Professional Documents
Culture Documents
Archives 2007 to
2008
Our Vision
Our Mission
This year was a great year for us because we have got support from Emirates
Children foundation to build a spacious home for the children of Anandha illam. I was
at Dubai and made a presentation on behalf of CHES. The board members have been
very considerate in agreeing to our concept and had advised us to go for a bigger
place.
Our program has shown a lot of quality work. I would at this juncture thank my entire
staff team for putting the feather on our cap.
There has been a major change in the organisation staff pattern. The management
has been strengthened. There are 3 managers who will shoulder my responsibilities
namely the manager technical who takes care of training, staff capacity and sending
monthly technical and financial reports on time. The manager administration takes
care of staff leave, attendance, behaviour while manager management takes care of
organizing all events or other project related meeting etc; next to these 3 managers
we have the finance manager who takes care of the entire accounts department and
Office manager who is the point contact person for staff. This is helping in not only
strengthening the management system and brings transparency but also work more
simplified and clear. This also will lead to second level officer who can further lead
CHES.
The orphans have been mainstreamed and have been taking part in stage
performances
Corporate support to children, both as resource and also as volunteers have helped
the children a lot.
Dr.P.Manorama; MD;DCH;DM
President CHES
CHES AN INTRODUCTION
National/
S. Name of the
Internation Type of Membership
No. Agency
al
1. Social Defence District Chairperson Child Welfare
Level committee
2. Social Welfare State Level Eunuch rehabilitation
committee
3. State Planning State Level Member 11th Planning
commission commission
4. Hindu College District Member prevention of women
Level and child harassment
committee
5. National District Member prevention of women
Institute of and child harassment
Fashion Design committee
6. Child Rights State Member NGO core committee
Convention
7. Juvenile system Ex-officio member of Juvenile
Guidance bureau
8. Social welfare State Level Member -Review committee
Board for various counseling
centers
9. She continues to be a member of the Tamilnadu State, and
Chennai district women and child anti traffic committee,
member of the non official committee to judiciary in Chennai
and member of the HIV care consortium
HIV
Project Nanban
The spread of HIV and AIDS is one of the biggest challenges facing the
country today. The scourge of AIDS poses a serious threat to the
economic, social and health sectors of the country. Urgent measures
are needed to control the spread of HIV and AIDS especially in
Tamilnadu, which has been identified as one of the States with the
highest rate of spread of the disease. The spread of AIDS has been
more homosexual behaviour and among young people. Hence CHES
has started Project “NANBAN”.
7
During this year, which is also the Second Phase of the intervention
supported by TAI-VHS- Bill and Melinda Gates, the Target to be reached
has been increased from 1350 to 2000 and the project has shifted to
19 key areas grouped into 6 clusters in Tiruvallur District covering all
the areas as mentioned below:
1. Red Hills
2. Ambathur
3. Padi
4. Villivakkam
5. Tiruvattiyur
6. Tollgate
7. Ennore
8. Manali
9. Mathur
10. Mathavaram
11. Minjur
12. Ponneri
13. Gummidipundi
14. Kavarapettai
15. Arani
16. Uttukottai
17. Periyapalaiyam
18. Thamaripakkam kut
road
19. Cholayara
The 4 field officers cover all the 6 clusters and 3 sites in each cluster.
They visit the field daily , identify the Hot spot, conduct 1 to 1 and 1 to
Group sessions, do Condom promotion, refer based on needs for
counseling or to higher institutions for management of STI or HIV,
enroll KP in program, do IPC dissemination and form SHG among them.
The project has reached around 2209 male sex workers since the start,
of which 10 have dropped from the intervention. Of the 2209, 1375
have visited the clinic for the first visit and 1876 have reached as RMC.
Of the 1375 who have visited the clinic 76 have been treated for STI.
8
1109 have been referred to VCTC and 14 have been identified as HIV
positive.
Besides the routine 7 staffs there are 2 additional staffs namely the
beautician who takes care of beauty clinic and an advocate who works
on case by case with regards to advocacy.
