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ACKNOWLEDGEMENT
I hereby take this opportunity to express my heartful gratitude to
my organization Centrum Wealth Management Ltd. who actively
contributes to CSR from where I have got the inputs and help for
my project on ISR.
I would also like to thank Mr. John Thattil, COO of UMMEED, for
his coordination and providing insights of the activities and
organization of Ummeed.
Table of Contents
TOPIC
Page No
Executive Summary
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b)
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d)
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e)
f)
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h)
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j)
k)
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Conclusion.
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Bibliography.
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EXECUTIVE SUMMARY
Social Responsibility
Social responsibility is the duty of business to do no harm to society. In other words, in their
daily operations, businesses should be concerned about the welfare of society and mindful of
how its actions could affect society as a whole. These days consumers have become more
conscious of whom they are doing business with and which products they should buy. Many
companies who are looking for long-term profitability are looking for ways to become more
socially responsible.
Likewise, the International Organization for Standardization (ISO) states: In the wake of
increasing globalization, Organizations have become increasingly conscious not only of what
they buy, but also how the goods and services they buy have been produced. Environmentally
harmful production, child labor, dangerous working environments and other inhumane
conditions are examples of issues being brought into the open. All companies and organizations
aiming at long-term profitability and credibility are starting to realize that they must act in
accordance with norms of right and wrong.
Student social responsibility is the responsibility of every student for his/her actions. It is morally
binding on everyone to act in such a way that the people immediately around them are not
adversely affected. It is a commitment everyone has towards the society contributing towards
social, cultural and ecological causes. SSR is based on an individuals ethics. Instead of giving
importance only to those areas where one has material interests the individual supports issues
for philanthropic reasons. It forms the base for CSR or Corporate Social Responsibility because
if everyone in a business organization does his/her bit the bigger things automatically fall into
place. The trends however show that big charitable organizations recorded high growth due to
the SR efforts of individuals and not corporates or the government. ISR may be slightly
impractical, especially in the modern competitive world, where everyone works for self-interest,
but it will succeed if we take decisions based on what will benefit a large number of people and
respect everyones fundamental rights. As individuals we can make our small contributions to
society by donating money to trustworthy NGOs, saving our resources by reducing our
consumption, e.g. by switching off lights or computers when not in use.
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Keeping in view the limitation of the project, we cannot focus on each and every of the factors
mentioned above. We will narrow our view on one of the topics. i.e working towards child
development, focused mainly on child with disability.
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1.
2.
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PARIVAAR - NFPA ceaselessly fights for the rights of the mentally retarded and other
developmentally disabled persons for job reservation, proper and effective
implementation of all legislations and programs that have been undertaken by the
Government through representation, lobbying and direct action.
4.
5.
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7.
Purpose: Voluntary organization, working with children and adults who have
developmental and other disabilities.
Latika roy projects include Gubbara, Karuna Vihar, Training centre, College for
Vocational Training etc.
8.
In this project I have tried to peep into the workings of NGO Ummeed and have attempted to
know their way of operation by visiting them and having multiple talks with them. The findings
are as mentioned in the rest of the project and in the video shoot recorded therein.
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UMMEED
Vision
----To help Children with disabilities, or at high risk of disabilities, reach their
maximum potential and be included in Society.
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HOW??????????
A child is either born with one
OR
Acquires one because of Poverty
The prevalence of childhood disability in Low and Middle
Income Countries is 15%, whereas INDIA has an estimated 52
million children with disabilities
----Source: WHO World Disability Report 2010, Lancet series on ECD 2007
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UMMEED AIMs TO
Provide Integrated Care, with professionals working together as an interdisciplinary team for the
best possible care. Ummeeds team of skilled professionals, lead by a developmental
pediatrician with experience both in India and abroad, works closely with children and their
families to provide coordinated care that works.
