CONTENTS

Preface 3 Governing Body 4 Milestones 5 Thematic Divisions and Operational Units 6 CHILD AND WOMAN FRIENDLY COMMUNITY (CWFC) 8 Health and Nutrition 9 HIV/AIDS 24 Education 30 Protection 33 Capacity Building 35 Staff Development 39 Audit Report 44 Afterthoughts 48 Acknowledgement 49 Aims and Objectives of Society 51 Addresses 52 CINI’s Mission Sustainable development in education, protection, health and nutrition of child, adolescent and woman in need. PREFACE

CINI's pioneering activities in the treatment and prevention of child malnutrition over the past 3 decades is well known. The children's ward demarcated for severely malnourished cases in Behala Balananda Hospital and the follow up treatment at the Nutrition Rehabilitation Centre (NRC) at the CINI main campus in Daulatpur started in 1974, still continues to serve the villages and slum areas. Over these years, though malnutrition continued to be a major issue, our own government's response has been to expand the Integrated Child Development Services (ICDS) programme activities under Women and Child Development Ministry, to each and every village and slum area of our country. Till recently there has been almost no action from the Ministry of Health & Family Welfare (H & FW), to improve or allocate more resources at government health centres or hospitals, to reduce malnutrition and its effects.

Under the National Rural Health Mission (NRHM) of the Ministry of H & FW, in , CINI has been requested to expand its model of NRC in four Block Primary Health centres and one Subdivision hospital of four districts. This has been a singular example of influencing government policy, as a result of our pioneering effort, helped by various donors in and around the world since 1974.

Also under health, CINI's pioneering efforts in HIV/AIDS, with the launching of its first project in 1996 (year), has led the National AIDS Control Organization (NACO), under the Ministry of H & FW to grant us the status of State Resource Centre for HIV/AIDS. CINI is now implementing the community based “Link Workers Scheme” (LWS), covering Burddhaman, Purba Medinipur, Darjeeling, Jalpaiguri, Uttar Dinajpur districts with a total population of 12000 high risk group, 3000,000 other vulnerable population. There are recent report where LWS workers are now working closely with local panchayat leaders, securing travel costs for villagers going for voluntary testing and counseling for HIV/AIDS.

In addition to health and nutrition activities for women and children, CINI has expanded its activities to education and protection since the early nineties, ensuring that all children who are out of school are identified and enrolled in local government schools. With the aim of correcting the gap between male and female literacy, certain donors in India and abroad with a particular mention of IIMPACT (an organization of IIM alumini), have sanctioned projects to CINI to enroll and retain girls in schools. In the current year, 23,659 boys and girls are being helped by CINI to be enrolled and retained in schools in different parts of WB and with support from various donors in India and abroad.

The “Child and Woman Friendly Community “ (CWFC) approach adopted by CINI to integrate nutrition, health, education and protection services in rural and urban communities, now cover indirectly 5 million people in West Bengal and Jharkhand. This has been possible through generous grants from our own government, Indian Trusts and foreign donors, who believe in our policy of integrating such services during the critical period of the human life cycle, i.e pregnancy, the first two years of life and adolescence. Sustainability is ensured with participation of women of local self help groups, the elected representatives and government service providers such as health workers, teachers and other development workers. With these significant and path breaking achievements, we close another year of our activities, due to generous donor support and dedication of my CINI colleagues.

Dr. Samir N. Chaudhuri Director Date: 4 th, August 2011 3 GOVERNING BODY

Child In Need Institute (CINI)

Salary Received Address along with 2010 - 2011 contact Details

Child In Need Institute (CINI) Dr. Samir N. Chaudhuri Rs. 7,44,187.50 p.a. Village: Daulatpur, P.O. Pailan via Joka, Pin 700 104

Rs. 4,47,978.83 p.a

Pin 700 104

Kolkata 700 026

Kolkata 700 029

Mr. Diptendra Prasad Sinha 18/50, Dover Lane, Kolkata 700 029

Note : Exception has been made in respect of two board members. Dr. Samir Narayan Chaudhuri, Founder Director and Mr. Amit Dasgupta, Deputy Director (Admn.). Dr. Chaudhuri is a paediatrician of repute giving full time service to the institute and has no private practice. He is taking a lower remuneration compared to other full time employees. Mr. Dasgupta has been co-opted in the Governing Body as ex-officio member in the 98th Governing Body meeting held on 31st March 1999 by the board members so as to enrich it with relevant information relating to programme and administration. This would help the Governing Body to steer the institute in the right direction.

4 MILESTONES 1975-1985 vConferred Collaborative Training Institute status for seven vUnder 5 Clinic started at Balananda Hospital, Behala, and St. North East states by National Institute of Health and Family Vincent School, Thakurpukur, Kolkata by Dr. S.N. Chaudhuri, Welfare, New Delhi v Sister Pauline Prince and Rev. Fr. Hendricks SJ. CINI Murshidabad unit set up in 1999 vMother NGO status conferred by Ministry of Health and vCINI registered as a society Family Welfare , Govt. of India vNutrition Rehabilitation Center opened vRelief operation in flood hit Moyna block of Midnapore 2000-2002 vRelief measures undertaken in cyclone-hit areas of Andhra vAdolescent Resource Centre established Pradesh vRelief operations to earthquake victims of Bhuj in Gujarat vProjects on MCH initiated in Moyna (Midnapur) and vCINI Jharkhand unit set up Baikunthapur (), WestBengal  vRelief operation in Kampuchea, Cambodia 2003 -2005 vSishu Kalyan Sahayika and child sponsorship program vLife Cycle Approach Cell established started. vHIV/AIDS cell 'Bandhan' set up v vTraining of Anganwadi workers initiated 'Noell Caroll' building inaugurated to provide more space vResearch undertaken in collaboration with Nutrition for training vRelief provided to 'Tsunami' affected victims in Tamil Nadu, Foundation of India on women and child health vRelief operation in cyclone-affected Sunderban in South 24 Andaman and Nicobar Islands and Sri Lanka vNational Award received for the second time for child Parganas district welfare activities vAwarded Parliament prize for infants from Italian Parliament 1985-1995 vHealth intervention initiated in Tollygunge slums 2006-2008 vCINI received first National Award in 1985 for child welfare. v CINI becomes State Nodal Agency for rolling out ASHA vAwareness programme on girl child initiated under NRHM in W. Bengal vCINI ASHA unit set up to look after urban programs with key vInitiation of intervention for developing Child and Women focus on street children Friendly Communities (CWFC) v“Adopt a Mother” programme initiated with support from vCINI Jharkhand designated as State Nodal Agency for urban Ami ci di CINI, Italy deprived children vRelief work for victims of communal violence in Tangra, vTwelve week certificate course in RCH started in Kolkata collaboration with Jadavpur University vCINI recognized by International Center for Development of Culture of People, Genoa, Italy, for its outstanding 2009-2010 v contribution in mother and child care Community Health Care Management Initiative (CHCMI) vCINI received Feinstein Hunger Award from Brown launched with support from Dept. of Health & Family University, USA Welfare, Govt. of W. Bengal v vRegional Center for Training and Counseling on HIV/AIDS set State Technical Resource Centre for HIV/AIDS training set up up with support from National AIDS Control. Organization in partnership with NACO, Govt. of India (NACO), Government Of India  CINI Community College for skill building programme vAdolescent programme started established in collaboration with Indira Gandhi National vFund raising Unit established in Kolkata Open University (IGNOU) vCINI's new logo launched in India and abroad. vCINI recognized as Regional Resource Center (RRC) by vWorld Bank sponsored Development Marketplace project Ministry Of Health and Family Welfare for Eastern Region.  Formation of Life Cycle Approach (LCA) cell initiated to improve income of women by marketing low cost nutritious food supplement 'nutrimix' 1996-1999 vPreventive and curative dental programme inaugurated vHIV/AIDS Project launched funded by NACO vEducation Resource Centre established vCINI Diamond Harbour Unit set up 5 THEMATIC DIVISIONS AND OPERATIONAL UNITS

6 7 CHILD AND WOMAN FRIENDLY COMMUNITY (CWFC)

PRIs/ULBs

Communities Services providers (PRI-Panchayati Raj Institution, ULB-Urban Local Bodies)

8 HEALTH AND NUTRITION

The agenda for health and nutrition includes Ensuring Janani Suraksha Yojana for eligible mothers Ensure attended delivery Complete primary immunization Ensuring exclusive breast feeding up to six months of age Ensuring introduction of semisolid food from 6 months onwards Ensuring environmental sanitation and malaria prevention

pic

9 INSTITUTION BASED SERVICES INDOOR

These are direct services offered by CINI. Lactation Management Unit Children with lactation failure are admitted here. The OUT PATIENT CLINIC mother along with other family members are counseled. Need for emotional support and provision of age Mini Clinic appropriate immunization is the basis of counseling. This is a clinic in operation on Monday, Tuesday, Wednesday Nine children along with their mothers were admitted for and Friday from 9.30 AM to 1 PM. Children in the under 5 lactation management. years with common ailments are attended. Most common type of illness encountered in the clinic are malnutrition Ward with complications like diarrhea and acute respiratory tract This unit with 10 beds provides curative treatment for infection. patients requiring immediate attention. Most children are Number of clinic attendees in the period of April 2010 to admitted here with acute respiratory tract infections, March 2011 was 7931. diarrhoea with dehydration and moderate to severe under nutrition. Thursday Clinic This is a special clinic open every Thursday. Services Nutrition Rehabilitation Centre(NRC) provided are growth monitoring, nutritional counseling, This unit with 10 beds is used for rehabilitation of immunization and clinical treatment of common illness. A undernourished children through supportive care and small token user fees is collected. The duration of clinic was capacity building of the caregivers especially mothers. Children along with their mothers or caregivers are from 8.30 AM to 1.30 PM. Clinic attendance was 13,328 in the period April 2010 to admitted here. Mothers are imparted health education March 2011. along with other family members. Counseling is the basis of behavior change communication. There are about 3 to 4 Antenatal Clinic sessions per day.

The clinic held on Thursday provides routine antenatal care Table 1: Number of cases admitted in Ward and to pregnant women from project area and outside. Nutritional Rehabilitation Center(NRC) Complicated cases are referred to referral hospitals located in nearby areas. Number of cases Ward NRC Total attendance during the year was 105. Protein Energy Malnutrition 158 97 Tuberculosis 3 3 Reproductive Health Clinic Acute Gastro enteritis 24 3 This is a weekly clinic held on every working Thursday to Acute Respiratory Tract infection 57 12 provide curative and counseling services to patients with reproductive health problems. Voluntary counseling and Lactation failure 8 1 ICTC services are available. Eligible couples are counseled Feeding problem 8 - for contraceptive services. Moreover, opportunistic Others 4 - screening for cervical cancer using visual technique (VIA - Total number 262 116 Visual inspection with 5 % dilute acetic acid) is done on all women in the age group of 25 to 60 years attending the Table 2: Total Attendance at different clinics clinic. Clinic attendance in the period April 2010 to March 2011 Clinic Attendance Mini clinic 7931 was 727. Out of these, a total number of 136 eligible women Thursday clinic 13,328 were screened for cervical cancer using VIA. The screen test Antenatal clinic 105 positivity rate is 6.6% and all the test positive women have TB 17 been referred to tertiary centers for appropriate RH clinic 727 management. Sahay 666 Mother sponsorship program 33

10 Case study CHIN - CHANGE

Salma was only 15years old when she got married. Within This project is being implemented in 40 blocks in as many 1year she gave birth to a girl child. She did all the household districts spread over seven states of India by 4 partner work and cook for 11 members of the family. She had little NGOs. The partner NGOs are Christian Medical Association of India New Delhi in Orissa, CINI in W. Bengal and time to spend for her child. Salma and her husband wanted Jharkhand state, CHETNA in Gujarat and Rajasthan and a boy. So she conceived for the second time after a year and RUHSA in Tamil Nadu and Karnataka. The objective is to gave birth to a girl child who died due to negligence within facilitate the access of public health services for rural a month. Salma again became pregnant for the third time women and children under NRHM through particpatory after 8 months and a boy(Sahil) was delivered at home.Just communication. after birth Sahil was given pre-lacteal food as per rituals. The distrcts covered in West Bengal and Jharkhand are Pashchim Midnapur, 24 Parganas (S), Nadia , Murshidabad The colostrum was discarded. and North Dinajpur. The districts in Jharkhand are Pakur, He was given breast milk for the first two and half months Latehar, Ramgarh, Khunti, Saraikela Kharsawan. Awareness followed by rice and pulse water daily for 2 times a day building on NRHM & participatory communication within along with breast milk. From 8-9 months she added fish in community, stake holders & service providers through his diet. Up to 1year she continued this diet. Suddenly Sahil different participatory process and capacity building (1yr 2 month old) was suffering from fever. He was taken to a initiatives is going on. Secondary data is being collected to look for changes. The project which commenced in doctor in the village, but the fever didn't subside and she December 2008 is coming to a close in November 2011. brought her child to CINI's Thursday clinic. The doctor admitted Sahil weighing 5.4 gms suffering from Severe Acute Malnutrition to the NRC. It was revealed that she was unable to give time to Sahil as she had to shoulder the lion's share of the household work. Initially Sahil had a poor appetite for two to three days. But the situation changed soon after as, Sahil's appetite returned. Proper medication along with feeds seven times food a day helped him gain weight. The mother was happy and started showing interest on different issues of childcare and nutrition. She learnt about correct feeding practice, low cost home based food, ideal method of cooking, basic hygiene and sanitation, family planning etc. Sahil was Awareness on NRHM entitlements using discharged at the end of 16 days when he weighed 5.9 kg a local cultural resources gain of 500 gms. The immunization status was updated. Sahil's mother was advised to visit CINI for regular follow up. CINI wishes Sahil a bright future. ADOPT A MOTHER AND SAVE HER CHILD (AAMSC)

Objectives v To ensure safe motherhood vTo improve maternal and child nutrition status vTo train adolescents on maternal , adolescent and child health and nutrition vTo ensure availability of quality service vTo make PRI accountable and responsible in improving the health and nutrition status of women, children and adolescents Pic 1: Sahil at the time Pic 2: Sahil at the time of admission. of discharge 11 Areas of Operation The project is being implemented by CINI Diamond Harbour Unit in 45 villages of 3 gram panchayats in Diamond Harbour block II of South 24 Parganas district.

