Main Activities and Achievements
An Overview of Medical Activities
Access to Primary Healthcare in Urban Area: Shechen
Medical Centre in Bodhgaya, Bihar
Medical Camps for the Poor and Needy
Health Education Program (HEP)
Strengthening Basic Education
Non-Formal Education (NFE)
Vocational Training for Women
Bodhgaya Clean Environment,
Small Money Big Change
Computer Course for the Youth
Networking with other local NGOs
Other Important Informations
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MAIN ACTIVITIES & ACHIEVEMENTS
In the fourth 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 15,707, highest in
all four quarters.
In the months of November and December 3 free medical camps were organised in Bodhgaya town for
the poor and needy people where a total of 1540 consultants were registered.
5 Parent-Teacher meetings (1 at Lohjhara school, 1 at Gopalkhera, 1 at Kadal and 1 at Chando) were
held at schools
A candle-making unit was opened within our office premises in Bodhgaya from October with our NFE
students who had gone to Jamshedpur in the third quarter for an advanced training in the vocation.
A member of Iner’Lude, France has come down to Bodhgaya in December to give a 4-month training,
beginning in January 2014 to Anganwadi workers on child development through games and play.
Solar Engineers have returned home in the second half of December and are now gearing up to install
solar lights in their respective villages.
Household Survey was conducted in Kadal, Chando and Barsuddi as a Solar feasibility survey.
Several meetings were held with stakeholders regarding our Bodhgaya Clean Environment, Hygiene and
The Green Schools Programme (GSP) audit was conducted in all our operational villages.
A pond was dug in Banahi under the small money Big Change programme. Besides, the construction of a
bathroom for women and a pond in Kadal have been completed in this quarter. Now sericulture is being
cultivated in the pond as an additional source of community livelihood.
Rainwater harvesting programme has been launched in our villages in this quarter with 32 households
and 4 schools already installing the system and several others in the process of doing so.
After embarking on an extensive data collection task we have gathered detailed information of all the
non-governmental organizations working in Gaya district as the first step towards our goal of creating a
network of like-minded NGOs.
An international Audit conducted management audit for the financial year 2012 successfully took place
during this quarter.
Several esteemed guests visited us during this quarter- Matthieu Ricard, President of Karuna-Shechen;
Tarek Toubale, Chief Operating Officer; Sanjeev Pradhan, Director of Shechen Clinic, Nepal, Anne Oliver,
Chief Financial Officer of Karuna-Shechen, and Vanessa Challinor, Serge, Astrid and Marie Saint-Arnoult
from Shining Hope Foundation.
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The fourth quarter sees the highest number of patients compared to the last three quarters. Besides, in
the kitchen garden programme which started in the previous quarter some more fruit and vegetable
seeds and plantations were distributed to households and schools. In rainwater harvesting several
households have already installed the required facilities while some are in the process
The Bodhgaya Clean Environment, Hygiene and Sanitation programme saw a great progress terms of
organisation of meeting with stakeholders, conducting school competition to raise awareness on
environmental hygiene and cleanliness. Also, meeting with food vendors led the latter to understand
the importance of covering the food on display and place orders with us for the same.
Our Rainwater Harvesting programme was started in this quarter with the aim of providing a
sustained supply of water to the village communities.
Vocational training took a major step with the introduction of a temporary candle-making unit within
our office premises.
The following programmes are currently running under our four areas of intervention:
In the following sections we will see the details of all our programmes and their progress in this
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OVERVIEW OF MEDICAL ACTIVITIES
OPD and Mobile Clinics
In the fourth 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 15,707,
highest in all four quarters (7358 in Q1, 8152 in Q2, 13,868 in Q3 and 15,707 in Q4), wherein new
consultants constituted 5366 people (34.16 % of total number of consultants).
We see that the total number of consultants at the OPD and Mobile Clinics has increased over the four
quarters of 2013. Q3 shows steep increase in the number of consultants compared to the first two
quarters while Q4 registers the highest number of consultants, 13.26% more than Q3 and 113.47%
greater than Q1.
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The following reasons primarily account for the maximum number of consultants in the fourth
The gradual increase in confidence amongst the mobile clinic consultants in the 6 new villages
and their satellites
Seasonal illness like influenza and cough and cold during winters
The influx of tourists during the tourist season (i.e., September onwards)
Table 1: Total Number of Consultants at OPD and Mobile Clinics
Of the total medical consultants at our OPD and Mobile Clinics in Q4:
the number of patients referred to PHC & Government Hospitals was 56 (0.36 % 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) at OPD and Mobile Clinics were 10,180 ( 64.82% of total consultants).
