Tribal show resistance to COVID Vaccination

“Our community people show their strong resistance for taking the Covid vaccine because of fear of psychosis. The reason being, if anyone is found Covid positive, the health personnel will take him/her away from our community during night; put the patient in an unknown hospital and not allow relatives to stay with the patient; and finally without giving any medicines the doctor will declare the patient is dead (as we see in TV). Thus, my community does not have faith on doctors,” shared Nageswar Haraka, a Community Volunteer from Rekhapadar Village of Kolnara Block, Rayagada without any hesitation.

Nageswar says that due to lack of proper housing tribal people stay thickly in one room. They don’t know the practice of isolation. If the health administration will come to our community and conduct home visits and test each people, then the spread of Covid can be checked. A concerted effort is needed at this critical hour and people from all sections of the society should join hands to fight Covid pandemic together. Realising the gravity of the situation and after CYSD’s intervention the tribal people are slowly coming forward to take vaccines.

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Debjeet Sarangi Contributed Greatly to Justice, Environment Protection and A New Development Paradigm

Debjeet Sarangi, a leading development and environment activist based in Odisha, breathed his last on May 15 at a Bhubaneswar hospital. He was only 53 at the time of his untimely death.

In a relatively short time, Debjeet had made very important contributions relating to justice, environment protection and evolving a new development paradigm. His contribution to looking at tribal communities living in remote areas from a perspective of appreciating and understanding their world view and learning from them has been particularly commendable, as many of those working with tribal communities do not go beyond well-intentioned but limited attitudes of help and patronage.

Debjeet grew up with a strong sense of justice which was cemented further when he came in contact with a village where most of male residents   had died due to silicosis or tuberculosis after exposure to high levels of dust and other hazards at a stone mine. He also worked with the Narmada Bachao Andolan for some time before forming the Living Farms organization. The work of Living farms relating to organic and natural farming won a lot of praise from several quarters.

In the course of this work the production of healthy and safe food was emphasized and while links were forged with urban consumers also, the  better availability of more healthy and organically grown food for rural people themselves also got the due attention.

The least understood but very high nutrition potential of several foods collected from forests traditionally from natural forests was also emphasized and also highlighted by properly documented studies which contributed much to the knowledge of bio-diversity and nutrition. This obviously had important implications, as the existing official policy had been displacing natural forests with commercially oriented monocultures in many places without realizing the great loss of medicinal and nutrition potential, particularly for local communities , apart from wider harm.

The  work of Living Farms with the Kondh tribal community of Rayagada, Odisha, was also important from this context as this community was being threatened with displacement from highly  unjustified and destructive projects and it was important to bring out the less understood importance and value of the traditional systems involving close, even sacred, links between natural forests and human beings which are of great value and on which the life systems and value systems of the Kondh community are based to a large extent .

Debjeet Sarangi had the vision needed for such understanding. He contributed to this understanding himself and helped to create the conditions in which other visionaries and learned people could have a better chance of such appreciation and learning.

I had the good opportunity of visiting some villages, urban settlements and schools in around Bhubaneswar where Living Farms had been working. I was greatly impressed with the great rapport which the activists of Living Farms had built with the teachers and students of some schools in a short time with the result that there was not only great appreciation for organic farming but in addition students were enthusiastically taking this up in vacant spaces in school and preparing to take up composting as well, relating to disposal of kitchen wastes generated from the cooking of mid-day meal. In a village I could see the quiet but deep commitment of women for organic farming and healthy food, and their great zeal to take this forward in very creative ways. In urban and rural areas very creative work relating to kitchen gardens was being spread.

Certainly the work of Debjeet Sarangi was along very creative and visionary lines, and much that is very valuable has been lost very suddenly with his untimely death. His family, friends and colleagues will no doubt strive to carry forward the work of this visionary, and they should get all the help and encouragement in this effort.

