Health Transformation

A PROJECT REPORT ON

SUBMITTED BY:

Shashi
Executive Trainee- Human Resource
2009

UNDER THE GUIDANCE OF

Sebastian Joseph
DGM (HR)

1

Contents

Chapter No. S. No. & Topic Name Page No.
Chapter I : Company Profile………………………………………….……....07-15
1.1 Industrial Profile…………………………………………………..………….09
1.2 Company Profile...............................................................................................10
1.2.1 NTPC- A journey towards excellence……….……………………..............10
1.2.2 Strategic Initiatives…………………………………………........................10
1.2.3 Integrated Power Major…………………………………………………….10
1.2.4 List of Power Plants of NTPC ………….………………………………….11
1.3 Strategic Targets of NTPC………………………………………….………...13
1.4 Basic Facts: - Vindhyachal Stage III ……………………………….………..14

Chapter II : CSR at NTPC-VSTPS……………………………………15-21
2.1 Introduction to Corporate Social Responsibility…………………….……..…...16
2.1.1 Meaning of Corporate Social Responsibility…………………….……............16
2.1.2 Importance of Corporate Social Responsibility……………………….............17
2.1.3 NTPC’s integrated approach towards Corporate Social Responsibility……....17
2.2 NTPC’s approach towards Community Development……………………….…20
2.3 CSR CD Program At National Level…………………………………………....20
2.4 CSR CD Program at operating stations…….………………………….……......21
2.4.1 Aims and Objectives………………………………………………….…….....21
2.4.2 Programs covered under unit level CSR-CD……………..…………...….…..21

Chapter III : Introduction of the Topic……………..……………………….23-26
3.1 Introduction………………………………………………………………..…...24
3.1.1 Importance……………………………………………………………….…..24
3.2 Health policies and programs in India……………… ………………….….....24
3.2.1 Introduction…………………………………………………………………..24
3.2.2 Present status……………………………………………………...………….24
3.3 The Study……………………………………………………………………….25

Chapter IV : Research Methodology……………………………….………..…27-30
4.1 Objective of study……………………………………………………………...28
4.2 Research Method……………………………………………………………....29
4.2.1 Data Collection Method……………………………………………………...29
4.3 Limitation of the Study...……………………………………………………....30

Chapter V : Data Presentation & Analysis…… …………………………….....31-52

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5.1 Present Status…………………………………………………………………...32
5.2 Initiatives of VSTPS…………………………………………………………....39
5.3Analysis of CSR Efforts…….…………………………………………………...41
5.4Individual Feedback...……..………………………………………..…………....45
5.5Analysis of various Reports……………………………………………………....50
5.6 Identification of needs...…………………………………………………….......52

Chapter VI : Conclusion & Suggestion…………………………………….........53-71
5.1 Conclusion …………………………………………………………..…………54
5.2 Recommendation …………………………………………………....................55

Annexure

3

Préface

NTPC LTD. Vindhyachal Super Thermal Power Station has given me an
opportunity to understand its robust systems and to complete my project report in HR
Department. During the period of 5 months (from 04/05/2010 TO 16/09/2010) ,I have
studied various functions of CSR Department & completed a Project Report on “CSR
initiatives at VSTPS, Vindhyachal- Transformation of Health System- a Study” at NTPC
(VSTPS).

The project work is the knowledge based study of the existing condition of Health in the
nearby areas of VSTPS, it includes the findings of various surveys conducted by another
agencies for VSTPS-CSR in the similar field. On the basis of analysis, this report
incorporates the recommendations on reviving the Health structure and system of
approximately 20 villages that comes within the periphery of VSTPS. This report also
provides some suggestions to improve the present situation by analyzing the possibilities
of dovetailing of NTPC’s initiatives such as primary Health centers, Awareness camps etc
with existing government schemes to ensure a more effective implementation of the
VSTPS’s commitment towards its stakeholders.

Shashi

4

Acknowledgement

It is not until you undertake a project like this one, you realize how massive an
effort it really is, or how much you must rely upon the selfless efforts and the good will of
others. This work could not have been possible without the help of the cross section of the
people.

This project would certainly not have been possible without the cooperation and
guidance of my Project Coordinator Sh. Sebastian Joseph. He patiently guided me
through the project, never accepting less than my best efforts.

I am extremely thankful to all those who has given their support in the timely completion
of the report by sparing their valuable time to provide required data and their valuable
inputs as and when asked.

Last but not the least I am also thankful to all my friends for helping me in collecting
information from different sources and also for their encouragement and invaluable
suggestions for improving this work. I thank them all.

Shashi
(Executive Trainee- Human Resource)

5

Date-20th Sept., 2010

Declaration of Authenticity

I, Shashi, ET-HR (2009) NTPC, solemnly declare that the information provided
in this report is true to the best of my knowledge and the details provided by the
respondents have been used solely for the purpose of compiling this project.

I also declare that all material presented to NTPC Organization, is based on my
own original research work. My indebtness to other works/publications has been duly
acknowledged at the relevant places. My work is carried out under the guidance of my
Project Coordinator Sh. Sebastian Joseph.

Place: Vindhya Nagar

Sebastian Joseph Shashi
(Project Coordinator) (Executive Trainee- HR)

6

Chapter I
Company Profile

7

NTPC VISION

A WORLD CLASS INTEGRATED POWER MAJOR, POWERING INDIA’S GROWTH, WITH
INCREASING GLOBAL PRESENCE.

HUMAN RESOURCE VISION

TO ENABLE OUR PEOPLE TO BE AFAMILY OF COMITTED WORLDCLASS PROFESSIONALS,
MAKING NTPC ALEARNING ORGANISATION

NTPC MISSION
“DEVELOP AND PROVIDE RELIABLE POWER, RELATED PRODUCTS AND SERVICES AT
COMPETITIVE PRICES,
INTEGRATING MULTIPAL ENERGY SOURCES WITH INNOVATIVE AND ECO-FRIENDLY
TECHNOLOGIES AND CONTRIBUTES TO SOCIETY”.

NTPC CORE VALUES

BUSINESS ETHICS
CUSTOMER FOCUS
ORGANISATIONAL & PROFESSIONAL PRIDE
MUTUAL RESPECT AND TRUST
INNOVATION AND SPEED
TOTAL QUALITY FOR EXCELLENCE

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1.1 Industrial Profile

“History of Power Sector Development in India”

Evolution of NTPC

The electric power generation in India on a commercial basis is almost a century old, substantial power
development efforts began only after independence. At the launch of the First Five Year plan in 1951,
power generation was recognized as a major input for the country’s economic development and was
accorded high priority. Power sector outlays have among the highest in successive Five Year Plans ever
since. The two plans focused on hydropower (as component of multi-purpose projects).

Subsequent plans emphasized on rapid installations of thermal power stations. As a result of plan efforts,
India’s installed power generation capacity grew to 16,664 MW in 1974. However, assessment of the
planned growth since 1951 indicated that with the uneven distribution of resources, power development
with only states as spatial units would result in large inter-state imbalances. This, and the need for
quicker and greater capacity addition, led the Government Of India to assume a leading role in large-
scale power generation as a matter of policy and, through an amendment of the Electricity (Supply) Act,
National Thermal Power Corporation Ltd. (NTPC) and National Hydroelectric Power Corporation Ltd.
(NHPC) were set in the central sector to supplement the efforts of the states. Consequently, total
installed capacity of power utilities has increased from 1,362 MW in 1947 to 1,04918MW in March
2002. Electricity generation, which was only about 4.1 billion units in 1947, has risen to 515 billion units
in 2001-02. As on March 2002, the total installed capacity of utilities stood at 104918 MW. Most of this
installed capacity is under government control nearly 60% of the power generation capacity. Currently,
the central government owns about 30% of the power generation capacity in the country, the majority of
which is in the thermal sector. Of the total installed thermal capacity of 25366.50MW in central sector,
NTPC’s share in 2002 is 20092MW (76.61%).

