AP Projects

  • Introduction
  • Activities & Achievements

Introduction

To address the existing gaps in scaled up programmes for children infected and affected by HIV/AIDS, Family Health International (FHI) along with Clinton Foundation and CARE have initiated the ‘Balasahyoga’ programme in 11districts of Andhra Pradesh (Guntur, East Godavari, West Godavari, Chittoor, Kurnool, Medak, Vizianagram, Cudapah, Ananthpur, Adilabad and Mahabubnagar). The programme was initiated in April 2007 and funded by the Children’s Investment Fund Foundation (CIFF) and the Elton John AIDS Foundation (EJAF).
The overall goal of the Balasahyoga programme is to improve the quality of life of children infected and affected by HIV and AIDS and their families in Andhra Pradesh, as reflected by improvements in five domains (1) health, (2) nutrition, (3) safety net including food security needs, (4) education, and 5) psychosocial wellbeing. This goal will be realized by a focused and integrated approach that provides care, support and treatment services to children and their families infected and affected by HIV/AIDS within a continuum of care with a focus on outcomes. The model has been designed with the perspective of blending with the existing structures/systems of the government to ensure that any investments made are integrated into the health system.
Clinton Foundation is supporting Health domain through different entry points within the continuum of care a range of services will be provided at the facility and community levels. As part of the health domain, found that the need of the strengthening the Nursing system in Community Care Centres to deliver the continuum of care a range of services
Nurse mentoring is initiated in February 2009 with support of Clinton foundation and implemented by the LEPRA Society with main aim to improve the Quality of care to patients at CCCs in BSY districts with the objectives of Introduce concept of quality nursing care and strengthen the capacities of nurses and CCCs.
Nurse mentoring programme is planned to implement in the 21 CCCs of 11 balasahyoga districts. Presently the programme is been implementing the 14 CCCs of 8 balasahyoga district and providing mentoring support to 54 nurse mentees.

Areas of Operation- Map

 
S.N. District S.N. Name of the Community Care Centre
1 Kadapa 1 Raja Foundation
2 Chittoor 2 David Louis & Rees Hospital
  Chittoor 3 Arogyavaram Medical centre
3 Kurnool 4 Mariyanilayam  Social Service Centre
4 Medak 5 Asha jyothi Hospital
5 Vizianagaram 6 Srinivasa Voluntary service Organization
  Vizianagaram 7 Rotary Abhaya
6 East Godavari 8 Rural India Self Development Trust
7 Guntur 9 RASI
  Guntur 10 Holy Family TB Sanitarium
  Guntur 11 St. Xavier Hospital
8 West Godavari 12 Damien Leprosy Centre
  West Godavari 13 Bethesda Hospital
  West Godavari 14 Mother Vannini

 

Goal
To improve the Quality of care to patients at CCCs in BSY districts
Objectives
  • Introduce concept of quality nursing care
  • To build the capacities of Nurse Mentees of CCCs
 
Case Study
Aruna & Nireekshana Rao is a couple from Gollapalem, Koduru Mandal, and Krishna District.  Husband by profession is a lorry driver and Aruna is a house wife.  Aruna was often suffering from fever and falling sick.  The staff of LEPRA India observed the health condition of Aruna and advised her to go for HIV testing at ICTC, Avanigadda.  Aruna after testing was found HIV positive along with her two children (Keerthi 7year, Female child & Samuel 6 year Male child).  Nireekshana Rao was tested as non reactive.  Husband knowing this abandoned the family and Aruna is now living with her mother in Koduru, Mundadugu Street near Swathantrapuram.  Aruna was becoming very weak day after day and later been for CD4 testing at Vijayawada Government General Hospital.  The test is performed on 26th June, 2009 and the count is only 17 with a body weight of 30 kgs. She was then kept on ART with the encouragement of LEPRA Staff and Doctor’s suggestion.  Her two children also tested for CD4 and found that Keerthi has 429 count and Samuel 988.  Thus three of them are motivated to go for CD4 every three months. Aruna was introduced to IKP Group of Swathantrapuram by the LEPRA Project Officer, Ms. Radhika Mamidi and Field Coordinator (Mr. Ranganadha Rao).  The LEPRA Staff along with the Community Coordinator, Koduru, IKP- HN Mandal (Ms. Sridevi) motivated Aruna to take nutritious diet. With the support of the IKP – V.O Group she started taking the diet regularly in the NDCC (Nutrition Cum Day Care Centre) along with the ART medication. She was closely followed up by the LEPRA and IKP Staff.  As a result, her CD4 count has increased to 465 on January 28th, 2010.  The body weight also increased to 36kgs.  LEPRA also with the strategic linkages with local NGO Guide could get support for getting nutrition for two children. All three are now getting good support from the local community members and NGOs with the timely intervention of LEPRA and IKP (Indira Kanthi Padham).
 
