The third quarterly report summarizes activities from July to September 2013. Key highlights include:
1) Total patient consultations at the OPD clinic and mobile clinics reached 13,868, the highest so far. New consultations were 5,607.
2) Vocational training programs started, including computer courses. New programs like Kitchen Gardening were also launched.
3) The Shechen clinic in Bodhgaya is now open 7 days a week, and two new doctors including a female doctor were hired.
4) DOTS training was conducted for village health workers to expand tuberculosis treatment programs to new villages. The number of TB patients under treatment is 35.
So in summary,
Karuna-Shechen Second Quaterly Report 2013shininghope
This quarterly report summarizes Karuna Shechen India's activities from April to June 2013 across various programs. In health, over 8,000 patients received care through OPD clinics and mobile clinics. Activities included DOT for tuberculosis patients, laboratory tests, and a new menstrual hygiene program. In education, non-formal education expanded to new villages and parents-teacher associations were formed. Environment programs focused on waste management and check dams. New social development projects addressed issues like land leveling and well repair. The organization continues working to holistically address poverty through initiatives in health, education, environment, and social development.
The fourth quarterly report summarizes activities from October to December 2013 across various programs. In health, the total number of patients seen at OPDs and mobile clinics was highest this quarter at 15,707. Three free medical camps provided care to 1,540 people. DOT treatment reached 40 TB patients. Cough, cold, bone/joint, and ENT problems were most common. In education, 5 parent-teacher meetings were held and a candle-making program launched. Environment programs saw solar installations and surveys. Social programs constructed water infrastructure. Rainwater harvesting began in 32 homes and 4 schools. Data collection on local NGOs was completed. International audits were conducted and several visitors met with staff.
Karuna-Shechen Second quaterly report of 2014shininghope
The document provides details from the second quarterly report (April-June 2014) of an organization. It summarizes their activities and achievements across several areas - health, education, social and environment. In health, over 17,000 patients received services from OPDs and mobile clinics. Initiatives were also undertaken in education like starting informal schools, in social areas like kitchen gardens and vocational training, and in environment like tree planting and rainwater harvesting. The report provides statistics and details of programs across multiple villages to highlight the organization's work in the quarter.
The document is a project implementation plan for the National Rural Health Mission in Orissa for 2008-09. It outlines the state's demographic profile and existing health infrastructure. Key initiatives include increasing seats at medical colleges, enhancing pay for contractual doctors, and upgrading facilities. The plan allocates over Rs. 100 crore to improve maternal and child health through programs like Janani Surakshya Yojana, immunization, and treatment of malnutrition.
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)Prabesh Ghimire
The document outlines the organizational structure of Nepal's health system from the central to local levels. At the central level, the Ministry of Health and Population (MOHP) leads the health sector and has various divisions, departments, and facilities. The MOHP oversees the Department of Health Services (DOHS) which contains 5 divisions and 22 sections. Provincially, health directorates manage provincial health training centers and hospitals. District health offices oversee health facilities. Municipally, health sections in rural municipalities and cities manage urban health clinics and centers.
The document provides an evaluation of the Jawan health sub-centre in India over a one year period. It summarizes the sub-centre's inputs including infrastructure, equipment, drugs, staffing and funds. It describes the services provided and process of care. Key outputs analyzed include maternal and child health indicators like antenatal care attendance, institutional deliveries, immunization rates, which largely met expectations. The evaluation concludes with recommendations to address gaps in infrastructure, record keeping, quality monitoring and expansion of services.
The National Rural Health Mission (NRHM) was launched in 2005 to improve healthcare in rural India. It encompasses two sub-missions: the National Rural Health Mission and the National Urban Health Mission. NRHM aims to provide accessible and effective primary healthcare through strategies like strengthening rural health infrastructure, deploying Accredited Social Health Activists in every village, and integrating vertical health programs. Its goals are to reduce infant and maternal mortality and total fertility rates by 2012.
Karuna-Shechen Second Quaterly Report 2013shininghope
This quarterly report summarizes Karuna Shechen India's activities from April to June 2013 across various programs. In health, over 8,000 patients received care through OPD clinics and mobile clinics. Activities included DOT for tuberculosis patients, laboratory tests, and a new menstrual hygiene program. In education, non-formal education expanded to new villages and parents-teacher associations were formed. Environment programs focused on waste management and check dams. New social development projects addressed issues like land leveling and well repair. The organization continues working to holistically address poverty through initiatives in health, education, environment, and social development.
The fourth quarterly report summarizes activities from October to December 2013 across various programs. In health, the total number of patients seen at OPDs and mobile clinics was highest this quarter at 15,707. Three free medical camps provided care to 1,540 people. DOT treatment reached 40 TB patients. Cough, cold, bone/joint, and ENT problems were most common. In education, 5 parent-teacher meetings were held and a candle-making program launched. Environment programs saw solar installations and surveys. Social programs constructed water infrastructure. Rainwater harvesting began in 32 homes and 4 schools. Data collection on local NGOs was completed. International audits were conducted and several visitors met with staff.
Karuna-Shechen Second quaterly report of 2014shininghope
The document provides details from the second quarterly report (April-June 2014) of an organization. It summarizes their activities and achievements across several areas - health, education, social and environment. In health, over 17,000 patients received services from OPDs and mobile clinics. Initiatives were also undertaken in education like starting informal schools, in social areas like kitchen gardens and vocational training, and in environment like tree planting and rainwater harvesting. The report provides statistics and details of programs across multiple villages to highlight the organization's work in the quarter.
The document is a project implementation plan for the National Rural Health Mission in Orissa for 2008-09. It outlines the state's demographic profile and existing health infrastructure. Key initiatives include increasing seats at medical colleges, enhancing pay for contractual doctors, and upgrading facilities. The plan allocates over Rs. 100 crore to improve maternal and child health through programs like Janani Surakshya Yojana, immunization, and treatment of malnutrition.
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)Prabesh Ghimire
The document outlines the organizational structure of Nepal's health system from the central to local levels. At the central level, the Ministry of Health and Population (MOHP) leads the health sector and has various divisions, departments, and facilities. The MOHP oversees the Department of Health Services (DOHS) which contains 5 divisions and 22 sections. Provincially, health directorates manage provincial health training centers and hospitals. District health offices oversee health facilities. Municipally, health sections in rural municipalities and cities manage urban health clinics and centers.
The document provides an evaluation of the Jawan health sub-centre in India over a one year period. It summarizes the sub-centre's inputs including infrastructure, equipment, drugs, staffing and funds. It describes the services provided and process of care. Key outputs analyzed include maternal and child health indicators like antenatal care attendance, institutional deliveries, immunization rates, which largely met expectations. The evaluation concludes with recommendations to address gaps in infrastructure, record keeping, quality monitoring and expansion of services.
The National Rural Health Mission (NRHM) was launched in 2005 to improve healthcare in rural India. It encompasses two sub-missions: the National Rural Health Mission and the National Urban Health Mission. NRHM aims to provide accessible and effective primary healthcare through strategies like strengthening rural health infrastructure, deploying Accredited Social Health Activists in every village, and integrating vertical health programs. Its goals are to reduce infant and maternal mortality and total fertility rates by 2012.
1) The document describes the role of an Accredited Social Health Activist (ASHA) in India, who works in communities to create awareness on health.
2) An ASHA receives training on public health and works to provide basic healthcare services, information on existing health services, and mobilizes communities for immunization programs and utilization of health services.
3) Key responsibilities of an ASHA include raising awareness, counseling, mobilizing communities, escorting those requiring treatment, providing primary medical care, maintaining a drug depot, registering births and deaths, and promoting sanitation.
This is IPHS presentation .hope it is helpful to you. contents are - introduction,origin of iphs, iphs for subcenter,phc, in maharashtra ,summary and references
National Diabetes Registry Report 2013-2019: Update of Key FindingsArunah Chandran
This presentation is the update of key findings from the second National Diabetes Registry (NDR) report since the establishment of the registry in Malaysia. It is intended to share the data contained within the NDR for clinicians, public
health specialists and researchers and all those who are interested in the clinical management of diabetes
The document outlines the milestones and components of the National Rural Health Mission (NRHM) launched in India in 2005. Key aspects include:
1) The introduction of ASHA (Accredited Social Health Activist) workers, with one female village health worker selected per village.
