AP Projects
- Introduction
- Activities
- Future Plan & Case Study
- Photo Gallery
Introduction
LEPRA Society Avahan Projects is working for the upliftment and empowerment of the sex workers at Hyderabad site. As they are considered one of the risk groups who are prone to HIV/AIDS prevalence, they are motivated to adopt safe sex practices and expected to bring about behavioral change through communication
The introduction of clinical services to the KPs and occurrence of STI has come down. The consultations have increased proportionately every month and STIs have decreased. This decrease of STI is due to efforts of outreach, good and effective messaging.
This could be possible due to adequate trainings to Out Reach staff and also due to regular monitoring, supportive motivation, expanding the services like DIC utilization, clinical service, condom promotion, counseling services, referrals services to the KPs, so that the present status achieved.
• The Project was initiated in year 2004 – 2009 (June)
• As FPP & Avahan funded by BMGF through Alliance.
• From the year 2009 July transition from form AAA to APSACS and named as Target Intervention project funded by APSACS.
• The project is aiming at reducing transmission of HIV /AIDS through treating STIs in HRGs, they are motivated to adopt safe sex practices and expected to bring about behavioral change through communication
The major drive is on Out Reach staff for regular monitoring, supportive motivation, expanding the services like DIC utilization, clinical service, condom promotion, counseling services, referrals services to the KPs, Advocacy & |
Operational Areas:
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We are operating area of the mandals is
1. Asifnagar, 2. Shaikpet & 3.Golconda and have 16 Hotspots of Tolichowki, Galaxy, Shaikpet, Dargah, Masabtank, Filmnagar, Pochamma Adda, Kamman Adda, Athapur, Bhojgutta, Labour Adda, Sangampark, Hudapark, Bandlaguda & Murathnagar. |
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List of ORW & Hotspot wise HRGs (FSW) |
| S.No |
Name of the Site |
S.No |
Name of Hot spot |
Key population |
| SB |
HB |
Total |
| 1 |
Tolichowki |
1 |
Tolichowki |
61 |
13 |
74 |
| 2 |
Galaxy |
52 |
18 |
70 |
| 3 |
Shaikpet |
47 |
20 |
67 |
| 4 |
Dargah |
57 |
24 |
81 |
| 2 |
Masab Tank |
5 |
Film Nagar |
49 |
28 |
77 |
| 6 |
Kamman Adda |
36 |
32 |
68 |
| 7 |
Pochamma Adda |
48 |
21 |
69 |
| 8 |
Mastab Tank |
39 |
24 |
63 |
| 3 |
Gudimalakapur |
9 |
Murad Nagar |
34 |
23 |
57 |
| 10 |
Athapur |
55 |
16 |
71 |
| 11 |
Bhojagutta |
41 |
22 |
63 |
| 12 |
Gudimalakapur |
23 |
31 |
54 |
| 4 |
Langer Houz |
13 |
Labour Adda |
39 |
15 |
54 |
| 14 |
Sangam Park |
38 |
18 |
56 |
| 15 |
Bandlaguda |
42 |
14 |
56 |
| 16 |
Huda Park |
35 |
23 |
58 |
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696 |
342 |
1038 |
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Project goal |
| "To halt and reverse the epidemic HIV/ AIDS by 2012" |
| Objectives: |
- Reduction in STI, HIV/AIDS prevalence amongst female sex workers.
- Increased use of condoms by KPs
- Empowerment of FSWs.
- To ensure improved quality of life of KPs and PLHIVs.
