C,H,W.PAPERS ON VARIOUS ASPECTS OF COMMUNITY HEALTH

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Title: C,H,W.PAPERS ON VARIOUS ASPECTS OF COMMUNITY HEALTH
extracted text: RF_COM_H_35_SUDHA_PART_2

C
H 35"VVELEMEGNA GOO!) NEWS SOCIETY HOSPITAl

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'o Visit our Web site http://WWW.Velemagna.org e-mail;drsalins ^vsnLcoin
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foiiiidoi / Director / Vice-President

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(Lion) Dr.A.C.Sallns

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I' Accunipuiicliue (JaiJiin) C.C.f H. (lofHion)
i.miifiliiiKiiiiiin) Niilimiiif
NiilHimil Aiinmlli
Aimmiii
Cmniillimmlimi
!.? Yuiiis ul Imlm Itulomiml
uiicii
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Whim l.miiiimmuutliim
35 Yh» ol womb Io lmul> .md imyond llm tomb ynoiiiiii
siiivicc Ini mi lihivii
iiiiiyoiliilly, iiumiiny Itm.luliil iukiJii ul (hn sick, |hiv»iiIj
siiickmi (-oiiiiiimiiiimi, (ii-smyum Individual, Ino.speciiyb ol cusl, cietid coioui,
Wl11' ,"!,l> n* Gml. Govt Gods
Gotls ChiloiBii
Chilean (PfBcimis
(Pcmuous I'ruytu
I'ruyni Pailimrsj
I’diinnibi liplilmg
litiliimg d<?:.fla:.t!K
.CURING AND PREVENTING AVOIDABLE BLINDNESS,hrt
r.ouHiry im «imppy imanhy piosimitm!
Niilmii.il, liiiiiiimtiuiml puumi oh hnlli und (juodwill uiului I .iilitiiimoij pi i.ud .mti
limlhmlmml m Miiukiiitl wilh iimlmil Iuvb, raspoct mid Ctiiisliofi> imiicoHi Im whulitdii
dtiVDloiHiioni dmuiu ;>U0(l AU A. Now Milhumiimi,

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In traduction''"

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RM Serrig OTHERS at the cost of your own self is not an easy task. It needs a
herculean desire and dedication to cover this treacherous journey. Even then people

i T •' do corne up for the job with a passion for God and Nation.

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- Dr. Sushila and Dr. Christoph* ' Salins ventured in faith to launch a Chantahie
Multipurpose Voluntary Oiga...sation named as "Vtd.LMTGNA" i.e. (Village f:van<jelical
Leptosy Eladiention Medical Educational Good News Association) in jgflg alter their
medical education from Christian Medical College, Vellore, Imiio^i'-- >■ onwa.d ilv-y
are continually toiling to make a belter tomorrow for lieiplc .
U
um-'r
masses of today.

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In Hu own words of Dr.Sushila and Dr .Salins... " Our hard struggle
ho/ikmitfully helped in bringing down incidence of Leprocy, T.B,
^nyAvass, malnutrition, rehabilitating many handicapped old aged
CTlihAW-vs, widows and orphans. Broken homes live to build Goicily
individuals, homes and congregations. We earnestly call more
dedicated Christian professionals, teachers, preachers, multipurpose
trainers to corne forward and join in this gloriouis Ministry of Faith, to
share their precious time, talent and treasure, then more c<
achieved by delegating difteient aspects of the Healing,
Training and Preaching multipurpose health and development A
activities. We need devoted workers in capacity of Dedicated
surgeons, Gynaecologists, ENT surgeons, Opthalmologists,
Paramedics, B.Sc., M.Sc. stall nurses Administrative stall, M.S.W.,
Bible teachers, Preachers, Social workers, gr aduates in agricultur e
and animal husbandry, Physio/occupation therapist, marriage
councillors and the teachers for the visually handicapped. We put the
http://www.velemagna.org so that many more unreached people world wide could be reached
on o
laicjtri scale.’*
Isaiah 27:2-3" A vineyard of red wine. I the Lord keep it. I will water it
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every moment lest any hurt it. I’ll keep it night and day" This is the
promise of the Lord. This social service was started by Him. His grace and
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wisdom. He will water it every moment. So many permanent structures
were built. So many handicapped {blind, lame, destitute) were healed. So
many students and people were trained. So many are spiritually blessed in
the Lord's Vineyard.
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As long as health permits, by the grace of God we both will work tirelessly.
Later the Lord will bring His own people and this Ministry should be
^0?tAniJedJ')y ,iket’n‘nded God's children with God’s love to serve Cod’s
children, Amen. Halleluah * Praise the lord H
incndnl mulii-driig Thcrjph^V
,, I tabling I laiticrs lot t.ipid cute ol l.cp
Blessed are They That Consider the Poor Through
rovy.
r)ij«'“’S'i< ;‘U"l Training Centre.
Following Meaningful Health Development Projects
L .EI ?.,i,*M' ,Sh
• ".'K.50 Kcfl<kd
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RIGHTEOUSNESS EXALTETH A NATION; RUT SIN IS A REPROACH (PROV: 14:34) I
Dear friends He Prayer Partners, Give (io or Send I'uycifully with your j
regular financial support through Vlil.EMEGNA ICRA.
AA No. 9996 at Canaia Bank, Kidai. lot Poreigncis and A/c. No. I
6958 at Karnataka Bank, Bidai. lor Indians enabling our Veleincgna
Society, Hi.Jar - 585 401. Karnataka, India.
Patronis'tig some ol the following.worthy long awaited programmes by
Ianh in God, (iod's Childicn and Govcrninnit.
J. Coinprchcn.'.ivc opihalmic seivicc ptcveniing and curing avoidable
Blindness in the most hackwaid disiiht long awaned.
j
2. Indra Gandhi Memorial Rapidly "ARRRF.S'ITI" Leprosy (Aware-1
ness. Relief,
Rehabiliiafion, Educalc, Survey, Train, Trace &
------ Treat) bringing Wy hope-facing challenges, using W.II.O. recoin

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Gcni.-i.il Hojpiidl in uibun, slum jicjs .md 50 Bedded opili.dniK
wiih .Siall
Sull Qiuncrs,
with
Quaricrs, Office.-;
Ofi’ici-; Coiumuniiy
Community Hall,
Hall. Helping ihe Handl
rapped,
Schwl.
tapped, including Nursing and Bible School.

4.

We needed two Mobile Medical Teams, Covering various Mini Ceii

ties, hyc-camps. ’I•:’•i-nidy-pUn'i'ng,
aniily-planning, Undei
Under fives
bivcs ANC. hnniumni/.iiion,
hnniumni/ation.
School lUalih Progianimes. I•^»| piuposed optimum seiviccs
1 scrvii.es.
5. 50 Bedded Leprosy Hospital and
-bl Cciinplcx al
nd New
New Lite
Lite Vil,
Villjgc
Chamalli, Baridabad Village alter Pre, Post Opeiativc P$y
/sin I liei jphy,
lor caic ol hands, fen, eyes Training multiple hamli. appnl.
6. Aitilicial Limbs, Rrconsiiui tfive rijstii Suigeiy, Kchabdiiaiing
aileasi 200 O.tiac i.scd l.cpiosy bcggci families toliegin wul., by aqui
"fig
adtliiional government and Private land.
7. Rebel and rchabiliiaiion of Disaster Viclinis, Widows, Orphan-, and
Aged Destitutes, Job onenlcd tiaining of unemployed Youth

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.MEGNA GOOD NEWS SOCIETY HOSPITAV^X»«-**AOte^
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CuiiipliiiiiiiiliiH) Nahuiiiil Aufliidii • Ouimo S? Yohis ol IikIih llulnimiHl
vihip coiiiiiuiinaialiiid 3b Yrt» ol wo/ub to tomb and boyond Um tomb yeoiiitii.'
>i>l <r. ulitvc Itiqolluii piHyoifully, iiiuolinu Um total nouds ol Dm sink, puvuil
>jiiitiHiiiulit!:: dusnivmq Individual, Irmspediva ol cast, citmd.colout,
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wiiiHii/williuul Um coimicyalioim, Couiit/y for a happy Imiillhy prospmuii
i. Inieinaiiniial poacfl on faith and goodwill undat laltmihood of God an
>u(k| ill Mankind wllh mutual love, rttBpm;! amt ChiiNllmi cummrn lor wholltUij
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CURING AND PREVEN 1 ING AVOIDABLE BLINDNESS i

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DONATE EYES
GIVE SIGHT

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Declaration of Gift of Lyes to the Nation
I/We, the signatories below, do hereby jointly and severally declare the wish to
donate our eyes to the nation and enjoin uj)on oik.* .iihjIIk i that this wish be put
into inviting a doctor to remove both eyes ujjon death for thcrapecutic use.

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2. Mr/Ms

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VELEMEGNA
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■riAMULUiiH GOOD
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IfICVVd SOCIETY
SUbltl Y HOSPITAL
MUSmALHE^
the 4.Mr/Ms............................. BIDAH
m/imm*
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BIDAH- -585
585401.
401.(vadma
(KARNATAKA)
INDIAn..n..r
PHONF/FAX/08482-2546

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GIVE
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l oiiHinu wiiimi/willioul llm (;ninii<)(|iil|Onn, Counliy Im a Imppy. Inmllhy pim.iminm,

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Signature

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I;t" '..... ■ ............... .
"" '""1. ami goodwill iimhii I ..llimliomj ol liml ..ml
......... I "•ll""h"o.| ..| Mankind with mnlmil love. r(.»|m<;| and Clni.HInn tmnm.in Im wl.oll.di.
........... di.vmoimimii diiilliu I'UOl) A I) «, Now Mlllmniiiiiil

Rifling of life
hr, above all senses, is the most enr iching experience.

------ — —r^..^..,nny to iniorm the nearest eye
eye bank
immediately alter d<*alh. Whichever eye bank is nearest
should b(‘call<?( I, imssjiectively of where you an registered.

Vet, not everyone is blessed with sight. And it is for
to see that, something is done about that.

Ute

r•/ >

I lence, we encourage the idea of a whole family
pledging. I hat way, everyone will take pride in being able

is lost

to participate in a small miracle. I he miracle of bum nig
light to a blind person's lite.

■> the cornea, the outermost membrane of the eye,

its transparency due to trachoma, malnutrition or
ury (to mention just a few of the caustts), the eye ceases

BASIC FACTS about Lye Donation

see In medical leims the condition is called Corneal
Mcity,
Of over 20 lakh Indian who suffer from corneal

.idly almost 10 lakh can benefit.

.1

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dmpb Cornea Transplant can lesloie sight to must of
in. i el s.ully, in a year, only 4500 sue h <>|relations are
itumied in India. We need a far greater number of
>llhy corneas. Because only a healthy cornea donated
. lother human being can replace the useless one in a
id person's eye.
I his is wh<‘t<* you can he||By pledging to donate
ir eyes after you are gone. I o begin with, you should sign
■ pledge card provided here
1 C 11 N L V will register you as an eye donor and
id you a certificate cum eye doi mr < <ird with the name,

3.
4.
5.

I.ye reiik >val t.ikes oi ily 10-1S 11iiimtesai w I h-aves ri< >
sr ai or disfiguiumenb

6.

7.

lion ol tl ‘er-ycs of a deceased rrl.Hive - il he/she had
nevei said anything against his/her eye don.iliun.
On reaching the eye bank the eyes are examined,

preserved and used in a Cornea lians|>lant within
7'1 hours.
If you still have .my <|uestion regarding l ye Donation,
plea ,c Write |< >

«Jve you family
•■i • ‘h it vnur

■vi;l l>e fulliUeH. Because it would hardly '»»• <he iirs<

w-d.

immcdiatelyaflerdeath. ( Jose I he eyelids and plat e
a wet cloth / ice piece over them.
I he eye bank will tush a dor lor to youi home.

Your donation gives sight Io two blind prisons. One
blind prisons is given one eye at a time dur io
shortage.
I he law provides that you can authorize the dona

dress and telephone numbers oOhi^ eye bank you. Do
ry the card with you.

■ :l to o< < or io grief-stricken u'!,jliv<
11 »al is, unless you do am ".
ih.11 when the time com<*s you.'

eye strrgyry successfully.
! : I he eyes Iia:ve to ■bl!1 removed within 6 hours ol

death. So the nearest Lye Bank must be iiilormed

u' you can bring back the light

"ly the act of your pledging may not <•’

Almost anyone of any age can donate eyes-even if
the donor wears glasses, hasr silaract or undergone

fnakp

I

Chairman l.ioi'f',

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‘ ye
w f lagar, I fyderabad 500 028 I 'h « •
31/2/4 (l<) 395235.
■) l!; becrelary, Lion K,.
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!MTE RNATIONAi ASSOCIATION Of i K >NS Cl u-r, vi: ’.a
i (n< k ni w ciniury or t.ri u r v. urvicis
FOR HL WORLD IO u L IHROUGH AC IIVL I ‘AR I ICIPa I it )N I OR (I H C f m PAR IM RSf ill' Will!! IONS
CLUB BUj/Kr DISC 324 C-2 Rl GION Vi, ZONE II, CLUB No (M46&4 SOI l( J IN'» YOUR ACT1VL. (NVOl. Vi Ml NT
SI lARING YOUR GOD GIVEN RESOURCES Wi I H GENEROUS DONA HONS FOR 11 IL MILLI NNIUM IJY
IMMrDIATELY JOINING OUR LOCAL CLUBS WORIHY HMI ROUND PROJI C13COMPU Mi NI IN<. NA I IO?^J /
INH-RNAIIONA!. AGENDA T OR UF Al THY. 1‘ROSPf RO’ - Pl ACF I OVING COMMUNIlli
“IO CRl All AND
FOSTER A SHRJ1 OF UNDt RSI AI-iUiNG XiMONG ALL PEOPLE FOR H 'MAW I ERIAN NEEDS BY PROW -IE- ■
VOLUNI F RY SERVICES THROUGH COMMUNI TY IN VOL VI. MEN T ANO CO DPI fCATION’

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All Christians are commissioned by Cod to
follow the example set by Jesus Christ 2()()()
years ago, to serve the sick , the suffering and (hr
downtrodden and Io actively participate in His
healing ministry. CMAl along with ils net work
anti the church is committed Io work towards an
India where every individual has access to
affordable, wholesome hcallh rare. ('MAI serves
I he eh u reh by promoling the ministry of healing
and wholeness.

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cmintry are still

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Today

a iirkin.'', wil h pari ne

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Many ‘lie every .year

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iiuin maIpi act ites anti exploitation

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Some I leal tii Facts

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I disease.. like Jan nd i

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woi I.-.1 Kips,

d! i. man;; act,ions and policies to protect commit

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h< a 111 i’i-1'. .

.lie;, and problems lai inj' the roimtry

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dm,'* awareness within th<‘ network

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fnluiiicin;’ odncnlion ;i*Ail Iruiiiin,

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• ■lit yoai'a ('MA! has boen looking at (‘omniuni
a . Io support and ejlhance ils programmes al !
.-•i I)iasemimil.ing health related knowledge '
mini mal iuii through newsletters, journals,
, mas., media, lilms, exhihitjoiCX ic. (,'MAI
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Women

S il' k I lea.' i (I III

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Ifyou ivou/d like to know more about CMAl or
be associated mi th the organisation in any way,

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^ciirii Winit: Coiitinniiioiiilliiii 35 Yr:> ol woinh lo lomb tttid boyoml Hie loinlj yeoiuofi |
i V'Bivitit: lol uh ahivo leytiilKii pitiyorhilly, inoelhiy Ihn lohil iidcUm ol Ihn sink, povoth
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HIDAR - 585 401. (KARNATAKA) INDIA PHONI7FAX 08482-254G7
Visit our Web site littp://WWW.Velemagn<i.org ft-inail;drsallns ©vsnl.coiu
I oundor / Diinctor / Vico-Piosidont-

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CUP INC. AND PRFVFN11NG AVOIDABI F BHNDNFSS

(LLon) Dr.A.C.Salins
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Conipiiiiiiiiiiiiiii N.ihuiiiii Agenda Dining 5? Ytnns ul Imli.i Inaenentl
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Whili! CoiiiniKinoialitiii .if- Yt» ol womb Io tomb and boyond the tomb yoomeo
i sofVh: r lol mi iihlvu lit||oll)in (iiaymliilly, mimling Urn lotiil immtit ol Um amk, pnvoily
‘ sliicktin I'.omiinniillu; duumvmg Imliviitualh. Iiiimpocllvti ol caul, <:to«d coloui, iiigii
E with help ol God Cmvl Gods Clilldfnn (l>ft«:lmia Piiiyoi I’nilimis) lighting duMmsi!'
J d(iinoii!> y“ ■•• '■■
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Un: oiiiiyiii()ii|ioiis, Country lot a happy hualihy piospciou
N.ihmiiil, liiliiiiuiiional pmmn on l.nrlh ami goodwill midm I aiherlimid ol tGod mid
i i r i > 11 hi 111< i< >.

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GOOD NEWS SOCIETY
HOSPITAL
Go!ekhana,BIDAR. 585401
KARNATAKA State,INDIA.
Ph/Fax:091-08482-25467, 24629
Visit Our Website: www.veieiiirtynd.ory

ING AND PREVENTING AVOIDANT BLINDNESS
11

•7
Total Devotion ,AImoIuIc dedication and
complete cHttroMinciit in yeomen services.
Mm. and Mr. Dr. Salins are
tirelesuly
Io eradicate dreaded dhruNc like Lrproay,
lilindnvss, Polio, Aids etc. since last JJ years
U-aching, preaching and healing the most
neglected lol in a rcinort pari of the
vast land of INDIA.

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Blessed are They That Consider the Poor Through
Following Meaningful Health Development Projects

Vlil.liMlsGNA Base hospitul building at Bidar

RIGHTEOUSNESS EXALTETH A NATION; BUT SIN IS A REPROACH (PROV.14:34)
Dear friends & Pr.iycr Partners, Give Go or Send Prayerfully wiili your
icgular i ry.i ial support through Vf.I.liMEGNA PCRA.
A/c. 1
<> at Canara Dank, Bidai. tor foicigncis anil A/l. No.
6958 at Karnataka Bank, Bidar. lor Indians enabling our Veleinegna
Society, Bidar ■ 585 401. Karnataka, India.
Patronising some ol I he lidlowing woiihy long awaited programmes by
laitli in God, God's Children and Goveinmeni
.1
Gomptcliensivc opihalmic service preventing and curing avoidable .
Blindness in the most backward district long awaited.
India Gandhi Memonal Rapidly "ARRRiiSTT T" Lcpiosy (Awaic ;
ness, Relief, Research, Rehabilitation, P.iliicaic, Survey, ftain, I'raic &
Treat) bringing new hope-facing challenges, using W H O recom
mended multi-drug Theraphy, Training Trainers lor rapid cute of ftp- ;
.osy
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t. ksi.iblishing 50 Bedded Refcral Diagnostic cum Training Cmiic.
General Hospital tn urban, slum areas and 50 Bedded opihalmic wing
with Stall Quarters, Office, Community Hall. Helping lhe ll.mdi
capped, including Nuising and Bible School.
4. We needed two Mobile Medical T eams, Covering various Mini Ceniics. Eye-camps, Family-planning, Under Fives ANC. Immumnization,
Sthool Health Piogrammcs. Foi pioposcd optimum services
5 50 Bedded Leprosy llospii.il and New l ife Village Complex al
Chalnalli, Bariclabad Village alter Pre. Post Operative Psysio fhciaphy,
■ lor care of hands, feet, eyes Training multiple handicapped.
6
AiiiIiii.iI Limbs, Rcconsiim tivc Plastic Suigeiy, Rchabiliiaimg
allrast 200 Osliai ised Lcpiosy begger families Io begin with, by <ii|Ulling
additional government and Private land.
7. Kdicl and tchabiluaiton of Disaster Vn lints, Widows, Otphans and
Aged Destitutes, Job oriented training of unemployed Youth

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TAKAGI
Operating
microscope in use ’Vision 2020
progmi time'

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" seen carry‘n(J out right to sight

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Dr.Sushila is busy implementing polio
eradication programme

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Dr A.C.Salins' is seen busy in
early detection ol’lcprocy and
other dreaded diseases

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VELEMEGNA GOOD NEWS SOCIETY HOSPITAL
BIDAR-585401. (KARNATAKA) INDIA. |>| p )NI-./l AX OK4K2-3I)467
Visit our Web site http:// WWW.Velernayua org e-inail;drsalms @ vsnl com
Founder/DirectorA/ice-President
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A- C- Salins
M 11 11 s ' C Accupunciuro (Japan) C C I 11 (I ondon)
**7ufte 5^ CwiipluiiHiiilliiy Nalioiial Ayuiidii Dinino 52 yums ol lndi.i Indupuiiduncij
Wiiilu Comniuiiiuialiiuj 35 yuaisol womb lu lomb and beyond Ihu luinb yuomuii lcivicu lylusslnvu
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individu.il. irrespective ol cast trued colour, race with help ol God. Govl. Gods Cliildions (Piuciotis
Piayur Partners) liglHnig deseases, demons wilhm I wiilioul Ihu Congiegalion, Counliy lor a happy
heallhy prosperous National, Inlemalional peace on Earth and Goodwill under I athei hood ol God
and Brotherhpod ol Mankind wilh mutual Love, respect and Christian concern lor wholislic
£>Juvelopmqp| dunng 2000 A I) X New Millennium

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Preva!ence of vftamln A~def icIency Jn- c
en
(6 years and younger) in 20 viHages in Bidar
district, India,
1997
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I?r( SAVb!' Meshrambar MBBS/DOMS, Ophfhalmologist/vele^n'a^ospital,
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Introduction
I am an ophthalmologist working
Velemegna Hospital, Bidar.
Bidar is the most backward dis
trict in Karnataka, a state in
southern India (see map) with a
population of 1.34 million.
Velemegna Hospital is run by a
NGO which is also involved in
various rural development and
health care projects in 20 villages
with a population of about
50,000. Those projects have
been run for the past 25 years,
involving also the government.
As we already had a good oph
thalmic team and a network of
health workers in 20 villages, we
decided to find out in a rapid assment the prevalence of viUmin A deficiency in children
aged 6 years and younger. This
assessment was done during
May and June 1997.

Objectives

1970 the government of India
launched the National Vitamin A
Prophylaxis Programme for the
prevention of blindness in chil
dren in endemic areas.
Karnataka was identified as one
of the endemic areas.

We assumed that this pro
gramme was functioning well, as
'claimed by various health officers
at
' the district level. However, time

and again I found many cases of
children with symptoms of vita
min A deficiency during various
free eye health check-up camps
and in our OPD. When asking
health officers about tho present
prevalence of vitamin A defi
ciency in the population in Bidar,
we were surprised to note that
no such data or statistics were
available.

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In India each individual district is
responsible for the implementa
tion of health programme^ ln U.Dr Sybil Meshramkar examining children for signs of vitamin A deficiency

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Honco I decided to do this study
to find out the prevalence of vitamin A deficiency in children aged |... >
6 years and younger. We chose
these 20 villages, as we are fa
miliar with the people and our
'
health workers have a good rap
port with the villagers.

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For each village, the lady health

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workers prepared a list of children
a9ed 6 yoars and youn9er- P;"cuts wore
wore informed
informed about
about tho
the
ents
survey, its nature and advan
tages, During tho visits from door
to door and also at the preschool
creche (ANGANWADI), 1500 chil
dren wore screened.

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Materials used and
methodology o* the
survey
There were no baseline data on
which the survey could be based.
To keep the cost of the study to a
minimum we used a good hand
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torch and simple questionnaires.
I educated the ophthalmic assist
ants and health workers about
how to fill in the questionnaires,
focussingmainly on tho identifi
cation of the clinical symptoms
of vitamin A deficiency in chil
dren (based on the WHO classi
fication of xerophthalmia).

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INDIA

KARNATAKA STATE
a

BIDAR
DISTRICT

Questsonnajre
The first part of our questionnaire
asked for personal information,
i.e. age, sex, caste, religion, fa
ther's occupation, mother's occu
pation, family income, number of
•siblings, and the second part for
information like typo of birth of the
child, antenatal check-ups re
ceived by the mother and the
immunisation status of the child.
The third part contained ques
tions on tho symptoms of vitamin
A deficiency, whether the child
received vitamin A prophylaxis or
not, questions on food habits and
on any illnesses associated with
vitamin A deficiency.

Results
A summary of tho main data is
given only. Data on immunisation
status of the child, vitamin A
prophylaxis, associated illnesses,
food habits etc, are not presented
here.

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Population of the 20 villages surveyed in 1997:
Total
50,156
Males
26,629
Females
23,527 ’
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Total population of children up to: <
6 years of age:
Total
2072
Boys
1027
Girls
1045
Children up to 6 years of age
screen' J:
Total
1500
Boys
728
Girls
772

Percentage of children screened:
72.39%

Children with symptoms of vitamin A deficiency:
Total
30
2%
Boys
13
0.86%
Girls
17
1.13%

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This survey revealed that 2% of
all children aged 6 years and
younger show some form of vita
min A deficiency (boys 0.86%,
girls 1.13%). All children screened
belong to the low socioeconomic
group and have not received any
vitamin A prophylaxis. Their sta
ple diet is jowar (a type of millet)
bread and lentil soup, and they
do not or only rarely eat green
leafy vegetables or yellow fruits.

associated malnutrition or worm
infestations. We also realised that
fortification of flour or oil with vi
tamin A would not really help,
because the people buy
wholegrain jowar and powder it
at a local mill, and they use cheap
cooking oil. Hence we have
started giving vitamin A prophy
laxis free of charge.

Nightblindness
2 0.13%
Conjunctival xerosis 17 1.13%
Bitot’s spots
11 0.73% All cases of vitamin A deficiency
-------- --------------------------- —<--------found were curable. Some had

I hope this study represents a
baseline for future studios.
<

Discussion
India is a signatory to attaining
health for all by the year 2000.
Preventable blindness, espe
cially blindness caused by vita
min A deficiency, is an important
public health problem in India. It
is estimated that there are over
one million blind due to vitamin A
deficiency. Nearly 20,000 chil
dren become blind every year
due to vitamin A deff/ency.

Karnataka is an area with en
demic vitamin A deficiency (JE
Park and K Park, Textbook of Pre
ventive and Social Medicine, 13th
ed.).

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COMP! IMENTING NATIONAL AGENDA - DURING 50 YEARS OF INDIAN INOFPENDFNi

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While Commemorating 33 yrs ol womb Io lomb and beyond Ihu lomb yuumun
ices lei us strive together prayerfully meeting the total needs ol the sick. |>'
stricken communities deserving individuals irrespective of cast, creed colour
with help ol God. Govt, Gods children precious prayer partners fighting disc
demons wilhin/withoul the congregations, counlrys for a happy huallhy pur.ii
national, international peace on earth and goodwill under latherhood ol God and I
erhood of mankind with mutual 'ove, respect and Christian concern lor wholisl
velopmenl

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CURING AND PREVENTING BLINDNESS

■<G AND PREVENTING AVOIDABLE BLINDNESS^
ON IinilALF OF TH 12 WORKING CO MM 11 III, MliMBLRS, AND STAI I • Ol • lilli

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“VELEM12GNA ’>
3-oodnews Hospital and Comprehensive Community
Health and Rural Development Project, Bidar
iave great pleasure in cordially inviting you for our
ial Hospital day function on 21st August 1981 at 6 p.m
Sharp at our Base Hospital terrace at Golekhana

Mr. FALGUNI RAJKUMAR i.a.S.

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Deputy Commissioner Bidar

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has kindly consented to be cur Chief Guest,

id inaugurate the free eye, dental and fam ly welfare
ip, with free crutches* consultation for all mentally1
t physically handicapped and all low ixicotne

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VELEMEGNA GOOD NEWS SOCIETY HOSHL

BIDAR - 585 401. (KARNATAKA) INDIA PHONE/FAX 08482-25'

Visit our Web site http://WWW.Velemagna.org e-mail;drsalins (ofvsnl.c

Dr. A. C. Salins
M.B.B.S,

xU.s3J5jtJk

Project Diivctor/Sccrctary Vclcmcg tu

Founder / Director / Vice-President

-Mb (Li0l,) Dr'A-c'Sa!ins

M.B.B.S
c. Accuinpuncture (Japan) C. C I II rlondon)

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Whila Commemorating 33 yrs ol womb to tomb and beyond the tomb yeome

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Ices let us strive together prayerfully meeting the total needs ol the sick,
stricken communities deserving individuals irrespective of casl. creed coloi

1
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with help of God, Govt, Gods children precious prayer partners lighting du
demons wilhin/without the congregations, couftlrys lor a happy healthy pros
national, international peace on earth and goodwill under fatherhood ol God am
mhood ol muiikmd with mulunl luvu, imipDCl mid uhnulimi cimumn Im wholr
velopmenl

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CURING AND PREVENTING BLINDNESS

Blessed are They That Consider the Poor Through
Following Meaningful Health Development Projects

(WW’b;,-.

Dear friends & Prayer Partners, Give C.o or Send Prayerfully with y

regular financial support through VELEMEGNA FCRA.
A/c. No. 9996 at Canara Bank, Bidar
for Foreigners and A/t
69.58 at Karnataka Bank, Bidar

(or Indians enabling our Veleniegn.il

Society, Bidar - 585 401. Karnataka, India.
> Patronising some of the following worthy long awaited programmes by '
■•J faith in God, God's Children and Government.

I. Comprehensive opt ha I tn ic service preventing and curing avoidable
Blindness in the most backward district long awaited.
Indra Gandhi Memorial Rapidly "ARRRI-ST'I'T" Leprosy (Aware
ness, Relief, Research, Rehabilitation, Educate, Survey. Train, T’race
r
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|

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l'KbU)_bi!iiging new hope-lacing challenges, using W.II.O, ic
.
mended multi-drug Theraphy, Training Tiainers for rapid cute of Le

j rosyL Establishing 50 Bedded Refcral Diagnostic cum T raining Centre.
(icnci .i I Hospital in urban, slum areas and 50 Bedded optlialiinc wmg
with Stall Quarters, OHicc. Community 1 lai!
I tel pi ng i he I I a ndi
capped, including Nursing and Bible School,

4.
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We necdjrd two Mobile Medical Teams, Covering various Mini CcnJ-K-^mps, Family-planning, Under Fives ANC. Iinniuiniiiz.iiion,

school llc.|lth I’rogramines. For proposed optimum services.

d. 50 Bedded Leprosy Hospital and New Life Village Complex at
(.hatnalli, Baridabad Village alter Pre. Post Operative Psysio T heraphy,
tor care of hands, feet, eyes. T raining multiple handicapped.
6. Artificial Limbs, Reconstructive Plastic Surgery, Rehabilitating
allcast 200 Ostrai ised l.cpiosy bcggci families tn begin with, by aquinng
additional goveinincni and Private land.
7
Relief and ichabiliiation of Disaster Victims, Widows. Orpli
Aged I lesiituies, Job oticnlcd iiaining of linemployrd Youth

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Dr. A.C. Salins, m.b.b.s.,
C C.t.H, (I.E.H.C. London) C. Accupunclure (Japan)

■■

■z'<. -

•utir’us iohlipihi nANDic/.ppto"

I'Our^dGr Director

VELEMEGNA GOOD NEWS SOCIETY HOSPIT/
■Uli '/ I' ■ W> 4111 (KARNA1AKA) INDIA. PHONE/fAX '

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■;c cum Turning (Tr
3. I;.si.iblishing 50 Bedded Uclcial Diagnosuc
50 Bedded
oplh.ilinic '
(icncul Hospital in urb.in, slum areas .inti 52
L
with StalT Quarters, Office, Communiiy Hall. Helping lhe I K'
1 capped, including Nursing and Bible School.
4
We needed two Mobile Medical Teams, Covering various Mini
tres, bye-camps, Family-planning. Under Fives ANC. Immumm/a
! School Health Programmes. For proposed optimum services.
' 5 50 Bedded Leprosy Hospital and New l.ilc Village Compl
Ch.itnalli.BaiidabadVillagcaficr Pre. Pos. Operative Psysio I ho.
loi care ol hands, feel. eyes. Training multiple haiidnappnl.
6 Artificial Limbs. Reconstructive Plastic Suigc.y, Rehabilii
atleast 200 Ostracised l.epiosy begg- I. nulics io begin with, by aqc
I additional government and Privaic land.
-J 7
Relief and rehabilitation of Disaster Vtclitns. Wnlows. (li phat

fei7 '

'I a. CBHp (MvcvCt

Pp s v o P r-en-Ti

.

IM IMLNTING NATIONAl AGENDA ■ DURING 50 YEARS OF INDIAN INDFEENUt N< <
(.odiineinofalino 33 yrs of womb to tomb and beyond the tomb yeomoi
lul us strive together prayerfully meeting the total needs of the sick povef
■n (•.ommunilies deserving individuals irrespective of cast, creed colour 'Jtv
help ol God. Govl. Gods children precious prayer partners lighting driousc:
it, wilhm/witlioul the congregations, countrys lor a happy healthy prosperoi;.il, international peace on earth and goodwill under fatherhood of God and Brom
■ i ol mankind with mutual love, respect and Christian concern tor whohstic r

.

. .

