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The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Report on Implementation in Rajasthan July 2008 to March 2009
In Partnership with – State Program Committee(TB) & State Health Society, Rajasthan
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 2
Acknowledgements The credit for the achievements of the project during the first Financial
Year of implementation in the State of Rajasthan is shared by the leaders &
functionaries of the RNTCP team in Rajasthan as well as those of the Catholic
Health, Social & Education Networks. The constant inputs from the Central TB
Division and the Health Commission of The Catholic Bishops’ Conference of
India as well as concerted support from the Catholic Health Association of India &
the RUPCHA Regional office have helped to pave the way & to move towards the
attainment of the project objectives.Sincere thanks are offered to
Dr. L S Chauhan, DDG TB, Dr Shruti Sehgal, Consultant CTD
Dr K N Gupta, the State TB Officer, Rajasthan, all the officers at the State TB Cell
and the STDC, Ajmer, Distinct TB Officers and other officers at the District TB
Centres, MO-TCs and their teams of STS & STLS
RNTCP Consultants of Rajasthan- Dr S K Sinha, Dr Vivek Mishra, Dr Umesh
Alavadi & Dr Simi Roy Misra
Most Rev Ignatius Menezes, Most Rev Joesph Pathalil and Most Rev Oswald
Lewis, the Bishops of Ajmer, Udaipur & Jaipur, respectively, the Social directors of
all Diocese, the Fathers , Sisters & the team of animators and other field workers
Fr Sebastian Ousepperampil, Fr Mathew Abraham and Dr John Tharakan for
constant support & encouragement. Mr. Sebastian Kunneth for facilitating the
initial meetings with the Member Institutions. The CBCI & CHAI offices for
always being there and for their prompt troubleshooting.
Dr Reuben Swamickan for providing leadership & direction, and the State TB
Project Consultants from all the other States for sharing their experiences,
perspectives and approaches.
Thanks to all members of “The Team” Dr Neerja Arora
State TB Project Consultant, Rajasthan
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 3
Index S.No. Subject Page No
1 Introduction to the Project
4-5
2 Infrastructure in Rajasthan, Listing & Contacting
6
3 Possibilities of Involvement of Centres of Catholic
Health & Social Networks
7-8
4 State Level workshop on Launch of the project in
Rajasthan
9-12
5 Current Status of Involvement
13
6 Sensitisation Sessions
14-15
7 Training Sessions
16-17
8 Implementation as per Action Plan
18
9 ACSM- Community Meetings, Group
Sensitisations, School Activities
19-31
9A Community Meetings
19
9B Domestic Workers’ Union 20-21
9C Roman Catholic Diocesan Service Centre, Ajmer
22
9D St Francis Hospital, Ajmer
23-24
9E Success Stories
25-27
9F
9G
World TB Day Activities
Sarvadharma Maitri Sadan, Community Meeting
School Activities
28
29-31
10 Annexure
Ann.1- Contact Information of Member Institutions
Ann.2- Summary of School Activities
Ann.3-DOTS Story- DOTS dh tknqbZ dgkuh
32-34
35-36
37-40
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 4
Introduction to the First IMPACT Project (The First Innovative Mobilization of Private Actors
& Church against TB)
This project has been launched with the objective of improving the access
to the diagnostic and treatment services provided by the RNTCP within and
through the Catholic Health Network and thereby improving the quality of care
for patients suffering from Tuberculosis in India. For this project the Health
Commission of the Catholic Bishops Conference of India (CBCI-HC) has
partnered with the Central TB Division (CTD) under GFATM Round IV. The
project will be implemented in 11 States of India in the first phase. The
implementation will be through Member Institutions (MI) of Catholic Health
Association Of India (CHAI) in 7 States (Andhra Pradesh, Assam, Chhatisgarh,
Jharkhand, Karnataka, Orissa, and Rajasthan) & MIs of Catholic Relief
Services (CRS) in 4 States (Bihar, Madhya Pradesh, Uttar Pradesh, and West
Bengal).
The Catholic Healthcare Network in India consists of about 5,994 health care
facilities, 85% of which are in rural areas. The Catholic Nurses Guild of India
and the Sister Doctors Forum of India have about 40,000 & 600 members
respectively. Almost all facilities in the Catholic Health Network (CHN) come in
contact with patients having TB. Though at present accurate data on the
number of patients catered to by the CHN are not available, there is no doubt
about the need for better services and access to treatment for people having TB.
