ANNUAL PROGRSS REPORT

April, 2011 to March, 2012

RCH and Family Planning , Child Labour, Education to reach out to underserved urban poor population

Project Office :

3/4 P 2A, Bank Colony, Opp. Subhash Park, M.G. Road, Agra - 282010, INDIA Phone No. +91-562-6534816, Email : snbsindia@gmail.com

INDEX
INTRODUCTION OF SNBS Page No. 3 to 3

HEALTH OF THE URBAN POOR(HUP) Page No. 4 to 14

URBAN HEALTH INITIATIVE Page No. 15 to 45

AIDS DAY PROGRAM Page No. 46

RUDDS COLLEGE EXPOSURE VISIT Page No.47 to 49

AKSHAYA PROGRAM Page No.50 to 50

PARTICIPATION IN PULSE POLIO PROGRAM Page No. 51 to 51

MIPD SURVEY Page No. 52 to 52

NATIONAL CHILD LABOUR PROGRAM (NCLP) Page No. 53 to 56

1

Shri Nirotilal Buddha Sansthan (SNBS)

Introduction:
Keeping in view the fact that more than a quarter of Indias population has been living as downtrodden and marginalized for centuries, Shri Nirotilal Buddha Sansthan (SNBS) came in to existence in 1994 as an non government organization of marginalized people and has undertaken the task to promote the welfare of this section of the society, lead to their upliftment and development for integration with the total society by improvement in their economic, educational, social, cultural and health standards. Shri Nirotilal Buddha Sansthan was registered under Society Act in 1994 and has been primarily working in the areas of health and its determinants, safe drinking water, hygiene, sanitation, HIV/AIDS awareness, family planning & welfare, child labor & literacy, education, livelihood, plantation, community awareness and development, with especial focus on marginalized sections of the societies, slum dweller women and children through various development programs for over 15 years. After 1995, SNBS intends to continue its role as a facilitator to improve the effectiveness of various national programs and build capacities of communities to address a wide range of reproductive health, child health, illiteracy, family planning, pulse polio and HIV/AIDS challenges. The programs of SNBS aim for Vulnerable individuals and families in selected slums of Agra to achieve sustainable improvements in their education, health and sanitation status. Vision We see a world where vulnerable people live a better life in a better community. SNBS India commits to this by being an innovator in development, valued by all. Mission SNBSs mission is to serve Vulnerable individuals and families to achieve sustainable improvements in their education, health and sanitation status. We pursue our mission with both excellence and compassion because the people whom we serve deserve nothing less. Goal All our efforts will enhance the capabilities of vulnerable people, especially women and children, to better control their lives.

HEALTH OF THE URBAN POOR

Film shows:We have 25 slums in our intervention area so we planned 8 film shows in these slums. We have covered 3 slums in a show therefore we have covered 24 slums of the intervention area in these shows. The shows were started in the month of March 2012. 2 Shows were planned in one day. One show at 11:00 am and second one at 2:00 pm. The film was based on Pregnant and new born care. Different messages were given in film. We asked questions in between the film show to the audience and appropriate answers were gifted with prizes. We asked questions in the all 8 film shows and gifted 5 women each show for the right answer. Total 40 women were rewarded in the event.

MAS member training:We planned one day training on March, 23, 2012 and March, 24, 2012 of the members of MAS. Members of MAS from 7 and 8 slums participated respectively in the training. The period of the training was 9:30 am to 5:30 pm. Introduction of the project Health of The Urban Poor (HUP) was given by Mr. Ravi Kashyap, President, SNBS in a detail to the participants. We discussed about the Goal, Objectives of the programme. Ravi Kashyap took the session on Mahila Arogya Samiti (MAS).He built capacity of the participants on role and responsibility of MAS and need to form the MAS.

QTR MAS meeting:We have planned 8 meeting in the month of March, 2012.The meetings were planned in Rajeev Nagar, Mahaur Nagar, Geetapuram, Satnam Nagar, Vikram Nagar, Agra Ber, Nagla Ajita and Shyam Nagar. Points for the discussion were:-objective to form MAS and benefits of MAS formation.

Community Meeting:We have organized 25 community meetings in the intervention area. Community was made aware of the programme and its intervention. We discussed MCHN and WATSAN issues with the community women. Participants in the meetings were app. 600.

World Water Day celebration:World Water Day was celebrated on March, 22; 2012.We organized a rally to mark the day. The rally covered 5 slums of our project area Nagla Ber, Nagla Ajeeta, Kishorepura, Jagdishpura and Ram Nagar Rally was flagged off by Mr.Bahadur Singh, Local Ward Member. The rally was leaded by the Dhol and National Flag. Band cart was following the procession. Link Workers and community women were holding the slogan templetes.They were raising the slogans in the rally. The rally was started at 9:30 am. It was started from Nagla Ajita and end up at Community Centre, Jagdishpura. Ms Vidhya Devi Ward Member addressed the rally and hailed the community women to save water. Buddhist religious leader Vimal Sagar drew attention for the griming situation of water availability. He emphasized on water conservation as the water availability will be minimized in upcoming years. He hailed the participants to stop misuse of water.

MAS formation:We have formed 8 MAS in our intervention area in the month of March,12.The MAS were formed in Pathar Ghoda,Rajeev Nagar,Nagla Ajeeta,Ram Nagar,Mahal,Kabir Nagar,Baipur and Bodla Sarai.

