Pyari Sangat South Asian Women’s Mental Health Support Group 2014-2015 Report Anita Chumber Community Development Worker
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
0
Pyari Sangat South Asian Women’s Mental Health Support Group
2014-2015 Report
Anita Chumber Community Development Worker
1
“I feel empowered! Rather than just accepting the depression and anxiety and continuing to feel hopeless and helpless, Pyari Sangat is giving us opportunities to improve our wellbeing. I feel Pyari Sangat has enabled each one of us to take control of our mental health and make positive changes.”
Pyari Sangat Group Member
2
Contents
Page
1. Introduction 3 Why set up a South Asian Women’s Mental Health Support Group?
2. Methodology 3 Pyari Sangat is born Addressing Cultural/ Language Barriers Demographic Background
3. Sessions 7
Events Outings Pyari Sangat’s 1st Anniversary
4. Outcomes 12 Case Studies Increased Wellbeing Empowering Group Members Macmillan Coffee & Cake Afternoon Community Events Group Involvement Referrals Recognition
5. Feedback 15
Group Member’s Feedback Service Provider’s Feedback
6. Conclusion 17
7. Recommendations 17 8. Appendix 19
Flowchart Timetable Membership Form Promotional Material
3
1. Introduction The CDW team launched the first South Asian Women’s Mental Health Support group in Walsall in September 2014. The group was set up specifically for Asian women who have experience of mental illness. The basis of the group is to enable a safe and confidential space for women with similar experiences to gain fellowship. In addition, it allows them to partake in activities to increase overall wellbeing and combat isolation without risk of judgement or stigmatisation. The group enables women to:
Socialise and develop relationships with other women who have shared experiences
Talk about mental health
Engage in wellbeing activities that cater for member’s cultural, language and health needs
Improve their knowledge and understanding of health issues and services
Provide an access point for signposting to services.
Why set up a South Asian Women’s Mental Health Support Group? The group was inspired by a parent who attended the Trust’s local Mental Health Awareness event during May 2014. Having recently overcome postnatal depression the event goer shared her experiences of isolation and judgement from her own family, peers and local community. She felt that it was common place for Asian women to feel the way she did because of the cultural stigma attached to mental illness. She felt strongly that a lot of women had similar experiences to herself but felt it was very much hidden and is a taboo subject. She commented, “Family members often encourage those who are living with a mental illness to be quiet as its perceived negatively, something to be ashamed of.” As CDWs who specifically work within BME areas in Walsall we speak with Asian women regularly during events, drop-ins, training sessions and through client meetings. Our experience confirms the views of the event goer, that a large number of South Asian women have experienced similar feelings of shame and isolation due to cultural stigma. Charity organisation Rethink Mental Illness compiled a report called ‘Family Matters’ in 2010. Probing attitudes and ideas around mental health within Asian communities in London the report found that the cause of mental illness was often misunderstood: “Black magic, the ‘will of God’, genetics and bad parenting” were all common beliefs in understanding the cause of mental illness. It is not surprising then that Asian women feel inhibited to talk about their own mental health, and furthermore, may refrain from seeking the help and support they need to improve their overall wellbeing. Pyari Sangat therefore, was set up to directly address this issue in Walsall.
2. Methodology Having identified issues relating to mental health stigma in Asian communities, we focused our attention on service provider and service user feedback. We started by hosting an awareness event at a local Sure Start Centre to engage with local service providers and users to discuss plans to further identify the needs of it’s community.
