Annual Progress Report - ICharity · 2004. The act is applicable to all products containing tobacco in any form smokeless and smoked tobacco. The COTPA act 2003 is included major

Annual Progress Report April 2011 to March 2012

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, Plot No. 39 Sambhajinagar, Vaijapur pin-423701 Dist. Aurangabad, Maharashtra State, India Phone :02436-224904 Fax.02436-224904 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]

mailto:[email protected]�



Annual Progress Report 2011-2012

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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 and A’nagar 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 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 and Mission of MGVS

1. To strengthen the grassroots initiatives for socio economic upliftment of downtrodden area which focused on rural women, children and youth through promoting community based development programmes in the field of health and education.

2. To promote the community based health care centers with community participation in remote villages to have easy access to health facility for community.

3. To provide shelter home for HIV+ve orphan and Semi orphan children in Aurangabad district 4. As MGVS is a growing organization, it has equipped itself in capability of rendering services to

other organizations and NGO partners. Thus, MGVS is in the track of taking up capacity building programs for other community-based organizations, local NGOs and partner organizations. Further it could give technical and consultancy support which also will lead towards the self-reliance of the organization in the future.

Main Activities of the Organization

5. Take Action for Prevention and Control of STD and HIV/AIDS among high risk group, vulnerable, bridge, PLHIV and orphan vulnerable children in Aurangabad District of Maharashtra State

6. 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

7. To create awareness and provide training on organic farming among the rural farmers of Aurangabad District.

8. 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

9. To provide day care and education services for the street children who are left out during daytime as their mothers go for daily wages.

10. To established shelf half group and build capacity of rural women groups as well as Community Based Organization.

11. To provide night care service to beggers in Aurangabad district 12. Advancing Tobacco Control program through capacity building, training, engagement and

Advocacy in Aurangabad District 13. To reduce the unsafe abortion mortality rate among women in Kalwan block of Nasik

District. 14. To provide developmentally appropriate services of care and support for children affected

by HIV in Aurangabad.


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Social impact award 2010 is received to MGVS

Hon. Mr. Shrad Pawar (Agriculture minister Govt. of India) Mr. Ratnakar Gaikawad, Chief Secretary, Govt. of M S With MGVS Secretary Mr. Appasaheb Ugale. with Mr. Bhaskar Mundhe, Divisional Commissioner & Mr. Purushottam Bhapkar, Commissioner Municipal Corporation, Aurangabad visited to MGVS project

Best NGO 2011 award given by Govt. of Maharashtra Contract signing between The Consulate-General of To MGVS J apan, Mumbai and MGVS Aurangabad MGVS is working as per need and requirement with rural and urban poor for achieving above goal and adjective. This annual report is made as per learning and achievement of project activity as following.


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Project no 1 : Community Based Monitoring of Health Services under National Rural Health Mission (NRHM) Marathwada Gramin Vikas Sanstha (MGVS) is working as a District Nodal NGO for Community Based Monitoring of Health Services under National Rural Health Mission In Aurangabad district, 3 Block nodal NGO have selected as a partners NGO for the responsibility for the activities in Vaijapur,Gangapur and Soygaon block . The following organizations have been working as a Block Nodal NGO in the selected 3 Block 1. Vaijapur- Marathwada Gramin Vikas Sanstha (MGVS) 2. Soygaon –Abdul Salam Gramin Vikas Sanstha 3. Gangapur – Council for Rural Technology and Research Institute

Duration: April 2011 to March 2012

Background

The National Rural Health Mission (NRHM) was launched for the period 2005 to 2012 with the goal of improving the availability of and access to quality health care for people, especially for those residing in rural areas, the poor, women, and children. Community Based Monitoring was introduced as important component in order to ensure that the services reach those for whom they are meant. It was an outcome of consistent effort taken by Jan Swasthya Abhiyan.

Community Based Monitoring is also seen as an important aspect of promoting accountability & community led action in the field of health. The monitoring process also includes outreach services, public health facilities and the referral system.

It is assumed that, the most important input on what, where and how health services are needed and should be provided or improved can be given most efficiently by the users/ beneficiaries of the services themselves. Community based monitoring places people at the centre of the process. Community Based organizations (CBOs), people's movements, non government organizations and Panchayat representatives monitor demand/need, coverage, access, quality, effectiveness, behavior and presence of health care personnel at service points, possible denial of care and negligence as well as directly give feedback about the functioning of public health services, including giving inputs for improvement. This has enabled peoples participation in monitoring health resources and direct dialogue with health officials. The platform ensures accountable as well as transparent practices.

Objectives of Community Based Monitoring

• To provide regular and systematic information about community needs, which will be used to guide the planning process appropriately

• To provide feedback according to the locally developed yardsticks, as well as on some key indicators.

• To provide feedback on the status of fulfillment of entitlements, functioning of various levels of Public health system and service providers, identifying gaps, deficiencies in services and levels of community satisfaction, which can facilitate corrective action in a framework of accountability.


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• To enable the community and community-based organizations to become equal partners in the health planning process. It would increase the community's sense of involvement and participation to improve responsive functioning of the public health system.

Scope and structure of Community Based Monitoring

Community Based Monitoring process has been implemented as a pilot in selected nine states of India of which Maharashtra is one state. Aurangabad District is selected from Maharashtra and The representatives of Health Officials, Panchayat Raj, Community Based Organizations/ NGOs/ Peoples Movements and villagers are part of Monitoring and Planning Committees at Village, PHC, Block, District, and State levels.

