To,

Juhi Gupta
CSR Head
Pepsico India Pvt. Ltd.
Level 3-6, Pioneer Square, Sec –
62, Near Golf Course Extension
Road Gurgaon, Haryana - 122002

Subject: Submission of the project proposal for financial assistance from Pepsico India
Pvt. Ltd for running 1 Mobile Health Van Unit to cover villages of
BAHRICH ,”

Respected Sir,
May we have your kind attention that our organization ABHILASA LOK KALYAN
SANSTHAN is registered & working for empowering and development of the Poor to promote
development as a liberating force for achieving social justice, economic growth and self reliance?
Our organization wants to run one Mobile Health Van Unit to cover villages of
BAHRICH,UTTAR PRADESH I have read all the terms & conditions of the aforesaid scheme &
undertake to abide by the rules and regulations. I humbly request your good self for 'approval and
financial sanction.

Thanking you,
Yours faithfully,
Secretary
General
Janadan
Prashad Patel
ABHILASA LOK
KALYAN
SANSTHAN
 PROJECT PROPOSAL FOR
Running Mobile Health Van Unit
for ABHILASA LOK KALYAN
SANSTHAN

SUBMITTED BY
ABHILASA LOK KALYAN
SANSTHAN
 ABOUT
PROJECT
1. Title of the Running one mobile health van unit in Villages
proposed project of BAHRICH,.

2. Objectives of the  To provide accessibility to quality preventive and

proposed project
promotive primary health care service across the
target villages
 To bring positive health seeking behavior in
community by creating awareness
 To establish convergence with stake holders in the
primary health care delivery in the villages.
Any other work assigned by the project as per local
requirement

4. Who are direct Direct beneficiaries will be the poor, local people of
beneficiaries with community living in the villages of BAHRICH,UTTAR
approx. number PRADESH

5. Project location District -

BAHRICH,
State –UTTAR
PRADESH
6. Total Project Cost Rs. 71,88000/-
7. SUTTAR Rs. 71,88000/-
PRADESHport required
fromPepsico India Pvt.
Ltd.
8. Proposed Project Duration 12 Months
 ABOUT
ORGANIZATION/AGENCY
Name & registered address ABHILASA LOK
of implementing agency: KALYAN
SANSTHAN,
BAHRICH

Legal status of agency and date of Registration Number: Registered

Registration
trust Details of documents Attached

Contact details (office Mob:-

no., mobile no. and e- 94150
mail) 72523

ORGANIZATION
DETAILS
1. Brief description of the organization/ agency ABHILASA LOK KALYAN
1 SANSTHAN was established by a group of Educationists with rural background and are
interested in the field of Health, Education, Humanitarian and Rural development
services.
. ABHILASA LOK KALYAN SANSTHAN was created to work exclusively in

the Backward and rural areas of BAHRICH District in UTTAR PRADESH, with

a special focus to help poor and Backward communities to overcome poverty and

to get sustainability with good living standards. It has been an uphill battle for

The

Society, confronting the social, economic and political realities within which the NGO
 sector is operating. However, given these limitations, ABHILASA LOK KALYAN
SANSTHAN has been attempting to explore various possibilities especially by providing
Education, in becoming more relevant to the needs of the disadvantaged poor in
BAHRICH and its neighboring districts in UTTAR PRADESH

1. Mission/Vision and Objectives of the Organization/Agency.

2
Mission
Train And Empower The Underserved

ABHILASA LOK KALYAN SANSTHAN is to deploy best possible methodology and

technology for achieving ideal SROI (social return on investment), to practice and
promote good governance. To link business competitiveness of the corporate with social
development initiatives; also to sensitize privileged children, youth and citizens in
general to promote Civic Driven Change.

Vision
Transforming Lives
ABHILASA LOK KALYAN SANSTHAN works with and for children, women,
families and the community to bring a permanent change in the lives of the
underprivileged in terms of education, basic hygiene and rights, with the belief that all
human beings are equal and have the right to equal opportunity.

