Orissa Projects

  • Introduction
  • Facts



As per the sentinel survey 2007, Koraput comes under category B districts in which 904 people have been identified with HIV. Among which 474 people are in AIDS. The total no of deaths are 138 by the end of Dec 2009. It ranks second position in the state in terms of total number of positive people and has 5.7% of the State’s total PLHIV. The District is situated in extreme south part of Orissa and is bounded by Rayagada district of Orissa, Vizianagaram and Srikakulam district of Andhra Pradesh in east, Malkangiri district of Orissa. Because of geographical location the district is in high risk for STD/HIV/AIDS. Though Koraput is a border district for two states and two districts, the rate of in and out migration is very high. Jeypore, which is the major town and business centre of the district, has been known as the focus point of having concentration of commercial sex workers especially non-brothel based. Most of the sex workers are indulged in this profession due to poor economic condition and exploitation.
Ashraya, the 10 bedded Community Care Centre (CCC) of LEPRA Society started with support from Orissa State AIDS Control Society (OSACS) on 15th February 2007. The centre functions as a bridge between hospital and home based care to improve quality care of people living with HIV/AIDS in an integrated approach. It has components of service delivery, training and capacity building, counseling, follow up and referral. The Centre mainly covers three districts of southern parts of Orissa mainly Koraput, Malkangiri and Nabarangpur with population of 2.7 million. Since January 2007, the centre has been supported by PACT project of Global Fund R6 programme (Population Foundation of India as the PR, CBCI HC as SR and LEPRA as SSR) along with support from LEPRA UK.


The overall purpose of the centre is to improve the quality care of people living with HIV/AIDS in an integrated approach. This is functioning as a bridge between hospital and home based care. The Centre mainly covers three districts of southern parts of Orissa mainly Koraput, Malkangiri and Nabarangpur with population of 27, 12,000 (Male -1359000, Female-1353000) in which more than 700 people are living with HIV.

Services in the Centre

  1. Treatment of OIs (with medicinal support)
  2. Advanced counseling oon positive living
  3. Nutritional counseling & support
  4. Nursing care & enabling environment
  5. Recreational facilities (TV with Cable
  6. connection, DVD, Carom, Badminton, Ludo, Music system)
  7. Spiritual discourse
  1. Referral services are provided for ART, NTCP, DHH, ICTC, Rehabilitation Center
  2. Training of community based organizations in care of HIV/AIDS patients
  3. Facilities for last rites
  4. Legal aspect – fulfillment of last wishes
  5. Coordination with local positive people network

It works in coordination with Integrated Counseling and Testing Centre (ICTC) of Jeypore, koraput, Malkangiri & Nawarngpur, other CCCs of Orissa, NGOs & also CBOs, local corporate houses and other inter-sector institutions. Besides, networking is being done with Indian Network of Positive people and state level networks.


LEPRA Society, KORALEP in Jeypore has been designated as a Microscopic Center under NGO involvement of RNTCP with well-equipped laboratory at Jeypore which is linked with CCC. It has also a laboratory of its own in the center for general tests. There is also facility of physio care in the centr


The Center has limit to care of people living with HIV/AIDS for 15 days only. But in some cases it requires more than that for which the centre faces problems. Clients have no source to manage the transportation cost to get admitted in ASHRAYA Care Home as they are coming from places like Malkangiri and Nawarangpur which are more than 100 km away. Similarly they also face difficulties in accessing the ARV drugs. Stigma & Discrimination is quite common in this tribal area & people living with HIV/AIDS are facing problem at job place also.

Coordination with Sahyog Project

In order to address the issues of TB-HIV co-infection, the centre has established strong linkages with SAHYOG project. With facilitation from the Sahyog project all the TB-HIV cases have been addressed by means of referral, initiating DOTS and follow up. The enclosed sheet gives picture of total TB-HIV cases addressed through the centre in coordination with SAHYOG project. There have been referrals from the DMCs to the centre with facilitation from the SAHYOG project. The patients put on dots have also been followed up by the field staff of SAHYOG project.

Besides, the project doesn’t have the component of out-reach activities which have been addressed in coordination with SAHYOG project. In the process, following activities have been organised with SAHYOG project to strengthen TB-HIV services in Koraput and Malkangiri district.

