SHIELD FOUNDATION

Society for Health, Innovation, Education, and Liaisons Development

About us 01

From Founder’s Desk 02

Supporters & Partners 03

Team 04

Services 10

Regular Activities & Events 11

Highlights of Events 16

Comprehensive Health Services 20

Skill development Project 27

Respite Care Givers (Nursing Assistant Course) 30

Case studies & Our Impact 45

Join us 52

CONTENTS

Shield Foundation represents "Society for Health, Innovation, Education, and Liaisons Development." Centered in Dharavi (Asia's largest slum) in Mumbai, India, the Shield Foundation is focused on developing and delivering educational, medical, recreational, vocational and nutritional services to disadvantaged populations. Key programs include SHIELD's vocational training program for unemployed women to learn respite care giving for home-bound senior citizens who otherwise do not have access to adequate homecare; skills training for tailoring and beautician work for young women in the community; case work for academic, vocational, pre-marital and domestic violence cases; English-speaking and computer courses; and health check-up events.

Shield Foundation was created in 2009 by Swati Ingole. During her 10 years of experience as a qualified social worker (MSW), she encountered high rates of neglected and abused elderly living without moral or financial support, and decided to create the Foundation to help these and other underserved individuals. Since its origin, Shield has now grown to include a small but powerful team of five full time staff members (three paraprofessional and one office assistant in addition to the founder), with additional support from 25 nursing student volunteers and social work students from various local universities. In 2011, Shield Foundation was honoured to become an investee of UnLtd India, a social enterprise incubator.

“We Rise by Lifting Others.”

Mission: ‘To facilitate good mental and physical health and to foster equal growth opportunities for everyone in the society’ Vision: ‘To make the senior citizens of Mumbai and Nagpur self-sufficient and sensitize society as a whole on issues faced by them’

ABOUT US

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Dear friends,

This has been a year of expansion and new possibilities for Shield Foundation. We are truly coming of age now! Our partnership with Tech Mahindra Foundation has been a highlight of this year. We have started a new center at 90 feet road, Dharavi, under the Tech Mahindra SMART Project. Our Respite Care Giver's Program is run in the new center, due to which we can reach more youths in certain pockets of Dharavi.

Our team continues to work hard at cementing the relationship we have developed with the communities in Dharavi we work for. It is incredible to see the energy in the youth here that goes beyond just survival instinct. It is the zeal to shine as individuals and break out of restrictions that their parents or previous generations may have faced. Slowly but surely, more and more youth and women are becoming confident in their ability to earn a livelihood. We have [insert number] women who have graduated from our Respite Care Giver’s course this year. Around [insert number] youths have graduated from our DTP course. [insert more graduation and placement statistics]

We also have the Rotaries supporting one batch for Jewelry Making and Terracotta, the latter being the newest addition to the range of courses that Shield Foundation offers. New courses like Graphic Design and Digital Marketing are possibilities we are exploring. I feel adaptability and innovation are attitudes that help us remain relevant as an organization and help our staff remain motivated and energized to serve. All our ongoing courses like Computer course and Tailoring, along with new courses remain free of cost.

I would like to thank Tech Mahindra Foundation for their support and guidance. There are many new things we have learned from them in terms of monitoring and implementation. In turn, we have contributed our field experience and sheer hard work to ensure the beneficiaries of the SMART project receive what is intended by the project.

Here’s to many more sweat beads, milestones and laughter along the way!

Mrs. Swati Ingole Founder Trustee & Managing SecretarySHIELD Foundation

FROM FOUNDER’S DESK

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“Helping people. Changing lives.”

SHIELD Foundation has been fortunate to have been associated with a committed group of supporters, who have always offered their expertise and help for our cause. Be they our partner networks, donors, other NGOs or volunteers, we are thankful to them for their wholehearted involvement and for being with us throughout our journey!

SUPPORTERS & PARTNERS

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ICDS FOGSI UnLtd india MDACS/UNICEF Center for Advanced Philanthropy Yashwantrao Chawan Pratishthan District Suburban Legal Aid Cell Field Publicity Office Govt. of India Jan Shikshan Sanstha SIES College, Sion Progressive Ladies Welfare

Association FESCOM Rotary Club of Chembur Rotary Club of Sion S. L. Raheja Hospital Fortis Associate Sai Group of Hospitals K. B. haji Bacchu Ali Eye Hospital LTMGH & LTMMC (Sion Hospital) SNDT College LTMG School of Nursing iVolunteer Help Age India IDA ACC ltd ONGC

Trained Nurses Association of India, Mumbai Region (Nurses of LTMGH Nursing School, Bombay Hospital, Guru Nanak Hospital, Nair Hospital, Tata Memorial Hospital, and Sir. J J Medical College, KEM Hospital, etc.)

Jyothi Laboratories Ltd BLR Logistiks Ltd Dinshaws Ice Cream Lions Club of Bandra Red Rose Four Seasons Group of Hotels ST. Aloysius College Jabalpur, M.P Nagpur Legal Aid Cell Rajguru Travels Metropolise Laboratories AISCON Help Your NGO Alzheimer's & Related Disorders

Society of India,(Mumbai Chapter) Ali Ya Var Jung Hospital Sunday Friends Time My Task Several Individual Donors/

supporters etc. MCED

“Volunteers, a precious resource we

cannot afford to lose.”

She has passed B.A. and is a homemaker. She is known for her strength and independence as an individual. She provided motivation to the founder for serving society, and has always stood behind the team through any crisis situation. She has served several needy people on a personal basis, including individuals in need for cataract surgery. She is also helping the team in building the organization’s base at Nagpur.

She has passed B.A. and has done a Diploma in Economics. She retired as Branch Manager in Central Bank of India. She was President of the Lioness Club of Bandra (Red Rose) for 3 tenures over the last 20 years. She has also served as Secretary for Five Garden’s Senior Citizens Association for the last 10 years. She was a President of the F North Ward Senior Citizens Association, an initiative of the Family Welfare Organisation.

TEAM

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Suman MoreyPresident

Naju PadshaVice-President

Swati Ingole, MSW (Master of Social Work), has been providing social work services to underprivileged populations in Mumbai for over 12 years. She served as Coordinator for FOGSI’s Kishori (Adolescent Empowerment) Project, an initiative run in conjunction with LTMG Hospital and SNEHA. She also worked as Secretary for F North Ward Senior Citizens Association, an initiative of Family Welfare Organisation for four years, tackling various problems senior citizens faced and organizing community events. With this same passion to serve poor and needy, Shield Foundation was founded by her in 2009- 2010. She has had the privilege of working on research-based projects funded by UNICEF, FOGSI, and others, providing invaluable experience for her current role.

He retired from Reserve Bank of India nearly 5 years back and since then he’s actively involved for the cause of elderly. He is Secretary of FESCOM (Federation for Senior Citizens of Maharashtra), Mumbai Region. He has been actively involved in advocacy for the cause of elderly. He is actively involved in sensitizing BMC for the cause of elderly and successful in making BMC sensitive towards the cause of elderly.

Her qualifications include a BA in sociology from TTC and a Diploma in special education. She is a special educator, working with mentally challenged children and children with academic and learning disabilities, and also is a social worker in the field of education. In the past, she has worked in women empowerment and counselling programmes.

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Swati Ingole Secretary

Mr. Dichulkar Secretary

Rosita MascarenhasTreasurer

He currently serves as Professor and Head of Department for the Psychiatry Department of Sion Hospital. Dr. Shah’s academic credentials include an MBBS, DPS, MD (Psychiatry) from University of Mumbai, and DNB (Psychiatry) from the Delhi Board, and work experience includes over a decade as Professor and Head of Psychiatry at L.T.M.M.C-L.T.M.G.H, over 20 years of teaching experience for medical students, postgraduates, social work students and nursing students. Dr Shah has 90 publications in various national and international journals / books, and has received a number of awards for Best Paper from Bombay Psychiatry Society, Indian Psychiatric Society (Western zonal branch), as well as the Spirit of Mumbai Award of Sri Shanmukhananda Fine Arts & Sangeetha Sabha.

