sab report on tonk

8/14/2019 SAB Report on Tonk

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Sensitisation Training on HIV/AIDS & NACP III

Report on

Sensitisation Training of Key Stake Holders of Tonk District on

HIV/AIDS and NACP-III

Submitted to:-

UNICEF, Rajasthan Field Office, JAIPUR Submitted by:-

SAB (Society for Advancement and Betterment)

Index

Society for Advancement and Betterment




S. No. Particulars Page No.

1 Background: HIV/AIDS Scenario 3

2 HIV/AIDS in India 3

3 HIV/AIDS in Rajasthan 4

4 Tonk District: A profile 6

5 SAB (Society for Advancement and

Betterment) : AN Introduction

9

6 Project Initiation: First Step 10

7 ToT and Planning Meeting 11

8 Trainings of Key Stake Holders of Tonk 14

9 Tabular Brief on the Trainings undertaken 16

10 Graphical Representations 18

11 Individual Training Reports 21

12 Outcome of the Trainings - Results 34

13 Outcome of the Trainings – Tabular Analysis 35

14 News Coverage - Clippings 37

Background: HIV/AIDS Scenario

The HIV /AIDS situation in India is serious with the epidemic no longer confined to

high-risk groups alone. It has penetrated into the general population & it is fast





There are strong Indications that Rajasthan is indeed a highly vulnerable state:

These include:

HIV already exists in the state, especially among vulnerable sub-populations.

Given the large population of Rajasthan (56.4 million-2001 census), even a

small increase in HIV would translate into a large number of cases.

Emerging Rajasthan data indicates HIV and AIDS is equally a rural as an urban

epidemic.

Rajasthan has thousands of people annually out-migrating to higher prevalence

states such as Maharashtra, Gujarat, etc., and in turn, thousands in-migratemaking it net out migration state. Migration, though seems a temporary

phenomena, has become a generation trap for migrant people.

Rajasthan accounts for 19 percent of all mines in India, employing over

500,000 workers, many of them in-migrants.

An estimated 25,000 trucks travel daily through Rajasthan on National

Highway 8 alone.

Rajasthan is the site for many religious fairs and festivals, and attracts 25

percent of all Indian tourism (both domestic and foreign).

Rajasthan is implementing National AIDS Control Program III (2007-2012) in

the state “To halt and reverse the HIV epidemic in India” through a four- pronged

strategy of:

Preventing new infections in high risk groups and general Population through:

I. Saturation of coverage of high-risk groups with targeted Intervention

(TIs)

II. Scaled up interventions in the general population

Providing greater care, support and treatment to larger number of PLHA

(People Living with HIV/AIDS).

Strengthening the infrastructure, systems and human resources for Scaling -up

prevention, care support and treatment programmes at the district and state

level.

Strengthening the State wide strategic information system.

Besides the six earlier districts identified as low prevalence but highly vulnerable,Tonk, Chittor and Rajsamand too are showing increased trends in HIV prevalence.





Tonk, being one of the focussed district of UNICEF, “Sensitisation of Key Stake

holders on HIV/AIDS and NACP-III” has been taken up by UNICEF, Rajasthan

Field Office.

Tonk District: - A profile

The district, said to be one of the most vulnerable due to various factors ranging from

low educational status to socio-economic conditions of the masses. A heritage city,

with its long lost glamour, but living through the tough times, surviving and rising

against odds. The river which has dried up, but the enthusiasm of the people lives on.





Highways adding to the fuel to prevalence of not just HIV, but also various other

health issues. Tough terrain and low agricultural yield, forcing the nature dependants

to migrate to larger cities near by including Jaipur, Kota and to nearby states as well.