4
The initial event goer previously mentioned, inspired the project to take form as she expressed an eagerness to get involved to create social change in her own community. She did this by sharing her ideas and talking openly about her experiences during the event. As well as promoting the initiative through posters and leaflets which were displayed around local BME areas in Walsall, Pleck library enabled the team to engage with our target demographic by enabling an access point for women to express their interest in attending a mental health focused support group. After a number of individuals confirmed interest we set up a launch event and began to work in partnership with Pathways 4 Life. Pathways 4 Life is a joint partnership scheme between Age UK Walsall and Accord Housing Group which provides an array of advice and support services for individuals affected by dementia. Bringing the expertise of a dementia hard to reach support worker on board enables both support and referrals into the group through two key mental health service providers in Walsall, and furthermore allows an access point of contact for service users. Pyari Sangat is born Surestart Children Centres for Central and East Walsall supported the initiative by providing a free weekly venue for the group at their Alumwell site in Pleck. We hosted a launch in September with the primary objective to explore the ideas and suggestions of prospective members. Our aim for this initial session was to establish an agenda to improve the wellbeing of group members inspired by the potential service users themselves. In the open feedback session the general consensus found that the group wanted to learn about local services that could help them to feel empowered to improve their own overall health and wellbeing. The findings determined the structure of sessions to include a weekly schedule of informative talks from local health and wellbeing service providers and activities to improve mood and social interaction. We started to generate a steady regular turn out each week which grew to approximately 20 members. After a core group was established we decided to name the group with a title that embodied a positive perception of mental health. The ladies collectively came up with the name ‘Pyari Sangat’ meaning ‘lovely fellowship’. Addressing Cultural/ Language Needs We identified translation needs due to the mixed ethnic make-up of the group. Whilst the CDW who managed the group could communicate adequately in one of the main South Asian languages we felt it appropriate to book interpreters sourced from DWMHPT during presentations and health and wellbeing talks. As the group evolved we began to utilise the skill set of core members by introducing whisper translation during talks and presentations which resolved the issue of multi-translation requirements. We also organise sessions to cater to the cultural needs of the group. We have celebrated cultural and religious celebrations such as Diwali and Christmas and have designed sessions to take into account religious practises such as fasting. We also cater to dietary preferences when organising events and trips.
5
30-3912%
40-4912%
50—5912%
60-6936%
70+28%
Demographic Background We were pleased to find that women from a variety of religious and South Asian backgrounds were attending the group. Previous to this initiative our encounter of groups within BME concentrated areas in Walsall such as Pleck, Palfrey, Caldmore and Chuckery tended to be segregated according to religion or, and ethnic background. The charts below showcase the demographic make-up of the group during its first year:
Religion
Age
Disclosed Mental
Illness
Disclosed Mental Illness
Ethnicity
Language
6
3. Sessions Throughout the weeks we facilitated sessions which included a culturally aimed self-esteem class, laughter yoga, a falls prevention seated exercise activity, IT sessions, and awareness presentations were delivered to the group discussing mental health, dementia, medicine management, diabetes, cancer screening, fire safety and the five ways to wellbeing. Talks were delivered by a number of representatives from local organisations which included:
Age UK
Accord Housing
Healthwatch
Voiceability
KeyRing
Walsall Healthcare NHS Trust
West Midland’s Fire Service
Walsall Voluntary Action
Mindful Gifts
Alzheimer’s Society
Walsall Housing Group
Centro
Learning Together
Events Pyari Sangat has hosted a number of events throughout the year to raise mental health awareness and to celebrate significant occasions such as cultural festivals and traditions. Group members have also been encouraged to attend external events within the community.
7
Diwali We celebrated Diwali by lighting a candle in the middle of the room to represent the meaning of the occasion as the ‘festival of lights’. We also incorporated an arts and crafts activity, mehndi art, and members brought in home-cooked dishes. We also arranged for two guest speakers to deliver talks.
As well as providing an informative talk about KeyRing, a local service for vulnerable adults, we were also very privileged to receive a visit from an established author, journalist and playwright Jeremy Seabrook to discuss the group’s experiences as first and second generation south Asians living in Britain today. The session allowed members from varied backgrounds to learn about each other’s cultural and religious customs.
Mental Health Awareness and Equality & Diversity Week As well as attending CDW organised events at Palfrey Sure Start Centre and The Crossing at St Paul’s, Group members marked Mental Health Awareness and Equality & Diversity week themselves by creating artistic expressions to demonstrate their experiences within the group. The ladies produced pictures, poems and short stories in their own languages expressing how the group has helped to support them and improve their overall wellbeing. The artwork was then showcased to the group and pieces were saved to enable a starting point for a project the group were about to embark on in partnership with the Challenge’s National Citizen Service (NCS) programme to promote mental health awareness with a group of 13 young people. Pyari Sangat Vs The Challenge, NCS
Pyari Sangat worked in partnership with The Challenge, NCS (National Citizen Service). NCS is a government-backed programme which brings together young people from diverse backgrounds to equip them with strong skills for life. Within the 12 week programme a group of 16-17 year olds are supported to engage with community groups and organisations to learn about what they do and how they help to improve their communities. During this time the group of young people work
together to fundraise for their assigned organisation/ community group and work along with them to undertake a project.
