Shelters & Hospice
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"Apni Dunia Project (Shelter, Hospice, Education) for Poor & Needy"
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Shelters & Hospice Project of Social activities integration -SAI
    This word is a fusion of the words APNA – APNI DUNIYA – meaning our home. APNI DUNIYA is an effort to put a progressive step further in our effort to reach out to those destitute women those are AIDS developed sex workers and Widows living with HIV, orphans infected/ affected with HIV & Cancer. SAI will do rehabilitation of 200 orphans, 50 destitute women and 50 old aged in this Apni Duniya by providing them a shelter, charitable hospice and a rehabilitation center.
    • To develop a shelter for that destitute sex worker who have been thrown out of the brothels, & widows by their near –dear one due to sickness and are forced to live on the streets.
    • To provide a charitable hospice services for chronically ill, aged, PLHA or those sex workers with HIV/AIDS & Cancer patients.
    • To provide a rehabilitation and vocational training center for sex workers and widows infected with to provide them better opportunities and behavior change
    • To provide health facilities to tribal people.
    • Rehabilitating those who are strong enough in the mainstream of society
    As days go by with SAI's team & Didi's (Peer leader of sex workers) working devotedly for the betterment of the sex worker community. We routinely come across such unfortunate incidences of HIV positive or terminally ill sex workers being thrown out from brothels. These patients have no place to go and are treated in public hospitals and are then discharged. Most of the patients are asked to go to their native places, as there are no institutions, which can take care of these patients for prolonged periods. The need of the hour today in the treatment of HIV/Aids, wants a strong psychological and emotional support which would bring these people to live as normal human beings. The supportive care and treatments can be brought about if these patients have centers, which we propose, which would cater to the simple needs of theirs. These centers such as ours would take care of the longer duration of stay, which is most essential in the treatment of HIV/Aids. It is also seen that terminally ill patients after their death, the cremation process takes a long time, as no one comes forward to cremate them. We would also propose to have such cremation facilities. We have experience in this field where patients with AIDS live normal lives, as we have the expertise and a good track record in treating such patients. We have enough evidence of the same to prove that proper emotional support and regular counseling works like a magic dose for these patients.

    Shelter-based HIV prevention is critical opportunities to reach a population that may otherwise not hear or receive HIV education and supplies. Homeless women and their dependants are at increased risk for HIV due to survival behaviors associated with poverty, poor health, and nutrition, substance abuse, mental illness and exchanging sex for drugs, shelter, money or food. Because of this, shelters play a unique role in the control of the HIV epidemic.

    As per NACO estimates, India has nearly 0.64 million children below 14 years of age who are infected with HIV. Significantly, the number of children who have either one or both HIV positive parents or who have lost both their parents to HIV/AIDS is steadily increasing.

    Secondly when parents are too sick to look after the children or when both parents are dead and the extended family refuses to accept the children. They need a safety net until they can be rehabilitated.

    Though SAI's team is relentlessly trying to provide for this by accompanying patients to hospitals, negotiating and advocating care for HIV +ve patients, but still this is not enough. They fear that they might contract some crucial infection someday & have no relatives or family to look after. They trust SAI. They hope we will take care of them in their last days. But If SAI has no resources to provide them with this support then our foundation pillars that are Didi's (Didi means sister i.e . volunteer among sex workers) will they lose faith. Hence there is an urgent need to address this issue.

    • Sex Workers in major red light areas of Mumbai like Kamathipura, Falkland Road, Sewari, Worli are living under the poverty line. The majority of the sex workers is pushed into the sex trade for the want of money.
    • Worst still is that many girls are forced by Gharwalis' (brothel owner/manager) & pimps to have sex without condoms. There is extreme overcrowding, with a 10 X 10 foot room stationing 10 – 15 girls at least.
    • Hence there is every kind of infection. They are periodically subjected to diseases like malaria, typhoid, Skin Infection, fungal infection, malnutrition, sexually transmitted diseases, gastroenteritis, scabies, louse and worst of all T.B.
    • T.B. and Malaria are Holo-endemic in these communities. Our medical mobile van has made a significant difference in controlling these various diseases. But at times our facility feels helpless.
    • The story of some Sex Workers with HIV / AIDS is completely different. Once they fall ill the gharwalies (brothel Manager/owner) and pimps to throw them out of the house. Then they have nowhere to go. Because of repeated sensitization efforts of institutions such as ours, some have understood and accepted. But the majorityis either sent to the village or thrown on the street.
    • If some lucky Didis with HIV are taken to the hospital, they are kept for 1 or 2 days and then discharged after 2 days irrespective of their needs or condition. Some are made to sign papers saying discharge against medical advice. No one even comes to do their last rites because they are HIV +ve.
    • For all these reasons the Didis in the red light area have been repeatedly requesting for a shelter. The Didis will look after this Shelter. The DIDIs will be given basic training like an auxiliary nurse or a DAI.

