To,

Juhi Gupta
CSR Head
Pepsico India Pvt. Ltd.
Level 3-6, Pioneer Square, Sec –
62, Near Golf Course Extension
Road Gurgaon, Haryana - 122002

Subject: Submission of the project proposal for financial assistance from Pepsico India
Pvt. Ltd for running 1 Mobile Health Van Unit to cover villages of Kurnool
.”

Respected Sir,
May we have your kind attention that our organization SWAYAM KRUSHI SOCIAL
SERVICE SOCIETY is registered & working for empowering and development of the Poor to
promote development as a liberating force for achieving social justice, economic growth and self
reliance? Our organization wants to run one Mobile Health Van Unit to cover villages of
Kurnool. I have read all the terms & conditions of the aforesaid scheme & undertake to abide by
the rules and regulations. I humbly request your good self for 'approval and financial sanction.

Thanking you,
Yours faithfully,

Director

1
 PROJECT PROPOSAL
FOR
Running Mobile Health Van Unit
for SWAYAM KRUSHI
SOCIAL SERVICE
SOCIETY

SUBMITTED BY
SWAYAM KRUSHI SOCIAL
SERVICE SOCIETY
ADDRESS- S.V.COMPLEX ,NEAR
SEETHARAMA NAGAR,
KURNOOL

CONTACT NO –9133711707,NESAPOGU MADDILTY

Email:-maddileynesapogu@gmail.com
 ABOUT
PROJECT
1. Title of the Running one mobile health van unit in Villages
proposed project of Kurnool,

2. Objectives of the proposed  To provide accessibility to quality preventive and

project
promotive primary health care service across the
target villages
 To bring positive health seeking behavior in
community by creating awareness
 To establish convergence with stake holders in the
primary health care delivery in the villages.
Any other work assigned by the project as per local
requirement

4. Who are direct Direct beneficiaries will be the poor, local people of
beneficiaries with approx. community living in the villages of Kurnool.
number

5. Project location District –

Kurnool
,
State – ANDHRA PRADESH

6. Total Project Cost Rs. 71,88000/-

7. SWBport required Rs. 71,88000/-
fromPepsico India Pvt.
Ltd.
8. Proposed Project Duration 12 Months

3
 ABOUT
ORGANIZATION/AGENCY
Name & registered address SWAYA KRUSHI
of implementing agency: SOCIAL SERVICE
SOCIETY
Address-
P.V.NARASINGH
RAO
NAGARKALLUR
(MANDAL),
KURNOOL
Legal status of agency and date of Registration Number: 174 of
Registration
2012 Details of documents
Attached

Contact details (office no., Mob:- 9133711707

mobile no. and e-mail)

ORGANIZATION
DETAILS
1. Brief description of the organization/ agency
1

SWAYAM KRUSHI SOCIAL SERVICE SOCIETY was established

by a group of Educationists
with rural background and are interested in the field of Health,
Education, Humanitarian and Rural development services.
. SWAYAM KRUSHI SOCIAL SERVICE SOCIETY created to work

exclusively in the Backward and rural areas of Kurnool District , with a

special focus to help poor and Backward communities to overcome poverty and
to get sustainability with good living standards. It has been an uphill battle for
The
Society, confronting the social, economic and political realities within which the NGO
 sector is operating. However, given these limitations, SWAYAM KRUSHI SOCIAL
SERVICE SOCIETY has been attempting to explore various possibilities especially by
providing Education, in becoming more relevant to the needs of the disadvantaged poor
in Kurnool and its neighboring districts in Andhra Pradesh.

1. Mission/Vision and Objectives of the Organization/Agency.

2

Mission
Train And Empower The Underserved

SWAYAM KRUSHI SOCIAL SERVICE SOCIETY is to deploy best possible

methodology and technology for achieving ideal SROI (social return on investment), to
practice andpromote good governance. To link business competitiveness of the corporate
with social development initiatives; also to sensitize privileged children, youth and
citizens in general to promote Civic Driven Change.

Vision
Transforming Lives
SWAYAM KRUSHI SOCIAL SERVICE SOCIETY works with and for children,
women, families and the community to bring a permanent change in the lives of the
underprivileged in terms of education, basic hygiene and rights, with the belief that all
human beings are equal and havethe right to equal opportunity.

