Gram Panchayats corresponding to the names of the villages
suggested by ONGC. In all cases the information on matching the list of villages with
corresponding GPs and other associated conditions like contiguity, operational feasibility
keeping the distance factor in view, etc. were collected from more than one source in
order to ensure its correctness and reliability. ONGC personnel helped in locating some
of the field contacts.
Table-2 below depicts the names of the villages suggested by ONGC representatives and
its corresponding GP Mapping.
TableTableTableTable----2: 2: 2: 2: List of villages suggested by ONGC representatives and its corresponding GP Mapping.
Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState ONGC AssetONGC AssetONGC AssetONGC Asset Villages Suggested by Villages Suggested by Villages Suggested by Villages Suggested by ONGCONGCONGCONGC
Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded GP DetailsGP DetailsGP DetailsGP Details
1. Andhra Pradesh
Kakinada Odalarevu Odalarevu
Bendamurilanka Bendamurilanka
Komaragiripatnam Komaragiripatnam
Thumalapalli Thumalapalli
Mogalamuru Mogalamuru
Godi Lanka Godi Lanka
Godi Godi
Godithipa Godithipa
S. Palli Pallam These two GPs along with Rameswaram hamlet of Komaragiripatnam GP were dropped from the list because of their distance beyond 25 kilometers from the MMU central location -Odalarevu. Rameshwaram is 33 kms away from its GP.
Samanthakuru
2. Andhra Pradesh
Rajahmundry-I (East Godavari)
Karvaka Karvaka
Tatipaka Tatipaka
Antarvedi Palli Pallem Antarvedi Palli Pallem
Gondi Gondi
Kesavadasu Pallem Kesavadasu Pallem
V.V. Mereka V.V. Mereka
Mori Mori
Gudapalli Pallipallem (+Gudapalli)
Gudapalli Pallipallem
Chintala Mori Chintala Mori
Sankaraguptham Sankaraguptham
Kesanapalli Kesanapalli
These 5 GPs were included to maintain contiguity between the ONGC proposed GPs
Antarvedi Devasthanam
Pademati Pallem
Antarvedi Kara
Golla Pallem
Toorpu Pallem
97
Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState ONGC AssetONGC AssetONGC AssetONGC Asset Villages Suggested by Villages Suggested by Villages Suggested by Villages Suggested by ONGCONGCONGCONGC
Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded GP DetailsGP DetailsGP DetailsGP Details
3. Andhra Pradesh
Rajahmundry-II (West Godavari)
Vadali Vadali
Deva Deva
Soma Raju Cheruvu Soma Raju Cheruvu
Manimanchilipadu Manimanchilipadu
A. Vama Varam A. Vema Varam
Badava Badava
Yenugovani Lanka Yenugovani Lanka
These 3 GPs were included to maintain contiguity between the ONGC proposed GPs
Monamaru
Kotala Parru
Tamarada
4. Tamil Nadu
Karaikal (Neravy)
Narimanam Narimanam
Kuthalam Kuthalam
Gopu Raja Puram Gopu Raja Puram
Eravanchery Eravanchery
Okkur Okkur
Kurumanangudi Kurumanangudi
Venkatangal Venkatangal
A single hamlet under this GP was proposed by ONGC and therefore, the GP was included in the list
Anaimangalam
Additionally, some operational areas of Thiruvarur district was being proposed by ONGC.
It was placed before ONGC that one MMU unit can only cover a distance of 15-20 kms. Since the listed GPs are already covering this distance and have good patient load it would not be possible to cater to other operational areas of ONGC in the neighbouring district with the same MMU.
5. Tamil Nadu
Chennai (Karaikal Forward Base)
Adivarahanattam
Alisikudi
Vattrayntethu
Miralur
Manja Kollai
Kilavadinattam
Pinnalur
Orathur
Sathamangalam
Kandamangalam
Kurungudi
Chettitangal
Kil Kadambur
Mel Kadambur
Veerandapuram
Nattar Mangalam These two GPs were not included because of these are situated 25 kms away from the proposed MMU central location
Kalladikuttal
Additionally, ONGC also proposed several villages in Andimatam
This area was more than 35 kms away from the proposed MMU central location. Moreover, one
98
Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState ONGC AssetONGC AssetONGC AssetONGC Asset Villages Suggested by Villages Suggested by Villages Suggested by Villages Suggested by ONGCONGCONGCONGC
Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded Finally Mapped GPs and Excluded GP DetailsGP DetailsGP DetailsGP Details
area in Cuddalore district.
MMU couldn’t have taken more patient load than what has already been included through the finalized GPs.
The Rajahmundry Asset in Andhra Pradesh has three operational districts – East Godavari,
West Godavari and Krishna. Since Krishna was far away from the other two districts it was
excluded from the mapping exercise from the very beginning. However, as per ONGC’s
own assessment East Godavari has a higher stake for the organization’s CSR activities
and the Asset’s top management initially thought of the idea of running both the MMU
units allocated to this Asset in East Godavari’s operational areas. West Godavari, which
has future potential, was being considered for included in future scale-up projects.
However, the management later on decided to run one MMU in 10 GPs exclusively from
East Godavari district and the second MMU to be operational by including 06 GPs from
East Godavari and 04 GPs from West Godavari. But it was decided that both these units
would run from Malkipuram.
Consequent upon the finalized GPs and the facts presented above, the five MMUs are to
be deployed in the following GPs as the constituent units as depicted in the table below.
TableTableTableTable----3 3 3 3 Detailed MMU operational areas Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState MMU Unit MMU Unit MMU Unit MMU Unit Constituent Gram Constituent Gram Constituent Gram Constituent Gram PanchayatsPanchayatsPanchayatsPanchayats
Proposed MMU Central Location and its Proposed MMU Central Location and its Proposed MMU Central Location and its Proposed MMU Central Location and its DetaDetaDetaDetailsilsilsils
1. Andhra Pradesh
Kakinada Asset MMU-1
Odalarevu Odalarevu Village of Allavaram Mandal. This location is highly suggested by the ONGC to make it the central point of operation since its GCS is located at this place. The farthest MMU parking location would be 12 kms from Odalarevu
Bendamurilanka
Komaragiripatnam
Thumalapalli
Mogalamuru
Godi Lanka
Godi
Godithipa
2. Andhra Pradesh
Rajahmundry Asset-I MMU-2
Karvaka Malkipuram. This location has all necessary infrastructure and all the GPs are within 15 kms from this location. The farthest MMU parking location is 16 kms from Malkipuram.
Gudapalli (+Gudapalli Pallipallem)
Chintala Mori
Sankaraguptham
Kesanapalli
Golla Pallem
Pademati Pallem
Toorpu Pallem
Tatipaka
Kesavadasu Pallem
3. Andhra Pradesh
Rajahmundry Asset-II MMU-3
Antarvedi Palli Pallem
Malkipuram. This location has all necessary infrastructure and all the East Godavari GPs are within 15 kms from this location. However, the 04 West Godavari GPs are 35-40 kms from this location. The farthest MMU parking location is 40 kms from Malkipuram.
