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31 villages of Nalbari and Kamrup district in Assam
Thematic Focus: Health (Nalbari district) and Education (Kamrup Rural District)

Project Background

Gramya Vikas Mancha (GVM) is a CRY project working in two districts of Assam, namely Nalbari and Kamrup (Rural). In the Nalbari district, GVM is implementing a health project and in Kamrup (Rural), the project is implementing an education theme. Mr. Prithibhushan Deka, the president and founding member, is born and raised in the Nalbari district and his passion comes from his understanding of development issues of this area. Since its inception, he has been engaged in the mass mobilization process at the community level with the firm belief that mass mobilization is the key factor for bringing changes in the society.
GVM was established towards the end of 1999. Some influential people like doctors and ministers briefly supported some of the activities of this organization at the beginning. The organization emphasizes on micro planning that involves direct involvement of people in villages. The organization maintains transparency and accountability. Each project has a monitoring and review team consisting of the primary stakeholders. GVM has achieved a few significant milestones of health rights for the children in the Nalbari districts with the support of CRY, as listed below.
• Infant deaths reduced from 14 to 3 in 18 operational villages of the Nalbari district.
• After years of intervention, the project reported no cases of child and maternal deaths.
• 98.41% of institutional deliveries have been reported in 18 villages of the Nalbari district.
• 90% immunization has been reported in 10 villages for the age group 0-1 years.
• Successful VHND in all the 18 villages of the operational area of the project.

And, it has initiated efforts for securing educational rights for the children in the Kamrup (Rural) district as well with the support of CRY.

Problem Statement

The project decided to work on health issues in the Nalbari district because there is a severe lack of systematic health department monitoring of pregnant women and children in health programs. There are no ANC[1] and PNC[2] facilities in the waterlogged villages of the district. These, along with home delivery, are reasons for high neonatal deaths in the area. The health scenario among the target village population is so grim that, in one sample hemoglobin testing of 109 adolescent girls, it was found 67% of adolescents have Hb% less than 12 mg, which may lead to a severe anemic pregnancy.
The project focused on education in the Kamrup district even though it is closer to the state capital of Guwahati. There is a noticeable lack of understanding about the need of education among the leaders and parents in the target community, demonstrated by lack of interest for an activation of educational institutions. Rather than trying to address issues related to infrastructure in the school and flooding in the surroundings of the schools, parents prefer to stop children going to school as a protection mechanism. There are also concerns with the quality of teachers, and standard of teaching practices and learning outcomes. Due to lack of community interest in government schools, teachers are also not motivated to play their role as active teachers.

Achievements and Impact:

Program Activities Planned Progress and Achievements

Result Area: Access to quality free primary health care to reduce maternal, infant and child mortality in 18 project villages in Nalbari District.

● Conduct monthly meeting in all 40 hamlets involving the mothers, ASHA, AWW, PRI members and opinion leaders and facilitate discussion on issues of health & nutrition such as immunization, personal & community hygiene, menstrual health, nutrition, government’s welfare schemes on health and nutrition, and their entitlements.
● Mobilizing the 5 adolescent group members and organizing quarterly meetings on Sexual and Reproductive Health (SRH) & anemia issues. Organizing Hemoglobin testing camp for 200 girls in collaboration with the local Primary Health Centers (PHCs) and tracking and counseling the moderate and severe anemic girls.
● Conduct two rounds of capacity building of the VHSNC members in 6 villages for implementation of the Village health plan and ensuring observation of 54 Village Health Sanitization and Nutrition Day (VHSND) in collaboration with AWW, ASHA and ANM and ensuring attendance.
● Linking at least 75% of the mothers with the ASHA and AWW, ANM and encouraging mothers for institutional child birth through mobilizing her caregivers in the family, and ensuring 100% mothers to take iron and folic acid (IFA) tablets.
● Conduct cluster based capacity building of the ASHA and AWW in two phases on Growth Monitoring Chart and VHSND celebration.
● Promote 6 model ICDS Anganwadi Centers through capacity building of 47 ICDS management committee members, and monitoring regular distribution take home ration (THR), organizing VHSND, referral SAM children to NRC s, establishment of Kitchen garden, home visit of all malnourished children / SAM children and counseling with parents on food and nutritional value, conducting hand wash demonstration session and awareness session on take home ration every quarter.

