The Mandate of our organization is to give information to people in our region that will help them make healthy decisions for themselves and their families. We will be working with the local schools and health centers on this project. Our project is made to prevent major diseases HIV/AIDS and Hepatitis C (HCV). We choose two diseases because both have some similarities. Patient know about the diseases both last stage. Both are spread by infected human to other. Both the diseases spreading by unsafe relations, self piercing, self injecting and self tattooing.
ABOUT HEPATITIS C (HCV)
Every year, July 28 is remembered as the 'World Hepatitis Day'. In India, this year too, the day had gone by virtually uneventful, for various reasons. This happened despite increasing trend of the disease in our city Malerkotla, District Sangrur, Punjab.
Though, there are five main hepatitis virus types, namely A, B, C, D and E, of which B and C are the most fatal, in this letter, our focus mainly on hepatitis C situation in our region. According to experts, around 80 percent of the HCV patients ultimately develop chronic hepatitis with serious liver damage, causing significant debility. With further progression the disease, around 20 percent of these patients could develop fatal liver cirrhosis and 5 percent may fall victim of liver cancer. Deadly hepatitis C crisis would likely to worsen much, if it does not receive healthcare focus of all stakeholders, sooner. Hepatitis C is caused by virus that affects the liver. Millions of virus attack liver to cause inflammation and finally scarring and in some patients even cancer. Hepatitis C is like a hidden bomb. Various estimates peg the number of people infected with Hepatitis C a liver disease that spreads when drug users share needles or when people use unsterilized needles for tattooing and body piercing. In our region the disease is very dangerous situation.
District sangrur of Punjab is recommended district for Minority by the Ministry of Minority of Govt. of India. Malerkotla is a majority Minority Community Population city which have 75% minority population. The city is very backward, mostly people are illiterate and poor. They don't know how the HCV spreading in their families. We find that mostly families have a patient of HCV. Some families have two or three patients. Mostly young couple like 15-35 years affected with HCV. Allopathic medicines are very costly so patients are going to death due to lack of knowledge.
ABOUT HIV/AIDS
HIV is a virus that gradually attacks the immune system, which is our body's natural defence against illness. If a person becomes infected with HIV, they will find it harder to fight off infections and diseases. The virus destroys a type of white blood cell called a T-helper cell and makes copies of itself inside them.
Basic
HIV/AIDS is spreading in Punjab too. Due to lack of knowledge, illiteracy, lack of knowledge about prevention usable things the disease is spreading. There are 49,000 patient in Punjab according to Hindustan Times in 2015.
The objectives and activities of this project are:
Objective 1: Help prevent the spread of new infections of HCV and Drugs. Activities:
Objective 2: Understand what life is like for people infected with HIV/AIDS and HCV C.
Activities:
The expected results of this project are:
The project will produce:
The project results will be disseminated through a written evaluation. It will be given to all stakeholders in the project.
PROJECT DESCRIPTION
The overall goal of this project will help youth make good decisions about their health. Youth in our region are at risk of contracting HIV and HCV through risky self piercing, self injecting and self tattooing.. Youth do not have an understanding of how HIV and HCV can affect their lives. This project is needed in our region as more and more youth are being diagnosed with HIV and HCV in our communities.
Our target audience is youth between the ages of 1 and 18 . Our activities for this project are:
The school will host the workshop and help recruit participants, the health center will provide support and workshop assistance. Both these partners see how this project benefits their organization and the community. The evaluation of the project will provide information on the number of youth that attended the workshop. The evaluation will also include the workshop evaluations and the resources evaluations from both youth and teachers. We provide information on the number of youth that participate in the community play and how much time they spend developing and producing the play. We hope that the plays will be well-attended and will report on the number of people who attend.
At the end of this project more youth will know more about how to help prevent the spread of new infections of HIV and HCV. They will better understand what life is like for people infected with HIV/AIDS and HCV. This project will promote healthier living for youth in our region. We hope that the workshop, resource, Public announcements and the community play will promote safe practices around tattoos and body piercing. We also hope that it will provide youth with much needed information about HIV/AIDS and HCV.
