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Five yearly

PROGRESS REPORT
2007- 2011

SHRI NIROTILAL BUDDHA SANSTHAN [SNBS]

INDEX
S. Work Experience of SNBS No. 1 2 3 4 5 6 7 8 9 10 11 12 Introduction Pulse Polio Program Agra Urban Health Program (AUHP) Women Health Program (WHP) National Child Labour Project (NCLP) Campaigns and Efforts with FOGSI RCH Camps in Agra Urban under SIFPSA Project HIV / AIDS Awareness LIC Schemes for Urban Poor Awareness Campaigns for Environment and Tree Plantation TB Camps and Awareness Campaign Social Marketing Initiatives Page Nos.

1 2-9 10 - 37 38 - 40 41 - 54 55 - 60 61 62 - 64 65 - 68 69 - 74 75 - 77 78 - 81

Agra City: an overview


Total Population (Census, 2001): 1.33 million Decadal growth rate (1991-2001): 42% Total No. of slums: 393 Estimated slum population: 0.8 million (approx. half of citys population) Problems of slum population: Poor access to safe drinking water, hygiene, health care and sanitation facilities, Illiteracy and poor access to education, poor economic status, sub-optimal health behaviors, poor demand and utilization of services among slum communities.

Shri Nirotilal Buddha Sansthan (SNBS) Introduction:


Keeping in view the fact that more than a quarter of Indias population has been living as downtrodden and marginalized for centuries, Shri Nirotilal Buddha Sansthan (SNBS) came in to existence in 1994 as an non government organization of marginalized people and has undertaken the task to promote the welfare of this section of the society, lead to their upliftment and development for integration with the total society by improvement in their economic, educational, social, cultural and health standards. Shri Nirotilal Buddha Sansthan was registered under Society Act in 1994 and has been primarily working in the areas of health and its determinants, safe drinking water, hygiene, sanitation, HIV/AIDS awareness, family planning & welfare, child labor & literacy, education, livelihood, plantation, community awareness and development, with especial focus on marginalized sections of the societies, slum dweller women and children through various development programs for over 15 years. After 1995, SNBS intends to continue its role as a facilitator to improve the effectiveness of various national programs and build capacities of communities to address a wide range of reproductive health, child health, illiteracy, family planning, pulse polio and HIV/AIDS challenges. The programs of SNBS aim for Vulnerable individuals and families in selected slums of Agra to achieve sustainable improvements in their education, health and sanitation status.

Pulse Polio Program:


As part of creating a mass awareness on the need for eradication of Poliomyelitis, a crippling disease of childhood caused by polio virus, Shri Niroti Lal Bubbha Sansthan (SNBS) engaged itself in supporting the Department of Medical, Health and Family Welfare (DMHFW), Agra in order to provide better service delivery and expand the coverage of polio vaccination in Agra. SNBS has been involved in administering the oral drops to children under the age of five, under National Polio Surveillance Program (NPSP), for over 10 years, from 1997-98 to 2006-07. Details are as below: Year Polio Rounds 3 6 4 3 6 4 8 8 6 Intensive Pulse Polio Booths/ Camps Organized 10 10 11 11 11 15 18 18 18 18 No. of children administered Polio drops in Booths/ Camps 8826 13239 20284 17904 11049 12050 9681 13968 10046 5980 No. of children covered House to House 2938 2952 6886 4860 6933 5891 12962 12699 8566 Total No. of children covered 8826 16177 23236 24790 15909 18983 15572 26930 22745 14546

1997-98 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07

Special Transit Booths: Despite this, 25 special transit Booths were organized by SNBS during 11 days in June 2005 and 28755 children were administered polio drops. Special Polio Booths (for Rakab Ganj North DTHC area): 11 special Booths were organized by SNBS to support DTHC Rakab Ganj North, during May 2006. Pulse Polio Campaign: SNBS has been engaged in organizing Pulse Polio Booths and Pulse Polio & Health Awareness campaigns in 18 urban slums of Agra city through its 54 workers and 4 field supervisors for the period of 1997-98 to 2006-07. SNBS has utilised the occasions of Intensive Pulse Polio Campaign by engaging its workers to spread the message of Pulse Polio by organizing Pulse Polio Awareness rallies and distributing 4,000 pamphlets every year. After 2007, SNBS has been continuously supporting the Department of Medical, Health and Family Welfare (DMHFW), Agra for health awareness and Pulse Polio campaigns to generate awareness among urban population of Agra City. Below are the photographs of achievements of SNBS and main activities under NPSP, from beginning up till July 2009.
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Photograph of pamphlets printed and distributed by SNBS for Pulse Polio Awareness

Inauguration of Polio Booth of SNBS in Choti Athai slum by Project Officer, Renu Nigam

Distribution of honorarium for Pulse Polio Campaign by Dr. R.K. Mishra, Deputy CMO (Immunization)

Mrs. Petro Rikia (member of ROTARY CLUB, Australia) providing OPV vaccination along with Mr. Ravi Kashyap, President SNBS

Mr. Jak Rikia & Mrs. Petro Rikia (members of ROTARY CLUB, Australia) along with the staff of SNBS and Mr. Ravi Kashyap

The staff of SNBS , Suman, Arshi and Nitin providing Oral Polio vaccination door to door

The staff Suman Lata, Reena Mahor, Prachi Jakar and Supervisor Sanjeev Kashyap providing OPV door to door

Shri Babu Lal, Deputy Commissioner, Sales Tax distributing Certificate of Pulse Polio Campaign to the staff of SNBS

Shri Babu Lal, Deputy Commissioner, Sales Tax distributing Certificate of Pulse Polio Campaign to the staff of SNBS

Pulse Polio rally organized by staff of SNBS on 24th Feb. 2006

Pulse Polio rally organized by staff of SNBS on 24th Feb. 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO th Agra on 13 Jan 2006

Pulse Polio rally organized by staff of SNBS on 13th Jan 2006

Pulse Polio rally organized by staff of SNBS on 22nd Feb 2006

Pulse Polio rally organized by staff of SNBS on 22nd Feb 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO Agra on 23rd Feb 2006

Pulse Polio rally organized by staff of SNBS on 23rd Feb 2006

Inauguration of Pulse Polio rally by Dr. C.M. Mawar, CMO Agra on 9th Sept. 2006

Pulse Polio rally organized by SNBS staff on 9th Sept 2006

Inauguration of Pulse Polio rally by Mr. Surender Singh, th IAS, CDO, Agra on 30 May 2008

Flag off by Mr. Surender Singh, IAS, CDO, Agra on the th occasion of Pulse Polio rally on 30 May 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 30th May 2008

End speech of Pulse Polio rally by Dr. Ram Ratan, CMO, Agra on 30th May 2008

Inauguration of Pulse Polio rally by Mr. Anil Kumar, IAS, DM, Agra on 11th Sept. 2008

Flag off by Mr. Anil Kumar, IAS, DM, Agra on the occasion of Pulse Polio rally on 11th Sept. 2008

Pulse Polio rally organized by DMHFW, Agra in th coordination with staff of SNBS on 11 Sept. 2008

Women Health Samities of SNBS singing loud slogans and messages for Polio iradication

Flag off by Mr. Goyal, AD DMHFW, Agra Division on the occasion of Pulse Polio rally on 13th Nov. 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with Women Health Samities of SNBS on 13th Nov. 2008

Flag off by Mr. Rajeev Rotela, ADM City, Agra on the occasion of Pulse Polio rally on 19th Dec. 2008

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 19th Dec. 2008

Inauguration of Pulse Polio rally by Mr. Surender Singh, IAS, CDO, Agra on 30th Jan 2009

Pulse Polio rally organized by DMHFW, Agra in th coordination with staff of SNBS on 30 Jan 2009

Flag off by Dr. Ram Ratan, CMO, Agra on the occasion of Pulse Polio rally on 27th Feb 2009

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 27th Feb 2009

Inauguration of Pulse Polio rally by Mr. Mritunjay Narayan, IAS, DM, Agra on 3rd July 2009

Pulse Polio rally organized by DMHFW, Agra in coordination with staff of SNBS on 3rd July 2009

AGRA URBAN HEALTH PROGRAM (AUHP)


Situation of Urban Poor Population residing in slums of Agra City:

HUNGER

POOR ACCESS TO SAFE DRINKING WATER & HYGIENE

POOR SANITATION FACILITIES

PRONE TO DISEASES

MALNOURISHED CHILDREN

POOR ACCESS TO HEALTH CARE FACILITIES

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POVERTY & POOR ECONOMIC STATUS

