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SERVE TRAIN EDUCATE PEOPLE’S SOCIETY
Annual Report 2010-11
Registered Office
3-689 Nagari Street, SRIKALAHASTI – 517644
Chittoor-dt,Andhra Pradesh, India
Phone no: 91 8578 222441
E-mail: [email protected], Website: www.steps.org.in
With special consultative status in the United Nations Economic and Social Council (ECOSOC)
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Message from the Chairperson
Greetings from STEPS
The rapidly changing development scenario has placed more responsibility on
STEPS. The progresses of the various programmes are satisfactory.
We are grateful to the donors for the understanding and support we have
received from them by way of funding. We are also grateful to the government
departments from whom we have received support and recognition
We are thankful to the International HIV/AIDS Alliance, Clinton Foundation,
Vasavya Mahila Mandali, Vijaywada for providing funding and guidance. We
are also thankful to Department of Health and family welfare, Government of
Andhra Pradesh, Collector, DM&HO Chittoor district, Local Municipal and
Revenue officials for the support and encouragement at several interventions.
The development dialogue pursued enhanced capacity building through
launching net work agencies for meaningful intervention. STEPS became
member and developed network, partnership with number of International
Organisations.
On behalf of the executive committee I would like to record my appreciation of
the diligence commitment of STEPS staff at all levels for their dedication and
hard work during implementing different programmes. A special word of
appreciation must go to CBO members for their whole hearted support for
promotion of human development in different activities. STEPS continued its
work in the field of health, mainly concentrating on HIV/AIDS, Malaria,
infectious diseases and Human Rights
Dr. P. Prameelamma
President, STEPS
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About STEPS
Serve Train Educate People’s Society (STEPS) established in the year 1993 as a non-profit,
non-governmental, voluntary organization at Srikalahasti a famous Pilgrim town in
Chittoor District, Andhra Pradesh state, India. Its head office at Srikalahasti has been
working since 1993 with a commitment to rouse rural and urban poor, make them better
living and participation in action for all round development. The president of STEPS who
is a Medical Doctor acting as chief functionary and to share her responsibility one
Executive Director has been nominated to facilitate administration and implementation
of programmes. All programmes are headed by volunteers and development facilitators
with participation and involvement of peoples committees. This NGO gives special
emphasis on Medical and health aspects of those particularly preventive and curative
health related programmes with a special focus on children, Adolescent girls and boys
and Women with more specifically emphasis on strengthen and expand HIV/AIDS &
Malaria clinical, awareness and advocacy services, integrated child health and education
to the needy. Organization of women into groups and to promote grass root level
initiation for their empowerment. Safe guards human rights in the form of equal rights
for children, women, and adolescents with right to live with dignity and universal right on
common resources with grass root level initiations.
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Vision : The Vision of the society is to become centre of excellence in the field of medical and
Health, Women empowerment, child development, Human rights and environment related
programmes through innovations particularly for the marginalized by engaging into partnership
with national and international agencies
Mission: To provide better future to the most vulnerable women, children of those particularly
deprived sections by protecting their health needs and rights women’s reproductive health,
providing education, environment and improving their living conditions with an integrated
approach. We believe that good health, well being and access to affordable health services are
fundamental human rights.
Strategies: To provide medical aid in rural and urban slums and to organize the programmes
of sanitation, health and maternity services and trains the organizers at the village level.
To undertake disease control programmes like HIV/AIDS, Malaria, TB, Cancer, Leprosy
To undertake environmental pollution control programmes, slum clearing programmes, tree
plantation, agriculture, social forestry and nursery.
To start vocational and income generation training canters and organizing self help groups in
rural and urban slums to uplift poor community for their sustainable development.
To organize orphan homes, child care canters, crèche canters, day care canters and street
children programme and to start rehabilitation canters for the physically handicapped children.
To collaborate with other institutions, associations and societies in India and Abroad interest in
similar objects.
Our Strategies for Change: If the Millennium Development Goals (MDGs) are to be met and
sustained, we must rapidly move towards the goals of Promote gender equality and empower
women (Goal 3), Reduce child mortality rates (Goal 4), Improve maternal health (Goal 5 , Combat
HIV/AIDS, malaria, and other diseases( Goal 6).We believe that if adequate opportunities are
available, along with equal opportunities, people from socio-economically weaker sections of the
community need guidance and support to utilize these opportunities effectively.
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Registration Details
STEPS is a Non Governmental Organization registered on 8-10-1993 under societies Registration Act XXI of 1860 of Government of Andhra Pradesh. Registration Number: 592, dated 8-10-1993
Registered with union Home Ministry Govt of India on 18-2-1999 under FCRA.
Registration Number: 010140216,
Registered with Ministry of Finance, Government of India under 12A and 80G of the income Tax Act.
