Through local partners, Carers Worldwide implements programmes based on our holistic model of recognition and services for unpaid family carers. We also offer training and consultancy services to national and international level organisations.

India

Carers Worldwide is working in India with six partner organisations:

  • Nav Bharat Jagriti Kendra (NBJK) in Jharkhand
  • SACRED in Andhra Pradesh
  • SAMUHA in Karnataka
  • EKTA, SPREAD and WORD in Odisha

In addition, we have conducted a pilot project with the Elders for Elders Foundation in Tamil Nadu.

These programmes alone have already positively impacted the lives of over 5,500 carers and their cared-for relatives.

“Promoting the Recognition and Inclusion of Carers of the Disabled and Mentally Ill in India”.

This three year project, funded by the Commonwealth Foundation, has worked with 2,483 carers of people with disabilities and mental illness across three Indian states – Karnataka, Andhra Pradesh and Jharkhand. Our partners were SAMUHA, SACRED and NBJK.

This project included extensive data collection to ensure we have a full understanding of the issues faced by carers and their families; enabling us to build programmes that are beneficiary-led. This data has been published as a baseline study report. Following this research, we have worked to build the capacity of our partner organisations to promote the inclusion of carers into mainstream programmes and in the creation of carer-specific services.

Key achievements of the project to date:

  • 171 carers support groups were formed
  • 289 carers received short breaks
  • 481 carers received direct support to establish livelihoods activities that can co-exist alongside their caring responsibilities
  • 443 carers linked to government and local NGO livelihoods and insurance schemes
  • 4 community caring centres established to provide daily care for 40 severely disabled children, enabling their mothers to go out to earn
  • 636 carers received counselling support
  • Carers Day celebrated in India for the first time ever

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“Creating sustainable livelihoods and relieving household poverty for unpaid family carers of people with disability or mental illness in India”

This one year project funded by the Scott Bader Company Limited and the Evan Cornish Foundation concluded in 2016. Focussing on high poverty areas of Jharkhand and Karnataka states, 154 carers received training and support to initiate new livelihoods such as tailoring, vegetable growing, small animal rearing, broom making and carpentry. In each project location, a community caring centre was also established to provide quality care for the cared-for relatives, enabling carers to pursue their chosen livelihood.

“I am a single parent and my child has learning disabilities. I can now go to work as my child is looked after and she can help around the house with new learning when she is at home. Now my neighbours and local people are better towards me and my child.”

The project has given carers who were previously unable to work, because of their caring responsibilities, the opportunity to identify a suitable income generating activity and pursue it. Already, carers’ incomes have increased significantly, with average earnings of between Rs 1,200 and 3,000 (£15 – £37.50) per month. This represents a significant contribution to household income and is bringing many families above the poverty line for the first time. In addition, carers’ self esteem has increased as a result of engaging regularly in a livelihood and they are receiving greater recognition from their community. The lives of the cared-for individuals have also been enhanced, through increasing opportunity to interact outside of the home, socialise, and in many cases learn new skills or attend a setting where they receive regular educational and therapeutic input.

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“A Voice for Carers: Achieving recognition and inclusion of family carers of the disabled and mentally ill from Adivasi communities of Odisha”

This three year project, funded by the Rangoonwala Foundation India Trust started in September 2017 and will see us working with 1,500 carers of people with disabilities and mental illness from marginalised tribal communities in Koraput district, one of the poorest districts in India. In partnership with three local NGOs – EKTA, SPREAD and WORD – we aim to:

  • improve the physical and mental health, promote social inclusion and increase household income of 1,500 carers;
  • empower groups of carers to advocate for their needs and rights;
  • establish the necessary links and facilitate provisions to ensure the assessment, diagnosis, treatment and therapeutic needs of the 1,500
  • disabled and mentally ill individuals being cared for are met

The specific objectives of the project are to enable carers to:

