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Our Vision:

To pioneer affordable treatment and rehabilitation that make a difference in the lives of those affected by alcohol/drug

addictions and those living with HIV/AIDS and also reduce stigma associated with these conditions.

Our Mission:

Freedom Foundation will enhance access to quality health care & treatment for people living with alcohol/drug abuse and/or

HIV/AIDS through a commitment to increasing awareness, treatment, care, support, advocacy, expanded linkages & networking

and create a platform for best practice and cross learning.

Our Ethos:

FREEDOM To Think

To Contemplate

To Do Something Constructive About Oneself

To Change

To Live Life Positively

That in essence is our approach

At Freedom Foundation

We Are

A secular, non-for profit, Registered Charitable Trust

Objectives

To provide comprehensive treatment and rehabilitation for persons living with alcoholism/drug addictions.

To provide comprehensive care, support and treatment to men, women and children living with HIV/AIDS.

To expand access to treatment with Highly Active Anti-Retro-Viral treatment including monitoring of CD4 counts.

To prevent transmission of HIV from Mother to Child in Women accessing services across ante-natal clinics.

To provide residential care for those children who are orphaned and abandoned due to HIV/AIDS.

To provide access to education, nutrition and medical care for children infected/affected living within the community.

To conduct Educational, Awareness, Training and Sensitization Programmes for Substance Abuse and HIV/AIDS.

To work for the rights of persons affected by HIV.

To build and strengthen the capacities of different stakeholders and enable them actively participate in similar

initiatives.

To provide a platform of opportunity for cross learning for effective implementation

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CONTENTS

FOREWORD

DEADDICTION – BANGALORE

12-STEP COUNSELLING AND THERAPEUTIC CENTRE (DE-ADDICTION CENTRE)

CHILDCARE – BANGALORE & HYDERABAD

POSITIVE KIDS & DIYA CHILDREN HOMES

EDUCATION & NUTRITION ASSISTANCE PROGRAM

OTHER ASSISTANCE PROGRAMS

HIV TREATMENT – BANGALORE & HYDERABAD

ENHANCED ACCESS TO HIGHLY ACTIVE ANTI-RETRO-VIRAL THERAPY (HAART)

DIAGNOSTICS

RESEARCH

HIV PREVENTION – BANGALORE & HYDERABAD

PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV

AUDIT REPORT

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Dear Readers, It gives me great pleasure to invite you to go through the current 2012/13 edition of our Annual Report. This year has been a very challenging year for all of us at the foundation. Due to the ongoing limitation of resources, much of our intentions for consolidation and growth of the foundations activities was limited. Never the less we have accomplished a lot in these pressing and challenging times. Our need for a permanent facility for our orphan children affected by HIV/AIDS is still a pressing need. Due to the high rentals of the existing facility at Geddalahalli , Bangalore, we had to shift the children to a house in Rampura Bangalore. We are hoping that some of our donors would come forward to support us in acquiring a facility that addresses our needs. Our operational hubs continue from Bangalore and Hyderabad, our activities and impact are demonstrated in this annual report. our staff at the foundation (Hyderabad and Bangalore) continue to work with dedication even though we were not in a position due raise funds for salary increases for the current year. Since the existing donors have scaled down budgets, to sustain existing salaries is a challenge. I do hope this would be addressed soon through alternative sources and we would be in a position to address this at the earliest. Our online donation (domestic and International) portal is active and can be facilitated through our web site www.thefreedomfoundation.org. Kindly help us in promoting this concept. I do hope that you would take some time to go through this report and give us your valuable feedback. Do send your feedback to my personal email ashokrau@hotmail.com On behalf of the board of Trustees I thank all our dedicated staff at Bangalore and Hyderabad for their dedicated services. I take this opportunity to thank our donor community and well wishers for their on going support In closing, on behalf of our beneficiaries, I wish to humbly thank one and all for your ongoing faith and support. Wishing you all the Very Best, Yours Sincerely, Dr.Ashok Rau Executive Trustee/CEO Freedom Foundation-India

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12 STEP COUNSELING & THERAPEUTIC CENTRE (DE-ADDICTION CENTRE):

Location – Bangalore

Support – Self – sustained

ADMISSION TRENDS

In the year 2012-2013, we had 95 Clients admitted to our centre.