2) Strengthening of primary health infrastructure like sub-centers, PHCs, and CHCs, including provision of drugs, staffing, and 24/7 services.
3) Developing district-level health plans and implementing programs for disease control, sanitation, and public-private partnerships at the district level.
Evaluation Of The National Health Insurance Program In Tabalong District Sout...irjes
This document evaluates the implementation of the national health insurance program in Tabalong District, South Kalimantan, Indonesia in 2014. It finds that:
1) The regional health insurance program Jamkesda continued operating, though some residents enrolled in the national program JKN/Health BPJS. Barriers to JKN implementation included insufficient health workers and their lack of knowledge about the new program.
2) Efforts were made to improve health facilities and transition members from other insurance programs to JKN. Local regulations on health insurance standards and funds were also established.
3) While health worker numbers increased in some areas between 2013-2014, overall the district still lacked specialists, doctors, nurses and midwives compared to
The document discusses Indian Public Health Standards (IPHS) for sub-centers. It outlines two types of sub-centers - Type A which provides most but not delivery services, and Type B (MCH Sub-Center) which provides all services including delivery facilities. Services to be provided include antenatal care, delivery assistance, postnatal care, immunizations, treatment of common ailments, and health promotion. The goal is to provide universal access to primary healthcare through these basic health facilities.
The document discusses two Indian government schemes - Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK). JSY provides cash assistance to pregnant women for institutional deliveries, with the aim of reducing maternal and infant mortality rates. It is implemented through community health workers known as ASHAs. JSSK was launched in 2011 to provide free delivery, including C-sections, and newborn care in public health institutions, removing all user fees. Both schemes aim to promote institutional births and improve access to healthcare for mothers and newborns.
The document provides a competence framework for those delivering NHS Health Checks. It outlines the minimum standards, core competences, and technical competences required. It references the Code of Conduct and Care Certificate that should guide all NHS Health Check practitioners. The framework is intended to help commissioners ensure providers and their staff are adequately trained and competent in delivering the checks.
HEALTHCARE SYSTEM OF THE TIBETAN COMMUNITY IN EXILEThe Tibet Museum
The document describes the healthcare system of the Tibetan community in exile. It discusses the major health challenges faced by Tibetan refugees after fleeing to India in 1959. It outlines the development of the healthcare system from temporary medical camps in the early years, to establishing dispensaries and health centers in refugee settlements starting in the 1960s. The Department of Health of the Central Tibetan Administration was established in 1981 and now manages 54 health facilities across India and Nepal. The healthcare system relies heavily on community health workers to provide primary care in rural settlements due to the shortage of doctors.
Mobile phones and money transfers help empower rural health workers in Bihar, India. Accredited Social Health Activists (ASHAs) use mobile phones to receive performance-based incentive payments for their work promoting public health initiatives. Previously, ASHAs had to wait for long periods to receive small paper checks, standing in queues at banks, which undermined their status. Now, a new system allows payments to be directly transferred via mobile phones to ASHAs' bank accounts. They receive SMS notifications of payments and can withdraw money at their convenience from local customer service points. This new system has increased ASHAs' independence, connectivity, and dignity through timely digital payments.
This document outlines draft Indian Public Health Standards for Primary Health Centres in India. It provides guidelines for minimum requirements in areas such as infrastructure, manpower, drugs, and facilities. The objective is to provide quality primary health care that meets community needs. Standards are proposed for buildings, equipment, staffing, and services like outpatient care, immunizations, and management of national health programs. The document establishes standards to improve quality of care at Primary Health Centres.
The document outlines guidelines for primary health centers (PHCs) and community health centers (CHCs) in India according to the Indian Public Health Standards (IPHS). The IPHS were published in 2007 under the National Rural Health Mission to ensure minimum services, quality standards, and responsiveness. The summary highlights the staff, services provided, and objectives of PHCs and CHCs, which include maternal and child health services, family planning, treatment of minor ailments, and involvement in national health programs.
1) The document analyzes the effectiveness of Village Health Sanitation and Nutrition Days (VHSND) in two blocks in Rohtas district.
2) It assessed different components of VHSND like updating due lists and registers, counseling on family planning and complementary feeding, and found that most improved after a pilot project but some gaps remained.
3) Suggestions included providing more training to frontline workers, mobilizing communities, decentralizing work, and focusing more on sanitation, nutrition, and health education.
Richa Nyodu presented on the Rashtriya Bal Swasthya Karyakram (RBSK) program in India, which aims to screen children from birth to 18 years for developmental delays, diseases, deficiencies, and defects. The program was launched nationally in 2013 to improve early detection and management of health issues in children. Key aspects of RBSK include screening camps at Anganwadi centers by mobile health teams; identification of 30 common conditions; referral services for cases needing further care; and implementation through community health workers, block program managers, and state-level committees. The goals are to improve quality of life for children by halting conditions early and creating data to better plan health programs.
The Village Health & Nutrition Day (VHND/MCHN) is organized once a month, preferably on Thursdays, at the Anganwadi center in each village. It provides various maternal and child health services including antenatal care, immunizations, nutrition programs, health education and identification of cases needing referral. All pregnant women, mothers and children are encouraged to attend for screening, supplementation and counseling. The ASHA, AWW, ANM and community members are responsible for mobilizing participants and providing services aimed at improving health outcomes.
The document outlines the Indian Public Health Standards (IPHS) for Primary Health Centers (PHCs) in India, including the objectives to provide comprehensive primary healthcare and maintain quality standards. It details the infrastructure, manpower, services, and basic laboratory and diagnostic services that PHCs should have based on the IPHS, such as outpatient and inpatient care, maternal and child health services, management of national health programs, and essential laboratory tests. The ultimate goal of the IPHS for PHCs is to provide optimal quality healthcare services that are accessible and responsive to community needs.
The document discusses gender disparity in education in Turkey, noting that millions of women are functionally illiterate with illiteracy rates as high as 50% in some rural southeastern provinces. It analyzes the key barriers to girls' education such as lack of schools, poverty, traditional gender bias, and child labor/marriage. The document proposes solutions like increasing access to quality schools, cash transfers to poor families conditional on school attendance, and addressing male-dominated cultural attitudes.
1) Gender disparity remains a significant issue in Cambodia, where traditional beliefs promote male superiority and discrimination against women is common.
2) Women face numerous challenges including lower pay, less access to education, and higher rates of domestic violence, rape, and human trafficking.
3) These conditions are rooted in historical and cultural factors but perpetuate social problems like family breakdown, risk to children, and the spread of HIV/AIDS.
1) The document describes the role of an Accredited Social Health Activist (ASHA) in India, who works in communities to create awareness on health.
2) An ASHA receives training on public health and works to provide basic healthcare services, information on existing health services, and mobilizes communities for immunization programs and utilization of health services.
3) Key responsibilities of an ASHA include raising awareness, counseling, mobilizing communities, escorting those requiring treatment, providing primary medical care, maintaining a drug depot, registering births and deaths, and promoting sanitation.
This is IPHS presentation .hope it is helpful to you. contents are - introduction,origin of iphs, iphs for subcenter,phc, in maharashtra ,summary and references
National Diabetes Registry Report 2013-2019: Update of Key FindingsArunah Chandran
This presentation is the update of key findings from the second National Diabetes Registry (NDR) report since the establishment of the registry in Malaysia. It is intended to share the data contained within the NDR for clinicians, public
health specialists and researchers and all those who are interested in the clinical management of diabetes
The document outlines the milestones and components of the National Rural Health Mission (NRHM) launched in India in 2005. Key aspects include:
1) The introduction of ASHA (Accredited Social Health Activist) workers, with one female village health worker selected per village.
2) Strengthening of primary health infrastructure like sub-centers, PHCs, and CHCs, including provision of drugs, staffing, and 24/7 services.
3) Developing district-level health plans and implementing programs for disease control, sanitation, and public-private partnerships at the district level.
Evaluation Of The National Health Insurance Program In Tabalong District Sout...irjes
This document evaluates the implementation of the national health insurance program in Tabalong District, South Kalimantan, Indonesia in 2014. It finds that:
1) The regional health insurance program Jamkesda continued operating, though some residents enrolled in the national program JKN/Health BPJS. Barriers to JKN implementation included insufficient health workers and their lack of knowledge about the new program.
