2025-10-30-accounts

Closure Report – Nutrition Program June 2026 Funding cycle 2025

Project Activities Summary

The project implemented a range of activities to strengthen TB awareness, improve early case detection, support treatment adherence, and provide continued care for TB patients across the intervention area.

During the year, 39 Information, Education and Communication (IEC) programmes were conducted, including 37 community awareness sessions and 2 awareness programmes in educational institutions (schools and colleges). In addition, 4 community meetings were organized to engage local stakeholders and strengthen community participation in TB prevention and care.

To improve early diagnosis, the project conducted 35 Active Case Finding (ACF) activities , during which symptomatic individuals were identified and screened. A total of 681 sputum samples were collected and tested, resulting in the identification of 10 TB-positive cases . No HIV-positive cases were identified among those tested.

Strong collaboration with the Government health system was maintained through 280 visits to Primary Health Centres (PHCs) and Government Hospitals (GHs) . These visits supported patient registration, sputum collection, test result coordination, medicine collection, and regular programme coordination.

To improve treatment adherence, social workers facilitated the distribution of 393 DOTS (TB medicine) doses , conducted 448 counselling sessions , and completed 447 home visits to monitor patients, provide guidance, and address challenges faced during treatment.

Nutrition remained an important component of patient care. During the reporting period, 3,244 nutritional support packages were distributed to TB patients and selected post-treatment beneficiaries, helping improve nutritional status and support recovery throughout and beyond the treatment period.

Overall, these activities demonstrate a comprehensive approach that combines community awareness, early diagnosis, patient support, and close coordination with Government health services to strengthen tuberculosis control in the project area.

Nutrition Support and Beneficiary Follow-up

• Support from CSR Companies

• Through the District Collectorate, some companies supported the program by providing nutrition packets during certain months. However, these distributions were ad hoc and not part of a regular supply mechanism. As a result, beneficiaries did not receive nutritional support consistently, creating challenges in maintaining continuous nutritional supplementation throughout their treatment.

• CSR Nutrition support was provided in Karuveppilankurichi Block and Mangalur Taluk .

• During the first six months of the program, nutrition packets were distributed on two occasions.

• Change in Approach

• Initially, nutrition packets were delivered to beneficiaries' homes. However, this approach was discontinued because beneficiaries were often not available at home, resulting in increased travel costs. In addition, neighbors were generally unwilling to receive and hand over the nutrition packets on behalf of the beneficiaries.

• To improve efficiency and ensure reliable distribution, nutrition packets are now distributed through the Primary Health Centres (PHCs).

• Nutrition packets were distributed across 54 villages and hamlets , reaching beneficiaries throughout the project area.

• On average, the program supported 250 beneficiaries during the one-year implementation period.

• A total of 3,244 nutrition packets were distributed during the project.

• Follow-up of beneficiaries continues for two years , during which project social workers visit beneficiaries to monitor their health status, treatment adherence, nutritional well-being, and any emerging concerns.

• During the reporting period, three beneficiaries passed away .

Nutrition Support

----- Start of picture text -----
Total for 6 Months Total for 7 - 12 Months
@ @ @ @ @
Village @ TOTAL Individual Meeting TOTAL Individual Meeting
Puliyur 122 36 86 176 58 118
Iruppu 117 29 88 156 59 97
Palaikollai 122 51 71 182 66 116
Managalore Taluk 132 56 76 90 33 57
Nallore Taluk (Veppur) 423 215 208 106 33 73
Kammapuram 121 38 83 124 28 96
Arassakuzhi 128 9 119 108 14 94
Cuddalore 167 21 146 155 37 118
Karuvepellankurchi 145 106 39 150 66 84
Mangalampettai 145 68 77 132 38 94
Virudhachalam GH (IP) 120 57 63 123 36 87
TOTAL 1742 686 1056 1502 468 1034
----- End of picture text -----

• 1[st] 6 months, a total of 1742 nutrition packets were distributed

• And in the 2[nd] 6 months, a total of 1502 nutrition packets were distributed

• A total of 3244 packets were distributed during the year

• Note – This also includes the packets distributed through the CSR initiatives (2 initiatives)

Follow-up of TB Patients After Treatment Completion

• Post-treatment follow-up is an important part of the project to ensure that patients remain healthy, identify any recurring symptoms, and provide continued Nutrition support where required.

