Disha is working with most marginal communities to address key health challenges and improve their health status such as migrant workers, prison inmates, and women at high risk for cancer.
Disha works on Cancer Awareness and prevention among vulnerable and high risk populationTB Awareness Campaign
Health care utilization rates among migrants are often found to be poor. To some extent, this can be attributed to migrants feeling alienated from the government health system at temporary destinations and private facilities being too expensive. Migrant populations often cannot access the services/programmes due to their migration status, timings of their work and distance to services. Constantly changing destinations is also a problem.
Disha Foundation has initiated migrant friendly health programmes in Nasik in terms of mother and child health, Tuberculosis, Malaria and Occupational health.
Migrant's awareness building about health issue and empowerment for utilisation of government health services is major component of the programme. Active involvement of migrants employers (such as construction companies, hotel industry, farmers etc) is key feature of this programme.
Sensitisation of government health providers is also initiated. A formal referral system for utilization of government health services is introduced, which is approved by district health services. A triplicate referral form is developed for migrants, government health services (civil hospital, urban health center etc) and Disha. Migrants are referred to health services by Disha through its trained community leaders. The referral system is getting popular among migrants as it helps them to get direct treatment from doctor without much discussion, as the medical history and related details are provided in the form. The backside of form also contains contact information of all government health services; the referral service provides increased access levels to health care for migrants, and it also helps for increased awareness level to government health system.
Private agencies such as Rotary clubs local medical colleges, are also important stakeholder of this programme.
Disha had intervention with the jail inmates both at male and female ward at central jail, Nasik during 2002-03. Project is designed to address and meet the health needs of jail inmates specially focused on HIV/AIDS, STDs and socio-physiological health. The project was supported by Action Aid, UK and is finished in 2003.