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Civil Society Organisations and Bhubaneswar Municipal Corporation jointly deal with COVID-19 Pandemic Issues

With the objective on how effectively the Residence Welfare Associations (RWAs), Senior Citizens’ Associations (SCAs) of Bhubaneswar and Odisha CSOs can join hands together with the Bhubaneswar Municipal Corporation (BMC); and set up of a collaborative approach to deal with the second wave of Covid-19 pandemic crisis, CYSD played a critical role in bringing these multi-stakeholder actors into a common platform virtually on 16th May 2021.

The virtual meeting was moderated by Shri Jagadananda, the Co-founder & Member-Secretary of CYSD.  Addressing the virtual meeting, the Commissioner of BMC Shri Sanjay Singh welcomed the citizen leaders of Bhubaneswar Municipal Corporation and appealed for the need of a multi stakeholder approach to overcome the pandemic crisis. Shri Singh, with the presence of his Zonal Deputy Commissioners, apprised the current strategy, issues and problems on the ground and the steps taken by the Municipal Corporation so far to deal with the challenges.

The CSOs leaders / representatives including NGOs; RWAs and SCAs offered their willingness for active assistance and articulated their feedback and suggestions as per the following heads:

Effective Vaccination is the need of the hour

  • Vaccination drive is on force to protect the citizens from the on-going pandemic. The vaccination centres under BMC is becoming crowded and chaotic. To avoid the large number of crowd at one place, more number of vaccination centres may be formed.
  • The Residents’ Welfare Associations (RWAs) are ready to support the BMC officials in getting the list of eligible persons for vaccination. Simultaneously, the crowd management can also be effectively done by the volunteers of RWAs in their respective areas.
  • Door step vaccination need to be provided to the persons with disability as they find it difficult to reach the specified vaccination points.
  • Prior information on vaccination may be provided to the citizens through RWAs to make it more effective as well as to avoid vaccine wastage, if any.

Strict regulations for the essential shops is of utmost important

  • With the imposition of lockdown, the vegetable and fish markets are becoming overcrowded as it closes by 12 noon every day. To minimise the crowd and to regulate the social distancing norm, instead of large markets/haats small vending zones may be formed by blocking main roads of different areas.
  • The timing of the essential shops may be alternated to 6 AM to 10 AM and 3 PM to 5 PM.

Special attention is required towards slum dwellers, orphan children, migrant workers and construction workers

  • With the wake of 2nd wave of COVID 19 pandemic, the slum dwellers and construction workers are out of work. Some social protection measures may be planned to protect their livelihood.
  • The urban homeless and orphan children have become the most vulnerable section particularly during the ongoing pandemic. The provision of food and shelter is of utmost important which is taken care of by some NGOs. To address the issues of homeless and orphan children, the CSOs have offered to join hands with BMC, wherever necessary.

 Provision should be made to initiate special cells at BMC

  • A senior citizen cell as well as a cell for person with disability may be formed to pay attention towards the special issues all through the pandemic.

Formation of web portal and/or mobile app

  • A dedicated web portal or mobile app may be designed to update the availability of beds at the COVID care hospitals; a critical need felt by one and all.

Activation of Ward level citizen group

  • Ward level COVID 19 response committee which was active during 1st wave of pandemic may be re-activated in each ward.

Mental health of COVID 19 infected persons and their families need to be taken care of

  • The ongoing pandemic has created new issues and problems among the COVID 19 infected persons and their family members. To minimise the level of stress, mental health counselling sessions are being offered by CSOs: the need for coordinated action between CSOs and BMC was highlighted.
  • While at hospital, the anxiety and trauma of infected persons is making their situation worse. Virtual counselling and stress free services were articulated as critical need beyond the treatment.
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Covid Vaccination Drive gets Success in Tribal regions: CSOs Join Hands with Block Administration

The recent mass vaccination drive, especially meant for the Bonda Tribe in Khairput block of Malkangiri district and the Dongaria Kondh tribe in Niyamgiri Hills of Rayagada district has created unpredicted tensions for the district administrations due to lack of awareness among both the tribes.  However, administration accepts this challenge positively and has devised a new strategy to protect the primitive tribal population in particular and other tribal groups in general.