2) Efforts were made to improve health facilities and transition members from other insurance programs to JKN. Local regulations on health insurance standards and funds were also established.
3) While health worker numbers increased in some areas between 2013-2014, overall the district still lacked specialists, doctors, nurses and midwives compared to
The document discusses Indian Public Health Standards (IPHS) for sub-centers. It outlines two types of sub-centers - Type A which provides most but not delivery services, and Type B (MCH Sub-Center) which provides all services including delivery facilities. Services to be provided include antenatal care, delivery assistance, postnatal care, immunizations, treatment of common ailments, and health promotion. The goal is to provide universal access to primary healthcare through these basic health facilities.
The document discusses two Indian government schemes - Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK). JSY provides cash assistance to pregnant women for institutional deliveries, with the aim of reducing maternal and infant mortality rates. It is implemented through community health workers known as ASHAs. JSSK was launched in 2011 to provide free delivery, including C-sections, and newborn care in public health institutions, removing all user fees. Both schemes aim to promote institutional births and improve access to healthcare for mothers and newborns.
The document provides a competence framework for those delivering NHS Health Checks. It outlines the minimum standards, core competences, and technical competences required. It references the Code of Conduct and Care Certificate that should guide all NHS Health Check practitioners. The framework is intended to help commissioners ensure providers and their staff are adequately trained and competent in delivering the checks.
HEALTHCARE SYSTEM OF THE TIBETAN COMMUNITY IN EXILEThe Tibet Museum
The document describes the healthcare system of the Tibetan community in exile. It discusses the major health challenges faced by Tibetan refugees after fleeing to India in 1959. It outlines the development of the healthcare system from temporary medical camps in the early years, to establishing dispensaries and health centers in refugee settlements starting in the 1960s. The Department of Health of the Central Tibetan Administration was established in 1981 and now manages 54 health facilities across India and Nepal. The healthcare system relies heavily on community health workers to provide primary care in rural settlements due to the shortage of doctors.
Mobile phones and money transfers help empower rural health workers in Bihar, India. Accredited Social Health Activists (ASHAs) use mobile phones to receive performance-based incentive payments for their work promoting public health initiatives. Previously, ASHAs had to wait for long periods to receive small paper checks, standing in queues at banks, which undermined their status. Now, a new system allows payments to be directly transferred via mobile phones to ASHAs' bank accounts. They receive SMS notifications of payments and can withdraw money at their convenience from local customer service points. This new system has increased ASHAs' independence, connectivity, and dignity through timely digital payments.
This document outlines draft Indian Public Health Standards for Primary Health Centres in India. It provides guidelines for minimum requirements in areas such as infrastructure, manpower, drugs, and facilities. The objective is to provide quality primary health care that meets community needs. Standards are proposed for buildings, equipment, staffing, and services like outpatient care, immunizations, and management of national health programs. The document establishes standards to improve quality of care at Primary Health Centres.
The document outlines guidelines for primary health centers (PHCs) and community health centers (CHCs) in India according to the Indian Public Health Standards (IPHS). The IPHS were published in 2007 under the National Rural Health Mission to ensure minimum services, quality standards, and responsiveness. The summary highlights the staff, services provided, and objectives of PHCs and CHCs, which include maternal and child health services, family planning, treatment of minor ailments, and involvement in national health programs.
1) The document analyzes the effectiveness of Village Health Sanitation and Nutrition Days (VHSND) in two blocks in Rohtas district.
2) It assessed different components of VHSND like updating due lists and registers, counseling on family planning and complementary feeding, and found that most improved after a pilot project but some gaps remained.
3) Suggestions included providing more training to frontline workers, mobilizing communities, decentralizing work, and focusing more on sanitation, nutrition, and health education.
Richa Nyodu presented on the Rashtriya Bal Swasthya Karyakram (RBSK) program in India, which aims to screen children from birth to 18 years for developmental delays, diseases, deficiencies, and defects. The program was launched nationally in 2013 to improve early detection and management of health issues in children. Key aspects of RBSK include screening camps at Anganwadi centers by mobile health teams; identification of 30 common conditions; referral services for cases needing further care; and implementation through community health workers, block program managers, and state-level committees. The goals are to improve quality of life for children by halting conditions early and creating data to better plan health programs.
The Village Health & Nutrition Day (VHND/MCHN) is organized once a month, preferably on Thursdays, at the Anganwadi center in each village. It provides various maternal and child health services including antenatal care, immunizations, nutrition programs, health education and identification of cases needing referral. All pregnant women, mothers and children are encouraged to attend for screening, supplementation and counseling. The ASHA, AWW, ANM and community members are responsible for mobilizing participants and providing services aimed at improving health outcomes.
The document outlines the Indian Public Health Standards (IPHS) for Primary Health Centers (PHCs) in India, including the objectives to provide comprehensive primary healthcare and maintain quality standards. It details the infrastructure, manpower, services, and basic laboratory and diagnostic services that PHCs should have based on the IPHS, such as outpatient and inpatient care, maternal and child health services, management of national health programs, and essential laboratory tests. The ultimate goal of the IPHS for PHCs is to provide optimal quality healthcare services that are accessible and responsive to community needs.
The document discusses gender disparity in education in Turkey, noting that millions of women are functionally illiterate with illiteracy rates as high as 50% in some rural southeastern provinces. It analyzes the key barriers to girls' education such as lack of schools, poverty, traditional gender bias, and child labor/marriage. The document proposes solutions like increasing access to quality schools, cash transfers to poor families conditional on school attendance, and addressing male-dominated cultural attitudes.
1) Gender disparity remains a significant issue in Cambodia, where traditional beliefs promote male superiority and discrimination against women is common.
2) Women face numerous challenges including lower pay, less access to education, and higher rates of domestic violence, rape, and human trafficking.
3) These conditions are rooted in historical and cultural factors but perpetuate social problems like family breakdown, risk to children, and the spread of HIV/AIDS.
Karuna Shechen Report Q1 2014 January- April 2014shininghope
The quarterly report summarizes the activities of various programs from January to March 2014. Key highlights include:
- 18,066 total patients served across OPD, mobile clinics, and medical camps, a 4.7% increase from last quarter.
- A new educational program on the role of play for children's development was launched in 4 villages.
- 31 households received solar lights in Bhupnagar village through the environmental program.
- The first computer training session concluded with 35 students passing, and a new session started with 55 students.
- 3 new staff members were hired for medical officer and village coordinator positions.
This document discusses gender disparity and stereotypes. It provides definitions of gender disparity as the inequality between how genders are treated in society, with men typically dominating over women. It then lists several quotes highlighting this issue from various authors. It proceeds to list common stereotypes associated with women and men. Next, it presents the "Male Privilege Checklist" outlining various ways in which men experience privilege in society that women do not.
The document summarizes a study that evaluated the effectiveness of a non-formal educational empowerment program for women in rural areas of Benue State, Nigeria. Key findings include:
1) Participation in the program increased annually, with over 62,000 women enrolled between 1995-2005 and most graduating.
2) The program was successful in promoting literacy, skills training, and employment opportunities for rural women.
3) While the program helped empower rural women, its administration was found to be only fairly effective or not effective according to most respondents. Improving participation and adopting better approaches were recommended.
India has long faced issues with gender disparity as evidenced by comments that girls are unwanted and bring no happiness. While official laws have been adopted to address the problem, Hindu traditions that clash with the legalizations have limited their effectiveness. The document discusses gender disparity in India across education, work, culture and politics and examines adopted laws that have proven ineffective at solving the issues, as well as possible solutions.
role of go`s and ngo`s in non formal educationSami Arif
GOs and NGOs play an important role in non-formal education in Pakistan. The Ministry of Education establishes programs like Adult Literacy Centres, Mosque Schools, and Village Workshops. NGOs like the Pakistan Girl Guides Association provide literacy programs and life skills training to girls and women. The All Pakistan Women's Association established schools, health clinics, and vocational training centers. They helped improve women's legal rights. Other NGOs such as the Agricultural Development Bank of Pakistan and ABES provide adult education, literacy programs, and vocational skills training to rural communities.