Area:- 7,194 sq.km. (2.1 per cent of the state)

Population: - 12, 11,343 (2001)

Density of population (persons per square kms.):- 168

Educational centres:-

a) Degree Colleges:- 6

b) Secondary & higher secondary schools:- 133

c) Senior primary schools:- 401

d) PrimarySchools:-1,064

Industrial Scenario:-

No. of large and medium scale units: 2

No. of large and medium scale industries: 2

No. of small scale units: 5,722

No. of industrial areas: 4

a) Deoli

b) Malpura

c) Newal

d) Tonk

Administrative blocks of the district:-

1) Devli

2) Malpura

3) Niwai





4) Todaraisingh

5) Tonk

6) Uniyara

Role of various Government and non- governmental departments

Government departments as well as non-governmental organisations, have

extensive reach and penetration. By integrating HIV/AIDS into their existing programmes and policies, they can reach millions of households in urban and rural

areas.

This can be carried out by,

a) Arranging sensitisation workshops for work force which results in:

1) Identifying forums or platforms that can be used to address the HIV/AIDS

issues with maximum impact.

2) Sensitizing key stakeholders on HIV/AIDS so as to motivate them to: Be

sensitive, Safe, Be a Voluntary Blood Donor, Disseminate correct information,

Increase uptake of services available in government facilities, Get themselves

tested, Address Stigma and Discrimination and associated Myths and

Misconceptions at all levels and platforms and Give Time.

3) Setting up of a mechanism to address HIV/AIDS related issues and problems at

district level, within organisational, social level and down up to individuallevel.





The need to hold sensitisation trainings for varied audiences across the district was felt

by UNICEF and the task of conducting trainings for varied audiences was given to

SAB (Society for Advancement and Betterment).

SAB (Society for Advancement and Betterment)

The Organisation was established in significance of the dream that some of the

founders had in the beginning of their individual careers. It was this aim to work with

the segment of the society which has always been denied with even the basic

amenities, leave aside enhancement of the quality of life. It also has to its credit,

association of experts of varied fields and technically a very strong group, to carry out

implementation at varied levels, ranging from National up to grass roots. Be it

Researches, Surveys, IEC/BCC activities or Orientations on specific issues. The issues

range from RCH, HIV/AIDS, Nutrition, Livelihood, Skill up gradation and Human





Rights to name a few. The sustainability of the activities is also kept in front while

designing of any strategy for a programme.

The team comprises of people from varied walks of life, coming together to walk on

the same path, sharing the responsibility thus leading towards a BETTER WORLD

FOR ALL. The team has dedicated trustees and a whole lot of other professionals,

who are Practising Developmental Professionals as well. To name a few:

Mr. Nand Lal Sharma, an eminent personality of more than 50 years of

experience in Audio-Visual field.

Dr. Hari Mohan, an eminent developmental professional with many years of association with UNDP.

Mr. Ashok Raisinghani, a developmental manager and professional with 9

years of experience in spearheading programmes across the state.

Mr. Nilesh Maharaj, State Chief, Path Finder, Jharkhand, with over 12 years of

experience of developmental sector.

Dr. V.R. Ambwani, Retired Director, Animal Husbandry, GoR.

First Step

Meeting of the Trustees and its Advisory Board members was held to chalk out the

plan of action as per the submitted proposal. It was decided that to begin, a letter from

the Project Director, Rajasthan State AIDS Control Society needed to be issued to theCM & HO as an intimation of this programme and seeking support in planning out

further trainings in the district. Decision to select efficient field staff to undertake

regular meetings with the stakeholders was also taken.

Spade work

The initial thought of sensitisation of Key Stake Holders of Tonk District flowed

down from UNICEF, field office down to the Rajasthan State AIDS Control Society-

GoR and after the selection of Society for Advancement and Betterment (SAB) was





done, the participants of the groups to be covered was also discussed and

representation of all segments of the society was ensured.

Visit to Tonk by the Advisors of SAB Meetings were also undertaken to the District

Collectors office and the office of ADM-Development, Addl. Collector and CEO-Zila

Parishad for seeking the permission of such trainings at various levels and support for

the same.

The first letter issued was by Project Director, RSACS to the Chief Medical & Health

Officer to take the initiative of holding trainings of the health functionaries in Tonk and at various levels.

