title of the project · director st ignatius institutions prabhat nagar, honavar, karwar dt.,...
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Place de l’Albertine 2
1000 Bruxelles
Title of the project
GERIATRIC AND PALLIATIVE NURSING CARE TRAINING
FOR SCHOOL DROPOUT GIRLS – HONAVAR
2013 – 2014
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Table of contents Brief Description ..................................................................................................................................................... 2 1. Applicant/Organisation (local partner) .................................................................................................. 3 2. Project Location .............................................................................................................................................. 3 3. Beneficiaries ........................................................................................................................................................ 3 4. Socio-economic conditions ......................................................................................................................... 3
4.1. Social Situation ...................................................................................................................................... 3 4.2. Economic Situation ............................................................................................................................... 4 4.3. Situation of Women ............................................................................................................................. 4
5. Criteria used in the selection of the beneficiaries ............................................................................. 5 7. Logical Framework ............................................................................................................................................ 8 8. Duration and activity schedule ................................................................................................................. 9 9. Material and human resources ................................................................................................................. 9 10. Budget ......................................................................................................................................................... 10 11. Viability ....................................................................................................................................................... 12
11.1. Socio-cultural Viability (programme viability) ........................................................................... 12 11.2. Economic Viability ................................................................................................................................ 12 11.3. Technical Viability ................................................................................................................................. 12
12. Monitoring & evaluation ........................................................................................................................ 12 ATTACHMENTS ...................................................................................................................................................... 13
1. Plan of the building ground floor and first floor ........................................................................... 13 2. SYLLABUS FOR NURSING AIDE COURSE ....................................................................................... 14
Brief Description
The purpose of the project is to provide nursing care skills for the school dropout rural girls
to deal with geriatric patients as well as palliative patients, where there is high demand for
this profession in the locality as well as abroad. So that, to enable the rural girls to seek job
and to empower them with improved socio economic life.
The projects will address following 5 main problems Girls those are drop outs that face economic constraints to study further.
Inadequate awareness among the families about the capacities of the teenagers
Social stigma attached to girls being sent for higher studies
Poverty of parents and their dependents
Lack of skill development courses that are conducive for the girls to study
The planned key strategies are:
1. Capacity building of Parents on the education of Girl child;
2. Awareness programmes for the Women, SHG leaders, Teenagers, Teachers and the
Community in general;
3. Building linkages and Networking with GOs and NGOs;
4. Providing skill development trainings (Nursing AID/Palliative/Geriatric care);
5. Counseling on Job facilities to all age groups;
6. Initiate Income Generating through placement services.
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1. Applicant/Organisation (local partner)
Person In charge for the Project: Sr Maria Goretti SRA
Director
St Ignatius Institutions
Prabhat Nagar, Honavar,
Karwar Dt., Karnataka, India
Cell: + 91 9448105552
Email: [email protected]
Position: Chief Medical Officer
2. Project Location
Honavar taluk in Karwar district, Karnataka.
3. Beneficiaries
Direct Beneficiaries:
25 Rural School Dropouts Girls, Staff - 5
Indirect Beneficiaries:
50 Palliative and Geriatric patients, 125 family members of beneficiaries, 300 family
members of Palliative and Geriatric patients and community members.
4. Socio-economic conditions
4.1. Social Situation
Despite strictly following traditions and holding superstitious beliefs, the women in the
villages help supplement the family income by working as housemaids or as manual
labourers in their own places. However in the town area many women prefer staying idle at
home. Hence it is really ironical when it is seen that the women in the villages enjoy lesser
freedom. Girls are sent to school and are educated but preference for a boy over a girl is
seen even in educated families. The head of the family who is a male is the decision maker.
He takes care of the expenses and decides what is to be carried out in the houses. But in a
family where the head drinks heavily or is involved in gambling then automatically the
women takes over the management of the house. Thus situation is not as bad it was in the
Dharmajyothi Charitable Society
Vamanjoor, Mangalore Email: [email protected]
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early 80’s or 90’s but one cannot still assert and say that women emancipation has been
achieved. The process is on.
Joint family system is now slowly giving way to nuclear families in the town areas. Either
the present houses are being divided further to provide for or the families are shifting to
rented houses. But on the whole the families do get together to celebrate festivals or
religious rituals.