Key Activities

1. Formation of District Mentoring Committee that played important role of finalization of state appropriate frameworks.

2. District level workshop and training of trainers (ToT)- Formation of District mentoring team and training of block facilitators for implementation of community based monitoring activities.

5. Formation of monitoring and planning Committees at village, PHC, block and district level.

6. Orientation and training of CBM committee members at all levels.

7. Data collection and preparation of report card- Data collected regarding status of health services at all levels by monitoring and planning committee members with the help of tools.

8. District Media workshop for improving media coverage of activities and findings of the pilot phase of CBM.

9. Jun Sunwai- Block and district level community monitoring exercises include a Public Dialogue (Jan Samvad) or Public Hearing (Jan Sunwai) process once or twice in the year in each PHC, district

To know more about Community based Monitoring process under NRHM at national level click on http://www.nrhmcommunityaction.org.

* Community Based Monitoring of Health Services Under NRHM in Maharashtra - Circular / GR

CBM Report

Compiled Report of Community Based Monitoring of Health Services under NRHM in Maharashtra (2007-2010) Download full document

http://www.nrhmcommunityaction.org/�

http://www.maha-arogya.gov.in/actsrules/default.htm�

http://www.sathicehat.org/uploads/CurrentProjects/CBM_Report_June10_Final.pdf�


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SATHI as State Nodal NGO

SATHI-CEHAT has taken the responsibility to work as a state nodal NGO for this project, providing training material like guidebook, tools for data collection and state level coordination with Government of Maharashtra Monitoring and evaluation of District Nodal NGOs activities.

District Mentoring Committee Meeting District level training on CBM process

For IEC materials like brochure, guidebook and documentation format. To view or download the publications, click on http://www.sathicehat.org/Publications/CommunityBasedMonitoringMaterial Project no 2.: 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.

Water tank and village community participated in implementing

http://www.sathicehat.org/Publications/CommunityBasedMonitoringMaterial�


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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. 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 Granin 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


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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 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.


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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 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 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) of Aurangabad blocks have the sign-ages of no smoking area at every PHC

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 abd 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 2012.


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Photo gallery

Workshop for District officials on COTPA 2003

IEC on for under this programme

Choose Life Not Tobacco

Project no 4 : To reduce the unsafe abortion mortality rate among women in Kalwan block of Nasik District. Marathwada Gramin Vikas Sanstha (MVS) is focuses on the Comprehensive Abortion Care among the eligible rural women (15 to 50 Age group) from Kalwan Taluka of Nasik District of Maharashtra With support of Ipas International / India since July 2010 in 97 village of Kalwan Taluka of Nasik District Approach and Activities:

This program had two aspects to its approach. The first one was to have the Anganwadi workers and ASHA and ANMs, health workers of NGOs and Hospitals/ Government RH, PHCs as intermediaries. The second aspect was to utilize different communication tools and channels to create awareness among the target group. As regards the first aspect, the health worker, ANMs and ASHAs and Anganwadi Workers (AWW) has trained by MGVS with the support of trained doctor to actively involve in the awareness programmed. The project coordinator and Assistant project coordinator had coordinated the overall activities and training.

The project coordinator also prepared the monthly reports, helped in the trainings and responsible for monthly monitoring and evaluation. The supervisor cum facilitators had directly involved in all


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the events and gave support to the health workers in organizing all the events and meetings. They also involved in counselling in times of need when critical cases had identified. They also involved with the health workers in identifying the health intermediaries. They build up rapport with the service centres and the leaders of different groups. The health workers organized the group meetings and events with the help of Supervisor; they visited regularly to the members of groups and events for follow up. They identified peer educators. They also regularly visited the Govt. and NGO ANMs and health workers for follow up and feedback. Following activities had completed.

This report is emphasis for comprehensive abortion care and interpersonal communication. Rational of project: Abortion in India

• If we look in depth on the numbers of abortions in India, 11 million abortions take place every year and 6.7 million are induced. Out of these 4 million are unsafe.

• Those women who have survive from this unsafe abortions suffer from chronic diseases • The main reasons for abortion are limited access to safe abortion services and lack of

information among service seekers. What does this mean?

• In India Maternal deaths are 213 per day and in it unsafe abortion contributing to 8% of all maternal mortality

• Maternal mortality and morbidity resulting from unsafe abortions is most preventable Statistics of abortion in Maharashtra

• MMR - 104 ( 2011 statistics) • Estimated induced abortions: 415,000 per annum

Public sector health services providing MTP in Maharashtra

• District Hospital - 68.4 % • RH 53.5% • PHC 3.4%

Private sector health services providing MTP in Maharashtra

• 2372 approved private sites in Maharashtra (December 2004) Causes of unsafe abortion: Social Factor:

• Low social status of women- often leading to low priority in health care (only women die!)