Description of Your Organization
We have made this project to save the youth of our region from HIV/AIDS and HCV.
Need for the project:
In the past few years youth have started to pierce their own body parts, self injection medicines/drugs and tattoo themselves. We have no professionals in our community to provide these services. Youth need good information appropriate to our culture and geography about the risks involved with these activities and how to do them safely. Youth also need to better understand the consequences of risky behavior.
Potential partners: Community school and Health Center.
The school will host the workshop and help recruit participants, the health center will provide support and workshop assistance. Both these partners see how this project benefits their organization and the community.
ALMIGHTY INTERNATIONAL SOCIETY is a non-government organization (NGO) in India working for the welfare of poor and vulnerable youth in Malerkotla, District Sangrur, Punjab, India.
PROJECT DESCRIPTION FOR DRUG-ADDITION CENTER
ABOUT DRUG ADDICTION
Drug addiction is the major and biggest problem crawling in the pan world. Drug dealing also has become the biggest profit giving Work in the word. Addiction is of many types e.g. some persons are addicted to cola, some persons are addicted to smoking but drug addiction is a very bad addiction. If a person is addicted to drugs he cannot stay without taking a dose of drug. Drug addiction is a thing that if a person starts taking drugs it will become his habit. He will not be able to leave that dirty habit. For buying drugs the adductor starts robbing houses and shops. The drug addiction is a thing that is increasing day by day in the world. The population of drug adductors is increasing in the pan world. Due to drug addiction the liver of the adductor stop working, which also leads to liver failure and heart attack. There are some rehabilitation centers But drug adductors are increasing day by day. Drugs are many types like heroin, cocaine, medical syrups etc. Drug adductors in the world get there drugs from drug peddlers which are present all over the world. The drug peddling is a very profitable business, as the population of drug adductors is increasing day by day. If a person thinks that he will stop taking drugs he will not be able to leave this habit as he is addicted to this habit. So in the end, drug addiction is a very bad habit so we all have to stay away from it. Stay away from drugs and make the society a better place without drugs to live….
DRUG ADDICTION IN PUNJAB:
In recent years, there have been many anecdotal reports suggesting a significant problem of drug dependence in Punjab.' It is also evident that most drug dependent people use opioid group of drugs such' as heroin, opium, doda, phukki, pharmaceutical opioids etc.' However, there have been no credible and reliable estimates of number of opioid dependent people in Punjab.' Such estimates are essential for developing evidence informed policies and programmes in the state.
1.Drug addiction is a serious problem in the region of Punjab. One of India's most prosperous states, the fertile land of the five rivers and nation's bread basket is having to struggle with a serious problem that is now reaching epidemic proportions. So much so that drug addiction has now become a key poll issue.
2. It is estimated that four out of ten men are addicted to some or other drug and that up to 50% of those are young farmers. While 15% of those are addicted to poppy husk (known as bhukki), 20% are addicted to synthetic drugs churned out by pharma companies in neighbouring Himachal Pradesh.
3.Children as young as 12 years of age are seen to be involved in the drug trade.
4. The reasons for widespread drug addiction in Punjab are many: unemployment and frustrated economic expectations are among the reasons. There is also the fact that pharmaceuticals such as pain relieving opioids and sedatives are easily available from chemists; without prescriptions.
5. According to some, it is the Punjabi culture for heavy drinking and partying as well as the habit of landowners supplying raw opium to farm labourers to encourage them to work harder, that has contributed to the problem. Most rural households in the state are thought to have one addict.
6.The fact that there is a steady supply of drugs from across the border is another reason. Heroin smuggled is in from Afghanistan and Punjab is a part of the transit route for drugs. This fact is evidenced by frequent seizures of illegal drugs by the authorities.
7.In recent years there has also been a sharp increase in the rate of HIV infections in the state. This is because the rate of injectable drug users (IDUs) is far higher here than in other states. The national prevalence of HIV is 9% but in Punjab this number is in the region of 26%.
