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THIRD QUARTERLY REPORT

JULY-SEPTEMBER, 2014

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CONTENTS PAGE

NUMBER

Main Activities and Achievements 3

Introduction 5

Health

An Overview of Medical Activities 6

Access to Primary Healthcare in Urban Area: Shechen Medical

Centre in Bodhgaya, Bihar

8

Mobile Clinics 11

Health Education Program (HEP) 13

Education

Early Childcare and Development 16

Non-Formal Education (NFE) 19

Environment

Bodhgaya Clean Environment, Hygiene and Sanitation Program

21

Rainwater Harvesting 22

Solar Electricity 23

Social

Kitchen Garden 25

Vocational Training

27

Small money BIG CHANGE 29

Other Important Activities and Events 30

Annex

Case Study

35

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HEALTH

22,991 patients visited the OPD and Mobile Clinics; a 33% rise compared to the second

quarter

10102 patients were registered at our OPD

12,889 patients have been registered with our Mobile Clinics

1883 medical tests were conducted at our pathology laboratory.

3004 sanitary napkin packs sold among the target population.

538 participants at community awareness program on Menstrual Health and Hygiene

and 305 student participants at the awareness campaigns in schools.

681 patients registered at the 4-day Mobile Clinic services organised in the villages of

Rajnagar block, Seraikela Kharsawan district, Jharkhand

EDUCATION

Bamboo schools at Masuribar and Dema are running successfully with more than 70%

average student attendance and a positive feedback from the children

6 villages have been selected for extending our program, Role of Play in the Life of a

Child- Mastipur, Bakraur and Shekhawara (Bodhgaya block), Lohjhara (Wazirganj

block), Mansidih and Trilokapur (Dobhi block)

198 rural children are benefitting from our Yoga and physical

training sessions in the villages

NFE students from Banahi who had undertaken advanced

training in candle-making produced beautiful candles from 23 kg wax provided by the

organisation.

ENVIRONMENT

We have installed Solar lights in 34 households across four villages; Dema, Lohjhara,

Karhara and Mansidih

Rainwater harvesting systems installed in 57 households across

Karhara, Lohjhara and Dema ; and also at Kanchanpur High School

We have distributed 895 Jute bags among school students in 6 villages; Simaria,

Karhara, Masuribar, Kharati, Banahi and Gopalkhera

MAIN ACTIVITIES & EVENTS MAIN ACTIVITIES & ACHIEVEMENTS

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SOCIAL

2492 households reached through Kitchen Garden program

376 interested patients at our OPD have received seedlings of various seasonal

vegetables to grow in their backyards

45 needy and bright youths selected for the third Computer training session from over

125 applicants.

9 students from previous DCA batch join the DTP course

Pond has been dug in Dema and a canal made in Chando under the small money Big

Change program, with the dedicated labour of the community members.

Vocational workshop on Mushroom cultivation in Jharkhand and Bihar with 22 and 45

participants, respectively.

40 women participated in vocational training on Rakhi-making prior to the Rakhi

festival

OTHER IMPORTANT ACTIVITIES

We have started our own Electric Auto-rickshaw services from our clinic to the main

road and have employed a needy woman as the rickshaw driver; the first such female

driver in the entire Gaya district

2 volunteers have arrived from France to work on our ongoing program at the

Anganwadi centres and on water and sanitation issues under Health Education Program

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The third quarter of 2014 saw a progress in the ongoing programs in Bihar and the beginning of

various activities in Jharkhand. We welcomed two volunteers from France to work on our

ongoing program at the Anganwadi centres and on water and sanitation issues under Health

Education Program. We touched more than 2000 households through our Kitchen Garden

program and prepared the grounds for scaling-up our program, Role of play in the Life of a

Child, to 6 new villages. We started running our own electric auto rickshaw services to ply the

patient from OPD to the main road (about 1.5 km). A path breaking initiative towards women

empowerment was taken when we hired a female driver, the first in Gaya district, to run the

auto rickshaw. 200 trees planted along the sides of the road from our office to towards the main

road enhance the beauty of the town.

