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SECOND QUARTERLY REPORT
Main Activities and Achievements 3
Page 2 of 30
An Overview of Medical Activities 5
Access to Primary Healthcare in Urban Area: Shechen Medical
Centre in Bodhgaya, Bihar
Mobile Clinics 11
Health Education Program (HEP)
Early Childcare and Development 17
Non-Formal Education (NFE) 18
Vocational Training 23
small money Big Change
Bodhgaya Clean Environment, Hygiene and Sanitation Program
Rainwater Harvesting 25
Other Important Information
Activity progress in Jharkhand 26
Field work and Project study by Magadh University Students 27
Upcoming Activities 28
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MAIN ACTIVITIES & ACHIEVEMENTS
17,296 Patients availed the healthcare services of our OPD (Outreach Patients Department)
and Mobile Clinic.
2068 medical tests were conducted in our pathology laboratory.
1093 Sanitary napkins were distributed
A Menstrual Health and Hygiene Educational session was conducted at Project Kanya
school in Bodhgaya.
We started our own informal schools for young children at Dema and Masuribar
We have started providing newspapers to NFE centres to update the student son important
news events. The papers are later used by the students to make paper bags.
Under the ‘small money Big Change’ program we are digging ponds in the villages of
Bhupnagar and Dema
1695 households and 657 OPD patients have received vegetable seeds for their Kitchen
We have made a Kitchen Garden Demonstration Field cum Nursery on an unused and
uncultivated land near Bodhgaya town
We have also started plant nurseries in 11 villages where 11 people, chosen from the village
communities for the purpose, are undertaking the responsibility of looking after the
We have planted 100 trees along the road in front of our OPD
We are in the process of giving out 100 food boxes made of steel and glass to interested food
vendors and shop-owners in the towns of Bodhgaya and Gaya
We have installed Rainwater Harvesting system in 5 households in Banahi, 13 in Dema along
with schools at Dema, Gopalkhera and Lohjhara
60 contained solar sets were installed in the villages of Bhupnagar, Dema, Mansidih,
Lohjhara and Karhara.
Other Events and Activities
We have signed Memorandums of Understanding (MOU) with two local organisations in
Jharkhand; Cause for Change and Dhad Disham Vikas Sangha (DDVS)
We will start our Mobile Clinic activities in Jharkhand from August/September
13 final year post-graduate students of Rural Management and Development department,
Magadh University conducted field work in our operational villages, taking as case study,
one of our programs for their Masters Project work
A socio-economic survey was conducted in all our 18 villages.
In the second quarter of 2014 we have embarked on a number of initiatives to reach out to a
greater number of under-served populations through our existing and new project
interventions. In a bid to provide affordable primary healthcare to the neighbouring districts of
Aurangabad, Jehanabad and Nawada we have launched a third Mobile Clinic, which extends our
outreach services to 4 villages namely, Salaiya (in Aurangabad), Makpa (Jehanabad), Bardaha
(Nawada) and Sitamari (Nawada). Under the Bodhgaya Clean Environment, Hygiene and
Sanitation Program we have been in the process of distributing covered food boxes amongst
interested vendors and shop owners in and around Bodhgaya. Besides, we have planted 100
trees along the road in front of our office to encourage environment-friendly beautification of
As an important move towards our forthcoming Jharkhand activities we have signed
Memorandum of Understanding (MOU) with our local partners, Cause for Change and Dhar
Disham Vikas Sangha (DDVS) and have booked our Jharkhand office at Hata, a strategic location
around 18 kms from Jamshedpur proper.
A unique initiative under our successful Kitchen Garden program has been the distribution of
vegetable seeds to 657 interested OPD patients. Besides, we have started a Kitchen Garden
demonstration field cum nursery near Bodhgaya with the intention of encouraging and reviving
the usage of traditional seeds.
A big initiative was taken under ‘Early Childcare and Education’ with the inauguration of
informal schools at Dema and Masuribar for young children who neither go to Anganwadi
centres nor to primary schools. Our objective in setting up such educational institutions is all
round development of children through educational instruction and co-curricular activities.
We have conducted socio-economic survey in all 18 operational villages with the assistance of
some students from Magadh University who were chosen by our organisation to take, as case
study, one of our programs for their Masters Project work.
