SUKARYA

BEHTAR SWASTHYA BEHTAR SAMAJ

Sukarya
Sukarya, is a non-governmental development organization working on issues affecting the health status of rural and urban communities in Haryana since 1999. Registered in 2001, the focus of our work is primarily to improve the health status of urban and rural poor by making primary health care services at both preventive and curative levels accessible to underserved and marginalized communities.

VISION
The Vision of Sukarya is health for all- 'Behtar Swasthya Behtar Samaj; a society where everyone has access to basic health care services and the fundamental development need of communities are adequately met. Our interventions are aimed at ensuring equitable access to quality health services to all including the poorest sections of the society, especially women, adolescents and children.

Our Objectives
To advocate, encourage and guide positive 'health-seeking
behavior' with special emphasis on overall health and wellbeing. To improve maternal and child health through training, awareness campaigns, workshops, and health related education. To advocate, promote and sensitize communities on Primary Health Care, Reproductive Child Health and Community Health issues. To empower women by strengthening their physical, mental and emotional well-being and economic security. To initiate and implement social and community development activities in the field of healthcare, income generation for women as well as informal education for the weaker sections of society. To provide humanitarian assistance in areas affected by natural calamities such as cyclones, earthquakes and floods.

OUR TEAM
The team of Sukarya includes volunteers, professionals, consultants, doctors and the working staff.

Board of Trustees

Ms. Meera Satpathy Chairperson

Ms. Kumkum Bhatia Trustee

Mr. Debabrata Satpathy Trustee

The list of volunteers is as follows:

Mr. D. S. Kataria

Mr. Asit Tarkhad

Ms. Pushpa Indernath Ms. Renu Sood

Ms. Shipra Shukla

Ms. Neelam Kapur Ms. Santosh Sharma Ms. Reva Puri Ms. Varsha Tarkhad

Ms. Rashmi Narayan

Mr. Naresh Wadhawan Ms. Madhu Kataria

Advisory Committee
Mr. C.B. Satpathy, Retd. DGOI police ,Working as advisor corporate strategy and security Mr. S.K. Kain, I.P.S., Retd. DG Police, Worked as special commissioner WIP services, Delhi, Member, PGC Delhi Dr. Aasha Kapur Mehta, Professor Economics in IIPA, lecturer since 1975,Delhi University, Reader in IIPA 1997- PRESENT

Dr. Suraj Kumar, National Programme Officer, UNDP, India Country Office, Delhi.

The list of Project staff is as follows:

Mr. Shahnawaz Shahid BCC Coordinator [RCH Project] Mr. Dharmveer Yadav Assistant BCC Coordinator [RCH project] Mr. Satnam Singh Programme Manager [SHG & Health Initiative Projects]

Ms. Renu Bisht Mr.Fahad khan -

Coordinator [SHG Project]

Field Supervisor [RCH Project]

Mr. Devendra Sharma Accounts cum Administration Officer

Mr.Pawan Kumar Mr. Bunyad Ahmad Mr. Naresh Kumar Mr. Mohd. Iqbal Ms Geeta Sharma -

Field Supervisor [ RCH Project]

Field supervisor [ RCH project ] Field supervisor [ RCH Project] Field Supervisor [ RCH Project] Field supervisor [SHG Project]

Sukarya initiated its activities in 1999 by conducting various Health Camps, Health Melas and Free Medical Services including free distribution of medicines in various slums of Delhi and Gurgaon with the help of expert team of doctors. Subsequently Sukarya has been implementing Income Generation and Life Skills Projects in Gurgaon and covering JJ slum clusters in DLF Phase-V and villages of Kanhei, Wazirabad, Ghata, Tighra and Shamaspur.

