Report Fy 2008 2009

The First IMPACT TB Project GFATM Rd -4 CTD-CBCI-CHAI

Yr 2008-2009


Report on Implementation in Rajasthan July 2008 to March 2009

In Partnership with – State Program Committee(TB) & State Health Society, Rajasthan


Yr 2008-2009 Page 2

Acknowledgements The credit for the achievements of the project during the first Financial

Year of implementation in the State of Rajasthan is shared by the leaders &

functionaries of the RNTCP team in Rajasthan as well as those of the Catholic

Health, Social & Education Networks. The constant inputs from the Central TB

Division and the Health Commission of The Catholic Bishops’ Conference of

India as well as concerted support from the Catholic Health Association of India &

the RUPCHA Regional office have helped to pave the way & to move towards the

attainment of the project objectives.Sincere thanks are offered to

Dr. L S Chauhan, DDG TB, Dr Shruti Sehgal, Consultant CTD

Dr K N Gupta, the State TB Officer, Rajasthan, all the officers at the State TB Cell

and the STDC, Ajmer, Distinct TB Officers and other officers at the District TB

Centres, MO-TCs and their teams of STS & STLS

RNTCP Consultants of Rajasthan- Dr S K Sinha, Dr Vivek Mishra, Dr Umesh

Alavadi & Dr Simi Roy Misra

Most Rev Ignatius Menezes, Most Rev Joesph Pathalil and Most Rev Oswald

Lewis, the Bishops of Ajmer, Udaipur & Jaipur, respectively, the Social directors of

all Diocese, the Fathers , Sisters & the team of animators and other field workers

Fr Sebastian Ousepperampil, Fr Mathew Abraham and Dr John Tharakan for

constant support & encouragement. Mr. Sebastian Kunneth for facilitating the

initial meetings with the Member Institutions. The CBCI & CHAI offices for

always being there and for their prompt troubleshooting.

Dr Reuben Swamickan for providing leadership & direction, and the State TB

Project Consultants from all the other States for sharing their experiences,

perspectives and approaches.

Thanks to all members of “The Team” Dr Neerja Arora

State TB Project Consultant, Rajasthan


Yr 2008-2009 Page 3

Index S.No. Subject Page No

1 Introduction to the Project

4-5

2 Infrastructure in Rajasthan, Listing & Contacting

6

3 Possibilities of Involvement of Centres of Catholic

Health & Social Networks

7-8

4 State Level workshop on Launch of the project in

Rajasthan

9-12

5 Current Status of Involvement

13

6 Sensitisation Sessions

14-15

7 Training Sessions

16-17

8 Implementation as per Action Plan

18

9 ACSM- Community Meetings, Group

Sensitisations, School Activities

19-31

9A Community Meetings

19

9B Domestic Workers’ Union 20-21

9C Roman Catholic Diocesan Service Centre, Ajmer

22

9D St Francis Hospital, Ajmer

23-24

9E Success Stories

25-27

9F

9G

World TB Day Activities

Sarvadharma Maitri Sadan, Community Meeting

School Activities

28

29-31

10 Annexure

Ann.1- Contact Information of Member Institutions

Ann.2- Summary of School Activities

Ann.3-DOTS Story- DOTS dh tknqbZ dgkuh

32-34

35-36

37-40


Yr 2008-2009 Page 4

Introduction to the First IMPACT Project (The First Innovative Mobilization of Private Actors

& Church against TB)

This project has been launched with the objective of improving the access

to the diagnostic and treatment services provided by the RNTCP within and

through the Catholic Health Network and thereby improving the quality of care

for patients suffering from Tuberculosis in India. For this project the Health

Commission of the Catholic Bishops Conference of India (CBCI-HC) has

partnered with the Central TB Division (CTD) under GFATM Round IV. The

project will be implemented in 11 States of India in the first phase. The

implementation will be through Member Institutions (MI) of Catholic Health

Association Of India (CHAI) in 7 States (Andhra Pradesh, Assam, Chhatisgarh,

Jharkhand, Karnataka, Orissa, and Rajasthan) & MIs of Catholic Relief

Services (CRS) in 4 States (Bihar, Madhya Pradesh, Uttar Pradesh, and West

Bengal).

The Catholic Healthcare Network in India consists of about 5,994 health care

facilities, 85% of which are in rural areas. The Catholic Nurses Guild of India

and the Sister Doctors Forum of India have about 40,000 & 600 members

respectively. Almost all facilities in the Catholic Health Network (CHN) come in

contact with patients having TB. Though at present accurate data on the

number of patients catered to by the CHN are not available, there is no doubt

about the need for better services and access to treatment for people having TB.

