progress report 2006 - 2011

Five yearly

PROGRESS REPORT 2007- 2011

SHRI NIROTILAL BUDDHA SANSTHAN [SNBS]

mailto:[email protected]

mailto:[email protected]

INDEX

S.

No.

Work Experience of SNBS Page Nos.

1 Introduction 1

2 Pulse Polio Program 2 - 9

3 Agra Urban Health Program (AUHP) 10 - 37

4 Women Health Program (WHP) 38 - 40

5 National Child Labour Project (NCLP) 41 - 54

6 Campaigns and Efforts with FOGSI 55 - 60

7 RCH Camps in Agra Urban under SIFPSA Project 61

8 HIV / AIDS Awareness 62 - 64

9 LIC Schemes for Urban Poor 65 - 68

10 Awareness Campaigns for Environment and Tree Plantation 69 - 74

11 TB Camps and Awareness Campaign 75 - 77

12 Social Marketing Initiatives 78 - 81

1

Agra City: an overview

Total Population (Census, 2001): 1.33 million

Decadal growth rate (1991-2001): 42%

Total No. of slums: 393

Estimated slum population: 0.8 million (approx. half of

city’s population)

Problems of slum population: Poor access to safe drinking water, hygiene, health care and

sanitation facilities, Illiteracy and poor access to education, poor economic status, sub-optimal

health behaviors, poor demand and utilization of services among slum communities.

Shri Nirotilal Buddha Sansthan (SNBS)

Introduction:

Keeping in view the fact that more than a quarter of India’s population has been living as

downtrodden and marginalized for centuries, Shri Nirotilal Buddha Sansthan (SNBS) came in to

existence in 1994 as an non government organization of marginalized people and has undertaken

the task to promote the welfare of this section of the society, lead to their upliftment and

development for integration with the total society by improvement in their economic, educational,

social, cultural and health standards.

Shri Nirotilal Buddha Sansthan was registered under Society Act in 1994 and has been primarily

working in the areas of health and its determinants, safe drinking water, hygiene, sanitation,

HIV/AIDS awareness, family planning & welfare, child labor & literacy, education, livelihood,

plantation, community awareness and development, with especial focus on marginalized sections of

the societies, slum dweller women and children through various development programs for over 15

years.

After 1995, SNBS intends to continue its role as a facilitator to improve the effectiveness of various

national programs and build capacities of communities to address a wide range of reproductive

health, child health, illiteracy, family planning, pulse polio and HIV/AIDS challenges. The

programs of SNBS aim for ―Vulnerable individuals and families in selected slums of Agra to

achieve sustainable improvements in their education, health and sanitation status”.

2

Pulse Polio Program:

As part of creating a mass awareness on the need for eradication of Poliomyelitis, a crippling disease

of childhood caused by polio virus, Shri Niroti Lal Bubbha Sansthan (SNBS) engaged itself in

supporting the Department of Medical, Health and Family Welfare (DMHFW), Agra in order to

provide better service delivery and expand the coverage of polio vaccination in Agra.

SNBS has been involved in administering the oral drops to children under the age of five, under

National Polio Surveillance Program (NPSP), for over 10 years, from 1997-98 to 2006-07. Details are

as below:

Year Polio

Rounds

Intensive Pulse

Polio Booths/

Camps Organized

No. of children

administered Polio

drops in Booths/ Camps

No. of children

covered House

to House

Total No.

of children

covered

1997-98 - 10 8826 - 8826

1998-99 3 10 13239 2938 16177

1999-2000 6 11 20284 2952 23236

2000-01 4 11 17904 6886 24790

2001-02 3 11 11049 4860 15909

2002-03 6 15 12050 6933 18983

2003-04 4 18 9681 5891 15572

2004-05 8 18 13968 12962 26930

2005-06 8 18 10046 12699 22745

2006-07 6 18 5980 8566 14546

Special Transit Booths: Despite this, 25 special transit Booths were organized by SNBS during 11

days in June 2005 and 28755 children were administered polio drops.

Special Polio Booths (for Rakab Ganj North DTHC area):11 special Booths were organized by

SNBS to support DTHC Rakab Ganj North, during May 2006.

Pulse Polio Campaign: SNBS has been engaged in organizing Pulse Polio Booths and Pulse Polio &

Health Awareness campaigns in 18 urban slums of Agra city through its 54 workers and 4 field

supervisors for the period of 1997-98 to 2006-07.

SNBS has utilised the occasions of Intensive Pulse Polio Campaign by engaging its workers to spread

the message of Pulse Polio by organizing Pulse Polio Awareness rallies and distributing 4,000

pamphlets every year.

After 2007, SNBS has been continuously supporting the Department of Medical, Health and Family

Welfare (DMHFW), Agra for health awareness and Pulse Polio campaigns to generate awareness

among urban population of Agra City.

Below are the photographs of achievements of SNBS and main activities under NPSP, from beginning

up till July 2009.

3

Photograph of pamphlets printed and distributed by SNBS for Pulse Polio Awareness

4

Inauguration of Polio Booth of SNBS in Choti Athai slum by Project Officer, Renu Nigam

Distribution of honorarium for Pulse Polio Campaign by Dr. R.K. Mishra, Deputy CMO (Immunization)

Mrs. Petro Rikia (member of ROTARY CLUB, Australia) providing OPV vaccination along with Mr. Ravi Kashyap, President SNBS

Mr. Jak Rikia & Mrs. Petro Rikia (members of ROTARY CLUB, Australia) along with the staff of SNBS and Mr. Ravi Kashyap

The staff of SNBS , Suman, Arshi and Nitin providing Oral Polio vaccination door to door

The staff Suman Lata, Reena Mahor, Prachi Jakar and Supervisor Sanjeev Kashyap providing OPV door to door

5

Shri Babu Lal, Deputy Commissioner, Sales Tax distributing Certificate of Pulse Polio Campaign to the staff of SNBS

Shri Babu Lal, Deputy Commissioner, Sales Tax distributing Certificate of Pulse Polio Campaign to the staff of SNBS

Pulse Polio rally organized by staff of SNBS on 24th Feb. 2006

Pulse Polio rally organized by staff of SNBS on 24th Feb. 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO Agra on 13

th Jan 2006

Pulse Polio rally organized by staff of SNBS on 13th Jan 2006

6

Pulse Polio rally organized by staff of SNBS on 22nd Feb 2006

Pulse Polio rally organized by staff of SNBS on 22nd Feb 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO Agra on 23rd Feb 2006

Pulse Polio rally organized by staff of SNBS on 23rd Feb 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO Agra on 9th Sept. 2006

Pulse Polio rally organized by SNBS staff on 9th Sept 2006

7

Inauguration of Pulse Polio rally by Mr. Surender Singh, IAS, CDO, Agra on 30

th May 2008

Flag off by Mr. Surender Singh, IAS, CDO, Agra on the occasion of Pulse Polio rally on 30

th May 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 30th May 2008

End speech of Pulse Polio rally by Dr. Ram Ratan, CMO, Agra on 30th May 2008

Inauguration of Pulse Polio rally by Mr. Anil Kumar, IAS, DM, Agra on 11th Sept. 2008

Flag off by Mr. Anil Kumar, IAS, DM, Agra on the occasion of Pulse Polio rally on 11th Sept. 2008

8

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 11

th Sept. 2008

Women Health Samities of SNBS singing loud slogans and messages for Polio iradication

Flag off by Mr. Goyal, AD DMHFW, Agra Division on the occasion of Pulse Polio rally on 13th Nov. 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with Women Health Samities of SNBS on 13th Nov. 2008

Flag off by Mr. Rajeev Rotela, ADM City, Agra on the occasion of Pulse Polio rally on 19th Dec. 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 19th Dec. 2008

9

Inauguration of Pulse Polio rally by Mr. Surender Singh, IAS, CDO, Agra on 30th Jan 2009

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 30

th Jan 2009

Flag off by Dr. Ram Ratan, CMO, Agra on the occasion of Pulse Polio rally on 27th Feb 2009

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 27th Feb 2009

Inauguration of Pulse Polio rally by Mr. Mritunjay Narayan, IAS, DM, Agra on 3rd July 2009

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 3rd July 2009

10

AGRA URBAN HEALTH PROGRAM (AUHP)

Situation of Urban Poor Population residing in slums of Agra City:

HUNGER

POOR ACCESS TO SAFE DRINKING WATER & HYGIENE

POOR SANITATION FACILITIES

PRONE TO DISEASES

MALNOURISHED CHILDREN

POOR ACCESS TO HEALTH CARE FACILITIES

11

POVERTY & POOR ECONOMIC STATUS

ILLITERACY & POOR ACCESS TO EDUCATION

A. Goal and Objectives of Agra Urban Health program

The goal of the Agra Urban Health Program is to carry out demonstration and learning activities and

develop new interventions in urban slums that lead to synergistic participation of different government

officials in urban slums to improve water supply, sanitation and hygiene services to urban poor.

B. Executive Summary of Agra Urban Health Program

SNBS is implementing the Agra Urban Health Program activities to reach out to underserved urban

poor population in Rakabganj North, Yamuna Par and Bundukatra area covering approximately

1,70,000 population. SNBS was selected as a partner NGO by a Screening Committee under the

chairpersonship of the Chief Medical Officer, Agra for implementation of the Agra Urban Health

Program. The program implementation activities were initiated in November 2005 with 14 slums

(approximate population 29,000) and gradually scaled up to cover 20 slums (40,250 population) in

Rakabganj North area,15 slums with 46,700 population in Bundukatra area and 44 slums with 79,000

population in Yamuna Par area.