Empower Parents, allowing them to take a lead role in providing care for their child. It is their
belief that professionals are only part of the story, and their approach includes empowering
parents as essential partners in their childs development program. In a country with limited
resources, this makes more than financial sense.
Provide Care for all, helping children of all sections of society, irrespective of financial
considerations. At Ummeed, no child is ever turned away because of an inability to pay.
At Ummeed, they provide parents with the skills to do what every parent dreams of to help
their children grow and learn, and live their life to the fullest.
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UMMEED is a non-profit organization set up with the objective of helping children with
developmental disabilities like Cerebral Palsy, Mental Retardation, Learning Disability, Autism,
and Attention Deficit Disorder. As an organization with close to 58 professionals, they work in
four main areas:
1. Create and run a centre of excellence. The centre in Parel, Mumbai offers a complete
range of clinical services (from pediatric assessments to therapies), as well as many
interdisciplinary programs like our Early Intervention Center. They address needs of both groups
of children those born with disability, and those who are at risk because of the environment
they are in.
It has 58 professionals
Provides family-centered care for all
Supports 7500 visits a year (over 60% visits are subsidized)
Documents and builds best practices for their context
2. Building capacity. They reach out to thousands of children through outreach programs in
low-income schools and communities. They run training programmes for teachers and staff of
NGOs working with low income groups and children with disabilities so they can benefit the
children in their communities.
3. Advocacy. They work with individual children and their families to ensure that they know
their rights and work to enroll them in inclusive schools and other institutions. Senior members
of their staff are part of various committees and institutions that influence policy.
4. Research. They partner with other countries and organizations to support research in
the field of public health and policy with regards to child development. Ummeed has tried
to document its own creative approaches to promote the development of children with
disabilities and support their families.
As part of a 5-year National Institutes of Health (NIH), USA funded project, Ummeed is
partnering with Yale University, and teams in Turkey, Argentina, and South Africa, to
standardize and validate a tool for monitoring child development in children from 0 to 3 years.
The tool, the International Guide for Monitoring Child Development (IGMCD), is nearly ready
and will be open access, available to community workers for use in all low and middle-income
countries.
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They achieve this by working in collaborative teams, creating and following best practices,
empowering families, building resources in the community, participating in advocacy as well as
working with children and families from all sections of society.
Dr. Vibha Krishnamurthy is the Founder and Medical Director of Ummeed. After her postgraduation in pediatrics from Delhi she moved to the US where she trained at Massachusetts
General Hospital, Harvard University and Childrens Hospital, Boston. The idea of Ummeed was
born while she was working at Childrens Hospital as a Developmental Pediatrician. The
resources available at the hospital and community in Boston brought home to her the paucity of
facilities available for children with developmental disabilities in India. She relocated to India in
1998.
On her return, she worked with a number of non-profit organizations as well as Jaslok Hospital,
Mumbai, while she reflected on how best to provide the range of specialized services required
for children with special needs. She also maintains that identifying and treating disabilities in
children also makes for a healthier society at large in the long run.
On November 5, 2001, helped by her husband, Ashish Karamchandani, a partner of the Monitor
Group (a leading global management consultancy firm), she founded Ummeed with an initial
staff of three.
Today Ummeed provides specialized care for most developmental disabilities and has
additionally moved into areas of training, research and advocacy. Almost 58 professionals
ranging from pediatricians to therapists to mental health professionals and social workers
support its services. It is now one of the countrys leading NGOs, much respected for its work in
the field of children with disabilities.
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1. CLINICAL
3. EIC
5. SOCIAL WORK
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ONGOING CARE/THERAPY
Apart from evaluating your childs difficulties, the developmental pediatrician will assist in
planning the right intervention for his difficulties at home and with specialised therapists, if
required. Neurological conditions, genetic and metabolic issues as well as chronic physical
medical illnesses often impact a childs learning and behavior. The developmental pediatrician is
able to assess how much these affect the childs development and thus determine the level and
kind of ongoing care required.
