PROJECT PROPOSAL

ON
HEALTH CARE & SANITATION

PROJECT REPORT BY

ASHOKA NGO CONSULTANCY, NAGPUR

Mr. Sandip Maiske, President

Wardha, Maharashtra State, - India. Mob. : 9730005911

Email: sandipmaiske@gmail.com Website: www.ashokaconsultant.com.
 PROJECT TITLE

Scheme of Fund for Health Care & Sanitation

SUBMITTED TO

Embassy of the Federal Republic of Germany,

P.O. Box 613, New Delhi 110001, India.

SUBMITTED THROUGH

German Consulate General in Mumbai

Hoechst House, 10th Floor,
193 Backbay Reclamation, Nariman Point,
Mumbai 400 021..
Tel: +91 22 2283 2422 / 2283 2517

SUBMITTED BY

ASHOKA NGO CONSULTANCY, NAGPUR

ADD: - 204, 4th Floor Golden Palace, Beside Sudama Theatre, WHC Road,
Dharampeth, Nagpur.-440010

Reg. No. MH/230/02 (Nagpur)

Public Trust Reg. No. F/19097 (Nagpur)
Email- info@ashokaconsultant.com Phone No. 0717-2293314/9730005911
To
German Consulate General in Mumbai
Hoechst House, 10th Floor,
193 Backbay Reclamation, Nariman Point,
Mumbai 400 021.

Subject: - Proposal for Fund-In-Aid and sanction the “Scheme of Health Care
and Sanitation.

Respected Sir,

Please find herewith-enclosed project proposal on “Scheme of Fund for of Health

Care and Sanitation activity for sanction & Grant-In-Aid.

We requested you to kindly sanction the project proposal of the said scheme at an
earliest possible please.

Submitted with high cordial regards.

Yours Faithfully

(Sandip Maiske)

President

Bhartiya Bahuuddeshiya Khadi &

Gramodhyog Shikshan Sanstha, Nagpur
 Health Care & Sanitation

The health of the under privileged is gaining attention of the world community and
there is a call for ending poverty and health for all in developing countries by
the end of 2000. But this mission of development could not be accomplished, as
there was lack of commitment to ensure coordinated efforts of health sectors with
related activities of other development sectors and their multi level convergence
over the space. Nutritional feeding, health education,functional literacy and primary
health care complement each other and they should be run concurrently to achieve
the desired end result.National Institute of public cooperation and child care
development (NIPCCD), Nutrition Foundation of India, Ministry of Health and
Family Welfare, Ministry of Social Welfare,Ministry of Urban Development are
a few National Institutions besides umpteen number of International Agencies
which have put forth various schemes of assistance to supplement the efforts of
NGOs in this direction. A sample project proposal on "Mobile Clinic for Slum Care"
is given in detail under the heading of "Health Care & Sanitation".
 PROJECT PROPOSAL
ON
MOBILE CLINIC FOR SLUM CARE
 PROJECT PROPOSAL ON

MOBILE CLINIC FOR SLUM CARE

Contents

1. THE PROJECT - AN OVERVIEW

1.1 The Project

1.2 Objectives

1.3 Scope

1.4 Possible interventions

1.5 Project planning & Methodology

1.6 Standards

1.7 Project cost and means of finance

1.8 Organization and Man-power

1.9 Implementing schedule

1.10 Impact analysis

BRIEF HISTORY OF ORGANIZATION

ABOUT US
History of Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha

Mission & Vision

Aims & Objective

Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan

Sanstha Core Focus Area
2. HEALTH SITUATION IN INDIA AND SCOPE FOR VOLUNTARY ACTION

