participation in Health Program
By: DR. HAR ASHISH
• What is NGO?
• Types of NGOs
• NGOs in INDIA
• Tax laws
• NGOs in Reproductive and child health(RCH)
• NGOS in Revised national tuberculosis control
• NGOs in National mental health programme(NMHP)
• NGOs in National vector born disease control programme
• NGOs in National aids control programme
• NGOs in National leprosy eradication programme
• NGOs in National universal immunization programme
• NGOs in National tobacco control programme
• NGOs in National prevention & control of diabetes ,
cardiovascular disease and stroke(NPCDCS)
• NGOs in National occupational health
• NGOs in National nutrition programme
• NGOs in National school health programme
• NGOs in National water and sanitation
• NGOs in National family welfare programme
• NGOs in National blindness control program
What is Non government
• According to the UN, any kind of private organization that is independent
from government control can be termed an "NGO", provided it is not-
profit, non-criminal and not simply an opposition political party.
• ―An independent voluntary association of people acting together on a
continuous basis for some common purpose other than achieving
government office, making money or illegal activities.‖(Peter Willetts, the
University of London)
• alternative or overlapping terms in use: third sector organization (TSO),
non-profit organization (NPO), voluntary organization (VO), civil society
organization (CSO),grassroots organization (GO), social movement
organization (SMO), private voluntary organization (PVO),self-help
organization (SHO) and non-state actors (NSAs).
Orientation Co-operation Activities
NGOs IN india
• NGOS are registered in India in the form of:
• Established for a number of purposes e.g relief of poverty,
education, medical relief and any other object of general public
• No national law governs public charitable trusts .
• Minimum two trustees
• States (particularly Maharashtra, Gujarat, Rajasthan, and
Madhya Pradesh) have Public Trusts Acts.
• Indian public trusts are generally irrevocable. .
• Membership organizations .
• Registered for charitable purposes.
• Managed by a governing council or a managing committee.
• Minimum seven members
• Governed under the Societies Registration Act 1860.
• can be dissolved
Non profit company (Companies Act of 1956)
• Section 25 company
• Minimum three members to register
• Governed by Board of Directors/Managing Committee
• formed for "promoting commerce, art, science, religion, charity or any
other useful object," provided that no profits,
NGOs IN india
• Exemption from corporate income taxes on the income of
certain NGOs carrying out specific types of activities.
• Value added tax : The rates range from 4 percent to 12
percent, with most goods and services taxed at 8 percent.
• Not-for-profit organizations involved in relief work and in the
distribution of relief supplies to the needy are 100% exempted
from Indian customs duty on the import of items such as food,
medicine, clothing and blankets.
To be eligible for tax-exemption under the Income Tax Act,
1961, a not-for-profit entity must be organized for religious or
• Charitable purposes include "relief of the poor, education,
medical relief and the advancement of any other object of
general public utility."
What is the ROLE OF NGOs IN
NATIONAL HEALTH PROGRAMMES ??
• Facilitating community interactions with services.
• Distributing health resources such as condoms, bed
nets, or cement for toilets.
• Building health worker moral and support.
• reach the vulnerable communities
Health promotion and
• Obtaining and disseminating health information.
• Implementing and using health research.
• Helping to shift social attitudes.
• Mobilising and organizing awareness campaigns
• Representing public and community interests in
• Promoting equity and pro-poor policies.
• Negotiating for public health standards and
• Building policy consensus
– Enhancing public‘s acceptability for policies.
• Financing health services.
• Raising community preferences in resource
• Mobilising and organizing community co-financing
• Promoting pro-poor and equity concerns in resource
• Building public accountability and transparency in
raising, allocating and managing resources.
Monitoring quality of
care and responsiveness
• Help in Monitoring responsiveness and quality of
• Giving voice to marginalised groups, promoting
• Representing patient rights in quality of care
• Channeling and negotiating patient complaints
NGO’S IN RCH
Ninth Five Year Plan (1997-2002):
• Department of Family Welfare introduced the Mother
NGO scheme under the Reproductive and Child Health
• Grants were sanctioned to NGOs in allocated districts
called Mother NGOs (MNGOs), which in turn issued
grants to smaller NGOs called Field NGOs (FNGOs).