• During the year, a total of 154 post-treatment follow-up visits were completed across three areas. Patients were followed up at different stages after completing treatment—at 6 months, 12 months, 18 months, and 2 years —depending on their treatment completion date.

• These follow-up visits enable social workers to assess the patient's overall health, identify any symptoms suggestive of TB recurrence, encourage timely medical consultation where necessary, and provide nutritional and psychosocial support to selected patients.

• This interaction and visit helps improve long-term patient outcomes and strengthens the overall effectiveness of the TB control programme.

Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up	Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up	Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up	Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up	Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up	Area 1st 6th month 12 month 18 month 2 years Total Patients Followed up
Puliyur	16	15	17	25	73
Palakalai	15	14	13	13	55
Iruppu 3 11 12 0 26

Key Project Activities

The project implemented a variety of community-based activities to support in the early diagnosis, treatment, and follow-up of TB patients. These include

1. Coordination with Government Health Facilities

• Each social worker visited their assigned Primary Health Centres (PHCs) at least twice a week.

• These visits included:

• Collection and transportation of sputum samples for testing.

• Collection and communication of laboratory test results.

• Collection and distribution of DOTS medicines.

• Registration of new TB patients.

• Updating patient records and treatment registers.

• Coordination with PHC staff regarding patient referrals and follow-up.

2. Home Visits and Patient Follow-up

• Regular home visits were conducted for diagnosed TB patients to monitor treatment progress and provide counselling.

• A total of 447 home visits were conducted during the reporting period.

• All newly diagnosed patients were followed up closely during the first six months of treatment.

• Follow-up after six months was carried out based on the patient's health condition, treatment progress, and medical advice.

• Social workers monitored treatment adherence, identified side effects, encouraged regular medication, and referred patients to health facilities whenever required.

Key Project Activities

3. Nutritional Support

• All patients diagnosed with TB received nutritional support during their course of treatment to help meet their nutritional needs while undergoing medication.

• In addition, selected patients who remained nutritionally vulnerable after completing their TB treatment continued to receive nutritional support as part of the project's follow-up activities. This ensured that patients requiring additional care received continued assistance beyond the treatment period.

• The nutritional supplement was prepared in-house once every month. This involved procuring ingredients, cleaning and grinding them into a nutritious powder, and packing them for distribution. Relevant quality checks were carried out throughout the preparation process to ensure that the nutritional powder met the required standards before being distributed to beneficiaries.

• Alongside the distribution of nutritional support, social workers counselled patients and their families on the importance of maintaining a balanced diet during and after TB treatment, helping them understand how good nutrition contributes to faster recovery and better overall health

4. Active Case Finding (ACF)

• Active Case Finding (ACF) activities were carried out both in existing project villages and in new villages identified as high priority.

• Community members with TB symptoms were identified, counselled, and referred for testing.

• Sputum samples were collected both during household visits and as part of ACF camps, improving access to diagnostic services.

5. DOTS Support

• Social workers supported patients in accessing TB medication through the Government's DOTS programme.

• Depending on the patient's circumstances, medicines were either distributed by Ayries or collected directly by the patient from the PHC.

• Social workers regularly encouraged treatment adherence and ensured continuity of medication.

Key Project Activities

6. Documentation and Reporting

• Patient records, treatment registers, referral details, and follow-up information were maintained throughout the project.

• Regular updates were provided to the Government health system to ensure continuity of patient care and programme monitoring.

7. Monthly Planning and Review

• Monthly planning meetings were conducted to review field activities, discuss patient progress, address operational challenges, and plan upcoming interventions.

8. Health Awareness and Community Engagement

• The project organized and participated in several awareness and community engagement activities, including:

• World TB Day programmes conducted in Veppur, Thittakudi, and Vriddhachalam.

