Haldwani Bypass Road, Kishanpur, -263148, District Udham Singh Nagar, Mobile: 9837062273, Telefax: 05944264773 E-mail: [email protected] Website: www.impart.org.in

Index

S.N. Contents Pages

1 The Founder

2 Message from the Director

3 About the Institute

• Mission

• Vision

• Objectives

• Area of Focus

• Headquarter and Administration

• Organizational Structure

• Financial Management 4 Project wise report : 2010-11

1. District ASHA Resource Center: Partnership with NRHM

2. Mother NGO: Reproductive and Child Health

3. Targeted Intervention: Partnership with Uttarakhand SACS

4. Integrated Child Development Services (ICDS): District Level Aganwadi Training Centre (AWTC)

5. Drinking Water : SWAP Programme

6. Environmental Sanitation: Total Sanitation Campaign (TSC)

7. Micro Insurance: Partnership with LIC

8. Swarna Jayanti Gram Swarojgar Yojana(SGSY)

9. Balance Sheet (Receipts and Payments)

The Founder

(Dr. Mahendra Kumar Mishra (20-03-1958 to 15-04-2005 )

Dr. Mahendra Kumar Mishra was born and brought up in a farmer’s family at a village Jalalabad (Khajni) of district Gorakhpur. Dr. Mishra started his studies from Gurukul system. Thereafter, he passed High School examination from Gandhi Inter College, Harpur Budhat, Gorakhpur and passed Intermediate examination from DAV Inter College, Gorakhpur. After completing M.Sc. degree from Saint Andrews College, Gorakhpur, he completed B.Ed degree. Thereafter, he worked as Lecturer (Chemistry) in Cooperative College, Pipraich, Gorakhpur. In 1988 he received Doctorate Degree in Soil Science from G.B. Pant University, , Uttarakhand.

After teaching Chemistry in GB Pant University for 2 years, Dr. Mishra worked as a “Scientist” with Potash Research Institute of , Gurgaon, Haryana for 5 years. During this period he also worked as editor for the Journals of Potassium Research. As well he represented Indian Scientists to disseminate the achievements on soil testing and crop production to international scientists. In the year 1992 Dr. Mishra was honored with Best Paper Award for his Achievements on Potassium Research at an International Seminar by PRII, Gurgaon. Thereafter, Dr. Mishra was honored with the first prize for Soil Research by PRII, Gurgaon. He made ever-lasting contributions in the fields of organic chemistry & agricultural science. For his contributions he was often awarded. But being a scientist, sitting in an air-conditioned room wasn’t enough for him, he wanted to give back to the society so that all individuals have equal opportunities to grow & find their rightful positions in the society. It wasn’t easy for a Scientist who mastered in Organic chemistry & doctorates in Agricultural science to deal with the predefined, primitive policies of the government to help the underprivileged. So, he developed his own team of open minded, compassionate & hard working volunteers to bring in the potential quality improvement in the lives of the people. That’s how “IMPART” was born.

Agriculture development, availability of safe drinking water in rural and urban areas, family planning, maternal and child development, employment generation, women empowerment are some of the main objectives of IMPART.

Dr. Mishra served as Chairman and Director of IMPART for 10 years. Dr. Mishra has not only earned strong recognition in his home state Uttarakhand but also Uttar Pradesh and Punjab. Under his direction- arrangements for safe drinking water, women empowerment, child development and many capacity building trainings were initiated in 100 Gram Panchayats of Lucknow, 98 Gram Panchayats of Agra, 50 Gram Panchayats of Udham Singh Nagar and 11 Gram Panchayats of Shahranpur, Rampur and Muradabad. In order to provide safe drinking water in rural areas overhead tanks, mini pipeline water supply and hand pump were constructed and for sanitation toilets, drainage, sock pits and CC road etc., were constructed. Dr. Mishra not only trained his staff but also trained the functionaries of other NGOs. Dr. Mishra is well known for his unique style of imparting training. There was no one in competition with Dr. Mishra to motivate the communities for development. Dr. Mishra was a justice liking, talented, legendary and extraordinary personality.

For his immense contributions as an active citizen, people always look up to Impart for their various needs, as his soul lies in the organization. He fostered thousands of lives in the areas of Uttar Pradesh & Uttarakhand and as the time is passing by we are reaching more & more untouched areas of service & strengthening/ empowering the lives of rural & urban Indians.

Let no one suffer from poverty & misery. Let us all IMPART the rightful knowledge & cooperate to this worthy cause.

Message from the Director It gives me immense pleasure to present the annual report 2010-2011 of Indian Institute for Monitoring of Pollution, Agricultural, Research and Technology Transfer (IMPART). Over a period of 17 years it has become one of the premier institutions in Kumaon region of Uttarakhand due to its dedication and devotion towards community and social development services. IMPART has been involved in providing implementation support to government departments in Uttarakhand and Uttar Pradesh to develop and manage innovative programs to help these states in its fight against the issues i.e. lack of drinking water, environmental sanitation, poverty, nutrition deficiency and diseases etc.