Antarvedi Devasthanam
Antarvedi Kara
Gondi
V.V. Mereka
99
Sl. Sl. Sl. Sl. No.No.No.No.
StateStateStateState MMU Unit MMU Unit MMU Unit MMU Unit Constituent Gram Constituent Gram Constituent Gram Constituent Gram PanchayatsPanchayatsPanchayatsPanchayats
Proposed MMU Central Location and its Proposed MMU Central Location and its Proposed MMU Central Location and its Proposed MMU Central Location and its DetaDetaDetaDetailsilsilsils
Mori
Yenugovani Lanka
Badava
A Vama Varam
Manimanchilipadu
4. Tamil Nadu
Karaikal Asset (Neravy)
Narimanam Nagapattinam. It’s the district headquarters and has all necessary infrastructure. The farthest parking location would be 20 kms from Nagapattinam.
Kuthalam
Gopu Raja Puram
Eravanchery
Okkur
Kurumanangudi
Venkatangal
Anaimangalam
5. Tamil Nadu
Chennai Asset (Karaikal Forward Base)
Adivarahanattam Shetiatopu. It’s a small town which is the central point to all 15 focus GPs. All necessary infrastructures are available in this town. The farthest MMU parking location would be 20 kms from Shetiatopu.
Alisikudi
Vattrayntethu
Miralur
Manja Kollai
Kilavadinattam
Pinnalur
Orathur
Sathamangalam
Kandamangalam
Kurungudi
Chettitangal
Kil Kadambur
Mel Kadambur
Veerandapuram
All the finalized GPs for programme intervention and the ones that were declined because
of combination of distance as well as patient load factors were visited by the team gain a
first-hand impression of the situation. The facts were shared with the ONGC officials at all
locations. The GP finalization process also involved simultaneous consultation with the GP
leadership.
Section Section Section Section IVIVIVIV:::: Consultation with gram panchayConsultation with gram panchayConsultation with gram panchayConsultation with gram panchayats for mapping basic infrastructure, ats for mapping basic infrastructure, ats for mapping basic infrastructure, ats for mapping basic infrastructure,
collection of demographic and other basic information, identification of collection of demographic and other basic information, identification of collection of demographic and other basic information, identification of collection of demographic and other basic information, identification of
mmu parking locations and relationship building for smooth project mmu parking locations and relationship building for smooth project mmu parking locations and relationship building for smooth project mmu parking locations and relationship building for smooth project
operationoperationoperationoperation
Establishing contacts with the Panchayats was the second most crucial step in the project
initiation process. There were many objectives for establishing this contact. They are as
follows:
• Appraising the Panchayat leadership on the MMU project and develop a
consensual understanding among the local leadership and general population on
the need of the project and the health as well as psycho-social benefits that it is
going to accrue to the elderly population
• Mapping of basic infrastructure was another requirement which would help the
project run from those points. Resources like government school, Anganwadi
100
Centre, Health Sub-centre, Self Help Group Building, Village Community Halls,
Temple, Mosque, Church, Cyclone Shelter, etc. are counted as basic infrastructure
available in the villages or habitats. Usually all people in the village have access to
these resources and these would serve as the parking place for the MMU. The
MMU would park at these locations at pre-determined time slots and would offer
the health and counseling services to the elderly of the nearby villages/hamlets
within a particular GP. Since Gram Panchayats have many such hamlets the MMU
would need to park at more than one location within the GP.
• A basic understanding of the constitution of the Gram Panchayat, its geographical
spread, number of hamlets/natural villages, population with necessary
disaggregation (male/female, BPL/APL, no. of elderly persons, etc.), etc. is
required to address the health needs through this programme
• Unless it is known as to how many elderly persons (for this project an elderly
person is one who is 55 years old and/or above) live in a village, how many
households have elderly people, their habits, their disease history, etc. it would be
imprudent to start the project because the benefits that accrued to the elderly
people because of this intervention cannot be measured or evaluated at a later
point in time. Monitoring would also not be possible without a baseline. Moreover,
individual cards would be issued to each elder for tracking his/her individual
health status at the time of his/her visit to the MMU. The consent and cooperation
of the GP leadership to conduct this baseline survey is considered essential.
• Since the project will run for a period of five years sustained support and
assistance would be required from the GP leadership for its smooth operation and
conflict resolution in case of any eventual need. Therefore, a relationship building
exercise is also at the core of establishing contact with the GP leadership.
The first point of contact was usually the Gram Panchayat offices and meetings with
Panchayat President, Vice President, Secretary and other key people of the village was
held. In such meetings the participants were introduced to HelpAge India’s organizational
objectives and operation. Thereafter, they were appraised in-detail about the objectives
and operational aspects of the MMU project. Their views on the project were also elicited.
In all the cases the Panchayat leadership welcomed the initiative undertaken by HelpAge
India and appreciated the working model of project and assured their continued support
for smooth running of the project. Immediate support was also available in the following
ways:
• Provision of demographic and other basic information
• Information on possible MMU parking locations and guidance as well as help to
inspect the locations to examine their suitability in terms of accessibility, physical
condition of the building, distance from nearby hamlets, sitting arrangements for
Doctor and paramedical staff, etc.
• Provision of names of suitable candidates from the village for the MMU project,
i.e. for Doctor, Project Coordinator, Nurse and Driver candidates
• Assistance to locate field investigators to conduct the baseline survey in the GP
101
Table-4 gives the information of GP leadership with regard to each MMU unit.
TableTableTableTable----4: 4: 4: 4: Details of GP Leadership in the project operational areas MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Block / MandalBlock / MandalBlock / MandalBlock / Mandal Name of GPName of GPName of GPName of GP GP PresidentGP PresidentGP PresidentGP President Mobile No.Mobile No.Mobile No.Mobile No.
