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Volume XX; No.2 April- June, 2007
SahivvaSamlDelan
Astate level Sahiyya Sammela,n ! in Jharkhand as
was organized on 16thJune 2007 . grass roots level
by Child In Need Institute (CINI)under workers for every
the collaborative project with PH titled, tola. Sahiyya,
"Strengthening NGO Capacity to
Improve Maternal a,nd Child Health
generally a woman
from the commu-
Status in Jharkhand through a Life nity keeps the
Cycle Based Approach" in association records of mainly
with its other partners, Krishi Gram pregnant women,
Vikas Kendra (KGVK),social initiative children and their
group of ICICI bank, Nav Bharat ANC/PNC and
Jagriti Kendra (NBJK), Lohardaga immunization status
Gram Swaraj Sansthan (LGSS) and
Sir Dorabji Tata Trust. Dignitaries
present in the workshop were
Sri Bhanu Pratap Sahi, Hon'ble
Health Minister, Government of
Jharkhand and Ms. Nidhi Khare,
Special Sec~etary, Department
of Health and Family Welfare,
Government of Jharkhand.
wShaith.liynyasahavviellabgeee.n Sammelan I.n progress
selected by Village Health
Committees (VHCs) in each village.
VHC members contribute a nominal
amount of money every month
which can be used during emergency
TheSahiyya Sammelan provided a
platform for the voluntary community
health workers and the Sahiyya,sfrom
various project areas to interact with
the Health Minister of the state as well
period and is called Village Health as other key functionaries from the
Kosh. YHCs are federated in the Government. A creative slogan used
In tune with the Government of block level for better advocacy and b9 every Sahiyya that formed
India's Asha programme under
NRHM, Sahiyyas have been selected
liaisoning with the block level
Government functionaries.
the theme of the day was "Swastha
Jharkhand, Sukhi Jharkhand".
3
4
5
6
7
8
9
10
Shri Bhanu Pratap Sahi, Hon'ble Health Minister, Gout. of Jharkhand
(3rd from left) and Ms. Nidhi Khare, Special Secretary, Department of Health
12
and Family Welfare, Gout. of Jharkhand (4th from left) at the Sammelan
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The concept of reproductive ri has its roots in the modern
human right
with the Universal Declaration
s, starting
8. The
first World UN Conference on
k place
in Tehran in the 1960s, made a mention of the right to determine
the number and spacing
World Conference on
second
ed that
women's rights are hu
n of all forms
of discrimination on
priority for
Governments; and, finally, that women have a right to the
enjoyment of the highest standard of physical and mental health
throuqhout the life cycle, and that this includes a right to
, adequate health care and to a wide range of family
planning services. The first time a comprehensive framework
for realizing reproductiv
was set out at the global level
was at the Internation onference on Population and
Development (ICPD)at Cairo in 1994.
As defined in ICPD "R
brace certain human
rights that are already
national laws, international
human rights documents and other relevant United Nations
consensus documents. These
rest on th
ition of
.the basicrightof allcouples
e reelyand
responsibly the number and
ren, and to
to do so, and the
t standard of sexual and reproductive
health. It also includesthe right of allto make decisionsconcerning
reproduction free of discrimination, coercion and violence as
expressed in human rights documents."
Popfbcu 5
In the Sammelan, VHC members, Sahiyyas and the
President of VHC Federation shared their
experience and the role they are playing in the
community. In an interactive session, Sahiyyas from
different areas voiced their opinion and asked several
questions to key functionaries. In response to the
queries Ms. Nidhi Khare pointed out that
. Government will provide a kit to Sahiyyas, after
the Sahiyya training program. The kit would
contain essential medicines for treatment in the
community .
. The suggestion of selecting Sahiyya in every
hamlet as against the Government norms of one
Sahiyya per thousand population will be
considered. Theywi1l be given remuneration on
the basis of incentives as per the Government
. norms.
Ideally Sahiyyas should be literate women who
have passed 81bclass. However, where.no literate
woman can be found, an illiterate Sahiyya can
be appoi~ted.
Shri Bhanu Pratap Sahi, Hon'ble Health Minister
mentioned that till June, 2007, 13000 Sahiyyas
have been selected and Jharkhand Government is
expecting to complete selection of 50,000 Sahiyyas
by the end of this year. He also said that Sahiyyas
act as a bridge between Government and villagers
and they can disseminate the health related
information and services to every C rner of the
village. Ms. Nidhi Khare informed t at only 10
percent of. the total deliveries in te~state are
institutional deliveries and 90 percent are conducted
at home. It was shared that a majority of the home
deliveries are assisted by untrained birth attendants
andSahiyyas are respoI1sible for case management
under life cycle approach (LCA), where workers
track pregnant wpmen, and children up to two years
of age and assist in service delivery. Executive
Director of NBJK," Girija Satish mentioned that
Sahiyyas motivate the community to access services
available during national and state level health
campaigns. The Sammelan ended with a vote of
thanks by Mr. Girija Satish to all the dignitaries
present on the occasion.
