1. Reproductive and Child Health Program
A Presentation On The Implementation Plans By MNGO
Sambhav Social Service Gwalior
Gargi House, 93-A, Balwant Nagar, Gwalior

2. 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

3. Name of the Organization Sambhav Social Service Organization
Address Gargi House,
93 – Balwant Nagar
Gwalior MP 474002
Phone & Fax No. 0751-2341995
0751-4011379
E-mail sambhavgwr@hotmail.com
janadhar@yahoo.com
Name and designation of Chief functionary Dr. S. K. Singh
Director
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 –8618
Vijaya Bank
Jayendraganj, Gwalior MP
PAN No. 88LF558755R

4. Glance –
Shivpuri

5. Glance-
Tikamgarh

7. 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.

8. 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

9. 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

10. 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.)

11. 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.

12. 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

13. Target population Awareness to be imparted on
Women, • Antenatal care, safe delivery and postnatal care.
• Child care- immunization, breast feeding, weaning food etc.
Adolescent Girls • Anemia, Malnutrition, Balanced diet, Kitchen garden
and males • 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.

14. 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.

15. 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.

16. 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

17. Strategic Interventions
Family Planning
 a: Promoting uninterrupted supply of
medicines, family planning and health
products.
 b: Development and distribution of IEC
material.

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

19. 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.

20. 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.

21. 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

22. Organizational structure of MNGO to
manage 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.

23. Partnerships
FNGO: 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

24. 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

25. 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.

26. MNGO Budget
MNGO 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
Data management and Training to
2 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

27. 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