Health
Health Care
  • Control the spread of TB, HIV, Malaria filaria and Leprosy – APCHIP
  • Aim of project
     To empower 36 ICMO partners to enhance and support ongoing health project interventions for the reduction of TB, HIV, Malaria, Filaria and Leprosy transmission amongst poor and marginalized communities in Andhra Pradesh.
    Project Approach
      Each ICMO works in a different area, and each has a different overall focus as an NGO, e.g. sex workers, agriculture etc. This project aims to integrate TB, HIV, Malaria, Filaria and Leprosy into their work. The project uses a participatory and integrated approach for achievement of the project outcomes.
    Geographic Location
    • Phase 1 (started October 2008), Chittoor, Kadapa and Anantapuram Districts. Total of 20 ICMOs.
    • Phase 2 (started July 2009) Nellore, Kurnool and Prakasam districts. Total of 16 ICMOs.
      The project covers the general community in the target areas with a special focus on disadvantaged groups. Disadvantaged by occupation (Agricultural Labor, Mining workers, slum dwellers, beedi workers, weavers, stone cutters, forest labor), disadvantaged by caste (Backward caste, scheduled caste, scheduled Tribe) and high risk group (HIV positives, MSM, FSW, TG IDU). This project is covered 4.6 million population in 6 districts.
    Capacity building
    Government Health staff:
      Part of the capacity building to Government functionaries’ project organized workshops at District level with the support of DTCO and Additional DMHO. Particularly HIV and RNTCP related Government functionaries (STLS, STs, LTs, TB-HVs, ART staff) are participated in the workshop. Totally 283 Government functionaries are trained by the project and State level resource persons are facilitated the sessions as well as prepared re-entry plan by them.
    Project Staff:
      Capacity building to project staff: Part of the staff capacity building project organized various training programs to the project core staff and grass root level staff regarding Disease specific training, community mobilization, Advocacy communication, social mobilization, PRA training & MIS training. All these trainings were given by the subject specialists and district level government health administration.
    Promotion of Community Structures
      The project has promoted community health support groups – CHSG 420 and trained on signs and symptoms of the disease and service availability centers in the district. Secondly the project staffs identified the existed SHG’s and sensitize them through covering the health component as added agenda among their existing meetings.
     Thirdly project identified 2150 community volunteers and trained on disease specific symptoms, health care services, testing and treatment, referrals system. With the promotion of these community structures project referrals were increased, community knowledge levels were increased, increased self referrals, health issues was identified and solved with the concerned health authorities.
    Periodical Reviews
    • During this project organized 3 levels of reviews with different persons.
    • Monthly Reviews at Central level and District level
    • Quarterly Reviews at Central level
    • Program coordination committee meetings (Reviews) at Project Level once in a year
    • Beneficiary Groups Review Exercise at district level once in a year
    IEC Interventions
     During this project organized various IEC interventions in the project area with the support of ICMO and local people. During these activities project covered disease specific information, signs and symptoms, health care services, testing and treatment and prevention measures. And also distributed disease related IEC materials. With the outcome of these activities totally 845483 direct population were covered in 36 partner’s areas. This project developed various IEC material with the support of IEC committee members and disease related subject specialists. During this project flipcharts, disease specific color booklets, modules, disease wise pamphlets & flex sheets were designed and distrusted to all the 36 partners for information dissemination of the project.
    Awareness Activities Population covered
    Street Theatre Programs 22015
    Group Awareness Raising Meetings 206010
    Mobile Van Film shows 188885
    Health Support Group members 19912
    Observational Days 361884
    Health camps 35936
    HIV and other Vulnerable Population 632
    Disabled population 10209
    Grand Total 845483
    SOURCE OF REFERRALS INFORMATION
    S.no Source of Referral Number of Ref
    1 NGOs 1239
    2 CBOs 438
    3 Community HSGs 6754
    4 SHGs 7893
    5 AWWs 5641
    6 Volunteers 19876
    7 DOT providers 1118
    8 CHWs 22316
    9 PHPs 1489
    10 PHC staff 2135
    11 Self-reporting 5774
    Total 74673
    Monitoring and Supportive visits
     Part of the monitoring and supporting visits RISE has developed checklist for program and finance. With the usage of tools to measure the performance of ICMO project implementation. With outcome of these tools data cross checking mechanism was enhanced at CHW level, DMC data from cross checked through referrals slip, Master referrals register verification data quality was increased, increased. Patient wise follow ups were increased, community volunteer interactions and community health support group interactions were increased and community involvement in day to day program activities also increased.
  • TB, HIV – TB Project, supported by TBAI and APSACS, Hyderabad
  • Goal
     Strengthening and expanding care & Support models for HIV / TB and holistic care to improve the quality of life and uphold the rights of children, youth, women, general population & infected and effected people.
    Objective
    • To increase demand for prevention, care & support for HIV & TB through community mobilization
    • To increase comprehensiveness of response to increasing access and demand of people affected by AIDS
    • To advocate and strengthen implementation of cross-sector referral systems for implementation and utilization of HIV TB programs
    Activites
    • Referrals to RNTCP, ICTC, PPTC, ART
    • DOTS Provision
    • Care and support services
    • Sensitization meetings to communities
    • Sensitization meetings to CBO and NGOs
  • TB, Control Project - TBAI
  • Goal
     To enhance and support the RNTCP for the reduction of TB transmission through an increase in cases identified and cure in project area.