OBJECTIVES:
Our organization is strived to raise the human and other resources to achieve the following
objectives:

-To promote the concept of National integrity, particularly the unity and integrity of all
Castes, Communities and Religions

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 -To establish Educational and other allied institutions to impart education at all stages for the
benefit of the youngsters- The Minority communities’ in particular, in National interest. -To
establish training institutes to promote awareness through programs like Computer
education, Industrial /Vocational Training and skill development.
- To conduct health awareness programs on health and hygiene, family planning, prevention
of AIDS, Eradication of Leprosy, Tuberculosis, Hepatitis-B, Polio and other deceases.
-To establish Hospitals, Primary Health Care Centers in the Backward, Rural and Tribal areas.
-To establish shelters for children and women for the deserving poor orphaned children,
Destitute and neglected are kept in the homes for the children, widows, divorcees, untreated
parents, neglected women are kept in care centers, where they will have the vocational
training also.
-To work for the welfare of the weaker sections in general and the Schedule Castes and
Tribes in particular.
-To develop the rural villages for poorest and weaker sections, community development and
elimination of un-touch ability and UTTAR PRADESH port to improve culture in the
backward villages.

More objects are attached in Bye laws.

1. Financial status of the organization in last 3 years
3
Year Assets & Income & Receipt & Payment
Liabilities Expenditure

2020-21
AUDIT
2021-22 ATTACHED

2022-23

1. Details of similar projects ongoing/completed by the organization/agency in previous

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three years/ List of projects undertaken in last three years.
 SKILL DEVELOPMENT & AWARENESS PROGRAMM
 WOMEN RIGHTS, SHG & EMPOWERMENT
 INNOVATIVE DIGITAL EDUCATION PROGRAM

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  TAILORING TRAINING PROGRAM
 ENVIRONMENT CONVERSATION PROGRAM
 MICRO-SMALL & MEDIUM ENTERPRISES
 CARE FOR AGED

1. Details of previous support received from PEPSICO INDIA PRIVATE LIMITED.

5
N/A

1. Whether affiliated to National Skill Development Corporation (NSDC)? (If

6 yes the details thereof)

N/A
(DOCCUMENTS ATTACHED)
1. The list of current trustees / governing body members with their addresses,
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Designation, experience and qualification.

S. Name Address Designation Qualification

No.

Details of Committee Members attached in separate sheet

PROJECT
DETAILS
2.1 Details of the proposed CSR project to be undertaken by your organization

ABHILASA LOK KALYAN SANSTHAN has been in the target area for last many
years. It is now felt that community health program to be continued through local
community based organizations. This will facilitate in strengthening community
participation and higher level of acceptance of basic health care services. Continuation of
community health care is the primary step towards sustainability of community health.
ABHILASA LOK KALYAN SANSTHAN with the support of PEPSICO
LIMITED,proposes to introduce this project for providing Primary Health Care facilities
by means of operationalize 01 Mobile Wellness Unit/ Mobile Health van in Villages of
BAHRICH,UTTAR PRADESH

The Mobile Wellness Units will be fabricated on a four-wheeler, customized as per the
terrain suitability; equipped with the state-of-the-art medical equipments for Point of Care
Tests (POCT), medicine services, audio visual equipment, one ventilator and
manned by a MBBS Doctor as Medical Officer, Pharmacist and Lab Technician.

Services that will be provided by the Mobile Wellness Unit; (i) Mobile OPD (ii)
Specialized Health Camp and (iii) Awareness on Health & Hygiene. The Mobile
Wellness Unit will reach the selected villages on a routine basis to provide free OPD
services like Consultation, conducting Point of Care Testing (POCT), Medicine
prescription and distribution.
Apart from the general OPD’s conducted through the MWU, emphasis will be given to
organize health camps as per the disease prevalence in the locality; by specialist doctors.
As an added service, in order to advice the community about prevailing health issues, its
prevention and care measures; promote healthy living habits and other health education
related videos will be screened in the villages.
2.2 Brief on Goals and objectives of the project

Providing Access to Primary Healthcare Services in villages of BAHRICH District,

1. To operationalize Mobile Wellness Unit (MWU)/ Mobile Health Van for
better access to primary healthcare services.
2. To make primary healthcare services available at the doorstep; who are deprived
of such facilities; diagnosis, medication and other curative services for common
illnesses, early detection of TB, Malaria, and other locally endemic diseases;
hypertension, diabetes and cataract cases, first aid, antenatal and postnatal care,
immunization services, counseling on HIV/AIDS, personal hygiene,
environmental sanitation, nutritional education and other health related IEC
activities.
3. To organize specialized health camp on area specific endemic, general health
check-UTTAR PRADESH, dermatology and gynecological issues.
4. To create awareness on Health & Hygiene; cleanliness drive.

