Comprehensive Health, Advocacy, Networking, Garnering Empowerment
and Development

The problem

The Leprosy Mission Trust India (TLMTI), in one of its studies conducted in Sangli district, in Maharashtra, found that there was a low awareness about leprosy among the general community, and also that there was a lack of resources for disability management. People were not politically empowered to access their rights.

How the project aims to address these problems

TLMTI developed a project – Comprehensive Health, Advocacy, Networking, Garnering Empowerment and Development (CHANGED) project – to address these problems, based at its Miraj Hospital, in Maharashtra. The project adopts a human rights-based approach to promote mainstreaming and inclusion of the disadvantaged communities. For this, the project forms community-based organisations and builds their capacity to claim their rights. The project also builds the capacity of duty bearers so that they can respect, protect and fulfil these rights.

Project implementation areas










Project period

January 2014 to December 2018

Key achievements

  • 1,279 people accessed government social welfare and development schemes.
  • 122 people, trained by Maharashtra Centre for Entrepreneurship Development – an autonomous society working under Directorate of Industries, Government of Maharashtra – started their own small businesses.
  • 2 self-help groups received Rs 30, 000 grant from Panchayat Samiti for income generation activities, and they invested it in animal husbandry.
  • 188 people, trained by TLM Nashik Vocational Training Centre, under its community-based vocational training programme, started their own home-based garment business.
  • 652 people assessed at 27 medical assessment camps. 13 new leprosy cases detected, 399 leprosy patients given inpatient care, and 140 leprosy patients given inpatient ulcer care at TLM Miraj Hospital.

Key project staff: Mr Shirish Shegaonkar, Senior Programme Manager