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Page 1 of 33 BIANNUAL REPORT January June 2014

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Page 1: half yearly report 2014 KS India - Karuna-Shechenkaruna-shechen.org/.../09/...report-2014_KS-India.pdf · Page7%of%33% From!the!above!graphandtable!we!observe!that!for!everymonththe!Mobile!Clinics!have!

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BI-­‐ANNUAL  REPORT  

January-­‐  June  2014  

 

 

 

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CONTENTS   PAGE  NO.  

Main  Activities  and  Achievements   3      Introduction   5  

   Health    

An  Overview  of  Medical  Activities   6   Access   to   Primary   Healthcare   in   Urban   Area:   Shechen   Medical  

Centre  in  Bodhgaya,  Bihar  9  

Mobile  Clinics   12  

Medical  Camps    15  

Health  Education  Program  (HEP)    17  

   Education    

Early  Childcare  and  Development   20   Non-­‐Formal  Education  (NFE)     21  

   Social    

Kitchen  Garden    23  

Vocational  Training   24  

small  money  BIG  CHANGE  25  

Networking  with  local  NGOs    26  

   Environment    

BodhGaya  Clean  Environment,  Hygiene  and  Sanitation  Program    27  

Rainwater  Harvesting   28  

Solar  Electricity    29  

   Other  Events  and  Activities    

Activity  Progress  in  Jharkhand   30   Field  work  and  Project  study  by  Magadh  University  Students   30   Finances   31   Upcoming  Activities   32  

   

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MAIN  ACTIVITIES  &  ACHIEVEMENTS  

 

Health  

35,362   Patients   availed   the   healthcare   services   of   our   OPD   (Outreach   Patients  Department),  Mobile  Clinics  and  Medical  Camps.  

3634  medical  tests  were  conducted  in  our  pathology  laboratory.   4477  Sanitary  napkins  were  distributed   A  Menstrual  Health  and  Hygiene  Educational  session  was  conducted  at  Project  

Kanya  school  in  Bodhgaya.      

Education  

We  have  started  our  new  programme-­‐  The  role  of  play  in  the  life  of  a  child:  A  way  to   contribute   to   children   well-­‐being   and   healthy   development’   in   Gopalkhera,  Chando,  Dema  and  Banahi.  

We   have   started   our   own   informal   schools   for   young   children   at   Dema   and  Masuribar    

We  have  started  providing  newspapers  to  NFE  centres  to  update  the  student  son  important  news  events.  The  papers  are  later  used  by  the  students  to  make  paper  bags.  

 

Social  

Under   the   ‘small   money   BIG   CHANGE’   program   we   are   digging   ponds   in   the  villages  of  Bhupnagar  and  Dema  

1922  households  have  received  vegetable  seeds  for  their  Kitchen  Gardens     657  OPD  patients  have  received  vegetable  seeds  for  their  Kitchen  Gardens     We  have  made  a  Kitchen  Garden  Demonstration  Field  cum  Nursery  on  a  land  

within  premises  of  anon-­‐functional  NGO  near  BodhGaya  town   We  have  also  started  plant  nurseries  in  11  villages  where  11  people,  chosen  from  

the   village   communities   for   the   purpose,   are   undertaking   the   responsibility   of  looking  after  the  nurseries.  

The   first   session   of   Computer   Training     for   the   youth   came   to   a   close   with   35  students  passing  out  and  a  new  session  was  started  in  March  with  55  students.    

 

 

 

 

 

 

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Environment  

We  have  planted  100  trees  along  the  road  in  front  of  our  OPD   We  have  distributed  food  covers  among  21  vendors  at  Gaya  railway  station   We  are  in  the  process  of  giving  out  100  food  boxes  made  of  steel  and  glass  to  

interested  food  vendors  and  shop-­‐owners  in  the  towns  of  Bodhgaya  and  Gaya   We  have   installed  Rainwater  Harvesting  system  in  5  households   in  Banahi,  13   in  

Dema  along  with  schools  at  Dema  ,  Gopalkhera  and  Lohjhara   60   Solar   sets   were   installed   in   the   villages   of   Bhupnagar,   Dema,   Mansidih,  

Lohjhara  and  Karhara    Jute  bags  were  distributed  among  local  people  in  order  to  reduce  the    rampant  use  

of  plastics  

 

Other  Events  and  Activities  

We   have   signed   Memorandums   of   Understanding   (MOU)   with   two   local  organisations   in   Jharkhand;   Cause   for   Change   and   Dhad   Disham   Vikas   Sangha  (DDVS)  

We  will  start  our  Mobile  Clinic  activities  in  Jharkhand  from  August/September   13   final   year   post-­‐graduate   students   of   Rural   Management   and   Development  

department,  Magadh  University  conducted   field  work   in  our  operational  villages,  taking  as  case  study,  one  of  our  programs  for  their  Masters  Project  work  

A  socio-­‐economic  survey  was  conducted  in  all  our  18  villages.  

 

 

 

 

 

 

 

 

 

 

 

 

 

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In   the   first   half   of   2014   we   have   focused   on   several   new   initiatives   in   all   four   areas   of   our  intervention;  Health,  Education,  Environment  and  Social.    