2.1 Health situation

2.2 Scope for voluntary interventions

3. PROJECT PLANNING AND METHODOLOGY

3.1 Project objectives

3.2 Project components

3.3 Salient features

4. INSTITUTIONAL SUPPORT FOR HEALTH AND SANITARY

CARE IN INDIA

4.1 Problems and areas of intervention

4.2 Supporting agencies

5. MOBILE CLINIC FOR SLUM CARE - INFRASTRUCTURE PLANNING

5.1 Infrastructure requirement

6. ORGANISATION AND MAN-POWER

6.1 Organisation
6.2 Organisation chart

6.3 Personnel requirement

6.4 Schedule of salaries and wages

7. PROJECT COST AND MEANS OF FINANCE

7.1 Project Cost

7.2 Means of finance

8. PROJECT EVALUATION AND IMPACT

8.1 Project evaluation

8.2 Indicators of achievement

9. PROJECT IMPLEMENTATION SCHEDULE

9.1 Schedule of activities

9.2 Project period

9.3 Suggestive project time plan

 1
The Project - An Overview
1.1 The Project
This project is proposed to establish a mobile clinic facility for attending the health
needs of slums with an estimated project cost of 32.095 lakhs. Besides attending to the
primary health care of the slum people, this project is intended to organise regular
health camps for family planning and vaccination camps for slum children.

1.2 Objectives
The basic objective of this scheme is to ;
Develop and implement a community based, low cost primary health care
programme for mothers and children supported by referral services.
Organise effective action oriented health workers who will initiate and manage
mother and child health programme.
Train the health workers for the community.

1.3 Scope
The health of the under privileged is gaining attention of the world community and
there is a call for ending poverty and health for all in developing countries by end of
2000. But this mission of development could not be achieved as there was lack of
commitment to ensure coordinated efforts of health sector with related activities of all
other sectors of development and their multi-level convergence over the space.
Nutritional feeding, health education and training, functional literacy and primary
health care compliment each other.

National institute of public cooperation and child development (NIPCCD), Nutritional

Foundation of India, Ministry of Health and Family Welfare, Ministry of Social
Welfare, Ministry of Urban Development etc. are a few national agencies which are
actively supporting the initiatives of various non-governmental and governmental
organisations in this direction.

1.4 Possible interventions

Several non-governmental organisations are operating in this field with various
interventions in the areas of sanitation and health care.Different modalities like

a) National programme on mother and child care and immunisation.

b) Primary health care and prevention of communicable diseases.

c) Mobile clinics for slum care.

d) Low cost sanitation, construction and maintenance of community lavatories in

urban slums.

e) Mobile first aid and trauma care

f) Field publicity campaign on family planning, health and hygiene.

g) Centre for paramedical training

h) Rehabilitation center cum leper homes.

i) Training centres for nurses and para medical health workers.

 j) Preventive care and care homes for cerebral palsy.

k) Neuro psychiatric centres cum mental asylums

l) Counseling cum post treatment care centres for drug and psychotropic substance

abuse.

m) Care homes for infirm and terminally ill, etc., are being initiated by various non-

governmental and voluntary agencies as collaborative approach with different

developmental ministries/agencies.

1.5 Project planning & Methodology

This project is proposed to set up a mobile clinic for attending the health care of slum
dwellers and it will have the following elements of approach

a) Weekly clinics

b) Home visits by health workers

c) Primary health care and pre-natal and post-natal mother and child care

d) Growth monitoring of children through parent retained cards

e) Treatment to common childhood illness, preventive measures and

immunisation

f) Referral services

Further, strong emphasis will be laid on preventive care.

Safe drinking water, proper disposal of human waste, personal hygiene and oral
rehydration are given due propaganda to prevent communicable diseases.

1.6 Standards
Minimum standards in terms of services, superintendence, training and infrastructure
have been laid down by the Ministry of Health and Family Welfare. Due care have been
taken to formulate the project in accordance with the standards put forth by the said
Ministry.

1.7 Project cost and means of finance

The project "Mobile clinic for slum care" is proposed with an initial capital investment
of 32.095 lakhs, out of which the implementing agency is expected to bring-in a
minimum contribution of Rs. 3.209 lakhs and the rest of the gap would be bridged out
of grant-in-aid from some National/International Funding Agency.

The detailed capital cost of the project along with a break-up of components is
given at Chapter - 7 of this proposal.

1.8 Organisation and Man-power

The Executive Secretary/President of the Implementing Agency will handle overall
supervision and control of the project and he will act as the project director. He will be
assisted by well-trained, sympathetic and committed health workers. The service of the
Doctors and other Medical Specialists will be taken by the implementing agency on
contract basis. Voluntary services of the doctors and medical professionals will be
encouraged in the project.
1.9 Implementing schedule
The project is proposed to take off within a period of 6 months from the date of
conception. The project duration will be initially for a period of 3 years and the
likelihood of its continuance will be based on the impact of the project.
1.10 Impact analysis
The programme will be monitored at regular intervals by constituting at Project
Advisory Committee with the officials/members drawn from the following agencies.

i) President of the implementing agency - Chairman

ii) Secretary of the IA - Convener/Member
Secretary
iii) Official nominee from Directorate of
Health services - Member
iv) Nominee from the Funding Agency - Member
v) Local NGO - Member
vi) Reputed social worker - Member
vii) Nominee from local media - Member

This committee would meet periodically once in the three months and advise the
implementing agency on various issues concerning formulation and implementation of
programmes.