The Catholic Health Association of India (CHAI) was established in the
year 1943 and has its Headquarters in Secunderabad (AP). It is the world’s
largest NGO working in the health sector. CHAI has 3273 Member institutes
(MI’s) under 11 Regional Units (RU) across India. The RU for Rajasthan is
RUPCHA (Rajasthan & UP Catholic Health Association), which caters to MIs
in 9 Northern States and has Headquarters in New Delhi. CHAI’s Thrust areas
are in the field of Community Health, Communicable diseases including
HIV/AIDS and Disaster intervention.
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 5
The project has been modelled with the following features:-
RNTCP services will also be
extended through the MIs of
CHN.
CBCI- Health Commission
will be main coordinator and
CHAI and CRS will be the
implementing partners
The MIs of CHN will provide
better access to RNTCP
services in the areas of their
activity especially in remote,
rural & tribal regions.
The MIs will be involved
under appropriate RNTCP
Schemes for NGOs
All identified centers will
participate in Awareness
programs, serve as Referral
centers for TB suspects and
most MIs will serve as DOT
Centres
Larger centers can become
DMCs / TUs
There will be optimal
resource utilization from
CBCI and RNTCP
Expected Value addition by the RNTCP- CBCI partnership
Number of new TB
patients detected will
improve substantially in
areas of activity as
more institutions
become part of RNTCP
and there is
strengthening of the
involved centres.
Defaulter rate will
decrease significantly
due to improved access
& acceptability of the
RNTCP services,
especially in under-
served & difficult to
reach areas.
Training of Health
Care providers through
RNTCP modules will be
conducted with the help
of facilitators &
material from RNTCP
and facility & provider
network from CBCI
partners
The MIs will facilitate
distribution of uniform
IEC material from the
RNTCP throughout the
network and in the field
All MIs will facilitate
diagnosis & provide
drugs as per RNTCP
Guidelines and follow
RNTCP in letter &
principle.
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
Infrastructure in Rajasthan- Listing & Contacting
The State of Rajasthan includes three Catholic Dioceses. The Ajmer diocese includes the districts of
Ajmer, Barmer, Jalore, Jaisalmer, Pali, Jhalawar, Jodhpur, Sirohi, Tonk, Kota, Baran and Bundi. The Jaipur
Diocese includes Jaipur, Ganganagar, Hanumangarh, Bikaner, Jhunjhunu, Churu, Sikar, Alwar, Dausa,
Karauli, Nagaur and Sawai Madhopur and the Udaipur diocese includes Udaipur, Banswara, Bhilwara,
Chittaurgarh, Dungarpur and Rajasamand
At present there are 66 listed Catholic Health Care Facilities in Rajasthan, 55 in Health Sector + 11
in Social Sector)
Type of Institution/ Name of Diocese
Ajmer Jaipur Udaipur Rajasthan
Hospitals 15 1 6 22
Dispensaries & Health
Centres 8 5 11 24
Nursing Schools 1 0 0 1 Rehabilitation centers
for disabled 2 1 0 3
Home for the Aged 0 1 0 1 Counseling Centres 2 0 0 2 Home for the
terminally ill 0 1 0 1
Care Homes for
PLWHA 1 0 0 1
Social-work Centres 2 2 7 11
57 Catholic Health Care Facilities were listed in Rajasthan in CBCI Health Directory 2008; more centres
were added to the list- 11 from the Social Sector and 1 from health sector. 3 names were listed twice under
different categories and the duplicity was discounted. Hence there are presently 66 listed centres.12 centres
have been found to be either non-functional or present in the same premises or adjacent to another CHN
centre or Government centre hence suitable only for Referral of patients and may not be signed under any of
the existing RNTCP Schemes, as per the decision taken by the DTO after their preliminary visits. 5 centres
have not been visited yet hence their suitability has not been ascertained. Therefore presently 49 centres are
deemed to be eligible for involvement under new RNTCP Scheme
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
Possibilities of Linkage of MIs under Revised RNTCP NGO-PP Schemes
1. Referral & DOT Centres & Sputum
Collection Centres- All institutions
2. School & Church Activities- All
institutions
3. ACSM Scheme-
i. Social Networks in
Ajmer, Dausa,
Banswara and Udaipur
ii. St Francis School of
Nursing, Ajmer which
has also included
RNTCP in curriculum
4. Sputum Transportation Scheme in
Kota, Banswara and Ajmer
5. Designated Microscopy Centres- St
Francis Hospital-Ajmer, Holy Family
Hospital-Kota, St Teresa’s Hospital-
Udaipur
6. Urban Slums Scheme – Kiran
Domestic workers Union, Udaipur and
Karuna Domestic Workers Union,
Udaipur,
7. TB-HIV Scheme- Asha Niketan,
Kanakheri, Holy Family Hospital, Kota
8. Adherence Schemes with DOT
Provider networks in Ajmer, Bandikui,
Banswara, Udaipur
Clockwise from top left- Meeting with Bishop of Ajmer, DTO Kota during field
visit to slum area in Kaithoon with sisters, DTO Banswara meeting a patients at
Amlapadi centre, DTO Jaipur during visit to Mother Teresa’s centre
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 9
Report on the State Level Workshop organised on the occasion of
Launch of “The First IMPACT Project” in Rajasthan At Jaipur on 27th August 2008
In accordance with the PIP of the First IMPACT Project & the detailed Action Plan for the
State of Rajasthan, prepared at the time of National level meeting in New Delhi on 6th
& 7th
July
2008, in consultation with the State TB Officer Dr K N Gupta & WHO Consultant Dr S K Sinha; a
State level Workshop was organised to officially launch “The First IMPACT Project” in Rajasthan.
