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Q4 report Karuna-Shechen

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Information about Q4 report Karuna-Shechen
Education

Published on February 21, 2014

Author: shininghope

Source: slideshare.net

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FOURTH QUARTERLY REPORT FOURTH QUARTERLY REPORT OCTOBER-DECEMBER, 2013 Page 1 of 44

CONTENTS PAGE NUMBER 3 Main Activities and Achievements Introduction 4 Health  An Overview of Medical Activities  Access to Primary Healthcare in Urban Area: Shechen Medical Centre in Bodhgaya, Bihar  Mobile Clinics  Medical Camps for the Poor and Needy 5 13 17 20 22  Health Education Program (HEP) Education  Strengthening Basic Education  Non-Formal Education (NFE)  Vocational Training for Women 25 26 28 Environment  Solar Electricity  Bodhgaya Clean Environment, Sanitation Program 31 Hygiene and 32 Social  Small Money Big Change  Kitchen Garden  Rainwater Harvesting  Computer Course for the Youth  Networking with other local NGOs Other Important Informations  Finances  International Audit  External Visitors  Upcoming Activities  Our Partners Annex-Success Story 35 36 37 39 39 40 41 41 42 43 44 Page 2 of 44

MAIN ACTIVITIES & ACHIEVEMENTS Health In the fourth quarter of 2013, the total number of Consultants who availed the healthcare services of our OPD (Outreach Patients Department) in Bodhgaya and Mobile Clinic in 18 villages was 15,707, highest in all four quarters. In the months of November and December 3 free medical camps were organised in Bodhgaya town for the poor and needy people where a total of 1540 consultants were registered. Education 5 Parent-Teacher meetings (1 at Lohjhara school, 1 at Gopalkhera, 1 at Kadal and 1 at Chando) were held at schools A candle-making unit was opened within our office premises in Bodhgaya from October with our NFE students who had gone to Jamshedpur in the third quarter for an advanced training in the vocation. A member of Iner’Lude, France has come down to Bodhgaya in December to give a 4-month training, beginning in January 2014 to Anganwadi workers on child development through games and play. Environment Solar Engineers have returned home in the second half of December and are now gearing up to install solar lights in their respective villages. Household Survey was conducted in Kadal, Chando and Barsuddi as a Solar feasibility survey. Several meetings were held with stakeholders regarding our Bodhgaya Clean Environment, Hygiene and Sanitation programme The Green Schools Programme (GSP) audit was conducted in all our operational villages. Social A pond was dug in Banahi under the small money Big Change programme. Besides, the construction of a bathroom for women and a pond in Kadal have been completed in this quarter. Now sericulture is being cultivated in the pond as an additional source of community livelihood. Rainwater harvesting programme has been launched in our villages in this quarter with 32 households and 4 schools already installing the system and several others in the process of doing so. After embarking on an extensive data collection task we have gathered detailed information of all the non-governmental organizations working in Gaya district as the first step towards our goal of creating a network of like-minded NGOs. Other Activities An international Audit conducted management audit for the financial year 2012 successfully took place during this quarter. Several esteemed guests visited us during this quarter- Matthieu Ricard, President of Karuna-Shechen; Tarek Toubale, Chief Operating Officer; Sanjeev Pradhan, Director of Shechen Clinic, Nepal, Anne Oliver, Chief Financial Officer of Karuna-Shechen, and Vanessa Challinor, Serge, Astrid and Marie Saint-Arnoult from Shining Hope Foundation. Page 3 of 44

INTRODUCTION The fourth quarter sees the highest number of patients compared to the last three quarters. Besides, in the kitchen garden programme which started in the previous quarter some more fruit and vegetable seeds and plantations were distributed to households and schools. In rainwater harvesting several households have already installed the required facilities while some are in the process The Bodhgaya Clean Environment, Hygiene and Sanitation programme saw a great progress terms of organisation of meeting with stakeholders, conducting school competition to raise awareness on environmental hygiene and cleanliness. Also, meeting with food vendors led the latter to understand the importance of covering the food on display and place orders with us for the same. Our Rainwater Harvesting programme was started in this quarter with the aim of providing a sustained supply of water to the village communities. Vocational training took a major step with the introduction of a temporary candle-making unit within our office premises. The following programmes are currently running under our four areas of intervention: In the following sections we will see the details of all our programmes and their progress in this quarter. Page 4 of 44

