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Empowering Rural Community (ERC)

Empowering Community and Service Provider for children Health through Immunization

Photo of Alok Sahai
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Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)

Bhartiya Mahila Evam Gramin Utthan Sansthan aim skill development of grass root level service provider ASHA,ANM AWW and capacity building of community through awareness in district Basti,India for women’s, children’s and adolescents’ health

Explain the idea (less than 2,000 characters)

In our community immunization for women’s, children’s and adolescents’ health is a challenge for care giver because there is lot of traditional barrier , lack of awareness in community and weak health system. 33% of children (9 month to 12 month) received full immunization in a quarter source (https://upnrhm.gov.in/assets/site-files/updates/Copy%20of%20District%20wise_Index%20value_April%2018%20to%20September%2018.pdf) . Our end user are children from community who neglect health issue and health is not in there agenda and health service are very weak and there reach is not regular. The actual population of district by Census year 2011 is 2464464 that is the people might this intervention realistically reach. the typical beneficiary live in remote villages women(pregnant women), children(o-9 years) and adolescents.(15 years).Our idea is health system strengthen strengthen and capacity building of individual,family and community for women’s, children’s and adolescents’ health.

Which part(s) of the world does this idea target?

  • Southern Asia

Geographic Focus (less than 250 Characters)

South Asia, Country India,State Utter Pradesh,District Basti

Who are your end users and how well do you know them? (750 characters)

The end user are women, children and adolescents since 2007 we are working in rural community of district Basti , So that well known there problem and time to time we do some work for there development with our strength.Because we work in that community so there is a cadre of local community mobilizer that help for sustainability of project.And relation with government decision maker and influencer also a asset for roll out of the project .We have work with PATH,World Vision and have knowledge of Planning , reporting, documentation ,monitoring and evaluation of project for success of intervention

How is the idea unique? (750 Characters)

Our Idea consist of capacity building of community and service provider, capacity building of community through awareness and advocacy .Because it include health system strengthen and community engament and we have experience on implementing such type of idea so this one hundred percent of probability of success .

Idea Proposal Stage (Select 1)

  • Pilot: We have started to implement the idea as a whole with a first set of real users. The feasibility of an innovation is tested in a small-scale and real world application (i.e. 3-15% of the target population)

How many months are required for the project idea? (140 characters)

24 month

Organization Name (less than 140 characters)

Bhartiya Mahila Evam Gramin Utthan Sansthan

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Locally/community-led organization

Organization Location (less than 140 Characters)

Based at district Basti ,India Register with registrar of society District Gorakhpur with registration no. 2362/1994-95 date 17.02.1995

What is the current scale of your organization’s work?

  • Community (working within one or a few local communities within a region)

Tell us more about your organization/company (1-2 sentences)

Our organization work for Health system strengthen and community capacity building.This idea give us an opportunity for skill development of grass root level service provider like ASHA,AWW and health volunteer and capacity building of community.

Who will work alongside your organization in the project idea? (750 characters)

Government grass root level service provider like ASHA, A.W.W. and health voluntieer and community leader like SHG member and member from local govenance like Village head and member from VHSNC (village health sanitation and nutrition committee ) will be involve and engage.We will facilitate the VHSNC meeting build there capacity through training and awareness, we also use mother group and SHG plate form involvement and engagement of community through monthly meeting and quarterly training and orientation.along this we do meeting with district and block level health official to give him monthly feed back and take there help as result lift ,efficiency,reach,replicabilIty ,Scalability will increase and sustainability ensure.

How many people are on your team?

11

Tell us more about you and your team

Mr.Rajan Mishra, Mrs. Padma,Mrs. Hema, Mr. Om Prakash ,and Mr. Ram Kishore in our team.They are trainer to government service provider ASHA,AWW and health voluntieer, They all having expertise in women’s, children’s and adolescents’ health. Since 2007 we are working on women’s, children’s and adolescents’ health with support of national and internation organisation like PATH .We are doing as a team for our work, We have given more than 110 batch of training for World Vision ADP area to government service provider in 7 district of Utter Pradesh . each bacth participant is about 40 then we trained 4400 grass root worker and health voluntieer.first we take pre test knowledge of partcipant and then post test of participant to understand skill development. we have developed format for that. We have organised monthly meeting of mother group of where pregnant women there mother in law participate And VHSNC for service provider.We engage male partner of women because there role is important.
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Attachments (2)

Ballia Vivek Pandey & Ramkishor Singh 11-10-18, 12-10-18.pdf

one of 110 training report that our Bhartiya Mahila Evam Gramin Utthan Sansthan given in 7 district of Utter Pradesh for grass root level service provider AWW,ASHA and health voluntieer.

4 comments

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Comment
Photo of Ashley Tillman
Team

Hi Alok Sahai great to have you in the Challenge!

It seems like your teams done some in-depth research on the needs and what works for caregivers (mothers) and their children. You say in the 'Explain your idea section--'Our idea is health system strengthen strengthen and capacity building of individual, family and community for women’s, children’s and adolescents’ health.' Can you expand on what 'health system strengthening' and 'capacity building' looks like in your community to your community and for the work you are proposing to do?

Manisha Laroia I'm curious if you have any thoughts or questions too!

