TNA SAMARPAN CHARITABLE TRUST_ RANCHI

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					TNA Report:
Samarpan Charitable Trust, Ranchi ( TI :MSM Typology)
Date of Visit: 1st February 2011
TNA Facilitated by STRC Representative:
               Ms Ragini Sinha (Training Coordinator) and Prakash Kumar (Training Officer)


Background:


S   amarpan Charitable Trust is a TI NGO working in Ranchi on MSM Typology. MOU with JSACS was
    signed on 1st October 2010 to focus TI programme on 300 target of MSM in Ranchi. All categories
of TI staff of Samarpan Charitable Trust (except PE and PPP) that are Project Director, Program
Manager, Counsellor, Accountant and ORW were trained in December 2010 and January 2011
training.


This Report summarizes Post Training Assessment and TNA was conducted for each TI staff by STRC on
1st February 2011.

    1. TNA with Counsellor:

Ms Neeru Das, age 26 years, MA in Sociology and Political Science, having 4 year of working
experience as counsellor is working as counsellor. She was found to be good in Hindi and was able to
read and write English.

Strength: She was found to be good in explaining NACP goals and objectives. Also she was well aware
about what is HIV and what AIDS is and explained well difference between HIV and AIDS. She was able
to explain all four routes of HIV transmission. She found to be aware of at least four sign and
symptoms of STI. Has clear concept of window period and importance of mobilising HRG to come to
ICTC twice in a year in interval of six month. Able to explain what is OI and able to name at least three
OI.

Regarding counselling skills she was having good communication skills and found to be good in
exercising macro and micro skills of counselling. She also found to have concept of STI counselling.
Explained the importance of Peer Educator in TI programme, explained core and bridge group and
explained typology Her communication skill, facilitation skills, problem solving skills and rapport
building skills was found to be good.

More Understanding required in : concept of RMC and PT. Though with little probing she was able to
tell that in RMC HRG is thoroughly examined and based on symptoms if any symptoms found
symptomatic treatment is given or if no symptoms asymptomatic treatment given. On further
discussion she was able to explain that notification of partner is important for their treatment as non
treatment might create more cases of recurrent STI. About Presumptive Treatment she needed more
thorough understanding though she was able to explain that PT is given to all HRG visiting first time to
clinic. Training Need Assessed: She needed more clarity on TI and its components. RMC and PT were
other concept where she needed more thorough understanding as well as more understanding on
understanding on ART and importance of counselling in drug adherence.

Other Observations: Counsellor was found to be active in her work. Her room was separate and for
maintaining confidentiality a chart was pasted in her room where it was written in Hindi that “All your
conversation will be kept confidential here”. On her desk she has kept few of the IEC materials like
how HIV is transmitted, flip book carrying few common signs and symptoms of STIs. Overall she found
to be active, has visited field and did hotspot counselling as well in late evening ( 7:30 pm) along with
Peer.

Post Test Score: She was again post tested in field .She scored 45 marks out of 70 Marks - Grade B

( Rating above 80% Grade A , 60-80% Grade B , 40-60 % grade c, below 40 – Need Improvement)


    2. TNA of Peer Educator:

FGD as a tool was used to assess training needs of Peer Educator. In this TI 5(five) PE has been
budgeted but they are able to identify only 3 PEs. Two of them were present for FGD. Findings are
briefed below:

FGD started with a formal introduction and discussions was initiated with few lead questions. As the
discussion proceeded it was observed that they were well oriented by their ORW. And after training
ORW has discussed the entire PE roles and responsibilities, their importance in outreach services
about TI and its component and how a PE play a major role in helping their community in reducing
their risk. Peer Educator found to be very well informed in almost all the major components related to
their work.

