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Popfocus 2006 July September English |
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Social, cultural, political and
economic factors are responsible
to a large extent for maternal and
child deaths in a country. Maternal
morbidity and mortality is high in
India, there being a maternal death
every five minutes due to obstetric
causes. Given the poor vital events
registratfon system and generally the
poor status of women in the society,
the estimated number of deaths is
likelyto be much more. The Maternal
Mortality Ratio (MMR)and the Infant
Mortality Rate (IMR)are quite high in
Rajasthan - way above the national
average. In addition to maternal
deaths there are close shaves with
death - "near-misses" as they are
called - which are many more than
the number of deaths. Evidence has
shown that the availability of a Skilled
Birth Attendant during labour is one
of the most successful and cost
effective strategies to reduce maternal
mortality and to ensure the survival
of the newborn.
Ms. Suman, a nurse midwife examining a patient at a health centre in Jhunjhunu,
Rajasthan
World Population Day 2006 - 3
Experience Sharing on "Missing Girls"
at Chandigarh - 4
Manav Seva Sansthan to the Rescue - 5
Health Care Services in Madhya Pradesh - 5
Ouality of Care in Reproductive and
Child Health - 6
The Regional Resource Centre -
Recent Activities - 6
Reproductive Health and Adolescent Health
in India - Scaling up Pilot Projects - 8
An Update on Activities of the Global Fund
Round 4 Project on hiv/Aids-
"Access to Care & Treatment" - 9
Political Advocacy Initiatives - 10
One year of the National Rural Health Mission:
A Stakeholder's Consultation - 11
From the Executive Director's Diary - 12
Forthcoming Events - 12
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ne of the socio-demographic goals as stated in the National
Population Policy 2000 is the reduction of Infant Mortality
Rate (IMR)to below 30 per 1000 live births. The IMR of India at
present is 58 per 1000 live births. Furthermore, as a signatory of
the Millennium Development Goals, India is committed to reducing
child mortality to two-thirds of the existing level, by the year 2015.
Reduction of neonatal mortality is also one of the main objectives of
the National Rural Health Mission (NRHM) of the Government of
India.
Globally over 130 million babies are born every year, of which nearly
8 million perish before their first birthday, four million die before
they are four weeks old and 98% of these deaths occur in developing
countries. The risk of death in the neonatal period is six times higher
in the developing countries than in the developed countries. The
risk of neonatal deaths is the highest in Africa, where the figure
stands at 41 neonatal deaths per 1000 live births. Given the high
mortality rate in the south and central Asia sub region, over 40% of
global neonatal deaths take place here. In India, as many as 1.24
million children die every year before they are 12 weeks old, the
largest number in any single country. (Source: WHO, 2005)
To achieve the Millennium Development Goals, there are many
countries that have set as their priorities, maternal mortality and
care of children under the age of fiveyears. While preparing strategies
to address these issues, it is very important for the countries to
know the magnitude of births and infant mortality. However in a
number of countries, a large proportion of live births and deaths of
newborn children remain unregistered. In fact only 14% of births in
the world are registered.
Despite improvements in health systems over the last few decades
infant deaths continue to be high because of inadequate focus on
newborn care and other issues related to childbirth. The neonatal
period is the critical period of four weeks after birth and accounts
for a large proportion of infant deaths. In India, upto 47% of infant
deaths occur during the first week after birth itself. It is therefore of
paramount importance that every child ought to receive care at the
time of birth and then sound newborn care.
Reproductive and Child Health has always been an integral part of
the activities of the Population Foundation of India. SEARCH, a
Non Governmental Organization (NGO) based at Gadchiroli, in
Maharashtra is implementing a unique intervention called Home
Based Newborn Care (HBNC). The HBNC model was field tested
in various NGO settings in Maharashtra as part of a project called
"ANKUR". The Indian Council of Medical Research, through Health
and ICDS systems, also tested it at five different sites. Results have
shown that there has been a marked reduction in the Neonatal
Mortality Rate and the Infant Mortality Rate. The HBNC approach
is evidence based and a low cost option to achieve the national goal
of reducing the IMR to 30 per 1000 live births. The Population
Foundation of India is advocating for scaling up HBNC through
health systems and with other NGOs in India.
II
The Population Foundation of India
supports three non-governmental
organizations in three districts of Rajasthan
to provide skilled attendance at birth to
women in the geographical area covered
by the project. The three project areas are
situated in Tonk, Ajmer and Jhunjhunu
districts. The objectives of the project are
to train and build capacity of the project
level stakeholders (including Auxiliary
- Nurse Midwives, Aanganwadi Workers,
Panchayati Raj members, members of
women's Self Help Groups) in order to
improve the quality of Reproductive and
Child-Health (RCH) services in general and
those related to safe motherhood in
particular; to-raise awareness amongst the
target community and sensitize the
community on RCH through intensive
Information, Education, Communication
(lEC) and Behaviour Change Communi-
cation (BCC) activities and to deliver safe
motherhood and RCH services of good
quality by establishing health centres
accessible to all the target villages.
A 24-hour delivery centre has been
established at selected villages in each of
the districts to 'provide low_cost quality
obstetric care to women. Two nurse
_ midwives at each centre provide delivery
services and manage the centre. The nurse
midwives reside at the centre, are available
round the clock alongwith providing basic
primary health care services. In addition
they conduct home deliveries in the field
areas and_provide skilled birth attendance,
which is a critical issue in all home deliveries.
Besides, the nurs~ midwives conduct a field
clinic every month in each of the villages
under the project, provide a mother and
child health package and increase the reach
of services.
Technical support in terms of developing
protocols, training and field guidance is
provided by Action Research and Training
for Health (ARTH), Udaipur, which had
pioneered this approach in Udaipur nine
years ago. ARTH is a technical resource
for organizations engaged in improving
health of the less privileged. The
organization maintains and continuously
enhances its own technical capabilities by
operating a health service, training, and
surveillance program in southern Rajasthan.
It is also a point for referrals for obstetric
emergencies.
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World Population Dav 2006·
PopJOcus
The the~e of the World Population
Day) this ye-.9r was "Young
People". To celebrate the occasion,
on July 11, 2006, the PH as part of
the Alliance of "Young People: -
Towards a Healthy Future" supported
the organization of an "Interactive
..D. ialogue on Voices of Young People"
with young people, in association with
CHETNA 1 which is now the
.Secretaria't' for the Alliance. The
dialogue was. held at the India'
0
.International Cenin~:NevJ Delhi. The' '.
