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Sub : Revised Proposal for Promotion of AYUSH Interventions in Public Health Initiatives
Madam,
As per the discussions with Secretary AYUSH on 3rd June, 2010 and the letter in the reference cited
above, we are resubmitting the proposal as under.
1. The deputation of the undersigned as the CEO of Isha Foundation has been approved at the
highest level by the Govt. of India in the Dept. of Personnel after due verification and
approval by Ministry of Home Affairs and Ministry of External Affairs. Deputation under rule
6(2)(ii) of the IAS Cadre Rules is only permitted to reputed NGOs, which are non-religious,
non-profit and rendering substantial public service. Copy of the deputation order is
enclosed.
2. In recognition of its extensive and impactful social work, Isha Foundation has been
recognized by the UNITED NATIONS and given a consultative status in the Economic and
Social Council (ECOSOC) of the UN. (Copy of the UN Minutes is enclosed.
3. Isha Foundation’s non-religious nature can also be ascertained from the fact that Isha
Foundation and Isha Outreach have been granted exemption under section 80 G of the Income
Tax Act, 1961, by the Commissioner of Income Tax, Coimbatore, vide sanction letter no. c.no.
327(666)/2008-09/CIT-III/CBE dt. 13.08.09 (Copy enclosed). Income Tax authorities grant this
exemption to only those organization which are non-religious in nature. in accordance with the
condition in Sec 80 G (5) (iii) of IT Act.
4. In recognition of its massive effort in preventing environment degradation, ish’s ‘Project Green
Hands’ has been awarded the highest National Award for work in the environment sector. Indira
Gandhi Pariyavaran Puraskar (Ministry of Environment & Forests) by the President of India, on
Jun 5th 2010.
The current proposal is for promotion of AYUSH intervention in Public health initiatives in Kolli hills block
of Namakkal district of Tamil Nadu. The overching objective of the project is to improve the health
standards of the people of Kolli hills block, who are almost entirely tribals, through public health
measures based on Indian systems of medicines. The entire population of the Kolli hills block of 42196
people, out of which 96% are tribals, will be covered under this project.
The projects methodologies/strategies are outlined in detail in the project proposal enclosed herewith.
The project period is for one year and the details of the project cost is given in the project proposal. The
total project outlay for one year is Rs. 3.48 crores, out of which Rs. 49.99 lacs is the community
contribution and the project cost requested to be founded by the Government is Rs. 2.98 crores.
I request you to kindly sanction the above proposal to Isha Outreach for promoting AYUSH through
Public Health Initiatives.
Thanking you
Your Sincerely
(BALAMURUGAN J.M)
Encl :
1. Project Proposal
2. Documents as stated above.
Isha Foundation
Velliangiri Foot hills, Semmedu (PO), Coimbatore-64114
Ph : 0422 2580155 www.ishaouteach.org.
ABBREVIATIONS
CONTENTS
1. Overview
2. BACKGROUND
3. PROJECT SUMMARY
4. PROJECT ACTIVITIES
6. PROJECT MANGEMENT
8. SUSTAINABILITY PLAN
APPENDIX
1. TIMELINE
2. BUDGET DETAILED
1. Overview
According to UNICEF, India is unlikely to meet the Millennium Development Goals for health, due to part to “the
continued lack of adequate and comprehensive primary health care services and facilities.”1 The focus on the
determinants of good health and the preventive aspects of health care remains grossly inadequate. Primary health
care in India is mainly curative in nature, ignoring traditional inadequate. Primary health care in India is mainly
curative in nature, ignoring traditional determinants such yoga and healthy lifestyle. Adequate importance is not given
to major health determinants like nutrition, hyigine, sanitation and safe drinking water. More fundamentally, the
approach of the existing primary health care system precludes a range of holistic methodologies of indigenous health
sciences.
In traditional Indian wisdom, by activating one’s energy system sufficiently, the body and mind are naturally fine. If our
energy system is properly cultivated and maintained, then health is possible for all, except in extreme cases of
economic distress. Natural therapies have produced astonishing outcomes in various unremitting ailments like
diabetes, arthritis, asthma and even for hepatitis B&C and HIV/AIDS.
Isha’s model of rural health is an indigenous ,multi-pronged and holistic approach to health, an effective and powerful
mix of preventive and curative care based on a unique combination for yogic practices, physical fitness programs,
naturopathy, ayurveda, siddha and essential allopathic treatments. Isha’s model is not an advocacy for better health;
it is a technology for better health.
1. 1. Project Location
Nammakkal District was formed as an independent revenue district since 1997. The district is well known for the
trucking operations. The trucks, rigs of Namakkal, serve the whole country in providing bore wells. The district is also
famous for poultry and distribution of eggs to many adjoining states. Vast land area is also under cultivation. Kollihills
block, the herbal Garden of Namakkal District comprised of 14 village panchayats (called ‘Nadu’) with an area of
371.03 sq. km. at an altitude of 1300 metals above msl..
The project activities will be implemented in all the 14 village Panchyats of Kolli hills block targeting the grass-root
population.
