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Feedback on the utilization of your donation as received from the NAZ Foundation

(India) Trust, Delhi.



A. Name of NGO: The NAZ Foundation (India) Trust



B. Funds Disbursed: Rs. 114,570



C. Utilization of Funds:

The Foundation has added these funds to its corpus for the purpose of investment. The

Foundation runs a Care Home for HIV positive orphan children. Efforts are on towards

building a corpus so that in the long run, the Care Home is self-sustained and not

dependent on institutional funding. This is especially in light of the fact that there is very

little funding available for care.





D. Beneficiaries:

Ashwini

Ashwini is a 3-year-old child who came into the Naz Care Home in July 2006. She was

referred by an NGO called Sangram, working in Maharashtra. Naz has a long-term

relationship with this NGO and they have referred 2 more children earlier.



Ashwini is originally from a small village in Maharashtra where she was staying with her

grandfather and elder brother. She lost her mother a year ago due to AIDS related

illnesses. Her father is currently in jail on charges of killing his own mother. Since the last

three months the child was being looked after by Sangram.



Sangram tried convincing the grandfather to take care of Ashwini. However, he was

unwilling to look after her, as she is HIV positive.



Ashwini is slightly malnourished and has delayed milestones. Although she is around 3

years, she is unable to speak and cannot walk without support. Interventions with the

child have been initiated at Naz.



Ashwini is otherwise a very happy child. She seems to be settling into the loving

environment at the Care Home.



Babli



Babli is a 6-year old girl from Gujarat. She comes from a very challenging family

background. Her father abandoned the family in the early years and her mother is

dependent on alcohol and has been in and out of rehab. The mother did not have any

support and was incapable of looking after her daughter.



She came to Naz Care Home and left Babli in our care. Since then we have not heard

from Babli’s mother and her whereabouts are not known.

Babli has adjusted well to life at the Care Home. She has also taken well to her studies at

Deepalaya, she is now in UKG and her teachers are happy with her progress.



Babli enjoys engaging in quiet play, especially having books read to her, and joining the

other girls in playing with Barbie dolls. She does still miss her family, but overall is

adjusted to the Naz Care Home environment.



Babli stays quite healthy, and has not been started on antiretroviral treatment yet. She

engages with careworks and volunteers positively.



The recent celebration of her birthday was a great experience for Babli, and between

cake and snacks and gifts, Babli really enjoyed her special day.



Gudiya



Gudiya, a 3 year old girl, was found by the Delhi Police on one of the streets of

Paharganj. She was placed in an NGO called Udayan. Except her name she did not

remember anything about her family. At Udayan, she was taken for various medical

tests. She was found HIV positive during her HIV test. The authorities at Udayan felt

they were not well equipped to meet the need of an HIV positive child. That is when

they contacted the Naz Care Home. She has been at the Care Home since June 2005.



Gudiya came to us in a very weak and malnourished state. She is under medical

supervision of the Doctor at the Naz Care Home and has been put on Anti Retro Viral

Therapy. Naz is taking care of her special nutritional needs.



Gudiya is a reserved and a shy child. Counselors at the Care Home have been working

intensively with her so that she is able to come out of her shell. She had never been to

any educational institution. She got her preliminary lessons from the volunteers at Care

Home. She is now attending regular school. Initially she had a hard time adjusting but is

now very eager to be known as a good student and spends extra time on her homework

with the Care Home tutors.



Manithoi



Young Manithoi, affectionately called Mani, came to the Naz Care Home from Manipur in

December 2004. His parents both died of AIDS-related illnesses His five maternal uncles

not only refused to care for him by keeping him outside of the house in a small room, but

also never gave him adequate food. This exacerbated his already weak health and he

arrived at Naz in a poor condition.



He was brought to the Care Home by a Manipur based organisation called SASO.



Mani spent many of his first months in and out of the hospital with serious health

problems. He is extremely prone to chest and skin infections. Many times he

experiences breathing difficulties and allergies. These past few months we are happy to

say he is keeping much better health. He was recently put on Anti Retro Viral Therapy.

His skin infections have been taken care of and he is less susceptible to chest infections

lately.

Although it was a huge adjustment to shift to Naz Care Home, Mani is starting to settle

into his schedule here. Earlier he would very often resort to temper tantrums and was

overly possessive of toys. He has a very volatile temper. A concerted effort made by

staff and care workers has largely helped to address these problems.



Mani has lately been conducting himself well at playschool and we get positive reports of

his behavior.



Tushar



Tushar is a nine-year-old child who joined the Care Home in June 05. His father expired

a few years ago. His mother is also positive and she and her older son are being looked

after by her brother.



The child has a physical handicap and also mental retardation because of Tubercular

meningitis in his early childhood. He was extremely aggressive initially and had difficulty in

adjusting with the other children at the Care Home since he had never been to school and

had never interacted with other children.



He recently underwent a corrective surgery, which has been a success, and seeing

Tushar move around the Care Home with relative ease is heartening. Care workers and

volunteers are assisting with his rehabilitation as instructed by the physical therapist.

Tushar is eager to do the exercises, and is proud of his achievements thus far.



Tushar will also be making a major shift in his education. AADI (Action for Ability

Development and Inclusion) has a dynamic program for children like Tushar that would

have him at their facility three days a week to continue his education with teachers who

have a good understanding of the challenges that he faces and how to maximize his

successes. Another three days of the week Tushar will be in the Care Home working

with a dedicated volunteer on educational activities, skill building and physical therapy.







E. Annual Report on Care Home:

NAZ Care Home Annual Report 2004-2005

CARE HOME

The number of children in the Care Home has been steadily increasing.

The children are referred to the Naz Care Home from various NGOs, organizations working

with street children, Government Voluntary Counseling and Testing Centers (VCTCs), the

Child Welfare Committee and through the Home Based Care program of the Foundation.