A} the beauty center where the target community are not only
provided beauty care but also general health care, tips regarding
cleanliness and daily routine for personal health and specifically
knowledge about STD/ HIV/AIDS prevention,
B} SESA clinic is a special STD clinic for the community, where male
sex workers have free STI screening and treatment and go for regular
medical examination
Four different need based activities are carried out daily by the
community themselves namely Akshayapatram, Vasthradanam, Irai
Arul Neram and Sevi sayukum neram
Given below are the names of people who have been trained and their
placement details.
S.N Training
o Name Age Sex given Income
1 K.Maya 30 Kothi Beautician 4000/-
.
1 Mageswari 24 Aravani
0 TAI KAVIYA Salary
. provided by
TAI
1 Theanmozhi 20 Aravani
1
.
1 Sabana 18 Aravani
2
.
3
1
3 Basic
42 DD 3000
. Computer
Vijayakumar
1
4 Basic
27 Kothi 4000
. Computer
Balamani
1
5 Basic
22 Kothi 2500
. Computer
Muthukumar
10
1
6 Basic
22 Kothi 2500
. Computer
Rudhramoorthy
1
7 Basic
30 Aravani 4000
. Computer
Rajakumari
1
8 Basic
25 Kothi 2500
. Computer
A.Senthil
1
9
.
Raji / Rathika 22 Kothi Driving 3000
2
0
.
G.Ravikumar 29 DD Driving 2000
2
1
.
Anbu/Saritha 32 Kothi Driving 2500
2
2
.
Krishnan 26 Kothi Driving 3500
2
3
.
Sendhil 22 Kothi Driving 3000
2
4
.
Thirunavukarasu 29 Kothi Driving 2000
2
5
27 Kothi Briyani 1500
.
Karthik/Kowsalaya
2 Nil
6
31 Kothi Briyani
.
Raja
11
2
7
22 Kothi Briyani Nil
.
Muthukumar
2
8
32 Aravani Briyani 4000
.
Radha
2
9
24 Aravani Briyani 2700
.
Selvi
3
0
23 Kothi Briyani 3000
.
Nandhini
3
1
24 Aravani Briyani 1750
.
Ramya
12
HIV CARE
AND
SUPPORT PROGRAMS
Classical dance classes have begun for children and 10 of them are
getting trained in the same. Children performed this at the “TAI
Vizhudhugal” – Annual meet organized by TAI – VHS – AVAHAN at
Chennai. Children earned name for themselves. This special concept
was appreciated by everyone and this team has been invited for
couple of meets.
Celebration of their birthdays makes each and every child happy. This
special new initiative has come true by AIF. Children birth list have
been developed using their admission dates as an indicator especially
for children who have no actual birth dates or record. 18 children have
celebrated their birthdays since September. On birthdays, children
wear new dresses (they themselves do their birthday shopping), go to
temple for special pooja, have their breakfast at hotel, visit to an
orphan home – distribute sweets to the people live there. Lunch is
14
Five more part time baby sitters are being supported through this
project. Now the children and baby sitters ratio is 5:1.
Basic training
program has
been
organized in
two capsules
for the
recruited
staff
members of
NGO’s.
Module has
been
developed by
the project
director, CHES. First training program has been organized between 28th
and 29th of Decembers at Asha Niwas training center at Chennai while
the Second training program has been organized between 7th and 8th of
February 2008 at Hotel Brown star at Chennai.
15
The trained NGO staffs were asked to identify 6 high prevalent blocks
in their district where they could start their work.
The partners have reached to 80, 26 and 32 families and 48, 30, 42
children at Ramanathapuram, Tiruvanamali and Cuddalore
respectively. Of these 48 at Rameshwaram 12 and of the 30 at
Tiruvanamalai
7 are HIV
infected
children. All
infected
children have
been linked to
ART centers at
Madurai and
Adukamparai
Program
manager and
District officer
have visited all
the project
sites in
January and
February 2008. During their monitoring visit, review formats, proposal
and other project related formats have been introduced to the staff
members and there were discussion on project performance.
Anandha illam
The Shelter home was CHES's initial project and was started as a home
for AIDS orphans. CHES has been doing a pioneering work and has
addressed every issue with reference to child rights. Children are now
cared through a community care center where in infected and affected
orphans are provided tender lovin g care, safe space to live, medical
care including HAART, educational
support [ in to regular schools],
psychosocial support, recreational
activities.
