Академический Документы
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Report on
Submitted to:-
UNICEF, Rajasthan Field Office, JAIPUR
Submitted by:-
SAB (Society for Advancement and Betterment)
Index
Society for Advancement and Betterment Page 1
Sensitisation Training on HIV/AIDS & NACP III
spreading to rural areas, placing women and youth at much greater risk. The
increasing vulnerability of the general population calls for a well-coordinated national
effort.
First AIDS case in India was detected in 1986 and since then HIV infection has
been reported in all states and union territories.
An estimated 2.3 million people may be living with HIV/AIDS.
Close to 40% of those living with HIV, are women and 3.5% are children.
Almost 90% of reported cases are among productive age groups (15-49 yrs).
HIV has been reported from every district and is moving from groups at high-
risks to the general population and from urban to rural areas.
The epidemic is still growing in India.
The HIV epidemic in India is complex and heterogeneous, impacted by intricate and
varied social structures. As a result there is not one HIV epidemic but 'many '
concurrent and interrelated HIV epidemics each of which needs a localized and
sensitive response. HIV has an important impact on development. For example, HIV
largely affects the most productive age group (15-49 yrs.) It also has an impact on
vulnerable and marginalized sections of the population - the poor, women, migrants,
sex workers and men who have sex with men. Factors such as poverty and gender
inequality fuel the spread of HIV. It is therefore not possible to target HIV without
addressing the deeper and underlying causes and impacts related to other socio
-economic factors. Mainstreaming HIV in non-HIV and non -health sectors is
therefore an effective strategy to ensure that both direct and indirect causes are
addressed concurrently.
HIV/AIDS in Rajasthan
First case of HIV was detected in Pushkar in mid eighties and the State implemented
HIV programme as part of NACP-I and then NACP-II with 1284 AIDS cases
till March 2005. 2664 AIDS cases have been reported up to August 07’. The
epidemic is also moving from earlier identified pockets to newer areas.
There are strong Indications that Rajasthan is indeed a highly vulnerable state:
These include:
Preventing new infections in high risk groups and general Population through:
I. Saturation of coverage of high-risk groups with targeted Intervention
(TIs)
II. Scaled up interventions in the general population
Besides the six earlier districts identified as low prevalence but highly vulnerable,
Tonk, Chittor and Rajsamand too are showing increased trends in HIV prevalence.
Society for Advancement and Betterment Page 4
Sensitisation Training on HIV/AIDS & NACP III
Tonk, being one of the focussed district of UNICEF, “Sensitisation of Key Stake
holders on HIV/AIDS and NACP-III” has been taken up by UNICEF, Rajasthan
Field Office.
Highways adding to the fuel to prevalence of not just HIV, but also various other
health issues. Tough terrain and low agricultural yield, forcing the nature dependants
to migrate to larger cities near by including Jaipur, Kota and to nearby states as well.
Educational centres:-
a) Degree Colleges:- 6
d) PrimarySchools:-1,064
Industrial Scenario:-
b) Malpura
c) Newal
d) Tonk
1) Devli
2) Malpura
3) Niwai
4) Todaraisingh
5) Tonk
6) Uniyara
The need to hold sensitisation trainings for varied audiences across the district was felt
by UNICEF and the task of conducting trainings for varied audiences was given to
SAB (Society for Advancement and Betterment).
Rights to name a few. The sustainability of the activities is also kept in front while
designing of any strategy for a programme.
The team comprises of people from varied walks of life, coming together to walk on
the same path, sharing the responsibility thus leading towards a BETTER WORLD
FOR ALL. The team has dedicated trustees and a whole lot of other professionals,
who are Practising Developmental Professionals as well. To name a few:
First Step
Meeting of the Trustees and its Advisory Board members was held to chalk out the
plan of action as per the submitted proposal. It was decided that to begin, a letter from
the Project Director, Rajasthan State AIDS Control Society needed to be issued to the
CM & HO as an intimation of this programme and seeking support in planning out
further trainings in the district. Decision to select efficient field staff to undertake
regular meetings with the stakeholders was also taken.