Income Tax Permanent Account No: AAF TS 6022B
12A: F. No HQrs/308/CIT/TPT/2005-06 dated 22-0502006
80G (All contributions to STEPS are exempt
under Section 80(G) of the Income Tax) : F.No.H.Qrs.1(105)/CIT/TPT/2008-09
AP Professional Tax Enrolment: P Tin 28366864304 dated 22-07-2010
Member/Partnership/Networks
1. White Ribbon Alliance for Safe Mother Hood,
2. The Partnership For Maternal New Born & Child Health,
3. Global Health Council,
4. ChildStatusNet
5. NGO Connect.NET,
6. World Association of Non Governmental Organizations,
7. India Country Coordinating Mechanism for the Global Fund.
8. STOP TB Partnership,
9. Women Deliver
10. Malaria Foundation International, USA,
11. The Development CAFE
12. NGO Gateway,
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Details of STEPS Executive committee Members(As on 31st March 2010)
Sl.No Name Gender Designation Area of Competency
1 Dr. Mrs.P. Prameelamma MBBS, DGO Female President Medical Doctor
2 Dr. K. Venkatraman MBBS, DCH Male Vice president Medical Doctor
3 Mrs.P.Sarojamma Dip. In Public health
Female Secretary Social Worker
4 Mrs.S.Akkamma Female Treasurer Social Worker
5 Dr.Mrs.D.Usha Rani MA, PhD Female Executive Member Academician
6 Dr.Mrs.M.Sridevi MS, DNB,FRCS Female Executive Member Medical Doctor
7 Dr.Mrs.C.Aurag Msc, phD Female Executive Member Academician
8 Mrs.K.Kalyani B.Tech Female Executive Member Academician
9 Mrs.C.Nagamani Bsc, Dip in chid health
Female Executive Member Social Worker
None of the STEPS Executive members are related by blood or marriage. STEPS held 3 meetings, suitably spaced, in the Year 2010/11.
Staff Working in STEPS
S.No Sex Full Time Part time Paid Voluntary
1 Male 6 7 12 1
2 Female 11 12 23 0
Salary Distribution As on 31/03/2011
Salary Male Female Total
< 5000 14 15 29
5000 – 10000 1 3 4
10000 - 25000 1 1 2
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Objectives
Reduction of STI Prevalence among Key Population and their clients
Increased condom usage amongst Sex Workers and their clients in these sites
Increased empowerment of Sex Workers Committees and creation of an enabling environment
Providing clinical services for STI and opportunistic infections to the Key Population
Empowerment of Key Population to follow safe sex behavior and practices
STEPS AVAHAN PROJECT
Supported By India HIV/AIDS Alliance
Implementing STEPS Avahan Project in Srikalahasti, Puttur, Thottambedu, Pichattur, and
Satyavedu mandals supported by Alliance for AIDS action, Hyderabad. working with key
population of Female Sex Workers(FSWs), Male Sex with Male (MSMs), People Living with
HIV/AIDS(PLHAs) by developing enabling environment and providing STI treatment, basic
HIV care, Creating awareness about STI, HIV/AIDS among key population.
Goal
To contribute the reduce spread and impact of HIV in Andhra Pradesh through empowerment of key population to manage sustainable community level responses.
Vision
The vision of Avahan project is of a healthy society where people do not die of AIDS
Mission
Mission of avahan project is to enable communities to reduce the spread of HIV, to lessen the impact of AIDS and to improve quality of life
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Fact Sheet:
Area of Operation Working Mandals
Sri Kalahasti
Puttur
Pichattur
Thottambedu
Satyavedu
No of Clinics
4
Field Staff
21
Clinic Staff
4
No of DICs
4
Working Populations
FSWs, MSMs and PLHAs 1005
Project Coordinator
MIS Officer Accountant Doctor
ORWs - 4
Peer Educators - 17ANM
Project Director
STEPS AVAHAN ORGANOGRAM
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Strengthening and Consolidating the Outreach
Objective : Improved knowledge, skills and access among KPs to adopt safe sex practices
No Output Activities for Achieving the Output Project Level / Site Level
1.1 Identification of 150 New Key Population through Out reach workers
Key Populations new identifications. Srikalahasti 25 KPs, Puttur 50 KPs, Thottambedu 25 KPs, Pichatur 25 KPs, and Satyavedu 25 KPs.
