1. health and fitness
2. disease
3. aids and hiv

MODEL RURAL YOUT
ANNUAL REPORT
2013-2014
Head Office:
81-A, B-Block, Phase-III, Premnagar
Najafgarh, New Delhi-43
Tele Fax: 011-28010283
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Foreword
MRYDO(Model Rural Youth Development Organization) entered into the 29th year of its existence in the field
of integrated urban and rural development. MRYDO moved a long way in the path shown by its founder
members and reached to the marginalized communities in a very sustainable manner.
As we near the end of third decade, we can take pride in our commitment to providing opportunities for the
marginalized. When we founded MRYDO we were unsure of the scope or extent of our work. Today, we feel
like we have just scratched the surface of the change we can catalyze, and there is so much more we can do.
The magnitude of the challenge we face is laid out starkly by recent studies indicating that the many million
Indians living in poverty in India's eight poorest states exceeds that of the entire African continent.
The Organization facilitated development work with the poorest among the poor community in rural and
urban slum communities such as Scheduled Castes, People living with HIV and AIDS, elderly women and
children in South-West Delhi and in the State of Punjab. Apart from implementing the projects which were
started previous years we were also able to start new projects for the target community.
As we enter in to the 29th year MRYDO has now developed as a national NGO reaching the unreached places
of Delhi, Haryana, Punjab, etc where the development was not even in the dreams of the people. MRYDO has
grown up from a charity organization to a development organization.
Our mission is directed towards a healthy society free from hunger, disease, discrimination and injustice and it
is about bringing a positive social change. This would be our major strategy in future too as it improve the
quality of life and standard of living of the deprived sections in the society.
MRYDO implemented 20 social development projects supported by National and International donors both
from Govt. and Non-Govt. Sector like Save the Children Water Aid, Delhi State AIDS Control Society, Mission
Convergence, Government of the National Capital Territory of Delhi Wal Mart, NABARD, etc. These projects
have had many successes in improving the socio-economic, cultural and political status of the most
marginalized communities in the target operational areas.
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Over the years, MRYDO has moved from being a service delivery organization to one which successfully
impacts policy and practice. Even though there were so many bitter experiences in our path, we were able to
resolve everything with the help of like-minded people, our staff who have been completely supporting the
organization to reach its goal and the communities. We thank all their continued support as we present the
annual report for the year 2013- 14
Twenty eight years look a short period but for us it was a long and eventful journey. The team of deeply
motivated staff worked with beneficiaries at the ground level changing their Lives, bringing up their
confidence and training them to face the world with confidence towards a sustainable livelihood and better
living.
I sincerely hope that this Annual Report of MRYDO will give all the stakeholders and interested persons an
overview of our collective work for the period of 2013-2014, and I look forward to critical and constructive
comments and discussions for further improvement in all aspects MRYDO as an organization.
And we have miles to go ………..
(________________)
Shri Om
Director
MRYDO
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Introduction about the Organization
Model Rural Youth Development Organization (MRYDO) is a registered non-profit, philanthropic
organization working in Najafgarh, Delhi. MYRDO was started in 1992-93 by a group of like-minded social
development professionals and social activists to work on social issues affecting the most marginalized
sections of the society. MYRDO has been working on social development issues including socio-economic
research, training and capacity building, economic development and political empowerment of urban poor,
youth, women and children and other marginalized communities. Over the last 18 years, the Organization has
developed a good rapport with targeted communities and the Government in the field of youth, women and
child development. The Chief functionary of the Organization is Mr. Shri Om supported dedicated and
qualified project staff from various socio-economic strata of the society including women and men.
Vision: A society based on social justice, equality, non-discrimination and self reliance where all people live a
life with dignity.
Mission: To channelize the potentialities of youth, women, children and other marginalized communities for
their own development and work towards a healthy society free from hunger, disease, discrimination
and injustice.
Philosophy: MRYDO’s philosophy is to work with the most marginalized communities through a peoplecentered approach to bring about a positive change in the lives of targeted communities.
Operational Areas: Outskirts of West and South-Delhi, Najafgarh, Haryana and Punjab
Targeted Communities: Scheduled Castes (SCs), Minorities including Muslims, Other Backward Classes
(OBCs), People with Disability (PWDs), People Living with HIV and AIDS (PLWHAs), women, children, and Old
people without caregivers, urban poor communities including unorganized sector workers, street children,
rag pickers and homeless.
Issues of Emphasis

