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AYUSH Intervention in Public Health Initiatives

J.M. Balamurugan I.A.S.


CEO
Social Outreach Projects

23rd June 2010

To

Mrs. Meenaskshi Negi, IFS


Director, Dept. of AYUVHS
Ministry of Health & FW
Government of India

Your ref : No. Z.28014/56/2009-PHI Dt. 31/05/2010

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.

Isha Foundation is a non-religious, not-for-profit, registered Voluntary Organisation engaged in core


and large scale welfare activities, since 1992. Isha Outreach is an arm of Isha Foundation, dedicated
for the implementation of Social outreach projects. The credentials of the organization can be
ascertained from below :

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.

23/7U, Raja Nagar 2nd Street, Sowripalayam, Coimbatore- 641 028


0422-2580155, + 91 94874 80243 Fax : 0422-2580186 jm.balamurugan@gmail.com
www.ishaoutreach.org.www.ishafoundation.org.

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AYUSH Intervention in Public Health Initiatives

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.

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Project proposal for


Promotion of AYUSH Intervention in
Public Health Initiatives in
Kolli hills block of Namakkal District,
Tanil Nadu

Isha Foundation
Velliangiri Foot hills, Semmedu (PO), Coimbatore-64114
Ph : 0422 2580155 www.ishaouteach.org.

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ABBREVIATIONS

AIDS Acquired Immune Deficiency Syndrome


ARR Action for rural Rejuvenation
AYUSH Ayurveda, Yoga & Naturpathy, Unani, Siddha and Homoeopathy
BDO Block Development Office
BEmONC Basic Emergency Obstetric and Newborn care
BMI Body Mass Index
CBO Community Based Organization
CBR Crude Birth Rate
CCC Community Care Center
CD block Community Development Block
CEmONC Comprehensive Emergency Obstetric and Neonatal Care
CPR Couple Protection Rate
DR Death Rate
FGD Focal Group Discussion
HCP Health Care Provider
HIV Human Immune Deficiency Virus
HUD Health Unit District
IICDS Integrated Child Development Scheme
IEC Information Education Communication
IMR Infant Mortality Rate
LEISA Low External Input Sustainable Agriculture
MIS Management Information System
MSL Mean Sea Level
NYK Nehru Yuva Kendra
ORW Outreach Worker
PF Plasmodium Falciparam
PHC Primary Health Center
PRI Panchyati Raj Institution
PV Plasmodium Vivax
SBR Still Birth Rate
SHG Self Help Group
SIMS Strategic Information Management System
TANSACS Tamilnadu AIDS Control Society
TFR Total Fertility Rate
UNICEF United Nations Children’s Emergency Fund
VHN Village Health Nurse
WHO World Health Organization

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CONTENTS
1. Overview

1.1 Project Location

1.2 Project Period & Cost

1.3 Project Stakeholders

2. BACKGROUND

2.1 About Isha Foundation

2.2 Competency to Implement the project

2.3 Appreciations & recognitions

2.5 Block Profile –Kolli hills block, Namakkal district.

2.6 Justification for AYUSH intervention in Kolli hills block

3. PROJECT SUMMARY

3.4 SPECIFIC OBJECTIVES

4. PROJECT ACTIVITIES

4.1 Project Establishment Activities

4.2 Project Implementation Activities

5. MONITORING & EVALUATION

6. PROJECT MANGEMENT

7. OUTCOME & OUTPUT INDICATORS

7.1 Output Indicators

7.2 Outcome Indicators

8. SUSTAINABILITY PLAN

9. INNOVATIVE IDEA OF THE PROJECT

10. BUDGET SUMMARY

APPENDIX

1. TIMELINE

2. BUDGET DETAILED

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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

1.2 Project Period & Cost


The implementation period for the proposed pilot project is one year. The total project cost for one year is
Rs. 2.99 crores. Per capita expenses for the target population is Rs. 708/-