· idea behind org~ri'izingthe eVent was . .
oj'to create an opportunity for' young .
· 'people to share-experiences. Around
25 young people and more than 50
· representatives from government and Organization (NACO), chaired· the:'. the lives of young people and are
non-governmental organizations were. session:lThe other paneLmernbers . : jnterlinkedf
.'
present on the occasion. The young- .included Dr. Venkatesh Srinivasan,' c-.
II
.'participants wen:i~'p'ro5tiq.~wd ith .the . :. UNFPA, New Delhi; Mr. N.N .Sinha~~ - The power of young people is directly
.opportunity to·learn the process of" Secretaiy, Depart-ment 6fYouth and"'~elated-to the degree~f freedom they
media advocacy in the first balf of the Youth Affairs, Sports and' CulturaL:' .'have in civil society. At the dialogue
. _ day.,Jiv1s.Akhiia Shivdas, Director,- Activities Government of Jharkhana" -. 'on July 11, 2006, a young person
Centre for Advocacy and Research Mr. Shail~h Kumar, Joint Secretary:.-~ had an interesting example to give,
. _ (CFAR), New Delhi,. facilitated the Ministry of Youth Affairs and-' to elucidate a point. She asked how
: 'morning session throug\\i.· discussions Sports, Government of -Irjdia and . it wouJd feel visiting a tailor who
." <withlhe_-yotlJ1g:partlCipants.
_
.,'
- .~ Mr. S.K.Thakur, Director,. Finance; . s!itches .your clothes without. taking
.Nehru Yuva Kendra. Quririg the: ..-your peTmission or without taking the
T-h4s· . wa-s followed by' .young discussion, young people were . ".correct measurements. How would it
representatives
frOIl} -Ouj<;lrat, motivated to suggest strategies to . feel if all decisions, even a simple one
Rajasthan, Bihar, ,Jharkhand and .combat· HIV/ AIDS, which could be~:. .about clothes were taken without your
New Delhi sharing their concerns,
."which could hopefully be incorporated
included in the National AIDSControF' . consent? Similarly, she said, young
-m Programme, Phase (NACP:III). ~-_people feel that in our'coUntry today,
in programmatic interventions. After. . Therewas a suggestion to·work with , 'sodal, economic and political
a ',' -:.this·there was' panel discl,lssion on - -c-'alarge network like the Nehru-Yuva ~·structures are eric,u.mbranG-es to' •. - .
effor-ts and strqtegies adopted by' - 'Kendrawith a separate budgetary'":freedom of youth. Women canr~ot
government to improve young allocation. Many suggestions' and:. move around/commute for fear of
people's sexual and reproductive,
recommendations emerged out of the .:. being molested, young men cannot
0
health./Ms-. Sujatha Rao, Director
G.eneral, National Ai-ds Control
discussions on health education and· . freely ask questions for fear of being
1 livelihood These thr~e issues shape shamed, thousands of young women
"
.
are forced to leave school and enter
ForWomenYoungjlEopleC)i!dnl)
·into early marriages due to parental
In'terac"tive Dialogue
.and societal p~essure and without
.0: their consent, thousands of men are
oices of Young People
burdened with young families to lOok
, after without any means of supporting
World PopUlation Day
them. Security in terms of
employment, health and ..education
are denied so often to young people .
. :'Youth has lots of power. ... The
- 'world is ours and we can change it"
proclaimed a young person. This
could well be true if adults are willing
to recognize the power and use it to
ignite the fire of change in the world
of young people.
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Po p}Ocus
~xperienceSharing on "Missing Girls" at Chandigarh
The Population Foundation of
India (PH) has been working on
the issue of "Missing Girls" in
Haryana, Punjab and Himachal
Pradesh,. The PFI, in association
with the Ministry of Health and
Family Welfare, Government of
India, and the United Nations
Population Fund (UNFPA) has
launched an intensive advocacy"
programme on the issue of "Missing
. Girls" in the states of Punjab,
Haryana and Himachal Pradesh.
" The obje.ctive of this intensive
intervention is to transform advocacy
into action. The first consultation
meeting involving senior government"
officials of the concerned depart--
ments of the three states was held at
Barogh in Himachal Pradesh.
The second consultation meeting of
senior government officials
representing the departments of
Health & Family Welfare, Woman
and Child Development and
Panchayati Raj & Rural Develop-
. ment, of all the three states took
place on September 15, 2006 at
Chandigarh. The agenda of the
second consultative meeting was to
formulate a joint strategy addressing
the cross border linter district cases
of sex selective abortions and to
review the initiatives taken by the
individual state governments and
NGOs. A fact-finding study on the
issue of "Missing Girls" was carried
"out by a five member independent
team in the wake of the recent
incident where several female
foetuses were found dumped in a well
in a place called Pat ran in Patiala
district.. The study aimed at
identifying the factors responsible for
From left to right: Ms. Veena Kumari, MOHFW, Gal, Dr. Almas Ali, PH, Mr. Subhash
.. Mendhapurkar, SUTRA, Ms.Ena Sinsh, UNfPA at the meeting on "Missing Girls"
at Chandigarh
such ghastly incidents. The findings
and recommendations of the study
were shared with the participants at
the Chandigarh meeting.
The meeting began with Dr.Almas Ali,
Senior Advisor, PH, welcoming the
participants and highlighting the
background and the objectives of the
meeting. This was followed by
remarks by Ms Ena Singh, Assistant
Representative, UNFPA. Mr. Subhash
Mendhapurkar of SUTRA, spoke
about the first meeting in Himachal
Pradesh- the salient features and the
recommendations
which had
emerged from that meeting.
Mr.Manmohan Sharma of the
Voluntary Health Association of
Punjab presented the findings of the
fact finding study which had just been
conducted. Representatives from the
three state governments then
presented the initiatives taken by their
respective departments on the issue
of "Missing Girls".
The open discussion at the end of the
meeting resulted in"the formulation
of a joint strategy on how the issue
could be tackled together by the three
states. The meeting ended with
Ms. A. Banerji of the PH proposing
a vote of thanks.
".
Two district level workshops on Young Adolescents' Reproductive and Sexual Health (YARSH) issues
were held at Vaishali and Gaya districts on August 11, 2006 and on August 18, 2006 respectively.
These were followed by a state level workshop on "Building Supportive Environment for Meeting
Reproductive and Sexual Health Needs of Young Adults" at Patna on September 25, 2006.
