India 2015 Annual Report - Karuna

SHECHEN CLINIC
ANNUAL REPORT-2015
Bodhgaya, Bihar
INDIA
0
CONTENTS
Message from Director
02 - 03
Health
 An Overview of Primary Healthcare Services
04 - 14
 Out Patient Department
05 - 06
 Mobile Clinics
06 - 09
 Direct Observed Therapy (DOT)
 Pathology Laboratory
 Dental Check-up Camps
 Health & Hygiene Awareness Programme
Education
 Early Childcare and Development
09
10 - 11
12
12 - 14
15 - 20
15 - 16
 Babuwa School
17
 Support to Primary/Middle Schools
18
 Yoga Classes
18 - 19
 Non Formal Education
19 - 20
Environment
21 - 29
 Solar Energy promotion
21 - 24
 Rain Water Harvesting
25 - 26
 Clean Environment Program
26 - 29
Social / Community Development
30 - 41
 Vocational Training
30 – 36
 Kitchen Garden
36 – 37
 Small Money Big Change
38 - 41
Financial Summary and Donor
42 - 43
1
Message from the Director
The year 2015 has been an eventful and productive year for us at Karuna-Shechen
India. We are tirelessly fortifying our focus our four broader existing areas of
intervention – health, education, environment and community development. These
four areas aim to calibrate our focus on changing lives of underserved people living
in remote villages.
This year we are successful in providing medical services to the communities in need
in Bihar and Jharkhand through our OPD and Mobile Clinics. We have achieved an
important milestone in providing primary healthcare services to the people residing
in remote villages. In both states we have treated more than one lakh (102,959)
patients. Our health education programmes continued to provide preventive health
services by generating awareness among the disadvantaged rural communities and
school children on various health related matters with a special focus on women
health and hygiene. This year we have started dental checkup camps in Bihar.
Our primary education programme has positive impact on children and the growing
demand for such programs in other areas motivates us to scale up in more villages
and the number of students increased significantly. Our alternative delivery of
education through non-formal education provides basic education and skills that
ensure sustainable livelihood among participants, particularly among rural women.
The organization thrives to remove darkness in remote rural areas of different
villages of Bihar with no access to grid connectivity. At the same time we have tried
to aware villagers about advantages of solar power and health hazards of kerosene
lighting. We have empowered rural women by making them solar engineers and use
them in installation, maintenance and repair of solar home lighting systems.
Promotion of kitchen garden has been very effective in ensuring safe and sustainable
food security of needy family in targeted areas. The participation of women member
in the household has led to their empowerment sustainability of home gardening
activities. As part of our initiative to implement development projects with minimum
costs, our Small Money Big Change programme implemented programmes like
repairing anganwadi centres, construction of wells, ponds and pipeline for irrigation
purpose.
Creating demand for sanitation through generating awareness is essential in curbing
open defection. During this year various street level plays were organized in order to
generate awareness on the health impact of open defection, sanitation and poor
hygiene practices. The impacts of those programmes were assessed.
Our vocational training programme on women e-rickshaw driver empower women
economically, break the social barrier and encourage other women to join this work.
This year our different skill development programme, like bindi making, candle
making, rakhi making, computer training and auto driving were organized for
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underprivileged women. Such training empowers the women to initiate with small
startup capital which can start from home. After receiving training few of them have
started business and start earning a small part their of their livelihood.
The great strides we have made and our many accomplishments along the way would
not have been possible without the commitment of our members, partners, staff and
volunteers (national and international) who have promoted Karuna Shechen’s vision,
mission and objectives through their dedication and professionalism.
On behalf of the beneficiaries and staff members of Karuna-Shechen India, I wish to
express my heartfelt gratitude to all those who make our effort possible and help to
bring positive change.
With Warm regards
shamsul AKHTAR
3
PRIMARY HEALTHCARE SERVICES
Accessibility to healthcare facilities and the quality of available care can play an
important role in the utilization of health services. Bihar and Jharkhand, the two
states we are operating, are among the poorest states in India with problems of
geographical accessibility and distribution of healthcare services. Karuna Shechen,
India has developed an extensive network of primary healthcare facilities with good
coverage in rural areas. In 2015, total number of patients registered in our primary
healthcare services crossed one lakh (102,959), registered 27.45 percent growth
compared to previous year.
Number of patients served in 2015
4
Out Patient Department
We have two outpatient departments (OPD) operating in Bodhgaya, Bihar and one
OPD in Hata, Jharkhand. In Bodygaya our OPDs remain open throughout the year,
except last Sunday of a year. We organize a picnic day on the last Sunday, where we
undertake various teambuilding exercises. Each OPD operate 6 days in a week and in
Sundays and national holidays one OPD operates. Our OPDs have full setup of
doctors, nurses, pharmacy, pathological labs and other facilities. In 2015, 42,259
patients attended in Bihar for consultation, which registered 23.10% growth
compared with the last year. In our Hata centre of Jharkhand, which operates since
November 2014, total 7,758 numbers of patients came for consultations. The OPD is
open three days a week, Monday, Wednesday and Friday.
Number of patients served at OPD
Area
Bihar
Jharkhand
Total
OPD
2014
2015
34,328
42,259
591
7,758
34,919
50,017
5
As far as types of patients are concerned, women made up the majority in both
Bodhgaya and Hata. In Bodhgaya, the percentage of male and children patients are
almost equal, while in Hata male patients comprised 37.8 per cent and children 11.5
percent.
