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PROGRESS REPORT

2014 - 2015

Shri Niroti Lal Budhha Sansthan (SNBS)


3/4 P 2A, Bank Colony, Opp. Subhash Park,
M.G. Road, Agra -282010 (U.P.) INDIA,
E-mail : snbsindia@gmail.com, Ph. No. +91-562-6534816,
Visit us : www.snbsindia.org

INDEX
INTRODUCTION OF SNBS
Page No. 2 to 2
AGAR URBAN HEALTH PROGRAMME (AUHP)

Page No. 3 to 6
NATIONAL CHILD LABOUR PROGRAMME
Page No.7 to 9
TARGETTED INTERVENTION

Page No.10 to 27
POINT OF USE (POU) SERVRY

Page No.28 to 28

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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 since 1994.
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, 2014 2015 (www.snbsindia.org)

Covered Slum Name and Population :


1. Ramnagar - 8321
2. Nagla Ber

- 4830

Total Population - 13151

Slum Map of Ramnagar :

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

Slum Map of Nagla Ber :

Slum Data :
S.No.

Link
Workers
Name
Suman
lata

Slums
Name

2.

Pushpa
Deavi

3.

4.

1.

Total
population
covered
4242

House
Holds
No.
549

Total
families
covered
740

Total
pregnant
women
60

Total 0-1 yr
children

Ram
Nagar

4079

572

767

85

93

Bharti

Nagla
Ber

2893

393

460

34

48

Manju

Nagla
Ber

1937

349

369

51

86

Total

13151

1863

2336

230

298

Ram
Nagar

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Mahila Aarogya Samiti (MAS)


We have strengthen 4 MAS in our intervention area during the period. The slums are Nagla Ber, Ram
Nagar.
Review meeting of Link Workers
We organised 12 review meetings on every month 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 meetings.

Discussion during review meeting by Mr. Ravi Kashyap,President,SNBS and Mrs. Khushbu Gupta ,PM, SNBS

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

Community Meetings
We have organized 10 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. 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.
Vaccination
We have organized Vaccination sessions in every month with supported from Deptt. of Health and
Family welfare, Agra. The details of the vaccination is as below:
Name of
the slum

Name of
LW

TT

TT
II

ANC
I

ANC
II

BCG

DPT-I

DPT-II

DPT-III

Hpt

Hpt

Hpt

Measles

Ramnagar

Suman lata

49

41

56

45

52

36

23

12

Ramnagar

Pushpa Devi

49

22

20

14

44

20

Nagla Ber

Bharti

18

12

20

13

13

10

Nagla Ber

Manju

30

24

22

15

57

53

40

31

18

Total

146

99

107

79

173

122

85

62

39

Vaccination and Ante Natal Checkups in health facility camp.


SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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.
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 September 2014
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. And September, 2014 all children from Special Child Labor Schools of SNBS has been
promoted and integrated with main stream of education.

Discussion during review meeting by Mr. Ravi Kashyap,President,SNBS

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

Day Against Child Labor.Rally


We have organized a child labor rally on June,12,2014 to mark Day Against Child Labor.Rally was
started from Colletrate and ended at Eklavya Stadium,Agra.The rally was flagged off by Mr.
Deeptiman Bhatt, ALC,Agra. The rally passed through several crossings in the city.Oath was taken by
all the participants to eradicate child labor from the country.

Children participating in the rally

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

Targetted Intervention program for Destination Migrents

GOAL
Reduction In prevalence of HIV/AIDS infection in destination migrants in Kanpur.
OBJECTIVES
Reduction in HIV/AIDS prevalence in 10000 destination migrants in Kanpur.

HIV/AIDS
Human immunodeficiency virus infection
&
Acquired immune deficiency

(HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus
(HIV). Following initial infection, a person may experience a brief period of influenza-like illness.
This is typically followed by a prolonged period without symptoms. As the infection progresses, it
interferes more and more with the immune system, making the person much more susceptible to
common infections like tuberculosis, as well as opportunistic infections and tumors that do not usually
affect people who have working immune systems. The late symptoms of the infection are referred to
as AIDS. This stage is often complicated by an infection of the lung known as pneumocystis
pneumonia, severe weight loss, a type of cancer known as Kaposi's sarcoma, or other AIDS-defining
conditions.