CM&HO, Tonk, along with RCHO, Dy. CM & HO (H) and DPM were proactive in

getting the orders issued for orientation workshop on the forthcoming months in spite

of Swine Flu epidemic and Elections in the district.

The District Administration too, later readily allowed this orientation to be part of the

District Health Society Review meet.

Panchayati Raj and Rural Development officials too gave permission for the

orientation for their block level officials and elected representative.

The CSOs were also very cooperative and offered the orientation in spite of other

pressing commitments of their institutions.

Constraints: - Code of Conduct in force due to election, was felt throughout the

period.

All throughout the months, regular visits to Tonk district were undertaken by the

Trustees and Advisory board members, in order to meet, brief and seek further

permission to develop synergies and linkages within the District Health

Administration and other stakeholders, so as to ensure, the post trainings follow up

and support by the District admin.




“After this ToT, I find myself

charged up in addressing HIV/AIDS

and can now talk to ANYONE on the

issue. I shall rather take it up at all

possible opportunities”

-Mr. Harsh Vardhan, one of the

Participants of ToT


The Execution:

ToT and Planning Meeting

A two day ToT on 29th and 30th

October was the date fixed for the

ToT and planning meeting

followed after the training. The

curriculum and the session plan

was discussed and developed inconsultation with Project Officer

and Consultant, UNICEF, which also gave insights on the district level planning and

the guidelines for developing the session plan and the topics to be covered. The

objective of the training was to enhance the capacity of trainers so they can deliver uniform

and clearer message on HIV/AIDS.

The ToT covered the sessions from the point of view of developing Resource Pool to

be used for the trainings later in Tonk. Also sessions on Communication and mock

sessions of trainings were held and the participants were judged as per the outcomesof the session.

The ToT Agenda covered: Besides pre and post test questionnaire and an

understanding of the programme and UNICEF’s and Governments perspective, the

following:

Basics of HIV/AIDS

What are HIV and AIDS?

Difference between the terms HIV and AIDS.

A brief on Global, National and State level data.

Disease progression, asymptomatic and symptomatic phase. OIs

HIV testing, window period, steps involved in HIV testing.

Modes of transmission of HIV with details on risk probability of various

exposures according to the viral load in various bodily fluids.

Spread of HIV to general population through bridge population.

Associated Myths and Misconceptions.





Core groups in HIV/AIDS like migrants, sex workers, IDUs, Truckers and

MSMs

Who are at high risk of getting infection?

Chances of HIV infection on exposure of various risks like unsafe sex,

injection through infected needle, transfusion of infected blood and mother to

child.

Management of HIV/AIDS through OI drugs and ART.

Available services to manage HIV/AIDS (ART Centres, ICTC, PPTCT, CCC,

DOTS, Positive Networks).

Safety measures (including ABC) as per the modes of transmission. Significance of Red Ribbon logo.

Mainstreaming of HIV

HIV epidemic in India in terms of prevalence and knowledge level of general

population about HIV/AIDS.

Data about HIV and its prevalence in our country in general and state in

particular. The Estimates of HIV including rural population & women.

How HIV affects Government Health initiatives and overall Development of

our Country.

Vulnerability factors of Rajasthan in context of HIV.

Definition and explanation of Mainstreaming of HIV.

Some popular examples of Mainstreaming.

How Mainstreaming can help (System strengthening, Capacity development,

Building Synergies and Alliances).

Role of various stakeholders (Government department, non HIV NGOs/CSOs

and Corporate) with suggestive activities. Inverse Relation between development of the country and HIV/AIDS.

Need of multi sectoral approach.

How to Mainstream HIV at individual and at work place level.

Suggestions from the participants.

Open house discussions

For answering any questions, inducing thought process, polishing of response

techniques and providing accurate information.





Mock Session of the training

Sessions were allotted to the participants and 30 minutes were given to them for

preparations and later they were asked to present a session to rest of the

participants. Evaluation was carried out in the open forum and value additions

were suggested by rest of the participants.

