advancing health and ability annual report 2014nlrindia.org/pdf/nlrf ar 2014.pdf · ·...

Advancing Health and Ability

Annual Report 2014


NLR Foundation • Annual Report 2014

Dear ALL

I feel happy to see NLR Foundation serving the most vulnerable & marginalized people. It is growing and

successful in facing the challenges. Year 2014 was full of struggle, new initiatives and successes with

cooperation from supporters, donors and association of people affected by leprosy.

NLR Foundation (NLRF) is ISO certified non-commercial, non-religious, and non-government public

charitable trust.

It is alarming to know the burden of leprosy in India. More than 125,000 new leprosy cases are being

reported in India every year, out of which around 5000 are already disabled even before starting

treatment. This number is being added to existing pool of persons with disability in India.

NLR Foundation, supported National Leprosy Eradication Program in 6 endemic states of northern India

and provided services for medical & social rehabilitation, not only in leprosy colonies but to those who are

living in communities/villages. So far we have provided services to only 15% of the persons in need of

rehabilitation in 86 districts. Need is huge and NLR Foundation is striving hard to meet the needs.

As per rehabilitation strategy, enablement of persons affected is being done to make them less dependent

on others, equipping them with tools like self-care, self-help and self-advocacy so that they can take care

of their anaesthetic hands & feet through self-care, they can develop with the help of each other by

forming self-help groups and be self-reliant after acquiring skills. Persons Affected by Leprosy are being

1

Note from Chairman of the Trust


supported so that they become confident in

protecting their human rights and can raise their

voice against discrimination or injustice.

Not alone but together we can make a big

difference. I would appeal to the readers to

please see the progress in following pages, see

the need and contribute so that quality of lives

of people affected by leprosy and related

disabilities, their children and their other

dependents, could be improved

With best wishes and kind regards!!!

(Sanjay Batra)

NLR Foundation is now planning & preparing for

extending rehabilitation services to persons

affected by Filariasis and Diabetes presenting

with disabilities similar to leprosy


By the year 2014, 387 self-care groups were

developed in leprosy colonies to sustain self-care

practices. 3,201 persons practiced self-care in

groups. For people living in villages, a series of

training camps were organized at 23 PHCs

benefitting 739 persons. So far, 2,895 persons with

disability, living in their houses were given training

in self-care and necessary materials. 81% of ulcers

healed.

12 Health camps were organized with support from

Delhi Government. 1180 persons were benefitted

by these camps.

17 persons were operated to correct their

deformities in a Reconstructive Surgery Camp at

Hardwar in collaboration with state government.

Education support was continued to 1573 children.

Support for livelihood in the form of vocational

training & placement was extended to 62 youths.

A CBR project – “Wings to Fly” was started in

collaboration with local NGO in Ranchi.


NLR Foundation • Annual Report 2014 3

Accreditations

Leprosy and related problems

Let us recall that-Leprosy is a slowly progressing

chronic disease caused by bacteria: Mycobacterium

leprae. It usually affects peripheral nerves and the

skin. It has a wide range of clinical manifestations from

simple anaesthetic skin patches to widespread thick

shiny & nodular skin and ear lobes. Involvement, of

certain peripheral nerves, results in the characteristic

patterns of disabilities, due to which leprosy is a

leading cause of permanent physical disabilities/

deformities. The disease and its associated deformities

are responsible for social stigma and discrimination

against patients and their families. We can say that

leprosy is a disabling disease.

India is the world's leprosy capital as more than 50%

of the world's new leprosy cases are reported from

India. During the reporting year (April 2014-March

2015), 125,785 new cases

were detected out of

w h i c h 5 7 9 4 c a s e s

presented with visible

disabilities i.e. these cases

were already deformed

before starting treatment.

There is no vaccine to

p reve nt l e p ro sy b u t

leprosy is completely

curable with multi-drug therapy (MDT), which is

available free of cost at all Primary Health Centres,

dispensaries and hospitals throughout the country.

Unfortunately stigma attached to leprosy is a strong

barrier in availing the services and mainstreaming of

affected persons. Sufferers are not only shunned by

their communities, but also by their families. It is thus

imperative that along with community awareness and

education, persons affected by leprosy and their

families be provided comprehensive rehabilitation,

removing their inhibitions or prohibitions, if any, so

that their lost functions and lost self-esteem can be

regained, restoring their routine life, with improved

economic & social status.





