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PFI Annual Report 2013-2014 |
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Annual Report
2013-14
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,
PFI s Governing Board
Chairman
• Dr Vinay Bharat-Ram
Vice Chairman
• Mr R V Kanoria
Members
• Mr B G Verghese
• Mr J C Pant
• Mr K L Chugh
• Mr Kiran Karnik
• Ms Justice (Retd.) Leila Seth
• Prof M S Swaminathan (Permanent Invitee)
• Dr Nina Puri
• Prof Ranjit Roy Chaudhury
• Mr Ratan N Tata
• The Secretary, Ministry of Health & Family Welfare,
Government of India (ex-officio)
• Ms Poonam Muttreja,
Executive Director, PFI (ex-officio)
Advisory Council
Chairperson
• Prof M S Swaminathan
Members
• Mr Ajai Chowdhry
• Ms Anandita Sharma
• Ms Aruna Kashyap
• Ms Geeta Regar
• Dr Gita Sen
• Dr Leela Visaria
• Dr M K Bhan
• Ms Mirai Chatterjee
• Ms Mrinal Pande
• Mr P D Rai
• Dr Saroj Pachauri
• Ms Srilata Batliwala
• Prof Suneeta Mittal
• Mr Sanjoy Hazarika
• Mr Yashodhan Ghorpade
• Additional Secretary, Ministry of Health & Family Welfare
• Ms Poonam Muttreja, Executive Director, PFI
As on March 31, 2014
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Contents
04 Chairman's Message
06 From the Executive Director’s Desk
08 Advocacy and Communication
18 Health of the Urban Poor Program
24 Community Action for Health
30 Scaling Up
32 Programmes in the Field
38 Core Projects of PFI 2013-14
42 Organisational Transformation
44 Financial Highlights
46 Our Partners
47 Our Vision and Our Mission
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Chairman's Message
Chairman's Message
Healthy families mean a healthy country.
Industry leaders like JRD Tata and Dr Bharat
Ram had seen how large families led not
just to the ill health of family members,
but also negated social economic growth.
This convinced them to set up Population
Foundation of India focussed on providing
access to family planning over four decades
ago. In recent years, we have realised that
healthy families can only be built by paying
special attention to the empowerment of
women.
There is a growing recognition of the fact
that as long as women remain neglected,
tortured, abused, families cannot be healthy
and nor can the country prosper. We have to
ensure that our girls are healthy, free from
violence, and have all opportunities to reach
their human potential. The fact that almost
60 per cent of Indian women are anaemic
and malnourished means that they live at
a suboptimal level. Almost 47 per cent of
them get married as children, that is before
the age of 18. This puts them at a double
disadvantage – their bodies are not ready for
childbearing and nor does their health permit
the toll that a pregnancy takes on a woman’s
health. Moreover, the children they bear are
undernourished, a large number not surviving
till their fifth birthday. Though India has made
considerable headway in bringing down the
rate of maternal and infant deaths, it will not
be meeting its Millennium Development Goals
(MDGs). Maternal mortality ratio has fallen
from 212 per every lakh live births in 2007-
09 to 178 in 2010-12, but we have still much
ground to cover to achieve the MDG of 109.
Similarly, we have attained an infant mortality
rate of 42 per 1000 live births, but are way
off the MDG of 28.
At PFI, we see family planning as a strategy
to empower the Indian woman. Family
planning entails marriage at the right age,
ie when the couple is physically, mentally
and economically ready to take on the
responsibility of bringing up children.
Therefore, ending child marriage becomes
imperative. Contraceptives give the woman
the means to delay her first pregnancy, space
her children ensuring better health for herself
and them. She also has the means to stop
childbearing completely if she so chooses.
Family planning helps her stay in the
workforce longer adding to the family kitty.
And again, we have seen that when women
go in for paid work, their earnings are spent
on meeting the nutritional and educational
needs of the family.
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Chairman's Message
The trans media serial, Main Kuch Bhi Kar
Sakti Hoon, that was launched during the
year is an effort at changing perceptions and
attitudes about women. We are happy at the
way it is being received, both on TV and radio
and hope it goes a long way in contributing
to making the life of Indian women better and
healthier.
I thank my colleagues in the Governing Board
for the collective leadership they provide.
I welcome noted sociologist Prof Dipankar
Gupta as a new member of the PFI board.
Prof Gupta has served at Jawaharlal Nehru
University for nearly 30 years and has held
several visiting professorships and fellowships
in universities abroad. He has authored many
books and research papers, and has interests
in rural-urban transformation, labour laws in
the informal sector, modernity, ethnicity, caste
and stratification.
I extend a welcome to two dynamic women
as members of our Advisory Council. Ms
Chhavi Rajawat, is the Sarpanch of Village
Soda, from Tonk district of Rajasthan and
Ms Karminder Kaur, the Protection cum
Child Marriage Prohibition Officer from
Rohtak, Haryana. PFI will benefit from their
experience.
As PFI gears up for greater challenges, its
team is being equipped to meet them. The
organisational transformational exercise is
infusing renewed enthusiasm among the
team. Structures, systems and people’s
practices have been reviewed to make them
more efficient. The senior management team
is being trained to take on important roles
and responsibilities with confidence and
leadership skills.
PFI also underwent a review of its governance
by leading management advisory firms. A
number of recommendations made on the
composition of the board and for ensuring
diversity have been accepted.
PFI’s work rests on partnerships with the
Central and state governments, funders,
NGOs and community based organisations.
I take this occasion to thank the Central
government and the state governments of
Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Odisha, Rajasthan, Uttar Pradesh,
and Uttarakhand where our Health of the
Urban Poor program has been focussed on
providing technical assistance for the rollout
of a national-level milestone initiative, the
National Urban Health Mission, launched by
the Government of India. I thank the district
administrations of Agra, Bhubaneswar,
Delhi, Jaipur and Pune where we have been
working closely to test the feasibility of the
Urban Health Model developed by us under
the Health of the Urban Poor program.
I thank the Ministry of Health and Family
Planning, the State Health Society of
Bihar, UK’s Department for International
Development , John D and Catherine T
MacArthur Foundation, Johns Hopkins
University’s Bloomberg School of Public
Health, the David and Lucile Packard
Foundation, United Nations Population
Fund and the US Agency for International
Development for funding our work.
I thank the many NGOs with whom we
partner for our field-related work and
effecting changes on the ground. Each of
these partnerships is invaluable to us, as we
focus on improving the health of our people
and building a healthier nation.
Dr Vinay Bharat-Ram
August 2014
Annual Report
2013-14
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From the Executive Director's Desk
From the Executive Director's Desk
As I look for words to describe the year
2013-14, I think of ‘exciting’ and ‘purposeful’.
These two words capture the essence of
the year gone by. It has, indeed, been a very
exciting year. Main Kuch Bhi Kar Sakti Hoon
– I, A Woman, Can Achieve Anything, the
transmedia serial that we had been working
on for a year took off. And what a take off it
was! Telecast nationally by Doordarshan, our
partner in the initiative, it became the third
most watched show during its time slot within
a few weeks of its launch on March 8, 2014.
By the time of writing this, Doordarshan had
begun telecasting it as a special show from
its Bihar Kendra and to over 50 countries
through DD India. Our national broadcaster,
All India Radio (AIR), joined in with slots on
Vividh Bharati, FM Gold, FM Rainbow and on
all local stations.
PFI’s celebrity champions, Sharmila Tagore
and Soha Ali Khan, endorsed the serial as
a “must watch”. Within weeks people were
connecting to us through the Interactive Voice
Recording System (IVRS), telling us how much
they liked the serial. School going girls shared
their dreams. One told us she wants to be the
President of India. Young men called in to say
how much they appreciated the show. The
young women expressed themselves, some
hesitatingly, others with great confidence
about their own personal experiences. The
older women called in too, sharing with us
their views on the serial and what they would
like to see. Seeing a strong protagonist in Dr
Sneha had given them the encouragement to
express themselves, and they did with verve
and courage.
Main Kuch Bhi Kar Sakti Hoon has been
a collective effort of many individuals and
organisations led by PFI towards a common
goal: the empowerment of women, and
with it better health for themselves and
their families. It addresses practices such
as sex selection, early marriage, early and
repeated pregnancies, under-nutrition of girls,
and issues of family planning, reproductive
and child health, domestic violence, and
sensitisation of boys.
Our work over decades in the field of health
had shown us how closely linked health
outcomes are to attitudes and behaviours.
Changing attitudes, and with it behaviour
patterns made firm by generations and
cultures, is a tough job, indeed. At the base
of it all is society’s neglect, disregard and ill
treatment of its girls, a major reason for the
state of India’s health, contributing to the
high levels of infant and maternal deaths, and
anemia and malnourishment of its people.
We set out to use the positive deviance
approach which states that solutions to a
social problem are available in the society
itself. They are available with a select few of
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From the Executive Director's Desk
the society’s members, who despite being
in the same cultural and social environment,
unlike the majority rise above it, taking
decisions that positively impact their lives.
And under the guidance of Prof Arvind
Singhal, the master of positive deviance
and entertainment education, we set about
discovering and capturing positive deviant
stories from the field. Noted film producer
and director Feroz Abbas Khan, joined us. He
is the creative force behind the serial. Our
Advisory Council member, Dr Ajai Chowdhry,
guided the team towards bringing the serial
out across different media.
We are indebted to DFID for joining us in our
dream and coming forward to fund the first
52 episodes. We thank UNFPA for funding the
radio adaptations and the IVRS initiative that
is helping people all over the country connect
with us. And we are grateful to Doordarshan
and AIR for partnering with us in this great
venture. Countering age old practices and
changing mindsets requires a sustained
campaign. We are excited to see the interest
shown by various donors to join a consortium
for funding further episodes of the serial.
During the year, we had other occasions to
rejoice. Our pioneering work on the health
of the urban poor, was recognized. India
launched the National Urban Health Mission
and a range of tools and processes that had
been developed by us for our Health of the
Urban Poor program were adopted, adapted
and launched across cities and states. PFI is a
technical partner in the roll out of the mission,
and along with the National Health Systems
Resource Centre, has been training state
nodal officers across the country. PFI has also
helped review the state implementation plans
of all 35 states for community processes,
ASHAs and Health Management Information
Systems components.
