Training Report
Induction on Hridaya TI Plus services (Implementing partners in the states of Haryana, Uttarakhand & Bihar)
February - March 2013
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Background: Hridaya is supported by the Ministry of Foreign Affairs, Government of Netherlands and was awarded to International HIV/AIDS Alliance (UK) and technical support provided by Alliance Ukraine. The Community Action on Harm Reduction (CAHR) project is implemented in five countries: China, India, Indonesia, Kenya and Malaysia and is known as Hridaya in India and is implemented by India HIV/AIDS Alliance (Alliance India). The goal of this project is twofold: i) to increase access to services for people who inject drugs (PWID) in underserved areas and ii) support the development of more comprehensive services in areas where services already exist. As in all its work, Alliance India will use a human rights-based and gender-sensitive approach.
Hridaya (CAHR) aims to compliment and supplement the national harm reduction approach adopted by the National AIDS Control Organisation (NACO) and supported by State AIDS Control Societies (SACS) in the states of Bihar, Haryana and Uttarakhand. This is to be achieved by providing an additional package of services through the already existing implementing targeted interventions (TI) programs implemented by NGOs in communities of high density of PWID.
The additional package of services provisioned by Hridaya is known as TI Plus services. In order to implement the said TI Plus services, all the 35 TIs in the three states (14 TIs in Bihar, 15 TIs in Haryana and 6 TIs in Uttarakhand) recruited an additional workforce that consists of: 1 M&E person cum program officer, 1 female outreach worker, female peer educators (those affected by drug use ratio-1:60 as per the TI target) and peer counselors (primarily ex-drug users ratio-1:200). The existing TI program has a staffing of: program manager, outreach workers (1:200 as per the TI target), ANM/counselor and accountant.
In order to effectively implement TI Plus services, it was imperative for the entire workforce to be fully informed and equipped with the necessary understanding and skills on the components of the Hridaya TI Plus service package, activities to be conducted under each component and target to be covered. It was also important that, through this training, the implementing partners gain a clear understanding to avoid any duplication within the provision of services that NACO/SACS are already providing. Hence, five-day induction training was organized in each of the three focus states so that participants get acquainted with the additional service delivery model and deliver substantial outcomes through the additional service package.
Participants (refer to annexure 3): The participants in the induction training were from the existing targeted intervention (TI) programme as well as from the Hridaya TI Plus services. These participants comprised of: 
From each TI: Program Manager, Outreach Workers, ANM/counselor, Accountant

From Hridaya TI Plus: M&E cum Program Officer, Female Outreach worker, Peer Counselors
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Pre-training preparations: The induction training was based on the three core areas of programme implementation: Program; M&E and Financial procedures, it was imperative to design an agenda that was flexible, easy to understand and learned in a participative manner. This training was aimed to cover all programme related technical information inclusive of activities, targets, frequency of each activity, documentation and recording systems and budget utilization in a systematic manner. Hence, a five-day agenda (refer to annexure 3) was developed keeping in mind to cover all aspects of program implementation. Additionally, a facilitatorâ€&#x;s manual that included both the agenda and power-point presentations were developed.
Three external consultants apart from the Alliance India staff were hired for facilitating specific technical sessions. All of these trainers have immense national and international experience in working with the PWID populations and conducting trainings technical areas related to injecting drug use related harm reduction.
Structure of the training programme: The entire training programme consisted of participatory workshop of five days duration using various training techniques such as lectures, interactive presentations, group discussions, demonstration, and informal and formal feedback sessions. All sessions involving power point presentations were used as a guide but the thrust was mainly interactive and participatory in nature. This served the purpose of keeping the participants engaged and interested throughout the training programme. The contents of the training started from the very basic issues and progressed gradually to technical and operational aspects.
Additionally, the emphasis in the training was not just on imparting Knowledge to the participants but also on modifying their Attitudes and enhancing their Skills towards working effectively with injecting populations, their spouses and families. The first two and a half (2 ½) days focused on imparting programme activities related technical information that was followed by half-a-day session on financial procedures on the third day. The last two days i.e. day four (4) and five (5) were completely devoted to M&E procedures: record keeping, documentation. Participants were given computers on the fourth day that focused upon gathering hands-on-practical experience on the SyRex software.
The technical programmatic sessions were with all participants for the first two days. The financial session participants were program managers, M&E cum program officer and accountants. M&E procedures were solely conducted with only the program managers and M&E cum program officers.
Proceedings of the training: Day 1 The five-day training for Haryana (batch 1) started in Delhi by a special address by Ms Sonal Mehta Director: Policy & Programmes Alliance India where she thanked all the participants for making it for
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the training in such a short notice. She emphasized on the importance of Hridaya in the national harm reduction response and its implementation in the state of Haryana. She said that currently the harm reduction approach in the state of Haryana need to be strengthened. The project will also help in proving the exact prevalence of IDU in specific districts in the state. The need is to understand the nature of problem and provide appropriate need based services to them.
The same introductory message was delivered by Mr. Charanjit Sharma Programme Manager and Mr. Francis Joseph Programme Office during the following training participants in the remaining states of Bihar and Uttarakhand. A round
of
introduction
of
participants
was
followed where everyone shared their name, organization and designation followed this. Some of the participants also expressed their expectation from this workshop.
Session 1: Hridaya Service package focused upon introducing the menu of services offered complimentarily to all the participants. This session began with giving background information about Hridaya inception and further providing programmatic understanding to all the participants. The Hridaya three-tier approach; technical support; capacity building; TI Plus services entailing the responsibilities for each component was clearly explicated. A comparison between the NACO threetier approach and TI service menu vs the Hridaya approach and its service menu was done. Hridaya services were segregated into three broad areas: Direct support, Education and Referrals. It was explained that the direct support component are the services where monetary support will be provided to clients. Direct support entailed services like dealing in emergency situations, peer progression, PLHIV care etc. Under the education component, families will be informed and educated on drug use and HIV whilst the entire populace will be educated on Hepatitis, Overdose, Law & Rights, Outreach activities for spouses and families and sexual & reproductive health. It was clearly emphasized that duplication of services should be avoided. Additionally, targets for each activity were also explained to all the participants.