............. I ...... ...nlnvri I Yiltll
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A

Non-Recurring Expenses (In Lakhs of Rupees)
A. BUILDING 1) Hostel for men and Ladies
a. Dormitory with bath toilets
(to accommodateA 30 each)
30X30= 900sqfl
I) Dinning Hall/Pantry store
house, Kitchen.
c Two rooms for resources
persons(Gucsts)
2) Garage for Motor Vehicle
-(One Big) Garage
3) Training l^lls/Sheds Rs 4.50 per sqtl.RCC
- 5 Sheds each lOOOsqll

2,00,000

70,000

40,000
4,50,000, .

lojtLooo

B. MOTORS VEHICLE
1) Van for training units
2) Jeep with Trolley

- One
~ One

3,50,000
2,00,000
5150J000

C. TRAINING MATERIALS:
(Infrastructural)
1. Carpentry tools
2. Sewing Machine
3. Knitting Machine
4. Knitting machine for Leather
5. Weaving equipments
6. 'fools /equipments for motor mechanism
7. welding, lathe, motor winding
8. Silk reeling Emnpmvnt

D. FURNITURE’S:

2,70,000

=2 sets
= 20 Nos
- One

= Two Sets
•“ One Set
= One set
- One set

10,000
20,000
I 1,000
15,000
14,000
10,000
1,00,000
1,00,000

65 Beds, 60 Shelves Cum iMblcs, 80 Clum &
25 Stools, 5 Small & 10 big Almutih.

2,00,000

One (2000X12)
6X(l000X12)
4X (500X12)
lX(800X12)
3X(600X 12)
2X( I200XI2)
(500X12)

24,000
72,000
24,000
9,600
72,000
28,800
6,000
1,71,600

(I000XI2XI)
(800X12X1)
(200X12)
(800X12)
(200X12)

12,000

30,000X12

3,60,000

15X30X70X12

3,78,000

RECURRING EXPENSES:A. SALARY:
a. Project In-Charge
b. Instructors/teachers
c. Helpers (Cooks)
d. Watchman
e. Maintenance Staff
f. Driver

g Honorarium of Resource Persons

B. GENERAL ADMINISTRATION:
a. Salary for Accounts assistant
b. Typist
c. Stationeries/ Correspondence
d. Vehicle & Fuel Maintenance
e. Building Maintenance
C TRAINING MATERIAL:
for raw material for tailoring, silk reeling, weaving,
carpentry, knitting, candle/matchbox, motor
winding. Welding etc

D. FOODING FOR TRAINEES
Rs. 15/-per day per head for 70 persons
TOTAL EXPENSES:
1. Non Recut ring ( rota! of A B C D)
2. Recurring Expenses (total of A. B.C D.)
For miscellaneous expenses
Add 10% for Inflation

9,600

2,400
9,600

2,400

20,60,000
9,45,600
4,400
3,00,000

________ L

a

i

ELMOXyiDi

I consider it an honor and privilege to be asked to wnte a foreword to the book of Dr. S. Salins,
narrating her life's journey.
I Tere is the story of a dedicated and committed couple who made a daring adventure in faith
from the prime of their youth, in a needy area, teaching, preaching and healing. I knew personally Dr.
Sushila and Dr. Christopher Salms lor nearly two decades from the early stages of their venture, fust as
a board member and later as the President of the VELBMBGNA Good News Society.

I have great admiration and appreciation for their sincere concern to meet the dire needs of the
deprived, marginalised and exploited village folks, in the outskirts of Bidar. They have spent themselves
tor the last twenty six years, in alleviating the misery and suffering of these people, without counting the
cost. In their enthusiasm in meeting some urgent needs, there were events when they incurred heavy
debts and even had to pawn their personal belongings including their wedding rings. There were
occasions when the governing board had to caution the Salms against taking high risks. Society's interest
often superceeded their personal interests. The governing body oncehad to decline to accept the offer of
their persona! building property and its premises worth lakhs of rupees to the society. Later on they
registered it in the Name of’the Society. But now looking back after some years one realizes that the
abiding grace ol our I leavcnly bather
was with them in their trials and threatening disasters. These
were also opportunities to experience 11 is love and grace in a greater depth. An ordinary evali.iator may
be quite critical of the outcome of some projects they under took, in terms of material benefits. But our
Heavenly bather who looks at the motivation of persons, rather than performance, has rewarded them
abundantly.

The ultimate way of judging the value of a book is to discover its effects on the readers. I hope
the story ol this aAiJcnlurous life's journey will inspire many a youth to launch out in faith to the needy
and neglected areas in the Lord's Vineyard, especially in North India and be His witness for the
extension of I hs kingdom.

Ch;•

A.K/rilARIBN
■ hellowship I lospitaI
Oddanchatram, S.India

a

i

I

IN SERVICE TO THE NATION
■W

Serving others at the cost of your own self is not an easy task, it needs a Herculean desire and dedication
to cover this treacherous journey. Even then people do come up for this job with a passion for God and
Nation 1 lore is one such example - Dr. and Dr Mrs. Salins the bounders of Velemegna Society who are
continuously toiliS^ to make a better tomorrow for the people of today.
(Dr.) Mr Si Mrs. Salins in interview with Dr. P.G. VARGIS
in Faith Today IFT magazine, Oct-190S issue

Dr P.G.: Dr Mrs. Salins, I was very impressed to visit your mission stations and see the social works in
the Christian atmosphere when 1 visited your place in March 98. But to start with, tell us something
about your family, education and domicile ?
Dr Mrs Salins : I have come from Nagercoil, my father was late Mr. P.V.Pauliah who worked in Sri
Lanka estates, and my mother Daisy Pauliah who is 84 years old is living in Nagercoil. I have studied
M.B.B.S. in C.M.C. Vellore in 1963 and received a Diploma in Public Health & M.Sc. in community
Health in London in the year 1983-84.
Dr P.G.: Madam what made you give your life to Jesus ? and was it the same thing with your husband ?
Dr Sahns Until I was 17 years old I was a nominal Christian In 1959 The Layman Evangelical
fellowship conducted the Revival Meetings in Nagercoil and at that time I confessed my sins and
accepted Jesus as my personal savior. My husband too accepted Jesus in his 20th year during 1956.

Or J’.G. :Why did you choose to go and serve the leprosy patients ?
Dr Salins .Alter finishing our training in C M C Velore we went to Karigiri inspired by our missionary
teachers, to have experience in treating leprosy patients, as they are the most needy, neglected lol. Our
vision was to go to Nepal or Bhutan. But the mission people pleaded for our service at Bidar as no
others responded doctors were not willing to serve in this remote district.
Dr I’.G. :Who are the Indians who came to help you ? please do tell about them
Dr Mrs Salins Brother Bakth smgh and operational mobilization India team encouraged us by giving
blank cheques and sending a team of volunteers preachers, teachers from Hyderabad, Sangareddy and
Bangalore from time to time, Borther Zac Poonam often visited to minister Gods words. AH of them
encouraged us tn this ministry to build on a solid Bible based foundation. Hvery Home Crusaders,
Vishwa Warn. Gideon international, Evagelical Union & Liveanglical Graduate fellowship members’
local believers fellowships, voluntary health association of Karnalak and India, Leprosy mission CMAI,
VIIAI and WHO consultants encouraged with their prayers and timely visits. Dr A.K.. Thcrian of
Christian fellowship hospital, Oddanchatrum, Retd. Judge Sequera, Mr G.D. Kunder, Ex adminisrator
CMC vellore ane*t. Marthus Hospital Bangalore. Dr. Jayson of CMC Ludhiana, Dr Raniedran of
Methodist Hospital Vikarabad, Mr. L. R. Joshi, Mr. Danial Sundaraj, Dr. Matthew I’inny of World
Vision India. Mr. Ben Wall of EFl EFICOR, Mr Michael Gnanadorai of CBM greatly helped in many
ways with their practical suggestions finance and prayer support.
Dr P.G. zPlease Tell us about the most testing moment you faced ?
a) During 1973 famine situation when patients paying capacity for medicines, food and travel was
inadequate, we ended up with one and a half lakhs deficit, God helped through Christian Aid London, '
to clear the loan with heave interests and carry on with a small health and development project strongly
recommended by VIIA1 new D
"headed be late Father long, Dr, l lellen Gideon, Mr Ed Nebert,
Delhi
CMAI, ICCO, CHRISTIAN AID, All Souls
- - > Church London, friends and relatives helped us. b)

0

Professionally jealous doctors who instigated our landlord to force us to vacate the building, and began
to blackmail us through false publication in local newspapers, caused much pain and damage, c) Local
BJP MP wrote against us to Distt. Commissioner, Bidar that we are proselytizing in the villages and we
were sent a D.O.Ietter from to D C.office to explain about our activities but when we explained to D.C.
"We are fighting for social justice for the poor people who are being persecuted/exploited by rich local
landlords, gunda elements, using poor women as their concubines and children as bonded laborers. I
don't believe in changing people's religion, but I like to change their hearts." So D C.was happy and
asked us.to organize a Christian carol at the local olbeers' clubs and we had a unique opportunity to
share testimonies explaining the true meaning of Christmas. And when B.J.P. MP saw our good work
through free eye camps and leprosy service he told the public,"Why are you worshiping dead Gods,
why not believe in the living God served by this dedicated Dr. Salms team?" Later on he helped'.,us to
get Rs. rX,00,000 (tax) exemption personally by visiting and writing to ministry of finance at New
Delhi These are just to mention a few.Apart from this God took great care of our many family,
institutional, financial needs. We tasted God's sustaining miraculous power during four difficult child
births and major, minor operations saving our lives from major accidents, sickness and financial needs.

Dr. P.G.. Education abroad is costly, do you fee! there is any difference in the level of’ Medical
Education in our country and abroad?
Dr. Salins . After receiving Paul Harrison’s award from C M C. Vellore our Good Lord miraculously
made provision for scholarships for Drand Dr. Mrs. Salins to have six to eleven short training course at
London. Of course we do have enough learning training facilities in India which is quite adequate to
serve our Mother Land. But it is indeed very useful to go for such educational, training learning,
sharing programmes, for mutual benefit. In India’s rural areas most of us work under much stress with
minimum facilities, and many frustrations, of course only by the miraculous grace of our Lord.
Dr. I’.G.: Please share with us your most joyous experience?
Dr. Salins . God has been very merciful to us. I le has given us so many opportunities to rejoice in I Its
glory. In obedience to our Lord's call to teach, preach, heal and tram multipurpose workers, our Good
Lord richly com,>isates us by harvesting any precious souls among our family members, staff, youth
and church members Also the healing of many who had given up surgical, medical, gynecological
complicated patients and then their introduction to Jesus have really overwhelmed us.,This has helped
in bringing down incidence ol Leprosy, I .B., blindness, malnutrition, rehabilitating many handicapped
old aged destitutes, widows and orphans, broken homes, lives to build Godly individuals, homes and
congregations. Miraculously healing of my two brothers, Li.G. Salins now at Vayupuri-Secundrabad in

answer to prayers ol saints of Bidar and other places and, the conversion of Bhaskar Narasappa a
dipsomaniac alcoholic- gunda, who rebuilt his broken home and became our church elder, have also
been of much contentment for us. Vasanth Raj, office manager al S.P.Office, Bidar wanted to take
revenge by trying to shoot someone after his elder daughter committed suicide. I le later broke down
and accepted Jesus after bearing the gospel message while receiving treatment in our Base hospital for
his diabetic gangrene of toe. These inidents, to mention a few really gave us great joy.
Dr. P.G.. What will happen if more people will come forward to help you with service and money?
What are your future plans?
Dr. Salms : If more dedicated Christian professionals, teachers, preachers, multipurpose trainees come
forward to share in this glorious n-ministry of faith, to share their precious lime, talent and treasure,
more could be achieved by delegating different aspects of the healing, teaching, training, preaching^
multipurpose health and development activities. And many more unreached people could be reached
out on a larger scale even in needy' third world countries, liven alter our death this ministry should be
continued by like minded God's children, with God's love to serve God's children.
3

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Dr.P.G.: What type of personnel do you need for-your work?
Dr. Salins: We need devoted workers in capacity of Dedicated surgeons. Gynecologists, ENT surgeons,
Opthalmologists, Paramedics, B.Sc., M.Sc. staff nurses. Administrative, M.S.W., Bible teachers^
I teachers. Social tVorkers,.Graduates in agriculture
animal husbandry, Physio/occupation therapist,
marriage counselors, and teachers for the visually handicapped.
Dr. P.G.: I low do you feel about being God's channel of love and help to so many needy people?
Dr. Salins : It is indeed unique joy and privilege to be a channel of love and blessing through our
service by the enabling power ol the LORD JESUS, whose compassion worked through I lis Tinworthy,
unprofitable servants, having the golden opportunity of ushering lost sinners to the saying knowledge of
Jesus, through words and deeds.
Dr. P.G.: I oday would you like to ask something from God for yourself If yes, what?
Dr. Salins : It is our hulhble hearts' desire only to be in the centre of His will, Spirit controlled, and
Christ centered, glorifying Christ for the rest of our short life span. I surely covet that a double portion
ol our spiritual blessing may be poured upon the next generation of young Christian workers, to carry
on this glorious ministry before I lis impending second
advent, who in turn can train others by their
Christ like lifestyle. We would like to see continues I loly Ghost sin convicting, soul converting revival,
with rich harves of souls.

Dr. P.G.: What is your message for Faith Today readers?
Dr. Salins : God is no man's debtor. When you
seek first, God's kingdom and His righteousness all
other spiritual/material blessings will be added unto you, even your secret desires for your family,
children and fellow workers families, local believers fellowship and churches will be fulfilled beyond
imagination for I lis glory and expansion - his soon coming - everlasting kingdom.
Also Dr. Vargis , we thank you for the opportunity to share our many humbling experiences at
the same time coveting your continual, fervent, effectual prayers and blessings.
DR.P.G : (Dr)Mr Mrs Salms I thank you for sharing your time with us. It's really very gladening to
see you people working for God in your own way and God's name glorified through you in mighty way. 1
pray and all our rulers also pray for your work and n-fission. May God continue to work through you
and bless you so tli.it you will be a channel of love to others.

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BIDAR - 585 401 (KARNATAKA) INDIA. PHONE/FAX 08482-25467
I

Village Evangelical Leprosy Eradication Medical Education, Good News Association A non-Profit
Charitable Multi Purpose voluntary Society, Registered under lhe Mysore Society Act No. 17 of I960 date
0
15-3-69 at Bangalore S.No. 5-68-69. COMPLIMENTING NATIONAL AGENDA - DURING 52 YEARS OF INDIAN
INDEPENDENCE While Commemorating 35 Yrs of womb to tomb and beyond the tomb yeomen services let us
y strive to gether prayerfully, meeting the total needs of the sick, poverty stricken communities,deserving
individuals, irrespective of cast, creed colour, race with help of God, Govt,Gods children precious prayer part*
ners fighting dis eases, demons within/without the congregations, country for a happy healthy properous
national, international peace on earth and goodwill under fatherhood of God and Brotherhood of mankind with
mutual love, respect and Christian concern lor wholistic development during 2000 AD ft New Millennium.
Visit our Wcg site lill|);//www.velciiKigita.oig c iiiail.drsaliiis^vsnl.coiB

’,r’

My Dear beloved respectable friends, precious prayer partners, honourable citizens of Bidar, My
motherland India and world over during the new Millennium Christa Jayanthi Celebration.

ABectionate greetings in Jesus matchless and ever sweet soon coming kingdom name.Even as we have
the unique honour and privilege with the help of God.govemment and Gods children all over the world to
joinlly progress the soon coming kingdom of God by cheerfully sacrificiaily and prayerfully sharing our
God given time, tallent and treasure in season or out of season, wether convenient or inconvenient
o eying the vision and commands of our Lord and Master, as a kings business needs to be hastened in
these last days of unrest and uncertainities, with all its complex racial, political, socio-cultural changes.
As time is running out, and millions have yet to know and accept Jesus as their personal savior through
our words and practical deeds, with love in action programmes like Mother Theresa, let us through our
various awareness an^d innovative projects, guided and inspired by Gods enabeling jwwer, as we are on
the victory side all ou. labour of love in action will not. go in vain as long as we remain humble teachable,
available and sensitive to faithfully listen to His small voice in all our steps and stops, without running
ahead of I hs will, following in 1 hs foot steps one day at a time.
Tins is just a short note to express our heartfelt thanks and gratitude for your timely selfless voluntery
SUfTort by deeply involving in some of our ministries, sincerely striving to help our
yhLEMBGNA society s various ongoing worthy causes, mobilising prayers and financial support
hrough your gracious presence, generous gifts and active participation, with able practicle suggestions.
Let us never give-up holding each others ministries, families in these last days but continue to sow in tears
and do the good works of service to God and suffering humanities, less fortunate people if we want to
cZfstlessTtema?h
ot reaping lhe Prccious !ost souls who would otherwise perish into
< ‘ 'ii tt-: is a tarv. and special quality in the way some people live and j»cltlc ,sly serve tlie needy
11- I knvever busy lhey may bc they Mill have time
. _ ,
.
■ ,o !A,ve- “‘‘K-tudginglv, cIkti hilly sharttm then icsoutecs
D
ting you ask <o,h need, they will do then ve«y best Avilhout expreiing anything m .ehun
A
Hung
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matter
re<|Mest they
(hty do tin
mte<lly/irm)artiahv
’dtter wlmt
whai the task is or
or how simple
snnple the requesi
thenit servii e whol<
K Kindness just comes naturally to the fate and selfless tew umipattonatc saetihaal rivds
:v M'M sal GiytNG H OtM1:,\V|HH>vhAr<,i(l<.d.u.ve<H.emKilhcr.nh<nml^

‘We dreame of a world in which children are loved, healthy, well nounshed, educated and protected We
dream of a world m which the elderly can live in dignity, with respect and support they deserve We
dream o a world in which all who hunger are fed, all who cry out are listened to, all who suffer sickness
are comforted and healed. We dream of a world in which education and dignified work are avilable to all
we dream of a world without warfare and violence. This is our Rolaiy dream to be followed.!” Rtn .lames
Easy. 1 resident Rotary International.
Joy to lie WO, a, our I o,d has come. Let all the catth rejotcc-l.et every hear, prepate room lor Ihm "Blessed be the I otd
“ LV'S1,C,:) iu’d
Hm people by the remission of then sms and knowledge of .salvattoi, to gwe hghi io
them that stt m darkness and m the shadow of death to gmde our feet m the. way ol peace '
*

President

Foun^r/Direcior ‘
Vice-President
Dr.A.C.Salins, m b u s
<'.. A cc it p ii ii ri ii re (J a pan)
C C r II I ondon)

•an.KathtHne Pearson M >c

Mrd.Superinieiident/Secrciary
Or.Mrs.S,Salins B.Sc.M B B.s
I) PH , M Sc .CHOC (London)
Certificate in llospiical

Adniliiislralloii C MC Vellore

Treasurer

MrJyothi.T.M a

Financial Advisor
Sri. Ram Mohan c a

Teclmical Advisor
Prof. Kiaz

l or he was born in an obscure village. 1 le worked in a carpenter shop until he was thirty. He then became

amt in aranl preacher. He never wrote a book or held any olfice. He never had a family or a house. He did
no go t<> any college. I le had no credentials but himself. He was only thirty three when public turned
against Him. His friends ran away and deserted Him. He was turned over to His enemies and went thro’ a
mockery of a trial. He was nailed to the cross between two thieves. While He was dying, I lis executtoners
gambled for Hrs clothing, the only prof>erty owned by Him on earth. He was laid in a borrowed grave
meteenth centuries have come and gone and today He is the central figure of human race. All the armies
1 hVer,?ar-her’ and
thal eVer rei15ned have not affected the life of man on this planet earth as
Thelhmcc'ofr^a^^h^M ^
J,eSUS Lord °f Lord’ K*ng of Kings, The only Savior of the world,
(KmudorrA ( iT
J
Wonderful counselor, the everlasting Father, of the increase of I lis
henS forth
P
and lherc sha" be no end, to establish it with Judgment and with justice from
hence forth even lor ever For unto us a child >s born, unto us a son is given: and (he Government shall
Peace(lsai'lh9°6U)

:

Sha"

WOnderful> counselor. The mighty God, The Prmce of

We truly hope and pray that this Christmas and Millennium reality experienced by us will truly enable us
to emulate the same to reproduce everlasting joy peace and happiness among our familyyinembers
e at.ves and other wonderful contacts m these “last days of unrest and uncertainties, where hatred anger’
joalousy broken relationships/homes/hves/communal riots with ghastly violent killings is on Ihj
rampant. May God Ahmghty bless and use us to be a blessmg to others th.ougf
med lole m aet.o^
lumble services, with the help of God, government and Gods children’s for Gods glory and expansion

m" r°m,rlg
“Righteousness exalted a nation, while sin is a reproach'(Provb 34 14) As
proud Indmns let us build a healthy nation free from injustice, corruption, communal disharmony
2000 vearsTl ^Mender..d,scr,m,nat'«f'> ^ast we disappoint Jesus who shed precious blood for all,’
2000 years ago- Le«st we disappoint Mahatma Gandhi and host of martyrs, forefathers dreams and
aspirations who scarified their sweat, blood, tears and even their very life. If they come and see the world
nd our He style nor they would truly be unhappy to see our self seeking politicians greedy and corrupt
. umh and community .eaders, who are fighting tooth and nail for powet position, cheap
and

latcnal gain without having any concern and love for their poor neighbors.”

u/ . •

.

Lord, make me an instrument of your peace, where there is hatred to sow love,
Where there is injury pardon-Where there is despair give hope
Where there is darkncss-Shcd light. Where there is sadness, to biing joy.
O my lord, my masler-Lel me not look for help, so much as to help
To be understood, as to understand- To be loved, as to love
For it is in giving that we receive-ln pardoning that we are pardoned
,, d ,n dy,n« we «,c born to eternal life.” (I lumble prayer of St. brancis Xavier)

Chns‘ 8'°niyin'! Chns"™“‘
Yours truly unworthy, unprofitable
servant in I lis eternal bond of love and service to be continued during
2000 A.D. and Beyond, bringing peace
the fatherhood ofC.td and
°rfc
.

Lion Dr.A C.Salins.

VICC President Lions Club Bidar. Founder/Director Velemegna society

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Introduction

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Serving OTHERS at the cost of your own self is not an easy task. It needs a
XSherculean desire and dedication to cover this treacherous Journey. Even then people
J!
v do come up for the job with a passion for God and Nation.

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kAJ Dr. Sushila and Dr. Christopher Salins ventured in faith to launch a Charitable
Multipurpose Voluntary Organisation named as "VELEMEGNA" i.e. (Village Evangelical
Leprosy Eradication Medical Educational Good News Association) in 1969 alter their
m(-dical education from Christian Medical College, Vellore, India. Then onward they
are continually toiling to make a better tomorrow for helpless, sick and needy
masses of today.

II...... .

In the own words of Dr.Sushila and Dr.Salins... " Our hard struggle
has fruitfully helped in bringing down incidence of Leprocy, T.I3,
blindness, malnutrition, rehabilitating many handicapped old aged
/X destitutes, widows and orphans. Broken homes live to build Coldly
‘
individuals, homes and congregations. We earnestly call more
£ A dedicated Christian professionals, teachers, preachers, multipurpose
trainers to come forward and Join in this glorlouls Ministry of Faith, to
share their precious time, talent and treasure, then more could be
^ 4 achieved by delegating different aspects of the Healing, leaching,
'J^^0 Tra,n,n9 and Preaching multipur pose health and development
ac,-’vilies. We need devoted workers in capacity of Dedicated
sur9eons' Gynaecologists, ENT surgeons, Opthalmologists,
Paramedics, B.Sc., M.Sc. staff nurses Administrative staff, M.S.W.,
B’b,e teachers, Preachers, Social workers, graduates in agriculture
and animal husbandry, Physio/occupation therapist, marriage
councellors and the teachers for the visually handicapped. We put the Website
httn://www.velemagna.org so that many more unreached people world wide could be reached on a
larger scale."
Isaiah 27:2-3" A vineyard of red wine. I the Lord keep it. I will water it
every moment lest any hurt it. I'll keep it night and day" This is the
promise of the Lord. This social service was started by Him. His grace and
wisdom. He will water it every moment. So many permanent structures
... :
were built. So many handicapped {blind, lame, destitute) were healed. So
many students and people were trained. So many are spiritually blessed in
the Lord's Vineyard.
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As long as health permits, by the grace of God we both will work tirelessly.
Later the Lord will bring His own people and this Ministry should be
continued by like minded God's children with God's love to serve God's
children, Amen. Halleluah I Praise the lord I!

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BIDAR is a small town, a backward district of Kar nataka
state, India, lies at the farthest north-eastern corner of
Karnataka situated at an elevation of 660 meters above sea
level.lt is a historical city of monuments enjoys a pleasant
climate around the year. 3 tie city Is famous for Its
monumental beauty, the most oustanding is the great Fort of
Bidar built by the king Ahmed Shah I, both in extent and
perfection and ingenuity and its military architecture and
tombs of Bahmani dynasty. Bidar is also famous for
BJDRJWARES, a local novelty handicraft. The art dates back
400 years to the Bahmani and Barid sahi Dynasty under
whose patronage it flourished and reached its greatest
perfection and beauty.

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Bidar has been an important centre of learning from time
immemorial . The most ancient and famous univercity is the
Gawan univercity which attracted foreign students from China and far east to study literature, arts,
sociology and anthropology etc. The university was established by Bahmani king and bloomed under
the patronage of Mehmoodsha Gawan the then priminster of the Bahmani king. The university
building is damaged due to lightning and partially ruined, presently it is used as a mosque.
! Karnateke

; ,...

Presently there are two modern Engieering colleges, two Dental colleges, three Pharmacy colleges,
one Ayurvedic college, many Degree colleges, Polytechnics, Industrial training centers at Bidar.
Friendly people,plea«^it climate, a historical monumental city .This is the neglected place whre the
Dr. couples started their venture in faith healing, preaching and teaching more than three decates
ago.

This is the main building of VELEMEGNA Good News Society Hospital

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A rural hospital with 30 beds in Baridabad, 21
km. away from Bidar catering to general and maternity MCH care under
the patronage of VELEMEGNA.
These achievements and many more tell the story of hard work and sincere services of the Dr.
couples towards the KHtrment of the most neglected and the most needy.
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VISITOKS AM'O WkLt WtSHtKS

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Foreign Dignitaries, prayer partners and wellwishers visited us regularly from different parts of
Mndia and World. They took part in our programs and blessed us to continue the services for
humanity.

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^ACHIEVEMENTS OF VELEMEGNA FROM 1968
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1 Establishing the Base Hospital with 50 beds : Catering to general,
maternity, paediatrics, eye and leprosy work.
2. Urban family planning, immunisation, oral Rehydration, Nutrition Vit-A
supplement, FIONA + 20,000 population.
3. Estabilishing the
New Ute Center at Chatnally, 20 Km from Bidar, taking care of 53
leprosy family with low cost houses, and agriculture development.

• Water development with tube wells. Submersible pumps, overhead tanks and Horticulture
developments.
Nursery schools, night school for adults.
• Supplying food, clothing, medicine and Spiritual nature to inmates.
• Spiritual development.

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4. Establishing a rural hospital of 30 beds in Baridabad 21 Km from Bidar
catering to General and Maternity work.

5. Community development in 50,000 population of FIONA + including Environmental and Sanitation
works.
6. Training various village level Health Workers and Evangelists.

.

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7. Comprehensive Opthatmic Care in 200 villages
around Bld.r, 6000 MnO pauenUreceMng slgbt.

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help.

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| 10. 200 poor children in villages receiving
duration, clothing, recreation and spiritual
nature through World Vision of India.

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11- Land» 10 acres in Baridabad and 6 acres in Chatnalli village, used for
agriculture development to grow food for leprosy patients.

;
"12. Spirit Udi development of all types of people.

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CrlKON^LOGICAL VATA (9f EVENTS ACHlEVEMENTSANV SEKVICES
KENVEKEV BY THE VELEMEGNA SOCIETY
V

/oiS New I lospital in a rented J m shed started with only Rs 30/ donated by 1 Ji Salms mother Mis I aiabai
Jms 1969 Registered as chai liable, multipurpose voluntary society ( I I J / 'Mio /.V.J )I972 I he hospital, shilled Io
■ tdckjiana Bidai at the cost ol I Ji Salm’s cat and bank loan
donated to vclcmcgna society by I Jr Mis Salms 19/6
' uled the famine- relief, rehabilitation food lor work project m and around Isadwad with maternal and child cure

mnunization, nutritional relief, health education and eye care m 3 villages with the help of li t >A7./J I ISION Ol
'< / >1. /, l( '( () - Ncthcrliiiul, and ( 'hristian . h</, I ondini. 197X . Slai ted agr icullurc, I101 licultuie and sei iculluic
og'iammes for self employment of the poor 1970 (’omprehensive opthahnu ■ trcatnicnl launched m Bidm, Bhalki,

>• avakalyim, ami I lumnabad la Ink as 19X0 li '( (J h cthe iloi id sponsored a dairy farm with HO cio-.s bleed cows to
small farmers m'village Baridabad. 19X1 : /vt Bidai, silk reeling unit was st.riled. 19X2 : Prestigious I'md Harrison
h md ret civcd tiom (' M <' Vclloie Io I )r and 1 X Mis Salins 19S5 Navjccvan I cpiosy Relief Rehabilitation ccutic
cured al village C'luitnalh and >3 low cost HIJIX '() houses constiuclcd with the help of I)c|)uly Commissioner 1 BIX )
Hl. JAR in 5 acres of laud purchased from private parly and govt and donated back Io (iovl (BIX)) 19X7 I he 20 acres

1 land confiscated by the (loveinmcnl in 1970 regranted lo I'/d ./■ M/' OH.i by then Honourable Minister foi o • venue
R Bumnun alter a visit of Health Minister Shri. A Samad to base hospital ami rural centres 19X9 Rural health
Hire started at village Baridabad partly sponsored by /( ( O N'et/wr/aiide 1990 91 • Sa/icnt /catiir. x
< omplction ol construct ion of Ruial I leallh (’ent re at Bar idabad
fixed tm tool loi rcpaii and iciuodcllmg ol s3 houses ol leprosy patients at (hatnalli sponsoicd by World Vision ot
idia one sulunerviblc I P s<
1 head lank ami pev piping by Al )R A (.'ANAl >A.
' Stalled Sund lowci cultiv<.m>ri in 1/2 .ivies land al Chalnalli.
CBM project iccommciidcd m August 1991
991 92 Stalled comprehensive 1 mal health and development R.rpv ( umdlii Memorial
inalioual framing Centre 1996-97 . /■ I J/VG7 /./(
MISSION Nl-d'IOdIK l'KO( iKAMM!-.

L......... , .

1 * o ordmalion with local chinches to plant churches among umeached people groups I99X
.n
A/ma. Kebckn froni Hurinim'Jumi, visit r>/ A//a.v. Mitchel Itoih (ivrmiuiv. visit of [)t\ /*.( /. I 'm ci\ <7/ the hiJc.in
int'chcal IcniH, from New iK'lhi, to establish Ihblc School al ('hickpci I Ic dona I cd Us. 1x000/ io lhe Is/hi Kiron
.‘>0/ for the bliihl to have spiritual training for the blind during’ May I09X o M

YAV.A M, II I IC

Hanpalore < H A

n/ I '.S. t visited us lor spiritual revival ministry for 7 days Io 6 weeks co\ei mg Bidai
lv and various villages with'kit-, imisic, messages, JI SUS/I >ayasagai film shows. Mr. AKIIII Illi Land Di
i<ANHAM Helped spu iliial/buildinp, development progiamme. 10<)9 SOSVA RCIL young and old couple protection
.mg tcmp/peimenant I I* methods muoduemg Ayurvedic medicinal, linn iimbci bearing plants. Contmticd MCI I
mi bom Mangalore., fhibsno

.mniiiinsaUon, health education, aniilcpiusy, aniimchia, antiaids awaicness, Avitammousis suivcv education and
1
blindness, (I CC. I jl .xtia capsular Catiacl I xtiaction. It )L micro surpciy-bcloic and alter Id, ■How tiu. x
at CMC VI I I ()RI. I \ I I K iSPI i AL by I >1 Sybil M (LX )MS).!()L( iellowship)aiid team atlci
oiiiplcling lust llooi with I wo new operation theatre, gcneial pnvalc waids intensive care 100m consultation/ olfice

>0111 lor two doctors pencialoi overhead lank pciierouslv donated by the visit I Javid and Ann bom Scotland. '’(,1110
\ I) We continued St JSVA l<('! I Mt 11 compichensive ('ominunitv I Icalth, I Jiabehc leprosy ('ataiact < Haucoma
tVilammousis Survey education tiaemn health checkup campanms. social forestry kitchen I’ardcn agi iculluic,
iticultuie. dairy and other vdlaee cottage industry women andchild development, self help moups with th..- help of

I >1 (J, m and atom id Bai 1 da bad, Pankhushainpui, Kuttabad and c ha Inal 11 iclicl ami tchabilitailon I cpiosy cenlic
>1 Mis Salms deputation -It) da \ s tup to Scotland 11 K to re new our fellowship with old and new pi cc ions par tneis
iac)ousl\ made possible by I Javid and Ann I hey also sponsored I)i.Sybils (Jne \car Msc tiammg and commomly
phlhwlmology icseaich and development at international eye health ccnlic london and also Svvai thick L’bcuaisei
1sc/l‘hd 3 yuais couisc God willing in health and admimshalion in al (st Andicws Scotland) With the help ol Plot

ia/ we could exlabli.sh computer training website and e-mail tccilnies lor administrative stall and volunteers as
onstructron oi ?00() sq leet at Jnd llooi lor classroom ollrce, library, recreation.guest and sioicioom, kitchen dining
■ 1O111 lee 1 lilies

A

Genesis Of Comprehensive Community Health and Rural Development Project Of

t

fhe Project was started by Dr.Salins of the Goodnews Society Hospital which is a Registered
body called ”Velemegna” (Village Evangelical Leprosy Eradication Medical and Educational Goodnews
Association) under Mysore Society’s Act 190, dated 15th March, 1968,S.No.5168-69 Bidar.
JllYlLll

H * o niniI hi<1 in Sei viccn

In and around Bidar District (by Dr.A.C.Salins M.B.B.S., 1957 Batch student of CMC &
Hospital) Dr S.Sahns BSe .MBRS. 1958 Batch student C M C Vellore* . If Jesus Christ is the same
yesterday, Tdday and forever. Pioneering Medical Missionary Evangelism ha ; •
done, and shall be
done, for I can do all things through Christ who strengthened me” Ph.4 13 "baithlul is He that calleth
you shall do it” 1 Thess.5:24.
1 Our Call:
O

To Rural India in response to our responsibility to our generation in these last days. Ever since
my conversion in 1956 at Udipi Basel Mission Hospital after an operation for an accidental bullet
wound, when God spared my young life form the very jaws of death, I saw the various possibilities of
Medical Missionary work through Christian Hospitals.
I desired to win the lost souls for Christ in
regions beyond where Christ
has not been fully named. 1 was greatly stirred in my heart by (he
inspiring biograplfes of Dr lludson Taylor. William Carry, David
Livingston Brainaired, Dr.lda
Scuddar and especially that of C. 1 Stud who was a test Cricket Star, who save up by fortune and britjit
future as a Sportsman. I too was aspiring, to become a test Cricketer. Since I was a popular all rounder
in school and college.
ButGod, in his providence had to break all my plans and change the course of my life through
sickness, accident and disappointments in life. He enabled me to complete my studies at Christian
Medical College, Vellore where I had the rare joy and privilege of fellowshipping with many devoted
Medical Missionaries and like-minded believers. When the proper time came I met the proper person
to be my life partner Dr. Suzy to unite with me in this glorious missionary task” to attempt great
things for God and expect great things from God" My wife and 1 belong to south India and we were
waiting upon the Lord for guidance as to the place of his choice where He could use as His prepared
instruments.
H The Place:
In preparation for postgraduate studies at Vellore we were undergoing rotation, House Surgery in
1965. God prompted us to attend the mountain top Evangelical Graduate's fellowship Missionary
Conference at Kotagiri, where very direct challenging messages were given by Bro.P.T.Chandapilla
form the life and character of prophet Daniel with the map of the India before us, Dr.lndra Perry who
used to tour as an Ophthalmologist in Northern parts of Mysore, Maharshtra and Andhra. State Boarder,
challenged us about (he desperate need for Doctors in Bidar District, as no other doctors were willing to
face the many opposition and communal feelings in (hat politically disturbed area. My doctor friend who
worked there had to leave the place with a loaded gin because ol some party spirit and disputes in the
Methodist Mission where foreign missionaries had to leave on short notice by the Government
Authorities. I’here were many who obeyed in the waters of baptism openly and took firm stand for
Christ alter accepting Jesus as their Savior and Lord.

l

!*

At the .same time the devil was active to discourage the young babes in Christ through
persecutions by jealous elders of the church I lence the nominal Christians began persecuting the young
Lbelieves.

