Bihar Gram Vikas Parishad (BGVP)

Project Theme

Health

Target Group

Women

Project Period

01 Apr 2014 - 31 Mar 2015

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Introduction

Maternal health care encompasses family planning, pre-conception, prenatal and postnatal care. A mother is all compassionate and ever sacrificing and in the event of her death, one child is left orphaned. So it is time that we must wake up to address this terrible reality about maternal health care.

Maternal health care is one of the important aspects to reduce infant and mother mortality rate. But in Bihar, there are various problems which jeopardize the effects to improve maternal & child health

Impact by partner
  • Formation and training of VHSNCs in all 38 project villages. 
  • WASH mela in all intervention villages to sensitize the community on nutrition, anemia, locally available vegetables to increased intake of iron, importance of full ANC and PNC. 
  • Interface meetings with the district and state officials regarding fully costed referral transport system for pregnant women. 
  • Social audit of Health, ICDS and PDS services. 
  • Jan Sunwai (public hearing) at district and state level on the findings of the social audit. 
  • Jan Swasthya Mahapanchayat organized involving JSA in which more than 4200 community members participated, theme of which was ‘Health for All’. 
  • Campaign on under age marriage and Dus Ka Dum in all intervention villages of Bihar (70 villages). 
  • Sensitization meeting with the community and PRI members on MH entitlement, Institutional and safe delivery. 
  • Training and meeting with Adolescent groups in all 38 intervention villages on anemia, health and hygiene, problems and solution of adolescence. 
  • Mapping of the most marginalized households who have been denied entitlements from ICDS and PDS services. 
  • Meeting with relevant stakeholders to include the names of the most marginalized identified above. 
  • State level meeting with the RTF network regarding better provisioning of entitlements under PDS.

Case Study

Pinki Devi, 27 years old from Khopa village from Sitamarhi district, is a member of OBC community. She is semi-literate but her husband is illiterate. Her husband is a marginal farmer. The family holds less than one acre of farm land. Farming anyhow provides minimum sustenance to the family. Cattle rearing help the family to supplement its income. Due to poor pecuniary condition, the family cannot afford to spend on increasing its educational, health and economic status.

When Pinki was second time pregnant at that time BGVP had already started its activities under Oxfam India sponsored “Improving the Maternal Health” programme; under which VHSNC was formed in the village. Pinki’s mother-in-law became an active member of that committee. The Committee organized several meetings and trainings to expose the members, adolescent girls, untrained nurses, etc about the process and means of improving maternal health. Moreover, they were made aware of the provisions of the maternal health care programmes for the adolescent girls, pregnant and lactating mothers, which are made available to them through PHCs and Sub-centres.

Pinki Devi’s first delivery was at home. She along with family members had to suffer a lot at that time. A huge amount of money was spent to recover her ailing health after delivery. When Pinki became pregnant for the second time, she made her mind to have delivery of the new born at any health centre but in private health clinic and not in government health centre. Pinki had confusions and doubts about the proper facilities at the government health centres. These confusions and doubts were cleared by ASHA worker Ms. Gita Devi and one of the members of VHSNC. They counseled her several times to get registered and take health check-up, immunization and medical treatment facilities under the ongoing programme. She started attending the meeting organised in the village once in a month on the VHSND. On maturity of pregnancy period, Pinki was taken to PHC at Runi Syedpur where she delivered a healthy baby. Though she did not receive enough facilities as she ought to receive, yet she had not to face any problem like that she had at the time of first delivery. She was provided with some medicines free of cost from the PHC and some medicines she procured from market. She got rupees 1400 under the Mother-child Safety Scheme of government of Bihar.

Uniqueness of the intervention is that, before intervention, there was tradition of child birth at home with the help of untrained village nurses. The ongoing project on “Improving Maternal Health” transformed the traditional attitude and health practices of the villagers. Now they are all aware of the benefits of the government schemes targeted to benefit the pregnant and lactating mothers. Pinki’s case was the eye opener for the villagers following which the pregnant women have started availing the government benefits at the health centres.

Pinki Devi, who earlier possessed misconception that there is much harassment in conducting delivery; now this confusion is over. She is happy with the facilities she availed at the PHC at the time of delivery and even after delivery. Now she acts as a motivator encouraging other pregnant women to have delivery at PHC.