HELPAGE INDIA-ONGC MMU PROJECT FIELD REPORT FROM ONGC OPERATIONAL AREAS IN ANDHRA PRADESH AND TAMIL NADU
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HELPAGE INDIA-ONGC MMU
PROJECT
FIELD REPORT FROM ONGC
OPERATIONAL AREAS
IN
ANDHRA PRADESH AND
TAMIL NADU
89Contents
Sections Details 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 99
Basic Infrastructure, Collection of Demographic and
Other Basic Information, Identification Of MMU
Parking Locations and Relationship Building for
Smooth Project Operation
Section-V Conducting Baseline Survey for Mapping Elderly 104
Population, their Health, Psycho-social, and Family
Related Issues
Section-VI Suggested Office Locations for MMU Units and 105
Search For Prospective Candidates
Section-VII Linkages Established with Government and Private 107
Health Resources
Details of Parking Locations 109
List Of ONGC Officials Met During Project & Field 113
Visits
Field Observations from Andhra Pradesh & Tamil 114
Nadu
91Section 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 II.
II. Project Initiation
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.
93decided 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.
Table-
Table-1: Details of village panchayats selected for the operation of MMU for Chennai
(Karaikal Forward Base) Asset
Sl. State ONGC Field MMU Operation Operation No. of
No. Unit Units District Mandal/Block Village
Allocated Panchayats
Selected
1. Andhra Kakinada Asset 01 East Godavari Allavaram 08
2. Pradesh Rajahmundry 02 East Godavari Razole 01
Asset Sakhinetti Palli 07
Mamidi Kuduru 01
Malkipuram 06
West Poduru 01
Godavari Achanta 01
Elamanchili 02
3. Tamil Karaikal 01 Nagapattinam Kilvelur 04
Nadu (Cauvery Basin) Thirumarugal 04
Asset, Neravy
4. Tamil Karaikal 01 Cuddalore Bhubanagiri 07
Nadu Forward Base, Keerapalayam 02
Chennai Asset 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: The gr
gram 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
94exercise. 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
95participatory. 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.
Table-
Table-2: List of villages suggested by ONGC representatives and its corresponding GP
Mapping.
Sl. State ONGC Asset Villages Suggested by Finally Mapped GPs and Excluded
No. ONGC GP Details
1. Andhra Kakinada Odalarevu Odalarevu
Pradesh Bendamurilanka Bendamurilanka
Komaragiripatnam Komaragiripatnam
Thumalapalli Thumalapalli
Mogalamuru Mogalamuru
Godi Lanka Godi Lanka
Godi Godi
Godithipa Godithipa
S. Palli Pallam These two GPs along with
Samanthakuru 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.
2. Andhra Rajahmundry-I Karvaka Karvaka
Pradesh (East Tatipaka Tatipaka
Godavari) Antarvedi Palli Pallem Antarvedi Palli Pallem
Gondi Gondi
Kesavadasu Pallem Kesavadasu Pallem
V.V. Mereka V.V. Mereka
Mori Mori
Gudapalli Pallipallem Gudapalli Pallipallem
(+Gudapalli)
Chintala Mori Chintala Mori
Sankaraguptham Sankaraguptham
Kesanapalli Kesanapalli
These 5 GPs were Antarvedi Devasthanam
included to maintain Pademati Pallem
contiguity between the Antarvedi Kara
ONGC proposed GPs Golla Pallem
Toorpu Pallem
96Sl. State ONGC Asset Villages Suggested by Finally Mapped GPs and Excluded
No. ONGC GP Details
3. Andhra Rajahmundry-II Vadali Vadali
Pradesh (West Deva Deva
Godavari) Soma Raju Cheruvu Soma Raju Cheruvu
Manimanchilipadu Manimanchilipadu
A. Vama Varam A. Vema Varam
Badava Badava
Yenugovani Lanka Yenugovani Lanka
These 3 GPs were Monamaru
included to maintain Kotala Parru
contiguity between the Tamarada
ONGC proposed GPs
4. Tamil Karaikal Narimanam Narimanam
Nadu (Neravy) Kuthalam Kuthalam
Gopu Raja Puram Gopu Raja Puram
Eravanchery Eravanchery
Okkur Okkur
Kurumanangudi Kurumanangudi
Venkatangal Venkatangal
A single hamlet under Anaimangalam
this GP was proposed
by ONGC and
therefore, the GP was
included in the list
Additionally, some It was placed before ONGC that
operational areas of one MMU unit can only cover a
Thiruvarur district was distance of 15-20 kms. Since the
being proposed by listed GPs are already covering this
ONGC. 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 Chennai Adivarahanattam
Nadu (Karaikal Alisikudi
Forward Base) Vattrayntethu
Miralur
Manja Kollai
Kilavadinattam
Pinnalur
Orathur
Sathamangalam
Kandamangalam
Kurungudi
Chettitangal
Kil Kadambur
Mel Kadambur
Veerandapuram
Nattar Mangalam These two GPs were not included
Kalladikuttal because of these are situated 25
kms away from the proposed MMU
central location
Additionally, ONGC This area was more than 35 kms
also proposed several away from the proposed MMU
villages in Andimatam central location. Moreover, one
97Sl. State ONGC Asset Villages Suggested by Finally Mapped GPs and Excluded
No. ONGC GP Details
area in Cuddalore MMU couldn’t have taken more
district. 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.
