2. CONTENTS
CONTENTS
Main Activities and Achievements
PAGE
NUMBERAPAPGEER
3
Introduction
4
Health
An Overview of Medical Activities
Access to Primary Healthcare in Urban Area: Shechen
Medical Centre in Bodhgaya, Bihar
Mobile Clinics
Malnutrition
5
12
17
20
21
Health Education Program (HEP)
Education
Strengthening Basic Education
Non-Formal Education (NFE)
Vocational Training for Women
25
26
28
Environment
Bodhgaya Clean Environment,
Sanitation Program
Solar Electricity
Hygiene
and
Social
Small Money Big Change
Kitchen Garden
Computer Course-Vocational Training for the Youth
Networking with other NGOs
Other Important Informations
Finances
Upcoming Activities
Our Partners
30
31
33
35
38
39
40
41
41
Annex
Case Study I
Case Study II
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42
43
3. MAIN ACTIVITIES & ACHIEVEMENTS
HEALTH
Total number of consultants in OPD (Outreach Patients Department) and Mobile
Clinics was 13,868, where number of new consultants was 5607.
The second phase of the Malnutrition Baseline Surevy was conducted in our 6 new
villages.
The number of Sanitary napkin packets sold was 3459.
The Shechen clinic is now open on all seven days of the week.
2 medical officers including a lady doctor have been recruited
EDUCATION
Bright and enthusiastic woman was recruited as support faculty for the school in
Gopalkhera.
Yoga and fitness training was conducted in schools of 9 villages.
Several PTA meetings were held in Dema, Gopalkhera and Chando.
Vocational training commenced with 3 workshops where our NFE students
participated.
Computer training courses were started within the premises of the Shechen clinic,
Bodhgaya.
ENVIRONMENT
Four freshly graduated students of Magadh University were hired an interns to
conduct surveys and organize awareness campaigns in relation to the Bodhgaya Clean
Environment, Hygiene and Sanitation Program
SOCIAL
The small money Big Change program was extended to Gopalkhera and Banahi
A new program, Kitchen Gardening, was launched in the outreach areas.
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4. INTRODUCTION
The third quarter of 2013 can be deemed to be more successful than the last two
quarters as the total number of consultants at the Shechen clinic in Bodhgaya and at the
Mobile clinics in our 18 adopted villages registered the highest number in comparison
to the first six months of the year. Also, the currently running programs are progressing
steadily, despite the monsoons which make roads to the remote villages almost
inaccessible and the construction work in the outreach areas extremely difficult and
tardy. The third quarter saw the commencement of our Vocational training program
including the Computer course for the poor and marginalised youth and Kitchen
Gardening. Other new activities include the DOTs training and refresher, apart from the
Green Schools Program training at the Centre for Science and Environment, New Delhi.
In a nutshell, this quarter was full of currently running and new activities and was
therefore, quite eventful.
In the following sections of the report we will see the progress of programs under each
of our four areas of intervention:
HEALTH
EDUCATION
AREAS OF
INTERVENTION
SOCIAL
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ENVIRONMENT
5. HEALTH
AN OVERVIEW OF MEDICAL ACTIVITIES
OPD and Mobile Clinics
In the third quarter of 2013, the total number of Consultants who availed the healthcare
services of our OPD (Outreach Patients Department) in Bodhgaya and Mobile Clinic in
18 villages was 13,868, wherein new consultants constituted 5607 people (40.43% of
total number of consultants).
Table 1: Total Number of Consultants at OPD and Mobile Clinics
Months
July
August
September
Total
OPD
1851
1904
2218
5973
Mobile Clinics
2572
2311
3012
7895
The third quarter of 2013 has registered the highest number of consultants (13,868) in
comparison with the first and second quarters where total number of consultants at
OPD (Outreach Patients Department) and Mobile clinics were 7358 and 8152
respectively. This was partly due to the fact that during the monsoons people are
susceptible to water-borne and other diseases. The increase in the number of
consultants at mobile clinics (7895 consultants compared to 3524 and 4390 in first and
second quarters respectively) shows the increasing awareness among the people in and
around the new villages and their growing confidence in our services.
The number of patients refered to PHC & Government Hospitals was 82 (
0.59% of total consultants at OPD and Mobile Clinics ).
The total patients who were treated “Free of Cost” (Pregnant women, children
and aged people above 60 years) in the OPD Clinic and by our Doctors were
8724 ( 62.91% of total consultants).
The third quarter has registered 70.12% higher consultants than the second
quarter.
