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1 | P a g e
THIRD QUARTERLY REPORT
JULY-SPETEMBER, 2013
2 | P a g e
CONTENTS CONTENTS
PAGE NUMBERAPAPGEER
Main Activities and Achievements 3
Introduction 4
Health
An Overview of Medical Activities 5 Access to Primary Healthcare in Urban Area: Shechen
Medical Centre in Bodhgaya, Bihar 12
Mobile Clinics 17
Malnutrition 20
Health Education Program (HEP) 21
Education
Strengthening Basic Education 25
Non-Formal Education (NFE) 26
Vocational Training for Women 28
Environment
Bodhgaya Clean Environment, Hygiene and Sanitation Program
30
Solar Electricity 31
Social Small Money Big Change 33
Kitchen Garden 35
Computer Course-Vocational Training for the Youth 38
Networking with other NGOs 39
Other Important Informations
Finances 40
Upcoming Activities 41
Our Partners 41
Annex
Case Study I 42
Case Study II 43
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MAIN ACTIVITIES & ACHIEVEMENTS
HEALTH
Total number of consultants in OPD (Outreach Patients Department) and Mobile
Clinics was 13,868, where number of new consultants was 5607.
The second phase of the Malnutrition Baseline Surevy was conducted in our 6 new
villages.
The number of Sanitary napkin packets sold was 3459.
The Shechen clinic is now open on all seven days of the week.
2 medical officers including a lady doctor have been recruited
EDUCATION
Bright and enthusiastic woman was recruited as support faculty for the school in
Gopalkhera.
Yoga and fitness training was conducted in schools of 9 villages.
Several PTA meetings were held in Dema, Gopalkhera and Chando.
Vocational training commenced with 3 workshops where our NFE students
participated.
Computer training courses were started within the premises of the Shechen clinic,
Bodhgaya.
ENVIRONMENT
Four freshly graduated students of Magadh University were hired an interns to
conduct surveys and organize awareness campaigns in relation to the Bodhgaya Clean
Environment, Hygiene and Sanitation Program
SOCIAL
The small money Big Change program was extended to Gopalkhera and Banahi
A new program, Kitchen Gardening, was launched in the outreach areas.
4 | P a g e
The third quarter of 2013 can be deemed to be more successful than the last two
quarters as the total number of consultants at the Shechen clinic in Bodhgaya and at the
Mobile clinics in our 18 adopted villages registered the highest number in comparison
to the first six months of the year. Also, the currently running programs are progressing
steadily, despite the monsoons which make roads to the remote villages almost
inaccessible and the construction work in the outreach areas extremely difficult and
tardy. The third quarter saw the commencement of our Vocational training program
including the Computer course for the poor and marginalised youth and Kitchen
Gardening. Other new activities include the DOTs training and refresher, apart from the
Green Schools Program training at the Centre for Science and Environment, New Delhi.
In a nutshell, this quarter was full of currently running and new activities and was
therefore, quite eventful.
In the following sections of the report we will see the progress of programs under each
of our four areas of intervention:
AREAS OF INTERVENTION
HEALTH
ENVIRONMENT
SOCIAL
EDUCATION
INTRODUCTION INTRODUCTION
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AN OVERVIEW OF MEDICAL ACTIVITIES
OPD and Mobile Clinics
In the third quarter of 2013, the total number of Consultants who availed the healthcare services of our OPD (Outreach Patients Department) in Bodhgaya and Mobile Clinic in 18 villages was 13,868, wherein new consultants constituted 5607 people (40.43% of total number of consultants).
Table 1: Total Number of Consultants at OPD and Mobile Clinics
Months OPD Mobile Clinics
July 1851 2572
August 1904 2311
September 2218 3012
Total 5973 7895
The third quarter of 2013 has registered the highest number of consultants (13,868) in comparison with the first and second quarters where total number of consultants at OPD (Outreach Patients Department) and Mobile clinics were 7358 and 8152 respectively. This was partly due to the fact that during the monsoons people are susceptible to water-borne and other diseases. The increase in the number of consultants at mobile clinics (7895 consultants compared to 3524 and 4390 in first and second quarters respectively) shows the increasing awareness among the people in and around the new villages and their growing confidence in our services.
The number of patients refered to PHC & Government Hospitals was 82 ( 0.59% of total consultants at OPD and Mobile Clinics ).
The total patients who were treated “Free of Cost” (Pregnant women, children and aged people above 60 years) in the OPD Clinic and by our Doctors were 8724 ( 62.91% of total consultants).