Through periodic follow-ups, the doctor will monitor report from parents and teachers. Periodic
follow-ups also help in uncovering patterns in your childs development by tracking her
development over time.
Ongoing care also requires the developmental pediatrician to serve as the childs advocate. The
developmental pediatrician becomes the coordinator of an interdisciplinary team who is working
with the child and acts a consultant to the school or other agencies to improve the provision of
services for children with disabilities. The developmental pediatrician is also able to provide
appropriate and accurate information to parents and other allied professionals, helping them to
understand the needs to the child.
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B. OCCUPATIONAL THERAPY
Occupational therapy treatment focuses on helping people achieve independence in all areas of
their lives. Pediatric occupational therapy intervention entails using various therapeutic solutions
to help infants, toddlers and children with developmental delays reach their maximum potential
at home and in the outside world.
ONGOING CARE/THERAPY
Some of the areas that occupational therapists address through individual sessions with the
child and the family include:
1. Gross motor skills such as sitting, walking, running or jumping;
2. Fine motor skills to improve grasp and release of toys and develop good handwriting
skills;
3. Hand-eye coordination to improve play skills (hitting a target, batting a ball, copying from
a blackboard, use a computer, or increase the speed and legibility of their handwriting
etc.);
4. Basic self-care tasks (such as bathing, getting dressed, brushing their teeth, and feeding
themselves);
5. Sensory and attention issues to improve focus and social skills and developing the
childs skills to interact with others, to cope with new or difficult situations and to manage
his or her behaviours in socially appropriate ways;
6. Cognitive and pre-academic skills which are a pre requisite for his or her future
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C. SPEECH THEORY
A pediatric speech and language therapist primarily works to develop and improve a childs
ability to communicate. Speech and language disorders include difficulties understanding and
production of language, including the pragmatic/functional aspects of language, articulation
(clarity of speech), phonology (sound system of a language), fluency, voice and disorders of
swallowing.
ONGOING CARE/THERAPY
Ongoing care is often determined by and adapted to the difficulties that your child faces.
Therapy focuses on developing various skills, which would enable a child to communicate to the
best of his/her ability. Therapy focuses on involving and training family members to provide
support and opportunities to practice the strategies taught in therapy. Small group therapy is
also offered to children who need to generalize their strategies learned in one-on-one therapy
sessions and to children who have similar speech and language goals.
Some skill areas targeted during therapy include:
Play skills
Social skills
Understanding of language
Expressive language
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D. NEURO-DEVELOPMENTAL THERAPY
Neuro-developmental therapy aims to improve a childs acquisition of developmental milestones
and helps him learn better ways to move and play. At times, children as young as barely a
month old also require NDT to facilitate their developmental milestones.
UPCOMING PROGRAMS
Early Intervention Clinic: Very soon Ummeed is going to start a clinic for very young
infants who are born premature or with a low birth weight or who have needed NICU
care and therefore are at an increased risk to have developmental difficulties.
Through this clinic we will be offering a comprehensive developmental assessment,
regular intervention (if needed) along with parent education and follow-ups at regular
intervals.
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E. IQ Tests / Assessments
IQ refers to Intelligence Quotient, or a numerical representation of ones intellectual level.
Intelligence Tests generate an IQ score which represents a childs general cognitive ability.
skills. In addition, the assessment also includes an evaluation of processing skills (like auditory
memory, phonological awareness, visual perception, and visual-motor integration).
Once the assessment is done, the items are scored and based on the scores an interpretation is
made. If a child is diagnosed with Learning Disabilities, the examiner/ special educator mentions
few recommendations both for the parents and teachers in the school so that some concessions
can be given to the child outlined by the government for children with Learning Disabilities. The
child is also referred to a special educator for remedial therapy in order to improve his areas of
underachievement.
