Shift of Office:

The PCI country office was shifted from Defence Colony to Safdarjung Enclave in June 2005.

Management Structure:

True to its principles, PCI/India has a participatory democratic management structure. PCI’s India country office is based at Delhi and the Country Director is responsible for the overall activities of PCI/India. He is assisted by the Associate Country Director and Directors – HR, Finance, HIV/AIDS, and Monitoring and Evaluation. In addition to the four directors based at Delhi, PCI/India also has a Director-South India based at Salem who monitors PCI programs in the states of Andhra Pradesh and Tamil Nadu including PCI’s major initiative in Tsunami affected coastal Tamil Nadu and Pondicherry. PCI has regional offices at Pune, Jaipur and Ranchi. PCI/India organogram on page 4 gives a bird’s eye-view of PCI/India organizational structure.

The management tools used for participatory collective decision making are the Directors’ Meetings, Core Group team, and the respective department meetings.

Programs:

The various programs implemented by PCI in India include

� HIV/AIDS: PATHWAY; AIDS Walk for Life; BRIDGES; Healthy Highways; and MASBOOT, Community Care Center, and TAI-VHS

� Disaster Management: BESST; Rebuilding Together; United Way; and BAXTER

Total Budget:

The total PCI expenses for the financial year 2005-06 is eleven crores, ninety nine lakhs, seventy two thousand , nine hundred and seventy five rupees only. (Rs.11,99,72,975)

Challenges:

�Continuing the intervention with HIV/AIDS Children Infected, Children Affected, and Orphan and Vulnerable Children (OVC) �Diversification and up-gradation of services in Tsunami affected areas so as to bring in sustainability �Management of Micro Credit and Enterprise Development

Future Plans:

PCI/India with its aim to serve more and enhance, augment, and improve its developmental intervention base has responded to with the following

� Building Together: project approved by Dan Church Aid for building 50 permanent houses in PCI working tsunami affected villages. This will be initiated in the coming year after receiving the land from the government for building the houses.

� RAKSHA: proposal submitted in response to USAID request for application for HIV/AIDS prevention, treatment, care and support in the states of Karnataka and Andhra Pradesh

�LAKSHYA: proposal submitted for the design phase for Skill Development of Disadvantaged youth in the states of Maharastra, Jharkhand, and National Capital Region �EJAF: proposal to be submitted to Elton John AIDS Foundation for intervention in the North Eastern States of India, targeting Children Infected by HIV/AIDS and OVC

� CHAI: concept paper submitted to Clinton HIV/AIDS Initiative requesting for ART support for 1100 children, who are infected with HIV in the states of Tamil Nadu, Maharastra, Andhra Pradesh, Manipur and Nagaland

� PPP: Public Private Partnership being focused to generate additional funding for program development, leverage, and program support and sustaining

Junior level staff, Support staff, Field staff, Volunteers

BACKGROUND: PATHWAY is a five year project (September 1, 2004-August 31, 2009) PCI-CDC comprehensive HIV community and home-based care initiative (CHBC) supported by Centers for Disease Control and Prevention (CDC) to provide medical care, counseling and testing, nutritional support, and income- generating opportunities to People living with HIV/AIDS (PLHA) and their family members at six project sites in five states of India --Pune, Maharashtra; Salem, Tamil Nadu; Warangal, Andhra Pradesh; Churachandpur and Imphal, Manipur; and Dimapur, Nagaland.

OBJECTIVES:

The major objectives of PATHWAY are to: �increase the delivery of health care services to PLHA and their family members �increase the delivery of psycho-social support services to PLHA and family members �increase the livelihood opportunities of PLHA and their families �increase the delivery of HIV prevention services to community members �increase the community support for PLHA and families �increase the capacity of local CBOs and NGOs, other private and government institutions

to deliver HIV prevention, care and support services �strengthen referral linkages/partnerships among NGOs, CBOs, private and government institutions

