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