• World AIDS Day awareness programmes.

• Community awareness sessions on TB symptoms, prevention, diagnosis, and treatment adherence.

• Christmas and Pongal community events, which provided opportunities to engage with local communities and promote health awareness.

9. Community Mobilization

• Social workers worked closely with community leaders, village volunteers, PHC staff, and local stakeholders to identify symptomatic individuals, encourage testing, reduce stigma associated with TB, and strengthen linkages between the community and Government health services.

Challenges

The project faced several operational and community-level challenges during the reporting period.

1. Collaboration with Government stakeholders was inconsistent. Some Primary Health Centres (PHCs) were very supportive and supported the collaboration. But others showed limited engagement. This was largely depend on the commitment of the local officials. Also, in some cases, support from the Senior Treatment Supervisor (STS) was limited, and this was affecting the coordination in some areas.

2. Geographical challenges also impacted project implementation. Many intervention areas are remote, forested, and difficult to access, with limited security. The long distances, difficult terrain, and extreme heat made it challenging for the social workers during their field visits and follow-up activities.

3. Patient follow-up remained a big challenge. Many beneficiaries are migrant workers or do not have reliable phone numbers, making it difficult to contact and monitor them. Some patients were also reluctant to provide sputum samples because they fear that a positive diagnosis would result in prolonged treatment.

4. Social stigma in tuberculosis continued to affect patient care. Some patients did not want social workers visiting their homes, as they were concerned that neighbours or community members would discover they were receiving TB treatment.

1. During the reporting period, three patients passed away due to underlying health conditions and complications. These included alcohol-related complications, cancer, dialysisrelated illness, and a heart attack. One of these died by suicide after experiencing severe pain, highlighting the complex medical and psychosocial challenges faced by some TB patients.

2. Project activities were also affected by the Tamil Nadu State elections , during which outreach activities and community programmes were temporarily reduced to comply with election guidelines.

3. There was strong demand from local authorities for additional awareness programmes, screening camps, and community outreach activities. However, the current project resources were not sufficient to meet these demands.

4. The social workers receive a modest salary of I NR 8,700 per month and they work six days a week. Considering the demanding nature of their work, there is a need to review and enhance their remuneration.

5. Finally, while Ayries maintains records through physical log books, there is an increasing need to digitize project data. At present, social workers are responsible for both field activities and documentation. And this limits the time available for community work. Separating documentation responsibilities from field work would improve both data management and service delivery.

Fund Utilization

Buget for theyear-2025 to 2026 - TB/HIV Care Project	Buget for theyear-2025 to 2026 - TB/HIV Care Project	Buget for theyear-2025 to 2026 - TB/HIV Care Project	Buget for theyear-2025 to 2026 - TB/HIV Care Project	Buget for theyear-2025 to 2026 - TB/HIV Care Project	Buget for theyear-2025 to 2026 - TB/HIV Care Project	Actual Spend	Actual Spend	Actual Spend
S.No		Amount in INR	No of Unit	Per Month	One Year	TOTAL SPEND	Difference	Utilization %
1	Staff Salaryfor 3 Members	8600	3	26100	3,09,600.00	3,13,200	-3,600.00	101%
2	Nutrition support for PLHIV	650	28	18200	2,18,400.00	2,16,000	2,400.00	99%
3	Nutrition support for PWTB.	450	200	90000	10,80,000.00	11,55,000	-75,000.00	107%
4	Travel cost for Outreach	8150	10	8150	97,800.00	92,800	5,000.00	95%
5	Advocacymeeting (IEC)	2000	10	21600	20,000.00	36,350	-16,350.00	182%
6	CommunityMeeting (Active Case Finding)	800	1	6000	19,200.00	19,550	-350.00	102%
7	Communal Meals for PLHA	6000	4	1500	36,000.00	25,800	10,200.00	72%
8	MonthlyReview Meeitng	1500			6,000.00	6,300	-300.00	105%
9	Stationary& Printing					12,000	-12,000.00	0%
Total Budget Vs Actuals					17,87,000.00	18,77,000.00	-90,000.00	105%

Gallery Palakkollai, Tamil Nadu, India MBg9+¢3APalakkoll•. TaMlIN4a￿SL115, L41 11 fj7B670-L￿ F9.387671- IVORLD - TB DAY • 3 -,1

Next Steps

• Continue the Integrated TB Program: Sustain both the Veppur GH TB Testing Laboratory and the Nutrition Support Program to ensure continued early diagnosis, treatment, and improved patient outcomes.