As the Secretariat of Advisory Group on
Community Action (AGCA), PFI continued to
advocate for scaling up Community Action for
Health (CAH) to all states. Towards this, the
AGCA team provided technical support to the
National Health Mission teams in 15 states
-- Assam, Bihar, Delhi, Gujarat, Himachal
Pradesh, Jammu and Kashmir, Jharkhand,
Madhya Pradesh, Maharashtra, Meghalaya,
Mizoram, Odisha, Punjab, Sikkim and Uttar
Pradesh, to strengthen and scale up the
implementation of CAH. A workshop for state
nodal officers on Community Action for Health
was organized by the AGCA with support from
the Ministry of Health and Family Welfare
(MoHFW).
PFI has been involved in the development
of tools and processes and was part of the
working group, constituted by the MoHFW to
guide the development of national guidelines
for Village Health Sanitation and Nutrition
Committees and Rogi Kalyan Samitis.
As a grant making organisation, PFI has always
looked at supporting innovative programmes
that drive learning, help effect changes on
the ground and influence policy making.
Again, using the positive deviance approach,
PFI through a partner NGO, the Institute of
Development Studies, Jaipur is studying 400
first generation young women from the most
marginalized and illiterate families in Rajasthan
who have been able to overcome economic,
social and structural barriers to gain access to
college education. We hope to identify what is
it that triggers the empowerment of women,
particularly educational attaintment.
I thank the Government of India and the
state governments who repose great trust
in us to work on some of the most complex
of social issues. I am grateful to our funders
for without their support we would not have
been able to undertake these activities. I
acknowledge the remarkable role played
by PFI’s Governing Board and Advisory
Council in steering our course with great
vision and purpose. We have a great team of
professionals at PFI who work with complete
dedication and commitment, for they know
their work matters. Together, we can make a
difference to the lives of millions of Indians.
Poonam Muttreja
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Advocacy and Communication
Advocacy and Communication
Policy advocacy informed by empirical
evidence is the cornerstone of the work of
the Population Foundation of India (PFI).
Our advocacy efforts focus on enhancing
knowledge and eliciting interest of policy
makers, the media and the private sector
on identified priority social issues. Our
advocacy initiatives are aimed at influencing
relevant policies at the national and state
levels. This includes advocacy to improve
service provision, facilitate more effective
implementation of programmes and enable
families and individuals, particularly those
from socially disadvantaged groups and also
women, to assume control of decision making
for better health.
We undertake strategic and innovative
communication activities, such as
education through entertainment, outreach
interventions, engagement with the media
(including social media content dissemination)
and development of print and audio-visual
materials. The purpose of these efforts is to
draw attention to social issues by increasing
public dialogue and media coverage and
thereby combine changing social norms and
indivudual behaviour.
Main Kuch Bhi Kar
Sakti Hoon (I, A Woman,
Can Achieve Anything)
PFI partnered with Prasar Bharti, the Indian
national broadcasting network to air a serial
called Main Kuch Bhi Kar Sakti Hoon (I, A
Woman, Can Achieve Anything). This serial
was launched on Doordarshan National
on 8 March 2014. It aims to increase
awareness and knowledge on family planning
and women’s empowerment amongst
communities, families and individuals. It uses
a positive deviance approach to role model
behaviours that can help induce positive
changes with regard to perceptions on family
planning. The serial weaves together issues
of early marriage and pregnancy, spacing
between births, contraceptive choices,
girl’s empowerment and sex selection into
an entertainment education format. It is
aired free-of-cost at 7 pm on Saturday and
Sunday, and is also aired on DD India, which
broadcasts in the Middle East, Far East,
Canada and Europe, and the regional channel
DD Bihar. The serial has been adapted for
radio and was launched on All India Radio
(AIR) on 24 May, 2014. It is being aired twice
a week over 94 local radio stations, 24 FM
stations and 37 Vividh Bharati stations. The
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At the national launch of Main Kuch Bhi Kar Sakti Hoon: (From left to right) The
Executive Director of Population Foundation of India, Poonam Muttreja; Member
of PFI Advisory Council, Ajai Chowdhry; Director General of Doordarshan,
Tripurari Sharan; actress Sharmila Tagore; Group General Manager and Country
Head of HSBC India, Naina Lal Kidwai; Director Feroz Abbas Khan; and DFID
Head in India, Sam Sharpe.
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Advocacy and Communication
A 360-Degree Approach
Radio and TV Serial
IVRS, Social Media
Outreach
Individual
TV and radio series have been produced by
PFI and Bombay Local Pictures and directed
by Mr Feroz Abbas Khan, a well-known
theatre and film director, playwright and
screenwriter.
Strategic Priorities
Main Kuch Bhi Kar Sakti Hoon (MKBKSH)
follows a 360-degree approach to behaviour
change communication. Starting from mass
media TV and radio platforms, the serial
entertains as well as provides knowledge. The
messages of the serial are complemented
by the Interactive Voice Response System
(IVRS) through mobile phones that serve as
a platform for both disseminating messages
and receiving feedback from viewers/
listeners. The messages are reinforced by
a one-on-one discussion with facilitators
and frontline health workers on the ground.
In addition, this is accompanied by group
discussions and community activities through
Hum Kuch Bhi Kar Sakte Hain (We Can Do
Anything) events, among viewers and youth
groups. As people are exposed to the same
message from multiple sources, this has an
impact on attitudes and social norms.
Highlights
Viewership Ratings
The Television Audience Measurement (TAM)
data shows that approximately 18 million
people have watched the first 15 episodes
of MKBKSH. In terms of its ratings, it has
a ranking between the third and fifth most
popular programme in its time slot.
Interactive Voice Response System
(IVRS)
Ever since the launch of MKBKSH, the IVRS
has been receiving around one lakh calls
every month. The unexpectedly high number
of calls resulted in the system crashing on the
first day. The average call duration is about
three minutes. Based on a random sampling
of 5,000 calls, an estimated 30 per cent
calls are from Madhya Pradesh and Bihar,
which are also key intervention states for PFI.
People across the country have expressed
interest in the serial by sharing poems,
songs, concerns, taking pledges and giving
feedback.
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The promotion of Main Kuch Bhi Kar Sakti Hoon at Bhourikala Village, Sehore
district of Madhya Pradesh
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Advocacy and Communication
At the media launch of Main Kuch
Bhi Kar Sakti Hoon: Actress Soha Ali
Khan endorses the serial. The Director
General of Doordarshan addresses
journalists.
The nature of the IVRS calls can be seen
below:
I want to tell you that I am daughter of this
nation and I am proud of this nation. Although
I am only in Class 10, I am sure that I will be
President one day. I will ensure that no girl in
this country is victimised and will throw out
all those ministers from their positions who
oppress women.
—Female caller, Bihar
Through this serial, people will learn that
there should be no discrimination between
a girl and a boy child. Today, women have
reached great heights—some are doctors,
engineers, many are high-ranking officers. I
just want to say this serial is very good.
—Male caller, Madhya Pradesh
Social Media
Social media has played an extensive role in
publicising the serial. It has drawn people into
discussing the issues the show raises, and it
has ensured that we reach out to a younger
demographic, to organizations working on
behaviour change and to other organizations
in the social sector. More specifically, the
serial was discussed on Facebook and Twitter
and the episodes were uploaded on YouTube
for a wider viewership, which comprised, in
particular, young people in urban and peri-
urban areas of the country. This population
represents a crucial segment for their impact
on the health outcomes and economic growth
of the country.
The potential impact of social media is
growing rapidly in India, and to capitalise on
this, PFI engaged with IBM (through the IBM
Impact Grant) to review and recommend a
long-term social media strategy for MKBKSH.
Partnership with the Government
Given that the ASHAs (Accredited Social
Health Activists) and ANMs (Auxiliary Nurse
Midwives) are part of the target audience of
the serial, the Ministry of Health and Family
Welfare (MoHFW) is promoting the serial
through its ASHA mobile network, where it
reaches out to over 8,90,000 ASHAs across
the country. In addition, the National Rural
Health Mission (NRHM) in Bihar, Madhya
Pradesh and Uttar Pradesh has promoted
MKBKSH through ASHA newsletters and
mobile video van programmes.
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Advocacy and Communication
Pre-Launch Promotion
The launch of the serial was preceded
by launch events in Delhi and a series of
communication events in Madhya Pradesh
and Bihar. In these states, mobile canters
promoted the serial through screenings of the
promo, health games with MKBKSH branded
merchandise as gifts, street theatre, posters
and flyers, while promoters also talked about
the serial. In both Madhya Pradesh and
Bihar, non-governmental organisation (NGO)
partners were also engaged to mobilise
the community in their areas. Promotion of
the serial in these two states also included
hoardings and wall paintings, promotional
SMSes (4.7 million), calls (1.7 million) and
airing radio spots on All India Radio (AIR) and
FM stations.
Doordarshan, our partner in the initiative,
also promoted the serial extensively. Regular
e-flyers about the serial were sent to over
10 million viewers, hoardings were put up
in Delhi, Mumbai and outside Doordarshan
offices in major cities across the country.
Doordarshan also placed regular print
advertisements in national English and Hindi
dailies, aired promotional advertisements
on all its channels and All India Radio, and
sent promotional SMSes through its mobile
database. Through assistance from the
Ministry of Railways, Doordarshan introduced
paper cups with the MKBKSH logo and visual
branding in the Rajdhani trains from Delhi to
Patna and Mumbai.
Research
As a first step towards the introduction of the
programme, PFI tested the suitability of the
title as well as both the radio and the TV pilot
episodes of MKBKSH in the selected states.
Formative research for the initiative included
a desk review to identify enablers and barriers
in adoption of family planning practices and
a positive deviance study conducted in five
states— Bihar, Haryana, Rajasthan, Uttar
Pradesh and Delhi. The baseline study was
also completed in two states—Madhya
Pradesh and Bihar.
To measure changes in attitudes and
behaviours, a ‘baseline-mid-term-endline’
plan was designed that consisted of both
quantitative and qualitative surveys. A
technical advisory group (TAG) comprising
experts has been constituted to guide the
research.