The Care Home has also been receiving referrals from other states across the

country. Some of these children are from Manipur and Maharashtra. Despite being

high prevalence states there is a lack of care facilities for People Living with

HIV/AIDS (PLHA) especially for orphan positive children.





At present there are 26 children living in the Care Home.

Prateek came to the Naz Care Home in March 2006. He was found abandoned in front

of Palna, a government orphanage in North Delhi. Palna has a cradle in front of their

institution for people to anonymously drop off a child, instead of abandoning the child in

the street. It was there that Prateek was found. During the preliminary routine testing,

Prateek tested HIV-positive; at this point Palna contacted Naz Care Home, as they do

not have the capacities to care for an HIV-positive child.At the time of admission,

Prateek’s condition was poor; he was severely malnourished and had not been bathed

for weeks. He did not have the strength to move his limbs, cry, or even chew properly.

He weighed only 6 kilograms, and the doctors clinically assessed his age to be at 3

years old. He was diagnosed to be suffering from Tuberculosis and Pneumonia. He

seemed frightened and suspicious and barely spoke.Prateek has been put on a special

nutrition program. He has recovered from pneumonia and has been started on Anti

tubercular Treatment. In just over a month Prateek has gained 3 kilograms.. He has also

begun speaking, and can walk on his own over short distances. We have learned that

Prateek has a sense of humor, and loves to play with dogs. He enjoys walking through

the Care Home shaking hands and saying hello to everyone he comes across, he is also

joining the other children during playtime and snack time.





Reintegration into the family

• One of the children who had gone home for the summer vacations over stayed. When

he did not return the counselor called up to inquire after the child since he had

taken ARVs only for a month. Interactions with his grandmother revealed that the

family had been able to purchase the ARVs from the market. Further explorations

indicated that the family was now better equipped to look after the child at home.

The family was counseled and encouraged to care for the child at home

• Another child aged 4 years old who came to the Care Home in June 2004 went back

home to her mother in October this year. The child had been placed in the care of

Naz as the mother was unwell and lacked the resources to look after her daughter.

Presently she has a job, is doing better physically and wishes to look after her child.

The situation of the family was assessed and it was decided to send the child back

to the parent.



• One of the only two negative children had been reintegrated into her family. The child

was placed in the Care Home when her mother expired and her father who is also

positive was in a poor physical and financial condition. The program staff has been

working towards building the capacities of the family members to provide the child

quality care. The child has adjusted well and her father is exploring options for her

admission in a school.









Challenging Interventions



• Some of the Care Home children used to go to a public school and some to a

government school. It was noticed that the children going to the government school

were not receiving sufficient inputs from school. They were also studying in classes

as per their ages as against their abilities. Thus they were finding it difficult to

cope with the curriculum. There was also a conflict among the children over going to

a public school versus a government school.

NI also had concerns about the what would happen if the school authorities got to know

the status of the children since we had not shared that the children were living with the

infection.In this light NI approached Deepalaya, a NGO working for children. This

organization runs schools in Delhi, which are accessed by children from marginalized

families.

The management was informed about the status of the children and they had no issues

and were willing to accept the children. 15 of the Naz Care Home children have been

admitted into the Deepalaya School at Kalkaji and are placed in classes as per their

abilities. A private vehicle has been hired to take all the children to school and back.







• In June 2005, a child with a physical handicap and mental retardation due to

Tubercular meningitis in his early childhood was admitted to the Care Home. He was

extremely aggressive initially and had difficulty in adjusting with the other children

at the Care Home since he had never been to school and had never interacted with

other children.

The program was able to arrange for the child to undergo corrective surgery, which has

been a success, and seeing him move around the Care Home with relative ease is

heartening. Careworkers and volunteers are assisting with his rehabilitation as

instructed by the physical therapist. The child is eager to do the exercises, and is proud

of his achievements thus far.





This child who is 9 years old, has never been to school before and now he will also be

given special inputs at AADI –(Spastics Society) Action for Ability Development and

Inclusion that has a dynamic program for children with disabilities. The same would be

reinforced by a dedicated volunteer at the Care Home.





Volunteers

The Care Home has been receiving volunteers throughout the year both locally as well s

from overseas. Students from the School of Social work have also completed their

internship at the Care Home





“It has been a wonderful experience working at Naz. I learnt a lot about life – there were a lot of



touching moments. I have had lot of fun teaching the children here, playing with them and



spending time with them. The staff has been extremely kind, helpful and cooperative. They have



me in guiding the children Children and Care Workers

helped Sessions with the towards the right path. Whenever I get chance in future, I







Regular sessions have been conducted with the children as well as the care workers on various issues.

The objective of these sessions is to build the capacities of the care workers to provide quality care.

The focus of the sessions with the children is to provide life skills, which will equip them to deal with

the challenges of growing up effectively. A process has also been initiated with a group of older

children to disclose their positive status to them and to prepare them to deal with issues of stigma and

discrimination.

Out Patient Facility









The Naz OPD has been providing medical care and counseling since 2001. The clients

were also provided with free medications. However, with the end of funding the program

was unable to provide medicines. This led to a decrease in the number OPD services.

However, with the funding from Johnson & Johnson Asia Pacific Contributions Fund the

program was able to renew the provision. This resulted in a significant increase in the

number of clients accessing the OPD.

Several people living with the infection accessed the OPD for treatment of

opportunistic infection like pneumonia, oral thrush, skin infections etc. Many clients

accessed by the MSM outreach program were also given treatment for Sexually

Transmissible Infections.





Several challenging counseling issues ranging from disclosure to dealing with grief and

death were also addressed.

Doctor examining a child at the Naz OPD


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