Karuna-Shechen Second Quaterly Report 2013

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Karuna-Shechen Second Quaterly Report 2013

  1. 1. Page | 1 QUARTERLY REPORT APRIL - JUNE, 2013
  2. 2. Page | 2 CONTENTS PAGE NUMBER Main Activities and Achievements 3 Introduction 4 Health  An Overview of Medical Activities 5  Access to Primary Healthcare in Urban Area: Shechen Medical Centre in Bodhgaya, Bihar 10  Mobile Clinics 13  Malnutrition 15  Health Education Program (HEP) 16 Education  Strengthening Basic Education 19  Early Child Care and Development (ECCD) 20  Non-Formal Education (NFE) 21  Vocational Training 22 Environment  Bodhgaya Clean Environment, Hygiene and Sanitation Program 23  Solar Electricity 24 Social  small money BIG CHANGE 26 Other Important Information  Finances 32  Upcoming Activities 34  Our Partners 34 Annex- Success Stories  Solar Electricity- the Successful Endeavour of Village Coordinators and Motivators 35  The Case of a young girl cured of Pulmonary Tuberculosis through our DOT services 36
  3. 3. Page | 3 MAIN ACTIVITIES AND ACHIEVEMENTS Health  From early May our menstrual hygiene program commenced with the starting of distribution of cheap sanitary napkins to poor girls and women in our 18 adopted villages and Bodhgaya town.  The second round of MUAC measurement was conducted in our 6 new villages for our upcoming malnutrition program.  Total number of consultants in OPD (Outreach Patients Department) and Mobile Clinics was 8152 , where number of new consultants was 3879. Education  Non-formal Education (NFE) was introduced in April 2013 in 10 new villages in addition to the 6 villages where it has been running since August 2011  Bright and enthusiastic women were recruited as faculty for the new NFE centres and as support faculty for primary school in Dema.  A Parent-Teacher Association (PTA) has been formed in the village of Dema.  A yoga instructor has been hired to take Yoga and other exercises to the school-going children in Chando village. Environment  From April we started outsourcing our bio-medical wastes to Synergy Waste Management (Pvt) Ltd. in order to ensure and support environment-friendly waste disposal. Social  In Chando, leveling of agricultural land is being undertaken so that the villagers can avail proper irrigation facilities and consequently crop production and productivity increases.  In Kadal a well, which is their primary source of water for drinking and other purposes, is being repaired and its floor is being reconstructed. In addition, a bathroom exclusively for women is being constructed near the well to provide them with a private bathing space. Besides, a pond will also be dug near the well and Mango trees planted in that whole area.  In order to ensure the retention of surface water and the subsequent replenishment of the ground water we are constructing 3 check dams in Barsuddi.
  4. 4. Page | 4 With the objective to address as many dimensions of poverty and basic livelihood as possible Karuna Shechen India is working towards a host of new programs this year and scaling-up some of the existing ones. While some of the new projects like Clean Environment, Hygiene and Sanitation Program in Bodhgaya, Menstrual Hygiene, Primary Education and small money BIG CHANGE have already commenced in the first half of this year, rest of them are ready to take-off soon. Apart from launching several new projects we have added a fourth dimension (Social) to our existing areas of interventions namely, Health, Education and Environment. The programs that are currently running are classified according to the area of intervention: INTRODUCTION