This workshop was jointly organised by the State TB Cell, Rajasthan & the Catholic Health
Association of India (CHAI), Rajasthan office, with support from the Central TB Division (CTD) of
the Government of India & the Health Commission of the Catholic Bishops’ Conference of India
(CBCI-HC).
The workshop was expected to provide a platform for the meeting of the State authorities &
District programme managers with the dignitaries of the Catholic Church of Rajasthan and
representatives of the Catholic Health & Development Network to deliberate and collaborate upon
this joint Public-Private- Partnership initiative.
The definitive objectives of the workshop were-
1. To orient the Catholic Health Facilities and District TB Officers about the First IMPACT TB
Project
2. To orient the Catholic Health Facilities about the RNTCP and the need of involvement
3. To explore the possibilities of involvement with RNTCP under the Revised Schemes for NGOs
and Private Providers
4. To prepare a broad action plan for the involvement process.
Venue: The workshop was organised in at the Club Lounge in Hotel Golden Tulip in Jaipur
Participants:
The workshop was well attended by representatives from the Government of Rajasthan,
including the Chief Guest- Director of Medical & Health Services, Dr.O.P. Gupta; the State TB
Officer- Dr K N Gupta; DTOs of Dausa, Jaipur & Kota and the State TB Cell officials.
Dignitaries from the Church of Rajasthan included the Guest of Honour, Most Rev. Ignatius
Menezes- Bishop of Ajmer, the Special Guests, Most Rev. Oswald Lewis-Bishop of Jaipur and Sr.
Isabelle- Provincial Superior, FSMA.
The Directors of Social work from Ajmer, Banswara & Dausa & Sisters from Catholic
Health & Development Network participated in the proceedings
Sr Augusta & Sr Sunita represented CHAI & RUPCHA and Sr Maria Joseph represented
CARITAS
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 10
Dr Mala Srikanth & Dr Shruti Sehgal, both WHO Consultants from Central TB Division; and
Dr Sanjay Sinha, Dr Vivek Mishra & Dr Umesh Alavadi, all RNTCP Consultants of Rajasthan, also
participated in the workshop
Dr Reuben Swamickan, National Coordinator, First IMPACT Project, CBCI-Health
Commission; Dr Kalpesh Rahevar, Regional Coordinator, CHAI and Dr Neerja Arora, State
Coordinator, Rajasthan facilitated the activities with the support of Mr Shaju & Mr. Antony of
RUPCHA, Delhi
Inauguration:
The workshop was inaugurated with a hymn sung by Sr Pushpika followed by a reading from
The Bible by Sr Sunita and the lighting of the inaugural lamp by the dignitaries on the dais. The
guests were given a floral welcome by the Sisters.
Dr K N Gupta, State TB Officer, Rajasthan, welcomed all the participants. He shared that the
State had recognised the strength of the Catholic Health Network and had already initiated its
involvement as a PPM initiative. The First IMPACT Project will strengthen the process of linking the
member institutions with the RNTCP network.
The Guest of Honour, Most Rev Ignatius Menezes, Bishop of Ajmer related his experiences
regarding the reach of Catholic Health Network in remote areas and the challenges encountered in
the service of the poor & the sick. He reiterated the commitment & dedication of the nursing sisters
towards this noble cause.
The Special Guest, Most Revered Oswald Lewis made a thought provoking speech on the
application of the religious learning for the service of mankind, specially in relevance to the persons
suffering from Tuberculosis
Sr Augusta, Director of St Francis Hospital, Ajmer, which is already doing remarkable
service under the RNTCP Scheme of DOT Provision, put across facts & figures from the Hospital’s
long association with the programme.