- Capacity building of CBOs & stake holders enable sustainability
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Activities:
- Management of STI
- Condom Promotion
- Behavior Change Communication
- Community Mobilization
- Referral & Linkages
- Enabling Environment
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| Achievements: |
| Sl. No. |
Activity |
Quantitative Output |
| 1 |
HRG Coverage |
1035 |
| 2 |
IPC Sessions (one to one) |
28,056 |
| 3 |
Group Sessions One to Group) |
648 |
| 4 |
STI Identification treatment & follow up |
264 |
| 5 |
Condom Distribution |
77,625 |
| 6 |
Regular Medical Checkups ( 1035 x4) |
2376 |
| 7 |
ICTC Referrals |
1176 |
| 8 |
Community Events |
5 |
| 9 |
DIC Level Sensitization Meetings |
24 |
| 10 |
Hotspot Level HRGs sensitization Meets |
26 |
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Core Indicators of Ti Projects |
| Individual contact by one to one outreach |
100% Monthly |
100% |
| Individual with Regular contact ( twice in a month) |
80% Monthly |
90% |
| Hotspots have micro plans updated |
100% Monthly |
100% |
| Individual clinic visits |
35% Monthly |
95% |
| RMC individuals |
70%- 25% Monthly |
95% |
| PT for New HRGs |
60% of New identified KPs - monthly |
100% |
| Syphilis - First time |
25% Annually - 13% Half yearly |
…. |
| Condom Distribution |
100% Estimated Demand - Monthly |
100% |
| Condom outlets |
100% - Annually |
100% |
| ICTC Referral |
90% Annually - around 50% Half yearly |
90% |
| ICTC Referral and tested twice |
70% Annually - 355 Half yearly |
70% |
| Art Registration |
100% Annually |
50% |
| TB DOTS |
100% of Tb Diagnosed at DOTS Annually |
100% |
| Violence reported |
80% Monthly should be addressed of reported violence |
100% |
| HOT SPOTS group meetings with 10HRGs |
80% of the HOT SPOTS Monthly |
80% |
| HOT SPOTS group meetings More than 50% |
HRGs Twice in year |
50% |
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| Achievement for 2009-2010 |
| BCC Services |
| 1 |
Regular Contacts (as per guidelines min 60% of Registered) |
10,272 |
| 2 |
1-1 BCC sessions |
28,056 |
| 3 |
1- Group BCC Sessions |
648 |
| 4 |
Number of Participants in Group Session |
5,832 |
| Clinic Services |
| 1 |
Total HRG attendance to the clinic |
2,550 |
| 2 |
HRG attended NGO clinic |
2,550 |
| 3 |
Total HRG treated for STIs |
264 |
| 4 |
HRG treated at NGO clinic |
264 |
| 5 |
HRG undergone RMC at NGO clinic |
2,376 |
| 6 |
HRG undergone Presumptive Treatment |
384 |
| 7 |
HRG tested for syphilis |
0 |
| Condom Supply |
| 1 |
Opening Balance |
97,000 |
| 2 |
Free |
92,000 |
| 3 |
FC |
5,000 |
| 4 |
Distribution |
8,26,186 |
| 5 |
Free Manned |
5,81,604 |
| 6 |
Out let Unmanned |
2,40,000 |
| 7 |
Social Marketing /CBO |
2,311 |
| 8 |
FC |
2,271 |
| 9 |
MC |
40 |
| 10 |
Closing Balance |
117746 |
| 11 |
Free |
106057 |
| 12 |
FC 1 &2 |
2729 |
| 13 |
MC |
8960 |
| Referral Linkage |
| 1 |
ICTC |
1176 |
| 2 |
ART |
21 |
| 3 |
CD 4 |
21 |
| 4 |
DOTS |
8 |
| 5 |
CCC |
2 |
| 6 |
Others |
86 |
| Enabling Environment |
|
| 1 |
Police |
7 PS |
| 2 |
Toddy Shop Owners |
4 |
| 3 |
Hot spot Leaders |
22 |
| 4 |
Other Stake Holders |
18 |
| IEC and Other Activities |
75 |
| 1 |
Awareness camps (Mass Event, FGD Meet and Capacity Building of TH of CBO) |
9 |
| 2 |
Health camps |
2 |
| 3 |
Street plays |
2 |
| 4 |
Drama/Songs |
1 |
| 5 |
Exhibition |
2 |
| Meetings |
| 1 |
Advocacy Meetings |
5 |
| 2 |
Other(Networking With CBO) |
4 |
| 3 |
PE s Weekly Review Meetings |
43 |
| 4 |
Staff Review Meets |
10 |
| 5 |
Hotspot wise Meetings |
11 |
| 6 |
DIC level Meetings |
24 |
| 7 |
Community Meetings |
11 |
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| Future Plan |
- To halt and reverse the epidemic HIV/ AIDS by 2012.