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1.2 COMPANY PROFILE
1.2.1 “NTPC- A journey towards excellence”

NTPC Limited is the largest thermal power generating company of India. It was incorporated as a public
sector company in 1975, to accelerate power development in the country. At present, the Government of
India holds 89.5 per cent of the total equity shares of the company and FIIs, Domestic Banks, Public and
others hold the balance 10.5 per cent equity shares. Within a span of 30 years, NTPC has emerged as a
truly national power company with power generating facilities in all the major regions of the country
(refer the Map 1). Based on the 1998 data, carried out by Data Monitor, UK, NTPC is the 6th largest
company in terms of thermal power generation and the second most efficient in terms of capacity
utilization amongst the thermal utilities of the world.

1.2.2 STRATEGIC INITIATIVES

NTPC has acquired 44.6% equity stake in Transformers & Electricals Kerala Ltd. (TELK) for
manufacturing of Transformers. As part of globalization initiatives, NTPC plans to construct and operate
thermal power plants in overseas market. NTPC has signed an MOU with Nigeria for supply of LNG.
NTPC in turn shall set & operate 500 MW coal based and 700 MW gas based power plant in Nigeria.
The company has also signed an MOU for setting up of a 500 MW coal based power plant in Sri Lanka.

1.2.3 INTEGRATED POWER MAJOR

NTPC Electricity Supply Company Ltd., (NESCL) formed as a subsidiary company to take up power
distribution activities. NESCL has started the process of implementation of Accelerated Rural
Electrification Programs in West Bengal. NTPC Vidyut Vyapar Nigam Ltd. has been formed as a
subsidiary company for power trading. NVVN transacted business of 2664 MUs in 2006-07. Entered the
coal mining business and has been allotted 8 coal mining blocks.

NTPC has got the approval for Mining Plan of 15 MTPA for its first coal mining project at Pakri
Barwadih. It is the largest ever capacity planned, in the very first phase, in a single mine in the country.

NTPC has also signed a MOU with CIL and SCCL for formation of Joint Ventures to undertake
development, Operation & Maintenance of coal blocks and integrated coal-based power plants.

MOU signed with BEML for joint business development in the field of contract coal mining.
Consortium Comprising NTPC, Canorous and Geo petrol has been allotted an oil exploration block in
Arunachal Pradesh.
MOU signed with Ministry of Railway for setting up power plant of 1000 MW at Nabinagar in Bihar.
Project approved by CCEA. MOU signed with ADB for establishment of power generation of about 500
MW through Renewable Energy Sources.
MOU signed with BHEL for taking up EPC jobs together.
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1.2.4 LIST OF POWER PLANTS OF NTPC

(Table 1)

1.2.4 LIST OF PROJECTS:

PROJECT STATE CAPACITY
(MW)

A. Coal Based

Vindhyachal Madhya Pradesh 3260

Singrauli Uttar Pradesh 2000
Korba Chattisgarh 2100
Ramagundam Andhra Pradesh 2600
Farakka West Bengal 1600
Rihand Uttar Pradesh 2000
Kahalgaon Bihar 840
Dadri Uttar Pradesh 840

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Talcher Kaniha Orissa 3000
Unchahar Uttar Pradesh 1050
Talchar Thermal Orissa 460
Tanda Uttar Pradesh 440
Simhadri Andhra Pradesh 1000
Badarpur Delhi 705

B.Gas Based
Anta Rajasthan 413
Auraiya Uttar Pradesh 652
Kawas Gujarat 645
Dadri Uttar Pradesh 817
Jhanor-Gandhar Gujarat 648
Kayamkulam Kerala 350
Faridabad Haryana 430

C. Joint Venture
Raurkela Orissa 120
Durgapur West Bengal 120
Bhilai Chhatisgarh 74
Ratnagiri Maharastra 740

D. Project Under Construction
Koldam Himachal Pradesh 800
Kahalgaon-Ii Bihar 1500
Sipat-I Chhatisgarh 1980
Sipat-I Chhatisgarh 1000
Barh Bihar 1980
Bhilai Chhatisgarh 500
Kahalgaon-Iii Chhatisgarh 500
Loharinag Pala Uttaranchal 600
Dadri- Uttar Pradesh 490
Farakka- West Bengal 500

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1.3 Strategic Targets of NTPC:

A. To add generating capacity with prescribe time and cost.
B. To operate and maintain power stations at high availability ensuring minimum cost of generation.
C. To maintain the financial operation in accordance with good commercial utility practice.
D. To develop appropriate commercial policy leading to remunerative tariffs and minimum
receivables.
E. To function as a responsible corporate citizen and discharge social responsibility, in respect of
environment protection and rehabilitation.

F. The corporation will strive to utilize the ash produced at its stations to the maximum extent
possible through production of ash bricks buildings materials etc.

G. To adopt appropriate human resources development policy leading to creation of team of
motivated and competent power professionals.

H. To introduce, assimilate and attain self-sufficiency in technology, acquire expertise in utility
management practices and to disseminate knowledge essentially as a contribution to other
constituents of the power sector in the country.

I. To develop Research & Development (R&D) for achieving improved plant reliability.

J. To expand the consultancy operations and to participate in ventures abroad.

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1.4 VINDHYACHAL SUPER THERMAL POWER PROJECT

DETAILS.

Project name : Vindhyachal Super Thermal Power Station

Address : P.O.vindhyanagar-486585,
Distt. Singrauli, Madhya Pradesh

Approved capacity : 3260 MW(Stage-I 260X6MW,Stage-II 500X2MW,
Stage-III 500X2MW)

Coal source : Nigahi, Mines, Dudhichua

Water source : Discharge Canal Of Singrauli
VSTPS Super Thermal Power Station

Beneficiary States : Madhyapradesh, Chattisgarh, Maharashtra, Gujrat,
Goa, Daman & Diu And Dadar Nagar Haveli

Approved investment: Stage-I & II Rs 4053.42 crores,
Stage-III Rs 4201.5 crores

Unit Commissioned : Unit I : 210MW October 1987

Unit I : 500MW July 1988

Unit III : 210MW February 1989

Unit IV : 210MW December 1989

Unit V : 210MW March 1990

Unit VI : 210MW February 1991

Unit VII : 500MW March 1999

Unit VIII: 500MW February 2000

Unit IX : 500MW July 2006

Unit X : 500MW March 2007

International assistance USSR-stage-I
World Bank Under Time Slice Loan Stage-II

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Chapter II
Corporate Social Responsibility at NTPC-VSTPS

15

2.1 Corporate Social Responsibility: Introduction
Before we go on to our project on Corporate Social Responsibility (CSR) undertaken by NTPC, we
would first like to introduce the concept of CSR. So that we have a clear understanding of what is CSR
and its importance and need. This would facilitate in understanding the CSR of NTPC.
All organizations have an impact on the society and the environment through their operations, products
or services, and through their interactions with key stakeholder groups including employees,
customers/clients, suppliers, investors and the local community. This is demonstrated in the diagram
given below.

Now this is where the need for Corporate Social Responsibility (CSR) arises why? Because business has
an impact on the society. So, what is meant by CSR? Why is it important for an organization to
undertake CSR? All this is explained as follows.

2.1.1 Meaning of Corporate Social Responsibility

There is no single commonly accepted notion of Corporate Social Responsibility (CSR). CSR means
many things but it usually centers on the concept of “sustainable development”.
It has been described/defined in many ways:
I. CSR is described as “how business takes account of its economic, social and environmental
impacts in the way it operates – maximizing the benefits and minimizing the downsides”. In other
words, it is about taking responsibility for the impact of our business on all those who are
affected by it.
II. According to World Business Council for Sustainable Development (WBCSD), CSR is “the
continuing commitment by the business to behave ethically and to contribute to economic
development while improving the quality of life of the workforce and their families as well as
local community and society at large”
III. Business for Social Responsibility suggests the idea of CSR relates to business-decision making
linked to ethical values, compliance with legal requirements and respect for people, communities
and the environment, in a manner that meets or exceeds ethical, legal, commercial and public
expectations, that society has of business.