The Chief Guest, Dr O.P Gupta, Director, Medical & Health Services, Government of
Rajasthan, congratulated the gathering on the beginning of a new era in the Public- Private
Partnership and, having been closely associated with the programme in the State over many years,
expressed his confidence that this will add to the consistent list of achievements of RNTCP in
Rajasthan.
Scientific Session: The Scientific Session included presentations covering the following topics
1. Revised National TB Control Programme - An Introduction: by Dr Sanjay Sinha
2. First IMPACT TB Project - An Introduction: by Dr Reuben Swamickan
3. Catholic Health Association of India- An Overview of Activities: by Dr Kalpesh Rahevar
4. Challenges in RNTCP: by Dr Mala Srikanth
5. Status & Achievements of RNTCP in Rajasthan –
Role of CHN & Role of DTOs in the First IMPACT Project: by Dr K N Gupta
6. Situational Analysis & Field Experiences by Dr Neerja Arora
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 11
Post Lunch Session on new NGO-PP Schemes:
The post lunch session was reserved for the deliberations on the CTD guidelines regarding
the involvement of NGOs & PPs under new RNTCP Schemes
Dr Shruti Sehgal made a comprehensive & interactive presentation about the new NGO-PP
Schemes.
Group Work on preparation of Action Plan:
The participants then segregated into district-wise groups to discuss the feasibility of
involvement of the different Health & Developmental facilities under the various Schemes and to
frame Action Plans for the speedy, efficient & effective involvement with the RNTCP. Each group
consisted of the representatives from Catholic Health/ Social facilities, DTO/ State TB Cell
representatives & the WHO Consultant, responsible for the district. The outcome of the group-work
was the on-the-spot submission of 24 proposals from catholic institutions in 7 districts of Rajasthan
for involvement with RNTCP. The proposals from the remaining centres will be submitted by
October 2008.
The submitted proposals were forwarded by the State TB Cell to the respective District TB
Cells with the direction to organise visits to the centres, to assess the suitability of the centre with
respect to the need of the programme and the eligibility for the Scheme/ Schemes applied for. The
Activities planned include the training of the DOT Providers/ Community Volunteers for the eligible
DOT Centres by October 2008 and LTs & MOs for DMCs at the earliest. Prompt action has been
advised on receipt of future proposals as well. The service delivery of RNTCP services will start
immediately after fulfilling of eligibility criteria.
A Memorandum of Understanding will be signed between the District Health Society & the
NGO applying for involvement, as per the Revised NGO-PP guidelines.
Closing Ceremony: The meeting concluded with a vote of thanks to all invitees, participants &
facilitators.
Report Submitted by:
Dr Neerja Arora
State TB Project Coordinator
First IMPACT Project, Rajasthan
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
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Current Status of Involvement under NGO-PP Schemes
District-wise Status of Project Implementation in Rajasthan upto March 2009
(No. in bracket indicates ineligible centres)
(?) indicates centres not visited yet
Name of the
District No. Of
Listed
M Is
No. Of
proposals
submitted
No. Of
Centres
with
Trained
DOT
Providers
Centre with
only
sensitisation
No. Of
Centres
visited
by
DTO /
MOTC
DHS
approval
under
process
No. Of
MoU
Signed
Service
Delivery
ongoing
Ajmer 16 (4) 14(2) 15(4) 1 15(3) NA 9 3
Alwar 2 1 0 1 1 1 0 0
Barmer 1(?) 1 0 0 0 0 0 0
Banswara 11 9 11 0 11 9 0 2
Bhilwara 1 0 0 1 1 0 0 0
Bikaner 2(?) 0 0 0 0 0 0 0
Dausa 2 1 1 1 1 1 0 1
Dungarpur 2 2 2 0 2 2 0 0
Jaipur 2(1) 1 2(1) 0 1 NA 1 1
Jaisalmer 1(?) 0 0 0 0 0 0 0
Jodhpur 1(?) 0 0 1 0 0 0 0
Kota 8 7 7 1 8 7 0 5
Sikar 1 1 0 1 1 0 0 0
Sirohi 4 (3) ? 0 0 0 0 0 0 0
Udaipur 12(4) 8 8(2) 4(3) 6 5 0 0
Total 66(12
+5?) 45(2) 46 (5) 11(3) 47 (3) 25 10 12
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009
List of Sensitisation Sessions organized upto 31st March 2009
S.No Date Place
Name of
Diocese/
Region No.