Table-
Table-3 Detailed MMU operational areas
Sl. State MMU Unit Constituent Gram Proposed MMU Central Location and its
No. Panchayats Details
Details
1. Andhra Kakinada Odalarevu Odalarevu Village of Allavaram
Pradesh Asset Bendamurilanka Mandal. This location is highly
MMU-1 Komaragiripatnam suggested by the ONGC to make it the
Thumalapalli central point of operation since its GCS
Mogalamuru is located at this place. The farthest
Godi Lanka MMU parking location would be 12
Godi kms from Odalarevu
Godithipa
2. Andhra Rajahmundry Karvaka Malkipuram. This location has all
Pradesh Asset-I Gudapalli necessary infrastructure and all the GPs
MMU-2 (+Gudapalli are within 15 kms from this location.
Pallipallem) The farthest MMU parking location is
Chintala Mori 16 kms from Malkipuram.
Sankaraguptham
Kesanapalli
Golla Pallem
Pademati Pallem
Toorpu Pallem
Tatipaka
Kesavadasu Pallem
3. Andhra Rajahmundry Antarvedi Palli Malkipuram. This location has all
Pradesh Asset-II Pallem necessary infrastructure and all the East
MMU-3 Antarvedi Godavari GPs are within 15 kms from
Devasthanam this location. However, the 04 West
Antarvedi Kara Godavari GPs are 35-40 kms from this
Gondi location. The farthest MMU parking
V.V. Mereka location is 40 kms from Malkipuram.
98Sl. State MMU Unit Constituent Gram Proposed MMU Central Location and its
No. Panchayats Details
Details
Mori
Yenugovani Lanka
Badava
A Vama Varam
Manimanchilipadu
4. Tamil Karaikal Asset Narimanam Nagapattinam. It’s the district
Nadu (Neravy) Kuthalam headquarters and has all necessary
Gopu Raja Puram infrastructure. The farthest parking
Eravanchery location would be 20 kms from
Okkur Nagapattinam.
Kurumanangudi
Venkatangal
Anaimangalam
5. Tamil Chennai Asset Adivarahanattam Shetiatopu. It’s a small town which is
Nadu (Karaikal Alisikudi the central point to all 15 focus GPs. All
Forward Base) Vattrayntethu necessary infrastructures are available
Miralur in this town. The farthest MMU parking
Manja Kollai location would be 20 kms from
Kilavadinattam Shetiatopu.
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 IV:
IV: Consultation with gram panchayats
panchayats for mapping basic infrastructure,
collection of demographic and other basic information, identification of
mmu parking locations and relationship building for smooth project
operation
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
99Centre, 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
100Table-4 gives the information of GP leadership with regard to each MMU unit.
Table-
Table-4: Details of GP Leadership in the project operational areas
MMU State Block / Mandal Name of GP GP President Mobile No.
Unit
MMU- Andhra Allavaram Odalarevu
1 Pradesh Bendamurilanka
Komaragiripatnam
Thumalapalli
Mogalamuru Suryanarayana 9989483724
Godi Lanka
Godi
Godithipa
MMU- Andhra Mamidi Kuduru Karvaka K. Balakrishna 9908853797
2 Pradesh Malkipuram Gudapalli S. Ramachandra 9866288363
Rao
+Gudapalli V.S.Prasad 9912576099
Pallipallem
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 Srinivasa Rao* 9441563026
Pallem
MMU- Andhra Sakhinetipalli Antarvedi Palli
3 Pradesh Pallem
Antarvedi Nalli Mariama 9963948041
Devasthanam
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. 9849287436
Satyanarayana
MMU- Tamil Nadu Thirumarugal Narimanam Mrs. Neelawati 9965185209
4 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- Tamil Nadu Bhubanagiri Adivarahanattam S. Usharani 9443212854
5 Alisikudi S. Ramachandran 9976867021
Vattrayantethu V. Gunasekaran 9965328933
Miralur Balasubramaniam 9751026567
Manja Kollai Ramanujam 9786734605
Kilavadinattam Mr. Kumar 9710680768
Pinnalur K.G. 9842344845
Krishnamurthi
101MMU State Block / Mandal Name of GP GP President Mobile No.
