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DEVELOPING INDIGENOUS RESOURCES – INDIA Summary of Activities

For October 2017

THOUGHT FOR THE MONTH

Climbingtothetopdemandsstrength,whetheritistopofMountEverestortothetopofyourcareer.

-(A.P.J.AbdulKalam)

CONTENTS

1. ACTING DIRECTOR’S MESSAGE 2 2. IMMUNIZATION PROGRAMME 3 3. INCOME GENERATION ACTIVITY 4

• STITCHING PROGRAMME • TAILORING CLASSES

4. MY STORY 5 5. CAP-CHILD ACTIVISTS’ PROGRAMME 6 6. NUTRITION TRAINING 7 7. NIPP 9 8. MOTHERS’ HEALTH 10 9. SCHOOL WITH A DIFFERENCE 10 10. REMARKS FROM A BENEFICIARY 11 11. EVENTS 12 12. ENDNOTES 12

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1. ACTING DIRECTOR’S MESSAGE Mrs. Natasha

NUTRITIONIST October,thistimeisoneofthemostpleasantmonths.Whileitsdaysrapidlyshorten,andeachoneseemscoolerthantheoneitfollows,mostdayshavebrightsunlight,andarepleasantlywarminthemiddleoftheday.AnimportantIndianfestival,the“FestivalofLight”,HinduNewYearorDiwali,asitiscommonlycalledwascelebratedthismonth.Manypeopledecoratedtheirhomeswithstringsofminilightbulbs,orwiththemoretraditionaloillampsorcandles,andforafewnightsthecityhadmanybeautifulnightdisplays.Shootingoffrocketsandlettingoff“banger”fireworkshasbecomepartofDiwali.Thistimegovernmenttookverywonderfulstepastheyfixedtimingsforburstingcrackersinfavourofenvironment.Thoughwithnoregulationaccompaniedwithcarelessnessbornoutofignorance-eachyeardampensthefestiveeventbydeafening,blinding,orotherwiseinjuringmanychildren.Butthistimethereisreductioninallthis.TheDIRfamilycelebratedDiwalibymakingRangoli(traditionalartworkdonewithcoloredsawdusttodecoratetheentranceofthehouse)andwithadiya(earthenlamp)painting.

Apartfromthatwehadalossandagoodnews.OneofourlossescameintheformofthedeathofthefatherofSushmaBisht,oneofourHealthPromoters.Godblesshissoulinrestinpeace.GoodnewsisthatourExHealthPromoterSuniIVidlablessedwithbabyboyafteralongwaitof10years.HeartiestcongratulationstohimonbehalfofDIRfamily.

On30thOctober,fiveguestsfromMahavirInternationalNGOvisitedourDirofficeinBustee.TheyallwereveryimpressedbyourHP’sandappreciatedtheirconfidencelevel,disciplineandthestandardofmedicalknowledge.TheydonatedthreeBloodPressureapparatusforourhealthprogramandsomeeducationalmaterialforSWADSchool.

IcontinuetobeimpressedbytheincreaseinmedicalandnutritionalknowledgeofourHealthPromotersandtheirseeminglytirelessenergywhenadvising,anddemonstrating,andencouragingandproddingtheresidentsineffortstogetthemtoimprovetheirfamilies’health.Notonlyistheirworkimpressive;theirvisibleresultsareaswellandthatishighlyrewarding.AcademicsareequallyimportanttotheHP’s.TheyallperformedwellbothinMedicalandNutritionknowledge.ItishearteningtoseethezealandmotivationwithwhicheverymemberofDIRworks.DIR-Iisalwaysahappeningplace.

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DiwaliCelebrationinDIR

Mr.R.K.JainAlongwithhiscolleaguesdonatingBloodPressureApparatustoDIRStaff

2. IMMUNIZATION PROGRAMME Mrs. Veena

SENIOR HEALTH PROMOTER

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ThismonthwehadfourImmunizationcampdays.Everythingisgoingwell.Allchildrenandpregnantwomenarecomingeverymonthforanti-natalcheck-ups.Womenwhoworkatthegovernment’slocalhealthcaregiveshotsandupdateimmunizationrecords.Weareprovidingironandfolicacidtabletsandcalciumsupplementstopregnantwomen.PregnantwomenalsohaveTTShots&hadweightandbloodpressurechecked.AsusualAuxiliaryNurses,Midwifes,AshaWorkersandHealthPromotersworktogethertomakethiscampsuccessful.WegivenutritiousfoodtochildrenandpregnantwomenwhocomeforImmunization.

