Eye Care and Health

Eye care and health are critical issues concerning the basic needs of rural society and need to be addressed as a priority. The vast majority of those living in rural areas continue to lack access to eye care and basic health facilities and services. They are also largely unaware of the services and benefits the government provides and those that they are entitled to. NBJK aims to address this issue by facilitating improved access to eye care and health services, while simultaneously advocating for improved health services in rural areas and influencing policies. NBJK also strives to generate awareness among the rural population.



Sound of Silence

Sound of Silence serves 18 HI children in 16 villages of Sadar Block in Hazaribag District, and 58 children in Dumka District, Jharkhand. Funding from Vaani Deaf Children Foundation, Kolkata allows this program to support deaf children through home visits and training in communication, speech therapy, sign language, sensory-awareness, functional reading and writing, and other skills. Trainers from Vaani Foundation teach the CBR workers at Sound of Silence to work with deaf children and their parents.

Promoting Mental Health and Development in Bihar and Jharkhand

BasicNeeds, UK (under DFID Civil Society Challenge Fund) support this program, which seeks to identity people with mental illness and epilepsy (PWMIE) and improve their access to services, train community members to act as caregivers, raise awareness and reduce stigma in communities about mental illness ;md epilepsy and improve PW'MIEs' access to livelihoods. The project serves 35 blocks in 7 districts of Bihar and 8 districts of Jharkhand. In the reporting year, 1,764 men and 1,442 women accessed treatment through the program, and 1,636 men and 1,116 women showed reduced symptoms.

Cross CBR, Hazaribag

Through Community-Based Rehabilitation (CBR), this project, with support from Sightsavers, endeavors to help PWDs become aware of and take advantage of their rights. NrtfK reached 1.935 PWDs of Chouparan Block in the reporting period through this project, including Visually Impaired (VI), Hearing Impaired (HI), and Physically Disabled (PD) persons. Beneficiaries received support services like help obtaining disability certificates, train passes, bus passes, aid and appliances, cataract surgery, curative surgery, etc. The Disabled People's Organization (DPO) has been organized to demand their rights from the government.

Integrated CBR and Eye Care Services

In four blocks of Dumka district, PWDs receive home-based physiotherapy, government benefits, vocational training and daily living training as a result of this project. Street plays tliat drew 4,760 audience members, 39,000 brochures and quiz competitions with 5,264 participants increased public awareness of disability issues in the tribal villages.The beneficiaries include those with physical disabilities, mental retardation, mental illness, cerebral palsy, and those with VI and HI.

1,764 PWDs plus 3,690 people through health camps benefited directly and 2,489 indirectly from the project, with support from CBM and AUSAID. 684 PVVD and 189 CWD received aids and appliances like artificial limbs through the project. 73 malnourished children were given nutritional supplements, and (heir parents were given training and support in providing proper nutrition. PWDs were organized into DPOs and SHGs, which put on a celebration of World Disability Day completely independently. The DPOs empower PWDs and help them attain independence and self-sufficiency. 833 cataract surgeries were also conducted through this program.

Accessing Disability Rights in Bihar and Jharkhand

Accessing Disability Rights aims to educate disabled people about and help them avail themselves of their rights. These rights include equal opportunities, protection of rights, and full participation under the People With Disabilities Acts of 1995. The project covers '20 blocks of five districts: Hazaribag, Koderma and Giridih of Jharkhand and Gaya and Nawada of Bihar. Stipport for the. project comes from AVI, DFID Fund under Civil Society Challenge Fund.

 94% of PWDs involved in the project have been medically assessed and 88% have been certified by authorities, while (>% are in the certification process. 92% of PWDs who have disability certificates are getting at least one of the available benefits (monthly pension scheme, railway pass, Indra awas yojna, MGNREGA, job card, subsidized ration card, etc). 924 PWDs have benefited from aid and appliances in the form of tricycles, whcclchairs, hearing aids, artificial limbs etc. Those PWDs who are in SHGs have access to a portion of the Rs 21,83,000 distributed among disabled people for income generating activities. It is estimated that an impressive 56,902 PWDs will have benefitted from this project by the time of its completion.