HEALTH OVERVIEW OF MEDICAL ACTIVITIES OPD and Mobile Clinics In the fourth quarter of 2013, the total number of Consultants who availed the healthcare services of our OPD (Outreach Patients Department) in Bodhgaya and Mobile Clinic in 18 villages was 15,707, highest in all four quarters (7358 in Q1, 8152 in Q2, 13,868 in Q3 and 15,707 in Q4), wherein new consultants constituted 5366 people (34.16 % of total number of consultants). We see that the total number of consultants at the OPD and Mobile Clinics has increased over the four quarters of 2013. Q3 shows steep increase in the number of consultants compared to the first two quarters while Q4 registers the highest number of consultants, 13.26% more than Q3 and 113.47% greater than Q1. Page 5 of 44

The following reasons primarily account for the maximum number of consultants in the fourth quarter:  The gradual increase in confidence amongst the mobile clinic consultants in the 6 new villages and their satellites  Seasonal illness like influenza and cough and cold during winters  The influx of tourists during the tourist season (i.e., September onwards) Table 1: Total Number of Consultants at OPD and Mobile Clinics Months OPD Mobile Clinics October 2398 2909 November 2002 2652 December 2566 3180 Total 6966 8741 Of the total medical consultants at our OPD and Mobile Clinics in Q4:  the number of patients referred to PHC & Government Hospitals was 56 (0.36 % of total consultants at OPD and Mobile Clinics );  the total patients who were treated “Free of Cost” (Pregnant women, children and aged people above 60 years) at OPD and Mobile Clinics were 10,180 ( 64.82% of total consultants). Apart from our usual healthcare services through OPD and Mobile clinics, in the months of November and December 3 free medical camps were organised in Bodhgaya town for the poor and downtrodden where a total of 1540 consultants were registered. Page 6 of 44

Table 2: Total Number of Patients Referred to PHC and Government Hospitals Month OPD Mobile Clinics Oct 15 14 Nov 6 2 Dec 14 5 Total 35 21 Table 3: Total Number of FOC (Free of Cost) Patients Month OPD Mobile Clinics Oct 1249 2121 Nov 1091 2002 Dec 1385 2332 Total 3725 6455 Page 7 of 44

Direct Observed Treatment (DOT) Out of 1310 medical tests conducted in our pathology laboratory 88 were Sputum tests (for Tuberculosis). Out of these the number of people who were diagnosed with TB was 10. Currently, the total number of TB patients undergoing treatment at the DOT centre within our OPD and in our operational villages is 40. Table 5: DOT details October Number of TB patients started medicine Number of sputum tests conducted Sputum Positive Refer TB Patients Completed TB Medicine Total Number of TB Patients currently undergoing treatment (OPD and Mobile) November December Total 4 4 5 13 48 40 0 88 5 4 0 36 5 2 3 40 0 1 1 40 10 7 4 - Types of Diseases observed among Patients in OPD and Mobile Clinics The following table gives us information about the various types of diseases observed among the patients in our OPD and Mobile clinics. Page 8 of 44

Table 6 : Types of Diseases Types of Diseases Diarrohoea/children Diarrhoea / dysentery adults Amoebiasis Typhoid TB Gynea patient Bone & joints patients Burn patient Worm manifestation Skin diseases of all kinds Ophthalmologic infections Malnourished children Cardiac Inf. HTN Diabetes Asthma & COPD Cough & Cold Epilepsy ENT patient Lymphadenopathy I&D Dressing Other Patients October November 3 88 1 54 December 1 70 53 1 73 306 1180 3 2 510 80 3 54 124 1037 58 3 411 109 179 62 187 249 6 3 9 0 25 0 0 249 31 163 1114 45 184 10 39 941 0 12 349 27 376 1270 12 1282 0 67 67 5 212 242 183 189 617 2466 67 8 12 0 0 287 16 126 1160 6 203 0 10 1215 Total 930 37 0 12 885 74 665 3544 63 1669 10 116 2223 Page 9 of 44