The third quarter has registered 70.12% higher consultants than the second quarter.
HEALTH
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Table 2: Total Number of Patients Referred to PHC and Government
Hospitals
Month OPD Mobile Clinics
July 4 14
August 19 17
September 16 12
Total 39 43
July August September
1851 1904 2218
2572 2311
3012
Total Number of Consultants at OPD and Mobile Clinics
OPD MOBILE
July August September
4
19 16
14 17
12
Total Number of Refer Patients at OPD and Mobile Clinics
OPD MOBILE
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Table 3: Total Money Collected from Registration Charges
Month OPD Mobile Clinics
July 22980 16480 August 24020 14645
September 27305 18115 Total 74305 49,240
Direct Observed Therapy (DOT)
TB patient at DOT centre in Shechen Clinic DOT services in villages
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Out of 1677 medical tests conducted in our pathology laboratory 128 were Sputum tests
(for Tuberculosis). Out of these the number of people who were diagnosed with TB was
9. Currently, the total number of TB patients undergoing treatment is 35.
Table 4: Details of DOT Program
July August September Total
Number of TB patient’s started medicine 7 5 10 22 Number of sputum tests conducted 34 38 56 128 Sputum Positive 2 3 4 9 Refer TB Patients 0 0 2 2 Completed TB Medicine 5 3 3 11 Total Number of TB Patients currently undergoing treatment (OPD and Mobile) 27 28 35 35
DOTs Training
After receiving proper DOTs training our efficient pathology laboratory technicians and village
motivators have been successfully running the DOTS program at the clinic in Bodhgaya and in
the villages respectively. With the inclusion of 6 new villages under the ambit of our
organisation early this year there was a need to provide DOTS training to the freshly recruited
motivators of these villages. With the twin objective of extending the success of our DOTS
program to the new villages and reducing the burden of our lab technicians at the OPD we
organised a one-day DOTS training in Bodhgaya on 26th July for village motivators, village
coordinators, doctors, nurses, laboratory technicians, a senior pathologist, research and
documentation officer and receptionist. This training not only served to teach those who had no
prior training in DOTS but also acted as a refresher for those actively involved with our DOTS
9 | P a g e
program. The training was given by the District TB Officer (DTO) and an eminent team of
members from RNTCP and Primary Health Centre (PHC).
Meeting with TB patients
TB Patients who attended the meeting
We conducted a meeting with the people who have been cured of TB through their treatment at
our DOT centre and those on their way to recovery as we are planning to invest the money
received as registration charges in the amelioration of livelihood opportunities of the TB
patients. As this disease leaves a person weakened and fragile, leading to loss of several days of
work hampering their socio-economic lives we realise that curing them is only a part of bringing
them to normalcy. Therefore, in order to help them restore their socio-economic loss we
envisage providing them with some start-up capital and other possible assistance to ensure
them better lives. At the meeting we discussed our plans with the TB patients, seeking their
opinion and feedback.
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 5 : Types of Diseases
The table and graph show that the most common health problems observed among our OPD and Mobile clinic patients were Bone and Joint problems, cough and cold, skin diseases and ENT.
Identity Cards for Medical Consultants
In order to keep track of the medical history of each patient identity cards are issued to every individual seeking medical help from us. These cards cost a mere INR 5 and have to be brought along in every visit to the OPD or Mobile clinics. The total number of identity cards issued in this quarter is 5037 which is 52.64% higher than the total number (3300) issued in second quarter.
Types of Diseases
Total
Diarrohea/children 15
Diarrhoea / dysentery adults 517
Amoebiasis 324 Typhoid 176
TB 329
Gynecological patient 849
Bone & joints patients 3411
Burn patient 204 Worm manifestation 10
Skin diseases of all kinds 1660
Ophthalmologic infections 100
Number of identify malnourished children 0
Cardiac Infection 45
HTN 699
Diabetes 131 Asthma & COPD 754
Cough & Cold 3560
Epilepsy 168
ENT patient 1590
Lymphadenopathy 25 I&D Dressing 244
Other Patients 3146
Total 17,957
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Table 6: Number of Identity Cards Issued to Consultants at OPD and Mobile Clinics
Month OPD Mobile Clinics
July 848 857
August 865 773
September 893 801
Total 2606 2431
The number of identity cards issued in this quarter (5037) is much higher than the previous quarter (3300)
Appointment of Two New Medical Officers including a Lady Doctor
In the third quarter we hired two new medical officers including a young and dedicated lady doctor.