SNBS has conducted Mapping and Assessment of Agra slums as key resource organization, jointly

facilitated by Department of Health and Family Welfare, Agra and USAID-EHP during February-April

2004. During this process, SNBS has conducted qualitative health vulnerability assessment in slums of

Agra and helped USAID-EHP and Department of Health and Family Welfare, Agra in plotting of

slums and existing health facilities on the map of Agra and gap identification. This analysis, along with

other relevant data has been utilized for development of Urban RCH proposal for Agra city and its

implementation from time to time.

Subsequently, the Agra Urban Health Program (AUHP) has been implemented as response to request

of Government of Uttar Pradesh, suggesting UHRC, formally known as EHP, to initiate PPP models in

Agra. UHRC initiated public-private partnership (PPP) process in consultation with the Department of

Medical, Health and Family Welfare, Agra.

Based on its experience in the area of reproductive and child health, the exceptional contribution

rendered in proposal development phase and its credibility in the district, the Screening Committee

constituted under the chairpersonship of Chief Medical Officer, DMHFW, Agra has recommended

12

SNBS as potential NGO for implementation of Agra Urban Health Program and for partnership with

UHRC operation.

Under this partnership, SNBS has been demonstrating community mobilization for demand generation

of health services and community linkages with government health facility coupled with continued

gentle persuasion with government health service providers in order to increase reach of services

leading to overall improvements in health services delivery coverage since November, 2005. Through

this approach, SNBS has been mobilizing approximately 40,250 population in 20 slums and

facilitating outreach camps through linkage with Rakabganj North D-Type Health Centre.

Apart from this, since March 2006 SNBS has been facilitating a multi-stakeholder approach for

optimizing local resources and improving reach of services to approximately 46700 underserved urban

poor populations residing in 15 slums under Bundukatra D-Type Health Centre catchment area. Since

February 2009, SNBS has been demonstrating two approaches at Yamuna Par. Under one, SNBS has

set up and managing Urban Health Centre at Naraich, Yamuna Par for providing regular OPD and

outreach services to approximately 55000 population residing in 35 slums in Trans Yamuna area. The

other demonstrates community mobilization for demand generation of health services and community

linkages with Govt. health facility and mobilizing approximately 27000 population in 9 slums and

facilitating outreach camps through linkage with government D-Type Health Centre, Yamuna Par.

C. Key Activities:

SNBS has undertaken the following key activities:

Strengthen capacity of community link volunteers and Mahila Aarogya Samities to coordinate with

health service providers for outreach camps, tracking immunization coverage at slum level to minimize

leftouts and dropouts, and to promote health behaviours.

Strengthen capacity of the link volunteers and MAS members negotiate effectively with water and sanitation service providers for the related services in their respective slums whenever required.

Established linkages with LadyLyall and PSM/Community medicine department of SN Medical College.

Established linkages with Govt. Health department for regular outreach sessions (including visits of LMO for ANC checkups during these sessions).

Regular participation in health rallies and pulse polio campaign as and when requested by CMO and

encourage visits of CMO/Dy.CMO and other relevant Govt officials in the city/region to program

slums and program activities, seek feedback and support them in disseminating best practices in

different government meetings at city and region level.

Facilitated regular meetings of UHC level coordination committee to improve access of urban poor to health services at Bundukatra and influence CMO/Dy.CMO to replicate such a multi-stakeholder

approach for optimizing local resources and improving reach of services to underserved urban poor

population in other UHCs areas.

Strengthen project staff capacity to collect, compile and analyze service coverage data and use it for improving coverage rates, document program learning and share at appropriate forums.

Established linkages with other department like DUDA, Nagar Nigam, ICDS and education for

addressing other development issues in the intervention slums.

Provided inputs to National, International organizations for developing clear understanding on community mobilization.

13

Facilitated program site visits of Govt. officials and non government organizations to observe and understand the lives of urban poor and slum dwellers and their access to health services and learning

different program approaches to reach underserved urban poor population and its replication in other

areas.

Community mobilization

SNBS has promoted 24 Mahila Arogya Samities (MAS) and also opened 19 bank accounts in the

Rakabganj area. The capacities (Institutional, Program, Linkage and Financial) of MAS have also been

strengthened. Capacity building sessions including exposure visits were also conducted both for MAS

and CLVs to develop their knowledge on the different components of RCH and health fund

management. BCC and IEC activities are regularly carried out in the slums to improve health and

hygienic practices among the slum community improved, and generate demand for services. In

Bundukatra area CLVs were selected and trained for providing community mobilization support.

Linkages with Govt. D-Type Health Centre (Rakabganj North) for health service provision

Demand generation activities were undertaken in all 35 slums. Services were strengthened in 20 slums

from DTHC Rakabganj which is a government run first tier facility. List of eligible beneficiaries

updated regularly, planned outreach clinics were organized and follow-up activities carried out

especially in case of left outs and resistant households. SNBS coordinated with CMO/ACMO and

facilitated visit by these Govt. officials successfully. SNBS developed linkages with the other

stakeholders and local elected persons by facilitating Coordination committee meeting. Services were

also strengthened from the Bundukatra DTHC to the 15 slums in the area. This was all achieved with

support and mobilization of the government.

Capacity building of the program staff

Capacity building sessions for MAS, CLVS, Community Organizers and ANMs were conducted to

enhance their skills on counseling and RCH components. Ongoing review meetings at various levels

were conducted to assess program progress, address program issues and concerns. Review feedback

and inputs from SNBS management, other stakeholders visiting the program and UHRC helped

strengthen the program.

Coordination with the government department

Coordination with district health department was given special focus from the program inception.

Regular coordination meetings were carried out right from DTHC level to District level for organizing

regular outreach sessions. District Health Department officials were invited to for providing capacity

building inputs to staff and assess community mobilization activities. The support to National

Programs continued.

Meetings of Coordination committee at Bundukatra were held with multiple stakeholders such as the ward representative, CHV, Deputy CMO, AWW etc. Regular outreach clinics were held in 15 Slums

in the area. The SNBS staff also supported in routine immunization in Bundukatra. For improving

service coverage in catchments area regular meetings with coordination committee were organized.

14

D. Coverage Area of SNBS under AUHP:

SNBS is implementing the Agra Urban Health Program to fulfill the aforementioned objectives, in 20

slum neighborhoods (or bastis) in Rakabganj North area under Approach II, covering an approximate

slum population of 40,250, 44 slums in Yamuna Par under Approach I & II covering 79,186

population and 15 slums in Bundukatra under Approach III covering 46,695 population.

At Yamuna Par, SNBS is demonstrating two approaches under the Agra Urban Health Program

(AUHP), since February 2009. One of them demonstrates how community mobilization for demand

generation of health services and community linkages with Govt. health facility coupled with

continued gentle persuasion with Govt. health service providers in order to increase reach of services

and lead to overall improvements in health coverage. Through, this approach SNBS is mobilizing

approximately 27000 population in 9 slums and facilitating outreach camps through linkage with D-

Type Health Centre. Under the other approach, SNBS has set up and managing Urban Health Centre at

Naraich, Yamuna Par for providing regular OPD services to approximately 55000 population residing

in 35 slums in Trans Yamuna area in order to increase reach of services and lead to overall

improvements in health coverage.

