QUARTERLY	
  REPORT	
  
JANUARY-­‐MARCH,	
  2015	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Page	
  2	
  of	
  31	
  
	
  
	
  
CONTENTS	
   PAGE	
  
NUMBER	
  
	
   	
  
Introduction	
   3	
  
	
   	
  
Health	
  ...
Page	
  3	
  of	
  31	
  
	
  
	
  
INTRODUCTION	
  
The	
  first	
  quarter	
  of	
  2015	
  witnessed	
  several	
  inte...
Page	
  4	
  of	
  31	
  
	
  
HEALTH	
  
AN	
  OVERVIEW	
  OF	
  MEDICAL	
  ACTIVITIES	
  
	
  
In	
   the	
   first	
   ...
Page	
  5	
  of	
  31	
  
	
  
Types	
  of	
  Diseases	
  observed	
  among	
  Patients	
  in	
  OPD	
  and	
  Mobile	
  C...
Page	
  6	
  of	
  31	
  
	
  
ACCESS	
   TO	
   PRIMARY	
   HEALTHCARE:	
   SHECHEN	
   MEDICAL	
   CENTRE	
   IN	
   BOD...
Page	
  7	
  of	
  31	
  
	
  
The	
   total	
   number	
   of	
   people	
   who	
   came	
   to	
   the	
   Medical	
   ...
Page	
  8	
  of	
  31	
  
	
  
	
  
Both	
  in	
  Bihar	
  and	
  Jharkhand	
  the	
  women	
  mark	
  the	
  highest	
  n...
Page	
  9	
  of	
  31	
  
	
  
MOBILE	
  CLINICS:	
  3	
  IN	
  BIHAR	
  &	
  1	
  IN	
  JHARKHAND	
  
	
  
	
  
	
   	
  ...
Page	
  10	
  of	
  31	
  
	
  
We	
  have	
  added	
  two	
  new	
  villages	
  to	
  those	
  visited	
  by	
  our	
  Mo...
Page	
  11	
  of	
  31	
  
	
  
	
  
	
  
	
  
	
  
Patients	
  at	
  Mobile	
  Clinics	
  in	
  Jharkhand	
  
	
  
	
  
	...
Page	
  12	
  of	
  31	
  
	
  
HEALTH	
  EDUCATION	
  PROGRAMME	
  (HEP)	
  WITH	
  SPECIAL	
  FOCUS	
  ON	
  WOMEN	
  HY...
Page	
  13	
  of	
  31	
  
	
  
Table	
  8:	
  Number	
  of	
  sanitary	
  napkins	
  (single	
  pieces	
  worth	
  INR	
 ...
Page	
  14	
  of	
  31	
  
	
  
EDUCATION	
  
EARLY	
  CHILDCARE	
  &	
  DEVELOPMENT	
  
	
  
Role	
  of	
  Play	
  in	
  ...
Page	
  15	
  of	
  31	
  
	
  
	
  
Babua	
  School	
  
	
  
Students	
  of	
  Babua	
  School	
  in	
  Uniform	
  and	
 ...
Page	
  16	
  of	
  31	
  
	
  
Our	
  yoga	
  and	
  fitness	
  classes	
  are	
  conducted	
  regularly	
  with	
  enthu...
Page	
  17	
  of	
  31	
  
	
  
ENVIRONMENT	
  
	
  
BODHGAYA	
  CLEAN	
  ENVIRONMENT,	
  HYGIENE	
  AND	
  SANITATION	
  ...
Page	
  18	
  of	
  31	
  
	
  
918	
  Jute	
  bags	
  were	
  distributed	
  amongst	
  patients	
  at	
  OPD	
  and	
  M...
Page	
  19	
  of	
  31	
  
	
  
RAINWATER	
  HARVESTING	
  
	
  
	
  
Our	
   water	
   management	
   and	
   replenishme...
Page	
  20	
  of	
  31	
  
	
  
SOLAR	
  ELECTRICITY	
  	
  
	
  
Our	
   new	
   Solar	
   Engineers,	
   Lakshmi	
   Dev...
Page	
  21	
  of	
  31	
  
	
  
SOCIAL	
  
	
  
SMALL	
  MONEY	
  BIG	
  CHANGE	
  
	
  
Smokeless	
  Ovens	
  
	
  
	
  
...
Page	
  22	
  of	
  31	
  
	
  
The	
  visible	
  and	
  short	
  run	
  benefits	
  are	
  clear	
  from	
  the	
  follow...
Page	
  23	
  of	
  31	
  
	
  