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6. Total Number of Consultants at OPD and Mobile Clinics
OPD
MOBILE
3012
2572
1904
1851
July
2311
August
2218
September
Table 2: Total Number of Patients Referred to PHC and Government
Hospitals
Month
OPD
Mobile Clinics
July
August
September
Total
4
19
16
39
14
17
12
43
Total Number of Refer Patients at OPD and Mobile
Clinics
OPD
19
MOBILE
17
14
16
12
4
July
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August
September
7. Table 3: Total Money Collected from Registration Charges
Month
OPD
Mobile Clinics
July
22980
16480
August
24020
14645
September
27305
Total
74305
18115
49,240
Direct Observed Therapy (DOT)
TB patient at DOT centre in Shechen Clinic
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DOT services in villages
8. Out of 1677 medical tests conducted in our pathology laboratory 128 were Sputum tests
(for Tuberculosis). Out of these the number of people who were diagnosed with TB was
9. Currently, the total number of TB patients undergoing treatment is 35.
Table 4: Details of DOT Program
July
Number of TB patient’s started medicine
Number of sputum tests conducted
Sputum Positive
Refer TB Patients
Completed TB Medicine
Total Number of TB Patients currently
undergoing treatment (OPD and Mobile)
August
September Total
7
34
2
0
5
5
38
3
0
3
10
56
4
2
3
22
128
9
2
11
27
28
35
35
DOTs Training
After receiving proper DOTs training our efficient pathology laboratory technicians and village
motivators have been successfully running the DOTS program at the clinic in Bodhgaya and in
the villages respectively. With the inclusion of 6 new villages under the ambit of our
organisation early this year there was a need to provide DOTS training to the freshly recruited
motivators of these villages. With the twin objective of extending the success of our DOTS
program to the new villages and reducing the burden of our lab technicians at the OPD we
organised a one-day DOTS training in Bodhgaya on 26th July for village motivators, village
coordinators, doctors, nurses, laboratory technicians, a senior pathologist, research and
documentation officer and receptionist. This training not only served to teach those who had no
prior training in DOTS but also acted as a refresher for those actively involved with our DOTS
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9. program. The training was given by the District TB Officer (DTO) and an eminent team of
members from RNTCP and Primary Health Centre (PHC).
Meeting with TB patients
TB Patients who attended the meeting
We conducted a meeting with the people who have been cured of TB through their treatment at
our DOT centre and those on their way to recovery as we are planning to invest the money
received as registration charges in the amelioration of livelihood opportunities of the TB
patients. As this disease leaves a person weakened and fragile, leading to loss of several days of
work hampering their socio-economic lives we realise that curing them is only a part of bringing
them to normalcy. Therefore, in order to help them restore their socio-economic loss we
envisage providing them with some start-up capital and other possible assistance to ensure
them better lives. At the meeting we discussed our plans with the TB patients, seeking their
opinion and feedback.
Types of Diseases observed among Patients in OPD and Mobile Clinics
The following table gives us information about the various types of diseases observed
among the patients in our OPD and Mobile clinics.
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10. Table 5 : Types of Diseases
Total
Types of Diseases
Diarrohea/children
Diarrhoea / dysentery adults
Amoebiasis
Typhoid
TB
Gynecological patient
Bone & joints patients
Burn patient
Worm manifestation
Skin diseases of all kinds
Ophthalmologic infections
Number of identify malnourished
children
Cardiac Infection
HTN
Diabetes
Asthma & COPD
Cough & Cold
Epilepsy
ENT patient
Lymphadenopathy
I&D Dressing
Other Patients
Total
15
517
324
176
329
849
3411
204
10
1660
100
0
45
699
131
754
3560
168
1590
25
244
3146
17,957
The table and graph show that the most common health problems observed among our
OPD and Mobile clinic patients were Bone and Joint problems, cough and cold, skin
diseases and ENT.
Identity Cards for Medical Consultants
In order to keep track of the medical history of each patient identity cards are issued to
every individual seeking medical help from us. These cards cost a mere INR 5 and have
to be brought along in every visit to the OPD or Mobile clinics. The total number of
identity cards issued in this quarter is 5037 which is 52.64% higher than the total
number (3300) issued in second quarter.
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11. Table 6: Number of Identity Cards Issued to Consultants at OPD and Mobile Clinics
Month
July
August
September
Total
OPD
Mobile Clinics
848
865
893
2606
857
773
801
2431
The number of identity cards issued in this quarter (5037) is much higher than the
previous quarter (3300)
Appointment of Two New Medical Officers including a Lady Doctor
In the third quarter we hired two new medical officers including a young and dedicated lady doctor.