2.3 Brief about the Location and Area of the Project.

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 BAHRICH district has a population of 2,193,590, roughly equal to the nation of
Latvia[14] or the US state of New Mexico. This gives it a ranking of 209th in India
(out of a total of 640). The district has a population density of 831 inhabitants per
square kilometre (2,150/sq mi) . Its population growth rate over the decade 2001-
2011 was 11.16%. BAHRICH has a sex ratio of 913 females for every 1000 males,
and a literacy rate of 82.4%.

2.5 Brief about the targeted beneficiaries under proposed CSR project

The beneficiaries that would be target in this project will be the underprivileged people,
illiterate people, women, Children, and other community people living in nearby villages
of BAHRICH district.
Special focus will also be given on providing public health information to the villages by
their own members, in their own language, in their local centre, at a time where the
numbers is maximum. This will give the greatest impact of the project.

2.6 Methodology of the selection of the beneficiaries and number of beneficiaries in

detail.

Beneficiaries are selected considering their access to basic health services from the
villages & Field Observation Report of ABHILASA LOK KALYAN SANSTHAN.
Physical accessibility to health facilities and vulnerability; Population of the villages who
lack basic service availability; Quality & Quantity, Villages, that are located at a distance
of about 15 kms from Block Headquarters and highly populated, Villages having
Scheduled Caste
/Tribe population mostly; Villages far from health facilities; Villages where % of
prevalence of anemia & nutritional deficiencies among children & mothers have been
reported.
Preference will be given to any such specific hamlet or community having person with
disabilities, destitute women, children, small and marginal farmers, landless
labours etc. Any particular group in the village; Children below five years and their

11
 Mothers. Local decision-making process shall be taken into account in consultation with
the village representatives.

2.7 Details about physical and social milestones/deliverables to be achieved

through the proposed CSR project

Milestones Strategy Outcome

Set UTTAR
PRADESH of
Project Database on socio,
 Project Office Set
Office, Team economic and health
in BAHRICH
UTTAR PRADESH Appointment condition of the people in
 Baseline Survey & (Programme the target location.
 Village Health Manager, Identification of the
Profiling Report Medical Officer, villages, specific health
Lab Technician, needs and related
Pharmacist, expenditure, current
Account & coping mechanism
Admin Officer), available in the villages.
Training of the
team members,
Field Visit;
Establish
Rapport with the
Panchayat, SHG
Leaders, ASHA,
AWW, ANM,
PHSC
Staff &
Conducting
Baseline
Survey/Need
Assessment.

Organizing
Household
Wise Village
Health
Profiling &
blood
Grouping

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 Sharing of
the health
status
respective
person
Work plan
development &
sharing

Improved access to Primary

Health Care Services in the
focused region.

Mobile OPD - 01 per

day by 01 Health van
unit - minimum 20
working days in a
month;
Procurement, Procurement & About 50patients per day
Fabrication of Fabrication of
Vehicle & will be benefited by the
Operationalisation Vehicle, Trial Mobile OPDs;
01 Mobile Wellness Run, About 50 patients per day
Units Inauguration, will be screened by the
Conducting Lab Service.
Mobile OPD,
Awareness Specialized Camp - 01
Programme on in a quarter;
Health &  About 100 people
Hygiene and will be benefited.
Specialized
Health Camp

Awareness Camp
Community Health - 02
in a quarter;

13
 About 100 people will
be benefited.

CHVs will
be identified; Need & demand of
essential health services in
trained, the villages are met.
equipped,
UTTAR
PRADESH
Training of ported to take
essential
community
10 Community health services,
enhance access to
health services
Health Volunteers and
promote people’s
trust, demand
(CHVs) and
use of Mobile
Wellness
Unit
Services.
CHVs will be
facilitated by the
project
through
community level
meetings.