ILLITERACY & POOR ACCESS TO EDUCATION

A. Goal and Objectives of Agra Urban Health program The goal of the Agra Urban Health Program is to carry out demonstration and learning activities and develop new interventions in urban slums that lead to synergistic participation of different government officials in urban slums to improve water supply, sanitation and hygiene services to urban poor. B. Executive Summary of Agra Urban Health Program SNBS is implementing the Agra Urban Health Program activities to reach out to underserved urban poor population in Rakabganj North, Yamuna Par and Bundukatra area covering approximately 1,70,000 population. SNBS was selected as a partner NGO by a Screening Committee under the chairpersonship of the Chief Medical Officer, Agra for implementation of the Agra Urban Health Program. The program implementation activities were initiated in November 2005 with 14 slums (approximate population 29,000) and gradually scaled up to cover 20 slums (40,250 population) in Rakabganj North area,15 slums with 46,700 population in Bundukatra area and 44 slums with 79,000 population in Yamuna Par area. SNBS has conducted Mapping and Assessment of Agra slums as key resource organization, jointly facilitated by Department of Health and Family Welfare, Agra and USAID-EHP during February-April 2004. During this process, SNBS has conducted qualitative health vulnerability assessment in slums of Agra and helped USAID-EHP and Department of Health and Family Welfare, Agra in plotting of slums and existing health facilities on the map of Agra and gap identification. This analysis, along with other relevant data has been utilized for development of Urban RCH proposal for Agra city and its implementation from time to time. Subsequently, the Agra Urban Health Program (AUHP) has been implemented as response to request of Government of Uttar Pradesh, suggesting UHRC, formally known as EHP, to initiate PPP models in Agra. UHRC initiated public-private partnership (PPP) process in consultation with the Department of Medical, Health and Family Welfare, Agra. Based on its experience in the area of reproductive and child health, the exceptional contribution rendered in proposal development phase and its credibility in the district, the Screening Committee constituted under the chairpersonship of Chief Medical Officer, DMHFW, Agra has recommended
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SNBS as potential NGO for implementation of Agra Urban Health Program and for partnership with UHRC operation. Under this partnership, SNBS has been demonstrating community mobilization for demand generation of health services and community linkages with government health facility coupled with continued gentle persuasion with government health service providers in order to increase reach of services leading to overall improvements in health services delivery coverage since November, 2005. Through this approach, SNBS has been mobilizing approximately 40,250 population in 20 slums and facilitating outreach camps through linkage with Rakabganj North D-Type Health Centre. Apart from this, since March 2006 SNBS has been facilitating a multi-stakeholder approach for optimizing local resources and improving reach of services to approximately 46700 underserved urban poor populations residing in 15 slums under Bundukatra D-Type Health Centre catchment area. Since February 2009, SNBS has been demonstrating two approaches at Yamuna Par. Under one, SNBS has set up and managing Urban Health Centre at Naraich, Yamuna Par for providing regular OPD and outreach services to approximately 55000 population residing in 35 slums in Trans Yamuna area. The other demonstrates community mobilization for demand generation of health services and community linkages with Govt. health facility and mobilizing approximately 27000 population in 9 slums and facilitating outreach camps through linkage with government D-Type Health Centre, Yamuna Par. C. Key Activities: SNBS has undertaken the following key activities: Strengthen capacity of community link volunteers and Mahila Aarogya Samities to coordinate with health service providers for outreach camps, tracking immunization coverage at slum level to minimize leftouts and dropouts, and to promote health behaviours. Strengthen capacity of the link volunteers and MAS members negotiate effectively with water and sanitation service providers for the related services in their respective slums whenever required. Established linkages with LadyLyall and PSM/Community medicine department of SN Medical College. Established linkages with Govt. Health department for regular outreach sessions (including visits of LMO for ANC checkups during these sessions). Regular participation in health rallies and pulse polio campaign as and when requested by CMO and encourage visits of CMO/Dy.CMO and other relevant Govt officials in the city/region to program slums and program activities, seek feedback and support them in disseminating best practices in different government meetings at city and region level. Facilitated regular meetings of UHC level coordination committee to improve access of urban poor to health services at Bundukatra and influence CMO/Dy.CMO to replicate such a multi-stakeholder approach for optimizing local resources and improving reach of services to underserved urban poor population in other UHCs areas. Strengthen project staff capacity to collect, compile and analyze service coverage data and use it for improving coverage rates, document program learning and share at appropriate forums. Established linkages with other department like DUDA, Nagar Nigam, ICDS and education for addressing other development issues in the intervention slums. Provided inputs to National, International organizations for developing clear understanding on community mobilization.

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Facilitated program site visits of Govt. officials and non government organizations to observe and understand the lives of urban poor and slum dwellers and their access to health services and learning different program approaches to reach underserved urban poor population and its replication in other areas. Community mobilization SNBS has promoted 24 Mahila Arogya Samities (MAS) and also opened 19 bank accounts in the Rakabganj area. The capacities (Institutional, Program, Linkage and Financial) of MAS have also been strengthened. Capacity building sessions including exposure visits were also conducted both for MAS and CLVs to develop their knowledge on the different components of RCH and health fund management. BCC and IEC activities are regularly carried out in the slums to improve health and hygienic practices among the slum community improved, and generate demand for services. In Bundukatra area CLVs were selected and trained for providing community mobilization support. Linkages with Govt. D-Type Health Centre (Rakabganj North) for health service provision Demand generation activities were undertaken in all 35 slums. Services were strengthened in 20 slums from DTHC Rakabganj which is a government run first tier facility. List of eligible beneficiaries updated regularly, planned outreach clinics were organized and follow-up activities carried out especially in case of left outs and resistant households. SNBS coordinated with CMO/ACMO and facilitated visit by these Govt. officials successfully. SNBS developed linkages with the other stakeholders and local elected persons by facilitating Coordination committee meeting. Services were also strengthened from the Bundukatra DTHC to the 15 slums in the area. This was all achieved with support and mobilization of the government. Capacity building of the program staff Capacity building sessions for MAS, CLVS, Community Organizers and ANMs were conducted to enhance their skills on counseling and RCH components. Ongoing review meetings at various levels were conducted to assess program progress, address program issues and concerns. Review feedback and inputs from SNBS management, other stakeholders visiting the program and UHRC helped strengthen the program. Coordination with the government department Coordination with district health department was given special focus from the program inception. Regular coordination meetings were carried out right from DTHC level to District level for organizing regular outreach sessions. District Health Department officials were invited to for providing capacity building inputs to staff and assess community mobilization activities. The support to National Programs continued. Meetings of Coordination committee at Bundukatra were held with multiple stakeholders such as the ward representative, CHV, Deputy CMO, AWW etc. Regular outreach clinics were held in 15 Slums in the area. The SNBS staff also supported in routine immunization in Bundukatra. For improving service coverage in catchments area regular meetings with coordination committee were organized.

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D. Coverage Area of SNBS under AUHP: SNBS is implementing the Agra Urban Health Program to fulfill the aforementioned objectives, in 20 slum neighborhoods (or bastis) in Rakabganj North area under Approach II, covering an approximate slum population of 40,250, 44 slums in Yamuna Par under Approach I & II covering 79,186 population and 15 slums in Bundukatra under Approach III covering 46,695 population. At Yamuna Par, SNBS is demonstrating two approaches under the Agra Urban Health Program (AUHP), since February 2009. One of them demonstrates how community mobilization for demand generation of health services and community linkages with Govt. health facility coupled with continued gentle persuasion with Govt. health service providers in order to increase reach of services and lead to overall improvements in health coverage. Through, this approach SNBS is mobilizing approximately 27000 population in 9 slums and facilitating outreach camps through linkage with DType Health Centre. Under the other approach, SNBS has set up and managing Urban Health Centre at Naraich, Yamuna Par for providing regular OPD services to approximately 55000 population residing in 35 slums in Trans Yamuna area in order to increase reach of services and lead to overall improvements in health coverage. E. The list of intervention slums: Approach II : RAKAB GANJ NORTH SNO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 NAME OF SLUM Nala Kaji Pada Talliya Kanji Pada Kaji Pada Ravidas Nagar Budh Vihar Gautam Nagar Pani Wali Basti Teela Sheikh Mannu Chakki Paat Tamoli Pada Teli Pada Mantola Nala Mantola Sayyed Wali Basti Mundapada Teela Nand Ram Ghera Basti Swaroop Nagar Teela Hussin Khan Mishri Sayyed POPULATION 1053 1752 3807 1436 318 676 562 4195 2905 1409 2295 4000 3821 481 1200 4000 1000 1500 840 3000 TOTAL 40250 CATEGORY Most Most Moderate Most Moderate Moderate Most Most Moderate Most Moderate Moderate Most Most Moderate Moderate Most Most Most Most

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Approach III : BUNDU KATRA SNO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 NAME OF SLUM Gummat Jasse Ka Nagla Tundpura Kotli Bagichi Nand Pura Maya Puri Nagla Bhawani Singh Nagla Laturi Singh Singho Ka Nagla Nagla Tek Chand Gopal Pura Sarai Malook Chand Nagla Prashoti Nagla Bharti Sewla Jat POPULATION 4437 3121 5027 7355 2819 1431 2400 2400 700 3000 3900 1200 1500 1405 6000 TOTAL 46695 CATEGORY Most Most Most Most Most Most Moderate Moderate Moderate Moderate Moderate Moderate Most Most Moderate

Approach I (in 35 slums) & Approach II (in 9 slums) : YAMUNA PAR AREA Area S.N. 1. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Name of Slum Shyam Vihar(East & West) Nagla Rambal Rakesh Nagar Santhosh Nagar Nagla Mohan Lal
Sati Nagar

Trans Yamuna IV

Gulab Nagar Nagala Jamuni Siddharth Nagar Satya Nagar Nagla Dhamoli Shobha Nagar/Vihar Chandan Nagar Shyam Nagar/Shyam Nagar Teela Nagla Chaua