This committee will also review the accounts and audited statements of the
implementing agency.
 This programme will be reviewed periodically by the Executive Committee
through an effective management information system and appropriate modifications to
achieve the desired objectives would be incorporated as and when necessary.
vvv

BRIEF HISTORY OF ORGANIZATION

ABOUT US

Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur

is has been established on 15 / 09 / 1994 and it, registered under the society registration
act 1860 at Deputy Charity Commissioner, Wardha and properly registered under the
Bombay Public Trust Act 1950. The registration No, is MAH / 43 / 95 Wardha on dated
21/01/1995.Bharatiya Bhauuddeshiya Khadi And Gramodyog Shikshan Sanstha
(BBKGSS) Nagpur is Non-Government Organization working in the field of rural
population to raise the economical status and the living standard of rural people through
empowerment activities, resulting in higher incomes.

The main objective of the institute BBKGSS strongly subscribes to the knowledge
situation in India today that raising income level of the poor, a disadvantaged group
headed by farmers, can break the interlocking poverty web, especially among the rural
people. BBKGSS envisions a systematic and well planned dynamic transformation of
the living conditions of the poor, particularly the woman and farmer. Through a
comprehensive programming of economic empowerment activity to be implement in
rural area of the Vidarbha Region
 However the actual implementation of its programs could be stated during the
year 1995. Before launching its programmes and activities, a benchmark survey of the
selected villages was done to make a socio-economic appraisal and to understand the
existing practices of the women and women farmers. This enabled the BBKGSS to
identify the technological gaps and critical needs and requirements of the women and
farmers this formed the basis for framing operational modality like training, demonstration,
workshop and exhibitions by the BBKGSS.

Training was giving villagers which are a core activity of the BBKGSS. Apart
from conducting these trainings various innovative approaches were undertaken for
providing the environment friendly packages to meet the women and farmers problem.
An overwhelming response of the farmers to these ecofriendly practices later paved the
way for forming various women and farmers groups and self help groups. This
involvement of villagers in the dissemination of various development projects at faster
rate.

History of Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha,

Nagpur

Bhartiya Bahuuddeshiya Khadi &Gramodhyog Shikshan Sanstha, Nagpur

journey runs back 22 years from now to 1986. With some of the leading members of the
national campaign to struggle for land, water and forest rights, Bhartiya Bahuuddeshiya
Khadi &Gramodhyog Shikshan Sanstha, Nagpur started up as a grassroot advocacy and
awareness organization. The initial phase of the organization was in the Ghatigaon, a
neighboring rural area of Gwalior district.

Bhartiya Bahuuddeshiya Khadi &Gramodhyog Shikshan Sanstha, Nagpur

involved itself as an agency striving for basic rights and entitlements of the Sahariya, a
primitive tribal group of Maharashtra. Sahariya historically has been identified as one of
the highest exploited and developmentally backward class. Bhartiya Bahuuddeshiya
Khadi & Gramodhyog Shikshan Sanstha, Nagpur’s initial intervention with the
Sahariyas was to address the issue of Bonded Labor and Land Rights.

Later on in 1992 Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan

Sanstha, Nagpur joined hands with Christian Aid to empower Sahariya and deprived
classes of women to realize their aspiration through collective dialogue and community
based intervention. The program followed a strategy of building village level
community groups of women, who sit and discuss the developmental and rights based
issues of their lives, and work together with the administration, panchayati raj
institutions and village leaders.

