welfare services in child health nursing

2. WELFARE SERVICES FOR
CHALLENGED CHILDREN &
CHILD GUIDANCE CLINIC
PRESENTED BY:
K. SIVASAKTHI,
M.SC NURSING,
COLLEGE OF NURSING,
PIMS.

3. INTRODUCTION
• Persons with disabilities bill (equal opportunity, protection of right and
full participation)- 1995, introduced by ministry of welfare and Govt of
India and it deal with preventive and promotional aspect of
rehabilitation.
• Children Act 1960- provide for the care protection, maintenance,
welfare, education, and rehabilitation of socially handicapped children.

4. Schemes for welfare of handicapped
1
• Deendayal Disabled Rehabilitation Scheme (DDRS)
2
• Assistance to disabled persons for purchase/fitting of Aids and Appliances
(ADIP)
3
• National Institution
4
• The National Handicapped Finance and Development Corporation
5
• Scheme for implementation of Persons with Disabilities (equal
opportunities, protection of rights and full participation) Act, 1995
(SIPDA)
6
• Scheme for incentives to Employers in the Private Sector for providing
Employment to persons with Disabilities

5. 1. Deendayal Disabled Rehabilitation
Scheme (DDRS)
• The Deen Dayal Disabled Rehabilitation Scheme (DDRS) is a Central
Sector Scheme of the Government of India that provides financial
assistance to voluntary organizations working for the education and
rehabilitation of persons with disabilities.
• The scheme was launched in 1999 and was revised and renamed in
2003.

6. Objective
1. Create an enabling environment to ensure equal opportunities, equity,
social justice, and empowerment of persons with disabilities.
2. Encourage voluntary action for ensuring effective implementation of
the Rights of Persons with Disabilities Act 2016.

7. Benefits- DDRS
Early intervention
Development of daily
living skills
Education
Skill development
oriented towards
employability
Training and
awareness generation
Construction and
upgradation of
infrastructure
facilities for persons
with disabilities

8. 2. Assistance to disabled persons for
purchase/fitting of Aids and Appliances (ADIP)
• Under this scheme, aids /appliances are distributed to the needy
persons with disabilities, which include mentally challenged children
also.
The scheme is centrally aided and implemented through the voluntary
organizations. Aids and Appliances, Artificial limbs which do not cost
less than Rs.50/- and more than Rs.6000/- are covered under this
scheme. The full cost of the aid is subsideas to those whose income is
below Rs.5000/- per month and 50% of the cost of the aid is subsideas
whose income is in between Rs.5000 and 8000/- per month.
• Traveling, boarding and lodging cost of the beneficiaries are
also provided under this scheme.

9. Objectives
• The main objective is to assist the needy disabled persons in
procuring durable, sophisticated and scientifically manufactured,
modern, standard aids and appliances that can promote their physical,
social and psychological rehabilitation, by reducing the effects of
disabilities and enhance their economic potential.

10. 3. National Institution
• The ministry supports seven autonomous national institutes, which
provide rehabilitation services and undertake manpower development
with the overall objective of providing rehabilitation services for
different types of disabilities.

11. The central government has established four national institutions for the
rehabilitation of handicapped. These institutions are:
1. The National Institute for Visually Handicapped, Rajpur Road,
Dehradun.
2. The National Institute for the Orthopedically Handicapped, BT Road
Bonhoogly, Calcutta.
3. The National Institute for Mentally Handicapped, Manovikas Nagar,
Benrempally, Secunderabad, Andhra Pradesh.
4. The National Institute for the Hearing Handicapped, KC Marg,
Bandra, Mumbai.

12. 4. The National Handicapped Finance and
Development Corporation
• National Handicapped Finance and Development Corporation
(NHFDC) is an Apex corporation under the aegis of Department of
Empowerment of Persons with Disabilities (Ministry of Social Justice
& Empowerment and is working since 1997.
• It is registered as a company not for profit and provides financial
assistance to the Persons with Disabilities for their economic
rehabilitation and provides number of skill development programmes
to empower them to grow & sustain their enterprises.
• The corporation provides concessional credit to persons with
disabilities, for setting up income generating activities for self-
employment.

13. Schemes
1. Divyangjan Swavalamban Yojna
2. Vishesh Microfinance Yojana
3. Educational loan

14. 1. Divyangjan Swavalamban Yojna: The main objective of the Scheme is to assist the
needy disabled persons by providing concessional loan for economic and overall
empowerment.
Eligibility criteria :
• Any Indian citizen with 40% or more disability (Disability as defined in PwD Act, 2016
or its amendments).
• Age above 18 years. However, in case of persons with mental retardation, the eligible age
would be above 14 years. The age criteria would not be required for educational loans.
Age certificate issued by competent authority authorized by the State Government or as
mentioned in the 10th certificate or any other certificate issued by the government would
be the required document.
Amount of Loan
• The upper limit to extend concessional credit through various NHFDC schemes would be
Rs.50.0 lakhs per beneficiary/unit. The actual loan amount within the upper limit of
Rs.50.0 lakhs shall be determined by implementing agencies based on the needs of the
activity/project being funded as well as repaying capacity of the borrower within the
maximum repayment period. The rate of interest varies from 5 to 9 % based on the
quantum of loan amount.

