Archives 2007 to 2008

Community Health Education Society 198, Rangarajapuram main road Kodambakkam Chennai -600024 Email:ches_cheschennai@yahoo.co.in Phone: 044 – 24731283 or 24726655
Achieves 2007 to 2008 by CHES Page 1


Community Health Education Society – CHES Nurturing, partnering to bequeath dignity and Hope

Our Vision To be a leading health system providing care to children and women.

Our Mission The fundamental mission of our organization is to develop and disseminate solutions to major health-related crises the world faces today- with emphasis on simple and cost-effective methods of prevention and management with an eye to improve the health outcomes of children, women and men by providing and promoting innovative services, research, education and advocacy which could be done alone by our organization, or in partnership with other health providers and the community

From Project Director Desk
I have great pleasure in providing this annual report of CHES.

3 This year was a great year for us because we have got support from Emirates Children foundation to build a spacious home for the children of Anandha illam. I was at Dubai and made a presentation on behalf of CHES. The board members have been very considerate in agreeing to our concept and had advised us to go for a bigger place. Our program has shown a lot of quality work. I would at this juncture thank my entire staff team for putting the feather on our cap. There has been a major change in the organisation staff pattern. The management has been strengthened. There are 3 managers who will shoulder my responsibilities namely the manager technical who takes care of training, staff capacity and sending monthly technical and financial reports on time. The manager administration takes care of staff leave, attendance, behaviour while manager management takes care of organizing all events or other project related meeting etc; next to these 3 managers we have the finance manager who takes care of the entire accounts department and Office manager who is the point contact person for staff. This is helping in not only strengthening the management system and brings transparency but also work more simplified and clear. This also will lead to second level officer who can further lead CHES. The orphans have been mainstreamed and have been taking part in stage performances Corporate support to children, both as resource and also as volunteers have helped the children a lot. Dr.P.Manorama; MD;DCH;DM President CHES

Community Health Education Society {CHES}, initiated in 1994 to cater to two AIDS orphans has completed 14 years and has scaled up as a key NGO in AIDS prevention and HIV Care in Tamilnadu under the guidance of a eminent medical doctor. During this year the NGO has continued the project with great zeal and this year motto was “Quality Care to People”.

8. These include the following: S. 6. 1. 9. member of the non official committee to judiciary in Chennai and member of the HIV care consortium The organization is lead by a very competent medical doctor. The management of CHES has been strengthened by developing managerial staff as shown in the Organogram given below. and Chennai district women and child anti traffic committee. 7. 5. No. 3. Name of the Agency Social Defence Social Welfare State Planning commission Hindu College National Institute of Fashion Design Child Rights Convention Juvenile system National/ Internation al District Level State Level State Level District Level District State Type of Membership Chairperson Child Welfare committee Eunuch rehabilitation committee Member 11th Planning commission Member prevention of women and child harassment committee Member prevention of women and child harassment committee Member NGO core committee Ex-officio member of Juvenile Guidance bureau Social welfare State Level Member -Review committee Board for various counseling centers She continues to be a member of the Tamilnadu State. 4. 2. .4 The Project Director of the Organsation has been involved as honorary member in various committees of Government of Tamilnadu and other private agencies this year.


social and health sectors of the country. . which has been identified as one of the States with the highest rate of spread of the disease. The spread of AIDS has been more homosexual behaviour and among young people. Urgent measures are needed to control the spread of HIV and AIDS especially in Tamilnadu. The scourge of AIDS poses a serious threat to the economic.6 Project Nanban The spread of HIV and AIDS is one of the biggest challenges facing the country today. Hence CHES has started Project “NANBAN”.

Red Hills 2. Tollgate 7. Periyapalaiyam 18. Mathur 10. Villivakkam 5. conduct 1 to 1 and 1 to Group sessions.7 This project reaches to 2000 male sex workers including Aravani. identify the Hot spot. Arani 16. enroll KP in program. Ennore 8. Ponneri 13. Kavarapettai 15. Of the 1375 who have visited the clinic 76 have been treated for STI. Of the 2209. Tiruvattiyur 6. which is also the Second Phase of the intervention supported by TAI-VHS. refer based on needs for counseling or to higher institutions for management of STI or HIV. Gummidipundi 14. do Condom promotion. Uttukottai 17. During this year. . Minjur 12. of which 10 have dropped from the intervention. The project has reached around 2209 male sex workers since the start. Double Decker’s in Tiruvallur district through an intervention program which aims to reduce STI/HIV/AIDS among male sex workers and to improve the quality of life led by this population since 2004. 1375 have visited the clinic for the first visit and 1876 have reached as RMC. They visit the field daily . Thamaripakkam road 19. Cholayara kut The 4 field officers cover all the 6 clusters and 3 sites in each cluster.Bill and Melinda Gates. Mathavaram 11. Kothis. the Target to be reached has been increased from 1350 to 2000 and the project has shifted to 19 key areas grouped into 6 clusters in Tiruvallur District covering all the areas as mentioned below: 1. Ambathur 3. Manali 9. Padi 4. do IPC dissemination and form SHG among them.