Types of patients attended in OPDs
Bihar
Jharkhand
Mobile Clinics
The Shechen mobile health care services aims to reach out to villages deep into
interior. Our mobile healthcare services provide primary healthcare services to
disadvantaged aged populations, women and children. We have three Mobile units
working in Bihar (six days in a week) and one Mobile unit in Jharkhand (three days
in a week). In Bihar, our area of operation is within 70 km radius of Bodhgaya centre.
The services offered from mobile clinic include doctor consultation, basic diagnostics
and distribution of medicines. Typically, each Mobile Unit works six days a week,
reaching the first site around 10.00 – 10.30 AM and works till 2 – 2.30 PM. Each
mobile unit aims to provide medical services to 60-100 patients per day in remote
rural locations. Our mobile clinic visits each place weekly or fortnightly depending of
number of patients. In Jharkhand, we attend one village in a month. In 2015, 46,471
patients in Bihar and 6,471 in Jharkhand received medical consultation from mobile
clinics.
Number of Patients served in Mobile Clinic
Area
Mobile Clinic
2014
2015
Bihar
43,123
46,471
Jharkhand
1,755
6,471
Total
44,878
52,942
6
Our mobile clinics have wide covered area, where patients from around 744 villages
in Bihar and 108 villages in Jharkhand came for medical consultation at our OPD
and mobile clinics.
Coverage area of primary healthcare services
7
Types of Diseases observed in OPD and Mobile Clinics
We have classified 34 diseases from the patients visited our OPD and mobile clinics,
out of which 10 diseases are more prevalent. As presented in below, the most
common health problems observed from our patients in both the States were Bone
and Joint pain; Cough and Cold, Fever, Headache (Flu); various skin diseases; and
General weakness and anemia, hypertension and cardiac disorders. The pattern of
disease follows similar pattern in both rural areas of Bihar and Jharkhand.
Most commonly the rural people visit to our centres with bone and joint problems.
As observed from the following figures, majority of patients registered with Bone and
joint problems, 26.4% and 27% of total patients in Bihar and Jharkhand respectively.
Bone and joint related problems is the more common disease found among old and
middle aged men and women. During diagnosis it was found that, in winter the bone
and joint pain problem arises more as compared to summer because in remote
village the dense forest area, agricultural open land, water bodies through its
ecological balance makes the environment more colder, therefore, insufficient
clothing specially in winters are more vulnerable to disease, body exposure to
polluted air in winter carries fog and moisture which precipitates the local
environment. Bare foot is another reason for aches and pains. Cough & cold is the
second disease (16.5%) registered in our centres in Bihar, which is found to be
seasonal disease in rural pockets. The seasonal variation in climate leads to cough
cold and fever and low immune are more susceptible to viral flu. Skin diseases are
the third important case registered in both Bihar (13.3%) and Jharkhand (12.8%). In
Jharkhand, people from remote villages mostly depend on ponds water for the
purpose of bathing, cleaning, washing utensils. Pond water is not considered to be
fresh water; all kinds of activities like cleansing after open defecation (OD), cleaning
cattle’s, utensil wash, bathing and many more in stagnant water which is unclean by
nature affects human body after bathing which leads to skin diseases.
Percentage of patients consulted and treated with different diseases in
Bihar
8
Percentage of patients consulted and treated with different diseases in
Jharkhand
Direct Observed Therapy (DOT)
Tuberculosis (TB) has been the major cause of death and suffering since ancient
times. DOT is essential to ensure that the drugs are taken in the right combinations
and for the appropriate durations. Out of 11,246 medical tests conducted in our
pathology laboratory 547 Sputum tests were conducted. Out of these the number of
patients who were diagnosed with TB was 25. Total 39 patients, including carry
forward patients from previous year, have successfully completed their DOT course
in our DOT Centre. Standardized treatment procedures are followed across the
countries following WHO guidelines on patient categorization and management. In
supervised treatment under DOT wherein a patient takes the drugs directly in the
presence of health workers or other trained persons.
9
Pathology Laboratory
Providing laboratory services is an essential aspect of a functioning healthcare
system. Our diagnostic unit at Bodhgaya provides medical tests at reduced cost to the
patients coming at our centers for treatment. As presented in the table below, the
cost of testing medical tests in our laboratory is 3 – 10 times less than market rate. In
the year 2015, 2473 patients got medical tests done from our pathology laboratory
and total 11,246 analyses were done. The number of patients and tests are different
because a patient may go for several tests depending upon his/her condition and
recommendation of the doctor. Major tests conducted in our centers are blood sugar
(13%), TC/DC (12.2%), ESR (11%), HB (9.7%) and so on. Our mobile clinics have the
facility to conduct pregnancy test at free of cost. In Jharkhand centre we provide
blood sugar and pregnancy test for free of cost.
Price comparison with Shechen Clinic versus Market
Price at
Shechen
Clinic
Market
Price
TC/DC
ESR
Hb%
15
15
15
50
50
40
Blood Suger
HCG
Blood Urea
KFT
LFT
Serum Bilirubin
Serum Uric acid
Urine R/E
Urine C/S
15
20
30
70
70
30
30
10
30
50
70
70
320
460
90
90
40
70
ASO Titer
ABO Rh factor
VDRL
SGPT
50
30
20
30
150
60
50
90
Investigation
Investigation
Lipid profile
ECG
Alkaline Phasphotes
MP (Malariya
Paraside )
Widal
BT/CT
Hb,s Ag
CRP
RA Factor
CBC
Stool Examination
Stool Test (Occult)
AFB (Sputum
Examination)
Montox Test
Calcium
Price at
Sheche
n Clinic
Market
Price
100
50
40
350
40
30
10
40
20
30
100
20
30
200
90
30
150
200
80
200
50
50
Free
Free
30
80
50
90
100
10
Types of Medical Tests conducted in our Laboratory
11
Dental Checkup Camp
This year the organization has initiated a free dental checkup camps from 19th
December, 2015. In Bihar, 2 free dental medical camps were organized once in a
week where 244 students were registered. The organization has planned to organize
more such camps in future.
