Seva Bharat Ministries Secundrabad (A.P.) fund Letha Charitable Trust, to run this program. Its mission is to make India, a literate nation to make transformational development and growth through literacy. The main objectives of literacy to teach non-literate to read, write and do simple arithmetic. To bring awareness on issues of health, hygiene and sanitation. To promote social awareness for social upliftment. To help improve economic status through self help training. To impact ethical, moral and spiritual values. Hope Centre has been running this program for 4 years. 25 villages have 25 Adult Literacy Centers in Kesla Tribal Block of Hoshangabad District. Near about 600 women, men and dropped out children are getting literacy education every year.

The teachers are trained by Seva Bharat’s staff and these teachers come from these 25 villages. These teachers are paid Rs. 500/_ per month to teach basics of reading, writing and arithmetic for couple of hours everyday. After two years these teachers and students are given certificates. All teaching material, teachers manuals, gas lamps and black board have been provided by Seva Bharat.

Seva Bharat provides the Self Help Training Program (SHTP) to the literacy learners for conducting SHTP for 100 participants (25 teachers and 75 learners). Half of the budget for the training comes from Seva Bharat and Hope Centre being a partner with Seva Bharat provides other half. Seva Bharat sends a coordinator who comes and arranges for the raw material in coordination with Hope Centre. Learners choose 12 items from the list provided by Seva Bharat according to the local resources available. The same coordinator conducts the training within two days. Hope Centre sends original bills, reports and photos to the zonal office within ten days after completion of the program. Self help means helping oneself. Self equipping is in order to elevate self economy by establishing a small business such as cottage industry. People can earn more by spending their time to identify the resources and to make it in a usable form so that the poor may not be poor for ever.

Seva Bharat has partnership program with Hope Centre so as a partner it is also responsible for contributing every source of helping hand to conduct the program smoothly.

The entire success of the program depends upon the efforts of the SHTP coordinators will visit the project after the completion of the program to evaluate the results of the program also encourage the learners to implement this SHTP effectively without any difficulty.

This training program is compulsory to all AL projects. The success of the program will enhance the economic status of our learners.

Hope Centre and Seva Bharat involvement is very much necessary to make the program a success in turn that makes the learners status better. Project manager and learners also will share their part. Seva Bharat provides food for 3 days; provides a coordinator to conduct the program. Learners will pay a nominal training fees and project manager will invest in raw material, utensils and place.

The products prepared during the training program can be sold to the learners or to the local persons or it can be sold in the local market and this money would go to the investor i.e. Project Manger or learners. Product marketing can be house to house sale or local weekly/daily markets. Products can be exported to other places incase of bulk products.

Project Manager has to motivate the learners to start at least one item from their training to increase their income. Project Manager has to send the case histories with photos of such candidates along with the reports to Seva Bharat.

Seva Bharat also provides Health Awareness program. It is a one day program which focuses on certain topics like:

Definition and importance of health
Factors influencing our health
Immunizations
Pre-natal care
Post natal care
Awareness of- First Aid & Medicinal Plants

It also focuses on physical, Mental and spiritual health and importance of health.
Factors influencing our health such as (a) Hygiene.(b) Nutrition (c) Communicable Diseases (d) Habits and Addictions.

The Registration takes place in which each participant’s name, address, location of the AL center and signature of the participants are mentioned. To purchase the medicines, money comes from Seva Bharat. First a survey conducted of the ailments of the AL learners.

Local doctors are arranged by the Hope Centre. The selection of venue is always nearer to all the learners and animators. So the participants can reach the place easily and in time. Topics are dealt by a qualified Medical Doctors (Male & Female). Medium of instruction is always in participants own mother tongue or it is translated. Talk is practical rather than like a scientific session. Medical camp is a primary training to the learners rather than a common public camp.

The camps also educate the learners regarding medicinal plants and encourage them to plant commonly useful plants in their backyards and in their fields.

Adult Literacy Centers are still continuing in Itarsi to empower women.