Population 1468 3126 667 647 863 3669 504 905 859 549 307 560 582 2591 641

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Trans Yamuna I

16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Narayan Vihar Nagla Chanda Nagla Kishan Lal Vikash Nagar Nawal Ganj Moti Mahal Nagla Devjeet(Including Abbas Nagar) Indra Nagar Kachpura (Old & New) Hanuman Nagar Nagla Faturi Moti Bagh(Khaliyayi Mandi, Anathalay wali Gali, Nagla Pench,Kuen Wali Basti) Gautam Nagar Shahadra(Old & New)
Shushil Nagar

536 593 2419 1171 1071 4199 4321 344 2684 2399 1474 4229

Gadhi Chadni Gadi Husaini


Chhaleshar

Trans Yamuna V

Prakash Nagar Santi Nagar Nagla Bihari Beech Ka Chhaleshar Bangara Chaleshar Peela Khar Ram Bag Naraich
Rajeev Nagar

Trans Yamuna II

Shambhu Nagar Sudhama Puri

2561 8652 2249 751 649 2271 2239 1031 2063 1522 422 948 TOTAL 68736 750 6000 900 2100 700 TOTAL 79186

After May 2009: By the time, SNBS has learned the ways and means of dealing with challenges and difficulties in empowering communities for accessing and utilizing better health care facilities and has continued its operation for implementing Agra Urban Health program from 1st June 2009, with its own funds and efforts; generated through community, social / charitable institutions and the Government in all 79 slums of Rakabganj, Yamuna Par and Bundukatra areas of Agra city, covering approximately 1,70,000 population, for which SNBS has been working with the financial support of UHRC/ USAID.

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Major achievements up till date: Achievements of SNBS in Health Service Delivery: S. No. 1 2 3 4 5 Health Services Out Reach Camps Pregnant immunized Infants immunized ANC Check ups Referral for institutional delivery Achievements 242 3437 23435 2541 1569

Achievements of SNBS in Capacity Building of Community, Beneficiaries and Staff through interpersonal communication: S. No. 1 2 3 4 5 6 7 8 Events Home visits MAS Meetings Trainings of CLVs Trainings of MAS Capacity Building of Staff Community Meetings Thematic Group Counsellings Special Attention Home visits Achievements 137583 4480 96 84 88 3848 1728 1260

Behaviour Change Communication Activities: S. No. 1 2 3 4 5 6 7 Events Health Awareness Camps Magic Shows Puppet Shows Healthy Baby & Mother Shows Health Rallies Film Shows Street Plays Achievements 142 26 72 36 24 18 12

Below are the photographs of achievements of SNBS and main activities under AUHP, from beginning up till date.

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SLUM ASSESSMENT AND LINKAGES WITH COMMUNITY & MULTI STAKE HOLDERS

Staff of SNBS conducting Mapping and Assessment of Agra slums during Feb. to April 2004 for the development phase of Agra Urban RCH Proposal

SNBS Staff collecting data/ information for Plotting of Slums and existing health facilities on the map of Agra

Selection process of CLVs, through Community meetings by SNBS staff along with staff of Health Deptt.

SNBS staff conducting community meetings along with Health Deptt. staff to establish linkage for health services

TRAININGS AND CAPACITY BUILDING

Mr. Ravi Kashyap, President SNBS along with Ms. Renu Nigam conducting training of Community Organizers

Mr. Ravi Kashyap, President SNBS conducting training of Community Organizers

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Ms. Renu Nigam, Program Officer SNBS conducting training of CLVs

Mr. Ravi Kashyap, President SNBS and Ms. Renu Nigam, Program Officer SNBS conducting training of CLVs

Growth monitoring by CLVs

Presentation of New Born Care by MAS members

Review Meetings with CLVs

Review Meetings with CLVs

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SOCIAL MAPPING PROCESS

MAS members drafting rough map of their slums on ground

MAS members drafting fair map of their slums on chart papers

Final maps of slums used by MAS for indicating beneficiaries and record keeping

Final maps of slums used by MAS for indicating beneficiaries and record keeping

STRENGTHENING MAHILA AROGYA SAMITIES (MAS)

Records of Minutes of monthly meetings prepared by MAS

Records of Fund management of funds collected during monthly meetings of MAS 20

Funds collected during monthly meetings of MAS are deposited in their Bank Accounts

Funds collected during monthly meetings of MAS are deposited in their Bank Accounts

MAS of SNBS collecting Funds during their monthly meetings

Transaction of Funds by MAS of SNBS during their monthly meetings

MAS members organizing Awareness Camps in community

Capacity Building sessions of MAS members

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Health songs by MAS members

Health songs by MAS members

Home visits to promote health services

Home visits to promote health services

Home visits by CLVs and SNBS staff for counselling and growth monitoring of new born

Home visits by Program Officer, SNBS staff for counselling of mother of new born

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COORDINATION WITH STAKE HOLDERS

DTHC Coordination committee meeting among Multi Stake Holders i.e. Health Deptt., ICDS Deptt., Ward Members, Education Deptt., and SNBS at DTHC Bundukatra under the leadership of Dr. NP Bharti, ACMO(Immunization)

DTHC Coordination committee meeting among Multi Stake Holders i.e. Health Deptt., ICDS Deptt., Ward Members, Education Deptt., and SNBS at DTHC Bundukatra under the leadership of Dr. CM Mawar, CMO

Coordination meetings with Anganwadi Workers

Coordination meetings with Anganwadi Workers, CMC, CLVs, HVs, MOIC and representatives from UNICEF, WHO

OUT REACH CAMPS

Medical Officer examining pregnant women in outreach camps organized by SNBS

Medical Officer examining pregnant women in outreach camps organized by SNBS

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ANMs conducting immunization sessions in outreach camps organized by SNBS

ANMs conducting immunization sessions in outreach camps organized by SNBS

ANMs conducting immunization sessions in outreach camps organized by SNBS

Medical Officers conducting checkups in outreach camps organized by SNBS

ANMs conducting immunization sessions in outreach camps organized by SNBS

Medical Officers conducting ANC in outreach camps organized by SNBS

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BCC ACTIVITIES

Puppet Shows organized by SNBS for Behavior Change Communication with Community

Film Shows organized by SNBS for Behavior Change Communication with Community

Street Plays organized by SNBS for Behavior Change Communication with Community

Street Plays organized by SNBS for Behavior Change Communication with Community

Health Rallies in slums organized by SNBS

Health Rallies in slums organized by SNBS

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Prize distribution in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Prize distribution by Dr. Bharat Sonkar, Dy. CMO Immunization in Healthy Mother & Healthy Baby Shows organized in slums by SNBS

Distribution of Fund Collection Box, Mats, Dholaks by SNBS to the MAS members of all Women Health Commitees

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VISITS BY IMPORTANT PEOPLE/ DELEGATES/ ORGANIZATIONS

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

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Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

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Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit of MLA, Agra

Visit from USAID

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Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

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Visit from USAID

Visit of Congressman Rep. Howard L. Berman, United States Congress

Visit of Congressman Rep Gary Ackerman, United States Congress

Visit of Ms. Elizabeth A. Hogan, Mission Director, USAID along with US Congress delegation

Welcome of the US Congress delegation by Ms. Renu Nigam, Program Officer, SNBS

US Congress delegation visiting Health Mela organized by SNBS at Nala Kaji Para

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Congressman Rep. Howard L. Berman, United States Congress along with Ms. Elizabeth A. Hogan, Mission Director, USAID at Helth Mela organized by SNBS

Congressman Rep. Howard L. Berman, United States Congress giving gift to beneficiaries in Healthy Baby & mother show organized by SNBS

US Congress delegation in Helth Mela organized by SNBS

US Congress delegation along with beneficiaries in Helth Mela organized by SNBS

Visit of Ms. Eva from CARE Austria for the study of Urban Health program of SNBS

Visit of Ms. Eva from CARE Austria for the study of Urban Health program of SNBS

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Visit of USAID

Visit of USAID

Visit of students from Johns Hopkins University, USA

Visit of students from Johns Hopkins University, USA

Visit of student from Johns Hopkins University, USA

Visit of USAID

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Visit of Japanese students to observe Urban Health program by SNBS

Visit of Japanese students to observe Urban Health program by SNBS

Visit of Japanese students to observe Urban Health program by SNBS

Visit of Japanese students to observe Urban Health program by SNBS

Visit of Japanese students to observe Urban Health program by SNBS

Visit of Japanese students to observe Urban Health program by SNBS

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Visit of Mr. Sunil Kumar, SRC UNICEF to observe Urban Health Program by SNBS

Mr. Sunil Kumar, SRC UNICEF along with Mr. Amartanshu, DMC UNICEF, SRTC UNICEF, Dy CMOs, Dr. Rajaram, Ex. CMO and Mr. Ravi Kashyap, President, SNBS discussing program issues in Health Camp organized by SNBS

Mr. Sunil Kumar, SRC UNICEF discussing with Women Health Samities of SNBS at Ravidas Nagar

Mr. Amartanshu, DMC UNICEF discussing with Women Health Samities of SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