Table.1. Project Area2
S.l. No. Particulars Kolli hills block
1. Village panchyates 14
2. Hamelets 275
3. Total Population (esti) 42196
4. Tribal population (%) 95.44
5. Population density (/sqkm) 121
2
Based on 2001 census
Isha has conducted "Arogya Alai-- wave of health. a health awareness campaign in Tamil Nadu since 2008.
The program promotes health awareness & provides medical treatment to the rural population. It uses
videos. brochures. exhibition materials and interactive sessions to create health awareness among women.
self-help groups. school and college students. as well as local clinics and hospitals. 847 camps were
conducted in 21 districts (villages and urban slums) and the population benefitted were 4.94.000.
Yoga programs are conducted since 1980. Isha Yoga Programs are powerful and transformative
programmes. boosts physical health. and fosters inner balance. The progrms are conducted through the 335
established centers in Tamilnadu and in other parts of India. Yoga programs have reached 13 other
countries like Lebanan. UK. USA. Singapore and Malaysia. Specially designed unique programme called
'Rural Inner Engineering' were organised in rural Tamilnadu since 2003 and covered a total of 1 50.973
people through 4.608 rural Inner Engineering programmes.
Isha's pilot initiative is to promote 'herbal gardens' and herbal medicines in 69 villages to retrieve our
traditional way of herbal medicine practices. Rural people are encouraged to avail home remedies for simple
ailments and to access Siddha & Ayurveda treatment facilities. About 150 herbal gardens were developed
and people were educated to use the simple herbal remedies.
Publication materials — Isha has published -Mooligai Arputham (Preciousness of herbs)"—a booklet on
medicinal herbs and its usage. "Kollapura Ragasiyam''- a Video documentary on nutritional values of
kitchen/home gardens. Isha has prepared many health awareness materials in the form of stickers, banners,
brochures, etc.
Isha uses community games as the primary entry level activity in rural area for Community mobilization
which is essential to Isha's grassroots movement to rejuvenate rural life. Since 2005. 830 men's and
women's teams have been formed and trained: each having an average of 12 persons (nearly 10,000
participants). Isha organised 27 inter-village and 4 state-level tournaments. Of the total number of teams
created. an estimated 70% have continued independent of project support.
Isha has experience of conducting mass events annually like Isha Gramotsav where more than 5 lakh
people assemble and participate in various events. 'Gramotsavam' means celebration of the village. The two
day annual festival showcases Rural Olympics, exhibition of rural arts and crafts. traditional cuisine and
cultural programmes including folk music and dance. It is a means to revive the rural culture, cohesiveness
and peaceful living in tune with nature.
People's Empowerment for Holistic community Health Actions and Networks (PEHCHAN): In 2008 Isha
teamed up with Project Concern International India (PCI). a Delhi-based NGO to implement a five-year
health project PEHCHAN in Coimbatore. Tamil Nadu. PEHCHAN aims to improve health status and
increase access to and use of health services by the target groups. After needs assessment in Coimbatore
district. based on the findings project plan has been prepared and implementation is happening in the target
villages.
A Community Care Centre (CCC) for PLHAs started functioning since Nov 2008 at Palladam. Coimbatore
district with financial assistance from TNSACS. Now this 10-bedded hospital provides required treatment
and extends supports to 251 PLHAs. During an evaluation visit by NACO, 'A' Grade was given to this
community care centre for its quality services.
Isha has been selected as implementing agency for Link Worker Scheme of National AIDS Control
Organization (NACO). AIDS Prevention and Control Project (APAC) - Voluntary Health services (VHS). Isha
will identify areas at risk of HIV/AIDS and provide targeted interventions to prevent its spread by linking high
risk groups with prevention and support networks in Over 100 villages in Coimbatore District. One "Link
Isha AYUSH model of healthcare Page No. 2
AYUSH Intervention in Public Health Initiatives
Worker" will be recruited and trained in each selected village as the focal point between Isha and the
community.
"Isha Institute of Inner Sciences a research wing of Isha. has been established for measuring the impact of
yoga on the bcdy in the areas of Therapy (Mental and Physical Health) Rehabilitation, Perceptual and Motor
skills, Neurophysiology and Cognition. It aims to scientifically record and publish the benefits that people
may have attained through various levels of programs by various ways of testing and disseminate to a wider
population.
A "Rejuvenation Centre" an internationally acclaimed centre — yoga. naturopathy and ayurvedic therapeutic
centre is functional at the Isha Yoga Centre for past seven years. Scientifically structured. the intensives
uniquely combine allopathic. alternative & complementary therapies especially for chronic ailments like
Bronchial Diabetes, Ashthma. Heart diseases. Arthritis, Hypertension, weight related problems, etc.
Volunteer base — Over 1.200 full-time volunteers and about 2 million part-time volunteers are involved in
Isha's activities. This strong multi-skilled volunteer base hailing from many countries and states in India and
willing to serve in the rural and urban areas of Tamil Nadu. Many of them have undergone anyone of the
yoga programs of Isha and mostly regular yoga practitioners who are willing to share their time. energy and
resources.