The above said table and graph shows the number of clients admitted, discharged, Left against Medical Advice (LMA) and Unfit

for treatment during each month in the year 2012-2013.

THERAPEUTIC SESSSIONS FOR CLIENTS

During the year awareness sessions pertaining to different concepts of addiction/chemical dependency were provided for all

the clients’ along with coping mechanisms to deal with anger, stress and anxiety. The clients were constantly made aware of

ways in which they need to work on improvising their behavior and attitude on a daily basis with the help of few exercises and

activities. The newer admissions were distributed evenly between the groups based on their communication and

understanding capabilities.

Some of the senior members from the Alcoholics Anonymous & Narcotics Anonymous fellowship visited the centre to share

their Experience, Strength and Hope (ESH) to motivate the clients’ and to boost their confidence in the program and also to

uplift their spirits towards recovery.

Apr’12 May Jun Jul Aug Sept Oct Nov Dec Jan’13 Feb Mar’13

Admission 8 10 12 6 7 12 6 4 14 6 4 6

Discharges 1 5 4 4 3 3 0 3 2 1 4 2

LMA 2 2 7 3 10 3 14 1 5 7 5 4

Unfit - - 1 - - - - - - 1 -

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SESSIONS FOR FAMILIES:

The psycho education sessions for families on Sundays is helping the co-dependents (family members) to get awareness on

different concepts of addiction/alcoholism, family denial and co-dependency characteristics etc. This also helps them

understand their wards addiction, attitude & behavior problems and also to identify ways through which they could deal with

their co-dependency traits and patterns.

THE LIGHTER SIDE OF RECOVERY:

Other recovery oriented activities, fun activities and role-plays continued at the centre. The clients continue to play volley ball

every evening which gives them a way to ventilate their negative energy. These activities help the clients to have fun and stay

motivated in their recovery and they are also constantly made aware of ventilating their emotions and frustrations

appropriately.

CELEBRATIONS:

The clients celebrated all Indian festivals in the centre with great enthusiasm.Ex: Deepavali, Ganesh Chathurthi, Christmas and

Ayudha puja. Few families made donations of sweets and crackers to the clients.

ORIENTATION PROGRAMMES:

There have been many orientation programmes done for educational institutions from different parts of Bangalore:

Three Students of Psychology from Christ University did their Internship for a period of 2 months.

Exposure visit to the centre by the students from United Theological College, Kristu Jayanti College, Chinmaya

Institute of Nursing and Centre for Contemporary Christianity.

Exposure visit to the centre by, Dr.Poonam and Dr.Sr. Lincy Matthew from St.Johns Medical College Hospital.

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CHILD CARE:

Programs : 1. POSITIVE KIDS & DIYA CHILDREN HOMES

2. Education & Nutrition Assistance for HIV infected / affected community Children.

Location : Bangalore & Hyderabad

Freedom Foundation (FF) along with the support of other donor agencies functions from the belief that ‘no child needs

sacrifice quality of life to an illness’. The Foundation endeavours to ensure

that the basic rights of all children accessing care through its Child Care

Centres are protected. This includes both HIV infected children and those

affected by HIV.

The child care component at FF comprises both institutional &

community;with the essential crosscutting components of Protection, Health,

Education, Nutrition and Rights.

This program looks into the concept of:

Protected Residential Environment, Education / extra-curricular

activities, Medical Treatment and Nutritional support for Orphan HIV +ve children.

Education & Nutrition for HIV infected / affected children & their families in the community.

This is primarily supported by three major donor agencies: KNH (Kinder Not Hilfe) & CCCYC (The Churches' Council for Child

and Youth Care), OWC (Overseas Women’s Club) and UWBe (United Way of

Bengaluru, Mumbai & Hyderabad).

Residential care and services for HIV Positive Orphans

Started : Year 1996 During the year, 49 HIV +ve orphan children (22 in Bangalore-program named

as ‘Positive Kids’ & 27 in Hyderabad-program named as ‘DIYA’) have been cared

for within the residential facility. In Bangalore, the numbers are reduced to 20

towards the end of the year with the demise of one boy child in September 2012

& with one girl child started working and is staying in a working women’s

hostel since March 2013. Total 29 children were served for the year at Hyderabad Unit. Out of which one child was united

back to her extended family and three children were referred to other like minded NGO for the better educational prospects

and with which the number came down to 23.

