AP Projects

  • Introduction
  • Case Study

Introduction

Drop in Centers (DIC)

Drop in Center (DIC) is an information resource center that caters to the needs of the people living with and affected by HIV/AIDS in 11 Mandals of 4 Coastal Districts of Andhra Pradesh, India. The Drop in Centers are located in Krishna, West Godavari, Guntur and Prakasam. Out of 5 Drop In Centers, 4 are directly implemented by LEPRA India and one Drop In Center by Telugu Network of Positive People (TNP +) in Guntur District. These Drop in Centers are supported by LEPRA UK since 2011.

Goal

  • The project increases the quality of life of PLHIV, protects and promotes their right to health and empowers the Community Based Organisations in Project Management by implementing the programmes.

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Specific Objectives

  1. To improve the health status of PLHIV by providing counseling and medical aid.
  2. To strengthen CBO and promote their ownership and leadership qualities among CBO members.

Major Activities: 

  1. Identification of people living with HIV/AIDS: Identification of PLHIV (People living with HIV/AIDS) with an effective outreach strategy resulted in registration of 2908 clients at DIC Level.  The counselling is given to clients on positive prevention aspects. Micro level planning is conducted to reach and follow up the new and already registered clients (including infected and affected children) in the operational area in coordination with near by ICTC PLHIV and OVC in the field (area wise and mandal wise). 
  2. Outreach and Education: Peer Outreach Mechanism is adopted at DIC Level where active, interested PLHIV are recruited and outreach was planned towards identification and follow up of clients.
    1. Peer Educators motive clients and promote testings to partner and children to know their HIV status. Counseling will be provided through counselors during the home visits in their interactive sessions (one to one and family counseling sessions). As a follow up mechanism, the positive prevention counseling is done for the registered clients at Drop in Center level. Strengthened linkages with the ART Centers and DAPCU (District AIDS Prevention and Control Unit) resulted to identify the ART drop out every month, facilitating drop-out to restart ART and organising need-based home visits and sharing at the cluster groups. . 
    2. Village & Mandal level groups formed to discuss and resolve the issues, provide psycho social support, health educational sessions to generate awareness, tapping of government schemes by the PLHIV
    3. Drop in Center is tapping social schemes from government to need based clients (Antyodaya Cards, SC&ST Loans, and Widow Pensions), MGNREGA for economical stabilising to PLHIV.
    4. Nutrition support is provided through DIC on priority based nutrition supplements; low cost nutrition food demonstrations are conducted as part of mandal level support groups to enable the community to adopt healthy food habits (preparation of nutritious food with the available low cost material)
    5. Coordination with different government allied systems to develop linkages for sustained actions. (health department, women and children department, child welfare committee)
  3. Follow-up Services: Outreach staff will be on regular follow up and support the community on need based for CD4 testing, ART medicine and In patient or Out patient services to the near by Community Care Center The team also advocates with the district health department to offer OI service at PHC /CHC level.
  4. Community Mobilisation: The project organises programmes to handle the issues related to stigma and discrimination, perspective building and crisis management. The mandal level support groups are capacitated on leadership aspects, accountability and advocacy.

Results of the Programme:

  1. The project identified and registered 2908 People living with HIV/AIDS
  2. 200 discordant couples were registered, followed up and tested for HIV and none of them turned concordant (promotion of safer sex practices).
  3. Less than 1% deaths occurred among the registered PLHIV (27/2908)
  4. Increased accessibility of government welfare schemes through DICs, 76 PLHIV out of 97 are linked to the ART/ICTC/RNTCP and other service delivery centers; 683 SAHARA Cards facilitated; bus passes concession for 333 PLHIV;  59 SC/ST PLHIV families received loans; 36 old age pensions facilitated, Anthyodaya cards for 85 PLHIV, 2 PLHIV availed the NFBS Loan and one PLHIV availed Housing loan.
  5. All DICs have regularly followed-up PLHIV and CLHIV for CD4, ART Treatment Adherence 1168 on ART Cases followed up.
  6. 120 children are using ART medicines and are followed up on monthly basis.
  7. The project could track the lost to follow up cases (85.36%) that are provided by DAPCU – District AIDS Prevention and Control Unit). Among 1018 ART users 869 are retrieved. The rest of cases are deaths and migrants.
  8. All the 4 Drop in Centers implemented by LEPRA India are formed as a Community Based Organisations and registered under Society Registration Act.
 
 

Photo Gallery

 

Cheyutha weekly Clinic at Gaddiannaram

Children summer camp

World AIDS at LIHQ
International Women day at Gaddiannarma
Contact Address:

H.No.16-11-578,

Red Cross Hospital Premises,

Gaddiannaram,

Dilsukhnagar
Hyderabad-500 060;

Phone: 040 66789220;

Email: cheyutha@leprahealthinaction.in

  • Supportive programme:
     

    S.No.

    Activity

    benefitted

    1

    Nutrition supplement

     

     

    A

    ATMIT Powder

    101

     

    B

    Ration support

    50

    2

    New born baby kit

    150

    3

    Summer camp

    35

    4

    Children’s day celebrations

    40

    5

    Picnic

    35

    5

    Education support

    109

     

    Rehabilitation

    4

    Cheyutha promoted leadership and initiative of the People Living with HIV/AIDS (PLHA) to take up activities to enable them to address the various needs, especially psycho-social and rehabilitative support. The group proved capable enough to successfully handle responsibilities entrusted to them by Andhra Pradesh State AIDS Control Society, including PPTCTC plus project.

    One of the important activities this year was the formation of district wise network to be affiliated to state-wide and nation-wide networks.
    Cheyutha in Bhongir of Nalgonda district also got strengthened. India HIV/AIDS Alliance, Delhi, channelised DFID Challenge Fund projects in Hyderabad, Bhongir, Kamareddy and Bhubaneswar sites, which envisages PLHA leadership in community-led sexual health and HIV awareness programmes leading to better acceptability of PLHA in the community. Cheyutha has also taken up rights-based issues including institutional discrimination, property and inheritance rights etc. These issues will be further pursued along with rehabilitation, child support and other welfare activities. In 2007, Bhongir and Kamareddy sites will be given priority, while achievements at Hyderabad will be further consolidated.
     

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.

Resources

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

 

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