With   the   objective   of   reaching   out   to   disadvantaged   communities   beyond   Gaya   district  we   have  launched  a  third  Mobile  Clinic  in  4  villages  across  the  districts  of  Jenhanabad,  Nawada  and  Aurangabad.  Under   the  Health  Education  program  we  have  started  Menstrual  Health  awareness  sessions  in  schools  with  the  aim  of  disseminating  information  about  proper  menstrual  hygiene  and  health   practices.   A   new   Educational   project,   ‘the   role   of   play   in   the   life   of   a   child:   A   way   to  contribute  to  children  well-­‐being  and  healthy  development’,  launched  in  January  ,  aims  at  physical,  mental,   cognitive   and   social   development   of   0-­‐   6   years   of   children   through   the   introduction   of  indoor   and   outdoor   games   at   Anganwadi   centres.   The   program   has   been   started   as   a   pilot   in   4  villages   namely,   Gopalkhera,   Chando,   Dema   and   Banahi.   Looking   at   the   grim   primary   education  scenario  in  rural  schools  of  Bihar  we  have  opened  two  schools  (at  Dema  and  Masuribar)  for  young  children  who  neither  go  to  Anganwadi  centres  nor  to  primary  schools.  The  objective  is  to  provide  a  strong   grounding   in   academics   and   co-­‐curricular   activities   through   informal   education.  With   the  intention  of  encouraging   the  sale  of  hygienic   food   items  we  distributed   free   food  covers  amongst  vendors  at  Gaya  railway  station  early  this  year.  We  are  now  in  the  process  of  giving  out  food  boxes  for  keeping  edible  items  covered  from  dust  and  germs  to  interested  food  vendors  and  shopkeepers  at  50%  subsidized  rates.   In  a  bid   to  promote  environment-­‐friendly  beautification  of   the   town  we  have  started  planting   trees  along  both  sides  of   the  road   in   front  of  our  Bodhgaya  office/OPD.  We  have   successfully   planted   100   trees   till   now   and   intend   to   plant   300-­‐400  more   in   the   following  months.  Another  initiative  in  the  area  of  Environment  has  been  the  installation  of  60  LED  solar  sets  across  Bhupnagar,  Dema,  Mansidih,  Lohjhara  and  Karhara.  The  second  computer   training  session  began   in  March  with  55  enthusiastic   youths  hailing   from  poor   communities   after   all   35   students  enrolled   in   the   first   session   passed   the   written   and   practical   examinations   with   good   scores.  Seasonal   vegetable   seeds   have   been   distributed   among   1922   households   across   18   villages.  We  have  also  started  giving  out   free  seeds  to   interested  patients  at  OPD  and  till  now  657  individuals  have  been  benefited  this  way.  Besides,  we  have  opened  a  Kitchen  Garden  demonstration  field  cum  nursery   near   BodhGaya   with   the   intention   of   encouraging   and   reviving   the   usage   of   traditional  seeds.    

The  first  half  of  2014  has  been  very  rewarding  in  terms  of  the  new  ventures  as  also  the  successful  operation  of   the  programs  that  have  already  been  running.  This  report  gives  the  details  of  all   the  programs  and   the  various   activities   and  events   that  have   taken  place   in   the   course  of   the  past  6  months.  

 

 

 

 

INTRODUCTION  

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AN  OVERVIEW  OF  MEDICAL  ACTIVITIES    

OPD,  Mobile  Clinics  and  Medical  Camps  

35,362   needy  people   availed  healthcare   services   of   our  OPD,  Mobile   Clinics   and  Medical   Camps.  New  patients  (for  OPD  and  Mobile  Clinics)  constituted12,180  people  (  35.46%  of  total  number  of  patients  at  OPD  and  Mobile  Clinics).      

Table  1:  Total  Number  of  Patients  at  OPD,  Mobile  Clinics  and  Medical  Camps    

Month   OPD   Mobile  Clinics   Medical  Camps  

Total  

January   2613   3240   0   5853  February   2384   3075   513   5459  March   2668   3071   502   5739  

April   2474   2545   0   5019  May   2573   2649   0   5222  June   2966   4089   0   7055    Total   15,678   18,669   1015   35,362  

   

   

January   February   March   April   May   June  

2613   2384   2668   2474   2573  2966  3240   3075   3071   2545   2649  

4089  

0  513   502  

0   0   0  

Number  of  Patients  at  OPD,  Mobile  Clinics  and  Medical  Camps  

OPD     Mobile  Clinics   Medical  Camps  

HEALTH  

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From   the   above   graph   and   table   we   observe   that   for   every   month   the   Mobile   Clinics   have  registered   slightly   greater   number   of   patients   than  OPD,  which  may   be   due   to   an   increasing  number  of  patients   from  satellite  villages.   In   June  Mobile  Clinic   registered  a   sharp  rise   in   the  total  number  of  patients  due  to  the  introduction  of  our  Third  Mobile  Clinic  that  month.  

Medical   Camps,   conducted   in   the   months   of   February   and    March  registred  above  500  patients  at  each  camp.  

