RCH Intervention At GUJRA (DHAMTARI )

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RCH Intervention At GUJRA (DHAMTARI )

BACKGROUND: Keeping the increasing IMR and MMR in the state into consideration, the health department adopted the mother NGO scheme under NRHM in the year 2007 to reduce the mortality at un-served and underserved areas through the implementing Field NGOs at Block level. Each Field NGO was given the responsibility of working in three to four Sub-centres areas that are classified as underserved. Chetna Child and Women Welfare Society was given the responsibility of 15 villages of three sub-centres in Gujra Block of Dhamtari district which are classified as underserved at that point of time. The organisation was asked to conduct a baseline and basing on findings, a proposal was designed to address the very poor indicators of RCH.

INTRODUCTION : Chetna Child and Women Welfare Soceity, has conducted the baseline survey in the block and made the proposal to address the gaps identified in the baseline survey. The survey covered 400 samples i.e eligible couples distributed as lactating , pregnant and normal couple having children of at least one year. The organisation designed the activities basing on the requirement and set the strategies with which it implemented the project . The key objectives for the proposal are as follows :
•    To increase the immunization coverage of children below 23 months to 100%
•    TO reduce the incidence of RTI/STI to 70%
•    TO reduce the unmet needs for spacing and limitation through family planning measures
•    TO increase the institutional delivery or delivery attended by skilled birth attendance to 100%

ACTIVITIES and OUTCOME:  The organisation planned strategy-wise activities and the major strategies adopted were capacity building, behaviour change , networking & convergence, service delivery and tracking of the target groups such as eligible couple, pregnant women, children below 23 months in the villages. The coverage was for 10 villages identified as underserved through CNA.

The outcome of the activities are as follows :-

A) STRATEGY: CAPACITY BUILDING
1. Activities undertaken:
Trained to more than 30 volunteers , four key staff and other stakeholders in the villages
Outcome:
A trained workforce of more than 100 were developed in the villages during 18 months of project tenure

B) STRATEGY: BEHAVIOURAL CHANGE & COMMUNICATION

1. Activities Undertaken :
Conducted individual counseling
Outcome :

•    More than 800 pregnant women were counseled
•    Around 250 adolescent girls were given health education
•    Around 1500 eligible couples were counseled concurrently

2. Activities Undertaken Group counselling
Outcome:
Around 200 group counselling were conducted in the villages

3. Activities Undertaken : Sensitization programme
Outcome:
Concurrent awareness programmes were conducted with cooperation from district health society

C) STRATEGY: NETWORKING & CONVERGENCE
1. Activities Undertaken :
Convergence meetings with VHSNCs, Block Medical Office and Sub-centres
Outcome: 25 convergence meetings were conducted and facilitated the percolation of health programmes at grass root level

2. Activies Undertaken : Networking meetings
Outcome: Eight networking meetings were conducted and through this more than 50 CSOs were linked with the programme. Two NGOs were involved for the objectives

3. Activities Undertaken:  Linkages
Outcome:
•    All the VHSNCs were linked with the project
•    All the Mitanins and AWCs were linked with the project

D) STRATEGY: TRACKING OF TARGET GROUP
1. Activities Undertaken: 
Tracking of pregnant women
Outcome: More than 800 pregnant women were tracked from registration to PNC. 100% ANC was ensured , 80% institutional delivery was achieved

2. Activities Undertaken: Tracking of eligible couple
Outcome:More than 1500 eligible couples were tracked for RTI/STI, Familiy planning and there was an increase of FP coverage to more than 60% during the tenure

3. Activities Undertaken: Tracking of children below 23 months for immunization
Outcome: All the children in the project area were tracked and they were ensured complete immunization including vitamin A doses

E) STRATEGY: SERVICE DELIVERY

1. Activities Undertaken: Health camps
Outcome

•    More than 20 health camps were conducted for RTI/STI, and ANC camps with the help of BMO.
•    Participated in the Health department`s  Health Mela and ensured of 250 patients turnout in the mela

CONCLUSION

The project was implemented for 18 months in the area and it was financially supported by NRHM through its MNGO scheme. The 18 months tenure has shown a remarkable progress in the project thereby improving all the RCH indicators targeted. The tracking of the target group emerged more effective, which was eventually taken up by the health department as MCTS project to replicate all over the state. During the project tenure, there was an initiation of urban health volunteers by the health department where the organisation was the supporting agency in the district. The organisation was trained by Population Foundation of India the Regional Resource Centre for the project in the state before the implementation. There was around six trainings imparted by RRC in various phases for the implementation of the project . The organisation has continued the project beyond the project tenure for next two years with self sponsored mode due to its demand from the community to continue the project. Meanwhile the organisation with the help of other FNGOs in the district, conducted five thematic workshops on Population stabilization, Family planning and Institutional delivery.