The Catholic Health Association of India (CHAI) was established in the

year 1943 and has its Headquarters in Secunderabad (AP). It is the world’s

largest NGO working in the health sector. CHAI has 3273 Member institutes

(MI’s) under 11 Regional Units (RU) across India. The RU for Rajasthan is

RUPCHA (Rajasthan & UP Catholic Health Association), which caters to MIs

in 9 Northern States and has Headquarters in New Delhi. CHAI’s Thrust areas

are in the field of Community Health, Communicable diseases including

HIV/AIDS and Disaster intervention.


Yr 2008-2009 Page 5

The project has been modelled with the following features:-

RNTCP services will also be

extended through the MIs of

CHN.

CBCI- Health Commission

will be main coordinator and

CHAI and CRS will be the

implementing partners

The MIs of CHN will provide

better access to RNTCP

services in the areas of their

activity especially in remote,

rural & tribal regions.

The MIs will be involved

under appropriate RNTCP

Schemes for NGOs

All identified centers will

participate in Awareness

programs, serve as Referral

centers for TB suspects and

most MIs will serve as DOT

Centres

Larger centers can become

DMCs / TUs

There will be optimal

resource utilization from

CBCI and RNTCP

Expected Value addition by the RNTCP- CBCI partnership

Number of new TB

patients detected will

improve substantially in

areas of activity as

more institutions

become part of RNTCP

and there is

strengthening of the

involved centres.

Defaulter rate will

decrease significantly

due to improved access

& acceptability of the

RNTCP services,

especially in under-

served & difficult to

reach areas.

Training of Health

Care providers through

RNTCP modules will be

conducted with the help

of facilitators &

material from RNTCP

and facility & provider

network from CBCI

partners

The MIs will facilitate

distribution of uniform

IEC material from the

RNTCP throughout the

network and in the field

All MIs will facilitate

diagnosis & provide

drugs as per RNTCP

Guidelines and follow

RNTCP in letter &

principle.


Yr 2008-2009

Infrastructure in Rajasthan- Listing & Contacting

The State of Rajasthan includes three Catholic Dioceses. The Ajmer diocese includes the districts of

Ajmer, Barmer, Jalore, Jaisalmer, Pali, Jhalawar, Jodhpur, Sirohi, Tonk, Kota, Baran and Bundi. The Jaipur

Diocese includes Jaipur, Ganganagar, Hanumangarh, Bikaner, Jhunjhunu, Churu, Sikar, Alwar, Dausa,

Karauli, Nagaur and Sawai Madhopur and the Udaipur diocese includes Udaipur, Banswara, Bhilwara,

Chittaurgarh, Dungarpur and Rajasamand

At present there are 66 listed Catholic Health Care Facilities in Rajasthan, 55 in Health Sector + 11

in Social Sector)

Type of Institution/ Name of Diocese

Ajmer Jaipur Udaipur Rajasthan

Hospitals 15 1 6 22

Dispensaries & Health

Centres 8 5 11 24

Nursing Schools 1 0 0 1 Rehabilitation centers

for disabled 2 1 0 3

Home for the Aged 0 1 0 1 Counseling Centres 2 0 0 2 Home for the

terminally ill 0 1 0 1

Care Homes for

PLWHA 1 0 0 1

Social-work Centres 2 2 7 11

57 Catholic Health Care Facilities were listed in Rajasthan in CBCI Health Directory 2008; more centres

were added to the list- 11 from the Social Sector and 1 from health sector. 3 names were listed twice under

different categories and the duplicity was discounted. Hence there are presently 66 listed centres.12 centres

have been found to be either non-functional or present in the same premises or adjacent to another CHN

centre or Government centre hence suitable only for Referral of patients and may not be signed under any of

the existing RNTCP Schemes, as per the decision taken by the DTO after their preliminary visits. 5 centres

have not been visited yet hence their suitability has not been ascertained. Therefore presently 49 centres are

