1. health and fitness

Government of Odisha
Women & Child Development Department
Letter No
—
i—
From
Ms. Arti Ahuja, IAS
Commissioner-cum-Secre ry
Women & Child Deve pment Department
To
The Principal Secretary
Rural Development Department
Govt. of Odisha.
r
r
Dt
WCD
9-6
The Chief Engineer
Rural Water & Sanitation Scheme
Sub- Guidelines for Particularly Vulnerable Tribal Groups
Sir,
This is to inform you that in order to address the needs of the Particularly Vulnerable
Tribal Groups residing in 12 districts, the guideline developed for PVTGs has been approved.
The guidelines along with the Minutes of the Meeting held under the chairmanship of Chief
Secretary, Odisha is attached for your perusal and necessary action. As per the guidelines,
activities have to be taken up for the PVTGs in a convergent manner by the Department of SC &
ST, Health & Family Welfare, Women & Child Development, Rural Development, Food and
Civil Supplies, Animal Resources Development and RWSS. Detailed activities for each of the
Department have been outlined in the guidelines.
In the meeting it has been decided that the Department of Rural Development will ensure
facilities for Safe drinking water and RWSS will ensure Sanitation facilities in the PVTG
villages and hamlets in a phased manner. A Survey will be conducted by the Department of SC
&ST on the availability of facilities at the village level and the same will be shared with the
Departments for necessary action.
Yours f fully,
Comm
er-cum-Secretary
Memo No <3
Date 7--1-
Copy forwarded to Director, SC & ST Development Department for favour of information and
sharing of survey reports with the respective departments for necessary action.
Commission? cum-Secretary
Encl: As above
Government of Odisha
Women and Child Development Department
Memo No.
3 3
• l-ICDS-36/13
/WCD, Dt. c1 r- t 1
Copy of the Proceedings forwarded to PS to Chief Secretary /
PS to DC-cum-ACS / PS to ACS, Finance Department / PS to ACS,
Revenue Department & Chief Administration KBK / PS to Principal
Secretary, Health & Family Welfare Department / PS to
Commissioner-cum-Secretary, DWCD / PS to Commissioner-cumSecretary, S&ME Department 7 PS to Commissioner-cum-Secretary,
PR Department / PS to Commissioner-cum-Secretary, ST & SC
Development Department for kind information of officers concerned.
Under Secreta
Memo No.
1b
/WCD, Dt.
.1'\\A
to Govt.
I
Copy of the Proceedings forwarded to PS to Director, ST & SC
Development Department / PS to MD, National Heath Mission / PS to
Director, SW, DWCD / PS to Additional Secretary, H&FW Department
/ PS to Additional Secretary, RD Department / PS to PD, OTELP for
kind information of officers concerned.
Under Secreta
Memo No.
ul
/WCD, Dt.
t
ovt.
Zvi
Copy of the Proceedings forwarded to Under Secretary (ICDS),
DWCD / Smt. Biraj Laxmi Sarangi, Sector Lead, Nutrition, TMST /
Smt. Nandita Nayak, SPM, NOP, QWCD / Smt. Sitansu Singh, NOP,
DWCD / Pragnya Sikha Gour, NOP, DWCD for information and
necessary action.
ok.
Under Secretary Govt.
Proceedings of the PVTG meeting held under the Chairmanship of
Chief Secretary, Government of Odisha, on 21.12.13 in the 2nd Floor
Conference Hall of GA Department
List of the participants enclosed.
The guidelines prepared for the Convergent Health and Nutrition Plan for the well-being of the
Particularly Vulnerable Tribal Groups was shared.
The decisions taken are as follows:
1. The guideline should also focus on ensuring sanitation facilities for the PVTG population
along with safe drinking water. Necessary convergence to be done with RWSS for
ensuring the same.
2. Dept. of SC & ST to coordinate with Rural Development Department and ensure
drinking water facility in all villages and hamlets of PVTG areas. The facility should be
scaled up in a phased manner over a period of 2 years.
3. Tracking of Children: The children should be tracked on health as well as nutrition
indicators. DWCD and H&FW to jointly devise the indicators for tracking of children and
it should be included in the guidelines.
4. Screening for Malaria: Dept. of Health &FW should screen the entire PVTG population
(symptomatic & asymptomatic cases) for Malaria and ensure complete saturation in the
PVTG areas. The tribal children staying in the educational schools/complexes should
also be screened for Malaria. All PVTG families and students staying in the educational
complexes should be provided with impregnated mosquito nets (LLIN).
5. Department of Health and Family welfare to ensure facilities for pathological tests i.e
availability of Laboratory technicians and ensure that the tests are conducted at the
sites of Pustikar Diwas in the PVTG areas.
6. The Department of SC & ST to appoint Coordinators at the Micro Projects from amongst
the qualified girls of the community and utilize their services for strengthening the
implementation of the different programmes for the PVTGs.The coordinators should be
trained by DWCD on the different schemes and programmes and should be involved in
the monitoring of the schemes.
7. There should be convergence with Department of Animal Husbandry for promoting
Animal Husbandry in the PVTG areas.
8. Mamata benefits to be extended to all PVTG mothers irrespective of their age and birth
order.
9. Nutritional supplementation to the non-sick SAM children, moderately malnourished and
children discharged from NRC as per the norms for the severely malnourished children
may be ensured.
10.The guideline should have details of the contribution of all other Departments such as
the no of AAY cards to be distributed to the left out families by Food and Civil supplies
Dept, No of tubewells to be put up by RD Dept, N of Health camps to be done by H&FW
Dept etc.lt should be quantified in terms of numbers as it will help in monitoring the
progress of the activities.
11.IEC programmes in the PVTG areas should specifically focus on Anti Liquor campaign
as it will have profound effect on the overall development of the tribal groups.