Session 2 Basics of drugs aimed to provide information on two core areas: i) classification of various types of drugs available in the communities and ii) „harmsâ€&#x; associated with drug abuse. In this session, the various types of drugs widely available in the three states. These were mainly classified into four categories: i) Opioids/Opiates, ii) Sedative Hypnotics, iii) Stimulants and iv) Cannabis. The properties, mode of administration and psychological effects of each drug were explained to all the participants.
Drugs
Classification
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Mode of administration
Effects
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Opioids/ Opiates
Sedative Hypnotics
Stimulants
Opium, Smack, Brown Sugar, Buprenorphine, Tidigesic, Morphine, Sangesic,Lubigesic
Diazepam, Promethazine, Pheniramine, Pentazocine, Propoxyphene, Codiene, Diphenoxylate, Ketamine Cocaine, Crystal Methamphetamine, Ecstasy, XTC
Orally (swallowing), sniffing, chasing, injecting
-
Orally, drinking
-
Orally, sniffing, injecting
-
Cannabis
Bhang, Ganja, Charas, Hashish, Hash Oil
Orally, Smoking
-
Instant rush Increased activity Short lived intense experience Relief from pain, anxiety Profound euphoria Numbness Sleep Locomotion Alertness, Awareness, Wakefulness, Endurance, Productivity and Motivation Increases heart rate, arousal, locomotion Decreases appetite, sleep Increases focus, determination Lethargy, laziness
A brainstorming exercise and group work was done with the participants on the various harms associated with drug use. The outcome of this was that all the groups came out with five different areas of harms on any individual due to drug use. These were namely; i) Physical harms; ii) Familial/Social Harms; iii) Financial/Occupational
Harms;
iv)
Psychological Harms and v) Legal Harms. The link between the various harms including HIV, stigma, discrimination, homelessness, criminalization etc. associated with drug use was explained. The session ended by discussion on feminization of the epidemic and purpose for an intervention for injecting populations and their families.
Session 3: Basics of Hepatitis B & C. This particular session focused on detailed information on hepatitis B and C. In Hepatitis, the main impact on the human body is primarily inflammation of the “liver� - Hepat (Liver) and Itis (Inflammation). During the infection, there is a specific virus that is causes the liver to inflame (swell or become larger than normal). The routine functioning of the liver inside the body is to: clean the blood; regulate hormones; reduce blood clotting; produce bile; produce important proteins; maintain sugar levels etc. During Hepatitis infection, the walls of scar tissue begins to form that covers the healthy liver cells and all these functions become disrupted.
Hepatitis A, B and C were explained to the participants emphasizing on transmission, clinical symptoms, diagnosis and prevention. Participants were then explained that viral hepatitis A and B is curable by early medical intervention. Hepatitis C, which is most commonly seen amongst PWID, is
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also curable but the cost of treatment is exorbitantly high and hence people are unable to afford treatment. The major point that was highlighted was amongst 100 people getting infectious viral hepatitis C, 20% clear the virus inside their body whilst the remaining 80% become chronically infected by it.
Session 4 talked about details on Outreach activities to be conducted by the female staff. It was explained to the participants to list down the female partners primarily spouses of PWID. It is estimated that approximately 40% of PWID in the country are married and Hridaya project goes by the same calculation (e.g. in a target of 300 IDU covered by the TI, it is estimated that 120 (40%) would be married). Hence the TIs were asked to do a line listing of all married PWID registered in their respective TI projects. Other team members such as ORW and Male PEs were asked to support the female team in reaching out to the families making a prior contact with the drug using individual. Individual Female outreach workers were asked to play a mock by imitating as wives of PWID in making a contact on the where, When, How and What approach.
Like NACO, the female outreach worker has a total reach target of 200 spouses primarily followed by other family members. The female peer educator ratio was 1:60 spouses/families. They were explained on planning and implementing effective outreach in close coordination with the male outreach teams. This was followed by group exercise in developing micro-plans and maintaining ORW and Peer diaries. All participants then shared their group work with the wider group.
The day ended with a feedback on the proceedings of the day and vote of thanks by the facilitators.
Day Two (2) The day began with the recap of Day 1 by assigned volunteers followed by interaction and Q&A on the previous dayâ€&#x;s sessions. Session 1: The first session of day two was focused on Overdose management and discussion was held on identifying the various
reasons
for
incidences
of
overdose. The facilitator explained that overdose
often
happens
when
any
individual takes more drugs than his body
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can handle or tolerate. It was also emphasized that overdose can be fatal BUT in many cases, it is not. Reasons for overdose can be categorized into four different risk parameters given in the below grid. Subsequently, preventions methods were also discussed with the participants: Risk
Prevention
1. Mixing Upper/Downers combinations (Heroin and ATS) Downers (e.g. Uppers (e.g. Speed, Use one drug at a time Alcohol, Heroin and Cocaine, Ecstasy Don‟t mix alcohol with heroin/pills Pills) 2. Tolerance Break due to detox/jail or MMT Use less after getting out of detox, Being sick or hospitalized hospital, jail or when sick; New environment 3. Quality Tester shots Unpredictable Release the tourniquet 4. Using Alone
Cannot be found Behind closed locked door Hotel room
Fix with a friend Leave door unlocked Call a friend
Participants were explained that Overdose can happen i) when there is a mix of upper and downer effecting drugs i.e. mixing Heroin and ATS, ii) decrease in tolerance due to detention in jail or treatment centers, iii) when there is a change in the quality of drug and iv) when any individual is injecting alone. Methods of prevention were subsequently discussed and explained to the participants.