In a mission mode, the Rayagada district administration, especially Kolanara Block Development Officer sought the collaborative support hand of CSOs in the process of Covid Vaccination, RTPCR, Rapid Antigen Test, TTT (Test, Track & Treatments) Policy implementation and home to home survey involving community based organisations and grassroots volunteers for mass awareness creation. Responding to the call made by Kolnara Block Administration at the GO-NGO Coordination meeting, CYSD, being a key play in Rayagada district, extended its obligatory support in 10 Gram Panchayats (GPs) of Konara Block. The GPs are Suri, Kolanara, Badhakilapadar, Dunduli, Gadisekhal (5 GPs in plain area) and 5 GPs above Kailsh Ghati like, Rekhapadar, Bhoimoda, Katikana, Bankili and Jhoridi.

In the process of extending support to the said GPs, CYSD has been able to reach around 5742 population of 98 villages in  Kolanara block through village youth volunteers, CRPs and more importantly approaching the educated youth mass – using video conferences, WhatsApp groups to motivate their own community people and get them involved in the vaccination drive.

CYSD field volunteers along with ANM, ASHAs and Anganwadi Workers jointly took an innovative step to persuade the tribal people i.e. by adopting a strategy to reach every house from village to village in 10 GPs. Through this intervention out of 2247 eligible persons for vaccination in Rekhapadar GP, a total of 45 person took the first dose in one go. “This is quite encouraging for my GP, I am quite sure, adopting this mobilisation process, my GP will achieve 100 % vaccination in next 2-3 months”, said Ms. Jayanti Tadingi, Sarapanch, Rekhapadar Gram Panchayat.

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Citizen Support Centre: A Solution to COVID Impact

With the activation of Citizen Support Centre (CSC) in association with seven likeminded organisations, now the common citizenry are getting definite solutions relating to Covid impact using a toll-free Helpline No. 8880 592592 which remains open from 9.00 am to 6.00 pm every day.

 The CSC in efforts continues to offer its services like:

  • Sharing of  COVID appropriate behavior with people pertaining to the disease and on its consequences including precautions and safety measures
  • Providing psycho-socio and emotional healthcare through tele counselling
  • Extending Tele medicine support to manage healthcare
  • Providing appropriate information about access to entitlements declared by the government and citizens’ queries thereof.

The Centre is being managed by a team of 1200+ foot soldiers (including Gram Saathinis, CRPs, Youth leaders, Volunteers  having a smart phone each), Psychological care givers, information support specialists and medical practitioners who are receive field calls and responding to it appropriately.

Analysis of Calls received till 24th May :

 

 

 

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Strategy of CYSD A Drive: Fight against Covid-19 Pandemic Second Wave

CYSD, like last year, has geared up its response to Covid-19 in extending all possible support towards minimizing the impact of this deadly virus.

With a strong presence in the rural and tribal areas, CYSD through its large Community Based Organizations (CBO) network, dedicated Community Resource Persons (CRP), Volunteers, and partner organizations could able to assess the likely impact, especially on vulnerable sections. Based on this understanding CYSD has carved out its strategy for immediate and medium term measures.

This coordinated strategy will help CYSD to intensify Covid engagements in its 6 tribal operational districts of South & North Odisha – Keonjhar, Mayurbhanj, Koraput, Malkangiri, Rayagada and Nabarangpur; and Bhubaneswar Municipal Corporation area (Khurda district).

Guiding Principles

Strategy: Immediate Action (Short Term -3 Months)

 

 

 

 

 

 

 

 

 

Strategy: Medium Term Action (3 – 9 Months)

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Yoga is the Mantra to Fight Coronavirus

The current outbreak of the COVID-19 has declared as a global health emergency. The world is waging a war against mental and physical illness with fear of coronavirus. Moreover, the coronavirus is mostly affecting the persons having low immunity and mortality rate is also more in such persons. The standard line of treatment for this disease is not yet established, though hurriedly some vaccines are brought out. Considering the current need-based scenario, prevention of the disease by improving the immune system is the best and ultimate way to combat this dreadful situation. Therefore, various Yoga Practices useful for immunity building are advised by Vedic Gurus to improve the strength of lungs as well as general immunity of the body.