Unit
Keerappalayam Orathur R. Silvarajan 9842890153
C. Mrs. Devi 9865672336
Sathamangalam
Kattumannark- Kandamangalam Mr. Annadurai 9787436576
ovil Kurungudi K.Kannan 9865360182
Chettitangal Sri Arivalagan 9486457134
Kil Kadambur Mrs. Jyoti Bhanu 9443666088
Mel Kadambur G. Devadas 9842750898
Veerandapuram Radha Ravi 9942369636
Note: * = GP Secretary
Note:
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.
102• 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.
Table-
Table-5: Details of the GP population and the corresponding number of MMU parking
sites
MMU State Gram Panchayat Total Approximate No. of MMU
Unit Population 55+ Population Parking
Locations
MMU-1 Andhra Odalarevu 3,700 1,000 03
Pradesh 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 Karvaka 2,500 400 02
Pradesh Gudapalli 6,500 700 02
(+Gudapalli
Pallipallem)
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 Antarvedi Palli Pallem 2,700 300 02
Pradesh Antarvedi 2,300 225 01
Devasthanam
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 Narimanam 2,000 250 02
Nadu 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
103MMU State Gram Panchayat Total Approximate No. of MMU
Unit Population 55+ Population Parking
Locations
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
MMUs-
MMUs-5 States - 2 GPs-
GPs-51 191,750 29,760 117
Section V: Conducting the baseline survey for mapping elderly population, their
health, psycho-
psycho-social, 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.
104Section VI:
VI: Suggested office locations
locations for mmu units and search for prospective
candidates
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.
Table-
Table-6: Suggested MMU Offices
MMU State Operational Proposed Location
Location for Maximum Distance of
Unit District MMU Office Operational Areas from
Office Location
MMU-1 Andhra East Godavari Odalarevu 12
Pradesh
MMU-2 Andhra East Godavari Malkipuram 16
Pradesh
MMU-3 Andhra East Godavari Malkipuram 16
Pradesh
MMU-4 Tamil Nagapattinam Nagapattinam 20
Nadu
MMU-5 Tamil Cuddalore Shetiatope 20
Nadu
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.
105Availability 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.
106Section VII:
VII: Linkages 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.
Table-
Table-7: Name and contact details government healthcare institutions
MMU Concerned PHCs Concerned CHC or Sub-
Sub-divisional Civil Hospital
Unit Block PHC Hospital
MMU- PHC Godilanka CHC Allavaram Area Hospital Civil Hospital
1 Dr. V. Venkata Rao Dr. Chenchayya Amalapuram Kakinada
Medical Officer MOIC
Mobile:9885088895 Mob:9849474761
MMU- PHC Lakavaram CHC Razole Area Hospital Civil Hospital
2 Dr. M.R. Rao Amalapuram Kakinada
Medical Officer
9949049904
PHC
Tatipaka/Nagaram
PHC Sakhinetipalli
Dr. J. Swarup
Medical Officer
Mobile: 9989594892
MMU- PHC Mori CHC Razole Area Hospital Civil Hospital
3 Dr. S. Ram Babu Amalapuram Kakinada
Medical Officer
Mobile: 9030161860
PHC Sakhinetipalli
Dr. J. Swarup
107MMU Concerned PHCs Concerned CHC or Sub-
Sub-divisional Civil Hospital
Unit Block PHC Hospital
Medical Officer
Mobile: 9989594892
PHC-A. Vama Varam CHC-Achanta N.A. Civil Hospital
Dr. Venkata Rao Dr. Venkata Rao Eluru
Mobile: 09849294024 Mobile:
09849294024
PHC-Poduru CHC-Palakol
Dr. Namagiri Dr. Prabhakar Rao
Mobile: 09247226833 9440866248
PHC-Elimanchali
MMU- PHC Thitachery Block PHC, N.A. Nagapattinam
4 Dr. M. Hasan Thirumarugal Civil Hospital
Medical Officer Dr. Liaquat Ali Dr. Kashiraman
Mobile: 9941468064 MOIC Civil Surgeon
Govt. Hospital Kilvelur Mobile: Tel: 04365-
Dr. S. Arutchelvan 9442986710 242459
Medical Officer
Mobile: 9790629486
MMU- PHC Bhubanagiri Block PHC Taluka Hospital Cuddalore Civil
5 Dr. Sashikumar Krishnapuram Chidambaram Hospital
Medical Officer Dr. M. Shiva Kumar
Mobile: 9944312450 MOIC
PHC Orathur Mobile:
Dr. Arul Anand 9443586546
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.