This is a special program for children. Children get teaching on special theme every year. Teaching material has been provided by Seva Bharat. The lessons are divided into three parts. The first deals with the attitudes and qualities that are related to an individual, humanity and pride, honesty, integrity and habits are all that affect oneself.

The second part deals with our behavior and relationships with others. They cover over immediate circle, our community and our society at large. The last part defines how we can live a good life by developing a good relationship with God and following His commands. In short, we inculcate the idea that a good life begins with God and ends with God.

The theme lesson, the graded lessons, students workbooks and also Missionary stories cover the theme in totality.

Teachers come from our organization’s villages and they are well trained on various methodologies of teaching effectively by Seva Bharat and also on how to make good use of the resource material. Seva Bharat provides very good curriculum for the staff and students. Sports material has been provided by Hope Centre for their physical growth.

Hope Centre has been running CDP for two years. We have been given 5 centers in Itarsi (M.P.) in Hoshangabad district. 500 students have been benefited with this program. Parents of these children also participated in this program.

Relevant past experience of implementing community based projects in the field of reproductive health, adolescent health and experience of working with health service providers

As a result of survey in 11 villages of Kesla Tribal Block, District Hoshangabad (M.P.), we noticed that a lot of children and women suffer from malnutrition (random sample of 100 families – 60 women & 50 children are found malnourished. One child died after finishing the survey. Hope centre had developed a questionnaire which was used throughout the health project by SHG members to collect authentic information from the 11 villages. The questionnaire was in Hindi which is a local language because it was easier for the informants to use it. Hoshangabad district has 40.31% malnutrition rate among children. It has been increased since the data has been taken. Nutritional anemia mainly includes deficiencies in iron, foliate and vitamin B12. It can also be due to deficits in vitamin A and zinc. Anemia is one of the main causes of infant mortality. It also leads to the development of several illnesses and may provoke backward in cognitive capacity.

Free medical camps were arranged in the centrally located villages, govt. volunteer, doctors (especially gynaecologists) who made women and young girls aware of reproduction, family planning, sex education and cleanliness at the time of menstruation. Medicines were given and prescribed for anaemia and other common health problem. A team went with medicines. They did check up of women & children and told us that these women and children are malnourished.

Malnutrition causes several illnesses. It is important to care of these diseases and prevent them. The lack of care treatment is really important in the villages. Moreover, the people don’t profit from the poor care infrastructure. The care centers are too far for tribal people. The transport cost is too high for them. Moreover, the quality of the service is low. The people are not confident in public care centers although the medicines are free. The focus on access to care should be a priority for health development project.

The major health and problems affecting the program areas: anaemia is very common among women. Due to it maternal deaths are common.

Madhya Pradesh State AIDS Control Society (MPSACS), TI Project was given to Hope Centre for Women & Children in November 2008 among the men having sex with men (MSM) communities. The project operational targeted areas were Itarsi, Hoshangabad, Babai & Sohagpur.

The goal of the TI project is to prevent the spread of HIV/AIDS in the above mentioned four sites.

As far as MSM communities are concerned, out of total MSM mapped 60 to 70% are in urban areas. At Block level and semi urban and rural areas, numbers and self acceptance were less. ICTC of Hoshangabad had used for testing all our TI project sites. TI project doctors provided medical services to all our HRGs. Drop-in Centers were well used by the HRGs.

Third year we also worked on the project for Female Sex Workers (FSW).
Project director and Project Manager reviewed the project activities and all staff members are committed towards the project. The mid-term reviews were carried out by a MPSACS team (four members) of evaluators for three years. Follow ups had done by the Hope Centre’s TI project staff. Number of tools was applied during the TI project to understand the situation arrived at conclusions and suggest recommendations. Some of the tools used were desk base analysis of secondary data, individual interviews, group discussions, focus group discussions and direct observations. The Hope Centre TI Project had sent regular CMISs and SOEs reports to the main office Bhopal. All the documents had maintained properly and made available to the visiting team.

Our Organization took oath to work with this population honestly and kept this humanitarian mission alive and not to disclose identity.