She currently serves as Professor& Head of Department of

She is an educationist presently working as a lecturer in Shri Datta Meghe Polytechnic, Nagpur. She is a science graduate, but later on switched over to literature so as to continue education after marriage in a conservative family. She holds a post graduate degree in literature along with her Bachelor’s degree in education and M Phil is in the pipeline. Along with career goals, she always has maintained a sense of responsibility towards society, the marginalized and needy, and currently serves as treasurer for Shield Foundation.

She holds a master’s degree in science, diploma in computer programming, and bachelor’s degree in library science. She taught computer science in school up to 10th class level for few years. Now she is a senior computer instructor in our foundation for vocational courses. She is very much motivated for social causes and helps the foundation for raising fund.

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Dr. Nilesh ShahMember

Aditi Deshmukh Member

Rashmi Shende Member

She currently serves as Professor& Head of Department of PSM (Community Medicine) at Terna Medical College & Terna Hospital. Dr. Pandit’s current responsibilities include offering comprehensive health services like promotive, preventive, and curative at Dharavi Urban Health Center, Vashind, a Primary Health Center in rural areas as well as slums in Chembur area in Mumbai.

She has done a B.A. and B.Sc. in Microbiology and appeared for M.A. in English Literature. She is a teacher at Bhide School, Nagpur, and very motivated for social causes. She has always been keen to work hard for the betterment of students, and has received appreciation letters for hard work an excellent result. Along with career goals, she always has maintained a sense of responsibility towards society, the marginalized and needy, and currently serves as treasurer for Shield Foundation.

She is highly motivated for social cause. As per need of the organization, she actively provides with her services on honorary basis. She is currently doing M.B.B.S, and has a dream to serve the society with her education. Currently she has supported the organization in communication and networking.

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Dr. Daksha Pandit Member

Smruti PatilMember

Kalyani Ingole Member

She is a volunteer-turned-Content Developer, full of creative ideas and loads of enthusiasm. She holds a Bachelor’s Degree in Engineering. She is passionate about supporting elderly and writing. She is also the primary author and designer of our Annual Reports.

She holds a Master of Social Work degree in Development policy, Planning & Practice Form Tata Institute of Social Sciences. She has worked as a Gender Equality Project Coordinator for 8 months. Currently she is working in Shield Foundation under the Tech Mahindra Foundation SMART Project Dharavi as a Community Mobilizer. Her roles and responsibilities include: door to door mobilization of assistant nursing course, updating attendance register & performing administrative tasks, students’ counselling for job placements, handling admission process with students’ interview, updating management information system, managing skill development courses, initiating different activities like role play, awareness of education on skill development, job placements.

He has completed HSC in Commerce in 1996 and has a fundamental knowledge of Computers. He is currently working with SHIELF Foundation as an English/IT Trainer, also conducts students’ counselling sessions, sessions on Personality Development, and assists with the administrative work. Also, he takes assessments for both Yuva English and IT (typing test).

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Simran Dhaliwal Content writer

Sadhana Gaikwad Community Mobilizer

Drian Joy DsilvaEnglish/IT Trainer

She has completed HSC in Science and RGNM Nursing course at G.T. Hospital, Mumbai. She has a have 2 years of experience in Chemo Therapy, at SL Raheja Hospital, Mahim, and Shushrut Hospital, Chembur. Currently she is working in Shield Foundation under the Tech Mahindra Foundation SMART Project Dharavi as a Nursing Trainer. Her roles and responsibilities include: teaching students about Assistant Nursing Course, updating Students’ Attendance register, students’ counselling for job placements, assisting Placement Officer for students’ mock interviews, helping out in Students’ Nursing assessments (oral, practical, and written assessments), helping out in skill development section like teaching work place readiness, originating different activities like conducting Nursing Practicals, Chart Making , Flash Cards making, Video making, Role play, awareness of education on skill development and job placement.

He holds a Master of Social Work degree in Community Development (Rural, Urban and Tribal) from North Maharashtra University, Jalgaon. He has worked as a Skill development Project Coordinator for one year and also has a six months experience in Mirco Finance as a Branch manager. Currently he is working with SHIELD Foundation under the Tech Mahindra Foundation SMART Project Dharavi as Placement Officer for the Skill development Course. He visits hospitals in Mumbai for our nursing students’ placements and also conducts various skill development sessions (like teaching Work Place Readiness) and also mock interviews for students to help them improve their interview skills. Also, he follows up with the students who are placed in hospitals.

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Poornima R. SontakkeNursing Trainer

Balkrushn T. Rathod Placement Officer

She has completed SSC in 1995.She could not complete her further education due to health constrain but her strong inner spirit and zeal makes her work in social sector .She is associated with Shield foundation since 2012. She contributes in organizing the weekly health camps, Skill deveploment programmes,Awareness programme and other events at Matunga centre.

Tannya Shukla

Executive- Fundraising

Tannya is a graduate from the Tata Institute of Social Sciences, Mumbai and is among the new members of Shield Foundation. She provides her services for fundraising. Her functions include contacting potential donors and corresponding with existing ones, meeting with donors as well as drafting and editing project proposals. She opines that as long as one truly believes in an organization, it is easy and even enjoyable to represent it.

Ajinkya Deshmukh Ajinkya has degrees in journalism, development studies, and philosophy from Manipal University and the Tata Institute of Social Sciences at Mumbai. He has worked with development non-profits in India and Ethiopia. He is currently part of an Erasmus+ programme on multilingual pedagogy involving a consortium of three European and four Indian universities.

Sandhya Dethe

Field Coordinator

Rohini Talewar

Centre Manager

She is a graduate from the Tata Institute of Social Sciences, Mumbai. She is Independent and passionate to work in research and Implementation programme in urban slum. She worked with TISS-United Nations for Population Fund and TISS-Women and Child development Ministry. She recently joined as Centre Manager at Shield Foundation and indulges in designing skill development programme and strategies for effective implantation.

Rita Agrahari

Field Coordinator

She is a graduate from SNDT University, Mumbai. She is young and active in Community. She is responsible for community mobilization. She assists in conducting the weekly meeting , Awareness programme, Recreation activity for senior citizen and Administration work.

“No act of kindness, no matter how small,

is ever wasted.”

Member

SERVICES

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Free Medical Services

• Health check ups

• Free cataract OPD & Surgery

• Yoga & Exercise

• Memory Clinics

• Treatment camps

Counselling Services

• Individual & Family

• Legal aid

• Pan & ID card services

• Follow-up home visits

Awareness and Educational Services

• Educational workshops

• Information sessions

• Daily newspaper sessions

Recreational activities

• Picnic

• Indoor/outdoor games

• Socio-cultural celebrations

“The best way to find yourself is to lose yourself in

the service of others.”

Weekly meetings:

Weekly or as per the requests of senior citizens’ in Dharavi, meetings are arranged between the senior citizens and the staff members, usually to discuss and decide the activities or programmes to be held next.

REGULAR ACTIVITIES & EVENTS

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There are 12-18 participants on an average at these meets. Also, in these meetings, many social, political, recreational, and educational issues are discussed amongst the elderly. Support group meetings are also arranged for patients with diabetes, heart diseases or other such health problems so that they can mutually discuss their problems and suggest ways to improve their health.

Community Outreach and Awareness:

In collaboration with L.T.M.G. Nursing School, we regularly conduct house to house surveys to identify patients with any medical or social problem(s).

We have developed pockets of elderly in 4 areas of Dharavi, where we carry out these surveys. 20 students along with three paraprofessionals are able to reach out to almost 50 houses every day. In addition to this, the outreach staff is exploring new communities every day to reach out maximum number of elderly. The health cards are prepared with necessary information on health of a person.

