SHECHEN CLINIC ANNUAL REPORT-2015 - Karuna-Shechenkaruna-shechen.org/wp-content/uploads/2016/03/Annual-Report-2015... · 2 Message from the Director The year 2015 has been an eventful

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SHECHEN CLINIC

ANNUAL REPORT-2015

Bodhgaya, Bihar

INDIA

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CONTENTS

Message from Director 02 - 03

Health

An Overview of Primary Healthcare Services 04 - 14

Out Patient Department 05 - 06

Mobile Clinics 06 - 09

Direct Observed Therapy (DOT) 09

Pathology Laboratory 10 - 11

Dental Check-up Camps 12

Health & Hygiene Awareness Programme 12 - 14

Education 15 - 20

Early Childcare and Development 15 - 16

Babuwa School 17

Support to Primary/Middle Schools 18

Yoga Classes 18 - 19

Non Formal Education 19 - 20

Environment 21 - 29

Solar Energy promotion 21 - 24

Rain Water Harvesting 25 - 26

Clean Environment Program 26 - 29

Social / Community Development 30 - 41

Vocational Training 30 – 36

Kitchen Garden 36 – 37

Small Money Big Change 38 - 41

Financial Summary and Donor 42 - 43

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Message from the Director

The year 2015 has been an eventful and productive year for us at Karuna-Shechen

India. We are tirelessly fortifying our focus our four broader existing areas of

intervention – health, education, environment and community development. These

four areas aim to calibrate our focus on changing lives of underserved people living

in remote villages.

This year we are successful in providing medical services to the communities in need

in Bihar and Jharkhand through our OPD and Mobile Clinics. We have achieved an

important milestone in providing primary healthcare services to the people residing

in remote villages. In both states we have treated more than one lakh (102,959)

patients. Our health education programmes continued to provide preventive health

services by generating awareness among the disadvantaged rural communities and

school children on various health related matters with a special focus on women

health and hygiene. This year we have started dental checkup camps in Bihar.

Our primary education programme has positive impact on children and the growing

demand for such programs in other areas motivates us to scale up in more villages

and the number of students increased significantly. Our alternative delivery of

education through non-formal education provides basic education and skills that

ensure sustainable livelihood among participants, particularly among rural women.

The organization thrives to remove darkness in remote rural areas of different

villages of Bihar with no access to grid connectivity. At the same time we have tried

to aware villagers about advantages of solar power and health hazards of kerosene

lighting. We have empowered rural women by making them solar engineers and use

them in installation, maintenance and repair of solar home lighting systems.

Promotion of kitchen garden has been very effective in ensuring safe and sustainable

food security of needy family in targeted areas. The participation of women member

in the household has led to their empowerment sustainability of home gardening

activities. As part of our initiative to implement development projects with minimum

costs, our Small Money Big Change programme implemented programmes like

repairing anganwadi centres, construction of wells, ponds and pipeline for irrigation

purpose.

Creating demand for sanitation through generating awareness is essential in curbing

open defection. During this year various street level plays were organized in order to

generate awareness on the health impact of open defection, sanitation and poor

hygiene practices. The impacts of those programmes were assessed.

Our vocational training programme on women e-rickshaw driver empower women

economically, break the social barrier and encourage other women to join this work.

This year our different skill development programme, like bindi making, candle

making, rakhi making, computer training and auto driving were organized for

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underprivileged women. Such training empowers the women to initiate with small

startup capital which can start from home. After receiving training few of them have

started business and start earning a small part their of their livelihood.

The great strides we have made and our many accomplishments along the way would

not have been possible without the commitment of our members, partners, staff and

volunteers (national and international) who have promoted Karuna Shechen’s vision,

mission and objectives through their dedication and professionalism.

On behalf of the beneficiaries and staff members of Karuna-Shechen India, I wish to

express my heartfelt gratitude to all those who make our effort possible and help to

bring positive change.

With Warm regards

shamsul AKHTAR

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PRIMARY HEALTHCARE SERVICES

Accessibility to healthcare facilities and the quality of available care can play an important role in the utilization of health services. Bihar and Jharkhand, the two states we are operating, are among the poorest states in India with problems of geographical accessibility and distribution of healthcare services. Karuna Shechen, India has developed an extensive network of primary healthcare facilities with good coverage in rural areas. In 2015, total number of patients registered in our primary healthcare services crossed one lakh (102,959), registered 27.45 percent growth compared to previous year.

Number of patients served in 2015

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Out Patient Department

We have two outpatient departments (OPD) operating in Bodhgaya, Bihar and one OPD in Hata, Jharkhand. In Bodygaya our OPDs remain open throughout the year, except last Sunday of a year. We organize a picnic day on the last Sunday, where we undertake various teambuilding exercises. Each OPD operate 6 days in a week and in Sundays and national holidays one OPD operates. Our OPDs have full setup of doctors, nurses, pharmacy, pathological labs and other facilities. In 2015, 42,259 patients attended in Bihar for consultation, which registered 23.10% growth compared with the last year. In our Hata centre of Jharkhand, which operates since November 2014, total 7,758 numbers of patients came for consultations. The OPD is open three days a week, Monday, Wednesday and Friday.

Number of patients served at OPD

Area OPD

2014 2015

Bihar 34,328 42,259

Jharkhand 591 7,758

Total 34,919 50,017

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As far as types of patients are concerned, women made up the majority in both Bodhgaya and Hata. In Bodhgaya, the percentage of male and children patients are almost equal, while in Hata male patients comprised 37.8 per cent and children 11.5 percent.