deemed to be eligible for involvement under new RNTCP Scheme


Yr 2008-2009

Possibilities of Linkage of MIs under Revised RNTCP NGO-PP Schemes

1. Referral & DOT Centres & Sputum

Collection Centres- All institutions

2. School & Church Activities- All

institutions

3. ACSM Scheme-

i. Social Networks in

Ajmer, Dausa,

Banswara and Udaipur

ii. St Francis School of

Nursing, Ajmer which

has also included

RNTCP in curriculum

4. Sputum Transportation Scheme in

Kota, Banswara and Ajmer

5. Designated Microscopy Centres- St

Francis Hospital-Ajmer, Holy Family

Hospital-Kota, St Teresa’s Hospital-

Udaipur

6. Urban Slums Scheme – Kiran

Domestic workers Union, Udaipur and

Karuna Domestic Workers Union,

Udaipur,

7. TB-HIV Scheme- Asha Niketan,

Kanakheri, Holy Family Hospital, Kota

8. Adherence Schemes with DOT

Provider networks in Ajmer, Bandikui,

Banswara, Udaipur

Clockwise from top left- Meeting with Bishop of Ajmer, DTO Kota during field

visit to slum area in Kaithoon with sisters, DTO Banswara meeting a patients at

Amlapadi centre, DTO Jaipur during visit to Mother Teresa’s centre


Yr 2008-2009


Yr 2008-2009 Page 9

Report on the State Level Workshop organised on the occasion of

Launch of “The First IMPACT Project” in Rajasthan At Jaipur on 27th August 2008

In accordance with the PIP of the First IMPACT Project & the detailed Action Plan for the

State of Rajasthan, prepared at the time of National level meeting in New Delhi on 6th

& 7th

July

2008, in consultation with the State TB Officer Dr K N Gupta & WHO Consultant Dr S K Sinha; a

State level Workshop was organised to officially launch “The First IMPACT Project” in Rajasthan.

This workshop was jointly organised by the State TB Cell, Rajasthan & the Catholic Health

Association of India (CHAI), Rajasthan office, with support from the Central TB Division (CTD) of

the Government of India & the Health Commission of the Catholic Bishops’ Conference of India

(CBCI-HC).

The workshop was expected to provide a platform for the meeting of the State authorities &

District programme managers with the dignitaries of the Catholic Church of Rajasthan and

representatives of the Catholic Health & Development Network to deliberate and collaborate upon

this joint Public-Private- Partnership initiative.

The definitive objectives of the workshop were-

1. To orient the Catholic Health Facilities and District TB Officers about the First IMPACT TB

Project

2. To orient the Catholic Health Facilities about the RNTCP and the need of involvement

3. To explore the possibilities of involvement with RNTCP under the Revised Schemes for NGOs

and Private Providers

4. To prepare a broad action plan for the involvement process.

Venue: The workshop was organised in at the Club Lounge in Hotel Golden Tulip in Jaipur

Participants:

The workshop was well attended by representatives from the Government of Rajasthan,

including the Chief Guest- Director of Medical & Health Services, Dr.O.P. Gupta; the State TB

Officer- Dr K N Gupta; DTOs of Dausa, Jaipur & Kota and the State TB Cell officials.

Dignitaries from the Church of Rajasthan included the Guest of Honour, Most Rev. Ignatius

Menezes- Bishop of Ajmer, the Special Guests, Most Rev. Oswald Lewis-Bishop of Jaipur and Sr.

Isabelle- Provincial Superior, FSMA.

The Directors of Social work from Ajmer, Banswara & Dausa & Sisters from Catholic

Health & Development Network participated in the proceedings

Sr Augusta & Sr Sunita represented CHAI & RUPCHA and Sr Maria Joseph represented

CARITAS


Yr 2008-2009 Page 10

Dr Mala Srikanth & Dr Shruti Sehgal, both WHO Consultants from Central TB Division; and

Dr Sanjay Sinha, Dr Vivek Mishra & Dr Umesh Alavadi, all RNTCP Consultants of Rajasthan, also

participated in the workshop

Dr Reuben Swamickan, National Coordinator, First IMPACT Project, CBCI-Health

Commission; Dr Kalpesh Rahevar, Regional Coordinator, CHAI and Dr Neerja Arora, State

Coordinator, Rajasthan facilitated the activities with the support of Mr Shaju & Mr. Antony of

RUPCHA, Delhi

Inauguration:

The workshop was inaugurated with a hymn sung by Sr Pushpika followed by a reading from

The Bible by Sr Sunita and the lighting of the inaugural lamp by the dignitaries on the dais. The

guests were given a floral welcome by the Sisters.

Dr K N Gupta, State TB Officer, Rajasthan, welcomed all the participants. He shared that the

State had recognised the strength of the Catholic Health Network and had already initiated its

involvement as a PPM initiative. The First IMPACT Project will strengthen the process of linking the

member institutions with the RNTCP network.

The Guest of Honour, Most Rev Ignatius Menezes, Bishop of Ajmer related his experiences

regarding the reach of Catholic Health Network in remote areas and the challenges encountered in

the service of the poor & the sick. He reiterated the commitment & dedication of the nursing sisters

towards this noble cause.

The Special Guest, Most Revered Oswald Lewis made a thought provoking speech on the

application of the religious learning for the service of mankind, specially in relevance to the persons

suffering from Tuberculosis

Sr Augusta, Director of St Francis Hospital, Ajmer, which is already doing remarkable

service under the RNTCP Scheme of DOT Provision, put across facts & figures from the Hospital’s

long association with the programme.