Health & Hygiene Awareness Programme
To propagate the hygienic practice and to channelize communication gap on health
related matters we target school girls, adolescent and rural women folks. The Health
Education Program is running in full swing in Bihar and Jharkhand. We have
emphasized more on School and Community education programmes with a focus on
women’s health, hygiene, sanitation and sexually transmitted diseases. Girls and
women are vulnerable to health due to poor menstrual health, security issues, and
gendered socio-economic impact of lack of water and sanitation. Poor menstrual
health in the form of using unsanitary solution to get through the menstrual period is
often due to poor access to information about menstruation. We were able to provide
insights into family planning, maternal and neonatal health especially in Community
Education programmes. The Health orientation in schools were given by Nurse and
dedicated women staff through interactive and participatory session by providing
adolescent with information ranging from basic hygiene to the menstrual hygiene,
understanding of reproductive health issues which may widen their perception on
reproductive system. In rural village, motivators keep an account to motivate women
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folks and school going girls frequently. In village visit, motivators inform them about
hygienic practices which would help them to prevent from communicable disease.
The interest and participation of 32 schools in two states indicate the interest in the
programme. In Bihar, we have conducted the programme in 22 schools with 959
participants, while 10 school programmes were organized with 959 participants in
Jharkhand. Total 1152 girls and women participated in the 55 community
programme which helped the participants to learn about various topics of health. The
Menstrual Health and Hygiene program started by Shechen Clinic in 2013 has seen
rapid progress in 2015, through mobile health programs, schools, outdoor patient
department, motivators in the village and sanitary napkin vending machines (in the
clinic and in schools). Three schools in Gaya district have installed (with subsidized
rates, 50% contribution by Karuna Shechen) the sanitary napkin vending machine in
which napkins are available at a cost of Rs. 2 per piece. The amount collected from
the sale of the napkins is collected and given to Shechen clinic by the schools for
further purchase of napkins. A school in the same district has installed incinerator
for proper disposal of used napkins. A total of 48,279 sanitary napkins were sold at
subsidized rates through different centers, 29,896 in Bihar and 18,383 in Jharkhand.
In Bihar, maximum numbers of napkins are sold through OPDs, comprising 36.8%
of total napkin sold, 24.4% napkin distributed through motivators, 19.1% from
schools during health education programme. 3,250 napkins were freely distributed
in schools which bought the sanitary napkin vending machine.
The Shechen Clinic is in the process of setting up of a sanitary napkin production
unit at Bodhgaya. The unit was planned to promote menstrual health and hygiene,
availability of cheap, locally
available sanitary napkins,
social
and
economic
empowerment of women.
Fifteen women were selected
locally, from the health
awareness
program
for
starting production, after
screening on basis of age,
interest, young children, etc.
They have been trained on
marketing, record keeping
and
leadership.
This
occupation would be in
addition to their primary
occupation if any. The unit is
expected to start by February,
2016.
13
Percentage of sanitary napkin distributed in Bihar
Percentage of sanitary napkin distributed in Jharkhand
14
Education
Access to education is a fundamental right of every child which promotes individual
freedom, empowerment and sustainable development. Education is the catalyst for
reducing poverty, protection of environment and ensures overall human prosperity.
India has made significant progress in school enrollment, but the dropout problem
jeopardizes the education system. Since we began our non-formal education
programme in 2011 and other education programme in 2013-14. We have been
working on early childcare and development, providing support to primary education
and promote non-formal education in the backward villages of Bihar. We are
working closely with local community groups, including parents, teachers, and
school administrators to support education of underprivileged children in rural
areas.
Early Childcare and Development
The role of play in a child’s life is of paramount importance in the development of
social, psychological, cognitive, psychological and language skill. Our program
entitled ‘Role of Play in the life of a child’, which was launched in 2014 in
collaboration with our partner organization Inter’Lude, France in 10 villages of Gaya
district. It was an initiative to complement the government’s program for pre-school
children with the support of village coordinators, interns, motivators, national and
international volunteers and dedicated staff of the organisation. The program has
been extremely successful, benefitting over 400 children. The positive effect of the
program on children and the growing
demand for such programs in other
areas motivates us to scale up in 10
more villages and the number of
students increased to 800. After the
selection of Anganwadi centers and
receiving approval, we organized one
day training programme on the
methods of organizing indoor and
outdoor
games.
The
training
programme was attended by Child
Development Officer (CDPO), Lady
Supervisor (LS) and Anganwadi
workers. Different varieties of indoor
and outdoor games are organized.
Indoor games includes construction,
puzzles, representatives etc, while
outdoor game comprised of hoops,
bowling set, target games and games
without
equipments which
are
beneficial for all round development of
children. In our Anganwadi centres we
have organized wall painting which
helps to enjoy friendly environment,
recognize colours and so on.
15
16
Babua School
The primary education in Bihar suffers from low student teacher ratio, low
attendance of students, poor levels of teachers training and shortage of
infrastructure. Our informal education program named ‘Babua School’ is an attempt
to address this issue. The schools have opened in the area where majority of the
household living below poverty line, agriculture is the main source of livelihood;
children do not have access
to school, dilapidated school
buildings
and
nonavailability of teachers. We
are running these schools in
three villages in Gaya
district of Bihar, Dema,
Habibpur and Musuribar.