The Mooving Wheel

Suganti Devi is 30 years old and has a locomotive disability As a young child, she was infected with PPRP (Post-Polio Residual Paralysis). Her family lived below (.he poverty line in a small village in Chouparan block. Since childhood her living conditions were poor, and she was dependent on her family for everything, including outdoor mobility. Due to her significant disability, she did not go to school, so she married young and had four children. Her husband is a dailv wage laborer, and he was the only breadwinner in the family.

Her family lived in marginal conditions, and they had to work hard just to put food on the table. During a survey for Usha International, Ltd., the CBR worker identified Suganti and studied her condition. The worker came up with a plan for her with the active involvement of her family. She received motivational counseling, and she was encouraged to take up activities. She, was provided with vocational training where she learned to tailor and embroider. She was provided with a sewing machine free of cost through Usha International and was encouraged to establish a tailoring training center. Now she runs a tailoring training center and is contributing well to her family's economic development. She is also providing training to other women with disabilities and encouraging (hem to become economically independent. She also receives disability allowance from the government. She is quite happy and expressed her gratitude to NBJK and Sight Savers. Her husband lias also expressed his sincere (hanks to NBJK for bringing happiness to their family, and he said that his family would never forget the cooperation arid support they have been given.

Maino Comes

Maino Hembram is 7 years old and has a locomotive disability. She lives near Durnka with her parents and her younger brother. Before NBJK got involved in her case one year ago. Maino was dependent on her parents for eve.ry-ih.ing. She spent almost all her time in bed. she could not speak, walk or stand, and she was not attending school. Through NBJK's intervention, her parents have learned that her case is not hopeless and they have been motivated to become active in their daughter's rehabilitation.

They built parallel bars to allow Maino to practice walking on her own, they were able to get her a disability certificate and a government pension and they have begun working \\ith her on physiotherapy and speech therapy Now, Maino is attending school, learning to speak. and receiving physiotherapy and nutrition supplements. Soon, she may even be able to walk around on her own.

A Door Devised

Uday Kumar is poor and physical!) disabled. When the workers for the Disability Rights project identified him, he already had a Disability Certificate., but he was unaware of government benefits that he could receive. As a result of his involvement in the program, he is now receiving a disabled pension arid has been motivated to open his own shop. The workers supported him in taking out a loan from the DSHG near him and helped him get a tricycle to transport goods through the AVI-DF1D project. He received a loan of ? 5,000 at a reduced interest rale from the DSHCi. .Now he is earning a regular income, and his financial and emotional situations are much improved.

Soil Transmitted Helminthes

With the support of PATH-OWH, the Soil Transmitted Helminthes project aimed to discover the concentration of soil transmitted helminthes in children aged 2-10 in 7 districts of Jharkhand. Stool samples were collected and analyzed from 13,506 children from 245 villages and were analyzed in a lab. A total of 200 cases were identified, and they were given the deworming medicine Albendazole. In addition, a survey of 8,820 households was conducted to see what their hygiene behaviors were like.

Jivan Jyoti Health Clinic in Barkagaon

This new health center opened in November 201 1. It is supported by Thiess Minecs India Pvt. Ltd, and it
.serves 13 villages in Barkagaon Block of Hazaribag District, Jharkhand. The center provides medicine free of cost, ambulance services and referrals for a minimal price and a team of doctors, pharmacists and pathologists. Doctors and gynecologists are available 6 days per week, and the center runs 8 health camps each month. In the reporting period, ] 1,107 patients were treated during health camps, and over 100 people received cataract surgery thanks to more than 7 eye screening camps.

Malaria in Pregnancy Survey

In order to find out the prevalence of malaria during pregnancy, the London School of Hygiene and Tropical Medicine supported NBJK in conducting a survey of 30 villages in Murhu Block of Khunti District, Jharkhand. Those surveyed were pregnant women and women with children under one -year of age. 531 pregnant and lactating women responded to the 171-question survey, the results of which are now being tabulated and analyzed

Vitamin A Supplementation

With financial support from Micronutrient Initiative, Canada, the vitamin A project was planned for 2012-2013, but it has been delayed due to a supply problem. The project would seek to improve the vitamin A supplement coverage from 43% to 85% among children 9-59 months of age in 3 districts of Jharkhand, with particular focus on the poor-performing blocks.