beautician course. Various kinds of skill trainings have been offered such as briyani making. Four different need based activities are carried out daily by the community themselves namely Akshayapatram. Besides the routine 7 staffs there are 2 additional staffs namely the beautician who takes care of beauty clinic and an advocate who works on case by case with regards to advocacy. Out of the 40 male sex workers referred for such training. B} SESA clinic is a special STD clinic for the community.N o Name 1 K. Of the 38 just one had discontinued. 38 have completed the course and all of them have been placed on jobs and the behaviour change noticed was that these male sex workers who were full time sex workers have now reduced their sexual activity limiting to few know friends alone leaving the commercial part. Videography. computer skill. Other high lights of the project include A} the beauty center where the target community are not only provided beauty care but also general health care.Muthu Age 30 33 Sex Kothi Kothi Training given Beautician Beautician Income 4000/3000/- . Irai Arul Neram and Sevi sayukum neram Given below are the names of people who have been trained and their placement details. Vasthradanam. S.8 1109 have been referred to VCTC and 14 have been identified as HIV positive. dry flower bouquet making etc. 2 D. driving.Maya . The biggest success of this project is the vocational training offered to male sex workers helping to decide an alternative life. where male sex workers have free STI screening and treatment and go for regular medical examination C} Natpookudam where the community members meet every day and ventilate. tips regarding cleanliness and daily routine for personal health and specifically knowledge about STD/ HIV/AIDS prevention.

6 REMASH/RAMYA . 8 Mary/Manogar . 1 Theanmozhi 1 . RANI 25 41 25 26 21 21 21 24 Kothi Aravani Kothi Kothi Kothi Kothi Kothi Aravani Fashion Design Catering Catering Housekeepin g Housekeepin g Discontiued Videography 2500/3000/2000/3000/2500/- 5 Suresh . 9 GUGAN . 1 Sabana 2 . 7 Vikram . 4 . Muthukumar 2500/- TAI KAVIYA 20 Aravani Salary provided by TAI 18 Aravani 42 DD Basic Computer Basic Computer Basic Computer 3000 27 Kothi 4000 22 Kothi 2500 . 1 Mageswari 0 . Balamani 1 5 . Vijayakumar 1 4 .9 3 Suresh/Saravana . 3 1 3 .

Ravikumar 29 DD Driving 2000 2 1 .10 1 6 .Senthil 22 Kothi Basic Computer Basic Computer Basic Computer 2500 30 Aravani 4000 25 Kothi 2500 1 9 . Anbu/Saritha 32 Kothi Driving 2500 2 2 . A. Krishnan 26 Kothi Driving 3500 2 3 . Thirunavukarasu 29 27 Karthik/Kowsalaya Kothi Kothi Driving Briyani 2000 1500 Nil 2 5 . Sendhil 22 Kothi Driving 3000 2 4 . Raja 31 Kothi Briyani . Raji / Rathika 22 Kothi Driving 3000 2 0 . Rudhramoorthy 1 7 . Rajakumari 1 8 . G. 2 6 .

Selvi 24 Aravani Briyani 2700 3 0 . Radha 32 Aravani Briyani 4000 2 9 . Nandhini 23 Kothi Briyani 3000 3 1 . Ramya 24 Aravani Briyani 1750 . Muthukumar 22 Kothi Briyani Nil 2 8 .11 2 7 .

This special program has been designed in a way to have triangle partnership. where AIF will fund and provide technical assistance. CHES will be a .12 Project “Thooli .Tamilnadu” HIV CARE AND SUPPORT PROGRAMS This is a special program for children infected. affected and orphaned by AIDS in three high prevalence districts in Tamilnadu.

Strengthening socioeconomic status of grannies and widows caring for children is a new pilot initiative. Classical dance classes have begun for children and 10 of them are getting trained in the same.13 mentoring organization extends technical assistance to their 3 sub partners in the 3 district. On birthdays. This special concept was appreciated by everyone and this team has been invited for couple of meets. Children birth list have been developed using their admission dates as an indicator especially for children who have no actual birth dates or record. Children reading habits have been strengthened by providing them different kinds of children magazines. Children earned name for themselves. 2. go to temple for special pooja. 18 children have celebrated their birthdays since September. advocating throughout reach for keeping children in community through community home based care program in 3 districts in Tamilnadu 3. Educating families and community. Each district will have one implementing partners. ensuring their RIGHTS and participation. Lunch is . Addressing Anandha Illam gaps and ensuring CHILD RIGHTS the children have been given additional educational support towards tuition fees for the teacher and procurement of educational materials. Children performed this at the “TAI Vizhudhugal” – Annual meet organized by TAI – VHS – AVAHAN at Chennai. Celebration of their birthdays makes each and every child happy. where we work with the grannies in Chennai under the care of project Thooli at Chennai. This project was established in September 2007. This special new initiative has come true by AIF. children wear new dresses (they themselves do their birthday shopping). This project which aims to create an enabling environment for children infected. visit to an orphan home – distribute sweets to the people live there. Shelter care for AIDS orphans – addressing gaps in existing services to orphaned children at CHES Anandha Illam. affected and or orphaned by AIDS by providing care and support services in 3 districts in Tamilnadu covers 3 different components based on 3 different objects namely 1. have their breakfast at hotel.