● 220 monthly meeting, including 53 theme based meeting, were conducted with mothers covering all hamlets conducted and discussion held on the issue of health and nutrition in collaboration with ASHA , ANM and Anganwadi workers.
● 198 pregnant mothers were ensured their ANC and linkages with ANM by home visits and regular tracking.
● 19 meetings took place with ICDS management committee members to ensure their participation in the ICDS management process as well as their contribution towards infrastructure strengthening process.
● One life skills Program in each of the 7 villages conducted and reached out to total 180 adolescents from 7 villages. During this session yoga, communication skill, self-identity, body language etc. was covered.
● 46 adolescent girls underwent the HB% (Hemoglobin) testing in Arangomu village during the National Nutrition week celebration.
● 18 sessions were facilitated with adolescent girls and topics like sexual reproductive health, menstrual hygiene, anemia, nutrition, early marriage, locally available nutritional resources, seasonal diseases and gender were covered.
● 198 pregnant women linked with AWW, ASHA and ANM for institutional child birth and 145 out of 198 pregnant women linked with maternity schemes during the period.
● 98% (195 out of 198) deliveries were ensured in institutional space.
● 20 low birth weight children were identified in collaboration with AWW & ANM.
● 1035 children under 5 years of age underwent growth monitoring during the period.
● 6 ICDS centers (Tarmatha, Chariya, Barbarara, Raimadha, Jaha, and Arrangamow) were selected for model building.
● 54 Village Health and Nutrition Day (VHND) took place and 949 beneficiaries were reached out in 40 hamlets of 18 villages.
● 5 ICDS workers and GVM volunteers were trained on mental health issues by National Institute of Mental Health & Neuro Sciences (NIMHANS).
● 18 villages conducted awareness programs with the health department. All the villages were covered under awareness building initiative. Frontline health workers ASHA, ANM and Anganwadi workers were present in these campaigns.
● 11 meetings were conducted with Anganwadi workers and Anganwadi Center management committee members and discussed on the issue of ICDS functioning, fund management, take home ration distribution, infrastructure development enrolment, regularity of students and formation of a new management committee.

Program Activities Planned Progress and Achievements

Result Area: Strengthen pre-school education (PSE) in all ICDS Anganwadi Centers in the project villages in Kamrup rural district.

● Track all children in the age-group of 3-5 in the project area to ensure 100% enrolment of children in ICDS and ensure children’s regularity through motivating mothers in mothers groups meeting and Focused Group Discussions (FGDs).
● Extend handholding support to Anganwadi workers (AWW) in conducting storytelling, poetry, drawing sessions and child learning assessment as per the format/card developed by govt. for separate three age categories in 5 model ICDS centers.
● Conduct workshops with the AWW on PSE and joyful methods of learning in collaboration with CDPO/ Supervisor.
● Organize regular interface with the ICDS management committee members to ensure availability and functioning of proper infrastructure, availability of teaching and learning materials and its usage, regular attendance of children, availability of ECCE assessment card in the centers, and 100% transition to primary schools.

● 67 ICDS workers were trained in collaboration with Child Development Project Officer (CDPO) on joyful methodology and using the Teaching Learning Material (TLM).
● 216 community members participated in a joint meeting of mothers, parents, monitoring committees and ICDS workers conducted to motivate parents for home based Pre-School Education (PSE) in respective families while AWCs are closed and also motivated parents for initiating early stimulation activity with children under 3 years.
● All homes were regularly visited by GVM volunteers for tracking irregular students, motivating them to attend schools, encouraging parents to motivate their children to continue education during Covid period, encouraging students for art and craft work in free time etc.
● 24 schools held meetings with the School Management Committee (SMC) regarding education of children in lockdown situations and opening of schools.
● 67 Anganwadi workers were trained in collaboration with District Child Protection unit (DCPU), this capacity building was organized for the whole Rangia and Hajo block in Kamrup district on formation of Child Protection Committee as per the Govt. initiative.

Program Activities Planned Progress and Achievements

Result Area: Secure implementation of the provisions of the Right to Education (RTE) Act in terms of infrastructure, monitoring by School Management Committee (SMC), learning outcome to ensure retention of all children in the age group of 6-14 years in schools in the 13 project villages

● Organize 32 meetings to sensitize the School Management Committee (SMC) members on their roles and responsibilities.
● Facilitate 15 schools in instituting School Development Plan (SDP).
● Organize interface meeting of the School Management Committee (SMC) members with district level education department officials, SCPCR and NCPCR to address pending issues.
● Develop 5 schools as model schools with regularity of teachers, 100% attendance, zero dropping out, regular meeting of SMC, School development plan, availability of kitchen garden and barrier free access to class rooms.
● Set up a digital center in Balisatra School to expose children to digital technology in education and build interest in studies.