8
Pyari Sangat worked with NCS to promote mental health awareness. We assigned the young group a task to produce a montage of Pyari Sangat’s memories. Pyari Sangat had produced artistic expressions for Mental Health Awareness week in May. The expressions contained poems, stories and pictures which captured their experiences of Pyari Sangat over the past year. We started the project with an event which we
especially organised for the group during one of our sessions. The ladies brought in home-cooked treats and we engaged in activities that allowed both groups to learn about each other. We also presented each young person with a pack containing mental health information, games and puzzles, and a personalised note from a Pyari Sangat member wishing them good luck in their future careers.
The NCS group then developed a mental health awareness campaign called ‘hash tag Free Your Mind’ which they wrote on T-shirts and 500 wrist bands. The wrist bands were given out to members of the public during two fundraising events within Walsall town centre and the Arboretum Park where they undertook a sponsored walk in fancy dress.
The project ended with an event which was organised by the group of young people at the Forest Art Centre to showcase Pyari Sangat’s montage. Both groups found this experience inspiring and rewarding. Walsall College Culture Week Event
Pyari Sangat received an invitation to set up an information stand at an event organised by Walsall College to celebrate World Culture Week in May. Two of the members attended the event with a CDW. As well as providing mental health resources such as self-help guides and wellbeing booklets, the members engaged with event goers about their own experiences of mental health. The members who attended the event found this experience invigorating as they surprised themselves
in exceeding their own expectations in feeling confident enough to engage in meaningful conversations outside of familiar and usual surroundings.
9
Outings
During the summer period the group expressed their wishes to monopolise on the sunny weather. We therefore organised outdoor sessions which included a gathering at the local Arboretum Park where the group sat in the sunshine and talked with each other whilst taking in the fresh air. We also went for a casual stroll and enjoyed a beverage at the local coffee shop. The outing inspired one particular member who lived near to the park. She had commented that she felt particularly low at times as she felt her physical conditions prevented her from taking advantage of the park which is conveniently located opposite to her home. However, the group outing encouraged her to think differently as it made her realise that she could in fact walk within the park at a leisurely pace that was comfortable to her own
ability level. She now has the confidence to use the park independently. During the summer the group also attended a one off Dementia Awareness Drop-in event at the Independent Living Centre for one of their weekly sessions. The visit enabled group members to meet independently at a different location encouraging member’s level of confidence and independence. Sandwell Valley Park Pyari Sangat experienced their first group trip in June to Sandwell Valley Park. We arranged for a Wellbeing Team Leader from the Kaleidoscope Plus Group to deliver a mindfulness walk session especially for us. The group was encouraged to use their senses mindfully through sight, touch and smell to fully experience the environment around them. This involved smelling the aroma of flowers, noticing the sounds of the birds tweeting and the trees swaying in the wind to visually noticing the intricacies of the nature we was surrounded in. The guest activity leader was pleasantly surprised when one of our own members suggested the idea to take off our shoes to feel the grass beneath our feet. All the ladies enjoyed the trip and described the experience as “heavenly”, “uplifting” and making them “feel happy.” Botanical Gardens Pyari Sangat received partial funding from Blakemore Foundation and DWMHPT to attend an autumn trip to the Botanical Gardens in Birmingham. Members particularly enjoyed the outdoor views showcasing the changing season at its peak. The group spent the visit enjoying the assortment of visual and sensory attractions which included
10
glasshouses, tropical houses and an exotic indoor and outdoor bird sanctuary. We took casual strolls across the gardens observing a collection of ornamental, fruit and herb gardens. The group fully enjoyed their experience of spending time together in such beautiful surroundings. The whole group felt valued and full of thanksgiving. Each member expressed that their spirits felt lifted and revitalised.
Pyari Sangat’s 1st Anniversary DWMHPT and Pathways 4 Life marked Pyari Sangat’s 1st anniversary by organising a special event for the group. We invited local wellbeing organisations to indulge the group with pampering sessions. Walsall Mind and Body delivered a meditation and aromatherapy workshop on how to manage pain and Central Therapies provided the ladies with mini head, shoulder and hand massage treatments.
