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MASS, Sambalpur, Orissa Village Health Worker training sessions at Kusumdith Training Centre

Click here to find out about Skillshare International's partner organisations in India

Skillshare International's programme in India focuses on community health, HIV/AIDS, disability and livelihoods. We also support programmes in environment & natural resource management and the economic & socio-political empowerment of disadvantaged communities such as tribals, Dalits and artisans, focusing on women and children.

We work with partner organisations (NGOs) in 8 Indian states - Andhra Pradesh, Karnataka, Kerala, Jharkahnd, Maharashtra, Orissa, Tamil Nadu and Uttaranchal. We do this through skills development, programme funding and building the capacity of our partner organisations in fundraising, communications and building networks and coalitions. Our development workers (including health trainers) include engineers, doctors, paramedicals, ethno-botanists and textile designers.

Our partner organisations work mainly with rural communities in mountainous, forested areas who are economically and socio-politically excluded. These communities lack sustainable incomes and have high levels of illiteracy, ill health and barely any access to education and health care facilities.

Through the 3-year Knowledge, Confidence and Healthier Lives (KCHL) project, we work with 7 local NGOs to support their community health initiatives in the states of Kerala, Tamil Nadu, Jharkhand and Orissa. The project, which is supported by the EU, aims to improve the health of over 140,000 tribal men, women and children. To achieve this, Skillshare International development workers are training nearly 500 tribal community volunteers as village health workers (VHWs). The VHWs, many of whom are illiterate, have had a huge impact on the health of their communities. In the Nilgiris where ASHWINI works, infant mortality has decreased from 250 to 60 in every 1,000 and there have been no maternal deaths since 2000. In Jharkhand, where SLADS works, malarial deaths have been reduced to zero.

While many of our health trainers are doctors of modern medicine, we also promote traditional systems which indigenous people have practised for centuries. This retains traditional knowledge and provides a sustainable livelihood option for the tribals, whose livelihood sources are fast disappearing. A Skillshare International development worker is now helping tribals to research and document indigenous plants and herbs and to register these with the state to protect their economic rights and traditional knowledge. We are also exploring the possibility of economic returns to the tribals, in the patenting process, through royalty payments.

Partner Organisations   top of page

ASHWINI
The Association for Health Welfare in the Nilgiris (ASHWINI) was born in 1990, to meet the need to provide health services to tribals, led by two young doctors, Dr Devadasan and Dr Roopa Devadasan. Soon after, the Gudalur Adivasi Hospital, led by Dr Shylaja Devi and Dr Nandakumar Menon, was set up.

Skillshare International's partnership with ASHWINI through Action Health began in 1998 when Dr PG Premila, the first Action Health trainer was placed with ASHWINI. Dr Premila spent 2 years training nurses for the hospital, health animators for the sub-centres and village health guides, all tribal people. In 2001, Skillshare International placed Dr Bharat and Dr Deepa Gadhvi, from the UK, with ASHWINI to train more health animators and village health guides and to hold refresher sessions for existing health animators.

Skillshare International's current support to ASHWINI comes under the KCHL programme and our 3 development workers have trained about 200 village guides and several Health Animators in 230 villages in the Gudalur and Pandular districts of Tamil Nadu. During this period, infant mortality has decreased from 250 to 60 in every 1,000 and there has been no maternal mortality since 2000.

ASHWINI
PO Box 20 Gudalur
Nilgiris 643 212
Tamil Nadu, India
Tel: 91-4262-261645
Fax: 91-4262-261504
Email: otytwaccord@sancharnet.in
Website: www.ashwini.org

Kairali Mahila Samajam (KMS) is a small women's group set up in 1980 to help rural, predominantly tribal, women improve the quality of their lives through mutual and self-help. Founded by Ms Christal Stephen in a village called Chemmannuvila, 40 km from Thiruvananthapuram in Kerala, KMS has set up more than 40 self-help groups for women, who use the money to extend credit to members. This small credit enables the women members of these groups to run small businesses such as stone-crushing, tailoring and dairies. It runs 2 nursery schools and a primary school, and conducts medical camps in collaboration with the Government's Primary Health Centre.