From	
  October	
  2014	
  we	
  have	
  started	
  a	
  pilot	
  project	
  to	
  make	
 ...
Page	
  24	
  of	
  31	
  
	
  
	
  
	
  
	
  
Rainwater	
  Harvesting	
  Tanks	
  for	
  water	
  supply	
  in	
  rainy	
...
Page	
  25	
  of	
  31	
  
	
  
	
  
Table	
  13:	
  Details	
  of	
  Villages	
  and	
  Households	
  in	
  Jharkhand	
  ...
Page	
  26	
  of	
  31	
  
	
  
	
  
In	
  Bihar	
  the	
  program	
  benefitted	
  484	
  households	
  
Table	
  14:	
  ...
Page	
  27	
  of	
  31	
  
	
  
	
  
OTHER	
  IMPORTANT	
  ACTIVITIES	
  &	
  EVENTS	
  
	
  
BUDDHA	
  	
  MAHOTSAV/FAIR	...
Page	
  28	
  of	
  31	
  
	
  
	
  
ORIENTATION	
  	
  PROGRAM	
  -­‐2015	
  
	
  
Our	
   annual	
   staff	
   orientati...
Page	
  29	
  of	
  31	
  
	
  
	
  
GENERAL	
  MEETING	
  –	
  2015:	
  KARUNA-­‐SHECHEN	
  
	
  
	
  	
  
	
   	
  
	
  ...
Page	
  30	
  of	
  31	
  
	
  
We	
   had	
   the	
   honour	
   of	
   welcoming	
   the	
   founder	
   President	
   a...
Page	
  31	
  of	
  31	
  
	
  
ANNEX-­‐	
  CASE	
  STUDIES	
  ON	
  MENSTRUAL	
  HYGIENE	
  MANAGEMENT	
  
	
  
The	
  fo...
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KARUNA-SHECHEN 1st quaterly report 2015

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KARUNA-SHECHEN 1st quaterly report 2015