Networking partners — Isha has developed effective linkages with corporate hospitals. AYUSH institutions.
PRI members. professional bodies and local NGOs to deliver quality services. • Isha works closely with
government institutions and supplements the efforts of government in health and other developmental
programs.
Isha Yoga Centre is the headquarters of the Isha Foundation which has multiple facilities like meditation hall
with the capacity of 2500, cottage for residents and visitors and AYUSH rejuvenation centre. Conducts
various yoga related training programs throughout the year.
A Guinness World Record was created in 2006 by planting 8,52 587 saplings involving 2,56,289 volunteers.
Isha Foundation was a delegate to the United Nations Millennium Peace Summit
2.5 Block Profile - Kolli hills block, Namakkal district
Kolli Hills block is known as the herbal garden of Namakkal district in Tami Nadu with - the headquarters
situated at Semmedu covers an area of 371 square km. It is a part of Eastern Ghats and lies at an altitude of 1000 to
1300 m. The hills are covered with evergreen forests abound with innumerable herbs. The hills enjoy salubrious
climate which remains between 13 to 30C throughout the year. In comparison to other hill stations in Tamil Nadu,
Kolli hills is not commercially exploited; less polluted and offers unique mountain ranges.
Tribal population : The total population of the block is 36852 with males comprising 18672 and females 18180. The
tribal population forms 95.44% of the total population living in 14 villages panchayates 275 hamlets. Population
density of the area is 121 per square km. (Source 2001 census). The tribal people are by and large simple in nature,
their life style being conditioned by their ecosystem. Their economy is largely unsatructed and non-specilaized.
Sl. No. Village Panchyat Name
1 Ariyur Nadu
2 Bail Nadu
3 Devanur Nadu
4 Edapuli Nadu
5 Gundur Nadu
6 Kunduni Nadu
7 Perakarai Nadu
8 Selur Nadu
9 Cithoor Nadu
10 Thinnanur Nadu
11 Thirupuli Nadu
12 Thirupuli Nadu
13 Valavanthi Nadu
14 Alathurnadu Nadu
Transport: There is lack of transport and communication facilities between various isolated tribal groups as well as
between tribal and world at large. Hills have single road with 70 hair pin bends to reach the top of the hills. Minimal
public transport facilities are available only to the main places such as Valavandhinadu. Semmedu and Nadukombai.
3 Literacy rate: Literacy rate is very low. Only 30.1% of men and 20% of women are literate. 3
Economic profile: Different tribal groups are living in various degrees of economic backwardness. Tough terrain,
lack of education. livelihood opportunities. marketing avenues. organizational structure. exploitation by money lenders
are a chief reasons 3 to cite. The livelihood opportunities are low. More than 75%of the villagers depend on 4
agriculture for their livelihoods. Food insecurity prevails for 2-3 months during the year and during this period villagers
migrate to neighboring districts for daily wage labor.
Nutrition & Environmental Factors: Most of the villagers consume rice only. Intake of wheat. pulses, vegetables and
fruits is rare. More than 281 villages in the Kolli hills have been identified as problem areas with respect to
availability of safe drinking water supply to the public. (Source: TWAD Board. Govt. of TN).
Health Status: Health indicators for Kolli Hills are far below the district and state 4 averages. The infant mortality rate
of the block is 27 per 1000 live births while the • 4 District's IMR is 14.4. Maternal mortality rate is also very high
7/1000 live births (District MMR is 0.91). Kolli Hills factors 25% of the total maternal deaths of the -11) District. The
average institutional delivery for the District is 87% whereas the Kolli, Hills is only 45%. Domiciliary deliveries are
55% and deliveries conducted by untrained/traditional birth attendant are more than 50%. Out of 863 deliveries in the
year 2007-08, 439 were conducted by unqualified medical attendants thus resulting in highest rate of maternal deaths
in the entire district.
Prevalence of the malnutrition status of the mothers and children is also very 4 - high. The nutrition
deficiency is 85% in women (per a recent survey conducted by the Health Department) and the morbidity data of the
school children indicates vitamin and micro nutrient deficiency disorders.
Table 2. Infant Death
Infant Death Report 2007-2008
Live Births recorded 840
Infant Deaths 23
Male 16
Females 7
Health Facilities : Existing government health facilities (2PHCs and 16 sub-centres) in this block provide allopathic
medical services which are underutilized because of lack of accessibility and affordability. There is also mobile health
clinic operating from Salem. Even though a Siddha clinic is functioning at the Primary Health Centre, people are not
optimally utilizing the facility because of inaccessibility and difficult train of the block.
People continue to have faith and belief about the herbal medicines and other traditional medical practices.