● 24 schools (75%) have RTE mandated teacher student ratio as per the data received.
● SMC members and the GVM team reviewed the School Development Plan (SDP) of 8 schools and worked on a course of action on SDP. These discussions were beyond the SDP execution like new SMC committee formation; emphasis on home visit of students etc. Few SMC members decided to go on home visits with teachers to motivate children for education. Schools have implemented resolutions of SDP in schools. For example - submission of requirements as per SDP, electricity connection, ensuring toilet blocks, and partitions in single room schools.
● 19 students completed the syllabus developed by GVM in the Digital Center.
● 3 sessions of 120 minutes every week for 6 months were conducted and covered in MS-Word, MS-Excel, MS-PowerPoint and Scratch. Amongst these students, 8 students have learnt the basics of programming (Coding in Scratch).
● 5 Government schools in the operational area have been initiated with a model building process by the team.

Covid relief related initiatives carried out in the operational area

GVM, with financial support from CRY, responded to COVID -19 and flood emergencies, by reaching out to a large number of beneficiaries with health and sanitization material requirements, dry rations and most importantly education materials for the children. Through this relief work they have reached out to:
• 854 households (Soap distribution)
• 382 children with education and play materials
• 238 AAA (frontline / Anganwadi, ASAH, ANM workers) with Masks, Sanitizer and Liquid hand wash)
• 2 Block Primary Health Centers, 1 Mini Primary Health Centers and 12 Secondary Health Centers
• 4 Child Development Project Officers (CDPO) office.

GVM have also reached out to 642 households in 3 districts (Barpeta-214, Baksa- 192, and Nalbari-236) in the context of flood and COVID. This support was aimed towards addressing the issue of food and nutrition.
Since the institutions were closed and children were out of schools and ICDS centers, mental health issues were coming out as a critical agenda. Hence, it was planned to build the capacities of the Anganwadi workers (AWW) and school teachers so that they can address the issue of mental health. GVM, with the support of CRY, reached out to NIMHANS with this proposal and extended capacity building training on the issue of psycho-social First Aid and how they can address the issue of mental health of children attending schools and ICDS centers.
After relaxation in lockdown status by the government, GVM launched an intensive awareness campaign in all hamlets of the Nalbari and Kamrup districts. In the villages, they demonstrated proper hand washing and also spread messages on health safety and protocols. This awareness campaign process was also augmented through providing soap, hand sanitizer and masks among the children, adolescent girls and community members. During this campaign they used locally available materials.

Case Story:

Makladoba is one of the underdeveloped villages in the GVM operational area in Pub-Nalbari block in the Nalbari district. Fishermen are the main occupant of this village and most of the households are living in economically distressed conditions. This village is also situated in a geographically difficult location. Each year, Makladoba witnesses flood and water damage. Thus, this village is cut off from the main communication road. One ICDS center is catering the need of early childhood development and nutrition. One lower primary school provides education until Grade 5 in this village. The ICDS center is an important institution to address the aspect of pre-school education and maternal child health issues. However, due to the locational disadvantage of ICDS, children and mothers are not able to attend the VHSND sessions and utilize regular services. The ICDS center has 34 children beneficiaries. Due to its low lying land location, the approach road stays under water most of the time and children are scared to go to the ICDS for pre-school education. Due to the poor condition of the approach space of the ICDS, women and children in particular were not able to access the services easily.

For the last couple of months, GVM workers interfaced with the Child Development Project Officers (CDPO) and apex Panchayat Raj Institute (PRI) members to resolve the issue of access. Unidirectional interface with the duty bearers were not resolving the issue fast. Therefore, a collaborative approach was taken to engage the community. GVM volunteers have been collaborating with the Anganwadi workers to place the growth monitoring chart, organizing VHSND and thus developing a rapport with the Anganwadi workers and other VHSNC members. During December, GVM volunteers convened a meeting of ICDS management committee members and VHSNC members. In this meeting, a discussion took place pertaining to the approach road and earth filling work to ensure safety of the children. Since then, GVM was following up with this issue with the VHSNC and ICDS management committee members. During the lockdown period, GVM organized another multi-stakeholder meeting and reinforced the need of earth filling for the safety issue of the children. This meeting was attended by the Panchayati Raj Institution (PRI) members, village headman, ICDS workers, VHSNC members, and ICDS management committee members etc. After many discussions and persuasions by GVM volunteers, Panchayat members approved MGNREGS[1] fund for earth filling on the access road in this ICDS center. He also assured immediate action and efficient work. Finally earth filling work was completed during September 2020. Now, the place is ready for easily approaching the ICDS. The multi-focused approach has helped in deploying resources for earth filling which ensured easy access to ICDS.