IV. Under these and most other definitions CSR is essentially about what organizations do, how they
do it and the impact of their behavior on the wider society. It focuses on a variety of issues
ranging from actions in the workplace and marketplace to questions such as community
investment, environment impact, business ethics and human rights.

V. Thus CSR can be summed up as follows:
a. -Voluntary activity in excess of legal compliance
b. -Acting in an ethical values
c. -Creating positive working environment for employees
d. --Giving back to the local community and the society at large
e. Minimizing the adverse impact of the operations of the company on the environment.

16

2.1.2 Importance of Corporate Social Responsibility

Every business needs to recognize the impact of its operations on the world. The way they do business
dictates the footprint they leave behind. If they take the time to “maximize the benefits and minimize the
downsides” then they can help to create a better world.
Corporate social responsibility in business isn’t just a do-gooders’ charter or latest example of regulatory
overdrive. It is about creating sustainable businesses through the best possible relationships with their
communities and stakeholders.

The expectations of the traditional stakeholders – shareholders, customers, and employees are increasing
and so, too, is the list of groups wanting to know how an organization is run.

As a result, more and more companies are working harder not only to make a positive impact on society
and the environment through their operations, products or services, but also to demonstrate it to these
groups.

A comprehensive set of policies, practices and programs incorporated throughout a business can increase
productivity, contribute to competitiveness, improve staff recruitment and retention rates and create a
more positive corporate image.

Unfortunately, many companies only use the responsible business approach as a risk management tool.
This limits the benefits that could be achieved through focusing on opportunity rather than risk. Socially
responsible business is not about restricting business growth; it’s about creating new opportunities, the
better way of doing business.

2.1.3 NTPC’s integrated approach towards Corporate Social Responsibility

The concept of Corporate Social Responsibility is deeply ingrained in NTPC.s culture. NTPC's mission
in the area of CSR is to "Be a socially responsible corporate entity with thrust on environment protection,
ash utilization, community development, and energy conservation".

NTPC's approach towards CSR, further articulated in the corporate objectives on sustainable power
development, is as follows::
"To contribute to
1. Sustainable power development by discharging corporate social responsibilities.
2. lead the sector in the areas of resettlement and rehabilitation and environment protection
including effective ash-utilization, peripheral development and energy conservation practices."

For achieving its vision - “To be one of the world’s largest and best power utilities, powering India’s
growth”,

NTPC mission statement on CSR states - “Be a socially responsible corporate entity with thrust on
environment protection, ash utilization, community development, and energy conservation”.

17

NTPC is a member of Global Compact, a UN initiative launched by its Secretary General Mr Kofi
Annan and is committed to adhere to its ten principles in the areas of Human Rights, Labour,
Environment and Anti-corruption.

NTPC is also a member of Corporate Roundtable on Development of Strategies for Environment (Core)
initiated by TERI and confirmed its support for the principles outlined in the Core Sustainability Charter
drawn from International Chamber of Commerce’s Business Charter for Sustainable Development.

NTPC has also adopted the Social Code framed by India Partnership Forum promoted by Confederation
of Indian Industries (CII) and UNDP.

NTPC thus follows the global practice of addressing the CSR issue in an integrated multi-stakeholder
approach covering the environment and social aspects.

The environmental concerns include Environment Impact Assessment, Environment Management Plans,
Ash Utilization, Energy Efficiency, Forestation, Decentralized Distributed Generation and supply of
power, Rain water harvesting, Energy Conservation and adoption of international standards like ISO-
14000. These are administered through specific policy frameworks and dedicated institutional set up like
Environment Engineering Group (EEG), Environmental Management Group (EMG), Ash Utilization
Department (AUD), CENPEEP, SPV-A, Non-conventional Energy Sources Group etc.
Similarly the social concerns include Resettlement & Rehabilitation, Community Development, Safety,
Adoption of International Standards like OHSAS-18000, Social Security for Old Age, Health, Education,
Gender Equality, National Calamity, and special focus on the marginalized section of society during
recruitment etc. These are administered through specific policy framework and dedicated institutional set
up like R&R cell, Safety Department and respective sections of HR Department.

18

2.2 NTPC’s approach towards Community Development

NTPC has been a committed and socially responsible corporate citizen since its inception and
formulated specific guidelines for the welfare of Project Affected persons (PAPs) and community
development in the neighborhood villages around its power stations as early as 1980s. It is one of the
first in the corporate sector to formulate comprehensive resettlement and rehabilitation policy for
addressing the issue of PAPs.

NTPC's fresh impetus on Community Development is reflected through formulation of CSR-CD Policy,
July 04, establishing NTPC foundation as a trust and initiating scheme for economic self reliance of
physically challenged persons (PCP).

Most of NTPC stations are located in remote rural areas which are socio-economically backward and
deficient in the basic civic amenities. NTPC, as responsible corporate citizen has been addressing the
issue of community development in the neighborhood area of its stations, which had been impacted due
to establishment of the project. This is administered primarily as part of resettlement and rehabilitation
effort.

NTPC has now expanded it horizon and social vision to make its impact felt at national level by
addressing the following niche domains of socio-economic issues at national level through establishing
NTPC Foundation.

I. To promote DDGS through covering the initial risks like cost of feasibility studies for the
entrepreneur/ local communities
II. To facilitate economic self- reliance of physically challenged persons, through establishing a
development centre for physically challenged persons as national resource and development
centre
III. To organize conservation of the national monuments and cultural heritage sites on selective basis
IV. To provide relief and assistance during national calamities etc
V. To facilitate unemployed people in and around the new projects/ old stations in self-employment
through co-operatives / self-help groups
VI. Any other program/ activity as deemed appropriate by the Foundation.

NTPC also recognizes that generation of power is key to development, particularly in the remote and
far-flung places where the power is either not available or is in acute shortage. The decentralized
distributed generation and supply (DDGS) of power could be a plausible solution though it involves
initial risk while formulating the project proposal. NTPC has the wherewithal of providing requisite
technical support, formulating the project proposal and establishing the feasibility of DDGS on the
specific request of an entrepreneur. Yet additional resources will be required to provide risk cover during
the formulation of project proposal and establishing feasibility

NTPC recognizes that in the changing environment of liberalization and globalization, the job
opportunities are getting restricted. Thus, in future, the opportunities will depend on the entrepreneur
skills and attitude of the individuals. This is more applicable to the section of disabled persons. Hence
development of entrepreneurship among disabled persons is key issue for promoting economic self-
reliance. Further, additional resources and support will be needed to fructify the entrepreneurship of this
marginalized section of society.

19

NTPC also recognizes the need for conserving national monuments and cultural heritage sites and
providing relief in case of national calamities.

The program of facilitating the unemployed people in and around the new projects / old operating
stations, in self-employment through co-operatives / self-help groups may be considered under the
national programmes. The programs may include provisions for the enabling mechanism such as
backward linkage like tying up the input resources and forward linkage like marketing etc. Similar
program may also be included in unit level community development program.

NTPC proposes to fill this gap through its community development policy at national level by addressing
the issue of promoting economic self reliance among the physically challenged persons, covering initial
risk at the feasibility study stage for the decentralized distributed generation of power, supporting
conservation of national monuments and cultural heritage sites, providing relief during national
calamities and any other program as deemed appropriate by the Foundation.

2.3 CSR CD Program at National Level:
NTPC will establish a foundation under Indian Trust Act 1882 for addressing the niche domains of
social development at national level through strategic interventions. The NTPC Foundation will provide
greater focus on identified issues of concern, create partnership with various stakeholders, receive funds
from national and international agencies etc. The Foundation will be the nodal agency for implementing
the national level programs as per the CSR-CD policy of NTPC.