sensitised No. of
Doctors
No. of
para-
medicals
1 29/7/08 St Paul's School,
Udaipur Udaipur 16 0 16
2 6/8/2008
Kota Stone
Marium
Hospital Ajmer 7 1 6
3 7/8/2008
Jeevan Deep,
Banswada Udaipur 37 0 37
4 22/8/08 Delhi
RUPCHA
AGBM-CME
for nurses 50 5 45
5 27/8/08 Golden Tulip
Hotel, Jaipur
State level
Launch
workshop ,
jaipur 53 23 30
6 5/9/2008
Christ Raj
Ashram Ajmer 4 0 4
7 15/9/08 Madri, Udaipur Udaipur 10 0 10
8 16/9/08 Jhadol, Udaipur Udaipur 6 0 6
9 16/9/08 Oghna, Udaipur Udaipur 5 0 5
10 11/11/2008
Heerabagh,
Jaipur
Sensitisation
Workshop
for NGOs &
PPs of
Jaipur 48 10 38
11 20/11/08
St Francis
Hospital,
Bandikui Jaipur 11 0 11
12 9/12/2008
St Xavier's
School, Bhiwadi Jaipur 16 0 16
13 11/12/2008
Sewa Sadan,
Seemalwada,
Dungarpur Udaipur 8 1 7
14 12/12/2008
Jeevan Deep,
Banswada Udaipur 30 0 30
15 21/12/08 St Paul's School,
Udaipur Udaipur 40 0 40
16 17/2/09
St Mary's School
Dispensar. Sikar Jaipur 4 0 4
17 19/3/09
Jeevan Deep,
Banswada Udaipur 27 0 27
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 15
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Yr 2008-2009 Page 16
RNTCP Modular Training organised for Catholic Health Network-upto 31st March 2009
S.N
o. Date Place
Name
of
Diocese
No.
Trained
No. of
Doctors
No. of
para-
medicals
1 8/8/08
Jeevan Deep,
Banswada Udaipur 36 0 36
2 22-23/9/08
Kota Stone
Marium
Hospital, Kota Ajmer 11 2 9
3 24-25/9/08
Holy Family
Hospital, Kota Ajmer 18 0 18
4 26-27/9/08
St Francis
Hospital,
Ajmer Ajmer 47 0 47
5 20-21/9/08 DTC, Jaipur Jaipur 2 0 2
6 22/9/08
Training of
STS & STLS
at DTC Jaipur
in
“compilation
& preparation
of RNTCP
Quarterly
PPM Reports" Jaipur 27 3 24
7
14-
15/11/08
Mother Teresa
Ashram Jaipur 1 0 1
8 9-10/1/09
St Paul's
School Udaipur 38 1 37
Total
Training
Sessions 8 Total Persons Trained 174
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Yr 2008-2009 Page 17
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Activities undertaken as per the State Action Plan
up-to 31st March 2009
S. No. Activity Status of implementation
1
Line listing of MIs, Situational
Analysis & Prioritisation for
involvement Completed
2
Organisation of State Level
Workshop Completed
3
Sensitisation of staff of MIs of
CHN
17 Sesnsitisation Sessions held to-date, several one-to one
sensitisations held
4
Submission of proposals for
involvement under RNTCP
Schemes
45 centres have submitted the proposals ( including 2- not
eligible & 1 not visited) 10 social centres & 3 health centres yet
to submit proposals, 11 centres not eligible
5 Visit of MIs by DTOs
60 centre have been visited by STPS, 44 centres have been
visited by DTO/MOTC. All centres in the respective districts
have been visited by DTOs/MOTC of Ajmer, Bhilwara,
Banswara, Dungarpur, Kota, Jaipur, Sikar, Dausa & Udaipur
6 Training of staff of CHN
8 sessions of Modular Training for DOT Providers have been
facilitated. Most of the centres in Banswara, Kota, Jaipur &
Ajmer have trained DOT Providers in place. 46 centres have
trained DOT Providers
One session of “Training of RNTCP personnel at DTC Jaipur in
“compilation & preparation of RNTCP Quarterly PPM Reports"
facilitated. 174 persons have been trained under the project
7 Signing of MoUs
MoUs signed after DHS approval for 10 centres- 1 in Jaipur & 9
in Ajmer 25 proposals are under process to be signed after
approval by respective District Health Societies
8
Initial supply of drugs &
logistics
Immediately after signing of MoU and before start of service
delivery.
