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Created by: Sankalp Rehabilitation Trust
Location: 1st Floor, S.S. Bengali School, Thakurdwar Road, Charni Road (East), Mumbai 400002. India.
Started in 2005, Project Nivara is a 10-bedded critical care shelter for Injecting Drug Users (IDUs) in need of urgent medical needs. The need for a critical care shelter for IDUs, especially those living with HIV/AIDS and other blood-borne diseases, has been a high priority for Sankalp Rehabilitation Trust – an organization committed to improving the lives of street based drug-users. The aim of the project is to assist with referrals for specialized care in local institutions, when it’s most needed. The shelter is more of an intermediary care center and is utilized until admission to a larger health care institution is obtained through proper channels. Since major health care institutions are always burdened with new admissions, the patient can return to the shelter after discharge for follow-up care. Our activities consist of provision of comprehensive care at the community level, which includes Clinical, Nursing, Counselling and access to support services.
Founded in 1995, Sankalp संकल्प Rehabilitation Trust provides care and support to street-based drug users and seeks to prevent the spread of HIV/AIDS in Mumbai, India.
Operating from seven permanent sites, Sankalp is committed to a philosophy of harm reduction; a team of outreach workers and peer educators, who are former or current drug users, reach out and provide health education to the street-based injecting drug-using community. Needle and syringe exchange, abscess management, and safe injecting education services are initiated through this first point of contact. Medical staff and social workers provide necessary follow-up treatment, counseling, and distribution of Opioid Substitution Therapy (OST) at the lifeline of Sankalp, our drop-in centres: Mumbai Central, Ulhasnagar, and Sion. Sankalp operates a programme for injecting drug users in Arthur Road Jail, where it promotes awareness, encourages adherence to antiretroviral therapy, and offers counseling and medical support. Sankalp also runs a 24-hour Community Care Centre at Charni Road for drug users in crisis who are seriously ill and in need of consistent medical and psychological treatment. Additionally, the newly opened Detoxification Centre expands Sankalp’s continuum of care by providing this new service and helps clients on their road to recovery. Sankalp promotes various skills training, sustainable livelihood and income generation projects. The latest venture, Project Hunar, provides recovering drug users with a residential computer training programme where they learn how to perform English language data entry using only visual recognition. In the process participants develop related professional skills and participate in a variety of educational and empowerment sessions. In addition, Sankalp has facilitated the training of several rehabilitated clients in various handicraft-production and gardening skills, which enables them to bring in modest livelihoods. Sankalp is committed to seeking out those in need, supporting those in recovery, and strengthening its clients, so that they too can contribute positively to society.
Street based Injecting Drug Users (IDUs) and their families
Sankalp Rehabilitation Trust seeks to improve the quality of life of drug users and their families. Sankalp aims to dramatically reduce the rate of HIV and Hepatitis C infection amongst injecting drug users in Mumbai, to aid drug users in rehabilitation and reintegration into society by providing informal education, sustainable livelihood training, and medical support, and to advocate on behalf of the drug user and those who are HIV+.
Theory of Change: If all outreach and behavior-change communication programs were to be easily accessed by 70% of injecting drug users, then there would be less high-risk behavior amongst IDUs. If there were safer practice among IDUs with awillingness for treatment then there would be lower drug related crimes, more contribution to their families and a marked improvement in the overall health and well-being of the individual.
Founder and Director, Eldred Tellis, was named an Ashoka Fellow in 2007 for his innovation and demonstration of social entrepreneurship. In 2008 Sankalp received the Red Ribbon Award from UNODC/UNAIDS for 'leadership in reducing the spread and impact of AIDS.'