EK Jhalak

A Brief Flash of Light

Introduction
CBCI-CARD is an alliance of Catholic organisations working in the health
and development sector. Since its constitution in 2009, it has been working with
a specific focus on TB, Malaria and HIV/AIDS. The alliance acts as a bridge
between health societies run by the Church endeavouring to bring these within
the ambit of the National TB Programme. CBCI-CARD has also demonstrated
significant assiduity in the fight against HIV/AIDS, in addition to formulating and
implementing the National Policy for HIV and AIDS for the Catholic Church in
India. Like most healthcare facilities run by the Church, CBCI-CARD operates
primarily in remote areas, trying to fulfil its manifesto of reaching the unreached
millions in the country
CBCI CARD Project Axshya is working in 29 Districts of 4 States in India
(Bihar, Madhya Pradesh, Uttar Pradesh and West Bengal) with 22 District
Coordinators and 2 Urban sites Jabalpur and Ujjain in Madhya pradesh.

Message from The Executive Director.

EK JHALAK - Glimpses from CBCI CARD, The News Bulletin is the united
effort of our team and the fulfillment of a long cherished dream come true. It is
our firm commitment and dedication which brought us this far and helped us
to bring happiness and joy on the faces of many suffering people. We are
determined to make health services available and accessible to the
underprivileged community in remote rural and Urban location of India through
our health centres .As we share the success stories, health messages and new
initiatives through Ek Jhalak it is my hope and ardent desire that all those who
read it may experience the healing power of God flowing through them and
bring wellness and wholeness to the suffering humanity all round us. I wish
success and Good luck to the contributors, the communication team as well as
the people whom we serve who are our great motivators.

Message from ArchbishopMessage from Fr. Mathew Message from Sr. Prabha.Welcomed Sister Nirmala Mulackal SCN, as New Executive
Director of CBCI CARD
Sister Nirmala Mulackal SCN, was warmly welcomed as the New Executive
Director of CBCI CARD. Sister comes with varied experience in the field of Health
Care service, especially to the rural poor. She holds B.Sc. (Hons) Degree in
Nursing from Raj Kumari Amrit Kaur College of Nursing, Delhi and Post Graduate
Diploma in Health Care Administration from St. Johns Medical College, Bangalore.

She has served as Sister tutor in Nazareth School of Nursing Mokama. Patna
and College of Nursing St. Johns Medical College Bangalore. Held positions as
Director of Community Heath Service, in Mokama, Community Health Center in
Bakhtiarpur, Nalanda District, Bihar and Health Center in Mandair, Jharkhand.
Vice Principal School of Nursing, Mokama, Director of Nursing service, and
Administrator of Nazareth Hospital Mokama are other positions held and service
rendered. Sister had been an active member of the Governing Board of CHABIJ,
BVHA and CHAI.

Updates
DC Review meeting on March 2016 at Ujjain
Three days of DC review meeting was held at Kripa training centre from
29th to 31st March 2016 in Ujjain. On the very first day of the event State TB
Officer Dr. Atul kharate along with Miss Moumita Biswas, State technical
consultant MP came over there and met with the staff of CBCI CARD. Dr. Atul
Kharate took a session on Burden of TB in India and RNTCP. He also touched on
possible areas where improvement is needed & how the Axshya project activities
could be utilize to fill these gaps. In the latter half of the day, Fr. Anthony took a
session on capacity building, management and team work, which was attended
by all the CBCI CARD team members along with the our Executive director Sr.
Prabha.
On the 2nd day evening a formal farewell was organized for Sr. Prabha Varghese,
the event is marked by the presence of Most Rev. Bishop Sebastian Vadakkal
(Bishop of Ujjain). In his memorable address, he appreciated the work done by
Sr. Prabha and also presented a memento. On the third day, and then the review
meeting was concluded.