National Health Programmes: National Health programs like Childhood immunizations, family welfare program.
communicable diseases control. revised National TB control, and National Blindness control programme. are
implemented in the block. Tamil Nadu Government's unique projects like Kalaignar medical insurance scheme,
emergency medical care services. Muthulakshmi Reddy Scheme for ante-natal mothers and old age pension scheme
are also implemented by the Primary Health Centre. Due to illiteracy and ignorance. hilly terrain and inaccessibility
Health services in Kolli hills block are grossly inadequate and there is a wide gap between urban and rural
services. There is scope to improve government's prevention and treatment services in rural facilities. Many sample
surveys conducted show high prevalence of diabetes, hypertension and heart ailments and cancers (especially
among women). Child malnutrition and anemia in women are also major health problems. The lifestyle of an alarming
Allopathic medicine exists for only a few centuries but is the most widespread approach to health care in the world.
including the proposed project's target population. Medications are expensive: and oftentimes people indiscriminately
use these drugs without awareness of side effects. Heavy doses and precarious treatments can addict the body and
Traditional medicine, as defined by the World Health Organization comprises therapeutic practices (including herbal
drugs) that have been in existence long before the development and spread of allopathic medicine. Clubbed under
the acronym 'AYUSH' (Ayurveda. Yoga and Naturopathy. Unani. Siddha and Homeopathy) in India. these systems
have the potential to handle the majority of primary health care problems and enable health security. Their decline
over recent generations is due to a lack of social and policy support. cultural change and reduced access to sources
of natural medicinal products. Under the impact of industrialization and urbanization, western medicine has displaced
AYUSH systems in many areas. leaving many without sustainable health care. There is an urgent need for
revitalization and preservation of these traditional medical systems. Such health practices can be very powerful if re-
Like any other tribal people, the population at Kolli hills has been the custodians of bio-diversity of the hills, preserving
and conserving the flora and fauna of the hills through maintaining sacred groves. The area is endowed with natural
resources and traditional herbs which have the healing potential. In the last few years, however, a combination of
several factors such as extensive deforestation, permanent loss of several indigenous trees. shrubs and spices and
new legislation preventing the collection of minor forest produce has seriously affected the livelihoods of these
indigenous tribes. Climate/Soil conditions of Kolli hills favor growing herbal and medicinal plants of high quality.
Isha proposes to work in Kolli hills block to effectively rejuvenate AYUSH's traditional and natural therapies and
lifestyle choices.
3. PROJECT SUMMARY
Improving health status of the tribal population of Kolli hills block in Namakkal District through holistic
AYUSH methods.
• Nationally recognized health indicators show an improvement in health among the target population 3.4
Specific objectives 1. To create awareness on AYUSH health practices among children. adolescent. women
2. To improve physical and mental well being of the tribal population by availing siddha. naturopathy. yoga and
fitness programs
3. To promote home remedies through herbal gardens, growing medicinal trees and other locally available
resources
4. To improve mother and child health through AYUSH methods 5. To establish AYUSH clubs in the
Panchayats and in the schools to support the project activities during the project period and to ensure
sustainability.
7. To strengthen the capacities of traditional and AYUSH practitioners and promote networking with
8. To build capacities of project staff and support functionaries for effective implementation. documentation.
4. PROJECT ACTIVITIES
(i) Staff Recruitment: Field professionals who are passionate about serving rural people will be recruited through
public advertisements and Isha's network of rural affiliations. Local Isha volunteers will participate in the project
activities.
(ii) Setting up of Block level AYUSH resource centre (BARC) All the administrative and technical functions of the
project converge at the block level where a resource centre will be established at block headquarters to support the
project activities and act as a knowledge centre for AYUSH practices. The resource centre will have a coordinator
and he will be supported by field functionaries to implement activities under the components: namely: home and
herbal garden, yoga & fitness, AYUSH awareness, mobile health clinic and MCH services. Project co-ordinator will be
responsible for technical co-ordination and provide administrative, financial and technical support. He/She will report
to the Project Head at the Isha Central office. The resource center will support the cluster facilitator to implement all
project activities. Field supervisor will be responsible to monitor and supervise their tasks. The centre will be the stock
point for saplings. medicines. IEC materials. and will have displays of herbs & naturopathy practices. etc. The training
programs for project staff. AYUSH club members. AYUSH village volunteers and specific target communities will
happen at this centre. Along with these. block-level AYUSH practitioners and government Siddha practitioners will be
networked from this centre. Activity reports will be received from the cluster facilitator. MHC and other field teams and
consolidated report will be sent to the Project Head in the Central Office of Isha's social project wing.
(iii) Induction and Capacity Building: Staff members capacities will be enhanced through unique training tailored to
the project scope and approach. All technical and administrative staff will be given induction training. Periodic in-
house training programs will be conducted for the medical and paramedical team working at the mobile clinics and
MCH Incharges. Isha will form and train technical support teams for yoga. fitness. awareness and herbal gardens.
Staff will be encouraged to participate in external seminars to update their knowledge relevant to the project.
Periodically, Isha will arrange exchange visits to organizations having projects of similar nature to share experiences
(iv) Launching Events: To introduce and start-up the project in the target area a launching function will be organized
involving district administration. government health officials and media persons. During the function project details will
be briefed and the required support from various levels of people involved in public health will be invited. To receive
the support from PRIs. CBO's. VHN. Headmasters and ICDS workers briefing of the project and disseminating the
action plan through advocacy meetings (at village level) will be done. After acquiring enough support, mass meetings
will be conducted in all the Panchayats to spread the message among the public. A cluster3 Facilitator. a project
functionary responsible to implement all project activities in an area of 2 Panchayats. will conduct these meetings.