The details of the 45 children currently cared are as follows:

Age Group Bangalore Hyderabad Total

Male Female Male Female

6-8 years 1 3 1 1 6

9-12 years 1 1 8 8 18

13-15 years 7 2 3 1 13

> 15 years 2 3 3 0 8

Total 11 9 15 10 45

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A Sad Demise:

One of our children Master Prasanna aged 20 years passed away on 2nd September 2012 due to

Cerebral/ Brain Aneurysm leading to hemorrhage. This was a very poignant and shocking incident for

both the children and the organization.

Essential Independence:

Deepthi aged 19 years was brought to Freedom Foundation by her maternal uncle on 23.05.2000 at her age of 6 years. After

her education and professional course training, she is working in a hotel under Food & Beverage Service Department. Now she

is staying in a working women’s hostel near to her work place. FF has helped this child in each stage of her life and is now able

to lead an independent and enthusiastic life for herself.

Reunion with Family:

*Cherry, aged 20 yrs comes from a well to do family and was brought to Foundation in 2002 by her paternal family after her

parent’s demise as they feared of HIV transmission as well as social out casting on account of her HIV status. Foundation believed

that for Cherry’s holistic development, being part of her family is crucial and hence Foundation relentlessly educated the family to

broaden their mindset on social taboos, myths and misconceptions on HIV for all these years. After all active and regular

counseling, finally the family accepted Cherry in to their home in June 2012. Today, cherry has well settled in the family and

shares her room to her two young cousins. Foundation celebrates this as a big achievement as our aim is just not to support +ve

children but to emotionally safeguard them and to dispel social myths on HIV issues through active counseling.

Shelter, Food & Clothing:

Due to constrained funds and also in need of a compact place for children, after continuous search and planning, the child care

centre in Bangalore is shifted to a new building at Ramapura Cross since mid of Jan 2013. This is a three-floored house with a

kitchen, two halls, six rooms & balconies which can accommodate our 20 children & 3 residential staff with sufficient space for

dining, recreation/T.V./computer, play area etc. Shifting and other arrangements were done by the children and FF staff.

Children are energetic and cheerful with the new atmosphere.

Both the centres (in Bangalore & Secunderabad) are sufficiently equipped with all basic amenities with Television,

Refrigerator, Washing Machine, Water Purifiers, Computers, etc. to make the environment as homely as possible and to

provide basic comforts to the children.

Nutrition plays an important role in acceptability and responsiveness of Highly Active Anti Retroviral Treatment along with

maintaining general health and well being in the children. Attention is paid on the diet plan for all the children so that they get

adequate vital nutrients such as proteins, vitamins, carbohydrates and fats. Menu is changed once in three months with the

involvement of the children to ensure they are given meals that they enjoy.

Education & Extra-curricular activities:

Among the 45 children, 38 are going to school (std I to XII), one is in college (B.Com), one is doing her diploma in Fashion

Designing and one is doing Tailoring training. Four children are not attending school due to poor health conditions.

Considering the improvement of every child’s education, few volunteers from different organizations have come forward to

involve the children in different educational activities like English Grammar classes and Life Skill Education. Few other

individual volunteers are also taking sincere efforts to improve this system by teaching them effectively after their school

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hours. Because of all this, children have shown improvement in their

studies and learning methods when compared to their previous exams.

Visit to schools on need base and also to get the feedback of children study

& behaviour is done by the staff.

Apart from studies few of our children expressed and discovered their

special interests in other extra-curricular activities. Few children are

attending dance and music classes.

Fourteen of our children at FFB had performed a dance program for

Shiamak Dance Group at AR Auditorium in Malleshwaram (Bangalore).

HAART (Highly Active Anti Retro Viral Therapy):

Among the 20 children in Bangalore, 18 children are on HAART (Highly Active Anti Retro Viral Treatment) – 3 on 2nd line ART & 15 on 1st line ART.

Among the 25 children in Hyderabad, 19 children are on HAART – 3 on 2nd line ART & 16 on 1st line ART.

All are under regular monitor and follow up for their CD4 tests.