The table and graph show that the most common health problems observed among our OPD and Mobile clinic patients were cough and cold, owing to the onset of the winter season; bone and joint problem, and ENT problem. Identity Cards for Medical Consultants The total number of Identity Cards issued in this quarter are 4256 which is slightly less than that issued in the third quarter (5037). Table 7: Total Number of Identity Cards issued in Q4 OPD Mobile Clinics Month October 908 808 November 783 525 December 887 345 2578 1678 Total Total 1716 1308 1232 4256 Page 10 of 44

Table 8: Total Number of Identity Cards issued in the four quarters of 2013 Q1 Total Number of Identity Cards issued 3780 Q2 3300 Q3 5037 Q4 4256 Total 16,373 Page 11 of 44

The number of identity cards issued in the fourth quarter is higher than that in the first two quarters (12.59% and 28.97% higher than Q1 and Q2 respectively) and 15.51% less compared to the third quarter. However, we cannot pinpoint any specific reasons for this trend. Page 12 of 44

ACCESS TO PRIMARY HEALTHCARE IN URBAN AREA: SHECHEN MEDICAL CENTRE IN BODHGAYA, BIHAR Page 13 of 44

The total number of people who came to the Medical centre in Bodhgaya for Consultations in the third quarter of 2013 was 6966. Out of this total 2611 were new consultants, representing 37.42% of total consultations in OPD. The number of patients at OPD in the fourth quarter is 16.62% higher than in the third quarter. Table 9: Details of Consultants at OPD October Total Number Consultants New Consultants Male Female Children of November December 2398 2002 2566 913 788 910 653 605 672 1183 919 1292 562 478 602  November being the month of festivities registered lesser consultants compared to October and December.  December, marking the onset of the winters saw the highest number of consultants in the fourth quarter as people are susceptible to cough, cold and influenza during this time of the year. Page 14 of 44

From the above graphs we can see that women and children form majority of the consultants at OPD (72%). Pathology Laboratory Total number of patients who came in the fourth quarter of 2013 for different medical tests were 513 and total anaysis done was 1310. The number of patients and tests are different because one patient may go for several tests. Total money collected from these tests was INR 17575. Page 15 of 44

Table 10: Total Number of Medical Tests conducted in the fourth quarter Total Number Tests of TC/DC 221 ESR 199 HB% 158 Malaria 52 Uric Acid 38 Blood Sugar 206 Serum Blirubin 20 AFB (Sputum test) 88 ECG 15 Urine routine examination 72 Urine culture sensitivity test 45 Other Tests Total 196 1310 The table and graph show that the highest number of medical tests conducted are TC/DC, Blood Sugar, ESR and HB%. Page 16 of 44

MOBILE CLINICS Mobile Clinics With the expansion of our outreach activities to 6 new villages in the first quarter services of our Mobile Clinic was also extended.  In the fourth quarter of 2013, the number of patients who came for consultations in mobile clinic from 18 village was 8741 , out of which 2755 were new patients representing 31.52% . Page 17 of 44

 5589 consultants from the satellite villages around our 18 operational villages who sought medical help from our mobile clinic services.  The total patients who were treated for Free of Registration Charge (Pregnant women, children and aged people above 60 years) in the Mobile Clinic was 6455 (73.84 % of the total consultants at mobile clinics).  The total number of consultants at the mobile clinic has increased by 10.72% from the last quarter. Table 11 : Details of Consultants going to Mobile Clinics October November December Total Total Number of Consultants 2909 2652 3180 7895 Total Number of New Consultants Men 1018 865 872 2961 749 753 869 1851 Women 1455 1254 1567 3841 Children 705 645 744 2203  As in the case of OPD, here too the maximum number of people sought our healthcare services in December. The month, marking the onset of the winters saw the highest number of consultants, as people are susceptible to cough, cold and influenza during this time of the year.  November being the month of festivities registered lesser consultants compared to October and December. Page 18 of 44