Two consultants hired for this process have identified Tiruvannamalai. Cuddalore and Ramanathapuram as the districts where this new project could be initiated. MoU has been signed on 15th of December 2007 at Chennai.14 being prepared as per their request. Module has been developed by the project director. The process of district selection was started in the mid of September 2007. . CHES. First training program has been organized between 28th and 29th of Decembers at Asha Niwas training center at Chennai while the Second training program has been organized between 7th and 8th of February 2008 at Hotel Brown star at Chennai. Selected organization’s are Association for Rural Development (ARD) – Ramanathapuram District. Basic training program has been organized in two capsules for the recruited staff members of NGO’s. One NGO was selected for each district out of the 40 NGOs who submitted their application after a strenuous screening by the selection committee formed for this purpose. 3 NGO’s from the 3 districts have been finalized. Now the children and baby sitters ratio is 5:1. Birthday celebrations happen in the evening with cake cutting. Five more part time baby sitters are being supported through this project. Rural Education and Action for Liberation (REAL) – Cuddalore District and Rural People Educational Development Trust (RPED Trust) – Tiruvannamalai District. CHES had taken a lot of efforts in selecting 3 districts where the community home based care program had to be initiated.

The partners have reached to 80. and guardianship legal aid. Of these 48 at Rameshwaram 12 and of the 30 at Tiruvanamalai 7 are HIV infected children. 26 and 32 families and 48. Strengthening socioeconomic status of grannies and widows caring for children was a new pilot initiative and was initiated on February 23 2008 and CHES could offer services including income generating seed money. 42 children at Ramanathapuram. first-aid kits. free medical check-ups. 30. During their monitoring visit.15 The trained NGO staffs were asked to identify 6 high prevalent blocks in their district where they could start their work. . and assistance obtaining old age/widow’s pension. ration cards. All infected children have been linked to ART centers at Madurai and Adukamparai Program manager and District officer have visited all the project sites in January and February 2008. Tiruvanamali and Cuddalore respectively. proposal and other project related formats have been introduced to the staff members and there were discussion on project performance. review formats. educational support.

recreational activities. and sponsorship. CHES has been doing a pioneering work and has addressed every issue with reference to child rights. 11 children were discharged of which 8 were sent on adoption and 2 children were reintegrated with their family. Mainstreaming children is one of our successful initiatives and nearly 100% of children have been mainstreamed through reintegration. medical care including HAART.16 Anandha illam The Shelter home was CHES's initial project and was started as a home for AIDS orphans. educational support [ in to regular schools]. Children are now cared through a community care center where in infected and affected orphans are provided tender lovin g care. safe space to live. adoption. Children birthdates have been celebrated and each child plans on his birthday. The lists of picnic spots visited by children include the following: Pictures at cinema 1 halls 2 Dhakshin chitra 3 Marina beach . There was only one death this year. Children have been taken on picnics to various places by different group of people besides the management there. During this year 13 new children were admitted and at the end of the year there were 48 children who were provided services at Anandha Illam. selects his favourite dress and cuts a cake with special iceing of his or her choice the same evening. Children are studying in general schools of which 5 are infected while young children attend the inhouse school at CHES Mainstreaming efforts have been successful. psychosocial support.

Colleges students from 1. Hindustan College of ARTs and science From service organisation 1. Lions club Southern railways 4.17 Aringar anna zoological 4 park Ayanavaram tirupathi temple 5 festival 6 Christmas celebrations Adiyas hug program at 7 kamarajarangam 8 seasons of love Melmarubvathur 9 temple 10 Chennai museum German hall dance 11 program 12 Hotel saravan bhavan 13 Games show Different kinds of volunteers have poured in to bring smiles on these children faces. Maduravoyil Muthukumarasamy College 2. 3. Loyola college 5. Leo club 2. Ethiraj college 6. Stella Maris 3. CMC doctors . MAC College of nursing 7. Sri Ramachandra Medical college 4.

Inforces 6. Kodambakkam sayee samithi .18 5. Tata consultancy 4. Tirisulam SHG group Corporate friends from 1. Nesapakkam Sayee samithi 2. FORD 2. Standard chartered Bank 5. Cognizant From FBO 1. Sathyam foundation 3.

19 Besides these the project had VVIP visitors like the sailors of NIMITS WAR SHIP. Emirates airline children foundation and from US congress. Admission vs discharges Discharge analysis Details of discharges Project Tamilnadu Family Care continuum . UNICEF. American Indian Foundation. Given below are the admission and discharge graphs. Officials from NACO.