THEFOLLOWINGINOCULATIONSWEREGIVENDURINGOCTOBER2017

3. INCOME GENERATING ACTIVITY Mrs. Maya

SENIOR HEALTH PROMOTER

STITCHING PROGRAMME

SHOTS 1STDose 2ndDose 3rdDose

BCG 1 - -DPT5yrs. 13 - -DPT-B 8 - -Measles 9 8 Pentavalent+IPV 14+14=28 10 14+14=28T.TBooster 3 - -TT1Injection. 4 - -TT2Injection. 12 - -TT10yrs. 6 - -TT16yrs. 2 - -TOTAL 86 18 28

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Inthismonthagainthereisnoworkfromoursidetotheladies,butmostofthemgotnewjobsnow.Butstilltherearefewleftwithoutjobandstilltheyarehavinghopesfromoursidetogetajob.Unfortunatelywearenotabletoofferthemajobandweareverysorryforthem.

TAILORING

Thismonththereare9womenarelearninginourstitchingcenter.Allaredoingagoodjobbutoneofthem,RakhiisdoingverywellinstitchingPunjabisuits.Artiisalsodoingwell,shestitcheseverything.

Syllabus:Suits,salwars,petticoat,blouse,frocksetc.Allthewomenareveryhappylearningthesethings.

4. MY STORY Mrs. Sona

Stitching Teacher

MynameisSonaDevi.Iam56Yearsold.IbelongstoPratapgarh,UttarPradesh.NowIlivein#1898-DSafedaColonyandit’shavebeen25yearsIamlivinghere.MyfatherwasinIndianArmyandhealwayswantedmetostudyhard,butIwasweakinstudyandIalwaysusetoplaywithmyfriendsinsteadofdoingmystudiesbutIlearntstitchingasIwaspassionateaboutit.IgotmarriedtoMr.MadanLalin1985.Ihave4children1daughterand3sonsand3childrengotmarried.Myhusbandwasveryillandbecauseofthatweweresufferingfromfinancialcrisis.LuckilyoneofmysonArvindgotjobbecauseofDIRwhichgiveslotsoffinancialsupporttous.NowIhavearegretthatIdidn’tstudyatthattimebecauseifIwouldhavestudiedatthattimeIwon’tbefacingthesefinancialproblemsnow,infactIcouldhelpmyfamilyinabetterway.NowIrealisethevalueofstudyinlife,thechancewhichImissed.AfterthismistakeinmylifeIalwaysmotivateotherstostudyandworkhardintheirlife.OnedayHealthPromotersofDIRcametoourplaceforcheckingBloodPressurewheretheyinformedthatthereisarequirementofstitchingteacherinDIR.IcamehereforinterviewandselectedandgotachancetoworkwithDIRasastitchingteacherandit’shavebeen4yearsIamworkinghere.Ilovestitching.StitchingprogrammefallsunderIncomeGenerationProjectwerewemotivatewomentoworkfromtheirhomesandweusetobuildtheirself-confidenceasaworkingwomeninthisproject.IamveryhappybeingapartofDIRandwouldliketothanksDr.ShawwhogavemethechancetobethatpartofDIRfamily.

Thankyou.

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5. CAP: CHILD ACTIVIST PROGRAMME Mrs. Banita

SENIOR HEALTH PROMOTER

Thisactivity,whichisprovidedforchildrenaged7through13years,meetsbetween3:30pmand4:30pmdaily.ThegoalsoftheofCAPProgrammeare:- (1)Toeducatechildrenandtheirfamilies. (2)Tohelpchildrendevelopsocially. (3)Topromotesportsmanship. (4)ToIncreaseteamspirit. (5)Tocreateleadersforsportsandcommunityoutreach. InthismonthofOctoberintheChildActivistProgrammeweeducatedchildrenaboutKwashiorkortypeofmalnutritioncausedduetodeficiencyofProteinandTyphoid.ThismonthweeducatedchildrenaboutthepreventionsandprecautionstobetakenfortyphoidandKwashiorkor.ThismonthwehadDiwaliFestivalsochildrenalsocelebratedDiwalibydecoratingDiyas.