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 2004 to March 2006)
Indicators	Achievements
Number of service centers	54
Number of Implementing Partners	11
PLHA Provided Services	5513
PLHA on ART	489
HIV/TB co-infected	371
Population reached through HIV awareness programs	304359
PLHA Support Group members	2726
Persons provided VCT services	7945
PLHA & Caregivers trained in Home-Based Care	4850

State AIDS Control Society, (TANSACS). It is a short term inpatient nursing care facility thereby being a bridge between hospital and home care. It provides 24 hours medical care, nutrition support, to the inpatients, counseling support, behavior modification programs and trainings to caregivers, as well as recreational activities and referral services. The PLHAs identified & registered under PATHWAY project are referred to Community Care centre when PLHA require treatment for inpatient services for 4-5 day. Referrals are made from the GH/Salem to Care centre for ART initiation which now acts as an ART initiation centre.

OBJECTIVES: The major objectives of the project are to:

• increase access to health care for PLHA
• provide psychosocial and nutritional support
• train PLHA and family members on self care & home based care
• establish referral network with GOs, NGOs and Private Organizations for strengthening referral services
• strengthening up of CCC as ART initiation centre in collaboration with ART department of Government Hospital, Salem

MAJOR ACHIEVEMENTS:

Major indicators and achievements (October 2004 to March 2006)
Indicators	Achievements
No. of PLHA received Medical services	615
PLHA family members received Medical services	110
No. of Counseling Sessions	347
No. received Nutritional supplements	515
No. of Self & HBC training sessions	910
No of Home visits to PLHA	323
General Community members covered in Awareness Programs	607

BACKGROUND: PCI/Salem operation expanded its services to female sex workers (FSWs) and their clients for STIs/HIV Prevention and Control Program in July 2004. The Tamil Nadu AIDS Initiative is being supported by Bill & Melinda Gates Foundation through Voluntary Health Services, Chennai. The project aims to promote behavior change and reinforce safer sexual practices among FSWs in Salem District and their clients thereby improve their quality of

life. It is a community driven prevention program wherein the planning, implementation, monitoring and evaluation are done by the community. TAI project provides clinical, psycho social and livelihood opportunities for FSWs. The main pillars of this program are the Peer Jeevans (FSW peer educators). The Peer Jeevans are recruited and selected from the community, based on voluntarism. The project operates in five rural intervention sites providing counseling and medical services to sex workers and their families. OBJECTIVES: The major objectives of the project are to:

• increase the level of awareness and to reduce the prevalence of STD/HIV/AIDS among the sex workers and their clients
• reduce the prevalence sexually transmitted diseases among sex workers
• undertake a comprehensive communication campaign to Increase treatment seeking behavior, sexually transmitted diseases and condom usage
• improve the socio-economic condition of the community
• create opportunities for education of children of female sex workers

MAJOR ACHIEVEMENTS:

Major indicators and achievements (July 2004 to March 2006)
Indicators	Achievements
Female Sex Workers identified	1041
One to one interaction	7284
One to group interactions	1293
FSWs Accessed Mobile services	768
STI episodes treated	1065
RPR examination	251
HIV Positives identified through RPR	42
Speculum examinations	1462
FSWs received skill development training	87
Counseling sessions	2453
Condom demonstrations	1162
Condoms distributed	189307

BACKGROUND: The GFATM-TANSACS-PPTCT project aims to reduce the spread of HIV infection in women their partners and infants and to provide care for mothers,

their families and PLHA through scaling up Integrated Counseling and Testing Centre (ICTC) services and public sector antiretroviral treatment. The Antenatal mothers who are identified are referred to the ICTC at government hospital as well to PATHWAY for testing and if found sero positive, follow up activities are taken up. PPTCT project is covering Salem district.

