on the details of
13 revenue villages in 7 panchayats of Tarwa and Jahanaganj Block of Azamgarh District of Uttar Pradesh.
The organisation Rural Organisation for Social Advancement (ROSA) was established in 2002 and was registered in July 2003 under Society Registration Act in Varanasi. The Project Holder is Mr.Mushtaq Ahmed. He was associated with Peoples Action for National Integration (PANI) as Regional Coordinator in Faizabad. He strongly believes in developing community leadership so as to bring sustainability in any of the efforts. Taking these beliefs, the organisation ROSA was formed. He has put in lot of efforts in organising different groups and forming Self Help Groups. The basic concept he believes in is rapport building, organisation development, sustainability and action.
Azamgarh district is attached with border area of district Mau, Ghazipur, Jaunpur, Sultanpur, Ambedkernagar and Gorakhpur and is situated on south side of river Ghaghra of Uttar Pradesh. The main sources of livelihood of the district are farming and farming based employment. Rajput and Yadav community hold maximum area of land for cultivation, and they usually hire Musahar community for cultivation work in the season. Musahars also work in the brick kilns for most part of the year. High cost in backward linkages and low production in agriculture has made the village community insecure. Nonas are a begging community and migrate to the nearby areas for food and money. Only 20% of children from the intervention area are completely immunized. There is caste and discrimination issue prevalent in the area. Moreover the children in the age group (0-16 year) from Scheduled Caste community, mainly Ravidass, Mushars and Pasi community suffer from respiratory disorders. The health care services are also underutilised in the area.
- To organise people so as to promote right based approach.
- To create an environment for realization of rights of children and women
- To develop community leadership so as to bring sustainability in activities.
- Capacity building of communities for amplifying their voice against repression.
- To evolve collective strategy to fight injustice.
Achievements & Impact in the Review Period
ROSA has been in partnership with CRY since 2008. ROSA has evolved over the years and has proved their ability in delivering results both on fronts of direct engagement with communities as well as on areas of advocacy at various levels. The team has delved deeper into issues of malnutrition and health. The team is striving to learn and is open to apply its learnings, it has been proactive in strengthening its perspective and contribute on fronts of advocacy at the level of alliances as well. The geographical areas under intervention indicate a high prevalence of malnutrition and negative indicators of maternal and child health. The key highlights of achievements this year are as follows:
- Capacity building workshop was conducted for the team on the norms and processes for various health related service delivery institutions.
- Development of tools for undertaking the assessment in the intervention areas to gauge the shortfall of institutions.
- Representation given on the existing shortfalls in the ICDS centres to Child Development Project Officer (CDPO).
- Tracking done for women on health checkups, immunization, availing supplementary nutrition and safe deliveries ensured. 107 deliveries were made out of which 80 were institutional deliveries.
- Tracking of children done on a regular basis for receiving birth certificates, immunization, and referral services. 75 children received birth certificate out of 108 newborns.
- Regular efforts were made for functioning of the sub-center situated in operational areas and Child Development Project Officer (CDPO) has started its intervention for the same.
- Regular efforts are being made to sensitise the local health officials and stakeholders for regular supply of supplementary nutrition, referral, immunization, malnutrition care etc.
- 22 adolescent girls groups are existing in the operational area and regular meetings are conducted with adolescent girls in the village.
- Community meetings were conducted in the villages on the issue of malnutrition and the need for adopting good practices on hygiene and cleanliness, intake of locally available nutritious food etc.
- Orientation of the members of mothers committee. It has been done in 3 clusters in Bansgaon, Bhartipur and Uchuaha.
- Through children group, various demonstrations were done in 5 blocks on the issue of ICDS services & situation of services on ICDS center.
- There have been regular meetings with the children group members and varied activities on art and craft, sports etc are conducted.
The operational area is mapped as critical on Health & Nutrition.
 Health and Nutrition
Focus 1: Increased awareness levels on understanding malnutrition and positive mother and child nurturing/care practices and the related health seeking behaviour.
- Behaviour, Knowledge Attitude Practice (KAP) of different communities- musahars, chamars, nauts, muslim minorities etc will be observed and studied.
- To conduct study on issues such as health and hygiene practices, Antenatal Care (ANC) and Postnatal Care (PNC), immunization, importance of breastfeeding within one hour of delivery, exclusive breastfeeding, supplementary nutrition after six months, interval between births, health seeking behaviour, safe delivery, feeding habits and patterns, cleanliness, gender bias and other related issues.
- To initiate small interfaces with the girls of the adolescent girls groups for orientation on their health and hygiene, life cycle approach, as an initiation of the preventive approach to malnutrition. The issue of child marriage to be taken up as a preventive approach.
Focus 2: To facilitate safe deliveries and ensure effective administration of ANC and PNC care programs in all the villages.
- Sensitisation on importance of immunization for pregnant women. Ensure immunization and check-up of the pregnant women.
- Keeping regular track of nursing mothers for implementation of breastfeeding within one hour of birth and breastfeeding practices.
- To closely follow and monitor antenatal care/postnatal care services being given especially to the most marginalised such as Musahars.
- Sharing of the status on mother and child care services and the shortfalls thereof with the respective communities as also the local stakeholders.
Focus 3 : To ensure effective functioning of health and nutrition service related institutions and ensure facilities for the community with specific reference to adolescence and RCH issues
- A mapping of the existing situation of ICDS centres, Sub centres, Public Health Centre to be done and a draft report to be documented.
- Interface with officials on the status sharing of institutions and thereby organising of the Jan Chetna Meet.
- Processing a factsheet and correlating the indicators of health and malnutrition for setting up a base for initiating fact based advocacy.
- To establish individual contact with Village Health, Sanitation and Nutrition committee (VHSNC) members and thereby facilitate meetings and orient them on their roles and responsibilities.
- Detailed audit to be conducted to arrive at the root cause of death and thereby taking up the cases for advocacy from district to national level.
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