Child Welfare Projects by NGO in Odisha

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Children First-Common Approach to Delivering child Rights (Odisha)

A. Project Context

As the need of the area we are focusing meaningful child participation in linking all marginalized children and their families to appropriate social protection schemes, Prevention against Child Marriage and child labour, ensure that all school going children are in schools and children has have access to Health, Nutrition, and Personal Hygiene. While doing so gender equality will be ensured across the project.

As per the NITI Aayog’s National Multidimensional Poverty Index (MPI) 2021 report, Odisha is among the top-10 states with a significant share of the population living under poverty. Unlike previous years when poverty meant people deprived of food, the NITI Aayog report has captured multiple and simultaneous deprivation faced by households. The MPI has been calculated considering three equally weighted dimensions – health, education and standard of living. Hence, people living under poverty are Boudh 33.03 %.

Boudh district was selected through statistical sampling process out of 19 first phase National Rural Employment Guarantee Scheme (NREGS) districts identified by the GoI as relatively backward districts of Odisha. Besides, out of 30 districts of the State, Boudh ranked 23rd in Human Development Index, 19 in Gender Development and 21 in Infrastructure Development Index as per Human Development Report 2003 and Economic Survey Report 2010 of the Government of Odisha, indicating that the district was one of the poorest and least developed.

0-5-year children constitute the most vulnerable segment. Their mortality rate is a very sensitive indicator of the community’s health and nutrition. Prevalence of underweight is 38.6%, wasting is 20.1% and stunting 37% in India and for Odisha, it is 34.4%, 20.4 % and 34.1% respectively. (NFHS-5 Data) Health indices of children in non-coastal rural are worst. Child Malnutrition in non-costal rural area of Odisha leading to infection that is contributing to high child mortality. Health indices of children in non-coastal rural are worst. Child Malnutrition in non-costal rural area of Odisha leading to infection, which is contributing to high child mortality. The prevalence of underweight, stunting and wasting were found to be 38.6%, 37% and 20.1% respectively while the prevalence of overweight was 3.1% respectively.

As per National family Health survey (NHHS-5) data total percentages of children under age 6 months exclusively breastfed is 58.3 which is increased from NFHS-4. Total children age from 6-23 months of age receiving an adequate diet is only 19.6%. Children under 5 years of age who are stunted (height-for-age) is 37%. Child anaemia of the district is also showing an odd figure. Children age from 6-59 months who are anaemic (<11.0 g/dl) is 56.2%. Non-pregnant women age 15-49 years who are anaemic (<12.0 g/dl) is 54.6 % whereas Pregnant women between 15 to 49 years is 40.7%. Percentage of Children age 12-23 months fully vaccinated based on information from either vaccination card or mother's recall is 91%. NFHS- 5. Female population age 6 years and above who ever attended school: 8.6 %. Children age 5 years who attended pre-primary school during the school year 2019-20: 20 %. Women who are literate (%): 68.8%. Women age 20-24 years married before age 18 years (%): 25.3 %. B. Project Objective

Bal Raksha Bharat mainly focusing in following result area under this project:

• Linking all Marginalized Children and their Families to Appropriate Social Protection Schemes.
• Zero Tolerance Towards Child Marriage.
• No child at school going age should be out of school.
• All Children have access to minimum standards of Health, Nutrition and Personal Hygiene.
• Gender Sensitive / Transformative Programming.
• Humanitarian Preparedness.