OBJECTIVES:
Our organization is strived to raise the human and other resources to achieve the following
objectives:

-To promote the concept of National integrity, particularly the unity and integrity of all
Castes, Communities and Religions

5
 -To establish Educational and other allied institutions to impart education at all stages for the
benefit of the youngsters- The Minority communities’ in particular, in National interest. -To
establish training institutes to promote awareness through programs like Computer education,
Industrial /Vocational Training and skill development.
- To conduct health awareness programs on health and hygiene, family planning, prevention
of AIDS, Eradication of Leprosy, Tuberculosis, Hepatitis-B, Polio and other deceases.
-To establish Hospitals, Primary Health Care Centers in the Backward, Rural and Tribal areas.
-To establish shelters for children and women for the deserving poor orphaned children,
Destitute and neglected are kept in the homes for the children, widows, divorcees, untreated
parents, neglected women are kept in care centers, where they will have the vocational training
also.
-To work for the welfare of the weaker sections in general and the Schedule Castes and
Tribes in particular.
-To develop the rural villages for poorest and weaker sections, community development and
elimination of un-touch ability and to improve culture in the backward villages.

More objects are attached in Bye laws.

1. Financial status of the organization in last 3 years

3
Year Assets & Income & Receipt & Payment
Liabilities Expenditure

2019-20
AUDIT
2020-21 ATTACHED

2021-22

1. Details of similar projects ongoing/completed by the organization/agency in previous

4
three years/ List of projects undertaken in last three years.
 SKILL DEVELOPMENT & AWARENESS PROGRAMM
 WOMEN RIGHTS, SHG & EMPOWERMENT
 INNOVATIVE DIGITAL EDUCATION PROGRAM

6
  TAILORING TRAINING PROGRAM
 ENVIRONMENT CONVERSATION PROGRAM
 MICRO-SMALL & MEDIUM ENTERPRISES
 CARE FOR AGED

1. Details of previous support received from PEPSICO INDIA PRIVATE LIMITED.

5
N/A

1. Whether affiliated to National Skill Development Corporation (NSDC)? (If

6 yes the details thereof)

N/A
(DOCCUMENTS ATTACHED)
1. The list of current trustees / governing body members with their addresses,
7
Designation, experience and qualification.

S. Name Address Designation Qualification

No.

Details of Committee Members attached in separate sheet

PROJECT
DETAILS
2.1 Details of the proposed CSR project to be undertaken by your organization

SWAYAM KRUSHI SOCIAL SERVICE SOCIETY has been in the target area for last
many years. It is now felt that community health program to be continued through local
community based organizations. This will facilitate in strengthening community
participation and higher level of acceptance of basic health care services. Continuation of
community health care is the primary step towards sustainability of community health.
SWAYAM KRUSHI SOCIAL SERVICE SOCIETY with the support of PEPSICO
LIMITED,proposes to introduce this project for providing Primary Health Care facilities
by means of operationalize 01 Mobile Wellness Unit/ Mobile Health van in Villages of
Kurnool.

The Mobile Wellness Units will be fabricated on a four-wheeler, customized as per the
terrain suitability; equipped with the state-of-the-art medical equipments for Point of Care
Tests (POCT), medicine services, audio visual equipment, one ventilator and
manned by a MBBS Doctor as Medical Officer, Pharmacist and Lab Technician.

8
 Services that will be provided by the Mobile Wellness Unit; (i) Mobile OPD (ii)
Specialized Health Camp and (iii) Awareness on Health & Hygiene. The Mobile Wellness
Unit will reach the selected villages on a routine basis to provide free OPD services like
Consultation, conducting Point of Care Testing (POCT), Medicine prescription and
distribution.
Apart from the general OPD’s conducted through the MWU, emphasis will be given to
organize health camps as per the disease prevalence in the locality; by specialist doctors.
As an added service, in order to advice the community about prevailing health issues, its
prevention and care measures; promote healthy living habits and other health education
related videos will be screened in the villages.

2.2 Brief on Goals and objectives of the project

Providing Access to Primary Healthcare Services in villages of Kurnool.