The information on the health card for every elderly is height, weight, BP, diabetes, complaints, diagnosis, treatment and referrals if any. The staff identifies needy elderly and gives them the health cards. On every visit beneficiaries brings the health cards, on which their previous history is available. Thus it is easy to keep their health record.

Health check-ups:

The health check-ups are arranged on Every Tuesday and Thursday. The eye check-ups are arranged on every second Tuesday. As mentioned earlier, the health cards are maintained for regular patients. In three months period, 715 health cards were distributed this year. It is observed that most of the elderly are suffering from the diseases like Diabetes, Hypertension, Asthma, Cataract, Arthritis, Orthopaedic problems , gastric problems, cardiac problems, Psychological issues like Insomnia, Dementia, Anxiety, Alzheimer’s, Amnesia and multiple ailments etc.

On every Friday, there a special exercise therapy is conducted. Patients suffering from various orthopaedic problems are referred for special exercise sessions on Friday at our Centre. Due to regular services at centre, referrals for Nebulization, ECG, BP monitoring, Occupational therapy have declined.

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Ophthalmic OPD:

Ophthalmic OPD for screening cataract and to identify refractive error is arranged once a week. 481 patients have been provided with eye care and treatment services this year.

Multidisciplinary OPD:

Senior Citizen/Geriatric OPD is held every Wednesday. The doctors who help carry out this service are: Dr. Sangeeta Pednekar, Professor Medicine and Unit Head; Dr. Dharmendra Pandey- Asst. Professor; Dr. Utkarsh Deshmukh- Asst. Professor.

It is multidisciplinary OPD as patients are given advice by psychiatrist, counsellor, physiotherapist & occupational therapist in the same OPD. A special Geriatric OPD File for Senior Citizens is made this year on which patient education information related to Diabetes, Hypertension, Dementia, Osteoporosis, Nutrition and Vaccination is printed. It is colourful and attractive and informative.

It is attended by 35-40 patients of age more than 60yrs. Weekly, 2-4 new geriatric patients attend it. This year 1100 no. of patients attended this OPD. Patients having Diabetes, hypertension, IHD, COPD, Asthma and other illnesses are treated. Indoor geriatric admissions constitute 30% of total medical admissions. They are admitted under different medical units.

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We have 262 regular patients in our centre OPD. There are 242 new patients got the treatment. The doctors for this service are from Medicine Department. So now referrals at Sion Hospital for diagnosis and treatment are reduced. To provide decentralized services, the health check-ups are organized at Sai Mandir, Market Lane, Kamala Raman Nagar, Kasarwadi, Murugan Mandir etc.

Yoga and Physiotherapy:

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On every Monday, Yoga and Exercise sessions are conducted at our centre in collaboration with LTMG Hospital. A group of ladies with physical problems like Arthritis, Knee problem, Shoulder pain, Obesity etc. avail these facilities every day in the morning. Two to three occupational therapists guide and supervise during the exercise. Average attendance in these sessions is 10- 12 participants.

Memory Clinic:

‘Memory Check Ups’ are arranged twice in a month initially for few months and then later on we have arranged these check-ups as per the need of the community. There are around 100 beneficiaries of this service this year.

Counselling Services:

Every day, we organize counselling for cases of elders’ abuse, for any grievances of the elderly or for their financial assistance. As and when required, we do home visits for family counselling for cases of elders’ abuse.

We establish proper rapport with the police and Govt. legal aid cell authorities. As and when required, such cases are also referred to psychiatrists or legal counsellors. The ‘Joint Action Committee’ comprising of local respectable senior citizens is formed to deal with the issues of elder abuse. Around 100 people got benefit from our counselling services.

Legal Counselling:

Legal counselling is arranged as per the need of cases either at centre or at the place of legal advisors. Around 39 cases were solved this year.

Educational and Recreation:

Regular newspapers and magazines and a T.V. set are provided for the senior citizens at our centre.

For recreational purposes, we have arranged games like cards, carom, chess, and memory games. Often outdoor games are organized. Average attendance at any time is 12-15 senior citizens.

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Pictures show some recreation activities arranged for women and men.

“Wherever there is a human being, there is an

opportunity for a kindness.”

June 2016:

Respite care Givers course began in Matunga Labour Camp.

October 2016:

Patient education lectures were organised to celebrate ‘World Geriatric day’ on 1st October in Dharavi Centre.

On 4th October, we again celebrated the World Geriatric Day in Matunga labour camp Community. Patient Education Program was conducted to celebrate the event.

On 18th October 2016, Respite Training for Nurses in collaboration with Tech-Mahindra at Dharavi Community started. 80 young women will be trained for nursing care of elderly in batches and will be employed by Tech Mahindra Company.

Respite Training for Nurses in collaboration with RCF also started in this month at RCF colony.

November 2016:

The inauguration of the Matunga center was arranged on 18th Nov. 2016. Total no. of stake holders were 32. Mr. Sushil Singh, Director for Tech Mahindra inaugurated the Centre. He was the Chief Guest for the programme. Mr. Mahesh Shetty, Manager CSR, Mr. Chandrakant Samudre, Ms. Srushti, from Tech Mahindra Foundation were also present for the programme. Ms. Swati Ingole, Founder, Shield Foundation; Centre Manager, Placement officer, Mobiliser and all the trainers were present for the programme. Dr. Sangita Pednekar, Incharge Geriatric OPD, Medicine Dept, LTMGH; Dr. Manasi from Dept. of Psychiatry; Dr. Shailaja Jaiwant, Dept. of Occupational Therapy were the special invitee.

HIGHLIGHTS OF EVENTS

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January 2017:

On 2nd Jan, New Year was celebrated at our centre in Dharavi. Students and staff members from respite care givers course attended the program. It also served a second purpose and that was to increase students’ participation.The program began by welcoming all students and staff members and later on activities like dancing, role play, and singing were organized. Students and staff members participated in the events. Free snack were also distributed in the event.

February 2017:

On 15th February, a picnic was arranged for 70 community members on Kashid

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Mr. Sunil Singh and all the honourable guests lightened the lamp. Mr. Mahesh Shetty explained the objectives behind opening this centre. Ms. Swati Ingole briefed the introduction of the organization and objectives behind the project. Mr. Sushil Singh addressed the audience. Ms. Srushti ended the event with a vote of thanks.

beach which is on the shores of the Arabian Sea, in the North Konkan region of Maharashtra. Everybody enjoyed their time at the beach and had a pleasant relaxing day. We believe that such events serve a great role in recreation.

March 2017:

On 4th March, Facebook event was conducted. To spread awareness on social media sites and to explain the method of opening and managing a bank account, this event was organized. The goal of this event was to inform students about Social Media platforms like Gmail, Facebook, Online Shopping and BHIM App, Camscanner, etc. Also, students who didn’t have any bank accounts, were encouraged to open bank accounts in Bank of Karnataka.

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This event was attended by Mr. Rafique from Tech Mahindra Company, who was our guest for the event and staff members from Bank of Karnataka along with 8 volunteers to assist throughout the event.

Program began by welcoming our Guest, all the students, staff members, volunteers, and others attending the event, and introduction of our Guest. Then Mr. Rafique started interacting with students by asking the students about their knowledge of social media platforms. He shared some information regarding such platforms and explained their importance.Afterwards, all students had a practical session under the supervision of volunteers. The students opened Gmail and Facebook accounts and learnt how to use them. In addition to this, they were also taught to download Apps on their phones. For the practical session, students downloaded and used BHIM App, Camscanner, etc. on their phones.

8th March was celebrated as Women’s day. On this day, an event was organized in our Dharavi centre for Respite care giver students on the topic: How to deal with accidental case in Hospital as a Nurse. The Guest for this event was PSI Yadav Sir.