In the year 2014, NLR Foundation supported 86

districts of 6 states (Bihar, Jharkhand, West Bengal, UP,

Uttarakhand and Delhi) of the country. NLR

Foundation works closely with the state and national

governments, WHO and other partners. NLR

Foundation support is towards strengthening and

improving quality of leprosy services on one hand,

improving the quality of life of persons affected by

leprosy and their dependents on the other.

Vision: A world-

– free of suffering due to leprosy and the disabilities

and social exclusion that it causes.

˜ in which the health systems are able to diagnose

and treat leprosy early and effectively.

– in which all people who are restricted due to

disability or stigma will participate in society as

fully and as independently as possible.

About NLR Foundation

Mission:

l

l

l

We aim at-

1. Societies in which leprosy will be under control. In

these societies health services at all levels ensure

that every patient will be diagnosed and treated

early so the disease will no longer be a major risk

for disabilities and social exclusion.

2. Societies in which governments, private

companies, NGOs and Disabled Peoples

Organizations (DPOs) join hands to ensure that

people with disabilities are:

enabled to participate as fully and

independently as possible, and

enabled to use their rights to develop their

abilities and rightfully get equal opportunities

for their personal development in the context

of their families and society at large.

treated with dignity.



NLR Foundation has concern for comprehensive care

of persons affected by leprosy so that they are

mainstreamed. Apart from Multi-Drug-Therapy (MDT)

for bacterial cure, persons affected by leprosy need

services for medical & social rehabilitation.

Community Based Rehabilitation (CBR), Inclusive

disability care, infrastructure development, education

support, livelihood and networking for working

together are some of the major measures being taken.

The efforts for prevention & management of physical

disabilities of persons affected by leprosy, education of

their children, vocational training for livelihood and

empowering them to overcome physical & social

barriers are of priority.

Rehabilitation strategy includes enablement of

persons affected to make them less dependent on

others, equipping them with tools like self-care, so

that they can take care of their anesthetic hands &

feet themselves, self-help so that they can develop

with the help of each other by forming self-help

groups and be self-reliant and do self-advocacy so that

they become confident in protecting their rights and

can raise their voice against discrimination or injustice.

Support to persons affected by leprosy

“We can do it” (Self-Care Group projects): Initial step towards Community Based Rehabilitation

Because of permanent nerve damage, persons with

disabilities due to leprosy are always prone to develop

progressive secondary disabilities like ulcers,

contractures, blindness etc. This makes these people

prone to discrimination, stigma and handicap.

Prevention of these secondary disabilities is essential

to preserve the functioning of parts like hands, feet

and eyes for performing routine daily activities. NLR

foundation is training these people with disabilities to

take care of their disabilities themselves, known as

Self-Care.

NLR is facilitating & supporting such self-care practices

by developing self-care groups in leprosy colonies and

Impact of self-care

Before self-care After self-care



through training camps at PHCs for those disabled

cases living in villages. General health care staff is

involved in this self- care projects to supervise persons

affected so that these self-care practices are

sustained. Self-care practice not only prevents

secondary impairments but also lead to healing of

ulcers, improves functioning of paralytic hands/feet

and preserve eye sight. It also helps in regaining self-

confidence, self-esteem and social status

Sl.no. Name of State SCG in Leprosy Colony Self –care at PHC Total

No. of colony No. of No. of PHC No. of

served beneficiaries served beneficiaries

1 Bihar 22 290 14 786 1076

2 Delhi 6 201 - - 201

3 Jharkhand 33 782 10 300 1082

4 Uttar Pradesh 32 637 57 1399 2036

5 Uttarakhand 29 835 11 160 995

6 West Bengal 21 456 8 250 706

Total 143 3201 100 2895 6096

Table: Self-care beneficiaries in colonies and villages : 2010-2014By the year 2014, 387 groups were

developed in leprosy colonies to

sustain self-care practices. 3,201

persons practiced self-care in these

groups. Group leaders selected by

self-care members; supervise the

p r a c t i c e s i n t h e c o l o n i e s .

Government health staff maintains

the record and monitors the

progress of each self-care group.

Leaders of self-care groups were

retrained in supervision of self-care.



