PROGRESS REPORT 2012 - 2013

RCH and Family Planning, Child Labour, Education to reach out to underserved urban poor population

3/4 P 2A, Bank Colony, Opp. Subhash Park, M.G. Road, Agra - 282010, INDIA Phone No. +91-562-6534816, Visit us : www.snbsindia.org

INDEX INTRODUCTION OF SNBS Page No. 3 to 3 HEALTH OF THE URBAN POOR (HUP) Page No. 4 to 28 URBAN HEALTH INITIATIVE Page No.29 to 40 PARTICIPATION IN PULSE POLIO RALLY Page No.41 to 43 POLIO BOOTH COVERAGE Page No.44 to 45 RUDDS COLLEGE EXPOSURE VISIT Page No.46 to 47
SNBS AGRA Progress Report, 2012 - 2013

MEASLES CAMPAIGN Page No.48 to 50 NATIONAL CHILD LABOUR PROGRAMME Page No.51 to 51

SNBS AGRA Progress Report, 2012 - 2013

Shri Nirotilal Buddha Sansthan (SNBS)

Introduction:
Keeping in view the fact that more than a quarter of Indias population has been living as downtrodden and marginalized for centuries, Shri Nirotilal Buddha Sansthan (SNBS) came in to existence in 1994 as an non government organization of marginalized people and has undertaken the task to promote the welfare of this section of the society, lead to their upliftment and development for integration with the total society by improvement in their economic, educational, social, cultural and health standards. Shri Nirotilal Buddha Sansthan was registered under Society Act in 1994 and has been primarily working in the areas of health and its determinants, safe drinking water, hygiene, sanitation, HIV/AIDS awareness, family planning & welfare, child labor & literacy, education, livelihood, plantation, community awareness and development, with especial focus on marginalized sections of the societies, slum dweller women and children through various development programs for over 15 years. After 1995, SNBS intends to continue its role as a facilitator to improve the effectiveness of various national programs and build capacities of communities to address a wide range of reproductive health, child health, illiteracy, family planning, pulse polio and HIV/AIDS challenges. The programs of SNBS aim for Vulnerable individuals and families in selected slums of Agra to achieve sustainable improvements in their education, health and sanitation status. Vision We see a world where vulnerable people live a better life in a better community. SNBS India commits to this by being an innovator in development, valued by all. Mission SNBSs mission is to serve Vulnerable individuals and families to achieve sustainable improvements in their education, health and sanitation status. We pursue our mission with both excellence and compassion because the people whom we serve deserve nothing less. Goal All our efforts will enhance the capabilities of vulnerable people, especially women and children, to better control their lives. SNBS AGRA Progress Report, 2012 - 2013 3

Total Slums

Total population covered 52263

Total families covered 10974

Total pregnant women 642

Total 0-1 yr children 1140

Total eligible couples 7556

25

Mahila Aarogya Samiti (MAS) Formation We have formed 20 MAS in our intervention area during the quarter. The slums are Nagla Ber,VikramNagar,Shyam Nagar,Mohamadpur,Kishorepura,Bai Ka Bazar,Sarai Bega, Baipur,Jagdishpura,Nai Awqadi Bodla,Ram Nagar,Nagla Ajita,Subhashpuram,Rajeev Nagar,Bai Ka Bazar,Pathar Ghoda,Mahal and Mahaur Nagar. Review meeting of CCs and Link Workers We organised 12 review meeting on 25/03/2013,28/02/2013,28/01/2013,31/12/2012, 24/11/2012,31/10/2012 29/09/2012, 31/08/2012 , 31/07/2012 ,29/06/2012, 31/05/2012 and 30/04/2012 to analyse the progress of the month of month in the year. Programme activity plan on new format of LWs for the months was prepared in the meeting.Different programme activities were included i.e.Community meeting ,HH visit,MAS meeting and God bharai & Aanprasan.We discussed Monther and Child tracking format and Birth spacing format.Queries regarding the register were addressed.New Daily diaries were distributed to the LWs.We would ensure participation in the Urban Health and Nutrition Day in the intervention area.IEC materials were distributed in the meeting.We have given orientation on using of the IEC materials. New Daily diaries were distributed to the LWs. . Programme activity plan of LW s for the month of April,13 was prepared in the meeting.Different programme activities were included i.e.HH visit,MAS meeting/training and God bharai & Aanprasan in the tour plan.We discussed on Daily diaries to be mainted and timely reporting must be submitted to concern CC by 27 th of every month. We would ensure participation in the Urban Health and Nutrition Day in the intervention area. Participation of CC in MAS meeting in a month for support to the MAS and capacity building. Feed back was given on summary of monthly activities. Refresher training will organised on April,04,2013. New incentive based honorerium plan. World Health Day celebration plan were discussed. SNBS AGRA Progress Report, 2012 - 2013 4

MAS members training We organized one day training on September, 27, 2012, August, 11, 13 and 14, 2012 and July, 25, 26 and 30, 2012 of the members of MAS. 25, 70 and 56 Members of MAS from 17 slums respectively participated in the training and June, 18 to 23, 2012, May, 15 to 17, 2012 and April, 21 to 25, 2012 of the members of MAS. 128,45 and 69 Members of MAS from 16 slums respectively participated in the training during the quarter. The period of the training was 9:30 am to 5:30 pm. Introduction of the project Health of The Urban Poor (HUP) was given by Mr. Ravi Kashyap, President, SNBS in a detail to the participants. He discussed about the Goal, Objectives of the programme.Ms.Mamta and Khushbu took the session on Mahila Arogya Samiti (MAS).He built capacity of the participants on role and responsibility of MAS and need to form the MAS.Capacity was built on program capacities of MAS. Introduction of the project Health of The Urban Poor (HUP) was given by Mr. Ravi Kashyap, President, SNBS in a detail to the participants.Mr. Rajeev Kumar discussed about the Goal, Objectives of the programme. Ravi Kashyap took the session on Mahila Arogya Samiti (MAS).He built capacity of the participants on role and responsibility of MAS and need to form the MAS. SNBS AGRA Progress Report, 2012 - 2013 5

We have participated in MAS meeting and built their capacity on high risk pregnancy, Ante Natal Care and identification of pregnancy and calculations of EDD, 5 Cleans during emergency, danger sign during delivery, post natal care, birth planning, danger sign during pregnancy. We have built their capacity in all 20 MAS in our intervention area.