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Then, around 7 students went ahead and opened bank accounts in the bank of Karnataka.At the end, Mr. Rafique asked students for their feedback and event was concluded by Vote of thanks by one of the students.

The program began with welcoming of our Guest and all students and introduction of our Guest. Then, he shared information regarding accidental cases in Hospital. He explained that as a Nurse, first you have to start treatment with patient and simultaneously Nurse has to contact local police. Also, he mentioned to take follow-up with relatives of patient. Later he talked about Domestic Violence and Law and answered students’ questions. Thus, the students gained knowledge about how to deal with an accident case and how to cope with Police. The event concluded with a Vote of Thanks by CM Rajeshree Sabale. Free snacks were also distributed during the event.

“Consciously or unconsciously, every one of us does

render some service or other. If we cultivate the habit

of doing this service deliberately, our desire for

service will steadily grow stronger, and will make, not

only our own happiness, but that of the world at

large.”

India has acquired the label of “An Aging Nation”, with 7.7 % of its population being more than 60 years old. With increasing life span, elderly face many health related problems. Elderly patients who are homebound are deprived of medical treatment in a need in which comprehensive health care services at community level will improve their quality of life. In collaboration with Lokmanya Tilak Municipal General (LTMG) Hospital at Sion, Mumbai, we are doing this project to provide comprehensive health care to elderly in community in collaboration with Shield foundation.

The project for the development of comprehensive health services started in November 2015. Since then we have been able to help out many people who required medical help. We have also successfully been able to develop a referral system and sensitize the community by conducting the sensitization workshops for the community people and other service providers.

COMPREHENSIVE HEALTH SERVICES

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Pictures: sensitization workshop.

Take a look at our progress throughout this year:

Health issues

2016 2017

Total

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

High B.P. 77 124 148 109 175 103 41 55 41 66 98 26 1063

Low B.P. 23 27 49 40 47 27 14 20 30 45 36 15 373

Diabetes/ Random Blood sugar

31 33 100 63 45 35 31 33 20 46 59 25 521

Thyroid - - - - 6 3 3 4 4 6 6 2 34

Orthopaedic issues/Arthritis

45 81 128 - - - - - - - - - 254

Cough/ cold

7 - - - - - - - - - - - 7

Asthma - 4 - - - - - - - - - - 4

Total 183 269 425 212 273 168 89 112 95 163 199 68 2256

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Take a look at eye care statistics:

Problem

2016 2017

Total

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Normal eye care

140 16 4 7 21 14 - 25 - 23 - - 250

Free Spectacles given

6 - - - 17 12 - 11 - 12 - - 58

Cataract detected

7 10 - 2 8 10 - 15 - 20 - - 72

Referred for operation

- - - - 7 8 - 5 - 7 - - 27

Total 153 26 4 9 46 36 - 51 - 55 - - 407

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In June 2016, apart from regular health services, we also distributed aid and equipment like walking stick, LS belt, cervical belt, Knee caps for 28 elderly.

Also, two times per day meal service was initiated for 4 elderly people.

Observations and Learnings:

1852 patients underwent health check-up at community. Free check-up for blood pressure, check-up for Blood sugar, heart disease, asthma, COPD and weight was done for all senior citizens. ECG and Bone mineral density was also done at our centre. Medicines for cough, cold, joint pains. Diabetes, BP, anti-allergic drops, antibiotics, pain killer and multivitamins were provided to them. 1000 patients had eye check-up and free spectacles given to 850 patients with eye problems. 150 patients had free cataract surgery. Many elderly had depression, anxiety, abuse problems, were treated by psychiatry services. Dementia was noticed in 102 patients. Memory clinics were organized by psychiatry services and 183 memory clinic participants were noted. Counselling for 150 elderly abuse cases, 35 legal cases were done. 258 patients having orthopaedic problems got training for health exercise, Yoga by occupational therapists. Referral Medical Cards for senior citizens were prepared. Medicines were recommended and approved by doctors, LTMG Sion Hospital.

58 patients were referred to geriatric services at LTMG Sion Hospital for further investigations and treatment. 28 patients were hospitalized for indoor management. Patients were educated about various health issues for easy referral and follow up service. Nutritional support was also provided. Junior doctors attending these medical camps and workshops had a feeling of responsibility and satisfaction.

Since it was difficult to mobilize the patients for their chronic ailments at Sion Hospital, Department of Medicine has appointed a separate doctor for this project. Due to this arrangement we have finalized the different locations at Dharavi for the OPD.

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This has facilitated the patients monitoring, in case if the BP is raised or if the patient is suffering from Asthma attack, or approaches with chest pain, with equipment at the centre like, Nebulizer, B.P App, Glucometer, ECG machine, the basic investigation and basic emergency treatment has become easy. So the referral rate has been diminished.

Earlier we found it difficult to provide medicines for all the patients but since the resources are now mobilized, we could cater to approximately 1000 elderly patients. Since the maximum no. of patients are suffering from orthopaedic problems, we have initiated extra Occupational therapy for such patients on Friday. The extra resources are mobilized for the aid and equipment for the patients. In consultation with O. T Department, aid and equipment are given to patients and separate resources are mobilized. Since the health issues of patients with raised BP, Diabetes, Orthopaedic and Arthritis health are controlled, referrals for Geriatric OPD have been diminished.

Once a month, check-up for Bone Density and Neurology is being organized by the Pharmaceutical Company. Total no. of patients are approximately 50 -55 patients. Usually 20-30 patients are identified with osteoporosis.

Patients with Psychiatric issues were referred to the Department of Psychiatry. Since the Psychiatric medicines cannot be given without Psychiatrists advice and without their relatives. So currently we refer such cases at the Dept. of Psychiatry for free treatment.

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Hospitalizations:

Two patients were hospitalized due to emergency at Sion Hospital. They were old cases of Cardiac Failure. Due to this project, the Department of Medicine along with Dept. of Cardiology has done the constant follow up and monitored the treatment. Relatives have got constant counselling and treatment at rebated rate. Due to aging and chronic disease both of them expired but they died with dignity and care.

Two patients were admitted in Sion Hospital for knee surgery.

Every month identified cases with Cataract problems are hospitalized for Cataract surgery at K.B. Haji Bachoo Ali Charitable Ophthalmic ENT Hospital for free surgery.

Limitation:

Since the cost of medicines is high, to provide medical services for more patients becomes exhaustive. We are also lacking with paid manpower to reach out many more elderly from the community. To spread out for various communities, we also require well equipped centres at various places in Dharavi. Monitoring for emergency care also requires trained staff and senior doctor with specialization in Medicine , as all the elderly patient are suffering from more than one chronic health issues. So the organization and hospital is willing to make this project scalable for the elderly from entire Dharavi.

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“There is nothing more beautiful than someone who

goes out of their way to make life beautiful for

others.”

Goal: To Empower the underprivileged with skill development training

Objectives:

• To empower illiterate women by basic education and with suitable skills.

• To provide every individual an opportunity for vocational training as per their ability, irrespective of caste, creed, or gender.

• To connect them with the industries requiring their skills.

• To network with various government and non-government organisation for skill development and further up gradation of skills.

Target Groups:

• School drop outs; literacy rate of women is far less than that of men, and a high percent of girls drop out of formal education before reaching the Vth class.

A large number of school drop outs do not have access to skill development for improving their employability rate. The educational entry requirements and long duration of courses of the formal training system are some of the impediments for a person of low educational attainment to acquire skills for his livelihood.

• Immigrants from rural areas

SKILL DEVELOPMENT PROJECT

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• Domestic workers

• Under-privileged people belonging to low-income groups.

• Women who face limited educational and working opportunities, especially due to gender discrimination.

Methodology:

• Flexibility and care for students' real needs are the main features of our basic and vocational skills education.

• No formal education is required to attend the private certificated courses

• Teachers adapt to the student's capacities and the length of the course is expanded to meet the need.

