Self Care Groups (SCG)Self Care Groups (SCG)inin

NLR Supported Districts NLR Supported Districts of of U.P.U.P.

Staff Updating & Review Meeting

at YWCA of DelhiAshoka Road, New Delhi

3rd - 5th May 2010Mr.K.N.Chakra borty

N.M.S.N.L.R.India,Lko.

Outline of Presentation 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

Introduction Introduction Total No. of Districts in U.P. - 71Total No. of Districts in U.P. - 71

NLR Supported :-34, TLMI Supported :- 37NLR Supported :-34, TLMI Supported :- 37No. 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 SCGsCompleted 3 months

but less than 6 months24

No. of SCGsCompleted 6 months

but less than 9 months04

No. of SCGsCompleted 9 months

but less than 12 months02

No. of SCGs Completed 12 months

NIL

No. of PAL homes where PALs have started SC practices in groupsNLR :- 28 & TLM :- 02

“ “ Self care in Villages”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.

Contd…..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.

Need Assessment for Physical Rehabilitation Need Assessment for Physical Rehabilitation as per PALs requirementas per PALs requirement

State Items required

Tub MCR

Goggles Crutches Wheel chair

Tri-Cycles

Artificial Limbs

Grip aids

U.P. 480 451 53 47 08 47 12 42

Need Assessment for Physical Rehabilitation Need Assessment for Physical Rehabilitation as per PALs requirementas per PALs requirement

State Items provided

Tub MCR Goggles Crutches Wheel chair

Tri-Cycles

Artificial Limbs

Grip aids

U.P. 440+ 07

Nil 30 02 07 Nil Nil 24

Note :- only 13 out of 31 PAL Homes where provided self care materials( bandage & ointment / Lotion ) by NLR .

Problems Encountered & SolutionsProblems Encountered & SolutionsS. No.

Problem encountered How it was solved

1 All PALs are Beggars , Less time for Self Care Practices

Counseling of PALs with Demonstration of Self Care Practices.

2 Govt. Staff is Unwillingly to visit PALs Home

DLO requested to ensure staff attend PALsHome.I have made personal rappo with Govt. Staff.

3 Few colonies practicing self care in a month ( 40-50% )

Draw attention of Failitator & requested Pradhan / Gr. Leader to ensure more practices done by PALs.

4 Poor supervision & monitoring by Facilitator

Requested DLO for frequent visits & free from others charge.

Unsolved ProblemsUnsolved Problems

S. No.

Problem encountered What did you do to solve the problem?

1 MCR shoes not provided till date

To be provided by NLR . In this regard sending mails ALERT INDIA & NOVARTIS.

2 As per need assessment of Physical Rehab. Of PALs Items not provided

Only few items provided & others to be provided by NLR.

Educational SupportEducational 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.

• 1st Installment given on 27th April 2010 ( Rs. 19,730) Fees for DOEACE Rs.15,000/- & rest amt. for 1st Qrt. Conveyance of Divakar.

Photographs of Mr. Divakar for Educational SupportPhotographs of Mr. Divakar for Educational Support

Photographs for items provided at Asylum Kushth Ashram, MoradabadPhotographs for items provided at Asylum Kushth Ashram, Moradabad

Photographs for Facilitator training at Varanasi DLO officePhotographs for Facilitator training at Varanasi DLO office25-26 February 201025-26 February 2010

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

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

Self care practice done by PALs Self care practice done by PALs at Deoria PAL Homeat Deoria PAL Home

Addressing participants by NLR, Addressing participants by NLR, Medical Advisor, Amsterdam on Self care training cum practice Medical Advisor, Amsterdam on Self care training cum practice

workshop at CHC Kalyanpur , Kanpur.on 22.04.10workshop at CHC Kalyanpur , Kanpur.on 22.04.10

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

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

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

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

Self care practice demonstration by NLR, NMS during workshopSelf care practice demonstration by NLR, NMS during workshop

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

Ulcer dressing by Mr. ChhetriUlcer dressing by Mr. Chhetri

Observers advised PAL’s for Hands disabilityObservers advised PAL’s for Hands disability