The   number   of   patients   refered   to   PHC   &   Government   Hospitals   was   114   (   0.32%   of   total  patients).    

Table  2:  Total  Number  of  Patients  Referred  to  PHC  and  Government  Hospitals  

Months   OPD   Mobile  Clinics   Medical  Camps  

Total    

January   0   5   0   5  February   5   1   29   35  March   6   1   24   31  April   3   1   0   4  May   3   1   0   4  June   17   18   0   35  Total   34   27   53   114    

18,122   patients   (51.25   %   of   total   patients   treated)   were   treated   “Free   of   Cost”   (Pregnant  women,   children   and   aged   people   above   60   years).   In   other  words,  more   than   half   the   total  number  of  patients  visiting  OPD,  Mobile  Clinics  and  Medical  Camps  did  not  even  have  to  pay  the  minimal  registration  fee  (INR  20)  for  their  health  check-­‐up.      

Direct  Observed  Therapy  (DOT)  

 Out   of   3634  medical   tests   conducted   in   our   pathology   laboratory   265  were   Sputum   tests   (for  Tuberculosis).  Out  of   these   the  number  of  people  who  were  diagnosed  with  TB  was  8.  Currently,  the  total  number  of  TB  patients  undergoing  treatment  is  103.    

 

 

 

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Table  3:  Details  of  DOT  Program  

  January   February   March   April   May   June   Total  

Number   of   TB   patient’s  started  medicine  

3   4   4   5   3   4   23  

Number   of   sputum   tests  conducted  

34   33   58   56   46   38   265  

Sputum  Positive   1   0   2   0   2   3   8  

Refer  TB  Patients   3   2   2   2   3   3   15  

Completed  TB  Medicine   7   3   11   2   1   4   28  

 

Types  of  Diseases  observed  among  Patients  in  OPD  and  Mobile  Clinics  

The  following  table  gives  us  information  about  the  various  types  of  diseases  observed  among  the  patients:  

Table  4:  Types  of  Diseases  

Types  of  Diseases   Total  Diarrohea/children   108  Diarrhoea  /  dysentery  adults   546  Amoebiasis   963  Typhoid   5  TB   363  Gynecological    patient   1327  Bone  &  joints  patients   9097  Burn  patient   98  Worm  manifestation   31  Skin  diseases  of  all  kinds   2972  Ophthalmologic  infections   8  Number   of   identify   malnourished  children  

 11  

Cardiac  Infection   2  HTN   1883  Diabetes   262  Asthma  &  COPD   972  

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The   table   and  graph   show   that   the  most   common  health  problems  observed  among  our  patients  were  Bone  and  Joint  Pain,  Cough  and  Cold,  Skin  diseases  and  hypertension.  

 

Diarrohe

a/children  

Diarrhoe

a  /  d

ysen

tery  adu

lts  

Amoe

biasis  

Typh

oid   TB  

Gyne

cological    paKe

nt  

Bone

 &  joints  paK

ents  

Burn  paK

ent  

Worm  m

anife

staK

on  

Skin  dise

ases  of  all  kind

s  

Oph

thalmologic  infecKon

s  

Num

ber  o

f  ide

nKfie

d  

Cardiac  InfecKon

 

HTN  

Diabetes  

Asthma  &  COPD

 

Cough  &  Cold  

Epilepsy  

ENT    paK

ent  

Lymph

aden

opathy  

I&D      D

ressing  

Other  PaK

ents  

108  546  

963  

5   363  

1327  

9097  

98   31  

2972  

8   11   2  

1883  262  

972  

6322  

122  859   19  

251  

8044  

Types  of  Diseases  

Cough  &  Cold   6322  Epilepsy   122  ENT    patient   859  Lymphadenopathy   19  I&D      Dressing   251  Other  Patients   8044  

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ACCESS  TO  PRIMARY  HEALTHCARE  IN  URBAN  AREA:  SHECHEN  MEDICAL  

CENTRE  IN  BODHGAYA,  BIHAR    

 

 

 

 

 

 

 

 

 

 

 

The  total  number  of  patients  at  our  Medical  centre  in  BodhGaya  in  this  quarter  was  15,768,  108  %  

higher  than  that  registered  in  the  January-­‐June  2013  period  (7596),  of  which  6286  (representing  

39.87%  of  total  patients  at  OPD)  were  new.    

 

Table  5:  Details  of  Patients  in  OPD    

  January   February   March   April   May   June   Total  

Total  Patients   2613   2384   2668   2474   2573   2966   15678  New  Patients   1068   911   1089   968   1039   1211   6286                  Men   712   608   697   679   650   684   4030  Women     1283   1187   1342   1224   1313   1442   7791  Children   618   589   629   571   610   840   3857    

   

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all   the   months   registered   more   than   2400   patients.   We   observe   that   the   month   of   June   had   the  highest  number,  which  can  be  attributed  to  the  commencement  of  monsoons  when  people  become  susceptible  to  water-­‐borne  diseases  and  various  infections.  

The  above  graphs  show  that  majority  of  the  patients  at  our  OPD  are  women  and  children  (74%).  

