PARIVARTAN

Project Theme

Health

Target Group

Others

Project Period

01 Apr 2016 - 31 Mar 2017

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Introduction

Despite improvements in overall health parameters like life expectancy at birth, immunization, and reduction of infant ad maternal mortality rate, there are large parts of the country where people continue to have very poor access to health care services and their health status continues to be abysmal. A high proportion of the population continues to suffer from and die of preventable conditions like maternal deaths, malaria and tuberculosis. Persistent malnutrition and high levels of anemia amongst children and women is widespread. Kalahandi in Odisha is one such backward district.  Oxfam India is supporting Parivartan to facilitate for improving access to quality health services as well essential medicines in Kalahandi district of Odisha. 

 

About the Project: 

The project will primarily focus on enhancing access of the communities to essential medicines as well as basic health services. The intervention will be on raising awareness of the community, promoting community based monitoring, engaging with the government officials, media as well as other stakeholders and raise the issue of status of health services and demand for proper implementation of different programmes. The field implementation will be in 20 villages of Thumul Rampur block. Along with it focus will be on advocacy for improving accessibility to essential medicines and quality health services.

 

Results to be Achieved: 

  • All GKS members in 20 project villages have increased knowledge and information on government’s health and nutrition services at the community level & free medicines schemes.
  • At least 60% of essential free medicines under Niramaya scheme will be available at CHC   & PHC level. 
  • 60% of community people were accessing the free medicine at various levels under Niramaya scheme. 
  • 70% beneficiaries availed quality health and nutrition services  

 

Prior Achievements:

  • Community monitoring tool was developed in odia for the use of community monitoring against various indicators. Use of community monitoring tools by GKS has increased. In 9 villages the GKS members used various indicators mentioned in the tool & reviewing the status of their villages once in a quarter regularly. As a result of this the gaps are highlighted by the GKS and PRI members in various meetings like – Public grievance, community health sharing meeting, RKS meetings etc. 
  • Due to the negligence of ICDS, beneficiaries were not getting their benefits as per the timeline in MAMATA scheme. After regular discussion & follow up with the ICDS supervisors & CDPO, the release of fund has increased from 33% to 53%.
  • Due to the continuous monitoring & follow up jointly with health staff the quality of service delivery by service providers has improved & in 14 no of villages all 6 services during the VHND session have been ensured.

 

Quotes of Beneficiaries: 

“We are a 20 members group and if each one of us reached three more adolescents and share them about healthy and hygienic practices we can reach more number of girls and bring a positive change in our communities.” says a member of Maa Dokri Kishori Balika center.  

 

Case Studies/Human stories: 

Thuamul Rampur block is one of hilly terrain area having many villages without all-weather communication. Block HQ is located at a distance of 79 kms from Bhawaniptna, kalahandi. Most of its villagers are poor who are small or marginal farmers or depend on daily wages. 

To improve knowledge & accessibility of health schemes particularly among adolescent girls regarding maternal health ‘Parivartan’ established the Kishori Balika Centre (KRC) at Karlapat village  namely ‘Maa Dokri Kishori Balika Centre’ covering 20 adolescent girls ( 5 no of Adolescent girls from each village namely Badtikraguda, Vejiguda, Karlapat) to sensitise the adolescent girls  on how to link with AWC & other health service providers for the better accessibility to reproductive health care & different health schemes.

Although every Saturday has been announced to be observed as kishori balika Divas at every AWC, but they are not functional. Orientation conducted for the adolescent girls and they decided and started organizing Kishori Balika Diwas on every Saturday at AWC. The Anganwadi worker and ASHA had no other option and joined them. 

They have decided that each adolescent girl would educate at least 3 other adolescent girls to adopt healthy practices & behaviors for healthy reproductive health care. Accordingly they are sitting at AWC on every Saturday & are usually discussing about the different adolescent issues in their village & making a resolution in a register. 

When they came to know that some adolescent girls were migrating to different areas on the pretext of their employability skill development with middlemen. Suspecting foul play & trafficking of minor girls they visited four nearby villages like Badtikraguda, Zillagaon & Vejiguda & collected information about their peers and informed women cell members Mrs. Sharada Patel & Mrs. Aradhana Nanda of Bhawanipatna to investigate these cases further & take appropriate step. 

The adolescents visited nearby villages & interacted with the family members of these girls for details about their whereabouts & shared these issues with Women Cell, a voluntary body for the cause of women. The women cell members are collecting further information about the middle man & also verifying the information further. After interaction with Cell members the KBRC girls are now regularly counseling the parents of other adolescent girls about their vulnerability of such migration through such unsafe sources. 

Due to their initiatives now the maximum adolescent girls of these four villages are not only aware about the reproductive health, hygienic practices, different sexual diseases but they are making the women aware about good MCH practices. They are openly sharing their health including sexual health related problems with ASHA or family members & also visiting ICTC center if required.