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ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL
CENTRE IN BODHGAYA, BIHAR
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Outreach Patients Department (OPD)
The total number of people who came to the Medical centre in Bodhgaya for Consultations in the third quarter of 2013 was 5973. Out of this total 2646 were new consultants, representing 44.30% of total consultations in OPD. The number of patients at OPD in the third quarter is 58.77% higher than in the second quarter.
Table 7 : Details of Consultants at OPD
OPD July August September Total
Total Number of Consultants 1851 1904 2218 5973
Total Number of New Consultants 858 881 907 2646
Men 482 501 591 1574
Women 821 878 1028 2727
Children 548 525 599 1672
The above table and graph show that the total number of consultants have increased steadily from July to September. The growing number of patients can be attributed to the monsoon season when people are, in general, susceptible to water-borne and other
July August September
1851 1904 2218
858 881 907
Consultants at OPD
Total Number of Consultants Total Number of New Consultants
14 | P a g e
diseases. Again, September being the festive season records the highest number of patients in this quarter.
From the above graphs we can see that women and children form majority of the consultants at OPD (72%).
OPD is now open on Sundays
In lieu of the growing demand for our healthcare services our OPD is now open on all
seven days of the week. All the concerned staff members render service on Sundays on a
rotational basis. The Saturday prior to one’s working Sunday is his/her day off.
July August September
482 501
591 821 878
1028
548 525 599
Number of Men, Women and Children at OPD
Men Women Children
Men 26%
Women 46%
Children 28%
Percentage of Men, Women and Children at OPD
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Pathological Laboratory
ECG conducted at Shechen Clinic
Blood test at the Pathology Laboratory
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Total number of patients who came in the third quarter of 2013 (July-September) for
different medical tests were 547 and total anaysis done was 1677. The number of
patients and tests are different because one patient may go for several tests. Total
amount spent from Poor Patient’s Fund for patient’s medical tests was INR 32349. Total
money collected from these tests was INR 18675.
Table 8: Types of Medical Tests Conducted
The table and graph show that the highest number of medical tests conducted are
TC/DC, ESR, HB% and Blood Sugar.
260 259
186
30
128
18
93 37
347
Medical Tests
Medical Tests Number of Tests
TC/DC 319
ESR 260
HB% 259
Blood Sugar 186
Serum Blirubin 30
AFB (Sputum test) 128
ECG 18
Urine routine examination 93
Urine culture sensitivity test 37
Other Tests 347
Total 1677
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MOBILE CLINICS
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With the expansion of our outreach activities to 6 new villages in the first quarter
services of our Mobile Clinic was also extended.
In the third quarter of 2013 (July-September), the number of patients who came for the consultations in mobile clinic from 18 village was 7895, out of which 2961 were new patients representing 37.50 % .
4162 consultants from 189 satellites villages around our 18 adopted villages who sought medical help from our mobile clinic services.
The total patients who were treated for Free of Registration Charge (Pregnant women, children and aged people above 60 years) in the Mobile Clinic was 5829 (73.83% of the total consultants at mobile clinics).
The total number of consultants at the mobiel clinic has increased by 79.84% from the last quarter.
Table 9 : Details of Consultants going to Mobile Clinics
Mobile Clinic July August September Total
Total Number of Consultants
2572 2311 3012 7895
Total Number of New Consultants
1040 853 1068 2961
Men 566 564 721 1851
Women 1256 1149 1436 3841
Children 750 598 855 2203
July August September
2572 2311
3012
1040 853
1068
Consultants at Mobile Clinics
Total Number of Consultants Total Number of New Consultants
19 | P a g e
We can see that, as in the OPD, at the mobile clinics too the maximum number of
patients registered was in the month of September, the primary reason being it the
month of festivals. Again, as mentioned earlier, the number of patients are much higher
than in the previous quarter due to the high prevalence of seasonal diseases during the
monsoons.
Women and children constitute 72% of the total consultants at Mobile clinics, which is similar to
the trend in last quarter where they formed more than 70% of consultants at both OPD and
mobile clinics.
