Professional Documents
Culture Documents
INTERVENTION
District -East Delhi
The planned district for the target intervention initiative for injecting drug users is East Delhi.The
prominent slum neighborhoods in East Delhi are Kalyan Puri, Trilok Puri, Khichri Pur and Himmat
Puri, Seelampur, Welcome colony, and others.
Organization Strengths:
1. HIV/AIDS issues and priorities are considered as relevant by the organization and HIV-AIDS is
the core field of work of the organization.
2. HIV-patients have already in reach of the staff in the selected district.
3. The organization has already in contact with primary health care services and NGOs having
large coverage of the population of Injecting drug users in the selected district.
4. Trained staff on HIV-AIDS issues
Organization Weakness:
1. Human and financial resources are in short supply at the organisation. Without this, the
organization will be unable to carry out a full-fledged initiative in the area.
2.The organization working in similar area with same target group of IDUs. However, its
implementation area is limited to some parts of the district only.
The organization's flaws have a minor impact on SACS intervention because the funding
crisis problem will be resolved following project allocation. The region could be allocated
between the organisations for effective project implementation under the supervision of SACS.
Objectives
I. To provide clinical and mobile health care assistance to the High-Risk Group of IDUs in a
readily accessible manner.
II. To improve citizens' knowledge of HIV/AIDS and sexually transmitted infections (STIs),
health care, cleanliness, and prevention measures.
III. Using various communication strategies such as one-on-one encounters, community
group meetings, folk & street play, puppet show, magic show, and video shows, raise
public knowledge of health seeking behaviour.
IV. To encourage people not to hide their health-related issues.
V. To work with a greater concentration of HIV/AIDS patients.
VI. To build excellent peer educators who can motivate their peers on basic health care
issues.
VII. Identify and train community stakeholders to maximise their potential as change agents.
VIII. To support all ongoing health care programs/campaigns, both government and non-
government, in order to establish an enabling environment and to reinforce our
initiative in the area.
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Activities:
The organization is now working in East Delhi to raise HIV-AIDS awareness among injecting drug
users. The field crew is entirely responsible for identifying hotspots where IDUs congregate and
consume drugs, as well as connecting them to various drug recovery centers in East Delhi. The group
arranged a health camp for HIV-AIDS testing in various community locations in partnership with
Government Hospital. In its trust deed, the organization lists HIV/AIDS as one of its key areas of
action.
3.District Scenario
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The planned district for the target intervention initiative
High Risk Population in District for injecting drug users is East Delhi. People who inject
East Delhi drugs (also known as PWID) are among the people who
29320 are most at risk of contracting HIV. Injecting drug users
are believed to be 22 times more likely than the general
population to contract HIV. The prominent slum
neighborhoods in East Delhi are Kalyan Puri, Trilok Puri,
Khichri Pur and Himmat Puri, Seelampur, Welcome
5990
3336 colony, and others. As per Census 2011, East Delhi had
1322 1205
population of 1,709,346 of which male and female were
FSW MSM IDUs TG Migrant
907,500 and 801,846 respectively. Average literacy rate
of East Delhi in 2011 were 89.31. If things are looked out at gender wise, male and female literacy
were 93.13 and 84.99 respectively. Estimated high risk population for IDUs is 1322 in East Delhi
District as per DSACS.
Previously, each slum home was given a plot of land totaling approximately 22 square yards. There
were no sewer lines in these communities at first. The slum dwellers had to build the house on their
own with the materials collected from the demolished slum houses. Each block featured common
toilets, and inhabitants were required to build hand pumps to obtain water for drinking and other
purposes. Sewer lines were installed much later. The early period was wrought with trauma and
hardships as they attempted to reestablish their livelihoods and social relationships. These
communities, on the other hand, have evolved into some of Delhi's most lively and populous areas.
Many of these communities have been converted into multi-story buildings with residential and
commercial applications such as rental, business, and small-scale manufacturing. The heights of
these structures are increasing, with some reaching as high as 4-5 stories, while three stories is the
norm. The lanes have become congested and occluded with garbage and free flowing waste water.
Injecting drug users are more likely to contract HIV-AIDS. IDUs are categorized as high, and in the
targeted area, predominantly young people between the ages of 15 and 40 are abusing narcotics in
the form of synthetic substances and marijuana. Sharing needles and syringes for injecting drugs,
unsafe sexual practices among teens and young adults, and early pregnancies are all sources of HIV
transmission. Because the majority of the population of District East Delhi lives in slums and
resettlement colonies and is adjacent to the Uttar Pradesh Industrial Hub, the possibilities of
becoming drug addicts are relatively high.