Types of patients attended in OPDs

Bihar Jharkhand

Mobile Clinics

The Shechen mobile health care services aims to reach out to villages deep into interior. Our mobile healthcare services provide primary healthcare services to disadvantaged aged populations, women and children. We have three Mobile units working in Bihar (six days in a week) and one Mobile unit in Jharkhand (three days in a week). In Bihar, our area of operation is within 70 km radius of Bodhgaya centre. The services offered from mobile clinic include doctor consultation, basic diagnostics and distribution of medicines. Typically, each Mobile Unit works six days a week, reaching the first site around 10.00 – 10.30 AM and works till 2 – 2.30 PM. Each mobile unit aims to provide medical services to 60-100 patients per day in remote rural locations. Our mobile clinic visits each place weekly or fortnightly depending of number of patients. In Jharkhand, we attend one village in a month. In 2015, 46,471 patients in Bihar and 6,471 in Jharkhand received medical consultation from mobile clinics.

Number of Patients served in Mobile Clinic

Area Mobile Clinic

2014 2015

Bihar 43,123 46,471

Jharkhand 1,755 6,471

Total 44,878 52,942

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Our mobile clinics have wide covered area, where patients from around 744 villages in Bihar and 108 villages in Jharkhand came for medical consultation at our OPD and mobile clinics.

Coverage area of primary healthcare services

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Types of Diseases observed in OPD and Mobile Clinics

We have classified 34 diseases from the patients visited our OPD and mobile clinics, out of which 10 diseases are more prevalent. As presented in below, the most common health problems observed from our patients in both the States were Bone and Joint pain; Cough and Cold, Fever, Headache (Flu); various skin diseases; and General weakness and anemia, hypertension and cardiac disorders. The pattern of disease follows similar pattern in both rural areas of Bihar and Jharkhand.

Most commonly the rural people visit to our centres with bone and joint problems. As observed from the following figures, majority of patients registered with Bone and joint problems, 26.4% and 27% of total patients in Bihar and Jharkhand respectively. Bone and joint related problems is the more common disease found among old and middle aged men and women. During diagnosis it was found that, in winter the bone and joint pain problem arises more as compared to summer because in remote village the dense forest area, agricultural open land, water bodies through its ecological balance makes the environment more colder, therefore, insufficient clothing specially in winters are more vulnerable to disease, body exposure to polluted air in winter carries fog and moisture which precipitates the local environment. Bare foot is another reason for aches and pains. Cough & cold is the second disease (16.5%) registered in our centres in Bihar, which is found to be seasonal disease in rural pockets. The seasonal variation in climate leads to cough cold and fever and low immune are more susceptible to viral flu. Skin diseases are the third important case registered in both Bihar (13.3%) and Jharkhand (12.8%). In Jharkhand, people from remote villages mostly depend on ponds water for the purpose of bathing, cleaning, washing utensils. Pond water is not considered to be fresh water; all kinds of activities like cleansing after open defecation (OD), cleaning cattle’s, utensil wash, bathing and many more in stagnant water which is unclean by nature affects human body after bathing which leads to skin diseases.

Percentage of patients consulted and treated with different diseases in Bihar

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Percentage of patients consulted and treated with different diseases in Jharkhand

Direct Observed Therapy (DOT)

Tuberculosis (TB) has been the major cause of death and suffering since ancient times. DOT is essential to ensure that the drugs are taken in the right combinations and for the appropriate durations. Out of 11,246 medical tests conducted in our pathology laboratory 547 Sputum tests were conducted. Out of these the number of patients who were diagnosed with TB was 25. Total 39 patients, including carry forward patients from previous year, have successfully completed their DOT course in our DOT Centre. Standardized treatment procedures are followed across the countries following WHO guidelines on patient categorization and management. In supervised treatment under DOT wherein a patient takes the drugs directly in the presence of health workers or other trained persons.

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Pathology Laboratory

Providing laboratory services is an essential aspect of a functioning healthcare system. Our diagnostic unit at Bodhgaya provides medical tests at reduced cost to the patients coming at our centers for treatment. As presented in the table below, the cost of testing medical tests in our laboratory is 3 – 10 times less than market rate. In the year 2015, 2473 patients got medical tests done from our pathology laboratory and total 11,246 analyses were done. The number of patients and tests are different because a patient may go for several tests depending upon his/her condition and recommendation of the doctor. Major tests conducted in our centers are blood sugar (13%), TC/DC (12.2%), ESR (11%), HB (9.7%) and so on. Our mobile clinics have the facility to conduct pregnancy test at free of cost. In Jharkhand centre we provide blood sugar and pregnancy test for free of cost.

Price comparison with Shechen Clinic versus Market

Investigation Price at Shechen

Clinic

Market Price

Investigation Price at Shechen Clinic

Market Price

TC/DC 15 50 Lipid profile 100 350

ESR 15 50 ECG 50

Hb% 15 40 Alkaline Phasphotes 40 100

Blood Suger 15 50 MP (Malariya Paraside ) 40 200

HCG 20 70 Widal 30 90

Blood Urea 30 70 BT/CT 10 30

KFT 70 320 Hb,s Ag 40 150

LFT 70 460 CRP 20 200

Serum Bilirubin 30 90 RA Factor 30 80

Serum Uric acid 30 90 CBC 100 200

Urine R/E 10 40 Stool Examination 20 50

Urine C/S 30 70 Stool Test (Occult) 30 50

ASO Titer 50 150 AFB (Sputum Examination) Free 80

ABO Rh factor 30 60 Montox Test Free 50

VDRL 20 50 Calcium 30 90

SGPT 30 90

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Types of Medical Tests conducted in our Laboratory

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Dental Checkup Camp

This year the organization has initiated a free dental checkup camps from 19th December, 2015. In Bihar, 2 free dental medical camps were organized once in a week where 244 students were registered. The organization has planned to organize more such camps in future.