The following niche domains of socio-economic development will be covered by the NTPC foundation.
• To promote DDGS through covering the initial risks like cost of feasibility studies for the
entrepreneur/ local communities
• To facilitate economic self- reliance of physically challenged persons, through establishing a
development centre for physically challenged persons as national resource and development centre
• To organize conservation of the national monuments and cultural heritage sites on selective basis
• To provide relief and assistance during national calamities etc
• To facilitate unemployed people in and around the new projects/ old stations in self-employment
through co-operatives / self-help groups
• Any other program/ activity related to social up liftmen as deemed appropriate by he Foundation.

20

2.4 CSR-CD Program at Operating Station:

This part of policy addresses the issue of 'Community Development' in the neighborhood area of
operating stations where the same have been completed and closed as per the R&R policy of NTPC. The
operating stations include the take over stations. The policy will also be applicable to NTPC managed
stations for which the funds will be provided under the station expenses.

2.4.1 Aims and Objectives

To undertake community development in the neighborhood area of operating stations with particular
focus on women, children, disabled persons and aged persons.

To create appropriate partnership with the concerned stakeholders for the effective delivery of
community development programs through consultation and participation.

To explore and work in various domains of community development such as Health, Education,
Drinking Water, peripheral development etc.

2.4.2 Programs covered under unit level CSR-CD

Since, NTPC’s operating stations are located all over India under varying socio-economic condition, the
community development programs have to be identified and formulated based on the specific needs and
requirement of the particular site. The suggestive list of the programs which could be considered by the
operating stations while formulating the annual plans is given below.

I. Education

To organize Skill Development / Vocational Training and other training programs to improve the skills
and employability of the people, or for enabling people to start IGS. It will include sponsoring people for
vocational training, ITI training, computer training etc.

Scholarships for the selected local children for studying in schools in NTPC township equivalent to fees
charged by schools. Preference may be given to girl child. Supply of Study material like bags, books,
stationary etc. Implementation of Quality Circle and 5S in schools, villages, panchayats.

II. Health
To conduct Health surveys, identification of Health concern, awareness campaigns, publicity printed
material / films etc.
To organize regular immunization program for children and medical checkup in schools.
To organize regular Health camps like family planning, medical checkup for eye and heart etc. with
particular focus on women, children, disabled persons and old age persons.

21

III. Peripheral Development
To augment basic infrastructure facilities like area electrification, community centre, panchayat ghar,
water drains, roads etc. as per the need and requirement of local administration based on the need
assessment survey to be carried out by the NTPC.

To facilitate the creation / up gradation of community Health / educational facilities in partnership with
the concerned government agencies and the local community. Priority may be given to those schools /
primary Health centre which are operating but do not have facilities like building, equipments etc.

The programs for providing community infrastructure will be on the basis of bearing one time capital
cost for creating such infrastructure and on the basis of written assurance that the operational and
maintenance cost of such infrastructure will be borne by the concerned stakeholder like the Government
Department / Agency or the Panchayat/ local authority or the community based organizations/ non
governmental organizations etc.

IV. Others
To promote rural sports and organize annual sports meet etc. in the villages by providing the equipments
and other facilities. Each station will compulsorily identify a specific day/ week for organizing annual
rural sports meet.

A. Sponsoring deserving local sportsman for training and development at national
sports institutes.
B. To organize Veterinary camp for the cattle stock.
C. To promote community plantation and forestry programs.

To facilitate the unemployed people in and around the new projects / old operating stations, in self-
employment through co-operatives / self-help groups. The program may include provisions for the
enabling mechanism such as backward linkage like tying up the input resources and forward linkage like
marketing etc.

In addition, any other program will be considered under this policy as deemed appropriate by the Head
of the Station.

22

Chapter III
Introduction of the Topic

23

3.1 Introduction

Health is the creative process - creative in the sense of overcoming the constraints - of ensuring the
survival, growth and accomplishing well being. Health conceived as physical, mental and social well
being by World Health Organization (WHO) is true at the outcome level. For humans, this Health
process is considered as a bio-psycho-social process. Evolution of Health care system in every parts of
the world, though in different forms, can be an evidence of the social process of Health.

3.1.1 Importance

Right to life is considered one of the fundamental rights, and Health is one of the vital indicators
reflecting quality of human life. In this context, it becomes one of the primary responsibilities of the state
to provide Health care services to all its citizens. India, despite being a signatory to the Alma Ata
Declaration of 1978, which promised ‘Health for All’ by 2000, is far from realizing this objective. On
paper, India has an excellent Health care structure that has the potential to reach a large section of the
population. Yet, despite this elaborate structure and the rapid advancement of medical sciences, the
reality is deplorable. The percentage of population actually covered by the public Health care services is
reportedly a mere 30 per cent. Although programmes are being constantly reviewed and revised, the
problems persist and continue to worsen.

3.2 Health Policies & Programmes in India

3.2.1 Introduction

A brief review of the government policies and programmes over the last 63 years is a reflection of how
the Healthcare system responds to Health Since independence, several policies and programmatic
interventions have been formulated to meet the Health needs of people in the country. Besides, the
specific policies that were initiated, the five-year plans, are a statement of the sectoral policies and
programmes introduced by the Government of India. The progress of the five year plans, from the first
introduced in 1951-56 to the eleventh five year plan (2007-12), are indicative of the shifts in the
government’s priorities and commitment vis-à-vis specific Health issues The Ministry of Health and
Family Welfare (MOFHW) comprises of the Department of Health, Department of Family Welfare and
the Department of Indian System of Medicine and Homeopathy.

In addition to general Health services provided by MOHFW, specific Health and nutritional needs of
women are provided through the Integrated Child Development Services (ICDS) Programme under the
Ministry of Human Resources Development and newly formed Ministry of Women and Child
Development, that was only a department under the MOHFW till 2005.

3.2.2 Present status

Access to Healthcare is becoming increasingly difficult for a growing number of people because of the
continued apathy of the government to recognize Health and Healthcare as a national priority, along with
the legitimization of an unregulated private sector. Firstly, access to Healthcare is affected by physical,
financial and socio-cultural factors. Further, access to services has to be seen in terms of its coverage,

24

availability of diagnostic facilities, medicines, surgical care and quality. However, cost of care is an
important factor that severely affects access to quality Health care services. In resource-scarce countries
like India, where 27% of the population lies below poverty line, cost becomes a very important issue
while accessing quality.

Geographical distance very often poses as the primary barrier to access Health care. In a large country
like India, people who live in remote areas, where there is either no or very poor transportation facilities,
cannot even reach the nearest public Health structure, and hence remain perpetually out of reach of the
Health system. Geographical distance becomes more crucial during the periods of epidemics, especially
in the tribal areas, and contributes towards the higher mortality. It becomes more crucial for pregnant
women living in remote areas to access Health facilities, which results in high maternal and infant
mortality.

Inaccessibility to Health care centres, absence of Health staff, deplorable sanitary conditions in the
Health centres and lack of drugs are a common feature in our country. There continue to exist gross
disparities in the access to Healthcare.
.

3.3 The study

a) Study Area
Address: NTPC LTD.,
VSTPS
P.O. Vindhyanagar, District: Singrauli (M.P.)-486885
Telephone 07805-247744/247928/247468
Location Vindhyachal, District Singrauli (Madhya Pradesh)
Nearest railway station Singrauli

Vindhyachal Super Thermal Power Station (VSTPS) has the distinctive identity of being the largest
thermal based power station in India. It is situated in the Singrauli district of Madhya Pradesh state in
India. The existing study focuses on the measures to transform the existing Health system of Vindhya
Nagar and 14 nearby villages that comes under the periphery of NTPC-VSTPP-CSR policy.

