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Location

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


Background of the Project:

SWATI was set up in 1999 by a team of six people to bring change in the situation of women in the rural areas of Odisha. The organization started working in the Kandamal District of Odisha and gradually spread to the 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 the 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 a partnership with different government departments and international donor agencies. Some of its core activities are - livelihood promotion of the poor, literacy promotion, women empowerment, land and water management, water and sanitation, lobby and advocacy, formation and promotion of Community Based Organizations 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 the CRY project in villages of Phirngia block in the Kandhamal district from 2019. The predominant community in the district is the 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 the 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 among the remaining 20%, 10% occasionally consume liquor during major local festivals or ceremonies and the rest of the 10% have been able to free themselves from such addictions.
The 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. Around 3,500 infants died in the district the last 5 years due to malnutrition. As per the report from the district headquarters hospital, a total of 673 died of malnutrition in 2015-16; 516 in 2016-17 and 756 died by the end of April 2017-18. While the Phiringia Block tops the list with 480, G Udayagiribore has the least death reports with a total of 83. Several programs have been launched by the state and central government for children of tribal communities but changes are not yet visible due to lack of awareness and lack of organized effort by local authorities of the district as well as government machineries.

Achievements & Impacts


Key Result Areas Program Activities Planned

Health: Reduce infant and maternal deaths in 75 project villages.

• Organize 4 training for frontline workers such as ASHA[1], ANM[2]s and AWW[3] of 34 ICDS[4] Anganwadi Centers in 4 Panchayats health service delivery.
• Organizing cultural events at the community level with the help of local traditional artists on thematic issues of adolescents, child marriage and nutrition and ensuring attendance of all mother’s groups.
• Organize 30 village level sensitization programs for facilitating institutional birth delivery.
• Ensuring 30 adolescent groups organize sensitization sessions on anemia and sexual and reproductive health in the villages.
• Ensure all 18 ICDS centers participate in the VHNDs[5] 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 programs through sensitization meetings.
• Facilitation of immunization sessions to ensure 100% coverage project villages.

• 26 training and handholding sessions for all the frontline workers were done in 4 Panchayats on the village health plan and effective service delivery.
• 4 cultural events done on malnutrition and 3 Covid-19 related awareness through cultural artists with the support of national health mission
• 100% of pregnant and lactating mothers attended the sensitization sessions organized during the period.
• Ensured institutional delivery of 13 high risk PWs with taking 4 ANC.
• 27 groups of adolescent girls participated in meetings on anemia, health and hygiene.
• 80% of adolescent girls, pregnant and lactating mothers received IFA[6] tablets.
• 302 pregnant and lactating mothers were linked to one or more existing health programs.
• 100% immunization was ensured and all the children were duly vaccinated.
• 97 hamlets organized awareness generation sessions on nutrition during the period.
• 100% of mothers of 6-9 month old children exclusively breast fed their child for 6 completed months.
• 45 Adolescent leaders were created to ensure their entitlement in IFA intake, sanitary napkins, T.T. intake and regular health education.

Key Result Areas Program Activities Planned

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

• Sensitize all 178 pregnant and lactating mothers on the benefits of attending VHND and ensure attendance.
• Ensure 100% mothers of 6-9 month old babies have exclusively breast fed their child for 6 months through a campaign on breast feeding.
• Ensure identified SAM children are referred to Nutrition and Rehabilitation Centers (NRC) 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.

• 100% pregnant and lactating mothers attended the VHNDs and were sensitized on the benefits of breastfeeding.
• All mothers of 9-12 month old children initiated complementary feeding in the 7th month.
• 1,666 mothers of 6 to 60 month old children reported that their children were weighed at the AWC at least once per month.
• 16 children were identified as SAM and were referred to the NRC and their nutrition intake was monitored and increased.
• 83 “Mo Upakari Bagicha” (kitchen gardens) were promoted and established in the operational area.
• 3 meetings took place for full time Anganwadi centers with the CDPO[7]. 3 new buildings were proposed approveing as Anganwadi Centers.
• 78 Panchayat level training programs were organized for the service providers covering AWW of 34 ICDS centers, ASHA and ANM of 4 panchayats.

Covid Response by SWATI:


MGNREGS[8] awareness programs:
Community awareness programs were conducted on involvement in MGNREGS to manage livelihoods in the time of Covid-19. 37 meetings were conducted in the operational villages and 11 villages were sensitised for regularization of the livelihood support. 1,245 workdays generated during May to August-2020.
• Conducted different online surveys to know the status of free ration distribution, infrastructure status and knowledge on Covid-19 in the operational area.
• Through Mobile Vani awareness program, the team created an awareness among the community to fight against Covid-19 and also did surveys to know the percentage of institutional deliveries, Take-Home Ration (THR) availability, VHND attendance, colostrum feeding, complementary feeding, child death and immunizations.
• Created awareness by distributing leaflets, fixing posters, snake and ladder game and distributing hygiene kits to avoid the Covid-19 infection.
• Provided handholding support to local administration to establish Testing and Monitoring Center (TMC) for Covid-19 testing, management of TMC, identification of migrants, motivational activities in TMC and regular communication with Gram Panchayat level functionaries for the fight against the Corona virus in their respective localities.