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12. ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL
CENTRE IN BODHGAYA, BIHAR
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13. Outreach Patients Department (OPD)
The total number of people who came to the Medical centre in Bodhgaya for
Consultations in the third quarter of 2013 was 5973. Out of this total 2646 were new
consultants, representing 44.30% of total consultations in OPD. The number of patients
at OPD in the third quarter is 58.77% higher than in the second quarter.
Table 7 : Details of Consultants at OPD
OPD
July
August
September
Total
Total Number of
Consultants
1851
1904
2218
5973
Total Number of
New Consultants 858
881
907
2646
Men
482
501
591
1574
Women
821
878
1028
2727
Children
548
525
599
1672
Consultants at OPD
Total Number of Consultants
Total Number of New Consultants
2218
1904
1851
858
July
881
August
907
September
The above table and graph show that the total number of consultants have increased
steadily from July to September. The growing number of patients can be attributed to
the monsoon season when people are, in general, susceptible to water-borne and other
13 | P a g e
14. diseases. Again, September being the festive season records the highest number of
patients in this quarter.
Number of Men, Women and Children at OPD
Men
Women
Children
1028
878
821
482
548
525
501
July
August
591
599
September
Percentage of Men, Women and Children at OPD
Men
26%
Children
28%
Women
46%
From the above graphs we can see that women and children form majority of the
consultants at OPD (72%).
OPD is now open on Sundays
In lieu of the growing demand for our healthcare services our OPD is now open on all
seven days of the week. All the concerned staff members render service on Sundays on a
rotational basis. The Saturday prior to one’s working Sunday is his/her day off.
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16. Total number of patients who came in the third quarter of 2013 (July-September) for
different medical tests were 547 and total anaysis done was 1677. The number of
patients and tests are different because one patient may go for several tests. Total
amount spent from Poor Patient’s Fund for patient’s medical tests was INR 32349. Total
money collected from these tests was INR 18675.
Table 8: Types of Medical Tests Conducted
Medical Tests
Number of
Tests
319
260
259
186
30
128
18
93
37
347
1677
TC/DC
ESR
HB%
Blood Sugar
Serum Blirubin
AFB (Sputum test)
ECG
Urine routine examination
Urine culture sensitivity test
Other Tests
Total
Medical Tests
347
260
259
186
128
30
93
18
37
The table and graph show that the highest number of medical tests conducted are
TC/DC, ESR, HB% and Blood Sugar.
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18. With the expansion of our outreach activities to 6 new villages in the first quarter
services of our Mobile Clinic was also extended.
In the third quarter of 2013 (July-September), the number of patients who
came for the consultations in mobile clinic from 18 village was 7895, out of
which 2961 were new patients representing 37.50 % .
4162 consultants from 189 satellites villages around our 18 adopted
villages who sought medical help from our mobile clinic services.
The total patients who were treated for Free of Registration Charge
(Pregnant women, children and aged people above 60 years) in the Mobile
Clinic was 5829 (73.83% of the total consultants at mobile clinics).
The total number of consultants at the mobiel clinic has increased by
79.84% from the last quarter.
Table 9 : Details of Consultants going to Mobile Clinics
Mobile Clinic
Total Number of
Consultants
Total Number of
New Consultants
Men
Women
July
2572
August
2311
September
3012
Total
7895
1040
853
1068
2961
566
1256
564
1149
721
1436
1851
3841
Children
750
598
855
2203
Consultants at Mobile Clinics
Total Number of Consultants
Total Number of New Consultants
3012
2572
2311
1040
July
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853
August
1068
September
19. We can see that, as in the OPD, at the mobile clinics too the maximum number of
patients registered was in the month of September, the primary reason being it the
month of festivals. Again, as mentioned earlier, the number of patients are much higher
than in the previous quarter due to the high prevalence of seasonal diseases during the
monsoons.
Number of men, Women and Children at Mobile
Clinics
Men
1256
Women
1149
750
566
July
Children
1436
721
564
855
598
August
September
Percentage of Men, Women and Children at
Mobile Clinics
Children
28%
Men
23%
Women
49%
Women and children constitute 72% of the total consultants at Mobile clinics, which is similar to
the trend in last quarter where they formed more than 70% of consultants at both OPD and
mobile clinics.