S.No. Villages
01. TELGAWAN 14. BANAULI
02. JAINAGAR 15. AMHARA
03. JUWADI 16. DHATURA
04. GAHILGARH (E) 17. JHARA
05. GAHILGARH (W) 18. KARAUNTI
06. CHANDAWAL 19. KAM
07. DHOTI 20. MADA
08. HARRAI (E) 21. PIPRAJHANPI
09. HARRAI (W) 22. PIPRA
10. NAVJEEVAN VIHAR, SEC: I 23. TELAI
11. NAVJEEVAN VIHAR, SEC: II 24. TIYARA
12. NAVJEEVAN VIHAR SEC: III 25. AYODHYA BASTI WAIDHAN
13. NAVJEEVAN VIHAR SEC: IV 26. WAIDHAN

25

The study expects to bring positive changes in the Health condition of villagers in the long term. A
detailed explanation of the objectives of the study are given in details in chapter IV .

26

Chapter IV
Research Methodology

27

4.1Objective of the study
The essence of the research study is to suggest various measures that can bring positive change in health
related issues of the people living within VSTPS periphery. It also includes processes and action model
on how to make the public Health related activities of CSR more realistic yet effective for those who are
directly affected by it. Another objective was to provide various processes and action models on how to
make the public Health services more meaningful and effective within the periphery of VSTPS through
CSR.

Another important dimension of the study was to explore the underlying attitudes, beliefs and
assumptions of NTPC with regard to social, ethical and environmental issues and to investigate what
actions have been taken by the enterprise in pursuit of a more socially responsible approach.

The process incorporating the objective of study is as follows.

1. To identify the present Health status of nearby villages by using--
A. Annual Census Reports of NTPC Hospital
B. Base line survey of all 14 villages conducted by TERI
C. Data available at various state govt. website, past researches and reports in the similar subject

2. To enlist various initiatives of VSTPS-CSR in Health related issues during the span of 2006-2010

3. To analyze the Impact and sufficiency of these initiatives with the help of
A. Social Impact Evaluation studies conducted by XIDAS
B. Individual feedback from people residing in nearby villages by using a standard set of questions
in the form of questionnaire,

4. To analyze the findings of the reports and surveys for identifying the gaps that exists between present
status and preferred status of Health in Vindhya Nagar and nearby areas.

5. Suggestions and Recommendations for improving the status quo

28

4.2 Research Method

Type of Data: - Both Primary & Secondary data has been used for the project. However, Secondary
data has formed the basis of the study as it have been used more, but wherever need felt for new
information that was not available through the use of secondary data, data have been collected and used
in primary form after minor modification

4.2.1 Data Collection Method

Population Size: The total size of the population is estimated at 30000 spread over 26 villages. The
total no. of PaP’s are 5757.

Sample Size: - The need of collecting primary data through questionnaire was not felt much as two
reputed research firm (i.e. XIDAS and TERI) had been doing the similar kind of work for NTPC-
VSTPS.
In the report of XIDAS a total sample size of 603 were taken as a 10% of total population of PaP.
However to cross check the reports and to gather some additional information a sample size of 190
were identified and chosen from the villages. The results were almost similar to the report submitted
by XIDAS and therefore further analysis were not performed.

Data Source:-
The sources of data collected are:

1. Primary:-
A. Visiting Navjeevan Vihar Colony and other villages within NTPC-VSTPS periphery.
B. Communication with various resource persons such as Parshads’, Collectors Office, NTPC
Hospital Staff.
C. Base line survey and social impact evaluation report submitted by XIDAS (Xavier’s Institute of
Development And Science), Jabalpur in the year 2010.
D. Need identification survey report submitted by TERI (The Energy and Research Institute) , New
Delhi in the year 2010.

2. Secondary:-
A. Internet
B. Company’s Intranet
C. Through websites of MP state govt, NHRM etc
D. Magazines,
E. Reports, journals, etc.
F. Newspapers &
G. The concerned source.
H. Questionnaire based data collected for similar purpose by other parties.

29

4.3 Limitation of the study

Limit is fence that comes everywhere .It has been found in my project also, at places where it could not
be ignored.
a. Smaller sample size as only 90 responses has been taken in account, and as per the
statistical theories the minimum sample should be more than 300 for the population of
25000 or more. However the need of collecting primary data through questionnaire was
not felt much as Two reputed research firm have been doing the similar kind of work for
NTPC-VSTPS
b. Various statistical methods such as hypothesis testing, z test etc. have not been used.
c. Some factors such as age, gender and experience of the respondents have not been
directly taken in account, although some interpretation of this has been provide in the
analysis.
d. It was very difficult to collect data from the villages.
e. A limited span of time.

30

Chapter V
Data Analysis & Interpretation

31

5.1 Existing status of Health in Vindhya Nagar and nearby areas
Various methods are used to find out the existing status of Health of villages that comes within the
periphery of NTPC- VSTPS. Some of the major sources of information are as follows.

5.1.1 Annual Census Reports of NTPC Hospital

(Table 4.1)
From the table (4.1) it is clear that the status of Health in nearby village is not satisfactory specially in
case of institutional deliveries as only 123 institutional deliveries have been registered in the year 2009-
2010 for a total population of more than 30000 people living in vindhya nagar and nearby areas.

32

5.1.2 Base line survey of all 14 villages conducted by TERI

TERI (The Research and Energy Institute) was formally established in 1974 with the purpose of tackling
and dealing with the immense and acute problems that mankind is likely to face within in the years
ahead. Given below is data taken from the need identification study of TERI performed in the year 2010
for some of the major plants of NTPC.

Vindhyachal Health (sub-center/PHC)
Visit by Doctor/Para-medical Weekly medical camps for Emergency and Ambulance
Staff (if sub-centre/PHC is medicine distribution & services (if sub-centre/PHC is
far away) injection administration (if far away)
sub-centre/PHC is far away)
Navjeevan Vihar I Provision of sub-centre in the Weekly visit by Doctors and Extension of Janani Express &
village (building do exist) daily visit by ANM to the 108 Ambulance Facility
village
Navjeevan Vihar II Provision of sub-centre in the Weekly/ quaterly visit by Extension of Janani Express &
village Doctors and daily visit by 108 Ambulance Facility
ANM to the village
Navjeevan Vihar III Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
Anganwadi Centre in the needs to include visit by 108 Ambulance Facility
village Specialists & Regularization
of ANM service
Navjeevan Vihar IV Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Tilangwan Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Juwari Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
village (Building exist) Specialists & Regularization
of ANM service
Jainagar Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
village (Building exist) Specialists & Regularization
of ANM service
Harai West Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Harai East Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Ghailgarh East Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service

33

Ghailgarh West Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Dhouti Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Chandawal Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service
Banaouli Provision of sub-centre and Present intervention by NTPC Extension of Janani Express &
of ANM service

From the base line survey it is quite clear that there is an urgent need of establishing a basic yet self
sustainable health structure in the form of PHC and community involvement at village.

34

5.1.3 Data available at various state govt. website, past researches and reports in the
similar subject.

Various state and central govt website were a major source of information in the need identification of
Health related issues of the nearby villages.

The selected area in the above diagram represents Singrauli district. From the table it can be easily
interpreted that Singrauli is the one of the area that has the least number of primary Health center in the
country.

35

source-
International institute for population sciences ,Deemed University) ,Mumbai
IIPS (International Institute for Population Sciences). 1995. National Family Health
Survey (MCH and Family Planning): Madhya Pradesh. Bombay: IIPS.

The table shows the poor condition of Health and its various parameters in the Singrauli area.

36

i) The percentage of vaccination in the areas is of less than 30 percent.
ii) The rate of institutionalized deliveries is less than 30 percent.
iii) The rate of vaccination among mothers is less than 45 percent.
iv) The rate of using preventive methods of family planning stood at less than 45 percent

Table IV: Health Infrastructure of Madhya Pradesh

Particulars Required In position shortfall
Sub-centre 10402 8834 1568
Primary Health Centre 1670 1149 521
Community Health Centre 417 270 147
Multipurpose worker (Female)/ANM at Sub 9983 8718 1265
Centres & PHCs
Health Worker (Male) MPW(M) at Sub Centres 8834 4030 4804
Health Assistant (Female)/LHV at PHCs 1149 741 408
Health Assistant (Male) at PHCs 1149 495 654
Doctor at PHCs 1149 1042 107
Obstetricians & Gynaecologists at CHCs 270 53 217
Physicians at CHCs 270 51 219
Paediatricians at CHCs 270 66 204
Total specialists at CHCs 1080 220 860
Radiographers 270 162 108
Pharmacist 1419 603 816
Laboratory Technicians 1419 491 928
Nurse/Midwife 3039 901 2138

(Source: RHS Bulletin, March 2008, M/O Health & F.W., GOI)

The table indicates the clear shortfall of Health measures undertaken by govt of Madhya Pradesh at
Singrauli district.