] Women and children constitute 73% of the total consultants at Mobile clinics, which is similar to the trend in last quarter where they formed more than 70% of consultants at both OPD and mobile clinics. Page 19 of 44

MEDICAL CAMPS FOR THE POOR AND NEEDY Page 20 of 44

In order to reach out to maximum number of under-served population we organised 3 medical camps for the poor and downtrodden in the months of November and December. Total turn-out in the medical camps was 1540. In these camps, apart from free medical check-ups and medicines, detergent and body soaps were given to each consultant and free sanitary napkins were distributed amongst women and girls. Table 12 : Details of Consultants at Medical Camps for the Poor and Needy October Total Number of Male Consultants 0 Female Children 0 0 0 November 523 158 198 167 December 1017 264 419 334 As we can see from the above table and graph, no medical camp was conducted in the month of October. 2 medical camps were organised in December and 1 in November and hence the huge difference between the number of consultants registered in the two months, with December accounting for almost twice the number of patients as in November. Page 21 of 44

HEALTH EDUCATION PROGRAMME (HEP) Community Health Meeting Sanitary Napkin being given free to women at Medical Camp Health Education Programme (HEP), which was introduced in our 12 villages in 2010, continues to run smoothly. Currently there are 87 health groups under HEP. Table 13: Some Important Data on HEP Indicators Total Number of Home Visits by Village Coordinators Total Number of Home Visits by Motivators Family visit By V.C Total 633 2416 850 Total H.P committee 53 Funcational H.P committee 51 Repaired Hand pump 11 Hand pump Meeting By V.C 37 Health Group Meeting By Motivator Total Population Reached 175 1055 Page 22 of 44

Table 14 : Some Important Data on Reproductive and Child Health (RCH) Indicators Total Mother & Child Meeting By V.C 65 Mother & Child Meeting By Motivators 187 Total Pregnant Woman 68 Total Pregnant women taking T.T.1 62 Total Pregnant woman taking T.T.2 66 Total pregnant women taking Taken T.T.0 29 New Born Children 43 Children born at PHC 76 Children born at Home 48 New-born Child Immunization 50 Immunization for children below 2 years of age 250 The number of child deliveries is greater at PHC than at home. The number of pregnant women taking the required vaccinations is also very impressive, with almost all going for vaccination. Table 15 : Number of Sanitary Napkin Packets sold Month October November December Total OPD Mobile Clinics & Motivators Medical Camps 46 580 0 80 624 97 186 745 255 312 1949 352 Page 23 of 44

The above table and graph clearly demonstrate increase (from October to December) in the number of sanitary napkins sold at our OPD and Mobile Clinics. At the medical camps the napkins were distributed free of cost to all the women and girl consultants. Page 24 of 44

EDUCATION STRENGTHENING BASIC EDUCATION Yoga class at Dema school In an effort to provide a nurturing and holistic approach to basic education and helping in the all round development of children, we have introduced various educational programmes since early 2013. Our initiative to empower basic education is running successfully with the following activities:     The support faculty to rural schools are continuing successfully regular Yoga classes are conducted in the village-schools organisation of Parent-Teacher Meetings providing Teaching-Learning Materials A fitness instructor hired by our organisation, provides Yoga and other physical exercise training to the school-going children in all the 18 villages. Matthieu Ricard, President of Karuna-Shechen and Tarek Toubale, Chief Operating Officer of the organisation, during their visit to India in November, 2013 lauded our initiative to start Yoga training for school children. The support faculty we have provided to schools in Dema and Banahi continue to impart enjoyable and interesting learning experience to the children. Various Teaching-Learning Materials like have been distributed for more effective and fun-filled learning experience for the children/ we continue to supply Teaching-Learning Materials (TLM) to schools in an effort to fulfil the basic requirements of teachers and students and help improve the education standards in rural schools. 5 PTA meetings (1 at Lohjhara school, 1 at Gopalkhera, 1 at Kadal and 1 at Chando) have been organised at schools in the fourth quarter. Page 25 of 44

