Wednesday 29 August 2012

Azim Premji's Speech at IIM, Ahemdabad

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"While change and uncertainty have always been a part of life, what has been shocking over the last year has been both the quantum and suddenness of change. For many people who were cruising along on placid waters, the wind was knocked out of their sails. The entire logic of doing business was turned on its head. Not only business, but also every aspect of human life has been impacted by the change. What lies ahead is even more dynamic and uncertain. I would like to use this opportunity to share with you some of our own guiding principles of staying afloat in a changing world. This is based on our experience in Wipro. I hope you find them useful. 

FIRST, be alert for the first signs of change. Change descends on everyone equally; it is just that some realize it faster. Some changes are Sudden but many others are gradual. While sudden changes get attention because they are dramatic, it is the gradual changes that are ignored till it is too late. You must have all heard of story of the frog in boiling water. If the temperature of the water is suddenly increased, the frog realizes it and jumps out of the water. But if the temperature is very slowly increased, one degree at a time, the frog does not realize it till it boils to death. You must develop your own early warning system, which warns you of changes and calls your attention to it. In the case of change, being forewarned is being forearmed. 

SECOND, anticipate change even when things are going right. Most people wait for something to go wrong before they think of change. It is like going to the doctor for a check up only when you are seriously sick or thinking of maintaining your vehicle only when it breaks down. The biggest enemy of future success is past success. When you succeed, you feel that you must be doing something right for it to happen!. But when the parameters for success change, doing the same things may or may not continue to lead to success. Guard against complacency all the time. Complacency makes you blind to the early signals from the environment that something is going wrong. 

THIRD, always look at the opportunities that change represents. Managing change has a lot to go with our own attitude towards it. It is proverbial half-full or half empty glass approach. For every problem that change represents, there is an opportunity lurking in disguise somewhere. It is up to you to spot it before someone else does. 

FOURTH, do no allow routines to become chains. For many of us the routine we have got accustomed to obstructs change. Routines represent our own zones of comfort. There is a sense of predictability about them. They have structured our time and even our thought in a certain way. While routines are useful, do not let them enslave you. Deliberately break out of them from time to time. FIFTH, realize that fear of the unknown is natural. With change comes a feeling of insecurity. Many people believe that brave people are not afflicted by this malady. The truth is different. Every one feels the fear of unknown. Courage is not the absence of fear but the ability to manage fear without getting paralyzed. Feel the fear, but move on regardless.

SIXTH, keep renewing yourself. This prepares you to anticipate change and be ready for it when it comes. Constantly ask yourself what new skills and competencies will be needed. Begin working on them before it becomes necessary and you will have a natural advantage. The greatest benefit of your education lies not only in what you have learnt, but in working how to learn. Formal education is the beginning of the journey of learning. Yet I do meet youngsters who feel that they have already learnt all there is to learn. You have to constantly learn about people and how to interact effectively with them. In the world of tomorrow, only those individuals and organizations will succeed who have mastered the art of rapid and on-going learning. 

SEVENTH, surround yourself with people who are open to change. If you are always in the company of cynics, you will soon find our self becoming like them. A cynic knows all the reasons why something cannot be done. Instead, spend time with people who have a "can- do" approach. Choose your advisors and mentors correctly. Pessimism is contagious, but then so is enthusiasm. In fact, reasonable optimism can be an amazing force multiplier. 

EIGHTH, play to win. I have said this many times in the past. Playing to win is not the same as cutting corners. When you play to win, you Stretch yourself to your maximum and use all your potential. It also helps you to concentrate your energy on what you can influence instead of getting bogged down with the worry of what you cannot change. Do your best and leave the rest. 