OBJECTIVES: The major objectives of the project are to:

• scale up prevention and care interventions among women of child bearing age and their families
• implement a comprehensive HIV/AIDS care package, including antiretroviral treatment for HIV infected mothers, their infants and partners
• enhance access to antiretroviral therapy through public and private partnership

MAJOR ACHIEVEMENTS:

Major indicators and achievements (July 2004 to March 2006)
Indicators	Achievements
ANC women registered in the coverage area	4980
Mothers referred to ICTC	4894
Total number attended to ICTC	4293
Total number of tested	4233
No of Positive ANC Identified	35
No. of deliveries	34
Mothers given NVP	34
Babies given NVP	31
Home visits to PLHA	455
Health care workers contacted	1112

BACKGROUND: Bridges project, funded by USAID/Family Health International, addresses the needs of Orphan and Vulnerable Children (OVC), adolescent and youth populations who are not covered through the PATHWAY project. The Bridges project is a comprehensive and coordinated response to meet the medical, psychological, physical, educational, Livelihood, Remedial and Life skills education needs of orphaned and vulnerable children and youth. Since its inception in 2004 Bridges has been operating in eight sites in Pune and Salem district. Apart from providing Home based care and support to CAA/CIA, Bridges covers population through various other activities like LSE, Remedial education and mass sensitization of children and adults on HIV/AIDS from the four Community Child Development centers.

OBJECTIVES: The major objectives of the project are to: �implement behavior change communication (BCC) approaches to improve community awareness on HIV/AIDS and care to youth and children �build life skills and provide counseling services to empower youth and children to reduce

vulnerability to HIV and make life decisions �provide youth and child-friendly services and �strengthen project management and implement sustainability plan

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 2005 to March 2006)
Indicators		Achievements
Orphan and vulnerable children reached		1323
Community awareness programs		139
Community members reached through awareness programs		8882
Community leaders sensitized		211
Children participated in life skills education programs		1459
Counseling sessions conducted for children		1088
Home visits conducted		13505
Medical caregivers trained		50
Households supported for foster care		330

BACKGROUND: The Healthy Highways Project was initiated in 1999 in Rajasthan to target the truckers, helpers, halt point workers and commercial sex workers along a major travel artery in Jaipur. The major components of the project are counseling, awareness generation, community participation and provision of micro credit loans to women for small business initiatives. Truckers are trained as peer educators and they further disseminate the message through audio-visual aids. Photo exhibitions, audio cassettes, and videotapes are used to stimulate discussions. PCI/India succeeded in creation of a local NGO, the Society for a Better Tomorrow, comprising solely of peer educators and managing the program on 36-kilometer stretch of National Highway 8. Supported by the Rajasthan State AIDS Control Society, the 2^nd phase of the Healthy Highway Project on NH 12 had been ventured into in 2004-05.

OBJECTIVES: The major objectives of the project are to:

� change attitudes and behaviors amongst 12000 truckers and crew members towards better sexual health

�provide complete and proper treatment to 2000 STD patients �provide formal and informal counseling services to 1000 clients

� ensure effective condom promotion and distribution amongst 12000 truckers and secondary stakeholders in the project area

� sensitize key stakeholders about the project and the issues of HIV/AIDS

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 2005 to March 2006)
Indicators	Achievements
Number of intervention sites	10
High risk behaviour/bridge population reached	36406
One to one interactions conducted	8498
One to group interactions conducted	5307
Pamphlets/handouts distributed	38345
Condom demonstrations	5149
Condoms distributed	45565

BACKGROUND:“MASBOOT” means “STRONG” in Hindi. In response to the need of building and strengthening the capacity of the health care delivery system in Jharkhand, Centre for Disease Control and Prevention (CDC GAP), Atlanta has awarded Child In Need Institute (CINI) and Project Concern International/India to implement the capacity building initiative for medical and non-medical health care providers both in government and non-government sectors in Ranchi and Hajaribagh districts of Jharkhand, which can be expanded to other districts of the state in collaboration with Jharkhand State AIDS Control Society (JSACS). Duration of the project is from September 30, 2005 – September 29, 2006.

improve

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BACKGROUND: On World

AIDS Day 2004, PCI/India

launched one of the most

ambitious AIDS awareness

campaigns ever undertaken in

India. Unprecedented, year-long

AIDS Walk for Life aimed to

educate millions about HIV/AIDS

in 13 states and over three hundred

cities, towns and villages covering

over six thousand kilometers

during the year. Both

governmental and non-

governmental organizations,

partnered with PCI/India on this

innovative campaign, including the

National AIDS Control

Organization (NACO), UNAIDS,

USAID, CARE, Population Services International, Catholic Relief Services, Save the Children UK, and the national and state networks for people living with HIV/AIDS, among many others.