Babua School in Dema and
Musuribar village started in
2014, while a new school
opened in 2015. Total 290
students enrolled in these
schools, 141 are boys and
149 are girls. The average
attendance in those schools
is 244 students, which
indicates the interest among
them. They attend school
regularly and are happy with
the teaching standards.
17
Support to Primary/Middle Schools
Our program on ‘Strengthening Basic Education’ aimed to strengthen primary
education in government schools has been running successfully in two villages of
Gaya district. Started in the year 2013, support faculties were recruited from villages,
they take classes on different subjects as per requirement. They assess performance
of the students and monitor their progress. They often take extra classes after normal
school hours for weaker students. It is noticed from the following table that school
enrollment is rising each year. The attendance of students was significantly improved
after providing support faculties. Average attendance was 629 students out of 850
students enrolled in those schools.
Number of students enrolled in rural schools
Year
No. of children
2013
650
2014
800
2015
850
Yoga Classes
Organizing yoga classes in different schools forms an intrinsic part or our child
education and development activities. The benefits of yoga is well known, which is
beneficial for kids in many ways, assist overall development of children, increase
their
wellbeing,
reduce
stress,
improve
behavioural
and
emotional
maturity.
Our yoga
program is
currently
running in
7 villages,
enrolling
335
children,
decreased
from 508
students in
2014. This
is due to
closing of one centre due to the shortage of instructor. High rate of participation of
students reflect the overall enthusiasm of the participants. On average, 95 per cent
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children attend classes regularly. After attending yoga classes students become
active, get more interest in their studies. Highest number of enrollment of students is
found in Mansidih village, followed by Habibpur and Pathra.
Non-formal Education
Non formal education (NFE) is an alternative delivery of education that do not have
basic education and skills that ensure sustainable livelihood. As initiated in 2011, our
NFE program continues to provide education and skill enhancement support to the
women living in remote villages. The program enables them to learn basic literacy,
numeric skill, preventive health such as hygiene and sanitation. A large majority
centre users can now write their own names. Since 2014 we have been encouraging
women to read newspaper by distributing free newspapers among them. This in turn
helps them to discuss various topics, raises social and political awareness. This apart
the old newspapers are used in making paper wrapper (Thonga), which helps them to
earn additional income. This indirectly helps them raise awareness about the danger
of using plastic bags.
Basic performance indicators at NFE
19
The Story of Shakuntla –
Participant
of
Non
Formal
Education
Programme
Shakuntla Devi, a motivator
working
in
Gopalkhera
village, who was a resident of
Bagdaha village, Bodhgaya
block of Gaya District in
Bihar. She had lost her father
at a very tender age due to
paralysis. Since, then her
mother had single handedly
bought up her kids. Due to
this Shakuntla remained
uneducated and illiterate. She
just learnt how to write her
name. Her story is special
because of her sincerity and
the confidence she has built
over the past 4 years. She had
been married to a resident of
Gopalkhera village in 2011.
Just after her marriage she
joined Non-Formal Education
centre of Karuna-Shechen. She attended the classes for 2 years with utmost
dedication and interest. Since 2014, she started working at ‘Role of Play’ (ICDS)
program, which works with pre-school education. There she help children play with
different types of toys, helped in smooth functioning of the Anganwaadi. Women in
the village also wanted to learn reading, writing and arithmetic from her. Seeing
her progress and interest level to work with women, the organisation has decided
to engage her in our Non-formal Education Center to teach women. She was
assessed for 3 months by our coordinators before we appointed her as a full time
teacher. She taught lot of women in the village on how to write their names. We
asked her to work as a motivator for us from 2014 in the same village for various
programmes. She was also involved in other programmes like health education,
rain water harvesting and Small Money Big Change. Shakuntla has come a long
way from being a newly-wed woman in a remote village who just knew writing her
name to being a woman who is confidently taking up development responsibilities
in her village as a motivator. She has transformed from a student to a instructor
who is trying to remove illiteracy in her own village.
20
ENVIRONMENT
Solar Energy Promotion
Since 2010-11, the organisation has been working to remove darkness in remote rural
areas of Gaya districts of Bihar with no access to grid connectivity; villagers use
kerosene lamps at night for indoor lighting. In doing so, we have motivated villagers
on solar lighting as an effective and environmentally sustainable source of home
lighting system. This initiative of the organization is in accordance with UN
sustainable development goal that states - Ensure access to affordable, reliable,
sustainable and modern energy for all. The organization has tried to aware villagers
about advantages of solar power and health hazards of kerosene lighting. This year
we have installed 220 solar home lighting systems in 3 villages, which are benefitting
1356. Maximum 136 solar lighting systems were installed in village Chando, followed
by Kadal (50) and Barsuddi (34).
Statistics on Solar Energy Promotion
Year
No. of villages
No. of
Households
No. of
Beneficiaries
2015
3
220
1,356
Our initiative to spread solar energy to rural non-electrified households in turn helps
to empower middle aged women as solar engineers. In this process, we have
collaborated with Barefoot College of Rajasthan for providing training on
installation, maintenance and repair of solar home lighting systems. They went
through the rigorous training of 6 months duration through basic knowledge sharing
and hands-on practical training. It has been a very tough journey for us to motivate
21
women, their family and community members to ensure safety and at the same time
to ensure security of future solar engineers. Women in rural areas, particularly in
backward states like Bihar are not allowed to move freely outside and it is really
difficult for them to move to other states to attend training programme. They are
worried about their family members back in their villages and at the same time they
are excited about bringing light in their villages.
After completing training women solar engineer come back to their respective
villages. They install solar systems to the households those who are willing to pay the
installation charges. For maintenance they are paid Rs. 20 per month from each
household. However, majority of the households are not interested to pay subsequent
maintenance, they generally pay for its repair only. In this whole process, community
contributed 13.69% towards the project cost, while the rest contributed by Channel
Foundation. The following table presents the village wise statistics on solar system
installation.
