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Nuapada and Kalahandi District, Orissa
Thematic Intervention: Health, Nutrition and Participation


CHALE CHALO was formed in the year 2005 by few experienced young social activists who found it hard to push through new ideas for empowering the communities through rights mode approaches. The project holder is Mr Ranjit Swain, who has been addressing social issues since his school days. The organization works with children, youth, tribals, dalits, other backward castes, women, differently abled people, landless laborers, forest dwellers, fishermen, migrants, displaced people, small and marginal farmers and other disadvantaged communities for protection and promotion of their rights through organizing, educating, capacity building, empowering and enabling them to help themselves for sustainable socio-economic and political transformation for establishment of a just human society. In Nuapada district the organization has concentrated its activities in 20 drought prone villages where it organizes poor children and women and capacitates them to demand and protect their own rights. The organization has successfully implemented a pilot project on Community Radio with the support of CRY - Kolkata linking migration, displacement and education policy with child rights issues.


Health: In the intervention area there is no sufficient primary health centre. The primary health centers are being established in the rural area but there are neither doctors posted nor any other para medical personnel appointed. The vacancies in posting of staff nurses, ANM and pharmacist are always a very big problem in the field area. In Kalahandi district there is a single primary health center at Chapria village and 1 Sub center at mahalinga, having no doctor posted not paramedical staff or nurses are appointed. The situation of labour room in all the health centers are of poor condition which leads to 15% of deliveries at home and 47% of the community are dependent on private hospitals which is located at Khariyar. Immunization is given to the children on bi-monthly basis which is against the recommendation of WHO and NHM. The rate of child mortality is also high in this area. The ICDS workers in this area are not seen in a good/systematic way as mentioned under guidelines. Due to superstitions and social stigmas women are not consuming the IFA in routine basis.

Nutrition: The situation of Kalahandi district is also in very critical position. In spite of having adequate ICDS centers, only two are functional, and the centre runs in the hands of the ICDS helpers. The growth monitoring of the children at the centers are irregular. There is a lack of coordination between the service providers and the beneficiaries. The malnutrition status among children is very high; around 41% children between the age group of 0 to 6 are found malnourished. However, referral services to the sick and severe malnourished children are not functioning properly. Due to ignorance, superstitions and few social stigmas people are undergoing the traditional treatment rather than availing modern treatment from the doctors.


  • Access to free, primary health care in the intervention area.
  • Work towards functioning of ICDS centres in the intervention area.

Achievements & Impact in the Review Period

In the review year the project started its intervention in 10 villages in Golamunda block covering 2 gram panchayat in Kalahandi District. The objectives for the 1st year of intervention was to map and understand the access to health services by community people such as pregnant lactating mothers(PLM) and children. To achieve the objective the project has analyzed the behaviour pattern of pregnant lactating mothers(PLM), children with respect to availing health benefits provided by the government as well as community awareness level with respect to immunization, institutional delivery, availing antenatal care and postnatal care checkups as well as disseminated information to pregnant lactating mothers, husbands and in-laws along with the government health service providers on various government services available at ICDS centers. The project also wanted to understand the behaviour of the service provider who are front line stakeholders relating to roles and responsibilities that they perform compared to their guided roles and responsibilities and finding the gaps.

Some highlights of achievement are as below:

  • Efforts were made regarding developing status report on the availability of services at sub centres, primary health centers (PHC), community health centres (CHC) as per Indian Public Health Standards (IPHS). As a result community placed demand relating to regularity of medicine, regularly opening of sub center, regularity of Auxiliary Nurse Midwifery (ANM) in the center.
  • Panchayat level child protection committee (PLCPC) members were sensitized and strengthened to identify the children who seasonally migrate with families and registering the families at Gram Panchayat.
  • Regular individual tracking was done for 182 children (Boys 95 and girls 87) under the age group of 0-5 years were tracked along with 112 pregnant mother and 143 lactating mothers through home visits.
  • AWW, ANM and ASHA workers sensitized 76 pregnant mothers and 106 lactating mothers through 35 VHND organized in the project level. As a result 100 % mothers have pregnancy registration while 94 % has gone for institutional delivery. 100 % mothers has availed JSY facilities.

  • 47 Severely Acute Malnourished (SAM) children were identified through ICDS in 22 ICDS in the project area during the half year i.e. Jan – June 2016. Out of 47 SAM children 27 SAM (12 boys and Girls 11) children are send for referral to Nutrition and Rehabilitation Center in Nuapara.
  • Sensitization meeting was conducted with health service workers who conducted regular visits through home visits. 102 pregnant women and 75 lactating mothers were sensitized on newborn care, cause and effects of malnutrition and as a result 34 lactating mothers have practiced colostrums feeding (45 %), exclusive breastfeeding practice by 70% of the lactating mothers.
  • 48 children groups meeting is regularly being conducted, and 216 children actively participate at block level programs.


Focus 1: Access to free, primary health care in the intervention areaFocus 1: Access to free, primary health care in the intervention area

  • Meeting with pregnant lactating mothers in regular intervals to access to quality antenatal services at sub-centre & primary health center(PHC) level.
  • Individual tracking of mothers and children (0-5 years) through regular home visits on accessibility of free primary health care immunisation, Birth Registration, childhood illnesses.
  • Capacity building of Gaon Kalyan Samity(GKS) members, health service providers and ICDS Workers on various Govt. health schemes relating to mother and child.
  • Prepare MTMK radio episodes on pregnancy registration, role and responsibility of service providers.
  • Prepare MTMK radio episode and produced, broad casted & narrow casted on JSSK & provisions under JSSK for availing required critical health services during delivery and up to 30 days as per norms.

Focus 2: Reduction of Child malnutrition in operational areas from 0 to 6 years

  • Individual counselling of pregnant lactating mothers (PLM) on colostrums feeding, immediate exclusive breastfeeding, complementary feeding along with breastfeeding for 24 months through home visits.
  • Interaction with GKS members, health workers and ICD workers on promoting hygiene and sanitation at home as well as at ICDS centers.
  • Demonstration of locally available nutritional food preparation with support from ICDS workers at Village Health and Nutrition Day (VHND) and promotion of kitchen garden.
  • Support anganwadi workers to identify SAM children through regular growth monitoring of children.
  • Sensitization meeting with PLMs, ICDS Workers, mother-in-laws relating to importance of Village Health and Nutrition Day (VHND) and encourage PLMs to actively participate in the program.

Focus3: In the intervention area, children's collectives aligned with the principles of engagement with children.

  • Formation of child collectives in 10 new villages of the project area
  • Regular meeting of children collectives to understand their development needs as per their age.
  • Organized Mega Shishu Mela to encourage children's participation.
  • Publication of children’s newsletter (MOR TUNE MOR KATHANI)


  • Right to Survival
  • Right to Participation
  • Administration
  • Total Grant Approved