DC Review meeting New Delhi June 2016

District Coordinators Meet was organized in between 8 th -9th June 2016 at
Navjeevan Renewal Centre, New Delhi with an objective to have review on
Project Axshya and evaluation of the programme activities. Mode of the review
was power point presentation by District coordinator on the activities carried out
till date in their district under Project Axshaya. DCs were asked to share their
experience and difficulties faced by them while implementing the programme.
Dr. Subrat from The Union, Sr. Nirmala, Abilesh Thomas, Rajeev and Deepak
Tigga were CBCI CARD officials who had reviewed the programme. There were
decisions on how to move ahead about the programme. Dr. Vishal Dessai who
had joined CBCI Card as Medical Consultant was introduced to entire team and
was also part of review meeting.
Activity Update
Activities conducted by CBCI-CARD in Axshya Project (Oct15 to Mar16)

Sr.
No
1
2
3
4

5
6

Name of Activity

Achievement

Gaon Kalyan Samiti (GKS) meetings

Axshya Samvad (IOA)
Sensitization of TB patients on patient
Charter
Special activities
(World TB Day & World Womens Day )

1072
143389
1702

No. of population
reached
21952
143389
1702

24

89100

No. of trained Rural Health Care

Providers (Traditional healers)
Developed Axshya Villages
Total referrals from all activities
Total SCT from all activities
Among TB symptomatic Referred &
SC&T no. of Sputum Positive
identified

2794

2794

412
9871
7553

9871
7553

1065

1065

World TB Day - Axshya Trophy Mukabala TB Se

Sports are a universal language that contributes to the health and well being of
the individuals. In addition, it teaches important life skills like tolerance and fair
play.
Objective of the event is to Increase awareness and knowledge about TB and
Increase in case detection & treatment Adherence
More than 30,000 people were sensitized by the event. Got good response
from Political , Religious leaders, TB Forum members in terms of donation and
along with other administrative support specially in Jabalpur, Jhabua, Khandwa,
Ujjain, Sagar, Lucknow and coverage by media for the event.
Jabalpur (MP) Cricket tournament
Sagar (MP)
Cricket tournament
Ujjain (MP)
Football Tournament
Jhabua( MP)
TeerDhanush Tournament
Khandwa (MP)Cricket tournament
Bijnor (UP)
Volley Ball Tournament
J. P. Nagar(UP) Volley Ball Tournament
Howrah(WB)
Football Tournament
Mau (UP)Half Marathon
LucknowCricket tournament
It has been observed that, almost 80% TB patients do not have access to good
nutritional
food which leads to lap in treatment and delay in recovery. To
address this issue, Axshay Team at CBCI CARD came up with innovative idea of
having Axshya Trophy to create awareness and generate funds for nutrition
support of TB patients.
Through the event we succeed to receive nutritional support from community in
term of money and compassion. we supported 25 families by providing them
food grain. We were able to create awarness among more then 30,000 people on
TB in the project operational area. This idea was well appriciated by various
stakholder incuding relious leaders and mark its presnce in the print media too.

Vocational Training: source of income generation for TB patients.

At one hand, most of the TB patients are from margined community and
with poverty background and other hand, TB take at least Six to Eight months to
get cured due which, person may losses its 40-50 annual income. Keeping this in
mind, various vocational trainings were organized with objective to have skill
building of TB patients which may help them to have some income generating
activities. Poultry framing at Jabalpur (MP) in which thirty three patients were
trained, Candle, Agrbati and bindi training at Malda (WB), Balia, Varanasi, and
Bijnor district of Uttar Pradesh in which more than Hundreds patients got trained
themselves were some of the efforts from CBCI Card.