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Popfbcu s
InstitUtingRationaUl se01Drugsin
Reproductiv&e ChildHealthCare
The fact that India has a low level
of awareness on health issu.es is
no news. Presence of myths and
misconceptions regarding health
seeking behaviour and poor adoption
of preventive measures has led to
higher morbidity rates. The cost of
medicines accounts for almost 70
percent of the total health care
spending. The near absence of
effective medical insurance scheme
for approximately one third of more
than a billon population, who live
below poverty line, makes provision
of effective, efficient, economical
treatment regimen all the more
important to reduce maternal and'
infant mortality rates.
In this context, irrational use of dru~s
has emerged as a serious public health
concern with growing incidences of
drug resistance..It has been estimated
by the WHO that more than 50% of
the drugs that are prescribed are either
not needed, unsafe, ineffective or not
stored properly.
Fulfillment of Reproductive and Child
Health needs of the community has
been at the core of PH activities
aimed at addressing larger population
issues. In this context, Rational Use
of Drugs (RUDs) becomes all the
more critical for promotion of
Reproductive and Child Health
among the community. With this goal
in mind Population Foundation of
India and Family Planning
Association of India (FPAI), joined
hands to work on the project
"Instituting Rational Use of Drugs in
Reproductive & Child Health Care",
which has a focus on institutionalizing
RUD in the service delivery centres
of FPAI located in 27 branches of
FPAI in parts of southern region.
Two 3-day workshops on
Introduction of Rational Use of Drugs
in Reproductive and Child Health
Care were organized from 17-19
April, 2007 in New Delhi for
northern states and from 19-21 June,
2007 in Bangalore for southern
states.
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II
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I
Inauguration by Prof. Ranjit Roy Chaudhury,
Northern Region Workshop
More than 30 participants,
comprising Medical Officers, Branch
Managers, Store keepers and
volunteers from 10 FPAI.branches
and from northern states attended the
workshop. Delhi Society for
Promotion of Rational. Use of Drugs
(DSPRUD) trainers functioned as
Master Trainers. Separate plenary
sessions for Medical Officers and
Store keepers were organized, which
focused on the basic concepts and
need for Rational Use of Drugs,
existing system of selection,
quantification and procurement of
drugs. Group work was done dn
efficacy of procurement system,
quality assurance, proper storage for
drugs an d appropriate dispensing
practices..
Southern Region Workshop
The workshop was held in Bangalore
with the support of resource persons
from the Karnataka State Chapter of
DSPRUD, which is referred to as
Karnataka State Promotion of
Rational Use of Drugs (KSPRUD),
About 45 staff of FPAI, comprising
medical officers, branch managers,
store keepers and volunteers from 17
southern states, were present. The
workshop broadly followed the
methodology of the northern
workshop. However, more emphasis
Member, Governing Board of PH
was given on methods of
quantification of drugs and
procurement guidelines on which
group work was done during the
workshop. Quality assurance was
another area, which was emphasized
during the workshop. A format was
shared with .the branches for
preparation of the Action Plan and
each branch was encouraged to
develop an Action Plan, which is to
be followed in institutionalizing
rational use of drugs.
The Standard Treatment Guidelines
(STG) to be use.clby medical officers
was released by FPAI at the
. workshop. The branches have been
I advised to prepare the Action Plan
,I covering the following areas -
f an essenti .l drug
I
I
'/P.lisrteparationo.
. ..
.
J. ,/ Quantification. .of drug
I requirements
.
I ,/ Preparation of new procurement
plan for drugs identified
II ,/ Preparation of inventory
I management plan and a
monitoring plan
These documents when prepared
I
I will help the organization to
I institutionalize and monitor rational
use of drugs in all the participating
clinics. A task force within the
organization was developed to
monitor the progress of plans. 1\\1
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Popfocu s
Explorill NewFroldersilSIH
The 4thAsia Pacific Conference on
Reproductive and Sexual Health
and Rights (APCRSH), scheduled to
be held at Hyderabad from 29thto 31 5t
October, 2007 cis a significant event
for the Asia Pacific region. Not only is
the issue of Sexual and Reproductive
Health (SRH) central to achieving the
Millennium Development Goals
(MDGs), it is also an extremely
pertinent issue in context of the region,
with a low provision and intake of
health services and a large number of
young people in the region.
It is a matter of pride for India to be
hosting the Conference this year after
the previous 3 Conferences held at
Manila, Bangkok and Kula Lumpur.
The preparations for the same are in
fullgear with a number oforganisations
from allover the country like Centre
for Operation and Research and
Training (CORT), Centre for Health
Education, Training and Nutrition
Awareness (CHETNA), Child In Need
Institute (CINI), Family Planning
Association of India (FPAI), Indian
Society for the Study of Reproduction
and Fertility(ISSFR),MAMTA~Health
Institute for Mother and Child,
Population Foundation of India and
The Humsafar Trust forming the
Consortium, along with other
organisations like Population Council
and. IPPF working together towards
making the 4th ApCRSH a huge
success. The overwhelming response
of prospective participants, civil
society, donors, etc gives the
conference an enormous scale and
potential to share experiences.