LNJP Eye Hospitals

In Dumka and Chouparan blocks, there are two Lok Nayak Jai Prakash Eye Hospitals. These hospitals do routine checkups, prescriptions and sale of eyeglasses and free and low-cost surgeries (primarily cataract!.' In the reporting period, the hospitals performed a. total of 8,004 surgeries, about half of which were free to the patients or subsidized. 131 eye camps were also held in remote areas. The eye hospitals are highly sustainable because the payment from those patients who can afford to pay for sendees covers many of the procedures that the hospitals perform for free. In addition to the surgeries, the hospitals have given cjneckups and treatments to 35,654 OPDs (Out Patient Department).

The hospitals receive funding from Sightsavers, Give 1 India, DVC, NTPC, DECS, Global Giving, TOMS and N.N.N. Vivekanand Mission Ashram.  N.N.N., VMA supported the Chouparan eye hospital in establishing ' treatment and devices for low vision patients. From the 201 1-2012 reporting period until the 201 2-2013 reporting period, the eye hospitals experienced a 30.81% growth and added new and improved equipment to their facilities.

Jharkhand Health System Strengthening Program

This project serves 23 blocks of Hazaribag,! Koderma, and Chatra districts of Jharkhand, With' the support of Sightsavers, 757 blind cataract patients had their vision restored through cataract surgery in government Sudar Hospital, Hazaribag and were able to resume their normal life activities! The surgery benefited both the patients and their families, increasing their ability to be independent and to engage in income-generating activities.

Community-Based WASH Initiative for Urban Poor

This project provides a variety of interventions with support from Water Aid, UK. It provides access to safe drinking water, sanitation and hygiene coverage in 32 slums in Ranchi District. The project also raises community participation through awareness, capacity-building, advocacy, low-cost technological tools, and improved hygiene behavior including use of toilets, hand washing, handling of drinking water, and hygienic practices during menstruation. The interventions together have reached 2,528 slum inhabitants and have transformed their thinking about hygiene.

Electronic Waste Recycling Management

This project was a short-term endeavor to raise awareness of the ill effects of electronic waste on the environment. It was supported by Nokia and Toxic Link, New Delhi, and it served 200 schools (136 government, 64 private) in 8 districts of Jharkhand. The project organized district-level workshops held in schools to collect old electronics. Through these workshops, they were able to collect 148 old mobile phones, 135 batteries, 347 chargers, and 501 other accessories, all of which were sent to the TES-AMM Recyclers in Chennai.

Waste Management and Community Cleanliness

With funding by Vodafone, thiS project serves three slum areas of Ranchi, where basic structures and services like solid waste management, road cleaning, drainage, potable water supply, street lighting, and toilet facilities are absent. This project seeks to improve the conditions of 223 households in these slums. As a result of the program, a solid waste management program has been established, and through educational and awareness-raising activities, there has been a shift in the behaviors of the people.

As one beneficiary commented, "There are other slums in Ranchi where there is no proper...waste management, and they face lots of problems [like] bad odor and diseases...but in our area because of Vodafone and NBJK, waste disposal is not a problem." -Quresha Khatoon from Beldar Muhalla

Paryavarn Mitra Program

This program, whose name is Hindi for "Friends of the Environment," is funded by GEE. It serves 100 government middle schools in 5 blocks of Ranchi District, Jharkhand. The program encourages behaviors like water and energy conservation, waste management, bio-diversity, and respect for cultural heritage. 2,270 children were trained to write and draw about environmental issues. They were also taken once on an exposure visit to a Zoological Park to raise their awareness about nature. The students also participated in cultivation activities and a rally, had quiz competitions at each school and had cleanliness drives at the school and community levels.



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