In a nutshell, in the second quarter we have undertaken several important initiatives and
Page 4 of 30
Page 5 of 30
AN OVERVIEW OF MEDICAL ACTIVITIES
In the second quarter of 2014, 17,296 Patients availed the healthcare services of our OPD
(Outreach Patients Department) and Mobile Clinic, which is 1.44 % higher than the number
registered in the first quarter (17,051). This quarter saw a 9.13% increase in the total number
of New Patients (6356 as against 5824 in Q1) at OPD and Mobile Clinics.
Table 1: Total Number of Patients at OPD and Mobile Clinics
OPD Mobile Clinic Total
April 2474 2545 5019
May 2573 2649 5222
June 2966 4089 7055
Total 8013 9283 17,296
In the months of April and May there was not much difference (a difference of less
than 100 patients ) between number of individuals approaching OPD and the Mobile
Clinics. In June Mobile Clinic registered a sharp rise in the total number of patients
due to the introduction of our Third Mobile Clinic that month.
The number of patients refered to PHC & Government Hospitals was 43 (0.25 % of
total patients treated).
The total patients who were treated “Free of Cost” (Pregnant women, children and
Page 6 of 30
aged people above 60 years) was 8897 (51.44 % of total patients).
Table 2: Total Number of Patients Referred to PHC and Government Hospitals
Month OPD Mobile
April 3 1 4
May 3 1 4
June 17 18 35
Total 23 20 43
Direct Observed Therapy (DOT)
Out of 2068 medical tests conducted in our pathology laboratory 140 were Sputum tests (for
Tuberculosis). Out of these the number of people who were diagnosed with TB was 5. Currently,
the total number of TB patients undergoing treatment is 103.
Table 3: Details of DOT Program
April May June Total
Number of TB patients started medicine
5 3 4 12
Number of sputum tests conducted
56 46 38 140
0 2 3 5
Refer TB Patients
2 3 3 8
Completed TB Medicine
2 1 4 7
Total Number of TB Patients currently
undergoing treatment (OPD and Mobile) 33 35 35 103
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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Table 4: Types of Diseases
Types of Diseases Total
Diarrhoea / dysentery adults 351
Gynecological patient 683
Bone & joints patients 4553
Burn patient 53
Worm manifestation 18
Skin diseases of all kinds 1664
Ophthalmologic infections 2
Number of identified malnourished children 1
Cardiac Infection 2
Asthma & COPD 322
Cough & Cold 2549
ENT patient 366
I&D Dressing 102
Other Patients 4775
The table and graph show that the most common health problems observed among our patients
were Bone and Joint Pain, Cough and Cold, Skin diseases and HTN.
ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL
Page 8 of 30
CENTRE IN BODHGAYA, BIHAR
The total number of patients at our Medical centre in Bodhgaya in this quarter was 8013, 4.54%
higher than that registered in Q1 (7665), of which 3218 (representing 40.16 % of total patients
at OPD) were new.
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Table 5: Details of Patients in OPD
April May June Total
2474 2573 2966 8013
968 1039 1211 3218
679 650 684 2013
1224 1313 1442 3979
571 610 840 2021
We observe that June registered a considerably more number of patients than April and May,
which can be attributed to the commencement of monsoons when people become susceptible to
water-borne diseases and various infections.
The above graphs show that majority of the patients at our OPD are women and children (75%).
Page 10 of 30
Total number of patients who came in the second quarter of 2014 for different medical tests
was 814 and total analysis done was 2068. The number of patients and tests are different
because one patient may go for several tests.
Table 6: Types of Medical Tests conducted in our Laboratory
Types of Medical Tests
Total Number of
Uric Acid 75
Blood Sugar 242
Serum Blirubin 37
AFB (Sputum test) 140
Urine routine examination 81
Urine culture sensitivity test 43
Other Tests 500
From the above table and graph we see that the highest number of medical tests conducted are
TC/DC, ESR, Blood Sugar, HB% and AFB (Sputum Test).