MMU-1
Andhra Pradesh
Allavaram Odalarevu
Bendamurilanka
Komaragiripatnam
Thumalapalli
Mogalamuru Suryanarayana 9989483724
Godi Lanka
Godi
Godithipa
MMU-2
Andhra Pradesh
Mamidi Kuduru Karvaka K. Balakrishna 9908853797
Malkipuram Gudapalli S. Ramachandra Rao
9866288363
+Gudapalli Pallipallem
V.S.Prasad 9912576099
Chintala Mori K.V. Raju* 9866067964
Sankaraguptham O. Durga* 9951452607
Kesanapalli A. Narayan Swami 9849251199
Pademati Pallem
Golla Pallem GP Secretary* 9849555376
Toorpu Pallem V. Satyanarayana* 9441563024
Razole Tatipaka T. Uma. R. Rao 9440413413
Sakhinetipalli Kesavadasu Pallem
Srinivasa Rao* 9441563026
MMU-3
Andhra Pradesh
Sakhinetipalli Antarvedi Palli Pallem
Antarvedi Devasthanam
Nalli Mariama 9963948041
Antarvedi Kara
Gondi
V.V. Mereka B. Laxman Rao 9490186249
Mori J. Shankara Rao 9849566324
Elemanchali Yenugovani Lanka V. Rataiya 9848844555
Badava I. Narasimha Rao 9705557288
Achanta A Vama Varam R. Naga Raju 9989982458
Poduru Manimanchilipadu B.V. Satyanarayana
9849287436
MMU-4
Tamil Nadu Thirumarugal Narimanam Mrs. Neelawati 9965185209
Kuthalam R. Sekhar 9865326647
Gopu Raja Puram Mrs. Indira 9842091787
Eravanchery Shiva Kumar 9524584005
Kilvelur Okkur Balasubramaniam 9443974390
Kurumanangudi Mrs. Revathi 9943289430
Anaimangalam A. Durai Raj 9942676820
Venkatangal Thyagaraj 9842965774
MMU-5
Tamil Nadu Bhubanagiri Adivarahanattam S. Usharani 9443212854
Alisikudi S. Ramachandran 9976867021
Vattrayantethu V. Gunasekaran 9965328933
Miralur Balasubramaniam 9751026567
Manja Kollai Ramanujam 9786734605
Kilavadinattam Mr. Kumar 9710680768
Pinnalur K.G. Krishnamurthi
9842344845
102
MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Block / MandalBlock / MandalBlock / MandalBlock / Mandal Name of GPName of GPName of GPName of GP GP PresidentGP PresidentGP PresidentGP President Mobile No.Mobile No.Mobile No.Mobile No.
Keerappalayam Orathur R. Silvarajan 9842890153
C. Sathamangalam
Mrs. Devi 9865672336
Kattumannark-ovil
Kandamangalam Mr. Annadurai 9787436576
Kurungudi K.Kannan 9865360182
Chettitangal Sri Arivalagan 9486457134
Kil Kadambur Mrs. Jyoti Bhanu 9443666088
Mel Kadambur G. Devadas 9842750898
Veerandapuram Radha Ravi 9942369636
NoNoNoNote:te:te:te: * = GP Secretary
After initial discussion with GP leadership basic information on demography and infrastructural
facilities were collected. The parameters on which information were collected were:
• Population – with necessary disaggregation
• No. of Households (HHs) in the GP
� No. of BPL HHs
� No of HHs with M-NREGA Job cards – Discussion was held on elderly
people’s participation in M-NREGA work
� No. of HHs enrolled under any government Health Insurance scheme
• No. of old Age pensioners (& pending pension applications, if any)
• Administrative arrangement – District, Sub-division, Tehsil & Block
• Basic Infrastructure facilities in GP
� Bus Services, Auto & Taxi services
� PCO, Mobile Service and Internet
� Community hall
• Health & Sanitation
� No. of HHs with Toilet facilities
� Cooking facilities – LPG & wood based chulha
� Drinking water facilities
• Health Infrastructure
� NRHM facilities – Sub-center to District Hospital related information
� Private Clinics operation
� Access to Health facilities
• Any NGO operating on Health issues or on old age care in the GP
All the above information is being consolidated into a Gram Panchayat information
format for future references. After collection of aforementioned information, discussion
was held on identification of MMU parking locations in the GP. The GP functionaries were
advised to select minimum number of locations that would be required to cover all the
constituent hamlets/villages of the GP effectively, i.e. all the elderly people can access it
without many problems. While suggesting MMU parking locations, the GP functionaries
were also asked to keep two important factors in mind, which were:
• The locations should be public places thereby assuring access to all elderly
persons irrespective of their caste, faith or class.
103
• All the location can be accessed by four wheel medium size vehicle (Tata Sumo,
Tata Winger, Mahindra Bolero, etc. type models) throughout the year (irrespective
of seasonal damages to the road conditions).
Based on the above criteria and the size (guessed or projected) of elderly population, each
GP suggested the minimum number of locations that they would require. Table-5
presented below depicts the detail of the GP population and the corresponding number of
locations identified.
TableTableTableTable----5: 5: 5: 5: Details of the GP population and the corresponding number of MMU parking sites
MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Gram PanchayatGram PanchayatGram PanchayatGram Panchayat Total Total Total Total PopulationPopulationPopulationPopulation
Approximate Approximate Approximate Approximate 55555555++++ PopulationPopulationPopulationPopulation
No. of MMU No. of MMU No. of MMU No. of MMU Parking Parking Parking Parking LocationsLocationsLocationsLocations
MMU-1 Andhra Pradesh
Odalarevu 3,700 1,000 03
Bendamurilanka 5,000 1,000 03
Komaragiripatnam 13,800 3,000 03
Thumalapalli 2,100 600 03
Mogalamuru 2,700 600 02
Godilanka 1,700 550 01
Godi 2,400 850 03
Godithipa 1,700 450 02
MMU-2 Andhra Pradesh
Karvaka 2,500 400 02
Gudapalli (+Gudapalli Pallipallem)
6,500 700 02
Chintala Mori 4,300 450 04
Sankaraguptham 6,500 750 03
Kesanapalli 5,500 500 04
Pademati Pallem 1,500 200 01
Golla Pallem 1,500 150 02
Toorpu Pallem 5,200 900 01
Tatipaka 9,000 1,500 04
Kesavadasu Pallem 6,000 800 02
MMU-3 Andhra Pradesh
Antarvedi Palli Pallem 2,700 300 02
Antarvedi Devasthanam
2,300 225 01
Antarvedi Kara 5,000 500 02
Gondi 5,800 600 05
V.V. Mereka 8,000 850 03
Mori 5,000 600 02
Yenugovani Lanka 5,000 1,000 03
Badava 2,600 300 02
A Vama Varam 10,000 2,000 04
Manimanchilipadu 1,000 150 02
MMU-4 Tamil Nadu
Narimanam 2,000 250 02
Kuthalam 1,500 100 02
Gopu Raja Puram 1,200 75 01
Eravancherry 3,500 300 04
Okkur 2,200 200 03
Kurumanangudi 1,300 150 02
Anaimangalam 2,000 125 03
Venkantangal 1,300 350 03
MMU-5 Tamil Adivarahanattam 5,000 2,000 03
104
MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Gram PanchayatGram PanchayatGram PanchayatGram Panchayat Total Total Total Total PopulationPopulationPopulationPopulation
Approximate Approximate Approximate Approximate 55555555++++ PopulationPopulationPopulationPopulation
No. of MMU No. of MMU No. of MMU No. of MMU Parking Parking Parking Parking LocationsLocationsLocationsLocations
Nadu Alisikudi 2,700 170 02
Vattarayantethu 2,000 150 01
Miralur 4,700 1,000 02
Manja Kollai 2,500 800 02
Kilavadinattam 1,500 80 01
Pinnalur 2,500 250 02
Orathur 1,500 150 01
C. Santhamangalam 2,700 135 02
Kandamangalam 4,500 500 01
Kurungudi 5,300 450 03
Chettitangal 1,200 250 01
Kil Kadambur 3,500 300 01
Veerandapuram 5,500 900 03
Mel Kadambur 2,650 150 01
MMUsMMUsMMUsMMUs----5555 StatesStatesStatesStates ---- 2222 GPsGPsGPsGPs----51515151 191,750191,750191,750191,750 29,76029,76029,76029,760 117117117117
Section Section Section Section VVVV:::: CCCConducting the baseline survey for mapping elderly population, their onducting the baseline survey for mapping elderly population, their onducting the baseline survey for mapping elderly population, their onducting the baseline survey for mapping elderly population, their
health, psychohealth, psychohealth, psychohealth, psycho----social, and family related issuessocial, and family related issuessocial, and family related issuessocial, and family related issues
As has been briefly discussed above conducting a baseline survey is considered very
important and elementary for the intervention to become effective, monitoring its core
elements and evaluation of the differences the project has brought about to the elderly
populace of the focus GPs.
