Nav Jivan Hospital

Community Health Project Brings...
Freedom to Walk and Run

Children in India face many difficulties that most American children do not experience -- everything from lack of food and medical care to sub-par education to pressure to help provide income for their families. Children who are born with disabilities really have the odds stacked against them. Not only do they have to learn to work around their difficulties physically, they are usually neglected and socially ostracized.

Little Anisha was three years old and still unable to walk. She had been born with clubfoot, and her foot was turned so far inward it would not support her weight. The first doctor who examined her told her parents that she would need surgery costing over $2,300 dollars -- an astronomical sum for this poor family. Her father responded by taking on extra work to try and raise the money.

Then Nav Jivan Hospital's Community Based Rehabilitation Project team heard about Anisha. They had begun coming alongside 600 people with disabilities (PWDs) in the Palamu and Latehar Districts to empower them and improve their quality of life. This project works with children with various impairments, providing patient assessments, therapy, assistive devices, and parent support.

When the community coordinator of the project met Anisha's family, he began to establish a relationship with them and look into possible Cure Clubfoot services that they could access in nearby Ranchi. Eventually Anisha was taken to Ranchi for a doctor's examination. The doctor said her condition could be treated by a series of casts rather than surgery. The first plastering was done that very day.

x The family had to travel to Ranchi every week for five weeks straight for Anisha's leg to be replastered. It was not an easy journey for them as it required time off from work and funds to travel. But they persevered with encouragement from project staff, and eventually Anisha was done with casting and given shoes to wear. They were not comfortable at first, but as her body adjusted to the changes, she began to take her first steps, and then walk confidently, and finally run freely. She can now be found running and shouting for her mother to watch her. Her mother doesn't mind; she is thrilled to watch her daughter finally walk and run. Thanks to EHA's community project, Anisha has a bright future full of freedom ahead of her.

Focus on Children At Risk...
Putting Food on the Table

He lost his father when he was young, and the weight of meeting his family's needs landed on his shoulders. Arvind and his older brother were forced to drop out of school and seek work to support their mother and siblings. The best they could find was factory work in a city far from home. They were surrounded by other young men who had migrated to cities in other states just to find a job.

But last year when Arvind came home to his village, he heard about a meeting organized for adolescents by EHA's Nav Jivan Hospital's Injot Project. Intrigued, he attended the meeting and learned about the efforts made by this project to strengthen communities by developing improved agricultural practices. The goal of the Injot Project is to empower communities to provide a safe and growth-oriented environment, especially for children and adolescents. They want to prevent the trafficking and abuse of at-risk children, including those who are working when they should still be in school.

Now Arvind is resolved to be a part of this group so that he can learn new agricultural skills to be better equipped to face his future. He also wants to go back to school. By learning methods such as crop diversification and climate resistance cropping, Arvind and his brother will be able to increase yields on his family's land in order to support his mother and sisters. The Injot Project has even been able to help needy communities access benefits through the government such as improved seeds and other agricultural supplements. Arvind has hope that he can now stay home in his village, finish school, and still be able to provide for his family's needs. EHA's community projects are making a real difference in the lives of many poor rural Indian families like Arvind's.

While Serving in a Remote Location...
Coincidence or God's Plan?
Sometimes people ask EHA staff how they can stand to serve in such remote locations -- far away from malls, family, and medical specialists. Recently Dr. Jeevan Kuruvilla and his wife, Angel, experienced a situation where they could clearly see God's hand involved in meeting their family's needs -- even in "the middle of nowhere."

Hesed Kuruvilla

Their two-year-old daughter, Hesed, jumped off her bunk bed and injured her elbow, forearm, and hand. The nearest orthopedic doctor was far away and did not deal with such injuries. The family was traveling to Ranchi, a larger city, the next day. Jeevan thought to call his friend, Dr. Kenny David, who is an orthopedician at the Christian Medical College in Vellore, 1,000 miles away. Miraculously, Dr. David was visiting near Ranchi and was able to examine Hesed and get her treated.

Looking at this situation from the viewpoint of chance... Jeevan's family visits Ranchi only once in every three to four months. Dr. David comes to Ranchi about once a year. The chances of one of Jeevan's family members injuring her elbow is maybe once in a generation. And to have all of these events occur simultaneously in such a way that Hesed received a consultation from the pediatric orthopedician of a premier heathcare institution in the country... all while Jeevan was stationed in a remote corner of the country -- it's amazing!

Jeevan and Angel are convinced that God used this situation to show them His care for them.

Through CHDP...
Creative Solutions Are Found
The many Community Health and Development Projects at EHA vary widely in the people groups they serve, but each one reaches out with love toward those in need. Even meeting basic needs such as bringing in income and putting food on the table is a regular area for CHDP to help with. 