• Broad objectives of the MNGO scheme:
– Addressing the gaps in information on RCH services in
the project area.
– Building institutional capacity at the State,
– Advocacy and awareness generation
Why need for revision of
Poor judgement and transparency in the selection of NGOs.
Lack of clarification in the roles and responsibilities of the
Complicated programmatic and financial guidelines,
delays in fund releases
Proposed revised policy in
12th five year plan
• NGOs with the required level of competence would be
selected to work at the National/State/District/ levels.
• the entire district can be covered and for others the district
can identify the blocks for NGO support and prioritize the
engagement of NGOs in blocks.
• decentralization to the State and district level, with the
Centre playing a policy and guidance role
• to facilitate better synergy and coordination between the
NGO and the department of health, there would be a
designated NGO Coordinator at the State and district level
Proposed revised policy
• At the district level, the NGOs would be divided into two types based on
function as follows:
– Field NGOs (FNGOs) - carry out the activities like training and
capacity building, community monitoring, advocacy and community
mobilization, planning, etc.
– Service NGOs (SNGOs) - focusing on service delivery especially in
un-served and underserved areas.
• The funding pattern - through the NRHM and RCH flexi pools. The
NRHM guidelines to utilize upto 5% of the total NRHM funds as Grants-
in-aid to NGOs as well as public private partnerships as delineated in the
NRHM implementation framework would be maintained.
• Clear cut output/performance indicators for NGOs must be identified
between the State/District health societies with the NGO laying down the
tasks to be performed by the NGOs.
• Chiran jeev yojna(gujrat) :promote institutional
delivery in in rural and inaccesible areas
• Ayushmati Scheme: (west bengal)services provided
by ngo‘s with govt. funds
• saubhagya-wati Scheme:(UP): ANC. PNC, Neonatal
care by once agency per block e.g All India
Foundation for Social Work
• Ambulance for BPL families in (westbengal )
contracted by NGO‘s made available at PHC‘s24 hrs.
Cooperative for Assistance
and Relief Everywhere
• Founded in 1945.
• Major international NGO delivering broad-spectrum
emergency relief and long-term international
• In 2011, CARE reported working in 84 countries,
supporting 1015 poverty-fighting projects, and
reaching over 122 million people
• Other projects in emergency response, food security,
water and sanitation, economic development, climate
change, agriculture, education, and health.
Cooperative for Assistance
and Relief Everywhere
• Sure Start
– Location: Uttar Pradesh (UP)
– Sure Start is aimed at bringing about sustainable
improvement in maternal and newborn health
status through effective community action in
Barabanki and Raebaraeli districts of Uttar Pradesh
• Formed in 1970 .
• Program for Appropriate Technology in Health
(PATH) is an international non profit organization
– Safer childbirth and healthy children.
– Health equity for women, among the world‘s most
– Enhancing the capacity of the private sector to produce
high-quality child and reproductive health products by
providing financial and technical support.
• Established in 1920 under the Indian Red Cross Society Act .
• The President of India is the President and Union Health
Minister is the Chairman of the Society
• The IRCS has 35 State Branches with their more than 700
districts and sub district branches.
• Providing relief in times of disasters/emergencies and promotes
health & care of the vulnerable people and communities.
• Maternity and Child Welfare schemes of National
Headquarters were started in 1954 to extend Maternal
and Child Development activities for the Weaker
Section of the Community.
• The welfare activities are being continued through
various Hospitals, Sub Centres and Bal Vikas
• In respect for gender equality and to augment the
participation of women in economic development
process started vocational Training Centres, as
nucleus points for promoting Women/ child
• Established in 1983
• Objective of providing sustainable development to
urban and rural areas of Haryana.
• Voluntary, Non-Profit Making, Non-political, Non-
religious and Socio Economic Development
Mother NGO project (RCH)
Implementation of Janani Surksha Yojana (JSY)
Day care centre for the aged
Pathik mela on HIV/AIDS awareness
Pulse polio campaign
NGO’S IN RNTCP
Key activities :
• IEC for TB prevention.