Activities vCase management vNutrition camps vTraining of adolescent leaders vLinkage and convergence

WEST BENGAL NUTRITION REHABILITATION A child in Jiaganj NRC recuperating from SAM CENTER problem of malnutrition, identification, referral Objectives and follow up v Reduce the incidence of 0-3years acute child malnutrition v Monitoring and follow up of rehabilitated SAM children through a facility based programme In the community. vEnhance knowledge and childcare practices to combat child malnutrition vAddress the problem of 0-3 acute child malnutrition CHATTISGAR NRC through strengthened response across the curative and preventive spectrum, involving the health system, Objectives v vTo augment and facilitate a demonstrative model of Capacity building of service providers on management NRC for institutional learning and treatment of NRC v Handholding support to develop two model NRC v Area of operation Monitoring of performance of NRC at regular interval

Areas of Operation 18 District Hospitals and 2 Block Hospitals of the state.

Target population Children under three suffering from SAM.

Target Population Project Period Children under 0-3 years of age December 2009 - June 2011

Project Period Funding Agency October 2010 September 2011 NRHM, Chattisgarh

Funded by Activities vTraining of Doctors, nurses and other health staffs NRHM-West Bengal vRegular monitoring of the performance

Activities v Orientation of Medical Officer on identification of COMMUNITY BASED INTERVENTION S e v e r e A c u t e M a l n u t r i t i o n ( S A M ) - i t s STRATEGY FOR TACKLING MALNUTRITION management vTraining of attendant, cook and nutrition counselor Positive Deviance Plus Approach for Sustainable infant cum feeding demonstrator on preparation of food for and young child nutrition outcomes in West Bengal or SAM children admitted in NRC, feeding and PD Plus project . counseling techniques v Training, sensitization of ASHA, Self Help Groups on 12 Objectives Approach. (CDPO, Supervisors, AWWs). v Enhance knowledge of households on child feeding vUndertake advocacy activities on child under nutrition and caring issues at state, district, block and village level vStrengthen systematic responses by involving PRI , health system and ICDS CHILD NUTRITION POSITIVE DEVIANCE vSensitize the community on monitoring, prevention PLUS IMPLEMENTED IN MURSHIDABAD and management of child undernutrition vReduction in number of SAM and MAM children The process involves sensitizing the community, facilitating community based partnership and engage community Areas of Operation members and opinion leaders in the monitoring, Murshidabad v Bhagwangola II prevention and management of child under nutrition in vFarraka children 0-3 years. vSagardighi The unit is active in selected blocks to enhance household vNabagram level knowledge on child nutrition and childcare practices. Strengthening systemic response to child under-nutrition Jalpaiguri across the preventive and curative spectrum by involving vNagarakata Local Bodies (PRIs), the health system. Activities undertaken are district and block level sharing Target Population Children 0-3 years workshop for building common understanding on Positive Deviance Plus interventions and capacity building of field Project Period level staff of health and ICDS. July 2010 to December 2012 In addition orientation of PRI members and training of SHG members were undertaken. Funding Agency UNICEF C O M M U N I T Y H E A LT H C A R E A N D Activities MANAGEMENT INITIATIVE (CHCMI) v  Community has been oriented to enhance the PROJECT awareness of people on the issue of child under nutrition in order to increase the responsibility of The objective is to enhance the capacity of the PRI and Gram communities towards the health and well-being of Unnayan Sansad (GUS) representatives in effective their children management and monitoring maternal and child health vCommunity mobilization and participation in situations in their field. The project is supported by the identification and management of under nutrition by Department of Panchayat and Rural Development, Govt. of involvement of SHG, PRIs for mobilizing communities West Bengal . for behaviour change To sustainably involve Self Help Group (SHG) members in vSocial mapping for identifying the vulnerable groups, advocating for basic mother and child health (MCH) issues Positive Deviance Inquiries and Resource Map to at the community level. address the determinants of child under nutrition The project is being implemented in 5 districts (Jalpaiguri, vIdentification and rehabilitation of undernourished Uttar Dinajpur, Malda, Murshidabad and South 24 children and linking them to the Nutrition Counseling Parganas). and Child Care Sessions (NCCS) for systematic The Capacity building has been held for the GUS members counseling, regular demonstrations on appropriate and SGSY groups on health and nutrition related issues. The infant feeding practices, childcare sessions and growth strategies incorporated in the project are need assessment monitoring vRegular community based monitoring to ensure involving concerned stakeholders, training module proper rehabilitation of underweight children development at various levels, generating a training team vTraining of functionaries on Positive Deviance at district and block level, capacity building of 13 representatives of GUS and SHG. Capacity Building Apart from the regular capacity building programmes of Achievements staff and frontline workers 20-25 women aged 18 yrs to 50 vThe above members are getting more involved in yrs; from the above mentioned wards have been trained on VHND and Special National Immunisation Day basic health issues and schemes. These women were programme vThere is increased participation of GUS members the identified as change agents in the community who would meetings are now held regularly disseminate key messages to their neighbours even in vSGSY members have engaged themselves in Social CINI's absence. Mapping and social monitoring. vThere has been better utilization of untied funds. Behaviour Change Communication Health related key messages are disseminated at the field MOTHER AND FIELD NGO PROGRAMME level through cluster meetings, observation of health and nutrition days and need based health and nutrition camps. The objective is to provide support to the Field NGOs of We have observed that MAM (moderately acute Howrah and South 24 Parganas districts. malnutrition) and SAM (severly acute malnutrition) cases Health workers of FNGOs were trained to provide better were 48% and 38% in ward 56 and 66 respectively. In this services and were regularly monitored. context Nutrimix promotion camp were held in these 2 URBAN HEALTH wards where community mothers were oriented on hands on demonstration of different Nutrimix preparations as well Health initiatives of CINI ASHA the urban wing is striving to as on different cooking methods where nutritive value of develop a sustainable program approach for improving the food can be preserved. quality of life of urban deprived women, children and adolescents, by improving their health status through a Life Youth Event Cycle Approach. At present through our health About 20 adolescents from the project area attended an interventions we are covering 60,000 population in 6 KMC event organized by CINI ASHA in collaboration with CINI wards which are unserved or underserved by any YUVA (Thematic division of CINI working on adolescent g o v e r n m e n t health) on 24th March'2011. The objective of the event was facilities mainly to provide an opportunity to the adolescents to express KMC and ICDS. their ideas on sexual and reproductive health issues and M AT E R N A L rights. Also this event created a platform of interaction between representatives of urban local bodies, health AND CHILD department and the adolescents. They also recognized the H E A L T H talents of the young girls and boys who participated in PROJECT slogan, poster and skit competitions.

The key strategies Health check up of mother Strengthening Linkages of the project are : CINI's staff attended the Borough level Routine and new born baby a) Case Management Immunization (RI) monthly meetings. CINI's role as social b) Capacity Building mobilizer in RI is widely appreciated by Borough Health c) Behaviour Change Communication and d) Strengthening Linkages Executive.

Case Management COMMUNITY BASED EARLY CHILDHOOD 598 pregnant women and 1075 children under 2 years of STIMULATION PROJECT age were tracked through regular home visits. 14 Community based early childhood stimulation project is Resource Centre and Early Child Development Cell along currently implemented in the slums of Bibibagan and with supporting the NRHM PIP for the state, besides Darapara in ward 56 and 59 respectively. The main capacity building and hand holding of all 40,964 Sahiyyas objectives of this initiative is to ensure age appropriate and 32,621 VHCs in the state. development of under five children as well as prepare them for enrollment in formal schools at an appropriate age. Outputs VSRC state and CINI team in place, JSHRC established and Adolescents play a key role in implementing the project at MoU signed, VSRC entered in to a fresh MoU with the the field level. Each one of them is responsible for 12 Jharkhand Rural Health Mission Society and ICICI Centre for children in their community. They facilitate specific Child Health & Nutrition, all Sahiyya trained on Leadership activities with children in their homes. The caregivers are encouraged to participate so that they can also undertake Module, 78,000 VHC members training on untied funds and these activities with their children. The project equips the Village Health Planning completed , 2184 Sahiyya Sathees adolescents with knowledge on maternal and child health in place and 1100 trained, Sahiyya Sammellan held in 22 related issues as well as on sexual and reproductive health. districts out of 24 in the state, 75 sahiyya help desks Furthermore the financial support / incentives obtained by established at district hospitals across the state, training on them helps them to continue their studies. At present 273 community based monitoring for BTTs held in 20 districts, children are the direct beneficiaries of the project. One CBM process held in 12 districts, communication materials adolescent is responsible for 12 children in their like Sahiyya Passbook, VHC Register, Appeal, VSRC community. At present there are 20 adolescents working brochure, monthly newsletter Sahiyya Sandesh printed and closely with the children. distributed and the process is ongoing.

Achievements Appraisal of State Programme Management Unit and v4 adolescents have been enrolled in class XII whereas 1 District Programme Management Unit, NRHM completed. is undergoing her graduation at present Guidelines and other materials provided for the state's v All children who have crossed 6 yrs of age are attending school health programme. formal schools Case study VHC & SAHIYYA RESOURCE CENTRE Success story from Sahiyya Help Desk at Chaibasa

(JHARKHAND) Parvati is a Sahiyya Sathee. She gave this account of how the Sahiyya Help Desk at Seva Sadan Hospital in Tonto Block Objectives Improving community awareness and action for child came to the rescue of a child injured by a bear in the forests health and nutrition by strengthening the implementation of Saranda. “This happened on January 19, 2011 with a family of poor of the Sahiyya and VHSC programme under the framework people who are daily wage labourers. They had gone to of the NRHM in the entire state of Jharkhand. Improving community awareness and action for child collect dried leaves for selling from the nearby forest. A dog health and nutrition by strengthening the implementation was accompanying them. Suddenly a bear's cub attacked of the Sahiyya and VHSC programme under the framework the dog which in turn ran towards the family for protection of the NRHM in the entire state of Jharkhand. and the bear in turn bit the child. No one came to their rescue out of fear. Due to non – availability of vehicle the Activities injured could not be brought to the hospital on the same Technical support in the form of capacity building, material day and came only on the following day. The family resides development, documentation and inputs to all ongoing in the village of Bandijarhi, Tonto Block. Birsingh Hembrum Communitisation related activities of Jharkhand Rural and Bulbul Hembrum, father of the child brought him here. Health Mission. Setting up of Jharkhand State Health We immediately took them to the doctor at the Seva Sadan 15 Hospital where they were attended upon promptly. Medicines were prescribed to them but buying the same was an issue as the family was very poor. Therefore we decided to take the case to the Forest Department where no one was ready to take the responsibility. We were told that the officer in charge was not there. We waited for 8 hours and yet no response was received. We finally barged in to the DPOs office and demanded compensation as the bear attack had happened in the Saranda area under his jurisdiction. We said that the family was BPL and that the Department should take responsibility of their medical expenses and transportation as they have been referred to RIMS, Ranchi. They kept negating our claims and then retreated in to an internal discussion. Finally they handed over the money to us. Initially they were giving ` 5000 but Capacity Building process taking place in we refused to take it and hence after a lot of negotiation Vistaar project they gave us `10,000. They handed over the money to the for supervisors of ICDS, gender equity for teachers and father of the child and asked him to sign on a blank paper. supervisors of ICDS v We intervened and questioned on the blank paper and  Kishori Swasthya Saptah wherein screening of anaemia asked them to first fill in details and only then the paper of among girls (10-19 yrs) was carried out with would be signed. They tried to convince us by saying that Department of Health and Family Welfare in the entire we are there for you and are also concerned about you. Then state v Technical assistance in activities related to BCC of they finally made a proper receipt which was then duly DoHFW on anemia and DAoM of adolescents signed. It was late in the night by then and we received a lot vCBM on adolescent health services in 5 districts and of support from them. They spared their vehicle for religious leaders orientation on the project focussed dropping us as they could not provide more money for issues transport arrangement.” Outputs VISTAAR vStrategy developed for creating MIS for adolescent health at Block level with support from school and Objectives Anganwadi centres To assist in the roll-out of technical assistance plans agreed vChannel for IFA requisition and disitribution at sub upon between the district teams and the Vistaar Project in district level has been institutionalized creating an enabling environment to increase female age at vAdaptation and implementation of operational marriage and reduce prevalence of anemia. strategies of IEC/BCC activities and Health education session through various platforms Area of operation and population covered vImplementation plan for next round of Kishori Swasthya 5 districts of Jharkhand viz. Hazaribagh, Ramgarh, Lateher, Saptah and its follow up strategies has been Garhwa, Chatra incorporated in the state PIP 2011-12 vInstitutionalized referral mechanism for the identified Activities v Training modules on life skill education, Inter personal anemic girls in place vResource Pool created at district and sub-district level to communication and gender equity, training carried out follow cascade training on AFHS, IPC and Gender and on LSE for NPEGEL teachers in the 5 districts, IPC training Equity 16 AN ASSESSMENT OF THE UTILIZATION OF of policy constraints and barriers to utilisation of flexible funds and recommendations to improve utilisation of NRHM FLEXI FUNDS IN JHARKHAND flexible funds v Revised draft guidelines on effective utilisation of Objectives Identifying barriers impeding utilization and practices Flexible Funds at Sub-District level promoting utilisation of the NRHM untied funds at district level and below through primary and secondary research, I D E N T I F I C AT I O N O F BA R R I E R S TO making recommendations to the GOJ for improved EFFECTIVE IMPLEMENTATION OF THE utilisation rates of flexible funds, developing revised INTEGRATED CHILD DEVELOPMENT operational guidelines for utilization on the use of flexible funds for approval by the GoJ. SERVICES (ICDS) SCHEME IN JHARKHAND