Several vocational training workshops have been conducted in both Bihar and Jharkhand with

the aim to improve their sustainable livelihood opportunities. Mushroom Cultivation, candle-

making, and Rakhi-making workshops were attended by several enthusiastic participants and

received very positive feedbacks.

Our Mobile Clinic in Jharkhand was launched with a 4-day Medical Camp in the villages of

Rajnagar block, Serailkela Kharsawan district, Jharkhand district. It witnessed a massive patient

turnout of around 700 patients and was extremely well received by the rural population.

Our progress in all four areas of intervention i.e., Health, Education, Environment and Social has

been considerably good and now we are working towards a host of new activities in the next

few months.

INTRODUCTION

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AN OVERVIEW OF MEDICAL ACTIVITIES

In the third quarter of 2014 we registered a 32.93% higher number of patients than the

previous quarter with 22, 991 patients visiting us at our OPD and Mobile Clinics. This quarter

saw a 37.3% increase in the total number of New Patients (8727 as against 6356 in Q2).

Table 1: Total Number of Patients at OPD and Mobile Clinics

OPD Mobile Clinic Total

July 3507 4233 7740

August 2995 3646 6641

September 3600 5010 8610

Total 10102 12889 22,991

Both OPD and Mobile clinics registered more than 3000 patients

and showed a slight decrease in number during the heavy monsoons in August.

The number of patients refered to PHC & Government Hospitals was 03 (0.01 % of total patients treated).

The total patients who were treated “Free of Cost” (Pregnant women, children and aged

people above 60 years) was 9871 (42.93 % of total patients).

Direct Observed Therapy (DOT)

Out of 1883 medical tests conducted in our pathology laboratory 97 were Sputum tests (for

Tuberculosis). Out of these the number of people who were diagnosed with TB was 7. Currently,

32 TB patients are undergoing treatment.

HEALTH

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Table 2: Details of DOT Program

July August September Total

Number of TB patients started medicine 2 3 1 6

Number of sputum tests conducted 35 34 28 97

Sputum Positive 4 1 2 7

Completed TB Medicine 2 2 5 9

Total Number of TB Patients currently undergoing treatment (OPD and Mobile) 35 36 32 32

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: Types of Diseases

Types of Diseases Total

Diarrohea/children 11 Diarrhoea / dysentery adults 486 Amoebiasis 781 Typhoid 15 TB 127 Gynecological patient 853 Bone & joints patients 5377 Burn patient 59 Worm manifestation 37 Skin diseases of all kinds 3088 Ophthalmologic infections 0 Number of identified malnourished children 0 Cardiac Infection 4 HTN 783 Diabetes 191 Asthma & COPD 402 Cough & Cold 4489 Epilepsy 25 ENT patient 671 Lymphadenopathy 24 I&D Dressing 127 Other Patients 5441

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The table show that the most common health problems observed among our patients were Bone

and Joint Pain, Cough and Cold and various Skin diseases.

ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL

CENTRE IN BODHGAYA, BIHAR

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The total number of patients at our Medical centre in Bodhgaya in this quarter was 10102,

26.07 % higher than that registered in Q2 (8013) of which 4312 (representing 42.68 % of total

patients at OPD) were new.

Table 4: Details of Patients in OPD

July August September Total

Total Patients 3507 2995 3600 10102

New Patients 1571 1300 1441 4312

Men 894 795 940 2629 Women 1546 1293 1654 4493 Children 1067 907 1006 2980

Pathology Laboratory

Total number of patients who came in the third quarter for different medical tests was 694 and

total analysis done was 1883. The number of patients and tests are different because one

patient may go for several tests.

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Table 5: Types of Medical Tests conducted in our Laboratory

Types of Medical Tests Conducted

Total Number of Tests

TC/DC 297 ESR 245 HB% 241 Malaria 102 Uric Acid 36 Blood Sugar 221 Serum Blirubin 45 AFB (Sputum test) 97 ECG 8 Urine routine examination 68 Urine culture sensitivity test 51 Other Tests 472

Total 1883

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MOBILE CLINIC

12,889 patients have been registered with our Mobile Clinics this quarter; a 38.85% rise

compared to the last quarter (9283 patients). 4415 patients (34.25% of total patients) were

new to our Mobile Clinic services. 52.42% of all patients (6756) were treated “Free of Cost’’.