  1. 1. QUARTERLY  REPORT   JANUARY-­‐MARCH,  2015                  
  2. 2. Page  2  of  31       CONTENTS   PAGE   NUMBER       Introduction   3       Health     v An  Overview  of  Medical  Activities   4   v Access  to  Primary:  Shechen  Medical  Centre  in  Bodhgaya,  Bihar   and    Hata,  Jharkhand   6   v Mobile  Clinics   9   v Health  Education  Program  (HEP)  with  Special  Focus  on  Women   Hygiene  &  Sanitation     12       Education     v Early  Childcare  and  Development   14   v Non-­‐Formal  Education  (NFE)     16       Environment     v BodhGaya  Clean  Environment,  Hygiene  and  Sanitation  Program     17   v WASH   18   v Rainwater  Harvesting   19   v Solar  Electricity   20       Social     v small  money  BIG  CHANGE   21   v Kitchen    Garden     24       Other  Important  Activities  and  Events   27       Annex     v Case  Study       31                          
  3. 3. Page  3  of  31       INTRODUCTION   The  first  quarter  of  2015  witnessed  several  interesting  activities  and  events.  We  have  catered  to   27,192  patients  in  Bihar  and  Jharkhand  through  our  OPD  and  Mobile  Clinics.  Our  Mobile  Clinic   service  in  Bihar  was  extended  to  two  new  villages,  Bongiya  and  Patsugiya.  Besides,  we  launched   our  Kitchen  Garden  program  in  Jharkhand  covering  438  households  across  26  villages.     We  installed  sanitary  napkin  vending  machines  and  incinerators  at  our  OPD  for  the  benefit  of   our  female  patients  and  staff  members.   We  installed  smokeless  ovens  at  Anganwadi  centres  in  Dema  and  Banahi  in  order  to  prevent  the   anganwadi  workers  and  children  from  the  harmful  smoke  and  soot  emitted  by  the  traditional   ovens,  which  are  a  source  of  various  respiratory  diseases  and  add  to  environmental  pollution.   Our  volunteer  from  Portugal,  Ms  Alice  Cardos,  along  with  the  support  of  our  staff,  painted  the   walls  of  5  Anganwadi  centres  with  active  participation  of  the  village  children.  We  distributed   school  uniforms  and  study  books  among  the  students  of  Babua  schools  at  Dema  and  Masuribar.   Fitness  dresses  were  given  to  the  Yoga  students  in  Mansidih.   We  participated  in  the  annual  three-­‐day  fair,  Buddha  Mahotsav  where  our  organisation’s  stall   was  visited  by  numerous  people.  Their  inquisitiveness  about  our  programs  and  appreciation  of   our  humanitarian  efforts  made  our  participation  in  the  fair  a  great  success.   A  General  Meeting  was  held  in  BodhGaya  in  the  presence  of  our  President,  Matthieu  Ricard;  the   Board  members  of  Karuna-­‐Shechen;  members  from  our  donor  organisation,  Chanel  foundation,   Secretary,  SRPC  Trust  and  other  important  visitors.  After  2  consecutive  days  of  meeting  on  the   6th  and  7th  March  our  esteemed  guests  visited  some  of  our  programs  in  the  villages  of  Dema  and   Chando.   This  report  provides  the  details  of  all  the  activities  and  events  that  we  undertook  in  the  first   quarter  of  2015.                    
  4. 4. Page  4  of  31     HEALTH   AN  OVERVIEW  OF  MEDICAL  ACTIVITIES     In   the   first   quarter   of   2015   we   registered   22,869   patients   at   our   OPD   and   Mobile   Clinics   in   Bihar  and  4,323  patients  in  Jharkhand.   Table  1:  Total  Number  of  Patients  at  OPD  and  Mobile  Clinics  in  Bihar  and  Jharkhand         Bihar     Jharkhand   Month   OPD   Mobile  Clinics   OPD   Mobile  Clinics   January   2,716   3,821   967   507   February   3,448   4,371   1003   586   March   3,952   4,561   765   495               Total   10,116   12,753   2,735   1,588       Direct  Observed  Therapy  (DOT)   Out  of  1935  medical  tests  conducted  in  our  pathology  laboratory  170  were  Sputum  tests  (for   Tuberculosis).  Out  of  these  the  number  of  people  who  were  diagnosed  with  TB  was  10.  While  7   patients   have   successfully   completed   their   DOT   course   in   this   quarter   23   TB   patients   are   currently  undergoing  treatment.   Table  2:  Details  of  DOT  Program   Indicators   January   February   March   Total     Number  of  patients  tested  positive   for  Sputum  test   2   5   3   10   No  of  TB  patients  started  medicine   3   7   4   14   Refer  TB  Patients   1   3   3   7   Patients  who  have  completed  DOT   course   1   3   3   7   Total  No.  of  TB  Patients  are   undergoing  treat.   30   30   23   23            