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2.8 Detail timeline/duration of the proposed project
Proposed Months
Activities 1 2 3 4 5 6 7 8 9 10 11 12
Baseline Survey
Setting UTTAR
PRADESH Project
Office &Project Team
Recruitment
Team Formation & Orientation
Rapport Formation in
the Villages, Health
Profiling & Blood Grouping of
beneficiaries
Sharing Reports & Work
Plan Information
Information Sharing about
project with State,
District & Local
Officials; PHC Staff,
Village &
GPU
Procurement & Fabrication of
vehicle & other
related equipment
Fixation of MWU halting
spots at villages
Finalization of root map for
MMUs functioning
Trial run of MWUs for
assessment of time &
duration
Draft SOPs for MWU
Operations & KRA of
team
Functioning of MWUs covering
all the project
locations & Conducting
Mobile OPD, Awareness
Campaign/ Need Based
Specialized Health Camp
Showing films / material
on various aspects
related to water, sanitation
and personal hygiene
 Preparation of IEC material
& communication
strategy for information
dissemination
Identifying Community
Health Volunteers (CHVs)
Training & Involvement of
Community Health
Volunteers (CHV)
Regular follow-UTTAR
PRADESH with
community for
assessing
behavior change
Training / Capacity Building
of Team
Quarterly Activity Report
Submission
Annual Activity Report
Submission
Impact Assessment

2.9 Budget estimate of the project with detailed budget break-UTTAR PRADESH of
each expenditurehead along with documents proving rate reasonability.

ANNEXURE “A”
2.10 What is the monitoring mechanism for the project as far as project activities and
benefits to the beneficiaries are concern?

- Continuous monitoring by organizing a Project Management Unit (PMU)

with stakeholder from community, ABHILASA LOK KALYAN
SANSTHAN and Donor Agency;
- Project Performance & Achievement Indicators will be identified;
- MIS will be developed to collect information and generate activity reports;
- Period activity and audited utilization reports will be shared with
DONOR AGENCY;
- Corrective action on any deviation in the performance will be taken;
- Joint Field visits and inspections by DONOR AGENCY and the
Society professionals;
- Annual report with all documentation, case studies, and success stories,

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 qualitative and quantitative output shall be compiled and shared with DONOR
AGENCY.
- updating the progress of the project regularly on social media platform;
- Final impact evaluation can be done by an independent third party;
- Independent third-party evaluation will be set-UTTAR PRADESH in
consultation with DONOR AGENCY.

2.12
How sustainability of the project is planned to be ensured?

 Establishing networks with health care providers, government, non-govt

organization and community-based organization; Follow with DONOR AGENCY
and other such funding partners for continuation of the project;
 ABHILASA LOK KALYAN SANSTHANmay extend its support for three
months with community volunteers and other interested stakeholders of the
project; formation of community-based committees to participate actively in all
relevant activities;
 Promoting the Community Health Volunteers for assuming the responsibility of
providing essential health services.

2.13 Matrix to measure the output of the Project.

Output Measurable Matrix Beneficiaries

Improved access to
Primary Health Care # Patient attended
Services in the focused MOPD # Patient
region. Registered
Mobile OPD - 01 per day by Around 64496
01 Mobile Health Van Unit - # Patient received Doctor people will be
minimum 20 working days Consultation benefited;
in a month;

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 About 50 patients per # Patient availed Lab Service General
day will be benefited by # Illness incidence reported # population,
the Mobile OPDs; Patient received Medicine Below Poverty
facilities Line,
About 50 patients per
day will be screened by Scheduled
# People have access to Caste, Women,
the Lab Service.
different health care Children and
Specialized Camp - 01 in interventions village wise Person with
a quarter; Disabilities
About 100 people will # Training programmes
be benefited. facilitated for Community
Health Volunteers(CHVs)
Awareness Camp
Community Health - 02 in
# of CHVs trained & able
a quarter;
to provide health services
ople will be benefited.
# of people impacted and
About 10 Community adopting healthy behavior
Health Volunteers are
trained to satisfy the Daily/Monthly/Quarterly/Annual
need & demand of Activity Report
essential health services.