“I can do it”

For people living in villages, a series of training

camps were organized in year 2014 at 23 PHCs

benefitting 739 persons. So far 2,895 persons with

disability, living in their houses, in scattered villages

of 100 blocks, in 5 states, were given training in self-

care and material support to help control/improve

their disabilities, improve their daily functioning. Self-care training is provided at the Primary Health Center (PHC)

with the help of GHC staff supervised by NLR Foundation.



Don't undermine Self-CareA case story(Translated in English from her original verbal account)

I, Murli Goswamy, have seen many ups & downs in my life. Now I am 65 years old. I belong to Vringavanpur

village of Purulia district of West Bengal. I had leprosy at the age of 30 years. Because of late treatment, deformities in my hands & feet developed. I was forced to leave my village and settle in Indira leprosy colony in Ranchi. My wife is also leprosy affected. My daughter and her children are healthy and never had leprosy. My disease was cured but left with ulcers in my feet which were not healing and healed ones were recurring. I thought ulcers are inevitable and will never heal completely.

Staff from NLR Foundation started SELF CARE GROUP project in our colony. I learnt self–care and practiced it regularly, ulcer started healing. It was a surprise for me and my colleagues to see the ulcers healing in few months only. I was encouraged, followed the advices and continued self-care practices. Now I don't see the recurrence of ulcer in my feet.

I wish to send out message to the people that whoever is suffering from leprosy, can lead a healthy life by adopting Self Care Practice. The other conviction I developed is that leprosy is not hereditary.

There are many hurdles in the life of every person. If these hurdles are overcome targets can be achieved. We should always be hopeful and search for ways to proceed, persons are there to help you.

I, Nirmala (changed name), belong to Jhansi district of Uttar Pradesh state. My father a labor, mother, 2 brothers and 1 sister constitute my family and we live together. 5 years back I had tingling sensation in my right hand and gradually hand became weak

Don't surrender

& senseless. I was treated for leprosy. Deformity in my hand was visible and I was called as a leprosy affected by my class mates.

My classmates started keeping distance from me but I continued my studies and tolerated loneliness, discriminations and frustrations.

My father took me to join SELF CARE CAMP at Bangra CHC organized by NLR Foundation. I practiced self-care regularly & sincerely. Results were surprising my hand became soft & supple. Reconstructive surgery was done. NLR Foundation also supported me to continue education. Now I am ready to face all challenges.



Persons affected by leprosy face difficulties in availing basic

health care services due to their physical disabilities, self-stigma

and stigma in the community. NLR Foundation facilitated the

persons affected in accessing the basic general health services

through organizing health camps at their door steps

In the year 2014, 12 Camps were organized in 6 leprosy colonies

of Delhi to make primary health services accessible to persons

affected by leprosy. 1180 persons living in leprosy colonies

attended these camps. 40 patients were referred to hospital for

further management. Laboratory services, like blood sugar, Hb

estimation, smear for malarial parasites etc. were provided in

these camps. All the medicines and manpower (doctors and

paramedics) were provided by the state government while NLR

Foundation provided the logistical support. District leprosy

officer, medical officers, pharmacist, laboratory technician,

public health nurse and other supportive staff from state Gov. of

Persons with visible disabilities are referred to reconstructive surgery centre

for correction of their disability. In the event of such a centre being far away,

NLR Foundation organizes camps and a surgical team is invited to conduct

surgeries. This also enables the local surgeons from the general health care

system to learn and take over this important service in future. With

examples set and evidences generated by NLR Fondation, a RCS camp was

organized by state health department at Hardwar where 17 cases were

operated, which gives ownership to state government. During 2014, 286

more cases of surgery were facilitated by NLR Foundation in all the 6 states

Reconstructive Surgery (RCS)

Health Camps

Delhi attended the camp and provided their

services. Beneficiaries get acquainted with the

government health staff and a barrier free

access is created for availing services from

nearby dispensaries and hospitals. These

camps are an excellent example of Public-

Private-Partnership (PPP).



Permanent nerve damage (paralysis

of small muscles of the hand/s,

foot/feet or eye/s of a person)

occurs due to leprosy thereby

crippling the person and affecting

his mobility. NLRF provides or

facilitates provision of aids &

appliances like MCR foot wears,

crutches, tricycles, wheel chairs, grip

aids, goggles and artificial limbs, to

persons affected by leprosy, to

combat the activity limitation

caused by leprosy. During 2014,

6071 persons were facilitated to

get MCR foot wears, prostheses to

56 persons, and goggles to 40

persons. Comprehensive care of

leprosy (CLC) of Mumbai supported

by Novartis Foundation provided

grip aids to persons affected, free

of cost.