Psycho-social support

Children are engaged in regular counselling sessions pertaining

to adolescence, hygiene and cleanliness, discipline and behaviour, stress management and other key topics to

ensure all round development in them through group discussions and individual counseling.

Monthly meetings with children are conducted by the Project Coordinator and the issues regarding their health,

education, interaction with others at the centre, etc. are discussed and sorted out.

One to one discussion is carried out by counselors with children regarding issues faced by them at school and at the

center.

There were two new entries to the home in the month of October 2013. One girl and one boy child aged 9 and 13 yrs

respectively.

Celebrations – Birthdays & Other Occasions:

All the children celebrated birthday at the centre with a

set of new clothes and cutting cake. They also enjoyed and

celebrated all major festivals like Rakshabandhan, Ganesha

festival, Diwali, Christmas, Holi, New Year, etc. All these

celebrations mean a lot to the kids as they reminded that they are a family meant to share in each other’s joy.

Summer Vacation:

During their holidays, children had lots of fun and were engaged with varieties of indoor/outdoor activities. They also

spent time for different chores like reading & writing alphabets, tables, spellings, grammar, handwriting, etc. with the

help of elder children and the caretaker.

Called and spoke to the relatives of few children and were sent to their homes for few days stay. Those children who

dint visit their homes were taken to ‘Water World’ as a one day trip and they enjoyed completely.

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Volunteer Visits & Recreational Activities:

This year too, we had a good flow of volunteers both in team and individual. Teams from various noted organizations like

HSBC, Accenture, Google, SAP, DELL, TARGET, UWBe & Agilent, HOPE Foundation, OWC, ILANTUS Technologies, Gokuldas

Exports, Brighten School, St.John’s church, Vishranthi Nilaya, Indian Academy College, etc. visited the centre and spent

time with the children by conducting different activities of drawing, painting, quiz, games, etc. More than 100 individual

volunteers visited the centres to celebrate birthdays or to just spend their time with the children by playing indoor or

outdoor games with the children. During the visits, the volunteers provided breakfast, lunch, dinner or snacks, gifts, etc.

and the children enjoyed every occasion and had good fun with all the volunteers.

Few Special moments:

At Bangalore:

FF staff & caretakers at the Bangalore centre voluntarily prepared

special nutritious sweet ‘Obbattu’ with dhal, coconut and jiggery for all

the children and every child enjoyed eating it.

Mr.Biju & family visited the centre and arranged a magic show through

Prof.S.Sathyamurthy and it was a wonderful experience for all the

children.

One individual

volunteer / donor Ms.

Shivani Niranjan from

USA visited the centre, purchased new dress for all the children and

taken all the children for a trip to Fun World providing their snacks &

food for the day.

Ms.Niroopa from Ilantus Technologies coordinated with us and got the

list of wishes from the children to gift for the new year. They visited

our centre with the gifts as per children’s wish like ipods, remote car,

sports shoe, dress, Barbie doll, make-up kit, wrist watch, etc. Children

were happy with their small wishes being fulfilled and thanked them

for their gifts.

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At Hyderabad:

HSBC organized a visit to Birla Planetarium which was much

appreciated by the children. They also celebrated birthdays of

some children at the center.

Google organized an exposure visit to Google Campus where the

children participated in a drawing competition and were engaged

in games, dancing and many other fun filled activities.

One individual volunteer Mr. Madhu sponsored a trip to the movie

hall for all children to watch Eega with snacks and transport.

2. Education & Nutrition Assistance for HIV infected/affected community Children.

Started : Year 2003

Supported by : CCCYC, OWC, UWBe.

During the year, 160 children from the community were supported under this program (through different projects of CCCYC,

OWC & UWBe) for their Primary, Middle / High school, Diploma and PUC education.

Social worker visited the houses and schools of all the enrolled children.

Monthly visits were done to the schools on a need basis to have interactions with the teachers of the enrolled students and

their academic performance was assessed periodically. The social worker guided their teachers to help these children towards

their development.

House visits wherever needed were planned and done by the social worker to interact with the parents, take feedback &

provide necessary counseling in regard to their kids’ progress and health status of family. Initially in April 2012, a parents’

meeting was conducted to emphasize on children performance for the completed year & plans for the next year followed by

admissions of children. Many parents acknowledged and expressed their gratitude for the support they receive through FF

which lessens their burden of concern about their children’s education.

