PROJECT ACTIVITY

Implementation Process (Methodology)

Activity 1:

Infrastructure development for rehabilitation and treatment. It includes : Physical infra structure development staffing and manning schedule

Physical infracturture development includes:

	· Renting 10-12 bedroom house at Biratnagar.
	· Procuring necessary furniture.
	· Procuring Beds, cots nets, bed sheets and etc.
	· Procuring sports and recreation goods (Badminton-goods, Caram board)
	· Procuring goods for cultural activities (Drums, Harmonium, T.V., Radio, etc)
	· Procuring education goods (books newspaper, Magazines etc)
	· Procuring cooking and other kitchen materials.

Responsible staff: Program co-ordinators and Accountant.

Staffing and manning Schedule : This has been described under the heading.

Activity 2

	Treatment services to residential clients. Mainly two types of treatments will be provided to the clients.
	1. Psychological treatment
	2. Medical treatment (Pharmacological treatment)
	1. Psychological treatment : (Psychotherapies)
	The more emphasis will be given to psychological approach than the pharmacological treatment because the letter is expensive.

The psychotherapies include:

	a. Spiritual therapy (Meditations and Yoga)
	b. Physical therapy (Relaxation eqeraises)
	c. Drug prevention education.
	d. Interaction with the clients and their families
	e. Individual counseling :- Each Client on arrival will be allocated to a counselor. The counselor will remain with the client till the client finishes has eruditely component. During this period individual counseling will be given on the clients needs.
	f. Observation, Tours and visit peer groups.
	g. Lecture on personal development and human values.
	a. Spiritual therapy (meditation Yoga) : Meditation and Yoga are one of the best and effective means for bringing psychological change. Yoga and meditation will be practised everyday.
	b. Physical therapy (Relaxation exercises) : Morning and light jogging Yoga will be made compulsory for each client.
	c. Drug prevention education : This will help clients to know about the different methods drug control prevention. Their attitude will change and get motivated to leave harmful drugs.
	d. Interaction with clients and their families : Interaction program will assist to overcome misguided information about the use of drugs.
	e. Individual counselling :- Each Client on arrival will be allocated to a counsellor. The counsellor will remain with the client till the client finishes has eruditely component. During this period individual counselling will be given on the clients needs.

Pharmacological treatment:

This includes:

	· General check up of each individual/client (Blood Pressure, Eye sight, chest check up etc.)
	· Routine check up of Blood, Urine and stool.
	· Finally, recommendation of medicines on the basis of above check up is made and the treatment starts.
	· Frequency of general check up -4 times a month or weekly. Comprehensive TREATMENT model to be used is given below:

	First Phase
	a. History taking of clients:

From all the concerned persons of the clients family and friends on a specially designed semi structured case file

	Second Phase:
	General check-up and routine check of blood, urine stool.

	Third Phase:
	Pharmacological treatment

	Fourth Phase:
	Evaluation of individual clients
	· General health improvement
	· Attitudes and intelligence evaluation
	· Stress/frustration evaluation
	· tolerance and anxiety scales.
	· then diagnostic formulation (complete)

	Fifth Phase:
	Psychotherapies : Mediation Yoga, individual counselling etc.

The complete treatment program will be of three months for residential clients.

Activity : 3

vocational training to clients.

The vocation training will be given to clients such as knitting making files, envelops, repairing radio and watches also kitchen gardening. This is aimed at developing self confidence as productive members of the society and to be able for social integration.

Activity 4 :

Family and social coordinator:

The time will be scheduled for addict with their family and parents and children. They will be encouraged to participate in social activities and awareness programs.

Activity 5 :

Sports and recreation:

The provisions of sports and recreation program will refresh the minds of clients and they will be able to think positively for their improvement.

ports and recreation items are given below:

	a. Table Tennis
	b. Chess
	c. Carom Board
	d. Badminton
	e. TV and radio Activity 6 : Educational/program (informal)
	The following educational programs will be started.
	a. English for beginners
	b. First Aid : Basic first Aid
	c. Nutrition : Basic course
	d. T-shirt printing : This Program will help the clients to earn while they are in Rehab.
	Activity 7 : Religious Activities
	a. Preying two times (morning and evening) every day will be made compulsory.
	b. reading religious books Ramayan, Nepali translation of Geeta)
	c. Religious talk by a Santa (holy man) will be arranged at every fortnight in a month. Activity 8 : Cultural activities
	These include
	· Demonstration of drama related to the project.
	· Arranging song competition among clients.
	· Invitation of guest artists.
	· The very objective of this program is to make clients busy and make the free from tension and anxiety.

Counselling and treatment to non-residential clients:

The very purpose of this program is to provide services to clients with a view to bring behavioural changes and finally make them productive and use full for the society.

Activity : 9

Counseling services and treatment to non-residential clients the very purpose of this activity is provide counseling and treatment services to clients who don't get admission in rehabilitation centre. Counseling is on going dialogue and relationship between clients and the counselor to provide psycho - social support to drug addicts.

Approach : One to one i.e. a councilor will deal with only one patient at a time and counsel him for safe use of drugs. For example use of sterilized needles discouraging tidejesic injection and recommending other options. Brain storming is done with clients to know his other habit and family background.