Skillshare International's support to KMS comes under the KCHL programme. Skillshare International's development workers are training village health workers to provide health education and care to their communities. Skillshare International first placed Dr Ajay who conducted an assessment of the health needs of the communities, and began training the 25 tribal volunteers. Dr Premila, a former health trainer, supplemented this training. In early 2004, Dr Sagar Thankachan, a clinical psychiatrist, joined KMS as a health trainer and continues to train the VHWs. He also educates tribal communities on health, visiting a cluster of 10-12 settlements each week. At weekends, he conducts medical camps to provide basic services to the communities.

Kairali Mahila Samajam
Chemmannuvila
Panachamood, P.O. Vellarada
Thiruvananthapuram District 695 505
Kerala, India
Tel: + 91 471 242610
Email: Kairalisamajam@yahoo.com

Manav Adhikar Seva Samitee (MASS)
Devastated by flood or drought, its forest cover shrinking, and with malnutrition regularly claiming lives, tribals in western Orissa are deprived of their livelihood and are easily lured into bonded debt by local moneylenders. To address some of these critical concerns, a group of post-graduate students of anthropology started MASS in the late 1980s to work with the local tribal and rural communities. As part of its empowerment programmes, MASS has been encouraging women to form self-help groups and micro-credit groups. In 2004, there are 250 such groups, with around 3500 women, under 3 federations. These women are encouraged to set up a co-operative to manage the community health programme.

Skillshare International's support to MASS in 2003-2005 comes under the KCHL programme. Our partnership with MASS began in 1999-2000 with the 1-year placement of Dr Neil James and Dr Anita Cross. Subsequently, 60 village health workers from 49 villages, nominated by their self-help groups, were trained in preventive, palliative and curative health care. The village health workers reach out to nearly 27,000 people. In 2003, a Spanish nurse called Elena Catalan joined Skillshare International and brought with her a new perspective, focusing on women's health and filling the information gap.

Manav Adhikar Seva Samitee (MASS)
Dhanupali
Sambalpur 768 100
Orissa, India
Tel : +91 663 2520962/2404974
Fax: +91 663 2540936 (Attn.MASS)
Email: manav1@sancharnet.in

Samraksha is the HIV/AIDS unit of Samuha, an NGO working with vulnerable people to improve their quality of life in the Raichur, Koppal, Uttara Kannada and Bangalore Urban districts of Karnataka. Samraksha was started in 1993 to prevent the spread of HIV infection and reduce its impact on those affected.

Skillshare International had been supporting Samuha's work with people with disability for some years, when Samraksha requested help with the battle against HIV/AIDS. It sent Dr Chris Bakshi, a gynaecologist and a specialist in sexually-transmitted diseases, to help Samraksha structure its reproductive and sexual health programme. The Well Woman Clinic was set up to enable women to freely walk in and seek treatment.

The respite homes in Bangalore and Kustagi were set up to provide care and treatment. Skillshare International's health trainer, Ms Marie Coughlan, trained the nurses and developed a curriculum for health workers. In 2002, Samraksha identified Ms Gilly Burn, a palliative nursing care specialist, to train staff. Skillshare International supported her and Ms Usharani Augustine, an experienced palliative nurse, to train a 24-member team of doctors, counsellors and nursing staff. The courses improved the quality of care with simple and cost effective ways to reduce pain. Ms Elisabeth Reid, a senior development consultant worker, was also brought in to train field staff and to help review Samraksha's programme. The people trained with Skillshare International's support are today providing services to over 3,000 people living with HIV/AIDS at counselling centres, respite homes, outpatient clinics and at home.