This quarterly report summarizes the activities of Karuna-Shechen from January to March 2015. It describes the organization's medical activities, including treating over 27,000 patients through OPDs and mobile clinics in Bihar and Jharkhand. It also provides details on health education programs, education programs for children, environmental sustainability projects around sanitation, and various social and community development initiatives. The report indicates that operations ran smoothly over the past three months and the organization achieved its targets across all program areas.
The document provides a quarterly report for an organization covering July to September 2014. It summarizes their activities and achievements across four areas: Health, Education, Environment, and Social. Some key highlights include:
- Over 22,000 patients visited OPDs and mobile clinics, a 33% increase over the previous quarter.
- Health education programs reached over 1,200 households and sold over 3,000 sanitary napkins.
- Education programs benefited over 200 children through activities like bamboo schools, yoga, and candle making.
- Environmental programs installed solar lights and rainwater harvesting systems in over 90 households.
- Social programs included kitchen gardens reaching 2,492 households and vocational training workshops.
Achieving Universal Access To Quality HealthcareAllison Koehn
The document discusses strategies to achieve universal access to quality healthcare in Malaysia. It summarizes progress made during the 10th Malaysia Plan in improving health status and healthcare services. However, issues remain such as inadequate access to care, increasing disease burden from communicable and non-communicable diseases, and pressure on the healthcare system. The 11th Malaysia Plan aims to address these by enhancing support for underserved groups, improving system delivery for better outcomes, and expanding capacity and collaboration with other sectors.
The document provides details of the health, education, social, and environmental activities of an organization for the first half of 2014. Some key points:
- Over 35,000 patients received healthcare services through OPDs, mobile clinics, and medical camps. Common health issues included bone/joint pain, coughs/colds, and skin diseases.
- New educational initiatives included programs on early childhood development and non-formal schooling. Vocational training and other social programs were also discussed.
- Environmental projects involved tree planting, solar installation, and waste reduction. Partnerships with local organizations were also highlighted.
- The report outlines the organization's activities and achievements across multiple areas in the first six months of 2014.
This document presents a framework for using data and technology to transform health and care outcomes in England by 2020. It identifies challenges facing the current system and proposes 12 actions to enable citizens to make healthy choices, give care professionals access to real-time patient data, make care quality transparent, build public trust in data sharing, support innovation, ensure staff can use technology, and get best value for taxpayers. The National Information Board will oversee implementing the framework through national support, local support, and development principles to help the health and care system meet its challenges.
Barbados 2012-13 Health Accounts ReportHFG Project
This report presents the findings and policy implications of Barbados’ first Health Accounts estimation, conducted for the year April 2012 to March 2013. It captures spending from all sources: the government, non-governmental organizations, external donors, private employers, private insurance companies and households. The analysis presented breaks down spending to the standard classifications, as defined by the System of Health Accounts 2011 framework, namely sources of financing, financing schemes, type of provider, type of activity and disease/health condition.
Process Improvement in OPD billing by observing Billing Errors and thereby in...Angela Kaul
This document is a project report submitted by Dr. Angela Kaul to the Symbiosis Institute of Health Sciences in partial fulfillment of an MBA degree. The report analyzes billing processes and errors at the Columbia Asia Hospital in Pune, India in order to improve efficiency and increase patient satisfaction. It includes an introduction, literature review on global and Indian healthcare industries, aim and objectives of the study, and an abstract that overviews analyzing billing time/delays, identifying non-value adding steps and errors, and recommending solutions.
The annual report summarizes the National TB Program in Swaziland for 2012. Key highlights include: ART uptake among HIV+ TB patients increased to 66%; TB treatment success rate improved to 73% but remains below the 85% WHO target; MDR-TB cases increased from 332 to 613 from 2011 to 2012; and MDR-TB treatment success rate improved from 18% to 57%. The report outlines the program structure, services provided, epidemiological trends showing declining TB burden, and challenges around drug supply and MDR-TB recording and reporting. Recommendations focus on strengthening MDR-TB surveillance, drug supply chain management, research activities, and laboratory collaboration.
1. ASHA/ANM/other primary informant notifies the Block Medical Officer of any child death within their area within 24 hours via phone or SMS.
2. The BMO initiates an investigation of the child death using verbal/social autopsy tools within 3 days of notification.
3. Data from the investigation is transmitted to the Block and District levels for analysis to identify gaps and guide improvements in child health interventions.
This document summarizes a Digital Health Blueprint for Ethiopia. It begins with messages of support from the Minister of Health, State Minister of Operations, and Director of Health Information Technology. The messages emphasize that digital health can help advance universal health coverage by improving access, quality and efficiency of care. However, digital health requires strong governance, coordination, policies and strategies. The blueprint provides guidance for implementing digital health solutions in a sustainable, coordinated manner aligned with Ethiopia's health system goals over the next 10 years. It is meant to create a shared vision among stakeholders to mobilize investment in digital transformation of health care.
Pneumonia in children under 5 years of age (1).pdfAkifSalam
- The document analyzes data from 379 pediatric patients under 5 years old seen at a health center in Bangladesh between August-November 2019.
- Pneumonia (referred to as ARI) was present in 7.6% of cases. The ratio of pneumonia to no pneumonia to severe pneumonia was 1:0.56.
- The analysis aimed to better understand patterns of pneumonia and assess quality of care based on adherence to IMCI guidelines and drug usage. Modern computational tools were used to analyze the complex data from the patient registry.
An IT Approach to Improve the Compilation of Clinical Access Indicators and D...Editor IJCATR
The proportion of persons visiting a health facility reflects the level of access of that centre to its catchment area in terms of
Out-Patient Department (OPD) per capita. These attendances come with diagnoses which give an indication of the diseases pattern and
prevalence within the catchment area as well as patients who are insured and not insured. Though data of this nature are undisputedly crucial
to public health processes, morbidity returns from most health facilities, particularly public health facilities are generated manually making
it cumbersome and stressful. In addition, this method is error-prone and as such poses a strong threat to disease prevention, control and
information management. This research therefore uses an Information Technology approach to improve the process achieving over 90% time
gain. The Gambaga Health Centre in the East Mamprusi District was selected for the simulation
The Revised National Tuberculosis Control Programme (RNTCP) in India has the following key objectives:
1) To achieve and maintain at least 85% cure rate amongst new smear positive tuberculosis cases and 70% case detection rate.
2) To provide universal access to tuberculosis treatment through the DOTS (Directly Observed Treatment, Short-course) strategy where a treatment observer watches patients take their medication.
3) To introduce programmatic management of drug resistant tuberculosis through standardized regimens using second-line drugs under the DOTS strategy.
Samburu county consolidated aprp and planning for department of health serviceskiptisia
This document is the annual performance report and plan for the Samburu County health department. It summarizes performance in the previous financial year 2013/2014 and outlines priorities for 2014/2015. Key highlights include:
- Samburu County has a population of 258,345 served by 72 health facilities including 3 hospitals, 12 health centers, and 44 dispensaries.
- While some interventions have led to improvements, indicators for maternal, newborn and child health still lag behind targets. The report covers trends in health outcomes, outputs, and investments over the previous year.
- Priorities for the coming year include improving health outcomes like reducing child and maternal mortality; increasing health outputs such as facility deliveries and
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2. CONTENTS
CONTENTS
Main Activities and Achievements
PAGE
NUMBERAPAPGEER
3
Introduction
4
Health
An Overview of Medical Activities
Access to Primary Healthcare in Urban Area: Shechen
Medical Centre in Bodhgaya, Bihar
Mobile Clinics
Malnutrition
5
12
17
20
21
Health Education Program (HEP)
Education
Strengthening Basic Education
Non-Formal Education (NFE)
Vocational Training for Women
25
26
28
Environment
Bodhgaya Clean Environment,
Sanitation Program
Solar Electricity
Hygiene
and
Social
Small Money Big Change
Kitchen Garden
Computer Course-Vocational Training for the Youth
Networking with other NGOs
Other Important Informations
Finances
Upcoming Activities
Our Partners
30
31
33
35
38
39
40
41
41
Annex
Case Study I
Case Study II
2|P ag e
42
43
3. MAIN ACTIVITIES & ACHIEVEMENTS
HEALTH
Total number of consultants in OPD (Outreach Patients Department) and Mobile
Clinics was 13,868, where number of new consultants was 5607.