C. Key Activities Implemented

• Identification of Children for linking to Social Protection Scheme through village meeting in 50 villages
• Awareness programme for Adolescent girls on SRHR and Child Marriage:
• Facilitating Enrolment drives with SMC & Community in 8 Schools
• Promoting school WASH by creating awareness in 8 schools
• Promoting access to the six ICDS services by leveraging the existing government by capacity building of 50 mothers’ committees
• Plantation at school campus in order to address climate change

D. Top-line of Results (outputs/outcomes) achieved.

Identification of Children for linking to Social Protection Scheme through village meeting in 50 villages Community-level meeting was organized to identify children and family members for linking them to Social Protection Schemes. Under 4 GP (Gram Panchayat) of the project area, 50 meetings were conducted (one in each village) in 50 villages and a total of 295 children and family members were identified and 227 linked with Social protection schemes such as Disable Pension, Widow Pension, Old Age Pension and getting financial assistance to address sickle cell anaemia. Out of them 87 beneficiaries (Old age pension: male 22 female 19, Widow Pension: 12 Disable pension: boy 7 girls 7, Male:5 and female: 5, sickle cell anaemia incentive: Male; 3, female:2, Boys:3 & Girls:3 are already getting financial assistance from schemes.

Awareness programme for Adolescent girls on SRHR and Child Marriage:

Awareness program was conducted in 50 villages (under AWC) under 4 Gram Panchayats to educate adolescent girls on important topics like child marriage, its adverse effects, and Sexual Reproductive Health and Rights (SRHR). During the awareness activity we have reached 1555 adolescent girls & 314 mother during the program. Additionally, 418 individuals accessed Information Dissemination Centres (IDC), while 246 visited the Sraddha Clinic (Adolescent Friendly Health Clinic – A government set up) for further support. 2 Youth club formed and 3 got affiliation with Nehru Yuva Kendra – Boudh.

Facilitating Enrolment drives with SMC & Community in 8 Schools During the period discussion held with school teachers and SMC member of 8 schools in the project areas for enrolment of identified children during the education session. All 83 (39 boys and 44 girls) identified children were enrolled in the month of July with the active involvement of SMC members, Teachers and Parents. Among these 83 children 11 children are coming under semi orphan category. Retention of children are monitored by SMC members on regular basis. To encourage regular attendance, learning kits such as notebooks and pens were distributed to all enrolled students.

Promoting school WASH by creating awareness in 8 schools During the reporting period, with support of school teachers and project team members a total of 1854 children (921 boys and 933 girls) from 35 numbers of schools in the project areas received orientation on Hand Washing with Soap. The orientation was conducted with the support of Glow Germ Powder and a UV Torch. This educational activity aimed to teach children about the importance of proper hand hygiene and to demonstrate the effectiveness of handwashing with Soap. Global Hand Washing day was observed in 4 school with the objective to create awareness on the importance hand wash with soap.

Promoting access to the six ICDS services by leveraging the existing government by capacity building of 50 mothers’ committees 638 members & mothers of pre-school children from 50 numbers of Mothers Committees were oriented during Capacity Building programme on Six IDCS services. It will be support them for better service delivery for children at AWC level.

Plantation at school campus in order to address climate change

• To address climate change and disaster preparedness project staffs were oriented school children, college and SMC member on climate change and disaster preparedness. As a result, plantation at school was planned with the support of SMC, Eco Club and Forest department. During the period of 274 saplings were planted in the 3-school campus and herbal garden is established. Plantation activity done 4 Anganwadi centres and 8 saplings were planted.

• Addition to this initiative with support of horticulture department 268 fruit bearing plants were distributed to 268 pregnant and lactating mothers during the campaign titled “Maa paain Gachha Tie” (Odia) One plant for mother.

• Created community awareness on management of degraded forest with support of Danda troop (during Danda Yatra –local traditional festival) in 28 villages. During the campaign reach directly 5347 population in the project area.

• In collaboration with department of forest project staffs oriented to 122 mothers on making of smoke less chula in order to less use of wood.

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SWAGAT: A first 1000 days initiative in Odisha

Project Context- The 1,000 days between pregnancy and a child’s 2nd birthday is the most critical time for a positive impact on a child’s cognitive and physical development. The health and well-being of a pregnant and lactating woman are directly connected to the growth and health of her infant. The right nutrition for the mother and for the child during this time can have a profound impact on the child’s growth and development and reduce disease risk, as well as protect the mother’s health. Undernutrition during pregnancy, affecting foetal growth, is a major determinant of stunting and can lead to consequences such as obesity and nutrition-related non-communicable diseases in adulthood.