Learning Disabilities
Slow Learners
Intellectual Impairment
Hearing Impairment
Cerebral Palsy
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FOCUS OF ASSESSMENT
They recognize that in spite of a common diagnosis of either Autistic Disorder or Autism
Spectrum Disorder, every child is unique. During their assessment with the child, they focus on
establishing his or her specific challenges and relative areas of strength. Their assessments are
a combination of play-based and more structured observations which look at how autism
impacts your childs communication, social interaction and play skills. They also look at the
patterns of interaction between the child and his immediate environment, including his family
and other caregivers, as they play an extremely important role in his development.
ONGOING THERAPY:
Ongoing therapy services work on an eight week on-off model. They believe in being familycentered, and their interventions can be followed by the parents and family at home as well.
Therapy is ongoing for eight weeks, during which parents observe and learn strategies that they
can implement at home during the subsequent break of eight weeks. They tailor their
interventions according to the needs of the child. While some children may benefit from more
structured Applied Behavioral Analysis (ABA) like strategies, therapist might use strategies
based on Floor time and other developmental approaches for others. The primary aim of these
therapy strategies is to expand on the childs existing level of communication skills, increase his
level of social awareness and interaction, develop his play skills and work on reducing
challenging behaviors.
They also run parent-training programs for teaching parents how to improve their childrens
social-communication skills through everyday routines that they can implement at home
(parents and care providers)
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H. MENTAL HEALTH
Mental health services or Counseling at Ummeed involves developing a therapeutic
relationship during which the therapist provides space for people to talk about their troubles and
explore difficult feelings in an environment that is dependable, non- judgmental and confidential.
Counseling is done by trained counselors/ psychologists who dont usually offer advice; instead,
help people to gain insight into their feelings and behaviour. The aim is to enable people to
cope with challenges or to make positive changes in their life by empowering them to make their
own choices within the framework of an agreed counseling process.
PSYCHIATRIC SERVICES
A consultant psychiatrist practices at Ummeed to conduct psychiatric assessments and screen
for mental illness in a child or family members if the need arises.
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Orphanages
Disability organizations
Schools
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4. To teach how to work with the families and educate the local population regarding
prevention of disabilities
PROGRAM DESCRIPTION
The focus of this course is to provide a thorough grounding in the ideas and practices of
narrative approaches to working with individuals, families, groups and communities.
Their teaching aims to reflect an approach which is interactive, collaborative, encouraging,
rigorous, and enjoyable practice based. Post completion candidates will be supported via
ongoing mentorship.
THE COURSE PROGRAM is based around four key components
1. A thorough exploration of the narrative metaphor and its application in practice
including the background ideas and guiding principles of narrative therapy.
2. Skills development of the micro-maps of narrative practice as described by Michael
White and related to work in a variety of contexts and settings.
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CERTIFICATION
Candidates will be awarded a certificate upon successful completion of the course by Ummeed
Child Development Center and Narrative Practices Adelaide.
ELIGIBILITY CRITERIA:
Individuals with 2-3 years experience in working with children and families
Proficiency in English
TEACHING SCHEDULE
The course runs for a year and has five theory sessions as well as practical experience.
Ummeeds Mental Health Team provides continuous mentoring support to the candidates. Upon
successful completion of the course candidates are awarded a certificate by Ummeed Child
Development Center and Narrative Practices Adelaide.
Background The early years of life are very crucial for a childs development. By the age of
6 years the brain has almost reached its adult size and the period of most rapid development is
complete. Children require a secure, stimulating and safe environment in those vital first years
an environment which allows them to acquire and practice walking, talking, play and problem
solving skills. Most children seem to manage it all without apparent effort because the human
brain is hard-wired to do so. But for some children, its not so easy.
Ummeed designed a one year Child Development Aide (CDA) training program, to give these
individuals the skills to identify and intervene with children at risk, and to promote good child
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development practices for all children. The program has run successfully for the last 4 years and
is a certificate course recognized by Tata Institute of Social Sciences.
However, there has been a demand to modify and present the key components of the course in
shorter modules to access organizations that may not be able to send trainees to Ummeed.
