ANNUAL REPORT 2021-22

VISION:

Envisaging a self-reliant egalitarian society based on Social and gender sensitivity while harmonizing with nature and creating overall common concern for the collective, keeping safe the individual priorities and choices.

MISSION:

We are a small body of determined spirits fired by an unquenchable faith in our mission to alter the course of development by providing innate power to the socially and economically deprived people to shape up their life through capacity-building training, empowerment, education, and better health care practices.

Natural’s care- is a Non-Government organization aiming to improve socio-economic status of poor and underprivileged especially youth, women and children through rights based approach. Through its various interventions the organisation constantly strives to bring about an equitable and sustainable change in the lives of young people in India. In addition to women empowerment and child development programs. Natural’s Care has a significant focus on  HIV prevention care and support programs , working in the context of poverty and addressing gender and right issues is a common mandate with in all areas of work.

Established in 2002, Natural’s care presently has interventions located in 5 states in India (Delhi, Haryana, Punjab, Uttar Pradesh and Madhya Pradesh).

Its Head quarters are located in Delhi with state offices in Delhi, Ghaziabad, Bathinda, Faridkot and Ujjain. Natural’s care thankful to its all partners and volunteers across the country to make its interventions successful.

Core area of working:

·        Child Rights.

·        Child Development through education and nutritional support.

·        Women Empowerment and Gender Equality.

·        Health and Hygiene.

·        Protection of flora and Fa

Child Rights:

 A child has rights ,but due to age constraints is unable to claim her/his rights. The rights of a child are exercised by proxy through the family ,society and state .Unfortunately ,these very agencies are responsible for violating children’s rights. Non-government organizations ,therefore play a vital role in protecting and promoting the rights of children.

Childline1098 Project ,Faridkot (Punjab):

 CHILDLINE constantly intervenes to ensure children their rights. Childline has been given special mention under the Juvenile Justice (Care and Protect of Children) Act 2000. Under the Act ,Child Line is empowered to produce a child in need care and protection before the Child Welfare Committee.

CHILDLINE is a National, 24-hour, emergency toll free phone service for Children in need of care and protection. Any child or concerned adult can dial1098 to access this service. It is a project of the Ministry of Women and child Development, Government of India (GOI). Currently CHILDLINE is operational in 220 cities across the Nation and responds to more than 3 million calls in a year. CHILDLINE India Foundation (CIF) is the national nodal organization appointed by GOI for initiating and monitoring of CHILDLINEs across India. CHILDLINE is an integral part of the newly launched Integrated Child Protection Schemes (ICPS) BY Ministry of Women and Child Development, Government of India under 11th Five year Plan

Since August 2012 Natural’s Care is working as collaborative partner of CLF at district Faridkot.

Activities of Natural’s Care Childline, Faridkot:

Call Statistics Report: Number of calls or intervention received by Natural’s care during the year.

Awareness Activities: 

To Popularize CHILDLINE 1098 number in Faridkot, Natural’s care is organizing various modes of activities in the area.

In Year 2021-22  Natural’s care Faridkot  has organized  356  awareness camps in schools named Golden Public School Dogar Basti,Vishwakarma Public School Dogar Basti and MGM Sr. Secondary School near Ram bagh and covered more than 8584  children,  community members and other stake holders  . In the camps children and teachers were informed about CHILDLINE1098, its functioning and how Children and related persons can avail this services.

Training and Workshops :

Naturals Care Child Line Faridkot has organized 27 Training and workshops in district Faridkot to enhance the capacity of different stake holders including  slum children and their parents Aganwadi workers , Asha workers , Police , School and college students and teachers , local NGOs and civil societies etc in the field of CRPC .

During the covid-19 Pandemic Naturals Care also oriented community for safe and social distancing , Hand wash techniques and also done the several workshops over  MHPSS ( Mental Health and Psychological Support ) for the community

Open House:  Naturals Care organized 12 Open House in district Faridkot related to Child Marriage, Covid -19 pandemic , Cleanliness, good parenting etc in the year 2021-22 

Day Celebration 

Awards & Appreciations

In year 2021-22 Naturals Care has received several Awards and honours for working relief work during COVID-19 pandemic. Form Civil surgeon , Faridkot , CDPO , Kotkapura and Child Welfare Committee.

Other than above Naturals Care has also appointed as member in PNDT committee and Sexual Harassment Committee by the district administration.

CHILD LINE , Bathinda

Call Statistics Report: Number of calls or intervention received by Natural’s care during the year.

Naturals Care has also set up in the city of Bathinda on 23rd March, 2016. CHILDLINE Bathinda has organized various outreach sessions in the slum areas of Bathinda city. Many people appreciated our initiative to help the children in need. CHILDLINE Bathinda has organized some training session to train the team members to work efficiently. CHILDLINE Bathinda has also celebrated national and  international days in FY 2021-22   

Activities

2.     International Day against Drug Abuse and Illicit Trafficking- CHILDLINE Bathinda has organized a rally on Internation Day against Drug Abuse and Illicit Trafficking in Janta Nagar on 26th June.

