ICMR
arrow  Indicators of Mental Health Books 


family interventions were 'real' from the field and not the hypothetical ones. Initially, it was a bit difficult to make the mothers understand the purpose of the intervention programme. Only a few women cooperated and appreciated the objectives of this programme. Some mothers who had no trust in government schemes alleged that these programmes were being carried out for the employee's benefit and therefore they refused to talk to the visiting team. Some of the mothers even became hostile during the talks. All these difficulties, the questions raised by the mothers, their arguments and objections to the intervention programme and the advice that could be offered to them were enlisted by the team. First, these were discussed between the research officer and the research assistants and later on things were discussed with the investigators to work out a solution to each problem or a strategy to handle it. The investigators listened to the problems experienced during the visits and kept up the team's morale. They asked the team not to get irritated or criticize the mothers when they make negative remarks about the team or the programme. The team was also asked not to avoid visiting the unco-operative or hostile families unless it was really impossible to work with them. The investigators provided continuous support to the research team throughout the family intervention programme. As a result of this, the team was trained to help families. The research team was told to understand this process of preceptorship because they would have to similarly support the AWS in the family intervention. Management of each risk factor (HRC) was discussed in detail and sometimes opinion from outside was taken. The idea was to offer to the family, skills with which they could have more nutritious diet or earn more money. For example, growing vegetables or banana in a small plot near or in their house, keeping goats, or trying more remunerative occupation like daily wages work instead of, say, cycle repair work were suggested to the families. The main reason for carrying out such an intensive training programme for the research workers was that the research team was supposed to impart this training to the AWs in the due course of time.

The intervention programme

Though the broad principles of intel'Vention were the same there were mild inter center differences in its execution.

A. Bangalore Centre

The intervention programme progressed in the following stages:

1. Pilot Phase.
2. Actual Intervention.


<< Back
 | Index | Next >>