1. To operationalize Mobile Wellness Unit (MWU)/ Mobile Health Van for
better access to primary healthcare services.
2. To make primary healthcare services available at the doorstep; who are deprived
of such facilities; diagnosis, medication and other curative services for common
illnesses, early detection of TB, Malaria, and other locally endemic diseases;
hypertension, diabetes and cataract cases, first aid, antenatal and postnatal care,
immunization services, counseling on HIV/AIDS, personal hygiene,
environmental sanitation, nutritional education and other health related IEC
activities.
3. To organize specialized health camp on area specific endemic, general health
check-WB, dermatology and gynecological issues.
4. To create awareness on Health & Hygiene; cleanliness drive.

2.3 Brief about the Location and Area of the Project.

9
 KURNOOL district has a population of 2,193,590, roughly equal to the nation of
Latvia[14] or the US state of New Mexico. This gives it a ranking of 209th in India
(out of a total of 640). The district has a population density of 831 inhabitants per
square kilometer (2,150/sq mi) . Its population growth rate over the decade 2001-
2011 was 11.16%. Kurnool has a sex ratio of 913 females for every 1000 males, and a
literacy rate of 82.4%.

2.5 Brief about the targeted beneficiaries under proposed CSR project

The beneficiaries that would be target in this project will be the underprivileged people,
illiterate people, women, Children, and other community people living in nearby villages
of Kurnool district.
Special focus will also be given on providing public health information to the villages by
their own members, in their own language, in their local centre, at a time where the
numbers is maximum. This will give the greatest impact of the project.

2.6 Methodology of the selection of the beneficiaries and number of beneficiaries in

detail.

Beneficiaries are selected considering their access to basic health services from the
villages & Field Observation Report of SWAYAM KRUSHI SOCIAL SERVICE
SOCIETY. Physical accessibility to health facilities and vulnerability; Population of the
villages who lack basicservice availability; Quality & Quantity, Villages, that are located
at a distance of about 15 kms from Block Headquarters and highly populated, Villages
having Scheduled Caste
/Tribe population mostly; Villages far from health facilities; Villages where % of
prevalence of anemia & nutritional deficiencies among children & mothers have been
reported.
Preference will be given to any such specific hamlet or community having person with
disabilities, destitute women, children, small and marginal farmers, landless
labours etc. Any particular group in the village; Children below five years and their

11
 Mothers. Local decision-making process shall be taken into account in consultation with
the village representatives.

2.7 Details about physical and social milestones/deliverables to be achieved

through the proposed CSR project
Milestones Strategy Outcome
Set WB of
Project
Office, Team Database on socio,
 Project Office SetWB
Appointment economic and health
 Baseline Survey &
 Village Health (Programme condition of the people in
Profiling Manager, the target location.
Report Medical Officer, Identification of the
Lab Technician, villages, specific health
Pharmacist, needs and related
Account & expenditure, current
Admin Officer), coping mechanism
Training of the available in the
team members, villages.
Field Visit;
Establish
Rapport with the
Panchayat, SHG
Leaders, ASHA,
AWW, ANM,
PHSC
Staff &
Conducting
Baseline
Survey/Need
Assessment.

Organizing
Household
Wise Village
Health
Profiling &
blood
Grouping

12
 Sharing of the
health status
respective
person
Work plan
development &
sharing

Improved access to Primary

Health Care Services in the
focused region.

Mobile OPD - 01 per day

by 01 Health van unit -
minimum 20 working
days in a month;

About 50patients per day

Procurement, Procurement &
Fabrication of will be benefited by the
Fabrication of Mobile OPDs;
Vehicle &
Operationalisation Vehicle, Trial About 50 patients per day
01 Mobile Run, will be screened by the
Wellness Units Inauguration, Lab Service.
Conducting
Mobile OPD, Specialized Camp - 01
Awareness in a quarter;
Programme on  About 100 people
Health & will be benefited.
Hygiene and
Specialized
Health Camp

Awareness Camp
Community Health - 02 in
a quarter;

13
 About 100 people will
be benefited.

CHVs will
be identified; Need & demand of essential
health services in the
trained, villages are met.
equipped,
WB ported
to takeWB
Training of essential
community
health services,
10 Community enhance access
to health services
and
Health Volunteers promote people’s
trust, demand
and
(CHVs) use of Mobile
Wellness Unit
Services.
CHVs will be
facilitated by the
project
through
community level
meetings.