(v) Baseline Survey: To decide the project core activities per the ground reality and to set essential benchmarks for
measuring progress and impact. secondary data will be collected for the Kolli hills block. analyzed. and then validated
via focus group discussions and key informants interviews. The project activities will be focused by identifying the key
problem areas and setting the targets against the benchmarks. Project progress will be evaluated with respect to
(vi) Production of educational tools: To implement the core activities. the project will develop educational tools to
support home and herbal gardens, community yoga programs. AYUSH clubs. training for traditional medical
practitioners, and to educate CBOs / SHGs, youths, women and other community members. Awareness programs
will require audiovisual material, public announcements. booklets. brochures. training resource materials. CDs. etc.
(i) Awareness Programs will be organized at habitation levels (village, street, CBOs, youth groups. Self Help
Groups) to promote integration of AYUSH. One approach is to sensitize target population at the cluster level on
project activities like yoga. fitness and home & herbal gardens prior to implementing these specialized programs. The
second approach is group educational programs at the village level on AYUSH application. On a broader level, the
project will promote AYUSH through various traditional festivals. Each field functionary and the cluster facilitator will
be contacting and educating individuals based on their health needs. In addition, annually, 48 group meetings will be
conducted for each cluster. Entire population of the block will receive AYUSH awareness in the following ways:
Demonstration of naturopathy methods and home remedies An Awareness Team, with the support of the cluster
coordinator, will conduct the awareness cum demonstration of various naturopathy practices like hydro therapy. mud
pack. fasting practices. enema etc to prevent and cure illnesses. The target population will receive knowledge and a
Mass Awareness Campaign: A mass campaign is a month long campaign, organized at the block level by the Block
Coordinator and supported by the cluster coordinators and the AYUSH clubs. The campaign will organize various
events like fitness competitions. talent searches and educational programs on various themes like nutrition using
locally available foods, herbal garden and its usefulness, herbal medicines. value of fitness programs, yoga.
popularizing AYUSH etc. A Block level planning meetings will be organized before each thematic campaign is
launched. Suitable audio-visual materials will be developed and used widely during the sessions.
AYUSH Mela is a major public event to promote AYUSH involving all project branches. AYUSH exhibitions (yoga.
herbal use. nutritive food, local practitioners, etc.), cultural events, inter village competitions and talent search
competitions through education institutions will be the major events of the Mela. In Kolli hills block, one such Mela will
(ii) Uniquely designed yoga & fitness programs: Rural yoga programs are a means to rejuvenate traditional self-
care and to teach participants a better way of living, one that is healthier, effortless and fulfilling. After completing a
three-day first level program, participants may opt for a second level. seven-day program. Various specialized yoga
practices like asanas, powerful kriyas and meditation for children, youth and adults will be organized. Twenty eight
first level and four second level programs will be conducted during the year year by the Yoga team with the support of
the project co-ordinator. field supervisor and local cluster facilitator. Approximately 2080 persons. will be trained in
Fitness programs for youth and adults: To reduce addictions and promote social bonding beyond caste, creed.
religion or economic status. the project Fitness Team will hold five day training. Infrastructure for games and fitness
programs will be established in each village with the support of PR's for project sustainability. (This activity will
receive financial support from the recently announced Tamil Nadu . Government program to promote village sports).
(iii) Promoting herbal remedies at home level: Making natural and low-cost remedies available in rural homes and
schools is a key project strategy. Fruit and vegetable growing will be promoted for a balanced nutritious diet. The
cluster coordinator will select people for awareness cum motivation program to establish the gardens. A Home &
Herbal garden team will procure. store and distributed saplings free of cost: and visit households to give maintenance
advice. 20 Home and herbal Gardens will be established in each cluster during the year. 140 gardens are foreseen
(iv) Availing nutritional supplement through locally available resources To involve entire population in the
project beyond awareness program and to provide medical & nutrition supplement medicinal herbal trees and fruit
trees plantation will be promoted among the farmers and farming community for growing them in the residential area
and in farm lands. The home & herbal garden team with the support of cluster facilitator will take care of sensitizing
farmers on importance and benefits of medicinal & fruit tree plantation and organizing the training on using the
produce. And then the team will distribute the saplings once the team received the commitment from the target
population and ensured the happening of preparatory activities for planting during the planting season. 14000
medicinal and fruit tree saplings will be -4 distributed on the basis of 2 trees per household.