The initiative is funded by the Department
of International Development (DFID), UKAID
under the Promoting Planned Families
Project. The project aims to increase women’s
agency, enhance knowledge and change
attitudes of youth to eventually contribute
to improving demand, access and quality
of family planning services in India, with
particular attention to Bihar, Madhya Pradesh
and Odisha. United Nations Population Fund
(UNFPA) has funded the adaptation of the
series for the radio and the Interactive Voice
Response System.
MKBKSH on Social Media
Website
http://www.mkbksh.com/
Facebook
https://www.facebook.com/
mainkuchbhikarsaktihoon
Twitter
https://twitter.com/MKBKSH_
YouTube
https://www.youtube.com/user/mkbksh
Vimeo
http://vimeo.com/user30633104
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Advocacy and Communication
Advocacy for Change:
Repositioning Family
Planning, Promoting
Birth Spacing Project
A three–year project, Advocacy for Change:
Repositioning Family Planning, Promoting
Birth Spacing, which began in September
2011, is being implemented by PFI. The
project aims to reposition family planning
within a reproductive health and human rights
framework so that every family is a planned
family and every child is a wanted, healthy
child. The project advocates policy and
programme improvements in three specific
areas: delaying age at first pregnancy,
promoting spacing between births, and
improving quality of care of family planning
and reproductive health programmes in Bihar
and at the national level.
Advocacy in Bihar is led by efforts in two
districts—Darbhanga and Nawada—in
order to effect a convergence with existing
government programmes, including the
Community-Based Planning and Monitoring
(CBPM) initiative being implemented by PFI.
The project has created a cadre of Advocates
for Change (AFC) at the village level in the
two districts. The AFCs promote the three
key issues within the community and provide
inputs in planning and monitoring of health
activities through the CBPM structures.
Highlights
• PFI developed a communication package,
including interactive materials, such as a
comic book, ‘snakes and ladders’ game, quiz
questions and a discussion guide within a
diary based on the film Haule- Haule (a film
on family planning, produced by Mr Feroz
Abbas Khan and PFI for the Ministry of Health
and Family Welfare). These will be used by
the AFCs in the two demonstration districts.
• At the state level, PFI, in collaboration with
the State Health Society Bihar, disseminated
the systematic review of evidence on family
planning interventions and policies, where
the need for the state family planning
programmes to focus on concerns such
as delaying first pregnancy, spacing of
births and ensuring quality of care was
emphasised and recognised.
• PFI arranged visits to the PRACHAR Project
(an initiative that has successfully worked
towards delaying age at first pregnancy and
promoting birth spacing) site at Sherghati
in Gaya district for government officials,
ASHAs and AFCs to gain an interactive
learning experience.
• Priority areas related to family planning
were identified and advocated for inclusion
in the District Health Action Plan (DHAPs).
• PFI organised a working group meeting
on Communication for Family Planning,
where key stakeholders working on
family planning in Bihar reviewed the
communication package developed by PFI
and agreed on the terms of reference for
the group to periodically meet and share
experiences on communication efforts. An
e-group was formed for regular interaction
among stakeholders to strengthen
communication efforts in Bihar.
• A comprehensive training module for AFCs
has been developed on the three key issues
of the project. Master trainers from NGO
partners in Nawada and Darbhanga have
been trained on using this module.
The project is supported by the David and
Lucile Packard Foundation.
Advance Family Planning
Advance Family Planning (AFP) is an initiative
that aims to increase the financial investment
and political commitment needed to ensure
access to high-quality, voluntary family
planning through evidence-based advocacy.
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Story of change: Religious leaders now change agents
The Advocates for Change (AFCs) were not being allowed to operate in
Maheshpatti in Sankarpur Panchayat of Singhwara block, Darbhanga district.
There was resistance from some influential community members to allowing
AFCs to discuss issues related to family planning. The NGO, Gramodaya Veethi,
decided to familiarize them with the programme, its goal and objectives and
seek their cooperation. An invitation was sent out to 36 community leaders,
including Panchayati Raj Institution (PRI) members, influential people and 15
religious leaders from the block.
At the meeting held at the primary health centre (PHC), the field coordinators
from Gramodaya Veethi discussed the issue with theleaders to first assess their
understanding on family planning. They tried to dispel the many myths about
family planning through a comprehensive discussion. They also used a specially
designed training manual brought out by PFI. A few of the leaders, including
40-year-old Maulana Hafiz Sahib, agreed to support the programme.
The NGO then called for another meeting at the anganwadi centre at
Maheshpatti village. While Maulana Hafiz had a discussion with the men, a
female AFC answered the queries from the women. The Maulana was unable
to convince the men to meet with the AFCs, but some of the women who had
been listening to him showed considerable interest. A meeting was fixed for the
women to meet with some of the female AFCs. Subsequent to this, meetings
between the AFCs and the women have become a regular feature.
Meanwhile, the Maulana invited the field coordinators of Gramodaya Veethi to
the Madarsa to address the queries of other religious leaders from surrounding
areas. This meeting helped to break the ice, and the community has become
more accepting of the AFCs.
For those who are still sceptical, he says, “Dharam nahi kahta sharab pine ke
liye, lekin firbhi log sharab pite hain. Logon ko tab dharmki yaad nahi aatihai,”
which translates into, “Religion does not ask people to drink alcohol, but still
they do. They do not remember religion then”.
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Advocacy and Communication
A Memorandum of Understanding was
signed between the State Innovations
in Family Planning Project Agency
(SIFPSA) and Population Foundation
of India (PFI) for collaboration on
Urban Health, Family Planning and
Community Action. In the picture,
Mr Amit Ghosh, Mission Director,
National Health Mission and Executive
Director SIFPSA, Uttar Pradesh and
Ms Poonam Muttreja, Executive
Director, PFI.
AFP builds on the momentum of the 2012
London Family Planning Summit to achieve the
goals of the Family Planning 2020 (FP2020)
partnership. PFI leads the AFP programme in
India, with a focus on Bihar and Uttar Pradesh.
Some of the advocacy issues being worked
on under AFP in India are related to:
• increasing budget allocation and
expenditure for family planning in the state
Programme Implementation Plans (PIP)
• increasing contraceptive choices to enable
couples to make informed choices
• addressing policy barriers towards
improving the family planning programme
• improving performance review mechanisms
for family planning in the state agenda.
Highlights
In Uttar Pradesh, PFI has entered into a
formal partnership with State Innovations in
Family Planning Services Agency (SIFPSA),
the state technical support for reproductive
and child health (RCH) and family planning in
Uttar Pradesh. PFI will be providing technical
support in areas of community monitoring,
urban health, private sector engagement and
family planning, and the review and revision
of the Uttar Pradesh population policy.
Mr Amit Ghosh, the Mission Director, National
Health Mission of Uttar Pradesh, endorsed
the partnership between PFI and SIFPSA:
I am happy that this functional arrangement
has been formalized between SIFPSA and
PFI, by which the people of this state will
gain from their expertise in the sectors of
family planning, urban health and community
monitoring of health services. I look forward
to initiating this collaboration with the review
and revision of the UP Population Policy.
A study was conducted in Bihar analysing
the budget allocation and expenditure for
family planning in the state for the last five
years. The study has thrown some interesting
findings and recommendations.
Findings
• The allocation to health as a percentage of
the total state budget increased from 3.8 per
cent in 2009–10 to 4.1 per cent in 2011–12,
and declined to 3.6 per cent in 2013–14.
• In absolute terms, there has been an increase
in allocation, however, the rate of growth
shows a declining trend from 36.1 per cent in
2010–11 to 18.2 per cent in 2011–12 and a
further fall to 9 per cent in 2013–14.
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Advocacy and Communication
• The Government of Bihar is contributing a
significantly higher proportion as the state’s
share to the NRHM fund over the years.
• Utilisation rates of family planning budget
heads under NRHM show a declining trend
in general. In many of core activities like
spacing methods, training, BCC/ IEC for
family planning, procurement of equipment
etc., the level of expenditure in comparison
to the outlay is very low.
• Some of the reasons identified for low
utilisation of family planning budget are
inadequate infrastructure, human resources
and communication skills of frontline health
workers, competing priorities with other
programmes, and low level of interest
among providers for family planning.
The AFP programme is being supported
by the Bill & Melinda Gates Institute for
Population and Reproductive Health at
the Johns Hopkins Bloomberg School of
Public Health, and it works through partner
organisations in nine countries. In India, PFI
leads the efforts of AFP to collaborate with
the governments of Uttar Pradesh and Bihar
and also with various networks and coalitions
working on the issue of family planning at the
national and state levels.
Building Leadership
Support for Urban
Reproductive Health
in the State of Uttar
Pradesh
PFI successfully implemented the third and
final year of the project Building Leadership
Support for Urban Reproductive Health in
the State of Uttar Pradesh. The project was
implemented in six cities of Uttar Pradesh.
The first and second year of the project
directed efforts on building and strengthening
the capacities of key family planning
champions, developing research-based
advocacy tools and providing support to state
leadership. The third year culminated in a
series of city and state-based workshops that
highlighted the importance of family planning
in the state.
In partnership with the Giri Institute of
Development Studies (GIDS), the project
organized a state-level policy meeting in
Lucknow in September 2013. The objective of
the meeting was to share findings from an in-
depth research study on financial allocations
and expenditures in family planning in the
state. These findings will help strengthen
policy and programme planning in the state.
Further, consultations were organised with
key stakeholders such as members of the
Federation of Obstetric and Gynecological
Societies of India (FOGSI) and religious and
community leaders. These meetings aimed
at raising awareness among doctors and
community leaders on increasing the basket
of choice, promoting the use of spacing
methods, and reducing provider biases.
Finally a series of six city workshops were
organised in December 2013 to share the family
planning advocacy tools. The workshops were
facilitated by family planning champions from
each city and participants included key officials
from the government, civil society and health
department. To close the project, PFI held a
dissemination meeting in February 2014. The
meeting presented the results of the project and
invited recommendations from all stakeholders
present, including the Mission Director of the
National Health Mission (NHM), Mr Amit Ghosh,
and other key officials from the Directorate of
Health and Family Welfare and NHM.