IMPART has consistently focused on designing participatory learning and capacity building initiatives, driven by our strong community interface. This unique blend of IMPART’s perspective and strong community linkage contribute to bringing best practices to sustainable development, through training programs as well as action-centric research and consulting. In this financial year special emphasis has been given to Maternal and Child Health, Rural Drinking Water, Environmental Sanitation under Total Sanitation Campaign (Unicef), SHG empowerment under Swarna Jayanti Gram Swarojgar Yojana, mother NGO scheme under the Reproductive and Child Health Program, and targeted in intervention project in partnership with USACS, District Asha Worker Training under District Asha Resource Center, ICDS Training under AWTC and Micro Insurance. We are committed to reach the un-served and under-served areas towards creating a community which is vibrant. We would continue to learn both from successes and challenges while ensuring that we reach out effectively to address critical issues affecting overall development of vulnerable and marginalized

Our work would have not been possible without the continuous support received from several government departments and the state government. I would like to take this opportunity to invite you to our campus and find out for yourself what you and IMPART can do together for the betterment of disadvantaged section of the society!

Sincerely, Siddhartha About the Institute: IMPART

IMPART is a non-Government social organization registered under Societies Registration Act 21, 1860, FCRA, 12 A & 80G of IT Act. It was founded by Late Dr. Mahendra Kumar Mishra, in 1995 and has successfully completed 15 years of its committed services for upliftment of rural and urban communities in selected areas of U.P and Uttarakhand. IMPART has been actively engaged in facilitating safe drinking water, environmental sanitation, community health services, women empowerment, income-generating activities and agriculture development etc., through capacity building and participation of SHGs, PRIs and communities in district Agra, Saharanpur, and Udham Singh Nagar of Uttarakhand and U.P with a special focus on women and children.

IMPART contributed for sustainable rural development through various projects some of them are U. P. Rural Water Supply and Environmental Sanitation (SWAJAL) Project, Joint Forest Management Project, U.P. Diversified Agriculture Support Project, Sector Reform (Jal Nidhi) Project, Sector Reform (Swajal) Project, Capacity Building Projects for other NGO and village level institutions capacity building of Panchayati Raj Institutions of Uttarakhand, State level Seminar and Exposure visits on Production Technique of Kharif Vegetables, The Micronutrient Program, National Environmental Awareness Campaign, Bio–mass assessment project, Uttarakhand Mahila Utthan Pariyajana, Study on Rural Water Supply and Consumption, U.P and Uttarakhand.

Currently IMPART is designated as Mother NGO for reproductive and child health, District ASHA Resource Center , Asha Worker Training, Targeted Intervention Project, Sector Program, ICDS Training (District level Anganwadi Training Center), Swaran Jayanti Gram Swarojgar Yojana, Total Sanitation Campaign, and Micro insurance etc. in selected district of Uttarakhand and U.P

. Mission:

IMPART’s mission is to act as a catalyst to facilitate sustainable improvement in the quality of life of vulnerable communities especially, the women and children.

Vision:

Develop and manage IMPART as centre of excellence; contributing significantly in overall development of the Nation. Objectives:

• Promote equal opportunity to all

• Undertake and implement development projects in field of health, education, natural resource management through facilitation and capacity building. • Create social awareness among rural and urban communities on environmental pollution, community health, HIV-Aids and other communicable diseases, women rights and various rural development program of Govt. of India. • Analyze agricultural, environmental and technical innovation in view of social welfare and national interest. • Promote all kinds of arts e.g. dance, singing, theatre, fine arts, films, photography. • Use artistic medium to reach people and create awareness through dramas, stage shows and documentary films. • To select, test, adopt and diffuse the appropriate agricultural technology for agriculture production and promote subsidiary enterprises such as sericulture, mushroom cultivation, agro forestry etc., • To make women (the back-bone of society) and child (the future of society) empowered. • To give active support to government run programs e.g. family welfare, child development, women development, health, income generating activities, etc. to bring about an all round development of the rural or tribal communities. • Facilitate sustainable improvement in the quality of life of disadvantaged communities specially women and children. • To select, test, adopt and diffuse the appropriate agricultural technology for agriculture production and promote subsidiary enterprises such as sericulture, mushroom cultivation, agro forestry etc. • Provide consultancy to GOs, other NGOs, CBOs, and PRIs etc.

Area of Focus:

• Reproductive and Child Health • RTI/ STI – HIV AIDS • Integrated Child development & Nutrition • Women Empowerment & Gender • Water and Sanitation • Poverty eradication • Agriculture Development • Art, Culture, Drama, Theater and Film making • Training and Capacity Building • Headquarter & Administration:

IMPART headquarter is located at Kishanpur, Bypass Road, Kichha, District Udham Singh Nagar. It lies 14 km east of Rudrapur city, the district Headquarter of Udham Singh Nagar (Uttarakhand). IMPART serves the rural communities in selected districts of Uttarakhand and Uttar Pradesh.

Organizational Structure:

The institute constituted an Advisory Committee consisting of renowned scientists and sociologist. Apart from this, the institute has an Executive Committee for effective coordination of its programmes. The institute has various sections equipped with competent staff members, headed by experts of the relevant subject.