14
2.8 Detail timeline/duration of the proposed project
Proposed Months
Activities 1 2 3 4 5 6 7 8 9 10 11 12
Baseline Survey
SettingWB of Project Office
&Project Team
Recruitment
Team Formation & Orientation
Rapport Formation in
the Villages, Health
Profiling & Blood Grouping of
beneficiaries
Sharing Reports & Work Plan
Information
Information Sharing
about project with State,
District & Local Officials;
PHC Staff, Village &
GPU
Procurement & Fabrication
of vehicle & other
related equipment
Fixation of MWU halting spots
at villages
Finalization of root map for
MMUs functioning
Trial run of MWUs for
assessment of time &
duration
Draft SOPs for MWU
Operations & KRA of
team
Functioning of MWUs covering
all the project
locations & Conducting
Mobile OPD, Awareness
Campaign/ Need Based
Specialized Health Camp
Showing films / material
on various aspects
related to water, sanitation and
personal hygiene

15
 Preparation of IEC material &
communication
strategy for information
dissemination
Identifying Community Health
Volunteers (CHVs)
Training & Involvement of
Community Health
Volunteers (CHV)
Regular follow-WB
with community for
assessing
behavior change
Training / Capacity Building
of Team
Quarterly Activity
Report Submission
Annual Activity Report
Submission
Impact Assessment

2.9 Budget estimate of the project with detailed budget break-WB of each expenditure
head along with documents proving rate reasonability.

ANNEXURE “A”
2.10 What is the monitoring mechanism for the project as far as project activities and
benefits to the beneficiaries are concern?

- Continuous monitoring by organizing a Project Management Unit (PMU)

with stakeholder from community, SWAYAM KRUSHI SOCIAL SERVICE
SOCIETY andDonor Agency;
- Project Performance & Achievement Indicators will be identified;
- MIS will be developed to collect information and generate activity reports;
- Period activity and audited utilization reports will be shared with
DONOR AGENCY;
- Corrective action on any deviation in the performance will be taken;
- Joint Field visits and inspections by DONOR AGENCY and the
Society professionals;
- Annual report with all documentation, case studies, and success stories,

16
 qualitative and quantitative output shall be compiled and shared with DONOR
AGENCY.
- updating the progress of the project regularly on social media platform;
- Final impact evaluation can be done by an independent third party;
- Independent third-party evaluation will be set-WB in consultation
with DONORAGENCY.

2.12
How sustainability of the project is planned to be ensured?

 Establishing networks with health care providers, government, non-govt

organization and community-based organization; Follow with DONOR AGENCY
and other such funding partners for continuation of the project;
 SWAYAM KRUSHI SOCIAL SERVICE SOCIETY may extend its support for
three months with community volunteers and other interested stakeholders of the
project; formation of community-based committees to participate actively in all
relevant activities;
 Promoting the Community Health Volunteers for assuming the responsibility of
providing essential health services.

2.13 Matrix to measure the output of the Project.

Output Measurable Matrix Beneficiaries

Improved access to
Primary Health Care # Patient attended MOPD
Services in the focused # Patient Registered
region.
Mobile OPD - 01 per day by # Patient received Doctor Around 64496
01 Mobile Health Van Unit - Consultation people will be
minimum 20 working days benefited;
in a month;

17
 About 50 patients per
day will be benefited by
the Mobile OPDs;
About 50 patients per
day will be screened by
the Lab Service.
Specialized Camp - 01 in
a quarter;
About 100 people will be
benefited.
Awareness Camp
Community Health - 02 in
a quarter;
ople will be benefited.
About 10 Community
Health Volunteers are
trained to satisfy the
need & demand of
essential health services.
# Patient availed Lab Service # General
Illness incidence reported # population,
Patient received Medicine Below Poverty
facilities Line,
Scheduled
# People have access to Caste, Women,
different health care Children and
interventions village wise Person with
Disabilities
# Training programmes
facilitated for Community
Health
Volunteers(CHVs)
# of CHVs trained & able to
provide health services
# of people impacted and
adopting healthy behavior
Daily/Monthly/Quarterly/Annual
Activity Report