• Social stigma of ‘abortion’

• Ignorance about legality of abortion


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• Sexual assault and abuse leading to unwanted pregnancy

• Desire to keep the issue confidential

Policy factors

• Poor infrastructure in public sector

• Cumbersome site certification process

• Low contraceptive usage

• Lack of trained providers and safe sites

• Inadequate supplies at public health sites

Economic factors

• Poverty and economic hardships

• High cost of accessing private sector providers

• Women have to travel long distance to access safe and legal abortion

Urgent need

• Recognize unsafe abortion as a serious issue

• Providers to be sensitive to the issue

• Create more trained and certified providers

• Providers to feel motivated enough to provide services in remote and inaccessible areas

• Improve awareness of women and community on legality of abortion

• Technology and infrastructure to be made available at all level of public health care system

As per need and requirement Ipas and MGVS started Interpersonal communication activity in

Kalwan Taluka of Nasik district

Key Objectives:

• To promote awareness among the women between the age group of 15 and 49 about

legal and safe abortion

• To Create awareness about the services available for legal & safe abortion services

through MVA and EVA in the target area

• To promote effective linkages between safe abortion centers in order to facilitate better

health services in 93 village of Kalwan Taluka.


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• To foster the involvement and coordination of community level leaders and community

based organizations for creating enabling environment

Project period: 1st April to 30th June 1011

Target Group and population: Female of age group between 15 and 49

Females between the age group of 15 and 49 primary target group of this program. Apart from the

primary target group men also will get awareness indirectly to a large extent. Total around

40,000.00 women was covered by this project

Project Area : 4 Sites of Kalwan Taluka of Nasik District: a. Sub Dist. Hospital: Kalwan

b. PHC: Kanashi, Dalwat, Thiral PHCs of Kalwan Taluka

Project staff training: Two day project staff training organized by MGVS in Nasik town with the help Ipas India 1 Project

coordinator ,1 Assist project coordinator cum facilitators, 13 health workers from the project area

were present in this training .

Objective of this training is to build capacity of project staff and field workers on IPC skill and basic

knowledge on comprehensive abortion care

Fowling topic was covered in two day training:

• Basic knowledge on comprehensive abortion care

• Roles and Responsibility of field workers

• Effective field worker

• Measurements of months of pregnancy

• Contraception

• Interpersonal communication skills and IPC tools

• Effective group communication

Mapping of health intermediaries:

A survey was done on going in August and Sept.10 for getting the actual numbers of health

intermediaries such as ANMs of Government SDH, RH, PHCs, as well as NGOs, ASHA and AWW

from Kalwan Taluka.

There are 97 ASHA, 97 ANM and 115 Anganwadi workers are identified from project area


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Orientation of health intermediaries: One-day orientation of health intermediaries, ASHA, Anganwadi workers and Govt. and privet

ANMs orientation are done by MGVS 91 ASHA, 69 ANM and 95 Anganwadi workers trained by

MGVS with the help of Govt.PHC or RH trained doctor

Objective of this training:

• To upgrade the knowledge and skill in terms of promotion of safe abortion services in nearest

Government Hospital.

• To upgrade the understanding of roles and responsibilities of health intermediaries in the Safe

Abortion project.

• To upgrade the knowledge of health intermediaries concerning safe Abortion.

Method of adopted in training and processes Group interactions, play game, poster, modeling, lecture, demonstration, Flip book, Story

explanation, Question Answer etc methods were used in the training. Small group were divided

into two groups, training given with help of local trained doctors from Kalwan block (Dr. Padvi and

Dr. Wagh), Representative from Ipas Mr. Govind Bhattad also present at the time training. After

one month follow up meetings of health intermediaries also conducted area wise.

Details of orientation of health intermediaries (private ANMs, ASHA and Anganwadi workers)

Month Trained Govt.ANM

Private ANMs ASHA Anganwadi

workers) Total

Apr - - - - -

May - - 10 - 10

Jun 15 15 Sep - - 28 - 28 Oct - - - - - Nov 9 0 - 67 76 Dec 26 5 10 - 41 Jan 16 9 - 28 53 Feb - - - - - Mar 4 - 28 - 32

Total 55 14 91 95 255


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Details of follow-up orientation of health intermediaries (private ANMs, ASHA and Anganwadi workers)

Month Trained Govt. ANMs

Private ANMs ASHA

Anganwadi workers

Total

Apr - - - - - May 13 - 23 - 36 Jun 14 - 32 46 Jan - - - 59 59 Feb 8 7 24 - 39 Mar 19 - 39 - 58

Total 54 7 86 91 238

Training of Anganwadi workers and ANM and ASHA

Mass Event: Mass meetings are a traditional and religious program for women where they

come in groups as friends and celebrate. These programs will be organized and utilized for

communicating the message of legal & safe abortion and access to legal and safe abortion

services. 12 such events were organized during the period of 12 month in project area. These

events were organized 3 in each site around 70 to 90 women present in each mass meeting.

The health workers for the area are organize the mass events in PHC or Gram Panchayat area

and the supervisor cum facilitator was there to communicate the message on CAC and local

trained doctor also shear technical information with women in Mass event

Mass event and village community involved in mass event


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• Home visits:- Home visits by field workers in the 91 villages covered under the IPC programme .Main purpose of home visit is to collect the, real data about needy women, eligible, needy women and adolescent girls in each family of villages. Home visits are also useful to identify the basic women’s health needs of beneficiaries of the programme. Besides this, IEC materials on legal and safe abortion (Leaflets and broachers) would be provided. Field workers would visit 2-3 families at list in a day thus 13 Female Health Workers would cover families during month. Finally home visit will have impact to create favourable healthy atmosphere in the family. Total 8,368 home visits done by field workers and 12,507 women coved by home visit.