July August September
566 564
721
1256 1149
1436
750
598
855
Number of men, Women and Children at Mobile Clinics
Men Women Children
Men 23%
Women 49%
Children 28%
Percentage of Men, Women and Children at Mobile Clinics
20 | P a g e
MALNUTRITION
The second round of MUAC measurements
With intensive training forming the foundation of our Malnutrition program the nutrition team soon started the first phase of the baseline survey in the 6 new villages, using Middle Upper Arm Circumference (MUAC), universally recognised as a standard tool for measuring malnutrition, to
measure children up to 5 years of age. As acute malnutrition is seasonal in nature the baseline survey was conducted in two phases to get a clear picture of the prevalence and intensity of the problem; the first phase was conducted in February, the time of the year when food shortage does not usually take place and so chances of finding severe acute malnutrition is much less. Besides, this was the only time that the Consultant, Dr. Nadine Donnet, could give for such survey. The second phase was conducted through this quarter (July-September) during the monsoons when people, especially children are susceptible to water-borne and other diseases. It is also the season of food scarcity. Thus the second phase of the baseline study gives us an accurate figure of the rate of Severe and Moderate Acute Malnourished children in the chosen villages. During the second phase children found with MUAC> 12.5 cm and those absent during the first phase of the survey were measured.
21 | P a g e
HEALTH EDUCATION PROGRAM
Health Education Program (HEP), which was introduced in our 12 villages in 2010,
continues to run smoothly. Currently there are 87 health groups with 534 members
under HEP.
Table 10: Some Important Data on HEP
Total
Total Number of Home Visits by Village Coordinators 539
Total Number of Home Visits by Motivators 1558 No. of People who Received the Message regarding Health & Hygiene
1397
Number of trainings/group follow-ups on HEP given by Village Coordinators 73
Total Number if Health Group Meetings by Village Motivators 172 Total Number of Hand Pump Committees 63
Total Number of Functional Hand Pump Committees 48
Number of Hand Pump Meetings held by Village Coordinators 39
Number of Hand pumps Repaired 15
Table 11: Some Important Data on Reproductive and Child Health (RCH)
Indicators Total
RCH Meeting By Village Coordinators 42
RCH Meeting By Motivators 181
Total Pregnant Woman 142
Number of New Pregnant Women Identified 88
Total Number of Pregnant Women who have taken T.T.1 48
Total Number of Pregnant Women who have taken T.T.2 93
Total Number of Pregnant Women who have taken T.T.0 2
Total Number of New Born Children 64
Number of Child Deliveries at PHC 35
Number of Child Deliveries at Home 29
New Born Children Immunized 47
Other Children Immunized 672
Total Number of Sanitary Napkins Sold (at OPD and in the Villages) 3459
22 | P a g e
A great achievement in this quarter is that 73.44% of the total new-born children have
been immunised compared to 63.79% in the Second quarter. Again, more than half of
the total Child Deliveries (54.69%) in this quarter have taken place at the PHCs which
shows that RCH program has been successful in creating awareness amongst the target
population about the health hazards and risks involved in the traditional practice of
child deliveries at home by midwives. A huge achievement in the RCH program is that
related to Menstrual Hygiene and Sanitation where 3459 napkins have been sold in this
quarter compared to 607 in the last quarter (a 470% increase in this quarter compared
to the last one). These achievements illustrate the success of our incessant efforts to
sensitise the target population on health and hygiene, including reproductive and child
health.
Menstrual Health and Hygiene
A woman with packets of sanitary napkins Our Community Health Worker with rural women
Menstrual Hygiene is one of the most important yet neglected health issues in our
society. It has remained a taboo subject, surrounded by silence and shame that restrict
mobility and access to normal activities and services. As women and girls make up more
than 70% of our healthcare consultants it becomes imperative for us, as an organisation
pledged to provide all possible quality healthcare services to the underserved
populations, to pay special attention to their menstrual health issues.
Our Menstrual Health and Hygiene program, which took off in June this year, intends to
tackle the problem at two levels; providing the rural women with appropriate materials
23 | P a g e
to enable proper management of the menses by distributing good quality sanitary
napkins at minimum possible prices to the rural women and girls who are otherwise
denied access to the same. Secondly, the program attempts to address the issue through
awareness creation of the target population by imparting education about hygienic
practices related to periods and the safe disposal of sanitary pads, and encouraging
women and girls to voice their problem and queries regarding the same.