Children birthdates have been celebrated and each child plans on his
birthday, selects his favourite dress and cuts a cake with special iceing
of his or her choice the same evening. Children are studying in general
schools of which 5 are infected while young children attend the
inhouse school at CHES
Pictures at cinema
1 halls
2 Dhakshin chitra
3 Marina beach
17
1. Leo club
2. Lions club
3. Southern railways
4. CMC doctors
18
1. FORD
2. Sathyam foundation
3. Tata consultancy
5. Inforces
6. Cognizant
From FBO
Besides these the project had VVIP visitors like the sailors of NIMITS
WAR SHIP, Officials from NACO, UNICEF, American Indian Foundation,
Emirates airline children foundation and from US congress.
Admission vs discharges
Discharge analysis
Details of discharges
Tamil Nadu has pioneered several initiatives and been a step ahead in
HIV/AIDS prevention, care, and support. It has the distinction of being
the first state to respond aggressively to demands placed by HIV
epidemic on both government and other structures. Owing to high
degree of political and administration commitment to control the
epidemic and improving quality of life for existing PLHA, several
initiatives such as ICTC, PPTCT, targeted interventions, Community
Care Centres and ART services have been initiated in the past few
years. Tamil Nadu Family Care Continuum
program initiated in September
2005 across 12 districts was
conceptualized with the
objective of accelerating access
to treatment and providing
treatment and support services
employing a comprehensive
approach.
field visits at all the four district NGO sites and and takes care in
information Sharing
There was one Hospital sensitization program which concentrate more
on basic facts awareness, reduction in stigma and discrimination and
information on Post exposure prophylaxis.
TNFCC ART QUIZ - 07
The TNFCC ART quiz was
started on I st June ’07.
The quiz was open to all
the medical and
paramedical staffs of
Kilpauk Medical College.
Each day one question
related to HIV / AIDS was
displayed at TNFCC ART
KMCH center. The
participants left their
answers in the box in
front of the center. At the
end of every month the
participants who gave
maximum correct answers were ewarded. A bumper prize at 3 months
and 6 months ere also given to the maximum scorer during that
period.
Over the last few years, there has been a rapid change in treatment
strategies for HIV infection. Importance to Care, support and treatment
component is emphasized more especially PLHAs and their family
members are followed up through community and home based care
program in addition to the services provided at the hospital. Regular
health care, psycho social support, early identification and
management of OIs, adherence to nutrition supplements (micro and
macro), drugs (ART, AT T, and OIs), capacitating PLHAs and family
members on HBC are considered as the prime factors for improving the
quality of life. TNFCC program ensures the above mentioned
components through its integrated hospital and field components.
One of the foremost concerns identified at both sides are the PLHIV
ability to maintain near perfect adherence over the long term. On the
other hand the providers ability to monitor adherence to ART, ATT, OIs,
Macro and Micro. In addition updating staff knowledge and developing
skill to educate the importance of ART, nutrition supplements (micro
and macro), OIs, monitoring and calculating adherence is very
decisive. TA team’s site
assessment reveals that this
component should be strengthened
immediately to better monitor,
document and ensure adherence.
A Mini Magic Cooler Water Dispenser for patients to provide Hot and
Cool water and mineral water supplied on daily basis to patients.
The coordinator of the project visits all the four districts along with the
monitoring and evaluation team so as to improve the Follow up
practice of Lost follow up(LFU) Clients, to reinforce hygienic behavioral
practices of the Clients, to improve the Adherence level of both the
Care support and ART follow-up Clients, to Educate the client on
Nutrition and Safe sexual Behavior, to Educate and enable the Clients
to have a Clean and Hygienic living environment, to improve the
follow-up Counseling of care&support and ART follow up clients, to
have a Real picture of the Client and their living environment, to
Provide Home based Psychological support to the client, to better
understand about client needs and to improve a client friendly
environment between the ART center and the Client.
