What we do

The CBHP Program

CBHP is based in the district of Buldana, which in turn lies the western state of BuldanaMaharashtra in India. It serves the town of Buldana as well as the surrounding villages,
and is run and supported entirely by volunteers who have dedicated themselves to improving health in rural communities.

CBHP was inspired by the success of the Comprehensive Rural Health Project, Jamkhed (CRHP Jamkhed), a project which was started in 1970 by Dr Raj and Mabelle Arole who worked amongst the rural poor and marginalised in India. Like the CRHP Jamkhed model of primary healthcare, CBHP utilises a three-tiered approach to health and development, with village health workers providing the majority of primary health care and health education at the grassroots level, supported by a mobile health team and a referral clinic/hospital.

3-Tier Healthcare Model

Three Tier Model

 Tier 1: Village Health Workers (VHWs)

Village Health Workers (VHWs) are at the core of our community based “three-tiered” model of health care delivery in Buldana. The VHWs promote health prevention and teachVillage health workers convening with Dr MosesDr Moses convening with the village health workers villagers how to deal with common health problems. Recruited from their own local villages, they conduct regular home visits to provide antenatal care, basic health checks and attend to other basic health concerns of the villagers. The VHWs are also trained to identify serious medical conditions which require referral to the nearest hospital, CBHP’s mobile health team or the CBHP clinic in Buldana town. In this way, VHWs form an intimate connection with villagers and become a trusted part of the team.

Tier 2: Mobile Health Team (MHT)

The CBHP Mobile Health Team is comprised of a doctor, a nurse and a social worker that travel together into villages to provide regular on-site healthcare services within project villages. The MHT rotates between different project villages each week, helping to provide health access to villagers who cannot easily travel into Buldana town, and allows the CBHP team to deliver preventative healthcare and target health problems within each micro-community. It also helps to build trust and rapport with the village, which is the vital foundation of a community based approach to health care and development.

 Tier 3: CBHP Clinic

CBHP runs a low-cost healthcare clinic in Buldana town providing medical care and referral services. Villagers are referred to the clinic by VHWs and the MHT for conditions requiring more complex investigation and management. These include basic surgeries and procedures, management of chronic diseases and infectious disease outbreaks. The clinic is staffed by Dr Moses and a trained nurse, and provides outpatient consultations as well as inpatient care. The CBHP Clinic charges a minimal fee to allow health care access to the poor and provides healthcare free-of-cost to those who cannot afford it, to ensure that no individual is refused healthcare due to lack financial means. The aim to make basic healthcare accessible for all villagers and individuals in Buldana.

Community Development Programs

Women’s Groups & Adolescent Girls Groups

There are many health and social challenges facing women and girls living in rural Buldana. These include high rates of maternal mortality during and after pregnancy, poor access to health care, lower education attainment and literacy levels, gender inequity and restricted occupational opportunities. The Adolescent girls’ group and Women’s groups provide an opportunity for village women to share knowledge, mutually encourage and learn more about women’s rights, health and empowerment. Importantly, these groups provide a platform for women and girls to meet and discuss the issues that are most important to them. This helps to ensure that the community is the spearhead for planning and implementation of any intervention program, and programs are more likely to succeed because the villagers themselves take ownership of them.

Vidya Niketan English School

On the 1st July 2014 CBHP opened a low-cost English-medium school in Buldana, called the ‘Vidya Niketan English School’ (Vidya Niketan means house of ucation/knowledge).Dr Moses with Vidya Niketan English School studentsDr Moses with Vidya Niketan English School students This school was developed in conjunction with village communities, based on a recognised need for quality early education, including English teaching, to provide children from poor and disadvantaged backgrounds with better opportunities for development.  The school aims to provide children with a supportive, friendly environment to transition into formal education, to encourage ongoing educational and reduce school drop-out rates. In its first week the school enrolled over 30 students from village and slum communities across Buldana, with more joining each day.

Vocational Training Programs

These programs were developed from work with widows and women in rural village communities identifying a great need for women’s empowerment. In many villages girls receive lower levels of education and skills training, and subsequently have poorer employment outcomes. Men are the traditional the breadwinners of the family and women are often completely dependent upon their husbands for financial income. In the unfortunate circumstance that their husbands die or are injured, the family can lose its main financial income and means of sustenance. These women struggle to support themselves and their families, some even resorting to means such as begging and prostitution. Unable to access better employment training and opportunities, these women and their families are trapped in a cycle of poverty.

CBHP’s Vocational Training programs were launched in 2013 to provide low-cost skills training to these at-risk populations, especially women – aimed at empowering them to acquire dignified work and financial independence. There program includes skills training in a range of areas including:

  • Sewing & Seamstressing
  • Handicraft
  • Beautician training
  • Computer skills training

Since its launch, many women have already graduated from the programs and successfully found employment or started home-businesses. Future directions of the program include building support groups for participants to ensure ongoing monitoring and support, potential microfinance initiatives and further business skills training.

The Water Sustainability Project

Sanitation

Poor sanitation is a major contributor to the spread of diarrhoeal and other infectious diseases in villages. CBHP believes that education plays an important part in improving basic sanitation practice in the villages, especially among school-aged children, and has developed a series of Sanitation classes for village primary schools. A pilot lesson on the importance of hand washing and other simple sanitation measures was delivered at a primary school in one of our villages in 2014, and was well received by the students and school. The team currently continues to develop the series of interactive lessons targeting different elements of sanitation and hygiene, with the aim to roll out in the local schools across Buldana including the Vidya Niketan English School.

CBHP in Australia

CBHP Australia

CBHP Australia is a student-led group based in the University of Melbourne, which aims to promote global health within their community through education and collaborating on a number of projects, such as water sustainability, maternal and child health, sanitation and data surveillance with CBHP India to help develop solutions to ensure effectiveness and financial sustainability.

Australian Engagement – The University of Melbourne

CBHP Australia runs educational workshops, speaker events and fundraisers at Melbourne University. Our aim is to educate and promote greater awareness and understanding of global health issues, as well as providing opportunities for engagement and advocacy within the wider community. In the past CBHP has run workshops covering a wide range of topics within global health, including Project planning & design, Community participation and the Social determinants of health.

Australian Engagement  – Nossal High School

CBHP Australia has a partnership with Nossal High School, a selective co-ed public school in Berwick. We work with Nossal High School to teach them about health leadership and healthy living through workshops and interactive seminars. The students reflect on these health lessons and use our mentorship to create a change within their own community, using Buldana as a source of inspiration for their work.

Volunteer Immersion Program (VIP)

The Volunteer Immersion Program (VIP) is a four week volunteer program that runs in January of each year. University students from Australia are given the opportunity to visit Buldana where they can see and participate in the grassroots work that CBHP does. The program includes opportunities for students to teach in village and slum schools, help out in the CBHP clinic and travel out with the Mobile Health Team, as well as travelling and visiting key local attractions. Volunteers also help conduct vital health research for ongoing program development and engage directly with local village communities. The program is packed with opportunities for hands-on engagement, and allows volunteers to gain an immersion experience into the rich culture and diversity of rural India.

Meet the team!