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environment to be created to their problems faced in day-to-day
foster HIV-prevention interventions life.
and reinforce individual behavior- b. medical support for withdrawal of
change efforts. drug addiction.
c. Doctor’s visits for HIV prevention as
well as drug de-addiction.
b. Behavior Change workshops
1.4 Maintenance—HIV-prevention a. extensive follow-up visits for
interventions to include strategies individual drug users.
that will foster the maintenance of b. Check and re-check of health status
behavior change over time. of IDUs.
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environment and HIV-AIDS c. Nukkad natak
Community d. Extension lectures.
mobilization 4.2 Initial assessment for a. Survey
identification of IDUs b. Need assessment exercise
4.3 Community involvement for a. Volunteer identification exercise
developing sense of responsibility b. volunteer training.
towards society c. Volunteer engagement.
5. Staff Capacity 5.1 Concept Building about HIV- a. Knowledge level test of staff
building AIDS and IDUs involved in project.
b. Designing training content and
programs
c. training sessions
5.2 Re-fresher trainings on new a. Mid-term evaluation of staff
concept and updates in ongoing knowledge
project activities b. Training session and follow-ups
6. Addressing other 6.1 Fund scarcity management a. Corpus maintenance specifically for
issues the project.
b. Utilization of corpus money in case
of fund delays so that project
activities could not get hampered.
6.2 Trustees’ Supervision a. Monthly meeting of Trustees with
Project staff to discuss project
activities’ growth.
b. Interactive session with IDUs.
c. involvement of Trustees in
Stakeholders’ meetings.
5. Organizational Analysis
5.1 Strengths of the Grantee organization and their relevance to the proposed intervention
1. HIV/AIDS issues and priorities are considered as relevant by the organization and HIV-AIDS is
the core field of work of the organization.
2. HIV-patients have already in reach of the staff in the selected district.
3. The organization has already in contact with primary health care services and NGOs having
large coverage of the population of Injecting drug users in the selected district.
4. Trained staff on HIV-AIDS issues
The organization's experience with HIV/AIDS has proven to be a valuable asset in the project's
execution. Field experience and connections with drug treatment centres provide ready-to-use data
on injecting drug users. This will serve as a foundation for developing a day-to-day programme
implementation timetable that will lead to the achievement of the project's goals.
5.2 Weakness of the Grantee organization and its impact on execution of the SACS intervention
1. Human and financial resources are in short supply at the organisation. Without
this, the organization will be unable to carry out a full-fledged initiative in the
area.
2. The organization working in similar area with same target group of IDUs.
However, its implementation area is limited to some part of the district only.
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The organization's flaws have a minor impact on SACS intervention because the funding crisis
problem will be resolved following project allocation. The region could be allocated between the
organisations for effective project implementation under the supervision of SACS.
5.3 Classification of weakness that can be addressed internally and those that require external
support
External assistance was necessary to address both of the previously mentioned flaws. The issues are
outside the scope of the organization's efforts. If SACS can assist us in dealing with these difficulties,
we will be grateful.
__________
To accelerate the national decline in HIV infection and save lives by ensuring expanded and
simplified HIV treatment, as well as improved and effective use of interventions to prevent new
infections.
I. To provide clinical and mobile health care assistance to the High-Risk Group of IDUs in a
readily accessible manner.
II. To improve citizens' knowledge of HIV/AIDS and sexually transmitted infections (STIs),
health care, cleanliness, and prevention measures.
III. Using various communication strategies such as one-on-one encounters, community
group meetings, folk & street play, puppet show, magic show, and video shows, raise
public knowledge of health seeking behaviour.
IV. To encourage people not to hide their health-related issues.
V. To work with a greater concentration of HIV/AIDS patients.
VI. To build excellent peer educators who can motivate their peers on basic health care
issues.
VII. Identify and train community stakeholders to maximise their potential as change agents.
VIII. To support all ongoing health care programs/campaigns, both government and non-
government, in order to establish an enabling environment and to reinforce our
initiative in the area.
IX. To engage IDUs in skill training for enhancing skills for entrepreneurship.
Outputs
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• Peer educator to be involved in different outreach activities.
• Distribution point identified for condom distribution
• Condom to be distributed free of cost.