Case Story:


Babita Digal – A Role Model in Nutrition Gardening Babita Digal from the Balandapada village in the Phiringia block lives with her husband Bibhuta, 4 year old son and two adolescent daughters. By profession, her husband is a driver; and the family usually depends on his income. Gradually, the expenses increased day by day and the family faced a lot of stress on the individual income of Bibhuta. To meet the expenses, Babita engaged herself as a daily wage laborer. But during the COVID-19 pandemic situation and lock down, after months together her husband became jobless and came back to the village and their financial crisis began. Even she was not able to feed her children sufficiently.
Looking at the worst situation in food security at the village level during the onset of the Covid pandemic, SWATI started to organize the villagers to grow nutrition gardens in the backyard for the food and nutrition security of family members. In this discussion, the women were suggested to develop vegetable gardens to meet the vegetable needs of the family, pregnant mothers, children, older persons and adolescent girls. Babita also participated in the meeting and decided to develop a nutritional kitchen garden in her backyard. She consulted the SWATI workers and obtained the knowledge of developing it and started to grow different types of seasonal vegetables including green chile, banana, papaya and drumstick etc. Within two months, she started to harvest leaf vegetables, lady fingers and beans. It provided a big contribution to her family food and nutritional needs as well as cash income from the surplus sale.
According to her, the nutrition garden has not only given food security to her family but also generated confidence on how to overwhelm the situational crisis. Her initiation and success attracted other families to kitchen gardening. Now the majority of families in her village are doing this with their own initiation/ attempt and inputs without depending on government’s subsidies/ programs/ or hand holding supports. Babita is a role model of the village in kitchen gardening in her village.

Plans:


KRA: Reduce infant and maternal deaths in 75 project villages.
• Ensure participation in VHNDs for all the 18 ICDS centers for all the three months. Tracking of all infants and ensuring the presence of mothers in VHND in 18 ICDS centers.
• Meeting with adolescent girls on anemia, health and hygiene.
• Meeting with the RBSK[9] team for conducting health camps in 20 schools.
• Village level sensitization meetings with mothers and the other caregivers for enhancement of institutional safe deliveries and linking with the JSY[10] and MAMTA programs.
• Awareness programs in the villages for complete immunization and tracking of all children. Facilitation of immunization sessions to ensure 100% coverage.
• Facilitation for receiving 100 IFA tablets - discussion in VHND sessions to ensure the consumption of IFA tablets.
• Village level sensitization programs for facilitating the institutional birth deliveries. Tracking of all pregnant mothers for institutional safe deliveries in all the villages.
• Liaison meeting with Block Medical Officer of Health (BMOH) and Chief Medical Officer of Health (CMOH) for the entire staff for at least one Primary Health Center (PHC), Secondary Health Center (SHC) and Community Health Center (CHC).
• Joint meeting with AWW, Parents, Panchayati Raj Institution (PRI) members, ANM and NRC[11] representatives for referral at NRC center (in 4 panchayats two times a year).


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

• Organizing cultural events at the community level with the help of local traditional artists on thematic issues of adolescents, child marriage and nutrition.
• Conduct sessions related to health and nutrition with mothers at the mothers’ groups.
• Meeting with the villagers at community level for developing health action plans.
• Panchayat level training programs for the service providers covering Anganwadi Workers of 34 ICDS centers, ASHA[12] and ANM[13] of 4 Panchayats.
• Campaign on breast feeding week in project area for all the villages.
• Growth monitoring of the children 6 months to 6 years old reported by mothers. Counseling with the parents of the children who have been identified as SAM by the Anganwadi workers. Hand holding process in each AWC for regular plotting of the weight, age and height of the children by the Anganwadi workers. Regular monitoring of the center by the Panchayat members and ensure availability of weighing machines, growth monitoring charts and NRC.
• Panchayat level capacity building programs for identifying common symptoms of malnutrition.
• Meeting with the CDPO for full time Anganwadi workers in 34 Anganwadi centers.

Total amount disbursed in 2020 - 22,928


Financial Summary: January to December 2021


Budget Breakup 2021

Health

1,953

7%

Nutrition

1,874

7%

Education

7,390

28%

Protection

660

3%

Participation

9,422

36%

Admin

5094

19%

Total Grant Approved

26,393

100%