Reproductive Child Health


Reproductive Child Health Programme for Vulnerable Community in Jaleswar Block” Sponsored by: MISEREOR, Germany

Project Goal:
The goal of the project is to improve the child health status and reproductive health of the people of the target area through the mechanization of capacity building, awareness building and co-ordination with existing health system and structure.
Women in reproductive age group, adolescent girls and children of Scheduled Caste and other backward castes are the target groups. The target groups have less access to appropriate health practices. The Mother and Child Health, Adolescent Reproductive Health & Family Planning indicators are very poor in these villages and identified as underserved. The house holds behaviors and RCH practices of the population of below primary education level are very poor. The area is vulnerable due to Malaria and other common ailments like Typhoid, RTI/STI, Malnutrition, Respiratory Infection, and Diarrhea. Due to non availability of mechanism for early identification of pregnancy, safe delivery, counseling for birth control, spacing methods, use of contraceptives, follow up services there is a vast gap in RCH services. The project has been conceived by ARM through focused group discussions by incorporating identified critical issues and gaps.
Following activities have been successfully completed to ensure 100% ANC/PNC in the target areas.
  1. Behavior Communication Change  workshop for the community leaders  make  aware of their role and responsibility in the community for RCH promotion. They facilitate and take part in mobilization and facilitation among community for strengthening reproductive and child health care.
  1. Capacity Building of married adolescent on birth preparedness and the utility of ANC and PNC. They gain the knowledge, information and understand on birth preparedness. This training has helped them to avoid risk factors and made them prepared for safe delivery. Thus the early registration is increased.
  1. Orientation training of Health Workers, AWWs and ASHA workers on Safe Delivery enhanced the  knowledge and information on RCH and upgrade their capacity in timely and quality ANC/PNC services. This has helped them to establish a rapport with the target community and sharpened their skill . Thus a better coordination amongst service providers and community is established.
  1. Workshop on Gender sensitization and reproductive rights  made the stake holders sensitized about gender equity and their reproductive rights. They also play the role transforming information on reproductive rights to other women in the community.
  1. Through the Social Mobilization community meeting/ IEC Campaign the  message of RCH reached properly to the  Illiterate women in reproductive age group gain clear concept regarding their task for reproductive and child health care. As a result there is an increase in receiving antenatal checkups. TT injections and consume of IFA tablets. Institutional delivery is also increased.
  1. Capacity Building of adolescent girls make them sensitized about biological change, menstruation, hygienic practice, nutrition food, marriage age, good practices etc. They adopt best hygienic practice in the adolescent stage.
  1. Capacity Building of adolescent boys equipped them with the information on iodine deficiency and health problem affect of worm, loss of weight etc. They adopt skill in best hygienic practices in adolescent stage.
  1. Capacity building  of SHG leaders/ Mahila Mandal make them sensitized about birth control, spacing, and use of contraceptives. They gain knowledge to avoid unwanted pregnancy and make aware to other SHG members.
  1. During  the ANC/PNC Awareness and checkup  Camp Women in reproductive age group gain information, knowledge and skill  about antenatal and postnatal care and its utility. After these camps the ANC/PNC coverage has been increased about 20%.
  1. Immunization cum child health check up camp 549 numbers of children of the age group 0-18 months and 238 pregnant women are immunized during the period.
INDICATORS:
  1. 94% of women registered during pregnancyDSCN5171
  2. 92% of women received 3 antenatal check ups
  3. 98% women received 2 TT injections
  4. 87% women consuming 100 IFA Tablets
  5. 86% deliveries conducted in institutions
  6. 12% deliveries conducted by TBAs.
Impacts: Health seeking behavior among the community people has been developed. Awareness on birth preparedness has reduced the unwanted pregnancy among married adolescent and couple. Adolescent girls have gained information about RTI/STI. 98% immunization coverage has been done. People have become aware of immunization. Institutional delivery has been increased. Reduce MMR and IMR due to increase in ANC/PNC. Besides the planned programmes women organized one big rally on anti liquor campaign.