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Care Givers Proposal

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Care Givers Proposal

  1. 1. TRAINING OF CAREGIVERS – CONCEPT PROPOSAL (Professional Skill training in Geriatric Care and creating employment opportunities for school dropouts, single women and widows) January 27th 2014 1
  2. 2. 2 Project Title : Skill Development & Employment generation through training of geriatric caregivers for the needy elderly Project Goal : Skill development and up-gradation of unemployed youth, school drop outs, widows etc. by training in caregiving. Location : For training of Caregivers: Delhi NCR. 100 Caregivers trained (25 trainees per batch) – total 4 batches Duration : 3 months (per batch) Budget : Total for trainings: Rs.34.82L (Annexure 1) Implementation : Initiation within 30 days from date of approval of project Deliverables : 100 trained Geriatric Caregivers, each conversant with theory & practical training and internship process with reputed institutions in this field
  3. 3. PROJECT RATIONALE • Old age care in India is a concern which has not received any major attention from the Government, the private Sector or society at large. Till a few decades back due to the high mortality rates and lower life spans, the number of persons in the category of the oldest of old was marginal. It is only recently that we are witnessing the phenomenon of people living well beyond their 80’s. • The traditional joint family system which was once a predominant living arrangement is fast disappearing from cities / towns and villages. People from the cities are going abroad and large migrations are taking place from the villages to the cities. • Post seventies, ailments like Dementia, Alzheimer's and lack of mobility are extremely common, making dependence unavoidable. For the elderly to continue to live with their children after the onset of such ailments, results in an enormous burden on the latter and destroys the relationships between parents and children, developed over decades. • Advancement of old age results in a number of physiological changes that affects activities of daily living e.g. reduction in eyesight, hearing, mobility, strength and/or stamina that reduces an individual’s abilities to sustain independent living. 3
  4. 4. • Caring for an older person either at home or in an institutional setting becomes a difficult and overwhelming task at times as each day brings in new challenges with changing levels of ability and new patterns of behaviour. • It is projected that 2014 will have 100 million senior citizens which is expected to grow to 143 million by 2021, with 51% amongst them being women. According to the projections of the Population Division, Department of Economic and Social Affairs, United Nations Secretariat, in the year 2050 India is expected to have 308 million (20.14%) elderly persons as against a total population of 1531 million. The increase in life expectancy has resulted in a major shift in the age group of eighty years and over, known as “oldest old”. During 2006-2050, while the overall population of India will rise by 40%, those over 60 years will increase by 270% and 80+ by 500%. These emerging trends call for enormous efforts to cope with new demands and challenges – economic, emotional and health. • These factors combined with increasing lifespan dictates the need to have alternate care givers. As of date a cadre of professionally trained care givers is not present in the country. The project aims at recruiting persons who would not get employment otherwise, such as school dropouts and widows/single ladies, and training them in skills that would result in their becoming, caregivers who would assist the needy elderly in their activities of daily living. 4
  5. 5. THE NEED FOR TRAINING The aged population in India has increased phenomenally with greater life expectancy. Understandably this means, there are more number of elders to look after at home and less or none at home to provide the requisite care and protection due to hectic work schedule and increased cost of living. Thus, there is a huge unaddressed need for professionally trained geriatric caregivers who can provide support for activities of daily living, assistance in medical care and overall help in improving the quality of daily life. The proposal addresses the area for bridging the gap between the need of geriatric home care and availability of home care service providers. Training of unemployed youth, school drop outs, widows in geriatric caregiving will develop their skill, and create a cadre of caregivers for the elderly who are in need of such services as well ensure a dignified living for the said unskilled, often neglected workforce. The impact of this initiative will be improved quality of life of both, the elderly and the caregiver. This pilot project aims to create a cadre of geriatric home caregivers in pre- identified cities. This cadre of trained professionals will provide the invaluable assistance to the needy elders in attending to the activities of daily living (ADL).5
  6. 6. Training of Caregivers in Delhi NCR: • Delhi NCR (Delhi, Gurgaon, Faridabad & NOIDA) has been chosen being the national capital and having presence of both HelpAge head office and your offices for easy conceptualisation, resource mobilization and execution. • Locating space is also not a problem in NCR. HelpAge India has sufficient infrastructure and trainers in NCR who can help pilot this course successfully. Two types of Courses will be conducted for: • 100 Caregivers for Domestic Caregiving • The trainees will be sourced from NCR and the adjoining districts/ states. • The training course will include both theoretical as well as field exposure and practical training sessions to build up knowledge and skills. The skill set for teaching pedagogy would include videos and trainer diagrams, as most of the candidates would be dropouts of 8th Class. 6
  7. 7. 7 METHODOLOGY Pre-training Selection of pre-identified trainees for training – (Criteria for selection); • Educated till at least class 8/ School drop out • Lower income group • Widows/ single women in need of work to support family • Unemployed youth Training • Training of Trainers on standardised course and design of training • Introducing the trainers to the standardised course, as prepared by HelpAge India, and sensitisation to the design which will be a mix of classroom and practical sessions • Internship in old age home and hospital – trainees will be placed for 5-10 days in old age home and hospital where they will experience subjects such as personal care of assisted (totally dependent) elders. • Development of promotional material to establish the local demand for caregivers through Senior Citizens’ Associations, RWA, OAH, Hospitals etc.