Spade work
The initial thought of sensitisation of Key Stake Holders of Tonk District flowed
down from UNICEF, field office down to the Rajasthan State AIDS Control Society-
GoR and after the selection of Society for Advancement and Betterment (SAB) was
done, the participants of the groups to be covered was also discussed and
representation of all segments of the society was ensured.
Visit to Tonk by the Advisors of SAB Meetings were also undertaken to the District
Collectors office and the office of ADM-Development, Addl. Collector and CEO-Zila
Parishad for seeking the permission of such trainings at various levels and support for
the same.
The first letter issued was by Project Director, RSACS to the Chief Medical & Health
Officer to take the initiative of holding trainings of the health functionaries in Tonk
and at various levels.
CM&HO, Tonk, along with RCHO, Dy. CM & HO (H) and DPM were proactive in
getting the orders issued for orientation workshop on the forthcoming months in spite
of Swine Flu epidemic and Elections in the district.
The District Administration too, later readily allowed this orientation to be part of the
District Health Society Review meet.
Panchayati Raj and Rural Development officials too gave permission for the
orientation for their block level officials and elected representative.
The CSOs were also very cooperative and offered the orientation in spite of other
pressing commitments of their institutions.
Constraints: - Code of Conduct in force due to election, was felt throughout the
period.
All throughout the months, regular visits to Tonk district were undertaken by the
Trustees and Advisory board members, in order to meet, brief and seek further
permission to develop synergies and linkages within the District Health
Administration and other stakeholders, so as to ensure, the post trainings follow up
and support by the District admin.
The Execution:
The ToT covered the sessions from the point of view of developing Resource Pool to
be used for the trainings later in Tonk. Also sessions on Communication and mock
sessions of trainings were held and the participants were judged as per the outcomes
of the session.
The ToT Agenda covered: Besides pre and post test questionnaire and an
understanding of the programme and UNICEF’s and Governments perspective, the
following:
Basics of HIV/AIDS
Core groups in HIV/AIDS like migrants, sex workers, IDUs, Truckers and
MSMs
Who are at high risk of getting infection?
Chances of HIV infection on exposure of various risks like unsafe sex,
injection through infected needle, transfusion of infected blood and mother to
child.
Management of HIV/AIDS through OI drugs and ART.
Available services to manage HIV/AIDS (ART Centres, ICTC, PPTCT, CCC,
DOTS, Positive Networks).
Safety measures (including ABC) as per the modes of transmission.
Significance of Red Ribbon logo.
Mainstreaming of HIV
Field Visit
Participants were taken for a field visit to Tonk. Later feedback was obtained
about the place they visited and their view.
Planning Session
A plan was drawn out for advocacy meetings with the district authorities and
required letter were sent across with copies with the project staff. Soft copies and
hard copies were shared with all of the trainers for any future references.
All were also asked to provide the dates of their availability for trainings in future.
An Orientation and In-depth Training Schedule was developed at the time of ToT
of Master Trainers in consultation with the resource team and was so designed
that it can be modulated further as per the needs and requirements of the
Audience.
Training sessions: - The training sessions were so designed and divided into
sections so as to cover in depth know-how of the topics, covering:
Participants were made aware that they have extensive reach and penetration. By
integrating HIV/AIDS into their existing programmes and operations, they can
reach millions of households in urban and rural areas.
Dy CM&HO,
BCMO, DPM
4 7.11.09 Tonk NGO workers 37 (35 M, 2 CEO-Disha-NGO
F)
5 9.11.09 Niwai Management, 54 (54 M) Principal, Patel
Staff, Students College
and NSS
Volunteers
6 10.11.09 Tonk Women SHGs 53 (2 M,51 Dist. Incharge,
F) Sulabh Intnl.