12.The Nodal NGOs engaged by the Dept. of SC & ST and working in the Micro Projects
will facilitate the implementation of the convergent plan in the Micro Projects. Their
services will be utilized in Community mobilization, strengthening of service delivery,
training, BCC/IEC activities and in supportive supervision.
13.It was proposed to name the scheme ,which may be shortlisted and vetted by a team.
14.The review of implementation of the Scheme for PVTGs, will form a part of OTELP
review meetings.
The meeting ended with vote of thanks to the chair.
Chief Secretary
List of Participants:
1.
2.
3.
4.
Shri Jugal Kishore Mohapatra, IAS,Chief Secretary, Govt. of Odisha
Shri Injeti Srinivas, IAS, DC-cum Addl Chief Secretary , Govt. Of Odisha
Shri Upendra Nath Behera, IAS, Addl Chief Secretary, Finance Govt. Of Odisha
Shri Taradatt, IAS, Addl Chief Secretary, Revenue and Chief Administration
KBK, Govt. Of Odisha
5. Smt Arti Ahuja, IAS, Commissioner-cum-Secretary, DWCD.
6. Smt Usha Padhee, IAS, Commissioner-cum-Secretary, School and Mass
Education Department,
7. Shri D.K.Singh, IAS, Commissioner-cum-Secretary, Panchayati Raj. Department
8. Shri Sanjeev Kumar Mishra, IAS, -Commissioner-cum-Secretary, SC & ST
Department
9. Dr A.K.Ota, IAS, Director, SC & ST Department
10. Smt Roopa Mishra, IAS, Mission Director, National Health Mission
11. Shri Basanta Kumar Behera, Addl Secretary, H&FW Department
12. Shri S.Nanda, PD, OTELP
13. S Aswathy. S, IAS, Director, DWCD
. Shri A.K. Manik, Additional Secretary,tR.D. Department
15. Smt Durgesh Nandini Sahoo, OAS, Under Secretary, DWCD
16. Smt Biraj Laxmi Sarangi, Sector Lead, Nutrition, TMST
17. Nandita Nayak, SPM, NOP, DWCD
18. Sitansu Singh, NOP, DWCD
19. Pragyan Sikha Gour, NOP, DVVC-D
GUIDELINE FOR CONVERGENT HEALTH AND NUTRITION PLAN FOR
WELL BEING OF THE
PARTICULARLY VULNERABLE TRIBAL GROUPS
Department of Women and Child Development, Government of Odisha
•••■■
srs,--1,-
Content
4
Purpose of the guideline
4
Background
4
Rationale for Convergent Action Plan
5
Targeted Community
5
Objective of the Convergent plan
6
Process of preparation of the guideline
6
Partners in implementation
7
Components under the Plan
7
Implementation Arrangements
26
Budget
2
*.ta,
••••■
List of Abbreviations and Acronyms
AAY
Antyodaya Anna Yojana
1 MOV
1 Means of Verification
,
ANM
Auxiliary Nurse Midwife
j MPR
Monthly Progress Report
ARSH I Adolescent Reproductive and Sexual MUAC
Mid-Upper Arm Circumference
LHealth
ASHA
Accredited Social Health Activist
NGO
Non Government Organisation
AWC
Anganwadi Centre
NOP
Nutrition Operational Plan
Anganwadi Workers
NRHM National Rural Health Mission
BCC
Behaviour Change Communication
SHG j elf Help Group
BDO
Block Development Officer
NRC
Nutritional Rehabilitation Centre
BPMU Block Programme Management Unit NRHM
National Rural Heath Mission
CDMO
Chief District Medical Officer
ORMAS Odisha Rural Marketing and
---
CDPO
CHC
CHW
Child Development Project Officer
Community Health Centre
Community Health Worker
ORS
PD
PDS
Development Society
Oral Rehydration Salt
Pustikar Divas
Public Distribution System
DPMU
District Programme Management
Unit
Department of Rural Developmen t
District Social Welfare Officer
Department of Women and Child
PIP
Programme Implementation Plan
PHC
Primary Health Centre
Panchayati Raj Institutions
DRD
DSWO
DWCD
Development
FLW I Front Line Worker
GKS
GM
Gaon Kalyan Samiti
Growth Monitoring
Go!
Go0
GP
Government of India
Government of Odisha
Gram Panchayat
Hot cooked Meal
HCM
HNBC
ICDS
JEC
IMR
IFA
IPC
Interpersonal Communication
Jaanch Committee
Lady Supervisor
Lady Health Visitor
MAM
Moderate Acute Malnutrition
MC
MDM
Mother's Committee
Mid-Day Meal
MHW
Male Health Worker
MIS
Management Information System
MM
Moderately Malnourished
MNRE
Mahatma Gandhi National Rural
Employment Guaranteed Act
Medical Officer in Charge
GA
MO I/C
Particularly Vulnerable Tribal Group
RWSS
SAM
SC
Severe Acute Malnutrition
Schedule Caste
SN
SNP
SO
Staff Nurse
Supplementary Nutrition Programme
Special Officer, Micro Project Area
SPMU
State Programme Management Unit
ST
THR
Schedule Tribe
Take Home Ration
TMST
Technical Management Support Team
4-
Home Based Neonatal Care
Integrated Child Development
Service
Information, Education and
Communication
Infant Mortality Ratio
Iron Folic Acid
JC
LS
LHV
PRI
PVTG
Rural Water Supply & Sanitation
TPDS
Targeted Public Distribution System
VHND , Village Health Nutrition Day
--, WHO
World Health Organization
1
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i
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3
Purpose of the guideline
The Department of Women and Child Development, Government of Odisha has approved a
convergent health and nutrition plan for the Particularly Vulnerable Tribal Group (PVTG) to
address the health and nutritional needs of the community. The plan will be implemented in 17
Micro Projects in 12 Districts in the State.