Field Visit

Participants were taken for a field visit to Tonk. Later feedback was obtained

about the place they visited and their view.

Planning Session

A plan was drawn out for advocacy meetings with the district authorities and

required letter were sent across with copies with the project staff. Soft copies and

hard copies were shared with all of the trainers for any future references.

All were also asked to provide the dates of their availability for trainings in future.

The Trainings of Key Stake Holders of Tonk

Orientation on HIV/AIDS and NACP-III

An Orientation and In-depth Training Schedule was developed at the time of ToT

of Master Trainers in consultation with the resource team and was so designedthat it can be modulated further as per the needs and requirements of the

Audience.

Training sessions: - The training sessions were so designed and divided into

sections so as to cover in depth know-how of the topics, covering:

a) Pre test questionnaire and Post test questionnaire at the

end, where ever time permitted and it was also used by the

visiting consultant as a tool for evaluating the training





quality. The suggestions which came up during the open

sessions and the marking of pre & post were also used in

ensuring coverage of the weaker links with required

emphasis.

b) Basic of HIV/AIDS: covering Basic information on

HIV/AIDS, terminology, disease progression - Global,

National and State scenario, Causes of Transmission,

Potency and probability of transmission through various

body fluids, presence of HIV in various body fluids, Myths& misconceptions, associated stigma and discrimination,

Prevention methods from each mode including ABC,

Management of HIV, Testing facility, ART, ICTC,

PPTCT, Referral and other support services offered at

government and other organisation, Networks of positive

people,

c) Mainstreaming of HIV: covering Why, including

Vulnerability factors, Need to take it up at individual,organisations and society level, mainstreaming both

internally and externally, incorporation of HIV/AIDS

issues at all level and How.

d) Open house session was for addressing the questions from

the audience and asking them their view of how they

would mainstream HIV/AIDS.

e) Last session: This was used for suggestions and

commitment from the audiences to take up HIV/AIDS

issues at all possible levels.

Orientation on role of Government Officials/ Health Care providers/

Educational Institutions/ NGOs/ SHGs/ Elected Members





Participants were made aware that they have extensive reach and penetration. By

integrating HIV/AIDS into their existing programmes and operations, they can

reach millions of households in urban and rural areas.

a) Identify programmes which can have the largest reach, cutting

across gender, caste and hierarchical boundaries.

b) Sensitize key stakeholders on HIV/AIDS.

c) Set up an internal committee /nodal person to develop HIV/AIDS

workplace policy, based on ILO code of practice and

programmes.

And all this will be possible with...

Continued political commitment

Participation by all stakeholders

Coordination and implementation of the shared vision

Shared accountability

Regular follow ups

Tabular Brief on the Trainings undertaken

S.No Date Venue Group Participants

(M/F)

Guest of Honour

1 29-30th Oct‘09

Jaipur ToT for MTs 9 (7 M, 2F) Mr. Ravi Gupta-UNICEF

2 6.11.09 Todaraisingh Health Service

providers

58 (24 M, 34

F)

RCHO, Dr.

Bhushan Salodia

Dy.CMHO &

BCMO, DPM

3. 6.11.09 Malpura Health Service

providers

69 (29 M, 40

F)

Dr. R. P. Meena

CM&HO,

RCHO, Dr.

Bhushan Salodia





Dy CM&HO,

BCMO, DPM

4 7.11.09 Tonk NGO workers 37 (35 M, 2

F)

CEO-Disha-NGO

5 9.11.09 Niwai Management,

Staff, Students

and NSS

Volunteers

54 (54 M) Principal, Patel

College

6 10.11.09 Tonk Women SHGs 53 (2 M,51

F)

Dist. Incharge,

Sulabh Intnl.