  5. 5. Page | 5 AN OVERVIEW OF MEDICAL ACTIVITIES OPD and Mobile Clinics In the second quarter of 2013, the total number of Consultants who availed the healthcare services of our OPD (Outreach Patients Department) in Bodhgaya and Mobile Clinic in 18 villages was 8152, wherein new consultants constituted 3879 people (47.58% of total number of consultants). Table 1: Total Number of Consultants at OPD and Mobile Clinics Months OPD Mobile Clinics April 1092 1425 May 1085 1360 June 1585 1605 Total 3762 4390 Compared to the first quarter where total number of consultants at OPD and Mobile clinics was 7358, the second quarter has registered a greater number, 8152. This was partly due to greater number of people suffering from diseases during change of season from spring to scorching summer. The increase in the number of patients in mobile clinics (4390 compared to 3524 in first quarter) shows the increasing awareness among the people in and around the new villages and their growing confidence in our services.  The number of patients refered to PHC & Government Hospitals was 23 ( 0.003% of total consultants at OPD and Mobile Clinics ).  The total patients who were treated “Free of Cost” (Pregnant women, children and aged people above 60 years) in the OPD Clinic and by our Doctors were 4858 ( 59.59%).  Total money collected against registration charges was INR 79,785. HEALTH
  6. 6. Page | 6 Table 2: Total Number of Patients Referred to PHC and Government Hospitals MONTH OPD MOBILE April 0 0 May 8 2 June 11 2 Total 19 4 Table 3: Total Money Collected from Registration Charges Month Amount April 25625 May 22885 June 31275 Total 79785
  7. 7. Page | 7 Direct Observed Therapy (DOT) A TB patient taking medicines at the DOT centre in Shechen clinic Out of 970 medical tests conducted in our pathology laboratory 81 were Sputum tests (for Tuberculosis). Out of these the number of people who were diagnosed with TB was 2. Currently, the total number of TB patients undergoing treatment is 25. Table 4: Details of DOT program April May June Total Number of TB patient’s started medicine 3 5 2 10 Number of sputum tests conducted 24 26 31 81 Sputum Positive 1 1 0 2 Refer TB Patients 0 0 0 0 Completed TB Medicine 6 3 2 11 Undergoing Treatment in Mobile 7 1 4 12 Undergoing Treatment in OPD 16 24 21 61 Total Number of TB Patients currently undergoing treatment (OPD and Mobile) 23 25 25 73
  8. 8. Page | 8 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 in our OPD and Mobile clinics. Table 5: Types of Diseases Types of Diseases Total Diarrohea/children 34 Diarrhoea / dysentery adults 372 Amoebiasis 0 Typhoid 149 TB 153 Gynecological patient 495 Bone & joints patients 1423 Burn patient 17 Worm manifestation 40 Skin diseases of all kinds 591 Ophthalmologic infections 0 Number of identify malnourished children 0 Cardiac Infection 14 HTN 444 Diabetes 63 Asthma & COPD 428 Cough & Cold 1437 Epilepsy 31 ENT patient 816 Lymphadenopathy 12 I&D Dressing 35 Other Patients 786 Total 7340
  9. 9. Page | 9 The table and graph show that the most common health problems observed among our OPD and Mobile clinic patients were Bone and Joint problems, cough and cold and ENT. Identity Cards for Medical Consultants In order to keep track of the medical history of each patient identity cards are issued to every individual seeking medical help from us. These cards cost a mere INR 5 and have to be brought along in every visit to the OPD or Mobile clinics. The total number of identity cards issued in this quarter is 3300. Table 6: Number of Identity Cards Issued to Consultants at OPD and Mobile Clinics Month OPD Mobile Clinics April 513 564 May 486 388 June 735 614 Total 1734 1566
  10. 10. Page | 10 ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL CENTRE IN BODHGAYA, BIHAR Outreach Patients Department (OPD) The total number of people who came to the Medical centre in Bodhgaya for Consultations in the second quarter of 2013 was 3762. Out of this total 1954 were new consultants, representing 51.94 % of total consultations in OPD. Table 6: Details of Consultants in OPD OPD April May June Total Total Number of Consultants 1092 1085 1585 3762 Total Number of New Consultants 520 674 760 1954 Men 355 314 421 1090 Women 466 488 711 1665 Children 314 285 453 1052
  11. 11. Page | 11 The number of patients has been maximum in the month of June probably due to the schorching heat and soaring temperatures. From the above graphs we can see that women and children form majority of the consultants at OPD (72%).
