Annual Progress Report
April 2012 to March 2013
Marathwada Gramin Vikas Sanstha (MGVS) Head Office: Gut.122, At.post Karajgaon, Tal. Vaijapur Aurangabad Dist. Maharashtra State, India Email ID: [email protected] Website:www.mgvsabad.org
Project Office: MGVS, No.2 ,MBC building , Opp. to Hotel Reviraj, Adalat Road , Aurangabad Pin 431001 Maharashtra state Phone: 0240-2341411 Email ID: [email protected]
Annual Progress 2012-2013 Report
Introduction
Marathwada Gramin Vikas Sanstha (MGVS) is a non Govt. oorganisation registered under the public trust, society registration and FCRA Act also registered under 12A, and 80 G. MGVS is working in the outskirts of Aurangabad, Nasik, A‘nagar and Jalna Dist of Maharashtra State since 1995-96 for the down trodden and affected area. MGVS works mainly in the area of health, education and rural water supply and sanitation for rural and urban poor. MGVS, as its strategy believes very strongly in people‘s participation in all its interventions in every stage, be it planning, implementation, evaluation or monitoring and thus community is motivated and involved in all phases of program.
Vision of MGVS
To strengthen the grassroots initiatives for socio economic upliftment of downtrodden area which focused on rural and urban women, children and youth through promoting community based development programmes in the field of health, education and water, sanitation programme .
Mission of MGVS
To promote the community based health care centers with community participation in remote villages to have easy access to health facility for community. To provide shelter home for HIV+ve orphan and Semi orphan children in Aurangabad district Work with Female Sex Workers (FSW), vulnerable and bridge population towards the prevention and control of STD and HIV/AIDS in Aurangabad and Jalna District of Maharashtra State Render technical and consultancy towards building programs for other community based organizations, local NGO's and partner organizations. This should help these organizations achieve self-reliance for their future social initiatives. To create awareness and build capacity of village community to take up the issue of drinking water and sanitation of their own village .We work with the community to address these issues and encourages the villagers to actively get involved. We aim to develop a sustainable model with respect to the maintenance and sustainability paradigms of these problems To create awareness and build capacity of rural women shelf help groups and other community based organization Main Activities of the Organization 1. Take Action for Prevention and Control of STD and HIV/AIDS among high risk group, vulnerable, bridge, PLHIV and orphan vulnerable children in Aurangabad and jalna District of Maharashtra State 2. To Improve the Reproductive Health status of women (age 15 to 49 years) by reduction in maternal mortality, morbidity, totality and STI and RTI rate in the targeted population of Gangapur and soygaon block of Aurangabad District through community based intervention 3. To create awareness and provide training on organic farming among the rural farmers of Aurangabad District. 4. To create awareness and build capacity of village community to take up the issue of Drinking water and sanitation of their own village and solve by their involvement and contribution towards maintenance and sustainability 5. To provide day care and education services for the street children who are left out during daytime as their mothers go for daily wages.
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6. To established shelf half group and build capacity of rural women groups as well as Community Based Organization. 7. To provide night care service to baggers in Aurangabad district 8. Advancing Tobacco Control program through capacity building, training, engagement and Advocacy in Aurangabad District 9. To reduce the unsafe abortion mortality rate among women in Kalwan block of Nasik District. 10. To provide developmentally appropriate services of care and support for children affected by HIV in Aurangabad.
Social impact award 2010 is given by S.P Jain management and Research Institute to MGVS
Hon. Mr. Shrad Pawar (Agriculture minister Govt. of India) Best NGO 2011 award given by Health Department With MGVS Secretary Mr. Appasaheb Ugale (Govt. of Maharashtra)
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Mr. and Ms. Rasiklalji Dadiwal Visited to MGVS vice Council of Japan (in charge of Development cooperation to MGVS Aurangabad and Karanjgaon
List of Important visitors visited to MGVS during the reporting period
1. Mr.Bhaskar Mundhe (IAS) Divisional Commissioner, Aurangabad Division 2. Mr. Purushotam Bhapkar (IAS) Commissioner of Municipal Corporation, Aurangabad 3. Ms. Aradhana Johari (IAS) Joint Secretary, NACO New Delhi 4. Dr. D.N Patil, Dy. Director of Health Services Aurangabad Division 5. Mr. Kunal Kumar (IAS) District Collector, Aurangabad 6. Dr. Givind Choudhari, District Health Officer, Z.P Aurangabad 7. Ms. Ausharan Kour (Joint Director, T.I MSACS, Mumbai) 8. Dr. Mrunal Shetty, Project Director, KHPT, Pune
Project no 1: Community Mobilization (Link Worker Scheme) under HIV/AIDS prevention and control programme for Aurangabad District
Introduction and Background of project:
With the epidemic first reported 25 years back in 1986, response to HIV in India continues to be a priority and focused action area particularly as in 2007 an estimated 2.39 million people aged 15-49 years were living with HIV (PLHIV). This makes the country third — after South Africa and Nigeria — in the international ranking for numbers of PLHIV in a country. As a signatory to the Declaration of Commitment on HIV/AIDS 2001 and the Political Declaration on HIV/AIDS 2006, India remains committed to AIDS prevention and roll-back and reaching Universal Access targets. The country has striven to improve and expand its efforts to halt and reverse the HIV epidemic and to fulfill its obligations on reporting its status. India has methodically developed and moulded its HIV-AIDS program according to the epidemic‘s current pattern — taking reference of an emerging evidence base — and in collaboration with its partners.
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India has a large population and population density coupled with low literacy level and low level of awareness of HIV/AIDS making it is one of the most challenging health problem ever faced by the country. More than 85% of HIV transmission in India is related to unprotected sexual intercourse or sharing of injecting equipment between an infected and uninfected individual. The core high risk groups of individuals are most at risk female sex workers, MSM, Injecting drug users. HIV transmission dynamics in India are such that unless effective targeted HIV prevention saturates the most at risk HRGs of FSWs, MSMs and IDUs, the epidemic will not be controlled. But the positive implication is that if HIV prevention is successful among these HRGs, the epidemic will be substantially curtailed.
Surveillance of AIDS cases in Maharashtra from 1986 to May 2005 reports 1, 65,700 cases out of which 13,747 cases are reported from Aurangabad. (Monthly updates on AIDS, NACO). In spite of these figures unreported AIDS cases are much more. Maharashtra is one of the high prevalent states in India. Mumbai is addressed as the HIV capital of Maharashtra. (India & Maharashtra Ref. AAP)
An important focus of the NACP III has been preventing HIV transmission from HRG to the general population via the migrants and truckers: also categorized as the bridge population. Focused interventions thus are aimed for migrants and truckers. But the major focus in NACP IV continues to be on the Core group which includes FSW, MSM and IDUs.
Rationale
Aurangabad is one of the fastest growing cities in Asia. Population of Aurangabad district is 35 95,928 it is divided in male and female i.e. Male – 19, 28,156 & Female – 17, 67, 772. In Aurangabad there are 4 industrial MIDC areas i.e. Paithan, Chikalthana, Waluj, Chitegaon & Shendra MIDC and there are Bajaj, Wockhardt, Videocon, Goodyear and SCODA like big industries working for various products. Workers required for these big and small scale industries are coming from in and outside the Aurangabad district. When they come here, at that time they are mostly coming single. There are chances of high risk behaviour from them because of freedom they get in Aurangabad city and proximity to hot-spots. Aurangabad is categorized as ―A‖ district in Maharashtra with a high prevalence of HIV among general population (represented as ANC) and among STI clinic attendees. For Aurangabad District, HIV positivity rate among STI cases is 8.89% (HSS 2008-09), HIV Prevalence among ANC prevalence rate is 0.11 % , HRGs is 2.6 % Vulnerable and bridge population 2.24%, (DAPCU Data 2012 )
There are estimated 3784 FSWs in Aurangabad District which includes non brothel based, Brothel based, and Home based and floating FSWs. The educational level of FSWs is low. Around 70,000 people migrated to Aurangabad Industrial area in search of work. Aurangabad district is located in the centre of the state & houses many tourist spots like Ajanta, Ellora, Paithan etc.The in & out migration of people makes it more vulnerable to transmission of HIV/AIDS.
50 Primary Health Centers (PHC), 279 Sub-centers, 21 ICTCs, 2 ART centers and one Community Care Center are available in the district.
Rational for Link Worker Scheme: 1. Rural population more vulnerable to HIV as: – Awareness levels are lower than urban areas – Consequently: 5 | P a g e
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– HIV no more Urban centric – Rural sites showing rapid increase in prevalence 2. Female sex workers based in rural areas are 20-47 % of all FSWs in district / state – Complex urban-rural migration amongst men and women, including FSWs – By not covering them, impossible to impact – Mainly invisible in rural area 3. Rural MSMs and IDUs not covered by any program – Difficulties in identifying and working with them 4. HIV/AIDS disproportionately affects young people – Young people (15 – 25 yrs) comprise 50% of the new infections and around 1/3 rd of all AIDS cases – Addressing young people is therefore the key to turning back the epidemic – Higher rates of unemployment and under employment in rural areas – Out of school youth higher in rural areas 5. Demand generation for ICTC, PPTCT, STI and PLHIV services – Access to Care, support and treatment needs for rural PLHIVs more challenging then urban – Demand generation, active referrals required 6. Limited focus on HIV/AIDS by existing field functionaries of health system – ANM, AWW , ASHA and MPW available at the village level – However issues with respect to HIV/AIDS not addressed sufficiently due to focus on other programs (RCH, TB, Malaria, etc) – Vulnerable population like unmarried males commonly left out because of lack of skills and possibly socio-cultural reasons, by female functionaries
Project Goal: Reduce the spread of HIV and incidence of STI in the Aurangabad District of Maharashtra State.
Project Objectives:
Establish and build capacity of project management unit to manage link workers intervention Reach out to HRGs and vulnerable young people with information, knowledge and skills on STI prevention and risk reduction Create an enabling environment for PLHIVs and their families by reducing stigma and discrimination through work with existing community structures Promote increased and consistent use of condoms to protect against STIs and unwanted pregnancies Generate awareness and enhance utilization of prevention and care and support programs and services Facilitate the delivery of youth friendly health and counseling services through existing public health services/service delivery points Facilitate the re-integration of HRGS into community and work with families against trafficking of women and children Types of Target Groups and Project Area and Population Target group: Primary target group – FSWs, Clients, Partners Secondary target group – Drivers, truckers, pan shop keepers, Petty shop keepers, lodge and hotel owners etc.
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Project Area: 100 villages from 9 block of Aurangabad District which includes Aurangabad, Paithan, Khultabad, Phulambri, Kannad, Sillod, Soygaon, Gangapur and Vaijapur block.