The Building Leadership project was supported
by the Futures Institute as part of the larger Bill
and Melinda Gates Foundation funded Urban
Reproductive Health Initiative (URHI) which aims
to expand family planning services among the
urban poor in the state of Uttar Pradesh.
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Health of the Urban Poor Program
Health of the Urban Poor Program
1. HUP consortium: Technical partners:
International Institute of Population Science
(IIPS), Micro Insurance Academy (MIA),
Centre for Development and Population
Activities (CEDPA), Implementing partners:
Plan International (India Chapter), Institute of
Health Management Research (IIHMR), Bhoruka
Charitable Trust (BCT)
2. State-wise HUP implementation: PFI: Odisha,
Uttar Pradesh and Madhya Pradesh; Plan India:
Uttarakhand, Bihar and Jharkhand; IIHMR:
Rajasthan and Chhattisgarh
3. City-wise implementation: Bhubaneswar (PFI);
Pune (Plan India); Jaipur (BCT); Delhi (directly
by PFI under no-cost extension period); Agra
by Centre for Urban and Regional Excellence
(CURE)
Health of the Urban Poor (HUP) is a technical
assistance programme implemented by a
consortium1 of development organisations
steered by PFI. The programme is supported
by the United States Agency for International
Development (USAID) through a bilateral
grant approved by the Government of India.
Through this programme, PFI reinforces
its commitment to focus on the unserved
and underserved areas and the vulnerable
sections of the society in urban India.
The goal of the HUP programme is to improve
the health status of the urban poor by
adopting effective, efficient and sustainable
strategic intervention approaches. It adopts
the principle of convergence of the various
development programmes. To accomplish its
goal, HUP works with the national, state and
local governments.
The HUP programme has interventions in 8
Empowered Action Group (EAG) states2 and
5 demonstration cities3, and it has scaled up
its programmes in 20 cities, including the 2
mega million cities of Bengaluru and Kolkata.
HUP’s Contribution to Urban Health
HUP made a significant contribution in
advocating for the need of instituting the
National Urban Health Mission (NUHM) and
in shaping it. The mission was approved
by the Indian Cabinet in May 2013. The
Government of India has formally recognised
PFI-HUP as a partner for providing support
to the national and state governments
on three broad components of NUHM
implementation—planning and mapping
in cities, institutionalization of community
processes and conducting baseline-endline
assessments in cities.
HUP is facilitating convergence of
development initiatives of various
departments and partnerships with the
private sector for urban health. HUP’s urban
health model has tested components of the
NUHM framework for implementation and
has demonstrated their feasibility. The HUP
Programme has been awarded a ‘no-cost
time extension’ for a period of two years from
October 2013 to September 2015. During the
extension phase, HUP will be strengthening
work in the demonstration cities and will
replicate and scale up of the good practices
of the city model to 20 new cities.
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A Mahila Arogaya Samiti meeting in progress
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Health of the Urban Poor Program
Highlights
Technical Assistance to the
Government
Launch and Roll Out of the NUHM
The NUHM was launched at the national level
on 20 January 2014 and subsequently at
the state level in Odisha and Uttar Pradesh.
HUP state teams assisted the respective state
governments in the launch. To facilitate the
NUHM rollout, HUP in collaboration with the
National Health Systems Resource Centre
(NHSRC) oriented the NUHM nodal officers on
strategies, approaches and key issues related
to urban health. The government functionaries
were provided with tools and guidelines to
prepare the NUHM Programme Implementation
Plans. HUP along with the Ministry of Health
and Family Welfare (MoHFW) organized a
regional workshop on NUHM in Mumbai in
August 2013, which provided a platform to
health officials from governments of 12 highly
urbanized states and five mega cities for
cross-learning of experiences on urban health.
Preparation of NUHM Programme
Implementation Plans (PIPs)
HUP provided technical support to the eight
state governments in preparation of their
NUHM PIPs. It also supported MoHFW to
review NUHM PIPs from 32 states and Union
territories. The HUP state teams supported
respective state governments in different
aspects of NUHM implementation, including
inputs on budget allocation and spending.
Representation in the Technical Resource
Group (TRG) and Other Committees on
Urban Health
The MoHFW has formed a TRG on NUHM. The
Executive Director of PFI has been nominated
as a member on the committee and will be
the coordinator for a subgroup of the TRG—
Community Process and Convergences.
Representatives of HUP are included in the
following subgroups— Reaching Vulnerable
Populations, Institutional Arrangements,
Community Processes and Convergences,
and Urban Health Financing, and Governance
and Phasing.
Public Private Partnerships (PPP)
PPP Consultation
HUP Uttarakhand organised a consultation on
Successful PPP Perspective & Opportunities
and Sharing of Key Learnings along with
the Uttarakhand Health & Family Welfare
Society (UKHFWS) and the PPP Cell to orient
key stakeholders on successful PPP models
and best practices. The consultation was
attended by a range of partners including the
Uttarakhand Health Department, Integrated
Child Development Services (ICDS), PPP cell
and private partners— Fortis MRI Centre,
Rajbhara, 108 Emergency Ambulance
Services, Ambuja Cement Foundation and
other civil society organisations.
Partnership with Private Diagnostic
Centres
HUP facilitated a partnership in Bhubaneswar
city between Mahila Agrogya Samiti (MAS)
and two private health institutions to get
health facilities, consultation and pathological
tests at subsidised rates.
Strengthening of Health Services
HUP signed an MoU with Seventh Day Adventist
(SDA) hospital in Ranchi to provide health
services to a slum where no public services
are available. SDA, within its premises has
opened up a small health facility called the
Mamta Swastha Kendra, to provide primary
health services such as immunisation, antenatal
care, post-natal care, counselling and general
check-ups to the urban population residing in
the neighbourhood. HUP also facilitated a PPP
between SDA and the District Rural Health
Society, Ranchi to provide immunisation and to
maintain a storage depot for vaccines.
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Health of the Urban Poor Program
Convergence of Government of India’s
Urban Health and Development Efforts
Facilitating City-Level Convergence
HUP’s advocacy resulted in the nomination
of two district urban development authority
officials as nodal officers for convergence of
urban health and development efforts in each
of the 11 cities under the Mukhya Mantri
Shahari Swasthya Karyakram.
Water, Sanitation and Hygiene (WASH)
HUP facilitated a joint planning meeting of
departments in partnership with the Public
Health Engineering Department, Government
of Rajasthan. The WASH information, education
and communication (IEC) material developed
by HUP for Mission Convergence, Government
of Delhi, was shared during the meeting. Key
findings of the study on point-of-use approach
for water quality were also shared.
Studies/Publications by HUP
Urban Health and Nutrition Day (UHND)
Assessment
HUP consortium member, Plan India,
conducted a study to assess UHND in
Jharkhand, Ranchi, one of the 20 scale-
up cities to understand the degree of
coordination between health and ICDS
services. The study findings will provide
direction to scaling up UHNDs in new
locations and increasing the coverage and
quality of services to urban communities.
Water, Sanitation, Health and Nutrition
Infrastructure and Facility Mapping of
Ranchi City: Special Focus on Slums and
Settlements of Urban Poor
The study was commissioned to map and
assess the basic water and sanitation facilities
in the slums of Ranchi. The study provides
required baseline information on water supply
and sanitation situation including the status
of physical infrastructure, quality of services
and needs and demands of the community.
Focus group discussions were conducted to
determine the actual water and sanitation
(WATSAN) scenario and identify practices that
may affect health and hygiene of the slum
dwellers. These will inform programme plans
in the scale-up phase.
Public Private Partnerships for Delivery of
Health Services
The Centre for Development and Population
Activities (CEDPA) India, a member of the
HUP consortium, conducted a study of a
few successful public private partnerships
to identify a partnership framework for the
provision of health services in urban areas.
The study findings will be used to inform
scaling up of the partnership framework
under the National Urban Health Mission
(NUHM). A combined methodology of desk
review and field visits to some on-going PPP
projects was used.
Urban Health Training Module-IV
Water, Sanitation and Hygiene Promotion
for Urban Health
The module focuses on the key components
of water, sanitation and hygiene (WASH),
which are important determinants of health.
It is designed to train frontline workers
(anganwadi, urban ASHA/ Urban Social
Health Activist [USHA], HUP frontline,staff
of various departments, urban local bodies,
donor organisations, NGOs and community
based organisations), who in turn would
be able to pass on the knowledge to the
communities they work with. Experts from
PFI, WaterAid, FORCE, Action India, CURE,
Government of Delhi, Mission Convergence,
MoHFW and Department of Women and
Child Development have contributed to the
development of the module.
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Health of the Urban Poor Program
22
Annual Report
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Policy and Practice Review: Gender and
WASH in the Urban Context
PFI carried out the study in collaboration
with its technical partner, the Centre for
Development and Population Activities
(CEDPA). The study examined the impact
of poor and inadequate WASH services on
women in the urban context, and the policy
and programme response of the state and
non-state agencies. A review of national and
state-level policies and schemes on WASH
as well as recommendations for gender
mainstreaming was done.
Health of the Urban Poor: Evidence from
Bhubaneswar, Jaipur and Pune, 2011: HUP
Baseline Report
Population Foundation of India conducted
a baseline study along with its consortium
partner, the International Institute for
Population Sciences (IIPS), Mumbai to
document the knowledge, attitude, behaviour
and practice (KABP) related to maternal
and child health care and water, sanitation
and hygiene, in the cities of Bhubaneswar,
Jaipur and Pune. Both quantitative and
qualitative approaches were used. A two-
stage systematic random sample design
was adopted from the 2007–08 urban
frame survey of the National Sample Survey
Organisation.
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Story of Change: Self-Help is Best Help
Water, sanitation and hygiene are an essential part of various capacity-building
and awareness initiatives under the Health of the Urban Poor program. This
story records the change in the attitudes of people of the Nilakantha Nagar
Munda Sahi slum regarding their responsibility in keeping their area clean.
The community, led by the Mahila Arogya Samiti (MAS) members, took on the
responsibility of keeping their slum clean by making small contributions in the
form of money and labour.