Apart from our usual healthcare services through OPD and Mobile clinics, in the months of November
and December 3 free medical camps were organised in Bodhgaya town for the poor and downtrodden
where a total of 1540 consultants were registered.
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Table 2: Total Number of Patients Referred to PHC and Government Hospitals
Table 3: Total Number of FOC (Free of Cost) Patients
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Direct Observed Treatment (DOT)
Out of 1310 medical tests conducted in our pathology laboratory 88 were Sputum tests (for
Tuberculosis). Out of these the number of people who were diagnosed with TB was 10. Currently, the
total number of TB patients undergoing treatment at the DOT centre within our OPD and in our
operational villages is 40.
Table 5: DOT details
Number of TB patients
Number of sputum tests
Refer TB Patients
Completed TB Medicine
Total Number of TB Patients
treatment (OPD and Mobile)
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.
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The table and graph show that the most common health problems observed among our OPD and
Mobile clinic patients were cough and cold, owing to the onset of the winter season; bone and joint
problem, and ENT problem.
Identity Cards for Medical Consultants
The total number of Identity Cards issued in this quarter are 4256 which is slightly less than that
issued in the third quarter (5037).
Table 7: Total Number of Identity Cards issued in Q4
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Table 8: Total Number of Identity Cards issued in the four quarters of 2013
Total Number of Identity Cards
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The number of identity cards issued in the fourth quarter is higher than that in the first two quarters
(12.59% and 28.97% higher than Q1 and Q2 respectively) and 15.51% less compared to the third
quarter. However, we cannot pinpoint any specific reasons for this trend.
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ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL CENTRE IN
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The total number of people who came to the Medical centre in Bodhgaya for Consultations in the third
quarter of 2013 was 6966. Out of this total 2611 were new consultants, representing 37.42% of total
consultations in OPD. The number of patients at OPD in the fourth quarter is 16.62% higher than in
the third quarter.
Table 9: Details of Consultants at OPD
November being the month of festivities registered lesser consultants compared to October
December, marking the onset of the winters saw the highest number of consultants in the
fourth quarter as people are susceptible to cough, cold and influenza during this time of the
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From the above graphs we can see that women and children form majority of the consultants at OPD
Total number of patients who came in the fourth quarter of 2013 for different medical tests were 513
and total anaysis done was 1310. The number of patients and tests are different because one patient
may go for several tests. Total money collected from these tests was INR 17575.
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Table 10: Total Number of Medical Tests conducted in the fourth quarter
AFB (Sputum test)
Urine routine examination
Urine culture sensitivity test
The table and graph show that the highest number of medical tests conducted are TC/DC, Blood Sugar,
ESR and HB%.
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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 fourth quarter of 2013, the number of patients who came for consultations in
mobile clinic from 18 village was 8741 , out of which 2755 were new patients
representing 31.52% .
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5589 consultants from the satellite villages around our 18 operational 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 6455
(73.84 % of
the total consultants at mobile clinics).
The total number of consultants at the mobile clinic has increased by 10.72% from the
Table 11 : Details of Consultants going to Mobile Clinics
Total Number of Consultants
Total Number of New
As in the case of OPD, here too the maximum number of people sought our healthcare services
in December. The month, marking the onset of the winters saw the highest number of
consultants, as people are susceptible to cough, cold and influenza during this time of the year.
November being the month of festivities registered lesser consultants compared to October
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Women and children constitute 73% 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.
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MEDICAL CAMPS FOR THE POOR AND NEEDY
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In order to reach out to maximum number of under-served population we organised 3 medical camps
for the poor and downtrodden in the months of November and December. Total turn-out in the
medical camps was 1540. In these camps, apart from free medical check-ups and medicines, detergent
and body soaps were given to each consultant and free sanitary napkins were distributed amongst
women and girls.
Table 12 : Details of Consultants at Medical Camps for the Poor and Needy
Total Number of Male
As we can see from the above table and graph, no medical camp was conducted in the month of
October. 2 medical camps were organised in December and 1 in November and hence the huge
difference between the number of consultants registered in the two months, with December
accounting for almost twice the number of patients as in November.
