Reproductive and Child Health Program A Presentation On The Implementation Plans By MNGO Sambhav Social Service Gwalior Gargi 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 OrganizationAddress Gargi House, 93 – Balwant Nagar Gwalior MP 474002Phone & Fax No. 0751-2341995 0751-4011379E-mail email@example.com firstname.lastname@example.orgName and designation of Chief functionary Dr. S. K. Singh DirectorRegistration Details No. 20301Act under which registered MP societies registration Act 1973Date of Registration 19.07.1988FCRA No 063280004Banking details Account No –8618 Vijaya Bank Jayendraganj, Gwalior MPPAN No. 88LF558755R
Criteria for Selection of Un-served andUnder 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 Baseline 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 onWomen, • Antenatal care, safe delivery and postnatal care. • Child care- immunization, breast feeding, weaning food etc.Adolescent Girls • Anemia, Malnutrition, Balanced diet, Kitchen gardenand males • Information on the available Government Health and related services.Children • Cleanliness • Safe drinking water • Awareness on diarrhea and malaria. • Plantation and protection of treesBirth Attendants • Correct practices for pregnancy care • Immunization • Use of autoclaved kits • Timely identification and referral of high risk pregnanciesHealth 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 InterventionsOverall 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 InterventionsMother 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 InterventionsFamily Planning a: Promoting uninterrupted supply of medicines, family planning and health products. b: Development and distribution of IEC material.
Strategic InterventionsAdolescents: a: Pre-marital counseling. b: Promotion of sanitary napkins. c: Promotion of hygiene friendly practices.
Strategic InterventionsSTI/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.
ManagementFinancial 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 needsMonitoring, 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 tomanage the projects of FNGOs RCH Monitoring Committee Project Director MNGO RCH Finance Coordinator Officer Monitoring Officer FNGO Accounts Officer FNGO RCH Coordinator •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.
PartnershipsFNGO: MNGO• SHG • FNGO• Mahila Mandals • Opinion Leaders• Youth Groups • Other NGOs• Health Volunteers • Public and Private institutions• Opinion Leaders • Block functionaries• PRI • District Health Functionaries• Health functionaries at sub- • State Level Health centers and PHC level Functionaries.• ICDS and Anganwadi workers
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 Budget MNGO Budget for Shivpuri and Tikamgarh Districts MNGO Budget Unit Cost Year 1 Year 2 Year 3 Total1 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 Data management and Training to2 FNGOs 150000 125000 100000 3750003 Office consumables 20000 20000 20000 600004 Monitoring of FNGOs 30000 30000 30000 900005 Institutional overheads 50000 60000 60000 1700006 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 MNGO Budget for both 3 Districts 613000 617800 631080 1861880 Grand Total 3014740 3019540 3027420 9061700