Hl. U'skibSishin;.’ A N(‘w Work
After, two years of patient service in the Bidar. Methodist Mission Hospital and churches we
were forbidden to carry on our active Iwangelistic work. My preacher's license was removed and some
of us were placed as inactive members of the Church. But God guided us to launch out by faith to trust
him for our daily needs rather than depend on a monthly salary My mother was the first blessed donor
who gave Rs.301 - on the first day to start our Hospital clinics.
We rented an old haunted house in a Muslim locality, which was DDT godown By and by
patients started coming through our village contacts, in spite of the adverse propaganda of prejudiced
Christians, Jana Sangh, Arya Samaj and Communist groups We got anonymous letters defaming Jesus
and threatening to kill us. Some people published false rumors in the local communist papers and
dragged us to coui^m baseless allegations. But the more our enemies discouraged people from
attending our hospital and our prayer groups, the more God blessed and encouraged us by prospering the
hospital and church ministry
Some of our enemies later apologized and became our friends and supporters. God blessed the
surgical and medical work we under took Some doctors tried indirectly to black mail us by making false
accusations and instigation the landlord to harass us to vacate the building.
"When a man's ways please the Lord maketh even his enemies to be at peace with him"
(Proverbs: 16:7) God has blessed the work and enabled us to build a well equipped operation theater,
blood bank X-ray Laboratory and maternity section, through miraculous ways We gradually developed
good relationship in nearly fifty villages in and around Bidar, though initially people tore up many of the
Christian tracts and Gospels we gave them Now we have become friendly with them by sharing
problems Several times we had to stay overnight in the village, eat their food and preach the Gospel
after conducting clinics and visiting, the sick and needy. This included some Lambadi tribal colonies.

P

' he Love Christ

Now we are looking for the right medical and paramedical workers to sacrifice with us for Jesus
in this famine stricken area, demonstrating the love of Christ by living among the poor. In several places
the Panchayat leaders MP's, MLAS, and rich land Lords are offering us land to start hospitals, schools
and to carry on mobile clinics to under take multipurpose Rural Development Projects Owing to the
acute famine our hospital income has decreased greatly. 'Re Lord has been sustaining us, but I am not
able to continue my mobile gospel clinics and charity work regularly as before As funds permit I go by
cycle, bus or rented jeep to encourage the villagers, whose morals is low due to famine.
In 1969 our Hospital was registered under the Mysore Societies Registration Act; with the name
" Village Evangelical Leprosy Eradication Medical and Educational Good News Association Hospital".
When our Dear Prime Minister visited our drought stricken area recently, a memorandum of our
"f amine Relief and community Health Project" was handed over to her. God willing this will be timely
practical service in the 2-3 percent T.B. and Leprosy in this black sod area We undertake school health
survey, feeding the poor and finding jobs for needy laborers. Gandhi said" To the hungry man, God
appears in the form of' Pood" some leprosy patients have committed suicide in desperation This year
many have ended th^jr life because of famine. Crime is on the increase. The only hope for India is Christ
and His glorious gospel, to hasten His return through tireless compassionate "Comprehensive
Community Health and Rural Development Scheme in needy villages.

2

...

V. By Word and l)ec<l:

Some times we return home at 2 lo 3 O'clock in the morning, after visiting villages to preach,
leach and heal the sick. Serious emergency cases have been rushed to main hospital for surgery Thrice
on such occasions 1 had to bring the patients by ambulance to Bidar in the night, (donate my own blood
for want of'any other donor and operate immediately. Once a patient from a village in the Maharashla
while bringing him back to Bidar our jeep broke down and we have had to push it for nearly ten miles to
fhc nearest police stations in lhe dead of night, as there are dacoils on that road Another jeep was
brought to save the situation, af ter day break. These ways of silent evangelism through love nv action
have made a great impact on our patients, who invite us to their villages inform other patients and bring
them lo our-hospital, where Engrave opportunity to pray with and share the scripture 'Live' sermons
produce lasting impression
I he Lord has provided a plot in Bidar, where we are constructing bedded hospital, with (O.P.D
Gospel Clinic), pray$ hall and staff quarters Many have taken Bibles and other Christian Literate and
are secret followers of Christ. If funds permit and God willing we will construct orphanage, home for
the aged and rehabilitation centre for the physically and mentally handicapped, rural medical training
cum demonstration centre.
Medical Missionary professional Graduates should be encouraged to undertake such ministries in
other needy places. All lhe trouble and toil is worth lhe trouble tor the joy of seeking precious souls
enter the kingdom of God I have no regret for choosing this profession and this place, as Jesus
compensates for all the financial difficulties, misunderstandings and discouragement we undergo, by
adding fruit in our own generation
Money is not the only need. There is need for committed Missionary NtJ " Doctors and a few
Para medical workers are badly needed lo take care of the Central Referral Hospital at Bidar and several
sub centres, with stress on comprehensive Community Health and Rural Development Project. But
where are the young committed Doctors and Para medicals these days, l he majority seem more drawn
to western countries^ attracted by glittering prospects in the larger cities rather than the challenge of
serving Jesus in Rural India, where both Christ and Government of India needs them most.
.Y It ( oo>c a iid 11 cI p iis:
Jf Christian Medical and Para medical graduates dodge this issue the Lord is going to hold them
responsible tor perishing souls (Proverbs 241 1-12) We had Io close down one of our clinics at Udgir in
Maharashtra and Zahirabad A.P. Since we could not get another dedicated Christian doctor, we handed
over that clinic to I lindu Doctors Even now we are willing lo hand over the well established clinic and
hospital at Bidar to any keen like minded Christian Doctor and start form scratch, in another place, so
that ( hrist cause may be tilled and His name exalted
If every Christian Medical or Para medical person obey Christ call with a vision and passion for
lost souls, not only for the whole of India but every nook and corner of the world could be evangelized
speedily. 71 e. preaching, teaching and healing ministry demonstrating the love of Christ can bring people
to the foot of the cross and compensate for the curse of nominal Christianity which repels people form
following Christ. God help us to be true to Christ, to ourselves and to our neighbors need by obeying His
divine call "A lithe one shall become a thousand, and a small one a strong nation: lhe Lord will hasten it
in His lime (Isaiah 62:22) A promise fulfilled through small beginning, inspite of many of our, short
coming, and failures through small bible study, prayer and regular cottage meetings, retreats camps and
great revivals with notorious converts sparked of f signs and wonders form our home lo hospital, form
hospital to local families, from local families to congregation in the city, slum areas and villages. Selfsupporting E.U E.G.F groups working among college students and graduates. Big and small self

Cl?

*

o

supporting assemblies. Churches, Bible studies groups established small and large worshipping groups
with the help of local fellowship, using operation mobilizalion YWAM, ll’HC, Vishwavani, (ib'A, II . f
vand other visiting teams, church planting, Church growth movement has grown beyond our asking,
thinking, or imagination Shedding, sweat, blood and tears, doing follow-up ministry where lonely
missionaries toiled sowing the seed using cycles, horses, camels. We are now reaping, rich harvest of
repenting hungry precious souls even as the Lord of the harvest is giving encouraging results and
compensation for our united labor of love did not go in vain. Why not all of us who love the glorious
appearance ot our beloved Lord are Master by joining hands in this glorious ministry by praying, giving,
going, sending through your sacrificial sharing of lime talent and treasure, investing for everlasting
Kingdom values We do covet your blessings by willing to become our precious, prayer, partners even
as we continue to pray and strive together in this pioneering medical Mission reaching out to hither to
unreached people groups As the harvest in ripe indeed but the laborers who whole-heartedly want to
involve themselves are very few, even in these last days before the second advent our Lord?

Aims

Objectives:

To totally develop low income villagers in their own communities
develop a self supporting
Health Insurance through multipurpose rural Development Project in co-operation with Govt, and other
like minded agencies.

I To improve the Socio - Economic conditions of the low income in adopted villages.
2. 'I o train atleasl one village health worker per village to provide Primary I lealth Centre, through health
education. 3. To reduce under five morality 4 To improve under fives malnutrition/Vit A deficiency 5.
To reduce birth rate 6. To reduce infant
morbilily
mortality 7. To diagnose <.V undertake treatment
of all cases of cancer, Malaria, AIDS Tuberculosis in different centres. X. To diagnose
undertake
treatment of all cases of skin. Dental, eye. Leprosy and other. Communicable diseases. 9. To reduce the
incidents of preventable blindness, Avitaminosis and malnutrition.

I
Security for female staff
stay or go alone to the village work. 2. Unwilling local youths to dedicate
their lives. 3. Backwardness of people to understand the importance of health 4. I 'liough f inances to
solve problems to establishing a Community health programme in villages 5. Petrol Vehicle becomes
loo coslly/repeated !\®?.ikdown of lode vehicles caused by bad roads.
Problem Splyc(l_
L All the 3 guides 2 girls
I boy stay together in one village as their Rural I lead Quarters. 2. Two’girls
go together to each adopted village 3. New diesel tempo vehicle was given by Efficor agency 4. Dr.
Ilellen Gidean from Vhai visited and stayed here for 4 days studied the project and said this work must
continue and she recommended the Christian aid to Sponsor us. fhey cleared the Rs l/2lakh of our loan
towards building of base I losnilal
And sent a lakh to start the comprehensive community health
rural development project at
Kadwad village about 16 Kms from Bidar town New staff were employed. Old staff went for training
Efficor granted a mobile van. A small unit was started with 3 community health guides. We trained 30
villages health workers by initially training, conducting seminars in the hospital premises for I
weekjater on all the village health workers were put in different villages. They have to carry out al! the
objectives, mentioned above. I he Doctor visits 3 times to the villages to conduct village clinics and to
4
vise the work. Serious patients are transported to the base hospital for treatment.

4

In the year 1978 world vision of India conic forward to start a community health programme in 4
specific villages simultaneously I bp programme (family to family programme where the |x>orest of the
v poor children are identified in each family and a total 300 children were sponsored from the age of 4 io
12 years, in their 4 villages Rs.60/- is sent for each child io cater to their education, clothing, food and
spiritual nurture. One-sponsoring assistant and 3 helpers employed and I cook, the balwadi teachers
VIIW stay in the respective village and supervise the children apart from these 300 balwadi children
(Under5) are given .Iola, Ragi, Groundnut, and jaggery in portions as laddus prepared and given to these
malnourished children All the families of these children, are taught and supplied with kitchen garden
materials.. Also saplings are supplied from the J lorticulture & f orest department. The slogan a tree for a
house and a forest fora village is practiced
f amily development programme whereby the fell needs of the family and some needing bullock
cart, clearing of
catt,
ol hank
bank loans In the village kadwad 100 buffalo were given to the farmers through the
bank loans build their own homes.
As Bandabad is an interior village with 100 families 7 families developed The bank loan of Rs
40,000 is cleared and their. 10 acres of land is purchased. A deep well dug and It) acres of lands
cultivated with vegetable, sugarcane, and fodder Netherlands (ICCO) government sponsored dairy
project 40, cross breed cows to start a Diary farm in the same village to help 40 poor families. The cattle
shed is constructed, fodder grown, well depend Recently Rs 60,000 was sanctioned for deepening of
well and constructed at Bandabad one Govt, primary school which was 1/2 j
oleted with society
funds. The material for nutrition programme is blown in the field 7 brothers as*their families, which
were once in poverty, are now working in the fields and earning daily bread.

I£_
I. Balakrishna OnQ a begging leprosy affected person was sent to Vellore for reconstructive hand
surgery and now working as watch man in the farm.
?. Ramdas Son of Yesudas is a 12 years old orphan boy which is working as a Junior Carpenter Very
bad osteomyelitis of mandible was cured here.
Mulberry cultivations and cocoons culture & silk reeling industry is a new venture Above IS
workers work in the new silk reeling machine. This also we took over to relieve a man (Nagshettv of his
Rs 20,000/- bank loan
In 1979 C.B.M. come forward to help all the eye patients and there a eye hospital work with part
time eye doctor, Dr Maigur was started Many old poor patients are treated for cataract operation and
free spectacles distributed.
A free Dental unit also started in 1980. A part, time dentist helps us (Dr.Edwm). The society has
conducted 8 marriages, among the staff and sent them to various places like Chandigar, Goa, Bangarpet,
Kolar, Khajipet and Bombay All are happily living Some of the workers are here for the past 32 years
free delivery cum tubectomy is sponsored by the CM AI
Dr. Mrs Salins attended many conference arranged by the VHAI and CMAI

MIRAC LES IIAPPKM I) IN I riE I J|
1. Narsanima W/o Thippanna in the dying stage of tetanus our Lord Jesus appeared to her and healed
her. Now she believes in the Lord and witnessing for I Inn.
2. Io Mallappa some quack doctor gave injection for external prolapsed pile, and the whole perineum
got sloughed including scrotum. 4 months o! treatment and faith in Jesus, miraculously He got healed
and able to go to his clerical job.
3. Udaya printer’s wife who has no child for 13 years now. She has conceived
4 Mrs Naseem Asgarali wife 13 years no kids Tot a child and many more sterility couple who were
desperate, our good Lord opened the womb.
Stalf Urhabililalri!
akMiiii ........................................................

,--------- >

,

s

I Our social worker once a big drunkard through a severe attack of typhoid lever dedicated his life and
v turned to the Lord.

.

2. Broken family of ward boy Sidram restored and they are living happily
3. ANN - Navakrishna’s marriage to evangelist Anand and now they are working at Govt as nursing
supt, and evangelist among slum dwelling and others.
4 Premanaricl married Zelena on community health and departed to Begumpet Bible school for service
and further training, now have established another society called CKUIS doing community health and
development projects and adoption of children Many ol our staff are given periodic training in Helds
and so the work of teaching, preaching, healing goes on.
5. Mr Dashrath out ophthalmic technician after dedicating his life to serve our lord has joined CRIPS to
serve among isolated lambadi colonies in Bidar taluka.
6 Mr Raghu has organize another society and a forestation and water shed projects
7. Pr Paul Pradeep our accountant is working independently alter his glorious conversion from bottle to
bible
Our main Motto is to carry Jesus in our life and present him to the world through morning
devotion, evening Bible classes, cottage prayer meeting, Sunday school, village meetings are regularly
going on. All these work could not be possible but for the tireless work of Dr. & Dr. Mrs. Salms and all
the dedicated staff, Precious Prayer partners timely support in kind and cash

I We need dedicated doctor couple to relieve us.
2. A lull tune eye doctor is needed to be in charge of eye department
X stall nurse with qualification, BSc, MSc. nursing teachers
4. Evangelists/ Social Workers/administrator
5 Completion of rural hospital and Staff quarters / New life leprosy / Rehabilitation, complex
auditorium, training, school build for nurses and multipurpose workers. I tome for the aged

All these work was only possible because of love ol God will motivates us to serve the poor and
needy Since ( hrist has told il you have done any thing, to the least of these you have done it unto me II
is because of the sacrificial life of Dr <fc Mrs. Salins and many dedicated Workers / Gods mercy, al! the
yeomen services could be accomplished

God is still in the throne
And he will remem bet his own
Though trials may press us
And burden's distresses
l ie never will leave us alone
God is still on the throne
11 is Promises are true
I le will not for sake you
God is still on the throne
With warm Christian greetings, love and sincere prayers
Yours Sincerely
Sd/l)r. A. Mrs. Sahns

6

*
. I

civrxcj, cwing Syii 'iou^u>K\i>:nsUs cj/^yj 'io>?
v
mYTncj ^>i:(jy^‘i:^‘ri^'<jsr^si(
u’o^/.d
^i) q'jpe tyxwM&iEs^iiov-r^jn: KjMgwxM t i’ill ^i:
TJi'WUgji\)V‘i'ij( (‘E
•WJfOE'E W&EI.'I), SO cEHyi‘iyiEf. ‘THE. ‘H^H'IOKS tVlEE. IE1 J>O(J‘E, J1W1) (TH‘E:N. 'El‘N}H.E-Y(TlEE
‘F^TD WILL COtM‘E- (!Matt:24.1-1)

(Jude«:23)
SOCXHCOMMJ^g ‘KJ^DO‘M

>f5V® CP^CPMW TJfiKM ‘I'O^'JFE

oe gods. “qo^WE. qfrq&ES'lJs Moq^ jxj>ee.(D qrUrsixCE^

LWBOVqWRSq*EW
#

©

Pre/JouW/By;
JyothLOdujrnpwn/
A.C. Salivi^.
FOR JESUS TOLD HIS DISCIPLES, “I HAVE BEEN GIVEN ALL AUTHORITY IN HAVEN AND
EARTH, THEREFORE GO AND MAKE DISCIPLES IN ALL NATIONS, BAPTISING IN THE NAME
OF THE FATHERicfiON AND THE HOLY SPIRIT. AND TEACH THESE DISCIPLES TO OBEY
ALL COMMAND-MENTS I HAVE GIVEN YOU ASSURING THAT I AM WITH YOU ALWAYS,
EVEN TO THE END OF THE WORLD. (Matt. 28:18-20.)
.Ul!*AlL^JJjy2LLllX' Bidar is a district place in Karnataka Slate, India II is in lhe north of Karnataka Slate,
on the boundry ol Maharastra State & Andhra Pradesh State. Christianity started in Bidar 100 years before
through the Methodist Church Now Christian population is 60 thousands, Now’several Denominations such as
Methodist Church, Hebron or Bhakth Singh group, Penthecostal, Seventh Day Adventist,Church of Christ,
Baptist C hurch, Roman Catholic Church, New Apostahc Churches are doing the Ministry. But yet the spiritual
standard of Christians is very low. Most of the villages have church buildings but no preacher to take care of
lhe people they are sheep without shepherd I larvcst is more, but labourers ate. few Chi istian people arc under
the bondage of alcohol, drugs, fighting among themselves because of denominational feelings, preachers are
few, they are unable to reach the Christian congregations, and other non-christian groups. There is a lol of
spiritual need among Christian. Rural Christians are neglected therefore we have burden to reach the Christians
where other denominational pastors are not going and also neglected Christians groups, Bidar has six hundred
villages but only 300 villages are covered by all the churches.
Narayankhed is a Taluka place in Andhrd Pradesh Slate It is also on the
boundary ol Karnataka state and Maharashtra state. In Narayankhed there are I 500 villages only in two
hundred villages are evangelised yet one thousand two hundred villages need the evangelistic work, in that
area Methodist Church, New Apostholic Church, Bakth Singh Group, Church of Christ, Pentecost Church are
existing Spiritual need is more as spiritual standard is very low among Christians, they do not have preachers
in that area, very few preachers are working, church buildings arc existing hut no preacher because each
preacher has to work in I0 villages, faith in christ, hope of the coming of lhe Lord Jesus Christ, preparing
souls is neglected. Every Church has its own doctrine, only doctrines arc taught not the repentcnce, salvation,
reconcilation with God. People are open to gospel, non-christians are also interested to hear the word of God,
and they attend church services, people’s life is just based on eating, drinking inspite of their poor socio
economic condition, because of the lack of knowledge. People spend 'heir Income in drinks drugs gamboling
and other bad habits. People are hard working labourers, very few come to church, they have not learned to
give to God. Adultary, Idolatory, drinking alcohol, gambling are the major problems in the families. Ministry
of christ much in need.
< ‘KiJiLiNTRwuciJ o:n_QJL".sA
Our (iod is a miracles working God. God honours our faith. Save them from the fire ministry started by
I;vangelist jyothi T hompson and Dr. A C Salins by faith through fasting and prayers with few self supporting
preachers in the month ol May 199X name being selected after seeing the burning problems in the families of
all religions, especial^ among Christians. Out of one hundred families ninety nine families have fear,
depression and worries. These are the burning problems of the families, therefore many families have no
I

I*

peace ol mind, no good health, no spiritual development. Therefore to bring them out of these burning
^problems (lire)is the main aim ol the ministry. Holy Spirit Inspired to few like minded self supporting
preachers Irorn various denominations came together in prayer and fasting. These preachers are serving the
Lord in Bidar and Narayankbed areas. Each preachers has his own congregation for which he is responsible to
t conduct regular prayer meetings on every Wednesday and Sundays. Other four days in a week preacher is
visiting nearby villages to extend the Lord's ministry. Preachers are getting very little offering from the
congregation because his church members are agricultural labourers, their daily wages is not sufficient to
maintain their lamily needs. In that condition church members save some money to support the ministry
Preachers have more burden to do great things for Great God. But due to lack of finance very littldTninislry is
being done. I lope. Lord has great plans to uphold this ministry in 11 is powerful hand.
; '
QI'—I Hf' JMINIb IRY.1.L Alcohol, Drugs, Devil, Disease First spiritual disease among Christians
and other community is consuming alcohol and drugs. Our team has made surveys and found that more young
men at the age between 30 to 45 died due to alcohol. Now their widow wives and children arc suffering badly
And those who have habit of consuming alcohol regularly al present their family condition is very bad, their
wives and children are restless. No peace of mind, for them “mental tension is !ikc.a,"fire". burning their
physical and spiritual life. Al the same time young boys who are addicted to drugs suffering because of
physical weakness. 1 hey have no interest to work, nor to studies, they lost hope in future, these peoples lamily
life is full
I
ol disappointments, depressed because drinks, drugs and devil is inling their spiritual and physical
life. Therefore preachers have: aim and prayer to bring peace and happiness to disappointed families through
the word of God. We believe God is able and great to change the lives of these mental diseased people in and
through our ministry.
Christians congregation means: Christians
without preacher. There is no preacher to several congregations. When we as a team went for out reach
ministry, we found that preacher are not visiting congregation since one year and in some places since three
years, m some Places ^>p!e are baptized but no prcacer to care (hem till today,. This is a horrible condition of
the spiritual life. Our learn preacher informed the concerned village preacher about the spiritual need of those
neglected christiahs and urged them to take care ol the sheeps, yet many more congregation are still without
preacher. As Jesus said; Harvest is more. But labourers are few therefore our team has selected some of the
congregation for the continuation of the ministry, and took the challenge to tram up believers out of same
congregation lor future leadership I his is a vital need in Bidar and Narayankhed areas God honours our faith,
some day we will have trained leaders in there own villages.
llLyNJj^yjLLAGbJd^^
In a small village there will be 500 to 1000 houses, in big
village 1000 to 3000 houses including all religion. But Christians houses will be only 30 to 60 maximum, foi
(hat 30 to 60 houses two denominations are working in the same village. If there arc 30 houses, they will he
divided into two groups 15 houses one side other 15 another side. Both the denominations will build the
church building just side by side. This is an existing example of many villages Hence there is dispute,
disunity, competition is developed instead of spiritual development moreover it is a bad impression to other
religion people. Therefore our team has plan to teach our Christian people to promote promote then spiritual
staiiTad such as unity, love and concern for others/'Bc like minded". In such places we called people to
common place for prayer meeting, taught about the oneness, fighting among themselves» is common in such
places, dispute, disunity is the burning problem (fire). Christ is not divided but we have one God, one
mediator, one faith.

the good news to al! creation. Here in Bidar and
Narayankhed area there are many castes, religion, tribes who have not heard about Jesus Christ. And there
some stums, leprosy colony, migrating tribes, and devadasis prostitute in the name of God or Goddesses" these
are all creation ol God, they too need the good news message of salvation, for God loved them, I tc wants them
to join his flock, so our team is trying our level best to reach them with Good news.
CONCLUDING PART: Results in Ministry: The ONE who is called us to serve. He is great and faithful. God
is still doing his wonderful work, as I le is a living God a.Twcnty five alcohol addicted persons left drinking
habit and witnessing God and his wonderful work. Now they are strong in their witness. These people were
7

consuming alcohol soon after raising from the bed, they were taking alcohol instead of morning tea fullday
ithcy drink, they were not al all taking their salaries to home, everything they spent for alcohol. Now they are
vciy happy, their family members have accepted the miracle of God, Now peace and hiippmcss restored to
families. I hey arc thankful to God and to our team for the great change in their family life. b. One Devadasi
prostitute in God’s name converted, now she has one boy and sent him to school. She is leading a respectful
hie. Eight
life.
I'lghf dcvadasis accepted lord, when we went to Beliary for mmistry c Live leprosy families have
accepted lord Jesus Christ now they are ready for the baptism, d. Six Hundred people from different villages
decid’d to follow our Lord Jesus Christ when they have received Jesus Christ as their personal savior, their
lives are changes.
e. Many sick people are healed by the will of god in prayers. Devils were castoul,
witchcraft or black magic possesed are healed in the name of Jesus, and through power of his precious blood
Our God is; a hiiracle
miracle working God. f. All the denomination people are calling our team to conduct gospel
g,ospe!
meeting, praying for the sick. In many places, when we had open air preaching few non-chnslians have
accepted Christ, and attending church regularly. Within this short period our team is being used by God. We
believe it is just a begining. Lord has great plans for our team. He is faithful in his promises fulfilment of

promises to our self supporting team. Only budget is lacking. But God is faithl ul. He will meet all our needs in
time, this is our faith. Kindly uphold this team of preachers in your prayers. I larvest is More.
PRESENT ACTIVITIES: 1 Easting and prayer. 2. Village Meetings. 3.Visiting sick., broken fmilies
discouraged lamily. 4. Concentrating Youth by conducting youths meetings. 5. Women meetings.6. Teaching
worship
praising. 7. ISach preacher should take care a one congregation, moving to other surrounding
villages ^.Personal evangelism, cottage meetings, crusades, open air preaching, weekly pastors
meeting.
9. Sunday School for children.
AIM: Building the kingdom of god. Reaching the unreached, ca.ste, tribes. Unbelievers in Christian
community to be motivated. Uniting the Christian, l eaching to give to god, time, treasure, talents Preparing
souls lor the coming or our Lord Jesus. Increasing the faith. Prayer life, power in fasting. Love, concern for
unsaved people. Conducting, Crusades. Helping the poor and needy. Pastormg and Evangelism Sharing,
Caring, Mmslry. Starting new congregation where there is no church.
Calling preachers for power
conference. Salvation, reconcilation, with God and Man. Witnessing Chinst. Baptism, Holy Communion.
Sell supporting by income generation programme.
How to make future leaders of church:-Believer
2 months reaching, Discipleship
4months reaching,
Workers - 2 months Teaching, Leadership - 4 months l eaching
Adminstration; Monthly reports from the congregations through preachers. Attendance in the Church Kaptism
Deaths Births Marriages Migrated Offerings from each congreation
€T;
Responsi^
1)1’0 prepare God’s people for work of service and supervising the ministry of
preachers in Bidar and Narayankhed area.2) Evangelist will collect monthly offerings, tithes from the
preachers, for each congregations and the same amount can be deposited to Bank.3) Evangelist will collect
monthly reports f rom the pastors, report on shown above.
Preachers: Care for God's people. Baptisms, Marriages, Burials, Holy Communion, Service, Work Extension.
I hanks giving festival yearly once month November.
Deacons. 1 akes care ol the congregation in absence of preacher and authorised to preach the gospel
SALARY STRUCTURE:
3 Seniro Evangelists X Rs. 3000 - 3000 + 500 T.A.Total Rs. 10500, 75 Preachers X Rs. 2.000
150000, (60
Deacons lor future x Rs.500) 30,000, Rent, Stationary, Telephone, Printing, Postage, Miscellenous: Rs 9500
So the 1’otal Amount - Rs. 2,00,000
Salary can be increased or decreased as budget permits. Pray that the Lord may open the door lor
II na nc i a I a ss i s ta nee.

,.ho i »n, i

VELEMEGWA GOOD NEWS SOCIETY HOSPITAL,
BIDAR - 585 GOI (KARNATAKA) INDIA. PIIONI'/I’AX ()8g82-25GG7
\ Village Evangelical Lcprosv Eradication Medical Educalion, Good News Association A non-Profil
A
Charitable Multi Purpose voluntary Society, Registered under the Mysore Society Act No. 17 ol I960 date
g
IS-3 69 al Bangalore S.No. 5-68-69 COMPLIMENTING NATIONAL AGENDA DURING 52 YEARS OP INDIAN
3 INDEPENDENCE While Commemorating 3S Yrs o( womb to tomb and beyond (he tomb yeomen services let us
J strive to gether prayerfully, meeting the total needs of the sick, poverty stricken communities,deserving

individuals, irrespective of cast, creed colour, race with help of God, Govt.Gods children precious prayer part
ners lighting dis eases, demons wilhin/wilhoul the congregations, country for a happy healthy properous
national, international peace on earth and goodwill under fatherhood of God and Brotherhood of mankind with
mutual love, respect and Christian concern lor wholistic development during 2000 AD New Millennium.
Visit oui Weg .site* ht(p://ww vv. vc I e t n u g n a. o r g

e - in a i I; 11 r s a I i 11 s 0 v s 111. < ■ o m

OUR STATEMENT OF FAITH-VELEMEGNA
(VILLAGE EVANGELICAL LEPROSY ERADICATION
MEDICAL EDUCATIONAL GOODNEWS ASSOCIATION)
Bidar 585401 KARNA TAKA, INDIA.

I. The Holy Bible, which is the fully and uniquely inspired Word
of God, the infallible sufficient and authoritaive rule of faith and
practice.

2. One God eternally existent in three persons: bather. Son and
Holy Spirit.

3. I he deity of our Lord Jesus Christ, His virgin birth, His sinless
t’fg^hcarious death and atonement through I lis shed blood, I lis
bodily resurrection, I lis ascension. His mediatorial intercession
and I lis personal return in power and glory He is the only Saviour
of mankind.
4. 7 he salvation of lost and sinful men through regeneration by the
Holy Spirit Salvation is by grace through faith,
5. The indwelling of the believer by the Holy Spirit, enabling the
Christian to live a godly life.
6. The resurrection of both the saved and the lost; they that are
saved unto the resurrection of life and they are lost unnto the
resurrection of damnation.

7. Vhe spiritual unity of al I believers in our Lord Jesus Christ, who
comprise the Church, the Body of Christ.

Presidciii.
Foimdcr/Direcior
iSN.Kathrine Pearson M Sc.
Vice President
Dr.A.C.Salins, m b b.s
C. Ac c u |) «u i < i u rc (J a p a n)
C.C.Hwl (London)

,7-/
Meil.Superiiitemlcnt/Secictary
Dr.Mrs.S.Salins b.Sc.m.b b.s
h.r.ll., M.Sc..CIII)C (London)
Cerliflcale in llospiical
Adiiihiislrallon C.M U.Vellore

treasurer
MrJyolhi.T.M a

Advisor
Sri. Ram Mohan c.a

ri-i liiiicul Advisor
Prof. Riaz

*■

K VF' EMEGNA GOODNEWS SOCIETY HOSPI TAL INDIA' A.D. 2000 AND BEYOND MISSION VISION
CO BERING PART OF 10/40 WINDOW AMONG 95% UNREACHED PEOPLES GROUP-FOCUSING BIDAR'
(KARNATAKA), NARAYANKHED. (ANDHRA PRADESH) OSMANABAD (MAHARASTRA) STATE
BORDER VILLAGES, URBAN SLUMS, TOWNS WITH MORE THAN IKO0 VILLAGES WITH 3800000
POPULATION BRINGING A REGENERATING, LIVING LOVING SAVIOR Lord Jesus’ Christ TO A DYING,
DEGENERATING, SIN, SICK, SUFFERING WORLD AND WITH THE GOODNEWS ABOUT THE SOON
COMING KINGDOM WILL BE PREACHED, THROUGH OUT THE WHOLE WORLD, SO THAT ALL 'Till'
NATIONS WILL HEAR IT, AND 'THEN, FINALLY THE END WILL COME: (MATT 12:24) WORKING
’TOGETHER
I.