This was followed by discussing the various signs & symptoms related to overdose which are as follows: •
•
•
Airways and lungs – No breathing – Shallow breathing – Slow and difficult breathing Nervous system – Coma – Delirium – Disorientation – Drowsiness – Convulsion
•
Heart and blood – Low blood pressure – Weak pulse, reduced heart rate
•
•
Skin –
Bluish - colored nails and lips.
Eyes, ears, nose and throat – Dry mouth – Foams come out sometimes – Extremely small pupils, sometimes as small as the head of a pin ("pinpoint pupils") – Tongue discoloration Stomach and intestines – Constipation – Spasms of the stomach and intestinal tract
Participants were explained on simple techniques on how to prevent an overdose. It was also explained that all the clients need to be educated in the field on overdose management: •
The drug user should first use a little bit every time he buys a new supply: quality might be very different (stronger or less stronger than one usually uses) even if the drug user buys from the same dealer
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•
The body is much more sensitive (tolerance goes down) when the drug user has not used (even) for a few days (with heroin that is already the case after 3 days) e.g. after prison, detoxification etc.
•
If a drug user uses in a hurry or in a strange and/or new environment one has a greater risk of getting an overdose This was followed by educating participants on handling emergency situations. One participant volunteered to model an overdose client
and
positions
of
recovery
were
administered on him. Lastly all participants were
explained
that
in
an
emergency
situation, the ABC technique needs to be applied: A - Airway, B - Breathing and C Cardio-pulmonary resuscitation. Session 2: This session after tea-break was on Crisis response that focused on the importance of greater involvement of community members in the team. It was also emphasized that members from the same community are easily accessible and approachable in tackling crisis incidences and thus engaging community members is crucial in the success of crisis response teams. Formation of crisis response teams focuses on two core areas: i) ensuring legal rights of PWID are respected and ii) an enabling environment is created. Participants were explained that Crisis response is a method of addressing and preventing violence, abuse, harassment and discrimination that affect populations most at risk of acquiring HIV e.g. IDU and how involvement of PWID can ensure efficacy in addressing instances of crisis in the TI target area.
The facilitator also emphasised that crisis response teams work in specifically in three core areas: 1. Responding to incidents of violence 2. Resolution of crises with families, communities and intimate partners 3. Advocacy and sensitization work with stakeholders
A group exercise was done with participants who were three groups were formed and each group given the above mentioned theme. Each group presented their discussions and others added comments and feedback on strengthening the crisis response initiatives in each site.
Further the team composition was discussed and it was emphasised that, there ought to be 60% presence of community members in the crisis response team and 40% of external stakeholders such as doctors, lawyers etc. The TI acts only as a facilitator in this activity. Session 3: The third session of the day focused on PLHIV care and the importance of positive prevention. The participants were made to understand positive prevention with regards to safer practices in both injecting and sexual encounters. This would further link on motivating all positive
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individuals on general prevention from infectious illnesses (opportunistic infections). Participants were also explained on the importance of leading positive healthy lives, regular CD4 testing and home based care. Further, all the participants were made to understand that „positive prevention‟ is grounded on five core values: 1. To promote the recognition that PLHIV are part of the solution to the impacts of the disease and should be included in prevention efforts 2. To encourage the involvement of people living with HIV/AIDS in all aspects of health promotion and prevention activities 3. To develop health communication and prevention strategies targeted at PLHIV. To promote risk/harm reduction behaviors and activities 4. To protect and promote human rights and dignity issues for PLHIV including the right to privacy, health care, confidentiality, informed consent, and freedom from discrimination. 5. To ensure programs and services are available, accessible, and relevant to the diverse populations of PLHIV The participants were explained that focusing only on the HIV positive individual may not be an effective approach to position prevention. They were explained the three levels of work that the Hridaya TI Plus services needs to focus upon. These three levels of interventions and activities will substantially ensure positive prevention: 1. Individual level interventions 2. Couple level interventions 3. Community level interventions
Session 4: This session Home Based Care was a continuation of the previous one as an integral part of the positive prevention aspect. The main understanding that was given to participants was that, HIV, being a chronic but treatable illness can be managed at the home level, given that, any individual living with HIV, has appropriate information in leading a health and positive life. The highlighted points in this session were mainly talking about the advantages of home based care: •
Personalized care
•
Availability of care round the clock
•
Shared responsibility
•
Cost-effective care approach to care
•
Promotes HIV prevention
•
Community based care
•
Reducing Stigma and Discrimination
It is important to inform all positive individuals that a medical intervention is imperative but subsequently, if certain tools and practices are applied then PLHIV care be provided at the home level.
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Session 5: The following session after tea-break was on psychosocial interventions. It was emphasized that this activity does not restrict the TI counselor or peer counselors but the entire staff team. The primary aspects in psychosocial interventions that were highlighted in this session were motivation enhancement, psycho-education and formation of support groups.
Participants were explained that there are various technical approaches that can be helpful in enhancing motivation: i) Feedback, ii)
Decision
Balancing,
iii)
Developing
Discrepancy and iv) Supporting self-efficacy.
Under the component of psycho-education which is a doorway for clients met in the field by the outreach teams. This component becomes crucial as this is the entry point for all the clients for a long term relationship with service providers and through them services.