Self Help Group (SHG) Meeting – ‘Margadharshini’:

A Support Group Meeting is being conducted at FF Bangalore centre every

month for 85 members and everyone is educated on Hygiene/Nutrition for

themselves and their family with precautions on food & drinks for different

seasons. This year couple of meetings were organized through St.John’s

hospital-PRERANA Project on HAART Adherence. Additionally, they are also

motivated on self-employment, importance of yoga, importance of savings, etc.

Every member receives nutrition packs of rice, dhal, oil, sugar and wheat for the

month. This support is of great help for them to manage their family because

most of these women are widows and also undergo frequent health problems

where they are not able to sustain any permanent job or stable earnings.

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Performance Indicators:

The program has improved the standard of living of all the families directly or indirectly connected to this program and has

also greatly influenced the development of each and every child of the project. Few essential indicators noted through this

program are:

Periodic school and house visits by social worker / counselor and caretakers help the Foundation, teachers and

parents to follow up with the studies of all the children and focus on their development.

Encouraging Extra-Curricular Activities for the children help in developing their additional talents to a certain extent.

Educational support for the children in the community has lessened the financial burden on their parents/caretakers

and they have expressed their thankfulness for the project. The children have also received appreciation letters from

the respective schools for their performance.

Nutritional support through ‘Margadarshini’ program is of great help for each family in addition to which they are

trained and motivated for self-employment.

All documentation and processes for monthly pension for HIV Positive orphan children from government authorities

was completed and the children would now have their own accounts and a small pension amount which they could

use when they grow up.

Challenges:

This program faces different challenges in terms of counseling, funding, managing few amenities for children:

Child care centre being shifted to a little interior place, staff & children are finding difficult for travelling to school,

health facilities, etc.

Stabilization of regular counseling for the children in regard to Education, Discipline, Health care etc.

As the number of beneficiaries to be supported through this program is being scaled down every year, it is a major

challenge to sustain the program to meet the purpose for which we enrolled the children in the program as all the

children enrolled in the program are desperately in need of this support

The program faces challenge to counsel and motivate the parents/children in regard to maintenance of family with

proper education, nutrition & hygiene.

Coordinating and communicating with the school principals and teachers regarding these children and making them

understand the situation is also a regular challenge being faced by our social worker.

The support for food component of residential children is a major challenge and FF is trying the best to overcome this.

Future Plans:

Plan and undergo fundraising activities by approaching various kinds of donors to strengthen and improve the

support.

Try for acquisition of own premises by approaching government for land and other donor entities for construction

Greater involvement & engagement of corporate social responsibility to extend beyond volunteer activities and

include funding

To work towards specific future plans for the elder residential children

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PREVENTION:

Name of the project : PPTCT (Prevention of Parent To Child

Transmission of HIV/AIDS)

Started : Year 2002

Location : Bangalore & Hyderabad

Supported by : EGPAF (Elizabeth Glaser Pediatric AIDS

Foundation)

Freedom Foundation has been executing the PPTCT project funded by Elizabeth Glaser Pediatric AIDS Foundation since 2002

in the states of Karnataka & Andhra Pradesh reaching out to more than 2,96,029 pregnant women for Voluntary Counseling &

Testing (VCT) at both private & public sectors. This program offered VCT, ARV prophylaxis, prenatal, postnatal, neonatal,

infant feeding counseling and HIV care for all HIV positive pregnant women. Freedom Foundation was responsible for long

term care of mother and child after delivery. The project had detected 1542 positive women and provided PPTCT package to

all who opted to continue their pregnancy. Through the project there were 1007 infants who were followed completely to the

PCR test time and only 27 infants found to be positive bringing the transmission rate down to 2.7%.

For the sustainability of the project, since few years, we have tied up with SACS and are implementing PPP (Public Private

Partnership) model, wherein our objective is to cover 50% of the positive estimates of Bangalore & Hyderabad districts.

