on the details of
Kaushambi district, U.P, India
Thematic Intervention: Health and Nutrition
DVEUS has been an implementing CRY project in 35 villages of 3 blocks of Kaushambi district - Allahabad Division with an aim of upliftment of people living in Kaushambi district. Mr. Pervez Rizvi is the project holder. Since his college days, he has an active involvement in social activists and in 1989 along with like-minded youths he formed a group to work and understand the problems in the society. The project holder has good understanding of local concerns on various issues related to social, educational and economical upliftment of the people. DVEUS has association with CRY for about 17 years. It has a dedicated and committed team who puts tremendous effort to establish the issue of malnourishment at the district level amongst the community, media and the administration. It initiated periodic growth monitoring that gave significant results in terms of grade movement.
Largely, the communities residing across the 35 villages of Manjhanpur, Saraswan and Kaushambi block of Kaushambi district, UP, are lagging in terms of overall development, survive in extreme difficult and poverty situations and lack adequate knowledge and awareness on health, employment and education. There is lack of livelihood opportunities, inadequate food, habituated alcoholism coupled with large scale and strong prominent belief in black magic and superstitions. Early marriage resulting in early pregnancy, improper breastfeeding practices, ineffective Antenatal Care (ANC) and Postnatal Care (PNC) services, less interval in frequency of childbirth, bad health and hygiene practices are very commonly seen across the 35 villages. All this has led to high levels of malnutrition and poor health of women and children, where more than half of the children are found to be malnourished.
The strong and wide prevalence of superstitious beliefs in the area especially with respect to health seeking behaviours, breast feeding practices, and institutional deliveries hamper development process as a whole. The Infant Mortality (IM) is also high in the area (out of 769 births in 0-1 year children 58 deaths (M-28, F-30) have been occurred Neo Natal Mortality (NNM) - 10 children (M-4, F-10). Health service institutions doesn’t exist as per the population norms and the existing ones do not function effectively due to lack of advocacy, citizen awareness and pressure. Children are first generation school going and hence awareness levels on entitlements are very low and often lead to no demands being raised by them from government mechanisms.
- To ensure the community and the households are aware of appropriate child rearing practices and thereby understand the underlying causes of malnutrition.
- To ensure 50% of children under 0-6 years of age access the appropriate services entitled for them in health and nutrition.
- A comprehensive responsive strategy comprising community based and system based response to be in place. To ensure at-least 20% health and nutrition institutions function effectively.
- Sensitize communities to undertake management of traditional water bodies leading to availability of natural resources needed for nutritional support and also livelihood opportunities.
- Community led prevention and treatment of seasonal diseases leading to reduction in expenditure made on medical treatment and better health conditions of children.
Major achievements in the year include:
- There are regular meetings, one to one contact with the community and the pregnant women, lactating mothers, children and parents for regular sensitization and discussions on the issue of breastfeeding. As a result community people are benefited and aware on early initiation breastfeeding and colostrums feeding.
- Campaign on child nutrition was organized through home visits. During the campaign 3263 children ( 1683 boys and 1580) were covered under the growth monitoring to assess the intensity of the issues as well as taking up advocacy processes at stakeholder level.
- 104 families of malnourished children received grants for construction of toilet in the house.
- Health camps were organized by the Community Health Center(CHC) after receiving order from the Chief Medical Officer (CMO)
- Families of 59 (M-32 F-27) malnourished children linked with National Food Security Act (NFSA).
- To understand the Knowledge, Attitude and Practice (KAP) among the communities, the organisation has conducted Focus Group Discussion (FGDs) with the specific communities.
- Based on the available growth monitoring data with regards to malnutrition , analysis has been done the basis on gender, caste, and age group and sharing done accordingly including key stakeholders like Women and Child Development, Scheduled Caste (SC) and Scheduled Tribe (ST) commission to appraise nutritional issue of dalit community), National and State Child Protection Committee and district administration.
- Regular community level mobilization as well as engagement with Anganwadi worker, and health service providers resulted improves institutional deliveries and also, 562 women benefitted under Janani Surakshya Yojna.
- The organisation is also consistently engaging with adolescent girls group on health and hygiene, reproductive health.
- During the year, the organisation started Theatre in Education (TiE) as a tool for community awareness on nutrition related issues.
Focus 1 : The community and the households are aware of appropriate child rearing practices and thereby understand the underlying causes of malnutrition
- Regularly undertake orientation and sensitisation processes for the mother’s committee members, adolescent girls group and children groups on health and hygiene and Knowledge Attitude Practice (KAP) related issues which lead to the ill health and malnutrition.
- Community awareness meeting to be held on child nutrition, issue related to nutritional deficiency among children, its impact on overall growth and development.
- Meeting with community to be held on early-marriage, issue related to birth spacing, low weight baby birth and its impact on children, issue related to child mortality, malnutrition.
- Awareness meeting of pregnant/lactating mothers on importance of colostrums feeding, exclusive breastfeeding and complementary feeding. Follow up with all lactating mothers on breastfeeding.
- Conduct regular meeting with adolescent girls groups to enhance the life skills of the adolescents and empower and strengthen and broaden their worldview besides providing information on Reproductive and Child Health (RCH). issues.
Focus 2: 50% of children under 0-6 years of age access the appropriate services entitled for them in health and nutrition.
- To ensure birth registration of all the children born. The correct date of birth forms the basis of growth monitoring for children.
- Sensitisation of the women to ensure complete details are filled in the mother and child health (MCH) card. Separate sessions to be done with pregnant women for ensuring tracking the weight of the child during birth, the person doing their delivery in case of institutional delivery etc.
- Household tracking will be done. Facilitating and providing support to ICDS services for home visits. Gradually, efforts to be made for institutionalisation of the norms.
- Discussion on the details of the available health institutions in vicinity and the preparedness and basic requirements/awareness about the critical aspects.
- Sensitisation of the parents on cleanliness, feeding habits and pattern, drinking water facilities, health seeking behaviour etc.
- All lactating mothers will be linked to ICDS centres. Sensitisation on judicial use of the nutrition received.
Focus 3: A comprehensive responsive strategy comprising community based and system based response to be in place. There are at least 20% institutions on health and nutrition functioning effectively.
- Organise capacity building programs for staffs on different methods and importance of conserving traditional water structures (pond/tank, well, dhondi and dabri) and its importance on better agricultural system in the community.
- Meetings to be conducted for community people to enhance their knowledge on the importance of restoring the traditional water bodies and their role on enhancing irrigational system in the village.
- Organising community level meeting and mobilizing the community to give shram dan(donate labour) to restore the tank, pond and well in the village.
- Organise meeting with the community and select the one water body which they want to restore with the importance to overall development of the ecosystem.
- Motivate the community to conduct regular meeting with the Govt. stake holders to avail govt. schemes to the community people through engaging them in NREGS.
Focus 4: Community led prevention and treatment of seasonal diseases leading to reduction in expenditure made on medical treatment and better health conditions of children.
- Sensitisation for community based management of preventable disease. There should be discussion about diarrhoea and the possible home based remedies.
- Facilitation of distribution of ORS packets amongst households who have children of six months of age.
- Field level workers provide guidance to households with sick children on home remedies such as providing ORS for treatment and management of diarrhoea.
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