Statistics on Solar Electricity
Village
Number of
Number of
Households Beneficiaries
Barsuddi
34
225
Kadal
50
274
Chando
136
857
Total
220
1356
22
Since 2014 we have started distributing small contained solar sets to some villages in
Bihar. This solar system costs Rs. 5,072, which we are distributing at subsidized rate
of Rs. 2000. The basic objective of this is to spread the use of solar electricity those
who are not willing to spend high cost of compete solar lighting system. In 2015, we
have distributed such small content set among 31 households.
Small contained solar project
Village
Name
2014
2015
Bhupnagar
33
5
Simriya
5
0
karhara
1
0
Dema
16
13
Lohjara
3
0
Manshidih
11
2
Others
0
11
Total
69
31
23
CONSERVING THE ENVIRONMENT AND BRINGING SHINE IN THE
LIVES
Pooja Devi, a 25 year old woman living in Chando Village of Barachatti block,
Gaya district. She is seen doing household work and repairing solar units at solar
workshop. She started the workshop with the help of Karuna-Shechen at her house,
so that she can manage both together. Pooja lives with her husband and her 2
children. Her legs were affected by polio at a tender age of five and are confined to
a wheel chair. Her husband too suffers from the same disability. Yet, Pooja remains
one of the most laborious solar engineers the Karuna-Shechen has. In 2013, the
organization started this solar home light project in remote villages financially
supported by Channel Foundation. Pruja Devi from Chando went for training to
become solar engineers! They went through a rigorous 6 month residential training
at Barefoot College, Tilonia (Rajasthan) where people from different parts of the
world come to receive training on solar. When the village people heard this, they
were
very
skeptical and
afraid
of
letting
their
womenfolk go
to
Barefoot
College as they
had
never
stepped out of
their
houses
and villages.
Going
and
staying there
alone was also
a
major
concern for the
women
themselves.
They
also
wondered who would take care of their family members in their absence. Hence, no
family was ready to send their women folk and no woman was ready to go too!
Pooja agreed for the training. Her family also agreed as they had faith in Shechen
Clinic. After learning how to install, maintain and repair the solar units, she had a
growing sense of pride that she would install solar lights in households in her
village and bring light from darkness. When she returned to the village, she along
with the coordinator, Laxami (a solar engineer from Kadal village) and Geeta (a
solar engineer from Banahi village) installed in 2 days the solar panel of her
workshop at her terrace. 4 solar panels, capacity 75 Watts each were installed. The
whole team had installed solar units in 220 housesholds during January December, 2015. She is content with her new found profession of a solar engineer
and remains thankful to Karuna-Shechen for providing this life changing
opportunity! Her family is also happy with her work! She wishes to continue this
work.
24
Rain Water Harvesting
The rain water management and replenishment programme of the organization is
intended to generate awareness on water conservation, access to fresh water and use
of clean water in household activities. The programme was initiated in 2013 with 32
households in Bihar, which has now grown to 164 households in 2015. Total number
of beneficiaries increased significantly from 610 in 2014 to 1,075 in 2015. During the
year, we have successfully spared our rainwater harvesting programme in 10 more
villages, which include five villages in which rainwater harvesting system is installed
in middle schools.
Performance of Rain Water Harvesting Program
Year
2014
2015
No. of villages
No. of
Households
No. of
Beneficiaries
Schools
9
113
610
5
10
162
1,075
5
The rainwater tanks were installed for storing and collecting rainwater from the
house/school roof through pipes for later use. Water from these storage units are
used for washing and kitchen gardening purposes. The rainwater is beneficial for
irrigation purposes as the stored water is chlorine free. Regarding cost sharing it is
found that around 30% of the total project cost contributed by the community which
would ensure sustainability in use and maintenance of these rainwater harvesting
systems. Generally labour and cost of plumbing is borne by the village community.
Rainwater Harvesting has continued to benefit the rural people as acute water crisis
prevailing during summer. It is also noticed that after installing tanks, the use of
toilet by household members has increases due to availability of stored water and
thereby reducing open defection. The village wise statistics of rain water harvesting
are presented in the following table.
25
Statistics on Rain Water Harvesting
Village
No. of
Households
No. of
Beneficiaries
Banahi Community Toilet
01
50
GopalKhera
13
78
Lohjara
19
112
Dema
30
180
Trilokapur
07
42
Karhara
32
192
Bhupnagar Community Toilet
01
38
Chando Community Toilet
01
35
Mansidhi
30
180
JP Nagar
28
168
162
1,075
Total
Clean Environment Programme
Distribution of Jute Bags
Each year the organisation conducted various activities under its clean environment
programme. We encourage the usage of jute product as an alternative of plastic bags.
India’s plastic consumption is one of the highest in the world. The indiscriminate
uses of plastic bags are damaging our environment. Jute is a naturally growing fibre,
does not require any chemicals and fertilizers to grow, and most importantly, it is
completely biodegradable. The distribution of jute bags is a part of our regular
programme and in future its consumption is expected to increase with the times to
come. This year we have distributed 2983 jute bags in and 1398 Jute bags in
Jharkhand.
26
Tree Plantation Programme
Tree plantation programme of the organization is aimed to mobilize resources
towards reforestation and better environment. The organization has collaborated
with district forest department regarding the availability of saplings. District forest
officer issued us 500 tree saplings under the scheme of Har Parishar Hara Parishar
and purchased 60 samplings from the forest office at Rs. 20 per piece. Species like
Gulmohar, Nim, Mango, Karanj, Sagwan, Chatwan, Kachnar etc are distributed in
different programmes. We have planted 560 saplings nearby our office and schools
with the help of all our staff , children form orphanage and students. Regarding the
protection and safety of the planted trees we have provided proper fencing to plants.