Villages Population:
Sr. No. Block No. of Total HRG Total Vulnerable Villages Population men and women 1 Paithan 12 253 5960 2 Aurangabad 16 150 5915 3 Phulambri 8 87 3074 4 Khultabad 7 71 2604 5 Gangapur 13 176 5348 6 Vaijapur 11 154 2947 7 Kannad 10 82 5141 8 Sillod 15 170 8158 9 Soygaon 8 94 4052 Total 100 1237 43199
Activity and Achievement:
Sr. Name of Activity Mapping Proposed Achievement Goal No. estimate target Achievement rate (%) Till Mar Up to 31st Mar. 13 13
1 FSW 1158 1158 1237 107
2 MSM 67 67 76 N/A 3 IDU 0 0 1 N/A 4 Truckers 3360 3360 4723 141 5 Migrant Male 23190 23190 26225 113 6 Migrant Women 6712 6712 7003 104 7 Vulnerable Young Men 1350 1350 1277 95 8 Vulnerable Young Women 7827 7827 8476 108 9 PLHIV Male 204 204 114 56 10 PLHIV Female 106 106 111 105 7 | P a g e
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11 OVC 19 19 53 279 12 Volunteers Identification 1000 1000 1327 133 13 Volunteers Training 1000 1000 1212 121 14 HRG Referral ICTC with repeat 1225 3872 referral 316 15 HRG Testing with repeat testing 1225 2133 174 16 RRC establish. 100 100 100 17 Condom depot 100 212 212 18 KIC 100 100 100 19 Vulnerable Men women ICTC 43199 55575 Referral 129 20 Vulnerable Men women ICTC 43199 27005 testing 63 21 SNA 100 100 villages N/A
22 No. Identified Positive 188 N/A 23 ART /CCC referral 188 N/A 24 ART/CCC Linkage 143 N/A 25 Bridge and Vulnerable STI referral 14007 N/A 26 Bridge and Vulnerable STI treated 1393 N/A
27 HRG STI referral 3505 N/A
28 HRG STI treated 286 N/A
29 TB patients referral 161 N/A 31 Advocacy meeting with district 61 level stakeholders N/A 32 Meetings with other village 241 functionaries N/A 33 Community Events and meetings 553 organized with SHGs and youth clubs N/A
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Mid Media Activities:- Summary:- Mid – Media activities in Link Worker Scheme are most creative and effective activities. It influences the people and also creates awareness through entertainment. In this mid media activities most of the population was covered to whom we made aware about HIV/AIDS in this Link Worker Scheme. The main advantages of these activities are community participates in these activities from which they get health information. In order to enhance the High risk groups participation in the program, social and cultural technologies are being linked in BCC activity. In this context Health Melawa cum camp is one of the socio cultural activity in village level HRG and vulnerable community are getting an opportunity to come together. Mid media activities are mainly for creating awareness in villages through which we can educate & aware the peoples on HIV/AIDS, STI Fun Melawa & poster exhibition is one of the part of mid media activity. In the Melawa &Poster exhibition various types of game was arranged. 1 Handa ball –Use of each and every time condom. 2 ICTC/VCTC – Importance of ICTC/VCTC, HIV/AIDS 3 STI – importance of STI preventation
Increase knowledge Stimulate community dialogues Promote essential attitude change Reduce stigma and discrimination Create demand for information and services Promote services for prevention, care and support
Fun Melawa and Poster exhibition &peoples are participated in Handa boll game
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Fun Melawa and Poster exhibition
Activity Name: Cultural Event Goal of Activity: To admire the work of volunteers and RRC members in villages with the target group for sustainability of LWS
Objective:
To get the co-operation and involvement of Volunteers and RRC members for implementing the LWS To make aware Volunteers and RRC members on the health issues and on HIV/AIDS To gather all people to do a group discussion on the issues of health and their expectation from LWS team related to HIV/AIDS problems. To award the best work done by volunteers in LWS. To find out various skills of volunteers and RRC members To create the platform for their experience sharing To take review of LWS work in different villages To take efforts for sustainability of LWS.
Youth Melawa &youth participants in Melawa
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Activity name: Bharud Bharud is an local activity which is very famous in villages peoples gave their time for the program & they take interest in it. It very effective for youth & middle age people.
Objective:
To make people aware about the concept of HIV/AIDS To get the involvement of community in LWS work and implementation To enhance the coverage and participation of high risk group and vulnerable population Bharud is a traditional activity of Maharashtra. It includes drama, act, and music/songs in local languages. MGVS hire one troop of Bharud from Vaijapur block which is named as Samta Jagruti Kalamanch. Total team members in this team were 6 and all were having different role in Bharud.
Bharud team & Participants in Bharud Program
WAD (Worlds AIDS DAY) Activities in a weak of 1st Dec to7th Dec2012. Introduction:
In District WAD 2012 activities, all the NGOs of Aurangabad District participated in the Rally. This event was supported by the Karnataka Health Promotion Trust and all related activities were carried out by District NGOs namely Marathwada Gramin Vikas Sanstha (MGVS) FSW TI, Link Worker Scheme, Prerna Samajik Sanstha (PSS), Counsel for Rural Technology & Research Institute (CRT&RI), Dr. Babasaheb Ambedkar Vaidyakiya Pratishthan, PHFI (ICTC mobile van), Rotary club, joints club etc.
Background:
In Dec.2012, the theme for the Worlds AIDS Day was: ‗Getting to Zero‘ that highlights the need for innovation and vision in the face of the AIDS challenge. The campaign calls on solidarity of all sectors of the society including families, communities and civil society organizations – rather than just governments - to take the initiative for ‗Getting to Zero‘ related to HIV.
Getting to Zero is a global commitment to scale up access to HIV treatment, prevention, care and support. Through this a worldwide commitment has been made to increase access to the most effective HIV infections needed to manage the diverse epidemics across countries and improve broader health outcome 11 | P a g e
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Objective
To create awareness of HIV To emphasis on ―HUMAN RIGHT‖ To increase knowledge about HIV To prevention of HIV
Dr. Patil (Civil Surgeon) participate in rally Inauguration of Wad Rally
Orchestra show at Vivekanand College Oath given by Civil Surgeon with Participant, Aurangabad
Street play program with WAD Rally 12 | P a g e
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The RRC President Inaugurated the Candle rally Background of the activity:
The activity was carried out by Marathwada Gramin Vikas Sanstha (MGVS). All the preparation of ‗Getting to Zero‘. Poster Exhibition show was done by Link Worker Scheme, Marathwada Gramin Vikas Sanstha (MGVS) to create the awareness among the community
Chitrarath rally inauguration and Prayer for those people which was expired by AIDS
Poster Exhibition show at Aurangabad Railway Station Chitrarath Rally &poster exhibition
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Link Worker with the poster Exhibition & Inauguration of WAD Rally Activity details: In both of villages we took the Chitrarath & poster exhibition for college youth, high school students and villagers. In the rally college going students were participated. For this activity first supervisors took the permission from Gram-Panchayat and principal of colleges & schools, after those Supervisors invite them for inauguration of Chitrarath & poster exhibition and started the rally. Volunteers & Link workers gave the information to villagers from the poster exhibition. Most of the people ask their queries regarding HIV/AIDS to supervisors, DRPs, and they get satisfied after their answers for their questions. It is all to for ‗getting to Zero‘ in HIV/AIDS. we conducted totally 10 Chitrarath Rally‘s & 8 Candle Rally‘s in the week of 1st Dec to 7th Dec2012
Sr.no ActivityDetails(Apri12toMar2013) Total no Total population covered 1 ICTC Camp 160 - 2 STI Camp 80 - 3 ICTC Referral 15930 - 4 ICTC Testing 9046 - 5 STI Referral 6584 - 6 STI Testing 5332 - 7 Bharud 80 24495 8 Street play 34 12390 9 Fun Melawa 20 5595 10 Youth Melawa 6 1350 The information of total mid media activity is mentioned in above table & total population covered by Mid media activity Annual Get together program of MGVS:- Motivation is one of the thing by which we can do anything which we wanted to achieve in our life. As like this MGVS took the get-together of all project staff for their refreshment and to give them the clear idea about their skills and strengths. No one is perfect in life so this is important to make changes in our life as per the situation and for that we always need to workout for perfection. MGVS gave the chance to make person perfect and successful in his/her achievement
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Annual get together program of MGVS MGVS office training:- MGVS always conducting training of staff for motivate the staff & showing the right way of doing good work in field.
In house training of staff about responsibilities of LWS staff District implementing project team District Resource Person (Program) – 1 District Resource Person (Training) – 1 M & E cum a/c assistant – 1 Support to Mgt. Staff – 1 Supervisors – 4 Link Workers – 40
Linkages: 1 Linkages with District Health Departments, Collector office, DAPCU office, and other stakeholders of NGOs. 2 Linkages with Village Health Departments, THO, and village level stakeholders. 3 Linkages with Target Intervention project, NGOs, CBOs & other projects. 4 Linkages to Sanjay Gandhi Niradhar Yojana 5 Linkages to CLHA Shelter home, School for Education and Nutrition, NAP+, CCC and ART center.
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Good Practices / Innovation 1. District level meeting with CEO, DHO, CS, ART centre & all THOs and PHCs medical officers and DAPCU. 2. Advocacy meeting with village level PRIs and CBOs (youth club, SHG, Mahila Mandal, Gram Panchayat and VHCs. 3. Advocacy meeting with DAPCU office with councillors & Technicians 4. RRC (Youth Group) established in village level and registered with Charity Commissioner (CC) office as a Yuvak Mandal. 5. Registered RRC link with Youth, Sports department and NYK for sustainability. 6. Village knowledge Information Centre established in one room. SNA map, Services provided under LWS & BCC, IEC material (Books, flip book, posters, chart, and leaflets related on reproductive health, STD, HIV /AIDS) disclosed on wall. 7. Conducting meetings of Volunteers &LW & Village stakeholders in RRC for giving the information about importance of RRC at village level 8. Wall painting in each village of LWS (KIC) 9. Saiyukta established in 48 villages of Aurangabad
48 Saiyukta established in village 10. Networking meeting with ICTC, ART & STD Counselor & Technicians 11. District level meeting with LW in every month
Knowledge Information Centre and Monthly Meeting of LWs at District Level 16 | P a g e
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12. Cluster level meeting with LW for sharing problems & experiences 13. Daily & monthly reporting format are developed for LWS staff 14. Need base Training for all staff for doing good work in a field 15. Problem solving Training for LW at village level 16. Good MIS & Supportive Monitoring System 17. Resource Mobilization and fund raising 18. Sexual network in vulnerable population 19. Linkages with community worker / benefit of LWS to ASHA 20. Monitoring and Evaluation Strategy
Learning’s: 1. For implementation of LWS Co-operation and involvement of District, block and village level authority is very important. 2. Advocacy meetings are important with District & village level stakeholders and authority 3. Community involvement and participation is important in any activity 4. Preplanning of activities is the first step of achievement 5. Interactive activities are helpful to make aware community about HIV/AIDS 6. Time management is the key of getting success in any activity 7. Flexibility and adoptability will be learn by team members 8. Services of ICTC &STI is very important for Target Groups of LWS 9. New techniques and approaches are important for successful implementing. 10. Mobile ICTC and STD clinic is very important for Village level HRGs, Vulnerable STD and ICTC Services 11. Continues and in house & Village level Training of Volunteers and Link Workers is very important for Capacity building of Link workers & sustainability of LWS 12. Linkages and networking is important with village stake holders for involvement and Services (GP, youth group, AWW, ANM, ASHA VHSC etc) Outcomes of the Link Worker Scheme: (HIV prevalence rate in Aurangabad District )
12 9.84 10
8
6 4.60 4 2.30 2.24 2 0.39 0.11 0 HRGs vulnerable ANC and bridge vulnerable rate in 2008 befor starting As on March 2013
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From the above table we can get the information that how the was decreased from 2008 to 2012 in the working area of MGVS TI and Link Worker Scheme.