Core Objectives of the Project:

To bring down the mother to child transmission of HIV in selected districts of Karnataka & Andhra Pradesh

To increase awareness in ANC women and reduce stigma regarding HIV/AIDS

To provide quality and timely services to the identified positive women and to her extended family

To build the capacities of the partnered hospital staff

BRIEF SUMMARY OF ACTIVITIES

For the year 2012-13, FF evolved a sustainable model of PPTCT service delivery in the private sector and FF. This report

narrates the sincere efforts taken and challenges faced to sustain these services and also brief the regular activities and

outcome of Prevention of Mother To Child Transmission of HIV/AIDS (PMTCT) project:

Challenges & Achievements:

A. Continuation of PPTCT services in private hospitals:

PPTCT Services under PPP model in Bangalore:

FFB was working with 6 private hospitals in Bangalore till March 2012 with regular services of counseling,

prophylaxis, infant testing, trainings, etc.

Through continuous discussions & meetings with key personnel of hospitals and KSAPS, FF implemented PMTCT

program under PPP model in three interested hospitals: St.Martha’s, St.Philomena’s & Saptagiri Hospitals in April

2012.

The other three non-interested hospitals continued as Referral sites.

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PPTCT Services under TA (Technical Assistance) model in Hyderabad:

FFH was working with 6 sites in Hyderabad under TA model for the year 2012-13 with the regular services.

Since March 2013, FFH started implementing PPP model and will work towards saturation of the district.

Sensitization of key stakeholders of hospitals for PPP implementation

Challenges faced:

Since four years, the program is facing different challenges in regard to:

Implementation model of the program – conflicts due to constant change in the model

Data collection, Reporting & Documentation at the private sites due to lack of dedicated personnel at the site.

Targets and Prophylaxis (NACO vs WHO)

Funding constraint from EGPAF

Coordination with KSAPS for trainings and regular supply of all agreed consumables for the PPP sites.

Delay in partnering of FFH with APSACS in order to sustain the project with the program being supported with very

limited budget.

B. Meetings & Trainings:

During this year,

Series of discussions and meetings were done with sites / KSAPS / DAPCU personnel for coordinating regarding

PPP, Prophylaxis guidelines, Documentation procedures, Induction trainings, Supply of kits/registers, importance

of counseling and consent prior HIV testing, etc.

After continuous visits and discussions with KSAPS & DAPCU personnel, the counselors and lab technicians of the

PPP sites were linked for induction training from KSAPS on Counseling & Testing, Prophylaxis as per NACO

guidelines, etc. in the month of Sep 2012.

Regular onsite sensitization was done by FF at all the three sites under different levels of medical and

paramedical staff.

Through continuous trainings and sensitization on Infant feeding, nearly 78% of the delivered babies are

successfully started with Exclusive Breast Feeding.

Discussions with the key people and other staff of the sites not interested for PPP regarding discontinuation of

PPTCT services of FF at their site and also the importance of their support as a referral site.

Regular training and meetings are held to update and enhance the staff knowledge and skills. Training and

sensitization programs are also conducted for the hospital staff

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C. World AIDS Day (WAD)-2012

FF-PPTCT Bangalore marked the World AIDS Day 2012 by conducting an awareness program on ‘Basic Facts of

HIV/AIDS’ for nearly 30 employees of Larsen & Toubro Company on 21st December 2012. The session was conducted

by Ms.Anthrose Parimala through a powerpoint presentation followed by interaction of the participants. FFH team

conducted street play in collaboration with IDF along with college students at Jubilee Bus stand to mark WAD.

D. Referral Mechanism

In continuation with the same zeal of groundwork and follow up to increase the number of positive pregnant clients to

access PMTCT services, FFB visited and followed up with more than 200 private hospitals / clinics (in and around

Bangalore), 15 NGOs & 500 diagnostic centres and information about the services of FF-PMTCT was provided through

Posters and Prophylaxis sheets (as per PPP Guidelines) with contact details.

As an outcome of this, we were able to serve 9 referral clients with PMTCT services. Out of the total 20 positive clients, 9

clients (45% referrals) were referred from Private Centres

E. Linkages to Govt. and Private facilities:

More than 90% of registered clients are linked with either Govt. of Private ART centres, PLHA networks (like KNP+,

Arunodya Positive People Network etc.) and NGOs (like ACCEPT, SNEHADAAN, INFANT JESUS, World Vision, etc.) for

long term follow up and different services of HAART, CD4, treatment of OIs, Care & Support / stay facilities, Peer

Suppor, Nutrition supplements, Psychological support, Infant Diagnosis etc.