  12. 12. Page | 12 Women and children waiting for medical check-up by Doctors at OPD Pathological Laboratory Total number of patients who came in the second quarter of 2013 (April-June) for different medical tests were 396 and total anaysis done was 970. The number of patients and tests are different because one patient may go for several tests. Patients tested Free of Registration Charges was 31. Total money collected from these tests was INR 12,040. Table 7: Types of Medical Tests conducted in our Laboratory MEDICAL TESTS NUMBER OF TESTS TC/DC 184 ESR 142 HB% 82 BLOOD SUGAR 86 SERUM BLIRUBIN 18 AFB (SPUTUM TEST) 81 ECG 13 URINE/RE 89 OTHER 275 TOTAL 970
  13. 13. Page | 13 The table and graph show that the highest number of medical tests conducted are TC/DC, ESR, Urine and Blood Sugar. MOBILE CLINICS With the expansion of our outreach activities to 6 new villages in the first quarter services of our Mobile Clinic was also extended.  In the second quarter of 2013 (April-June), the number of patients who came for the consultations in mobile clinic from 18 village was 4390, out of which 1925 were new patients representing 43.85% .
  14. 14. Page | 14  1687 consultants from 162 satellites villages around our 18 adopted villages who sought medical help from our mobile clinic services.  The total patients who were treated for Free of Registration Charge (Pregnant women, children and aged people above 60 years) in the Mobile Clinic was 3173 (72.28 % of the total consultants at mobile clinics). Table 8 : Details of Consultants going to Mobile Clinics Mobile Clinic April May June Total Total Number of Consultants 1425 1360 1605 4390 Total Number of New Consultants 618 659 648 1925 Men 377 386 377 1140 Women 725 671 803 2199 Children 323 303 425 1051
  15. 15. Page | 15 Women and children constitute 74% of the total consultants at Mobile clinics, which is similar to the trend in last quarter where they formed more than 70% of consultants at both OPD and mobile clinics. MALNUTRITION We had undertaken a baseline survey for our program on malnutrition where we had measured children below five years old in the 6 new villages with the help of MUAC (Mid-upper Arm Circumference). In June we conducted a second survey in the same villages where we measured MUAC of children who were not present during our baseline survey. We also re-measured the MUAC of children who were found to be already malnourished or at risk.
  16. 16. Page | 16 MUAC measurement of a child HEALTH EDUCATION PROGRAM (HEP) Health Education Program (HEP), which was introduced in our 12 villages in 2010, continues to run smoothly. Currently there are 87 health groups with 534 members under HEP. Table 9: Some Important Data on HEP Total Total Number of Home Visits by Village Coordinators 417 Total Number of Home Visits by Motivators 2238 No. of Families who Received the Message regarding Health & Hygiene 1533 Number of Hand pumps Repaired 22 Number of trainings on HEP given by Village Coordinators 55
  17. 17. Page | 17 Table 10: Some Important Data on Reproductive and Child Health (RCH) Total Total Number of identified Pregnant Women 136 Total Pregnant Women immunized with T.T1 52 Total Pregnant Women immunized with T.T2 71 Total Pregnant Women not immunized 13 Total Deliveries 43 Delivery at PHC 26 Delivery at home 17 Total No of Miscarriages 4 Total Neo-natal Deaths 0 Maternal death at child birth 0 New born children Immunized 27 Number of Children below two years Immunized 391 Meetings on Mother and Child by Village Coordinators 45 No of Sanitary Napkins sold 607 A great achievement in this quarter is 0 maternal and neo-natal deaths in our 18 villages. Another is the greater number of institutional deliveries compared to ones taking place at home. These illustrate the success of our incessant efforts to sensitise the target population on health and hygiene, including reproductive and child health. Menstrual Health and Hygiene Menstrual hygiene is one of the most important yet neglected issues in rural India. Only 12% of total menstruating women in India use Sanitary Napkins and the remaining 88% use home- grown alternatives like unsanitised cloth and ashes. The situation is particularly grim for rural areas where only 2% of women have access to sanitary pads. In several parts of Bihar, the percentage is worse than the national average. Bihar government’s initiative to provide sanitary napkins to rural women at a nominal price of INR 6 per packet through its Accredited Social Health Activists (ASHA) has not been successful in reaching large sections of the target population. And where ASHA are present often the sanitary pads are sold at prices higher than stipulated. Looking at the gravity of the problem we have introduced a new program, ‘Menstrual Health and Hygiene’ in which Sanitary napkins, which are best designed and suited for menstruation, are made available at affordable prices (INR 6/US $ 0.099 ) to women in our 18 adopted villages and the town of Bodhgaya where our health clinic is functional.
