Jul 15, 2019

Updates from the Girls home

Protecting the rights of girls living on the streets, Arushi Children’s Home for Girls (CHG) provides them a safe and enabling environment. Functioning in Gurugram, Haryana, the CHG caters to girls rescued from streets and difficult circumstances. Many of these girls come from broken and dysfunctional families, some of them are abandoned while some choose to run away from their oppressive homes. These girls are often in dire need of psychological and emotional support and an environment conducive to their all-round development. Recognising these needs, the team at Arushi provides a carefully planned set of services to the girls. These include shelter, health, education, skill development, and job placement and rehabilitation services.


Objectives
Realisation of street children’s rights to survival, health, education and development forms the foundation of Arushi’s functioning. Given this overarching goal, the key objectives of the CHG are as follows:
• To provide safe and secure space to girls rescued from streets and difficult circumstances
• To ensure their access to health, education and skill development facilities
• To empower and restore or rehabilitate girls back to their communities
Further, with the generous donor support girls in Arushi CHG have been able to access quality education and specialised skill development/vocational training services. The following sections present an update on overall performance of the CHG during the reporting period (July 2018-March 2019).


Progress Update
Education: The team at Arushi lays a lot of emphasis on education of girls. Keeping in mind the differential needs of girls, formal and non-formal education and open schooling opportunities are offered at the CHG. Additionally, the teachers at Arushi also conduct regular in-house classes to support the girls. In the reporting period, a total of 40 girls were studying in formal schools, while 29 were receiving non-formal education and 9 schools were enrolled in NIOS. The team stressed upon the need of securing good qualification for admission in quality higher education and vocational training institutes. It was heartening to see that girls in different age groups excelled in their studies with clear goals of higher education and skill development in their mind.

Health and Nutrition: Health and nutrition form a critical component of package of services provided at Arushi. The girls are provided three hot-cooked and balanced meals.Apart from this,special nutrition is provided to girls who are under or malnourished as prescribed by the doctor. The Medical Social Worker at the CHG also organises medical and health check-ups and provides first-aid services in case of emergency and facilitates hospitalisation of children when they are seriously ill. The children are also provided psychological support through individual and group counselling sessions organised by a trained counsellor. These sessions are instrumental in helping children get over their negative past and the trauma they experience on streets. Interaction with counsellor also helps children voice their issues, problems, concerns, dreams and aspirations. This helps the team forge stronger bonds of trust with children. During the reporting period, a total of 145 girls were provided first-aid and 28 girls were referred to hospital. All children at the CHG interacted with the counsellor through group and individual sessions.

Skill development and Vocational Training: The aim of skill development and vocational training activities is to not only enable children prepare for their future but also ensure their all-round development. To ensure this, children are linked to various skill and talent development courses such as dance, acting, music and puppetry. Subsequently, children who have passed Class 10 or have turned 16 are also prepared and guided by a career counsellor to pursue various vocational training courses such as beauty culture, hotel management, hospitality and travel and tourism. 

 Skill Development

Classical Dance
2
Guitar
1
Western Dance
2
Singing

2

: Vocational Training

Beauty Culture
3
Hotel Management
3
Stitching
4
Receptionist
1
Animal Care
1

 

Job Placement and Rehabilitation Reintegration of girls back into the communities as capable and self-reliant individuals is the key goal of job placement and rehabilitation services. The team at Arushi CHG helps girls in finding gainful employment as also enables them to start a life of their own. The preparation for the same begins as the girls near the age of 18 years. Sessions are organised with career counsellor wherein girls are motivated to lead a productive adult life. During these sessions, girls’ fears of living alone on their own are allayed and a sense of confidence is instilled among them. During the reporting period, sven girls secured jobs in beauty salons, cafeteria and hospitality industry. Key Achievements o Ten girls were rehabilitated during the period. o Majority of the girls got very good marks in their exams. o Seven girls were linked to different skill and development courses. o Five girls from the CHG participated in Inter-state Karate Championship. o Two differently abled girls were enrolled in a special school named Khushbu Welfare Society.


Challenges
Two key challenges faced by Arushi team include caring for the differently-abled children and mobilising funds for the CHG. The needs of differently-abled children are markedly different, they require specialised care and education. Linking them to special schools becomes challenging, as these schools charge high fees. Arushi team is trying to search for subsidised yet quality educational institutes for these children. Additionally, maintaining the quality of services at the CHG also entails continuous flow of funds. For this, the team has been trying to raise and mobilise funds. However, fund mobilisation remains challenging as staff members remain extremely caught up with their roles and responsibilities at the CHG.