Participants were also made to understand the importance of forming support groups of PWID and their spouses. This group, when formed, can reduce isolation and stigma; helps in increasing social support; helps all individuals to share their day-to-day experiences; helps people see that living without illicit drug is possible; helps people see that living with HIV is possible; reduces the workload of the health service providers. The day two (2) ended by explaining the various roles and responsibilities of each Hridaya team member. Day Three (3)
Session on SRH: The session started with a brain storming and interaction on defining SRH and its different components. Participants where provided with four words on a flip chart namely Sex, Sexuality, healthy lovers and healthy parents and participants were expected to come up with one synonym each and at least 5-6 responses were expected from each group. Some of the responses that were noted down in the flip chart are quoted below: On Sex and sexuality: • Physical attraction • Natural desire • Good physics • lust • Opposite attraction • Mutual understanding • Enjoyment • Love • Curvaceous woman • Physical and mental satisfaction
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On healthy lover and healthy parents: • With no STI and HIV • Good physic/figure • Passionate • Romantic • Loving nature • Clean who maintains personal hygiene • Mentally fit • Handsome/beautiful • Free from diseases • Well planned family • Health conscious parents
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•
Financially sound
The objective of this activity was to set a platform where the participants would be able to openly discuss on issues related sex and sexual reproductive health which would further make the session more interactive aiming to increase and enhance their knowledge on Sexual Reproductive Health of Injecting Drug Users and their spouses.
Highlighting the words mentioned by the participants the facilitator explained that in the next part of the session these words that they have referred to above happens to be the basic constituents of SRH which they would be exploring further helping them in understanding SRH more clearly.
A group work on defining the Sexual Reproductive health and listing down of the various components of Sexual Reproductive Health was the next task provided to the participants.
After
this
sharing
it
was
observed that the participants were showing more interest in the session and a group work was organized by the facilitator among 2 groups. The participants were requested to define SRH and list out the components of SRH. Both the group had similar level of understanding regarding the SRH and its components. And they defined the SRH and its components as such: Definition of SRH: •
“Sexual need of men and women where both the partner has the equal right to express their sexual desire”.
•
“Mental Prepared which would synergies the fertility among men and help in reproduction”
•
“Physical and mental diseases related sex and human reproduction ”
•
“Sex followed by reproduction of children”
•
“SRH is family planning and balanced life”
•
“Love and understanding is very important for SRH”
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Some of the common listing regarding the components of SRH by all the groups were as such: • • • • • • • •
HIV&AIDS/STI Physical satisfaction Pregnancy Cervical cancer Menstruation Maternal care Breast feeding of the infant Nutritious diet
• • • • • • •
Early ejaculation/night falls Gap between birth of child /family planning Understanding between lovers Abortion Condoms Love and care Personal hygiene
Acknowledging the effort of the participants the facilitator could observe that the participants had basic idea on SRH and its components and the need was only to enhance their knowledge further. Before going to next session on Legal Aid the facilitator clarified the definition of SRHR and major components of SRH as defined by World Health Organization.
Breaking for 10 minutes for refreshment the next session was on Legal Aid. The facilitator started the session mentioning about the need of legal aid support to IDUs and referred to some case studies where the IDUs just because of their drug habit had faced mental and physical harassment from the law enforcement and the relatives and other people in the locality. The main objective of sharing the case studies was to make the participants understand how a drug users is harassed by police and other law enforcement agencies under the Narcotic Drug and Psychotropic Substance (NDPS) Act. Further the facilitator also shared regarding the different offenses, punishment, rights of arrestee, related to the illegal drug use and cultivation as per the NDPS Act. Some of the common and relative questions that were raised by the participants of all the four groups were around:
If a drug user inside the prison wants to go for treatment then was it possible.
Can a drug user be released on probation for some personal purpose like family function etc.
What is the Juvenile punishment for a drug user below the age of 18
Referring to the NDPS act the facilitator provided information to the above concerns of the participants. After this presentation of NDPS Act and discussion on the same, legal aid was clearly defined by the facilitator as such: “Legal Aid is the provision of assistance to people otherwise unable to afford legal representation and access to the court system. Legal Aid is regarded as central in
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providing access to justice by ensuring equality before the law, the right to counsel and the right to a fair trial”.
The last 10 minutes of the 2 hours session was focused on the referral linkages and the participants were requested to share about the list of the service providers in their areas. The probe question that the facilitator used to spark the participants thinking about the referral linkages that they use in their community were as followings:
If you happen to come across any IDUs who share about having sores in his private parts and he is very embarrassed to show it then how would you help him?
A drug users shares that his wife seems to be expecting a child but they are not prepared for parenting then what would you suggest him or where would you refer him to?
Going back to the case study on harassment how would you help the durg users to fight for his right and his innocence?
The facilitator noted down the available services providers that were shared by the participants in a flip chart some of the common ones that all the four groups came up with were as such: For SRH: • Hospitals • Public health post • Health Clinics and laboratory • Nursing homes • ICTC /VCTC • Marie Stoppes clinic
For Legal Aid: • Crisis response team in the NGOs • Lawyers and Advocates who were in contact • Youth Clubs
Finally the orientation session came to an end, where the facilitator talked about the way forward. Participants were informed that they will be provided a 3 days training on SRH and legal Aid in the coming months. Participants were also asked to use the learning from the orientation at their work and provide referral services to the IDUs and their spouses on SRH and legal Aid as and when required. Their field experience will be further reinforced with more knowledge in the 3 days training mentioned above. The post lunch session on the third day focused on financial management procedures.
This session was focused on Financial Management, internal control and donor reporting. The basics of financial management were talked about that needs to be the part of financial practices in every organization working with Alliance India. This included:
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Accounting
system:
under
this
section participants were informed the fundamentals-book-keeping principles which
need
organization
to
follow
working
by
under
all the
Hridaya project.
Internal control: The importance of internal control and good practices were explained. The crucial areas such as verification and authorizations of expenditure, segregation of duties in finance staff, defining financial polices & procedures etc. were elaborated to the participants.
Cash & Bank Management: Under this section requirement of safety and proper recording/ documentation for bank and cash was shared. Some case examples of good practices with participants was shared and the facilitator urged that this has to be adhered to.
Payroll & Time Management and records: Under this section it was shared that Human Resource cost is a significant cost which must be properly controlled and documented at various levels.