Focusing multi-sectoral nutrition efforts on evidence-informed interventions targeting this critical window can have lasting implications across the lifecycle. The combination of good health and reduced disease risk for both mothers and their children can also have a powerful, lasting effect on a country’s prosperity. While the primary objective of the First 1,000 Days approach to nutrition is to reduce child malnutrition rates, particularly chronic undernutrition in the form of stunting, interventions are facilitated through mothers in terms of promoting healthy behaviours such as exclusive breast-feeding and attention to her nutritional status during pregnancy and lactation. Though these interventions were facilitated through women, women’s health indicators are rarely tracked and measured, which represents a missed opportunity to strengthen the evidence base for associations between maternal nutrition and women’s health outcomes.

Bal Raksha Bharat will work in collaboration with the National Health Mission, Health Directorate, and ICDS department for project implementation involving Health Care Workers (HCWs), Front Line Workers (FLWs), caregivers, the community, and Children. All the activities will be undertaken in consultation with District and Taluk health officials to ensure the quality and participation of all Government Medical personnel in the process.

The overall aim is to set up a primary healthcare model that can be replicated across other blocks, districts & states to provide quality MCH services. Among the broad set of high-impact interventions, Bal Raksha Bharat will provide a specific focus on demonstrating at-scale improvements in the services of Primary Health care Centres, and health & wellness centres related to maternal, new-born, child health, and nutrition.

B. Project Objective

• Improve availability and use of quality maternal, new-born, child, and nutrition (MCHN) services in Health sub-centres/Primary Health Centres of targeted regions.
• Improve awareness of beneficiaries on maternal, child and nutrition services (MCHN) in targeted regions.
• Improve accountability and engagement of local government and communities

C. Key Activities Implemented

• Meeting/ Consultation with government Departments for overall support & guidance.
The team achieved the activity goal of aligning SWAGAT Project in collaboration with national health and nutrition programs by holding strategic discussions with health providers at state, district, and block levels. A total of 56 health workers from NHM, WCD and PRI membership agreed to collaborate in the establishment of coordination. The planned engagements enabled relationship building with professionals who helped develop plans to increase access to maternal and child health services. An advisory meeting at the state level included participants from Health & Family Welfare alongside representatives of the National Health Mission and NGOs who actively supported the MNCHN program to ensure successful program execution.

• Facility Readiness: Assessment of healthcare facilities’ readiness to provide ANC, PNC & essential new-born care services focusing on accessibility, including the availability of essential supplies and equipment. – With the objective to assess ground level situation on Maternal New born Health and Nutrition services a base Line survey was conducted. The baseline study on Facility readiness assessment has been done a snap short on basis of Key performance indicators (KPIs) are mentioned.

• Capacity building of health staff & ICDS based on training needs identified from Need Assessment (Block and District level). As a part of capacity building initiative three batches of training sessions were held for 220 frontline Health workers including ANMs, CHOs & ASHAs. These sessions focusing on key areas like IFA consumption, ANC, PNC, breastfeeding, CKMC, immunization, importance of first 1 minutes after birth & Government schemes related to maternal health. As a result, frontline workers demonstrated improved understanding and service delivery during the critical first 1,000 days. Additionally, BRB staff received a 2 days MNCHA+N training by NHM team at BBSR, further strengthening service delivery at community level.

• Screening of women and children for common medical problems and nutrition status utilizing different community platforms, and health camps. During the project period, we had regular consultation with health officials to address safe delivery and ante natal care. In collaboration with Health department, 348 women were screen for common medical issues and nutritional status through various exposures. Out of the Total 321 (92%), received essential health services and 118 children (50%) provided required health care guidance.

• Strengthening patient feedback mechanisms and monitoring through app-based surveys to assess the quality of care from the perspective of pregnant women. Also strengthening record keeping and documentation pertaining to ANC records – Digital app With the objective to strengthen feedback mechanism at the health center level digital kiosk boards and installed at 6 health center location. All data are displayed in local language Odia along with smileys. With this support feedback, mechanism and monitoring will be strengthened to access the quality health care with focus to maternal and child.