E. The list of intervention slums:

Approach II : RAKAB GANJ NORTH

SNO NAME OF SLUM POPULATION CATEGORY

1 Nala Kaji Pada 1053 Most

2 Talliya Kanji Pada 1752 Most

3 Kaji Pada 3807 Moderate

4 Ravidas Nagar 1436 Most

5 Budh Vihar 318 Moderate

6 Gautam Nagar 676 Moderate

7 Pani Wali Basti 562 Most

8 Teela Sheikh Mannu 4195 Most

9 Chakki Paat 2905 Moderate

10 Tamoli Pada 1409 Most

11 Teli Pada 2295 Moderate

12 Mantola 4000 Moderate

13 Nala Mantola 3821 Most

14 Sayyed Wali Basti 481 Most

15 Mundapada 1200 Moderate

16 Teela Nand Ram 4000 Moderate

17 Ghera Basti 1000 Most

18 Swaroop Nagar 1500 Most

19 Teela Hussin Khan 840 Most

20 Mishri Sayyed 3000 Most

TOTAL 40250

15

Approach III : BUNDU KATRA

SNO NAME OF SLUM POPULATION CATEGORY

1 Gummat 4437 Most

2 Jasse Ka Nagla 3121 Most

3 Tundpura 5027 Most

4 Kotli Bagichi 7355 Most

5 Nand Pura 2819 Most

6 Maya Puri 1431 Most

7 Nagla Bhawani Singh 2400 Moderate

8 Nagla Laturi Singh 2400 Moderate

9 Singho Ka Nagla 700 Moderate

10 Nagla Tek Chand 3000 Moderate

11 Gopal Pura 3900 Moderate

12 Sarai Malook Chand 1200 Moderate

13 Nagla Prashoti 1500 Most

14 Nagla Bharti 1405 Most

15 Sewla Jat 6000 Moderate

TOTAL 46695

Approach I (in 35 slums) & Approach II (in 9 slums) : YAMUNA PAR AREA

Area S.N. Name of Slum Population

Trans Yamuna

IV

1. Shyam Vihar(East & West) 1468

2 Nagla Rambal 3126

3 Rakesh Nagar 667

4 Santhosh Nagar 647

5 Nagla Mohan Lal 863

6 Sati Nagar 3669

7 Gulab Nagar 504

8 Nagala Jamuni 905

9 Siddharth Nagar 859

10 Satya Nagar 549

11 Nagla Dhamoli 307

12 Shobha Nagar/Vihar 560

13 Chandan Nagar 582

14 Shyam Nagar/Shyam Nagar Teela 2591

15 Nagla Chaua 641

16

16 Narayan Vihar 536

17 Nagla Chanda 593

18 Nagla Kishan Lal 2419

19 Vikash Nagar 1171

Trans Yamuna I 20 Nawal Ganj 1071

21 Moti Mahal 4199

22 Nagla Devjeet(Including Abbas Nagar) 4321

23 Indra Nagar 344

24 Kachpura (Old & New) 2684

25 Hanuman Nagar 2399

26 Nagla Faturi 1474

27 Moti Bagh(Khaliyayi Mandi, Anathalay wali Gali,

Nagla Pench,Kuen Wali Basti)

4229

28 Gautam Nagar 2561

Trans Yamuna V

29 Shahadra(Old & New) 8652

30 Shushil Nagar 2249

31 Gadhi Chadni 751

32 Gadi Husaini 649

33 Chhaleshar 2271

34 Prakash Nagar 2239

35 Santi Nagar 1031

36 Nagla Bihari 2063

37 Beech Ka Chhaleshar 1522

38 Bangara Chaleshar 422

39 Peela Khar 948

TOTAL 68736

Trans Yamuna II 40 Ram Bag 750

41 Naraich 6000

42 Rajeev Nagar 900

43 Shambhu Nagar 2100

44 Sudhama Puri 700

TOTAL 79186

After May 2009:

By the time, SNBS has learned the ways and means of dealing with challenges and difficulties in

empowering communities for accessing and utilizing better health care facilities and has continued its

operation for implementing Agra Urban Health program from 1st June 2009, with its own funds and

efforts; generated through community, social / charitable institutions and the Government in all 79

slums of Rakabganj, Yamuna Par and Bundukatra areas of Agra city, covering approximately

1,70,000 population, for which SNBS has been working with the financial support of UHRC/ USAID.

17

Major achievements up till date:

Achievements of SNBS in Health Service Delivery:

S. No. Health Services Achievements

1 Out Reach Camps 242

2 Pregnant immunized 3437

3 Infants immunized 23435

4 ANC Check ups 2541

5 Referral for institutional delivery 1569

Achievements of SNBS in Capacity Building of Community, Beneficiaries and Staff through

interpersonal communication:

Behaviour Change Communication Activities:

Below are the photographs of achievements of SNBS and main activities under AUHP, from beginning

up till date.

S. No. Events Achievements

1 Home visits 137583

2 MAS Meetings 4480

3 Trainings of CLVs 96

4 Trainings of MAS 84

5 Capacity Building of Staff 88

6 Community Meetings 3848

7 Thematic Group Counsellings 1728

8 Special Attention Home visits 1260

S. No. Events Achievements

1 Health Awareness Camps 142

2 Magic Shows 26

3 Puppet Shows 72

4 Healthy Baby & Mother Shows 36

5 Health Rallies 24

6 Film Shows 18

7 Street Plays 12

18

SLUM ASSESSMENT AND LINKAGES WITH COMMUNITY & MULTI STAKE HOLDERS

Staff of SNBS conducting Mapping and Assessment of Agra slums during Feb. to April 2004 for the development phase of Agra Urban RCH Proposal

SNBS Staff collecting data/ information for Plotting of Slums and existing health facilities on the map of Agra

Selection process of CLVs, through Community meetings by SNBS staff along with staff of Health Deptt.

SNBS staff conducting community meetings along with Health Deptt. staff to establish linkage for health services

TRAININGS AND CAPACITY BUILDING

Mr. Ravi Kashyap, President SNBS along with Ms. Renu Nigam conducting training of Community Organizers

Mr. Ravi Kashyap, President SNBS conducting training of Community Organizers

19

Ms. Renu Nigam, Program Officer SNBS conducting training of CLVs

Mr. Ravi Kashyap, President SNBS and Ms. Renu Nigam, Program Officer SNBS conducting training of CLVs

Growth monitoring by CLVs

Presentation of New Born Care by MAS members

Review Meetings with CLVs

Review Meetings with CLVs

20

SOCIAL MAPPING PROCESS

MAS members drafting rough map of their slums on ground

MAS members drafting fair map of their slums on chart papers

Final maps of slums used by MAS for indicating beneficiaries and record keeping

Final maps of slums used by MAS for indicating beneficiaries and record keeping

STRENGTHENING MAHILA AROGYA SAMITIES (MAS)

Records of Minutes of monthly meetings prepared by MAS

Records of Fund management of funds collected during monthly meetings of MAS

21

Funds collected during monthly meetings of MAS are deposited in their Bank Accounts

Funds collected during monthly meetings of MAS are deposited in their Bank Accounts

MAS of SNBS collecting Funds during their monthly meetings

Transaction of Funds by MAS of SNBS during their monthly meetings

MAS members organizing Awareness Camps in community

Capacity Building sessions of MAS members

22

Health songs by MAS members

Health songs by MAS members

Home visits to promote health services

Home visits to promote health services

Home visits by CLVs and SNBS staff for counselling and growth monitoring of new born

Home visits by Program Officer, SNBS staff for counselling of mother of new born

23

COORDINATION WITH STAKE HOLDERS

DTHC Coordination committee meeting among Multi Stake Holders i.e. Health Deptt., ICDS Deptt., Ward Members, Education Deptt., and SNBS at DTHC Bundukatra under the leadership of Dr. NP Bharti, ACMO(Immunization)

DTHC Coordination committee meeting among Multi Stake Holders i.e. Health Deptt., ICDS Deptt., Ward Members, Education Deptt., and SNBS at DTHC Bundukatra under the leadership of Dr. CM Mawar, CMO

Coordination meetings with Anganwadi Workers

Coordination meetings with Anganwadi Workers, CMC, CLVs, HVs, MOIC and representatives from UNICEF, WHO

OUT REACH CAMPS

Medical Officer examining pregnant women in outreach camps organized by SNBS

Medical Officer examining pregnant women in outreach camps organized by SNBS

24

ANMs conducting immunization sessions in outreach camps organized by SNBS



Medical Officers conducting checkups in outreach camps organized by SNBS


Medical Officers conducting ANC in outreach camps organized by SNBS

25

BCC ACTIVITIES

Puppet Shows organized by SNBS for Behavior Change Communication with Community

Film Shows organized by SNBS for Behavior Change Communication with Community

Street Plays organized by SNBS for Behavior Change Communication with Community

Street Plays organized by SNBS for Behavior Change Communication with Community

Health Rallies in slums organized by SNBS

Health Rallies in slums organized by SNBS

26

Prize distribution in Healthy Mother & Healthy Baby Shows organized in slums by SNBS




Prize distribution by Dr. Bharat Sonkar, Dy. CMO Immunization in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Distribution of Fund Collection Box, Mats, Dholaks by SNBS to the MAS members of all Women Health Commitees

27

VISITS BY IMPORTANT PEOPLE/ DELEGATES/ ORGANIZATIONS

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

28

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

29

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit of MLA, Agra

Visit from USAID

30

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

31

Visit from USAID

Visit of Congressman Rep. Howard L. Berman, United States Congress

Visit of Congressman Rep Gary Ackerman, United States Congress

Visit of Ms. Elizabeth A. Hogan, Mission Director, USAID along with US Congress delegation

Welcome of the US Congress delegation by Ms. Renu Nigam, Program Officer, SNBS

US Congress delegation visiting Health Mela organized by SNBS at Nala Kaji Para

32

Congressman Rep. Howard L. Berman, United States Congress along with Ms. Elizabeth A. Hogan, Mission Director, USAID at Helth Mela organized by SNBS

Congressman Rep. Howard L. Berman, United States Congress giving gift to beneficiaries in Healthy Baby & mother show organized by SNBS

US Congress delegation in Helth Mela organized by SNBS US Congress delegation along with beneficiaries in Helth

Mela organized by SNBS

Visit of Ms. Eva from CARE Austria for the study of Urban Health program of SNBS

Visit of Ms. Eva from CARE Austria for the study of Urban Health program of SNBS

33

Visit of USAID

Visit of USAID

Visit of students from Johns Hopkins University, USA

Visit of students from Johns Hopkins University, USA

Visit of student from Johns Hopkins University, USA

Visit of USAID

34

Visit of Japanese students to observe Urban Health program by SNBS






35

Visit of Mr. Sunil Kumar, SRC UNICEF to observe Urban Health Program by SNBS

Mr. Sunil Kumar, SRC UNICEF along with Mr. Amartanshu, DMC UNICEF, SRTC UNICEF, Dy CMOs, Dr. Rajaram, Ex. CMO and Mr. Ravi Kashyap, President, SNBS discussing program issues in Health Camp organized by SNBS