The Chief Guest, Dr O.P Gupta, Director, Medical & Health Services, Government of

Rajasthan, congratulated the gathering on the beginning of a new era in the Public- Private

Partnership and, having been closely associated with the programme in the State over many years,

expressed his confidence that this will add to the consistent list of achievements of RNTCP in

Rajasthan.

Scientific Session: The Scientific Session included presentations covering the following topics

1. Revised National TB Control Programme - An Introduction: by Dr Sanjay Sinha

2. First IMPACT TB Project - An Introduction: by Dr Reuben Swamickan

3. Catholic Health Association of India- An Overview of Activities: by Dr Kalpesh Rahevar

4. Challenges in RNTCP: by Dr Mala Srikanth

5. Status & Achievements of RNTCP in Rajasthan –

Role of CHN & Role of DTOs in the First IMPACT Project: by Dr K N Gupta

6. Situational Analysis & Field Experiences by Dr Neerja Arora


Yr 2008-2009 Page 11

Post Lunch Session on new NGO-PP Schemes:

The post lunch session was reserved for the deliberations on the CTD guidelines regarding

the involvement of NGOs & PPs under new RNTCP Schemes

Dr Shruti Sehgal made a comprehensive & interactive presentation about the new NGO-PP

Schemes.

Group Work on preparation of Action Plan:

The participants then segregated into district-wise groups to discuss the feasibility of

involvement of the different Health & Developmental facilities under the various Schemes and to

frame Action Plans for the speedy, efficient & effective involvement with the RNTCP. Each group

consisted of the representatives from Catholic Health/ Social facilities, DTO/ State TB Cell

representatives & the WHO Consultant, responsible for the district. The outcome of the group-work

was the on-the-spot submission of 24 proposals from catholic institutions in 7 districts of Rajasthan

for involvement with RNTCP. The proposals from the remaining centres will be submitted by

October 2008.

The submitted proposals were forwarded by the State TB Cell to the respective District TB

Cells with the direction to organise visits to the centres, to assess the suitability of the centre with

respect to the need of the programme and the eligibility for the Scheme/ Schemes applied for. The

Activities planned include the training of the DOT Providers/ Community Volunteers for the eligible

DOT Centres by October 2008 and LTs & MOs for DMCs at the earliest. Prompt action has been

advised on receipt of future proposals as well. The service delivery of RNTCP services will start

immediately after fulfilling of eligibility criteria.

A Memorandum of Understanding will be signed between the District Health Society & the

NGO applying for involvement, as per the Revised NGO-PP guidelines.

Closing Ceremony: The meeting concluded with a vote of thanks to all invitees, participants &

facilitators.

Report Submitted by:

Dr Neerja Arora

State TB Project Coordinator

First IMPACT Project, Rajasthan


Yr 2008-2009


Yr 2008-2009 Page 13

Current Status of Involvement under NGO-PP Schemes

District-wise Status of Project Implementation in Rajasthan upto March 2009

(No. in bracket indicates ineligible centres)

(?) indicates centres not visited yet

Name of the

District No. Of

Listed

M Is

No. Of

proposals

submitted

No. Of

Centres

with

Trained

DOT

Providers

Centre with

only

sensitisation

No. Of

Centres

visited

by

DTO /

MOTC

DHS

approval

under

process

No. Of

MoU

Signed

Service

Delivery

ongoing

Ajmer 16 (4) 14(2) 15(4) 1 15(3) NA 9 3

Alwar 2 1 0 1 1 1 0 0

Barmer 1(?) 1 0 0 0 0 0 0

Banswara 11 9 11 0 11 9 0 2

Bhilwara 1 0 0 1 1 0 0 0

Bikaner 2(?) 0 0 0 0 0 0 0

Dausa 2 1 1 1 1 1 0 1

Dungarpur 2 2 2 0 2 2 0 0

Jaipur 2(1) 1 2(1) 0 1 NA 1 1

Jaisalmer 1(?) 0 0 0 0 0 0 0

Jodhpur 1(?) 0 0 1 0 0 0 0

Kota 8 7 7 1 8 7 0 5

Sikar 1 1 0 1 1 0 0 0

Sirohi 4 (3) ? 0 0 0 0 0 0 0

Udaipur 12(4) 8 8(2) 4(3) 6 5 0 0

Total 66(12

+5?) 45(2) 46 (5) 11(3) 47 (3) 25 10 12


Yr 2008-2009

List of Sensitisation Sessions organized upto 31st March 2009

S.No Date Place

Name of

Diocese/

Region No.

