01 Apr 2015 - 31 Mar 2016
01 Apr 2015 - 31 Mar 2016
SPAD’s work has been mainly with poor and vulnerable communities. These communities have been deprived of their rights due to their vulnerability, poverty, and lack of organising them. SPAD has been focusing these communities to increase awareness on their rights to claim their social, economic and gender rights, through building their own formations via groups. These formations will be strengthened at the local level to challenge the public health system to make them accountable to the community needs. Besides this a federation of all the groups will be formed to give a broader base for their presence both in their own community setting as well as in the government. One important step that will be taken is to build community level networking to bring local /area level planning to be included as part of ward level planning.
About the Project:
This project is the continuation of the last project cycle.
Due to poverty and marginalization Dalit and Muslim communities are further rendered vulnerable. They lack access to essential services like health, education, sanitation and civic amenities. These communities depend on informal sectors for their livelihood like head loading, street vending, scrap collection, domestic help, sanitation work, waste picking, incense stick making beedi rolling etc. Further inequality exists in these communities largely because people have unequal access to society’s resources including health. There are enough studies to indicate that there is higher morbidity, lower life expectancy and higher infant mortality among Dalits compared to general population.
The objective of the project is :
A. To create and strengthen a community-level platform of Dalit and Muslim women so that they systematically improve access to their rightful entitlements and services.
B. To increase the stake of the urban poor in governance through ward and sub-ward committees
C. To advocate for Universal Access to Health at multiple levels and through multi-stakeholder networks
Results to be Achieved / Impact:
1. The emerging of the Federation of Women will be the clear harbingers of change with the 7 wards of the BBMP. There will be enhancement of their ability to bring in an alternative and distinct collective leadership to address the key issues of the vulnerable communities. The community driven leadership will be an alternative to the existing self serving and unjust leadership.
2. Initiate meetings in 2 wards and there will be discussion on Ward Plan. This is to pilot an initiative of community role in developing their own plan by bottom up approach, which will be need based and realistic.
3. State-level advocacy will result in improvements in some areas such as community monitoring and Access to Medicines.
SPAD will facilitate processes whereby:
Quotes of Beneficiaries
“The hospital authorities do not like us coming and monitoring their hospital or asking about corruption and ill-treatment. 'Who are you to monitor us?' they ask. But when they need help with any programme like polio, then they want us to come. When they need ASHA workers also (with the launch of NUHM), then they come to us.” - Member of JJR Nagar Referral Hospital Monitoring Committee.
“We go to private doctors and, because of our low awareness, they prescribe all kinds of treatments and we take loans to pay for them. We think of doctors as gods, but this is how they treat us.” - Garment worker in Valmiki Nagar.
Case Studies/Human stories
A). 320 women were interviewed as part of the study of referrals to Vani Vilas hospital (VVH). Of them, only 11 had gone to VVH directly for delivery – the rest had gone to 1 or more hospitals and had been referred from there. The following case of a woman who went to 4 hospitals illustrates the range of reasons for women being referred or referring themselves:
Her first delivery was done through Caesarean. So Nelamangala Taluk hospital sent us to VVH. At VVH, we saw the rush and went to Rajarajeshwari Medical College. After conducting tests, they said they had no incubators or O+ve blood. So we went to BGS hospital. They said they could do a normal delivery, but the costs would be high. Then we went to KIMS hospital. There, they said they would need to do a C-section, but didn't have an ICU for the baby. So finally, we returned to VVH.
The woman subsequently delivered by C-section in VVH, but without any complications for her or her infant.
B). Bhavani Nagar in GG Halli is located close to a lake and its inhabitants are vulnerable to vector-borne diseases. Last year, dengue was rampant and almost every household had one or more people afflicted. The Spoorthi solidarity group approached officials in order to clean up debris along the lake and conduct spraying. They also went to the Urban Family Welfare Centre (UFWC) to demand treatment for the disease. The UFWC began stocking medicines and a number of people got treated there free of cost. In spite of that, a number of the residents of Bhavani Nagar were hospitalized and there was a dire need for platelets. The solidarity group contacted the local youth group and explained the magnitude of the problem to them. The youth group them mobilized in the area and a number of young men came forward to donate blood.