The Duncan Hospital has been involved in community outreach for many years, in keeping with the concept of holistic care and community transformation, through key and continuously expanding programs.  The work is implemented through well-trained teams, currently active in about 250 villages in the district of East Champaran.  They cover six of theblocks in the district – a population of almost 500,000.

                                                           The community initiative of the hospital has been one of the first in EHA to move from being a collection of projects (solely dependent on project cycles and the attendant funding) to a community health DEPARTMENT.  Duncan Hospital thereby commits to the continuation of the work irrespective of the availability of external funding sources – an indicator of the belief in the significance of the work we are engaged in, which will continue even if other sources cease.

                                                                 Though there are components of service delivery in the overall plan of community intervention, the main thrust of the various programs is COMMUNITY EMPOWERMENT – helping community members to help themselves – as the strategy toward sustainability.

1. CHETNA (Community Health, Education, Training, Networking & Awareness)

It is primarily engaged in:

          - RCH training and monitoring

          - Women's literacy

          - Disaster Risk Reduction  and climate change issues

          - Adolescent and children's clubs (Behavioural Change curriculum taught)

          - Farmers' Clubs for better farming techniques

          - Awareness on Human trafficking

          - Self-help groups (over 300 well-established groups)

Through the strategies of service provision, empowerment and advocacy, a population of over 450,000 has been impacted.

A major focus of the program is the awakening and strengthening of the Village Health and Sanitation Committees (VHSC), which are key to the successful implementation of community empowerment programs and sustainability.

2. Community Based Rehabilitation Program

The overall goal of the program is that children with disabilities will lead active and healthy lives, achieving their maximal potential in mobility, self-care, communication and vocation and will be accepted as valuable members of their families and their communities.

There are seven main components of the program:

-Home-based rehabilitation

-Medical and dental check-ups

-Special learning centers


-Family education and support

-Community awareness

-Outpatient consultation.

3. ROSHNI (Raxaul Overall Social & Health Needs Initiative) Project

This is an urban program in 15 of the 25 wards of Raxaul focuses on health and social issues of the poorest in the town, encouraging our immediate neighbours to avail of the facilities provided through Duncan Hospital at an affordable cost through a socio-economic based referral system.

Main activities include:

-Awareness programs on various health issues including domestic violence and human     trafficking

-Behavioural Change Curriculum for adolescent groups.

-Health camps in Raxaul town covering eye, dental and general check-ups

4. ACT (AIDS Control and Treatment) Program


                 This team works working among people who are HIV positive and their families.  The main strategies of their work is home-based visits, counseling, provision of testing facilities and ART (AntiRetroviral Therapy) medication, advocacy and establishment of support groups.  In addition, the team is also involved in VCTC activities in the hospital, where positive patients receive full treatment for any attendant illnesses.

5. Targeted Intervention program (Parivarthan Harm Reduction Program)

                        Aimed at the rehabilitation in part of intra-venous drug users from both sides of the border, this program involved needle exchange, wound care and counseling. The project hopes to influence drug-users positively through behavioural change counseling and support groups.

6. The Duncan Rural Health Centre

                             Community work is also carried out through our satellite clinic in Champapur located in Ramgarhwa block 14 km from the base hospital), where the nursing school conducts its community training of student nurses twice a week.

A nurse-run clinic is conducted on these days, as well as a dental clinic on one of the day.

7.SRHR project

                        The project is functioning in Raxaul Block to bring awareness on sexual and reproductive health rights among the communities and various stakeholders in Raxaul Block.

                         Project is involved in strengthening VHSCs towards village health planning / District level advocacy meeting with related stakeholders (Health, ICDS, PRI dept etc.) and Facility survey at PHC level and HSC level emphasis on SRHR issues


ASISH PROJECT Is to bring reduction in social injustice such as  child labor , child trafficking situations and bonded labor in ONE block and urban Raxaul.


MCH PROJECT  , in 3 blocks with a goal to see healthier mothers and infants and reduced Maternal and  Infant Mortality Rate in these blocks after a period of 4 years