Villupuram. conducts important events like World AIDS Day Observation and regular monthly .20 Tamil Nadu has pioneered several initiatives and been a step ahead in HIV/AIDS prevention. PPTCT. Tamil Nadu Family Care Continuum program initiated in September 2005 across 12 districts was conceptualized with the objective of accelerating access to treatment and providing treatment and support services employing a comprehensive approach. It has the distinction of being the first state to respond aggressively to demands placed by HIV epidemic on both government and other structures. Initial results of first follow up of clients indicates positive progress and achievements on enlisted parameters thus strengthening the objective of expanding the model to other districts incorporating the lessons learnt from its implementation over a period of 20 months. Nutritional Demonstration. Owing to high degree of political and administration commitment to control the epidemic and improving quality of life for existing PLHA. Weekly staff meetings. holds Local operational committee meetings. PCO’s Review meeting. NGO coordination meetings. Besides running the support for clinical care services the project has conducted Hospital sensitization program. CHES provides clinical support services at the Kilpauk medical college and has been closely working with 4 district field NGOs namely from Chennai. reduce HIV related mortality and morbidity. several initiatives such as ICTC. and support. Tiruvallur and Kanchipuram. care. Community Care Centres and ART services have been initiated in the past few years. The program aims to prevent children from being orphaned. and improve the quality of life of infected individuals and families. targeted interventions.

effective monitoring of ART adherence and it improved the confidence level among staffs in working together . regular discussion on strategies to improve ART adherence.21 field visits at all the four district NGO sites and and takes care in information Sharing There was one Hospital sensitization program which concentrate more on basic facts awareness. reduction in stigma and discrimination and information on Post exposure prophylaxis. early initiation of ART. regular weekly meeting and case discussions. A bumper prize at 3 months and 6 months ere also given to the maximum scorer during that period. assessing clinical staging. At the end of every month the participants who gave maximum correct answers were ewarded. The quiz was open to all the medical and paramedical staffs of Kilpauk Medical College. The participants left their answers in the box in front of the center.07 The TNFCC ART quiz was started on I st June ’07. Each day one question related to HIV / AIDS was displayed at TNFCC ART KMCH center. structured case conferencing for challenging cases. strategies for reducing ART LFU were discussed along with new NACO guidelines. TNFCC ART QUIZ . There have been regular ongoing capacity building for staff members including Informal case discussions with team by the medical officer. Such onsite trainings have lead to early detection and effective managements of opportunistic infections.

drugs (ART. AT T. anxiety. capacitating PLHAs and family members on HBC are considered as the prime factors for improving the quality of life. In addition updating staff knowledge and developing skill to educate the importance of ART. post dramatic stress disorder. adherence to nutrition supplements (micro and macro). document and ensure adherence. Regular health care. OIs. A Nutritional Demonstration was held at the Hospital Site for PLHAs hospital staff and General public. The Nutritionist demonstrated the following recipes . TA team’s site assessment reveals that this component should be strengthened immediately to better monitor. psycho social support. OIs. Importance to Care. On the other hand the providers ability to monitor adherence to ART. stress. and OIs). Psychiatry department provided anti psycho drugs and patients were referred there. depression. generalized anxiety.22 MICRO AND MACRO SUPPLEMENTS AND ART AHERENCE MONITORING Over the last few years. there has been a rapid change in treatment strategies for HIV infection. Nutritionist explained how to prepare nutrition food with SATHU MAVU and also they discussed with cost effective nutritional foods. TNFCC program ensures the above mentioned components through its integrated hospital and field components. Macro and Micro. nutrition supplements (micro and macro). One of the foremost concerns identified at both sides are the PLHIV ability to maintain near perfect adherence over the long term. There was a session on psychological problems related to HIV infection held on 12th October 2007 at TNFCC – ART centre in KMC hospital where HIV related psychiatry problems such as HIV related disorders. ATT. negative emotion. hopelessness and psychosis were discussed. early identification and management of OIs. monitoring and calculating adherence is very decisive. panic anxiety disorder. support and treatment component is emphasized more especially PLHAs and their family members are followed up through community and home based care program in addition to the services provided at the hospital. pathological anxiety.

SATHU MAVU PUTTU 9. SATHU MAVU VENNAI PUTTU 4. PUTTU. SATHU MAVU CUTLET 3. SATHU MAVU SAMOSA 6. SAMOSA. to reinforce hygienic behavioral practices of the Clients. LADDU. VEGETABLE SALAD The procedures for the recipes like. This program was presided by Dean of Kilpauk Medical College and TNFCC ART centre Nodal officer A Mini Magic Cooler Water Dispenser for patients to provide Hot and Cool water and mineral water supplied on daily basis to patients. SATHU MAVU SPRING ROLL 2. SATHU MAVU KOLUKATTAI 8. and BISCUT & CUTLET were exhibited. to improve the follow-up Counseling of care&support and ART follow up clients. FRUIT SALADS & SPROUTS 7. . and also we distributed the nutritional recipes booklet. SATHU MAVU PORRIDGE 5. to Educate the client on Nutrition and Safe sexual Behavior. to Educate and enable the Clients to have a Clean and Hygienic living environment. to Provide Home based Psychological support to the client. The coordinator of the project visits all the four districts along with the monitoring and evaluation team so as to improve the Follow up practice of Lost follow up(LFU) Clients. DOSAI. KOLUKATTAI. to improve the Adherence level of both the Care support and ART follow-up Clients. to have a Real picture of the Client and their living environment. RAVA LADDU.23 1. to better understand about client needs and to improve a client friendly environment between the ART center and the Client.

including non-ARTnaïve transfer patients from other hospitals) No. including non-ART-naïve transfer patients from other hospitals) No.24 TNFCC – CHES ART Centre Data Details No. of new patients registered (CIFF patients. of patients started on ART (CIFF patients. of CD4 results available (All patients) CD4 < 200 (All patients) CD4 < 200 (CIFF patients) No. of new patients registered (All patients. including non-ARTnaïve transfer patients from other hospitals) No. of registered patients reported died TNFCC – CHES ART Centre Children Data Particulars (As on April 2008) Number of infected children registered CD4 results available Number of children started on ART+ Number of affected children KMC 282 272 122 1690 Chennai 2179 1641 1982 666 485 728 567 195 Project Sprout – A support program through Elton John AIDS Foundation. UK . of patients started on ART (All patients. including non-ART-naïve transfer patients from other hospitals) No.