  8. 8. 8 TRAINING PARTNER Training for caregivers will be given by a team of professionals from A4E, /Professional Health Care Trainers, who besides other expertise, have been HelpAge India’s partners for various health and training related projects. The organisation has been successfully running and managing AgedCare@Home services, an initiative started with support from HelpAge India. The unit has a team of experts who conduct the training, covering all aspect of geriatric caregiving, and facilitating placement of trained caregivers. Training Duration The training period for course for Caregivers would be 30 days (fulltime- 8 to 10 hours). This would also include internship training in hospitals and old age homes.
  9. 9. CONTENTS OF THE COURSE • Process of ageing and impact – biological, psychological, and the social process of ageing • Facilitating safe environments and houses for the elderly and Housekeeping • Geriatric Counseling and Listening skills • Introduction to Basic Care – (Hygiene & Grooming, Rest & Sleep, Movement & Coordination, Pain Management, Infection Control, Pressure & Bed Sores etc.) • Other Health Care – (Diabetes, Hypertension, Arthritis, Falls – Prevention, Fractures, Injuries, Stroke, Dementia, Depression, etc.) • Physiotherapy & Rehabilitation in normal & frail Elderly • Nutrition & Dietetics in old age, Stress Management in Caregiving, Manners and finishing skills (for Caregivers at home) • Hospital and Old Age Home Visits – for exposure to caregiving for dependent elders 9
  10. 10. Expected Outcome of the Project • Improved quality of life of elderly who are looked after by the trained caregivers • Enhanced capacity of caregivers. A scalable model to create self sustained economy • Employment opportunities for school dropouts, widows and single women. Recruitment, Placement and Post-employment Monitoring • To identify the need to absorb these trainees in domestic homes/ old age homes/ hospitals, and preferably around their residential localities. • Post-employment there will be a need to monitor:- • Whether the Caregiver is providing adequate service to the aged. • Whether the family is treating the Caregiver well, and not imposing duties unconnected with the care of the elder. It would be desirable to offer hostel facilities for the students but it is felt that the first few batches can be run as a non- residential programme. 10
  11. 11. 11 Annexure-1 : Training cost for 100 domestic caregivers SKILL DEVELOPMENT & EMPLOYMENT THROUGH TRAINING OF GERIATRIC CAREGIVERS S.No. Activity Activity Description No. of Courses/units Cost per course 1.0 NON RECURRING EXPENDITURE 1.1 Training materials, Audio-visual aids, projector, screen, charts etc. Mannequin, Anatomy parts, Blood pressure checking machine, Sugar testing kit, First Aid kit, Emergency aid demonstration kit, Anatomy charts, Systems charts etc. 165,000 Sub-total 1 165,000 2.0 RECURRING EXPENDITURE 2.1 In training Stipend to trainees @ Rs.100pp 100 x 100 x 30 300,000 2.2 Post training Retention costs for 100 Trainees for 2 months Rs.5000 p.m. x 100 x 2 months 1,000,000 2.3 Honorarium to the Core Faculty Professional Faculty (2/day @ Rs. 3000/day for 30 days/per batch of 25 trainees) 4 720,000 2.4 Trainee Selection Trainee Selection/ Identification/ Interview/ per batch of 25 trainees 4 80,000 2.5 Venue charge/Rent with Incidentals (@ Rs. 1500/day for 25 days/ per batch of 25 trainees) 4 150,000 2.6 On-site training (hospital and old age homes) (@ Rs. 1000/day for 10 days/ per batch of 25 trainees) 4 40,000 2.7 Administration (field work, travel, stationery) Training manual/Resource material & Hand-outs @ Rs.1500pp/ per batch of 25 trainees 4 150,000 2.8 Advertisement To mobilize the unemployed youth/ wodows/ poor/ per batch of 25 trainees 4 40,000 2.9 Training costs Meeting facilities, refreshment, local travel @ Rs.1500pp/ per batch of 25 trainees 4 150,000 2.10 Monitoring Costs Monitoring and travel costs of master trainers and HelpAge staff/ per batch of 25 trainees 4 100,000 2.11 Marketing and placement costs Mobilizing the placements @ Rs.4000pp 4 400,000 Sub-total 2 3,120,000 3 Contingency & unforeseen expenses (@ 6% of recurring expenditure) 187,200 Sub-total 3 187,200 Grand Total (Sum 1+2+3) 3,482,200