• Group Meetings with SHG members: - Group meetings of women SHG members and

• women would be organizes in order to share the health needs and safe abortion services in

• nearest Government Hospital. safe abortion deferent tools of IPC was used in Group meeting,

one health workers was conducted one group meeting in a day , IEC materials like fosters, flips

charts, leaflets on safe and legal abortion was distributed after group meeting . Thus group

meeting would enrich their knowledge on safe and legal abortion and also utilized for

conveying the message to each other, 1387 group meetings are conducted in 4 sites Each

Group will have 10 to15 women each. Total 18,609 rural women covered by group meeting

Group meeting with rural and tribal women

• Meeting with adolescent girls: 10 group meetings organized during the 12 month in our

project area for adolescent girls for conveying the message on safe abortion and services.

Leaflets ware distributed for these groups. Discussion sessions had conduct on the issue of

legal and safe abortion along with other sessions. 10 group meetings are conducted in 4 sites

Each Group will have 10 to 12 adolescent girls ware present in each group meeting.

• Wall paintings/writings: Wall paintings / writings are done in women accessed areas: Wall

paintings on safe abortion and access to services was prepared and painted on walls which

are at points of visibility to women. The matter of these paintings and painter was provided by

Ipas. Wall paintings are containing both pictures and words to communicate the message. 100


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• such wall paintings are prepared in 91 village of Kalwan Taluka and around 90,000 women

and men are covered by wall painting

Wall painting in village Meeting with adolescent girls Activity and Achievement

Name of activity Proposed Numbers

Achievement Numbers

Population M F

Total population Covered

Group meeting 364 1,484 22,197 22,197 Group meeting with adolescent girls

12 10 127 127

Home visit 12,167 16,672 16,672 Mass event 12 12 699 699 Street play 64 66 6,488 6,395 12,883 Poster Distribution 10,000 9,067

Leaflets 50,000 44,402 Training/ Orientation of health intermediaries Govt.& private.ANM 71 69 69 ANM, ASHA &

AWWs are passing the message to other women in their village.

Anganwadi Worker 91 95 95 ASHA 96 91 91

Wall painting 100 91 99,000 rural men and women covered from 91 village by wall painting

Follow-up meeting Govt. & private ANM 71 61 Trained ANM,

ASHA & AWWs are passing the message to other women in their village

Anganwadi Worker 91 91 ASHA 96 86

Staff Capacity Building 1 1 2 15 Total Numbers referred to Service centre

No target 144 144 144

Service received to women

82 82 82


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Out come

• 255 health intermediaries has trained and able to communicate and guide the women who are

in need to safe abortion services.

• Through, 1,484 Group meeting 22,197 women increase their knowledge about awareness on

Legal and safe abortion. In turn they are passing the message to other women.

• Through 55 Govt.ANM and 14 NGO ANMs and 91 ASHAs and 95 AWWs get awareness on

legal and safe abortion and its access.

• 699 women increase their knowledge about awareness through Mass metting /Haldi Kumkum

events and orientation meetings. In turn they are also passing the message to other women.

• Posters and wall paintings are facilitating the illiterate women to get the accurate message.

• Around 99,000 women and men from 91 villages increase their knowledge about awareness

on safe abortion and access to legal & safe abortion services.

• Developed a cadre of trained ANMs, ASHAs and AWWs to act as referral point and guide

women to safe abortion services.

• Removed myths and misconceptions on abortions i.e. abortion is a sin/crime, abortion is illegal

and issues in confidentially and services delivery.

• 45,264 women direct reached / covered through 14 MGVS staff.

• 69 Govt.ANM & Pri.NGO health workers, 91 ASHAs and 95 AWWs oriented and In turn they

are also passing the message to other women.

• The campaign helped women in making informed choices/decisions on safe abortion and

accessing services from a public health care facilities.

• The outdoor communication activities such as posters, wall painting helped to inform general

community about safe abortion services.

• These campaigns enabled and empower women in making informed decisions in abortions,

provided them with correct information and create a network of support services for her to

avoid unnecessary health risk or consequences that might put her life in danger.

• Number of referral cases increased in Government hospitals.

• Acceptances of contraception have increased.

• Wall paintings are facilitating illiterate women of 91 villages to get accurate message.

• The campaign helped women in making informed choices/decisions on safe abortion and

accessing services from Govt. health care facilities.


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Project no 5 : Self Employment generation programme through Vocational training

As self employment is imperative for village youth to avoid migration and promote micro enterprises, self employment generation ( Vocational Training) programs are taken up for village youth, women and girls. Vocational training includes Beauty parlors, Dairy and milk product, Baiowest management, TV repairing and maintenance, electric motor rewinding and tailoring cutting.

252 rural youth, girls and women have been trained during this period, after successful training completion we have given certificate and one tool kit to trainees, self-employment started by 145 students; Women and child department of Z.P Aurangabad support this programme

Women participated in training Certificate and tool distribution program

Detail of training

Sr no

Name of course Trained no Employment Generate

1 Beauty parlors 177 106

2 Dairy and milk product 25 13

3 TV repairing and maintenance 25 12

4 Electric motor rewinding 25 14

Total 252 145


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Project no 6: Pediatric AIDS Initiative (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 .

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 uninfected 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 97 children • Link 97 children to Aurangabad ART centers for CD4 and ART • Care and support is being given through MGVS and treatment through ART centers • 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 14 year old

Project area:

Vaijapur,Gangapur ,Kannad and paithan 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) made regular visits to the CLHAs and their families at least twice a month to emphasize the value of healthy leaving and ART adherence.

