The annual report summarizes IDPMS's work in 2008-2009, focusing on governance and livelihood projects. An evidence-based health care project was completed successfully and additional health projects were negotiated. Livelihood projects like the cluster development project and microfinance cooperatives made progress. The report also provides details on specific projects, including a study on transparency and accountability in health services that found issues like drug shortages, lack of doctors and vacant positions. A review of NREGA programs in 3 districts is also mentioned.
Current Situation in Control Strategies and Health Systems in Asia by Prof. Dr. Jovaria Mannan, Professor of Paediatrics, Chairperson of the Medical Advisory Board, Thalassaemia Federation of Pakistan
Evaluating library support for a new graduate program: Finding harmony with a...NASIG
In 2008, the University of Southern Indiana began a new Doctor of Nursing Practice (DNP) program offered via distance education. Prior to its beginning, USI librarians collaborated with nursing faculty to identify ways to support the program. As a result of these discussions and using grant funding provided by the nursing department, the library added relevant electronic journals and open access journal collections Providing electronic access to the journals would enable distance education students to easily use these materials. In addition to existing full-text databases, the library also made available two open access journal collections, including Bentham Open Access Journals and PubMed Central Open Access Journals. The library also expanded its interlibrary loan (ILL) services by providing an article delivery (AD) service on a trial basis to all students enrolled in the program living more than 50 miles from campus. This three-year study sought to answer the question, “How well do the library’s new and existing resources and services support DNP student research?” The methods used by this study included a citation analysis of references listed in formal papers, an examination of usage statistics generated by the electronic resources supporting the program, a student satisfaction survey, and a review of students’ use of ILL and AD services. The citation analysis provided data indicating the sources used (number, type, currency, etc.) by the students and the library’s ability to supply them. Reviews of the usage statistics for the online journals and databases provided a comparison of how the use of these resources has been affected by the DNP enrollment. The student satisfaction surveys have given feedback on the students’ opinions and behaviors regarding the resources and services made available by the library.
Presenters: Peter Whiting and Philip Orr, David L. Rice Library, University of Southern Indiana
This presentation addresses the need for a proactive approach to physician recruiting, increasing a hospital's market awareness & reducing the amount of revenue lost when physicians refer their patients to another hospital.
Insights from the National Diabetes Registry: User SatisfactionArunah Chandran
The National Diabetes Registry (NDR) is a web-based application to register diabetes patients in Malaysia. It is used in all Ministry of Health (MOH) health clinics and selected hospitals.
User satisfaction is an important factor to determine quality and effectiveness of service delivery to clients of a particular product or service.
Our objective was to examine user satisfaction towards NDR system usage.
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Current Situation in Control Strategies and Health Systems in Asia by Prof. Dr. Jovaria Mannan, Professor of Paediatrics, Chairperson of the Medical Advisory Board, Thalassaemia Federation of Pakistan
Evaluating library support for a new graduate program: Finding harmony with a...NASIG
In 2008, the University of Southern Indiana began a new Doctor of Nursing Practice (DNP) program offered via distance education. Prior to its beginning, USI librarians collaborated with nursing faculty to identify ways to support the program. As a result of these discussions and using grant funding provided by the nursing department, the library added relevant electronic journals and open access journal collections Providing electronic access to the journals would enable distance education students to easily use these materials. In addition to existing full-text databases, the library also made available two open access journal collections, including Bentham Open Access Journals and PubMed Central Open Access Journals. The library also expanded its interlibrary loan (ILL) services by providing an article delivery (AD) service on a trial basis to all students enrolled in the program living more than 50 miles from campus. This three-year study sought to answer the question, “How well do the library’s new and existing resources and services support DNP student research?” The methods used by this study included a citation analysis of references listed in formal papers, an examination of usage statistics generated by the electronic resources supporting the program, a student satisfaction survey, and a review of students’ use of ILL and AD services. The citation analysis provided data indicating the sources used (number, type, currency, etc.) by the students and the library’s ability to supply them. Reviews of the usage statistics for the online journals and databases provided a comparison of how the use of these resources has been affected by the DNP enrollment. The student satisfaction surveys have given feedback on the students’ opinions and behaviors regarding the resources and services made available by the library.
