Mobility Route and PatternPattern of mobility (time, means, regularity, further mobility in India) Most of the mobile population visits their native place once in a six months or at least in a year Mobile Population goes to Nepal seasonally esp. Deepawali,Holi,Teej(Up & Down) They prefer to travel by road whereas a small number travels by train Time required for the same varies. Kanchanpur and Accham required 10-12 hours by road Mobility Routes 1.Kanchanpur to Banbasa than Anand Vihar Delhi. (By road) 2.Accham to Kanchanpur than Banbasa and than Anand Vihar Delhi. (By road) Further Mobility within Delhi & NCR has been observed (Lajpat Nagar,Sahibabad and Tahirpur) Mostly Mobile Population visited to Mumbai, Bangalore and some goes to Gujrat (Barodara and Ahemdabad)
Overall details of mobile population Total Single With % age % age family who who are in are in India locality for < 5 for < 5 years yearsPeople 24000-2 9000-10 15000-1 70 - 75 60 – 65from 6000 000 6000 % %NepalPeople 6000-70 2500 - 3500-40 70 – 75 60 – 65from 00 3000 00 % %Accham/Kanchanpur
Overall details of mobile population People from Nepal People from Accham /KanchanpurLocation 1 Kashmiri Gate/Chandni ChowkSub-location (1a) Nepali 170 - 200 30 - 35parkSub-location (1b) Guru 250 – 300 70 – 100Nanak MarketSub-location (1c) Chavi 300 - 350 150 – 200GanjSub-location (1d) Mori 100 - 150 70 - 75GateSub-location (1e) Old 400 - 500 40 – 50Lajpat Rai MarketSub-location (1f) New 200 - 250 40 – 50Lajpat Rai marketSub-location (1g) 200 - 250 0Bhagirath PlaceTotal 1520 - 2000 400 – 510
People from Nepal People from Accham / KanchanpurZamdurpur (L) 405 30Zamrudpur Vill. (SL) 171 15Punjabi Mohalla (SL) 234 15Garhi (L) 500 50Shera&Kallu Mohalla (SL) 330 35Prakash&Mumraj Mohalla 170 15(SL)
Overall mobile population details• Nature of occupation – varies among men and women. The major sectors in which Nepali mobile population get engaged are/as restaurant worker either big or roadside ‘Dhaba’, Factory worker, Watchmen, Driver, domestic help, rikshaw-puller Language – Nepal is a multi-linguistic nation with more than 11 regional languages. Most common languages are- Nepali, Hindi, Maithili, Tharu, Gurung, Tamang, Magar etc.• Literacy level – among the mobile population of the all locations seems to be good. But formal schooling esp. among middle aged is very less. A good number of young generation completes their primary & secondary• Festivals, gatherings, events- Teej, Dushera & Nepali New year are major festivals & events in which major gathering & celebration takes place at various locations which unites them as well.• Living conditions (basic amenities) – In most of the
Work / Sex / SocietyOccupation Restaurant worker either big or roadside ‘Dhaba’, Factory worker, Watchmen, Driver, domestic help etcWorking conditions Long working hours, less pay for same amount of work (shared at few location)Patterns of sexual behaviour Single & unaccompanied male are more into high risk behaviour. Teen age marriage, prevalence of abortions and miscarriagesEntertainment activities and peer Younger generation gets involves into sports and music.pressure for entertainment and Gambling is more prominent among middle-aged.sexual behaviour Alcoholism is very much prominent.Social structure and conflict At some location the prevalence of class & caste systemresolving mechanisms was observed. Within the community or police. 15
Health profile and access to health servicesOccurrence of STIs A few cases of STIs were reported to the team during IDIsCondoms and other contraceptive use Quite satisfactory. Condom is more used as a mean for birth control.Substance abuse (alcohol, drugs) Alcoholism is one of the major problem with this community.Instances of HIV+ cases 4 cases of HIV was shared but none of them resides in the locality any more.Access to primary health care services Access to govt. primary health services is(public or private) very less due to the distance factorConfidential RH services in the Maternity dispensaries available in 2community locationsHIV testing services (ICCTC) St. John Ambulance Post, Bijwasan, ESI okhla, many more but not accessed 16
AwarenessAwareness on STI Not familiar with the terminology but aware about signs & symptoms (both male & female).Awareness on HIV/AIDS Basic information among male is quite satisfactoryAwareness on laws protecting mobile Community leaders or seniors arepopulation aware about some aspect of the Indo- Nepal treatyAwareness on local entitlements Average 17
Stigma & discriminationS & D in the community because of Yes, Stigma and discrimination is verytheir status of being mobile population big problem in community.(give examples of violence or Example :- In Bhagirath place there isdiscrimination) a medical shop in market and mobile population live on roof top floor in this building. One day, theft in medical shop and medical shop owner blamed on Nepali population. shop owner complained to police and also break house of Nepali population.Are there any local laws and rules that They do not have Indian identity card,hinder their quality of life such as voter ID or ration card due to which they are not able to take the benefit of provisions in govt rate.