Table 12 : Number of Sanitary Napkin Packets sold
Month OPD Mobile Clinics & Motivators
Total
July 167 1910 2077
Aug 204 784 988
Sep 72 322 394
Total 443 3016 3459
The above table and graph show that the total number of sanitary napkins sold in the
villages is much higher than in the OPD for all 3 months (July-September). This is
primarily on account of the fact that in the villages both the mobile clinic team and
village motivators act as distributors of sanitary napkins, while at the OPD the medical
nurses are the sole distributors. The motivators being part of the communities where
they work it is easier for the women to buy sanitary napkins as and when required,
instead of having to wait for the mobile clinics to come. A reason for the huge number of
napkins (1910) sold in the villages in July and then the gradual decline in the next two
months clearly highlights the need for awareness and education on target issues. In the
July Aug Sep
167 204 72
1910
784
322
Total Number of Sanitary Napkin Packets Sold
OPD Mobile Clinics & Motivators
24 | P a g e
months of June and July one of our staff members, a nurse cum community health
worker conducted regular meetings with the women and girls of all the 18 villages,
discussing menstrual health and other related issues. However, August onwards it was
not possible to hold such meetings very frequently as she became involved with the
second round of Baseline Survey for our upcoming Malnutrition program. This vividly
brings out the vital need for constant discussions and information sharing on problems
which are otherwise considered as social taboos and hence neglected.
25 | P a g e
STRENGTHENING BASIC EDUCATION
The education scenario in Bihar is very grim. The State needs nearly twice the number
of teachers currently in service to achieve the national pupil teacher ratio (PTR) and the
RTE (right to education) norm of 30:1. Around 60,000 schools in the state do not have a
permanent campus and less than 3% of the school management committees (SMCs) are
actively involved in planning and development work. Through our new program,
‘Strengthening Basic Education’ we attempt to ameliorate the basic educational
standards in Bihar and provide a joyful learning environment.
Last quarter a Parent-Teacher Association (PTA) was formed in Dema village. By the
end of this quarter PTAs have been formed and Parent-Teacher Meetings conducted in
three villages; Chando (1 meeting), Gopalkhera (2 meetings) and Dema (3 meetings).
A Yoga trainer, hired to teach physical and breathing exercises to school children, had
started fitness classes in 3 villages namely, Chando, Dema and Bandha in the last
quarter. By the third quarter 9 villages were covered.
Table 13 : Number of Students taught Yoga in the Villages
Serial Number Village Number of Students attending Yoga classes
1 Dema 150
2 Gopalkhera 200
3 Sirpur 80
4 Mansidih 110
5 Bandha 105
6 Nawatari 65
7 J.P. Nagar 60
8 Chando 100
9 Kharati 80
EDUCATION
26 | P a g e
While in the last quarter a support faculty had been provided to the government school in Dema village, this quarter we have been successful in providing a well-educated and enthusiastic support faculty to the school at Gopalkhera village. Besides, our motivator at Banahi has started conducting informal education for children in the 6-10 years age-group who are not enrolled in schools. Apart from the above initiatives, we continue to supply Teaching-Learning Materials (TLM) to schools in an effort to fulfil the basic requirements of teachers and students and help improve the education standards in rural schools.
NON-FORMAL EDUCATION (NFE)
27 | P a g e
Our NFE program, which was scaled up from 6 villages in 2011 to 16 villages in April, this year continues to run successfully with satisfactory 62.84% regular attendance as can be seen from the table below.
Table 14 : NFE Students Enrollment and Average Attendance
Although when the program was scaled-up in April 488 women had enrolled
themselves for NFE classes, in this quarter the number has slipped to 444. Factors, such
as disapproval of husband/family members and lack of time during Harvest season,
account for this decline. The high 63% average attendance shows the sincerity and
interest of the students towards NFE classes.
VILLAGE NUMBER OF STUDENTS
ENROLLED FOR NFE
AVERAGE ATTENDANCE IN
NFE CLASSES
Banahi 30 20 Dema 30 22
Gopalkhera 30 18 Lohjara 30 16 Bandha 32 20
Nawatari 32 22 Mansidih 31 12
Sripur 30 14 Mastibar 25 20 J.P.Nagar 28 15 Kharati 18 15 Karhara 60 44
Trilokapur 21 10 Bhupnagar 25 16
Kadal 22 15
Total 444 279
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VOCATIONAL TRAINING FOR WOMEN
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Recognising the vital role acquisition of new skills can play towards income generation and poverty alleviation, we have introduced Vocational Training as a component of our Non-Formal Education (NFE) program. As the first major step towards our Vocational Training program we conducted, in the month of July, 3 workshops spanning 7 days. A proficient vocational trainer from Jamshedpur, Jharkhand was appointed for the purpose. The workshops were attended by students from our 18 NFE centres. All our village motivators and some staff from Shechen clinic (Bodhgaya) also participated in the same. In each workshop the participants got the opportunity to learn 2 types of vocations; incense sticks and candles, 2 popular snacks, and phenyl and chalk. The vocations were selected on the basis of their market demand, income-earning capabilities and interests of the NFE students. While 2 workshops were held in Bodhgaya the third was organised in one of our new
villages, Chando. The travelling, food and lodging expenses of the participants was
borne by our organisation.
