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Location

Shahbad block of Baran district in Rajasthan, India
Thematic Intervention: Health and Nutrition


Project Context

Prayatn Sansthan founded in 1992 with an objective of empowerment of communities to respond to changes and enable them to change their situation of inequality and injustice. However, over a period of time it has also developed expertise on child rights issues like declining sex ratio, child education, child marriage etc and at present, most of the interventions of Prayatn across the states of U.P., M.P., Rajasthan & Orissa have specific child rights focus as per child rights situational analysis of the intervention area. Prayatn is recognized as a leading organization in the state which is working on child rights issues and is equipped with the ability to work directly at grassroots with added competency of conducting research, networking with stakeholders and lobbying & advocacy with government.

The Project Holder is Mr. Malay Kumar, whose major area of expertise has been on child rights, specifically protection related issues; He has a wide experience on pre-conception and prenatal Diagnostic Techniques (PCPNDT) Act, trafficking issue, research etc.

Achievements & Impact


Key Result Areas Achievements

Community based systems and mechanisms for ensuring proper health care, nutrition and food security of Sahariya women and children are in place

* All 280 lactating mothers are linked to Anganwadi centre. * 27 adolescent clubs have been formed. * In 18 villages, Anganwadi workers have started doing regular adolescents club meeting.

Facilitate safe deliveries and ensure effective administration of ANC and PNC care programs in all the villages.

Ensured regular tracking of Pregnant women (PW), registration in ICDS centre, and facilitated access to public welfare provisions.

* New pregnant women identified- 344.
* Antenatal Care Check-up 1st : 356
* Institutional deliveries: 229 out of 280, Home deliveries – 51, mostly in interior villages without motor able access road.



Key Result Areas Achievements

Children in 0-5 years of age access the appropriate services entitled for them in health and nutrition.

Growth tracking has been undertaken for 1626 out of which,

* 156 children were Severely Acute Malnourished (SAM),
* 391 were tracked as Moderately Acute Malnourished (MAM)
* 62 children referred to MTC.

Community awareness and action on other aspects related health of Sahariya people like seasonal diseases, hygiene and availability of proper quality of drinking water ensured.

As a result of awareness engagement with community:

* 6 adolescents club received sanitary napkin from school.
* Adolescents in 4 villages have started taking IFA tablets.
* Out of 280 newborn, 272 fed colostrums to their children.
Water resource mapping has been done in this quarter for all 30 villages

* 32 hand pumps have been repaired in all 30 villages.
* 2 water tanks have been established.
* 5 water motor has been repaired

Other Highlight Processes and Achievements – 2017.

* In Beelkhedadang, Subhghara, Guwadi, Kararaseherana - Patel & Pradhan took responsibility of monitoring Maawadi and Anganwadi.
* In 14 villages ANM & AWW distributed medicine to children suffering from seasonal diseases.
* Mobile health camps organized in 5 villages.

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

A total of 30 orientations were held at community level during the period on National Food Security Act (NFSA). In these, the provisions of the Act were explained in detail and further assistances were provided to community members to access the provisioned entitlements. A total 1,425 persons participated in the same. As a result of this, BPL enrolment of 577 poor households corrected and 99 more are under process, from Above Poverty Line enlisting of government.

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):

Team capacity building on MIS for growth monitoring and data analysis was done. The focus was on computerization of the growth monitoring data; ways to ensure regular updating of data; and few of the ways to analyze and look into the reported data. This has been a very useful in programme management.

Any other observation about the project:

During the period, the program at Saharia dominated block Shahabad of Baran district in Rajasthan has shown some significant outcomes and impact. Some significant socio-cultural changes have taken place like, girls are now allowed to take admission in residential schools in some areas and parents feel proud of their girl child’s education, which simply indicates beginning of the gradual change in attitude of the Saharia parents.

Plans


Key Result Areas Program Activities Planned

Stronger community based systems and mechanisms for ensuring proper health care, nutrition and food security of Sahariya women and children are in place

* Conduct sensitization meeting of the community and separately with adolescents, using IEC material, on the issues of mother and child care.
* Facilitate regular meetings in all the adolescent collectives in 29 habitations.

Safe deliveries and effective administration of ANC and PNC care programs in all the villages.

* Track births to women aged 15-19 years and secure all necessary supports.
* Ensuring regular tracking of pregnant women and registration in ICDS centre. Ensuring Mother and Child health card (MCH) is issued to all the pregnant women.
* Sensitize community on importance of ANC and immunization of pregnant women. Also ensure antenatal screening for anemia and malaria.
* Spread awareness among community about the JSY and JSSK scheme, and assist opening of bank accounts by eligible clients.



Key Result Areas Program Activities Planned

The children in 0-5 years of age access the appropriate services entitled for them in health and nutrition

* Ensure frequent tracking of children, monthly basis for SAM children, bi-monthly basis for MAM, and once in three months for normal children.
* Micro Level Plan and child led indicators would be prepared in BM and CPC.
* Support for developing kitchen garden keeping seasonality in mind.

Effective functioning and quality services being provided by the government institutions related with health, nutrition and food security to the communities

* Ensure availability of Injection Vitamin K at all delivery points, and fully functional New Born Stabilization Units (NBSUs), Special Newborn Care Units (SNCUs) with the requisite HR in blocks / district.
* Ensure availability of sanitation materials at institutional level and its use; ensure adolescents will be accessing sanitary materials/ napkins at AWC, Maa Wadi and school level.
* Orientation of members of committee formed to monitor Maa Wadis on their role and responsibilities at village level.



Key Result Areas Program Activities Planned

Community awareness and action on other aspects of health among Sahariya people like seasonal diseases, hygiene and availability quality drinking water.

* Organize sensitization meeting for community based management of preventable disease.
* Liaising with health department for availability of medicine at PHC and CHC and organizing medical camp in Gram Panchayat.
* Analyzing the implementation gaps in the vertical programs such as malaria eradication, diarrhea, pneumonia and cholera prevention etc.

Financial Summary: January to December 2018


Budget Breakup 2018

Health & Nutrition

25,876

60 %

Administration

17,251

40 %

Total Grant Approved

43,127

100%