Mr. Sunil Kumar, SRC UNICEF discussing with Women Health Samities of SNBS at Ravidas Nagar

Mr. Amartanshu, DMC UNICEF discussing with Women Health Samities of SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

Mr. Amartanshu, DMC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

36

SRTC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

Dr. Rajaram, Ex. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Dr. Bharat Sonkar, Dy. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Dr. B.R. Gautam, Dy. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Mr. Sunil Kumar, SRC UNICEF along with SRTC UNICEF observing Awareness material and Social marketing products at stalls in Health Camp organized by SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF along with SRTC UNICEF observing Awareness material and Social marketing products at stalls in Health Camp organized by SNBS at Ravidas Nagar

37

Massachusetts Institute of Technology, Massachusetts (USA)

D-Lab Team Visit 26.01.2010

D-lab team members present: Brooke Jarrett MIT 2010, Adam Talsma MIT 2010, Karithaka MIT

Nathan Cook (Trip Leader-Kolkata),Jessica Huang (Trip Leader-Avani)

D-lab team in SNBS Office D-lab team in SNBS Office

D-lab team in SNBS Office D-lab team in SNBS Office

D-lab team in Ravidas Nagar Slum D-lab team in Ravidas Nagar Slum

http://web.mit.edu/

38

WOMEN HEALTH PROGRAM (WHP)

In view that, Healthy timing and spacing of pregnancies leads to a significant health-improving and

life-saving measure for mothers and children, SNBS is implementing the Women Health Program

(WHP) of Population Services International (PSI) to improve reproductive health status of Women by

increasing knowledge of birth spacing and access to intrauterine device (IUD), an affordable, quality

reproductive health product and insertion services, including awareness activities to reach out to

underserved urban poor population.

The intrauterine device (IUD) is a safe and effective method of reversible contraception. IUDs are

small flexible devices made of metal, copper and/or plastic that prevents pregnancy by a combination

of action mechanisms: a) inhibition of sperm migration in the upper female genital tract; b) inhibition

of ovum transport; and c) inhibition of fertilization.

The IUD is typically recommended to women of reproductive age who:

require a highly effective reversible method of contraception

prefer a method that does not require a daily routine, or a separate action with every act of

sexual intercourse

are breast-feeding

may have difficulty obtaining contraceptives on a regular basis

feel that lack of privacy makes use of other methods problematic

for medical reasons do not want to use hormonal contraceptives.

Under the partnership with PSI, SNBS has been demonstrating community mobilization for demand

generation of IUD insertion services and community linkages with these services.

Achievements under Women Health program

Since November 2008 till March 2009, SNBS has achieved a target of 312 IUD insertions to women of

Agra urban slums.

Below are the photographs of achievements of SNBS and main activities under WHP, from beginning

up till date.

39

KEY ACTIVITIES UNDER WOMEN HEALTH PROGRAM

Dr. Abha Jha from PSI, conducting training session for staff of SNBS

Dr. Abha Jha from PSI, conducting training session for staff of SNBS

Ms. Usmani Counsellor PSI, along with SNBS staff providing counselling to clients

Clients feeling glad after IUD insertion along with SNBS staff

Ms. Renu Nigam, Program Officer, SNBS conducting awareness sessions to community women


40

Mr. Ravi Kashyap, President SNBS along with Community Organizers and MAS members put stalls in awareness camps organized by SNBS in urban slums


Dr. Renu Pandaya, PSI Bombay conducting training of Lady Doctors in session organized by SNBS



Lady Doctors conducting insertion practice on dummy model

41

NATIONAL CHILD LABOUR PROJECT (NCLP)

CHILD LABOUR:

"Child labor" is, generally speaking, work for children that harms them or exploits them in some way

(physically, mentally, morally, or by blocking access to education).

Child labour in Agra

Child labour in Agra

In 2000, the ILO estimates, "246 million child workers aged 5 and 17 were involved in child labor, of

which 171 million were involved in work that by its nature is hazardous to their safety, physical or

mental health, and moral development. Moreover, some 8.4 million children were engaged in so-called

'unconditional' worst forms of child labor, which include forced and bonded labor, the use of children

in armed conflict, trafficking in children and commercial sexual exploitation."

Unicef’s State of the World’s Children Report says only that although the exact number is not known,

it is surely in the hundreds of millions.

42

WHY SHOULD WE CARE?

Many children in hazardous and dangerous jobs are in danger of injury, even death.

Beyond compassion, consider who today’s children will become in the future. Between today and the

year 2020, the vast majority of new workers, citizens and new consumers — whose skills and needs

will build the world’s economy and society — will come from developing countries. Over that 20-year

period, some 730 million people will join the world’s workforce — more than all the people employed

in today's most developed nations in 2000. More than 90 percent of these new workers will be from

developing nations, according to research by Population Action International. How many will have had

to work at an early age, destroying their health or hampering their education?

WHAT CAUSES CHILD LABOR TODAY?

Poverty is widely considered the top reason why children work at inappropriate jobs for their ages. But

there are other reasons as well -- not necessarily in this order:

1. family expectations and traditions

2. abuse of the child

3. lack of good schools and day care

4. lack of other services, such as health care

5. public opinion that downplays the risk of early work for children

6. uncaring attitudes of employers

7. limited choices for women

WHAT ARE SOME SOLUTIONS TO CHILD LABOR? - Not necessarily in this order:

1. Increased family incomes

2. Education — that helps children learn skills that will help them earn a living

3. Social services — that help children and families survive crises, such as disease, or loss of home

and shelter

4. Family control of fertility — so that families are not burdened by children

National Child Labour Project (NCLP)

This is the major scheme for the rehabilitation of child labour. Under the scheme, Project Societies at

the district level are fully funded for opening up of special school/Rehabilitation Centres for the

rehabilitation of child labour.

The special schools/Rehabilitation Centres provide non-formal education, vocational training,

supplementary nutrition, stipend etc. to children withdrawn from employment.

43

The child workers identified in the survey are put in the special schools and provided the following

facilities:

a) Non-formal/formal education

b) Skilled/craft training

c) Supplementary nutrition @ Rs. 5/- per child per day

d) Stipend @ Rs. 100/- per child per month

e) Health care facilities through a doctor appointed for a group of 20 schools.

Implementation of NCLP by SNBS

Since, the task of upliftment and development of marginalized section of the Indian society has

become more challenging with the liberalization and modernization of the economy and growing need

of human development and its proper deployment therefore, during the past four-year phase, SNBS

focused its efforts in two specific directions - engaging systems, community and community

representatives to ensure sustainable outcomes; and replication of successful practices in other areas on

a broader scale.

The dynamic changes engulfing the Indian Society and the world at large require adequate talent to

promote the national interest and lead to a vibrating and modern economy based on equality and

interdependence of various individuals and social classes and removing the irrelevant citadel of caste

system from India, which in today’s context has become a regressive practice for human existence and

growth.

In view of above, SNBS started four special child labor schools (with 200 child labor boy as well as

girl students) from 1st of August 2005, in four different slums of Agra with the objective of providing

protection and education to working children (Child Labor) in coordination with Labor Department,

Agra under National Child Labor Project.

SNBS took the task to educate those children who are exploited at their working places. The teachers

of the child labour schools of SNBS are engaged to develop their moral as well as intellectual skills so

that they can stand at their own feet, learn and understand the better ways of means and life and can be

grown up as best citizens of our Country.

Achievement up till July 2011

From 1st of August 2005, we are educating 200 Child labour (boy as well as girls) per year, in our four

special child labour schools located in four different slums of Agra City i.e. Nala Kaji Para, Ram

Nagar, Jagdish Pura, Chipitola.

Up till July 2011, a total of 642 Children from Special Child Labour Schools of SNBS has been

promoted and integrated with main stream of education.

Below are the details of child labour students integrated with main stream of education and

photographs of achievements of SNBS and main activities under NCLP, from beginning up till July

2011.

