LIST OF BENEFICIARIES BELOW 6 YEARS: APRIL 1, 2015 - MARCH 31, 2016 FORM - I NAME OF THE SCHEME : Scheme to Promote Voluntary Action for Person with disabilities (i) Name of the Organisation : Indian Institute of Cerebral Palsy (ii) Name and Address of the Project : Pre School and Early Intervention and Training (Mentally Retarded and Cerebral Palsied Segment) P-35/1 Taratolla Road, Kolkata - 700 088 (iii) Year : 2016 - 17 COMMUNITY BASED SERVICES S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 1. Alam Sahanawaz Md.Samim 14/05/10 Female Orthopedic Problem 12/4/H/18 C Patwar Bagan 15/06/2015 General We referred him to National Institute for Lane the Orthopaedically Handicap (NIHH) for suggestion. The World Vision staff will help him in this regard. We referred him to nearest ICDS centre for pre-school education. 50% Kolkata 0 West Bengal 700009 2. Ali Sajid Aktar Ali 05/04/12 Male Hearing Impairment 107G,Bose Pukur Lane 05/01/2016 General We suggested that her mother teach him Kolkata-700042 self feeding, dressing and undressing. We gave a programme on colouring pictures and play activities for increasing attention span. His mother was interested for schooling so we referred him to Jan Seva for inclusion. We referred him to NIHH for a hearing assessment. 60% Kolkata 0 West Bengal 700042 3. Ali Sujat Ali Hossain 03/03/12 Male Cerebral Palsy 47E G.J. Khan Road 07/10/2015 General He attended first time and we identified his need areas through assessment. We suggested father make him sit against the wall from time to time instead of lying on the bed all day. 100% Kolkata 0 West Bengal 700046 Tuesday, May 10, 2016 Page 1 of 13 S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 4. Ansari Usman Abdul Ansari 25/04/14 Male Neuromotor Problem Mete Maszid Bansdrani 11/08/2015 General Reffered to baby clinic IICP. Kolkata-700047 50% Kolkata 0 West Bengal 700047 5. Basu Saranendu Puspendu Basu 20/10/12 Male Autism 182 Rajdanga Chakraborty 01/09/2015 General We started his needs assessment and Para discussed his priority need areas with his parents. He will be included in Udayan pre- school, Jan Seva’s project for mainstream education. 75% Kolkata 0 West Bengal 700107 6. Bishwaran Kajal Pramod Bishwaran 13/08/14 Male Orthopedic Problem 1/A,39 Ramesh Dutta Street 17/12/2015 General Her needs assessment was started. We Kolkata-700006 referred her to NIOH for further suggestion. 50% Kolkata 1 West Bengal 700006 7. Bose Soumen Sandip Bose 16/04/12 Male Cerebral Palsy 11/1 A, R.K. Chatterjee Road 07/04/2015 General First time he attended our services. His needs assessmnet started. He has included in the creche of Han Seva. 60% Kolkata 0 West Bengal 700042 8. Chowdhuri Juned Ali Md.Ali Chowdhuri 04/01/12 Male Cerebral Palsy 3/1B Patwar Bagan Lane 15/06/2015 General He can eat and drink on his own. He is toilet trained. We suggested that his mother send him to local ICDS centre. We gave a programme on two handed activities of opening the cap of a bottle and throwing the ball with two hands. We suggested and his mother teaches him to pull up his pant after bathing and toileting. 70% Kolkata 0 West Bengal 700009 Tuesday, May 10, 2016 Page 2 of 13 S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 9. Das Sarbojoy Shyamal Das 16/05/12 Male Cerebral Palsy 243/LC APC Road 12/10/2012 SC Her mother feeds her solid food in sitting position on the floor. She put her in a particulr place for toileting. She recognises her parents and elder brother. 40% Kolkata 3 West Bengal 700006 10. Das Sharmista Samir Das 09/07/10 Female Down Syndrome 40 A, Hospital Road, South 07/04/2015 SC We provided services through paying Purbachal home visit. Her needs assessment started. We suggested mother to contact with Jan Seva for her rehular schooling. 80% Kolkata 0 West Bengal 700098 11. Das Debosmita Bhanu Das 18/11/11 Female Learning Disability N 11/1, Purbasree Pally, 20/01/2015 SC We continued her needs assessment. She Picnic Garden has included in the creche. Her management programme demonstrated to the class teacher and her mother. 60% Kolkata 0 West Bengal 700039 12. Fizan SK. Sk. Maheboob 21/12/13 Male Cerebral Palsy P41,Khansama Para, Garden 22/02/2016 General He is attending local ICDS centre Reach Road Kolkata-700024 regularly. We provide him a special chair with cut-out tray from our project fund. 60% Kolkata 0 West Bengal 700024 13. Gazi Maram Anaul Gazi 05/02/11 Male Orthopedic Problem 7 No Basanti Colony 08/10/2015 General We started his needs assessment and device a programme for him. He also appears to have some visual problem so we referred him to NIVH for further suggestion. The ICDS supervisor referred him to the nearest ICDS center and suggested the ICDS worker include him in the center. 