In order to carry out the baseline survey exercise support of the GP leadership was sought
to help identify educated youth from their respective GPs. The identified educated youth
was motivated to conduct the survey within a given time period in order to facilitate timely
launch of the project. The GP leadership was requested to ensure conduct of the survey in
the interest of the health care of the elderly persons of their respective GPs. They were also
requested to ensure that the survey is conducted in all the constituent habitats/natural
villages of their GPs.
The identified candidates were given appropriate training for collecting accurate and
complete information as per a pre-determined survey schedule. They were provided with a
detailed instruction-cum-guidance sheet in order to ensure a flawless survey.
One of these candidates was later on identified to supervise the survey process and was
delegated required responsibility and was supported with required resources. Except the
MMU-4 unit, in rest 04 MMU units this model was put into use. In order to conduct survey
in the GPs falling under MMU-4 unit services of a local NGO was roped in to help in
conducting the survey through its field staff. But in this case too, a survey supervisor was
appointed to ensure timely and accurate completion of survey.
105
Section VISection VISection VISection VI:::: SSSSuggested office locatiouggested office locatiouggested office locatiouggested office locations for mmu units and search for prospective ns for mmu units and search for prospective ns for mmu units and search for prospective ns for mmu units and search for prospective
candidatescandidatescandidatescandidates
It is quite obvious that an MMU unit will need an office to locate itself and its staff. Each
MMU has approved staff strength of four – a doctor, a project coordinator, a nurse and a
driver. The MMU needs a space to park during non-working hours and on days when it
does not operate. The staff needs to sit down and plan for the finer operational details,
programme records need to be kept and continuously updated, medicines to be stored,
patient records are to be maintained, etc. This location obviously has to be a place which
has minimum infrastructure that enables the office to operate efficiently, allows staff to
find accommodation, etc. This office has to be at a place that is located not too far from
the areas of operation, i.e. maximum within 10-20 kms so that it can reach the focus
villages within 15-20 minutes. The less time the vehicle spends on road more time will be
available to take care of the patients which is the core objective of the MMU operation.
Keeping these factors in view the following locations are being suggested for location of
the offices of different MMU units. The information is presented in Table-6.
TableTableTableTable----6: 6: 6: 6: Suggested MMU Offices MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Operational Operational Operational Operational DistrictDistrictDistrictDistrict
Proposed LProposed LProposed LProposed Location for ocation for ocation for ocation for MMU OfficeMMU OfficeMMU OfficeMMU Office
Maximum Distance of Maximum Distance of Maximum Distance of Maximum Distance of Operational Areas from Operational Areas from Operational Areas from Operational Areas from
Office LocationOffice LocationOffice LocationOffice Location
MMU-1 Andhra Pradesh
East Godavari Odalarevu 12
MMU-2 Andhra Pradesh
East Godavari Malkipuram 16
MMU-3 Andhra Pradesh
East Godavari Malkipuram 16
MMU-4 Tamil Nadu
Nagapattinam Nagapattinam 20
MMU-5 Tamil Nadu
Cuddalore Shetiatope 20
As regards identifying potential staff for the project, the approach was to find out local
candidates in order to avoid situations of higher staff turnover. During the consultation
with GP leadership, information related to the vacancy available with MMU units were
shared in all the GPs. Other stakeholders like Primary and Community Health Centers
(PHC and CHC), local administrative officials, professionals working in social sector were
also informed of the vacancies. As a result, discussion with interested candidates was held
at various locations related to all the positions. Finding driver candidates was the easiest
of all and locating doctor candidates was the toughest. Even after searching all the GPs
Allavaram Mandal did not have a single MBBS candidate available for the MMU-1. A
candidate was located in Amalapuram which is 25 kms away from the suggested office
location for MMU-1. The quantum of salary and the timing of the MMU operation (from
morning till late afternoon) were issues that need to be addressed properly in Allavaram
Mandal. Many doctor candidates were available for the Malkipuram office location which
is the location for two MMU units, i.e. MMU-2 & MMU-3. The quantum of salary was not
an issue at this location.
106
Availability of doctor candidates has been very much a matter of concern at
Nagapattinam and Shetiatope, the suggested office locations for MMU-4 and MMU-5
respectively. The quantum of salary and the timing of the MMU operation (from morning
till late afternoon) were also issues that need to be properly addressed at this location as
well.
Salary for project coordinator, nurse and driver was considered satisfactory at all
locations. No issue was raised regarding the timing of MMU operation too.
Since Malkipuram has to locate two MMU units at one office, it is suggested that the staff
structure may be modified to function efficiently as well as effectively. A Senior Project
Coordinator/Officer may be appointed with two project officers (PO) to take care of the
field operations of one MMU each. The Senior Project Officer /Coordinator will have the
supervisory responsibilities for both the units. The proposed structure may be arranged as
follows:
Figure-1: Proposed Staffing Structure at Malkipuram Office
The Project Coordinator or Project Officer may also be asked to play the role a social
mobilizer and counselor in order to create demand for health services among the elderly
population by conducting door-to-door visits and also working along with the available
government health infrastructure and the GP system. All the elderly persons may be
motivated and counseled to seek timely health intervention which would play a very
significant role in making the project inclusive and more participative.
Last but not the least, enough care may be taken while purchasing the vehicle to operate
as MMU. In East Godavari district village roads are usually wider as well as in good
condition. Therefore, purchase of any vehicle would not create any problem for the first
three MMU units. However, village roads in Nagapattinam and Cuddalore districts of
Tamil Nadu are not wide enough and are not in good condition. Therefore, a sturdy
vehicle with good ground clearance may be deployed for smooth operation.
