Reproductive Health Package CSR PFI

Reproductive Health Package CSR PFI



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Preface
Ever since its establishment in 1970 by a group of enlightened, socially committed,
and philanthropically inclined industrialists led by the late J.R.D. Tata and the
late Dr Bharat Ram, the Population Foundation of India has had a long and prolific
association with the corporate sector. The objective of the Foundation was to
render financial assistance for programmes in the field of family planning,
reproductive and child health and HIV/AIDS, and advocate gender-sensitive, rights-
based policies and programmes. PFI has throughout been working with the corporate
sector, national and international non-governmental organizations, and the central
and state governments. It has been playing a catalytic role in creating an enabling environment at the
national, state and local levels for policy advocacy on issues related to population stabilization and
women and child welfare, including the provision of support for action research programmes in these
areas.
PFI is also giving technical support to NGOs and corporate houses in implementing programmes on
reproductive and child healthcare. Currently, it is supporting corporate initiatives with partners based in
the states of Uttar Pradesh, Madhya Pradesh, Jharkhand and Rajasthan for communities living in the
under-served areas of these states.
It has been observed that numerous corporate houses are interested in initiating or scaling up programmes
on issues of reproductive and child health as a part of their corporate social responsibility (CSR). However,
there is a dearth of guidelines and models for them to take on this activity effectively. An efficacious
programming would enhance the spread of the benefits flowing out of this effort at the community level
and enhance that community’s reproductive and child healthcare status. The effort in this document has
been to develop an assistance package on reproductive and child healthcare for corporate houses. This
document seeks to provide guidelines for various aspects of project proposal development, capacity
building and designing of strategy for project and monitoring mechanisms.
It is the fervent aspiration of the developers of this document that the content provided in the ensuing
pages becomes a potent tool for corporate managers in effectively augmenting their responsibility towards
their community. The tools presented are intended to help in aiding corporate social responsibility for
developing, implementing, and monitoring the programmes for the quality of reproductive and child
healthcare programmes systematically.
The organizers of this document also hope that policymakers and programme managers working on issues
of reproductive and child healthcare find it helpful as a basic reference document in furthering their
social responsibility.
A.R. Nanda
Executive Director
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Acknowledgements
Population Foundation of India would like to acknowledge the contribution of various organizations and
individuals, who have played a significant role and contributed to development of the CSR package on
RCH.
First and foremost, we wish to thank Ms Renu Khanna, Dr Suneeta Chandorkar, Dr Bhamini Mehta, Ms
Mrudula Tere and Ms.Purnima Khanna for their support in developing draft of the 12 chapters of the CSR
package on RCH and for their technical assistance in shaping this document.
We wish to thank the corporate partners of PFI who have given feedback on various sections of the
module. They include organizations like Tata Chemical Society for Rural Development (TCSRD), Krishi
Gram Vikas Kendra (Usha Martin Ltd.), JK Group and TATA Steel. We would also like to thank CII for
sharing this package with all their partners for their feedback.
We wish to acknowledge the contribution of Mr Arthur Monterrio, who has copy-edited the entire
document and also added value to the content.
Last but not the least, PFI would like to thank the staff members of PFI, who have contributed towards
development of different sections of the module and towards designing and printing of the document.
They include Dr Kumudha Aruldas, Dr Sanjit Nayak, Mr Matish Kumar, Ms Sona Sharma, Ms Chandni
Malik and Ms Parul Sharma. A special mention needs to be made here for Ms Prema Ramesh, Ms Jolly
Jose and Mr Shailendra Negi for providing able assistance to the module writers.
Dr Sharmila Neogi
Mr Debabrata Bhunia
Population foundation of India
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List of Contributers
Guidance
Mr A R Nanda
Module writers
Module writers from PFI:
Renu Khanna M.B.A. (Trustee, SAHAJ, Vadodara)
with inputs from:
Dr. Suneeta Chandorkar (Dr Suneeta Chandorkar,
Lecturer, Dept. of Foods & Nutrition, The M. S.
University of Baroda)
Dr. Bhamini Mehta (Lecturer, Dept. of Human
Development and Family studies, The Maharaja
Sayajirao University of Baroda, Vadodara)
Ms. Mrudula Tere (Research Officer, Women’s
Studies Research Centre, M.S. University
Vadodara)
Ms.Purnima Khanna (Programme Officer,
Women’s Studies Research Centre, M.S.
University, Vadodara)
Dr Kumudha Aruldas
Dr Sharmila Neogi
Mr Debabrata Bhuniya
Dr Sanjit Nayak
Mr Matish Kumar
Editing and Proofreading
Mr Arthur Monteiro
Dr Kumudha Aruldas
Dr Sharmila Neogi
Designing
Ms Sona sharma
Ms Chandni Malik
Dr Sharmila Neogi
Ms Parul Sharma
Support
Ms Prema Ramesh
Mr Shailendra Negi
Ms Jolly Jose
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Vision / Mission
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. “
Mission
PFI will strive to realize its Vision by promoting and formulating gender sensitive and rights based
population and development policies, strategies and programs.
To this end, it 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.
Mobilize financial and human resources from all sources both national and international.