OBJECTIVES: The major objectives of the project are to:

�raise HIV/AIDS awareness of over 2 million Indians

�provide health care along the 6000 km route

�mobilize local government, NGOs, and industry in the fight against AIDS in 13 states

GRAND FINALE: On 1^st December 2005, AIDS Walk Grand Finale event was organized at the Indira Gandhi Indoor Stadium,

New Delhi. About 12,000 people

participated in the grand finale. The

participants were from schools,

colleges, national and international

Delhi based NGOs, people living

with HIV/AIDS and families and

friends of walkers. Majority were

youth. The auditorium was

decorated with colorful HIV/AIDS

slogan banners and placards. The

eminent leaders on the dais

compared the Walk with the “Dandi

March” and felt the walk to be of

great significance in the fight against HIV. The participants

showed solidarity and support for the HIV/AIDS campaign and applauded the 30 plus walkers for the successful completion of the year long walk.

Eminent speakers at the Grand Finale include:

• Mrs. Sonia Gandhi, Chairperson National Advisory Council
• Dr. Ambumani Ramadoss, Minister of Health and Family Welfare
• Mr. Oscar Fernandes, Minister of Youth Affairs and Sports
• Mrs. Sheila Dikshit, Chief Minister of Delhi
• Mr. Kapil Dev, Former Indian Cricketer
• Film celebrities- Anil Kapur, Shilpa Shetty, Salman Khan, Sharmila Tagore and others.
• Ms. Asha Ramaiha, National Advocacy Officer, Indian Network for People living with HIV/AIDS (INP+)

The Limca Book of World Record recognized the AIDS Walk for Life as the Non stop 365-Days Walk spreading messages on HIV.

MAJOR ACHIEVEMENTS:

Major indicators and achievements (Dec 1, 2004 to Dec 1, 2005)
Indicators	Achievements
Days walked	366
Distance traveled (in kilometers)	6885
States covered	13
Awareness events conducted	3874
People reached through awareness events	880,900
Educational leaflets distributed	1441183
Condoms distributed	983041
People received 1-1 AIDS counseling	7749
People received health care	11921

BACKGROUND: PCI/India’s approach to development is participatory, community-directed, innovative, holistic and self-sustaining in nature, optimizing local human and institutional resources for appropriate, cost-effective implementation. Wherever feasible, interventions are comprehensive and interconnected. Each project component complements and supports other activities to improve the overall impact of the program on the lives of those it benefits.

PCI started following self-managed and continuing poverty alleviation programs:

a. Mahila Shakti Sangh (MSS): MSS is an unregistered cooperative society providing micro finance services in the urban slum settlement of Delhi. MSS permits mobilisation of saving from its members. The savings of the members are used for the consumption purposes of the clients. MSS has 1,420 women members, and growing rapidly. Presently more than 400 members have received loans of various sizes (Rs. 2,000 to Rs. 50,000), and many of them invested it in their family’s business. “This investment has allowed me to become a middle-person as opposed to a “ragpicker”, something that, at least in theory, should mean great changes for my family’s way of life” said Kohinoor, a MSS member. MAJOR ACHIEVEMENTS: Major indicators and achievements (As on March 31, 2006) Indicators Achievements Loan clients 1090 Loan disbursed US $139,051 Total members 2183 Total savings US $ 44284 Loan outstanding US $ 68003 Loan repayment 95% c. Navjeevan and Sneha Navjeevan and Sneha are non-formal groups of people infected by HIV/AIDS and their family members in Pune district of Maharastra and Salem district of Tamil Nadu respectively. PCI established Navjeevan in year 2002 and Sneha in 2003 in a strategic move to link up micro credit with health. It is well established that the most direct cause of poor health is poverty.