  18. 18. Page | 18 We have started the program from June but its preparatory stage stretched through the month of May when we got in touch with the nearest Primary Health Centre (PHC) and placed orders for sanitary napkins to be distributed to women and girls in Bodhgaya and our 18 villages. Prior to this we made a market survey to know the price of sanitary napkin packets produced by different companies. We are buying sanitary pads from the government at INR 6 per pack and selling them at INR 5 to our distributors, giving INR 1 subsidy. The various distribution channels are our village motivators, majority of who are women; female school teachers and shopkeepers in villages and nurses at OPD and Mobile clinics. The distributers are selling them at INR 6 although we had initially planned to sell each packet at INR 5 to the target population and at INR 4 to the distributors, thereby providing INR 2 as subsidy. But we do not want to interfere with and disrupt government’s program of distributing the sanitary pads at INR 6 (although, often ASHA sell each packet anywhere between INR 6 and INR 10). However, on several occasions, on request of the buyers our nurses and other distributors have given away sanitary napkins at INR 5 per packet. This program took-off in June and within a month 607 packets have been sold through our OPD and Mobile clinics. A trend noticed by the distributors of sanitary napkins (our nurses, village motivators and female faculty in schools in the villages) is that adolescent and young girls are much better informed and aware about the importance and advantages of proper menstrual protection. This clearly demonstrates the primacy of sensitisation of the target population on menstrual health and hygiene and the overall importance of Health Education. Women and young girls buy sanitary napkins from us
  19. 19. Page | 19 STRENGTHENING BASIC EDUCATION Bihar’s primary education is characterized by severe dearth of basic educational infrastructure that has resulted in a higher ‘out of school rate’ (the percentage of school age children not attending school) than the median state in India. Through our new program, ‘Strengthening Basic Education’ we attempt to address this issue in an effort to ameliorate the basic educational standards in Bihar and provide joyful learning environment Having discussed the current primary education scenario with the principals, faculty members, students and parents of school-going children of the villages we took several steps in the second quarter to redress the problems.  We have recruited a responsible female teacher for the school in Dema village and now we are in the process of hiring support faculty for schools in the other villages. EDUCATION Support faculty appointed by Karuna-Shechen taking classes at Dema schoolPTA meeting at Dema school
  20. 20. Page | 20  A Parent-Teacher Association (PTA) has been formed in Dema and a few meetings have already been conducted. Our aim of forming a PTA is to sensitise the rural poor about the various schemes and programs of the government regarding education. This knowledge will make the children and parents aware of their right to a good education.  Having hired an efficient Yoga trainer we have started fitness classes in schools from June. Looking at the importance of physical as well as mental health the Yoga classes include trainings in both physical and breathing exercises. The villages which have been covered so far are Chando, Dema and Bandha.  We have started supplying Teaching-Learning Materials (TLM) to schools in an effort to fulfill the basic requirements of teachers and students and help ameliorate the education standards in rural schools. Yoga training in Chando school EARLY CHILD CARE AND DEVELOPMENT (ECCD) We are holding informal meetings with the government officials working in various capacities for the Central Government’s early child care and development program; the Integrated Child Development Scheme (ICDS). We are also conducting an extensive baseline survey on ECCD in
  21. 21. Page | 21 the villages based on a structured questionnaire through interviews with Anganwadi workers, primary school faculty, children and parents. These steps form the building blocks of our program on Early Child Care and Development. NON-FORMAL EDUCATION (NFE) Karuna-Shechen India introduced its Non-Formal Education (NFE) program in 2011 with the intention to empower poor and under-served women (both illiterates and school dropouts) by providing educational and skill enhancement services. Therefore, in August 2011 Non–Formal Education (NFE) for women was started in six villages namely, Banahi, J.P Nagar, Karhara, Trilokapur, Kharati and Gopalkhera, in response to their demands. In response to the needs and demands of the women in rest of the villages the program has been scaled-up to 16 villages in April 2013. We have hired 6 bright and enthusiatic NFE teachers for the villages Kadal, Chando, Dema, Karhara, Lohjhara and Gopalkhera. In the remaining 10 villages our search for efficient and sincere NFE faculty continues. Till then our educated and able motivators will be teaching the students. 488 women are currently enrolled in our NFE classes running in 18 centres across 16 villages. The response to NFE has been quite good so far as can be seen from the following table.
