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75 villages of Phiringia block in Kandhamal district of Odisha
Thematic Focus: Health and Nutrition

Background of the Project:

SWATI was set up in 1999 with a team of six people to bring change in the situation of women in the rural areas of Odisha. The organization started working in Kandamal District of Odisha and gradually spread to Ganjam District, Boudh NAC and Capital City Bhubaneswar of Odisha. The project holder, Mr. Hari Sankar Rout, has the ability to communicate and convince the beneficiaries to take ownership; managing the organization through taking action of programs at community level and by making good use of his leadership qualities of working collectively abiding by the democratic norms.
SWATI laid its structural foundation at Malarimaha with its head office at Gosaninuagaon, Berhampur and Ganjam. It has partnerships with different government departments and international donor agencies. Some of its core activities are - livelihood promotion of the poor, literacy promotion, women empowerment, land & water management, water & Sanitation, lobby & advocacy, formation & promotion of CBOs etc. For effective management of the organization and implementation of community programs it has sound policies like financial policy, administrative policy, and child protection policy etc.

Problem Statement

SWATI is a new partner of CRY and has started implementing CRY project in villages of Phirngia block of Kandhamal district from 2019. The predominant community in the district is Kondh community, a scheduled tribe (ST). The main sources of income for the Kondh community are agriculture, physical labor and sale of minor forest products. However the agricultural yield is low due to low land productivity coupled with traditional style of farming and lack of productivity enhancing resources. The community has a common practice of preparing and consuming liquor. Almost 80% of the adult male population is into this throughout the year and from amongst the remaining 20%, 10% occasionally consume liquor during major local festivals or ceremonies and the rest 10% have been able to keep themselves free from such addictions.
Kandhamal District is mapped under the Aspiration Districts by the Niti Aayog, the planning body of the government of India, and has also been included for intervention by the Poshan Abhayaan (nutrition campaign) in Phase II (2018-19). As per the CRY criticality mapping, Kandhamal is a High critical district on Health and Nutrition. The infant mortality is alarmingly high in this district as around 3,500 infants have died in the district since the last 5 years due to malnutrition. As per the report from district headquarters hospital, total 673 died of malnutrition in 2015-16; 516 in 2016-17and 756 died by end of April 2017-18. While Phiringia Block tops the list with 480, G Udayagiribore has the minimum death reports with a total of 83. Several schemes and programs have been launched by the state and central govt. for children of tribal communities but changes are yet not visible due to lack of awareness, lack of organized effort by local authorities of the district as well as government machineries.

Objectives of the project:

* Reduce the number of infant and maternal deaths in 75 villages of Phiringia Block of Khandamal district of Odisha. * Reduce the SAM (severely acute malnutrition) and wasting within the age group of 6 months to 5 years in 75 villages of Phiringia Block. * Reduce the prevalence of anemia by bringing down the number of adolescent children and pregnant women who are anemic in the selected villages of Phiringia Block.

Brief of SWATI’s activities and achievements on child health and nutrition over last few years are:

Maternal and New Born Child Health & Nutrition (MNCHN) – The organization is implementing the program in 211 villages across 14 Panchayats in Phiringia Block. The target population is pregnant women and lactating mothers, children in the age group of 0-3 years. The major program activities it has taken up, led to an increase of safe institutional deliveries with a decrease of stillbirth rate to 6.10% among target families. The rates of complementary feeding after completion of 6 months increased to 92%. Also, 93% of mothers who still prefer techniques of home delivery of their babies have received health care facilities within 48 hours of their delivery. Home visits by ASHA (Accredited Social Health Activists) and AWW (Anganwadi Workers under ICDS – Integrated Child Development Scheme) has improved; and the majority of pregnant women enrolled themselves in ICDS centers and received its facilities.
Bike Ambulance: The organization started Bike Ambulance service in 2017 in Phiringia block with support of National Health Mission to ensure institutional deliveries of pregnant mothers, who are otherwise deprived of ambulance facilities at door step due to the inaccessible terrain. The service has been made free of cost to reduce the maternal and infant mortality in the area.
Marriage No Child’s Play (MNCP) has been implemented for children within 10 to 19 years age-group in 130 villages of K. Nuagaon Block to secure child rights & strengthen protection mechanisms. The process undertaken has given courage to adolescents to say “NO” to child marriage and gave a platform for discussing issues with peer groups and families. Life skill development training program has provided opportunities for higher education, employment, income generation for adolescents.