Financial Management

The accounts of the funds received and expenditure incurred are maintained properly and audited every year by a Chartered Accountant.

Our Donors/ Partners

• Uttrakhand Academy of Administration, • The World Bank for assisting SWAJAL, JFM and Sector Reform program • Department of Health and Family Welfare, Government of Uttarakhand & NRHM • Department of Integrated Child Development Services, Government of Uttrakhand • UPDASP, the World Bank Assisted program • NEDA • National Horticultural Research and Development Foundation, New Delhi. • NCAER, New Delhi • MOST India/ USAID • Department of Panchayati Raj • Ministry of Forest and Environment, GoI

Project Wise Report

District ASHA Resource Center: Partnership with NRHM

Introduction:

Recognizing the importance of Health in the process of economic and social development and improving the quality of life of our citizens, the Government of India has resolved to launch the National Rural Health Mission(NRHM) to carry out necessary architectural correction in the basic health care delivery system. The Mission adopts a synergistic approach by relating health to determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking water. It also aims at mainstreaming the Indian systems of medicine to facilitate health care.

The Plan of Action includes increasing public expenditure on health, reducing regional imbalance in health infrastructure, pooling resources, integration of organizational structures, optimization of health manpower, decentralization and district management of health programmes, community participation and ownership of assets, induction of management and financial personnel into district health system, and operationalizing community health centers into functional hospitals meeting Indian Public Health Standards in each Block of the Country. The Goal of the Mission is to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.

Objectives:

• Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR) • Universal access to public health services such as Women’s health, child health, water, sanitation & hygiene, immunization, and Nutrition • Prevention and control of communicable and non-communicable diseases, including locally endemic diseases • Access to integrated comprehensive primary healthcare • Population stabilization, gender and demographic balance Mission:

• Trained ASHA on issues of public health • She will be capable to facilitate preparation and implementation of the Village Health plan along with Anganwadi worker, ANM, functionaries of other Departments, and Self Help Group members, under the leadership of the Village Health Committee of the panchayat. • She will be trained to use Drug Kit containing generic AYUSH and allopathic formulations for common ailments. Activities:

• Establish District ASHA resource centre and act as mentor for the ASHAs of the district • Conducted baseline survey on sample basis (based on identified RCH indicators) related to ASHAs • identified gaps in the trainings being imparted to ASHAs and provided feed back to SARC and District CMO/District Nodal officer and liaison with district health system for capacity building of Asha • Worked as technical/training resource centre in the district • Made coordination with PHC/CHC/district health system regarding information related to ASHAs • Conducted interaction with ASHAs through meeting/FGD/interview at CHC/PHC/SC level • Organized DARC Mentoring Committee meeting to ensure mentoring mechanism on 6 month interval • Conducted end line survey • Developed/adopted and disseminated IEC material • Organized workshop(s) for selected ASHAs • Celebrated village health and nutrition day by ASHAs in their respective villages • Imparted training to ASHA worker on Asha worker training on Homeopathy, RSBY and ARSH • Participated in every monthly meeting organized by CMO office and quarterly meeting by HIHT, state Asha Resource Center • Established linkages and coordination between health and ICDS functionaries • DARC IMPART hired 54 Asha Facilitator and three block coordinator for assisting ASHA worker as per Government instructions. ASHA worker training on Homeopathy, RSBY and ARSH

IMPART organized training for Asha worker on Homeopathy, RSBY and ARSH. Out of 1235 Asha worker 1160 were trained in 39 batches. Training imparted on following issues:

Adolescence: An introduction, changes and effect among adolescence, communication with adolescence, reproductive health and related problems, reproductive infections and HIV/AIDS in adolescence, homeopathy kit for mother and child care, in adolescence conception and problem related to reproductive health, Rashtriya Swasthya Beema Yojana (RSBY)

SN Block Total No. of Trained Asha Untrained Asha Asha 1 189 186 03 2 176 172 04 3 Rudrapur 268 246 22 4 127 122 05 5 146 129 17 6 Kashipur 183 166 17 7 146 139 07 Total 1235 1160 77

1400

1200

1000

800 Total No. of Asha 600 Trained Asha 400 Untrained Asha 200

0

Mobile Health Clinic:

Though the Rural Health Care system (Comprises of Government facilities and providers) is trying to reach the unserved and underserved areas but still some areas are under served. In addition, new issues are emerging day by day and there is an urgent need to address them Pressure on the health workforce has emerged in areas listed below: • Growing burden of chronic diseases including HIV/AIDS, with continuous and community based care • Addition in programs and strategic changes do not match with the skills of the workforce Shortage of workforce resulted in multi tasking due to which primary responsibilities are compromised • Lack of resources to address disease burden Area Covered:

Mobile Health Clinic provided services in Khatima, Kichha and Sitarganj blocks of district Udham Singh Nagar

Objectives:

• Aims at improving the health status of the people of Khatima, Kichha and Sitarganj blocks of district Udham Singh Nagar of Uttrakhand • Addressing the health needs of the unreached and underprivileged population • Play a role in formulation and execution of viable health care services system in remote areas serving especially underprivileged and economically backward people • Linkage with the local health care system • Community involvement in prevention of disease and improvement of health of people • To overcome the pressure on the health workforce and with the objectives mentioned above a need of mobile health clinic services by mobile health clinic has been felt in block Khatima, Kichha and Sitarganj blocks of district Udham Singh Nagar. Through the mobile health clinic following services provided by IMPART.