Initiatives have also been taken to protect the planted saplings and to improve
environment ambience.
Community Toilets
The organisation has been emphasizing to educate people on the need to better
sanitation. Inadequate sanitation in rural areas is a major threat to the environment
by the indiscriminate disposal of solid and liquid waste, pollution of fresh water and
ponds by untreated human waste. According to NSSO survey database, only 32% of
rural households have their own toilets and that less than half of Indian households
have a toilet at home. In fact, the last Census data reveals that the percentage of
households having access to television and telephones in rural India exceeds the
percentage of households with access to toilet facilities. Of the estimated billion
people in the world who defecate in the open, more than half reside in India. Poor
sanitation effects health for rural life specially children.
27
We have installed Community toilets in Bhupnagar, Banahi, Kadal and Chando
earlier. There was a not a single toilet in any households in those villages. After
generating awareness among the villagers, the number of toilet users is increasing.
These toilets are aimed at discouraging the practice of open defecation as also an
attempt towards the protection of women’s privacy and safety, which are often at risk
due to the unavailability of proper toilets in the villages. In village Bhupnagar, a
street drama was organized in order to generate awareness on open defection habits
and scale up sanitation and hygiene delivery. It is noticed that, after watching the
drama the number of toilet user increased. Apart from this we have organised Nukad
Natak in different villages to addressing the issue of using toilets. There has been a
good impact of Nukad Natak on villagers as noticed on toilet use.
28
Drawing and Speech Competition
Drawing and speech competition is an effort to generate awareness on clean
environment among the children. We have organized a number of drawing and
speech competition in different villages throughout the year. In this programme we
emphasize on the use of paper, jute bag and campaigned against use of plastic.
During the programme we have distributed colour pencils, paper, jute bags and
distribute prizes among the participants. The programme is organised in different
places like Bhagalpur, Dema, JP Nagar, Masuribar, Gopalkheda and other villages.
The organisation took part in the Buddha Mahotsav -2015 (a three day fair organized
in BodhGaya in January every year and includes a range of cultural and religious
activities) where we organised drawing competition with 40 children to raise their
environmental awareness.
29
SOCIAL/ COMMUNITY DEVELOPMENT
The community development program of Karuna Shechen through vocational and
skill development training is intended to uplift rural communities socio-economically
and help them achieve self-sufficiency. Our Vocational training program for poor
women and youth empowers them by enhancing their income-generating skills and
thus improving their livelihood opportunities. Since 2013, we have been perusing
sustainable social change initiative through our three main activities - vocational
training for underserved youth and women, kitchen garden and Small Money Big
Change.
Vocational Training
Vocational training is recognized as a very effective instrument of income generation,
productivity of labour force, and creating sustainable livelihoods. According to recent
data of Census of India, more than 50 percent of total population of Bihar and
Jharkhand belongs to working age group population. Karuna Shechen recognizes the
opportunities lies among working age group population of Bihar and Jharkhand. In
Bihar, total number of participants in different training programme increased from
107 in 2014 to 486 in 2015. This year in Jharkhand 101 took part in various trainings
programmes conducted by our organisation. We conduct vocational training
programmes on women e-rickshaw driving and different skill development
programmes like candle, bindi, envelope, rakhi making, computer, and pot painting
which are all capable of generating extra income among girls and women. Apart from
this we are ready to support start up ventures for those who are interested.
30
Female E-rickshaw drivers: With an objective to empower women in Bihar and
Jharkhand, we have started a unique and challenging initiative women to become erickshaw driver by providing free of cost training. The training lasts from minimum
10 to maximum 30 days depending on the grasping skills and confidence level of the
female e-rickshaw drivers. We have targeted women from socially vulnerable
sections, who were doing less earning jobs like maid, brick kilns worker or
housewives with no income security to become driver of e-rickshaw at Bodhgaya and
earning their livelihood with determination and dignity. It is rare to see women
driving rickshaw. One of our Board members, Ingrid was excited after seeing women
drivers in BodhGaya their empowerment which motivated her to donate an erickshaw for the organisation. We have also received three e-rickshaws through
crowd funding campaign. This year 10 women were trained as e-rickshaw drivers in
both the states. They earn between Rs. 300 - Rs. 500 per day out of which Rs. 100 is
deposited compulsorily in their individual bank account till the deposit covers half of
the costs. After that the beneficiary receives the ownership of the vehicle. Their
earning pick up during tourist season in Bodhgaya (October – February). This
training on e-rickshaw driving is so popular that Bihar Government has started
promoting this programme which should break the social barrier and encourage
other women to join this work.
Number of E-rickshaw drivers
Year
Bihar
Jharkhand
2014
5
0
2015
6
4
Total
11
4
31
Skill Development Training
Bindi making: Bindi is made from a small piece of velvet cloth of different colours
along with various stones and adhesives worn on the forehead by Indian women on
daily basis. Bindi making can be initiated with little start-up capital. This is a good
business to initiate from home which is suitable particularly for rural women. In
2015 we have conducted bindi making training in 13 villages. Thirteen training
programs were held for bindi making in our Non-formal education centres, 264
participants from 13 villages participated in the workshop. Currently, 21 women in 7
villages from Gaya district become financially empowered after involving in Bindi
making.