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Table 6: Details of Mobile Clinic Patients

July August September Total

Total Patients 4233 3646 5010 12,889

New Patients 1510 1308 1597 4415

Number of Satellite Villages from where Patients come

767 631 1007 2405

Number of Patients from Satellite Villages

2914 2458 3511 8883

Men 1122 1035 1470 3627

Women 2065 1781 2500 6346 Children 1046 830 1040 2916

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HEALTH EDUCATION PROGRAMME (HEP)

Our Health Education Program is running successfully in our operational villages and of Gaya

district as can be seen from the following tables:

Table 7: Some Statistics on HEP

Indicators

Total Households reached 1,285

Total Families reached 1,936

Total Number of Health Groups

38

Total Number of Members in Health Groups

228

Total Number of Home Visits by Village Coordinators

1185

Total Number of Home Visits by Motivators

2891

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Table 8: Reproductive and Child Health

Indicators

Total Number of Sanitary Napkins sold 3004

Percentage of Pregnant Women Followed-up by Village Coordinators and

Motivators

80.49

Percentage of Pregnant women immunized with TT1& TT2 69.57

Percentage of Pregnant Women having Institutional Delivery 80.26

Percentage of new-born children immunized with BCG and 1st DPT 83.73

Percentage of recorded Neo-natal deaths 0

This quarter shows a very good effective team work on part of our staff, especially the village

coordinators, motivators and medical team, towards various aspects of Health Education and

RCH program as can be seen from Tables 7 and 8.

Table 10: Number of Sanitary Napkin Packets distributed

Month OPD Mobile Total

July 133 540 673

August 105 1180 1285

September 146 900 1046

Total 384 2620 3004

The Menstrual Health and Hygiene program is widening its reach with the increasing number of

target population getting access to subsidised sanitary napkins through our sincere efforts.

3004 packets of sanitary pads have been sold in this quarter registering a 57.86% increase from

previous quarter (1903 packets).

Our Menstrual Health and Hygiene awareness program, which reaches to both rural women and

girls and urban young female students, is gradually expanding to cover an increasing number of

educational institutions and through rising community awareness meetings.

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Table 11: Awareness Program in Rural Communities and Urban Educational Institutions

Months Community Awareness Program Awareness Program in Educational Institutions

No. of Meetings No. of participants

No. of Meetings No. of participants

July 12 366 3 107

August 1 13 3 89

September 5 159 3 109

538 participants at community awareness program on Menstrual Health and Hygiene and 305

student participants at the awareness campaigns in schools and other educational institutions.

Besides the awareness programs we are also holding talks with schools and colleges in Gaya

district regarding the installation of sanitary napkin vending machine and incinerator. Magadh

University has already agreed to the proposal and will be installing the machines in their

residential Girls’ Hostel.

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EARLY CHILDCARE AND DEVELOPMENT

The Role of Play in the Life of a Child- our Anganwadi program

Our programme, ‘The Role of Play in the Life of a Child’ that has been running in the villages of

Chando, Gopalkhera, Dema and Banahi since January this year, has received a positive feedback

from the target beneficiaries.

Looking at the encouraging response we intend to extend the programme to 6 new villages

Mastipur, Bakraur and Shekhwara (Bodhgaya block), Lohjhara (Wazirganj block), Mansidih and

Trilokapur (Dobhi block). We have a volunteer from Inter’Lude, France in order to help us with

the process of scale-up and to better the program in the existing 4 villages.

In November we will be conducting a 2-day training for the Anganwadi Workers of the villages

where the program is running as also the new ones.

Parent-Teacher Association (PTA)

Regular PTA meetings were held with parents of school children in the villages of Chando,

Bhupnagar, Kadal, Dema, Kanchanpur, Gopalkhera and Banahi.

EDUCATION

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Bamboo Schools

With the aim to provide holistic education to the rural children we had launched our non-formal

schools for young children at Bhawahi hamlet of Masuribar and Pathra hamlet of Dema. An

average attendance of more than 70% in both schools is testimony to the satisfaction of the

enrolled children and that of their parents with our educational services.

