NIRPHAD's entry point into community health has a foundation of about 100years, when its predecessor, the CFC Hospital was founded in Vrindaban. The curative services enabled a paradigm shift to community health and development so that poverty may be alleviated, by establishing an infrastructure with a large component of health education.  The health programmes interact at the following interface:
Reproductive Child Health, Community Health, Primary and Secondary eye programmes, Nutrition education and demonstration of a balanced diet, with easily available and inexpensive staples and vegetables. This programme is reinforced by intensive health education-one to one, in small groups, community level and in 'melas' when thousands will be reached in a few days. Referral services to the super specialty SJSH is a new facility.

MCH Center, Chattikara

• Reproductive Child Health 
  RCH and its related welfare services have been integrated into RCH and it has been realized that Reproductive and Child Health are an integrated programme and for good results need to be functioning in a comprehensive programne. This is one avenue for motivating the couples to accept the small family norms. This is achieved through the process of informed choice using the cafeteria method. The Govt. hospital sends its laprascopic team every fortnight to the Chattikara and Bajna Centres and the NIRPHAD staff organizes the Family Planning Camps. 
  To achieve better Results the couples are educated to accept the concept of social marketing of contraceptives (SOMARC).This is a more reliable approach to family planning.

• Community health
  Community health which emphasises simple hygiene are the felt needs of the target groups. In this programme environmental activities such as sanitary latrines and septic tanks, proper disposal of organic waste, potable water and health education have borne reasonably good results.

Eye Care Hospital, Chattikara

• Primary and Secondary Eye Hospital at Chattikara
  The Govt. does not have a definite rural eye programme and some voluntary agencies provide sporadic services resulting in very poor primary and secondary eye care programmes. The sporadic services resulting in very poor primary and secondary eye care programme. The situation is more alarming as some of the villages belong to the weaver community and due to defective acuity of vision leads to economic losses in the form of sharp decline in average family earnings. The District has 200 new  cases of cataract for every 100,000 of the population. Estimates show that 20,000 cataract operations have to be done every year to make the District cataract free. In 1980 night blindness and other defects due to vitamin-A deficiency was rampant. Through NIRPHAD nutrition programmes, kitchen gardens were taught and the community encouraged to eat green leafy vegetables, carrots and yellow fruits. NIRPHAD has a large oral vitamin-A programme. This has reduced the incidence of eye diseases. The  coverage has provided to 14,00,000 of the populations has reasonably good eye care services. The patients are examined in eye camps and brought to the two "fixed" centers by the mobile units for surgery.

51728 children were screened for eye defects and taught basics of eye care and symptoms of common eye diseases.
The impact of the eye care programme hopes to improve the qualitative and quantitative results and make the programme a mass movement through  out the district.  This will also contribute to the national main stream of health development. It is requested that you contribute to this urgent need and NIRPHAD solicits your help and assistance so that it can alleviate the eye problems of the community.

• Nutrition and Balanced Diet
  Malnutrition produces a vicous cycle of low resistance to disease leading to morbidity and a high incidence of mortality. NIRPHAD aims at food security as the first step to over come malnutrition. Purchasing power of the poor can only be achieved if their incomes increase. The world development report of UNDP shows that in India the gap between the rich and poor is increasing (UNDP Report 2000).
  NIRPHAD through its nutrition education programme, which is linked with agriculture and animal husbandry not only strengthens purchasing power by increasing the per capita income, but also has programmes to educate the target groups in the simple concepts of a balanced diet from inexpensive easily available staples and vegetables. The importance  

             of clean potable water has reduced the incidence of typhoid, gastro-enteritis, diarrhea and  
             hepatitis B. 

• Knowledge, attitude and practises (KAP), communication, education and information programmes are part of the health education component:
  This programme is the gold standard in health education. To assess the impact of this programme, the touch stone of knowledge-base of the target groups and how they are sharing with the rest of the community will be important. The critical impact factor of this programme will depend on its effectiveness in the 10 grass-root field NGOs who will implement the programme in 6 districts.

NIRPHAD's Achievements..... so far

• Curative care provided to 2,66,222 patients

• Promotive care provided to 16 villages with an estimated cumulative population 

• of 1, 36,000

• Ante-Natal care to 23,054 women

• 13,465 safe deliveries for women

• 32,664 household visits by ANMs to bring healthcare to households.

• 39,324 health education sessions.

• 3 mobile units used to take healthcare to the remotest corners of the district.

• 55 villages covered in a month for a round of vaccination for common diseases.

Swarn Jayanti Samudaik Hospital

NIRPHAD's Achievements......over the last year

• Contraceptive prevalence rate has increased from 20% to 40%. The target is 60% by the year 2003. 

• NIRPHAD chosen to monitor pulse polio program by UNICEF, for the last one year.

• NIRPHAD chosen the manager for the super specialty 

• Swarn Jayanti Samudaik Hospital.

• Multinational support to develop relevant texts in Hindi to achieve maximum impact.