Procurement process: This section was mainly focused on procurement processes and participants were told that if compliance in not adhered as per procedure and rules, then the donor may recover the fund. Entire process should be documented and records need to be maintained. The process of procurement according to international standards was explained to all participants at length.
Assets management: Under this section the importance of safety and proper utilization of the assets was explained. Participants also came to know of the processes of preparing and maintaining an asset register.
Donor reporting /budgets: Financial reporting format and other documents which need to be send with financial report on due date was shared with all participants. The budget was explained and also how to compile the financial report. How to claim expenditure on referral services and what types of supporting documents need to be attached with vouchers.
The following session focused on Legal compliances that is expected to be adhered by each NGO in the government setup. The major discussion points included sharing of compliances related to FCRA, Provident Fund, Society and Income Tax. All participants were explained the processes to be followed under FCRA, registration, day-to-day working, related compliances and annual income-tax returns. The session ended with discussion on financial reporting and participants were explained the process involved in submission of financial reports adhering to the given format. The day 3 ended by session evaluation and a vote of thanks by all facilitators.
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Monitoring and Evaluation: The last two days of the five-day training was dedicated entirely on the basics of monitoring & evaluation and the two day sessions were scheduled in the following sequential manner:
Under Basics of M&E
Understanding on indicators and types of indicators such as input, process, output, outcome and impact was explained in details with the participants.
An exercise was conducted to check the participants understanding on the basics of M&E. Under the Hridaya M&E strategy, it was focused on the M&E plan such as assessments/Operational Research /Drug Use Pattern Assessment, indicators, targets, reporting formats, reporting timeline and offline database.
In terms of target it was explained to the participants as follows; •
Increase in Target: TI has up to 250 target has been increased -50; 300 and above retained the same target
•
Coverage: Total distributed across the project period (7 quarters) as 10, 25, 40, 55, 70, 85,100 (cumulative target) and last quarter follow up and bridging the gap
•
Individual
service
distributed
targets
based
on
were certain
assumption for major indicators •
Targets given for major indicators for the major indicators based on contract period along with Contract
•
Some indicators are directly linked with budget and others are linked with human resource/Staff
In terms of registers and reporting formats it was also explained as follows; •
Registration form as per Syrex software
•
Reporting format is in excel sheet for quantitative with 28 major indicators in the reporting format, 15 minor indicators also in the reporting format
•
•
Cumulative and non-cumulative indicators
•
Disaggregation by IDU Male, IDU female and partners/family members
Programmatic narrative report format for qualitative report mostly to provide more information on the programmatic achievements.
Exercise on calculating cumulative and non-cumulative was also held during the discussion. It was really helpful to the participants to understand the concept of reporting. Information flow from bottom
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th
to top was also explained. Deadline was fixed for quarterly reporting as 5 of the new month post the end of every quarter.
Roles of M&E cum programme officer was also explained; •
Client registration and providing ID Number
•
Ensure proper recording of information in Registration form and Daily dairy
•
Data entry in Syrex and regular updation
•
Ensure Data Quality
•
Maintaining, documenting and generating monthly report to SACS and Quarterly report of Hridaya
•
Program analysis for better implementation
On the last day, all participants were given laptops to experience the software. The Day 5 was entirely focused upon Syrex training that was conducted by PowerPoint presentation, demonstration and hands on experience on
software installation, features of software such directories, service
registration, project clients registration, daily register and reports, data management such as back up and transfer file were focused. Each feature was explained through PowerPoint presentation slides and subsequent demonstration was done. Participants had hands on experience and they themselves created Data based in Hridaya laptop for data entry. Some of the screen shots are as follows;
Main window of SyrEx
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Directories in SyrEx
Client profile entering in SyrEx
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Daily dairy entries in Syrex
Trainings/ Meetings/ Workshop entries in Syrex
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Annexure 1 Training details Dates
States Haryana
Venue
No. of participants
Batch 1:
Batch 1:
Batch 1:
February 06 - 09, 2013
Hotel Conclave & Hotel Star
58 participants
Grand Villa in Delhi
Uttarakhand
Batch 2:
Batch 2:
February 12 - 15, 2013
Hotel Solitaire Mani Majra,
Batch 2:
Chandigarh
66 participants
February 21 - 22, 2013
Hotel Blue Saphire Clarks Inn
49 participants
Manpur Uttar, Rampur Road, Haldwani, Uttarakhand Bihar
March 04 - 08, 2013
Hotel City Center, Station Road,
119 participants
Patna, Bihar
Resource Persons: Program Team
Details
Charanjit Sharma
Program Manager, Hridaya, India HIV/AIDS Alliance
Francis Joseph
Programme Officer, Hridaya, India HIV/AIDS Alliance
Siddharth Singh
Consultant, Technical Expert, Harm Reduction
Dr Muneet
Consultant, Master Trainer, Harm Reduction
Ira Madan
Consultant, Technical Expert, Harm Reduction
Ashique Ahmed
State Coordinator: Haryana, India HIV/AIDS Alliance
Finance Team
Details
Deepa Tyagi
Grants Management Officer, India HIV/AIDS Alliance
A Ramanathan
Grants Management Officer, India HIV/AIDS Alliance
Kavish Dilawari
Grants Management Officer, India HIV/AIDS Alliance
M&E Team
Details
Kaushik Biswas