Urban Water and Environmental Sanitation

Women’s Empowerment and Organization

Training and Capacity building in Micro- Credit

Natural Resource Management and Sustainable Livelihoods

Violence Against Women, Cases, Anti-Liquor Campaigns
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
Organizing the Unorganized, Community Organization

Local Self Governance - Panchayati Raj Institutions
Objectives of the Organization

Work with most marginalized urban and rural communities for their socio-economic, cultural, economic
development and political empowerment.

Work with the State, like-minded development support organizations and civil society organizations to
implement various socio-economic development programmes, undertake research and influence policy in
favour of the poor and most marginalized.

Secure, protect and promote the constitutional and citizenship rights of most marginalized communities
including Right to Water and Sanitation, Right to Food and Work, Right to Life and Right to Education.
Overview of Ongoing projects during 2013-14
Women Empowerment
a)
1.
Gender Resource Centre (GRC) & GRC Extention Center
GRC-SSK refers to Gender Resource Centre and the Samijik Suvidha Kendra which was established by MRYDO
in 2007, in Jharodha Kalan village for a period of 1 year. This project is supported by Mission Convergence,
Government of NCT, Delhi. In the year 2008 the GRC opened up in Jai Vihar basically for the upliftment of
women. Essentially the Gender Resource Centre take care of all dimensions related to women empowerment
in a holistic manner, and are envisaged as instrument to bring Social, Economic, and Legal empowerment of
Women particularly those belonging to the under privileged sections of society.
The activities of Gender Resource Centre are to encompass Social Empowerment, Legal Rights, Economic
Initiatives comprising of skill building, Micro enterprise and entrepreneurship Development, Health Aspects,
Information Sharing and Networking Aspects, and Non formal functional literacy and Women empowerment.
Under this GRC various vocational trainings and Non Formal education Programmes were launched. All these
trainings and NFE programme is free of cost and is open to the entire surrounding community. The various
training programs like Under the Beauty Culture, Dress Making and Bag Making skill development
programmes, 400 young women and girls from the most marginalized groups have been benefitted from the
trainings. Around 7000 people came to help desk cell for information seeking. Self Help Groups are also
formed among the women under the GRC program. There are 32 SHGs with 760 beneficiaries. They have
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been linked with nationalized banks. Loans for 15 groups have been sanctioned by the State Bank of India,
Najafgarh Branch. 12 health camps and 12 nutrition camps were organized where 1670 and 480 people
especially the pregnant and lactating mothers were benefitted. 26 Legal counseling and legal awareness
trainings on Dowry, Women’s’ rights, filing and First Information Report (FIR) with the Police, Property
Ownership issues etc., were imparted under the GRC which has benefitted 1400 women and girls.
The SSK programme looks into the delivery of the State-run social security schemes and programmes for the
deprived sections of the society. It includes the promotion of financial assistance schemes such as widow
pension scheme, old age pension, pension for people with disability and the Ladli Yojana and other service
programmes like UID, Annashree Yojana, Immunization coordination with dispensary etc. 6694 people were
benefitted by UID enrollment .
2134 Old age pensions, 400 widow pensions, 311 Handicapped pensions applications were submitted to the
District Resource Centre for further processing and sanction of the pensions. The Awaz Udhao programme
supported by Delhi Government for strengthening women towards their rights, also covered almost 1000
beneficiaries as this is also acting as a value addition programme along with GRC. 429 applications have been
submitted under the Rashtriya Swasthya Bima Yojana – a state supported insurance scheme for the rural poor.
The GRC also facilitated exposure visits of rural women involved in SHG in the area of Kanja wala to
showcase how the women in those places are earning their livelihood with the help of these SHGs
2.
Mahila Panchayat
Initiative of the Delhi government Mahila Panchayats is an innovative collective approach for community
participation in dispute redressal. After need assessment and motivation, community leaders are identified
and these women are then motivated to volunteer as Mahila Panchayat Members. The 20 member team is
trained in legal issues, dispute redressal mechanism, the laws relevant to crimes against women, the existing
legal position regarding property, maintenance, marriage, custody, etc. They are also given training in
counselling, FIR writing, pursuing with police station, how to proceed for legal recourse. The Mahila
Panchayats itself acts as a "Watch Dog" and its members, after orientation, and training, can handle delicate
and family disputes. They find solutions at the local level through the workers in the field itself in some cases
they link up with lawyers as well. Issues which cannot be resolved at the Mahila Panchayat level are either
resolved by the lawyers or alternative course of action is determined in consultation with lead NGO, lawyer
and Delhi Commission for Women.
MRYDO and Mahila Panchayat
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The group (MRYDO-Mahila Panchyat) has been formed in the year 2001 in collaboration with; Delhi
Commission for Women. This group executes the services in the two different locations i.e. Laxmanpuri (West
Dist.) & Prem Nagar (South-West Dist).
Role of Mahila Panchayat
There are certain responsibilities of Mahila Panchayat as listed below for its successful functioning;

