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Location

35 villages of Manjhanpur, Kaushambi and Saraswan blocks of kausahambhi district, Allahabad division


Background

DVUS has been implementing CRY project in 35 villages of 3 blocks of Kaushambi district - Allahabad Division.DVUS (Doaba Vikas Evam Uthan Samiti),registered in 1992, has been involved in the upliftment of people living in Kaushambi district. Mr. Pervez Rizvi, the project holder has a good understanding of local concerns on various issues related to socio, educational, economical upliftment of the people. DVUS has association with CRY for about 17 years and over the years it has constantly strived to bring difference and improvement in the lives of children.

Situation

The present operational area is 35 villages of Manjhanpur, Kaushambi and Saraswan. Mostly the lower castes are landless and their livelihood is solely dependent on petty jobs such as rickshaw pulling, vendors, daily wagers etc. All these communities are broadly divided into Hindu and Muslim communities and are observed to have peculiar practices of establishing relationships within the sects. The Kaushambi district is very backward with no industry and very limited avenues of employment. Mostly the minorities are engaged in bidi rolling in their houses at extremely low wages ranging from Rs 40-60 for rolling 1100 bidis (person needs 2-3 days for rolling 1100 bidis). The district falls in one of the 200 high burdened districts for malnutrition where incidences of malnutrition are highly prevalent. Poor nutrition is a challenge that casts a long shadow: its consequences flow throughout the life cycle and cascade down the generations affecting everyone-especially children, adolescent girls, women and include mortality, infection, cognitive impairment, lower work productivity, early onset and higher risk of non com­municable diseases, stigma, and depression. Poor infrastructure, lack of resources along with lack of awareness and family traditions and myths also contribute to the poor health and overall well being. There is prevalence of early marriages especially in laudh and pasi communities. Adolescent marriages often lead to early pregnancy and thereby the intergenerational cycle of malnutrition. The process of becoming malnourished in such communities often starts in the womb of the girl child mother and often lasts for minor girls and women throughout the life cycle. Diarrhoea, malaria etc. are some seasonal diseases in the area after the rains. Most families from 8-10 villages are involved in bidi rolling and have high instance of tuberculosis.

Objectives

  • To ensure the community and the households are aware of appropriate child rearing practices
  • To develop a comprehensive responsive strategy comprising community based and system based response. There would be comparative improvement institutions on health and nutrition (as compared to the baseline).
  • To ensure 50% of children under 0-6 years of age access the appropriate services entitled for them in health and nutrition.

Achievements & Impact in the Review Period


The achievements in the last year are enlisted below –

Focus 1: The community and the households are aware of appropriate child rearing practices and thereby understand the underlying causes of malnutrition

  • Community Nutrition Need Assessment Exercise (CNNA) and Knowledge Attitude Practice (KAP) study was conducted for knowing the child rearing practices among Laudhs, Pasi, Nauts, Fakirs and Ansaris communities. This intensive exercise was facilitated by a team from Vikas Samvad Samiti (VSS) based in Bhopal.
  • The causes of malnutrition have been mapped at structural, underlying/root and immediate causes.
  • 22 adolescent girl groups were strengthened through the process of contacts with girls; listing of all girls in the village from 10-18 years; register maintained for each of the village/group.


Focus 2: 50% of children under 0-6 years of age access the appropriate services entitled for them in terms of health and nutrition

  • Birth registration process was facilitated on regular basis; gradually the community is becoming active, alert, and vigilant and seeking birth certificates on their own. Among the total 846 children of 0-1 years, birth certificates ensured for 629 children. Among total 3590 children of 1-5 years, 31 children got birth certificates.
  • Immunization is being carried out as a regular process. 659 children (M-334, F-325) of 0-1 year got complete immunization. 653 women completely immunized and for 205 women immunization is in process. 34 women did not get immunized.
  • All SAM children are linked to ICDS centres receiving double nutrition. In most of the villages, there is good liasioning with AWW’s and parents are also motivated to register children in the centres. Grade movement – 7 SAM children moved to normal, 209 SAM children moved to MAM and 301 MAM children moved to normal category.


Focus 3: A comprehensive responsive strategy comprising of community based and system based response to be in place. There are at least 20% institutions on health and nutrition functioning effectively.

  • Regular mapping and tracking of health service institutions. Based on identified gaps representations sent at various levels from block to district to state and national level.
  • Total 720 eligible children enrolled in school and 5 drop out children enrolled in schools.
  • Infrastructure and facilities in schools improved – 25 toilets repaired; 39 new teachers appointed; boundary wall repaired in one school; 2 hand pumps repaired.
  • Capacity Building inputs were regularly provided to the team on following areas –
    • On data maintenance and management, for mapping of malnourished children and mapping grade movement. It is gradually improving.
    • Mechanisms on Internal Monitoring are being established and being firmed up.
    • Detailed audits done on finding delays in 3 cases of death and efforts being put in finding the causes of death.

Plans


The primary focus of the team is health and nutrition. The following are the upcoming plans:
Enhanced community sensitization and understanding of the communities on mother care and child nurturing practices. This will be contributed through -


  • Developing clear and simple communication for different groups as this would enable having systematic, structured and uniform communication across the villages and the communities. This will be tested in controlled group and disseminated in the community for sensitization.
  • Initiating the orientation and sensitisation of the different communities through community meetings, small group meetings, adolescent girls groups, the evolved groups of husbands, mother in laws on varied issues.
  • Initiating sensitisation and addressing communities’ awareness levels on colostrums feeding and its importance.
  • Adolescent groups to be gradually strengthened and empowered through enhancing their life skills and broadening views besides providing information on reproductive child health issues.


  • Enhanced understanding of health provisions and initiation of administering Antenatal Care/Postnatal Care facilities in the area.
  • Some activities planned to contribute to this outcome are - ensuring birth registration of all the children born; Antenatal Care(ANC) by ensuring tracking of pregnant women and registration in ICDS centre; ensuring mother and child health card is given to all the pregnant women; liasioning and coordination with ANM, ICDS workers, etc for completion of all the entries and information in the card.
  • Regular growth tracking and its analysis for further planning, intervention and systematic preventive approach.
  • Initiate the process of community based management and response for care and protection of children ; facilitating the conducting of Sneha Shivir in cluster of areas where malnutrition incidences are high; advocacy demanding Below Poverty Line(BPL) cards for malnourished families.

ANNUAL FINANCIAL SUMMARY: JANUARY TO DECEMBER 2016

  • Right to Survival
    $30,358
  • Administration
    $9,817
  • Total Grant Approved
    $40,175