PURPOSE: FOR EFFECTIVE POWERFUL PARTNERSHIP WORKING TOGETHER
TO REACH THE UNREACHEDUsing like minded individuals, churches, agencies to jointly network, sharing resources, exploring
strategies in consultation for church planting, church growth movement, avoiding duplication, saving
money, time and energy using tent makers to train sustaining self suflicicnt church planters among 80%
low income poorest of the poor including ostracized leprosy and other beggars, widows, orphans,
handicapped and old and young destitute, unemployed youth in and around Bidar, Medak and
osmanabad bordrg districts, irrespective of cast, color, creed or race in a phased manner as fund’s and
facilities permit io work among 40% Muslims/lranians, 40% Hindu (Lingayats, Kabbaligas), Kurubas,
Jloliyas, Madigas, Marathas, Gounds, Woddaru, Banjara) 10% nominal Christians remaining 10%
belonging to Sikhs, Buddhist and other minorities with different religious/cultural backgrounds
speaking Urdu, Kannada, felegu, Marathi, Gurumukhi, Lamani Languages) in obedience to the
commandments of our Lord and Savior Jesus Christ for holistic development by teaching, preaching,
baptizing and discipling among all nations (peoples group Matt 24:14, and the good news about the
kingdom will be preached through out the world so that all nations will hear it and the end will come.
Matt. 2.8:18 Jesus told his disciples I have been given all authority in heaven and earth, therefore go and
make disciples in all the nations, baptize them in the name of the Father, 'the I loly Spirit and
then teach these new disciples to obey all commands 1 have given you and be suie of this that I am with
you always even to the end of the world. In Matt 9:37,38. For the harvest truly is plenteous but the
laborers are few, Pray Ye therefore to the Lord of the harvest that he will send forth more laborers into
his harvest. John 4:35. Lift up your eyes and look on the fields (un-reached people group), for they are
white already toSjirvest. James 5:20. Let him know that 1 le, which converteth the sinner from the error
of his ways, shall save a soul from death and shall hide a multitude of sins. Prov 11:30. The fruit of the
righteous is a tree of life and he that wrnneth souls is wise. Dame! 12:3. And they that are wise shall
shine as the brightness of the firmament and they that turn many to righteousness as the stars forever
and ever. Matt 4:19. Follow me and 1 will make you fishers of men. 1 Corinthians 9:19,20. for though I
be free for all men, yet I have made myself servant unto all, that I might gain the more. And unto the
Jew 1 became a Jew, that 1 may gain the Jews, to them that are under the law as under the law that I
might gain them that are under the law (saint Paul). Jude 1:23. Others save with (ear pulling them out of
fire, hating even the garment spotted by the fire. John 9:4 Jesus said I must work the works of him that
send me, while it is day. The night cometh and no man can work.

n.

STRATEGY:
1) Using enclosed comprehensive community health and development relief, rehabilitation
r projects and save them from the Fire Ministries with the help of velemegna Society base
Hospital, Golekhana, Bidar, Old City, i hree mobile medical social service and evangelistic
team, staff and trainees ol Base Hospital, Baridabad Rural Health and development training
center Chatnalli, Kadwad leprosy, multiple handicapped relict and rehabilitation complex.
2) To carry out initial stone clearingjob before sowing the seed (word of God) conducting base
line health socio-economic, socio-cultural household, community surveys, undertaking

t

relief, and rehabilitation health and development training, income generation production/
marketing/ management/leadership training programmes. Undertaking correspondence
comiy^nications to contact as many likeminded individuals agencies, churches, master
churcti planting trainers (tent makers) teachers, preachers, healers, evangelists, social
workers, Christian hospitals, medical, surgical, nursing, paramedical staff and
administrators/policy maters. Using radio, audio, video slides, films, cassettes, projectors
literatures, TV, V.C.R., Computer, skits, drama, music, adult literacy, formal/informal
education, Bible study, prayers cells, street plays, melas, exhibition, VBS for children, men
and women, youth fellowship groups for effective partnership, witnessing/ worshiping
. groups. I he role ot above different forms of ministries will attract wide pubhcity/awarencss
of various projects planners partners in the adopted communities who will in turn have
opportunities to unitedly and practically demonstrate the love of Jesus in action packed
holistic health/development/rehef, rehabilitation, research activities in word and deed, lip
and life style services of Christian professionals, sharing, caring, united, living (agape)
services.

V

in.

IsXl’LO RATION:
a) All possibilities of networking through like minded philanthropic prayer partners, among all
willing individuals, churches Para church agencies in India and abroad to work together
unitedly for affective budding of holistic, healthy individuals, families, congregations,
communities, countries, ultimately to be transformed by the love and power of Jesus
sacrificial death, burial and resurrection convicting of sin, righteousness and judgment by
the Holy spirit demonstrated by his redeemed children’s (disciples) exemplary life style
through short and long term community need based services projects with mutual consent of
concerned partners who have whole heartedly and prayerfully willing to share their God
given time, talent, and treasure by repeated mutual consultations, clarifications, meaningful
time bound participation training the needed trainers multipurpose professionals, social
workers, tent makers, church planters, planners, God enabling God willing to compliment
and accomplish velernegnas A.I). 2000
b) DIS 1 INC IIVH CON TRIBUTIONS BY- various organizations churches philanthropic
individuals/agencies mobilizing men, money, materials, tent maters church planters,
pioneering missionary minded professionals (skilled workers) to sacrificially share their God
given resources to save perishing souls with a vision and passion for unreached peoples
groups discipling them in turn to disciple their family members, friendly precious contacts,
relatives by training other likeminded multipurpose workers to develop active witnessing
worshiping (Koinninia) worshiping groups in Urban slums Rural community based
^OSP1,«1S’ orphanage, old age homes for leprosy and other handicapped destitutes prostitutes
(devaSssis) Aids patients, schools for the blind, deaf, dumb, mentally physically
handicapped children, by teaching, preaching, healing, agriculture, horticulture, sericulture,
floriculture, Aforestation, pissiculture animal husbandry, beekeeping, rabbit rearing,
occupation therapy workshop, income generation training, production, marketing, etc m
tailoring, garment/ candle making weaving motor mechanic, motor winding, electric shop,
electrical welding, carpentry for rehabilitating motivated identified deserving self help
groups among unemployed weaker sections of the community using government bank loans
with subsidies under low interest DIR. Schemes, co-operative movements specially meant
for women and youth clubs who were in the past deceived by selfish greedy middlemen
unscrupulous local politicians anti-social gunda elements are naturally fearful, suspicious,
shy indif terent and apathetic because of their bitter past disappointing experiences without
tasting the true love of Jesus by his sharing, caring, selfless, sincere servant leaders

I
ft

(disciples of Jesus) who have already lasted victory over sinful nature, Satan sickness and
even eternal death and hell by the resurrection power of salvation through Jesus Christ
!V.

I-'ORMATION OF VELEMEGNA VISION A.D.2000 AND BEYOND.
a) Io avoid communication gap and needless duplication danger in delays, silly
misunderstandings, between partners, consultations, correspondence, dialogue, discussions,
we need to have frequent meetings/Bible based scriptural teachings, reminders, for timj
bound, plan of action, to obtain optimum results with minimum use of time money materia!
b) Drafting specific guidelines with timely discussions, prayerful reconsideration to organize,
flexible, feasible programmes/ projects, it possible on the S|x>t scrutiny by partners or their
able representatives by prior intimation.
c) After first or second meeting timely satisfaction solutions to meet the acutely felt needs of
various peoples groups for smooth uninterrupted implementation of ongoingfuture targets,
achieving goals will certainly encourage anxious partners as well as beneficiaries, to whole
heartedly and actively participate in such worthy projects.

V.

EVALUATION
After completion of each project quarterly, half yearly, annually monitoring, internal external
evaluation of reports, audited accounts, projects achievements and failures should be sincerely
reanalyzed and revaluated for better performance using checklist for goals

BUDGET
TKAVEL 600 X 20 =Rs,12000, postage, fax, e-mail, phone = Rs.12,500, printing and stationery
- Rs. 12,000, Boarding lodging for committee/ conference 500X20 = Rs. 10,000, rent for
conference hall and P.A. system - Rs.2,500. Total expenditure = Rs.1,13,000.

VII.

CONCLUSION
Prayerfully and humbly coveting your blessings and all possible prayer/ support in kind or cash.
Respectfully submitting with best compliments our enclosed projects proposals for meaningful
partnership with grand success in implementing useful programmes/piejects by you or any
likeminded precious prayer partners by your gracious, generous if we donot act quickly and
unitedly now or never to save the perishing souls who will otherwise go into a Christ less
hopeless, terrible hell fire. For the king of kings business needs to be hastened through our
Christ centered, Christ saturated, Christ glorifying ministries during 2000 A.D. and beyond in
the millennium before our rapture or resurrection as every one of us concerned will be
accountable before God almighty.
With all good wishes happy Christmas and prosperous harvest of souls during the new millennium.
Thanking one and all my precious prayer partners (true and sincere rope holders/
Yours unworthy unprofitable servant in Jesus our Lord and Master glad and glorious services among the
poor and needy less fortunate unreached peoples group in these last days

Lion Dr.A.C.SALINS

t

J®

From Bottle to Bible
By Mr. RP. Salins, A.M.B.
.^ASW/z/r/Yvy

EJdest Brother of Dr. AC. Salins for the praise of 11 is glory
An Aircraft Maintenance engineer rescued from Alcoholism by a miracle working, God.
I he moment I left School and started my career in the air force I fell victim to smoking. This was
coupled with cinema yj»ing and drinking. In air force alcoholic drinks were easily available, freejiquor
was issued in winter in stations like Kashmir. The demon of alcoholism, was nourished in me subtly under
the glise of’’Safe Social Drinking" only waiting fora more critical lime in life when would master me.

By now I was twenty years old, drifting through life and neglecting through life and neglecting
God. However, fears of a guilty con- science, of social censure and of disease kept me from living an
openly licentious life.
Instead I enjoyed the reputation of a God-fearing youth in the eyes of the people around me. I read
the Bible and prayed regularly and tried to do good to others.
My air force service was nearly complete so I requested a posting to B Z5’9 . , where I worked
hard and obtained the Civil Aircraft Maintenance Engineer’s license. Gradually 1 became so engrossed in
bettering my self centered life that I had no thought for the spiritual. Alas’ I soon discovered that al! my
efforts to lead an ideal married life piety ended in evermountmg resentments. This was the moment for
which the demon of a^pholism was waiting" social drinking" now took a dif ferent turn and I became an
alcoholic. The destroyer of life, Satan, was ready with his snare.
An alcoholic
One week-end in July 1957, when I was returning home intoxid, I fell from a moving
tram and half my body hung outside the compartment. But for the timely action of a railway policeman I
would have fallen and perished in my sins. Later I learned that the good man who risked his life for me
badly injured his shoulders in the process. I was in plaster for six weeks.
Our first child, a son, was born within seven months of my accident. Again I resolved to he food
and to turn a new page in my life, and I become more religious. But alas ’ my Good resolutions lasted for
barely a year and a Hall and once again I ventured into social drinking,. My heart that was emptied by my
earlier resolutions tailed to accommodate the rightful Occupant, the Lord Jesus Christ. Hence the
inevitable took place - seven worse demons entered and made their abode in me.
Now I had to face the fact that I was openly known to be a drunkard. I also resumed smoking
heavily. Like the prodigal, J too found my "pig sty" I took a job with Nepal airlines in Katmandu and had
my share of riotous living.
: I became a confirmed alcoholic, demonic in nature when drinking giving till! expression
to whatever drunkenness would prompt me to do. I admitted to myself* 1 was an utter failure. Afraid to
stay in Nepal any longer 1 returned to Bombay, resolved to turn yet another page in my life. But how can a
drowning person save himself? Satan had no problem keeping me in bondage.
At this time a well-meaning relative introduced me to the Power of Positive thinking mid other
books by Norman VIN peale. As I applied Peale’s methods I began to see results. These were moments
like the free joy rides in aircraft during a test flight. But they were intermittent and no permanent cure lor
the spiritually sick, without these spiritual props 1 would revert back to my old nature. Holiness was an
unattainable idealism, and there was a void inside me.
By now 1 was thirty-eight of age and father of three children. However, I still read my Bible and
prayed and never, stopped crying to Jesus for deliverance, yet I indulged in heavy drinking daily, and
would not stop until I hit my ceiling.
Warned • Out of utter despair I agreed to be treated medically. The doctor said my body had become
allergic to alcohol and this would last well over twelve years, even after stopping, drinking,.

>

About the same time, the dear person who introduced me to books by Dr. Peale took me to a
wneeting, of Alcoholics Anonymous. 1 was encouraged by being among these good people, as it was
comforting to feel some hope of deliverance. I was not, however, delivered.
My marriage noW was at breaking point. God provided a regular follow-up programme for my
spiritual growth; weekly Bible and biographies of Christian giants of faith. My employment with an
aerial coojxjrative took me from state to state on aerial spray operations, affording an ideal means for
distributing tracts and tor personal witnessing among farmers. Students, and agricultural officers.
Leading the hard way. ’’'fhcrcfore let any one who thinks that he stands take heed lest he fall”.
Alas! with all the assurances of the gospel, it grieves me to confess that I fell The falLcame
fourteen months after my conversion. During one of the aerial spraying o|)erations I felt 1 could
participate with the pilot and other staff members in a social drinking party, since I felt confident I had
overcome the drink habit and need not be af raid of drinking any more. So I joined them in one of the
evening cet- together. I had absolutely no urge to drink, but was foolishly over- confident. This proved
two things: (a) thinking one can stand invites a fall! and (b) how correct was the doctor’s statement that
the body of an alcoholic would be in an allergic state for years!
I continued to drink for almost a week. Deep wasmmy remorse. I lost my peace and labored under
the iectmc, of guilt that I had denied my Lord. T confessed my sm, and repented, crying to tile Lord Jesus
to forgive me and restore my peace. I dun to Bible promise: "If we confess our sms, he is faithful and
just, and will forgive our sins and cleanse us from all our unrighteousness."
fhe loving l ather not only forgave me and restored my peace, but made me wiser. So far as I am
concerned I would stress that alcoholics must resolve strictly to leave drink alone. And they need the
power of Christ to help them keep that resolve.
• At this time my doctor brother A C. Salins, who worked as a medical missionary in
Bidar and was heavily^jrdened for me, wrote of his intended visit to Bombay. Lor the first time in my
life ! experienced a strange voice within telling me to he prepared lor a spiritual surrender.
! was happy at the thought of meeting my brother alter four years, but I was deeply agitated too.
My agitation was not ordinary emotion, but a spiritual warfare, this is why I stress that drunkenness
manifests itself in a demonic manner.
My brother arrived with the Rev. Anand Kumar, who was to preach during meetings at Bombay’s
Sushanti Church. It should have been a happy family reunion. My dear brother was afraid to confront me.
Two days before fhe meetings were to end my brother mustered all his courage. I was late home
as usual, and drunk. Everyone had left for the meeting except my brother, who was traveling in prayer.
His prayer was answered. Instead of being boisterous this time he found me completely broken, lie
urged me to pray. I surrendered to the Lord, praying, "Lord, I am a sinner. Break me, meh me, and mould
me," soon I fell asleep. 1 he next day my brother told me what had hajrjxMied, and asked me to corrre io
Bidar with my family. 1 knew something strange had taken place within me, but needed a fuller
ass»'^mce of deliverance. I accepted my brother’s invitation.
I thought if God would make it possible for me to get leave, then he was about to do wonders for
me in Bidar. I was greatly encouraged when ten days’ leave was granted, on condition that I complete a
major job on an aircraft due in Bombay shortly.
Off to Bidar
fhe aircraft arrived the day before I was to leave for Bidar. I worked late at the hangar and
completed the job by God’s grace. Our train was to leave at 1 p.m. fhe next day.
In the morning I collected my salary, then visited the drinking place, only with the intention of*
Paying, a debt. At that movement I was tempted to take just one bottle of beer as my final drink, ales, I
took not only one bottle but a second and a third.
When I reached home my youngest brother had already taken my children and luggage to the
railway station. My wife was frantically awaiting my arrival, when we got to the station we hardly had
three minutes before the train was to pull out. By the lime 1 found the compartment and met my brother

J

S?-'

^ind children they were already off- loading the luggage. We just had enough time to reload our luggage
and get in ourselves, when tine train started.
! must reiterate .that I went to Bidar as an act of’ obedience to god's command, through the
instrumentation of my brother, expecting god to work a miracle in me.
•
The following morning as I was reading my Bible and praying my attention was drawn to a verse
in p*Pjn 23, ’’lie restores my soul.” I sensed the Lord himself speaking to me.
IMiveraiice iht last
That evening my brother invited me to the weekly prayer meeting held in a Master Warrant
Olficer's quarters o( the Indian Air force station. Aller a few songs folk began to pray. When it was my
brother's turn came a strange thing happened. Be began, then stopjxtd and said something in the room was
obstructing the Spirit of God. Simultaneously 1 was aware of unseen hands taking hold of my body and
shaking me. I knew it was not emotion causing the shudder. I felt an overpowering urge to remove the
cigarettes from my pixrket and place them on the floor, which I did. then I found myself crying to t he
Savior, “Lord, have mercy on me. I am a sinner. Break me, melt me, mold me." Immediately an
inexplicable joy took hold of rne and I experienced a buoyancy within. While some sang praises, the
master Warrant Officer and my brother laid their hands on my head and prayed over me. Oh, the blessed
assurance! The long-awaited deliverance was mine at last’, hallelujah, praise be to God!
I still had three more packs of cigarettes at home. Instead of destroying them I placed (hem under
the little cross that was on the table, to test my deliverance and at the same time remind myself of my
surrender to Jesus Christ.
f rom the verse "He restores my soul,” I was assured my Lord Jesus had forgiven my sms and
restored me. DeliveraMe covered both areas, smoking and drinking. It was indeed a miracle wrought in
me by the absolute grace of God. I had no urge to smoke, even after f ood, after throwing away the packet
at the prayer meeting. I had no urge even to drink.
1 he next day my brother encouraged me to give my testimony in the hospital chapel. It was a great
surprise to me how I. could testify before an audience and say what the l>ord had done for me, with words
flowing freely and joy bubbling over In earlier years I would have had acute stagefright
The following week my brother carried out a minor operation on me. While I convalesced a
member of a Christian youth organization. Operation Mobilization, visited me. he dwelt on the subject of
being "born again," and explained the meaning of baptism He also explained the
uing of baptism as
the believer's public identification with his Savior. I felt that the Lord wanted to sec d i would be obedient
to this message.
The 1967 Holy Convocation of the well known Christian leader brother Baklit Singh was due
shortly at Hyderabad, about 90 miles from Bidar. I got well in time to attend at least the end of the
Convocation. I was bapized there alone with my sister-in-law and her father.
On taking baptism my joy was enhanced. But I still had to face Bombay. Would I t)t, able to stand
agains’t the currents of* life there ? 1 prayed lor strength and the Lord attain encouraged me through a
Bible Verse:
"He delivers and rescues, he works signs and wonders in heaven and on earth He who has saved
Daniel from the power of the lions" Daniel 6:27.
I held on to this promise and from that day was able to stand firm in my faith and testily to others.
Never again did 1 have any urge to drink or smoke. Now I yearned for fellowship with God and lor
prayer, and by Gods grace and power confine to live a victorious life active witnessing among non
believers and growing in fellowships with like minded saints i.e. even after 30 years after deliverance
only a sinner saved by grace this is my story to God be the glory I am only a sinner saved by the grace. His
unprofitable unworthy servant.
Sd/I.P. Salins

1

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««
Was brought to our hospital given up the Govt, hospital Doctors lor Post
» delivery tetanus with sevre locked Jaw which has 100%. motality. Dr. Salms in dispair, commented. "
Why have you brought this dying patient to our hospital Instead of taking her home to peacefully die.
But what Dr. cannoOo, with Jesus nothing is impossible" and left her in a dark room at night. Put
early morning next day AM the Dr. Was surprisedto find her totaly heald, as she told us happly, "
your Jesus apreared and put something in my mouth and J am healed instantly, praise God. Now she
is still alive and selling lime in the open market. Her family members have become ardent belivers,
attending our local church and actively witnessing about the love and |x>wer of Jesus chrisl.

nicMg-.e in neat by Bid a r U rba n slums at shagunj area, gundamma
and her two daughters, Khashanna and Drowpathi accepted lord Jesus as their personal saviour. They
brought their cousin Shanthamma who was irnatiated and sick with teuberclausis of her right knee
Joint was totaly deformed, unable to walk. Since she refused
amputation, with proper anti- f.K
L.)rugs, and Nutritions food, orthodesis ol the knee joint which was done prayerfully hoping to save
the limb, which miraculously gj healed. During her stay in the hospital she read the Bible and
enjoyed the love of Jesus. I ler husband and children also accepted Jesus and became active witness to
the saving and healing power of Jesus. After many years while Dr. Salins traveling by car from Bidar
to Gulbarga for ministry amoung students nurses with healp of local bill- evers one young gentle man
got in to the car, introducing that he was the son in law of Shanthamma who passed on a bible from
our hospital and was wanting to invite me to his house for prayer fellowship with gratitude for leading
his mother in law to Christ which in turun brought great blessing to all his family members. After a
sumptuous meal and prayer he was glad to give Rs. 100/ offering which was just enough for petrol to
reach my destination, another cousin Mr. Pandit finds time in sharing his new found faith enjoying
with family became ardent Christian, and active witness to friends and relatives. Inspile of being busy
syndicate bank officer Mr. Pandit finds time in sharing his overflowing Joy in witnessing about chrisl
and His soon coming kingdam.
Took some bibles from our hospital to Bidar Jail area and distributed
among the prison staff families. Mr. Anthony Das catholic family got gloriously saved after reading
the holy bible and come to us for further fellowsip. After their transfer to Bangalore/ Mysore area
they laithlully shared their testitnonis amoung their freind, and relatives. 20 members
relatives
accepted Jesus as their presonal Lord and saviour, Mr. Aral Das a notorious drunkerd gunda who
murdered his own mother got thoroughly convicted and converted by the power of the gospel. Now
he is actively witnessing publicly through Juva Jala
Kannada radio brodcasting ministry, playing
casio, composing heart touching hymns, lyrics and choruse. Inspile of right sided paralysis he is
traveling allover karnalaka, with his family members and co-workers for followup ministry through
corespondence coruses, seminars, revival meetings and relrcates, amoung his precious contacts. I was
Pleasantly surprised,^ listen to his story while he took trouble, to visit and thank me nt Bidar, His
unworthy servants for sending those bibles amd conducting cottage prayer
meetings amoung his
Roman catholic relatives Mr. Anthony Das, and family, Praise God d , 1 lalleluah.

Supt,of Police Bidar office got outraged because his eldest
daughter comunitted suetde, along with another girl, al Methodist girls hostel Gulbarga, attempted to
shoot the hospital warden, who scolded the girls for disobeying the hostel rule Later on while he
came to our hospital tor regular control of diabetes and treatment he heard the message of a forgiving
Jesus in an unforgiving woHd he broke down in truly repenting for his sins and belived In the
salvation only though Jesus and kept on sharing, his the saving knowledge of Jesus untill his death,
reconciling with his family, friends and enemies.
Prayers and cottage meetings in coopration with like
minded local churches, staff, voluntiers and trainees has sparked off a mighty Holy Ghost revival with
notorious sinners, alcoholics, local gundas conversions, miracles, signs and wonders, demons
debyered, borken lives, homes backsliders restored, many believers fellowships, children,youth tor

A

and new worshiping group started mushrooming tin and around Bidar District,, some local air force
' and other
families carried the goodnews wherever they were trinsfered, to establish
active
worshiping, witnessing groups. Hence whatever we and the early missionaries sowed in there, now
the time has come for us to reap (he rich Harvest, of precious souls with Joy of the I loly ghost in co. opraiton with evangelical, Indian teams, India every home crusade. LiU/EGb7operation moballaztion,
VISWAWAN11'EBA/YWAM/JEEVA JALA RADIO Coressponendence ministry. So some body sows
others add water and larlilizer.the lord of the harvest gives the in increase while reaping.
Project Manager who not only ,got totally cured'Trom
chronic neuropathy with general ’weakness but was restored froze his backalidden Christian life to
repenit restore and reconcile to serve His LORD and master with renewed power and dedication to
canyon his first love to serve Lord Jesus Christ in and through our base hospital, rural health and
development leprosy^elief and rehabilitation centers (unreached surrouning Urban slums and villages

In karnalaka, Andrah, Maharaslra, District, encouraging, traning and stifter- vising the ministry of
I oca I worker/t ra i n ices.

L9Jl^L<?JLAjI,£»l*L>_Was about to be uprated by us for his enlarged Ions deficiency thyroid gland, but
he got scared to get operated and went to local pastor who anointed with oil and with lasting prayers
seven demons were cast out ol his body. Now from the past 30 years he is able to establish by faith his
own local supporting house church with parsonages casting many demon passed who came to him for
prayers and deliverance from evil spirits and evil habits, (lod hds been using
■ml.de servant of
God to glorify Jesus, the only saviour of the world.

in our hospital in child hood with accidental wounds in his face. After
reciving Jesus as his personal Lord and Master, he is more powerfully doing full time teaching/
preaching / healing Me sick in remote needy villages Pastor Vaijinath got deliverance from denon
possession through paster Amruth Irevent shepherding effectively prayers, s|>ending more than Rs.
5000/- with some medical doctor at Hyderabad and Bidar. Now he is actively full time shephered
ministry amoung needy village congregations where there are no other pastor or evangelist to
encourage people, to change the life life style to Jesus, and work according Io his holy teaching and be
his witness to their freindly contacts,
and family members relatives, who are deeply involved in
wilhch craft, idoltry, ignorance superslion, powery etc,-

.03?£i_Q»Ls_SiirYi»^
christian/volentry member of our society registered a guide and light
society and riming Asha Kiran school for the blind starting, from sratch, with 40 blind children and 10
teachers/helpers, is deeply involved in using the blind children to spread (he goodnews through Braille
written portions of the bible, very effectively, as most of the blind people have found greal comfort
conhdence to live and serve for rest of their hfe to glorify, worship and for the cause of Jesus soon
coming kidgdom.
committed their lives to serve and give tender/love and care to more
than I00 orphanend children in the name of Jesus by faith in God, government and God children to
supnort this worthy cause, Vcle.megna is happy to partly pray to support this wrothy cause.
couple of years of training with us at Bidar,
alter arranging her marraige with lull time evangilist bother Anand is now working as nursing
supeiitendent in a private nursing home at Goa. They along with their two male childrean could
establish a local beleiver's assembly to worship and servd in the name of Jesus amoung the needy
oungiy souls in and around Goa including somed slum areas.

VELEMEGNA GOODNEWS society hospital,
BIDAR-585401(KARNATAKA)1ND1A.PHONE/FAX 08482-25467
OUR PARTNERSHIP WITH Bible Centre Ministries for Development Bitragunta
We are also prayerfully working together in partnership with Bible Centre Ministries for
Development, Bethany, Bitragunta, Nellore District Andra Pradesh run by D.l. METHUSELA, B.Th,
Founder- Director,in reaching with the gospel, and developing hither to a least UNREACHED PEOPLE
GROUP called the VAN ADI TRIBALS. A surveyed profile of the people group, The VISION of the
working agency and a minimum budget proposal for the ministry is given here under.
All the foreign contributions to BIBLE CENTRE MINISTRIES FOR DEVELOPMENT mav be
rooted through the VELEMEGNA GOODNEWS SOCIETY F.C.R.A. account No.9996 Cwiara Bank,
Bidar Branch.

BETHANY.B1TRAGUNTA.NELLORE DISTRICT A.P. INDIA 524 142.
A PROJECT FOR THE DEVELOPMENT OF YANADI TKiBALS
*

Background and Culture
The YANADIS are included in sheduled tribes such as yerukala. chenchu and nakkala
Tribals. They live mainly in AndraPradesh and speak the Telegu Language. The
population is about 4,00,000 and 2,00,000 of them live in Nellore District. They are pre
dominantly in rural areas and outskirts of small towns and villages. They live in colonies
of very small huts made of bamboo and palm leaves. A large number of them lake
Alcoholic drinks.The Yanadis comprise mainly of two subgroups namely MANCHI
YANADI and SALLA YANAD1. Their primary occupation is fishing in the lakes and
canals. They fish with a small throwing round-net and other home-made devices. In some
districts like Guntur, they are working as scavengers. They also work as agriculture
laborors. Their women do menual labour in rich people’s homes. Some of them are also
woodcutters. They worship spirits and nature such as trees and bushes. They hunt
poisonous snakes such as Indian Cobras. They also catch large size rats from rat-holes in
the fields and eat them for food. They live among other developed people as an
insignificiant community; illiterate and undeveloped. They take leaves as medicines and
never go to the doctor for the medical help. They are stricken with poverty and ignorance
and are struggling for existance.
In these days some of them are working as cycle rikshaw pullers. But due to
illiteracy and addiction to alcohol they remain as a very poor down trodden community.
Child labour is very much prevelant among Yanadi, Children below 10 years of age go
begging in the nearby houses. Small children do not wear any clothes. Women wear old
clothes given by some kindhearted people. Men are used to wear very limited clothing
around their waist.
Poligamy is privelant among the Yanadis. They are allowed in their tribe to
divorce and many 7 times.
A small number of Yanadis have become Christians. They remain in front of our
eyes as an UNREACI1ED PEOPLE GROUP.

I?
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pump, tanks with sanitary cattle sheds, community hall, T.V, Radio, Film, projector, adult literacy,
indoor and out-door rural games and sports, gymnasium, stadium facilities as funds permit through
proper government channel from time to time using your good office, making the best use of NGO
• volunteers. We are already indebted to you and various local, state and central government
departments for your timely encouragement and assurance of all possible practical help given after on
the spot visit and scrutiny of concerned officials. Vs. Deputy Commissioner, BDO., Bankers and even
some officials from Lions, Rotary Clubs etc.
Though initially some people of Baridabad village were instigated by few anti-social,
disgruntled elements including panchayat mandal leaders got biased that we were going to construct
only leprosy hospital at the, 1/2 acre land converted for non-agricultural purpose out of the 10 acres
land Sy.No. 32/A regranted by the Karnataka government to our Velemegna Society recommended by
then Deputy Commissioner through then revenue minister after obtaining written permission from
Kamthana Mandal, we went ahead with the construction of hospital with staff quarters as per pop lar
demands and pressure by majority of the Baridabad villagers who are happy with our humanitarian
services and comprehensive ophthalmic care health education and village health and development
service by Deputy Commissioner, District Health Officer and your timely deputation for specific
programme through your able representatives.
Hence, we sincerely plead with the help of your gracious officers and ministers con- cerned to
grant us the long awaited grant in aid for general hospital, stall*quarters, community hall cum training
centre to enable us^to bring health and development to the very door step, of every villagers
complementing the Sma-at a declaration atleast by 2010 AD as many handicapped and outstravised
leprosy beggars and destitute as possible, in close cooperation with government and philonthrophists in
India and Abroad.
For the past 32 years, starting from scratch with hound dogs tenacity and perceiverance we
have been doing our utmost to help the poor and needy, low income people in rural, slum and tribal
areas with the help of God, government and God's children in India and Abroad. Our sincere attempt to
relieve suffering humanity and our struggle for social justice to the less fortunate fellow citizens
entrusted to our care by the local government. Many times we feel like giving up all these social
service activities and use our professional skills in larger cities with lucrative job opportunities. May
God help our country to prosper not only in socioeconomic level, but also develop into peace loving
prosperous land, serving with duty, devotion, tolerance and strivings for excellence with our sweat
blood and tears, with moral and spiritual development on solid foundation on earth and good will
towards mankind without any discrimination of caste, color or creed, breaking all man made barriers
budding bridges with our neighborhood.
Anticipating your continuous cooperation, sympathetic consideration and able practical
suggestions and prompt action to enable us to fight against preventable and curable diseases,
overcoming ignorance, poverty superstition and corruption on war footing jointly for a healthy
prosperous and progressing model nation.

<

tA

MEDICAL AK> GOSPLE TEAM
1. Doctor
2. Assistant
3. Two Evangelist
4. Driver

Rs. 3,000
Rs. 2,000
Rs. 4,000
Rs. 2,000
Rs. 11,000

Rs. 1,32,000-

Rs. 9,000

Rs. 1,08,000

Rs.2,50,000
Rs. 4,000
Rs.40,000
Rs. 3,000
Rs.2,97,000

Rs.2,97,000

2.Stationery
3. Postal
4. Phone bills
5. Contengencies
Per month

Rs. 12,000
Rs. 100
Rs. 100
Rs. 1,000
Rs. 3,000
Rs. 16,200

Rs, 1,94,400

TOTAL RECURRING

Rs.6,99,400

JEEP MA1NTA1NANCE
Rs.300 per day for oil and repairs/month 9000

PARSONAGE CUM OFFICE
Non recurring
1. Single bedroom and office
2.Office furniture
3. Computer
4. Phone
Recurring
1. Sal ary/Honorari um
a) Administrator
b) Manager
c) Assistant
d) Accountant/steno
e) Night watchman

Rs.5,000
Rs.3,000
Rs. 1,500
Rs. 1,500
Rs. 1,000

TOTAL NON RECURR1 NG

TOTAL AMOUNT

Rs. 18,89,400

4?

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*

BUDGET PROPOSALS
DAY CARE CENTRE for 30 children.
Non recurring
1. A Sheet Shed
2. Cooking vessels(Utensils)
3. Gas connection
Recurring
1. Food per child per month Rs. 150
2. Teachers Salary
3. Cook and Helper
SEWING TRAINING CEN IRE
Non recurring
6 Machines for teaching purpose

Recurring
1. 12 Machines for distribution
2. Teachers Salary Rs. 1,500/month
3. Room Rent Rs.500/month

DISTRIBUTICJIOF CLOTHES
1. 100 Sarees
100X120
2. 100 Shirts and Dhotis 100X100
3. 100 Blankets 100X90

Rs.25,000
Rs. 5,000
Rs. 7,000
Rs.37,000

Rs.37,000

Rs. 4,500
Rs. 1,500
Rs. 1,000
Rs. 7,000X12months

Rs. 84,000

Rs. 18,000
Rs. 18,000

Rs. 18,000

Rs.36,000
Rs. 18,000
Rs. 6,000
Rs.60,000

Rs.60,000

Rs. 12,000
Rs. 10,000
Rs. 9,000
Rs.31,000

Rs31,000

DISTRIBUTION OF MEDICINES
Rs.3000 Worth of Medicines per month

OLD AGE PENSION
For 30 people Rs. 150/monthRs. 4,500 X12 =
EQUIPMENT
Non recurring
1. Armada Jeep with Registration
2. Video Projector
3. Jesus Videos
4. Sound System
5. Generator
6. Lighting

Recurring

Rs36,000

Rs.54,000

Rs.54,000

Rs.5,10,000
Rs.3,00,000
Rs. 1,000
Rs. 15,000
Rs. 10,000
Rs. 2,000
Rs. 8,38,000

Rs. 8,3 8000

*

VISION
We wish to see that Yanadi people are developed socially, economically and spiritually.
We aspire that a culturally appropriate, active, witnessing church is planted in every
Yanadi colony through strategic evangelism programme. Strategic approach to ministry
will help to achieve our vision because a veriety of ministries such as health, education,
rehabilitation, income generating programmes and compassion through feeding, clothing’**
and sheltering; and sharing the gosple effectively will help in their total development.
Our lord Jesus Christ also healed the sick, fed the poor and went about doing
good; and he also died on the cross of calvary for the salvation of our souls, thus serving
for the welfare of the body, soul and spirit. As a result of the influence of various types of
services provided together the community will have a wholistic development.