1.2 One to one interactions through IPC tools to build /improve rapport with Key Populations to access the services
All sites
1.3 Distribution of UID cards to all Identified KPs and Provide hand books to Know the repeat visits to clinic
All sites
1 New KPs (FSWs, MSM & TG) are identified
1.4organised/conduct events and magnet shows at hotspot and DIC level
All sites
2.1 Conducting one to one Sessions with all the Key Populations using IPC tools to build awareness on STI/HIV/AIDs , TB and Safe Sex practices
All sites
2.2 Conducting Group meetings on specific topics and issues to improve knowledge on BCC
All sites
2.3 Strengthening of Community groups with Key Populations in the Hotspots and in near area Key Populations
All sites
2.4 performing Magnet shows in hotspots and DICs in specific issues for improve solving their own problems and community issues
All sites
2 Improveded knowledge on STI/HIV/AIDS and TB, Safe sex, literacy levels, improved linkages & Networking to KP
2.5Performance of Cultural Activities at hot spot and DIC level
All sites
3 Improved access to DIC 3.1 Celebrated important festivals and All sites
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organize events to improve the DIC utilization and activities
3.2 performing Magnet shows in DICs in specific issues for improve solving their own problem and community issues
All sites
3.3 DIC lead by CBO members All sites
4.1 Distribution of condoms to KPs through Out reach services , clinical services and different identified channels
All sites
4 Improvement in ; a) Distribution, accessibility & awareness of condom usage, b) condom negotiation skills among KPs
4.2 Enhance KP skills in one to one or group meetings on risk reduction/ negotiation skills to condom usage through demonstration and by the Re demonstration by KPs)
All sites
Care and Management of STI and AIDS
Objective 1 : To reduce the prevalence of STI among KPs (FSWs, MSM and PLHA) and reduce their vulnerability to HIV/AIDS
6.1 through one to one contacts and group meeting discussed about Mythri STI clinics
All sites
6.2 Increase referral to ICTC, ART, RNTCP,PPTCT and C&S through Mythri clinics
All sites
6 Establish and sustain Mythri (Static) & PPP STI clinics at site level
6.3 CBO regular monitoring All sites
7.1 conduct clinic staff meeting monthly twice to increase knowledge on counselling, Drugs monitoring and Essential sex work package
All sites
7 Increase knowledge and skills of the clinic staff on SCM/ESM & Essential AIDS Care
7.2 conduct trainings on counselling skills, quarterly once to all out reach team
Project lelvel
8.1 Procure and Provide STI KITS
All sites8 Improved moblization of identified KPs to
clinic for STI treatment as per SCM guidelines
8.2 Diagnosis and treatment of referred STI cases following SCM
All sites
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8.3 Diagnosis and treatment of partners for STIs following SCM
All sites
8.4 Distribution of STI Kits based on the diagnosis and treatment
All sites
8.5 Follow up treatmentProvided for STIs
All sites
9.1 Every Identified and Existing KPs are under go the syphilis screening by ICS test once in six months
All sites
9.2 sending positive blood samples for the reports
All sites
9 Optimum coverage of KPs for Syphilis screening by ICST
9.3 Provide treatment for the RPR positives
All sites
10.1 Through counselling assess the risk perceptionand reduce risk behaviour by regular risk assessment
All sites
10.2 Discuss about condom utilization and demonstration through counselling and group discussion
All sites
10 Improvement in risk behavior & health seeking behavior and use of condoms
10.3 explained different types of condoms and availableplaces/outlets
All sites
11Sustained KP friendly Clinical services and Improved STI management & risk reduction
11.1 clinic lead by CBO members
All sites
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Integration of SRH communication with Clinical Services for FSWs
12.1 Counselling sessions in SRH educational during Clinic visits
All sites
Objective 2: To strengthen referral services to ICTC, RNTCP, C&S etc
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Strengthening of referral systems –ICTC/TB/others
13.1 Strengthening the referral services to ICTC and other services
All sites
13.2 Every Identified and working KP referred to Sputum examination once in Six months
All sites14
All the Kps with TB are identified and get complete treatment
13.3 Linkage with RNTCP All sites
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13.4 Regular Follow up by the Dot Providers and out reach worker
All sites
Objective 3 : To ensure improved quality of life to KP PLHIVs
15.1 Counselling sessions to Personal health to PLHIVs
All sites
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Promoting physical health of PLHIVs
15.2 Promoting the important of Nutritious food through group & one to one counselling sessions
All sites
16Support to PLHIVs and positive prevention (counseling, support groups etc) 16.1
Providing the family counselling to the PLHIVs on positive prevention
All sites
Facilitating Community Led Structural Interventions
Objective : Enabling KP and to lead structural interventions to reduce their physical and social vulnerability
17.1 improve literacy level of CBOs through literacy classes
All sites17 KP capacities built towards
Collectivisation & CBO Management
17.2 Provide specific trainings to the CBOs on Documentation,Accountancy,Project management and other required trainings
All sites
18.1 Provide information on available resource
All sites
18.2 Provide specific trainings to the CBOs on Documentation,Accountancy,Project management and other required trainings
All sites
18.3 International candle light memorial day organized by CBOs at all sites.
All sites
18.4 World AIDS Day rally organized by CBOs.
All sites
18.8 International TB day All sites
18 Increased knowledge on Programmes & Govt. Entitlements
18.9 Accessing the above resources with established linkages
All sites
19 Improvement of Participation in Project Management
19.1 Monthly formal meetings in site level both FSW & MSM and involvementof CBO members to mobilize Key All sites
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populations to clinic
19.2 Monthly CBO meeting at NGO level both MSM & FSW CBO legal body members
Project level
19.3 Provide opportunities to the network members participate in other network meetings to adopt their activities
All sites
19.4 Responsibility to conduct Advocacy Meetings to CBO members
All sites
19.5 Participation of the KPs in various events organizing by the intervention
All sites
19.6 Conduct awareness programme during dharma rajula thirunala
Srikalahasti and puttur sites
19.7 Conduct awareness programme during Edu gangala jathara at Srikalahasti site.
Srikalahasti
20.1 Identify critical problems faced by community members, seek solutions from the community and help them implementing activities through peers and other project staff members with trust and confidence with community members.