Keeping this in mind, CYSD organised a two-day virtual Yoga Session on the 17th & 18th of May over Zoom to enrich the physical, mental and emotional wellbeing of its family members, well-wishers and other associated organisations’ members.

Yoga experts and Yoga practitioners from Patanjali Yog Peeth Sansthan were invited to educate the participants on the benefits of Ancient Practice of Yoga, Swadeshi Upchar to avoid diseases and infections during the Pandemic.

Sri Pruthveeraj Pradhan and Sri Sudhanshu Adhikari were part of the yoga session. Sri Adhikari steered the session by requesting everyone to chant ‘Om’ followed by the chanting of popular Hindu mantras. It helped in generating positive energy and a calm surrounding for the upcoming activities.

Exercise, Paranayama, Swadhyaya and Meditation were practised in the two-day programme. The importance of Yoga to stay fit and healthy was also highlighted.

Sri Adhikari demonstrated a set of exercises for 30-45 minutes for the full body. It was followed by a session on meditation and breathing exercises to help enrich one’s mind and cleanse the nasal cavity.

The session also focused on strengthening the seven chakras of the human body through the practice of Kapalabhati. Numerous other important exercises were also taught and their value was beautifully elaborated by Sri Adhikari.

The importance of organic and home-grown vitamins and vital minerals were emphasised to boost immunity system. Sri Adhikari also talked on the value of good yoga practices in one’s life and how being a Yogi is important to lead a meaningful life.

 “Yoga is the Mantra to Fight Coronavirus. The Yoga movement will certainly help arrest the deadly virus infection in human body, if people practise on regular basis concentrating the body, mind and soul”, said Shri Adhikari,

All the members who were part of the session enthusiastically participated by asking pertinent questions on Yoga & Meditation and getting the doubts clarified.

It was an extremely enriching and soul soothing experience for all participants.

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Manorama Drives the BMC Covid-19 Sanitation Drive Vehicle

Manorama, a smart young woman of 32, stays in Patharabandha slum of Bhubaneswar with her family of six members in a tiny house.

Being poor, in order to supplement her family income, Manorama made of her mind to become a chauffeur. Where there is a will there is a way. Fortunately, she got a chance to get enrolled in the Women on Wheels (WoW) programme initiated by CYSD in 2019.

Women on Wheels is an initiative started by the Azad Foundation in Delhi to empower resource-poor women in becoming professional drivers. This programme enabled socially excluded female members of the society to move from the margins to the mainstream.

On the occasion of International Women’s Day (8th March, 1999), CYSD launched the WoW programme in collaboration with Azad Foundation and Mahindra Finance in Bhubaneswar to train women between 18-35 age group from various slums in the city to become chauffeurs.

After being professionally trained completing one year course she obtained a valid driving licence. Despite several hardships, she had to wait for several months to get engaged in a job to support her family. Luckily, Manorama got a placement in Bhubaneswar Municipal Corporation (BMC) as the Sanitation Vehicle Driver. Now, she drives the sanitation vehicle engaged for disposal of garbage in Ward No. 47 of the city.

Manorama says that her role in the sanitation drive of BMC is important in creating awareness among the citizenry in allotted zone.  She educates people on the difference between dry and damp waste. She also creates awareness on the importance of maintaining cleanliness and sanitation in homes as well as of the environment. So she enjoys the job.

 “I am really happy that I’m able to contribute to the society through the sanitation drive, especially during this deadly Covid-19 pandemic”, shares Manorama

Manorama is truly a COVID Warrior.

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Lamenting Experiences with Covid Second Wave

When it seemed like we are recovering from the first wave of Covid outbreak, situations got far worse with awakening of second wave. Many did predict it and we can’t deny that we did not see it coming.

