Community Health · Mobile Health Unit · Referral · Continuity of Care

Community Health Outreach

Health care closer to home. Bringing promotive, preventive, curative, rehabilitative and palliative care closer to rural and tribal communities — and connecting people to the next level of care when they need it.

Objective

To address common health needs through a continuum of community-based care while fostering healthy behaviours, strengthening referral linkages, complementing Government health services and building local capacity for healthier communities.

01About

Pushing health care closer to home — since 1990

SVYM's Community Health Outreach programme began in H.D. Kote and Saragur to respond to the health needs of rural and indigenous tribal communities living across remote, forest-fringe settlements. The programme combines doorstep primary care with screening, health education, home follow-up and referral to Vivekananda Memorial Hospital and Government health facilities.

Read more about the outreach approach

Why outreach matters

For a person living far from a health facility, the barrier is often not only the absence of a doctor. Travel, lost wages, delayed diagnosis, unfamiliar systems and weak follow-up can all turn manageable health conditions into larger problems. Outreach brings the first point of care closer while creating a bridge to the health system beyond the village.

From DTRA to a fuller continuum

Earlier SVYM reporting described the approach through DTRA — Diagnosis, Treatment, Referral and Awareness. The current programme retains that core while explicitly extending promotive, preventive, curative, rehabilitative and palliative care through home-, community- and institution-based services.

Building human and social capital

Health capability: awareness, healthy behaviours, early care-seeking and better understanding of risk strengthen individual and family capacity.

Community capability: volunteers, local leaders and grassroots health workers help information, follow-up and services reach people more consistently.

Institutional linkage: the MHU connects communities with VMH, Government health centres and specialist services.

Shared responsibility: families, communities, health workers and institutions each contribute to continuity of care.

Access is only the first step

The programme's deeper purpose is not simply to bring a clinic to a village. It is to ensure that a health need identified close to home can move through diagnosis, treatment, referral and follow-up without the person getting lost between levels of care.

02Impact in Numbers

2025–26 at a glance

The current year reflects a wider outreach footprint, stronger referral follow-through and focused screening for maternal health, tuberculosis, eye health and non-communicable diseases.

6,189Unique patients engaged through the outreach programme
302Service days delivered across 74 tribal and 21 non-tribal villages
79Health camps organised, reaching 4,650 registered participants
2,977Follow-up visits for antenatal, postnatal and child health
100%Referral completion for 134 patients referred through the MHU for secondary and tertiary care
87.5%TB treatment success rate through diagnosis, referral, follow-up and treatment support

FY 2025–26 · Health Outreach for Tribal Communities, SVYM

Reach note: the programme's core Mobile Health Unit network is described as reaching 48 tribal colonies with a population of more than 8,000 people, while 2025–26 service days extended across 74 tribal and 21 non-tribal villages. These are different reach measures and are therefore presented separately.

03Outreach Model

Find early. Treat locally. Refer when needed. Follow through.

The programme works as a bridge between community-level primary care and the wider health system. Each contact is an opportunity not only to treat a current problem but also to identify risk, strengthen health-seeking behaviour and connect the person to appropriate care.

01 · Reach

Doorstep access

The Mobile Health Unit and outreach teams take primary health services closer to people in remote settlements.

02 · Identify

Screen & diagnose

Clinical assessment, point-of-care diagnostics and targeted screening help identify acute, chronic and high-risk conditions.

03 · Treat

Care close to home

Common health conditions are treated locally wherever appropriate, reducing avoidable travel and delay.

04 · Refer

Connect to institutions

People needing higher-level care are linked with VMH, Government facilities or specialist services.

05 · Follow

Stay connected

Follow-up for mothers, children, chronic conditions and referred patients helps protect continuity of care.

06 · Educate

Build health capability

Awareness, counselling and health education strengthen informed choices within families and communities.

07 · Mobilise

Community participation

Local leaders, volunteers and health workers help organise services and encourage early care-seeking.

08 · Converge

Work with the system

Government health services and SVYM's institutional care complement rather than duplicate each other.

Home / Hadi
MHU / Outreach Camp
Assessment & Primary Care
VMH / Government Facility
Follow-up in the Community
04Mobile Health Unit

A moving front door to the health system

The Mobile Health Unit is the programme's most visible platform, but its value lies in what it connects: regular primary care, maternal and child health, TB and HIV services, NCD screening, WASH education, palliative support and institutional referral.

Primary care in remote communities

The MHU serves indigenous tribal communities in H.D. Kote and Saragur, including settlements located near forest areas where travel to formal health facilities can be difficult.

Over the years, the service has responded to acute illness, hypertension, diabetes, anaemia, respiratory and skin conditions, musculoskeletal complaints, eye and ear conditions, mental-health needs and other common health concerns.