PROJECTS AND ACTIVITIES

GRASSROOTS INTERVENTION

PERI URBAN INTERVENTION

GRASSROOTS INTERVENTION
A. Improving Reach and Access of RCH and FP services with Quality of Care in partnership with Population Foundation of India (PFI) B. Men as Partners in Improving the health Status of the Rural

Communities, this project is supported by Concern India Foundation

and Amadeus India. D. Better health through Community based health E. Women empowerment by strengthening self help Foundation and Godfrey Phillips India Limited centre, this project group and micro is supported by Charities Aid Foundation and Incentive Destination

enterprise development, this project is supported by Charities Aid

Improving Reach and Access of RCH with Quality of Care

This project is a direct implementation project by Population Foundation Of India with active partnership of Sukarya. The project is of 3 years period and covers a population of 50,000 which includes 29 villages of Nuh and Tauro Block of Mewat District. The goal of the project is to improve the reproductive and child health and family planning status in Mewat.

Cluster no.

Sl.no.

Cluster-1

Cluster-2

Cluster-3

Block 1Taoru 2Taoru 3Taoru 4Taoru 5Taoru 6Taoru 7Taoru 8Taoru 9Taoru 10Taoru 11Taoru 12Taoru 1NUH 2NUH 3NUH 4NUH 5NUH 6NUH 7NUH 8NUH 9NUH 10NUH 11NUH 12NUH 13NUH 14NUH 15NUH 16NUH 17NUH

Cluster-1

Cluster-2

Cluster-3

List of village for direct Implementation in Mewat Village Bissar Akbarpur Para Kalwari Sheikhpur Hasanpur Sabras Guddhi(Guddha+Nihalgarh) Khark Sunthaka Beri Nisfi Jafarabad Goela Total population Untka Murad bas Baroji Bai Meoli Kherla Khori nuh Salamba Salaheri Ferozpur Namak Cahndni Saidan Palla Sonkh Biwan Tapkan Rehna Total population G.Total population

Population(2001) 2823 867 2562 292 2746 1108 1089 193 51 361 904 1123 14119 965 1608 489 1728 5569 3161 126 5093 3848 5102 3026 702 1278 1018 625 2429 2734 39501 53620

Under the community health program, Sukarya is implementing a project in the most backward and the deprived district of Haryana, Mewat. Mewat is the land of the Meos, who have their genesis in the Meo tribals, who are basically an agriculture based society. The area has a distinct ethnic and socio-cultural tract. Historically, the region has had an extremely turbulent history and has been subjected to repeated invasions. The destruction and devastation over the centuries has resulted in backwardness and gross underdevelopment both in the area and its people. Sukarya initiated its work in Mewat District from June 2008. Our project objectives focus on male partnership and participation in improving the overall health status of rural communities. The thrust of the project focuses on health education and awareness. Male health groups will play a key role and will provide platform for health education to identify health issues and problems and to take actions at the ground level for seeking health products and services.

Major activities till now

A baseline survey has been conducted by an external organization to understand the health status prevailing in the area in the month of June, July and August.

The project reaches to a population of 29000 in 13 villages of Tauro Block of

Mewat District. 8 male health groups have been formed and are active. 2336 females and 2228 males have visited the camps and have been benefited Diagnostic test like X-ray, ECG , blood and urine test has been conducted for

400 people

Better health through Community based health centre

A number of programs have been initiated by policy makers in India since its independence to bring about positive change in the health of the citizens of India. A huge amount of money has been spent to provide quality health services to the rural population of the country. However, there is still a large proportion of rural population that is deprived of it. For instance Bandhwari, a village with a population of 5000, which falls on the Gurgaon-Faridabad highway, 18 kms from Gurgaon, has residents who were entirely dependent on quacks for primary health services. There was no clinic or dispensary in the village. Even the transport facilities in the village are very poor. Taking these facts into consideration, Sukarya started a small but important joint venture in the village with the support of CAF and Incentive Destinations.
The goal of the Project was to increase awareness and improve in the overall health of the gram panchayat of Bandhwari. In order to achieve the goal in a perfect manner, we worked with a well planned strategy. A health centre was established for the people of Bandhwari, with an M.B.B.S doctor and a medical dispenser, active five days in a week. To strengthen community participation, four community health workers were selected from the village itself. These health workers played a vital role in bringing needy people to the health centre and in conducting the follow-up of these patients. To address the issues related to womens health, visits by a female specialist doctor were scheduled twice in a month. Further, IEC material is also being developed to generate awareness related to health and sanitation.