Further in the coming years Bhartiya Bahuuddeshiya Khadi & Gramodhyog

Shikshan Sanstha, Nagpur realized its heart in The Sahariya Tribe. Identifying its
limited area of operation versus the large of spread of Sahariya throughout the Gwalior-
Chambal region, and situation of the Sahariya going worst day by day, Bhartiya
Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur spread out to the
neighboring districts of Gwalior which included Shivpuri, and Bhind. The second phase
of Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur
intervention clubbed along health, education and women rights as its prime focus, with
support extended by agencies like Voluntary Health Association of India, Action Aid
and NABARD.
 Ever since 1988, Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan
Sanstha, Nagpur year of registration, Bhartiya Bahuuddeshiya Khadi & Gramodhyog
Shikshan Sanstha, Nagpur has been known in the Gwalior-Chambal as a right based
grassroot advocacy organization. Bhartiya Bahuuddeshiya Khadi & Gramodhyog
Shikshan Sanstha, Nagpur span of operation extends to over 2500 villages spread
through 9 districts collectively in Maharashtra. Bhartiya Bahuuddeshiya Khadi &
Gramodhyog Shikshan Sanstha, Nagpur prime focus of operations ever since inceptions
have been: Women Empowerment through community based group formation, which
includes micro-saving at internal level through Self Help Groups and Financial
Inclusion and Microfinance.

Promoting better livelihood and standard of living through livelihood promotion

programs, which include capacity building and direct/indirect support. Contributing to
the sector goal of improving health and nutrition through health promotion programs.
Improving access to sanitation, safe drinking water and better hygiene. Promoting water
conservation and sustainable agriculture through watershed development. Ensuring
community entitlement to right to food and related issues through integrated community
development interventions. Working in close convergence with the government
machinery to make ground level interventions and introductions sustainable and
participatory.

Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur was

created to mobilize Sahariya population of this region in 1986 for their empowerment.
Strategy adopted to achieve this objective included information sharing, group
formation and collectivization of women for accessing the government schemes and
raising the level of self esteem. Through direct program interventions, it has been able
to develop rapport and wider base among the Sahariyas in Shivpuri, Sheopur and
Gwalior. Some efforts to improve the status of the community included formation of
Union, two Credit and saving cooperatives in Gwalior and Shivpuri, promotion of
voluntary agencies in all the neighboring districts and initiating a program of SHG
formation and Microfinance program. With the support of community volunteers from
Sahariyas and emerging leadership, Bhartiya Bahuuddeshiya Khadi & Gramodhyog
Shikshan Sanstha, Nagpur has played significant role in raising the and dignity and
respect in the eyes of administration and other communities. With a committed team of
workers at all levels Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha,
Nagpur is placed to undertake different activities for the empowerment of Sahariyas, in
particular the SHG and microfinance initiatives.

In the neighborhood of Karahal, an active microfinance program is in progress in

Pohri. The staff from here is visiting the Karahal tribal villages quite frequently.
Gradually debates within the organization arose on the organizations capacity and
contributions to the livelihood dimensions at community level.

Mission & Vision

Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur is to

undertake and conduct the Programmes of socio economic empowerment and stability,
Vocational & Technical education, holistic & integrated education for multifarious
progress of women, children, and farmers, having the significance for the betterment of
rural backward, poor, focusing “women” from below poverty line, widows, destitute,
marginal farmers, depressed, without any discrimination of caste, races, sex, color,
religion and creed.
 Our vision is to bring rural, poor, slum area, minority women & youths in the
mainstream of national development. Our priority is to provide them sustainable
employment or self – employment through various training program as well as to
develop and spread the Movement of SHGs in the district to awaken the the humanity
among the rural masses and social developmental needs

Aims & Objective

 To provide all type of help to community for rise of status of the community

in respect of ethically, social and educational.

 To organize the youth of rural and urban area for awareness on

Emotional integration.

 To celebrate the national and religious festival for organize the people

as well as aware them about respect of others and celebrate

the birth anniversaries of national leaders.

 To establish and run the educational institution of rural and urban area’s

people to solve the problem of education. ( i.e. To establish and run the

crèche centre, primary school, middle school, college, technical

college, medical college, agriculture college, diploma and degree college,

girls school, teacher school, MSW college, BSW college, B P. Ed.

Drawing school, convent )

 To establish and run the adult literacy centre for literate to rural and urban

Area’s people as well as music singing school and library for them.

 To organize the cultural programme.

 To organize the Govt. affiliated sports competition i.e. Cricket, Kabaddi,

Holley ball, Kho - Kho, Swimming, Carrom, Football as well as provide

training to them.