ORW was made a minimum of two visits per month, out of which one would be a mandatory home visit per month for all the children and the other visit will be a home visit 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


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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

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.

Also 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 3 kg rice,1kg groundnut and 1 kg to the beneficiary also sometimes we gave them 500 gm Mooing, 100 gm Rajgira ladoo. For this the beneficiary came to office and gets the proper service.

We linked them at Anganwadi and pre primary school for middy milk or full nutritional support.

Overall activities done under project:

• First identify and mobilize CLHA and took their personal details and history


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• 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. • 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

Project no 7: Community Mobilization (Link Worker Scheme) for Aurangabad District

Introduction and Background of project:

India had a sharp increase in the estimated number of HIV infections from a few thousand in the early 1990’s to around 5.2 million children and adults living with HIV/AIDS in 2003 which further increased to 5.7 million in 2005. Now India ranks first in terms of number of people having HIV/AIDS followed by South Africa. 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 90% 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


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most at risk HRGs of FSWs, MSMs/ TGs 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. Aurangabad is one of the districts in Maharashtra with a high prevalence of HIV and the numbers of HIV Positive individuals detected are increasing day by day from the general community, Clients and partners of FSWs and amongst youth. Yet a large population is undetected as they maybe in the window period or may not have undergone HIV testing. HIV positivity rate of Aurangabad District is 2.29% and ANC prevalence rate is 0.15 %. (As per DAPCU Data) There are around 4500 FSWs existing in Aurangabad District which includes non brothel based, Brothel based, and Home based and floating FSWs. The educational level of FSWs is low. Many people migrate 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, and Paithan etc. In & out migration of people makes it more vulnerable to transmission of HIV/AIDS. The number of slum areas in the Aurangabad district as well as in the Taluka is very high due to migration. Majority of the slum inhabitants indulge in high-risk behavior due to various factors like illiteracy, addiction and pre/post marital exposures. Poverty & unemployment forces vulnerable women like widows to resort to sex trade. The total population of the district according to 2011 census is 3,695,928 which is 3.29% of the total population of Maharashtra. The total no. of households is 3.84 lakhs. Out of which 2.61 lakhs are in rural area & 1.23 lakhs in urban area.

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:

– 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


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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 – CSWs, Clients, Partners

Secondary target group – Drivers, truckers, pan shop keepers, Petty shop keepers, lodge and hotel owners etc.

Project Area: All blocks of Aurangabad District which includes Aurangabad, Paithan, Khultabad, Phulambri, Kannad, Sillod, Soygaon, Gangapur and Vaijapur block.


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Villages Population:

Sr. No.

Block No. of Villages

Total HRG Population

Total Vulnerable men and women

1 Paithan 12 251 5976

2 Aurangabad 16 143 5875

3 Phulambri 8 118 3064

4 Khultabad 7 71 2904

5 Gangapur 13 193 5493

6 Vaijapur 11 167 3970

7 Kannad 10 107 6911

8 Sillod 15 171 8878

9 Soygaon 8 95 4633

Total 100 1316 47704

Activity and Achievement:

Sr. No.

Name of Activity Mapping estimate

Proposed target

Achievement

Till Mar 12

Up to 31st Mar. 12

1 FSW 1237 1237 1237

2 MSM 76 76 76

3 IDU 3 3 1

4 Truckers 4723 4723 4723

5 Migrant Male 26225 26225 26225

6 Migrant Women 7003 7003 7003

7 Vulnerable Young Men 1277 1277 1277

8 Vulnerable Young Women 8476 8476 8476

9 PLHIV Male 220 220 114

10 PLHIV Female 129 129 111

11 OVC 17 17 53

12 Volunteers Identification 1000 1000 1327

13 Volunteers Training 1000 1212


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14 HRG Referral ICTC with repeat referral 1316 3010

15 HRG Testing with repeat testing 1052 1785

16 RRC establish. 100 100

17 Condom depot 100 212

18 KIC 100 100

19 Vulnerable Men women ICTC Referral 33392 40507

20 Vulnerable Men women ICTC testing 28622 18280

21 SNA 100 villages

100

22 No. Identified Positive 162

23 ART /CCC referral 162

24 ART/CCC Linkage 139

25 Bridge and Vulnerable STI referral 7958

26 Bridge and Vulnerable STI treated 1341

27 HRG STI referral 2142

28 HRG STI treated 277

29 TB patients referral 158

31 Advocacy meeting with district level stakeholders

47

32 Meetings with other village functionaries

196

33 Community Events and meetings organized with SHGs and youth clubs

381

Mid Media Activities


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Mass event and community participated in IPC activity

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:

Linkages with TI and other heath related NGOs, CBOs & Projects

Linkages to Sanjay Gandhi Niradhar Yojana

Linkages to CLHA Shelter home, School for Education and Nutrition, NAP+, CCC and ART

Good Practices / Innovation

RRC (Youth Group) established in village level and registered with Charity Commissioner (CC) office as a Yuvak Mandal.

Registered RRC link with Youth, Sports department and NYK for sustainability.

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.

Wall painting in each village of Paithan and Vaijapur Block (KIC)

Wall Paintings at Villages

Advocacy meeting with village level PRIs and CBOs (youth club, SHG, Mahila Mandal, Gram Panchayat and VHCs, etc )

District level meeting with CEO, DHO, CS, ART center & all THOs and PHCs medical officers and DAPCU.