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CONTENTS
SECTION I : REPRODUCTIVE HEALTH
Chapter 1 : Reprodutive Heath
Chapter 2 : Safe Motherhood
Chapter 3 : Safe Abortion
Chapter 4 : Family Planning or Planned Parenthood
Chapter 5 : Infertility and Assisted Reproductive Technology
Chapter 6 : Reproductive Tract Infection
SECTION II : CHILD HEALTH
Chapter 7 : Neonatal Care
Chapter 8 : Immunization
Chapter 9 : Child Nutrition
Chapter 10 : Immunization
Chapter 11 : Diarrhoea
Chapter 12 : Fever
SECTION III : ADOLESCENT HEALTH
SECTION IV : AGEING
SECTION V : HYGIENE & SANITATION
SECTION VI : GENDER
Chapter 16 : Gender issues
Chapter 17 : Violence against Women and Reproductive Health
SECTION VII : ADVOCACY & COMMUNICATION
Chapter 18 : Communication for Behaviour & Social Change
Chapter 19 : Counseling
Chapter 20 : Advocacy
SECTION VIII : QUALITY OF CARE IN REPRODUCTIVE AND
CHILD HEALTH CARE SERVICES
SECTION IX : PROJECT DESIGN AND MANAGEMENT
Chapter 22 : Writing Project Proposals
Chapter 23 : Project Planning, Monitoring & Evaluation
Chapter 24 : Scaling up Management Framework
Chapter 25 : Community Needs Assessment
1-10
11-25
27-33
35-47
49-59
61-73
1-7
9-16
17-27
29-30
31-33
35-37
1-20
1-11
1-12
1-12
13-18
1-15
17-24
25-33
1-20
1-9
11-22
23-33
35-42
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List of Boxes
SECTION I
1.1. General Comment No.
1
1.2. Reproductive Rights
3
1.3. Sexual Rights
3
1.4. What Reproductive Health Means
4
1.5. Millennium Development Goals
5
1.6. Range of Services Provided under RCH Programme
6
1.7. NPP 2000: Statement of Objectives
8
2.1. The Story of Shanti
13
3.1. Sex-selective Abortions
31
3.2. Some Facts about Abortion in India
31
5.1. Case Profile 1
54
5.2. Case Profile 2
54
SECTION II
9.1. Akshayapatra - A Successful Corporate Enterprise Directed at Child Nutrition
26
SECTION III
13.1. Adolescent Girls’ Concerns about Menstruation
2
13.2. Adolescent Boys’ Reproductive and Sexual Health Concerns
4
13.3. Nutritional Deficiencies in Adolescents
10
SECTION VII
20.1. Ensuring credibility
27
SECTION VIII
21.1. Antenatal Services (Minimum set of services)
10
21.2. Quality of Care Parameter – Female Sterilization Operation
3
21.3. Quality of Care Parameter –Medical Termination of Pregnancy
16
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List of Tables
SECTION I
2.1. Common Health Problems during Pregnancy
15
4.1. Trends of Modern Contraceptive Prevalence Rate by Gender-specific Use
35
4.2. Contraceptive Methods
39
4.3. Family Planning Methods for Personal Needs
43
6.1. NACP III Activities
69
SECTION II
7.1. Care and Early Diagnosis of Danger Signs in Neonates
3
7.2. Neonatal Ailments, Symptoms and Treatment
5
7.3. Essential New-born Interventions
6
8.1. Immunization Schedule Followed in India
11
9.1. Some Important Micro-nutrients
18
9.2. Management of Various Grades of Malnutrition
20
9.3. Effective Nutrition Interventions
25
SECTION III
13.1. Physical Changes during Adolescence
1
13.2 Recommended Daily Dietary Allowance of Nutrients for Adolescents
10
13.3. Characteristics of Adolescent-friendly Reproductive and Sexual Health Services
15
SECTION IV
14.1. Number, Proportion and Sex Ratio of the elderly, 2001–51
2
SECTION VII
18.1. Steps to Behaviour Change Model
2
SECTION VIII
21.1. Quality of Care Parameters
19
SECTION IX
22.1 Example of a Chronogram
5
22.2 A Sample Logframe
8
22.3 Example of a Budget for a Training Project
8
23.1 Example of an Activity Plan
11
24.1 Summary of Scaling Up
33
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List of Figures
SECTION I
2.1. Causes of Maternal Deaths in India
12
4.1. Contraceptive Method Use by Married Women in India
45
5.1. Infertility Treatment: The pathway
55
5.2. A Framework for Intervention: Guidance and Counselling
56
5.3. Tips to Overcome Childlessness
57
SECTION II
9.1. Global distribution of cause-specific mortality in children under 5
17
SECTION VII
18.1. Process of Behavioural Change
2
18.2. Two-way Communication
3
List of Charts
SECTION II
Chart 10.1. Management of Acute Respiratory Infection at Community Level
29
Chart 11.1. Flowchart on Management of Diarrhoea
31
Chart 12.1. Steps in management of fever
36
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