  22. 22. Page | 22 Table 11: Total Number of Students enrolled and Average Attendance in NFE classes SERIAL NUMBER VILLAGE NUMBER OF STUDENTS ENROLLED FOR NFE AVERAGE ATTENDANCE IN NFE CLASSES 1 Bhupnagar 25 22 2 Karhara 30 22 3 Trilokapur 21 12 4 Kadal 24 15 5 Mastibar 25 15 6 J.P. Nagar 28 14 7 Kharati 18 10 8 Gopalkhera 30 16 9 Chando 27 14 10 Bandha 32 24 11 Nawatari 32 25 12 Sripur 30 18 13 Manshidih 32 20 14 Dema (Sarvarbigha) 36 20 15 Dema (Bangalwapur) 17 08 16 Banahi 30 20 17 Lohjhara 20 14 18 Karhara 30 15 TOTAL 487 304 All the NFE centres have been provided with the required Teaching-Learning Materials (TLM). VOCATIONAL TRAINING In order to make our NFE students self-sufficient as well as to improve their livelihoods we will be soon introducing Vocational Training/skill development as a component of NFE classes. As the first and primary step towards our program we have arranged 3 Workshops in the month of July which will be conducted by an eminent vocational trainer from Jamshedpur, Jharkhand. The workshops, which will be attended by our NFE students from all 18 centres and by our village motivators, will teach the making of incense sticks, candles, popular snacks, Phenyl and chalk.
  23. 23. Page | 23 BODHGAYA CLEAN ENVIRONMENT, HYGIENE AND SANITATION PROGRAM In a bid to sensitize the locals about the importance of clean surroundings and to improve the town’s image as a favoured tourist destination the Clean Environment, Hygiene and Sanitation Program in Bodhgaya was introduced early this year. The initial steps towards gathering information about the town’s current cleanliness scenario and level of local awareness regarding the same that begun in the first quarter continued extensively through the second quarters of this year. In June we sent out formal invitations to our potential stakeholders (hospitality sector, Monks in various Buddhist monasteries in town and Non-governmental Organisations) to attend meetings that we would organise in July in order to exchange ideas regarding this program and to find potential partners for the same. As a major initiative towards environmental sustainability we have adopted an eco-friendly waste disposal method by outsourcing our bio-medical wastes to Synergy Waste Management (Pvt) Ltd. from April 2013. They collect bio-medical waste that we segregate, pack and label in colour coded bags provided by them from waste generation points. ENVIRONMENT
  24. 24. Page | 24 Demonstration of bio-medical waste disposal with a colour coded bag provided by Synergy SOLAR ELECTRICITY While our Solar electricity program continues to run in 3 of our villages, J.P. Nagar, Banahi and Kharati, in lieu of demand from some of our newly adopted villages we will be scaling-up the program to 3 more villages (Kadal, Barsuddi and Chando). Through the month of April our Village Coordinators undertook an extensive survey by conducting structured interviews with the population of the above-mentioned 6 villages. The aim of the survey was impact evaluation of the existing solar program and a feasibility study for the program in new villages. In order to start the program in the new villages we have selected 4 women (three from Chando and 1 from Kadal) who have been sent to Tilonia, Rajasthan’s Barefoot College to attain intensive 6 month training in Solar Engineering. The selection process of these women was
  25. 25. Page | 25 lengthy and difficult as our village coordinators and motivators had to undertake the arduous task of convincing the villagers who are grounded in staunch patriarchy, to allow the women greater mobility by sending them to a far-off land for 6 long months. Four women sent to Tilonia to learn Solar Engineering
  26. 26. Page | 26 SMALL MONEY BIG CHANGE Keeping in tandem with Karuna-Shechen’s participatory approach towards its development projects we have introduced the ‘small money BIG CHANGE’ program which aims to empower the poor and marginalised people by effectively involving them in the their communities’ development planning and management. We recognise that the key to building an empowered community is active participation of the local communities in development projects targeted at them as it empowers them. Community participation ensures effectiveness as communities bring understanding, knowledge and experience integral to the development process. Besides, the community is best informed about the needs, attitude and socio-economic conditions of its members. Village Scan, which was conducted in our six new villages during the first quarter of this year formed the building block of the program. These meetings with the villagers were followed-up by several more in the second quarter. During the discussions