Resource mapping:We have organised stakeholders meetings in February and March,12 to prepare the resourse map of the slum.Stakeholders from the different Govt. deptt and community members participated in the meetings.They draw a map of the slum and display resources i.e. health centre,AWC,Panchayti bhawan,schools etc in the map.We have organised 25 stakeholder meetings in the 25 slums and prepared a resource map of the slum. Dr.Anupam Bhasker ACMO participated in the meeting.Health visitors,Mukhya Savika,Teachers,Sanitory inspector and others stakeholders have participated in the meetings. 6

Dr.Anupam Bhasker,ACMO particiapting in resource mapping.

Mr.Ravi Kashyap,PD discussing in the meeting.

Review meeting of CCs and Link Workers:We have organised 4 review meetings during December,11 to March,2012 to analyse the progress of the project activities. Programme activity plan of LW s on the monthly babis was prepared in the meetings.Different programme activities were included i.e.Community meeting ,HH visit,MAS meeting.We would ensure participation in the Community Health Day in the intervention area. We discussed about organising community meetings,Identification of active women to form MAS. We have instructed all LWs to open their bank account. Ms.Sunita Sharma,MS,ICDS participated in the meeting and share sector meeting plan with the participants.

Mr.Rajeev Kumar discussing in LW Review meeting.

Mr.Ravi Kashyap,PD and Ms.Sunita Sharma,MS in LW review meeting .

Participation in Community Health Day:Cluster Coordinators observed the 12 Community Health Days in the month of Dec,2011 to March,2012.Vaccination of different vaccine was done by Health Visiters.IFA was distributed to the preganant women.Health and Nutrition counselling was given by HV to pregnant women.

Link Workers Training:Link Workers three days training was organised on 28-30/12/2011.We have built capacity of LWs regarding goal,objectives of HUP program.Ms.Pushpa Mahaur built their capacity on MAS and health resource map.19 LWs and 3 CCs participated in the training.House hold survey format.Birth spacing survey format,Pregnant and Infant survey formats were discussed in the training.

Group work in the training.

Discussion in process in the training. 10

Ms.Pushpa Mahaur discussing HR Map.

Mapping and Listing:We have completed listing and Mapping of the all 25 slums in the month of November,2011.We have listed 8252 structures in these slums.Mapping of these slums has been completed.Listing and mapping was carried out with the help of Link Workers.Slum boundries were decided with the stakeholders and local residents.

Marking of the structure.

Mapping in process.

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Catchment area mapping and defining:HUP staff had been given orientation and training in Agra organized by PFI in the month of November, 2011.They were oriented in the training on the goals and objectives of HUP program. The field visit organized in the training was very fruitful as we got good understanding on listing and mapping, house hold survey and health recourse mapping. Field exposure during the training was very effective to understand the listing and mapping, HH survey to be carried out in the respective cities. We have marked the boundaries of the slums and their catchment area.

House Hold Survey:We have surveyed 8252 structures and found population of 50475 in the all 25 slums.We found 9284 families,489 pregnant women,1051 0-1 yr children and 5768 eligible couples in the slums.The survey was carried out in the month of December,11 and January,12.

Link workers selection:We have selected all 20 link workers in the month of December,2011 and they have started their activities in their respective slums.We have divided them in three clusters.Two clusters have 7 link workers each and one cluster have 6 link workers. LWs selection process :- We are selecting the LWs through following steps :- Organise a community meeting and gave introduction of the project . Identify some volunteers to be LW through community meeting. Short list the potential voluteers to be LW. 12

Finalise the volunteer as LW through community vote. 10 LWs selected in the month OF November,2011.

Stakeholder identification and Sector Meeting:We have identified all Health visitors and AWWs in our project areas.We have introduce our LW s to the stake holders.Cluster coordinators have participated in the sector meetings. They have discussed about Swasthya Diwas and listed the fix day of Immunization in the meeting.31 AWWs and LWs were present in the meeting.Ms Sunita Naag,Sector Supervisor,ICDS was heading the meeting.

Mamta Kushwaha,CC participating in sector meeting. Project staff identified the stakeholders during their field visit.25 AWCs, 5 ward members are in the project area. We have visited local health service providers, Aagan Wadi Centres, Ward members and other local leaders to seek their support in the program. We visited DTHC Hari Parwat to develop linkages with the govt. Counterparts.

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URBAN HEALTH INITIATVE

Total Number of slum covered Total Number of Population covered Total Number of House hold Total Number of MWRA

33

92895

15521

14564

Period

F.Ster. 14

NSV 0

IUCD 14

DMPA 27

Total 55

April,11 to June,11 July,11 to September,11 October,11 to December,11 January,12 to March,12 Total

27

81

154

266

83

140

360

585

72

121

313

507

196

356

854

1413

14

1600 1413

1400 1200
1000 854 800 600 400 266 200 14 0 14 27 0 April,11 to June,11 July,11 to September,11 October,11 to December,11 January,12 to March,12 Total 55 27 4 154 81 83 2 140 72 585 507 360 313 196 121 356 F.Ster. NSV IUCD DMPA Total

Key processes and achievements:

We have given FP services to 1413 clients during April, 2011 to March 2012 .We have clients 22747 FP counseling during April, 2011 to March 2012. We have sterilization clients in these months which were motivated by couple meetings and community meetings. Clients were accompanied by PE to the service delivery points for FP Methods adoption. We have given 14 clients female sterilization in mega camp at Lady loyal hospital, 54 clients IUCD and in IUCD camp at Marigold Hospital Sewla Jat, 22 clients DMPA in PARI DIVAS at Dev Medical store Sewla Jat, Gwalior road Agra on service delivery day Hamara Register is maintained by PE to mark the potential clients of FP services We have listed the female clients for sterilization. Community has myths about seasonal conditions about female sterilization. Lady Layll Distt Women Hospital administration has mandated presence of clients husband during FP service delivered.