Mr. Amartanshu, DMC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

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SRTC UNICEF distributing cloths to children of Ravidas Nagar in Health Camp organized by SNBS

Dr. Rajaram, Ex. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Dr. Bharat Sonkar, Dy. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Dr. B.R. Gautam, Dy. CMO distributing cloths to poor children of Ravidas Nagar in Health Camp organized by SNBS

Mr. Sunil Kumar, SRC UNICEF along with SRTC UNICEF observing Awareness material and Social marketing products at stalls in Health Camp organized by SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF along with SRTC UNICEF observing Awareness material and Social marketing products at stalls in Health Camp organized by SNBS at Ravidas Nagar

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Massachusetts Institute of Technology, Massachusetts (USA)


D-Lab Team Visit 26.01.2010
D-lab team members present: Brooke Jarrett MIT 2010, Adam Talsma MIT 2010, Karithaka MIT Nathan Cook (Trip Leader-Kolkata),Jessica Huang (Trip Leader-Avani)

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in Ravidas Nagar Slum

D-lab team in Ravidas Nagar Slum

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WOMEN HEALTH PROGRAM (WHP)


In view that, Healthy timing and spacing of pregnancies leads to a significant health-improving and life-saving measure for mothers and children, SNBS is implementing the Women Health Program (WHP) of Population Services International (PSI) to improve reproductive health status of Women by increasing knowledge of birth spacing and access to intrauterine device (IUD), an affordable, quality reproductive health product and insertion services, including awareness activities to reach out to underserved urban poor population. The intrauterine device (IUD) is a safe and effective method of reversible contraception. IUDs are small flexible devices made of metal, copper and/or plastic that prevents pregnancy by a combination of action mechanisms: a) inhibition of sperm migration in the upper female genital tract; b) inhibition of ovum transport; and c) inhibition of fertilization. The IUD is typically recommended to women of reproductive age who:

require a highly effective reversible method of contraception prefer a method that does not require a daily routine, or a separate action with every act of sexual intercourse are breast-feeding may have difficulty obtaining contraceptives on a regular basis feel that lack of privacy makes use of other methods problematic for medical reasons do not want to use hormonal contraceptives.

Under the partnership with PSI, SNBS has been demonstrating community mobilization for demand generation of IUD insertion services and community linkages with these services. Achievements under Women Health program Since November 2008 till March 2009, SNBS has achieved a target of 312 IUD insertions to women of Agra urban slums. Below are the photographs of achievements of SNBS and main activities under WHP, from beginning up till date.

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KEY ACTIVITIES UNDER WOMEN HEALTH PROGRAM

Dr. Abha Jha from PSI, conducting training session for staff of SNBS

Dr. Abha Jha from PSI, conducting training session for staff of SNBS

Ms. Usmani Counsellor PSI, along with SNBS staff providing counselling to clients

Clients feeling glad after IUD insertion along with SNBS staff

Ms. Renu Nigam, Program Officer, SNBS conducting awareness sessions to community women

Ms. Renu Nigam, Program Officer, SNBS conducting awareness sessions to community women

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Mr. Ravi Kashyap, President SNBS along with Community Organizers and MAS members put stalls in awareness camps organized by SNBS in urban slums

Ms. Renu Nigam, Program Officer, SNBS conducting awareness sessions to community women

Dr. Renu Pandaya, PSI Bombay conducting training of Lady Doctors in session organized by SNBS

Dr. Renu Pandaya, PSI Bombay conducting training of Lady Doctors in session organized by SNBS

Dr. Renu Pandaya, PSI Bombay conducting training of Lady Doctors in session organized by SNBS

Lady Doctors conducting insertion practice on dummy model

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NATIONAL CHILD LABOUR PROJECT (NCLP)


CHILD LABOUR: "Child labor" is, generally speaking, work for children that harms them or exploits them in some way (physically, mentally, morally, or by blocking access to education).

Child labour in Agra

Child labour in Agra

In 2000, the ILO estimates, "246 million child workers aged 5 and 17 were involved in child labor, of which 171 million were involved in work that by its nature is hazardous to their safety, physical or mental health, and moral development. Moreover, some 8.4 million children were engaged in so-called 'unconditional' worst forms of child labor, which include forced and bonded labor, the use of children in armed conflict, trafficking in children and commercial sexual exploitation." Unicefs State of the Worlds Children Report says only that although the exact number is not known, it is surely in the hundreds of millions.

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WHY SHOULD WE CARE? Many children in hazardous and dangerous jobs are in danger of injury, even death. Beyond compassion, consider who todays children will become in the future. Between today and the year 2020, the vast majority of new workers, citizens and new consumers whose skills and needs will build the worlds economy and society will come from developing countries. Over that 20-year period, some 730 million people will join the worlds workforce more than all the people employed in today's most developed nations in 2000. More than 90 percent of these new workers will be from developing nations, according to research by Population Action International. How many will have had to work at an early age, destroying their health or hampering their education? WHAT CAUSES CHILD LABOR TODAY? Poverty is widely considered the top reason why children work at inappropriate jobs for their ages. But there are other reasons as well -- not necessarily in this order: 1. family expectations and traditions 2. abuse of the child 3. lack of good schools and day care 4. lack of other services, such as health care 5. public opinion that downplays the risk of early work for children 6. uncaring attitudes of employers 7. limited choices for women WHAT ARE SOME SOLUTIONS TO CHILD LABOR? - Not necessarily in this order: 1. Increased family incomes 2. Education that helps children learn skills that will help them earn a living 3. Social services that help children and families survive crises, such as disease, or loss of home and shelter 4. Family control of fertility so that families are not burdened by children National Child Labour Project (NCLP) This is the major scheme for the rehabilitation of child labour. Under the scheme, Project Societies at the district level are fully funded for opening up of special school/Rehabilitation Centres for the rehabilitation of child labour. The special schools/Rehabilitation Centres provide non-formal education, vocational training, supplementary nutrition, stipend etc. to children withdrawn from employment.

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The child workers identified in the survey are put in the special schools and provided the following facilities: a) Non-formal/formal education b) Skilled/craft training c) Supplementary nutrition @ Rs. 5/- per child per day d) Stipend @ Rs. 100/- per child per month e) Health care facilities through a doctor appointed for a group of 20 schools. Implementation of NCLP by SNBS Since, the task of upliftment and development of marginalized section of the Indian society has become more challenging with the liberalization and modernization of the economy and growing need of human development and its proper deployment therefore, during the past four-year phase, SNBS focused its efforts in two specific directions - engaging systems, community and community representatives to ensure sustainable outcomes; and replication of successful practices in other areas on a broader scale. The dynamic changes engulfing the Indian Society and the world at large require adequate talent to promote the national interest and lead to a vibrating and modern economy based on equality and interdependence of various individuals and social classes and removing the irrelevant citadel of caste system from India, which in todays context has become a regressive practice for human existence and growth. In view of above, SNBS started four special child labor schools (with 200 child labor boy as well as girl students) from 1st of August 2005, in four different slums of Agra with the objective of providing protection and education to working children (Child Labor) in coordination with Labor Department, Agra under National Child Labor Project. SNBS took the task to educate those children who are exploited at their working places. The teachers of the child labour schools of SNBS are engaged to develop their moral as well as intellectual skills so that they can stand at their own feet, learn and understand the better ways of means and life and can be grown up as best citizens of our Country. Achievement up till July 2011 From 1st of August 2005, we are educating 200 Child labour (boy as well as girls) per year, in our four special child labour schools located in four different slums of Agra City i.e. Nala Kaji Para, Ram Nagar, Jagdish Pura, Chipitola. Up till July 2011, a total of 642 Children from Special Child Labour Schools of SNBS has been promoted and integrated with main stream of education. Below are the details of child labour students integrated with main stream of education and photographs of achievements of SNBS and main activities under NCLP, from beginning up till July 2011.