As Nilakantha Nagar Munda Sahi (Ward No 27) is an unnotified slum, the
services provided by Bhubaneswar Municipal Corporation are close to
nonexistent. It is one of the slums where the PFI-led Health of the Urban Poor
Program is working in collaboration with an NGO, Bhairabi Club. As part of
the programme, Mahila Arogya Samitis (women’s groups) have been formed.
These groups meet once a month and direct their discussions and activities on
maternal, newborn and child health, on nutrition-related issues and water and
sanitation.
The staff of the NGO, Bhairabi Club, and PFI regularly interact with the MAS
members and provide inputs on various health and hygiene matters.
Two MAS groups, Om Shanti and Ma Sarala, are working in this slum. One
of the issues they identified was lack of hygiene in their slum. After several
rounds of discussions among themselves, MAS members took up this issue
with the community, and they urged people to keep the slum clean. They
also organised a rally to spread awareness on hygiene and sanitation. During
the rally, MAS members met members of each household in the slum and
explained to them the ill effects of the unhygienic situation. MAS members
then contributed towards a common fund and purchased brooms, dust bins
and bleaching powder. They cleaned the slum lanes and water points, inspiring
other community members to join them. Within a few hours, the slum was much
cleaner. This community cleaning has now become a monthly activity led by
MAS members and some men.
The MAS working in the Munda Sahi slum have been assessed and selected
for adoption under the National Urban Heath Mission. This will ensure their
continuity and sustainability.
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Community Action for Health
Community Action for Health
In 2005, the Ministry of Health and Family
Welfare (MoHFW) had constituted the
Advisory Group on Community Action (AGCA)
to advise on community action initiatives
under the National Rural Health Mission
(NRHM). PFI hosts the Secretariat of the
AGCA. Community-based planning and
monitoring (CBPM) is a key initiative for which
the AGCA has provided technical support by
rolling out a pilot in nine states. Subsequently,
experiences from the states showed that
many health officials were unclear about
what the programme entailed and there
was an element of uncertanity about the
purpose. The Ministry at the recommendation
of the AGCA decided to rename CBPM as
Community Action for Health (CAH), which
was considered more comprehensive.
During 2013–14, the AGCA continued to
provide technical assistance to states to
initiate and scale up CAH. A total of 22 states
and union territories have included this
component in their annual National Health
Mission (NHM) Programme Implementation
Plans (PIP). The MoHFW approved a grant to
the AGCA to provide technical assistance to
state governments to strengthen and scale up
implementation of CAH.
In addition, PFI is the state technical
and nodal agency that is managing
implementation of the CAH programme
in Bihar, supported by the State Health
Society Bihar (SHSB). The project is being
implemented in 300 villages, in 10 blocks
across 5 districts—Bhagalpur, Darbhanga,
Gaya, Jehanabad and Nawada.
During the past year the following work was
undertaken—
National Level
• The AGCA, with support from the MoHFW,
organised a workshop for State Nodal
Officers on CAH (National Visioning and
Planning Workshop) in New Delhi, in
September 2013. The objectives of the
workshop were to increase understanding
on CAH for enhancing accountability of
health services, to encourage sharing
of experiences of various CAH models/
interventions and to develop skills in
planning, implementation and scaling-
up of CAH. Forty state nodal officers
and representatives of state-level NGOs
from the 22 states and union territories
participated.
• The existing CAH website was revised and
improved to include the latest updates
on CAH processes, training manuals,
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Panelists, including district-level government officials and Medical Officers, at a
Jan Samvaad in Bhagalpur district in Bihar interact with community members on
issues related to health services
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Community Action for Health
tools and other resource materials.
The website can be accessed at: www.
nrhmcommunityaction.org.
• Inputs were provided to the MoHFW on the
Annual State Programme Implementation
Plan (PIP) guidelines for the CAH
component.
• AGCA sub-group meetings were organised
to simplify/adapt the CAH tools and the
Facilitator’s manual. The draft tools and
manual will be pre-tested and shared with
MoHFW for inputs.
State Level
The AGCA team provided technical support
to 15 state NHM teams and NGOs in Assam,
Bihar, Delhi, Gujarat, Himachal Pradesh,
Jammu and Kashmir, Jharkhand, Madhya
Pradesh, Maharashtra, Meghalaya, Mizoram,
Odisha, Punjab, Sikkim and Uttar Pradesh to
strengthen and scale up implementation of
CAH. This was implemented by:
• Organising visioning and planning exercises
to develop state PIPs for the CAH component
in 13 states—Punjab, Himachal Pradesh,
Jammu and Kashmir, Delhi, Uttar Pradesh,
Bihar, Jharkhand, Madhya Pradesh, Gujarat,
Assam, Meghalaya and Mizoram.
• Developing processes for selection of NGOs
in Bihar, Assam and Mizoram.
• Orientating state and district-level nodal
officers and NGOs on the CAH processes
in Arunachal Pradesh, Assam, Manipur
Meghalaya, Mizoram, Nagaland and Tripura,
and Punjab, Delhi and Gujarat.
Some important events that were facilitated
during the year:
• The CAH programme was launched in
Mizoram by the State Health Minister, Mr
Pu Lal Thanzara, in February 2014 and
was followed by an orientation workshop
for the State Nodal Officers and NGOs.
The Secretary, Health and Family Welfare,
Mission Director, NHM, and other senior
officials participated. Subsequently, support
was provided to the State NHM team for
piloting the programme in two blocks in
Serchip district.
• The AGCA team oriented state nodal
officers on the CAH implementation
processes during the programme planning
meeting organised by NHSRC and North
East Regional Resource Centre.
• State-level CAH Orientation Workshop
was organised in Ahmedabad, Gujarat, in
December 2013, in Mizoram in February
2014 and in Delhi in March 2014. State
and district-level officers, and NGOs
participated.
• The training manual and the tools used
for community enquiry under CAH were
reviewed and simplified by a sub-
group comprising various civil society
organisations, experts, the AGCA and the
National Health System Resource Centre.
Implementation of the
CAH Programme in Bihar
The CAH programme was launched in
Bihar in May 2011 with the support of the
State Health Society Bihar (SHSB) and in
partnership with civil society organizations
under the NRHM. PFI is the state nodal
NGO and technical agency. The programme
is being implemented in five districts—
Bhagalpur, Nawada, Gaya, Darbhanga and
Jehanabad, covering 300 villages through 13
NGO partners at district and block levels. In
the last year:
• PFI undertook an assessment to review
the programme performance and identify
promising practices, learnings and
challenges faced by the implementation
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A woman from Nawada, Bihar, shares her experience on denial of health
services at a Jan Samvaad
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Community Action for Health
Panchayat-level sharing of village
health report card at Imamganj block,
Gaya, Bihar
partners. The assessment was undertaken
in coordination with the State Health
Society Bihar (SHSB) and members of the
State Technical Advisory Group.
• To seek inputs for scaling up CAH in
Bihar, PFI organised meetings with
leading organisations working on
community action such as Bihar-Technical
Assistance Support Team, Project Concern
International, Jeevika, Self-Employed
Women’s Association, Women Development
Corporation and Mahila Samakhya.
• The Sixth State Technical Advisory Group
meeting was organized in Patna in March
2014 to deliberate on the scaling up plan
for CAH in Bihar.
• 107 Village Health Action Plans were
developed with the support of members
from Village Health Sanitation and Nutrition
Committees to identify community-level
issues and gaps. The key issues emerging
from the processes were collated and
submitted for incorporation into the Annual
District Health Action Plan across five
districts.
• Regular quarterly meetings of the Block
Planning and Monitoring Committees
and District Planning and Monitoring
Committees were organized to address
issues and gaps emerging from the Jan
Samwads.
The programme has resulted in significant
awareness on health and health-care
entitlements at the grassroots level. Two
films have been produced to support the
programme: A film on health entitlements
produced with support from the Packard
Foundation is being used to generate
awareness on the entitlements and the
importance of community action. The second
is a documentary that captures key processes
and some immediate results of the effort.
Links to films
http://www.youtube.com/watch?v=lETsAn7V
pIo&feature=youtu.be
http://www.youtube.com/watch?v=KnjNTUkz
TfA&feature=youtu.be
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Story of Change:Negotiating Solutions with the Health System
Samagra Seva Kendra (SSK) is the block NGO implementing the CAH
programme in Imamganj block of Gaya district. During the various village-level
meetings, the NGO staff were prompted to enquire on issues related to health
in the project villages when they found that children were not getting timely
BCG vaccinations. When they discussed the issue with the ANMs, they realised
that the BCG vaccine was in short supply and the ANMs would not open a vial
of vaccine unless they had at least five children for the vaccination. Parents, on
being asked to bring their children to the PHC for vaccination, found it difficult to
make the trip to the PHC considering the distance and expenses involved.
The NGO discussed the issue with the Village Planning and Monitoring
Committee (VPMC) members in different villages and came up with a solution
to address the community’s problem and the health system’s limitation. They
negotiated for BCG immunisation to be provided at two additional PHCs that
were closer to the villages. They also enlisted the support of VPMC members
to convince parents to take their children to these PHCs. This has resulted in
improvements in the levels of BCG immunisation.
Samagra Seva Kendra with support of the district NGO, has also raised the
issue of the short supply of BCG vaccine at the district level. Action has been
promised.
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Scaling Up
Scaling Up
Experiences in India and around the world
reveal the need for an ‘intermediary’
organisation or organisations that can
facilitate the processes of successful scaling
up. PFI has been working towards being an
apex resource organisation and a Centre of
Excellence for Scaling-Up Management (SUM)
in India and has been supporting scaling up
of NGOs and public-sector innovations since
2006. PFI’s work on scaling up is aimed at:
• Promoting the scaling up of evidence-
based models and approaches to address
maternal mortality and morbidity and
adolescent reproductive and sexual health,
primarily through government health
programmes.
• Expanding skills and capacity for scaling
up management beyond PFI-managed
endeavours among the larger public health
community in the government, NGOs and
academic and research institutions.
As an intermediary, PFI has supported various
organisations on:
• Orientation on Scaling-Up Management
framework and its applications
• Evidence generation in areas such
as outcomes and impact, process
documentation, and cost analysis
• Scalability assessment and designing a
scaling up plan
• Modifying and strengthening
organisations—systems, structures and
capacities
• Advocacy for legitimisation and adoption of
the model
Currently, PFI provides technical assistance to
the MoHFW and state governments’ scale up
of CAH and NUHM.