the villagers prioritised their needs and accordingly decided the development projects that need to be undertaken in the ‘small money BIG CHANGE’ program. Next project-wise committees were formed with the community people as members (Chando-1, Kadal-1 and Barsuddi-1). In order to maintain absolute financial transparency village-wise bank accounts for each project was opened with two villagers (1 male and 1 female) and a village coordinator as account holders. Again our project, through its participatory approach, has paved the way for economic earning of the targeted communities. Instead of hiring professional wage-labourers for the projects we are paying the community members for working towards the improvement of their own lives and livelihoods. Despite the scorching summer we have started working in the villages from early June. The following progress has been made in less than a month’s time: SOCIAL
  27. 27. Page | 27  In Chando, agricultural land is undulating. This makes irrigation facilities practically defunct and crop cultivation extremely difficult for the farmers, thereby adversely affecting the primary means of livelihood of the villagers. The leveling of farm lands, undertaken with the manual labour of the villagers and financial and other assistance from Karuna-Shechen, will allow proper irrigation facilities to reach the cultivable lands thereby increasing crop production and productivity. This, in turn, will increase the farmers’ income and improve their livelihoods.  In Kadal a well, which is the villagers’ primary source of water for drinking, washing and bathing purposes, is being reconstructed. The well was made in such an unhygienic way that the water used for various purposes would flow back into it, polluting the water inside the well and making it unfit for drinking. An outlet from the well is being made so that the used water flows into a nearby agricultural land and irrigates the field. This will better the agricultural productivity thereby increasing the earnings of the villagers. We are making provision for the livestock and other animals to drink water by constructing an outward extension of the well. Besides, a bathroom exclusively for women is being constructed near the well to provide them with a private bathing space. The waste water from the bathrooms will be channeled to a nearby unused land which is now being turned into a Kitchen Garden. The Kitchen Garden will ensure inexpensive, regular and handy supply of fresh vegetables. We are also digging a pond near the well where we plan to develop pisciculture; another means of livelihood for the villagers. And around the whole area we will be planting Mango trees which again will add to the sources of income of the villagers. Thus, the development work undertaken in Kadal will provide various sources of livelihoods, safe drinking water for the villagers and animals, irrigation of the nearby farms and kitchen garden with the used water from the well and bathroom, minimizing water wastage in the process.  We are constructing 3 check-dams in Barsuddi. The check-dams will not only store surface water but will also replenish ground water of the whole area. The recharge of ground water will, in turn, raise the water table ensuring a sustained water supply. The availability of water will ensure increased agricultural yield and therefore, greater income. Besides, the check-dam will also slow down the flow of water during storms thereby reducing soil erosion.
  28. 28. Page | 28 The well at Kadal village before the start of our project The well, a month after the project began
  29. 29. Page | 29 Villagers at work The check-dam, a month after the project began
  30. 30. Page | 30 Meeting in Chando prior to start of project Condition of the land before start of project
  31. 31. Page | 31 Villagers are contributing labour for the benefit of their own land and village
  32. 32. Page | 32 FINANCES The budget and expenses for the second quarter of 2013 are presented below: Table 12: Budget and Expenses Budget in USD($1=50 INR) Expenses in USD($1=50 INR) Administration, transportation and functioning cost 13,971 11,707.86 OPD direct benefit to population in Bodhgaya town and close surroundings 16,365 12,616.54 Mobile clinic benefit to population in 18 villages 21,880 12,195.2 Education direct benefit to population in 18 villages 15,710 6,735.66 Environmental Program 3,655 812.42 Social Program 22,030 3,136.90 Program Support 4,500 52.14 Investment: Equipment 2,850 13.64 Contingencies 5,048 50.00 Total 1,06,010 47,320.68 OTHER IMPORTANT INFORMATIONS
  33. 33. Page | 33 The above graph and pie-diagram give a pictorial explanation of our Budget and Expenses for the second quarter.
