Healthcare Facilities in AgraThe health care delivery scenario in Agra includes the provision of healthcare through several institutionalized and community based forms of delivery. The district-level officials have made two modules for the delivery of healthcare services. Both involve the cooperation and guidance of NGOs who run the Urban Health Centres on the one hand and on the other hand which are totally committed and responsible for the communication of relevant health messages to the community, conducting community mobilizations exercises and creating a bonding between the healthcare provider and the immediate beneficiaries.
There have been a number of approaches used by the Agra city to ensure that all the national-level programmes are carried out from time to time like the TB DOTS treatment programme or the Polio eradication programme because UP had been the state of origin of almost all the polio myelitis infections observed in the world. The task of communication, mobilization, training and refresher trainings to build capacities of people other than health personnel to take care of their own health needs and provide immediate succor to their neighborhoods. For this task also the cooperation of the women groups or samitis is sought and overall success of the programmes achieved.
The Mental Health InstituteThe Lunatic Asylum was set up in 1859 under the British Raj. Situated in the opulent space of more than 170 acres, the institution is known for the research, care and treatment being carried out in the field of mental health in northern India. In 1925 the name of the institute was changed to the Mental Hospital and it was governed up to 1993 under the provisions of the Indian Lunacy Act of 1912.
However, over theme there was the change that all admissions and discharges from the institute were being conducted under the provisions of the Mental Health Act, 1987. Then in 1994 there was further change in the content and context of the hospital when it was renamed yet again to become Agra Mansik Arogyashala under the provisions of the Hon’ble Supreme Court of India.
The best that happened in this process of renaming, however, was also the change in the character and functioning of the institution. Thereon it became not only a long term admission facility for mental incapacitated persons but also a centre for the provision of care and treatment to the mentally ill. It was made an autonomous institution responsible not only for the care of the inmates in their various capacities of near normal living but also as a centre for the promotion of rehabilitative practices that would help the patients become self sufficient and not a mere burden on society. Thus, the institute developed special facilities and faculties for the provision of professional teaching and research besides conducting a number of training and capacity building exercises tailor made to the needs of the inmates. In 1995 it was declared to be an autonomous institution and was renamed yet again to become the Institute of Mental Health and Hospital in 2001.
Halfway Home AgraA small initiative that ensures that at least ten persons at any given time are making the final and fruitful effort to be reestablished with the normal community and making a worthwhile contribution to their families has been established in the Family Ward of the hospital and is termed as ‘Halfway Home’ because there every effort is concentrated on ensuring a safe return for the inmate to his own home. They lead as near normal a life in which they live independently in their own rooms. Without any outside influence and guidance they are expected to conduct themselves through their day to life functions and prepare themselves for the outside world. They are taught certain skills that can help them become self sufficient earning members of their families. They are reimbursed for their services and go into the city on their own (though under supervision). They learn to live as a family and have well-developed civic and social skills of interaction.
Prominent Health Institutions in AgraSome of the prominent health institutions that take care of the larger proportion of the population in Agra include the hospitals and nursing homes dotting the district. These include the District Hospital, the Lady Lyall Hospital, the Cantonment Hospital, the Ashoka Hospital, the Amit Jaggi Memorial Hospital, the Sri Ram Hospital and the Sri Ram Hospital. Then there are a few specialized hospitals like the hospital for leprosy or the Centre Jalma Institute for Leprosy at Tajganj; the tuberculosis hospital or the TB Hospital at Billochpura and the Mental Health hospital or the Mental Hospital at Billochpura; besides a number of other partners in the Agra Demonstration Programme.
These partners can be enumerates as: The Department of Medical Health and Family Welfare, Agra which is the apex institution and has a wide block and village level networking of health personnel who are interested in keeping the epidemics and huge number of infectious diseases away from the city and Agra itself. Their best practices partners are the number of women groups that have been designated and given the task of sustaining the programmes of National and State level significance in a primed stated always.
These women federations are, Bhartiya Mahila Vikas Samiti Narayich, the Parivartan Mahila Shahri Swasthya Samiti Garhi Chandani, Chetna Mahila Vikas Samiti Shyam Nagar and Vishal Shahri Mahila Saamiti Ramnagar. Alongside these women’s groups have been found the Mahila Arogya Samitis or the exclusive women’s health groups responsible for the continuation of health. These were the fifty Basti based Mahila Aroygya Samities; slum healer centre besides several other qualified or Registered Medical practitioners who take care of all forms of manifestations of disease. There are few other states with such a provision.
The health services of the Agra region collaborative effort that depends upon multiple hand holdings and strengthening of the tasks of health care delivery through building of capacities, coordinating and system strengthening, besides systematic outreach that ensures treatment of minor ailments, immunization for children and pregnant women, family welfare, health education and antenatal care.