Table-
Table-8: Major ailments of people in the project operational areas
MMU State Old Age
Age Ailment Profile
Unit
MMU-1 Andhra Ulcers, Joint pains, Sugar, BP, Skin allergies, Leuko derma, Filariasis, TB,
Pradesh 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 Arthitis, Hypertension, Diabetes, Gastritis/ ulcer diseases, skin diseases / fungal
Nadu infections, bronchial asthma, Anemia, neurological problems
MMU-5 Hypertension, body/ joint pain, diabetes, osteo arthritis, back pain, bronchial
asthma
108The 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:
Table-
Table-9: Details of private doctors in the vicinity
MMU State Concerned Block/Mandal Operational
Operational Private Nursing Homes or
Unit Clinics
MMU-1 Andhra Allavaram Dr. Varahala Rao; Mangayamma
Pradesh Nursing Home; Tel.: 08856-259468
MMU-2 Andhra Mamidi Kuduru, Malkipuram,
Pradesh Razole and Sakhinetipalli
MMU-3 Andhra Sakhinetipalli
Pradesh Poduru, Achanta and Vijayalaxmi Nursing Home, Achanta;
Elimanchali Surya Nursing Home, Sai Krishna
Hospital-Palakol
MMU-4 Tamil Thirumarugal & Kilvelur Sivabalan Hospital, Kilvelur
Nadu 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 Bhubanagiri, Keerapalayam Shravana Poly Clinic, Bhubanagiri
Nadu & Kattumanarkovil Dr. Venkatachalam
Mobile: 0-9486632923
MMU parking location
location details
MMU-
MMU-1
Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset)
Sl. Village Location Nearest Landmark
1. Odalarevu i. At/In front of Ramalayam Temple Ferry Point
ii. At Ambedkar Community Hall, ONGC Gas Collection Point
Ambedkar Colony
iii. At Anganwadi Centre, Fishermen’s Water Tank & Post Office
Colony (Manna Colony)
2. Bendamurulanka iv. At Ambedkar Community Hall, Ramalayam Temple &
Ambedkar Nagar Ambedkar Statue
v. Besides Jambaban Peta Primary Sub-centre, Bendamurulenka
School
vi. In front of Church, Palagunta Private Well (Opposite
Cheruvu Dalit Colony Church)
vii. At Kali Temple Centre, Anganwadi
Argatalapallem
3. Komaragiripatnam viii. At Primary School, Daivalapallem- Ayyappa Temple & Byraju
Raju Pallem Colony Intersection Foundation Building
ix. In front of Kodappa Church, Primary School
Mannanagar Colony
109Allavaram Mandal, East Godavari District, Andhra Pradesh (ONGC Kakinada Asset)
Sl. Village Location Nearest Landmark
x. In front of Ramalayam Temple, Primary School & Church
Military Colony
xi. At Open Space opposite Revenue Ramalayam Temple
Office (Saturday Haat Venue)
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 Canal in front of the location
Toorpucheruvugattu Crossing
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 Big Water Tank & Primary
Village School
xx. At Kattavari Pallem Primary School, Ramalayam Temple
Godi
xxi. At Indira Colony Primary School, Indira Colony Anganwadi
Godipallem Centre
8. Godithipa xxii. At Mandala Primary School, Opp. Water Tank, Panchayat
Fishermen’s Colony Office
xxiii. At Mandala Parishad Primary Gopailanka
School
Note: All the above villages belong to Allavaram Mandal. MMU office for the above listed villages
proposed to be based at Odalarevu.