Some of the PMTCT clients were linked and registered in Self Help Group and they are attending the regular monthly

meetings being held at the FF-C & S centre.

F. VCT Services:

For the period April 2012 to Dec 2012, FFB worked with 3 private hospitals under PPP model. By the end of year 2012,

these three sites were handed over to KSAPS and facilitated for a bipartite agreement between the sites and KSAPS.

A total of 3,619 clients have been tested and 20 PLHAs were registered for the period April 2012 to Dec 2012.

FFH has recorded 8,659 ANC women tested for HIV and 45 PLHAs were registered for 6 private hospitals.

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G. Quantitative Achievements:

Cumulative Report for FF sites from April 2012 to March 2013

Sl. No. Indicators FFB FFH TOTAL

1 Total no. of sites 3 6 9

2 No. of new registrations 4154 14143 18297

3 No. of women received HIV counseling

3420 8958 12378

4 No. of women tested 3619 8659 12278

5 No. of women with an HIV (+) test

20 45 65

6 No. of live births 27 31 58

7 No of children tested positive 0 1 1

J. Future Plans:

FFB already working under PPP has planned to implement services in 20 new private hospitals in the districts of

Bangalore – Urban & Rural and Ramnagar for 50% saturation of PPTCT coverage in these districts.

FFH has planned to start PPP model in the already existing and new private sites.

Through implementation of the program in more than 70 hospitals in Karnataka and Hyderabad, FF has become a

reference centre for PMTCT services. In spite of various challenges and issues faced, the project has established many

important networks and linkages with public and private health providers through number of capacity building

programmes both in Bangalore & Hyderabad.

TREATMENT:

PROJECT DETAILS:

Name of the project : Enhanced Access to HAART (Highly Active Anti-Retroviral Treatment)

Started : Year 2005

Location : Bangalore & Hyderabad

Supported by : Self sustained through user fees, lab investigations & sale of medications

Highly Active Anti Retro Viral Treatment (HAART) is been provided by Freedom Foundation to many HIV infected people for

more than a decade through trained physicians and counselors. The program is self sustaining with the help of selling ART

drugs at subsidized cost and ART supportive lab services.

The main objectives of the project are:

To provide HAART at affordable costs to PLHAs

To ensure that PLHAs take HAART under the guidance of a trained physician

To provide laboratory monitoring support and diagnostic facilities for PLHAs

To provide treatment related counseling and family counseling to the PLHAs.

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This program caters the needs of enrolled client’s psychosocial support apart from ART treatment and monitoring. Client’s

eligibility criteria are thoroughly studied and feasible clients are enrolled for HAART at subsidized cost. The rest all are

referred to the nearby Government and private ART clinics. All enrolled clients are monitored regularly for their CD4 counts,

other clinical requirements and ART adherence evaluation.

Counseling is an integral part of the program and depending upon the need of the client, it is been offered to all clients at

regular intervals. To enhance the overall ART services and a special focus on counseling and ART adherence, counseling team

and the medical team, meets regularly to discuss the psychosocial and medical needs of the clients.

Basic ART lab investigations are offered at subsidized cost to both ART and Non ART clients. For other investigations, clients

approach other lab players around.

More than 4000 clients have enrolled in FF ART centre till now among which nearly 1400 clients are in regular follow ups

many others being transferred out to different government facilities, few expired and few have been lost to follow up.

SERVICES OFFERED

Treatment for HIV/AIDS for leading healthy and long life

Family centred comprehensive counseling to all enrolled PLHA’s and to their extended family members

ART adherence related monitoring

Treatment for OI’s and other AIDS related conditions

Basic ART adherence related diagnostics

Linkages with Govt and Pvt ART players around for offering better and prompt ART services

Diet counseling, special focus on high biological foods

Activities :

The activities executed through the HAART program under various aspects of client enrolment, counseling, trainings,

awareness programs, donations, meetings/discussions, etc. are explicated in the following sections briefing on both

quantitative & qualitative segments:

1. Referrals & Networking:

Freedom foundation has laid a strong foundation towards its referral network with different hospitals, labs,

diagnostic centres, private practitioners & other NGOs and also through dedicated services to clients which have

contributed nearly 75% of the newly enrolled clients in the project.