4.2. Economic Situation
The economic standard of a family also depends on the caste to which they belong. The
richest are the land owners, majority of whom are Brahmins, the caste located at the
highest rung of the ladder followed by the Gouda Saraswat Brahmins (GSB) who are
predominantly merchants. The rest i.e. the Naik are mostly job holders or owners of small
plots of land. A few Muslims too enjoy a good standard of living because they work in the
Arabian Gulf. Christians are mostly middle class families or below average or poor because
they do not own land nor do they carry out lucrative business. They mostly work as coolies
or carry out insignificant jobs in the private offices.
4.3. Situation of Women
This proposal concentrates on women who constitute an important part of the society. In an
age of equality, freedom and liberty it is very relevant that we focus on girls who are drop
out not for their reason but because of the social structure, economic constraint or cultural
practices. Hence in this proposal while they are given a prominent place, they are also
streamlined to inculcate skills which build their confidence to move from one step to another
along with the feathers of success complemented with skills. While these will fetch them
money as steady income, it will also boost their moral and give a renewed social status in
the society.
Access of women and girls to secondary and higher education is necessary if more women
are to become socially active. The strengthening of their socio-economic status largely
depends on their education and the standards of general and professional trainings. Literacy
and education are the basic means improving their health, nutrition, education and family
status. Higher education standards are decisive for women to make conscious choices about
the size of their families. Education produces knowledge and helps understand outside the
household and family. It helps to achieve self-sufficiency and economic independence and
produces a feeling of confidence and dignity. Low educational levels are generally
accompanied by high rates of childbirth stemming from ignorance on family planning.
Dire consequences may occur without conscious efforts to support today’s girls who will
tomorrow become women, mothers, workers and wives. Their educational, professional and
cultural levels will shape the social environment. Before it is too late we must identify and
eliminate the nascent discrimination of girls in matters of nutrition, health, education,
leisure and employment
The conditions of the rural women deserve special attention as many of them face specific
problems related to the rural way of life, economic hardships, and local customs.
Sensitization of the general public on the education also should go hand in hand.
The situation of women here is no better. Their sufferings go unnoticed
Female poverty is wide spread and it is acute among the rural women.
Rural women face formidable barriers created by their family status
They suffer from socio-economic hardship and male dominance over them both
inside and outside the family.
The education facility is also is not conducive for the child aptitude
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5. Criteria used in the selection of the beneficiaries
The project deals with School dropout young girls from rural villages studied less than
standard 12 between the age group of 16 to 25 years. To select these beneficiaries
following criteria has been used.
Semiliterate and school dropout girls from rural area.
Desire to study and acquire the skills of nursing care.
Desire to work with the patients and health institutions.
Desire to support self as well as the family, especially to promote education,
health and hygiene in the family.
Preference will be given for the girls from Honavar taluka, later other talukas of
the district.
Age between 16 to 25 years.
Selection Mechanism of Beneficiaries
Co-ordinator of the project will organize general awareness programme about the need of
providing nursing care skills for the school dropouts girls and also the demand for this
profession in the locality as well as in the other districts, states and in abroad. Later,
interaction also will be held with village leaders, school teachers and priests to recommend
suitable candidates for the course.
Beneficiaries’ participation in decision making process
Beneficiaries have attended the preliminary discussions during the other programmes
organized for the general public, and expressed their willingness and need for designing
nursing care related course and sometimes, they have volunteered in the villages to
organize medical camps for the expecting mothers, children and geriatric patients.
They were regular for meetings, discussions and have provided valuable suggestions to
design this project.
6. Project Origins and specific problems to be resolved
St. Ignatius Institute of Health Sciences the unit of Dharma Jyothi Society organizing and
offering university recognized B.Sc. and Diploma in General Nursing Courses for the rural
girls since last 10 years. St. Ignatius Hospital is the laboratory for the nursing students to
acquire nursing skills.
During our interaction with rural girls, quite a high number of rural school dropout girls
expressed their desire to learn and acquire nursing skills. During the village health camps
too, they were expressing about their interest. At the same time, in the modern nuclear
families, geriatric, palliative care centres, there is a good demand for skilled nursing care
takers.
Considering both these possibilities, we have decided to introduce this training for rural girls
so that to help them to acquire nursing knowledge and be able to seek a job to lead their
daily life.