During discussion it came out that Peer Educator at present are facing challenges in identification of
all 300 HRGs and other challenges which they quoted were STI and ICTC referals. But now they have
started working strategically and identified few of the HRG and working closely with them and hence
are now enjoying the work. They regretted that they are under pressure to identify more MSM and
because this work is demanding more of their time me out of their schedule. Team also facilitated
discussion on about possible solution to above problems, to which they said that there could be one
way that if they able to create network which means HRG which they know will help in identifying
other HRGs and thus all HRG could be identified and similarly workload could be shared by involving
more voluntary HRG worker . Importance of proper outreach planning was also discussed during the
FGD. It was found on more probing that now they are meeting one HRG 3-4 times to which it was
suggested two time contact with any kind of TI services in duration of 15 days per HRG is enough and
through proper outreach plan and with help of ORW they might not feel overstretched.

Another challenges which were quoted by them is a) resistance from community since MSM group
doesn’t want themselves to be identified by any other organization but still since PE are from their
community and TI is new slowly PE are mobilising HRG to come forward. B) In one of their hotspot one
of the HRG reported that timing of ICTC doesn’t matches with his timings as he is free in late evening.

Overall they found to be aware of HIV, AIDS, ICTC, STI, RMC and other concept, Needed more trainings
on good communication and negotiation skills.


    3. TNA of Program Manager


Programme manager who was trained by STRC was terminated from the position as PD found him
inefficient and irresponsible.

New Program Manager, Mr. Alok Kumar, age 38 is MA in Sociology was recruited. He has newly joined
this position and hence have not attended the PM training. Earlier he has worked as ORW for 2
months in TI Srijan Foundation, Khelari and hence carrying concept of HIV/AIDS but he found to be
lacking in Program Management skills.

Training Need Asessed: While doing TNA with him it was found that he was able to explain basics of
HIV. Since he was not trained on Program Management, was not able to explain many of the contents
related to TI Especially Monitoring tools and Indicators, Planning Tools, related formats. He has no
knowledge on accounting procedure at TI.
He needs continuous mentoring and support for understanding the programme management concept
till next training of PM is organised
Post Test Score: He score 40 out of 60 marks ( 67% Marks Grade B)

(Rating above 80% Grade A , 60-80% Grade B , 40-60 % grade c, below 40 – Need Improvement)


   4. TNA OF ORW

ORW, Mr. Ahmad Kashish is perusing BA final year (Psychology Hons) and is 25 years old. He has
experience of working as ORW for 6 Months.


Strength:
Mr. Kashish found very good mentor to his peer and an asset for the organization. He has good
knowledge on basics of HIV and AIDS. He was able to explain difference between sign and symptoms.
His knowledge on OI and RMC was appreciatory. He was able to tell and list out different outreach
planning tool. His knowledge on selection process and core task of Peer Educator was very good and
was able to explain Peer led approach in TI intervention. He also knew about typologies of his target
group. He was able to clearly explain concept of PPP doctors in TI and also had knowledge on ICTC.

Training Need Assesed:
While doing TNA with him it came out that he need to have more clarity on Syndromic case
Management. He got confused with knowledge on Presumptive treatment but it was cleared by the
Team. He had knowledge on community led outreach, its objective and planning process but was not
able to present it nicely. His knowledge on overall TI programme needs to be brushed up. He also
needed more understanding on what is ART, link ART but was cleared by the team. His knowledge on
CCC was nil so while doing TNA it was explained clearly about it and its functioning. He emphasized
strongly that he need to know more about behaviour and psychology of MSM and more importantly why
people become MSM. He prefers to have on job mentoring and skill up gradation.


Post Test Score: 47 out of 70 Marks 68% - Grade B

(Rating above 80% Grade A , 60-80% Grade B , 40-60 % grade c, below 40 – Need Improvement)


TNA of Accountant : Accountant was on leave the day we visited Samarpan and hence his TNA was
not conducted.

Overall Observation of TI-

      A very well maintained office. Records were nicely maintained. Records which were observed
       were Stock Register, hotspot meeting register, HRG Registration filing, DIC registers, field
       movement registers.
      DIC was found to be well maintained. More display of planning tools need to be developed
       with joint effort by PE and ORW. It was suggested to keep more infotainment materials like
       carom carrying HIV/AIDS slogan on board, LUDO , musical instruments etc.
   Out of 300 target they are able to indentify 62 HRG
   Till date 3 were referred to ICTC and 7 were referred to STI
   Line listing was not done.

				
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