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Location

East Champaran district in Bihar
Thematic Intervention: Health and Nutrition


Project Context

CHARDS is implementing CRY project in 17 Hamlets of Two Panchayat namely Madhubani Ghat and Vardaha situated in Motihari Sadar. These villages are mostly inhabited by Dalit, Mahadalit, Other backward castes (OBCs), Minority and having total of 3776 Household. The intervention villages are also prone to flood. Landlessness is a major cause of poverty among Dalits/ Mahadalits and Minority. Most of the Dalits work as agricultural laborers, but wages are below the Minimum wage fixed by the state government. Agricultural labor provides employment for only three-four months and rest of the year they are either jobless or migrate to other cities/state and work in construction site /factory/ manual work. In the project area the existing health care facility is not easy to access by all due to several factors. The main barrier of accessibility is distances from the villages and poor quality. Due to inaccessibility of health services the burden of home delivery is still prevalent. Child death rate is also too high in the project area. From January to June 2016, 11 children deaths were reported from the project area. There is dearth of adequate numbers of ICDS (Integrated Child Development Scheme) centers in the operational area and thus a large numbers of children are out of services. The regular growth monitoring rarely happens thus the growth of the children is not known and malnutrition is not arrested at the early stage. The CHARDS as an organization aims to develop ideal society among Dalit & Marginalized community to sensitize and make them aware about their existing of poverty, exploitation, health & other burning issues.

Achievements & Impact


Key Result Areas Achievements

Access to quality and free, primary health care

* 3 ASHA (Accredited Social Health Activist) workers were recruited in the village, which has been vacant since long.
* Master training was given to 9 CHARDS team members on IPHS standards such that they can further train ASHA, ANM (Auxiliary Nurse Midwife), community stakeholders etc.
* CHARDS participated in two meetings of Jan Swasthya Abhiyan.

Reduction in Maternal, Infant and Child Mortality; and maternal and child morbidity

* 980 children received immunization.
* 290 Pregnant women were tracked for Ante-natal & Post-natal Checkups, immunization.
* Revolving fund proved to be quite beneficial for the needy as it helped in 8 instances of ensuring institutional deliveries.
* Sustained community engagements have started showing results on institutional delivery front. There were 126 institutional deliveries out of 237 live births.
* Total 100 adolescent girls capacitated on reproductive and sexual health.



Key Result Areas Achievements

Reduction of Child Malnutrition

* 26 SAM children referred to NRC, most of them were affected by floods.
* 17 Children brought out from red to green zone in malnourishment severity category.
* All 17 Anganwadi centers in project area have weight machines for Growth Monitoring Chart (GMC) maintenance after regular follow up with stakeholders.
* 5 New ICDS centre sanctioned in the intervention areas by government as a result of prolonged advocacy engagement with various stakeholders across various levels, right up to the national level with National Commission for Protection of Child Rights (NCPCR).

ICDS, Nutrition and Rehabilitation Centre, Public distribution systems are fully functional.

* 5 VHSND (Village Health, Sanitation and Nutrition Day) organized where number of pregnant women and lactating mothers took vaccination and number of children gone through filling of GMC.
* Nutritional Rehabilitation Centre (NRC) provided rehabilitation services to 26 children referred to it.

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

  • Breastfeeding week from 1st to 7th August were celebrated in all intervention areas in collaboration with ICDS department where lactating women were oriented on the benefits of colostrums and exclusive breastfeeding till a child attains the age of six months. During this campaign the emphasis was given on breastfeeding of girl child keeping in view of gender biases in the region
  • Celebration of nutrition week (1-7 Sept 2017) held in both block Bardaha and Madhubanighat. Throughout this week, various activities were performed viz. Nukkad Natak by children group, meeting with adolescent girls, film show and rally on nutrition by children
  • Diwal Patrika were organized at school level where in every school around 22 children participated on the theme of health and nutrition requirements of adolescent girls

Update on knowledge and capacity building workshops that the project team may have organized /participated in them (this is for the project team and not for the community groups):

  • Two day capacity building program on IPHS guidelines for CHARDS team was conducted in Motihari to build their understanding on IPHS (Indian Public Health Standards) guidelines and skills on programming strategies development in the light IPHS.
  • One day capacity building of project team was conducted on nutrition, to strengthen understanding on cause of malnutrition, stunting, wasting, GMC, malnutrition and its impacts, referral mechanism to NRC were some major components of training program.

Plans


Key Result Areas Program Activities Planned

Access and quality to free, primary health care in our intervention areas

* Follow up on the assurance for new Health Sub-Centre (HSC) and Additional Primary Health Centre (APHC) from Minister of Health and Executive Director, State Health Committee.
* Strengthen Rogi Kalyan Samiti (RKS) to monitor health services at APHC.
* Engage with health officials on provisioning standards of service under IPHS and advocating for improvements.

Reduction in MMR, CMR, IMR, maternal and child morbidity in our intervention areas

* Monthly meeting of SHG, Community and sharing importance of complete immunization, health check-up, Institutional delivery, and Preventive measures.
* Carrying out special sensitization drive in the community where home delivery is prevalent.
* Discussion with Mukhiya and Panchayat members on finalizing the document verification of 3 selected ASHA workers.
* Sensitization meeting with ANM/ ASHA/ AWW and discussion on their roles and responsibilities in collaboration with NHM
* Staff CB on VHSND guideline adopted by Bihar state.
* Capacity building of the members of AVS
* Orientation to the members of VHSNC

Financial Summary: January to December 2018


Budget Breakup 2018

Health & Nutrition

13,849

70%

Administration

5,935

30%

Total Grant Approved

19,784

100%