• Patients will get medicine free of cost
• Counselling session will give emotional support to IDUs
• Skill training to be organized for IDUs
• IDUs will be enrolled in drug de-addiction centre.
Outcomes
People will be aware about the prevalence of HIV-AIDS.
• IDUs will be identified and contacted for further activities.
• IDUs will be able to get benefit from project.
• Trained peer educators motivate other IDUs to be part of the project.
• More trained IDUs, less incidence of HIV-AIDS.
• Reduce risk of HIV-AIDS.
• Reduce number of cases of HIV-AIDS positive.
• Health condition of the IDUs will be improved.
• IDUs will be motived to withdraw from harmful drug usage.
• IDUs will be engaged in income generating activities.
• IDUs will be turn into civilized citizen of the society.
7. Project Implementation
1. Community Mobilization and Sensitization: This include assisting IDUs, their parents/guardians,
community leaders, and the general public in changing their perceptions, attitudes, and behaviours
(KAP). Participants are educated about the issues that young people encounter, orphans, HIV/AIDS,
and sexually transmitted diseases, as well as what they may do to help. Community mobilisation and
sensitization entails providing communities with information, education, and communication (IEC) in
order to ensure their participation, contribution, and involvement in the solution of a common
problem, such as HIV/AIDS, by changing their knowledge, attitudes, and practises (KAP).
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2. Training of Volunteer peer educators: Studies in social psychology with many forms of peer
groups have shown that behaviour patterns in issues of attire, speech patterns, entertainment, and
food or drink preference are influenced by the group, in youth groups and communities at large.
Drug use is a hot topic, and group norms are formed around how it affects people's personalities.
Members are subjected to peer pressure to conform to the group's approved standards. The criteria
can be either negative or positive. If negative, they may lead to have drugs, alcohol and promiscuity
and eventually to STIs including HIV/AIDS. Today, it is not uncommon to hear youngsters saying their
peers led them into having drugs.
4. Health Clinics and Counselling: Health clinics will be organized at the center on fixed date and
time for IDUs. General health problems will be covered in the health clinic. One to one counselling
will also be taken place after the clinic with the beneficiaries. These counselling sessions are the only
medium for giving them personal care and they feel like a home at center. When they become
comfortable in discussing their issues with doctors, they can be motivated to withdraw from drug
usage and also be safe from the risk of HIV-AIDS.
5. Skill development program: After counselling session, some of the beneficiaries are willing to
engaged in skill development training program. The selection of skill will be totally depended upon
the priority of the IDUs. This program will help them to deviate from the use of drugs and turn them
into civilized citizen of the city. Also, the training gives them an opportunity for earning money after
completion of the course.
6. Linkage with drug de-addiction programs: The organization has already linked with drug de-
addiction center in the area. The IDUs who want to enrol in drug de-addiction program, will be
linked with the drug de-addiction program. The project staff will support in each and every step for
getting benefit from the program.
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3. Condom √ √ √ √ √ √ √ √ √ √ √ √
contraceptives
procurement and
Distribution:
4. Health Clinics and √ √ √ √ √ √ √ √ √ √ √ √
Counselling:
5. Skill development √ √ √ √ √ √ √ √ √ √ √ √
program:
6. Linkage with drug √ √ √ √ √ √ √ √ √ √ √ √
de-addiction
programs:
Project Manager: 1
Project Officer: 1
Psychologist/counsellor: 2
Doctor: 1
Field Staff: 4
Office Attendant: 1
Accountant: 1
Skill Trainer: 1
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IDUs get benefit from convinced to join the
project. project.
2. Training of Volunteer Peer educator to be Trained peer Number of peer
peer educators: identified. educators motivate educator identified.
Peer educator to be other IDUs to be part Number of trainings
trained in HIV-AIDS of the project. held for peer
prevention program More trained IDUs, educators.
Peer educator to be less incidence of HIV- Number of trainings
involved in different AIDS held by Peer
outreach activities. educators
3. Condom contraceptives Distribution point Reduce risk of HIV- Number of Points of
procurement and identified for AIDS. distribution made
Distribution: condom distribution Reduce number of Number of condoms
Condom to be cases of HIV-AIDS distributed.
distributed free of positive.
cost.
4. Health Clinics and Patients will get Health condition of Number of clinics
Counselling: medicine free of cost the IDUs will be conducted
Counselling session improved. Number of
will give emotional IDUs will be motived counselling session
support to IDUs to withdraw from organized
harmful drug usage.
