QUARTERLY REPORT

APRIL-JUNE, 2015

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CONTENTS PAGE NUMBER

Introduction 3

Health

An Overview of Medical Activities 4 Access to Primary: Shechen Medical Centre in Bodhgaya, Bihar

and Hata, Jharkhand 6

Mobile Clinics & Medical Camps 8

Health Education Program (HEP) 10

Education

Babua School 11 Yoga 11 Non-Formal Education (NFE) 12

Environment

BodhGaya Clean Environment, Hygiene and Sanitation Program 13

Rainwater Harvesting 14 Solar Electricity 14

Social

small money BIG CHANGE 16

Kitchen Garden 17

Vocational Training 20

Annex

Case Study 22

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INTRODUCTION

In the Second Quarter of this year we reached out to 26,013 patients (22,580 in Bihar and 3,433 in Jharkhand), expanded our Mobile Clinic services in 2 new villages of Bihar, namely, Mahuyet (Wazirganj block) and Mahtab Bigha (Parhainya block), and installed sanitary napkin vending and burning machines in three schools of Gaya district. We organized our first Medical Camp in Jharkhand. This one-day free medical assistance saw a turn-out of an impressive 125 patients.

We have purchased two new e-rickshaws, trained and employed a needy woman as an e-rickshaw driver. A second woman is under training and will be ready to take to the streets by the beginning of the third quarter. 216 women have benefitted from our vocational workshop on Bindi-making1 . Our free computer training courses is currently imparting education to 48 young and enthusiastic youths from disadvantaged backgrounds.

A total of 5,312 households in Bihar and Jharkhand have benefitted from our Kitchen Garden program in this quarter. 2,703 jute bags have been distributed in Bihar and Jharkhand. A new NFE centre has been opened at Simariya with 24 students. 48 Solar lights have been installed across Kadal, Barsuddi and Chando.

This report provides the details of all the activities and events that were undertaken in the second quarter of 2015.

1 Bindi is a forehead decorative dot applied by Indian women.

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HEALTH

In the first quarter of 2015 we registered patients at our OPD and Mobile Clinics in Bihar and patients in Jharkhand. In May we organized the first Medical Camp in Jharkhand. Held at the Bodhi Society in the city of Jamshedpur, the medical camp witnessed a turn-out of 125 patients.

Table 1: Total Number of Patients in Bihar and Jharkhand

Bihar Jharkhand

Month OPD Mobile Clinics

OPD Mobile Clinics

Medical Camp

April 3311 3867 656 503

May 3717 3582 491 513 125

June 3795 4308 532 613

Total 10,823 11,757 1,679 1,629 125

Direct Observed Therapy (DOT)

Out of 2038 medical tests conducted in our pathology laboratory 157 were Sputum tests (for Tuberculosis). Out of these the number of people who were diagnosed with TB was 7. While 9 patients have successfully completed their DOT course in this quarter 26 TB patients are currently undergoing treatment.

Table 2: Details of DOT Program

Indicators April May June Total

Number of patients tested positive for Sputum test

3 2 2 7

No of TB patients started medicine 4 4 2 10

Refer TB Patients 2 3 3 8

Patients who have completed DOT course 2 5 2 9

Total No. of TB Patients are undergoing treat. 32 26 26 26

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 3: The Types of Diseases that our Patients suffer from

Types of Diseases Bihar Jharkhand

DIARRHOEA/DYSENTERY 423 46

GIT/ ABDOMEN PAIN 1095 264

TYPYOID 52 0

T.B. 131 4

GYNAECOLOGICAL PATIENTS 1182 185

BONE & JOINT RELATED AILMENTS 5,679 822

BURN PATIENTS 128 0

WORM MANIFESTATION 712 40

SKIN DISEASES 2685 288

OHPTALMOLOGIC INFECTION 139 33

MALARIA 90 0

HYPERTENSON/CARDIAC 1,292 118

DIABETIC 356 44

ASTHMA & COPD 375 27

CAUGH &COLD (FLU),FEVER ,HEADACHE 2,696 243

EPILEPSY 155 0

ENT 607 23

LYMPYADENOPATHY-MUMPS 75 13

I & D DRESSING 98 6

GENERAL WEAKNESS & ANAEMIA,SWELLING BODY

1,695 664

PILES,HEMORROID 194 28

UTI 239 16

FILARIASIS 63 23

THYROID 17 2

JAUNDICE 11 0

TONSILLITIS 5 1

OTHER DISEASES 2386 543

Total 22,580 3,433

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ACCESS TO PRIMARY HE ALTHCARE: SHECHEN MEDICAL CENTRE IN BODHGAYA, BIHAR & HATA, JHARKHAND

OPD, Bihar

OPD, Jharkhand Medical Test at OPD, Bihar

Pathology, Bihar DOT centre, Bihar Pharmacy, Jharkhand

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The total number of people who came to the Medical centre in Bodhgaya and Hata for Consultations in first quarter of 2015 was 10,823 and 1,679 respectively.