STRATEGY
In communicating with Yanadi tribals the following approach to the ministry will be very
effective. First of all we show Christ’s compassion through various means and secondly
share the gosple of salvation in appropriate methods.
SHOWING COMPASSION FOR THEIR SOCIAL AND ECONOMICAL DEVELOPMENT
We propose to takeup the following programmes in this connection.
1. DAY CARE CENTRES and INFORMAL EDUCATION for Children. ,
2. Sewing training centre for women.
3. Training in cottage industry for women(soap and candle making)
4. Home for the Polio children.
5. Home for the Aged.
6. Financial I^Jp in the emergency.
7. Pension for the Aged.
8. Vocational training in Skills.
9. Construction of houses.
10. Distribution of milk for children under 2 years.
11. Distribution of Clothes and Food.
12. Distribution of Medicines.
13. Distribution of Cycle Rikshaws.
14. Distribution of wheel chairs for the Handicapped.
SHARING THE: GOSPLE IN APPROPRIATE METHODS
In this connection, as most of the Yanadis are illiterate we wish a combination of MEDICAL and
FILM MINISTRY TEAMS to visit and minister among the Yanadi colonies which are scattered
far and. wide in Nellore district.

The following equipment will be necessary for the ministry
1. GOSPLEJEEP
2. VIDEO PROJECTOR
3. SOUND SYSTEM AND GENERATOR.
4. LlTERATURE(Bibles and Tracts)

f

■gjkTlON: BuF

VELEMEGNA GOOD NEWS SOCIETY HOSPITAL,

Ji

,
BIDAR - 5S5 401 (KARNATAKA) INDIA. PHONli/l'AX 08482-25467
A
Village Evangelical Leprosy Eradication Medical Education, Good News Association A non-Prolit
M
Mult* Purl)osc voll,nliiry Society, Registered under the Mysore Society Act No. 17 of I960 date
M Wl5-3-69 al Bangalore S.No. 5-6K-69. COMPLIMENTING NATIONAL AGENDA - DURING 52 YEARS OF INDIAN
INDEPENDENCE While Commemorating 35 Yrs of womb to tomb and beyond the tomb yeomen services let us
M strive to-gether prayerfully, meeting the total needs of the sick, poverty stricken communities,deserving
7 individuals, irrespective of cast, creed colour, race with help of God, Govt,Gods children precious prayer part

ners lighting dis eases, demons within/wilhoul the congregations, country for a happy healthy properotis
national, international peace on earth and goodwill under fatherhood of God and Brotherhood of mankind with
mutual love, respect and Christian concern for whoiistic development during 2000 AD & New Millennium.
HELP US TO HELP THE IIANDICAPEP)
Visit our Weg site http://www.velctnagna.org e-mail;drsalins@vsnl.coni

TO,

^JEAR SIR/MADAM
BY Vice President Lion Dr.A.C.SALINS Founder/Director. Velemegna
and LION LADY Dr.SYBIL MESHRAMKAR (DOMS)
IOL, FELOW CMC VELLORE
MSc.Community opthal
With help of Lion Lady Dr.Mrs.S.SALINS- Medical supt./secretary

Respected Sir/Madam,

Sub: DETAILS OF PROJECT AND BUDGET NEEDED FOR PLAN OF
ACTION WITH DISSERTATION-PROPOSAL DOCUMENT - 2000 - 2002
Affectionate
greetings
from Velemegna.
For
survey/early
detectlon/dlagnosls
tracingf
treating
through
training for comprehensive community ophthalmic services and
quality eye care wing velemegna society hospital Bldar-585401,
Karnataka India In partnership with any willing Govt./N.G.O's
likeminded agencies for diabetes glaucoma and other common eye
diseases with long awaited Capital/Recurrent budget needed for
urgent
successful
implementationgod
willing
as
per
enclosed/details subject to modification after early visit by
any of your able representative, for practical suggestions,
quick sanction, in phased manner, for uninterrupted meaningful
partnership, time bound programmes to be expanded to other areas
^y training more skilled Ophthalmic/PMW/Surgeons/Technicians for
quality specialized eye care services as funds/facilities
permit.
Respectively submitting with best complements for timely,
meaningful urgent implementatlon/of this sight s^ing worthy
programme through our united partnership services.
Thanking one
and all for your kind cooperation & timely practical help.

Yours sincerely for the course of curable blind
UU/rALSAWS

President.
iSs.Kathrine Pearson M.Sc.

Founder/Director
Vice-President

Dr.A.C.Salins, m.b.b.s
C.Accupuncture(Japan)

C.C.E.I! (London)

Mcd.Superintendent/Secretary

Treasurer

Financial Advisor

Technical Advisor

Dr.Mrs.S.Salins B.Sc.M.H.B.S

Mr.Jyolhi.T.M A.

Sri. Kam Mohan c.A

Prof. Riaz

D PI!., M.Sc..CIIDC (London)
Certificate in llosptical
Administration C M C.Vellore

r

it

A CROSS SECTIONAL STUDY OF DIABETES RELATED EYE DISEASES
IN BIDAR TOWN(WITHIN THE I OR IINDIA
INTRODUCTION: Bidar is a small district/town situated in North Karnataka, S.India. It has a
peculation of 1.5m(40% urban). The present scenario is that there does not exist any
Diabetic clinic, Laser unit or a Screening program for Diabetic retinopathy. There is
a need to do a situational analysis in order to plan and implement such a program iif
Bidar.

RATIONALE: There is growing evidence that Diabetes in adults is now a third world
problem. With increasing urbanisation and change in lifestyles the prevalence of
Diabetes is on the increase in India, especially Type II DMj. Development of
Diabetes Mellitus is associated with increased mortality and high risk of developing
vascular, renal, retinal and neuropathic complications leading to p$rhalure disability
and death2 Diabetes eye disease is the major cause of visual disability in people of
working age group in economically developed societies2. We also know for the last
20 - 25 years that laser photocoagulation treatment has shown to be extremely
effective in preventing visual loss due to Diabetic retinopathy2.
lt?J anticipated that the population of India will age over the next few decades
resulting in an increase in the population of older people. With aging it is possible
that Diabetics would live for a longer time, there by increasing die chance of visual
impairment due to Diabetic retinopathy^. A recent hospital based study done in
Madurai found that among new patients of Diabetes 37% had DR ,majority being
maculopathy; 53% had cataract in one or both eyes and 6% had glaucomai.
• The present scenario in Bidar is that Diabetics are treated by family doctors.
There is no screening protocol for Diabetes, leave alone Diabetic Retinopathy.
Not a single ophthalmologist (there are 10) has a Laser unit. From my clinical
experience many Diabetics are either dying young or becoming disable due to
improper treatment and complications of DM. Patients have to travel far and
spend a lot of money for the treatment of Diabetic retinopathy. The nearest city
being Hyderabad (120kms). There is a definite need for educating the public
regarding early detection, proper treatment and prevention of complications
due to Diabetes.
• I would like to share my study findings with the local IMA (Indian Medical
Association) and hopefully be able to set up a Diabetic clinic and have a
screening protocol for Diabetic Retinopathy. If there is a definite need then 1
hope to be able to invest in an ARGON Laser unit ,to provide treatment in Bidar
itself.
• There is a personal reason too for doing this study. Both my parents are
Diabetics and I am a potential Diabetic. So this subject is close to my heart. J
want to be able to help the Diabetics in my area of work.

A

AIMS:

• To estimate the prevalence of Diabetes(previously diagnosed) and Diafces related eye
diseases in Bidar town in order to plan a screening program and have available treatment
for Diabetic Retinopathy in Bidar.
• To establish a register for Diabetic patients in Bidar town for future screening
progr^s).
OBJECTIVES:
1: To estimate with reasonable precision the prevalence of Diabetes (previously diagnosed)
in Bidar town(within the fort).
2. To estimate widi reasonable precision the prevalence of Diabetes related eye diseases
among Diabetics in Bidar town(within die fort).
3. To determine the proportion of different forms of Diabetic retinopathy in those found to
have Diabetic retinopathy in Bidar town(within the fort).
4. To determine the causes of visual impairment and blindness (WHO classification) among
Diabetics in Bidar town(within die fort).
5. To detennine die distribution of Diabetic retinopathy according to age, sex, duration of
illness & socio economic status among Diabetics in Bidar town(within the fort).
6. To determine the need for setting up a Laser clinic, screening protocol for Diabetic
retinopadiy and setting up of a diabetic clinic in Bidar town.

TARGET POPULATION: All the Diabetics in Bidar town.

FLOW CHART OF ACTIVITIES:
House to house survey ii Bidar(all die houses within the fort) to find
all the Diabetics (previously diagnosed) by 2 of my health workers

Feb- Mar’2000

xlz

&

List of Diabetics made(i.e., names entered in a register)

Feb—Mar’2000

Invite the sample (+20% extra) for die eye examination

Apr 2000

Data collection and eye examination

Apr—May 2000

Data entry into Epi-Info

Apr—Jun’2000

Data analysis

Jun—Jul’2000

Writing up the Dissertation

Jun—Aug’2000

*
A

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V

CASE DEFINITIONS:
Socio economic status

• Low—Total monthly income of the family £ $25
• Middle—Total monthly income of the family >$25-$l 50.
• High—Total monthly income of the family >$150

Treatment of
Hypertension

The patient either shows the antihypertensive medication or has a prescription
for die same at die time of the eye examination.

Classification of
Diabetic retinopathy

American Academy of Ophthalmology :Foca! points-> Modified Airlie House
classification

Identification of
Diabetics
4

The person says that he/she has 'SAKARE BEEMART (Local term for DM)
and can show a doctor’s prescription/ notes. Type of Diabetes -Abased on
treatment and age of onset of Diabetes.
• Type I- younger onset (<30 yrs of age) on Insulin
• Type II- older onset (£ 30 yrs of age) on diet only or oral hypoglycemics
• Type II(with Insulin) - older onsets 30yrs of age) on OHGs and/or Insulin

Education status

• Primaiy—Any primary education (upto std V)
• Secondary—Any secondary education (std. V-std.XII)
• Graduate—Any Bachelors/Masters degree
• Islamic—Any education in an Islamic school.
• Uneducated—Not received any formal

Significant cataract

Blue light filter tesl->Pass a narrow beam of blue light through die lens. If
more than 50% of die light gets absorbed by the cataractous lens, then that
cataract is significant.

Glaucoma suspect

*lf the patient has an IOP 24mm of Hg in one/both eye(s) and has a vertical
CD ratio 0.7 , then that patient is a glaucoma suspect.

Neovascular Glaucoma

If die patient has the above findings* in addition to Iris neovascularisation in
one/both eye(s), then he/she has Neovascular glaucoma.

&

&

«

STUDY DESIGN;
------------ >
• This is a cross sectional (population based) study. The names of the Diabetics will be
entered into a register, from which the sample would be taken.

SAMPLING METHOD:
• If the number of Diabetics is less than 200 , then I will examine all of them.
• If the number is more than 200 then I would do take a simple random sample. In
addition 20% more Diabetics from the list would be invited for the eye examination.
Sample size calculation: using a:\ sampleXS.
300-400
_C-9P.yJMi9n_s^?______
Estimated prevakflice(%)
37*
Maximum error(%)
5_____
Design effect_________
1_____
Sample size__________
163-189
* I he prevalence of DR varies between 23 and 50%. I have taken a prevalence of 37%.
DATA COLLECTION METHOD:
• Detailed questionnaire. This includes personal details, medical history, eye treatment
history, visual acuity, detailed eye examination, final diagnosis & management required.

EQUIPMENT:
1. Data collection forms & stationary.
2. Snellens VA charts, trail set, pin hole & trial frame.
3. Slit lamp biomicroscope.
4. Indirect ophthalmoscope with 20D lens.
5. Perkins tonometer (loaned from 1CEH).
6. 78Dlens
7. Mydriatic drops & local anaesthetic drops.
8. Fluorescene strips.

REFERENCES:
1. H. King & M. Rewers Diabetes in adults is now a third World problem; bulletin of the
World Health Organisation, 69(6): 643-648.
2. Prevention of Diabetes Mellitus; WHO Technical Report series 844.
3. Dandona.L Population based assessment of Diabetic retinopathy in an urban population
in southern India ;Hr.J.Ophthalmology 1999\ 83:937-940.
4. Shanna. A Diabetic Eye Disease in Southern India; Community eye health; Vol9. 20
1996:56-58

*

t

Owr lows AWAiteb CAptaJ

for onsoins Anb future M<Mter pUn burinjj 2000-2002

1. a) for conipletion/repair/renovalion of Bidar old city base hospital building with
separate eye wing, physio therapy room with equipment’s, computer and multipurpose
training,, center, donnetry dining recreation hall store room guest room and private
rooms, stalf quarters, auditorium, library, toilets light and daycare center for old age/
01 phans and trainees

38,00,000

b) If funds permit to purchase and use Bidar international hotel to be modified to a
modern referral eye hospital with staff quarters, duty rooms for secondary and tertiary
eye care - as it is closer to railway and new bustand

60,00,000

2. One mini bus mobile medical, surgical with operating microscope a/c
theater/generator on trailer TV/VCR/Audio, Film projectors with films audio visual aids
etc.

24,00,000

3. One refrectometer, one a scan/kerotometer with optical unit setup

6,30,000
2,00,000

4. Micro surgical instrument, speed autoclave-mini vitractomy kit for pediatric cataract

9,00,000

5. Phaco emulsifying machine with accessories/applonotion tonometer /goneoscope

7,50,000

6. One Yaglaser/ one cautry machine
7. For completion of Baridabad/ Chalnali Rural new life relief rehabilitation center and
mercy home for the aged , staft/ quarters, kitchen/store/guest/private rooms, office etc.
BQBL&dUPY^^
solar water heating, submersible pump, etc,

56,00,000

2,02,80,000

JIJOTAL________________________________________________________________

Capital funds thus far received and expected from govt./other partners during 2000 -2002

Balance amount needed to complete our master plan at least by 2000-2002

62,00,000

1,40,00,000

RECURRENT BUDGET NEEDED
During 2000-2^
stationery,
18,00,000

for salary, building/vehicle maintenance, electricity and medicines telephone,
consumable
and
miscellaneous.
(Rsl,50,000X12)

funds expected and available through other resources (75,000X12)

9,00,000
9JM0Q0

While immensely thanking our CBMI, World vision, Leprosy Mission and all other small and big
Financial precious prayer partners for all their uninterrupted timely, past and present help. We do look
forward to other bigger funding partner agencies to help us substantially to accomplish our long standing
dreams to met the ever growing acute felt needs of the identified neglected low income communities
disabled young and old aged handicapped as time is running out for our long awaited ongoing and future
programmes to render optimum services in a larger scale.

&

Thanks a million for all your kind co-operation and timely angelic visits of your able regional
representatives and consultants for the practical help and suggestions after on the spot scrutiny encouraging
us to carry on the good work. All this great achievements was made possible just because of the full and
kind cooperation of all our donors and well wishers timely help in kind/cash and voluntary services .
Respectfully submitted with all good wishes for our united meaningful services during next millennium.
Your sincerely in the services of suffering masses in our motherland.

^&r:Kc. Salins
v Founder/Director

A

VELEMEGNA GOOD NEWS SOCIETY HOSPITAL,

’■‘|l ( "* 11 i

B1DAR - 585 401 (KARNATAKA) INDIA. PllONE/FAX 08482-25467

Ci)

,^lage Evangelical Leprosy Eradication Medical Education, Good News Ass(»cialion A non-Prol'it 1
Charitable Multi Purpose voluntary Society, Registered under the Mysore Society Act No. 17 of I960 date
A W 11
J5 3-69 al Bangalore S.No. 5-6K-69. COMPLIMENTING NATIONAL AGENDA DURING 52 YEARS OF INDIAN
INDEPENDENCE While Commemorating 35 Yrs of womb to tomb and beyond the tomb yeomen services let us
(J strive to-gether prayerlully, meeting the total needs of the sick, poverty stricken conimuiiities,deserving
/ individuals, irrespective of cast, creed colour, race with help of God, Govt,Gods children precious prayer part,
iiitk’ky
ners lighting dis eases, demons within/without the congregations, country for a happy healthy properous
i nt v
national, international peace on earth and goodwill under fatherhood of God and Brotherhood ol mankind with
l<)VC’ reS,)eCl and c,lrislia” concern for wholislic development during 2000 AD & New Millennium.
k

----- •------ Visit our Weg site hll|)://www.veleuiagua.org

e-iiiail;drsalins($vsnl.coin

VlilJiMI'XiNA GOOD NEWS SOCK TV IIOSPITAL
h(tp://www. vclcinagna.org
e-mail : drsalins(n)vsnl.com
Attempting great things for God and expecting great things for God's glory serving suffering
masses in rural India through ongoing and future projects God willing.
Please Pray/Support MAS I EK PLAN God willing to help us to help the poor and needy,
handicapped, low income people through CCHRD(Comprehensive Community Health and Rural
Development of Village Evalengical Leprosy Eradication Medical Educational Good News
Association) Director/Founders Dr. A.C.Salins and Dr, Mrs. Salins.
During the next decade let us together build healthy individuals, families, congregations,
communities and nations by mobilizing people's love in action for development programs through
united holistic projects. Divine willing while commemorating Velemegna Society's 32nd Anniversary,
God enabling through like minded precious prayer partners (PPP) with the help of God government
and Gods children i^rlndia and abroad who are most gladly and generously willing to share their time,
talent and treasure.

UNTKODIICTION
The ministry of Velemegna right from its inception in 1969 emphasized a holistic
response to the Christian lifestyle of the people, meeting their physical, mental, social and spiritual
needs. Progressive expression of such convictions has led to the emergence of the project CCHRD for
the total development adopted communities, which indeed is our Christian concern. Velemegna firmly
believes that only by the grace of God and his enabling power it can bring about ftjsitive change in the
lives of the people who would actively participate in establishing the kingdom otGod by love serving
one another in word and deed.
It is therefore imperative that change in individual lifestyle, the family, the community, the
local churches and the nation at large would definitely negotiate not only a restoration but also the
furtherance of the
of God in building up of his people by liberating them from the shekels of
sinful nature by the power ol the Cross and the Holy Spirit to overcome prevailing poverty, ignorance,
superstition, social injustice, communal and gender discrimination, violence, creating human dignity
of labor, mutual respect for being created in the image of God.

1.... 1

President.
Founder/Di rector
iss.Kathrine Pearson M.Sc. Vice-President
Dr.A.C.Salins, M.B.B.S
C.Accup unc tu re (Japan)
C.C.E.II (London)

Mcd.Superiniendcnt/Secrelary
Dr.Mrs.S.Salins b.Sc,m.b.b s
D.P.IL, M.SC..C1IDC (London)
Cerllficali* In llospiical
Adminislralion C M C.Vellore

Treasurer
Mr.Jyotlii.T.M A.

Financial Advisor
Sri. Kam Mohan C.A,

Technical Advisor

Prof. Kiaz

v

Project CCHRD therefore concentrates on micro-level (e g. change in individual, family,
church and community life), which expands itself to larger community, national, international
integration and engults a global unification of people and their environment at large. Since the ministry
has its primary base in India, it envisages concentrating in the rural base, which comprises 80% of the
population.
Most of these peoples livelihood is agro-based and therefore the project would take up program
relating to aforestation, food and fodder cultivation. Horticulture, Agriculture, small-scale cottage
industry. Animal husbandry, training, non-formal/adult education, multi-purpose health and socio
economic development, income generation training, production/demonstration, marketing, etc. With
the help of God government and God's children in India and abroad,, msing like minded
partners/agencies in promoting national joint action, sharing resources - ukTi, material, money,
appropriate technology, practical experience under the absolute fatherhood of God and brotherhood of
mankind, irrespective of cast, creed, color, helping us to help the poorest of poor, low income people
including widows, orphans, old age, blind destitute, ostracized leprosy beggars and other needy
handicaps.
’’CCHRD PROJECT OF VELEMEGNA SOCIETY, B1DAR”
AIMS <& .OBJECTIVES:
I . To enable his people at the grass root level understanding the internal relationship between the
prinicples laid down in the word of God and their day-to-day occupation.
2. To facilitate the growth of infrastructure at the tribal, urban, slum, rural areas so that people can
develop able occupation investments in line with their talents, aptitudes and experimental background.
3. To open up new avenues of mutual collaboration between the indigenous practices and advanced
technological knowledge so that there emerges a true stewardship of all resources accountable to God,
his people and to the creation at large.
4. To achieve the above said aims this project envisages acquiring or leasing unexploited available
govt, and private land and use the maximum available local resource (land, building, technology and
people participation) to provide practical training, guidance for empowering the people's action for
development
5. To reach out the unreached people with a holistic approach that makes their life not only develop
physicallyj economically., mentally, socially but above all spiritually, creating human dignity, equality,
mutual tender love, care and respect for one-another.
6 Io bring about a synthesis in between the micro and macro level development primarily based on
social justice, equal human rights and accountability.
METHODOLOGY
I. Project CCHRD as a part of VELEMEGNA society ministry would assist and implement the
ministry of local churches/prayer groups of like minded organizations, in introducing its various
aspects of activities/programmes, funds permitting and demonstrate the actual possibilities of
implementing God's principles in all occupational involvement.
2 It will take help of the highly committed and excellent professionals to work at the grass roots in
search of new possibilities and avenues in making the word of God's proof and parallel of every single
lesson of life.
3. 1 he program will monitor mostly at the rural base whereby agriculture, animal husbandry and other
occupational training can be imparted to all weaker section in the society.
4. Provide guidance in terms of choice of occupation/profession by way of conducting
exposures/programme
5. Provide value ejjucation, use of indigenous value and adoption to new discoveries (e.g.
technological) and cflFimunity health services

A

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6. To help build local basic facilities, structural and functional, so as to provide alternative
occupational opportunities and vocational training
7. To provide assistance where necessary for building up small economical and social development
projects.
8. fhe implementation of this programme would be participatory in nature, at the local, national and
international level
AS I (JNDS AND I ACILIT1I S PERM! I PRESENT ACTIVITIES AND FUTIIRE PROJECTS
DEVINE WILLING

While commemorating VELEMEGNA society’s 32nd anniversary to accomplish the aims and
objectives of CCI-IRD project the organizer have launched out. of the following five major activities,
in sweet memories ^some of our national leaders who have dedicated their lives for the upliftment of
the poor and needy in our mother land through their sei Hess services.

i) "Mahatma Gandhi Memorial" Baridabad Village Multipurpose model farm Project
ii) "Mother Teresa Memorial" Navajeevan Income generation Leprosy and other handicapped relief
research and rehabilitation program at Chatnalli New life village complex (NIGLRRRP).
iii) "Dr. Ambedkar Memorial " Budhera village Community Development and Reconstruction Project
iv) "Indira Gandhi Memorial" Kadwad / Baridabad village comprehensive health projects.
v) "Rajeev Gandhi Memorial” Kamthana Village ” Vocational Guidance and Training Centre.

BARIDABAD

(1) Health care training programme at rural health centers and Golakhana Baridabad Bidar district.
Multipurpose farm project provide center based demonstration cum training
(- ^>VGI helps people to practical know-how of alternatives to other than agriculture as there
occupation.
(3) CD and Village reconstruction CDVRDP the programme in proliferating the training to the
villagers and make the programmers as an integral part of their life, initiated managed CCI IP
(4) IGMCHP meet the health and total developmental needs of handicapped by developed able bodied
people. 1 hus making rather a movement, through peoples action for development mobilization. In all
these education, demonstration training and practical/technical help go hand in hand in routing the
major ethos of the project "CCHRDP”.

o

vr’

f

!*

V;
i) MAHATMA GANDHI MEMORIAL MULTI PURPOSE EARM AT BARIDABAD
VILLAGE COMPLEX

PURPOSE
To build up facilities, which will ultimately lead to economically self supporting, for
demonstration - cum - training to the people in farming (Agriculture and animals husbandry). This will
be based on using Gods creation to be good stewards of the land and other resources sharing god given
time, talent and treasure

feQALS; (1) To st^t a center (land + infrastructure) for demonstration and training, for rural farmers
and grassroots workers (for atleast Rs 6,000 to 10,000 per annum) in
(a) Agriculture (b) Animal husbandry 2) To provide manual and technical skill training in different
trades as per the local and responding to the market demands (3) To encourage atleast 80% of the
successful trainees to be gainfully self-employed in their respective places that would be in turn
sources ol change agents. (4) To make the programme economically self-supporting within a period of
5 to 10 years. (5) To cater to the various needs of the poor and marginalized people and their
community in terms ofjustice, dignity, equality and self-reliance
ACTIVITIES: 1. Agricultural demonstration and training based on bio-r^s
regeneration
regeneration
programme in a crops, pulses and horticulture 2. Nursery and plantation (vegetables, fruits and
timbers) 3. (Animals husbandry): (a) Pisiculture (b) Dairy farm (c) Poultry
(d) beekeeping (e)
Aforestation (f) Bio - gas (g) floriculture
(h) Rabbit rearing (i) Piggery 4 Indigenous technology
(a) Wind mill (b) Water management 1
catchments dams and canals (c) Bio-gas (d) solar cooker,
solar street
ligfR & powered fencing. 5. Experimental and research based programmes, (a)
Computers (b) Internet/Intranet (c) Electrical and Electronic (d) Motor winding (e) Welding (1)
lAVJAASI RIJCTURAI, REQUIREMENTS 1. Sizable land by acquiring private land or obtaining
local surplus government land. 2. Water well, tube wells, ponds, and submersible pumpsets. 3.
Building for training centre/workshop/ staff 'quarters, hostels, sheds for animals husbandry, store
rooms. 4 Machineries and equipment, generators, tractors, agricultural tools, water storage tanks,
sprinkler/drip irrigators. 5. Motor vehicles: (I) Jeep with trolley for transport of goods., production for
marketing and also personal tor training , 2) Motor cycle for project managers for movement between
training centres and various government offices and other places related to training and management.
6. 1 ractor with trailer. 7. Silk rearing/reeling equipment 8 This project of Velemegna can be initiated
and established in any part of the country as per demands, need, invitation,, from like minded
institutions/ organization
UQCA1 ION: kadwad/Baridabad/Chatnalli New life initiated this Multipurpose farm project are
located at villages under Bidar Block office area and is 20 Km distances (bus road) from the city of
Bidar I l.Q. of Bidar Karnataka, India, Telephone -STD-08482-25467. (26695) - Baridabad

J^J^IEAPHY: To begin with size of the land granted by the government is 18 acres, and situated
next, to the Hyderabad-Bombay national highways No 9 with a beautiful landscape The land is sloppy
terrain hills and valleys and has a land area which can be developed into catchments portion for
pisiculture it has already got an old well at the centre which needs to be deepened further,
reconstructed, inserting submersible pumpset with overhead tank G.l.P. PCVP sprinkler irrigators etc.
-IAV I 1^'4. fhe people around this land are originally form Hindu. Muslim background situated in
Deccan Plato (now Hyderabad, Maharashtra and Karnataka border area) and basically depends on

>

I*

•

tanning, daily wages, petty laborers with small industries; around 70 % of this population is landless
agricultural laborers small and marginal farmers There are about 105 villages at radius of 20 to 30
K.M. around the land. Most of these people are seasonal, temporal migrants to near by cities in search
of substantial living. Most of the women and children suffer from severe anemia malnutrition T 13.
Leprosy and other gastro-intestinal disorder due to malnutrition lack of safe drinking water and
nutritional food, healthy living condition.
LWQ.r>RAP^
Bidar is a small town about 2,00,000 population in
the north east ol
Karnataka, which is in the south- western states of India Bidar was a capital of an
Islamic Kingdom in the middle ages as many historical cities in the town
can tell. Baridabad,
Budhera, Kamthan, Kadwad, Chatnalli, the place of the leprosy rehabilitation project is located about
20 K.M. east of Bidar in an isolated rural spot with the climate there is semi and The maximum
temperature in summer (March-June) is 43 C and minimum temperature is
22 C the maximum
temperature in winter (November of February) is 22 C with 11 C minimum. Rainy season is from July
- September, fifty percent ol the Bidar populations are Muslims. The next largest group is I lindus with
Buddhist, Sikhs, Christian and Tribals in the minority. The district around Bidar has been declared as
the most backward area in Karnataka With the exception of sugarcane factories and distilleries; there
are few small sick
industries. Soil cultivation is the main sources of income. About 70% of the
populations belong to the low-income group. As poor people living in
contagious places in
unhygienic conditions and with unstable diets, are less
resistant against contagious diseases, the
percentage ol lepro.’^ind T.B. is higher than in other areas of the state However with the effort of
voluntary
organization introduction ol M. I .D. (WHO) regime the percentage of leprosy and f.B.
could be brought down Irom 0.2% to 0.01% of the population during the last 4-5 years
VELEMEGNA SOCIETY:
Both Dr.A.C.Salins and Dr.Mrs.S.Salins
graduated form Christian Medical College, Vellore, in the year 1964. Following they joined leprosy
mission and underwent one year intensive service training at the SHEFL1N leprosy Research and
International training Centre, and one year senior Rotation house job in various fields of medical
surgical, rehabilitation departments at CMC Vellore, they served in two Christian Hospital in
Karnataka state Not satisfied with their curative service and being interested in preventive medicine
and deeply concerned about community development they started among poor and needy outreach
work in Bidar district. During 1969 with new registered society form scratch with 20.0 M team
volunteers with just Rs. 30 - donated by Late mother of Dr. Salins Mrs.Tara.Bai. Salins, l ook active
pari in the operation mobilization, Christian aid London, world vision of India and learning from
va. .ous programme of Indian Christian voluntary organization where to improve the living conditions
of the poor they engaged in primary health care leprosy rehabilitation and as poverty, ignorance,
superstition, unsafe living condition, malnutrition is the prime cause for many disease. Also income
generating schemes to uplift the weak and marginalized. Alter further community ophthalmologic
training in London International Eye health centre by Dr. A.C.Salins and public health services also in
London School of tropical medicines by Dr Mrs.S. Sal ins. Velemegna society now runs a base general
hospital with 60 beds and mobile clinic with a number of nurses and paramedical workers (some of
whom are leprosy rehabilitants) searching the area for medical cases, mainly T.B Leprosy and
avitaminosis, (Night Blindness) glaucoma cataract. More than 6000 leprosy cases have been detected
and cured, more than 6000 people received their eyesight through Vitamin A therapy, anti glaucoma
cataract sight saving / restoring operations. During the past 30 years world vision, Christoffel Bhnden
Mission. The Christian Medical Association, ADRA Canada
Evangelic Fellowship of India
Committee on Relief; interchurch coordination Committee Nederland’s, Leprosy Mission and other
agencies have been partly assisting Velemega in its comprehensive community health and rural
development activities in the past. Along with its medical, social and economic concern velemegna has
always been active in spreading the good news, through love in action programmes teaching, preaching

and training local people in various aspects of health and development project. Velemegna is facing a
new responsibility with 63 leprosy families living on a 6 acres of land at Chatnalli which is owned by
the^society, after they were evicted from urban slums resettled there, l ivery day new poor and needy
• le, iosy and handicapped are begging for help. The mobile clinic is visiting the Navjeevan leprosy
rehabilitation centre 3 to 4 times a week to render medical services needed. The main problem now is
to make the financially dependent patients and rehabilitants self sufficient and self reliant to as many
poor and needy individuals /families and ostracized leprosy beggars who daily approach for help food
, shelter, medical surgical care ol feet, hands and eyes The NJI.KP attempts to achieve this objective
in a 5 to 10 years phased manner.
To begin with Velemegna Society and the project
planners intends to introduce an income generating scheme for at present 63 leprosy beggars families
living m colony at chatnalli. After gaining experience to gradually expand the same to at least 200
needy handicapped families by leasing or acquiring additional land. The problem is that only about
50% of the leprosy community are able bodied to work manually, and even these backlog cured
patients have deformities which are beyond plastic reconstructive surgery occupation therapy, physio
therapy with lack ol sensation in their hands and feet. Thus any work with machines has to be excluded
as heat and other possible factors. I he patients causing repeated blistcs, micro injuries with secondary
infections, cannot feel injuries. The leprosy patient are forced to stray to isolated places and
accordingly there anWewer chances for a full rehabilitation, for finding public employment in a firm or
getting sell- employed with trade because of social stigma against leprosy even some of the rich
piivale patients have stopped coming to our hospital. As other income generating projects like
chappals production and candle making have failed are dependent on seasonal market demand (for
instance, candle for Diwali) the community members themselves and the project planners thought of
agriculture as the solution to the employment problem of the colony.
Most ol the leprosy patients originally came form rural areas and they have themselves feel that
they would really like to work in the fields. We also have to consider that beggars families. In the past
some ol them habituated to the life style of beggars, particularly as they have go* < income. Still there
is a strong urge among most of the leprosy rehabilitants to stand dignified on their own feet and
improve then living condition and better status in life.
1 he 53 HUDCO projects huts built by the housing urban development Corporation at Chatnalli
are of inferior quality as the BDO / contractors have misused funds. There is almost no air circulation
inside the huts as th£y have no window with the roofs leaking in a deliabilated condition. Hence the
justification for constructing reasonable low cost (R..C.C.) houses with one bed room, separate kitchen,
toilets. Verandah cattle - shed (small..) with flowing safe drinking water for bathing, washing kitchen
etc. 1 he agricultural income-generating project is therefore not only meant for the individual benefits
ol the workers but for the collective benefit of the whole community in terms improving the location
and rehabilitation of many more poor and needy by the profit made. It should he stated here there is no
legal problem concerning the marketing of the agricultural products as the leprosy bacteria cannot be
communicated by these products as most of our patients are cured. Certainly there will be social
problems of marketing as people are ignorant about the nature of the disease. Hence the need for mass
education with long term community based and short institutional training cum production
demonstration pre-post operative physio therapy, occupation therapy with protective modified
implement/ chappals/toot wear for total rehabilitation, re-employment.