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Description of the specific problem/s is/are intended to be resolved by the project
THE PROBLEM TREE
E F F E C T S
Rampant
increase of Unemployment
Restrictions of
the society
Girls have less security
Depression
Low income
Debts
Low
nutritional
supplemen
t
Low life expectancy
Cannot afford
medication
Depression
Girls are thought to
helping at home
If she studies, loss of income of the family
Discouragement
No Expression of thought/ Loneliness
Depression
Suicidal Tendencies
Social
taboo
Religious
bonding
Tradition
Superstitions
Parents are afraid to send
the girls for higher studies
No safe environment Lack of
productivity
Thought to be not strong
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PROBLEM STATEMENT: Alarming Dropout rate of girls after the Xth Grade
of Honnavar Taluk
C A U S E S
Lack of information
on further studies
Preferring to work as house maids
High Risk Behaviour Among youngsters
Lack of awareness on Programmes
Lack of commitment
on the part of the
government
Lack of participation
of Parents in
Awareness
programmes
Illiteracy of
the parents
Distance
Indifferent
attitude
Don’t own the
problem as affecting them
Poverty
Lack of labor in the village
(work available only 120 days in a year)
Unemployment
Unskilled labor
No higher education
Poverty
Curiosity and
exposure to sex in the youth
Lack life skill education
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7. Logical Framework
Reasoning behind the intervention Verifiable indicators Sources for
verification G
OA
L Empowerment of rural girls through skill
development trainings in Nursing care and
thereby make them self reliant and self-
sufficient.
100% of school dropout girls from the project
areas will lead their life and continue nursing care
profession.
Employment
register, institution
register.
OB
JEC
TIV
ES
01 To enable the school dropouts girls to acquire nursing care skills.
25 girls will enrol for nursing care training and acquire required skills and knowledge in providing nursing care.
Evaluation Report,
Certificates.
02 To enable the school dropout girls to support
their families and to shoulder economic burden.
25 families of the beneficiaries will improve their socio
economic conditions and children in the families will be
regular to school.
Observation, Reports
03 To motivate and guide rural girls to get job placements in health / home based care institutions.
25 girls will be occupied in taking care of Geriatric, Palliative care patients in their respective houses or health care institutions.
Photos, Reports.
04 To provide legal and medical awareness to deal with day to day life.
25 girls will be aware about the law and legal procedures when they are threatened by the others and also health of the rural girls will be improved.
Photo, Reports.
05 To guide and motivate rural girls in small savings from their income.
25 girls will open saving bank account in the villages and their deposits will be recurred.
Bank account book
OU
TP
UTS
/ R
ES
ULTS
01 Rural girls will be confident in attending nursing care needs of Palliative, Geriatric care patients and Senior citizens.
Increased level of satisfaction and comforts of the patients.
Photo
2. 25 families will be socio economically self relevant Improved infrastructure facilities available and younger
siblings in the family will attend the school regularly. Observation, School
attendance
3. 25 girls will get employment and earn their income.
Girls will be self reliant in socio economic factors as well as bold in taking decisions in the family.
Observation
4. 25 girls’ health and hygiene matters will be
improved and knowledge about law and social
issue will be widened.
Physically and Psychologically fit to carryout day to day
activities in the respective house and working place and
will be good in dealing with legal matters for their safety.
Observation and
pictures
5. Income and saving of the 25 girls will be increased.
Girls will be able to save small portion of their income and invest money on interest.
Bank account
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8. Duration and activity schedule
Activity
1 2 3 4 5 6 7 8 9 10 11 12
1. Negotiation and agreement
with the building contractor
2. Construction of the building
3. Selection of staff
4. Selection of students
5. Syllabus and time table
6. Theory class
7. Allotment of practical training
8. Evaluations
9. Seminar / Conferences / field
study programmes
10. Job Placement
11. Follow up
Remark 1: Construction of the Ground floor is already under progress and expected to
begin the construction of 1st floor in the month of November 1st week (2013), if
sufficient funds are available.