Photo gallery
 
 



  • Case Study 1:
    Mrs. Banavath Puspha aged 26 years, HIV reactive residence at Annavaram village, Jaggaiahpet Mandal. Mr. Kumar Babu Spouse of Mrs. Puspha suffering from STD problem and both are tested for HIV on 23rd March’06 at ICTC, Jaggaiahpet the result found as reactive. She came to know Sreyassu services voluntary and registered in Sreyassu on 1st April’07. Mrs. Puspha husband residence is chillakallu and worked as Auto driver. He was infected with HIV due to his extra marital relationships with sex workers. Chillkallu is one of the high risk village of the Jaggaiahpet Mandal. He was died on May’06 with STD problem.
    Mrs. Puspha belongs to schedule tribe cast after her husband died she is living with her parents at Annavaram. She reported to Sreyassu with severe STD problems and project referred her to Srirangapuram care and support center for better treatment. Sreyassu referred her to ART center for CD-4 test and it was found low cd4 count eligible to initiate ART medicines. Sreyassu supported her in taking ART on 17th May’08. In addition to that project provides monthly nutrition support.
    Ms. Puspha is willing to learn tailoring from the last five years but it’s not fulfilled. Project identified her enthusiasm during the need assessment. She was enrolled in tailoring training programme and provided training. She was successfully completed the training. Due to financial crisis she was unable to purchase the own machine. Project mobilized the local Recourses form Sri. Nukala Kumar Raja, President of Super star Kirshna fans association of Jaggaiahpet donated one sewing machine to Pushpa. She is getting orders from Annavaram village people skirts, sari’s petty coats, School frocks, sari’s, Punjab dresses, Blouse’s and embroidery work. She was earning 1500/- per month through stitching clothes.
    Ms. Puspha is feeling very happy because her interest to learn tailoring has achieved. She conveyed thanks to LEPRA Society - Sreyassu for providing support in improving the health and socio economic conditions.
    Case Study 2:

    Smt. Daravath Vijaya and Mr.Venkateswarlu HIV reactive, residence of Dharmavarapu thanda belongs to schedule tribe cast. They got married in the year 2001. Mr.Venkateswarlu working as a daily labour in the cement factory.
    The couple came to know that they are infected with HIV before the 2nd delivery in the year 2005. At that time the private doctors of Jaggaiahpeta are rejected to conduct the delivery in their hospital; one doctor came forward to conduct delivery and demanded Rs.4000/-. But the baby died in the neonatal stage (1 week of delivery), as the delivery was not taken place in time. They lost their male twins in the 1st delivery also. This has become very problem and caused for their depression. They have visited the Sreyassu weekly clinic in Sept’07 for treatment on opportunistic infection. Noticed Mrs. Vijaya weight is less than the normal weight, i.e.35 kgs. The project registered them and counseled for nutrition food and treatment. During the counseling, the project identified that they are very much worried for their infertility. They were visiting the project and taking treatment regularly. Also participating in the awareness programmes conducted by the project.
    Project noticed she got pregnancy and she looks very weak. Referred the both for CD-4 count test at MGM hospital, Warangal and Mrs. Vijaya identified less cd-4 and suggested for ART treatment. The project referred her to ART center along with out reach worker. The ART medical officer started ART treatment on 6th may’07. The project staff discussed regarding her pregnancy and previous history with the ART medical officer. He suggested some medicines to her to take in addition. Also consulted the PPTCT center medical officer at Vijayawada. She examined thoroughly and found that Mrs.Vijaya is very feeble and given some medical advises and referred her for the advice of doctors at NRI hospital, Guntur.
    During the pregnancy Sreyassu regularly followed up and provided guidance. Also supported them during the delivery pains by facilitating 108 ambulance service and admitted in the NRI hospital. They have conducted delivery in their institute with nominal charges. Administrated Nevirapine to her and newborn baby on 8th Oct’07. They felt very happy on becoming the truth of their dream of children. They have realized that because of lack of awareness and proper guidance they lost their children two times previously. Sreyassu provided baby kit to newborn baby and provided nutrition powder to Mrs.Vijaya and Mr.Venkateswarlu.
    Conclusion: Mr.Venkateswarlu and Mrs.Vijaya Said “We are very much thankful to Sreyassu project for providing their support to improve our health and knowledge. Periodical counseling was also helped to release bring out us from the depression.

     
    Photo Gallery
     
    Nutrition Unit
    Clinical Services
    Smt.Indira Dutt distributing education support.
     
    2 Cents of Land document handed over by Sri.Lagadapati Rajgopal, MP to PC, LEPRA ROHP.
    Sewing machines donated by Madras Cements Ltd
    Tailoring Training for PLHIVs
     
    Jute Handicrafts training
    PLHIV Support Group meeting
    World AIDS Day observation.
     

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