Goal Area: Health

• Strengthen community institutional processes and interfaces with FLWs through regular group meetings on public programs on health like JSY, PMSMA, immunization, menstrual hygiene and RCH etc.
• Develop IEC materials and check lists on programs for girls, adolescents and mothers.
• Organize 10 adolescent groups capacity building sessions on Sexual and Reproductive Health (SRH) and Anemia
• Developing 2 Adolescent Resource Centers (ARC) in 2 districts equipped with resource materials and adolescents to access services in the centers.
• Organizing hemoglobin % testing camp in collaboration with the local Primary Health center in both the districts.
• Tracking the moderate and severe anemic girls and nutritional counseling in groups and family settings in collaboration with ASHA, AWW and ANM, nutrition and rehabilitation center coordinator.
• Developing Village level health plans in 10 villages and sharing with the regional health offices with the help of Child Development Project Officers (CDPO)
• Capacity building of the VHSNC members in 10 villages for implementation of the Village health plan.
• Organizing VHSND in collaboration with AWW, ASHA and ANM ensuring ANC, hemoglobin testing, health and nutrition education and immunization.
• Identification of pregnant mothers and linking the mothers with the ASHA and AWW, ANM through registration in the first trimester and encouraging mothers and caregivers for institutional child birth in public health care facilities.
• Linkages of pregnant mothers with Pradhan Mantri Surakshit Matritwa Abhiyan (PMSMA - pledge for 9 campaign) and other maternal benefit programs and PMSMA and Janani Suraksha Yojna (JSY).
• Linking the adolescent girls with Anganwadi and supply of iron and folic acid tablets and motivating them for regular intake.
• Organizing cluster based capacity building of the ASHA and AWW on Growth Monitoring Chart (GMC) and VHSND celebration in collaboration with NHM resource persons and external resource persons.

Goal Area: Nutrition

Organize awareness programs on exclusive breast feeding and supplementary feeding in collaboration with AWW, ASHA and ANM.

• Celebration of Breastfeeding Week (August 1-7) in 50 hamlets in 2 districts and meeting with the mother’s groups.
• Conducting growth monitoring campaign (for children within the age group of 1 month to 5 years) in collaboration with ICDS.
• Promotion and monitoring of 10 model ICDS on the following parameters:
i. Ensuring growth monitoring and inclusion of WHZ indices (m
easuring unit)
ii. Ensuring regular distribution of Take Home Rations (THR) iii. Organizing VHSND regularly
iv. Refer SAM[1] children to NRC
v. Establishment of kitchen gardens in ICDS premises
. • Supporting AWC for SAM children linkages to NRC through VHSND platform
• Seek support of CDPO[2] for resource allocation for ICDS repair and maintenance. Motivating the community for support for re-construction, kitchens and kitchen gardens, wall painting and making it child friendly.

Goal Area: Education

• Organize meetings with School Management Committee (SMC) members and discuss roles and responsibilities.
• Conduct child tracking and enrollment of children in ICDS. Motivating mothers to send their children regularly to ICDS centers through mother’s meetings
• Organize Cluster level workshops with the ICDS management committee leader’s importance of PSE and their role and discussing their roles.
• Conduct teacher’s refresher training for 30 Teachers in collaboration with NIMHANS and Rashtriya Madhyamik Shiksha Abhiyan (RMSA) and scaling up of Teachers training in the Kamrup district on PsychoSocial first aid in collaboration with NIMHANS.
• Workshop with 27 Anganwadi Workers on pre-school teaching and joyful learning method in collaboration with CDPO[3]/Supervisor
• Seek assistance from the education department by sharing details of schools and children that need support including class-wise rooms.
• Organize interface with the ICDS management committee members and working on below indicators to develop 5 model ICDS Centers
. Proper infrastructure
. Availability of Teaching and Learning Materials (TLM) and its usage
. Regular attendance of children
. 100% transition to primary schools

• Model building in 5 schools, basing on below listed key indicators
. 100% attendance,
. no dropouts
. regular meeting of SMC,
. availability of kitchen gardens
. regular attendance of teachers
. School development plan
. barrier free access following Post COVID health protocols

• Child tracking in age group (6-14 years old) and identification of the drop out and poor attending children. Home visits of the drop out/poor attending children and Counseling support to mothers and ensuring re-enrollment in school.
• Work with teachers and community, parents and School Management Committee (SMC) to address the poor attendance and drop out issue during Post-Covid. • Organizing meetings with teachers, parents and SMC members to identify the issues in schools impacting the attendance of children and focus on MDM, book distribution and special classes to bridge the gaps.

Total amount disbursed in 2020 - $33,192

Financial Summary: January to December 2021

Budget Breakup 2021
















Total Grant Approved