The guideline thus developed presents how to implement different activities envisaged under
the convergent plan for the PVTGs. It presents an overview of the strategy to be adopted by the
Department of Health & FW, DWCD and Dept. of SC & ST Development in addressing the health
and nutritional needs of the PVTGs. The guideline will be useful for the functionaries of Health &
FW and Department of Women &Child Development department at the State, District and SubDistrict level and for the staffs and officers of the SC&ST Development department at the Micro
Project level and at the State level in implementation of the convergent plan.
Background
Odisha has the distinction of having the highest number of PVTGs among all the States and Union
Territories of India. Odisha is home to 62 types of tribes of which 13 tribes are designated as
"Particularly Vulnerable Tribal Groups" for their distinct culture, life style and socio-economic
conditions. Each group constitutes culturally homogeneous segment of the tribal population in
the State. The PVTGs live in remote habitats, in a state of isolation and thus have been able to
conserve their cultural identity which is manifested in their languages, their socio cultural
beliefs, traditions, dance and music. The members of the PVTG community have low level of
literacy, lack development awareness, have declining or stagnant population and use preagricultural level of technology. The habitations of PVTG have inadequate health care facilities
and most of the PVTG household lives in abject poverty. PVT groups are small in number,
differentially developed with respect to one another; live in remote habitat with poor
administrative and infrastructure back up. Their problems and needs are quite different from
others and therefore there is a need for additional programmes and convergent action for the
health and nutrition wellbeing of the PVTGs.
Rationale for Convergent Action Plan
The persistent reasons of undernutrition amongst the PVTGs are manifold and needs a
concerted action not just limited to the DWCD, but action on the determinants of undernutrition
which is related to their economic circumstances, socio-cultural practices and moreover
effective utilisation of the converged health and nutrition programmes and policies for
betterment of the PVTGs.
Economic:
The household level food insecurity is one of the major reasons for existing undernutrition
among the family members as well as of the children in PVTGs. Despite being provided with
subsidised ration through Targeted Public Distribution System (TPDS) and entitlements like
Antyodaya Anna Yojana (AAY), the families find it hard to meet their basic food requirement.
The social and cultural practices in relation to child care are a cause of
concern in PVTGs. Most of the mothers of the PVT community are working and therefore either
take their small children with them or leave them with their older siblings at home for care. On
Social and Cultural:
both the occasions, the feeding of the small child is compromised. Studies on PVTGs indicate to
late initiation of breast feeding, feeding of additional food other than breast feeding during the
first six months and very late initiation of complimentary feeding. The frequency of feeding for
the children as well as adults is very low which leads to high levels of undernutrition in the
community.
Low Uptake of Services: Geographical inaccessibility and inaccessibility due to knowledge
and awareness amongst the PVTGs results in low uptake of the health, nutrition and other
services. Knowledge on health, nutrition and sanitation in the community is found to be
abysmally low.
Policy Environment: Integrated Child Development Services and National Rural Health
Mission are two flagship programmes implemented with greater focus to ensure better health
and nutrition outcome for 0-6 year old children and for the adolescent, pregnant and lactating
mothers. However, the utilisation of the 1CDS and Health services in the PVTG areas are
abysmally low and sometimes the provisions under the schemes are more general in nature
which does not specifically address the health and nutrition needs of the PVTGs. In addition to
the health and nutrition programmes, the SC&ST Development Department runs several
schemes to provide better education, income generation opportunities and hygiene and
sanitation measures in the area. However the reach as well as the utilisation of the services
need further strengthening to have positive impact in the lives of the PVTGs.
Targeted Community
i)
PVTGs living in the 17 Micro Project area identified by the SC&ST Development
Department covering 12 Districts, 20 Blocks, 84 Gram Panchayats and 541 Villages.
ii) The PVTG population to be covered
• 0-6 year old children: 19399
• Male Members : 39761
• Female
: 43047
iii) Under the plan, focused interventions at individual level will be for the PVTGs; however
other community members living in the micro-project area will be benefited from the
community level initiatives.
Objective of the Convergent plan
•
Build capacity of the service providers, community members and members of the local
governance structures for improved health and nutrition services and uptake of
developmental services.
• Address the nutritional requirements of the moderately and severely underweight and
wasted children in the community through additional food supplementation.
• Nutritional status tracking of 0-5 year children.
• Awareness and education for the community members on health, nutrition and child care
practices and schemes in the Micro project area
• Delivery of health services through bi-annual health camps for prevention, management of
diseases and treatment of diseases in referral centres.
• Converge with the SC&ST Development Department and Rural Development Department for
support in livelihoods promotion, safe drinking water, hygiene & sanitation and realization
of entitlements and rights.
5
Process of preparation of the guideline
The following processes were adopted in development of the guideline. Consultations were
conducted at the State level and field visits were undertaken to the Micro project area and
observations from the field was discussed in development of the guideline. Feedback from the
training of the community members and special officers and NGOs from the PVTG area have also
been incorporated in the plan.
State Level Consultation
•
Under the chairmanship of Commissioner-cum-Secretary, WCD Department of
Government of Odisha, a meeting was held on 22nd May 2013 on 'Intensive campaign for
children'. The meeting was attended by the
addressing malnutrition among PVTG
Commissioner -cum- Secretary, ST&SC
NRHM,
Commissioner -cum- Mission Director,
i)
Development Department.
Under the chairmanship of Director, Social Welfare, a convergent meeting of the DWCD,
FW department and Panchayati Raj
ST&SC Development Department, Health &
August
2013
and
a
draft plan was shared. Feedbacks from
Department was held on 2nd
the participants were noted for incorporation in the guideline.
On 4th September 2013, meeting under the chairmanship of Director, Social Welfare was
held and a revised draft was shared. Activities and responsibilities were finalised. The
meeting was attended by ST&SC Development Department, Health & FW department
and Panchayati Raj Department and the State Advisor to Supreme Court's Commissioner
ii)
iii)
Office.