  • continue their caregiving responsibilities;
  • address their own health and emotional needs;
  • find ways to financially support their family;
  • advocate as a group for their rights and needs through the establishment of local and national networks;
  • access the necessary services to enable appropriate assessment and management of their disabled or mentally ill relative’s health and therapy needs

“Invisible to Visible: documenting the lives of carers in India”

This two year project, conducted in partnership with carers and staff of SACRED in Andhra Pradesh and supported by the Wellcome Trust, is documenting the day to day lives of carers in the form of a short film, which will be used to promote awareness of the realities, challenges and impacts of caring for a family member. Community leaders, health professionals and government officials will engage in a series of events where they will view and discuss the film and then be invited to take action for the carers in their local area and pledge to support and promote their cause. Watch the film

“Promoting the recognition and inclusion of carers of the elderly in Virudhnagar district, Tamil Nadu state, India”

In partnership with the Elders for Elders Foundation and Help Age India, we conducted a consultation and pilot project with 30 carers of elderly relatives and other stakeholders to explore the best ways of supporting them in their caring roles.

There are an estimated 100 million elderly people in India today. Unpaid family carers provide an estimated 90% of the support and care received by these older persons. The purpose of this pilot project was to learn more about the unique challenges this population of carers face and develop an understanding of how the Carers Worldwide approach can be adapted to meet their needs. Following this work we are committed to providing support to these carers, through the development of emotional support groups and facilitating access to livelihoods for this marginalised and vulnerable group.

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 Nepal

 

Carers Worldwide works in partnership with two organisations in Nepal – LEADS Nepal and Cerebral Palsy Nepal (SGCP). Our programmes are transforming the lives of 2,200 family carers of children and adults with disabilities or mental health needs, as well as those for whom they care.

 

“Care for Carers: empowering parents of disabled children in Nepal”

This three-year project, funded by the Big Lottery Fund’s Rebuilding Communities programme is based in the Kathmandu Valley.  Working in partnership with Cerebral Palsy Nepal (SGCP) we are promoting the social, emotional, medical and economic wellbeing of carers, mostly mothers, of children with cerebral palsy and other neurological disorders.

Restricted for much of the time to the house, unable to go to work or socialise, many of these carers have been isolated and unaware of their rights. For many, their properties and livelihoods were destroyed in the 2015 earthquakes. Excluded from society, they didn’t realise they could access government and NGO support in the weeks and months that followed.  The project is raising awareness and establishing carer-friendly services to empower this vulnerable community of carers.

Year 1 highlights:

  • 366 carers reached
  • 97% of the carers are women (mostly mothers)
  • baseline survey completed
  • 23 local carers groups set up
  • 11 local doctors trained on carers’ needs
  • 2 health camps held and 52 carers assessed and started necessary treatment
  • Counsellor visiting all the carers groups
  • SGCP staff being trained in barefoot counselling

Plans for Year 2 include strengthening the groups; forming Carers Association, continuing physical health and counselling support; getting carers set up in sustainable livelihoods and promoting alternative care arrangements.

Read our Baseline Study Report ‘Caring for Carers of Children with Cerebral Palsy in Nepal’

Key findings: 

  • 97% of carers are women and 94% are mothers
  • 63% of carers are not earning (although 97% are of working age)
  • 16% of the households have nobody earning
  • 41% were unable to take a break from caring
  • 68% reported feeling isolated or lonely
  • 75% had significant concerns about their financial situation
  • 72% had physical health concerns
  • 76% reported significant anxiety
  • 55% experienced chronic lack of sleep (a significant factor affecting carer wellbeing)

“This will show us the way to having our voices heard and recognised. We will work hard to make it sustainable”  – Carer Representative.

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“Improving the physical and mental health, promoting social inclusion and increasing the household income of 1,500 carers of mentally ill individuals in Nepal”

This three year project, funded by UK Aid and conducted in partnership with LEADS has been based in the remote districts of Baglung and Myagdi in the Western Region of Nepal.