Candle making: This year we have organized a candle making training programme
at Karuna-Shechen’s vocational training centre in Bodhgaya from 8-18th of
December. This training was concluded with a one day orientation on candle
packaging on 29th Decemeber, 2015. This training was special because our women
motivators from 4 villages (Banahi, Dema, Gopalkhera and Kharati), had trained the
women on various aspects of candle making. Two candle making trainings held in
Jharkhand, where 31 participants made 17 different types of candles. They learnt to
make various types, shapes and sizes line rose, spiral, sunflower, doll, boat, heart,
teddy bear, fruit shaped, plain and floating candles. They enjoyed the training and
are very happy about the new skill they have.
32
Rakhi making: Training on Rakhi Making is an attempt to teach them the true
meaning of ‘Raksha Bandhan’. This year we have organized training programme on
rakhi making at our Hata centre of Jharkhand. Total 46 women participated in this
programme, which was started 5 days training from the first week of August, 2015.
The programme got good response from the participants; they hope in future more
such programmes from us.
Training on Pot Painting: This year we have initiated pot painting in our
Jharkhand centre at Jamshedpur where 21 women participated. The items produced
by these women are in demand which helps the participants to earn a livelihood.
33
Envelope Making: Envelope making training have been organized since 2014 in
our Non-formal education centers. Women and girl students from majority of the
NFE centers had undergone training for the same. This was started with a view to
reuse the newspaper that was being provided to the NFE centers to improve reading
habits and provide some kind of vocation to our NFE students. They have started
selling these paper envelopes locally to village shops which helps them to earn little
income. This year we have conducted this training in Banahi village of Gaya district
of Bihar. There 18 women and girls participated, they were happy about the new skill
they now have.
Computer training: Computer training was started in 2013 with a view to make
students computer literate, equip them with basic skills required in modern society
and provide some form of employment in hotels, monasteries etc. Students come
from the vicinity of Bodhgaya from a distance of 5-20 Kilometers each. The
participant of the programme includes from school and college students, housewives,
employed persons, etc. We offer a basic course in computer applications and desktop
publishing. The duration of both these courses is of six months each. Students have
to fill a form before appearing for a test cum interview on basic computer knowledge.
This course is free of cost, only a minimal charge of Rs. 375 for books and certificates
which is paid to other agencies. In return the participants have to provide weekly five
hours of free services for social work including free coaching in their surrounding
neighborhood. This year in 2015, 3 batches of 198 students in all were studying with
us across both the courses. 146 male and 52 female students attended our classes 3
days a week this year for an hour of theory and an hour of practical sessions.
Combined weekly quizzes amongst the batches form a part of the pedagogy 18
students couldn’t complete the course due to short attendance and low grades. One
of the three bathes (80 students) started this year is ongoing and would complete by
March, 2016.
34
Statistics on Computer Trainings
Sept 2014 - Mar 2015
No of
Students
enrolled
DCA
DTP
Male
45
6
Female
9
Total
Students
enrolled
Mar 2015 - Sept 2015
No of
Students
enrolled
DCA
DTP
Male
25
10
3
Female
11
54
9
Total
Students
enrolled
Male
32
6
Female
9
Total pass
out
Students
41
Sept 2015 - Mar 2016
No of
Students
enrolled
DCA
DTP
Male
44
16
9
Female
16
4
36
19
Total
Students
enrolled
60
20
Male
22
9
Male
2
Female
11
8
Female
8
Total
pass out
Students
17
Total
pass out
Students
33
Ongoing
35
Computer classes as a tool for promoting volunteerism Rani is regular
student of the computer classes organised by Karuna -Shechen. She is pursuing the
6 month DCA course.
She comes from a
nearby
village
of
Bodhgaya, ShobaKhap
which is 7 km from the
computer centre. She
belongs to a lower
income group family,
currently studying in
class
XII.
The
computer classes have
been of immense use to
her. She experience
that the environment
of the classes is very
peaceful
and
conducive to learning.
The
teaching
methodology
is
practical and helpful. She feels that she can now face the competitive exams in a
better way. In return she is contributing to the society by providing free social
services and coaching the kids in her community.
Kitchen Garden
Food insecurity and malnutrition are major problems that plague Bihar. Food
insecurity leads to malnutrition especially in areas where incomes are low and access
to markets is difficult. According to recent National Sample Survey (NSS) data every
2nd child in Bihar out of all children upto 5 years of age is malnourished and suffers
from various problems like stunting, wasting and inadequate mental growth.
Malnourishment in girls and women especially leads to a further malnourished
generation. We have initiated the kitchen garden programme in villages on multiplecropping pattern to ensure food security, nutrition in people and sustainable food
supply systems. Women are particularly targeted for the program because of their
role in coping with hunger for their family members. Number of kitchen garden
varies with respect to season. In both states, maximum number gardens seen during
rainy season, followed by winter and summer. In Bihar, 7042 households have grown
kitchen gardens this year, increased from last year’s figure of 3818. People across 66
villages showed interest in growing kitchen gardens and have accepted the idea
whole-heartedly. This year 1869 households in Jharkhand across 63 villages have
grown kitchen gardens during monsoon, which decreased to 814 during winter and
468 during summer. Lack of water is the most important constraint to survive the
kitchen gardens.
36
Statistics on Kitchen Garden
Year
Number of gardens
Bihar
Jharkhand
Number of beneficiaries
Bihar
Jharkhand
2014
3,818
-
22,908
-
2015
7,042
1,869
42,252
11,540
Number of Kitchen Garden in Bihar and Jharkhand
37
Small Money Big Change
small money BIG CHANGE (smBC) program is a tool for community
engagement and community development which recognizes that the most effective
way to address the problems is to involve communities in planning, decision-making
processes and to encourage them to participate in management for sustainable
development. The main objective of this programme is to give ownership,
responsibility and greater control of the project. Economically, this approach to
development and poverty alleviation is less costly and fewer resources are used to
achieve greater numbers of completed projects which meet the needs of the people.