sensitised No. of

Doctors

No. of

para-

medicals

1 29/7/08 St Paul's School,

Udaipur Udaipur 16 0 16

2 6/8/2008

Kota Stone

Marium

Hospital Ajmer 7 1 6

3 7/8/2008

Jeevan Deep,

Banswada Udaipur 37 0 37

4 22/8/08 Delhi

RUPCHA

AGBM-CME

for nurses 50 5 45

5 27/8/08 Golden Tulip

Hotel, Jaipur

State level

Launch

workshop ,

jaipur 53 23 30

6 5/9/2008

Christ Raj

Ashram Ajmer 4 0 4

7 15/9/08 Madri, Udaipur Udaipur 10 0 10

8 16/9/08 Jhadol, Udaipur Udaipur 6 0 6

9 16/9/08 Oghna, Udaipur Udaipur 5 0 5

10 11/11/2008

Heerabagh,

Jaipur

Sensitisation

Workshop

for NGOs &

PPs of

Jaipur 48 10 38

11 20/11/08

St Francis

Hospital,

Bandikui Jaipur 11 0 11

12 9/12/2008

St Xavier's

School, Bhiwadi Jaipur 16 0 16

13 11/12/2008

Sewa Sadan,

Seemalwada,

Dungarpur Udaipur 8 1 7

14 12/12/2008

Jeevan Deep,


15 21/12/08 St Paul's School,

Udaipur Udaipur 40 0 40

16 17/2/09

St Mary's School

Dispensar. Sikar Jaipur 4 0 4

17 19/3/09

Jeevan Deep,



Yr 2008-2009 Page 15


Yr 2008-2009 Page 16

RNTCP Modular Training organised for Catholic Health Network-upto 31st March 2009

S.N

o. Date Place

Name

of

Diocese

No.

Trained

No. of

Doctors

No. of

para-

medicals

1 8/8/08

Jeevan Deep,


2 22-23/9/08

Kota Stone

Marium

Hospital, Kota Ajmer 11 2 9

3 24-25/9/08

Holy Family

Hospital, Kota Ajmer 18 0 18

4 26-27/9/08

St Francis

Hospital,

Ajmer Ajmer 47 0 47

5 20-21/9/08 DTC, Jaipur Jaipur 2 0 2

6 22/9/08

Training of

STS & STLS

at DTC Jaipur

in

“compilation

& preparation

of RNTCP

Quarterly

PPM Reports" Jaipur 27 3 24

7

14-

15/11/08

Mother Teresa

Ashram Jaipur 1 0 1

8 9-10/1/09

St Paul's

School Udaipur 38 1 37

Total

Training

Sessions 8 Total Persons Trained 174


Yr 2008-2009 Page 17


Yr 2008-2009 Page 18

Activities undertaken as per the State Action Plan

up-to 31st March 2009

S. No. Activity Status of implementation

1

Line listing of MIs, Situational

Analysis & Prioritisation for

involvement Completed

2

Organisation of State Level

Workshop Completed

3

Sensitisation of staff of MIs of

CHN

17 Sesnsitisation Sessions held to-date, several one-to one

sensitisations held

4

Submission of proposals for

involvement under RNTCP

Schemes

45 centres have submitted the proposals ( including 2- not

eligible & 1 not visited) 10 social centres & 3 health centres yet

to submit proposals, 11 centres not eligible

5 Visit of MIs by DTOs

60 centre have been visited by STPS, 44 centres have been

visited by DTO/MOTC. All centres in the respective districts

have been visited by DTOs/MOTC of Ajmer, Bhilwara,

Banswara, Dungarpur, Kota, Jaipur, Sikar, Dausa & Udaipur

6 Training of staff of CHN

8 sessions of Modular Training for DOT Providers have been

facilitated. Most of the centres in Banswara, Kota, Jaipur &

Ajmer have trained DOT Providers in place. 46 centres have

trained DOT Providers

One session of “Training of RNTCP personnel at DTC Jaipur in

“compilation & preparation of RNTCP Quarterly PPM Reports"

facilitated. 174 persons have been trained under the project

7 Signing of MoUs

MoUs signed after DHS approval for 10 centres- 1 in Jaipur & 9

in Ajmer 25 proposals are under process to be signed after

approval by respective District Health Societies

8

Initial supply of drugs &

logistics

Immediately after signing of MoU and before start of service

delivery.

9 Service Delivery

12 centres are functioning as DOT Centres- 1 in Jaipur, 1 in

Dausa, 5 in Kota, 3 in Ajmer & 2 in Banswara

10

Drug Supply, Recording &

Reporting and Supervision &

Monitoring In place in centres where service delivery has started


Yr 2008-2009 Page 19

Community Meetings on RNTCP_DOTS organised by Catholic Health & Social Networks in

Rajasthan-upto 31st March 2009

S.No Date Organiser Place

Name of

Diocese

RNTCP Resource

person

No.