Analysis Of Flexible Fund Utilisation At Sub-district Objectives Level In Jharkhand identifying factors affecting performance of ICDS functionaries in the state of Jharkhand, identifying policy The status of flexi fund utilisation in Jharkhand over the past options to address factors affecting performance of ICDS three years was: functionaries based on evidence of what works. v Policy Analysis: The existing guidelines, directives and policies related to utilization of flexible funds at all levels Area of operation and population covered including the national, state, district, PHC and VHC level Six districts of the state. It is a research study and does not were analysed in the context of Jharkhand, India and directly intervene with the community. compared with other states vPrimary research on Knowledge, Attitudes and Practice. Activities CINI hired a research agency from New Delhi to conduct The core activity for this project is a Performance Needs primary survey in eight selected districts of Jharkhand Assessment (PNA) to identify facilitators, barriers and root and compare with selected districts of one other good causes of performance issues for ICDS functionaries in performing states of India Jharkhand. CINI will analyze the MIS data and review v Development of a white paper policy brief based on the policies and implementation of the policies in Jharkhand and better performing states for comparison under the findings and analysis v Preparation of revised guidelines and directives and guidance of MCH Star. The team will engage policy makers and implementers from the Department of Social Welfare, recommend other relevant interventions for the GoJ to GoJ through the process for ownership of the outcomes. ensure effective utilisation of sub-district institutional This project will provide evidence for next steps on grants improving performance of the ICDS functionaries.

Outputs vDetailed study report of knowledge, attitudes and Outputs vPolicy makers within the system at the state level have practices, including barriers and promising practices, evidence on factors affecting performance of ICDS regarding the use of NRHM Flexible Funds, which functionaries by end of the project includes-Rogi Kalyan Samiti Funds and Annual v. Evidence-based recommendations for addressing Maintenance Grants, and barriers to utilization of these performance issues of ICDS functionaries are funds at Sub-district level in Jharkhand submitted to the policy makers v Compilation of promising practices for utilization of the NRHM Flexible Funds from one other State where flexible funds are being effectively utilized. v White Paper and a Policy Brief summarizing the analysis 17 JANTA KA SWASTHYA JANTA KE HAATH Activities Meeting with Gram Sabha (Traditional administrative body Objectives of the village), Household listing, base line survey. Capacity building of CBM team and VHC members on Village Health Planning, schemes and services and CBM Outputs Organized, informed , functional and Strategically tools. positioning of commuity members on demanding, accessing, utilising Health and Nutrition rights and Area of operation and population covered entitlements, Improved knowledge and attitude of service 2 blocks each in Simdega and Gumla (around 12 lakhs providers on equity regarding delivery of quality services, population). Increased non-discriminatory access and utilization of services related to women and child health and nutrition, Activities Mapping of villages from clusters of each block, Training Increased utilisaiton of NRHM flexi funds . Needs Assessment of the members of VHCs, Formation of BASELINE STUDY ISSUES ON MNCHN, CBM teams, Capacity building of CBM team and VHC WATER AND SANITATION IN MUNGER, members on village health planning, schemes/services, BIHAR AND SAHARANPUR, UP untied fund, CBM tools and conducting CBM exercise, Kala Jatha teams formed and sensitisation activities has been Objectives carried out. Identifying critical MCHN - health and nutrition indicators, analysing implementation gaps of current MCHN Outputs government programs in the districts, assessing the status Active Village Health Committees those are capable of of drinking water and sanitation facilities, designing a addressing the health and nutrition needs of the project plan based on the assessment to address critical community especially of the women, Block Program needs in the area. Management Unit of NRHM strengthened to respond to Area of operation and population covered community needs especially women in ensuring Selected blocks of Munger, Bihar and Saharanpur, UP. community involvement for improving Health and Nutrition outcomes. Activities Quantitative and qualitative study and secondary data S T R E N G T H E N I N G T H E L O C A L analysis.

GOVERNMENT AND COMMUNITIES FOR Outputs Project design for further implementation and status report IMPROVED HEALTH AND NUTRITION on MNCHN, water and sanitation in Munger, Bihar and STATUS OF DEPRIVED CHILDREN AND Saharanpur, UP.

WOMEN IN JHARKHAND STUDY OF TRENDS IN OUT OF POCKET Objectives PAYMENTS IN HEALTH CARE DURING NRHM Improving nutritional and health status of children, PERIOD(2005-2010) IN SIX STATES adolescents and women in the targeted communities by initiating a systemic and integrated response of different Objectives Assess the out of payments expenditure on health in stakeholders in ensuring improved service coverage with selected blocks of Jharkhand. quality. Area of operation and population covered Area of operation and population covered East Singbhum and Sahebgunj. 20 villages of Khunti district. 18 Activities gender, and integration and linkage of SRH and Baseline Quantitative survey . HIV/AIDS services vDevelopment of referral mechanism between Peer Outputs Educators, Private Medical Practitioners and Report on Out of Pocket payments in health care during government service providers NRHM period. vDevelopment of youth friendly spaces at the Panchayat and village level v ADOLESCENT HEALTH Youth Health Fairs vBuilding sustainable mechanisms through Youth Animator & Peer Education programme PRAYASH vDevelopment of youth / adult committees (YACs) vBehavior Change Interventions (BCI) at the community Promoting Rights-based Action to Improve Youth & level Adolescent Sexual & Reproductive Health Including vDevelopment of a package of training manuals and HIV/AIDS in India (PRAYASH) . toolkits on protocols of youth-friendly services including gender sensitive and integrated SRH and Objective HIV/AIDS services Improved SRH&R and HIV/AIDS health seeking behavior v Skills development in advocacy for young people as and reduced sexual health vulnerability including in youth advocates relation to gender among children and young people (10- vDevelopment of an advocacy strategy 24) in 12 districts of West Bengal and Jharkhand. vTraining for Parents in Parenting skills vSensitization with community stakeholders Area of operation & population covered vResearch; MIS, Midterm and final evaluations 12 districts of Jharkhand & West Bengal covering 120,000 vProcess documentation, lessons learnt poor and vulnerable Children &Young People (57,600 females and 62,400 males) during the demonstration phase Outputs and 5,127,340 Children &Young People in Jharkhand and vImproved quality of and access to youth friendly 5,313,600 Children &Young People in West Bengal during sexual and reproductive health and HIV services across scale up. the prevention, care, treatment and support continuum vIncreased knowledge, life skills and awareness of State Districts vulnerable children and young people of sexual and West Bengal Kolkata reproductive health and rights, including in relation to South 24 Pgs HIV and gender Murshidabad vIncreased technical planning and management Jalpaiguri capacity of SRH&HIV and multi -sector NGOs, Local Birbhum Government and Private Service Delivery Points (SDPs) Uttar Dinajpur in ensuring the delivery of community based, youth State Districts friendly services (YFS) as identified in Indian best Jharkhand Hazaribag practice, integrating SRH & HIV programming in the East Singhbhum (Jameshdpur) target states Khunti vImproved enabling environment at the community Giridih level for young peoples' SRH&R though participation of West Singhbhum (Chaibasa) vulnerable young people, parents, community and Ranchi religious leaders in youth programmes vHolistic models of community based, youth friendly Activities integrated SRH & HIV programmes with vulnerable v Establish & Strengthen Block, District and State Level young people developed, documented and Steering Committees disseminated and adopted for scale-up by West Bengal vTraining of service providers at village, sub centre, block and Jharkhand State Governments under youth “Plans and district levels on Youth Friendly Services (YFS), of Action”; 19 vIncreased Capacity of CINI and NBJK to support, National 5 Year plan to focus on providing quality health coordinate and implement sustainable integrated services and ensuring access to information for C&YP and children & young peoples' SRH&R and HIV/AIDS contributing to MDGs 3, 5, and 6 and the ICPD Programme of Action. Case study Project Purpose TOWARDS A NEW DAWN…………. To empower vulnerable children and young people Jhingi Swavaiya aged 19 years is a vibrant girl who lives in (VC&YP) (10-24) in selected districts of West Bengal and Chitimiti village of Tatanagar block of West Singhbhum Jharkhand to know, promote and enact their SRR, including district in Jharkhand. She is the member of the youth group SRR- Sexual &reproductive right HIV/AIDS and gender. of her village where the most of the youth were addicted to alcohol and tobacco. The participation of the youth in the Area of Operation Youth groups were negligible. There was no Youth resource During demonstration phase (July 2007-March 2010), centre (YRC) in the village. Jhingi had attended trainings on project was implemented in Falta Block, 24 Parganas (S) reproductive health and life education under the PRAYASH district (West Bengal) and Ichak block of Hazaribag district project. She was very impressed by the trainings and (Jarkhand). From April 2010 to March 2012 the project will thought of reviving the youth group to share the be scaled up in following districts: knowledge and information. Jhingi looking at the condition State Districts of her peers started interaction with the village committees West Bengal Kolkata for a space to establish YRC but the committees did not South 24 Pgs support her. She started mobilizing the community by Murshidabad creating awareness among them on the usage and Jalpaiguri advantages of YRC and at the same time she also made the Birbhum youth be aware about the ill effects of addiction Uttar Dinajpur The perseverance of Jhingi paid off and a YRC was established at the village. She started mobilizing the youth State Districts groups to come and use the YRC. Gradually the youths Jharkhand Hazaribag started attending the group meeting and started using the East Singhbhum (Jameshdpur) YRC during their free time. During the group meetings she Khunti emphasized on health issues and ill consequences of Giridih West Singhbhum (Chaibasa) addiction. As the participation of youths increased the Ranchi group began giving up drinking of liquor and tobacco. The group is now focusing on issues on education, health and During Scale up phase Jharkhand Mahila Samakhya protection and creating awareness among their peers on Society (under department of education and literacy, these issues. Jhingi has emerged as a strong leader for her Ministry of HRD ) and Nehru Yuva Kendra Sangathan peers and is continuing her work with other youth groups of (Ministry of Youth affairs and Sports) is the partner at the village. Jharkhand.