 To motivate to the youth of rural and urban for donate the blood.

To establish and run the primary health centre, hospital, nursing home,

medicine bank, Eye Bank, Blood bank.

 To establish and run physical fitness centre. To organize exhibition, lectures,

Debates, seminar and various competition to organize free educational tour.

 To establish and run the training centre of cottage industry, rural industry,

small scale industry.

 To spread and propaganda about organic farming. To implement the

project of agriculture department regarding organic farming.

 To develop the watershed development and implement the schemes

offorest department for environment.

 To provides the latest formation to the farmers regarding use of modern

Technology in the field of agriculture.

 To organize and implement the agriculture exhibition, training on various

places.

 To provide the self employment. To educated unemployed as well as to

establish and run training centre of various commissions.

 To implement the schemes of central Govt., State Govt. i.e. Scheme for

destitute, adoption and MAHER.

 To spread the schemes under the Khadi Gramodhyog Commission at rural,

Urban and semi urban areas as well as to start the training centre to spread

and propaganda the scheme of the Khadi Gramodhyog Commission to

rural based people.

 To implement the scheme of social welfare department i.e. Adult education

Centre, Nutrition Scheme, crèche centre, Centre of National Literacy mission

Child Survival.

 To establish and run the educational institute for Physically handicapped,

Mentally retarded boys and girls as well as help them as per need.
  To help the person those are victim of natural climate. To help and

Distribute the books, uniform and scholarship to the students.

 To establish and run tailoring, typing training centre for backward

Classes people, boys, girls, cottage and small scale industries for adult women.

 To establish and run the residential school, old age home,

hostel for solving The problems of the backward community.

Bhartiya Bahuuddeshiya Khadi & Gramodhyog Shikshan Sanstha, Nagpur Core

Focus Area

 Women empowerment and microfinance

 Water, Sanitation and Hygiene

 Mother and Child Health

 Education

 Disability and Eye Care

 Health

 Watershed Management

 Community empowerment and integrated development

 Right to Food

 Women Self Help Groups

 2
Health Situation in India and
Scope for Voluntary Action
2.1 Health situation
The following diagram represents the health situation in India.
HEALTH

Supports Problems
1. Governmental l Population 1. Endemic
2. Voluntary l Illiteracy 2. Epidemic
3. Local l Apathy 3. Pandemic
4. Individual l Pollution Caused by
l Superstitions 1. Water borne
l Consumption 2. Insect
borne
l Interdented 3. Animal
borne
social factors 4. Human borne
After independence from colonial rule, a process of planned development was
embarked upon. During the early five-year plans, it was expected that the benefits of
planned development will reach the rural poor on the premise of trickledown theory.
However, the gap between the rich and poor widened further during this period,
prompting the policy makers to look for alternative models and means for
encompassing the rural poor and under privileged in urban areas in the ambit of
socioeconomic development. Thus commencing from the 4th five-year plan, the
concept of direct attack on various issues of poverty, health, education etc was espoused
and elaborated in the succeeding plan periods. Many new developmental programmes
and schemes were derived directly to assist various vulnerable sections of the
population.

However, India is in the midst of an epidemiological and health transition

wherein diseases of affluence and new environmental and behavioural threats are being
added to the already burdened morbidity due to spread of communicable diseases, poor
sanitation, poverty and malnutrition. Multiple factors have been involved in India's
health transition including ageing of population, urbanisation, migration, challenging
life styles and the impact of health problems that will require different strategies from
those that have been used to implement health care and sanitation for under privileged.
Health, among the urban poor has received much less attention from policy planners
than rural health despite the fact that the living conditions in some of India's slums are
among the worst in the world.

However, several NGOs have developed models for urban health and sanitary
care that could provide useful lessons for planning programmes. The frontiers of
voluntary action are likely to change with emerging health needs and will unfold new
dimensions of voluntarism. The emergence of explosive AIDS epidemic and the rising
incidence of communicable diseases are posing new challenges in health care. In India,
NGOs are at forefront trying to address the multiple medical, social, legal, ethical and
policy dimension of this problem. New strategies, innovative approaches, and different
service delivery packages will have to be evolved to address the needs of various high
risk groups including women, children, migrant workers, drug abusers and slum
dwellers. There will be growing demands on non-governmental organisations to
respond to these new challenges.
2.2 Scope for voluntary interventions

Though the policy thrust is in favour of targeting the welfare programmes directly to the
desired and vulnerable sections, the implementation posed great many problems. The
developmental programmes in India have to be administered by bureaucracy which was
accustomed to mostly dealing with and catering to the needs of etite section of the
society. The poor themselves were almost always unorganised and plagued with
illiteracy and ignorance making it difficult for them to appreciate the significance of
new programmes and to utilise them effectively.

