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Karuna-Shechen Second quaterly report of 2014

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Karuna-Shechen Second quaterly report of 2014

  2. 2. CONTENTS PAGE NUMBER Main Activities and Achievements 3 Introduction 4 Page 2 of 30 Health  An Overview of Medical Activities 5  Access to Primary Healthcare in Urban Area: Shechen Medical Centre in Bodhgaya, Bihar 8  Mobile Clinics 11  Health Education Program (HEP) 14 Education  Early Childcare and Development 17  Non-Formal Education (NFE) 18 Social  Kitchen Garden 20  Vocational Training 23  small money Big Change 23 Environment  Bodhgaya Clean Environment, Hygiene and Sanitation Program 24  Rainwater Harvesting 25  Solar Electricity 25 Other Important Information  Activity progress in Jharkhand 26  Field work and Project study by Magadh University Students 27  Finances 28  Upcoming Activities 28 Annex  Success Story 29
  3. 3. Page 3 of 30 MAIN ACTIVITIES & ACHIEVEMENTS Health  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. Education  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. Social  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 Gardens  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 nurseries. Environment  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.
  4. 4. 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 the town. 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 achievements. Page 4 of 30 INTRODUCTION
  5. 5. 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). HEALTH
  6. 6.  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 Clinic Total 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 Sputum Positive 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.
  7. 7. Page 7 of 30 Table 4: Types of Diseases Types of Diseases Total Diarrohea/children 79 Diarrhoea / dysentery adults 351 Amoebiasis 532 Typhoid 4 TB 169 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 HTN 852 Diabetes 137 Asthma & COPD 322 Cough & Cold 2549 Epilepsy 70 ENT patient 366 Lymphadenopathy 12 I&D Dressing 102 Other Patients 4775
  8. 8. 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.
  9. 9. Page 9 of 30 Table 5: Details of Patients in OPD April May June Total Total Patients 2474 2573 2966 8013 New Patients 968 1039 1211 3218 Men 679 650 684 2013 Women 1224 1313 1442 3979 Children 571 610 840 2021
  10. 10.  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 Pathology Laboratory 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 Conducted Total Number of Tests TC/DC 295 ESR 272 HB% 283 Malaria 80 Uric Acid 75 Blood Sugar 242 Serum Blirubin 37 AFB (Sputum test) 140 ECG 20 Urine routine examination 81 Urine culture sensitivity test 43 Other Tests 500 Total 2068
  11. 11. 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). Page 11 of 30 MOBILE CLINIC 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.
  12. 12. 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 Satellite Villages 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 villages.
  13. 13. 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%). Page 13 of 30
  14. 14. 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 following tables: Table 8: Some Details of HEP Indicators Total Households reached 1,285 Total Families reached 1,936 Total Number of Health Groups 77 Total Number of Members in Health Groups 332 Total Number of Home Visits by Village Coordinators 1,307 Total Number of Home Visits by Motivators 2,444
  15. 15. Page 15 of 30 Table 9: Reproductive and Child Health Indicators Total Number of Sanitary Napkins distributed 1903 Percentage of Pregnant Women Followed-up by Village Coordinators and 90.76 Motivators 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
  16. 16. 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 napkins. 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. Page 16 of 30
  17. 17. Page 17 of 30 EDUCATION 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.
  18. 18. 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 Dema). 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. Page 18 of 30 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
  19. 19. 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. Average Attendance 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 Page 19 of 30 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.
  20. 20. Page 20 of 30 KITCHEN GARDEN SOCIAL 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.
  21. 21. 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 Garden program. 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. Page 21 of 30 Name of Villages Number of Households receiving seeds Banahi 81 Dema 403 Gopalkhera 195 Lohjara 75 Bandha 77 Nawatari 65 Mansidih 96 Sripur 40 Mastibar 140 J.P.Nagar 61 Kharati 52 Karhara 97 Trilokapur 28 Bhupnagar 42 Kadal 35 Chando 126 Barsuddi 22 Simariya 62 Total 1695
  22. 22. Page 22 of 30 Table 13: List of Villages where Nursery is being prepared Serial Number Name of Villages 1 Karhara 2 Simariya 3 Bhupnagar 4 Kadal 5 Masuribar 6 Chando 7 J.P.Nagar 8 Banahi 9 Dema 10 Lohjhara 11 Gopalkhera 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 communities. 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
  23. 23. Page 23 of 30 VOCATIONAL TRAINING 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 (DDVS). 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.
  24. 24. 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 ENVIRONMENT
  25. 25. Page 25 of 30 RAINWATER HARVESTING 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 Harvesting. SOLAR ELECTRICITY 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.
  26. 26. Page 26 of 30 ACTIVITY PROGRESS IN JHARKHAND OTHER INFORMATION 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
  27. 27. 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. Page 27 of 30
  28. 28. 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 participation. Page 28 of 30
  29. 29. Page 29 of 30 FINANCES The expenses incurred in the second quarter of 2014 are presented below: UPCOMING ACTIVITIES  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 from August-September.  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.
  30. 30. 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. Page 30 of 30 ANNEX-SUCCESS STORY