Sensitised

1 11/1/2009

Kiran

Domestic

Workers'

Union,

Udaipur Gramin Haat, Udaipur

Dr Dinesh Kothari -DTO,

Dr Simmi Misra-consultant,

Ms Sanjana-IEC Officer,

Sr Kirti, Dr Ravi-Alert, Alert

troupe, Dr Neerja-STPC 1200

2 18/1/2009

Karuna

Domestic

Workers

Union,

Bhilwara

Government

School, near

Krishna

Hospital Udaipur

Dr SN Jakhetia-DTO, Dr

Kataria-DTC, STS, STLS,

TBHV, Dr Neerja-STPC 250

3 18/2/2009

Abdul Waheed

Hospital,

Kotarhi, Kota

Abdul Waheed

Hospital,

Kotarhi, Ajmer

Dr SN Meena, Mr Ganesh

STS, Sr Wilcy 52

4 7/3/2009

Jeevandhara

Samaj Kalyan

Sanstha,

Jaipur

Balaji ka

mandi,

Jatwara,

Bassi, Jaipur Jaipur Dr Neerja Arora, STPC 400

5 8/3/2009

St Xavier's

Social Service

Centre,

Bhiwadi

ST Xaviers

School,

Bhiwadi,

Alwar Jaipur

STS Mr Satpal Chaudhary,

STLS Mr Padam Singh,

Fr Jabamalai 300

6 21/3/2009

RCDSS DOT

Centre

RCDSS,

Madar Ajmer Sr Kusum PSA 33

7 22/3/2009

RCDSS DOT

Centre

RCDSS,


8 22/3/09

Maitri Sadan

& Kiran,

Saveena

Macchla

Magra slum

cluster Udaipur

Dr Dinesh Kothari -DTO,

Ms Sanjana-IEC Officer,

Fr Norbert, Sr Kirti,

Mr Anoop STS 200

9 27/3/2009

RCDSS DOT

Centre

RCDSS,


10 28/3/2009

St Francis of

Assissi

Hospital DOT

Centres

Nayavas,

village Jaipur

Dr SN Sharma, MOTC

Bandikui, Mr Sushil Kumar,

STS, Sr Teena PSA,

Mr Raghuvir 72

Total

Meetings 10 Total Persons sensitised 2564


Yr 2008-2009 Page 20

Involvement of National Domestic Workers’ Movement with RNTCP & CBCI

The National Domestic Workers’ Movement was established in 1985 in Mumbai,

(Maharashtra) in India by Dr. (Sr.) Jeanne Devos. Sr. Jeanne is a Belgian missionary who first

started work with domestic workers back in 1966 in the state of Tamil Nadu, India. From a small

establishment in Mumbai, the Movement has spread into 23 states, organizing domestic workers,

building their capacity for efficiency of work and awareness of rights and providing a platform to

voice their struggles and demand for dignity of labour and proper legislations that will benefit

their workforce. To this end, domestic workers in the different states of India are organized into

groups and a strong solidarity is created, where, together, the women can stand up for justice and

rights of domestic work. Regular meetings and training sessions are conducted to help build the

confidence of the women not only in the work but also in them. Leaders are drawn out from

these groups to help carry the work of the Movement deeper into their areas, further organizing

women of the trade. The National Domestic Workers’ Movement is endorsed by the Catholic Bishop’s

Commission of Labour (CBCI)

Sources: http://www.domesticworkerrights.org/ http://www.ndwm.org

Merging of Synergies- Involvement of CBCI with RNTCP in Udaipur and

Bhilwara districts of Rajasthan

The Rajasthan Chapter of National Domestic Workers’ Movement has taken root through the

tireless efforts of Sister Kirti, PSA, who belongs to a CBCI-HC member institution “St Teresa

Vidya Deep” in Udaipur. Sr Kirti is the State Coordinator of the movement in Rajasthan. She

has been instrumental in collecting the Domestic Workers under a united umbrella organization-

:” KIran”- Domestic Women Workers’ Union. Presently there are about 2000 members in

Udaipur & about 500 members in Bhilwara Districts. The workers hail from Slum bastis in and

around city and are working in households scattered all over the city.

A sensitization session on RNTCP was organized for 40 Leaders on 21st December 2008

from the Udaipur group jointly by DTO Udaipur and CBCI-HC. The DTO spoke to them in

the local “ Mewadi” dialect. Since many of them cannot read properly, pictorial flipcharts,

courtesy ALERT Sansthan were provided to them as take-home literature. Some of the Leaders

have now also been trained as DOT Providers with view of opening DOT Centres in the slum

areas inhabited by them.