Key challenges:

NGO- UHI review meetings:Agenda: - Monthly presentation of the achievements.PPFP drive. Participation in the women gp/federation meeting. New MPR reporting format. Discussion about Post partum and post abortion availing FP services, FP methods kit, Success story submission. 11 NGO review meeting with UHI were organized during April, 2011 to March, 2012. at Hotel Devansh, & Usha Kiran, Agra. Emphasis was given on PPFP.Reports must be checked by PE.Plan for health camp was finalized. Ensure participation in women gp meeting.MPR will be prepared as per format. Success story will be submitted by 15th of every month. 15

Ms Pratibha Pandey, City Manager discussed strengthening the women groups of the concern areas and organized the meeting in the area. Presentation was given by Mr.Amit Pathak on progress of the program during April-June, 2011.

Mr. Sanjay Singh PC, gave presentation in Review Meeting.

Supervisory visit:Objective:-Supportive supervision of field staff and spot capacity building. Mr. Ravi Kashyap has done 33 visits in the working area during the period. He participated in the Sukhi Dampati Sammelan & Sabhasad Ki Chaupal and BCC event in the project slum Tund Pura & Sewla Sarai and addressed the community. Mr.Naushad Ali, COCM Consultant had 8 visits in the project slum Kotalee Bageechi, Sewla Jat, Tundpura and others.He discussed about programme Goal, Objectives and strategies & discussed about the need of family planning in current scenario. He gave brief introduction of UHI (Urban Health Initiative) and SNBS (Sri Niroti Lal Buddha Sansthan).He gave emphasis on FP methods adoption.

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Mr. Ravi Kashyap PD,SNBS, Mr.Naushad Ali UHI, Mr. Sanjay Singh PC with Mr. Kailas Chand Ward member in events.

Out Come: - Field check gave motivation to the field staff.

USHA Meeting:
Objective: - Analysis of the progress of the Quarter. Agenda :- Monthly Progress report, PE opening Bank account, capacity built on Social Marketing & Condom, OCP and Hamara Register, Regular HH visit, Analysis of poor PE performance . Discussed about line listing & proper use of map & IEC Materials. 12 USHA meetings were held at our organization office & at Matrumal Dharmshala Gopal pura during the period. Mr. Rajeev Kumar PC and Mr. Sanjay Singh PC built capacity on reporting and field working. He built capacity on HH visit by USHA. He discussed on Achievement of month and FP methods & HAMARA RAGISTER. During the meeting we have discussed about formatting and good counseling of FP users and motivated them for FP methods adoption. We built their capacity on monthly reporting of PE (USHA). Mr. Arvind Sharma SMO, UHI gave information TO/NTO in our slums area & he advised that PE will do weekly visit for timely supply of condom & OCP. Dr Anupam Bhasker, ACMO addressed the meeting and discussed about the participation of PE in the National Health Progemmes. Ms Mamta Behra, TO COCM addressed the meeting and discussed about mapping of the slum. During the meeting we have discussed about counseling after delivery/abortion for using FP methods and motivate them for using FP methods. We built their capacity regarding Mapping and display of FP Ushers and other recourses. We built their capacity on monthly reporting of USHA/PE. We have discussed about progress of the months. We distributed their ID cards and IEC materials in the meeting and focused of male sterilization (NSV).

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ACMO Dr. Anupam Bhasker addressing USHA/PE meeting in organization office.

Ms. Mamta Behra addressing USHA/PE meeting in organization office.

18

Mr.Sanjay Singh PC & Mr.Arvind Shrma SMO during the meeting.

USHA FELICITATION
Objective: - Review of PE (USHA) performance and recognized their work. 7 USHA Felicitation events were held at our organization office. Mr. Ravi Kashyap President, SNBS felicitated PE (USHA) in meeting at NGO office. PEs namely Ms. Rama Devi, Nagla Bidhi Chand 1st prize, Ms. Chandrakanti, Chawali 2nd prize, Ms. Renu Udden 3rd prize were rewarded with gifts in November,2011. Ms. Rama Devi, Nagla Bidhi Chand 1st prize, Ms. Sunita, Nagla Parsoti 2nd prize, Ms. Maya, Paramhanspura 3rd prize were rewarded with gifts in December, 2011. PEs namely Ms. Kamlesh, Kotalee Bageechi 1ST prize, Ms. Maya Devi Param Hans Pura 2nd prize, Ms. Renu Udden 3rd prize was rewarded with gifts in July, 2011. 3consolation prizes were given to Ms.Gayatri Nandpura, Ms Munni, Mayapuri & Ms Geeta Kachipura. Ms. Kamlesh, Kotalee Bageechi 1ST prize, Ms. Poonam Kotalee Bageechi 2nd prize, Ms. Maya Param Hans 3rd prize were rewarded with gifts in sept, 2011.The criteria of the selection was Timely completion of survey and line listing, Mapping linkages with stakeholders and performance to facilitate in adoption of the FP methods.5 marks for NSV, 4 marks for F sterilization,3 marks for IUCD,2 marks for DMPA.

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Mr. Ravi Kashyap President, SNBS felicitated of PEs.

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Mr. Ravi Kashyap President, SNBS felicitated of PEs.