•
Field visit to the Micro project area in Sundergarh and Keonjhar district was undertaken
team had interactions with the AWW, ASHA, ANM, Medical
by member of the TMST. The
Officers in CHC, PHC, CDPO and with the Special Officer of the Micro Project area.
i)
Field visit was undertaken by the State Advisor to Supreme Court's Commissioner Office.
ii)
•
i)
Field Visit to Micro Project Area:
Feedback from the training / meeting of Special Officer, community members,
Nodal NGOs of the Micro Projects
Training programme for the special officers and selected community members and
nodal NGOs was conducted and feedback was solicited to improve the nutrition
condition of children in the PVTG area. The feedback from the training has been
incorporated in the guideline.
Partners in implementation
Anganwadi Worker (AWW), Anganwadi Helper(AWH), lady Supervisor
a) WCD Department:
(LS) , Child Development Project Officer(CDPO), District Programme Management Unit
(DPMU), NOP and District Social Welfare Officer ( DSWO)
Accredited Social Health Activist (ASHA), Auxiliary Nurses
b) Health & FW Department:
(Male Health Worker), SN (Staff Nurse),
Midwife (ANM), Lady Health Visitor (LHV), MHW
NRHM and Chief
MO (Medical Officer), District Programme Management Unit (DPMU),
District Medical Officer (CDMO).
Special Officer (SO), Micro Project area (Special
SC&ST
Development Department:
c)
Officer), Nodal NGO in the Micro Project area.
Executive Engineer, DRD
d) /Aural Development Department
6
e) Panchayati Raj Department: Block Development Officer (BDO)
f) Community Members: PRI members, Traditional leaders, GKS members, SHG, JC & MC
members, Community volunteers identified by the SC&ST development department
Components under the Plan
The focus under the Scheme is given on the following key areas
1)
2)
3)
4)
5)
6)
Food & Nutrition including Safe Drinking Water, Sanitation & Livelihood
Maternal Health & Child Health
Community Mobilisation, Ownership and Empowerment
Provider Perspectives : Sensitisation and Capacity Building of the service providers
Monitoring and Evaluation
Grievance redressal.
Implementation Arrangements
A.
FOOD. NUTRITION &SAFE DRINKING WATER
1. Improving coverage and quality of government supported food security Schemes,
such as PDS, MDM, SNP& THR of ICDS
a) Campaign on Entitlements in PVTG Villages
The campaign on entitlements will cover development and food schemes such as TPDS, AAY,
MDM, SNP and THR which has a direct bearing on the nutritional status of children. The
campaign will also cover other developmental schemes such as water, sanitation, MNREGA
which are detrimental to the nutrition status the PVTGs.
The community meetings will be organised in each PVTG village on a monthly basis. Mothers of
6months-6 year children, pregnant women, lactating mothers, adolescents and community
members will be mobilised to attend the meetings. The meeting will discuss the entitlement
rights of the beneficiaries and will assess the implementation of different schemes in the
project villages. The community meetings will be facilitated by the NGO representatives and the
meeting proceedings will be recorded. Based on the grievances, issue wise list will be prepared
and submitted to the Special Officer of the Micro projects to further forward them to
appropriate departments for action.
The wall paintings will be at the prominent place of the villages. The wall painting will be in the
local language and will cover services under different schemes. The prototype for the wall
painting will be developed by the SPMU-DWCD and will be placed for technical committee's
approval. The prototype thus approved will be shared with the SC&ST Dev. Department for
undertaking the wall paintings in the villages of the Micro project area.
COW a, "I I!:
Community
meetings in
the Villages
Monthly
Feb'13
No of
meetings
Meeting Lead: SC& ST Dev. Dept.
minutes & Nodal NGO
Monthly
Theme wise
list of issues
and
submitted to
SO, Micro
Projects
Monthly
Forwarding
of the issues
to
appropriate
departments
by SO, Micro
Projects
Wall painting One time
Feb'13
Feb'13
March'14
Theme based
compilation
of issues
raised in the
corn munity
meetings
Letter
forwarded to
relevant
departments
Compila
tion
sheet
No of wall
paintings
Support: ASHA, AWW,
ANM and community
volunteers in conduct of
the community
meetings.
Letter
NGO
report
Lead: SPMU-DWCD for
prototype
Support: Wall painting
implemented by SC&ST
Dev. Dept. through the
Nodal NG0s.
b) Mapping & ensuring all PVTG families have an AAY Card
Mapping for supply of AAY cards will be undertaken in the Micro Project area. The activity will
be carried by the nodal NGO and a micro project wise report on availability of cards will be
submitted to Food and Civil Supplies Dept. The Food and Civil supplies dept. will supply the
AAY cards to the left out families on a priority. NGO representatives will constantly follow on
issuance of card to the families.
Mapping of
the families
Micro Project
wise list to
and
Food
Civil Supplies
Dept.
through
Special
Officer,
Micro Pro -ect
2.
One time &
updation
Continuous
activity
Feb'14
Feb'14
List of
families
No of families
having MY
card/ Total
families
List
MY
benefici
ary list
Lead: SC&ST Dev. Dept.
Support: Nodal NGO &
Food and Civil Supplies
Dept.
Ensure access to and utilization of Safe Drinking Water and Sanitation facility in
PVTG Hamlets
• Survey on the availability of safe drinking water and Sanitation facility in the PVTG
Hamlets.
All the PVTG hamlets need to have safe drinking water facility. A survey to this effect will be
carried out by the micro project offices of the PVTG area. The list of hamlets for safe drinking
water facility will be shared with the RWSS/RD Dept. for provisioning of safe drinking water.
8
Assessment
Onetime &
report of the updation
hamlets for from time
water
and to time
Sanitation
facility
Feb'14
Hamlet list
prepared
Hamlet list
Lead: SC & ST Dev.
Dept. for survey.
RD Dept. for
provisioning of water
facility in all the
Villages and Hamlets
in a phased manner.