In response to calls for Abstracts, a
total of 921 abstracts were received.
As many as 72 reviewers from over
15 countries of the Asia Pacific
Region reviewed all abstracts.
The total number of abstracts finally
accepted is an awe-inspiring 343
from 42 countries of which, 181 have
been accepted for oral presentation
and 162 for poster presentations.
Apart from the presentations, the
symposia, satellite sessions as well as
skills building and empowerment
. worksh'Opsare expected to generate
a lot o(,.iQterest and discussion.
With more than 50 countries andover
1200 participants expected, the
4th APCRSH promises to live up to
its theme of "Exploring New Frontiers
in Sexual and ReproduCtive Health
and Rights".
II
For more information,
log on to Www.4apcrsh.org
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Popfocu s
Qilib IIClrlllidlliVlillihlr
'Quality of care can be defined by the way the clients are treated by the system, or the actual process of care giving,
and by the focus on the client's or user's perspectives of the services. ' (Hull, 1994)
It is now an established fact that in
order to achieve population
stabilization, it is necessary to focus
on quality of health care services.
The International Conference on
Population and Development (ICPD)
Programme of Action (PoA) also
affirms that all reproductive health
facilities should have 'quality' as the
paramount feature in service delivery.
Effective advocacy for this is required
with policy makers, planners,
programme functionaries, media,
public-private health care providers,
NGOs, PRIs, women's groups etc.
As an effort to integrate quality of care
within the existing NRHM
framework, PH launched an initiative
titled Building supportive
environment
for improved
quality of care through advocacy
initiatives in Bihar. The project was
supported by the Ministry of Health
and Family Welfare under the UNFPA
Country Program 6.
PH tied up with Bihar Voluntary
Health Ass..ociation (BVHA) to
implement the project in seven blocks
in two districts of Gaya and Vaishali
in Bihar. The blocks/villages were
identified based on their socio-
demographic and health indicators.
Objectives of the project included
activation and formation of Village
Health and Sanitation Committees
(VHSCs), sensitization of the
community leaders, PRI members,
government health functionaries
including the members of the Health
Societies at state / districts level and
Rogi Kalyan Samiti members at block
level on the issue of quality of health
care services.
A network of seven-field level NGOs
was selected for implementation in
seven blocks. Capacity building was
a critical aspect of the project.
A planning and orientation exercise
with the state and field level NGOs
was held in the beginning of the
project. The NGOs were given an
elementary understanding about the
Shri Chandramohan Rai, Hon'ble Health Minister (Centre),
Mr K P Ramaiah, Executive Director,State Health Society and
Ms Sona Sharma, Joint Director,PH at the planning meeting
concepts of quality of care in
reproductive health. .
The partners spanned out to 70
villages in seven selected blocks to
identify, form and orient village
health and sanitation committees.
Rogi Kalyan Samities, which were in
existence at the PHC level, were also
approached and oriented on quality
of care in reproductive health.
A mid-course review of the progress
in formation of VHSCs revealed that
although the committees had been
formed in all selected villages,
activation of these committees (a key
outcome of the project), was still a
challenge. Therefore, a decision was
made to involve the committee
members and assist them in
developing village advocacy plans
focusing on "quality of care" and in
the process, activate the committees.
A community needs assessment
(CNA) using participatory techniques
in 35 villages of the seven blocks and
a facility survey of the PHCs were
carried out in the two districts.
The exercise leading up toa village
health plan focusing on quality of
care, included two days of focus
group discussions and village
mapping exercises among the
community members to assess the
prevalence of diseases, the
awareness levels of national
programs, existing behavior related to
health issues, private sector facilities
available in the area and their
perceptions and feedback on the
government health services. The third
day was a planning exercise along with
the VHSC and other people from the
community. Partner NGOs were
oriented on the process and trained
to carry out the CNA exercise and
document the process and specific
case studies related to "Quality of
Care" in reproductive health services.
A state level dissemination and
planning meeting was organized at
Patna in June 2007. The State Health
Minister Shri Chandramohan Rai was
the Chief Guest at the occasion. The
meeting was also addressed by
Mr K P Ramaiah, Executiv~ Director,
State Health Society. Senior health
officials, state level NGO1, media,
community representativds and the
field partners participated in the
meeting. Presentations were made on
the campaign which highlighted the
objective, strategies, activities and the
broad outcomes, a special presenta-
tion was made on the process and
outcome of the facility survey, the
village health plans shared with
participants and an audio-visual
capturing the perspectives of various
stakeholders was shown. The meeting
brought forth some useful suggestions
for the next phase of the project.