Table 12: Attendance at Bamboo Schools

School Total Enrolment Average Attendance

Dema 105 85

Masuribar 30 22

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Yoga

With the objective to ensure an all-round development of the rural underprivileged children

Yoga classes are conducted on a regular basis by youth who had undertaken proper Physical

fitness training organised by Karuna-Shechen in the last quarter. The steady attendance of the

early morning Yoga sessions exhibits the enthusiasm and enjoyment of the participants.

Currently, around 200 rural children are benefitting from our physical training sessions.

Table 13: Children learning Yoga

Village Average Number of Children

Attending Yoga Classes

Lohjhara 38

Dema 40

JP Nagar 25

Mansidih 30

Simariya 30

Trilokapur 20

Kadal 15

Total 198

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NON-FORMAL EDUCATION (NFE)

In the third quarter the NFE students were got the opportunity to engage in several vocational

training workshops which were aimed at their skill enhancement and provision of sustainable

livelihood opportunities.

Newspaper reading, which was introduced in the last quarter as a new element of education and

awareness generation in our NFE classes, is going on with full vigour with all students

thoroughly enjoying the reading and the discussion sessions. As an immensely useful, simple

and environment friendly vocation we have been teaching NFE students at various centres how

to make paper bags from the old newspapers. In the second quarter the women of Banahi NFE

centre were imparted the training while in the July-September period 121 students from 8

different centres (Trilokapur, Lohjhara, Bhupnagar, Banahi, Gopalkhera, Karhara, Sripur and

Kharati) participated in the Paper bag making workshops in order to broaden their livelihood

skills and opportunities.

Apart from this our NFE students also participated in Mushroom Cultivation and Rakhi Making

workshops. NFE students from Banahi who had undertaken advanced training in candle-making

produced beautiful candles from 23 kg wax provided by the organisation.

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Table 14: NFE Attendance details

The average attendance is 43.24%.

Name of Villages Number of Students enrolled in NFE

Average Attendance in NFE classes

Banahi 30 12 Dema 30 18 Gopalkhera 30 11 Lohjara 30 10 Mansidih 31 8 Sripur 30 10 Masuribar 25 15 J.P.Nagar 28 15 Kharati 18 8 Karhara 60 30 Trilokapur 21 7

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BODHGAYA CLEAN ENVIRONMENT, HYGIENE AND SANITATION PROGRAM

In the previous quarter we had started planting trees on the road in front of our office for

environmental beautification of the touristic town. We have continued with our work in this

quarter and have planted 200 trees along both sides of the road. Some of the trees could not

survive due to the heavy rains this monsoon but more than 95% of them have managed to grow,

enhancing the beauty of the roads.

We continue to distribute Jute bags among school students with the aim to inculcate in them the

habit of using environment friendly alternative for plastics. In the third quarter we distributed

895 bags among school students in 6 villages.

Table 15: Jute Bag distribution in Rural Schools

Village schools Number of Jute Bags Distributed

among Students

Simaria 60

Karhara 250

Masuribar 150

Kharati 150

Banahi 315

Gopalkhera 30

Total 895

ENVIRONMENT

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RAINWATER HARVESTING

We continue to install Rainwater Harvesting systems in interested rural households and

schools.

Table 16: Households and Schools that have installed Rainwater Harvesting systems

Villages Number of Households Schools

Karhara 6 -

Dema 33 -

Lohjhara 18 -

Kanhanpur - 1

Total 57 1

Apart from setting up Rainwater harvesting systems in 57 households across Karhara, Lohjhara

and Dema we installed 6 water tanks at Kanchanpur High School.

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SOLAR ELECTRICITY

In this quarter we installed Solar lights in 34 households across four villages; Dema, Lohjhara,

Karhara and Mansidih. We have placed order with Barefoot College, Rajasthan for solar sets to

light up 220 households across some of the most backward villages in the district-Kadal,

Barsuddi and Chando.