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HIV is transmitted primarily via unprotected sexual intercourse (including anal and oral sex),
contaminated blood transfusions, hypodermic needles, and from mother to child during pregnancy,
delivery, or breastfeeding. Some bodily fluids, such as saliva and tears, do not transmit HIV. Common
methods of prevention HIV/AIDS include encouraging safe sex, needle-exchange programs,
and treating those who are infected.There is no cure or vaccine; however, antiretroviral can slow the
course of the disease and may lead to a near-normal life expectancy. While antiretroviral treatment
reduces the risk of death and complications from the disease, these medications are expensive and
have side effects. Without treatment, the average survival time after infection with HIV is estimated to
be 9 to 11 years, depending on the HIV subtype. Since its discovery, AIDS has caused an estimated
36 million deaths worldwide (as of 2012). In 2013 it resulted in about 1.34 million deaths.
As of 2012, approximately 35.3 million people are living with HIV globally. HIV/AIDS is considered
a pandemica disease outbreak which is present over a large area and is actively spreading. Genetic
research indicates that HIV originated in west-central Africa during the late nineteenth or early
twentieth century. AIDS was first recognized by the United States Centers (CDC) in 1981 and its
causeHIV infectionwas identified in the early part of the decade.
HIV/AIDS has had a great impact on society, both as an illness and as a source of discrimination. The
disease also has significant economic impacts. There are many misconceptions about HIV/AIDS such
as the belief that it can be transmitted by casual non-sexual contact. The disease has become subject to
many controversies involving religion. It has attracted international medical and political attention as
well as large-scale funding since it was identified in the 1980s.
Social strategies
Social strategies do not require any drug or object to be effective, but rather require persons to change
their behavior in order to gain protection from HIV. Some social strategies which people consider
include the following.

Sex education

LGBT sex education

Needle-exchange Programs

Safe injection sites

Safe sex

Sexual abstinence

Immigration regulation

Spiritual self-schema therapy

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Understand how HIV spreads


There's a lot of misinformation about how the disease is spread, so educate yourself in order to protect
yourself. HIV is transmitted when infected blood, breast milk, semen, or vaginal secretions come in
contact with broken skin or mucous membranes (i.e., mouth, nose, vagina, rectum, penis opening).
HIV can be transmitted through unprotected vaginal, oral, or anal intercourse, as well by blood-blood
contact and contact with bodily fluids.
This means that you can usually kiss safely (as long as there are not existing cuts or sores and you
don't give each other any), as well as safely touch and have normal daily interactions with someone
with HIV.
Do not assume that someone who is asymptomatic does not have HIV. People can have HIV for
many years before developing AIDS, and any infected person can transmit the virus.
Avoid substance abuse.The first thing you should do is stop abusing alcohol and drugs. These
substances, heel fun, impair your judgement and make you more likely to make bad decisions or put
you in a situation where the decision is not yours. Certain drugs, like intravenous drugs, can also make
you more likely to contract HIV by exposing you at a much higher rate.
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Other STDs or STIs you may get. Already having STDs and STIs puts you at a higher risk for
getting HIV. The infections weaken your immune system and make you more susceptible to
contracting HIV when you are exposed. This is why you should treat these problems, as well as
normal health problems like yeast infections, immediately if you suspect you may have them. You can
also get vaccinated against certain STD/Is like Help A and B, if you are at high risk.
Ever share needles or syringes. Needles and syringes can easily carry HIV from one person to
another. Never use recreational drugs which use needles and never use any needles not given to you by
your doctor. If you have problems with addiction to these drugs, get help for addiction and find out if
your area has a needle exchange program to help keep you and others safe.
Be circumcised. If you're male and having sex with women, circumcision can greatly lower your risk
of contracting HIV. Having sex with a circumcised male does not protect you if you are a woman,
however, and circumcision seems to offer no significant benefit in male-male sex. If you are not
already circumcised, you can get circumcised as an adult if you choose to.
React quickly if you believe you've become exposed. If you do expose yourself to HIV, seek medical
attention immediately. If treated within 72 hours (and the sooner the better), you may be able to
prevent the HIV infection from permanently settling down in your body through Post-Exposure
Prophylaxis (or PEP) treatment. PEP is not a 100% guarantee, with studies showing
the highest risk of failure with those treated 55 hours or more after exposure and males who received
penetrative anal sex.
Avoid contact with other people's blood and certain other bodily fluids. You never know who has
HIV, since there is no stereotype, and someone may not even know if he or she is infected, so the best
policy is to always be careful. Avoid touching other people's blood if at all possible and also avoid
contact with the other bodily fluids that can spread HIV. These fluids include.