Saiyukta established in 48 villages of Aurangabad


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District level meeting with CEO, DHO, CS 48 Saiyukta established in village and all THOs of 9 blocks

Networking meeting with ICTC, ART & STD Counselor District level meeting with LW in a month

Knowledge Information Centre and Monthly Meeting of LWs at District Level

Cluster level meeting with LW

Daily & monthly reporting format developed for LW

Linkages with TI and other heath related NGOs & Project

Good MIS & Supportive Monitoring System

Resource Mobilization and fund raising

Sexual network in vulnerable population

Linkages with community worker / benefit of LWS to ASHA

Linkages with NRHM/CEO/ART/ICTC

Monitoring and Evaluation Strategy


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Learning’s:

Co-operation and involvement of District, block and village level authority is important for implementation of LWS

Advocacy meetings important with village level stakeholders and authority

Team learn the flexibility and adoptability

New techniques and approaches are important for successful implementing.

Mobile ICTC and STD clinic is very important for Village level HRGs, Vulnerable STD and ICTC Services

Continues and in house training of VO and LW is very important for sustainability of LWS

Linkages and networking is important for village stake holder involvement and Services ( GP, youth group, AWW, ANM,ASHA VHSC etc

Outcomes of the Link Worker Scheme:

From the above table we can get the information that how the HIV prevalence was decreased from 2008 to 2010 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

Aurangabad

Gangapur

Kannad PaithanKhultab

adPhulam

briSillod

Soygaon

Vaijapur

HIV Prevelence 2008 ICTC 15.64 8.01 2.95 4.58 1.26 1.74 2.05 0.86 7.41

HIV Prevelence 2008 PPTCT 0.48 0.26 0.26 0.37 0 0.16 0.07 0 0.54

HIV Prevelence 2009 ICTC 8.7 4.27 2.4 2.94 0.78 0 0.93 0.56 5.34

HIV Prevelence 2009 PPTCT 0.4 0.19 0.1 0.45 0.29 0.09 0.1 0 0.24

HIV Prevelence 2010 ICTC 5.7 2.5 0.84 1.7 0.33 0.43 0.53 0.38 2.41

HIV Prevelence 2010 PPTCT 0.16 0.15 0.2 0.08 0 0 0 0 0.27

02468

1012141618

Axi

s Ti

tle

HIV Prevelance rate


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• 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 8 :- Prevention of STI and HIV/AIDS among non-brothel based sex workers in Paithan, Khultabad and Sillod Taluka of Aurangabad District

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, Khultaba, 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.

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 Behaviour Change Communication. Behaviour change communication is a multi-level tool for promoting and sustaining risk reducing behaviour 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.

The above objectives are achieved through the strategy of Behaviour Change Communication. Behaviour change communication is a multi-level tool for promoting and sustaining risk reducing

behaviour change in individuals and communities by distributing tailored health message in variety


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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

Establishment of condom outlet

Integrated Ccounseling 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

Advocacy & Networking

Meeting with secondary stack holder such as DHO, Civil surgeon, THO,MO DAPCH and ICTC WCD department etc

Peer Education

Peer education identification, capacity building of peer educator

Crisis management System

Advocacy meeting with CBO, NGO, police, and Municipal Corporation

Sustainability Plans

Neworking with CBO and NGO, linkages

SHG formation and linkages

Monitoring & Evaluation

Weekly and Monthly and quarterly review meeting and annual evaluation


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Project team for FSW TI project

Project staff is working to achieve the objectives of the project.

Designations Nos % of time Project Director 1 25% Project Coordinator 1 100% Counselor 1 100% Out reach workers 6 100% Accountant 1 100% Part time doctor 3 50% M&E 1 100% Total 14

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 1018

Activity and achievement

Sr. no Name of Activity Proposed Achievement BCC (Community mobilization structures)

One to one Sessions 9000 9706 Group sessions 2503 6487 Group Discussions 2503 6487 Community events (2Per month) 22

Condom promotion

Counseling

(50 per month)

1149

Condom distribution

(48000 per month) 378778

Condom demo

(100 Demonstration per month (900 demo and 900 Re demo in a

reporting period )

2587

Referral to ICTC for testing

1499 2352

ICTC for testing 1499 1273

STD care and support

Counseling and referral for further treatment

As per monthly Cases

160

Regular medical checkup

2999 2561

STD petition identified

75 per month 48

Full treatment 48


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VDR testing 1499 1330

Peer Education

Peer education identification,

17 17

capacity building of peer educator

17 17

Active peer educators 17 17 Advocacy and Networking

Meeting with deferent stack holders

1 3

SHG formation

As per formation 7(57 Member in SHG)

Output by end of 31st March 2012

• 1000 FSW population are covered by regular contact. • 100% of regular contacts are motivated for regular ICTC testing. • As per Indicator 1273 ICTC testing’s done in reporting period • 2561 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. • 37 Condom outlets established in hot spots. • 3,78,778 male condom distributed in last year . • 17 trained peer educators are available in project site. • 12 monthly and 4 Quarterly MIS meetings conducted • 7 no of community groups or SHGs formed • 57 no of FSWs are the part of SHGs or community groups

Women taking information on HIV/ AIDS Group meeting with HRGs

Project no 9: 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, 217 children identified who have tested


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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 to this, visit to ART centre has become a difficult task for the guardians or grandparents to take the children for ART or OI treatment. Also sometimes due to the limitations of ART Clinic timings they have to spend on overnight stay. Irregularity makes adherence to ART and subsequently resistance to treatment will predictably complicate the issues. As the family members and relatives are not able to support, these children feel insecure, neglected, and fall prey to more infection and weakness, which ultimately leads to premature mortality.