Hope Centre had given support for HIV infected and AIDS orphans up to the age of 14 years only with the help of CANA (Christian AIDS/HIV National Alliance)..

Hope Centre has been given Umang program for 20 children from April, 2010. Children who are suffering from HIV/AIDS whom CANA-through Umang program has given nutrition support of Rs. 400/- per month for per child. CANA stopped financial support in 2012.

The provided support is not given as cash to the guardians, but provisions of providing food material, goods and services that a good quality of life is ensured for the selected child. The child’s need is hygienic and sanitation should also be taken care of.

Hope Centre takes care of testing of the child for CD4 count which is free in the Government ART centers.

The child is enrolled in the school. They get free education in the Government Schools.

Hope Centre helps with uniforms, shoes, umbrella, rain coats and school bags etc.

We provide alternative education to the children who dropout due to their frequent sickness through networking with local organizations where these children live.

CANA stopped the funding so Hope Centre is struggling for funds for these children. These children are now without nutritional help and their health is deteriorating. Our efforts are going down the drain without financial aid.

The primary focus of the Project “Community outreach Intervention through Health Intermediaries on Sensitizing Young Women on CAC” was to increase access to comprehensive abortion care (CAC) services. The objective of this project was to (i) ensure that the marginalised and young women are able to exercise their right to choose pregnancy prevention and safe abortion services, by improving their knowledge on legality and availability of abortion services; and (ii), create an enabling environment for young women to access CAC services from local approved health providers in public and private sectors. The ultimate goal thus being prevention of maternal morbidity and mortality arising out of unwanted pregnancy in Hoshangabad District of Madhya Pradesh.

The geographical spread of the project comprised of 713 villages in 7 Blocks divided into three clusters in Hoshangabad District. The beneficiary group was rural young women (both married and unmarried) in the reproductive age range of 15 – 39 years. The target group of Health Intermediaries as arrived at after an intensive village wise baseline survey was 857 ASHAs, 1424 AWWs, 200 ANMs and 1633 other volunteers.

Beginning in November 2012, the project was carried out in four phases: After the development of proposal, signing of MOU, appropriate staff identification and selection and conducting a baseline survey in the preparatory stage, Phase 1 included a stakeholders dissemination meeting to share results of the baseline survey, meeting with concerned officials, and orientation training programs with Health Intermediaries (ANMs, ASHAs, AWWs and Sahayikas).

Phase II: Village level and cluster level meetings organised for the target group, and wall paintings were carried out in all CHCs. A midterm review based on observations and feedback from the field strategies helped reformulate action plan, importantly introduction of a system of incentive slips for the use of ASHAs.

Phase III: District level workshop organised for district hospital health officials, BMOs, MOs, trained service providers on MTP, Block Program Manager, Block Community Mobiliser, ANM and ASHAs.

Phase IV: Focus was on facilities (CHC and PHC), where staff nurses and other facility staff were oriented on legal aspects and requirements such as maintenance of documents. A district level workshop was organised with a view to enhance awareness among stakeholders as well as community at large. Discussion on progress made, suggestions and recommendations formed key steps.

While each phase comprised of a distinct set of activities, record keeping, monitoring and evaluation as well as follow up were continual processes.

Achievements were both quantitative and qualitative in nature. In terms of numbers a total of 857 ASHAs, 1424 AWWs, 200 ANMs and 1633 Other volunteers ( which includes PRI members, teachers, SHG members and influential leaders) had been provided with information and knowledge on legal and medical aspects ( MTP, MMA, MVA, EVA) regarding CAC, and oriented on the use of and provided with appropriately field tested IEC material.

In terms of qualitative outcomes, it is presumed that the HIs now well versed on legal and medical aspects of CAC would use their skills and influence in convincing women about comprehensive care and safe practices regarding abortion, legal aspects and medical services available for safe abortion. The importance of referral and the ability of the HIs to use this to the advantage of women in their respective communities is a significant step in the direction of preventing maternal mortality. The fact that no maternal deaths were reported during the project period is a positive indicator of the effectiveness of the training skills built under this project.