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20. MALNUTRITION
The second round of MUAC measurements
With intensive training forming the foundation of our Malnutrition program the nutrition team
soon started the first phase of the baseline survey in the 6 new villages, using Middle Upper Arm
Circumference (MUAC), universally recognised as a standard tool for measuring malnutrition, to
measure children up to 5 years of age.
As acute malnutrition is seasonal in nature the baseline survey was conducted in two phases to
get a clear picture of the prevalence and intensity of the problem; the first phase was conducted
in February, the time of the year when food shortage does not usually take place and so chances
of finding severe acute malnutrition is much less. Besides, this was the only time that the
Consultant, Dr. Nadine Donnet, could give for such survey.
The second phase was conducted through this quarter (July-September) during the monsoons
when people, especially children are susceptible to water-borne and other diseases. It is also the
season of food scarcity. Thus the second phase of the baseline study gives us an accurate figure
of the rate of Severe and Moderate Acute Malnourished children in the chosen villages.
During the second phase children found with MUAC> 12.5 cm and those absent during the first
phase of the survey were measured.
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21. HEALTH EDUCATION PROGRAM
Health Education Program (HEP), which was introduced in our 12 villages in 2010,
continues to run smoothly. Currently there are 87 health groups with 534 members
under HEP.
Table 10: Some Important Data on HEP
Total Number of Home Visits by Village Coordinators
Total Number of Home Visits by Motivators
No. of People who Received the Message regarding
Health & Hygiene
Number of trainings/group follow-ups on HEP given by Village Coordinators
Total Number if Health Group Meetings by Village Motivators
Total Number of Hand Pump Committees
Total Number of Functional Hand Pump Committees
Number of Hand Pump Meetings held by Village Coordinators
Number of Hand pumps Repaired
Table 11: Some Important Data on Reproductive and Child Health (RCH)
Indicators
RCH Meeting By Village Coordinators
RCH Meeting By Motivators
Total Pregnant Woman
Number of New Pregnant Women Identified
Total Number of Pregnant Women who have taken T.T.1
Total Number of Pregnant Women who have taken T.T.2
Total Number of Pregnant Women who have taken T.T.0
Total Number of New Born Children
Number of Child Deliveries at PHC
Number of Child Deliveries at Home
New Born Children Immunized
Other Children Immunized
Total Number of Sanitary Napkins Sold (at OPD and in the Villages)
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Total
42
181
142
88
48
93
2
64
35
29
47
672
3459
Total
539
1558
1397
73
172
63
48
39
15
22. A great achievement in this quarter is that 73.44% of the total new-born children have
been immunised compared to 63.79% in the Second quarter. Again, more than half of
the total Child Deliveries (54.69%) in this quarter have taken place at the PHCs which
shows that RCH program has been successful in creating awareness amongst the target
population about the health hazards and risks involved in the traditional practice of
child deliveries at home by midwives. A huge achievement in the RCH program is that
related to Menstrual Hygiene and Sanitation where 3459 napkins have been sold in this
quarter compared to 607 in the last quarter (a 470% increase in this quarter compared
to the last one). These achievements illustrate the success of our incessant efforts to
sensitise the target population on health and hygiene, including reproductive and child
health.
Menstrual Health and Hygiene
A woman with packets of sanitary napkins
Our Community Health Worker with rural women
Menstrual Hygiene is one of the most important yet neglected health issues in our
society. It has remained a taboo subject, surrounded by silence and shame that restrict
mobility and access to normal activities and services. As women and girls make up more
than 70% of our healthcare consultants it becomes imperative for us, as an organisation
pledged to provide all possible quality healthcare services to the underserved
populations, to pay special attention to their menstrual health issues.
Our Menstrual Health and Hygiene program, which took off in June this year, intends to
tackle the problem at two levels; providing the rural women with appropriate materials
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23. to enable proper management of the menses by distributing good quality sanitary
napkins at minimum possible prices to the rural women and girls who are otherwise
denied access to the same. Secondly, the program attempts to address the issue through
awareness creation of the target population by imparting education about hygienic
practices related to periods and the safe disposal of sanitary pads, and encouraging
women and girls to voice their problem and queries regarding the same.