Semen (cum) and pre-seminal fluid (pre-cum)

Vaginal fluids

Rectal (anal) mucous

Breast milk

Amniotic fluid, cerebrospinal fluid, and synovial fluid (usually only exposed if you work

in

a medical field)
Get medical treatment if you become pregnant. If you become pregnant and you're worried that you
may have HIV, get tested and seek medical help immediately. It is possible to prevent the spread of
the infection to your child, but you'll need a doctor's help to do it.

For example, a C section will be crucial in protecting your child.


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Talk to your doctor. As always, if you have a medical problem or questions, you should ask a doctor!
If you don't have adoctor or medical insurance, most areas have free or low-cost clinic and many
government programs exist to help you find help. Research what's available in your area.

Working with Your PartnerGet tested often and together. Frequent testing can help both you and your sexual partner stay safe.
Protecting each other if you're at risk or in a new relationship is something that good sexual partners
do! Since some partners may lie about getting tested or what the results were, the safest bet is to get
tested together.
Always, always, always use protection. Only engage in unprotected sex if you are in a mutually
monogamous relationship in which both you and your partner are uninfected by HIV or any other
STD. This is the most important part of preventing HIV. Protected sex will go the furthest to protect
you and your partner if one of you is at risk or has contracted an HIV infection.
Of course, it's easy to say "just this one time" to skipping protection but all it takes is one time: be on
the safe side and insist on protection! Your options include:

Male condoms

Female condoms

Dental dams (can be used for female-female, male-female, and male-male sex!)