Madarsa Intervention
In Uttar Pradesh we conducted Madarsa Intervention Activity in 8 District of CBCI
CARD, total 24 Madarsa were covered through the intervention. 10,873 people
were sensitized, 274were identified as TB Symptomatic, 228 SCT was done & 3
TB patients were identified through the madrasa Intervention. In Saharanpur
district we conducted 4 madarsa activities with the help of RNTCP and sensitized
6350 people. In Saharanpur district CMO, DTO, State ACSM Consultant & Union
State Consultant participated during the madrasa intervention; huge media
coverage was for this activity.
In Bijnor District we conducted 6 Madarsa activity, sensitized 2320 peoples
in madarsa, identified 93 Symptomatic patients, 44 SCT was done & 3 TB
patients are identified through madarsa. DTO Dr. Raj Kumar, Union State
Consultant Mr. Mudashir Ahmed, MOTC, & RNTCP staff attended the madras
activities of Axshya Project. Print media gave huge coverage of Madarsa
intervention activity.

Urban Intervention, Project Axshya.

Since independence, Most of Health Programme focused towards Rural

India . So there is well structured system developed to deliver health
programmes for rural population where as
urban remain in noticed which is
true in case of Tuberculosis programme. Considering the fact, Urban Intervention
is in cooperated in Project with specific focus on private sector such as Qualified
private Practitioners, Private Hospitals and Private Lab who deals with more than
Fifty per cent of TB cases which are neither get report. The Union took urban
intervention at forty sites across India, out of which CBCI is working at Jabalpur
and Ujjain. Main objective is to sensitized private sector on TB and engagement
them to adopt standard practices in TB diagnosis and treatment, notify all the
cases and ensure treatment adherence.

Private Sector: Game player in TB Free India.

Even today maximum part of Health care services in India is taken care by
private sector, this includes Doctors from different streams (includes AYUSH),
Paramedical staff, Private and other Charitable hospital and Labs . So when we
talk about TB Free India, role of Private sector became too important.
Sensitization and engagement of Qualified Private Practitioner (QPP), Private
Hospitals and Lab is one of measure component for urban site under Project
Axshya. Sensitization programme was organized with the support from District
Tuberculosis Units, Indian Medical Association, Lab Association, Jabalpur and
Ujjain. Measure topics such as Project Axshya, its objectives and components,
Standard guideline for treatment of TB in India and National tuberculosis
Programme in India along with notification of TB was covered. Theses training
were conducted in presence of Dr. Rishi Dabor, Chest Physician, Dr. Atul Kharate,
STO, ,Dr. M. Agarwal, CMHO, Dr. Dhiraj Dhawade, DTO Jabalpur,Dr. S. Tiwari,
RNTCP , Dr. Arti Julka, Prof. PUBMED, R.D. Gardi Medical College, Ujjain along
Sister Nirmala, Abhilesh Thomas, Deepak Tigga, Lawrence Raibole, Dr. Vishal
Dessai , CBCI Card members.
Vinet Tandiya and Manish Jatwa, Urban
coordinators, played major role at the back stage for the event.

Axshya Kiosk : Innovation in TB Free Progrrme.

Axshay kiosk is community based TB information and service centre

established within the reach of community under project Axshay. The Services
deliver through Axshay Kiosk will be providing TB information, Sputum collection
& transportation. Flexi DOTs, Domiciliary DOT for bedridden patients, Counselling
of TB patients &their family members. Linking with social welfare schemes/
corporate. Indias first Axshay kiosk opened in DMC Raja Chowk, Jabalpur,
Madhya Pradesh on 24th Feb 2016.This was outcome of joint efforts by CBCI
CARD & RNTCP, Jabalpur. Mr. Subrat Mohanty, the Union, Mr. Abhilesh Thomas,
Program Manager and the Axshay project team, CBCI Card was present at the
ceremony. Dr.Dheeraj Dawande, DTO, Jabalpur was the chief guest for the event.
Community Volunteer at centre will have primary responsibility for the service.

Sucesses Story
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Story
Story
Story
Story

of
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Bachhu Ram
Satya dev Sahu
Radha Sukla
Dhiraj

Catholic Bishops Conference of India, Coalition for AIDS and Related Disease
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