Community Meetings We have organized 135 community meetings in the intervention area during the quarter. We discussed MCHN and WATSAN issues with the community women. We discussed about new born care and Care during pregnancy and ANC, PNC and INC.Participants in the meetings were app. 3390. MCHN and WATSAN issues with the community women. We discussed about new born care and Care during pregnancy and ANC, PNC and INC. Extra meal during pregnancy. Problem related to water and sanitation was discussed in the meetings. Organizing Ann Prasan and God Bharai ceremony at AWCs. SNBS AGRA Progress Report, 2012 - 2013 6

Ms. Khushbu Gupta participating in the meeting

Mr.Ravi Kashyap participating in the meeting.

Nutrition Day Celebration (15.06.2012) We planned the event two weeks in advance of the day. Govt. stakeholders were informed regarding the event. Integrated Child Development Services schemes (ICDS), Distt. Health and Family Welfare Deptt. and others were informed through letters prior to the event. They instruct their staff as per paln.We identified the slums of the intervention area to be covered through the event. The event covered 12 slums of the project area. The slums covered were Nagla Ber, Nagla Ajita, Kishorepura, Jagdishpura and Ram Nagar, Satnam Nagar, Vikram Nagar, Hukmi Nagar, Bodla Sarai, Mahaur Nagar, Geeta Puram and Nai Awadi Bodla. We organized the event at Panchsheel Community Centre, Nagla Ajita. The celebration was started at 10:30 am. Film show and workshop was organized to mark the day.The event was inaugurated by the presidents of the MASs of the different slums. Presidents of 5 MAS were placed on the dias.They event was started with the introduction of the participants. SNBS AGRA Progress Report, 2012 - 2013 7

Inauguration note by the presidents of MASs. Activities in the event: - We have many activities in the event. Film Show : - Films regarding nutrition status and nutritional practices were shown in the celebration. The message of the movie was we can prevent malnutrion in the mother and child by taking preventives measures. We can fight malnutrition by get aware of mal dietary practices. Another film Nanhi Si Jaan was shown to aware the audience regarding mother and child care.

Film show in the event. SNBS AGRA Progress Report, 2012 - 2013

Workshop on Nutrition status in the community :-100 Participants from the different stakeholders AWWs and community people& Link Workers participated in the workshop. Members from the Mahila Arogya Samiti (MAS) participated in the workshop. Ms.Sunita Sharma, Mukhya Sevika, ICDS addressed the participants and told them that nutritional status of the girl child is poorer then the boy child in the slum community. She hails the participants to take care of Girl child. Ms.Rajkumari Raj, Mukhya Sevika, ICDS emphasized on timely immunization of child and mother.

Ms.Rajkumari and Ms.Sunita Sharma addressing the participants. Mr.Ravi Kashyap,President ,SNBS hailed the participants to adopt good nutritional practices.Ms.Sheela,president,Saraswati Arogya Samiti, Nagla Ajita gave stress on taking care of adolescent.Mr.Rajeev Kumar, Project Coordinator, gave statical status of nutrition in the community. He asked the participants to take care of pregnant women and children as well as adolescent. He gave vote of thanks to the participants.

SNBS AGRA Progress Report, 2012 - 2013

Breast Feeding Week Celebration ( 1-7.08.2012) We planned the event two weeks in advance of the day. Govt. stakeholders were informed regarding the event. Integrated Child Development Services schemes (ICDS), Distt. Health and Family Welfare Deptt. And others were informed prior to the event. The plan for the event was shared with the PMU. They instruct their staff as per paln.We identified the slums of the intervention area to be covered through the event. The event covered 4 slums of the project area. 4 film shows were organized in the week on July 3, 4, 6 and 7, 2012 at Baipur, Ram Nagar, Mahaur Nagar and Nagla Ajita respectively. We showed films Nanhi Si jaan and Child Crawl. The audience of the films was MAS members and Community women. The messages of the films was be early initiation of breast feeding, colostrums feeding, exclusive breast feeding and stimulation of new born for breast feed. Film Show : - Films regarding breast feeding and nutrition status & nutritional practices were shown in the event. The message of the movie was we can prevent malnutrion in the mother and child by taking preventives measures and promote breast feeding . Another film Child Crawling was shown to address their misperception regarding early breast feeding and colostrum feeding.

Film Show in the event Quiz Competition:We organized quiz competitions in the above slums. 10 Questions related with breast feeding to be answered by the participants. Participants were from MAS members and community women.10 winners were selected from the each competition. Gifts were given to them. Rewarding of the winners: - We asked questions in the competition to the audience and appropriate answers were gifted with prizes. We asked 10 questions in the each event and gifted 10 participants for the right answer. Total 40 women were rewarded in the event. SNBS AGRA Progress Report, 2012 - 2013 10

We made aware app 500 people from the intervention area regarding breast feeding and exclusive breast feeding. Health Camp:We have organized 8 health camps in the quarter on 9 th of every month to provide health care and Ante Natal Care to the pregnant women of the community. The camp was organized with the support of Rainbow Hospital Pvt.Ltd, Agra. The camp was organized at Rainbow Hospital, Sikandra, Agra. The camp was started at 11:00 am. The camp was end up at 1:00 pm. Ante Natal Checkups(ANC) Dr. Narendra Malhotra, Professor and Dr.Parul Mittal, MD, diagnosed the pregnant women. 19 pregnant women provided ANC.

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Pathological Services Pathologists examine the pregnant women for BMD.BMI and Hb testing. Weighting of the pregnant women was taken at the pathology counter. Blood Pressure of the pregnant women was taken at the counters.

ANC in the health camp.

Blood Pressure check in the camp.

Yoga and Dietician Counter Dr.Renuka Dang gave tips for diet during pregnancy.Dr. Dev Prakash gave tips of Yoga for the pregnant women.

Yog session in the camp.

We have organized 2 health camp in the quarter with the support of Distt.Health and Family welfare Deptt. and SPM deptt.S.N.Medical college.

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ANC in the camp.

Patients lined up in the camp.