COMMUNITY PARTNERSHIPS: MODELLING Activities v A R I G H T S B A S E D A P P R O A C H T O Facilitate in establishment of Drop In Centres in 6 districts in West Bengal and 6 districts in Jharkhand ADDRESSING YOUNG PEOPLE'S SEXUAL v Capacity building of NYKS & JMMS field level AND REPRODUCTIVE HEALTH AND RIGHTS functionaries in the following four thematic domain: 1) Community Based Monitoring (SRH&RS) 2) Advocacy 3) Life Skill Development Project Goal 4) Leadership building To improve the SRH&Rs of Children and Young People (10- vDevelopment of IEC materials to facilitate capacity 24) in West Bengal, and Jharkhand in line with the GoI's 10th building initiative undertaken at the Drop In Centre 20 v Participate in different activities organized by JMSS and of a rights based approach to support C&YP's SRH and NYKS rights, including in relation to HIV vExposure Visits for officials and field level functionaries to model Drop in Centres which have been effective PREVENTING ANAEMIA AMONG NON information activity hub for young people as well as SCHOOL GOING ADOLESCENT GIRLS IN community members v Support Jharkhand Mahila Samakhya Society & Nehru WEST BENGAL Yuva Kendra Sangathan in reaching its goal of addressing issues related to young population The project seeks to capacitate adolescent girls on reproductive health including HIV/AIDS and nutrition issues, with a special emphasis on out of school adolescent girl population. Specifically, the project will fulfill the following :

Objectives v Sensitize parents and community about adolescent issues and ensure their support and cooperation v To identify and train peer educators from participating girls to undertake awareness raising To sessions & information dissemination among adolescents at village based Drop-in Centers v To facilitate formation and strengthening of village based Drop-in centers to serve as a forum for adolescents as well as information and resource hub on sexual and reproductive health v To enhance knowledge and practice with regard to consumption of IFA tablets and locally available iron rich foods

Area of operation & population covered The project will be located in 16 blocks in the districts of Birbhum and South Dinajpur in the state of West Bengal. Outputs The project will cover a population of approximately 25 vEmpowerment of VC&YP enabling them to demand lakhs in the two districts. their right to access a comprehensive range of confidential, safe and reliable SRH information, Activities services and products vDistrict and block level sensitisation workshops with v Increased capacity of VC&YP and the community to representatives from district and block administration, monitor, support and sustain the provision of YFS at the different line departments, Zilla Parishad and local level Panchayat Samity, NGOs and CBOs and other v Improved enabling environment locally and at the professional bodies on adolescent health issues, district/state level through increased linkages particularly out of school adolescent girls to solicit between marginalized VC&YP (including SC/STs) and support and cooperation decision makers, contributing to their meaningful v Sensitisation of community involving parents, local involvement in SRH&R policy and practice opinion formers, local panchayat members, religious v Strengthened health systems including the leaders, teachers, Health & ICDS workers, ASHAs and development of PPPs in line with the RCH II programme women' s self help groups (2004-09), for sustainable provision of YFS in the vOrientation of service providers (ANM and other Public government, voluntary and private sectors Health functionaries) on the programme vIncreased capacity of CINI through institutionalisation v Training of district coordinators, block coordinators 21 and youth animators on reproductive health and life total of 37, 238 population as per Census 2001 figures. skill education v Selection of peer educators from out of school Activities adolescent girls v Orientation of Neighbourhood Groups v3-day Reproductive Health Education Training vFormation and Functioning of Advisory Groups (Health Camps/Life Skill Education Camps for Peer Educators and administrative officials of KUSP, DH municipality among out of school adolescent girls at village level and CINI to be members of the Advisory Group) v Formation and strengthening of Drop-in-centres [DICs] vIdentification and training of male and female for out of school adolescent girls adolescent leaders vUse of DICs as information hub and safe space for vMeeting with members of Ward Committees different activities of adolescent out of school girls vMeeting with community leaders including reproductive health awareness and life skills v Training of Honorary Health Worker and First Tier education sessions and recreational activities through Supervisors peer educators v v Clinical test of out-of-school adolescent girls for Mothers meeting v detection of anaemia  Nutrition camps v vEnsure IFA distribution through Government service Health fairs v delivery system and DICs Observation of Special Days v Link adolescent girls with Anwesha clinic with provision vAdolescent camps of adolescent friendly health services at Block Primary v Cultural programmes and competitions Health Centre v Civil society monitoring v Community based events like nutrition camps and vSetting up Health Resource Centres health fairs and celebration of important days like, safe motherhood day, nutrition day Outputs v Nutrition promotion camps for adolescent girls vApproximately 800 pregnant women identified through ANM and AWWs vApproximately 800 infants identified v Interface meetings between service providers, local self v. 20 Honorary Health Workers and First Tier Supervisors governments and communities on the issue of trained on counselling adolescent nutrition v. 48 nutrition camps held v320 adolescent leaders selected and trained KOLKATA URBAN SERVICES FOR THE POOR- v8000 adolescents oriented SAFE MOTHERHOOD & CHILD SURVIVAL v40 Neighbourhood Groups oriented on civil society THROUGH LIFE CYCLE APPROACH monitoring v240 Civil Society Monitoring meets on monitoring of Objectives service provision and vital events registration held v v To improve maternal health through the promotion of 4 Health Resource Centres formed care during pregnancy, delivery and post natal phases vTo advance child survival through the promotion of Adolescent health project is being implemented in 3 wards complete and correct infant care and feeding practices (56, 59 and 62) of Kolkata Municipal Corporation with v To enhance adolescent knowledge and practice support from the Department of Health and Family welfare, regarding reproductive and sexual health West Bengal. The key objectives of the programme are v To improve vital registration system in the project area equipping the adolescents on SRH (Sexual and on birth and death statistics Reproductive Health) issues and rights as well as anaemia v To foster community involvement on the issues of maternal, child, adolescent health and sanitation prevention. About 400 adolescents were tested for Haemoglobin and 50% of them were found suffering from Area of operation and population covered anaemia. IFA supplementation and nutritional awareness Entire 16 wards of Diamond Harbour Municipality covering sessions were regularly held at the community level through this project. Till date 300 adolescents from these 22 wards have received structured training on SRH issues and performance (productivity) and cognitive function of rights. female tea estate workers in India.

SUSTAINING HIGH COVERAGE OF VITAMIN A N AT I O N A L A N D I N T E R N AT I O N A L SUPPLEMENTATION IN THE STATES OF W O R K S H O P S A N D C O N F E R E N C E S CHATTISGARH AND JHARKHAND ATTENDED DURING THE YEAR

This project funded by Micronutrient Initiative aims at vGlobal Maternal Health Conference 2010, first exclusive strengthening partnerships with various stakeholders, conference on maternal health in the country hosted by mobilizing government resources for VAS activities, PHFI had delegates and representatives from all over institutionalizing the bi-annual delivery mechanisms South Asia, Africa, South America and leading academic within and establishing better convergence between the experts from all over the world. CINI's poster presentation on the study was selected for display National Rural Health Mission and the integrated Child v Strategic planning meet hosted by Chetna on 21st May Development Services Scheme.(ICDS), development of a 2010. strategy for reaching the “hard to reach” living in vWorkshop on disability organized by India on geographically inaccessible areas and urban pockets. 30th July 2010. The major activities are joint planning at the divisional level, vOn 2nd September 2010 CINI internally organised a sensitisation/orientation of local representatives and press training programme on Human Rights, which was conference at district and state level. In Chattisgarh. The facilitated by Ms. Sarah O'Reilly Doyle. Project team coverage achievement for Chattisgarh was 93.6%. In member participated on the programme. To build the Jharkhand it was 85%. capacity of the key allies and the partner organizations regional and state level training cum workshop on A STUDY “SUPPORTING THE SCALE UP OF project management & sustainability was organized by THERAPEUTIC ZINC –CHATTISGARH” CINI and facilitated by IWW, at Kolkata and Ranchi on 4- 7 October 2010 and 10-12 January, 2011 respectively. The study is done and project is implemented in 8 districts. In those workshops apart from CINI and NGO partners, representatives of JMSS and NYKS were present. v Objective From 8 to 10 March 2011 CP project staff took part on vTo incorporate zinc into the policy and program Monitoring and Evaluation of Development initiative for Child health in the Interventions training programme Organized by Sambodhi Research Training Institute, New Delhi. v Successfully demonstrate the scale up of therapeutic vNehru Yuva Kendra, Diamond Harbour office (South 24 zinc along with low osmolarity ORS (LO-ORS) in the Parganas) invited CINI's CP project representative to treatment of childhood dairrhoea through primary attend one National Integration camp organized from health systems in the state. 18-24th Feb'2011 at Amethi, Uttar Pradesh sponsored v Create awareness and demand regarding zinc and Lo- by NYKS, U.P. participants of National Integration ORS in treating childhood diarrhoeas living among camps were from 9 states of India. One Interactive communities in project areas session regarding the key allies of CINI held with various NYK national and state level officials where Another study “Support for establishing the discussion held on scale up phase activities and role NYK impact of double fortified salt (DFS) as the vOfficials attended Stepping Stones Training in micronutrient and functional outcomes in Bangalore women of child bearing age in India”. vAttended and made presentation in the National Convention for compiling innovations for improving The objective of the study is to assess the impact of double Primary Newborn Care in India fortified salt (DFS) containing iron and iodine on work 23 HIV/AIDS

HIV/AIDS related activities are being implemented through CINI Bandhan the HIV/AIDS Division. CINI's work in community health for more than three decades have generated tremendous amount of experience on Reproductive and Child Heath Programme. To address the reproductive health issues of women and adolescent, Reproductive Health Clinic was set up to cater to the STI/RTI needs of women and adolescent girls.

24 Strategic Objectives Reducing the vulnerability of HIV infection amongst High Risk Groups (HRGs) and Most At Risk Population (MARP),facilitating early STI treatment and detection of HIV through Public –Private Partnership, enhancing the capacity of human resource in prevention, care, support at district and state level, mainstream HIV/AIDS internally and externally and improvement of quality of life of PLWHAs.

TARGET GROUP AND REACH POPULATION:

Target People Total Population Target Groups: REACH THROUGH CARE / SUPPORT PROGRAMME PLWHAs 350 The Community based intervention Affected People 1000 programmes focuses on the following targets. DIRECT REACH POPULATION FOR PREVENTION, DIRECTION & CARE / SUPPORT PROGRAMME Other Target Population Of 24 Pgs (S) 250000 Core Group : Sex Workers Of 24 Pgs (S) 450 DIRECT REACH FOR PREVENTION AND LINKAGEWITH OTHER SERVICES CSW Other MARPs: Rural Women, men & Burdwan , Uttar Dinajpur,East Adolescents/Young adults Medinipur,Darjeeling and 30 Lakh Jalpaiguri (through Link Workers PLWHAS: Scheme)

REACH NGO WORKERS THROGH TRAINING Children, Men, women, potential migrants, Reach NGO workers through 2570 returned migrants and spouses of migrant training on TI population. Reach NGO workers through 359 internal mainstreaming training

THEME : PROGRAMME FOR PREVENTION

TARGETED INTEVENTION WITH COMMERCIAL SEX WORKERS

The STD/HIV intervention programme is running in 4 rural red light areas of South 24 Parganas funded by West Bengal State AIDS Prevention and Control Society. The goal is to minimize risk behaviour among Commercial Sex Workers (CSWs), to halt and reverse the spread of HIV and AIDS and to ensure better quality and longevity of life for all People Living With HIV and AIDS (PLWHAs) through a community–led intervention. The components of Targeted Intervention are- Behaviour Change Communication, Condom Promotion, STI Management, Linkage and Advocacy and Community Mobilization. The programme promotes safer sexual practices and increased rate of consistent condom usage through increased knowledge level and also encourages the formation of small community groups by community mobilization.

25 Achievements by creating a supportive environment in the vThe Peer educators maintain the peer diary and they implementation areas. understand the importance of MIS vSocial marketing of condom has increased Specific Objectives vThe Crisis management team is being formed among vTo develop an effective system of referral and linkages the HRG's who can handle the sudden crisis for HIV and AIDS to ensure easy availability and emergence accessibility of critical resources and services for vThe DIC has been established as common platform for PLWHAS and their families the HRG's to share their opinion, problems and future vTo reduce stigma and discrimination in the district plan against people living with HIV&AIDS, through the vThe HRG's have formed the SHG's among themselves creation of community based support groups/club v and money saving has become a priority To provide psychosocial support to people living with HIV&AIDS and to their families to enable them to cope There has been a paradigm shift, in the behaviour of HRG's, with their situation from continuous accessibility of Community based ICTC to the Govt. hospital for ICTC through BCC. Broad Objective 3 Mainstreaming HIV prevention messages with existing LINK WORKERS SCHEME systems and institutions in the community. Specific Objectives The goal of the programme is to 'assist NACP-III to arrest the v spread of STD& HIV /AIDS through a multi- sectoral To identify and build partnerships with key strategic systems and institutions in the implementation areas response and improve the quality of life of people infected v /affected by HIV through community-based initiatives' The To build capacity of existing systems in order to be able goal of the programme is to 'assist NACP-III to arrest the to mainstream HIV prevention messages and to make spread of STD& HIV /AIDS through a multi- sectoral them more responsive to the needs of the people living response and improve the quality of life of people infected with and/or affected by HIV in the implementation /affected by HIV through community-based initiatives'. areas

Achievements Area of Implementation v The project is being implemented sites is 5 districts of West A total of 9241 persons from high risk groups and Bengal viz Burdwan, Uttar Dinajpur, Jalpaiguri, East vulnerable population were referred from ICTC and Midnapur and Darjeeling. STI clinics and 3318 were either tested and or were undergoing treatment in Uttar Dinajpur whereas in Burdwan the figures were 14,508 and 5305 Broad Objective 1 respectively. Minimizing the risk behavior in order to prevent the spread v100 villages have been identified in the three new of STDs and HIV&AIDS in the districts by providing districts viz-Darjelling,East Midnapur and Jalpaiguri. preventive/BCC services through development of multi- vIn the new three districts project personnel has been sectoral linkages . trained on SNA and outreach vSNA is ongoing in these 3 new district Specific Objective vIn the old district Training Need Assessment has been vReach out to HRGs and vulnerable men and women in completed and outreach is ongoing rural core villages of the districts with information, vTwo Review meeting were conducted in the state with knowledge, and skill by community based link workers. the SACS officials , Social Marketing organisations and v Increasing the availability and use of condoms among TSU representatives HRGs and other vulnerable men and women v v Establishing referral and follow up linkages for various Interim Study is ongoing in Burdwan District. services including treatment for STIs, testing and treatment for TB, ICTC/PPTCT services, HIV care and FINDINGS OF EXTERNAL EVALUATION BY support services including ART NACO