Raise the voice against Dowry provision, and make the arrangement of refunding the same

Educate the community on various legal issue and the facilities available at the community level.

Familiarize and educate the women of the community about the various departments and help lines
which may be also used in the future by them in time of need.

Arranging legal awareness camp with the female community and do provide them the help as per
their need.

Oriented the community on various provision of legal right and motivate them to make use of that in
such in routine life
Role of the Mahila Panchayat worker
The primary role of the Mahila Panchayat worker is to link community to the legal assistance required by its
members. Hence, his/ her role would be from creating awareness to continuous assistance of the members
on the leagal case. This would imply case registration, investigation and regular follow-up of the same. For
this there must be weekly meeting with the members and sharing with them of the new legislations.
The activities taken by Mahila Panchayat during the reporting period made considerable inputs on reducing
the violence against women and increasing the awareness of legal literacy among the women. The project
also facilitated Pre-Marital Counseling workshops with young girls and women especially from the rural
areas.
Process for taking up cases:

A case is registered as the initial stage

Notice is released to the accrued or a telephonic conversation is held with them

Follow up by the organization and perusal for the first hearing

Hearings are being as according to the problem proposed

A compromising solution is arrived upon which is agreed by both the parties

Legal Awareness Camp
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Over a period of time Mahila Panchayats have been able to develop as a strong grassroots unit which works
especially for the cause of women and children. It has also emerged as a major decision making body to
resolve disputes among the family members. Two Mahila Panchayats have been formed till now and they are
running successfully and solving the family disputes very actively. Mahila Panchayats have been formed in
Laxmanpuri with 20 women members and Prem Nagar with women 25 members.
During the reporting period, a total of 78 cases were registered in the Mahila Panchayats. 62 cases were
solved by the Mahila Panchayat, 16 cases were running in Mahila Panchayat and 13 cases were referred to
CAW, National Commission for Women (NCW) and Court.
b)
Health, Water, Sanitation and Hygiene
1. Integrated Project on Health, Nutrition and WASH in Tigri JJ slum cluster, South Delhi with the
support of Save the Children India
India accounts for one fifth of the world’s births. Out of about 26 million children born every year in India
940,000 newborns die before reaching one month of age. Neonatal mortality (within the first month of a
child’s life) contributes to over half of all deaths in childhood. The foremost challenge in reducing the
neonatal mortality rate (NMR) is to prevent those deaths that occur within the first two days of life and
account for 45% of all neonatal deaths.
There are two main causes for high rates of child and maternal mortality. Firstly, children and their families
have limited access to basic water, sanitation, health and nutrition facilities or services. Secondly, most
families living in slums have minimal knowledge about health behavior or about the Government health,
water and sanitation services that are available to them. We are aware that most of these lives could be
saved with existing low-cost health care solutions such as vaccinations and the prevention and treatment of
infections.
The project we implement with the support of Save the Children would enable to substantially improve the
new born child health, nutrition and hygiene status of vulnerable children and women living in Delhi’s urban
slums. We work in 10 different clusters of JJ Camp Tigri, South Delhi. Our major responsibilities in this project
is providing proper awareness to the people, motivating them to avail government services, making linkages
with the community and concerned government departments etc regarding all the health and WASH related
government programmes .
The major achievement during the year 2013- 14 is
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
Benefitted almost 1000 pregnant ladies, 800 lactating mothers and 1500 children under 0-5 years of
age through our project