44

Inauguration of Child Labour School of SNBS by Mr. Sanjay Prasad, IAS, DM Agra, at Nagla Mohan on 01.08.2005

Mr. Sanjay Prasad, IAS, DM Agra, discussing with Children at Child Labour School at Nagla Mohan on 01.08.2005

Flag off of National Flag by Mr. B.K Roy, Astt. Labour Commissioner Agra, at Special Child Labour School at Nagla Mohan on the occasion of Independence day 15.08.2005

Mr. B.K Roy, Astt. Labour Commissioner Agra, celebrating Independence Day on 15.08.2005 along with Mr. Ravi Kashyap, President SNBS and Children of Special Child Labour School at Nagla Mohan

Mr. B.K Roy, Astt. Labour Commissioner Agra, inaugurating Bachpan Bachao rally of Children of Special Child Labour School at Nagla Mohan on 15.08.2005

Bachpan Bachao rally comprising Children of Special Child Labour Schools and staff of SNBS on 15.08.2005

45

Mr. S.K. Singh PCS, CDO Agra viewing the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 15.08.2005

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on 15.08.2005

Mr. B.K Roy, Astt. Labour Commissioner Agra, distributing Oral Hygiene kits comprising toothpaste, toothbrush and soap to the students of all Special Child Labour Schools of SNBS on 31.08.2005

Students of Special Child Labour Schools of SNBS, showing Oral Hygiene kits distributed to them

Mr. G.P. Pushkar, Hon’ble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, discussing students of Special Child Labour School of SNBS at Kajipara

Mr. G.P. Pushkar, Hon’ble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, discussing students of Special Child Labour School of SNBS at Kajipara

46

Dr. C.M. Mawar, CMO Agra inaugurating Eye Check-up and Treatment Camp at Special Child Labour School, Nagla Mohan on 04.10.2005

Dr. Noorjahan Sajid along with Dinesh Kumar, Optometrist conducting Eye Check-up and providing treatment to students of Special Child Labour School in Eye Camp at Teela Nand Ram

Mr. Ravi Kashyap along with Ms. Renu Nigam, Program Officer conducting parents meeting at Special Child Labour School

Mr. Ravi Kashyap along with Ms. Renu Nigam, Program Officer conducting parents meeting at Special Child Labour School

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on the occasion of Gandhi Jayanti on 02.10.2005

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on the occasion of Gandhi Jayanti on 02.10.2005

47

Mr. Virendra Yadav, Dy. Labour Commissioner, viewing the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 02.10.2005

Mr. Virendra Yadav, Dy. Labour Commissioner, addressed the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 02.10.2005

Mr. Virendra Yadav, Dy. Labour Commissioner, putting views against Child Labour, in workshop organized by NCLP at SNBS office on 04.01.2006

Discussion among representatives of NGOs working on Child Labour in Agra, in the workshop organized by NCLP at SNBS office on 04.01.2006

Mr. Virendra Yadav, DLC and Mr. Mahavir Prasad, Senior Fellow, V.V. Giri Rashtriya Shram Sansthan, in Warm Cloth Distribution Program organized by SNBS at Special Child Labour School, Jagdish Pura on 04.01.2006

Warm Cloth Distribution Program organized by SNBS at Special Child Labour School, Jagdish Pura on 04.01.2006

48

Mr. S.K. Nigam, DLC, Kanpur celebrating Republic Day at Special Child Labour School, Jagdish Pura on 26.01.2006

Ms. Renu Nigam, Program Officer, SNBS distributing sweets to students of Special Child Labour School, Jagdish Pura on the occasion of Republic Day on 26.01.2006

Study conducted by ICMR research team, Ahemdabad on difference between Health and Mental Development of Child Labour and normal children from 27.01.2006 to 01.02.2006 at SNBS Office

Study conducted by ICMR research team, Ahemdabad on difference between Health and Mental Development of Child Labour and normal children from 27.01.2006 to 01.02.2006 at SNBS Office

Bachpan Bachao rally organized by SNBS on 15.08.2006

Bachpan Bachao rally organized by SNBS on 15.08.2006

49

Mr. C.P. Roy, Hon’ble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, celebrating Independence Day on 15.08.2006 with students of Special Child Labour Schools at SNBS Office

Mr. C.P. Roy, Hon’ble Minister, Govt. of UP putting views on the occasion of Independence Day at SNBS Office

Puppet Show organized by SNBS on the occasion of Independence Day on 15.08.2006 at SNBS Office

Students of Special Child Labour Schools enjoying Puppet Show organized by SNBS on 15.08.2006 at SNBS Office

Smt. Ministi S. IAS, putting views on Health Camp for Child Labour children organized by SNBS with support of IMA & Health Deptt. Agra on 10.01.2007 at SNBS Office

300 child labours had provided Health checkup and medicines in Health Camp organized by SNBS for Child Labour children on 10.01.2007 at SNBS Office

50

Rally of Children of Special Child Labour Schools and staff of SNBS on the occasion of Antarashtriya Baal Shram Virodh Divas on 12.06.2007

Rally of Children of Special Child Labour Schools and staff of SNBS on the occasion of Antarashtriya Baal Shram Virodh Divas on 12.06.2007

Mr. Ravi Kashyap, President SNBS distributing 200 school bags to the Children of Special Child Labour Schools

Children of Special Child Labour Schools participating in Baal Sabha

Health Camps organized by SNBS in Child Labour Schools


51



Health Camps organized by SNBS in Child Labour Schools Health Camps organized by SNBS in Child Labour Schools

Students of Special Child Labour Schools of SNBS

performing in Annual program of NCLP

Monthly review meetings with staff of Child Labour Schools of SNBS

52

Mr. Anil Kumar IAS, DM Agra inaugurating rally organized by NCLP on the occasion of World Day Against Child Labour on 12.06.2008

Staff and Women Health Samities of SNBS participating in rally organized by NCLP on the occasion of World Day Against Child Labour on 12.06.2008

Staff and Women Health Samities of SNBS participating in rally organized by SNBS on the occasion of World Day Against Child Labour on 12.06.2009

Students of Child Labour Schools of SNBS sitting in Rikshaws holding banners, posters and opposing child labor with loud slogans in rally organized by SNBS on 12.06.2009

Rally of Students of Child Labour Schools of SNBS in various slums of Agra on 12.06.2009

Behavior change meeting with community members against child labour at Rahul Buddha Vihar, Nala Kazi Para on 12.06.2009

53

Mr. Munna Lal Bharti, Ward Member, Ram Nagar inaugurating rally of Students of Child Labour School of SNBS under School Chalo Abhiyan on 04.07.2009

Rally of Students of Child Labour School, Ram Nagar under School Chalo Abhiyan on 04.07.2009

Chaudhri Satish Chand, Social Worker inaugurating rally of Students of Child Labour School at Chipi Tola under School Chalo Abhiyan on 06.07.2009

Rally of Students of Child Labour School at Chipi Tola under School Chalo Abhiyan on 06.07.2009

Mr. Rajesh Kumar, Secretary, Dr. B.R. Ambedkar Jayanti Samaroh Samiti inaugurating rally of Students of Child Labour School at Nala Kaji Para on 07.07.2009

Rally of Students of Child Labour School at at Nala Kaji Para under School Chalo Abhiyan on 07.07.2009

54

Angila (U.K.) 21.7.10 with Child Labour

Child labour school – kazipada

55

CAMPAIGNS AND EFFORTS WITH FOGSI:

Hon’ble President of India Smt. Pratibha Patil, along with members of the Federation of Obstetrical & Gynecological

Societies of India (FOGSI) and Mr. Ravi Kashyap, President, SNBS at Rashtrapati Bhawan, New Delhi, on 1st October 08.

The Problem of Gender Bias in India:

Sex Ratio in India Today when we have forged into the 21st century and have conquered space and are

on the verge of human cloning we humans still remain biased towards the sex of the unborn child.

Wherever the human race exists in the world to whatever cast and crede the one fact that emerges loud

and clear is that the choice of the expected newborn invariably remains a boy. Whenever the news of

the arrival of a girl child is given to most of the population in India it is an aura of doom in the family

and the friends and well wishers place it as a cause of God on the couple which is related to the

"Karma's" of the parents. This major social "look down" on couples bearing female children has lead

to the couples and to the women themselves resorting to antenatal sex determination and selective

termination of pregnancy and the rampant demand and supply of this technique and procedure has lead

to the imbalance of the sex ratio in India.

It is well known that socio-cultural factors and practices, such as the status of women, patriarchal

structure of the society, preference for a son, fear of dowry and the belief that it is the son who can

look after the old parents and so on are the main reasons for adverse sex ratio. In view of the above,

SNBS joined hands with FOGSI to remove such practices from poor population of Agra and ―Save the

Indian Mother‖.

56

SAVING INDIAN MOTHERS AND BETI BACHAO:

The vision was to take this message to everywhere and awake every person towards his contribution to

women’s health and well-being. The very theme encompasses:

• Education of the adolescent girl

• Eradication of Anemia

• Regulate population and fertility

• Promote contraception and safe abortions

• Deliver safely

• Detect cancers

• Plant a Tree- Amla/Neem

The nutritious fruit of Amla- a symbol that the effort will fructify and a message to the village women

that Vit C, Iron and Calcium rich food is what they need during pregnancy.

FOGSI-ASTRA BHARAT JAGRUTI YATRA-2008:

The YATRA had arrived Agra on 19th Oct 08 to celebrate and unite the people of INDIA towards one

goal- a healthier, happier mother and to Save and educate the girl child. SNBS, along with its all

staff and Women Health Samities has organized the Health camps, awareness programs to spread this

message.

The overall impact of Yatra Awareness Program was very positive. People have decided to go to the

hospitals for regular antenatal checkups and delivery, after attending the awareness programs.

Below are the photographs of achievements of SNBS and main activities organized for urban poor

population with coordination of FOGSI, from beginning up till July 2009.