The factual needs of rural poor and the inflexible development schemes and
programmes could not be matched leading to wastage of scarce resources. It was
realised that close involvement of people in the planning and implementation of basic
needs and anti-poverty programmes was essential for success. People's participation
was sought to be brought out through the involvement of local self government.
Besides, voluntary agencies and NGOs working with the poor found roles for
themselves in helping the target groups to avail of the various programmes
implemented by the Government.
 The inevitable need for greater involvement of people's organisation in the
development process was further stressed in the 7th, 8th and subsequent plan periods,
thus opening new vistas for NGOs in the
areas of socio-economic development.

3
Project Planning and Methodology

3.1 Project objectives

a) Develop and implement a community based primary health care programmes

for mother and children in urban slums supported by referral services.

b) Organise effective, action oriented, trained health workers who will initiate

and manage mother and child health programmes.

c) Train the health workers from the community.

3.2 Project components

a) identification and training of health workers

b) setting-up mobile health clinic with basic facilities, emergency care

c) organising weekly health camps

d) home visits by health workers

e) ante-natal, and post-natal services.

 f) family planning and free distribution of contraceptive pills.

g) treatment to common childhood illnesses, preventive measures

h) immunisation camps

i) awareness programmes on sanitation and health care.

3.3 Salient features

a) Child care through distribution of parent retained cards to each mother and

monitoring the growth of the child periodically

b) Regular home visits by trained health workers

c) Special emphasis on prevention of communicable diseases through awareness

on safe drinking water, proper disposal of human waste, personal hygiene and

oral rehydration.

d) Free distribution of contraceptive pills for women, in reproductive ages.

 4
Institutional Support for Health
And Sanitary Care in India

4.1 Problems and areas of intervention

As enumerated in earlier chapters the following are a few areas where the non-
governmental agencies can intervene and supplement the efforts of the government in
the context of developing health and sanitation.
1. National programme on mother, child care, immunisation.
2. Primary health care and prevention of communicable diseases.
3. Mobile clinics for slum care
4. Low cost sanitation, construction and maintainance of community lavatories in
urban slums.
5. Mobile first aid and trauma care
6. Field publicity campaigns on family planning, health and hygiene
7. Center for paramedical training
8. Handling and disposal of hospital waste
9. Rehabilitaiton centres cum leper homes
 10. Training centres for nurses and paramedical staff
11. Preventive cure and care homes for cerebral palsy.
12. Neuro psychiatric centres cum mental asylums
13. Counseling cum post treatment care centres for drug and psychotrophic
substance abuse.
14. Care homes for infirm and terminally ill
15. Emergency ward and nutrition rehabilitation centres.
4.2 Supporting agencies
The following are a few National and International Agencies extending
funding/technical support to NGOs in the areas of Health care and sanitation.

a) NIPCCD
b) Ministry of Health and Family Welfare
c) Indian council for social work
d) Central social welfare board
e) HUDCO
f) Ministry of Rural Development
g) Ministry of Urban Development
h) Nutrition foundation of India
i) Child care foundation
j) UNICEF
k) Global fund for fighting TB, Malaria and AIDS
l) Department of women development
 5

Mobile Clinic for Slum Care -

Infrastructure Planning
5.1 Infrastructure requirement
i) Built-up area
The unit will be requiring around 250 sft of built-up area for accommodating the
administrative building cum counseling centre. The project will make all necessary
arrangements to procure the desired premises on lease rental basis.

The building should be located close to the service/targeted area.

It should contains necessary provisions like running water, electricity, telephone etc.

