Karuna-Shechen Second Quaterly Report 2013

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Text of Karuna-Shechen Second Quaterly Report 2013

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APRIL - JUNE, 2013

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Main Activities and Achievements 3

Introduction 4


An Overview of Medical Activities 5 Access to Primary Healthcare in Urban Area: Shechen Medical

Centre in Bodhgaya, Bihar 10

Mobile Clinics 13

Malnutrition 15

Health Education Program (HEP) 16


Strengthening Basic Education 19

Early Child Care and Development (ECCD) 20

Non-Formal Education (NFE) 21

Vocational Training 22


Bodhgaya Clean Environment, Hygiene and Sanitation Program 23

Solar Electricity 24


small money BIG CHANGE 26

Other Important Information

Finances 32

Upcoming Activities 34 Our Partners 34

Annex- Success Stories

Solar Electricity- the Successful Endeavour of Village Coordinators and Motivators


The Case of a young girl cured of Pulmonary Tuberculosis through our DOT services


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From early May our menstrual hygiene program commenced with the starting of distribution of

cheap sanitary napkins to poor girls and women in our 18 adopted villages and Bodhgaya town.

The second round of MUAC measurement was conducted in our 6 new villages for our upcoming

malnutrition program.

Total number of consultants in OPD (Outreach Patients Department) and Mobile Clinics was 8152 ,

where number of new consultants was 3879.


Non-formal Education (NFE) was introduced in April 2013 in 10 new villages in addition to the 6

villages where it has been running since August 2011

Bright and enthusiastic women were recruited as faculty for the new NFE centres and as support

faculty for primary school in Dema.

A Parent-Teacher Association (PTA) has been formed in the village of Dema.

A yoga instructor has been hired to take Yoga and other exercises to the school-going children in

Chando village.


From April we started outsourcing our bio-medical wastes to Synergy Waste Management (Pvt)

Ltd. in order to ensure and support environment-friendly waste disposal.

Social In Chando, leveling of agricultural land is being undertaken so that the villagers can avail proper

irrigation facilities and consequently crop production and productivity increases.

In Kadal a well, which is their primary source of water for drinking and other purposes, is being

repaired and its floor is being reconstructed. In addition, a bathroom exclusively for women is

being constructed near the well to provide them with a private bathing space. Besides, a pond will

also be dug near the well and Mango trees planted in that whole area.

In order to ensure the retention of surface water and the subsequent replenishment of the ground

water we are constructing 3 check dams in Barsuddi.

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With the objective to address as many dimensions of poverty and basic livelihood as possible Karuna Shechen India is working towards a host of new programs this year and scaling-up some of the existing ones. While some of the new projects like Clean Environment, Hygiene and Sanitation Program in Bodhgaya, Menstrual Hygiene, Primary Education and small money BIG CHANGE have already commenced in the first half of this year, rest of them are ready to take-off soon. Apart from launching several new projects we have added a fourth dimension (Social) to our

existing areas of interventions namely, Health, Education and Environment.

The programs that are currently running are classified according to the area of intervention:


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OPD and Mobile Clinics

In the second 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 8152, wherein new consultants constituted 3879 people (47.58% of total number of consultants).

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

Months OPD Mobile Clinics

April 1092 1425

May 1085 1360

June 1585 1605

Total 3762 4390

Compared to the first quarter where total number of consultants at OPD and Mobile clinics was 7358, the second quarter has registered a greater number, 8152. This was partly due to greater number of people suffering from diseases during change of season from spring to scorching summer. The increase in the number of patients in mobile clinics (4390 compared to 3524 in first quarter) 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 23 ( 0.003% 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 4858 ( 59.59%).

Total money collected against registration charges was INR 79,785.


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Table 2: Total Number of Patients Referred to PHC and Government Hospitals


April 0 0

May 8 2

June 11 2

Total 19 4

Table 3: Total Money Collected from Registration Charges

Month Amount

April 25625

May 22885

June 31275

Total 79785

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Direct Observed Therapy (DOT)

A TB patient taking medicines at the DOT centre in Shechen clinic

Out of 970 medical tests conducted in our pathology laboratory 81 were Sputum tests (for

Tuberculosis). Out of these the number of people who were diagnosed with TB was 2. Currently,

the total number of TB patients undergoing treatment is 25.

Table 4: Details of DOT program

April May June Total

Number of TB patients started medicine 3 5 2 10

Number of sputum tests conducted 24 26 31 81

Sputum Positive 1 1 0 2

Refer TB Patients 0 0 0 0

Completed TB Medicine 6 3 2 11

Undergoing Treatment in Mobile 7 1 4 12

Undergoing Treatment in OPD 16 24 21 61

Total Number of TB Patients currently undergoing treatment (OPD and Mobile) 23 25 25 73

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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 5: Types of Diseases

Types of Diseases Total

Diarrohea/children 34

Diarrhoea / dysentery adults 372

Amoebiasis 0

Typhoid 149

TB 153

Gynecological patient 495

Bone & joints patients 1423

Burn patient 17

Worm manifestation 40

Skin diseases of all kinds 591

Ophthalmologic infections 0

Number of identify malnourished children 0

Cardiac Infection 14

HTN 444

Diabetes 63

Asthma & COPD 428

Cough & Cold 1437

Epilepsy 31

ENT patient 816

Lymphadenopathy 12

I&D Dressing 35

Other Patients 786

Total 7340

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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 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 3300.

Table 6: Number of Identity Cards Issued to Consultants at OPD and Mobile Clinics

Month OPD Mobile Clinics

April 513 564

May 486 388

June 735 614

Total 1734 1566

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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 second quarter of 2013 was 3762. Out of this total 1954 were new consultants, representing 51.94 % of total consultations in OPD. Table 6: Details of Consultants in OPD

OPD April May June Total

Total Number of Consultants 1092 1085 1585 3762

Total Number of New

Consultants 520 674 760 1954

Men 355 314 421 1090

Women 466 488 711 1665

Children 314 285 453 1052

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The number of patients has been maximum in the month of June probably due to the schorching heat and soaring temperatures.

From the above graphs we can see that women and children form majority of the consultants at OPD (72%).

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Women and children waiting for medical check-up by Doctors at OPD

Pathological Laboratory

Total number of patients who came in the second quarter of 2013 (April-June) for different

medical tests were 396 and total anaysis done was 970. The number of patients and tests are