57

Welcome of the FOGSI ASTRA BHARAT JAGRATI YATRA 2008 at Agra by President, SNBS

Meeting with members of FOGSI ASTRA BHARAT JAGRATI YATRA 2008 along with CMO, Dy CMO Agra

Dr. Madhu Rajpal along with Mr. Ravi Kashyap, addressing Bundukatra DTHC coordination committee meeting about Beti Bachao, Beti Pardao Abhiyan

Dr. Bharat Sonkar ( Dy CMO Immunization) addressing Bundukatra DTHC coordination committee meeting about Beti Bachao, Beti Pardao Campaign

Dr. Narendra Malhotra, President FOGSI addressing people on importance of the campaign in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08

Mr. Surendra Singh IAS, CDO Agra, addressing people on protection and education of girl child in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08

58

Dr. B.P Ashok IPS, SP City Agra, addressing people on education of girl child in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS and flagged off by Mr. Surendra Singh IAS, CDO Agra, on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08, comprised of students, staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS, comprised of students, staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08

Huge rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08

59

CMO Agra inaugrating Women Health and Awareness Camp, organized by SNBS with help of FOGSI and Health Deptt. on International Women Day

Women and children seeking Health check up and Health services in Women Health and Awareness Camp on International Women Day

Health Check up of 3000 women was conducted and medicines provided in Camp on International Women Day

Women Health and Awareness Camp on International Women Day

450 Ultrasound were conducted by Dr. Narendra Malhotra, President FOGSI in Women Health and Awareness Camp on International Women Day

Dr. Narendra Malhotra conducting Ultrasound of community women in Women Health and Awareness Camp on International Women Day

60



Women and children seeking Health check up and Health services in Women Health and Awareness Camp on International Women Day

Eye Check up of 200 women were conducted and 20 women were referred for operation in Health Camp on International Women Day

Mr. Ravi Kashyap, SNBS along with ward members providing counselling on Healthy behaviours to women in Health and Awareness Camp on International Women Day

Mr. Ravi Kashyap, SNBS creating awareness on Health and removing myths and misconsuptions amoung community women in Health and Awareness Camp

61

RCH CAMPS IN AGRA URBAN UNDER SIFPSA PROJECT

Maternal health services, particularly antenatal care and postnatal care services require special

attention to reduce both maternal and infant mortality. Large proportions of women in urban areas are

anaemic and are not protected against tetanus. The reach of child health services and their acceptability

have to be increased in order to reduce infant mortality. Immunization of children against vaccine-

preventable diseases, proper management of diarrhoea, treatment of acute respiratory infection and

improved nutrition are the important measures that need to be strengthened.

The camp approach may not be the best approach to provide high-quality services on a regular and

continuous basis but, given the current service delivery situation, is the best suited to reach those in

need of services.

Keeping in view of the above, Shri Niroti Lal Buddha Sansthan (SNBS) started RCH camps with

support of Department of Medical Health & Family Welfare (DMHFW) under SIFPSA Project in

urban slums of Agra City, during year 2003 – 2004, in order to improve access to and quality of

services. SNBS have been selected and provided the opportunity for implementation of the RCH

Camps by CMO Agra, because of its strength in community mobilization and extensive network.

Staff of SNBS created mass awareness through inter personal counseling and provide family welfare

services at doorsteps to people in urban areas.

Achievements of SNBS

During the period 2003 to 2004, SNBS has organized 181 RCH Camps in urban slums of Agra City

and a total of 18589 patients were provided Health check up, ANC, Immunization and other Health

services.

In these RCH camps Oral Contraceptive Pills and Nirodh were provided to 4877 women; ANC of 999

pregnants were conducted, TT vaccination of 859 pregnants, IFA Tablets provided to 1582 women,

Immunization of 4962 children, Health counseling to 6981, Health Check up of 3016 women by Lady

Doctor, check up and treatment to 72 RTI/ STI patients, and treatment to 5222 other patients was

provided along with medicines.

Below are some photographs of these RCH camps organized by SNBS.

62

HIV/ AIDS AWARENESS:

AIDS

No other word engenders as much fear, revulsion, despair and utter helplessness as AIDS. Despite

increased AIDS awareness, the terror persists. AIDS is, in fact, rewriting medical history as

humankind's deadliest scourge.

The first AIDS case in India was detected in 1986, and since then, HIV infection has been reported in

all states and union territories.

Estimated number of people living with HIV/AIDS, 2007 (according to NACO)

People living with HIV/AIDS: 2.31 million

Adult (15 years or above) HIV prevalence: 0.34%

Previously it was thought that around 5 million people were living with HIV in India - more than in

any other country. Better data, including the results of a national household survey conducted in 2005-

2006, led to a major revision of the prevalence estimate in July 2007. It is now thought that around 2.3

million people in India are living with HIV. Of these, an estimated 39% are female and 3.5% are

children.

National Family Health Survey 2005-2006, HIV statistics

The National Family Health Survey, which tested more than 100,000 people for HIV, also found

prevalence to be higher in urban areas (0.35%) than in rural areas (0.25%).

AIDS statistics

NACO has not produced estimates of the number of people living with AIDS and the number of

people who have died from AIDS, for some time. Some of the last figures produced were from 2005,

which showed that by the end of 2005 the total number of reported AIDS cases in India was 116,905,

of which 34,177 were women. Around a third of these were among people younger than 30 years.

These figures significantly under-represent the actual number of people living with AIDS. Many AIDS

deaths go unreported in India, due to unprecedented levels of stigma and discrimination. In many

situations a patient will die without HIV having been diagnosed, and with the death attributed to an

opportunistic infection, such as tuberculosis.

Main Events for HIV/ AIDS Awareness organized by SNBS

In order to address the HIV/AIDS pandemic, Mass awareness events carried out by SNBS every year

to educate, motivate, and mobilize the local community in the response to HIV/AIDS. Below are the

photographs of main activities organized by SNBS, from beginning up till July 2009.

http://www.avert.org/aids.htm

http://www.avert.org/hiv.htm

http://www.avert.org/aidsstigma.htm

63

Mr. Kailash Chand, Ward Member, inaugurating Puppet show on AIDS Awareness Program on the occasion of Youth Day on 12.01.08 in Nagla Jassa slum

Community enjoying Puppet show on AIDS Awareness Program on the occasion of Youth Day on 12.01.08 in Nagla Jassa slum

AIDS Awareness rally flagged off by Dr. N.C. Prajapati, Principal SNMC, Agra on the occasion of International Youth Day on 12.08.08

SNBS staff and Women Health Samities in AIDS Awareness rally on International Youth Day on 12.08.08

AIDS Awareness Rath of SNBS on International Youth Day on 12.08.08

SNBS staff and Women Health Samities in AIDS Awareness rally on International Youth Day on 12.08.08

64

Dr. N.C. Prajapati, Principal SNMC, Agra giving speech on AIDS along with Project Officer and President SNBS at IMM Center, Agra on International Youth Day on 12.08.08

Students enjoying Magic Show on AIDS awareness organized by SNBS at Hallman Higher Secondary School, Agra on International Youth Day on 12.08.08

Students participating in Essay & Quiz Competition on AIDS organized by SNBS at Hallman Higher Secondary School, Agra on International Youth Day on 12.08.08

Ms. Soma Jain disseminating information about HIV/ AIDS in Awareness Camp organized by SNBS at Ambedkar Bhawan, Nala Kaji Para on World AIDS Day on 01.12.08

Mr. Ravi Kashyap along with SNBS staff distributing pamphlets on AIDS awareness at MG Road on World AIDS Day on 01.12.08

Mr. Ravi Kashyap along with SNBS staff distributing pamphlets on AIDS awareness at MG Road on World AIDS Day on 01.12.08

65

LIC SCHEMES FOR URBAN POOR

Since SNBS has undertaken the task to promote the welfare of this section of the society, lead to their

upliftment and development for integration with the total society by improvement in their economic

standards. For this, SNBS joined hands with Life Insurance Corporation of India in 2001, as a nodal

agency to provide benefits of the schemes of LIC especially for poor community. Details of the LIC

schemes for which SNBS is working as nodal agency of LIC are given below:

JANASHREE BIMA YOJANA (LIC): The objective of the scheme is to provide life insurance

protection to the rural and urban poor persons below poverty line and marginally above the poverty

line.

ELIGIBILITY: A person who is

*Aged between 18 and 59 years.

*Below or marginally above poverty line

*A member of any of the approved vocation/occupation groups

NODAL AGENCY: A State Government Department which is concerned with the welfare of any

such vocation/occupation group, a Welfare Fund/ Society, Village Panchayat, NGO, Self-Help Group,

etc.

MINIMUM MEMBERSHIP SIZE: Twenty five.

BENEFITS: In the events of

*Death (other than by accident) of the member, an amount of Rs.30,000/- is payable.

*death/total permanent disability, due to accident, an amount of Rs.75,000/-is payable.

*Permanent partial disability, due to accident, an amount of Rs.37,500/- is payable.

PREMIUM:

*The premium under the scheme is Rs.200/-per annum per member. *50% of the premium i.e.

Rs.100/- will be contributed by the member and/or Nodal Agency/State Government.

* Balance 50% will be borne by the Social Security Fund.

APPROVED VOCATION & OCCUPATIONAL GROUPS

a) The group that can be covered are like workers in -

(i) Foodstuffs like khandsari

(ii) Textile

(iii) Manufacture of wood products

(iv) Manufacture of paper products

(v) Manufacture of leather products

(vi) Printing

(vii) Rubber and coal products

(viii) Chemical products like candle manufacture

(ix) Mineral products like earthern toys manufacture

(x) Fire cracker's workers

(xi)Construction workers

(xii)Other related cottage industries to be identified by Nodal Agencies and other groups as identified

by the Nodal Agency and approved by LIC.