Broad Objective 2 vAwareness about spread of HIV through sharing and Improving the quality of life of people living with HIV&AIDS reuse of syringes and needles ranged from 100% in 26 Bardhaman to 78% in Uttar Dinajpur MTCT vRespondents are aware of transfusion of screened vTracking and reporting number of outreach workers blood (100% in Bardhaman to 72 % in Uttar Dinajpur) trained on PPTCT module v Respondents are aware about protected sexual vTracking and reporting number of District Level contact (100% in Bardhaman to 89% in Uttar Dinajpur) networks/ Civil Society Organization staff trained on vRespondents are aware about condom depots (100% PPTCT module in Bardhaman to 67% in Uttar Dinajpur) v vGood monitoring mechanism to measure awareness Tracking and reporting percentage of Infants born to level about HIV/AIDS, availability of condom depots, HIV infected women who receive an HIV test within 2 referral services, importance of VICs and role of link months of birth workers in reducing stigma and discrimination vProgram and data audit vFinancial Reporting v S T A N D A L O N E I N T E G R A T E D Tracking and reporting number of ART centers visited and data gathering COUNSELLING AND TESTING CENTRE vTracking and reporting data on institutional delivery of positive pregnant women over total institutional Community Based Integrated Counselling Testing Centre deliveries was piloted in the year 2003,where both the PPTCTC and VCTC are integrated for the benefit of the community. The The programme is implemented in West Midnapore, programme is extending services to the people in the area of South 24 Parganas, supported by West Bengal State AIDS Howrah, Hoogly, 24Pargans(S), 24Pargans(N), Kolkata, Prevention and Control Society. CINI Bandhan is also Burdwan, Uttar Dinajpur and Jalpaiguri. working in linkage with the TB Control society. The goal of the programme is to minimize the risk behaviour in order to Achievements v prevent the spread of HIV/AIDS among the general Tracking of drop out pregnant mothers. v population by emphasising the importance of early Follow up of the Drop out cases of Pregnant mothers v identification. According to NACO guideline Community Referral to DOTs and to ART. v based ICTC in CINI has become the Government accredited Support group meetings in the PPTCT centres. v STAND ALONE ICTC in the year 2010. Monthly review in every implementing unit with team members. Achievements HIV PREVENTION PROGRAMME FOR MIGRANTS INVOLVING LOCAL YOUTH AND WOMEN SELF HELP GROUP MEMBERS AS FRONT LINE WORKERS

The goal of the programme is 'Prevention of HIV at source among Potential Migrants, Inbound Migrants and PREVENTION OF PARENT TO CHILD Wife/sexual partner of migrant population by TRANSMISSION mainstreaming HIV/AIDS at PRI level.’

The objective of this programme is to prevent HIV Area of Implementation transmission and mitigate the impact of HIV by expanding This programme is being implemented in two vulnerable access to testing, counseling and prevention of parent to states. West Bengal and Jharkhand. In the state of West child transmission Services, strengthening inter program Bengal the programme focuses in South 24 Parganas and in linkages, especially HIV and TB collaboration and Jharkhand the programme is being implemented in integrating HIV Services with the general health. This programme is being implemented by CINI in Hazaribag District. collaboration with SACS and ILFS. Achievements Activities vTracking and reporting number and percentage of HIV infected pregnant women and their babies receiving a complete course of ARV prophylaxis to reduce the risk of 27 THEME II: PROGRAMME FOR IMPROVEMENT Achievements v. 5 days training with the Project personnel on memory OF THE QUALITY OF LIFE (QOL) OF PLWHAS work has been completed AND CHILDREN LIVING WITH HIV /AIDS v. Session Plan has also been prepared, memory work (CLHIV) sessions is ongoing

NUTRITON CARE AND SUPPORT

Majority of PLWHA under care and support programme of CINI are from economically vulnerable households with poor nutritional status. The three components are counselling, nutrition and treatment. Counselling is given to all sero positives as well as hands on training on correct cooking methods, locally available low cost nutritious food. A diet chart at times doubles this up, when it is required. Along with this, treatment is also done through CINI and referral linkages.

INDIAN INITIATIVE OF CHILD CENTRED HIV/AIDS A sit and draw competition on Worlds AIDS Day APPROACH

It makes use of a child-centered approach in communities THEME III: PROGRAMME ON ENHANCING affected by HIV and AIDS to: reduce stigma and THE CAPACITY OF HUMAN RESOURCES IN discrimination, strengthen coping strategies for children, strengthen community level support groups, and build the PREVENTION, CARE, SUPPORT AT DISTRICT ability of families to communicate about HIV and AIDS. AND STATE LEVEL Memory work focuses on: 1) improving communication between guardians and / or parents living with HIV and STRC (STATE TRAINING AND RESOURCE CENTRE) their children, 2) disclosing HIV status and related information, 3) succession planning and 4) writing The goal of the programme is to support the Project important family history in a 'memory' book. Implementing plan of the states of West Bengal and Sikkim, to stabilize HIV epidemic by building human capital in v . Empower parents and guardians to help prepare sustained way for the TIs in the two states. The objective of children for changes in their family circumstances the programme is to capacitate NGOs/CBOs involved in TI caused by entry of HIV into the household. projects through need based in-house training v. Enable children to cope with changes caused by their programmes by developing user-friendly training materials parents being infected and methodologies, capacitate TI partners through on-site v. Support the development of sustainable approaches by community-based groups training by scaling up demonstrative site in each core group vStrengthen and/or create links between government and development of resource centre to facilitate discussion systems and civil society bodies such as non- on various good practices among the TI partners and to governmental organisations, networks of people living undertake evidence based operational research to evaluate with HIV and faith based groups with a view to ensuring the Tis. child friendly social services Achievements Implementation in 24 Parganas (S),Uttar Dinajpur of West A total of 2472 persons of different categories have been Bengal and Hazaribag districts of Jharkhand. trained on various issues.

28 3 DAY-TRAINING OF ORW OF COMMUNITY CARE Best Practices CENTRES Reaching out to the hard-to-reach individuals (HRIs). As per mapping data there are 30 FSWs in Kasba Mahaso The objective of this programme was to provide a holistic village under Raigunj block of Uttar Dinajpur. Out of them knowledge of HIV/AIDS among the outreach workers. 20 have been identified and reached out by the link worker with required information and services. A Red Ribbon Club THEME IV: PROGRAMME ON MAIN (RRC) was established in the village and regular interaction STREAMING HIV / AIDS and meetings were held with the members of RRC. They were oriented about the objectives of the programme and made them sensitised about HIV/AIDS. Some of them INTERNAL MAINSTREAMING OF HIV/AIDS showed interest to involve in the programme activities as The aim of the programme is to enhance the understanding volunteer (one of them was the member of local of HIV mainstreaming among the staff of GOAL Partners for panchayat). After establishing a good rapport the link making a strong commitment to address HIV/AIDS worker gradually shared with them about the importance institutionally. This internal mainstreaming efforts of reaching out to the hidden FSWs in the village. After some encompassed the knowledge, perception ,behavior and days one of the RRC members identified one FSW who was attitude assessment. The programme was rolled out in 13 unwilling to disclose her activity. The person assured her Partner organizations of West Bengal. not to discuss the matter with anyone. After continuous interaction she gave her consent to get introduced with the CAPACITY BUILDING OF ANGANWADI WORKERS link worker. The link worker along with other RRC members prepared an outreach plan for identifying the hidden FSWs. The Capacity Building Programme of the Anganwadi The plan was shared with newly identified FSW who assured Workers was initiated in East Midnapore, with the objective to help the team. They categorisied them as “can be of capacitating them in helping halt the spread of HIV reached” and “hard to reach” population. They used snow among rural population and to also extend necessary care ball technique to identify the FSWs and finally they were to the infected/affected individuals in the community. able to find out those hidden FSWs. But they were reluctant to undergo HIV testing. Several meetings were organised The Programme was divided into 3 major phases-Selections with them and they were ready to go for testing. Most of and training of district level trainers, and training of the them belong to very low income group and even they did Anganwadi Workers.15 District Level Trainers were not have enough money to go to the testing centre. Then capacitated who in turn capacitated 1200 Anganwadi the link worker along with the RRC members requested the Workers. panchayat Pradhan (Head / Mukhiya) for assistance who is very supportive to the project team. The Pradhan provided Objectives a vehicle from the panchayat fund and the testing has been v To generate awareness and disseminate information at done for all the FSWs. Now the activities are done jointly by the village level about HIV & AIDS and RTI / STI the RRC members and the link worker of that village. v To enrich the community people regarding the information of Care & support, Treatment (ICTC/STI WORKSHOPS AND SEMINARS ATTENDED clinic/Community care centers) and positive living v Officials from CINI Bandhan have attended International Achievements HIV/AIDS Conference 2010 v v. 15 District level trainers were trained An Official from CINI Bandhan has gone for HIV/AIDS exposure visit in Uganda v . Total of 1200 AWW were trained vAn Official from CINI Bandhan has attended workshop on Out of School Adolescent Youth organised by NACO and UNICEF in Delhi

29 EDUCATION

Ensure all children are enrolled in school Ensure all children are retained in school Promote Joyful leaning and child friendly school

30 EDUCATION RESOURCE CENTRE (ERC) students in class V to VII v As a pilot initiative of SSM, Kolkata CINI ASHA ran two This new unit is established in CINI in August 2010 with a prevocational schools centres in two schools in the red clear direction for a centrally controlled system of all light area. 100 girls in the classes VII and VII received education projects being implemented by different units of support in candle making, embroidery, handmade CINI. This is a new venture that looks forward to create a paper crafts and jewellary making. The aim was to strong and sustained bridge between other units and CINI develop their skills and self esteem v head office. CINI units in Jharkhand, Diamond Harbour, Sarva Siksha Mission, Kolkata did a survey (child Kolkata, Siliguri and Murshidabad have different education tracking) of living in the streets, platforms and red light projects which is being implemented quite successfully. It areas. v was being increasingly felt that the units require some Prepared annual work plan and budget for SSM Kolkata amount of additional support and guidance in terms of for 2011-2012 v planning, implementation, monitoring and liaising in their 1000 out of schools identified and 700 mainstreamed operations. The centre would provide technical support and through an enrolment drive in collaboration with SSM. v capacitate the unit staff in handling activities better. An exhibition of handicrafts was held in all educational Education Resource Centre (ERC) is a central point from centres run by CINI v where every unit can access information on educational Special sessions organized for community volunteers innovations, research, linkages for their respective units. The on stress management units would now be able to share their experiences, learning and challenges through regular interactions. SAHAY- Child Sponsorship Program independently implementing projects with very little sharing among themselves. But it was felt that some sort of The mission of the programme is to help the children grow regular interactions and dissemination is required among into Healthy, Educated, Self Reliant Adult, “The Citizen of units under a centrally controlled system so that each one Tomorrow”, comes to know about experiences, learning and challenges Sahay- Child Sponsorship Program aims to develop the overcome. Health (including reproductive health), Nutrition, Education and Youth programme - formation a part of Urban moral value and responsible in the family as well as in the society. Mainstreaming Close to 1000 children have been reached through Bridge Focus of the Programme course and NCLP (child labour focus) centres in 2010-2011of Reducing and eradicating malnutrition, poor health status, which 70% have cold be mainstreamed in formal school. reduction of school dropouts and early marriage through 1248 children have been reached out through Sikshalaya extensive support and awareness generation as part of a centres. spontaneous programme through participating and conducting by the Youth Council (a organised youth group in the community level) and Community Volunteers (A Retention Beneficiaries parents Group). The focus is to provide support to children both academic The child sponsorship programme supported by Children and non-academic and financial (school fees, education International (CI), Kansas City, USA, through SAHAY, Kolkata materials etc.). General coaching centers and Special has been initiated since 1989. The project supports 864 Guidance centers provides support to children up to class X. children and youth for health, nutrition and education. About 1500 children received retention support last year. Emergency medical relief is provided to the bread earning

member in the family. Support is provided for repair of Capacity Building house and construction of latrines. It aims at strengthening the capacities of the partner NGOs The selection, planning, implementation, monitoring and in programme implementation, human resource and evaluation of the program are done with the close financial management. This is done in close association association of community volunteer and youth groups with, government and other and stake holders. 1330 members of the programme. The community volunteers children has been reached through this project. comprise of local club members, elected Panchayat members, beneficiaries and their family members. Major initiatives during the year v CINI ASHA in collaboration with Sarva Siksha Mission ran Case Study a Remedial Coaching Centres in 4 upper primary govt. schools for academically and economically poor 400 Sahanaj Khatun, was enrolled in the sponsorship project 31 when at the age of four.. formation of Bal Panchayats (ie. Children's Council) in three As a young girl she was provided support for her education. districts, developing remedial package for mainstreamed She had undergone training in leadership, adolescent children, develop MIS and training of formal school health related to reproductive and awareness training on teachers for tracking mainstreamed children. HIV/AIDS. She conducted the same for different community groups. Murshidabad After completing her class 12 examination she completed a tailoring course with very high marks. She was supported The unit aims at mainstreaming 1500 children in two and during her graduation and masters in Social work from a half years. Ensure that 400 and 550 children from Suti –II and special grant. Presemtly she is employed in a steel factory Shamserganj block of Murshidabad district attend the ICDS with a monthly salary of Rs 15,000. centre. Link children from ICDS centre to primary schools. She hopes to undergo the MBA course in Human Resource Some important strategies are adopted are enhancement which would help her in to aspire for a higher post. of knowledge of PRI, service providers and beedi munshis We wish her and her family a bright and prosperous future. to address issues of child protection. Awareness and knowledge base on child protection of key players and CINI Jharkhand children.