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HEALTH EDUCATION PROGRAMME (HEP)
Community Health Meeting
Sanitary Napkin being given free to women at Medical Camp
Health Education Programme (HEP), which was introduced in our 12 villages in 2010, continues to
run smoothly. Currently there are 87 health groups under HEP.
Table 13: Some Important Data on HEP
Total Number of Home Visits by Village Coordinators
Total Number of Home Visits by Motivators
Family visit By V.C
Total H.P committee
Funcational H.P committee
Repaired Hand pump
Hand pump Meeting By V.C
Health Group Meeting By Motivator
Total Population Reached
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Table 14 : Some Important Data on Reproductive and Child Health (RCH)
Mother & Child Meeting By V.C
Mother & Child Meeting By Motivators
Total Pregnant Woman
Total Pregnant women taking T.T.1
Total Pregnant woman taking T.T.2
Total pregnant women taking Taken T.T.0
New Born Children
Children born at PHC
Children born at Home
New-born Child Immunization
Immunization for children below 2 years of age
The number of child deliveries is greater at PHC than at home. The number of pregnant women taking
the required vaccinations is also very impressive, with almost all going for vaccination.
Table 15 : Number of Sanitary Napkin Packets sold
Mobile Clinics &
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The above table and graph clearly demonstrate increase (from October to December) in the number of
sanitary napkins sold at our OPD and Mobile Clinics. At the medical camps the napkins were
distributed free of cost to all the women and girl consultants.
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STRENGTHENING BASIC EDUCATION
Yoga class at Dema school
In an effort to provide a nurturing and holistic approach to basic education and helping in the all
round development of children, we have introduced various educational programmes since early
Our initiative to empower basic education is running successfully with the following activities:
The support faculty to rural schools are continuing successfully
regular Yoga classes are conducted in the village-schools
organisation of Parent-Teacher Meetings
providing Teaching-Learning Materials
A fitness instructor hired by our organisation, provides Yoga and other physical exercise training to
the school-going children in all the 18 villages. Matthieu Ricard, President of Karuna-Shechen and
Tarek Toubale, Chief Operating Officer of the organisation, during their visit to India in November,
2013 lauded our initiative to start Yoga training for school children.
The support faculty we have provided to schools in Dema and Banahi continue to impart enjoyable
and interesting learning experience to the children.
Various Teaching-Learning Materials like have been distributed for more effective and fun-filled
learning experience for the children/ we continue to supply Teaching-Learning Materials (TLM) to
schools in an effort to fulfil the basic requirements of teachers and students and help improve the
education standards in rural schools.
5 PTA meetings (1 at Lohjhara school, 1 at Gopalkhera, 1 at Kadal and 1 at Chando) have been
organised at schools in the fourth quarter.
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Various sports and game materials like football, skipping rope, Badminton racket and shuttle cork,
Carom Board, Cricket bat and ball, etc have been provided to the rural schools to encourage extracurricular activities for overall child development.
NON-FORMAL EDUCATION (NFE)
Our NFE programme continues to run efficiently in all 18 centres across 16 villages.
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Table 16: NFE Attendance details
Name of Villages
Number of Students
enrolled in NFE
in NFE classes
The total number of enrolled students has slightly increased from 444 to 447 with 3 additional women
joining the NFE centre at Kadal. The average attendance has fallen from 63% to 51% primarily due to
the engagement of the women, most of whom are engaged in agricultural activities, in harvesting of
winter crops. Also, the months of October through December, being the festive season, saw student
attendance drop during this quarter.
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VOCATIONAL TRAINING FOR WOMEN
Women making candles within our office premises
Cash Receipt for Sold Candles
After undergoing training in candle-making, at a 2-day workshop that we had organized in Bodhgaya
exclusively for our NFE students, 7 participants were chosen on the basis of their ability to produce
what they had leant, and sent to Jamshedpur in August for a week-long intensive advanced training. As
the third and crucial step towards empowering these women a candle-making unit was opened within
our office premises in Bodhgaya from October, prior to the celebration of the Festival of Lights,
‘Deepawali’. These 7 women were assisted by 4 more NFE students who had participated in the
candle-making workshop at Bodhgaya. These 4 women worked under the guidance of those having
advanced training which helped them improve their knowledge and enhance their candle-making
skills. The combined effort and sincere efforts of all the women enabled them to produce 27 different
types of candles and sell INR 14,499 worth of candles, definitely a huge achievement for these rural
women who had been otherwise confined to their communities and severely lacked socio-economic
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Table 17 : List of the Different Varieties of Candles produced by the Women
Types of Candles
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Now, these women are working as vocational trainers in our operational villages, imparting refresher
and advanced training in candle-production and marketing to the NFE students.