Their academic performance has been monitored through grade sheets given by the school authority. 50 needy infected children have been identified for OI support based on our medical screening. Planed activities of the Project included Educational support to be provided to children affected and infected by AIDS. Follow up of cases for where support has been provided as part of monitoring and evaluation. A need assessment was executed during the home visit and the support needed to establish IGP were ascertained. These children are being monitored by our health professional squad’s in standard intervals. Families who have made their move are being monitored by the assigned team in regular intervals. Committee had another look at the proposal and it decided to include Children who have been given educational support to be followed and their academic performance to be monitored. 80% of the children are outstanding where as rest stays in above average. No new funding was supported by the EJA Foundation. New case sheets have been developed for these children and they are being supported with various OI drugs as per health expert’s recommendation. Families were explained about the support and requirements needed. All the 70 children who have been given this support are being followed by our social workers. Activities remained the same.support has been extended to 20 children From our existing home care follow-up. Based on the left out funds in the project. same has been extended to 13 months from January 2007 to March 2008. The educational support in this current academic year (2007 -2008). .25 Project support was initially approved for one year since October 2005 and December 2006. 25 widow mothers from our home care families were provided IGP support after careful scrutiny of the Steering committee. Home visits were done to assess the circumstances to initiate the program. OI services to be given to children affected and infected by AIDS and Supporting infected affected families to initiate Income Generation Program (IGP) During the 3rd week of January 2007. Task force committee have met and reviewed the process of the project. This review looked over the process involved in the selection children and families for extending educational and Income Generation Program (IGP) respectively.

Around 150 new children have been reached through LSE sessions. care and support services to HIV/AIDS affected. cultural events. 40 old children from OVC families have been reached through Roja Kootam (Group of Children who have undergone the process of Disclosures) sessions. Apart from this. Children from Corporation / Government schools and from networking NGO’s have been reached. Children clubs have been formed at all the three zones in 3 different age groups. Apart from this new children. 340 children have registered so far in all age groups. He project aims to provide HIV/AIDS prevention. Children from OVC families and from the community participated enthusiastically. competitions were organized. Apart from the existing 30 slums (10 from each zone). Detailed reports of the same have been developed and they are enclosed. 30 new stakeholders have been identified and registered. February & March 2007. Regular sessions have been conducted at Shelter. Children Rally with Cultural program. These programs have lent a hand in facilitating child to child interaction to address stigma & discrimination. . Around 1163 (465 male & 698 female) people have been reached through the above said activities during the project period. Vadapalani and Saidapet. The project had faced a lot of changes and different funding. we have organized and conducted 3 Mega Events in December 2006. Monthly meeting have been conducted with these peer educators. One day training was organized for the selected peer educators & community volunteers. Apart from these monthly events. infected.An OVC program CHES has been running this pioneering program since 2000. 15 new slums have been identified in the nearby areas.26 Project “Thooli” Chennai . schools. Children Fashion show and a Mega on spot competitions were conducted respectively. All the project staff was oriented on LSE concepts & roles and responsibility of an effective facilitator at the beginning of the project. These stakeholders have been trained through various educational and sensitization meetings. childcare institutions and PLHA and to strengthen project management system and implement sustainability plan. to provide home-based care for OVC and to address the needs of Families affected by AIDS by strengthening the linkages and networks with health care structures. These monthly meeting helped both peer educators and social workers to assess their performance and to provide on site support to perform better. The overall objective were aimed to strengthen community response to address the needs of OVC and to implement behavior change communication (BCC) for HIV prevention and care and support of OVC in identified slum communities in Chennai. FRC and Community. 30 adolescent children (15 boys & 15 girls) have been identified and trained on Peer Educators concepts. orphans and vulnerable children and their families in five selected zones in Chennai city. Regular series like sports. Existing three FRC’s have been continued at Otteri. Counselors and Social worker supported LSE Coordinator to carry out the sessions. These stakeholders have supported us in organizing community events and BCC program at the above said community.

