Child In Need Institute(CINI)

Project Theme

Health

Target Group

Children

Project Period

01 Apr 2014 - 31 Mar 2015

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Introduction

Jharkhand has an extensive network of Government health institutions. There are 4462 sub centres, 368 additional PHCs, 193 block PHCs, 37 referral hospitals, 10 sub divisional hospitals, 22 Sadar hospitals, and 3 medical colleges and hospitals. However, despite these numbers, they still fall short of what is necessary and access to quality health services is a major issue. Furthermore, the sheer remoteness of several populations makes it difficult to access the health provisions that do exist.

About 12.5% of the population fails to get 2 square meals a day (NSSO, 55th Round). Only 75.4% of householders have safe drinking water and 16.8% have toilet facilities. Infant Mortality Rate is 504 per 100000 deliveries. Anemia among women is high at 72.9%.

Impact by partner
  • Institutional delivery in 20 referral village has increased and out of 191 deliveries, 108 institutional deliveries have been reported. 
  • Increased assess and awareness about health services (JSY and JSSK Scheme) among community members. Out of 108 institutional deliveries, 108 pregnant women availed the benefits under JSY scheme. This could be achieved as a result of continuous orientation of VHSNC members, SHG groups on health entitlements. 
  • 20 village health plans had been prepared for 2014-15 and incorporated into block level health plan. 
  • During the last year 18 VHSNCs received untied fund out of which, 18 VHSNCs utilized the untied fund in the best interest of community. Regular tracking and monitoring of untied fund by PRI members, VHSNCs and CBOs has been done.  Out of 23 Bal Sansads formed and trained during last year, 17 played an effective role in creating a school friendly environment at schools. 
  • 23 School development plan prepared for 2014-15 and 21 incorporated into block level education plan during the financial year (2014- 2015). 
  • Linkages with existing networks were established at the district and state level. Block level report cards on education and health was shared with the district level government functionaries and as a result of which civil surgeon had given instruction for proper implementation of schemes such as referral facility for pregnant women under JSSK (Janani Shishu Suraksha Karyakram) , timely payment to beneficiaries under JSY (Janani Suraksha Yojna), release of untied fund. JSSK and JSY, both benefits given to child and pregnant women respectively. 
  • Essential medicines which are available at “Jan Ausadhi kendra” but it was not prescribed by the medical officer. This issue was raised during the District level interface meeting before the civil surgeon. And as a result of which, a prescription audit team was formed by the CS which will be headed by Deputy Superintendent. The team will be accountable & will monitor the said issue. 
  • A District level team has been formed by the District Superintendent of Education for ensuring 25% reservation of deprived children in private schools under the provision under RTE.

Case Study

Sokrahatu village of Bardih panchayat, 40 km away from Chainpur block is surrounded by deep forests, no road connectivity to block head quarter and connectivity to district head quarter is also in bad condition. The population of this village is 488 and 90 families live there.

Most of the village population is Schedule Caste and Schedule Tribe, depending on agriculture and forest for their livelihood. Education and need of it was never in the priority list of the tribals and the village government schools are not well equipped to carry forward the future of the children of the community.

Lack of interest of education in community and facilities in schools resulted in high dropout from schools. The number of students in upgraded Middle school, Sokrahatu is 58. There are six teachers but there was no boundary wall, there is no play ground and there is no toilet facility in the school and only just one open well for drinking water.

But, neither government official nor community felt the need of these basic facilities for their children in school. When, Child in Need Institute (CINI) intervened in this village for ensuring RTE implementation there. Under the RTE Act there is a provision of a Bal Sansad (child cabinet) is in every school, sorkrahatu middle school was also having one bal sansad but just for the name , bal sansad members were not oriented about their role and power in their hands.

CINI started training sessions and orientation program with future leaders and made them realize their roles and how they can work for the up-gradation of their schools. Along with them CINI worked with SMC members about the provision under RTE act and check out the missing facilities in the school.

After all these meetings and orientation Bal Sansad took up the initiative raised their demands in SMC meetings, and not only this they themselves planted nutritional plants and flowers across the school periphery to create natural school boundary.

Now, bal sansad sits every month without fail and look up the needs of children , making the environment child friendly as well as to check out drop out they look after if any child is dropping out they visit their house make them their family understand the need of education and thus ensuring RTE in their village.