“human resource development within the community for early detection and intervention of childhood...
TRANSCRIPT
“Human Resource Development within the Community for Early Detection and
Intervention of Childhood Disabilities in Andhra Pradesh, India
. Sudhakara Reddy, Director, ID for PwD Unit,
Raja Pratap Kumar Project Manager (ATR – ID for PwD).
SOCIETY FOR ELIMINATION OF RURAL POVERTY (Department of Rural Development, Government of Andhra Pradesh)
South Asia Regional conference – ECCE 27-29 Aug.12 New Delhi.
The project implementing agency is the Society for Elimination of Rural Poverty, an autonomous Society registered under Public Societies Act.
The Chief Minister is the Chairman of the General Body.
Management of the society is vested in an Executive council working under the Department of Rural Development Government of Andhra Pradesh.
Society for Elimination of Rural Poverty (SERP)
To enable the rural poor in the state, particularly the poorest of the poor to improve their livelihoods and quality of life. Creating self-managed grassroots level institutions of the poor, namely Women SHGs their federations - Village Organisations (VOs) & Mandal Samakhyas (MSs).
Objective of SERP
Enhancing livelihood opportunities and quality of life for person with Disabilities (PWDs) and their families
Ensure Optimum utilization of residual abilities by PWDs
Improve capacities of PWDs to access and avail various entitlements and services offered by the Government.
Mainstreaming disability concerns in policy making and activities of line departments
Disability program Objectives
Key Interventions
Social mobilization and Institution Building of PwDs and their caregivers
Provision of Livelihood support
Community based Rehabilitation Services
Promoting convergence with line departments of Health and Education for inclusive activities
Director
PD
PM/DPM
Community Based Organization Organogram CBOs of Women CBOs OF PERSONS WITH DISABILITY.
STAFF PATTERN OF SERP – IKP.
CEO
District level CC CC CC Sub District level CDW CDW CDW Cluster level
MVS MVS
MVS
SHG
SHG SHG SHG SHG SHG
SHG SHG SHG
MS
VO
ZVS ZS
Objectives of the Present Project.
Early detection intervention in early years
arrests further damage to children with disabilities/at risk for disabilities.
Generating human resources within the community will aid in identifying such children early for further referral/intervention and ensure sustaining of the programme resulting in ownership by the community
Community Resource Person (CRP)Person who is a member SHG of PwD or a care giver of person with disability residing in the sub district (mandal).
The selection criteria for CRPs.
Should be women with disability. Should be a at least 18 years of old. Care givers of intellectual disability would be given
preference. Should be educated minimum up to VIII standard. Should have the aptitude and commitment for the
selected task. Mandal Vikalangula Samakhyas (Federation of
PwD) is responsible for selection and monitoring the work of CRPs.
Methodology of Capacity Building
Lecture method. Presentations Participatory exercises Experiential learning Exposure visits (field visits) Supportive supervision visits
Topics covered under Capacity Building
Causes and prevention of Developmental delays.
Assessment of developmental delays Training on APGAR Score. Intervention support Training on case history documentation Survey for identification of CWDD. Counseling skills. Referrals and follow up. Training Parents/ care givers
Empanelment of Training and referral Institutions
NIMH, Secundrabad NIHH, Secundrabad LV Prasad Eye Institute, Hyderabad. Sravanam – Institute for Hearing Impaired. Abhivrudhi – Institute for DDs. NIMS, Hyderabad. BIRRD, Tirupati. SVS Hospital, Mahboobnagar BMVS, Hyderabad.
Quality Assessment tools for Capacity Building
Pre test and post test questionnaires.
Ongoing Supportive supervision visits through subject experts.
Case study documentation.
House visits by CRPs & professionals.
Timely submission of MIS reports
Strategy Adopted
Identification: Door to door survey Identify Counsel Referral to required
services.
Intervention: Brining to NH center. Assessment by
professional. Intervention support Follow up by CRPs,
Professionals and Parents.
Convergence with line departments
Village level: PRIs, Anganwadi workers, ASHA workers, ANMs and SSA.
Mandal Level: PHCs, Area hospitals, NGOs, ICDS officers.
District level: Disabled welfare, Health department officials, ICDS, SSA .
Impact of the intervention
Increase in awareness levels on DDs among women.
Effective utilization of Manopragathi (Center Based Training).
Neighborhood centers have been nurtured as Early intervention centers.
Increase in skill set of care givers towards CWDDs.
developed resource pool (ASHA, Anganwadi, Health activists and ANMs) for identification of CWDDs.
Early Intervention support to Delayed Development children(0-6 Yrs)
Sl.No. Particulars Details
1 No.of Mandals(Sub-Districts) 100
2No. of Community Resource Persons(CRP)Deployed. 100
3 No. of villages covered till now. 1556
4 No.of children screened(0-6 Yrs) 283880
5No. of Children with Delayed development identified. 2372
6 No of CwDD undergone detailed assessment 2292
Sl.No. Particulars details
7 No of persons utilized neighborhood center services 1311
8No of persons benefited through manopragathi programme 2292
9No of parents trained under early intervention programme 2012
10 No of children shown signs of improvement 416
11 No of children enrolled in Anganwadis 108
Contd…
Neighbourhood Centre:
A Neighborhood Centre is a place designed to have all members in the community including those with without disabilities to come together and spend time in a relaxed and enjoyable manner.
Functions of Neighbourhood Centre
To serve as a place where persons with and without disabilities can be together .
To function as a place where therapeutic equipment for Physiotherapy, occupational therapy and so on are available, can be used on the advice of the therapists.
To serve as a play centre where small children with developmental delays can receive stimulation activities.
To function as a referral centre for medical, educational, certification and legal issues for PwDs who approach with queries.
To provide respite care services to parents of young children with developmental delays.
Manopragathi
It’s a programme which acts as a catalyst for effective utilization of therapeutic interventions carried out by qualified professional at local level.
It is organized once in every fortnight people are mobilised by CRPs.
All needy persons can access the services of manopragathi. Updating of medical records and documentation of success
stories are being done. The programme is managed by community.
Capacity Building to parents/care givers of CwDDs
Regular training programmes (once in 3 months) is being organized for the parents and care givers.
Professionals and CRPs preside as trainers for the programme.
Regular counseling is carried out with the care givers.
Effect of the intervention
SERP has developed strong institutions (SHGs and federations) at the village level, Sub district and district level.
The programme has been successful because its driven by the community.
It is being managed by the community and their families.
Committed trainers with vernacular background.
Future plans
Would be scaled up to all mandals of Andhra Pradesh.
Ensure sustainability through involvement of PRIs and other line departments.
Furnish data on children with Developmental Delays to the concerned government departments.
Tracking the progress of development using mobile technology.
Acknowledgments
Mr.Rajsekar,IAS, CEO of SERP. Sri. Sudhakara Reddy, Director, ID for PwD. Dr.Jayanthi Narayan.Former Dy.Director, NIMH, Dr.Swapna, Early Intereventionist, Dr.George Reddy, Psychriatrist, Mrs.Beula, L.V.Prasad Eye Institute. Prof.Hari Prasad, NIHH,Hyderabad Sravanam DRC. Hyderabad. CRPs & families.