(v) Healthcare intervention for tribal children and women: The existing maternal and child health services in Kolli
Hills are far from satisfactory. The poor maternal and child health indicators in Kolli-hills are mainly due to the
inadequate health services 44 which are not accessed by the population. Difficult terrain and lack of transport and -44
wide spread distribution of the villages also hinder the access to healthcare. Needed special inputs are proposed to
improve the health of women and children. These include screening camps & surveys will be conducted for the
women and children to identify and select individuals for intervention. Such selected women and children (age-group
specific interventions) as well as pregnant and lactating mothers will be a given Supplementary nutrition and
medication to boost the immunity level and control anemia & micro-nutrient deficiency. Specific medication available
under AYUSH will be used for all these interventions. Mothers will be educated to avail the services 2 offered by the
Government through the anganwadi and HSCs. Specially designed yoga programs to improve the maternal health
will be organized one for two Health Sub centers. Pregnant mothers enrolled with the HSC will be motivated to
undergo the yoga program. Approximately 30 mothers will be enrolled and the program will be conducted in an easily
(vi) Healthcare Delivery in the area through Mobile Health Clinic: Most of the villages in Kolli Hills are scattered
and lack access to basic health care. This gap can be bridged through ISHA Mobile Health Clinic covering remote
villages. ISHA Mobile Health Clinics are specially designed and equipped to access 3 populations deprived of
adequate transport and basic health care facilities. They 3 provide health care services at the doorsteps of the
people. The Mobile Health Clinic 3 will have a fixed schedule and conduct regular bimonthly visit in each panchayat 4
(Nadu). The treatment provided will be broadly based on AYUSH but include a small proportion of allopathic drugs.
The clinic will be run by a team of doctor, paramedical assistant, pharmacist and driver. The treatment facilities will be
offered to the people 4 free of cost. One Mobile Health clinic will be operating to cover 12 Panchayats except the
Panchayats which has static health facility of PHC in the block. They will establish 3 effective linkages with the
(vii) AYUSH Health Volunteer AYUSH drugs are made available with in the habitation through AYUSH Health
volunteer. AYUSH Health Volunteer is a person locally known to be a consultant for health matters. She/he is
volunteering to act as a Health volunteer for a population of 100 and willing to help people by guiding them during
sickness. Approximately 500 such persons in the block will be identified and trained to use simple AYUSH drugs.
AYUSH Health Volunteer will be provided with a drug kit containing essential AUYSH drugs which will be periodically
replaced. She/he 3 will provide treatment services for simple ailments. She will act as a link person to the 3 mobile
(viii) Formation of AYUSH clubs: 15-person AYUSH clubs will be formed in each cluster. Community members will
be selected using a socio-graphic method. An li orientation program will be given to the club members on the project's
action plan and relevance, the importance of AYUSH practices. and their roles and responsibilities.Monthly meetings
and annual trainings will guide members to support project actions: awareness. yoga & group educational sessions,
herbal gardens. referral linkages. AYUSH Mela. etc. The creation of 14 clubs with 210 members is foreseen
-Block level stakeholder meetings: Project staff, District level health officials. AYUSH club members. PRI and
AYUSH practitioners will share best practices and experience. and analyse obstacles and propose solutions.
-Interface Meeting with health department. AYUSH practitioners, AYUSH clubs and PRI members: Yearly
block-level meeting with the Health Department. AYUSH practitioners, AYUSH clubs, PRI members will serve to
exchange views on project implementation obstacles and possible solutions as well as referral linkages. Local
AYUSH practitioners. as well as functionaries (PHC Medical officer. SHN, VHN, health inspectors) and specific
program teams (TB control. prevention blindness, etc.) will take part in the discussions.
A Project Management Committee will conduct quarterly reviews of project activities and advise the Project
Director on approach, policy. plans, budgets and reports. Experts in the field of AYUSH will be identified to form a
Technical Support Group to contribute thematic inputs and guide the Project Director.
Structured and uniform monitoring and documentation systems will be developed and implemented.
including technical reports. data security. supervision and mentoring of facilities. Data collected will comply with
project design indicators. The M&E facility—infrastructure, service providers, beneficiaries and environment—will
evaluate program delivery in line with the project's objectives. In addition to midterm and terminal external evaluation,
The program monitoring will be carried out at three levels: project. block and cluster: reporting to the
Cluster (grassroots) level monitoring, overseen by the Cluster Coordinator and supported by the project
Coordinator (collection. analysis and interpretation) using simple monitoring formats to collect the data on
various activities carried out at the household level. AYUSH clubs will take part in the data collection and to
A robust strategic information management system (SIMS) will encompass implementation monitoring,
evaluation and strategic surveillance, appropriate standards for measuring the performance. analyzing variances,
identifying bottlenecks. alerting the project officer and facilitating corrective measures. The information available with
SIMS will be effectively used in reviewing and developing revised implementation plans and to strengthen the
response at all levels. Initial training and periodic refresher training will be provided to the reporting units. Periodic
data review will be conducted with the reporting units to ensure quality of data. At the end of the project period. the
lessons learned will be documented in the form a publication for sharing and facilitating to implement projects of
6. PROJECT MANAGEMENT
o Approves Annual plans. budgets and expenditure statements (Expenditures above Rs.50.000/- will be
approved by the PMC and any urgent approvals required from the PMC can be obtained through
circulation).
o Members of PMC:
Experts in the field of Yoga. Naturopathy, Siddha, Ayurveda and medicinal plants will be identified and
formed as project technical support group. This group will give thematic inputs and support to the project
implementation team periodically. This group will support and guide the Project Head in the implementation.