The positive changes in the attitude towards safe abortion practices as specified under the MTP Act and as practiced in the medical facilities in the community has been brought about by promoting awareness through HIs. There is sufficient evidence to prove that this has resulted in a perceptible change in the mindsets of women regarding safe abortion practices, though it may be too early a time frame to provide exact data of the referrals made and lives saved.

This model was adopted as there is little scope of a direct reach to community women. HIs are a close link between community and health services, and time alone will reveal if there is a noticeable change in the utilisation of CAC services. Currently the HIs continue to be the focus and the target of reaching out to them has been achieved within the time frame of this project. It is our belief that the impact of the training to HIs by Hope Centre will bring about an enduring behavioural and attitudinal change among the women, who would then be empowered enough to actively participate in decision making processes at the community level. The project has certainly been instrumental in creating an enabling environment where each HI has complete knowledge of legal and medical aspects of safe abortion and ability to assist women to access safe abortion services. This would finally have a lasting impact on the target beneficiaries even beyond the project period. The current findings serve as a bench mark for designing future HIs trainings focused on interventions to increase knowledge, gain community support and ensure access to safe abortion services.

Given the results or findings of this project I strongly recommend the guidelines should be disseminated to all key stakeholders and providers of safe abortion services so that they can be implemented and services expanded. Additional efforts need to be made to educate HIs and women in communities about MTP, by the use of contraceptives and preventing unwanted pregnancy, the consequences of unsafe abortion, counselling and availability of safe abortion facilities and services.

Project Axshaya (GFR9TB) was given to Catholic Health Association of India (CHAI) and CHAI has given to Madhya Pradesh among 6 districts. Hoshangabad is one of them. Its aim is to strengthen NGOs and involve them in TB care and Control. Hope Centre for Women and Children, Itarsi, Hoshangabad Dist., has received the project in April 2011 for 5 years that is up to March, 2016.

Goal: The Goal and objectives of Axshaya to decrease morbidity and mortality due to drug resistance TB (DR-TB) in India and improve access to quality TB care and control services through enhance NGOs participation.

Target Groups:
• Women and Children
• Population living in poor and backward districts
• Population living in districts identified as predominantly tribal
• Population living in slums

Nasha Mukti program was started in 2005 in Kesla Tribal Block, Hoshangabad district. When Hope Centre started work among Korku and Gond Tribes, alcohol and drug addiction is up to the core. Men and women drink hand made alcohol extracted from the summer local forest product call “Mahua”. Gutka and Brown sugar are used by men, women and children from the very early age (6 years onwards).

Hope Centre rented a place in Kesla. This place has four rooms, Kitchen, Bathroom and lavatory. There is a guard to watch at night. There were 242 addicted persons in 2005. Hope Centre bore the rent and other expenses for this Nasha Mukti Kendra same time applied for Government grant to run the Kendra through Samajik Nyay Vibhag, Hoshangabad. The answer didn’t come through so reapplication was done. Till today the Hope Centre has not been given registration so the patients are not rehabilited in the Kendra after treatment they go home and if there are serious cases they are referred to Betul or Itarsi government hospitals. Villagers face many problems such as travel, financial support, living facilities for their families, food provision for the person who comes along with the patient. Sometimes they don’t get timely treatment. At present the Kendra has more than 500 patients.

To empower women through their economic development Hope Centre has been running a sewing center from 2002. It was started for the below poverty line (BPL) women and young girls who live in the out skirts of Niyas colony, Itarsi. Near about 75 women joined this program. Hope Centre hired a sewing teacher who had a diploma in tailoring and sewing. She was also having 25 years experience in her profession. All material and necessary requirements had been provided by the Hope Centre and the teacher was paid honorarium Rs. 1000/- per month. The classes were in batches. At present 170 women are coming to the center. The center is well equipped to fulfill their needs.

All the material, other required items, sewing and embroidery machines have been provided by the Hope Centre. There are 3 teachers who teach them regularly. These teachers have been paid honorarium on monthly basis. Women are also becoming aware of their rights, right to information and government and non-government schemes related to their benefits.