Achievements till now

More than 3500 household from the village benefited from the services of the

Health Centre like health check ups, provision of quality and effective medicines, counseling by the doctor and the medicine in charge and time to time follow up by the project staff. 3000 patients have received the treatment during the last two years including 995

women and 746 children. Patients are benefited by the mobile health clinic
services. More than 70% of the patients paid the user friendly fees of Rs.10 in the health centre. Counseling and one to one interaction has been conducted with at least 50% of

the patients visiting the clinic. One to one counseling on health has lead to
improvement in the levels of personnel hygiene amongst people in the community.
cont..

 Increase in the awareness level regarding good health, nutrition, safe drinking water,

sanitation, immunization and pregnancy care. Increased heath seeking behavior in the community. Patients started visiting the

health centre and the government dispensaries for primary health care services.
The women from the community were particularly satisfied with the visit of 2 lady doctors twice in a month in the health centre. This opportunity gave them ample scope to discuss their health problems freely with them.

Women in the rural areas of Haryana have very little control over their lives. They have no power to take part in the process of decision making in family matters. Dependency on male members of the family can be seen in almost every sphere of their lives. These facts have motivated Sukarya to do something for rural women in the economic front, as economic self reliance has been considered a crucial factor in realizing the goal of women empowerment. A pilot project on women empowerment by strengthening self help groups and vocational training was an ambitious step toward this direction. Three self help groups and one vocational training group were formed under this project. Apart from the saving, two self help groups are involved in income generation activity of spice and cereal making. The prepared spices and cereals are sold by putting stalls at various corporate offices, housing societies and at the village level. An adolescent group having 15 members underwent six months training of a beautician course under an experienced and a trained teacher. The Beauty Parlor course was provided to the adolescent girls with an objective to provide them with the basic skills of a beautician.

Achievements
Bank linkages have been created for 3 self help groups. 2 self help groups have been

given a revolving fund of Rs.11,000 each 44 women directly and almost 220 people indirectly are getting monetary benefits. 2 self help groups are running their spice centers successfully in Bandhwari and Waliawas villages. There is an increase of Rs.500 in the monthly income of the 16 women involved in the spice and cereal making enterprise.

15 Adolescent girls have successfully undergone the vocational training on Beauty

Culture. The women now have a platform where they can discuss their problem and find a

solution. They get opportunities to recreate themselves as a group.

cont..

 There is a significant change in the confidence and mobility of the women who belong to self
help group. Now, they have the capacity to go bank independently. The same women who had the hesitation to come out of the four walls, now with immense confidence go to the corporate offices and sell the spices. There is an active participation from the community through this empowerment program. Firstly, the training venue has been a contribution to the project from the villagers. Secondly the SHG women and their family members were active participants in the program by directly involving in the program. The rest of the community was actively participating by their supporting the promotion of the products (spices) by regularly buying them and building more customers. There is an increased awareness among the self help group members about health, nutrition, personal hygiene, numeric and calculation skills, self confidence and mobility.

RECENTLY COMPLETED PROJECTS

A. Reduction in the prevalence of Anaemia an

important factor of maternal mortality and morbidity

B. Promoting Rural Health by Health Promotional Camps

Under the reproductive child health program, Sukarya is implementing a pilot

project to reduce the prevalence of anemia among pregnant women, lactating mothers and adolescents. The project aims to reach 30000 people in 10 villages of Gurgaon distict in Haryana. It was initiated in May 2006 and its projected duration is of 3 years. The project focuses primarily on behavior change communication to effectively motivate the target group and high risk people. This is done by promotion of knowledge, by encouraging the

adoption of healthy practices and the provision of needed health products

and services at the community level for anaemia reduction. This project is supported by the Population Foundation of India, New Delhi.

Achievements
Till July, 2009, the project has reached out to 1674 pregnant women, 2087 lactating and 2979 adolescents.

The project has educated and brought awareness on anemia,

nutrition, safe motherhood, safe delivery and post natal care to

10000 women and their families.