All sites
20.2 Develop and promote capacity for CBO office bearers to manage the CBO, Develop a work plan and capacity building plan for the CBO functionaries in CBO management
All sites
20.3 Develop a road map / work plan with community members for transition planning and initiation Involve the community members in developing a work plan for action
All sites
20.4 Follow up and monitor All sites
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NGO to CBO transition plan developed
20.5 Community takes active initiative to mobilise resources and evolve innovative mechanisms
All sites
21.1 Strengthening the Crisis ResponseTeams
All sites21
Crisis response21.2 Strengthening the crisis response
reporting systemsAll sites
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Advocacy and networking
Objective: To enable KPs to respond to their sexual health needs and respond holistically to the external environment
22.1 conduct group discussion by CBOmembers
All sites22 Sensitization &
Reorientation of KPs(New & Existing) on Advocacy
22.2 conduct training programme on advocacy to CBO members
Project level
23.1 Advocacy Meeting with Police to create enabling environment to the community
All sites23 Improved co-operation
from police, Media & Health care workers
23.2 Advocacy Meeting with Press & Media to seeking better understanding of the community problems to influence the policy makers
All sites
24.1 Identification of extra barriers and do the power analysis
All sites24 Active involvement of
CBOs/ individual KPs to address the external barriers.
24.2 conduct sensitization meetings at NGO level
All sites
Project Management and NGO Capacity Building
Objective : To ensure the capacity of the staff on various issues related to implementing the KP centric Programming with a clear follow-ups plans.
25.1 Identification of capacities of staff through Performance appraisalsystem
All sites
25.2 Involvement of CBO members in Administration work
All sites
25.3 Job descriptions re explained to the all Project staff and distributed equal work sharing to all the Project staff
All sites
25.4 Strengthened inventory management, maintenance of stock register in both office and clinics (capital assets, material, condom, & other consumables)
All sites
25.5 Ensuring all project staff having action plans for each month verified action plans of each staff on regular basis in all sites
All sites
25Improved Project Management Systems
25.6 Weekly review meetings with ORWs and peer educators for discussing All sites
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clinic flow
25.7 Monthly review meeting with all project staff ,9 monthly review meetings were conducted to consolidate the reports, prepare action plans for next months and conducted performance appraisals in individual clinic flow
Project level
25.8 Quarterly CSRC meetings for improving quality of clinical services
Project level
25.9 Conducting 1 days training Programme on out reach & communication, flip chart usage, RNTCP linkages, ART services and Referrals systems to the Project staff , Out reach team and Clinical teams once in three months. Capacity building to Peer educators on
All sites
25.10 Regional level training programs AAA
25.11 Central level training programs AAA
25.12 System to collect, store and usage of data & information in the project level
Project level
25.13 Periodical project reporting to the concerned staff ( AIAP, PC, ORWs, ANMs, CA and PEs)
Project level
25.14 Updating all financial transactions into the tally package
Project level
25.15 Prepare and update all financial records (cash book, ledger, statements) periodically
Project level
25.16 Strengthen of procurement and purchase project related items
Project level
25.17 Periodical stock verification and maintenance by A.O
Project level
25.18 Reports and financial returns submission to AIAP, FCRA and IT
Project level
25.19 External evaluation in the project Project level
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Identification of Key Populations:
New identification of Key populations is the regular process in these interventions. When ever new KP enters in to sex work the Outreach staff will identify and brought forward to the project services. In this year 76 Key populations identify the outreach staff.
Outreach:
Field level outreach is performed by the Outreach staff is increased from 89% to 100 % in this current year. In the outreach Out reach staff giving inputs towards BCC using IPC methods for HIV prevention.
Identified KP's in 2010
20
9
6
23 4 4
7
0
7
4
10
0
5
10
15
20
25
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11
% of 1 - 1 Contacts
89 89 91 87 85 83 8496 95 100 100 100
0
20
40
60
80
100
120
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11
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Condom Distribution:
Distribution of Free Condoms and Social Marketing condoms through 1- 1 sessions and other sources 42 pieces per KP/Month in this year to prevent the STI’s/ HIV within the KP community. Free Condoms procured from APSACS, Female condoms from HLFPPT and Male Social Marketing condoms from PSI.
Clinical Visits:
Utilization of Clinical services from Our clinics is 33 % per month in this year. In our clinics we treat the STI’s. Non STI’s are also treated with general treatment. We screened Syphilis with strip test in every 6 months. All the referral services also available with Mythri clinics
No of Condoms Distributed
40 39
2932 33 35 32
4035
44 43 42
05
101520253035404550
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-11 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11
% of individuals visited Clinic
31 31 33 33 33 34 3438 37 37 35
39
05
1015202530354045
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-110Mar-11
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STI Symptom visits:
DIC visitors:
Drop in Centre is the source of refreshment and knowledge hub for the Community and also utilized as flat form for unity of KP community
% STI Visits Vs Clinic Visits
2.6 2.52.4
0.5
1.3
1.8
0.8
1.5
1.0
0.3 0.30.00.0
0.5
1.0
1.5
2.0
2.5
3.0
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11
% DIC UTILIZERS
31 31 33 33 33 34 3438 37
30 2831
05
10152025303540
Apl-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct1-10Nov-10 Dec-10 Jan-11 Feb-11 Mar-11
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ICTC referrals
ICTC referrals is increased 2 % to 46 % in this year to know the HIV status of KP’s to prevent the prevalence rate in this area. Found HIV +s linked with ART for treatment
% KP's reffered cummulative in 2010
2 2 3 4 4 6
35
40 40 4145 46
0
5
10
15
20
25
30
35
40
45
50
Jan-10
Feb-10
Mar-10
Apl-10
May-10
Jun-10
Jul-10 Aug-10
Sep-10
Oct-10
Nov-10
Dec-10
Series1
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Capacity Building Trainings & Workshops
All staff and CBO leaders involved in various training and workshops for build the capacities to better involving and strengthening the programme activities.