Presenters: Peter Whiting and Philip Orr, David L. Rice Library, University of Southern Indiana
This presentation addresses the need for a proactive approach to physician recruiting, increasing a hospital's market awareness & reducing the amount of revenue lost when physicians refer their patients to another hospital.
Insights from the National Diabetes Registry: User SatisfactionArunah Chandran
The National Diabetes Registry (NDR) is a web-based application to register diabetes patients in Malaysia. It is used in all Ministry of Health (MOH) health clinics and selected hospitals.
User satisfaction is an important factor to determine quality and effectiveness of service delivery to clients of a particular product or service.
Our objective was to examine user satisfaction towards NDR system usage.
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5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
Idpms - annual report 09
1. iDpms
Annual Report 20082009
20082009 has been a year of turnaround and focus for IDPMS. With not so encouraging
environment of receiving support from national and international agencies and uncertainty of
government and its agencies awarding field based projects, IDPMS maintained its tempo of work in
both the major areas of its focus namely Governance and Livelihood.
Evidence based action research projects in social sector like primary health care initiated in the
previous year was successfully completed. And couple of additional projects in this sector has been
negotiated. In livelihood sector, the Government of India supported Cluster Development Project for
rural artisans have come to its finishing phase. Establishing and consolidating community based
micro finance cooperatives MANINI has made good progress .Two more women cooperative have
been established. Income generating project for SUJALA watershed beneficiaries has been
successfully completed. Pilot project for introduction of LED lamps for rural consumers has
continued.
The performance during the year, the issues addressed and future path of travel are narrated
below.
I. GOVERNANCE Project DARPANA
Transparency and Accountability
Good governance by and large envisages building accountability of public administration
institutions to the public they are supposed to serve. Building efficiency and accountability of public
institutions is seen as one of the ways of improving the exercise of power in the management of
economical and social resources. Tracking of public expenditure and identification of differences
between the budgeted expenditure and the services received by the users; using further these
evidences for advocacy with citizens and policy makers will to a reasonable extent bring pressure
on the government to be transparent and accountable in delivery of public services.
One such study started last year, in two districts of Karnataka, which was diagnostic in nature, to
track the expenditure incurred by the state government in delivery of health care services through
primary health centers, was completed. The main findings of the study are:
Drugs availability
• While Bellary ZP is provided more than the provision (60% of the total drug budget),
Chamarajanagar is provided less than 50%.
• As against the budget provision made Chamarajanagar has nearly fully utilized funds in 2007
08, but has used only up to 80% in 200506 and 200607. Bellary has used less than 50% in all
the three years.
• Under health and family welfare grant in the state budget there is a persistent savings during
19992003
Provision
Provision
of ZP
of ZP
Budge - >
t
Budge - <
t
6%
0
5%
0
Bellary
C R NAGAR
2. iDpms
Note: This is considering only the allocation made through the ZP (60% of total drug budget )
• Stock outs occur with an average duration of 14 weeks.
• 1922% of patients have said, either partially or completely they purchased medicines from
private drug stores.
• Per capita drug expenditure is Rs.16.12 per annum.
Reduction in Drug budget
Drug budget as a % of total district health budget has been decreasing year after yea r(Bellary 2.5
1.9, Chamarajanagar 2.51.8 for years 200405 200708)
12
10
1.9
8
1.8
6 2.5
1.9
4 2.3 2
2
2.9 2.5
0
Bellary C R Nagara
Non availability of doctors
• Non availability of doctors at PHCs is 49%. As a consequence, 'per patient' time that the
doctor spends gets reduced and waiting time becomes longer.
• Availability of doctors is 51%. Doctor spends around 5 minutes on 49% of the patients and 59
minutes on 48% of the patients.
60%
50%
40% availability
30% 51% 49% non availability
20%
10%
0%
availability non
availability
Vacant position
• Many vacant posts are yet to be filled up. Vacancies for Pharmacists62%, lab technicians24%
and nurses 45%.
3. iDpms
70%
60%
50%
40%
30%
20%
10%
0%
Phamacists Lab techs. Nurses
Shortage of Staff quarters
• 72% of doctors, 62% of pharmacists and 50% of nurses do not have staff quarters.