- Core indicators
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| Case Study |
| One stakeholder he working police department came world AIDS day for support project and he support to activities. He closed to our KPs and infected by HIV. His wife doesn’t know about his illness and she not allowed the normal family life. The stakeholder brings his wife to clinic to met Medical Officer for counseling. After counseling she agrees to live with her husband and allow the family life with condom. They are living happily with children. |
Training: |
- FHI training conducted to clinic staff - Alliance
- HIV Sentinel Survey training to Counselor and LT -APSACS
- Female condom 2 days training – ORW PE - HLFPPT
- CBOs Book keeping workshop to 2 CBO members- Alliance
- Need Assessment training on TOT to PM -APSACS
- Need Assessment training to ORW , PEs & Staff -PM
- Peer led Outreach Training to Out Reach Workers and Peer Educators –By PM
- Peer Educators training - APSACS
- Finance management training conducted at Warangal - Alliance,
- ANM/Counselor training on Counseling -Alliance
- Master Training for Peer Educators by PM at Mysore- NACO
- 12 Peer Educators and 4 Out Reach Worker had training at BIRDI -Alliance,
- SNA training to PM & 2 ORW Counseling training- Alliance
- Training on MIS - PM, M & E Officer, ORW- APSACS
- Training on NACO guidelines for ORWs- APSACS
- Training on ORWs of NACO Guidelines- APSACS
- Workshop on Bio Wastage- APSACS
- Training on EXCEL – M & E Officer - APSACS
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Workshop /Conference |
| S. No |
Program detail |
Dates |
| 1 |
R & R workshop by Alliance |
20th to 22nd April 09 |
| 2 |
Subham workshop by APSACS |
29th June 09 |
| 3 |
Finance Management By Alliance |
10th to 12th Sep ‘09 |
| 4 |
Finance Management By LEPRA |
12th & 13th Nov ‘09 |
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Photo Gallery
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World AIDS Day celebration rally
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International AIDS Candlelight Memorial Day celebration |
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Dr. Aman Kumar Singh Tech. Expert NTSU visited and concreted on Repeat STI & PT cases. He verified all ecords and registers |
Mr.Deepak & Mr. Krishnan, NACO New Delhi visited the project
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Case Studies
The support restored the Childhood |
Kumari Jyotsna sethi, 14 years old, daughter of Banamali sethi belongs from Rajanpali village of Boudh district. She is the only child of her parents and that is why she gets all the affection from her parents. She grows up with much love in the family. She studies in class 8th at Butupalli, High school of Boudh district.
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Her father is a small farmer with one acre of agriculture land. The annual income is not sufficient to manage the family economy. However, with the income from his own agriculture land as well as labour work sometimes, her father manages the family and the education of Jyotshna.
Time passes and one day her mother observes that Jotshna is not able to tracing the things and domestic appliances properly and father also observes the same. School teachers complains that Jyotshna is not keeping any interest on study. Her father also observes the same. The school teacher says that she is not able to look at the black board and reading properly. Subsequently, friends and neighbours starts to address her as the blind Girl in the community. Gradually Jyotshna becomes depressed and stops going to play with her friends and avoids the gathering in the community. She also expresses her unwillingness for study. One of the neighbors observes a white spot on the right eye pupils. Her father contacts the local traditional healer for treatment who fails to recover the same through his treatment. The parents make lots of expenses for the treatment of Jyotshna. Then they takes Jyotshna to Boudh District Head Quarter Hospital for treatment. The doctor diagnoses her with immature cataract and asked them for contacting the Mahanadi Netra Chikitsalaya of Birmaharajpur of Sonepur district.