107
Section Section Section Section VIIVIIVIIVII:::: LLLLinkages established with government and private health resourcesinkages established with government and private health resourcesinkages established with government and private health resourcesinkages established with government and private health resources
The proposed HI-ONGC collaborative MMU operation will primarily address primary
health issues of old age people. Therefore, it becomes important that effective referral
links are established with the mainstream health system. The mainstream health system
functions as under in both the states of Andhra Pradesh (AP) and Tamil Nadu (TN):
Therefore in all the MMU locations a mapping of the Health center starting from Sub-
center to District hospital was done. This helped in identifying the following:
• No. of Sub-centers operating in a Gram Panchayat
• Names and location of PHCs catering to the population of respective GPs
• Names and location of CHC (in AP) or Block PHC (in TN) under whose area of
operation the operational GPs of the MMU project falls
• Names of Sub-division level Hospitals (if any) for the concerned project locations
• District Civil Hospitals
Information on Private Nursing Homes and Clinics was also collected at each location.
Names of all the government health centers visited by the team along with their contact
details are given below in Table-7. When visits to the PHCs/CHCs operating in all the
project locations were made the team members met the Medical Officer’s In-charge
(MOIC) or the available Medical Officer (MO) and they were was appraised about the HI
MMU project. All the MOICs/MOs expressed happiness about the initiative in the area of
geriatric care and assured necessary help in this context. It was underlined by them that
once the project starts they should be intimated about it so that the necessary coordination
and collaboration for providing better health care to the elderly persons could be
facilitated.
TableTableTableTable----7777: : : : Name and contact details government healthcare institutions MMU MMU MMU MMU UnitUnitUnitUnit
Concerned PHCsConcerned PHCsConcerned PHCsConcerned PHCs Concerned CHC or Concerned CHC or Concerned CHC or Concerned CHC or Block PHCBlock PHCBlock PHCBlock PHC
SubSubSubSub----divisional divisional divisional divisional HospitalHospitalHospitalHospital
Civil HospitalCivil HospitalCivil HospitalCivil Hospital
MMU-1
PHC Godilanka Dr. V. Venkata Rao Medical Officer Mobile:9885088895
CHC Allavaram Dr. Chenchayya MOIC Mob:9849474761
Area Hospital Amalapuram
Civil Hospital Kakinada
MMU-2
PHC Lakavaram Dr. M.R. Rao Medical Officer 9949049904
CHC Razole Area Hospital Amalapuram
Civil Hospital Kakinada
PHC Tatipaka/Nagaram
PHC Sakhinetipalli Dr. J. Swarup Medical Officer Mobile: 9989594892
MMU-3
PHC Mori Dr. S. Ram Babu Medical Officer Mobile: 9030161860
CHC Razole Area Hospital Amalapuram
Civil Hospital Kakinada
PHC Sakhinetipalli Dr. J. Swarup
108
MMU MMU MMU MMU UnitUnitUnitUnit
Concerned PHCsConcerned PHCsConcerned PHCsConcerned PHCs Concerned CHC or Concerned CHC or Concerned CHC or Concerned CHC or Block PHCBlock PHCBlock PHCBlock PHC
SubSubSubSub----divisional divisional divisional divisional HospitalHospitalHospitalHospital
Civil HospitalCivil HospitalCivil HospitalCivil Hospital
Medical Officer Mobile: 9989594892
PHC-A. Vama Varam Dr. Venkata Rao Mobile: 09849294024
CHC-Achanta Dr. Venkata Rao Mobile: 09849294024
N.A. Civil Hospital Eluru
PHC-Poduru Dr. Namagiri Mobile: 09247226833
CHC-Palakol Dr. Prabhakar Rao 9440866248
PHC-Elimanchali
MMU-4
PHC Thitachery Dr. M. Hasan Medical Officer Mobile: 9941468064
Block PHC, Thirumarugal Dr. Liaquat Ali MOIC Mobile: 9442986710
N.A. Nagapattinam Civil Hospital Dr. Kashiraman Civil Surgeon Tel: 04365-242459
Govt. Hospital Kilvelur Dr. S. Arutchelvan Medical Officer Mobile: 9790629486
MMU-5
PHC Bhubanagiri Dr. Sashikumar Medical Officer Mobile: 9944312450
Block PHC Krishnapuram Dr. M. Shiva Kumar MOIC Mobile: 9443586546
Taluka Hospital Chidambaram
Cuddalore Civil Hospital
PHC Orathur Dr. Arul Anand Medical Officer Mobile: 9994682695
Additional PHC Veerandapuram Dr. M. Shivanandan Medical Officer Mobile: 8012115747
PHC Shetiatope Dr. Henry Medical Officer Mobile: 9443282791 Tel.: 04144-244545
Information on the ailment profile of the aged was also collected from the PHCs/CHCs.
Table-8 below depicts the major aliments that are afflicting the old age people in the
respective PHC areas corresponding to the MMU operation locations as cited by the
MOICs/MOs.
TableTableTableTable----8: 8: 8: 8: Major ailments of people in the project operational areas MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Old AgOld AgOld AgOld Age Ailment Profilee Ailment Profilee Ailment Profilee Ailment Profile
MMU-1 Andhra Pradesh
Ulcers, Joint pains, Sugar, BP, Skin allergies, Leuko derma, Filariasis, TB, Deafness, Arthritis /Osteoporosis, Respiratory problems
MMU-2 Dental problems, gastritis, BP, sugar, skin allergies
MMU-3 Diabetes, Hypertension, Joint-pains, low backache, elephintis, Dementia, UTI, Prostrate, Ulcer Diseases, Gastritis, Gastroenteritis
MMU-4 Tamil Nadu
Arthitis, Hypertension, Diabetes, Gastritis/ ulcer diseases, skin diseases / fungal infections, bronchial asthma, Anemia, neurological problems
MMU-5 Hypertension, body/ joint pain, diabetes, osteo arthritis, back pain, bronchial asthma
109
The field visit team also collected names and contact details of private nursing homes or
clinics operating in the operational areas of various MMU units. The team met many
private practitioners at these hospitals or clinics. The information so collected is produced
in Table-9 below:
TableTableTableTable----9: 9: 9: 9: Details of private doctors in the vicinity MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState Concerned Block/MandalConcerned Block/MandalConcerned Block/MandalConcerned Block/Mandal OperationOperationOperationOperational Private Nursing Homes or al Private Nursing Homes or al Private Nursing Homes or al Private Nursing Homes or ClinicsClinicsClinicsClinics
MMU-1 Andhra Pradesh
Allavaram Dr. Varahala Rao; Mangayamma Nursing Home; Tel.: 08856-259468
MMU-2 Andhra Pradesh
Mamidi Kuduru, Malkipuram, Razole and Sakhinetipalli
MMU-3 Andhra Pradesh
Sakhinetipalli
Poduru, Achanta and Elimanchali
Vijayalaxmi Nursing Home, Achanta; Surya Nursing Home, Sai Krishna Hospital-Palakol
MMU-4 Tamil Nadu
Thirumarugal & Kilvelur Sivabalan Hospital, Kilvelur Dr. Murugesan Mobile: 0-9245963688 Tel.: 04366-275545
Periyar Hospital, Solinganalur, Nagapattinam
Dr. Haja Abudul Nazeer’s Private Clinic Thitachery Mobile: 0-9865025989
MMU-5 Tamil Nadu
