Health care services are provided through our mobile health ambulance that travels to villages and slums on a daily basis and our permanent outpatient clinic -Krishna Clinic in Nehru Colony.

Bella Healthcare provides education to women in their target areas on: oral rehydration salts (ORS), female reproductive anatomy, normal and abnormal vaginal discharge, birth control, anemia, back pain, menstrual cycle, menstrual hygiene, menopause, antibiotic abuse, STI’s, HIV, first aid and nutrition. Our trained education specialists also sensitize women about infant and young child feeding (IYFC), safe delivery with JSY (Janani Suraksha Yojana) program under the NRHM (National Rural Health Mission) and domestic violence awareness under the Protection of Women from Domestic Violence Act of 2005.

We also provide our beneficiaries with IEC (Information Education Communication) materials through videos and handouts which improve retention of knowledge from health education classes. We have a health promotion manual that all of the educators use as a reference to teach the classes. To measure the effectiveness of the education we ask the participants pre-/post-test questions. We ask the participants the “pre” questions before the class to measure their baseline information and then ask the “post” questions after the class to ensure that the objectives of the class were met. This allows our team to evaluate the effectiveness of the education and endorse a more participatory learning environment.

To achieve the full life-saving potential that ANC promises, a minimum of four visits will be provided which include: Identification and management of obstetric complications, such as preeclampsia, tetanus toxoid immunization, identification and management of infections including HIV, syphilis and other sexually transmitted infections, counselling to promote institutionalized delivery with a skilled delivery person, deworming, treatment of anaemia, supplementation, IFA distribution, promotion of exclusive breast feeding, and the need for post natal visits. Labour, delivery, emergencies and ultrasounds will be referred to the hospital.
The most dangerous time for the mother and baby is within the first 24 hours of delivery. 50% of child deaths occur in the first 28 days and this is when, due to cultural norms, women and their babies rarely leave the house. PNC visits will be conducted at the home by a registered nurse. The PNC will incorporate preventive care practices and routine assessments to identify and manage or refer complications for both the mother and baby including: vital signs, feeding habits, and for the mother, signs or symptoms of infection, etc.

Bella Healthcare provides education to women and children who present themselves for health care services. The majority of patients who receive treatment also complete a health education class. Many women return to take health education classes, after their treatment is over, to learn more. Participants are awarded a gift and certificate when they complete 6, 12, or 18 classes. Our health educators have their Masters in Social work and are trained at Bella Health to conduct health education classes. Depending on the sensitivity of the topic, classes are taught by male or female educators.
Classes are supplemented with videos, posters, handouts to make it interesting, interactive and relevant. The number of classes that the participants attend is also tracked to ensure that the participants of 6/12/18 classes receive the awards/ certificates. To measure the effectiveness of the education we ask the participants pre-/post-test questions. We ask the participants the “pre” questions before the class to measure their baseline information and then ask the “post” questions after the class to ensure that the objectives of the class were met. This allows our team to evaluate the effectiveness of the education and endorse a more participatory learning environment. We also track the number of classes the participants attend. After the participants attend 6 classes they receive a certificate and present from Bella Health.

This program offers age- and culturally-appropriate reproductive health information in a safe environment to adolescents who come from poor and middle-income families in North India. The classes cover topics ranging from puberty, anatomy, pregnancy, STIs and RTIs, unhealthy habits, violence and sexual assault.

Adolescents receive unbiased and research-based information and counselling that is culturally appropriate. Youth develop skills in communication, refusal, and negotiation. Information that is medically accurate will be provided with clear goals for preventing HIV, STIs, and early pregnancy. These classes have been developed in cooperation with members of the target community and respect community values.

The pilot was implemented in Dehradun, in March 2013, and has provided education to 5,000 participants in 30 different slum areas. The effects of these classes have been apparent. In their post-tests, participants were able to understand puberty, their reproductive organs, menstruation; transmission of RTI/STI’s including HIV. Participants had improved knowledge of their reproductive health, less misconceptions regarding myths they had been lead to believe, and a better overall attitude towards reproductive health compared to their pre-test scores.