• The focus is on "performing" and not on "Knowing". Lecturing is restricted to the minimum and emphasis is given on "hands on training".

• Flexible delivery mechanism (part time) to suit needs of various target groups

• Individual counselling with an encouraging approach is provided in order to optimize the students' performance.

Courses:

• Tailoring & cutting:

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This a course that helps the students learn how to make clothes for themselves and others. They are taught basic stitches; to make apparels for ladies, gents and kids; to design dresses, both regular wears and fancy dresses.

Bag making:

In this course, students were taught to design and stitch bags. The students could stitch designer as well as simple cloth bags.

Security Guard:We conducted a Security guard training course this year in Dharavi. 30 women were trained in this course.

Electrician:We conducted an Electrician training course this year in Dharavi. 30 women were trained in this course.

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“Caring is the gift of making the ordinary special.”

In India, especially in metro cities like Mumbai, Respite caregiver has become a need of a society. A trained person can offer better health services than untrained person. We are creating a “Caring Network” of trained respite care providers, who will have the required skills to provide in-home respite care for individuals with a variety of disabilities, requiring personal care. We train underprivileged ladies, especially home makers willing to start earning for family. It has involved various professional trainers along with Occupational Therapy (OT) services. The project runs in collaboration with Tertiary care Hospital in the vicinity. OT training consists of training for Patient handling, assisting in patient’s Daily Living skills, assisting patients in Mobility & Transfer.

We have a good collaboration with ICDS, who are well penetrated in the community. It has thus, become easy for us to identify the needy cases requiring services. As a pilot project we have provided ‘Respite Care givers Training Course’ for over 100 ladies in one year’s span and almost 40% ladies have got the jobs. Jobs are available for others also, but they are looking for suitable opportunity. Looking at the growing need of such services we have noticed a great need for male care givers. We are planning to incorporate male trainees in the coming batches for this year.

Goal:

Holistic Care for senior citizens and disabled in the absence of caregiver or to relive caregiver from stress of care giving.

Objective:

• Income generation for the underprivileged people with minimum competency course

• To provide Holistic services and care giving for the elderly

• To relive the stress of care givers in family

RESPITE CARE GIVERS COURSE

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• To provide the socialization opportunities for lonely elderly

• To provide regular recreation, company for the isolated old elderly

• To provide need based domestic help to the elderly

• To provide secure care giving for the elderly

Batches:

There were in total 6 batches of Respite caregiver nursing course conducted.

Batch Nos.

In collaboration with

Location Course duration No. of students (Total=130)

1 Tech Mahindra Dharavi Oct 2016-Dec 2016, morning batch

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2 Tech Mahindra Dharavi Oct 2016-Dec 2016, afternoon batch

20

3 Tech Mahindra Dharavi Jan 2017-March 2017, morning batch

20

4 Tech Mahindra Dharavi Jan 2017-March 2017, afternoon batch

20

5 RCF RCF Colony

Oct 2016-Jan 2017 30

6 - Matunga Labour Camp

Jun 2016-Aug 2016 20

Age group: 18- 40 years

Time Period: 3-4 Months for each batch.

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Exposure Visits (for batches supported by Tech Mahindra):

23rd Dec 2017: Center Manager took all the trainees at Sai Hospital from 1st batch for exposure visit. The hospital authority has taken them to all the departments in the hospital. They have explained the functions of each department for both the batches. Total no. of trainees who attended were 22.

27th Dec 2017: Exposure visit for the 2nd batch was arranged. Total no. of trainees who attended were 24.

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Respite care givers course is the requirement for the growing population of elderly. Currently 8% population is of elderly. By 2025, it will be equal to the youngster population and by 2025, it will be double of youngster population. The care givers are mostly working or sometimes staying at different places, in such cases, the ‘need for respite care giver’ is growing rapidly. The skills required for care giving can be taught through the course.

Work Plan for the proposed project:

To provide training for 3 months and to network with hospitals geriatric wards/ Old Age homes or with senior citizens associations. The purpose is to provide an opportunity for employment for underprivileged and to provide an authentic and trained care giver for senior citizens.

22nd Feb. 2017: Exposure visit at Shield Foundation Labour Camp to get practical knowledge in Health Camp, total 5 trainees were present.

1st March 2017: Exposure visit at Shield Foundation Labour Camp to get practical knowledge in Health Camp, total 5 trainees were present.

22nd March 2017: Exposure visit at Shield Foundation Labour Camp to get practical knowledge in Health Camp, total 5 trainees were present.

29th March 2017: Exposure visit at Shield Foundation Labour Camp to get practical knowledge in Health Camp, total 5 trainees were present.

IT Training (for batches supported by Tech Mahindra): Trainer Adrian Joy for IT has completed 33 lessons for both batches.

WPR Training (for batches supported by Tech Mahindra): Trainer Adrian Joy for WPR has completed 32 sessions (topics), included prepared CV’s from all students.

English training (for batches supported by Tech Mahindra): Trainer Adrian Joy for English has completed 130 modules for both batches. Also, he has taken grammar sessions for both batches, and taught them how to form sentences and words. Reading, writing, learning & spoken English Tests are been given, corrections have been made, and the answer papers have been checked.

Pictures: Exposure visits and camps.

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Mobilization Report:

Various strategies were adopted for the mobilization of students like Door to door visits, use of Pamphlets, corner meet, meeting with youth mandals / CBO, use of community black boards for notice of the course, sensitization of Anaganwadi workers, night college students, etc.

Placement Activities:

Orientation Meeting of Nursing Assistant Course to get clear information of course to students was conducted.

Interview Etiquettes were taught to students to understand preparation of Interview.

Explained Importance of Internship to students so they become ready for it. Conducted Interview demo to make students perfect for actual interview.

Picture: Nursing assistants course at RCF

Efforts for Placement:

Placement officer prepared his database of 25 hospitals from internet and from the resources of the organization and also from students, called them up for the appointment and then started visiting those hospitals one by one. After visiting some of the hospitals, he came to know, that they are looking for the candidates who are ANM/GNM and B.Sc. Nursing and some of hospitals gave him their details and Email ID and told him to give them full profile of our foundation and details of each and every candidate. He then provided all the details as per the requirement.

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Some of the hospitals which are located in nearby community, within Dharavi such as Sai Hospital, Ayush Hospital, Janani Hospital, Life Care gave as positive response for the placements of our nursing students. Also visited Aastha Hospital at Vikhroli, where they gave him positive response for placement of the students. He met the Doctors from all these hospitals and discussed all the details for our nursing students in their hospitals. They have assured him that they will let him know if any vacancies will open and also told him to be in touch.

Observation and Outcome:

Initially students get scared as they find the course difficult to grasp. With repetitive efforts from trainers, they gain confidence and understand the procedures and therefore take interest in learning every minor detail.

Impact of this project:

This project has double impact. The single or homebound elderly will get trained care givers while the trained care givers can earn a salary with which he or she can sustain their family.

Each one is earning the minimum salary ₹7000/- and maximum up to ₹12,000/- and thus their minimum annual income is ₹84000/- and maximum income will be ₹1, 44,000/- . The maximum expenditure for training of one person is approx. ₹11,000/-, while their income will be min ₹84000/- and max. ₹1, 44,000/-, with which they can support their family.

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Analysis of the effect of Occupational Therapy Training on patient handling skills of Respite Caregivers:

(Note: The details mentioned under the “Analysis of the effect of Occupational Therapy Training on patient handling skills of Respite Caregivers” are taken from the paper whose Author is Dr Shailaja Sandeep Jaywant, M.Sc (Occupational Therapy), PhD scholar, Assistant Professor, L.T.M.M. College & General Hospital, Sion, Mumbai 400022)

Objective:

• To study effect of Occupational Therapy Training by comparing scores of Pre training & Post training questionnaire & performance.