    Objective
    • Mobilize community and other stakeholders for effective implementation of RNTCP
    • Capacitate the community, project staff, local level institutions and NGOs to sustain their efforts in RNTCP
    • To control the infection of Tuberculosis in the project area.
    Activites of Project
    • Community Development
    • Community Health
    • Formation of community health support groups
    • Networking and linkages with Gos and NGOs
    Outcome of the Project
    • Group Sensitization Meetings:16819
    • Sensitization of ESH: 482
    • Cultural Programs (50 Performances) 3180
    • Health support Group Meetings:(89 Groups) – 1369
    TB Referrals to MCs 3326
    Reached 2660
    Tested 2660
    Diagnosed 403
    Put on DOTS 403
    Cured Cases 179
  • Bala saha yoga Project – BSY supported by FHI – UK
  •   RISE has initiated BSY project on January 2010 by covering 10 eastern mandals of Andhra Pradesh. As per the district statistics, Tirupati Urban and Madanapalli town are having more infected families in the district. Secondly, in recent times a freelance team was conducted survey and identified high risk 100 villages from 33 mandals of chittoor district. That’s why RISE implemented BSY program in Tirupati Urban and nearby 10 mandals of rural areas in order to extend care and protection of the children of infected and affected.
    Project Goal
     Strengthening and expanding care & Support models for HIV / TB and holistic care to improve the quality of life and uphold the rights of children, youth, women, general population & infected and effected people.
    Objective
    • Decreased mortality of children and parents living with HIV and AIDS.
    • Decreased morbidity among children and parents living with HIV and AIDS.
    • Decreased number of children orphaned by HIV and AIDS.
    • Decreased number of children infected by HIV.
     Since Balasahyoga meant for rescue and extend care and support for infected and affected children of HIV/AIDS, the project team identified eligible families and taken consent for registration and linkage for other services. At the end of September 2011, the project team has registered 1011 families. Among these families we found the 7 categories as tabled;
    Activites
    • Referrals to RNTCP, ICTC, PPTC, ART
    • DOTS Provision
    • Care and support services
    • Sensitization meetings to communities
    • Sensitization meetings to CBO and NGOs
    Type of family No. of households
    Parent Headed 438
    Widow Headed 371
    Child Headed 10
    Grand Parent Headed 96
    Male Headed 48
    Female Headed 42
    Others(Cousin brother/sister) 6
    TOTAL1,011
     This project is extended support in five domains for the concern families such as Health, Education, Nutrition, Safety net and Psycho-socio support.
    Health
     Health domain focuses mainly on Testing and Treatment cascade along with needy follow-ups of PPTCT for adult and children. Till now the project identified and registered 1,447 children and found 1,095 eligible for testing. Our team successfully covered testing for 729 children and found 126 positive (pre-ART 100 + on ART 47). Subsequently, we tested 1,120 adults from eligible adult of 1,339. We found 892 positives (Pre-ART 781+ on ART 400) With regards to PPTCT cascade, project team identified 14 ANC cases tested 14 and found positives 14. On ART 7 and Positive ANCs delivered 7.
    Education
     The total children in the age group of 3 – 5 years are admitted in pre schools. These schools are managed by staff of ICDS in respected villages. In other hand 98% of children (6-14 years age group) are enrolled in regular schools.
     88% of children (15-18 years of age group) are regularly attending higher education. Out of 22 positive children 20 children are attending schools regularly. Outreach staff of the project, through house visits supporting these children to continue their education. Some of the needy children received educational support from the project. Our staff found 965 children are going to schools out of 1,108 children.
     As above said school going children 918 belong to the families of Below Poverty Line (BPL). As a part of social responsibility, RISE team mobilized support from local donors to provide books and uniforms for these children.
    Nutrition
     we are linking up our households to Government supplied Nutrition program like Ration Cards, Anthyodaya and Annapoorna Cards. Project team has made efforts to obtain those cards for the eligible families. Fortunately District administration prioritized to provide cards to these families. RISE team also mobilizing rice donation from village level at Public Distribution System stores and distributing them to the limited needy families.
     As a part of this nutrition program project was assessed nutrition status of the children, Totally 129 children are being growth monitored and 11 HIV positive children are monitored.
     Clinton Foundation provided nutrition support to on-ART and pre-ART children, totally 64 children and received this support regularly. 58 children at the age group of 0-6 years were enrolled in Anganawadi centers and accessing supplementary nutrition food.
    Safety net
     Project provided safety net interventions to register households. We have prioritized women headed households and grandparent headed households for safety net interventions. Food security has been done for all types of households, 93% (910 Households) of the families are covered by food security assessment for first time. In this process 86% (823 households) of the families belong to sevierly food in secured and 10% (87 HH) belong to moderately food insecured. Our project encouraged 300 kitchen garden for these families and provided support for 68 families to take-up micro enterprises like mobile Tiffin stalls, vegetable vending, rice grinding, petty shops etc.,Secondly, project linked 798 families to get 35 KGs of rice (AAY) through PDS.
    Psycho-socio:
     Counseling services are provided for 30 cases per month. All these process was taking at home or ART center. This is very crucial element for reducing stigma discrimination and breaking mind-set of the people. Project provided counseling for 93 adults (31 male + 62 female) and 63 children (23 boys, 40 girls). Totally 156 persons are availed the services of counseling by the project and from ART center.
    Special events
     The project team organized special events like childrens day (14th November), Worlds Aids Day (December 1st), Children Mela (Holli on 9th march) these special events are facilitated and managed by the children with the support of the project team.