Community Level Reproductive
Health Rights Programme
T The Foundation has started in
February 2002 a project for
strengthening community level
Reproductive Health rights in 21 remote
Dalit villages of Darsi Mandai Prakasam
district of Andhra Pradesh with the
assistance
of Training for Rural
Economic and Education (TREE), a Non-
Governmen tal Organization.
As per the background information
provided by TREE, Dalit villages of this
district are among the most backward
villages, where a large segment of
scheduled caste and scheduled tribe
population is being stricken by poverty,
squalid living conditions, disease and
hunger. Besides underdevelopment and
illiteracy, agriculture is the main source
of their livelihood. Physical isolation and
offensive caste system, which playa
dominant role in the rural social
structure, have made them static and
powerless. Their social life is very
restrained, and poverty coupled with
social disability has made them the
prisoners of malnutrition, ill health and
injustice.
in the absence of access to emergency
care; absence of pre and post natal care;
unsafe abortions are very common
leading to maternal morbidity and
mortality.
• To create awareness in men and
women to achieve optimal sexual
health
and exercise
their
reproductive
health rights and
responsibilities
through gender
sensitivity,
responsible
sexual
behaviour and equitable gender
relations.
• To ensure that the target groups have
access to safe, effective, affordable
and acceptable methods of their
choice for regulation offertility as well
as access to health care for safe
pregnancy and child birth.
• To reduce maternal mortality and
morbidity through minimizing unsafe
abortions and enhancing sustainable
access to effective reproductive health
services.
A high proportion of women and
The project envisages formation of
children is still unprotected from easily registered women development societies
preventable diseases and infections. and Self-Help Groups in all target
Poor immunization
villages. Reproductive
coverage for various
reasons is making a
number of children
disabled and some
times resulting in
brain
damage,
stunted
growth,
chronic lung diseases
THEIR SOCIAL LIFE IS VERY
RESTRAINED AND POVERTY
COUPLED WITH SOCIAL
DISABILITY MADE THEM THE
PRISONERS OF
MALNUTRITION, ILL HEALTH
AND INJUSTICE.
Health Committees
will also be set up at
village level. Apart
from giving health
education
and
knowledge on RCH,
training will be given
to the trainers,
etc. Malnutrition is
selected from these
one of the major problems. Early committees, on skill development. Local
marriages even at the age of 13 for a dais and Trained Birth Attendents(TBAs)
girl are common among them. There is will be responsible for total programme
no awareness about family planning implementation at community level.
services. Unhygienic deliveries by dais
Improvement of RCH
Services by Community
Mobilization
Population Foundation of India, in
association with Pariwar Mangal Trust,
Pune, has undertook a project on
improvement of Reproductive and Child
Health Services by Community Mobilization
in 25 remote villages of Nasarpur Primary
Health Centre of Bhor Taluka of Pune
district, covering a population of 27,000.
The objective is to control the transmission
of RTls/STDs, as it is a major cause of
reproductive morbidity.
Strategies for the control include
health education, counseling, disease
detection through screening and diagnosis
by clinical and laboratory procedures,
treatment of cases and management of
sexual contacts, wherever required.
Keeping in view the life cycle
approach, the project aims at providing
integrated Reproductive and Child Health
Services to mothers, children, eligible
couples and adolescents.
In the first phase, the project plans to
form and involve village action groups
during the baseline survey itself and
sensitize them for their health needs by
forming two mahila mandai groups in each
village. Self-Help Groups will also be setup
from the beginning.
During the second phase, IEC
activities will be carried out through village
action groups. Focus group discussions
(FGDs) and training of members of these
groups will be organized on issues related
to anatomy and physiology of reproduction,
maternal and child health care, prevention
of unwanted pregnancy, management of
RTls/STDs, HIV/AIDS etc.
A mobile van with a lady medical
officer and nurse will visit each village,
examine and treat cases of RTls/STDs in
the presence of Community Health
Workers/ANMs.
Expected outcome of the project
activities is improved health status of
women of child bearing age; improved
status of infants and children, management
of pregnancy and child birth; simple
diagnostic criteria for treatment of RTlsl
STDs to decrease their incidence.