9 Service Delivery
12 centres are functioning as DOT Centres- 1 in Jaipur, 1 in
Dausa, 5 in Kota, 3 in Ajmer & 2 in Banswara
10
Drug Supply, Recording &
Reporting and Supervision &
Monitoring In place in centres where service delivery has started
The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI
Yr 2008-2009 Page 19
Community Meetings on RNTCP_DOTS organised by Catholic Health & Social Networks in
Rajasthan-upto 31st March 2009
S.No Date Organiser Place
Name of
Diocese
RNTCP Resource
person
No.
Sensitised
1 11/1/2009
Kiran
Domestic
Workers'
Union,
Udaipur Gramin Haat, Udaipur
Dr Dinesh Kothari -DTO,
Dr Simmi Misra-consultant,
Ms Sanjana-IEC Officer,
Sr Kirti, Dr Ravi-Alert, Alert
troupe, Dr Neerja-STPC 1200
2 18/1/2009
Karuna
Domestic
Workers
Union,
Bhilwara
Government
School, near
Krishna
Hospital Udaipur
Dr SN Jakhetia-DTO, Dr
Kataria-DTC, STS, STLS,
TBHV, Dr Neerja-STPC 250
3 18/2/2009
Abdul Waheed
Hospital,
Kotarhi, Kota
Abdul Waheed
Hospital,
Kotarhi, Ajmer
Dr SN Meena, Mr Ganesh
STS, Sr Wilcy 52
4 7/3/2009
Jeevandhara
Samaj Kalyan
Sanstha,
Jaipur
Balaji ka
mandi,
Jatwara,
Bassi, Jaipur Jaipur Dr Neerja Arora, STPC 400
5 8/3/2009
St Xavier's
Social Service
Centre,
Bhiwadi
ST Xaviers
School,
Bhiwadi,
Alwar Jaipur
STS Mr Satpal Chaudhary,
STLS Mr Padam Singh,
Fr Jabamalai 300
6 21/3/2009
RCDSS DOT
Centre
RCDSS,
Madar Ajmer Sr Kusum PSA 33
7 22/3/2009
RCDSS DOT
Centre
RCDSS,
Madar Ajmer Sr Kusum PSA 45
8 22/3/09
Maitri Sadan
& Kiran,
Saveena
Macchla
Magra slum
cluster Udaipur
Dr Dinesh Kothari -DTO,
Ms Sanjana-IEC Officer,
Fr Norbert, Sr Kirti,
Mr Anoop STS 200
9 27/3/2009
RCDSS DOT
Centre
RCDSS,
Madar Ajmer Sr Kusum PSA 12
10 28/3/2009
St Francis of
Assissi
Hospital DOT
Centres
Nayavas,
village Jaipur
Dr SN Sharma, MOTC
Bandikui, Mr Sushil Kumar,
STS, Sr Teena PSA,
Mr Raghuvir 72
Total
Meetings 10 Total Persons sensitised 2564
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Yr 2008-2009 Page 20
Involvement of National Domestic Workers’ Movement with RNTCP & CBCI
The National Domestic Workers’ Movement was established in 1985 in Mumbai,
(Maharashtra) in India by Dr. (Sr.) Jeanne Devos. Sr. Jeanne is a Belgian missionary who first
started work with domestic workers back in 1966 in the state of Tamil Nadu, India. From a small
establishment in Mumbai, the Movement has spread into 23 states, organizing domestic workers,
building their capacity for efficiency of work and awareness of rights and providing a platform to
voice their struggles and demand for dignity of labour and proper legislations that will benefit
their workforce. To this end, domestic workers in the different states of India are organized into
groups and a strong solidarity is created, where, together, the women can stand up for justice and
rights of domestic work. Regular meetings and training sessions are conducted to help build the
confidence of the women not only in the work but also in them. Leaders are drawn out from
these groups to help carry the work of the Movement deeper into their areas, further organizing
women of the trade. The National Domestic Workers’ Movement is endorsed by the Catholic Bishop’s
Commission of Labour (CBCI)
Sources: http://www.domesticworkerrights.org/ http://www.ndwm.org
Merging of Synergies- Involvement of CBCI with RNTCP in Udaipur and
Bhilwara districts of Rajasthan
The Rajasthan Chapter of National Domestic Workers’ Movement has taken root through the
tireless efforts of Sister Kirti, PSA, who belongs to a CBCI-HC member institution “St Teresa
Vidya Deep” in Udaipur. Sr Kirti is the State Coordinator of the movement in Rajasthan. She
has been instrumental in collecting the Domestic Workers under a united umbrella organization-
:” KIran”- Domestic Women Workers’ Union. Presently there are about 2000 members in
Udaipur & about 500 members in Bhilwara Districts. The workers hail from Slum bastis in and
around city and are working in households scattered all over the city.