Remark 2: The 1st batch of 25 rural girls will commence in June 2014 and admission
procedures will start from March 2014 onwards. The syllabus foreseen for the training is
already available (see attachment 2)
9. Material and human resources
9.1. Material resources.
Hostel Building for the girls
Cots – 25
Kitchen utensils and cylinder gas with stove
Dining Table – 5
Chairs for the Dining Table – 25
Cupboards – 5
T.V & CD Player with stand
9.2. Human Resources
Programme Coordinator cum warden - 1
Tutors - 2
Placement and training Officer - 1
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10. Budget
10.1 Consolidated Budget (1 Euro = Rs. 80)
item amount Rs. amount € local contribution/others Rs local contribution/others € requested amount
1/Investment
Construction 4.545.000 56.813 2.517.321 31.467 25.346
Equipment and material 200.000 2.500 0 0 2.500
2/Recurrent costs 0 0
Training 1.007.000 12.588 300.000 3.750 8.838
3/Personnel 360.000 4.500 200.000 2.500 2.000
4/Administrative costs 96.000 1.200 0 0 1.200
Subtotal Operational Cost 6.208.000 77.600 3.017.321 37.717 39.883
5/Administration ETM 3% 1.237
Total 41.120
10.2: Budget Breakups
A. CONSTRUCTION OF THE BUILDING :
SL.
NO. PARTICULARS
AMOUNT
01 429 Sq.mt. building to provide residence for the girls
with dormitories, toilets, kitchen, dining hall etc. 45,45,000.00
TOTAL 45,45,000.00
See plan in attachment 1.
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B. EQUIPMENTS AND FURNITURE
SL.
NO. PARTICULARS AMOUNT
1. Cots – 25
(Rs. 3500X25) 87,500.00
2 Kitchen utensils and cylinder gas with stove 35,000.00
3 Dining Table – 5
(Rs. 4,500X5) 22,500.00
4 Chairs for the Dining Table – 25
(Rs. 500X25) 12,500.00
5 Cupboards – 5
(Rs. 3,500 X 5) 17,500.00
6 T.V & CD Player with stand 25,000.00
TOTAL 2,00,000.00
C. SALARY FOR THE STAFF
SL.
NO. PARTICULARS AMOUNT
1 Programme Coordinator Rs.8000X12 96,000.00
2 Tutors
(Rs.8000 x 2 x 12) 1,92,000.00
3 Placement and training
(Rs. 6000 x12) 72,000.00
TOTAL 3,60,000.00
D. PROGRAMME EXPENSES
SL.
NO. PARTICULARS AMOUNT
01. Workshop / seminars for the students on nursing care
issues by the experts – 12 (Rs. 2000X12) 24,000.00
2 Training for core groups PRI/SHG - 1
Rs 200 x 15members x 2 days 6,000.00
3 Campaign in villages issue on girl child care 20 villages
x Rs.500 10,000.00
4 Motivational sessions for school teachers on Life skill
education for school dropouts.
20 Teachers x 1 day x Rs.100
2,000.00
5 Food and refreshment for the student nurses. (Rs.3000
x 12 months x 25) 9,00,000.00
6 Teena age out reach programmes for the rural girls – 5
(Rs. 3000X5 programmes) 15,000.00
7 Study Tour for the students to visit different care
centres. (Rs. 2000X25) 50,000.00
TOTAL 10,07,000.00
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E. ADMINISTRATION
Sl.
No. Particulars
Amount
Rs.
1 Postage/stationery Printing 2000 x 12 months 24,000.00
2 Building maintenance
(3000 x 12 months) 36,000.00
3 Documentation, photography and reporting 6,000.00
4. Electricity (Rs. 2500X12) 30,000.00
TOTAL 96,000.00
11. Viability
11.1. Socio-cultural Viability (programme viability)
25 girls will acquire nursing skills and will get certificate as nursing care provide
which will be sufficient for the students to seek a job in the locality as well as
outside.
The trained Nursing care providers will participate as guest resource person and will
share their experiences, knowledge and the challenges they have faced.
The community is well aware about the students being picked up by the organization
for skill training.
Number of school dropout girls in the district is high and admission for this course is
guaranteed since there is good demand for this profession the job market.
11.2. Economic Viability
Students will pay their actual expenses for food. Poor girls will be supported through the
individual scholarship programme.
St. Ignatius Hospital also will pay Rs. 1000 per month as a stipend after completion of
the project period.
11.3. Technical Viability
Qualified subject experts to guide the students are available in the locality.
St. Ignatius Hospital will provide the opportunity for the students to get practical
training.
Health care institutions, families will provide the job opportunities for the students
who completed the course.
12. Monitoring & evaluation
The programme will be monitored and the process of evaluation will be carried out
monthly by the Institute and the staff.
Monitoring and follow-up training will be incorporated in the design of our program so
that the knowledge and skills are current and relevant.