Providing Aids & Appliances



Ensuring access to education is essential to lay the

foundation on which the children of persons affected

can build a better and more secure future. For a

majority of persons affected by leprosy, begging is the

main source of livelihood. They, very often remain on

the fringe of society, shunned and discriminated. This

Towards bright future- A project of educational support

has a ripple effect on their families as well. Children of

persons affected though healthy are a lso

discriminated.

NLRF provides education support to children of

persons affected by leprosy. The purpose of education

support is to prevent child labour, child abuse and

built a carrier for them. Parents, of children of the age

group of 5-6 years, are encouraged & motivated to

send their children to school.

This support is provided in the form of school fees,

books, stationery, school bags and uniforms. Tutors

are identified to provide coaching to needy students

and to ensure that students attend school regularly. All

the children under support are checked for their

performance.

Pooja Malla is a girl of 16 years residing with her parents in the Leprosy colony, Lalkuan in Nainital district, Uttarakhand.

She is studying in Class IX. Her mother is disabled person due to leprosy. Her father is goat s h ep h erd . Po o j a wa s to

discontinue education in 2012 due to financial problems but NLR came forward to support her education from 2012 when she was in class VII.

She is sincere in her studies and score better in annual exams. Previous year she scored 785 marks out of 1100, (77.5% )Her main dream is to become a nurse for the sake of persons affected by leprosy.

Pooja says- “I know how important it is for me to finish my studies and be educated. It is the only way I will be able to get job and support my family,”

Girls also have right to education

Bulbuli Kumari



Education support provided/

continued in year 2014

Education support project was started in year 2010 with 534 children. Support was extended to 824 more

children in 2011, 384 more children in 2012 and 101 additional children in 2013. 100 children were added

during 2014, totalling the beneficiaries to 1943. In total over the years, 370 children were not in need of

support due to transfer in other states or passing xii class or going into vocational training hence support

was continued to 1573 children at the end of year 2014.

6 additional youths from leprosy colonies were supported for higher professional education e.g. engineering

polytechnic, nursing, chartered accountant etc.

Sl. No. State Total no. of students

supported in 2014

1 Bihar 260

2 Delhi 178

3 Jharkhand 511

4 U.P 259

5 Uttarakhand 73

6 West Bengal 292

Total 1573

TestimonyAnita Puran-Indira Nagar Leprosy Colony Ranchi

Me, my 2 sisters and my father & mother live in leprosy

colony and are struggling to survive. We 3 sisters are

continuing education with the support from NLR Foundation

since last 5 years. I have cleared Intermediate examination

and want to become a Charted Accountant. I hope to get

support for it.



Self Help Group (SHG) project with the name of

“Wings to Fly” started in Jharkhand in collaboration

with a local NGO, Chhota Nagpur Sanskritic Sansthan

(CSS) at Ranchi. 50 women living in 2 leprosy colonies

have joined the SHGs to get skills and earn livelihood

by forming 5 Self Help Groups.

A livelihood project named as 'Swavalamban' was

started in Delhi in 2013 in which 2 women were

trained in tailoring and dress designing. 4 more ladies

from leprosy colony, Delhi joined this project in 2014.

The project started with support from a local NGO

Towards self-reliance (Livelihood projects)

“Maximizing Employment to Serve the Handicapped

(MESH)”. Total 6 ladies have started earning their

livelihood through this project.

14 persons were planned to go for vocational training

in 2014 out of which 10 agreed and were facilitated to

join TLMTI's vocational training centers at Champa and

Faizabad. 48 youths were facilitated by NLR to join

livelihood project under NSDC (National Skill

Development Corporation) with SILF (Sasakawa India

Leprosy Foundation).

My name is Shiv Prasad Gope S/o Late Suru Babu Gope. I live with my

parents, with 3 brothers and 3 sisters in a leprosy colony at Mansa

Singh Gate, Bokaro Jharkhand. I was born and grown in a leprosy

colony in Bokaro. Me, my father and mother were leprosy affected

and were provided support. I completed my school education with

the support from NLR Foundation which is also providing support in

continuing self-care practices through Self-Care-Group-Projects. Due

Overcoming hopelessness

to poverty & frustration, I was unable to see my future after clearing XII class. NLR staff counselled me and

gave me a direction. They facilitated me to get vocational training. I was trained as motor mechanic and got

the salaried job. I have tasted the pleasure of getting first salary in my hand. Now I can see my future and plan

for development of my family.