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Inauguration of Child Labour School of SNBS by Mr. Sanjay Prasad, IAS, DM Agra, at Nagla Mohan on 01.08.2005

Mr. Sanjay Prasad, IAS, DM Agra, discussing with Children at Child Labour School at Nagla Mohan on 01.08.2005

Flag off of National Flag by Mr. B.K Roy, Astt. Labour Commissioner Agra, at Special Child Labour School at Nagla Mohan on the occasion of Independence day 15.08.2005

Mr. B.K Roy, Astt. Labour Commissioner Agra, celebrating Independence Day on 15.08.2005 along with Mr. Ravi Kashyap, President SNBS and Children of Special Child Labour School at Nagla Mohan

Mr. B.K Roy, Astt. Labour Commissioner Agra, inaugurating Bachpan Bachao rally of Children of Special Child Labour School at Nagla Mohan on 15.08.2005

Bachpan Bachao rally comprising Children of Special Child Labour Schools and staff of SNBS on 15.08.2005

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Mr. S.K. Singh PCS, CDO Agra viewing the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 15.08.2005

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on 15.08.2005

Mr. B.K Roy, Astt. Labour Commissioner Agra, distributing Oral Hygiene kits comprising toothpaste, toothbrush and soap to the students of all Special Child Labour Schools of SNBS on 31.08.2005

Students of Special Child Labour Schools of SNBS, showing Oral Hygiene kits distributed to them

Mr. G.P. Pushkar, Honble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, discussing students of Special Child Labour School of SNBS at Kajipara

Mr. G.P. Pushkar, Honble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, discussing students of Special Child Labour School of SNBS at Kajipara 45

Dr. C.M. Mawar, CMO Agra inaugurating Eye Check-up and Treatment Camp at Special Child Labour School, Nagla Mohan on 04.10.2005

Dr. Noorjahan Sajid along with Dinesh Kumar, Optometrist conducting Eye Check-up and providing treatment to students of Special Child Labour School in Eye Camp at Teela Nand Ram

Mr. Ravi Kashyap along with Ms. Renu Nigam, Program Officer conducting parents meeting at Special Child Labour School

Mr. Ravi Kashyap along with Ms. Renu Nigam, Program Officer conducting parents meeting at Special Child Labour School

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on the occasion of Gandhi Jayanti on 02.10.2005

Various cultural events presented by students of child labour schools of SNBS in Teela Nand Ram on the occasion of Gandhi Jayanti on 02.10.2005 46

Mr. Virendra Yadav, Dy. Labour Commissioner, viewing the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 02.10.2005

Mr. Virendra Yadav, Dy. Labour Commissioner, addressed the cultural program organized by students of child labour schools of SNBS in Teela Nand Ram on 02.10.2005

Mr. Virendra Yadav, Dy. Labour Commissioner, putting views against Child Labour, in workshop organized by NCLP at SNBS office on 04.01.2006

Discussion among representatives of NGOs working on Child Labour in Agra, in the workshop organized by NCLP at SNBS office on 04.01.2006

Mr. Virendra Yadav, DLC and Mr. Mahavir Prasad, Senior Fellow, V.V. Giri Rashtriya Shram Sansthan, in Warm Cloth Distribution Program organized by SNBS at Special Child Labour School, Jagdish Pura on 04.01.2006

Warm Cloth Distribution Program organized by SNBS at Special Child Labour School, Jagdish Pura on 04.01.2006

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Mr. S.K. Nigam, DLC, Kanpur celebrating Republic Day at Special Child Labour School, Jagdish Pura on 26.01.2006

Ms. Renu Nigam, Program Officer, SNBS distributing sweets to students of Special Child Labour School, Jagdish Pura on the occasion of Republic Day on 26.01.2006

Study conducted by ICMR research team, Ahemdabad on difference between Health and Mental Development of Child Labour and normal children from 27.01.2006 to 01.02.2006 at SNBS Office

Study conducted by ICMR research team, Ahemdabad on difference between Health and Mental Development of Child Labour and normal children from 27.01.2006 to 01.02.2006 at SNBS Office

Bachpan Bachao rally organized by SNBS on 15.08.2006

Bachpan Bachao rally organized by SNBS on 15.08.2006

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Mr. C.P. Roy, Honble Minister, Govt. of UP along with A.L.C., Agra and President, SNBS, celebrating Independence Day on 15.08.2006 with students of Special Child Labour Schools at SNBS Office

Mr. C.P. Roy, Honble Minister, Govt. of UP putting views on the occasion of Independence Day at SNBS Office

Puppet Show organized by SNBS on the occasion of Independence Day on 15.08.2006 at SNBS Office

Students of Special Child Labour Schools enjoying Puppet Show organized by SNBS on 15.08.2006 at SNBS Office

Smt. Ministi S. IAS, putting views on Health Camp for Child Labour children organized by SNBS with support of IMA & Health Deptt. Agra on 10.01.2007 at SNBS Office

300 child labours had provided Health checkup and medicines in Health Camp organized by SNBS for Child Labour children on 10.01.2007 at SNBS Office 49

Rally of Children of Special Child Labour Schools and staff of SNBS on the occasion of Antarashtriya Baal Shram Virodh Divas on 12.06.2007

Rally of Children of Special Child Labour Schools and staff of SNBS on the occasion of Antarashtriya Baal Shram Virodh Divas on 12.06.2007

Mr. Ravi Kashyap, President SNBS distributing 200 school bags to the Children of Special Child Labour Schools

Children of Special Child Labour Schools participating in Baal Sabha

Health Camps organized by SNBS in Child Labour Schools

Health Camps organized by SNBS in Child Labour Schools

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Health Camps organized by SNBS in Child Labour Schools

Health Camps organized by SNBS in Child Labour Schools

Health Camps organized by SNBS in Child Labour Schools

Health Camps organized by SNBS in Child Labour Schools

Students of Special Child Labour Schools of SNBS performing in Annual program of NCLP

Monthly review meetings with staff of Child Labour Schools of SNBS

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Mr. Anil Kumar IAS, DM Agra inaugurating rally organized by NCLP on the occasion of World Day Against Child Labour on 12.06.2008

Staff and Women Health Samities of SNBS participating in rally organized by NCLP on the occasion of World Day Against Child Labour on 12.06.2008

Staff and Women Health Samities of SNBS participating in rally organized by SNBS on the occasion of World Day Against Child Labour on 12.06.2009

Students of Child Labour Schools of SNBS sitting in Rikshaws holding banners, posters and opposing child labor with loud slogans in rally organized by SNBS on 12.06.2009

Rally of Students of Child Labour Schools of SNBS in various slums of Agra on 12.06.2009

Behavior change meeting with community members against child labour at Rahul Buddha Vihar, Nala Kazi Para on 12.06.2009

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Mr. Munna Lal Bharti, Ward Member, Ram Nagar inaugurating rally of Students of Child Labour School of SNBS under School Chalo Abhiyan on 04.07.2009

Rally of Students of Child Labour School, Ram Nagar under School Chalo Abhiyan on 04.07.2009

Chaudhri Satish Chand, Social Worker inaugurating rally of Students of Child Labour School at Chipi Tola under School Chalo Abhiyan on 06.07.2009

Rally of Students of Child Labour School at Chipi Tola under School Chalo Abhiyan on 06.07.2009

Mr. Rajesh Kumar, Secretary, Dr. B.R. Ambedkar Jayanti Samaroh Samiti inaugurating rally of Students of Child Labour School at Nala Kaji Para on 07.07.2009

Rally of Students of Child Labour School at at Nala Kaji Para under School Chalo Abhiyan on 07.07.2009

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Angila (U.K.) 21.7.10 with Child Labour


Child labour school kazipada

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CAMPAIGNS AND EFFORTS WITH FOGSI:

Honble President of India Smt. Pratibha Patil, along with members of the Federation of Obstetrical & Gynecological Societies of India (FOGSI) and Mr. Ravi Kashyap, President, SNBS at Rashtrapati Bhawan, New Delhi, on 1st October 08.

The Problem of Gender Bias in India: Sex Ratio in India Today when we have forged into the 21st century and have conquered space and are on the verge of human cloning we humans still remain biased towards the sex of the unborn child. Wherever the human race exists in the world to whatever cast and crede the one fact that emerges loud and clear is that the choice of the expected newborn invariably remains a boy. Whenever the news of the arrival of a girl child is given to most of the population in India it is an aura of doom in the family and the friends and well wishers place it as a cause of God on the couple which is related to the "Karma's" of the parents. This major social "look down" on couples bearing female children has lead to the couples and to the women themselves resorting to antenatal sex determination and selective termination of pregnancy and the rampant demand and supply of this technique and procedure has lead to the imbalance of the sex ratio in India. It is well known that socio-cultural factors and practices, such as the status of women, patriarchal structure of the society, preference for a son, fear of dowry and the belief that it is the son who can look after the old parents and so on are the main reasons for adverse sex ratio. In view of the above, SNBS joined hands with FOGSI to remove such practices from poor population of Agra and Save the Indian Mother.

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SAVING INDIAN MOTHERS AND BETI BACHAO: The vision was to take this message to everywhere and awake every person towards his contribution to womens health and well-being. The very theme encompasses: Education of the adolescent girl Eradication of Anemia Regulate population and fertility Promote contraception and safe abortions Deliver safely Detect cancers Plant a Tree- Amla/Neem The nutritious fruit of Amla- a symbol that the effort will fructify and a message to the village women that Vit C, Iron and Calcium rich food is what they need during pregnancy. FOGSI-ASTRA BHARAT JAGRUTI YATRA-2008: The YATRA had arrived Agra on 19th Oct 08 to celebrate and unite the people of INDIA towards one goal- a healthier, happier mother and to Save and educate the girl child. SNBS, along with its all staff and Women Health Samities has organized the Health camps, awareness programs to spread this message. The overall impact of Yatra Awareness Program was very positive. People have decided to go to the hospitals for regular antenatal checkups and delivery, after attending the awareness programs. Below are the photographs of achievements of SNBS and main activities organized for urban poor population with coordination of FOGSI, from beginning up till July 2009.