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Pop/ocu s
Disse8inalionahdPlaooiog.Meeliolll.MissioIGirls'
A s part of the 'National Advocac y '
r-\\and Communication Project.'
under the MoHFW, GOIl UNPFA I
assisted Country Programme-6', PH
Apart from the NGOs, the meeting was
attended by concerned government
departments like Health & Family
Welfare,Women & ChildDevelopment
continued its intensive advocacy I and Panchayati Raj froin the three
initiatives.. on the issue of 'Missing states. The meeting was divided into
Girls' in the states of Punjab and I two sessions. The forenoon session was
Haryana and also included Himachal I
Pradesh in the new phase. The
intervention was implemented in two
districts each of the three states -
dedicated to the campaign activitiesand
outcomes where presentations were
made by partner NGOs as well as PH
The posHunch session was dedicated
Punjab (Fatehgarh Saheb and Patiala), to a discussion on future planning and
Haryana (Ambala and Kurukshetra) action.
and Himachal Pradesh (Solan and
Sirmour) in partnership with the
Voluntary Health Association of
Punjab and SUTRA. As part of the
strategy,ten villages from each district
of Punjab and Haryana and 24 Gram
Panchayats of the districts of
Himachal Pradesh were selected
based on the child sex ratio (0"6 yr~)
of Census 2001 for the micro level
advocacy interventions.
The first session started with a
welcome address by Dr Kumudha
Aruldas, Additional Director, PH
followed bya presentation on the
Campaign Overview by Ms Sona
Silarma, Joint Director, Advocacy &
Communication, PFI. In her
presentation, she highlighted the
broad objectives of the campaign as
well as the lessons, challenges and
outcomes.
In Punjg;b and Haryana, community
groups were formed in 40 adopted
villages and their capacities were built
to enable them to act as change agents.
While making a brief presentation on
the. campaign activities in the state of
Himachal Pradesh, Mr Subhash
Meridapurkar, Director, SUTRA said
In Himachal Pradesh the strategy that sensitization and empowerment
included involving PRI members and of the frontline health workers is an
sensitizing1hem on the issue of missing
girls.Gram Panchayats were motivated
to convert every village in to 'Kanya
Bhroon Hatya Nished Gaon'.
.
Dissemination and Planning
important aspect and requires
immediate attention in the future
interventions.
The third presentatioI1 of the day was
made by Mr Manmohan Sharma,
Activities implemented under this
project were documented and the
findings and outcomes were shared
in a. dissemination and planning
meeting held at Barog on June 27,
2007.
Executive Director, Voluntary Health
Association, Punjab on the campaign
activities undertaken at the village
I level inHaryana and Punjab.
I
Dr Suniti Ganju, Deputy Director,
I PCPNDT, Himachal Pradesh, in her
remarks, shared
some of the
initiatives taken by
the state govern-
ment on the issue
of sex selective
abortion. She made
special reference
to the recently
constituted State
Task Force to
conduct raids on
suspicious clinics
and to monitor
effective implementation of the
PCPNDT Act. DrV K Goyal, Director,
PCPNDT, Punjab, made a presenta-
tion of the work done by the State
Government on the issue.
Dr 0 P Mittal, Director, Health
Services, Haryana made a brief
presentation on the efforts Haryana
Government has taken to improve
the child sex ratio and shared their
experience of a. recent raid where in
they h~i!lnearthed aborted. female
foetuses from a sewage tank at an
illegalprivate nursing home in Pataudi
village near Gurgaon.
Session-II was chaired by Dr V K
Goyal, Director, PCPNDT, Punjab.
The main objective was to deliberate
on- possible strategies for the next
phase. Some of the recommenda-
tions received, were:
.Capacity Building Strategies
Empower district Attorneys and
Judges and sensitize them on the
. implications of the Act.
SensitiZe the members
of
committees constituted atthe block
level for PCPNDT.
. Win over Dais who provide
abortion services through gender
. sensitization.
Build the capacity of frontline
workers to interpret tile data
collected and its analysis so that
appropriate actions can be planned
at the local level.
.Advocacy issues
Involve NGOs for palidating/
checking of 'F' p4rforma at
. ultrasound clinics. .1
Constitute committei at the block
level for PCPNDT, ensuring equal
representation of CBOs, PRis and
NGOs - follow Punjab example.
. Recognition of good work of
. Officers by the Government.
Employ unemployed youth for
. spreading awareness on PCPNDT.
Introduce regular and proper
schemes to promote girl child,
evaluating the actual benefits and
modifying schemes that indirectly
promote two-child norm.
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Pop.focu s
ScalingUp- EvidllClol18pact
For several decades, donors have
provided financial support to
social innovations hoping that once
these improved designs show success,
they will attraet attention and
subsequently, either be adopted by
the Government systems and be
grafted into policy or incorporated
into its programs by some large
organization or be taken to scale
through expansion. It was visualized
that the innovation and thus, their
investments will bring benefit to
millions of people across the globe.
Unfortunately, there is very little
evidence that social innovations,
especially in health, have gone to
scale.