PROJECT DESIGN: The NJLRRRP aims a social self-reliance and economic self-sufficiency of the
chatnalli leprosy community To achieve this goal (i e. to succeed as an independent agricultural
production union), the able bodied laboring partners of the community have to understand that in the
long run their el fort has to be competitive within the open market structure Actually to rehabilitate 40
to 50 needy landless families additional land (20 acres) waler and tools will be provided free to the

ft

members willing f>cooperate farming but the recurring expenditure of new materials (seeds,
fertilizers etc.) will be given as a loan (interest free which has to be repaid to revolve from the income
generated by the marketing of the agricultural product for further development. We hope that in the
. fourth and fifth year the community is able to run the project on its own without external financial
assistance. By that time the project manager is to be replaced or employed by council of the leprosy
community by able bodies rehabilitates which is not to be detected as a cured leprosy patient without
deformities will take over the marketing also. The tractor, motor vehicle for the transport of seeds,
products etc., is to be replaced by one or two more bullock carts as funds permit. As the workers'have
three years time to get acquainted with this generated income. In this way the acquired items are
earned and owned by the working community.
It has been a consensus that the project should provide benefits for those being unable to work
also. Besides that a certain percentage of the income should benefits the community collectively, for
instance, to improve the housing condition there. Still the incentive for the able bodies workers in
terms, of their final estimation of the percentage distribution of the income is naturally dependent on
th.income itself i.e. on the variation of seasonal yields. On a participatory agreement we may roughly
record that 60% of the generated income will benefit like able-bodied workers 20% the disabled
community members and 20% will be used for collective benefit. The current monetary indictor to
estimate the population below the poverty line is Rs. 70 pin. Per capital. Even if the family member per
month is Rs. 87.9, Along with domestic use of the crops, the communal milk supply, free housing etc.
We hope that at least these 40 - 50 families have enough to live on.
Concluding we may confirm, that even the income generated by this agricultural projects not
sufficient to cover the living costs of the Navjeevan community fully The project is not to be ojicrated
as an occupational therapy for leprosy patients but as an sincere effort of the rchabilitants themselves
to stand on their own feet and grow with dignity of labor force
In India, two or even three harvests of the same crop in a year are possible, provided there is a
continuous water supply. For that reason the existing (unfinished) well has to be depend, extended and
completed by boring installing submersible pump, overhead tank, P.C.V. pipes. As the area is semi
arid an introduction of a sprinkling device to use the scarce water resources more efficiency is
justified. As there is repeated current failure because of overload of the transformer, a 7 HP generator,
windmills are absolutely essential outlined in the budget. To protect the leprosy community from their
hostile social enviroiflnent, and also prevent straying cattle form introducing into the neighbor’s fields
a fence to be built around the land. If there is adequate water supply, a forestation, silk reeling with
sericulture, Beekeeping, floriculture, Pisiculture could be introduced gradually as funds permit with
government subsidy and if need be Bank loans could be obtained.
Fuel for cooking is a big problem in this semi-arid area with no healthy forest in the
district. A biogas plant is already under construction. The provision of 20 additional solar lights, solar
cookers subsidized by the Indian Government will help the community to save cooking energy. The
donation of 40 buffaloes will help to feed the biogas plant and with the buffaloes already there will be
guarantee for independent and continuous milk supply for the community and the. needed manure of
the farm produced locally.

OBJECTIVES: The NJLRRP intends to
I .
Rehabilitatc^ured leprosy and other poor needy handicapped patients by providing on
opportunity to realize themselves in their vocation as farmers to be dignified members of the society. 2.
Train the rehabilitate to be efficient farmers within the rural market structure 3.
Raise at least 200
leprosy patients (annually atleast 40 X 5 — 200 in 5 yrs.) above the poverty line besides providing
agricultural product for domestic use.
4. Provide an opportunity to strengthen the weakened and
partly deformed bodies by appropriate physical labor. 5. Contribute to the general improvement of the
living condition of the income generating scheme, and the provision of buffaloes for communal supply

K'

1
local manure for farming, solar street lights, cookers lor energy etc. 6.
Socialize the leprosy
rc^lbilitates into an independent co-operative.
The Navjeevan community members are to help themselves co-operating with each other and
by cultivating a spirit of unity, love and human dignity of labor with self reliance and bright future
aspired for the healthy able bodies children. Preliminary. In India 100,000 is written a 1,00,000 and is
expresses in the words ” One Lakh”. Hence 25 lakhs would be written 25, 00,000" in India.
Current exchange rate £ Rs. 60 US$1 = 30
fwenty cross breed cows or buffaloes annually to promote an independent milk supply for the
community cost Rs.40,000). Additional assets like wind mills generator, tractor, solar cookers, multi
purpose workshop, cattle shed for additional land, building, road construction, sericulture, horticulture.
Floriculture. Fodder, rice, sugarcane cultivation, aforestation, are needed to implement various income
generation training cum production apart from giving practical experiences by researching various
possibilities / methods etc.
" The Church ought to be harnessing its members as a people for the leading Society and
Complementing National Agenda and Alma At a Declaration bringing total Health for all atleast by
2000 AD sharing our resources, time, talent and treasure helping the poor and needy without
discrimination.”

I

PROJECT: S.No.:l. MAHATMA GANDHI MEMORIAL BARIDABAD MULTIPURPOSE
FARM BUDGET PROPOSAL PLAN OF ACTION (POA)-1ST YEAR
S.NO.
I.

EXPENSES
GENERAL FARM DEVELOPMENT:

a.

Oen^Jistration, Acquisition of Land at Rs.30,000 per
acre of land X 10 acres - 30,000 X 10

300,000.00

b.

Leveling, building, terracing of 10 acies of land to
prevent soil eroseion
Fencing using steel/granite poles and barred wire,
tree plantation

30,000 00

c.

II.

CONSTRUCTION:

a.

RCC building at the rate of Rs.400 per (600 sqft.)
Including transportation charges. Training center
Three staff quarters 3 X 40 X 50 - 6000 X 400 (Rs.400 per sq ft.)
Store room, workshop, garage, toilets, kitchen bathroom
(Rs.400 X 400 sq.ft.)

b.

c.

III. WATER DEVEI JpMENT AND ELECTRICITY FITTING:
a.
One^bl)lar powered submersible pumpset after boring one borewell

AMOUNT (Rs.)

45,000.00

240,000.00

2,400,000.00
160,000.00

150,000.00

(200 ft. deep) with drip irrigation.

b.

One sprinkler Irrigation system, separate pump house/electricity
connection.

100,000.00

c.

Two Sintex Tanks (10,000 its. For staff qrts) Training center,
Workshop etc. (35,000 X 2)

70,000.00

d.

One medium sized wind mill plus one 7 HP diesel generator/solar
Powered I.P. set

365,000.00

IV. VEHICLE AND EQUIPMENT:
a.
One Tractor with Trailer
b.
Implements and tools

300,000.00
20,000.00

c.
d.
e.
f.

One pair of bulls with modified modern bullock cart
Two Motor-cycles (Ra.45,000 X 2)

0-

Salary for tractor driver (1000 x 2)

12,000.00

h.

Repair, maintenance, telephone, electricity charges, stationery,
Postage etc. (5000 X 12)

60,000.00

10 solar cookers, 10 solar street lights
One community biogas unit, with community kitchen, store-room
Soakpit, toilets, kitchen garden

26,000.00
90,000.00
156,000.00

133,000.00

V. FOOD AND FODDER CULTIVATION:
a-

Seed, seeding, fertilizer

12,000.00

b-

Two farm laborers Rs.20 X 2 X 365 days

14,600.00

VI. DAIRY UNIT:

a

Construction of shed, store room for 20 milk cows (Rs.400X400)

160,000.00

VII. GOAT UNIT;

a

Shed and Store room for 50 goats

60,000.00

VIII. POULTRY UNIT:
a-

Shed and store room for 500 Boiler/layers

120,000.00

r-

1/

IX. PIGGERY UNIT:

a

Shed and store room for 50 pigs (Rs.400X200)

80,000.00

X. SILK REARING AKlD REELING UNIT:
Shed, store (Subsidized by Govt.)

160,000.00

XI. ADMINISTRATION:
a
Farm manager salary (1500 X2)
b.
Accountant cum supervisor 91500 X 12)
c.
Office Assistant/Typist Clerk (1000X12)
d.
Watchman/security (600 X 2 - 1200 X 12) salary
e.
Office equipment for farm: 4 tables, 20 chairs,

18,000.00
18,000.00
12,000.00
24,000.00

«

2 filling cabinets, 2 Elmira,
1 type-writer,

20.000.00
13,500.00
150,000.00

Cots and Mattresses for Trainees (Rs. 1500 X 100)

XII. PROGRAMME FOR TRAINING:

A. AWARENESS BUILDING TRAINING:
a.
Training materials, audiovisual aid
b.
Pood for Trainees (100 X 20 X 8 Programmes)
c.
Honorarium to Resource Persons enablers (4X100X8 programmes)
d.
Travel for Resource Personnel (600 X 12)

30,000.00
16,000.00
3,200.00
7,200.00

B. SKILL TRAINING (TECHNICAL/MANUAL):
a.
Training materials (as available farm & other)
b.
Food for the trainees (100 X 20 X 30)
c.
Honorarium to Resource Persons enablers (100 X 3 X 4)

d.

30,000 00
60,000 00
1,200.00
1,200.00

Travel for Resource Enablers (100 X 3 x 4)

C. LEADERSHIP TRAINING:
a.
Training Materials
b.
^°Of
^ra*nees (50 X 20 X 2 Programmes)

c.

Hon“lum for Trainees (500 X 2 Persons X 2 prg)

d.

Travel for trainees (500 x 2 persons X 2 prg)

1,000.00

2,000.00
2,000.00

2,000.00

GRAND TOTAL IN RUPEES

5,674,900 00|

INCOME DURING 1ST YEAR:
Tractor hires 300 his. X Rs.40 per hr.
Sale of Fodder Manure
Sale of Silk (Coconuts)

12,000.00
10,000.00

__l°x000^00
L--.. 3.2,000,001

EXPENSES DURING 1ST YEAR:

I. GENERAL FARM DEVELOPMENT
Driver salary (1000 X 12)

12,000.00

Repair, Maintenance, electricity

15,000.00
27,000 Oo!

II. FODDER UNIT
Food and fodder unit

_?Aooaoo|

III. DAIRY UNIT:
a.
Purchase of 7 milk cows & calf
b.
Dairy Utensils and appliances
c.
d.
e.

One care taker (500 X 120

f.

Feed, fodder, veterinary medicines

Refrigerator (300 Its)
Bicycles (1500 X 1)

[

42,000 00
2,000.00
16,000.00
1,500.00
6,000.00
36.000.00
103,.‘>00.00|

A

/
*

IV. GOAT UNIT:
a.
50 weaned female goats (50 X 500)

b.

5 male weaned goats (5 X 1000

c.

d.

Feed, Fodder etc.
Insurance (5 X 300)

e.

Wages for Attendants (10 X 2 X 365)

V. POULTRY UNIT:
a.
Cost of 500 chicks of 1 month old size (500 X 20)
b.
2 Poultry Utensil & appliances
c.
Feed for 500 Birds per year
d.
Cost of litter, electricity, medicines and other expenses

e.

25,000.00
500.00
23,500.00
1,500.00
7,300.0°
57,800.00!

10,000.00
10,000.00
25.000.00
25,000.00

Labor A ward charges (600 X 12)

..7200 00

77(200.00|
VI. PIGGERY UNIT

a.
b.

Cos W20 piglets of 2 months X 2 months Rs.300 per piglet

c.

Feed for 20 piglets for 12 month Rs. 1200 per month
Medical Expenses

d.

Wages for Attender Rs.20 X 365

6,000.00
14,400.00
2,000.00
.._.7.300.00
79,700.0°]

EXPENDITURE FOR IIND YEAR
1. TRAINING UNIT;

9
b.
c.
d.
e.

f.

Food expenses for 15 trainees X 15 X 200 X 12
Teaching Aids 13 X 50 X 12
Slide Projector

Tape recorder 7 Tapes
Travel, Honorarium to outside resource person
Salary for cook (600 X12)

II. ADMINISTRATION:
a.
Salaries

bc.

Postage, stationery, telephone, electricity
Building repair, Maintenance

36,000.00
9,000.00
6,000.00
5,000.00
12,000.00
_7t200.00
75,200.001

55,200.00
3,600.00
20,000.00

78,800 00,
INCOME IN THE IIND YEAR;
a.
Silk Reeling Unit
b.
Tractor Hiie
c.
d.

Sale of Bio gas
Sale of Milk
Sale of Fodder

f.

Sale of Goats

9
h.

Sale of Eggs, Fowls, Manure
Sale of Piglets & pork

EXPENDITURE FOR HIRD YEAR:
a.
General farm development
b.
Fodder unit
c.
Dairy unit

d.

e.
f.

9h.
I.

Goat unit
Poul^ unit
Piggei / unit
Training unit
Silk unit

Administration

10,000.00
15,000.00
2,000.00
81,000.00
28,000.00
34,000.00
21,000.00
^^OOO.OO
263,000.0q|
30,000.00
10,000.00
48,000.00
38,000.00
30,000.00
44,000.00
62,000.00
10,000.00
_80,000.00
352,000.0°]

I*

INCOME DURING HIRD YEAR:
a.
General farm development
b.
Fodder unit

c.
d.
e.
f.

Poultry unit
Piggery unit

0h.

Training unit
Silk unit

18,000 00
37,000.00

Dairy unit

76,000.00

Goat unit

29,000.00
21,000.00
70,000.00

15,000.00

_l0i.90000
276.000.00,

EXPENSES DURING IV YEAR:
TOTAL REQUIREMENT
&

355,000.00

INCOME DURING IVTH YEAR:

333,000.00

EXPENSES DURING THE VTH YEAR.

TOTAL REQUIREMENT

355,000.00

INCOME DURING VTH YEAR:

250,000.00

SUMMARY OF INCOME EXPENDITURE:
I
Total expenses during 1st year

341,200.00
32^000.00
37 3,200.00,

Income during the 1st year

Total requirements Rs.

II

Total Expenses During II nd year
Income during the llnd year

154,000.00
263^000.00

[I"" 417,000.00,

Total requirements Rs.
Ill

Total Expenses During II nd year
Income during the llnd year

352,000.00
276,000.00

I

Total requirements Rs.

IV

Total Expenses During II nd year

355,000.00

Income during the llnd year

333,000.00

El__ 68/Loop.go|

Total requirements Rs.

V

628,000.00,

Total Expenses During II nd year
Income during the llnd year

355,000.00
250,000.00
Total requirements Rs.

605,000.00

Looking forward for meaningful partnership to help the poor and needy for Gods glory,
expansion of His soon coming Kingdom.

P.S the aboveClidget application is subject to modification after clarification/discussion if
possible on the spot/scrutiny by any willing partner/agency by sending their
able/experienced representative for meaningful point action helping us to help the
determining poor and needy in achieved village communities to rebuild a healthy nation.

(

ii) MOTHER TERESA MEMORIAL. NAVAJEEVAN INCOME GENERATION LEPROSY
AND OTHER HANDICAPPED RELIEF, RESEARCH AND REHAIMLI
TA HON
. PROJECT (MTMNIGLRRRP) OF VELEMEGNA SOCIEI Y,
CHA I NALLI
COMPLEX.
Sub: Seeking all possible help joint action through subsidies and cooperation for following worthy
project complementing the national agenda and:(a) To help us to help the leprosy and handicapped Chatnalli Navajeevan Leprosy Rehabilitation
Complex, (b) To complete the comprehensive community health rural hospital and staff quarter and
multipurpose health training cum demonstration center at Baridabad in the government allotted land at
Baridabad village taluks and district Bidar. (c) To extend the above service to Budhera/Chatnalli and
other satellite villages through health and development programme, while commemorating our 30
years of yeomen services to the suffering masses in Bidar district.
As you are quite aware Sir, after repeated appeal and magnanimous visits of many Deputy
Commissioner, As.^jj Commissioners, Tahsildars, DO’s Asst. Executive Engineers and other
Government departmental officials and various health and development ministerial in the present and
past as our Velemegna Society is deeply involved in close cooperation with like minded National and
International Agencies in India and Abroad, we were made tall promises by the previous government
officials, while handing over the 53 leprosy families after demolishing their huts in Sathyagudi Bidar
urban slum. Even though we were least prepared, we took up the challenge by faith in God,
Government and God's Children, as we had to face many uphill task, by begging for donation,
borrowing loans with interest from Banks and private parties during the past 30 years to make both
ends meet, mean- while solving the ever-growing problems from time to lime from very inception of
our above society. Hence, we humbly but sincerely seek your maximum |
practical help,
suggestions and cooperation for smooth uninterrupted implementation lor optimum success of the
various on going and future rural health and development project complementing the 20 points
programme of nation to begin with the following villages in the land allotted by the government.

AT CIIATNALLI^VIUAGE, BIDAR BY POPULAR REQUESI BY MAJORITY Ol<
VILLAGERS TO
1 . Completing 10 bedded general hospital (family welfare center) staff quarters, commu- nity hall
cum health and development training center with ophthalmic wing, T.V, film and slide projector,
telephone connection and other audio-visual for health and development education programmes, in the
one acre N.A. converted land in Sy.No. 32/A Baridabad.
2. One bore well, solar powered immersible pump with overhead tank for flowing waler facilities for
hospital, staff quarters, patients, and trainees at hospital and development training centre with toilets,
bio-gas plant with community kitchen, nutrition demonstration cum training centre, with suitable
roads, and better electricity facility using new trans- former generator.
3. At the remaining K acres cultivable land at Baridabad Sy. No. 32/A to complete the agricultural,
horticultural, kitchen gardening, sericulture cum production centre, milk cooperatives, animal
husbandry programme, using food for work scheme for the handicapped and widows, orphans,
destitute and other deserving beggars in other willing cooperative villages utilizing any available
government or private waste land which is left unexploited using idle laborers by deepening old wells
°r digging new wells, with submersible pumpset, overhead tanks for assuring safe drinking water and
lapping all possible water resources for growing more and more food and fodder to cattle to the ever
growing needs of half starving, poverty stricken humanity and animals overcoming all kinds of
unforeseen bottle necks because of local political factors, ignorance, superstitions and poverty to
prevent migration to towns and large cities in search of suitable employment thus creating larger
slums.

*

AJ_CI1Al.;NAJLJJ_N A VAJEE VAN COM PLEX, Bl PAR. IJEPROSY 1/ P A B! 111 A HON
VILLAGE
W ---------------- ---------After suddenly demolishing the illegally erected huts in the Sathyagudi Urban slums by the city
municipality authorities to build home guard office, fire station elc. thus 53 ostracized leprosy beggars
families were handed over to the care of our Velemegna Society by the Deputy Commissioner Mr.
K.L. Nelgi, promisiqgjus all possible help for the displaced people or orphans, hence, the beginning of
Chatnaili/Baridabad Navajeevan Complex was undertaken with the help of government and God's
children, our Velemegna Society has undertaken the following programmes:1
Repair of old 63 HUDCO built by contractor 16 years ago which is in a deliberated condition
following cyclonic rains with electricity facilities to individual houses, which at present is again in a
very deliberated unlivable condition.
2.
Request for one bore well with drip irrigation system, solar powered submersible pumpset and
overhead tank for safe drinking water, and cultivating available land in the vicinity through
floriculture, agriculture, sericulture, aforestation, fodder cultivation, through food for work
programmes using the able bodied and handicapped rehabilitated ostracized leprosy beggars families to
support themselves within 2-5 years time bond programme.
Requesting for additional 100-150 housing complex in the locally available addi- tional
government land or by acquiring private land to rehabilitate the over growing number of oustercised
leprosy beggars, displaced families, widows, orphans and destitute who are daily approaching us and
the government authorities for food and shelter through multi- sectorial health and development
projects through various government departments using voluntarily, NGO agencies in India and abroad
for a more healthy self supporting progressing model communities. We need atleast 5-10 acres for

seperate gautan land for burial (GRAVE YARD) ground with park, playgrounds and rural apart field,
stadium, swimming pool, fis culture etc.
4
A community hall with T.V., Radio, films, slide projectors and other audio-visual aids, adult
literacy facilities, through Youth clubs, Mahila Mandals.
5.
A primary school with hostel for atleast 100 boys and girls to begin with h aving atleast 2-3
separate class rooms, mid-day meals centre, 4 staff quarters cum office facili- ties.
6
A multi-purpose industrial training cum production centre (work shop) with other marketing
facilities for milk and other village industries, cooperative products for microcellular rubber, candle,
agarbathi, tailoring, carpentary, welding, motor winding, silk reel- ing, horticulture, fish-culture,
poultry farm etc.
7.
Completion of 50 beded male and 25 female at Chatnalli Navajeevan Centre the only hospital in
Bidar district mainly to render care for aneasthesia feet, hands, eyes, preop-postop physio-therapy and
plastic reconstructive surgery to restore function through appropriate occupation therapy, with
protective implements especially designed to rehabilitate the leprosy and other handicapped with
seperate X-ray, lab, operation theatre, delivery, physiotherapy rooms flowing water with submersible
pumpset, overhead tank, electricity. Generator and seperate transformer.
8.
3 KM road construction from Sirsi road-cross to Navajeevan Centre, sanction of available
government land if Pjjjpible acquire additional private land in the vicinity to the extent of 3 acres for
landless leprosy famines and atleast 5 acres of land to Velemegna Society for te proposal hospital cum
staff quarters with fencing with wire in exchange for the 5 acres for land given back to the Velemegna
Society to construct the 63 11UDCO houses by government 4 years ago.
9.
Two community bio-gas plants, cookers, solar street lights, fencing etc. 3 lavatories with
community kitchen .

a IN ALM V!LI .AGE: to complete the 2 borewell Rs. 60,0001- provided by
I
World Vision of India through Velemegna Society with submersible pumps, overhead tanks/ borewell

f mJ
&

A

VELEMEGNA GOOD NEWS SOCIETY HOSPITAL,
B1DAR - 585 401 (KARNATAKA) INDIA. PIIONE/1'AX 08482-25467
|

<3

Village Evangelical Leprosy Eradicaiion Medical Ediicaiioii, Good News Associalion A non Prolii u
Charitable Multi Purpose voluntary Society, Registered under the Mysore Society Act No. 17 ol 1960 wile
’15 3-69 al Bangalore S.No. 5-6B-69. COMPLIMENTING NATIONAL AGENDA DURING 52 YEARS OF INDIAN

INDEPENDENCE While Comineiiioraliiig 35 Yrs of womb to lomb and beyond llie lonib yeomen services let us
strive lo-gelhcr prayerfully, meting the total needs of the sick, poverty stricken communities,deserving
individuals, irrespective of cast, creed colour, race with help of God, Govt,Gods children precious prayer part*
■ivt ■. •■''kxf?
ners lighting dis eases, demons within/wiihout the congregations, country for a happy healthy properous
I I HI .■
nalional, inleriialional peace on earth and goodwill under fatherhood of God and Brotherhood of mankind with
(IIHFurn) III IP fill’ llTMHCA^
l0Ve* re,S,,CCl a,,(l ch,is,,an concern for wholislic development during ZOOO AD New Milkniiium.

NS

ViSit our Weg site hltp://ww\v.veleinagna.org

.

N O TH b «

Tv\ u & (3 5* A V\ 6

o g \ f\ u

e-1nai 1;drsa1 ins@vsn 1.coin

rV (\\J TP e- V A f\J„ £» A^t c A p.|5 c PN

MJIROCHQME FOR THE AGED AND DISABLED LEI4<()SXCURi:m2AJJENTS AND
DESTITUTES AT CHATNALLl,

( API I AL Ni:El)S:>
1 .Building for Mercy Home Chatnalli--------2.One Bore Well Submersible I.P. Set with —
P.V.C. Pipe fittings, overhead tank
3 Mahindra Minibus Ambulance 18i-l sealer]
4 One two wheeler moTOrcycle----------------5.Onc Bicycle
W

Rs. 15,56,71 I
Rs. 1,50,000.
■Rs. 6,00,000

-Rs. 50,000
Rs. 1,500
Rs.23.58,211

TO TAI,

Contribution from management
during 2000 to 2001 A.D.

Rs.2.35,821

RECURRENT NEEDS

MON IIILV

ANNUALLY

I. Staff salaries-

Rs. 20,000-

Rs.2,40,000

2. Medical Care/food and clothingfor the inmates-

Rs.30,000-

Rs.3,60,000

3.Eleclgl ity/water/building maintenance/Telephone etc.-Rs. 10,000

Rs. 1,20,000

4.rue! and Vehicle Maintinance

Rs.6,000

Rs.72,000

5. Stationery, Postage and Recreation

Rs.3,000-

Rs.36,000

<kM.iscil!enous.___________________
Total
Q.WtAbu! ioPJiQiTMManaj^^
Monthly recurrent grant requested

Rs.2,000

Rs24j)00

Bjl7_LQQQ'

President.
I’ounder/Di rector
ss.Kathrinc Pearson M.Sc.
VnPresident
Or.A.C.Salins, m.b.b.s
C.Accupii n< I u re (J a pan)
C.C.I'.II (London)

Rs. 85,200

____ Rsj^xoo

Mcd.Superiniendenl/Secrulaiy
Dr.Mrs.S.Salins B.Sc.M.B b s
D.p.ll., M.Sc..CHl)C (London)
Cerlificale in llospiical
Ad mi nisi ration C.M.C. Vellore

Treasurer
Mr.Jyothi.T.MA.

Financial Advisor
Sri. Ram Mohan (I.A.

C?

Techiilcal Advisor

Prof. Ki;iz

KI

lii) DR. AMBEDKAR MEMORIAL COMMUNITY DEVLOPMENT AND BUDIIERA
VILLAGE RECONS I RLC I ION PROJECT
EOG RAJHI Y: This project CDVR intends to cover-about 39 villages with in a radius of 35 to 40
km. around Kadwadjand Baridabad villages in the Bidar Block in Bidar district. Baridabad and
Kadwad approximatSy 20 M. South West of Bidar town This is mostly rocky jungle arei^with
undulating landscape with a normal rainfall every year. Mainly latrite soil not very fertile. No surface
irrigation facilities connected by all weather road/trains to I lyderabad and Gulbarga 110 to 120 Km.
I* 1-0PI ,E:
The total population of the target is 60 thousand. The population consists mainly of the
cities major categories: 6% of thefce are tribals, 66% Scheduled Caste and the rest 24 others.
LANGUAGE: The main language spoken are Kannada, Urdu, Lambadis, Telugu, Marathi, Kannada
is the common language spoken by the people.
SOCIO-ECONOMIC STATUS: LIVELY HOOD: Majority if the people (80%) work as unskilled
farm laborers. The average daily wages is about Rs.30/- per day. The other 20% meddle class and rich
farmers depend on subsistence farming which is solely dependent on rain water for irrigation and few
open wells and borewells with jet or submersible pumps. HEALTH
Incidence of malnutrition
among children and pregnant women is about 35%. Large number of people suffer from Tuberclausis,
Leprosy, and other respiratory infection. Skin diseases, scabies and gastro-intestinal problems are
rampant. The infant mortality rate is about 130 per 1000 births.
LIj ERACY: The percentage of literacy is 23%. Major factors contributing to low literacy is poverty
and lack of parental motivation
ENVIRONMENT: The whole population is used to defecating in the open air. This area with more
than 50% forest 20 years back is now almost barren. Soil erosion in large scale and if steps are not
taken immediately it will result in loss of whatever top soil is available for supporting plants caused by
degradation.
ECONOMY:
The economy of the people in this region was on barter system. Now a days they use
money economically though the transaction is not complete. They are still exploited by money lenders,
business man. Hence, they are poor economically. Average earning per house is 21/-, rupees per day
and there are 5 to 6 members per family. This leaves 50% of the people under poverty line.
PURPOSE: The mam purpose of the project will be to enable the poor the needy and marginalised
communities to understand their situation, analyze the who, where, why and how of it and to take
decision to change/improve their own conditions by positive action and mobilizing resources available
within and outside the community. The purpose is holistic development of people and thier
communities a development which helps people towards placing change agents with deep commitment
to Christ and the poor alter proper training and orientation in community development change will be
brought about in terf^s of organizing motivating, enabling and empowering while most project s have
clear-cut goals of what the project wants to achieve for the people within a certain tune span, this
project will not have such goal to begin with, this project will aim at enabling people to set their own
goals. The key elements of the project will be
1. Living with the people and relationship. 2. Building awareness. 3. Motivation and community
organizing. 4. Starting with what they know and building on what they have. 5. Enabling people to
analyze issues/problems, identify resources, take positive action, evaluate their own analyse
effectiveness and make necessary change in course. 6. Strengthen ability of community to provide
leadership, maintain and manage the process of its own development. 7. Buildup -.p self-reliance and
sustainability. 8. Value change and adoption of kingdom value. 9.People's movcnicnl towards God.
Project aims at achieving this in a phased manner. Primarily, three main phases are visualised.

GJAOUND WORK PHASE: This involves relationship building, motivation and community
organizing, awarerKUs building, information gathering, identification analysis of problems,
identification of resources for most crucial stage in the project and can take alleast two years. During

a
ibis phase community also will be enabled to liaison with the Government and Non-Governmcnt
agencies around it get its own development and also initiate small community efforts for common
benefit. These may' include formation of Youth Clubs, Women Associations,
Project
communities/community efforts-like small scale saving, credit unions. Success of this phase will lead
to the second activity phase.
In a sense, this is the most important phase in the project. But extreme care
should be taken not to hurry in this phase. If the ground work phase has been effectively implemented,
the activity phase will result in change through community participation and the process of change
will be substantiate. In this phase community will be enabled to address major problem, issues lacing
the community. Project will assist by supplementing community effort by providing training, know
how of using funds and equipments, Al! the activities of the first phase will have life span ol 10 years
a| v^opriately and will lead to the phase when project start withdrawing from community.
Continuous presence of the project in the community will invariable
lead to people’s dependence of the project. So, care should be taken at each step to prevent building up
this kind ol dependence. So, this whole idea ol withdrawal should be built into the project right from
the point of entry into the community. This last phase will concentrate in strengthening ability of the
community to maintain and manage change, beside building up infrastructures to support this process
of change.
LIQL15M
Win be achieved by recognizing from the thrust needed for the change in the spiritual
dimension of the people and community. Project will strive to provide appropriate opportunities to
people the response to the gospel of Jesus Christ and to adopt the values of kingdom of God. This will
be achieved through the project leaders / key staff living an exemplary Christian lifestyle as well as by
proclamation in socio-culturally appropriate ways. I he project will follow the development principles
which are best described by Dr.James Yen in his ’’Development Poem" which goes on like this;
"Go to the people, live among them, learn from them, work with them, plan with them, start
with what they know-build on what they know-teach by showing - learn by doing - Not a show’case,
but a pattern - Not odds and ends, but a system - Not relief, but release - But the best leaders - when
their work is accor^plished - And their work is done - The people all remark - We have-done it
activities’’
fhe project initially will have a set of goals for the first phase. Goals for the second phase will
emerge out of the people and community as the work of first phase goes on and we learn more about
and from the people. There will be annual planning cycle and during the middle of each fiscal year the
goals for the next fiscal year will be decided after necessary revision, change, deletion and addition.
I he first phase goals will be as follows. I. Appoint and place change agents in the Held. 2. Establish
relationship with the people. 3. form village committee with adequate women's participation. 4. form
Youth and Women's groups. 5. Help people gather relevant community information and document it.
6. Identify people efforts at improving community and support such activiti
’ ncourage small
saving and organize credit unions. 8. Establish and build relationship with ditferent Govt, and Non
Govt. agencies assist people relate to them without fear. 9. Set up a training center for training in
leadership, village reconstruction development, health and sanitation, environment and agroforestry
etc. With basic facilities safe drinking water, horticulture, sericulture, wormicultive, floriculture,
animal husbandry, small scale cottage industries etc.

I*

III BUDGST FOIt AMBEDKEBt MEIMMMRIAX BUDITJO6A

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A small training center, library, teaching
hall (50X60)
(3000X400 sq.^CC)
Quarters for Watchman
Furniture and Equipment

One hall, Office
1200000
Two guest room
One
30000
8 tables, 24 chairs, carpets, almirah(4) book self(8) 200000
Slides Projector, Movie Projector, T V., VCR, Display
Boards for charts, books, magazines
Two motor Cycle one for project coordinator & one for programme officer(25000X2)
50000
20 Bicycles for Community organizers
1300X20
26000
Furniture for 20 community organizers
Beds, tables, chairs
_L4W
TOTAL
1520000
l/f. [/uM'U'iurtif if

2

1. Training materials
2. Salaries:
Project coordinator (1)
Community Or^Siiizer (20 Male)

Health Workers (20 Female)
Watchman (1) (Security Guard)
TOTAL
STAarnimstration:
a. Rental
a. House for Project coordinator
b. For community health Organizer
c. Motor cycle maintenance & petrol
d. Bicycle maintenance
e. Maintenance of Training Center
f. Stationeries and correspondence

5000X12X2

120000

20000X12X2X1
800X12X2X20
800X12X2X20
700X12X2X1

48000
384000
384000
16800
952800

600X12X2
200X12X40X2
1000X12X2X2
25X12X20X2
2000X2
500x12X2

14400
192000
48000
12000
4000

[2824Oo]
Total for Recurring Expenses

1
2
3
PHASE I TOTAL
Non Recurring
Recurring
10% for inflation 1/4 Miscellaneous

120000
952000
282400
[l354400~|

1520000
1354400
287440

iv) INDIRA GANDHI MEMORIAL COMPREHENSIVE COMMUNITY HEALTH/
DEVELOPMENT PROJECT WITH EMPHASIS ON WOMEN AND CHILD CARE, FAMILY
WELFARE PROGRAMME, COUNTRY AND LOCATION: INDIA OR BARID.ABAD/
KADWAD VILLAGE,BLDAR-58540L KARNATAKA PHONE/FAX084K2-2S467
D
Brief Description: Health Care among 60,000 Rural Population (A) Women and Child Care (Fiona +
Plus). 1. Temporary and Permanent Family planning protecting eligible couples to prevent too jnany
children (RC1I), child spacing. 2. Immunization against communicable disease 3. Oral rehydration 4
Nutrition education, demonstration rehabilitation 5. Vitamin A supplements 6. Plus multipurpose
social and economic development 7. Antenatal / postnatal (MCI !) care. X. a) General surgical primary
health care, b) Care of anesthetic feet’s, hands & eyes of leprosy. Tuberculosis & malaria eradication,
c) AIDS and environment awareness, d). Safe drinking water, sanitary living conditions, e). Health
education, school health, adult and formal literacy programme

PXOJIX F BA( KG KOUN I)
(a)
Bidar is situated in the North part of Karnataka, sandwiched between A P and
Maharashtra state. The maximum temp during summer is 33"C. Monsoon is from June to September
part of the soil is fertile for sugarcane and maize cultivation
(b)
50% of population are Muslims, 45% are Hindus and 5% are from Christians Sikh &
Buddhist background. Average literacy rate is 23%.
(c) 1-mNOMlQ. 77% are living below poverty line as agricultural laborers small and marginal
farmers depending on seasonal crops daily wages. They are very few industries with some sugar
lactones. The men hardly earn 30 rupees per day and the women Rs. 15 to 20.
WJUBsRJMJP£)1^
'I’he prevalence of T.B., Leprosy is 6-8 / 1000, Blindness 1.5-2
m the community. I he infant mortality is 125 / 1000 live births. Maternal mortality is also very, high.
Family planning work is slowly progressing with better couple protection rate.

