2. Introduction
• The „Integrated Management of Neonatal and
Childhood Illnesses‟ program was launched as a pilot
in Lalitpur District in the year 2005. This was further
adapted in Uttar Pradesh, and a Comprehensive Child
Survival Programme – UP (CCSP-UP) was launched
during the year 2007-08.
• The three main elements of this programme are
a) Training of functionaries
b) Availability of primary health care at doorsteps
c) strengthening referral system.

3. Aligarh Model
• “Supportive Supervision of Comprehensive Child Survival Program
(CCSP-SS) in Aligarh District” was launched by the Department of
Sociology & Social Work, AMU, Aligarh in collaboration with UNICEF,
Lucknow.
• The project was initiated in Six Blocks of Aligarh District viz. Atrauli,
Dhanipur, Gangiri, Jawan, Khair and Lodha during Phase-I (July 2009
to June 2010). Subsequently, remaining six blocks viz. Akrabad, Bijoli,
Chandaus, Gonda, Iglas and Tappal were undertaken during Phase-IIa
from July 2010-March 2011 and Phase-IIb (April 2011-September
2011).
• The ongoing Phase III is entitled “Strengthening of CCSP through
Supportive Supervision (S-CCSP-SS) in Aligarh District” from 18th Oct
2011 which is nearing completion by 31st March 2013.
• The Project with encouraging outcomes is acknowledged as “Aligarh
Model”

4. Graph-1: Improvement in ASHAs’ Skill
100
90 88
86 86
83 84 84
82 83
80 80 80 80
80 78
76 76
70 71 71
70
All Figures in %
60
50 Phase-1(July-
Sept 2009)
40
40
Phase-1(May-
June 2010)
30
23
Phase-2 (July-
20 Sept 2011)
12 13
10
10 8
Ongoing Phase
(July-Sept
0 2012)
Assessing Using Chart Giving Giving Advice Counseling for Performing
Breastfeeding booklet for Treatment on breastfeeding home care home visit
(Attachment classification according to
and Sucking) classification

5. Impact on Community Practices:
• Two surveys (Baseline & End line) were carried out during
July – August 2009 and November – December 2011. Both the
surveys were integral part of the S-CCSP-SS project in Aligarh
District. Data were collected using 25 variables in the baseline
survey and 35 variables in the end line survey.
• The trends focused are institutional delivery, immediate bath
after birth, initiation of breastfeeding, exclusive breastfeeding
and babies given pre-lacteal.

6. Graph-2: Institutional Delivery
76
74
72
All figures in %
70
68
66
64
62
60
Institutional Deliveries
Baseline 65
Endline 74

7. Graph-3:Immediate Bath after Birth
35 32
30
All figures in %
25
20
15
11
10
5
0
Immediate Bath after Birth
Baseline 32
Endline 11

8. Graph-4: Initiation of Breast Feeding
90
80
80
70
60
All figures in %
50 47
40
40
30
20 15
13
10 5
0
<1 hour 1-24 hours >24 hours
Baseline 40 13 47
Endline 80 15 5

9. Graph-5: Exclusive Breast Feeding
80
71
70
60
All figures in %
50
40
30
30
20
10
0
Exclusive Breast Feeding
Baseline 30
Endline 71

10. Graph-6: Babies Given Pre-Lacteal
50
47
45
40
35
All figures in %
30
25
20
16.3
15
10
5
0
Babies Given Pre-Lacteal
Baseline 47
Endline 16.3

11. CASE STUDY
Name Manju
Sex Female
Age 18 Months Old
Name of Mother Geeta
Village Kurhala
Block Akrabad
15 Days Old Manju

12. After 7 Months After 18 Months