Village ladies take home chicken coops

One idea EHA staff came up with was raising backyard poultry, both as a way to improve household nutrition and to empower women as they generate income. There were three challenges faced by the project: protecting from predators which could take out uncaged birds, providing a consistent food source, and dealing with a particular disease which affected poultry in the area. They came up with some chicken feed and an immunization for the disease, but the high cost of cages ($40) had them stumped. Since an average family in this area only makes $30 to $50 each month, the cost of one cage would be astronomical for them. The project leaders bought some chicken wire in 50-foot rolls and made cylindrical structures with a mesh door on the top. These would keep out the wild cats, snakes, and rats which would endanger the birds, and they could be made by local boys for a fraction of the cost.

Having fresh eggs and chicken to eat is a blessing to these poor families, as well as having the option to sell extra eggs and birds. Simple solutions to life's dilemmas mean so much to those helped by EHA staff.

Working With the Church Toward...
Help for Disabled Children
When attempting to reach out and help families with disabled children, EHA staff often find it difficult to connect with those in need. The issue can be a lack of interest on the part of the caregivers or simply the lack of a way to reach the right people.

Disability meeting

The local church can help with both of these issues. In the Latehar district, the Catholic Church has been ministering to the people for a long time, providing spiritual counseling, education, and basic medical facilities. They have developed a good rapport with the local community they serve.

When the Community Based Rehabilitation Project wanted to hold a program for children with intellectual disabilities, the church stepped in to mobilize the community -- and provided the location for the meeting. The turnout was beyond what anyone had expected -- people were waiting outside the doors long before they opened. Seventeen young children were brought for screening, most of whom had some sort of developmental delay. The staff then provided information to parents on exercises they could do to help their child's development and some tips on how to care for their child. They strove to help the parents understand the nature of the disability and what they could expect in terms of the child's development.

In the end, it was encouraging to see that while the parents were sad about the condition their child struggled with, they had a smile on their faces when they left, knowing they had gained some tools to help and some hope for their child's future.

A New Ventilator Needed for Those...
Struggling to Breathe
Snakebite is just one of many medical conditions that makes breathing difficult if not impossible. But it is one of the more deadly. Recently, two patients with poisonous viper bites came to Nav Jivan Hospital for treatment. Despite Anti-Snake Venom being administered and the patients being ventilated, they both died. What they really needed was high pressure ventilation, but there is no full-fledged adult ventilator for 200 km in any direction. This means that 5 million people do not have access to high pressure ventilation when they need it. A low-end adult ventilator costs $9,450, an enormous sum for a missionary hospital. If you would like to contribute to this need, go to our website and click on Nav Jivan Hospital.

Mr. R and Mr. P
A successful ventilation story deals with a father and son who came down with Cerebral Malaria. The son, Mr. P, came in first. His situation was so dire the staff did not expect him to survive. When they began to intubate him, they found a piece of turmeric wedged in his throat. Apparently his relatives had put the turmeric in between his teeth during a seizure. It was almost fatal. After being on the ventilator for two days, he made a remarkable recovery. Then his father, Mr. R, was also diagnosed with malaria and put on the ventilator. He, too, made a successful recovery. The staff was thankful that their old ventilator was adequate to save these two men's lives.

Working Together...
Medical Camp Treats Many

Registration table is jammed
Many EHA hospitals have begun networking with other like-minded non-governmental agencies, churches, and para-church organizations to provide medical care for those in need. The same is true of Nav Jivan Hospital. Recently, two doctors and ten staff people from NJH teamed up with Calvary Gospel Mission and Wycliffe Bible Translators to hold a medical camp in an area called Panki. Amazingly, they treated over 350 patients.
Crowded waiting room
The needs are overwhelming, but EHA is working to meet them, one camp at at time.

One Family's Struggles...

Choosing Between Healthcare and Home
There were no regrets and no recriminations, even though his family was now destitute. All he expressed to the EHA doctor was thankfulness at saving his daughter’s life.

It all began when a nine-year-old girl was brought to Nav Jivan Hospital. She was found to have a perforated intestine, probably the result of enteric fever. The treatment, which included surgery, proceeded without incident. Their total bill came to about 12,000 rupees ($218), and it looked to the hospital staff as if the family was not too poor to be able to afford the bill, so they did not inquire if financial assistance was needed. Since there were no complications and the admission period was uneventful, the staff did not remember much about this girl and her family.

Not until six months later, when a doctor traveled to set up a TB clinic 100 miles away from the hospital. Traveling by jeep, he stopped at a wayside shack for tea in the early morning hours. A middle-aged man came out of the shop and touched the doctor’s feet, saying that this doctor had saved his daughter’s life. The doctor could not place this man until the daughter came running out from behind the shack.

The shack was constructed from four heavy pieces of wood, one in each corner. To these were hung plastic sheets and sack cloth, dividing the space into three rooms. Haphazardly arranged bricks formed the outer walls.

The doctor was surprised at the severe poverty in which the family lived. As he sipped the tea on that cold winter morning, he asked the father how he was able to pay the hospital bill six months previously. He was in for a shock.

