This document provides a concept proposal for a training program to develop skills and generate employment for geriatric caregivers. The program would train 100 unemployed or disadvantaged individuals in Delhi over 4 batches of 25 trainees each. The 3-month training would be provided by experienced partners and include both classroom and practical components. Trainees would learn to care for the elderly and assist with daily living activities. The goal is to improve quality of life for both seniors receiving care and caregivers who gain useful employment. A detailed budget and implementation plan is provided, along with examples of past success stories from caregivers who completed similar training.

1. TRAINING OF CAREGIVERS – CONCEPT
PROPOSAL
(Professional Skill training in Geriatric Care and creating
employment opportunities for school dropouts, single women and
widows)
January 27th 2014
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2. 2
Project Title : Skill Development & Employment generation through
training of geriatric caregivers for the needy elderly
Project Goal : Skill development and up-gradation of unemployed youth,
school drop outs, widows etc. by training in caregiving.
Location : For training of Caregivers: Delhi NCR. 100 Caregivers
trained (25 trainees per batch) – total 4 batches
Duration : 3 months (per batch)
Budget : Total for trainings: Rs.34.82L (Annexure 1)
Implementation : Initiation within 30 days from date of approval of project
Deliverables : 100 trained Geriatric Caregivers, each conversant with
theory & practical training and internship process with reputed institutions in
this field

3. PROJECT RATIONALE
• Old age care in India is a concern which has not received any major attention
from the Government, the private Sector or society at large. Till a few decades
back due to the high mortality rates and lower life spans, the number of persons in
the category of the oldest of old was marginal. It is only recently that we are
witnessing the phenomenon of people living well beyond their 80’s.
• The traditional joint family system which was once a predominant living
arrangement is fast disappearing from cities / towns and villages. People from the
cities are going abroad and large migrations are taking place from the villages to
the cities.
• Post seventies, ailments like Dementia, Alzheimer's and lack of mobility are
extremely common, making dependence unavoidable. For the elderly to continue
to live with their children after the onset of such ailments, results in an enormous
burden on the latter and destroys the relationships between parents and children,
developed over decades.
• Advancement of old age results in a number of physiological changes that affects
activities of daily living e.g. reduction in eyesight, hearing, mobility, strength and/or
stamina that reduces an individual’s abilities to sustain independent living.
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4. • Caring for an older person either at home or in an institutional setting becomes a
difficult and overwhelming task at times as each day brings in new challenges with
changing levels of ability and new patterns of behaviour.
• It is projected that 2014 will have 100 million senior citizens which is expected to
grow to 143 million by 2021, with 51% amongst them being women. According to
the projections of the Population Division, Department of Economic and Social
Affairs, United Nations Secretariat, in the year 2050 India is expected to have 308
million (20.14%) elderly persons as against a total population of 1531 million. The
increase in life expectancy has resulted in a major shift in the age group of eighty
years and over, known as “oldest old”. During 2006-2050, while the overall
population of India will rise by 40%, those over 60 years will increase by 270% and
80+ by 500%. These emerging trends call for enormous efforts to cope with new
demands and challenges – economic, emotional and health.
• These factors combined with increasing lifespan dictates the need to have alternate
care givers. As of date a cadre of professionally trained care givers is not present in
the country. The project aims at recruiting persons who would not get employment
otherwise, such as school dropouts and widows/single ladies, and training them in
skills that would result in their becoming, caregivers who would assist the needy
elderly in their activities of daily living. 4

5. THE NEED FOR TRAINING
The aged population in India has increased phenomenally with greater life
expectancy. Understandably this means, there are more number of elders to
look after at home and less or none at home to provide the requisite care and
protection due to hectic work schedule and increased cost of living. Thus, there
is a huge unaddressed need for professionally trained geriatric caregivers who
can provide support for activities of daily living, assistance in medical care and
overall help in improving the quality of daily life.
The proposal addresses the area for bridging the gap between the need of
geriatric home care and availability of home care service providers. Training of
unemployed youth, school drop outs, widows in geriatric caregiving will develop
their skill, and create a cadre of caregivers for the elderly who are in need of
such services as well ensure a dignified living for the said unskilled, often
neglected workforce. The impact of this initiative will be improved quality of life of
both, the elderly and the caregiver.
This pilot project aims to create a cadre of geriatric home caregivers in pre-
identified cities. This cadre of trained professionals will provide the invaluable
assistance to the needy elders in attending to the activities of daily living (ADL).5