Health & Hygiene Awareness Programme

To propagate the hygienic practice and to channelize communication gap on health related matters we target school girls, adolescent and rural women folks. The Health Education Program is running in full swing in Bihar and Jharkhand. We have emphasized more on School and Community education programmes with a focus on women’s health, hygiene, sanitation and sexually transmitted diseases. Girls and women are vulnerable to health due to poor menstrual health, security issues, and gendered socio-economic impact of lack of water and sanitation. Poor menstrual health in the form of using unsanitary solution to get through the menstrual period is often due to poor access to information about menstruation. We were able to provide insights into family planning, maternal and neonatal health especially in Community Education programmes. The Health orientation in schools were given by Nurse and dedicated women staff through interactive and participatory session by providing adolescent with information ranging from basic hygiene to the menstrual hygiene, understanding of reproductive health issues which may widen their perception on reproductive system. In rural village, motivators keep an account to motivate women

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folks and school going girls frequently. In village visit, motivators inform them about hygienic practices which would help them to prevent from communicable disease.

The interest and participation of 32 schools in two states indicate the interest in the programme. In Bihar, we have conducted the programme in 22 schools with 959 participants, while 10 school programmes were organized with 959 participants in Jharkhand. Total 1152 girls and women participated in the 55 community programme which helped the participants to learn about various topics of health. The Menstrual Health and Hygiene program started by Shechen Clinic in 2013 has seen rapid progress in 2015, through mobile health programs, schools, outdoor patient department, motivators in the village and sanitary napkin vending machines (in the clinic and in schools). Three schools in Gaya district have installed (with subsidized rates, 50% contribution by Karuna Shechen) the sanitary napkin vending machine in which napkins are available at a cost of Rs. 2 per piece. The amount collected from the sale of the napkins is collected and given to Shechen clinic by the schools for further purchase of napkins. A school in the same district has installed incinerator for proper disposal of used napkins. A total of 48,279 sanitary napkins were sold at subsidized rates through different centers, 29,896 in Bihar and 18,383 in Jharkhand. In Bihar, maximum numbers of napkins are sold through OPDs, comprising 36.8% of total napkin sold, 24.4% napkin distributed through motivators, 19.1% from schools during health education programme. 3,250 napkins were freely distributed in schools which bought the sanitary napkin vending machine.

The Shechen Clinic is in the process of setting up of a sanitary napkin production unit at Bodhgaya. The unit was planned to promote menstrual health and hygiene,

availability of cheap, locally available sanitary napkins, social and economic empowerment of women. Fifteen women were selected locally, from the health awareness program for starting production, after screening on basis of age, interest, young children, etc. They have been trained on marketing, record keeping and leadership. This occupation would be in addition to their primary occupation if any. The unit is expected to start by February, 2016.

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Percentage of sanitary napkin distributed in Bihar

Percentage of sanitary napkin distributed in Jharkhand

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Education

Access to education is a fundamental right of every child which promotes individual freedom, empowerment and sustainable development. Education is the catalyst for reducing poverty, protection of environment and ensures overall human prosperity. India has made significant progress in school enrollment, but the dropout problem jeopardizes the education system. Since we began our non-formal education programme in 2011 and other education programme in 2013-14. We have been working on early childcare and development, providing support to primary education and promote non-formal education in the backward villages of Bihar. We are working closely with local community groups, including parents, teachers, and school administrators to support education of underprivileged children in rural areas.

Early Childcare and Development

The role of play in a child’s life is of paramount importance in the development of social, psychological, cognitive, psychological and language skill. Our program entitled ‘Role of Play in the life of a child’, which was launched in 2014 in collaboration with our partner organization Inter’Lude, France in 10 villages of Gaya district. It was an initiative to complement the government’s program for pre-school children with the support of village coordinators, interns, motivators, national and international volunteers and dedicated staff of the organisation. The program has been extremely successful, benefitting over 400 children. The positive effect of the

program on children and the growing demand for such programs in other areas motivates us to scale up in 10 more villages and the number of students increased to 800. After the selection of Anganwadi centers and receiving approval, we organized one day training programme on the methods of organizing indoor and outdoor games. The training programme was attended by Child Development Officer (CDPO), Lady Supervisor (LS) and Anganwadi workers. Different varieties of indoor and outdoor games are organized. Indoor games includes construction, puzzles, representatives etc, while outdoor game comprised of hoops, bowling set, target games and games without equipments which are beneficial for all round development of children. In our Anganwadi centres we have organized wall painting which helps to enjoy friendly environment, recognize colours and so on.

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Babua School

The primary education in Bihar suffers from low student teacher ratio, low attendance of students, poor levels of teachers training and shortage of infrastructure. Our informal education program named ‘Babua School’ is an attempt to address this issue. The schools have opened in the area where majority of the household living below poverty line, agriculture is the main source of livelihood; children do not have access to school, dilapidated school buildings and non-availability of teachers. We are running these schools in three villages in Gaya district of Bihar, Dema, Habibpur and Musuribar. Babua School in Dema and Musuribar village started in 2014, while a new school opened in 2015. Total 290 students enrolled in these schools, 141 are boys and 149 are girls. The average attendance in those schools is 244 students, which indicates the interest among them. They attend school regularly and are happy with the teaching standards.