Participation in Urban Health and Nutrition Day(UHND) Cluster Coordinators and Link Workers participated in 101 UHND in the year.The slums are Satnam Nagar,Vikram Nagar,Jagdishpura,Nai Awadi Bodla,Pathar Ghoda,Bai Ka Bazar,Baipur, Sarai Bega,Mohamadpur,Baipur,Nagla Ber, RamNagar and Nagla Ajita.Vaccination of different vaccine was done by Health Visiters. Health and Nutrition counselling was given by HV to pregnant women and 0-1 yr child. Adolescent girls were also vaccinated for TT.

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UHND in the slum Link Worker Training We have organized III round and IIrd Link Workers training on June,11 to June,13,2012 and May,07 to May,09,2012. We prepared a training schedule for the three day training. Sessions were planned with the starting at 9:30 am to 5:30 pm.Training was organized with the lecture and group work methods. It was class room training. The training was organized at Awadh Banquet Hall, Sanjay Place, Agra and NGO office. One day training of Link Workers was organized on May, 04.2012 at Hotel Gateway. Capacity was built up of link workers on mother and child tracking register. Half day refresher training of Link Workers was organized on July, 27.2012 at Hotel Gateway. Capacity was built up of link workers on mother and child tracking register. Three days training of LWs was organized on Family planning and WASH issues on 24-26, September, 2012. Mr. Rajeev Kumar took session on introduction of Family planning. India was the first country to incorporate family planning in its first five year plan in 1952.Family planning is commonly known as controlling the number of children in a family and spacing between their births by adopting any family planning methods.He discuss role of link worker regarding family planning methods adoption.LWs should counsel the couples for adoption of any family planning methods from basket of choice.Dr. Jatin Dhingra clarifies the myths regarding the family planning methods. Mr.Jhonson facilitated the sessions on WATSAN issues.

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Three days training was organized at Moti Palace,Agra on Nutrition for Link Workers on January, 10-12,2013. Dr.Anupam Bhasker,District Immunization Officer inaugurated the training with lightening the lamps before Lord Budhha. Dr. Bhasker gave details of the upcoming measles campaign and appreciated our LWs and CCs efforts for improving immunization coverage in the intervention area. Mr. Rajeev Kumar facilitated session on concept of Health, Food, Nutrition and Nutrient. He elaborates Health Health is a state of complete physical, mental and social well being and not merely the absence of disease and infirmity. He gave details on classification of food.

SNBS AGRA Progress Report, 2012 - 2013

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Capacity building of Link Workers. Quarterly MAS meeting We have organized 35 meeting in the period.The meetings were organized in New Awadi Bodla, Baipur, Bhola Ka Nagla, Ram Nagar, Jagdishpura, Mahaur Nagar, Nai Awadi Bodla, Pathar Ghoda, Mahal, Mohamadpur and Ram Nagar,Rajeev Nagar, Nagla Ber, Sarai Bega, Vikram Nagar, Mohamadpur, Bai Ka Bazaar,Nagla Ajita, Bodla Sarai, Kishorepura, Subhaspuram and Mahal. Points for the discussion were: Identification of pregnant women. Identification of High risk pregnant women and timely referral in emergency. Lethal Diseases in 0-1 year children. Counseling of Eligible Couples. Use of IEC materials in the MAS meetings. Demonstration of Snake Ladder game. Risk pooling. Use of Health resource Map.

Mr.Ravi Kashyap,PD and Mr.Rajeev Kumar.PC participating in the meeting.

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Stakeholder Sensitization We have organized a stakeholder sensitization meeting at ICDS office of Agra city, Project on May, 24, 2012.We discussed regarding AWW one day orientation and selection of AWC for Aan Prasan and God Bharai celebration. Five AWCs were selected for the event. The AWCs were Kishorepura, Nagla Ajita, RamNagar, Satnam Nagar and Nai Awadi Bodla. The celebration will be organized on every IIIrd Thursday of the month. AWW orientation We have organized one day orientation of AWWs on May, 30, 2012 at Awadh Banquet hall, Sanjay Place, Agra.Chief Guest to inaugurate the orientation was Dr.Anupam Bhasker; District Immunization Officer (DIO).Guest of Honor was Ms.Kamlesh Gupta, District Programme Office (DPO), ICDS.We gave introduction of the program and SNBS.

Inauguration of the orientation by Dr. Anupam Bhasker,DIO and Ms. Kamlesh Gupta,DPO Film Show We have 25 slums in our intervention area so we planned 8 film shows in these slums. We have covered 3 slums in a show therefore we have covered 24 slums of the intervention area in these shows. The shows were started since April, 2012 and end up on September, 2012.One Show was planned in one day. The show started at 11:00 am. The film was based on Pregnant and new born care. Different messages were given in film. Total 82 film shows were organized in the year. We asked questions in between the film show to the audience and appropriate answers were gifted with prizes. We asked questions in the all film shows and gifted 5 women each show for the right answer. Total 410 women were rewarded in the event.

SNBS AGRA Progress Report, 2012 - 2013

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Film show in the slum. Healthy Baby Show:LWs, AWW and MAS members identified the participants for the show. Distt Health and Family welfare department and ICDS were coordinated to provide support during the show. 9 AWWs named Ms. Anita, Madhupesh, Savitri, Rajeswari, Tulsi, Lalitesh, Anita, Shiva and Premlata of the areas were participated in the show and facilitated the contestants. We have weighing scales for weighing of the contestants. Contestants were screened at slum level by LWs in primary stage. Then shortlisted were come to the show. All 21 contestants were weighted. Criteria for the identification of healthy baby :We had laid down 3 criteria for the contestants.The criterias were: Child should be below 1 yr of age. Parents should have only two children. Immunization as per age should be complete. Total 21 children participate in the show. The immunization cards were checked for assessing their immunization status. Three children were selected as per criteria and weight as per age. The committee of Dr. Rakesh Agnihotri, Ms. Harpyari, Ms.Dulari, HV and Ms.Anita, AWW decided the winners of the show.

SNBS AGRA Progress Report, 2012 - 2013

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Participants in the show.

Winners were awarded by Dr.Agnihotri.

