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
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.
How do you do outreach for your program. Baseline and analysis of each GP to set the benchmark at the inception of project . Block level Dissemination workshop sexual and reproductive health. GP level dissemination workshop sexual and reproductive health. Formation of Adolescent girl group. Regular monthly meeting with Adolescent group on sexual and reproductive health. Block level quarterly meeting on sexual and reproductive health. Capacity building training of Staffs on sexual and reproductive health & hygiene. Orientation of adolescent girls group on sexual and reproductive healthand hygiene and delaying age of marriage. Orientation of parents on adolescent girls sexual and reproductive health issues. Training to adolescent girls on Behavior Change Communication. Training of ASHA and ANM on their roles and responsibilities on sexual and reproductive health. Adolescent resource center on sexual and reproductive health. Sharing of gaps and 'plan of action' with MOIC. Leadership Training of Adolescent Girls Group. Promoting of low cost sanitary napkins. Health camp and village mela sexual and reproductive health . Adolescent group exposure visit. Monitoring by VHSNC for organizing the VHND and immunization camps. Orientation of VHSNC on their roles and responsibilities on adolescent sexual and reproductive health . Regular monthly meeting with VHSNC . Preparation of Panchayat health plan on adolescent sexual and reproductive health. Objective • i) To improve health status and promote better sexual and reproductive health and hygiene practices . • ii) To promote sexual and reproductive health & hygiene seeking behavior among community and adolescent girls through referral services. • iii) To active the service provider related to sexual and reproductive health for promoting better health of adolescent girls. • iv) To aware the parents and community people for the better adolescent sexual and reproductive health (girls). Envisaged outcomes i. 100 % Registration of girls under age group 10 to 19 year olds of Gram Panchayat ii. 100 % Prevention of Child Marriage (18 Years Adolescent girls) iii. 100 % HIV prevalence rate: young women aged 15-24 iv. 100% Lower respiratory infections v. Increase to activate the Village Health Nutrition Day and functional the village Health sanitation and Nutrition Committee. vi. Anemia screening of all adolescent girls + referral & treatment of severe anemic girls having Hb count below 8. vii. Increase to give two tetanus vaccines to all adolescent girls of age group 10 to 19 years. viii. Using supplements of iron folic acid and albendazole to all adolescent girls. ix. Increase the 80% of use sanitary napkins and clear cotton cloth during adolescent menstruation.
Monitoring, Evaluation Plan and Indicators The Monitoring and Evaluation is the most important part for implementing of any project and programme in an organization. The organization follows many processes or indicators for Monitoring and evaluation for programme as well as the finance reports. The project would be monitored by 2 stages in the organization- I. Project Coordinator level Monitoring II. Central Monitoring
Sustainability is the most important part for every project. The result or achievements of any projects are depending on sustainability. On the base of it the project activities should be achieved the target and fulfillment the objectives or project aims. The sustainability of the program at the community level is further ensured through the active involvement with villagers and adolescent girls. The group of adolescent girls will play the vital role after ending the programme. They will regularly conduct their monthly meeting and discuss about the various issues related to their health, they will regularly in touch with VHSNC members and ASHAs/ANMs. The members of these groups will also aware the other girls, their younger sisters as well as their parents.
We focus on Reproductive health only deals with healthy reproduction. In adolescence our sexual feelings get more intense. A girl is unclean when she is having her periods. Just like girls have periods monthly, boys have whitish fluid that comes out during their sleep associated with dreams. If a child is sexually abused she can get HIV infection, if the abuser was living with HIV. A pregnant woman needs to have at least three antenatal checkups, two shots of tetanus and take their iron and calcium tablets daily for a healthy motherhood and delivery. It is safer to deliver in a hospital than at home. Most sexually transmitted infections are treatable. Adolescents with physical and mental challenges (deformities) are safe from sexual abuse. Breast milk given soon after birth to a child is best for the child. Masturbation is natural and not sinful. Sexual feelings can be experienced by girls , boys and transgender. Using a condom correctly implies protected sex.