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Support to Primary/Middle Schools

Our program on ‘Strengthening Basic Education’ aimed to strengthen primary education in government schools has been running successfully in two villages of Gaya district. Started in the year 2013, support faculties were recruited from villages, they take classes on different subjects as per requirement. They assess performance of the students and monitor their progress. They often take extra classes after normal school hours for weaker students. It is noticed from the following table that school enrollment is rising each year. The attendance of students was significantly improved after providing support faculties. Average attendance was 629 students out of 850 students enrolled in those schools.

Number of students enrolled in rural schools

Yoga Classes

Organizing yoga classes in different schools forms an intrinsic part or our child education and development activities. The benefits of yoga is well known, which is beneficial for kids in many ways, assist overall development of children, increase

their wellbeing,

reduce stress,

improve behavioural

and emotional maturity.

Our yoga program is

currently running in 7 villages,

enrolling 335

children, decreased

from 508 students in 2014. This is due to

closing of one centre due to the shortage of instructor. High rate of participation of students reflect the overall enthusiasm of the participants. On average, 95 per cent

Year No. of children

2013 650

2014 800

2015 850

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children attend classes regularly. After attending yoga classes students become active, get more interest in their studies. Highest number of enrollment of students is found in Mansidih village, followed by Habibpur and Pathra.

Non-formal Education

Non formal education (NFE) is an alternative delivery of education that do not have basic education and skills that ensure sustainable livelihood. As initiated in 2011, our NFE program continues to provide education and skill enhancement support to the women living in remote villages. The program enables them to learn basic literacy, numeric skill, preventive health such as hygiene and sanitation. A large majority centre users can now write their own names. Since 2014 we have been encouraging women to read newspaper by distributing free newspapers among them. This in turn helps them to discuss various topics, raises social and political awareness. This apart the old newspapers are used in making paper wrapper (Thonga), which helps them to earn additional income. This indirectly helps them raise awareness about the danger of using plastic bags.

Basic performance indicators at NFE

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The Story of Shakuntla – Participant of Non Formal Education Programme

Shakuntla Devi, a motivator working in Gopalkhera village, who was a resident of Bagdaha village, Bodhgaya block of Gaya District in Bihar. She had lost her father at a very tender age due to paralysis. Since, then her mother had single handedly bought up her kids. Due to this Shakuntla remained uneducated and illiterate. She just learnt how to write her name. Her story is special because of her sincerity and the confidence she has built over the past 4 years. She had been married to a resident of Gopalkhera village in 2011. Just after her marriage she joined Non-Formal Education centre of Karuna-Shechen. She attended the classes for 2 years with utmost dedication and interest. Since 2014, she started working at ‘Role of Play’ (ICDS) program, which works with pre-school education. There she help children play with different types of toys, helped in smooth functioning of the Anganwaadi. Women in the village also wanted to learn reading, writing and arithmetic from her. Seeing her progress and interest level to work with women, the organisation has decided to engage her in our Non-formal Education Center to teach women. She was assessed for 3 months by our coordinators before we appointed her as a full time teacher. She taught lot of women in the village on how to write their names. We asked her to work as a motivator for us from 2014 in the same village for various programmes. She was also involved in other programmes like health education, rain water harvesting and Small Money Big Change. Shakuntla has come a long way from being a newly-wed woman in a remote village who just knew writing her name to being a woman who is confidently taking up development responsibilities in her village as a motivator. She has transformed from a student to a instructor who is trying to remove illiteracy in her own village.

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ENVIRONMENT

Solar Energy Promotion

Since 2010-11, the organisation has been working to remove darkness in remote rural areas of Gaya districts of Bihar with no access to grid connectivity; villagers use kerosene lamps at night for indoor lighting. In doing so, we have motivated villagers on solar lighting as an effective and environmentally sustainable source of home lighting system. This initiative of the organization is in accordance with UN sustainable development goal that states - Ensure access to affordable, reliable, sustainable and modern energy for all. The organization has tried to aware villagers about advantages of solar power and health hazards of kerosene lighting. This year we have installed 220 solar home lighting systems in 3 villages, which are benefitting 1356. Maximum 136 solar lighting systems were installed in village Chando, followed by Kadal (50) and Barsuddi (34).

Statistics on Solar Energy Promotion

Year No. of villages No. of

Households No. of

Beneficiaries

2015 3 220 1,356

Our initiative to spread solar energy to rural non-electrified households in turn helps to empower middle aged women as solar engineers. In this process, we have collaborated with Barefoot College of Rajasthan for providing training on installation, maintenance and repair of solar home lighting systems. They went through the rigorous training of 6 months duration through basic knowledge sharing and hands-on practical training. It has been a very tough journey for us to motivate

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women, their family and community members to ensure safety and at the same time to ensure security of future solar engineers. Women in rural areas, particularly in backward states like Bihar are not allowed to move freely outside and it is really difficult for them to move to other states to attend training programme. They are worried about their family members back in their villages and at the same time they are excited about bringing light in their villages.