Date of the Meeting/Training/Workshop Type of Meeting/Training/Workshop
Name of the Site
13/04/2010 Quarterly review meeting at PASS, Tpt Tirupathi
27/04/10&28/04/10 TOT reflections at Grand World, Tpt Tirupathi
29/04/2010 IBBA meeting at PLR Grand hotel, tpt Tirupathi
30/06/2010 Dissemination workshop for PD/MO at Hyd Srikakalahasti
29-06-10 to 01-07-10 MIS training at Hyd for PM&MIS officer Srikakalahasti
10/08/2010 Monthly District network meeting Srikalahasti
21/08/2010 SNA Orientation training programme Srikalahasti
22/12/2010 CBO Assessment by AIAP Consultants Srikalahasti
27/12/2010 Quarterly review meeting Srikalahasti
01-02-11 to 02-02-11 Out reach messaging training Srikalahasti
27-01-11 to 04-02-11Capacity building training programme for CBO executive Srikalahasti
11/02/2011 Out reach messaging & communication training Srikalahasti
14/02/11 District level R&R Tirupathi
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Events & Community celebrations:
Mahasivarathri stall Kanuma Sambaralu
Date of the Meeting/Training/Workshop Type of Meeting/Training/Workshop Name of the Site
16/05/2010 Candle light memorial day Srikalahasti
01/12/2010 World AIDS Day Srikalahasti, Puttur
03/03/2011 International Sex workers day Thottambedu
03/03/11&04/03/2011 Mahasivaratri bhrahmostavam stalls Srikalahasti
08/03/2011 International Women’s Day Srikalahasti, Puttur
Advocacy Meetings:
Advocacy Meeting with Press & Media Advocacy Meeting with Police
Date of the Meeting/Training/Workshop Type of Meeting/Training/Workshop Name of the Site
30/07/2010 Advocacy with Police for seeking better support Satyavedu
09/12/2010Advocacy with Press & Media for seeking better support Srikalahasti
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Support Group Meetings
Monthly formal support group meetings conducted in Srikalahasti and Puttur. During Monthly support group meeting created awareness to PLHAs on Health issues and nutrition values. Not only management staff and also by PLHAs who is under ART we used to tell this past history and present history
Community Based Organizations
Strengthened existing Community Based Organizations (CBOs) Akshaya Association (MSM CBO) and Sree Shakthi Sangam (FSW CBO). Member ship increased from 154 to 232 members in Akshya Association and from 194 to 273 members in Sree Shakthi Sangam.
CBOs are actively involved in Project planning, Monitoring, Advocacies, and decision making.
13 CBO meetings conducted in all the sites.
23
DIC Level Events/ Meetings
9 meetings conducted in DIC.dic
DIC level Meeting with KP’s DIC level Event with KP’s
Hotspot Level Meetings /Events
Conducted 17 meetings in 5 sites during this year.
Monthly Review Meetings
9 review meetings conducted
Monthly Review Meeting Monthly Review Meeting
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STEPS-VMM CLINTON FOUNDATION
PEDIATRIC AIDS INITIATIVE PROGRAMME
Implementing the Project in Srikalahsti supported by Lead Partner Vasavya Mahila Mandali,
Vijayawada funding from Cliniton Foundation, USA. Providing services to the children who are
infected by HIV.
Areas covered
32 urban slums in Srikalahasti Municipality, Chittoor District, Andhra Pradesh.
Total number of CLHAs reached - 11
Boys - 5 Girls - 6
Objectives
Strengthen the support systems for children infected and affected by HIV/AIDS.
Physical and mental health needs of the PLHA and their children need to be identified and
dealt with.
Poverty alleviation programs should be executed through the community based
organizations.
Community based organizations should ensure that the children are working in child
friendly environments and not being exploited at their workplace.
Orientation regarding foster family members.
Constant support should be available to enhance the quality of care rendered to foster
children.
Monitoring mechanisms should be developed to ensure the quality of care rendered.
Best Model of foster care practice should be identified and up scaled.
Providing quality treatment for the CLHAs.
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2. Nutritional support for CLHAS
Awareness created for the CLHAS and their parents about the importance of Nutrition and explained about the preparation of low cost nutritional food. Each CLHA is provided Nutritional support on Monthly basis. They were given 5 Kgs rice, 2Kgs Dhall, 1 Kg Jagari, 30 Groundnut Protein Powder Box, 1 kg Raagi malt, 1 liter Oil, Milk powder and frouts.
