on the details of
20 villages in 3 Gram Panchayats of Baripada block in Mayurbhanj district Odisha.
This organisation was formed on 2nd October 1996 by a group of likeminded persons, from rehabilitation and social work background, for working with children and adults with disability, with a vision of creating inclusive communities where every citizen irrespective of their abilities can live with dignity and get opportunity to realize their inherent potential. Mr. Ranjit Kumar Mahapatra, the founder member of SADHANA succeeded by the founder Director/Secretary Mr. Pravakar Sahoo in the year 2000. As a school student he was involved in social work with a local club. With fellowship from Ford Foundation he completed Masters in Human Rights with special emphasis on Disability Rights at Institute of Commonwealth Studies, University of London in United Kingdom. He again joined back SADHANA as Director/ Secretary from April 2009. Through this work he has developed extensive experience in both disability and development sector and tries to mould all the programs of the organisation to right based approach.
Baripada is the district headquarters of Mayurbhanj district in the state of Odisha, India. It is a region with one of the most important wildlife parks of India (Similipal), valleys, forest lands and ancient temples. The major population of Baripada are the tribal, next to them are the Oriyas consisting of Brahmins and Kshatriyas , rest of the population is accounted to people of Bihar origin, Bengalis, Punjabis, Marwaris and other north Indians. Muslims also constitute a Minor part of the population. In general the health condition of children is poor and most of the children are malnourished. The children suffer from common diseases like diarrhoea, malaria, scabies, TB, pneumonia, seizure disorder, mental illness, etc which contributes to their poor health condition in the area. They do not get appropriate health care support in time which makes the condition worse. In Baripada block the percentage of institutional delivery is 11.22% whereas in the 2 neighbouring blocks for eg. Betnoti is 74.52 % and that of Barasahi is 79.32 %.
- To enhance the access to free and quality primary health care services in the intervention areas
- To improve health service provision in the communities (through Village Health and Nutrition Day), at the sub-centres, Public Health Centers and district headquarters hospital.
- To encourage and facilitate participation of children in a multi cultural society.
Achievements & Impact in the Review Period
The team with support from CRY has started working with the firm belief of participation of persons with disabilities and their family/ community members in the rehabilitation and inclusion process. So a community based rehabilitation (CBR) approach was adopted, aiming at improving the quality of life of children and adults with disability. As an outcome of its function and intervention, the team has gained credibility and acceptance within the village communities as well as with government officials and in state level forums. The vision and mission of the team flows from the firm belief in the irreplaceable worth of every human person. In view of this intrinsic human dignity, the team works so that every person may be accorded respect and a due place in society. Some of the achievements last year are as follows:
- 40% of village people have changed in their understanding about the health status of their children.
- 65 mothers and care givers were counseled to understand about the Village Health and Nutrition Days (VHND) services and its importance.
- All 15 VHND services have been made regular with attendance of Anganwadi workers, Accredited Social Health Activists (ASHA) and (Auxiliary Nurse Midwifery) ANMs. 50% to 60% of the women are regular in the VHND.
- The immunization of children is seen to have gone up to 95%
- 15 Children's groups, in 20 villages, are enabled to discuss good health seeking behaviour.
- Appropriate health information, discussion with the people has increased. The service providers have taken support of health workers, Anganwadi workers (AWW) and active mothers to translate the information into local languages.
- Out of 15 children groups, 6 children groups are now active in talking about their issues like nutrition, health and education.
- Children are taking up awareness activities on health and sanitation like hand wash, balanced diet etc.
Focus 1: Access to free and quality primary health care services in the intervention areas to be enhanced
- Ensure community in 20 villages, are aware about the health status of their children and understand the impact of health and well being on the overall development of the children, by understanding the provisions of government programs, use of Mother-Child Protection Card and supporting families to access available services in their villages/ Public Health Center/ District Hospital.
- Ensure service Providers are aware of their role and responsibility and are responsive in providing quality community health and nutrition services in their respective villages
- The gaps in health seeking practices and the actual provisions are identified and plans to overcome such gaps are prepared in joint collaboration with users and service providers.
- Ensure 15 Children's groups, in 20 villages, are enabled to discuss good health seeking behaviours and practice hand washing, use sandals during toileting and staying clean.
Focus 1: Evaluate and monitor the malnutrition status of children and mobilize the community behaviour toward healthy practices.
- Community sensitization program on provisions of 10 services in (Village Health and Nutrition Day)VHND with participation of Community Level Workers/ Health Volunteers in VHNDs. Collect information and prepare observation reports for sharing it in MIS meetings and ICDS sector.
- Village meetings on exclusive breast feeding for children from 0-6 months.
- Joint visit (health workers and Health Volunteer) for family counseling and facilitation of referral services to high risks mothers and children and Severely Acute Malnourished (SAM) children.
Focus 1: Children learn and demonstrate civic responsibility and get some space to voice out opinions for the decision makers in the community to adhere to
- Facilitating monthly children’s groups meeting. The children will be working on 3 key areas during the year - Health and hygienic daily routine, Regular school attendance and Village sanitation.
- Orientation of the children’s group members on identifying two key issues on health and nutrition and expressing their views through writing to Panchayat and Block authorities.
- Meeting with the School Management Committee (SMC)s to strengthen the children representatives’ role in the School Management Committee (SMC) meetings and sharing of selected children’s viewpoints.
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