CAPKidsdecoratingDiyasontheoccasionofDiwali

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OurfirstCAPgameconcernedTyphoid.

Thegamewasdance,musicandstatue.FirstofallHealthPromoterseducatedchildrenaboutTyphoid,itssymptomsandpreventiontochildren.Whentheyplaymusicatthatpointallchildrendancedandwhentheystopthemusictheyallhavetobecomestatue,whosoevermadeanykindofmomentwilldisqualifiedandhavetotellthepreventionstobetakenwhiletyphoid.

CAPKidsplayinginDIRroom.

Thesecondgamewasmusicalchair.FirstlyHealthPromoterseducatedchildrenaboutKwashiorkor,it’saformofmalnutritioncausedduetothedeficiencyofprotein.Itssymptomsandalsoexplainedthedietforkwashiorkorchild.Thentheyarrangedthechairsaccordingtothechildren.Therewere20kidsand19chairs,thenthehealthpromoterplayedthemusicandchildrenstartedmovingaroundthechairsandwhenthemusicstoppedthentheyhavetooccupythechairsandtheonewhowillbeleftwithoutchairhavetotellthesymptomsofkwashiorkor.

SeniorHealthPromoterBanitaeducatingCAPchildrenaboutKwashiorkor

Inshortweeducatethechildrensothattheyeducatetheirfamilyandcommunityaswell.

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6. NUTRITION TRAINING Mrs. NATASHA

NUTRITIONIST

October16thiscelebratingasWorldFoodDayacrosstheworld.It'scelebratedinhonorofthedateofthefoundingoftheFoodandAgricultureOrganizationoftheUnitedNationsin1945.TheWorldFoodDayisalsoknownas“FoodEngineerDay”.Itsmainaimistomakeawarenessabouthungerandpovertyandhowtoreducetheseevils.

Anotherdayforuniversalcelebration,weweretold,wason21stOctoberwhenIDDwastheissue.Apartfromthat,GlobalIodineDeficiencyDisorderspreventiondaywascelebratedon21stOctober.IodineDeficiencyDisorder(IDD)isoneofthemostpreventableandprevailingmicronutrientdeficiencies,whichmainlyaffectsmallchildrenandpregnantwomen.Thisveryseriousdeficitresultsinspontaneousabortions,braindisordersandlowmentaldevelopmentfortoomanypeople.ApartfromthatIDDcausesimpairedphysicalgrowth,compromisedschoolperformanceandreductionorlossofmentalability.HenceithasbecomeimportanttomaketheworldawareabouttheIodineDeficiencyDisordersandtheproblemsassociatedwithit.TheglobaliodineDeficiencydisorderPreventionDaypromotesanawarenesscampaigntoeducatethepeopleonhowhardtheeffectsofiodinedeficiencycanfallonyouifyouarenotcarefulenough.IDDandhowitmaybereadilyprevented.TheobservationofsuccessiveGlobalIodineDeficiencyDisorderDaysshouldhelptoslowlyeradicatethisveryuncomplicatedyetseriousdeficiencydisorderfromtheglobe.Justtomakepeopleawareofitandtakingstepstowardseducatingthepeopleandintroducinghealthyeatinghabitswhichhelpstogetclosertowardsaworldwithminimalnumberofpeoplewhosuffersbecausetheyhaven’tgottheadequateamountofthemicronutrientintheirdiet.Educatetheworldonhavingiodizedsaltandiodinerichfoodstuffslikeseafood,leafyandothervegetables.

Inmylastmonth'sreportImentionedthatwehadidentifiedamalnourishedboyfromourHPBanita’sarea.Tanveer,malechild,20monthsoldsufferingfromironandcalciumdeficiency.FamilyofthischildbelongstoUttarPradeshandarelivinginrentedroomunderverypitifulcondition.BothParentsareilliterateandignorantandhardlybothersabouttheirchild'shealth.So,wepersonallylookafterthatchild.ThismonththereisOnekggaininhisweight.Wetoldmotherthatshecantrytomakefoodlittleattractivesothatchildlovestoeatjustlikeinsteadofmakingplainricebetteraddseasonalvegetablesinit,insteadofgivingplaincurdeverydaybettertoaddgratedcucumber,boiledpotato,choppedtomatoesetc.,andbettertospendsometimewhenchildiseating.