At the turn of the twenty first century,
social sector, especially public health,
across the world turned its attention
to this huge chasm between successful
innovations and the lack of its impact
on millions of lives.Scaling up entered
the lexicon of health program
managers as one of the important
contemporary challenges. Achieving
scale was and continues to be a
concern, whether the challenge is
saving newb~rn lives, providing safe
motherhood, turning the tide of
adverse. sex ratio or fighting HIV/
AIDS.
Though several attempts were made
in the past to understand the
challenge of scaling up innovations,
the real impetus came in 2003 when
the University of Michigan School of
Public Health and the World Health
Organization (WHO), Department of
Reproductive Health and Research
organized a series of three meetings
under the title "From Pilot Projects
to Policies and Programs" at the
Rockefeller Foundation Bellagio
Conference Center. This series of
meetings, popularly called the
Bellagio Conference, on one hand,
fostered a genre of champions for
scaling up while on other hand, led
to several initiatives to find solutions
to the challenge of scaling-up.
There are fifteen factors about the
approach, program, intervention or
innovation that must be considered
when making the choice of whether
to scale it up or not. While considering
the choice of intervention or
approach for scaling up, the first and
foremost task is to judge the outcomes
of the intervention and its potential
impact on major health outcomes.
FACTOR 1: Evidence of impact
of the approach
Experience shows that most of the
interventions focus on outputs rather
than outcomes or impact. This
happens because interventions either
lack the rig our of research or
comprehensive understanding of the
programme scenario or have too
short an implementation span to
examine impact of the intervention.
Interventions that show results at
impact levels may have greater
acceptance with the adopting
organization/so For example, in
Gadchiroli, Maharashtra, community
based semi-literate women were
trained to provide home based
newborn care (includingmanagement
of asphyxia and sepsis). The
intervention, in five years of
implementation, showed a reduction
in infant mortality rate by as much as
55% over those in the control sites.
With India's commitment to
Millennium Development Goals of
reducing infant mortality by two-thirds
and urgency in policy circles to
respond to high infant mortality in
various parts of the country, this
intervention is seen as one of the
more potent ways to meet the
commitment.
Other considerations while reviewing
the evidence of results of the
approach are:
1. Degree of change in indicators at
the end of intervention over the
baseline
2. Degree of change in indicators
over the control sites (if any)
3. Ability to attribute change to
individual components of the
approach
Definition of
Scaling-Up
"Scaljng-up" are
efforts to increase the
impact of health
service innovations
tesled'ln pilot or
experimental projects
so as to benefit more
people and to foster
"Ii>
policy and program
development.
4. Acceptance of the results within
the scientific and development
community
Wherever impact of the interventions
on health outcomes are not available,
one may look at outcome indicators.
One of the key considerations while
doing so should be the consistency
of indicators for intervention with
those used nationally or globally.
Inconsistent indicators often diminish
the legitimacy of the intervention and
its results.
The scientific community places high
value on the rigour of the research
and closely examiljles the
.methodology,sample SiZ sampling
methods, data collection t ols and its
use, etc. It is also pr ~ferable if
evaluation of the intervention is done
by an independent agency, known for
its rigor in monitoring and evaluation.
Publication of scientific evidence in
peer-reviewed journals, especially
those that are renowned for rigorous
peer reviews, will definitely score
high.
Other factors regarding the approach,
programme and innovations to be
considered while scaling up willfollow
in subsequentissues.
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Popfocu s
EncouraginYgouthPaniciPalioinnPolicf-aners
Population Foundation of India in
collaboration with Government
of Bihar undertook Regional
Consultations on Youth Issues in
Bihar. The objective of these district
level consultations was to engage
different stakeholders including young
people in the state to deliberate and
provide feedback and recommenda,
Gtioonvser.nomn enthte odfraBftihayro.uAth toptoallicyof o6f
regional consultations were planned
in the entire state With each region
representing the districts, which fall
under it.
Three regional workshops have been
completed in Madhubani, KatiIJarand
Muzaffarpur by the end of June,
2007. The day long workshops were
designed to be a participatory and
engag.ing process where the
participants deliberated on the
strategic focus areas of the draft youth
policy in the context of the region
and the state. PRI representatives,
District Magistrates and local
Government .officials apart from
other civil society representatives,
attended the consultations. The
strategic focus areas of the youth
policy ate education, health,
livelihood, sports, art and culture,
environment and science and
technology.
FolloWingare the highlights from the
three consultations,whichare
valuable as recommendations for the
draft policy and for programmes for
young people in Bihar.
.Education
Education upto class 10thneeds to
. be made compulsory.
Inclusion of professional courSeS
in education curriculum with
. emphasis on employment.
Reproductive and sexual health
education should be provided to
.I adolescents in school.
Establish technical and vocational
institutions at division, district and
. sub,division levels.
Promote
e'schooling
on
communication, professional and
vocational courses.
.Health
Ensure youth friendly health
. facilities.
Health insurance schemes should
be implemented and monitored at
. community level
Importance should be given on
traditional treatment and
. naturopathy (yoga, exercise etc).
Increase community engagement
. and participation in NRHM.
A refresher course for rural health
worker is required.