Community Orientation on C & S programme (following the guideline of NACO) – 1 Prog.
- Support group meeting – 2 Programmes
- Health Camps – 2 Programmes (254 attended, 204 blood sample tested and 1 found positive, 26 STI cases detected, 11 TB cases confirmed)



The Chief Minister of Madhya Pradesh, Shri. Shivraj Singh Chouhan inaugurated the mobile ICTC vans on 11th March 2010 in Bhopal. LEPRA Arogya Project was pioneer to introduce mobile ICTCs in Madhya Pradesh. The mobile ICTCs are functional in partnership with MPSACS and in addition to provide HIV couselling and testing services, conduct IEC activities like film shows, miking, audio spots etc.
In the month of August Red Ribbon express visited 11 districts of Madhya Pradesh out ofwhich two district Harda and Bhopal were Arogya project districts. Arogya Project particpated in the Red Ribbon Express Campaign in the form of organising exhibitions for generating awareness wherein various IEC materials developed by the Project as well as MPSACS were distribution and also condom demonstrations were done. Project Officer (Capacity Building) and District Coordinators were among the Master Trainers for the training session on HIV/AIDS and facilitated few sessions in RRE.
Case Study
From Darkness to Awareness
Rehana (changed name) is a four year old girl living with parents in Ashoka Garden, Bhopal. Her mother has problems in eye sight and is not able to seek any employment. Her father, who is physically challenged and the only earner in the family, works at a Paan (betel) shop on daily wages and hardly earns Rs.40 per day.

In July 2009 Rehana was critically ill, she was very weak and her weight was also decreasing day by day. She complained of continuous headache and was not even able to talk. During a group session, conducted by Arogya ORW in nearby Anganwadi Rehana's grandmother expressed concerns on Rehana's health, where the ORW referred Rehana to Bhopal District Hospital. The Aanganwadi worker present in the meeting advised to take her to Nutritional Rehabilitation Centre (NRC), where she was found severely malnourished and was admitted to the NRC for 14 days. The visiting doctor at NRC diagnosed her with brain TB. When the fact was disclosed to the family they were totally disturbed and worried. Understanding the fear and condition of Rehana's family the doctor counselled her family members and informed them that cure of TB is possible. If she takes proper and regular medicine she will recover and get well soon. He also oriented about the DOTS therapy and assured them about the availability of DOTS medicines during her treatment. Doctor referred the case in respective DMC for DOTS treatment. DMC registered the patient and started treatment. After two month Rehana went for follow up at DMC. Her weight was increased and was in good condition. After completing four months treatment again she went for follow up at DMC. This time her health condition was better than before. Health worker gave counselling and guidance to her family for completing the treatment. After completing the treatment she is totally cured and her health has also improved a lot.
One step towards life

Sundarlal, (Changed Name) Age 40 years, Caste Beldaar, a Scheduled Caste, is living with his parents, wife and a daughter in village Bairagarh, block Harda, District Harda. His financial condition is not good and he is also have health problems. He is illiterate and basically a meson and his income is too less to meet his family’s basic needs.

Sundarlal’s wife sitabai was pregnant, when she visited a centre for vaccination; she was referred to ICTC Harda by our ORW for ANC check-up. During ANC check-up she was found HIV positive. After knowing the results of testing both husband and wife were given counselling by ORW with prior consent of disclosure of HIV status. After counselling Sundarlal also went ICTC for HIV testing and found positive.
During counseling and discussion it was found that it is a second marriage of Sitabai (Sundarlal’s wife). She got the HIV infection from her first husband. Her first husband was a truck driver and he died because of AIDS.

Under Arogya project Sundarlal and his wife were referred to ART Centre and also provided financial support of Rs.3000/- for nutritional support and travelling for ANC. Sundarlal was registered at Bhopal ART centre and his CD4 count was good but for Sitabai doctor advised to avoid travelling at the time of pregnancy. The Project ORW was successful in motivating the couple to get their daughter tested for HIV. She was found HIV negative.

Our ORW was doing regular follow up and counselled them about importance of Navrapine administration and institutional delivery and gave continuous support to PLHIV couple. Arogya project provided some nutritional support also for pregnant mother. During her expected near date of delivery, ORW was continuously doing follow-up.

One midnight at 2 O’clock Sitabai was getting labour pains. Her husband called our ORW for seeking help. ORW went hospital to ensure Nevrapine administration and he discussed with doctor. The doctor told the ORW to bring Navrapine dose for mother and child from the ICTC counsellor. ORW called the ICTC counsellor but could not get through and thus he was unable to give message to ICTC counsellor. Then he called another ORW, residing near the counsellor’s house and gave the message to him. Then the counsellor came and gave Navrapine, which was then administered to the mother and child. LEPRA Arogya ORW counselled the PLHIV couple about Positive living, safe sex & living healthy life.


Photo Gallery

    Arogya brochure unvail during Project launch on 10th July 2009 Chief Minister Shri. Shivraj Singh Chouhan flagging off Arogya Rath (Mobile ICTC) Group session in progress on TB at village Mandla in Harda district
    Harda District Coordinator of Arogya Projecct faciliating session on HIVAIDS in RRE coach Ms.Ceri Angood, Program Officer, LEPRA UK observing Patient Support Group Meeting at Hiwala village in Harda district Project Outreach worker doing condom demonstration at Bhopal (Habibganj) platform during RRE

Case Studies

The support restored the Childhood

Kumari Jyotsna sethi, 14 years old, daughter of Banamali sethi belongs from Rajanpali village of Boudh district. She is the only child of her parents and that is why she gets all the affection from her parents. She grows up with much love in the family. She studies in class 8th at Butupalli, High school of Boudh district.

