Hundred Block Plan Dr. Sundararaman, AIPSN Karunesh Pandey, Lucknow Priya Ranjan, AID-MD.
-
Upload
aleesha-bishop -
Category
Documents
-
view
226 -
download
7
Transcript of Hundred Block Plan Dr. Sundararaman, AIPSN Karunesh Pandey, Lucknow Priya Ranjan, AID-MD.
Hundred Block Plan
Dr. Sundararaman, AIPSNKarunesh Pandey, Lucknow
Priya Ranjan, AID-MD
Why a block? Small enough to manage Yet large enough to
Be visible Demonstrate replicability Be able to provide training, support
and monitoring
What is a block? Administrative units within a district About 10 blocks per district About 100 villages per block About 1 lakh population About 20,000 households We take up about 30-50 villages
within a block
Why a Hundred Block Program? To create replicable models of
community mobilization that Shows measurable improvement in social
indices Strengthens advocacy for policy changes Provides relief to people in their suffering Strengthens people’s movements and
organizations Needs critical size for
demonstration/advocacy/inspriation
How are blocks selected ?
By state-level organizations based on needs matched with the organizational presence
Planned interventions In the areas of
Primary Education, School Science Education
Literacy, Health, Credit co-operatives Enterprise Development, Agricultural
Interventions Panchayat Level Planning and
Programme Implementation Local Economy Planning and
Development
Health as an example Better awareness on specific health
issues Better utilization of public health
services Better organization of norms for
health Sensitisation of Panchayats Measurable improvement in child
health (assessed by weight for age)
Funding modality AIPSN does NOT have FCRA
clearance Training
Material Camps
Saathis State-level/Block-level (5) approx
Rs.3000 p.m Equipment/Infrastructure
Saathi Funding Step I
3 to 5 state-Saathis Materials
Step II 5 block-Saathis per block Training camps
Step III Infrastructure building Phase out Saathis (Decommissioning)
Is only AIPSN a part of HBP ?
NO Any NGO satisfying broad goals can
participate
AIPSN Understanding of HBP Known as block-level development
intervention programmes BGVS areas of work
Contacts for AID Initially with a BGVS sub-
committee Then with State Saathis/district
committee Actual outcomes per block v/s
intended outcomes need to be kept clear
AID-AIPSN relationship We “work together”, are
“partners” and we “collaborate” NOT a funding agency relationship
Possibilities for non-financial support/relationship Thematic Study Groups
To support advocacy To develop new action possibilities To develop internal understanding
Project Study Groups To document programmes and draw lessons To provide technical support
Advocacy Group
Thematic Study Groups: Examples I School Science Education, Q.I.S.S.E Primary Schools – Cross-country studies Shaping IT for Indian needs: Policy +
GIS/ Modeling and simulations/ software development
Enron/Power policy study group Pharmaceuticals/ Medical Equipment
Policy watch group Credit cooperatives study group
Thematic Study Groups: Examples II Water Management Systems
Public Water Supply Decision Support for Irrigation Alternatives in Irrigation
Large Dams, Tribal Rights Environment Impact Assessment, Dumping of
Hazardous technologies Health Systems – cross-country studies Creating a market for Handicrafts Agrochemicals production and marketing
feasibility studies Technology development and Professional Studies
Project Visit Report of Bihar Gyan Vigyan Samiti (BGVS), Jahanabad
under the HBP
27th and 28th December 2001
By
Priya Ranjan (AID, Maryland)
Karunesh Pandey (AID, Austin)
Outline
Organizational structure of BGVS Work done by BGVS, Jehanabad Problems faced by BGVS in initiating the program Sustainability of the program Problems faced by women Observations Village trips Some after thoughts (Questions for AIDers)
Jahanabad: Some Statistics
50-60 kms south of Patna. Area =1569 sq. km. Demography.
Population. Total:1174900. Rural:1100430. Urban:74470.
S.C.Population. Total:216083. Rural:205047. Urban:11036.