A large scale meeting organized by Sr Kirti on 11th January 2009, served as an ideal platform

to convey the key messages of TB control through DOTS, to a gathering of about 1200

Domestic Workers. The DTO, Dr Dinesh Kothari, spoke to them in a simple & effective

manner. His talk was followed by a cultural programme by tribal artistes belonging to Alert

Sansthan, an NGO focusing on RNTCP ACSM activities in Udaipur. The tribal artists held the

audience spellbound with their songs, dances and skits conveying the salient messages in an

http://www.domesticworkerrights.org/

http://www.ndwm.org/


Yr 2008-2009 Page 21

unforgettable manner. The event turned out to be an epitome of inter-sectoral co-ordination

wherein the merging of synergies resulted in an outstanding outreach activity

Another such meeting was organized by Sr Kirti on 18th January 2009 under the aegis of

“Karuna” Domestic Workers’ Union in Bhilwara. The meeting was well attended by about

250 members of the union, local politicians, Lioness Club Members and Doctors & Field staff of

District TB Clinic, Bhilwara. An IEC Display about TB & RNTCP DOTS was put up by the

DTC and the DTO, STS and the STPC, Rajasthan discussed various aspects of TB disease & its

control through RNTCP with the gathering.


Yr 2008-2009 Page 22

RCDSS DOT Centre, Ajmer

The Roman Catholic Social Service Centre at Madar, Ajmer has been associated with

RNTCP since Yr 2002, More than 124 patients have been put on DOT at this centre which is

situated in a sparcely populated area. During all these years there has not been a single

case of default by a DOT patient. The secret of excellent case holding & treatment outcome is

the single-minded dedication of Sr Kusum, the DOT provider. The RCDSS also supports the

nutrition of the TB patients.

Sr Kusum has also been contributing towards Awareness generation about TB and its control

through RNTCP DOTS through organization of Community Meetings, School Activities &

meetings of Self Help Groups


Yr 2008-2009 Page 23

DOT Centre at St Francis Hospital, Ajmer

St Francis Hospital, Ajmer is a 150 bedded hospital and has 6 associated dispensaries and one

hospice for HIV positive/AIDS cases. Involvement with RNTCP began in November 2000

under NGO Scheme II and a DOT Centre was started at the hospital premises.

From November 2000 till March 2009, 542 patients have received DOT at this DOT

Centre.Sister. Sr. Dr. Melba, a physician, takes active interest in the programme. Sr. Daya, a

trained nurse, supervises the RNTCP services. She is assisted by trained DOT providers and a

field worker. Trainee nurses from the attached nursing college are also posted at the DOT

Centre and interact with TB patients during their field work. A warm & loving care to the

patients receiving DOT, commitment to RNTCP guidelines and meticulous record keeping

are the hallmarks of this DOT Centre. Sr Sunita, Principal, St Francis Nursing School,

ensures that all the students have good exposure to the programme and are well equipped to

carry out mannagement of TB suspects & patients as per RNTCP guidelines


Yr 2008-2009 Page 24

DOT Centre at St Francis Hospital, Ajmer

s


Yr 2008-2009 Page 25

Success Story- RCDSS, Ajmer

Submitted by Sr Kusum PSA, Roman Catholic Diocesan Social Service Society, Ajmer

Case study

Banshilal received new life

Banshilal s/o Raibachan, age 40yrs.TB No. 195/08, Nehru Nagar Madar.

Banshilal is from a BPL family. He is disabled due to hunch back. He is

living with his wife & two children. Due to his disability he is unable to do

hard work. So

he does

tailoring to earn

his living.

On January

2008 suddenly

he became sick.

Started fever with chill followed by cough. He

took treatment from two doctors. But got no

relief. Fever controlled but cough remained

the same. The Doctor advised him for X-ray,

Sputum test and blood test. The patient did the

same. In the report proved that he is having TB & pleurisy.

The doctor admitted him in the hospital for one week and did the treatment. After one week the doctor told

him that you are having TB. So gave Referral form and

discharged.

His relatives brought him to RCDSSS DOTS center.

The Patient was very week & and was not able to stand,

depressed, disappointed and no hope to live.

The DOTS provider took his weight. It was only 34

K.G. Gave him instructions and started DOTS

treatment. This patient took the treatment regularly.

Along with the medicines nutritious food also provided

for him. Slowly his health improved. After six months

completed the course and got cured from his sickness.