• To use this analysis in improvement of Occupational Therapy Training on patient handling skills, patient transfer & functional activity assistance skills of Respite Care givers.

Review of Literature:

1. A Randomized Trial of Family Caregiver Support in the Home Management of Dementia.

A randomized trial of family caregiver support for the home management of older people suffering from moderate to severe progressive irreversible dementia was conducted in an urban centre in southern Ontario. Thirty caregivers were selected for the experimental intervention consisting of: caregiver-focused health care, education about dementia and caregiving, assistance with problem solving. Thirty control subjects received conventional community nursing care. The experimental group showed a clinically important improvement in quality of life, experienced a slightly longer mean time to long-term institutionalization, found the caregiver role less problematic, and had greater satisfaction with nursing care than the control group.

2. The Effects of a Patient-Caregiver Education and Follow-Up Program on the Breast Cancer Caregiver Strain Index:

The aim of this study was to determine and compare the caregiver strain index scores of breast cancer informal caregivers, before and after a patient-caregiver educational and telephone follow-up program.

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Thirty patient-caregiver pairs were randomly allocated to intervention and control groups. The intervention group received 2 face-to-face education sessions at bedside and 4 subsequent telephone follow-up sessions. The control group received routine care. The caregiver strain index decreased significantly in the intervention group after the patient-caregiver education and follow-up (P < 0.001), while the control group's scores did not change (P = 0.04).

Materials & Methodology:

Occupational Therapists are the part of the training program team for Respite Care-givers. OT training for these caregivers consisted of training for Patient handling, assisting in patient’s Daily Living skills, assisting patients in mobility & Transfer.

The program includes coaching of regular change of positions, bed mobility training, transfer training, use of appropriate adaptive techniques & adaptive devices for the patients. As occupational therapist rendered these services & conducted pre & post training tests, the Retrospective, Analytical, Experimental same subject design study was planned in OT.

Department using records of last two years of the respite caregivers training participants. Permission was sought from the Institutional Ethics committee. Eighty seven subjects were included in the study with convenient sampling method.

Further the pre & post training results were assessed & analysed for different aspects of patient care skills, such as Patient handling skills, Lifts & transfer, mobility skills, ADL independence training skills.

Results:

The results were analysed using SPSS 19 version.

All the participants were Females ranging from 23 years to 45 years of age distribution of age is as seen in table1

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Table1: Shows the age distribution of the participants

Age Frequency PercentValid

PercentCumulative

PercentValid 23.00 1 1.1 1.1 1.1

26.00 1 1.1 1.1 2.327.00 1 1.1 1.1 3.428.00 6 6.9 6.9 10.329.00 4 4.6 4.6 14.930.00 2 2.3 2.3 17.231.00 5 5.7 5.7 23.032.00 3 3.4 3.4 26.433.00 7 8.0 8.0 34.534.00 5 5.7 5.7 40.235.00 8 9.2 9.2 49.436.00 6 6.9 6.9 56.337.00 5 5.7 5.7 62.138.00 7 8.0 8.0 70.139.00 3 3.4 3.4 73.640.00 3 3.4 3.4 77.041.00 3 3.4 3.4 80.542.00 7 8.0 8.0 88.543.00 4 4.6 4.6 93.144.00 2 2.3 2.3 95.445.00 4 4.6 4.6 100.0Total 87 100.0 100.0

Maximum number of participants were between age ranges of 30-35 years.

Further the questionnaire total scores, Individual scores for patient Handling Skills, Transfer mobility skills, ADL independence skills, Pre Training & post Training Demonstration scores were compiled to find mean & standard deviation.

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Table 2: Shows the mean scores, standard Deviation of All the variables

As seen in table 2 mean, minimum ,maximum values of post training scores has increased markedly ,also the reduction in standard deviation in post training in all the variables except in ADL independence training.

Pre & Post training scores for all the variables were compared using Wilcoxon Signed Ranked scale.

N Minimum Maximum MeanStd. DeviationVariables in the

StudyStatistic Statistic Statistic Statistic

Std. Error Statistic

Pre-test questionnaire score

87 2.00 8.00 4.2184 .11725 1.09359

Post-test questionnaire score

87 10.00 14.00 11.8276 .11114 1.03662

pre pat handling score

87 1.00 3.00 1.6207 .05720 .53356

post pat handling score

87 3.00 5.00 4.4368 .05827 .54348

pre transfer mobility score

87 1.00 3.00 1.6092 .05975 .55733

post trans mob skills

87 3.00 5.00 4.2644 .05771 .53830

pre Adl ind score

87 .00 3.00 .9885 .05038 .46989

post ADL scores 87 2.00 5.00 3.1264 .06702 .62514pre Demo 87 3.00 6.00 4.0460 .09660 .90101Post Demo 87 6.00 9.00 8.1954 .08780 .81895Valid N (list wise)

87

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Table3: Shows Analysis /comparison of all the variables

Wilcoxon Signed Ranks Test

p significant if p ≤ 0.05

The comparison in Pre & Post test scores of Occupational Therapy training shows statistically significant difference with ‘p’ value less than 0.05.

Few of the participants have shown variations in ADL independence skills answers on questionnaire scores. This shows that few of them did not give much importance for this aspect of training.

Further the results of Pre & Post training demonstration marks were analysed.

Graph 1: Shows the pre& Post Training Demonstration Test score

Post-test questionnaire score – Pre-test questionnaire score

post pat handling score - pre pat handling score

post trans mob skills - pre transfer mobility score

post ADL scores - pre ADL ind score

Post Demo - pre Demo

Z -8.182a -8.449a -8.231a -8.426a -8.167a

Asymp. Sig. (2-tailed)’P” value

.000 .000 .000 .000 .000

Scores

er

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As seen in the above graph,in Demonstration marks all the candidates except few has shown significant improvement,thus showing better achievement in the practical aspect of training.

Discussions:

The three months training program consisted of three days of Occupational Therapy training program. Pre & Post Training tests, questionnaire & Demonstration scores were analysed to find the effect of training. As seen in the table 1, maximum number of participants i.e. 43.5% are in the age group of 33 to 38 years. Following this, participants were between ages of 40 to 45 years. It was observed that, these ladies perceived the need of more earning for the family as they have grown up school going grown up children & have realized need for extra earnings.

Most of the participants shown enthusiasm in learning the skills taught during Occupational Therapy training .There were only three dropouts during the courses.Only core skills were selected for the training. Participants were given audio-visual presentations followed by Hands on training of Patient handling & positioning, Skills of bed mobility transfer on bed to wheelchair to toilet & back. Also it included training to use mobility aid such as walker, cane as seen in the figure 1&2.

Figure1: Therapist demonstrating the patient Handling Skills

Figure 2: Therapist giving Hands on training to Participants

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The participants were introduced simple adaptive devices for achieving independence in ADL in the care receivers & shown its use on audio visual aids. All were evaluated Pre & Post training on the skills.

As observed in the Table 2 participants have shown marked improvement in the mean scores in answering questionnaire & Demonstration test for all three skills evaluated via patient handling & positioning, Transfer &Mobility training, ADL independence training. Similar was observed in the study conducted in an urban centre in southern Ontario on care givers of Dementia. Randomized trial on formal training was received by experimental group consisting of: caregiver-focused health care & control subjects received conventional community nursing care. The experimental group showed a clinically important improvement in quality of life, found the caregiver role less problematic, and had greater satisfaction with nursing care than the control group.

In an another study conducted on involving family care givers in Breast cancer care project, it was observed that the caregiver strain index decreased significantly in the intervention group after the patient-caregiver education and follow-up. The participants reported increased confidence in handling their patients’ problems. Further the pre & Post training scores on questionnaire were analysed using Wilcoxon signed rank test, as shown in table 3 ,graph 1&2 shows the significant improvement in all the scores, with p value < 0.001,was observed.