Table 4: Total Number of Patients at the OPDs in Bihar and Jharkhand

Month Bihar Jharkhand

April 3,311 656

May 3,717 491

June 3,795 532

Total 10,823 1,679

Table 5: Total Male, Female and Child Patients at OPD in Bihar and Jharkhand

Bihar Jharkhand

Male 2824 652

Female 5257 872

Children 2742 155

Total 10,823 1,679

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Both in Bihar and Jharkhand the women mark the highest number of patients, followed by men and children.

MOBILE CLINICS & MEDICAL CAMP

Mobile Clinics, Bihar

Mobile Clinics, Jharkhand

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The second quarter of 2015 saw 13,386 patients at Mobile Clinics (11,757 in Bihar and 1,629 in Jharkhand) and 125 patients at a Medical Camp conducted in Jamshedpur, Jharkhand.

In lieu of our intention to reduce medical dependence of our beneficiaries on us and in order to reach out to the unreached we decided to phase out our mobile clinic services from the villages which have been receiving our healthcare assistance for several years and intervene in new rural areas.

With this objective we have expanded our Mobile Clinic services in Bihar to two new villages, namely, Mahuyet (Wazirganj block) and Mahtab Bigha (Parhainya block). In the coming months we plan to phase out from the villages which have been receiving our medical assistance for several years and extend our programs to rural areas that are in serious dearth of primary healthcare services.

In the month of May we organized our first Medical Camp in Jharkhand, at Bodhi Society, Jamshedpur. The one-day camp saw an impressive turn-out of 125 patients.

Table 5: Patients at Mobile Clinics and Medical Camp

Bihar Jharkhand

Month Mobile Clinic Mobile Clinic Medical Camp

April 3867 503 0

May 3582 513 125

June 4308 613 0

Total 11,757 1,629 125

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HEALTH EDUCATION PROGRAM

We have been carrying out our HEP successfully educating the villagers, especially the rural women, about health and nutrition, following up and vaccinating pregnant women and new-born and little children.

We have installed sanitary napkin vending and burning machines at two of the biggest schools in Gaya.

Our Menstrual Health Matters program has reached out to 9,378 needy females who otherwise cannot afford to buy sanitary napkins and have to resort to unhygienic menstrual protection.

Table 6: Sanitary Napkins sold in Bihar and Jharkhand

Month Bihar Jharkhand

April 2486 605

May 2825 1045

June 1700 717

Total 7,011 2,367

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EDUCATION

BABUA SCHOOLS: INFORMAL EDUCATION FOR YOUNG CHILDREN

Our informal education centres for young children, Babua schools, continue to run successfully with the children attending regular classes. We have replaced the thatched roof of the school building at Dema with durable corrugated roofing in an effort to protect the children from scorching heat during summers and rainwater seepage into the class rooms during monsoons.

YOGA

About 350 rural children are benefitting from our regular Yoga and fitness classes.

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Table 7: Number of Students regularly benefitting from our Yoga and fitness classes

Villages Average No. of Students learning Yoga

Lohjhara 45

Gopalkhera 60

JP Nagar 40

Chando 30 Mansidih 99

Dema 35

Simariya 40

Total 349

NON-FORMAL EDUCATION (NFE)

Owing to the demand for the program we have launched a NFE centre in Simariya with 24 students. Apart from the regular educational classes students from all the NFE centres got the opportunity to add yet another vocation to their livelihood skills; Bindi making.

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ENVIRONMENT

BODHGAYA CLEAN ENVIRONMENT, HYGIENE AND SANITATION PROGRAM

Snack Box at a shop in Bihar Drawing Competition

Jute bag distribution at Medical Camp in Jharkhand

Recognising our efforts to beautification and preservation of the environment the State government of Bihar presented us with 500 tree saplings. We are constructing the bamboo fencing for the trees and making other necessary preparations for planting the saplings during monsoons.

2,703 jute bags (2,205 in Bihar and 498 in Jharkhand) were distributed among our patients, school children, and other interested beneficiaries.

We have conducted drawing and speech competitions in 14 urban and rural schools in Bihar with the aim of raising environmental awareness among young children.

10 snack boxes were distributed among the vendors and shop owners with the aim of promoting food hygiene.

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RAINWATER HARVESTING

We have installed rainwater harvesting tanks in 5 households at Karhara village, 1 household at Lohjhara. 1 tank was set up at our community toilet in Banahi. As the water tanks will come into use during the monsoons we will be installing several more during the third quarter.

SOLAR ELECTRICITY

Solar sets being distributed among villagers

While we had installed 114 out of the 220 solar sets in the villages of Kadal, Barsuddi and Chando in the first quarter, this time we reached out to 48 households. We expect to install the remaining solar sets in the third quarter of the year.

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Table 8 : Details of Villages and Households where Solar Sets have been installed

Villages No. of Households

Kadal 9

Barsuddi 21

Chando 18 households + 1 at the solar electricity workshop

Total 48 households and 1 workshop

Apart from the 49 solar sets bought from Barefoot College, our solar engineers have also installed 5 locally purchased solar sets in Bhupnagar.

