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Location

28 villages of the Khariar and Borden block of Nuapada district of Orissa. Also 8 new Villages of Golamunda block of Mahlinga Gram Panchayat, district of Kalahandi.


Background

The organisation CHALE CHALO (Let’s Move Forward),founded in 2005, works with children, youth, tribals, dalits, other backward castes, women, differently-abled people, landless laborers, forest dwellers, fishermen, migrants, displaced people, small and marginal farmers and other disadvantaged communities for protection and promotion of their rights through organising, educating, capacity building, empowering and enabling them to help themselves for sustainable socio-economic and political transformation for establishment of a just human society. Chale Chalo, in collaboration with BAT NET has implemented Child Poverty Reduction and Women Empowerment Projects in Pattamundai. The organisation has initiated preliminary activities for mobilizing fishermen children and their communities for their rights. In Nuapada district the organisation has concentrated its activities in 20 draught prone villages where it organizes poor children and women and capacitates them to demand and protect their own rights. It has successfully implemented a pilot project on Community Radio with the support of CRY, linking migration, displacement and education policy with child rights issues.

Situation

From 2007 Chale Chalo has been working in 28 villages at Borden and Kharihar Block and has been working on health and nutritional issues over the years. In the current year there will be a gradual shift of the intervention area from Nuapada district to Kalahandi district which is critical in terms of health and malnutrition. In this area there is a single Public Health Center at Chapria village and 1 Sub Center at Mahalinga, having no doctor/staff nurses. The labor room in all the Public Health Center (PHC) and Child Health Center (CHC) are of poor condition. Immunization is given to the children on bio-monthly basis. This is not recommended by the World Health Organisation (WHO) or in National Health Mission (NHM) provisions. As far as children’s immunization is concerned only 50 % of children are immunized under the age group of 0-1 years and 64 % of children got immunized under age group of 0-59 months. Many social restrictions are found during the circle of pregnancy to delivery and delivery to breast feeding practices. There is less scope to avail the service from government. Public Health Center/Child Health Center in addition to which the situation becomes critical due to blind beliefs in the society.

Objectives

  • To ensure access for all 0 to 5 years old children, adolescent girls, pregnant women & lactating mothers to ICDS & other health services.
  • Proper implementation of 6 basic services of ICDS & National Rural Health Mission (NRHM) provisions in 28 project villages.
  • Regularization of immunization to children and mothers in 28 villages.
  • To improve the services delivery system through proper implementation of various government health programs.
  • Ensuring supply of safe drinking water in severe fluorosis affected villages.

Achievements & Impact in the Review Period


The power of community radio to mobilize communities and bring change to societies is well recognized and this was proved by the team where they have thought of a unique method of intervention by empowering community especially the children through their key intervention strategy-community Radio. Now the community radio program is being managed by the children’s groups (conceptualization to broadcasting) not only to raise their own issues but also to take collective actions for their rights. Apart from this the team has done remarkable work in education and health. The project is now focusing on issues relating to health and nutrition. Some of the key highlights of achievements this year are stated below:

  • Reduction in the malnutrition rate from 36 % to 30 %.
  • Construction work on 4 Anganwadi buildings completed, (Kenduguda, Belpada, Bheruamal & Palenbasa) and 15 Pre- schools are running regularly.
  • 25 severe malnourished children have got referral services.
  • 40 severe malnourished children have got the referral services and 6 have been sent to Nutrition and Rehabilitation Center (NRC), Nuapada.


  • 57 mothers have got institutional delivery and have got the benefit of various government programs.
  • 1652 children were ensured the 6 basic services of ICDS.
  • 2 Child Rights episodes conceptualized & broadcasted on All India Radio.
  • 42 Dropout children enrolled in school and average attendance rate increased to 92%.
  • Learning Levels in Mathematics, Language (Odia & English) and Environment Science and General Science improved as per sample tests done in Podapali, Kirejhola and Khudpej with the help of the school teachers.
  • Migration of children reduced due to the team’s intervention along with other factors like – Seasonal recreational centers, Functioning of Ashram Schools.
  • 20 children School Management Committee members actively participated in the SMC meeting

Plans


The operational area is mapped as critical on Health & Nutrition.


[1] Health:

Focus 1: To mobilize the community to demand health services in the operational area

  • Developing status report on the availability of services at Sub Centres, Public Health Care, Child Health Care as per Indian Public Health Standards (IPHS) and sharing the report to SDMO (Sub divisional Medical Officer) & Additional district medical Officer.
  • Sensitize, strengthen and building capacity of key stakeholders and Panchayat Level Child Protection Committee (PLCPC) members to identify the children who seasonally migrate with families and registering the families at Gram Panchayat.


[2] Nutrition:

Focus 1: Community demonstrating behavioral changes in preventing and managing malnutrition and childhood illnesses.

  • In the Kalahandi district primary and secondary data will be collected for infant deaths and maternal deaths in the project area along with reason for infant and maternal deaths.
  • Support Anganwadi Workers(AWW) in identifying children who are malnourished (underweight and Mid-Upper Arm Circumference (MUAC)) and linking them to Nutritional Rehabilitation Center (NRC) & ensuring follow up by health workers for conducting 3 visits after discharge from NRC.
  • Sensitizing health workers and ICDS workers to conduct home visits to help mothers and family members to understand and provide essential newborn care at home.
  • Capacity building of team on malnutrition cause, impact, treatment etc


[3] Participation:

Focus 1: In 8 villages of Kalahandi, children’s collectives aligned with the principles of engagement.

  • Formation of Children group in 8 villages and meeting with children group regularly.
Focus 2: To provide a platform to children, where they can express their views/opinions.
  • Facilitate children’s group meeting on regular basis.
  • Providing opportunity to children to speak in village level community meeting and other platforms
  • Sensitization of community on children’s ability to express their view/opinion and acknowledging the same

ANNUAL FINANCIAL SUMMARY: JANUARY TO DECEMBER 2016

  • Right to Survival
    $1,587
  • Right to Participation
    $6,822
  • Administration
    $3,369
  • Total Grant Approved
    $11,778