NINTH, respect your self. The world will reward you on your successes. Success requires no explanation and failure permits none. But you need to respect yourself enough so that your self-confidence remains intact whether you succeed or fail. If you succeed 90 per cent of the time, you are doing fine. If you are succeeding all the time, you should ask yourself if you are taking enough risks. If you do not take enough risks, you may also be losing out on many opportunities. Think through but take the plunge. If some things do go wrong, learn from them. I came across this interesting story some time ago: One day a farmer's donkey fell down into a well. The animal cried piteously for hours as the farmer tried to figure out what to do. Finally he decided the animal was old and the well needed to be covered up anyway it just wasn't worth it to retrieve the donkey. He invited all his neighbors to come over and help him. They all grabbed a shovel and begin to shovel dirt into the well. At first, the donkey realized what was happening and cried horribly. Then, to everyone's amazement he quieted down. A few shovels later, the farmer finally looked down the well and was astonished at! What he saw. With every shovel of dirt that fell on his back, the donkey was doing some thing amazing. He would shake it off and take a step up. As the farmer's neighbors continued to shovel dirt on top of the animal, he would shake it off and take a step up. Pretty soon, everyone was amazed as the donkey stepped up over the edge of the well and totted off! Life is going to shovel dirt on you, all kinds of dirt. The trick is too not to get bogged down by it. We can get out of the deepest wells by not stopping. And by never giving up! Shake it off and take a step up!

TENTH, in spite of all the change around you, decide upon what you will never change: your core values. Take your time to decide what they are but once you do, do not compromise on them for any reason. Integrity is one such value. These have contributed to our success, including our parents and others from our society. All of us have a responsibility to utilize our potential for making our nation a better place for others, who may not be as well endowed as us, or as fortunate in having the opportunities that we have got. Let us do our bit, because doing one good deed can have multiple benefits not only for us but also for many others. Let me end my talk with a small story I came across some time back, which illustrates this very well. This is a story of a poor Scottish farmer whose name was Fleming. One day, while trying to make a living for his family, he heard a cry for help coming from a nearby bog. He dropped his tools and ran to the bog. There, mired to his waist in black muck, was a terrified boy, screaming and struggling to free himself. Farmer Fleming saved the boy from what could have been a slow and terrifying death. The next day, a fancy carriage pulled up to the Scotsman's sparse surroundings. An elegantly dressed nobleman stepped out and introduced himself as the father of the boy Farmer Fleming had saved. "I want to repay you," said the nobleman. "Yes" the farmer replied proudly. "I'll make you a deal. Let me take your son and give him a good education. If he's anything like his father, he'll grow to be a man you can be proud of." And that he did. In time, Farmer Fleming's son graduated from St. Mary's Hospital Medical School in London, and went on to become known throughout the world as the noted Sir Alexander Fleming, the discoverer of Penicillin. Years afterward, the nobleman's son was stricken with pneumonia. What saved him? Penicillin. This is not the end. The nobleman's son also made a great contribution to society. For the nobleman was none other than Lord Randolph Churchill, and his son's name was Winston Churchill. Let us use all our talent, competence and energy for creating peace and happiness for the nation."

Thursday 16 August 2012

Kolasib- Efforts to increase General Clients Testing - District Administration Pools Resources

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This note was developed by Kolasib during a capacity building session on documenting a case study
Background
ICTC Testing among General client is quite low in Kolasib District. The reason for low testing may be varied, but the DAPCU felt that the major reason can be due to the lack of awareness among the general population. When we contacted the NRHM counterpart for conducting ICTC Demand Generation Campaign they did not have fund for the campaign (NRHM in Kolasib District never done a health campaign during last year as they did not have fund for the same) moreover when contacted the Mizoram SACS they could not provide fund for the same. In addition to this IEC material is limited for distributing the whole population within the district. In order to solve the problem, DAPCU put up the issue during DAPCC meeting held on 11th October 2011.