Use lube. Lube may not seem like it can prevent HIV but it can actually help a lot! When you're using
condoms, you put yourself at serious risk if the condom breaks. The best way to prevent condom
breakage is by reducing the stress on the condom...with lube! Always use water based lube, as other
lubes can degrade the latex of the condom and put you at risk.
Lube is especially important with anal sex, since it not only protects your body from tears but also
protects the condom, as anal sex is more stressful on condoms that vaginal sex.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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WHY MIGRANTS?
Introduction:
Migration is the spatial mobility of people from one geographical area (place of origin / source) to
another (place of destination), with the intention of settling temporarily or permanently or semipermanently. There are a variety of reasons for migration - economic (livelihood, economic
imbalance, job opportunities etc.), environmental factors (drought), demographic reasons (family
migration, movement of young and retired persons) or political reasons (refugee movements etc.).
Some of these are factors related to origin (push factors) and others opportunities in the place of
destination (pull factors). Migration over long distances also involves temporary stops, also called
Transit points.
Migration is a highly complex human behavior, as old as human existence itself. There are many
typologies (and combinations of typologies), some of which are described below:
Rural vs Urban - Rural to Urban, Urban to Urban, Rural to Rural
Persons Single male, single female, Couples, Couples with children (sometimes some), whole
family
Location Inter-state, intra-state, inter- district, intra-district, international
Distance Long distance, Short distance
Length of stay Temporary (up to 3 months), semi-permanent (up to 6 months in a year, returning to
villages during rainy season) and permanent (only returning for key holidays)
In and out From the point of view of a geographical location, In-migration or Out migration or both
Others Step migration (transit itself become a place for short migration), relay migration (one
family member living in the destination and others taking turns to relieve, reverse migration (UrbanRural)
Mobility and Migration are two distinct concepts. Mobility is when a person moves from the place of
origin, travels / works and returns back to origin the same day or week (for example people who live
in Pune and work in Mumbai). On the other hand migration involves movement of those people who
establish residence at the destination place for a significant period of time.
In the 2001 census, using the change in residence concept, 30.1% of the population is considered to
have migrated (that is, 314 million of the total 1028 million persons), which shows a considerable
increase from 27.4% in 1991. In the case of males it increased from 14.7% in 1991 to 17.5% in 2001.
In the case of females, it increased from 41.6% in 1991 to 44.6% in 2001 (Population Council, 2008;
Population Council, 2009). The migration during 1991-2001 has increased rapidly.
The primary destinations for migrants (22% to Maharashtra, 7.8% to Andhra Pradesh, 7% to Gujarat
and 5% to Karnataka) are also the states with higher HIV prevalence (Varma and Saggurti et.al. 2007).
The migrant workers seeking employment in these destination locales are often from tribal and rural
communities with low technical knowledge and high rates of illiteracy, offering a cheap labour force
for urban settings (Patel, 2002). Male migrant workers including unskilled labourers, construction and
industrial workers, leaving behind their families and spouses at their native places dominate the
traditional rural to urban migration in India (Base et.al., 1987). Migration in India is predominantly
short distance, with around 60% of migrants changing their residence within the district of
enumeration and over 20% within the state of enumeration while the rest move across the state
boundaries (Srivastava and Sasikumar, 2003).
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Previous research on migration in India has shown that the migration is highly selective by age, sex
and education. Rapid urbanization coupled with poor housing facilities in city areas leads to migrant
labourers staying away from families.
Most migration literature makes a distinction between pull and push factors, which, however do not
operate in isolation of one another. Migration occurs when workers in source areas lack suitable
options for employment/livelihood, and there some expectation of improvement in circumstances
through migration (Srivastava and Sasikumar, 2003). The proportion migrating for economic reasons
is greater among long-distance migrants; most male migrants moving between states did so for
economic reasons.
Migrants vs. Informal workers:
Migration could include formal and informal workers, rural to urban, etc the typification are many.
Informal workers are unskilled labourers who work largely in unorganised sector, many times are
migrants from rural to urban/semi-urban areas in search of work. Thus informal workers include a
large section of migrant workers1.
Informal workers, many of whom are migrants, are hired on a daily or seasonal basis for short
stretches of time, working in low skill activities, not within the mainstream of the sectors, but in the
small and unorganised part of the sector. When they do work in formal settings, it is to address
fluctuations in production or in low skill activities which support the formal entities within the sector
(like allied activities, supply chains up or down stream) or in small and medium enterprises. Some of
the informal workers (like construction) work in cities which are growing due to industries but not
directly working in those industries.

Migration and HIV The links:


There is increasing evidence and growing recognition of the importance of migration/mobility in the
spread of HIV infection. Prevalence of HIV amongst Migrants (many of whom are informal workers)
is the highest in any group, after the High Risk Groups of FSW, MSM and IDUs. This has led to the
National AIDS Control Programme III referring to migrants as one of the core groups which need to
be addressed. Evidences of following correlate Migration and HIV.
Kerala has shown a low prevalence of HIV and of the total cases reported, 90% were among the
migrants (Xavier, 2004). An analysis of HIV positive individuals in Kerala shows, of the 70 HIV
positive cases detected out of 4932 samples, the rural to urban ratio is 5:1 which was rather
unexpected since the rural- urban population ratio is 3:1. This result confirms the belief that the
epidemic in Kerala is migration induced because the HIV prevalence is more in the rural population
(Prasanna Kumar, 2000).
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A cross border study between Bangladesh and India has indicated a link between migration, mobility
and HIV vulnerability due to the presence of mobile and hidden sex trade along border area, reported
STDs and HIV positive cases among mobile people and the infection is significantly associated with
practicing sexual risk behaviour in the border region, trafficking and violence against migrant women
(Tajer et.al., 2004). An awareness study among patients attending STD clinics indicate a low levels
of knowledge about HIV and poor early treatment of STDs among the migrants (Changedia and
Gilada, 2000).
A number of studies in India further indicate that migration propels the HIV epidemic by creating
living conditions that heighten engagement in risky behaviours (e.g., husbands residing without wives
go to FSWs) and by providing a vehicle through which infection can move from high to low epidemic
regions (Singh, 2001; UNAIDS, 2006; Rego et.al., 2002; Decosas et.al., 1995). Studies document that
men living without wives, not being married or migration away from wives, are engaging in
transactional sex (Singh, 2003; Mishra, 2004; Gangakhedkaret.al., 2007). Additional research further
documents that certain migrant jobs, such as heavy load labour (mathadilabour) in port cities, which
provide higher wages are providing these men who do often reside without wives greater disposable
income with which to indulge in risky alcohol use and transactional sex (Kutikuppala, 1998; Saggurti
et al., 2008). While residence without wives and access to higher wages facilitates involvement with
risky alcohol use and sex for migrant workers, these risks are exacerbated by high density of alcohol
and transactional sex venues and locales within migrant male communities (Chakraborty, 2004).
Further, migrant men report that peer pressure and monotonous working and living conditions support
their involvement in these risky activities as a social norm within the migrant male workgroup
(Chakraborty, 2004). Simultaneously, HIV knowledge and risk perceptions are low in this population
(Chakraboty, 2004); illiteracy and lack of access to HIV and alcohol education in either their places of
origin, or destination, leave these men engaging in these behaviors
without recognition of their risks (Carlier, 1999; Mishra, 2002). These social, contextual and cognitive
factors come together to create high HIV/STI rates in this population and to support behaviours among
them that bridge these infections to new regions (Gupta et.al. 2002; Thappa et.al. 2002; Singh KK
et.al. 2004). These findings parallel that research from Population Council with male migrant workers,
showcasing the need for migrant male HIV interventions that addresses the groups and the individuals.
There are studies that have shown that informal workers are significantly at higher risk than general
population their knowledge levels are lower, two7 to four times more number of informal workers
have non-regular partners or visit sex workers, only 25-29 percent use condoms in these encounters
compared to 42 percent by others. 5 percent and 13 percent (M/F) report STI symptoms nearly
double the national average. In another study, 2/3rd of the locations where informal workers operate,
sex workers were also found to operate. Studies have also shown evidence that informal workers, are
at a higher risk than the general population, to acquire STIs or HIV. The countrys National Family
Health Survey (NFHS), which covered over 15,576 households, reiterates the vulnerabilities.
In another study in Mumbai8, operation of sex workers is reported in around 2/3rd of the construction
sites and women informal workers reported to work as part-time9 sex workers. A study carried out by
the (United Nations Development Fund for Women) UNIFEM among Railway workers states that
about 44 percent of the respondents had more than one sex partner in the preceding 12 months,
71percent of those who visited sex workers did not use condoms10. The Annual Sentinel Surveillance
reports spouses of truckers, unskilled workers and factory workers are amongst the top categories of
ANCs tested positive for HIV11
A study by Population Council12 examined the patterns of migration/mobility among male workers
and their links with HIV risk in four states that have a high HIV prevalence and found that contracted
male labourers are largely young (70 percent between 18 to 29 years) and over half were married, and
a third resided away from their wives because of work. 31 percent reported sex with either a sex
worker or non-spousal unpaid female partner in their places of origin over the past 2 years.
An interesting example is Ganjam (in Orissa state) which is a district where out-migration is
substantial to Surat (in Gujarat) which is a migration hub due to its textile and diamond polishing
industries. A local member of the Gujarat chapter of the Indian Network of People Living with HIV
(INP+), reports that as many as 70 new HIV-infected cases emerge every month in Surat. As was
SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)
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mentioned earlier, a large percentage of the migrants visit sex workers and have unprotected sex. The
returning migrants have been fuelling the epidemic in their home district of Ganjam, which has seen a
rapid increase in prevalence levels in the last few years, particularly amongst migrants.
The story of Ganjam is not unique there are several such districts where informal workers migrate
for survival and livelihood. Some within their district (rural-urban), some outside their district and
sometime outside their state (or even country).
Some of the other links which are emerging are:
Movement of sex workers between administrative borders Sexual behaviour pattern of Male
migrants, particularly Men who have sex with men and Injecting Drug Users Sexual exploitation of
migrant women at transit and destination and those left behind in source