It is for these children MGVS have started 7,000 sq feet building construction for 50 HIV+ve orphan children shelter home cum community health center in 1.5 acre area land at Karanjgaon Tal. Vaijapur Dist. Aurangabad, Maharashtra ( on Mumbai - Nagpur Highway)

Residential care and support, two-time food, education facility will available in this center, primary health care service available for rural community, this center will be start by Feb. 2013,

Progressive Building constriction of orphanage Open space for garden and play ground And community health center Project no 10: 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 Gandhi nagar, 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 beggars, also providing dinner on low cost


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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.

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 Chief secretry Govt.of Maharaahstra visited to MGVS night care sheltor home

Project no 11: Education Guarantee Scheme for School dropout children this programme is specially designed to provide education opportunity for school dropout and underprivileged children between 6 -14 years. 3 education guarantee centers have been established in Vaijapur town and rural area of Vijapur block. These children are given education up to 4th and 6th std level and then admitted in the regular schools to continue their education. This programme has inspired the lives of 516 children and has given new direction in their lives. This programme is suporte by Education department of Z.P Aurangabad and Give India MGVS are providing breakfast and mid day lunch and book, pen, notebook to children


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Children in MGVS education guarantee center

List of Important visitors visited to MGVS during the reporting period

1. Mr.Ratnakar Gaikawad,( IAS)Chief Secretary of Govt .of Maharashtra

2. Mr. Bhaskar Munde (IAS), Divisional Commissioner of Aurangabad Division

3. Mr. Purushotam Bhapkar (IAS) Commissioner Municipal caroration Aurangabad

4. Ms. Aradhana Johari (IAS) Joint Secretary, NACO New Delhi

5. Ms. Smriti Acharya ,Project Director, Avert Society Mumbai. with team

4. Dr. Kasbekar, Dy. Director of Health Services Aurangabad Division

5. Dr. D.N Patil Civil Surgeon, Aurangabad

7. Mr. Kunal Kumar (IAS) District Collector, Aurangabad

8. Dr. Jakkal, Joint Director, Health Services, Maharashtra state

9. Ms. Mikiko Osaka (Ms.) Development Consultant, Consulate-General of Japan,

10. Dr. More , District Health Officer, Z.P Aurangabad

Credibility Norms Compliance and Financial Statement Details (as on 31st March 2012) 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 dt. 29/6/2009 4. MGVS also registered under F.C.R.A. 1976 .083750093, dated 19/8/2005

Governing board details

Sr. No

Name G B member Position in the Board

Age

Gender

Occupation

Meeting attended last year

1 Mr. Mansukh Manikchand Zambad

President 60 M Farmers and industrialist

4

2 Mr. Appasaheb Janardhan Ugale

Secretary 37 M Project Director 4

3 Mr. Popatrao Dasarat. Patil Vice president

59 M Farmers 4

4 Mr. Shivaji Bhaurao Aware Joint Secretary

48 M Service 4

5 MS. Sunita Girjinath Shejul Treasurer 36 F House wife 3 6 Ms. Alka Kishor Patil Members 32 F House wife 4 7 Mr. Bhausaheb Karbhari

Gunjal Members 43 M Consultant 4


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Distribution of staff according to salary levels

Slab of gross salary (in Rs) plus benefits paid to staff (per month)

Male staff

Female staff

Total staff

Less than 5000 18 62 80 5,000 – 10,000 16 8 24 10,000 – 25,000 3 2 5 25,000 – 50,000 1 - 1 50,000 – 1,00,000 - - - Greater than 1,00,000 - - -

Staff Details

Gender Paid full time Paid part Time

Paid Consultant

Unpaid Volunteers

Male 35 3 - 924 Female 70 2 - 403

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. 3,16,800 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. 37,678 (Thirty seven thousand six hundred seventy eight 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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Income and Expenditure Account for the year ending 31st March ,2012

Expenditure Amount Amount Income Amount Amount To Expenditure in respect of properties By Bank Interest 19,124.00

On Securities

Rent, Rates and taxes On loans

Repairs and maintenance On Bank Accounts 19,124.00

Salaries

Insurance By Donation from trustee & other 649,237.00

To Establishment expenses To Remuneration to Trustees

By Grant received during the year 7,380,390.51

To Legal Expenses 5,000.00 (As per Schedule -A)

To Audit Fees 20,000.00

To Contribution and fees. By Income from Other sources 251,684.00

To Amount written off Members Annual Fees 1,057.00

To Miscellaneous Expenses Others Income 250,627.00

To Depreciation 119,011.00 (As per Schedule -F)

To Total Expenditure on

Object of the Trust 7,910,516.00

( As per annexure II)

a) Religious By Deficit Carried Over To B/s 0.00

b) Educational 364,624.00

c) Medical relief 5,997,454.00

d) Poverty relief 1,548,438.00

e) Other To Surplus Carried Over To B/s 245,908.51

Total 8,300,435.51 Total 8,300,435.51

Place : Aurangabad

Examined and found correct as per Book of Account produced & information & explanation given.