A sensitization session on RNTCP was organized for 40 Leaders on 21st December 2008
from the Udaipur group jointly by DTO Udaipur and CBCI-HC. The DTO spoke to them in
the local “ Mewadi” dialect. Since many of them cannot read properly, pictorial flipcharts,
courtesy ALERT Sansthan were provided to them as take-home literature. Some of the Leaders
have now also been trained as DOT Providers with view of opening DOT Centres in the slum
areas inhabited by them.
A large scale meeting organized by Sr Kirti on 11th January 2009, served as an ideal platform
to convey the key messages of TB control through DOTS, to a gathering of about 1200
Domestic Workers. The DTO, Dr Dinesh Kothari, spoke to them in a simple & effective
manner. His talk was followed by a cultural programme by tribal artistes belonging to Alert
Sansthan, an NGO focusing on RNTCP ACSM activities in Udaipur. The tribal artists held the
audience spellbound with their songs, dances and skits conveying the salient messages in an
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unforgettable manner. The event turned out to be an epitome of inter-sectoral co-ordination
wherein the merging of synergies resulted in an outstanding outreach activity
Another such meeting was organized by Sr Kirti on 18th January 2009 under the aegis of
“Karuna” Domestic Workers’ Union in Bhilwara. The meeting was well attended by about
250 members of the union, local politicians, Lioness Club Members and Doctors & Field staff of
District TB Clinic, Bhilwara. An IEC Display about TB & RNTCP DOTS was put up by the
DTC and the DTO, STS and the STPC, Rajasthan discussed various aspects of TB disease & its
control through RNTCP with the gathering.
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RCDSS DOT Centre, Ajmer
The Roman Catholic Social Service Centre at Madar, Ajmer has been associated with
RNTCP since Yr 2002, More than 124 patients have been put on DOT at this centre which is
situated in a sparcely populated area. During all these years there has not been a single
case of default by a DOT patient. The secret of excellent case holding & treatment outcome is
the single-minded dedication of Sr Kusum, the DOT provider. The RCDSS also supports the
nutrition of the TB patients.
Sr Kusum has also been contributing towards Awareness generation about TB and its control
through RNTCP DOTS through organization of Community Meetings, School Activities &
meetings of Self Help Groups
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DOT Centre at St Francis Hospital, Ajmer
St Francis Hospital, Ajmer is a 150 bedded hospital and has 6 associated dispensaries and one
hospice for HIV positive/AIDS cases. Involvement with RNTCP began in November 2000
under NGO Scheme II and a DOT Centre was started at the hospital premises.
From November 2000 till March 2009, 542 patients have received DOT at this DOT
Centre.Sister. Sr. Dr. Melba, a physician, takes active interest in the programme. Sr. Daya, a
trained nurse, supervises the RNTCP services. She is assisted by trained DOT providers and a
field worker. Trainee nurses from the attached nursing college are also posted at the DOT
Centre and interact with TB patients during their field work. A warm & loving care to the
patients receiving DOT, commitment to RNTCP guidelines and meticulous record keeping
are the hallmarks of this DOT Centre. Sr Sunita, Principal, St Francis Nursing School,
ensures that all the students have good exposure to the programme and are well equipped to
carry out mannagement of TB suspects & patients as per RNTCP guidelines
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DOT Centre at St Francis Hospital, Ajmer
s
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Success Story- RCDSS, Ajmer
Submitted by Sr Kusum PSA, Roman Catholic Diocesan Social Service Society, Ajmer
Case study
Banshilal received new life
Banshilal s/o Raibachan, age 40yrs.TB No. 195/08, Nehru Nagar Madar.
Banshilal is from a BPL family. He is disabled due to hunch back. He is
living with his wife & two children. Due to his disability he is unable to do
hard work. So
he does
tailoring to earn
his living.
On January
2008 suddenly
he became sick.
Started fever with chill followed by cough. He
took treatment from two doctors. But got no
relief. Fever controlled but cough remained
the same. The Doctor advised him for X-ray,
Sputum test and blood test. The patient did the
same. In the report proved that he is having TB & pleurisy.
The doctor admitted him in the hospital for one week and did the treatment. After one week the doctor told
him that you are having TB. So gave Referral form and
discharged.
His relatives brought him to RCDSSS DOTS center.
The Patient was very week & and was not able to stand,
depressed, disappointed and no hope to live.
The DOTS provider took his weight. It was only 34
K.G. Gave him instructions and started DOTS
treatment. This patient took the treatment regularly.