• Ensuring -Quality diagnosis and treatment services.
• Improve TB case notification.
• Improve treatment adherence and outcomes.
• Health promotion and Research.
• Support and help to the most vulnerable and
underprivileged section .
Cooperative for Assistance
and Relief Everywhere
• AXSHYA (GF/TB)
– Location: Madhya Pradesh (MP), Jharkhand,
– Works to address identified challenges in the
treatment of Tuberculosis (TB) such as insufficient
laboratory capacity for detection
– follow up of requisite drug resistance cases along
with funding gaps for procurement of second
line drugs for all Multi-Drug Resistant TB
(MDR-TB) cases to be initiated with treatment.
Ngos in mental heALTH
The activities of the MHNGO:
• Develop modules include a spectrum of activities such as
individual and group counseling, vocational rehabilitation and
livelihood skills training, cognitive retraining, family support
and counseling, self-help groups, recreation and leisure
• Provide comprehensive services focusing both on the control
of symptoms of the acute phase of the illness, as well as
rehabilitation to ensure optimal functioning in the longer-
• Providing vocational training in skilled professions such as
carpentry and printing, social skills training and family
therapy are some examples of the kind of activities
Ngos in mental heALTH
• Primary prevention programs are the telephone help lines
for depressed and suicidal persons, early intervention for
babies born at risk for developmental delay and education
programs in schools and workplaces for prevention of
• NGOs like SNEHA (Chennai) provided a range of
community based counseling and mental health
interventions in the aftermath of this disaster.
• The All India Federation for Mental Health, the National
Association of the Mentally Ill (NAMI- India) are
examples of coalitions of NGOs and consumers respectively
which are actively advocating for mental heath policy and
care reforms in India.
• SCARF studies on schizophrenia are the most
widely-cited research on the subject from any
• Film festival organized by SCARF called the "Frame
• Started using telemedicine to expand access to
specialist mental health.
• Founded in 1993 (Chennai)
• Changed the lives of over 5,000 people by providing services
to support them in reaching their definition of recovery.
• Care with a human touch: ensuring effective treatment with a
• Treatment close to home
• Assistance for the whole family: relieve the resource burden
of a mentally ill relative both physically and financially and to
ensure effective care at home.
• Understanding & awareness for change: sensitizing
communities, schools, Panchayats, government bodies and
other stakeholders to encourage a change within policy and
civil society that allows those with mental illness to live lives
of their choosing in dignity and respect.
Ngos in mental heALTH
Odanadi Seva Samsthe (Mysore)
• It is trying to combat Human trafficking through Prevention,
Rescue operations, rehabilitation and reintegration measures.
• Various social intervention tools and psychological methods
of action is the hallmark of Odanadi‘s efforts.
• Empowers children themselves,
• Able to protect themselves from sexual abuse rather than
depend on other stakeholders like parents and teachers who are
often not around.
• It is then left to the child to be able to protect him/herself.
Provision of Early Diagnosis & Prompt Treatment
• Ensure that no charges are levied on patients for any service rendered.
• Provide hospital-based treatment and care to severe and complicated malaria
cases as per NVBDCP guidelines and follow-up of patients on treatment.
Insecticide Treatment of Community Owned Bed Nets and Distribution
of Bed Nets (in selected areas)
Promotion of use of Larvivorous Fish for Vector Control
• enlist the water bodies that are potential breeding grounds of mosquitoes in
their catchment area
• undertake seeding of large perennial water bodies
• construct and maintain hatcheries.
NGO’S IN NVBDCP
• Malaria Control and Kala-azar Elimination on
amongst Vulnerable Communites
• Expertise in developing well researched IEC
material has been held responsible for an updation
of govt. manuals for the health workers along with
the task of developing and using other IEC tools for
an effective behaviour change communication at
• VHAI is one of the partner organizations in IMCP-
II and is currently operational in more than 1074
villages of 13 high malaria endemic districts of 4
states in Northeast India.