6. Training of Caregivers in Delhi NCR:
• Delhi NCR (Delhi, Gurgaon, Faridabad & NOIDA) has been chosen being the
national capital and having presence of both HelpAge head office and your
offices for easy conceptualisation, resource mobilization and execution.
• Locating space is also not a problem in NCR. HelpAge India has sufficient
infrastructure and trainers in NCR who can help pilot this course successfully.
Two types of Courses will be conducted for:
• 100 Caregivers for Domestic Caregiving
• The trainees will be sourced from NCR and the adjoining districts/ states.
• The training course will include both theoretical as well as field exposure and
practical training sessions to build up knowledge and skills. The skill set for
teaching pedagogy would include videos and trainer diagrams, as most of the
candidates would be dropouts of 8th Class.
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7. 7
METHODOLOGY
Pre-training
Selection of pre-identified trainees for training – (Criteria for selection);
• Educated till at least class 8/ School drop out
• Lower income group
• Widows/ single women in need of work to support family
• Unemployed youth
Training
• Training of Trainers on standardised course and design of training
• Introducing the trainers to the standardised course, as prepared by HelpAge
India, and sensitisation to the design which will be a mix of classroom and
practical sessions
• Internship in old age home and hospital – trainees will be placed for 5-10 days in
old age home and hospital where they will experience subjects such as personal
care of assisted (totally dependent) elders.
• Development of promotional material to establish the local demand for caregivers
through Senior Citizens’ Associations, RWA, OAH, Hospitals etc.

8. 8
TRAINING PARTNER
Training for caregivers will be given by a team of professionals from A4E,
/Professional Health Care Trainers, who besides other expertise, have been
HelpAge India’s partners for various health and training related projects. The
organisation has been successfully running and managing AgedCare@Home
services, an initiative started with support from HelpAge India. The unit has a
team of experts who conduct the training, covering all aspect of geriatric
caregiving, and facilitating placement of trained caregivers.
Training Duration
The training period for course for Caregivers would be 30 days (fulltime- 8 to
10 hours). This would also include internship training in hospitals and old age
homes.

9. CONTENTS OF THE COURSE
• Process of ageing and impact – biological, psychological, and the social
process of ageing
• Facilitating safe environments and houses for the elderly and Housekeeping
• Geriatric Counseling and Listening skills
• Introduction to Basic Care – (Hygiene & Grooming, Rest & Sleep, Movement &
Coordination, Pain Management, Infection Control, Pressure & Bed Sores etc.)
• Other Health Care – (Diabetes, Hypertension, Arthritis, Falls – Prevention,
Fractures, Injuries, Stroke, Dementia, Depression, etc.)
• Physiotherapy & Rehabilitation in normal & frail Elderly
• Nutrition & Dietetics in old age, Stress Management in Caregiving, Manners and
finishing skills (for Caregivers at home)
• Hospital and Old Age Home Visits – for exposure to caregiving for dependent
elders
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10. Expected Outcome of the Project
• Improved quality of life of elderly who are looked after by the trained caregivers
• Enhanced capacity of caregivers. A scalable model to create self sustained
economy
• Employment opportunities for school dropouts, widows and single women.
Recruitment, Placement and Post-employment Monitoring
• To identify the need to absorb these trainees in domestic homes/ old age homes/
hospitals, and preferably around their residential localities.
• Post-employment there will be a need to monitor:-
• Whether the Caregiver is providing adequate service to the aged.
• Whether the family is treating the Caregiver well, and not imposing duties
unconnected with the care of the elder.
It would be desirable to offer hostel facilities for the students but it is felt that the first
few batches can be run as a non- residential programme.
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11. 11
Annexure-1 : Training cost for 100 domestic caregivers
SKILL DEVELOPMENT & EMPLOYMENT THROUGH TRAINING OF GERIATRIC CAREGIVERS
S.No. Activity Activity Description
No. of
Courses/units
Cost per
course
1.0 NON RECURRING EXPENDITURE
1.1 Training materials, Audio-visual aids, projector, screen,
charts etc.
Mannequin, Anatomy parts, Blood pressure checking
machine, Sugar testing kit, First Aid kit, Emergency aid
demonstration kit, Anatomy charts, Systems charts etc.
165,000
Sub-total 1 165,000
2.0 RECURRING EXPENDITURE
2.1 In training Stipend to trainees @ Rs.100pp 100 x 100 x 30 300,000
2.2 Post training Retention costs for 100 Trainees for 2 months Rs.5000 p.m. x 100 x 2 months 1,000,000
2.3 Honorarium to the Core Faculty Professional Faculty (2/day @ Rs. 3000/day for 30
days/per batch of 25 trainees)
4
720,000
2.4 Trainee Selection Trainee Selection/ Identification/ Interview/ per batch of
25 trainees
4
80,000
2.5 Venue charge/Rent with Incidentals (@ Rs. 1500/day for 25 days/ per batch of 25 trainees) 4 150,000
2.6 On-site training (hospital and old age homes) (@ Rs. 1000/day for 10 days/ per batch of 25 trainees) 4 40,000
2.7 Administration (field work, travel, stationery) Training manual/Resource material & Hand-outs @
Rs.1500pp/ per batch of 25 trainees
4
150,000
2.8 Advertisement To mobilize the unemployed youth/ wodows/ poor/ per
batch of 25 trainees
4
40,000
2.9 Training costs Meeting facilities, refreshment, local travel @ Rs.1500pp/
per batch of 25 trainees
4
150,000
2.10 Monitoring Costs Monitoring and travel costs of master trainers and
HelpAge staff/ per batch of 25 trainees
4
100,000
2.11 Marketing and placement costs Mobilizing the placements @ Rs.4000pp 4 400,000
Sub-total 2 3,120,000
3 Contingency & unforeseen expenses (@ 6% of recurring expenditure) 187,200
Sub-total 3 187,200
Grand Total (Sum 1+2+3) 3,482,200