 

Pathology  Laboratory  

Total   number  of   patients  who   came   for   different  medical   tests  was  1357   and   total   analysis   done  was  3634.  The  number  of  patients  and   tests  are  different  because  one  patient  may  go   for  several  tests.    

Table  6:  Types  of  Medical  Tests  conducted  in  our  Laboratory    

January   February   March   April   May   June  

2613  2384  

2668  2474   2573  

2966  

Number  of  PaIents  at  OPD  

Men   Women     Children  

4030  

7791  

3857  

Men,  Women  and  Children  at  OPD  

Men  26%  

Women    50%  

Children  24%  

Men,  Women  and  Children  at  OPD  

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Types  of  Medical  Tests  Conducted  

Total  Number  of  Tests  

TC/DC   533  ESR   489  HB%   446  Malaria   117  Uric  Acid   104  Blood  Sugar   474  Serum  Blirubin   66  AFB  (Sputum  test)   265  ECG   39  Urine  routine  examination   164  Urine  culture  sensitivity    test   98  Other  Tests   839  Total   3634  

 

 

 

 

 

 

 

 

 

15%  

13%  

12%  

3%  3%  

13%  

2%  

7%  

1%  

5%  

3%  

23%  

Types  of  Medical  Tests  

TC/DC  

ESR  

HB%  

Malaria  

Uric  Acid  

Blood  Sugar  

Serum  Blirubin  

AFB  (Sputum  test)  

ECG  

Urine  rouKne  examinaKon  

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From   the   above   table   and   graph  we   see   that   the   highest   number   of  medical   tests   conducted   are  TC/DC,  ESR,  Blood  Sugar,  HB%  and  AFB  (Sputum  Test).  

 

MOBILE  CLINIC    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In   the   past   6   months   18,669   patients   came   for   the   consultations   to   our   mobile   clinics,   which   is  156.23%  higher  than  the  number  registered  for  Jaunary-­‐June,  2013  period  (7286).  We  have  closed  our  mobile  clinic  services   to  Sripur   from  June  as   these  villages  are  not   far   from  our  OPD  and   the  villagers   can   easily   come   over   for   check-­‐up,   when   required.   Our   outreach   services   have   been  extended  to  the  neighbouring  districts  of  Nawada,  Aurangabad  and  Jehanabad  with  the  launch  of  a  third  Mobile  Clinic  in  May.  It  is  providing  healthcare  services  to  the  disadvantaged  communities  in  the  villages  of  Bardaha  and  Sitamari  in  Nawada,  Salaiya  in  Aurangabad  and  Makpa  in  Jehanabad.    Out   of   18,669   patients   5894   (31.57%)   were   new   The   total   patients   who   were   treated   Free   of  Registration   Charge   (Pregnant  women,   children   and   aged   people   above   60   years)   in   the  Mobile  Clinic  was  9901  (53.03  %  of  the  total  patients  at  mobile  clinics).      

Table  7:  Details  of  Mobile  Clinic  Patients     January   February   March   April   May   June   Total  

 

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Total  Patients   3240   3075   3071   2545   2649   4089   18669  New  Patients   1098   879   779   653   898   1587   5894                  Number  of  Patients  from  Satellite  Villages  

2347   2232   2253   1852   1695   2539   12918  

Men   909   849   1758   757   741   1119   6133  Women     1647   1571   3218   1257   1396   2101   11190  Children   684   655   1339   531   512   869   4590    

 

 

 

 

As   observed   from   Table   7  majority   of   the   patients,  12,918   (69.19  %   of   total   patients   at  Mobile   Clinics)   come   from   the   satellite   villages   surrounding   the   one  where   our   outreach  medical  team  pays  regular  visits.    

The   above   graph   shows   that   apart   from   the  months   on  April   and  May   the  Mobile   Clinics  have  registered  more  than  3000  patients  with  the  highest  number  recorded  in  June  when  the   third  Mobile  Clinic  was   launched.  The  plausible   reason   for   comparatively   low  patient  turnout  in  the  two  months  was  the  scorching  summer  heat.  

January   February   March   April   May   June  

3240   3075   3071  2545   2649  

4089  

Total  PaIents  at  OPD  

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The  graphs  clearly  show  that,  like  that  in  the  OPD,  here  too  women  and  children  form  majority  of  the  patients  (72%).  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEDICAL  CAMPS    

 

Men   Women     Children  

6133  

11,190  

4590  

Men,  Women  and  Children  at  Mobile  Clinics  

28%  

51%  

21%  

Men,  Women  and  Children  at  Mobile  Clinics  

 Men   Women     Children  

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Free  Medical   Camps   for   the   underserved   and   needy   people   were   organised   in   BodhGaya   in   the  months  of  February  and  March  where  1015  patients  availed  our  medical  services  with  more  than  500  patients  registered  at  each  camp.  

 

 

 

 

 

 

Table  8:  Details  of  Medical  Camp  Patients  

  February   March   Total  

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Total  Patients   513   502   1015  

Men   214   157   371  

Women     187   196   383  

Children   112   149   261  

 

 

 

From  the  above  table  and  graphs  we  see  that,  just  like  in  OPD  and  Mobile  Clinics,  at  medical  camps  too  women  and  children  for  majority  of  the  patients  (64%).  