Along with the medicines nutritious food also provided
for him. Slowly his health improved. After six months
completed the course and got cured from his sickness.
His weight became 40 K.G. Now he is happy and grateful. He went back to his tailoring work and started
earning money. Mr. Banshilal is grateful to RCDSSS for his new life.
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Success Story- Mother Teresa’s Ashram, Jaipur The Mother Teresa’s Ashram in Jaipur has been involved with RNTCP very recently.
From 3Q08 to 1Q08, 41 TB suspects have been referred for sputum examinations, 11 found
to be positive and 14 patients have been started on treatment at the DOT Centre.
Zaffarullah Khan was taking treatment for his chest pains & general weakness when
one day he had severe back-ache and his legs gave away. He was diagnosed as having
diabetes & TB spine at JLN Medical College, Ajmer. He had no family to take care of him
and was abandoned as a crippled destitute on the pavements in Jaipur. He was in great pain
when he was brought to the Mother Teresa Ashram. Here he was provided tender and loving
nursing care and started on DOTS treatment.
Zafar is a Commerce graduate and is very conscious about his health. Therefore he is
regular with his treatment, follows the dietary advice for managing his diabetes and gives
physiotherapy to his legs. While he could not even turn in the bed without assistance at the
time of his admission, today after two months of treatment, he sits upright in the bed and can
feel power returning to his lower limbs. The Sisters at the Mother Teresa Ashram are
confident that he will start walking by himself within a couple of months.
Zafar is sure that he will complete his TB treatment. After getting better, he has plans
to stay back in the Ashram for few months & to provide his services to others like him.
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Abdul Waheed Memorial Hospital, Chhawani, Kota
Abdul Waheed Memorial Hospital, a well known maternity centre in the heart of the city of
Kota has recently been involved under the RNTC P Adherence Scheme.. Within 6 months of
involvement 39 patients have been started on DOT. Sr Wilcy and other sisters take keen
interest in the treatment & welfare of TB patients inspite of their busy schedules.
An awareness session organized at this
centre with the full support of the District
TB Clininc, on 18th
February was attended
by 52 persons . Dr SN Meena MOTC,
Kota & Mr Ganesh, STS, Kota addressed
the gathering and provided detailed
information on various aspects of
diagnosis & treatment of TB
Sister Wilcy PSA of Abdul Waheed
Hospital,Chhawani, Kota with Ravi and
his Mother.
Ravi was seriously ill and admitted in the
hospital with cough, fever and weakness.
His body was absolutely limp and his
mother had given up hope for his survival.
Sr Wilcy visited him in the hospital and as
she had undergone training in RNTCP, she
was quick to suspect that he was suffering
from TB. In fact Ravi had lost his father,
sister and an aunt to TB. Sr Wilcy referred
him to the District TB Centre, where his
diagnosis was confirmed and Ravi was
started on CAT I treatment at Abdul
Waheed Hospital, Kotari, Kota. With
regular treatment under the loving care of
the Sisters, Ravi has recovered fast, gained
weight and can now come walking &
running to the DOT Centre for his weekly
visit to receive Continuous Phase
Treatment
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World T.B. Day celebrated at Sarvadharma Maitri Sadan, Udaipur- a report
International T.B. day was celebrated by inter-religious group members at
Maitri Sadan. Dr. Norbert Herman SVD, the director of Maitri Sadan welcomed
all the distinguished guests and the people gathered for the occasion. Dr. Dinesh
Kothari along with his team addressed Kachi Basti residents (slum) and made
them aware of the dangers caused by Tuberculosis. In his awareness speech he
gave information about DOTs where a patient can get free treatment.
The program had
colorful Rajasthan Folk dances and street play to make people understand the
seriousness of this disease and avail the free treatment at the DOTs centers in
the rural as well as slum areas of Udaipur. After the program a medical check
up was carried out for the people. Sr. Kirti proposed the vote of thanks.
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World TB Day- 2009 in Catholic Schools There was a blitzkrieg of activities on the occasion of the WTB Day -Talks, Rallies,
Storytelling, Drama, Drawing, Quiz, Essay writing etc were organised in 24 Schools
across the State, in which 6851 students participated enthusiastically. The facilitators
comprised of personnel from the District/ TU and trained Sisters of the Catholic Health
Network. They were met individually by the STPC and various modalities for
involvement of the students were discussed. A package consisting of DOTS Story
booklets, Drawing sheets, Certificates and prizes was provided for each school. A token
amount was also provided to cover expenses such as postage & photography. There was
a hearty response from all stakeholders. All schools submitted reports on the activities,
some included samples of students’ outputs and photographs too.
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