Samraksha
Bangalore
17/1 Harris Road
Benson Town
Bangalore 560 046
Karnataka, India
Tel: + 91 80 23546965/23547424
Email: samraksha@samraksha.org
Website: www.samuha.org

Seba Jagat was started in 1992 by a local young man, Satyanarayana Pattanayak, inspired by the Gandhian ideology to strengthen socially and economically disadvantaged communities like the tribals and Dalits in Kalahandi, in particular women and children. The Kalahandi district in the eastern Indian State of Orissa is synonymous with starvation and resultant deaths. Over the last 2 decades, it has faced either floods or drought, year after year. Many children die by the age of 5 due to malnutrition, starvation and diseases such as malaria, cholera, diarrhoea and sickle-cell anaemia. In fact, many tribals in the area do not name their children until they are 7 years old, because they are so uncertain of the child's survival.

In April 2002, Skillshare International began supporting Seba Jagat under the KCHL programme. In 2003, we placed Dr Dinesh Baliga with Seba Jagat. Dr Baliga found that unsafe practices, such as sleeping without a mosquito net or keeping cooked food uncovered in the open, were responsible for most of the locally prevalent diseases. Dr Baliga developed a curriculum and trained 22 women and 4 men, chosen by the local communities, to become village health workers.

Seba Jagat
Rangapadar, PO Urladani
Via M. Rampur 766 102
Kalahandi District
Orissa, India
Tel: + 91 6676 250447
Fax: + 91 6676 250447
Email: sebjagat@rediffmail.com

Singhbhum Legal Aid and Development Society (SLADS) was set up in 1985 by Mr. J.K. Mahato, a local teacher and practicing lawyer, and a group of like-minded people. SLADS works with highly disadvantaged tribal communities of 75 villages in the remote and inaccessible hilly terrains of Singhbhum East District of Jharkhand, in eastern India, offering them legal litigation services and community education, besides the community health care services supported by Skillshare International.

Skillshare International has been supporting the community health programme of SLADS in 15 villages since 1998, as part of the KCHL programme. Earlier tribals visited faith healers and quacks and the villagers suffered from malaria, malnutrition, diarrhoea and tuberculosis. The number of deaths due to malaria was alarmingly high. Between 1998 and 2001, Skillshare International placed 3 development workers with SLADS: Dr Gunjit Bandesa, Dr Noel Roy and Dr Bob Allam. They trained 16 women and 3 men from the tribal community in basic diagnostic, preventive, palliative and curative techniques for both endemic and epidemic diseases. A small revolving fund for medical supplies made available by Skillshare International makes it possible for the village health workers (VHW) to buy medicines at wholesale prices and to provide these to the community at a low cost. In less than half a decade, these VHWs have reduced malarial deaths to zero.

Skillshare International development worker Dr Sumit Asthana's main task is to set up the health cooperative and to ensure that its members receive cooperative management skills. Excited about being in total control, the VHWs have already turned their Training Centre into a Community Health Clinic, offering outpatient facilities 3 times a week to all who approach them. They ensure that medical care is provided through the local doctor who provides refresher training to the VHWs.

Singhbhum Legal Aid and Development Society (SLADS)
At Laldih PO Ghatsila
Singhbhum East District
Jharkhand, India
Tel: + 91 6585 25743/25687/27154
Fax: + 91 6585 25743
Email: slads@satyam.net.in

South Orissa Voluntary Action (SOVA), which was set up by a social worker Mr Sanjit Patnayak in 1993, works intensively in 45 villages covering 2 blocks of Koraput district in Orissa. It educates people on HIV/AIDS in three blocks of Koraput. SOVA brings together tribals, primarily the women and young people, and educate them on their rights. It encourages women to form self-help groups to gain economic independence and equal rights. SOVA has organised children, many of whom are forced to work to supplement the family income, into children's groups and a federation.