After completing training women solar engineer come back to their respective villages. They install solar systems to the households those who are willing to pay the installation charges. For maintenance they are paid Rs. 20 per month from each household. However, majority of the households are not interested to pay subsequent maintenance, they generally pay for its repair only. In this whole process, community contributed 13.69% towards the project cost, while the rest contributed by Channel Foundation. The following table presents the village wise statistics on solar system installation.

Statistics on Solar Electricity

Village Number of

Households Number of

Beneficiaries

Barsuddi 34 225

Kadal 50 274

Chando 136 857

Total 220 1356

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Since 2014 we have started distributing small contained solar sets to some villages in

Bihar. This solar system costs Rs. 5,072, which we are distributing at subsidized rate

of Rs. 2000. The basic objective of this is to spread the use of solar electricity those

who are not willing to spend high cost of compete solar lighting system. In 2015, we

have distributed such small content set among 31 households.

Small contained solar project

Village Name

2014 2015

Bhupnagar 33 5

Simriya 5 0

karhara 1 0

Dema 16 13

Lohjara 3 0

Manshidih 11 2

Others 0 11

Total 69 31

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CONSERVING THE ENVIRONMENT AND BRINGING SHINE IN THE LIVES

Pooja Devi, a 25 year old woman living in Chando Village of Barachatti block, Gaya district. She is seen doing household work and repairing solar units at solar workshop. She started the workshop with the help of Karuna-Shechen at her house, so that she can manage both together. Pooja lives with her husband and her 2 children. Her legs were affected by polio at a tender age of five and are confined to a wheel chair. Her husband too suffers from the same disability. Yet, Pooja remains one of the most laborious solar engineers the Karuna-Shechen has. In 2013, the organization started this solar home light project in remote villages financially supported by Channel Foundation. Pruja Devi from Chando went for training to become solar engineers! They went through a rigorous 6 month residential training at Barefoot College, Tilonia (Rajasthan) where people from different parts of the world come to receive training on solar. When the village people heard this, they were very skeptical and afraid of letting their womenfolk go to Barefoot College as they had never stepped out of their houses and villages. Going and staying there alone was also a major concern for the women themselves. They also wondered who would take care of their family members in their absence. Hence, no family was ready to send their women folk and no woman was ready to go too! Pooja agreed for the training. Her family also agreed as they had faith in Shechen Clinic. After learning how to install, maintain and repair the solar units, she had a growing sense of pride that she would install solar lights in households in her village and bring light from darkness. When she returned to the village, she along with the coordinator, Laxami (a solar engineer from Kadal village) and Geeta (a solar engineer from Banahi village) installed in 2 days the solar panel of her workshop at her terrace. 4 solar panels, capacity 75 Watts each were installed. The whole team had installed solar units in 220 housesholds during January - December, 2015. She is content with her new found profession of a solar engineer and remains thankful to Karuna-Shechen for providing this life changing opportunity! Her family is also happy with her work! She wishes to continue this work.

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Rain Water Harvesting

The rain water management and replenishment programme of the organization is intended to generate awareness on water conservation, access to fresh water and use

of clean water in household activities. The programme was initiated in 2013 with 32 households in Bihar, which has now grown to 164 households in 2015. Total number of beneficiaries increased significantly from 610 in 2014 to 1,075 in 2015. During the year, we have successfully spared our rainwater harvesting programme in 10 more villages, which include five villages in which rainwater harvesting system is installed in middle schools.

Performance of Rain Water Harvesting Program

Year No. of villages No. of

Households No. of

Beneficiaries Schools

2014 9 113 610 5

2015 10 162 1,075 5

The rainwater tanks were installed for storing and collecting rainwater from the house/school roof through pipes for later use. Water from these storage units are used for washing and kitchen gardening purposes. The rainwater is beneficial for irrigation purposes as the stored water is chlorine free. Regarding cost sharing it is found that around 30% of the total project cost contributed by the community which would ensure sustainability in use and maintenance of these rainwater harvesting systems. Generally labour and cost of plumbing is borne by the village community. Rainwater Harvesting has continued to benefit the rural people as acute water crisis prevailing during summer. It is also noticed that after installing tanks, the use of toilet by household members has increases due to availability of stored water and thereby reducing open defection. The village wise statistics of rain water harvesting are presented in the following table.

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Statistics on Rain Water Harvesting

Village No. of Households

No. of Beneficiaries

Banahi Community Toilet 01 50

GopalKhera 13 78

Lohjara 19 112

Dema 30 180

Trilokapur 07 42

Karhara 32 192

Bhupnagar Community Toilet 01 38

Chando Community Toilet 01 35

Mansidhi 30 180

JP Nagar 28 168

Total 162 1,075

Clean Environment Programme

Distribution of Jute Bags

Each year the organisation conducted various activities under its clean environment programme. We encourage the usage of jute product as an alternative of plastic bags. India’s plastic consumption is one of the highest in the world. The indiscriminate uses of plastic bags are damaging our environment. Jute is a naturally growing fibre, does not require any chemicals and fertilizers to grow, and most importantly, it is completely biodegradable. The distribution of jute bags is a part of our regular programme and in future its consumption is expected to increase with the times to come. This year we have distributed 2983 jute bags in and 1398 Jute bags in Jharkhand.

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Tree Plantation Programme

Tree plantation programme of the organization is aimed to mobilize resources towards reforestation and better environment. The organization has collaborated with district forest department regarding the availability of saplings. District forest officer issued us 500 tree saplings under the scheme of Har Parishar Hara Parishar and purchased 60 samplings from the forest office at Rs. 20 per piece. Species like Gulmohar, Nim, Mango, Karanj, Sagwan, Chatwan, Kachnar etc are distributed in different programmes. We have planted 560 saplings nearby our office and schools with the help of all our staff , children form orphanage and students. Regarding the protection and safety of the planted trees we have provided proper fencing to plants. Initiatives have also been taken to protect the planted saplings and to improve environment ambience.