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SUSTAINABLE DEVELOPMENT

SMALL MONEY BIG CHAN GE

Corrugated roofing at Dema Mobile Clinic (L) and Babua School (R) Well being dug at Dema

Community Toilets are now functional and being used by the villagers

The construction of community toilets at Kadal , Chando and Banahi is complete and the beneficiaries have started using them. The toilet at Bhupnagar was competed at the end of this quarter and will be open for use August onwards. The community members are fulfilling their responsibilities of cleaning and maintaining the toilets regularly.

We, through regular community meetings, are encouraging and helping the beneficiaries to adapt to the new practice of using toilets properly. Currently 25 people in Banahi, 20 in Chando and 15 in Kadal are using toilets on a daily basis.

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We are digging a well at Dema. This will not only act as a source of drinking water but will also be used for irrigating more than 10 acres of the surrounding agricultural fields.

We have built corrugated roofs in Dema; one at the Babua school and another in the courtyard of the building where our Mobile Clinic team serves patients. This roofing will give respite to the children and patients from the scorching summer heat and heavy monsoons.

We have been undergoing preparatory work for a project that will begin in the third quarter; an irrigation channel will be constructed at Lohjhara with the expectation of watering at least 50 acres of fertile cultivable land.

KITCHEN GARDEN

Kitchen Garden at a village in Jharkhand Seed distribution at a village in Bihar

We have reached out to 5,312 households across Bihar and Jharkhand in this quarter. The program has moved beyond our operational villages to reach out to those in the surrounding areas, as shown in the following tables. The kitchen gardens in such villages are directly monitored and observed by our village motivators and coordinators. Indirect surveillance is applied to the kitchen gardens grown by our OPD patients at their households.

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Table 9: Number of Beneficiaries of the Kitchen Garden program in Bihar

Villages Number of Beneficiary Household

Kharati 100

Kadal 44

Barsuddi 20

Simariya, Bahadurbigha 128

Karhara, Fatehpur, Pidasin 250

Masuribar, Hariharpur, Kusha

305

Mansidih, Kurumdih, Karmaouni, Dariyaura, Ghodawadih, Bidha

401

Dema, Nima, Panchubigha, Balabigha, Hribagicha

700

Gopalkhera, Duhobar, Ledhi, Paprahi, Khajurahi

406

Chando 120

Sripur 80

Lohjhara, Fatehpur,Paharpur, Manjhauli, Bhikhampur, Dharaiya

300

Banahi, Ramdasha, Simariya, Kanchanpur, Manjhar

300

Bhupnagar 60

Trilokapur 40

Mahuyet 70

Nawatari 60

Bandha 20

OPD (BodhGaya) 536

Total 3,940

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Table 10: Number of Beneficiaries of the Kitchen Garden program in Jharkhand

Villages Number of Beneficiary Household

Bharatpur 28

Mundakati 21

Jota 21

Gopalpur 18

Chowarbandha 36

Khoerkocha 7

Sedadih 35

Tepantor 6

Piyaldih 5

Salboni 30

Kesarsore 11

Tangorjora 35

Padnamsai 15

Sososmoli 53

Balarampur 26

Majgaon 15

Bhatarbeda 24

Lakhipose 24

Bisrampur 25

Kenmundi 22

Bidri 12

Matkambeda 44

Tuibasa 25

Bedakudur 16

Borakunabeda 98

Sosodih 15

Durku 39

Chandankhiri 24

Dhagordiha 14

Keligora 4

Mahuldiha 11

Balidih 7

Nimdih 12

Majgaon 2

Sarjomdih 9

Bandodih 2

Kalapathar 13

Gopalpur 93

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Gengaruli 58

Chotakunabeda 31

Gangadih 42

Kuldiha 96

Netra 40

Gawalkanta 4

Patkita 5

Chiruda Tola 6

Terenga 2

Chakulia 3

OPD 53

Mobile 135

Total 1,372

VOCATIONAL TRAINING

Bindi-making workshop Computer Classes

Our computer coaching continues with a current batch of 48 vibrant young students.

Our NFE students, motivators and other interested females attended our Bindi making workshop. With 216 active and eager participants the vocational training was a huge success.

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Table 11: Participants at the Bindi-making workshop

Village Name No. of participants

Mastipur 14

Kharati 20

Miyabigha 30

Dema 21

Masuribar 31

Chando 18

Banahi 24

Karhara 18

J.P. Nagar 21

Sripur 19

Total 216

Our free computer training program is now teaching 48 needy and bright youths. Owing to the growing demand for our course and the limited space for accommodating more students we are planning to rent a separate room within Bodhgaya, near our OPD. By the next quarter we plan to make provision for a bigger computer lab for catering to more students.

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ANNEX: CASE STUDY

Lalti Devi

Lalti Devi, resident of village Banahi, is one of those who, along with her family, regularly use the newly built community toilet in their village. Sharing her experience with us she says that previously, apart for the lack of safety that she and her daughter would be exposed to when out at night to relieve themselves they also faced the risk of being bitten by snakes, scorpions and other poisonous insects.

The community toilet built by Karuna-Shechen has given her family and other villagers respite from the various dangers that they had to face on a daily basis while defecating in the open.

Lalti Devi along with 4-5 other women washes and maintains the community toilets for women. She finds the toilet facilities very convenient and satisfying as an individual and mother of a young daughter.