Induced by Covid outbreak leading to lockdown, the issue of migrant labourers was much highlighted during the first wave. This time it is hitting masses more directly and bluntly. As central government shies away, states have taken upon themselves to enforce lockdown.

Starting with night curfews and partial lockdowns, Odisha Government exercised state-wide lockdown from 3rd May 2021. Infections are uncontainable even during lockdown. Lives and livelihoods have become a question for many with advent of ‘the new normal’. Major concern growing, is Covid pervading into rural areas. Whereas in cities and towns, healthcare infrastructures are profound, rural places lack basic health care systems.

This sense became reality when I faced a situation in early days of lockdown. On 3rd of May, I was in a meeting and I got news that one of our esteemed colleagues (late) Mr. Debjeet Sarangi of ‘Living Farm’ is suffering from Covid in Bissamcuttack, Rayagada. I was informed that he immediately required medical attention and had to be admitted in ICU. To have him transported in an equipped ambulance to Vizag (around 250+ Kms) was thought first. Due to unavailability of bed, his family and friends made huge efforts and moved him to Bhubaneswar (360+ Kms). He was admitted to a special Covid care hospital. His family was in isolation as they came in contact with him during transit.

Inside the special Covid care hospital no outside things were allowed. The doctor had asked for other medications needed for treatment but the family was not in position to move around. I volunteered to keep daily medicine supplies. Inside hospital, long minutes of wait had to be backed by doctor so that receptionist accept supplies.

Even though medicine stores were open, it was not easy to roam within the city. I had to go through blockades, police checks, and records to reach the hospital. The city police was helpful to pass me after brief enquiries.

There’s insufficient medicine supplies in market. Finding prescribed medicines has become a challenge. Medications like Remdesiver, Tacloban, Methylene blue, respiratory meter, ice blanket, Oxygen cylinder are difficult to procure. I even came across black markets dealing with these essential medical supplies. Not to mention that there’s no guarantee of these products. A few stores where medicines were available were kept for ‘reserved customers’. Fortunately, we were able to procure medicines.

It was 15th May morning. The efforts put by many people to see Mr. Debjeet recovered was in vain. He succumbed to Covid after being on ventilator for many days. Not so long after, on 19th May we lost another colleague from WASSAN Mr. Shubham due to post-Covid complications. We had to wait for 2 hours at the crematorium as all the pyres were set on fire.

My parents had taken 1st shots of vaccination offline from nearby UCHC. While booking for the 2nd shot I had scheduled it on Sunday. Post weekend shut downs there was no intimation of rescheduling it. There’s a clear gap in vaccination drive. And what about people who are digitally not familiar with these procedures?

Covid and lockdowns are tough, but are there no other solutions?

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Who Does Need Psychosocial Support? An experiential sharing (Covid-19 Pandemic)

Each hypothesis must be open to be tested, and each belief must be verified to establish reliability and validity. Providing psychosocial support in the hinterlands of Odisha with the collaboration of CYSD with three NGOs gave me a clear invitation to either concede or not concede failure—to me, there was no in between at that time; especially with coordinators, NGO partners (Harsha Trust, Gram Vikas and Srushti) and CRPs who had very little exposure to mental health assignments prior to this project.

Collaboration brings strength, learning, and shows us sights beyond what is usually perceivable as the power of ‘you’, ‘me’, ‘us’ and ‘them’. My first hypothesis on the power of collaboration was tested to be true in the due process.

Our initial encounter with the reality in villages was not as encouraging as anticipated. As part of the training design, however, the “prepared to face resistance” mechanism was in-built. Hence, our second hypothesis that people may resist mental health services was validated too. Though a handful of CRPs felt incapable and were suffered their own lack of confidence, a few of them expressed their fear of contamination; while some of them shared their “experience of listening to other’s problems without being able to do anything immediately.”

In the villages, while people wanted material support, we provided psychosocial support; they wanted to know if corona would go soon, we had to prepare them to be able to live with it for as long as a few years; they wanted help in travelling back to their workplaces, we had to sensitize them about their choices; they wanted a job of their choice, we could only inform them about the available government entitlements.