100 HRG villages identified for implementation of the scheme. A cadre of trained local people- 40 Link Workers and 1327 Volunteers Increase in knowledge about HIV transmission, risk behaviors, HIV prevention and available health services among HRGs and vulnerable young people and women. Increase in knowledge about HIV transmission, risk behaviors, HIV prevention and available health services among community members/significant others (SHGs, PRI, VHC, etc.) Increased use of condoms by HRGs, their partners, clients and vulnerable group Increased utilization of STI management, ICTC, PPTCT and ART services by HRIs/ HRGs, and vulnerable. Increased access for young men and women to health services (e.g. STI management, ICTC, PPTCT) Reduced stigma and discrimination against PLHA and their families.
Output of LWS implementation: 1. Target group get aware about the HIV/AIDS and STI 2. Stigma and discrimination decreased about PLWHA 3. Usage of condom increased in villages
Project No.2 Prevention of STI and HIV/AIDS among non-brothel based sex workers in Paithan, Khultabad and Sillod Taluka of Aurangabad District
Executive summary The FSW TI project yielded successful results in 2012-13 and in fact the results exceeded expectations on certain performance indicators. More than 4, 52,000 male condoms were distributed and over 3600 STI checkups were done for FSWs. The peer education initiative recorded success and appears to be a promising initiative for future success of the project. The advocacy and networking initiatives such as health camps, promotion through posters and street plats etc. met with huge success.
Goal of the Project : To halt & reverse the prevalence of HIV/AIDS among the Non Brothel Home Based Female Sex Worker (FSW) population and to provide quality services for their sexual health needs in Aurangabad District .
Objectives of project To set-up project management systems and structure to initiate interventions with Female Sex Workers (FSWs) in Aurangabad District To conduct the mapping and enumeration of the Female Sex Worker (FSW) population in Paithan, Khultabad, Sillod Taluka of Aurangabad District. To increase awareness regarding STI, HIV and AIDS by initiating BCC activities and mobilizing the community. To promote the effective usage of condoms and ensure availability and accessibility of the same among the FSW population.
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To provide early diagnosis, counseling and treatment/referral to people with STI and HIV. To build capacity of staff, various stakeholders and service providers in implementing strategies and sustaining the programs. To develop, train, and monitor groups of peer educators from the HRGs and community. To create enabling environment through Advocacy & Networking in the project area.
The above objectives are achieved through the strategy of Behavior Change Communication. Behavior change communication is a multi-level tool for promoting and sustaining risk reducing behavior change in individuals and communities by distributing tailored health message in variety of communication channels. Following are the various activities carried out to achieve the above-mentioned objectives with the FSW population in project area.
The above objectives are achieved through the strategy of Behavior Change Communication. Behavior change communication is a multi-level tool for promoting and sustaining risk reducing behavior change in individuals and communities by distributing tailored health message in variety of communication channels. Following are the various activities are carried out to achieve the above mentioned objectives with the FSW population in project area.
Following activities are conducted under FSW TI Project under BCC One to one Sessions Group sessions Group Discussions Community mobilization structures Community events
Condom promotion Counseling Condom distribution Condom demo, Re-demo (Information given to HRG / KP in one to one session and group session in Hotspot & DIC.)
Information given of correct use of condom
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Integrated Counseling and Testing and STD care and support HRG identification, counseling and referral to ICTC for testing STD petition Identification, Counseling and referral for further treatment and follow-up. We are also given STD Kit & VDRL Kit to PPP, ICTC in field at Hotspot level. Advocacy & Networking Meeting with secondary stack holder such as DHO, Civil surgeon, THO, MO, DAPCH, ICTC and
WCD department etc .
Stakeholder meeting with P.I and M.S at Paithan Advocacy meeting with API at Bidkin Police station Peer Education Peer education identification, capacity building of peer educator in weekly Hotspot meeting & monthly meeting organized at district level and information given about format, establishment for CBO. Peer educator can play a significant role in spreading the awareness among KPs and help them to improve their life.
Monthly review meeting at District level Hotspot meeting with HRGs
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Crisis management System Identify of crises with Pimp, Client, partner and KP. First registration of issue in Crises committee in DIC meeting at block level. Type of Violence addressed within 24 four hours. Advocacy meeting with CBO, NGO, police, and Municipal Corporation.
Sustainability Plans Marathwada Gramin Vikas Sanstha (MGVS) will develop a sustainability plan which includes building human resources, community mobilization and establishing linkages with the public and private sectors. As per NACP III efforts will be made over a period of 3 years to expand the Community Based Organization (CBO) which will then take over the project, however community mobilization activities towards identification of a core team, developing a common understanding and sense of belonging to the project, expansion of CBO will be initiated from the 1st year itself. Networking with other CBO and NGO, linkages
CBO Formation: Community Based Organization has been formed to address issues important to the community (e.g. violence, financial security, education, advocacy, welfare, cultural arts, etc). 1000 KPs is part of CBO or community groups and 6 meetings has been conducted with participation meeting.
District level meeting for CBO Formation with KP / HRGs Annual Get together program of MGVS:- Motivation is one of the thing by which we can do anything which we wanted to achieve in our life. As like this MGVS took the get-together of all project staff for their refreshment and to give them the clear idea about their skills and strengths. All Peer educators, 56 KP and Staff shared their experience. MGVS gave the chance to make person perfect and successful in his/her achievement. Participants showcased their varied skills such as dancing, singing, standup comedy etc. at the event. This helped in breaking the ice and created a long lasting bond among the participants. Advocate Mrs. Renuka also informed the participants about crisis management in the field.
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Advocate Mrs. Renuka Ghule advice about the immoral traffic (prevention) ACT and the protection of Women from Domestic Violence Act to Peer educator & KP in Mahila Melava ( Women’s Day)
Distribution of Gifts to Peer Educator staff of MGVS in get together program World AIDS DAY Activities in a weak of 1st Dec to7th Dec 2012.
Introduction: In District WAD 2012 activities, all the NGOs of Aurangabad District participated in the Rally. This event was supported by the Karnataka Health Promotion Trust and all related activities were carried out by District NGOs namely Marathwada Gramin Vikas Sanstha (MGVS) FSW TI, Link Worker Scheme, Prerna Samajik Sanstha (PSS), Counsel for Rural Technology & Research Institute (CRT&RI), Dr. Babasaheb Ambedkar Vaidyakiya Pratishthan, PHFI (ICTC mobile van), Rotary club, joints club etc.
Background: In Dec. 2012, the theme for the Worlds AIDS Day was: ‗Getting to Zero‘ that highlights the need for innovation and vision in the face of the AIDS challenge. The campaign calls on solidarity of all sectors of the society including families, communities and civil society organizations – rather than just governments - to take the initiative for ‗Getting to Zero‘ related to HIV.
Getting to Zero is a global commitment to scale up access to HIV treatment, prevention, care and support. Through this a worldwide commitment has been made to increase access to the most effective HIV infections needed to manage the diverse epidemics across countries and improve broader health outcome.
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‗Achieving country-defined targets by 2012 present an opportunity to change the pace of the response to the AIDS epidemic. It will help save lives, by putting more people on treatment, protecting babies and young people from getting infected and ensuring that a whole generation of orphans will graduate from school. It will also contribute to the strengthening of health system and increasing human resources‘.
So with the focus of above ideas we took the district & Paithan, Sillod, Bidkin and Verul level activities.
Objective To create awareness of HIV / AIDS To emphasis on ―HUMAN RIGHT‖ To increase knowledge about HIV/ AIDS To prevention of HIV /AIDS
Participant in WAD Program in Sillod , Paithan , Bidkin
Lecture to Adolescent girls on HIV/AIDS
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Information given about condom demo and IEC Material distribution by participant in poster Exhibition (Orientation on HIV/AIDS for youth)
Get Information about HIV/AIDS in Poster Exhibition
Project team for FSW TI project Project staff is working to achieve the objectives of the project.
Designations Nose % of time Project Director 1 25% Project Coordinator 1 100% Counselor 1 100% Outreach workers 4 100% Accountant 1 100% Part time doctor 6 50% M&E 1 100% Total 15
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Reach (through TI) to the primary target population visible (target 1000 for reporting period)
Number of FSW Proposed Number of FSW reached through TI 1000 1032
Activity and achievement
Sr. no Name of Activity Proposed Achievement BCC One to one Sessions 9000 13513 (Community Group sessions 2503 2580 mobilization Group Discussions 2503 2580 structures) Community events (2 Per yearly) 91
Condom Counseling (50 per month) 1617 promotion Condom distribution (48000 per month ) 452833
Condom demo (100 Demo. per month (900 demo and Re demo in a reporting period ) 2306 Referral to ICTC for testing 2000 3738 ICTC for testing 2000 2002 STD care and Counseling and referral for As per monthly Cases 182 support further treatment Regular medical checkup 4000 3605
STD petition identified 75 per month 182 Full treatment As per STI Petition 182 wise VDR testing 2000 2162 Peer Peer education identification, 17 17 Education capacity building of peer 17 17 educator
Active peer educators 17 17 Advocacy and Meeting with deferent stack 1 5 Networking holders Health Camp 1 3( 189) Awareness camps) ( Poster 1 250 Exhibition ) Street plays 14 2080
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Output by end of 31st March 2013 1000 FSW population are covered by regular contact. 100% of regular contacts are motivated for regular ICTC testing. As per Indicator 2002 ICTC testing‘s done in reporting period. As per Indicator VDRL testing‘s done in reporting period. 3,605 FSWs STI checkups are done All PLHIV identified and linked to ART centre as well as DIC. Support group meetings for PLHIV will be initiated. 4,52,833 male condoms distributed in last year. 17 trained peer educators are available in project site. 12 monthly and 4 Quarterly MIS meetings conducted Three Stakeholders Meeting in Bidkin, Paithan & Verul. Three Health camp organized in Veurl, Paithan & BIdkin. Awareness program for HIV/AIDS in WAD program at Bidkin, Sillod, Paithan & Verul block.