Stories of Change
Ruby (name changed)
Ruby is a 16 year old charming and sensitive girl who came to Arushi at the age of 5. Her parents were diagnosed with HIV/AIDS. She had a younger brother as well. Her family was unable to take care of her. In this situation, an organisation named Chelsea (working with people suffering from HIV/AIDS) sent the child to Arushi CHG for her further care and protection.
She was in need of parental care more than institutional care. So Arushi team took care of the child and gave her a lot of love and affection. Ruby was enrolled in non-formal education classes initially. She was also included in all other activities of the CHG. As she performed well in studies, she was enrolled to Anantam Public school. She completed her Class 5 from that school. Due to her good progress in academics. She was transferred to Rotary Public School. Over the years, she opened up to the staff and mingled with other children. She now has a positive outlook towards life, she is a talkative and chirpy girl and wants to enjoy her life to the fullest. She overcame the pain of separation of her family and changed herself during the years. She dreams of becoming an air hostess. Presently, she is studying in Class 10. She is well settled in the CHG and shares a good rapport with staff and children. She has been groomed as a very confident girl. Ruby is being motivated by the team to have sharper focus on her education. So that she can fulfil her dream of becoming an air hostess.
Siya
Siya came to the Arushi CHG at the age of 12. She was very stressed when she was sent to Arushi through Police on the orders of Child Welfare Committee. She had a traumatic past, her father died at a young age and the mother abandoned her. However, Siya missed her mother and felt very lonely. To help her get over her traumatic past she was constantly counselled by the psychologist. She was further involved in non-formal education classes and various other activities of the CHG. Soon, Siya started showing improvement in her behaviour and began interacting with the team and other children. Presently, she is well settled at the CHG. She has been enrolled in a formal school. She has shown interest in Dance. Resultantly, the team enrolled her in Classical Dance at Tansen Sangeet Mahavidyalya. The team is also counselling the child to focus on her studies and Mathematics in particular, as she finds the subject difficult. Siya also dreams of becoming an air hostess, the teachers at Arushi CHG therefore, encourage her to speak in English and read newspapers.