80%
70%
60%
50%
40%
30%
20%
10%
0%
Doct
ors Pharm s
acist Nurses
Patient satisfaction
• 52% of patients were not satisfied about cleanliness; 44% were not satisfied about drinking
water availability.
52%
50%
48%
52%
46%
44%
42%
40%
cleanliness drinking
not satisfied water not
satisfied
4. iDpms
Reasons for non availability
II. Overview of NREGA programmes in Karnataka.
National Rural Employment Guarantee Act has been considered as a flagship programme of the
Government of India. This is the first of its kind in the country were in through an Act, the state
guarantees jobs for those eligible poor rural families for 100 days in a year. Three years ago the
programme started in Karnataka in three pilot districts. Later it was taken up in all the districts.
National Institute for Rural Development (NIRD) which is the nodal agency to monitor the
programme entrusted IDPMS an assignment to quickly evaluate the work in three districts namely
Hassan, Raichur and Gulbarga. The study is in progress and expected to be completed in six
months time.
5. iDpms
Farmer explaining the process Impact of NREGA–Barren to green lands
III. Drug Procurement and Distribution
An international organization is in discussion with IDPMS for a possible partnership to study in
detail the process of drug procurement and distribution to PHCs, openness, transparency and
accountability in the process and do evidenced based advocacy.
IV. Study on Panchayaraj Insitutions
RURAL PAARC a field based research organisation assigned IDPMS a study ( sponsored by Swiss
Agency for Development Cooperation) to find out the extent to which the PRIs have been able to
take up pro poor initiatives.
60 52 9 subjects taken up for study,
50 IDPMS conducted study on
Akshara Dasoha, ICDS and
40 30 Primary Health care systems.
30
The study was spread across
20 52 villages, 30 GPs, 8TPs
5 8
10 and 5ZPs in Gulbarga,
0 Bagalkot, Chikkaballapur,
Districts Taluks GPs Villages Kolar and Hassan districts of
Karnataka state.
Main findings:
Akshara Dasoha (Mid day meal scheme)
• The student population per class room in Bagalkot and Gulbarga districts is more than in
Hassan and Kolar districts.
• Districts of Southern Karnataka got higher budget sanctioned as compared to North Karnataka
districts.
• The dropout rate at the primary level (IVII) standard in South Karnataka is 20.4 as compared to
North Karnataka37.4, Bombay Karnataka29.7 and Hyderabad Karnataka46.7.
• Parents are moving their children to English medium and private schools.
• Specific roles have been assigned to PRIs in the guidelines. But in most of the districts where
the study was conducted, role of GP has been very minimal or negligible.
• Community participation is at the lowest or absent.
• Community based monitoring committees have not been established.
• Both GP members and parents are not fully aware of the scheme.
6. iDpms
Integrated Child Development Programme (ICDS)
• Many of the families desired to have increase in the quantity of the food supplement provided
and also to improve the quality. In the very backward regions and also during drought seasons,
when the families resort to migration, women children and the aged are the hard hit.
• Coverage of adolescent girls is not sufficient
• Many of the AWC do not have their own building; safe drinking water and sanitation facility.
• Field level monitoring is poor. Balvikas samitis are not functioning effectively. GPs and
community participation is poor. In order to facilitate the landless labour families suggestions
have come to open the AWCs in the evenings or extend the timings till 5 pm.
• There is no convergence at the ground level.
• Field based research studies have to be conducted to assess nutrition and overall development
of children. Likewise facilities have to be created at the field level to measure nutrition status
and growth of children adolescent girls, pregnant women and nursing mothers.
Primary health care (Sub Centres)
• Villagers who have options to get services from private medical and health services like in
better off districts would not prefer to go to sub centres. As such they do not have good opinion.
Where as village community from backward districts like Bagalkot and Gulbarga use the
services of sub centres as they have no access to private service providers. This does not
necessarily mean that the services of sub centres are good.
