Prem Jyoti Community Hospital

At Prem Jyoti Community Hospital...
Community Receives Life-Sustaining Provisions

The Malto tribals of northeastern Jharkhand are a particularly vulnerable group with a diminishing population, a pre-agricultural level of technology, and a very low level of literacy. It was to address the health needs of this group that Prem Jyoti Hospital was founded in 1996 via a unique partnership between EHA, the Friends Missionary Prayer Band (FMPB), and the Evangelical Fellowship of India Commission on Relief (EFICOR). Since that time, the hospital staff have branched out beyond medical care to address holistic transformation in the community. This includes advocating for the benefits provided by the government that tribals are often unaware of or unsure how to obtain.

Rice recipients in the village of Thalmigodda
In India, it seems almost everyone in a position to do so takes bribes. In the village of Thalmigodda, some of the households didn't have a ration card and therefore could not get the monthly provision of 35 kg of rice to help sustain their family members. They went to the Prem Jyoti Community Development Facilitators (CDFs) Silas and Sumitra for help. Silas spent his own money to go to an internet shop in town to download the entire village list of those considered to be Below Poverty Line. He was shocked to see 75 names on the list when only 60 were receiving the rice benefit. It turns out that the village leader and the dealers were pocketing the extra provisions and making a huge profit.

Understandably, the people of the village were furious, and they called for an inquiry with the village leader and the five dealers. These men tried offering Silas a bribe, but he was determined to be upright in his dealings and refused. Having no choice, the leader and the dealers agreed to provide supplies for everyone on the list. So thanks to Prem Jyoti's CDFs, fifteen more families are receiving needed rice rations. This food supply can mean the difference between life and death for these tribal peoples.


Through Faithful Care...
Tiny Newborn Given a Chance at Life

Pushpa Devi
Dr. Isac David and his wife, Dr. Vijila Isac, have served faithfully at Prem Jyoti since its inception almost 20 years ago. They have seen much progress from when they began... lives have been saved, programs have been run, infrastructure has been developed, systems are in place, and credibility with the government has been built up.

But the best part of the process is not what they have achieved, but what God has done through them and their dedicated team. He has led them through tough and lonely paths, times of brokenness, feelings of failure... only to discover anew that He was always there, loving them despite their mistakes. They have experienced Him in unexpected places -- even in the operating room and the labor and delivery department.


Pushpa's newborn son
receiving phototherapy
Recently, a woman named Pushpa Devi began to struggle with her first pregnancy. In her eighth month, she began bleeding heavily. She came to Prem Jyoti for treatment, and the ultrasound showed she had placenta previa, a condition in which the patient needs an emergency caesarian section to save her life. Since Pushpa's blood pressure was already low, she couldn't have a spinal anesthesia, so they used the alternative intravenous short-acting sedative, Ketamine. Although Pushpa lost even more blood during surgery, Prem Jyoti doctors delivered a tiny preemie who was just over three pounds. It took the baby five minutes to cry, but he finally did, and was placed in a Newborn Stabilization Unit.

Since Prem Jyoti is located in an area with intermittent electrical service, they cannot use incubators or ventilators, but they do have battery-operated units that provide phototherapy for newborns and warmers that keep the babies' temperatures consistent. Pushpa's baby has made it through his critical first week, and Pushpa has stabilized and is moving around freely. She is incredibly thankful for the care she and her newborn received at the hands of these dedicated EHA doctors and nurses.


Prem Jyoti Community Hospital Helps Others to...

Improve Villagers Quality of Life

Often they don't even know what they're missing.
BedotigraHandPump
New village water pump 
They live hand-to-mouth, just trying to get through each day, without even a clean water source. They literally live in survival mode. In the remote villages of Jharkhand in northern India, these Malto tribal villagers
battle preventable infectious diseases, live with no electricity, and suffer from high infant and mother mortality rates.

Prem Jyoti Community Hospital has begun a number of Community-Based Organizations in 40 villages to address these concerns. When they came to Bedotigra, a mountaintop village, the team members began to train the villagers, helping them to understand that changes must start with them. Water was a scarcity and they were collecting it from a distant source. A year before this, a bore well near the village had been partially completed, so the team helped these villagers fight for their right of access to clean water. They filed an application with the proper authorities, which was the first time they had ever combined efforts to have this need addressed. Before long, the hand pump fittings and pipes were brought in and installed. These villagers have learned an important lesson -- they can bring changes to their village by working together and speaking up.