  5. 5. Page  5  of  31     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.   Table  3:  The  Types  of  Diseases  that  our  Patients  suffer  from   Types  of  Diseases   Patients  in  Bihar   Patients   in   Jharkhand   Diarrhoea/children   149   8   Diarrhoea  /  dysentery  adults   54   14   Amoebiasis   782   257   Typhoid   0   130   TB   96   5   Gynaecological    patient   1,128   177   Bone  &  joints  patients   5,956   1,017   Burn  patient   37   3   Worm  manifestation   14   62   Skin  diseases  of  all  kinds   2,128   329   Ophthalmologic  infections   0   31   Number   of   identified   malnourished   children   0   20   Cardiac  Infection   0   36   HTN   1,278   156   Diabetes   376   38   Asthma  &  COPD   834   35   Cough  &  Cold   3,622   231   Epilepsy   45   0   ENT    patient   503   27   Lymphadenopathy   0   1   I&D      Dressing   63   19   Other  Patients   5,804   1,727         Total  Patients   22,869   4,323              
  6. 6. Page  6  of  31     ACCESS   TO   PRIMARY   HEALTHCARE:   SHECHEN   MEDICAL   CENTRE   IN   BODHGAYA,   BIHAR&  HATA,  JHARKHAND           Patients  being  treated  at  our  OPD  in  BodhGaya,  Bihar     Treatment  of  TB  patients  at  the  DOT  centre  in  BodhGaya          
  7. 7. Page  7  of  31     The   total   number   of   people   who   came   to   the   Medical   centre   in   Bodhgaya   and   Hata   for   Consultations  in  first  quarter  of  2015  was  10,116  and  2,735  respectively.  The  OPD  in  Bihar  saw   an  18.34%  rise  in  the  number  of  patients  compared  to  the  last  quarter  of  2014  (8,548  patients).   Table  4:  Total  Number  of  Patients  at  the  OPDs  in  Bihar  and  Jharkhand   Month   Bihar   Jharkhand   January                    2,716   967   February                    3,448   1003   March                    3,952   765               Total   10,116                                  2,735         Table  5:  Total  Male,  Female  and  Child  Patients  at  OPD  in  Bihar  and  Jharkhand       Bihar     Jharkhand   Male     2,694   1,123   Female   4,983   1,329   Children   2,439   283               Total   10,116   2,735     Bihar,  January,   2,716.00   Bihar,   February,   3,448   Bihar,  March,   3,952   Jharkhand,   January,  967   Jharkhand,   February,   1003   Jharkhand,   March,  765   Patients  at  OPD  Bihar   Jharkhand  
  8. 8. Page  8  of  31       Both  in  Bihar  and  Jharkhand  the  women  mark  the  highest  number  of  patients,  followed  by  men   and  child  patients.           Patients  at  our  OPD  in  Hata,  Jharkhand               Bihar  ,  Male  ,   2694   Bihar  ,   Female,   4983   Bihar  ,   Children,   2439   Jharkhand,   Male  ,  1123   Jharkhand,   Female,   1329   Jharkhand,   Children,   283   Male,  Female  &  Child  Patients  at  OPD    Bihar     Jharkhand  
  9. 9. Page  9  of  31     MOBILE  CLINICS:  3  IN  BIHAR  &  1  IN  JHARKHAND             Patients  at  Mobile  Clinics  in  Bihar     New  Mobile  Clinic  at  Huntergunj  
  10. 10. Page  10  of  31     We  have  added  two  new  villages  to  those  visited  by  our  Mobile  Clinic  teams  in  Bihar-­‐  Bongiya   and  Patsugiya.     In  the  first  quarter  our  Mobile  Clinics  in  Bihar  and  Jharkhand  registered  14,341  patients.   Table  6:  Total  Number  of  Patients  at  Mobile  Clinics  in  Bihar  and  Jharkhand   Month   Bihar   Jharkhand   January                                                                     3,821.00     507   February                                                                     4,371.00     586   March                                                               4,561.00     495               Total   12,753   1,588         Table  7:  Total  Male,  Female  and  Child  Patients  at  Mobile  Clinics  in  Bihar  and  Jharkhand       Bihar   Jharkhand   Male     3,728   371   Female   6,787   959   Children                        2,238   258               Total   12,753   1,588     Bihar,  January,   3,821.00   Bihar,   February,   4,371.00   Bihar,  March,   4,561.00   Jharkhand,   January,  507   Jharkhand,   February,  586   Jharkhand,   March,  495   Patients  at  Mobile  Clinics  Bihar   Jharkhand  
  11. 11. Page  11  of  31             Patients  at  Mobile  Clinics  in  Jharkhand         Bihar,  Male  ,   3,728   Bihar,  Female,   6,787   Bihar,   Children,   2,238   Jharkhand,   Male  ,  371   Jharkhand,   Female,  959   Jharkhand,   Children,  258   Male,  Female  and  Child  Patients  at  Mobile   Clinics   Bihar   Jharkhand  
  12. 12. Page  12  of  31     HEALTH  EDUCATION  PROGRAMME  (HEP)  WITH  SPECIAL  FOCUS  ON  WOMEN  HYGIENE   &  SANITATION     Apart   from   distribution   of   sanitary   napkins   among   poor   women   and   girls   we   are   continuing   with  our  awareness  programs  in  schools  and  rural  communities  in  Bihar.  We  have  introduced   these   women   health-­‐related   knowledge   dissemination   sessions   in   Jharkhand   also.   A   new   initiative  towards  this  program  has  been  the  installation  of  sanitary  napkin  vending  machine   and  incinerator  at  our  OPD  in  BodhGaya,  Bihar.       Sanitary  Napkin  Vending  Machine                                                                      Sanitary  Napkin  Incinerator     Menstrual  Hygiene  program  at  a  School            