ANNEXURE
“A” BUDGET (ESTIMATED COST
BREAKDOWN)
THE FOLLOWING IS THE PROPOSED BUDGET LINE FOR
TWELVE MONTHS
S.No Description Unit UM Total Cost
.
For 12 months
Rs
1 Mobile Health Van Unit
Medicines - 4 Times in Year
1.1 4 Qtr 2,00,000
Rs.50,000 x per Qtr
1,60,000
1.2 Diagnostics & Consumables - 4 4 Qtr
Times in Year
Rs 40,000 x per Qtr

1.3 Specialized Medical Camps - 4 4 Qtr 1,20,000

18
 Times in Year
Rs 30,000 x per Qtr
1.4 Mobile OPD & Awareness Camps 12 Mnths 4,80,000
- 20 MOPD x 12 Months
Rs 2,000 per day
1.5 Provision for First Aid Box in 25 Village 4,50,000
Kurnool - 25 Villagex Rs.
1500
per Village

1.6 Training of Community Health 10 Persons 1,20,000

Volunteer (CHVs) - 10 CHVs x
Rs
1,000 x 12 Months
1.7 Medical Officer - Rs 35,000 x 1 Persons 4,20,000
12 Months
1.8 Lab Technicians - Rs 15,000 x 12 1 Persons 1,80,000
Months
1.9 Pharmacist - Rs 18,000 x 1 Persons 2,16,000
12 Months
Accounts & Admin Officer -
1.10 Rs 22,000 x 12 Months 1 Person 2,64,000
1.11 Programme Manager - Rs 25,000 x 1 Person 3,00,000
12 Months
1.12 Peon – Rs. 7,000 X 12 1 Person 84,000
1.13 Staff Nurse – Rs. 12,000 X 12 1 Person 1,44,000
1.14 One Social Worker in 1 Person
MOPD Rs. 10,000 X 12 1,20,000
Months
1.15 Health Van Unit Driver - 1 Person 1,44,000
Rs 12,000 x 12 Months
1.16 Office Rent & General 1 Office 2,40,000
Maintenance at 01 Office -
Rs 20,000 x 12 Months
1.17 Fuel for Mobile Van unit - Rs 1 Mobile van unit 1,20,000
10,000 x 12 Months
Printing Cost for IEC Material
/ Prescription Pad / Pathology
1.18
Reports / 1,00,000
Doctor Daily Sheet / Medicine
Availability Check List - 1
MWU x
Rs. 1,00,000

1.19 12 Months 36,000

Team
19
1.20 Vehicle Hiring & Fuel 12 Months 3,60,000
Charges for
Programme Manager
1.21 Staff Orientation & Capacity
4 Qtr 1,20,000
Building Training
1.22 Telephone & Internet Medical 12 Months 60,000
Team
1.23 Repairs & Maintenance - Office & 4 Qtr 40,000
Mobile Health Van
Staff Insurance / Assets
1.24 Insurance Rs 60,000 x per Yr 1 Yr 60,000
2 Capital Expenditure
2.1 Mobile Wellness Unit- 1 Mobile Health 21,50000
Vehicle Cost & Fabrication Van
(FORCE AMBULANCE)
2.2 Mobile Lab & Equipment's 1 Mobile Health 1,10,000
Van
2.3 Ventilator for MWU 1 2,50000
2.4 Computer & Peripherals 1 2,00,000
2.5 Miscellaneous Expenses 2,00,000
3 Impact Assessment / Process 1,00,000
Documentation / Base
line Survey
TOTAL 71,88,000.00

RWBEES SEVENTY ONE LAKH EIGHTY EIGHT THOUSANDS ONLY.

N.MADDILETY
SWAYAM KRUSHI
SOCIAL SERVICE SOCIETY
 BANK DETAILS OF THE ORGANIZATION:
1 Name of Bank HDFC BANK

2 Bank Branch (full address & NOONEPALLE,NANDYAL

Telephone Number)

3 Bank Account Number 50200057337521

4 Bank Account Name

6 IFSC Code 0009396

Declaration:

I hereby declare that whatever has been stated above is true to the best of my knowledge,
correct and nothing has been concealed there from.

Place:

Kurnool,

Andhra

Pradesh

Date:

Signatory with Common Se