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We extended our outreach services to the neighbouring districts of Nawada, Aurangabad and
Jehanabad with the launch of a third Mobile Clinic in May. It is providing healthcare services to
the disadvantaged communities in the villages of Bardaha and Sitamari in Nawada, Salaiya in
Aurangabad and Makpa in Jehanabad. In May the new mobile team registered 302 patients
which leapt to 1152 in the very next month. This sharp increase in patients within a month
shows that we have been successful in gaining the confidence of our new beneficiaries through
our dedicated services.
9283 patients came for the consultations to our mobile clinics. We have closed our mobile clinic
services to Sripur and Karhara from June as these villages are not far from our OPD and the
villagers can easily come over for check-up, when required. This has led to a slight fall in the
total patient turnout in this quarter (by 1.11% from 9386 patients in last quarter). 33.80 % of
total patients at Mobile Clinics are new patients. The total patients who were treated Free of
Registration Charge (Pregnant women, children and aged people above 60 years) in the Mobile
Clinic was 5859 (63.12 % of the total patients at mobile clinics).
Page 12 of 30
Table 7: Details of Mobile Clinic Patients
April May June Total
Total Patients 2545 2649 4089 9283
New Patients 653 898 1587 3138
Number of Patients from
1852 1695 2539 6059
Men 757 741 1119 2617
Women 1257 1396 2101 4754
Children 531 512 869 1912
From the above table we see that 6059 patients (65.27 % of total patients at Mobile Clinics) in
the rural areas come from the 1862 satellite villages surrounding the one where our outreach
medical team pays regular visits. This is a big achievement for us as it shows the level of
satisfaction among the beneficiaries which results in spread of information about our healthcare
services by word of mouth and the eventual increase in the number of patients from nearby
Here we see a trend similar to that of OPD where there has been a sharp rise in the number of
patients in June compared to April and May figures. This can be attributed to the onset of
monsoons when people are susceptible to water-bourne diseases and various infections.
The graphs clearly show that, like that in the OPD, here too women and children form majority
of the patients (72%).
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Page 14 of 30
HEALTH EDUCATION PROGRAMME (HEP)
Educational Program on Menstrual Health and Hygiene at Project Kanya School
Our Health Education Programme continues to run successfully as can be seen from the
Table 8: Some Details of HEP
Total Households reached 1,285
Total Families reached 1,936
Total Number of Health Groups
Total Number of Members in Health Groups
Total Number of Home Visits by Village Coordinators
Total Number of Home Visits by Motivators
Page 15 of 30
Table 9: Reproductive and Child Health
Total Number of Sanitary Napkins distributed 1903
Percentage of Pregnant Women Followed-up by Village Coordinators and
Percentage of Pregnant Women sent for Immunization by Village Coordinators 17.59
Percentage of Pregnant women immunized with TT1& TT2 67.83
Percentage of Pregnant Women having Institutional Delivery 72.92
Percentage of new-born children immunized with BCG and 1st DPT 57.96
Percentage of Neo-natal deaths 0
From the above table we can see that 91% of pregnant women in our intervention areas have
been followed-up, 68% of them have been successfully immunized with required vaccinations
and an overwhelming 73% of childbirths have taken place in PHCs instead of the usual and
traditional home deliveries by semi/un-skilled mid-wives. A direct consequence of the rising
RCH awareness generated through our program and the subsequent preference for institutional
child deliveries is 0% neo-natal death in this quarter. These percentages thus reflect the
achievements made by our HEP program.
Table 11: Number of Sanitary Napkin Packets distributed
Month OPD Mobile Total
April 84 440 524
May 125 685 810
June 159 410 569
Total 368 1535 1903
A total of 1903 napkin packs have been distributed amongst the patients at OPD and mobile
clinics. We observe from the graph that sanitary napkins reaching the target population have
been much higher for the villages than those distributed at our OPD in Bodhgaya. The primary
reason is that the motivators, who are members of the village communities themselves, sell the
We have taken our Menstrual Hygiene and Sanitation project a step further with the
organisation of a day-long awareness session at one of the largest girls school in Bodhgaya,
Project Kanya. Girls from classes 9 to 12 were educated on various aspects of Menstrual Health
and Hygiene by our able staff members and queries from the audience regarding the same were
answered. The program was wrapped up with the distribution of free sanitary napkin packs and
Jute bags amongst the students and school faculty.