Environment, .Science and
Technology
. Need for collaborative efforts
and action on water conservation,
. plantation and other programmes.
Give importance to social forestry.
. Promote institutes and colleges on
'Science and Technology.
Youth Leadership, Sports,
.Entertainment, Art and Culture
Form youthworking committee at
Panchayat, block and district levels
to coordinate youth programmes
. and trainings.
Increase emphasis on ensuring
. women participation in sports.
Promote rural traditional games
. and adventure sports.
Inclusi.o,>nof social study/science in
. every.>'course in all colleges.
Ensure participation of youth in
Government plans, schemes and
programmes.
Livelih'()od .and Employment
. Create local resources based
. livelihoods options.
Special insurance schemes for
agriculture based livelihood
. programmes.
Create opportunity for recognition
of skill oflocal people and provide
. relevant training.
Establishment of local resources
based indl.lstry to minimise
. migration.
Ensure linkages of CBOS with
microfinance institutions for loans
to individual and youth clubs to
initiate income generation activities.
The remaining three consultations
willbe held in July,August 2007. The
entire process will throw up issues of
importance pertaining to the youth of
Bihar. PH Willbe sharing the sugges'
tions and recommendations of the
consultations With the Department of
Youth Affairs, Govt. of Bihar.
III
j
District Magistrate of Bhagalpur at the Bhagalpur
Youth Consultation
Ms. Ragini Devi, Chairperson, Zila Parishad at the Madhubani
Youth Consultation
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\\£.)£1
~"O"OUN",""~~
Popfbcus
AddressingAnemiaPrevalellcienGorDalnDistrict
One of the major contributory
factors of high maternal
morbidity and maternal mortality in
India is anemia. It is the second most
Key strategies being
implemented to achieve
the above objectives are:
common cause of maternal deaths, Awareness Genera-
accounting for 20% of total maternal
deaths. Anemia contributes to
tion: The intended
audience are formed
adverse maternal outcomes such as into groups (adolescent
puerperal sepsis, ante-partum
and women SHGs) in
hemorrhage and post-partum
different regions for
hemorrhage. Apart from the risk to group counselling. The
the mother, it is also responsible for group formation allows
increased incidence ofpremafure
peer review and super- Cooking Demonstration "-
births, low birth weight babies and
high peri-natal mortality [Roy 2001].
Addressing this issue is hence key to
improving the health status of women
vision for taking tablets
and modifying the dietary pattern.
Street plays, puppet shows, radio
I
programmes and documentaries are.
A baseline surVey was carried out in
the field areas of the NGO. Some of
the key findings, which emerged were:
and children. Population Foundation being used for creating awareness.
. 58.5 percent of the adolescent, 54.8
of India, in partnership with Stikarya,
percent of pregnant women and
has initiated a pilot project
Cooking Demonstrations:
. 5t6 percent lactating women had
"Assessment, Prevention and Control
of Iron Deficiency Anemia Inter-
Cooking demonstrations are done in
the communities for better
vention among Adolescent Girls, understanding of meal composition
Pregnant and Lactating mothers in
rural Gurgaon, Haryana" for a period
and preparation with respect to
enhancers and inhibitors of iron
of 3 years with the overall goal of absorption.
reducing the prevalence of Iron
Deficiency Ariaemia among the girls
in the age group of 13-18 years arid
Periodic Camps: Clinical examina-
tion is done for adolescent girls,
also pregnant and lactating mothers. pregnant and lactating women after
counseling and consent by a medical
.Objectives of"l:heproject are:
Measuring the prevalence of
. anemia in the target group.
Understanding the knowledge,
officer. Those found anaemic clinically
are subjected to haemoglobin test for
confirmation. A qualified laboratory
technician does Haemoblobin testing
(cyanmethemoglobin
method).
attitude arid practices in consuming If anaemia is confirmed, they are
iron rich food and the general
given tablets for deworming and iron
. health seeking behaviour.
Creating awareness on anemia and
supplementation for a period of three
months. Haemoglobin estimation is
. its adverse effects.
repeated among those detected
Prevention and treatment of ' anemic after three months of iron
reported knowledge on. anemia.
. The respondents
- pregnant
(37.9%), lactating (29.6%) and
adolescents (30.7%) reported that
they do not know the reasons
. behind anemia.
41.1 percent of pregnant women
and 57 .9 percent of lactating
women identified Jack of nutritional
. food as the root cause of anemia.
Thirty five percent of unmarried
adolescent girls were found to be
suffering from anemia. Amongst
the pregnant women and lactating
women, 58.9 percent (almost
2/3rd) and 51.2 percent were
found to be anemic.
The baseline identifies specific
indicators related to anemia
prevalence based on which the
project willbe evaluated at tpe end of
anaemia among the target group. I supplementation.
the project period in three~ears. II
.New Projects in the offing...
A five
uctive and ChildHealth Status of the Tribals in Noamundi Block.
West Sing
and" has been launched by PH in
rishi Gram Vikas
. Kendra (KGVK),Ranchi. The project aims to cover a population of about 30
of the district.