Community Toilets

The organisation has been emphasizing to educate people on the need to better sanitation. Inadequate sanitation in rural areas is a major threat to the environment by the indiscriminate disposal of solid and liquid waste, pollution of fresh water and ponds by untreated human waste. According to NSSO survey database, only 32% of rural households have their own toilets and that less than half of Indian households have a toilet at home. In fact, the last Census data reveals that the percentage of households having access to television and telephones in rural India exceeds the percentage of households with access to toilet facilities. Of the estimated billion people in the world who defecate in the open, more than half reside in India. Poor sanitation effects health for rural life specially children.

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We have installed Community toilets in Bhupnagar, Banahi, Kadal and Chando earlier. There was a not a single toilet in any households in those villages. After generating awareness among the villagers, the number of toilet users is increasing. These toilets are aimed at discouraging the practice of open defecation as also an attempt towards the protection of women’s privacy and safety, which are often at risk due to the unavailability of proper toilets in the villages. In village Bhupnagar, a street drama was organized in order to generate awareness on open defection habits and scale up sanitation and hygiene delivery. It is noticed that, after watching the drama the number of toilet user increased. Apart from this we have organised Nukad Natak in different villages to addressing the issue of using toilets. There has been a good impact of Nukad Natak on villagers as noticed on toilet use.

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Drawing and Speech Competition

Drawing and speech competition is an effort to generate awareness on clean environment among the children. We have organized a number of drawing and speech competition in different villages throughout the year. In this programme we emphasize on the use of paper, jute bag and campaigned against use of plastic. During the programme we have distributed colour pencils, paper, jute bags and distribute prizes among the participants. The programme is organised in different places like Bhagalpur, Dema, JP Nagar, Masuribar, Gopalkheda and other villages. The organisation took part in the Buddha Mahotsav -2015 (a three day fair organized in BodhGaya in January every year and includes a range of cultural and religious activities) where we organised drawing competition with 40 children to raise their environmental awareness.

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SOCIAL/ COMMUNITY DEVELOPMENT

The community development program of Karuna Shechen through vocational and skill development training is intended to uplift rural communities socio-economically and help them achieve self-sufficiency. Our Vocational training program for poor women and youth empowers them by enhancing their income-generating skills and thus improving their livelihood opportunities. Since 2013, we have been perusing sustainable social change initiative through our three main activities - vocational training for underserved youth and women, kitchen garden and Small Money Big Change.

Vocational Training

Vocational training is recognized as a very effective instrument of income generation, productivity of labour force, and creating sustainable livelihoods. According to recent data of Census of India, more than 50 percent of total population of Bihar and Jharkhand belongs to working age group population. Karuna Shechen recognizes the opportunities lies among working age group population of Bihar and Jharkhand. In Bihar, total number of participants in different training programme increased from 107 in 2014 to 486 in 2015. This year in Jharkhand 101 took part in various trainings programmes conducted by our organisation. We conduct vocational training programmes on women e-rickshaw driving and different skill development programmes like candle, bindi, envelope, rakhi making, computer, and pot painting which are all capable of generating extra income among girls and women. Apart from this we are ready to support start up ventures for those who are interested.

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Female E-rickshaw drivers: With an objective to empower women in Bihar and Jharkhand, we have started a unique and challenging initiative women to become e-rickshaw driver by providing free of cost training. The training lasts from minimum 10 to maximum 30 days depending on the grasping skills and confidence level of the female e-rickshaw drivers. We have targeted women from socially vulnerable sections, who were doing less earning jobs like maid, brick kilns worker or housewives with no income security to become driver of e-rickshaw at Bodhgaya and earning their livelihood with determination and dignity. It is rare to see women driving rickshaw. One of our Board members, Ingrid was excited after seeing women drivers in BodhGaya their empowerment which motivated her to donate an e-rickshaw for the organisation. We have also received three e-rickshaws through crowd funding campaign. This year 10 women were trained as e-rickshaw drivers in both the states. They earn between Rs. 300 - Rs. 500 per day out of which Rs. 100 is deposited compulsorily in their individual bank account till the deposit covers half of the costs. After that the beneficiary receives the ownership of the vehicle. Their earning pick up during tourist season in Bodhgaya (October – February). This training on e-rickshaw driving is so popular that Bihar Government has started promoting this programme which should break the social barrier and encourage other women to join this work.

Number of E-rickshaw drivers

Year Bihar Jharkhand

2014 5 0

2015 6 4

Total 11 4

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Skill Development Training

Bindi making: Bindi is made from a small piece of velvet cloth of different colours

along with various stones and adhesives worn on the forehead by Indian women on

daily basis. Bindi making can be initiated with little start-up capital. This is a good

business to initiate from home which is suitable particularly for rural women. In

2015 we have conducted bindi making training in 13 villages. Thirteen training

programs were held for bindi making in our Non-formal education centres, 264

participants from 13 villages participated in the workshop. Currently, 21 women in 7

villages from Gaya district become financially empowered after involving in Bindi

making.