Manager: Monitoring & Evaluation, India HIV/AIDS Alliance
A Viswanathan
Technical Officer: Monitoring & Evaluation, India HIV/AIDS Alliance
Ashish Patkar
Compliance Officer: Haryana, India HIV/AIDS Alliance
Bimal Kumar Jojo
Compliance Officer: Bihar, India HIV/AIDS Alliance
Technical Support Hub
Details
Joydeep Sen
Manager: Alliance Regional Technical Support Hub
Pemu Bhutia
Technical Officer: Alliance Regional Technical Support Hub
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Annexure 2 Agenda
Induction Training for Hridaya Partners of Haryana, Uttarakhand & Bihar Day 1 - For all TI and Hridaya TI Plus staff Time
Activity
10.30 - 11.00 am (30 mins) 11.00 - 11.15 pm
Assembling & registration
11.15 - 11.45 am (30 mins)
Welcome & Introduction of participants
11.45 am - 1.00 pm (1 hr: 15 mins)
Methodology
Health Break
3.00 – 4.00 pm (60 mins) 4.00 - 4.15 pm 4.15 - 5.45 pm (1 hr 30 mins) 5.45 – 6.00 pm (15 mins)
Charanjit / Francis
Aims, objectives & expected outcome of the training Hridaya service packages Implementation focus TI Plus activities Service Components, Services on offer
1.00 - 2.00 pm 2.00 – 3.00 pm (60 mins)
Facilitator
All participants
Power point presentation followed by Charanjit / Q&A Francis Lunch Break
Basic of Drugs Discussion followed by Power point Charanjit / Classification of drugs presentation Francis / Siddharth Drug related harms Basics of Hepatitis Discussion followed by Power point Siddharth / Hepatitis B & C – All that you need to know about presentation Charanjit / Francis prevention, management & education Health Break Outreach Profiling of target population Outreach Planning for spouses, families Session Evaluation, Reflection & Feedback
Discussions followed by Power point presentation Interactions: Q&A
Charanjit / Francis All participants
Day 2 - For all TI and Hridaya TI Plus staff 9.30 - 9.45 am (15 mins) 9.45 – 11.00 am (1 hr 15 mins)
Recap of Day 1 Overdose management Signs & symptoms Prevention of overdose Education on handling emergency situations Case studies on different situations
11.00 - 11.15 am 11.15 - 12.15 pm (60 mins) 12.15 - 1.15 pm (60 mins) 1.15 - 2.15 pm 2.15 - 3.15 pm (60 mins)
Health Break Crisis Response Concept & rationale Building capacities & engaging communities Positive Prevention Transmission of HIV & clinical staging Concept & importance of positive prevention Lunch Break
4.30 - 5.30 pm (60 mins)
Discussions followed by a Power point presentation
Charanjit / Francis
Discussions followed by a Power point presentation
Charanjit / Francis
Home based care Rationale & Principles of home based care Essentials in home based care
3.15 – 3.30 pm 3.30 – 4.30 pm (60 mins)
Assigned volunteers Discussions followed by Power point Siddharth / presentation, group work & Charanjit / presentations by each group Francis
Charanjit / Francis / Siddharth / Muneet Health Break
Psychosocial Intervention Client counseling Messaging and communications Terms of Reference Roles and Responsibilities of staff members
Hridaya Induction Training Report
Power point presentation Mock sessions
Charanjit / Francis
Power point presentation
Charanjit / Francis
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Time
Activity
Methodology
Facilitator
5.30 – 5.45 pm (30 mins)
Session Evaluation, Reflection & Feedback
Interactions: Q & A
Hridaya Team
Day 3 - For all TI and Hridaya TI Plus staff Time
Activity
Facilitator
Recap of Day 2 9.30 - 9.45 am Assigned (15 mins) volunteers Overview on SRH Services & Legal Aid need of 9.45 - 12.00 pm IDUs (including health break) Brainstorming, discussions, power Joydeep Sen / Objective of the session point presentation, followed by Pemu Bhutia Group work SRH Defining SRH Different components of SRH Legal Aid Types of harassment NDPS Defining of legal Aid Existing legal Aid services How will you help? Identifying Service providers in the community Referral Mapping and linkages Role of ORW teams finishes after this session. They can go to check out of the hotel, collect per-diems and have lunch before they leave. This will be followed by forming two separate batches of staff categories; Batch 1: Peer Counsellors (also leave after this session) & Batch 2: PM, M&E cum PO & Accountant (continue for the remaining days)
Batch 1: Peer Counselors 12.00 - 1.15 pm (1 hr 15 mins)
Importance of Meaningful Involvement of People who Use Drugs into Harm Reduction programs Formation of drug user networks
Batch 2: PM, M&E cum PO & Accountant 12.00 - 1.15 pm (1 hr 15 mins) 1.15 - 2.15 pm
Financial Procedures Overview of Hridaya TI plus budget and Reporting Financial Management and Legal Compliance Lunch Break
A Ramanathan
2.15 – 3.30 pm (1 hr 15 mins) 3.30 – 3.45 pm
Financial Procedures …… continued
3.45 – 5.30 pm (2 hrs 45 mins) 5.30 – 5.45 pm (15 mins)
Financial Procedures …… continued
A Ramanathan
Session Evaluation, Reflection & Feedback, interactions: Q & A
Hridaya Team
A Ramanathan
Health Break
Day 4 - For only PM, M&E cum PO M&E Procedures
9.30 - 11.30 am Basics of M&E Hridaya M&E plan 11.30 – 11.45 am 11.45 – 1.00 pm 1.00 – 2.00 pm 2.00 – 5.30 pm (Including health break)
A Viswanathan Ashish Patkar
Health Break Indicators and Reporting format
A Viswanathan Ashish Patkar
Lunch Syrex Sofware - Orientation and Software Installation Syrex practical
A Viswanathan Ashish Patkar
Day 5 - For only PM, M&E cum PO 9.00 – 9.15 am
Hridaya Induction Training Report
Recap of day 4
Assigned volunteers
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Time
Activity
9.15 am - 5.30 pm (entire day including health and lunch break)
M&E Procedures √ Syrex software session - Practicals
Hridaya Induction Training Report
Methodology
Facilitator A Viswanathan Ashish Patkar
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Annexure 3 Haryana - List of participants Batch 1 – Feb 06-09, 2013 Name of Org - District Commoweal International Rohtak
S.no 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Turning Point Foundation Panipat
Sharan Society for Service to Urban Poverty Faridabad
Aident Social Welfare Organisation Gurgaon
Modern Education Society Sonipat
Society for All Around Human Development Bahadurgarh
Hridaya Induction Training Report
Name of participant Naveen Kumar Naveen Nandal Seema Sunil Pradeep VIvek Gopal Kulwant Jitender Pradeep Kumar
Designation Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant Accountant
11. 12. 13. 14. 15. 16. 17. 18.