• Proposed Organization Structure: Following are the proposed Organograms at different level
o 7,000 households received and growing total of 14000 medicinal & fruit trees
o One Mobile Health Clinic provide free AYUSH health services in remote areas
o 400 of pregnant and lactating mothers received AYUSH medication to control aneamia and nutrition
o 80% of attendees of awareness sessions and/or events demonstrate better awareness of AYUSH health
o 80% of the beneficiaries who accessed AYUSH services and/or practices report an improvement in the
o 70% of the target tribal women of Kolli Hills Block showed hemoglobin level 10g and above
o Mutual referrals are established and/or improved among the AYUSH Health Volunteer, Mobile health clinic.
8. SUSTAINABILITY PLAN
The entire project is designed to involve the community at every stage of the I. implementation.
AYUSH clubs consisting of representatives of community will be able to sustain the project at the end of the
project period. They have enough technical I 4 capacity carry on certain project activities like maintenance of
herbal garden, Ipreparing and using home-made remedies. etc.
The yoga programs will leave nearly 1000 person who have experienced the Ipositive results of yoga
practices and will be able to influence others for the life Ilstyle modifications.
• AYUSH Health volunteer are capable village level health care consultants. They will be able to procure and
distribute the AYUSH medications to provide simple Iremedies for common ailments.
• There is a possibility that the herbs initially maintained at the herbal garden and I/ the fruit & medicinal trees
grown in the project area are likely to be reproduced I, by the community and shared among themselves.
These are the some of no cost sustainable activities and if the community is provided with some resources they will
be able to maintain the project with the technical I , support of Isha
1 9. INNOVATIVE IDEA OF THE PROJECT
• The project will rejuvenate AYUSH concepts and practices at the community I.., level and bring back the lost
glory of the traditional system of medicine.
• Specially designed Yoga programs and other AYUSH interventions for the Ig„? pregnant mothers will help in
promoting maternal health services and I, resulting in reduced maternal morbidity and mortality.
• AYUSH Health Volunteers are new cadre of community level health .., functionaries who will bridge the gap
between the community and the health Icare providers.
APPENDIX – 1
TIMELINE
Appendix – 1
AYUSH Intervention in Public Health Initiative
Timeline
S.l. Activities Ist year
No.
1 2 3 4 5 6 7 8 9 10 11 1
1 Project launch at block level
2.1 Entry point activities
2.2 Mass Meeting –at panchyats
3 Baseline Survey
4 Awareness programs
5 Developing educational tools (IEC materials)
6.1 Setting up of AYUSH mobile health Clines
6.2 Recruitment of medical & paramedical staff and induction
training
6.3 Procurement of medicine
6.5 Fixing the schedule/Running AYUSH Mobile health Clinies
7.1 Screening camps & surveys for MCH services
7.2 Conducting educational sessions
7.3 Distribution nutrition supplements and medicine
8.1 Identifying AYUSH Depot holders
8.2 Training for AYUSH Depot holders
8.3 Providing/ replacing AYUSH tool kit
8.4 offering Services through AYUSH depot holders
9.1 Uniquely designed Yoga classes-level 1 & fitness program
training
9.2 Uniquely designed level2 programs:
6.3 Yoga & Fitness program follow-up sessions
10.1 Identifying beneficiaries of home & herbal garden
10.2 Outsourcing of saplings, storage and distribution
10.4 Training on garden creation, and demo on naturopathy
methods
10.5 Establishing home & herbal gardens
11.1 Creating awareness on using locally available fruit &
medicinal trees as nutritional supplement
11.2 Outsourcing of saplings
11.3 Storage and distribution of saplings
11.4 Follow-up for maintenance of saplings planted
11.5 Training on herbal remedies using locally available resources
12.1 Outsourcing of saplings
12.2 Networking Meeting with health department and indigenous
medical practitioners:
12.3 Interface Meeting with health department and indigenous
medical practitioners, PRI members, etc
13.1 Formation of AYUSH clubs
13.2 Orientation training to AYUSH club members
13.3 Monthly meeting for AYUSH club members
Internal Evaluation
External Evaluation
APPENDIX – 1
BUDGET DETAILED
Appendix 2
ISHA AYUSH Model of Healthcare
10. Availing nutritional supplements through locally available resources – Budget Details (INR)
Sl. Budget Subheading Description Unit # of Unit No of 1 yrs Community Grand
No. cost Units name clusters contribution Total
10 Medical & Fruit tree Transportation, IEC 90 2 1,260,000 588,000 1,848,000
campaign material, pre-
arrangement for
meeting, Audio &
video arrangements
, Honorarium,
cleaning, Pitting, pit
materials, planting
labour, saplings
Land preparation (10 cleaning, Pitting, pit 40 14,000 Pits 1 560,000 560,000 1,120,000
gard/vill) and planting, materials, planting
organic manure, labour
maintenance,
distribution, etc.