Vulnerability of women:
Apart from the biological fact that women are more vulnerable to HIV, for women who are informal
workers, their vulnerabilities are related to their work situation (where sexual exploitation is reported).
Occasionally, some of the female informal workers also involved as part or full time sex work, many
times not using condoms. For women who are spouses of informal workers, they are vulnerable to
infections from their husbands (1/4th visit sex workers, 1/4th use condoms13). Sometimes they are
not travelling with their husbands and are in rural areas and are likely to acquire the infection from
their husband on their return. If they have other sexual relations, they are also likely to pass the
infection to others (as is evident in some of the rural high prevalence districts like Bagalkot).
The male migrants from the poorer parts of the country going in search of work to the more developed
parts are now well recognised to be carrying back the infection to their places of residence and
contributing to the emergence of hotspots in the low prevalent area. While under the national
programme, technical support is available to companies to scale-up interventions for formal workers,
it is now increasingly realized that reaching out to informal workers in the high priority areas that
requires much more focused effort and outreach, which goes beyond the formal settings.
An analysis of flow of migrants based on 2001 census data shows that, Uttar Pradesh, which
constitutes 41 percent of all out migrants, migration to Maharashtra accounts for 32 percent. Likewise,
out migrants from Orissa preferred Gujarat and Maharashtra as the destination even when these states
are not border states. Out-migration to these states made up to 34 percent of total out-migrants from
Orissa. From the flow matrix, Maharashtra, Gujarat and Haryana attract over 80 percent of all
interstate migrants during the intercensal period 1991-2001.
DISTRICT PROFILE (KANPUR)
Kanpur has urban population of 3015645 of total population 4581268.Out of the total Kanpur Nagar
population for 2011 census, 65.83 percent lives in urban regions of district. In total 3,015,645 people
lives in urban areas of which males are 1,622,546 and females are 1,393,099. Sex Ratio in urban
region of Kanpur Nagar district is 859 as per 2011 census data.Similarly child sex ratio in Kanpur
Nagar district was 865 in 2011 census. Child population (0-6) in urban region was 295,847 of which
males and females were 158,664 and 137,183. This child population figure of Kanpur Nagar district is
9.78 % of total urban population. Average literacy rate in Kanpur Nagar district as per census 2011 is
82.10 % of which males and females are 84.35 % and 79.47 % literates respectively. In actual number
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2,232,870 people are literate in urban region of which males and females are 1,234,812 and 998,058
respectively.
SNBS provides many services to migrants
We provides many services to migrants labour related to HIV/AIDS, DOTS, STI/RTI.
Clinic Services- In this year SNBS also provides clinic services to migrants. We provides clinic
services to 2177 migrants people during this year.
HIV Tested-In this year SNBS also done so many HIV Tested of migrants.
We done HIV Test of 1235 migrant in this year.
Where we also found FOUR positive results of HIV/AIDS.
HIV POSITIVE
Unnao
1

Jaipur

Kanpur

Dehaat

Health camp in slums- SNBS organize 10 Health Camp in different different areas in Kanpur. We
organize camp in industrial area and brick field.
In the Health Camp we provide free health facilities to each and every member of slum. In the Health
Camp we also get so much support of our Respected Doctor.
By the Health Camp we fulfilled our motive and also get a fruitful feedback.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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NukkadNatak- SNBS organize different nukkadnatak in many slums areas So, that people will
understand that what is HIV/AIDS and how we can fight with HIV/AIDS. We organize 22
nukkadnatakin Kanpur.
Our main motive for nukkadnatak is Awareness for HIV/AIDS. And by this we achieve our motive
and we also achieve the happiness of people who lives in slums and not able to do some enjoyment
coz of lack of money and so many problems.
We also inspire people that the checkup of HIV/AIDS is also a very important task in our life. andwe
give free medical checkup facilities to our migrants.
The main motive of SNBS is to provide a pleasant life to migrants.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Monthly Chart of NukkadNatak and Health CampMonths