Bhubanagiri, Keerapalayam & Kattumanarkovil
Shravana Poly Clinic, Bhubanagiri Dr. Venkatachalam Mobile: 0-9486632923
MMU parking locaMMU parking locaMMU parking locaMMU parking location detailstion detailstion detailstion details
MMUMMUMMUMMU----1111
Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset)
Sl. Sl. Sl. Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
1. Odalarevu i. At/In front of Ramalayam Temple Ferry Point
ii. At Ambedkar Community Hall, Ambedkar Colony
ONGC Gas Collection Point
iii. At Anganwadi Centre, Fishermen’s Colony (Manna Colony)
Water Tank & Post Office
2. Bendamurulanka iv. At Ambedkar Community Hall, Ambedkar Nagar
Ramalayam Temple & Ambedkar Statue
v. Besides Jambaban Peta Primary School
Sub-centre, Bendamurulenka
vi. In front of Church, Palagunta Cheruvu Dalit Colony
Private Well (Opposite Church)
vii. At Kali Temple Centre, Argatalapallem
Anganwadi
3. Komaragiripatnam viii. At Primary School, Daivalapallem-Raju Pallem Colony Intersection
Ayyappa Temple & Byraju Foundation Building
ix. In front of Kodappa Church, Mannanagar Colony
Primary School
110
Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset) Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset)
Sl. Sl. Sl. Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
x. In front of Ramalayam Temple, Military Colony
Primary School & Church
xi. At Open Space opposite Revenue Office (Saturday Haat Venue)
Ramalayam Temple
4. Thumalapalli xii. At Prahlad Swami Ashram, Twatalu Pandari
-
xiii. At Primary School, Thumalapalli Main Village
-
xiv. At Laxmaneswaram Temple Primary School
5. Mogalamuru xv. At Primary School, Sirgatalapalli Ramalayam Temple & Big Pond
xvi. At Ambedkar Statue Toorpucheruvugattu Crossing
Canal in front of the location
6. Godilanka xvii. At Ramalayam, Ambedkar Nagar Ambedkar Statue
xviii. At Zilla Parishad School Sri Lakshmi Venkata Rice Mill
7. Godi xix. At Anganwadi Centre, Godi Main Village
Big Water Tank & Primary School
xx. At Kattavari Pallem Primary School, Godi
Ramalayam Temple
xxi. At Indira Colony Primary School, Godipallem
Indira Colony Anganwadi Centre
8. Godithipa xxii. At Mandala Primary School, Opp. Fishermen’s Colony
Water Tank, Panchayat Office
xxiii. At Mandala Parishad Primary School
Gopailanka
Note: All the above villages belong to Allavaram Mandal. MMU office for the above listed villages proposed to be based at Odalarevu. MMUMMUMMUMMU----2222
Mamidi Mamidi Mamidi Mamidi Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Rajahmundry Asset)Rajahmundry Asset)Rajahmundry Asset)Rajahmundry Asset)
Sl.Sl.Sl.Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
1. Karvaka i. Besides Panchayat Office High School
ii. Water Distribution Point, Indirama Colony
-
2. Toorpu Pallem iii. In front of Panchayat Office Primary School
3. Golla Pallem iv. In front of High School Primary School
v. In front of Panchayat Office Shiva Temple
4. Kesanapalli vi. Near Prarthanamandir Church, Rajiv Nagar, West Pallem
Ambedkar Statue (nearing completion)
vii. Near Primary School, Yedla Tatya Group Colony
Anganwadi Centre, Ambedkar Statue
viii. At Kanakaya Bus Stop, Rapakawari Group Colony
Ambedkar Statue
5. Pademati Pallem ix. Near Zilla Parishad High School, Pademati Pallem
Panchayat Office, Water Tank
6. Gudapalli (+Palli Pallem)
x. Near Cyclone Shelter Building, Gollamandala Vari Colony
Primary School, Anganwadi Centre
xi. In front of Panchayat Office, Godapalli Palli Pallem
Water Tank (200 meters away)
7. Chintala Mori xii. Poduthota Crossing, Near Ambedkar Statue & Ambedkar Community Hall
Goparaju Temple
xiii. At Post Office Panchayat Office
111
Mamidi Mamidi Mamidi Mamidi Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC Rajahmundry Asset)Rajahmundry Asset)Rajahmundry Asset)Rajahmundry Asset)
Sl.Sl.Sl.Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
xiv. At GDM Church, Molla Pallem (on way to Palli Pallem)
-
xv. At Beach Nagar Entrance Point (in front of Water Tank)
Ramalayam Temple
8. Sankaraguptham xvi. IPC Church, Beach Road (on way to NABARD SC Colony)
-
xvii. Panchayati Crossing Bus Stop Electric Transformer
xviii. In front of Bethel Church Main Commercial Centre, Sankaraguptham
9. Kesavadasu Pallem xix. Primary School Panchayat Office
xx. Besides Sai Baba Temple Ambedkar Bust
10. Tatipaka xxi. Opp. Anjaneyaswami Temple Maria Montessori School
xxii. At Monday Market Gram Panchayat Office, Ramalayam Temple
Note: Karvaka is in Mamidi Kuduru Mandal. All other villages are in Malkipuram Mandal. Office
location for this MMU Unit is proposed at Malkipuram.
MMUMMUMMUMMU----3333
Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Asset)Asset)Asset)Asset)
Sl. Sl. Sl. Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
1. V.V. Mereka i. Ambedkar Community Hall, KV Podu SC Colony
Primary School
ii. In front of Weavers’ Colony Community Hall
Lion’s Club Community Hall
iii. Besides GDM Centenary Church, St. Paul Nagar
Primary School
iv. GDM Church (in front of Canal; other side of the canal is Antarvedi Pallem Village)
Ambedkar Statue
2. Antarvedi Kara v. Behind Primary School, B.V. Kodappa Colony
Small Pond
vi. At Quota Peta Ramalayam Bus Stop
3. Antarvedi Palli Pallem
vii. In front of Cyclone Centre Building, Ishiko Tota Colony
Big Pond
viii. At Muchallama Mariamma Temple Panchayat Office
4. Antarvedi Deva Sthanam
ix. Near Panchayat Office Zilla Parishad High School
5. Gondi x. Adiveerlamma Temple Elementary School
xii. At Anganwadi Centre, Near Panchayat Office
Kanak Muchallama Temple
xiii. Madhya Gunta Pamulawari Centre, Ambedkar Nagar
Ambedkar Statue
xiv. GDM Church, Jai Bhim Nagar Big Pond
6. Mori xv. In front of Panchayat Office Mahalaxmi Temple & Sai Temple
xvi. Primary School, Mori Pademati Pallem Ambedkar Statue
7. Yenugovanilanka xvii. Panchayat Office Anjaneya Swami Temple
xviii. Elementary School, Quota Harijan Peta Ambedkar Statue
xix. Pallavaram Elementary School Anjaneya Swami Temple
8. Badava xx. Ramalayam, Main Road, Badava Primary School
112
Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry Asset)Asset)Asset)Asset)
Sl. Sl. Sl. Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
xxi. Hope Ministry Church Primary School
9. A. Vama Varam xxii. Ramalayam Temple Anjaneya Swami Temple
xxiii. Panchayat Office Kanakadurga Temple
xxiv. Elementary School, Ishuka Garudu Kanaka Durga Temple
xv. RCM Church, Pasala Peta Elementary School
10. Manimanchilipadu xvi. Primary School, Chhinna Harijan Peta Anganwadi Centre
xvii. Primary School Panchayat Office
Note: Tatipaka is in Razole Mandal and all other villages are in Sakhinettipalli Mandal. Office
location for this MMU Unit is also proposed at Malkipuram.