UNICEF : The State of Asia-Pacific’s Children 2008: 24-25


1

2
Based on 2001 census

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1.3 Project Stakeholders


The project proposes a close partnership between key stakeholders; namely; local communities, the Tribal
population of Kolli hills, Panchyati Raj Institutions, AYUSH practitioners, Non-Government Organization, Community
Based Organizations, Academic Institutions, District Administration and Health Departments of Central and State
Government.
2. BACKGROUND
2.1 About Isha Roundation
Isha Foundation is a non-religious, not-for-profit, registered Voluntary Organization engaged in core and
large scale welfare activities, since 1992. Isha Foundation implements lage-scale public-service outreach initiatives
called ‘Action for Rurral Rejuvenation’ in health, ‘Isha Vidhya’s in education and ‘Project Green Hands’ in
environment, which serve as outstanding models for human empowerment and community revitalization.
‘Action for Rural Rejuvenation’ is a unique and holistic rural health care model of Isha Foundation that
combines indigenous sytems and allopathic method of treatment, intensive preventive health awareness, powerful
yoga practices, community games, promotion of herbal medicines and naturopathy for holistic health. A network of
mobile and stationary health clinics treat about 50.000 patients every month in about 900 remote villages on a
bimonthly basis, across 16 districts in Tamil Nadu. Kerala and south Karnataka.
Isha Vidhya provides quality education to poor children and aims to establish 206 rural matriculation
schools. one in each taluk of Tamil Nadu. The comprehensive matriculation syllabus propels rural children to
proficiency in English and working with computers. Currently seven Isha Vidhya rural schools educate more than
2.000 girls and boys (60% of whom are first generation school-goers) and have successfully integrated tribal children.
Project Green Hands is a massive people's movement to raise the green cover 4 of Tamil Nadu by 10%. In
the last 5 years. over 300.000 Isha volunteers across 9 Tamil Nadu and Pondicherry have raised 8.2 million trees for
plantation. The goal is to mobilize the entire population of Tamil Nadu to plant an additional 106 million trees within
the next 10 years.
Importantly, Isha's interventions stem from a holistic approach offered to people at 4 the grassroots levels
with a long-term vision. Over the years. Isha has gained the trust and goodwill amongst the target populations who
count among the tens of thousands of active volunteers in India and abroad
2.2 Competency to implement the project
Isha has vast experience in implementing multiple programmes at the grass- roots level since 2000 and
gained good understanding about rural development programs. So far 32.96 lakh patients have been treated through
the healthcare programs of Isha since 2003.
 Isha has vast experience to run Mobile Health Clinic (MHC) schemes and manage health clinics since 2003.
20 MHCs provide healthcare to 871 villages spread across 16 districts of Tamil Nadu. Kerala and Karnataka.
Specialists in the fields of gynaecology. dentistry. paediatrics. ear. nose and throat (ENT). diabetes,
dermatology, orthopaedics and ophthalmology supported ARR medical teams in administering specialty
medical camps.
 Isha Rural Health Clinics (IRHCs) are static institutions providing affordable. high-quality and easily
accessible health care to rural community. Four such centres are functioning in TN at Vavipalayam (Tirupur
District). Kullapanayakanur (Salem District). Alandurai (Coimbatore District) and in Velayudampalayam
(Karur District). Equipped with a lab, a pharmacy and facilities for minor surgery. each IRHC serves some
30-50 surrounding villages and treats an average of 90 patients daily.

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 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
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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.

2.3 Appreciations & recognitions


 The deputation of Shri.J.M.Balamurugan.lAS. 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 I,
Home Affairs and Ministry of External Affairs. Deputation under rule 6(2)(ii) 3 of the IAS Cadre Rules is only
permitted to reputed NGOs, which are non-religious, non-profit and rendering substantial public service..
 In recognition of its extensive and impactful social work, Isha Foundation I ,3 has been recognized by the
UNITED NATIONS and given a consultative i1 status in the Economic and Social Council (ECOSOC) of the
UN.
 Isha Foundation's non-religious nature can also be ascertained from the I1 fact that Isha Foundation has
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(207)/06-07/CIT-III/CBE dt I1 16.08.07. Income Tax
authorities grant this exemption to only those I'1 organization which are non-religious in nature. in
accordance with the I° condition in Sec 80 G (5) (iii) of IT Act.
 In recognition of its massive effort in preventing environmental degradation, Isha's 'Project Green Hands'
has been awarded the highest National Award I ' for work in the environment sector- Indira Gandhi
Pariyavaran Puraskar I(Ministry of Environment & Forests) by the President of India, on June 5th 1 2010.
 After a visit by the officials of the Ministry of Youth Affairs & Sports and UNICEF to study Isha's community
mobilization programmes involving rural sports. the Ministry of Youth Affairs & Sports has nominated Isha
Foundation as a member in the expert committee at the national level in PYKKA scheme.

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 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

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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

Table 3. Institutional Deliveries

Infant Death Report 2007-2008


Institutional Deliveries
Government Hospital 63
PHC 213
HSC 54
Private 61
Domicilliary Deliveries
VHN 45
TD 427
UTD 12
Total Deliveries 863

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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

benefits out of these schemes do not reach as effectively as expected.

2.6 Justification for AYUSH intervention in Kolli hills block

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

percentage of men includes the consumption of alcohol.

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

lower the natural immune response without producing effective results.

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-

introduced with the proper expertise to a large population.

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

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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

3.1 Project Title:

Isha AYUSH Organic Health Systems

3.2 Project Goal

Improving health status of the tribal population of Kolli hills block in Namakkal District through holistic

AYUSH methods.

3.3 Selected Impact Indicators

• Rejuvenation of traditional health practices in the project area

• 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

and other vulnerable communities in the target area.