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ATTACHMENTS 1. Plan of the building ground floor and first floor
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2. SYLLABUS FOR NURSING AIDE COURSE
ANATOMY
Skeletal System
Bones, Types, Structures, Function.
Cardio - Vascular System
Blood, Composition, Clothing and blood group cross matching, blood products and
their use.
Hart
Position, Structure, conduction system, blood pressure and pulse.
Respiratory System
Structure and functions of respiratory organs
Excretory System
Structure of organs of Urinary System
Function of Urinary System
Nervous System
Structure & function of Nervous system
Sensory Organ
Structure of skin, eye, ear, nose, tongue
Digestive System
Structure and function of Digestive System
The Reproductive System
Structure of female Reproductive organ
Structure of male Reproductive organ
Function of Reproductive organ
NURSING ARTS
1. Nursing definition and meaning
2. Nurse definition and meaning
3. Bed and bed making
4. Source of infection
5. Transmission of Infection
6. Qualities of the nurse
7. Professional Etiquettes
8. Discharging a patient
9. Admission of a patient.
10. Assisting the physician.
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Basic nursing care and needs of the patient
1. Hygienic needs and physical needs
2. Importance of maintaining good and personal and environmental hygienic in health
and disease.
3. Care of the skin and mucous membrane
4. Bed bath, care of hair, eyes, nose, ears, teeth, genitalia, hands and feet nutritional
needs.
5. Maintenance of intake and output record.
Comfort devices and their uses, positions, body mechanics
Moving, shifting and lifting of patient
1. Care of pressure points, bed sores, causes, signs, Symptoms, prevention and
nursing care.
2. Shifting of patient from one side to another from bed to wheel chair and bed to
stretcher.
Assessment of patient/client
Temperature, pulse, B.P normal and abnormal
Therapeutic nursing care and procedures asepsis
1. Hand washing, hand scrubbing, use of mask, gown, gloves.
2. Disinfection techniques, sterilization techniques, autoclaving, boiling, flaming.
Care and sterilization of
1. Linen, bed, mattress, floor, walls, cupboards and other articles.
2. Rubber goods dressings, instruments, needles syringes, enamel articles.
3. Barrier nursing and isolation.
Care of Respiratory system
1. Inhalation
2. Collection of specimen, blood, sputum, urine.
Care of gastro intestinal tract
1. Preparation and giving of enema.
2. Suppository
3. Passing of flatus tube
Care of genito-urinary system
Perineal care of terminally ill patient and patient with catheter
Care of skin and mucous membranes
1. Cold application: Ice, cap, cold packs.
2. Hot application: Use of hot water bag.
Care of the dying
1. Last offices, packing of dead bodies.
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FIRST AID
Emergency Situation
1. Fire, burns, fractures, accidents, poisoning, drowning, hemorrhages, insect bites,
foreign bodies.
2. Transportation of the injured.
3. Bandaging and splinting
4. Infection and immunization
5. Communicable disease
6. Infection & Immunization
7. Communicable Disease
NUTRITION
Sources
1. CHO
2. Proteins
3. Fats
4. Minerals
5. Vitamins
6. Water
Diseases caused by deficiency of protein, fat, carbohydrate, minerals and vitamins.
Introduction to diet therapy
1. Diet and the patient
2. Serving of food
3. Feeding of helpless patients
Health Promotion
1. Nutrition
2. Human Body and Hygiene
3. Mental Health
I. Essential Nutrients
Importance of nutrition in health and sickness
Essential nutrients, functions, sources and requirements.
Classification of food and their nutritive value.
Natural requirements at different ages.
Balanced diet for different age group.
II. Nutritional Problems
Nutritional Deficiencies:
Deficiencies, correction, treatment and referral – protein energy malnutrition.
Vitamin and mineral deficiencies
Nutritional anemia in woman
Under-five nutrition.
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III. Promotion of Nutrition
Planning diets and special diets for a family
Methods of using locally available foods for special diet
Principles and methods of cooking
Promotion of kitchen gardens
Food hygiene and safe preparation
Storage and preservation
Food adulteration
Precautions during festivals and meals
ENGLISH Grammar
1. The sentence
2. Different parts of speech in brief.
Vocabulary
3. Conversation
4. Speaking skills
Written composition
5. Paragraph writing
6. Essay writing.
7. Letter Writing