Project ‘Bharat Bachpan’

We believe that every child deserves the best start to life and an opportunity to reach his/her full potential. For this, we are focusing on ensuring healthy growth of every child in the first 1000 days.

The first thousand days of a child’s life (i.e, from conception of pregnancy till the baby reaches 2 years of age) not only impacts child survival but also physical & mental development for it’s entire life.

  • It also affects the child’s educational ability and life-time economic productivity, closely determining whether s/he is able to break out of the dangerous cycle of ill-health and poverty.
  • Inadequate growth in height with age (stunting; a form of malnutrition) beyond 2 years of age is irreversible. (UNICEF)

We devised a multi-pronged strategy to tackle this complex challenge. The details of each program can be read below:

Tele-Coordination Center

The primary objective of this Tele-Coordination center is to reduce MMR and improve Maternal & Child Health and Nutrition (MCHN) outcomes in general.

Broadly, the project focuses on

  • Accurate & timely identification of high-risk pregnant women.
  • Tracking & follow up of services provided to high-risk pregnant women (in particular) & other pregnant women (in general).
  • Tele-counselling of high-risk pregnant women & their family members.
  • Capacity building of ASHA & ANM in identifying & counselling high-risk pregnant women.
  • To provide inputs for improving last mile service delivery through feedback received on pregnancy check-up (ANC), Village Health & Nutrition Day (VHND) services, delivery at hospital, check-up after delivery (PNC), transportation services by 108/102, food under 'Arogya Lakshmi' scheme etc.
  • KCR kit payment (A conditional cash transfer scheme during maternity) issues clarification.

Timely & actionable reports and alerts generation through data analytics for kind perusal of the District Collector and District Medical & Health Officer (DMHO).

Jagruthi - Community Empowerment

Why?
Through various schemes and programs, government tries to ensure that every mother and child is healthy. But the public is usually not aware of these schemes (entitlements) or don’t know how to demand their rights to get the benefits of these schemes. This leads to poor service delivery as there is neither monitoring nor support from the community. We empower villagers to bridge this critical gap in a sustainable way
What?
We start with a baseline survey, conduct Tribal Entitlement Awareness Meetings (TEAM), form 'Swaasthya aur Poshan Mitra' (SPM) committees in each village, build capacities of SPM committees to support and monitor government schemes and conduct monthly people’s audits.
SPM Committee:
At the end of TEAM, the community selects a few enthusiastic villagers for 'Swaasthya aur Poshan Mitra' (SPM) Committee. SPM committee will have Sarpanch/Ward member, ASHA, AWT and the traditional tribal head as the de-facto members.

TEAM in field

m-Swaasthya Gyan

Why m-Swaasthya Gyan?

  • Adoption of a few key practices (colostrum feeding, early and exclusive breastfeeding, immunization etc.) can significantly reduce child deaths & malnutrition (UNICEF/LANCET).
  • Lack of effective ways of knowledge dissemination is a major contributor as to why these practices are not followed. Poor literacy levels of ASHAs, lack of monitoring & evaluation of practices followed at community level etc. signify the need for innovative approaches in last mile delivery.

What we do?

We believe that bridging the knowledge gaps related to the first 1000 days can improve the health outcomes substantially. We educate mothers & communities on key practices in a participatory approach to bring necessary behavioral change. This is because we strongly believe in the latent will of the mothers to ensure healthy growth of their children.

Key Practices that we promote

  1. Full ANC (Ante Natal Care) for Pregnant Mother
  2. Nutritious Diet for the Pregnant Mother
  3. Institutional delivery & Usage of supporting Government services
  4. Colostrum Feeding within 1 hour of birth & Exclusive Breastfeeding up to 6 months
  5. Complementary Feeding along with Breastfeeding from the 7th month
  6. Kangaroo Mother Care
  7. Complete Immunization of the child

How we do it?

In each village, we empower a local woman - Swaasthya Saathi (SS), generally an ASHA worker–with a tablet loaded with highly impactful videos. We use the power of ICT (Information and Communications Technology) towards robust monitoring & evaluation, and for effective scaling-up. We sustain the change by building capacities of various community institutions like VHSNC (Village Health Sanitation and Nutrition Committee).

Capacity Building of ASHA & AWT

We build capacities of ASHAs & Anganwadi teachers on identification and follow up actions necessary for severely malnourished children and high risk pregnant women. There is a huge need to train and handhold these critical foot soldiers on these important issue to create any sustainable impact.

Asha training AWT training