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.

6. To establish clinical services for improving access to AYUSH healthcare

7. To strengthen the capacities of traditional and AYUSH practitioners and promote networking with

government and other AYUSH institutions for sustainable health services.

8. To build capacities of project staff and support functionaries for effective implementation. documentation.

monitoring. evaluation and to undertake research activities.

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4. PROJECT ACTIVITIES

4.1. Project Establishment 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

and best practices.

(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.

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(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

achievements against the benchmarks.

(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.

4.2 Project Implementation Activities

(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

kit on how to use traditional herbs to prevent and treat illnesses.

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

be conducted during the year.


32 Panchayats will be grouped to form a cluster

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(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

yoga during the project period.

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

during the life of the project.

(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

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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

accessible common venue.

(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

AYUSH village volunteers operating from each habitations.

(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

health clinic, HSC, PHC and strengthen the referral services.

(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

during the project.

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(ix) Networking & Interface Meetings

-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.

5. MONITORING & EVALUATION

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,

Isha will conduct concurrent monthly internal reviews of performance.

The program monitoring will be carried out at three levels: project. block and cluster: reporting to the

Central Office Project Head.

 Block level monitoring, carried out by the Project Coordinators.

 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

assessing project performance.

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

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lessons learned will be documented in the form a publication for sharing and facilitating to implement projects of

similar nature in the future.

6. PROJECT MANAGEMENT

• Project Management Committee

o Reviews the project activities and advice the Project Head.

o Informs policy guidelines.

o Approves the new concepts. innovative activities and research projects.

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 The committee will meet once in three months.

o Chairman: Mr. JM. Balamurugan. I.A.S., CEO. Isha Foundation

o Members of PMC:

■ Mr. K. Sekar, Management Trustee. Isha Outreach

■ Dr. P. Krishnamurthy, Former Director, Public Health, Govt. of TN

■ Mr. Rajarathinam. Managing Trustee, Isha Foundation.

■ Members from Dept. of AYUSH. GOI

■ Representative from the Director Indian Medicine, Tamil Nadu

Member Secretary: Project Head

• Technical Support group

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

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7. OUTCOME & OUTPUT INDICATORS

7.1 Output Indicators

o 20.000 beneficiaries are aware of AYUSH

o 5.000 people express willingness to adopt AYUSH methods

o 2080 people underwent the yoga & fitness programs

o 60% of yoga class beneficiaries are continuing their practices

o 140 households are having home and herbal gardens

o 7,000 households received and growing total of 14000 medicinal & fruit trees

o 60% of households successfully maintain the home and herbal gardens

o One Mobile Health Clinic provide free AYUSH health services in remote areas

o 500 AYUSH Health volunteers distribute basic AYUSH medicines

o 20 AYUSH practitioners are networked

o 1100 of tribal children received AYUSH medication and nutrition supplementation

o 400 of pregnant and lactating mothers received AYUSH medication to control aneamia and nutrition

supplementation 240 pregnant mothers undergo yoga programs

o 14 AYUSH clubs are actively involved in AYUSH services

o 1 AYUSH mela celebration is organized

7.2 Outcome Indicators

o 80% of attendees of awareness sessions and/or events demonstrate better awareness of AYUSH health

practices and the benefits of incorporating AYUSH in daily life

o 80% of the beneficiaries who accessed AYUSH services and/or practices report an improvement in the

status of physical ailments and/or a reduction in mental/emotional 1 3 stress

o 10% of households sharing the harvest of home & herbal garden

o 10% Increase in average newborn birth weight

o 10% Increase BMI of children

o 70% of the target tribal women of Kolli Hills Block showed hemoglobin level 10g and above

o 90% of the pregnant women have hemoglobin level above 10g

o Mutual referrals are established and/or improved among the AYUSH Health Volunteer, Mobile health clinic.

AYUSH practitioners and government healthcare providers

o 20% increase among patients seeking AYUSH remedies

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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.

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10. BUDGET SUMMARY

SI. Description year1 Community Grand Project


NO. Contribution Total Cost%
1. Entry Potint activities 2,90,000 86,000 3,76,0 0.97
2. Baseline survey 2,24,000 20,000 2,44,000 0.75
3. IEC materials 24,58,000 0 24,58,000 8.23
4. Awareness programs 37,29,600 1,73,460 39,03,060 12.48
5. Mobile Health clinics 23,56,900 0 23,56,900 7.89
6. Mother & Child Health 66,02,000 1,04,000 67,06,000 22.09
Services
7. AYUSH Health Volunteers 66,02,000 1,04,000 67,06,000 22.09
8. Yoga and fitness programs 11,25,520 5,43,300 16,68,820 3.77
9. Promoting herbal remedies 4,13,000 81,200 4,94,200 1.38
at home level
10 Availing nutritional 12,60,000 5,88m000 18,48,000 4.22
supplements using locally
available resources
11. AYUSH Mela 9,04,100 3,70,000 12,74,100 3.03
12. Networking & AYUSH clubs 1,45,259 33,600 1,78,859 0.49
13. Training & Capacity 2,43,135 0 2,43,135 0.81
building
14 Monitoring & Evaluation 4,00,000 0 4,00,000 1.34
15. Documentation 6,73,095 6,73,095 2.25
16. Administrative costs 56,23,860 0 56,23,860 18.82
17. Contingency 11,49,339 11,49,339 3.85
Grand Total 2,98,82,808 49,99,560 3,48,82,368 100