STUDIES ON USES OF DRUGS:
As per the study of the Ministry of Social Justice and Empowerment (MoSJE), Government of India to estimate the numbers of opioid dependent individuals in Punjab. The "Punjab Opioid Dependence Survey (PODS)"was conducted by Society for Promotion of Youth & Masses (SPYM) and a team of researchers from National Drug Dependence Treatment Centre (NDDTC), AIIMS, New Delhi in collaboration with Department of Health and Family Welfare, Government of Punjab. Findings Profile of Opioid Dependent Individuals in Punjab The data was collected from 10 districts. Based upon the analysis of the data, about 76% opioid dependent individuals in Punjab are in the age group of 18 to 35 years. About 99% are males and 54% are married. A large majority (89%) are literate and have some degree of formal education. Most of them are employed and their major occupations are: Unskilled worker / labourer (27%); Farmer (21%); clerical jobs / Demographic profile of Opioid Dependent individuals in Punjab: Males:99% Literate and educated 89 % Married:54% Employed83: % Punjabi as mothertongue:99% businessmen (15%); Transport worker (14%) and skilled worker (13%). About 56% of opioid dependent people in the state belong to rural areas and almost all (99%) report Punjabi as their mother tongue. Most common opioid drug used by this group is heroin (reported by 53%), followed by opium / doda / phukki (reported by 33%). Rest (14%) report using a variety of pharmaceutical opioids. About one-third take their opioid drugs through injecting route and among them almost 90% (29% overall), inject heroin. Among various reasons reported for starting the use of opioid drugs, the most common reason was 'peer-influence' (reported by 75%). On an average a heroin using individual spends about Rs. 1400/day on drugs while this figure is considerably lower for opium users (Rs. 340/day) and pharmaceutical-opioid users (Rs. 265/day). A large majority report suffering from physical, mental or social adverse consequences of their drugs use. Punjab has a sizable population of opioid dependent people This study estimates that there about 2.3 lakh opioid dependent people in Punjab. For the sake of comparison, the National Survey (conducted nationwide, in 2001, with a different methodology) estimated the entire country's opioid dependent population to be 5 lakhs. Data suggests that among 18-35 years old men in Punjab, about 4 in 100 are opioid dependent and about 15 in 100 could be opioid users. In all the surveyed districts, estimates of opioid dependent people run into thousands. In fact, across the state, about 55% of opioid dependent population belongs to rural areas. The typical profile of the opioid dependent population is: male, young, Punjabi-speaking, from a lower-middle class background. Heroin is the most widely used opioid in Punjab among dependent individuals A distinct shift in the pattern of drug use is visible in the state whereby heroin emerges as the most common opioid used by opioid dependent people. The previous studies reported pharmaceutical products as the drug of choice among people who inject drugs. 4,8 Our study also indicates existence of a large population of people who inject drugs (about 75,000 injecting drug users as opposed to about 25,000, which is the existing estimate"). This has serious implications for the HIV/AIDS programme of the state. Opioid dependence poses significant burden . A large majority of opioid dependent individuals perceived physical/social / psychological complications.
There is a huge gap in the availability of treatment services for opioid dependent individuals - despite significant demand This study indicates that while as many as 80% of opioid dependent individuals have tried to give-up, only about 35% have received any help. Evidence-based, effective treatment has been received by a miniscule proportion. "Admission to a de-addiction centre" - which appears to be the most focused-upon addiction-treatment strategy in the state" - is reported by just about 8% individuals in last year. If the treatment strategies remain focused on only a single modality of treatment (i.e. "Admission to a de-addiction centre"), it will take about 10 years to provide a single episode of treatment to the entire opioid dependent population in the state. Evidence-based and preferred treatment option is not widely available Opioid Substitution Therapy (OST, which involves providing an opioid medication like buprenorphine to the patients on a long-term basis) is the most evidence-based treatment modality which has been endorsed by United Nations and World Health Organization as well as the Indian Psychiatric Society.
Treatment:
Almost 80% report that they have tried to give-up drug use in the past but just about 35% have received any kind of help or treatment. Only 1.8% of the sample know about the treatment centers.
