Nations throughout the world are seeking to improve the health of their citizens and make quality health care accessible and affordable. Despite their differences, nations are facing a surprisingly similar set of health disparities and inequalities, such as fragmented health care ecosystems, high costs, inconsistent quality of care, inefficient systems, barriers to access and capacity needs.
In response to these challenges, and recognizing that in recent years healthy living has become increasingly important issue both in society at large and in the workplace, we take various health initiatives for the well-being of our employees and communities around our worksites.
Our approach to health care initiatives is as follows
The lack of extensive and adequately funded public health services pushes large numbers of people to incur heavy out of pocket expenditures on services purchased from the private sector. Out of pocket expenditures arise even in public sector hospitals, since lack of medicines means that patients have to buy them. This results in a very high financial burden on families in case of severe illness.
Ramky Foundation in order to reduce the burden of expensive health services to the poor is providing health facilities at their door step and work place at free of cost by facilitating expert medical officers, medicines required, first aid kits, mosquito coils to prevent Dengue, Malaria, etc. Ramky Foundation also facilitates various sessions on health issues such as yoga, stress management, awareness on Health and Hygiene, etc, by experts in concerned fields.
The employees of Ramky Group also extended their support to the Foundation by participating actively in various health related camps /sessions and also donated their blood, which saves the lives of people. Two blood donation camps were organized by Ramky Foundation by sensitizing its employees on the importance of blood donation.
- Donation of blood by 81 employees of Ramky Group
- Around 2500 people were benefitted through various health related programs /session organized by Ramky Foundation both in communities as well as Ramky work sites all over India are listed in the following table;
||Name of the Component
||No. of sessions
||Total no. of beneficiaries
||Medical /Health camps
||Stress Management Programs
- Facilitation of healthy and delicious Nagpur variety of organges to the employees of different companies at Ramky Grandiose at affordable prices directly from farm to consumer in order to support nearly 4400 famers and children who belong to suicide affected families of Vidharbha region, Maharashtra
- Other activities such as Rangoli competitions for women, organizing sports for employees and for people of nearby communities, etc. have been organized
WHO estimates that, in India, about 38 million people are affected by waterborne diseases each year, of which over 75% are children; 780,000 deaths are attributable to contaminated water and more than 400,000 can be attributed to diarrhea alone. India ranks a dismal low 120th out of 122 nations for its water quality and 133rd out of 180 nations for its water availability.
Ramky Foundation with the dedication of providing safe drinking water facility to the people of Fluoride affected villages established 26 RO plants in the FY 2015–16 in its various project areas and also ensuring the better maintenance of the plants by involving the local community. Total of 36 RO plants were established by RF since its inception and another 120 RO plants are in the process of construction.
- Establishment of RO plants by ensuring the quality in construction
- Supply of required machinery for Installation of plant
- Supply of water cans to the villagers to carry water from the plant to their households.
- Technical trainings to the selected villagers on the operation and maintenance of RO plant and capacity building on water storage, cleanings and other important factors related to the plant.
- Pure and Safe drinking water facility to 26 villages through RO plants
The most effective means of controlling the spread of HIV in India is through the implementation of Targeted Interventions (TIs) amongst persons most vulnerable to HIV/AIDS, such as Female Sex Workers (FSWs), men who have sex with men (MSM) and trans-genders (TGs) and injecting drug users (IDU). In addition, the bridge populations of truckers and migrants also require focused interventions.
Targeted interventions are aimed at offering prevention and care services to high risk population by providing them with the information, means and skills they need to minimize HIV transmission and improving their access to care, support and treatment services. TIs are a resource-effective way to implement HIV prevention and care programs in settings with low-level and concentrated HIV epidemics. They are also a cost-effective method of reaching people who are most at risk in more generalized epidemics.
- are for people within the community who are most at risk of HIV and STI infection.
- are targeted to behavior and practices not the identity
- involve them and their issues within the broader frame work of interventions
- are adapted to be culturally and socially appropriate to the target audience.
- focus on limited resources and where they can be used to the best benefit.
- acknowledge that barriers to accessing health-care services exist for some populations within communities.
- acknowledge that people who are at risk of HIV infection are often marginalized from the broader community, stigmatized and discriminated against.
Areas of Implementation
Ramky Foundation is implementing Targeted Intervention program in Delhi, Mumbai and Hyderabad with the support of respected State AIDS Control Societies (SACS) covering 4400 people of High Risk Groups (HRGs)
||No. of Areas Covering
||Name of the Areas
||Total No. of Beneficiaries
Dombivali Municipal Area
Navi Mumbai Municipal Area
||12 (GHMC Wards)
Vengal Rao Nagar
Components of TIs under NACP
- Behavior Change Communication: This component involves understanding and assessment of individual and group practices/behavior which can pose risk to HIV infection. Development of context specific strategies/activities to address the risk of infection through peer counseling through counselors, creating enabling environment to reinforce safe practices, one to one sessions and group sessions among the community. There are also group, issue specific Information Education and Communication (IEC) materials are developed to further augment behavior change.
- Access to STI services: This component is aimed at improving the access to STI services among the High Risk Groups (HRGs). The access to STI services is provided by doctors, staff nurse and counselor through three different approaches i.e. Project Based Clinics, Fixed day – Fixed time out reach clinics and Referral clinics.
- Provision of commodities to ensure safe practices: TI program ensure safe practices by providing choices and options of easy accessibility, availability and acceptability. There is a provision of Male lubricated latex condoms, Female condoms, lubricant sachets, Needle, Syringe and OST (Opoid Substitution Therapy) drugs, etc, through free distribution.
- Enabling Environment through structural intervention: This component of enabling environment was introduced in NACP-II focusing creation of an environment facilitating the access to information, services and commodities by the high risk groups. It is essential to note that these HRGs are considered marginalized section of the society super imposed with stigma and discrimination. Also it is desirable that an effective enabling environment creates a reinforcing atmosphere for sustenance of safe practices and behavior reducing their vulnerability. Hence, under NACP envisage identification of power structures and their influence on the access and control over resources for sustaining safe behavior and practices. There are provision for building the capacity of HRGs to advocate for themselves in creating enabling environment as well as control of requisite resources to address the issues of stigma and discrimination.
- Community Organising and Ownership Building: NACO envisage that engaging Community Based Organizations in the program management through developing their capacity and ownership will lead to steering of community agenda through themselves only. Presently the Tis have been able to provide services through peers representing the community, where community playing a passive role. Hence, NACO envisages mobilizing the at-risk communities to play proactive role in implementation as CBOs, while the NGOs will continue to play the role as capacity builders and support agents, thereby putting the prevention responsibility on those who are themselves at risk.
- Linkages to Care and Support Program: NACO under NACP-III has envisaged building the capacity of the counselors and health care providers at care and support institutions (ICTC, ART, Community Care Centre, RNTCP Program, Detox Centre) and building their perspectives and sensitivity.
A total of 4400 beneficiaries were provided the following support;
- Distribution of IEC material.
- Awareness on HIV through street plays, exhibitions, awareness campaigns, etc.
- Advocacy campaigns
- STI (Sexually Transmitted Infection) services with the help of doctors, nurse, counselors, etc.
- Health Checkups
- Community Based HIV testing
- Sensitization programs to all beneficiaries i.e. HRGs and all stake holders regarding HIV/ AIDS prevention, treatment, myths and misconception.
- Conducting quiz competitions and sports, etc.