Renovated an existing government toilet complex in the area

Successfully trained all the frontline workers in the area

Formed and strengthened community level groups and they are now involving in health and WASH
related issues of community

Trained 55 frontline health workers(FLWs) and supervisors of South Delhi area(Under Khanpur ICDS)
regarding immunization, weight monitoring, malnutrition and successfully facilitated the process of
regular weight monitoring in all anganwadis in the area with the help of CDPO and DD( Earlier weight
monitoring was not happening in the area)

Created a system of regular quality nutritional diet supply in South Delhi area through anganwadis
covered after regular consultation and training with local level anganwadi workers as well as cluster
and district and state level officials. Earlier the quality of the food was not good as well as the whole
beneficiaries were not covered

Successfully organized two district level consultative workshops related to health, nutrition and WASH

Through our project intervention pipe water supply has been started in an area where people were
forced to purchase private tanker water for years

Successfully organized two community based campaigns regarding health and WASH services

Successfully organized water quality test in all the slum clusters

Regular cleaning of drainages in the area
2. Water and Sanitation project in 15 slum clusters of South Delhi area supported by Save the
Children
There is a project named Providing Safe and Hygienic Sanitation Facilities in Urban India, Delhi” running in
15 slum clusters of Delhi with the support of and Save the Children, Delhi.15 Primary government schools
as well as all the anganwadi centers in those 15 slum clusters are covered under the project Save the
children provides both technical and financial support. Through this project our responsibility should be to
improve the hygiene and sanitation condition of vulnerable families in urban slums Delhi, India, by increasing
access to clean, safe drinking water, sensitizing sanitation habits and hygienic practices among school
Children, Adolescent girls and Community.
The community of these slum areas is being strengthened towards safe and hygienic practices on WASH
indicators. Community groups are being formed for spreading the message to the whole community. We are
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also regularly arranging classes for school children in this area regarding 6 steps of proper hand washing, and
other WASH practices
Some of the achievements so far

Well trained both the community and school children regarding six steps of proper hand washing and it
is a regular practice among school children in our intervention area

Formed of “School Health and Sanitation Committee”(SHSC) by involving students, teachers and
parents in each School and provide training to sustain the activity