Our members showcased their skills decorating group member’s hands with mehndi art and each group member prepared home-made culinary delights especially for the occasion. We also provided
mindfulness activities on the day which included
a ‘Gratitude Tree’ that enabled event goers to use colourful post-it notes to display what they are most grateful for and a ‘Happy Jar’ to deposit thoughts on what makes us smile. We also provided inspirational quotes as gestures for event goers to take home.
On display were a variety of mental health and wellbeing literature, and goodies such as self-help guides, relaxation CD’s, mindfulness puzzles and stress balls. Our main feature showcased a display board of photographs capturing Pyari Sangat’s past years’ memories and we also showcased a collection of displays with culturally appropriate mental health awareness messages.
11
After the team’s effort of blowing out our 1st candle and indulging in some birthday cake each Pyari Sangat member was individually presented with a token of appreciation that included a gratitude card, photo’s of our joint memories and a rose. Attendees on the day included representatives from Sure Start Alumwell, Accord Housing Group, Walsall Voluntary Action, and Learning Together. We look forward to creating new memories in the forthcoming year.
4. Outcomes As the group has evolved over the past 12 months we have been able to track improvement in member’s overall wellbeing through observation, one to one client meetings, group testimonials, participation in activities and events within and outside the group, and through written stories and poems documenting member’s experiences and outcomes influenced by the group. Case-Studies
Client 1 Client 1 suffered with post natal depression trauma. Her Community Psychiatric Nurse visited her weekly and she attended monthly appointments with a psychiatrist. After several months the visits stopped and as the client missed a couple of appointments she was discharged. The client felt unsupported and she still felt anxious and isolated as she felt it a struggle to leave her home. Through the encouragement of a friend she decided to attend a CDW Wellbeing Event. It was during this event that the client reached out to a CDW and shared her experiences. After a home visit the client started to engage with support services. She began to receive regular support from Home-Start and she also started to attend play sessions with her daughter at her local Sure Start Children’s centre. The client had regular contact with the CDW team as she expressed a need for an Asian women’s support group with a mental health focus. Sharing her local know how the CDW team organised an event at her local Sure Start Centre where she helped to formulate a support group. The client now feels more confident leaving the house and has become more independent. She engages with parents from the local primary school and helped to set up a further community group through Walsall Housing Group’s Community Champion initiative where she helped to plan activities and trips. She expressed an interest in acting as a volunteer for the CDW team in 2015 but found her responsibilities would not allow her the extra time required for the role. She then went on to act as a committee board member and secretary for Pyari Sangat. Client 1 has attended several community events to talk about her experiences. She is very appreciative of all the support she has received from the CDW team and feels that the relationship she has maintained with the CDW who manages Pyari Sangat has encouraged and supported her to become more proactive in her community.
12
Client 2 Client 2 attended Pyari Sangat’s initial session where she requested a home visit. The client expressed that she felt greatly disturbed due to a progression of symptoms that caused her to feel confused and incapable of carrying out certain daily chores. She disclosed that her husband would have to monitor her at times such as when she was cooking to ensure her safety, and she has to refrain from certain chores altogether such as ironing as she was becoming dangerously forgetful. The client had suffered with depression over a long period of time and continues to battle with it. The client received a letter informing her that the support she was receiving from secondary care was due to cease which concerned her greatly due to the new symptoms she was experiencing. The client was advised to see her GP as the first point of call. After several months of clinical appointments which involved a visit to the memory clinic Client 2 was diagnosed with MCI (Mild Cognitive Impairment). Client 2 was then referred to the Pathways 4 Life service where she now has quarterly visits from a CDW and Dementia hard to reach worker. The client demonstrated great perseverance and a willingness to keep herself healthy and active in mind, body and spirit. Through CDW referrals the client has attended an arts club and a CDW facilitated 6 week mental health and well-being course. She also completed an Expert Patient Programme. To keep her mind active the client engages in art and craft activities at home and particularly enjoys colouring in pictures and knitting. She is eating healthily and exercising regularly as she takes daily walks with her husband. She is also
13