ANNEXURE
“A” BUDGET (ESTIMATED COST
BREAKDOWN)
THE FOLLOWING IS THE PROPOSED BUDGET LINE FOR
TWELVE MONTHS
S.No Description Unit UM Total Cost
.
For 12 months
Rs
1 Mobile Health Van Unit
Medicines - 4 Times in Year
1.1 4 Qtr 2,00,000
Rs.50,000 x per Qtr
1,60,000
1.2 Diagnostics & Consumables - 4 Qtr
4 Times in Year
Rs 40,000 x per Qtr

1.3 Specialized Medical Camps - 4 4 Qtr 1,20,000

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 Times in Year
Rs 30,000 x per Qtr
1.4 Mobile OPD & Awareness Camps 12 Mnths 4,80,000
- 20 MOPD x 12 Months
Rs 2,000 per day
1.5 Provision for First Aid Box 25 Village 4,50,000
in BAHRICH - 25 Village x
Rs.
1500
per Village
1.6 Training of Community Health 10 Persons 1,20,000
Volunteer (CHVs) - 10 CHVs x
Rs
1,000 x 12 Months
1.7 Medical Officer - Rs 35,000 x 1 Persons 4,20,000
12 Months
1.8 Lab Technicians - Rs 15,000 x 12 1 Persons 1,80,000
Months
1.9 Pharmacist - Rs 18,000 x 1 Persons 2,16,000
12 Months
Accounts & Admin Officer -
1.10 Rs 22,000 x 12 Months 1 Person 2,64,000
1.11 Programme Manager - Rs 25,000 x 1 Person 3,00,000
12 Months
1.12 Peon – Rs. 7,000 X 12 1 Person 84,000
1.13 Staff Nurse – Rs. 12,000 X 12 1 Person 1,44,000
1.14 One Social Worker in MOPD 1 Person
Rs. 10,000 X 12 Months 1,20,000
1.15 Health Van Unit Driver - 1 Person 1,44,000
Rs 12,000 x 12 Months
1.16 Office Rent & General 1 Office 2,40,000
Maintenance at 01 Office -
Rs 20,000 x 12 Months
1.17 Fuel for Mobile Van unit - 1 Mobile van unit 1,20,000
Rs 10,000 x 12 Months
Printing Cost for IEC Material
/ Prescription Pad / Pathology
1.18
Reports / 1,00,000
Doctor Daily Sheet / Medicine
Availability Check List - 1
MWU x
Rs. 1,00,000
1.19 12 Months 36,000
Team

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1.20 Vehicle Hiring & Fuel 12 Months 3,60,000
Charges for Programme
Manager
1.21 Staff Orientation &
4 Qtr 1,20,000
Capacity Building Training
1.22 Telephone & Internet Medical 12 Months 60,000
Team
1.23 Repairs & Maintenance - Office 4 Qtr 40,000
& Mobile Health Van
Staff Insurance / Assets
1.24 Insurance Rs 60,000 x per Yr 1 Yr 60,000
2 Capital Expenditure
2.1 Mobile Wellness Unit- 1 Mobile Health 21,50000
Vehicle Cost & Fabrication Van
(FORCE AMBULANCE)
2.2 Mobile Lab & Equipment's 1 Mobile Health 1,10,000
Van
2.3 Ventilator for MWU 1 2,50000
2.4 Computer & Peripherals 1 2,00,000
2.5 Miscellaneous Expenses 2,00,000
3 Impact Assessment / Process 1,00,000
Documentation / Base
line Survey
TOTAL 71,88,000.00

RUPEES SEVENTY ONE LAKH EIGHTY EIGHT THOUSANDS ONLY.

ABHILASA LOK KALYAN SANSTHAN

 BANK DETAILS OF THE ORGANIZATION:
1 Name of Bank

2 Bank Branch (full address Bank particulars will be submitted on approval

& Telephone Number)

3 Bank Account Number

4 Bank Account Name

6 IFSC Code

Declaration:

I hereby declare that whatever has been stated above is true to the best of my knowledge,
correct and nothing has been concealed there from.

Place:

BAHRICH,

Date:

Signatory with Common Seal

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