Out of 94 clients newly enrolled in Bangalore centre for the year, 35 clients are referred from different private

facilities and private practitioners, 19 clients were referred through old clients who know about FF services, 16

clients had stepped in through advertisements (through website, posters, etc.) and the remaining clients through their

friends/relatives.

Meanwhile, few patients are also referred to other government/private facilities for DOTS /TB treatment, Scans/X-

rays or other diagnosis, surgeries/treatment, etc. as per need.

2. Trainings & Awareness Programs:

FFB staff attended the charity showcase conducted by OWC and presented few IEC materials of handbooks, posters, etc. & sold few greeting cards.

During December 2012, FF marked World Aids Day by conducting awareness program on HIV/AIDS for nearly 200 PU students of Indian Academy College in Bangalore and for truck drivers in Hyderabad.

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During the year, three students from SDUMC, Kolar attended 15 days training at FFB as part of their PG external posting programme.

Dr.Geetha – Medical officer of FFH centre participated in different workshops in regard to Updates on HIV/AIFD, PMTCT, PPP model, etc. conducted by different other organizations.

Counselors participated in training programs on Nutrition, Mentorship, Children Counseling, etc.

o CD4 Test done

Sl.No. Centers Total test

F.F.BANGALORE 595

F.F.K.M.C 421

F.F.HYDARABAD 792

OTHERS (St.Marthas, Bellary, Venkatesh, Daddi, Hi-Tech…etc.)

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Total Tests 2,132

Cumulative Report of FF Bangalore and Hyderabad for the period April 2012 to March 2013

Future plans:

To further improve our referral mechanisms through outreach work in hospitals/labs/clinics and enhance the quality

of ART services.

To increase the number of samples through ground work and follow up.

To improve the rate of RNTCP samples (for sputum examination).

To continue the maintenance of Quality Testing

Develop linkages with many more Govt. and Pvt ART practitioners who can offer both OP and IP facilities

Sl. No. Opportunistic Infection & Side effects FFB

FFH

1 clients served till date: GOP+ART GOP – 73 ART - 268

852

2 clients reg under ART 268 32 3 clients following with ART at FF 268 426

4 clients ref to Govt. ART centres: 24 3

5 clients expired 3 3

6 Clients linked from Private Practitioners 99 2

7 clients loss of follow up 1 47

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AUDITED STATEMENT OF EXPENDITURE FOR THE YEAR 2012-13

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CONTACT US

KARNATAKA HEAD OFFICE / DE-ADDICTION CENTRE:

No. 180, Hennur Cross, Bangalore - 560043 Phone: 080 2544 0134 /2544 9766 Counselling : 080 6596 6444 Fax: 080 4161 6447 Email: ho@thefreedomfoundation.org / therapy@thefreedomfoundation.org BANGALORE HAART CENTRE / PMTCT PROGRAM OFFICE:

No. 103, HBR Layout, 1st stage, Bangalore - 560084 Phone: 080 2543 5231/25435232 Email: freedomg2@gmail.com / freedomblr@sify.com POSITIVE KIDS RESIDENTIAL CARE HOME:

No. 39, Property No. 31/2, Rampura Cross, Bidarahalli Hobli, Bangalore East Taluk, Bangalore Phone: 080 32559894 Email: freedomc2@gmail.com MANGALORE HAART CENTRE:

No. 17, 1st Floor, Shankar Vital Emporium, Attavar, Mangalore - 575001 Phone: 082 4428 5232 / 9731151038 Email: freedomkmc@gmail.com

ANDHRA PRADESH MAIN OFFICE/ HAART CENTRE / PMTCT PROGRAM OFFICE:

#145 Sardar Patel Colony, Trimulgherry, Secunderabad – 500 015 Ph: 040-27792746, 27794100, 27792410(F) Email: freedomfoundation1@rediffmail.com / g2hyd.freedom@gmail.com /

pmtct.freedom@gmail.com DIYA RESIDENTIAL CARE HOME:

# 1, Jupiter Colony, Kakaguda, Karkhana, Secunderabad - 500015 Tel: 040 -27792746 +91 9000241465 diyachildcare.freedom@gmail.com

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