In another study 'Why do so many in Punjab do drugs' we found that A cocktail of demand, supply and ample currency to trade have created Punjab's drug problem. Punjab and other parts of north India have a culture of consuming 'afeem' for recreational and other purposes., said Pramod Kumar, Director, Institute for Development and Communication (IDC), Chandigarh, who led a 2001 study on drug user profiles that was tabled in the Punjab State Assembly in 2008. image of an idle Punjabi taking to drugs, only 16% of the IDC's sample of drug users was unemployed. “24% of drug users were farmers and 25% were labourers, mostly migrants from Bihar and Uttar Pradesh put on drugs to extract maximum work out of them,” according to Kumar. Supply is easy because heroin from Afghanistan is smuggled across the border into Punjab for onward transit to the West. Opium, poppy husk, charas and ganja, among other drugs, enter the state from Himachal Pradesh, Madhya Pradesh, Rajasthan, etc. Chemists and other peddlers supply prescription drugs. “The green revolution and healthy remittances from overseas have put more money in the hands of the middle class,” said Kumar, and fuelled “demand for conspicuous consumption goods like alcohol and drugs”.
Better policing, family participation, and above all, skilling
“Too many people are out to earn money by peddling drugs.”
Punjab Opioid Dependence Survey: Key findings
To arrive at the number of opioid addicts, the investigators of the Punjab Opioid Dependence Survey 2015 interviewed 3,620 opioid addicts in 10 of 22 districts of the state, home to 60% Punjab's people. A key question put to each user in the sample was: Did you check into a treatment centre in your district in 2014?
Only 1.8% of the sample answered “yes”, while the actual admissions for treatment in those 10 districts were 2,414 in 2014. This yielded a figure of 134,000 opioid addicts for the 10 districts and 232,000 for the entire state.
Some key findings of the profile of opioid-addicts in Punjab:
76% are in the age group of 18 to 35 years
99% are males, 54% are married
89% are literate and have some degree of formal education
Only 27% are unskilled workers, 21% farmers, 15% businessmen, 14% transport workers, 13% skilled workers
56% belong to rural areas
53% are addicted to heroin, 33% to opium/doda/phukki, 14% to pharmaceutical opioids
75% got hooked on due to peer influence
29% inject drugs, of these 90% inject heroin
Patients Treatment Record received by RTI from various treatment centers in district Sangrur:-
Goals and Priority Areas
This project’s the goals:
Developing the Awareness plan:
Using the framework as a foundation, in the later half 2015 , Almighty International Volunteers worked with the help of local social civil societies, civil hospital, private hospitals to identify most affected areas. Members of Almighty International Society make the plan to find out actual figure of drug addicts .
Structure
The awareness plan is organized around six topic areas (referred to as priority areas)
Implementation
The actions detailed in the plan will be carried out from calendar years 2016 through 2020 by Almighty International Society. Almighty International Society will organize seminars, free literature distribution compain, organize rallies in cities, villages and education institutions to aware drugs and available treatments. After find out the actual figure (approximately) Almighty International Society will aware the patients, schedule guidance and counseling seminar and provide help in treatment. Almighty International Society responsible for coordinating the Implementation of the Drug Addiction Awareness Plan.
Identify persons infected with drugs and refer them to care and treatment. Improve access to and quality of care and treatment for persons infected with drug.
FACILITIES PROVIDE IN CENTER
AIMS AND OBJECTIVES OF THE PROJECT
SIGNIFICANCE OF THE PROJECT
At our Awareness and Guidance & Counseling center will have friendly environment. It will help the addicts to give up their drug addiction. We provide full support to them in all fields like guidance and counseling, treatment, food, financial help to come back in main stream.
Core Values
TARGET BENEFICIARIES:
The target beneficiaries of the proposed project are the drug addict person of all age groups.
Almighty International society is registered in India under the Societies Registration Act of 1860 with its registered office at Punjab. Registration number DIC/DRA/6359 on the 17th of May 2011.
Statutory Documents
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