  34. 34. Page | 34 UPCOMING ACTIVITIES  Meeting with key stakeholders for the ‘Bodhgaya Clean Environment, Hygiene and Sanitation’ project will be conducted in July.  Three workshops on different types of vocational training for our NFE students and village motivators by an eminent trainer from Jamshedpur, Jharkhand in July.  Computer courses for the poor people from Bodhgaya town and our 18 adopted villages will commence from July.  A Socio-economic household survey of the villages.  Training on Hygiene and Sanitation conducted by the Centre for Science and Environment, New Delhi  Training and Refresher course of our staff on DOTs.  Chemical testing of drinking water in our villages in order to examine the safety of drinking water in the target areas. OUR PARTNERS Current Partner: Barefoot College in Tilonia, Rajasthan Prospective Partner: Centre for Science and Environment, New Delhi.
  35. 35. Page | 35 1. Solar Electricity–the Successful Endeavour of Village Coordinators and Motivators Our Solar Electricity program has been running in three villages, namely Banahi, Kharati and J.P. Nagar, since 2010. This year, with the extension of our outreach services to from 12 to 18 villages, we decided to scale-up the project. During the process of village scan in the new villages, which was conducted in the last quarter 3 villages (Kadal, Barsuddi and Chando) showed immense interest in our Solar electricity program. These villages, being located in the interiors of Bihar, are some of the least developed among our 18 villages and are severely deprived of the basic amenities like water, electricity and health. Before starting the program in these villages we wanted to make sure that the villagers get a clear idea about the usage and maintenance of solar lights. Therefore, we took 12 people from Kadal to one of our solar villages, J.P.Nagar, where we made arrangements for them to stay the night over. The villagers were very satisfied with this whole experience and expressed earnest desire to implement the project in their villages. Problem cropped up when they configured that they would have to send 1-2 women from the village to afar-off land, Rajasthan in order to get training as Solar Engineers. A huge challenge facing the village coordinators and motivators, was to convince the communities and families of young illiterate women to send them for training about 1,400 km away to Tilonia. This was primarily because the target villages, like other rural areas in Bihar, have a staunchly patriarchal society where a woman’s social space is often confined to the household and her mobility is severely restricted. And to make things worse several villagers became sceptical about our intensions, fearing that the women might be trafficked. It took several informal discussions and incessant patient counselling by the village coordinators and motivators to convince the families to send their women for training. Finally, their hard work paid off and 4 families, 1 from Kadal and 3 from Chando, agreed to undertake the challenge. In an effort to alleviate their apprehensions we arranged for the family of these women to accompany them to Tilonia in early June and stay there for a few days. The entire cost of the trip was borne by Karuna-Shechen, India. The family members of these women have returned to their villages with full satisfaction and contentment. ANNEX -SUCCESS STORIES
  36. 36. Page | 36 2. The case of a young girl cured of Pulmonary Tuberculosis through our DOT services Sulekha Kumari during her treatment After she was completely cured through our DOTS services A 12 year old girl, Sulekha Kumari from Karhara village had approached Karuna-Shechen’s mobile clinic for medical consultation. She had been suffering from cough and fever for 15 days prior to her visit to the doctor and felt too weak to attend school or study. After undergoing some medical examinations she was found to be suffering from Pulmonary Tuberculosis. She immediately started her treatment at our DOT services in the village. Two months later she was fit enough to attend school. In April 2013, after 6 months of dedicated treatment and care by our DOTs team Sulekha was cured completely.

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