Photo of Alok Sahai
Team

Health system strengthen is that skill development of ASHA ,ANM . The ASHA are grass root level community mobilizer under NHM (National Health Mission) and ANM (Auxiliary Nurse Midwife ) ANM are responsible for ant natal care (ANC) and postnatal care(PNC) in immunization of pregnant women and immunization of neo natal (newly born children) and children up to 9 years .if skill of grass root level enhance regularly then quality and timely health service will be ensured because there is development in reporting as well as new type of vaccine introduced by government. behavior change through community mobilizations is important component of health service. At village level there is another committee called VHSNC (Village Health Sanitation and Nutrition Committee) The member of this committee are villege head called pradhan , member from VDC ,village development committee theses are from local governance and ASHA,ANM and AWW. The VHSNC is responsible for health and sanitation service in village .The government also send INR 10000 annually for local needs. RKS (Rogi Kalyan Samitt) that have Medical officer in charge ,BDO (Block development officer) and member of local governance the take care of health service in whole block (consist of more than 70 village ) and DHS district health Society that is reposible for health service in district under chairmanship of District magistrate and CMO ,chief medical officer . If this health system work properly then community get regular health service ,If grass root level service not working properly then then through advocacy it will be become effective at proper level. So that regular training ,orientation of grass root level worker and facilitation and helping organizing VHSNC meeting ensure proper work at grass root level and orient them for proper use of untied fund that send by government will result that good working of health system that ensure supply of health service . The capacity building of care givers like women ,mother in law and there male partner ensure demand for health service . The monthly meeting of mothers group that formed at village level whose member of pregnant women ,lactating mother and mother in law play a role of platform where awareness and capacity building will be done , like care of pregnant women by mother in law for safe delivery and caring of newly born child . start for early and inclusive breast feeding ,timely immunization and there documentation recognition of danger sign in children and then reaching near health care center and identify malnutrition children and sending them to government run center where good caring and rich food is given to get rid from malnutrition . In addition to this village level , block level interface meeting organized to solve problem of health service provider and community .If the problem solve locally then no need for advocacy to block level and district level if not solve then letter drafted at village level for taking matter to district official. Care giver capacity developed such as they take benefit of provision made under government schema .Male involvement also increase through separate meeting with them because if they don't pay time how women and children reach to health facility and place where immunization session organized.

Photo of Manisha Laroia
Team

Hi Alok Sahai 
Thank you for sharing a in-depth working of the context.
I understand that by capacity building you mean training and educating the community members and the ASHA and ANM, which in turn makes the health system at the village stronger. I hope I understand correctly.
I am curious to know about the meetings that you organize with caregivers,
What are the tools you use? How do you educate them? Are there any creative ways you use to engage the caregivers and make them active participants?

Photo of Alok Sahai
Team

There are two plate form at village level one is VHSNC village health ,sanitation and nutrition committee and other is mothers group.The meeting organize for care givers in village are using this plate form name as mothers group .The ASHA and AWW organize and document the meeting of mothers group ,our supervisor also document process preceding of meeting .The member of mothers group are pregnant women ,lactating mothers and mothers in law. The meeting organize according to fix schedule and time will be when women will finish their house work .It meeting helped for ensuring registration of new pregnant women to registered with ANM for ANC ante natal care services some women inform to ASHA that there nearby women become pregnant. ASHA,AWW also take care newly married couple that known as eligible couple .Special focus given to women who become first time mother.Mother`s in law is and decision maker of family so we ensure their presence in mothers group meeting and pregnant women ,lactating mother group presence also ensure , In this meeting issue related to family planning, reproductive maternal, child health and adolescent where discussed .We aware member for safe delivery and after that take care of mother and newly born child, arrangement of blood donor in case of emergency during delivery of child ,saving of money ,identifying health center and contact detail. Issue discussed like personal and surrounding sanitation and hygiene condition ,What food should take during pregnancy ,what are danger sign in pregnant women and in newly born child ,When pregnant women immunized for tetanus and how many checkup need during pregnancy and immunization schedule of child to save from dreaded disease .Start of exclusive and early breast feeding to child and after six month complementary food will give. How they warm there child. The every meeting have different issue of discussion .The tool used are flash card message printed one side and photos on other side related mother and children health how the recognize danger sign in both .The flip book story with figure like that if any family plan marriage then how they prepare and mange for everything to get rid of trouble similarly if family plan for safe delivery and take care of children then trouble will be avoided and there earning will saved. The ludo game of snake and ladder with proper massage also used. The video show also organized relating above issue. Celebration for confirmation of pregnancy, healthy baby show at village health and sanitation day and rewarding there parent in community, Sending chitthi to papa ke nam ( A letter from child to his father that he take care of his/her mother during pregnancy )demonstration with doll that how they wrap there newly born child and what proper breast feeding position. Cord cutting and its care in newly born child. Local behavior where promoted for mother and child health. If any pregnant women identified as anemic during first ANC then responsibility of other near by decided that they pressured there family and them for proper and local rich diet with iron they take and intake of iron tablet. interface with community and service provider also organized , Awareness to Lactating mother with family planning issue and proper feeding of child to avoid malnutrition.House visit of ASHA and AWW to where newly born child