To reduce the infant/maternal mortality rate (a) aims of the project, (b) To
reduce the population by promoting temporary and permanent family planning methods, (c) To train
village health workers to give health education, motivate their respective communities for F.P. ORT,
Immunization, Nutritional, and Vit.A. Supplement, 1 lealthy living condition with small family norm
Description ol the stage by which project plan in achieved:
1. By training Middle management Male Project coordinator and village level women workers
traditional birth attendants elected or selected from formal / informal leaders in the adopted
communities to create awareness, motivating for active maximum community participation forming
village health/dept. communities, for meaningful action for development programmes.
2. Samples baseline survey have been introduced during 1988 and 1991 in 8 villages and few satellite
hamlets with the few^ire staff from base hospital and local volunteers which partly was supported by
C.M.A.I for 3 yrs. period and, stopped for paucity of funds.

l l(>N WILL BENEFI T MAINLY FROM THE PROJECT: Most
vulnerable group of women and children (MCH Programme). Young and old target couples to adopt
I P procedures. By curing and preventing avoidable blindness, tuberculosis and leprosy by early
diagnosis and regular treatment. General public, the poor and needy in the community by improving
their health, sanitary, and safe drinking water condition organizing safe and healthy delivery at their
own doorsteps by training the local dais.
.LbLWH AT WAYS WILL THE LOCAL COMMUNITY CONTRI BUTE TO TlIE PRC)JECT:
I hey will offer room to conduct clinics /community meetings /health education 7adult- b?eracy/ni>n

!*

formal education/mass movement/action for development activities, film shows organizing cooperatives. Voluntary activities with women club, youth clubs etc.
If funds and facilities permit by January 2000.

5 years after which we hope to make the project self
suflicient by locally raised funds in the meantime striving to tap stale/central govt, grants jp aid
scheme through proper channel will be implemented in a phased manner. I. By elected and selected
health worker/project coordinator from adopted villages for proper training and motivation. 2.
Interview and appoint qualified dedicated highly motivated staff on contract basis. 3. Reaching out to
the villages on two wheelers/mobile units to various health development project activities. 4. As funds
permit quickly, establish the newly proposed hospital and staff quarters in the locally acquired Govt, or
private land. 5. Weekly meeting for trainees, evaluating on going and future schedules, reporting, up
grading records, statistics and planning appropriate schedule 6. As (he proposed rural hospital with
stall quarters will ultimately cut down up and down transportation expenditure for mobilizing to and
io patients and stall from Bidar town. Moreover local patients with relatives to travel back and forth
to other referral hospital 20 to 30 KM. away from their villages, leaving their daily wages, which can
be paid for their medical and a surgical, lab, IP/OPD treatment at this newly proposed roadside/rural
hospital closed to their door step, thus saving time, money energy and even precious lives during
emergencies through intensive tender, love and care.
Looking forward for meaningful partnership with like minded partner agencies in India or
abroad for joint action at their earliest, in implementing this long awaited acutely felt needs of the
adopted communities and among whom we have been striving to serve with hound dog tenacity with
much personal sacrifice, giving up the other lucrative job opportunities for more than three decades

>

..

i....

BUDGET DETAILS OF CCII AND OUTREACH: PHASE 1 (PERIOD 5 YEARS)
a) NON RECURRING EXPENDITURE IN INDIAN RUPEES
1 30 Bedded rural general Hospital, OR.OPD,
pharmacy, office, delivery room, X-ray room
dark room, eye, dept, store room, toilets,
bathroom.
2 6 Two bedjjpm staff quarters (three duplex)

3 Training class hall cum library
4 Five small one bedded room qtrs. For driver,
ward boy, ward aid, watchman
5 X-ray Plant(200 M.A.)
6 Hospital equipments, lab. O R., Fridge, calmimeter, surgical instruments, Autoclave,
delivary table, Air conditioner
7 Furniture, Teaching Projector Video V.C.R.
8 Electricity. Water supply, overhead tank
9 1 Borewell with 5HP Submersible Pumpset
10 One Ambulance
11 Two Motor Cycle
12 40 Bicycle x 1200
Add 10 % Infltion

150X50=7500
sq.ft.X Rs.400 per
sq.ft. R.C.C.

300.000

60X40X62400 sq.ft.
Of R.C.C. 14400X400
sq.ft. R.C.C.
5X50+250X400 per
sq.ft.R.C.C.

5.760.000

20X20X5=2000X400
sq.ft R.C.C.
1 piece

800.000

RECURRING EXPEXNSES (ANUALLY FOR 5 YEARS)
Recurring Expenses __________________ Per Year____________________
Honorarium for part time 4 super specialist
480,000
consultants 10000X4X12
One senior lady doctor 10000X12
120,000
One junior doctor 6000X12
72,000
One pharmacist 2000X12
24,000
One X-ray cum Lab tech 2000X12
24,000
Project coordmator/manager 3000X12
36,000
Community Organizer 3000X12
36,000
Two ANM 2X2500X12
60,000
Accountant/computer operator 3000X12
36,000
One driver 2000X12
24,000
Two ward boys 2000X2X12
48.000
Two ward aids 2000X2T12
48,000
Two Watchmen 2000X2X12
48,000
Village workers/Com.Trans. 1000X60X12
720,000
Vehicle mamtenance/fuel 15000X12
180,000
Electricity, Telephone/fax, Printing,
120,000
Stationery 10000X12
Drugs, linen, Gauze,POP, Cotton diaposable
240,000
Syringes and I V set, Adhesive 20000X12
TOTAL RECURRING EXPENSES
2,316,000

100.000

200,000
200,000

150,000
135,000
55,000
200.000
50,000
48,000
1,009,800
9,007,800
Five Years
2.400.000

600,000.00
360,000
120,000
120,000
180,000
180,000
300,000
180,000
120,000
240,000
240.000
240,000
3,600,000
900.000
600,000
1,200.000
11 580,000
----- -------- -----

**

f

I*

v) RAJEEV GANDHI MEMORIAL VOCATIONAL GUIDANCE & TRAINING. PURPOSE:
The vocational guidance and carter counseling programme of Velemegna Society largely
concentrates on the high school inter college job seekers and unemployed youth. However, th^re is
much greater need to provide guidance to the adults, unemployed and rural people who are mostly
dependent on agriculture as their sole occupation. Though there are varied skills and due to lack of
education facilities and other occupation choice at their own place of living they either resort to over
dependence on the small land holding or migrate to other towns and cities as laborers, thus creating
more urban slums. This has resulted in greater mobility of labor facilitating the industrialist to have
cheap labor but for t®)se people they loose their own identity. They neither belong to their own village
nor to any other places.
In such a juncture as positive approach is mostly necessary to develop village level
occupational facilities, infrastructure and provide right kind of guidance to raise the employability of
the people as well as make them involved in occupation not as forced upon them by the market
demand but based on their own aptitudes talents, skills and meeting their socioeconomic needs. Thus
these villages can be self-sub stainable and their produces can earn high bargain ability in other market
places.

GOALS 1. To start the programme in rural India, to experiment its effectiven^ m the lives of the
people. 2. To help people find purpose and direction in their lives 3. To set up few vocational training
centers as to provide skill training cum production of various types of trades depending on the people
participation and local needs. 4. To help people set up their own occupational units under staff
employment prograqj-me or to set up co-operatives to establish some corporate production units. 5. To
help unemployed and under employed and village artisians to gain skilled training and be gainfully
employed.

AC-HV-HIES I. Conduct guidance programmes by making the people aware of career opportunity
with the armpit ol local and regional facilities. 2. Vocational training centers to provide training in
manuaBa6.U)todiluiiualiniki^progcdMwfcerbb’ddmi
ng.rvAUlrcoring and
reelingttafl]Tft0jthyj
tig l<ming,MiMll^
etc.
facilities and training
4. A team of instructors and guidance workers will visit the rural places to conduct
necessary guidance sessions as well as vocational training.
INFRASTRUCTURAL REQU1REMEN I S AND PERSONNEL:GENERAL:
1) . To acquire or lease land wherever necessary in impart vocational training.
2) Building/shed for vocational training in some villages as per the availability of
land or building.
3) Equipment as per the trades to be introduced.
4) A van for holding mobile Training Programme in villages where there cannot be
any possibility of setting up regular training center.
5) Personals a) Programme-in-charge, b) Instructors (of various trades), c) Drivers,
d) lechnicians for operation and maintenance of equipments and other
machinery.

16

C oh'x K - 6^ •

DEVELOPMENT OF A FIELD PRACTICE
DEMONSTRATION AREA AND ITS UTILI-

ii

SATION FOR FIELD TRAINING OF PARA
MEDICAL PERSONNEL

©

T.S.NATARAJAN
©

%

I

@8|

@b|
THE GANDHIGRAM INSTITUTE OE RURAL
HEALTH AND FAMILY PLANNING
GANDHIGRAM POST: MADURAI DISTRICT
TAMILNADU

*

i

1
&

©

'jt

1973

i®
©

1

@11

DEVELOPMENT OF A FIELD PRACTICE DEMONSTRATION AREA AND ITS
UTILISATION FOR FIELD TRAINING 0F PARA MEDICAL PERSONNEL:
++++

I. INTRODUCTION:
Ever since independence, Government have launched a series of health

programmes aimed at prevention of diseases and promotion of positive health

as an integral part of the country’s socioeconomic development.

The success

of these efforts will, to a great extent, be governed by the availability of
a core of well trained para medical personnel in implementing the programmes

at the community level.

The training responsibilities are shared by Medical

Colleges, National and State Institutes and number of voluntary organizations.
While designing the educational programme the following statement by John
Brayant will help one to think further.

’’The more advanced nations have exported philosophies of
medical care and education Sf health personnel that have
focussed on high quality care of individual patients. The
less developed countries have accepted these as standard,
have been proud of their own capability to match them, and
have been reluctant to deviate from them. But these
philosophies have not included adequate answers for the
vast numbers of peoples not reached by this'excellence of
individual care”•

The provision of effective health services to the.people call for a
new commitment on the part of training institutions as these involve new

roles of leadership for physicians and paramedical personnel and the

training institutions must understand these roles and develop settings in
which they can be learned.

It involves welding the potential of students

of different educational levels to effective health teams.

The training

institutes have to look beyond their walls and outreach into the community

for providing this training.

It involves now sets of professional attitudes

which cannot be developed without creating a new academic atmosphere with

such values.

The training programmes must link the ttainoes with people

in their natural setting and their needs in ways that will contribute to
the achievement of health among people.

The training institutions must

realise that every para-medical worker is being prepared for work in an

2

:: 2 ::
uncertain and changing setting^.

It will be difficult to predict the problems

that will have to be solved and the resources that will be available.

However,

what is predictable is that there will bo problems and the effectiveness of

each health worker will depend on his

ability to identify and solve them.

The challenge to the training institutions is to see beyond the uncertaihity
and discern the kinds of problems that will have to be solved and the kinds
of approaches that can be used to solve them and incorporate these as part
of the educational and training programmes.

An essential step in designing training programmes for paramedical
personnel is to' develop a close understanding of their roles.

The inquiry

should go beyond general principles to an understanding in operational terms
of the actual situations

in which they will have to work, the kinds of

problems they will have to solve, the kinds of tasks they will have to
perform. While the training programme cannot deal with everything that the
paramedical workers have to do, it cannot at the same time escape from the

essentials of building into the curriculum the concepts, attitudes and skills

needed for the job ahead.

There arc many ingredients in training programmes directed toward achi
eving those objectives.

This paper focuses on the development of skills for

programme implementation.

The majority of the personnel employed in the

health and family planning programmes are concerned with basic extension
education and health services activities at the community level, implemen
ting activities aimed at generating social support for the innovation and
also involve the community in planning and implementing programmes aimed at

promotion of individual and community health.
consist in basic functions like conducting

Their work would mostly

community health surveys for

identifying health problems, listing out target population for the various
programmes, education of the community towards acceptance of such services,
providing the necessary services directly or indirectly and to work as a

team in promoting these activities.

The supervisory personnel at the higher

level have to facilitate the work of these peripheral workers for such

5

:: 5 ::
conraunity level function in addition to providing; the supervisory support and
guidance.

It goes without saying that such basic functions are best learned

at the community level, by actually performing then .and the training of such
paramedical personnel will thus have to be organised largely tnrough -irect

field experiences.

The development of a Field Practice Demonstration Area

will help in providing the training programme in real life situations.

Most

of the training institutions have moved beyond the thinking stage and have
started establishing the FPDA.
2. OBJSCTIVSS OF THE FIELD PRACTICE DEMONSTRATION AREA.

As has been stated earlier, the major objective of the FPDA is to

provide field experience both observation and practice, for the various
categories of personnel coming to the training centre.

Since the main purpose

of training has been recognised as improvement of programme performance, the
training of such workers will have to be mainly job-oriented.

The trainees

will have to acquire the necessary skills, that will enable

them to perform

their jobs when once they get back from the training centre to the programme

situation.

But the FPDA can perform a variety of other functions too.

To

quote an example when the Government of India reorganized the Family Planning
Programme in 1961-1962, there was a great shift in emphasis from the purely

clinical approach to the extension type of activities and this shift in
emphasis was reflected in the job functions of the personnel too.

Barring

the early experiences of a few research projects here and there, there was
little information available to Government both on the methodology of work

that will have to be followed for programme implementation as well as

related job functions of workers.

The development of the FPDA attached to

the training centre provides an opportunity for the training centre faculty

tc generate new

knowledge on programme development and also to refine the

job functions based on such new knowledge.

Since the curriculam is based on

job functions, this also meant periodic revision of curriculum and an
improvement in the training programme itself.

In addition, the FPDA can'

serve the purpose of providing a laboratory for the trainers themselves to

acquire new skills, to generate knowledge through research on field problems
and thus promote their own professional development.

In short, the FPDA

serves the needs of trainees, the needs of trainers and also the needs of

programme administrators, in varying degree.

4....

:: 6

and implementation of the programme itself.

To facilitate the co-ordinated

activities of these agencies, it is suggested that a planning and implemen
tation committee consisting of (1) the head of the training centre, (2)

the District Health Officer and the District Family Planning and MCH Officer

of the district whore the FPDA is located, (3) the Medical Officer of the
Primary Health Centre, (4) the Commissioner of the Panehayat Union Council,

(5) a few representatives of the general public and (o) Representatives of

the Panchayatraj institution at block and district level, be formed.

The

head of the training centre may function as the convenor of this committee

and it shall meet as often as necessary to facilitate the activities of the
training and the FPDA.

The State Governments concerned should sanction the

formation of such committee.

5.1.1. Criteria for selection:

The training centre should be permitted to choose appropriate

Primary Health Centre area for developing the FPDA.

Government should

be requested to agree to the recommendations of the training centre in
this connection.

To enable a careful selection of the FPDA, the

following guidelines evolved out of the previous experiences have been

found useful:a) The FPDA should be as close to the training centre as
possible.
b) Availability of communication and wellknit road
facilities, so that all units of the area are
a«e essible throughout the year as f®r as possible.
c ) Availability of full complement of staff as sanctioned
by the Government.
d) Availability of vehicle facilities, services etc*
0) General climate for productive action.

f) It should not be the field demonstration area for any
other Institute or programme.
5.1.2. Recruitment and training of faculty:

There is no uniform staffing pattern for the various training
centres responsible for training paramedical personnel.

They vary

from state to state and from institution to institution.

The staffing

pattern of each training centre will have to be decided taking into
7

:: 7
consideration the needs of development and use of FPDA.

This would automati

cally call for increased staffing over the conventional type of centres with
no field training responsibility.
In our country, the staffing pattern for the Regional Family Planning
Training Centres has been worked out, taking into consideration the additional

responsibility that will be cast on the staff of the training centre in the

development of the FPDA.

The staff should also be provided with necessary

training, so that they will be in a position to take up tho responsibility

for development of the programme and use it for training.

5.1.5. Vehicle facilities for training centre:
The availahility of adequate transport is a necessary pre-condition
for the development and use of the FPDA.

It is necessary that each of the

Training Centre should have at least three vehicles for use by

the

trainees and the staff.
5.1.4. Annual Conferences:

There should be a mechanism by which the head of the training centres

in the State, and the Director/or Deputy Director of Health and Family
Planning Services and Assistant Director of Health Services (Health
Education Bureau) meet once in a year and exchange experiences.

A second type of annual meet will be the convening of conferences of
the teaching faculty of all the training centres in the State for the
purposes of sharing experiences and planning for the future.

5.1.5. Food bnck into the Stalo Health Achrdnistration:
The training centre should take responsibility for (a) feeding of
the positive experiences arising out of the organization of the programme
in the field practice demonstration area to the State Government, (b)
redefining the job functions of various categories of health and family

planning workers at the Primary Health Centre level and urban level,
based on experiences and feeding them back to the State and (c) feeding

back the results of small scale studies conducted in the FPDA and which

have relevance to the programme implementation to the state level.
8

s: 8 ::
3.2. Programme Development
3.2.1. Responsibility for programme development:

In addition to their major responsibility in training questions

are often asked as to the extent to which the training centre staff

should take responsibility for development of programmes in theFPDA.

It is felt that the development of a model programme in the FPDA,
utilizing the normal staff for demonstration purposes will have to
be the shared responsibility between the trainers and the service
staff.

While the service staff of the area will be concerned with day-

to-day services, the multidisciplinary training centre staff will have

to take responsibility for guiding and helping the service staff in
developing programmes in their area.

Such responsibility may be

supportive and provision of necessary help in planning, implementing
and evaluating the programmes.

The major role of the training centre staff in programme develop

ment will thus he to provide leadership to the entire planning process
This planning

of the health and family planning programmes in the FPDA.

process should consist of initial planning, allocation ibf responsibility,
implementation of tho programme, devising control procedures, and
evaluation,

Such planning should also be continuous, should involve

people concerned with implementation, should be based on adequate
data and should also take place at various levels, viz., village level,

sectoral level and health centre level.

Occasionally, resources’ of the Primary Health Centres may have to
be supplemented.

These resources nay be either in the form of provision

of vbhicle, educational materials, conducting leaders camps etc.

Such

supplements have to be done by the training centre in order to build

close working relationship.

The training centre may also give additional

administrative support to the Primary Health Centre as and when indicated.

9

:: 9 :•
3.2.2. Training of field sta.ff?

The training centre will also have to identify the needs of training

for various categories of workers in the demonstration area.

Those

training programmes will have to consist of not only initial orientation
training, but also job oriented training, continuing training on the

job and organization of refresher courses as and when found necessary.

The initial orientation training should discuss the purpose and scope

of the FPDA and roles and responsibilities of the training centre staff
and the demonstration area staff and coordination measures.
3.2.3* Prograinne aspects at the block lovol and village level

Since the programme to be developed in the FPDA will have to be a
model one, incorporating a number of known principles which have been

found to be effective in improving programme performances, the training
staff will take the

responsibility to help the FPDA staff in incorpora

ting these principles into their programme methodology.

The emphasis will

be, however, on an action-research process because of the fact that these
principles will have to be modified to suit local conditions.

In

particular the training centre staff will help the FPPA staff’in incor
porating the following into their programme
3.2.4. At the block level

(i) Attention will have to be paid to:

(a) proper division of area among the various categories of workers.

(b) defining relationship among the workers
(c) setting up the necessary facilities for provision of clinical
services.

(d.) provision of residonce-cun-office type of accommodation for
each of the workers within their geographical area of work, so •
that the workers arc easily available to the, villagers.

(ii)

Arrange for a suitable training programme for the following categories
of workers:
(a) for the staff directly involved in the health and family planning
programmes.

10

:: 10 ::
(b) for the supportive staff of the o-fcher sister institutions like
community development department, education department etc.

(c) for Panchayat Union (Samithy) Council members.

(iii) Working out a detailed programmes for creating the necessary social
climate towards acceptance of health and family planning programmes,

This will include the mapping out the official and voluntary groups
in the area and planning educational sessions for them in a phased

manner over a period of one or two years.
(iv)

Evolving methodologies for co-ordinating health and family planning

programme with the activities of the community development agencies.
(v)

Help in organizing regular staff meetings at the Health Centre level.
The training centre staff may also participate and guide such staff

meetings.

The major emphasis for such staff meetings will have to be

on review of the programmes, identifying difficulties, evolving methodo
logies to solve the difficulties and planning for the future.
(vi)

Most significant and critical input at the block level is in the form
of supervision. The emphasis in supervision will have to be in providing

technical guidance to the field workers, helping them to prepare their
work plan, paying attention to their personal problems, channelling
services and supplies, providing educational materials and supply of
forms, registers, stationeries etc.

(vii) Establishing contact with the nearest hospital with a view to work out

a system of reforal services.
(viii) The ultimate co-ordination between the training centre and service staff

of the FPDA will depend upon the relationship that individual members of

these agencies build up through mutual help,

The training centre may

set an example in this connection.
3»2.5» At the Village level

At the village level, the training centre staff may help the
service staff in demonstrating the effectiveness of the following:
(i)

Combined and co-ordinated efforts of the Health and family Planning
personnel, village level worker and village p/radhan for the promotion

of the health and family planning activities.
11

- 11 ::
(it)

Effectiveness of an organized approach in the village by initial
mapping of the village, pr .paring list of households, collection of

information on topography, socio-economic aspects, communication
facilities organizations etc., selective approach to the target

population based on priority,

Home visits to the target population

may be based on such a list.
(iii)

Involvement of interested and influential leaders for programme
development have been found to be of great success in many places in
India.

Each of the training centres may try to encourage this principle

in the planning of programmes in the FPDAs.

The possibilities and

effectiveness of such utilization will have to be- worked out by each
s centre depending upon the local situation.

Each centre may have

to addpt the knovm methodologies for identification of local leaders
to suit-local circumstances.

(iv)

The effectiveness of training and utilizing the village leaders for

promotion of health and family planning programme.

Such training will

have to be oriented to improve their knowledge on the need and

methods for promotion of health, define their roles in programmes at
the village level and also planning programme for the village.

Since

the duration of such camps vary with the places, each centre will try

to work out an optimum period for such initial training.
(v)

The effectiveness and utilisation of women leaders for health and
family planning programmes.

(vi)

It has been found that the various educational approaches like mass
media, group approach and individual approach, have each a role to

play in the educational programme.

Emphasis on the utilization of

these approaches singly or in combination depending upon the local
circumstances and stage of the implementation of the programme, may
have to be worked out.

12

I

:: 12 : *(vii)

Effectiveness of involving all personnel concerned with the implemen
tation of the programme in planning the programme itself.

(viii)

Adjusting the programme within the village to suit the convenxcniSe

of the local population taking into consideration factors like
agricultural season, festival days etc.

This has to apply to organiza

tion of education sessions, leaders training camps and service camps.

(ix)

Evolving a satisfactory recording system for the work done in the
village has been found to be quite crucial.*.

Mnny centres have evolved
typical village registers in this regard and use effectiveness of such
registers will have to be demonstrated in the FPDA.

(x)

Attention to evaluation of educational and service inputs at village

level is also necessary.

Such evaluation should be continuous and

used for improving the programme.

The inputs in the form of individual

contacts, group meetings, mass media, and utilization of formal and

informal groups, may have to form part of evaluation.

Evaluation of

service inputs nay consist in assessing the coverage of the target

population in accepting the services.

3.2.6.

Special aspects of progranrie development in the UrbanJ?WA^
In addition to the demonstration of the effectiveness of the

above principles which might be common to rural and urban areas,

certain other broad guidelines may also have to be kept in mind in
the organization of programmes in the urban areas:-

(i)

Since inflow and outflow &f people is an usual feature in urban

communities, the target population register may need periodic

(ii)

revision;
The different administrative set up in the urban area and the existence

of various voluntary organizations which might be already involved in
the delivery of health and family planning services, may have to be

taken into consideration.

Special means of co-operation and co-ordia

nation may have to be worked out for maximum utilization of services

without overlap.

13....

:: 13.::
(iii)

To facilitate social support for the programme, educational activities

may have to be initiated through and with the help of the already
existing organized groups, viz. Mahila Manual, Residents Welfare
Association, Co-operative Societies, Cultural Organizations, Schools,
Labour Unions, Labour Welfare Contres etc.

(iv)

Since the decision-making process nay be mostly at individual level
in urban areas, more emphasis nay have to be laid on the individual

approach.

(v)

The area for the urban FPDA nay have to be clearly demarcated to
avoid duplication of efforts and for co-ordination with other agencies.

(vi)

The urban worker should have special skills in co-ordinating the work

of the various agencies working in the urban area.

Special skills may

have to be developed in urban workers to be capable of dealing with

occupational groups.
(vii)

Co-ordination and rapport-building need to bo developed with private

medical practitioners.

Both the private medical practitioners and

hospitals have to be actively involved.

(viii)

All efforts should be nade to provide an integrated health and family

planning services.

(ix)

The availability of the members of the community in their houses

should be kept in mind in fixing up the working hours for the urban
FPL A.

5.5.

Utilization of the FPDA for Training purposes:

There are different experiences on sequencing and phasing of
the orj’- and practice.

Sone feel that the trainee should be given an

opportunity to learn by trial and error and thus facilitate creativeness
and initiative among the trainees.

But the main limitation is that

while dealing with real life situation and people it is risky to
make mistakes and learn from them.

14

:: 14 :s

.Another experience which is conuxpnly found is to allot the field
practicals at the end after all theory sessions are over.

The idea is that

the trainee get a total picture and depth information before he goes to the

field.

This is found very useful with a linitation that there is a tine lag

between theory and practice and the Chances are more for trainees to forget

the concept and principles since it is not reinforced with field practicals.
A third way of sequencing which is followed in Gandhigran is to ha^e

theory and practice go hand in hand.

In this method the trainee is exposed

to theoritical concepts and principles followed inv.ediately with field

practicals.

The field practicals are carefully planned and followed by

f ield-fcork B«!ninar^ to relate theory and practice and share ©xp’oriencos. ■

(i)

This helps the trainees tc test out the concepts and principles learnt
and gain nore insight into then.

Though the values of this method are

unlimited it requires careful planning and sequencing of theory and
practicals and co-ordination with existing agencies to make it effective.

(ii)

The field training for the

different categories of workers can be

organized through demonstration visits and by providing actual
experiences for the various functions that thd trainees are expected

to perform after they get ^ck.

Details have to be worked out for each

category &f worker depending on their curriculum*

(iii)

The major responsibility for guiding the trainees in thefield will 'have

to be taken up by the staff of the training centre. Since training
will be a continuous process at the training centre, the' regular staff
of the FPDA cannot be expected to provide guidance to the trainees in
their field work on a continuing basis as this will affect their field
programmes.

amount

While the field staff may have to set apart a certain

of time for the demonstration visits arranged for the trainees

who have to have direct field experiences have to be undertaken by the
training centre staff.

It is a.lso reasonable to expect that the tradnees,

through thoir field work, will also be contributing to some extent to the

service inputs in the FPDA and this, together with the continuous help
that the field staff receive from the training centre staff should be

15

:: 15 ::
sufficient compensation for them to set apart some time for training programmes.

(iv)

B’efore every batch of trainees arrive at the training centre, staff

should discuss with the field staff about the type cf field experiences

to be provided to the batch.

The timing of the field experiences,

especially for the demonstration visit, should be so arranged that • it
will fit in with the normal working pattern of thestaff of the FPDA.

In cases where the trainees are to be given direct field experiences,
the selection of villages or wards for the trainees' work should be done
Even such selection may be so arranged that it fits in with
so that it might be possible for the regular staff
the regular programme of work of the FPDA staff/also to be present

jointly.

while
(v)

the trainees go to the village for their field work.

To bring about better co-ordination, the training centre staff should
provide opportunities for the field staff to be associated with the

class room teaching to the extent possible.

This can be done through

a system of appointing the FPDA staff as visiting faculty in the

training centre.
(vi)

Before the trainees are sent

to the field every time, a certain amount

of preparation should be done in the X class room, so that the trainees
are able to derive the maximum benefit out of the field visit. Before
every visit class room discussions should be held on (a) Purpose of the

visit (b) what the trainees will actually be observing or carrying out

in the field (c) whom to expect (d) the persons to contact in the village
(e) about the type of

information

that they have to collect in the

village and (f) the records and the forms they will use.

be a

There should

review on the achievement of the objectives after the trainees

come back.
To cite an example: Before a field visit to study the working of

a Health Inspector is organized, class room discussions should be
held on (a) job functions of the Health Inspector (b) area of operation;

(c) methodology of work (d) targets expected of him; (e) the way in which
the Health Inspector has to organize educational session and services and

(f) the facilities available to him at his level.
16

:: 16 ::

Apart from the preparation of trainees, the planning for every field

visit should also include the preparation of the faculty and staff of the
Primary Health Centre of Urban demonstration area. Such preparations are
to include (a) defining the objectives of the field visit (b) preparation

of a check list on what to observe or demonstrate (c) preparation of field
prior to visit including selection of area, briefing the field staff etc -

(d) assumption of responsibility to demonstrate various procedures in
field (e)‘ methods to observe trainees in action (f) provision for on-the—

spot guidance and (g) critical analysis of field visits.
(vii) Arrangements should'be made for the follovf up of the work of the trainees

after they leave.

The staff of the training

centre should check records

and reports prepared by the trainees and hand them over to the regular

staff of the FPDA for follow up.

It will be a good practice to organize

a combined session of the trainees and the field staff along with the

training centre staff at the completion of each batch of the training

where the trainees have been involved themselves in direct field work and
made some inputs in the village.

(yiii) The training centre staff will have to work out the type of field
experience that each cetegory of trainees will have to receive depending

upon the period of their training and the content of their curriculum.

'A model of field ecperiences for a long term course for Health Inspectors
and short term course for Health Visitors are annexed as 1 and 2.

This

may serve as a broad framework for developing similar guidelines for

other categories of personnel to bo trained at the training centre.
The items in the lists are not complete but are only suggestive.

3.4. Utilisation of the FPDA for simple studies:
Since the training centre staff is connerned with developing effective

field training methods and demonstrating the effectiveness of different
methodologies for programme development, the Faculty will have ample
opportunities for carrying out simple studies in those respects.

Apart

from contributing to the training and programme aspects, such studies will

help the staff in their own professional growth.

While it is not possible

17

:: 17 ::
to enumerate all possible studies that could be undertaken, a sample of

such studies are given below.

The staff will have to work out the metho

dology for each study.
5.4.1. Studies on Training:

- Nature, content and duration of field work for different categories
of trainees.
- A study on per capita cost of training
- Duration of the utilisation of a specific field area for field practice.
- Developing evaluation procedures and mechanisms for assessing the
skills acquired by the trainees during their field practice.
5.4.2. Studies on Programme:

- Extent and Nature of involvement of the Faculty of the training
centre in the development of the FPDA.
- Inter-disciplinary working relationship among (a) Trainers (b)
workers (c) Trainees and Workers.

- Minimum number of types of records and reports for field work in
(a) rural area (b) urban area.
- Diagnostic, service and follow up studies on different programmes.
— Role perception, role expectation and role performance studies of
the personnel involved in the health and family planning programme.

— Roles and expectations of leaders in the health and family planning
programme.
- Feasibility of leadership approach in an urban area.

- Effectiveness of the various channels of cummunication for programme
development.
- Identification of different sources of health and family planning
information and their relative effectiveness.

- Comparative study of uni-purpose and multi-purpose workers.
- Relative effectiveness of A.V. Aids
- Estimation of the current fertility levels in selected villages.

- Estimation cf the extent of vital statistics registration in the
selected villages in the demonstration area.
- Estimation of minimum service facilities that have to be made
available in the field demonstration area.
- Characteristics of adopters, rejectors and nonadopters of different
programmes.
18

:: 18 ::

4. STAFF DEVELOPMENT:

Most of the training centres are finding it difficult to recruit
staff with previous experience.

While each of the staff would bo

specialised in their own disciplines, the staff would have to develop
competence in applying the basis knowledge of their•disciplines to
health programme development.

The staff have to acquire skills in

both class room as well as field training methods.

Their very partici

pation in the development and. utilization of the FPDA will give them ample
opportunities for applying their knowledge to health and family planning

programmes and also assess the effectiveness of their teaching methods
through pre and post evaluation.

Thus thestaff will have opportunities

to continuously improve their own skills.

Since the training centre

staff are multi-disciplinary in nature and are operating as a team in

the promotion of programmes as well as for training of personnel, the
team work will help to develop in them the concept of inter-disciplinary

approach for health and family planning programme development and training.
These, in addition to the simple studies that will be undertaken by them
either individually or

jointly, will help to promote their own profes

sional development.

5.

EVALUATION AND FEEDBACK:

Since the entire philosophy of approach in developing the FPDA will
have to be on an action-research basis, continuous evaluation of both the
training and field programmes should be encouraged and the results fed

back to the health administrators for improving the programmes.
should be a continuous evaluation of the

There

entry behaviour and exit

behaviour of each of the categories of trainees and also their behaviour

on the job after their training is over and the results of this evaluation
should be utilised both for improving the curriculum and the training

methods.
There should he a continuous revision of the job functions of the
various categories of personnel based on the experience arising out cbf

the working of the FPDA and this, should be further utilised to improve
the curriculum.

AN N E XU R B - 1,

Suggested experiences to be provided in a one year Sanitary I'n^-pector* s Course:

liethod ■

Broad areas and Experiences

Time

1. Observation and Study:

Observation and discussion
with PHC & Block Staff.

a. Organisation, set up and function
of various personnel at the PHC
and Block.

b. How they plan, iMplement and
evaluate the programmes.
c. What are the problems and how
they solve such problems.

d. Records and returns maintained by
the various personnel.