24
Details Chennai
No. of new patients registered (All patients, including non-ART-
naïve transfer patients from other hospitals) 2179
No. of new patients registered (CIFF patients, including non-ART-
naïve transfer patients from other hospitals) 1641
No. of CD4 results available (All patients) 1982
CD4 < 200 (All patients) 666
CD4 < 200 (CIFF patients) 485
No. of patients started on ART
(All patients, including non-ART-naïve transfer patients from other
hospitals) 728
No. of patients started on ART
(CIFF patients, including non-ART-naïve transfer patients from
other hospitals) 567
No. of registered patients reported died 195
Particulars
KMC
(As on April 2008)
Project support was initially approved for one year since October 2005 and
December 2006. Based on the left out funds in the project, same has been
extended to 13 months from January 2007 to March 2008. Activities remained
the same. No new funding was supported by the EJA Foundation. Planed
activities of the Project included Educational support to be provided to
children affected and infected by AIDS, OI services to be given to children
affected and infected by AIDS and Supporting infected affected families to
initiate Income Generation Program (IGP)
During the 3rd week of January 2007, Task force committee have met and
reviewed the process of the project. This review looked over the process
involved in the selection children and families for extending educational and
Income Generation Program (IGP) respectively. Committee had another look
at the proposal and it decided to include Children who have been given
educational support to be followed and their academic performance to be
monitored.
A need assessment was executed during the home visit and the support
needed to establish IGP were ascertained. Families were explained about the
support and requirements needed. Follow up of cases for where support has
been provided as part of monitoring and evaluation.
All the 70 children who have been given this support are being followed by
our social workers. Their academic performance has been monitored through
grade sheets given by the school authority. 80% of the children are
outstanding where as rest stays in above average. The educational support in
this current academic year (2007 -2008).support has been extended to 20
children
From our existing home care follow-up, 50 needy infected children have been
identified for OI support based on our medical screening. New case sheets
have been developed for these children and they are being supported with
various OI drugs as per health expert’s recommendation. These children are
being monitored by our health professional squad’s in standard intervals.
25 widow mothers from our home care families were provided IGP support
after careful scrutiny of the Steering committee. Home visits were done to
assess the circumstances to initiate the program. Families who have made
their move are being monitored by the assigned team in regular intervals.
26
Around 1163 (465 male & 698 female) people have been reached through the above said
activities during the project period. Monthly meeting have been conducted with these peer
educators. These monthly meeting helped both peer educators and social workers to assess their
performance and to provide on site support to perform better.
Children clubs have been formed at all the three zones in 3 different age groups. 340 children
have registered so far in all age groups. Regular series like sports, cultural events, competitions
were organized. These programs have lent a hand in facilitating child to child interaction to
address stigma & discrimination. Apart from these monthly events, we have organized and
conducted 3 Mega Events in December 2006, February & March 2007. Children Rally with
Cultural program, Children Fashion show and a Mega on spot competitions were conducted
respectively. Children from OVC families and from the community participated enthusiastically.
Detailed reports of the same have been developed and they are enclosed.
All the project staff was oriented on LSE concepts & roles and responsibility of an effective
facilitator at the beginning of the project. One day training was organized for the selected peer
educators & community volunteers. Regular sessions have been conducted at Shelter, FRC and
Community. Counselors and Social worker supported LSE Coordinator to carry out the sessions.
Around 150 new children have been reached through LSE sessions. Children from Corporation /
Government schools and from networking NGO’s have been reached. Apart from this new
children, 40 old children from OVC families have been reached through Roja Kootam (Group of
Children who have undergone the process of Disclosures) sessions.
27
Each social worker has made at least one visit to each of the family. Based on the referrals,
Counselors made single / joint visits to the families with the social workers to identify the need
assessment and also to support the family with their emotional needs. When Social workers
visits a family they have been asked to talk to the children, parents and family members, make
referral wherever possible for medical and support services. The Social workers was also asked
to discuss short and long term plans about their children and initiate life book for the children. The
team spends time with children playing with them and encourages them to talk with them freely.
Discussion with parents may be centered on the physical and mental well being of the child, his
day to day activities, needs of the children, support services requested, follow up of referrals
education on health and hygiene including personal and environmental hygiene, nutritional care,
immunization and prevention of spread. All children have been visited at least once a month.