7 10.11.09 Tonk Women SHGs 52 (2 M,

50F)

CEO-SMES

8 13.11.09 Aligarh Block Level

Officials

67 (66M,

1F)

BDO-Aligarh

9 14.11.09 Niwai Management,

Staff Students

and NSS &

other volunteers

63 (5 M, 58

F)

Director and

Principal, Niwai

Girls College

10 22.11.09 Uniyara NGO & CSO

workers

54 (52M, 2

F)

Dr. R.K. Katara

APD-RSACS,MR.Daman

Ahuja NACO,

Mr. Ravi

Consultant-

UNICEF, CHC

In-Charge and

Ex.HH. Uniyara

11 27.11.09 Tonk

Collectorate

DHS members 57 (54M, 3

F)

Ms. Pramila

SuranaHonourable Distt.

Collector, Dr. R.

P. Meena

CM&HO,

RCHO, DPM

12 1.12.09 Niwai Block Level

Health Service

providers

99 (17 M, 82

F)

Dr. Bhushan

Salodia Dy.

CM&HO,

BCMO





13 4.12.09 Aligarh Panchayati Raj

Representative

62 (59 M, 3

F)

BDO &

Sarpanchs

Graphical Representation of Male Female Ratio in Trainings





Figure 1

Graphical Representation of Target Population Break up – I


0

10

20

30

40

50

60

70

80

90

T o T

T r a i n i n g I I

T r a i n i n g I V

T r a i n i n g V I

T r a i n i n g V I I I

T r a i n i n g X

T r a i n i n g X I I

Male

Female




Figure 2

Graphical Representation of Target Population Break up - II


0 100 200 300 400

G o v e r n m e n t E m p l o y e e s

E d u c a t i o n a l I n s t i t u t i o n s

N G O s

S H G s E l e

c t e d M e m b e r s

No. of Participants




0

20

40

60

80

100

120

140

Health service Providers

NGO Workers

Educational InstitutionsSHGs

Block Level Officials

DHS Members

Block Level Health Service providers

Panchayati Raj Representatives

Figure 3

Individual Training Reports





Training number I

Report

Training of Trainers

Date: 29th and 30th Oct ‘09 Venue: Jaipur

Participants: 09 Male: 07 Female: 02

Guest of Honour: Mr. Ravi Gupta

Orientation of Key stakeholders on HIV and NACP-III

Training number II

Report

Date: 06.11.09 Venue: Todaraisingh


Participants: Health Service Providers

Guest of Honour: RCHO,Dr.Bhushan Salodia Dy CM&HO (H), DPM, BPM





Training number III

Date: 06.11.09 Venue: Malpura


Guest of Honour: Dr.R.P.Meena CM&HO, RCHO, Dr.Bhushan Salodia Dy

CM&HO (H), DPM, BPM

Training number IV

Report





Date: 07.11.09 Venue: Tonk


Guest of Honour: Mr. Mohseen Khan (CEO of Disha)

Training number V

Report





Date: 09.11.09 Venue: Niwai

Participants: 54 Male: 54 Female: None

Guest of Honour: Mr. Subhash Galav - Principal, Patel College, Niwai

Expressions


“I always had a feeling that HIV/AIDS topic is a matter to be

discussed within a group of two-three close friends only, but

today’s session was so simple and easy, that such a topic

was covered in details and all the questions were answered

then and there”

Mr. Subhash, Principal Niwai College.




Training number VI

Report



Guest of Honour: Mr. Dinesh Gandhi, District Incharge, Sulabh International

Expressions


“After we had taken the session on Basics of HIV and were

wondering, how to put to use, this knowledge. But after the

Mainstreaming Session, we realise that we have

immunerable ways, we can actually share the responsibility”

District Incharge, Sulabh




Training number VII

Report



Guest of Honour: Ms. Mohini Sharma CEO, Saksham Mahila Ekai Samiti (SMES)

Training number VIII

Report





Date: 13.11.09 Venue: Aligarh

Participants: 67 Male: 66 Female:1

Guest of Honour: Block Development Officer, Aligarh

Training number IX

Report







Guest of Honour: Mr. Nisar Ahmed, Director, Niwai Girls College

Dr. Ritu Agarwal, Principal, Niwai Girls College

Training number X

Report





Date: 22.11.09 Venue: Uniyara Garh, Uniyara


Guest of Honour: Dr. R. K. Katara (APD, RSACS), Mr. Daman Ahuja (NACO,

RRE), Mr. Ravi Gupta (UNICEF, JAIPUR), Mr. Ramvir Singh (CHC Uniyara), Dr.