They are beginning to take on tasks like advocating for electricity (successful in three villages so far) and making their village schools functional. The next topic that will be addressed by the CBO teams is health issues -- especially mother and child health -- and what initiatives they could take up to prevent them. 


Through Great Perseverance...
Mariyam Nirmala Becomes the First Malto Tribal GNM Nurse

MariyamGNM
Mariyam Nirmala 
She came from a poor farming family in the village of Kusumghati. Unable to afford the cost of her studies, her father turned to missionaries he knew and sent her to the Jayraj Memorial Girls Home where she completed her studies through Class (grade) 12. After finishing these exams, Mariyam came to Prem Jyoti Community Hospital as a pre-nursing student and learned basic nursing procedures. One day, God touched her heart when she was helping the nurses in the labor room. A pregnant Malto woman from Mariyam's village came to the hospital in serious condition and eventually died. This incident changed her thinking, and she decided to serve her community by becoming a nurse.

She was accepted into EHA's Duncan Hospital's School of Nursing located in Raxaul in northwest Bihar and worked hard to achieve her goal of becoming a nurse. She faced many obstacles, including learning English, but strengthened herself through prayer. Eventually, Mariyam accomplished her goal and received her General Nurse Midwife diploma. She has returned to Prem Jyoti and is serving her community by sharing the love and light of God with them. Her faith and commitment to serve others are inspiring other Malto girls to follow her example.
 

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Prem Jyoti Hospital, located in the northeastern area of Jarkhand, serves 172 villages of the Malto people. The Maltos are a significantly underserved tribal group. In an effort to reach out, the hospital provides a wide range of services. EHA has trained community health volunteers in every village. These individuals are trained to provide basic instruction in health behavior.  

The hospital also offers deliveries for needy Malto women at a rate of 100 rupees (about $3). This has encouraged more women to come to the hospital to have their babies, resulting in additional opportunities for training new mothers in well baby care and nutrition. 

Persistent ministry among the Maltos has led to real results: more then 60 percent of the full time staff at the hospital are Maltos, a significant change since the project was launched in 1996. The work with the Malto people was featured in EHA’s overview DVD, available on request.  Contact EHA USA to obtain a copy.

Prem Jyoti accomplishes its work through a network of community health volunteers, peripheral clinics, and a hospital. Emphasis is given on training and empowering the community to tackle health problems. The Prem Jyoti project was started as a unique partnership between three major Indian mission agencies: the FMPB, EFICOR, and EHA. The service priorities of the hospital are fighting endemic diseases like Malaria and Kala Azar through health awareness and medical care through the primary health centers, immunization, reproductive and child health, mini health centers, and training community volunteers.

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About Prem Jyoti Hospital

Prem Jyoti Community Hospital is a community of God-centered individuals who reach out to the poor and marginalized, especially the Malto tribals of Jharkhand. The ministry began in December, 1996, as a unique partnership between three major Indian mission agencies: the FMPB, EFICOR, and EHA.

Today, the hospital’s goals include providing quality, accessible, and compassionate health care, as well as empowering communities to take care of their own health and development needs. They strive to develop local leadership and expertise while serving as a model to challenge others, so that these communities can develop to their fullest potential.

Focusing on the Malto’s health needs, they work through a network of community health volunteers, peripheral clinics, and the hospital itself. They emphasize training and empowering the community to tackle their own health problems. One of the areas they focus on is infectious diseases, such as malaria, TB, and kala-azar. To this end, they work with the government to spray DDT in Malto villages and distribute mosquito nets. They are also the Designated Microscopy Center for the Revised National Tuberculosis Control Program. Another program allows patients suffering from kala-azar to be treated free of charge.

Conducting school health programs allows them to teach young people better health awareness and care. They also teach Vacation Bible School to hundreds of Malto children each year.

Desiring to strengthen their teams spiritually, the staff fast weekly, pray together, and study the Word. In order to witness to those who walk through their door, they pray, share with, and counsel the patients and their families. During outpatient department days, they play movies and songs with a message for the patients waiting for treatment.

Through all of these programs and services, Prem Jyoti reaches out to the community with the love of God, offering not only physical healing, but also true spiritual healing through this message of hope.

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