KARUNA-SHECHEN 2nd quaterly report 2015

1. QUARTERLY REPORT
APRIL-JUNE, 2015

2. Page 2 of 22
CONTENTS PAGE
NUMBER
Introduction 3
Health
 An Overview of Medical Activities 4
 Access to Primary: Shechen Medical Centre in Bodhgaya, Bihar
and Hata, Jharkhand
6
 Mobile Clinics & Medical Camps 8
 Health Education Program (HEP)
10
Education
 Babua School 11
 Yoga 11
 Non-Formal Education (NFE) 12

Environment
 BodhGaya Clean Environment, Hygiene and Sanitation Program
13
 Rainwater Harvesting 14
 Solar Electricity 14
Social
 small money BIG CHANGE 16
 Kitchen Garden
17
 Vocational Training
20
Annex
 Case Study
22

3. Page 3 of 22
INTRODUCTION
In the Second Quarter of this year we reached out to 26,013 patients (22,580 in Bihar and 3,433 in Jharkhand),
expanded our Mobile Clinic services in 2 new villages of Bihar, namely, Mahuyet (Wazirganj block) and Mahtab
Bigha (Parhainya block), and installed sanitary napkin vending and burning machines in three schools of Gaya
district. We organized our first Medical Camp in Jharkhand. This one-day free medical assistance saw a turn-out
of an impressive 125 patients.
We have purchased two new e-rickshaws, trained and employed a needy woman as an e-rickshaw driver. A
second woman is under training and will be ready to take to the streets by the beginning of the third quarter.
216 women have benefitted from our vocational workshop on Bindi-making1 . Our free computer training
courses is currently imparting education to 48 young and enthusiastic youths from disadvantaged
backgrounds.
A total of 5,312 households in Bihar and Jharkhand have benefitted from our Kitchen Garden program in this
quarter. 2,703 jute bags have been distributed in Bihar and Jharkhand. A new NFE centre has been opened at
Simariya with 24 students. 48 Solar lights have been installed across Kadal, Barsuddi and Chando.
This report provides the details of all the activities and events that were undertaken in the second quarter of
2015.
1 Bindi is a forehead decorative dot applied by Indian women.

4. Page 4 of 22
HEALTH
In the first quarter of 2015 we registered patients at our OPD and Mobile Clinics in Bihar and patients in
Jharkhand. In May we organized the first Medical Camp in Jharkhand. Held at the Bodhi Society in the city of
Jamshedpur, the medical camp witnessed a turn-out of 125 patients.
Table 1: Total Number of Patients in Bihar and Jharkhand
Bihar Jharkhand
Month OPD Mobile
Clinics
OPD Mobile
Clinics
Medical
Camp
April 3311 3867 656 503
May 3717 3582 491 513 125
June 3795 4308 532 613
Total 10,823 11,757 1,679 1,629 125
Direct Observed Therapy (DOT)
Out of 2038 medical tests conducted in our pathology laboratory 157 were Sputum tests (for Tuberculosis). Out
of these the number of people who were diagnosed with TB was 7. While 9 patients have successfully
completed their DOT course in this quarter 26 TB patients are currently undergoing treatment.
Table 2: Details of DOT Program
Indicators April May June Total
Number of patients tested positive for
Sputum test
3 2 2 7
No of TB patients started medicine 4 4 2 10
Refer TB Patients 2 3 3 8
Patients who have completed DOT course 2 5 2 9
Total No. of TB Patients are undergoing treat. 32 26 26 26
Types of Diseases observed among Patients in OPD and Mobile Clinics
The following table gives us information about the various types of diseases observed among the patients in
our OPD and Mobile clinics.