Preventive: Immunization, Ante Natal Care and Post Natal care

Diagnostic: Minimal Investigation likes Hemoglobin, Urine Examination for sugar etc. In addition, smear for malaria collected for examination in the concerned PHC. Other disease like Leprosy, Tuberculosis and locally endemic disease detected and referred

Curative: Treatment of minor ailments, early detection of cases, etc

Appropriate referral of cases needing specialist care.

Functions:

Diagnostic Facilities- X-Ray, ENT and gynecological check up etc

Curative Health Care – On the spot dispensing medicines for the common ailments and referral to hospital for other cases. Research- Developing a health Profile (such as depicting the distribution of health and disease) and analysis of the health issues in rural areas. The health profile will include age, gender, caste, and class and location specific data besides creating a general profile of the health status

Educational and Awareness Program- To raise awareness about preventive health care issues including family planning, communicable and other diseases etc

IMPART conducted 268 health camps in three blocks and provided free health check-up and medicine to 3323 adult male, 6836 female, 742 adolescence male, 856 female, 1310 children male and 1118 female. Pregnant women identified -26, hemoglobin tested -1808, Albumin- 263, sugar-457, malaria parasite-45, widal-290, ESR-465, BSR-623, blood group-58, x-ray- 663, OCP distributed 455 strips, condom distributed- 3127packets, pregnant and lactating mothers motivated for immunization.

Male Female

children 0% 24% Adult Adolescence Children

13% 0% 10% adult 62% adolesce 77% nce 14%

Doctors and IMPART team returning by boat from Aichata (most interior village of the district) after health camp BHEL Health Camp: Partnership under CSR

IMPART organized two mega health camps in slum areas and school in Udham Singh Nagar. Camp financed by Bharat Heavy Electricals limited (BHEL) under corporate social responsibility. Community served by cardiologist, physician, orthopedics, eye, Dental and ENT specialist, and gynecologist from reputed private and government hospitals. IMPART provided free registration, OPD, diagnosis (X-ray, blood and urine tests) and medicines to all patients. More than thousand patient benefitted by camp. In association with BHEL health camps were organized in two primary schools of Jagatpura. First of all household survey was done by which an assessment of health issues was done at community level. In which mainly problems related with stomach and seasonal diseases were found. Based on the above health assessment, specialist were invited in the camp and information about the camp was disseminated through mike 2 days before and hand bill/ pamphlet were distributed and ASHA, Aganwadi Worker also disseminated the information on health camp through house to house contact.

Health Camp at Vanwasi Vidalaya, Jagatpura (Rudrapur): Health camp was organized on 30th January 2011 at 10.30 AM. A team comprising medical specialist i.e. gynecologist, dentist, eye specialist, ENT specialist and physician treated the patients. In this camp community was provided the facility of x ray, blood and urine test as well as made aware about family planning methods, causes of HIV – AIDS and cautions. Medicines were distributed free of cost to all patients. In this camp senior social workers of IMPART alongwith its Secretary and Patron participated.

Primary School Jagatpura: Health camp was organized on 6th March 2011. This camp was inaugurated by Smt. Meena Sharma, Chairperson Nagarpalika Parishad, Rudrapur. In this camp chairman IMPART Shri Siddhartha Mishra, patron Smt Indra Mishra, Secretary Binduwasani and ward member Smt Sheela Kakar were also present. The camp was facilitated by the AWW, ASHA worker and experienced social workers of IMPART. In this camp around 600 patients were examined with the facility of x ray, urine and blood test. All patients were treated with free of cost. Gynecologist, dentist, eye specialist, ENT specialist, heart specialist and physician treated the patients. Eye specialist treated the children and community members by computerized eye testing system

IEC intervention for RSBY:

Objectives:

• To provide protection to BPL households from financial liabilities out of heath shocks that may also involve hospitalization.

Activities: MNGO IMPART started IEC intervention in rural areas and performed various activities as follows:

• One day orientation of Asha facilitator • Benefitted 3059 patients in 55 health camps through private hospital in rural areas, 227 RSBY cases referred to the private hospital out of 1366 RSBY card holders attended camp • 790 Asha worker identified 25059 RSBY card holders in 263 villages and verified by Asha Facilitator, RSBY film shown and held discussions on Rashtriya Swasthya Beema Yojana using flip book on RSBY and distributed leaflets • 54 ASHA facilitator conducted meetings in 198 villages and facilitated by 274 Asha and 3134 persons attended. • Distributed leaflets bearing list of empanelled hospitals Training of VHSC members of Atal Adarsh Gaon:

District Asha Resource Center; IMPART organized training for VHSC members of 27 Atal Adarsh villages of Udham Singh Nagar. One day orientation training on Swachha Gaon- Swastha Gaon held in block headquarter and participated by 27ANM, 29AWW, 29 Asha, 21 Secretary, 23 Gram Pradhan, 21 ward members and one school teacher. The participants were oriented about facilities provided by Govt. in Atal Adarsh Gaon, brief introduction of Atal Adarsh Gaon, concept and strategy of Swachha Gaon-Swastha Gaon Abhiyan, campaign implementation strategy, seven components of health and hygiene were the topics of discussion. Center growth approach concept adopted for development of Atal Gaon hamlets and revenue villages. State govt. started healthy completion for Atal Gaon. Every village will assess hygienic and healthy practices and then prepare a plan to improve their indicators. Trainer told that in rural India sixty percent of total health budget spent on water borne diseases.