• Optimize Nutrition Support: Reduce the HIV nutrition support component to 20 beneficiaries. This allows in greater focus on supporting TB patients and other priority cases.

• Strengthen PHC-based Nutrition Distribution: Gradually shift nutrition distribution from home visits to Primary Health Centres (PHCs) , making distribution more efficient and also strengthening the collaboration with the Government health facilities.

• Strengthen Administrative Capacity: Recruit an additional staff member to support administration, documentation, data management, reporting, and office coordination , enabling social workers to dedicate more time to field activities and patient care.

• Relocate the Nutrition Preparation Centre: Identify and shift the nutrition project unit to a new location that complies with all statutory and regulatory requirements , ensuring long-term sustainability and quality assurance.

• Enhance Community Outreach: Continue Active Case Finding (ACF), awareness programmes, and counselling to improve early detection, reduce stigma, and increase treatment adherence within the community.

• Strengthen Government Partnership: Build closer collaboration with PHCs and district health authorities to improve patient referrals, follow-up, and integration with Government TB services.

• Invest in Long-term Sustainability: Continue investing in trained personnel, laboratory maintenance, nutrition support, and digital documentation systems to improve programme efficiency and maximize community impact.

	SummaryShe	et 2024/2	5
	INCOME
		No.1		No.2		Total
	Trading and Fundraising (Unrestricted)
	Voluntary Donations (Unrestricted)	40664
	Grants(Restricted)	40736
	Interest/Gift Aid (Unrestricted)	407
	Interest/Gift Aid (Restricted)
	Transfers
	Total Income	81807		0		81807
	EXPENDITURE
	Transfers to India	33692
	Transfer from b/ac
	Motivation Equipment
	Trading and Fundraising
	Newsletter
	Bank Fees	315
	Total Expenditure	34007		0		34007
	net income	47800		0
	Cash Funds 30 oct 202	4 16880		5298		22178
	Cash Funds 30 0ct 202	5 64680		5298		69978

	Ayries Trust Receipts and Payments 01-11-2024 to 31-10-2025
Section A	Receipts and Payments accounts
A1	Receipts		Unrestricted F	unds	Restricted Fun	ds		Total Funds
	Tradingand Fundr	aising
	Donations		40664
					40736
	Grants
	Interest / Gift aid		407
	Total Receipt		41071		40736			81807
A3	Payments
	Tradingand fundr	aisingcosts
	Grantspaid to Ayri	es SocietyIndia	18972		14720
	Bank fees and cha	rges	315
	Total Payments		19287		14720		0	34007
	Net receipts		21784		26016			47800
A6	Cash Funds last	year end	16880		5298			22178
	Cash Funds this	year end	38664		31314			69978
Section B	Statement of Asset	s and Liabilities
B1	Cash funds		38664		31314			69978