 

 

 

 

 

 

 

 

 

HEALTH  EDUCATION  PROGRAMME  (HEP)      

36%  

38%  

26%  

Percentage  of  Men,  Women  and  Children  at  Medical  Camps  

Men   Women     Children  

Men   Women     Children  

214   187  112  

157  196  

149  

Men,  Women  and  Children  at  Medical  Camps  

February   March  

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A  woman  with  sanitary  napkin  packs                                                                                                          Community  Health  Meeting  

Our  Health  Education  Program  continues  to  serve  rural  communities  in  Gaya  district,  with  a  special  focus  on  reproductive  health  and  related  menstrual  hygiene.  In  order  to  make  our  program  more  effective   we   have   hired   a   female   Village   Coordinator   to   better   reach   out   to   women   and   girls  through  HEP.  

Table  9:  Some  Details  of  HEP  

Indicators    

 Total  Households  reached   1,285    Total    Families  reached   1,936    Total  Number  of  Health  Groups  

 77  

 Total  Number  of  Members  in  Health  Groups  

                                                     332  

 Total    Number  of  Home  Visits  by  Village  Coordinators     1,713    Total    Number  of  Home  Visits  by  Motivators     3,768    

 

 

 

 

 

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The   number   of   home   visits   by   our   Village   Coordinators   and   Motivators,   number   of  families/households   imparted   with   education   on   health-­‐related   matters,   and   number   of   Health  Groups   formed   for   the   effective   running   of   HEP   vividly   put   across   the   sincere   efforts   of   the  organisation  towards  the  program.  

Table  10:  Reproductive  and  Child  Health  

Indicators    

Total  Number  of  Sanitary  Napkins  distributed  4477  

Percentage   of   Pregnant   Women   Followed-­‐up   by   Village   Coordinators   and  Motivators   91.88  Percentage  of    Pregnant  women  immunized  with  TT1&  TT2  

81.42  Percentage  of  Pregnant  Women  having  Institutional  Delivery  

66.96  Percentage  of  new-­‐born  children  immunized  with  BCG  and  1st  DPT  

65.58  Percentage  of  Neo-­‐natal  deaths  

0    

The  achievements  of  Reproductive  and  Child  Health  (RCH)  component  of  HEP  can  be  gauged  from  the   large   number   of   sanitary   napkins   distributed   among   the   interested   beneficiaries,   high  percentages   of   pregnant   women   followed-­‐up   by   our   village   coordinators   and   immunised   with  required  vaccinations,  an  increase  in  the  number  of  women  taking  to  institutional  delivery  and  no  neo-­‐natal  deaths  recorded  in  the  past  6  months.    

Table  11:  Number  of  Sanitary  Napkin  Packets  distributed  

 Months   OPD   Mobile  Clinics  

Medical  Camps  

Total  

January     177   695   0   872  February   158   586   102   846  March   108   613   135   856  April     84   440   0   524  May   125   685   0   810  June   159   410   0   569  Total   811   3429   237   4477  

                                 

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4477   packs   of   sanitary   napkins   have   reached   menstruating   population   who   cannot   afford   the  branded  napkins  available  in  the  markets.  In  all  6  months  we  notice  that  the  napkins  distributed  in  the  villages  have  been  much  higher   than   those   in  OPD  and  Medical  Camps   in  Bodhgaya   town.  The  reason  being  that  apart  from  the  medical  team,  our  motivators,  who  themselves  are  members  of  the  village  communities,  sell  the  napkins.  

In   a   bid   to   reach   more   disadvantaged   population   who   do   not   have   access   to   proper   menstrual  protection  we  have  started  a  new  initiative  to  conduct  educational  sessions  at  schools  and  colleges  on  menstrual  health  and  hygiene  matters.  In  the  month  of  May  we  organised  our  first  such  day-­‐long  program  at  Project  Kanya  school.  As  a  part  of   this  activity  we  envisage   installing  Sanitary  napkin  vending  machines  and  incinerators  at  girls  schools  and  colleges  in  towns  of  Gaya  and  Bodhgaya.    

...        Community  Awareness  Program  on  Reproductive  and  Menstrual  Health  have  been  conducted  in  

....    villages  with  ...  participants    

 

 

 

 

 

 

 

 

 

 

January     February   March   April     May   June  

177   158  108   84  

125   159  

695  

586   613  

440  

685  

410  

0  

102   135  

0   0   0  

Sanitary  Napkin  distribuIon  at  OPD,  Mobile  Clinics  and  Medical  Camps  

OPD   Mobile  Clinics   Medical  Camps  

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EARLY  CHILDCARE  AND  DEVELOPMENT    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recognising  the  vital  role  of  play  in  the  social,  emotional,  physical  and  cognitive  skills  development  of   a   child  we   have   introduced   our   new  programme,   ‘Role   of   play   in   the   life   of   a   child:   A  way   to  contribute   to   children   well-­‐being   and   healthy   development’   in   collaboration   with   Inter’Lude,  France.  The  program,  launched  at  the  beginning  of  the  year,  is  aimed  at  the  children  in  Anganwadi  centres.  This  pilot  project   is  running   in  4  villages  (Gopalkhera,  Chando,  Banahi  and  Dema)  where  we  have  supplied  Anganwadis  with  various  indoor  and  outdoor  games  for  the  children.  