Aan Prasan and God Bharai ceremony We have organized 60 ceremonies in the year in slums of the Agra City. The slums covered were Ram Nagar, Nagla Ajita, Nai Awadi Bodla, Satnam Nagar and Kishorepura. The ceremony was organized at Aagan Wadi Centre (AWC) of their slum. The ceremony was started at 11:00 am and end up at 01:00 pm. Total 349 pregnant women have God Bharai ceremony and 334 children below 1 year have Aan Prasan in the ceremony. Ceremony was enjoyed by the participants and MAS members and community women. AWWs name Ms. Madhupesh, Ms.Hemlata,Shiva Chaudhary,Rajeswari,Anita,Neelam Saxena,Savitri and Sunita Devi of the areas were participated in the ceremony and facilitated the beneficiaries. LWs and AWW identified the beneficiaries of the ceremony.

Welcome of Ward Members by Mr.Ravi Kashyap,PD

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Ann Prasan and God Bharai ceremony by Ms. Sunita ji and Ms. Richa Sharma. Point of Use training:Three days training was organized at Ward -80 Tajganj, Agra.5 LWs, 3 CCs and PC participated in the training on September, 10-12, 2012.Mr. Anil, Dr.Himani, Mr.Miraj and Ms. Chipra facilitate the training. Exposure visit:Jaipur HUP city team had exposure visit in our intervention area on 20-21,September,2012.They visited Saraswati MAS,Nagla Ajita and Dr.B.R.Ambedkar MAS,Jagdishpura during the visit to understand risk pooling carried out by the MAS.

Exposure visit by Jaipur team. SNBS AGRA Progress Report, 2012 - 2013 20

Children Day Celebration: Children day was celebrate on November, 17, 2012 at Baipur. Film regarding child anxiety for today education system was shown in the celebration. The message of the movie was every child is special and should be treated in special ways. We can fight with children dilemma for today education system and help them to overcome of these issues. Film Taare Zamin Par was shown to aware the audience regarding children confusion for the education.

Film show was enjoyed by the children on Children Day Healthy baby show was organized in the celebration to aware the community regarding infant care. Criteria for the identification of healthy baby :We had laid down 3 criteria for the contestants.The criterias were: Child should be below 1 yr of age. Parents should have only two children. Immunization as per age should be complete.

Total 15 children participate in the show. The immunization cards were checked for assessing their immunization status. Three children were selected as per criteria and weight as per age.

SNBS AGRA Progress Report, 2012 - 2013

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Children DayCelebration. Training of Field Staff:Four days VI round training for field staff was at Kolkata on 27-30, November, 2012 by PMU. Two days training was organized at Bhubaneswar on HMIS for Project Coordinator and Data Operator on December, 20-21, 2012.

Review Visit:Review visit to cross check HH survey was done by Dr. Jatin on October, 20, 2012.During the visit Dr. Jatin visited Nagla Ber, Ram Nagar, Kishorepura, Geetapuram, Bhola Ka Nagla and Pather Ghoda. Review visit was on March,20-21,2013 by Mr. Rajiv and Dr. Jatin. SNBS AGRA Progress Report, 2012 - 2013 22

Review visit by Mr. Rajeev and Dr. Jatin Vaccination session with support of other stakeholders We have organized 5 UHND sessions. The slums covered were Bodla Sarai, Mahaur Nagar, Nai Awadi Bodla,Sarai Bega and Nagla Ajita. Moolwati gave vaccination to the beneficiaries. Vaccines were facilitated by Deptt. of Health and Family welfare, Agra. The details of the vaccination is as below: Name of the slum Mahaur Nagar Bodla Sarai Nai Awadi Bodla Nagla Ajita Sarai Bega Date TT I 12.03.2013 15.03.2013 16.03.2013 22.03.2013 23.03.2013 1 3 12 5 3 3 0 0 6 3 1 3 15 5 3 3 0 0 6 3 1 3 8 7 3 TT II ANC I ANC II BCG DPT-I Hpt 1 6 13 6 3 DPT-II Hpt 3 0 3 2 1 DPT-III Hpt 5 0 0 1 2 3 1 0 3 3 Measles

We have organized 5 UHND sessions with support of Deptt. Of Social and Preventive Medicine, S.N.Medical College, Agra. The slums covered were Bodla Sarai, Mahaur Nagar, Nagla Ber, Nagla Ajita and Rajeev Nagar. Dr. Ravindra and Dr. Meenal from Deptt. Of Social and Preventive Medicine, S.N.Medical College, Agra participated in the sessions. Moolwati gave vaccination to the beneficiaries.98 patients in Bodla Sarai, 77 patients in Mahaur Nagar, 294 patients in Nagla Ber, 125 patients in Nagla Ajita and 66 patients in Rajeev Nagar were given prescription for their ailments. Medicines and Vaccines were facilitated by Deptt. of Health and Family welfare, Agra. The details of the vaccination is as below:

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Name of the slum Bodla Sarai Mahaur Nagar Nagla Ber Nagla Ajita Rajeev Nagar

Date

TT I

TT II 3 6 7 9 4 8 0 2 3 1

ANC I 11 6 9 9 5

ANC II 0 0 0 4 0

BCG

DPT-I Hpt

DPT-II Hpt 2 4 8 8 8 2 4 8 2 1

DPT-III Hpt 2 3 4 0 0

Measles

14.02.2013 16.02.2013 20.20.2013 23.02.2013 27.02.2013

7 9 9 7 8

0 10 2 0 0

Vaccination and Ante Natal Checkups in health facility camp. MAS and Service provider linkage meeting MAS and service provider meeting was organized on 26.02.2013 at Panchsheel Community Hall, Nagla Ajita. The discussion points were: Introduction of HUP program. Subsidizing cost of treatment for patients refer by MAS. Demonstration of Health resource map and MCTS registers was done in the meeting.

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MAS- Service provider linkage meeting. Ward Coordination meeting Ward coordination meeting was organized on March, 07, 2013 at Panchsheel Community Hall, Nagla Ajita. We have formed 6 ward coordination committees. Different stakeholders participate in the meeting i.e. MAS members, LWs, Mukhya Sevika, Sanitary Inspector, MOIc, Ward counselor. The ward no. are 68, 53,19,01,14 and 78. The discussion points were: Introduction of HUP program. Formation of ward coordination committees. Demonstration of Health resource map and MCTS registers was done in the meeting.

Ward coordination meeting. SNBS AGRA Progress Report, 2012 - 2013 25

D-type coordination meeting. We have organized D-type coordination meeting on on March, 07, 2013 at Panchsheel Community Hall, Nagla Ajita. Health visitor, MOIc, LWs, MAS members participated in the meeting. The discussion points were: Introduction of HUP program. Introduction of the respective Health Visitor with MAS and LW.