Learning 13. KP Co-operation and involvement at Hotspot and DIC level very important in project. 14. P E is involvement and participation is important in any activity. Ex. Poster exhibition, Health camp, Crises issue, DIC Meeting at block level. 15. Preplanning of monthly activities is the first step of achievement. 16. Interactive activities are helpful to make aware community about HIV/AIDS 17. Services of free Condom distribution , ICTC , RMC , VDRL testing & STI is very important for K P 18. New techniques and approaches are important for successful implementing. 19. Mobile ICTC Van is very important for Hotspot level. 20. Networking & Linkages is important with other stake holders for involvement and Services. Ex. Linkages to ART centre, advocacy police station in block, DAPCU office, Bank manager for SHG formation, Rural Hospital etc. 21. Advocacy meetings are important with District & village level stakeholders 22. There is big challenge to join the KP and work with them. ( New identification KP ) 23. Group work is most important in project implement. 24. All the stakeholders realized about the importance of mutual cooperation 25. Basic language training for the peers will help them to be more informed by being able to read basic information such as expiry date on the condoms pack 26. Increased awareness of the KP about appropriate procedure for condom usage, causes and prevention of HIV, safe practices etc. would go a long way in checking the spread of HIV
Project No 3. Advancing Tobacco Control program through capacity building, training, engagement and Advocacy in Aurangabad District as a Mother NGO
Marathwada Gramin Vikas Sanstha (MGVS) Aurangabad working on Advancing Tobacco Control program through capacity building, training, engagement and Advocacy in Aurangabad District as a Mother NGO
The aim & objective of the project is to create smoke free public places as per section 04 of COTPA act 2003, strengthen enforcement and implementation of section 06 of COTPA act 2003, improve monitoring and compliance of tobacco control Laws and Increase the awareness level of general population.
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To achieve above objectives Marathwada Gramin Vikas Sanstha is working hard on the various aspects of tobacco control, Such as training, capacity building, advocacy and awareness. MGVS is conducting various base line and end line survey and observation, MGVS is conducting workshops of Government authorities in various levels such as district officials, police officials, local self government and Municipals corporation authorities. MGVS is also involving stake holders, civil society partners and Media into tobacco control program through sensitization workshops.
MGVS is working on COTPA act 2003- COTPA is cigarette and other tobacco product {Prohibition of the advertisement and regulation of trade and commerce, production, supply and distribution} act 2003 this act extends to whole India including J&K come into force on 01st May 2004. The act is applicable to all products containing tobacco in any form smokeless and smoked tobacco. The COTPA act 2003 is included major section.
Marathwada Gramin Vikas Sanstha (MGVS) is working for section 04 and section 06 of COTPA act 2003. COTPA act 2003 section 04 is prohibition of smoking in the public places. Section 06 of COTPA act 2003 is prohibition of sale of cigarette and other tobacco products to minors and by minors and Ban on sale of tobacco products within 100 yards of educational institutes.
Introduction of Tobacco
Tobacco use cause a wide range of major diseases which effects nearly every organ of the body these include the several types of cancers, heart diseases and lung diseases. Tobacco was introduced into India by Portuguese traders during AD 1600. It‘s used and production proliferated to such great extent that today India is the second largest producer of tobacco in the world.
Tobacco uses in INDIA
The Percentages of tobacco use in India adult‘s age of 15 and above are too much. Smoking kills 10 lakh Indians every year. The current tobacco users in India overall 34.6% among them the male tobacco users are 47.9% and the female users of tobacco are 20.3%
The use of tobacco in India goes different in the residence as well. There is major part of tobacco use by the rural population. Around 38.3% users are there in rural population. The Urban are using 25.3% of overall tobacco users in India. There is difference of tobacco users Daily users, Occasional users, Occasional user former daily, Occasional user never daily in India.
Source - GATS India 2009-2010
Tobacco smokers in INDIA-
The tobacco differentiates in two parts one is smoke and other is smokeless tobacco. The percentages of smokes and smokeless tobacco are different in India. Gender wise and residence wise. The smokers are again divided in two products of smoking one is Bidi and other is cigarette. The current tobacco smokers overall smokes 14.3% among them male smokes 24.3% and female smokes 2.9% the current tobacco smokers in rural population smokes 38.4% and in urban smokes 11.2% of smoking. There are two parts of smoking products one is Bidi and other is Cigarette. The current cigarette overall smokers smokes 5.7% among them male smokes 10.3% and females smokes 0.8% of cigarette. Current smoker smokes 7.0% in 27 | P a g e
Annual Progress 2012-2013 Report urban population and 32.4% in rural population. The current Bidi smokers overall smokes 9.2% among them male smoker smokes 16.0% and female smoker smokes 1.9% of Bidi smoking. Current bidi smoker smokes 5.5% in urban population and 5.9 in rural population.
The daily tobacco smokers in India overall smokes 10.7% among male smokers smokes 18.3% and females smoker smokes 2.4% of daily smokers. The daily tobacco smoker smokes 8.4% in urban population and 11.6% in rural population. The daily cigarette smoker overall smokes 3.6% among them male smoker smokes 6.1% and females smoker smokes 0.6% of daily cigarette smokers. The daily cigarette smoker smokes 4.5% of urban population and 3.1% of rural cigarette smokers.
The daily Bidi smokers in India overall smokes 5.1% among them male smoker smokes 13.1% and female smoker smokes 1.6% of daily Bidi smoker the daily bidi smoker in urban population smokes 4.7% and rural population smoker smokes 8.7% of daily bidi smokers. Source - GATS India 2009-2010
Smokeless tobacco users in INDIA- The current smokeless tobacco users in India overall uses 25.9% among them male smokeless tobacco users use 32.9% and female tobacco smokeless user uses 18.4% of current smokeless tobacco uses. The current smokeless tobacco user uses 17.7% in urban population and 29.3% current tobacco smokeless user uses 29.3% of smokeless tobacco.
The daily users of smokeless tobacco overall uses 21.4% among them male daily smokeless tobacco user uses27.4% and females daily smokeless tobacco user uses 14.9% of smokeless tobacco. The daily smokeless tobacco user users 17.4% urban population and 24.2% rural population daily uses smokeless tobacco. Source - GATS India 2009-2010
Tobacco users in MAHARASHTRA – 31% of tobacco uses in Maharashtra- The current tobacco users in Maharashtra age 15 and above overall 31.4% and the daily tobacco users in Maharashtra age 15 and above overall 28.3%, the occasional users in Maharashtra age 15 and above overall 2.9%, the occasional users former daily in Maharashtra age 15 and above overall 1.2%, the occasional users never daily in Maharashtra age 15 and above overall 1.6% of tobacco users. The current tobacco male users in Maharashtra age 15 and above overall 42.2% and the daily tobacco male users in Maharashtra age 15 and above overall 38.3%, the occasional tobacco male users in Maharashtra age 15 and above overall 4.2%, the occasional users former daily male in Maharashtra age 15 and above overall 1.5%, and the occasional users never daily male in Maharashtra age 15 and above overall 2.7% of tobacco users.
The current female tobacco users in Maharashtra age 15 and above overall 18.9% and the daily tobacco female users in Maharashtra age 15 and above overall 17.5%, the occasional female users in Maharashtra age 15 and above overall 1.3%, and the occasional user former daily female in Maharashtra age 15 and above overall 1.0%, the occasional users never daily female in Maharashtra overall 0.4% of tobacco users.
The percentages of tobacco users according to gender in Maharashtra overall male used smoked 15% and smokeless 24% among them 09% of male used both smoked and smokeless and 52% males are non-users of
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Annual Progress 2012-2013 Report tobacco. The percentages of female tobacco users smoked 02% and smokeless 17% among them 10% of female used both smoked and smokeless and 80% of female are non-users of to tobacco. Source - GATS India 2009-2010
Tobacco use in Aurangabad - Smoking is big killer in Aurangabad- The male smoked in Aurangabad age 30-34 around 38% and the age 35-39 smoked around 42%, the age 40-44 smoked around 43%, the age 45-49 smoked around 46%, the age 50-54 smoked around 39% and the age 55-59 smoked around 36%, the age 60-64 smoked around 25% and the age 65-69 smoked around 31% in Aurangabad. Male smoking prevalence in Aurangabad age 30-69 smokers are 1, 35,100 among them 1, 26,200 smokes Bidi and 8,900 smokes cigarettes. Source - GATS India 2009-2010 Activities of tobacco control program
Following activity conducted in Aurangabad district
1. District level sensitization workshops of government authorities 2. Block level sensitization workshops of government authorities 3. Workshop for civil society partners and NGOs of Aurangabad district 4. Workshop for media persons 5. key information interviews 6. Observation of public place 7. Mass mid media activity 8. Establishment of District Tobacco control Cell and Taluka Tobacco Control Cell 9. Follow-ups of for enforcement of COTPA Act 2003
The district level sanitization workshop
The district level sensitization workshops plays vary vital role in our project we have sensitize all the district level government offices in these workshops the government department such as Education, Health, Revenue and police department get participated in these sensitization workshop all the authorities of respected offices where participated in sensitization workshops. The authorities like collector, deputy collector, police commissioner, deputy police commissioner, Chief Executive officer (CEO), Education, revenue , local self government offices like municipals corporation officers and other notified offices has been participated in the district level sensitization workshop.
We have gathered these government officers for the sensitization workshop through their respected departments and authorities. We have drawn letter from Collector to all the departments head with his signature letter same way we have continued this practice for the Z.P and Municipal Corporation of
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Aurangabad district. The other method we have used to organize sensitization workshop is we used to participate in the month meeting of respected department and get time from them to conduct sensitization workshop we have continued this practice for education department, health department and Vaijapur, Khultabad and Aurangabad government offices.
What we have in the sensitization workshop is most important for us and government authorities also. As we are working on tobacco control issues we were focusing on tobacco control Laws and its enforcement. We stared our workshop with introduction and importance of the project followed by the COTPA 2003 section 04 section 06 presentations, we tell about the Cigarette and other tobacco product act 2003 (COTPA 2003) section 04 & section 06 in details along with how to and where to implement this act. Authorities of respected government departments get the information about who is responsible for the implementing this act and who have authority to take action against those who are violating the COTPA 2003 section 04 & section 06. Another part of sensitization workshop is presentation on tobacco Hazards where participated gets information about hazards of tobacco on human body. This session helps to provide information on effects of smoking and smoke free tobacco on human body. The last session we have is Q&A session where participate ask questions and resource person answers them queries. The sanitization workshop ends with vote of thanks
Govt. officials participated in District level workshop
Establishment of District tobacco control cell (DTCC)
As mention above the focus was to establish DTCC in this year but it was not so easy. We have struggle a lot for the same but finally we able to established District Tobacco Control Cell.