National Prgramme for Elementary Education of Achievements Girls v Children groups have come up in Gram Sansad (GS) It provides educational and vocational support to out of level and organised Children's Parliaments at Gram school adolescent girls in Ranchi urban area. Remedial Panchayat(GP) level. v Adult groups at GS level and classes are run for 25 adolescent girls, providing training, Child Protection Committee (CPC) at GP level has been linking up these girls with open school. set up to ensure child friendly environment. Children representative are members of CPC. Children's Utpreran Kendra Parliament sit with CPCs at regular interval Five education centre by the above name has been v All eligible children are in school, all eligible children established to in Ranchi to ensure education and protection are covered by ICDS of deprived urban children and child labour covering 576 v All eligible children have been immunized. children on pilot basis. It encompasses identification of v Inclusive learning friendly school environment working children, capacity building of teachers and care initiative at govt. run primary schools to ensure the takers on joyful learning methods, liaising with formal following a 'feedback response mechanism' school for mid day meal, conducting health check up with v Ensure greater transparency and accountability of duty training to teachers on basic health, sensitization children bearers and parents on importance of education and provision of v Ensure community participation in school recreational materials. management and decision making v Create child friendly school environment and ensure Mainstreaming deprived urban children in Dhanbad class room teaching as per training provided by the district Dept. of Education This project mainstreams out of school children in the 6-14 v “Ankur” Drop– in Centre has come up in space age group. Sensitisation of children and parents, capacity provided by a local club since August 2005 to reach out building of teachers on behavior change, training of to deprived children and support them on issues teachers on basic health issues, health check up every related to education, protection, health and nutrition. quarter, organizing parent teacher meeting for ensuring Small local contributions have come from a firm. A community involvement, liaising with formal school for token contributing from community is being collected mainstreaming and tracking of mainstreamed children are from each family. the prime components.

North Bengal Reaching out to deprived urban children this project tries to reach out to 1800 out of school children vThe issue of child education is addressed by focusing in 3 districts through 72 bridge course centre. Capacity on enrollment drive for mainstreaming out of school building of volunteer educators on academic package and children. two NGOs (on gender issues, education, life skill and child v protection), develop preschool academic package for ECCE, This year 119 children have been enrolled v53 children are enrolled for vocational training 32 PROTECTION

Stop women and child trafficking Ensure all children and women are free from violence Try to empower children and women through awareness regarding their rights

33 CINI ASHA is a collaborative organization of Kolkata CHILD Counselling LINE. Last year 800 children were successfully restored to their The counselling unit linked to the thematic units provide family. CHILD LINE facilitated repartriation of 5 children to counseling to individuals and groups. Others are play therapy, Bangladesh and Nepal. music therapy, art therapy and music therapy. Training Orientation programmes were organized for staff and programmes on anger management, stress management, volunteers on stress management, barefoot counseling and stress management, effective parenting and child child related laws. Awareness programmes were held at railway development providing psycho-social care and support, child stations, bus terminus, schools, colleges, slums , telephone abuse and its effect on children. booths and red light areas focusing on child protection. Sensitisation programmes were conducted with police NORTH BENGAL personnel.

Short Stay Homes Three special schools for child labour under National Child CINI ASHA has two short stay homes for boys and girls 'Hamara Labour (NCLP) programme is being run at Jalpaiguri district Ghar' and 'Amader Bari'. At a time it can accommodate 40 with 119 children. 53 children are being imparted vocational children. It has a night shelter with accommodation capacity of training. 20. The contribution of parents is Rs 2 per day. The children are A bridge course centre is being run in the red light area of being provided computer training. Majority of children in the Siliguri. This programme provides a safety net for the children 6-14 age group are attending government schools. Their by preventing them from being exploited or exposed to the retention is ensured through regular follow up in the school business of sex work through education. 140 students are and back up support in the Night Shelter. Events like enrolled. exhibitions, sit and draw competition, cultural programmes, blood donation camp were organized for emergency support Other Interventions to children. Short stay home “Apna Ghar”, CHILD LINE , drop in centre carry out similar activities as CINI ASHA. The drop in centre provides Night Shelter at Amader bari (our home) services to about 40 to 50 children daily who are mostly An average of 20 children regularly come to the night shelter. working or street children. The parents contribute a very small amount (Rs 2child/day) . Out reach services –satellite point persons present in various The children learn computer operation twice a week. The transit points of Siliguri city monitors the movement of retention of these children in school is ensured through regular children in their respective areas and information given if follow up in school and regular follow up at the Shelter. needed to be rescued. Presently there is a shift from service based efforts to Child Line provides 24 hour toll free, emergency phone establishing linkages which is more sustainable. In ward 62 outreach service for children in need of care and protection sensitisation sessions were conducted with schools and clubs. linking them to long-term services for their care and rehabilitation in Diamond Harbour and Murshidabad. Sick Bay This provides immediate medical and psychological support Achievements v Child labour cases are now being registered for children in need. vChildren while trafficking and also from possible In Rambagan red light area about 450 children are supported trafficking are being rescued for education, counseling and creative work. Through 5 v Child marriage cases that was brought to CINI's notice have centres. A ward committee was established on the initiative of been stopped the councilor involving government and non-government organising service providers. A community counseling centre for children and parents is run once a week. Peer support group is being strengthened and intervening to solve social problems. Sealdah station a place frequented by children has been converted into a child friendly one. The intervention is at different locations. The major objectives are providing shelter, protection,nutrition, health care, psychosocial care and education to children. It also facilitates mainstreaming ang reunification od children with their families.

34 CAPACITY BUILDING

Over the years, with its expertise in health and nutrition CINI has emerged as a major actor in building capacities of service providers, PRI, government health functionaries and other stakeholders in the process of development.

35 All training related activities is routed through CINI on issues related child, maternal and adolescent health and Chetana Resource Centre (CCRC) registered in 1989 nutrition. provides training related activities that includes training RRC officials visited Andaman and Nicobar islands for a needs assessment, curriculum development, organizing sharing meeting with Mission Director NRHM and other and facilitating training and evaluation of training state and district officials. Appraisal and field visits were programmes. The key trainings are job and refresher also carried out. training of Aganwadi workers, Helpers and Supervisors of Integrated Child Development Services Schemes (ICDS) a STATE NODAL AGENCY (SNA) OF ASHA Govt. of India scheme for women and children. In addition it provides specialized training on Behaviour Change CINI is the State Nodal Agency (SNA) for rolling out of Communication for partner NGOs, Training of trainers, ASHA programme in W. Bengal. It provides training of community based trainings on RCH for different level of trainers (TOT) from MNGOs . It provided training to 811 functionaries (Medical Officers, ASHA trainers and NGO ASHA Coordinators and Co-facilitators. CINI SNA has been functionaries) of govt. and NGOs, training of students from given the responsibility to roll out 6th and 7th ASHA various academic institutions like IGNOU, Calcutta training module.in 23 blocks of Malda and Dakshin University and nursing institutes. The centre is well Dinajpur. equipped with accommodation facilities. The unit reaches about 3000 participants yearly. OTHER SUPPORTS

Trainings conducted during the year: CCRC is providing necessary support to the “Community Health Care Management Initiative” (CHCMI) which Category No. Trained promotes community involvement in health care Anganwadi Worker 480 Supervisor (refresher trg.) 380 management through awareness generation programmes and capacity building excercises, while ensuring delivery of services at the community level. The project is a initiative of REGIONAL RESOURCE CENTRE department of Panchayat and Rural Development. Capacity building is carried among Gram Unnayan Samity CINI has been recognized as Regional Resource Centre ans Self Help Groups . Liaison is maintained with State (RRC) for Reproductive and Child Health (RCH) Programme Panchayat and Rural Development department and State by the Ministry of Health and Family Welfare (MOHFW) by Public Health Cell (SPHC) and conducts periodic review the Govt. of India for the states of W.Bengal, Jharkhand and meetings. provides TOT and hand holding support at block Andaman and Nicobar islands. CiNI provides capacity and district level. building of 16 mother NGOs working through 75 NGOs, in 70 blocks. 144 Sub Centres and 5 urban burroughs. Of W. WHITE RIBBON ALLIANCE WEST BENGAL Bengal. A news letter “Taranga' published biannually and annual report is distributed among govt. officials and The Alliance is a state coalition for promoting safe NGO's. motherhood. The purpose of the alliance is to share A Study on Rogi Kalayan Samiti has been completed with innovations in approaches and initiatives, thereby support from NRHM, W. Bengal. Developing IEC materials promoting knowledge, raise public awareness to educate

36 and empower groups and individuals to create a common Provides support support to personnel of CINI's own unit, pool of resources that will join hands to play their part. CINI NGOs and govt. officials on different child related issues. is involved in capcitating it's partners in community Developed and implemented 3 months course on “Reading mobilization and PRI sensitization. The practical field guide Skill” for school children. “Saving Mothers Life” has been translated in Bengali for 16 sets of flip books on child rights, child abuse and the health workers. Presently WRA is conducting a study on symptoms and effects of child abuse was developed. maternal health.

CENSUS 2011 BRIDGE COURSE V-VI FOR OF SCHOOL CHILDREN IS UNDER PUBLICATION Census 2011 marks a milestone in the history of Census in India as it was for the first time that NGOs were made a A training manual “Rupantar : training on life skill for partner in this activity. CINI was identified as one of the six vulnerable adolescent girls has been developed supported Regional Resource Organisation (RRO) by responsible for by Save the Children. Training programmes were also activities in W. Bengal and Orissa and also acted as State conducted for girl child domestic workers. The content partner for W. Bengal. CINI and Orissa partner MY –Heart incorporates health, nutrition, interpersonal both worked in close association with the Directorate of communication, decision making, problem solving, Census Operations in their states in two phases-(1) House empathy building, cooperation and teamwork, critical listing and households and National Population Register thinking and other relevant issues. and 2) Population Enumeration. ASHA IMPLEMENTATION PROGRAMME TRAINING ON COMMUNITY HEALTH AND NUTRITION CINI has been entrusted with imparting training and provide hand holding support to the Accredited Social This 12 day course is conducted for the Clinical Nutrition & Health Activists in the 29 blocks of South 24 Parganas Dietetics students of Viharilal College of Home &Social district. So far 1887 ASHAs have been trained out of 3616. Science and Gokhale Memorial Girl's College. 42 students had undergone the training last year. COLLABORATIVE TRAINING INSTITUTE OF NIHFW YUVA VABISHYA SHAKTI – CINI COMMUNITY CINI being the Collaborative Training Institute (CTI) of COLLEGE National Institute of Health & Family Welfare (NIHFW), Delhi, is involved in training and monitoring of all training The college registered with Indira Gandhi Open University activities under National Rural Health Mission (NRHM) in (IGNOU) aims to empower individuals through appropriate seven North-Eastern (N-E) States (Nagaland, Manipur, skill development , leading to gainful employment. The six Mizoram, Sikkim, Arunachal Pradesh, Tripura, Meghalaya) of month certificate programmes offered are 1) Reproductive and Child Health Management India since 1998. 2) Basic Computer Literacy and Applications 3) Health Care Assistant (Seba Sathi) The NIHFW-CINI (CTI) consultants undertake regular visits 4) Spoken English and Personality Development to the above mentioned States to help facilitate co- 5) Basic Practical Accounting ordination of all the trainings conducted by each State, preparation of action plan for training based on estimated TRAINING AND MONITORING UNIT OF CINI training load, identification of training institutes, ASHA preparation of training curriculum for training of various 37 category of health personnel, capacity building of master evaluation priorities of the NRHM and ICDS programs trainers and analyzing gaps in training activities. and assist the GOJH in preparing evidence-based Monitoring of all trainings under NRHM and annual plans. operationalisation of health facilities like Sub-Centers, 24X7 v To establish an Evidence-based Advocacy Cell at Primary Health Centers, Community Health Centers, First Jharkhand unit of CINI in order to build capacities of all Referral Units, Sub-Divisional Hospitals and District CINI Jharkhand staff so that all research and evidence- Hospitals in each State as per IPHS Standards, forms an based findings and lessons from various MNCHN integral part of the NIHFW-CINI (CTI) activities. projects can be translated into program and policy changes. The visits undertaken by the NIHFW-CTI consultants to various districts of the N-E States during 2010 – 11 are given Research Study below: 4 Research studies on MNCHN indicators carried out. Policy analysis being done under 2 studies. Documentation Meghalaya – East Khasi Hills, Ri-Bhoi, Jaintia Hills, West resource centre is in process of being established, agency Garo Hills named Access Health International hired to undertake Tripura – South District, West District, North District strategic planning for CINI. Mizoram – Aizwal Sikkim – East Sikkim district Outputs: Manipur – Imphal East, Imphal West, Churachandpur v A Strategic Plan for MNCHN in Jharkhand which Arunachal Pradesh – East Siang includes – strategies for new business development, Nagaland- Tuensang management of growth and change, a roadmap to fully operationalise CINI's mission and vision with steps CAPACITY BUILDING & INSTITUTIONAL towards sustainability of CINI-Jharkhand unit. STRENGTHENING (JHARKHAND) v A state-of-the-art Resource Documentation and Production centre established at CINI – Jharkhand that responds to information and documentation needs of Objectives CINI staff, partner NGOs, Departments of Health and v To conduct a strategic planning exercise to establish Family Welfare and Women and Child Development in new strategies for seeking and responding to maternal doing research, preparing needed guidelines, collating neonatal and child health nutrition technical materials for training manuals, publishing reports and assistance opportunities by adopting best practices in papers, and archiving documents for program delivering technical assistance of global standards, efficiency. including managing the organizational growth and v A functional evidence-based Policy Advocacy cell change for operationalising the vision and mission of works closely with the NRHM and ICDS to address at CINI and steps towards sustainability of CINI Jharkhand least one policy issue that hamper smooth unit. implementation of their activities in each of the v To e s t a b l i s h a s t ate - o f - t h e - a r t R e s o u rce program by this financial year-end. Documentation and Production centre in CINI- v A strengthened Operations/Applied Research and Jharkhand to improve access of CINI staff (Head Office Program Evaluation unit at CINI-Jharkhand that assists as well as Jharkhand Unit), the government, the NRHM and ICDS in identifying and responding to collaborating organizations and partner agencies to priority operational/applied MNCHN research and on-line global as well as local MNCHN resources. evaluation topics, prepares annual R&E plans for the vTo strengthen Operations/Applied Research and financial year. Additionally, this unit would participate Program Evaluation unit at CINI-Jharkhand to respond with the Go.Jh in preparation of state NRHM Program to operational/applied MNCHN research and Implementation Plan (PIP) and ICDS annual plans. 38 STAFF DEVLOPMENT

CINI considers Human resource a key strength for the organisation. The staffs form the interface with the key stakeholders and embody the work ethos and ethics of the institute. Staff capacity building and development are intrinsically linked to organisational development.