The similar results were observed in the study on, Non-pharmacological interventions for caregivers of stroke survivor, a range of interventions targeted towards stroke survivors and their family or other informal caregivers have been tested in randomised controlled trials (RCTs). , 'vocational educational' type interventions delivered to caregivers prior to the stroke survivor's discharge from hospital appear to be the most promising intervention.

In another study conducted for observing the Effect of respite care training on the knowledge, attitude, and self-esteem of volunteer providers of Alzheimer’s disease (AD), overall, the findings supported the immediate effectiveness of the respite training program. It supported the immediate effectiveness of the respite training program.

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Table 2 shows the less improvement in the mean scores of Pre & post ADL independence scores in the questionnaire. Also wide distribution of scores in the population for ADL independence training. It was observed that since many caregivers were young in age, they preferred to follow old pattern of caregiving, rather than using technological support to reduce their extra efforts. Also due to our cultural patterns some of them may have not given much importance to ADL independence training. The similar trends were also observed in graph 1 in Demonstration scores. Some of them remained low in the score as compared to their co participants. Meta-analysis on How Effective Are Interventions With Caregivers observed that where data was analysed in caregivers’ knowledge were trend multicomponent interventions was given the results showed that the effect of miscellaneous interventions on care-giver burden was significantly smaller than those of other interventions, except psychoeducation. The participants in the present study may have considered the ADL independence training as miscellaneous activity as compared to patient positioning, transfer & mobility. The trainers were asked the doubts about its inclusion during training program.

In meta-analysis on effect of caregivers intervention, the need to identify moderators of intervention effectiveness was identified , including the influence of (a) the intensity of interventions (individual or group, number of sessions), (b) the extent to which participants adhere to the intervention (regularity of attendance and dropout).6 Some participants level of interest, their adherence to training program or moderators training effectiveness may be some of the reasons for the low scores on ADL independence training score.

Conclusion:

The Respite caregiver training program in collaboration with tertiary care hospital is a novice idea, involvement in such a supportive care program was a new concept. So the data was evaluated to analyse the advantages & shortcomings in the program. Early studies of the effects of interventions relied on the clinical impressions of group leaders or satisfaction surveys of small, select samples of caregivers These interventions were, not surprisingly, judged to be effective. However, more recent studies using standard measures of change in emotional distress were less conclusive.

To analyse the effect of training program more objectively, the questionnaire was initially given to evaluate affective domain and practical test /Demonstrations to evaluate psychomotor domain in the course. Later same test was used to assess the effect of the training program.

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The statistical data shows the significant improvement, thus rejecting the null hypothesis. Some of the aspects such as ADL independence training needs to be improved as participants are observed to be less involved in this training. As recommended in the meta-analysis Caregiver interventions can be divided into two major groups: (a) those aimed at reducing the objective amount of care provided by caregivers (interventions to enhance the competence of the care receiver) and (b) those aimed at improving the care-giver’s well-being and coping skills (e.g., psychoeducational interventions, support groups). A one-size-fits-all approach to assisting caregivers may not be useful because caregivers have vastly different needs.

The patients can benefit from accessible and empirically supported interventions by respite Caregivers that can be easily disseminated across the community at modest cost. Further comparative study with the control group of Respite caregivers who has not received formal training is recommended.

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“I think there’s no higher calling in terms of a career

than public service, which is a chance to make a

difference in people’s lives and improve the world.”

CASE 1:

• Name of Project: Tech Mahindra SMART Project• Location: Dharavi, Mumbai• Name of Beneficiary: Savitha Ashappa Egale• Beneficiary’s place of residence (city/town/village): Dharavi, Mumbai• Time Period of intervention: from Dec. 2016 to March 2017 Beneficiary’s Past: Savitha who is a 10th standard passed student stays with her

family of two brothers, one sister-in-law, and mentally ill mother. She lost her father years back. She was totally dependent and had no choice to take any decision for her own future or for any little thing about herself. Brothers are earning and spent most of their time at workplace. She lives in lower middle class family.

Why there was a need for intervention: Her mother is mentally ill and the sister-in-law abused Savitha for every small thing. Her brothers remained outside for work purpose for more than 10 hours. We found her helpless and she had lost her confidence. She never had courage to fight with odd situations around her. Therefore intervention was necessary.

Challenges/problems faced by beneficiary before intervention: Due to lack of parents support and the ignorance by her brothers, she was suffering mental abuse by her sister-in-law. Since there was no earning of herself, she was totally dependent on her brothers for every little thing. It lead to loss of confidence and worthless feeling in her.

How TMF supported the beneficiary: We identified her family issues during regular interaction. The staff members then decided to give her individual attention. We have resolved all the queries related to the course.

CASE STUDIES & OUR IMPACT

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We have motivated her to become an independent person. We have given special attention in developing WPR skill in her. The trainers have prepared her for interviews and had given her handholding while dealing with her workplace problems while dealing with patients.

Change in the life of beneficiary: Savitha has now become financially independent. Slowly she is now coming out of her own shell. She has developed a professional’s qualities and has become more responsible. She looks confident. Due to her qualities and responsible attitude very soon, she has been shifted for ICU section of the hospital.

Quotes from beneficiary where he/she talks about the change in his/her life: Savitha is feeling good, she is grateful to Shield Foundation and Tech Mahindra Foundation for giving her an opportunity to learn Assistant Nursing Course and job placement. She even feels that she is not working as an Assistant Nurse but as a staff Nurse.

Quotes from Project head/supervisor/staff: Savitha is very sincere since starting of the course till present, the feedback from hospital is that Savitha is sincere and good. At the time of interview, Savitha failed in the interview and was requested to Dr. Das by our placement officer Mr. Rathod to give her chance and now because of her performance Dr. Das is asking to send more students to join their team. Now she has become an example for others.

Quotes from beneficiary’s guardian: Savitha’s mother is happy, but especially her brothers are feeling proud of Savitha. When Savitha goes for night shift, her brother drops her at hospital.

Now (after TMF’s intervention), how does the beneficiary envisage his/her future: We envisage a very bright future for Savitha. We feel like very shortly she can take the leading position in her profession. In addition to that we feel that with her knowledge, she will definitely look after her mother more effectively. Her mother also can come out of mental illness or can be managed properly.

Photograph of the beneficiary at the Training Center or at Work (Post –Placement):

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CASE 2:

• Name of Project: Tech Mahindra SMART Project• Location: Dharavi, Mumbai• Name of Beneficiary: Ashwini Gajakosh• Beneficiary’s place of residence (city/town/village): Dharavi, Mumbai• Time Period of intervention: from Nov. 2016 to March 2017• Beneficiary’s Past: Ashwini stays in a joint family, having in-laws, one sister-in-

law, niece, daughter and husband. She is from village; she was totally dependent on her husband, who is drunker. She lives in lower middle class family.

• Why there was a need for intervention: Ashwini is from Village. After marriage she came in Mumbai. She did not even know to speak in Marathi. She has a daughter. Her husband is dominating and alcoholic.

• Challenges/problems faced by beneficiary before intervention: Ashwini is basically a cheerful person. She wanted to move out from home to be independent for her child.

• How TMF supported the beneficiary: We identified her family issues during regular interaction. Ashwini has shown her interest, she was eager for learning, she was good in all subjects. Ashwini was quite irregular, but her grasping power and interest of learning made her cover for the missed topics. At the end of the course, when she supposed to join a job, her husband was opposing her a lot. Despite that she joined the job at Mukund Hospital at Andheri, and even got a positive feedback from Mukund Hospital. But within a week her husband stopped her from going to work. The hospital authorities repeatedly asked us to send her back because she kept a working bond in hospital.