SN Block ANM AWW ASHA Panchayat Gram Member Teacher Total Secretary Pradhan participants 1 Khatima 4 6 6 4 4 4 0 28 2 Sitarganj 4 4 4 4 4 5 0 25 3 Rudrapur 5 5 5 5 3 5 0 28 4 Gadarpur 4 4 4 4 2 2 1 21 5 Bajpur 3 3 3 3 3 3 0 18 6 Kashipur 3 3 3 3 3 2 0 17 7 Jaspur 4 4 4 4 2 0 0 18 27 29 29 21 23 21 01 151

2. Mother NGO: Reproductive and Child Health

Introduction:

IMPART has been designated the mother NGO for implementation of reproductive and child health program. The Mother NGO scheme was introduced by Department of Family Welfare in the Ninth Five Year Plan (1997-2002) under the Reproductive and Child Health Program. Under this scheme, the Department of FW identified and sanctioned grants to selected NGOs called Mother NGOs (MNGOs) in allocated district/s. These MNGOs, in turn, issued grants to smaller NGOs, called Field NGOs (FNGOs), in the allocated district/s. The grants were to be used for promoting the goals/objective as outlined in the Reproductive and Child Health Programme of the union government. The major thrust of the MNGOs and FNGOs is in the area of advocacy and awareness generation in respect of the RCH programme, with due emphasis on gender, while aiming to augment institutional capacity at the field levels. They also play a crucial role in addressing the gaps in information and counseling. IMPART identified as a mother NGO for district Udham Singh Nagar by the aforesaid department.

Activities:

After the approval of FNGOs and MNGO composite project proposal; Mother NGO IMPART received grant from health department and equally dispersed to the FNGOs for 18 months’ implementation phase. IMPART organized capacity building workshop for FNGOs team to start the activities mentioned in the proposal. IMPART conducted training for FNGOs on implementation, IEC material development, training for reporting on structured format developed by MOHFW-GOI, refresher training etc. FNGOs started their work and collected household data on RCH practices and then implemented planned activities based on target specific. Various types of Health mela, Health camp, healthy baby competition, immunization, ante natal checkups, motivation for family planning and institutional delivery organized in selected unserved/underserved villages. IMPART and FNGOs celebrated world population day on 11th July with district health authority and mobilize families to adopt permanent and temporary family planning methods as per their needs.

Monitoring Plan:

• Developed formats and registers for record keeping and community based monitoring • Updated Baselines data collected by FNGO through formats developed to track the progress for mid course correction. • Gap identified by analyzing the data, monitoring, visits reports, formats and other related documents • Monthly meetings organized • Village health committees took feedback register/record register for community based monitoring

Evaluation:

Following steps are followed by the MNGO for smooth external evaluation by the Govt. / State agency.

• Complied reports of MNGOs • Complied & consolidated reports of the FNGOs • Field registers and formats • Meeting registers of stakeholders

3. Targeted Intervention Project: Partnership with UASACS Goal:

Reduction in incidences of HIV/AIDS amongst population with high-risk behavior, so as to reduce morbidity, mortality and impact of epidemic in the District Udham Singh Nagar

Objectives:

• To extend outreach services with 100% of population • To provide BCC services 100 % community for safer sex practices and safe injecting practice • To prevent and cure STIs among 100% of targeted population • To ensure 100 % HIV testing of HRG two time in a year • To ensure 100 % HRG will be counseled in every quarter • To promote safer sex practices among 100% HRG population • To create enabling environment among all Stake Holders at project area of TI project • To establish linkages with care and support services for PLHA among target population • To mobilize HRG community for developing ownership

COMPONENT WISE PROJECT ACTIVITIES:

To achieves the above objective, following activities implemented among the targeted population.

Behavior Change Communication:

• One to One session • Community meeting/Group meeting and discussion with groups. • Condom demo and re-demo • Needle and syringe exchange program • Wall Painting & leaflets distribution • Home visit • Counseling • Follow up • Reporting and documentation

STI Management:

• Rapport building & linkages with service providers • Abscess prevention and management • Follow-up • Record keeping at regular basis Condom Promotion:

• Gap analysis of condom use • Demonstration on condom Use • Condom re-demonstration • Free Condom Distribution through Peer, outlets, outreach worker • Follow up • Reporting & Documentation Community Mobilization: • Meeting at hot spot level. • Establishing of DIC. • Meeting at DIC level. • Community event. • Reporting & Documentation.