ApartfromthatnutritiondemowasgivenkeepinginmindthefestiveseasonofIndiaespeciallyDiwali-festivaloflightsaswellastokeepthechoiceofsmallchildrenastheyaremoreattractedtowardsbakeryitemsspeciallycake.SotokeepthisthinginmindwemadeSujicake(SemolinaCake)bakedinpressurecookerthoughbusteepeopledidn’thaveovens.TheingredientssuchasSemolina,Sugar,oil,milkandpeanutsusedareverycheapandreadilyavailabletobusteepeople.Thisrecipeisrichinproteins,caloriesandcalcium.TotestthenutritionknowledgeofHPs,nutritiontestwasconductedinwhichmostofthemscoredwell.

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DemonstrationofSujiCake

7. NIPP -Nutrition Improvement Priority Programme Ms. Sarita

HEALTH PROMOTER

NIPPstandforNutritionalImprovementPriorityProgramme.Wehavestartedthisprogrammeforimprovingthehealthofthosekidswhoareinpriorityzonecategoryforimprovingthehealthstatus.WeprovidethekidsnutritionaldietatDIR.WecallthematDIRandgivethemacupofmilk,boiledegg,andonefruiteveryday.Weplannedadifferentmenuforeveryday.Wearegladthatthismonth3kidschangedtheircategoryfromRedzonetoYellowzone.Nowwehave7kidsinYellowzone.Thismonth44%kidsgainedtheirweight.Butontheotherhandunfortunately7kidslosttheirweightbecauseofclimatechange(Dengue,typhoidandviralfever).Thismonthonly17%kidsarecomingformealplan.Allkidsarecomingregularly.Allhealthpromotertryingtheirlevelbest.Whensomekidsarenotcomingregularly.So,wespeciallyvisitedtotheplaceofthosekidsanddocounsellingoftheirparentstocomeandgettheirkidsformealregularly.

AgeofchildrenintheNIPP

0-12month 0(0%)

13-24month 2(5%)

25-36month 8(22%)

37-48month 13(36%)

49-60month 13(36%)

ChildrenwhogainedWeight 16 44%Childrenwhoseweightremainedconstant 13 36%Childrenwholostweight 07 20%G.T.V(GoneToVillage) 00 00%

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8. MOTHER’S HEALTH

Ms. Sangeeta HEALTH PROMOTER

Lastmonthwehad115pregnantwomeninourprojectarea.Fromwhichwehad18deliveriesthismonth,5werebabyboysand13werebabygirls.Unfortunatelywehadonestillbornbabydueto,umbilicalcordstuckaroundtheneck.TheladywasfromHimachalPradeshfromourHPSushmaDevi’sarea.Nowsheisfineandhavingpropermedication.Allothernewbornalongwiththeirmothersbotharefineandhealthy.

Thismonthwefound7newcasesofnewarrivalsinourprojectareaand19womenconceivedthismonth.2womenwenttotheirvillageand7womenleftourprojectareapermanently. Attheendofthemonthwehad115pregnantwomen.Allpregnantwomenhavingproperanti-natalcheck-upsandpost-natalcheck-upsafterdelivery.

9. SCHOOL WITH A DIFFERENCE Mrs. Manjeet Kaur

SWAD TEACHER

InthismonthweeducatedchildrenabouttheDiwaliFestivalanditsSignificance.ThereligioussignificanceofDiwalivariesregionallywithinIndia,dependingontheschoolofHinduphilosophy,regional,legends,andbeliefs.HindusacrosstheworldcelebrateDiwaliinhonorofthereturnofLordRama,wifeSita,brotherLakshmanaandLordHanumantoAyodhyafromexileof14yearsafterRamadefeatedRavana.TohonorandcelebrateLordRama,Sita,LakshmanaandHanumanareturningfromSriLankaandtoilluminatetheirpath,villagerslightDiyastocelebratethetriumphofgoodoverevil.StudentsofPlayclass,PrenurseryandNurserymadeDiyasondrawingsheetsandcoloredthem.WhereasK.G.ClasskidsdecoratedDiyasandcandles.DIRStaffmaderangoliandchildrenreallyenjoyedthat.ApartfromthatweeducatedchildrenaboutVishwakarmaDay.VishwakarmaDay,alsoknownasVishwakarmaJyanti,isadayofcelebrationforVishwakarma,aHindugod,thedivinearchitect.Heisconsideredasswayambhuandcreatoroftheworld.HeconstructedtheholycityofDwarkawhereKrishnaruled,theMayaSabhaofthePandvas,andwasthecreatorofmanyfabulousweaponsforthegods.Heisalsocalledthedivinecarpenter,ismentionedinRigVeda,andiscreditedwithSthapatyaVeda,thescienceofmechanicsandarchitecture.Thefestivalisobservedprimarilyinfactoriesandindustrialareas,oftenontheshopfloor.Asamarkofreverencethedayofworshipismarkednotonlytheengineeringandarchitecturalcommunitybutbyartisans,craftsmen,mechanics,smiths,welders,industrialworkers,factoryworkersandothers.Theyprayforthebetterfuture,safeworkingconditions