Our partner is LEADS, Working together, we will bring about improvements in physical and mental health, social inclusion and household income of 1,500 unpaid family carers of people with mental illness or epilepsy. The benefits experienced by the carers will also impact on the relatives for whom they care and the other members of their households as a result of sustainable increases in household income, improved wellbeing of the carer and greater awareness amongst community members and local professionals of these vulnerable individuals.

Results from this project have indicated that in addition to the benefits directly experienced by carers, there has been significant impact on the relatives for whom they care and the wider household. This has been achieved through facilitating sustainable increases in household income, improved wellbeing of the carer and greater awareness amongst community members and local professionals of these vulnerable individuals.

Prior to this project, there had been no support of any kind targeting carers of people with mental illness and epilepsy in the region. The results of our baseline survey conducted at the start of the project showed that 25% of carers were isolated, 69% experienced physical health problems, 77% were depressed or anxious and 97% of carers and their households lived below the poverty line.

After three years, the project has achieved the following:

  • 57 support groups, bringing together 870 carers for emotional support and local advocacy activities
  • 473 local professionals and volunteers trained and now assisting carers to access counselling and medical support
  • 994 carers trained in livelihoods that can co-exist with their caring responsibilities
  • 10 community centres established to provide respite care
  • 285 child carers reintegrated into school
  • 2 district level Carers Associations and 2 Carers Co-operatives formed to raise the voice of carers to local government and stakeholders

Significantly, 88% of the families involved in the project now have regular incomes that bring them above the poverty line (compared to 3% at the start of the project). 67% of carers report that their health needs are reducing and 55% now have alternative care options available to them.

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“Action for Carers: transforming lives, policies and practice for unpaid family carers in Nepal”

In partnership with LEADS, this year long project funded by the James Tudor Foundation and the Scott Bader Company Ltd worked with 200 family carers in the Kaski and Syangja districts of the Western region.

17 carers groups were formed, bringing together 162 carers to discuss their needs, develop alternative care options for each other and make representation to local government officials. To ensure sustainability, 18 local health volunteers were trained to enable these groups and activities to continue after the project had ended. 122 carers took up a range of new livelihoods activities such as goat and chicken rearing, increasing household income and enabling them to meet the financial needs of their loved ones such as purchasing vital medicines. Engagement in income generating activities has also resulted in promoting the carers’ sense of self-esteem. 50 child carers have gone back to school, helped by teachers specially trained by the project to understand and support them.

“A year ago we were alone. Now we are supported and included. I can have a vision for my daughter’s future now” – Hum Kumar Khatri, mother of 11 year old Sabina who has cerebral palsy

Earthquake relief and rehabilitation

Following the devastating earthquake on 25th April 2015, which was followed by further quakes, aftershocks and landslides, Carers Worldwide launched an appeal with our strategic partner BasicNeeds to bring immediate relief and longer term rehabilitation to the residents of Baglung and Myagdi districts. Working with our partner LEADS, our specific focus was individuals living with mental illness or epilepsy, their carers and families. In disaster relief situations, these especially vulnerable individuals often face significant challenges in accessing relief. Our joint appeal raised over £28,000 which has enabled:

  • Relief supplies (food, water, tents, blankets and emergency medicines) to residents in our project villages
  • House rebuilding/repair for 20 families
  • Psychosocial support (medicines and counselling) to over 700 individuals with existing or newly emerging mental ill-health and their carers
  • Disaster-preparedness training to residents in 20 project villages

In addition, the Scott Bader Company Limited has provided generous support to enable us to support local carers of people with mental illness or epilepsy like Phulu Kharga to rebuild livelihoods which have been damaged or completely destroyed by the effects of the earthquake.

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Bangladesh

We have a new project currently under development in Bangladesh, which will work with carers of children and adults with a range of disabilities in and around Dhaka.