Percentage of Community contribution – 14.33;


Per capita (Total population -42,196) – Rs. 708/-

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APPENDIX – 1
TIMELINE

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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          

14 AYUSH Mela/Mass Campaign 

15.1 Setting up of block level AYUSH resource centre (BARS)  


15.2 Recruitment of project staff: 
15.3 Induction Training 
15.4 Introduction about AYUSH 
15.5 Orientation/ refresher for Awareness Team 
15.6 Training on Home & Herbal Garden creation & maintenance 
15.7 Orientation for yoga & Fitness programs 
15.8 Sensitizing/ Refresher training on community mobilization for  
cluster facilitator
15.9 Home Remedies Training 
15.10 Weekly and monthly review meetings            
15.11 Exposure training for project staff 
15.12 Annual Refresher Course Meet 

Internal Evaluation  
External Evaluation 

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APPENDIX – 1
BUDGET DETAILED

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Appendix 2
ISHA AYUSH Model of Healthcare

Entry Point Activities-Budget Details (INR)


S.No. Budget Subheading Description Unit Cost # of Unit 1 yr Community Grand
Units name Contribution Total
1.1 Project launching Inaugural 150,000 1 prog/yr 150,000 30,000 180,000
block level function
1.2 Panchyat level At each 10000.00 14 meetings 140,000 56,000 196,000
function-Mass panchayts
meeting Expenses
Total (Item 1) 290,000 86,000 376,000

2. Baseline Survey-Budget Details (INR)


S.No. Budget Subheading Description Unit Cost # of Unit 1 yr Community Grand
Units name Contribution Total
Secondary
data
collection,
key
informant
2.1 Baseline survey interviews,
FGD, data 224,000 1 survey 224.000 2000 244,000
storage,
analyzing and
report
preparation
block level
Total (Item 2) 224,000 20,000 244,000

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ISHA AYUSH Model of Healthcare


3. IEC Material Development – Budget Details (INR)
S.No. Budget Subheading Description Unit Cost # of Unit 1 yr Comm Grand
Units name unity Total
Contri
bution
3.1a Videos Production yoga, natropathy, 1,000,000 1 1,000,000 1,000,000
herbal etc.-
3.1b Videos Duplication yoga, naturpathy, 100 140 14,000 14,000
herbal etc.
3.2 Booklets 1 type- Nutriton, 27 12,000 324,000 324,000
Herbal and home
garden, yoga,
naturopathy and
other brochures
3.3 Brochures 5 Types-Nutrition, 1.50 250,000 375,000 375,000
Herbal and home
garden, yoga,
naturopathy and
other brochures
3.4 Stickers of Different Like Nutrition 2 39,000 78,000 78,000
Types (AYUSH) yoga,
mother & child
health, herbs, etc
3.5 Hoardings 3 Types of 5000 21 105,000 105,000
Hoarding on
AYUSH topics
3.6 Banners On subjects like 480 525 252,000 252,000
project High lights,
Herbal & home
garden, home
made remedies
3.7 Exhibition display Different types 260,000 260,000
pannels
3.8 Publishing articles in magazines/TV 50,000 1 50,000 50,000
/FM Radio
Total (item 3) 2,458,000 2,458,000

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ISHA AYUSH Model of Healthcare


4. Awareness Program-Budget Details (INR)
Sl.No. Budget Description Unit # of Unit # of 1st yr Community Grand
Subheading Cost Units name cluster Contribution Total
/Bloc
4.1 Awareness Programs-support-cost 3,360,000 3,360,000
Awareness Vehicle and alteration 800000 2 num 1 1,600,000 1,600,000
vehicle cost
Awareness LCD projector, audio 250000 2 num 1 500,000 500,000
vehicles equipments,
Natropathy etc.
Awareness fuel & vehicle 20000 12 months 2 480,000 480,000
vehicle maintenance and
running cost equipment
maintenance etc.
4.2 SHG & other 3 meeting each 40 950 3 7 239,400 139,860 379,260
Groups person/month/cluster
meetings
Exp
Meeting Arrangement cost 150 3 meeing 7 37,800 18,900 56,7000
arrangement /month
Refreshmetn 18/person (18*40) 750 3 7 189,000 120,960 309,960
Printing & sheets, pens, pin, 50 3 7 12,600 12,600
stationeries extra
4.3 Schools, 1 1550 3 7 130,200 33,600 163,800
colleges and meetings/cluster/100
educational pupils/month
institutions
meeting exp
Venue Exp 0 33,600 33,600
Refreshment 100/person (15*100) 1500 1 7 126,000 126,000
Printing & sheets, pens, pin, 50 1 7 4,2000 4,2000
stationeries extra
Total (item 4) 3,729,600 173,460 3,903,060