Enabling Environment: • Stakeholders Analysis. • Stakeholder level meeting. • Setting up network and linkages with other service providers. • Networking meeting with service providers. • Advocacy and linkages with line departments.

Achievement: SN Activities No. 1 Total HRG 400 2 ICTC referral 534 (included repeat test) 3 HIV Tested 360 4 HIV+ 06 5 Syphilis Testing 390 6 DOTs 40 7 RTI/STI 42 8 Abscess cases 89 9 ART referral 05 10 Drop-out HRG 02 11 Drug de-addicted 04

Referrals and Linkages:

• Establishment linkages with DOTs/ ICTC/ ART/ CCC / DLN • Referrals to ICTC/ART/DOTs/CCC/DLN • Follow-up • Linkages with other concerned Govt. departments Monitoring and Evaluation:

The program was monitored by program manager, TSU, USACS and Project Director. Regular visits by PO, received valuable feedback for betterment of the project.

4. Integrated Child Development Services (ICDS): District Level Training Centre (DLTC):

IMPART is working as an Anganwadi training center for district Udham Singh Nagar and Nainital The programme of training of ICDS functionaries is being concurrently run to ensure the efficient delivery of services.

The Integrated Child Development Services (ICDS) Scheme was conceived in 1975 with an integrated delivery package of early childhood services so that their synergistic effect can be taken full advantage. The Scheme aims to improve the nutritional and health status of vulnerable groups including pre-school children, pregnant women and nursing mothers through providing a package of services including supplementary nutrition, pre-school education, immunization, health check-up, referral services and nutrition & health education. In addition, the Scheme envisages effective convergence of inter-sectoral services in the Anganwadi Centres. The objectives of the scheme are: • To improve the nutritional and health status of pre-school children in the age-group of 0- 6 years • To lay the foundation of proper psychological development of the child • To reduce the incidence of mortality, morbidity, malnutrition and school drop-out • To achieve effective coordination of policy and implementation amongst the various departments to promote child development; • To enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health To achieve the above objectives, the ICDS aims at providing a package of services, consist of • Supplementary Nutrition • Immunization • Health Check-up • Referral Services • Non-formal Pre-school Education • Nutrition & Health Education

Objectives: • To build up the capacity of ICDS grass root level functionaries to ensure the efficient delivery of services Participants: The participants of the training courses are Aganwadi worker (AWWs) and helper of ICDS department. There are three types of training program for AWW and two types for AWH i.e. induction, on the job and refresher training. The training duration and module has been decided by NIPCCD, New Delhi. Training center imparted training as per guideline issued by the department of women empowerment. Following subject covered under the training program:

• Infrastructure of ICDS • Situation of women & children in India • Social issues concerning children & women • Program and policies for development of children and women • Status of girl child and meena initiatives • Women empowerment through self help group • Setting up an AWC • Role and job responsibilities of Health & ICDS functionaries • Communication & counseling skills • Early childhood care and development • Nutrition & Health • Communication, advocacy and community participation • Organization and management • Management of an anganwadi centre • Supervised practice • Evaluation and concluding SN Type of training Batches No. of AWW trained No. of AWH trained 1 Job 26 551 0 2 Refresher 17 600 0 3 Refresher 10 0 454

Monitoring:

Training program was monitored by District Program Officer and their representatives.

Impact:

To know the entry behavior of the participants they have been pre evaluated and then after completing training post evaluation exercise were conducted. There was major change in knowledge, attitude and behavior. 5. Drinking Water : SWAP Programme Government of India has launched reforms in the water supply and sanitation sector and as a part of the reforms initiative, demand responsive, community-centered programs. The basic principle of the reforms is of community participation in the planning, implementation, operation and maintenance in the water supply and sanitation schemes, of its preference and affordability. The programs implemented in a demand responsive manner, where the community is the forefront of decision making. The activities implemented in the following district.

Haridwar: Under SWAP Program Implemented Water Supply Scheme in village Kotwal Alampur

Saharanpur: Under SWAJAL DHARA Program Construction Supervision and Quality monitoring of Water Supply Scheme in 10 villages i.e. Fulas Akbarpur, Kanzibans, Latifpur, Jagehata Nazeeb, Madhopur, Sikandarpur, Bandaheri, Buddhakhera, Uncha Gaon & Sapla Bakkal