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The Population Foundation of
India joined hands with the
in the project area and the reach of
safe motherhood services had
Ranbaxy Community Health Care increased. The evaluation also
Services (RCHS) and set up a project showed that with the help of the
in Dewas block of Madhya Pradesh services provided by the mobile clinic,
to provide healthcare services to the some of the government facilities
villagers. This project titled "Total became functional. The recommend-
Integrated Package for Dewas District ation that emerged from the
in Madhya Pradesh" is a partnership evaluation study was that the-
model in which the costs are shared programme should be continued with
equally by the PH and RCHS and is greater emphasis on family planning,
being implemented in Dewas block of Reproductory Tract Infections (RTI)j
Dewas district in Madhya Pradesh. Sexually Transmitted Infections (STI),
The total population of the· block is Antenatal Care fANC) services and
1,00,000. The duration of the first community participation with focus
phase, which began in November on involvement of important
2001, was for a period of three years. stakeholders, e.g. males and other
community level stakeholders. This
During the first phase of the project, would increase participation in and
a definite impact had been made in ownership of the programme. Thus
terms of incn~asirig.the reach ofRCH .the se~6nd phase of the programme
services through a mobile clinic. This was 'started in April 2005: The'
provided RCH services on a rotational objectives of the second phase were
basis to 35 centres covering half the to build capacity of community level
block. To build capacity and volunteers on issues related to general
awareness to increase access to health and hygiene and RCH to
serVicesat the community level, a lady ensure· their involvement in. making
volunteer was placed at each.centre., primary health services availaQle.at
The role. of this'volunteer- was to the grassroots level; to raise
spread awareness, mobilize the awareness and knowledge of the
community and stock health products .. community stakeholders (including
. Liaison with stakeholders including school teachers,' Aanganwadi
the Government was an important Workers, Auxiliary Nurse Midwives,
. aspect of the project.-
lbc"alelected leaders, opiriion makers,
..and other members) on general health
An endline evaluation at the end of" ...and RCH· issues throughIEC and
the first phase of the project revealed ..Bee programmes and to provide
that the fertility rate had come down basic primary RCH services of
RCH services through a mobile van at
Dewas district of Madhya Pradesh
quality in the, target areas through a
mobile van.
In the second phase of the
programme, in addition to the first
phase of activities, emphasis was laid
on capacity building of 35 male
Community Health Volunteers
CCHVs) arid on involvement. of
Panch~yats and Self HelpGr~ups
(SHGs) for promotion of social
marketing and increase in community
participe.tion. As part of the modified
strategy SHGs were formed at the
village- level ,and IECactivities on·
health related activities were· carried
out withfhem. The Panchayat
members supported the programme
by providing space for the clinics and
by helping in dissemination of
information. Male involvement in
family planning is being stress?d upon
in the ongoing second phase of the
project. 'The number of vaseCtomies,
in the project area has also proved to
be encouraging.
'
There is, truth in the adage that
"our greatest weakness lies in
giving up - the most certain way to
succeed is always to try just one more .
time." The story of a woman called
Ramkali (name changed to protect
identity) bears testimony to this truth.
Ramkali lived in a little village called
Domingarh in Gorakhpur district of
Uttar Pradesh. She was married to
one Mr.Avtar Lal (name changed to
protect identity). The couple had been
childless for eight long years after
marriage. Faced with the stigma of
being a barren woman, Ramkali felt
increasingly isolated, depressed and
ha·rassed. They had begun to despair
when a team from· the Manav Seva
Sansthan, a partner agency of the
Population Foundation of India, came
into their life. The team consisted
of a doctor, a Community Health
Educator (CHE)and a field supervisor.
The support of her husband
complemented by the persistent
efforts and the dogged determination
of the team yielded miraculous results.
The team began with a thorough
medical examination after which she
was given the treatment as required.
Within a few months Ramkali was
pregnant.
The Manav Seva Sansthan team made
sure she took adequate rest, had good
nutrition, care and regular antenatal
check up. The consistent efforts paid
off and soon Ramkali gave birth to a
healthy baby. Ramkali and her
husband were extremely grateful to all
those who had encouraged and
supported them, saying that they
would never forget the support of the
Manav Seva Sansthan that brought
sunshine into their life.
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a•
Quality of Care has emerged as a
critical element of reproductive
health programmes. Emphasis on
Quality of Care was highlighted at
the International Conference on
Population and Development (ICPD),
1994 at Cairo. The ICPD
Programme of Action affirms that all
public and private reproductive health
programmes including sexual health
and family planning programmes
must improve Quality of Care.
Advocacy efforts at various levels are
re!=juiredas they can help generate
an understanding of the issue,
recognize its importance and act
positively to address the same.
The Population Foundation of India
has begun an advocacy programme
on Quality of Care on various issues
of Reproductive and Child Health
(RCH) in Gaya and Vaishali districts
of Bihar. The broad objectives of the
intervention are to identify and form
Village Health Committees, to
sensitize and motivate community
leaders on the importance of quality
care service delivery and to sensitize
government health personnel at the
block and district levels on providing
quality care services to the
community.
A two-day training programme on
Quality of Care was organized at
Patna on August 3-4, 2006, for the
main partner NGOs of the PH in the
districts covered by the project. The
training was conducted with a two
fold objective of capacity building on
advocacy on Quality of Care and
development of a work plan
specifically designed for the selected
districts. There were 25 participants
at the training workshop, which was
conducted by Dr.Abhijit Das of
SAHAYOG, Lucknow. A detailed
work plan on advocacy on Quality
of Care has been prepared. The PH
would be carrying out intensive
advocacy interventions in Gaya and
Vaishali with the help of the Bihar
Voluntary Health Association.
A two-day training workshop was
conducted at the office of the Bihar
Voluntary Health Association
(BVHA).
The PH has seven partner NGOs in
Gaya and Vaishali districts in Bihar.
As part of the PFI's advocacy
(
OpJOCLS
initiatives on quality of care in RCH
services, a two-day training workshop
was organized at the office of the
Bihar Voluntary Health Association
(BVHA) in Patna. The seven partner
NGOs of the PH (three from Vaishali
district and the other four from Gaya
district)which have been identified for
carrying out advocacy initiativesat the
village and block levels, participated
at the workshop. The NGOs of
Vaishali are Aulia Adhyatmik
Anusandhan Kendra, Jan Ka/yan
Samiti Chakwaja and Vaishali
Samaj Ka/yan Sansthan. The NGOs
of Gaya are Arpan Grameen Vikas
Samiti, Jan Jagran Sansthan,
Prayas Gramen Vikas Samiti and
Gram Nirman MandaI Sarvodaya
Ashram. Seventy villages have been
identified in the seven blocks of the
two districts where intensive advocacy
on quality of care would be done.