5. Page 5 of 22
Table 3: The Types of Diseases that our Patients suffer from
Types of Diseases Bihar Jharkhand
DIARRHOEA/DYSENTERY 423 46
GIT/ ABDOMEN PAIN 1095 264
TYPYOID 52 0
T.B. 131 4
GYNAECOLOGICAL PATIENTS 1182 185
BONE & JOINT RELATED AILMENTS 5,679 822
BURN PATIENTS 128 0
WORM MANIFESTATION 712 40
SKIN DISEASES 2685 288
OHPTALMOLOGIC INFECTION 139 33
MALARIA 90 0
HYPERTENSON/CARDIAC 1,292 118
DIABETIC 356 44
ASTHMA & COPD 375 27
CAUGH &COLD (FLU),FEVER ,HEADACHE 2,696 243
EPILEPSY 155 0
ENT 607 23
LYMPYADENOPATHY-MUMPS 75 13
I & D DRESSING 98 6
GENERAL WEAKNESS &
ANAEMIA,SWELLING BODY
1,695 664
PILES,HEMORROID 194 28
UTI 239 16
FILARIASIS 63 23
THYROID 17 2
JAUNDICE 11 0
TONSILLITIS 5 1
OTHER DISEASES 2386 543
Total 22,580 3,433

6. Page 6 of 22
ACCESS TO PRIMARY HEALTHCARE: SHECHEN MEDICAL CENTRE IN BODHGAYA,
BIHAR & HATA, JHARKHAND
OPD, Bihar
OPD, Jharkhand Medical Test at OPD, Bihar
Pathology, Bihar DOT centre, Bihar Pharmacy, Jharkhand

7. Page 7 of 22
The total number of people who came to the Medical centre in Bodhgaya and Hata for Consultations in first
quarter of 2015 was 10,823 and 1,679 respectively.
Table 4: Total Number of Patients at the OPDs in Bihar and Jharkhand
Month Bihar Jharkhand
April 3,311 656
May 3,717 491
June 3,795 532
Total 10,823 1,679
Table 5: Total Male, Female and Child Patients at OPD in Bihar and Jharkhand
Bihar Jharkhand
Male 2824 652
Female 5257 872
Children 2742 155
Total 10,823 1,679

8. Page 8 of 22
Both in Bihar and Jharkhand the women mark the highest number of patients, followed by men and children.
MOBILE CLINICS & MEDICAL CAMP
Mobile Clinics, Bihar
Mobile Clinics, Jharkhand

9. Page 9 of 22
The second quarter of 2015 saw 13,386 patients at Mobile Clinics (11,757 in Bihar and 1,629 in Jharkhand) and
125 patients at a Medical Camp conducted in Jamshedpur, Jharkhand.
In lieu of our intention to reduce medical dependence of our beneficiaries on us and in order to reach out to the
unreached we decided to phase out our mobile clinic services from the villages which have been receiving our
healthcare assistance for several years and intervene in new rural areas.
With this objective we have expanded our Mobile Clinic services in Bihar to two new villages, namely, Mahuyet
(Wazirganj block) and Mahtab Bigha (Parhainya block). In the coming months we plan to phase out from the
villages which have been receiving our medical assistance for several years and extend our programs to rural
areas that are in serious dearth of primary healthcare services.
In the month of May we organized our first Medical Camp in Jharkhand, at Bodhi Society, Jamshedpur. The one-
day camp saw an impressive turn-out of 125 patients.
Table 5: Patients at Mobile Clinics and Medical Camp
Bihar Jharkhand
Month Mobile Clinic Mobile Clinic Medical Camp
April 3867 503 0
May 3582 513 125
June 4308 613 0
Total 11,757 1,629 125

10. Page 10 of 22
HEALTH EDUCATION PROGRAM
We have been carrying out our HEP successfully educating the villagers, especially the rural women, about
health and nutrition, following up and vaccinating pregnant women and new-born and little children.
We have installed sanitary napkin vending and burning machines at two of the biggest schools in Gaya.
Our Menstrual Health Matters program has reached out to 9,378 needy females who otherwise cannot afford to
buy sanitary napkins and have to resort to unhygienic menstrual protection.
Table 6: Sanitary Napkins sold in Bihar and Jharkhand
Month Bihar Jharkhand
April 2486 605
May 2825 1045
June 1700 717
Total 7,011 2,367

11. Page 11 of 22
EDUCATION
BABUA SCHOOLS: INFORMAL EDUCATION FOR YOUNG CHILDREN
Our informal education centres for young children, Babua schools, continue to run successfully with the
children attending regular classes. We have replaced the thatched roof of the school building at Dema with
durable corrugated roofing in an effort to protect the children from scorching heat during summers and
rainwater seepage into the class rooms during monsoons.
YOGA
About 350 rural children are benefitting from our regular Yoga and fitness classes.