Highlights
Creating an Environment for Scaling
up Beyond PFI
ToT Workshop on SUM: A scaling up training
of trainers (ToT) workshop was organised
in April 2013 in New Delhi. Twenty-three
professionals were oriented on the Scaling
Up Management (SUM) framework and its
applications. Workshop participants included
representatives from the government and
state-level NGOs working specifically in the
area of community processes and urban
health from Bihar, Chhattisgarh, Maharashtra,
Odisha, Rajasthan and Uttar Pradesh. New PFI
staff and grantees also participated in the ToT.
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Scaling Up
Orientation of MacArthur Foundation
Grantees on the SUM : PFI facilitated a
session on SUM framework for the MacArthur
Foundation grantees at the regional meeting
of Partnership to Strengthen Innovation and
Practice in Secondary Education, organised in
Jaipur in November 2013.
Scaling-up Support for Community
Action for Health (CAH) and National
Urban Health Mission (NUHM)
Community Action for Health: CAH is an
intervention that is articulated in official policy
and is backed by funding under the NHM.
However, considerable advocacy is required at
the national, state and district levels to enable
scaling up. The process of going to scale
also requires considerable handholding and
engagement with a range of stakeholders.
National Visioning and Planning Workshop
for State Nodal Officers to Scale up CAH :
A two-day orientation workshop for state
nodal officers on CAH was organized by the
AGCA Secretariat, with support from the
MoHFW, on 16–17 September 2013 in New
Delhi. The objectives of the workshop were
to (a) increase understanding on CAH for
enhancing accountability of health services
(b) share experiences of various CAH models/
interventions and (c) develop skills in planning,
implementation and scaling-up of CAH. Forty
state nodal officers/ State-level NGOs from 22
states and union territories participated.
Development of National Guidelines
and Training Materials
National Operational Guideline and Training
Modules for Village Health Nutrition and
Sanitation Committees (VHSNC) : PFI was a
part of the working group, constituted by the
National Health Systems Resource Centre
(NHSRC), to oversee the development of
a guideline and training manual. Specific
contributions included (a) developing manual
content outline (b) writing sections on
community monitoring of health services and
tools and (c) documenting review and feedback.
Monograph on Community Action for
Health
A monograph on community action for
health has been compiled, which includes
experiences from selected national and
international models in the area of CAH, such
as interventions, approaches, outcomes,
learnings and challenges. The document
details case studies of five models: (a) the
CAH programme implemented in Bihar (b) the
Swasthya Panchayat Yojana in Chhattisgarh
(c) the involvement of users groups in the
management of Municipal Hospitals in
Mumbai, Maharashtra (d) mobilization on
health through community collectives in the
slums of Varodara, Gujarat and (e) Community
Action for Health in Tamil Nadu.
National Urban Health Mission
PFI leads a consortium that implements the
Health of Urban Poor (HUP) program supported
by USAID. Over the last year, emphasis has
been laid on building skills of the PFI-HUP
team and partners on the concept and
applications of scaling up such as the SUM
Framework, process documentation, and
costing and cost effectiveness.
Following the launch of the NUHM, PFI provided
support to the MoHFW, in coordination with
NHSRC, in processes such as development
of the operational guidelines, programme and
budget templates for developing state and city
PIPs orientation of state NUHM nodal officers,
and review of State PIPs.
Regional conference
PFI organised a Regional Conference on the
National Urban Health Mission in coordination
with MoHFW on 30–31 August 2013 in
Mumbai, in which 34 senior state officials
participated.
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Programmes in the Field
Programmes in the Field
An infant warmer is used to maintain
the body temperature of premature
and low-birth-weight babies at a
government hospital managed by
Karuna Trust
PFI has a long history of providing grants
to civil society organisations for supporting
innovations in family planning and
reproductive and adolescent health that are in
aligned to PFI’s programme priorities.
PFI’s grant making focuses on the eight
Empowered Action Group (EAG) states
in India, especially in areas with poor
demographic and socio-economic indicators.
The emphasis is on innovations that can be
scaled up. PFI works in the field with local
NGOs, academic and research institutions
and corporate partners.
PFI implemented 10 grants during the period.
Details can be found on pages 38-41. We are
highlighting two of them here:
Repositioning Family
Planning at Primary
Health Centres in
Karnataka through
Public Private
Partnership (PPP)
PFI is supporting Karuna Trust to strengthen
seven government primary health centres
(PHCs) in six backward districts of Karnataka
into model centres. The project also focuses
on repositioning family planning in 14 PHCs
in Karnataka. The project reaches over
300,000 people and aims to empower men
and women to lead healthy lives by being
able to regulate their own fertility through
family planning services at the village level.
Highlights
• The PPP model, through which the project
is implemented, brings together the civil
society and the government to maintain and
manage the primary health centre and its
sub-centres and provide round-the¬clock
health services to the community. The
patients are given free diagnostic and
curative services, including medicines.
• The government, both at the centre and the
state, provide the guidelines and materials
required for the project, including financial
support for the maintenance of the PHC and
salaries for its staff. With PFI’s support, the
project is working towards strengthening
existing government PHCs into model
centres, maximising utilisation of sub-
centres for delivery of primary RCH services
and facilitating change for improvement in
health-seeking behaviours in communities
covered by the PHCs. PFI has supported
Karuna Trust in scaling up of the project.
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A ward at the First Referral Unit at Santhemaranahally Community Health Centre,
reflects efficient management of the unit by Karuna Trust.
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Programmes in the Field
• The focus is on improving the quality
of reproductive and child health and
primary health care programmes through
accreditation, continuous review and
monitoring. Karuna Trust partnered with
the Institute of Health Management and
Research (IHMR), Bangalore to enable
quality accreditation.
• Additional health services such as eye
care, dental care, mental health and family
planning have been integrated into primary
health care in the PHCs managed by
Karuna Trust.
Impact
The Karuna Trust PPP model for managing
PHCs has seen spectacular success over the
past few years.
• When Karuna Trust took over the management
of the Gumballi PHC in 1996, the infant
mortality rate (IMR) recorded for the population
served by this PHC was 75 per 1,000
live births. Karuna Trust medical staff and
management practice dramatically reduced
the IMR. Gumballi’s IMR now compares
favourably with the IMR for urban India. In fact,
in the Karuna Trust catchment areas, the IMR
is as low as 11, a significant achievement.
• PHCs run by the Karuna Trust in partnership
with PFI show zero stock outs of
contraceptives.
• Gumballi is the first PHC in South India
to get accredited with the National
Accreditation Board for Hospitals and
Healthcare Providers.
Legal Interventions
to Address the
Health Needs of
Women, Children and
Adolescents
The project aims to recognise and protect the
reproductive rights of women and adolescents.
The objectives of the project are to:
• Increase availability, enhance quality and
expand access to reproductive health
services for women and also ensure that
every family is a planned family.
• Increase the capacity of PFI partners,
NGOs, lawyers, paralegals and judges to
utilise a rights-based framework in using
legal instruments and mechanisms to
address reproductive health, especially
family planning needs and prevention of
child marriages.
• Increase legal literacy and public awareness
of human rights and entitlements that
guarantee access to reproductive health.
The partnership with the Socio Legal
Information Centre (SLIC) has focused on
initiating legal interventions and undertaking
fact findings to support these interventions.
It has connected important stakeholders
to bring about better access to antenatal
and neo-natal health care, ensure effective
implementation of the Pre Conception Pre-
Natal Diagnostic Techniques Act and the
Prohibition of Child Marriage Act, oversee
proper functioning of nutrition and shelter
schemes for pregnant women in urban areas
along with provision of access to safe birth
control methods and availability of sexual
health education.
The Public Interest Litigations (PILs), Special
Leave Petitions (SLPs), Writ Petitions, and
Right to Information (RTI) have mainly focused
on one of the five key areas of interest where
legal interventions were urgently required—
family planning, young people’s reproductive
and sexual health, maternal and child health,
child sex ratio, and urban health. A total
of 19 PILs and 84 RTI interventions were
accomplished under the grant. A total of 33
fact findings were held.
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Story of Change: Trained Counsellors Make a Difference
Prema Shekar of Gumballi, Yelandur taluk in Chamrajanagar, was 18 years old
when she was married, and she delivered her first child when she was 19 years
old. This young mother who has studied upto Class 10, then decided she did not
want any more children for a while. Her husband works in the city as a coolie
and comes home every fortnight. She began taking oral contraceptive pills,
confident that she need not worry about getting pregnant again.
After the project Family Planning at Primary Health Centres in Karnataka
through Public Private Partnership was initiated, the ASHAs and junior health
assistants (male and female) of Gumballi PHC, who were trained in counseliing
skills, contraceptive usage and information, education and communication (IEC)
activities began visiting the field regularly and interacting with the residents.
It was during one such visit when the ASHA was talking to Prema that she
realised that the young mother was misinformed about the oral contraceptive
pills. She was taking the pill during intercourse, thinking that would prevent her
from getting pregnant.
The ASHA encouraged Prema to go for a session where the ANM was interacting
with the women of the village and telling them about the regimen that had to be
followed in taking oral contraceptive pills. Prema was informed about the side
effects of irrational use of the oral contraceptive pills, and how she was at high
risk of getting pregnant. She was also informed about the availability of the IUCD
and how it works, whereupon she opted for the IUCD method of contraception.
In fact, the IUCD is becoming popular among the women, because of the
convenience in using this method for prevention of conception.
Prema says with a smile, “Now I am highly assured that I can plan my family!”
A total of 345 ASHAs; and 57 male health assistants and 62 female health
assistants have been trained on family planning methods and counselling under
the project
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Story of Change: An Intervention that Improved the Lives of the
Homeless
Priya Kale is a 25-year-old homeless woman living in Delhi with her husband,
Dharma Kale, and her two children, five-year-old Sunni and two-year-old Appi. Priya
was in her last trimester of pregnancy with Appi and she and her family were living
in a public park with other families when, in January 2011, the Delhi government
evicted everyone living there. During the eviction that was being supervised by the
paramilitary force, she was chased and beaten badly. As a consequence, Priya went
into premature labour, delivering Appi in the park in broad daylight, without any
medical care or dignity. She only had her mother-in-law’s assistance.