MMUMMUMMUMMU----4444
Thirumarugal, and Kilvelur Mandals, Nagapattinam District, Tamil Nadu (ONGC Karaikal Asset) Thirumarugal, and Kilvelur Mandals, Nagapattinam District, Tamil Nadu (ONGC Karaikal Asset) Thirumarugal, and Kilvelur Mandals, Nagapattinam District, Tamil Nadu (ONGC Karaikal Asset) Thirumarugal, and Kilvelur Mandals, Nagapattinam District, Tamil Nadu (ONGC Karaikal Asset)
Sl.Sl.Sl.Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
1. Narimanam i. In front of Farmers’ Society Office Perumalkovil Temple, Panchayat Office
ii. In front of new Anganwadi Centre Community Toilet, Water Tank
2. Kuthalam iii. In front of Panchayat Office (Meletheru) Middle School, Mariama Temple
iv. Vinayaka Temple, Pullavar Nallur Panchayat TV Room
3. Gopu Raja Puram
v. Panchayat Office (Sanyasi Panamgudi Hamlet)
Elementary School
4. Eravanchery vi. Opposite Old Elementary School, Devemgudi Main Road
Present Panchayat President’s Residence
vii. In front of Library Building, Nattar Mangalam
Primary School, Mariama Temple
viii. At SHG Building, Madhya Gudi Community Toilet
ix. In front of Panchayat Office Elementary School
5. Okkur x. At Community Hall, Okkur Village Administration Office
xi. In front of Perumal Temple, Kadambangudi
Shivam Temple
xii. In front of Primary School, Vilambakam (this location is not presently easily approachable because of bad road)
Singha Mahakali Amman Temple
6. Kurumanangudi xiii. In front of DMK Library Building (Periyar Hall), Road Theru
-
xiv. At Middle School, Melatheru Shri Ganesh Temple, Water Tank
7. Anaimangalam xv. At Community Hall, Anaimangalam Aiyanar Temple, Panchayat Office
xvi. At Aiyanar Temple, Orgudi Water Tank, Pond
xvii. Elementary School, Kulangudi Kaliamman Temple
8. Venkatangal xviii. Near Panchayat Office, Venkatangal Anganwadi Centre
xix. Primary School, Porkalakudi -
xx. Panchayat TV Room, Senbia Nadi Medium Size Plastic Water Tank
Note: Villages from 1-4 belong to Thirumarugal Block and those from 5-8 belong to Kilvelur Block.
The office for the MMU Unit should be located at Nagapattinam.
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MMUMMUMMUMMU----5555 Bhubanagiri, Keerapalayam and Katumannarkovil Mandals, Cuddalore District, Tamil Nadu (Forward Bhubanagiri, Keerapalayam and Katumannarkovil Mandals, Cuddalore District, Tamil Nadu (Forward Bhubanagiri, Keerapalayam and Katumannarkovil Mandals, Cuddalore District, Tamil Nadu (Forward Bhubanagiri, Keerapalayam and Katumannarkovil Mandals, Cuddalore District, Tamil Nadu (Forward Base at Karaikal, Chennai Asset) Base at Karaikal, Chennai Asset) Base at Karaikal, Chennai Asset) Base at Karaikal, Chennai Asset)
Sl. Sl. Sl. Sl. VillageVillageVillageVillage LocationLocationLocationLocation Nearest LandmarkNearest LandmarkNearest LandmarkNearest Landmark
1. Adivarahanattam i. In the premises of Middle School for Boys, Adivarahanattam
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ii. At Vem Vadi Amman Temple, Rattaikulam
Water Tank
iii. At Balakrishna Temple, Sutukuli Anganwadi Centre, Tubewell
2. Alisikudi iv. Near Panchayat Office Sub-centre
v. Sri Cheliamman Temple, Vandarayanpethu
Water Tank
3. Vatarayanthettu vi. At Panchayat Office Common Water Distribution Point
4. Miralur vii. At Pillayar Temple Water Tank
viii. At Sub Centre Shivan Temple, Water Tank
5. Manja Kollai ix. At Panchayat Office Panchayat TV Room, Murugan Temple
x. In front of TV Room Water Tank, Pond
6. Kilavadinattam xi. At Old Primary School Anganwadi Centre, Water Tank
7. Pinnalur xii. In front of Water Tank, Ambedkar Nagar Colony
Mariamman Temple
xiii. At Sub-centre, Main Road, Pinnalur Veterinary Hospital (across the road)
8. Orathur xiv. At Panchayat Office BSNL Office (across the road)
9. C. Sathamangalam
xv. At Primary School, Sakhti Vilaham Anganwadi Centre
xvi. Adi Dravida Welfare School Panchayat Office, SHG Building
10. Kandamangalam xvi. At Panchayat Building Primary School, Water Tank
11. Kurungudi xvii. At Panchayat Office -
xviii. At Ration Shop Pilliyar Kovil Temple
xix. Kali Amman Temple, Puliyadi
12. Chettitangal xx. Near Community Hall (Ranganathapuram)
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13. Kil Kadambur xxi. Adi Dravida Welfare Primary School -
14. Mel Kadambur xxii. In front of Panchayat Office -
15. Veerandapuram xxiii. At SHG Building, Veerandapuram -
xxiv. At Panchayat Office, Vivakulam -
xxv. Kalyana Madapam , Peria Ponga Nadi
Aiyanar Kovil Temple
Note: Villages from 1-7 belong to Bhubanagiri Block; 8 & 9 belong to Keerapalayam Block and
10-15 belong to Kattumanarkovil Block of Cuddalore district. The office location is proposed at
Shetiatope.
