Janarth Adivasi Vikas Sanstha

Project Theme

Health

Target Group

Women

Project Period

01 Jul 2012 - 31 Mar 2015

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Introduction

Though Maharashtra State is considered to be developed state, the benefits of the developments are unequally distributed across the State. Some areas have always remained backward and at the bottom amongst them are the tribal districts. Nandurbar is such a district.

In the past decades, Nandurbar district has often been highlighted for severe malnutrition and child deaths. Most of the Adivasi families residing here suffer consequences of poverty and no access to developmental resources. North part of the district is Satpuda ranges. Deforestation has resulted in depriving them of forest produce. Poor implementation of many schemes or programmes like PDS, ICDS keeps the poor deprived of their rights.

Impact by partner
  • With the help of VHSC members village level meetings are being organized to make more people aware about the right to health services, maternal health services. The issue of proper utilization of funds is discussed in monthly VHSC meetings and the issue is followed up further that the VHSC should present their accounts to the people during Gram Sabhas. Dialogue to have space and focus on the maternal health care at grassroots level, dialogue with stakeholders i.e. from villages to district level has been an on-going process.
  • In the intervention areas of the project we have selected barefoot Auditors for each village , and gave them training on ICDS, PDS and community based monitoring(how will they monitor services of ICDS centre , problem regarding maternal health , benefit from PDS and other maternal health related schemes) , after attending the training they became aware about the services gets from the government system and about their right to get it . Monitoring the services, nutrition provides to the children etc. During the community meeting, meeting with pregnant and lactating women, VHNC s meeting, WASH mela, workshop, event, an awareness programme they are actively participating in the entire programme. Villagers also share their problems with the barefoot Auditors such as : not getting ration from the PDS, name is not included in the ration Card, etc.
  • In the project intervention areas various programs such as meeting and mela’s have been conducted time to time in order to sensitize the community on maternal health issue , giving health education by IEC and BCC session , giving health education on safe motherhood , Hygiene, Nutrition , and ANC$ PNC.
  • In the project areas maximum populations belongs to tribal community and they are following their old practices like less food intake in the pregnancy , not ready to disclosed the pregnancy delay in the registration , in response to such practices we are giving health education , and motivating them for adapt the contemporary health practices . This programme helps to take supplementary nutrition and value of nutrition in the stages of the age.
  • In WASH mela’s many aspects such as importance of health and hygiene , all aspects of the women’s health and Status were discussed at community level , involving the AWW, ASHA,ANM & VHSNC’s.

 

Case Study

Name Of Village:- Nagziri

Demography, Population of Village: - The population of village is 700 people. It is located in the outskirts of taluka shahada, approximately 25 km far from shahada. In the village there are no facilities such as hospital (private), primary health center, banks, police stations etc. The occupation of people is agriculture.

Health Care Facility:-To receive proper health care service person had to travel to 15 km distance where PHC located name as Addgaon, the visits from government health service providers was also not regular prior to JAVS intervention. The basic health care services such as immunization, antenatal care, postnatal care etc. was also irregular, proper healthcare facility is essential for wellbeing of community and the lack of such facilities is key challenge.

JAVS Intervention: - As JAVS started intervention in nagziri village ranging from maternal health to neonatal health coverage scenario has changed a lot . Members from local community are selected and trained as village health workers called as barefoot auditor. The main role of BFA is in monitoring immunization schedule, to provide health education to women as well as other community members, to provide basic health care facilities to community. Barefoot auditor also played important role through monitoring of healthcare services provided by nurse, MPW’S with the help of VHSC members.

Field animators and barefoot auditors often conduct meetings with pregnant women and their families and provide counseling regarding:

  • Importance of institutional & safe deliveries
  • breast feeding
  • immunization
  • what are the danger signs during pregnancy
  • diet in pregnancy
  • check-up in anti natal period etc.

IMPACT OF JAVS INTERVENTION:- In nagziri village, a woman was pregnant for third time. She developed pain in abdomen and white discharge at around seventh month of pregnancy. She didn’t knew what has to be done, so she told her husband who keeps participating in the activity of the Improving maternal health project ,after which he consulted village health worker Chagan bhil, Chagan realized the condition of patient is critical and needs to be hospitalized ,he called ambulance of Adagaon PHC. Unfortunately the delivery was premature and suddenly after delivery patient developed severe chills, heavy bleeding after four days of intensive treatment patient’s life saved.

All credit goes to chagan he identified the graveness of situation and taking necessary steps because of which both the lives were saved, but due to premature delivery baby weighing 2 kg only, doctors took necessary steps and chagan also visited hospital regularly and insisted nurses, doctors to take care of patient. The village members also supported patient’s family.