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The Initial process for DTCC:
As we know according to Govt. resolution (GR) we have the guild lines for establishment of DTCC. According to GR there few people who are likely to be having in committee are not government authorities and these people should be recommended by the Guardian minister of Aurangabad District. At the early stage we have fond these people who can support us for the same and they have good repo in society as well. We have also get the interest letter form them to have member in DTCC. This is the initial process we have made to establish District tobacco control cell. Along with this we have regular follow-ups for the same to assistant commissioner of F & D Aurangabad as well as with Collector of Aurangabad. We where ready with the entire important things which can supports establish District Tobacco Control Cell of Aurangabad District.
This was one of the most important parts of establishment of DTCC. When we have the interest letters of the committee members for the same we started taking the follow-ups with Assistant Commissioner of F & D Aurangabad District. From the month of June we are continually visiting Asst. Commissioner Mr. S.K. Shere sir. But somehow he was not responding us for the same still we continued with our follow-ups. Asst Commissioner of F & D is the Secretary member of District tobacco control cell so its important for him to put-up file of DTCC to the Collector of Aurangabad District as he is the Chair person of District Tobacco Control Cell but some how Asst Commissioner was not putting the file of the same to collector so the establishment of DTCC going delay.
When we come to know that Asst Commissioner was not getting time to putting the file we again meet Asst Mr. Shere sir and request him to do it as early as possible and we also give him interest letters of other committee members which are ready to work with us on DTCC as member. Though we have given interest letter of other member to Asst. Commissioner of F & D still the progress was not made to establish DTCC. Here we again take strong follow-ups for the same to Assistant Commissioner of F & D Mr. S.K. Shere Sir but we won‘t get output from it. So we decided to meet directly to Collector of Aurangabad District.
When we talked to Asst. Commissioner of F & D Aurangabad we come to know his is busy with his day to day work and could not able to meet collector and put-up the file for the same. That‘s why we decided to meet collector for the same. Here we draft a letter to collector for establish District Tobacco Control Cell and attached the interest letters of other members. We try to meet collector regarding the same and we where continually taking follow-ups of the same. After week pass we could not meet collector because he was very busy in his work we still try to meet him for the same this process almost took two weeks but we couldn‘t able to meet collector. Mean while we where trying to meet Asst. Commissioner of F & D
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Aurangabad to do the process for DTCC in Aurangabad. We almost find that these people are too much busy with their works so the progress for establishment of DTCCC is going delay.
After doing such procedure we thought DTCC will get established but some how it was taking so much time to do it so. On the day of Marathwada Mukti Sangram din Guardian minister where present in Aurangabad city for the various programs. We decided to meet him again and request him to do the need full for establish District Tobacco Control Cell.
We again discuss about district tobacco control cell with him and the same day his PA tell us that they have already suggest to collector for the same and they have also suggested few names of the member for establishment of District tobacco control cell so the DTCC will get established soon and we need take follow-ups of it to district collector. As they said by Guardian minister‘s PA we took the follow-ups for the same to Collector and we come to that they established DTCC cell and the letters of the same will released soon to the consult persons. This was the huge process we have made for DTCC. For this process we meet Guardian minister, District Collector, and Asst. Commissioner of F & D for the whole procedure but finally District Tobacco Control Cell for Aurangabad District gets established in Sept 2011.
Establishment of Taluka tobacco control Cell (TTCC) at Vaijapur Block:
As we planned to identify model block we planned to have some major activities in this block also the establishment of the Taluka tobacco control cell was one of them. To established TTCC we identify some major member of it such as Chair-person, adviser, Secretary Member & other member of committee such as Headmaster of schools and reputed Principal of College. As we mention above we have one on one meeting with these people to discuss on the project & TTCC with them. We also try to convince them to have their active participation in the same & support us for tobacco control program.
As per primary discussion with these people we drawn the letter sing by project director of MGVS to these member mentioning as a Taluka tobacco control cell is established in Vaijapur block and you are part of it as Chair-person, secretary Member or member. This was the progress made to established taluka tobacco control cell at Vaijapur Block in Aurangabad District.
Block level sanitization workshop
MGVS have conducted sensitization workshop on various block for block level officials sensitization, participant wear participated from Deputy Collector, Tahasil, Block development, Block education, Taluka health , ICDS , police department, primary heath centers and rural hospitals etc. Along with all the notified
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Annual Progress 2012-2013 Report offices of government block level departments, all workshop have conducted with presence of Chief Executive Officer of Z. P Aurangabad and Deputy Collector and Tahasildar Vaijapur
We have gathered these government officers for the sensitization workshop through their respected departments and authorities. We have drawn letter from Deputy Collector to all the departments head with his signature letter same way we have continued this practice for the Panchayat Samiti, Tashasil office, education department, health department and other block level offices. The other method we have used to organize sensitization workshop is we used to participate in the month meeting of respected department and get time from them to conduct sensitization workshop we have continued this practice for education department, health department and Vaijapur, Khultabad and Aurangabad Block government offices.
What we have in the sensitization workshop is most important for us and government authorities also. As we are working on tobacco control issues we were focusing on tobacco control Laws and its enforcement.
Govt. official participated in Taluka workshop
The mass media awareness campaigns We have conducted various mass media awareness campaigns on district and block level of Aurangabad district. In which we have covered various activities such a street plays, awareness rallies schools activities and many more. We have conduct street plays on COTPA 2003 section 04 and section 06 where we have educate masses on tobacco control laws and its enforcements through simple way of street play on the other hand we have conducted rallies with school students where around 1500 students participated rally and gives anti tobacco massages at different area of Aurangabad city. We also have stall and exhibition at various block of Aurangabad district in which we have educate people on tobacco hazards and tobacco control Laws.
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Street play on COTPA 2003 and tobacco issue Workshop for medial person
Sign age on section 4 and 6 in public place
Sine age on section 6 at educational institute
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Activities & Achievement
Sr. Name of Activities Proposed Numbers Achievement No. No. Participants Key information interview 01 Principal School At least 2 to 3 03 District Level 03 02 Principals of Colleges At Least 03 04 District level, 03 07 03 Police officers {CP, DCP. At least 01-CP, 01- DCP, 01-CP,Block 01- DCP, level 01 -PI 08 & PI} 02-PI on Dist. Level, 05-PI on 04 Social Activists { Medical At least 06 02- DistrictBlock level level, 06 08 & Non- Medical} Block level 05 FDA officials Commissioner-01 & Commissioner-01 & 02 Asst Commission -01 Asst Commission -01 06 District officials DC-01, DHO-01, DEO- DHO-01, DEO-02, 03 02 07 Other Government Nil BDO-03, THO- 04, BEO- 10 officers { THO,BEO, 03, BDO} District level Workshops District level Workshops 04 Half day and 02 full 04 Half day & 02 full day 355 08 day workshop workshop at Dist level. 09 Block Level workshops Block Level workshops 03 Half day workshop of 03 Half day workshop of 112 Block block level 10 Civil Society Workshops Civil Society Workshops 02 Civil Society 02 Civil Society 84 workshop workshop 11 Media workshop Media workshop 02 Media workshop 02 Media workshop 39 12 Sign age Section 6 flex and wall 0 Wall painting and flex on 75 painting section 6 at education department and school 75 Section 4 flex and wall 0 Wall painting and flex on 300 painting section 4 at public place and govt. officials
Achievements- The government and concerning authorities are following the COTPA act 2003 section 04 & 06 in their respected offices as well as their departments.
The all-primary health centers (PHCs), Govt. and public offices of Aurangabad district have displayed sign- ages of no smoking area.
The all nine block of Aurangabad district displayed the sing-ages of COTPA 2003 section 04 at every government office at taluka level. 35 | P a g e
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The educational institutes in Vaijapur block have wall paintings of no smoking area and ban of tobacco products within 100 yards of educational institute is an offence with some health warning of tobacco use.
District tobacco control cell for Aurangabad district has been established in Oct 2011 with approval of Guardian minister of Aurangabad District and implementing COTPA Act 2003 section 04 and section 06.
Vaijapur and Khultabad block is declared as a smoke free block under tobacco control program.
The Collector of Aurangabad will soon declare Aurangabad district as smoke free district by year-end of 2013.
The total compliance of COTPA 2003 section 04 and section 06 is achieved 90% after the end line survey of the project Advancing tobacco control program through capacity building, training, engagement, and Advocacy.
The133 Government department from nine block of Aurangabad district get sensitize on COTPA 2003 Section 04 and Section 06 The 103 department from District level government offices get sensitize on COTPA 2003 section 04 and section 06 The 352 district level governments authorities get sensitize on COTPA 2003 and around 112 government authorities from block level get sensitize on COTPA 2003 section 04 and section 06 There are around 84 NGOs and civil society partners get attached in tobacco control issues and some of are voluntary working on COPTA 2003 section 04 and section 06 The Aurangabad was the first district which displayed sing-ages of COTPA 2003 section 04 and section 06 at all the government offices. There was mass media awareness workshop conduct at Nimgaon Village around 20,000 villages from Vaijapur tauka sensitize on COTPA 2003 along with MLA, MPs, Deputy Collector, BDO, BEO, THO and other government authorities of Vaijapur block. The mass media campaigns conducted on Anti-tobacco day on 31st March 2012 at various areas of Aurangabad city where around 3000 people sensitize through the stall of COTPA 2003 section 04 and section 04 The COTPA 2003 section 04 and section 06 awareness street plays conducted with FDA Aurangabad where around 3500 people sensitize on COTPA 2003 section 04 and section 06 through street plays and hand out distributions
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Choose Life Not Tobacco
Project no 4 : Community Based Health Monitoring under NRHM
Community Based Health Monitoring process (CBMP) is a method, which is used to get beneficiary feedback about a particular service. CBM enables to know people‘s feeling and satisfaction levels about the service and accordingly explore necessary areas for improvement to satisfy them. CBMP bridges the gap by involving community members in the assessment of services in order to improve them. It is a kind of social audit of the public health services which serves to facilitate active participation of people who are otherwise indifferent towards the state of affairs in the health system. The Community Based Monitoring is an organized way of collecting, analyzing, and verifying information at the local/community level to be used by local governments, national government agencies, non- governmental and civil society organizations for planning, budgeting, and implementing local development programs. It serves to monitor and evaluate the performance of government agencies. Community members want a health system that is responsive to their needs. A community health needs assessment is a dynamic ongoing process undertaken to identify the strengths and needs of the community, enable the community-wide establishment of health priorities and facilitate collaborative action planning directed at improving community health status and quality of life. The key point is: information about community needs helps communities and Health Authorities to set priorities and to address the most pressing needs of the community. Objectives of Community Based Monitoring are, To provide systematic information about community needs To provide feedback on the status of functioning and fulfilment at various levels of public health system To ensure equal partnership of community and community based organization
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To obtain validating data from health workers of public health system The significant advantages of CBMP were, 1). People get an opportunity or space to put forth their complaints regarding health services and to give their opinion about the health services they require, 2). The health care system becomes accountable to the people and the transparency in functioning becomes possible while providing health services, 3). People take on the active role of participation in the implementation of the health care services, 4). Make the people more aware and orient about the Government‘s health services and schemes and 5). Improved public health services are utilized thereby unnecessary expenses on private doctor/practitioner are avoided.