Koraput in Orissa, East India, is one of the poorest districts in the state, with 78% of the rural population, predominantly tribal, living in extreme economic poverty. Driven out of the forests, which had been their natural habitat and source of livelihoods, most tribals live in abject poverty. Many migrate, many women and children are trafficked in several pockets of the state and many die of starvation.

Skillshare International supports SOVA as part of the KCHL programme. We placed our first development worker (Dr Yogeesh) with SOVA in 2004. Sharing skills with the SOVA team and local communities, we aim to ensure that functions such as a community health cooperative and health insurance are put in place. This will ensure the long-term sustainability of health care services.

South Orissa Voluntary Action (SOVA)
Janiguda, PO Koraput
Koraput 764 020
Orissa, India
Tel: + 91 6852 250194/250718
Fax: + 91 6852 250718
Email: sovakpt@sancharnet.in or sovakpt@email.com


Tribal Health Initiative (THI) was established in 1993 by a young doctor couple, Regi George and Lalitha. They came to Sittilingi, a remote forest area in the Dharmapuri district of Tamil Nadu, home to 10,000 Malayali (hill-dwelling) tribals and set up a mud-and-thatch hospital called Tribal Health Initiative. Today, they run a 25-bedded hospital with out-patient, child birth and operating facilities. They also have a hospital staff of 26, with 25 tribal health auxiliaries.

In 2000, THI approached Skillshare International for a Tamil-speaking health trainer. Skillshare International recruited Dr Mari Kannan, who trained hospital staff and 25 women from villages in the valley to become health auxiliaries. These women had no medical background and the majority had little or no schooling. In February 2003, Skillshare International placed Dr N. Ravi Kumar, another young Tamil-speaking doctor, with THI. Dr Ravi trains the health assistants and auxiliaries and helps Regi and Lalitha to manage the increasing number of tribals who come to the hospital for treatment.

Skillshare International's current support to THI is part of the KCHL programme to improve health and enhance the tribals' awareness of health issues.

Tribal Health Initiative
Sittilingi, Theerthamala PO
Dharmapuri District 636 906
Tamil Nadu, India
Tel: + 91 4346 258601
Tel/fax: + 91 4346 258611
Email: sittilingi@tribalhealth.org
Website:www.tribalhealth.org

VIDYA SAGAR (formerly the Spastics Society of India, Chennai) was set up in 1985 by Poonam Natarajan, mother of a profoundly disabled child. It started with 3 children, 3 staff members and functioned in a garage. Today, Vidya Sagar has 120 dedicated staff and 40 volunteers, some of them mothers of disabled children; and reaches out to more than 2,000 children in and around Chennai.

Skillshare International's partnership with Vidya Sagar started in 1998, through the Action Health programme, supported by the Cloth Workers' Foundation and the Maurice Laing Foundation. The purpose was to train a group of special educators to manage cerebral palsy and other disabilities using the transdisciplinary approach. This meant that 1 health educator could address multiple special needs of a child and reach out to larger numbers, especially in rural areas. Over 3 years, Skillshare International placed 3 development workers, Katie Thompson (physiotherapist), Ruth Duncan (speech and communication specialist) and Rachel Strang (occupational therapist), with Vidya Sagar. They trained a core team of 9 special educators in all the 3 disciplines of physio, communication and occupational therapies. With inputs from the health trainers, Vidya Sagar developed a training curriculum and resource materials.

Recognising that those affected by multiple disabilities and their families and therapist have an every day struggle to address the needs of the disabled, Vidya Sagar and Skillshare International jointly decided to document the unique transdisciplinary approach in order to share it with a wider audience globally. In 2003, Skillshare International supported Vidya Sagar to document the development of the trans-disciplinary approach, highlighting the experience of the families and children who now benefit from it. This document will be published in 2005.

Vidya Sagar
1, Ranjit Road, Kotturpuram,
Chennai 600 085
Tel: + 91 44 22354784/85/4980
Fax: + 91 44 22353757
Email: Enable@Vsnl.Com
Website: www.vidyasagar.org

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