An Eighteen mo
ce B
dvocacy for Maternal and Child Health A
the
Urban Poor
at
has b initiatedin collaborationwith Sahaj ,Vad a based
on Sahaj's experience a
with the Municipal oration of Greater Mumbai(MCGM)to start gynae
. OPDs in health posts of urb~n slums.
A three year project
anReproductivaend
withEmpowerment
Approach"has been lau
of the capitalin pa
undation along with four
local NGOs reachinqa populationa a out 80000.
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. .f. <
\\~1'1v.l
o. 'OUNO","~
Popfocus
EXlendinUNelWorJ(s-EnsurSinegrvices
"T"he Global Fund Round 4 - Access
1 to Care and Treatment
enhanced, and care and support
services including palliative care were
Network of People living with
HIV/AIDS (INP+), was held at the
Programme has completed the
Phase~I in six states viz. Andhra
Pradesh, Karnataka, Maharashtra,
Manipur, Nagaland and Tamil Nadu
and has entered into the Phase-II from
1st April 2007 for a period of three
years.
Achievements in Phase-I
provided to 68,739 PLHAs.
Through its participatory method,
training and research activities, the
programme has touched the lives of
many more people than just PLHAs
and service providers. It has nurtured
awareness and self - confidence in
PLHAs, and encouraged them
Qutab Hotel, New Delhi from April
4-12, 2007. The focus of the meeting
was to discuss on the achievements
in Phase-I period, challenges faced in
Phase-I, quality of services, Phase-II
programme and plans, initiatives
taken up by PH, coordination issues
at the state level and role
clarifications.
Under phase I of Round 4 HIV/ AIDS, to empower themselves. The
102 District Level Networks (DLN)of programme has been seen by ACT Promoti.ti'Access to Care and
People Livingwith HIV/ AIDS (PLHA)
have been established/ strengthened
staff as an opportunity to try out new
approaches and all the partners
Treatment (PACT) -
The Global Fund Round 6
in 102 districts of the six states. 25
Treatment Counseling Centers (TCC)
have been. set-up within the premises
contributed to their development.
Plans for Phase-II
"IV/AIDS Programme
~
The Global Fund Round 6 HIV/ AIDS
Programme is being implemented in
.
of the ART centers where the InPhase-II of the programme, 28 new the eight vulnerable states of the
individualsand the familymembers are district level networks of PLHAs will country namely, Uttar Pradesh,
provided counseling on treatment
education and adherence. These
individualsare also linked to the DLNs
and other NGO networks for follow-
up activities. The Positive Living
Centers (PLC) set-up in 5 places
provided basic primary health ci'ire
facilities for PLHAs, addressed the
needs of infected, affected and are
creating an enabling environment
through adwxacy and multicultural
linkages. Further two care and support
centers set up in the programme are
be set-up in addition to the existing
102 networks. This has been planned
to cover most of the districts with the
presence of district level networks of
PLHAs and bringing services closer
to people who willbe enrolled in care
and support services provided from
the~District Level Networks. 25
Treatment Counselling Centres, 11
Positive Living Centres, 5 Community
Care centers and 6 corporate ART
centers will be established.
Madhya Pradesh, Rajasthan, Gujarat,
Bihar, Chhattisgarh, West Bengal and
Orissa. The programme has a focus
on scaling up of access to ART in the
eight highly vulnerable states. Apart
from scale up of ART, it also builds in
the care and support .component
through the Community Care
Centres.
The Population Foundation of India
as Principal Recipient has signed the
grant agreement with The Global
providing services to PLHAs. Two Coordination,Planning
and
corporate ART centers have beenset~ Review Meeting
up in Wadi, Karhataka with the
Fund to Fight AIDS, Tuberculosis and
Malaria for the programme,
"Promoting Access to Care and
support of the Associated Cement The Coordination, Planning and Treatment - PACT". The core sub-
Company Ltd and in Chandrapur,
Review meeting for the Global Fund grantees involved in implementing the
Maharashtra with the support of Round 4 Project" Access to Care and care and support component of this
Ballarpur Industries Limited. Capacity Treatment - ACT" with the~ State programme are Indian Network for
of 819 service providers including 151 Programme Units of Population
People Living with HIV / AIDS
master peer educators have been Foundation of India (PH) and Indian (INP+), Chennai, Hin du 'a n Late x
~ Famil Planning
Pro tion Trust
(HLFPPT),
New Delhi and
Catholic Bishops
Conferences of
India (CBCI),
New Delhi. This
is a five-year
programme
initiated since
June 2007 and
the first phase is
for two years. III
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1'1 '
<
~ .lUlflI.~
'QO"OUND>"O~&
Popfbcu s
FromIbe ExecutiVDeireclor'sDiarv...
Mr. A.R. Nanda, Executive Director participated in the MacArthur Foundation grantee meeting on April 5-6, 2007
at Patuadi Palace, Pataudi, Haryana.