D-type coordination meeting. Health ICDS coordination meeting We have organized Health ICDS coordination meeting on March, 07, 2013 at Panchsheel Community Hall, Nagla Ajita. Health visitor, MOIc, LWs, MAS members and Aganwadi Workers participated in the meeting. The discussion points were: Introduction of HUP program. Introduction of the respective Health Visitor with MAS, AWW and LW. UHND schedule was drafted in the meetings.

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ICDS-Health coordination meeting Water Day celebration World Water Day was celebrated on March,22,2013 at Sita Ram Ki Bagichi,Nagla Ber,Agra.Films regarding water conservation and proper handling of water was shown in the celebration. The message of the movie was every drop of water is crucial and preserves it for future. Movie Din badlenge shows the struggle of slum dwellers for proper hygiene. It shows the hazards of poor hygiens and risk of water hatching from the nearby area. Movie Pani ki Jugad shows the means of the slum dwellers for water. They even fight for water and they do not get it as per their requirement.Another movie Haule Haule gave message regarding proper birth spacing and marriage at proper age.

Water Day celebration MAS sammelan MAS sammelan was organized on March, 08, 2013.The sammelan will be organized at Panchsheel Community Hall, Nagla Ajita. We planned the event two weeks in advance of the day. Govt. stakeholders were informed regarding the event. Integrated Child Development Services schemes SNBS AGRA Progress Report, 2012 - 2013 27

(ICDS), Distt. Health and Family Welfare Deptt. and others were informed through letters prior to the event. Programme of the activities was shared with CMO, ACMO, DPMU, DPO, CDPO and other government officials. They instruct their staff as per plan. We invite all the MAS members to participate in the sammelan. All the 24 slums of the intervention area were covered in the event. The sammelan will be organized from 10:00 am to 4:00 pm. The participants were 280. A rally was organized to generate awareness among the community regarding women empowerment and roles and responsibilities of MAS. 5 slums of Agra city would be covered by the rally namely are Nagla Ajita, Ram Nagar, Nagla Ber, Kishorepura and Jagdishpura. MAS members will participate in the rally. The rally had app. 250 participants. The rally started at 8:30am and end at 10:00am . MAS, performing well were rewarded in the sammelan. Excellent performing link workers were rewarded in the sammelan as well. Gifts were distributed as per their performance.3 MAS and 3 Link Workers were rewarded in the event. We honored 5 women i.e. Dr. Nirmla Yadav, CMO,Dr. Renu Agarwal, Assit. Professor, SPM, Ms. Harpyari and Ms. Dulari, Health Visitor and Ms. Sharda Vimal for their efforts of women empowerment.

Dr. Nirmla Yadav,CMO addressing the gathering.

Winner were gifted by Dr. Nirmla Yadav,CMO

Dr. Nirmala Yadav being honored by Mr. Ravi Kashyap and Dr. Renu Agarwal SNBS AGRA Progress Report, 2012 - 2013 28

URBAN HEALTH INITIATVE

Total Number of slum covered 33 Total Number of Population covered 92984 Total Number of House hold 15521 Total Number of MWRA

14568

Quality and expanded service delivery.

Category

Client received Counseling 18875 44570

Clients received FST 293

Clients receive d IUCD

Clients received NSV

Clients received DMPA

Clients received OCP

Client s received Condom

New Continuing

446 576

38 52

565 567

294 590

624 1697

4106

Key processes and achievements: Key process We have benefited 2260 clients for FP services in the year.We have motivated clients in this month throw house hold visits and meetings. We organized many activities in slum as-Community meeting, MWRA Meeting, Group Interactive events. Work place Meetings User group meetings, Chaupal, Lok Sangeet Karkram, Pre publicity miking. Etc. We focused regular house hold visit and follow up client. Flash card, Summer drive pamphlets and handouts was used during the meeting & counseling of client. Discussed about service delivery points in the meetings and HH visits. We referred clients to Dev Medical store for DMPA FP Methods on PARI DIVAS.PARI DIVAS; IUCD Day was organized by Janani and Mary Gold Hospital in our working area Sewla Jat. Our team accompanied of client to the service delivery points for FP Methods adoption. Pre publicity miking gave effective massages to community for awareness and our service delivery points. . Achievements We have benefited 2260 clients for FP services in the year. 293 clients benefited of female sterilization, 38 NSV,446 clients benefited of IUCD, 565 clients of DMPA,294 OCP and 624 new condom users are make in this year.

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Pari Divas Photographs

IUCD Day Photographs

Sustained demand generation Category Community meeting MWRA meeting Group Interactive Event Lok Sangeet Film Show with AWW Users group Meeting Chaupal Male Meeting Saas Bahu Sammelan Rally Population Day activities Work Place meeting No of Meetings 117 57 62 10 7 11 8 3 1 1 34 4 Total Participation

3131
1310

2566
338 436 129 307 68 315 400 1777 55

Rally :We organized a rally in the intervention areas during world population day (Janshankya Sthrita Pakhwada).

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We started rally from Matrumal Ki Dharmshala Gopalpura & end of rally Bhim Vatika Kotalee Bageechi Project director Mr. Ravi Kashyap, Project coordinator Mr. Sanjay Singh and FMDC, ORWs, Peer Educator, AWW and community women were participated in rally. We voiced slogans family planning on mike I.e ONE TWO THREE, UHI ME PARIVAR NIYAJAN FREE. GARBH NIRODHAK GOLI, HUM SAB KI HAMJOLI. PARIVAR NIYOJAN JO APNATA HAI, JEEVAN KO SUKHI BANATA HAI. UHI AAI HAI, PARIVAR NIYOJAN KE FAYDE LAYEE HAI. NIRODH GOLI APNANA HAI, JEEVAN KHUSHAL BANANA HAI. LAGVAO DMPA INJECTION, NA PALO KOI TENTION. SHER Ka BATCCHA EK HI ATCCHA. CHUDI NA CHALLA HAI GALI MAIN PARIYAR NIYOJAN KA HALLA HAI. .

Mr.Nawab Singh Morya,Ward Member inaugurate the rally.