OBJECTIVES
1. To create a training curriculum in child development and disability for community
workers who have access to young children and their families.
2. To deliver the above over 3 short training sessions over a period of one year with
periodic follow up long distance telephonic mentoring of supervisors who work with
community workers.
3. To create a system to monitor how the program is being delivered
EXPECTED OUTCOMES 1. The community workers once trained to monitor childhood development will be able to
work better with children and families in their communities.
2. Provide access to early intervention services for children and families from the low socioeconomic backgrounds where none is available.
3. The Trained community workers will be now better placed to link families and children to
the various available government services/ programs to facilitate Early Childhood
Development.
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TRAINING SCHEDULE Phase 1- 4 days training to train the teachers/ community workers on
Supervisors will also be trained on supervising the early child development work which will be
carried out by the community workers post training.
Phase 2- After 3 to 6 months based on feedback from supervisors and project director of the
organization the next 3 day training will be undertaken which will be focused on
Follow up of module 1
Application of GMCD to identify children at risk and with special needs in the
community
Empowering families to work with children at risk for developmental delay and with
children with special needs.
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several city preschools to help train teachers how to include children with special needs in their
classrooms. Teachers who are interested in learning their methods are given an opportunity to
observe and learn.
When the EIC began, there were just four children enrolled. Today it has grown to full capacity,
and the long waiting list plainly demonstrates the crying need for early childhood centers for
children with special needs in India.
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Helps identify and understand the childs behaviors, and how to deal with them.
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Teaches specific strategy to promote pro-social behavior like sharing, turn-taking, etc.
Available on request
SCHOOL CONSULTATIONS
Help to develop Individual Education Plans (IEP), classroom strategies and behavior
modification plans
Available on request
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SOCIAL WORK
THE SOCIAL WORK TEAM
The Social Work team at Ummeed works toward empowering families by integrating them as
active partners in the treatment process. This requires not only understanding the family- their
needs and priorities, but also tailoring their treatment plans and therapies to fit their home
environments and lifestyle. Their vision of family-centered care is based on the idea that families
have the greatest ability to help their child cope with their difficulties.
In order to ensure that this can be done, social workers build awareness, are advocates for
families and also serve as the liaison between them and the community at large, informing them
of and connecting them with available service providers.
Know Your Rights Workshop: The Social work team has been conducting a
workshop called Know Your Rights since the inception of the team. The
workshop aims to make parents aware of the rights of their children with
disabilities which include the process of procuring a disability certificate, the
salient features of the Persons with Disabilities Act, and the schemes and
provisions of the government that they can avail.
Support Groups: The Social Work team partnered with the mental health team
to initiate a group program for parents of children from 2-6 years of age with
hyperactivity, attention, and concentration difficulties. This workshop is designed
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to help parents understand and better manage their children by increasing their
level of positive interaction and using appropriate behaviour management
techniques. It places a strong emphasis on increasing the confidence and
effectiveness of parents to act as facilitators of their child with attention and
concentration difficulties.
Some of the other national and international forums and events where UMMEED
promoted the cause of children with disabilities and created awareness amongst
various constituencies
UMMEED at WHO: Ummeed was invited as an expert in the area for two
meetings at the WHO in 2013. In January, at a meeting on Early
Childhood Development at the WHO, Geneva, Dr Vibha Krishnamurthy
presented the Ummeed model of training community health workers in
ECD to o global gathering of experts. In September, Ummeed was once
again invited to speak at a global meeting of experts on Autism Spectrum
Disorders and other developmental disorders, where they presented their
research on the Guide for Monitoring Child Development.
Footsteps for Good: Ummeed participated in the Footsteps for Good event
during the Joy of Giving Week. The event was a 10 Km Walk/Run organized by Ms.
Jill Beckinsale to support charities. Ummeed was invited to participate in this event
for the 1st time and had a number of runners registered to run in support of it.