Gyanendra Bansal (CHC, Uniyara)





Training number XI

Report

Date: 27.11.09 Venue: Tonk Collectorate Tonk.


Guest of Honour: Ms. Pramila Surana (Colltector Tonk), Dr. R.P Meena (CM&HO

Tonk), Mr. A.S Khan (DPM Tonk)





Expressions

Training number XII

Report



Guest of Honour: Dr.Bhushan Salodia Dy.CM&HO, BCMO

Training Number XIII

Report

Date: 04.12.09 Venue: Aligarh


Guest of Honour: BDO, Sarpanch


“The need to have a PLHIV member present in DHS meetings will

ensure addressing of the issue at the right place and solve all possible

bottle necks in service disbursement. Problems from the field will come

to notice at the District level and immediate corrective measures can

be taken.”

PLHIV, Tonk




Outcome of the Trainings

1) The District Health Society has given its consent of inviting Ex-officio member

of District Level Network of Positive People, Tonk for its future meetings.

Letter for request to include DLN as a participant of DHS will be sent by

District Nodal Officer of the DLN, Tonk, to CM&HO (Secretary DHS-Tonk)

for the same. Copy of the same would be shared as soon as the order is

dispatched from CM&HOs office.

2) A good number of Health Services providers are aware of the basic modes of transmission and hence the stigma associated with HIV is addressed whenever

they come across it in the field. Also linkages with other referral services

available at government sectors will lead to better management of HIV/AIDS.

Treatment of OIs is done at the earliest opportunity.

3) College Management of Patel College has stated that they shall include

HIV/AIDS issues in their annual activity plan to cover student volunteers and

hold seminars and talk shows on the same.

4) CHC in-charges of Uniyara, Todaraisingh, Malpura, and Aligarh have readily

agreed to hold discussions on HIV/AIDS during all their joint monthly

meetings.

5) Aligarh Block Officials have also given their consent on bringing up the issue

at their future meetings.

6) SHGs have shown their desire to get involved in dissemination of information

to their members through IEC material at various locations. IEC Material will

be sent across to them for strategic locations.





Outcome of the Trainings

Analysis on the basis of pre and post questionnaire is as under:

List of Participants

S.No Date Place Training

No of

Participants Male Female

Post Training

% Growth

1 29.10.09 JAIPUR

Training of

Trainers 9 7 2 35%

2 30.10.09 JAIPUR 9 8 1 35%

3 06.11.09 Todaraisingh

Block level

Training 58 24 34 20%

4 06.11.09 Malpura

Block level

Training 69 29 40 25%

5 07.11.09 Tonk

Block level

Training 37 35 2 35%

6 09.11.09 Niwai

Block level


7 10.11.09 Tonk Block levelTraining 53 2 51 20%

8 10.11.09 Tonk

Block level


9 13.11.09 Aligarh

Block level


10 14.11.09 Niwai

Block level


11 22.11.09 Uniyara

Block level

Training 54 52 2 40%12 27.11.09 Tonk Block level 57 54 3 2%





Training

13 01.12.09 Niwai

District

level

Training 99 17 82 15%

14 04.12.09 Aligarh

Block level


Total 743 414 329

An Observation - Support required by the CSOs

Some of the CSOs who had participated in the trainings had requested for support in

the form of IEC material, on-going sessions at their Colleges and SHG meetings and

also at their various intervention sites, display of posters and other material for

distribution.


sab report on tonk

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