parents and family members. Discussion with parents may be centered on the physical and mental well being of the child. needs of the children. S. some of the members came forward & visited the CHES “Aanandha Illam” – care home for OVC. Based on the referrals. All children have been visited at least once a month. support services requested. Monthly meeting of the trained Peer Educators and Community Volunteers have been executed Zone wise. The Hope Club initiative was started on the October 1997 by CHES when five PLHA members attended the same. The team spends time with children playing with them and encourages them to talk with them freely.27 Each social worker has made at least one visit to each of the family. his day to day activities. 2 . Regular contact with the volunteers by the Social Workers is going on. During these meetings. When Social workers visits a family they have been asked to talk to the children. It was a platform for PLHA to discuss among them and develop positive living. The main aim of the Hope club is to bring people living with HIV together. Particulars Old Follow-up New (Identified) Total No . “Handful of Rice”. Hope club was held on the last Sunday of every month. nutritional care. make referral wherever possible for medical and support services.N o 1 . friendship and PLHA came to understand the epidemic much better. follow up of referrals education on health and hygiene including personal and environmental hygiene. which is being mobilized from the SHGs and the children’s clubs through. The rice. of PLHA 293 43 336 No. The Social workers was also asked to discuss short and long term plans about their children and initiate life book for the children.of Boys 159 22 181 No. which are being identified by the concern social workers. Counselors made single / joint visits to the families with the social workers to identify the need assessment and also to support the family with their emotional needs. they were able to understand that there are many more like us and this . of Family 247 25 272 Home Care team had conducted 2 nutritional demo with explanatory sessions every month during caregivers training and hope club. immunization and prevention of spread. of Girls 187 29 216 No. Our continued community mobilization activities have successfully established a linkage to the Home care. Sunday was selected because most of PLHA were working and hence to facilitate them to attend the meeting Sunday was chosen. Apart from this we have extended nutritional support to 10 positive sex workers (through our ongoing WIP program) family. scheme is also being distributed to the needy HIV infected families. Each month when PLHA and children meet each other. create an enabling environment and a positive living. 210 people from CAA families & PLHA have Scholarly on low cost nutritive diet food for children & adult through 10 training program.

Six sensitization programs have been organized at the corporation and government schools at Namalwarpet. Two caregivers training program were conducted every month since April 2007. Through this program travel allowance to the families for coming to the Hope club. At the end of the program. CHES provides support to center of excellence the government institute of Obstetric and gynecology in prevention of parent to child transmission program. Tuberculosis and Malaria round 2 was allotted towards prevention of parent to child transmission of HIV. This training program was held at CHES Training Center. At the end of the training program. During the meet the families were provided one meal on that day and this was provided through local religious group. Two schools have given their acceptance to take-up the LSE program to their children in partnership with CHES and the same was initiated from February 2007. All the school has assured us to support the CAA’s referred by CHES. Review meetings of the same were executed in November & December. 10 such meetings have been organized since November 2007 until December 2007. School authorities were very much keen to us & they have accepted our request and permitted to have the meeting at their school premises. all the participants were given a medical care kit (consist of First aid materials). psychosocial support is provided to the parents and their children. This increased the number of families coming to the Hope club. LSE session if taken during this meet for children of ROJA KUTTAM. HIV/ AIDS etc. teachers have come forward to take this information to their children (students). From October 2006 this HOPE club became an activity of Project Thooli through APAC support. Here we cover over 4 corporation zones in Chennai district covering around 67 corporation health out posts and work closely with the community such as SHG. 10 HIV infected sex workers children are provided nutritional support for the month through our networking with another NGO called ICWO and this support is provided by Elton John AIDS foundation. They have also requested us to handle sessions with children on sex & sexuality. Experience resource persons handled sessions in the Nurtured Hope care manual. Otteri & Vadapalani respectively. post natal and lactating women. Recreation activities are planned during the meeting for children. . antenatal. Around 25 teachers per program have participated in the meeting. Project Thai Seye Nalam Under the Global fund for AIDS.28 build in confidence in them to live. 80 Representatives from PLHA family & community have participated.

Those who test positive for HIV are followed provided ART drugs and adherence is followed. affected due to AIDS so as reach their fullest potential by offering a quality of life. The Strategic directions of the projects are involving women self help groups. Mahalir mandram. create an enabling environment to address the needs of CAA and FAA in identified slum communities in Chennai through the existing services already rendered by CHES. This project aims to improve the ANC strength through community based awareness and education and bring in women for institutional delivery and to improve the follow up care of children through home-based care for CAA and their parents with out breach in confidentiality. ICDS. utilizing the out reach program to offer follow up care of children and their parents through home based care. linking them to the various need based services including ART services. Building capacity of various stakeholders. This challenging project has multifaceted and each and every part of it is important. CHES works with Institute of obstetric and gynecology. balwadis. This project is supported by Tamilnadu state AIDS control society through the Global fund round 2 and 3. strengthening of existing PPTCT services at IOG. couples and children At the institution the pregnant women are offered HIV screening and tested with consent. network with out breach in confidentiality and providing psychosocial counseling to antenatal mothers.29 The goal of the project is to work towards a future without prejudice for children and their families infected. . Counseling services are offered to couples and pregnant women. or community based organization in dissemination of information about PPTCT and utilizing their services to reach all antenatal women in the 4corporation zones. Their husband and children are also addressed through this program. Under round 3 the PLHA identified through round 2 are referred to TB care center to identify this common Opportunity infection and manage the same. positive network and NGOs providing support services. Strengthening support services to families affected by AIDS through referrals. testing services. VCCTC. other medical services. The team links with corporation health post. Egmore. The infected pregnant women are followed through home based care and are empowered through providing health education. TB screening and other support services.

