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Location

Jamui district, Bihar, India
Thematic Intervention: Nutrition & Participation


Project Context

Samagra Seva got registered during the year 2001 in Jamui District and most of its work is in Jamui District of Bihar. The project holder, Mr. Makeswar Rawat has worked with WHO and UNICEF as consultant supporting the immunization drives in the state of Bihar. The inhabitants in the intervention villages of Jamui Sadar and Jhajha block belong to schedule caste, schedule tribe and other backward caste communities. The poor literacy level often deprives them from their rights and entitlements under various schemes/ programme from the different government departments. Migration amongst the Dalit male members in search of livelihood opportunities further aggravate the problems within the community as the females, the old and children are left behind in the villages.

Malnutrition is the most critical issue which persists in the area after migration and protection issues. Hence nutritional issues also need to be addressed. In Jamui 56% children are stunted, 14.3 % children are wasted, 42.6 % are under weight. Jamui has the highest burden of malnutrition in the state of Bihar. It has been also noticed that, even in the institutional child birth cases, the birth weight has not been mentioned in the Mother and Child Protection card and thus the low birth weight management process does not take up scientifically. There is lack of ICDS centers, absence of universal coverage of children, health workers not recording growth monitoring charts. The Nutrition and Rehabilitation Center (NRC) is situated in Jamui districts headquarter and therefore there is issue of accessibility. The rehabilitation follow up is also not taking place. Even mothers are not willing to stay in the NRC on the excuse of need to care for other children.

In the ongoing year of project implementation, the organization had focused on capacity building of Block level Child Protection Committee and Gram Panchayat Child Protection Committee in collaboration with District Child Protection Unit (DCPU). The multifaceted malnutrition intervention program has helped in reducing the percentage severe underweight children in this year. The organization has successfully placed the Severely Acute Malnourished (SAM) children into the Nutrition and Rehabilitation Center (NRC) for rehabilitation and also placing the malnourished children in the care of community for management. In this malnutrition intervention campaign, the organization has also taken up complimentary health intervention in the field. Eligible beneficiaries have been linked with the take home ration (THR) under ICDS, which has strengthened trust amongst the community. Additionally, onsite support to the health workers has also brought Samagra Seva closer to them and ensured smooth process.

Plans


Key Result Areas Program Activities Planned

Reduction in child labor in 30 Tolas (habitations) in 2 blocks of Jamui district

* Collaboration with District Child Protection Unit (DCPU) for formation of village and Panchayat level Child Protection Committees (CPC).
* Conduct capacity building of village, Panchayat and Block level CPC members and extend handholding support in actions on child protection issues including child labor in project areas.

Children are raising their voices on the issues affecting their lives

* Conduct regular meeting with Children Collectives emphasizing on aims, objectives and task to be undertaken (monthly). Focus to include more girl children in the Children collectives.
* Conduct capacity building sessions with children collectives’ members.
* Setting up digital literacy center equipped with information related to personal hygiene, healthy life practices, nutrition, reproductive health etc.
* Ensure engagement of community in the activities undertaken by the children collectives and vice versa.

Plans


Key Result Areas Program Activities Planned

Reduce malnutrition among children and pregnant and lactating mothers in the project intervention area.

* Tracking Low birth weight babies and dialogue with the ICDS workers to ensure weighing of newborn within 24 hours in case of non-institutional birth.
* Linking the children who are out of ICDS Anganwadi tracking, for take home ration (THR) for mothers under supplementary nutrition programme (SNP), and growth monitoring.
* Identification of the severely acute malnourished (SAM) children & referral to Nutrition and Rehabilitation Center (NRC).
* Discussion with young adults on the issue of early marriage, early motherhood as trigger for malnutrition.
* Capacity building session with adolescent on different health & hygiene practices.
* Identification and tracking of pregnant mothers.
* Awareness campaign on the 1000 days concept in the community through local cultural tool.
* Capacity building of mothers on nutrition and dietary counseling during pregnancy and lactation in the community & promotion of diversified diet, early initiation of breast feeding (within 30 minutes), exclusive breast feeding for 6 months and continuation till 2 years.
* Nutrition week - Awareness campaign across project villages on role of ICDS in malnutrition reduction & village level Nutrition Mela.

Financial Summary: January to December 2018


Budget Breakup 2018

Health & Nutrition

8,956

49 %

Protection

5,301

29%

Participation

1,645

9%

Administration

2,375

13 %

Total Grant Approved

18,277

100%