b. PCI Micro Credit Services-Jaipur (PMS) PMS works on typical Grameen Model (Bangladesh) of rural lending. After many years of struggle, PCI received coveted status of Grameen Replicator in November 2005 by receiving soft loan of $34,000 to start first exclusive micro credit program in the Sanganer block of Jaipur district. Later this program received support from Individual donors mobilised by PCI International Office. They supported this program for one year and are meeting on lending funds requirements. In this program potential women are identified and provided with training in a batch of 5 before receiving loan. Loans are given for productive purpose only (i.e. establishing flour mill, handlooms, sewing machine, animal husbandry, kiosk etc.). The maximum loan amount is Rs. 8,000. Maximum duration of repayment is 50 weeks and the interest is 18% per annum.

BACKGROUND: In May 2000, Project Concern International (PCI) India started Safety Net (originally called Children Affected by AIDS-CAA) with USAID support through Family Health

International’s IMPACT program. Safety Net (March 2000-September 2006) is a program for Orphans and Vulnerable Children (OVC) living and working on the streets of Delhi. Safety Net provides services to children ages 6-18 through three Drop-in Centers (DICs) located in New Seemapuri, Red Fort and Nizamuddin, and a short stay home in the outskirts of Gurgaon, Haryana. At the centers, children are provided nutritional support, curative and preventive health services (with a special emphasis on HIV/AIDS and STI prevention through street theater, community meetings and video shows conducted by the older children), psychosocial counseling, education—non-formal, tutoring and mainstreaming into public schools, vocational training, life skill education, livelihood options and shelter for the most destitute and homeless children.

OBJECTIVES: The major objectives of the project are to: �implement behavior change interventions to improve awareness on reproductive and

sexual health and reduce vulnerability to HIV/AIDS �provide youth and child-friendly services �strengthen project management and strategic partnerships for long-term sustainability

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 05 – March 06)
Indicators	Achievements
Children contacted	6000
Children provided with education	4200
Children provided with counseling	3500
Children provided with night shelter	2140
Children re-unified with their families	125
Children provided with health care services	12147
Children provided with life skills education	3190

In the year 2005, PCI has established a short stay home for children in Gurgaon, Haryana. It can accommodate 35 children at a given time. Children at the shelter home are provided with opportunities to pursue their formal schooling. The shelter has its own income generation unit paper recycling and paper making and cutting are included. Kitchen garden provides with seasonal vegetables for the center and the children are given occupational therapy through farming activities at the center.

BACKGROUND: The focus of the AWARE project (March 2004-September 2008) is to strengthen the HIV/AIDS and STI component by increasing coverage in the Red Fort and Nizamuddin area; provide more counseling and treatment for STIs; increase involvement of community members, particularly those who interact with youth and children on a regular basis; expand peer education, focusing on behavior change among the target population; and increase networking with other organizations to ensure that quality child-friendly services are available and accessible.

OBJECTIVES:

The major objectives of the project

are to: �bring behavior change among street and working children and community at large �provide child friendly HIV services �ensure program sustainability by increasing involvement of stakeholders Street and Working Children Project at three different locations in Delhi – Seemapuri, Red Fort and Nizamuddin to improve the quality of life of street and working children with a strong emphasis on reducing their vulnerability towards exploitation, high-risk sexual behavior, drug and substance abuse, and harm reduction.

Major indicators and achievements (April 05 – March 06)
Indicators	Achievements
Number of people provided treatment for various ailments	4666
through PCI’s mobile health clinics	(1249 children & 3417 adults)
Number of children provided with psychosocial support	570
Performances by PCI street theater group “Jugnu”	6
Children counseled and tested for HIV	96
Condoms distributed	36585

Children transits to Delhi from different parts of India, Bangladesh and Nepal through transport terminals such as railway stations and bus stops. Some of them are too young and are lost. Most of these children if intervened at an early stage may prefer to go back to their family. Considering this scenario, PCI with the support of the Railway Children UK had initiated a new strategy of early intervention and reunification of these children with their families. HOME ALONE aims at early intervention and repatriation of children at the Old Delhi and Nizamuddin railway stations (June 2005- May 2009).