5. Skill development Skill training to be IDUs will be engaged Number of IDUs
program: organized for IDUs in income generating trained.
activities.
6. Linkage with drug de- IDUs will be enrolled IDUs will be turn into Number of IDUs
addiction programs: in drug de-addiction civilized citizen of the linked to drug de-
centre. society. addiction program
Board meetings
Management meetings
Staff meetings
Supervision of activities by the Board and the Executive Director
Keeping records and statistics
Processing records and statistics into information and reports
Processing financial disbursement and office administration
Evaluation and impact assessment
Internal evaluation at the end of the year.
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new infections. will easily available for work properly.
HIV treatment.
Specific I. To provide clinical and People will be aware Awareness check Attitude of IDUs
Objectives mobile health care about the prevalence of general public. towards projects.
assistance to the High- of HIV-AIDS. Interview with People’s interest in
Risk Group of IDUs in a IDUs will be identified IDUs for services HIV-AIDS project.
readily accessible and contacted for delivery by IDU’s withdrawal
manner. further activities. project. from the project in
II. To improve citizens' IDUs will be able to get Drug De-Addiction mid of the skill
knowledge of HIV/AIDS benefit from project. center visits to training
and sexually transmitted Trained peer know the status of
infections (STIs), health educators motivate IDUs registered by
care, cleanliness, and other IDUs to be part the organization.
prevention measures. of the project. Monthly Data of
III. Using various More trained IDUs, new HIV-AIDS
communication less incidence of HIV- cases registered.
strategies such as one- AIDS District Data of
on-one encounters, Reduce risk of HIV- IDUs.
community group AIDS. Monthly report to
meetings, folk & street Reduce number of be submitted to
play, puppet show, magic cases of HIV-AIDS funders.
show, and video shows, positive.
raise public knowledge of Health condition of the
health seeking IDUs will be improved.
behaviour. IDUs will be motived
IV. To encourage people not to withdraw from
to hide their health- harmful drug usage.
related issues. IDUs will be engaged
V. To work with a greater in income generating
concentration of activities.
HIV/AIDS patients. IDUs will be turn into
VI. To build excellent peer civilized citizen of the
educators who can society.
motivate their peers on
basic health care issues.
VII. Identify and train
community stakeholders
to maximise their
potential as change
agents.
VIII. To support all ongoing
health care
programs/campaigns,
both government and
non-government, in
order to establish an
enabling environment
and to reinforce our
initiative in the area.
IX. To engage IDUs in skill
training for enhancing
skills for
entrepreneurship.
Expected Community meeting, Number of meetings, Project records. Less people
Results rallies, nukkad natak activities organized Physical verification involved in
to be organized for under awareness. of activities. awareness
HIV-AIDS awareness. Number of hot-spot Interview with IDUs activity.
Hotspots for IDUs to identified. for activity People’s interest
be identified. Number of IDUs involvement. in HIV-AIDS
Sensitization talks to contacted. Monthly reports project.
be organized with Number of IDUs Photographs, IDU’s withdrawal
IDUs convinced to join the Interaction with from the project
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Peer educator to be project. resource persons in mid of the skill
identified. Number of peer (Doctors, training
Peer educator to be educator identified. counsellor,
trained in HIV-AIDS Number of trainings trainers) regarding
prevention program held for peer activity verification
Peer educator to be educators. Project accounts.
involved in different Number of trainings
outreach activities. held by Peer
Distribution point educators.
identified for condom Number of Points of
distribution distribution made.
Condom to be Number of condoms
distributed free of distributed.
cost. Number of clinics
Patients will get conducted.
medicine free of cost Number of counselling
Counselling session session organized.
will give emotional Number of IDUs
support to IDUs trained.
Skill training to be Number of IDUs linked
organized for IDUs to drug de-addiction
IDUs will be enrolled program
in drug de-addiction
centre.
Activities 1. Community Mobilization Means: IDU’s willingness
and Sensitization: Means required for Cost: to get involved in
2. Training of Volunteer implementation of the project.
peer educators: activities are: Staff’s attitude
3. Condom contraceptives Qualified staff, IEC towards target
procurement and materials, Operational population.
Distribution: facilities, trainers, Availability of
4. Health Clinics and Linkages with Drug de- operational
Counselling: addiction center, facilities at centre.
5. Skill development Doctors, equipments.
program:
6. Linkage with drug de-
addiction programs:
9. Proposed Budget
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