12. Page 12 of 22
Table 7: Number of Students regularly benefitting from our Yoga and fitness classes
Villages Average No. of Students
learning Yoga
Lohjhara 45
Gopalkhera 60
JP Nagar 40
Chando 30
Mansidih 99
Dema 35
Simariya 40
Total 349
NON-FORMAL EDUCATION (NFE)
Owing to the demand for the program we have launched a NFE centre in Simariya with 24 students. Apart from
the regular educational classes students from all the NFE centres got the opportunity to add yet another
vocation to their livelihood skills; Bindi making.

13. Page 13 of 22
ENVIRONMENT
BODHGAYA CLEAN ENVIRONMENT, HYGIENE AND SANITATION PROGRAM
Snack Box at a shop in Bihar Drawing Competition
Jute bag distribution at Medical Camp in Jharkhand
Recognising our efforts to beautification and preservation of the environment the State government of Bihar
presented us with 500 tree saplings. We are constructing the bamboo fencing for the trees and making other
necessary preparations for planting the saplings during monsoons.
2,703 jute bags (2,205 in Bihar and 498 in Jharkhand) were distributed among our patients, school children,
and other interested beneficiaries.
We have conducted drawing and speech competitions in 14 urban and rural schools in Bihar with the aim of
raising environmental awareness among young children.
10 snack boxes were distributed among the vendors and shop owners with the aim of promoting food hygiene.

14. Page 14 of 22
RAINWATER HARVESTING
We have installed rainwater harvesting tanks in 5 households at Karhara village, 1 household at Lohjhara. 1
tank was set up at our community toilet in Banahi. As the water tanks will come into use during the monsoons
we will be installing several more during the third quarter.
SOLAR ELECTRICITY
Solar sets being distributed among villagers
While we had installed 114 out of the 220 solar sets in the villages of Kadal, Barsuddi and Chando in the first
quarter, this time we reached out to 48 households. We expect to install the remaining solar sets in the third
quarter of the year.

15. Page 15 of 22
Table 8 : Details of Villages and Households where Solar Sets have been installed
Villages No. of Households
Kadal 9
Barsuddi 21
Chando 18 households + 1 at the
solar electricity workshop
Total 48 households and 1
workshop
Apart from the 49 solar sets bought from Barefoot College, our solar engineers have also installed 5 locally
purchased solar sets in Bhupnagar.

16. Page 16 of 22
SUSTAINABLE DEVELOPMENT
SMALL MONEY BIG CHANGE
Corrugated roofing at Dema Mobile Clinic (L) and Babua School (R) Well being dug at Dema
Community Toilets are now functional and being used by the villagers
The construction of community toilets at Kadal , Chando and Banahi is complete and the beneficiaries have
started using them. The toilet at Bhupnagar was competed at the end of this quarter and will be open for use
August onwards. The community members are fulfilling their responsibilities of cleaning and maintaining the
toilets regularly.
We, through regular community meetings, are encouraging and helping the beneficiaries to adapt to the new
practice of using toilets properly. Currently 25 people in Banahi, 20 in Chando and 15 in Kadal are using toilets
on a daily basis.

17. Page 17 of 22
We are digging a well at Dema. This will not only act as a source of drinking water but will also be used for
irrigating more than 10 acres of the surrounding agricultural fields.
We have built corrugated roofs in Dema; one at the Babua school and another in the courtyard of the building
where our Mobile Clinic team serves patients. This roofing will give respite to the children and patients from
the scorching summer heat and heavy monsoons.
We have been undergoing preparatory work for a project that will begin in the third quarter; an irrigation
channel will be constructed at Lohjhara with the expectation of watering at least 50 acres of fertile cultivable
land.
KITCHEN GARDEN
Kitchen Garden at a village in Jharkhand Seed distribution at a village in Bihar
We have reached out to 5,312 households across Bihar and Jharkhand in this quarter. The program has moved
beyond our operational villages to reach out to those in the surrounding areas, as shown in the following tables.
The kitchen gardens in such villages are directly monitored and observed by our village motivators and
coordinators. Indirect surveillance is applied to the kitchen gardens grown by our OPD patients at their
households.