  13. 13. Page  13  of  31     Table  8:  Number  of  sanitary  napkins  (single  pieces  worth  INR  2)  sold   Month   Bihar   Jharkhand   January   275   612   February   1,425   955   March   2,500   784             Total   4,200   2,351     Table  9:  Number  of  sanitary  napkins  (packets  of  6  napkins  worth  INR  6)  sold   Month   Bihar     January   980   February   0   March   0           Total   980     These   packets   went   out   of   stock   after   January   and   remained   unavailable   for   the   next   two   months.  Thus,  in  Jharkhand  only  the  single  piece  sanitary  napkins  were  sold  in  this  quarter.   The  women  health  and  hygiene  related  awareness  sessions  in  Bihar  were  organised  in  5  schools   with  260  participants  and  in  9  villages  with  203  women  from  the  communities.  In  Jharkhand  the   program  has  just  been  started  with  a  workshop  conducted  at  a  school  in  Jamshedpur  (with  17   students).     As  mentioned  earlier  we  have  installed  a  sanitary  napkin  vending  machine  and  incinerator  at   our  OPD  in  BodhGaya  for  the  convenience  of  our  female  patients  and  staff  members.    Several   schools  in  and  around  BodhGaya  have  shown  interest  in  installing  the  two  machines.  We  will   begin  the  process  of  installation  in  these  schools  early  next  quarter.                  
  14. 14. Page  14  of  31     EDUCATION   EARLY  CHILDCARE  &  DEVELOPMENT     Role  of  Play  in  the  Life  of  a  Child     Wall  Painting  by  the  Children  and  our  Volunteer     Children  playing  with  dolls  and  other  indoor  play  materials   We  continue  with  the  regular  monitoring  of  the  program  which  is  running  in  10  villages.  In  this   quarter  we  welcomed  a  new  volunteer  from  Portugal  for  the  program.  With  the  support  of  our   village  coordinators  and  interns  and  through  active  participation  of  the  children  enrolled  with   the  Anganwadi  centres  our  volunteer  painted  the  walls  of  the  centres  in  the  villages  of  Banahi,   Dema,  Gopalkhera,  Mansidih  and  Trilokapur.  Apart  from  wall  painting  we  have  white  washed   the   walls   of   the   Anganwadi   centres   in   Bakraur,   Chando   and   Lohjhara   and   of   the   above-­‐ mentioned  villages.     In   the   next   quarter   we   will   be   introducing   some   more   exciting   games   to   help   the   overall   development  of  the  rural  children.  
  15. 15. Page  15  of  31       Babua  School     Students  of  Babua  School  in  Uniform  and  with  Books  distributed  to  them   We  have  provided  books  to  the  students  of  Babua  Schools  for  learning  basic  English,  Hindi  and   Mathematics.  We  have  also  distributed  school  uniforms  for  the  students  (110  uniforms  in   Dema’s  Babua  School  and  30  in  Masuribar).     Yoga  Classes     Children  doing  Yoga  in  the  Fitness  uniforms  distributed  among  them    
  16. 16. Page  16  of  31     Our  yoga  and  fitness  classes  are  conducted  regularly  with  enthusiastic  rural  children.  We  have   distributed  90  Yoga  dresses  for  our  Yoga  students  in  Mansidih.  We  will  be  distributing  more   such  yoga  uniforms  in  all  the  other  villages  in  the  coming  months.     NON-­‐FORMAL  EDUCATION  (NFE)     Our  NFE  program  continues  to  provide  educational  and  skill  enhancement  services  to  363  rural   illiterate  women  across  the  12  villages  where  our  NFE  centres  are  running  successfully.                            
  17. 17. Page  17  of  31     ENVIRONMENT     BODHGAYA  CLEAN  ENVIRONMENT,  HYGIENE  AND  SANITATION  PROGRAM         Jute  Bags  distributed  among  patients  in  Jharkhand  &  children  at  Buddha  Mahotsav  in  Bihar         Snack  Boxes  distributed  among  shop  owners  and  vendors        