NFE students in villages being trained by the women who had undergone advanced Candle-making training and participated
at our Candle-production unit
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A household with Solar light at J.P.Nagar
One of the 3 Solar Engineers undergoing training at Tilonia
After 6 long months of hard work the 3 women who had been sent to Barefoot college in Tilonia,
Rajasthan successfully completed their training to become Solar Engineers. They returned home in the
second half of December and are now gearing up to install solar lights in their respective villages.
In this quarter a survey was conducted in the three villages where solar lights will be installed;
Barsuddi, Chando and Kadal. The objective of the survey was to know the number of households
willing to pay a one-time installment, specifying the amount they are willing to pay; how much, if any,
are they willing to pay on a monthly basis for light maintenance and battery replacement; the number
of lights required per household, etc.
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BODHGAYA CLEAN ENVIRONMENT HYGIENE AND SANITATION PROGRAMME
Meeting with Food Vendors
Showing them types of food covers
Community Meeting for awareness generation on clean, hygienic surroundings
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Speech competition at school in Dema village
Speech competition at a school in Bodhgaya town
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Participants with the Jute bags distributed by our organisation to discourage the use of plastic bags
As an integral component of our Awareness campaign under the Bodhgaya Clean Environment,
Hygiene and Sanitation programme we organised drawing and speech competitions in 27 schools (15
schools in Bodhgaya and 12 in our operational villages) in a bid to create a more environmentally
sensitive and responsible generation of citizens.
We also conducted household survey in 142 households in Bodhgaya town to get an idea about the
level of awareness, problems and practices related to sanitation and hygiene at household and locality
After this initial step of data collection 4 community-level meetings have been held to discuss about
the importance of keeping our surroundings clean.
In a bid to discouraging the usage of plastic bags and motivate people to use substitutes we have
ordered jute bags of different sizes from West Bengal. We have been distributing them for free among
participants of school competitions and our medical consultants and selling the same at meager price
of INR 20 (in contrast to the market price of INR 60 or more) to the locals who desire to purchase
After having selected two types of covers that can be used by the food vendors for protecting the food
from dust and germs by the roadside while on display, we conducted several meetings with food
vendors and sweet and snack shop-owners in Bodhgaya and at Gaya station regarding the same. Till
now 30 vendors have placed orders for the food covers.
Besides, we have successfully conducted audit for the Green Schools Programme for which we had
undertaken a training at the Centre for Science and Environment (CSE), New Delhi. The programme, in
our operational areas, will be conducted by us in collaboration with CSE.
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SMALL MONEY BIG CHANGE
Pond that was digged in Kadal
Fish added to the pond for Pisciculture
Our community-planned and community-managed programme continues to run successfully.
Repairing of the well, the construction of bathroom for women and digging of a pond at Kadal has
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been complete and are being used by the villagers satisfactorily. Besides, some fishes have been
thrown in the water with the aim of developing sericulture and thereby improving livelihoods of the
otherwise very poor community.
Besides, the construction of a pond in Banahi which had started in the third quarter but had to be
stalled due to the monsoons, was completed by the beginning of the fourth quarter. With the digging of
the pond the community now has a clean and adequate water resource.
Growing a kitchen garden in the backyard of a house with the objective of improving the overall health
of the rural poor and providing them with an additional source of livelihood was the idea behind our
new Kitchen Gardening Programme which began last quarter in close to 1000 households across 18
Through this quarter the kitchen gardens have been monitored and supervised by our village
motivators and coordinators. Also, some more fruits and vegetables like coriander, spinach, potato,
garlic and lemon have been distributed among households and schools.
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Table 18: Kitchen Garden details
Vegetables and Fruits
Only in the school
Only in the school
156 households and 2
In the face of water problem facing the villages we have introduced our new programme this quarter,
Rainwater Harvesting which will help in the accumulation and deposition of rainwater for reuse
before it reaches the aquifer. Interested households and schools would be provided water tanks by
our organisation free of cost and they have to bear the minimal cost of plumbering that would be
required to install the system.
The rainwater harvesting system will enable the communities to utilize the locally available rain water
to meet water requirements throughout the year. This would facilitate availability of uncontaminated
water for domestic and irrigation needs.