6. Environmental Sanitation: Total Sanitation Campaign (TSC) Introduction: • Individual health and hygiene is dependent largely on adequate availability of drinking water and proper sanitation. • In this context the Central Rural Sanitation Program (CRSP) was launched in1986. • The concept of sanitation connotes a comprehensive concept, which includes liquid and solid waste disposal, food hygiene, and personal, domestic as well as environmental hygiene. • CRSP moves towards a “demand driven” approach. • The revised approach in the Program titled “Total Sanitation Campaign (TSC)” emphasizes more on Information, Educational and Communication (IEC), Human Resource Development. Capacity Development activities and generation of demand for sanitary facilities. Objectives: The main focus of the Campaign is to motivate people to adopt good hygienic practices and to develop an open defecation free environment forever. • Bring about an improvement in the general quality of life in rural areas by accelerating sanitation coverage in rural areas. • Generate felt demand for sanitation facilities through awareness creation and health education and encourage cost effective and appropriate technologies in sanitation. • Cover schools/Anganwadis in rural areas with sanitation facilities and promote hygiene education and sanitary habits among students. • Encourage Eliminate open defecation to minimize risk of contamination of drinking water sources and food. • Convert dry latrines to pour flush latrines, and eliminate manual scavenging practice wherever in existence in rural areas. Strategy: This program involves change of mindset and targets at inculcating willingness among rural communities to construct and usage of latrines. A lot of IEC and interpersonal communication efforts are required for motivating people to adopt hygienic practices. The progress will not only be shown by the increasing number of latrines constructed but also by the continuous usage and increasing number of villages having adopted open defecation free status. To achieve this extensive IEC campaign is required.

Beneficiaries: Rural communities. Activities: The following activities were conducted under the program. • Community mapping, Formation of cluster groups , Base line survey of BPL families and list preparation, School rally, Essay competition, Clean up campaign. • Each household motivated by motivator and ASHA worker to construct household sanitary latrine. • Various sanitary options such as twin pit and single pit latrines demonstrated to the community. • School sanitary latrines and baby friendly latrines constructed in Anganwadi Centers. • The main stakeholders such as women and children informed about the importance of safe sanitary practices through PRA tools and group meetings. • Training sessions held on different topics related health & sanitation. • Wall painting, wall writing and display boards on main location in the GPs. • Under Total Sanitation Campaign Facilitation in construction of Individual HHs Latrine Construction 2 villages (Kotwal Alampur & Narsan Kalan). Impact: • Most of the families made aware about the health and hygiene component of Total Sanitation Campaign. • Significant number of household latrines was constructed in village Kotwal Alampur & Narsan Kalan, thereby these villages become open deification free village Kalan, and thereby these villages become open deification free villages. Monitoring: The program was supervised & monitored by the district project management unit. The internal monitoring of the project work was done by the staff meetings, monthly progress report and record keeping etc.

7. Micro Insurance: Partnership with LIC

Introduction: LIC offered micro insurance policy named Jeevan Madhur for poor and marginalized people living in rural and urban areas. The policy aims to insured those people who are unable to purchase a policy of big amount. This policy is very convenient in respect of minimum premium and easy installment.

Objectives: To motivate the poor people to get insured. Beneficiaries: Needy member of all communities

Activities: IMPART was selected by LIC, Haldwani division for selling of micro insurance policy among needy community. Two motivator of IMPART get trained by LIC office. IMPART insured 116 men and women.

Monitoring: The insurance program was monitored by LIC office, Haldwani division.

8. Swarna Jayanti Gram Swarojgar Yojana (SGSY): Poverty Eradication Program of GoI Introduction: Swarna Jayanti Gram Swarozgar Yojana is a poverty eradication plan of the Government of India by providing self-employment through small enterprises. The Plan is a combination of the earlier plans run by the Government of India, such as IRDP, TRYSEM, DWKRA, Ganga Kalyan and the Improved Tool Kit Plan.

Selected BPL families in groups of 5-20 are financed for economic activity through Self-Help Groups. Self-help Group is a group of identified BPL families, whose numbers can be from 5 - 20, and which deals in minor savings and mutual transactions and inter-loaning.

Objectives: The objective of the Swarnjayanti Gram Swarozgar Yojana (SGSY) is to bring the assisted poor families (Swarozgaries) above the Poverty Line by ensuring appreciable sustained level of income over a period of time. This objective is to be achieved by inter alia organizing the rural poor into Self Help Groups (SHGs) through the process of social mobilization, their training and capacity building and provision of income generating assets. The SHG approach helps the poor to build their self-confidence through community action. An interaction in group meetings and collective decision-making enables them in identification and prioritization of their needs and resources. This process would ultimately lead to the strengthening and socio-economic empowerment of the rural poor as well as improve their collective bargaining power.

Beneficiaries: Under Swarnjayanti Gram Swarozgar Yojana (SGSY), the beneficiaries are known as Swarozgaris. The Swarozgaris can be either individuals or groups. SGSY lays emphasis on the group approach, under which the rural poor are organized into Self Help Groups. In either case, the list of BPL households identified through BPL census, duly approved by the Gram Sabha will form the basis for identification of families for assistance under the SGSY. The Self Help Groups should also be drawn from the BPL list approved by the Gram Sabha.

Activities: Compositions of SHG Generally all members of the Group should belong to families below the poverty. However, if necessary, a maximum of 20%, and in exceptional cases, where essentially required, upto a maximum of 30% of the members in a Group may be from families marginally above the poverty line, living continuously with BPL families and if they are acceptable to BPL members of the Group. The APL members of Group will not be eligible for subsidy under the scheme and shall not become office bearers (Group leader, assistant group leader or treasurer) of the group. The BPL families must actively participate in the management and decision-making, which should not be entirely in the hands of APL families. In case of disabled persons a group may comprise of persons with diverse disabilities or group may comprise of both disabled and non- disabled persons below the poverty line Group formation, development and strengthening of the groups to evolve into self-managed people’s organization at grassroots level. In our society, members are linked by various common bonds like caste, sub-caste, community, blood relation, place of origin, activity etc. The facilitators identified these natural groups, which are commonly called ‘Affinity Groups’. Using the above methodology IMPART comprises 30 groups in Rudrapur and 15 in Gadarpur block of Udham Singh Nagar.