Renovated 5 toilet complexes in the area for better sanitation facilities to the community
 Constructed three stage hand washing platform in 10 primary schools
 Constructed Sanitary Napkin incinerator in 10 schools
 Repaired 10 school toilets to make it more children friendly.
 Repaired 5 drainages in the area
 Provided IEC materials and organize different competition to promote WASH activities among the
community and schools
 Installed child friendly Hand Washing Platform in AWCs
 Established proper waste water management in slum clusters
3. Alternative Livelihood Project for Sanitation Workers/ Manual Scavengers
MRYDO Najafgarh is running a project named “Swach Delhi Swasth Delhi Living with Dignity_Manual
Scavengers” with the support of WaterAid India, Delhi in Delhi especially concentrating in South West
District of Delhi. Through this project our focus will be the upliftment of the living standard of manual
scavengers/ sanitation workers by providing some better livelihood opportunities through effective training
on their interesting trades.
Manual Scavenging is practiced in many parts of Najafgarh, Delhi and adjoining villages. Manual Scavengers
face multiple discrimination and rights violation at societal and state level. Social discrimination and exclusion
are the major weapons in the hands of non-dalits to prevent dalits from having an identity of their own,
leading a life of dignity and having ownership of economic resources and opportunities. This perpetuates
their servility and powerlessness. Thus, untouchability, which has been banned by our Constitution,
continues to influence our social and economic organization in various more or less conspicuous forms such
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as the practice of Manual Scavenging. Concomitant with the issue of manual scavenging, there is a view that
“Right to Health” must be included in the Fundamental Rights of Indian citizens, without any discrimination.
The sewerage workers are affected by cardiovascular degeneration, infections like hepatitis and leptospirosis,
skin problems, prevalence of helicobacter, respiratory system problems and altered pulmonary function
parameters. They may also be prone to psychological disorder. They are exposed to infections by hand-tomouth contact.
The practice of Manual Scavenging is prohibited by Law by the Government of India and Delhi Government.
However, manual scavenging still persists in Delhi due to multiple reasons. These include issues of poverty,
lack of gainful alternate livelihoods and vocational trainings, the mindset among the manual scavenging
communities to confine to their present livelihoods and inability to look for better alternate and more
dignified livelihoods, poor implementation of government schemes and grants for manual scavenging
communities, poor enforcement of laws by State authorities, societal pressures, norms and lack of interest at
the political level to bring about a change in the lives of the manual scavenging community in India. There is
an urgent need to address this issue and make India Manual Scavenging free. Civil society can play a crucial
role to address the issue by working with the reference communities, state authorities, donors, media, other
developmental actors and the larger civil society.
Achievements during 2013-14
60 community meetings have been conducted in the community regarding the project and its need in the
community, importance of living with dignity and the problems associated with manual scavenging/Sewerage
workers. The project staffs have discussed the whole concept of the project with the reference communities.
Project staff and SBI have conducted a Financial Literacy class to the people for having more understanding
on the concept of thrift and savings, SHG formation, entrepreneurship and its advantages. The World toilet day
was celebrated in selected 11 government schools of Najafgarh area for making the students aware of better
health and WASH practices. The project staff arranged these sessions in the community. World Human Rights
Day was celebrated at the community level on 24/12/2013.
The project staff organized and another event in community regarding safety on work place and linkages with
various government schemes at the community level on 28/02/2014. Demonstration of six steps of proper
hand washing is a regular activity after the completion of any events i.e., meetings, orientation programmes
and mass events. The staffs have organized a grant orientation programme for targeted community for
convincing them on the concept of the project. Till date, we have identified 23 Balmiki clusters in Najafgarh
area and the base line survey is covered a total of 1013 households. SHG formation meetings are also in
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progress in the clusters. 59 SHG meetings have conducted till date. The selection of right holders for
Vocational training programmes was done.
The trades are selected by analyzing interest of the people through baseline survey. The identified trades are 1)
Food making including momos, pickle, snacks etc 2) Operation and maintenance with special focus on
plumbing 3) Sanitary Napkin, book binding and paper bag manufacturing 4) Photography and videography. 80
trainees were selected for the above mentioned trades. 84 right holders were linked with Gender Resources
Centre for tailoring and beauty culture courses as these right holders showed great interest to get trained in
these two trades. The Vocational training set up at MRYDO Head office process is done. The curriculum is