We are able to discover hidden talents in people, discover community leaders and the
creative ingenuity of local people. People will sacrifice more when they are involved
in planning and implementation of development activities in their own community.
-
Together we have built 4 community toilets to stop open defecation in 4
villages-Banahi, Chando, Bhupnagar and Kadal. The expected number of
beneficiaries is 650. Currently 153 people including women and children are
using these toilets. This project is also an effort towards safeguarding women’s
privacy and dignity.
-
A total of 284 people (including children) have access to health and education
facilities in shade in Dema (at a health sub centre and our BABUA school).
-
90 Acres land will be irrigated in 2 agricultural seasons per year and 1057
rural poor will be benefitted by the well construction activities that have been
taken up in Gopalkhera and Nima. Apart from this people will be benefitted
from the well renovation work at J P Nagar and Habibpur. This year we have
completed well construction at Nima and well renovation at J.P.Nagar. There
was an interruption in the remaining 2 activities due to winter season and
they are expected to finish in the first quarter of 2016.
-
In Tirlokapur, a pipeline for irrigation had been set up which would benefit
140 people and to irrigate 15 Acres of land. An Anganwadi floor in the village
has been repaired too, which was earlier broken.
-
100 people would be benefitted from fish breeding and or agricultural
activities due to construction of a pond in Simariya.
-
86 people have positive health impact due to less smoke after construction of
2 smokeless ovens at Angwanwadi centres in Dema and Banahi. Time for
cooking has also reduced which was high earlier.
38
3rd September, 2015
29th September, 2015
JP Nagar, Dobhi Block, Gaya district
Total cost INR 14,710 = 225USD (48% contribution from community)
Beneficiaries: 125 persons. Area of irrigation: 10 Acres
1st June, 2015
31st December, 2015
Nima, Mohanpur Block, Gaya district
Total cost INR 1,01,870 = 1567USD (48% contribution from community)
Beneficiaries: 240 household (4 villages). Area of irrigation: 40 Acres
39
List of projects accomplished under smBC project - 2015
Description
Village
No. of
Beneficiaries
KS
India
Community
% of contribution
Total
Exp(INR)
USD
@65
Status
Banahi
Expected 150
84
16
1,73,296
2,666
50 till now
Chando
Expected 150
81
19
1,75,711
2,703
40 till now
BhupNagar
Expected 200
80
20
1,57,664
2,426
38 till now
Kadal
Expected 150
84
16
1,55,533
2,393
25 till now
Dema
150 patients
96
4
10,394
160
All patients at
Mobile camp
Pathra,
Dema
134
55
45
11,058
170
All students and
teachers
Banahi
43
100
0
3,055
47
Smokeless
Oven
Dema
43
100
0
3,055
47
Well for
Irrigation
Nima
240 (40 Acre land
will be irrigated
48
52
89,630
1,379
Pond
Simariya
100 persons
52
48
14,275
220
Irrigation / Fish
cultivation
JP Nagar
125 persons
48
52
14,710
226
10 Acre land
irrigation
40 kids
49
51
1,300
20
Completed
41
59
1,31,490
18
82
3640
56
Completed
0 (till
now)
100 (till
now)
26,000
(till now)
400
Expected
completion by end
of March, 2016.
70
30
9,70,811
13,120
Community
Toilet
Shade at
Health Sub
Centre
Shade at
Babua School
Smokeless
Oven
Well
renovation
Floor repairing
at Anganwadi
centre
Trilokapur
Pipe line for
irrigation
Trilokapur
Well
renovation
Habibpur
Well for
Irrigation
GopalKhera
Total
140 persons (15 Acre
land will be
irrigated)
72 persons (5 acre
land will be
irrigated)
500 (25 Acre land
will be irrigated)
2,341 beneficiaries 105 acres of
land from 14-15 villages
208
Reduced time of
cooking and cost. As
well as positive
health impact
Completed
Completed
40
284 people having benefited with in shade in Dema (at a health sub centre).
A pipeline from river for irrigation in Tirlokapur: Expected beneficiaries 140
people, Area of irrigation 15 Acres of land.
41
FINANCIAL SUMMARY
Sector wise Expenditure -2015
Karuna-Shechen India
Program
Bihar
Jharkhand
in USD
@60
192,159
in INR
%
11,529,559
Education
36,065
Environment
Program
India
in INR
%
42
in USD
@60
36,677
35
in USD
@60
228,836
2,200,603
13,730,162
41
2,163,919
8
0
0
0
36,065
2,163,919
6
96,560
5,793,602
21
0
0
0
96,560
5,793,602
17
Social Program
31,918
1,915,073
7
30,810
1,848,589
29
62,728
3,763,662
11
Program Support
(Need Based
Training and
Capacity Building
for Staff)
18,095
1,085,671
4
974
58,443
1
19,069
1,144,114
3
Administration,
transportation
and functioning
57,025
3,421,512
13
7,231
433,862
7
64,256
3,855,374
12
Fixed Assets and
Equipment
12,187
731,234
3
26,873
1,612,376
25
39,060
2,343,610
7
Contingencies 2%
8,990
539,426
2
2,944
176,658
3
11,935
716,084
2
453,000
27,179,996
100
105,509
6,330,531
100
558,509
33,510,527
100
Health Program
Total
in INR
%
42
DONORS
Our special gratitude to:

Shining Hope Foundation

Foundation Channel

Crowd Funding
And

Thousands of Individual and Institutional Donors whose name is
not appeared here!
43

44