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ISHA AYUSH Model of Healthcare


5. Mobile Health Clinics
Sl.No. Budget Description Unit cost # of Unit 1 yr Community Grand
Subheading Units name contribution Total
MHC Vehicle rental & 752,500 1 MHCs 752,500 752,500
Deputation equipment
charges Maintenance, MHC
team salary, Spares,
Tax, Insurance, etc.,
Medicines 1,296,000 1 MHCs 1,296,000 1,296,000
Fuel 240,000 1 MHCs 240,000 240,000
Communication 1,500 12 months 18,000 18,000
Expenses
Travelling 1,200 12 months 14,400 14,400
Expenses
Frieght Charges 2,000 12 months 24,000 24,000
Printing & 1,000 12 months 12,000 12,000
Stationery
Total (Item 4) 2,356,900 2,356,900

6. Maternal & Child Health services

ISHA AYUSH Model of Healthcare


5. Mobile Health Clinics
Sl.No. Budget Description Unit # of Unit name 1 yr Community Grand
Subheading cost Units contribution Total
Screening MHC services, Data 50 7,000 persons 350,000 50000 400,000
camps & collection, etc will be
others used; tools
Supplementary Immunity 3,600 1,500 person 5,400,000 5,400,000
nutrition & improvement,
medications controlling anemia,
micro-nutrient
deficiency and
deworming; women,
children-750 @ Rs.
1000/month;
Education 500 140 70,000 50000 120,000
session
MC Health booklet 30 10,000 books 300,000 300,000
Education
materials
Yoga Programs 11,500 8 progs 92,000 4,000 96,000
for Pregnant
women
Special officer 30,000 13 months 390,000 390,000
–MCH (2)
Total (item 6) 6,602,000 104,000 6,706,000

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ISHA AYUSH Model of Healthcare


7. Ayush Health Volunteer
Sl.No. Budget Description Unit # of Unit name 1 yr Community Grand
Subheading cost Units contribution Total
Selection & for 500 depot holders 100 500 person 50,000 50,000
basic
AYUSH drug kit 750 500 persons 375,000 375,000
AYUSH drug 300 500 person 300,000 300,000
periodical
replacement
AYUSH home 30 12,000 books 360,000 360,000
remedies
booklet
AYUSH Health 200 500 persons 1,200,000 3,000,000 4,200,000
voluenteer
Services
incentives
Total (item 7) 2,285,000 3,000,000 5,285,000

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8. Yoga and Fitness program-Budget Details (INR)
Sl.No. Budget Subheading Description Unit # of Unit # of 1st yr Community Grand
cost Units name cluster Contribution Total
8.1 Yoga 3 days 60 participants 22000 4 prog 7 616,000 181,300 797,300
Pre-arrangement and Hall Rent, Audio & 12000 4 prog 7 336,000 70,000 406,000
Class Exp Visual Equipments,
Battery
Refreshment etc.
Publicity Publicity Material 2000 4 prog 7 56,000 100,800 156,800
Expenses,
Invitation
distribution
Transportation and Transprot, loading 2000 4 prog 7 56,000 8,400 64,400
other expenses unloading etc.
Honorarium Inc honorarium, 6000 4 prog 7 168,000 2,100 170,100
stay, food, travel
etc
8.2 Yoga and Naturopathy 561 programes in 72,500 4 prog 1 290,000 96,000 386,000
class 7 days each year; 80
participants per
programe
Pre-arrangement Exp Hall rent, Audio 29,000 4 prog 1 116,000 20,000 136,000
visual aid rent,
UPS, pre-
arrangement
Publicity Expenses (Invitation, & 4,000 4 prog 1 16,000 30,000 46,000
Poster, Invitation
distribution,
Posters sticking)
Class expenses sheets, pens, pin, 1,5000 4 prog 1 6,000 25,200 31,200
Refreshment, etc
Natural Food Naturopathy food 20,000 4 prog 1 80,000 16,000 96,000
Demoorganising &
preparation 200*
(80+20)
Transportation and Transport etc. 4,000 4 prog 1 16,000 4,800 20,800
other expenses
Honorarium Inc honorarium, 14,000 4 prog 1 56,000 56,000
stay, food, travel