The father replied that they had seen better times before his daughter fell sick. By the time they brought her to the hospital, they had already spent 20,000 rupees ($360) on her treatment. They had just planted their crops and so had no money with them to pay the bills. They had to take a loan from the local money lender, a notoriously unfair and unwise practice. A monsoon then took out his crops, so they had to sell their home and land to repay the loan. After that, they were forced to live in this little shack. He pointed about 50 meters down the road to a hut, much better than their current residence, and told the doctor that they used to live there before his daughter fell ill.

The doctor was amazed at the family’s thankfulness for their daughter’s good health in light of what it cost them. There was no blame or frustration expressed to the doctor about the fact that they had been dragged into abject poverty in order to pay the hospital bill.

In India, 40 percent of poverty is caused by ill health in the family and the cost of ensuing medical care. It is your gifts that allow EHA doctors and hospitals to drastically reduce the bills of those who truly are unable to pay. For these patients and their families, it isn’t about not being able to afford cable TV or another vacation due to hospital bills. It is about basic survival.

Hospital Staff Give Blood to Help
Miraculous Story of Survival

She should have died. She entered Nav Jivan Hospital with severe bleeding and a retained placenta after giving birth elsewhere to a stillborn child. Her hemoglobin level had dropped drastically to 1 gm (normal is around 12 to 16 for adult women). With AB positive blood, it was unlikely the family would be able to find enough blood to keep her alive. One of the hospital staff donated the first pint of blood in faith that God would heal this woman despite her precarious situation. 

The doctors' initial attempt to treat "SD" by removing the placenta was unsuccessful. Eight pints of blood later, her hemoglobin still had reached only 3.2 gm, but her bleeding had stopped and her vitals were all normal. With much prayer, the doctors decided to do a hysterectomy, and as the uterus was gangrenous when removed, this surgery saved her life. It was a long haul for SD and her family, but in the end she pulled through and has been released to go home to her husband and two little boys. She and her family are very thankful for God's hand in healing her. This is an amazing story of perseverance and faith on the part of the Nav Jivan Hospital staff coupled with the grace of God to bring about a miraculous healing in one woman's life.


God is in Control...
Trusting Him

Recently the staff at Nav Jivan Hospital were in a peculiar situation. Since they reside in a very highly snake-bite-prone area, they always keep about 40 vials of Anti-Snake Venom medication on hand for their staff use. They had a two-week period in which they faced difficulty in obtaining the ASV, and the patients with snakebites just kept coming. One supplier agreed to 
deliver 120 vials on a Friday and then had to cancel. They had a snake bite victim and had to use 16 of the 40 vials they had in reserve. The supplier confirmed a delivery on Monday, but then the train was cancelled. Dr. Jeevan Kuruvilla scrounged around the local pharmacies and got 5 more vials. The supplier rescheduled for Wednesday, and Jeevan was praying hard that he could get through until then with just a few vials. 

Then God sent him a thought: Dinesh, the hospital's engineer, had traveled to Ranchi, so he contacted him and he was able to obtain 15 vials from various sources. And when a little girl came in the next morning with a severe snakebite, he knew why God had prompted him to get more ASV through Dinesh. She was not breathing at all, so they intubated and mechanically ventilated her. They gave her 8 of the vials immediately and 8 more went in over the next 4 hours. At that point she was conscious and sitting up comfortably. For Jeevan, the incident had a simple message: trust in God alone for your needs.


About Nav Jivan Hospital

Begun by Mennonite missionaries in 1961, Nav Jivan Hospital now serves the poor from the Palamau and Latehar districts in Jharkhand. In 1973 they began training village girls in an Auxillary Nurse/midwives program. As time went on, many services were added according to the needs of the area. Today, this 100-bed hospital treats 35,000 patients yearly in the outpatient department and 5,000 in the inpatient department. Nav Jivan has the only Acute Care Unit in the region. Approximately 1,000 cataract operations are performed every year and over 5,000 patients are seen in the eye outpatient department. People travel from far away to come for dental care – and about 2,000 patients are seen each year.  About 3,000 patients receive free TB care yearly. Every year approximately 20 students graduate from the nursing program and go on to serve in various capacities all over the country.

There are two Community Health and Development Projects operated out of Nav Jivan Hospital. The first, TBIEC, works to reduce the levels of tuberculosis in five blocks of the Palamu district by creating awareness, reducing stigma, and encouraging people to access the healthcare they need. The tribal communities served by this project have a population numbering 500,000. Since 60 percent of these villagers are illiterate, the project often uses films to teach the people about how to access diagnostic and treatment services. They also show these films in tribal schools located in remote places so that teachers become aware of the symptoms and healthcare options to bring this information to their students.

The second project deals with Reproductive and Child Health. The objective of this project is to reduce the gaps in heathcare and facilitate reproductive and child healthcare in the Satbarwa block. Improvement in the areas of immunization, family planning, and antenatal care has been seen. Seeking to make long-term change, project workers teach pregnant mothers to seek routine prenatal checkups and to deliver at a hospital. Through all of these programs and services, Nav Jivan staff seek to share the love of God with those whom they are serving.

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