Literacy.
Males (%) Females (%)Rural 62.44 25.69Urban 72.51 43.59
Organizational Structure and Work of BGVS
Covers 47 districts in Bihar and Jharkhand
Buniyaadi Sabha formed in villages with at least
10 members Democratically elected every
two years Work
Health Primary education Samta (for female health and
awareness)
What does BGVS do?
Health
Maintaining records for births, weight of kids, immunization
Reproductive and child health Recording the incidents in the community Encouraging the pregnant women to go to
hospital Bringing the the govt. (and other bodies)
institutions to the neediest and helping them interact with villagers
Providing regular training to the village workers
MOTIVATING the people to take up community work!! Very much along the idea of AID
An activist Babie with a healthy child
Work of BGVS: Health: Examples
Work of BGVS: Health: Examples
First page of an Activist’s register for Unta Community
Records of pregnancy, birth, marriage, death etc.
Work of BGVS: Health: Examples
Incidental report register: It makes sure that any odd event in the village gets recorded
Work of BGVS: Health: Examples
Records of Vaccination and weights of kids
Work of BGVS: Health: Examples
Malnutrition chart for the kids 0-5 years
Work of BGVS: Health: Examples
Objective Women health Awareness about panchayati raj Elimination of blind faiths
Run entirely by women office bearers Women chosen from those volunteering in
meetings Provided extensive training Selection not based on educational
qualifications
Extremely dedicated and enthusiastic coordinator of Samta Sarita Kumari
Work of BGVS: Women’s issues
Activities Swasthya Kala Jattha (1994) Samta Jattha (1991, 1994,
1997) Samta Vigyan Utsav (health
training to women at the village level)
Training Spread over 20 days Identification, reason and
prevention of diseases No training about treatment
A woman (in the perspective) telling us about the post-operational problems that they face
Work of BGVS: Women’s issues: Activities
Gyan Vigyan Jattha (1991)
Joy of Learning (1994-95) 42 govt. schools Bal melas
Jan Vaachan Andolan (1998) Books read in meetings Helps to eliminate blind faiths and
misconceptions
Gyan Vigyan Vidyalaya ( Jan 3rd 2002)
Work of BGVS: Primary Education
Is there a hope?
Distrust from existing people who were supposed to do the work BGVS was doing
Registered Medical Practitioners (RMPs)
Integrated Children Development Scheme (ICDS) (AanganVaadi)
Village doctors who make tons of money every rainy season
Initial Problems Faced by the BGVS Activists
AanganVaadi workers
Trip to the Villages: Chakiya
25 muslim & 10 SC houses Volunteer- Arshadi Khatoon 3 years with BGVS 8 days of training Used to earn living by
stitching clothes Motivated by recognition and
desire for her kid to get better life
Some questions Small savings? How to tackle problems of
highly specific nature? Theft at Volunteer’s house Hole in heart of a kid
You gotta see Arshadi Khatoon in action, Most familiar and friendly face in the whole village
Trip to the Villages: Larsa
Very outspoken and vocal about rural issues: Chandra Tara Devi
Shanti Devi
200 SC houses Volunteers: Chandra Tara
Devi & Shanti Devi Working since 1993
Organized weighing of babies Camps for vitamin A, Night
blindness,polio Adult Education
Dissatisfied with intermittent working of the program
Ideas Sewing machines Teachers Micro credit groups
Aangan Vaadi
Trip to the Villages: Rangu Bigha
Diesel mechanic: Mishri Lal
Will do anything for literacy: Madan Mohan
70 families Volunteers: Mishri Lal & Madan
Mohan Teach kids Women not very involved with the
program in this village Ideas
Wants to teach people to repair diesel engines
Wants to teach all the villagers including the women
Interested in expanding the scope of BGVS
Final destination: Gaurapur
138 families Volunteer: Santosh Kumar 7 years with BGVS Secretary of Block Exec. Com. Does work for social recognition
and did contest elections for village panchayat. He has very original idea about governance, like govt. should be for people both in representation and in work.