RWSS to ensure
sanitation facility in
the PVTG villa:es
3. Promoting Animal Husbandry in the PVTG areas
In order to ensure livelihood opportunities for the tribals in the PVTG areas, Animal
Husbandry is to be promoted by the Micro Projects in convergence with the department of
Animal Husbandry.
A survey will be conducted by the Nodal NGO and a micro project wise report on providing
facilities for Animal Husbandry will be submitted to the Department of Animal Husbandry.
The Department will then provide the facility to the PVTG families in the Micro Project.The
Nodal NGO will follow up the same with the Micro Projects amd monitor the progress in the
villages.
litgagit
Mapping of
the families
for providing
facilities for
Animal
Husbandr
Micro Project
wise list to
Dept.
of
Animal
Husbandry
through
Special
Officer,
Micro Pro'ect
B.
fro
One time &
updation
Feb'14
List of
families
Continuous
activity
Feb'14
No of families Benefici
having
ary list
received
benefits for
Animal
Husbandry
List
Lead: SC&ST Dev. Dept.
Support: Nodal NGO &
Department of Animal
Resources Development
MATERNAL AND CHILD HEALTH
1. Growth Tracking
• Monthly growth tracking of 0-5 year old normal children and weekly Growth
Monitoring for Severely Malnourished and Severe Acutely Malnourished, NRC
discharged children and fortnightly growth monitoring for Moderately Malnourished
children.
9
100% weighing of 0-5 year old children, MUAC measurement of 6 months -5 year old children
and growth recording of children will be done in the new WHO growth monitoring register.
•
•
•
•
•
•
0-5 year old children in normal category will be weighed every month.
0-5 year old children in moderate category will be weighed once in a fortnight.
0-5 year old in severely underweight category will be weighed every week.
6months-5 year SAM children will be weighed every week.
NRC Discharged children will be weighed every week
MUAC measurement will be for all 6months -5 year old children every month. The
AWW will do the MUAC measurement and record the measurements in the Weight
register maintained at the AWC.
The growth monitoring information for individual children will be recorded at the project office
and name based tracking will be done to record their progress. The mothers of growth faltering
children and children in moderate and severe category and NRC discharged children will be
counselled on health and nutrition issues by the AWW and ASHA on a priority basis. The
representatives of the Nodal NGO will support the AWW in preparation of a due list for growth
monitoring each month and regularly follow up for increase in coverage and quality of
weighing in the AWCs.
Feb'14
MUAC
Weekly for
SM, SAM &
NRC
discharged
children.
Fortnightly
weighing of
MM
monthly for
normal
category
children .
Recording of As per norms Feb'14
weight in
GM register
Weighing of
year
0-5
children on
WHO /601
norms.
MUAC for
6months-5
years old
children
Counselling Need based
based on the
Nutritional
status
during
home visit
and on VHN
Day
Feb'14
Referral to Need based
PD/NRC
Follow up of
children
Feb'14
% of
children
weighed
according to
norms
GM
register
Lead: AWW and the LS
from the DWCD
department
Support: ASHA and
ANM of the Health & FW
dept. and Nodal NGO
of
children's
weight
recorded in
GM register
Counselling
sessions
held during
VHND and
Home Visits
GM
register
Lead: AWW and the LS
from the DWCD
department
Support: Nodal NGO
Home
Visit
check
list
Lead: AWW
Support: Nodal NGO
of MPR
children
referred vs
number
10
Lead: AWW &ASHA
Support: Nodal NGO
attended
PD/
admitted to
NRC
2. Any day Referral of Children from PVTG village to the nearest PHC/CHC for treatment
•
Advisory from Health for reimbursement of travel cost to mother on the lines of
Pustikar Diwas
In the PVTG villages, children in 0-5 year's age identified in the category of Severely
Malnourished and Severely Acutely Malnourished (through MUAC tape) on any day will be
referred to the nearest Pustikar Diwas (PD) point for further investigations. Subsequent to their
investigations they will be treated at the PD point or will be referred to the nearest NRC for
treatment. The Health& FW department will issue guideline to the Districts that the mothers
taking their children to the PD points on referral on any day are to be provided with the
transportation cost and if referred to the NRC from the PD point are also to be supported with
travel cost.
The existing referral formats will be used for the purpose.
N(i)
Advisory
One time
from Health
Dept. to the
Districts on
any
day
referral
Dec'13
No of children
referred and
have received
the benefits
PD report
ral
Lead: Health and FW
Dept.
Support: AWW to
facilitate the referrals
3. Strengthening SNP in PVTG area
•
Additional HCM point in inaccessible hamlets through SH Gs
Currently ther' e are 271 Villages and Hamlets in the 17 Micro Projects which are at a distance of
more than 1 Km. from the AWCs. The Children in 3-6 years age are not able to access the AWCs
and therefore are not able to take benefits of the hot cooked meal provided from the AWCs.
There is a need of brining all the children into ICDS fold and serve them with the benefit of hot
cooked meal close to their place of residence. As an alternate strategy, the children not able to
access the hot cooked meal at the AWC at a distance of more than 1 km. will be provided with
the hot cooked meal in their hamlets.
The SHG group of the hamlet will be assigned the task of preparing the hot cooked meal
according to the revised norms and serve it to the children in the age group of 3-6 years in the
hamlet. The SHG members will collect the dry ration from the AWC on a weekly basis.
In order to find out the efficacy of the arrangement, the food supplementation at the hamlets
will be piloted in the farthest hamlets in one GP for 3 months in each Micro Project area and
later on will be scaled up in all hamlets in the micro project area.
In order to ensure that the hot cooked meal is prepared and served to the children, mothers
11
committee as per the prevailing norms of ICDS will be formed in the hamlets and they will be
responsible for overseeing proper implementation of the activity.