Distribution of Nutrition powder to CLHAs
1. Out Reach
Conducted field survey in Srikalahasti by the Project staff. The field staff met the Mandal Prajaparishath Staff, Urban Health staff, Municipal Councilors and staff, Self Help Group Members, Mahila Aarogya Sangam Members, ICDS Project staff, Anganwadi workers and explained the activities of STEPS VMM CHAI Programme and requested them to co-operate for the implementation of the programme. Once in week PD, PC and ORW conducting the home and school visits.
VMM PO & STEPS Staff Home Visits
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3. Clinical Services:
Dr.P.Prameelamma Project Director and Medical Director providing Clinical services to the CLHAs for Opportunistic Infections. Providing free medicines during the medical camps.
Medical camp in rural slum areas
4. Educational support
School bags, Books, Pad, Pencils, Pens, Uniforms and Geometric Boxes were provided by STEPS NGO.
Distributing books to the Affected Children
5. Psychosocial support
Reduced the self stigma by giving Counseling to CLHAs and their family members and involving CLHAs in recreational activities.
STEPS VMM PD with HIV infected children
27
6. Travel support
Providing travel support for infected children to go to ART center for Medicines and testing.
STEPS VMM PD Dr.P.Prameelamma giving Travel Support to infected children.
7. Funeral and Emergency support
Providing emergency support to CLHAs and their parents for funeral of who have died.
Distribution of essential commodities to CHAI Children
8. Recreational activities
Conducting recreational activities for CLHAs on the occasion of Children day and WORLD AIDS DAY. Competitions were conducted for the children and prizes were distributed to children. During school support group meetings providing toys and comic books. Conducting dance competitions, singing competitions, quiz competitions for the children.
Children recreational activities at Chindepalli
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Outcomes
1. Identified positive children from the families of People Living with HIV/AIDS by sending
them for VCTC.
2. Developed rapport with the positive families and created awareness about ART referrals
and TB Testing.
3. Developed Adult Positive support groups and children positive support groups.
4. Developed regular visits to Clinics and ART centers.
5. Conducted different competitions for the children to identify their inherent talents.
6. Reduced stigma and discrimination among school children.
7. Developed home based low cost nutritious food preparations by demonstration.
8. By involving the children in different recreational activities and games, now they are feeling
happy and participating in all the programs.
9. With the help of Travel support CLHAs are regularly visiting the ART centre and with
nutritional support there is improvement of their health status.
10. By improving their health, all the CLHAs are attending the school regularly and the drop-
outs are reduced.
11. Providing counseling and treatment for the Children and their parents for opportunistic
infections in the NGO clinics.
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STEPS-VMM-EDC-FORMAL EDUCATION
Supported By DEUTSCHE BANK, THAILAND
Implementing the program in Srikalahasti and Thottambedu mandals supported by lead partner Vasavya Mahila Mandali, Vijayawada, funding from DEUTSCHE BANK, THAILAND. Providing Education Support, Encouraging the children to continue their education and providing the socio-economic support to children who are affected with HIV with the support of STEPS-VMM-EDC program.
Selection criteria
The children for this STEPS-VMM-EDC-Formal Education Programme were selected based on the following criteria.
The children should come from infected families.
The children will be selected from the families of a single parent and they will be provided with School fees, Books, 2 pairs of Uniforms, Stationary.
Children support groups were formed by combining affected children with the general children
Organizing recreational activities for the children and taking the children for picnics twice in a year.
Encouraging the children to participate in all the activities and programs conducted by the organization.
Required documents - Xerox copies of Ration card /VCTC Reports / ART monthly Reports/Death certificates of the parents/ children should be submitted.
The identification of the stake holders was done with the help of ORWs in the field visits areas through HCBCS Project. The Children identified for the project are given below
EDC-FORMAL EDUCATION CHILDREN INFORMATION
In STEPS-Vasavya Education & Knowledge Building Programme Supported By Deutsche Bank Asia Foundation, Formal Education for 86 Children provided during 2010-2011
Activities
1. Support for attending school
The identified 100 children were admitted in the school. Examination fees was paid and they were provided with necessary Bags, Books, Uniforms and Stationary items for attending the school.
Dr.P.Prameelamma,& PO Mr.Kumar Raja distributing school bags, Books, School Fees and uniforms to the DB Children
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Formation of school support groups
The students were encouraged to form school support groups. The school support groups consists of students from HIV infected and affected, Orphans and general population. Up to now 12 Support groups were formed.
STEPS VMM DB PD & staff Conducting School Support Group Meeting
The staff visiting the schools regularly to conduct the programs and monitor the activities. During this visits meeting all
3. School visits
staff members and explaining about HIV/AIDS and maintaining personal hygiene of children. Up to now 72 school visits were conducted.
STEPS VMM DB Staff School Visits
Picnics
All the children were taken out for picnics surrounding Tirupathi. During this visits the children were shown different plants and animals at S.V Zoo park and science centre. Up to now 5 picnics were organized for the children.
STEPS VMM DB Staff and Children Participating in the Picnic
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Home visits
The project staff conducting home visits regularly. Up to now 120 visits were conducted and during this home visits explained to the parents of affected children about personal hygiene and motivating their children to attend the school regularly. Clinical services were also provided during the home visits.