All 3 workshops were very successful in terms of the participant turnout and their
satisfaction in being able to learn some useful livelihood skills. The enthusiasm of the
participants can be gauged from the fact that the one-day workshop on candle and
incense sticks making had to be extended to an extra day as 90 participants, against the
anticipated 40, turned up for it.
As the second step seven participants from the candle and incense stick making
workshop were chosen on the basis of their ability to produce what they had leant, and
sent to Jamshedpur, in August, for a week-long intensive advanced training.
30 | P a g e
BODHGAYA CLEAN ENVIRONMENT HYGIENE AND SANITATION PROGRAM
These are two of the few food covers that we have chosen for distributing to the street vendors
In order to conduct survey among the locals, tourists and street vendors and to spread
awareness regarding the importance of cleanliness and hygiene among the people we
have hired four bright and enthusiastic youths as interns from the Department of Rural
Development and Management of the esteemed Magadh University.
Besides, we have conducted an extensive search and market survey on the types of
covers that can be used by the street vendors for covering the food from the dust and
germs by the roadside while it is on display. We have selected a few types of covers and
will finalise which ones to order only after we have received the feedback and
responses of all street vendors in Bodhgaya regarding the same.
As the first step towards creating awareness regarding clean environment, sanitation
and hygiene among school students so as to make them responsible citizens of the
nation, three of the staff members (the Director, a Village Coordinator and the Research
and Documentation Officer) attended a 2-day intensive training program (Green
Schools Program) at the Centre for Science and Environment (CSE), New Delhi. We
envisage conducting the Green Schools Program in collaboration with CSE at the schools
in our 18 villages and those in Bodhgaya town.
ENVIRONMENT
31 | P a g e
Green Schools Program training at the Centre for Science and Environment, New Delhi
SOLAR ELECTRICITY
In the last quarter we had sent four women from our villages to the Barefoot College,
Tilonia, Rajasthan to attain 6 months training in Solar Engineering. However, one
woman had to return to her village in the middle of the trainingdue to family reasons.
While these women prepare to be Solar Engineers we studied, analysed and evaluated
the data collected from the survey that was conducted in the villages of J.P. Nagar,
Banahi, Kharati (where our Solar Electricity program is running), Chando, Barsuddi and
Kadal (where the program will start soon) to evaluate the impact of the existing solar
program and to understand the feasibility of the program in the new villages.
The ‘Socio-economic Impact Assessment and Feasibility of Solar Home Lighting Systems
in Gaya District of Bihar’ Report was prepared by an economist Dr. Amit K. Bhandari of
the esteemed Kalyani Institute of Applied Research, Training and Development. The
following key findings were observed:
Around 97.6 per cent respondents have expressed their willingness to use
solar lighting and are willing to pay around Rs. 1,700 during the time of
installation that is 70% higher than the current price paid by the households.
32 | P a g e
Majority of the households are not paying installments at regular intervals,
while some households haven’t paid any monthly installments at all. This
raised question mark regarding preferred mechanism for solar energy.
Per capital income of the respondents is higher for those who haven’t
installed solar lighting system, which in turn indicate money is not a
constraint for installing solar power.
Household with solar lighting installed enjoys better quality of life compared
to those without it.
Variables that have found to have significant impact on willingness to pay for
solar lighting are per capital household income, per capital energy
consumption, type of house and holding saving bank account.
Parents are willing to spend more on home lighting system whose children
performed satisfactory in their study. However, there is no reflection in
education performance between household with or without solar lighting.
No significant difference is found in amount willing to pay between
household with school going children and without. However, students
performing better in study, parents willing to spend more on solar lighting
system for their study.
The empirical study found that people from rural villages from are ready to pay more
than the current installation price of solar lighting system. Regarding preferred mode of
payment for solar photovoltaic systems, contrary to popular belief monthly payment
system should be abolished for better penetration of solar energy. Villagers from
financially well off households, better educated, higher energy consumption per month
and have access to financial services are the important determining factors for
willingness to invest for solar home lighting system. The study also reveals that there is
an improvement in quality of life for the people living in remote villages through the
spread of solar energy. Further expansion of solar energy can be adopted in order to
achieve universal access to energy to rural non electrified areas.