Fought with electricity department for getting the connection
Very progressive and techno savy!!
Need the govt to work for us: Santosh Kumar
Developing a referral system (Rs. 10 per 6 month per family)
Gyan Vigyan School BGVS, Jehanabad Full timers with BGVS to
be absorbed Inaugurated on Jan 3rd
2002
Integration of the program with village panchayats
House is again provided by Saritajee for almost free
Sustainability of the BGVS Jahanabad
Gyan Vigyan School already running
Some Afterthoughts
Cash Crunch Initiation of BIRDS (Bihar Integrated Rural Development Society) Provisions for small expenses in proposals Inability to help specific cases
Sustainability is a MYTH? Supporting a volunteer from BGVS Main Issues
Drinking problem Lethargy amongst women Some data in the charts Mistrust amongst women
The main issue is how much we want to get involved?The main issue is how much we want to get involved?The main issue is how much we want to get involved?The main issue is how much we want to get involved?
List of 12 Bihar +2 Jharkhand Districts selected for HBP
District-Block
1. Gaya -Manpur
2. Nawadah-Rajouli
3. Darbhanga- Kusheshwar Sthan
4. Supoul-Raghopur
5. Saharsa-Nauhatta
6. Rohtas-Dehri On Sone (My home town/block)
7. Begusarai-Dendari
8. Madhepura-Shankarpur
9. Purnia-Tikapati
10. Bhabhuan-Chand
11. Jahanabad-Jahanabad
12. MakhdoomPur-Jahanabad
Jharkhand blocks:
12. Kodarama - Jainagar
13. Dhanbad - Gomoh
H
HH
H
H
H
H
H
HH
H
H H
H: HBP District
1. Go visit the places, Bihar is not as bad as its reputation
2. Call BGVS people in Patna (011-91-612-368 087)
3. Need help in setting up creating ways to inspire people to take advantage of govt. services
4. Villages don’t bite: Take the rural message to your friends in urban areas. Middle class support is vital for success of any developmental effot
5. Come lets work together!!
How can you join the effort?
Health Training Camp in Bihar
Jan Swasthya Abhiyan (People’s Health Campaign) State level workshop at the Madhyamik Shikshak Sangha
Bhawan, Jahanabad from June 20th 2002 –June 23rd 2002 Attended by state level resource persons, district level
resource persons and block coordinators, 60% women Resource persons included Dr. T. SunderRaman, Balaji
Sampath, Mr. Ghalib, Dinesh Prasad, Ms. Usha, Ms. Pushpa (Group Savings), Mr. Jitendra (Education), Mr. KashiNath (Globalization aspects) and members of Panchayat.
Karunesh from Lucknow also attended the camp and wrote the report
Health Training Camp in Bihar
Develop a feel for various problems affecting the blocks under consideration
Impart hands on health training to the field volunteers
Identify state level full timers for the program
Formulate an action plan for the program
Training Camp: 06-20-02
Started in the afternoon Familiarization with local problems
faced by blocks Effect of globalization in general and on
health in particular
Training Camp: 06-21-02
Started with movement songs Preliminary information about malnutrition and
Diarrhea Group reading and discussion Helped by Dr. Sundarraman with Technical
questions Three causes of Malnutrition: Poverty, Illiteracy
and Superstitions Information regarding malnutrition Age/weight, Breast-feeding, Disease History,
Economic/Social Status of the family and current efforts for the child.
Training Camp: 06-21-02
Started with movement songs
Do not advise to Give a nutritious diet to the child
Keep the child and your surroundings clean, General and unthoughtful advice does not impress people.
The second session on the second day saw the groups reading books on cough, cold and immunization.
Training Camp: 06-21-02
Started with movement songs A talk by Dr. Sundarraman on Poverty and
Malnutrition Effects of malnutrition needs to be stressed Can severely harm the child or even can be fatal Much more severe problem in Bihar compared to
TN. As much as 60% kids may be lower categories malnourished
Also talked about Diarrhea, breathing problems, pneumonia and other water-born diseases.