    Our Plan for Apani Duniya
    • Shelter for destitute with AIDS.
    • Hospice for the sick
    • Rehabilitation and vocational training center.
    • Orphanage Home
    The shelter will provide residence for those poor destitute living with AIDS, Orphans infected & affected by HIV/AIDS & cancer or elderly dependents that are compelled to live on the streets.

    They will be provided two square meals for subsistence. They will share the responsibility of cleanliness and maintenance of the place. They will also giving vocational training to earn their daily bread & butter. They will also look after the children, elderly and the sick. Working towards removing the stigma associated with the condition through awareness building exercises in this shelter would help in containing these deadly diseases.
    It will be a 200-bedded charitable hospice to start with. This will admit those patients who are chronically ill, or those patients with HIV/AIDS or T.B. and Cancer who need hospitalization. They will be given nutrition, and all the medicines as and when required.

    Some patients who are terminally ill and breathing their last breath is usually turned away from hospitals. These patients can be admitted to the hospice where they can receive medications and extends their life. But those who cannot be saved can at least die peacefully and with dignity. All the above activities that are planned will be help in skill building of the beneficiaries and also help in generating the income and thus in future help in self sustainability of the project.

      Hospital :  
      Dinning Hall  
      Reception/Storage Room  
      Staff Room  
      Residence of senior citizens.  
      Single bedded Male  
      Double bedded. Male  
      Single bedded Female  
      Double bedded. Female  

    • The hospital will be 200 bedded specially for the residents of the shelter home and to the poor residents of the area.
    • There will separate single bedded wards for male and female. Similarly male and female double bedded wards
    • The hospital will be located in Bhiwandi in the proposed area.
    • This hospital will be established with the main intention of reaching to the tribes and poor villagers of the nearby villages as they lack medical services. Apart from serving the economically backward class us through this project will reach out to HIV / AIDS patients who are resident of the shelter home.
    • This hospital will provide inpatient care and outpatient care.
    • The inpatient care will be provided for free of cost for patient below the poverty line.
    • Nominal charges will be charged for people above the poverty line visiting for the outpatient care services provided by the hospital and this funding source will help in the operation and maintenance of the services.

    A home will be established for HIV/AIDS & Cancer affected orphans. This home will cater for every need of these children right from food and shelter to inculcating various skills of self-employment in them. In short, this wills a second (and the only) home for these children. At home, a firm commitment will be made to support each and every child by giving him or her a strong educational foundation, self-esteem, and values. We will also help them plan as to how they can earn a steady livelihood as a step towards improving their standard of living. Social Activities Integration (SAI) will identify needs and design and implement programs to support women and children (especially orphaned/abandoned children) to be socially and financially self-sustaining. This orphanage we are planning to build for orphans will be a beautiful haven where they will receive not only food and shelter, but also an education and training to help them become productive members of society.
    Most sex workers have not entered this sex trade willfully. They wish to dissociate themselves from this and lead a life of respect as the rest of the general community. Most of them desperately want their children not to enter into the sex trade, but invariably the children due to lack of opportunities and vocational guidance they ultimately revert back.

    To stop this, a strong support system needs to be developed. For this the center will provide vocational training in developing skills and entrepreneurship among sex workers, their children & destitute widows affected with HIV, so they get an alternative source of livelihood and they become models for others to progress.

