Sulabh International Institute of Health & Hygiene

W ith a view to achieving healthcare in totality, only treatment of diseases is not enough. Therefore, Sulabh has developed an integrated health care approach with emphasis on yoga, use of herbs and plants, healthy habits and a change in attitude towards health & sanitation. it covers almost all aspects of healthcare, including check-up, immunization, pre-natal care, family planning, safe food drinking water, environmental sanitation, health education, etc. in a manner that all these become readily available and affordable to the recipients through self-sustainable management.

The Sulabh International Institute of Health and Hygiene (SIIHH), set up in 1994, aims at doing all these by developing software and hardware on health, hygiene and sanitation with an integrated approach, making the whole health programme sustainable with focus on women, children, and youth living in slums and rural poverty areas. SIIHH has undertaken many such projects in collaboration with various national and international funding agencies working for the sustainable community development. The Institute works in the areas which include:

1. Awareness: Education and training programme for women volunteers, school students, teachers and rural folk.

• SIIHH has trained over 8,000 women volunteers in Delhi, UP, MP, Rajasthan, Haryana, and Chandigarh especially from the urban slums and rural areas. they work to promote health, hygiene and sanitation.
• Published manuals on Women and Sanitation in Hindi, English and Telugu. A Nepalese translation is just ready for publication. Both publications are effective in spreading the message.
• Trained women volunteers have been deployed to ensure sustainable community development, safe water supply in urban set-up. About 1,500 women volunteers have been trained to serve safe drinking water to 150,000 urban slum dwellers. They are given a commission on supply and sale, which provides them with a regular income. It is being done in collaboration with the PSI and WHO.

2. Developing models and modules in rural and urban areas. SIIHH has developed urban slums and villages into models which can be replicated.

• The Jhuljhuli village, near Najafgarh, Delhi, deserves special mention. After a visit by the Sister City International of the U.S., the Mayor of Kettering, Ohio, in a later letter to Dr. Bindeshwar Pathak stated that their visit was memorable for two reasons, "seeing the Taj Mahal, and visiting Jhuljhuli!".
• We have taken up various programmes such as health check-up camps, rural sanitation in Budhgaon, Sangli (Maharashtra), Ranichauri, New Tehri (Uttaranchal) and 12 villages near Bhondsi (Gurgaon, Haryana). We have implemented a project on "Sustainable Development and Healthy Environment" in many villages of UP, MP, Haryana, and Punjab and Rajasthan. This has been sponsored by the WHO and its implementation is being facilitated by the Indian Government's Ministry of Rural Development, with the main objective of promoting safe drinking water, sanitation and rural water supply.
• People's participation programme with awareness and training on Health, Hygiene and Sanitation in the Yamuna Action Plan and rural set-up. we have conducted these programmes in Faridabad, Gurgaon, Yamuna Action Plan in collaboration with Japan Bank of International Cooperation (JBIC) and Public Health Engineering Department (PHED), Haryana Government and with other states in the rural villages.

3. Programme on population stabilization. We have adopted two innovative methods:

• Distribution of oral contraceptive pills to elligible women at their doorsteps ensures timely delivery of pills ahead of the schedule date for users and this eliminates "drop outs" due to non-availability.
• Issue of contraceptive distribution card. It has been based on the pattern of the "Immunization card" used by UNICEF for the timely use of various contraceptives as selected by users.

4. Programmes related to STD & HIV/AIDS:

• The Institute has undertaken various projects related to STD & AIDS in collaboration with the National AIDS Control Society, Delhi, Family Health International, AIDSCAP and USAID.
• And, also an innovative method to use the Sulabh toilet complexes as awareness and education centers for prevention of STD & AIDS, by exhibiting various publications and also helped in the intervention programme by distributing free condoms. Besides, over a thousand women volunteers have been trained on STD & AIDS in the urban slums in Delhi.
• The use of the Sulabh toilet facilities as awareness and publicity centers with distribution of free condoms has been successful, throughout India, as a very large number of users use the toilet complexes everyday.

5. The partners are:

• Central and State Governments.
• National funding agencies - PFI, NIUA, NACO, State AIDS control society.
• International funding agencies - WHO, UNICEF, USAID, AIDSCAP, etc.
• People: Volunteers trained to act as leaders in slums and villages to promote a sense of people's participation.