We distribute phamplate and hand outs in the comunnity during the rally & gave masseges of family Planning. Chauraha Meeting :we organize Chauraha meetings for involvement male in UHI program in the different slums crossing during world population daypopulation stability fortnight. Planning & process: - We plan one Chauraha meetings in every ORWs slum. They select venues (crossing) in there slum where rush coming in the morning. So we plan our meetings in the morning time for specially NSV drive. Process: - We organize five Chauraha meetings in the morning. We start meeting at 08:00 AM and communicate with the male those were movement at the place we give introduction of UHI & SNBS and give information about family planning on world population day and NSV camp those were organized by UHI at district hospital Agra. We gave information about family planning methods specially Non scalpel vasectomy (NSV). 30 to 35 male was present in every meetings. We gave information below during the meetings. This method adopt by male. It is safe and simple sterilization and complete in the Ten minutes. It will be affected after three months. NSV client will use condom till three months during sex. Those people think their family was complete they were adopt this method and make their family happy. Learning: - Chauraha Meetings helpful for motivate NSV clients. Outcome: - Eight clients were motivated by Chauraha meetings and adopt family planning service (NSV) on World Population Day- Population stability fortnight. SNBS AGRA Progress Report, 2012 - 2013 31

Saas Bahu Sammelan :We organize a Saas Bahu Sammelan at Kotali Bagichi (Bhim Vatika) on 16/07/2012 marking the population stability fortnight during World population day. Planning and process: -. (Bhim Vatika) Kotali Bagichi was selected as venue for the event. It covered nearby10 slums of our intervention area. We start conveying of our activities 7 days prior the event. Our Peer Educator listed the participants name those participate in the program. We start the program in the morning at 10:00am and end 04:00pm. Participation: CommunityParticipationSlums level FP user group from Tundpura, Nandpura, and

Participants in the Saas Bahu Sammelan.

President,PC,SNBS participated in prog

Kotali Bagichi, Saas & Bahu of nearby slums and community people from Kotali Bagichi, Nandpura, Tundpura, Sewla Jat, Nagla Jassa, and Parsoti Ka Nagla, total 315 participants present in the program. Staff Participation-Mr. Ravi Kashyap Project director, Mr. Sanjay Singh project coordinator, Mr. Amit Kumar FMDC, Ramdev Singh, Poonam, Kamlesh Kumari, Neeraj Parmar and Meera Singh ORW, and 43 Peer Educators was present in the program. UHI participation- Mr. Naushad Ali, COCM Mr. Pradeep Pandey, Marketing officer Assistant Finance officer Mr. Amit Sharma, Dr. Sunita Bhagia and Mr. Arvind Sharma was present in the program. Film Shows with AWW SNBS organized film show with AWW. Film was based on Family Planning method, Documentary, Success story, Pregnancy and child birth process and how to manage during the delivery. During world population day-Population stability fortnight Planning: - we plan two film shows in our intervention area. Peer educators decided AWW center for venue of film show. They give information to the community about film show 3 day before. Process: - We organized these film show programs with the AWW. Sanjay Singh (project coordinator) addressed the community. ORW give information about the movies to the participants. SNBS AGRA Progress Report, 2012 - 2013 32

We started the programs with the introduction of UHI and SNBS. And film show start with the movies of Documentary movie then we play Success Stories movies, Sterilization Movies- ZINDAGI KA PLAN & ASLI DABANG). We discussed movie during the intervals. All the participants were very enjoyed the movie. In the end of movie Mr. Sanjay Singh discussed about the movies and asked the questions of them to movie related to the participants. And the correct answers women were r ewarded by a gift. After show ORW gave information on family planning methods. We have focused on female sterilization. End of the event, we gave vote of thanks to all the participants.

Group Interaction Meetings Since March 2011 we have several family planning users in different methods Like Female Sterilization, IUCD, DMPA, NSV, Condom, OCP, etc. These are following: - Female Sterilization user group, DMPA user group, IUCD user group, and mixed user group. Object: - Involvement of community sensitization on maternal health. And awareness on family planning methods. Planning: - We plan two group interaction meetings in Ramdev ORWs slum. In these slums no group interaction meeting were organized in the past months. Peer educator select venues for the meeting in the slum. We plan these meetings for interaction between Family planning User and Non user. Process: - We organized two group interactive events in the month of July, 2012 with user and Non user in our working area. Where user women were communicate between each other and communicate those women who have not a family planning user. These interactive events organized specially Female Sterilization in the summer vacation. Result: - Group Interaction Meetings were helpful for motivate for F.Ster clients in the summer season. Achievements: We have benefited clients by above meeting. Community people involvement is increase in the UHI program. And community aware of adopt PF services. Male participation ware increase in programme. We have benefited 16 male of Non Scalpel Vasectomy ( NSV ). Key process and achievements: Process: We organized Community meetings, MWRA meetings; Users group meetings, Lok Sangeet Karkram, film show with AWW and group interactive event for community mobilization. We planned it that meeting organized in between in focused MWRA in slums. IEC material was used in all the meetings, We use pamphlets, handouts, and poster in the meetings and counseled to MWRA for adoption FP Method. ORW and USHA felicitate the meetings. Mr. Sanjay Singh PC discussed about woman health and how to care of it, need of family planning. he told that there are many FP Methods for adoption of family planning. We invite Community Leader and ANM/HV /AWW participate in meetings.

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Achievements:We have benefited 216 clients by above meeting. Community people involvement is increase in the UHI program and community aware of adopt PF services. Male participation ware increase in programme. We gave 38 NSV service to male.

Community Meeting Photographs

Group Interactive Event Photographs

Capacity Building: Type of Training Refresher Training 17-19/04/12 21/5/12 20-22/6/12 Topic Covered OCP & Condom FP Methods Post partum & Post abortion FP Methods Total Number of Batches 6. Total Participants Total Participants 126 (PE,ORW) Remarks Left PE provide training field level in slum.

Refresher Training

LAM & Breast Feeding

Three Batches

10 PC, FMDC, 5 ORW, 3 PE

Training held in three days 06-08-2012 - PC and FMDC were participated.8-082012 - Four ORW and three USHA were participated.09-082012 One ORW participated.
Allahabad City.

