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  project name ~ Preventing Deaths Due to Malaria in Rajasthan

category ~ Health Care and Family Planning




  Project Name


Preventing Deaths Due to Malaria in Rajasthan



Aajeevika Bureau Trust



Health Care and Family Planning







  Budget Approved


Rs 4000


  Year Approved







  Chapter Coordinators


Srinivas Chadram (Naga)
Magaly Ketron











Poor people in urban and rural areas in India face a huge burden of ill health and malnutrition. In the lowest socio-economic quintile, 57% of children are malnourished, and so are half (52%) of adults (National Family Health Surevey-3). As many as 10% report at-least one illness episode in last one month, prevalence of killer diseases such as Tuberculosis is high (almost 300,000 people die of TB in India, http://www.tbfacts.org/tb-statistics.html) and even severe forms of malaria are rampant, killing large numbers (by one estimate, as much as 200,000 people die of malaria in India, Lancet 2012; 379: 41331).

Despite high burden of illness, many, (as many as one in five) individuals suffering from illnesses do not seek any healthcare. When they seek care, they often do so from private providers, most of whom are unqualified. In view of the poor status of public health facilities (see annexure-1), they prefer informal private providers (over formal public providers), who live close by and provide flexible payment options and extended hours of service. Families also end up spending significant money (almost Rs 300, USD 5 for an out-patient consultation, and almost Rs 2000, USD 60 for a hospitalization) despite receiving poor quality of care. Not surprising, then, that expenditure on healthcare is one of the major reasons for families slipping into indebtedness in rural Rajasthan.

Dwindling farm sizes and limited earning opportunities lead many young men from South Rajasthan to migrate to cities in Gujarat and Maharashtra for employment. On account of absence of the adult male from the household and erratic availability of liquid cash, families of migrants are even more likely to defer treatment when ill, and more likely to fall into indebtedness due to expenditure on healthcare. Women of the family (wives of the migrant males), who are often left behind, juggling between many roles, tend to neglect their own healthcare needs and may find themselves stretched to provide adequate care for their children. Thus on one hand, the families are more likely to fall ill, on the other hand, their capacity to prevent or respond to such illnesses is even more compromised than families of non-migrants.





First two AMRIT clinics were launched in February and March 2013, in Bedawal and Manpur villages of Udaipur district respectively. The clinics are running in community buildings leased by the Gram Panchayats, renovated extensively to ensure availability of all basic amenities. Each clinic serves a population of about 12,000, spread across two gram panchayats. Since then, more than 750 patients have visited the two clinics. Most common conditions for which patients are coming to the clinics are: Tuberculosis: Malaria, predominantly falciparum (severe form of malaria) Pelvic infections: Childhood diarrhea and pneumonias Adult pneumonia Chronic Bronchitis Severe Anaemia Hypertension Almost 70% of all adult patients walking in the clinics have a Body Mass Index of <18.5%, suggesting high levels of chronic malnutrition. .





Through funding support from AID, we propose to prevent deaths due to malaria in the current year and beyond, in two large underserved communities having a population of about 24,000. Using the evidence from this area, we would advocate for stronger anti-malaria actions in similar under-served areas.



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