His weight became 40 K.G. Now he is happy and grateful. He went back to his tailoring work and started

earning money. Mr. Banshilal is grateful to RCDSSS for his new life.


Yr 2008-2009 Page 26

Success Story- Mother Teresa’s Ashram, Jaipur The Mother Teresa’s Ashram in Jaipur has been involved with RNTCP very recently.

From 3Q08 to 1Q08, 41 TB suspects have been referred for sputum examinations, 11 found

to be positive and 14 patients have been started on treatment at the DOT Centre.

Zaffarullah Khan was taking treatment for his chest pains & general weakness when

one day he had severe back-ache and his legs gave away. He was diagnosed as having

diabetes & TB spine at JLN Medical College, Ajmer. He had no family to take care of him

and was abandoned as a crippled destitute on the pavements in Jaipur. He was in great pain

when he was brought to the Mother Teresa Ashram. Here he was provided tender and loving

nursing care and started on DOTS treatment.

Zafar is a Commerce graduate and is very conscious about his health. Therefore he is

regular with his treatment, follows the dietary advice for managing his diabetes and gives

physiotherapy to his legs. While he could not even turn in the bed without assistance at the

time of his admission, today after two months of treatment, he sits upright in the bed and can

feel power returning to his lower limbs. The Sisters at the Mother Teresa Ashram are

confident that he will start walking by himself within a couple of months.

Zafar is sure that he will complete his TB treatment. After getting better, he has plans

to stay back in the Ashram for few months & to provide his services to others like him.


Yr 2008-2009 Page 27

Abdul Waheed Memorial Hospital, Chhawani, Kota

Abdul Waheed Memorial Hospital, a well known maternity centre in the heart of the city of

Kota has recently been involved under the RNTC P Adherence Scheme.. Within 6 months of

involvement 39 patients have been started on DOT. Sr Wilcy and other sisters take keen

interest in the treatment & welfare of TB patients inspite of their busy schedules.

An awareness session organized at this

centre with the full support of the District

TB Clininc, on 18th

February was attended

by 52 persons . Dr SN Meena MOTC,

Kota & Mr Ganesh, STS, Kota addressed

the gathering and provided detailed

information on various aspects of

diagnosis & treatment of TB

Sister Wilcy PSA of Abdul Waheed

Hospital,Chhawani, Kota with Ravi and

his Mother.

Ravi was seriously ill and admitted in the

hospital with cough, fever and weakness.

His body was absolutely limp and his

mother had given up hope for his survival.

Sr Wilcy visited him in the hospital and as

she had undergone training in RNTCP, she

was quick to suspect that he was suffering

from TB. In fact Ravi had lost his father,

sister and an aunt to TB. Sr Wilcy referred

him to the District TB Centre, where his

diagnosis was confirmed and Ravi was

started on CAT I treatment at Abdul

Waheed Hospital, Kotari, Kota. With

regular treatment under the loving care of

the Sisters, Ravi has recovered fast, gained

weight and can now come walking &

running to the DOT Centre for his weekly

visit to receive Continuous Phase

Treatment


Yr 2008-2009

World T.B. Day celebrated at Sarvadharma Maitri Sadan, Udaipur- a report

International T.B. day was celebrated by inter-religious group members at

Maitri Sadan. Dr. Norbert Herman SVD, the director of Maitri Sadan welcomed

all the distinguished guests and the people gathered for the occasion. Dr. Dinesh

Kothari along with his team addressed Kachi Basti residents (slum) and made

them aware of the dangers caused by Tuberculosis. In his awareness speech he

gave information about DOTs where a patient can get free treatment.

The program had

colorful Rajasthan Folk dances and street play to make people understand the

seriousness of this disease and avail the free treatment at the DOTs centers in

the rural as well as slum areas of Udaipur. After the program a medical check

up was carried out for the people. Sr. Kirti proposed the vote of thanks.


Yr 2008-2009 Page 29

World TB Day- 2009 in Catholic Schools There was a blitzkrieg of activities on the occasion of the WTB Day -Talks, Rallies,

Storytelling, Drama, Drawing, Quiz, Essay writing etc were organised in 24 Schools

across the State, in which 6851 students participated enthusiastically. The facilitators

comprised of personnel from the District/ TU and trained Sisters of the Catholic Health

Network. They were met individually by the STPC and various modalities for

involvement of the students were discussed. A package consisting of DOTS Story

booklets, Drawing sheets, Certificates and prizes was provided for each school. A token

amount was also provided to cover expenses such as postage & photography. There was

a hearty response from all stakeholders. All schools submitted reports on the activities,

some included samples of students’ outputs and photographs too.


Yr 2008-2009 Page 30


Yr 2008-2009 Page 31

Documents

Report Fy 2008 2009