meditating and seeking spiritual guidance from her faith networks which she believes is helping to enable her peace of mind. Client 2 is one of Pyari Sangat’s most loyal members. She attends weekly. She also attends local health and wellbeing events and initiatives which are signposted within the group. The client has grown in confidence. She has become more independent and feels that her overall quality of life has improved. She is extremely grateful to the CDW team for their intervention. Increased Wellbeing Empowering Group Members Midway through Pyari Sangat’s first year the group decided to develop a constitution through the support and guidance of Walsall Voluntary Action. We set up a course of sessions to gage service user feedback in discussing the aims and objectives of the group and its future plans to progress further in helping to support and improve the wellbeing of members. During these sessions we encouraged members to consider committee board roles and responsibilities as at the heart of Pyari Sangat our central objective is always to remain faithful to the agenda of the service users themselves. Group members were empowered to take on roles as chair, secretary and treasurer with vice positions. Each role was
14
assured full support and guidance from the founding CDW. Having three signatories on the account has enabled three of the core members of the group to take ownership of Pyari Sangat in undertaking main responsibilities. This has given members a sense of control and leadership and has enabled individuals to re-visit and explore their own skill set and capabilities. With a bank account the group is now able to apply for funding for future projects and work on initiatives to give back to the community. Macmillan Coffee and Cake Afternoon Inspired by a cancer awareness talk delivered by Walsall Healthcare Trust’s specialist cancer team and due to some of our own members having being affected by cancer through family members we decided to host a Macmillan Coffee and Cake afternoon to raise funds for the charity in October. Members brought in home-made cakes which we sold on the day to supporters who came to our event. A Macmillan cancer representative from Lifestyle Services delivered an informal talk to guests about local services in the area which cater specifically to individuals who are affected by cancer. We raised approximately £60 on the day. Community Events Group members have increased their levels of sociability in attending local community events such as a local women’s health event and health and wellbeing events that are organised by the Trust and local service providers throughout the year. Having direct access to DWMHPT and Pathways 4 Life, the group are well informed of local activities, courses and events taking place in Walsall. Group Involvement Pyari Sangat facilitates shared discussion sessions which allow group members to talk about their experiences of
mental health within a confidential and non-judgemental environment. This has increased member’s confidence and self-esteem as sessions like these not only enables encouragement amongst group members but
also identifies common and shared experiences. One member commented “I thought that I was the only one who felt like this, I didn’t realise that other people felt the same as me.” The group have also evolved by collectively providing advice and support to each other during sessions when talking about different subject matters. In a recent discussion about SAD (Seasonal Affective Disorder) which is commonly known as the ‘winter blues,’ without prompt members of the group encouraged each other by providing their own tips and suggestions of how to overcome low mood during the winter period.
15
Referrals Through sessions and client work group members are encouraged to take ownership of their overall health. Group members have gained access to a variety of local services.
Recognition Having completed a dementia awareness course delivered by the Alzheimer’s society, Pyari Sangat was awarded a certificate at the Mayor’s Parlour by the mayor of Walsall. Two of our members felt honoured to represent the group on the day.
16
5. Feedback Pyari Sangat Group Members: “It could be several days or a week before I might speak to someone. It doesn’t even matter what we’re talking about because coming to the group always gives me the ‘feel good factor.’” “For me, the group has a feeling of acceptance regardless of faith and other differences. And there is a sense of belonging/ home.” “I feel empowered! Rather than just accepting the depression and anxiety and continuing to feel hopeless and helpless Pyari Sangat is giving us opportunities to improve our wellbeing, I feel Pyari Sangat has enabled each one of us to take control of our mental health and make positive changes.” “I really enjoy attending the group, meeting each other, sharing things. I really like being apart of this group. Even though I have pressures as I care full-time for my disabled son I still try my very best to attend when I can.” “Every Monday my husband will ask me the same question; ‘are you going to the group today?’ and every Monday I will reply to him ‘yes of course I’m going today.’ I get excited to go to the group... I just get ready and go.” “Pyari Sangat is informative, for example, through the information provided to me I now attend talk therapy sessions which helps me greatly. I love meeting with people and find the group supportive and friendly. It’s helped me in gaining my confidence. This group is God sent.” ‘‘I have really enjoyed attending the group; learning new things each week, meeting new people and seeing them grow. I feel honoured to be part of the group.’’ Service providers: “This group is a unique platform where people with mental health and memory concerns can get together and share experiences. Members of this group are mostly from BME backgrounds and obviously have less access to other services due to language barriers. This group has successfully broken this barrier through the translation support. Through my experience with the group I can see that it has enhanced member’s overall wellbeing and increased their confidence in using other services. For instance, some of our service users suffer from both depression and memory problems and they were successfully able to access an array of support because of our partnership.” Sadat Hussain, Dementia Support Worker – Hard to reach groups. Pathways 4 Life. “Pyari Sangat is made up of a warm group of ladies who are welcoming and very accepting of each other. In the session that I delivered, unfortunately there were IT issues within the Sure Start Centre at the time, however even though the session didn’t go to plan the members nonetheless thoroughly enjoyed their time together and showed a great sense of appreciation for our efforts.” Yasmina Zindani, Time-bank Coordinator & Broker, Caldmoreaccord. “I delivered a Dementia Friendly Communities programme for Pyari Sangat in August 2015. I received a very engaged reception from the group at the event and have discovered members have since been very proactive in sharing their knowledge of
17
dementia awareness within their local communities.” Carol Bowsher, Information Worker, Alzheimer’s Society. “I personally feel that any group that gives people, especially those who may not have the chance to do so in other circumstances, the opportunity to socialise, mix, engage in activities and to learn new skills is a very valuable service indeed as the benefits on social inclusion as well as those gained by learning new skills and keeping the brain active in more senior years, can be extremely significant for both the individual and society. I think your wonderful service is of significance and I am both proud and honoured to be associated with it.” Luke Bennett, Time for Reel Volunteer. “Pyari Sangat is a well-established, comfortable, welcoming and positive environment. It is a place for the group to meet, where they are heard, and not only come and unwind and feel relaxed, but also share experiences, learn new things and meet different people. The group has made a positive and sustainable impact in their lives and their confidence has grown in many ways.” Sunita Bhatti, CDW Volunteer (2014-15), Phoenix Emotional & Wellbeing Practitioner. “The group has gone from strength to strength. Everybody who attends gets a lot of support, information, signposting which is relevant to their needs and aspirations – let’s see this group continue!!” Angela Causton, Dementia Care Manager, Pathways 4 Life. “I found the group had bonded, happy to help each other especially with any language barriers, and enjoyed their time together. I felt they had confidence to engage with myself as well as others and I wish them all the best for the future!” Vicki Phipps, CEO Mindful Gifts. “I was impressed to see a mix of women from different ethnic and religious backgrounds attending the same group. It’s the first time I’ve been to a group like this in Walsall.” Haroon Ravat, Community Cohesion & Engagement Officer. Walsall Council. “I enjoyed meeting your members. You have a good number that attend and have a varied programme organised. It was good to share what our team does and how we support carers and also to share my own ladies group and the sort of things that we do there. The women gain a lot of support at your group and I feel it is a necessary support”. Sue Powell, Occupational Therapist, DWMHPT Carer Support Service. “Pyari Sangat has been a brilliant initiative in building community cohesion and empowering the local community in Walsall. Very often CDWs are asked to sign-post clients to suitable support groups. Before Pyari Sangat, this proved difficult. Now however, local Asian women have a place where they can attend and learn new skills, socialise and have fun.” Kuldeep Singh, Senior CDW, DWMHPT
6. Conclusion This report has demonstrated how the CDW team have worked in partnership with external organisations to bridge a gap that has never been tackled before in Walsall. Pyari Sangat has provided an outlet for south Asian women with experience of mental illness to engage with women who have similar experiences without fear of judgement. It has also enabled an access point to empower women to take ownership of their own health and wellbeing whilst removing barriers of inequality in addressing language and cultural needs.
18
7. Recommendations
As the group is continuing to grow we are looking to gain volunteer support through DWMHPT enrolment.
We will be applying for external funding to facilitate self-esteem and confidence building courses and to arrange further group outings and trips.
The group have showed interest in wanting to share their experiences on a wider level therefore we are planning to produce a short booklet containing some of the member’s personal stories in 2016.
We aim to raise Pyari Sangat’s profile by utilising and further developing the skillset of group members by creating a Facebook page and Twitter account.
We aim to raise awareness of Pyari Sangat and Mental health issues by attending local events and continuing to publicise our development through Trust communications.
We are planning to work in association with local organisations to enable more opportunities for the group.
The CDW team will be exploring ideas in order to set up a similar initiative for men.
19
8. Appendix Pyari Sangat Structure
20
Pyari Sangat Timetable
21
Translated Posters
22
Pyari Sangat Membership Form
Related Documents