PE TRAINNING :Objective : Capacity building of PE(USHA) on Social Marketing products (Condom, OCP) & ECP & Post abortion FP services. Capacity building of PE(USHA) on IUCD, DMPA & LAM methods & HAMARA ragister. 10 Trainings were organised by UHI at Usha Kiran Hotel and Devansh Hotel Delhi gate,Agra & Awadh Banquet Hall,Sanjay Place for 2 days /1 day schedule for all 41 PEs in the quarter. Ms.Sunita Pasrecha and Ms.Sunita Dube were trainer. During the training PE (USHA) were trained on social marketing FP products (Condom, OCP) & ECP (Emergency Contraceptive Pills) & Post abortion FP services. Outcome: Capacity built of the PE on Social Marketing products (Condom, OCP) & ECP & Post abortion FP services.

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PE Training Photo graphs Ms. Sunita Pasrecha & Ms.Sunita Dube, Trainer had discussed on FP Methods during the meeting.

Staff Review meeting:Objective:Review the activities carried out during the period to analyze the survey status and service delivered to client.
Agenda:-

Review of PE performance, Next month plan, Analysis of poor PE performance. Ensure regular HH visit. Discussion on gap of programme founded during the UHI field visit. Ensure regular HH visit. We have organized 11 staff meetings in the period in presence of Mr. Ravi Kashyap, Project Director at organization office. Our ORWs presented their monthly progress through their presentation. We discussed about survey work progress, slums population and FP users. We have discussed on progress the months. We prepare work plan for the next month activities. PD, PC, FMDC, ORW participated in the meeting. Outcome:Improvement in the performance of the staff. 22

Mr. Ravi Kashyap, P D, Mr. Sanjay Singh, PC, and ORW gave presentation in staff meeting.

Mr. Ravi Kashyap, P D, Mr. Rajeev Kumar, PC, and ORW gave presentation in staff meeting.

Community Meeting: Objective: - Introduction of the programme and Mobilize the community to adopt FP methods. We have organized 235 Community meetings in the respective slums during the period. The audience of the meeting was women of reproductive age and pregnant /lactating women. We have discussed our activities of the programme, our goal and strategies of the programme. Discussion was carried out about family planning method and the process of group formation. Community support to their respective slum PE (USHA) for achieving programme goal. We referred clients for FP Methods adoption at service delivery points.

23

PE motivates women for adoption of FP methods through flash cards in meetings.

Chauraha Meeting:Objective:-.Make aware the male community regarding the programme. Agenda:- Motivate the male client for NSV and male involvement in the programme. We have organized 26 Chauraha meeting presence of Ms. Geeta Rana ORW in Shahjadi Mandi, Mr Ramdev Nagla Jassa. Ms. Mamta ORW in Gautama Nagar, Ms. Kamlesh ORW in Shahjadi Mandi, Mr. Ramdev Nagla Sewla. Ms. Neeraj ORW in Tall Firoj Khan addresses the meeting. We discussed about the programme and role of male in adoption of FP methods.
Outcome: Male were motivated to adopt FP services.

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NAI KIRAN RALLY

Objective: - Awareness for services delivery points & Aware the community of family planning issues. We have organized 9 NAI KIRAN rally in the quarter to mobilize the community. We raised slogans throw drums (DHOL).People got attention through Dhol and get aware of family planning. The slogan templates (Slogan Takhte) were present in the hands of children and women. They were raising slogans of family planning.

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SUKHI DAMPATTI SAMMELAN

Date 20/11/2011 Place- Prince Vatika, Tund Pura, Devari Road Agra. Time- 10:00 AM To 04:00 PM. We have organized SUKHI DAMPATTI SAMMELAN at Prince Vatika Tund Pura, Devari Road, Agra on 20/11/2011. We propagate about the event many days before the event in nearby slums i.e.Tund Pura, Nand Pura, Kotalee Bageechi, Nagla Jassa, and Gummat, Takhat Pahalwan by rally. Mr. Ravi Kashyap, President, SNBS & Mr. Sanjay Singh, PC, SNBS participated in the rally from Prince Vatika at 08:00 A.M. In the rally we voiced slogans of family Planning and information of BCC event SUKHI DAMPATTI SAMMELAN. We voiced slogans of family planning.

Rally being passing through the slums. 26

People got attention through Dhol and get aware of family planning messages. The slogan templates (Slogan Takhte) were displayed in the hands of Peer Educators and women. They were raising slogans of family planning. Rally was ended at 10:00 AM at Prince Vatika. Mr. Chandra Bhan Maurya, ward member inaugurated the programme. Mr. Sanjay Singh, Project Coordinator, SNBS gave welcome note to the audience and others. He gave brief presentation on the programme goal and objectives & strategies of the programmes.He gave emphasis on counseling during delivery/abortion for adopting FP methods.

Sammelan was inaugurated by Mr. Chandra Bhan& Mr. Ravi Kashyap. Ravi Kashyap, President, SNBS addressed the programme & gave brief introduction of SNBS (Sri Niroti Lal Buddha Sansthan).He hailed the community to adopt FP methods. Smt. Lata Devi, Smt. Kusama Devi & Anar Devi peer educators performed a play on small family and family planning theme in the programme.

Play and group song being presented by Peer Educators.

Slogan Writing competition:27

We organized a Slogan writing competition in the programme. Several slogans were written by the participants. The best slogan written by Mr. Piyush.The slogan was Biwi Rakhni Hai Tip top, Do ke bad full stop.

Mr.Piyush writing a slogan

Quiz Competition: Quiz Competition was organized to address their curiosity. Different questions were asked to the participants regarding family planning. We rewarded winners with gifts. Ms. Sapna Kushwah w/o Mr. Shiv Kumar Kushwah, Madhu Nagar, Ms.Kalpna, Kotalee Bageechi, Ms Mamta w/o Bhav Singh, Singho Ka Nagla, Ms.Seeta w/o Sheru, Kotalee Bageechi, Ms Lalita w/o Mr.Suraj Singh Nagla Tek Chand, Ms. Rubi w/o Sunil Nand pura, Ms. Vaijanti w/o Durgesh ,Singho Ka Nagla, Ms.Suman w/o Radhey shyam, Singho Ka Nagla & Ms.Sunita Udden w/o Mr. Dharm Shekhar Udden, Nagla Latoori Singh rewarded with gifts.