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SMALL MONEY BIG CHANGE
Land levelling in the agricultural fields at Chando
Work in progress at Kadal
SOCIAL
34 | P a g e
Bathroom for women being constructed at Kadal Bathroom and well completed
Land levelling in front of Chando school
Under the ‘small money Big Change’ program we had started working in three villages,
namely Chando, Barsuddi and Kadal from June this year. In this quarter the program
was extended to two more villages, Gopalkhera and Banahi.
In Gopalkhera an existing check dam, which had been broken and had remained
dysfunctional for long, was successfully repaired. This has enabled rainwater to flow
straight into the village pond which will not only allow the villagers to perform their
daily activities but also provide water for the agricultural fields, increasing crop
productivity and consequently improving the villagers’ livelihoods.
A small pond is being dug in Banahi village. Due to the monsoons work had to be stalled
as it was not possible to continue due to bad and erratic weather conditions. Of the total
35 | P a g e
8 ft depth to be dug, 3 has been done and 5ft will be completed soon after the monsoon
is over.
The work of land levelling continues in Chando where the agricultural field of 15
villagers has already been levelled which will make crop sowing and crop management
much easier and also considerably increase the yield and quality.
Again, in Chando government school, the school filed which was uneven and hence
could not be used for playing outdoor sports has been levelled and can now be used as a
playground.
At Kadal, the well whose repair work had started in June was completed at the
beginning of this quarter. Next the construction of a bathroom for the women of the
village and the digging of the nearby pond began. The bathroom is now complete and
the digging of the pond has also progressed well with not much left to be done.
The construction of the check dam in Barsuddi, which had begun in the previous
quarter had to be stalled due to the bad weather. The work will resume as soon as
monsoon is over.
This quarter saw the ‘small money Big Change’ program cover two more villages in
addition to the initial three. While the work in most villages progressed smoothly it was
a bit tardy as we had no option but to slow down or stall our work in certain places due
to the erratic monsoon pattern unlike other years.
KITCHEN GARDEN
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Looking at the abysmally high incidence of malnourishment in Bihar (around 80% of
children below five years of age and 68.2% of women in reproductive age group (15-49
years) in the state are malnourished) and the extreme poverty of small and marginal
farmers where 91% of the land holdings in the state belong to small and marginal
farmers who practice cash cropping in an effort to escape the grinds of acute poverty,
we have started a program on Kitchen Gardening from the third quarter.
Commercial agriculture, in which crops are cultivated according to the market demand,
limits the production of certain food crops and does not allow for self-consumption by
the farmer’s family. Kitchen Gardening, on the other hand, fills the gap by providing
proper nourishment through inexpensive, regular and handy supply of fresh vegetables
devoid of chemicals used in farming. Besides, it is a well-known fact that growing a
kitchen garden positively improves the overall health conditions of the family.
We have planned the program so that 50% of the produce grown in the kitchen garden
are kept aside for self-consumption by the families and the rest sold in the market to
earn some additional income. 30% of the profit from sales will add to the farmer’s
household savings/consumption and the remaining 20% will have to be contributed
towards community welfare. Thus, while the target population will be able to utilise
80% of the produce for direct personal benefit (through own-consumption and earning
from sale of vegetables) they will be indirectly benefitted through the community’s
development, towards which they will be making a minimal contribution.
We have started the program by distributing vegetable and fruit plants and seedlings to
our villages like brinjal, tomato, chilly, pumpkin, sponge gourd, bitter gourd, raddish,
ladies finger, mango, lemon and guava.
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Table 15: Number of Households that have received vegetable plants for Kitchen
Gardening
Serial Number
Villages Number of Households
1 Bhupnagar 24
2 Karhara 23
3 Simariya 21 4 Trilokapur 8
5 Kadal 31
6 Barsuddi 24
7 Banahi 17
8 Dema 114 9 Bandha 20
10 Nawatari 20
11 Mansidih 24
12 Sripur 25 13 Mastibar 10
14 JP Nagar 18
15 Kharati 15
16 Chando 28
Total 422
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Table 16 : Number of Households that have received fruit plants and seeds for
Kitchen Gardening
Serial Number
Villages Number of Households
1 Banahi 40
2 Dema 101
3 Gopalkhera 35 4 Lohjhara 43
5 Bhupnagar 45
6 Karhara 52
7 Simariya 51
8 Trilokapur 37 9 Kadal 22
10 Barsuddi 26
11 Mastibar 70
12 JP Nagar 22
13 Kharati 20 14 Chando 20
15 Mansidih 110
16 Sripur 40
17 Bandha 61 18 Nawatari 45
Total 840
We envisage manifold advantages from this particular project. This entire model of
kitchen gardening will generating productive, income-earning opportunities for poor
and marginalised communities, which is pivotal to reducing chronic poverty. At the
same time, through the consumption of fresh, chemical-free vegetables, it will help
ameliorate health conditions of the target populations. Lastly, it will make way for the
community’s development.