Methodology: The project was carried out in the Aurangabad district in Maharashtra. The implementing nodal agencies (NGOs) were also having different ideological origin and therefore different working pattern, while all have background of working with issues related to human rights, health rights and health related issues
Population and Sample As mentioned above, the district where CBMP was implemented in Maharashtra was studied. In each district CBMP is being implemented in 3 blocks and in each block 3 PHCs and in each PHC 5 villages were covered for CBM implementation. Therefore the population of the study consists of 5 pilot phase districts, 15 blocks, 45 PHCs and 227 villages which were covered under CBMP. Therefore from this sampling frame, for the present evaluation study from each district 2 blocks, from each block 2 PHCs and from each PHC 3 villages were selected (Annex. III). This pattern of selection was adopted across all districts (Figure No 1), thus in 5 districts – total 10 blocks, 20 PHCs and 60 villages were chosen for the study by adopting simple random sampling technique.
Organizational Chart
Project Director
District coordinator
Accountant Block coordinator
PHC PHC PHC Facilitator 1 Facilitator 2 Facilitator 3
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Areas covered under operation Aurangabad
Vaijapur
PHC PHC PHC Borsar Manur Gadhepimplagaon
Borsar Manur Gadhepimpalgaon
Bhingi Pokhri Panvi
Savandgaon Salegaon Vakti
Bhivgaon Bhokargaon Nagamthan
Parsoda Sakegaon Bazathan
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Introduction
The Government of India has launched the National Rural Health Mission (NRHM) on 12th of April 2005. The vision of the mission is to undertake architectural correction of the health system and to improve access to rural people, especially poor women and children to equitable, affordable, accountable and effective primary health care throughout the country. It emphasizes on improvement in the health status of the rural community, mainly by strengthening the public health system with the focus on Primary Health Care. The accountability framework proposed in the NRHM is a three pronged process that includes internal monitoring, periodic surveys and studies and community based monitoring. Since its launch in 2005, CBM has been an accountability mechanism in the Indian government‘s NRHM. CBM of health services is a key strategy of the NRHM to ensure that the services reach those for whom they are meant, especially for those residing in rural areas, the poor, women and children. Community monitoring is also seen as an important aspect of promoting community led action in the NRHM. The major focus of CBM process was an improved understanding between the community and the Government health service providers, which is actually a step forward towards developing the health status of Maharashtra. It can actually develop the quality of health services in the State.
Activity: A. Formation of CM committees
1. Village Health Sanitation Committees Formation : 15 2. Primary Health Monitoring and Control Committee : 03 ( Borsar, Manur ,Gadhepimpalgaon) 3. Block level committee Formation : 01 (Vaijapur Block ) 4. District Monitring Committee Formation : 1 VHSC monitors the health and sanitation standards maintained by a village. The committee is trained to carry out its activities to ensure proper operation of Aanganwadi, water hygiene and general health awareness. The committee also ensures that all villagers are aware of their health related rights and are able to rceive their dues. PHMCC moitors and controls the activities carried out by the medical officers, MPWs and ANMs. The committee ensures that the patients are attended by the medical staff with adequate attention and are provided due medical care. The committee also trains the members of PHC committee abput their roles and responsibilities. In 2012-13, 61 members were trained by this committee. Block level monitoring committee ensures that villages covered under the respective block are aware of their basic rights and are able to exercise them. The committee ensures that any poor person is not exploited by the authorities. The committee also listens to any grievances that remain unsolved at the village level and forward it to district level if the conflict remins unsolved at the block level. In 2012-13, the committee trained 23 members successfully.
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Block monitoring committee visited to Sub District Hospital, Vaijapur District level monitoring committee supervises the village, blocks level committee, and handles any issues that remain unsolved at the village and block level. The district health officer holds the office of the vice president of this committee. MGVS plays the role of secretariat. The chairman of the health department of the Zila Parishad of Aurangabad district presides over this committee. In 2012-13, the committee comprised of 21 participants and 12 members were trained by the committee.
B. Orientation of CM committees
Training team of block facilitator committee comprises of 14 participants. This team educates the participants about the CBM activities, modes of operation of the organization. The committee works at the grass root level and educate the village residents about their helath related rights. Frequent collective meetings are organized where feedback is sought fro the residents. In case of complaints the residents are facilitated to put forth their point to the authorities. 16 participants were trained by the committee in 2012-13.
District Mentoring committee holds the decision making power to handle the issues that remain unsolved by the village and block level committee. The committee also issues directives to ensure smooth functioning of the organization. The meeting is held quarterly where progress is reviewd and roadmap is 41 | P a g e
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formulated for the next three months of operations. The committee is expected to attend ‘Janasunvaai (public hearing) meetings’ and act as a facilitator for such meetings. The CEO of Zila Parishad is the president of this committee and the health chairman of the Zilla Parishad is the vice president of this committee. Various qualified civil surgeons are members of this committee. The DHO (District Health Officer) is the secretary of the committee. The committee coordinates the activities of various village and block level committees. In addition to to this the committee is responsible for planning, organizing, staffing and controlling of these committees. The committee has 22 participants. Block level convention for VHSCs and ASHAs Milawa is responsible for various miscellaneous diseases afflicting the villages. A health fair is conducted by the committee to facilate the activities of the ASHA workers. ASHA workers are encouraged to share the challenges that they face in rendering health related services. The committee also offers the monetary incentives to the ASHA worker on a case to case basis. The committee has 77 participants. Orientation workshop for RKS (Rugna kalyan Samitee) is presided by the members of the Zilla Parishad. MO (MedicaL Officer) of the PSC is the secretary of the committee. The committee ensures that the fund meant for the welfare of the patient is used judiciously for their treatment and that there is no leakage. The committee member also holds the right to choose or reject a program depending upon whether it is beneficial to the patient or not. The committee delegates the authority and responsibility to various team members based upon its judgment of the motivation and fair intent of the members. 48 participants were trained by the committee. The committee ensures that the funds meant for the patients are channelized in the right direction for the welfare of the patient.
Orientation workshop for other stakeholders at block level trains the wokers on all aspects of rendering health related services including managing the supply and distribution of the medicine and health services, training of members , fund management etc. 95 Prticipants were trained by the committee.
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Exchange program in other districts aims at sharing the best practices carried out by other similar organizations operating in other districts. Members of both the organizations visit the otyher one and learn from their functioning. An exchange program was carried out with ‗Manav Lok Marathwada Gramin Lokayan. Block Ambajogai, Distt. Beed. 2 day visit to the NGO was organized with 15 paticipants. The activity of ‗jan sunvaai‘ was observed by the participants.
Awareness program at village level was launched to raise the health awareness level among the villagers. Various tools were used such as street plays that educated the villagers about the presence, roles and functioning of various committees active in their area. The villagers were educated about the benefits they can reap by visiting Aanganwadi, sub centers and PHCs (Primary Helath Center) and services provided by the rural hospital. The roles of various helath officers were also explained to the villagers and they were encouraged to approach them as and when required. I addition to that, the village residents were informed about the ambulance facility to manage the situations of emergency. As many as 2090 people across 15 villages participated and benefitted from the campaign.
5
Facilitation of data collection and preparation of reports card was carried out at village, block and district level. Data was collected from the village representatives regarding the availability of the adequate health services by the health offices. A questionnaire was prepared and information was sought from the village residents. The information was analyzed for 15 village3s, 3 PSCs and 1 sub district. Various health monitoring committee members were involved in the data collection and analysis. The information was also color coded to ensure easy readability. The issue regarding most immediate and urgent attention ws coded red and the acceptable pasramers were coded green. Yellow representated moderate urgency. 698 members participated in this data gathering exercise. The grievances of the village members were recorded in the questionnaire booklet. This included residents who were either denied of their rightful medical service or were provided inferior quality services. The data was collected by the committee members and assisted by the staff.
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‗PHCs Jansunwai’ Public hearing) members organized a platform where the affected village residents were provided a chance to present their complaints in person to an empowered panel. The Jansunwai was organized jointly by three PHCs – Manur, Borsar and Gadhepimplgaon. The panel comprised of social workers, journalists and District Health Officers (DHO), AArogya Sabhapati, political leaders.The village residents spoke openly about the issues faced by them in procuring their rightful medical services. The panel listened to their complaints and acted swiftly. In certain cases, the panel issued dismissal warning to the errant officers. Women participated in encouraging numbers in the initiative. The panel directed the medical officers to follow all the guidelines issued by the government strictly. The medical officers were asked to issue monthly roster for all the healthcare officers. In general, all the medical staff was held more accountable and answerable of their activities.In total, 541 registered participants participated in the campaign. There were additional 1000-1200 members who were not officially registered but were enthusiastic participants.
Out puts
Sr. NO. Distric Block PHC Village Total Total t Population Population covered 1 Borsar 4200 2050
2 Bhivgaon 2341 1500 PHC , 3 Parsoda 2445 1045 Borsar 4 Savandgaon 3783 1090 5 Bhingi 613 270 6 Manur 2348 1790 7 Aurang Vaijap PHC , Bhokargaon 1096 870 8 abad ur Manur Pokhari 2042 1280 9 Sakegaon 1311 770 1 Salegaon 613 228 11 Gadhepimpalgao 2400 1200 PHC , n 12 Gadhepi Panvai 1833 1045 13 mpalgao Nagamthan 2304 1285 14 n Vakti 835 412 15 Bazathan 1068 507
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1. Village Health and sanitation Committee Oriention of CM : 15 2. PHC Orientation of CM: 03 ( Borsar, Manur ,Gadhepimpalgaon) 3. Block level committee Orientation of CM : 01 (Vaijapur Block ) 4. District level committee Orientation of CM : 1
C. Facilitation of Data collection , preparation of reports cards 1. Village : 15 2. Sub Senter : 06 3. PHC (Borsar, Manur , Gadhepimpalgaon ) : 03 4. Sub District Hospital , Vaijapur : 01 D. Workshop , Training and Meeting 1. Training of block‘s facilators 2. District Mentoring committee meeting : 01 3. District Monitoring committee meeting : 02 4. Exchange programme in Beed district : 01 5. Orientation Workshop for other stake holders at block level : 01 6. Orientation Workshop for RKS member
Learning
1. Residents realized that the money for the government initiaves is channelized through the tax on their incomes and hence it is their right to demand befitting services 2. Committees can proactively monitor and control the functioning of the medical officers 3. Members became aware of the regulations regarding monetary disbursement 4. Village residents became aware of their rights to secure healthcare services and also were empowerd to demand these services in case officers are reluctant to do so. 5. Vaccination awareness and penetration 6. Warm response from the committee members fostered the confidence of leaders to intensify the CBM activities 7. Medicines can be distributed directly to the patient through the PHCs, thus eliminating the need for letters 8. Change is possible only thorogh the collecvtive efforts of all stakeholders 9. Committee workers also learned about various essential helath services 10. MPWs andf ANMs realized their responsibility to be a resident worker 11. Village residents baceme aware of their rights regarding adequate healthcare services 12. Government officers can be held accountable through collective efforts of village residents and committee
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Project no 5: Pediatric AIDS Initiatives (PAI)
Introduction:
This project is a part of one of the national HIV intervention program in which work done for Children living with HIV /AIDS (CLHA) where nothing much has happened for them. Due to the detrimental effects and strains the HIV virus inflicts on the health and well being of CLHAs, CLHAs have many additional needs. To manage and counter these effects, As per National AIDS control organisation guideline mandate the CLHAs regularly visit an ART centre to avail of the existing free diagnostic and treatment services and voluntary counseling. This project supported by Clinton foundation, Give India and USA and Gove India also given partial support for this program.