Staff cross Visit in other city 6-7 June,2012 PE cross Visit

Improve our working skills

Improve our working skills

48

ASS,JCSS,AWARD and NIRPHAD NGO Usha capacity built through Usha cross visit in other NGO in city for their leaning & Implement.

Usha Cross Visit

Improve our working skills

50 ( 48 USHA, 1 ORW, 1 PC )

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PE Cross visit in Award NGO

PE Cross visit in Nirphad NGO

Group Discussion during the training

Ms.Sunita Pasrecha is giving training.

Exposure visit to Allahabad

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Review Meetings: Description Meeting with NGO head with UHI city team. Date Topic discussed Major decision taken (If any?) DMPA follow up Weekly Reports. Remark Mr. Ravi Lal Das & Mr. Amit Kumar UHI visited in our office and working area in this month. Observed of field work and field staff knowledge.

4/04/2012 Program Review 22/06/2012

Meeting with NGO Staff with UHI city team.

Monthly presentation of 4/4/2012 the 8/5/2012 06/06/2012 achievements.

31/07/12 31/08/12 30/09/12

7/12/2012 6/11/2012

Slum Profile, Slum Map, Hamara Register. Female sterilization Summer drive

Slum profile, Maps, and Hamara register. Update

Update

Plan for increase number of female sterilization clients during summer drive.

We increase F.Ster clients in this month.

Monthly review meeting with ORW

30/04/2012 Monthly Progress 31/05/2012 report. 30/06/12 31/12/12 Review of Usha 30/11/2012 performance 31/10/2012 Next month plan Ensure regular HH visit. and community Meetings

Dropout the poor performer USHA

PE meeting

28/04/2012 Monthly Progress 31/05/2012 report 29/06/2012 submission. Hamara Register 27/07/12 Regular HH visits 28/07/12 Discussed about 29/08/12 line listing & 30/08/12 proper use map 29/09/12 & IEC Materials 28/12/12 in the meetings. 29/12/12 Janshsnkhya 28/11/2012 Sthirita 31/10/2012 Pakhwada

Comparative analysis should be done.ORW will ensure that Usha regular on HH visit and community meeting. Hamara Register fill Day to day Ensure regular HH visit and proper use map and IEC materials.

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Monthly Review Meeting

Chaupal Photographs in Sohalla slum,Mr. Hari Babu Yadav Ward member addressed the community

Research team Visit at NGO office.

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Rickshaw Miking

Usha Felicitation Events Photo Graphs

Ms.Meera ORW adreesed in group interactive event in Maya Puri Slum, Mehandi Comptition Photographs.

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Review Visit at Tund pura slum.

PE Meeting photographs NGO-UHI Review meeting:Objective:-Review of the programme activities during the month. NGO review meeting with UHI was organized on July, 5, 2012 at Hotel Devanse, Agra.. Presentation was given on progress of the programme activities in slums area in the month. Mr. Amit Kumar TO COCM reviewed the progress of the month. Discussed on Female sterilization summer drive on world population day & Janshakya Pakhwada. during the review. Mr. Amit Kumar gave information us planning of Female sterilization day on July,11, 2012 at Lady Loyal hospital and NSV Day on 13 July,13 ,2012 At District Hospital, Agra on world population day & Janshakya Pakhwada. Dr. Sunita Bhagia gave brief comments of female sterilization and family planning methods. All participants discussed about planning of summer drive on world population day & Janshakya Pakhwada new activities in programme. Out Come:-NGO staff got knowledge on world population day & Janshakya Pakhwada new activities and queries during the session.

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Staff Review meeting :Objective:-Review of the activities carried out during the month. We have organized our staff meeting on dated 31/07/2012 in the presence of Project Director Mr. Ravi Kashyap at organization office. Our ORW presented their monthly progress through their presentation. We have discussed on progress the month July,12. We have planned to Identify NSV and female sterilization client in the next month. We prepare work plan for the next month activities. PD, PC, FMDC, ORW have participated in the meeting.

Outcome:-Improvement in the performance of the staff

Staff review Meeting Photographs. USHA FELICITATION EVENT / Meeting: Objective: - FELICITATION OF PEs and review the progress of the month. USHA meeting was held on 28/11/2012 and 28-29/12/2012 , 27-28,July,12 Sewla & Nagla Bhawani singh slum. Mr. Sanjay Singh Project Coordinator, SNBS addressed the meeting. He discussed on Achievement of month. PC has brief discussed of FP methods. During the meeting we have discussed about counseling after delivery/abortion for using FP methods and motivate them for using FP methods. We built their capacity regarding reporting and display of FP Ushers and other recourses. We built their capacity on monthly reporting of USHA/PE. USHA felicitation was also held in meeting. Ram dev & Neeraj ORW SNBS felicitated of PEs. PEs namely Ms. Meera Devi Katchi Pura 1ST prize, Ms. Meera Devi Sewla jat 2nd prize, Ms. Chandrakanti Yadav, Chawali 3rd prize rewarded with gifts. Criteria of selection were good repo in field, good no of clients and they maintained their records and Hamara register.

Out Come: - Recognition of the best USHA.

Mr.Amit kumar ,Mr.Amit Pathak & Mr.Nausad Ali UHI participated in meeting.

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Participation in Pulse Polio Rally

We have actively participated in pulse polio rally organized by Medical Health and Family Welfare deptt. Agra from Lady Loyal to Subhash Park on on February,22,2013,January,01,2013,September, 08, 2012, June, 15, 2012. The rally was started from Agra College Play Ground, Raja Ki Mandi, Agra at 9:00 AM. Dr.Manju Sharma, CMO, was welcomed by Dr.Anupam Bhasker, DIO, Agra and Mr.Ravi Kashyap.Dr. Manju Sharma blows the balloons in the air with the message of Polio eradication from the country. Rally was leaded by SNBS with the participants of 150 in the event. Rally was flagged off by Dr. Manju Sharma, CMO, Agra. Rally passed by several crossings of the city. Slogans were raised throughout the way.Dr. Manju marched with the rally to Subhash Park, Agra. The team of 150 people in the dynamic leadership of Mr. Ravi Kashyap, President SNBS. Members from the Mahila Arogya Samiti (MAS) of different slums actively participated in the rally. In the park rally was turn in to meeting.Mr. Balvir Singh from NRHM facilitated the meeting. Mr.Ravi Kashyap was asked to address the participants. He emphasized on efforts to be carried out for increase Booth coverage. Mr. Amritanshu, DMC, UNICEF appreciated the efforts for polio eradication. He congratulated the participants about finding of nil case in the country last year.Dr. Anupam Bhasker, DIO gave details of the vaccine and doses. He gave vote of thanks to SNBS and other participants. Glimpse of the rally:-

Dr.Manju Sharma,CMO blowing the balloons and flagged off the rally.

