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Location

Nuapada and Kalahandi District, Orissa
Thematic Intervention: Health, Nutrition and Participation


Project Context

CHALE CHALO was formed in the year 2005 by few experienced young social activists who found it hard to push through new ideas for empowering the communities through rights approaches. The project holder is Mr. Ranjit Swain, who has been working on social issues since his school days. The organization works with children, youth, tribal, Dalits, other backward castes, women, differently abled people, landless laborers’, forest dwellers, fishermen, migrants, displaced people, small and marginal farmers, and other disadvantaged communities. Its focus of work has been on protection and promotion of target group’s rights through organizing, educating, building capacity, empowering and enabling them to help themselves for sustainable socio-economic and political transformation for establishment of a just human society. In Nuapada district, the organization has concentrated its activities in 20 drought prone villages where it organizes poor children and women and capacitates them to demand and protect their own rights. The organization has successfully implemented a pilot project on Community Radio with the support of CRY - Kolkata linking migration, displacement and education policy with child rights issues.

Achievements & Impact


Key Result Areas Achievements

Access to free, primary health care in the intervention area.

* 241 out of 1510 children were immunized during the quarter.
* 351 adolescent girls were sensitized to regularly consume the IFA tablets and maintain the hygiene practices. Village Health and Nutrition Day (VHND) organized regularly in 6 villages.
* The radio programme on nutrition has been run in well organized manner, involving the 5 listeners’ clubs organized for the narrow cast of the community radio programme.
* 30 infants were identified as, at high risk new born babies, and mothers and family members were counseled on home based management of high risk new born babies through ASHA.

Children’s collective aligned with the principles of engagement with children.

* 2 new children clubs have been organized in addition to the 14 children clubs which have been active under the project.
* 2 scripts have been written for the community radio episode and volunteer artists from within the children collectives were made to narrate the same in the children groups.



Key Result Areas Achievements

Reduction of Child malnutrition in operational areas from 0 to 6 year.

* Infant and child mortality reduced, as only 1 case each of Infant death and child death was registered during the last year among the project community. There has not been any case of maternal mortality.
* 330 children from among 1510 in school have been administered health checkups.
* 143 pregnant and lactating mothers were counseled on colostrums feeding, immediate exclusive breastfeeding, complementary feeding along with breastfeeding for 24 months through home visits.
* 32 of the 60 new born have received the birth certificates.
* Full ante-natal care service was ensured for 43 pregnant mothers out of 98 mothers, which recorded a 30% increase over the previous year.
* Demonstration was carried out in 14 Anganwadi centers on locally available high nutrition food and quality preparation techniques.

Other Highlight Processes and Achievements – 2017.

During the current year, the team strived to build the rapport with the children, community and stakeholder to initiate processes in the 20 villages. During the year mobilization process with the in-laws and spouse were taken up to counsel them for care and nutrition of the pregnant and lactating mothers. Support to the ICDS workers for the pregnancy registration was provided for the unreached areas. Direct intervention with the mothers for the ante-natal and post-natal counseling was taken up in 8 villages. Then visit to the Primary Health Centre (Bordi) and community health centre (CHC) Chapria, was also done to meet the doctor and discussed the strategies of community health, availability of medicines & instruments, and common diseases in the area. Regular and relentless processes in the 20 villages yielded outcomes like Infant and child mortality being reduced, as only 1 case each of Infant death and child death was registered during the year.

Update on major events /campaigns that may have taken place on ground:

An advocacy meet was organized by the project partner at the block level with about 1500 attendance, which included element of sensitization on health and malnutrition in the region. The local member of state legislative assembly (MLA), Child Development Project Officer (CDPO), supervisors and workers of integrated child development scheme (ICDS) along with most of the block and district officials were present. The organization got much visibility in terms of an organization working on child malnutrition. As a part of State Alliance and hence state advocacy plan, 15 days community level monitoring process was initiated by the project wherein the status of the Anganwadis were shared with Child Development Project Officer (CDPO) and District social welfare officer (DSWO). The project has also submitted the list of mini-ICDS centers with the State Alliance for advocating for the conversion of mini-ICDS centers to regular ICDS centers. This will be taken up by alliance at the state level.

Plans


Key Result Areas Program Activities Planned

Reduction in Malnutrition among 0-5 years children in 20 villages from 94 children to 50 children

* Mapping of Pregnant and Lactating mother. And, home visit for family counseling.
* Orientation and video show on importance of colostrums and exclusive feeding among pregnant women and tracking colostrums feeding.
* Facilitate community to demand for 5 ICDS in the region.
* Training on Nutrition and Rehabilitation Centre (NRC) to project staff and volunteers and develop a collaborative framework for improved development and reduction of Severely Acute Malnourished (SAM) children

In 20 villages of the intervention areas ICDS and NRC are fully functional

* Ensure registration in ICDS centers and follow up on Janani Suraksha Yojna (JSY) and Mamta scheme.
* Meeting health and development officers on health related gaps and updates.
* Regular follow up of target beneficiaries with ICDS and health department.



Key Result Areas Program Activities Planned

Reduction in low birth weight

* Tracking of HB and IFA tablet distribution and its uses by pregnant mothers.
* Ensure health check up of pregnant mother at least 4 times.
* Meetings with family members and in-laws for pregnancy care.

Reduction in pregnancy anemia

* Monthly tracking of anemic mothers.
* Data base preparation and sharing with all related department.
* Organize meeting on anemia in villages.
* Awareness program organize through cultural activity.

Understanding the development needs of children in the age category of 6-14 years

* Training of project staff on 1st Module of CRY Child Cell.
* Activities with the children groups in 5 schools.
* Activities with teachers in the 5 schools.

Financial Summary: January to December 2018


Budget Breakup 2018

Health & Nutrition

12,250

65 %

Participation

1,696

9 %

Administration

4,900

26 %

Total Grant Approved

18,846

100%