No. 1 Account INCOME SHEET 2024/25	No. 1 Account INCOME SHEET 2024/25	No. 1 Account INCOME SHEET 2024/25
Date Trading and Fundraising (Unrestricted)			Voluntary Donations (Unrestricted)		Grants (Restricted) Interest/Gift Aid (Unrestricted )			Transfer from no.2
11/1/2024			FK Financial	500.0 10.0	0
			D Fearnside		0
			N&C Killip	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
04/11/02024			AJ Norman	40.0	0
11/20/2024			N Ruddick	25.0	0
11/25/2024			C Hallas	10.0	0
12/2/2024			FK Financial	500.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
12/4/2024			AJ Norman	40.0	0
12/20/2024			N Ruddick	25.0	0
12/23/2024			C Hallas	10.0	0
12/24/2024					Meal-a-day	15335.13
1/2/2025			FK Financial	500.0	0 ~~grant~~
			N&C Killip	10.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
1/6/2025			AJ Norman	40.0	0
1/20/2025			N Ruddick	25.0	0
1/23/2025			C Hallas	10.0	0
2/3/2025			FK Financial	500.0	0
			N&C Killip	10.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
2/4/2025			AJ Norman	40.0	0
2/20/2025			N Ruddick	25.0	0
2/24/2025			C Hallas	10.0	0
3/3/2025			FK Financial	500.0	0
			N&C Killip	10.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
3/4/2025			AJ Norman	40.0	0
3/20/2025			N Ruddick	25.0	0
3/24/2025			C Hallas	10.0	0
4/1/2025			FK Financial	500.0	0
			D Fearnside	10.0	0
			N&C Killip	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
4/4/2025			AJ Norman	40.0	0
4/22/2025			N Ruddick	25.0	0
4/23/2025			C Hallas	10.0	0
5/1/2025			FK Financial	500.0	0
			D Fearnside	10.0	0
			N&C Killip	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
5/6/2025			AJ Norman	40.0	0
5/20/2025			N Ruddick	25.0	0
5/23/2025			C Hallas	10.0	0
6/2/2025			FK Financial	500.0	0
			N&C Killip	10.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
6/4/2025			AJ Norman	40.0	0
6/20/2025			N Ruddick	25.0	0
6/23/2025			C Hallas	10.0	0
7/1/2025			FK Financial	500.0	0
			D Fearnside	10.0	0
			N&C Killip	10.0	0
			A Killip	15.0 20.0 40.0 25.0	0
			R Norman		0
7/4/2025			AJ Norman		0
7/21/2025			N Ruddick		0
7/23/2025			C Hallas	10.0	0
8/1/2025			FK Financial	500.0	0
			D Fearnside	10.0	0
			N&C Killip	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
8/4/2025			AJ Norman	40.0	0
8/6/2025			Legacy via Scotts Hall	3500.0	0
8/12/2025			AJ Norman	300.0	0
8/20/2025			N Ruddick	25.0	0
8/26/2025			C Hallas	10.0	0
9/1/2025			FK Financial	500.0	0
			N&C Killip	10.0	0
			D Fearnside	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
			Legacy from D Ashcroft (Viola Evans)	29215.3	7
9/4/2025			AJ Norman	40.0	0
9/22/2025			N Ruddick	25.0	0
9/23/2025			C Hallas	10.0	0
10/1/2025			FK Financial	500.0	0
			D Fearnside	10.0	0
			N&C Killip	10.0	0
			A Killip	15.0	0
			R Norman	20.0	0
10/6/2025			AJ Norman	40.0	0
10/20/2025			N Ruddick	25.0	0
							Gift aid	199.58
							Gift Aid	207.57
10/22/2025					Meal-a-Day	15071.89
					Meal-a-Day	10329.00
10/23/2025			C Hallas	10.0	0
10/29/2025			Askrigg PCC	97.9	5
				40663.3	2	40736.02		407.15
				81806.4	9

No. 1 Account EXPENDITURE 2024/25	TRANSFER TO AYRIES SOCIETY, INDIA	PRINTING, PUBLICITY		TRAIDCRAFT BILLS	Motivation Mobility Equipment	TRANSFER BANK FEES
12/2/2024	5820.00					35.00
12/30/2024	5112.00					35.00
2/4/2025	4390.00					35.00
4/1/2025	4330.00					35.00
6/4/2025	2920.00					35.00
8/4/2025	1550.00					35.00
8/27/2025	1700.00					35.00
10/7/2025	4340.00					35.00
10/29/2025	3530.00					35.00
	33692.00	0.00		0.00		315.00

No.2 acc. income		Interest (Restricted)		No.2 acc. expenditure		to no.1
		0.00				0.00