Her father is a small farmer with one acre of agriculture land. The annual income is not sufficient to manage the family economy. However, with the income from his own agriculture land as well as labour work sometimes, her father manages the family and the education of Jyotshna.
Time passes and one day her mother observes that Jotshna is not able to tracing the things and domestic appliances properly and father also observes the same. School teachers complains that Jyotshna is not keeping any interest on study. Her father also observes the same. The school teacher says that she is not able to look at the black board and reading properly. Subsequently, friends and neighbours starts to address her as the blind Girl in the community. Gradually Jyotshna becomes depressed and stops going to play with her friends and avoids the gathering in the community. She also expresses her unwillingness for study. One of the neighbors observes a white spot on the right eye pupils. Her father contacts the local traditional healer for treatment who fails to recover the same through his treatment. The parents make lots of expenses for the treatment of Jyotshna. Then they takes Jyotshna to Boudh District Head Quarter Hospital for treatment. The doctor diagnoses her with immature cataract and asked them for contacting the Mahanadi Netra Chikitsalaya of Birmaharajpur of Sonepur district.
She comes to MNC 5th August 2009 and was admitted for cataract surgery. Her Uncle and Parents are counseled by the Ophthalmic Assistant for the surgery. The cataract surgery is conducted on her right eye on the same day through phaco with the intra ocular lens (IOL) in free of cost. Free spectacles and medicines are provided to her as per the prescription of the Ophthalmologist of the Mahanadi Netra Chikitsalaya of LEPRA Society. After the successful surgery, her parents express their happiness and gratitude to LEPRA Society as well as the person or institution who provides support for this noble work. Jyotshna is now very happy she becomes able to see. Now she has got back her earlier life stile i.e. in relation to continuing her study, playing with friends and joining the community gathering.

The support could provide relief in old age by restoring the vision

Basanti Mahananda, 65/F, she is an old widow lady belongs to very poor family of the Menda village of Tarabha Blcok of Subarnapur District. Long back her husband dies due to heart stroke. She has 3 daughters only without a son who already have married. So, Basanti is living alone and manages her by wage works in different households. She is landless.

However, she gets the oldage pension which is Rs. 200/- (Rupees Two Hundred only) per month. Suddenly, she feels vision problem which increases gradually. She becomes unable to see and work properly. Cooking for herself and earning for herself becomes difficult. As her daughter are in their in-laws’ house, there is no scope of getting support from them. In the course of time, Basanti loses his complete vision. She could know about the community eye screening camp of Mahanadi Netra Chikitsalaya of LEPRA Society at Tarava. She requests her elder son-in-law to guide her to the screening camp. Basanti attends the screening camp and diagnosed with matured cataracts. She is brought to the Mahanadi Netra Chikitsalay by the project outreach bus on 13th August 2009 and was registered for cataract surgery. On 14th August 2009, her right eye is operated through the use of phaco and operating microscope and IOL is implanted. The surgery becomes successful and Basanti gets back her vision in the right eye. After seven days of her surgery, her vision is tested and found with very good vision. She also expresses her happiness as she is able to see the things and do her daily activities independently. She is waiting eagerly for the surgery in her left eye.

Restoration of Childhood

Sumanta Beriha,7/M of C/O Bhagban Beriha, hails from Jatasingh village of Boudh District. He is the youngest son of his parents with three brothers and only one sister. Being the youngest son of his parents Sumanta is being loved by everybody in the family. His elder brother was having eye diseases which led him to incurable blindness. Sumanta was all of sudden lost his vision at the age only 4 years. His father is a farmer and also works as a labourer. The mother is a house wife and sometimes works as labourer. When Sumanta is admitted into the school, the irony that he is found to have very low vision in both of his eyes for which he faces lot of problems in reading and writing. Gradually Sumanta was pushed into more and more darkness. Sumant is not able to carry out independently the daily activities, reading and playing. Gradually he stopped school going, playing with friends. He loses his childhood. The parents have no money for the treatment of their beloved son and because of the same reason and ignorance their elder son becomes blind. They have to only cry and blame their lucks. The parents go to the District Head Quarter Hospital, Sonepur but, the treatment could not be possible as the hospital is not having facilities for children surgery.

In course of time, his uncle who is staying nearby MNC informs his parents to come to MNC for treatment. The parents come with the son on 7th February 2009 and Sumanta is registered bearing the MR No 47526/09. He is detected with congenital cataract in both his eyes. Parents and the uncle are counselled for the surgery. Sumanta is admitted on the same day. His right eye is being operated with Small Incision Cataract Surgery (SICS) with IOL on 8th February 2009. His vision is improved to 6/18 in his right eye.

Now, he is able to play, read and write and he is happier that his vision has again restored. His parents are too happy as the childhood of their beloved son is getting restored and have expressed their gratitude to MNC for great support to their child and family. After few days, his left eye will be operated.


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


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