Sewing examination takes place every year (2013 – 2015) by Mahila Shashaktikaran, Hoshangabad M.P. So far 200 women had appeared in these examinations and got diplomas.

Hope centre has been running this program for two years for handicapped and poor children. These children have been given special coaching in almost all the subjects because they are behind in their studies or they stay at home due to their physical disability. Hope Centre hires two teachers for their coaching. These children also have extra curricular activities, painting, drawing and games competitions. The centre also provides them with stationery, lunch (sometimes), fruits and snacks. They have been given gifts at Christmas time.

Nearly 50 children benefit every year through this program. This program is summer vacation program to prepare children for the next school session. Parents of these children also participate in this program.

All women package program implemented in partnership with CASA and Hope centre for women and children Itarsi in selected 11 villages of Kesla Tribal Block. The Integrated development activities to empower poor & needy community in Hoshangabad District is supported by CASA, Focusing especially on women as they constitute half of the population in spite of that they are the poorest and under privileged group in our country. This partnership between Hope center and CASA is based on common understanding of contemporary development context. The overall purpose of this partnership is to facilitate process against constant denial of human rights, dignity, participation, justice, space and opportunity for poor and marginalized.

The Kesla Tribal block is in Hoshangabad district of Madhya Pradesh. This block consists of 109 villages and 49 Village panchayat with population of 97,964.The operational area for the organization is mainly 11 villages of Kesla Tribal Block in Hoshangabad district. These 11 villages come under 3 Panchayats and are selected for an integrated development activity to empower poor & needy communities (All women package program) in Hoshangabad district.These11villages are located near the bank of Tawa Reservoir Doob Area; around 50 K.M radius from Itarsi.

Society has undertaken developmental work among the “Korku” and “Gond” Tribes of 11 villages in Kesla tribal block of Hoshangabad district. With in the village, priority will be given to the poorest and major part of the target group will represent from tribal and dalit communities and rest will be families from socio economically and politically disadvantage group. The target group and reference community shall be women, men, poor small and marginal farmers, land less farmers, agricultural labor, daily wage earner and unemployed youth. They will identified from SC & ST house holds that migrate seasonally to seek jobs, house holds without permanent source of earning , all land less house holds and all displaced house holds. The majority of target group will represent from the women section, SC& ST and the poorest families from backward and socio economically marginalized class.

Society has undertaken developmental work among the “Korku” and “Gond” Tribes of 11 villages in Kesla tribal block of Hoshangabad district. With in the village, priority will be given to the poorest and major part of the target group will represent from tribal and dalit communities and rest will be families from socio economically and politically disadvantage group. The target group and reference community shall be women, men, poor small and marginal farmers, land less farmers, agricultural labor, daily wage earner and unemployed youth. They will identified from SC & ST house holds that migrate seasonally to seek jobs, house holds without permanent source of earning , all land less house holds and all displaced house holds. The majority of target group will represent from the women section, SC& ST and the poorest families from backward and socio economically marginalized class.

"To ensure a continuous development process for livelihood with dignity of poor and deprived by ensuring regulatory and accountable governance structure."

• To create sustained and improved opportunities for livelihood through integration of disaster risk reduction measures for poor, deprived and vulnerable families.
• To build capacity and take care of human potential towards making a collective understanding on issues.
• To reinforce a collective gender sensitized institutional mechanism for effective alliance, pressure building and advocacy at various levels.

• Formalization and institution building of people organizations and federations (SHG).
• Capacity building at the community level, SHG and focusing on perspective and skill building.
• Resource mobilization.
• Strengthening Self reliance and sustainability at the community level.

• Advocating the issue with right based perspective.
• Facilitating required change in the system and structure, this will bring about gender justice and equity.
• Coordination among different stake holders.
• Practical implementation of gender policy with in the forum and other stake holders.

• Developing the conceptual framework of elements considered with the possibilities to minimize vulnerabilities and disaster risks throughout a society, to avoid (prevention) or to limit (mitigation and preparedness) the adverse impacts of hazards, within the broad context of sustainable development