DWCD
One time
Advisory
the
from
DWCD to the
Districts
Identificatio One time
n of the SHG
Feb'14
Advisory issued The office
to District and order
Block
Feb'14
SHG
List of the Lead: AWW
Support: Nodal NGO
SHGs
Formation of One time
Mothers
group
Feb'14
Mothers Group
formed
of Lead: A WW
List
Support: Nodal NGO
Mothers
group
Need based
Orientation
the
of
members of
SHG/
the
Mothers
group on the
HCM
Documentati One time
on of the
activity
Scale-up in Need based
the
all
hamlets/
of
villages
Micro
project
March'14
Training
Orientation
report
the
at
training
project
Micro
level
On going
Process
documentation
May'14
All hamlets are Office
Order
covered
•
Document
Lead: DPMU, DWCD
Support: Nodal NGO
Lead: DPMU, DWCD
Support: Nodal NGO
DWCD
Strengthening the SHGs involved in THR production and supply in the PVTG area
Take Home Ration production and supply has been assigned to the Self Help Groups in Odisha.
However in order to strengthen the THR units in the PVTG area, an assessment will be carried
out and the gaps will be identified. Based on the gaps identified, further course of action will be
devised to strengthen the SHGs to run the THR units with assistance from Odisha Livelihood
Mission/ ORMAS/ Mission Shakti.
4. Strengthening VHND and PD in PVTG area
•
Strengthening VHND
12
Village Health and Nutrition day in the PVTG village needs to be further strengthened with
preparation of due list, ensuring participation of the beneficiaries for services, making sure that
the equipment and other logistics are available, proper documentation for services delivered
are kept and person's in need of referral to higher centres are helped for referral. Under the
plan, an assessment of all the PVTG AWCs will be done to identify the equipment and
infrastructural gaps and efforts will be made to bridge the gaps.
Assessment
of the AWCs
for
equipment
and supplies
through
a
check list
One time
Provisioning
of equipment
and supplies
Need based
Feb'14
March'
14
Assessment
conducted
Centres
supplied with
the equipment
and supplies
Assessment
report,
VHND
logistics
available,
VHND
conducted
as
per
norms
MPR
Lead: Health & FW
Support:
Nodal NGO
Lead: Health & FW
Support: Nodal
NGO
• Additional PD in micro project area
The distance to the PHC/CHC for diagnosis and investigation act as a barrier for the parents of
sick and malnourished children to access the PD services. Therefore additional PD points will
be organised in health institutions closer to the micro project area to increase the coverage.
..
.
"i1101 41,3 64,
Advisory from
Health and FW
Dept. to the
Districts
Need
based
Dec'13
Advisory issued
Office Order
Selection of PD
point
and
adequate
stocking
of
logistics
Need
based
Feb'14
Facilities
identified
List of the Lead: Health
Additional
&FW Dept.
PD points,
Logistics
for
additional
PD
Pathological
Tests
for
Malaria,
Stool
and Anaemia at
the sites for
Pustikar Diwas
Need
Based
Feb'14
onwards
No
of
sites No of tests
having testing done at the
facilities
PD sites
13
Health &FW
Dept.
Health &FW
Dept.
On going
Dissemination
the
of
information in
Micro
the
Project villages
Feb'14
onwards
Awareness
the area
in
Attendance Nodal NGO, FLWs
the of Health and
in
DWCD
additional
PD centres
5. Nutritional supplementation for Non Sick SAM, MM and NRC discharged children
Additional food supplementation for Non Sick SAM, MM and NRC discharged children
•
Additional food supplementation along with health and hygiene for children in 6months-5year
has the potential to prevent undernutrition. Therefore in the PVTG area, additional food
supplementation will be provided for the non-sick SAM children (identified through MUAC) and
children who are moderately malnourished and have been discharged from the NRC. The
existing guidelines of DWCD regarding THR for severely malnourished children will be
applicable for the children who are discharged from NRC, Non sick SAM children and
moderately malnourished children in the PVTG area. The children identified through the
growth monitoring process and NRC discharged children will be included for additional
supplementation.
I
P
014 1,,
90
' ..: f !■
Advisory
from DWCD
the
to
District
&Block
AWCs in the
PVTG area to
be supplied
THR as per
revised
norms
THR
distributed
the
on
designated
days
Monitoring
the
of
at
activity
the
beneficiary
level
One time
Feb'14
Advisory
issued
District
Block
Order
DWCD
to
&
Need based
Feb'14
Indent placed Stock book
to the THR at the AWC
units
Additional
THR supplied
DWCD
Need based
Feb'14
% of children MPR
receiving the
extra THR
DWCD
On going
Feb'14
No of visits, Monitoring Lead: Mother's
report of Committee
interviews
the DPMU Support: Nodal NGO
with
staff
beneficiaries
members
6. Improved practices for use of nutritionally rich local food items
•
BCC tool on nutritive value of commonly available local food, recipes. Counselling and
follow-up for compliance
14
A guidebook for the ASHAs, AWWs and the NGO staff members on nutritive value of locally
available food stuffs will be developed. The guidebook will be used for counselling purpose in
the villages on the Mamata Diwas and also in the NRC for educating mothers.
Through improved practices activity, the PVT families will be provided information on the
nutritive value of the food item that is available in their surrounding and will be encouraged to
use any one of the items which the family does not consume as part of their diet and which the
family can have through own production or can buy with their existing economic
circumstances. The recommendation will be constantly followed up and the family will be
encouraged to include another food item when the first item has been completely integrated to
their food system.
The activity will be spearheaded by the AWW and will be supported by the ASHA and the local
NGO representative.
•.i
...t1a'
0,--
Listing
of On going
locally
available
food- season
wise
Development One time
of BCC tool
Training of One time
FLWs on the and need
BCC tool
based
Feb'14
Food
listing
item
BCC tool
Lead: DPMU-DWCD
Support: Nodal NGO
Feb'14
Development
of the BCC
tool
BCC Tool
Lead: DPMU-DWCD
Support: Nodal NGO
Feb'14
Training on
the BCC to
FLWs,
Observations
in the field on
use of the BCC
tool
Training
Report
Lead: DPMU-DWCD
Support: Nodal NGO
7. Facilitating optimum utilization of NRC and follow-up tracking
•
Additional travel cost for NRC referral
The mothers of the sick children referred to NRC for admission be supported with the travel
cost from their place of residence to the NRC and travel cost from the NRC to their home on
discharge. The travel cost will be provided to the mother on admission of the sick child in the
N RC.