The   grounding   of   the   program   began  with   a   day-­‐long   training   session   organised   for   select   staff  members  of  our  organisation,  Child  Development  Project  Officers  (CDPOs)  of  the  blocks  where  the  four   villages   belong   and   Anganwadi  Workers   of   those   villages.   The   training   was   imparted   by   a  volunteer  from  Inter’Lude  who  worked  with  us  on  this  program  till  April,  and  our  Director  In  this  

EDUCATION  

   

   

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interactive   training,   the  participants   learnt   about   the   importance   of   play   in   a   child’s   growth;   the  objectives,  methods  and  expected  outcomes  of  our  program.  

This  project   is  running  successfully  under  regular  monitoring  by   the  village  coordinators.  Games,  toys   and   other   materials   required   for   its   smooth   functioning   are   provided   to   the   Anganwadi  centres  from  time  to  time  as  per  their  needs.  

In  the  State  of  Bihar  where  95%  of  the  schools  are  located  in  the  rural  areas,  elementary  education  presents  a  very  grim  picture.  Plagued  by  poor   infrastructure  and  high   teacher  absenteeism  these  schools  not  only  dissuade  a  large  number  of  rural  children  from  enrolling  in  primary  education  but  also  increase  the  dropout  rates.    

In  order  to  provide  a  strong  educational  foundation  that  the  primary  schools  often  fail  to  provide  we   have   launched   informal   schools   in   Masuribar   and   Dema.   Our   objective   is   the   all-­‐round  development  of  young  children  who  neither  go  to  Anganwadi    centres  nor  attend  primary  schools  through  free  educational  and  co-­‐curricular  activities  like  Yoga.  

 

NON-­‐FORMAL  EDUCATION  (NFE)    

   

                                 An  NFE  instructor  reading  out  news  to  the  students                  NFE  students  making  Paper  bags  from  old  newspapers  

 

Our  NFE  program  is  running  successfully  in  the  villages.  We  have  introduced  newspaper  reading  to  raise   awareness   about   the   various   events   happening   around   us.   At   Banahi   we   have   taught   the  students  to  make  paper  bags  using  old  newspapers  and  will  be  teaching  this  vocation  at  our  other  NFE   centres   in   the   coming  months.  This  will   not  only   improve   their   livelihood  opportunities  but  also  promote  the  use  of  environment-­‐friendly  alternatives  like  paper  bags  to  plastics.  

 

 

   

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In  the  second  quarter  NFE  classes  at  Bandha,  Nawatari  and  Kadal  were  temporarily  dissolved  due  to  poor  and  irregular  attendance.  The  average  attendance  of  the  rest  of  the  centres  is  provided  in  the  table  below:  

Table  12:  NFE  Attendance  details  

Name  of  Villages   Number  of  Students  enrolled  in  NFE  

Average  Attendance  in  NFE    classes  for  Q1  

Average  Attendance  in  NFE    classes  for  Q2  

Banahi   30   15   15  Dema   30   25   16  Gopalkhera   30   11   16  Lohjara   30   14   12  Mansidih   31   12   8  Sripur   30   12   12  Mastibar   25   10   12  J.P.Nagar   28   10   8  Kharati   18   16   10  Karhara   60   30   30  Trilokapur   21   10   6  Bhupnagar   25   15   15  Total   358   180   160    

Despite  the  scorching  summers,  the  harvest  season  and  various  festivities  the  average  attendance  for  the  past  6  months  has  been  close  to  50%  at  47.49%.  This  clearly  brings  out  the  success  of  the  NFE  program  in  attracting  and  retaining  students.  

 

 

 

 

 

 

 

 

 

 

 

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KITCHEN  GARDEN    

 

 

 

 

 

 

 

 

 

 

 

 

 

Vegetable   seeds   continue   to   be   distributed   among   villagers   growing   Kitchen   Gardens   under   the  sustained  guidance  and  monitoring  of  our  organisation.  1,972  households  have  been  provided  free  vegetable   seeds   for   undertaking   Kitchen   Gardening   in   their   backyards,   which   is   a   98%   increase  compared   to   the   June-­‐December   2013   period   (996  households).   This   brings   across   the   growing  success  of   the  program  through  a   surging   interest  generated  among   the  villagers  who  have  been  witness  to  the  benefits  reaped  by  those  growing  kitchen  garden  with  our  support.  We  have  started  a  new  initiative  under  this  program  where  plant  nurseries  have  been  formed  in  11  villages.  