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Welcome of the FOGSI ASTRA BHARAT JAGRATI YATRA 2008 at Agra by President, SNBS

Meeting with members of FOGSI ASTRA BHARAT JAGRATI YATRA 2008 along with CMO, Dy CMO Agra

Dr. Madhu Rajpal along with Mr. Ravi Kashyap, addressing Bundukatra DTHC coordination committee meeting about Beti Bachao, Beti Pardao Abhiyan

Dr. Bharat Sonkar ( Dy CMO Immunization) addressing Bundukatra DTHC coordination committee meeting about Beti Bachao, Beti Pardao Campaign

Dr. Narendra Malhotra, President FOGSI addressing people on importance of the campaign in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08

Mr. Surendra Singh IAS, CDO Agra, addressing people on protection and education of girl child in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08 57

Dr. B.P Ashok IPS, SP City Agra, addressing people on education of girl child in Women Health and Awareness Camp organized by SNBS at Agra on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS and flagged off by Mr. Surendra Singh IAS, CDO Agra, on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08, comprised of students, staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS, comprised of students, staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08

Huge rally on Beti Bachao, Beti Pardao Abhiyan jointly organized by FOGSI and SNBS on 22.10.08

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CMO Agra inaugrating Women Health and Awareness Camp, organized by SNBS with help of FOGSI and Health Deptt. on International Women Day

Women and children seeking Health check up and Health services in Women Health and Awareness Camp on International Women Day

Health Check up of 3000 women was conducted and medicines provided in Camp on International Women Day

Women Health and Awareness Camp on International Women Day

450 Ultrasound were conducted by Dr. Narendra Malhotra, President FOGSI in Women Health and Awareness Camp on International Women Day

Dr. Narendra Malhotra conducting Ultrasound of community women in Women Health and Awareness Camp on International Women Day 59

Women Health and Awareness Camp on International Women Day

Women Health and Awareness Camp on International Women Day

Women and children seeking Health check up and Health services in Women Health and Awareness Camp on International Women Day

Eye Check up of 200 women were conducted and 20 women were referred for operation in Health Camp on International Women Day

Mr. Ravi Kashyap, SNBS along with ward members providing counselling on Healthy behaviours to women in Health and Awareness Camp on International Women Day

Mr. Ravi Kashyap, SNBS creating awareness on Health and removing myths and misconsuptions amoung community women in Health and Awareness Camp

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RCH CAMPS IN AGRA URBAN UNDER SIFPSA PROJECT


Maternal health services, particularly antenatal care and postnatal care services require special attention to reduce both maternal and infant mortality. Large proportions of women in urban areas are anaemic and are not protected against tetanus. The reach of child health services and their acceptability have to be increased in order to reduce infant mortality. Immunization of children against vaccinepreventable diseases, proper management of diarrhoea, treatment of acute respiratory infection and improved nutrition are the important measures that need to be strengthened. The camp approach may not be the best approach to provide high-quality services on a regular and continuous basis but, given the current service delivery situation, is the best suited to reach those in need of services. Keeping in view of the above, Shri Niroti Lal Buddha Sansthan (SNBS) started RCH camps with support of Department of Medical Health & Family Welfare (DMHFW) under SIFPSA Project in urban slums of Agra City, during year 2003 2004, in order to improve access to and quality of services. SNBS have been selected and provided the opportunity for implementation of the RCH Camps by CMO Agra, because of its strength in community mobilization and extensive network. Staff of SNBS created mass awareness through inter personal counseling and provide family welfare services at doorsteps to people in urban areas. Achievements of SNBS During the period 2003 to 2004, SNBS has organized 181 RCH Camps in urban slums of Agra City and a total of 18589 patients were provided Health check up, ANC, Immunization and other Health services. In these RCH camps Oral Contraceptive Pills and Nirodh were provided to 4877 women; ANC of 999 pregnants were conducted, TT vaccination of 859 pregnants, IFA Tablets provided to 1582 women, Immunization of 4962 children, Health counseling to 6981, Health Check up of 3016 women by Lady Doctor, check up and treatment to 72 RTI/ STI patients, and treatment to 5222 other patients was provided along with medicines. Below are some photographs of these RCH camps organized by SNBS.

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HIV/ AIDS AWARENESS: AIDS No other word engenders as much fear, revulsion, despair and utter helplessness as AIDS. Despite increased AIDS awareness, the terror persists. AIDS is, in fact, rewriting medical history as humankind's deadliest scourge. The first AIDS case in India was detected in 1986, and since then, HIV infection has been reported in all states and union territories. Estimated number of people living with HIV/AIDS, 2007 (according to NACO) People living with HIV/AIDS: 2.31 million Adult (15 years or above) HIV prevalence: 0.34% Previously it was thought that around 5 million people were living with HIV in India - more than in any other country. Better data, including the results of a national household survey conducted in 20052006, led to a major revision of the prevalence estimate in July 2007. It is now thought that around 2.3 million people in India are living with HIV. Of these, an estimated 39% are female and 3.5% are children. National Family Health Survey 2005-2006, HIV statistics The National Family Health Survey, which tested more than 100,000 people for HIV, also found prevalence to be higher in urban areas (0.35%) than in rural areas (0.25%). AIDS statistics NACO has not produced estimates of the number of people living with AIDS and the number of people who have died from AIDS, for some time. Some of the last figures produced were from 2005, which showed that by the end of 2005 the total number of reported AIDS cases in India was 116,905, of which 34,177 were women. Around a third of these were among people younger than 30 years. These figures significantly under-represent the actual number of people living with AIDS. Many AIDS deaths go unreported in India, due to unprecedented levels of stigma and discrimination. In many situations a patient will die without HIV having been diagnosed, and with the death attributed to an opportunistic infection, such as tuberculosis. Main Events for HIV/ AIDS Awareness organized by SNBS In order to address the HIV/AIDS pandemic, Mass awareness events carried out by SNBS every year to educate, motivate, and mobilize the local community in the response to HIV/AIDS. Below are the photographs of main activities organized by SNBS, from beginning up till July 2009.

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Mr. Kailash Chand, Ward Member, inaugurating Puppet show on AIDS Awareness Program on the occasion of Youth Day on 12.01.08 in Nagla Jassa slum

Community enjoying Puppet show on AIDS Awareness Program on the occasion of Youth Day on 12.01.08 in Nagla Jassa slum

AIDS Awareness rally flagged off by Dr. N.C. Prajapati, Principal SNMC, Agra on the occasion of International Youth Day on 12.08.08

SNBS staff and Women Health Samities in AIDS Awareness rally on International Youth Day on 12.08.08

AIDS Awareness Rath of SNBS on International Youth Day on 12.08.08

SNBS staff and Women Health Samities in AIDS Awareness rally on International Youth Day on 12.08.08

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Dr. N.C. Prajapati, Principal SNMC, Agra giving speech on AIDS along with Project Officer and President SNBS at IMM Center, Agra on International Youth Day on 12.08.08

Students enjoying Magic Show on AIDS awareness organized by SNBS at Hallman Higher Secondary School, Agra on International Youth Day on 12.08.08

Students participating in Essay & Quiz Competition on AIDS organized by SNBS at Hallman Higher Secondary School, Agra on International Youth Day on 12.08.08

Ms. Soma Jain disseminating information about HIV/ AIDS in Awareness Camp organized by SNBS at Ambedkar Bhawan, Nala Kaji Para on World AIDS Day on 01.12.08

Mr. Ravi Kashyap along with SNBS staff distributing pamphlets on AIDS awareness at MG Road on World AIDS Day on 01.12.08

Mr. Ravi Kashyap along with SNBS staff distributing pamphlets on AIDS awareness at MG Road on World AIDS Day on 01.12.08