Case story of a vulnerable person who has been less than 5 yearsName- Nand Ram Joshi( Name changed)Age – 25 YearsAddress – Old Lajpat Rai MarketParmanent address – Village – Barabis 2, Distt Bajura, NepalHe works as a helper in a shop. He is living in Delhi for just under 5 years, but in the present site been for a year. He lives with his friends in a one-room shack (jhuggi) on the roof-top of a building. He earns 4000-5000 per month. He spends 2000-2500 and saves 2000-2500. Yet at times he is in debt. So he is vulnerable.Often he has money to spend. When he drinks alcohol then he says he cannot decide what is right or wrong. Some times he visits sex worker. Also, then he doesn’t use condoms. He lacks knowledge of safe sex. He is illiterate. He has not collected information on STI. He states that no personnel from any organization, has contacted him regarding HIV. He says there is no unity among Nepalis. He goes to Nepal once a year. He doesn’t know whether HCWs use sterilized needles. He had STI after he had visited SW.
Case story of a vulnerable person who stays single• Name- Mangal Serala (Name Changed)• Age – 32 Years• Address – Indira Vikas Colony• Parmanent address – Village – Barabis 6,Distt Bajura,Nepal• He has come from Nepal in search of lively hood. He is living in Delhi for 3 years. He runs a tea stall. He lives with his friends in jhuggi on rent. He earns 10,000-12,000. He spends money on alcohol , some times he goes to sex worker because peer pressure. When he goes to sex worker he doesn’t use condom. His awareness level is very low. He goes to Nepal twice a year. He is not aware which types of needles are used the doctors. Once he has been infected with STI could be from the sex worker. He is single, is having money to spent and ignorant. Thus he is vulnarable.
Case story of a vulnerable person who stays with family• Name- Suresh ( Name changed)• Age – 36 Years• Address – Shalimar Garden• Parmanent address – Village – Mahendra Nagar,Distt Kanchanpur,Nepal• He lives with his family. He is having six members in his family. He is illiterate so he doesn’t have knowledge how to do family planning. He drinks alcohol every night. He doesn’t use condom neither with his wife nor with FSW. He doesn’t have much information regarding usage of condom. Many a times he and his wife are infected with STI but they do not go to any health facility to seek service. They depend on home treatment only. He visits Nepal once or twice a year. His children does not go to school because he do not earn enough to send his kids to school.
Successes• Finalization of different locations for mapping from the scattered geographic areas of Delhi & NCR• Established effective linkages with one of the influential stakeholders i.e, police• Due to SALT Technique good rapport building with theimpact population (at least at some locations)• Mapping tools provide a handy information of our impact population which can further be used for evaluation studies and research• In a very short period Ning has become an integral part of the EMPHASIS program
Challenges•Executing the mapping exercise was challenging as thekey respondents were available only on Sundays• People from North-Eastern state of India are also beingreferred as Nepali by the key informants or communitymembers• Expectations of impact population intend more towardsservice delivery and basic amenities• Tasks have been performed in a very tight scheduletherefore time management should be given a priority byCARE while formulating the country action plan in future• How to address the people from other districts of Nepalalong with Achham and Kanchanpur under EMPHASIS•Vast geographical area and less number of ORW’s•The land lords / gatekeepers / care takers are at times notvery cooperative
Learnings• Working along with vulnerability (mobility) has been a learning experience itself• Team must have their Identification proof while starting work in their respective field areas• Sathi Nepal (a program of FHI for Nepali people) has been still in the memory of our impact population which sets the tone for our initial rapport building task. Also it leads the comparison between the two programs• Sharing through Ning is beneficial for the program as well as the team• Every intervention/task gives an insight as appropriately named as Knowledge Building Phase