28

Mr. Sanjay Singh questioning the participants.

Winner of the quiz were gifted by Mr.Ravi Kashyap.

Local Music group Local Music group programme lead by Mr.Chhedi Lal presented songs on family planning issues.

29

Local Music group performing in the Sammelan A stall was displayed in the event. Different IEC materials were displayed and information was given through the stall to the participants. Sukhi Dampati (eligible couple) was recognized for adopting small family and FP services. They were gifted with garlands to the couples and given appraised.

Sukhi Dampati being wished with garlands. Mr.Ravi Kashyap gave vote of thanks to the participants. Participation of the community was 338 in the programme. Programme was ended of 04:00 PM.

30

31

SABHASAD KI CHOPAL
Date 27/12/2011 and 23/9/2011 Place-Sewla Sarai Gwalior Road and Prince Vatika,Tundpura Agra. Time- 03:00 PM to 06:00 PM. Introduction We have organized SABHASAD KI CHOPAL at Sewla Sarai Gwalior Road and Prince Vatika Agra on 27/12/2011& 23/9/2011. Participation Mr. Kailas Chand ward member Sewla and Mr. Chandrabhan Marya ward member Tundpura Mr. Nausad Ali Consultant COCM of UHI, Mr. Ravi Kashyap Project Director, Mr. Sanjay Singh Project Coordinator, council member of the nearby slums was also present. Residents of nearby areas participated in the event.Mr.Kasilash Chand and Mr.Chandrabhan addressed the Chaupal. Discussion We discussed about Urban Health Initiative and its goals & objectives. Community was given information regarding Service delivery points and available Family Planning services at these points. Presentation Mr. Ravi Kashyap started the program with the introduction of SNBS and gave a message to adoption the family planning services to the community. Mr. Sanjay Singh discussed about Family planning methods and detailed all the government and private service Delivery point in nearly Area. Kailas Chand (Sabhasad) threw light on need of family planning in current scenario. After all the discussion Mr. Kailas Chand & Mr.Chandrabhan and Mr. Ravi Kashyap thanks to all present people.

32

Sabhasad Ki Chaupal Photographs.

Stakeholder meeting
Objective: - Sharing the progress of the programme with the stakeholders. Agenda: - Familiarity of the programme to stakeholders, presentation of the progress of the program. Involvement of stakeholder in the programme activity. We have organized 4 Stakeholder meeting at MATRUMAL DHARMSHALA Gopalpura Agra. Mr. Sanjay Singh introduce with the participants. We have organized Stakeholder meeting on May, 20, 2011 at D Type Urban health Center Gopalpura Agra. Dr. Ram Ratan, CMO, Dr. Anupam bhaskar, ACMO and Ms. Kamlesh Gupta, DPO, Sonu Arya Supervisor ICDS, Dr. R.K.Dixit, DTO and CRC Mr. Raghunath Pachauri, Project Director Mr. Ravi Kashyap, Project Coordinator Mr. Rajeev Kumar, addressed the meeting . Ward Member Mr.Kailash chand introduce the 33

participants. Then Project director Mr. Ravi Kashyap shared feedbacks of working in the slums area. He gave brief introduction of SNBS (Sri Niroti Lal Buddha Sansthan). Project Coordinator Mr. Rajeev Kumar gave brief presentation on the programme goal and objectives & strategies of the programme. He gave brief note of PE(USHA) role and responsibility. Dr. Ram Ratan CMO gave emphasis on availability of FP methods for the willing family planning users and listed users by PE. He emphsised on NSV. Mr. Anupam Bhaskar, ACMO told about counseling after delivery/abortion for using FP methods and motivates them for using FP methods. Ms. Kamlesh Gupta DPO discussed about the participation of PE in the National Health Progemmes, focused MWRA and listed of FP ushers with AWW. During the meeting Dr. R.K. Dixit DTO was willing to train the PE for malaria testing. Mr. Raghunath Pachauri CRC hailed the teachers about counseling in community of family planning. Total participants were 15 in the orientation. Mr. Sanjay Singh shared feedbacks of working in the slums area. He shared progress of working in Last months. We have motivated 585 clients to adopt FP methods in the quarter. He discussed on planning of Sabhasad Ki Chaupal. Ms.Sunita Sharma, ICDS, discussed about pregnant woman during the pregnancy period and care after the delivery. She gave emphasis on exclusive breast feeding up to 6 months of the baby. Ms. P.Kaur, HV discussed about Iron Folic Acid tablets for pregnant women and asked complete vaccination of child timely. Mr. Ravi Kashyap PD, SNBS gave emphasis on availability of FP methods for the willing family planning users and asked field workers for house hold visit regularly. Mr. .Ramdev Singh, ORW told about counseling after delivery/abortion for using FP methods and motivates them for adoption FP methods. He emphasized on MWRA for family planning methods. Ms.Neeraj, ORW told about felicitation of smart field worker .Dr. Amar Singh gave advice about vaccination and saving during pregnancy for an emergency. Outcome: - Sabhasad Ki Chaupal will be organized in the next month.

34

Stakeholder Meeting Photographs.

