The United Nations’ General Assembly has proclaimed 2001 as the
International Year of Volunteers (IYV-2001). The Indian Academy of
Pediatrics (IAP) supports this campaign. IAP has committed itself for
the welfare of children, especially those in need of special attention.
As part of IYV-2001 activities, IAP Delhi, in partnership with the IYV
– India Team of the United Nations Volunteers organized one day
Interface between Pediatricians and Non Government Organizations (NGOs)
in New Delhi on 8th December 2000. The list of participants is enclosed
as Appendix I.
The workshop aimed to
develop mutual understanding and partnership between pediatricians and
NGOs working for the children in need of special attention.
Objectives were defined
in the workshop, which are as follows:
1. To bring together
pediatricians and NGOs working for Children at Risk.
2. To form an interface
between Pediatricians and NGOs and others working in the field of
3. To facilitate
involvement of pediatricians in voluntary action.
4. To have
accountability for the responsi-bilities and actions.
The theme subjects were
discussed in four groups and each group prepared the recommendations,
which were discussed and finalized by all the participants. The final
recommendations are as follows:
Theme: Provision of Special Facilities in Hospitals for
Children in Need of Special Attention, Including the Children
Looked After by NGOs
1.1 Expectations and
Realistic Needs of NGOs from Hospitals
1.1.1 Hospitals must
provide some priority to the children in need of special attention,
1.1.2 All services of
the hospital should be available FREE to these children,
1.1.3 Hospital staff
must be sensitized for the needs of such children, and they should pay
more attention to these children,
Social Worker or Nurse or Volunteer should be available at
registration/inquiry counter to help and guide these children,
relevant information should be made available to the NGOs.
1.2 Expectations of
Hospitals from NGOs
1.2.1 The children must
be accompanied by some worker/ volunteer of the concerned NGO.
worker/volunteer must carry an Identity Card of the NGO.
1.2.3 The NGOs should
try to take maximum benefit of the regular services of the hospitals,
and for special services like health camps, etc. prior
arrangements can be made.
1.2.4 The NGOs should
have a prior understanding with hospital for providing special
facilities like making the services free of cost, minimal waiting
period, early appointments for special investigations/services,
etc. for these children.
1.3 Provision of Nodal
Officer in Hospitals
1.3.1 The hospital must
identify one doctor as Nodal Officer for interacting with NGOs, and
for ensuring that the regular services of the hospital are made
available to these children,
1.3.2 Preferably there
should be a ‘Cell’ comprising of Nodal Officer, and 1-3 Medical
Social Workers who are assigned the duties to help and guide the NGOs
bringing these children in the hospitals,
1.3.3 The Nodal Officer
should be either the Deputy Medical Superintendent of the hospital, or
Head, Department of Pediatrics, or a Pediatrician who is easily
available in the hospital,
1.3.4 The Nodal Officer
should, preferably, be empowered to exempt the payments, if any, for
an investigation or a procedure like surgery, etc. for the children
brought by the NGO. For this purpose there should be a good
understanding between Nodal Officer and the NGOs.
1.4 Assigning Hospitals
1.4.1 Hospitals should
be identified according to the convenience of NGOs and the
availability of services in a particular hospital,
1.4.2 An understanding
should be made between NGOs and hospitals for utilization of the
services available in the hospital,
1.4.3 IAP Committee on
Child Abuse Neglect and Child Labor (CANCL) should act as a
facilitator in establishing such understanding.
1.5 How to include all
Government Hospitals, Charitable Hospitals, and if Possible, Private
1.5.1 This has to be
done on personal or individual level.
Government authorities can be requested to issue instructions/request
to all hospitals to participate in this program (of helping children
looked after by NGOs).
1.5.3 IAP CANCL and
NGOs can together talk to Private Hospitals to participate in this
participating hospitals should be given due acknowledgment for their
help and services at appropriate forums including media.
1.6 How to Utilize the
"Paid Services" Even in Government Hospitals
1.6.1 Although efforts
should be made to have all the services of the hospital free of cost,
even then it is not possible in all cases (like cardiac surgeries, etc.),
then the special provisions/funds available with the governments may be
1.6.2 NGOs and IAP should
advocate for simple and easy procedure for availing such funds to these
children (as many of these children do not posses any proof of residence
also, as required by many schemes such as "Arogya Nidhi" of
the Delhi Government).
1.6.3 Efforts should be
made to make available funds from Prime Minister/ Chief Minister Relief
Theme: Inter-sectoral Co-ordination (i.e., co-ordination
between IAP, NGOs, and other Agencies) - Recommendations for
formation of "Co-ordinating Group"
Co-ordination there should be a three tier system. The co-ordination
should be done at National, State and District levels.
2.1 At National Level,
the Co-ordinating Group will comprise of
· IAP Committee on
Child Abuse Neglect and Child Labor.
· Representatives of
Union Ministries of Health, Social Justice and Empower-ment, and
Department of Women and Child Development (Ministry of Human
· UN Volunteers.
