1. Self care groups ( SCG) in NLR Supported Districts InBihar S.N.Tiwari, NMS S.N.Tiwari, NMS NLR Bihar

2. Introduction The first SCG was formed on 04/03/09 at Prem nagar PAL Home by DNT Patna with NLR support. No. of districts with PAL Homes=03 No. of districts with PAL Homes=03 No. of Pal Homes in these districts=05 No. of Pal Homes in these districts=05 No. of PALS with Gr2 disabilities No. of PALS with Gr2 disabilities in these districts=82 in these districts=82 1.No. SCG comleted 1-3 month=01 1.No. SCG comleted 1-3 month=01 2.No. of SCG completed 3-6months=04 2.No. of SCG completed 3-6months=04

3. Map of Bihar showing NLR supported districts

4. Outcome of SCG Cohort (As on 1 st July 2009 ) Cohort as per the no of month s comple ted Total SCG Membe rs PAL with ulcer No.(% ) Healin g observ ed No. ( %) Improv ed No (%) No change No. (%) Worse ned No. (%) Develo ped new disabili ty No. (%) <327 15 (55.5) ----- 3-55730(52.6)12(40)13(43)3(10)2(6.6)0 Total8445(53.5)1213320

5. Outcome cont. Cohort as per the no of months completed Total SCG members Skin on starting Dry Dry No. (%) Skin on evaluation Dry Dry No. (%) <327 27 (100) - 3-557 57 (100) 08 (14) Total848408

6. Need for Physical Rehabilitation -District wise Distri cts No.of pal Home s Self care mater ials MCR footw ear RCS Crutc hes Artific ial limbs Grip aids Whee l chairs Goggl es Patna Patna035651/51004/040/01006/0607/07 Bhojp ur Bhojp ur0116/1716/1700000/010/04 Nawa da Nawa da0110/1109/11000000/01 Total0582/8476/790040/01006/0707/12

7. Need for socio-economic Rehabilitation (District wise ) Districts No.of PAL Homes Educatio n No.PensionNo. Employm ent No.BusinessNo. Patna34633/561314 Bhojpur12210/1759 Nawada1130/1147 Total58143/842230

8. Problems encountered & Solutions S.No. Problem encountered How it was solved 1. Lack of cooperation & coordination between Stake holders. Direct approach & persuation by NLR. 2. Lack of motivation among PALS. By meeting primary needs &persuation. 3. Inherited begging attitude of PALs Councelling & motivation. 4. Lack of motivation and non cooperative NLEP staff. By giving credit to DNT for the NLR performance.

9. Unsolved Problems Hinderance by Healthy inhabitants of the colony. Hinderance by Healthy inhabitants of the colony.

10. Plan of Action for the year 2010 Stake holders meeting /6monthly. Stake holders meeting /6monthly. Support in Eduational, Vocational and petty businesses. Support in Eduational, Vocational and petty businesses. Support in formation and execution of self help group. Support in formation and execution of self help group. Sustaining and maintaining SCG achievements. Sustaining and maintaining SCG achievements. Extension of SCG activities beyond NLR Extension of SCG activities beyond NLR District. District.