The second phase of the Malnutrition Baseline Surevy was conducted in our 6 new
villages.
The number of Sanitary napkin packets sold was 3459.
The Shechen clinic is now open on all seven days of the week.
2 medical officers including a lady doctor have been recruited
EDUCATION
Bright and enthusiastic woman was recruited as support faculty for the school in
Gopalkhera.
Yoga and fitness training was conducted in schools of 9 villages.
Several PTA meetings were held in Dema, Gopalkhera and Chando.
Vocational training commenced with 3 workshops where our NFE students
participated.
Computer training courses were started within the premises of the Shechen clinic,
Bodhgaya.
ENVIRONMENT
Four freshly graduated students of Magadh University were hired an interns to
conduct surveys and organize awareness campaigns in relation to the Bodhgaya Clean
Environment, Hygiene and Sanitation Program
SOCIAL
The small money Big Change program was extended to Gopalkhera and Banahi
A new program, Kitchen Gardening, was launched in the outreach areas.
3|P ag e
4. INTRODUCTION
The third quarter of 2013 can be deemed to be more successful than the last two
quarters as the total number of consultants at the Shechen clinic in Bodhgaya and at the
Mobile clinics in our 18 adopted villages registered the highest number in comparison
to the first six months of the year. Also, the currently running programs are progressing
steadily, despite the monsoons which make roads to the remote villages almost
inaccessible and the construction work in the outreach areas extremely difficult and
tardy. The third quarter saw the commencement of our Vocational training program
including the Computer course for the poor and marginalised youth and Kitchen
Gardening. Other new activities include the DOTs training and refresher, apart from the
Green Schools Program training at the Centre for Science and Environment, New Delhi.
In a nutshell, this quarter was full of currently running and new activities and was
therefore, quite eventful.
In the following sections of the report we will see the progress of programs under each
of our four areas of intervention:
HEALTH
EDUCATION
AREAS OF
INTERVENTION
SOCIAL
4|P ag e
ENVIRONMENT
5. HEALTH
AN OVERVIEW OF MEDICAL ACTIVITIES
OPD and Mobile Clinics
In the third 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 13,868, wherein new consultants constituted 5607 people (40.43% of
total number of consultants).
Table 1: Total Number of Consultants at OPD and Mobile Clinics
Months
July
August
September
Total
OPD
1851
1904
2218
5973
Mobile Clinics
2572
2311
3012
7895
The third quarter of 2013 has registered the highest number of consultants (13,868) in
comparison with the first and second quarters where total number of consultants at
OPD (Outreach Patients Department) and Mobile clinics were 7358 and 8152
respectively. This was partly due to the fact that during the monsoons people are
susceptible to water-borne and other diseases. The increase in the number of
consultants at mobile clinics (7895 consultants compared to 3524 and 4390 in first and
second quarters respectively) 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 82 (
0.59% 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
8724 ( 62.91% of total consultants).
The third quarter has registered 70.12% higher consultants than the second
quarter.
5|P ag e
6. Total Number of Consultants at OPD and Mobile Clinics
OPD
MOBILE
3012
2572
1904
1851
July
2311
August
2218
September
Table 2: Total Number of Patients Referred to PHC and Government
Hospitals
Month
OPD
Mobile Clinics
July
August
September
Total
4
19
16
39
14
17
12
43
Total Number of Refer Patients at OPD and Mobile
Clinics
OPD
19
MOBILE
17
14
16
12
4
July
6|P ag e
August
September
7. Table 3: Total Money Collected from Registration Charges
Month
OPD
Mobile Clinics
July
22980
16480
August
24020
14645
September
27305
Total
74305
18115
49,240
Direct Observed Therapy (DOT)
TB patient at DOT centre in Shechen Clinic
7|P ag e
DOT services in villages
8. Out of 1677 medical tests conducted in our pathology laboratory 128 were Sputum tests
(for Tuberculosis). Out of these the number of people who were diagnosed with TB was
9. Currently, the total number of TB patients undergoing treatment is 35.
Table 4: Details of DOT Program
July
Number of TB patient’s started medicine
Number of sputum tests conducted
Sputum Positive
Refer TB Patients
Completed TB Medicine
Total Number of TB Patients currently
undergoing treatment (OPD and Mobile)
August
September Total
7
34
2
0
5
5
38
3
0
3
10
56
4
2
3
22
128
9
2
11
27
28
35
35
DOTs Training
After receiving proper DOTs training our efficient pathology laboratory technicians and village
motivators have been successfully running the DOTS program at the clinic in Bodhgaya and in
the villages respectively. With the inclusion of 6 new villages under the ambit of our
organisation early this year there was a need to provide DOTS training to the freshly recruited
motivators of these villages. With the twin objective of extending the success of our DOTS
program to the new villages and reducing the burden of our lab technicians at the OPD we
organised a one-day DOTS training in Bodhgaya on 26th July for village motivators, village
coordinators, doctors, nurses, laboratory technicians, a senior pathologist, research and
documentation officer and receptionist. This training not only served to teach those who had no
prior training in DOTS but also acted as a refresher for those actively involved with our DOTS
8|P ag e
9. program. The training was given by the District TB Officer (DTO) and an eminent team of
members from RNTCP and Primary Health Centre (PHC).
Meeting with TB patients
TB Patients who attended the meeting
We conducted a meeting with the people who have been cured of TB through their treatment at
our DOT centre and those on their way to recovery as we are planning to invest the money
received as registration charges in the amelioration of livelihood opportunities of the TB
patients. As this disease leaves a person weakened and fragile, leading to loss of several days of
work hampering their socio-economic lives we realise that curing them is only a part of bringing
them to normalcy. Therefore, in order to help them restore their socio-economic loss we
envisage providing them with some start-up capital and other possible assistance to ensure
them better lives. At the meeting we discussed our plans with the TB patients, seeking their
opinion and feedback.
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.
9|P ag e
10. Table 5 : Types of Diseases
Total
Types of Diseases
Diarrohea/children
Diarrhoea / dysentery adults
Amoebiasis
Typhoid
TB
Gynecological patient
Bone & joints patients
Burn patient
Worm manifestation
Skin diseases of all kinds
Ophthalmologic infections
Number of identify malnourished
children
Cardiac Infection
HTN
Diabetes
Asthma & COPD
Cough & Cold
Epilepsy
ENT patient
Lymphadenopathy
I&D Dressing
Other Patients
Total
15
517
324
176
329
849
3411
204
10
1660
100
0
45
699
131
754
3560
168
1590
25
244
3146
17,957
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, skin
diseases 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 5037 which is 52.64% higher than the total
number (3300) issued in second quarter.
10 | P a g e
11. Table 6: Number of Identity Cards Issued to Consultants at OPD and Mobile Clinics
Month
July
August
September
Total
OPD
Mobile Clinics
848
865
893
2606
857
773
801
2431
The number of identity cards issued in this quarter (5037) is much higher than the
previous quarter (3300)
Appointment of Two New Medical Officers including a Lady Doctor
In the third quarter we hired two new medical officers including a young and dedicated lady doctor.
11 | P a g e
12. ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL
CENTRE IN BODHGAYA, BIHAR
12 | P a g e
13. Outreach Patients Department (OPD)
The total number of people who came to the Medical centre in Bodhgaya for
Consultations in the third quarter of 2013 was 5973. Out of this total 2646 were new
consultants, representing 44.30% of total consultations in OPD. The number of patients
at OPD in the third quarter is 58.77% higher than in the second quarter.
Table 7 : Details of Consultants at OPD
OPD
July
August
September
Total
Total Number of
Consultants
1851
1904
2218
5973
Total Number of
New Consultants 858
881
907
2646
Men
482
501
591
1574
Women
821
878
1028
2727
Children
548
525
599
1672
Consultants at OPD
Total Number of Consultants
Total Number of New Consultants
2218
1904
1851
858
July
881
August
907
September
The above table and graph show that the total number of consultants have increased
steadily from July to September. The growing number of patients can be attributed to
the monsoon season when people are, in general, susceptible to water-borne and other
13 | P a g e
14. diseases. Again, September being the festive season records the highest number of
patients in this quarter.