The Executive Director was invited to attend The David and Packardlucile Foundation's Advisory Committee Meeting
held on 26-27 April, 2007 at Palo Alto, USA.
Executive Director, Mr A.R. Nanda attended the Dissemination Seminar on the occasion of "Release of Chart books on
HIV/ AIDS in India, Uttar Pradesh and Bihar" on Saturday the 2ndJune, 2007 at Lecture Hall, India International Centre
(Annexe), New Delhi.
The Executive Director chaired the JSA-AGCA Consultation Meeting to present the findings of People's Rural Health
Watch initiative of JSA on 15thJune, 2007 at YWCA, New Delhi.
The Executive Director was invited to attend the Brainstorming Meeting on "Strategy Paper on Migration & Urbanisation"
organized by UNFPA, New Delhi on 25th June, 2007 at UNFPA office.
\\;!.
Mr A J Francis Zavier working in
the Monitoring and Evaluation
Division at the Population Foundation
of India in June 2007.
Mr Hans Raj Dahiya who
retired in June 2007 after working
with the Population Foundation of
India for 36 years. We wish him
all the very best in his retired life.
The Population Foundation of India extends a warm welcome to all those, who have joined as part of the team set
up to work on the Global Fund Round 6 "IV jAiDS project in New Delhi and at the regional level.
Neeraj Mishra
Strategic Information and
Evaluation Associate
(Monitoring and Evaluation)
Wew Delhi
Milan Rana
Accountant
New Delhi
Bijit Roy
Programme Associate
New Delhi
Sushil Kumar Pandey
Accounts Officer
New Delhi
Sangeeta Shrivastava
Administration and
Procurement Officer
New Delhi
Smrity Kumar
Strategic Information and
Evaluation Associate
(Monitoring and Evaluation)
New Delhi
Tripti Chandra
Programme Associate
New Delhi
Achint Verma
Assistant Regional
Co-ordinator
Madhya Pradesh
Ashish Kumar
Assistant Regional
Coordinator
Jaipur
Md. Raza Ahmed
Regional Co-ordinator
Madhya Pradesh
Ramesh C Parmar
Regional Co-ordinator
Jaipur
Mukta Sharma
Regional Coordinator
Lucknow
Mini Ramachandran
Technical Assistant
Madhya Pradesh
I
Subhash Kum J Sharma
Technical Assist'tt
Jaipur
Umesh Chandra Routray
Assistant Regional
Coordinator
Lucknow
Durga Prasad Gupta
Technical Assistant
Lucknow
Rajeev Kumar Singh
Assistant Regional
Coordinator
Lucknow
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I'..~ ,~f"O.,I"afJuIN.O.'""l".l
Popfocu s
Dr.lharatRaDl..F. ondlvReDleDlbered
Dr Bharat Ram along with Mr. J.RD
Tata became one of the first few
persons to sound the alarm soon after
independence about the serious
implications of India's rapidly growing
population, especially in the context
of the nation's resolve to remove
poverty and create new opportunities.
to This concern soon gave rise a
significant non-governmental
initiative born in 1970, called the
Members of the Governing Board and
the staff of PH wish to pay homage
and express heartfelt sorrow at the
passing away of Late Dr. Bharat Ram,
Founder and Beloved Chairperson of
PH, who left for his heavenly abode
onJuly 10, 2007.
Dr Bharat Ram's invaluable services
to the cause ofpopulation stabilization
are remembered, which were inspired
by his vision of an Independent India,
according to which all citizens would
be able to seek and achieve true
fulfilment through a process of
humane socio"economic transfor-
mation of the country.
Family Planning Foundation (now
called Population Foundation of
India).
The contribution, which the Founda~
tion has been able to make under
enlightened leadership such as
Dr. Bharat Ram's, as an independent
but committed forum for securing
family planning and sustainable'
development an important place in
national affairs, is acknowledged by
many.
Dr Bharat Ram used every
opportunity to reiterate the issues of
population and development and
always laid emphasis on the education
of women and youth on whom the
burden of the future would fall. His
distinguished career, spanning the
best part of the 20th century and the
early part of 21 st century reflects not
just the aspirations and endeavours
'If.',
of the country, but also his role in
exploring new avenues, which have
left an indelible mark on various
aspects of national life.
The tremendous loss, caused by
Dr Bharat Ram's demise is irreparable
because men like him are not only
unique but also rare. We hope that.
the traditions, values and standards
of excellence set up by him in all
ventures he embarked upon, will
always be upheld, and will continue
to inspire all those who pre working
for the good of the cou~try. II1II
Published by
Population Foundation of India
EditorialGuidance
Mr A.R. Nanda
Editor
Ms SoDa Sharma
EditorialTeam
Ms Chandni Malik
Ms Jolly Jose
Editorial Committee
Ms Usha Rai
Dr Almas Ali
Dr Lalitendu Jagatdeb
Dr Kumudha Aroldas
Dr Sbarmila G. Neogi
Designed & Printed by Communication Consultants Tel: 91-11-24610176, 9811074665