The training programme was divided
into different sessions dealing with
various aspects of quality of
care such a;; parameters of quality
of care, relevance of advocacy on
quality of care, and mapping of
stakeholders.
T e eg;onal esource Cen l - Recent Aefvities
The Population Foundation of
India is the Regional Resource
Centre (RRC) of the Government of
India in Bihar and Chhattisgarh. State
NGO Committee meetings are held
.twice a year. The last meeting took
place in November 2005. On July
13, 2006, a similar meeting was held
at Patna, for the state of Bihar. The
two major features of the meeting
were that (a) 13 new Mother NGOs
(MNGOs) were selected for 13
districts of Bihar and (b) proposals
from 12 MNGOS already working in
22 districts were accepted and it was
decided that funds for the projects
would be released so that
programmes could be implemented
in unserved and underserved areas.
selected. These were the only two
districts where MNGOs had not been
selected.
A proposal development workshop
was organized on August 21-25,
2006, at Raipur. The participants at
A State NGO Committee meeting for
Chhattisgarh was held on August 12,
2006 at Raipur. Two MNGOs for
Raigarh and Korba districts were
From left to right: Mr. u.K. Verma, State Demographer, Bihar; Mr. R.u. Singh,
PFI's Honorary Advisor for Bihar; Dr. Sanjit Nayak, Programme Associate, RRC,
PFI at the Induction Training Workshop
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PoPJbcus
the, workshop included Dr. Vasanthi outcomes of the MNGO proposal MNGOs at Patna on September
Krishnan from the Apex Resource based on their roles under the MNGO 18-19, 2006. Mr. R.U.Singh, the
Cell, NGO Division, Ministry of scheme; preparation of the MNGO PH's Honorary Advisor for Bihar and
,Health & Family Welfare,
budget and the process of submission .Jharkhand, inaugurated the training
, Government of India; Dr. Pramod of the MNGO proposal and release programme. Professor J,M.Diwan,
Singh, Joint Director (RCH), of funds for the implementation of the Professor, State Institute of Health &
'Government of Chhattisgarh;
MNGO scheme.
FamilyWelfare delivered the keynote
Dr. Subhash Pandey, Deputy Director
address. The MNGOs were oriented
(RCH), Government of Chhattisgarh, A regional thematic workshop on on the MNGO scheme and the role
Dr.B.P.Malani,
State NGO Planned Parenthood was conducted of MNGOs in the underseryed and
Coordinator and Dr.Sanjit Nayak on August }1, 2006 at Gaya. The the unserved areas. Sessions on
from the PFI. A composite proposal topics discussed at the workshop national health policy and population
,was developed for 10 districts. The were: the Health Scenario in Bihar- policy, evolution of RCHand MNGO _
.. sessions at the workshop covered the in Magadh division and in Gaya; guidelines were conduded at the
·.following topics: how to develop a ,National Rural Health Mission programme.
:. ·project proposal;' stages of project: (NRHM); Plan;;ed Parenthood;
.])Iarmiog; how to do a situational Correlation between NRHM and ., A workshop on Training of Trainers'
analysis of an unserved and PlannedPan:inthood; What the NGOs for MNGOs was organized on
underserved area based on analysis can do for Planned Parenthood;
September 20-23, 2006 at Patna,
of secondary data and baseline group exercise on Constraints in Bihar. The different sessions at the
, survey; identification of the problem Community Mobilizationand Quality , workshop covered variQus topics.
,stqteinent and prioritization of the <£Care, Mr.Uday Narain Chaudhary, These were maternal health; child .
. ' 'project goals; how to frame an- Hon,ble Speaker, Bihar Legislative health, family plannirlg,'cbTr!rnunity
, o!?ieetive, strategy, activities and .. Assembly, DR.P:C Das, Deputy mobilization and ad!1ft l~ar!1ing
project outcomes; development of a Commissioner' (NGO Division), , principles. The MNGOs were also
project proposal of the Field NGOs Minisfry of Health and Family trained on the baseline survey and a
.~ (FNGOs)based on baseline data and Welfare, Government of India, day long simulated exercise was
. case studies; preparation of the Dr.Mahabir Das, former Health organized for them in Maner block of
. budget of the FNGOs based on the
: 'guideHnes of the Mother NGO'
Director, Government of Bihar,
Mr.R.O. Singh, Honorary Advisor of
Patna with the objective Of providing
them with hands-on training: ,-
'. . (MNGO)scheme; development of an~' o. the PEI for Bjhar and Jharkhand,
.,
MNGO composite proposal; framing' '"Mr.A. Mishra, District Project , The Regional Resource Centre, J3ihar
of objectives, strategies, activitiesand . Officer (Gaya), of Prachar Project,
Mr. Choudhary,
organized a consultative meeting
with the new MNGOs. Mr, A. R .
. Pradhanmantri,
Nanda, Executive Director,
Gram Nirman Population Foundation of lndia
Mandai and repre- chaired the meeting. Persops from
sentatives from th9 new MNGOs were introdLlcedto
Pathfinder Inter- him. Speaking' on the occasion
national presented Mr, R.U. Singh urged the NGOs·to
their perspectives bring about significant change -inthe
on planned parent-
hood.
'
health scenario in their respective
areas. Certificates were awarded at
There was an
Induction Training
Workshop for 13
newly selected
the meeting and the NGOsexjxessed
their thanks for the help rendered to
them by the Regional Re.s_ource
Centre.
Panchayati Hal Representatives to Discuss Population .
For the first time in the history of Bihar, members of the state legislature representing the district and the
members of the three~tier Panchayati Raj in the district would be congregating to discuss the population
problem in Kishanganj. The meet willfake' place in Kishanganj on November 4, 2006, under the aegis of the
Bihar Legislative Forum (BLF) and the Population Foundation of India. Representatives of international
agencies are also expected to participate at the meeting. Kishanganj has been selected as the venue for the
meet as it is the most backward district in terms of the RCH indicators. It would be an opportunity for the
elected representatives to take a break from routine activities to focus on an issue, which is a national
concern. The day long meeting would consist of brainstorming sessions, panel discussions and action plans
to tackle the problem.