Process
The issue was discussed at the mentioned DAPCC meeting. The meeting resolved that

  • Leaflet would be developed and designed by DAPCU using A4 Paper and the budget estimate to be prepared. The financial requirements would be met in collaboration with various line-departments. The IEC materials developed will be distributed to every household residing at far flung villages through Volunteers of Line department

  • One (1) Representative from each village within the District to be selected who will be trained on HIV/AIDS basic information. The trained Village representative will then impart HIV/AIDS information during every Gram Sabha conducted in their respective villages

Leaflet developed & designed by DAPCU using A4 paper contributed by 21 line departments. These leaflets (approx. 10000 copies) were distributed to far flung villages during socio-economic census. These leaflets were also distributed during the 66th YMA (largest Youth Group NGO in Mizoram) General Conference hosted by Kolasib during 25th -27th October 2011 this conference.

Due to unavailability of fund training couldn’t be organized. However Booklet developed by DAPCU regd. information on HIV&AIDS and ANC were submitted to the DC. This booklet will be distributed to the representatives of each village and will impart during Gram Sabha conducted in their villages.

We believe that considering limited resources it was an achievement that the district administration supported the HIV activities in this manner. While there was no significant impact on the testing among the general population we believe that this effort was supported well by the district administration and it goes on to show that there is a commitment for HIV in the district. We will now examine in depth probable reasons for low testing and  develop new strategies to impact service uptake in the district. We are confident of the support and guidance of the administration.



Tuesday 14 August 2012

DAPCU Bhiwani- Getting sensitive treatment for PLHIV in public health facilities

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Earlier this year a teenaged PLHIV visited the OPD of the GH Bhiwani with fever, vomiting and diarrhoea. He approached a physician for admission and was refused and referred to PGI Rohtak.

On meeting the boy it was evident to the DACO that he needed admission. The DPM was asked to meet with the physician to sort out the problem. The physician advised a bone marrow test on OPD slip of the patient before admission. The DPM consulted to a doctor in PGIMS Rohtak who advised him that the test was not an emergency and the sample could be sent the following day but patient must be admitted immediately. However the physician at the GH clearly refused to admit him.

The DIC coordinator also requested the CMO and PMO to intervene but the matter was not resolved. Eventually, State Nodal Officer intervened in this matter and an emergency meeting was convened between the CMO, PMO, Dy. Civil Surgeon (TB), Physician, DPM and Coordinator DIC to resolve the matter.

The matter discussed was whether the decision of a specialist to admit or refer should be interfered with? The DACO and Nodal person explained that it was occasionally important to question these practices as there was a tendency NOT TO TREAT the PLHIV and instead refer them to other institutions.

A detailed discussion ensued and finally the boy was admitted in emergency. What was shocking was that “HIV +ve” was written on his indoor file with Red Pen. It was again a blunder mistake by causality Medical officer. DPM again intervened and the indoor file was changed.

We believe that it is continuous efforts in small and big, micro and macro initiatives that move forward the struggle with HIV. DAPCUs have a responsibility in ensuring that the district level health facilities treat PLHIV without stigma or discrimination. 

Monday 6 August 2012

Using Right To Education for CABA - Imphal East Manipur

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Imphal East district is high prevalent in the HIV/AIDS epidemiology in the country.  Besides this alarming situation the issues of children infected and affected by HIV/AIDS is also becoming major issue. The population of this category of children in the district as reported is 1965 as on March 2012. Obviously they are marginalized and unfortunate children. Definitely they have all the right to share in the present society. 

As like other children they also prefer to go to private schools. However, due to lack of/low income and financial support they are unable to get admissions at schools of their preference. The RTE act provides free education under RTE 2009. The state also has the privilege to admit children to any recognized schools - against 25 % of the total strength of the class. Under this provision DAPCU IE Coordinated with NGOs and ASHAs got introduced to the facilities for providing free education to the children. Consequently the concerned persons began contacting the DAPCU and gathering the information to avail the said provision. DAPCU undertook the responsibility with the CMO and sensitization letter have sent to the respective schools. 4 children affected /infected by HIV have been admitted so far. IE DAPCU will be continuously committed on coordination with the DC and ZEO for such efforts.

