Rtn. Dr. G. SAMARAMRtn. Dr. G. SAMARAMNational President , I.M.A. (2009-10)District Director, Community Service

COMMUNITY SERVICE - RotaryAGTS/DTTS WORKSHOP

ATSUNRAY VILLAGE10th & 11th March,

2012

COMMUNITY SERVICECOMMUNITY SERVICE

The Heart Beat of RotaryThe Heart Beat of Rotary

Main Focus of RotaryMain Focus of Rotary

1.Peace2.Disease Prevention & Treatment3.Water and Sanitation4.Maternal & Child Health5.Basic Education & Literacy6.Economic & Community Development

Community problems - Rotary Action

through Community Service

Committees.

COMMUNITY SERVICECOMMUNITY SERVICE(Medical)• Vision through Rotary• Blood Banks Promotion• Dental Care• AIDS Awareness• Physically Challenged• Drug Abuse• TB Control• Health Education

Community Service Community Service (Non-Medical)• Care for Street Children• Care for Aged• Rotary Legal Aid Centre• School Adoption• Agricultural Development• Preserve Planet Earth• Art of Living• Culture & Heritage• Women Empowerment• Rural Development• RCC

10 Leading Health IndicatorsØ Physical ActivityØ Overweight and ObesityØ Tobacco UseØ Environmental QualityØ Responsible Sexual BehaviorØ Mental HealthØ Substance AbuseØ Injury and ViolenceØ ImmunizationØ Access to Health Care

Public Health achievements in the 20th century

• ImmunizationsImmunizations• have virtually eliminated:

– Smallpox– Diphtheria– Pertussis– Tetanus– Polio– Measles– Rubella

People are living longer!

• Now there are vaccines against 26 infectious diseases, rendered many of the leading causes of mortality in infants and children completely preventable.

• In 1947, vaccines were available to combat only 5 infectious diseases.

• At the beginning of the century 1/3rd of deaths were due to – pneumonia, tuberculosis and diarrhea.

– Heart disease

– cancer

– stroke

• Now, the 3 leading

causes of death were

chronic diseases

India spend its budget

Military:18%, Education:12%; Health: just 3.4%

Medical Consultants • Urban: 70%

Semi urban: 25% Rural: 5%

comparisonCountry Infant

Mortality rate!

per!1000!live!

births

Nurses/

1000 people

Physicians/

1000 people

Per capita

Expenditure on

Health $

Australia 5 9.1 2.47 3200 $

U.K 5 12 2.3 2900 $

USA 6 10 2.6 6000 $

INDIA 45 3 0.7 60 $

Country Per capita expenditure on health 2004

In 2008 In 2010

India $17 20 25

Srilanka $44 81 100

Pakistan $ 17 24 28

Bangla $11 17 20

Nepal $17 20 23

Naked reality

• Highest burden of maternal mortality(254 ) is in India.• MMR & NMR is directly associated with lack of skilled

delivery attendant.• Adult Mortality - 60% due to NCD(non-communicable

diseases) & 30% due to CD &10% due to accidents.• Ratio of doctors to the population in India is just 0.7

doctors per 1,000 people compared to a world average of 1.5 doctors per 1,000.

• Grave Challenge - Metabolic syndrome

Sheer callousness

• one million Indians die every year due to inadequate healthcare facilities and 70 crore people have no access to specialist care.

• Home delivery: In India, 50% of births take place at home. • 1/3rd. of the world’s tuberculosis cases are in India.• India has about 5.6 million child deaths every year, more

than half the world's total.• Polio has not as yet been eradicated in India.• About 700,000 Indians die each year from diarrhea.

Deprived of…

• Only 10% have access to toilets• Only 30% have access to safe water.• Only 10% children completing the 10th.std• 70% rural women are anaemic.• growing social inequalities • shortages in primary healthcare facilities.• 70% SHORTAGE of specialists at the CHCs.

Alarming…

• About 1.8 million children under age 5 die in India every year;

• 68,000 mothers die due to maternal causes.• 52 million children in the country are stunted. • Nutrition programs currently focus on 3- to 6-

year olds, rather than children aged 2 years and under, which are critical years for preventing under nutrition.

Dampening…

• citizen responsibility at the lowest ebb.• Open defecation inspite of govt’s promotion

of usage of toilets.• Addiction to drugs, alcohol & tobacco.• Non compliance with minimum hygenic

measures.• Gender biased.• Social evils, beliefs and discrimination.

Disheartening…

• Poor nutritional habits.• Negligence of Family planning.• Callousness over safe sex.• Lazy sedentary life styles.• Lack of character& responsibility.• Decreasing moral values.• Lack of care towards ecology.• No concern for neighbours.

Accounting for about

1 Lakh 30 thousand

deaths per year

in India due to RTA

Public Health & Road Accidents– 15 deaths per one hour in India due

to Road traffic accidents– Accounting for about 360 deaths per

day in India due to RTA

Environment & Public HealthEconomics at the cost of environment :

High environmental cost of Asia’s economic development over past few decades, -

• including pollution, deforestation, inadequate sanitation, threatening depletion and degradation of forests, fisheries, and other natural resources.

Environment – Air

• Nearly 100,000 premature deaths/year in southern Asian cities

• 12 of the 15 cities with highest levels of particulate matter are in Asian and Pacific regions.

Environment - water• One in three Asians

lack access to safe

drinking water near

their homes –

contamination by

sewage, urban and

agricultural runoff

and saline infusion.

Urban Health “Over 600 million people in cities of developing

countries cannot meet their basic needs for shelter, water, food, health and education”

PLAN OF ACTIONThe District Community Service Committee has to stimulate,

co-ordinate and promote club community service projects.

Assisting Club Community Service Committee Chairman in carrying out their responsibilities.

Encourage Clubs to organise RCCs.

Identifying New Trends, Issues within the District and that your clubs may want to address

Sharing Knowledge with Clubs about local non-rotary service organisations and identifying areas for co-operation.

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