This group will analyze
the various related policies of the government, and will provide the
recommendations/guidelines on various issues related to child
2.2 The State level
groups will also work on similar lines.
2.3 The District
level group will comprise of IAP (CANCL) and Representatives of
NGOs. Functions of this group will be as follows:
2.3.1 This group will
prepare the lists of participating NGOs, hospitals, and IAP
2.3.2 This group will
do the "mapping" of city and co-ordinate between NGOs,
hospitals, and volunteers.
2.3.3 This group will
asses the needs of various NGOs, and will try to provide volunteers,
and services accordingly.
2.3.4 This group will
interact with various Government agencies, hospitals, HOD
Pediatrics, etc. for better co-ordination of the services.
2.3.5 This group will
try to develop partnership between various agencies and individuals.
2.3.6 This group will
have regular interaction with NGOs once in 2-3 months.
2.3.7 This group will
take all the follow-up actions on the recommendations of this, and
such other workshop(s).
2.4 It is also
recommended to establish an e-mail group comprising of IAP
volunteers and NGOs.
Theme: Development and Implementation of Training Programs
for Volunteers Working for Children in Need of Special Attention
3.1 Assessment should
be made for the needs of the training in consultation with the NGOs.
This will include identification of persons requiring training in
areas of health care of children.
Suggested persons for
such training include Health Care Volunteers, Social Workers,
Teachers, Public Health Nurse, and Parents-Volunteers (for community
3.2 Areas of training
should be chosen according to the needs of NGOs. It was recommended
to develop a questionnaire for assessing the needs of NGOs for
training of their workers/volunteers. The following subjects can be
included in such training:
Health: Nutrition, Immunization, Child Development, Common
Infections, Diarrhea, Fever, URI and LRTI, Common Emergencies,
First-Aid, Seizure Disorders, Colic, and Transport of Sick Children.
Sanitation and Hygiene.
Safe Drinking Water and Food Handling.
Maternal Health: Ante-natal care including nutrition, tetanus, high
risk mother identification and referral; safe delivery (role of
Trained Birth Attendant)
Essential Newborn Care.
Home Management of physically and/or mentally challenged children,
networking of participating NGOs and Health Care Centers should be
established and the NGOs must be very clear for referral of children
(WHEN and WHERE to refer).
3.4 Resource persons
for training of the health care workers should be selected by IAP
and NGOs. The resource persons will prepare the training modules,
pamphlets, and other material.
3.5 The Resource
Persons will train the TRAINERS. The Trainers would be the local
pediatrician-volunteer who will provide training to the workers of
NGOs. These Trainers (pediatrician-volunteers) will be taken from
IAP members. Trainees would be identified by NGOs and IAP (local
3.6 Implementation of
these recom-mendations could be done in three phases. In first phase
a workshop can be organized where the Resource Persons will prepare
the Training Materials (for Trainers, as well as for workers)
including Teaching Aids. In second phase, the Resource Persons would
train the Trainers. In third phase the trainers will provide
training to the health Care workers.
3.7 The modalities of
training of health workers (phase two and three above) should be
decided by the local NGOs and local branch of IAP.
Theme: Involvement of Pediatricians/Doctors in (Out of
Hospital) Management of Illness in Children Looked after by
NGOs; Expectations of NGOs and Finding Ways to Fulfill Them;
Preparation of Guidelines, Manuals, Handbooks, etc. for
Volunteers Looking After These Children and to Customize Them
for Local/Individual Use
4.1 The health care
needs of the children looked after by the NGOs should be assessed by
IAP-Volunteers in consultation with the concerned NGOs. Needs should
be assessed in terms of nutrition, immunization, growth and
development, first-aid, disease preventive measures, and
identification of at risk children, etc.
4.2 The doctor should
be available within reasonable distance (not necessarily in the
premises or place of working of the NGOs, although this is the
best). Medical and paramedical professionals should be sensitized
for the total well being of the child, and there should be regular
interactions between the NGOs and IAP-volunteer/doctor about the
needs of the children.
4.3 Doctors can be
involved in special health programs, health melas/camps, in
screening of diseases, and in school health programs.
4.4 For emergency
management of illnesses, the workers (at NGOs) should be trained
especially in First-Aid, and in Home Management of Common Illnesses,
with clear guidelines for when to consult a doctor, and when to rush
the child to hospital emergency department. Help of the IAP-Volunteer
attached to the NGO may be taken.
4.5 Protocols should
be developed for medical professionals for management of epidemics
at shelter homes, screening of abandoned newborn and older children,
screening for adoption, routine medical examination, preventive
health measures, and immunization (when delayed). Similarly
protocols should be developed for health care or other workers (from
NGOs) for ‘Home Management’ of Common Illnesses (this must
include clear guidelines when to consult a doctor, and when to rush
the child to the hospital emergency service), and First-Aid for
common injuries. Their manual must include list (with contact
numbers) of hospitals and doctors, ambulance services, and other
necessary information. The protocols for NGOs’ workers should be
in the form of pocket-book size manuals, which are easy to carry and
to keep always with them. The information provided in these manuals
should be customized for local use like including the contact
numbers of nearby hospitals, doctors’, etc.
