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OMRAH was registered as a society in 1987-88. OMRAH possesses ample experience of working in the rural areas as well as in some selected urban slums in Cuttack. The organization was providing health services in urban slum areas of Cuttack from 1992 to 1996. They took up a research project on reproductive health practices in a tribal block of Phulbani District sponsored by ICMR. In 1992, OMRAH was awarded a project under PVOH-II sponsored by USAID covering 106 villages in 14 Gram-Panchayats in undivided Cuttack District. In 1987 it started intervention by organizing health camps in the villages and organizing Sunday clinics. It expanded its outreach to more than 100 villages through PVOH- II project in 1992. From 1997-98, the CRY extended support to OMRAH for comprehensive health care services to 15 villages. Under this program, OMRAH provides the outreach maternal and child health care services through its mobile medicare unit. OMRAH has come a long way in its approach and strategy. Post 2006, OMRAH is strengthening its adolescent programme through peer education. It is also sustaining the rights based programs for the holistic development of children along with disaster preparedness programmes. At present OMRAH is working in Nischintkoli block of Asureserwar Panchayat of Cuttack district. Operating area of OMRAH in CRY project comprises of 18 villages.
OMRAH is directly working in 18 villages of Nischintkoli Block in Cuttack district. The majority of the population comprises of scheduled caste and other backward communities, agriculture being the main occupation. Flood is a recurrent and perennial problem in the villages. Landless and marginal families face oppression and are forced to migrate due to lack of sustainable livelihood options. 4% of children are in the age group of 0-2 years, among which 54% are male child and 46% are female child. Children in the age group of 3-5 years are 6% of total population. The prominent child rights violations identified in the operational area are child malnourishment, low birth weight, high incidence of infant mortality and high drop-out rate among children, particularly among the age group of 15-18 year. Child labour is also seen as a prominent issue in the area. Over the years the percentage of working children is increasing in the area, a big population of the adult labourer migrate to the Cuttack city for construction works. The government health services system, ICDS scheme and Public Distribution System (PDS) are inaccessible to the backward communities. Consequently, women and children from these communities remain deprived of basic health care and immunization services and supplementary nutrition support thereby resulting in a high rate of malnourishment. 35%-40% school going children are irregular in schools which is a critical issue that need to be addressed. The number of the actual drop outs is much higher than the school records.
- To improve health status of children, women and adolescents by strengthening service delivery mechanism and to ensure quality health care services as rights of the community.
- Ensure Improvement in the status of malnourished children by malnutrition tracking and activation of ICDS services in the project villages.
- To improve the status of Primary Education using the provision of RTE.
- Strengthening the process of children’s collective.
- To mobilize communities for improvement in the delivery of Social Security Schemes(PDS/MNREGA,FOOD SECURITY).
Review and Impact
Since last 13 years CRY is supporting OMRAH for intervention in 18 villages with the objective to make the villages as ensured child rights. In the 13 year collective intervention of CRY and OMRAH some significant changes were made. Nabadiganta Gram Unnayan Samity (NGUS) was formed and become functional to ensure child rights issues in these villages. The focus of intervention has also changed from direct service delivery mode to a more holistic right based approach.
- 100% immunization among 0-5 yrs children in 18 villages.
- Tracked 425 and Identified 24 SAM children in 10 villages and proper action has been taken.
- Pre-school strengthen in 13 villages, immunization regularized in all 18 villages, health check up in 7 villages and in 18 villages nutrition program are strengthened.
- 98% institutional delivery in government health institutions.
- Drinking water and sanitation facilities available in schools; school boundary constructed in school, 4 schools were electrified.
- In 17 schools Toilet facilities available and regularly used by the children.
- Community availed ration in each month with close monitoring done of all PDS centres in the operational area.
- Identified under 5 malnourished Children in 10 project villages.
- 17 SMCs empowered through regular meeting. They have participated in monthly meeting and school development plan.
- Children action groups were involved in expressing their views on the problems they are face through children’s observation and appeal card.
PlansThe focus area for the coming year for OMRAH will be on Health, Nutrition and education .The broad action plans are as follows:
- To ensure quality health care services for women & children & Adolescents as their rights.
- Identification of gaps in accessing quality health services by mothers and children between 0-18 years.
- To improve nutritional status of children. In the project villages through service activation.
- Ensuring community participation in availing the services by raising awareness and also by changing behavioural pattern particularly on aspects of antenatal care and breast feeding.
- To enroll all 3-6year children in AWCs for pre-schooling there by school readiness develop among them.
- To ensure quality education for children from 6-14years in 17 schools.
- Strengthening the process of children’s collective to ensure participation rights of children.
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