There is only one civil hospital for people living in nearby villages of VSTPS plant such as waidhan
civil hospital is situated at 5 km distance to VSTPS plant and has only 60 bed that is not sufficient to
meet the ever increasing Health related requirement of people residing there.

37

Tha table shows a higher percentage of delivery still takes place either at own or at maternal home where
even the basic tools are not available for safe delivery. Most of the time the so called “Dai” performs the
delivery without having any basic knowledge of the process. It increases the morbidity rate among the
pregnant women. Sometimes the new born baby and the mother get caught by diseases due to unhygienic
conditions at birth.

38

5.2 Initiatives of VSTPS-CSR in Health related issues during the span of
2006-2010.

SN ACTIVITIES NO. of BUDGET
BENEFICIARIES UTILIZED
1 Health check ups and medicine 10000 10.00
distribution
2 Health awareness camps 10000 2.00

3 Eye camps 1000 5.00

4 Malaria awareness and treatment camps 2000 2.00

5 Fund provided to State Govt. for Mal 1000 2.00
Nutrition children Medical Camps
6 Others 20000 10.00

7 Infrastructural expenditure 30000 20.00

Total 51.00
( approximately)

Aftereffects

SN INDICATORS PRE SURVEY POST SURVEY
YEAR 2005 YEAR 2008
1 Infant Mortality Rate 5.57 4.71

2 Maternal Mortality Rate 3.79 3.29

3 Under 5 Mortality Rate 7.14 6.50

4 No. of Cases of -

Measles 9.29 8.43

39

TB 3.93 3.43

Polio 0 0

Malaria 90.29 57.85

5 Birth Rate 9.42 8.36

6 Death Rate 5.78 4.57

The above table shows that NTPC-CSR has done a considerable work for the improvement of health
related issues in the locality. This is also proved through various studies and surveys conducted within
the periphery through agencies such as XIDAS and TERI.

However a considerable scope of work is still there in the similar field. VSTPS has various ambitious
plans to improve the status quo. To improve the situation VSTPS-CSR has made a Five Year Action
Plan. The plan includes establishment of a basic health structure within the locality so that the basic
health related needs of the villagers gets satisfied.

40

5.3 Analyses of the Impact and sufficiency of NTPC-CSR initiatives

5.3.1 Social Impact Evaluation studies conducted by XIDAS.

A. Introduction
Xavier Institute of Development Action and Studies (XIDAS), Jabalpur, was invited by NTPC,
Vindhyachal (Ref. Letter No. VSTPS/R&R/)Vindhayachal (Ref. Letter No. 060/CC/8611-762/487/344
dated 03.03.2009) for the study of “Social Impact Evaluation of Vindhyachal Super Thermal Power
Project” in the adjacent Wards/villages, viz., Telgawan, Jainagar, Juwadi, Gahilgarh (E), Gahilgarh (W),
Chandawal, Dhoti, Harrai (E), Harrai (W), Navjeevan Vihar Sec: I, Navjeevan Vihar Sec: II, Navjeevan
Vihar Sec: III, Navjeevan Vihar Sec: Iv Banauli. Subsequently, a Letter of Award (Ref. 8611-762-3246
dated 28.02.2009), and later VSTPS NTPC Ltd. requested for 14 more villages i.e. Sarsawalal, Matwai,
Amhara, Dhatura, Jarha, Karaunti, Kam, Mada, Piprajhanpi, Pipra, Telai, Tiyara, Ayodhya Basti
Waidhan and Waidhan.

B. Findings

BROAD VIEW OF OVERALL ASSESSMENT IN DIFFERENT AREAS

Ratings Broad Areas and determination of the respondent
Education Health VT Disability Sports Agriculture Livestock
Excellent 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)

Very 0 (0%) 0 (0%) 2 (2.5%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
Good
Good 31 0 (0%) 11 4 (5%) 43 0 (0%) 0 (0%)
(38.75 %) (13.75%) (53.75%)
Average 36 (45 %) 29 32 (40%) 35 31 40 (50%) 48 (60%)
(36.25%) (43.75%) (38.75%)
Poor 13 51 35 41 6 (7.5%) 40 (50%) 32 (40%)
(16.25 %) (63.75%) (43.75%) (51.25%)
N= 80 (100 %) 80 80 80 80 80 (100 %) 80
(100 %) (100 %) (100 %) (100 %) (100 %)

41

i). Post Mortem Room - The Post mortem room
(Mada) made by the station is
in good condition, yet
it is not in use as there
is no availability of
doctors or
compounder in that
remote place (which is
40 Km. away from
Waidhan). The post
mortem cases come to
Waidhan because of
the availability of the
resources in Waidhan.
ii). Health Awareness Camp The Health awareness Good will of NTPC
(Navjeevan VihaR r&r Colony) camps have helped the through CSR
people in the Activities has
community to meet increased among the
their small Health care people in the
necessity / treatments. community

iii). Health check ups and medicine The Health check ups Good will of NTPC
distribution and medicine through CSR
(Piprajhanpi) distribution have been Activities has
useful in providing the increased among the
people to get good people in the
medical assistance. community
iv) Medical Camp The Health check ups Good will of NTPC
(Telai) and medicine through CSR
distribution have been Activities has
useful in providing the increased among the
people to get good people in the
medical assistance. community

v). Dispensary Room Initially the room was The dispensary which
(Dhatura) used during the Pulse was made by the
Polio Programme station was not built
properly the material
used for the building is
not up to the mark the
cracks on the wall
suggests that it is not in
a position to be used
for medical purpose so
it has a limited impact.

vi). Eye Camp 05-06 Completed Yes the There can be provision of free

42

participants could distribution of spectacles etc
avail a good eye by having a convergence with
check up facility organizations like Red Cross,
Rotary Club etc
Malaria Camp 05-06 Completed The level of Awareness about cleanliness
at Chitrangi awareness and sanitation can be provided,
pertaining to mosquito nets at cheaper rate
Malaria among the or subsidized rate can be
participants have provided
increased
Fund provided 05-06 Completed Highly Sustainable Awareness class for ANC &
to State Govt. as this has helped PNC women can be conducted
for Mal the state and those women can be linked
Nutrition government to to Balwadis ( ECCEC) for
children fight Mal Nutrition Nutrition care
Medical Camps

Health check 05-06 Completed Around 1100 Annual such camps can be
ups in the people benefited conducted for the people in
nearby villages out of these camps. the nearby villages
as per need The quality of life
assessed N.A.S. of these people and
( NJV & their vulnerability
nearby villages) to diseases has
a) Health decreased.
check ups 1.00
lac
b) Family
planning 3.00
lac
c) Eye
camp 5.00 lac
Treatment to
PAP 2.28
Vocational 05-06 Completed The results are Some more new programmes
Trainings sustainable as can be introduce like beauty
Sewing & Three Women parlor courses, ANM courses,
Stiching classes from these sources Jewelry making, in order to
to rural have become micro have variety of things for the
women. (NJV entrepreneurs and community to choose for their
& nearby are earning their livelihood.
villages) livelihood by
stitching

Health check 05-06 Completed The results have There should be convergence
ups camp and been sustainable in with private NGOs and civil
medicine terms of increased society organizations to
distribution. awareness about he organize such camps. This will
(Ayodhya Basti issues of Health also help people to have
43