18. Page 18 of 22
Table 9: Number of Beneficiaries of the Kitchen Garden program in Bihar
Villages Number of Beneficiary
Household
Kharati 100
Kadal 44
Barsuddi 20
Simariya, Bahadurbigha 128
Karhara, Fatehpur, Pidasin 250
Masuribar, Hariharpur,
Kusha
305
Mansidih, Kurumdih,
Karmaouni, Dariyaura,
Ghodawadih, Bidha
401
Dema, Nima, Panchubigha,
Balabigha, Hribagicha
700
Gopalkhera, Duhobar, Ledhi,
Paprahi, Khajurahi
406
Chando 120
Sripur 80
Lohjhara,
Fatehpur,Paharpur,
Manjhauli, Bhikhampur,
Dharaiya
300
Banahi, Ramdasha,
Simariya, Kanchanpur,
Manjhar
300
Bhupnagar 60
Trilokapur 40
Mahuyet 70
Nawatari 60
Bandha 20
OPD (BodhGaya) 536
Total 3,940

19. Page 19 of 22
Table 10: Number of Beneficiaries of the Kitchen Garden program in Jharkhand
Villages Number of Beneficiary
Household
Bharatpur 28
Mundakati 21
Jota 21
Gopalpur 18
Chowarbandha 36
Khoerkocha 7
Sedadih 35
Tepantor 6
Piyaldih 5
Salboni 30
Kesarsore 11
Tangorjora 35
Padnamsai 15
Sososmoli 53
Balarampur 26
Majgaon 15
Bhatarbeda 24
Lakhipose 24
Bisrampur 25
Kenmundi 22
Bidri 12
Matkambeda 44
Tuibasa 25
Bedakudur 16
Borakunabeda 98
Sosodih 15
Durku 39
Chandankhiri 24
Dhagordiha 14
Keligora 4
Mahuldiha 11
Balidih 7
Nimdih 12
Majgaon 2
Sarjomdih 9
Bandodih 2
Kalapathar 13
Gopalpur 93

20. Page 20 of 22
Gengaruli 58
Chotakunabeda 31
Gangadih 42
Kuldiha 96
Netra 40
Gawalkanta 4
Patkita 5
Chiruda Tola 6
Terenga 2
Chakulia 3
OPD 53
Mobile 135
Total 1,372
VOCATIONAL TRAINING
Bindi-making workshop Computer Classes
Our computer coaching continues with a current batch of 48 vibrant young students.
Our NFE students, motivators and other interested females attended our Bindi making workshop. With 216
active and eager participants the vocational training was a huge success.

21. Page 21 of 22
Table 11: Participants at the Bindi-making workshop
Village Name No. of participants
Mastipur 14
Kharati 20
Miyabigha 30
Dema 21
Masuribar 31
Chando 18
Banahi 24
Karhara 18
J.P. Nagar 21
Sripur 19
Total 216
Our free computer training program is now teaching 48 needy and bright youths. Owing to the growing
demand for our course and the limited space for accommodating more students we are planning to rent a
separate room within Bodhgaya, near our OPD. By the next quarter we plan to make provision for a bigger
computer lab for catering to more students.

22. Page 22 of 22
ANNEX: CASE STUDY
Lalti Devi
Lalti Devi, resident of village Banahi, is one of those who, along with her family, regularly use the newly built
community toilet in their village. Sharing her experience with us she says that previously, apart for the lack of
safety that she and her daughter would be exposed to when out at night to relieve themselves they also faced
the risk of being bitten by snakes, scorpions and other poisonous insects.
The community toilet built by Karuna-Shechen has given her family and other villagers respite from the various
dangers that they had to face on a daily basis while defecating in the open.
Lalti Devi along with 4-5 other women washes and maintains the community toilets for women. She finds the
toilet facilities very convenient and satisfying as an individual and mother of a young daughter.