Green Diwali Celebration

Women Empowerment

WE ( Women Empowerment )project ( Since August 2017):

Women Empowerment Project , also popularly known as WE Project  has been running by Natural’s Care  Since year 2017 at Kirki Extension , Malviya Nagar , New Delhi   

Activities at WE:

·        Livelihood Training on trades like Stitching & tailoring , Beauti-culture and digital Literacy

·        Remedial Classes community children and adult to enhance reading , writing and learning skills .

·        Legal Aid through Legal counseling and Awareness camps.

·        Health Care activity through regular OPD and Health Camps.

·        Nutrition Camps.

·        Financial inclusion of women through Self Help Groups.

·        Help Desk to facilitate women to avail government schemes.

·        Water and Sanitation Program (WATSAN)

Targets and Achievements of Natural’s care WE ,Malviya Nagar,South Delhi:

·        To build up the capacity of grassroots women to deal with day-to-day domestic violence in the family

·        To become aware about their rights and get justice without fear and panic

·        To equip with knowledge and information so that they could fight strongly against the society particularly male dominated

·        To provide a forum for solving their conflicts and family disputes within the society

·        To build up a community level group of volunteers who can assist victims on the spot

Though the achievement of this program is not so high, but it has brought out women from house to ask justice from the society. Consistency of Natural’s Care  Mahila Panchayat in Kherki Extension , Hauz rani , Malviya Nagar and near by camps  are the evidence of our success for last years. Atrocity with woman at home is a serious concern in the society. Mahila Panchayat Program protects the rights of woman.

Delhi Commission for Women is an autonomous state govt. body and shouldering responsibility of legal support to women suffering from any domestic violence or family dispute. In the year 2001, the commission started its first threshold venture in association with a group of grassroots level NGOs and CBOs in Delhi. In fact that was the beginning of Mahila Panchayat in wide range.   

Till 31st March 2018 , Natural’s care team has solved14 cases and organized 09 community meeting at community level to identify the cases and provide the solution with the help of Delhi Legal Service authority volunteers and lawyers.    

Education Projects

Though the efforts of the government, there are still millions of children who are not going to schools because of lack of community mobilization. Natural’s care visualize to restore childhood to millions of children deprived of their basic needs .To give them back their childhood in term of care, protection and opportunities for participation and development. We dream of an India where every child goes to school or is provided with decent alternative education and also provided with health care and nutrition.

Alternative Education provides basic education for children through regular interaction until they can be enrolled in regular schools based on age .Through a mixture of lectures and activities (Activity Based Learning) ,Natural’s Care helps to stimulate their interest in education and paves the way for future interest in learning .

Natural’s Care AIE Projects:

·        Special Training Centre(STC) for Urban Deprived Children.

·        Bhatta Pathshalas

·        Construction Site Schools 

Health Projects

1.Targeted Intervention Project-IDUs at Ghaziabad,  supported by Uttar Pradesh State AIDS Control Society, Government of U.P

NATURAL’S CARE is  implementing  a comprehensive HIV/AIDS programme among the Injecting Drug Users to reduce their risk of HIV infection in district Ghaziabad since year 2013.

In Year 2021-22 Out of 600 target of working with IDUs , Naturals Care is working with 971 numbers of active HRGs .

The main strategies that will be adopted to achieve the above objectives are:

·        Communication/ Education for behaviour change.

·        Needle and Syringe Exchange Programme, Oral Substitution Therapy, Detoxification

·        Condom availability and promotion.

·        Peer led community outreach with support from outreach workers.

·        Quality health services for abscess and wound management & STI Treatment.

·        Advocacy & Networking

·        Fostering Enabling Environment and ensuring ownership of the community of the program.

Capacity building. 

(a)   Communication/education for behaviour change

The objectives of the BCC in this project is to bring down the risk perception by covering 100% of IDU in project area through needle/syringe exchange program and  ensure need based Opioid substitution therapy (OST) to IDUs of the project area.

 Correct and consistent condom usage in all the non procreative sexual encounters by all the IDU with high risk sexual practice is also one of the main objective of the program .

Group education : IEC camp at DASNA Jail , Ghaziabad : 

Group education relies on the notion that IDUs form social networks, which can have a positive effect on their capacity to maintain safer behaviours.  Women whose partners inject drugs also benefit from group sessions as these provide opportunities to learn from and be motivated by each other.  Using the group education technique offers several benefits:

•   The sharing of information within the group, thus respecting the knowledge, experience and skills IDUs and their sexual partner/s already have

•   Acknowledging that IDUs and their sexual partner/s are an extraordinarily diverse group requiring education in a range of formats and styles

•   Provides information in a way that enables users to pass it on

•   Shares power between IDUs and their sexual partner/s, rather than a formal programme which places some IDUs in a position of authority and         knowledge over other users.