Wednesday 1 August 2012

Banda DAPCU's Response - June 2012 Theme - Social Benefit Schemes for PLHIV and HRG

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DAPCU Support
  • Sensitising district level officials on the programme and clearing roadblocks through interactions with the line departments
  • DAPCU participates in various district level meetings , forums and campaigns and through these tries to sensitise stake holders on the concerns of PLHIV
  • Collates information and reports to NACO and SACS
District Administrations Role
Providing space and addressing concerns bought by DAPCU and DIC regarding PLHIV and Social benefit Schemes.

DLN's Role
  • Listing PLHIV and encouraging them to avail schemes
  • Sensitising block level SHGs
  • Collection of application and relevant documents and submission to relevant departments
  • Supporting needy PLHIV in getting travel allowance through the UPNPP
  • Advocacy meetings with line departments
  • Follow up till the benefit is received by the applicants 
Role of LACs and ICTCs
Refer PLHIV interested  in social benefit schemes to DAPCU and DLN

Challenges
  • Limited schemes for OBCs and some religious minorities
  • Only BPL can benefit from Schemes
  • There are no special provisions or preferences given to PLHIV.
  • Some officials in the administration do not extend sensitivity or priority
  • Some applications need to be made at the district level , which for some PLHIV means a travel of 90-100 kms. This too serves as a deterrent
Sr. No.
Name of Scheme
Number of beneficiaries
Remark
1
Bimari Anudan
(Health Scheme)
26
06 in Process
2
Parivarik Labh Yojna
(Social Security Scheme)
18
01 in Process
2
Widow Pension
(Pension Scheme)
02

3
Awas
(House Scheme)
01

4
Job Card
(Entrepreneurship Scheme)
05

5
Food Ration Card
(Food Security and nutrition Scheme)
03

6
Scholarship to children of  PLHIV
01

7
Double Ration to Children
of PLHIV
(Food Security and nutrition Scheme)
11




Kodagu DAPCU's Response - June 2012 Theme - Social Benefit Schemes for PLHIV and HRG

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The efforts towards Social Benefit Schemes in the district has been initiated through DAPCU, in co-ordination with DIC, DLN, ICTC, ART & NGO. The same has been reviewed in the DAPCC & DCC meeting  to get the support from other Govt Departments.

Role of DAPCUs
  • The available schemes are discussed in the ICTC, ART , Support group meeting & NGO-CLHA meetings.
  • In ICTC the details of the schemes were informed
  • In ART & DIC  the details were collected
  • For those who are willing to access the scheme, consent has been taken  & then referred to DIC for further action.
  • In DIC  they will collect the relevant documents & they will submit it to the concerned Department & NGO
  • In co ordination with DAPCU &  NGO (ODP)- the concerned department staff  were invited for  the meeting(Nutrition programme )of Children & parents and explained the details of the scheme & to provide the necessary documents. 
Challenges 
  1. Clients unwilling to access the service, in spite of the need,  as the status of the client will be known to the concerned staff in the process
  2. Clients are not willing to disclose their status to access the service
  3. Relevant documents are not available with the clients
  4. Delayed process in the Department
Achievement
SL NO
NAME  OF THE SCHEME
NAME OF THE DEPT
WILLING/ISSUED
UNDER PROCESS
BENEFITED
1
Anna Anthyodaya
Food & Civil supplies
55
55
-
2
Special OVC   scheme for HIV exposed children
Women & Child Development
42
42
-
3
Yashashwini scheme for pregnant women
Yashashwini   Network
24
04
17
4
Travelling allowance
DIC
24
-
24
5
Nutrition support
ODP-NGO
23
-
23
6
Education support
ODP-NGO
18
-
18
7
VHSC-Travel to ART, investigation charges etc
Health & Family welfare through PHC
10
-
10
8
Widow pension
Disability & senior citizens  welfare Dept
14
-
-
9
Old age pension
Disability & senior citizens  welfare Dept
04


10
Disability pension
Disability & senior citizens  welfare Dept
02
02
-
11
Free investigation in lab
Govt Hospital
47
-
47
12
Star Health
Private Insurance company
04
04
-
13
Nutrition support for schedule Tribe
Integrated Tribal Development Programme
26
-
-