Table 12 : Number of Sanitary Napkin Packets sold
Month
OPD
July
Aug
Sep
Total
Mobile Clinics & Total
Motivators
1910
2077
784
988
322
394
3016
3459
167
204
72
443
Total Number of Sanitary Napkin Packets Sold
OPD
Mobile Clinics & Motivators
1910
784
167
July
204
Aug
322
72
Sep
The above table and graph show that the total number of sanitary napkins sold in the
villages is much higher than in the OPD for all 3 months (July-September). This is
primarily on account of the fact that in the villages both the mobile clinic team and
village motivators act as distributors of sanitary napkins, while at the OPD the medical
nurses are the sole distributors. The motivators being part of the communities where
they work it is easier for the women to buy sanitary napkins as and when required,
instead of having to wait for the mobile clinics to come. A reason for the huge number of
napkins (1910) sold in the villages in July and then the gradual decline in the next two
months clearly highlights the need for awareness and education on target issues. In the
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24. months of June and July one of our staff members, a nurse cum community health
worker conducted regular meetings with the women and girls of all the 18 villages,
discussing menstrual health and other related issues. However, August onwards it was
not possible to hold such meetings very frequently as she became involved with the
second round of Baseline Survey for our upcoming Malnutrition program. This vividly
brings out the vital need for constant discussions and information sharing on problems
which are otherwise considered as social taboos and hence neglected.
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25. EDUCATION
STRENGTHENING BASIC EDUCATION
The education scenario in Bihar is very grim. The State needs nearly twice the number
of teachers currently in service to achieve the national pupil teacher ratio (PTR) and the
RTE (right to education) norm of 30:1. Around 60,000 schools in the state do not have a
permanent campus and less than 3% of the school management committees (SMCs) are
actively involved in planning and development work. Through our new program,
‘Strengthening Basic Education’ we attempt to ameliorate the basic educational
standards in Bihar and provide a joyful learning environment.
Last quarter a Parent-Teacher Association (PTA) was formed in Dema village. By the
end of this quarter PTAs have been formed and Parent-Teacher Meetings conducted in
three villages; Chando (1 meeting), Gopalkhera (2 meetings) and Dema (3 meetings).
A Yoga trainer, hired to teach physical and breathing exercises to school children, had
started fitness classes in 3 villages namely, Chando, Dema and Bandha in the last
quarter. By the third quarter 9 villages were covered.
Table 13 : Number of Students taught Yoga in the Villages
Serial Number
Number of Students
attending Yoga classes
1
2
3
4
5
6
7
8
9
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Village
Dema
Gopalkhera
Sirpur
Mansidih
Bandha
Nawatari
J.P. Nagar
Chando
Kharati
150
200
80
110
105
65
60
100
80
26. While in the last quarter a support faculty had been provided to the government school
in Dema village, this quarter we have been successful in providing a well-educated and
enthusiastic support faculty to the school at Gopalkhera village. Besides, our motivator
at Banahi has started conducting informal education for children in the 6-10 years agegroup who are not enrolled in schools.
Apart from the above initiatives, we continue to supply Teaching-Learning Materials
(TLM) to schools in an effort to fulfil the basic requirements of teachers and students
and help improve the education standards in rural schools.
NON-FORMAL EDUCATION (NFE)
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27. Our NFE program, which was scaled up from 6 villages in 2011 to 16 villages in April,
this year continues to run successfully with satisfactory 62.84% regular attendance as
can be seen from the table below.
Table 14 : NFE Students Enrollment and Average Attendance
VILLAGE
Banahi
Dema
Gopalkhera
Lohjara
Bandha
Nawatari
Mansidih
Sripur
Mastibar
J.P.Nagar
Kharati
Karhara
Trilokapur
Bhupnagar
Kadal
NUMBER OF
STUDENTS
ENROLLED FOR NFE
30
30
30
30
32
32
31
30
25
28
18
60
21
25
22
AVERAGE
ATTENDANCE IN
NFE CLASSES
20
22
18
16
20
22
12
14
20
15
15
44
10
16
15
Total
444
279
Although when the program was scaled-up in April 488 women had enrolled
themselves for NFE classes, in this quarter the number has slipped to 444. Factors, such
as disapproval of husband/family members and lack of time during Harvest season,
account for this decline. The high 63% average attendance shows the sincerity and
interest of the students towards NFE classes.
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29. Recognising the vital role acquisition of new skills can play towards income generation
and poverty alleviation, we have introduced Vocational Training as a component of our
Non-Formal Education (NFE) program. As the first major step towards our Vocational
Training program we conducted, in the month of July, 3 workshops spanning 7 days. A
proficient vocational trainer from Jamshedpur, Jharkhand was appointed for the
purpose. The workshops were attended by students from our 18 NFE centres. All our
village motivators and some staff from Shechen clinic (Bodhgaya) also participated in
the same. In each workshop the participants got the opportunity to learn 2 types of
vocations; incense sticks and candles, 2 popular snacks, and phenyl and chalk. The
vocations were selected on the basis of their market demand, income-earning
capabilities and interests of the NFE students.