Sohan Masih Shripal Kataria Kiran Dahiya Rakesh Sunil Kanta Ajeet Rajinder
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor
19. 20. 21. 22. 23. 24. 25. 26.
James Osmond Jackie Khushboo Praveen Pandey Manoj Kumar Vinod Kumar Naresh Kumar Subodh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
27. 28. 29. 30. 31. 32.
Naresh Kumar Ravinder Tarawati Krishan Shyamli Raj Kapoor
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Accountant
33. 34. 35. 36. 37. 38. 39. 40. 41.
Seema Neelam Kanta Suman Rakesh Devender Mukesh Rajpal Neeraj
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Peer Counselor Peer Counselor Counselor Accountant
42. 43. 44. 45. 46. 47.
Jitender Taruna Suneeta Sanjay Nisha Sanjeev
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor
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Gramin Yuva Avam Mahila Vikas Mandal Karnal
Hridaya Induction Training Report
48. 49. 50.
Nand Kishore Shabnam Seema
Peer Counselor Female Peer Educator Accountant
51. 52. 53. 54. 55. 56. 57. 58.
Neetu Sharma Randeep Mamta Parveen Rajesh Savita Gurdev Vijay
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor
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Haryana - List of participants Batch 2 – Feb 12-15, 2013 Name of Org - District Don Bosco Navjeevan Society Ambala
S.no 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Unnat Bharat Vikas Panchkula
Indian Charitable Foundation Yamuna Nagar
Navjyoti Education & Welfare Society Kaithal
ECO Club Hisar
Amar Jyoti Foundation Jind
Hridaya Induction Training Report
Name of participant Rajiv Sharma Sunil Kumar Sonia Pradeep Kumar Gulab Navneet Kumar Harish Kumar Hardev Singh Shaly CT Pooja Pande
Designation Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant Program Coordinator
11. 12. 13. 14. 15. 16. 17. 18. 19.
Neha Varsha Arora Manorama Mander Gurpreet Singh Sandeep Singh Manoj Kumar Anupam Sharma Satpal Singh Tejbir Singh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
20. 21. 22. 23. 24. 25. 26. 27. 28.
Gautam Gupta Jatinder Singh Monia Dhiman Gurjot Singh Satprakash Kamal Vikas Sharma Gaurav Sonu Dhiman
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
29. 30. 31. 32. 33. 34. 35. 36. 37.
Sunil Sirohi VIkas Malik Krishna Devi Praveen Sharma Jaspal Sudesh Sharma Manjit Singh Ragbir Singh Sandeep
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
38. 39. 40. 41. 42.
Surender Singh Rahul Verma Mamta Rani Vipin Sharma Sandeep Singh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Peer Counselor
43. 44. 45. 46. 47. 48. 49.
Bijender Singh Sushma Sinha Suman Devi Anil Kumar Anil Pehal Sunil Devi Raj Singh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor
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Chaubisee VIkas Sangh Sirsa
Ganga Social Foundation Kurukshetra
Hridaya Induction Training Report
50.
Phool Kumar
Accountant
51. 52. 53. 54. 55. 56. 57. 58.
Sadanand Inderjeet Singh Minaxi Mehta Radhey Shyam Deepak Kumar Puranchand Sunny Sampat Singh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
59. 60. 61. 62. 63. 64. 65. 66.
Ritu Poonam Sharma Rimpi Dhiraj Kumar Ankur Singh Prince Kamboj Lakhbir Singh Saloni
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor
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Name of NGO Danpur Himalayan Rural and Agricultural (DHARA) Society Nainital
Development of Human Resource Operation in Himalayan Rural Area (DHAROHAR) Haldwani
Forum for Rural Infrastructural & National Development Society (FRIENDS) Haridwar
Institute of Social Development (ISD) Sitarganj
Indian Institute of Monitoring Population, Agriculture, Research & Technology Transfer (IMPART) Udham Singh Nagar
Herbertpur Christian Hospital (HCH) Dehradun
Hridaya Induction Training Report
Uttarakhand - List of participants Feb 21-25, 2013 Sl. Name of participant No 1. Bhagwati Prasad Kandpal 2. Bhuwan Dhodiyal 3. Prema Routela 4. Mado Singh Dano 5. Pankaj Joshi 6. Narendra Goswami 7. Anil Joshi
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
8. 9. 10. 11. 12. 13. 14. 15. 16.
Bhawana Pandey Babita Sanwal Reena Rawat Suresh Dangwal Sunil Kandpal Harish Joshi Vinod Joshi Jahir Ahmed Birendra Singh
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
17. 18. 19. 20. 21. 22. 23. 24. 25.
Rajeev Bhatnagar Poonam Baswal Poonam Sharma Jitender Yadav Pramod Badoni Aarti Thapliyal Pratap Hari Om Rakesh Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
26. 27. 28. 29. 30. 31. 32.
Kuldeep Gangwar Nirupam Haldar Snehlata Rana Shiv Prasad Mishra Arfat Ali Prem Prakash Pavitra Mandal
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
33. 34. 35. 36. 37. 38. 39. 40. 41.