Various sports and game materials like football, skipping rope, Badminton racket and shuttle cork, Carom Board, Cricket bat and ball, etc have been provided to the rural schools to encourage extracurricular activities for overall child development. NON-FORMAL EDUCATION (NFE) Our NFE programme continues to run efficiently in all 18 centres across 16 villages. Page 26 of 44

Table 16: NFE Attendance details Name of Villages Banahi Dema Gopalkhera Lohjara Bandha Nawatari Mansidih Sripur Mastibar J.P.Nagar Kharati Karhara Trilokapur Bhupnagar Kadal Total Number of Students enrolled in NFE Average Attendance in NFE classes 30 30 30 30 32 32 31 30 25 28 18 60 21 25 25 447 15 16 15 17 16 17 16 15 15 15 9 31 8 11 13 229 The total number of enrolled students has slightly increased from 444 to 447 with 3 additional women joining the NFE centre at Kadal. The average attendance has fallen from 63% to 51% primarily due to the engagement of the women, most of whom are engaged in agricultural activities, in harvesting of winter crops. Also, the months of October through December, being the festive season, saw student attendance drop during this quarter. Page 27 of 44

VOCATIONAL TRAINING FOR WOMEN Women making candles within our office premises Cash Receipt for Sold Candles After undergoing training in candle-making, at a 2-day workshop that we had organized in Bodhgaya exclusively for our NFE students, 7 participants were chosen on the basis of their ability to produce what they had leant, and sent to Jamshedpur in August for a week-long intensive advanced training. As the third and crucial step towards empowering these women a candle-making unit was opened within our office premises in Bodhgaya from October, prior to the celebration of the Festival of Lights, ‘Deepawali’. These 7 women were assisted by 4 more NFE students who had participated in the candle-making workshop at Bodhgaya. These 4 women worked under the guidance of those having advanced training which helped them improve their knowledge and enhance their candle-making skills. The combined effort and sincere efforts of all the women enabled them to produce 27 different types of candles and sell INR 14,499 worth of candles, definitely a huge achievement for these rural women who had been otherwise confined to their communities and severely lacked socio-economic empowerment. Page 28 of 44

Table 17 : List of the Different Varieties of Candles produced by the Women Serial Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Types of Candles Big pillar Square pillar Small pillar Spiral Big Spiral small X-Mass Simple small Simple middle Small Rose Sunflower Small doll Temple Normal candle Laughing Buddha Sharifa Buddha statue Date Quince Apple Ship Nehru Banana Papaya Papaya Big Spire Micky Mouse Maize Page 29 of 44

Now, these women are working as vocational trainers in our operational villages, imparting refresher and advanced training in candle-production and marketing to the NFE students. NFE students in villages being trained by the women who had undergone advanced Candle-making training and participated at our Candle-production unit Page 30 of 44

ENVIRONMENT SOLAR ELECTRICITY A household with Solar light at J.P.Nagar One of the 3 Solar Engineers undergoing training at Tilonia After 6 long months of hard work the 3 women who had been sent to Barefoot college in Tilonia, Rajasthan successfully completed their training to become Solar Engineers. They returned home in the second half of December and are now gearing up to install solar lights in their respective villages. In this quarter a survey was conducted in the three villages where solar lights will be installed; Barsuddi, Chando and Kadal. The objective of the survey was to know the number of households willing to pay a one-time installment, specifying the amount they are willing to pay; how much, if any, are they willing to pay on a monthly basis for light maintenance and battery replacement; the number of lights required per household, etc. Page 31 of 44

BODHGAYA CLEAN ENVIRONMENT HYGIENE AND SANITATION PROGRAMME Meeting with Food Vendors Showing them types of food covers Community Meeting for awareness generation on clean, hygienic surroundings Page 32 of 44

Drawing Competition Speech competition at school in Dema village Speech competition at a school in Bodhgaya town Page 33 of 44

