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Location

87 villages in 7 blocks of 5 districts in Jharkhand
Thematic Intervention: Education, Health & Nutrition


Project Context

SATHEE originated in the course of a Government of India sponsored research project ‘Ecological Survey of ‘Paharia’ community in Santhal Parganas’ during 1988–1991. Through this research project, the team developed an in-depth understanding on the problems of Paharia and other tribal communities living in and around the Rajmahal hills of Santhal Parganas. After working with these communities for around 4 - 5 years, SATHEE was founded. SATHEE has been working on various government programs like pulse polio immunization program, adult literacy program and is a member of various committees and forums such as of district level committee on malaria control & polio eradication, state level advisory committee on technology promotion under the leadership of State Development Commissioner, and the Right to Food Campaign in Santhal Parganas. Regular intervention of the organization has rendered the positive outcomes in terms of children immunization, institutional delivery, access to health care and school enrolment in its operational areas.

Problem Statement:


The ICDS staffs in the project area are more comfortable in providing immunization and Health checkups services, but are found to lag in serving the SNP (supplementary nutrition program) and PSE (preschool education) in the Anganwadi centers. This is owing to staffs not being trained on conducting ECE by the state. While there is a locally framed routine for imparting ECE (early childhood education), no such curriculum has been developed by the state. ICDS staffs are burdened with maintaining 19 registers for which they perceive ECE as an additional burden and give less priority. As a result, children’s school readiness and subsequent retention in schools is affected. Awareness amongst community on PSE in ICDS is also an area that is yet to establish itself.

School education, in terms of enrolment and continuity is influenced a lot by qualitative aspects such as classrooms, boundary, toilets and drinking water facility, teacher adequacy. According to DISE, the functional toilet for girls in the project districts is 61.5%. However, the same in the project habitations is below 50%. Enrolment percentage among lower strata of society such as scheduled tribe girls is only 55% and pupil-teacher ratio is 38. Dropout rates of girls are highest after standard 5th (35%) and 8th (41%). Similar level of drop out also found in other marginal groups like Schedule Castes, Muslims and OBCs. Data also reveal lack of teachers in the schools which is adversely affecting access to free and compulsory education for the children in the project areas. Local Para-teachers are appointed by the local Gram Sabha to provide education to children whose qualities are not at par with the minimum levels as prescribed under RTE Act. Due to strategic interventions, dropout rates amongst children have been reduced over the last 2 years though strengthening of teacher’s agencies. Quality teaching, infrastructure and teachers deployments are much needed for sustaining the processes. In 2016-17, dropout rate was in the range of 20-30%, which recorded a drastic cut by about 20% in project areas. While the enrolment rate has increased to the extent of 98% in both Godda and Deoghar district, retention rate in both the district is found to be in the range of 75-85%. Similar scenario exists in Borio and Littipara blocks in Sahibganj and Pakur districts respectively.

The project area has a high rate of malnourishment among the children under 5 years age, which is highest among children within 12 months age. Prominent reasons of this in the project area are marriage before the legal age, prevalence of anemia among the adolescents and mothers, low birth spacing, poor nutritional intake and care during pregnancy. Besides these, poor community access to the health and nutritional institutions along with the poor capacities among the functionaries are also causing higher level of malnutrition linked diseases among different groups in the community. And, improvement has been missing as the scheme of observing Village Health and Nutrition Day (VHND), which is supposed to end with distribution of nutrition supplements for identified mothers and children, is mostly missing in the project area. The project, with all efforts could regularize VHND observation in only 30% project villages. It has been seen that the malnutrition among the 0-3 years is much higher (56%) than 3-5 groups which nearly 43% in the operational area. The 86% of the general women are anemic, whereas among pregnant women it is found up to 92% and among the lactating mothers it is nearly 90 % reflecting the precarious situation of community so far as malnutrition is concern in the area, as per project assessment fr0m its engagement with nearly 400 families in the tribal. Between 20% to 40% of the pregnant women are still away from the health check up in all the AWCs, which is leading to increased mortality of these women. Considering to the census data, the district IMR is 59, the district neonatal IMR is 33 and postnatal IMR rate is 26. Also, maternal mortality rate is 31 for santhal pargana which is highest amongst Jharkhand. Growth monitoring to identify malnourished children is a gap area in more than 40 ICDS centers in project area.

Achievements & Impact


Key Result Area: 100% children (3-6) are enrolled and retained in Anganwadi Centre under Integrated Child Development Scheme (ICDS)

Program Activities Planned Progress and Achievements

* Capacity building to staff and local Anganwadi Workers (AWW) on the issue of development stages of children and its need, home based care, institutional support etc in intensive 30 AWCs.
* Training to AWWs, Sahiyas along with Mata Samiti president on tracking of pre-schooling children (0-3 years age group), drop out and irregular children and pregnant women, stages of physical, cognitive and psychological development of children.
* Organizing the skill training of Sevikas on usage and facilitation of TLM to the PSE children in both the intensive and extensive blocks.
* Training to AWWs of 20 centers on the learning assessment of children along with assessment of cognitive, psychological and physical development.

* Identification of caregivers of children from 30 ICDS centers in intensive area and their training on cognitive, psychological and physical development of children was done. In the process, 1,192 care givers were identified from 45 centers.
* Community based ECCD plans have been finalized for 3 operational blocks namely Boarijore, Sunder Pahari and Ramgarh.
* Training has been conducted successfully along with participation of ICDS workers, Poshan Sakhis etc. Different notions related to malnutrition, malnourishment treatment center (MTC) referrals, growth monitoring services, malnourishment treatment center (MTC) related services, and school chale chalo abhiyaan have been discussed during the training.