MMU-
MMU-2
Mamidi Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC
Rajahmundry Asset)
Sl. Village Location Nearest 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 Ambedkar Statue (nearing
Nagar, West Pallem completion)
vii. Near Primary School, Yedla Tatya Anganwadi Centre,
Group Colony Ambedkar Statue
viii. At Kanakaya Bus Stop, Rapakawari Ambedkar Statue
Group Colony
5. Pademati Pallem ix. Near Zilla Parishad High School, Panchayat Office, Water
Pademati Pallem Tank
6. Gudapalli (+Palli x. Near Cyclone Shelter Building, Primary School, Anganwadi
Pallem) Gollamandala Vari Colony Centre
xi. In front of Panchayat Office, Water Tank (200 meters
Godapalli Palli Pallem away)
7. Chintala Mori xii. Poduthota Crossing, Near Goparaju Temple
Ambedkar Statue & Ambedkar
Community Hall
xiii. At Post Office Panchayat Office
110Mamidi Kuduru & Malkipuram Mandals, East Godavari District, Andhra Pradesh (ONGC
Rajahmundry Asset)
Sl. Village Location Nearest Landmark
xiv. At GDM Church, Molla Pallem (on -
way to Palli Pallem)
xv. At Beach Nagar Entrance Point (in Ramalayam Temple
front of Water Tank)
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.
MMU-
MMU-3
Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry
Asset)
Sl. Village Location Nearest Landmark
1. V.V. Mereka i. Ambedkar Community Hall, KV Podu SC Primary School
Colony
ii. In front of Weavers’ Colony Community Lion’s Club
Hall Community Hall
iii. Besides GDM Centenary Church, St. Paul Primary School
Nagar
iv. GDM Church (in front of Canal; other Ambedkar Statue
side of the canal is Antarvedi Pallem Village)
2. Antarvedi Kara v. Behind Primary School, B.V. Kodappa Small Pond
Colony
vi. At Quota Peta Ramalayam Bus Stop
3. Antarvedi Palli vii. In front of Cyclone Centre Building, Big Pond
Pallem Ishiko Tota Colony
viii. At Muchallama Mariamma Temple Panchayat Office
4. Antarvedi Deva ix. Near Panchayat Office Zilla Parishad High
Sthanam School
5. Gondi x. Adiveerlamma Temple Elementary School
xii. At Anganwadi Centre, Near Panchayat Kanak Muchallama
Office Temple
xiii. Madhya Gunta Pamulawari Centre, Ambedkar Statue
Ambedkar Nagar
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
111Razole & Sakhinettipalli Mandals, East Godavari District, , Andhra Pradesh (ONGC Rajahmundry
Asset)
Sl. Village Location Nearest 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.
MMU-
MMU-4
Thirumarugal, and Kilvelur Mandals, Nagapattinam District, Tamil Nadu (ONGC Karaikal Asset)
Sl. Village Location Nearest 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 v. Panchayat Office (Sanyasi Panamgudi Elementary School
Puram Hamlet)
4. Eravanchery vi. Opposite Old Elementary School, Present Panchayat President’s
Devemgudi Main Road Residence
vii. In front of Library Building, Nattar Primary School, Mariama
Mangalam 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, Shivam Temple
Kadambangudi
xii. In front of Primary School, Singha Mahakali Amman
Vilambakam (this location is not presently Temple
easily approachable because of bad road)
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.
112MMU-
MMU-5
Bhubanagiri, Keerapalayam and Katumannarkovil Mandals, Cuddalore District, Tamil Nadu (Forward
Base at Karaikal, Chennai Asset)
Sl. Village Location Nearest Landmark
1. Adivarahanattam i. In the premises of Middle School for -
Boys, Adivarahanattam
ii. At Vem Vadi Amman Temple, Water Tank
Rattaikulam
iii. At Balakrishna Temple, Sutukuli Anganwadi Centre, Tubewell
2. Alisikudi iv. Near Panchayat Office Sub-centre
v. Sri Cheliamman Temple, Water Tank
Vandarayanpethu
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 Mariamman Temple
Nagar Colony
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. xv. At Primary School, Sakhti Vilaham Anganwadi Centre
Sathamangalam 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)
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 Aiyanar Kovil Temple
Nadi
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.
Details of ONGC officials
officials met during field visit of Andhra Pradesh and Tamil Nadu
MMU State ONGC Asset Concerned Official
Unit
MMU-1 Andhra Kakinada Mr. Anjaneyalu
Pradesh 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, Mr. Prabakaran, DGM & Head
Karaikal) Chennai Forward Base
113Field
ield observations from Andhra Pradesh and Tamil Nadu
FIELD 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.
114 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 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
115District, 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.
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