• Conducting health education sessions on MNCHN care: Orientation of mothers and family members (including fathers & mother in laws) on basic health, hygiene, and undernutrition issues on a regular basis The staff conducted health education sessions through village & community meeting programmes, which included mothers as well as fathers along with mothers-in-law. Through these sessions, the family gained improved skills for supporting best practice for maternal health as well as child health by improving their habits of hygiene and nutrition and providing timely medical care. This start helped to reach over 179 lactating mothers, 145 fathers & mother in laws. To ensure safe and healthy delivery a special health camp was successfully organized at Gochhapada PHC where 210 pregnant women were taken part to avail the services. Out of which 120 were High Risk Pregnant Women.

• Develop evidence-based SBCC strategy and tools for increasing awareness and care-seeking for MNCHN services. Development of materials like posters, hoardings, leaflets, flipbooks, etc. for awareness generation on Health and nutrition issues. Flipbooks & posters are developed in consultation with health department officials to create mass awareness at community and health facilities on service available in Ayushmaan Arogya Mandir, maternal & new-born care along with nutrition practices.

• Facilitate community mobilization through Mother committees/Jan Arogya Samitis (JAS), health talks, demonstrations camps, wellness days, use of media and young champions on MNCHN care through field visits. Discussed with local health service providers to plan feature community mobilization steps through mothers committee and JAS including health discussion, health camps, media engagement and involvement of Youth champions to promote better maternal new-born child health & nutrition services during field visit.

• Support local health officials in organizing important health events like Breastfeeding Week, Global Handwashing Day, IDCF and SAANS campaigns, etc With a regular dialogue with Programme Management Unit (PMU) NHM, Health & Family welfare both in state & district, the project team have planned to extend support actively to create awareness in the project implementation area directly & indirectly through organising designated health events and campaigns. Breastfeeding Week, Global Handwashing Day, IDCF and SAANS campaigns, etc are the focussed events.

D. Top-line of Results (outputs/outcomes) achieved.

• Installation of Health ATMs in some of the PHCs as a pilot model & Equipping Healthcare professional with Smart equipment like Ayusynk 2 Pro advanced Smart digital stethoscope.
In Consultation with CDMPHO along with other Health service providers in the district 6 advanced technology-based Health ATMs were installed at selected CHCs/PHCs, Sub-centres in Phiringia & district Head Quarter Hospital, offering 59 types of diagnostic tests. This innovative step is improving healthcare accessibility in hard-to-reach locations of aspirational areas. In addition, 12 Ayusynk 2 pro advanced smart digital stethoscopes were provided to Medical officers & health staffs with proper orientation to enhancing diagnostic efficiency through AI supported features.

• Development & deployment of Communication material on Respectful maternity care and on gender sensitive and responsive health facility along with training of health facility staff & Improve awareness of beneficiaries on maternal, child and nutrition services (MCHN) in targeted regions.
As a part of 1000 days initiative to promote safe maternity care and quality health services, various awareness and communication, IEC materials were developed during the period. These are mainly posters, standee, vinyl sun board etc. on the major prevailing area specific issues under for both indoor and outdoor mass of health service facilities & community of Phiringia block after consultation of District public health community officers (DPHCO) and others health and communication experts under National Health Mission and Bal Raksha Bharat. Due to this initiative, we successfully reached out to 2016 beneficiaries. (961 direct 1055 indirect).

• Strengthen quality of services delivered during Village Health Sanitation and Nutrition days (VHSNDs) on Government guidelines for conducting VHSND are in place & Improve quality and coverage of home-based postnatal care for mother/new born care: Ensure postnatal care and regular home visits by Frontline health workers.