66

b) The occupational groups are : Beedi workers, Brick Kiln Workers(Jalandhar),Carpenters,

Cobblers, Fisherman, Hamals, Handicraft Artisans, Handloom Weavers, Handloom and Khadi

Weavers, Lady Tailors, Leather and Tannery Workers, Papad Workers attached to 'SEWA', Physically

Handicapped self- Employed Persons, Primary Milk Producers, Rickshaw Pullers/ Auto Drivers, Safai

Karmacharis, Salt Growers, Tendu Leaf Collectors, Scheme for the Urban Poor, Forest Workers,

Sericulture, Toddy Tappers, Powerloom Workers, Scheme for Women in Remote Rural Hilly Areas.

SHIKSHA SAHAYOG YOJANA (LIC): This is a scholarship scheme launched on 31.12.2001 for

the benefit of children of members of Janashree Bima Yojana.

ELIGIBILITY: Students studying in ix to xii standards, whose parents are covered under Janashree

Bima Yojana. If a student fails and is detained in the same standard, he will not be eligible for

scholarship for the next year in the same standard.

BENEFIT: Scholarship of Rs 300/- per quarter per child will be paid for maximum period of 4 years.

The benefit is restricted to two children per member(family) only.

PREMIUM: No premium is charged for the scholarship

SCHOLARSHIP CLAIMS: The Nodal Agency identifies the students. The member of Janashree

Bima Yojana whose child is eligible for scholarship has to fill up an application form (available with

Nodal Agency) and submit to the Nodal Agency. The applications duly filled up and certified will be

sent along with the list of the beneficiary students by the Nodal Agency to the concerned LIC, P&GS

Unit for disbursement of scholarship/s. The scholarship/s will be disbursed to the beneficiary students

through the concerned Nodal Agency.

As only a limited number of beneficiaries provided scholarship under the scheme, the selection for

eligible students made on the basis of poorest of the poor.

Achievement till date:

Period Insurance Policy

conducted under

JBY

Claims provided Scholarships provided

under SSY

2001-2002 25 - -

2002-2003 130 - -

2003-2004 414 5 24

2004-2005 707 7 110

2005-2006 500 5 281

2006-2007 210 - 93

2007-2008 30 - 32

2008-2009 30 - -

TOTAL 2046 17 540

Below are the photographs of achievements of SNBS, from beginning up till date.

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Dr. Roshan Lal, CMO distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominee women along with Mr. Ravi Kashyap, President SNBS and Ms. Humera Khan, Program Officer, DIFPSA

Dr. O.P. Verma, Dy. CMO distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominee women along with Mr. Ravi Kashyap, President SNBS

Ms. Renu Nigam, Program Officer along with Mr. Ravi Kashyap, President SNBS disseminating information about Jan Shri Bima Yojana (LIC) in Teela Nand Ram

Mr. Ravi Kashyap, President SNBS distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominees

Shri V.P. Nishad, Hon’ble Minister, Govt. of UP discussing with Mr. Ravi Kashyap, President SNBS and about different Policies of LIC their benefits to the community

Shri V.P. Nishad, Hon’ble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

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Shri V.P. Nishad, Hon’ble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri Virendra Yadav, DLC, Agra along with Ms. Renu Nigam, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri G.P. Pushkar, Hon’ble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri G.P. Pushkar, Hon’ble Minister, Govt. of UP with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Dr. O.P. Verma, Dy. CMO distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Dr. K.L. Agarwal distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

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AWARENESS CAMPAIGNS FOR ENVIRONMENT AND TREE PLANTAION:

Benefits of clean environment and trees:

Social Benefits

We like trees around us because they make life more pleasant. Most of us

respond to the presence of trees beyond simply observing their beauty. We feel

serene, peaceful, restful, and tranquil in a grove of trees. We are ―at home‖

there. Hospital patients have been shown to recover from surgery more quickly

when their hospital room offered a view of trees. The strong ties between people and trees are most

evident in the resistance of community residents to removing trees to widen streets. Or we note the

heroic efforts of individuals and organizations to save particularly large or historic trees in a

community.

The stature, strength, and endurance of trees give them a cathedral-like quality. Because of their

potential for long life, trees frequently are planted as living memorials. We often become personally

attached to trees that we or those we love have planted.

Communal Benefits

Even though trees may be private property, their size often makes them part of the community as well.

With proper selection and maintenance, trees can enhance and function on one property without

infringing on the rights and privileges of neighbours.

Environmental Benefits

Trees alter the environment in which we live by moderating climate, improving air quality, conserving

water, and harbouring animal and birdlife. Climate control is obtained by moderating the effects of

sun, wind, and rain. Radiant energy from the sun is absorbed or deflected by leaves on deciduous trees

in the summer and is only filtered by branches of deciduous trees in winter. We are cooler when we

stand in the shade of trees and are not exposed to direct sunlight. In winter, we value the sun’s radiant

energy. Therefore, we should plant only small or deciduous trees on the south side of homes.

Wind speed and direction can be affected by trees. The more compact the foliage on the tree or group

of trees, the greater the influence of the windbreak. The downward fall of rain, sleet, and hail is

initially absorbed or deflected by trees, which provides some protection for people, pets, and buildings.

Trees intercept water, store some of it, and reduce storm runoff and the possibility of flooding.

Dew and frost are less common under trees because less radiant energy is released from the soil in

those areas at night.

Temperature in the vicinity of trees is cooler than that away from trees. The larger the tree, the greater

the cooling. By using trees in the cities, we are able to moderate the heat-island effect caused by

pavement and buildings in commercial areas.

Air quality can be improved through the use of trees, shrubs, and turf. Leaves filter the air we breathe

by removing dust and other particulates. Rain then washes the pollutants to the ground. Leaves absorb

carbon dioxide from the air to form carbohydrates that are used in the plant’s structure and function. In

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this process, leaves also absorb other air pollutants - such as ozone, carbon monoxide, and sulphur-

dioxide and give off oxygen.

By planting trees and shrubs, we return to a more natural, less artificial environment. Birds and other

wildlife are attracted to the area. The natural cycles of plant growth, reproduction, and decomposition

are again present, both above and below ground. Natural harmony is restored to the urban

environment.

HEATING AND COOLING COSTS-

A 25 foot tree reduces annual heating and cooling costs of a typical residence by 8 to 12 percent,

producing an average $10 savings per American household. Also, buildings and paving in city centers

create a heat-island effect. A mature tree canopy reduces air temperatures by about 5 to 10°F,

influencing the internal temperatures of nearby buildings.

AIR QUALITY AND CLEANSING-

A typical person consumes about 386 lb of oxygen per year. A healthy tree, say a 32 ft tall ash tree,

can produce about 260 lb of oxygen annually - two trees supply the oxygen needs of a person each

year! Also, cooler air temperatures created by tree canopies reduce smog levels by up to 6%,

producing savings in air clean-up campaigns. Finally, a mature tree absorbs from 120 to 240 lbs of the

small particles and gases of air pollution. In Sacramento, CA, for instance, this represents a value of

$28.7 million.

IMPROVED WATER QUALITY-

The canopy of a street tree absorbs rain, reducing the amount of water that will fall on pavement and

then must be removed by a storm water drainage system. In one study, 32 feet tall street trees

intercepted rainfall, reducing storm water runoff by 327 gallons. Savings are possible since cities can

install surface water management systems that handle smaller amounts of runoff.

Achievements of SNBS:

Below are the photographs of achievements of SNBS, from beginning up till date.

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Dr. Alok Kr. Shukla, Dy. Jailor, giving presentation on benefits of clean environment in workshop organized by SNBS on 11.07.2004

Ms. Rashida Begum, Ward member, giving presentation on benefits of clean environment in environment awareness camp organized by SNBS in Dera Saras slum

Dr. Roshan Lal, CMO Agra inaugrated Awareness rally against Polythene organized by SNBS on 11.06.2005

Dr. Roshan Lal, CMO Agra along with Dr. R.K. Mishra, Dy CMO and Mr. Ravi Kashyap, President SNBS in Awareness rally against Polythene organized by SNBS on 11.06.2005

SNBS staff in Awareness rally against Polythene


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Smt. Surina Rajan IAS, ILO, Mr. Sharda Prasad IAS, Labor Commissioner, Mr. Sanjay Prasad IAS, DM Agra, Mr. SK Singh PCS, CDO, Agra in tree plantation program organized by SNBS on 03.08.2005

Mr. Sharda Prasad IAS, Labor Commissioner putting his views on benefits of trees in tree plantation program organized by SNBS on 03.08.2005

Smt. Surina Rajan IAS, ILO, putting his views on benefits of trees in tree plantation program organized by SNBS

Mr. Sharda Prasad IAS, Labor Commissioner planting tree

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Mr. Sanjay Prasad IAS, DM Agra planting tree

Mr. SK Singh PCS, CDO, Agra planting tree

Mr. Virendra Yadav, Dy Labor Commissioner Agra planting tree

Mr. Lalit Kumar, presenting on environment in Awareness Camp organized by SNBS on International Ozone Layer Protection Day on 16.09.2005

A child from Child Labor school, Nagla Mohan presenting on environment in Awareness Camp organized by SNBS on International Ozone Layer Protection Day on 16.09.2005

Awareness rally on International Ozone Layer Protection Day organized by students of Child Labor school of SNBS

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Awareness rally on International Ozone Layer Protection Day organized by SNBS at Nagla Mohan on 16.09.2005

Mr. Vinod Kumar, presenting on environment in Awareness Camp organized by SNBS at Teela Nand Ram

Awareness rally on International Ozone Layer Protection Day organized by students of Child Labor school of SNBS at Teela Nand Ram on 16.09.2005

Drawing and Painting Competition on Environment

Drawing and Painting Competition

Dr. Narendra Malhotra along with Mr. Ravi Kashyap, President SNBS planting trees in Ashram at Devri Road

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TB CAMPS AND AWARENESS CAMPAIGN:

Tuberculosis (TB) is an infectious disease caused by Mycobacterium

tuberculosis. It is spread through the air by a person suffering from

pulmonary TB. A single Sputum +ive Patient can infect 10-15 people in

a year if not treated. India contribute 1/3rd global burden of TB and TB

has been declared a Global Emergency.