We envisage installing Sanitary napkin vending machines and incinerators at girls schools and
colleges in towns of Gaya and Bodhgaya in an effort to reach a greater number of menstruating
population. We are in the process of holding talks with various companies selling the above-mentioned
machines and will soon proceed towards the implementation of our plan.
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Page 17 of 30
EARLY CHILDCARE AND DEVELOPMENT
Elementary education in Bihar presents a bleak picture. Majority of the schools (94.8%) in the
State imparting elementary education are located in the rural areas (DISE). Apart from poor
infrastructure like high student-classroom ratio of 91 (against the all India figure of 36) and
dearth of functioning toilets, the schools are characterised by lack of quality education. Bihar
performs miserably in terms of grades obtained by students in elementary classes. According to
a study conducted by DISE only 37 % of students at primary and 22% at upper primary levels
passed with more than 60% grades. Teacher absenteeism in the State is as high as 38% at
government-run primary schools (World Bank Report). These factors not only dissuade a large
number of rural children from enrolling in schools but also increase the dropout rates.
With the intention of providing quality primary education new initiative has been undertaken for
Early Childcare and Development with the opening of schools at Bhawahi hamlet of Masuribar
and Pathra hamlet of Dema. In these schools young children who neither go to Anganwadi
centres nor attend primary schools will be taught free educational and co-curricular activities
like Yoga for their all round development.
Our new program, ‘Role of play in the life of a child: A way to contribute to children well-being
and healthy development’ which we had launched at the start of this year in collaboration with
Inter’Lude, France is running successfully in all 4 villages (Gopalkhera, Chando, Banahi and
Our village coordinators conduct regular visits to monitor and supervise the program. Games,
toys and other materials required for its smooth running are provided to the Anganwadi centres
from time to time according as per the need and requests of the Sevikas.
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NON-FORMAL EDUCATION (NFE)
Our NFE programme continues to run in the villages. In order to make the classes more
interesting and interactive we have introduced sessions where the NFE instructor reads out
important events happening around Bihar and the nation at large. This is followed by
discussions among the students on the news events they find particularly intriguing. Such
sessions are instrumental in raising awareness and knowledge about various issues among the
rural disadvantaged women. The newspapers that are used for the purpose are being made into
paper bags by NFE students at Banahi, where they have been given training for the vocation.
Women at our other NFE centres will be imparted the same training in the next quarter. This
vocation will help them improve their livelihood opportunities as well as promote the use of
environment-friendly alternatives to plastic bags.
in NFE classes
Banahi 30 15
Dema 30 25
Gopalkhera 30 11
Lohjara 30 14
Mansidih 31 12
Sripur 30 12
Mastibar 25 10
J.P.Nagar 28 10
Kharati 18 16
Karhara 60 30
Trilokapur 21 10
Bhupnagar 25 15
Total 358 180
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Table 11: NFE Attendance details
Name of Villages Number of Students
enrolled in NFE
We observe that the average attendance has improved from 43% in the last quarter to the
present 50.3%. NFE classes at Bandha, Nawatari and Kadal have been temporarily dissolved due
to poor and irregular attendance.
Page 20 of 30
Vegetable seedlings and fruit plants continue to be distributed among villagers growing Kitchen
Gardens under the sustained guidance and monitoring of our organisation. In addition to the 277
households that were given seasonal seeds and plants in the previous quarter 1695 households
approached us for the same in the past three months. This shows a surging interest generated
among the villagers witnessing the benefits received by their community members who have been
undertaking kitchen gardening with our support. Another important reason is the commencement of
the rainy season in this quarter which is quintessential for growing fruits and vegetables. Apart from
households we will be starting kitchen garden at Kadal school for which we have undertaken land
levelling on the school ground.
Table 12: Number of Households receiving seeds for their Kitchen Gardens
In this quarter we have launched a Village Nursery initiative as an essential part of our Kitchen
We have made a Kitchen Garden Demonstration Field cum Nursery on an unused and
uncultivated land acquired at a place called Amba, near Bodhgaya town. Here, after undertaking
the task of land levelling and making the necessary preparations, we have planted brinjal and
green chillies in the nursery and will be growing tomato and papaya plants in the next month. In
the kitchen garden section of the land we have already planted saplings of bitter gourd,
pumpkin, ladies finger, and other seasonal vegetables. Besides, we have also started plant
nurseries in 11 villages where 11 people, chosen from the village communities for the purpose,
are undertaking the responsibility of looking after the nurseries.