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Sl.No. Budget Subheading Description Unit # of Unit # of 1st yr Community Grand


cost Units name cluster Contribution Total
8.3 Fitness mobilizing, coaching, 7,840 4 7 219,520 266,000 485,520
progoranising practice follow-up,
conducting
competition, Fitness
trainer hono, and
arrangement exp
Fitness trainer Inc honorariu, stay, 4000 4 trag 7 112,000 3,360 115,360
honorarium food, travel package
Refreshment For 3 days, for 12 840 4 trg 7 23,520 12,600 36,120
members package
Programe Court preparation, 1000 4 trg 7 28,000 168,000 196,000
arrangement etc. package
Fitness materials 2 vill/clust, 7 2000 4 sets 7 56,000 82,040 138,040
clus/block
Total (item 8) 1,125,520 543,300 1,668,820

ISHA AYUSH Model of Healthcare


9. Promoting Herbal Remedies at home level-Budget Details (INR)
Sl.No. Budget Subheading Description Unit # of Units No. of Ist yr Community Grand
cost Units name clusters Contribution Total
9 Creating herbal garden Transportation, IEC 29,500 14 10 413,000 81,200 494,200
material, pre- garden
arrangement for
meeting, Audio &
Video
arrangements,
Honorarium,
cleaning, Pitting,
pit materials,
planting labour,
saplings
Awareness creating, Transportatin, IEC 10,000 14 140,000 14,000 154,000
discussion with material, pre-
community and arrangement for
identified beneficiaries meeting, Audio &
Video
arrangement,
Honorarium etc
Land preparation (10 cleaning, Pitting, 12,000 14 10 168,000 67,200 235,200
gard/vill) and planting, pit materials, garden
organic manure, planting labour
maintenance, etc
Saplings procurement, herbal, fruit-tree, 6,000 14 84,000 84,000
Transportation, greens saplings,
Maintenance, replanting saplings,
distribution etc etc.
Audio/Visual materials & Nutrition, herbal, 1,500 14 21,000 21,000
communication demo/photo
exhibition,
brochures
Total (Item 9) 413,000 81,200 494,200

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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

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11. Ayush Mela-Budget Detail
S.No. Budget Description # of Units Unit TOTALA Community Grand
Subheading name Contribution Total
11.1 Legal Aspects 2,100 1 prog 2,100 2,100
11.2 Publicity & Newspaper Ad, Local TV 200,000 1 prog 200,000 100,000 300,000
Awareness Channel, FM Radio,
Mobile Magazine,
Pamplets &
Distribution, VIP
Invitation, Posters,
Stickers, Hoardings and
Auto Announcement.
11.3 Press Meet 20,000 1 prog 20,000 20,0000
11.4 Venue rent & Venue rent, cleaning, 200,000 1 prog 200,000 55000 255,000
Preparation pandhal, chair, table
and electrical, audio
and video etc.
11.5 Exhibition Stalls 75,000 1 prog 75,000 5000 80,000
(Food, Herbal,
home reedies,
fitness, Yoga,
nat uropathy,
Medicines, etc.)
11.6 Culturals cultural programs 10,000 1 prog 100,000 20000 120,000
11.8 Rally 15,000 1 prog 15,000 30000 45,000
11.9 Competitions 95,000 1 prog 95,000 10000 105,000
11.10 Lodging & 50,000 1 prog 50,000 125000 175,000
Boarding
11.11 Materials Program materials and 10,000 1 prog 10,000 10,000
Printing & stationery
11.12 Security 5,000 1 prog 5,000 5,000
11.13 Momentos momentoes, 40,000 1 prog 40,000 40,000
compliments, prizes
11.14 Transport Material and people 25,000 1 prog 25,000 25,000
11.15 Photo & Video 12,000 1 prog 12,000 12,000
documentation
11.16 Wind up 25,000 1 prog 25,000 25000 50,000
activities
11.17 Program 30,000 1 prog 30,000 30,000
organizing
Expert Team
Total (item 11) 904,100 904,100 370,000 1,274,100