OBJECTIVES: The major objectives of the project are to: �contact and early identification of 1000 street children through outreach at railway

stations, bus stations and market places �reunify 100 street and runaway children with their families �sensitize railway and police officials on issues concerning run away street children and to

strengthen networking with Child line, Railway Police, Dept. of Social Welfare and

adoption centre �capacity building of staff �identify and educate peer educators with focus on out reach and early intervention

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 05 – March 06)
Indicators	Achievements
Children availed services in Nizamuddin drop in center	1762
Children reunified with their family	98
Meetings with community stakeholders	11
Peer educators identified and trained	25

BACKGROUND: Polio Eradication Initiative has been taken up in one of the high-risk states of India Uttar Pradesh. At present, team of about 400 persons is working in 3 high-risk districts of western UP; Meerut (5 blocks), Muzaffarnagar (7 blocks) and Badaun (3 blocks) to increase the community awareness and participation. The partners are working closely with the Medical Officer In-charge and District Immunization Officer to provide support in training of ANMs and to enhance the immunization coverage. Social mobilization activities such as meeting with mothers, Children Rallies, Bullawa Tollies, Health Camps SHG meetings, meetings with the villagers, inter-personal contact, and meeting with opinion leaders are undertaken to mobilize the community for bringing children at the sub centers during immunization. Coordination meetings were held with the ANMs for regularizing and strengthening the routine immunization.

PCI, ADRA, CRS and World Vision are the core partners of the polio eradication initiative.

GOAL:

The goal of the polio eradication program is to Support Polio eradication efforts by improving Oral Polio Vaccine (OPV) coverage and countering community resistance

OBJECTIVE:

To continue coordinated NGO partners support to the Polio Eradication Program with specific emphasis on Supplementry Immunization activities, Routine Immunization, AFP case reporting and Community mobilization, particularly targeting resistant and reluctant families

MAJOR ACHIEVEMENTS:

Major indicators and achievements (April 2005 – March 2006)
Indicators	Achievements
Villages reached	172
Wards covered	155
Children immunized	688596
Community meetings conducted	3122
Rallies conducted	832

BACKGROUND: Water Sanitation and Environment (WSE) is one of the key portfolios of PCI/India strategic plan. PCI/India’s crusade for better health to all demands focused attention on water and sanitation in the communities where PCI/India is serving. PCI/India has implemented WSE projects in India since 1999. Recent projects, which are implemented in the urban slums and rural areas of Pune in Maharashtra state includes door to door waste collection, behavioral change in school children and adolescent girls, water conservation, and drinking water supply. An

slums of Pune under SWACH (Sanitation and Water Awareness for better Community Health) through active contribution to the project has shown excellent results in changing people’s habit. This scheme has received applaud from Municipal Corporation and Corporate as they are coming forward to donate such kits.

Assessment revealed a grave water & sanitation problem in most of the communities among them two “most needy” slums, namely Ambedkarnagar and Indiranagar were selected for a one year pilot intervention from February 15, 2005 till February 15, 2006.

OBJECTIVES: The major objectives of the project are to:

�improve community awareness for personal and community hygiene

�establish adequate waste collection and disposal systems

�ensure proper functioning of existing drainage system

�ensure cleanliness of existing community toilets

�improve school sanitary conditions and inculcate healthy habits among children

MAJOR ACHIEVEMENTS:

Major indicators and achievements (February 05 to February 06)
Indicators	Achievements
Households from where garbage is collected	2048
Sanitation committees held	26
Adolescent kits distributed	314
General health sessions conducted	135
Adolescent health sessions conducted	435
Number of girls provided with iron supplements	471
Puppet shows conducted	28
Street plays conducted	40
Slide shows conducted	21

BACKGROUND: PCI initiated Yadavwadi water supply and sanitation scheme started on 21^st Jan 2005. The village Yadavwadi from Daund block of Pune District was selected, as it is located in a rain shadow area and faces a scarcity of drinking water. Yadavwadi, a hamlet of village

economically backward community. The hamlet does not have a drinking water supply system in the hamlet. The project aimed at building the institutional and the technical capacity of the villagers for conservation of water, and development and maintenance of the water supply scheme. Improved village level sanitation through soak pits was also the focus, which would further enhance the ground water.