After having received the proforma invoice for the solar sets from Barefoot college we met the

Director of BREDA (Bihar Renewable Energy Development Agency) to seek the required road

permit for the inter-State transportation of the solar sets from Tilonia, Rajasthan to Bodhgaya,

Bihar. We intend to start with the solar set installation procedures by early November after all

the needful government formalities are over and the solar sets arrive in Bodhgaya.

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Table 17: Households that have installed Solar Lights

Villages

Number of Households where

Solar sets were installed

Dema 21

Lohjhara 2

Karhara 1

Mansidih 10

Total 34

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KITCHEN GARDEN

In the last quarter we had introduced a new dimension to our Kitchen Garden program with the

start of plant nurseries. The program which aims to improve the nutritional and socio-economic

status of the rural poor by helping them grow Kitchen Gardens in their backyards has gone a

step further and launched Nurseries in 12 villages (Dema, Lohjhara, Banahi, Gopalkhera, Kadal,

Bhupnagar, Simariya, Trilokapur, Karhara, JP Nagar, Masuribar and Chando). Apart from plants

and seedlings of seasonal vegetables like cauliflower, cucumber, tomato, raddish, gourd and

bitter gourd etc we also provide the required technical assistance to these Nurseries as also the

kitchen gardens at household level. Compared to the last quarter there has been a 47% increase

in this quarter in the number of rural households reached through the program. As against 1695

households in the second quarter 2492 households have received vegetable seeds in the July-

September period. Besides, our Kitchen Garden Demonstration Field cum Nursery at Amba,

near Bodhgaya is also being actively cultivated on. The several seasonal vegetables grown here

are used for cooking food in the canteen at our OPD cum office at Bodhgaya. Apart from

households and nurseries, our kitchen garden program was introduced at in Bhupnagar and

Kadal.

SOCIAL

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Table 18: Households receiving seeds and plants for Kitchen Gardening

Name of the Village Number of Households receiving

vegetable seeds and plants

Lohjhara 144

Nawatari 88

Bandha 92

Banahi 142

Dema 293

Gopalkhera 382

Barsuddi 26

Bhupnagar 64

Trilokapur 60

Simaria 120

Karhara 180

Kadal 42

Chando 260

Sripur 76

Masuribar 150

JP Nagar 200

Kharati 73

Mansidih 100

Total 2492

Apart from the villagers, 376 interested patients at our OPD have received seedlings of various

seasonal vegetables to grow in their backyards.

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VOCATIONAL TRAINING

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Mushroom Cultivation and Rakhi making Workshops

Our NFE students and some of our computer course pass-outs participated in our Mushroom

Cultivation and Rakhi1 making vocational workshops. We chose to teach our rural women these

two particular vocations as these are in constant demand and will empower the target

beneficiaries socio-economically.

Table 19: Vocational Training Workshops

Village Number of Participants at the

Workshops

Rakhi Making Mushroom

Cultivation

Lohjhara 4 4

Nawatari - 2

Banahi 5 6

Dema 4 4

Gopalkhera 2 3

Bhupnagar 3 3

Trilokapur 2 3

Simaria 0 4

Karhara 3 2

Kadal 0 4

Chando 2 2

Sripur 2 3

Masuribar 2 3

JP Nagar 2 2

Kharati 2 -

Mansidih 2 -

Ex-Students of

Computer Course

5 -

Total 40 45

A two-day Rakhi training workshop was conducted on 19th and 20th July, a month before the

Rakhi festival with 35 participants from 13 villages and 5 from amongst our computer course

ex-students. A woman from Chando and another from Karhara were followed-up and

encouraged to make Rakhis and sell them in the market. The entire cost of making Rakhis was

borne by Karuna-Shechen.

1 Rakhi is a sacred thread that a sister ties around her brother’s wrist during the Rakhi ceremony as a mark of a

sister’s love and prayer for her brother’s well-being and the brother’s life-long vow to protect his sister.

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Computer Training

As our second batch of computer students completed their courses successfully the third

session began in September. With applications from over 125 applicants the course began with

45 youths from underprivileged backgrounds. 9 students from the previous DCA course have

joined the advanced DPT course.

Yoga Teacher Training

19 youths were rigorously trained in Yoga and physical fitness at a week-long workshop from

15th to 21st July with the objective to teach our rural children and provide sustainable livelihood

opportunities to these young dynamic participants.