With   the   objective   to   produce   healthy   seeds   for   better   kitchen   gardens   and   to   revive   the   use   of  traditional   seeds   for   cultivation   we   have   opened   a   Kitchen   Garden   Demonstration   Field   cum  Nursery  at  Amwan,  near  Bodhgaya  town  where  we  have  grown  brinjal  and  green  chillies  plants  and  will  be  growing  other  vegetables  and  fruits  in  the  coming  months.  

SOCIAL  

   

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We  have  also  started  distributing  seeds  among  interested  OPD  patients  and  thus,  have  reached  out  to  657  patients.  

 

 

 

VOCATIONAL  TRAINING  FOR  UNDERPRIVILEGED  YOUTH  &  WOMEN    

Computer  Courses  for  the  Underprivileged  Youth  

 

Issuing  certificates  to  the  first  batch  of  Computer  students  

The  first  session  of  our  6  months  computer  training  got  over  in  March  with  all  35  students,  enrolled  in  the   program,   passing   with   good   grades.   All   of   them   were   issued   score   sheets   for   their   written   and  practical   examinations  along  with  Certificates  of   successful  Course  completion.  The  second  session  of  computer  training  was  started  soon  after  with  55  enthusiastic  students.    

 

Vocational  Training  for  Rural  Women  

The  women  who  had  attained  advanced  training  in  candle-­‐making  in  Jamshedpur  last  year  conducted  refresher  and  advanced  training  on  candle-­‐production  and  marketing  to  NFE  students  at  Banahi,  Gopalkhera,  Bandha,  Nawatari  and  Dema.  

We   are   preparing   the   ground   for   conducting   vocational   training   workshops   similar   to   the   ones  organised  last  year.  One  of  the  vocations  that  will  be  taught  is  Mushroom  Cultivation,  training  for  which  will  be  given  by  one  of  our  local  partners  at  Jharkhand,  Dhad  Disham  Vikas  Sangha  (DDVS).  

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SMALL  MONEY  BIG  CHANGE    

 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Under  our  Community  Planned-­‐Community  Managed  program,  small  money  BIG  CHANGE  we  are  digging  ponds  at  Dema  and  Bhupnagar,  both  of  which  face  serious  dearth  of  water  facilities,  especially  during  the  scorching  summers  when  the  ponds  and  wells  dry  up.  

 

 

 

 

 

 

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NETWORKING  WITH  OTHER  LOCAL  NON-­‐GOVERNMENTAL  ORGANISATIONS  (NGOS)    

The   scale   and   scope   of   developmental   challenges   requires   that   all   organisations   sharing   similar  mission  and  goal  work  collectively  towards  the  realisation  of   their  common  aspirations.  With  the  aim   of   forming   a   network   of   like-­‐minded   humanitarian   organisations   we   have   compiled   the  detailed  information  about  NGOs  (a  total  of  98  functioning  NGOs)  working  in  Gaya  district.    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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BODHGAYA  CLEAN  ENVIRONMENT,  HYGIENE  AND  SANITATION  PROGRAM    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

With  the  pledge  to  promote  eco-­‐friendly  beautification  of  the  town  we  have  taken  the  initiative  to  plant   trees   along   the   road   in   front  of   our  office/OPD  and  have   till   now  planted  100   trees.   In   the  following  months  we  intend  to  plant  300-­‐400  trees.    

ENVIRONMENT  

   

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In  order  to  reduce  the  indiscriminate  use  of  bio-­‐non  degradable  plastics  we  have  been  distributing  Jute  bags  to  each  of  our  patients,  our  NFE  students,  staff  and  schools  in  our  operational  villages.  We  have  been  able  to  give  away  4427  bags  in  the  past  6  months.  

 

We   have   given   free   food   covers   to   21   vendors   selling   food   at   Gaya   station   and   are   now   in   the  process  of  distributing  100  food  boxes  made  of  steel  and  glass  to  interested  food  vendors  and  shop-­‐owners  in  the  towns  of  Bodhgaya  and  Gaya.  These  boxes,  that  we  have  purchased  at  whole  price  of  INR  7,000  each  and  whose  market  value  is  much  higher  at  INR  11,000  per  box,  will  be  distributed  at  50%  subsidised  rates  to  the  target  beneficiaries.    

 

RAINWATER  HARVESTING    

 

 

 

 

 

 

 

 

 

 

 

 

Our  programme  on  Rainwater  Harvesting  which  was  started  at  the  end  of  last  year  continues  with  water   tanks  being   installed   in  36  households  across  4  villages   (Dema-­‐18  households,  Chando-­‐11,  Karhara-­‐2   and   Banahi-­‐5).   Besides,   schools   at   Dema   ,   Gopalkhera   and   Lohjhara   have   also   set   up  rainwater  harvesting  system  for  the  benefit  of  the  students,  faculty  and  other  staff  members.  

 

 

 

 

 

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SOLAR  ELECTRICITY    

 

 

 

 

 

 

 

 

 

 

 

 

This  year  we  have  scaled-­‐up  our  Solar  electricity  program  to  cover  some  of  the  remotest  villages  where  there  is  hardly  any  possibility  of  electrification  in  the  near  future.  With  the  help  of  our  new  solar  engineers  we  have  installed  60  LED  sets  in  interested  households  across  5  villages  and  have  collected  a  one-­‐time  amount  of  INR  2000  from  each  of  these  households  (33  in  Bhupnagar,  13  in  Dema,  11  Mansidih,  2  in  Lohjhara  and  1  in  Banahi).    