Continuity, not an occasional camp

Earlier annual reports record more than 300 operating days in a year, illustrating that the outreach model is built around repeated presence and follow-up rather than one-time medical camps alone.

Closer to home, connected to hospital care

When the MHU identifies a condition that needs specialist or institutional care, the patient is connected onward. Vivekananda Memorial Hospital in Saragur acts as an important referral hub, while Government facilities provide additional primary, secondary and tertiary pathways.

05Women, Mothers & Children

Following care through critical stages of life

Maternal and child health is strengthened when care is repeated, timely and connected — from antenatal visits and high-risk identification to postnatal follow-up, child health and institutional referral.

Antenatal care

Regular contact helps identify anaemia, high-risk pregnancies and other concerns earlier, while counselling supports safer pregnancy and birth planning.

Postnatal follow-up

Home and outreach follow-up extends care beyond delivery to the health of the mother and newborn.

Child health

Growth, nutrition, immunisation linkage and illness management support healthier early childhood development.

In 2025–26, 2,977 follow-up visits were conducted for antenatal care, postnatal care and child health.

06Screening & Referral

Screening matters when it leads to care

The programme increasingly measures not only whether people were screened, but whether those who needed further care actually reached diagnosis, treatment and referral services.

48TB screening camps conducted in 2025–26
1,261Participants reached through TB screening, awareness and referral
43General health camps supporting NCD and primary-care access

Referral completion as a quality measure

The programme reported 100% referral completion for 134 patients referred through the MHU for secondary and tertiary care in 2025–26.

Across wider outreach camps, 1,406 of 2,099 referred patients completed referral, a reported completion rate of 70%.

TB care as a continuum

Timely diagnosis, referral, follow-up and treatment support contributed to a reported 87.5% TB treatment success rate among programme participants in 2025–26.

Explore SVYM's TB Prevention & Control work →

07Eye Health

From screening to restored vision

Eye camps illustrate the value of a complete referral chain: identify people in the community, diagnose conditions, connect them to appropriate care and follow the outcome.

36Eye screening camps conducted in 2025–26
2,369Participants covered through cataract and diabetic-retinopathy screening, diagnosis and referral
719Cataract surgeries facilitated following outreach and referral

Outcomes beyond surgery numbers

SVYM reported that 99% of cataract-surgery patients achieved good aided vision and 90% achieved good unaided vision, using the reported standard of visual acuity of 6/12 or better.

Diabetic retinopathy

108 cases were identified through screening, with 100% successfully linked to advanced retinal care.

08Community & Health Systems

Stronger community health needs more than a mobile clinic

The outreach programme works because clinical care is supported by family participation, community engagement, local health workers, referral institutions and the Government health system.

Health education

Awareness on hygiene, nutrition, communicable disease, chronic disease and maternal-child health helps people act earlier and make informed health choices.

Local leadership

Volunteers, community members and grassroots health workers help mobilise camps, follow up families and build trust around care.

Government partnership

Public health facilities, frontline systems and National Health Programmes are part of the referral and treatment network rather than separate from it.

Building health capability within the community

The long-term goal is not dependence on an outreach vehicle. It is a community that recognises risk earlier, knows where to seek care, participates in prevention and can navigate the health system with greater confidence — supported by institutions that respond when higher levels of care are needed.

09Within the Health Ecosystem

Outreach is one entry point into SVYM's continuum of care

Community Health Outreach connects naturally with institutional care, maternal health, disease-control programmes, palliative care and rehabilitation.

Institutional Care

Vivekananda Memorial Hospital

A rural secondary-care referral hub connecting community access with diagnostics, emergency, inpatient, surgical and specialist care.

Explore VMH →

Maternal & Child Health

Adolescent, Maternal, Newborn & Child Health

Continuum-based support for women, mothers, newborns, children and adolescents.

Explore Programme →

Communicable Disease

TB Prevention & Control

Awareness, early diagnosis, active case finding, treatment linkage and follow-up.

Explore TB Care →

Long-term Care

Palliative Care Program

Home- and institution-based holistic care for people with serious and life-limiting conditions and their families.

Explore Palliative Care →

Inclusion & Rehabilitation

Disability & Inclusion

Therapy, assistive support, caregiver capability and pathways towards function, participation and self-reliance.

Explore Programme →

Sector Overview

SVYM Health

See how community care, institutions, public health, rehabilitation, palliative care and systems strengthening connect.

Explore Health Sector →

Closer Care · Earlier Action · Stronger Referral

Help health care reach communities before distance becomes a barrier

Partner with SVYM to strengthen Mobile Health Unit services, community screening, maternal and child health, referral pathways and the local health capability that helps rural and tribal families access timely care.