S.N Particulars No .of Boys No. of Girls No. of PLHA No. of Family
o
1
. Old Follow-up 159 187 293 247
2
. New (Identified) 22 29 43 25
Home Care team had conducted 2 nutritional demo with explanatory sessions every month
during caregivers training and hope club. 210 people from CAA families & PLHA have Scholarly
on low cost nutritive diet food for children & adult through 10 training program. Apart from this we
have extended nutritional support to 10 positive sex workers (through our ongoing WIP program)
family.
Monthly meeting of the trained Peer Educators and Community Volunteers have been executed
Zone wise. During these meetings, some of the members came forward & visited the CHES
“Aanandha Illam” – care home for OVC. Our continued community mobilization activities have
successfully established a linkage to the Home care. The rice, which is being mobilized from the
SHGs and the children’s clubs through, “Handful of Rice”, scheme is also being distributed to
the needy HIV infected families, which are being identified by the concern social workers. Regular
contact with the volunteers by the Social Workers is going on.
The Hope Club initiative was started on the October 1997 by CHES when five PLHA members
attended the same. The main aim of the Hope club is to bring people living with HIV together,
create an enabling environment and a positive living. It was a platform for PLHA to discuss
among them and develop positive living.
Hope club was held on the last Sunday of every month. Sunday was selected because most of
PLHA were working and hence to facilitate them to attend the meeting Sunday was chosen. Each
month when PLHA and children meet each other, friendship and PLHA came to understand the
epidemic much better, they were able to understand that there are many more like us and this
28
build in confidence in them to live. During the meet the families were provided one meal on that
day and this was provided through local religious group. From October 2006 this HOPE club
became an activity of Project Thooli through APAC support. 10 such meetings have been
organized since November 2007 until December 2007. Through this program travel allowance to
the families for coming to the Hope club. This increased the number of families coming to the
Hope club. Recreation activities are planned during the meeting for children, psychosocial
support is provided to the parents and their children, LSE session if taken during this meet for
children of ROJA KUTTAM. 10 HIV infected sex workers children are provided nutritional support
for the month through our networking with another NGO called ICWO and this support is provided
by Elton John AIDS foundation.
Two caregivers training program were conducted every month since April 2007. 80
Representatives from PLHA family & community have participated. Experience resource persons
handled sessions in the Nurtured Hope care manual. This training program was held at CHES
Training Center. At the end of the training program, all the participants were given a medical care
kit (consist of First aid materials). Review meetings of the same were executed in November &
December.
Six sensitization programs have been organized at the corporation and government schools at
Namalwarpet, Otteri & Vadapalani respectively. School authorities were very much keen to us &
they have accepted our request and permitted to have the meeting at their school premises.
Around 25 teachers per program have participated in the meeting. At the end of the program,
teachers have come forward to take this information to their children (students). They have also
requested us to handle sessions with children on sex & sexuality, HIV/ AIDS etc. All the school
has assured us to support the CAA’s referred by CHES. Two schools have given their
acceptance to take-up the LSE program to their children in partnership with CHES and the same
was initiated from February 2007.
Under the Global fund for AIDS, Tuberculosis and Malaria round 2 was allotted
towards prevention of parent to child transmission of HIV. CHES provides support to
center of excellence the government institute of Obstetric and gynecology in
prevention of parent to child transmission program. Here we cover over 4 corporation
zones in Chennai district covering around 67 corporation health out posts and work
closely with the community such as SHG, antenatal, post natal and lactating women.
29
The goal of the project is to work towards a future without prejudice for children and
their families infected, affected due to AIDS so as reach their fullest potential by
offering a quality of life. This project aims to improve the ANC strength through
community based awareness and education and bring in women for institutional
delivery and to improve the follow up care of children through home-based care for
CAA and their parents with out breach in confidentiality.
At the institution the pregnant women are offered HIV screening and tested with
consent. Those who test positive for HIV are followed provided ART drugs and
adherence is followed. This challenging project has multifaceted and each and every
part of it is important. Counseling services are offered to couples and pregnant
women. CHES works with Institute of obstetric and gynecology, Egmore.