Jul 15, 2019

medical programme

Introduction and Goal
Providing care and protection to children rescued from streets and difficult circumstances has been Salaam Baalak Trust’s core mission. The Trust has been working relentlessly for children in need of care and protection for past 30 years. Medical and health facilities form an integral part of the services offered by the Salaam Baalak Trust (SBT). Importance of health and medical facilities has increases manifold for children in need of care and protection as they are prone to injuries, malnutrition, infections and diseases. Also, physical health becomes the foundation of a child’s growth and development. Recognising the importance of children’s health, SBT provides multifaceted medical and health services to children at all its centres. The aim is to ensure that all children coming within the ambit of SBT can access quality medical and health care services.
Under the medical programme, SBT covers the following three-pronged objectives.
A. To improve access of children living on streets to adequate and timely medical services.
B. To improve access to adequate and timely medical services of children rescued / and or motivated to live in shelter homes.
C. To strengthen medical and health programme to ensure provision of quality health care.
In the reporting period SBT team has striven hard to ensure children in all SBT centres and programme locations are provided health care and medical facilities. The following section elaborates upon key activities conducted under the medical programme.
Activities
The medical team is guided by standard operations and protocols. As per these protocols, first aid and a medical check-up is provided to the child within 24 hours of coming in touch with SBT. When a child comes in contact with SBT with any major medical problem, she/ he is referred to hospital immediately, prescribed care is provided and regular follow up is done.
In the reporting period, with the help of valuable support of Jones Lang Lasalle (JLL), more than 4000 children were covered as part of the medical programme. Following key activities were conducted:
A. Improving the access of children living on street to adequate and timely medical services through contact points.
• First aid care was provided to every injured child who came in touch with SBT through outreach at contact points.
• Weekly health check-ups were conducted with regular children. The check-ups were carried out by qualified doctors with overall support of SBT’s medical team.
• Weekly awareness sessions were conducted by the medical social workers to sensitize children on issues of health, hygiene, and sanitation. Importance of handwashing and not letting mosquitoes breed in the vicinity was covered during the sessions.
• Heath camps were organised to provide routine immunization to the children. The immunization sessions ensure protection of children from preventable childhood diseases.
B. Improving the access to adequate and timely medical services of children rescued / and or motivated to live in children’s homes.
• Regular medical check-ups of the children were done at the full care residential centres. The check-ups were conducted by trained doctors with the support of medical social workers.
• Individual health cards were maintained by the medical social workers to map the health profile for each child at the full care residential centres. The medical social workers also maintain list of all medicines, consumables and updation of first aid kits at the centres.
4
• Immunization and pathological tests were conducted in specific cases on the recommendation of the doctor.
• Weekly sessions were conducted by the medical social workers to sensitize children on issues of health, hygiene, and sanitation. During these sessions, importance of bathing daily, maintaining personal hygiene and handwashing while handling food and after using toilet was explained.
C. To strengthen the medical and health programme to ensure maximum quality health care.
• The medical programme team is making continuous efforts to liaison with more hospitals and health care facilities. They are looking to partner with private health facilities to provide subsidized health care to SBT children.
• The team is consciously adopting preventive approach to ensure health of children. Thus, thrust has been laid on making children aware of linkages between health, hygiene and nutrition.
Good Practices
The good practices adopted under medical programme have been delineated below.
• Proactive steps have been taken by the medical team to prevent flu, cold and cough and other infectious diseases through prophylactic measures.
• Conducting regular vaccination to prevent the onset of Typhoid, Hepatitis B, Tetanus and MMR among children, this has contributed in minimising the incidence of diseases
• A robust de-addiction programme in partnership with Muskaan Foundation is in place. To overcome pangs of hunger, pain and loneliness, children who live on the streets generally fall prey to substance abuse. Thus, in order to lead them to the path of normal development de-addiction is critical. With the support of Muskaan Foundation 66 children were linked to de-addiction services.
• The team also attended sessions on good nutrition and balanced diet. They actively participated in the session and developed an understanding of functions various nutrients play in the body and associated deficiency diseases.
Snapshot of Progress Achievements and Targets
The expected outcomes of the proposed project were as follows:
- Not less than 500 children will receive first aid care.
- Not less than 200 children will benefit from weekly health checkups.
- Positive behavior change in children in terms of adoption of good health and hygiene practices.

 

A snapshot of achievements and targets of medical programme across SBT

Medical check-up (no. of times)
17301
Medical check-up (no. of children)
4132
Referred to hospital
1126
Hospitalised
74
Operated/Surgery
11
Tetanus injection
605
MMR vaccination
0
Typhoid vaccination
140
Hepatitis 'B' injection
35
Medical investigation
1322
long term treatment
68
5
HIV test
132
Eye check-up
299
Dental check-up
449
Referred to drug de-addiction
230

Future Plan
SBT’s medical team will continue to enhance knowledge, skills and capacities of its members through regular training sessions. The team will also promote preventive and holistic healthcare concepts among children through awareness sessions

Apr 19, 2019

SBT Medical Program

Introduction

Salaam Baalak Trust (SBT) has been striving to provide comprehensive care and protection services to street and working children. This package of services includes residential facilities, health and nutrition, education, vocational training and rehabilitation services. A critical component of this package is medical and health facilities. SBT strongly believes that health and nutrition lay a strong foundation of children’s holistic development. This becomes particularly significant in the case of children living on the streets who survive in deprived and hostile conditions. Evidence shows that children on streets live in insanitary conditions and are prone to various infections and diseases. Most of these children have low or no access to nutritious food. Many of them consume foods devoid of essential macro and micro nutrients and become susceptible to undernutrition or malnutrition.

Living on streets children face violence and abuse. Many of them are beaten by adults or elder children on streets. As a result they become vulnerable to physical injuries and road traffic incidents. Given these multiple reasons, providing children adequate medical facilities is often the first priority for SBT team. In an endeavour to ensure effective delivery of medical services, SBT has envisioned a multifaceted medical programme comprising medical check-ups, vaccination services, first-aid, hospital care and provision of medicines and other consumables

Goal and Objectives

The overarching goal of the medical programme is to improve health and nutritional status of children rescued from the streets. In tandem with this broad goal the programme endeavours to achieve following three pronged objectives:

  • To improve access of children living on streets to adequate and timely medical services through contact points
  • To improve access to adequate and timely medical services of children rescued and/or motivated to residential centres
  • To strengthen medical and health programme to ensure maximum quality health care

The details of the program are mentioned in the attached report.


Attachments:
 
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