KARUNA-SHECHEN 3rd quaterly report 2014

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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 & EVENTSMAIN 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
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
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

KARUNA-SHECHEN 3rd quaterly report 2014

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