5
5
5

J
I

2. Survey:
a. Preparation of map of the area
selected.

1 day

1 day

-Do-

Field practice in the popu
lation assigned.

10 days.

b. Collection of information for
identifying various health problems
and study of vital statistics.

c. Study of the community and its
characteristics
d. Study of intergroup relationship.

e. Identification of target population
for various health programmes.
f. Study of leadership pattern.

g- Identification of the channels of
c ommuni cat ion.
h. Conducting pre 1 imine.ry meeting for
leaders to plan for leaders training camp.
3. Analysis of data:
Class room
a. Analysis, tabulation and inter
Laboratory.
pretation.
b. Preparation of charts and diagrams.
c. Preparation of target population for
different programmes.

5 days.

d. Preparation of sociogram.

2. .. .

1

ANNBXURE -I.:: 2 ::
Method

Broad areas and experiences

Time
- - -ft

4. Training of leaders:

a. Preparation of agenda for
training camp.
b. Arrangements for training camp.
c. Conducting the training camp.

Active participation with
staff.

1 day

d. Fixing priorities and responsibilities.

5. Inplernentation of the educational and
service aspect of health programmes:

a. Mass education through films,
public meeting, etc.

Field practice in the popu
lation assigned.

l-J- or 2
days in
a week
regularly.

b. Conducting educational session
for organised groups in the
community.

c. Hone visits for education.
d. Arrangement for providing the
health services such as immunisation,
latrine construction, nutrition,
MCH care, family planning etc.
e. Follow-up services.
6. Special service nro^ranmes:

a. Mass vaccination for smallpox.

Field practice in the popu
lation assigned.

6 days
for any one
of the
programme.

b. Mass inoculation for cholera
c. Mass campaigning for Family
Planning.

Note: This experiences exclude observation visits to water supply, sewage,
dairy, Food establishments, slaughter house etc.

ANNEX U R E - 2.

Suggested experiences to be provided in a short orientation Course__for Lady
Health Visitors in Family Plannings
Method

Broad area and experiences

1. Study of ingoing programme:
a. Study.of the function of PHC and
Block personnel in Family Planning.

. Time

Observation and dis
cussion with PHC &
Block Staff.

1 day.

Field practice in the
assigned population.

2 days.

b. Methodology of work.
c. Study of workplan.
d. Study of records and reports.
e. Study integration of Family
Planning with MCH Programme.

f. Organization of service camps.
g. Followup procedures.
2. Survey:

a. Preparation of Map.

b. Study of the community and its
dimentions.

c. Identification of women leaders and
Dais.
d. Preparation of eligible couple register.
c . Identification of an te-natal and post
natal cases.and programme aceptors.
3. Training:
a. Preparation of agenda for women
leaders’ and Dais’ training camp.

b. Preparation of teaching points
in Family Planning.
c. Arrangements for training camp.

d. Conducting training crunp.
e. Selecting women depot holders.

Active partici.pation
with staff.

1 day.

ANNEXURE - 2..
:: 2 ::
Broad area and experiences

Method

Time

4, Educational Activities:
a. Conducting group discussion.

Field practice in the
population assigned.

A Minimum
of 3 to 4
visits.
F

b. Home visit for motivation.
' c. Utilisation of A.N.C. & P.N.C.
for education on Family Planning.

d. Use of A.V.Aids in such occasions.

5. Service and follow up:
a. Setting women depot holders.

Field practice in the popu
lation assigned.

1 day

b. Organising small IUCD camps.

c. Providing followup for acceptors.

6. Records and returns:
a. Preparation of charts

Practice

Concur
rent .

Observation

_L day.

b. Maintenance of daily diary.
c . Preparation of plan of work.
d. Preparing field work report.
7. Staff Meeting:

Preparing check list for review of
ANM’s work.

7s.v.j./ 17. ?L-.-’7377

2

*

/

I

I

ANNEXUREs

VIII

ORGANISATION - SERVICES - STAFF AND FACILITIES FOR PRIMARY HEALTH
CENTRE (1,00,000 population)

t

•1 Sub-centre for 5,000 population (« 20 subcentres)
1 Intermediate
4 subcentres
i.
-- -------- station for
.... -r
_L.e.,20,000
population at the first supervisory level
(.• 5 intermediate stations)

[Based on the recommendations of the
Kartar Singh Committee Report and
deployment of multipurpose workers]

1 Supervisory team for z] sub cent res (.<> 5 intermediate- stations)
PRIMARY HEALTH CENTRE

Services
1* The basic health services
will be provided

2. Act as a referral centre
for the intermediate
stations.
Special clinics will be
organised based on needs
Mobile Dental Clinic*

5* Lab. and X-ray facilities

VK<

Staff

Facilities

Remarks

Senior Medical Officer
- 1 vehicle jeep (Diesel)
i)One of the
(Specialist Grade) will act - 1 Mobile Dental Van
intermediate
as overall administrator and - 1 Ambulance
stations will
coordinator for all activi - Laboratory facilities
be located at
ties being carried out at
- X-ray facilities
the same place
the Primary Health Centre.
- O.T. facilities
as the Primary
- Building for PHC with
Health Centre.
Compounder
- 1
10 beds
Sanitary Inspector
- 1
- Residential accommodation ii)The upgraded
PHC will have
PHN Supervisor
- 1
for staff
additional
Lab. Technician
- 1
- Garrage for vehicles
staff and
Ext. Educator (Male)
-1
- Hostel for interns
facilities
.
Ext. Educator (female) - 1
Computer
-p
Clerk
_i
Storekeeper
. - 1
Driver
_ p
. Auxiliary
-p
Health Educator
-1
Radiographer
-1
Dental Surgeon
-1

•-

INTEWTjIATE STATION (5)

Services
The intermediate station
may be considered as an
upgraded sub centre where
besides the routine
services offered by a sub
centre, some additional
facilities are being
provided so as to bring
comprehensive health
care closer to the people.
These additional fecilties
areg
... .
- Special clinics
- Referral from other
subcentres.
- Minor operations
including vasectomy.
- Indoor observation of
patients.
~ Laboratory services
~ School Heclth

Staff

Facilities

Remarks

7

'Medical Officer - 1 (Male)
GDMO II
1 (Female)
Supervisor
2 (1M+1F)
O.T. Assistant
1
Nur s e
1
Clerk
1
Driver
- 1
Dispenser
1
Su e ep er
1
Chowkidar
1
Lab. Assistant
1
Ancillary
1

- 1 vehicle jeep (Diesel)
Intermediate
Mopeds/cycles - to
station will
provide mobility to
be housed in
supervisory staff
the same
- O.T. facilities (for
village as
minor operations) and
one of its
Ve sectomy
subc entre•
- Lab. facilities
- Sterilization facilities
- Equipment for the MCH
centre.
~ Building for intermediate
centre.
- Residential accommodation
for all staff posted there.
- Carrage for vehicles
- Residence for interns

I

NOTEs The main Medical Officer w-ill have the overall administrative
charge of the intermediate, centres and will act as a coordi
nator and will offer guidewee and -supervision to the interns
placed at this centre and the subcentre. The Lady Medical
Officer will be the overall incharge of MCH, F.P. Nutrition
and school health activities.
SOTCENTRE (20)

MCH, F.p. and Nutrition

MPW (Female)

Minor ailments

MPT/ (Male)

4
4

Health Education

Attendants (Female)
(trained Dais)

4

Control of Communicable
Diseases «
Environmental sanitation

a) Subuentre building with a
minimum of three rooms including
one dispensing room.
b) Residential accommodation for
the staff stationed at the
subcentre•
c) Drugs and equipments,
d) Nutritional supplements.

Collection.of Vital Statistics
c g-g

o g-g

o

g-

a

.->VJ
i-

KSP?

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A GUIDE FOR PATIENTS, FAMILY MEMBERS AND
COMMUNITY CAREGIVERS
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CONTENTS

HOWTO USE THE BOOKLET

4

PREVENTING PROBLEMS IN ALL PATIENTS
KEEPING CLEAN

6

PREVENTING BEDSORES IN BEDRIDDEN PATIENTS

8

PREVENTING PAIN IN MUSCLES AND JOINTS

9

PREVENTING DIFFICULTY IN PASSING STOOL (CONSTIPATION)

11

PREVENTING MALARIA...........................................................

11

ADVICE FOR PATIENTS WITH HIV/AIDS

12

HOWTOPREVENTOTHERINFECT1ONS

16

MANAGING SYMPTOMS

FEEDINGAND MANAGINGWEIGHTLOSS

18

WHEN THE SICK PERSON VOMITS OR FEELS LIKE VOMITING (NAUSEA)

19

PAINFUL MOUTH ULCERS OR PAIN ON SWALLOWING .........................

20

DRYMOUTH

21

DIFFICULTLY IN PASSING STOOL(CONSTIPATION)

22

DIARRHOEA......................................................

23

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C0NTR0LLINGPA1N0RHEADACHE

25

ORAL MORPHINE

27

ITCHYSKIN

29

TREAWIENTOF BEDSORES

31

COUGHAND DIFFICULTYBREATHING

32

TREATMENTOFHICCUPS

34

HELP WITH WORRIES AND FEARS

35

TROUBLE SLEEPING

36

. CARE FORTHE SICK PERSON WITH CONFUSION

37

ARVTREATMENTSUPPORT
TBTREATTMENTSUPPORT

40

BURNOUT

42

PROVIDING EMOTIONALSUPPORT NEARTHE END OF LIFE

43

GRIEVING AFTERTHE LOSSOFALOVED ONE

44

PREPARING FOR DEATH

46

TAKING CARE OF CHILDREN WHOSE PARENT IS NEARTHE END OF LIFE

47

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HOW TO USE THE BOOKLET

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The Caregiver Booklet is designed to help patients,
family members, and community caregivers in the
home-based care of serious long term illness. Home
care is best for many people with long term illnesses,
including those who are close to the end of life. All
patients being cared for at home should be first
assessed and treated by a health worker, who will
help caregivers provide high quality home care and
ensure that medicines are taken correctly.

This booklet explains how to:

1. Deal with specific symptoms.

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2. Provide care for terminal and bedridden patients at
home.

3. Decide when to seek help from a health facility.
The booklet should be given to the patient or caregiver
and its contents explained by a nurse or community
worker.

The first section of the booklet covers ways to prevent
problems from occuring and should be followed in all
patients. The second section explains how to treat
specific symptoms that may occur.
Look at the illustration and read the text, or ask someone
to read it for you. If anything in the booklet is not clear,
ask for further explanation from the health worker. In case
of problems not explained in the booklet, seek help.

For any °fthe more serious problems,
marked with a drum, you should seek help
from a trained health worker.

4

PREVENTING PROBLEMS
IN ALL PATIENTS

Never Give Up

KEEPING CLEAN
• Mouth and teeth cleaning should be done after meals. The
caregiver can assist if necessary.
• Use a toothbrush or stick to gently scrub teeth, tongue and
gums to remove food.

A tooth cleaning stick and tooth brush
• Bathe daily with soap and water.
• Ensure privacy during bathing.

Bed bathe the sick person if he or she is
unable to bathe alone
• The sick person can wash his or her own private parts while
able. When this is not possible, the sick person should
choose the caregiver who assists.

• Wash the sick person’s clothes and beddings frequently.

• Dry the skin gently with a soft towel after bath.
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• Oil the skin with cream, body oil, lanolin or vegetable oil.

• Use plastic sheets under the bed sheets to keep the bed dry
in case of loss of control of urine or faeces.
• Massage the back, hips, elbows, and ankles with Vaseline.
• Ifthere is leakage of urine or stool, protect skin with
Vaseline applied around private parts and rectal area.
• Support the sick person over the container when passing
urine or stool, so as to avoid soiling the bed or injury to the
sick person.

• Spread beddings out regularly in the sunshine.
• Finger nails and hair should be kept short, as long nails can
hold germs and damage the skin.

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Caregiver cutting the nails of a patient

7

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PREVENTING BEDSORES IN BEDRIDDEN PATIENTS

Remember that prevention is always better than cure, therefore:
• If possible, help the bedridden patient sit up in a chair from
time to time.

• Lift the sick person to change position in bed -do not drag
as it breaks the skin.

• Encourage the sick person to move his or her body in bed
whenever possible.
• Change the sick person’s position on the bed often-if
possible, every one ortwo hours, using pillows or cushions
to hold the position.

• Keep beddings clean and dry.
• Look for damaged skin (change of colour) on the back,
shoulders and hips everyday.

• Put extra soft material, such as a soft cotton towel under the
sick person.

Change the position of the sick
person in bed every 2 hours.
Points on the body
where the patient is
likely to get bedsores
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PREVENTING PAIN IN MUSCLES AND JOINTS

Due to long periods of inactivity and lack of exercise, the sick
person may suffer stiff joints and muscle fatigue.
• Encourage the sick person to get out of bed if possible.

• Encourage the sick person to move in bed.
• Regularly massage the sick person with Vaseline or oil.
• Encourage exercise at least twice daily and help with
movement of ankles, knees, hips, wrists, elbows, shoulders
and neck (both sides).
• Hold the limb above and below the joint while moving it.
Support as much of its weight as you can.
• Bend, straighten and move joints as far as they normally go.
Be gentle and move slowly without causing pain.

• Stretch joints by holding as above but with firm steady
pressure.
• Exercise the wrists: Bend wrists gently and slowly without
causing pain. If you want to stretch, apply pressure bit by bit.
Repeat the
1
2
exercise several
times.
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• Exercise the elbows: Gently lift’the forearm up and down.
Repeat the exercise several times.
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• Exercise the shoulders: Gently lift the arm up and bring
the hand above and behind the head. Move the arm side to
side. Repeat the execise several times.
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• Exercise the knees: Gently bring the knee up and to the
side. Repeat the execise several times.

In all cases, let the sick person do as much as he/she
can do. Help when the sick person can’t perform the
exercise on his/her own.

10

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PREVENTING DIFFICULTY IN PASSING STOOL
(CONSTIPATION)

Prevent constipation:
• Offer drinks often.
• Encourage fruits, vegetables or porridge.
• Encourage exercise if possible.

PREVENTING MALARIA

I
• Sleep under an insecticide treated mosquito net
(for example K-O net, Smartnet).
• Close windows early in the evening.

11

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ADVICE FOR PEOPLE WITH HIV/ AIDS
Transmission in the home

HIV/AIDS is transmitted through close contact:
• unprotected sexual intercourse with an infected person

• from an infected mother to her child during pregnancy,
delivery and breastfeeding
• direct contact with the blood or body fluids of an infected
person.
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How HIVspreads

Sexual transmission
• HIV can be passed on through unprotected sex with an
infected person.
• However, even when you are HIV positive, having sex is OK
if you and your partner agree. Remember to always use
condoms even if both partners are HIV positive.

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Always use condoms

• Discuss sex and condoms openly with your partner.
• Neither partner should be forced to do something he/she
does not want to do.
12

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From the mother to her child

• If you or your partner is HIV positive, your unborn baby may
get infected.
• Discuss the decision to have children or not with your partner.

A Counsellor

• If it is difficult to talk to your partner alone, consider seeking
help from a counsellor.
• If you decide not to have a baby: ask a trained health
worker about family planning.
• If you decide to have a baby or are pregnant already:
There are drugs to take that can reduce the risk of passing
HIV to your baby. Discuss this with a trained health worker.

• You need to take these drugs before delivery. During
pregnancy, keep using condoms every time you have sex to
protect against passing on HIV.
• An HIV-infected mother can transmit the virus to her baby
through breastfeeding. Discuss infant feeding options with
a trained health worker.

13

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Blood and body fluid contact.
• Do not share anything sharp that can pierce
the skin and come in contact with blood
such as a toothbrush, razor or needle.
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Be careful of sharp objects

Clean spills

• Clean up spills of blood and other body
fluids, always wearing gloves or plastic
bags (kaveeras) to protect hands.

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• Avoid direct contact with open wounds of
the sick person. If contact occurs, wash
Cover wounds
immediately with soap and water.

• Keep wounds of patients AND caregivers
covered with plastic, such as kaveera or
gloves.

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• Keep patient’s laundry separate from
other laundry if blood, stool or other body
fluids on it. Continue to wash, hold an
Separate stained
unstained corner, rinse off the blood,
laundry
diarrhoea or other body fluids with water,
then wash in soapy water.
• Wash your hands with soap and water
after contact with body fluids or laundry.

• Dispose of things used for cleaning, like
cotton wool or toilet paper, in a bin with a
Wash your hands
lid. Later, burn or bury this rubbish or
dispose of it in a pit latrine. 14

Never Give Up

Wear gloves, or two kaveeras (polythene bags)
when handling body fluids or dressing wounds
HOW TO PREVENT OTHER INFECTIONS

• Use safe drinking water-drink boiled water or tea when
possible. Store water in container which prevents
contamination (use spigot, do not dip hand or used cup into
the water).
• Eat well-cooked food.
• Wash fruits and vegetables very well.
• Avoid people who have cold, flu, herpes zoster, or chicken
pox.
• Practice good hand washing after using toilets, before
preparing food, after sneezing or coughing, after touching
genitals, after touching garbage or working in the fields.

• If possible, apply a local antiseptic to wounds after washing.
15

MANAGING SYMPTOMS

17

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FEEDING AND MANAGING WEIGHT LOSS
• Encourage the sick person to eat, but do not use force as
the sick person may not be able to accept the food and may
vomit.
• Offer frequent, smaller meals of foods the sick person likes.

Commonly available foods
• Let the sick person choose the foods he or she wants to eat
from what is available.
Seek help from trained health worker if you notice
rapid weight loss or if the sick person consistently
refuses to eat any food, or is not able to swallow.

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WHEN THE SICK PERSON VOMITS OR FEELS LIKE
VOMITING (NAUSEA)
If the sick persons feels like vomiting:

• Seek locally available foods that the patient likes (tastes
may change with illness) and that cause less nausea.
• Offer frequent small foods such as roasted potatoes,
cassava orgonja.

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Give the sick person something smdll to eat

• Offerthe drinks the sick person likes, such as water, juice or
tea. Take drinks slowly and more frequently.
• There are some effective and safe local remedies like
licking ash from wood.
• If possible, avoid strong odours and cooking close to the
patient.

Seek help from a trained health worker for
vomiting lasting more than one day, dry tongue,
passing little urine or abdominal pain.

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PAINFUL MOUTH ULCERS OR PAIN ON SWALLOWING
If the sick person has mouth ulcers, seek the help of a health
care worker. In addition, you can try the following:
• Avoid extremely hot or cold or spicy foods.

• Remove bits of food stuck in the mouth with cotton wool,
gauze or soft cloth soaked in salt water.
• Rinse the mouth with dilute salt water (a finger pinch of salt
in a glass of water) after eating and at bedtime, or with a
half teaspoonful of baking powder (sodium bicarbonate) in
a mug of water (500 ml) if there are white patches in the
mouth (thrush/candida).
• Use a soft tooth brush or stick to remove debris.

• Where available, mix 2 tablets of aspirin in water and rinse
the mouth up to four times a day.

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Mix two aspirin tablets in a glass of water and
rinse the mouth with the solution
• Give soft foods, such as cold milk, porridge, potatoes or
honey depending on what the sick person feels is helpful.
• If possible, avoid strong adours and cooking close to the
patient.

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..

Seek help from a trained health worker if no
response to home treatment, persistent sores,
smelly mouth, white patches or difficulty
swallowing.

DRY MOUTH

• Give frequent sips of drinks.

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• Moisten mouth regularly with water.

• Let the sick person suck on fruits such as pineapple, orange
or passion fruit.
Seek help from a trained health worker if dry mouth
persists.

21

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DIFFICULTLY IN PASSING STOOL (CONSTIPATION)

• Do exam for rectal impaction (always wear gloves).
Check for rectal
impaction

• Encourage movement and exercise if possible.
• Use local herbal treatment: for example, crush some dried
paw paw seeds and mix half a teaspoon in water and give to
the sick person to drink.

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seeds

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Mix in water and
give to drink

• Take a tablespoon of vegetable oil before breakfast.
• If stool is hard and will not come out, sit in a basin of water,
or gently put Vaseline or soapy water into the rectum. The
caregiver can help, always remembering to use gloves.

help
Seek hel
P from a trained health worker for pain or
W difficulty in passing stool when home remedies do
not work.
22

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DIARRHOEA

To help someone with this condition do the following:
• Give the sick person frequent dripks in small amounts:

- water
- rice soup

- other soups
- porridges

• Encourage the sick
person to drink the
above fluids as
much as possible.

Give the sick person
frequent drinks

• Avoid very sweet drinks and alcohol.
• Make oral rehydration solution (ORS) and
give as a drink frequently.

1 litre
23

1 cup

Never Give Up

,

• Encourage the sick person to continue eating.

Care for the rectal area:
• After the sick person has passed stool, clean rectal area
with toilet paper or soft tissue paper.
• Wash the rectal area when necessary, with soap and water.
• If the sick person feels pain when passing stool, apply
Vaseline around the rectal area.

. ..

g Seek help from a trained health worker for any of
the following:

- vomiting with fever
- blood in the stool

- if diarrhoea continues for more than 5 days
- if patient becomes even weaker
- if there is broken skin around the rectal area

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CONTROLLING PAIN OR HEADACHE
Pain is common and can be relieved:
• For mild pain in adults - use paracetamol (Panadol) 2
tablets every 4 hours, and aspirin or ibuprofen at night.

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2 paracetamol
Early Morning

2 paracetamol
Mid Morning

2 paracetamol
Mid Afternoon

2 paracetamol
Evening

2 aspirin
Night

• For pain that re- occurs regularly after regular doses of
paracetamol, add aspirin or ibuprofen in between doses of
paracetamol and give aspirin or Ibuprofen at night.
2 paracetamol

2 paracetamol

2 paracetamol

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2 paracetamol

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Early Morning

Mid Morning

Mid Afternoon

Evening

Night

2 aspirin

2 aspirin

2 aspirin

2 aspirin

2 aspirin

Note: All pain killers must be given after meals or a snack.
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• In addition to giving medicine, talking to sick people and
playing soft music can help them relax.

• Avoid things that make pain worse; for example, if a
dressing is stuck to a wound, soak it in clean water before
removing.
• Move the sick person with care.
Seek help from a trained health
for more
------- worker
—
severe pain. Pain control is possible.

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ORAL MORPHINE

Oral morphine is a strong pain killer. If you have been
prescribed oral morphine, follow these directions. Oral
morphine should be taken:

• by the sick person
• by mouth
• by the clock (regularly by the sun/ moon, or radio,
approximately every 4 hours).

The dose should be as prescribed.
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Without the needle,
draw the prescribed dose
of morphine in a syringe

Pour morphine into
a small cup
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Drop the liquid from the
syringe into the mouth

Pour the remaining morphine
into the bottle

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• Take doses regularly, every 4 hours during the day with a
double dose at bedtime.
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• Give an extra dose if pain comes back before the next dose
is due.
• Do not stop morphine suddenly.
Side effects that may occur and simple solutions.
• Nausea: It usually goes after a few days of starting oral
morphine and does not usually come again.

• Constipation: it always occurs. Always give preventive
local remedies such as dried paw paw seeds or a laxative
such as senna at night (see above).
Never give a laxative if the patient has diarrhoea. Morphine
will help reduce diarrhoea.
• Dry mouth may occur: give sips of water (see above).

• Drowsiness : may occur in the first-few days after starting
oral morphine, but do not stop the morphine as the
drowsiness usually goes away. If drowsiness lasts more
than a few days, halve the dose.
Inform the health worker if:
• The pain is getting worse or you gave an extra
dose.
.....

• Drowsiness comes back or you had to reduce
the dose.
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ITCHY SKIN
Itchy skin is very common. It can be due to infections or the body’s
reaction to morphine.

You can help the sick person get some relief by trying any of
the following:
• Cool the skin or fan it.

• Avoid heat and hot water on the skin.
• Avoid scratching, which causes more itching and
sometimes infection.

Do not scratch.
Cut finger nails short and keep them clean to avoid
infection.
• Use cool cloths soaked in water.

• Apply aqueous cream, or Vaseline on the itching part of the
body after a bath before drying.
• Put one tablespoon of vegetable oil in 5 litres of water when
washing the sick person.
• Rub the itchy skin with cucumber or wet tea bags (or tea
leaves put in a clean piece of cloth and soaked in hot
water).

29

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Tea /eaves soaked in hot wate,
•r are good for itching.
■

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30

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TREATMENT OF BEDSORES

•

You can do the following to soothe the pain of bedsores and
speed up the healing process:

• For small sores, clean gently with salty water and allow to dry.

For bedsores that are not deep, leave the wound open to
the air.
For pain, give pain killers such as paracetamol or aspirin
regularly.
• For deep or large sores, clean gently every day with salt
water, fill the bedsore area with pure
honey or with ripe paw paw flesh
and cover with a clean light
dressing to encourage
healing.
Applying ripe pawpaw
flesh to the bedsore
may help

• For bloody or smelling sores
put on enough crushed
metronidazole (Flagyl)
tablets to cover the area.

Treatment with honey

gg Seek help from a trained health worker for any
discoloured skin or bedsores getting worse.
31

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COUGH AND DIFFICULTY BREATHING

For simple cough, local soothing remedies such as honey and
lemon can help. Make a lemon juice-lemonade sweetened with
honey.

• Use local remedies e.g.
steam with menthol or
eucalyptus leaves.

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Honey and lemon

In addition to the treatment
given by health worker:
• Help the sick person into the position that eases
breathing; usually sitting is best.

• Leaning slightly forward resting arms on a table
may help.
• Use extra pillows or some back support.
• Open windows to allow in fresh air.

• If it is hot, you may fan with a newspaper
orclean cloth.
• Give patient water frequently
(it loosens sputum).

Hit the sick person on the back and chest to loosen sputum
and make it easier to cough.

Seek help from a trained health worker if the sick
person has difficulty breathing, pain in the chest,
cough lasting for more than 2 weeks or bloody
sputum. The health worker will check for TB or other
chest problems. Make sure TB sputum is sent if new
cough for >2 weeks.
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Safe handling and disposal of sputum

• Handle sputum with care to avoid spreading infection.
• Use a tin with ash or sand in it for the sputum, then cover it.

Use a tin for spitting and cover

Empty container in a pit latrine and wash with detergent
such as JIK or OMO or clean with boiled water.

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TREATMENT OF HICCUPS
Hiccups can be distressing; treat the problem by trying the
following:
• Quickly drink cold water.

• Quickly eat two heaped teaspoons of sugar.

• Rub with a clean cloth inside the top of the mouth - feel
towards the back, where the top of the mouth becomes soft.
• Breathe into a paper bag, stopping when you feel
uncomfortable.
• Hold your breath, stopping when you feel uncomfortable.

• Pull knees to the chest and lean forward (compress the
chest).

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HELP WITH WORRIES AND FEARS

• Take time to listen to the sick person.
• Discuss the problem in confidence.

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Take time to listen to the sick person
• Providing soft music or massaging may help the sick
person to relax.
• Pray together if requested.

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Seek help from a trained health worker if the sick
person is abnormally sad, cannot sleep, shows loss
of interest or threatens to kill themselves.

35

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TROUBLE SLEEPING

• Listen to the sick person’s fears, which may be keepinq
them awake.

• Reduce noise where possible.
• Do not give the sick person strong tea or coffee late in the
evening.

• Give treatment for pain if present.
• Give a comforting drink at night.

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CARE FOR THE SICK
PERSON WITH CONFUSION

Patients with confusion may show
the following signs:
• forgetfulness

• lack of concentration
• trouble speaking or thinking

• frequently changing mood
• unacceptable behaviour such
as going naked and using
bad language

Unacceptable behaviour

• As far as possible, keep the
patient in a familiar environment.

• Keep things in the same placeeasy to reach and see.
• Keep a familiar time pattern to
the day’s activities.
• Remove dangerous objects.

• Speak in simple sentences,
one person ata time.
Remove dangerous
objects

• Keep other noises down (such as
TV, radio).
Make sure a familiar and trusted caregiver is present to look
after the sick person.
• Take gradually more control of the medicine.
• Provide comfort for the sick person.
37

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• Avoid confrontation (arguing).

• Do not say or do things that could upset the patient since he/
she might still be able to understand.
• Use gentle reminders of place and time.

Seek help from a trained health worker if this is a
new confusion or the sick person becomes violent,
or for any condition not improving and causing
distress.

38

ARV TREATMENT SUPPORT
To be adapted in countries

39

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TB TREATMENT SUPPORT:

• ^sneeze?

Pe°Ple When someone with TB coughs

• It is important for a TB patient to take all TB drugs reqularlv
on schedule for the full duration of the treatment prescribed
Otherwise, the disease becomes incurable.
• Prevent spread of TB by;
- Making sure patients take all treatment and are cured of
I D.

Making sure patients cover mouth and nose when
coughing or sneezing.

• As a caregiver supporting TB treatment you will:

Link with health worker responsible for the TB
treatment.
- Provide the support, advice and encouragement that
the patient needs in order to complete the treatment.
This involves:

’ Watch

patient swallow the right TB drugs each

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Encourage patient to continue TB treatment.

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- Make sure there is always a
for the patent.
- -^PP'yofdrugsavallable

- Refer the patient to the health facility if there are
problems. If possible, take the patient to the health
’ *f P+aJien2 'S n0t able’ arran9e for the sputum to
be taken at the health centre.
- Make sure the patient goes to the health facility when
a follow-up sputum exam is due.

’ In
dIU9f may haVe Side effects- Discuss side effects
so the patient can tell you if any of these signs appear:
If the person has nausea and no desire to eat
reassure and try giving drugs with food or porridge.
' ^oran9e/red urine appears, reassure the patient that
this is a normal effect of the drug. Nothing needs to be

.nember that you should help avoid the spread of TB to
family and community members.
■

Seek the help of a trained health worker if patient
has joint pain ora burning sensation in the feet. If a
new skin rash, itching, yellow skin or eyes
repeated vomiting, deafness, dizziness, or’eyesight
problems occur, STOP treatments immediately and
then seek help from a trained health worker or take
the patient to the health facility .

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BURN-OUT

Burn-out is caregiver exhaustion. It can cause:

Irritability, poor sleep, fatigue, poor concentration,
emotional
numbing, lack of joy, alcohol ordrug use.
You should:
• Discuss this problem with others caregivers, family
members and friends.

Divide care tasks into manageable parts (small acts of
care).

• Find somebody who can regularly replace you for periods of
Do something outside the home, such as joining social
gatherings, visiting friends, going for a walk.

• Take care of your own health and take time to rest.

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PROVIDING EMOTIONAL SUPPORT NEAR
THE END OF LIFE
• Be aware that the sick person may go through a range of
reactions from anger and fear to sadness and acceptance.

• Learn to listen, showing that you understand and feel what
the sick person is going through..
• Be sensitive-the sick person may be thinking about losing
family and friends soon, and may want to talk about this.

• Listen to the concerns of the sick person, counsel and give
emotional support when needed.

• Encourage other family and community caregivers to do the
same.
• Discuss worrying issues such as custody and support of
children, school fees and funeral costs.

• Arrange for spiritual support if asked
(respect the will and faith of the
person, even when converted).

Pray together if requested

• Do not take the belongings of
the sick person for your
own benefit.

Seek counseling for the
caregivers and loved ones

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GRIEVING AFTER THE LOSS OF A LOVED ONE
Mourning and grief after the death of a loved one

Mourning is the natural proces of accepting a major loss:
• It may last months or years.

• It may include religious events or just being with friends and
family to share feelings about loss.
• It is very important that you express grief. Feeling sadness
is a part of continuing to live.
Grief may cause physical symptoms or emotional reactions:

• Stomach pain or upset.
• Loss of appetite.
• Sleep disturbances.

• Tiredness or loss of energy.

• Worsening of other illness.
•Worry or panic.

• Depression or thoughts of suicide.

Living with grief
It is natural to experience grief when a loved one dies and
there are many ways to cope with pain. You might want to:

• Seek out caring people: Find relatives and friends who
can understand your feelings. Join support groups with
others who have had similar losses.
• Express feelings. Tell others how you are feeling.

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Never Give Up

• Take care of your health. You should try to stay healthy,
eat properly and get plenty of rest. Be careful not to develop
a dependence on medication or alcohol to deal with grief.
• Accept that life is for the living.

Hold off on major life changes. Wait to make any major
changes, such as moving, remarrying, changing jobs or
having another child, until you have time to adjust to your
loss.
Be patient. It can take months or even years to grieve.

• Seek help when necessary. Getting help for grief is a sign
of strength, not weakness.
Looking to the Future

With support, patience and effort, you will survive grief. The
pain will lessen with time, leaving you with important
memories of the person you have lost.

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Never Give Up

PREPARING FOR DEATH

Be compassionate, and be willing to talk about the concerns
of the patient (see “Providing Emotional Support” above).
Provide physical contact, such as holding hands.

Provide care:

• Talk with the health worker about stopping some medicines.
• Keep giving pain killers. Make sure pain is controlled even if
sick person is unconscious.
• Treat fever.

• Control symptoms to relieve suffering with diarrhoea
medicine or antibiotics.
• Continue TB treatment to avoid spreading the disease to
family members.
• Moisten lips, mouth and eyes.

• Keep the sick person clean and dry.
• Give skin care and turn the patient every 2 hours or more
frequently.

• Eating little is OK when near death.
• Call a religious leader if the sick person asks.
If it is a child who is near the end of life:

• Be willing to talk and answer questions.

• Help the child feel loved and not alone.
• Ensure that family members are around to play when the
child is able.
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Never Give Up

TAKING CARE OF CHILDREN WHOSE PARENT IS
NEAR THE END OF LIFE

• Children need to talk about the loss of their parents. If you
don’t talk to them, they may suffer more later.

• Talk in a simple and direct way so that they can understand.

Children who have a parent who is near the end of life.

• Do not take children away from their dying parent as they
need to be close to each other.
• Help children feel that they will still be loved and cared for,
even after their parent dies.

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3

WHO Integrated Management of Adolescent/ Adult
Illness (IMAI) Project.
Field test version: This is based on the Ugandan
adaptation of the IMAI Palliative Care Caregiver
Education Booklet. Health workers can learn to use
this booklet to educate patients and caregivers in
home-based care. It should be used in conjunction
with the IMAI Palliative Care module to provide clinical
care.

Country adapatation is needed before use. If you wish
to adapt and use this booklet please contact WHO
Geneva IMAI Project. Email: imaimail@who.int

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