The Delhi Commission of Human Rights found the Government of Delhi guilty
of violating Priya’s rights to life and health. The government was ordered to
compensate Priya Rs 1,00,000 for her suffering. In the aftermath of Priya’s
case, the government established the Motia Khan Shelter to house the families
that had been evicted from the park.
Priya’s compensation cheque was not issued to her until December 2012, by
which time she had given birth to her third child, a daughter named Prithi.
After Prithi’s birth, Priya attempted to access her court-ordered compensation.
The cheque was issued to ‘Priya’, not ‘Priya Kale’ and when she tried to deposit
the cheque, her bank rejected it owing to the discrepancy. For weeks, Priya
took Prithi with her as she tried to get the government or the bank to cash her
compensation cheque. On 5 January 2013, Prithi died. Later that month, Priya’s
bank finally agreed to deposit the cheque and issued her Rs 50,000 cash.
Motia Khan is a 24/7 family homeless shelter housing over 296 permanent
residents in five rooms. It has an additional room that is used exclusively by
single men as a temporary night shelter. Most of Motia Khan’s residents have
lived there since it was opened in 2011. Yet, today, the shelter remains unfit for
habitation and affords its residents little privacy or security. The residents have
reported several sexual assaults on young girls. Because of Motia Khan’s lack of
security, women are especially vulnerable to attacks from both temporary and
permanent male residents.
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Programme Intervention
In January 2013, following Prithi’s untimely death, Priya Kale and Socio-Legal
Information Centre’s Reproductive Rights Initiative initiated legal proceedings
against the Government of Delhi. On 1 February 2013, the Delhi High Court
heard opening arguments in Priya Kale vs. Government of NCT Delhi and Ors.
The case is about the terrible conditions at Delhi government’s shelters for the
homeless, particularly for pregnant women and lactating women. The petition
argues for the proper functioning of nutrition and shelter schemes for pregnant
women, lactating women and children living in urban shelters.
Outcome
The following month, the Delhi High Court ordered the Delhi government to
provide Motia Khan’s residents with three meals a day, maternal health care
services and heaters and geysers. After the order’s issuance, activists of
the Socio-Legal Information Centre (SLIC) visited Motia Khan and found that
the government had failed to comply with the court’s interim orders. SLIC
subsequently filed a contempt petition.
At the contempt petition hearing, the court again directed the government
to comply with the interim orders. Although subsequent visits to Motia Khan
revealed that the government had provided Motia Khan residents with geysers
and heaters and arranged for a mobile medical van to visit the shelter, it was still
not providing the residents with three meals a day.
On 16 March 2013, the government began providing Motia Khan’s residents
with three meals per day. Simultaneously, the government filed a motion to
vacate the court’s interim order to provide Motia Khan’s residents with three
meals per day arguing that it was unduly onerous. After hearing the motion,
the High Court dismissed it. The case will be heard by the court again. In the
meanwhile, the Government must continue to comply with all of the court’s
interim orders.
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Core Projects of PFI 2013-14
Core Projects of PFI 2013-14
PROJECT NAME
PARIVARTAN
A Family Welfare and Population
Development Project
GEOGRAPHICAL COVERAGE
60 villages in Rajsamand block of Rajsamand district,
Rajasthan
GOAL
Improve reproductive and child health (RCH) status in 60
project villages through an integrated approach.
OBJECTIVES
1. Raise awareness and knowledge of the community on
RCH issues and general health through IEC and BCC
programmes.
2. Provide quality RCH services through the mobile
health team.
3. Take up socio-economic development activities to
enhance the effectiveness and acceptability of the
programme.
DEMOGRAPHIC REACH
40,000 people
IMPLEMENTING PARTNER
JK Tyre Limited (A division of JK Industries Limited)
PROJECT DURATION
5 years (15 July 2004–14 July 2009). No-cost extension
given till July 2012; July 2013; Sept.2013
PROJECT NAME
Repositioning Family Planning in Primary Health
Centres in Karnataka through Public Private
Partnership
GEOGRAPHICAL COVERAGE
14 PHCs from 12 districts of Karnataka (Bagalkot, Bellar,
Bidar, Gurbarga, Raichur, Bijapura, Gadag, Dharwad,
Belgaum, Devangere, Chamarajanagar,
Karwar)
GOAL
Empower men and women to lead healthy, productive
and fulfilling lives and exercise the right to regulate their
own fertility through family planning services at the
village level.
OBJECTIVES
1. Delay first pregnancy.
2. Increase spacing between births.
3. Improve quality of care of family planning and primary
health care services through accreditation and
continuous monitoring and review.
DEMOGRAPHIC REACH
3,13,000 people
IMPLEMENTING PARTNER
Karuna Trust, Bangalore
PROJECT DURATION
3 years (1 April 2012–31 March 2015)
PROJECT NAME
Generation of Evidence for Development and
Use of Guidelines to Strengthen Comprehensive
Maternity Management System
GEOGRAPHICAL COVERAGE
Maharashtra, Bihar and Assam/Odisha
GOAL
Demonstration of a comprehensive maternity
management system with a focus on development of
guidelines.
OBJECTIVES
1. Generate evidence for development, modification
or adaptation of guidelines for a comprehensive
maternity management system.
2. Demonstrate the value of guideline adaptation in
achieving good outcomes through case studies, both
national and state.
3. Explore perspectives of guidelines among multiple
health providers in the three implementation states.
4. Select areas for guideline implementation in these
states for the next phase of the project.
DEMOGRAPHIC REACH
NA
IMPLEMENTING PARTNER
Foundation for Research in Community Health, Pune
PROJECT DURATION
18 months (1 May 2012 –31 October 2013). Extended
till 31 March 31 2014.
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Core Projects of PFI 2013-14
PROJECT NAME
Ensuring Reproductive Rights of Women
GEOGRAPHICAL COVERAGE
300 gram panchayats in 5 districts of Himachal
Pradesh (Kangra, Mandi, Sirmaur, Solan and Una)
GOAL
Ensure reproductive rights that should result in better
reproductive health, improved sex ratio at birth and
increased adoption of non-terminal methods of family
planning.
OBJECTIVES
1. Create ownership of the issue at the community level
through organizations such as Mahila Mandals, Ekal
Nari Shakti Sangthan and SHGs.
2. Promote change in the health-seeking behaviours in
the context of RTI/STIs.
3. Increase women’s access to information on
reproductive and sexual rights to enable them to
choose methods for spacing or limiting family size.
4. Monitor public institutions such as government health
facilities and anganwadi centres to ensure necessary
support and services.
5. Create larger forums like Mahila Gram Sabhas to
address gender discrimination and promote gender
equality.
DEMOGRAPHIC REACH
7,09,500 people
IMPLEMENTING PARTNER
Social Uplift through Rural Action (SUTRA)
PROJECT DURATION
3 years (1 May 2012–30 April 2015)
PROJECT NAME
Legal Interventions to Address the Health Needs
of Women, Children and Adolescents
GEOGRAPHICAL COVERAGE
Underprivileged women, adolescents & children in the 8
Empowered Action Group states
GOAL
Recognise and protect the reproductive rights of women
and adolescents.
OBJECTIVES
1. Increase availability, enhance quality and expand
access to reproductive health services for women and
ensure that every family is a planned family.
2. Increase the capacity of PFI partners, NGOs, lawyers,
paralegals and judges to utilize better a rights-based
framework in legal instruments and mechanisms to
address reproductive health, especially family planning
needs and prevention of child marriages.
3. Increase legal literacy and public awareness of human
rights and entitlements that guarantee access to
reproductive health.
DEMOGRAPHIC REACH
NA
IMPLEMENTING PARTNER
Socio-legal Information Centre (SLIC)
PROJECT DURATION
2 years (1 May 2012 – 30 April 2014)
PROJECT NAME
KHUSHALI
A family planning programme to bring about sustainable
improvement in the health and well being of poor and
disadvantaged families
GEOGRAPHICAL COVERAGE
Madanpur Khader slum, New Delhi
GOAL
Demonstrate for replication at greater scale a cost-
effective, comprehensive urban slum family planning
programme that will reduce fertility & bring about
sustainable change in the health & well-being of
mothers, children & families.
OBJECTIVES
1. Empower adolescent girls and boys aged 15–19
to take safe and responsible reproductive health
decisions as they grow into adulthood to encourage
marrying later and having the first child later.
2. Increase community acceptance of delaying the first
birth till the woman is 21 years of age and the use of
contraception by couples to delay the first child.
3. Increase community acceptance of a minimum
interval of 36 months between two children and the
use of contraception to space children.
4. Improve access to and increase acceptance of
longacting and permanent contraceptive methods to
realise the small-family norm.
DEMOGRAPHIC REACH
53,000 people
IMPLEMENTING PARTNER
Agragami India
PROJECT DURATION
3 years (June 2012 – May 2015)
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Core Projects of PFI 2013-14
PROJECT NAME
Population Stabilisation Program
GEOGRAPHICAL COVERAGE
400 villages in 12 blocks of Amethi (Chatrapati Sahuji
Maharaj Nagar – CSM Nagar) district in Uttar Pradesh
GOAL
Develop a replicable model for population stabilization
by systems approach that entails effective persuasion
through community activists and persuasive technology.
OBJECTIVES
1. Double the contraceptive acceptance rate compared
to base line survey.
2. Decrease the unmet need of contraception by 50
percent.
3. Develop prototypes of persuasive tele-messaging
techniques.
4. Evaluate the effectiveness of tele-messaging.
DEMOGRAPHIC REACH
6,50,000 people
IMPLEMENTING PARTNER
Save a Mother (SAM) Foundation
PROJECT DURATION
3 years (1 May 2013–30 April 2016)
PROJECT NAME
Mobilising the Unreached: Using Behaviour
Change Communication and Ensuring Quality
Family Planning Service through Boat Clinics in
Assam (Phase II)
GEOGRAPHICAL COVERAGE
The islands on the Brahmaputra river in 13 districts of
Assam
GOAL
Strengthen and disseminate family planning options
through intervention in behaviour change communication by
creating demand for adoption of family planning methods
and provision of quality reproductive health component.