Participants with the Jute bags distributed by our organisation to discourage the use of plastic bags As an integral component of our Awareness campaign under the Bodhgaya Clean Environment, Hygiene and Sanitation programme we organised drawing and speech competitions in 27 schools (15 schools in Bodhgaya and 12 in our operational villages) in a bid to create a more environmentally sensitive and responsible generation of citizens. We also conducted household survey in 142 households in Bodhgaya town to get an idea about the level of awareness, problems and practices related to sanitation and hygiene at household and locality levels. After this initial step of data collection 4 community-level meetings have been held to discuss about the importance of keeping our surroundings clean. In a bid to discouraging the usage of plastic bags and motivate people to use substitutes we have ordered jute bags of different sizes from West Bengal. We have been distributing them for free among participants of school competitions and our medical consultants and selling the same at meager price of INR 20 (in contrast to the market price of INR 60 or more) to the locals who desire to purchase them. After having selected two types of covers that can be used by the food vendors for protecting the food from dust and germs by the roadside while on display, we conducted several meetings with food vendors and sweet and snack shop-owners in Bodhgaya and at Gaya station regarding the same. Till now 30 vendors have placed orders for the food covers. Besides, we have successfully conducted audit for the Green Schools Programme for which we had undertaken a training at the Centre for Science and Environment (CSE), New Delhi. The programme, in our operational areas, will be conducted by us in collaboration with CSE. Page 34 of 44

SOCIAL SMALL MONEY BIG CHANGE Pond that was digged in Kadal Fish added to the pond for Pisciculture Our community-planned and community-managed programme continues to run successfully. Repairing of the well, the construction of bathroom for women and digging of a pond at Kadal has Page 35 of 44

been complete and are being used by the villagers satisfactorily. Besides, some fishes have been thrown in the water with the aim of developing sericulture and thereby improving livelihoods of the otherwise very poor community. Besides, the construction of a pond in Banahi which had started in the third quarter but had to be stalled due to the monsoons, was completed by the beginning of the fourth quarter. With the digging of the pond the community now has a clean and adequate water resource. KITCHEN GARDEN Growing a kitchen garden in the backyard of a house with the objective of improving the overall health of the rural poor and providing them with an additional source of livelihood was the idea behind our new Kitchen Gardening Programme which began last quarter in close to 1000 households across 18 villages. Through this quarter the kitchen gardens have been monitored and supervised by our village motivators and coordinators. Also, some more fruits and vegetables like coriander, spinach, potato, garlic and lemon have been distributed among households and schools. Page 36 of 44

Table 18: Kitchen Garden details Villages Banahi Households receiving Vegetables and Fruits 27 Lohjhara 11 Dema 42 Gopalkhera 21 Manshidih 25 Bandha 15 Nawatari 15 Kadal Only in the school Chando Only in the school Total 156 households and 2 schools RAINWATER HARVESTING In the face of water problem facing the villages we have introduced our new programme this quarter, Rainwater Harvesting which will help in the accumulation and deposition of rainwater for reuse before it reaches the aquifer. Interested households and schools would be provided water tanks by our organisation free of cost and they have to bear the minimal cost of plumbering that would be required to install the system. The rainwater harvesting system will enable the communities to utilize the locally available rain water to meet water requirements throughout the year. This would facilitate availability of uncontaminated water for domestic and irrigation needs. The programme’s first step was to explain about rainwater harvesting-its importance and uses, to the target communities. Next, a list of the interested households and schools was prepared. The third has been to build an elevated platform where the water tanks will be fitted. While some households have already completed the process of installing the whole system and are ready to use the system, several are yet to accomplish the task. In this quarter 32 households and 4 schools (Dema, Gopalkhera, Chando and Barsuddi) already have the whole rainwater harvesting system in place while several others are in the process of installing it. Page 37 of 44

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COMPUTER COURSE FOR THE YOUTH Our programme to provide free computer training to the underprivileged youth is running successfully. Apart from the basic minimum academic qualifications, the only criterion for enrollment in these lucrative training is a few hours volunteering service in one’s own community. Thus, our students engage in volunteering exercise like teaching poor children for free, etc. NETWORKING WITH OTHER LOCAL NON-GOVERNMENTAL ORGANISATIONS We have collected detailed information of all the non-governmental organizations working in Gaya district. This is the first step towards our goal of creating a network of like-minded NGOs so that instead of working in isolation, organisations with similar views and mission would be able to work collectively towards the realisation of their common aspirations. Page 39 of 44