  18. 18. Page  18  of  31     918  Jute  bags  were  distributed  amongst  patients  at  OPD  and  Mobile  Clinics,  schools  and  at  the   Bodh  Mahotsav  (fair  organized  in  BodhGaya  in  the  month  of  January).   Table  10  :  Jute  Bags  distribution   Month   Bihar   Jharkhand   January   202   129   February   84   378   March   31   94         Total   317   601     We  participated  in  the  Buddha  Mahotsav  (a  three  day  fair  organized  in  BodhGaya  in  January   every   year   and   is   filled   with   cultural   and   religious   activities)   where   we   organised   drawing   competition  with  40  children  to  raise  their  environmental  awareness.  We  distributed  jute  bags   among  them.     WASH     Our  volunteer  from  France,  Sacha  Durbec,  a  WASH-­‐expert  tested  the  quality  of  drinking  water   for  all  our  operational  villages  of  Gaya  district.  In  Masuribar  the  level  of  fluoride  was  found  to  be   high   but   within   permissible   limits.   Particular   handpumps   at   Masuribar,   JP   Nagar   and   Gopalkhera   were   found   to   have   bacteria   and   village   coordinators   were   instructed   to   tell   the   people  to  avoid  having  water  from  those  handpumps.    Apart  from  these  the  overall  quality  of   water  in  the  villages  was  found  to  be  safe  for  drinking.       Water  testing  being  conducted  at  a  village      
  19. 19. Page  19  of  31     RAINWATER  HARVESTING       Our   water   management   and   replenishment   program,   Rainwater   Harvesting   has   continued   to   benefit  the  rural  poor  in  this  quarter  through  the  instalment  of  water  tanks  in  74  households   across  5  villages.     Table  11:  Details  of  Villages  and  Households  where  Rainwater  Harvesting  systems  have   been  installed                           Name  of  Villages   No.  of  Households  where   RWH  tanks  were  installed   Mansidih   23   Karhara   17   Trilokapur   7   Dema   23   Gopalkhera   4       Total   74  
  20. 20. Page  20  of  31     SOLAR  ELECTRICITY       Our   new   Solar   Engineers,   Lakshmi   Devi   and   Puja   Devi   installed   solar   systems   bought   from   Barefoot  College,  Rajasthan  in  the  three  Kadal,  Barsuddi  and  Chando.     Table  12:  Details  of  Villages  and  Households  where  Solar  Sets  have  been  installed   Villages   No.  of  Households   Kadal   21   Barsuddi   7   Chando   81           Total   114       Puja  Devi  and  Lakshmi  Devi,  our  Solar  Engineers,  setting  up  the  solar  systems         Solar  sets  being  distributed  at  Chando  and  Barsuddi        
  21. 21. Page  21  of  31     SOCIAL     SMALL  MONEY  BIG  CHANGE     Smokeless  Ovens       The   traditional   oven   used   in   the   villages   emits   a   considerable   amount   of   smoke,   exposing   women  and  children  who  congregate  near  the  ovens,  to  pollution  consisting  of  carbon  monoxide   and  miniscule  particles  of  sooth  which  causes  various  respiratory  and  lung  diseases.  Besides,   these  ovens  release  large  amount  of  carbon  dioxide  thereby  adding  to  global  warming.  Apart   from   the   adverse   health   and   environmental   impacts   the   traditional   oven   results   in   negative   economic  consequences  in  terms  of  greater  expenditure  on  fuels.     With  the  objective  to  prevent  the  rural  people  from  the  multi-­‐fold  harmful  impact  of  traditional   ovens  we  have  started  a  project  to  replace  them  with  smokeless  ones  at  the  Anganwadi  Centres   where  the  children  and  Anganwadi  workers  (AWWs)  are  directly  exposed  to  the  harmful  fumes   of  the  traditional  ovens  where  the  children’s  mid-­‐day  meals  are  prepared.  We  started  with  the   project   in   this   quarter,   installing   smokeless   ovens   at   the   Anganwadi   Centres   in   Banahi   and   Dema.          
  22. 22. Page  22  of  31     The  visible  and  short  run  benefits  are  clear  from  the  following  table:   Problems   faced   while   using   Traditional   Ovens     Benefits  of  using  Smokeless  Ovens   Generated  huge  amount  of  smoke   The  smoke  emitted  goes  out  of  the  chimney  nd   saves  the  children  and  AWWs  from  inhaling  the   fumes   The   Oven   consumed   fuel   worth   INR   200   per   week   The   smokeless   oven   consumes   about   half   the   fuel   that   was   used   for   cooking   on   a   traditional   one   Food  took  a  lot  of  time  to  cook   Food   is   cooked   much   faster   and   is   also   cooked   well   The  walls  of  the  Anganwadi  Centre  was  getting   dirty  from  the  sooth   The  problem  is  solved  as  there  is  no  more  sooth     Community  Toilets   About  half  of  India's  total  population  —  595  million  people  —  do  not  use  a  toilet,  making  India   home   to   world’s   largest   number   of   open   defecators.     The   practice   not   only   leads   to   environmental  contamination  and  risks  rising  from  so  much  untreated  human  waste,  but  also   has   enormous   health   implications.     It   makes   people,   especially   children   highly   susceptible   to   contracting   diseases   such   as   diarrhoea   and   hepatitis.   It   can   be   even   be   more   hazardous   for   women   and   girls   since   each   time   they   use   the   outdoors   to   relieve   themselves   they   face   the   danger  of  sexual  assault.     The   government   of   India   has   several   policies   and   programs   to   combat   the   problem   of   open   defecation  but  these  have  mostly  failed  due  to  lack  of  water  in  the  community  toilets  and/or   uncomfortable/  poor  infrastructure  which  makes  it  difficult  and  hence  reluctant  for  the  target   population  to  accustom  to  the  new  habit.       An  unused  toilet  built  by  the  Government  at  a  village  