Group Stabilization Through thrift and credit activity amongst the members and building their Group Corpus, the group takes up internal loaning to the members from their Group Corpus. The groups are saving regularly and began to lend to members. This provides the members with opportunities to acquire the skills to prioritize scarce resources, to assess the strength of each member, to time the loans and schedule of repayments and fix interest rates. The group institutionalizes the need to introduce sanctions for deviant behavior, which could include delay in repayments, arriving late or absenting from meetings etc. Micro credit, the Group Corpus supplemented with Revolving Fund sanctioned as cash credit limit by the Banks. Micro enterprise development, In the Entrepreneurship Development phase Skill Development Training imparted to the SHGs members to enable them to successfully implement the chosen activity. Linkage with the Banks During the stage of group formation, saving a/c of the SHG have been opened in the local banks preferably in their service area branch. This has a dual purpose. The SHG begins to realize the opportunities and also the mode of dealing with the banks. Likewise, the bankers get to familiarize themselves with the SHGs.

Grading of the Self-Help Groups The formation is about six months or more depending upon the literacy, awareness levels, and socio- economic background of the people being organized. At the end of the formation stage, which may be about six months or more, it is necessary to subject each Self Help Group to a test to assess whether it has evolved into a good group and is ready to go into the next stage of evolution. This is done through a grading exercise. The objective of this exercise is to identify the weaknesses, if any, and help the group to overcome the same through training and capacity building inputs, so as to develop into a good group.

Rs.25, 000.00 in the form of government and Bank loan is made available as Revolving Fund to a group after six months of its formation, and upon qualifying the first grading. After the next six months, upon qualifying the second grading, processing for Bank financing of economic activities indicated by the group is facilitated. Under the plan, a group is given Rs.10, 000.00 per member and a maximum of Rs.1.25 lakh. Rs.7500.00 is given to ordinary self-employed for personal self-employment. The self-employed belonging to the Scheduled Castes and the Scheduled Tribes are given Rs.10, 000.00 per individual.

Abbreviations

ASHA Accredited Social Health Activist FRI Forest Research Institute

AIDS Acquired Immune Deficiency syndrome FRUs First Referral Unit

ANC Antenatal Checkup FSWs Female Sex Worker

ANM Auxiliary nurse mid-wife GoI Government of India

APR Annual Progress Report GOs Government Organization

AWC Angan Wadi Centre GVESS Gramin Vikas Evam Sodh Sansthan

AWH Angan Wadi Helper HIHT Himalayan Institute of Hospital Trust

AWTC Angan wadi Training Centre HIV Human Immune Virus

AWW Angan Wadi Worker HRG High Risk Group

BCC Behavioral Change Communication ICDS Integrated Child Development Services

BPL Bellow Poverty Level ICTC Integrated Counseling and Testing Centre

CBOs Community Based Organization IDUs Injected Drug Users

CHC Community Health Centre IEC Information, Education,Communication

CMO Chief Medical Officer IMR Infant Mortality Rate

DARC District ASHA Resource Centre JFM Joint Forest Management

DLTC District Level Training Centre LIC Life Insurance Corporation of India

DOTs Direct Observe Treatment short service MCH Maternal Child Health

DPMU District Pragramme management Unit MMR Maternal Mortality Rate

DPO District Programme Officer MNGOs Mother Non-Government Organization

DRDAs District Rural Development Agency MOHFW Ministry of Health and Family Welfare DRHM District Rural Health Mission MPR Monthly Progress Report

FGD Focused Group Discussion MSM Man sex to man

FNGOs Field Non-Government Organization NCAER, National Council for Applied Economic Research

NEDA Non Conventional Energy Development UCs Utilization Certificates Agency

NGO Non Government Organization UPDASP Uttar Pradesh Diversified Agriculture Support Programme

NRHM National Rural Health Mission USACS Uttarakhand State Aids Control Society

NIPCCD National Institute for Public USAID United States Agency for International Cooperation and Child Development Development

ORS Oral Rehydration Solution VHSC Village Health and Sanitation Committee

PEJKS Paryavaran Evam Jan Kalyan Samiti WHO’s World Health Organization

PHC Primary Health Centre

PO Project Officer

PRIs Panchayti Raj Institutions

QPR Quarterly Progress report

RCH Reproductive and Child Health

RRC Regional Resource Centre

RTI Reproductive Tract Infection

SARC State ASHA Resource Centre

SC Sub-Centre

SGSY Swarn Jayanti Gram Swarojgar yojna

SOEs Statement of Expenditure

STI Sexual y Transmitted Infections SWAP Sector Wide Approach

T I Targeted Intervention

TSC Total Sanitation Campaign

TSU Technical Support Unit