PregnantmothersLastMonth

Delivery (Births) TotalBirth MotherswhoMoved StillBorn Miscarriage NewlyPregnant TotalPregnantThisMonth

M F Temporarily Permanently Arrived Conceived

115 05 13 18 02 07 01 00 07 19 115

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and,aboveall,successintheirrespectivefields.Workersalsoprayforthesmoothfunctioningofvariousmachines.Itiscustomaryforcraftsmentoworshiptheirtoolsinhisname,refrainingfromusingthetoolswhiledoingso.Modernelectronicservesarealsoworshippedfortheirsmoothfunctioning.SpecialstatuesandpicturesofVishwakarmaarenormallyinstalledineveryworkplaceandfactory.Allworkersgatherinonecommonplaceandperformthepuja(reverence).AfterprovidingtheseusefulinformationaboutthesefestivalswedistributedsweetsandbiscuitsamongallthechildrenandDIRstaff.On28thwedidsaladdecorationactivity.Inthisactivityweeducatedchildrenabouttheimportanceoffruitsandvegetableanditsneedforourbody.WeusedseasonalfruitsandVegetablesforsaladdecoration.Wetoldstudentsthatbeforecuttingfruitsandvegetableswashthemfirstasmostlypeopledidcuttingfirstthenwashing,inthatsituationwatersolublenutrientsloss.Afterwashingfruitsandvegetablewecutintosmallslicesthendecoratedthesaladwithfruitsandvegetables.AllChildrenenjoyedalotwhilemakingsaladandalsolovedtoeat.

CelebratingDiwaliFestivalwithSWADKids

SaladDecorationinSWAD

10. GUEST REMARKS FROM A BENEFICIARY

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MynameisLeelaandIam60yearsold.IknowDIRforthelast10years.HealthPromotersfromDIRusetovisitourplaceandchecktheweightofourchildrenandcheckourbloodpressureeverymonth.AsmyhusbandissufferingfromBloodPressureproblem,soonmyrequesttheyusetocameherethriceamonthtocheckmyhusband’sBloodPressure.WheneverweaskedthemtocheckourBloodPressureeverytimetheycheckedandnevergetangryorrefusetocheck.TheyalsotellusaboutthehealthydietandthingstobeavoidedindietbeingaBloodPressurepatient.Theyalsoinformusabouttheinjectionstobetakentimetotimetoourkids.Theyalsoeducateusaboutvariousdiseaseandpreventionstobetakenthroughthecommitteemeeting.Theyneverdiscriminateamongthepeople,insteadtheycalleveryonetogethertoattendthecommitteemeeting.IwouldliketothanksDIRanditskindmembersforeducatingusaboutourhealthandtakingcareofourhealthsincelastdecade.

HealthPromoterSunitawithLeela

11. EVENTS Captain Bikram

Administrator

VISITORS

30 Oct 2017: Mr.R.K.JainalongwithhiscolleaguesMr.VarinderJain,Mr.S.C.JainandMrs.RitaJainfromMahavirInternationalNGOvisitedourDIR.Theydonated3BloodPressureinstruments,3Stethoscopeand2educationalgamestous.

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Mr.R.K.JainalongwithhiscolleaguesdonatingeducationalmaterialtoSWADkids.