2176 pregnant, lactating and adolescents have undergone hemoglobin tests by Sahlis method. 2439 pregnant, lactating and adolescents has been provided with iron folic acid tablets

1255 adolescents has been de wormed from the project on a

regular basis

 757 lactating women has been de wormed from the project

2047 pregnant and lactating women has been counseled by doctor

and nutritionist during the anemia camps

297 pregnant and lactating women have bought and are using iron
pans on a regular basis. 605 families are using double fortified salt on a regular basis 419 serious anemic cases (pregnant and lactating) has been referred and treated in the project.

Liasioning with the health department on a regular basis for better

coordination and utilization of the local level health services like

regular availability of IFA Tablets from the PHC, availing the services
of the government ANM and availing the facility of delivery huts.

The end line survey of the project was done by a third party and Sukarya was successful in reducing the prevalence of Anaemia by 65%

Sukarya has been implementing a project titled Delivering Health Services by a Mobile Diagnostic Clinic in six villages of the Pataudi block from April 2007 to May, 2008. This was the first intervention where Sukarya has initiated the mobile clinic services in the rural areas of Haryana. Before the intervention of the project, meetings were conducted with District commissioner, District Development and Panchayat officer and Chief Medical Officer to seek their support and guidance for implementing this project. It was a conscious decision taken by Sukarya to work in the Pataudi Block. It was the first mobile clinic intervention with Sukaryas initiative, without any support from donors. After visiting the villages in Patuadi Block and conducting a few group discussions with stakeholders, six villages were short listed for the implementation of the project. The list of the villages is as follows:
Sl. N o 1 2 3 4 5 6 Name of the village Population

Bapas Titarpur Dhani Pahari Nanukhurd Daulatabad Khetiawas

1110 317 2011 1033 1066 1068

Source of data: CHC, Pataudi

Achievements
A

total of 18 camps were held in which total 651 men and 738 women were benefited from the camps. in the health seeking behavior was observed in the community. The people took their initiative to attend the camps, complete the course of medicines and follow up with the doctors. number of people from the community was aware about the government services and was benefiting from the service. number of women were going for their pre natal check ups and taking the TT injections. cont

Improvement

More

More

 More

number of women were opting for institutional deliveries

The community became more cognizant about nutritive diet The elderly people, including both the women and men were benefited by the inputs by the physiotherapist, who regularly took the physiotherapy treatments for their joint and arthritis problems

PERI URBAN INTERVENTIONS

A. Reaching to the urban slums by Sukarya Sehat Centre B. Health check-up of students in schools run by other NGOs supported by Concern India Foundation and the Bird Group

C. Pahal project in Saraswati Kunj Slums Aector 53, DLF Phase-V

Gurgaon supported by Concern India Foundation and the Bird

Group and Hughes Systique
D.Physiotherapy Unit An alternative Treatment E. Women's Income Generation Group - Spice Making Project

Better healthbetter society is the one line statement of Sukarya. So, in order to strengthen its statement, the Sukarya Sehat Centre

was inaugurated in 2005 in Sukaryas premises at Sushant lok. Since

then, the Sehat Centre has been doing exemplary work and is well

known for its service to poor and needy people.Sukarya Sehat

Centre was inaugurated in 2005 in Sukaryas premises at Sushant lok. Since then, the Sehat Centre has been doing exemplary work and is well known for its service to poor and needy people. A general practitioner is available 3 days a week between 10:30-1:30.

MAJOR ACTIVITIES
A general practitioner regularly attends to children (5 -15 years) from a nonformal education centre called Sankalp based in slums of DLF phase V, Gurgaon. On Saturdays, the doctor of the health centre goes to the Saksham School, Sushant Lok for a check-up of all the 120 students and teachers of the school.

Sukarya provides health check up facilities and counseling to all the HUMANA People to People India non-formal schools running in Gurgaon. These schools are running in Chakarpur, Jharsa, Sector 39, Basai Road. Sukarya provides health facilities to approximately 700 students of various HUMANA schools.
Sukarya is providing health check up facilities to 300 students in a school adopted by ICF (India Citizen Forum) in Nathupur.