It should have basic facilities to treat medical emergencies.

ii) Furniture and equipment

1) Administrative office cum counselling center
a) Tables
b) Chairs
 c) Examination table/couch
d) PC with printer
e) Almirah
f) Cup boards
g) Telephone
h) Refrigerator
i) Misc. electrical fittings and fixtures
2) Mobile clinic

1. DCM closed body vehicle 1

2. Examination table cum couch (Retractable)

3. Transfusion equipment

4. Oxygen equipment

5. Sterilisation tools

6. Clinical tools

7. Medical Chest

8. Freezer box/ice box

9. Public address system

10. Auxiliary power supply

The complete description, quantity and cost data of equipment are given at chapter - 7
of the report. The list of equipment and furniture indicated in this report is only
illustrative and was given only for the purpose of guidance to the NGO. The NGO may
inturn refer "Term of reference" laid down by the funding agencies and may add/delete
certain facilities accordingly.

6
Organisation and Man-power
6.1 Organisation
The project will be headed by the Executive Secretary/President of the implementing
agency and he will assume the overall superintendence of the project. He will receive
all sorts of advisory and directional support from the "Project Advisory Committee"
constituted of the following members. Constitution of Project Advisory Committee

a) President of the implementing agency - Chairman

b) Secretary of the implementing agency - Member secretary/
convenor
c) Official nominee from District Medical
and Health Office - Member
d) Official nominee from NMEP - Member
e) Official nominee from the Funding Agency - Member
f) Official nominee from the local municipal - Member
health unit
g) Prominent social worker - Member
h) Prominent doctor - Member
 i) Nominee from the local media - Member

The duration of the committee will be for an initial period of 3 years and it will
meet periodically once in 3 months and will advise the implementing agency on various
issues concerning formulation of the project, allocation of funds, impact analysis and
implementation.

The project director will be assisted in his day-to-day pursuits by the field level staff
consisting of health supervisors, health seviks and counsellors. The service of a part-
time doctor will be employed wherever necessary. The mobile clinic will be staffed by
qualified nurse/midwife and other para-medical staff. The services of
philanthropic/service minded doctors will be used for organising regular health camps.

6.2 Organisation chart

Executive Committee of the
Implementing Agency

Project Advisory Committee

Project Director

Authorised Service minded doctors

Medical attendant for voluntary work
 Mobile clinic Admn & Counselling

Nurse Health Health Counsellors Clerk Stores

supervisor/ workers typist Clerk
Pharmacist

6.3 Personnel requirement

a) Administration
1. Project Director 1
2. Clerk/Typist 1
3. Stores keeper 1
4. Peon/Attendant 1
4
b) Health care
1. Nurse/Midwife 1
2. Pharmacist 1
3. Health supervisor 1
4. Health workers 3
5. Driver 1
7

Total no. of persons required for the project.

1. Administration 4
2. Health care 7
11
6.4 Schedule of salaries and wages

Sl. Category Nos. salary per head Total (in Rs.)

1. Project Director 1 14000.00 14000.00
2. Pharmacist 1 10000.00 10000.00
3. Nurse/Midwife 1 8000.00 8000.00
4. Health supervisor 1 9000.00 9000.00
5. Health workers 3 5000.00 15000.00
6. Typist/clerk 1 7000.00 7000.00
7. Stores keeper 1 7000.00 7000.00
8. Peon/Attendant 1 4000.00 4000.00
9. Driver 1 7000.00 7000.00
81,000.00
 7
Project Cost and Means of Finance
7.1 Project Cost
The total cost of the project including recurring funds for an initial period of 6 months
works out of Rs. 32,09,500 the capital out lay of which includes;
a) Cost of fixed assets :
Sl Description Nos. Cost per unit Total
(in Rs.) (in Rs.)
1. Mobile clinic
a) DCM Closed van 1 12,00,000 12,00,000
b) Medical equipment LS 4,00,000 4,00,000
c) Auxiliary power supply 1 45,000 45,000
d) Public address system 1 10,000 10,000
16,55,000
2. Administrative office cum counseling center
a) Tables 5 2,000.00 10,000.00
b) Chairs 35 200.00 7,000.00
c) Examination Table/couch 1 3000.00 3,000.00
d) PC with printer 1 45,000.00 45,000.00
 e) Almirah 3 3,500.00 10,500.00
f) Cup boards 3 1,500.00 4500.00
g) Refrigerator 1 12,000.00 12,000.00
h) Telephone 1 2,000.00 2,000.00
i) Miscellaneous assets LS 10,000.00 10,000.00
including electricals
1,04,000.00
b) Variable costs
Sl. Description Nos. Cost per unit Total
(in Rs.) (in Rs.)
A) Programme costs
1. Health camps 9 8,000.00 72,000.00
2. Immunisation camps 9 8,000.00 72,000.00
3. Training camps 4 15,000.00 60,000.00
4. Awareness programmes 5 10,000.00 50,000.00
5. Family planning 6 25,000.00 1,50,000.00
6. Nutrition programme 5 25,000.00 1,25,000.00
5,29,000.00
B) Stores materials
1. Medicines LS 95,000.00
2. Vaccines LS 95,000.00
3. Contraceptives LS 60,000.00
4. Surgicals LS 50,000.00
3,00,000.00
C) Salaries & Wages
As per chapter - 6 of the proposal for 4,86,000.00
6 months @ Rs. 81,000/-month
D) Administrative overheads
1. Power 7,000.00
2. Fuel 25,000.00
3. Postage & Stationery 3,500.00
4. Telephones 6,000.00
5. Honororium 55,000.00
6. Publicity material 12,000.00
7. Staff welfare 9,000.00
8. Consumable stores 8,000.00
9. Miscellaneous 10,000.00