60% Kolkata 1 West Bengal 700067 Tuesday, May 10, 2016 Page 3 of 13 S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 14. Ghosh Soumya Sukumar ghosh 16/01/10 Male Down Syndrome Rajdanga School Road 21/01/2014 General He is regularly attending the creche of Jan Seva. His mothe is very happy with his improvement. He greets people. He recites poem. 50% Kolkata 1 West Bengal 700107 15. Haldar Barsita Buddhiswar Haldar 02/05/11 Female Cerebral Palsy Subhasgram ,Panchghara 02/02/2016 General We suggested that her mother make her masjid Para Dist-South 24 sit against the corner of the wall for some Parganas time instead of lying on the floor the whole day. We advised her mother not to do massage. 100% 0 West Bengal 16. Hela Tanvir Raja Hela 06/03/11 Male Mental Retardation 2 Raja Debendranarayan Lane 15/09/2015 SC His needs assessment started and home management programme demonstrated to his mother. He is attending in the ICDS centre. We also demonstrated programme to the ICDS worker. 70% Kolkata 1 West Bengal 700005 17. Kabir Md. Md.Gulam 04/10/10 Male Cerebral Palsy 166H/80 Keshab Ch. St 15/06/2015 General We checked his management programme with his father. We explained his mealtime management programme to his father and suggested to follow at home regularly. We provide him a special chair with cut-out tray. 90% Kolkata 0 West Bengal 700009 18. Karmakar Deep Bipul Das Gupta 23/04/12 Male Hearing Impairment 48, Prantik Pally 21/04/2015 General We have initiated his needs assessmnet and identified his needs area. We referred him to NIHH for a hearing assessment. He is attending creche of Jan Seva. 70% Kolkata 0 Westr Bengal 700062 Tuesday, May 10, 2016 Page 4 of 13 S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 19. Kausar Rehan Md. Farooq 17/06/12 Male Cerebral Palsy 2B/H 45, M N Chaterjee Sarani 12/06/2014 General Programme given on toileting and feeding. Suggested mother send him local ICDS centre. 60% Kolkata 2 West Bengal 700009 20. Khan Tisa Gobinda Ch. Khan 28/11/10 Female Hearing Impairment Vill: Baidya Khali, P.S. Palta 16/06/2015 General We referred her to NIHH for a hearing assessment. She has ID card. We recommended for pre-school education. Jan Seva agreed to admit her in their school. 60% P.O. Barul, Dist: 24 Pgs(S) 0 West Bengal 21. Khatoon Rupsana Sk. Alauddin 13/10/12 Female Hearing Impairment 11/1 Topsia Road.South 03/07/2015 General Her needs assessment was started. She is attending ICDS centre regularly. We referred her to NIHH for hearing assessment. 80% Kolkata 0 West Bengal 700046 22. Khatoon Tazin MD.Yasin 02/09/10 Female Hearing Impairment 29/H/5,Palm Avenue, Kolkata- 29/10/2015 General We identified her need areas and 700019 suggested her grandmother contact the hospital for obtaining a disability ID card. We referred her to NIHH for a hearing assessment. We suggested her grandmother send her to the nearest ICDS center for inclusion in pre-school. 60% Kolkata 1 West Bengal 700019 23. Khatoon Fatema Zakir Hossain 26/06/10 Female Visual Impiarment 3A Basanti colony 08/10/2015 General We referred her to R.G Kar Medical College and Hospital for doctor’s advice and send him RKM ICDS centre for nutritive food. 50% Kolkata 1 West Bengal 700067 Tuesday, May 10, 2016 Page 5 of 13 S.No Name F / M Name DOB Sex Type / % of Dis. Address DOE / C.Yrs CASTE REMARKS 24. Khatoon Khadija Rahim Sk. 19/01/13 Female Delayed Milestones Village- Durgapur, Post- 22/03/2016 OBC She attended first time and we identified Noorpur, Dist- South 24 her need areas through assessment. We Parganas suggested mother to allow her self - feeding. 50% 0 West Bengal 743368 25. Khatoon Suhana Md. Sahanawaz 02/06/11 Female Mental Retardation 8/2, N.N Road, Kolkata-700011 17/12/2015 General We worked on her home management programme recognition of objects through play and daily living activities. We suggested her mother to send her to ICDS centre regularly and explained the importance of it. 70% Kolkata 0 West Bengal 700011 26. Khatoon Asipa Ashadul Sk 09/09/09 Female Cerebral Palsy Village: Durgapur 05/04/2011 General She is attending ICDS center availing the facilities.