Treatment services : It is not possible to provide medical treatment services to all the clients of the project area. First aid treatment (burns, cut, injurious, abscesses) however can be provide to non-residential clients, counselors (Health Assistant/nurse) will carry first aid kit box containing useful/first aid materials. (Cotton, dettol, bandage, handy plaster and ointment etc.) and provide treatment services at the sport. The complicated cause will be referred to serving medical doctor.

Activity 10 :

Counselling services to clients families

	· The counsellor will assist the client with his family problem (Dealing with them and coping)
	· The counsellor will help and encourage to strengthen his families ties. On request the family will be allowed to visit rehabilitation centre twice a months and can meet his/her client.
	· Clients families will be counselled regularity to change the drug habit of client to safer method of drug use or switching off drugs totally.

Activity 11:

Monitoring and Evaluation:

Monitoring :- It is the process of supervising program activities to know.

	· Whether the activities have been implemented in due time or not?
	· Whether the activities have been directed towards the targeted objectives or not.
	· In the present contact the proposed project is of one year and the regular monitoring is needed to meet the goal. The monitoring will be done by the chairperson and vice person of this organisation a tentative schedule of monitoring will be prepare to make monitoring process easier.
	Evaluation: It is the comparison of the situation before and after a developmental program has operated within if for a predetermined period. In the present context the evaluation of each activity will be mentioned by the counsellors.

Aspects of evaluation:

	In the evaluation of the proposed program the following major aspects will be considered.
	a. Evaluation of the total impact of the project
	b. Evaluation of the clients (behavioral change)
	c. Evaluation of the clients family behavior.

Evaluation indicators

	· Increase in knowledge on the past of the clients with regard to precaution against drug use (IUDs).
	· Increase in or improvement in general health of clients.
	· Reduction in the number of times and quantity of drug use.
	· Reduction in the use of common needles.
	· Increase trend of sterilizing needles.
	· Behavioral change in clients parents (sympathy proper advice, proper diet etc.)
	.Increase trend for treatment.

Possible device for measuring indicators.

For each indicator the device to be used may be different for example:

Device	Indicators
Pretest post last examination result	Knowledge about drugs
Number of clients sequestering for rehab and treatment	Trend for rehab and drug treatment
Number of clients requesting for sterilized needles	Trend for sterilized needle
Number of clients family requesting for counseling services	Trend to know about drug abuse
Number of clients requesting for income generating program and so on.	Trend to get skill based training.

Evaluation of each activity will be recorded in a daily evaluation sheet. At the end of the month the daily record of evaluation will be compiled and converted into a monthly evaluation sheet.

The quarterly evaluation sheet will be prepared by compiling the evaluation records of four months. The annual evaluation sheet will be prepared by compiling the three quarterly evaluation.

Activity 12 :

Reporting System

	Monthly and quarterly progress report will be prepared and sent to donor agency timely. First Report (Annual)
	After the completion of implementation phase (one year) and its acceptance by the client (donor) this organisation shall findings for review and comments.
	After receiving comments/suggestions from the client/donor on draft of findings this organisation shall prepare final report. This organisation will incorporate all the comments and suggestions made by the client/donor and shall rectify or amend or provide additional information as required. Three copies of final report shall be submitted to client/donor.

Sustainability/Continuation of the Program

	To provide continuity to this program help group needs grant from donor agency for another two to three years. By that time this organisation will get established and be able to raise enough fund through several resources such as
	· Arranging trainers training
	· Selling IEC materials
	· donations from local businessmen
	· Grant from GOs (Ministry of Home HMG/N) Grant from Biratnagar municipality
	· Membership fee
	· Personal contribution
	· Contribution from Biratnagar Transport association.
	· Contribution from Mooring business association.

Clients selection criteria for rehab Admission procedure and rules and regulations

	· First priority will be given to clients (IDUs)
	· Productive age (14 to 35 years.)
	· 30% seats will be reserved for clients belonging to the poor and neglected section of the society (Factory worker, Riksha Pullers etc)
	· Clients interested to rehab and capable to pay the amount needed) for their lodging fooding and treatment.

Admission procedure

The total capacity of the rehab and treatment center at a time is 12 clients only.

	· Medical test is must before admitting any drug addict in the centre.
	· An interview of the addict and his family will be taken by the centre before the admission.
	· Program co-ordinator and staffs have full authority to decide whether to accept or refuse the admission of any addict.
	Rehab and treatment duration : Only 3 months. After three months the next batch of 12 clients would be admitted in the centre. Thus, the total number of clients to be rehabbed and treated is 48 annually.

Payment System:

	Each client has to pay the following amount of Rs. at the time of admission:
	1. Fooding and lodging recreation and study expenses Rs. 3000.00 NC
	2. Medical treatment expanses per month Rs. 1500.00
	3. Rehab centre uniform RS. 1500.00
	4. Monthly fee Rs. 2000.00
	Total Rs. 8000.00

Rules & Regulations

	· The drug addicts under going treatment are allowed to meet their family or any related person only after the completion of 30 days of duration. The time schedule to visit family is between 10 A.M. to 5 P.M. every Friday.
	· Telephone services are made available only when absolutely necessary and in emergencies.
	· If the progress condition is not found satisfactory during the evaluation even after three months, the period needs to be extend for another three months more only if the clients family agrees to do so.
	· The complete recovery of the client depends upon his condition, desire, willingness to be recovered therefore it is difficult to predict in the very beginning about the duration of complete recovery. Generally, the centre has aimed to cure them within the period of 6 months.
	. Violation of any rule and attempt to escape will be strictly deal with the centre rules and regulations.