1. Self Care Groups (SCG) in NLR Supported Districts of U.P. Staff Updating & Review Meeting at YWCA of Delhi Ashoka Road, New Delhi 3 rd - 5 th May 2010 Mr.K.N.Chakra borty N.M.S. N.L.R.India,Lko.

2. Outline of Presentation Introduction Map of U.P. Outcome of SCG cohorts Need For Physical Rehabilitation Need For Socio-economic Rehabilitation Problems encountered and their solutions Unsolved problems Plan of Action for the year 2010 Gantt Chart of activities for the year 2010

3. Introduction Total No. of Districts in U.P. - 71 NLR Supported :-34, TLMI Supported :- 37 No. of districts with PAL Homes: NLR- 15,TLMI - 15 No. of PAL Homes in these districts: NLR -30, TLMI - 42 No. of PAL Homes identified till April 2010 NLR :- 30, TLMI:- 02 No. of SCGs Completed 3 months but less than 6 months 24 No. of SCGs Completed 6 months but less than 9 months 04 No. of SCGs Completed 9 months but less than 12 months 02 No. of SCGs Completed 12 months NIL No. of PAL homes where PALs have started SC practices in groups NLR :- 28 & TLM :- 02

5. “ Self care in Villages” Project Area of U.P. :- Only 10 out of 34 districts. Target population :- 15 GHC staff, 20 PALs & 20 PALs attendants/ family members in each PHC/CHC in each district. Total 150 GHC staff, 200 PALs & 200 PALs attendants involved. First Self care training cum practice workshop has been organised at CHC Kalyanpur, Kanpur on 21-22 April 2010, where 16 GHC staff,03 NMS from NLR, 25PALs & 24 attendants participated. Facilitators:- NLR NCR Dr. P.R.Manglani, NLR NCSCG Mr. Dikshit & State ILEP Co ord. Dr. H.C.Pandey.

6. Contd….. Observers:- Dr. Anrik Engelherd, Medical Advisor, NLR, Amsterdam,Dr. M.A.Arif. C.R. NLR, Dr. Rashmi Shukla, state NLEP Coordinator. Support from NLRF:- Technical expertise, organizational costs, costs of Tub & other logistics. Output:- PALs were confident that they could learn & practice self care at home. GHC staff could learn the skills also motivated to supervise & monitor self care practices done by PALs.

7. Need Assessment for Physical Rehabilitation as per PALs requirement StateItems required TubMC R GogglesCrutchesWheel chair Tri- Cycles Artificial Limbs Grip aids U.P.480451534708471242

8. Need Assessment for Physical Rehabilitation as per PALs requirement StateItems provided TubMCRGogglesCrutchesWheel chair Tri- Cycles Artificial Limbs Grip aids U.P. 440 + 07 Nil300207Nil 24 Note :- only 13 out of 31 PAL Homes where provided self care materials ( bandage & ointment / Lotion ) by NLR.

9. Problems Encountered & Solutions S. No. Problem encounteredHow it was solved 1All PALs are Beggars, Less time for Self Care Practices Counseling of PALs with Demonstration of Self Care Practices. 2Govt. Staff is Unwillingly to visit PALs Home DLO requested to ensure staff attend PALsHome. I have made personal rappo with Govt. Staff. 3Few colonies practicing self care in a month ( 40-50% ) Draw attention of Failitator & requested Pradhan / Gr. Leader to ensure more practices done by PALs. 4Poor supervision & monitoring by Facilitator Requested DLO for frequent visits & free from others charge.

10. Unsolved Problems S. No. Problem encounteredWhat did you do to solve the problem? 1MCR shoes not provided till date To be provided by NLR. In this regard sending mails ALERT INDIA & NOVARTIS. 2As per need assessment of Physical Rehab. Of PALs Items not provided Only few items provided & others to be provided by NLR.

11. Educational Support Mr. Divakar s/o Mr. Lallu Prasad, residing at Gandhi Gram Kushth Ashram, Taj Ganj, Agra has been supported by NLR Foundation, New Delhi for studying in Computer from DOEACE Society, Chandigarh at Lucknow Branch. 1 st Installment given on 27 th April 2010 ( Rs. 19,730) Fees for DOEACE Rs.15,000/- & rest amt. for 1 st Qrt. Conveyance of Divakar.

12. Photographs of Mr. Divakar for Educational Support

13. Photographs for items provided at Asylum Kushth Ashram, Moradabad

14. Photographs for Facilitator training at Varanasi DLO office 25-26 February 2010

15. Practical demonstration for Facilitator training at PAL Home, VNS on 26 Feb’10

17. Self care practice done by PALs at Deoria PAL Home

18. Addressing participants by NLR, Medical Advisor, Amsterdam on Self care training cum practice workshop at CHC Kalyanpur, Kanpur.on 22.04.10

19. Observers photographs for Self care training cum practice workshop on 21-22 April 2010 Observers photographs for Self care training cum practice workshop on 21-22 April 2010

20. Few photographs for Self care training cum practice workshop at CHC Kalyanpur, Kanpur

21. Demonstration by NLR, NCR Dr. Manglani for Self care training cum practice workshop Demonstration by NLR, NCR Dr. Manglani for Self care training cum practice workshop

22. Demonstration by PAL for Self care training cum practice workshop at CHC Kalyan[pur, Kanpur

23. Self care practice demonstration by NLR, NMS during workshop

24. Demonstration by Mr. Yadav for caring anaesthtic hands & using aids & appliances

25. Ulcer dressing by Mr. Chhetri

26. Observers advised PAL’s for Hands disability