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Pop}bcus
Reproductive Health and Adolescent Health in India -
Scaling UP Pilot Projects
The project on identifying and
facilitating scaling up of successful
pilot initiatives in reproductive health
and adolescent health was begun in
March 2006. This project is being
supported by the John 0 and
Catherine T MacArthur Foundation
and is being implemented as a
partnership between the Population
Foundation of India (PFI) and
Management Systems International
(MSI), a manag~ment consultanc'y
firm based in the United States of
America. The PH is facilitating select
NGO pilot interventions' on
reproductive health to go to scale.
As part of this process the PFI is
facilitating linkages Withgovernment,
·NGOs, donors and. corporate
agencies at the district, state and
Mr. PK.Hota, Secretary, Ministry of Health & Family Welfare, Government of India
delivering the keynote address at the coniJi:mtion
national levels.
and Dr. Malavika Roy, Deputy
commitment at state levels for taking
The PH, SEARCH arid the Indian Director General, ICMR, presented up home base newborn care.
Council of Medical Research (ICMR) the evidence of the impact that HBNC
jointly organized 9_one-day disse- had on neonatal mortality at 12
mination work~hop. on ~home-based _ different sites in India. The workshpp
.The Government pf -Norway signed
a, l:iilateral agreement with the
'newborn care (HBNC);·-Dr. -Syeda together with subsequent meetings- .. Goyernment" of India to provide
Hameed, Member,c-:' pfanning
Commission of India, Mr. P.K.Hota,
,'with key policy makers in the
Government of India resulted in a
c:atalYticsupport to the National Rural'
"Health. Mission and reduce infant
Secretary, Ministry d Health and commitment to increase focus on mortality in India. Home Based
Family Welfare, Government of India,
and Mrs. S. J.fllaja, Additional
Secretary and Mission Director,'
National Rural H~alth Miss-ion,
home-based newborn care to reduce Newborn Care has been included as
neonatal mortality in the country. At -.'one of the critical initiatives under this
a haIf
Augus
day consu Itat·Ion organi.ze
t 2006 , th e core group
d'
10
for
-
"
-
'
bIlateral agreement. For the Norway-
In'd. -la
Partnership
...
"
Imtiatlv. e,
the
Ministry of Health -andFamily Welfare, scaII·ng up HBNC sugges ted that th"e. ---Government of India has constituted, -
G-overnment of India~ graced the
-occasion with their participation.
Dr. Abhay Bang, Director, "SEARCH,
- PH and SEARCH should draw up a
paIn 0f wor k focuse d on
advocacyan d work towards
s.tate Ie.veI
increasing'
,an adVISOrygroup, led by SEARCH,
to plan and suggest a viable strategy
-
t
0
trai.n
over'" 1 00 000
Accre d'Ited
Socm. I Hea Ith Act·I·ViStS(ASHA)s I.n the
five identified states (Madhya Pradesh,
'Uttar Pradesh, Rajasthan, Bihar, and
Orfssa) on HBNC. The PFI, in
partnership with CARE India, is in the
process of developing the strategy for
training of the ASHAs.
A couple of months after a visioning
workshop held in April 2006, the PH
conducted a three day strategic
planning workshop with the Institute
for Health Management, Pachod
(IHMP), to devise a strategy for the
scaling up of the Safe Adolescence
Transitions and Health Initiatives
(SATHI) model at the national level.
-As a result of the workshop a strategy
was developed. Subsequently, the
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1.9 Page 9 |
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IHMP evolved a state level strategy
that had greater focus on influencing
policy and programmes for married
adolescents in Maharashtra. The
state and national plans were
converged in September 2006
through a joint consultative meeting.
At the meeting, specific action points
with timelines were finalized.
The Population Foundation of India
and Management
Systems
International facilitated a three-day
workshop in July- August 2006 for
the organization Seva Mandir to
-develop a scale up vision for their
model for "Improving Immunization
Uptake in Tribal Population". Two
models were discussed at the
workshop (i) model for increasing
a~cess to sub centers by reducing
Auxiliary Nurse Midwives (ANMs)
absenteeism and (ii) model for
enha'ncing uptake of immunization
services by ensuring camps at regular
intervals and by providing incentives
for service uptake. The participants
came to the conclusion that between
the two models the immunization
model was in a better position for
scaling up. Seva Mandir is carrying
out regular camps in 60 hamlets of
Udaipur. Fifty percent of these are
incentive based, where incentives are
given to the beneficiaries while the
PopJOCUs
remammg 50% are non-incentive
based camps. Immunization uptake
has increased manifold in the
programme areas.
franchising model. The PH and MSI
met with ARTH at Udaipur in August
2006 to develop an initial
understanding of the model.
The Population Foundation of India
along with Management Systems
International met the staff members
of the Self Employed Women's
Association (SEWA),Ahmedabad, to
gain an insight into and comprehend
their model, called VimoSEWA, on
community based health insurance.
The meeting facilitated assessment of
the model's readiness for going to
scale. DUringthe meeting the PH and
MSI conducted several sessions with
the VimoSEWA team to help them
understand the challenges related to
their model and to identify solutions.
At the end of the meeting the PH
and MSI came to the conclusion that
the model has to work on financial
viability and sustainability before
going to scale.
Action Research and Training for
Health (ARTH), Udaipur has a model
on social franchising ,of .skilled birth
attendance, for providing safe delivery
and maternal health services through
skilledbirth attendants. These services
are provided in the community and at
static clinics. ARTH is now exploring
means of developing this as a social
In July 2006, the PH team along with
representatives from the Escort Heart
Institute and Research Centre
(EHIRC) and Hero Honda Motors
Limited (HHML), visited the "Village
Adoption Programme" site at
Joniawas village in Daruheda
(Haryana). This is a unique corporate
sector initiative from the EHIRC,
HHML and the Confederation of
Indian Industry (Cll). Based on the
visits, MSI and the PFI presented the
EHIRC with a broad. framework for
scaling up the Village Adoption
Programme. Both MSI and the PH
are currently working on a joint
proposal to facilitate scaling up of the
programme to include 40 villages.
The PFI has established a multi-
stakeholder working group on scaling
up model interventions in the area of
population and reproductive health.
The working group, comprising
NGOs, the government, the private
sector, donor agencies and individual
. expert>s, met in August 2006.
Dr. Richard Kohl of MSI shared the
MSI Scaling Up Framework with the '
participants at the meeting.
An Update on Activities of the Global Fund lIound4 Project on HII/AIOS -
··Access to Care & Treatment"
A part from the routine co-
ordination meetings with
individual Core Sub Grantees (CSGs),
many other meetings were held
in August and September 2006.