Number of Men, Women and Children at OPD
Men
Women
Children
1028
878
821
482
548
525
501
July
August
591
599
September
Percentage of Men, Women and Children at OPD
Men
26%
Children
28%
Women
46%
From the above graphs we can see that women and children form majority of the
consultants at OPD (72%).
OPD is now open on Sundays
In lieu of the growing demand for our healthcare services our OPD is now open on all
seven days of the week. All the concerned staff members render service on Sundays on a
rotational basis. The Saturday prior to one’s working Sunday is his/her day off.
14 | P a g e
16. Total number of patients who came in the third quarter of 2013 (July-September) for
different medical tests were 547 and total anaysis done was 1677. The number of
patients and tests are different because one patient may go for several tests. Total
amount spent from Poor Patient’s Fund for patient’s medical tests was INR 32349. Total
money collected from these tests was INR 18675.
Table 8: Types of Medical Tests Conducted
Medical Tests
Number of
Tests
319
260
259
186
30
128
18
93
37
347
1677
TC/DC
ESR
HB%
Blood Sugar
Serum Blirubin
AFB (Sputum test)
ECG
Urine routine examination
Urine culture sensitivity test
Other Tests
Total
Medical Tests
347
260
259
186
128
30
93
18
37
The table and graph show that the highest number of medical tests conducted are
TC/DC, ESR, HB% and Blood Sugar.
16 | P a g e
18. 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 third quarter of 2013 (July-September), the number of patients who
came for the consultations in mobile clinic from 18 village was 7895, out of
which 2961 were new patients representing 37.50 % .
4162 consultants from 189 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 5829 (73.83% of the total consultants at mobile clinics).
The total number of consultants at the mobiel clinic has increased by
79.84% from the last quarter.
Table 9 : Details of Consultants going to Mobile Clinics
Mobile Clinic
Total Number of
Consultants
Total Number of
New Consultants
Men
Women
July
2572
August
2311
September
3012
Total
7895
1040
853
1068
2961
566
1256
564
1149
721
1436
1851
3841
Children
750
598
855
2203
Consultants at Mobile Clinics
Total Number of Consultants
Total Number of New Consultants
3012
2572
2311
1040
July
18 | P a g e
853
August
1068
September
19. We can see that, as in the OPD, at the mobile clinics too the maximum number of
patients registered was in the month of September, the primary reason being it the
month of festivals. Again, as mentioned earlier, the number of patients are much higher
than in the previous quarter due to the high prevalence of seasonal diseases during the
monsoons.
Number of men, Women and Children at Mobile
Clinics
Men
1256
Women
1149
750
566
July
Children
1436
721
564
855
598
August
September
Percentage of Men, Women and Children at
Mobile Clinics
Children
28%
Men
23%
Women
49%
Women and children constitute 72% 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.
19 | P a g e
20. MALNUTRITION
The second round of MUAC measurements
With intensive training forming the foundation of our Malnutrition program the nutrition team
soon started the first phase of the baseline survey in the 6 new villages, using Middle Upper Arm
Circumference (MUAC), universally recognised as a standard tool for measuring malnutrition, to
measure children up to 5 years of age.
As acute malnutrition is seasonal in nature the baseline survey was conducted in two phases to
get a clear picture of the prevalence and intensity of the problem; the first phase was conducted
in February, the time of the year when food shortage does not usually take place and so chances
of finding severe acute malnutrition is much less. Besides, this was the only time that the
Consultant, Dr. Nadine Donnet, could give for such survey.
The second phase was conducted through this quarter (July-September) during the monsoons
when people, especially children are susceptible to water-borne and other diseases. It is also the
season of food scarcity. Thus the second phase of the baseline study gives us an accurate figure
of the rate of Severe and Moderate Acute Malnourished children in the chosen villages.
During the second phase children found with MUAC> 12.5 cm and those absent during the first
phase of the survey were measured.
20 | P a g e
21. HEALTH EDUCATION PROGRAM
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 10: Some Important Data on HEP
Total Number of Home Visits by Village Coordinators
Total Number of Home Visits by Motivators
No. of People who Received the Message regarding
Health & Hygiene
Number of trainings/group follow-ups on HEP given by Village Coordinators
Total Number if Health Group Meetings by Village Motivators
Total Number of Hand Pump Committees
Total Number of Functional Hand Pump Committees
Number of Hand Pump Meetings held by Village Coordinators
Number of Hand pumps Repaired
Table 11: Some Important Data on Reproductive and Child Health (RCH)
Indicators
RCH Meeting By Village Coordinators
RCH Meeting By Motivators
Total Pregnant Woman
Number of New Pregnant Women Identified
Total Number of Pregnant Women who have taken T.T.1
Total Number of Pregnant Women who have taken T.T.2
Total Number of Pregnant Women who have taken T.T.0
Total Number of New Born Children
Number of Child Deliveries at PHC
Number of Child Deliveries at Home
New Born Children Immunized
Other Children Immunized
Total Number of Sanitary Napkins Sold (at OPD and in the Villages)
21 | P a g e
Total
42
181
142
88
48
93
2
64
35
29
47
672
3459
Total
539
1558
1397
73
172
63
48
39
15
22. A great achievement in this quarter is that 73.44% of the total new-born children have
been immunised compared to 63.79% in the Second quarter. Again, more than half of
the total Child Deliveries (54.69%) in this quarter have taken place at the PHCs which
shows that RCH program has been successful in creating awareness amongst the target
population about the health hazards and risks involved in the traditional practice of
child deliveries at home by midwives. A huge achievement in the RCH program is that
related to Menstrual Hygiene and Sanitation where 3459 napkins have been sold in this
quarter compared to 607 in the last quarter (a 470% increase in this quarter compared
to the last one). These achievements 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
A woman with packets of sanitary napkins
Our Community Health Worker with rural women
Menstrual Hygiene is one of the most important yet neglected health issues in our
society. It has remained a taboo subject, surrounded by silence and shame that restrict
mobility and access to normal activities and services. As women and girls make up more
than 70% of our healthcare consultants it becomes imperative for us, as an organisation
pledged to provide all possible quality healthcare services to the underserved
populations, to pay special attention to their menstrual health issues.
Our Menstrual Health and Hygiene program, which took off in June this year, intends to
tackle the problem at two levels; providing the rural women with appropriate materials
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23. to enable proper management of the menses by distributing good quality sanitary
napkins at minimum possible prices to the rural women and girls who are otherwise
denied access to the same. Secondly, the program attempts to address the issue through
awareness creation of the target population by imparting education about hygienic
practices related to periods and the safe disposal of sanitary pads, and encouraging
women and girls to voice their problem and queries regarding the same.
Table 12 : Number of Sanitary Napkin Packets sold
Month
OPD
July
Aug
Sep
Total
Mobile Clinics & Total
Motivators
1910
2077
784
988
322
394
3016
3459
167
204
72
443
Total Number of Sanitary Napkin Packets Sold
OPD
Mobile Clinics & Motivators
1910
784
167
July
204
Aug
322
72
Sep
The above table and graph show that the total number of sanitary napkins sold in the
villages is much higher than in the OPD for all 3 months (July-September). This is
primarily on account of the fact that in the villages both the mobile clinic team and
village motivators act as distributors of sanitary napkins, while at the OPD the medical
nurses are the sole distributors. The motivators being part of the communities where
they work it is easier for the women to buy sanitary napkins as and when required,
instead of having to wait for the mobile clinics to come. A reason for the huge number of
napkins (1910) sold in the villages in July and then the gradual decline in the next two
months clearly highlights the need for awareness and education on target issues. In the
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24. months of June and July one of our staff members, a nurse cum community health
worker conducted regular meetings with the women and girls of all the 18 villages,
discussing menstrual health and other related issues. However, August onwards it was
not possible to hold such meetings very frequently as she became involved with the
second round of Baseline Survey for our upcoming Malnutrition program. This vividly
brings out the vital need for constant discussions and information sharing on problems
which are otherwise considered as social taboos and hence neglected.