decided with the help of Jan Shikshan Sansthan. MRYDO has recruited vocational instructors for all the trade
and time table is set up as per the convenience of both instructors and trainees. The placement organizations
that provide advanced training would be continuously contacted during training period. All available related
government resources would be identified and efforts will be taken to link the trainees and the community to
avail of those facilities.
The trainings would be completed by the end of August, 2014. A six month project review was conducted
through an external facilitator. Work plan for the next six months of the project implementation was
developed. Liaisioning was done with the MCD to clean the sewer lines and drains in the operational clusters.
MCD deployed the suction machines and cleaned the sewer lines and drains in the operational clusters.
Liaisioning with relevant government departments such as South Delhi Municipal Corporation (SDMC),
National Human Rights Commission (NHRC), DCSK, NCSK, GRC, JSS has been done during the reporting
period. Program on Orientation of WASH for the Sanitation workers of Najafgarh held in the MCD Hall on
13/03.2014. Media Engagement program held in our office on 19.03.2014.
4.
DOT Centre
The DOT Centers run by the support of the Delhi Health Services was very helpful in combating and spreading
awareness regarding Tuberculosis (T.B.) in Najafgarh. The DOT centres in Dharampura Colony and Najafgarh
have 4 DOT providers who volunteer for the service. The centers are kept open early in the morning till late in
the evening so that these patients can get the benefit out of the same.It was found that the people suffering
from tuberculosis cannot get themselves treated for a simple reason that the conventional centers work in a
time schedule which does not suit most of the patients who belongs to labour class. Their timings are quite
typical and they cannot visit the conventional medical centers for their treatment. The situation of the
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patients is very poor as they cannot afford the expensive medicines as they have to earn their living on a daily
basis. They cannot afford to miss their work even for a single day. The women and children are the worst
sufferers.
Presently, the following areas are covered under the project and DOT centers at Nangli, Sakrawati,
Dharampura, Roshanpura, Paprawal, Prem Nagar, Gopal Nagar, Jai Vihar, Naya Bazaar, Maksudabad,
Surakhpur and Kaair have been established and operational. A total of 1121 cases of category I, II, and III are
getting treatment from these DOT Centres.
Particulars
Total No Of Patients who came to the DOT Centers
Numbers
1121
No of Cured or completed full dose of the treatment
973
No of Defaulters
No of Failure cases
23
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No of people migrated out
04
No of Death cases
05
No of patients Left Place
03
No of Ongoing cases
114
C. HIV/AIDS
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a. Targeted Intervention (TI-Migrants):
The Targeted Intervention project is sanctioned by the Delhi AIDS Control Society (DSACS) for covering 10000
Migrants of South West Delhi district of Delhi with an objective to learn about the knowledge and Perception,
identifying migration locations, providing them information about HIV/AIDS, STI, safe sex practices during
migration and linking this population to the public health services to preventing Sexually Transmitted
infection, Integrated Counselling & Testing Centre, Anti Retro Viral Therapy.
As far as today concern, in India is the second highest number of HIV positive People in the world, is
characterized by widespread and fluid migration and mobility. It is the worst and deadliest disease that
humankind has ever experienced. Having a population of around a billion, an increase in 0.1% of HIV
prevalence would mean an increase by over half a million in the HIV-infected patients. HIV/AIDS in India is
heterogeneous with respect to the vast geographical stretch of the country, differences in the income,
gender, occupational structure, and socio-cultural variations.
Migration plays an important role in the spread of HIV infection. Thus, Migration is widely recognized as one
of the main highlighted facilitating conditions of HIV transmission. The Improved understanding of the
linkages between migration and HIV risk factors is critical to control further spread of AIDS.
b.
Targeted Intervention (TI-FSWs)
The Project area is located in Najafgarh block of South West Delhi. Sex Worker are located in two villages
namely Premnagar (Rewla Khan Pur) and Dharmpura. The inhabitants of these areas belong to Prena Tribe
and migrated from Gujrat, Rajastan and Haryana about 50 years back. At present their population in prem
nagar is about 800 and in Dharmpura nearly 300. Both the men & women are mostly illiterate and children
also do not attend school. Near about 85% women are engaged in commercial sex work. The target group of
the project is female sex workers (approximately 500) in the identified sites.
Women engaged in sex work are in the age group of 18 to 45 years. There is no noticeable power dynamic
within the target population. They do not interfere in each other activities. The target population in both
identified high risk sites has interred relationship. The people living in prem nagar and Dharmpura are
relatives. There seem no conflicts and rivalry with their own community. Sex worker in the project area
operate in clandestine manner majority
however operate in two ways firstly, they get clients at their places