Front Line worker Orientation:Objective:-Orient and get familiar the front line worker on the programme.
We have organized 3 Frontline worker orientation meeting at D Type Urban health Center Bundu Katra Agra in the second half. Participants introduce themselves. During the orientation Mr. Rajeev Kumar gave detail presentation of programme Goal, Objectives and strategies. We discussed about the need of family planning in current scenario. We gave brief introduction of SNBS (Sri Niroti Lal Buddha Sansthan). Introduction about UHI partners-FHI, CARE, JOHN HOPKINS UNIVERSITY, Future group and HLFPPT.

35

Street Play: 14 Street play shows were organized in our project area. The theme of street play is awareness of family planning and utilizes family planning methods. Script was based on birth spacing methods and post partum /post abortion counseling regarding FP methods.

Service Delivery Day (SDD)

We referred FP clients at service delivery point on service delivery day.5 private hospitals and 2 other hospitals attached for qualitative services. Govt. hospitals were also providing FP services on SDD. Pvt Hospitals contracted by UHI/JANANI for qualitative services & nearly from slums. FP users reached easily there. Following 5 hospitals and 2 other hospitals affiliated with UHI:36

1. Agra Hospital 2. Shakya Hospital 2. Vandana Nursing Home 4. Bhawana Hospital 5. Shiromani Hospital Other Hospitals:1. Marigold Hospital 2. Parivar Seva Sansthan

PARI DIVAS WITH JANANI

Objective : - Providing DMPA family planning method service.

2 Pari Divas were organised by SNBS / JANANI at Atul Medical Store Gopalpura, Gwalior Road Agra in the quarter.Divas were started on 2:00 PM. 18 people were registered and 13 clients were benefitted in Pari Divas. Mr.Santosh from JANANI organized the Divas with the support of our team. Divas was run to 4:00 PM.Testing of B.P.was done by the team.FP Counseling was provided in the Pari Divas. Benefitted clients appraised the efforts of organizing the Pari Divas.

PARI DIVAS with JANANI Photographs

IUCD CAMP
Objective : - Providing IUCD family planning Method services. A Camp was organised by SNBS /UHI/ Marrygold Hospital Gwalior Road Agra .Camp was started on 10:00 AM. 64people were registered. Dr. Chhaya Gupta and Mr. Dilip from Marigold 37

organized the camp with the support of our organization. Camp was run to 4:00 PM.Testing of Hemoglobin, Urine, and B.P.was done by the team.FP Counseling was provided in the camp. General checkups for women were done and prescription for the ailment was given to the client. 5 clients were provided DMPA services in the camp. Benefitted clients appraised the efforts of organizing the camp. IUCD CAMP Photographs.

Traditional Birth Attendant (TBA) Training Objective:- Capacity building of TBA (Traditional Birth Attendant) on programme
goal,Objectives and FP Methods and Safe Delivery, New Born care. Training was organised by UHI at SNBS Office for 1 day schedule for 1 batch on 10 August,2011. Mrs.Sunita prasad was trainer.All participants introduce themselves first in the training. During the training discussed about programme Goal, Objectives, strategy. They were trained on high risk pregnancy, safe delivery. They were also got familiar with TBA responsibility in UHI programme during the training. TBA was got brief discussion on different FP methods i.e. Permanent method (Female sterilization and male sterilization (NSV) and spacing method (IUCD, pills, Condom, DMPA.). During the Training Mr. Rajeev Kumar discussed about the need of family planning in current scenario. Mrs.Sunita prasad gave advice about vaccination and saving during pregnancy for an emergency. We have discussed of service delivery day and location of service delivery point.10 TBAs were participated in the training.

38

Mrs.Sunita prasad gave trainning to Traditional Birth Attendant (TBA) .

Health Camp SNBS/JANANI

Objective : - Providing general health services and family planning services. A Health Camp was organised by SNBS / JANANI Ambedkar Park, Kotalee Bageechi, Devari Road Agra on 19/08/2011.Camp was started on 9:00 AM. 110 people were registered and 90 clients were benefitted in health camp. Dr Bhawna and Mr.Santosh from JANANI organized the camp with the support of our organization. Camp was run by 4:00 PM.Testing of Heamoglobin, Urine, and B.P.was done by the team.FP Counseling was provided in the camp. General checkups for children and women were done and prescription for the ailment was given to the client. One client was provided DMPA service in the camp. Benefitted clients appraised the efforts of organizing the camp.

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Photographs of health camp

Participation in Pulse Polio Rally :Objective:- Develop linkages with govt. deptt and participation in National programme. We have actively participated in 3 pulse polio rally organized by Medical Health and Family Welfare deptt. Agra.The team of 220 people in the dynamic leadership of Mr. Ravi Kashayap..

Mr. Ajay Chauhan DM, Dr. Ram Ratan CMO, Dr. Anupam Bhaskar ACMO, flagging the rally. Outcome: - Messaging for eradication of polio. MEDIA SENSIDISATION MEETING REPORT Objective: - Advocacy with the Electronic and Print media. Agenda:-Introduction of the programme and organization, Sharing the progress of the quarter AprJune, 11 & July to Sept.,11. 40

We have organized 2 Media Sensitization meeting on 14t July & 30 Sept..2011 at our SNBS office Agra. Press reporters of different print and electronic media participated in this meeting. Mr. Ravi Kashyap, President, SNBS was present and he gave brief introduction of UHI (Urban Health Initiative) and SNBS (Sri Niroti Lal Buddha Sansthan). Project Coordinator Mr. Rajeev Kumar gave brief presentation on the programme goal and objectives & strategies of the programme. He gave brief note of PE field staff role and responsibility. He presented Quarterly progress i.e. April-June & July-Sept. 2011 of the programme activities in slums area. Reporters from DLA, Akinchan Bharat, DIGI News, Moon News, Amar Ujala and community people participated in the meeting.