OTHER IMPORTANT INFORMATIONS FINANCES The budget and expenses for the fourth quarter of 2013 is presented below: Table 19 : Budget and Expenses Indicators Budget in USD ($1=INR 58) Expenses in USD ($1=INR 58) Administration, transportation and functioning cost OPD direct benefit to population in Bodhgaya town and close surroundings Mobile clinic benefit to population in 18 villages Education direct benefit to population in 18 villages Environmental Program Social Program Program Support 51,719 12,039.60 66,042 18,121.88 91,816 21,831.80 39,714 6576.98 42,355 59,441 16,917 9,579.46 19,078.07 2,674.80 Investment: Equipment 18,355 1,141.81 Contingencies 19318 2,518.29 Total 4,05,678 93,562.69 Page 40 of 44

INTERNATIONAL AUDIT An international Audit for the financial year 2012-201 successfully took place during this quarter. EXTERNAL VISITORS Anne Oliver, Chief Financial Officer of Karuna-Shechen, paid us a visit in October. In the month of November we had the honour of welcoming Matthieu Ricard, President of Karuna-Shechen; Tarek Toubale, Chief Operating Officer; Sanjeev Pradhan, Director of Shechen Clinic, Nepal and Vanessa Challinor, Serge, Astrid and Marie Saint-Arnoult from Shining Hope Foundation. All our esteemed guests were impressed and extremely satisfied with our programmes and appreciated our hard work and dedication towards the same. Our honourable guests on Field Visits Page 41 of 44

Anne Olivier with an NFE student Our guests with the entire team of Karuna-Shechen, India UPCOMING ACTIVITIES  A 4-month training imparted to Anganwadi workers in our villages by a volunteer from Inter’Lude, France. The primary focus of the training will be child development through games and activities. Page 42 of 44

 A pathology laboratory expert will join us from France for a 6-month training and supervision session at the laboratory in our medical centre, Bodhgaya.  Solar lights to be installed in the villages of Chando, Barsuddi, Kadal and Banahi by our newly trained Solar Engineers.  Rainwater harvesting to be completed in the households and/or schools where the process of installation has begun. Also, as there is a gradual increase in interest regarding the project amongst the communities in our operational villages more households are likely to install rainwater harvesting system in the coming months.  We may conduct the Green Schools Programme in schools in and around the town of Bodhgaya.  This year we envisage extending our services to Aurangabad, Jehanabad, Nalanda and Nawada, i.e., the districts neighbouring our present area of intervention; Gaya district. Besides, we intend to expand our geographical area of operation to the neighbouring State of Jharkhand. OUR PARTNERS Current Partner: Barefoot College in Tilonia, Rajasthan Prospective Partner: Centre for Science and Environment, New Delhi. Page 43 of 44

ANNEX -SUCCESS STORY The Story of an NFE Student- Anita Devi Anita Devi at NFE centre Anita Devi, a 24 year old woman hailing from Dema village is an NFE student. Previous to joining the classes she was an illiterate woman with a low self-confidence. When the NFE centre was started in her village she knew that this was a golden opportunity for her to fulfil her dream of learning to read and write. Past 7 months of regular classes has enable her to read and write the alphabets of Hindi language, numerical, construct sentences, write her own and her husband’s name and her residential address. She can also recognise several countries on the global map and read and write their names. Her husband and in-laws have been very supportive of her decision to pursue NFE classes and take care of her children if, for some reason, she cannot bring them along with her to the classes. Talking of the advantage of attending NFE classes, she says that reading and writing skills have not just enabled her to interacting with people and understand things better but has also empowered her to help her small children with their lessons. Besides, she now helps the illiterate women of the community if they have to read or write anything, and has thus become as a source of inspiration for them. Her family is proud of achievements, she says happily. Her whole NFE experience has been enjoyable and satisfactory and she looks forward to learning new things in the days to come. Page 44 of 44

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