Maternity Waiting Home (MAA GRUHA) was established at Balandapada of Phiringia Block in August 2013 with support of National Health Mission. The program has created confidence among pregnant mothers on institutional delivery and has increased their awareness on pregnancy and Neonatal care, medical facilities and government’s provision on delivery and this initiative has also activated the village level health institution, ICDS centers and GKS (Gaon Kalyan Samities).
Sub Center management is being implemented in Indragada, Ranaba and Badabaraba sub-centers for 1,848 households in 27 villages and 81 hamlets. This initiation has given maternal child health and nutrition security to villagers of the area. It has created awareness on management of RTI (respiratory tract infection), STI (sexually transmitted infections) and other HIV transmitted diseases. The percentage of institutional delivery has increased, and the death rate of new born child & high risk delivery mothers has seen a reduction. The villagers receive government provisions in Mamata Scheme for institutional delivery assistance and other such provisions.

Some of the achievements and processes implemented for the past few months are as below:

* 15 VHND (Village Health and Nutrition day) were organized, where all mothers of children aged between 0-36 months participated. There were brief technical sessions on correct child feeding sessions which were attended by a total of 141 pregnant women and 76 lactating mothers participated in these sessions.
* 232 mothers were covered through VHND and linked with the Mamta scheme.
* 63% adolescents were provided with IFA and are using them as per tracking records.
* 99% of children in villages were immunized through the Indradhanush scheme during the year.
* 4 new ICDS centers were approved by the department and Panchayat had taken resolution for 2 more centers. The project facilitated the process at community level for demand of the ICDS center at villages. Application was submitted to the Panchayat and Child Development Project Office (CDPO) under ICDS. Through CDPO it went to the higher authority and District Councilor for approval. This was also backed by an advocacy liaison from the project team. As a result, a letter of approval for 4 ICDS centers was finally issued by the department. And follow up will be done in the coming period for two more centers.


Key Result Areas Program Activities Planned

Reduce infant and maternal deaths in 75 project villages.

* Organize 4 trainings for frontline workers such as ASHA, ANMs and AWW of 34 ICDS Anganwadi Centers in 4 Panchayats health service delivery.
* Organizing cultural events at community level with the help of local traditional artist on thematic issues of adolescents, child marriage and nutrition and ensuring attendance of all mother’s group.
* Organize 30 village level sensitization programs for facilitating the institutional birth delivery.
* Ensuring 30 adolescent groups organize sensitization sessions on anemia, and sexual & reproductive health in the villages.
* Ensure all 18 ICDS centers participate in the VHNDs held in the villages.
* Tracking 610 mothers of children from 0 to 36 months and sensitizing them to attend the VHNDs.
* Link 178 pregnant and lactating mothers to one or more existing health schemes through sensitization meetings.
* Facilitation of immunization sessions to ensure 100% coverage project villages.

Key Result Areas Program Activities Planned

Reduce prevalence of severe malnutrition, wasting and anemia among children less than 5 years age, pregnant and lactating mothers in project villages.

* Sensitize all 178 pregnant and lactating mothers on the benefits of attending Village Health & Nutrition Day (VHND) and ensure attendance.
* Ensure 100% mothers of 6-9 months babies have exclusively breast fed their child for 6 completed months through a campaign on breast feeding.
* Ensure identified SAM children are referred to Nutrition and Rehabilitation Centers by ICDS workers and treated properly.
* Conduct 34 Panchayat level capacity building programs for identifying common symptoms of malnutrition.
* Ensure all the Anganwadis are fully functional and well equipped with machines and charts for regular growth tracking of children.
* Ensure RCC buildings are constructed for 9 Anganwadi centers through regular interface and advocacy meetings with Sarpanch.

Financial Summary: January to December 2020

Budget Breakup 2020













Total Grant Approved