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S.No. Budget Subheading Description Unit cost # of Unit 1 yr Community Grand
Units name Contribution Total
12. Networking
12.1 Block level representatives 33,000 1 33,000 33,000
stakeholder from various
consultation stakeholders-100
persons; inc field
visits
Hall rent 10,000 1 meet 10,000 10,000
Audio and LCD 3,000 1 meet 3,000 3,000
Transportation 10,000 1 meet 10,000 10,000
Refreshment 7,500 1 meet 7,500 7,500
Printing and 2,500 1 meet 2,500 2,500
stationery
12.2 Interface Meeting PHC D, VHN, Health 15,750 1 meet 15,750 15,750
with health inspector, TB
department and Controler, AYUSH
AYUSH practitioners; practitioners, Other
= 75
Hall rent with chairs, etc 5,000 1 meet 5,000 5,000
Audio & LCD 3,000 1 meet 3,000 3,000
Resource person 2,500 1 meet 2,500 2,500
honorarium
Refreshment 3,375 1 meet 3,375 3,375
Printing and 1,875 1 meet 1,875 1,875
stationery
12.3 Orientation/refresher training will happen 6,875 7 48,125 48,125
Training for AYUSH @one batch in each
club members block, 1 day (block
team, AYUSH
members at BARC)
Educational materials Panchyat level 2,250 7 batch 15,750 15,750
Refreshment 3,250 7 batch 22,750 22,750
Stationeries scribbling pad and 1,375 7 batch 9,625 9,625
pen; program
12.4 AYUSH club monthly 3,456 14 clubs 48,384 33,600 81,984
meetings
Prearrangement, at panchyat level 3,456 14 clubs 48,384 33600 81,984
cleaning, Rent,
Refreshment etc.
Total 145,259 33,600 178,859

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13. Training and Capacityblding-Budget Details (INR)
S.No. Budget Subheading Description Unit cost # of Unit 1 yr Community Grand
Units name Contribution Total
13.1 Induction Training 8 batches, 3 days (2 60,500 1 60,500 60,500
batches cluster
facilitator, 2,
batches for
supervisory staff at
block & dt leve. Both
admin related
relating)
Venue Training hall and 37,500 1 batch 37,500 37,500
lodging & boarding
for residential trg
Audio visual 9,000 1 batch 9,000 9,000
Equipments
Trainer/org (KKID) Travel & 2,500 1 batch 2,500 2,500
consultation fee
Educational materials Demo materials, 5,000 1 batch 5,000 5,000
Audio visual
materials
Travelling 5,000 1 batch 5,000 5,000
Stationeries scribbling pad and 1,500 1 batch 1,500 1,500
pen; program
13.2 Introduction about one day training on 7,500 1 7,500 7,500
AYUSH intro and
importance of
AYUSH
Training materials 1,000 1 block 1,000 1,000
Resource person Honorarium-4 6,000 1 block 6,000 6,000
persons
Refreshment 500 1 block 500 500
13.3 Orientation/refresher 1 co ordinators, 4 21,500 1 21,500 21,500
for Awareness Team Awawrness team
and others
Training materials Rs. 200*15 6,000 1 prog 6,000 6,000
Resource person Rs. 3000*4 topic 12,000 1 prog 12,000 12,000
honorarium
Travelling 1,500 1 prog 1,500 1,500
Refreshment 2,000 1 prog 2,000 2,000
13.4 Orientation/refresher 1 co ordinator, 4 8,200 1 prog 8,200 8,200
training on Home & herbal team, 7 + 1
herbal Garden cluster cluster level team
facilitator and others
Training material Rs. 200* 15 3,000 1 prog 3,000 3,000
Resource person 2,500 1 prog 2,500 2,500
honorarium
Travelling 1,500 1 prog 1,500 1,500
Refreshment 1,200 1 prog 1,200 1,200

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S.No. Budget Subheading Description Unit cost # of Unit 1 yr Community Grand


Units name Contribution Total
13.5 Orientation/refresher 1 co ordinator, 4 25,550 1 25,550 25,550
training on yoga & fitness team, 7 +1
fitness team cluster team &
others 4 day
Training material Rs. 200*15 3,000 1 prog 3,000 3,000
Resource person 8,000 1 prog 8,000 8,000
honorarium
Boarding & Stay 1,500 1 prog 1,500 1,500
13.6 Sensitizing/Refresher Cluster facilitator 4,650 1 4,650 4,650
training on will be educated by
community the awareness,
mobilization for yoga, fitness and
cluster facilitor garden team at
block level 1 days
Refreshment 15 members*4 2,850 1 block 2,850 2,850
times*Rs. 25+Rs. 45
Training material 8 members*4 topic* 1,200 1 block 1,200 1,200
Rs. 50
Printing and 8 members*4 600 1 block 600 600
stationery times* Rs. 25
13.7 Orientation Home Block level; cluster 835 1 835 835
Remedies Training co-ordinators by
herbal garden
incharges
Refreshment 15 members*45 675 1 block 675 675
Training material 8 members*20 160 1 block 160 160
13.8 Review meetings 14,400 14,400
Monthly review Overall 3,600 1 proj 3,600 3,600
meetings
Weekly review Block level 10,800 1 block 10,800 10,800
meetings
13.9 Exposure visits- 50,000 1 visit 50,000 50,000
project staff
13.10 Annual Staff Meet to share experience, 1,000 50 person 50,000 50,000
up dating the
knowledge, team
coordination & team
building of project
staff. It will be
residential,
centralaised
location, refreshing
events will be
included
Total for Training & capacity building 243,135 0 243,135
programs (item 13)

