AP Projects

  • Introduction
  • Goals/Objectives & Activities
  • Acheivements
  • Case Study & Photogallery

Introduction

Jyoti Project is funded by CDC/GAP, India for the period 2005-2010. The Project is operationalizing various interventions in partnership with State AIDS Control Society (SACS) fellow NGOs and CBOs working in the field of HIV/AIDS at community level.
Geographical Coverage

Mainstreaming HIV Prevention Intervention:
Health and Nutrition Mandals of IKP in all the 22 Districts
Positive Prevention Tool Kit Training:
District Level Positives networks in 23 Districts.
Mobile HIV Counseling and Testing:
Tribal area of East Godavari District

Areas of Operations
The project focuses on three high-prevalent districts of Andhra Pradesh, namely, East Godavari, Nellore and Nizamabad.
 
 
 
Key Achievements

Mainstreaming Intervention:

  1. Trainings completed in all 22 districts

  2. ToTs trained:

    • State Level : 110

    • Regional Level: 863

    • District Level: 1584
      On Supportive Supervision: 423

    • Total: 2980

  • State Level Advocacy Meet organized

  • District level advocacy meets organized:18

  • Joint Reviews conducted: 7

  • Reach out to SHG Women: as on August 2010

    • Women trained: 278459 No. Testing done: 23595

Positive Prevention Tool Kit Training:

  1. Modules translated into local language

  2. ToT for 25 master trainers

  3. Trained 95 Peer Counselors in 4 batches and 31 counselors of DIC s of SAMASTHA Project

  4. TOT to identified master trainers of Karnataka Health Promotion Trust, Bangalore

  5. Orientation on PPTK to the DLN Presidents

  6. Developed Mentoring package & Reporting formats
    Providing monitoring support to counselors

  7. Refresher training to peer counselors done.

  8. PLHIV Counseled - Total : 31649 (M:15417 F: 16232)

Mobile Testing and Counseling: (October 2009 to Aug 2010)

  • HIV Testing and Counseling: 4559
  • Positives Detected: 72
    • Standard Operating Procedures for MICTC prepared.
    • Technical Assistance to SACS in rolling out MICTCs
Future Plans
  1. Scaling up Mainstreaming HIV Prevention Intervention to newly identified Health and Nutrition mandals of SERP-IKP

  2. Training the master Trainers of Andhra and Osmania university on PPTK

  3. Technical Assistance to Karnataka Health Promotion Trust in rolling out PPTK intervention at district level.

 
 
  • Case Study
    Mainstreaming Intervention:
    Savitri ( Name Changed) is 35yrs old daily wage labour and herusband 40 y rs is also a daily wage labour, they have two children boy aged 13yrs and girl aged 10yrs. Savitri is a Member of women federation. After completion of District Level trainings to the Health Activists, Health activists started the village level trainings to all the groups in the village on three modules under the supervision of master trainers and the Health sub committee members ( Village monitors). After completion of the training – Savitri interacted separately with the Health Activist ( trainer ) and told that as mentioned in the 2nd module she was suffering with severe genital discharge problem for long time and asked whether she could help her to get the treatment and she wanted to go for HIV test also. She was referred to the Government STI Clinic the next day where she availed the treatment and and also gone for HIV test and the result for the HIV test was negative. She was also advised to go for HIV test after 6 months. Savitri completed the STI treatment course advised by medical officer. She was advised to bring her spouse for STI treatment, HIV test and practice safer sex.
    Photo gallery
    1. CEO LEPRA India addressing the gathering during the State Level Advocacy meet on PPTK. The Project Director APSACS, Sri RV Chandravadhan IAS and Mr. Ramesh President TNP+ and Mr. Veerapandian Clinical Psychologist were present on the occasion.
    2. Dist Level Advocacy meet on Mainstreaming HIV prevention at Sangareddi
     
     
     

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.

 

Photo Gallery