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LIC SCHEMES FOR URBAN POOR Since SNBS has undertaken the task to promote the welfare of this section of the society, lead to their upliftment and development for integration with the total society by improvement in their economic standards. For this, SNBS joined hands with Life Insurance Corporation of India in 2001, as a nodal agency to provide benefits of the schemes of LIC especially for poor community. Details of the LIC schemes for which SNBS is working as nodal agency of LIC are given below: JANASHREE BIMA YOJANA (LIC): The objective of the scheme is to provide life insurance protection to the rural and urban poor persons below poverty line and marginally above the poverty line. ELIGIBILITY: A person who is *Aged between 18 and 59 years. *Below or marginally above poverty line *A member of any of the approved vocation/occupation groups NODAL AGENCY: A State Government Department which is concerned with the welfare of any such vocation/occupation group, a Welfare Fund/ Society, Village Panchayat, NGO, Self-Help Group, etc. MINIMUM MEMBERSHIP SIZE: Twenty five. BENEFITS: In the events of *Death (other than by accident) of the member, an amount of Rs.30,000/- is payable. *death/total permanent disability, due to accident, an amount of Rs.75,000/-is payable. *Permanent partial disability, due to accident, an amount of Rs.37,500/- is payable. PREMIUM: *The premium under the scheme is Rs.200/-per annum per member. *50% of the premium i.e. Rs.100/- will be contributed by the member and/or Nodal Agency/State Government. * Balance 50% will be borne by the Social Security Fund. APPROVED VOCATION & OCCUPATIONAL GROUPS a) The group that can be covered are like workers in (i) Foodstuffs like khandsari (ii) Textile (iii) Manufacture of wood products (iv) Manufacture of paper products (v) Manufacture of leather products (vi) Printing (vii) Rubber and coal products (viii) Chemical products like candle manufacture (ix) Mineral products like earthern toys manufacture (x) Fire cracker's workers (xi)Construction workers (xii)Other related cottage industries to be identified by Nodal Agencies and other groups as identified by the Nodal Agency and approved by LIC.
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b) The occupational groups are : Beedi workers, Brick Kiln Workers(Jalandhar),Carpenters, Cobblers, Fisherman, Hamals, Handicraft Artisans, Handloom Weavers, Handloom and Khadi Weavers, Lady Tailors, Leather and Tannery Workers, Papad Workers attached to 'SEWA', Physically Handicapped self- Employed Persons, Primary Milk Producers, Rickshaw Pullers/ Auto Drivers, Safai Karmacharis, Salt Growers, Tendu Leaf Collectors, Scheme for the Urban Poor, Forest Workers, Sericulture, Toddy Tappers, Powerloom Workers, Scheme for Women in Remote Rural Hilly Areas. SHIKSHA SAHAYOG YOJANA (LIC): This is a scholarship scheme launched on 31.12.2001 for the benefit of children of members of Janashree Bima Yojana. ELIGIBILITY: Students studying in ix to xii standards, whose parents are covered under Janashree Bima Yojana. If a student fails and is detained in the same standard, he will not be eligible for scholarship for the next year in the same standard. BENEFIT: Scholarship of Rs 300/- per quarter per child will be paid for maximum period of 4 years. The benefit is restricted to two children per member(family) only. PREMIUM: No premium is charged for the scholarship SCHOLARSHIP CLAIMS: The Nodal Agency identifies the students. The member of Janashree Bima Yojana whose child is eligible for scholarship has to fill up an application form (available with Nodal Agency) and submit to the Nodal Agency. The applications duly filled up and certified will be sent along with the list of the beneficiary students by the Nodal Agency to the concerned LIC, P&GS Unit for disbursement of scholarship/s. The scholarship/s will be disbursed to the beneficiary students through the concerned Nodal Agency. As only a limited number of beneficiaries provided scholarship under the scheme, the selection for eligible students made on the basis of poorest of the poor. Achievement till date: Period Insurance Policy conducted under JBY 25 130 414 707 500 210 30 30 2046 Claims provided Scholarships provided under SSY 24 110 281 93 32 540

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 TOTAL

5 7 5 17

Below are the photographs of achievements of SNBS, from beginning up till date.

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Dr. Roshan Lal, CMO distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominee women along with Mr. Ravi Kashyap, President SNBS and Ms. Humera Khan, Program Officer, DIFPSA

Dr. O.P. Verma, Dy. CMO distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominee women along with Mr. Ravi Kashyap, President SNBS

Ms. Renu Nigam, Program Officer along with Mr. Ravi Kashyap, President SNBS disseminating information about Jan Shri Bima Yojana (LIC) in Teela Nand Ram

Mr. Ravi Kashyap, President SNBS distributing Life Insurance claim cheques under Jan Shri Bima Yojna (LIC) to nominees

Shri V.P. Nishad, Honble Minister, Govt. of UP discussing with Mr. Ravi Kashyap, President SNBS and about different Policies of LIC their benefits to the community

Shri V.P. Nishad, Honble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

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Shri V.P. Nishad, Honble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri Virendra Yadav, DLC, Agra along with Ms. Renu Nigam, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri G.P. Pushkar, Honble Minister, Govt. of UP along with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Shri G.P. Pushkar, Honble Minister, Govt. of UP with Mr. Ravi Kashyap, SNBS distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Dr. O.P. Verma, Dy. CMO distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

Dr. K.L. Agarwal distributing Scholarship cheques under Shiksha Sahyag Yojna (LIC) to poor students

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AWARENESS CAMPAIGNS FOR ENVIRONMENT AND TREE PLANTAION: Benefits of clean environment and trees: Social Benefits We like trees around us because they make life more pleasant. Most of us respond to the presence of trees beyond simply observing their beauty. We feel serene, peaceful, restful, and tranquil in a grove of trees. We are at home there. Hospital patients have been shown to recover from surgery more quickly when their hospital room offered a view of trees. The strong ties between people and trees are most evident in the resistance of community residents to removing trees to widen streets. Or we note the heroic efforts of individuals and organizations to save particularly large or historic trees in a community. The stature, strength, and endurance of trees give them a cathedral-like quality. Because of their potential for long life, trees frequently are planted as living memorials. We often become personally attached to trees that we or those we love have planted. Communal Benefits Even though trees may be private property, their size often makes them part of the community as well. With proper selection and maintenance, trees can enhance and function on one property without infringing on the rights and privileges of neighbours. Environmental Benefits Trees alter the environment in which we live by moderating climate, improving air quality, conserving water, and harbouring animal and birdlife. Climate control is obtained by moderating the effects of sun, wind, and rain. Radiant energy from the sun is absorbed or deflected by leaves on deciduous trees in the summer and is only filtered by branches of deciduous trees in winter. We are cooler when we stand in the shade of trees and are not exposed to direct sunlight. In winter, we value the suns radiant energy. Therefore, we should plant only small or deciduous trees on the south side of homes. Wind speed and direction can be affected by trees. The more compact the foliage on the tree or group of trees, the greater the influence of the windbreak. The downward fall of rain, sleet, and hail is initially absorbed or deflected by trees, which provides some protection for people, pets, and buildings. Trees intercept water, store some of it, and reduce storm runoff and the possibility of flooding. Dew and frost are less common under trees because less radiant energy is released from the soil in those areas at night. Temperature in the vicinity of trees is cooler than that away from trees. The larger the tree, the greater the cooling. By using trees in the cities, we are able to moderate the heat-island effect caused by pavement and buildings in commercial areas. Air quality can be improved through the use of trees, shrubs, and turf. Leaves filter the air we breathe by removing dust and other particulates. Rain then washes the pollutants to the ground. Leaves absorb carbon dioxide from the air to form carbohydrates that are used in the pl ants structure and function. In
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this process, leaves also absorb other air pollutants - such as ozone, carbon monoxide, and sulphurdioxide and give off oxygen. By planting trees and shrubs, we return to a more natural, less artificial environment. Birds and other wildlife are attracted to the area. The natural cycles of plant growth, reproduction, and decomposition are again present, both above and below ground. Natural harmony is restored to the urban environment. HEATING AND COOLING COSTSA 25 foot tree reduces annual heating and cooling costs of a typical residence by 8 to 12 percent, producing an average $10 savings per American household. Also, buildings and paving in city centers create a heat-island effect. A mature tree canopy reduces air temperatures by about 5 to 10F, influencing the internal temperatures of nearby buildings. AIR QUALITY AND CLEANSINGA typical person consumes about 386 lb of oxygen per year. A healthy tree, say a 32 ft tall ash tree, can produce about 260 lb of oxygen annually - two trees supply the oxygen needs of a person each year! Also, cooler air temperatures created by tree canopies reduce smog levels by up to 6%, producing savings in air clean-up campaigns. Finally, a mature tree absorbs from 120 to 240 lbs of the small particles and gases of air pollution. In Sacramento, CA, for instance, this represents a value of $28.7 million. IMPROVED WATER QUALITYThe canopy of a street tree absorbs rain, reducing the amount of water that will fall on pavement and then must be removed by a storm water drainage system. In one study, 32 feet tall street trees intercepted rainfall, reducing storm water runoff by 327 gallons. Savings are possible since cities can install surface water management systems that handle smaller amounts of runoff. Achievements of SNBS: Below are the photographs of achievements of SNBS, from beginning up till date.

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Dr. Alok Kr. Shukla, Dy. Jailor, giving presentation on benefits of clean environment in workshop organized by SNBS on 11.07.2004

Ms. Rashida Begum, Ward member, giving presentation on benefits of clean environment in environment awareness camp organized by SNBS in Dera Saras slum

Dr. Roshan Lal, CMO Agra inaugrated Awareness rally against Polythene organized by SNBS on 11.06.2005

Dr. Roshan Lal, CMO Agra along with Dr. R.K. Mishra, Dy CMO and Mr. Ravi Kashyap, President SNBS in Awareness rally against Polythene organized by SNBS on 11.06.2005

SNBS staff in Awareness rally against Polythene

SNBS staff in Awareness rally against Polythene

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SNBS staff in Awareness rally against Polythene

SNBS staff in Awareness rally against Polythene

Smt. Surina Rajan IAS, ILO, Mr. Sharda Prasad IAS, Labor Commissioner, Mr. Sanjay Prasad IAS, DM Agra, Mr. SK Singh PCS, CDO, Agra in tree plantation program organized by SNBS on 03.08.2005

Mr. Sharda Prasad IAS, Labor Commissioner putting his views on benefits of trees in tree plantation program organized by SNBS on 03.08.2005

Smt. Surina Rajan IAS, ILO, putting his views on benefits of trees in tree plantation program organized by SNBS

Mr. Sharda Prasad IAS, Labor Commissioner planting tree

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Mr. Sanjay Prasad IAS, DM Agra planting tree

Mr. SK Singh PCS, CDO, Agra planting tree

Mr. Virendra Yadav, Dy Labor Commissioner Agra planting tree

Mr. Lalit Kumar, presenting on environment in Awareness Camp organized by SNBS on International Ozone Layer Protection Day on 16.09.2005