Total cost of the scheme

a) Fixed assets 17,59,000.00
b) Variable costs (Recurring costs) 14,50,500.00
32,09,500.00
7.2 Means of finance
a) Contribution from the NGO 3,20,950.00
@ 10% of the project cost
b) Grant-in-aid assistance @ 90% 28,88,550.00
32,09,500.00

The implementing agency is expected to make arrangements to tie-up with same other
funding agencies to met the recurring costs from the 7th month onwards.
 8
Project Evaluation and Impact
8.1 Project evaluation

The project will be evaluated periodically by the project advisory committee

basing on the logical framework cited hereunder.
a) Overall objectives
b) Project purpose
c) Expected results
d) Activities

The objectively verifiable indicators of achievement like number of awareness

programmes/health camps/immunization programmes organized and the no. of
beneficiaries assisted will be scrutinized.

The following checklist to review performance of the implementing agency on

quarterly basis will be adopted.
a) no. of programmes organized
b) no. of beneficiaries
 c) no. of invitees
d) Response of beneficiaries
e) Response of people towards collective action
f) Understanding of beneficiaries about hygiene, health and sanitation
g) Potential of community action
h) Advise of secondary players/developmental partners

8.2 Indicators of achievement

The following objectively verifiable indicators marks the achievement of the

project.

a) Comparision of pre-development and post-development scenario.

b) Increased level of awareness amongst the beneficiaries about the programme

c) Increased participation

d) Increased community action

e) Marked improvement in health and hygiene of the target group.

 9
Project Implementation Schedule
9.1 Schedule of activities
a) Basic survey

b) Project preparation

c) Funding dossiers

d) Formation of project advisory committee

e) Procurement of assets

f) Periodical health camps

g) Awareness programmes

h) Periodical immunization camps

i) Family planning activities

j) Sensitization programmes

k) Review, reporting and termination

9.2 Project period

 The project duration will initially be for a period of 36 months from the date of
conception.

9.3 Suggestive project time plan

Month 1-3
a) Baseline survey

b) Project preparation

c) Funding dossiers

Month 4-6
a) Formation of project advisory committee

b) Approval of project plan

c) Procurement of assets

Month 7-9
a) Project advisory committee

b) Appointment of personal

c) Sponsoring to training programmes

d) Pre-launch survey

Month 13-15
a) Health camp

b) Sanitation programme

c) Family planning camp

 d) PAC

Month 16-18
a) Health camp

b) Immunization programme

c) PAC

Month 19-21
a) Health camp

b) Awareness programmes

c) Project advisory committee

Month 22-24
a) Sanitation drive

b) Immunization camp

c) Project advisory committee

Month 25-27
a) Health camp

b) HIV/AIDS awareness programme

c) Family planning

d) Project advisory committee

Month 28-30
a) Health camp

b) Immunization programme
 c) Sanitation drive

d) Project advisory committee

Month 31-33
a) Health camp

b) Nutrition programmes

c) Family planning

d) Project advisory committee

Month 34-36
a) Health camp & referrals

b) Review

c) Reporting

d) Termination of the project