_A meeting of Programme Managers
to review the programme" Access to
Care and Treatment", was held at
New Delhi on August 24, 2006. In
addition to discussions on the
achievements of the programme and
its challenges, lessons learnt over the
lastone year were also discussed.
The Project Advisory Board (PAS) is
the advisory body of the PH for the
Global Fund project. The first meeting
of the PAB had been held in July
2005. The fifth (PAB) meeting was
organized at the Qutab Hotel in
New Delhi on August 26, 2006. The
meeting focused on the progress
made by the sub recipients of the
project during the fifth quarter and
the plans for the next quarter. Some
of the main issues that were discussed
at the meeting included the signing
of two Memoranda of Understanding
for the setting up of corporate
Antiretroviral Centres (ART) (the
Memoranda were between the
Confederation of Indian'-industry (Cll)
and 'the Associated Cement
Company Ltd); the strengthening of
District Level Networks (DLNs) to
achieve targets and provide services
to People Living with HIV/ AIDS
(PLWHAs)j est~blishing of the good
linkages with networks, government
and Qon-governmental agencies,
by the Comprehensive Care and,
Support Centre and enrolling (state
wise) of PLWHAs in DLNs - with
discussions on specific situations.
Experience sharing cum interaction
meetings among the PLWHAs, ART
clients and health care providers were
initiated in Maharashtra, Karnataka
and Manipur. This would provide a
platform to discuss issues of the
PLWHAs directly with nealthcare
providers.
A three-day "South and West Asia
. Cluster Regional Meeting" took place'
at Bangkok on September 19-21,
2006. The main ag,enda of the'
'meeting was improving Performance
Based Grant Management Skills.
Contd. on page 10
II
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Po p}Ocus
-Political Advocacv Initiatives
As part of the advocacy initiatives
with elected representatives, the
and that population stabilization
cannot be seen in isolation. Different
The inaugural session was followed
by five presentations. The first
Population Foundation of India in
collaboration with the Bihar
, ~Legislative Assembly successfully'.
parameters of social development
-su<;:ihiSeducation, health, availability
ot-drinking water and sanitation are
one was on Population and
Millennium Development Goals
made by Ms Surekha .Sabharwal,
concluded a one-day seminar on.. ..pn~·requisites to ensure the holistic Resident Coordinat.or, United
Health, Population and Social ~. development of the ~ommunity, Nations. The next presenFation was
Development on August 5, 2006 at.yvhich would ultimately lead to
the Bihar Vidhan Sabha Annexe id: . population stabilization.
on Health, PQpulation and Social
Development Scenario of Bihar:
.'Patna. This seminar was the first of ..··
its kind on health and population:', .'. Mr. Uday Narain Chaudhary, Hon'ble,
..··.i.ssues undertaken by the Bihar: _.'Speak~r, Bihar LegislativeAsser:nbly,
an Overview, whicb. was made by
Dr. Almas Ali, Se.t1ior Advisor,
Population Foundation of Iridia.
,> . ':Legislature. Mr. Nitish Kumar, Chief ::' ~s~td,)n his keynote ,ac:idre;:;-stRat . Dr,Abhijit Das, Dir~tto('Centre for
'- Minister of Bihar ,fna1,lguratedrhe': :- "c.alfuough'Indiawasthe first couritryto Health and SoCial Justice made 0' ,
,seminar, while Mr. Uday Narain ~'Jay'n,ch the Family Planning. presenfation on Health Sector and
Chaudhary, Ho~, hie Speaker, Bihar,:. ;progr~mme in 1952, it is lagging Social IriitiaHves, followed by
Legislative Assembly presided over"--- behind.in the set goals in terms of Dr. P. C. Das, who presented
the same. There were over. 130" ':,.-po,pulation.stabilization. To ensure Initiatives of Qo_vernment of
- _.Members of the LegislativeAsseml;>ly'''-'-'population stabilization, issues like India: An OvertJiew'. The last
}MLAs) p..resent at the semina~:._·~c~ild,m~~age, declining sex ratio, , presentation was, 011 Health
_
_ in'cluding
Mr. C. handramohan
.R'g.i., -',. -'-mal:n..u._tn't'1<)n"and
matern_a..l;
healtho-
-
P r:ogramm~s.a~,n'd--J nr°tr' at"rves
if
0
'
.,:' 'H-ealth - MinIster of- BIha,r,·:,,', sh_owE" lbe addressed on a pnonty baSIS. St a te Govem-m, en: t A' n' 0-v.ervr.ew ,
Mr, Ramch~n~e,rPurvey, Chief Whip.'. ..::-, ,'. . _
'.
'.
made by Dr. S. N. 'Bar;awal, from
of the OpposItIon (the RJD party) .. In ·hls-maugural address, Mr,NltIsh, th G ' . t f'B'h
other ministers
a' nd
senior >-
'. Ku"mar,. Hon 'ble
Ch'Ief
'Mm' l,ster
f
0
e overnmen 0 I ar.
government offic.ials.
_';:~'TIihar, .said that a healthy and -In his concluding address,
, .: "-edu~atedpopulation could be the Mr: ChandrarrlohanRai, Health
'orv~~ )rhe specific objectives of the.semlnaf:' ~qiiige?t strength and ~sset for af1Y'. 'cMinister, :Go"V0Fnment' ,of- Bihar,
· .,- w?re to· sensitize the legislatbrs
._so¢i.e'tY, While:referring !o southern' : reiterated that the popula' t!on issue
· 'linkages between health,.'populatiqn·,: ·;~sta~S onndia, the Chief Minister ' ld - t' b dd - d' .. 1 .
: "and SOC. Iadlevelo-phm' ent; to's. ar~ t,he '.-:';re.-J',.t.'e.r.q..t~"d th at . m. vestmel)-t I.n cPo' u Into' . e ab'I'res~se." m ISOaItIobn.
, eX.1..stmgIssues and, concerns'r.e Iat',de"
'- . e,d'uca't""Ion .W.Ollld defm' l't,e 1y 1ea'd
t
0""
. ohp"ualond 'bsta I,l.z' atIo.n. c,an- ony-h e
·.. _._. to heatI, hi' popuatlOn an d socI.a. I
',.'. ,develop~ent with sp.ecial reference-
,'-,p"o, pualo'In't"
'~~,b.~ttermenf
,st a b'Iil"za 't'lon, ,an',d 'dac l1eve yI
of society. He mentioned::..'., evheopmento
ca-tden' ngr
n:e. ~~oI
~ht'eoYtyoet opIeerd'
...'.to',BI'har and_to cre~te a f.or~~
f
0:,
..'~th~at.'_th_'e-'Go_vernm.e~t .o,f B'Ihar, h.'as, _: '~suderinkaisn ewmapterol~yme,n'_t'" e ectncI
an
;:legIslators to ensurecQntm\\.llty of,' InItIated stepsJo mamtam a ratIo of-:, . "
g.