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Name of Villages Number of
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Table 13: List of Villages where Nursery is being prepared
Name of Villages
Our objective of introducing plant Nurseries at Ambwa and in the outreach areas has emanated
from recognising their imperative role in producing vigorous and healthy seedlings/saplings,
which in turn are key to the production of healthy plants and successful Kitchen Gardens. The
nursery at Ambwa will also serve the purpose of preparing traditional seeds, with the aim of
reviving their losing popularity and increasing their usage among agriculturalists and village
In order to reach out to the maximum possible underserved population through this program
we have started distributing free seedlings to interested patients visiting our OPD. 657 OPD
patients have thus received vegetable seeds for growing Kitchen Garden in their backyards.
Land levelling for kitchen garden at Chando school Distribution of vegetable seeds
Page 23 of 30
Our second session of free computer courses that begun in March this year continues to run
successfully with the students attending classes actively and on a regularly basis.
We are preparing the ground for conducting vocational training workshops similar to the ones
organised last year. One of the vocations that will be taught is Mushroom Cultivation, training
for which will be given by one of our local partners at Jharkhand, Dhar Disham Vikas Sangha
SMALL MONEY BIG CHANGE
Under our Community Planned-Community Managed program, small money Big Change we are
digging ponds in the villages of Bhupnagar and Dema, both of which face serious dearth of water
facilities, especially during the scorching summers when the few ponds and wells dry up.
BODHGAYA CLEAN ENVIRONMENT, HYGIENE AND SANITATION PROGRAM
We have taken a major initiative towards environment-friendly beautification of Bodhgaya
town with the planting of 100 tree saplings along both sides of the road in front of our
office/OPD. With the bid to sensitize the locals about green and clean surroundings and to
improve the town’s image as a favoured tourist destination we will be planting around 300-400
trees in feasible locations during the initial phase of this activity.
Having distributed food covers among vendors at Gaya railway station in the first quarter of
2014 we are now in the process of giving out 100 food boxes made of steel and glass to
interested food vendors and shop-owners in the towns of Bodhgaya and Gaya. These boxes, that
we have purchased at whole price of INR 7,000 each and whose market value is much higher at
INR 11,000 per box, will be distributed at 50% subsidised rates to the target beneficiaries.
Apart from our patients we are distributing Jute bags amongst school children in the villages to
promote environment-friendly alternatives to plastic bags. We have given away 120 bags at
Chando school, 78 at Kadal, 56 at Barsuddi, 60 at Bhupnagar school, 148 at Gopalkhera, 225 at
Dema government school, and 80 jute bags at our informal school opened at Pathra, Dema.
Page 24 of 30
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We continue to install Rainwater Harvesting systems at interested schools and households. In
this quarter 5 households in Banahi, 13 in Dema along with schools at Dema , Gopalkhera and
Lohjhara have made the necessary arrangements and tank installation for Rainwater
In addition to the 31 households at Bhupnagar which were given solar sets early this year, in
this quarter we have been installing 29 LED solar home light systems in interested households
across our operational villages- 2 additional sets in Bhupnagar , 13 in Dema, 2 Bhupnagar, 11
Mansidih, 2 in Lohjhara and 1 in Karhara.
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ACTIVITY PROGRESS IN JHARKHAND
With the objective of expansion of our humanitarian services beyond Bihar to the neighbouring
State of Jharkhand we made visits to Jamshedpur in East Singhbhum as our areas of
intervention would be the villages surrounding the Steel City. In early June we made a visit to
Jamshedpur and held meetings with some local NGOs and CBOs to finalise who, amongst them
would be our local partners. Based on the extensive discussions and the follow-up telephonic
and skype meetings in last week of June we signed Memorandums of Understanding (MOU)
with two local organisations; Cause for Change and Dhad Disham Vikas Sangha (DDVS). Our
collaborative ventures with them will begin in July.