Candle making: This year we have organized a candle making training programme

at Karuna-Shechen’s vocational training centre in Bodhgaya from 8-18th of

December. This training was concluded with a one day orientation on candle

packaging on 29th Decemeber, 2015. This training was special because our women

motivators from 4 villages (Banahi, Dema, Gopalkhera and Kharati), had trained the

women on various aspects of candle making. Two candle making trainings held in

Jharkhand, where 31 participants made 17 different types of candles. They learnt to

make various types, shapes and sizes line rose, spiral, sunflower, doll, boat, heart,

teddy bear, fruit shaped, plain and floating candles. They enjoyed the training and

are very happy about the new skill they have.

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Rakhi making: Training on Rakhi Making is an attempt to teach them the true

meaning of ‘Raksha Bandhan’. This year we have organized training programme on

rakhi making at our Hata centre of Jharkhand. Total 46 women participated in this

programme, which was started 5 days training from the first week of August, 2015.

The programme got good response from the participants; they hope in future more

such programmes from us.

Training on Pot Painting: This year we have initiated pot painting in our

Jharkhand centre at Jamshedpur where 21 women participated. The items produced

by these women are in demand which helps the participants to earn a livelihood.

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Envelope Making: Envelope making training have been organized since 2014 in

our Non-formal education centers. Women and girl students from majority of the

NFE centers had undergone training for the same. This was started with a view to

reuse the newspaper that was being provided to the NFE centers to improve reading

habits and provide some kind of vocation to our NFE students. They have started

selling these paper envelopes locally to village shops which helps them to earn little

income. This year we have conducted this training in Banahi village of Gaya district

of Bihar. There 18 women and girls participated, they were happy about the new skill

they now have.

Computer training: Computer training was started in 2013 with a view to make students computer literate, equip them with basic skills required in modern society and provide some form of employment in hotels, monasteries etc. Students come from the vicinity of Bodhgaya from a distance of 5-20 Kilometers each. The participant of the programme includes from school and college students, housewives, employed persons, etc. We offer a basic course in computer applications and desktop publishing. The duration of both these courses is of six months each. Students have to fill a form before appearing for a test cum interview on basic computer knowledge. This course is free of cost, only a minimal charge of Rs. 375 for books and certificates which is paid to other agencies. In return the participants have to provide weekly five hours of free services for social work including free coaching in their surrounding neighborhood. This year in 2015, 3 batches of 198 students in all were studying with us across both the courses. 146 male and 52 female students attended our classes 3 days a week this year for an hour of theory and an hour of practical sessions. Combined weekly quizzes amongst the batches form a part of the pedagogy 18 students couldn’t complete the course due to short attendance and low grades. One of the three bathes (80 students) started this year is ongoing and would complete by March, 2016.

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Statistics on Computer Trainings

Sept 2014 - Mar 2015 Mar 2015 - Sept 2015 Sept 2015 - Mar 2016

No of Students enrolled

DCA DTP No of Students enrolled

DCA DTP No of Students enrolled

DCA DTP

Male 45 6 Male 25 10 Male 44 16

Female 9 3 Female 11 9 Female 16 4

Total Students enrolled

54 9 Total Students enrolled

36 19 Total Students enrolled

60 20

Male 32 6 Male 22 9 Male

Ongoing Female 9 2 Female 11 8 Female

Total pass out Students

41 8 Total pass out Students

33 17 Total pass out Students

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Computer classes as a tool for promoting volunteerism Rani is regular student of the computer classes organised by Karuna -Shechen. She is pursuing the 6 month DCA course. She comes from a nearby village of Bodhgaya, ShobaKhap which is 7 km from the computer centre. She belongs to a lower income group family, currently studying in class XII. The computer classes have been of immense use to her. She experience that the environment of the classes is very peaceful and conducive to learning. The teaching methodology is practical and helpful. She feels that she can now face the competitive exams in a better way. In return she is contributing to the society by providing free social services and coaching the kids in her community.

Kitchen Garden

Food insecurity and malnutrition are major problems that plague Bihar. Food insecurity leads to malnutrition especially in areas where incomes are low and access to markets is difficult. According to recent National Sample Survey (NSS) data every 2nd child in Bihar out of all children upto 5 years of age is malnourished and suffers from various problems like stunting, wasting and inadequate mental growth. Malnourishment in girls and women especially leads to a further malnourished generation. We have initiated the kitchen garden programme in villages on multiple-cropping pattern to ensure food security, nutrition in people and sustainable food supply systems. Women are particularly targeted for the program because of their role in coping with hunger for their family members. Number of kitchen garden varies with respect to season. In both states, maximum number gardens seen during rainy season, followed by winter and summer. In Bihar, 7042 households have grown kitchen gardens this year, increased from last year’s figure of 3818. People across 66 villages showed interest in growing kitchen gardens and have accepted the idea whole-heartedly. This year 1869 households in Jharkhand across 63 villages have grown kitchen gardens during monsoon, which decreased to 814 during winter and 468 during summer. Lack of water is the most important constraint to survive the kitchen gardens.

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Statistics on Kitchen Garden

Number of Kitchen Garden in Bihar and Jharkhand

Year Number of gardens Number of beneficiaries

Bihar Jharkhand Bihar Jharkhand

2014 3,818 - 22,908 -

2015 7,042 1,869 42,252 11,540

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Small Money Big Change

small money BIG CHANGE (smBC) program is a tool for community

engagement and community development which recognizes that the most effective

way to address the problems is to involve communities in planning, decision-making

processes and to encourage them to participate in management for sustainable

development. The main objective of this programme is to give ownership,

responsibility and greater control of the project. Economically, this approach to

development and poverty alleviation is less costly and fewer resources are used to

achieve greater numbers of completed projects which meet the needs of the people.

