Report Fy 2008 2009

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

Report on Implementation
The First IMPACT in Rajasthan
July 2008 to March 2009
TB Project
GFATM Rd -4
CTD-CBCI-CHAI

Yr 2008-2009
In Partnership with –
State Program Committee(TB) & State Health Society, Rajasthan


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 2


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 7-8
Health & Social Networks
4 State Level workshop on Launch of the project in 9-12
Rajasthan
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 19-31
Sensitisations, School Activities
Community Meetings 19
9A
Domestic Workers’ Union 20-21
9B
Roman Catholic Diocesan Service Centre, Ajmer 22
9C
St Francis Hospital, Ajmer 23-24
9D
Success Stories 25-27
9E
World TB Day Activities
9F Sarvadharma Maitri Sadan, Community Meeting 28
9G School Activities 29-31

10 Annexure
Ann.1- Contact Information of Member Institutions 32-34
Ann.2- Summary of School Activities 35-36
Ann.3-DOTS Story- DOTS dh tknqbZ dgkuh 37-40

Yr 2008-2009
Page 3


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 4


The project has been modelled with the following features:-

 RNTCP services will also be  The MIs will be involved
extended through the MIs of under appropriate RNTCP
CHN. Schemes for NGOs

 CBCI- Health Commission  All identified centers will
will be main coordinator and participate in Awareness
CHAI and CRS will be the programs, serve as Referral
implementing partners centers for TB suspects and
most MIs will serve as DOT
 The MIs of CHN will provide
Centres
better access to RNTCP
services in the areas of their  Larger centers can become
activity especially in remote, DMCs / TUs
rural & tribal regions.
 There will be optimal
resource utilization from
CBCI and RNTCP
Expected Value addition by the RNTCP- CBCI partnership

 Number of new TB of facilitators &
patients detected will material from RNTCP
improve substantially in and facility & provider
areas of activity as network from CBCI
more institutions partners
become part of RNTCP  The MIs will facilitate
and there is distribution of uniform
strengthening of the IEC material from the
involved centres. RNTCP throughout the
 Defaulter rate will network and in the field
decrease significantly  All MIs will facilitate
due to improved access diagnosis & provide
& acceptability of the drugs as per RNTCP
RNTCP services, Guidelines and follow
especially in under- RNTCP in letter &
served & difficult to principle.
reach areas.
 Training of Health
Care providers through
RNTCP modules will be
conducted with the help
Yr 2008-2009
Page 5


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/
Ajmer Jaipur Udaipur Rajasthan
Name of Diocese
Hospitals 15 1 6 22
Dispensaries & Health
8 5 11 24
Centres
Nursing Schools 1 0 0 1
Rehabilitation centers
2 1 0 3
for disabled
Home for the Aged 0 1 0 1
Counseling Centres 2 0 0 2
Home for the
0 1 0 1
terminally ill
Care Homes for
1 0 0 1
PLWHA
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 5. Designated Microscopy Centres- St
Collection Centres- All institutions Francis Hospital-Ajmer, Holy Family
Hospital-Kota, St Teresa’s Hospital-
2. School & Church Activities- All Udaipur
institutions
6. Urban Slums Scheme – Kiran
3. ACSM Scheme- Domestic workers Union, Udaipur and
i. Social Networks in
Ajmer, Dausa, Karuna Domestic Workers Union,
Banswara and Udaipur Udaipur,
ii. St Francis School of
Nursing, Ajmer which 7. TB-HIV Scheme- Asha Niketan,
has also included Kanakheri, Holy Family Hospital, Kota
RNTCP in curriculum
4. Sputum Transportation Scheme in 8. Adherence Schemes with DOT
Kota, Banswara and Ajmer 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


Report on the State Level Workshop organised on the
occasion of
Launch of “The First IMPACT Project” in Rajasthan
At Jaipur on 27 th 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 9


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 10


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
Page 11


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 No. Of No. Of No. Of Centre with No. Of DHS No. Of Service
District Listed proposals Centres only Centres approval MoU Delivery
M Is submitted with sensitisation visited under Signed ongoing
Trained by process
DOT DTO /
Providers MOTC

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

66(12
Total +5?)
45(2) 46 (5) 11(3) 47 (3) 25 10 12

Yr 2008-2009
Page 13


List of Sensitisation Sessions organized upto 31st March 2009
Name of No. of
Diocese/ No. No. of para-
S.No Date Place Region sensitised Doctors medicals
St Paul's School,
1 29/7/08 Udaipur Udaipur 16 0 16
Kota Stone
Marium
2 6/8/2008 Hospital Ajmer 7 1 6
Jeevan Deep,
3 7/8/2008 Banswada Udaipur 37 0 37
RUPCHA
AGBM-CME
4 22/8/08 Delhi for nurses 50 5 45
State level
Launch
Golden Tulip workshop ,
5 27/8/08 Hotel, Jaipur jaipur 53 23 30
Christ Raj
6 5/9/2008 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
Sensitisation
Workshop
for NGOs &
Heerabagh, PPs of
10 11/11/2008 Jaipur Jaipur 48 10 38
St Francis
Hospital,
11 20/11/08 Bandikui Jaipur 11 0 11
St Xavier's
12 9/12/2008 School, Bhiwadi Jaipur 16 0 16
Sewa Sadan,
Seemalwada,
13 11/12/2008 Dungarpur Udaipur 8 1 7
Jeevan Deep,
St Paul's School,
15 21/12/08 Udaipur Udaipur 40 0 40
St Mary's School
16 17/2/09 Dispensar. Sikar Jaipur 4 0 4
Jeevan Deep,