DDDDetailsetailsetailsetails of of of of ONGCONGCONGCONGC officiofficiofficiofficials met during field visit of als met during field visit of als met during field visit of als met during field visit of AAAAndhra ndhra ndhra ndhra PPPPradesh and radesh and radesh and radesh and TTTTamil amil amil amil NNNNaduaduaduadu
MMU MMU MMU MMU UnitUnitUnitUnit
StateStateStateState ONGC AssetONGC AssetONGC AssetONGC Asset Concerned OfficialConcerned OfficialConcerned OfficialConcerned Official
MMU-1 Andhra Pradesh
Kakinada Mr. Anjaneyalu
Dr. P.R.K. Raju, DGM-HR
MMU-2 Rajahmundry Mr. J. A. Kumar, GM-HR
MMU-3 Rajahmundry Mr. J. A. Kumar, GM-HR
MMU-4 Tamil Nadu Karaikal Mr. Vasudevan, GM-HR
MMU-4 Chennai (Forward Base, Karaikal)
Mr. Prabakaran, DGM & Head Chennai Forward Base
114
Field observations from ield observations from ield observations from ield observations from AAAAndhra ndhra ndhra ndhra PPPPradesh and radesh and radesh and radesh and TTTTamil amil amil amil NNNNaduaduaduadu
FIELD OBSERVATIONS FROM ANDHRA PRADESHFIELD OBSERVATIONS FROM ANDHRA PRADESHFIELD OBSERVATIONS FROM ANDHRA PRADESHFIELD OBSERVATIONS FROM ANDHRA PRADESH The key observations are as follows:
� All the villages visited have substantial Below Poverty Line (BPL) population, the
minimum being around 75%.
� Elderly people are not satisfied with the services provided by government health
infrastructure (PHC & CHC) as well as mobile medical services provided by 104
which is managed by Health Management and Research Institute (HMRI) and
sponsored by the State Government for all people.
� Since elderly people have to travel distances ranging from 3 kilometers to 20
kilometers to approach either a PHC or CHC to avail health services offered by the
government they prefer not to visit these centres; 104 comes to one location in the
village once in a month and some of the hamlets in big villages are 2-3 kms away
from the location where 104 parks. Hence, it does not provide any solution to
health needs of elderly people closer to their doorsteps which is their prime need
keep in view their limited physical capacity for mobility.
� Disease profile of the elders in the visited areas are: joint pain, ulcer diseases,
elephantitis (endemic in Achanta Mandal in W. Godavari), lower back pain, sugar,
BP, hypertension, gastritis, gastro-enteritis, cataract, pneumonia, strokes, prostrate,
arthritis, diabetes.
� The community expressed that there is a great need of health services for the
elders and showed their keen interest to participate in this programme.
� Non-MBBS doctors (RMP) are available in the villages who are not capable to offer
satisfactory health solutions.
� Hence, in a village 2, 3 or 4 locations are needed (depending on the size of the
village) for the ambulance to park and offer services in order to be inclusive in its
approach and achieve visibility as well as success.
� As per our preliminary estimates one MMU may have to offer services to 7000-
8000 elderly people in the 55+ age group.
� Consistent village level mobilization efforts are needed in order to create optimal
patient load or health seeking demand among the focus populace.
� The Project Officer can work as a social mobilizer and he/she can create good
demand for the mobile medicare services with the help of ANMs and ASHA.
� Health and well-being groups of elderly people could be promoted to keep the
health seeking demand growing in focus villages.
� Although each village does not have a sub-centre of its own ANMs regularly visit
the villages. Their help could be taken to spread the message.
� One unit could offer services to maximum 7-8 villages keeping the dense
population, area coverage and representative location plan in view.
� Since the 104 and 108 (emergency medical service) ambulances are usually
bigger vehicles (like Tempo Traveller) it is felt that a bigger vehicle would be
needed to provide mobile medicare services. ONGC prefers bigger size vehicles.
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� It would be useful to recruit local candidates for the MMUs to keep effective grip
on management aspects as well as local dynamics. However, availability of
English speaking candidates except MBBS Doctors is a practical problem.
� Availability of MBBS doctors is a challenge.
� Keeping the Panchayats informed will be very useful from operational point of
view.
� Building a good network with PHCs and CHCs will be essential. Providing referral
services will be very crucial to satisfactory service delivery and managing people’s
perceptions of service provision effectiveness.
� In case availability of MBBS doctors becomes an issue a strategic business
partnership with private hospitals will be needed.
� ANMs (almost all are Telugu speaking) are available aplenty but pharmacists are
short in supply.
� Deciding the office locations where all staff will board the MMU is another key
issue.
� Preparing a list of all retired (from govt. service) MBBS doctors living in the
operational area will be very helpful for future needs.
FIELD OBSERVATIONS FROM TAMIL NADUFIELD OBSERVATIONS FROM TAMIL NADUFIELD OBSERVATIONS FROM TAMIL NADUFIELD OBSERVATIONS FROM TAMIL NADU The key observations are as follows:
� All villages have sizeable BPL population (70% and above)
� All the villages are serviced by individual as well as community water supply
points. Water tanks are available in all villages
� All villages are located around ONGC’s important currently operational
installations or potential future operational locations
� Most villages are not adequately serviced by currently available health
infrastructure
� Patient load will be enough for optimum utilization of MMU units
� Availability of MBBS Doctors at these locations is a challenge
� All Panchayats have expressed willingness to provide necessary assistance to the
project
� Government health professionals at PHC/CHC levels have expressed interest to
provide all possible help
� Some of the diseases that elderly people mostly suffer from are: Sugar/Diabetes,
Osteo Arthritis, Blood Pressure/Hypertension, Body Pain (Joints and Lower Back),
Ulcer Diseases, Gastritis, UTI & Prolapsed Uterus (women), Prostrate and
Cataract. Other minor but prevalent diseases as reported are: Skin Allergis, TB,
Malnutrition and Fileria
� All the villages (except those in Katumannarkovil Block of Cuddalore district) are
within a radius of 10-15 kms from the suggested office location.
� Almost all the villages are adjacent/ contiguous to each other.
� All locations identified and listed villages and locations (except the identified
location Vilambakam hamlet in Okkur Panchayat, Kilvelur Block, Nagapattinam
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District, Tamil Nadu; this is because of present bad condition of the approach
road) are accessible to Ambulance
� Since almost all villages consist of hamlets locations have been identified in order
to cater to most of the elderly population of the habitations
� Since there is a genuine need to provide ambulance facility at multiple locations in
a village because of the scattered nature of the hamlets (which the present service
provided by 104 of HMRI is not catering to) each location may be given maximum
1 hour in order to cover all locations and optimize provision of services
� Availability of an MBBS Doctor in Allavaram Mandal and
Bhubanagiri/Katumannarkovil Mandals (Sethiatopu Office Location) may come up
as an issue which needs to be addressed.
� The team approached many serving as well as retired MBBS Doctors who
expressed that the salary amount is a big factor that may influence availability of
doctors.
� Almost all villages have RMPs and utilize their services. Government and
appropriate private health infrastructure being away from most of the villages,
people are heavily dependent on RMPs.
� The villages which do not have sub-centres and services by ANMs or VHNs
� There are a number of PHCs in the areas of intervention but the elderly people are
not happy about the services offered by these health centres.
* * * * *