•   Women who have partners who inject drugs can reduce their own risk through a process of empowerment and negotiation skill building

Counselling

Counselling sessions will be regularly carried out to assess their risk behaviour, mental status, problem identification and finally assisting them to take informed decisions about their future course of action.  During such sessions privacy and confidentiality would be maintained. The counselling can be individual or family counselling.   Repeat or follow-up counselling would also be done to reinforce information and to support and maintain behaviour change.\

(a)   Needle and Syringe Exchange Programme,

The target population were provided safe needle and syringes as part of the project in order to promote safe injecting practices. This in turn is help in reducing the incidences of new infection among the IDU population.  

In year 2021-22 Though whole country is facing Covid-19 pandemic . With the efforts of TI staff almost 88 % IDUs were covered under NSEP and 65 % were the return rate of Needle & syringes .

© Condom Availability and Promotion.

Under this project nearly 14198  free  condoms were distributed with the total coverage of 89%

Availability / Affordability / Accessibility of condoms: - In order to ensure the availability, affordability and accessibility of condoms on any hour of the day at any point of need, the project will have the following strategies

(i) Condom Outlet mapping: - The traditional and non-traditional outlets in the area has been mapped with the help of the outreach workers. The condom movement, preferred brands, peak hours of condom demand, issues related to condom supply etc will be explored and a condom marketing strategy friendly to the IDU of the project area will be developed

(ii) Development of non-traditional outlets: - Based on the peak hours of condom demand, the potential non-traditional outlets would be set up.  

(iv) Condom education and using skills: - Correct & consistent use of condom is an important component of this intervention. In order to ensure this, the project staff used to do field level condom demonstrations facilitated by the outreach workers & peer educators.

 (D) Peer led community outreach with support from outreach workers.

Peer led community outreach would be an important component of our targeted intervention among IDU. Outreach work will help us in identifying good and committed peer educators from community who can promote the intervention. Peer educators would be easily accessible to the target group, be able to influence the majority of his/her peers and show concern for the health of his/her peers. By training ‘peer educators’, HIV interventions can provide an accessible and accurate source of safer sexual health information, with links to services, in the heart of the community. The specific needs of the target community will be identified, preferably through needs assessment studies in the project sites.

Peer educators would facilitate in changing the behaviour of sex workers and increase the possibility of sustained behaviour change. Sensitive message can only be passed on to target communities without stigma through a respected peer. Peer educators will be trained on the basic facts of STIs and HIV/AIDS to enhance their capacity. These peer educators would in turn motivate and train HRGs to adopt safer health and sexual practices, enhance condom negotiation skills and seek appropriate treatment for STIs.

Regular meetings of these peer educators will held with outreach workers. Daily outreach activities will be undertaken during which outreach workers and peer educators will conduct one to one and one to group sessions with IDU. Follow up BCC sessions will be done for reinforcement of messages and sustained behavior change. BCC materials will be distributed during these sessions. Educational efforts would include one –to-one interaction, discussion at the group level, and meeting with the target community.

(E) Quality health services for abscess and wound management & STI Treatment.

Through BCC demand generation for STI clinics will be initiated.  The STI care in the project has been  provided through a competent system of project based clinical service (static clinic) and referrals to the government and private health care facilities in the state.

In year 2021-22 Naturals Care IDU TI provided Regular Medical Check up to its 87% HRGs through Static clinic  out of them 8 IDUs have STI . All were treated at MMG Hospital .

 Nearly   70 % HRGs were tested for HIV and out of them 01  were found reactive in the month of March 22 . Who was later linked with ART in the month of April 22 . All PLHIV were linked with ART center. Nearly 68  % IDUs were also tested for syphilis at MMG Hospital.

(F) Advocacy & Networking

Awards and Appreciations: The Organization has received Appreciation Award from Honorable Governor of  Uttar Pradesh for excellent work in the Field of T.B. and HIV prevention in District Ghaziabad Oct 2021. 

Community Awareness SAMWAD Centre : Kanpur 

Natural’s Care has established a community awareness centre at Kanpur City Uttar  Pradesh with the objective to aware the community  about issues related to   Environment , Swachch Bharat , Health and  Education in the Month of April  2019. 

In Kanpur City since April 2019 Naturals Care Volunteers Celebrated deferent national and international days to make the community aware about their good health practices .

Days been  Celebrated by Naturals Care , World AIDS Day , National Girl Child Day , Global Hand wash Day , World Toilet Day etc. 