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Dr.Manju Sharma,CMO and Dr.Anupam Bhasker,DIO with Mr.Ravi Kashyap passes through the crossings.

Members of Mahila Arogya Samiti (MAS) participating in the rally.

Mr.Ravi Kashyap,President ,SNBS addressing the participants.

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Dr.Anupam Bhasker giving vote of thanks to the participants.

Rally in a glance.

Mr. Ajay Chauhan,AVC,addressing the rally.

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Polio booth Coverage

Organizing 4 pulse polio transit booth in Kailas Mela on July, 23, 2012.We have organized 4 pulse polio transit booth in Kailas Fair,Sikandra,Agra with the support of Distt.Health and Family Welfare. Planning for the booths:-We have identified the places for polio booths in the fare.The places were Sikandra Monument, Police Station, Sikandra and Sikandra Crossing from 11:00 am to 3:30 pm.

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Polio Vaccine being given to children by SNBS worker. We gave OPV to 658 children below 5 year of age and used 42 vials in the process.

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Rudds College Visit,01/02/2013

Rudds MSW College is one of the premier institutes for social work academics in Karnatka.They have an exposure visit to our organization regarding NGO working in Northern States. They have a group of 22 students and 3 Professors. During their visit to our organization they have lots of queries regarding NGO working and its structure. Therefore we listed their queries and answered them. They are curious about: Organization formation and its objective for formation. Its programmatic areas of working. Information of Projects run in last years. Planning for future projects. Currently working areas. Currently projects running. Financial Management. Challenges faced.

Mr. Ravi Kahyap,President addressing the queries of the students. We have given brief introduction of the organization with the objective of its formation. We have given them note of our programmatic areas of working i.e. Health, NationalChild Labor welfare.HIV/AIDS awareness, Family Planning. They were given brief notes of programs run in the last couples of years i.e. urban health program, NCLPschools, etc.We discussed about planning for upcoming years. They were given presentation of currently working areas i.e. Family Planning, Child labor welfare, MCH.The group was given exposure to financial management in the organization. We are facing different challenges in the community which can be resolved with the active participation of the community. SNBS AGRA Progress Report, 2012 - 2013 46

Mr. Ravi Kashyap been gifted with the Memento by the college personnel.

Group of Collegiates and Organization president . It was a exposure visit to the upcoming professional of Rudds College. They have shared a lot with us during their visit. SNBS AGRA Progress Report, 2012 - 2013 47

Measles Campaign
Objective:Organize a campaign for Measles Vaccination in urban slums of Agra. Process:Planning for the event:The campaign was planned by Distt.Health and Family Welfare Deptt. February, 01 to 21,2013 and March,07 to 15,2013. We identified the slums of the intervention area to be covered through the campaign. We have done HH survey in 22 slums of Agra city. The plan was shared with Link Workers and MAS members of the intervention area. We instruct their staff as per plan. Activities organized for the campaign:We got House Hold survey of 22 slum and 5065 children of age 09 mth to 10 yr were found in our intervention area. According to the micro plan our Link Worker did prepublicity of the date of the vaccination. Link worker told the families of the children for vaccination venue and the timing of the vaccination. Link worker called the children for vaccination on the day.

Vaccination Status:Sn. 1 2 3 4 5 6 7 Name of Slum Pathar Ghoda Sarai Bega Bai Ka bazar Nagla Ajita Satnam Nagar Subhashpuram Vikram Nagar No. of children surveyed 168 144 246 746 150 250 157 SNBS AGRA Progress Report, 2012 - 2013 No of children vaccinated 165 130 230 675 134 232 175 48

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Hukmi Nagar Rajeev Nagar Kabir Nagar Nanak Nagar Bodla Sarai Geetapuram Nai Awadi Bodla Bhola Ka Nagal Mahaur Nagar Mohamadpur Baipur Mahal Nagla Ber Shyam Nagar Ram Nagar,Jagdishpura Total

82 90 39 38 230 69 50 03 100 400 262 150 488 91 1162 5065

81 18 0 0 112 69 01 0 0 397 260 149 469 82 1097 4476

6000

5000

4000 Name of Slum No. of children surveyed No of children vaccinated 2000

3000

1000

0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

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6000
5000

4000
3000 2000 1000 0 1 2 3 No of children vaccinated No. of children surveyed No. of children surveyed No of children vaccinated

Measles Vaccination by Health Visitor. Learning:-Such campaign helps us to improve the vaccination coverage. Out Come:-We got 88.3 % children vaccinated as per our survey.

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National Child Labour Programme

Implementation of NCLP by SNBS Since, the task of upliftment and development of marginalized section of the Indian society has become more challenging with the liberalization and modernization of the economy and growing need of human development and its proper deployment therefore, during the past four-year phase, SNBS focused its efforts in two specific directions - engaging systems, community and community representatives to ensure sustainable outcomes; and replication of successful practices in other areas on a broader scale. The dynamic changes engulfing the Indian Society and the world at large require adequate talent to promote the national interest and lead to a vibrating and modern economy based on equality and interdependence of various individuals and social classes and removing the irrelevant citadel of caste system from India, which in todays context has become a regressive practice for human existence and growth. In view of above, SNBS started two special child labor schools (with 100 child labor boy as well as girl students) from 1st of November 2012, in two different slums of Agra with the objective of providing protection and education to working children (Child Labor) in coordination with Labor Department, Agra under National Child Labor Project. SNBS took the task to educate those children who are exploited at their working places. The teachers of the child labour schools of SNBS are engaged to develop their moral as well as intellectual skills so that they can stand at their own feet, learn and understand the better ways of means and life and can be grown up as best citizens of our Country. Achievement up till March 2013 From 1st of November 2012, we are educating 100 Child labour (boy as well as girls) per year, in our two special child labour schools located in two different slums of Agra City i.e. Gadi Bhadoria and Nagla Ber.

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