I had leprosy when I was studying in class 5. My both hands became senseless because of the treatment taken late. My school education was discontinued due to poverty and discrimination faced. Future was a question mark for me. ASHA advised me to join self-care group organized by NLR Foundation. I started self-care to protect my hands and prevent its worsening. NLR staff suggested me to go for vocational training to earn livelihood. Just after getting training for 2 months only I got the job in PIZZA CO. I am getting salary of INR 6500 per month & INR 500 as PF, is deducted from my salary per month. I am being given medical facility along with all my family members. My father is a labor, mother is house wife and younger sister is getting primary school education. Now I can support my family and plan for my future also.

Mansantosh Kumar, S/o Brijlal, Vill: Tejpur, District: Jhansi, (U.P)

Got the meaning to life

With a view to boost the confidence, increase the capacity of persons affected by leprosy and motivate them to express freely, make them aware about govt. schemes and how to access these schemes, 5 workshops were organized in Jharkhand, West Bengal, Delhi, Uttarakhand & Uttar Pradesh in the year 2014. 119 persons affected participated in these workshops, in which topics on Hygiene and sanitation, communication skills, different government schemes available, were discussed. Role plays were also carried out. The participants at the end of the workshop identified their own potential and understood their values. They were encouraged to take their decisions independently. This led to their demand for pensions

and other benefits from district authorities and they could get approval for pension in Bihar and UP, other states are likely to follow suit

Enabling persons affected to do self-advocacy: Workshop on “Personality Development of persons affected by Leprosy”



To maintain & improve the quality of NLR services,

three NLR staff updating and review meetings were

organized in 2014. All the state and zonal level

Leprosy Program Advisors, Self-Care Coordinators,

NLR Branch and Trust office staff participated in these

meetings. CME sessions were held in both review

meeting. In these meetings, NLR staff was updated

on stake holders analysis, ulcer care, analysis of

epidemiological indicators, main features of NLEP PIP

2012-17, NGO revised scheme, new developments in

NLEP, within NLR, Country policy, operational manual

and how can we equip ourselves with the changing

scenario.

Staff Updating & Review Meetings

Presentations by participants show that NLR efforts to improve DPMR services at PHCs level are taking shape and

about 94% of PHCs are performing nerve function assessment (ST/VMT) of all new cases at the time of registration.

EHF scoring is recorded and follow up examinations are planned and executed.

Monitoring of the NLEP at districts has improved. In every monthly meeting, program is monitored with a checklist,

which was developed by NLR in consultation with DLOs and state officers.



Biennial conference of Indian Association of

Leprologists (IAL) named as LEPCON 2014 was

organized from 28-30 March 2014 at Chandigarh.

Technical staff of NLR in India attended this

conference and presented 4 scientific papers.

3 posters and 1 oral presentation, made by NLR in

India are as under:

1. “A stitch in time saves nine”, Poster paper by

Dr. S. P. Sood, Mr. Arvind Kumar and Mr.

Basudeo Sharan

Participation of NLR staff in LEPCON 2014

2. “A systematic Approach for mainstreaming of persons affected by leprosy in Bihar state”, Poster paper by Mr, S.

N. Tiwari, Dr. R. N. Sinha, Dr. P. R. Manglani and Dr. M. A. Arif

3. “Regaining livelihood by persons living in leprosy colonies of Jharkhand state”, Poster paper by Mr. Arvind

Kumar, Dr. S. P. Sood, Dr. M. A. Arif

4. “An effort to solve the urban Leprosy problems in West Bengal” paper by Dr Mitra, Dr Pandey and Dr Arif, oral

presentation was made by Dr. Mitra on describing a workshop and it’s follow up.

Staff was benefited by sharing of experiences with Indian & international leprologists.



Support at State level:

At the state level, NLR staff provided technical support

to strengthen mainly the system of planning,

monitoring & supervision, and now result based

management is practiced in all NLR supported states.

NLR staff is contributing in improving clinical &

managerial skills of GHC staff by acting as facilitator in

class room trainings and providing on the job

coaching, training, advice & guidance by paying field

visits. 100 % of planned activities could be

implemented and 97.42% of approved funds were

utilized. Safety & security arrangements were

improved and taken care per NLR policy. NLR India has

participated in several national & international

meetings.