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25. EDUCATION
STRENGTHENING BASIC EDUCATION
The education scenario in Bihar is very grim. The State needs nearly twice the number
of teachers currently in service to achieve the national pupil teacher ratio (PTR) and the
RTE (right to education) norm of 30:1. Around 60,000 schools in the state do not have a
permanent campus and less than 3% of the school management committees (SMCs) are
actively involved in planning and development work. Through our new program,
‘Strengthening Basic Education’ we attempt to ameliorate the basic educational
standards in Bihar and provide a joyful learning environment.
Last quarter a Parent-Teacher Association (PTA) was formed in Dema village. By the
end of this quarter PTAs have been formed and Parent-Teacher Meetings conducted in
three villages; Chando (1 meeting), Gopalkhera (2 meetings) and Dema (3 meetings).
A Yoga trainer, hired to teach physical and breathing exercises to school children, had
started fitness classes in 3 villages namely, Chando, Dema and Bandha in the last
quarter. By the third quarter 9 villages were covered.
Table 13 : Number of Students taught Yoga in the Villages
Serial Number
Number of Students
attending Yoga classes
1
2
3
4
5
6
7
8
9
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Village
Dema
Gopalkhera
Sirpur
Mansidih
Bandha
Nawatari
J.P. Nagar
Chando
Kharati
150
200
80
110
105
65
60
100
80
26. While in the last quarter a support faculty had been provided to the government school
in Dema village, this quarter we have been successful in providing a well-educated and
enthusiastic support faculty to the school at Gopalkhera village. Besides, our motivator
at Banahi has started conducting informal education for children in the 6-10 years agegroup who are not enrolled in schools.
Apart from the above initiatives, 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.
NON-FORMAL EDUCATION (NFE)
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27. Our NFE program, which was scaled up from 6 villages in 2011 to 16 villages in April,
this year continues to run successfully with satisfactory 62.84% regular attendance as
can be seen from the table below.
Table 14 : NFE Students Enrollment and Average Attendance
VILLAGE
Banahi
Dema
Gopalkhera
Lohjara
Bandha
Nawatari
Mansidih
Sripur
Mastibar
J.P.Nagar
Kharati
Karhara
Trilokapur
Bhupnagar
Kadal
NUMBER OF
STUDENTS
ENROLLED FOR NFE
30
30
30
30
32
32
31
30
25
28
18
60
21
25
22
AVERAGE
ATTENDANCE IN
NFE CLASSES
20
22
18
16
20
22
12
14
20
15
15
44
10
16
15
Total
444
279
Although when the program was scaled-up in April 488 women had enrolled
themselves for NFE classes, in this quarter the number has slipped to 444. Factors, such
as disapproval of husband/family members and lack of time during Harvest season,
account for this decline. The high 63% average attendance shows the sincerity and
interest of the students towards NFE classes.
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29. Recognising the vital role acquisition of new skills can play towards income generation
and poverty alleviation, we have introduced Vocational Training as a component of our
Non-Formal Education (NFE) program. As the first major step towards our Vocational
Training program we conducted, in the month of July, 3 workshops spanning 7 days. A
proficient vocational trainer from Jamshedpur, Jharkhand was appointed for the
purpose. The workshops were attended by students from our 18 NFE centres. All our
village motivators and some staff from Shechen clinic (Bodhgaya) also participated in
the same. In each workshop the participants got the opportunity to learn 2 types of
vocations; incense sticks and candles, 2 popular snacks, and phenyl and chalk. The
vocations were selected on the basis of their market demand, income-earning
capabilities and interests of the NFE students.
While 2 workshops were held in Bodhgaya the third was organised in one of our new
villages, Chando. The travelling, food and lodging expenses of the participants was
borne by our organisation.
All 3 workshops were very successful in terms of the participant turnout and their
satisfaction in being able to learn some useful livelihood skills. The enthusiasm of the
participants can be gauged from the fact that the one-day workshop on candle and
incense sticks making had to be extended to an extra day as 90 participants, against the
anticipated 40, turned up for it.
As the second step seven participants from the candle and incense stick making
workshop 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.
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30. ENVIRONMENT
BODHGAYA CLEAN ENVIRONMENT HYGIENE AND SANITATION PROGRAM
These are two of the few food covers that we have chosen for distributing to the street vendors
In order to conduct survey among the locals, tourists and street vendors and to spread
awareness regarding the importance of cleanliness and hygiene among the people we
have hired four bright and enthusiastic youths as interns from the Department of Rural
Development and Management of the esteemed Magadh University.
Besides, we have conducted an extensive search and market survey on the types of
covers that can be used by the street vendors for covering the food from the dust and
germs by the roadside while it is on display. We have selected a few types of covers and
will finalise which ones to order only after we have received the feedback and
responses of all street vendors in Bodhgaya regarding the same.
As the first step towards creating awareness regarding clean environment, sanitation
and hygiene among school students so as to make them responsible citizens of the
nation, three of the staff members (the Director, a Village Coordinator and the Research
and Documentation Officer) attended a 2-day intensive training program (Green
Schools Program) at the Centre for Science and Environment (CSE), New Delhi. We
envisage conducting the Green Schools Program in collaboration with CSE at the schools
in our 18 villages and those in Bodhgaya town.
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31. Green Schools Program training at the Centre for Science and Environment, New Delhi
SOLAR ELECTRICITY
In the last quarter we had sent four women from our villages to the Barefoot College,
Tilonia, Rajasthan to attain 6 months training in Solar Engineering. However, one
woman had to return to her village in the middle of the trainingdue to family reasons.
While these women prepare to be Solar Engineers we studied, analysed and evaluated
the data collected from the survey that was conducted in the villages of J.P. Nagar,
Banahi, Kharati (where our Solar Electricity program is running), Chando, Barsuddi and
Kadal (where the program will start soon) to evaluate the impact of the existing solar
program and to understand the feasibility of the program in the new villages.
The ‘Socio-economic Impact Assessment and Feasibility of Solar Home Lighting Systems
in Gaya District of Bihar’ Report was prepared by an economist Dr. Amit K. Bhandari of
the esteemed Kalyani Institute of Applied Research, Training and Development. The
following key findings were observed:
Around 97.6 per cent respondents have expressed their willingness to use
solar lighting and are willing to pay around Rs. 1,700 during the time of
installation that is 70% higher than the current price paid by the households.
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32. Majority of the households are not paying installments at regular intervals,
while some households haven’t paid any monthly installments at all. This
raised question mark regarding preferred mechanism for solar energy.
Per capital income of the respondents is higher for those who haven’t
installed solar lighting system, which in turn indicate money is not a
constraint for installing solar power.
Household with solar lighting installed enjoys better quality of life compared
to those without it.
Variables that have found to have significant impact on willingness to pay for
solar lighting are per capital household income, per capital energy
consumption, type of house and holding saving bank account.
Parents are willing to spend more on home lighting system whose children
performed satisfactory in their study. However, there is no reflection in
education performance between household with or without solar lighting.
No significant difference is found in amount willing to pay between
household with school going children and without. However, students
performing better in study, parents willing to spend more on solar lighting
system for their study.
The empirical study found that people from rural villages from are ready to pay more
than the current installation price of solar lighting system. Regarding preferred mode of
payment for solar photovoltaic systems, contrary to popular belief monthly payment
system should be abolished for better penetration of solar energy. Villagers from
financially well off households, better educated, higher energy consumption per month
and have access to financial services are the important determining factors for
willingness to invest for solar home lighting system. The study also reveals that there is
an improvement in quality of life for the people living in remote villages through the
spread of solar energy. Further expansion of solar energy can be adopted in order to
achieve universal access to energy to rural non electrified areas.
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33. SOCIAL
SMALL MONEY BIG CHANGE
Land levelling in the agricultural fields at Chando
Work in progress at Kadal
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34. Bathroom for women being constructed at Kadal
Bathroom and well completed
Land levelling in front of Chando school
Under the ‘small money Big Change’ program we had started working in three villages,
namely Chando, Barsuddi and Kadal from June this year. In this quarter the program
was extended to two more villages, Gopalkhera and Banahi.