15 were given economic support. With this 70 PLHA identified this year nearly 194 PLHA in total are followed by the project. 32 deliveries were conducted of which there were 31 live births. 22 PLHA meetings in which 742 took part. Nevirapine was given to 32 mothers. Under Home based care 261 PLHA were followed. 78 PLHA for OI management. ART regime to one mother. c o u n s e l a n d t e s t e d . Along with the 8769 women referred for testing 8592 spouses were also referred of which 6826 attended the testing facility and 27 were identified as HIV positive. 155 PLHA have been referred to RNTCP. 135 to Screen for sexually transmitted disease. all PLHA have been linked to ART centers and 8 to care centers. 3 PLHA were referred to care center. ANC r e ac he d 12 0 0 10 0 0 800 600 400 200 0 To t a l A N C re f e r r e d A N C r e g is te r e d . 5 anganwadi meeting in which 325 took part and 46 SHG meeting in which 1398 took part. only 8769 reached the testing centers and the project has identified 43 new pregnant women. The project had conducted 53 ANC meetings in which 1514 ANC mothers took part.30 Over the last one year the project team have identified and registered 10118 pregnant mothers who were motivated for HIV screening of which 10096 were counseled and referred to Integrated counseling and testing centers. 4 children were referred for shelter care. Of this 10096. who were offered counseling services. 10 PLHA were linked with Positive network and 4 women were referred for legal support. one was a still born and Nevirapine was given to 31 babies. c o u ns el a nd te s t e d Sp ou s es c o u n s e le d a n d te s t e d 1 10 2 0 95 8 2 937 868 3 1 05 4 1 07 8 4 8 92 8 45 5 90 3 78 4 6 707 587 7 8 19 7 01 8 5 14 4 47 9 59 8 49 6 10 386 325 11 443 347 12 4 96 4 45 12 5 104 2 04 2 50 20 6 334 4 73 4 47 40 4 672 958 9 42 T o t a l A N C r e f e r re d A NC re g i s t e r e d .

CHES is governed by a 12 member board 2.CHES has Income Tax exemption 4.CHES has been offered the Fit institution Status by the Government of Tamilnadu History of CHES 1994 .Registered as a NGO under societies act and started d the first HIV care home for HIV infected orphans. .CHES has been registered under the society’s Regulation act 3.CHES has been registered under the Foreign Currency Regulation Act of India 5.31 Additional verity of CHES 1.

Concentrated on awareness creation on HIV/AIDS. As an outcome of the Round table conference conducted by CHES Villupuram collector allotted free land to eunuchs 1998 . 2000 . CHES assisted the sex workers to register a CBO with the objective of taking up routine medical check up / rehabilitation. CHES learnt from the target community that condom use was low. The first Home based care program called VIDIYAL was initiated by CHES in Chennai with resource from TANSAC. 1999 . The APAC. TANSAC supported yet another project called “ Vellicham” STD/HIV/AIDS awareness among slum dwellers in Chennai.CHES was the first agency to appoint PLHA on Job. 50.32 1995 . The first 18 months of the project called Thooli.Conducted a baseline survey on condom use among sex workers and found it to be just 7%. Initiated the first HIV/AIDS awareness campaign during the Koovagam festival. Tamilnadu Governor donates Rs.Projects Vidiyal.VHS-USAID supported WIP intervention project was started this year in Chennai. Vellicham and Thozhi continued. CHES scaled up its counseling services by getting its grass root workers trained in counseling through CMC Vellore.Projects Vidiyal. Vellicham and Thozhi continued. TANSAC provided support a Sex workers intervention program along the sea coastal region in Chennai.VHS-USAID conducted the Beauty Contest for eunuchs at Koovagam festival. a project called “ Pathukappu”.000 to CHES 1997 . CHES shelter home care continued. affected and vulnerable to AIDS called “Thooli” with support from FHI. CHES along with APAC. CHES worked with school students creating awareness during the WORLD AIDS day event 1996 . focused more on institutional care. Started Counseling services at Government Hospital for Thoracic medicine. Started an STD clinic for high risk population at Chennai. CHES assisted the eunuchs to register an organization for them called “ THAA”. Number of referrals to CHES shelter home increased. Developed the first manual to train caregivers on care of children . CHES started to identify sex workers who came as HIV infected and destitute to our shelter home. APAC-VHS-USAID provided fund for a STD care program.Started a care program for children infected.