Saplings procurement, herbal, fruit- 50 14,000 saplings 1 700,000 28,000 728,000
Transportation/Mainte tree,greens saplings,
nance, distribution, etc. replnting sapling, etc
@2
sapligns./households
Total (Item 10) 1,260,000 588.000 1,848,0000
S.No. Budget Subheading Description Unit Cost # of units 12 month 1 yr Community Grand
Contribution Total
16.5 SALARY Salary LOE/nos months 3,278,500 3,278,500
Project Head 45000 20% 13 117,000 117,000
M & E Officer 30000 1 13 390,000 390,000
Senior Accountant 19000 1 13 247,000 247,000
HR & Admin Officer 19000 1 13 247,000 247,000
Admin assistant 12000 1 13 247,000 247,000
M & E assistant 12000 1 13 156,000 156,000
Accountants 12000 2 13 312.000 312,000
Field supervisor 15,000 1 13 195,000 195,000
Cluster facilitator 8,500 7 13 773.500 773.500
Office assistant 6000 1 13 78,000 78,000
Technical Support Internal
group resources
Yoga & Fitness 50000 15% 12 90,000 90,000
Naturopathy 50000 15% 12 90,000 90,000
Sidha 50000 15% 12 90,000 90,000
Ayurveda 50000 15% 12 90,000 90,000
16.6 Recurring 986.160 986,160
operational cost
Office rent 10,000 1 12 120,000 120,000
Office Maintenance EB, water, 10,000 1 12 120,000 120,000
repair,
cleanliness,
equipment,
building
maintenance
Communication Telephone & 9,000 1 12 108,000 108,000
Internet
Computer 7,500 1 12 90,000 90,000
maintenance
Postage & Courier 2,500 1 12 30,000 30,000
Printing & 5,000 1 12 60,000 60,000
stationeries
Hospitality Staff & guest 3,000 1 12 36,000 36,000
hospitality
Vehicle hire and fuel 2,000 1 12 24,000 24,000
exp
Seminar/Conference 2,000 1 12 24,000 24,000
Security 3,000 1 12 36,000 36,000
Meeting expenses 1,680 1 12 20,160 20,160
Conveyance for 0 0
Project co-ordinator 4,000 1 12 48,000 48,000
Senior Accountant 2.000 1 12 24,000 24,000
M & E Officer 2,000 1 12 24,000 24,000
HR & Admin Officer 2,000 1 12 24,000 12,000
Admin assistant 1,000 1 12 12,000 12,000
M & E assistant 1,000 1 12 12,000 24,000
Accountants 1,000 2 12 24,000 24,000
Field supervisor 2,000 1 12 24,000 24,000
Cluster Facilitator 1,500 7 12 126,000 126,000
Total (Item 16) 5,623,860 5,623,860
OTHER DOCUMENTS
F.No. 14017/2009-AISH
Government of India
Ministry of Personnel, Public Grievances and Pensions
Department of Personnel & Training
ORDER
In exercise of the powers conferred under Rule 6(2) (ii) of the IAS (Cadre) Rules, 1954, the services of Shri J.M.
Balamurugan, IAS (Cadre) Rules, 1954, the service of Shri J.M. Balamurugan, IAS (PB : 94) are placed as Chief Executive
Officer in the Isha Foundation, Coimbatore, Tamil Nadu or a period of 5 years on standard terms and conditions issued
vide this Department’s letter no. 14017/3/2007-AIS(II) dated 6th March, 2007.
2. It will be the responsibility of the officer concerned to have himself relieved on the date of expiry of the
deputation period and rejoin his parent cadre within the normal time that is allowed unless the competent authority has,
in writing, extended the period of deputation prior to the date of its expiry.
3. In the event of the officer overstaying for any reason whatsoever, adverse Civil/Service consequence will be
taken against him which would include that the period of unauthorized overstay shall not count against service for the
purpose of pension and that any increment due during the period of unauthorized overstay shall be deferred, with
cumulative effect, till the date on which the officer rejoins his parent cadre as also other consequences under relevant
rules of All India Services.
4. The deputation is based on the proposal of the Isha Foundation dated 15/01/2008, consent of the officer and
no objection of the state Government of Punjab dated 20/02/2009.
(Harijot Kaur)
Director (Services)
T.No. 23093591
Copy forwarded to :
1. Shri H.S. Kandhola, Joint Secretary, Department of Personnel, IAS Branch, Government of Punjab, Chandigarh
2. Shri M.S. Rajasthinam, Managing Truestee, Isha Foundation, Semmedhu Post, Nallurvayal, PO Coimbatore,
3. Shri J.M. Balamurgan, IAS (PB : 94) , Principal Secretary (Finance), Government of Punjab.
4. RO (CM)
Best Regards
To,
M/s Isha Outreach
Isha Yoga Centre
Vellingiri Foothills
Semmedu Post
Coimbatore-641 114
Sub : Renewal of Exemption u/s 80G of the income Tax Act, 1961 Your own-Regarding
Ref : Your Application filed on 30.03.2009
1