EVENTS 18 Oct 2017: WecelebratedDiwalifestivalwithSWADkidsandDIRstaffwithgreatenthusiasm.DIRstaffmembersmadeRangolionthisoccasionchildrendiddecorationsofcandlesanddiya.Capt.BikramdistributedsweetsamongSWADkidsandDIRalsodistributedsnacksbiscuitsamongallthekidsandDIRstaffonthisauspiciousoccasion. DEPARTURE & NEW FACE Dr.ShawtookhisretirementfromDIRandDr.AshaKatochhasjoinedusasanewCEOinDIR.

12. ENDNOTES

HEALTH PROMOTER (HP) Thisjobtitleisgiventoaspecial,full-timeemployeeofDIR.Tobehired,s/hemustbearesidentofourprojectarea.Therearenoeducationalrequirementsbuts/hemustbeliterateinHindi,andbeabletoprove(bypassingmonthlyexams)thats/heislearningadequatelyinourdaily(MedicalandNutrition,andother)classes.EachHPisassignedtoa“Unit”whichisagroupof230contiguoushouseholds.TheHPvisitseachfamilyinhis/herUnit(atleast)monthly,whereappropriatecheckingandmonitoringbloodpressure,checkingandmonitoringtheweightofeachchildundertheageof60months,promotingforhygienicconditionsandprocedures,advisingandcounselingasnecessary,andpromotinglivingahealthylife,howeverpossible.Throughdemonstratingthats/heislearningwellinouracademicclasses,forexhibitingskillineducatingthepublic,andshowingleadershippotential,aHealthPromotermaybepromotedtobecomeaSeniorHealthPromoter.GENDER BIAS Becausethetraditionalrolesofwomenindevelopingcountriesexertheavierinfluenceonfamilyhealththantherolesoftheirmalecounterparts,itisstrictpolicythatDIRstaffwillneverhavelessthan80%ofpositions(indevelopingcountries)staffedbywomen.PreferenceinBoardpositionsistohave50/50.

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NUTRITION ZONES Foreaseofclassifyingchildren’snutritionalstatus,wehaveacceptedthecommonconceptWorldHealthOrganizationhaspopularizedofusingweight“Zones”.Theseareweightareasplottedonagraphshowingweightforage.Childreninthe“GreenZone”aresaidtobeappropriateweight.Childreninthe“YellowZone”aresaidtobeUnderweight,andthoseinthe“RedZone”arejudgedtobe“SeriouslyUnderweight”.NIPP Thisisthenameofoneofourhighpriorityprograms.TheinitialsstandforNutritionImprovementPriorityProject.Eachofour13HealthPromotershaveidentifiedthethreemostchronicallymalnourishedchildrenundertheageof60monthsineachoftheirUnits.ThisgroupofchildrenarenormallytheexclusivemembersoftheNIPP,buttheCEOmayassignalimitednumberofemergencycaseswhensuchisseentobeessential.UNIT ThisisnumberofcontiguoushouseholdsbeingservedbyoneHealthPromoter.ThetypicalnumberofhomesinaUnitis230,butthismaybeincreasedordecreasedifthenumberofchildrenorpregnantwomenabnormallyinfluencetheHP’sworkload. PGI Thesearethefrequentlyusedinitialsforthegovernment’sPostGraduateInstituteofMedicalEducationandResearch.ThislargeChandigarhmedicalcomplexservestheNorth–EastquarterofIndia.InrecentyearsithasstartedarareadditioninIndia–aSchoolofPublicHealth.PGIbordersontheslumcalledJantaColony,whereDIRhasbeenactivesince2005.NGO: - Non-Government Organization. Typically,butnotexcusably,anNGOisanorganizationwhichstrivestoimprovethequalityoflifewithinagivencommunity.Forexample,CAREisanNGO,asisHOPE,PLANNEDPARRENTHOOD,DIR,AARP,etc.Some,butnotall,NGOs,arenon-profit.

DONATIONS to DIR DIRisanon-profitNGOwhichisfundedentirelybyvoluntarydonations.IntheUSandinIndiadonationstoDIRaremadedeductible,forincometaxpurposes,bybothgovernments.InIndia,donationsinRupees,maybeaddressedto:TheDirector,DIR-I,House105,Sector10,Chandigarh160009.Donationsinothercurrencies,shouldbesentto:TheCEO,DIR,8321TerraceDrive,ElCerrito,CA94530.

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