Through 40 numbers of visits to prioritised VHSNDs session locations, field facilitators were able to strengthen frontline health workers, (ANM, CHO, ASHA & AWW) and timely mobilization of beneficiaries helped in aware them about facilities provided for maternal care & child health services. The focus of the intervention was to ensure the utilisation of job aids, following Govt. guidelines, mentioning MCP cards and tracking register. Additionally, frontline health workers provide quality homebased new-born care (HBNC) to 57 mothers and new-borns, which further continue through joint visits with front line health workers for better counselling and observations.

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A. Project Context:

Gender equality is a human right and a goal in itself. It is central to Save the Children’s vision for change and an essential part of creating a just and fair world – a world in which all people, regardless of their gender, can thrive. Gender inequality impacts access to education, the experience of the educational process as well as educational outcomes. According to the National Commission for Protection of Child Rights’ (NCPCR). report, 39.4 percent of adolescent girls in the 15-18 age group are not attending any educational institution, and a vast majority — around 65 percent — of them are “either engaged in household activities, are dependents, or, are engaged in begging. High drop out and higher incidence of child marriage after completion of 6th class are the major issues identified in the Mulugu district.

B. Project Objective:

Empowering marginalized girls for improved access and retention at the secondary level. The project empowered girls in school going-age by addressing formidable issues such as dropouts and retention in schools. Specific activities envisaged include community campaigns and processes to create an enabling learning environment for girls in secondary education. The project will work in partnership with teachers, parents, communities, and relevant stakeholders from block to state levels.

C. Key Activities Implemented:

– Safe Back to School Campaign with a special focus on Girls: The enrolment drives organized in the program will be done under the banner of Safe Back to School Campaign in both the states. To help reach all audiences, messages will be shared through different modalities (e.g., loudspeaker, radio, TV – with captioning, subtitles and posters with images and simple text) in their native languages.
– Sports for social development activities in schools: To work with adolescent girls once to promote their right to play and promote sports as a tool to develop social and leadership skills, and qualities that go beyond the classroom.
– Formation of Girls group and providing continuous mentoring to them: Girls’ Group will be formed in each of the project schools with about 8 to 12 members in each group. Adolescent girls will find a platform to vocalize issues and opinions. This activity is designed to progressively increase interaction and peer-to-peer learning to be agents of change for themselves and other girls’ rights among their families and communities; and contribute to creating a gender-friendly space in schools.
– Health and Hygiene workshops focusing on menstruation: Aimed to target through this proposition. To conduct workshops for the girls of Grade 6-9 on Menstrual Awareness and Hygiene to make aware them about the criticality of maintaining good menstrual hygiene to uphold their health and dignity.
– Mentoring sessions in the schools and formation of Alumni Network: To identify mentors from the same communities or the alumni of the schools who pursued a career and can motivate the younger girls.
– Organizing Kishori Mela: An important internationally recognized day (Children’s Day/World Education Day/Environment Day/International Day of the Girl Child) will be chosen to organize the mela.
– Publication of “Shiksha Vimarsh”: Tol encourage girls to write down about their experiences, their role models and their future aspirations.
– Enriching libraries with Gender Sensitive reading material and assessment of existing reading material on gender neutral parameters: To promote reading, we will enrich the school libraries with age-appropriate readings with a focus on books likely to foster gender equality and awareness.
– Gender sensitization workshop with School Heads and officials from block/district level relevant stakeholders: This will be focused to sensitize the School Heads and officials on the gender inclusion practices and how they can improve school environment for girls by ensuring clean and hygienic washrooms for girls, no isolated spots in the school premises and usage of gender-neutral terms.
– Community engagements including special screenings and discussions promoting gender equality: Screening of the Girl Rising film, as well as the use of Girl Rising resources and tools, as appropriate. An open group discussion will be held after the screening of the film, to record opinions and thoughts on the status and needs of girls’ education.

D. Top-line of Results (outputs/outcomes) achieved.

– 65% proportion of girls accessed improved learning environment in schools.
– 75% of schools accessed improved learning friendly environment for girls by demonstration gender sensitive and inclusive practices.
– 70% parents and community members sensitized about importance of Girls education.
– 60% Teachers trained in Inclusive class-room practices.