Case Analysis – Nandagopal Charitable Trust

Group No – 1 Abhyudaya

Group Members
Sr No Name Roll No
1. Aalok Jangale P37091
2. Ajitesh R. Shukla P37096
3. Keyur Gokhale P37139
4. Kumam Newton Singh P37029
5. Neha Chhajer P37038
6. Harshvardhan Ghoghare P37132

The case talks about a project taken up by Nandagopal Charitable Trust on HIV/AIDS which is
two year old but unsuccessful in bring any fruitful result in bringing change. The program aims
is to control the effect of AIDS on the sexually active age group of 15-44 which constitutes
87.7% of AIDS affected through various measures which can check the transmission in
heterosexual sex; that makes 85.7% of transmission.

The main objectives are to change the behaviour, participatory approach and protect human
rights. The key activities undertaken are identification of high-risk, peer counselling, promote
safe sex methods such as single partner, condom etc., conduct awareness campaign, voluntary
testing and counselling etc. The major problem faced is the identification.

The city, i.e. Surat is marked as red-zone; high rate of HIV incidence. The High risk groups are
Truckers: 100000 a week, Migrant workers: 80% of city population, Adolescent males.
Vulnerable groups are sex workers: 3000-3500 and identification of Home-based sex worker is
difficult. There is resistance to safe-sex methods by customers and faces police harassment in
carrying condom; as told by commercial sex worker.

Some of the barriers in use of condom are Stigma, Shy in possessing, Lack of Privacy, Perceived
as unhealthy, compromise with pleasure etc. To bring behavioural change, the trust initiated
awareness campaign, put-up huge hoardings, Condom vending machine at Truckers’ stop and
slums; where migrants live. Condom is marketed and promoted with 70% less than their original
price.

The real concern is 50% of 300,000 of the male population in slums engaged with sex workers in
average 4 times a month, on top of that 100,000 truckers every week. But the daily sale of
condom is only 3500.
Analysis:
[Assuming only 50% of truckers engaged in se work]

The need for the condom per day is= (0.5*300,000) + (0.5*100,000)

= 150,000 + 50,000

= 200,000

But the weekly condom sales= 7* daily sales

= 7*3500= 24,500

It shows only about 12.25% of the people buys condom, considering only these people buy and
People are not responding to the efforts of the trust and not effective in behavioural change.

Exhibit:1 indicates the decreasing trend of infected of HIV/AIDS infected people in India and
Gujarat, the greater concern is that Surat is a red-zone for HIV/AIDS infected and these migrant
workers from other states will have greater chance to get infected from the sex-worker and
further to their wives when they go back. This will make explosion in the number of infected
people.

Major Hindrance to the Project effectiveness:

From the details narrated, we find that the Trust is not having not much of a problem in creating
awareness but it lacked to include some key element to enable behaviour change. The program
lack to internalise “Barrier”: one of the key elements of Behaviour Change. That is why the trust
is not including any initiative to mitigate the stigma of possessing or buying condom. Also it did
not consider the physical and cultural barrier; hence condom is perceived as unhealthy. “Fear”
element is also not seen; hence the situation to compromise safety for pleasure arises.

The major hurdle reflected is the lack of facilitative condition, although the intention to change
in behaviour started. The indications to support this argument can be seen in the case of lack of
privacy in buying condom; which is wrong place of availability, the Sex Workers helpless in
deciding the use of condom, police harassment for possession of condom.

The trust must focus in making the environment facilitative for behaviour change with reducing
the negative perception of safe-sex method usage. Suggested immediate recommendation is to
re-locate the condom vending machine to more private.