She comes to MNC 5th August 2009 and was admitted for cataract surgery. Her Uncle and Parents are counseled by the Ophthalmic Assistant for the surgery. The cataract surgery is conducted on her right eye on the same day through phaco with the intra ocular lens (IOL) in free of cost. Free spectacles and medicines are provided to her as per the prescription of the Ophthalmologist of the Mahanadi Netra Chikitsalaya of LEPRA Society. After the successful surgery, her parents express their happiness and gratitude to LEPRA Society as well as the person or institution who provides support for this noble work. Jyotshna is now very happy she becomes able to see. Now she has got back her earlier life stile i.e. in relation to continuing her study, playing with friends and joining the community gathering. |
The support could provide relief in old age by restoring the vision |
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Basanti Mahananda, 65/F, she is an old widow lady belongs to very poor family of the Menda village of Tarabha Blcok of Subarnapur District. Long back her husband dies due to heart stroke. She has 3 daughters only without a son who already have married. So, Basanti is living alone and manages her by wage works in different households. She is landless. |
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| However, she gets the oldage pension which is Rs. 200/- (Rupees Two Hundred only) per month. Suddenly, she feels vision problem which increases gradually. She becomes unable to see and work properly. Cooking for herself and earning for herself becomes difficult. As her daughter are in their in-laws’ house, there is no scope of getting support from them. In the course of time, Basanti loses his complete vision. She could know about the community eye screening camp of Mahanadi Netra Chikitsalaya of LEPRA Society at Tarava. She requests her elder son-in-law to guide her to the screening camp. Basanti attends the screening camp and diagnosed with matured cataracts. She is brought to the Mahanadi Netra Chikitsalay by the project outreach bus on 13th August 2009 and was registered for cataract surgery. On 14th August 2009, her right eye is operated through the use of phaco and operating microscope and IOL is implanted. The surgery becomes successful and Basanti gets back her vision in the right eye. After seven days of her surgery, her vision is tested and found with very good vision. She also expresses her happiness as she is able to see the things and do her daily activities independently. She is waiting eagerly for the surgery in her left eye. |
Restoration of Childhood |
Sumanta Beriha,7/M of C/O Bhagban Beriha, hails from Jatasingh village of Boudh District. He is the youngest son of his parents with three brothers and only one sister. Being the youngest son of his parents Sumanta is being loved by everybody in the family. His elder brother was having eye diseases which led him to incurable blindness. Sumanta was all of sudden lost his vision at the age only 4 years. His father is a farmer and also works as a labourer. The mother is a house wife and sometimes works as labourer. When Sumanta is admitted into the school, the irony that he is found to have very low vision in both of his eyes for which he faces lot of problems in reading and writing. Gradually Sumanta was pushed into more and more darkness. Sumant is not able to carry out independently the daily activities, reading and playing. Gradually he stopped school going, playing with friends. He loses his childhood. The parents have no money for the treatment of their beloved son and because of the same reason and ignorance their elder son becomes blind. They have to only cry and blame their lucks. The parents go to the District Head Quarter Hospital, Sonepur but, the treatment could not be possible as the hospital is not having facilities for children surgery.
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In course of time, his uncle who is staying nearby MNC informs his parents to come to MNC for treatment. The parents come with the son on 7th February 2009 and Sumanta is registered bearing the MR No 47526/09. He is detected with congenital cataract in both his eyes. Parents and the uncle are counselled for the surgery. Sumanta is admitted on the same day. His right eye is being operated with Small Incision Cataract Surgery (SICS) with IOL on 8th February 2009. His vision is improved to 6/18 in his right eye.
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Now, he is able to play, read and write and he is happier that his vision has again restored. His parents are too happy as the childhood of their beloved son is getting restored and have expressed their gratitude to MNC for great support to their child and family. After few days, his left eye will be operated. |

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Resources |
Infrastructure: The hospital is housed in its own two storied building having a covered area of 5000 sq. ft.. MNC has accommodation for 30 beds, suitable surgical and therapeutic equipment are available for providing eye care. The hospital has a minibus for outreach activities and transportation of patients identified with cataract to the base hospital for surgical intervention.
Physicians/Staff:
There are 30 full time/part time workers at the MNC hospital. These include one full time doctor, nurses, paramedical staff and non-clinical personnel. The physicians are well supported by a multitude of staff members such as nurses, refractionists and technicians who actively participate in the health care team
Work Times: The hospital works six days (Mon-Sat). Patients usually come at 9 a.m. and the work day ends at 5 p.m.
Food: Breakfast, lunch and dinner are also provided free of cost to the patients and their attendants. On an average food is provided to 30 numbers of people per day at MNC. |