In Gopalkhera an existing check dam, which had been broken and had remained
dysfunctional for long, was successfully repaired. This has enabled rainwater to flow
straight into the village pond which will not only allow the villagers to perform their
daily activities but also provide water for the agricultural fields, increasing crop
productivity and consequently improving the villagers’ livelihoods.
A small pond is being dug in Banahi village. Due to the monsoons work had to be stalled
as it was not possible to continue due to bad and erratic weather conditions. Of the total
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35. 8 ft depth to be dug, 3 has been done and 5ft will be completed soon after the monsoon
is over.
The work of land levelling continues in Chando where the agricultural field of 15
villagers has already been levelled which will make crop sowing and crop management
much easier and also considerably increase the yield and quality.
Again, in Chando government school, the school filed which was uneven and hence
could not be used for playing outdoor sports has been levelled and can now be used as a
playground.
At Kadal, the well whose repair work had started in June was completed at the
beginning of this quarter. Next the construction of a bathroom for the women of the
village and the digging of the nearby pond began. The bathroom is now complete and
the digging of the pond has also progressed well with not much left to be done.
The construction of the check dam in Barsuddi, which had begun in the previous
quarter had to be stalled due to the bad weather. The work will resume as soon as
monsoon is over.
This quarter saw the ‘small money Big Change’ program cover two more villages in
addition to the initial three. While the work in most villages progressed smoothly it was
a bit tardy as we had no option but to slow down or stall our work in certain places due
to the erratic monsoon pattern unlike other years.
KITCHEN GARDEN
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36. Looking at the abysmally high incidence of malnourishment in Bihar (around 80% of
children below five years of age and 68.2% of women in reproductive age group (15-49
years) in the state are malnourished) and the extreme poverty of small and marginal
farmers where 91% of the land holdings in the state belong to small and marginal
farmers who practice cash cropping in an effort to escape the grinds of acute poverty,
we have started a program on Kitchen Gardening from the third quarter.
Commercial agriculture, in which crops are cultivated according to the market demand,
limits the production of certain food crops and does not allow for self-consumption by
the farmer’s family. Kitchen Gardening, on the other hand, fills the gap by providing
proper nourishment through inexpensive, regular and handy supply of fresh vegetables
devoid of chemicals used in farming. Besides, it is a well-known fact that growing a
kitchen garden positively improves the overall health conditions of the family.
We have planned the program so that 50% of the produce grown in the kitchen garden
are kept aside for self-consumption by the families and the rest sold in the market to
earn some additional income. 30% of the profit from sales will add to the farmer’s
household savings/consumption and the remaining 20% will have to be contributed
towards community welfare. Thus, while the target population will be able to utilise
80% of the produce for direct personal benefit (through own-consumption and earning
from sale of vegetables) they will be indirectly benefitted through the community’s
development, towards which they will be making a minimal contribution.
We have started the program by distributing vegetable and fruit plants and seedlings to
our villages like brinjal, tomato, chilly, pumpkin, sponge gourd, bitter gourd, raddish,
ladies finger, mango, lemon and guava.
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37. Table 15: Number of Households that have received vegetable plants for Kitchen
Gardening
Serial
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
37 | P a g e
Villages
Number of Households
Bhupnagar
Karhara
Simariya
Trilokapur
Kadal
Barsuddi
Banahi
Dema
Bandha
Nawatari
Mansidih
Sripur
Mastibar
JP Nagar
Kharati
Chando
Total
24
23
21
8
31
24
17
114
20
20
24
25
10
18
15
28
422
38. Table 16 : Number of Households that have received fruit plants and seeds for
Kitchen Gardening
Serial
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Villages
Number of Households
Banahi
Dema
Gopalkhera
Lohjhara
Bhupnagar
Karhara
Simariya
Trilokapur
Kadal
Barsuddi
Mastibar
JP Nagar
Kharati
Chando
Mansidih
Sripur
Bandha
Nawatari
Total
40
101
35
43
45
52
51
37
22
26
70
22
20
20
110
40
61
45
840
We envisage manifold advantages from this particular project. This entire model of
kitchen gardening will generating productive, income-earning opportunities for poor
and marginalised communities, which is pivotal to reducing chronic poverty. At the
same time, through the consumption of fresh, chemical-free vegetables, it will help
ameliorate health conditions of the target populations. Lastly, it will make way for the
community’s development.
COMPUTER COURSE-VOCATIONAL TRAINING FOR THE YOUTH
With the objective of empowering the poor and marginalised communities with eliteracy skills we have started free computer training courses for youngsters hailing
from remote villages in Gaya district, Bihar. We aim to equip the rural youth with
adequate digital skills to provide them with better employment opportunities, economic
self-sufficiency and socio-economic empowerment. Two types of computer courses are
being taught at our Bodhgaya office namely, Office Management (which will teach MS
Office) and DTP (Page maker, Coral Draw and Photoshop). The duration of each course
is 6 months.
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39. Prior to the commencement of the courses on 16th August a day-long interview was
conducted for the 101 enthusiastic applicants. 58 shortlisted youths were divided into 3
batches; two batches for Office Management course and one batch for DTP. These
batches also accommodate our office staff who wanted to join these e-literacy courses.
While the trainings are imparted free of charge it is mandatory for the students to
devote 5 hours per week towards voluntary services in their respective villages. This
provision will fulfil the twin objective of promoting computer literacy amongst the
marginalised communities and serving the rural poor.
NETWORKING WITH OTHER LOCAL NGOS
We have started collecting details of all Non-governmental organisations working in
Gaya District as the first step towards networking with organisations with similar goals
and views.
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40. OTHER IMPORTANT
INFORMATIONS
FINANCES
The budget and expenses for the third quarter of 2013 are presented below:
Table 16: Budget and Expenses
Budget in
USD($1=50 INR)
Expenses in
USD($1=50 INR)
Administration, transportation and
functioning cost
82,993.45
13,797.38
OPD direct benefit to population in
Bodhgaya town and close
surroundings
14,590.58
18,234.42
Mobile clinic benefit to population in
18 villages
20,128.80
21,818.82
Education direct benefit to population
in 18 villages
13,441.07
9,132.42
Environmental Program
32,033.33
1,315.58
Social Program
20,853.33
20,177.24
Program Support
7,000.00
109.66
400.00
3,304.56
6,007.87
25.80
Investment: Equipment
Contingencies
Total
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1,97,448.43
87,915.88
41. Budget and Expenses in USD
90,000.00
80,000.00
70,000.00
60,000.00
50,000.00
40,000.00
30,000.00
20,000.00
10,000.00
0.00
Budget in USD($1=50 INR)
Expenses in USD($1=50 INR)
UPCOMING ACTIVITIES
Meeting with key stakeholders for the ‘Bodhgaya Clean Environment, Hygiene and
Sanitation’ project will be conducted.
A training for Anganwadi workers on child development through play where, apart from
other things they will be taught to make various Teaching-Learning Materials.
Rainwater Harvesting in the villages
Green Schools Program in villages
School Competition to raise awareness among students about cleanl environment and
hygiene.
OUR PARTNERS
Current Partner: Barefoot College in Tilonia, Rajasthan
Prospective Partner: Centre for Science and Environment, New Delhi.
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42. ANNEX -SUCCESS STORIES
CASE STUDY 1
During the treatment
After the treatment
Nageshwar Manjhi, a smallholder farmer of Rampur village, approached Shechen clinic
for treatment. He was extremely weak and emaciated. The doctor suspecting
tuberculosis asked him to go for x-ray, sputum and blood tests at our laboratory. He was
tested positive for Pulmonary TB and underwent DOT treatment at our DOT centre in
the Shechen clinic. He has completed his treatment and his post-treatment sputum test
was negative. His X-ray and blood tests are yet to be conducted but now, unlike
previously when he did not have the strength to walk a few steps, feels healthy and
strong.
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43. CASE STUDY II
Chandni Kumari at our Computer Classes
Chandni Kumari, an undergraduate student, has joined the 6 month long DTP course at
our newly launched computer training program. She says that previously she was
totally computer illiterate and whenever she saw her friends and classmates working on
or discussing computers she would feel a severe lack of self-confidence. But now after a
few weeks of attending classes she has already started gaining confidence. She can now
work on MS Word and has just started learning Photoshop. She enjoys her classes and
expects to find a good job after completing this course.
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