Reproductive and Child Health Program

A Presentation On The Implementation Plans By MNGO

Sambhav Social Service GwaliorGargi House, 93-A, Balwant Nagar, Gwalior

Project Deliverables % Age of eligible couples currently using modern FP methods: Couples

using modern method (spacing or sterilization to avoid/ delay pregnancy) % age of eligible couples reporting current unmet need for FP: Eligible

woman/husband not using any FP method, who are neither pregnant, nor in menopause/nor had undergone hysterectomy and do not desire additional children

% age of women received complete ANC during pregnancy- At least 3 checkups, at least 2 TT injections and receipt of 100 IFA tablets

% age of deliveries conducted in institutions : Deliveries conducted in hospital, nursing home, urban health center, CHC and PHC

% age deliveries conducted by skilled attendants: Deliveries conducted by doctor, ANM, staff nurse and LHV

% age of 12-23 months children completely protected against 6 vaccine preventable diseases:Children received BCG, DPT 1, 2, 3, OPV 1,2,3 and Measles as per immunization card/register/record

% of eligible woman/her husband reported symptoms of RTI:Woman and man reported symptoms of RTI

% of eligible woman/her husband/ both completed treatment:Woman and man reported symptoms of RTI and completed treatment

% of girls and boys marrying before attaining legal age of marriage: Girls and boys married before attaining the age of 18 and 21 years respectively

% of married girls conceived during adolescent- Girls who conceived before attaining the age of 18 years

Name of the Organization Sambhav Social Service Organization

Address Gargi House,93 – Balwant NagarGwalior MP 474002

Phone & Fax No. 0751-23419950751-4011379

E-mail sambhavgwr@hotmail.comjanadhar@yahoo.com

Name and designation of Chief functionary Dr. S. K. SinghDirector

Registration Details No. 20301

Act under which registered MP societies registration Act 1973

Date of Registration 19.07.1988

FCRA No 063280004

Banking details Account No –8618Vijaya BankJayendraganj, Gwalior MP

PAN No. 88LF558755R

Glance – Shivpuri

Glance- Tikamgarh

Criteria for Selection of Un-served and Under Served Area: Poor immunization coverage Uneven and scattered distances of villages from sub-centers. Dacoit effected area, decreasing the visits and outreach of health

workers to villages. Migration population, often leaving villages and going to nearby

areas in search of work. Very low coverage of health services among tribal communities. illiteracy Percentage of institutional deliveries very low. Outreach to roads in rainy seasons cuts off the villages from any

service.

Summary of Key findings through Base line survey Very large proportion of home based deliveries Very low percentage of visits by ANM or any health worker Low prevalence of using family planning methods Significant amount of STI cases reported among females Very low cases where complete ANC has taken place, or

complete doses of IFA tablets has been taken. High prevalence of child marriage among girls High rates of illiterates, very few people surveyed have

received formal education to satisfactory levels. People not keen on using methods for delaying pregnancy Very low awareness on HIV/AIDS among men and women

Expected Outputs

100% Registration of Pregnant mothers 100% Registration of Births 100% Registration of Deaths 100% Registration of Marriages 90% Complete ANC coverage (3 ANC Checkup, 2 TT, 100 IFA) 80% High risk mothers referred to institution 100% High risk mothers receive obstratic care 80% Children (0-2 Years) receive complete primary immunization

services 90% Children (9 months to 5 Years receive all 5 dozes of Vitamin A 80% Eligible couples receive contraceptive services 80% cases of identified RTI / STI referred to Health centers and get

treatment

Goal

Safe Childhood and Healthy Motherhood (To bring an improvement in the overall Reproductive and child health indicators in Shivpuri District, by leveraging and enhancing the work done in past, specifically focusing on service delivery.)

Specific Objectives

To organize training of local health resource persons e.g. health workers, birth attendants and motivators.

To facilitate regular visits by the ANM and village level health workers especially for antenatal and postnatal care, and care of children mainly to prevent malnutrition.

To initiate measures for addressing the problem of anemia among pregnant women and adolescent girls e.g. by distributing iron and folic acid, encouraging the practice of kitchen garden, inculcating the habit of consuming green vegetables etc.

Spreading health awareness among women and adolescent girls by conducting health awareness for the groups of women and adolescent girls.

To promote the usage of Government Health Facilities, through generation of service demand from within the community.

To link up with local schools for health care and school health education.

To spread awareness and prevent STI/RTI among men and women.

Activities

Health Camps For Women, Adolescent And Children

School Health Camps RTI/STI Consultation Camps Promotion Of Sanitary Napkins Family Planning Counseling Camps Social Marketing Of Contraceptives Training Of Newly Married Couples IEC Activities Establishment Of Reference Cum

Information Center Exhibitions Health Mela On RCH Meetings Of TBA Meetings With Government Service

Providers Meetings With Adolescent Groups School Health Competition PRA Exercise

Target population Awareness to be imparted on

Women, Adolescent Girls and males

Antenatal care, safe delivery and postnatal care. Child care- immunization, breast feeding, weaning food etc. Anemia, Malnutrition, Balanced diet, Kitchen garden Information on the available Government Health and related

services.

