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(B) Communitization of NRHM for Socially Excluded supported by PACS.

Maternal and infant mortality is a truly neglected tragedy, moreover , it is a tragedy which is socially unjustifiable since most of the maternal deaths occur among the most deprived section of the population. One major reason is that the magnitude of the problem is often not appreciated. Maternal and infant are not only a social problem but also amounts to gross violation of human rights. A problem so huge and complex needs a public movement and above all the administrative and political will and commitment. Lack of opportunity and denial of right especially for the excluded, marginalized and vulnerable communities makes it more difficult and complex.

Concept:

To improve maternal and child health among socially excluded population by making basic health services non discriminatory, friendly ,more responsive ,accountable and accessible to socially excluded communities in Harda and Jhabua.

Strategy:

Overall the project has been framed not only to challenge discrimination but to bring transformational change in the field of health through communitization of NRHM for socially excluded and marginalized. The focus of this project is to bring about an improvement in the health status of women and children among socially excluded. It would also like to witness the behavioral change in a gradual process towards socially excluded communities in terms of their inclusion in decision making and accessing basic health services and schemes of the government. MPVHA has planned to implement this project with two approaches that is through direct implementation in Harda block and through member organizations working among ST and SC communities in Jhabua district, in a networking mode. The proposed area for implementation is 199 villages of Harda block of District Harda and 50 villages in Rama, Meghnagar, Petlawad and Thandla blocks of District Jhabua. They are dominated by bhil, bhilala in Jhabua district and Korku ,Gond and Korva in Harda District. Mostly they are agricultural laborers and live below poverty line . They seasonally migrate for livelihood.

Objectives:

Strengthening of CBOs and Civil Society Organization in implementation area.
Ensuring representation and participation of socially excluded communities in different health planning and decision making committees at district and village level.
Making basic health services accessible and accountable.
Documentation and dissemination of information.

Project activities:

Planning meeting cum orientation of network partner CSOs and project staff was organized on Oct 31st 2011. Three day training of project implementing staff of partner CSOs and MPVHA was organized from 29th Nov. to 1st Dec. 2011. The purpose of the training was to develop a cadre of human resource, organizers and implementers within the project area. A base line survey was conducted with technical support from PACS Bhopal in 2800 House Holds of 70 selected villages. To involve community in the implementation process, community based organizations have been formed in the project area. A total of 17 CBOs have been formed. Three block level workshops were organized in Rama, Petlawad and Thandla Blocks of Jhabua district. The purpose of these workshops was to brief and sensitize all the block officials about the project and to ensure their active involvement, cooperation and support. An opinion survey was also conducted to understand attitude and approach of service providers towards socially excluded health seekers. VHSC (renamed as Gram Sabha Swasthya Gram Tadarth Samitis) list of about 200 villages were collected, and orientations are currently going on at panchyat level. One news letter was also published in Hindi and disseminated to all stake holders.

Our Vision

"To Promote Social Justice through the Provision and Distribution of Holistic Health Care & Empowerment of People, to make Health a Reality for all, with Special Emphasis on the Deprived Section"