mostly after sunset and secondly they go to the different fixed points
in the city, Where they get clients
through contacts or solicit. Their clients are mainly truckers (from fixed points at N.H.8), Soldiers of boarder
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security Force (from BSF Camp), young men from nearby villages and men from areas like Raja Garden,
Uttam Nagar, Janak Puri & Dwarka.
The sex work in the project area is typical as it is not brothel based. It looks unorganized but actually it is
highly organized. Women’s involvement in commercial sex work implies multiple partners and almost no
condom use poses high risk for both the sex worker and their clients. Another high risk factor found among the
target group is that most of them consume liquor, which increases the risk of spread of HIV amongst the sex
workers and their clients. The first and for most is manner in which the trade operates in clandestine. There are
negligible health services in the area which address the needs of the women. The Knowledge about HIV
among the clients & sex worker is low to moderate. There risk perception is low.
The police and public opinion is negative and repressive. There is no health care facility available in the area.
It is reported that sex workers visit far away doctors. Condom negotiation skills are not existence and pressure
to do sex with out condoms make it high risk activity for sex workers and clients. Clients refuse to use
condom, Mostly sex workers admit that client perceive condoms as useless. The findings of study indicates
that an intervention to slow down the spread of HIV in the area.
Project strategies
1. Outreach
Inter Personal Communication: Through peer leaders and outreach workers, one to one and one to group
sessions will be given to the identified high risk migrant individuals in the destination. Key messages will be
related to information on HIV/STIs, risk perception focusing on consequence of risky behaviour, condom,
treatment behaviour, key
services and programmes etc. This will be an intense process requiring repeated interaction with the primary
stakeholder focusing on behaviour modification.
• project area would be divided into a number of clusters of congregation points
• Each pee leader will be assigned these clusters
• Trained peer leader will conduct IPC/group sessions ( at least 20 sessions per month – reaching
maximum of 200-250 migrants) -15 Peer leaders
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• Trained ORW will conduct sessions before and during the health camps ( i.e. 15 campsite sessions
reaching maximum of 150-200 migrants) and in DICs – 5 ORWs
• Outreach also happens in work settings in collaboration with the work place manager, union leaders
Mid Media Campaigns: Mid media techniques will be used to create interest and generate awareness among
large number of people. Mid media campaigns are excellent approach to provoke discussion and reflection
among the community members on key issues related to HIV prevention and care.
Drop in Centre cum Information Booth: Drop in Centre cum Information booth will be established at the
key spots where the migrant groups would congregate depending on the sectors of employment being
addressed to reach the migrant groups.
This will be a hub where services such as counselling as well as HIV related information will be made
available to the high risk migrants groups. There will be opportunity for recreational facility within these
centres which will attract the migrant to drop in and access services.
Distribution of IEC/BCC Materials: IEC and BCC materials will distributed according to the needs of the
community and the migrant group for whom it is being made. IEC materials will receive from DSACS.
2. STI/Clinic services:
Health Camps: Health camps will be organized with the support of Labour Unions, contractor association,
youth clubs etc for identifying and treating any STIs in the community. The health camps will be for treatment
of general illness, but doctor will be trained to identify symptoms of STI and treat. This will be used as an
opportunity to provide information on HIV and other STIs. Revolving fund is made available to procure drugs
at the rate specified by the State and the same need to be purchased by the migrant clients at no profit basis.
Similarly funds have been made available to procure basic medical equipments as prescribed by STI division
of SACS at the rate prescribed by SACS for use of examination of cases, general check up in camps. A
maximum of 3-4 part time doctors can be engaged for health camps, they are to be trained by STI division of
SACS.
• Clinics can be operated in PP doctor’s clinics, contractors/work place premises, residence area of the
migrants, DICs.
• Clinic timings shall be fixed for at least one quarter.
• Clinical services will be mixed with counseling, outreach sessions, events.
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• Medicines would be provided based on cost recovery basis.
• Cost of medicines would be decided as per State requirements.
3. Condom promotion
Condom Programming: Condom services will be provided through establishing condom outlets. Wherever,
Social Marketing Organization (SMO) is existing, their support will be sought to accelerate condom
distribution as well as for demand generation. Besides this, efforts will be made to increase the access to
condoms by starting condom outlets in the shops in the destination points and ensuring regular supply
through the company hospitals. Following are some of the key steps in promoting condoms at destination:

Focus on demand generation for condom usage within the community through IEC activities

Identifying and prioritizing spots for initiating condom outlets

Improved accessibility to condom by opening more number of condom outlets

Supply chain management, including sustainable system for monitoring condom outlet, system of
stocking and refilling the condom outlets at Contractors sites/Work place/Video parlors etc
4. Networking & Linkages
Linkages with HRG interventions & DAPCU:
Focused activities will be undertaken by the intervention team to ensure regular sharing of information with
TI HRG interventions in the same locality regarding the following:
-
Barriers to condom use
-
Knowledge and attitude of migrants’ clients towards risk acts
-
Attitude towards STI and ICTC
17
-
Information about the profile of migrant clients for triangulation of information within the
destination as well as with source.
STI treatment and Management: STI treatment service will be provided through the existing government
public health delivery system. The Peer Leaders will be trained to provide counseling related to management
and prevention of STIs.
Linkages with Preferred Providers for STI services: A chain of preferred providers has been selected and
trained by State AIDS Control Societies and they are available for providing treatment services. Besides, social
marketing of STI drug kits is being implemented through these providers and the migrant interventions can
be linked to this programme. The list of the service providers can be obtained from SACS for linkage.
Linkages with Company Hospital/ ESIC Facilities: The management will be sensitized and motivated to
provide free treatment services through the company hospital or health care facilities available with ESIC to
migrant and informal workers, especially for STI treatment.
Referral System: Referral system will be strengthened between the source and destination through the
introduction of health card system. Using this, individual migrants cases will be tracked through corridors of
migration. Web based system will be introduced to track access to service from the project team both at
source and destination. The system will be piloted in one of the corridors which have the highest volume and
risk profile. If it s found to be working, will be scaled up to other corridors.
Active referrals for treatment services related to HIV: Public medical infrastructure where HIV related
services are available will be linked up (Government ART Centers, CCCs, PPTCT clinics, ICTC etc). Linkages also
will be built with any of the CSOs program for HIV prevention and care available within the district.
Linkages with Company Hospital: The management will be sensitized and motivated to provide free
treatment services for the PLHIV through the company hospital to migrant and informal workers. The hospital
will be linked to government programmes that provide ART medicine and motivate the company
management to include among its free medical services also ART medication, PPTCT services, counseling to
PLHIV and their family etc.
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Psycho-Social Support Services Linkages also will be made with PLHIV networks so that infected migrants will
be linked to various service components through the network. Through this linkage peer counseling support,
group therapy, capacity building and financial support for livelihood options etc will be made more
accessible.
5. Capacity Building
 To contribute to the Capacity building of the staff by providing skill building trainings.
 Orientation training of recruited staff.
 Orientation training of selected PLs.
Achievements during 2013-14
Total No. of HRG registered
in Project upto reporting
month
No. of New HRG registered in
month
No. of HRG drop out in the
month
No. of individual HRG
contacts twice in a month
3672
3609
3609
3609
0
0
0
2
10
0
4172
3576
3572
1071
1076
No. of individual HRG
accessed clinical services in 1107
month
No. of individual HRG treated
for STI with syndromic 23
management in a month
No. of individual new HRG
given Presumptive treatment 6
in a month
No. of individual HRG, which
accessed clinic after gap of
six month and not found any 13
symptoms of STI during RMC
29
0
3324
1074
27
34
23
0
4
12
0
0
0
19
No. of individual HRG, which
accessed clinic after gap of
six
month
provided
presumptive treatment
No. of individual HRG
screened for syphilis in a
month
No. of individual HRG found
positive for syphilis in a
month
No. of individual HRG treated
for syphilis in month
10
13
52
0
47
5
28
0
0
1
0
52
48
28
No.of individual HRG tested
36
for HIV in a month
187
90
No. of individual HRG found
0
positive for HIV in month
1
0
No. of individual positive
HRG linked with ART (having 0
pre ART registration No.)
Condom demand for month
by TI for HRG as per master 176916
register
Actual No. of total condom
141905
distributed to HRG
0
169150
146499
No. of HIV positive in below
0
25 years of age
0
0
Expenditure incurred
month as per SOE(in Rs.)
410342
394891
12
13
No. of Review Meeting
12
Conducted in the Month
No.of HRG participated in
DIC Meeting (Excluding Staff 103
and Peer Educators)
No.of HRGs participated in
Hot Spot Meeting (Excluding 457
Staff and Peer Educators)
No. of Days Clinic Conducted 39
No. of Individual HRGs
Counseled
by
1107
ANM/Counselor
in
the
Month
187
0
0
177024
397327
0
0
176184
in
565
178776
64800
0
428322
14
119
111
110
703
467
476
38
41
1090
1076
39
1122
MRYDO also recently started running a programme for FSWs in Patiala under Punjab AIDS Control Society
20
D.
Project on Child Rights
MRYDO recently started working in Cotton Farming districts of Hariana(Hissar and Fatiahabad) on Child Rights
with the support of Save the Children, Bhatinda . MRYDO is working here for strengthening the Child
Protection Mechanism in the Targeted Area, Ensure proper implementation of ICPS, identify out of school
children and mainstream them, try to create an environment which will encourage abolishing child labor,
Strengthening CPCs at different Level in the District.
Head Office:
81 A, Block-B, Phase-III, Prem Nagar,
Najafgarh, New Delhi – 110 043. India
Ph.No. +91 11 28010283
email: [email protected]
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