Saraswati Kunj Slums has a total of 640 juggis with a population of 6040. Sukarya is providing basic health care facilities to Saraswati Kunj slums through a sehat centre. Counseling sessions are also done on a regular basis. A health card is maintained for each family.
Activities Formation of men and women Health Groups one men and one women group in the village (Swasthya Samuh) Capacity building of health groups Development of IEC materials and wall writings Health education sessions in health groups Health education sessions in schools Individual and group counseling sessions Organizing Health camps and Diagnostic Health camps, and visits of specialist doctors Networking and linkages with government health institutions like PHC, sub centers, delivery huts, CHCs, government hospital Networking and linkages with charitable and private clinics Strengthening the referring system

General Health camps will focus on: Health Check up by doctor Free distribution of medicines Close follow up of patients Health education sessions Diagnostic Health Camps will focus on: Free consultancy and check ups by doctors Free distribution of medicines by well trained medicine dispensers Lab test facilities like the blood, stool, urine, ECG and X- Ray has been provided by the mobile clinic for the community. Free haemoglobin check up for all women in the camp was held to understand the anemia status in the villages Health education to women, school children and men on nutrition, personal health and hygiene, community sanitation, safe deliveries and immunization by talk shows, documentary films, leaflets and pamphlet distribution in the community was held. Referring serious patients to government hospital Counseling sessions of serious patients were conducted on a regular basis.

The Physiotherapy Unit was started on 15 August, 2005, and operates in the premises of
Sukarya. The unit caters to 200 patients from rural and urban areas per month on average. It has been functioning successfully for the last three years. The unit is open five days a week

from 9.30 am to 5.30 pm. We have a well motivated team that consists of development
professionals, a physiotherapist, volunteers and a support staff who execute their tasks in an efficient manner. We serve almost 200 patients in a month. We use our organizations vehicle to

bring marginalized people into the physiotherapy center. Our chief beneficiaries are the people
residing in the slums of Gurgaon. Neemtala, Nalapur, Saraswati Kunj, Sector-56 and Phase V. Our main focus is on the women who remain work continuously through the day domestic

help, at farms as laborers and at home. They suffer from various problems such as back pain,
cervical and body pain. The ignorance of these problems may lead to serious ailments such as a disc prolapse or spondylolisthesis. In the last two years, 2630 patients has been benefited

by the physiotherapy treatment.

Started in 2004, this is a modest step towards assisting women of marginalized communities in generating additional income for meeting their household needs, by

utilizing their skills in the production of unadulterated spices, pickles and chutney.
Sukarya provides women with space, capital investment, and other required resources for grinding fresh spices (including Besan, Dhania, Haldi, Chilly, Jira, Curry powder, Garam Masala) and packaging them. They are given wages for their labour. The money received from the sale of the spices is used to keep the Project running. The Project has benefited several women of Wazirabad and Kanhai villages. Apart from production of spices we have also expanded our range of products to include Papad, Achar and Chutney so that we can involve and reach

more families through this work.

Sukarya has been supported by the following corporates:

Godfrey Phillips India Ltd
Incentive Destinations, Gurgaon
Amadeus, Delhi

Bird Group, Delhi

RDM, Gurgaon

BPCL Mumbai
Gujrat Ambuja Cement Ltd., Delhi

Maruti Suzuki India Limited

cont

 HCL Infosy6stems Limited

Hughes Systique, Gurgaon

Maruti Udyog Limited, Gurgaon

TATA, Mumbai

IDFC Management Company, Mumbai

Kusmunda Coal Transport Pvt. Ltd., Delhi

Sukarya has been supported by the following funding organizations: Population Foundation of India
Charities Aid Foundation, India Concern India Foundation Give India

Sukarya has worked with the following organizations:

National Institute of Public Cooperation and Child Development (NIPCCD) New Delhi Integrated Child Development Services (ICDS) of Government of India Mamta Health Institute for Mother and Child, New Delhi

South Delhi Medical Association

Delhi Psychiatric Society Escorts Heart Care Centre

Sir Ganga Ram Heart Care Centre

Banarsidas Chandiwala Institute of Medical Sciences Centre for Diabeted and Life Style Diseases Chetana, New Delhi, Prayatana, NGO New Delhi