  23. 23. Page  23  of  31     From  October  2014  we  have  started  a  pilot  project  to  make  community  toilets  in  four  villages,   namely,  Banahi,  Bhupnagar,  Kadal  and  Chando.  In  each  village  there  is  provision  for  2  toilets  for   men  and  2  for  women,  i.e.,  there  are  a  total  of  4  toilets  for  community  use.     The  program  aims  at  combating  open  defecation  by  focusing  on  the  two  primary  problems:   • Making  toilets  comfortable  enough  to  encourage  the  beneficiaries  to  easily  adapt  to  the   new  practice  of  using  them  instead  of  the  age-­‐old  custom  of  relieving  themselves  in  the   open;   • Secondly,   providing   adequate   water   supply   to   maintain   clean   and   hygienic   toilets.   As   using  water  after  toilet  is  a  cultural  practice  in  South  Asia  provision  of  uninterrupted   water  supply  becomes  mandatory  to  make  such  a  project  successful.  For  this  we  ensure   that   the   toilet   is   built   near   a   hand   pump   or   pond,   at   a   safe   distance   as   per   WHO   recommendations.   We   have   also   installed   tanks   at   every   toilet   in   order   to   use   water   accumulated  through  rainwater  harvesting  system  at  rainy  season.     Our  Community  toilet  in  Banahi  is  now  complete  and  ready  for  use  by  the  villagers.  It  cost  INR   1,73,929  (USD  2,899)  wherein  the  cost  borne  by  Karuna-­‐Shechen  was  INR  1,45,929  (USD  2,432)   and  contribution  of  the  community  through  labour  and  locally  available  raw  materials  was  INR   28,000  (16.10%  of  total  cost).  The  toilets  in  Bhupnagar,  Kadal  and  Chando  are  on  their  way  to   completion.  These  toilets  are  aimed  at  discouraging  the  practice  of  open  defecation  as  also  an   attempt  towards  the  protection  of  women’s  privacy  and  safety,  which  are  often  at  risk  due  to  the   unavailability  of  proper  toilets  in  the  villages.                                                                          Female  Toilets      at  Banani                                                                              Male  Toilets  at  Banahi            
  24. 24. Page  24  of  31           Rainwater  Harvesting  Tanks  for  water  supply  in  rainy  season  only                                      The  Inside  Look  of  a  Toilet       KITCHEN  GARDEN           We  launched  our  Kitchen  Garden  program  in  Jharkhand  early  this  year,  reaching  out  to  438   households  across  26  villages  in  the  very  first  quarter.        
  25. 25. Page  25  of  31       Table  13:  Details  of  Villages  and  Households  in  Jharkhand  where  Kitchen  Garden   program  has  been  started                                                     Villages   No.  of   Households   Bharatpur   27   Mundakati   19   Jota   5   Gopalpur   7   Chowarbandha   31   Khoerkpcha   5   Sedadih   22   Tepantor   7   Piyaldih   6   Salboni   28   Kesarsore   7   Tangorjora   12   Padnamsai   9   Sososmoli   19   Balarampur   11   Majgaon   10   Bhatarbeda   22   Lakhipose   16   Bisrampur   20   Kenmundi   22   Bidri   7   Matkambeda   44   Tuibasa   12   Bedakudur   8   Borakunabeda   59   Sosodih   3           Total   438  
  26. 26. Page  26  of  31       In  Bihar  the  program  benefitted  484  households   Table  14:  Details  of  Villages  and  Households  in  Bihar  where  Kitchen  Garden  program  has   been  started                                                   Villages   No.  of   Households   Dema   125   Lohjhara   40   Gopalkhera   60   Banahi   14   Bhupnagar   12   Karhara   72   Simariya   20   Trilokapur   28   Kadal   15   Barsuddi   8   Masuribar   20   Chando   25   J  P  Nagar   13   Mansidih   10   Kharati   12   Sripur   10           Total   484  
  27. 27. Page  27  of  31       OTHER  IMPORTANT  ACTIVITIES  &  EVENTS     BUDDHA    MAHOTSAV/FAIR  -­‐  2015     We  participated  in  the  Budhha  Mahotsav  (as  mentioned  earlier),  a  three-­‐day  fair  organized  in   January  in  BodhGaya.  Our  stall  was  visited  by  many  inquisitive  people  who  asked  to  whom  we   gave  a  short  explanation  about  our  organisation’s  objectives  and  the  various  on-­‐going  activities.   Several   visitors   bought   the   candles   that   were   on   display.   We   organized   our   environmental   awareness  drawing  competition  with  40  children  and  distributed  jute  bags  among  them.                