-170X0-4:1•1
q..1,J••.•
it)
Advisory
from
the
Health Dept.
to
the
Districts for
travel
Need based Jan'14
No of mothers
received
travel cost for
travel to NRC
15
MPR
Health &FW Dept.
support
Increased wage compensation for mothers of children admitted in NRC
•
Most of the mothers in the PVTG area are working mothers and they support and sometimes
are the mainstay for their family income. The low wage compensation of NRC sometimes deters
the mothers to admit their children to the NRC. Therefore the wage compensation for the
mothers in PVTG area be increased to Rs.100*/- so as to motivate the mothers to admit their
children to the NRC and stay for the period of treatment. The wage compensation provided will
be in addition to the food cost that is provided to the mothers when their child is admitted to
the NRC.
Health &FW Dept.
No of mothers NRC
Need based Jan'14
Advisory
report
received
the
from
wage
Health Dept.
compensation
the
to
Districts for
referral cost
* Subject to approval from the Health & FW department.
• Weekly follow-up of NRC discharged children in the community
The children discharged from the NRC are mostly regain their appetite and are in a situation of
returning to their growth trajectory. Therefore there is a need of keeping constant vigil on such
children so that they don't fall back to their earlier condition. Therefore the ASHA and the AWW
of the village will do a weekly weighing of the children on the lines of SM children. If the child's
growth is found to be going down, they will be immediately referred to the PD point for further
diagnosis and treatment.
MN • 11:rAttlift.,••.=.1.5-.6.,,,;,.. •••
Weekly
Advisory
from DWCD
for week GM
NRC
of
discharged
children
Jan'14
No of NRC
discharged
children
followed up
GM report
DWCD
Supported
Nodal NGO
by
the
8. Health Check-up, Referral and Regular follow up of children to improve health and
nutrition situation
•
Bi-Annual Health Camps:
The health needs of the PVTGs will be addressed by mobilising them to attend Bi-Annual health
camps to be organised in convergence with the health department. The PVTGs residing in 84
GPs under 17 Micro projects will be covered through 168 bi-annual health camps. Two health
camps will be organised in each GP and the venue will be at the sub-GP level, preferably a
bigger village or any place that is easily accessible by the PVTGs residing in the fringe areas.
The health camps will be organised as per the micro plan prepared by health department and
the same will be shared with the Micro Projects. The Micro Project of the area will be the
administrative unit and the BPMU of Health Dept. along with the DPMU of DWCD will be the
coordinating agency. The Nodal NGO of the SC & ST Development Dept. will be responsible for
16
community mobilisation.
The camp dates should not be on the VHN days for the same village. The camp date and day will
be disseminated in the villages to be covered by the health camp. The human resources for the
camp such as Doctors, nurses, paramedics and all logistics such as medicine, consumables will
be from the health department (as per the tribal health camp guideline). The AWW, ASHA and
the ANM of the village will assist in organisation and smooth conduct of the camp. The camp
will be open for all the residents in the micro project area, however special focus will be on the
women and children from the PVT community.
Children covered in the health camps and found to be in severely wasted category or having
bipedal oedema will be directly referred to the nearest NRC or the paediatric ward of the
nearest PHC/CHC/DH.
Services to be provided in the Health Camps:
Clinical Examination by Doctor/Skilled Nurse for all the attendees of the camp for
illnesses and provision of drugs for the ailments.
- Referral of the patients to higher up institutions.
Services for the 0-5 year children
Growth Monitoring and Counselling, Referral of severely wasted children with
infections to the NRC/ Paediatric ward of CHC/ DHH.
Blood Test for Malaria for all the severely underweight and severely wasted children
and treatment for the positive cases.
Haemoglobin tests for children and IFA supplementation, de-worming and Vitamin A
Supplementation on a case to case basis.
The camp in the PVTG area will be useful for children to be treated for Malaria, ARI,
Diarrhoea and other ailments. This will also help to reduce undernutrition and decrease the
risk of death due to undernutrition and illnesses.
The camp will help the system to authenticate community data on point of prevalence of
Malaria Parasites and Anaemia which can be disaggregated by age, gender, village etc. This
will also provide authentic information on the nutritional status of children and if the camps
are repeated annually around the same date, this data will then provide trends across time, to
show if the situation is actually improving or not in the PVTG area.
IiilD 1
Community
mobilisation
Health camp
twice in a
year at the
GP level
Record
maintenance
of the Health
Cam.
Referral to
higher
facilities
Ogi,::)ej,
On going
.
.14
..
110
gt ∎ • 1
•
• (;1
,
1-
Feb'14
Patient load
onwards
Feb'14 & No of Health
Aug'14
Camps held
Camp
record
Report
Feb'14 & Camp record
Aug'14
maintained
Camp
record
Health & FW Dept.
During
Feb'14 & No of patients Camp
Camp and Aug'14
referred and record
after as part
no availed the
of routine
referral
Health & FW Dept.
Bi annual
During
camp
17
Nodal NGO
Health & FW Dept.
services
activity
Follow up
On going
Monitoring
of the Camps
Bi-annual
Feb'14 &
Aug'14
Health & FW Dept.
No patients Camp
record
referred
Monitoring Health & FW Dept.
Monitoring
report
report
Reporting
Bi-annual
Feb'14 &
Aug'14
Report
prepared
Report
Health & FW Dept.
• Screening for malaria:
Entire PVTG population (symptomatic & asymptomatic cases) should be tested for Malaria
and complete saturation in the PVTG areas is to be ensured. The tribal children staying in the
educational schools/complexes should also be screened for Malaria. All PVTG families and
students staying in the educational complexes should be provided with impregnated mosquito
nets (LLIN).