 

 

 

 

   

 

 

 

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ACTIVITY  PROGRESS  IN  JHARKHAND    

With   the   objective   of   reaching   out   to   more   people   in   dire   need   of   humanitarian   services   we   are  expanding  our  area  of  operation   to   the  neighbouring  state  of   Jharkhand   from  this  year.  The  State   is  bound  by  Bihar  in  the  North,  West  Bengal  in  the  East,  Odisha  in  the  South  and  Chhattisgarh  and  U.P.  in  the  West.  A  mineral  rich  state,  Jharkhand  has  24  districts,  260  blocks  and  32,615  revenue  villages  with  a  total  population  of  3.30  Crore  as  per  2011  census  accounting  for  2.7%  of  the  country’s  population.  The  reason  for  choosing  Jharkhand  for  our  future  humanitarian  assistance  is  that  the  State,  like  Bihar,  not   only   ranks   as   one   of   the   poorest   states   in   the   country   but   also   fares   very   badly   in  most   of   the  human   development   indicators   and   is   Maoist-­‐affected   with   several   districts   being   declared   as   Red  Corridors.  

Based  on  the  extensive  discussions  we  have  signed  Memorandums  of  Understanding  (MOU)  with  two  local   organisations;   Cause   for   Change   and   Dhar   Disham   Vikas   Sangha   (DDVS).   On   the   basis   of   our  village  scan  process  we  have  selected  Rajnagar  Block  in  Seraikela-­‐Kharsawan  District  as  our  initial  area  of  intervention  where  we  will  be  working  in  Baner  Panchayat,  Gangaruli  Panchayat,  Kendmundi  and  Bankhabani  Panchayats.  We  will  be  starting  our  Mobile  Clinic  services  in  the  selected  Panchayats  by  August-­‐September.  

We  have  booked  our  Office  space  at  Hata,  an  important  junction  located  20km  from  Jamshedpur.  Hata  was   chosen   for   its   strategic   location;   our   areas   of   intervention   covering   the   districts   of   East  Singhbhum,  West  Singhbhum  and  Seraikela-­‐Kharsewa  fall  within  50  km  radius  of  our  Hata  office.    

 

FIELD  WORK  AND  PROJECT  STUDY  BY  MAGADH  UNIVERSITY  STUDENTS    

We  conducted  a  day-­‐long  workshop  with  final  year  post-­‐graduate  students  of  Rural  Management  and  Development   program,   Magadh   University   on   Project   work/Dissertation   writing.   Thereafter,   we  selected   13   bright   students   from   amongst   them   to   conduct   field   work   for   their   projects   at   our  operational  villages,  taking  as  case  study  one  of  our  ongoing  programs.  As  part  of  their  project  work  they   conducted   socio-­‐economic   survey   in   all   18   operational   villages   under   the   guidance   and  supervision  of  our  able  staff  members.  The  students  have  been  issued  certificates  by  our  organisation  for  their  participation.  

 

OTHER  EVENTS  &  ACTIVITIES  

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Workshop  on  Dissertation  writing                                                                                          Field  Work  by  the  students  

 

FINANCES    

The  expenses  incurred  in  the  January-­‐June  period  of  2014  are  presented  below:  

 

 

31%  

15%  15%  

0%  7%  

5%  

9%  

3%   15%  

0%  

Expenditure    in  January-­‐June  period    Health  Programme  (OPD  +  2  Mobiles  +  1  NEW  MOBILE)  

Shechen  Medical  Centre  (Out  PaKent  Department)  

Mobile  Clinics  and  Medical  Camps  

New  Mobile  Clinic  for  extended  OperaKonal  Area    and  Nyingma  Medical  Camp    EducaKon  

Environment  Programme  

Social  Programme  

Programme  Support  (Need  Based  Training  and  Capacity  Building  for  Staff)  AdministraKon,  transportaKon  and  funcKoning  

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UPCOMING  ACTIVITIES    

Programs   in   Jharkhand   including   a   Mushroom   training   for   tribal   communities   in   July   at  Musaboni  Block  

Mobile  Clinics  in  selected  villages  in  East  Singhbhum  and  Saraikela  Kharswan  from  August  /  September  

Baseline  Survey  in  the  chosen  operational  areas  in  Jharkhand   Vocational   training   for   women   from   disadvantaged   communities   in   Bihar   including    

Mushroom  cultivation,  Rakhi  making  and  paper  bag  making   Yoga  training  for  interested  youths  from  disadvantaged  communities  in  July     Installation  of  Sanitary  napkin  vending  machines  and  Incinerators  in  schools  and  colleges  in  

Gaya  district   Electric  Auto-­‐rickshaws  will  be  driven  by  female  drivers   from  our  clinic  to  the  main  road.  

This   initiative   aims   at   women   empowerment,   environment-­‐friendly   communication   and  promotion  of  social  awareness-­‐related  programs.