Compiled by: Dr.Y.C.Mathur,
President, Indian Academy of Pediatrics, Kailash Darshan, Kennedy
Bridge, Mumbai 400 007, India and Dr. Harish K. Pemde, Secretary, IAP
Delhi CANCL, Department of Pediatrics, BJRM Hospital, Jahangirpuri, New
Correspondence to: Dr.Y.C.
Mathur, President, Indian Academy of Pediatrics, Kailash Darshan,
Kennedy Bridge, Mumbai 400 007, India.
Dr. R.N. Srivastava,
Former President, IAP, Apollo Hospital, New Delhi.
Dr. Swati Y. Bhave,
President, IAP, Bombay Hospital and Medical Research Center,
Dr. Y.C. Mathur,
President Elect, IAP, 5 Subodaya Apartment, Boggul Kunta,
Dr. Shanti Ghosh,
Pediatrician, 5,Sri Aurobindo Marg, New Delhi.
Dr. R.N. Salhan,
Chairman, IAP Committee on Child Abuse Neglect and Child Labor (CANCL),
Ministry of Health and Family Welfare, Government of India, Nirman
Bhavan, New Delhi.
Dr. Kiran Aggarwal,
Secretary, IAP CANCL, D-II/2, 14 Rajpur Road, Civil Lines, Delhi.
Dr. Uma Aggarwal,
Treasurer, IAP CANCL, Department of Pediatrics, Kasturba Hospital,
Dr. T.S. Jain,
President, IAP Delhi, and Chairman IAP Delhi CANCL, ESI Hospital,
Okhla Phase-I, New Delhi.
Aggarwal, Vice-President, IAP Delhi, Tirath Ram Shah Hospital,
Rajpur Road, Delhi.
Dr. Sangita Yadav,
Secretary, IAP Delhi, Department of Pediatrics, Maulana Azad
Medical College, New Delhi.
Dr. Harish K.Pemde,
Secretary, IAP Delhi CANCL, Department of Pediatrics, BJRM
Hospital, Jahangirpuri, New Delhi.
Dr. Narinder Kaur,
Psychiatrist, C-57, Anand Niketan, New Delhi.
Pediatrician, Depart-ment of Pediatrics, Colony Hospital, Malviya
Nagar, New Delhi.
Dr. Anju Aggarwal,
Pediatrician, Department of Pediatrics, ESI Hospital, Basaidarapur,
Dr. Kanak Mittal,
Executive Director, Salaam Balak Trust, DDA Community Center,
Chandiwali Gali, Paharganj, New Delhi.
Dr. N. Sahukar,
Principal, SAHARA School, E-214, Greater Kailash-II, New Delhi.
Ms. Chirag, Co-ordinator,
Women and Children Home, SAHARA, E-214, Greater Kailash-II, New
Ms. Ellora Guha,
Co-ordinator Child Line South Zone, Butterflies, U-4, Green Park
Extn., New Delhi.
Ms. Sangeeta Dhaon,
Delhi School of Social Work, Delhi University, Delhi.
Ms. Sneh Dhawan,
Delhi School of Social Work, Delhi University, Delhi.
Ms. Maushami G.
Roy, Program Officer, Deepalaya, 46, Institutional Area, Janakpuri,
Occupational Therapist, Deepalaya, 46, Institutional Area,
Janakpuri, New Delhi.
Mr. Aditya Nath,
Program Officer, Action Aid, E/270, Greater Kailash-II, New Delhi.
Dr. Doris C.
Visscher, Director, Child Development Foundation, G-43, FF, Lajpat
Nagar-I, New Delhi.
Consultant, Association for Social Health in India, 4, Deen Dayal
Upadhyay Marg, New Delhi.
Researcher, Voluntary Health Association of India, 40,
Institutional Area, Qutub, New Delhi.
Ms. Himani Dhawan,
Program Officer, PRATIDHI, Shakarpur Police Station Complex,
Dr. Ajay Grover,
Navjyoti Police Foundation, Sanjay Amar Colony, Yamuna Pushta,
Dr. Dinesh Paul,
Joint Director, National Institute of Public Co-operation and
Child Development, 3, Siri Institutional Area, Hauz Khas, New
Advisor, IYV-2001, United Nations Volunteers, UN House, 55, Lodi
Estate, New Delhi.
Rajeev R. Singh,
Specialist in Volunteer Promotion, IYV-2001, United Nations
Volunteers, UN House, 55, Lodi Estate, New Delhi.
National UN Volunteer, IYV-2001, United Nations Volunteers, UN
House, 55, Lodi Estate, New Delhi.