The programme’s first step was to explain about rainwater harvesting-its importance and uses, to the
target communities. Next, a list of the interested households and schools was prepared. The third has
been to build an elevated platform where the water tanks will be fitted. While some households have
already completed the process of installing the whole system and are ready to use the system, several
are yet to accomplish the task. In this quarter 32 households and 4 schools (Dema, Gopalkhera,
Chando and Barsuddi) already have the whole rainwater harvesting system in place while several
others are in the process of installing it.
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COMPUTER COURSE FOR THE YOUTH
Our programme to provide free computer training to the underprivileged youth is running
successfully. Apart from the basic minimum academic qualifications, the only criterion for enrollment
in these lucrative training is a few hours volunteering service in one’s own community. Thus, our
students engage in volunteering exercise like teaching poor children for free, etc.
NETWORKING WITH OTHER LOCAL NON-GOVERNMENTAL ORGANISATIONS
We have collected detailed information of all the non-governmental organizations working in Gaya
district. This is the first step towards our goal of creating a network of like-minded NGOs so that
instead of working in isolation, organisations with similar views and mission would be able to work
collectively towards the realisation of their common aspirations.
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The budget and expenses for the fourth quarter of 2013 is presented below:
Table 19 : Budget and Expenses
Budget in USD
Administration, transportation and
OPD direct benefit to population in
Bodhgaya town and close
Mobile clinic benefit to population in
Education direct benefit to population
in 18 villages
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An international Audit for the financial year 2012-201 successfully took place during this quarter.
Anne Oliver, Chief Financial Officer of Karuna-Shechen, paid us a visit in October. In the month of
November we had the honour of welcoming Matthieu Ricard, President of Karuna-Shechen; Tarek
Toubale, Chief Operating Officer; Sanjeev Pradhan, Director of Shechen Clinic, Nepal and Vanessa
Challinor, Serge, Astrid and Marie Saint-Arnoult from Shining Hope Foundation. All our esteemed
guests were impressed and extremely satisfied with our programmes and appreciated our hard work
and dedication towards the same.
Our honourable guests on Field Visits
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Anne Olivier with an NFE student
Our guests with the entire team of Karuna-Shechen, India
A 4-month training imparted to Anganwadi workers in our villages by a volunteer from
Inter’Lude, France. The primary focus of the training will be child development through games
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A pathology laboratory expert will join us from France for a 6-month training and supervision
session at the laboratory in our medical centre, Bodhgaya.
Solar lights to be installed in the villages of Chando, Barsuddi, Kadal and Banahi by our newly
trained Solar Engineers.
Rainwater harvesting to be completed in the households and/or schools where the process of
installation has begun. Also, as there is a gradual increase in interest regarding the project
amongst the communities in our operational villages more households are likely to install
rainwater harvesting system in the coming months.
We may conduct the Green Schools Programme in schools in and around the town of
This year we envisage extending our services to Aurangabad, Jehanabad, Nalanda and Nawada,
i.e., the districts neighbouring our present area of intervention; Gaya district. Besides, we
intend to expand our geographical area of operation to the neighbouring State of Jharkhand.
Current Partner: Barefoot College in Tilonia, Rajasthan
Prospective Partner: Centre for Science and Environment, New Delhi.
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ANNEX -SUCCESS STORY
The Story of an NFE Student- Anita Devi
Anita Devi at NFE centre
Anita Devi, a 24 year old woman hailing from Dema village is an NFE student.
Previous to joining the classes she was an illiterate woman with a low self-confidence. When the NFE
centre was started in her village she knew that this was a golden opportunity for her to fulfil her
dream of learning to read and write.
Past 7 months of regular classes has enable her to read and write the alphabets of Hindi language,
numerical, construct sentences, write her own and her husband’s name and her residential address.
She can also recognise several countries on the global map and read and write their names.
Her husband and in-laws have been very supportive of her decision to pursue NFE classes and take
care of her children if, for some reason, she cannot bring them along with her to the classes.
Talking of the advantage of attending NFE classes, she says that reading and writing skills have not
just enabled her to interacting with people and understand things better but has also empowered her
to help her small children with their lessons. Besides, she now helps the illiterate women of the
community if they have to read or write anything, and has thus become as a source of inspiration for
them. Her family is proud of achievements, she says happily. Her whole NFE experience has been
enjoyable and satisfactory and she looks forward to learning new things in the days to come.
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