15. 2. Vishesh Microfinance Yojana: To provide prompt and need based
finance for the target group and activities at reasonable rate of interest
through NBFC- MFI, Section-8-MFI, and NGO-MFI, SHG Federations,
state Government Missions and other state level organizations to pursue
small/micro business and developmental activities.
• The rate of interest would be 12 % p.a.
• Repayment Period :
• The loan amount shall be repaid in quarterly installments within a
maximum period of three years from the date of each disbursement
including the moratorium period of three months.
• In addition, 120-days period is allowed for funds utilization.
• There shall not be any moratorium period for payment of interest.

16. 3. Educational loan
• Any Indian Citizen with 40% or more disability is eligible to apply for
education loan under NHFDC schemes through the Implementing
Agencies.
• Loan up to Rs.10 lakh for study in India and Rs.20.0 lakh for study at
abroad is provided.
• The rate of Interest for Education loan is 4 % for a loan of upto Rs.
20.00 lakh. A rebate of 0.5% on interest is allowed to female students
with disabilities in education loan scheme.
• The repayment period for educational loan is maximum of 7 years.

17. 5. Scheme for implementation of rights of
Persons with Disabilities Act, 2016 (SIPDA):
• The Ministry has been Implementing the Scheme for Implementing of Persons
with Disabilities Act, 1995 (SIPDA) for providing financial assistance for
undertaking various activities outlined in the Persons with Disabilities (Equal
Opportunities, Protection of Rights and Full Participation) Act, 1995,
particularly relating to rehabilitation and provision of barrier-free access.
• Grant-in-aid is provided under this Scheme to State Governments and various
bodies set up by the Central and State Government, including autonomous
bodies and Universities.
• Under this scheme, assistance is provided for setting up of District Disability
Rehabilitation Centres, Regional Rehabilitation Centres, creating barrier free
environment in public buildings and awareness generation etc.

18. 6. Scheme for incentives to Employers in the
Private Sector for providing Employment to
persons with Disabilities
• Under this scheme, launched in April 2008, the Government of India
provides the employer’s contribution for Employees Provident Fund
(EPF) and Employees State Insurance (ESI) for three years, for persons
with disabilities employed in the private sector on or after 1.4.2008,with
a monthly salary upto Rs. 25,000/-

19. FACILITIES FOR DISABLED
• Disabled persons include the blind, deaf, orthopedically handicapped, negative
lepors and mild mentally retarded persons.
• As per the countrywide sample survey conducted by National Sample Survey
Organization in 1991, there were 14.56 million disabled persons in India suffering
from visual, speech, hearing and locomotor disabilities. In order to bring these
persons into the main stream of development and enable them to make a decent
living and contribute to national life, a number of measures have been initiated in
various fields.

20. ORGANIZATIONS PROVIDING
FACILITIES TO THE DISABLED
• The problem of rehabilitating the disabled is tackled at various levels
by the central government, state governments and voluntary
organizations.
• In Central government, the Ministry of Welfare plays a major role
in framing policies and programs for the handicapped.
• All state governments and union territories in India have established
Department of Social Welfare of the Handicapped. The main focus is on
providing educational and employment facilities to the
handicapped.

21. EDUCATIONAL FACILITIES FOR
HANDICAPPED
• While the disabled children may attend the regular school, there are also
special schools for them.
• Voluntary organizations are taking major initiative in opening special
school in the country.
• The Ministry of Welfare provides financial assistance to these
organizations to establish special schools. A few special schools offer
vocational training in trades like tailoring, carpentry, book binding, etc.

22. Cont.,
• There are four national institutes in the area of visual, hearing, mental
and locomotor disability which organize regular programs for training
of teachers for the handicapped. The scheme has been transferred to the
Department of Education since 1982.
• Under the Integrated Education Scheme for Disabled operated by the
department of education, handicapped children are sought to be
integrated in the normal school system. Hundred percent assistance is
provided to states and union territories for education of children
suffering from certain mild handicaps, in common schools with the help
of necessary aids, incentives and specially trained teachers.

23. The Scheme provides the following facilities:
1. The handicapped children are provided certain allowances as
indicated below:
• Books and stationery allowances of ₹ 400 per annum.
• Uniform allowance of up to ₹ 200 per annum.
• Transport allowances of ₹ 50 per month.
• Reader allowance of ₹ 50 per month to blind children after fifth
standard.
• Escort allowance for severely handicapped children with lower
extremities disabilities at the rate of ₹ 75 per month.

24. 2. The severely orthopedically handicapped children to bring one
attendant is allowed.
3. Disabled children residing in school hostel, within the same
institution where they are studying may also be paid boarding and
lodging charges as admissible under the State Government
Rules/Schemes.
4. Severely orthopedically handicapped children residing in school
hostels may need the assistance of a helper. A special pay of ₹ 50 per
month is admissible to any employee of the hostel willing to extend
such help to children in addition to his/her duties

25. SELF-EMPLOYMENT
• Government of India has introduced several other schemes to promote
employment/self- employment among disabled population.
• Government provides assistance to voluntary organizations for
establishing training and sheltered workshops.
• Banks provide loans at low interest rates to promote self-employment.
• Certain categories of handicapped are allotted public telephone booths
and other types of shops such as tea stalls.

