To create a pilot program for access to care in rural areas of the world using local resources
To educate one person per village (population 1500-2000) in healthcare, sanitation and lifestyle modification education. This individual will screen the village population (including pregnant women) for diabetes, hypertension, chronic diseases, immunization and provide lifestyle modification education. He/she becomes the single point of contact for all healthcare of the villagers by forming liaison with the community health clinic, district hospital and the private practitioner. Having a person who lives in the village and does the Sevak work has an immediate buy in form the villagers.
India is undergoing an epidemiological transition with both non-communicable and chronic diseases are the leading causes of death. Four studies in the state of Tamil Nadu and Gujarat showed marginalized access to health care. Seventy per cent of India lives in the villages (700 million people) and the importance of educating and delivery of healthcare to this large base of India in its resource-poor settings becomes an urgent and viable issue. Large-scale efforts to improve general awareness about diabetes, hypertension, cardiovascular disease, its risk factors, and to promote healthy lifestyles were lacking.
SEVAK project is a statewide intervention of chronic disease prevention and management. It is an evidence-based project to improve sanitation and health education in rural communities through improved awareness and knowledge of chronic disease prevention and management. It uses the US Navy’s Independent Duty Corpsman(IDC) model for training and work on a smaller scale. The Sevaks training was for two and half months vice one year for IDC. Out of 27 Sevaks, 17 are educated to 12th grade and the rest are in the various stages of college or dropouts. The project is based in the State of Gujarat, and one village per district (or county) was selected. Sevaks were trained at Baroda Medical College, Vadodara with emphasis on lifestyle intervention and health screening for diabetes, hypertension, obesity, immunization and chronic diseases. Sevaks also received training in sanitation, environment, water purification, infectious diseases and how to build toilets and smokeless stoves.
The project started in July 2010 and has screened over 10,000 people. It is one of the most successful non government project.