On the basis of our village scan process we have selected Rajnagar Block in Seraikela-
Kharsawan District as our initial area of intervention where we will be working in Baner
Panchayat, Gangaruli Panchayat, Kendmundi and Bankhabani Panchayats. Our plan is to start
Mobile Clinic services in our chosen operational areas by August-September.
Prior to the commencement of our Jharkhand programs we will be conducting a Baseline Survey
in the villages falling under the jurisdiction of the above-mentioned Panchayats. The survey will
be the first element in our monitoring and evaluation activities, which by gathering key
information about the current village developmental scenario will enable us to make later
judgements about the quality and development achievements of our programs.
We have hired four efficient and enthusiastic women from tribal communities as our village
motivators who will be conducting Baseline survey through the month of July. Thereafter, we
plan to start our Mobile Clinic initiative from August-September. We will be recruiting Block
Coordinators and Project in-charge for overseeing our Jharkhand programs.
Orientation on baseline survey with Motivators at Jharkhand
We will organise a Mushroom training workshop with DDVS tentatively on 6th July for 30 tribal
people, especially women participants. At the end of the training we will provide each
participant with 2 packets of mushroom seeds.
We have booked our Office space at Hata, an important junction located 20km from
Jamshedpur. Hata was chosen for its strategic location; our areas of intervention covering the
districts of East Singhbhum, West Singhbhum and Seraikela-Kharsewa fall within 50 km radius
of our Hata office. Moreover, Hata lies close to the border of the neighbouring State of Orissa.
Hata Junction: Tata is the name of Jamshedpur, Chaibasa is in West Singhbhum district Musaboni block is in
East Singhbhum district and Tiring is in neighbouring state of Orissa. Rajnagar Block in Seraikela-Kharsawan
District is 3 Km from Hata towards Chaibasa.
Meeting with DDVS members and Tribal communities at Netra, Musaboni Block, East Singhbhum
district of Jharkhand.
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FIELD WORK AND PROJECT STUDY BY MAGADH UNIVERSITY STUDENTS
We selected 13 bright final year post-graduate students of Rural Management and Development
program, Magadh university to conduct field work for their projects at our operational villages,
taking as case study one of our ongoing programs. As part of their project work they conducted
socio-economic survey in all 18 operational villages under the guidance and supervision of our
able staff members. The students have been issued certificates by our organisation for their
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The expenses incurred in the second quarter of 2014 are presented below:
Programs in Jharkhand including a Mushroom training for tribal communities in July
and Mobile Clinics in select villages in East Singhbhum and Seraikela-Kharsawan District
Baseline Survey in the chosen operational areas in Jharkhand.
Vocational training for women from disadvantaged communities in Bihar including
Mushroom cultivation, Rakhi making and paper bag making.
Yoga training for interested youths in July.
Installation of Sanitary napkin vending machines and Incinerators in schools and
colleges in Gaya district.
Electric Auto rickshaws will be driven by female drivers from our clinic to the main
road. This initiative aims at women empowerment, environment-friendly
communication and promotion of social awareness-related programs.
Rain water harvesting in household and in schools.
Panma Devi- the woman who got good livelihood opportunities due to
her literacy and numeracy skills acquired through her NFE lessons
Panma devi, a 32 year old woman hailing from JP Nagar was illiterate when she joined our NFE
program that was started in her village in 2011. As the only earning member she used to work
as a wage labourer, slogging all day long to support her family of 6 and provide treatment to her
husband, a Tuberculosis patient.
According to the NFE instructor at JP Nagar, ‘Panma was a very sincere student, always eager to
learn new things’. Despite her hectic life she would attend classes regularly. Gradually, she
learnt the basic literacy and numeracy skills. In her own words, ‘I thoroughly enjoyed my
lessons and looked forward to them’.
Making proper use of her newly acquired skills Panma devi started looking for better livelihood
opportunities and in no time she got a job at the nearby Ramanandi Automobile, with a monthly
salary of INR 3,500. This has been extremely helpful in providing financial support to her family.
After having worked with the company for a considerable time Panma Devi had to discontinue
with her job due to personal issues. However, she is confident that our NFE program has
‘equipped me well enough to get good job opportunities in the future’.
Panma Devi thanks Karuna-Shechen for giving her a new identity and reviving her self-confidence.
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