A child from Child Labor school, Nagla Mohan presenting on environment in Awareness Camp organized by SNBS on International Ozone Layer Protection Day on 16.09.2005

Awareness rally on International Ozone Layer Protection Day organized by students of Child Labor school of SNBS

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Awareness rally on International Ozone Layer Protection Day organized by SNBS at Nagla Mohan on 16.09.2005

Mr. Vinod Kumar, presenting on environment in Awareness Camp organized by SNBS at Teela Nand Ram

Awareness rally on International Ozone Layer Protection Day organized by students of Child Labor school of SNBS at Teela Nand Ram on 16.09.2005

Drawing and Painting Competition on Environment

Drawing and Painting Competition

Dr. Narendra Malhotra along with Mr. Ravi Kashyap, President SNBS planting trees in Ashram at Devri Road

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TB CAMPS AND AWARENESS CAMPAIGN: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. It is spread through the air by a person suffering from pulmonary TB. A single Sputum +ive Patient can infect 10-15 people in a year if not treated. India contribute 1/3rd global burden of TB and TB has been declared a Global Emergency. In India there are 14 million TB patients; 2 million new TB patients are added every year of which 1 million are of infectious type. More adults die from TB than from any other infectious disease in India, more than 1000 every day and 1 every minute. TB kills women more than all causes of maternal mortality combined and every year in India 300000 children leave school on account of their parents TB. TB is the most common opportunistic disease in people living with HIV. In view of the above fact, SNBS conducted a TB Camp with support of Medicine Deptt., S.N. Medical College, Agra at Choti Athai slum on 25.04.2004. During this camp 32 patients were identified as TB infected and treated further by the Medicine Deptt. of S.N. Medical College, Agra. Keeping in view of such a large number of identification of TB patients in only one slum, SNBS intends to look forward for the sake of poor population in other urban slums and started TB Awareness Program in 20 urban slums of Agra for six days from 26.05.2005 to 31.05.2005. In this awareness program, SNBS staff approached house to house for identification of TB patients on the basis of basic symptoms. Achievements of SNBS A total of 556 TB patients were identified and were motivated to seek treatment and referred at TBDTC during the TB Awareness Program organised by SNBS in 20 urban slums of Agra for six days from 26.05.2005 to 31.05.2005. In order to address the TB pandemic, Mass awareness events were also carried out by SNBS to educate, motivate, and mobilize the local community in the response to TB. Below are the photographs of main activities organized by SNBS.

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Dr. Veer Singh, Medicine Deptt. S.N. Medical College, Agra examining TB patients in TB Camp organized by SNBS at Choti Athai slum on 25.04.2004

Capacity Building Workshop of SNBS staff on symptoms of TB for identification of TB patients in slums, organized by DTBCS, Agra at TBDTC on 26.05.2005

Capacity Building Workshop of SNBS staff on symptoms of TB for identification of TB patients in slums, organized by DTBCS, Agra at TBDTC on 26.05.2005

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

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SNBS staff identifying TB patients in slums, on basic symptoms and their referral

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

SNBS staff identifying TB patients in slums, on basic symptoms and their referral

Mr. Ravi Kashyap along with TBDTC staff conducting awareness camps in slums and providing referral services

TBDTC staff conducting checkups and providing referral services

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SOCIAL MARKETING INITIATIVES: Safe Water & Child Survival: Situated along the banks of river Yamuna, the northern Indian city of Agra takes pride in being the land of the Taj Mahal. But behind this veneer, lie the poverty and squalor of numerous slums. Agra, spread over 140 sq. km. along the banks of the river Yamuna in western Uttar Pradesh, is a good example of a fast growing million plus city. It is Indias premier tourist destination in 2007-08 it witnessed an inflow of 2.7 million foreign tourists bringing in revenue of US$ 2.3 million to the Taj Mahal alone. Agra also has a sizeable urban poor population, mostly residing in its burgeoning slums. The population living in slums or squatter settlements was estimated at 8.41 lakh, which is about 50% of the citys total population. Poor living conditions Slums live constantly under the threat of demolition and eviction. Rampu Ki Jhopri is an example of a slum which was demolished and relocated at a further distance from its original location. Now the open space is used by the urban poor to tie up cattle owned by them and for drying dung cakes. Sanitation is the most pressing issue in a majority of slums with situations varying from existence of individual toilets which lead into open drains to a total absence of individual or public toilet facility. Public toilets provided in slums suffer from lack of regular cleaning, rendering them unusable. This is visible in slums like Nala Mantola, Nagla Bhavani Singh and Ghatiya Mamu Bhanja. Children defecate in drains in most slums. Drains are open and narrow, which remain blocked due to disposal of solid waste and absence of regular cleaning. In Rampu Ki Jhopri, Gopalpura and Takht Gumbat Pehelwan, open spaces are used for sewage and garbage disposal, creating an extremely unhealthy environment. Public taps and hand pumps provided in slums often dry up in summers, leaving residents dependent on ground water for meeting their basic needs. Water quality is poor. At times residents access the drinking water by inserting utensils or pipes through the wastewater itself. In some areas one can witness the broken water mains over a drain and people hanging their buckets to fetch drinking water from the cracked pipes just above the slushy drain. Water from pipes next to drains has also led to cases of water-borne diseases, particularly among the children. There are also certain neighbourhoods where the womenfolk have to walk as much as two to three kilometres to fetch water. They manage to gather water by digging and it is not fit for drinking. There are no hand pumps. There is no water in taps as well. Women have to travel long distances to get water. We are facing a lot of problems. Children are falling sick. There is no water anywhere somehow we are getting water from cracked pipes near drains and are trying to fulfill our requirement,' said Hem a resident.
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Piped water supply was available to only 7 percent of the slum households. 78 percent of them depended on public taps for water. About 63 percent of the slum households use some kind of flush toilet facility, largely pit toilets and septic tanks, while 33 percent defecate in the open. Addressing the challenges The situation of the urban poor in Agra echoes their plight in similar cities across India. In spite of their vital contribution to the citys economy, the urban poor do not receive the benefits of city life. Their isolation is manifested in slums, which are a reflection of inequality and social exclusion in urban areas. To address the challenges faced by the urban poor in Agra, it is essential to: Strengthen services with a focus on vulnerable urban poor settlements; Explore innovative approaches to expand breadth of affordable services among vulnerable slums both public and private; Influence community demand for services and link community with providers to address the increased demand sufficiently; Help slum communities organize themselves to negotiate change through collective action; Achievements of SNBS In order to address the problem of safe drinking water for urban poor population of Agra, SNBS adopted Social marketing as an effective way for the same. For this, SNBS started motivating lowincome and high-risk people to adopt healthy behaviour, including the use of SAFEWAT. A key ingredient of successful social marketing is effective communications to encourage the adoption of appropriate health practices (including proper use of the products and services). So, from May 2009, SNBS started advertising SAFEWAT by generic educational campaigns, using a mix of strategies and channels, including interpersonal communications, to reach the mass population. Project implementation start date 8th June 2009 In June 2009, SNBS launched SAFEWAT and set the target as: Target population/location All urban slums of Agra City Low income urban areas Key Practices Consumption of safe water, in a consistent and exclusive manner, by all family members of all slums of Agra City, by regularly using the safe water system to treat water and store it safely

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Including, adoption of hygienic practices that impact on water and food safety, in particular: Hand washing Clean food preparation Clean toilet habits, including sanitary disposal of feces Proper garbage disposal Including continuation of healthy practices known to play a protective/beneficial role: exclusive breastfeeding vaccination oral rehydration therapy increased feeding for up to two weeks following a diarrheal episode Intervention elements Sodium hypochlorite disinfectant produced by private sector manufacturer for PSI. The brand name is SAFEWAT. SNBS ensured Social marketing of SAFEWAT with full cost recovery through CLVs / AWWs/ ANMs which can earn a margin on each unit sale of disinfectant. Current status of project Communication material about SAFEWAT have been developed and distributed in slums, and training of 500 Women Health Samiti members including 33 CLVs at slum level has put in place on interpersonal communication and door-to-door sales of SAFEWAT. As per records of sales data, SNBS has achieved sales of 1500 SAFEWAT bottles up till 8 th July 2009. Despite of this, in view the necessity of Sanitary Pads to Women in slum areas and Iodine requirements for physical as well as mental fitness of their children, 5000 packets of 1 Kg of Iodine Salt and 150 sanitary pads have also been sold by SNBS in these areas, up till 8th July 2009. Below are the photographs of main activities organized by SNBS.

SAFEWAT Bottle

Capacity Building Workshop of Women Health Samities and SNBS staff on Social Marketing of SAFEWAT and Iodine salt organized by SNBS at Nala Kaji Para 80

Capacity Building Workshop of Women Health Samities and SNBS staff on Social Marketing of SAFEWAT and Iodine salt organized by SNBS at Nala Kaji Para

Member of Women Health Samities giving presentation on Social Marketing of SAFEWAT and Iodine salt at Nala Kaji Para

SNBS staff distributing pamphlets of SAFEWAT among slum community

SNBS staff distributing pamphlets of SAFEWAT among slum community

CLVs distributing sanitary pads to Women Health Samities for Social Marketing

CLVs distributing sanitary pads to Women Health Samities for Social Marketing

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