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Street play to create awareness about children with disabilities: On the occasion
of World Disability Day (December 3) Ummeed performed a street play BEEJ
ANKURE ANKURE. The play aimed to create awareness of disabilities and to reach
out to the general public to create a better understanding of this issue. The play was
conducted at different locations in Mumbai apart from the Ummeed Center.
WALK FOR UMMEED: Ummeed had organized a unique awareness cum fund
raiser 55 km walk along beach in South GOA in January 2014. It was hugely
successful, in that walkers managed to raise approx whopping 1 Cr for Ummeed,
which was 40% more than last year collections. The walk continues to be very
popular for its scenic route and fun quotient, quite apart from the money it raises for
children with disabilities.
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STAFF ACHIEVEMENTS
Dr Anjali, Ummeeds Director of Training, was awarded the prestigious SPANDAN award
for her work in the field of autism by National Trust. (SPANDANSpecial Performance
Awards in National Trust Centric Disabilities Activities and Networking). The National
Trust is a Government of India organization that works for the welfare of persons with
autism, cerebral palsy, mental retardation and multiple disabilities.
Dr Roopa Srinivasan presented their NIH funded research project at St. Petersburg.
Dr Koyeli Sengupta won a scholarship to attend the IMFAR (International Meeting for
Autism Reseach) in Toronto as Head of our Autism team.
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Floppy muscle tone, unable even to breast feed or suck from a bottle
Diagnosed with Prader Willi Syndrome: slow mental & delayed motor development,
increasing obesity
By age 4, she could walk with support and was gaining strength and coordination
Now, at age 5, she can walk, run and jump, has a good vocabulary, loves to play with
her baby brother.
Pride & Hope are written all over her parents faces.
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1. Become a Volunteer
As Ummeed grows in response to the need for their services, they count on the support of
volunteers. In the past they have had interns and volunteers that include graduate and post
graduate students who are taking a break year; housewives, retired professionals, working
professionals and many others who want to make a difference.
They are delighted to benefit from your time and whatever skills you think you can contribute to
Ummeed. Volunteers at Ummeed help to take calls about cases, support the documentation of
best practices, create communication tools, help at the Early Intervention Center, read to
children and more.
In addition they would greatly appreciate help in the following areas :
Training
One of their key activities is to help enhance the skills of the professionals at Ummeed. If you
are a skilled professional in developmental disabilities and would like to enhance the skills of
their staff please do get in touch with them.
Communications
Writers, photographers, editors, journalists, film-makers or any professionals who can help with
communication activities such as making presentations, brochures, flyers, films, newsletters;
developing press relations; making short films etc.
Fund Raisers
Time and again Ummeed runs programmes to raise funds for various programmes. Volunteers
who believe in giving a chance to children with disabilities and help to create a more inclusive
society are more than welcome to help us promote these events.
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2. DONATIONS
FINANCIAL SUPPORT
Ummeed, as a non-profit, depends entirely on the generosity of individuals and
organizations.
They strive to help all children with developmental disabilities, irrespective of financial
considerations. Over 40% of their patient sessions are with underprivileged children who
pay little to nothing for the high-quality care they receive.
Ummeed has a vision to reach more children through research, awareness building, and
advocacy and training of professionals. This vision simply cannot be fulfilled without
more funds. For this reason, they are actively looking for funding.
They have tax exempt status in India, the United States and the United Kingdom, and
are certified by United Way of Mumbai and GIVE Foundation.
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GIVE INDIA
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Conclusion
We make a living by what we get, but we make a life by what we give." Winston Churchill.
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Bibliography:
Ummeed handbook
Webliography:
http://ummeed.org/
http://www.hcpaindia.org/
http://www.manas.org.in/
http://www.parivaarnfpa.org/
http://kaumaramprashanthiacademy.org/
http://www.deepalaya.org/
http://www.mindsandsouls.org/
http://latikaroy.org/
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