  12. 12. 12 Ms. Kamlesh aged 34 has been trained as Caregiver with the support of HI about two years ago. She is remarried and has three children between the age group of 3 to 13 to look after. Her husband Mr. Kamlesh works as daily laborer. Both of them joined for the caregiver training provided by HI. Mrs. Kamlesh is educated up to 10th and Mr. Kamlesh up to 4th class. Before joining as Caregiver trainee, Ms. Kamlesh she has been working as Anganwadi Sewika and earned an average income of Rs.4000 per month. Life turned very good for this couple. Ms. Kamlesh has shown great interest in the training and emerged top in the batch. She is today, one of the few experts who can provide able care for persons affected with Alzheimer, stroke and paralysis. Kamlesh on an average earns Rs.12,000/- per month for a work of 8 to 10 hrs. The couple today earns an average monthly income of Rs.20 to 22,000/- and send their children for good schooling and leading a good family life. They live in Mandaoli, East Delhi. Annexure 2: SUCCESS STORIES – CASE STUDY 1
  13. 13. 13 Annexure-2 : SUCCESS STORIES – CASE STUDY 2 Ms. Shaheen Parveen aged 40 has been trained as Caregiver with the support of HI about a year ago. She is married and has six children to look after. Her husband works as a tea vendor in the informal settlement near Jamia Milia, New Delhi. Ms. Shaheen is educated up to 4th class only and can hardly read and write Hindi. She has shown keen interest in the training and has emerged as successful trainee. Immediately after the training, Agedcare@Home provided her a few placements with an average income of Rs.13,000/- per month for a work up to 10hrs in a day. Life changed good for Ms. Shaheen after the training and placement. She has emerged as a very successful and expert caregiver for the elderly. She has been able to secure an advance of Rs.20,000/- from Agedcare@Home and get her one of the daughters married.
  14. 14. ABOUT THE ORGANISATION - HELPAGE INDIA: HelpAge India (HI) is the leading organisation working for the cause and care of the disadvantaged elderly and improving their quality of life. HI has over 35 years of experience of working for and with the elderly and has a national footprint through its programmes in the field of health, social care and protection, age care, advocacy, rights of the elderly. Under its National Outreach Programme, HelpAge India reaches out directly to more than 3.4 lac elderly every year by extending services in the field of Basic Health Care, Cataract Eye Surgeries, Treatment for Cancer, Physical and Mental Wellbeing through Physiotherapy Day Care Services for patients with Alzheimer’s and Dementia, Livelihood Support, Emotional, Legal and Information support through Toll Free Helpline for the Elders, to name a few. HelpAge India is the only organisation to have consolidated and published directories of old age homes in India. We have also designed quality living spaces for elderly through model designs, construction and operations of model old age homes for independent, assisted and dependent elderly in various States. HelpAge India has been instrumental in formulation of National Policy for Older Persons, 1999 and Draft Revised National Policy for Senior Citizens, 2011, Maintenance and Welfare of Parents and Senior Citizens Act, 2007. It represents in the Planning Commission Committees, Committee of the Ministry of Social Justice and Empowerment etc. 14
  15. 15. AWARDS & RECOGNITION IN RECENT YEARS - HI  CSO Partners’ Outstanding Annual Report Awards 2012, for commendable financial Reporting by CSO Partners.  ICAI Awards 2011 Most transparent NGOs under Category No. IX – Not-For-Profit Sector’ for Excellence in Financial Reporting by Institute of Chartered Accountants of India (ICAI)  Best NGO Award 2010 Best NGO Award in the Northern Region by Rockefeller Foundation  Salaam Mumbai Award 2008 Yeoman service in Mumbai during the July 2006 floods and bomb blasts  Indira Award 2007 for Excellence in Social Marketing by Indira Group of Institutes, Pune  Mahatma Gandhi Award for Social Justice in 2003 for Working in the slum communities in Mumbai, especially covering the most vulnerable communities Award from Meera Kumar – Lok Sabha Speaker for Outstanding Contribution to Social Welfare 2011 15
  16. 16. THANK YOU! 16