Children Cleanliness Safe drinking water Awareness on diarrhea and malaria. Plantation and protection of trees

Birth Attendants Correct practices for pregnancy care Immunization Use of autoclaved kits Timely identification and referral of high risk pregnancies

Health Motivators Home visit Follow up of simple mother and child care practices Immunization Mobilizing women and children for mobile clinics Mobilizing the community for maximizing the use of

government health care services.

Process of Implementation

Capacity building of the staff, representatives of groups, birth attendants and health motivators, and awareness generation of the community through them.

Training and facilitation of ANM and village level health workers on antenatal and postnatal care, prevention of malnutrition among children. Health education of adolescent girls.

Networking with the government departments to ensure availability and accessibility of services so as to create gradual dependence on the existing government services and systems.

Strategic Interventions

Overall Achievement Focus on partnership with existing government

services and providers. Liaison with ANM and PHC for better service

delivery. Prepare health promoters at community level that

would act as voluntary support in the village. Prepare a work plan in accordance to the schedule

of ANM and PHC so that the outreach and coverage could be facilitated.

Strategic Interventions

Mother and Child Health a: Increasing access to institutional deliveries for

safe and quality care b: Linkages with private hospitals, community

groups and other stakeholders c: Upgrading the skills of birth attendants,local

health volunteers, and ANMs. d: Development and distribution of IEC material. e: Development of referral linkages

Strategic Interventions

Family Planning a: Promoting uninterrupted supply of

medicines, family planning and health products.

b: Development and distribution of IEC material.

Strategic Interventions

Adolescents: a: Pre-marital counseling. b: Promotion of sanitary napkins. c: Promotion of hygiene friendly practices.

Strategic Interventions

STI/RTI Prevention Behavior change communication on safe sex

and use of condoms Promotion and social marketing of condoms STI counseling Community meetings on awareness and

identification of STI and RTI Dissemination of awareness messages

through IEC material.

Indicators

Registration of Pregnant Mothers ANC Coverage – Immunization against T.T., 100 IFA, 3 ANC

checkups No. of High risk mothers referred Primary immunization among 0-2 yrs children % of institutional deliveries Deliveries conducted by Trained Birth Attendant/ ANM or Doctor No. of RTI, STI identified and treated IMR (at the beginning of the project and after 3 years) MMR (at the beginning of the project and after 3 years) Some qualitative indicators to asses the behavior change,

Knowledge and health seeking behavior among the community.

Management

Financial Management Budgeting, costing and highlighting variance Financial Reporting through: Quarterly statement of expenditure,

utilization certificate and audited statement of accountants.

RCH Service Delivery Components Bio-medical and socio-cultural as per community needs

Monitoring, Evaluation and Reporting. Bimonthly visits by MNGO coordinator/ Representative in the field

areas of FNGOs Monthly/ Quarterly/ Annual reports of FNGOS All the reports will be shared with respective BMOs and CM&HOs

Organizational structure of MNGO to manage the projects of FNGOs RCH Monitoring Committee

Project Director

Finance Officer

MNGO RCH Coordinator

Monitoring Officer

FNGO RCH Coordinator

FNGO Accounts Officer

Project Coordinator will visit FNGO once in a month and will provide supportive supervision.Finance Officer will visit all FNGO once in every quarter to support, guide and validate the financial statements.

Partnerships

FNGO: SHG Mahila Mandals Youth Groups Health Volunteers Opinion Leaders PRI Health functionaries at sub-

centers and PHC level ICDS and Anganwadi workers

MNGO FNGO Opinion Leaders Other NGOs Public and Private institutions Block functionaries District Health Functionaries State Level Health

Functionaries.

Monitoring

Bimonthly visits by MNGO coordinator, Accountant and other staff

Monthly reports by FNGOs – Data, Activity narrative report

Quarterly reports to assess progress of the project

Annual compiled report. Quarterly workshops to assess the progress

at FNGO level

Evaluation

Evaluation of the project will be done on yearly basis. After completion of every year a evaluation team form MNGO will assess the progress of each FNGO as per pre decided objectives and targets. After completion of the project a team will do final evaluation.

MNGO BudgetMNGO Budget for Shivpuri and Tikamgarh Districts

  MNGO Budget Unit Cost Year 1 Year 2 Year 3 Total

1 Salaries          

  Program Coordinator - 1 8000 96000 105600 116160 317760

  Monitoring Officer - 2 14000 168000 184800 203280 556080

  Accountant - 1 4000 48000 52800 58080 158880

  Counselor - 1 3000 36000 39600 43560 119160

2Data management and Training to

FNGOs   150000 125000 100000 375000

3 Office consumables   20000 20000 20000 60000

4 Monitoring of FNGOs   30000 30000 30000 90000

5 Institutional overheads   50000 60000 60000 170000

6 Furniture   15000     15000

  Total MNGO Budget   613000 617800 631080 1861880

Consolidated Budget Requirement

  Particular Year 1 Year 2 Year 3 Total

1 FNGO Budget, Shivpuri  1200870  1200870  1198170 3599910

 2 FNGO Budget, Tikamgarh 1200870 1200870 1198170 3599910

3

MNGO Budget for both Districts 613000 617800 631080 1861880

  Grand Total 3014740 3019540 3027420 9061700