  28. 28. Page  28  of  31       ORIENTATION    PROGRAM  -­‐2015     Our   annual   staff   orientation   program   for   2015   was   organized   on   30th   January   and   was   facilitated   by   Shamsul   Akhtar.   In   the   interactive   day-­‐long   session   the   participants   got   the   opportunity  to  extensively  discuss  the  achievements  and  challenges  faced  by  our  programs  and   by   the   staff   in   2014,   the   upcoming   events   and   program   activities   of   this   year   and   lastly,   expectation  management  of  all  the  staff  members.                    
  29. 29. Page  29  of  31       GENERAL  MEETING  –  2015:  KARUNA-­‐SHECHEN                  
  30. 30. Page  30  of  31     We   had   the   honour   of   welcoming   the   founder   President   and   Board   members   of   Karuna-­‐ Shechen,  Secreatry  of  SRPC  Trust,  and  other  benefactors  on  a  3-­‐day  General  Meeting  and  Field   visit  (6th-­‐8th  March)  to  BodhGaya.     The  General  Meeting,  held  on  the  6th  and  7th  of  March,  started  off  with  a  warm  welcome  speech   by  the  revered  Matthieu  Richard.  It  was  followed  by  presentation  on  program  activities  by  the   country  representatives  of  India,  Nepal  and  Tibet.   On  the  third  day  our  esteemed  guests  were  taken  on  field  visit  to  Dema  where  they  were  shown   our  various  ongoing  programs  like  Babua  school,  early  childcare  and  development  activities  at   the   Anganwadi   centres,   Rainwater   Harvesting,   Non-­‐formal   Education   (NFE),   Candle-­‐making   vocation  practiced  by  the  poor  women  of  the  village,  and  Mobile  Clinic  services.  In  the  evening   the  guests  paid  a  visit  to  Chando  where  solar  lights  have  been  installed  this  very  quarter.       DETAILS  OF  PROGRAM-­‐WISE  EXPENDITURE       Expenses  incurred  in  the  first  quarter  (January-­‐March)  of  2015  are  shown  below:     Areas of Intervention BIHAR JHARKHAND INDIA USD % USD % USD % Health 38,781 28 5,857 27 44,638 28 Education 7,878 6 - - 7,878 5 Environment 69,143 50 - - 69,143 43 Sustainable Development 3,768 3 9,562 44 13,330 8 Functioning Cost 19,239 14 2,507 12 21,746 14 Equipments and Assets 481 0 3,760 17 4,241 3 TOTAL 1,39,290 100 21,686 100 1,60,976 100          
  31. 31. Page  31  of  31     ANNEX-­‐  CASE  STUDIES  ON  MENSTRUAL  HYGIENE  MANAGEMENT     The  following  case  studies  exhibit  how  the  female  population  in  the  remote  villages  of  Bihar  are   benefitting  from  our  Menstrual  Health  Management  program:   Rinki  Kumari,  a  14  year  old  girl  from  Karhara  village  would  previously  have  menstrual  bleeding   for  15  days  at  a  stretch  every  month  instead  of  the  5-­‐7  days  of  monthly  cycle.  She  felt  weak  due   to  excessive  bleeding  and  hence  had  to  miss  out  on  several  days  of  schooling.       Prior  to  our  women  health  awareness  sessions  in  her  village  Rinki  would  use  cloth,  an   unsanitised  and  therefore  unhygienic  menstrual  protection.  She  was  neither  aware  of  nor  had   access  to  sanitary  napkins.  But  after  learning  about  the  hygienic  protection  through  our   community  women  health  programs  she  started  using  sanitary  napkins  during  her  periods.   After  a  few  months  of  using  proper  hygienic  menstrual  protection  she  now  has  periods  for  not   more  than  7  days  a  month.     Sarita  Kumari,  a  9  year  old  girl  from  Karhara,  had  not  heard  about  menstruation  till  she  started   attending  our  menstrual  hygiene  programs  in  her  village.  Early  this  year  she  had  her  menarche.   Often  girls  in  the  rural  belts  are  not  aware  of  this  normal  biological  process  and  thereby  become   afraid,  often  during  menarche  thinking  that  they  are  suffering  from  some  serious  illness.     Sarita  is  thankful  to  our  women  health  program  which  educated  her  about  menstruation  and   prepared  her  mentally  for  the  process.  During  her  menarche  she  knew  exactly  what  had   happened  to  her,  why  and  how  to  deal  with  it.  She  uses  our  sanitary  napkins  and  opines  that  our   menstrual  hygiene  sessions  have  helped  her  in  every  way  to  be  prepared  and  equipped  to   handle  it  her  menses  with  ease  and  comfort.       Rinki  Kumari                                                                                                                                  Sarita  Kumari  

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