39 Induction trainings were organized for the new staff to PARTICIPATION/ MEMBERSHIP IN orient them to the history, development, ethos, activities and processes by which the activities are being KEY BODIES implemented. vSpecial invitee, National Ethics Group for Social INDUCTION : NUMBER OF BATCHES - 3 Research in Health PERIOD NO. OF PARTICIPANTS v Member, Health Watch Trust 19.04.10 – 23.04.10 9 v Member, Technical Advisory Group on MNGO program 12.07.10 – 16.07.10 21 in RCH scheme of the ministry of Health and Family 10.01.11 – 14.01.11 12 Welfare, Government Of India TOTAL 42 v Partner Member, Health-NGO Networking-India based at Tata Institute of Social Sciences Staff Welfare Society v Member, UDISHA Task Force v Member, Sishu Vikash Prachesta Consortium of GO- The key activities organized during the year were: NGO for ICDS Training vBlood donation camp v Member, State Population Policy, West Bengal vStaff picnic was organized at Monobitan participated vMember State NGO Committee under RRC activities by staff and family members for Jharkhand, Orissa, West Bengal and Andaman & v150th Birth Anniversary of Nobel Laureate Nicobar Islands Rabindranath Tagore was celebrated through recitation vMember, NGO AIDS Coalition in West Bengal of his poems, singing songs and dance. vMember, SWASTHAA – A Bengal Initiative's on vIndependence Day was celebrated by hoisting the Women's Health national flag, singing the national anthem and other vMember, Governing Body and Executive Committee of patriotic songs. Speeches was followed by awarding the State PNDT Committee(West Bengal children of staff who successfully cleared their first vMember,, Key Correspondence Team of Health and board examination. Development Networks (HDN) vStaff who had served the organisation for five or more vMember of State HIV-TB Co-ordination Committee, years were given a warm and touching farewell on their West Bengal retirement. vMember of Governing Body and Executive Committee of West Bengal State AIDS Control and Prevention Society v Member, Voluntary Action Network of India vMember, SAATHI- Solidarity & Action against the HIV Infection in India. vCo-ordinator State level network on Young Peoples Reproductive and Sexual Health & Rights(YRSHR) vMember of PC & PNDT Act – West Bengal v Member ASHA Monitoring Group – National v Member Common Review Mission of NHRM – National level vExecutive Committee members of Jharkhand Mahila Samakhya Society for the Next two year. (2010-12) v Member Rogi Kalayan Samiti of BPHC

CINI staff participating in a national workshop on Participatory communication 40 STAFF TRAVELS

International Travel by Board Members/Staff/ Volunteers on behalf of CHILD IN NEED INSTITUTE for the Financial Year 2010-2011 :

Name ASHUTOSH MALLICK Designation Sr. Programme Officer Destination UGANDA, SOUTH AFRICA [Date : 16-07-2010 to 26-07-2010 ] Purpose International Study Tour for Care & Support Programme of People living with HIV & AIDS Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor VSO. Sponsored by external organisation Yes, VSO INDIA, New Delhi

Name Dr. INDRANI BHATTACHARYYA Designation Assistant Director Destination TURIN, ITALY [Date: 20-10-2010 to 26-10-2010 ] Purpose To attend Terra Madre Workshop in Turin, Italy on Food, Security & Environment Sustainability. Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor Agency. Sponsored by external organisation Yes, The Terra Madre Foundation, set up by the Italian Ministry of Agriculture, The Italian Cooperation Department (Ministry of Foreign Affairs).

Name RAJIB KUMAR HALDAR Designation Additional Director Destination Brussels, Belgium [Date: 25-09-2010 to 09-10-2010 ] Purpose European Union Conference for NGO Heads Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor Agency. Sponsored by external organisation Yes, European Union High Commission, New Delhi

41 Name NABARUN PANDA Designation Programme Manager

Destination VIENA [Date: 17-07-2010 to 23-07-2010 ]

Purpose To attend the VIENA AIDS 2010 Workshop Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor Agency. Sponsored by external organisation Yes, ICCO, Netherlands.

Name DEBALEENA RAY Designation Training & Documentation Personnel Destination VIENA [Date: 17-07-2010 to 23-07-2010 ]

Purpose To attend the VIENA AIDS 2010 Workshop Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor Agency. Sponsored by external organisation Yes, VSO INDIA, NEW DELHI

Name MANIDIPA GHOSH Designation Assistant Director – Child Protection Destination WASHINGTON D.C. & NEW JERSEY, USA [Date: 05-06-20102 to 15-06-2010 ]

Purpose To attend a conference on “Mother & Child Health Issues”. Gross Expense (Rs) All expenses including Air Ticket cost, Fooding & Lodging and other incidental expenses were borne by the sponsor Agency. Sponsored by external organisation Yes, “WOMEN DELIVER” , New York, NY 10012, USA

TOTAL COST OF NATIONALTRAVEL (2010-2011): Rs. 1,96,287.00

42 OTHER DETAILS

Amount reimbursed (in Rs.) to all Board Members in the financial tear 2010-2011 for the following items:

Distribution of Staff according to Salary (2010-2011)

Slab of gross salary (in Rs) plus Male staff Female staff Total staff benefits paid to staff (per annum)

upto 60,000 3 2 5

60001-120000 21 34 55

120001-300000 71 62 133

300001-600000 21 8 29

600001-1000000 6 1 7

List of Highest and Lowest paid staff of the organisation (including Head of the organisation)

Name Designation CTC (2010-2011)

Dr. Samir Narayan Head of the Organisation Director 7,44,187/- p.a Chaudhuri

Highest Paid Staff Rajib Kumar Haldar Additional Director 8,86,,410/- p.a

Resident Field Lowest Paid Staff Reshma Khatoon 52,800/- p.a. Associate

43 AUDIT REPORT

T.K Biswas & Co. 2, Church Lane, Kolkata - 700 001 Chartered Accountant Office: 2248-3344 Residence: 2335-4577

AUDITOR’S REPORT

1. We have audited the attached Consolidated Balance Sheet for Foreign and Non Foreign Contributions Accounts of CHILD IN NEED INSTITUTE as at 31st March, 2O11, along with Consolidated Income & Expenditure Account and Cash Flow statement for the year ended on that date. Separate Statements for Foreign and Non Foreign Contribution Account are also attached herewith. These financial statements are the responsibility of the Institution's management. Our responsibility is to express an opinion on these financial statements based on our audit, 2. We conducted our audit in accordance with auditing standards generally accepted in India, Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatements. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by the management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

We report that: a) We have obtained all the information and explanations which to the best of our knowledge and belief were necessary for the purpose of our audit. b) In our opinion, proper books of account as required by the law have been kept by the Institution so far as it appears from our examination of the books. c) The Balance Sheet and Income & Expenditure Account dealt with by this report are in agreement with the books of accounts, d) In our opinion the Income & Expenditure Account, Balance Sheet and Cash Flow Statement dealt with this report comply with the Generally Accepted Accounting Standards to the extent applicable . e) In our opinion and to the best of our information and according to the explanations given to us, the said accounts give the information read together with notes thereon give a true and fair view in conformity with the accounting principles generally accepted in India: i) In the case of the Balance sheet of the state of affairs of the Institution as at 31st March 2011, and ii) ln the case of the Income and Expenditure Account, of the surplus for the year ended on that date. iii) In the case of the Cash Flow Statement of the cash flows for the year ended on that date.

For T.K.Biswas & CO Chartered Accountants Sd/- T. K. Biswas

M. No: 56569 Proprietor Place: Kolkata Date: 4th August, 2011 44 CHILD IN NEED INSTITUTE Consolidated Balance Sheet as at 31st March –2011

Amount in Rupees

Sd/- Prof. Sunit Mukhejee

T. K. Biswas Chairman

Proprietor Sd/- M. No: 56569 Prof. Kalyan S Mandal Financial Controller

Place: Kolkata Sd/-

Date: 4th August, 2011 Dr. S. N. Chaudhuri Director

45

CHILD IN NEED INSTITUTE Consolidated Income & Expenditure Account for the year ended 31st March, 2011

Amount in Rupees INCOME SCH Current Year Previous Year Grant & Donations 8 229,992,677.14 218,614,162.14 Investment Income 9 4,142.713.78 3,324,631.32

Own Resources 10 4,094,413.99 4.666.836.80 Training, Counseling 11 1,772,163.10 1,293,428.30 and Programme Activities Other Sources 12 911,101.87 430,016.00 2,40,913,069.88 228,329,074.56 EXPENDITURE Current Year Previous Year Programmes Cost 13 206,446,240.69 173,261,195.94 Disaster Relief 14 649,517.50

Personnel Cost 15 15,674,952.02 36,104,774.74 Administrative 16 10,930,321.37 I0, 255,415.17 Expenses Financial Expenses 17 3,838,501.73 81,989.61

236,890,015.81 220,352,892.96 Excess of Income over 4,023,054.07 7,976,181.60 Expenditure A ppropriation Depreciation Reserve 8,602,135.00 6,720,000.00 F und Disaster Relief Fund 201,100.00 400,000.00 Emergency Reserve 201,100.00 400,000.00 Fund Property Maintenance 201,100.00 400,000.00 Fund General Fund -5,027,393.17 56.181.60 4,023,054.07 7,976,181.60

Notes to accounts & 18 Significant Accounting Policies The schedule referred to above form an integral part of the accounts.

For T.K.Biswas & Co On Behalf of Governing Body Chartered Accountants S d/- Sd/- Prof. Sunit Mukhejee T. K. Biswas Chairman

Proprietor Sd/- M. No: 56569 Prof. Kalyan S Mandal Financial Controller

Place: Kolkata Sd/- Date: 4th August, 2011 Dr. S. N. Chaudhuri Director

46 CHILD IN NEED INSTITUTE Consolidated Account Cash Flow statement for the year ended on 31-March-2011

CURRENT YEAR S OURCES OF FUNDS Amount in Rupees Opening Cash and Bank Balance 37,775,203.84 Ex cess of Income over Expenditure 4,023,054.07 Resour ces realized from -Supplier Advance 26,635.60 -Staff Advance 73,748.00 - Sundry Debtors 406,632.00 507,015.60 Resources available towards Unpaid current Liabilities

-Security Deposit 36,000.00 Fresh Project Grant Fund Received net of utilisation 3,121,680.38 Fresh Resources mobilised in Specific Funds -Self Supported project Fund-AAMSHC 1,017,441.07 -Disaster Relief Fund 82,457.42 -Education Fund 2,620,115.50 Child Protection Reserve Fund- Fondazione Blue On Lus 550,935.00 Self Supported projects Fund - IBS 2,195,789.59 Corpus Fund 3,590,950.00 10,057,688.58

Fresh Resources mobilised from Investment -Bond 20,580,591.76 -Bank Fixed Deposit 1,304,353.00 -Accrued interest 929,706.85 -Mutual Fund 30,143,005.34 52,957,656.95

Fund withdrawn from capital Fund 1,376,345.22

109,854,644.64 APPLICATION OF FUNDS Opening Project Grant Fund Utilised net of receipts 4,034,392.39 Resources used in acquisition of Fixed Assets 1,024,258.00 Resources Utilised towards -Fresh Investments in Fixed Deposit 37,634,478.79 -T ender Money Deposit 43,000.00 -Security Deposit 40,000.00 37,717,4I8.79 Resources Utilised from -Siliguri Building Fund 70,356.00 -Monobitan property Fund 375,580.00 -Self Supported project Fund-CWFC 1,104, 480.70 -G.JARVIS-Climate Change Fund 24,114.00 1,574,530.70 Resources Utilised towards payment of current Liabilities -Sundry Creditors 3,182, 437.09 -Reserve for project Expenses 2,877,848.93 -TDS Liability 9,174.00 6,069,460.02 Resources blocked in Current Assets, Loans & Advances -Programme Advance 2,868.64 -O ver-spent project Receivables 6,902,018.87 459,383.00 -Tax Deducted at Source 7,364,270.51

Closing Cash and Bank Balance 52,070,314.23 109,854,644.64

For T.K.Biswas & Co On Behalf of Governing Body

Chartered Accountants Sd/- Prof. Sunit Mukhejee Sd/- Chairman T. K. Biswas Sd/- P roprietor Prof. Kalyan S Mandal M. No: 56569 F inancial Controller Place: Kolkata Sd/- Dr. S. N. Chaudhuri Date: 4th August, 2011 Dir ec t or

47 AFTERTHOUGHTS

Warren Buffet, one of the world's richest, said “it is easy to make money, but more difficult to give it away!” This brings us to one of the dilemmas of the rich and there are many in our own country who wish to donate money for a cause. Most of the times the rich when they wish to give money to charities are often guided by their heart or their own life experience. They rarely consult other rich with similar intentions or read bulky reports by specialists who advise on how to improve the suffering of the poor and voiceless, or consult local NGOs . The most recent instance is that of a famous singing star of millions, who plagued by the accusations of adopting African children, decided to build orphanages in one particular country without consulting local authorities or NGOs. These orphanages have been found to be poorly run, with high administrative costs not commensurate with local expenditures. Another recent controversy now involves the author of a famous book who promoted building schools in two Asian countries where women's literacy is abysmal. He managed to convince many donors raising vast sums including a part of the prize money from Obama's Nobel Prize award. Recent investigations have found that many promised schools were never built and there were no consultation with other local NGOs who have been building schools in the area for a long time. In these days of globalization even doing business require an astute knowledge of local culture and behavior. This is widely proclaimed as strengths of banks with footprints around the world. So why consultations with others who have been in this same activity in the locality, are not a part of the planning process of donors?