OBJECTIVES
1. Increase awareness on reproductive health & family
planning issues among eligible couples.
2. Enable behaviour change through a need-based
comprehensive communication package.
3. Build sustainable local capacities in interpersonal
communication, including counselling skills, in
delivering quality family planning services.
4. Improve availability and accessibility of modern
contraceptives, including IUCD insertion and
establishing effective linkages for sterilization.
5. Address adolescent health through awareness and
provision of regular nutritional supplements. 6.
Promote gender & social inclusion.
DEMOGRAPHIC REACH
92,605 people
IMPLEMENTING PARTNER
Centre for North East Studies and Policy Research (C-NES)
PROJECT DURATION
3 years (1 June 2013–31 May 2016)
PROJECT NAME
India’s Champions: Exploring Determinants of
Young Women’s Empowerment in Rajasthan
GEOGRAPHICAL COVERAGE
20 colleges from 10 districts of Rajasthan
GOAL
Discover key triggers of girls’ empowerment and to
translate these research findings into scalable policy
proposals.
OBJECTIVES
1. To identify triggers of empowerment, with particular
attention to factors promoting higher educational
opportunities and success for young women that will
contribute to delaying marriage and pregnancy.
2. To engage with key stakeholders at local, state and
national levels on economic, social and cultural
factors impinging on young women’s access to higher
education.
DEMOGRAPHIC REACH
540 young women
IMPLEMENTING PARTNER
Institute of Development Studies
PROJECT DURATION
13 months (1 October 2013–31 October 2014)
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Core Projects of PFI 2013-14
PROJECT NAME
Enhance Women’s Reproductive Health and
Wellbeing and Promote Youth Awareness and
Empowerment
GEOGRAPHICAL COVERAGE
3 blocks of Kangra District (Rait, Nagrota and
Dharamshala) in Himachal Pradesh and Chandigarh
GOAL
Build awareness regarding sexuality, reproductive rights,
responsibility and choice related to marriage.
OBJECTIVES
1. Inform and sensitize young women and men in
30 villages about their reproductive rights and
responsibilities.
2. Improve communication and decision making among
50 percent of selected young couples.
3. Improve sex ratio in two blocks of Kangra district of
the programme area.
4. Sensitize young college students in 4 colleges towards
the negative impact of early marriage and early and
frequent child birth.
DEMOGRAPHIC REACH
10,000 people and 5,000 girls from Chandigarh
IMPLEMENTING PARTNER
Jagori Rural Charitable Trust (JRCT)
PROJECT DURATION
2 years (1 October 2013–30 September 2015)
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Organisational Transformation
Organisational Transformation
Inspired, Energised and Empowered:
Building PFI as an Institution of
Excellence
In December 2010, PFI decided to embark
on an organisational transformation initiative.
This was an opportunity for PFI to build itself
into an institution of excellence with its staff
inspired, energised, empowered and capable
of effectively and efficiently delivering the
mission of the organisation. Hay Group, a well
known management consulting firm, was
engaged to help PFI in this initiative.
The organisational transformation was
conducted in phases—the first phase focused
on designing the organisation structure,
incorporating robust people practices and
undertaking an assessment of key employees
for fitment. The exercise brought in clarity of
roles and responsibilities, efficient functional
unit structures, focused and streamlined
information flow and better and sharper
attention to coordination and team work. As
culture change is a slow and an on-going
process, this called for a phase II intervention.
The second phase of organisational
transformation aimed at ‘making the change
stick’ through senior leadership team
effectiveness training programmes, coaching
sessions for leadership, further development
of the governance framework for PFI so as to
make it more robust and ensure compliance
with all legal and regulatory requirements
and best practices. Appropriate pay-bands for
PFI were created based on a benchmarking
survey of comparable organisations.
The second phase helped in putting processes
in place for the senior management team
on governance and operations, and for the
members to apply their leadership styles
to guide, coach and build a second line of
leaders in the organisation. The organisational
capability increased through the development
of the accountability framework and by
cascading it to the teams. This helped in
articulating organisational strategies and
translating priorities into outcome-based
activities. It also helped in creating a
framework for assigning responsibility and
establishing a review mechanism to update
and monitor individual accountabilities,
developing the next line of leaders in the
organisation and in establishing competitive
pay bands with a clear linkage between
reward, skills, experience and performance.
To build on the progress made during the
organisational transformation of phase-I
and II and to further strengthen PFI, the
next and the third phase of organisational
transformation is under progress.
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A PFI staff meeting
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Financial Highlights
Financial Highlights
Particulars
Interest/Dividends/Gains on Investments/Misc.Receipts
Rent for Premises
Grants in-aid - International Agencies
Grants in-aid - National Agencies
Total
Income
2012-2013
Rs (In lakh)
260.50
546.08
4875.81
130.29
5812.68
2013-2014
Rs (In lakh)
273.41
571.01
2273.69
173.32
3291.43
Particulars
Programme Grants -- Own Funds
Project Implementation Expenses
Management & Administration Expenses
Grants in aid - International Agencies
Grants in aid - National Agencies
Total
Expenditure
Excess of Income over Expenditure transferred to Society Fund
2012-2013
Rs (In lakh)
294.99
98.87
179.19
4875.81
130.29
5579.15
233.53
2013-2014
Rs (In lakh)
160.57
97.65
266.58
2273.69
173.32
2971.81
319.62
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Financial Highlights
Particulars
Fixed Assets
Investments
Dividends/Interest Receivable on Investments
Cash and Bank Balances
Sundry Deposits
Advances (Unsecured considered good)
Total
Particulars
Corpus Fund
Society Fund
Project Grants -- International Agencies
Project Grants -- National Agencies
Current Liabilities & Provisions:
Current Liabilities
-- Provisions
Total
Assets
2012-2013
Rs (In lakh)
97.58
3294.00
90.09
407.14
1.46
146.93
4037.20
2013-2014
Rs (In lakh)
86.46
3474.40
146.98
816.71
1.54
236.81
4762.90
Liabilities
2012-2013
Rs (In lakh)
500.00
2820.11
250.50
87.30
319.98
59.31
379.29
4037.20
2013-2014
Rs (In lakh)
500.00
3139.73
718.89
72.44
247.96
83.88
331.84
4762.90
Annual Report
2013-14
45
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5.6 Page 46 |
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Our Partners
Our Partners
The Government
PFI partners with various ministries of the
Government of India and their corresponding
departments at the state level:
• Education
• Health and Family Welfare
• Housing and Urban Development
• Rural Development and Panchayati Raj
• Women and Child Development
• Youth Affairs and Sports
• Doordarshan, Prasar Bharati BCI, Ministry
of Information & Broadcasting (MoI&B)
• All India Radio, Prasar Bharati BCI, MoI&B
Donors
• Department for International Development
(DFID)
• John D and Catherine T MacArthur Foundation
• Johns Hopkins University, Bloomberg
School of Public Health
• Ministry of Health and Family Welfare,
Government of India
• State Health Society Bihar
• The David and Lucile Packard Foundation
• The International Centre for Research on
Women (ICRW)
• United Nations Population Fund (UNFPA)
• US Agency for International Development
Corporate Partners
• Confederation of Indian Industry (CII), New
Delhi
• J K Tyres Limited, Rajasthan
NGO Partners
• Agragami India
• Arthik Atma Nirbharta Samajik Vikas
Abhikaran, Bihar
• Bhoruka Charitable Trust, Rajasthan
• BREAD, Bihar
• Centre for Health Resource Management,
Bihar
• Centre for Development and Population
Activities (CEDPA), New Delhi
• Centre for North East Studies and Policy
Research (C-NES), Assam
• Centre for Urban and Regional Excellence
(CURE), New Delhi
• Family Planning Association of India (FPAI),
Odisha
• Foundation for Research in Community
Health, Maharashtra
• Gopinat Juba Sangh, Khurda, Odisha
• Gram Nirman Mandal, Bihar
• Gramoday Veedhi, Bihar
• Institute of Health Management Research
(IIHMR), Rajasthan
• International Institute of Population
Sciences (IIPS), Maharashtra
• Jagori Rural Charitable Trust
• Jan Jagran Sansthan, Bihar
• Karuna Trust, Bangalore, Karnataka
• Muskan, Bihar
• Narayani Seva Sansthan, Bihar
• Neha Gramin Mahila Vikas Samiti, Nawada,
Bihar
• Parivartan Mohimpur, Bihar
• Plan India, New Delhi
• Samagra Seva Kendra,Bihar
• Sarvo Prayas Sansthan, Bihar
• Save A Mother Foundation
• Social Uplift through Rural Action (SUTRA),
Himachal Pradesh
• Socio-Legal Information Centre (SLIC), New
Delhi
• The Institute of Development Studies, Jaipur
46
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2013-14
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Our Vision and Our Mission
Our Vision and Our Mission
OUR VISION
Promoting, Fostering and Inspiring
sustainable and balanced human
development with a focus on population
stabilization through an enabling environment
for an ascending quality of life with equity and
justice.
OUR MISSION
We will strive to realize our Vision by
promoting and formulating gender sensitive
and rights based population and development
policies, strategies and programmes.
To this end, we will
• Collaborate with central, state and local
government institutions for effective policy
planning, formulation and facilitation of
program implementation,
• Extend technical and financial support to
individuals and civil society institutions and
promote innovative approaches,
• Undertake and support systems, action,
translational and other forms of operational
research,
• Create awareness and undertake informed
advocacy at community, regional, national
and global levels for socio-cultural and
behavioural change,
• Focus on un-served, under-served areas
and vulnerable sections of society and
address the challenges of an emerging
demographic transition,
• Mobilise financial and human resources
from all sources both national and
international.
Photographs on pages 2-3, 11, 22, 41, 43 and 47 Courtesy: Martje van de Heide
Annual Report
2013-14
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5.8 Page 48 |
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Population Foundation of India
B-28, Qutab Institutional Area, Tara Crescent,
New Delhi- 110 016, INDIA
Telephone : + 91-11-43894100; Fax: +91-11-43894199
E-mail: info@populationfoundation.in
Website: www.populationfoundation.in