• ZP/TP and GPs do not play any major role in governance and administration except for routing
the funds received from the government
• As health is not just dependent on treatment of sick persons but on other vital issues like
access to potable drinking water, good sanitation and environmental facilities, providing food
security to women and children, educating women especially from backward regions, it is very
difficult to establish whether there has been an impact of the pro poor initiatives of the local
governments on the livelihood of the rural marginalized sections.
• Enough resources have to be provided to the rural health services. Funds disbursal process
needs to be streamlined.
• All existing vacancies in the medical and para medical posts have to be filled up. Proper
accountability has to be fixed. Community has to be involved in the governance process.
• There should be proper convergence between health, education and water supply and
sanitation programmes at the village level.
II. LIVELIHOOD PROGRAMMES
4. MANINI:
Mahila Nirantara NidhiMANINI is a community based micro finance programme promoted by
IDPMS. At present in two districts of Karnataka namely Bellary and Gadag. Through this
programme, women are trained to run the MANINI cooperatives. They are taught about the rules
and regulations as per Karnataka Souharda Act and also maintenance of accounts. Women started
one MANINI Cooperative at Kottur in Bellary
district and one at Laxmeswar in Gadag
district. While the MANINI at Bellatti (Gadag)
has completed one year the other two
cooperatives have just started the operations.
From all the three cooperatives totally there are
2486 members from 212 Self Help Groups.
The total amount of share capital collected is
Rs. 4.0 lakhs. In order to build the capacity of
these cooperatives, IDPMS is conducting
capacity building programmes and also
receiving good cooperation and support from
MANINI board meeting in
Karnataka Souharda Sahakari Union,
progress
Bangalore which is the designated regulating body. Efforts are being made by the women to
expand the base of shareholders as well as SHGs joining MANINI.
7. iDpms
No. of Share amount
Location of
SHGs No of collected
MANINI
covered Share- Rs
Souharda
by holders
Cooperative
MANINI
Bellatti 58 741 159315
Lakshmeshwar 98 886 177200
Kottur 47 800 155000
Several micro finance organizations both from within the state and outside have started
aggressively lending money to the individual SHG members. As a consequence, there are
possibilities of SHGs breaking and women forming joint liability groups for accessing credit.
Secondly women can become members of more than one JLG and receive multiple credit thus
increasing chances of default. It is to be seen whether the thrift culture of SHGs will be put on hold
and the SHG bank linkage model propagated by NABARD will be seriously affected.
As IDPMS intends to promote community owned model, irrespective of spread and growth, women
will learn to save and lend their funds under a legal organisation which they own and govern.
In the coming year IDPMS intends to have series of capacity building programmes with the support
of the Souharda Sahakari Union and also build a MIS for better functioning.
5. ‘aarambh show casing rural India
Under this project a rural artisan cluster is formed at
Chamarajanagar. This project which was supported by government
of India is in the last phase of implementation. Artisan Association
has to be formed and the Cluster has to be handed over to the
Association. In the current year, good amount of networking was
done to build marketing contacts. Requests have come from Indian
and foreign buyers for finished products and raw finished fibers.
IDPMS is
looking for a
suitable
coordinator who can build and train the
association as well as sustain continuous
production.
A small attempt was made to network our women artisans with the Kenya fibre artisans. Products
were exchanged. Sample fibre was also procured. Further exploration is needed in terms of having
exchange programme among artisans for design and marketing.
8. iDpms
6. Product Catalog.
The culmination of various design development programme in the
last five years is the production of product catalog. During each
design development and training programme expert designers from
NID and NIFT were assigned to conduct design development
workshops and teach women artisans various nuances of designs.
Several varieties of bags, table mats, interior decoration, floor mats,
lamp shades etc were developed. The catalog takes the viewer
through a small journey of visual treatment with explicit sharp colour
photographs with proper code and caption. This catalog enables the
prospective customer to make a choice of her own. The catalog has
been distributed across various industry sectors like hospitality,
corporate, interior designers etc.
7. Corporate Linkage
The patronage established with
Oberoi group of hotels since a
decade has endured with
IDPMS receiving regular orders
for supply of grass mats has
supplied 30 Kora Grass Mats.
This year also we supplied them
with quality mats and we are
further exploring the possibilities
of expanding business with
them.