STEPS VMM EDC Staff and DB PO Mr. Kumar Raja conducting Home Visit
Recreational activities
During the school visits and important days different competitions were conducted for the children and prizes were distributed.
DB CCG conducting recreational activities in school
7. Conducting important days
Organized International AIDS Candle Light Memorial Day, World AIDS Day, Independents day and Children’s day. During these days rallies and competitions were conducted for the children.
8. Clinical services
Providing clinical services to all the children. The Project Director conducted medical camps regularly and distributing free medicines.
Free Medical Camp
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9. Resource mobilization
The local available resources were mobilized during the implementation of this program. The Rotary Bangolore International club have donated note books and some of them have donated school uniforms for the children.
Rotary International club, Bangolore distributing Books to the affected children
10. Distribution of Science Apparatus
STEPS VMM DB Programme have donated Scientific Apparatus for school children in M.H.School, Baskar Peta, Srikalahasti. The Teachers have received the apparatus from STEPS VMM staff.
Teachers receiving scientific apparatus from STEPS VMM Staff
OUT COMES
The children formed as support groups with the general children to give opportunity for the affected children to share their ideas and views with them.
Now all the children were provided with necessary bags, books and stationary for attending the school.
The affected children are participating in all the organization programs.
With the formation of school support groups and continuous monitoring of their activities leads to the unity of the affected and general children.
By providing socio economic support through the organization they are concentrating on studies to achieve their aspirations.
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NFE LITERACY PROGRAMME
This program was conducted to create awareness about the importance of education to the HIV infected and affected families. Motivated them to send their children to school and providing tuition fees and the necessary support to continue their education. Provided educational support to 10 affected children and arranging remedial classes to the children to continue education with out break.
Activities
The children of the infected families were identified by the ORW during their field visits. The Project Director, Project coordinator and CCG during their field visits met the family members and giving counseling for sending their children to the school.
The awareness created among them about the importance of education. Explained about supportive services of the organization to the families.
Motivating children to join in the coaching center and paying the necessary fees for the coaching through STEPS VMM EDC NFE Programme.
24 affected children below 16 years were admitted in the VEDHA COACHING CENTER at Srikalahasti.
Regular monitoring of the program is conducted by the PD,PC and CCG.
Project Director with NFE Children
Out come
Now the children are coming regularly to the NFE institute and studying well.
By providing necessary support to the NFE children by the organization all of them developed interest in education and attended the school regularly. All the 20 children have passed with good marks.
The children of NFE are actively participated in the other programs of the STEPS organization. Through the NFE children will join for formal education programs at schools and colleges.
NFE - VOCATIONAL TRAINING CENTER
Conducted this program to improve the economic status of 25 women and empower women/Adolescent girls through vocational training for improve the livelihoods of the low income families by providing training in Tailoring.
The selection of the members for the vocational training was based on
The level of education 5th - 10th pass or fail
The children from HIV/infected/single parent/double parent orphan families.
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The program was started from January-2009. 20 members have attended the vocational training. The duration of training program is two hours per day in 6 months
STEPS VMM DB NFE Vocational Tailoring Training Program
(Non Formal Education)
Out come
Through the vocational training the participants learned the Embroidery, Tailoring and Arya work. Now the trainees can stitch their neighbors and own garments
By enhancing and developing their skills, they started establishing their own business and start earning money which leads to their poverty reduction, women empowerment.
COMPUTER TRAINING
10 members attending Computer Training program in C.S.Computer Training center. After the training they will be more benefited.
Computer Training Program
Out come
Prashanth, Hemalatha, Harika, Saikumar and Sk.Roshini have 6 months Computer training from 1st June, 2009.
The students developed their computer skills. After completion of this course some of them are joining in DTP and computer centers to work on part time basis.
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STEPS URBAN HEALTH CENTRESTEPS Society is running urban health centre in the slums of the Srikalahasti Municipality covering a population of 25000 funded by Dept of Health and Family welfare, Govt of Andhra Pradesh, INDIA.
Objectives
Reproductive and child health (RCH) services
Mother and child health services
Family planning methods and sterilizations
Creating awareness on issues related to health and family welfare
Innovative and income generating programmes for the economic development of women and adolescent girls
Achievements
FORMATION MAHILA AROGYA SANGAMS (MAS), JANANI GROUPS UHC ADVISORY COMMITTEE
5 MAS groups and Janani groups formed with members from women and adolescent girls in the community. The leaders of the MAS are member in the UHC advisory which will frame working guidelines and suggestions for function of the Urban Health Centre. All the members are actively participating in all the programmes and activities of the UHC. Conducting Health counselling and community awareness training programmes in slums based on key points
1. Age at Marriage 2. Early registration of high risk cases 3.Family planning 4. Complete immunization 5.Family planning temporary and permanent methods 6. STI, HIV/AIDS 7. ARI and diarrhoea management
Health Awareness camps for Women and adolescents
Conducting Health Awareness camps for Women and adolescents with focus on disseminating and creating awareness about nutrition, hygiene, immunization, care during pregnancy and child birth, STI and family planning.
Health education and motivational activities
Health education through counselling, demonstration, exhibition and IEC materials distribution during festivals have been carried out with a view to bring about attitudinal and behavioural change in the target groups about health issues .