• VHAI since the inception of the programme in the
state of Odisha has focused on sensitization of
service providers and the community health
• Building community level task for better
monitoring and evaluation
NGOs in NACp
• Training volunteers who can educate people on HIV
• encourage doctors to volunteer
• render free medical services
• encourage awareness programmes for potential high
risk communities across the country
Cooperative for Assistance
and Relief Everywhere
– Location: Andhra Pradesh (AP)
– SAKSHAM project‘s key objective is that by 2012, NGOs will
have enhanced capacity to apply community mobilization
strategies for reducing risk of HIV/AIDS and STD
contraction amongst marginalised populations, particularly sex-
• Enhancing Mobile Populations Access to HIV/AIDS Services
Information and Support (EMPHASIS)
– Location: National
– This project has been developed by CARE‘s three country
offices to address vulnerability in terms of HIV-AIDS
amongst population from low prevalence countries
Bangladesh and Nepal to high prevalence areas in neighboring
Aids awareness group
Registered in 1994 under the Societies Registration Act
Integrated Health and Development programmes in urban
slums, resettlement colonies and backward rural areas
Legal Aid and legal literacy programmes in Jails and free
legal advice from their office.
HIV / AIDS prevention, testing, treatment and Care &
Support of PLHIVs in Delhi, and
Counseling for Sex / Sexuality, HIV / AIDS and Legal
counseling from their Helpline at the office
NGOs in NACp
• Launching the Tarang project,which will work to reduce HIV
incidence by helping individuals and communities to assess
risks and vulnerabilities to HIV and STIs
INDIAN RED CROSS SOCIETY
• The IRCS is very active in the prevention Of HIV / AIDS. It
trains youth to disseminate information about the
prevention of HIV / AIDS through Youth Peer Education
Programme. It also has programmes and projects for children
of HIV positive mothers, to provided comprehensive care
• The leprosy eradication programme was spearheaded
by NGOs and today only residual leprosy remains in
• British Empire Leprosy Relief Association (BELRA,
now LEPRA (UK)). BELRA started leprosy work in
India as early as 1924.
• BELRA continued leprosy work as Hindu Kusht
Nivaran Sangh (HKNS) in India.
• In 1989 formed LEPRA India, and was registered in
Andhra Pradesh with its office in Secunderabad.
• LEPRA India is currently working in the states of
Andhra Pradesh (AP), Orissa, Bihar, Madhya
Pradesh (MP) and Jharkhand. It works in 65
districts in these five states, covering a population of
12 million people.
• To provide the clinical expertise lacking in GHS
services, LEPRA India established 21 referral
centres in AP, Orissa, MP and Bihar.
NGO’S IN UIP
• 1994, the foundation was formed as the William H.
– POLIO Eradication: The Foundation provides 17%
(US$86 million in 2006) of the world budget for
the attempted eradication of polio myelitis .
– The GAVI Alliance :The foundation gave the
GAVI(formerly the ―Global Alliance for Vaccines
and Immunization‖) a donation of US$750 million
on January 25, 2005.[
– Children's Vaccine Program :The Children's
Vaccine Program, run by the Program for
Appropriate Technology in Health (PATH),
received a donation of US$27 million to help
vaccinate against Japanese encephalitis on
December 9, 2003.
• Global TB Vaccine Foundation
– The foundation gave the Global TB Vaccine Foundation
more than US$280 million to develop and license an
improved vaccine against tuberculosis for use in high
(UP)deploy a network of Community Mobilization Coordinators (CMCs), frontline
workers who interact with their own community.
• tracking newborns and children,
• visiting homes,
• engaging high-level community leaders in both Muslim and non-Muslim
• involving community groups (such as women's groups) and individuals,
• working with schools and students (e.g., by giving classroom talks about the
importance of immunisation),
• putting community creativity to work (e.g. by organising street theatre, dancing
and singing events, and art shows that convey polio messages),
• broadening the scope beyond polio (e.g., communicating messages about RI,
handwashing, and nutrition, etc.), and reaching mobile populations.
• Founded in 1950
• Working in partnership in nearly 100 countries
around the world , including India.