While 2 workshops were held in Bodhgaya the third was organised in one of our new
villages, Chando. The travelling, food and lodging expenses of the participants was
borne by our organisation.
All 3 workshops were very successful in terms of the participant turnout and their
satisfaction in being able to learn some useful livelihood skills. The enthusiasm of the
participants can be gauged from the fact that the one-day workshop on candle and
incense sticks making had to be extended to an extra day as 90 participants, against the
anticipated 40, turned up for it.
As the second step seven participants from the candle and incense stick making
workshop were chosen on the basis of their ability to produce what they had leant, and
sent to Jamshedpur, in August, for a week-long intensive advanced training.
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30. ENVIRONMENT
BODHGAYA CLEAN ENVIRONMENT HYGIENE AND SANITATION PROGRAM
These are two of the few food covers that we have chosen for distributing to the street vendors
In order to conduct survey among the locals, tourists and street vendors and to spread
awareness regarding the importance of cleanliness and hygiene among the people we
have hired four bright and enthusiastic youths as interns from the Department of Rural
Development and Management of the esteemed Magadh University.
Besides, we have conducted an extensive search and market survey on the types of
covers that can be used by the street vendors for covering the food from the dust and
germs by the roadside while it is on display. We have selected a few types of covers and
will finalise which ones to order only after we have received the feedback and
responses of all street vendors in Bodhgaya regarding the same.
As the first step towards creating awareness regarding clean environment, sanitation
and hygiene among school students so as to make them responsible citizens of the
nation, three of the staff members (the Director, a Village Coordinator and the Research
and Documentation Officer) attended a 2-day intensive training program (Green
Schools Program) at the Centre for Science and Environment (CSE), New Delhi. We
envisage conducting the Green Schools Program in collaboration with CSE at the schools
in our 18 villages and those in Bodhgaya town.
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31. Green Schools Program training at the Centre for Science and Environment, New Delhi
SOLAR ELECTRICITY
In the last quarter we had sent four women from our villages to the Barefoot College,
Tilonia, Rajasthan to attain 6 months training in Solar Engineering. However, one
woman had to return to her village in the middle of the trainingdue to family reasons.
While these women prepare to be Solar Engineers we studied, analysed and evaluated
the data collected from the survey that was conducted in the villages of J.P. Nagar,
Banahi, Kharati (where our Solar Electricity program is running), Chando, Barsuddi and
Kadal (where the program will start soon) to evaluate the impact of the existing solar
program and to understand the feasibility of the program in the new villages.
The ‘Socio-economic Impact Assessment and Feasibility of Solar Home Lighting Systems
in Gaya District of Bihar’ Report was prepared by an economist Dr. Amit K. Bhandari of
the esteemed Kalyani Institute of Applied Research, Training and Development. The
following key findings were observed:
Around 97.6 per cent respondents have expressed their willingness to use
solar lighting and are willing to pay around Rs. 1,700 during the time of
installation that is 70% higher than the current price paid by the households.
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32. Majority of the households are not paying installments at regular intervals,
while some households haven’t paid any monthly installments at all. This
raised question mark regarding preferred mechanism for solar energy.
Per capital income of the respondents is higher for those who haven’t
installed solar lighting system, which in turn indicate money is not a
constraint for installing solar power.
Household with solar lighting installed enjoys better quality of life compared
to those without it.
Variables that have found to have significant impact on willingness to pay for
solar lighting are per capital household income, per capital energy
consumption, type of house and holding saving bank account.
Parents are willing to spend more on home lighting system whose children
performed satisfactory in their study. However, there is no reflection in
education performance between household with or without solar lighting.
No significant difference is found in amount willing to pay between
household with school going children and without. However, students
performing better in study, parents willing to spend more on solar lighting
system for their study.
The empirical study found that people from rural villages from are ready to pay more
than the current installation price of solar lighting system. Regarding preferred mode of
payment for solar photovoltaic systems, contrary to popular belief monthly payment
system should be abolished for better penetration of solar energy. Villagers from
financially well off households, better educated, higher energy consumption per month
and have access to financial services are the important determining factors for
willingness to invest for solar home lighting system. The study also reveals that there is
an improvement in quality of life for the people living in remote villages through the
spread of solar energy. Further expansion of solar energy can be adopted in order to
achieve universal access to energy to rural non electrified areas.