Achievements & Impact


Key Result Area: Access to free, primary health care in SATHEE’s intervention areas.

Program Activities Planned Progress and Achievements

* Prepare a status report on mother’s behavior and practice based on tracking over the last one year with the help of the Mata Samitis on feeding of colostrums by mothers and continuation of exclusive breastfeeding for first 6 months.
* Organize 10 rural hut based exhibition and community sensitization events on importance of health checkups, immunization, participation in VHND for pregnant women and lactating mothers, safe motherhood for adolescent, and developmental need of children to community,
* Meetings with representatives of Mata Samitis, village leaders and women groups.

* More than 1,000 caregivers have been identified and capacitated on the home based care especially on the physical, cognitive and psychological development, and further supported with different training cum IEC materials.
* Tracking different development stages of children has been initiated in various ICDS Anganwadi centers as a result of Capacity building of AWW, Sahiyas and Mata Samiti members.
* 5 community based plans were prepared for 5 blocks on the physical, psychological and cognitive development of the children with huge community participation in the exercises. This plan is ratified by the local gram sabha and mata samiti to submit to the block officials for its stage wise execution.


Key Result Area: 100% enrolment of children in schools in the age group 6-14 years

Program Activities Planned Progress and Achievements

* Organizing joint meeting of teachers, educational officials and SMC to transact Prayas module of government of Jharkhand in 26 schools in both the 10 intensive and 16 non-intensive areas.
* Training to SMC members on preparation of School Development Plans (SDPs).
* Organized Kishore-Kishori Sammelan (Adolescent Summit) for 20 schools in the area to discuss issue of child marriage.
* Transact modules on joyful learning environment through different activities in 10 schools in support of SMCs.

* The PRAYAS (teacher training) module exercises initiated with children retention process in different schools in the project area which resulted in reduction of 20 % drop-out of children in the operational area.
* School Management Committee (SMC) members trained in 8 School on School Development Plan (SDP).
* 520 kishor kishori from 20 schools participated in Sammelan,
* The module on joyful learning environment was transacted in 8 schools of intensive areas.

Highlights of technical and capacity building inputs:


In addition to scheduled guidance and monitoring, CRY had organized below inputs to the project:
* A one-day capacity building of staffs along with the PRI leaders was done on ECCE and associated policies in SATHEE office. This input has accelerated the field level implementation also prompted the team to monitor the state and district governance action in this regard.
* CRY guided the project team in collecting data for implementation of SAMARTHYA module. It was further presented to MLA and state Minister Mr. Sarju Rai during state level consultations at East Singhbhum district in Jharkhand.
* Advocacy interface was established with government for additional ICDS Anganwadi centers. As a result, establishing of 3 new ICDS Anganwadi centers and appointment of 6 Anganwadi Workers in the operational area has been sanctioned by the district and block authorities.
* The project team was trained to further train the Anganwadi workers for assessment of hemoglobin and sugar. This resulted in to the assessment of 200 women and 34 pregnant women in the operational area.
* 3 members of project team were trained on life skills in which downward cascading has been initiated.

Highlights on community action and government interface:


* The project established good liaising with the Chief Medical officer cum District Superintendent of Education along with the district council member to strengthen the MTC services. As a result, numbers of beds were increased from 6 to 12 in 3 MTC centers in Sunderpahari, Godda & Ramgarh.
* Regular interaction with the local Welfare Officer and Child Development Project Officer at block was used to place demands for Anganwadi centers, infrastructural, and recruitments of personnel using information documented in campaign to list beneficiaries not accessing ICDS entitlements. The list was further seconded by Mata Samiti members and several interface sessions organized with district and block authorities. As a result, 3 new ICDS centers and appointment of 6 personnel in the operational area has been sanctioned by the district and block authorities.
* The team participated in the state level program on ECCE policy draft preparation, and development of processes for council activation. This program also finalized set of parameters for the PSE (preschool education) model development. Draft policy has been finalised with a collaboration of CREJ, CRY and ECD Alliance. The project team was able to influence state in including one of its project villages in Kalahajore in the block model village plan. And, Gram Panchayat Tilabad in Sunderpahari, one of the project areas, was selected as model GP for ICDS process and nutrition garden promotion.

Plans


Key Result Areas Program Activities Planned

Access to free, primary health care in SATHEE’s intervention areas.

* Identification of caregivers of children in 30 ICDS Anganwadi centers from intensive area and their training on children’s cognitive, psychological and physical development. * Training to ICDS workers, Sahiyas (care givers) along with heads of Mata Samiti (women’s collective) on tracking of pre-school education children, drop out and irregular children, 0-3 years age group children, and pregnant women, status of physical, cognitive and psychological development. * Mapping of children outside ICDS services and placing demand with the Supreme Court Commissioner of food for universalization of ICDS centers in the district and increased allocation of ration under PDS in centers having more than 25 children. * Regularizing the monitoring charts at the ICDS centers for attendance, knowledge along with hygiene practices among children in 45 ICDS centers.


Key Result Areas Program Activities Planned

100% enrolment of children in the schools in the age group of 6-14 in SATHEE project area.

* Sensitize member of mother‘s collectives on the status of pre-school education and its importance. * Organize meetings with adolescent groups in 45 ICDS center to enroll and support the children, and ensure access to other benefits especially for the PSE children. * Organized Kishore-Kishori Sammelan (children’s fair) in 20 schools in the project area to discuss about the child marriage issues. * Organizing joint meeting of teachers/ educational officials/ School Management Committee to execute PRAYAS module of government of Jharkhand in 26 schools.

Financial Summary: January to December 2019


Budget Breakup 2019

Education

21,614

74%

Administration

7,429

26%

Total Grant Approved

29,043

100%