Waidhan) and hygiene. The accessibility to low price / free
people have learnt medicines.
about protection
from diseases like
Malaria, dengue,
dysentery etc
Post Mortem 06-07 Completed The structure is in The room is still unused.
Room good shape and it Maintenance is needed every
(Mada) can be used for any year; such structure is not
medical purpose, needed in such a remote place.
this room is made
for post mortem,
yet it is unused.
Health 05-06 Completed The results have There should be convergence
Awareness been sustainable in with private NGOs and civil
Camp terms of increased society organizations to
(Navjeevan awareness about he organize such camps. This will
Vihar R&R issues of Health also help people to have
Colony) and hygiene. The accessibility to low price / free
about protection
from diseases like
Malaria, dengue,
dysentery etc
Health check 05-06 Completed - There should be convergence
ups and with private NGOs and civil
medicine society organizations to
distribution organize such camps. This will
(Piprajhanpi) also help people to have
accessibility to low price / free
medicines
Medical Camp 07-08 Completed The results have There should be convergence
(Telai) been sustainable in with private NGOs and civil
terms of increased society organizations to
awareness about he organize such camps. This will
issues of Health also help people to have
and hygiene. The accessibility to low price / free
about protection
from diseases like
Malaria, dengue,
dysentery etc

44

5.4 Individual feedback from people residing in nearby villages (by using
a standard set of questions) in the form of questionnaire.

The need was felt that the actual perception of the villagers should be taken in to account for the study.
The need was also encouraged by the fact that many villagers were complaining about the services
provided by VSTPS to them. The sample size is kept small as the major purpose was to find out that the
efforts of NTPC is really bringing some changes in the life of those affected by it. Another objective was
to identify whether the quantum of benefits received by the needy is equal to the quantum of help
provided by VSTPS. A total of 10 respondents were selected on random basis in a village and a total of
19 villages were covered. The questionnaire was formed in bilingual format i.e. Hindi and English.

45

5.4.1. Work done by NTPC-CSR has helped you in resolving health related issues
such as vaccination, treatment of common diseases etc.

Interpretation

Mixed reaction has been received during the process of data collection . many respondents feels that a
considerable number of work has been performed by CSR official, however a majority of people feels
that there is lot to be done by NTPC-CSR for the improvement in existing condition of people residing in
rehabiliation colony. This statement also reveals the need to improve the distribution and monitoring
network of health related services at VSTPS, as the management is spending a large amount on the same
and the result is not up to the mark. However NTPC has its own restriction as most of the village comes
under the work perview of municipal corporation of state.

46

5.4.2. Does NTPC pays proper attention toward prevention of spreading of diseases
by making neighboring villages hygienic.

Interpretation

NTPC does a considerable work in prevention of diseases by measures such as fogging and spraying for
larvacidal treatment in rehabilitation colonies, awareness camp, health checkup etc but during data
collection process many respondents revealed that they are highly dissatisfied with the kind of facility
given to villagers living in rehabilitation society. Many of them still feels that NTPC has given luxurious
facilities only for the society people and not for Poor villagers or local people who has given their
valuable land to NTPC.

47

5.4.3. NTPC has given adequate medical facilities to pollution affected people.

Interpretation

Almost all the respondents agrees that VSTPS does a major work in providing health related services to
PaP’s but they also feels that it should be more responsible in their approach toward pollution affecting
peoples as many villagers are suffering with diseases because of fly ash and increased pollution. They
say that they should be given the similar kind of benefit than that of NTPC employees as they are also
getting affected in the similar manner. A separate hospital for rehabilitated villagers should be opened
where they could get the better treatment at free of cost. Another suggestion received by them is that
number of Health camp should be increased under NTPC-CSR activities.

A majority of respondents agrees that the concession is given to poor on treatment whenever the need
arises. However a major complaint that we have received is that the quantity of concession received is
very less as compared to the need for eg. the help is given to PAPs of stage 1 only and the people who
lost their land in other stages are not treated properly. Concession is given only to employees and
rehabilitated people treatment and their family only, not for villagers or poor people.

48

5.4.4. Health checkup is performed at proper interval and in sufficient number.

Interpretation

Majority of people are satisfied with the kind of efforts NTPC-CSR is putting in organizing various
Health camps such as eye camp, family planning camp etc. however many respondents feels that as the
overall population of the nearby villages has increased by a considerable number, the frequency of these
camp should be increases to cope up with the needs present population. Another major suggestion
received by villagers is that emphasis should be given

49

5.5 Analysis of findings of various Reports

A considerable number of issues have emerged from the need based study of nearby villages of NTPC-
VSTPP. Many of them are having little importance and can be resolved with the active efforts of CSR
official; however there are a number of factors that are having a considerable impact on the efforts of
NTPC for improving the status quo of the nearby villages. Some of them that are more relevant for the
study are as follows.

1) Non availability of basic infrastructure required for providing basic Health facility, such as
building for PHC, SHC Anganwadi, medical equipment, 108 facilities or private Ambulance,
Trained ANM, ASHA workers, qualified doctors, nurses etc.

2) Lack of Awareness of various Health related schemes of government and its benefit in monetary
and non monetary terms. Some of the schemes are as follows
A. NHRM
B. Janani Suraksha Yojana
C. Family Planning Incentives from central and state government,

3) Over dependence on NTPC for Health related problems
A common perception is been felt in the resettlement colonies and in nearby areas that people
have extremely high expectation from NTPC, be it Health, education, sanitation, road or any
other area. It makes the work of NTPC management even more challenging and responsible
as they have to cater the need of its employees as well as ever increasing demands of
rehabilitees.

4) Non availability of credible NGO’s in the Singrauli region that can come and participate with
NTPC in its CSR initiatives.
This problem has emerged as a major challenge for NTPC-CSR as they do not have any
reliable counterparts who can take up the work of continuous monitoring, operating and
maintenance of the same. Many times it is not possible for CSR officials of NTPC to go and
monitor the existing activities on daily basis as they have to take care of number of similar
activities that requires equal span of time. It makes the process of improvement
comparatively slow and less effective.

5) Lack of qualified and self motivated people that can take up the responsibility of monitoring and
can generate awareness among villagers.
All the nearby areas has a literacy rate that range from average to low, however there is a
considerable number of educated people who has completed their class XII and pursuing
further studies, there is even higher rate of people who are doing nothing considerable
after completing XII. But a majority of these people are not interested in taking up part
in social causes, when CSR dept invites them to take part in various trainings provided
by NTPC-CSR for enabling them to contribute something for their own society; a very
low attendance is recorded in the same.

6) Lack of community participation.

50

As a CSR-CD policy of NTPC no provision has been made for operation and maintenance of
infrastructure created under CSR dept. the underlying belief for not doing so is that community
participation should be there and they should be responsible for the regular maintenance and
monitoring. In the absence of it the process of improvement in the quality if living of affected
people gets delayed. It also adversely impact the future plans of CSR in the area as a minimum
support from people for any activity is required that is found missing

7) The public hospitals do not provide the majority of medicines on one hand, and the doctors do not
prescribe the medicines that the hospitals do provide on the other. The provision of low cost pharmacy,
which is feasible and practical, is even denied to the patients. Patients are ultimately left to the devices of
the private pharmaceutical sector that charge exorbitant prices. Access is inadequate even in the sphere of
diagnostic services. In spite of having well-equipped laboratories, medical colleges support a large
industry of private laboratories, often with close links to the hospital personnel. There exists a symbiotic
relationship between the private and the public sector, as the private diagnostic centres fulfils the demand
created by the public hospitals. This situation gets justified in the name of non-functioning and poor
supply of equipments in the medical colleges

8) Quality is achieved when accessible services are provided in an efficient, cost effective, acceptable
manner, and when needs and expectations of patients and consumers are met . Numerous experiences
show that wherever good public. Health services are available and functional, they are definitely
accessed and used by people, especially the poor. The problem generally is non-availability and poor
quality of services. Patients are frequently dissatisfied with the quality of government services they
receive, for reasons that include inconvenient OPD hours, high cost of services, drugs and tests, staff
shortages, and lack of supplies and diagnostic techniques. Modern diagnostic techniques, such as blood
sugar estimation by glucometer, pregnancy test by urinary HCG, use of nebulizer to administer a
bronchodilator in acute bronchial, etc. need to be made available at the PHC level, even if it means
higher costs.