Mr. Ravi Kashyap, President,Mr.Rajeev Kumar, SNBS gave interview in media meeting at SNBS office.

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News Report

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Participation in Population Stability Rally :Objective :-Dissemination of the message of Population Stability. Process :-We have demonstrated plight of the Dukhi Dampati and prosperity of Sukhi Dampati through procession. We have actively participated in the population stability rally organized by Health and Family Welfare deptt. Agra on 23/7/11 with the team of 50 people in the leadership of Mr. Rajeev Kumar Project Coordinator, SNBS. The rally was organized from Agra College play ground Raja Mandi to Baptist School, Sai Ka Takia Agra. Mr. Raj Kumar Srivastav, CDO, Dr Ramratan, CMO, Agra flagged the rally from Agra College play ground Raja Mandi at 9:30 A.M.The rally was organized to mark the Jansankhgya Isthirta Pakhwada.

Mr.Raj Kumar Srivastva CDO, Dr. Ram Ratan CMO, Dr.Anupam Bhaskar ACMO, Dr.Sunita Bhagia during the rally. We raised slogans throw drums (DHOL).People got attention through Dhol and sound system and get aware of population stability. The slogan templates (Slogan Takhte) were present in the hands of participator. They were raising slogans against population blast. Rally was ended at Baptist School. The participator enjoyed the event and danced at the end of the rally on the rhythm of the Dhol. The team of volunteers from UHI sung song of FP issues in the event.All partners and PSI, ICDS and HLFPPT participated in the rally. Outcome: - Messaging of the population stability.

ANNPRASHAN and GOD BHARAI Programme :Objective:-Aware the P/L regarding Family Planning.
We have organized ANN PRASHAN & GOD BHARAI programme with ICDS Deptt at AWC, Gopalpura Agra. Mr. Chandra Bhan Moray, Ward Member inaugurated the programme. Ward Member Mr. Chandra Bhan Moray introduces with the participants. . Mr. Ravi Kashyap gave brief introduction of UHI (urban Health Initiative) and SNBS (Sri Niroti Lal Buddha Sansthan). Mr. Chandra Bhan Moray advised for distribution of delivery kit to the beneficiaries. This should be used during delivery to ensure five cleans. He gave emphasis on adopting FP methods

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Mr. Chandra Bhan Moray addressing the programme.

God Bharai is doing When a pregnant woman has completed seven months of gestation period, the baby is assumed to be viable and in a safe phase. So, the celebration is usually at the end of the seventh month or in the eighth month to welcome the little one to the family and literally fill the mother-to-bees lap with gifts and fruits to bless her with the abundant joys of motherhood.

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Participation in World AIDS Day

We organized rally to mark the day. The rally was organized from Lady Layll, Raja Ki Mandi to Subhash Park, Agra at 10:00 am. The rally was flagged off by Dr. Mahavir Prasad.We organized the rally with the team of 100 volunteers from the organization.CBCI-CARD and District Tuberculosis Department also participated in the event.

Dr Mahavir Prasad DTO with Mr. Ravi Kashyap in the rally.

Rally passing through different places.

Awareness Booth was organized.

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Exposure Visit of Rudds College Introduction:Rudds MSW College is one of the premier institutes for social work academics in Karnatka.They visits our organization regularly for their students exposure visit. It was second exposure visit of the institution to our organization in the year.

Objective of the visit:The objective of the visit on 15/12/2011 and 02/05/2011 was to give exposure to their students regarding functioning of a Non Government organization. They could understand through the exposure visit to our organization about NGO working in Northern States.

Process:The group of 23 students & 1 Professor and other group of 24 students & 3 professors was visited our organization on 15/12/2011 and 02/05/2011. During their visit to our organization they have lots of queries regarding NGO functioning and its structure. Therefore we listed their queries first and answered them accordingly. They are curious about: Organization formation and its objective for formation. Goal, Vision and Mission of the organization. Community need regarding their Health, Education and Employment. Our programmatic interventions of working in the community. Target group for benefit of the projects. Information of Projects implemented in yesteryears. Planning for the future projects. Currently working areas for the projects. Currently projects implementing in the target community. Financial Management in the organization. Challenges faced in implementing of the projects.

Mr. Rajeev Kumar addressing the queries of the students. 46

Mr. Ravi Kashyap, President, SNBS addressing the group. We have given brief introduction of the organization Sri Niroti Lal Buddha Sansthan with the objective of its formation. We told them goals, vision and mission of the organization. We have given them notes of our programmatic areas of working i.e. Health, National Child Labor welfare.HIV/AIDS awareness, Family Planning. They were given brief notes of programs run in the last couples of years i.e. urban health program, NCLP schools, Health of Urban Poor etc.We discussed about planning for upcoming years. They were given presentation of currently working areas i.e. Family Planning, Child labor welfare, MCH.The group was given exposure to financial management in the organization.

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Group of Collegiate with Mr. Ravi Kashyap, President & Mr. Rajeev Kumar, Project Manager.