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14. Monitoring & Evaluation Budget Details (INR)
S.No. Budget Description Unit Cost # of units Unit 1 yr Community
Subheading Name Contribution
14.1 Internal Evaluation field visits, 200,000 1 proj 200,000 200,000
documenting,
analysis,
report
preparation
14.2 Social Auditing field visits, 200,000 1 proj 200,000 200,000
External documenting,
Evaluation analysis,
report
preparation,
3rd party
service
Total (item 14) 400,000 0 400,000

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16. Administrative costs – Budget Details (INR)
S.No. Budget Description Unit Cost # of units 12 month 1 yr Community Grand
Subheading Contribution Total
16.1 Block Resource 756.000 756,000
centre Equipment
Furniture’s and Tables, 131,500 2 263.000 263,000
fixtures chairs, etc
Computer & Computers, 167,000 2 334,000 334,000
accessories printers, fax
machine, UPS
Audio visual TV, DVD 60,000 1 60,000 60,000
Equipments, player
Awareness &
educational
materials, display
kit
Water Doctor 24,000 1 24,000 24,000
Communication Telephone, 5,000 2 10,000 10,000
Equipments cellphone
internet
Storage Racks Medicines 20,000 1 set 20,000 20,000
Two wheeler 45,000 1 45,000 45,000
Total office-equipments 756,000 756,000
This is an illustrative list only. Adjustments will be made after
16.2 Non recurring 150,000 150,00
Job Advertisement 50,000 1 50,000 50,000
and recruitment
Rental advance For block 100,000 100,000
resource
centre
16.3 Project Management Committee meeting 203,200 203,200
Local travelling including 10,800 4 meeting 43,200 43,200
fields visits
Accommodation & for 7 person 25,000 4 meeting 100,000 100,000
boarding Etc.
Meeting cost hall, 15,000 4 meeting 60,000 60,000
refreshment,
stationery,
etc……….
16.4 Financial Auditing 250,000 250,000
Concurrent Internal 200,000 1 proj 200,000 200,000
Auditing
Annual Auditing Interal 50,000 1 poj 50,000 50,000
supported by
AYUSH

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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

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OTHER DOCUMENTS

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F.No. 14017/2009-AISH
Government of India
Ministry of Personnel, Public Grievances and Pensions
Department of Personnel & Training

North Bloc, New Delhi – 110001


Dated : 14th September, 2009

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)

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AYUSH Intervention in Public Health Initiatives

New York, 31 July 2007

Dear Mr. Kumaravel Grovindaraj


We would like to inform you that the Economic and Social Concil, at its Substantive Session of July 2007, decided to
grant Special consultative status to the organization “ISHA (ISA) Foundation”
The organization may now designate official representatives to the United Nations to the United Nation Headquarters
in New York and the United Nations offices in Geneva and Vienna. Designated representatives can pick up their passes in
person at the designated site. Needless to say, the regular presence of your organization will allow your organization to
implement effectively and fruitfully the provisions for this your organization will allow your organization to implement
effectively and fruitfully the provisions for this your organization will allow your organization to implement effectively and
fruitfully the provision for this consultative relationship. The form for designating representatives can be downloaded from our
web site : www.un.org/esa/coordination/ngo.
Please note, in particular, Parts II, IV, V and VII of the Council Resolution 1996/31, describing the procedure for
carrying out your consultative relationship with the Council. Also, kindly note Part IX, paragraph 61c which requests that
organization in General and Special consultative status submit quadrennial reports on their activities. Your first report covering
the period 2007-2010 should be submitted to the Committee in 2011. You will be advised of the modalities for completing your
report in due course. Meanwhile, we suggests that you maintain detailed records of your activities.
The United Nations issues a calendar of meetings and conferences, which can be obtained by your representative at
the United Nations sites. Every year, you will receive from this office the “Calender of United Nations meetings open to
participation by or of special interest to NGOs in consultative status”. The latest of copy of the calendar and other NGO-related
information can also be found on our web site.
Finally, should your wish to indicate your status with the United National on your letterhead, please use the following
wording: “NGO in Special Consultative Status with the Economic and Social Council of the United Nations”. The United Nations
eblem may not be used, unless express approval has been granted by the Legal Office of the United Nations. This is neither
granted for stationery use, nor for any printed materials describing your organization.
We look forward to a productive relationship with your organization and its representatives.

Best Regards

Ms. Michele Fedroof


Officer-in-Charge, NGO Section/DESA
Department of Economic and Social Affairs

Mr. Kumaravel Grovindaraj, PR Officer


ISHA (ISA) Foundation
15 Govindasamy Naidu Layout,
Snnganallur, Coimbatore
India FAX : 091 422 231 9624
E-mail: kumar.govind@ishafoundation.org.

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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

Isha AYUSH model of healthcare Page No. 2

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