','
'-,collective efforts towarEls:pop\\;llation-'40~1~·petw.e-efl :the students ·and·: 'At'the ~nd of the ~eetin-g, ci'Forumof
_stabilization. -
' teacher:s. He said that two lakhs thirty
:six,thousand teachers are in the Bihar Legislative Members on
The seminar started off with pro'cess of being recruited in Bihar for ,Population,
Health and Social
Mr. A.R.Nanda, Executive Director, .. thisputpose. The Chief Minister' ,.Devel~pment was J.o.rmed a~d a
-'to _PFI welcoming'the participants:
.requested the elected representatives·,esolution was passed.-Mr..R.U. Smgh,
While discussing the different phases,
include population issues at th~ir' ):-ior.loraryAdvisorfor thePFI in Bihar,
" :of popUlation:growth'andstabilization public meetings, 'which would have 0' .' ,delivered the vote of. thanks-for this
. Mr. Nanda said that there is a direct " .greater 'impact than the regular" successful initiative, The programme'
correlation between social deve-
lopment and population stabilization
awareIiessprogrammes run by. the 'was extensively Covered by both the
government machinery,
print and the electronic media.
Contd. from page 9
In May and, June 2006, workshops ,)\\Jagaland, Maniput:, Tamil Nadu,
Delegates from India, Pakistan;, .had-beel) conducted to orient teams' Andhra Pradesh and. Karnataka.
:Bangladesh; Nepal Sri Lanka, afthe District Level Networks and', A ~orkshop on the MISsoftware was
.'~Bhutan, lranand- Afgh~ni~tan -. Treatment Counseling Centre·s Qn: . organized at Nal)1akKal,Tamil Nadu,
pa'rtitipated at "themeetfng. Dr. Ma~ • :ManCigement In'formation, Systems' :-on July'lO-14, 2006 for the,Positive
Verghese, Mr, S. Vijayakumar,
!MIS) software that had been LivingCentres of Bagalkot and Pune.
Mr. Sub rat Mohanty. 'and clevelciped. The MIS has now been .- 'Development of software for the
'Dr. Phanindra Babu represented the finalized and distributed amongst the Comprehensive Care and Support
Population Foundation of India at the service delivery points in all the siX· -Cel!tre is in progress,
-'.meeting.
·high prevalence states- MaharashJ:ra,
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PopJbcus
One vear,ot the NStionafRural Health Mission: A StaKeholder's Consultation
~
•
>
,''-
"T he Advisory Group on'
Community' Action' of the
National Rural Health Mission
, (NRHM), a committee'constituted by
the Government of India. and the,
Centre for Health'and S9ciaLJustice, . "
a civiLsociety organizatiori:: jointly'
organized a two day stakeholder's
. , consultation on " Building Creative
Partnerships for Fulfilling Repro-'
· ductive Health N?edsand Rights"
at the India International Centre, ,
· New. Delhi on ,Juiy"26-2::T, ,on tbe-:~ ,',' ':"
•"completion of ope.year QLtbe.:N,RHM" ..'..:.,
, The objectives of the consult~tion :
, were to focus on Jhe. a$p~ets ,of. (al:.
, '" overall progress'of tl:fe' NRHM in
Mr.A. R. Nanda in discussion with -Mr. :SeJhdeep DiXit, Member of
Parliament, East Delhi
, different states.and,partICularly in the. ,Child Health II (RCH II)programme;. HoemeQpathy) needs to be included
'.. 8 EmpoweredActiorn;~~oup (EAG) . was developed at this meeting. The .. in t!'fe Jncorporation of local healing
'"states (b) steys: .t9k.en~·towards_ . .sta.keholders present 'ot' the ." <'traditiops and locallY available herbs
'improving materHiil'healthservice", -c' consultation appreciated the progress-' . ATom the village level planning
delivery" fuHilIinii;Jl~me,t--:neecl-sa, ii:d~;"thathas been made over'one year.' ,';.UPwaicls; 'adolescent' health issues,
'improvmg quality, .d.ec€l1tra1iza-tion,through the NRHM anhe 'natronal, ~ 'matenia:1'he'alth, contraception, and
. ~'and er1~uringcommu.ni.tY:pa~icipation· "state, district and village levels. It was:' ':'se~l:Ianty education should be included
and other cruciaf·areas.which have noted that the NRHM' is a: <witbindecentralizedNRHMplanning;
,,' ~een included,'in tner:!RHM;' and (e) co-!pptehensive and holistic approa<;:h':". :priv~~e-pGblicprocess initiatives must
.',' ide-n~ification on.mpl ementciti on , , fo' reform of thehe~lth system ..•,.••o. ede.si'gned and implemented
'. ·bbtt!~necks~ll.id.recominendati(:ms.for;.. de'livery towards sociatly Just and.·' "appropriately and there should be a
.::-, ·streamlining. aesji~~,:~rQ~~s.e~., , ::-desirable health outcomes::" , ,; . ': ~:':~,echa~is'!1' in p'lace'for sha~ing of:
~e, '.,
" ~ '. -.
." '
. : ",': jnforma"tiOil. related to the NRKM,
. ,.Civil society repre?~ntati~~s, p'u~lic; ,. Several recommendations: ~oth. f~r ", ')rom
Village to the district lev~1
,', health expe,rts~'C gonors . <;lnd" ..th~ Government and for CIVISl OCIety '-upwards to the state and the center. ~,"
__ int~rnational organjzations providing', ' eme'rged out ?f the consultation .. ', "
..