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33. SOCIAL
SMALL MONEY BIG CHANGE
Land levelling in the agricultural fields at Chando
Work in progress at Kadal
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34. Bathroom for women being constructed at Kadal
Bathroom and well completed
Land levelling in front of Chando school
Under the ‘small money Big Change’ program we had started working in three villages,
namely Chando, Barsuddi and Kadal from June this year. In this quarter the program
was extended to two more villages, Gopalkhera and Banahi.
In Gopalkhera an existing check dam, which had been broken and had remained
dysfunctional for long, was successfully repaired. This has enabled rainwater to flow
straight into the village pond which will not only allow the villagers to perform their
daily activities but also provide water for the agricultural fields, increasing crop
productivity and consequently improving the villagers’ livelihoods.
A small pond is being dug in Banahi village. Due to the monsoons work had to be stalled
as it was not possible to continue due to bad and erratic weather conditions. Of the total
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35. 8 ft depth to be dug, 3 has been done and 5ft will be completed soon after the monsoon
is over.
The work of land levelling continues in Chando where the agricultural field of 15
villagers has already been levelled which will make crop sowing and crop management
much easier and also considerably increase the yield and quality.
Again, in Chando government school, the school filed which was uneven and hence
could not be used for playing outdoor sports has been levelled and can now be used as a
playground.
At Kadal, the well whose repair work had started in June was completed at the
beginning of this quarter. Next the construction of a bathroom for the women of the
village and the digging of the nearby pond began. The bathroom is now complete and
the digging of the pond has also progressed well with not much left to be done.
The construction of the check dam in Barsuddi, which had begun in the previous
quarter had to be stalled due to the bad weather. The work will resume as soon as
monsoon is over.
This quarter saw the ‘small money Big Change’ program cover two more villages in
addition to the initial three. While the work in most villages progressed smoothly it was
a bit tardy as we had no option but to slow down or stall our work in certain places due
to the erratic monsoon pattern unlike other years.
KITCHEN GARDEN
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36. Looking at the abysmally high incidence of malnourishment in Bihar (around 80% of
children below five years of age and 68.2% of women in reproductive age group (15-49
years) in the state are malnourished) and the extreme poverty of small and marginal
farmers where 91% of the land holdings in the state belong to small and marginal
farmers who practice cash cropping in an effort to escape the grinds of acute poverty,
we have started a program on Kitchen Gardening from the third quarter.
Commercial agriculture, in which crops are cultivated according to the market demand,
limits the production of certain food crops and does not allow for self-consumption by
the farmer’s family. Kitchen Gardening, on the other hand, fills the gap by providing
proper nourishment through inexpensive, regular and handy supply of fresh vegetables
devoid of chemicals used in farming. Besides, it is a well-known fact that growing a
kitchen garden positively improves the overall health conditions of the family.
We have planned the program so that 50% of the produce grown in the kitchen garden
are kept aside for self-consumption by the families and the rest sold in the market to
earn some additional income. 30% of the profit from sales will add to the farmer’s
household savings/consumption and the remaining 20% will have to be contributed
towards community welfare. Thus, while the target population will be able to utilise
80% of the produce for direct personal benefit (through own-consumption and earning
from sale of vegetables) they will be indirectly benefitted through the community’s
development, towards which they will be making a minimal contribution.
We have started the program by distributing vegetable and fruit plants and seedlings to
our villages like brinjal, tomato, chilly, pumpkin, sponge gourd, bitter gourd, raddish,
ladies finger, mango, lemon and guava.
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37. Table 15: Number of Households that have received vegetable plants for Kitchen
Gardening
Serial
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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Villages
Number of Households
Bhupnagar
Karhara
Simariya
Trilokapur
Kadal
Barsuddi
Banahi
Dema
Bandha
Nawatari
Mansidih
Sripur
Mastibar
JP Nagar
Kharati
Chando
Total
24
23
21
8
31
24
17
114
20
20
24
25
10
18
15
28
422
38. Table 16 : Number of Households that have received fruit plants and seeds for
Kitchen Gardening
Serial
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Villages
Number of Households
Banahi
Dema
Gopalkhera
Lohjhara
Bhupnagar
Karhara
Simariya
Trilokapur
Kadal
Barsuddi
Mastibar
JP Nagar
Kharati
Chando
Mansidih
Sripur
Bandha
Nawatari
Total
40
101
35
43
45
52
51
37
22
26
70
22
20
20
110
40
61
45
840
We envisage manifold advantages from this particular project. This entire model of
kitchen gardening will generating productive, income-earning opportunities for poor
and marginalised communities, which is pivotal to reducing chronic poverty. At the
same time, through the consumption of fresh, chemical-free vegetables, it will help
ameliorate health conditions of the target populations. Lastly, it will make way for the
community’s development.