Children of today are the youth of tomorrow.HIV affects this very precious generation and bear grave consequences to our future, our nation, the continent and the world at large. It will adversely impact the health statistics, economic growth and above all the morale of nations. Although children represented only 6% of all people infected with HIV/ AIDS as of December 2005, they accounted for 18% of the 3.1 million AIDS deaths in 2005. Only 40,000 or 4% of the one million people now on antiretroviral treatment are children. This means that one in every six AIDS deaths each year is a child, yet children represent less than one of every twenty-five persons getting treatment in developing countries today. India has an estimated 202,000 children infected by HIV/AIDS (UNAIDS 2004). Using a conservative vertical transmission rate of 30%, a new cohort of approximately 56,700 HIV infected infants, is added every year (NACO, 2005). As of Sept 2006, the programme has about 45,000 individuals on ART through public, private, and NGO supported ART centers (NACO 2006). There are 2,300 children, who are currently receiving ART in India (NACO Oct, 06), 87,323 children registered with ART and 2,781 children on ART in Maharashtra however; half of HIV-positive children die undiagnosed before their second birthday. The reasons for lack of access for treatment of children with HIV/AIDS are manifold and include among others, issues of diagnosis in infants (early diagnosis), lack of clear guidelines for the treatment of children, lack of access to appropriate pediatric ART formulations, inadequate capacity and knowledge of service providers in clinical management of Pediatrics HIV/AIDs, lack of surveillance and data in this age group (<15 years), nutrition in young infants, inadequate follow up of infants born to mothers from the PPTCT programme and other programmatic issues such as convergence with RCH services and the lack of a minimum package for care and support of children affected and infected with HIV. Enhancement of health care systems‘ ability to address health needs of infected children, resulting in effective management of common childhood illnesses and prevention and treatment of opportunistic infections. Children have specific needs for growth and development, and of early diagnosis of infection besides needing a strong family support. Orphaned and vulnerable (OVC) children, both affected and infected add to the complexity of the issue in terms of vulnerability, social security, livelihood, poverty etc. The main thrust areas of this report include the newborn component of PPTCT, follow up of the HIV- exposed infant, counseling mothers to decide the right infant feeding choices, PCP prophylaxis and appropriate diagnosis of infected children. Once HIV infection is confirmed and for the older children, who have contracted HIV through other routes, the areas of importance include correct diagnosis, nutritional support, immunization- both routine and special vaccines, antiretroviral therapy, prevention and management of opportunistic infections (OIs), and last but not the least, access to appropriate counseling services. There is also a need to focus on adolescents and HIV, especially with regard to primary prevention of HIV amongst teens by providing them with the life skills, family life education and right messages on prevention of HIV.
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Objective of Project:
To Provide comprehensive pediatric care and treatment (ART) for 109 children Link 109 children to Aurangabad ART centres for CD4 and ART Care and support is being given through MGVS and treatment through ART centre Care includes: Psychological support, Nutrition and travel support To provide counseling to children‘s parent and care taker for supportive environment
Target Group: Children from 1 to 18 year old
Project area: Vaijapur,Gangapur ,Kannad, paithan, Khultabad, Sillod, Kannad and Kannad Talukas of Aurangabad District Support provided under project to beneficiaries: Psychological Support: Aimed at delivering counseling in an open and child-friendly atmosphere, this type of support ensures that an infected child and caregiver understands his or her health situation as appropriate for age and, as a result, is empowered to live a healthy life.
Outreach workers (ORWs) or field satff made regular visits to the CLHAs and their families at least once in a month to emphasize the value of healthy leaving and ART adherence.
ORW was made a minimum of one visit per month, visit should be a mandatory home visit per month for all the children or an accompanied visit to the ART centre.
1. ORWs were spending a minimum of one hour at each home during the home visits and educate and /or counsel the child or the care giver on the following topics: Adherence to ART drugs or OI prophylaxis and the importance of follow up visits to hospital About HIV/AIDS, OIs/Symptoms Provide referrals, if needed Living positively Basics of nutrition (Defining an appropriate diet, the preparation of a proper diet using locally available resources) Basics of health, hygiene and sanitation Formation of support groups and conduct support group meetings, if possible.
2. Monitors and records the growth indicators of the CLHA on a monthly basis 3. ORWs were filling in one M & E form per CLHA per month and enter the dates of the home visits in the M & E form. 4. Ensured that all the CLHA on ART and/or Cotrimoxazole adhere to treatment/prophylaxis 5. Ensured that all children saw a professional counselor at the ART centre and refer all cases which present with a new or severe health problems (e.g. fever, rash, diarrhea, productive cough or pain such as headache, ear pain, abdominal pain, or leg pain) to nearby primary
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6. Health centre/District Hospital/community care centre or ART centre and maintain a record of the same. 7. Ensure that all children had their CD4 test at least once in 6 months. ORW was maintaining copies of government ART centre CD4 reports and car and support program consent forms at the IP.
PLHIV children were not going to ART centre because of unawareness regarding HIV/AIDS so the ORW counsel to them on HIV/AIDS and educate on treatment like ART, regular check up and CD4 count of them.
ORWs meet to the parents and relatives of CLHA to make them understand what the HIV/AIDS in actual and remove their misconceptions.
In addition, care and support is the main part of this job. ORW when meet to the parents of children they gave them an idea how to take care of their child and how can they make their child happy.
Travel Support: Because the distance to the closest government ART centre can be significant, funds were provided to subsidize the transportation costs for children in the care and support program.
Modes of travel support:
1. CLHA and one parent/caregiver go to ART centre and got reimbursed on actual up to the travel limit 2. ORW was accompanied the child to the centre with on actual up to the travel limit 3. Group of CLHA in an IP/IP-rented vehicle/public transport with supporting documents and within the travel limit.
We provide travel support to the child and his / her parents for coming to ART centre monthly and for taking the nutrition from office.
Those who were orphan and semi orphan we linked them or given them admission in Sai Bahuuddeshiya Sewabhavi Sanstha, Dharmavir Raje HIV/AIDS Balgruh, Aurangabad. It was helpful to them that they stay at district place and easily can get treatment.
Nutritional Supplementation:
Under this we provide rice, groundnut, Matoo and Jiggery to the beneficiary also sometimes we gave them Mooing, Rajgira ladoo. For this, the beneficiary came to office and gets the proper service.
We linked them at Anganwadi and pre primary school or shelter home for middy milk or full nutritional support.
Overall activities done under project:
First identify and mobilize CLHA and took their personal details and history Sensitize on HIV/AIDS-address stigma and discrimination. Through Home visits educate communities on HIV/AIDS, OIs, Positive living and others Counseling for communities, families and individuals Motivate for voluntary testing and support in testing process.
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Get their CD4 and other test done at the ART center. After that those who require ART (Having less CD4 Count) get start their ART from ART centre. Follow up all the children at least once in a week, especially to those who are under ART and have to come on a monthly basis to collect their medicines. Those CLHAs not on ART also to be followed up for repeat test in six months time or as advised by the doctor. Ensure treatment adherence and make linkages to different services. Monitoring of CLHA health status like OIs, side effects of ART and others. Delivering and monitoring nutrition supplementation, providing nutrition that is high in protein, low in cost and locally available, distribution mechanism-ensure easy access to CLHAs and ensure proper documentation (Maintenance of register, etc.) , Funds should be spent on travel support for each child Facilitate monthly visits to the ART centre for children on ART, facilitate monthly/quarterly visits for children not on ART
Outcome:
After the intervention the parents are paying their attention on children health Regular visit to ART centre Linkages with Mata Bal-Sangopan Yojana & Sanjay Gandhi Niradhar Yojana are the most important thing because they get the financial support from these government schemes. We took the admission of children in the school of CLHA now they are alone going to school for the welfare of their life Every month parents and child came for the nutrition in office. Now the parents gave the attention on the health status of their child also on other infections 100 % orphan and needy child linked to shelter home
Project no 6.: Rural water Supply and Sanitation project
Pure water is life! MGVS has created awareness about practices to keep water pure, safe , importance of sanitation and hygiene has been created among the rural poor in Nifad & Chandwad block of Nasik Dist.,Paithan & Vaijapur block of A,bad Dist. and Kopargaon and Rahata taluka of A,nagar Dist. Through this programe 26 rural water supplies and sanitation Committee, 26 Social Audit Committee, 26 Women Development committees are initiated in partnership with Gram Sabha. These community level committees are being capacity built by MGVS and they participate in every stage of project cycle such as planning, monitoring, decision making, evaluation and implementing. 120 SHGs have been established in 24 villages. Daily 40 litres of clean, pure and sustain drinking water is available in 26 villages through this programme.
MGVS also works in Aurangabad and Jalna districts of Marathwada region of Maharashtra. This year, as the region has become drought-prone, MGVS helped drought affected people and cattle as follows -
1. We provided drinking water to 5,000 drought affected village communities from four villages of Vaijapur taluka through tankers.
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2. 2,000 litter drinking water storage 4-tank build in two villages of Vaijapur taluka, 3. Provided feed and drinking water to 570 cattle‘s.
Free Drinking water distribution in drought-affected village, water tank constructed in village
Food foe cattle distributed in drought affected area
Project no 7: Shelter home for HIV+ve orphan children and community health centre for rural community
During implementing HIV /AIDS targeted intervention, community mobilization project (link worker scheme) and Pediatrics AIDS initiative Project from 2003, 250 children identified who have tested positive for HIV, from 100 village of Aurangabad district and registered or receiving Anti-Retroviral Therapy (ART). 45 to 50% of these children are orphans and others are with single or foster parents. The condition of these children is exceedingly pathetic. They are left out without any care and support. Their close relatives are not ready to keep these children in their homes.The grandparents who are alive are usually extremely poor to take the necessary and special care of the grand children. Travelling to ART centres every month is also a big predicament, as villages do not have road access. Also the travel costs are high as the villages from the ART centre are at a minimum distance of 70km radius. Due
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It is for these children MGVS has constructed a 7000 square feet shelter home and community health centre at Karanjgaon, Tal. Vaijapur, Dist. Aurangabad. for 50 HIV+ve orphan children shelter home cum community health center in 1.5 acre area land .