• Larger issues of community development and
advocacy for the poor towards the end of helping
poor children and their families build a sustainable
• Strengthening routine immunization services and
introducing new vaccines (including hepatitis B
vaccine) into India‘s UIP.
• Creating a model project for immunization services in
Andhra Pradesh, where PATH and the government
achieved universal coverage of hepatitis B vaccine for
all infants for the first time.
Ngos in nTCP
Tobacco related issues addressed
• Breaking ground with new sections of media (significant
coverage by electronic media at their prime-time spots
like CNN IBN, News X etc)
• Developed story ideas based on facts and evidence(RTI on
Pack Warnings etc.)
• Voices of Tobacco Victims (VoTV) became a strong tool
to reiterate the terrifying public health hazards of
chewing tobacco and was widely covered in media
S. No State/UT VAT
Cigarette Bidi Smokeless
2010-11 2011-12 2010-11 2011-12 2010-11 2011-12
1 Tamil Nadu 12.5% 20% 0% 20% 12.5% 20%
2 Kerala 12.5% 20% 0% 20% 12.5% 20%
3 Rajasthan 20% 40% 20% 40% 20% 40%
4 Gujarat 20% 25% 20% 25% 20% 25%
5 Himachal Pradesh 13.75% 20% 4% 13.75% 13.75% 20%
6 Assam 13.5% 20% 13.5% 20% 13.5% 20%
7 Odisha 12.5% 25% 0.0% 10% 12.5% 25%
8 J&K 13.5% 25% 0.0% 25% 13.5% 25%
9 Andhra Pradesh 14.5% 25% 0.0% 0.0% 14.5% 25%
Tax increase in several States across tobacco products:
Ngos in nTCP
Ngos in nTCP
Implementation of Pictorial Health
Warnings on all Tobacco Products:
NGOS IN NPCDCS
NGO’S IN NPDCS
• The Diabetes Educator Project in
India is based on HOPE’s Train-
the-Trainer methodology, training
health care professionals in diabetes
prevention, care and management.
• More than 2,700 educators have
graduated since 2007 from a class of
• The program is the only one of its
kind to receive recognition from the
International Diabetes Federation.
I-Shine Project is a comprehensive stroke awareness campaign
aimed at :
• 1- Empowering Stroke Survivors to rise above their
limitations through comprehensive Rehabilitation.
• 2- To Enlighten Minds of the society towards, stroke
prevention, onset action plan & Rehabilitation.
• 3- To Provided emotional support & stroke education for
the Caregiver of the Stroke Survivors.
• TO spread the word about Stroke Rehabilitation and
Awareness to the society towards a goal of Stroke – Free
NGO’S IN OCCUPaTIONal HEalTH
• Campaign & awareness rising for silicosis prevention programme and
for the compensation & rehabilitation for the silicosis victims and their
family members in Jharkhand.
• OSHAJ initiated a RTI process on the report, that revealed of not having
cases of silicosis in Jharkhand, submitted to National Human Rights
Commission by Jharkhand government on 1st May 2008.
• Stakeholders committee formation on hazardous mine waste(asbestos and
chromite) of abandoned Roro Asbestos Mines to decide upon possible
• Awareness rising programme in farmers in Patamda block of
Jharkhand on use and harmful impact of chemical fertilizers and pesticides.
• OSH committee formation in Sponge iron Industry.
• Initiated a process for formation of a national network on OSH like Rising
Occupational Safety & Health Network of India (ROSHNI )
Occupational Safety & Health Association of
Jharkhand ( OSHAJ )
NGO’S IN NUTRITION PROGRaM
• The name ―Oxfam‖ comes from the Oxford Committee for Famine
Relief, founded in Britain in 1942 and registered in accordance with
UK law in 1943.
• Aim: to work together for greater impact on the international
stage to reduce poverty and injustice
• Oxfam's involvement in India began when money was granted in
1951 to fight famine in Bihar.
