# 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. 5. 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. 6. 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. 7. 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. 8. 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. 9. 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￿SL*115, 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**||| |||||||||| ||||||||||