'
~ finan,cial and 'tech!1ic~r::supportana _ ~o,me of the major recommendations" ··Sqm.(;! OUhe main recor:n1J1endations,
'government functi9nariesfnvolved'in' , for the .Government were: the' " for civHsociety were: civil-society
,.. :jmplementation: of. tne·.NRHM were' ., awareness generation -p~ogr~'tmJ'!olen..:·:,~h~ljld __syste~atic~Ul/, m~mitor
,,:':"present at th~" c~nsu!tQti'on., The' '.. NRHN should be conducted ,at the, .o"'iWplel12eritationj civil society: groiips .
stakeholders reviewedtne rTog'res!,of' state and distrietlevels and the vision, . ~'shourd ,be involved in sharing
· the NRHM rriechanfsm in: fulfilling, goals and philosophy of tbe NRj-If'0" promising PIactices among~t
.", reproductive 'healtli needs .and rights. should percolate to the lowest level;' ..,.themselves and with the government; ~
· '.of women. The Gonsulf~tion wa.s the, members pf the Panchayati Raj .,. ,civiLscicietyshould ensure that issues,
'~,' diVided into various' se~sions~,which' institutions should be involved in the' 'relating to the. implementation of the
". .included presentations a.;)d response NRHM and a clear plan' of action, /PC.&PNDT Act e. g. awar-eness
. from stakehold~ts,on va~lbus'.issues,· "needs to be chalked out in terms of·· 'generation on declining sex.ratio !JI1.der'
· . Each session was 'address'ed by a their involvement; the 'wleand ,o'i:he NRHM along with budget
'. public health expert, who had'civil functions of the Rogi Kalyan Samiii ", allocati9n, are included into block·and
society experiences from the field and at the grassroots level need to, be' ,district planning; civil society groups
, response from the international
defined; special steps should be taken. ,'should push for ineJusion of adolescent
organizations involved in providing to institutionalize civil society:, h~alth issues,' including maternal
,technical support ~ndfinancial
.. participation in the NRHM activiti~s, '. ,health, contraception and sexuality
.assi~tance as=well as horp the- 'including monitoring at the state and' ...e.ducation within Eentralized NRHM
, . repn;;sentatives oHhe-c;ov'ernment of : . district levels; the parameters for ,'J>lannirig; adolescent and' young '.,.'
- india, collated. . -. '.' -
' selection of Accredited Sodal Health ,people should be included in -all .' .',
Activists (ASHAs) should be uniform
A broad framework on what issues - across the states; ground level
and strategies GOuldbe adopted for preparation for mai,nstreaming
planning and monitoring fora and
mechanisms, even in civil society,~.· 't
'groups and in addition to the annual
· . creative vigilance of the NRHM and AYUSH (Ayurvepa,· Yoga & report of the NRHM (state wise) on
within it of the B.eproductive and Naturopathy, Unani, Siddha and health there should be a central report.
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From the Executive Director's Diarv ...
• The Executive Director, PH, was invited by TERI, to be a discussant at the first
conference on "Health Policy and Management in Indi(:l- Emerging Challenges
and Opportunities" on July 20,'2006 at the India Habitat Centre, New Delhi.
He was invited to the session on "Inter-sector Coordination".
• The Centre for Health and Social Justice organized its General Body meeting on
July 24, 2006. The Executive Director (ED)participated at the meeting as member
of the Advisory Board of the Centre.
• The ED, PFI, participated at the Eighth Governing Council' meeting of CHETNA
on August 12, 2006, at Ahmedabad. The ED is the Chairperson of the Governing
Council of CHETNA
• Mr. AR. Nanda participated at the 2nd Advisory Group meeting.on Training and
Enabling ASHA for Newborn and Child Care (under the Indo-NorWayjoint initiative)
"atthe National Academy of Medical Sciences on August 30, "2006.
.::.~.
" •• Mr. AR. Nanda was invited by the Orissa Voluntary Health Association to
. participate at a state level workshop on "Population and Gender Issues in Orissa"
on September 4, 2006 at Bhubaneswar.
-
• On September 5, 2006, the Janswasthya Abhiyan (JSA) invited Mr.AR.Nanda
to participate at a meeting on September 5, 2006 at Bhubaneswar at which the
mid-term report on Health Watch (being carried out by the JSA, Orissa), on the
performance of the NRHM in Orissa was presented.
_. The ED, PH participated at a meeting of the Working 'Gr9uP on Population
"_, _ "Policy on September 8, 2006, at the National Humal1 Rights Commission,
New Delhi.
• The ED, PH was invited as a resource person for a short course on Advocating
for Sexual and Reproductive Health and Rights, held ,from "September 14-23
at Surajkund. He was invited to talk on "History of Sexual and Reproductive
o'
Health in India" on September 16, 2006.
". The David and Packard Lucille Foundation held the Packard Foundation Partners
"::.
meeting on September 22-23, 2006 at New Delhi. The .ED· was' invited to
participate at the meeting.
~ForthcomingEvents
• Dissemination workshop on the project on Adolescent Initiatives in Uttaranchal
on October 11, 2006, at New Delhi.
.• A district level workshop on Health, Population and Social Development on
November 4 2006, at Kishanganj, Bihar.
• Training 01 Trainers on Communication for Advocacy by Spitfire Strategies, USA
and the PFI on November 8-10,2006 at Manesar, Haryana
• Training of Trainers on Ufe Skills Education for National Cadet Corps, Ranchi,
Jharkhand from October 30 to November 4, 2006.
• A Multistakeholders Forum meeting" on Scaling Up on November 15, 2006
at the India International Centre, New Delhi.'
• An International Conference on Emerging Population Issues io the Asia Pacific
Region: Challenges for the 21st CentUry. The conference would be organiied by
the International Institute for Population Sciences at Mumbai on December
10-13, 2006.
• A state level thematic workshop at Chhattisgarh in November 2006.
4th Asia Pacific Conference on Reproductive and Sexual Health
on October 29-31,2007 at H¥derabad.
Pop}Ocus
Mr. P. J. Shekharan
who has joined the PH
in September 2006, as
Executive Assistant to
the Executive Director.
Prior to his joining, he
had been working with the Delhi
Society for Promotion of Rational
Use of Drugs and the office of the
Chair, The Inden Trust.
We bad~ farewell to
Mr. Bharat Shetty, State
Programme Coordinator, Global
Fund Round 4 Project, Karnataka
who resigned in September, 2006.
Mr. A. S. KuUoli Haju, Assistant
State Programme Coordinator,
Global Fund Round 4 Project,
Karnataka, who has now been
designated State Programme
Coordinator.
Mr. A. Prasad Kumar joined as
Assistant State Programme
Coordinator, Global Fund Round 4
Project, Karnataka.
Editorial Guidance
-MrA.H. Nanda
Editor
Ms A. Banerji
Editorial Committee
Ms Usha Hai
Dr Almas Ali
Dr Lalitendu Jagatdeb .
Dr Kumudha Aroldas
Published by
Population Foundation of India
B-28, Qutab InstitutionalArea, New Delhi-110016, India
Tel: 91-11-42899770, 42899771 Fax: 91-11-26852766
e-mail: popfound@sify.com website: www.popfound.org