6. School students and teachers programmes:

• students and teachers prove excellent ambassadors for health, hygiene, and sanitation and Sulabh is encouraging teachers in taking up such related activities in urban slums and rural areas.

7. Hospital sanitation and Waste Management:

• This area has also been accorded increased priority. Through sustained efforts and bringing out of various publications on this issue the training of medical and para-medical aspects has been taken up on a national level. We have successfully developed "Safe pit for sharps" a cost-effective but simple process for safe disposal of sharp. It has been constructed in 33 hospitals in India. The DDU Hospital, Delhi, is an example where we are providing the toilet and ward cleanliness facilities.

8. developing Sulabh toilet complex as health center and awareness-cum-training center.

• With the backing of adequate infrastructure, manpower and space, they have developed a "Health Centre" for preventive, curative and rehabilitative medical care of the poor and needy. This center also provides Homeopathic and Ayurvedic treatment. In short, we have tried to establish that awareness, education and training to various community groups, especially to women, students and children, is what matters most in implementing programmes related to health, hygiene, and sanitation. This is especially so with women groups and the local youth, who can make the programmes sustainable with people's participation.

9. Ensuring supply of safe drinking water at very cost-effective rate - a pilot project.

• Recently a pilot project has been taken up by SIIHH in collaboration with PSI and WHO, which covers 1.5 lac population from 30,000 Jhuggi-Jhopries of urban slums poor habitat. We have already trained 657 women volunteers who will take part in this project. These women volunteers have been given training on health, hygiene, safe drinking water, hazards of insanitation etc. They have been also given responsibility of sale of disinfectant solution and plastic container to store water. This is the most cost-effective safe drinking water. It costs only Rs. 12/- for disinfecting 1000 litres of water. a family of 5 members can consume water for 2 months. In that respect the cost of bottle water by commercial units as well as Delhi Jal Board is very high. (Rs. 40 for 20 litres by Bisleri and Rs. 15 for 20 litres by Jal Board).

The plus point in this project is to ensure cheapest safe drinking water to urban slum dwellers and poor habitat areas and also women volunteers will earn money out of the sale of this product. Thus it will be a sustainable programme with community participation, which will also increase domestic economy.

Further, due to use safe drinking water incidence of water borne diseases like Polio, Hepatitis, Cholera, Intestinal worms etc. will reduce death and illness. Thus it is an innovative approach by Sulabh.

HOSPITAL SANITATION AND WASTE MANAGEMENT

W e have taken up this issue with sincerity and continued efforts, we have developed various publication on this issue, and training medical and para-medical on national level. We have developed "safe pit for sharps" a cost effective simple process for safe disposal of sharps( needle and blade). It has been constructed in 33 hospitals in India.

DDU Hospital, Delhi is another example where, we are maintaining toilet and ward cleanliness. We have given look to the hospital.

DEVELOPING SULABH TOILET COMPLEX AS HEALTH CENTRE AND AWARENESS-CUM-TRAINING CENTRE

W ith background of available infrastructure manpower and space, we have developed "Health Centre" for preventive, curative and rehabilitative medical care for poor and of needy people. It also provides homeopathic and ayurvedic treatments.

In short, we have tried to establish that awareness, education and training to various community group specially children, students and women matter a lot, and implementing various programme related to health, hygiene, sanitation specially with women group and local youth can make the programme sustainable with peoples participation.

Fig: Concept of Sulabh Happy Home

PROFESSIONAL EXPERTISE & PROJECT EXPERIENCE

Sulabh International Institute of Health and Hygiene, in the last 8 years of its activities has been actively engaged in the implementation of various projects in collaboration with various National and International Organisations and Funding agencies and also Governments at States and Centre.

A Glimpse of Professional Expertise and Projects Undertaken:

We like to interact with Government, National and International Funding Agengies, Private Sector, CBO (Country based Organisations) for working in projects as Advisor or Partner. As we are working as Mother NGO and guiding other NGO's.We would like to take up following projects for running the Health Care Programmes( Population Stabilisation, Antinatal Care, Adloscent Health Care, STD and AIDS), Awareness Education and Training on Health, Hygiene & Sanitation as integrated approach in urban set up, rural set up, school and Hospital Waste Management, training programme on waste management, etc. We also want to develop an International Institute which will provide diploma/specialisation in subject like sanitation, waste management, environment programme and special programme in Urban slums, school and rural set up will also be taken up.