26. OTHER FACILITIES
• Residential houses are allotted to the handicapped persons who are in
Government service on priority basis.
• The Delhi Development Authority has reserved 5% of shops, 10%
residential plots and 1% flats in each housing scheme for the disabled
persons.
• Concessional tickets are available to these persons for travelling by rail or
by Air.
• Persons having their own vehicles are exempted from paying road tax and
petrol is provided on concessional rates.
• Ministry of Welfare provides assistance to disabled persons for purchase
and fitting of aids and appliances for their physical rehabilitation in order to
increase their capacity to participate in economic activities.

27. • The Central Government has provided some facilities and concessions
for the benefit of disabled people, to integrate them into the mainstream.
The facilities and concessions are:
1. Scheme of Integrated Education
2. Job Reservation in Government Sector
3. Economic Assistance
4. Welfare Schemes
5. Travel Concessions

28. DISTRICT REHABILITATION
CENTERS
• In order to serve disabled in rural areas, Government has set up
District Rehabilitation Centers.
• Under the scheme each village consisting of 1000 people has been
assigned a Village Rehabilitation Worker, to identify the needs of
disabled persons.
• For a cluster of 20 to 30 villages a Primary Rehabilitation Assistant is
being appointed and in a block consisting of about 1,50,000 people, a
Primary Health Center works to assist handicapped in getting vocational
training, appropriate education and employment.

29. • It also helps the disabled to get aids and appliances. In this hierarchy,
there is a District Rehabilitation Center (DRC) over a population
ranging from 1 to 1.5 million.
• The Regional Training Centers in the state or region serve as the
Referral Centers from the DRC. These Centers provide advanced
physical restoration, vocational counseling and professional manpower
training services.

30. Presently DRCs are functioning at
• Bhiwani (Haryana)
• Bilaspur (MP)
• Chengelpet (Tamil Nadu)
• Jagdishpur (UP)
• Kharakpur (West Bengal)
• Kota (Rajasthan)
• Mysore (Karnataka)
• Sitapur (UP)
•Vijayawada (AP)
•Virar (Maharashtra)
•Bhubaneshwar (Orissa).

31. There are several Rehabilitation Service Centers, which are also engaged in
research activities. Some important centers are:
• All India Institute of Medical Sciences, New Delhi
• Sawai Man Sing Hospital, Jaipur
• Medical College, Trivandrum
• Regional Artificial Limb Centre, Lucknow
• St. Martha’s Hospital, Bangalore
• National Institute for Mental Health and Neurosciences, Bangalore
• Nair Hospital, Bombay
• PG Hospital, Calcutta
• Artificial Limb Manufacturing Corporation, Kanpur

32. VOCATIONAL REHABILITATION
CENTERS (VRC)
• Seventeen VRCs for the Handicapped are functioning at Ludhiana,
Delhi, Kanpur, Calcutta, Jabalpur, Jaipur, Baroda, Ahmedabad, Madras,
Mumbai, Hyderabad, Bangalore, Trivandrum, Bhubaneshwar,
Guwahati, Agartalla and Patna.

33. Purpose:
• The main purpose of these centers is to assess the residual capacity of
the physically handicapped and recommend occupations suited to
them.
• These centers also provide placement services. The five categories of
Handicapped (Deaf, Blind, Orthopedically Handicapped, Mildly
retarded and Negative Leprosy persons) may avail the services
provided by the VRCs.

34. Main objectives of VRC
• Vocational evaluation and adjustment of the physically handicapped
persons.
• Assessment of the medical, psychological, rehabilitation needs.
• Assist in developing rehabilitation plans depending upon the specific needs.
• Sponsor physically handicapped registrants against notified/identified
vacancies.
• Act as distribution centers for various schemes like Scholarship/aids and
appliances.
• Make referrals to financial institution for funding self-employment ventures

35. VOLUNTARY ORGANIZATIONS
• A large number of Voluntary organizations have sprung-up in recent
years for the cause of handicapped persons.
• As per the directory published by the Institute for the Physically
Handicapped, New Delhi there are about 8000 such institutions.
• About 80 percent of these organizations are located in Andhra
Pradesh, Gujarat, Karnataka, Kerala, Maharashtra, Tamil Nadu, Uttar
Pradesh, West Bengal and Delhi.

38. Bibliography
Book reference:
• Datta P. Pediatric nursing. Published by Jaypee Publisher. Edition, 2nd , page no.
472-73.
• Sharma R. Essential of Pediatric Nursing. Published by Jaypee Publisher. Edition,
2nd , page no. 806-811
Net reference:
 https://www.slideshare.net/BhavinVaria1/welfare-services-for-challenged-
children-in-india
 https://www.scribd.com/document/462679268/Welfare-services-for-challenged-
children