COMPUTER COURSE-VOCATIONAL TRAINING FOR THE YOUTH
With the objective of empowering the poor and marginalised communities with eliteracy skills we have started free computer training courses for youngsters hailing
from remote villages in Gaya district, Bihar. We aim to equip the rural youth with
adequate digital skills to provide them with better employment opportunities, economic
self-sufficiency and socio-economic empowerment. Two types of computer courses are
being taught at our Bodhgaya office namely, Office Management (which will teach MS
Office) and DTP (Page maker, Coral Draw and Photoshop). The duration of each course
is 6 months.
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39. Prior to the commencement of the courses on 16th August a day-long interview was
conducted for the 101 enthusiastic applicants. 58 shortlisted youths were divided into 3
batches; two batches for Office Management course and one batch for DTP. These
batches also accommodate our office staff who wanted to join these e-literacy courses.
While the trainings are imparted free of charge it is mandatory for the students to
devote 5 hours per week towards voluntary services in their respective villages. This
provision will fulfil the twin objective of promoting computer literacy amongst the
marginalised communities and serving the rural poor.
NETWORKING WITH OTHER LOCAL NGOS
We have started collecting details of all Non-governmental organisations working in
Gaya District as the first step towards networking with organisations with similar goals
and views.
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40. OTHER IMPORTANT
INFORMATIONS
FINANCES
The budget and expenses for the third quarter of 2013 are presented below:
Table 16: Budget and Expenses
Budget in
USD($1=50 INR)
Expenses in
USD($1=50 INR)
Administration, transportation and
functioning cost
82,993.45
13,797.38
OPD direct benefit to population in
Bodhgaya town and close
surroundings
14,590.58
18,234.42
Mobile clinic benefit to population in
18 villages
20,128.80
21,818.82
Education direct benefit to population
in 18 villages
13,441.07
9,132.42
Environmental Program
32,033.33
1,315.58
Social Program
20,853.33
20,177.24
Program Support
7,000.00
109.66
400.00
3,304.56
6,007.87
25.80
Investment: Equipment
Contingencies
Total
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1,97,448.43
87,915.88
41. Budget and Expenses in USD
90,000.00
80,000.00
70,000.00
60,000.00
50,000.00
40,000.00
30,000.00
20,000.00
10,000.00
0.00
Budget in USD($1=50 INR)
Expenses in USD($1=50 INR)
UPCOMING ACTIVITIES
Meeting with key stakeholders for the ‘Bodhgaya Clean Environment, Hygiene and
Sanitation’ project will be conducted.
A training for Anganwadi workers on child development through play where, apart from
other things they will be taught to make various Teaching-Learning Materials.
Rainwater Harvesting in the villages
Green Schools Program in villages
School Competition to raise awareness among students about cleanl environment and
hygiene.
OUR PARTNERS
Current Partner: Barefoot College in Tilonia, Rajasthan
Prospective Partner: Centre for Science and Environment, New Delhi.
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42. ANNEX -SUCCESS STORIES
CASE STUDY 1
During the treatment
After the treatment
Nageshwar Manjhi, a smallholder farmer of Rampur village, approached Shechen clinic
for treatment. He was extremely weak and emaciated. The doctor suspecting
tuberculosis asked him to go for x-ray, sputum and blood tests at our laboratory. He was
tested positive for Pulmonary TB and underwent DOT treatment at our DOT centre in
the Shechen clinic. He has completed his treatment and his post-treatment sputum test
was negative. His X-ray and blood tests are yet to be conducted but now, unlike
previously when he did not have the strength to walk a few steps, feels healthy and
strong.
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43. CASE STUDY II
Chandni Kumari at our Computer Classes
Chandni Kumari, an undergraduate student, has joined the 6 month long DTP course at
our newly launched computer training program. She says that previously she was
totally computer illiterate and whenever she saw her friends and classmates working on
or discussing computers she would feel a severe lack of self-confidence. But now after a
few weeks of attending classes she has already started gaining confidence. She can now
work on MS Word and has just started learning Photoshop. She enjoys her classes and
expects to find a good job after completing this course.
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