With the support from Project Concern International and Swiss Reinsurance through BAIF, the villagers have successfully developed water harvesting and conservation infrastructures (February 2005-January 2006). Most importantly, the enthusiasm and initiative of the community women is unique and will contribute toward the sustainability of the scheme.

OBJECTIVES: The major objectives of the project are to: �build organizational and technical capacity of the community for conserving water, developing and maintaining water supply and sanitation �mobilize community thereby creating an enabling environment for conserving water and developing the water supply scheme

MAJOR ACHIEVEMENTS:

Major indicators and achievements (January 05 to December 05)
Indicators	Achievements
Recharge pits for bore wells	4
Roof top rain water harvesting for recharge	16
Soak pits for kitchen and household waste water	79
Soak pit at water tank	2
Cattle troughs	2

BACKGROUND: PCI/India is working to meet the survivors’ health needs on a number of fronts, which include access to clean water, nutritious food, shelter and health care. In addition, PCI/India is addressing the long-term development challenges that these communities face as they begin the rebuilding process. PCI/India has received a grant from USAID to construct 875 temporary homes, four daycare centers and rebuild water and sanitation systems, projects that will benefit 40,000 people in four of the Tsunami hit villages in Nagaipattinam. Houses that survived the tsunami are being repaired. Various activities are also sponsored aiming at helping survivors’ restore their economic independence in approximately 60 villages.

PCI/Nagapattinam with its initial mission on Temporary Shelters, Livelihood Revitalization and Social Services to children in 7 villages -Pattinachery, Silladi, Pushpavanam, Tirumullaivasal, Koozhayar, Thoduvai, and Kodikkarai extended its wings to 5 more villages -Vanagiri, Poombukar, Karaikalmedu, Karukkalacherry and Vilunthamavadi -with new interventions and programmes.

OBJECTIVES: The major objectives of the project are: �improved community infrastructure for 8 permanent shelter sites benefiting 7,155 people �1880 children and adolescents provided with care and educational support �health care and environmental services provided to 43,080 people �livelihood opportunities and vocational training provided to 1,644 people �awareness created on anti – trafficking, disaster preparedness, HIV / AIDS and sanitation

for 38000 people

MAJOR ACHIEVEMENTS:

Major indicators and achievements (October 2005 to March 2006)
Indicators	Achievements
Hand pumps installed & repaired	325 & 35
Temporary shelters repaired	162
Children received nutritional supplements	473
Children participated in awareness programs	120
Beneficiaries received general health services through auxiliary nurse midwives	10974
People received health services through mobile clinics	7930
Small business loans provided	182
Awareness programs conducted	133
People reached through awareness programs	4178

BACKGROUND: Tsunami has wiped out almost all houses, infrastructure and more importantly the health of fishermen who are living on the coasts of Nagapattinam. PCI submitted a proposal to the Baxter International Foundation to purchase, equip, and operate two mobile health clinics for one year in at least 12 of the villages in Nagapattinam hardest hit by the Tsunami. Baxter International foundation approved a grant to Project Concern International (October, 2005-February, 2006) to support moving from disaster relief to Recovery: Improving the Long-Term Health Status of Families Affected by the Tsunami in Nagapattinam, India.

Project Concern International deployed

two mobile health vans in Nagapattinam

District for a minimum one year with the

aim of improving access to primary health

care services for tsunami survivors in

several of the hardest-hit villages in the

district. The first mobile clinic was started

on 8^th November, 2005 at Nagapattinam.