We are able to discover hidden talents in people, discover community leaders and the

creative ingenuity of local people. People will sacrifice more when they are involved

in planning and implementation of development activities in their own community.

- Together we have built 4 community toilets to stop open defecation in 4 villages-Banahi, Chando, Bhupnagar and Kadal. The expected number of beneficiaries is 650. Currently 153 people including women and children are using these toilets. This project is also an effort towards safeguarding women’s privacy and dignity.

- A total of 284 people (including children) have access to health and education facilities in shade in Dema (at a health sub centre and our BABUA school).

- 90 Acres land will be irrigated in 2 agricultural seasons per year and 1057 rural poor will be benefitted by the well construction activities that have been taken up in Gopalkhera and Nima. Apart from this people will be benefitted from the well renovation work at J P Nagar and Habibpur. This year we have completed well construction at Nima and well renovation at J.P.Nagar. There was an interruption in the remaining 2 activities due to winter season and they are expected to finish in the first quarter of 2016.

- In Tirlokapur, a pipeline for irrigation had been set up which would benefit 140 people and to irrigate 15 Acres of land. An Anganwadi floor in the village has been repaired too, which was earlier broken.

- 100 people would be benefitted from fish breeding and or agricultural activities due to construction of a pond in Simariya.

- 86 people have positive health impact due to less smoke after construction of 2 smokeless ovens at Angwanwadi centres in Dema and Banahi. Time for cooking has also reduced which was high earlier.

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3rd September, 2015 29th September, 2015

JP Nagar, Dobhi Block, Gaya district

Total cost INR 14,710 = 225USD (48% contribution from community)

Beneficiaries: 125 persons. Area of irrigation: 10 Acres

1st June, 2015 31st December, 2015

Nima, Mohanpur Block, Gaya district

Total cost INR 1,01,870 = 1567USD (48% contribution from community)

Beneficiaries: 240 household (4 villages). Area of irrigation: 40 Acres

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List of projects accomplished under smBC project - 2015

Description Village No. of

Beneficiaries

KS India

Community Total

Exp(INR) USD @65

Status

% of contribution

Community

Toilet

Banahi Expected 150 84 16 1,73,296 2,666 50 till now

Chando Expected 150 81 19 1,75,711 2,703 40 till now

BhupNagar Expected 200 80 20 1,57,664 2,426 38 till now

Kadal Expected 150 84 16 1,55,533 2,393 25 till now

Shade at Health Sub Centre

Dema 150 patients 96 4 10,394 160 All patients at Mobile camp

Shade at Babua School

Pathra, Dema

134 55 45 11,058 170 All students and

teachers

Smokeless Oven

Banahi 43 100 0 3,055 47 Reduced time of

cooking and cost. As well as positive health impact

Smokeless Oven

Dema 43 100 0 3,055 47

Well for Irrigation

Nima 240 (40 Acre land will be irrigated

48 52 89,630 1,379 Completed

Pond Simariya 100 persons 52 48 14,275 220 Irrigation / Fish

cultivation

Well renovation

JP Nagar 125 persons 48 52 14,710 226 10 Acre land

irrigation

Floor repairing at Anganwadi centre

Trilokapur 40 kids 49 51 1,300 20 Completed

Pipe line for irrigation

Trilokapur 140 persons (15 Acre

land will be irrigated)

41 59 1,31,490

208 Completed

Well renovation

Habibpur 72 persons (5 acre

land will be irrigated)

18 82 3640 56 Completed

Well for Irrigation

GopalKhera 500 (25 Acre land will be irrigated)

0 (till now)

100 (till now)

26,000 (till now)

400 Expected

completion by end of March, 2016.

Total 2,341 beneficiaries 105 acres of

land from 14-15 villages 70 30 9,70,811 13,120

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284 people having benefited with in shade in Dema (at a health sub centre).

A pipeline from river for irrigation in Tirlokapur: Expected beneficiaries 140 people, Area of irrigation 15 Acres of land.

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FINANCIAL SUMMARY

Sector wise Expenditure -2015

Karuna-Shechen India Program Bihar Jharkhand India

in USD @60

in INR % in USD @60

in INR % in USD @60

in INR %

Health Program 192,159 11,529,559 42 36,677 2,200,603 35 228,836 13,730,162 41

Education 36,065 2,163,919 8 0 0 0 36,065 2,163,919 6

Environment Program

96,560 5,793,602 21 0 0 0 96,560 5,793,602 17

Social Program 31,918 1,915,073 7 30,810 1,848,589 29 62,728 3,763,662 11

Program Support (Need Based Training and Capacity Building for Staff)

18,095 1,085,671 4 974 58,443 1 19,069 1,144,114 3

Administration, transportation and functioning

57,025 3,421,512 13 7,231 433,862 7 64,256 3,855,374 12

Fixed Assets and Equipment

12,187 731,234 3 26,873 1,612,376 25 39,060 2,343,610 7

Contingencies 2% 8,990 539,426 2 2,944 176,658 3 11,935 716,084 2

Total 453,000 27,179,996 100 105,509 6,330,531 100 558,509 33,510,527 100

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DONORS

Our special gratitude to:

Shining Hope Foundation

Foundation Channel

Crowd Funding

And

Thousands of Individual and Institutional Donors whose name is

not appeared here!

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