In India there are 14 million TB patients; 2 million new TB patients are

added every year of which 1 million are of infectious type.

More adults die from TB than from any other infectious disease in

India, more than 1000 every day and 1 every minute. TB kills women

more than all causes of maternal mortality combined and every year in India 300000 children leave

school on account of their parents TB. TB is the most common opportunistic disease in people living

with HIV.

In view of the above fact, SNBS conducted a TB Camp with support of Medicine Deptt., S.N. Medical

College, Agra at Choti Athai slum on 25.04.2004.

During this camp 32 patients were identified as TB infected and treated further by the Medicine Deptt.

of S.N. Medical College, Agra. Keeping in view of such a large number of identification of TB

patients in only one slum, SNBS intends to look forward for the sake of poor population in other urban

slums and started TB Awareness Program in 20 urban slums of Agra for six days from 26.05.2005 to

31.05.2005. In this awareness program, SNBS staff approached house to house for identification of TB

patients on the basis of basic symptoms.


A total of 556 TB patients were identified and were motivated to seek treatment and referred at

TBDTC during the TB Awareness Program organised by SNBS in 20 urban slums of Agra for six days

from 26.05.2005 to 31.05.2005.

In order to address the TB pandemic, Mass awareness events were also carried out by SNBS to

educate, motivate, and mobilize the local community in the response to TB.

Below are the photographs of main activities organized by SNBS.

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Dr. Veer Singh, Medicine Deptt. S.N. Medical College, Agra examining TB patients in TB Camp organized by SNBS at Choti Athai slum on 25.04.2004

Capacity Building Workshop of SNBS staff on symptoms of TB for identification of TB patients in slums, organized by DTBCS, Agra at TBDTC on 26.05.2005

Capacity Building Workshop of SNBS staff on symptoms of TB for identification of TB patients in slums, organized by DTBCS, Agra at TBDTC on 26.05.2005

SNBS staff identifying TB patients in slums, on basic symptoms and their referral



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Mr. Ravi Kashyap along with TBDTC staff conducting awareness camps in slums and providing referral services

TBDTC staff conducting checkups and providing referral services

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SOCIAL MARKETING INITIATIVES:

Safe Water & Child Survival:

Situated along the banks of river Yamuna, the northern Indian city of Agra takes pride in being the

land of the Taj Mahal. But behind this veneer, lie the poverty and squalor of numerous slums.

Agra, spread over 140 sq. km. along the banks of the river Yamuna in western Uttar Pradesh, is a good

example of a fast growing million plus city. It is India’s premier tourist destination – in 2007-08 it

witnessed an inflow of 2.7 million foreign tourists bringing in revenue of US$ 2.3 million to the Taj

Mahal alone.

Agra also has a sizeable urban poor population, mostly residing in its burgeoning slums. The

population living in slums or squatter settlements was estimated at 8.41 lakh, which is about 50% of

the city’s total population.

Poor living conditions

Slums live constantly under the threat of demolition and eviction. Rampu Ki Jhopri is an example of a

slum which was demolished and relocated at a further distance from its original location. Now the

open space is used by the urban poor to tie up cattle owned by them and for drying dung cakes.

Sanitation is the most pressing issue in a majority of slums with situations varying from existence of

individual toilets which lead into open drains to a total absence of individual or public toilet facility.

Public toilets provided in slums suffer from lack of regular cleaning, rendering them unusable. This is

visible in slums like Nala Mantola, Nagla Bhavani Singh and Ghatiya Mamu Bhanja.

Children defecate in drains in most slums. Drains are open and narrow, which remain blocked due to

disposal of solid waste and absence of regular cleaning. In Rampu Ki Jhopri, Gopalpura and Takht

Gumbat Pehelwan, open spaces are used for sewage and garbage disposal, creating an extremely

unhealthy environment.

Public taps and hand pumps provided in slums often dry up in summers, leaving residents dependent

on ground water for meeting their basic needs. Water quality is poor. At times residents access the

drinking water by inserting utensils or pipes through the wastewater itself.

In some areas one can witness the broken water mains over a drain and people hanging their buckets to

fetch drinking water from the cracked pipes just above the slushy drain.

Water from pipes next to drains has also led to cases of water-borne diseases, particularly among the

children.

There are also certain neighbourhoods where the womenfolk have to walk as much as two to three

kilometres to fetch water. They manage to gather water by digging and it is not fit for drinking.

“There are no hand pumps. There is no water in taps as well. Women have to travel long distances to

get water. We are facing a lot of problems. Children are falling sick. There is no water anywhere

somehow we are getting water from cracked pipes near drains and are trying to fulfill our

requirement,' said Hem a resident.

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Piped water supply was available to only 7 percent of the slum households. 78 percent of them

depended on public taps for water.

About 63 percent of the slum households use some kind of flush toilet facility, largely pit toilets and

septic tanks, while 33 percent defecate in the open.

Addressing the challenges

The situation of the urban poor in Agra echoes their plight in similar cities across India. In spite of

their vital contribution to the city’s economy, the urban poor do not receive the benefits of city life.

Their isolation is manifested in slums, which are a reflection of inequality and social exclusion in

urban areas.

To address the challenges faced by the urban poor in Agra, it is essential to:

Strengthen services with a focus on vulnerable urban poor settlements;

Explore innovative approaches to expand breadth of affordable services among vulnerable

slums – both public and private;

Influence community demand for services and link community with providers to address the

increased demand sufficiently;

Help slum communities organize themselves to negotiate change through collective action;


In order to address the problem of safe drinking water for urban poor population of Agra, SNBS

adopted Social marketing as an effective way for the same. For this, SNBS started motivating low-

income and high-risk people to adopt healthy behaviour, including the use of SAFEWAT.

A key ingredient of successful social marketing is effective communications to encourage the adoption

of appropriate health practices (including proper use of the products and services). So, from May 2009,

SNBS started advertising SAFEWAT by generic educational campaigns, using a mix of strategies and

channels, including interpersonal communications, to reach the mass population.

Project implementation start date – 8th

June 2009

In June 2009, SNBS launched SAFEWAT and set the target as:

Target population/location

All urban slums of Agra City

Low income urban areas

Key Practices

“Consumption of safe water, in a consistent and exclusive manner, by all family members of all slums

of Agra City, by regularly using the safe water system to treat water and store it safely’’

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Including, adoption of hygienic practices that impact on water and food safety, in particular:

Hand washing

Clean food preparation

Clean toilet habits, including sanitary disposal of feces

Proper garbage disposal

Including continuation of healthy practices known to play a protective/beneficial role:

exclusive breastfeeding

vaccination

oral rehydration therapy

increased feeding for up to two weeks following a diarrheal episode

Intervention elements

Sodium hypochlorite disinfectant produced by private sector manufacturer for PSI. The brand name is

SAFEWAT.

SNBS ensured Social marketing of SAFEWAT with full cost recovery through CLVs / AWWs/ ANMs

which can earn a margin on each unit sale of disinfectant.

Current status of project

Communication material about SAFEWAT have been developed and distributed in slums, and training

of 500 Women Health Samiti members including 33 CLVs at slum level has put in place on inter-

personal communication and door-to-door sales of SAFEWAT.

As per records of sales data, SNBS has achieved sales of 1500 SAFEWAT bottles up till 8th

July 2009.

Despite of this, in view the necessity of Sanitary Pads to Women in slum areas and Iodine

requirements for physical as well as mental fitness of their children, 5000 packets of 1 Kg of Iodine

Salt and 150 sanitary pads have also been sold by SNBS in these areas, up till 8th

July 2009.

Below are the photographs of main activities organized by SNBS.

SAFEWAT Bottle Capacity Building Workshop of Women Health Samities and SNBS staff on Social Marketing of SAFEWAT and Iodine salt organized by SNBS at Nala Kaji Para

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Capacity Building Workshop of Women Health Samities and SNBS staff on Social Marketing of SAFEWAT and Iodine salt organized by SNBS at Nala Kaji Para

Member of Women Health Samities giving presentation on Social Marketing of SAFEWAT and Iodine salt at Nala Kaji Para

SNBS staff distributing pamphlets of SAFEWAT among slum community

SNBS staff distributing pamphlets of SAFEWAT among slum community

CLVs distributing sanitary pads to Women Health Samities for Social Marketing

CLVs distributing sanitary pads to Women Health Samities for Social Marketing

progress report 2006 - 2011

Documents