Residential care and support, two-time food, medical care and education facility are available for 60 children in this center for orphan child. Primary health service available for rural community, around 20,000 rural villagers are taking primary health service , Ante-natal / post-natal services, identification of difficult pregnancy and referral for institutional care, Immunization- Mother & children, Minor surgery, BP examination, X-ray, ECG, First Aid, Distribution of Iron Folic tablets, Vit-A Prophylaxis, Treatment of mal-nutrient cases other related services are provided by this community health centre.
Community health centre and shelter home for CLHA Group discussion with children
Project no 8: Night Care Shelter for Baggers
The night care shelter home for beggars initiated by MGVS with the help of Municipal Corporation of Aurangabad, two night care center are started in Aurangabad town one is near railway station and one is in Gandhinagar, Aurangabad
MGVS are providing services like medical care, counseling on drugs de-addiction, hygiene, mat, bed sheet, toilet and bathroom facility in this center to 180 beggars, we also providing dinner on low cost basis, The beggars who have no home in Aurangabad, who are slipping at bus stand, railway station or on road etc, who are migrated from neighboring districts and block for daily need or daily wages. They are involved in Bhiksha, waste paper and plastic business etc.
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With the objective of helping these night care shelter home was initiated. These 180 beggars are admitted in the center on regular basis.
Sheltor home buidling and Beggars
Project 9: Day Care Centre (Street & Working Mother Children's)
The Crèche centre for working women children was initiated by MGVS in Vaijapur block with the objective of helping the working women laborers in Vaijapur town. The women laborers who work for daily wages are migrants from neighboring districts and block who migrate to Vaijapur seasonally. They are involved in brickwork, stonework, waste paper and plastic business etc. For the whole day their children are left out without any support and care, many times roaming in the streets. With the objective of helping these children and mothers crèche centre was initiated. This 25 such children are admitted in the school on regular basis. These children are given preschool education, which included both formal and non-formal teaching. Children were also taught hygiene and healthy habits and good manners. Besides they are provided with nutritional, medical and social support the two teachers visit the parents on monthly basis for getting to know about the children more. This crèche is run without any distinction of religion, race, caste etc.
Childrens in Crech Center , Vaijapur
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Credibility Norms Compliance and Financial Statement Details (as on 31st March 2013)
1. MGVS is a public Trust and Society registered under Bombay Public Trust Act, 1950, and Societies Registration Act 1860 ,Regd. Number ( MHA -29/95 A, bad Date 10/1/95, F.3290 (A, bad) Date: 27th February 1996 2. MGVS are registered under Section 12 A, registration no. ABD/CIT/TECH/12A (A) 2009-2010 dates. 29/6/2009 3. MGVS registered under 80G, No. ABD/CIT/TECH/80G/MGVS/46/52/9-10 dated. 29/6/2009 4. MGVS also registered under F.C.R.A. 1976 .083750093, dated 19/8/2005
Governing board details
Sr. Name G B member Position in the Age Gender Meeting No Board Occupation attended last year 1 Mr. Mansukh Manikchand Zambad President 60 M Farmers and 5 industrialist
2 Mr. Appasaheb Janardhan Ugale Secretary 37 M Project Director 5 3 Mr. Popatrao Dasarat. Patil Vice president 59 M Farmers 5 4 Mr. Shivaji Bhaurao Aware Joint Secretary 48 M Service 5 5 MS. Sunita Girjinath Shejul Treasurer 36 F House wife 5 6 Ms. Alka Kishor Patil Members 32 F House wife 5 7 Mr. Bhausaheb Karbhari Gunjal Members 43 M Consultant 5
Distribution of staff according to salary levels Slab of gross salary (in Rs) plus benefits Male Female Total paid to staff (per month) staff staff staff Less than 5000 54 41 95 5,000 – 10,000 16 8 24 10,000 – 25,000 2 5 7 25,000 – 50,000 1 - 1 50,000 – 1,00,000 - - - Greater than 1,00,000 - - -
Staff Details Gender Paid full time Paid part Paid Unpaid Time Consultant Volunteers Male 73 3 - 924 Female 54 2 - 403
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Staff remuneration [Gross yearly + benefits] in Rupees
Head of the organization: (including honorarium) Rs. 0,00.000 per year Highest paid Full Time regular staff: Rs. 3,16,000 per year Lowest paid Full Time regular staff: Rs. 18,000 per year
Total Cost of National Travel by all personnel (including Volunteers & board members)
Rs. 50,467.00 (Fifty Thousand Four Hundred Sixty-Seven only)
Total Cost of International Travel by all personnel (including Volunteers & board members) Rs.0.00.00 (No International travel expenses incurred by MGVS board members, staff & VO) Details of Board Members who have received remuneration / reimbursement during the last financial year: No remuneration or reimbursements paid to board members (Rs. 0.00)
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THE BOMBAY PUBLIC TRUST ACT, 1950
SCHEDULE VIII (Vide Rule 17 (1)) Name of the Public Trust: Marathwada Gramin Vikas Sanstha.(MGVS) Income and Expenditure Account for the year ending 31st March ,2013 Expenditure Amount Amount Income Amount Amount To Expenditure in respect of properties By Bank Interest 113,916.00 On Securities Rent, Rates and taxes On loans Repairs and maintenance On Bank Accounts 113,916.00 Salaries Insurance By Donation from trustee & other 811,439.00 To Establishment expenses To Remuneration to By Grant received during Trustees the year 6,776,255.35 To Legal Expenses 5,000.00 (As per Schedule -A) To Audit Fees 20,000.00 To Contribution and By Income from Other fees. sources 119,253.00 To Amount written off Members Annual Fees 1,057.00 To Miscellaneous Expenses Others Income 118,196.00 To Depreciation 110,742.00 (As per Schedule -F) To Total Expenditure on 6,865,690.00 Object of the Trust ( As per annexure II) a) Religious 0.00 b) Educational 794,506.00 c) Medical relief 5,391,752.00 d) Poverty relief 679,432.00 e) Other 0.00
To Surplus during the year 819,431.35 Total 7,820,863.35 Total 7,820,863.35 Examined and found correct as per Book of Account Place : Aurangabad produced & information & explanation given Date :15/06/2013 . For Marathwada Gramin Vikas Sanstha(MGVS) For Sunil Salunke & Associates Chartered Accountants
Appasaheb Ugale S.R. Salunke M.No. 105421
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THE BOMBAY PUBLIC TRUST ACT, 1950 SCHEDULE VIII (Vide Rule 17 (1)) Name of the Public Trust: Marathwada Gramin Vikas Sanstha.(MGVS) Balance Sheet as on 31 March, 2013 Funds and Liabilities Amount Amount Property and Assets Amount Amount
Trust Funds or Corpus 52,640.00 Fixed Assets 7,673,737.70 Balance as per last Balance sheet 52,640.00 (As per Schedule-B)
Other Earmarked funds 2,000.00 Current Assets 309,816.00 Development Fund 2,000.00 Grants Receivables : (As per Schedule-C) 309,816.00
Closing Cash & Bank Building Construction Fund 5,524,941.00 5,524,941.00 Balance 714,478.46 (As per Last B/S) (As per Schedule-D) 714,478.46
Loans & Advances 43,938.00 Loans( secured or unsecured) 67,036.00 (As per Schedule-E) 43,938.00 From Trustee 67,036.00
Current Liabilities 34,337.70 (As per Schedule-E) 34,337.70
Income and Expenditure Account 3,061,015.46 Balance as per last Balance sheet 1,739,807.11 Add: Surplus During The Year 819,431.35 Add:Adjustment During the Year 501,777.00
Total 8,741,970.16 Total 8,741,970.16 The above Balance Sheet to the best my/our belief contains a true account As per our Report of even date. of Funds & Liabilities and of the Property and Assets of the Trust Place: Aurangabad Date:15/06/2013
For Marathwada Gramin Vikas Sanstha For Sunil Salunke & Associates (MGVS) Chartered Accountants
S.R. Salunke Appasaheb Ugale M.No. 105421
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Schedule A Grant Received During The Year 2012-13 Sr No Particulars Amount 1 Link Workers Scheme (Community Mobilisation) 2364520.00 From Avert Society 613,877.00 Received F.Y. 12-13 667,877.00 Less: Received F.Y. 11-12 54,000.00 From MSACS 794,995.00 Less: Refund 13,292.00 781,703.00 From KHPT 968,940.00 2 HIV /AIDS Prevention FSW 1449455.00 MSACS 1586250.00 Less: During the year 136795.00 1449455.00 3 Advancing Tobacco Control Programme 383429.00 Helias Grant 388357.00 Less: Received For F.Y.11-12 4928.00 383429.00 4 Give India 474506.35 CLHA 255891.69 Education 39738.66 Less: During the year 31939.00 7799.66 MDO 200600.00 General/Corpos Fund 10215.00 5 Night Care Center 432180.00 Grant Received From Mahanagar Palika 793140.00 Less: Received For F.Y.11-12 61740.00 Less: Receivable 12-13 299220.00 432180.00 6 Creche Centre For Working Mother Children 31788.00 Creche Centre Grant 42384.00 Less: receivable 12-13 10596.00 31788.00 7 Apla Pani Project 32336.00 Grant from Grampanchayat 32336.00 8 CBM Under NRHM 766525.00 Grant from SATHI 766525.00 9 Link Workers Scheme ( Jalna) 192500.00 KHPT Grant 192500.00 10 PAI Project 319200.00 PAI Grant 319200.00 11 MGVS (Sanstha) 20000.00 Grant From DRDA 20000.00 12 Grant Receivable (2012-13) 309816.00 Creche Centre Grant 10596.00 Night Care Center 299220.00
Total 6776255.35
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Annexure II Details Of Expenditure On Object Of Trust During The Year 2012-13
Sr No Particulars Amount
A) Educational Programme Give India (Education & Organic Farming) 461,153.00 MGVS -Administrative Expenses 333,353.00 A) 794,506.00
B) Health & Medical Relief Programme Pediatric AIDS Initiatives (PAI) Project : 315,366.00 Link Worker Scheme (Community Mobilization) : 2,325,171.00 Link Worker Scheme (Community Mobilization) : (Jalna) 83,055.00 HIV / AIDS Prevention & Control Amongs FSW TI : 1,503,788.00 Community Based Monitoring Project under NRHM 824,390.00 Tobacco Control Project 339,982.00
B) 5,391,752.00
C) Poverty Relief Night Care Centre 603,505.00 Apla Pani Project (Rural Water Supply) 32,945.00 Crèche Centre for Working Mother/Children : 42,982.00 C) 679,432.00
Grand Total (A+B+C) 6,865,690.00
Place: Aurangabad
Date:15/06/2013
For Marathwada Gramin Vikas Sanstha For Sunil Salunke and Associates (MGVS) Chartered Accountants
Appasaheb Ugale S.R. Salunke M.No. 105421
For more detail or full audit report please click her: http://mgvsabad.org/Audit%20Report%20%202012-13.pdf
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