How to measure impact has been one of the most commonly asked questions by donors. Many of them take the easy path of funding construction of schools, hospitals or homes for the poor as these are physically verifiable. But talk of influencing behavior of poor communities so that they can access local resources, use these better and demand transparency from local officials, then the donors often shy away! We now know that many of the issues that plague the poor and hinder their efforts to improve themselves, are offset by dishonest public officials. In some countries such as India, where there is a vibrant democracy, should we not seek donor funding to ensure good governance by simply educating the poor about their rights? If such officials belong to a particular political party, then any movement against them may be defined as “political”, which will disqualify the NGO from receiving foreign funds under the recently framed rules! “Donor education” is an important activity for all of us involved in raising funds, otherwise much precious resources will continue to be squandered for projects which create dependency, instead of long term sustainability in a vibrant democracy such as ours.

Dr. Samir N. Chaudhuri Director Date: 4 th, August 2011

48 ACKNOWLEDGEMENT v GOAL, Kolkata Corporate Partners v Gobinda Charity Trust, Kolkata v APEEJAY Trust ,Kolkata v Harsh and Payal Foundation, Kolkata v Axis Bank, Behala, Kolkata v ICCO, Holland v Axis Bank Foundation, India v IIMPACT, India v Balmer Lawrie, Kolkata v Indira Gandhi National Open University, New Delhi v Calcutta Electric Supply Corporation, Kolkata v Interact World Wide, UK v Computer Maintainance Corporation (CMC) Ltd., v Kolkata  K P K Charitable Trust, Kolkata v v Dorabjee Tata Trust, Mumbai  MCH STAR Initiative, India v v Duncan Industries Ltd., Kolkata  G. Saraogi Foundation, Kolkata. v v Exide, Kolkata  Micronutrient Initiative, India v v Johnson & Johnson Ltd, Mumbai  Orient Realty Management, Kolkata v v ICICI Foundation for Inclusive Growth-Centre for  Oxfam, Ranchi Child Health and Nutrition-Pune v PLAN India, New Delhi v K P K Charitable Trust, Kolkata v PYARI ONLUS, Italy v K P M G Trust, New Delhi v Railway Children, U. K v Narayan Deo Trust, Kolkata. v Save the Children- Balraksha Bharat, India v Ruia Group, Kolkata v Simavi, Holland v Shanti Jan Kalyan Trust, Kolkata. v Sir Dorabjee Tata Trust, Mumbai v Shree Shree Lakshinarayan Deo Trust, Kolkata v Sanzeno Foundation, Italy v Sita Saraogi Seba Sansthan, Kolkata v UNICEF, Kolkata v Topsel Pvt. Ltd, Kolkata v USAID, American Embassy, New Delhi v State Bank of India, Berhampore, W. Bengal v Tavole Valdese, Italy v  Web Development, Kolkata vVital Foundation, Italy v v Volkart Foundation, Mumbai International and National Donors/Partners v Voluntary Services Overseas, New Delhi v Bal Raksha Bharat, New Delhi v Windfall Trust, U K v Baldaan, USA v World Bank, Washington, USA v  Bekind, Ireland Government of India v Catholic Bishops' Conference of India , New Delhi v National AIDS Control Organisation (NACO), Ministry v  Centre for Disease Control, USA of Health and Family Welfare, New Delhi v Child Hope, U.K v National Institute of Health and Family Welfare v  Children International U S A through Sahay, Kolkata (NIHFW), New Delhi v  CHILD LINE, Mumbai v National Child Labour Project, Dept of Labour, v Christian Medical Association of India, New Delhi Ranchi v Deutsch Indischer Freundeskreis, Germany v Eastern Railway, Ministry of Railways, Govt. of India v DFID-UK vPartner with State Governments/Municipalities v Fondazione San Zeno, Italy v Jharkhand Education Project Council, Ranchi

49 v Jharkhand State AIDS Control Society, Ranchi v CINI Holland, Holland v Kolkata Municipal Corporation, Kolkata v CINI International, Italy v Kolkata Urban Services for the Poor (KUSP), W. v CINI UK, London Bengal v CINI USA, New Jersey, USA v Board of Secondary Education, Govt. of West Bengal v CINI Italy, Italy v Department of Home, W. Bengal v CINI Australia , Australia v Dept. of Health and Family Welfare, W. B v Friends of CINI, Glasgow, U.K v  Dept. of Development and Planning, W.B Institutions v Dept. of Panchayat and Rural Development, W. B v Ananda Mandir Club, Kolkata v Dept. of School Education, Govt. of W. B v Apeejay School, Kolkata v Dept. of Social Welfare, W. B v Assembly of God Church School, Kolkata v Dept. of Women and Child Development, Govt. of W. B v Belvedere College, Kolkata v Kolkata Municipal Corporation, W.B v Bhutnath Mahamaya Institution, Kolkata v Kolkata Police, Kolkata v Christian Medical Association of India, New Delhi v Kolkata Environmental Improvement Program, Govt. of v Don Bosco Ashalayam, Howrah W. B v Loreto Sealdah, Kolkata v Ministry of Railways, India v Mahadevi Birla Girls higher Secondary School, v Siliguri Municipal Corporation, W. B Kolkata v State AIDS Prevention Control Society, Govt. of W. B. v Our Lady of Providence School, Kolkata, Kolkata v West Bengal State Health and Family Welfare Society, v Shri Sikshayatan College , Kolkata W. B v St. Georges School, Kolkata CINI International Support Groups v St. James School, Kolkata v  CINI Belgium, Belgium v St. Sebastian School, Kolkata v Fond, Benina, Belgium

We are grateful to many individual supporters within and outside the country who have contributed to our cause and different sponsorship schemes.

50 AIMS AND OBJECTIVES OF SOCIETY (A) To develop human resources particularly in respect of children belonging to the vulnerable segments of the population. (B) To educate the people especially the mothers regarding the maintenance and improvement of the health and nutritional status of their children; (C) To conduct classes and schools for training in matters of health, nutrition and all other allied subjects pertaining to medicine and community development (D) To establish and maintain hospitals, clinics and feeding centers both static and mobile, community development centers, day care centres, co-operative societies, credit union and other related service centres (E) To incorporate and/or grant affiliation to Social Service Societies with object similar to any or all of this Society and to co-operate financially or otherwise with any person or persons in aid of and in furtherance of such objects; (F) To inform change or dissolve committees either on an area or an adhoc basis. (G) To act as consignee to relief and development organization, established in India or abroad. (H) To establish and maintain godowns, stock yards and other miscellaneous storage space for foodstuffs and other stores for the furtherance of the aims and objectives of the Society; (I) To establish and maintain demonstration centres for disseminating knowledge on nutrition and health. (J) To establish and maintain small scale and cottage industries for the production of processed foodstuffs, commodities of daily use to generate income for the society. (K) To help individuals and associations in the preparation of the projects on nutrition and health with special emphasis on the educational aspects both to evaluate these projects, to recommend to co-ordinate and when required and possible, sponsor those projects, without infringing on the autonomy of the applicant; (L) To make rules and regulations in connection with the management and control of the Society (M) To receive and hold funds for carrying out the objectives of the society in exchange of service rendered by the public; (N) To accepts gifts, grants-in-aid and endowments from the Government, Municipalities, District and local members; (O) To build/purchase, lease or otherwise acquire property both movable and immovable to carry out the aims of the Society; (P) To invest funds of the Society in such manner as the Governing Body may consider for the safety and benefit of the Society and to convert or alter such investments at the direction of the Governing Body; (Q) To borrow the money that may be required for the purpose of the Society; (R) To enter in to the liability for the purpose of the society and for re-payment or discharge, of any debtor liability by mortgage, charge, pledge, hypothecation, or assignment of any property of the Society in such manner as the Governing Body deem fit and proper; (S) To educate public opinion by publicity and propaganda in favour of the objects for which the society has established-publication of newspapers, periodicals, pamphlets, bulletins, books, articles, leaflets, to train or conduct lectures, seminars, conferences, press campaigns both in India and abroad and any other means that may be necessary to further and carry is objects into effects; (T) To do all other things that are incidental or decisive to the attainment or furtherance of the aims and objects of Society; (U) The Society shall not make any dividend, gift, or divide bonus in money to any of its members by way of profit and its income or property whenever and wheresoever desired shall be applied solely for the purpose of its aims and objects provided that nothing herein contained shall prevent in good faith payment of remuneration of the office bearers, other persons, institutions or societies in return for services rendered to the Society; (V) To have perpetual succession by its corporate name; (W) The funds and properties of the society whencesoever derived shall be applied solely in promoting the objects thereof; (X) To conduct educational programme up to Madhyamik level for general education of the rural woman, as well as other educational programmes for all age groups through schools, colleges and other educational institution. 51 ADDRESSES CINI MAIN OFFICE CINI International (India) 23/44, Gariahat Road, Golpark, Child In Need Institute (CINI) Kolkata-700029 Village: Daulatpur, P.O. Pailan via Joka, Ph+91 33 2460 2066/67 Pin 700 104, West Bengal, India, Fax +91 33 24601395 Tel: +91 33 2497/8192/9206/8758/8759 E-mail: [email protected] Fax: +91 33 2497 8241 E-mail: [email protected] CINI Resource Centre Website: www.cini-india.org Village: Daulatpur, P.O. Pailan via Joka, Pin 700 104, West Bengal, India, Tel: +91 33 2497/8192/9206/8758/8759 THEMATIC UNITS Fax: +91 33 2497 8241 E-mail: [email protected] CINI YUVA (Adolescent Resource Centre) 23/44, Gariahat Road, Golpark, OPERATIONAL UNITS Kolkata - 700029, Ph: + 91 33 2461 1463/2460 1395 CINI Diamond Harbour Unit Fax: + 91 33 2460 1395 PO. Rainagar (West), Water Tank Para, E-mail: [email protected] Diamond Harbour-743331, Ph. +91 3174 255395 CINI ASHA - The Urban unit Fax +91 3174 255127 63, Rafi Ahmed Kidwai Road, Email: [email protected] Kolkata- 700016, Ph: + 91 33 40058920/21/99 CINI Murshidabad Unit Fax: + 9133 2249 4706 26/56 Sahid Surya Sen Road E-mail: [email protected] (Near Berhampore Swimming Club) PO-Berhampore CINI Chetana - The Training Unit Murshidabad-742101 Vill. & PO, Amgachia, via-joka, Ph-03482 261686 / 262340 South 24 Parganas, Pin. 700 104, Fax: 03482 255847 Ph: + 91 33 2497 8240/2453 6359 Email: [email protected] Fax: + 91 33 2453 6359 E-mail: [email protected] CINI North Bengal Unit 45, Meghnath Sarani (Shanti More) CINI BANDHAN HIV & AIDS UNIT Hakimpara, Village: Daulatpur, P.O. Pailan via Joka, PO Siliguri-743001 Pin 700 104, West Bengal, India, Dist: Darjeeling Tel: +91 33 2497/8192/9206/8758/8759 Ph & Fax: +91 353 2523901 Fax: +91 33 24978241 Email: [email protected] E-mail: [email protected] CINI Jharkhand Unit CINI Fund Raising Unit 441/A, Ashoknagar 23/44, Gariahat Road, Golpark, Road No. 5 Kolkata-700029 Ranchi-834002 Ph: +91 33 2460 2466/67 Ph: 0651 2245370 Fax: + 91 33 2260 1395 Email: [email protected] E-mail: [email protected]

52 Child In Need Institute (CINI) Vill: Daulatpur, P.O.: Pailan, Via Joka, Dist: South 24 Parganas, Pin:700104, West Bengal, India. Tel: +91 33 2497 8192/8206/8641/8642 Fax: +91 33 2497 8241 Email: [email protected] Website: www.cini-india.org