There was a field visit to Poorvi Uta block.
Training Camp: 06-21-02 Dr. SunderRaman, Balaji, Dinesh Prasad, Ghalib,
Sarita Kumari, Pushpa sat together to setup the guidelines for the plan of action.
Rs. 10,000/pm Dinesh Prasad, Sarita Kumari, Pushpa, Usha and
Kundan as block full-timers 7 books on health issues, “Margdarshika”(guide-
book)->Bacchon ke Liye Swasthya”->“ Mahilaaon ke Liye Swasthya”->“ Hamari Swasthya Sewayein aur Hamara Adhikaar”-> “Village Mdeical Kit” and “Bimaariyan”.
Tricky issue of Sustainability
Training Camp: 06-22-02 Dr. Sundarraman talking about the aim of health
programs Increase in awareness of the people and
providing information to the people Make the government health facilities available
to the people and the people start using them People take their health issues in their own
hands The women get more organized Panchayats get involved with the health
program How to achieve these goals? Need to reach to every household and explain
the need for their participation
Training Camp: 06-22-02 Dr. Balaji Sampath talk about the utility of
village health register Give us (the volunteers) information about the
village Help in quantification of work Indicate the changes occurring during the course
of the program The register could also be used as a planning
tool by the panchayat Information about the location of Primary Health
Centre (PHC), Health sub-centre, community health centre (referral).
Train the midwives
Training Camp: 06-22-02 Data regarding ANM: Prepare a list of the ANM’s Find out whether they stay at the centre or not Whether the place is safe or not Whether there is electricity or not, etc Find out her timetable as to when she is going to
be in a village Nurses has their own problem in working in a
male-dominated society and also lack of family support
Village worker/panchayat may want to discuss the safety of nurses/medical workers
Training Camp: 06-22-02 Facilities available to a villager are: Aanganwadi-Very important for babies health School-Important for vaccination Village nurse-For the medical needs of adults These are the various vaccines:BCG (at birth), DPT
(three vaccines) (1st upto 3 months, 2nd 3-4 months, 3rd 4-5 months), Polio (three drops) (1st upto 3 months, 2nd 3-4 months, 3rd 4-5 months), Measles (Vaccine) (upto 9 months), Vitamin A (9 months) (2ml), DPT Booster dose (18months), Vitamin A and dose for worms every 6 months
Problems of pregnant women and DDK (Disposable delivery kits)
Finally, another field trip led by Sarita Kumari
Training Camp: 06-23-02 Quality monitoring/evaluation of health program and
feedback The indicators for monitoring and evaluation are Input Indicators (Training +material) Process Indicators (quality + what is to be done) Impact indicators
Directly trainedInput
Village traineesProcess
Overall Change in the village
Feedback
Training Camp: 06-23-02 Phased out execution Preparatory Phase, Jul-Sept. 2002 Formation of block committees Identification of full timers Identification of village activists Simultaneous formation of small savings groups Block training
Directly trainedInput
Village traineesProcess
Overall Change in the village
Feedback
Training Camp: 06-23-02 Phase 1, Oct-Dec 2002 Zonal retraining of block activists and full timers Opening of health registers Reaching each and every household Compilation of data regarding “Dais (midwives)” Block level training A report is to be generated for villages, which have
communication and transport problems with the PHC’s and the state level activists are to initiate meeting district administration to address the problems.
Training Camp: 06-23-02 Similar Plans for Phase 2 and Phase 3 Panel discussion on “Role and Cooperation of
Panchayati Raj Institutions in Public Health” Active Participation from local Panchayat People Usha (member of Zila Parishad) rightly commented
that most of the members went on to use the funds allotted by government to build community centers, roads, etc., these works though important are to be given second priority to works like developing education system for the kids.
Point again is that what do we do from here?