Coverage
In 1989 when APPNA SEHAT launched its pilot project there were 16,357
people living in 2,200 households of 15 villages who were included in
the project at four diverse rural locations in districts Mardan, Rawalpindi,
Sahiwal and Badin. During year 2005 six APPNA SEHAT units were graduated
out of APPNA SEHAT financial support and were replaced with the same number
of units. Over and above that during the year 2006 twelve more units have
been added. Population coverage is now reached 91,000 in 13,922 households
spread out in 149 villages of Mardan, Murree, Sahiwal and Badin. After
graduating out 45 units at different locations
Community Organizations and
Development Initiatives
In each APPNA SEHAT Unit, there are male and female cluster organizations
(CO) at every 40-60 household. These cluster organizations in turn form
Unit Committees at unit level by nominating two CO members as members
of Unit Committee. APPNA SEHAT conducts capacity building trainings of
these community structures. Both these community structures in addition
to participating with APPNA SEHAT in their health promotional activities,
most of these organizations have developed themselves into forums where
they not only talks about their problems but also takes local development
initiatives. Now they interact with Government line departments and other
agencies for development projects on partnership i.e. departments and
agencies provide them matching grants. These primarily include establishing
primary school, funds for poor patients, plantation campaign, donations
to schools, construction of mosques, construction of culverts and small
bridges on them, paving the pathways, installation of community hand-pumps,
construction work at local schools, establishing and running computer
centers, sewing schools and vocational centers, observance of cleanliness-days,
resumption of water and sewerage systems abandoned long ago on purely
self-help basis without any assistance from out side. With assistance
from outside includes registration as Community Citizen Boards, improving
existing and building new roads, , constructing and maintaining the village
drains and sewerage systems, village water schemes, construction of bridges,
formation of veterinary dispensaries, interactions with local government
departments for electricity, telephones and gas. All these community ventures
could be possible after APPNA SEHAT organized the communities and they
started translating their potentials into actions to solve their local
problems and improve their life style. APPNA SEHAT always strictly played
the role of a facilitator in all these community endeavors.
Heath care interventions
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