Naseem Ahmed Hidayatullah Ansari Meera Pal Harkesh Singh Mohd. Muktadir RIyasat Ali Saurabh Saxena Pradeep Arya Krishna Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
42. 43. 44. 45. 46. 47. 48. 49.
Karan Naithani Anish Kumar Rita Das Ajay Singh Atul Singh Ghalib Husain Amit Bali Parmanand Dhiman
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
Designation
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Bihar - List of participants March 04-08, 2013 S. no
Name of Org District
1.
Environmental Consultancy Vikas Centre (ECOVIC) (Mohania) Kaimur
2.
Narayani Sewa Sansthan Saran & Siwan
3.
Paridhi Bharti Lakhisarai
4.
LEPRA Society Bhagalpur
5.
Bihar Gramin Jagrukta Abhiyan Samiti (BGJAS) Begusarai
6.
Sewa Sankalp Evam Vikas Samiti (SSEVS) Darbhanga
Hridaya Induction Training Report
S.no
Name of participant
Designation
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Dharampal Piyush Abhay Kumar Singh Anju Devi Muniram Chaubey Sanjay Kumar Tiwari Binod Singh Yadav Chandana Yadav Satyendra Ray Shravan Pandey Rajesh Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Male Outreach Worker Male Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
11. 12. 13. 14. 15. 16. 17.
Anupam Kumar Ramjeet Kumar Shukla Manisha Kumari Rajeev Kumar Surbhi Kumari Bhupendra Prasad Singh Rajesh Kumar Sharma
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
18. 19. 20. 21. 22. 23. 24.
Aqbal Usmani Naveen Jaiswal Lavli Kumari Ganesh Kumar Jitender Kumar Sambhu Kumar Mukesh Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
25. 26. 27. 28. 29. 30. 31.
Amar Singh Dilip Narayan Singh Nishi Kumari Manoj Kumar Binay Kumar Manohar Paswan Chandan Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Male Outreach Worker Counselor Peer Counselor Accountant
32. 33. 34. 35. 36. 37. 38.
Chiranjiv Kumar Manoj Kumar Shiela Kumari Virendra Kumar Sanjay Kumar Parvin Kumar Gumraj Ram
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Counselor Peer Counselor Accountant
39. 40. 41. 42. 43. 44. 45. 46. 47. 48.
Afsana Khatoon Mohammed Saahil Mohammed Sab Ali Sheela Seth Sanjay Kumar Singh Deepak Kumar Amarendra Kumar Nawal Kishore Chowdhary Mohammed Sahid Rabiya Khatoon
Program Manager TI M& E Officer M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Outreach Worker Counselor Peer Counselor Female Peer Educator
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7.
SHANTIDOOT (Biharsharif) Nalanda
8.
Centre Direct Patna West
9.
Socio-Economic and Educational Development Society (SEEDS) Bhojpur
10.
Jayprabha Gram Vikas Mandal (JGVM) Buxar
11.
Gandhi Kusth Nivaran Pratishthan (GKNP) (Bhabua) Kaimur
12.
Sister Nivedita Memorial Trust (SNMT) Patna East
Hridaya Induction Training Report
49.
Prashant Kumar
Accountant
50. 51. 52. 53. 54. 55. 56. 57.
Manish Kumar Sinha Rajmani D Bhaskar Mira Kumari Sarwan Kumar Madhukar Gayan Bhai Brajesh Kumar Sohail Sanjay
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Peer Counselor Peer Counselor Accountant
58. 59. 60. 61. 62. 63. 64. 65. 66. 67.
Anil Kumar Sharma Simpy Ranjan Reeta Kumari Sir Prakash Devish Kumar Sanjay Kumar Gudiya Kumari Raj Kumar Suresh Kumar Babita Kumari
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
68. 69. 70. 71. 72. 73. 74.
Dr Sanjay Kumar Singh Dharmendra Kumar Bindu Devi Sri Kant Rai Sunil Kumar Mishra Mithilesh Kumar Sinha Randhir Kumar Mishra
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Counselor Peer Counselor Accountant
75. 76. 77. 78. 79. 80. 81. 82. 83.
Narendra Kumar Pandey Ras Bihari Tiwari Babita Kumari Prabhu Nath Gupta Uma Kant Tiwari Anil Kumar Tiwari Ramji Rai Mukesh Rai Rishi Muni Sony
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
84. 85. 86. 87. 88. 89. 90. 91. 92. 93.
Intaz Alam Vishwajeet Anita Gupta Ram Pyare Singh Surendra Tiwari Rakesh Kumar Bidyawati Kumari Om Prakash Rajeev Kumar Pratima Kumari Patel
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
94. 95. 96. 97. 98. 99. 100.
Dr Vijay Mohan Gupta Chandan Kumar Rizwana Ansari Sadanand Gandhi Sunil Kumar Hari Shankar Singh Preeti Sinha
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Outreach Worker Counselor
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13.
Karpuri Thakur Gramin Vikas Sansthan (KTGVS) Sitamarhi
14.
Sewa Sankalp Evam Vikas Samiti (SSEVS) Muzaffarpur
Hridaya Induction Training Report
101. 102. 103.
Vijay Kumar Ranjeet Mahto Pawan Kumar Sinha
Peer Counselor Peer Counselor Accountant
104. 105. 106. 107. 108. 109. 110. 111.
Raj Kumar Gupta Dinesh Kumar Chaudhary Sunita Devi Ajay Kumar Pankaj Kumar Verma Ranjeet Kumar Jha Achchelal Paswan Purushottam Kumar
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Counselor Peer Counselor Peer Counselor Accountant
112. 113. 114. 115. 116. 117. 118. 119.
Ashwini Kumar Shailendra Kumar Neelam Devi Gaurav Kumar Manoj Kumar Vinay Kumar Raju Kumar K P Gupta
Program Manager M&E cum Program Officer Female Outreach Worker Outreach Worker Outreach Worker Counselor Peer Counselor Accountant
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