III. Partnership with the State Government
Sujala water shed project:
IDPMS was chosen as a consultant
for providing technical and
managerial support to women
groups coming under Sujala
watershed project of the state
government in Tumkur district. This
project with two years time frame
concluded in March 2009. Under this project, IDPMS provided
various inputs related to entrepreneurship to about 1000 persons selected by the project team.
Depending on their skill, capability and aptitude, they selected
activities both in traditional and non traditional areas. Out of
1000 persons 700 selected traditional activities and 300 selected
non traditional activities. Some of the non traditional activities
the women chose were fashion designing, auto driving,
manufacture and sale of serial bulb sets, setting up of bakery
and flour mills etc.
After technical training programmes people have accessed bank
linkage, government subsidy also their own funding they could able
to start their own enterprises. Few of them are shown below –
Areca nut business, Computer data entry, animal husbandry,
Floriculture and fashion
design/tailoring. Earning better
income compare to their
previous activity.
9. iDpms
Desciption Persons Batch
Trainers Training Pro-
grammes 41 2
EDP programmes 1000 33
Techincal and skilled train-
ing 97 6
Service oriented training 47 11
Business oriented 121 11
Animal Husbandry 263 10
Traditional activities 459 --
IV. Project BELAKU IDPMS started small initiative about three years ago to promote alternate energy
fuels for rural communities. After initial field research and several planning
meetings with British Petroleum, since the pilot project was moved to
Maharashtra and Tamilnadu states, the initiative did not take off in the expected
way. However, IDPMS continued to explore alternate energy solutions. Last
year, IDPMS came to an understanding with a social entrepreneur who has
developed LED lamps for mitigating Internal Air Pollution caused by use of
kerosene among rural families. Since the entrepreneur believed in the
community based model, IDPMS took the responsibility of initiating a pilot in
Bellary district Karnataka. The local women cooperative Manandi MANINI took the initiative to launch
this product through locally selected entrepreneurs who were their
members. The entrepreneurs collected the deposit amount and
invested in the venture. The product was found to be of use
especially for those women who were engaged in informal service
sector for livelihood. Initially 500 lamps were brought for distribution
and nearly 150 were sold. The remaining was not sold due to
logistics and operational reasons. The community expected a better
wattage lamp. They preferred an individual charger instead of a
community based charger.
Some of them were
Light to Life faulty and could not be
Kotturamma, 55 year old widow runs her Bajji shop serviced. The rural
with the support of her young sons. She says she does distribution system
not have to bother about lighting kerosene wicks when needed to be well
there is current cut. After a month of purchase of LED conceived and the
home lights in May 2008, she took her pregnant women entrepreneurs
daughter to hospital for delivery and there was no had to be trained
current in the entire Kottur town. On that fateful day, properly. These
they could not arrange even the Gas lights. feedbacks from the
Kotturamma proudly says she took two LED lights from community were
her Bajji shop with which doctor did delivery. informed to the social
entrepreneur who in turn
developed a robust model with individual charger and good appearance. The product is currently under
pilot marketing. The challenge is in order to scale up, how to develop a rural distribution and service
network; which is the appropriate legally framed institution which can perform the for profit activity.
V. FINANCIAL PERFORMANCE:
200809 has been an eventful year for IDPMS both in terms of its physical and financial
performance. While innovative project under DARPANA which were mainly field based research
projects resulted in generation of financial resources, couple of technical support projects under
livelihood portfolio, which were consultancy in nature, also yielded revenue. Besides result based
performance by our dedicated staff contributed to the performance. These factors enabled IDPMS
sail through the current financial year. It is hoped that this performance will be improved in the
future years.
10. iDpms
Balance Sheet : Amount in Rs.
Assets 2008-09 2007-08
Fixed assets 64500 68552
Current 655000 692000
Assets
Bank 2281164 1392758
3000664 2153310
Liabilities
Capital 129946
Advances 565530 1793731
General Fund 2435134 229632
3000664 2153310
Income & Expenditure Amount in Rs.
Expenditure 2008-09 2007-08
Depreciation 12892 19536
Expenditure 5442949 5102836
Loss on Asset -- 71768
5455841 5194140
Income
Misc., 32509 6400
Receipts 5328781 4218668
Excess of 94551 969072
Expr.