Date :10/07/2012

For Marathwada Gramin Vikas Sanstha(MGVS)

For Sunil Salunke & Associates

Chartered Accountants

Appasaheb Ugale S.R. Salunke


40 | P a g e

Balance Sheet as on 31 March, 2012 Funds and Liabilities Amount Amount Property and Assets Amount Amount

Trust Funds or Corpus 30,616.00 Fixed Assets 1,026,305.00

Balance as per last Balance sheet 30,616.00 (As per Schedule-B)

Other Earmarked funds Current Assets

Development Fund 527,834.00 528,834.00 Grants Receivables : 120,668.00

Add: During the Year 1,000.00 (As per Schedule-C) 120,668.00

Building Construction Fund 5,524,941.00 Closing Cash & Bank Balance 5,472,160.11

(During the Year) 5,524,941.00 (As per Schedule-D) 5,472,160.11

Loans & Advances 225,912.00

Loans( secured or unsecured) 64,003.00 (As per Schedule-E) 225,912.00

From Trustee as per last b/s 204,003.00

Less: Refund During the year 140,000.00

Current Liabilities 76,810.00 Capital W.I.P. 1,119,966.00

(As per Schedule-E) 76,810.00

Income and Expenditure Account 1,739,807.11

Balance as per last Balance sheet 1,457,736.60

Less Surplus During The Year 245,908.51

Less:Adjustment During the Year 36,162.00

Total 7,965,011.11 Total 7,965,011.11

As per our Report of even date.

The above Balance Sheet to the best my/our belief containts a true account of Funds & Liabilities and of the Property and Assets of the Trust

Place: Aurangabad Date:10/07/2012

For Marathwada Gramin Vikas Sanstha (MGVS) For Sunil Salunke and Associates Chartered Accountants


M.No. 105421


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Grant Received During The Year 2011-12 Sr No Particulars Amount

1 Apla Pani Project 76567.00

Grant from Grampanchayat 76567.00

2 Family Councelling Center 53191.00

Grant Received From Z.P. 53191.00

3 Link Workers Scheme (Community Mobilization) 2121800.00

From Avert Society 2121800.00

4 Advancing Tobacco Control Programme 409308.00

Helias Grant 409308.00

5 Safe Abortion Project (Comprehensive Abortion Care) 161470.00

Grant from IPAS 161470.00

6 Crèche Centre Grant (CSWB) 45384.00 45384.00

7 Give India 226625.51

Grant for Education Programme 43700.00

Grant for CLHA 130694.15

Grant for Organic Training 12375.00

Grant for Peer Educator Training 17711.22

Grant for General Fund 22145.14

8 CBM Under NRHM 760032.00

Grant from SATHI 760032.00

9 Income Generation Training 1118205.00

Grant Received From Z.P. (WCD Aurangabad) 1118205.00

10 Self Group Establishment 39200.00

Grant From DRDA 39200.00

11 Night Care Center 252000.00

Grant Received From Municipal corporation 252000.00

12 PAI Project 42165.00

Clinton Foundation 42165.00

13 HIV /AIDS Prevention FSW 1853775.00

Avert Grant 585150.00

MSACS 1268625.00

14 Service NGO Under RCH Programme 100000.00

Grant received from ZP NRHM 100000.00

15 Grant Receivable (2011-12) 120668.00

Tobacco Control Programme 4928.00

Link Worker Scheme 54000.00

Night Care Center 61740.00

Total 73,80,390.51

Place: Aurangabad, Date: 10/07/2012

For Marathwada Gramin Vikas Sanstha (MGVS)

For Sunil Salunke and Associates Chartered Accountants



42 | P a g e

Annexure II Details Of Expenditure On Object Of Trust During The Year 2011.12

Sr No Particulars Amount

A) Educational Programme Give India (Education & Organic Farming) 64,800.00 MGVS -Administrative Expenses 299,824.00 A) 364,624.00

B) Health & Medical Relief Programme Care & Support For HIV+ve & Orphen Chidren Pediatric AIDS Inititative (PAI) Project : 41,450.00 Link Worker Scheme (Community Mobilization) : 2,427,599.00 HIV / AIDS Prevention & Control Amongs FSW TI : 1,779,695.00 Community Based Monitoring Project under NRHM 697,713.00

Give India (CLHA Expences & Peer Education Training Exp.) 166,619.00

Service NGO Under RCH Programme 99,780.00 Tobacco Control Project 460,631.00 Apla Pani Project (Rural Water Supply) 101,403.00 Safe Abortition Project (Comprehensive Abortion Care) 222,564.00 Cupid Female condom Study B) 5,997,454.00

C) Poverty Relief Family Counselling Center : 54,000.00 Income Generation Programme 1,103,235.00 Self Group Establishment 38,596.00 Night Care Centre 306,354.00 Creche Centre for Working Mother/Children : 46,253.00 C) 1,548,438.00 Grand Total (A+B+C) 7,910,516.00

Place: Aurangabad

Date:10/07/2012

For Marathwada Gramin Vikas Sanstha (MGVS)

For Sunil Salunke and Associates Chartered Accountants


M.No. 105421

Documents

Annual Progress Report - ICharity · 2004. The act is applicable to all products containing tobacco in any form smokeless and smoked tobacco. The COTPA act 2003 is included major