OCT
NOV
DEC

JAN

FEB

MAR

Nukkad
Natak

Health
Camp

NIL

Meeting with factorial managers-SNBS organize many types of meetings and discussed the topic of
HIV/AIDS. With the help of Peer and ORW we organize meeting with Factorial Manager and we give
our views and get views of other people. By this meeting we get to know that how we can stop
HIV/AIDS.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Celebrate World AIDA DAYWorld AIDA DAY is held on 1December each year and is an opportunity for people worldwide to
unite in the fight against HIV, show their support for people living with HIV and to commemorate
people who have died. World AIDS Day was the first ever global health day and the first one was held
in 1988.
SNBS organize a NUKKAD NATAK program in Galglahshetra where we also get the help from
Kanpur Mirja Group. We give awareness to migrants with the help of NUKKAD NATAK.
By our NUKKAD NATAK we also give happiness to the people who lives in slums as well as
awareness of HIV/AIDS.
We organize our programs in many areas and We covered many sites in Kanpur as well as we
covered many MigrantsCount of migrantsWe covered 12535 migrants population in industrial areas and brick field.
SitesFajalGanj- In this slum there are many Workshop where people make the parts of truck. In this slum
mainly people are belongs to Bihar, Bihrich , Gondar , Sultanpur slum.
Panki Industrial area- We found good population in this slum.
Dada Nagar- We found good population in this slum.
Transport Nagar/ Jhakarkati- We found good population in this slum.
Mandhna/ Chaubepur- We found good population in this slum.
Billhour- We found good population in this slum.
Tikra- We found good population in this slum.
Brick Field- We found many good people in this slum.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Working of SNBS Staff

We started organize the review meetings in so many slums. By the review meetings we get to
know about the actual situation of HIV/AIDS.

We planned so many Field Visit & Brick Field. By the field visit we get to know about the
mental status of migrants.

We covered all industrial sites in Kanpur.

The ORW(Out Reach Workers) of our staff is very hard working. By the help of our ORW we
get so many easy solutions in our work.

We also done the Mapping System. By Mapping System we identify the migrants sites and put
the hot spot.

We also search Congregation Point. And we visit all Congregation Point.

For a good working in all fields we make 15 Peer and also we took help from the stakeholders.
SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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With the help of stakeholder and ORW we organize the Health Camp. So , that we can give
help to migrants. And migrants must aware from the HIV/AIDS points.

We also took help from Counselor. With the help of counselor we did a good job in every field.

We also took help from our Respected Doctor. He gives his support in every field.

Every week we also done the meeting for our strategy with Peer that how we can give a speed
to this program.

STAFF DETAIL OF SNBS KANPUR


S.N

NAME

POSITION

1
2
3
4
5
6
7
8
9

VineetaGautam
Dr. Surendra Kumar
Mohit Kumar
Saran Biharee Sharma
Saurabh Kumar
Shyam Singh
Vimal Prakash
Inderjeet Singh
Santosh Kumar

Project Manager
Doctor
Counselor
M&E
ORW
ORW
ORW
ORW
ORW

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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TARGET AND ACHIEVEMENT DETAILS OF SNBS KANPUR


TOPICS
Registration
Clinic Footfall
ICTC
FGD
NukkadNatak
Health Camp

TARGET
10000
2000
2000
2000
24
10

ACHIEVEMENT
12535
2177
1235
2303
22
10

THE MAIN AIM OF KANPUR SNBS


TEAM IS TO STOP HIV/AIDS

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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Point of Use (POU) Servey :


SNBS will do End Line Survey for POU study (400 household schedule, 100 water testing & Data
Entry) under Health of the Urban poor (HUP) Program supported by PFI/USAID.

SNBS AGRA Progress Report, 2014 2015 (www.snbsindia.org)

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