Yr 2008-2009


Yr 2008-2009
Page 15


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

Name No. of
S.N of No. No. of para-
o. Date Place Diocese Trained Doctors medicals
Jeevan Deep,
Kota Stone
Marium
2 22-23/9/08 Hospital, Kota Ajmer 11 2 9
Holy Family
3 24-25/9/08 Hospital, Kota Ajmer 18 0 18
St Francis
Hospital,
4 26-27/9/08 Ajmer Ajmer 47 0 47

5 20-21/9/08 DTC, Jaipur Jaipur 2 0 2
Training of
STS & STLS
at DTC Jaipur
in
“compilation
& preparation
of RNTCP
Quarterly
6 22/9/08 PPM Reports" Jaipur 27 3 24
14- Mother Teresa
7 15/11/08 Ashram Jaipur 1 0 1
St Paul's
8 9-10/1/09 School Udaipur 38 1 37
Total
Training
Sessions 8 Total Persons Trained 174

Yr 2008-2009
Page 16


Yr 2008-2009
Page 17


Activities undertaken as per the State Action Plan
up-to 31st March 2009
S. No. Activity Status of implementation

Line listing of MIs, Situational
Analysis & Prioritisation for
1 involvement Completed

Organisation of State Level
2 Workshop Completed

Sensitisation of staff of MIs of 17 Sesnsitisation Sessions held to-date, several one-to one
3 CHN sensitisations held
Submission of proposals for 45 centres have submitted the proposals ( including 2- not
involvement under RNTCP eligible & 1 not visited) 10 social centres & 3 health centres yet
4 Schemes to submit proposals, 11 centres not eligible
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,
5 Visit of MIs by DTOs Banswara, Dungarpur, Kota, Jaipur, Sikar, Dausa & Udaipur

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"
6 Training of staff of CHN facilitated. 174 persons have been trained under the project
MoUs signed after DHS approval for 10 centres- 1 in Jaipur & 9
in Ajmer 25 proposals are under process to be signed after
7 Signing of MoUs approval by respective District Health Societies
Initial supply of drugs & Immediately after signing of MoU and before start of service
8 logistics delivery.
12 centres are functioning as DOT Centres- 1 in Jaipur, 1 in
9 Service Delivery Dausa, 5 in Kota, 3 in Ajmer & 2 in Banswara
Drug Supply, Recording &
Reporting and Supervision &
10 Monitoring In place in centres where service delivery has started

Yr 2008-2009
Page 18


Community Meetings on RNTCP_DOTS
organised by Catholic Health & Social Networks in
Rajasthan-upto 31st March 2009

Name of RNTCP Resource No.
S.No Date Organiser Place Diocese person Sensitised
Kiran Dr Dinesh Kothari -DTO,
Domestic Dr Simmi Misra-consultant,
Workers' Ms Sanjana-IEC Officer,
Union, Sr Kirti, Dr Ravi-Alert, Alert
1 11/1/2009 Udaipur Gramin Haat, Udaipur troupe, Dr Neerja-STPC 1200
Karuna
Domestic Government
Workers School, near Dr SN Jakhetia-DTO, Dr
Union, Krishna Kataria-DTC, STS, STLS,
2 18/1/2009 Bhilwara Hospital Udaipur TBHV, Dr Neerja-STPC 250

Abdul Waheed Abdul Waheed
Hospital, Hospital, Dr SN Meena, Mr Ganesh
3 18/2/2009 Kotarhi, Kota Kotarhi, Ajmer STS, Sr Wilcy 52

Jeevandhara Balaji ka
Samaj Kalyan mandi,
Sanstha, Jatwara,
4 7/3/2009 Jaipur Bassi, Jaipur Jaipur Dr Neerja Arora, STPC 400

St Xavier's ST Xaviers
Social Service School, STS Mr Satpal Chaudhary,
Centre, Bhiwadi, STLS Mr Padam Singh,
5 8/3/2009 Bhiwadi Alwar Jaipur Fr Jabamalai 300
RCDSS DOT RCDSS,
6 21/3/2009 Centre Madar Ajmer Sr Kusum PSA 33
RCDSS DOT RCDSS,
Dr Dinesh Kothari -DTO,
Maitri Sadan Macchla Ms Sanjana-IEC Officer,
& Kiran, Magra slum Fr Norbert, Sr Kirti,
8 22/3/09 Saveena cluster Udaipur Mr Anoop STS 200
RCDSS DOT RCDSS,
St Francis of Dr SN Sharma, MOTC
Assissi Bandikui, Mr Sushil Kumar,
Hospital DOT Nayavas, STS, Sr Teena PSA,
10 28/3/2009 Centres village Jaipur Mr Raghuvir 72

Yr 2008-2009 Total
Meetings 10 Total Persons sensitised Page 19
2564


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

Yr 2008-2009
Page 20


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 21


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 22


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 23


DOT Centre at St Francis Hospital, Ajmer

s

Yr 2008-2009
Page 24


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 25


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 26


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

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
Sister Wilcy PSA of Abdul Waheed the Sisters, Ravi has recovered fast, gained
Hospital,Chhawani, Kota with Ravi and weight and can now come walking &
his Mother. running to the DOT Centre for his weekly
visit to receive Continuous Phase
Treatment

Yr 2008-2009
Page 27


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


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 29


Yr 2008-2009
Page 30


Yr 2008-2009
Page 31

Report Fy 2008 2009

Recommandé

Recommandé

Contenu connexe

En vedette

En vedette (13)

Similaire à Report Fy 2008 2009

Similaire à Report Fy 2008 2009 (20)

Report Fy 2008 2009