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Location

Shivpuri district, Madhya Pradesh, India
Thematic Intervention: Health and Nutrition


Background

CRY has partnership with VSS as Resource Organization since 2007. VSS started project implementation work in 10 villages of Pohari block of Shivpuri district in April 2017 considering the criticality of health and nutrition issues among children of Saharaia tribal community. Mr. Sachin K. Jain, Director of VSS is heading the project. Mr. Sachin established Vikas Samvad Samiti to give a new shape to development media advocacy and an impetus to development media. He has written over seven hundred articles and features on socio-economic and political issues affecting the marginal groups of society. As an active member of Right to Food Campaign, he has played a key role in bringing the ‘Right to Food Update’ to keep organizations, activists, district administration and government informed about the latest developments in matter of food security. Vikas Samvad Samiti is rights based advocacy organization that was initiated in 2001 with aim for media advocacy. The primary objective of the intervention was to connect media with people’s real issues. It builds group of socially sensitive writers endowed with a thoughtful and articulated insight across a realm of issues.
VSS has been focusing on health and nutrition issues in the operational area. The proposed intervention area comprises of predominantly Sahariya tribal community. They live in relatively closed environment and not mix with other communities and even when they inhabit mixed villages, they live in aloofness. The remoteness, the gradual loss of their traditional livelihood assets through diminished access to the forest, loss of cultivation land, and low levels of education has made them one of the most vulnerable communities in the area. They face lot of difficulties in food habits, food security, agriculture and livelihood. As a result, children of their communities face acute hunger and malnutrition. The intervention is reaching out to a total of 4,233 children in 0-18 year’s age group.

Achievements & Impact


Key Result Areas Achievements

Ensure access to quality health services at village and block level.

* 3 TB camps were held in Jhaknoud as there was high incidence of TB in the area. DOTS have been initiated for 18 patients.
* Ensured that 42 out of 122 deliveries happened in institutional space.
* 2 ASHA workers have been recruited in Patwai and Sonepura villages.

Improved nutritional status of children (0-5 years) and all eligible families linked to NFSA

* 21 critical children (14 boys and 7 girls) referred to Nutritional Rehabilitation Center (NRC) and who reported grade improvement.
* Ensured, 396 families covered under NFSA survey for accessing essential foods under National Food Security Act (NFSA). Also identified 150 eligible families who were denied benefits under NFSA.
* 111 families were provided kitchen garden seeds, each packet containing 7 types of seeds – Bhendi, Ridge Gourd, Palak, Bottle Gourd, Pumpkin and Bitter gourd to secure essential nutritional requirements.

Other Highlight Processes and Achievements – 2017.
Consistent advocacy ensured issuance of order which entitles malnourished children with complications to avail transport facilities to reach the Nutrition and Rehabilitation Center (NRC) or any medical facility.

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

A detailed mapping of 15 Anganwadi centers was carried out as a part of a campaign to improve the services under ICDS. The facility and service gaps were identified considering the standard quality control guidelines under ICDS and the reports were shared with the officials (CDPO & DPO) for necessary action. The report highlighted Jakhnaud village in which only one Anganwadi was supposed to serve 265 children. Similarly, list of malnourished children in project villages were shared along with the reports. Advocacy engagement with officials and media advocacy resulted in few improvements during the year such as:

* 2 ICDS Anganwadi centers opened in Jakhnaud and Machhakurd with estimated 196 children accessing services under these two centers.
* Suposhan abhiyan was organized in Gwalipora and Sonepura villages benefiting 21 SAM children.
* 26 SAM (severely acute malnourished) children in Jhaknoud and Sonepura were supported with day care centers running for 4 months where additional meals were provided along with milk, eggs & banana.

* 6 Anganwadi centers were issued new weighing machines.
* A complaint was registered with CM helpline & with CDPO against Amai SHG for not serving hot cooked meals as per policy. The SHG was dissolved and the responsibility given to a new group.

Every year, during monsoons and post monsoons, intervention area witnesses high incidence of seasonal diseases and there is very little attention from the health department. This year a survey was done comprising of 200 households to understand the impact of seasonal diseases on families. Simultaneously sensitization of authorities was being undertaken much before the onset of monsoons. As a result, a series of interventions were taken up by the health department some of which are listed below:

* A mobile medical unit has been put in place with a doctor and a nurse with essential medicines as a result of advocacy efforts. This ambulance visits once a month to all intervention villages where basic tests are conducted and medicines are distributed.
* 3 Health Camps were organized in Jakhnud, Machhakurd and Sonepura benefitting 263 persons including 121 children.
* Distributed mosquito net to 223 families in 3 villages.
* Chlorine and disinfectants were sprayed across water bodies in the intervention villages



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):

* A workshop was conducted at State Animal Husbandry Training Center’ auditorium by the Animal Husbandry Department Bhopal on 8th May 2017 as an initiation to project on poultry to secure livelihood and improve family nutrition consumption status.
* A one day Orientation session on RNTCP (Revised National Tuberculosis Control Programme) was conducted by nodal officer of District hospital at RNTCP training Center of District hospital in Shivpuri on 11th May 2017. It was attended by Community Workers & Volunteers of the project.
* Participatory Learning and Action (PLA) training was held with Ekjut in Panna from 24 – 26 August 2017, for project team.

Any other observation about the project:

VSS has taken up the responsibility of preparing 25 field work manuals / guidebooks on topics like Child Health & Nutrition, Village Health & Nutrition Center, Right to Play, Juvenile Justice, Maternal Health etc. as part of program named Chief Minister's Community Leadership Development Program.

Plans


Key Result Areas Program Activities Planned

Ensure quality health services available and service delivery institutions are accountable to the community.

* Conduct rapid assessment in all 15 Villages covering 100% households.
* Facilitate community in preparation of Village Health Report Card. It will present status of services, causes behind problems, and services being provided within the community related to water, immunization, health and nutrition. The community will prepare report and share the gaps/ findings with service providers to address them. This will in both advocacy and monitoring.
* Conduct orientation sessions on prevention of seasonal diseases through home visits and community level meetings, to spread awareness on schemes available for malaria prevention and similarly other diseases, to reduce mortality and morbidity due to various seasonal diseases.
* Conduct interface meeting with department of Women & Child Development and Public Health & Family Welfare to strengthen welfare scheme implementation.



Key Result Areas Program Activities Planned

Prevent and protect children from falling into the SAM category.

* Monthly meeting of SHG, Community and sharing importance of complete immunization, health check-up, Institutional delivery, and Preventive measures.
* Conduct regular growth monitoring of children identified as malnourished.
* Conduct “First 1000 days” study of a child’s life in 4 villages to understand the nutritional consumption and children’s growth.
* Facilitate operating “Nutri Corner” at Anganwadi centers. These corners will contain food items such as gram, murmura (stuffed rice), jaggery and dry food items made by locally available food material.
* Conduct sensitization sessions with pregnant and lactating mothers, and mother-in-laws on IYCF (Infant Young Child Feeding Practices) practices through home visits and community meetings.
* Conduct training on sustainable and site-appropriate agriculture, to ensure availability of traditional seeds within the families and community and the farmers are capacitated to improve productivity with natural fertilizer and farming techniques. Seeds will be given to the cultivators to initiate the seed banks during the training.

Financial Summary: January to December 2018


Budget Breakup 2018

Health & Nutrition

21,113

61%

Administration

13,498

39%

Total Grant Approved

34,611

100%