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5.6 Identification of the Health related needs of the villagers residing in
nearby villages
Many factors have formed the basis of identification of Health related needs .some of them are as
follows.
I. Base line survey conducted by TERI
II. Social Impact Evaluation studies conducted by XIDAS
III. Letters and requests received from the officials of Nagar Nigam, Collectorate’s office and office
of the Mayor of Singrauli
IV. Individual feedback received by various Parshads in VDAC meetings
V. Feedback received from people residing in nearby villages by using a standard set of questions in
the form of questionnaire.
VI. Data collected on the basis of reports and surveys of ministries on the similar subjects.

Need of the villagers identified on the basis of above analysis in nearby areas are as follows.

1. A Primary Health Center in Navjeevan Vihar sector-2.
2. Anganwadi in each village
3. Sub Health center in each village
4. Regular medical checkup- weekly visit by doctors and regular visit by ANM on alternate days of
week.
a. Vaccination (except polio) of infants and the pre-natal and lactating mothers is not done
regularly. Regular administration of vacancies to the mothers and babies through
temporary Health camps or through visit of doctors or Health workers is urgently needed

5. Ambulance facility- Janani Suraksha Yojana
a. Provision of emergency services in NTPC hospital and linking with the surrounding
villages through ambulance and mobile van is required

6. Training to women to enable them to perform the basic functions of an ASHA worker, it includes
providing knowledge related to the concept of ASHA worker, its importance, Basic work
structure of the overall Health System of State and District and how the ASHA workers are
related to it. Available incentives to them etc.

7. ANM training to educated youth
8. Awareness program related to Janani Suraksha Yojana, NHRM, Family Planning Incentives from
central and state government,
9. Community participation and involvement

a. A corpus fund may be instituted to provide free medicines and vaccines to the BPL
families and in the longer term a sub center with necessary medical facility can be opened
in the villages.
10. Developing a basic system of diagnostic and laboratory tests and checkups by establishing two-
three laboratories in the nearby areas.

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Chapter VI
Conclusion & Recommendations

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6.1 Conclusion:

The study has revealed that Corporate Social Responsibility is an important issue within the NTPC and it
is demonstrating a socially responsible behavior by being engaged in a variety of socially responsible
actions.
The study reveals that various programs/works have been initiated by the VSTPS-CSR in the form of
Infrastructural development, Health checkups, preventive methods, Awareness camps etc. to improve the
quality of living of PAPs and people living within the periphery of VSTPS area.

The findings of various reports and analysis also reveals the urgent need of developing a basic structure
in the form of Anganwadi Kendra, sub health centers, primary health centers etc to accommodate the
increasing population and their health related needs. It also suggests developing a system to improve the
performance in the field of diagnostic and laboratory tests. It will help in reducing the time required in
getting the final report after the test is taken. It will also help in reducing the cost of basic test and thus,
bringing it within a common man’s reach.

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6.2 Recommendations

Since business organizations are of different sizes there is no one-size-fits-all method for implementing a
CSR approach: each firm has unique characteristics and circumstances that affects how it views its social
responsibilities and also its awareness of CSR issues and how much work it has already done towards
implementing a CSR approach.

Likewise NTPC also has its unique characteristics and circumstances that affect its CSR approach and
implementation. Being a thermal power generation company NTPC’s main concern is to minimizing the
adverse impacts of its operations on the environment. Besides undertaking various measures to protect
and improve the ecology around it operating stations and at national level, NTPC also undertakes various
other CSR activities such as community development, resettlement and rehabilitation activities, etc.

Though NTPC is a highly socially responsible organization performing various CSR activities in a
systematic manner, the study suggests the following implementation framework in the Health related
matters. This will help the enterprise to reap optimal benefits for itself and its shareholders, and in turn
for those who are affected by the firm’s activities.
This framework follows the familiar “plan, do, check and improve” in the areas of Health related issues

1. Some of the key recommendations of the study are as follows:

1. Emphasis on preventive Health services;
2. Adopting various methods to increase the basic awareness level among villagers
3. Integration of preventive and curative Health services at all administrative levels;
4. Focus on imparting basic medical education to educated youth such as ANM training etc.
5. Formation of Health committee ;
6. Inter-sectoral approach to Health service development.
7. Development of primary Health centres.
8. Development for a detailed Maternal Health care program under Janani Suraksha Yojana.
9. Developing a cadre of Community Level Skilled Birth Attendant
10. Development of Anganwadi in each village interconnected with sub Health center and
primary Health centre and other Health institutes in the area.
11. Community involvement through Public Private Participation

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I. Emphasis on preventive Health services

Preventive Health care measures refers to measures taken to prevent diseases,(or injuries)
rather than curing them or treating their symptoms. It can takes place at primary, secondary,
tertiary and quaternary prevention levels.

Level Definition
a. Primary b. Avoids the development of a disease. Most population-based Health
prevention promotion activities are primary preventive measures.

d. Activities are aimed at early disease detection, thereby increasing
c. Secondary
opportunities for interventions to prevent progression of the disease
prevention
and emergence of symptoms.

f.
e. Tertiary Reduces the negative impact of an already established disease by
prevention restoring function and reducing disease-related complications

g. Quaternary h. is the set of Health activities that mitigate or avoid the consequences
prevention of unnecessary or excessive interventions in the Health system.

In Vindhya Nagar and nearby villages, focus should be on primary and secondary type of
prevention. it can be done by increasing awareness and providing medical facilities as
and when required to the residents of place. However, tertiary preventive methods can be
used in those village where the number of peoples suffering from a specific kine of
diseases such as tuberculosis, diabetics etc are higher.

Model suggested for prevention

a. As per this model a preventive center should be establishes in which members from local
community shall be the members. The objective of this preventive center will be to
coordinate and conduct preventive activities on local level as well as to develope
cooperation with partners in a community.

56

b. The work of this centre can be divide in to four sub units i.e

i. Unit for education and coordination for developing coperation at local level
ii. Counselling unit for providing one to one facilitiy to localities
iii. Mobile unit for creating awareness regarding importance of preventive measures at local
level.
iv. Open line for those who hesitiates to come and ask question realted totheir personal
hygeine and preventive measures for family planning etc.

c. This model has shown as extremely important way to reach vulnerable citizens in
countries such as Serbia. Uganda etc.and should be develop as high priority.

2. Adopting various methods to increase the basic awareness level among villagers

As per the findings the basic level of awareness of Health related issues among the villagers are
very low. The objectives of adopting methods to increase Health related programs are as follows.
.
Improving knowledge: Providing information, Raising awareness, or consciousness, of Health issues.

Self-empowering: Improving self-awareness leads to higher self-esteem, and better decision making.
To change attitude and behavior: It will also positively impact the attitudes and behavior of a person
as the lifestyles of individuals also changes.
Societal/environmental change: Changing the physical or social environment.

Following methods can be used to create awareness among employees.

i. Talks, group work, mass media, displays and exhibitions, campaign.
ii. One-to-one teaching, displays and exhibitions, written materials, group teaching.
iii. Group work, practicing decision-making, values clarification, social skills training,
simulation, gaming and role play, assertiveness training, counseling.
iv. Skills training, self-help groups, one to-one instruction, group or individual therapy, written
material, advice.
v. Positive action for under-served groups, lobbying pressure groups, community-based work,
advocacy schemes, environmental measures, enforcement of laws and regulations.
vi. These, methods can be used directly under the departmental activities of CSR department
and/or with the help of local and credible NGO’s of the nearby areas.

57

Health Transformation

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