5455841 5194140
VI. IDPMS TEAM
There are no new additions to the existing staff both at the field as well as at the head office.
Mr. K.V. Vadiraj, our senior most staff member was associated with IDPMS for nearly two decades
in the capacity of Advisor. As a senior professional, with his sharp analytical and managerial skills,
brought into the system, the rigor and discipline of understanding and debating policy issues and
relating them to the field realities. He was always a source of inspiration to the young colleagues to
attain quality and efficiency in work. He decided to call it a day at IDPMS on his own due to
personal reasons. Even after his departure, he has been kind enough to provide guidance and
support whenever requests are made. We place on records the services he rendered during his
stay with IDPMS. IDPMS wishes him a healthy and peaceful time in his life.
Mr Anilkumar who was one of our district coordinators resigned for better prospects in his career.
We wish him success in his new assignment in another organization he has joined.
11. iDpms
VII.MEETINGS, WORKSHOPS ATTENDED BY IDPMS STAFF.
TAP programme: Workshop conducted by The Brookings Institution:
As part of the Transparency and Accountability
programme of Brookings Institute Washington, IDPMS
was invited to present the outcomes of the Public
Expenditure Tracking study done for the Primary health
care in Karnataka. Mr S.Sadanada Director and
Mr.K.V. Vadiraj Advisor participated in the workshop
conducted in June 2008. The draft report was received
well with a couple of observations and suggestions.
These were incorporated in the final report presented
to the Brookings in December 2008.
During this visit both of them took opportunity to visit IBP and discussed possibilities of
collaboration for evidenced based advocacy projects in India.
Workshop organised by International Budget Partnership (IBP)
In association with Centre for Budget Governance and Advocacy (CBGA) India, IBP organized a
three day workshop for a select group of NGOs, who are active in the field of budget analysis and
expenditure tracking in social and sectors. A few NGOS from South East Asian countries also
participated. IDPMS was also invited. The Director of IDPMS presented the main findings of the
study on tracking of distribution of drugs to primary healthcare centres in Karnataka. The draft
report was circulated among the participants. Different methods of bringing transparency and
accountability like tracking of public expenditure, outcome monitoring, citizen report cards, social
audit, use of RTI Act, procurement monitoring were discussed. The Director Chaired the session on
communication and advocacy. This workshop helped IDPMS to be in contact with several other
organizations that are working in the field of governance and advocacy.
Ms.Geetha attended workshops organized by Govt.of India at New Delhi and Chennai during
November 08 and February 09 to discuss artisan cluster development projects and ways and
means of providing access to finance, design and marketing. Ms.Geetha presented various steps
taken by IDPMS in executing the cluster project with the support of the Development Commissioner
(H), Govt., of India.
Ms.Sudha Bhat attended workshop organized by TARA Livelihood Academy, New Delhi during
November 08; a three day programme on “Carbon Revenues: A Source of Funding”. Training was
focused on different opportunities of generating the carbon finance for the organization through
Voluntary Emission Reductions ( VERs) as well as the challenges involved.
VIII.FUND SUPPORT
The Governing Council of IDPMS acknowledges the funding support received from Results for
Development and The Brookings Institution for conducting the Public Expenditure Tracking Study
with regard to supply of drugs to primary health care centres in Karnataka. IDPMS received support
from Government of India and Government of Karnataka for the Cluster Development project and
Income Generation project for the beneficiaries of SUJALA watershed project respectively.
12. iDpms
CORPORATE
ADMN.
2%
8%
CO-OPTV.
5%
WATERSHED
50%
GOVERNANCE
25%
CRAFT
10%
IX. Way forward:
IDPMS would strive forward to attain its mission by realizing the set objectives. The major
emphasis would be on better governance, transparency and accountability in public expenditure,
evidence based advocacy and women’s collective for livelihood.
For realizing these goals, IDPMS would liaise with national and international monitoring
organizations, government department, panchayat raj institutions and local advocacy networks and
organizations. IDPMS would keep its focus on public health, drinking water supply and education.
IDPMS would also pursue the ongoing efforts of adding value to the rural crafts by partnering with
corporate and building community based social enterprises.