1. A Concept Note on Mother’s club
Mrs Monikha Bura Gohain
District Programme Manager
National Health Mission
Dibrugarh

2. A drive for community development in Tea Estates through
Mothers’ Club
A drive for community development in Tea Estates through
Women Empowerment with Support from Tea Garden Management and Community

3. INTRODUCTION
Assam is the highest tea producer state in the country with 55% of the total production. About 20% of the total population of the state belongs to the tea growing communities. Many studies on the health status revealed that amongst them anaemia, hypertension, malnutrition and diarrhoeal diseases are major contributing factors to morbidity resulting in high maternal and infant death.

4. It was also observed that there was increase in maternal mortality ratio (MMR) i.e. 436 in to 404 in (Annual Health Survey) in upper Assam which comprises of maximum numbers of tea gardens. It was revealed that maximum number of maternal deaths in PHCs, CHCs and District hospitals were from the tea tribe community.

5. Community awareness is one of the way by which we can educate them by forming Mothers’ Clubs in the Tea gardens.

6. Overall development of Tea community in Tea Gardens
Aim
Overall development of Tea community in Tea Gardens

7. Objective
Create awareness on family welfare activities among Tea Garden women population for overall community development

8. Methodology Formation of Steering Committee Selection of Volunteers
Training of Volunteers
Selection of thrust areas
Regular monitoring & Training
Discharge of duty

9. Steering Committee Chairman: Manager
Vice Chairman: Dy. Manager/ Asst. Manager
President: Estate Medical Officer
Secretary: Labour Welfare Officer
Supervisor: Health Assistant
Members: ANM, School Teachers, Union
Representative (President &
Secretary), Line Chowkidars

10. Volunteers green blouse, Bag, Pen, notebook Preferably educated
Leadership quality
Acceptance by people
Worker / Non-worker
1 / 2 per Line (Approx 500 pop / Volunteer)
Identification: White Sari /c green boarder,
green blouse, Bag, Pen, notebook

11. Training Prior forming M. Club: Post forming M. Club:
4 days short course with set modules
Training by trained Trainers
Joint training
Post forming M. Club:
Monthly during monthly meetings

12. Thrust Areas Family planning: Sterilization, Oral Pills,Condom
MCH care
Family planning: Sterilization, Oral Pills,Condom
Vaccination
Ante & post natal check up
Care during pregnancy: distribution of Iron FA
Assisting hosp. delivery
Breast feeding
Care during weaning
Vit. A

13. Follow up of diseases – TB, malaria, GE etc
Common Medicine depot
ORS
Fever
Diarrhoea
Follow up of diseases – TB, malaria, GE etc
Education – school drop out etc
Organizing Line meeting, Street play etc.
Reporting of birth & death
Savings:
Alcoholism
Communicable diseases: soil, water & air borne reporting & action

14. Housing, excreta disposal, compound cleaning, School,
Hygiene & sanitation
Personal: daily bathing, nail trimming, clean dress,
Washing hands, storage of drinking water, use of mosquito nets & repellants, utensil care
Community: Water, Aqua Privy, Open air defaecation
Housing, excreta disposal, compound cleaning, School,
Economic:family budget,
Common diseases: worms, diarrhoea, malaria, TB
Liaison:
Social Taboos

15. Regular Monitoring & Training
Weekly meeting: with the Supervisor
Monthly meeting: with Steering Committee
Update of activities carried out during last month
Analysis of activities
Target setting for the next month
Training on Thrust Areas by Estate medical officer /LWO/ others
Performance Returns

16. Discharge of Duty & casual gathering etc
Responsibility rather than duty
24 hrs responsibility: at work, social gathering,
& casual gathering etc
Regular Line Visits:
Twice a week: pref. 3 / 4 PM
Accompanied by Supervisor every visit
Once a month by Medical Officer & LWO
During emergency & other need

17. Outcome Mortality rate & Maternal Mortality Rate etc.
Population control
Improvement on literacy rate
Improvement on health of people
Social harmony
Socioeconomic development
Reduction on birth rate, death rate, Infant
Mortality rate & Maternal Mortality
Rate etc.

18. Reputation in business
UNTOLD STORY
Healthy Workforce
Reduction in absenteeism
Reduction in sickness
Reduction in unlawful activities
Better Management-Worker relationship
Cost saving
Reputation in business

21. Special Thanks : Dr. P. Khound Ex- P.M.O. Assam Tea Company