    Updated information Apani Duniya project and activities done for destitute sex workers and poor people with AIDS and Cancer
    • There are 10000 sex workers in South Mumbai's brothel based areas those are staying in kamathipura, Falkland Rd, Foras road, Pawawala Street, Gaiwadi, Jamuna mansion, Gaiwadi, Worli & Sewari.
    • An estimated 250 children of sex workers are staying with their mothers.
    • The old SWs, AIDS developed sex workers dies inthe street (Brothel keeper or their family does not accept them) & People Living with AIDS (PLWA) who don't have a place to stay or a penny to spend and nobody to take care should have their own home i.e. Apnalay.
    • We had admitted 4 female sex workers with full blown AIDS to Jyothis Terminal Center has been doing rehabilitation work they have only 5 person capacity and 100 kilometers away from Mumbai. Unfortunately all the 4 homeless sex workers died and SAI had taken the responsibilities of cremation of them.
    • 3 Poor people with AIDS from our Drop in Center died in the street and tried to commit suicide when they were thrown out by their families and government hospitals at the time of care, support and hospitalization were provided by SAI.
    • Every year 4-5 sex workers with AIDS dies on the street, so want to take care of them in dying situation and to get them the dignity death.
    • 2.5 million People are infected with HIV/AIDS in India according to the National AIDS Control Organization (NACO) - India but it is only those doing HIV testing during in their health problems.
    • SAI has been trying to take care of AIDS patients respectfully, providing quality health services with minimum resources.
    • Many people ask SAI about shelter or hospice center for AIDS patients in Mumbai but unfortunately this kind of shelter or hospice is not available in Mumbai or any other place. People live in small rooms, with joint families and in this situation AIDS patients do not get proper care and get discriminated by some family members also.
    • SAI makes an effort to fill in the gaps between society and neglected communities of sex workers.
    • This center will be a milestone and a role model in India for PLWHA. None such exists today and the local community is not interested in doing so because of the stigma associated with AIDS.
  • Provide timely care and treatment
    The first step to help these children is to diagnose the child who is infected with HIV by testing of HIV. It is important that HIV positive children are diagnosed as early as possible, so that if require they can be provided with appropriate medication and care.Once a child is diagnosed with HIV, they ideally need careful monitoring and antiretroviral drug therapy. Children who successfully treated may be able to live relatively healthy lives. Childhood illness can be avoided through vaccines, immunization and good nutrition.So timely care and appropriate treatment will save many lives of children through this project.
  • Nutritious and Safe drinking water
    Children with HIV infection may occasionally suffer from gastrointestinal disturbances, resulting in nutritional deficiencies, weight loss and 'failure to thrive'. Dietary assessments to ensure optimal nutritional intake are a routine part of child care. Certain micro-organisms known as Cryptosporidium may occasionally get into water supplies, causing diarrhea in some people with weakened immune systems. Boiling all drinking water will ensure that these germs are killed.
  • Psychosocial Support
    Children living with HIV have many realistic and material needs, but they also have social, emotional and psychological needs. It is therefore important that emotional care is provided to all children affected by HIV, including those who have lost their parents. There are particular stages when these children require support: the time when they are first diagnosed, they start to receive treatment, have dealt with discrimination, facing problems adhering to drugs, or have to deal with end of life. Various festivals will be celebrating Diwali, Christmas and other festival with these children. Activities and competition will be are arranged for keeping these children intomainstream.
  • Shelter Project for Adults living with HIV/AIDS
    AIDS is often seen as "someone else's problem" – as something that affects people living on the margins of society, whose lifestyles are considered immoral. Even as it moves into the general population, the HIV epidemic is still misunderstood among the Indian public. People living with HIV have faced violent attacks, been rejected by families, spouses and communities, been refused medical treatment, and even, in some reported cases, denied the last rites before they die.

    Adult Infected with HIV/AIDS:

    a. Food: Nutritious food is the basic requirement for a person living with HIV/AIDS. In the shelter we will have a cook where the food will be cooked according to the dietary needs of the child .And it will be also seen that proper hygiene is maintained.
    b. Clothing: Toiletries and Bedding: All the residents will be given with clean clothes and also bedding will be given to the children. Twice in a year a pair of new clothes will be purchased . Efforts will also be taken in order to collect old clothes. Beddings will provide and toiletries will be given to all the inmates.
    c. Medical care: As these inmates need special medical care and attention SAI will be providing them with medical care by appointing a doctor and a nurse and providing them with treatment as a when required. Counselling will be provided as they will be undergoing traumatic experiences, counselors will be helping them overcome the various challenges they face in their life.
    d. Training Centre:"If you give a man fish he will live for a day if you teach to fish he will live for a life time" Social Activities Integration-SAI believes in it and has been trying to implement it through its project.SAI is venturing through this project to train the poor people living with HIV/AIDS through this project of the Training Centre. The market research conducted by SAI staff has decided to take up following training courses at the Centre.
    e. Good stove: This stove has great demand among the people living in slum. This stove can be made available in affordable price and also will be Eco friendly. The people living in slums find it difficult to get LPG and it makes too expensive and secondly the stove that they use as an alternative also requires a lot of kerosene or wood which also is not possible for them to fetch and in the rainy season it makes very difficult to store the wood. This "Good stove "stove is made of tin or steel and in order to light the fire to cook, small quantity of wood or paper waste can be used there is no much need of wood and there is no risk of catching fire nor any other health hazards due to smoke that is given out in the other stove while using the firewood.
    f. Manufacturing of Recycled paper bag: Plastic are not biodegradable cause's hazard to nature and thus the recycled paper bags and cloth bags manufactured will be made available to the public and there is increasing demand for the same.
    g. Preparing fragrance stick: Fragrance sticks are used every day for offering prayers. As there is need of this product every day by lots of families, the project will work to prepare this to meet the demand.
    h. Imitation Jewellery: Training will be provided in designing imitation jewelry. After attaining the training, we will be taking orders from the imitation jewelry maker and showrooms were the marketing will be done.
    i. The cultivation of food crops and the Kitchen Garden: The place purchased for the proposed project is a vast area with good water reservoir and the land is very fertile, at present on certain portions of the land is used for cultivation of paddy and growing vegetables .Once the project takes its shape, the inmates will cultivate various vegetables, fruits, paddy and also flowers and medicinal plants.
    j.Animal Husbandry: The project will have cows were the milk and milk products will be used for the project beneficiaries residing in the proposed project. The excess milk will be sold to the market. The cow dung will be used for producing gobar gas which will be used cooking.
    k.Ornamental fish farming:The existing water reservoir provides the opportunity for ornamental fish Farming which has great demand for ornamental fish.

  • Projected beneficiaries of Apni Duniya Project