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Fighting Against Tuberculosis ( TB)

CBCI CARD & Shri Niroti Lal Buddha Sansthan are doing efforts to fight the deadly disease in their areas. We organized community meetings in Urban & rural different slums one day. Messaging against TB in community through these meetings. We introduced the community regarding our project (AKSHAYA).We have provided counseling of prevention and treatment to them. SNBS has organized 40 such meetings in the rural and urban area of Agra. We have covered Block Bichpuri, Akola, Fatehpur Sikri, Achnera, Barauli Ahir and Agra city. More than 1000 people were got aware through these meetings. We discussed about prevention and treatment of TB in the meetings. We asked some questions after the sessions about TB to the community, gifts were distributed for the right answers. We rewarded them three prizes 1 st, 2nd and, 3rd.We referred 12 patients at the nearest testing center for testing and follow up them for few days. Glimpse of the meetings:-

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Participation in Pulse Polio Rally:Objective: - Develop linkages with govt. deptt and participation in National programme. We have actively participated in 7 pulse polio rally organized by Medical Health and Family Welfare deptt. Agra from Lady Loyal to Subhash Park. The team of 350 people in the dynamic leadership of Mr. Ravi Kashyap, President SNBS. Glimpse of the rally:-

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MIPD (PSS) Survey:-

SNBS conducted survey in the 55 slums of Agra City. It was a house hold survey conducted in the concern slum. Initially we mark the boundary of the slum then we started the HH survey from LEFT hand side. We draw a social resource map of the slum after completion of the survey. We conducted PRA to draw the map and organized a community meeting to mark the recourses of the slum. We have interviewed 17751 families during the survey of the of the 55 slums. The objective of the survey was to assess the number of eligible couples have adopted FP methods and to identify potential eligible couples for FP services adoption.

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National Child Labour Programme

Implementation of NCLP by SNBS Since, the task of upliftment and development of marginalized section of the Indian society has become more challenging with the liberalization and modernization of the economy and growing need of human development and its proper deployment therefore, during the past four-year phase, SNBS focused its efforts in two specific directions - engaging systems, community and community representatives to ensure sustainable outcomes; and replication of successful practices in other areas on a broader scale. The dynamic changes engulfing the Indian Society and the world at large require adequate talent to promote the national interest and lead to a vibrating and modern economy based on equality and interdependence of various individuals and social classes and removing the irrelevant citadel of caste system from India, which in todays context has become a regressive practice for human existence and growth. In view of above, SNBS started four special child labor schools (with 200 child labor boy as well as girl students) from 1st of August 2005, in four different slums of Agra with the objective of providing protection and education to working children (Child Labor) in coordination with Labor Department, Agra under National Child Labor Project. SNBS took the task to educate those children who are exploited at their working places. The teachers of the child labour schools of SNBS are engaged to develop their moral as well as intellectual skills so that they can stand at their own feet, learn and understand the better ways of means and life and can be grown up as best citizens of our Country. Achievement up till July 2011 From 1st of August 2005, we are educating 200 Child labour (boy as well as girls) per year, in our four special child labour schools located in four different slums of Agra City i.e. Nala Kaji Para, Ram Nagar, Jagdish Pura, Chipitola. Up till July 2011, a total of 642 Children from Special Child Labour Schools of SNBS has been promoted and integrated with main stream of education.

STOP CHILD LABOUR Rally

Celebration: - International Day, against child labor. Date: 12/06/2011 Time: - 07:00 AM Participants: -102
Children are assets of the country and build the country for the future progress. Child labor is the stigma for the society. Some children sacrifice their childhood for the sake of living. They toiled hard to earn bread and butter for the family. At the age of games and naughtiness they are worried about their living and doing some hazardous jobs. To mark the efforts against child labor a rally was organized on 12/06/2011, International Day against Child Labor by labour deptt and partner organizations. It was started from Collectrate and end at Eklavaya Stadium, Agra.

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Mr.Deeptman Bhatt, Project Director, Notational Child Labor Project / Assistant labour commissioner flagged the rally from Collectrate at 7:15 am on 12/06/2011 to eradicate child labor from society.

Sri Niroti Lal Buddha Sansthan (SNBS) participated in the event with the team of 102 participants. They have actively participated in the Stop Child Labour rally on 12/6/11 with the team of 102 peoples (50 Children and 52 other team members) in the dynamic leadership of Mr. Ravi Kashyap, President SNBS. We voiced slogans against child labour.i.e. ABHI KARANI HAMKO KHEL PADAI, MAT KARAVAO HAMASE KAMAI II.RAM KE BACHCHE MAN KE SACHCHE, KITAB KI JAGAH DOHE RIKSHEII BACHAPAN HE ANMOL CHHINO MAT HAMSE, BADE HO KAR KAM KARENGE TUMSE BADKE II FACTORY YA GHARELU NAHI HAI BACHCHO KA KAAM, PADHANA LIKHANA HE BACHCHO KA KAM 53

IIBACHPAN KO BACHANA HAI, BALSHRAM MITANA HE II HAME AUJAR NAHI KALAM CHAHIE II.

We raised slogans throw music sound system and drums (DHOL).People got attention through Dhol and sound system and get aware of child labor. The slogan templates (Slogan Takhte) were present in the hands of children; they were raising slogans against child labor. Children and SNBS staff used printed caps & T shirts in the rally which were marked with the slogans against child labor. Lunch packs were managed for children at the end of the rally.

Mr.Rajeev Kumar, PC SNBS, Mr. Sanjay Singh, FMDC SNBS, Mr. Shyam Dhakre, Ms. Shaista khan, Ms. Mamata Kushwah, Mr. Ram Dev, Mr. Sanjeev Kumar, Ram Prakash, senior staff SNBS and Ms.Suman, Ms.Lata, Ms.Pinki,Ms.Madhu Devi, Ms. Radha Rani,Ms.Induwala etc . School teacher, our volunteers team, School children were present in the rally.

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The participatory children enjoyed the event and danced at the end of the rally on the rhythm of the Dhol. The participation of the organization was appreciated by the Deptt and the other participants.

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