• Change in the life of beneficiary: Ashwini became very sad and she did not even share her burden and sorrows with us. Later we contacted her elder sister-in-law, who is also our student in Afternoon batch. Then we called Ashwini in office, we counselled her, made her feel positive, showed her her strength, and how good she is at her work. We advised her to talk to her husband again with a positive manner. This time her husband allowed her to do the job but in the nearby area (within Dharavi). Then our Placement Officer placed her in Life Care Hospital, Dharavi, Sion.

• Quotes from beneficiary where he/she talks about the change in his/her life: Ashwini is very happy now because she’s working continually. She never thought that one day she will work.

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• Quotes from Project head/supervisor/staff: Ashwini is sincere at her work; her conduct was good throughout the course. After she left job in Mukund hospital, our Placement Officer placed her in Life Care Hospital, Dharavi, Sion. Now she is doing a great job and she is very happy.

• Quotes from beneficiary’s guardian: Ashwini’s husband is OK with her working as a Nurse, because after learning, she started earning immediately.

• Now (after TMF’s intervention), how does the beneficiary envisage his/her future: We envisage a very bright future for Ashwini. We feel like very shortly she can take the leading position in her profession.

• Photograph of the beneficiary at the Training Center or at Work (Post –Placement):

CASE 3:

• Name of Project: Tech Mahindra SMART Project• Name of Beneficiary: Komal Thanke• Beneficiary’s Past and challenges faced by him/her: Komal is 8th standard passed

student. Her family is quite orthodox; they don’t want to educate their girls, so they stopped her studies and engaged her in house work, cooking and taking care of younger siblings, etc. However Komal was not so satisfied with those things, so she opposed her family’s attitude towards girls and took admission in our Assistance Nursing Course.

• How TMF supported the beneficiary: Komal started attending our respite care givers nursing course. At the beginning, she couldn’t understand many things that were taught. But she remained joyful all the time and when asked why she replied by saying “Madam, when I came here I felt quite relaxed and thus I feel cheerful”. Her grasping power was strong and thus, in a short time she began understanding all topics taught. She was provided help by our faculty members: Prajakti Madam (nursing faculty) and Joy Sir (IT and English Faculty).

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Both these faculty members cooperated with Komal a lot and with their help, she now has a good knowledge about the Nursing topics and can speak English, not fluently but can understand English properly. At the end of the course, she talked to her family members and got permission to go for a job.

Change in the life of beneficiary: Now she is working in Kushal Hospital. Even after facing a few problems, she never stopped. When she feels helpless, she visits our Centre to share her problems and the staff helps her out by giving her positive advises, encouraging her. Now, she is working in Night shifts, with her Family’s Support.

CASE 4:

• Name of Project: Tech Mahindra SMART Project• Name of Beneficiary: Vijaya Sherkhane• Beneficiary’s Past and challenges faced by him/her: Vijaya is 36 years old and 9th

standard passed. She was doing small money earning things from house, but she never had been out for work. But the money she earned was not helping her out at all. Thus, she enrolled in our course. At the beginning, starting she was very shy, did not participate in any activities, she was just by herself and did not interact with anyone. After some time she started mingling with other students, thus making friends and started asking questions in class.

• How TMF supported the beneficiary: Vijaya was very curious to know how this Nursing course prepared students to be nurses in a duration of only 3-4 months, whereas we see that the traditional Nursing courses like B.Sc. Nursing, GNM / ANM courses were of 2-4 years. Also, Vijaya was concerned that she was quite aged and also had a lack of education to be a part of such a course. Hence, she had low confidence and worried that she would not be able to complete the course successfully and couldn’t imagine getting a job one day. When she shared these problems with us, first we explained her that this is Assistant Nursing Course, where you will go to learn Basic Nursing Course during the course period. Then she realized this and got more confident. She slowly improved and gained even more confidence.

• Change in the life of beneficiary: At the end of the course again we counselled Vijaya to get her ready and confident for doing the job. She became very enthusiastic for joining the job. In her first interview at Life Care Hospital; she was selected and joined immediately. Now she is doing great job and she is very happy.

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CASE 5:

• Name of Project: Tech Mahindra SMART Project• Name of Beneficiary: Amrin Shaikh• Beneficiary’s Past and challenges faced by him/her: Amrin is basically an active

girl, since starting she was very interactive, involving a lot in all subjects, trying to know everything. In between the course Amrin was helping other students to involve.

• How TMF supported the beneficiary: Amrin has not any big issue, only she went 10 days leave to take care of her granny who suffered from heavy bedsores. After this period Amrin was covered her missed topics

• Change in the life of beneficiary: End of the course Amrin joined Life Care Hospital, additional she learned Karate Classes, all the times she keeps small blade to make herself and even of others.

CASE 6:

Mr. Sanghavi is 80 year old elderly, staying in Sion. He was a businessman and meticulous in his work. He gradually started behaving irritatingly and in a strange way. Being a member of educated and rich family, his family noticed the decline in his health and also about deteriorating mental health. They immediately took doctors consultation and identified as a case of ‘Dementia’. The family was trained to take care of him, but they found it difficult to deal with the illness and got exhausted. Being a regular donor, they aware of our projects, so they consulted us for ‘Respite Care Giver’. We immediately provided them a respite care giver for part time as per their requirement. Now with Mr. Sanghavi’s deteriorating health, we have provided them a care giver for 12 hours per day. The care giver is taking care of Mr. Sanghavi’s physical and mental health. The family is happy with respite care givers skills and attitude for care giving and got relief with this assistance. Respite care giver is happy as earning ₹10, 500/- monthly and is able to sustain his family with that. He additionally quotes that he’s getting pleasure and blessings as serving the sick elderly. Thus this project has a double impact, good earning and mental satisfaction for ‘respite care giver’ and skilled support and care for the elderly patient.

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CASE 7:

Kavita Lunkad, from Progressive ladies Association, Mumbai, is associated with our NGO since last one year. The association has supported our Respite Care Givers training program in 2012. Unfortunately during the same period, she was identified as a patient of ‘Motor Neuron Disorder’. We have helped her to deal with her health problem by providing her a care giver.

The following are her own words where she gave a feedback for the service provided:

The care givers are well trained and well mannered. The organization also has provided support, whenever I needed replacement for care giver. Swati Ingole is very sincere, dedicated, trustworthy and keen to understand the requirement of the patient. She personally derives time to meet people for this purpose. She is keen to learn and add new things as per the patient’s requirement in the course. I wish all the success for this organization.

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“You can make a Difference, so why don’t you?”

Volunteer with us: “Do the right thing. Volunteer.”We welcome students and professionals as volunteers. We have dedicated resources to help guide you in designing a project in areas such as communications, research, public health, financial strategy and other topics to match your skills.

Fund a cause: “Charity begins at home but should not end there.”We invite you to contribute to these suggested activities targeting low income elderly citizens in Dharavi.

Provide three legal counselling sessions to an elderly person facing a legal challenge (property ownership, will declaration, etc.)

Run a weekly memory and mental wellbeing clinic for one month

Sponsor daily yoga sessions for one month

Fund a cataract surgery

Sponsor one month’s supply of groceries and medical care

Purchase aid/equipment

Walker

Eyeglasses

Hearing aid

Crutches

To make a donation, please contact us to send a check payable to “Shield Foundation”.

Partner with us: “Your contribution can help achieve a solution.”Shield Foundation partners with corporations on CSR initiatives including strategic philanthropy, event sponsorship, employee volunteer opportunities and in-kind support. Please contact us for more information.

JOIN US

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SHIELD Foundation,

C/O Tarun Bauddha Krida Mandal,

Ambedkar Rd, Matunga Labour Camp,

Dharavi, Mumbai – 400019.

Tel: 022- 24092308

Mobile: 9833406288

Email: shieldfoundation@gmail.com

Also visit us at:

Website: www.shield-foundation.org

Facebook Page: https://www.facebook.com/ShieldFoundationIndia

BLOG: http://shield-foundation.blogspot.in/

Picasa: https://picasaweb.google.com/107364788581843409343