SMALL MONEY BIG CHANGE

Under our Community Planned-Community Managed program, small money Big Change we

have successfully dug ponds in Dema, which faces serious dearth of water facilities, especially

during the scorching summers when the few ponds and wells dry up.

In Chando we have built a small water canal with the dedicated labour of the community

members. This will help them in irrigating their agricultural lands and make their lives easier.

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In the months of July and August we, in collaboration with our local partners, conducted two

vocational training workshops and organised a medicine collection drive campaign. On 6th July a

Mushroom training workshop was organised with Dhad Disham Vikas Sangh (DDVS), a CBO

and our local partner working for better livelihood opportunities of tribal communities. The 30

participants, mostly tribal women who attended the workshop were provided with a packet of

free mushroom seeds each.

Another vocational training workshop was organized on 22nd -23rd August jointly with our

second patner, Udaan- an NGO working exclusively for the empowerment of the disabled. The 2

day workshop on candle-making held in Jamshedpur was attended by 21 enthusiastic

participants from different districts of the State.

We began our primary healthcare services in September with a 4-day long Medical Clinics from

21st-24th September in the villages of Barakunabera, Bharatpur, Batarbera and Sosomali at

Rajnagar block, Serailkela Kharsawan district, Jharkhand district. It was dream come true for

the villagers who suffer from dearth of access to basic medical facilities and medicines. As many

as 681 people were benefitted from the Medical Clinics.

Cause for Change, our third local partner, collects unused medicines from households and

redistributes them among the needy populations through medical camps. In the past three

months they have conducted, with our organisational support, medicine collection drive in

various localities of Jamshedpur.

We are all set to open our OPD at Hata, Jamshedpur in October. We have selected bright and

active medical and non-medical staff for our programmes in Jharkhand.

JHARKHAND AT A GLANCE

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Our Own Electric Auto Rickshaw and the First Female Rickshaw Driver in Gaya

District

To improve accessibility to our OPD we have started our own Electric Auto-rickshaw services

from our clinic to the main road which is about 2 km away. This eases the woes of the sick who

can now avail the services of the environment-friendly means of transport at the nominal rate of

INR 5 ($1=INR 60) per ride as against INR 10, charged by the regular auto drivers.

Through this program we are sending out a strong message on woman empowerment and by

hiring a female rickshaw driver for the purpose. Sunita Devi, widow and mother of four is now

the first female Rickshaw driver in the entire district. Her new occupation is not only providing

her a steady source of income but also earning her appreciation and reviving her self-

confidence.

Volunteers

2 volunteers have arrived from France to work on our ongoing program at the Anganwadi

centres and on water and sanitation issues under Health Education Program

Finances

The following pie-chart gives the expenses incurred in the third quarter

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Upcoming Activities

Scaling-up of our ongoing program, Role of Play in the Life of a Child, to cover 6 new

villages with assistance from our volunteer from Inter’Lude, France

Training of Anganwadi workers in November for the program

Opening of OPD in Jharkhand and start of regular Mobile Clinic activities in the selected

villages

Purchasing 10 electric run Auto rickshaws and training 10 poor women to drive them

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Bamboo School at Masuribar as narrated by a Village Coordinator

Masuribar is a remote village 60 kilometres away from Bodhgaya town. It has a government

Middle school located in one of its 3 hamlets. Bhaluwahi hamlet is located on a hilly terrain

which makes it difficult and risky for the children to go to school. Several instances of animal

attacks on the school-going children have compelled most parents to keep them back at home.

This impediment to basic education made us introduce non-formal Bamboo schools in the

hamlet. However, people were sceptical about the school and refused to give their land or house

on lease. After much persuasion a villager called Vijay Manjhi agreed to let-out his house for our

school program.

Through the dedicated services of our village coordinators and the motivator (who is also a

teacher at the school) we have managed to gain the confidence of the community as it has been

registering more than 70% attendance. The young children are thoroughly enjoying the holistic

educational experience through basic literacy-numeracy skills and co-curricular activities like

various games and Yoga classes which aim at their all-round development.

ANNEX-CASE STUDY