• In 2011,Oxfam India was inducted into the Oxfam International
• 61 Years of Oxfam in India—and the launch of a
GROW Campaign for a hunger free world
1. Enshrine people’s food and nutrition rights in the proposed Right to Food Act and
provide nutritious food for all
2. Reform public schemes on food and nutrition (such as the ICDS, Mid-day meal etc.)
so as to ensure food and nutrition rights of all especially the poor and marginalised
3. Protect the land, forest and water rights of vulnerable groups, especially women
4. Ensure that private investments made in agriculture locally and globally are
responsible, ethical, and sustainable
5. Work on a just and equitable global deal on climate change that limits global
6. Build the capacities of farming communities to adapt to the impacts of climate
7. Invest in a Second Green Revolution in Eastern India that is equitable, sustainable
and focuses on small-holder farmers in rain-fed areas
8. Recognize and support women’s important role as producers, processors and
providers of food and nutrition
9. Ensure that India plays an active role in the global system to prevent food price crises
10. Strengthen community based mechanisms to reduce the effects of natural disasters
on food security
• Working in Tamil nadu
• Vision : ‗no child in India shall be deprived of education
because of hunger‘,
• Largest NGO managed mid-day meal programme in
• Pioneering a technology-driven operating model, this has
been a success in terms of its reach-out, scalability and
• Started 1,500 children in Bangalore, has become an
exemplary model to the country reaching out to more than
1 million children everyday in a span of 10 years
Objectives of eradicating hunger and promoting
education amongst the under-privileged sections of the
• Their service or “seva” is to prepare the Mid Day
Meal in various center, which is a nutritious and
sumptuous meal consisting of “Khichdi” (a mix of
rice, pulses and vegetables, cooked in pure ghee with
spices and tomatoes).
• working all over india with 23 kitchenae.g in
Kurukshetra , Panipat etc.
• Started in July,1998.
• Most popular school health programme.
• Participation from a sample of schools of Delhi.
• First programme to computerise and place health
records of lacs of children on the internet.
• Currently operational all over the country with its
various projects running in the schools of Mumbai,
Pune, Bangalore, Chennai, Hyderabad, Kolkata,
Lucknow and various towns of Haryana, Punjab,
Himachal Pradesh and Uttranchal.
Ngos in water and sanitaion
• Jeevandhara - WASH in India(West Bengal)
• Initiated in December 2007,
• with 6 local organisations headed by Joygopalpur Gram
– formation of Self Help Groups (SHG)
– preparation of information material about hygiene
– information campaigns as village meetings
– house to house campaigns and teaching in schools
– organise special campaigns like soap-day
– dissemination of latrine slabs to interested households by
either selling own produced slabs or through advocacy to
communes and always through information work to villagers
about sanitation options
Sulabh International Social
Service Organisation (March 1970)
• Best- known NGOs working in the sanitation sector, both nationally
• Dr Bindeshwar Pathak, the Founder of the Sulabh Movement, has
been honoured nationally and internationally for his exemplary work.
• Today it is working with a workforce of over 50,000 volunteers in 25
states, 436 districts and 1247 towns of India,
• Sulabh has also been invited to help out in neighbouring countries
like, Nepal, Bhutan, Afghanistan and Bangladesh.
• It has also taken up many programmes in collaboration with the
United Nations Centre for Human Settlements, Nairobi, and the
International Water and Sanitation Centre, Loughborough University
NGOS IN NFWP
Indian red cross society
• All Red Cross hospitals and centers, as well as
family welfare clinics, carry out family welfare
• motivate eligible couples to adopt small family
• provide them with contraceptives and other family
• is researching the introduction, acceptability, and regulatory
environment of products such as the female condom and the
NGO’S IN nbcp
Blind Foundation for India
• The Blind Foundation for India is an American NGO established to
help in preventing blindness in India
• focuses on education, rehabilitation and prevention wherever
• have restored sight to 75,000 people through the removal of
• have treated over 1 million people through sponsored eye camps.
• has no paid staff
• over 92 percent of funds collected go directly to help the blind.
• Bringing light in the life of people and provide them "Right to
• Focus on blindness eradication programme all over India.
• A comprehensive network at the grass root level and has been
working with the rural, tribal & backward communities in
various states in India since the 2003.
• Conducting Eye Camps treating over 2 lac patients in 2012