Support at National level:

At national level, NLR provides technical support to

Central Leprosy Division (CLD) from time to time, thru

country representative being the member of Technical

Resource Group (TRG), by participating in different

meetings, trainings and workshops. As member of

ILEP, NLR supports NLEP per the MOU signed between

GOI and ILEP agencies. NLR shares the cost of support

to placement of national consultant NLEP and office

executive, in CLD. NLR supports regional review

meetings of State Leprosy Officers and other technical

support requested by CLD

Support to National Leprosy Eradication Program (NLEP)



Capacity building of General Health Care staff

CLD provide funds to state for training of various

categories of GHC staff in leprosy. NLR LPAs only

facilitated the trainings. 992 officers & staff of GHC, of

all states, supported by NLR, were trained from NLEP

funds, in which NLR only participated as trainers. NLR

also supported one day training, on POD, in 3 districts

of Uttarakhand. 23 staff working for NLEP were trained

in performing ST/VMT, reaction management and

ulcer care.

807 supervisory field visits were paid by LPAs along

with district cell to improve skills of staff in supervision

and monitoring. More emphasis was given in 2014 on

DPMR services and on the job training was provided

Supervision & Monitoring

by LPAs for ST/VMT & reaction management. With this

intervention 94% PHCs in NLR supported districts are

performing ST/VMT of new cases at first contact &

reaction management has improved.

NLR facilitated one day monitoring meeting with DLOs

of 7 NLR supported districts in West Bengal. Different

state officials participated in the meeting and each

district was reviewed in depth. This meeting has

helped in improving program management at district

level. NLR also facilitated District level monitoring

meetings with 212 medical officers of PHCs & Block

Public health Nurses (BPHN) in the state, who are

playing a key role in NLEP. This meeting was also

attended by state officials.



NLR supported organization of review meetings at

regional level in the state of UP & Bihar under the

chairmanship of Regional Directors of all health

programs. These meetings have sensitized regional

officers on NLEP and now regional director is himself

monitoring the program regularly

To improve monitoring at district level NLR India has

designed a NLEP monitoring check list for DLOs, in

consultation with DLOs. SLOs of UP & West Bengal

have issued circulars to use this check list for

monitoring at all districts level. This was found to be

very useful and appreciated by DLOs.

Because of all these interventions, indirect impact of

NLR support could be seen: epidemiological indicators

of these districts have shown that NLR supported

districts are detecting more number of cases with less

number of disabilities. ANCDR of these districts is

approx. 12.3/100,000 in comparison to national

average of 9.98 and disability Gr 2 among new cases is

3.1 % in comparison to national average of 4.14%.

MESSAGE

After integration of leprosy

services into general health care

system, it was a major challenge

to provide quality services

especially in urban areas.

Quality of leprosy services in

Delhi could be maintained and

developed with the cooperation

of stakeholders/partners. Netherlands Leprosy Relief

(NLR) has contributed a lot in trainings, supervision,

disability prevention, self-care and improving the

quality of services in Delhi. I wish NLR all success in

their endeavor and continue this partnership in larger

interest of the Community. Dr K. S. Baghotia

Addl. Director MHS / SLO Delhi

MESSAGE

NLR is supporting NLEP

program in Jharkhand. Support

activities of NLR are many

such as training of medical

officers, Health workers and

A S H A , s u p e r v i s i o n &

monitoring at state & district

level, result based strategic

planning workshops, care of persons affected living

in lepsory colonies & in villages and day to day hand

holding. I feel NLR as main pillar in maintaining

quality of NLEP services.

Dr N K Sinha, SLO Jharkhand



Financial Statements



Cost per BeneficiaryP R O J E C T

Support for 1 year

Self Care: Restore the lost functions of a disabled person

so that S/he can attain social status and resume daily life

Reconstructive Surgery

Education Support: Provide education support to a child

so that he/she can continue education

Vocational Training: provide support for vocational training to

make the person employable

Income Generation Activity: Give a goat for just Rs 2000. Goats

nourish hungry children and families with healthy milk, cheese,

and yogurt. Goats also give a much-needed income boost by

providing offspring and extra dairy products for sale at the market.