COMPUTER COURSE-VOCATIONAL TRAINING FOR THE YOUTH
With the objective of empowering the poor and marginalised communities with e-
literacy skills we have started free computer training courses for youngsters hailing
from remote villages in Gaya district, Bihar. We aim to equip the rural youth with
adequate digital skills to provide them with better employment opportunities, economic
self-sufficiency and socio-economic empowerment. Two types of computer courses are
being taught at our Bodhgaya office namely, Office Management (which will teach MS
Office) and DTP (Page maker, Coral Draw and Photoshop). The duration of each course
is 6 months.
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Prior to the commencement of the courses on 16th August a day-long interview was
conducted for the 101 enthusiastic applicants. 58 shortlisted youths were divided into 3
batches; two batches for Office Management course and one batch for DTP. These
batches also accommodate our office staff who wanted to join these e-literacy courses.
While the trainings are imparted free of charge it is mandatory for the students to devote 5 hours per week towards voluntary services in their respective villages. This provision will fulfil the twin objective of promoting computer literacy amongst the marginalised communities and serving the rural poor.
NETWORKING WITH OTHER LOCAL NGOS
We have started collecting details of all Non-governmental organisations working in
Gaya District as the first step towards networking with organisations with similar goals
and views.
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FINANCES
The budget and expenses for the third quarter of 2013 are presented below:
Table 16: Budget and Expenses
Budget in USD($1=50 INR)
Expenses in USD($1=50 INR)
Administration, transportation and functioning cost
82,993.45
13,797.38
OPD direct benefit to population in Bodhgaya town and close surroundings
14,590.58
18,234.42
Mobile clinic benefit to population in 18 villages
20,128.80
21,818.82
Education direct benefit to population in 18 villages
13,441.07
9,132.42
Environmental Program 32,033.33
1,315.58
Social Program 20,853.33
20,177.24
Program Support 7,000.00 109.66
Investment: Equipment 400.00 3,304.56
Contingencies 6,007.87 25.80
Total 1,97,448.43
87,915.88
OTHER IMPORTANT
INFORMATIONS
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UPCOMING ACTIVITIES
Meeting with key stakeholders for the ‘Bodhgaya Clean Environment, Hygiene and
Sanitation’ project will be conducted.
A training for Anganwadi workers on child development through play where, apart from
other things they will be taught to make various Teaching-Learning Materials.
Rainwater Harvesting in the villages
Green Schools Program in villages
School Competition to raise awareness among students about cleanl environment and
hygiene.
OUR PARTNERS
Current Partner: Barefoot College in Tilonia, Rajasthan
Prospective Partner: Centre for Science and Environment, New Delhi.
0.00 10,000.00 20,000.00 30,000.00 40,000.00 50,000.00 60,000.00 70,000.00 80,000.00 90,000.00
Budget and Expenses in USD
Budget in USD($1=50 INR) Expenses in USD($1=50 INR)
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CASE STUDY 1
During the treatment After the treatment
Nageshwar Manjhi, a smallholder farmer of Rampur village, approached Shechen clinic
for treatment. He was extremely weak and emaciated. The doctor suspecting
tuberculosis asked him to go for x-ray, sputum and blood tests at our laboratory. He was
tested positive for Pulmonary TB and underwent DOT treatment at our DOT centre in
the Shechen clinic. He has completed his treatment and his post-treatment sputum test
was negative. His X-ray and blood tests are yet to be conducted but now, unlike
previously when he did not have the strength to walk a few steps, feels healthy and
strong.
ANNEX -SUCCESS STORIES
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CASE STUDY II
Chandni Kumari at our Computer Classes
Chandni Kumari, an undergraduate student, has joined the 6 month long DTP course at
our newly launched computer training program. She says that previously she was
totally computer illiterate and whenever she saw her friends and classmates working on
or discussing computers she would feel a severe lack of self-confidence. But now after a
few weeks of attending classes she has already started gaining confidence. She can now
work on MS Word and has just started learning Photoshop. She enjoys her classes and
expects to find a good job after completing this course.
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