The team links with corporation health post, balwadis, ICDS, VCCTC, positive network
and NGOs providing support services. The infected pregnant women are followed
through home based care and are empowered through providing health education,
linking them to the various need based services including ART services, testing
services, other medical services, TB screening and other support services. Their
husband and children are also addressed through this program.
This project is supported by Tamilnadu state AIDS control society through the Global
fund round 2 and 3. Under round 3 the PLHA identified through round 2 are referred
to TB care center to identify this common Opportunity infection and manage the
same.
30
Over the last one year the project team have identified and registered 10118
pregnant mothers who were motivated for HIV screening of which 10096 were
counseled and referred to Integrated counseling and testing centers. Of this 10096,
only 8769 reached the testing centers and the project has identified 43 new pregnant
women. Along with the 8769 women referred for testing 8592 spouses were also
referred of which 6826 attended the testing facility and 27 were identified as HIV
positive. With this 70 PLHA identified this year nearly 194 PLHA in total are followed
by the project.
155 PLHA have been referred to RNTCP, 135 to Screen for sexually transmitted
disease, 78 PLHA for OI management, all PLHA have been linked to ART centers and
8 to care centers. The project had conducted 53 ANC meetings in which 1514 ANC
mothers took part, 22 PLHA meetings in which 742 took part, 5 anganwadi meeting in
which 325 took part and 46 SHG meeting in which 1398 took part.
Nevirapine was given to 32 mothers, ART regime to one mother, 32 deliveries were
conducted of which there were 31 live births, one was a still born and Nevirapine was
given to 31 babies.
Under Home based care 261 PLHA were followed, who were offered counseling
services, 15 were given economic support, 4 children were referred for shelter care, 3
PLHA were referred to care center, 10 PLHA were linked with Positive network and 4
women were referred for legal support.
ANC r e ac he d
12 0 0
10 0 0
800
600
400
200
0
1 2 3 4 5 6 7 8 9 10 11 12
T o t a l A N C r e f e r re d A NC re g i s t e r e d , c o u n s e l a n d t e s t e d
31
4.CHES has been registered under the Foreign Currency Regulation Act
of India
5.CHES has been offered the Fit institution Status by the Government
of Tamilnadu
History of CHES
1994 - Registered as a NGO under societies act and started d the first
HIV care home for HIV infected orphans.
32
1997 - CHES was the first agency to appoint PLHA on Job. The first
Home based care program called VIDIYAL was initiated by CHES in
Chennai with resource from TANSAC. TANSAC supported yet another
project called “ Vellicham” STD/HIV/AIDS awareness among slum
dwellers in Chennai. CHES scaled up its counseling services by getting
its grass root workers trained in counseling through CMC Vellore. The
APAC- VHS-USAID supported WIP intervention project was started this
year in Chennai. As an outcome of the Round table conference
conducted by CHES Villupuram collector allotted free land to eunuchs
2006 - Shelter home for AIDS orphans has got support from TANSAC
as community care center. CHES supported by Social welfare board for
the children in special needs – HIV infected through the cradle baby
scheme. CHES along with Save the Children UK conducted a situation
assessment on children’s vulnerability to HIV at 5 districts of
Tamilnadu. CHES has started a foster care program for AIDS orphans
with the support of Alliance youth foundation. CHES has started an IGP
program for AIDS widows a project supported by Elton John Foundation.
Project Thozhi, Project Thooli and Project Mottukkal continued. Project
Malarghal – psychosocial support to tsunami affected children
continues. The support is provided by SCARF and Plan International.
Tamilnadu family care continuum project supported by TANSAC
continues. Project “ Thai Sayee Nala Thittam” from TANSAC{ PPTCT
intervention}continues. Students of Anna University Guindy
Engineering College donate a Maruti Omni van
6. Dr.Nallanayagam; Member
7. Ms.Shantha; Member
9. Ms.Latha; Member
3. FHI – USAID
6. OXFAM – GB
7. CAPACS
9. Alliance Youth
PRESIDENT CHES
Kodambakkam
Chennai – 600024
Email: pmanorama@yahoo.com
Mobile: 9444077177