Aids & Appliances: Crutches, Wheelchairs, Tricyles, Grip Aids,

MCR Footwear, Goggles

Solar Lantern: to facilitate activity after sunset, for e.g., children

to study, housewife to cook, etc.

Health Camps: in colonies in partnership with the Government

Health System to provide basic healthcare

Rs. 3,000

Rs. 10,000

Rs. 3,000

Rs, 7,000

Rs. 2,000

Rs. 6,000

Rs. 2,800

Rs. 5,000

DONATE

NLR works in 86 districts of 6 states of the country

NLR Supported districts

UTTAR PRADESH

Saharanpur

Muzaffarnagar Bijnor

Bagpat Meerut

Ghaziabad

GBNagarBulandshahr

Aligarh

Mathura Hathras

Agra

Etah

Firozabad

Farukhabad

Mainpuri

Etawah

Auraiya

JP Nagar Rampur

MoradabadPilibhit

Bareilly

Badaun

Shahjahanpur

Kheri

Hardoi

Sitapur

Kannuaj

Lucknow

UnnaoKanpur(R)

Kanpur(U)

Jalaun

HamirpurJhansi

Mahoba

Banda

Lalitpur

Bahraich

Barabanki

Rae Bareli

Fatehpur

Kaushambi

Chitrakoot

Shrawasti

Balrampur

Siddharthnagar

Basti

SR Nagar

Ambedkar Nagar

Gonda

Faizabad

Sultanpur

Pratapgarh

Allahabad

SK Nagar

Maharajganj

Kushinagar

Goraphpur

Deoria

Azamgarh Mau

Ballia

JaunpurGhazipur

Varanasi

ChandauliMirzapur

Sonbhadra

UTTARAKHAND

Uttarkashi

DehradunTehri Garhwal

Rudraprayag

Haridwar Pauri Garhwal

Chamoli

Bageshwar

Almora

Nainital

Pithoragarh

Champawat

Udham Singh Nagar

JHARKHAND

Saribganj

Godda

Pakar

DumkaDeoghar

Jamtara

Giridih

Dhanbad

Kodarma

Hazaribag

Ramgarh

Bokaro

Garhwa Palamu Chatra

Latehar

Lohardaga

Gumla

Ranchi

Simdega

Khunti

West Singhbhum(Chaibasa)

Saraikela

East Singhbhum(Jamshedpur)

North West

North

North East

WestCentral

New Delhi

South West

South

East

DELHI

WEST BENGAL

Darjeeling

Jalpaiguri

CoochBehar

North Dinajpur

South Dinajpur

Malda

Murshidabad

Birbhum

Bankura

BurdwanNadia

North 24 ParganasHoogly

KolkataHowrah

South 24 Parganas

Midnipur (East)

Midnipur (West)

Purulia

BIHAR

Kishanganj

Araria

Purnia

Katihar

Supaul

Madhepura

Bhagalpur

Banka

Madhubani

Darbhanga

Saharsa

Khagaria

Munger

Jamui

Samstipur

Begusarai

LakhisaraiSheikh-pura

Sitamarhi

Sheoher

Muzaffarpur

Vaishali

Nalanda

Nawada

Patna

Jehanabad

Gaya

Bhojpur

Saran

East Champaran

Aurangabad

Rohtas

Buxar

Siwan

Gopalganj

Kaumur

West Champaran

NLR – Operational Area

Madhya Pradesh

Rajasthan

Andhra

Pradesh

Delhi

HimachalPradesh

Uttarakhand

Tamil Nadu

Karnataka

Haryana

Uttar Pradesh

Maharashtra

Jammu & Kashmir

Punjab

Chandigarh

Gujarat

Chh

attis

garh

Bihar

JharkhandWest

Bengal

Sikkim

Assam

racha

Aun

l

Pra dehs

Nagaland

Manipur

MizoramTripura

Meghalaya

Pondicherry

ralK

ea

Goa

Map of IndiaTotal States supported by NLR India = 06

Total Districts supported by NLR India = 86

1.Uttarakhand

2.Uttar Pradesh

3.Delhi

4.Bihar

5.Jharkhand

6. West Bengal

NLR FoundationFlat No. 001, Yamuna Tower, Y-6, Sector-D, Pocket-6,

Vasant Kunj, New Delhi–110 070, IndiaTel.: +91-11-26898325/26898318 Fax: +91-11-26898325

Email: [email protected] • www.nlrindia.org


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