7 10.11.09 Tonk Women SHGs 52 (2 M, CEO-SMES
50F)
8 13.11.09 Aligarh Block Level 67 (66M, BDO-Aligarh
Officials 1F)
9 14.11.09 Niwai Management, 63 (5 M, 58 Director and
Staff Students F) Principal, Niwai
and NSS & Girls College
other volunteers
10 22.11.09 Uniyara NGO & CSO 54 (52M, 2 Dr. R.K. Katara
workers F) APD-RSACS,
MR.Daman
Ahuja NACO,
Mr. Ravi
Consultant-
UNICEF, CHC
In-Charge and
Ex.HH. Uniyara
11 27.11.09 Tonk DHS members 57 (54M, 3 Ms. Pramila
Collectorate F) Surana
Honourable Distt.
Collector, Dr. R.
P. Meena
CM&HO,
RCHO, DPM
12 1.12.09 Niwai Block Level 99 (17 M, 82 Dr. Bhushan
Health Service F) Salodia Dy.
providers CM&HO,
BCMO
90
80
70
60
Male
50
40
Female
30
20
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No. of Participants
Figure 2
140
120
100
80
60
40
20
Figure 3
Training number I
Report
Training of Trainers
Training number II
Report
Training number IV
Report
Training number V
Report
Expressions
Training number VI
Report
Expressions
Report
Guest of Honour: Ms. Mohini Sharma CEO, Saksham Mahila Ekai Samiti (SMES)
Report
Training number IX
Report
Training number X
Report
Guest of Honour: Dr. R. K. Katara (APD, RSACS), Mr. Daman Ahuja (NACO,
RRE), Mr. Ravi Gupta (UNICEF, JAIPUR), Mr. Ramvir Singh (CHC Uniyara), Dr.
Gyanendra Bansal (CHC, Uniyara)
Training number XI
Report
Guest of Honour: Ms. Pramila Surana (Colltector Tonk), Dr. R.P Meena (CM&HO
Tonk), Mr. A.S Khan (DPM Tonk)
Expressions
PLHIV, Tonk
Report
Report
1) The District Health Society has given its consent of inviting Ex-officio member
of District Level Network of Positive People, Tonk for its future meetings.
Letter for request to include DLN as a participant of DHS will be sent by
District Nodal Officer of the DLN, Tonk, to CM&HO (Secretary DHS-Tonk)
for the same. Copy of the same would be shared as soon as the order is
dispatched from CM&HOs office.
2) A good number of Health Services providers are aware of the basic modes of
transmission and hence the stigma associated with HIV is addressed whenever
they come across it in the field. Also linkages with other referral services
available at government sectors will lead to better management of HIV/AIDS.
Treatment of OIs is done at the earliest opportunity.
3) College Management of Patel College has stated that they shall include
HIV/AIDS issues in their annual activity plan to cover student volunteers and
hold seminars and talk shows on the same.
5) Aligarh Block Officials have also given their consent on bringing up the issue
at their future meetings.
List of Participants
No of Post Training
S.No Date Place Training Participants Male Female % Growth
Training of
1 29.10.09 JAIPUR Trainers 9 7 2 35%
2 30.10.09 JAIPUR 9 8 1 35%
Block level
3 06.11.09 Todaraisingh Training 58 24 34 20%
Block level
4 06.11.09 Malpura Training 69 29 40 25%
Block level
5 07.11.09 Tonk Training 37 35 2 35%
Block level
6 09.11.09 Niwai Training 54 54 0 50%
Block level
7 10.11.09 Tonk Training 53 2 51 20%
Block level
8 10.11.09 Tonk Training 52 2 50 15%
Block level
9 13.11.09 Aligarh Training 67 66 1 30%
Block level
10 14.11.09 Niwai Training 63 5 58 65%
Block level
11 22.11.09 Uniyara Training 54 52 2 40%
12 27.11.09 Tonk Block level 57 54 3 2%
Society for Advancement and Betterment Page 35
Sensitisation Training on HIV/AIDS & NACP III
Training
District
level
13 01.12.09 Niwai Training 99 17 82 15%
Block level
14 04.12.09 Aligarh Training 62 59 3 25%
Total 743 414 329
Some of the CSOs who had participated in the trainings had requested for support in
the form of IEC material, on-going sessions at their Colleges and SHG meetings and
also at their various intervention sites, display of posters and other material for
distribution.