Medical camps in slums
Conducting free medical camps regularly in slums, health checkups and free medicines were distributed. Implementing immunization programmes VIT A, administration programmes, pulse polio, National maternity benefit scheme, and Jana samrakshana scheme in slums. By creating about awareness about family planning methods achieving more than the target
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World AIDS day and candle light program
STEPS UHC organizing AIDS day rallies and candle light program. All the UHC staff participate in the rallies. MAS members and local leaders were motivated to participate in the rallies
School Health Program
As a part of school health program all the students in schools and hostels in UHC are periodically examined and free medicines were distributed.
Achieving 100% motivation of family planning cases every year and STEPS UHC getting ‘A’ grade by the State Government every year since 2000
Another notable achievement is we have created awareness and motivation among the Schedule Castes and Schedule Tribes community leaving in slums and they are approaching the UHC voluntarily for the family planning operations.
Best Medical officer award given to UHC Medical officer by the District Authorities
STEPS URBAN HEALTH CENTRE, SRIKALAHASTISTATEMENT OF OUT PATIENT CENSUS APRIL-2010 TO MARCH-2011
MONTH NEW CASES OLD CASES TOTAL CASESMALE FEMALE CHILDREN TOTAL MALE FEMALE CHILDREN TOTAL MALE FEMALE CHILDREN TOTAL
Apr 145 1057 122 1324 61 78 44 183 206 1135 166 1507May 164 1003 119 1286 56 77 52 185 220 1080 171 1471Jun 149 832 148 1129 60 74 49 183 209 906 197 1312Jul 156 950 148 1254 51 68 50 169 207 1018 198 1423Aug 121 881 127 1129 55 77 55 187 176 958 182 1316Sep 176 944 135 1255 60 65 41 166 236 1009 176 1421Oct 167 1048 104 1319 53 64 43 160 220 1112 147 1479Nov 142 1029 123 1294 56 73 49 178 198 1102 172 1472Dec 170 1038 166 1374 56 66 44 166 226 1104 210 1540Jan 151 960 150 1261 50 59 44 153 201 1019 194 1414Feb 133 872 124 1129 50 59 42 151 183 931 166 1280Mar 139 1033 130 1302 58 69 41 168 197 1102 171 1470Total 1813 11647 1596 15056 666 829 554 2049 2479 12476 2150 17105
FWP SECTOR STERILIZATION TARGET 2010 – 11
YEAR TARGET POPULATION
ACHIEVED PRECENT
2010- 11 180 210 117 %
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MAHILA AROGYA SANGAMS (MAS)
It is unregistered community based organization formed by the women and adolescent girls
5 MAS groups formed with members from women and adolescent girls in the community from 18 slums in Srikalahasti urban area.
The leaders of the MAS are member in the UHC advisory which will frame working guidelines and suggestions for function of the Urban Health Centre.
All the members are actively participating in all the programmes and activities of the UHC.
World Health Day on 7-4-2010
Samuhika seemantham for pregnant women
09/05/2010
International candle light Memorial program
18/05/2010
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Health camp in slum during rainy season
04/09/2010
World Aids day rally on 01-12-2010
Awareness meeting wit pregnant women on Immunization on 02/02/2011
Awareness meeting on 5 diseases for slum women on 16/03/2011
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MALARIA ERADICATION PROGRAMMEMalaria is prevailing in most of the villages surrounding Srikalahasti. DR P. Prameelamma has surveyed Malaria prevailing areas and treatment was given to them and free medicines were distributed. Conducting free Medical camps in the malaria affected villages regularly and providing clinical services to them. Creating awareness in urban slums and rural areas to keep their surroundings clean and hygiene to prevent breeding of mosquitoes which causes Malaria.
Women with splenomegaly in Malaria Eradication Camp
Malaria eradication health camp
Human Rights COMMUNITY MARRIAGES
STEPS are performing community marriages every year for the poor people. They were provided with mangala suthras and other requirements and providing food for all the people who attend this occasion.
LEGAL ASSISTANCE AND COUNSELLING CELL FOR WOMEN
STEPS in association with mandal legal literacy authority and local lawyers organized several legal literacy camps in its target villages with a special focus to provide legal assistance and knowledge to the deprived section. The President of STPES as a member of Lok Adalat, Srikalahasti have settled many cases by arbitration. Counseling services were initiated to guide, support and resolve the problems being encountered by the women at home like Violence, exploitation, gender bias, dowry death etc.
The chief functionary of STEPS as a president of women vigilance cell, Srikalahasti solved many problems of women in different situations. The deprived women were provided with necessary guidance and legal assistance.
Legal literacy camp Legal awareness camp for women
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Audited Financial Statements for the Year 2010-11
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Name and address of the BankerState Bank of India,
Sannidhi Street,
Srikalahasti – 517 644,
Chittoor District, Andhra Pradesh, INDIA.
Name and address of Auditors
T.Mallikarjuna B.A,F.C.A
Chartered Accountant
MALLIKARJUNA & Co
1-209, Chenni Road
Near Municipal Office
Srikalahasti 517644
Chittoor District, Andhra Pradesh, INDIA.
Phone 08578 223139