SAMWAD

The dictionary meaning of the word SAMWAD means Conversation and News Information. Natural’s Care has formulated a very innovative Samwad Centre for the Targeted Intervention Project. The innovative practice has been tried and tested in number of other projects run successfully by Natural’s Care. Samwad Centre has proved to be an effective tool in communicating with the targeted community.

Requiring a paradigm shift in our approach to life, SAMWAD provides a platform to arrive at a shared vision towards managing Target Intervention services along with other government schemes and services related to socio-economic development of the targeted community.
 
We want our outreach activities to perform well and while doing this, we all want to create   environment for community so that they can take their decisions by themselves in stress-free environment and that all the stake holders will be benefitted by the project activities. 
 
Hence, there is a need to re-engineer our way of working. SAMWAD is nothing but a holistic approach to facilitating our outreach team to achieve this.

It is nonbudgeted innovative integrated approach with in frame work of Target Intervention to reach out the community and deliver the services to the end users. 

MOTTO OF SAMWAD MODEL 

SAMWAD Based Integrated Development Model

The SAMWAD CENTRE will form the nucleus of the Integrated Development Approach for the migrant Community, architecturally designed and mandated to focus on the socio-economic empowerment of the marginalized and vulnerable communities so that they can be motivated for better quality of life.  The SAMWAD CENTRE will comprise the SAMWAD BOOTHS at cluster level. For every 1000 targeted migrant workers, one SAMWAD BOOTH will function. Each Samwad Booth will be coordinated by Samwad Mitra. SAMWAD MITRAS are important components who will be actively engaged in implementing community based Targeted Intervention Programmes for migrant workers. The Samwad Mitras can be any stake holder of the migrant community or peer volunteer. The Samwad Mitras will regularly conduct the Samwad Sabhas. The SAMWAD SABHA will provide the human interface of the Government making it accessible to its people by taking services to the community’s doorsteps and bringing greater awareness amongst the community. The entire process will be guided by the SAMWAD CENTRE at the district level.  

SAMWAD MODEL

SAMWAD BOOTH

The Samwad Booth is  a 24x7 field level service centre for the community by TI office.

Till the March 2020 .

Naturals Care DMTI has established four Samwad Booth at community level to deliver clinic and  out reach services at community Level and DMTI registered nearly 2319 migrants through these centers   :

1.  SAMWAD Booth at Nagla Labour Chowk

2.  SAMWAD Booth at Barola Labour Chowk

3.  SAMWAD Booth at Naya Gaon

4.  SAMWAD Booth at TATA Eureka Park -1 Construction site

7.ACTIVITIES

Detail description of Targeted intervention activities integrated with SAMWAD Model :

(a)   Communication/education for behaviour change

The objectives of the BCC in this project will be

1.      To bring down the risk perception by covering 100% of identified destination migrants  in project area.

2.      To make the target population perceive , understand and accept their self-risk due to specific behaviour and to create a desire for preventive action.

3.      To ensure correct and consistent condom usage in all the non-procreative sexual encounters by all the targeted  migrants  with high risk sexual practice

To ensure these objectives, following strategies will be adopted. 

Group education :

IEC campaign Mid Media Activity : 

As the Mid media is the main source of general information on HIV/ AIDS for many migrants and their sexual partner.

 NATURAL’S CARE has  used Mid  media as a strong instrument for providing information to the targeted audience.

24 Magic shows were contacted in the intervention sites and covered 4428 migrant population through these activities

(B) Counselling

Counselling sessions at DIC and SAMWAD booth level were  regularly carried out to assess their risk behavior, mental status, problem identification and finally assisting them to take informed decisions about their future course of action.  During such sessions privacy and confidentiality were  maintained. During the financial year 2021-22 , 3719 migrants were covered .

(C)  Condom Availability and Promotion.

There would be provision of Condom availability and promotion at all SAMWAD booths and other non-traditional condom depots for social marketing . The availability, affordability and accessibility of condoms will be ensured. 60 Non Traditional out lets were established and 28037condoms were distributed through social marketing 

(D) Peer led community outreach with support from outreach workers.

Peer led community outreach would be an important component of our targeted intervention among migrants. During the year 296 one to group sessions were conducted to cover 7529 migrants while Peer leaders were conducted 1591 IPC sessions to cover 21606 migrants. During the IPC sessions awareness about HIV/AIDS , STIs , condom use and other TI servies were delivered .

(G) Enabling Environment

During the year meeting with different stake holders were conducted to create  enabling environment from micro to macro level is the other component of the project.

·        In coordination with Labor department and local stake holders 48 E SHRAM CARDS and 100 Labour Cards were distributed to the migrant workers at the intervention sites.

·        In coordination with 06 HelpAge India  General health camps were organized at intervention sites and free general medicines were distributed.

·        Meeting with District Legal Service Authority , G.B.Nagar to organize joint Awareness camps

·        Meeting with Health and safety In charge of construction sites