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Ms. Kamlesh aged 34 has been trained as Caregiver with the
support of HI about two years ago. She is remarried and has
three children between the age group of 3 to 13 to look after.
Her husband Mr. Kamlesh works as daily laborer. Both of
them joined for the caregiver training provided by HI. Mrs.
Kamlesh is educated up to 10th and Mr. Kamlesh up to 4th
class. Before joining as Caregiver trainee, Ms. Kamlesh she
has been working as Anganwadi Sewika and earned an
average income of Rs.4000 per month.
Life turned very good for this couple. Ms. Kamlesh has shown
great interest in the training and emerged top in the batch.
She is today, one of the few experts who can provide able
care for persons affected with Alzheimer, stroke and paralysis.
Kamlesh on an average earns Rs.12,000/- per month for a
work of 8 to 10 hrs.
The couple today earns an average monthly income of Rs.20
to 22,000/- and send their children for good schooling and
leading a good family life. They live in Mandaoli, East Delhi.
Annexure 2: SUCCESS STORIES – CASE STUDY 1

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Annexure-2 : SUCCESS STORIES – CASE STUDY 2
Ms. Shaheen Parveen aged 40 has been trained as
Caregiver with the support of HI about a year ago. She
is married and has six children to look after. Her
husband works as a tea vendor in the informal
settlement near Jamia Milia, New Delhi.
Ms. Shaheen is educated up to 4th class only and can
hardly read and write Hindi. She has shown keen
interest in the training and has emerged as successful
trainee.
Immediately after the training, Agedcare@Home
provided her a few placements with an average income
of Rs.13,000/- per month for a work up to 10hrs in a
day. Life changed good for Ms. Shaheen after the
training and placement. She has emerged as a very
successful and expert caregiver for the elderly. She has
been able to secure an advance of Rs.20,000/- from
Agedcare@Home and get her one of the daughters
married.

14. ABOUT THE ORGANISATION - HELPAGE INDIA:
HelpAge India (HI) is the leading organisation working for the cause and care of the
disadvantaged elderly and improving their quality of life. HI has over 35 years of
experience of working for and with the elderly and has a national footprint through its
programmes in the field of health, social care and protection, age care, advocacy,
rights of the elderly. Under its National Outreach Programme, HelpAge India reaches
out directly to more than 3.4 lac elderly every year by extending services in the field of
Basic Health Care, Cataract Eye Surgeries, Treatment for Cancer, Physical and Mental
Wellbeing through Physiotherapy Day Care Services for patients with Alzheimer’s and
Dementia, Livelihood Support, Emotional, Legal and Information support through Toll
Free Helpline for the Elders, to name a few. HelpAge India is the only organisation to
have consolidated and published directories of old age homes in India. We have also
designed quality living spaces for elderly through model designs, construction and
operations of model old age homes for independent, assisted and dependent elderly in
various States.
HelpAge India has been instrumental in formulation of National Policy for Older
Persons, 1999 and Draft Revised National Policy for Senior Citizens, 2011,
Maintenance and Welfare of Parents and Senior Citizens Act, 2007. It represents in the
Planning Commission Committees, Committee of the Ministry of Social Justice and
Empowerment etc.
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15. AWARDS & RECOGNITION IN RECENT YEARS - HI
 CSO Partners’ Outstanding Annual Report Awards 2012, for
commendable financial Reporting by CSO Partners.
 ICAI Awards 2011 Most transparent NGOs under Category No.
IX – Not-For-Profit Sector’ for Excellence in Financial
Reporting by Institute of Chartered Accountants of India (ICAI)
 Best NGO Award 2010 Best NGO Award in the Northern Region
by Rockefeller Foundation
 Salaam Mumbai Award 2008 Yeoman service in Mumbai during
the July 2006 floods and bomb blasts
 Indira Award 2007 for Excellence in Social Marketing by Indira
Group of Institutes, Pune
 Mahatma Gandhi Award for Social Justice in 2003 for Working
in the slum communities in Mumbai, especially covering the most
vulnerable communities
Award from Meera
Kumar – Lok Sabha
Speaker for
Outstanding
Contribution to
Social Welfare 2011
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16. THANK YOU!
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