CHES started to work among male sex workers a project supported by TAI. The APAC. Project Thozhi and Project Thooli continued. In continuation to the above work CHES did a situation assessment on families affected by tsunami at Pudhukuppam. Project Thozhi. 2004 . A pilot social marketing of condoms initiated through petrol bunks and supported by APAC – VHS. 2003 . Theni. Project Thozhi and Project Thooli continued. supported by TANSAC. CHES formed a pediatric forum to address the issue of children affected by AIDS. Orphans affected by AIDS sent for adoption to normal families. Developed a manual to training doctors on care of children infected by AIDS.33 called NURTURED HOPE.Conducted Situation assessment for FHI on Impact of HIV/AIDS on children and PLHA at Nammakkal. CHES Project Director appointed as member of women and child ant trafficking committee both for the state and Chennai.Condom social marketing project continued. CHES conducted a survey to identify people eligible for widow pension and old age pension. .VHS-USAID supported WIP intervention Project “Thozhi” continued 2001 . CHES succeeded in sending infected children to normal schools. CHES developed gate keeping criteria to restrict admissions in to CHES shelter home. CHES visited Cuddalore Pudhukuppam village and provided psychosocial support to Tsunami affected children. CHES with support from TAI. First two positive children given on unrelated Foster Care. Project Thooli and Project Mottukkal continued.Thooli project focused on home based and community based care along with institutional care.Gates foundation started an intervention program among male sex workers in north Chennai.USAID.VHS-USAID supported WIP intervention project Thozhi continued. CHES conducted A situation assessment on impact of HIV/AIDS on children in 4 high prevalent districts namely Trichy. where CHES role was a mentor organization.CHES started work at Nammakkal “project Mottukkal” with a local NGO called WORD. This project again supported by FHI. The APAC. CHES assisted social welfare department by training teachers on counseling people affected by tsunami. 2002 . Salem and Tirunelveli in Tamilnadu.

Developed the counseling training manual to train counselors on Child counseling. CHES did a Policy document for UNCEF on “Issues related to AIDS Orphans”. CHES started the project Malarghal – psychosocial support to tsunami affected children. She was also appointed as the member of eunuchs rehabilitation program of the government of TN. CHES has started a foster care program for AIDS orphans with the support of Alliance youth foundation. Project Thozhi. CHES also did a Policy document for Tamilnadu on CAA. Project “ Thai Sayee Nala Thittam” from TANSAC{ PPTCT intervention}continues. Two acres of land was purchased the same year. This project is called the Tamilnadu family care continuum. 2006 . . CHES has started an IGP program for AIDS widows a project supported by Elton John Foundation. Project Thooli and Project Mottukkal continued. Project Thozhi. Chennai. Tamilnadu family care continuum project supported by TANSAC continues. Students of Anna University Guindy Engineering College donate a Maruti Omni van 2007 – Emirates Children Foundation has agreed to build a shelter home for children of Anandha Illam. CHES is the NGO at main site supporting clinical care. Project Director of CHES was appointed as chairperson of CWC. OVC Tamilnadu program started and CHES has extended its work to three more districts in Tamilnadu namely Cuddalore. CHES started to work with Kilpauk medical college on children ARV program. Project Nanban and Project Mottukkal continued.CHES identified as NODAL agency by National Institute of Social Defense to collect information about CAA/CIA in Tamilnadu.Shelter home for AIDS orphans has got support from TANSAC as community care center. The support is provided by SCARF and Plan International. CHES was recognized as a Fit Institution to handle Orphans by the government of Tamilnadu. CHES along with Save the Children UK conducted a situation assessment on children’s vulnerability to HIV at 5 districts of Tamilnadu. CHES supported by Social welfare board for the children in special needs – HIV infected through the cradle baby scheme. CHES conducted a RAAP study for Futures group on impact of HIV/AIDS on Children in Tamilnadu. Project Thooli.34 2005 . Project Malarghal – psychosocial support to tsunami affected children continues. CHES had an additional project “ Thai Sayee Nala Thittam” from TANSAC{ PPTCT intervention} where CHES started to work with IOG. vested with powers of 1st Magistrate.

Vice President 3. Member . Dr. Secretary 4. Project Nanban.Jagadeesan. 12.N. Member Ms. Project Thai sayee nalam. Founder President and Project Director 2. Member 6. Dr. Members of the Board 1.DCH.C. Project Malarghal got over and a final report was brought. Member 8. Ms. Mr. Ms. Member 9.M. Ms. Project Thooli .Nallanayagam. Member 10.Latha. MD. MBBS.Shantha. Mr. Dr. Kalyani.Nayak. Member Mr.P. Member 7.Manorama. Dr.Pinagapany.35 Tiruvanamalai and Rameshwaram.S. Vasantha. MD. 11. Treasurer 5. MA.Bhanumathy.V.DM.Sivakumar. Ms.Mohan Babu. Tamilnadu family care continuum project supported by TANSAC continues.

11. FHI – USAID 4. CAPACS 8. Alliance Youth 10. 13. APAC – VHS – USAID 3. Save the Children UK 6.36 Who all have recognized CHES services? 1. Elton John Foundation SCARF – Plan International Dept. Plus individual donors /and Universities who supported smaller initiatives . Tamilnadu State AIDS control society 2. Of Social Welfare UNICEF. TAI – Bill gates foundation 5. MBC university Australia 9. Chennai 14. 12. OXFAM – GB 7.

MD. Rangarajapuram Main road Kodambakkam Chennai – 600024 Email: pmanorama@yahoo. .com Mobile: 9444077177 * Donation can be sent as crossed cheque to be drawn in favour of “CHES”. DCH. DM PRESIDENT CHES 198.P.Manorama.37 Contact Person and details of contact: Dr.

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