In essence, our CRPs have travelled the road that wasn’t built before. Some of our CRPs and their families tested positive, and attended training whilst in quarantine homes. In particular, Khirodini, one of our CRPs, deserves a big applause for her indomitable spirit. Some of them faced dire network issues which posed a real problem to their online training. The collective efforts of the CRPs are unforgettable.  Many CRPs would walk for miles on the village pathways just to be able to reach out.

Gradually people started sharing their traumatic experiences, serious psychological issues, behavioral challenges, and emotional distress with our CRPs, after almost two months of regular visitation and serious trust-building on the part of our CRPs.  Issues ranged from fear of death to domestic violence; from substance abuse to suicide attempts; stress of sharing space to helplessness in taking care of children and their education.

Uncertainty, fear, grief, loss were the themes leaving majority of people feeling anxious. People didn’t feel the safety of “knowing” how to deal with the pandemic. However, they were not left alone in this battlefield. Our CRPs sensitized them, supported them, and stayed with them to see their journey go from emotionally vulnerable to emotionally resilient. I extended my support personally and professionally to the CRPs to help them deal with their own emotions and get the confidence to assist others.

Gradually, people started asking for repeated meetings with CRPs, for them to come back at convenient times. In fact, many meetings happened in the harvesting fields and yards.

Accommodating all these people and giving each one individual attention also became a challenge. Some families where alcohol-induced violence was a regular phenomenon restricted their women and girls from speaking up. All of these were problems the CRPs themselves had to tackle. Despite resistance and confidentiality concern 324 distress families were attended for psychosocial requirements.

However, every story has an ending—and this doesn’t end with a ‘no’—we found ways to continue providing support through group sessions. An increasing number of people started to become vocal about their emotional vulnerability, thanks to the courage of a particular CRP Hemalata, who conducted thirteen group sessions out of a total of twenty-nine sessions in a span of two months. It was such a profound experience to see 436 SHG members being sensitized on the prevalence of mental health and emotional awareness. Toofan from Gram Vikas literally worked on a war footing mode and contributed to the supervisions through his case presentations.

However, I wonder why, unfortunately enough, most men resisted taking this support. They vocally denied their need for “this kind of help”—or perhaps they were unaware they needed it. The active participation of male CRPs might have helped the situation, and in the future the same will undoubtedly strengthen the connect and ease among male clients. In this regard, Anita Mahanta from Srishti, played a crucial role by involving student communities, where boys could also participate. Truly unique.

An assignment like this brings one community close to another—but at the heart of the story there are individuals; there are personal stories. And in our case, at the heart of our story, were women; pregnant women, women with visible signs of domestic violence, women with empty stomachs who were beaten up every day for not cooking food that suited the tastes of men in their house. To these individual stories, we were witnesses with empathy. To these individual traumas, we were enablers of emotional expression. To these individual minds, we were a container of their pain and struggle.

The road which was unheard-of in August 2020 was almost ready by December 2020; and the travelers of this road ready by the last week of December 2020. They voluntarily reached out to us and declared the existence of mental illnesses in their families; one call led to another. I mention Phulamani with special emphasis here, one of our most resourceful CRPs, who helped the heads of almost seven families get in touch with me and plan for their treatment.

They openly shared “what does it mean to have a mentally ill child, parent or in-law” and desperately wished for intervention. At this crucial juncture—indeed a milestone in itself—we faced a shortage of resources; mainly in the logistics.

At such a time, collaboration between The Director, MHI, Cuttack, CDMO Keonjhar, psychiatrists from Keonjhar Hospital and Psychosocial Support Team from CYSD provided respite and promise to these patients and their families; an ambulance was also arranged, which was instrumental in their access to the due medical infrastructure; it is with great happiness and optimism that I write about their on-going treatment, which has resulted in not only obvious health changes in them, but also in a gradual change in the social mindscape of their families and community.

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