This mobile team consists of 1 Doctor, 1

Nurse, 1 Paramedical staff, 1 Counselor

& 1 Driver. This team visits

Nagapattinam and Vedharanyam zones

covering 10 villages namely

Karukkalacherry, Karaikalmedu,

Kilinjalmedu, Pushpavanam, Periyakutagai, Chandrapadi, Palathadi, Govt. ITI site, North Vanjore & Keelakasakudi. Generally, Mobile van works 6 days in a week.

The second mobile clinic was started on 3^rd December, 2005. This team also consists of 1 Doctor, 1 Nurse, 1 Paramedical staff, 1 Counsellor & 1 driver. This team is working in Sirkali area. It covers 6 villages in Sirkali zone namely Thirumullaivasal, Koolaiyar, Poompukar, Thoduvai, Vanagiri & Kottaimedu.

OBJECTIVE: The overall objective of the project is to improve the health status of families, especially women and children in the project’s target area.

Major indicators and achievements (November 05 to February 06)
Indicators	Achievements
Population reached by 2 mobile clinics	50000
Villages covered	14
Mobile van visits to villages	132
Patients treated by mobile clinics	5837
People reached through outreach activities of ANMs	13435
People served through medical camps	848

BACKGROUND: Tsunami was an awesome and unforeseen act of nature – the worst natural disaster killed many people, altered landmasses, devastated villages and towns, and left millions of shaken survivors traumatized and psychologically scarred. Around 6065 people have been killed and thousands of people have lost their livelihoods and their belongings like boats, catamarans and fishing accessories in Nagapattinam and Karaikal districts. PCI initiated its emergency started its relief activities from the day Tsunami struck these south eastern coasts of India – December 26, 2004. PCI is deeply involved in the restoration of livelihood of the Tsunami victims in Thirumullaivasal and Thoduvai village fisher folk. Even though it was a challenging task for PCI, with the support of United Way, Mumbai this project was successfully executed with Innovative Programmes.

OBJECTIVES:

� Distribution of Boat, Catamaran, Engines with Nets to the neediest persons in the Village

� Formation of Self help Groups among

the Boat Beneficiaries �Encouraging the Savings habit �To encourage the Income generation of

the Fisher Folk

� To sensitize & educate the community on Disaster, HIV/AIDS and Anti Trafficking.

MAJOR ACHIEVEMENTS:

Major indicators and achievements (March 2005 to January 2006)
Indicators	Achievements
Population reached	220
Boats distributed	20
Catamarans distributed	40
Nets and gears distributed	60
Cooperative Groups formed	12
Members in the Savings Groups	220
Income by boats	666400
Income by catamarans	573318

OUR PARTNERS

Andhra Pradesh	Manipur
Indian Social Service	Social Awareness Service Organization (SASO)
Lodi Multipurpose Social Service Society	Society	for	HIV/AIDS	Lifeline	Operation	in
Pragathi Seva Samithi	Manipur (SHALOM )
Sneha
Jharkhand Child In Need Institute (CINI)	Tamil Nadu Indian Network of Positive People (INP+) Salem Network of Positive People (SNP+) Village Reconstruction and Development Project Young Women’s Christian Association (YWCA)

 

Maharashtra Network of Maharashtra by People Living with HIV/AIDS (NMP+) Sevadham Trust Vanchit Vikas	Nagaland Akimbo Society
Jharkhand Child In Need Institute (CINI)

OUR DONORS Airtel Andhra Pradesh State AIDS Control Society Avahan: India AIDS Initiative AVON Foundation Baxter Foundation Bechtel Boeing International Centers for Disease Control & Prevention (CDC) Dan Church Aid Elton John AIDS Foundation Family Health International GAIL (India) Limited General Electric (GE) Housing Development Finance Corporation Limited Karnataka State AIDS Control Society Michael and Susan Dell Foundation National AIDS Control Organization (NACO) Population Services International Railway Children UK Reliance Industries Limited Sabin Children’s Fund Siemens Swiss Reinsurance Company Tamil Nadu State AIDS Control Society TATA Sons US Agency for International Development UNAIDS West Bengal State AIDS Control Society World Vision/CORE INDIVIDUAL DONORS