Camp
of Bi annual Feb'14 & Patient load
Testing
record
Aug'14
PVTGs for during the
Health
Malaria
Cam s
Feb'14 & No of Schools Report
Testing of Bi Annual
covered,
Aug'14
Children in
Students
Educational
in
tested
Schools/
Schools
Complexes
Camps held
On-going
Distribution
of LLIN nets
PVTG
to
families
Feb'14 to
April'14
Distributio
Distribution
n records
records,
Micro Project
Wise
Health & FW Dept.
Health & FW Dept.
Health & FW Dept. in
coordination with
Micro Projects and
Nodal NGOs
9. Ensuring access to basic Primary Health Care - Diarrhoea management through
enhanced capacity of AWW / ASHA / ANM
• Capacity development of FL workers on ORS preparation & use. Adequate stocking of
ORS in the HSC and with ASHA
Interventions on diarrhoea have proven to be a very successful intervention for prevention of
child mortality and morbidity. Therefore under the plan the knowledge of the frontline workers
will be reinforced by orientating them on preparation of ORS solutions and proper use of Zinc
and ORS solution in diarrhoea. It would be also ensured that the HSC and the ASHAs have
adequate stock of ORS packets and Zinc tablets with them. The ORS and Zinc training will be
incorporated in 1000 day and HBNC training. A separate guideline in Odia on the use of zinc
will be prepared by the Health & FW Dept. for the use of FLWs.
18
1
111 '
?4:100:i
Training of One time
FL workers
incorporated
in 1000 days
training and
HBNC
trainin :
Development One time
of a guideline
on use of
ORS+ Zinc
Advisory
One time
from
the
Health &FW
dept. for the
trainin
0 0 0:1E11=
(9i
0 (:-.-
04t
l'''''
1 '0 '2,
April'14
No of FLWs Training
trained
on report
ORS+ Zinc
Health& FW Dept.
Feb'14
Guideline
developed
Health& FW Dept.
Feb'14
Advisory sent Office
to the District order
Guideline
Health& FW Dept.
10. Provision of Mamata benefits to all the mothers from PVTGs
•
Mamata Benefits to mothers irrespective of age & birth order
Mamata benefit is extended to mothers of above 19 years of age and for the first two children.
The objective of the scheme is to provide financial assistance to mothers irrespective of their
age and birth order for adequate rest during pregnancy without losing their wages and to have
additional nutritional supplementation during and after pregnancy. The conditions attached to
the scheme helps in immunisation of the mother and children and focus on breastfeeding and
complimentary feeding for children. Therefore there is a need of providing the Mamata benefits
to all the mothers in the PVTG area to help them have better nutrition during and after
pregnancy and also help in immunisation of their children and breast feeding and
complimentary feeding for their children on completion of 6 months of age.
;'‘
Advisory
One time
from DWCD
for universal
benefit
Assessment
On going
of no of
pregnancies
Funds
provision at
the District
and
Sub
District level
On going
Feb'14
Feb'14
Feb'14
If
No of mothers
receiving the
Mamata
benefit
No of mothers
receiving the
Mamata
benefit
No of mothers
receiving the
Mamata
benefit
Mamata
MPR
DWCD
Mamata
MPR
DWCD
Mamata
MPR
DWCD
11. Counselling of pregnant mothers on health and nutrition
•
'Saad Khia' (Godhbharai) for pregnant mothers in 4th month of the pregnancy
19
'Saad Khia' (Godhbharai) for pregnant mothers in PVTG area will be taken up. The AWW and
ASHA will have the list of the pregnant women in the village and while mobilising the pregnant
women for early registration for immunisation and maternity benefits, the ASHA and the AWW
will mobilise the pregnant women to attend the 'saad khia' in the AWC on VHN Day. The 'saad
khia' (godhbharai) will be celebrated at the AWC and women from the community will be called
to participate in the celebrations. The pregnant women will be felicitated in the AWC and will
be provided with a complete meal on the day and will be counselled to take adequate food
during pregnancy. The activity is aimed at educating the mothers on the need of taking extra
food during pregnancy and to have rest during the pregnancy.
-. •
One time
Advisory
from DWCD
the
to
Districts
Feb'14
Advisory at Office
the District order
Block
and
level
DWCD
On going
Celebration
'Saad
of
Khia'(Godhb
harai) in the
AWC
Feb'14
onwards
of Report
No
pregnant
mothers
celebrated
odhbharai
DWCD
& EMPOWERMENT
C. COMMUNITY MOBILISATION - OWNERSHIP
1. Identification of Volunteers from the PVTGs
•
Orientation of the volunteers on schemes, special schemes and programme on Health,
Nutrition and Poverty alleviation
Two volunteers from each village will be selected and trained on the schemes and programmes
related to health, nutrition and poverty alleviation. The training will be conducted at the Micro
Project level and will be facilitated by the DPMU and the Special officers of the Micro projects.
The volunteers help the frontline service providers in delivering the services to the intended
beneficiaries and will help in mobilising the community members to take the benefit of the
schemes and programmes.
•
Selection of One time
the
volunteers
the
from
community
days Repeat
2
refresher
orientation
all after a year
on
development
schemes
Feb'14
Volunteers
selected
Selection
list
Lead: Nodal NGO
DPMUSupport:
DWCD
March'14
Trainings
provided
Training
report
Lead: DPMU, DWCD
Support- Nodal NGO
20
2. Orientation of the Community Leaders
• Orientation of the community leaders on schemes, special schemes and programme on
Health, Nutrition and Poverty alleviation
The community leaders are the opinion leaders in their community and greatly influence the
decisions in the community. Under the plan, the community leaders will be oriented on
schemes, programmes so as to mobilise community around their entitlements and help in
uptake of the services.
2
days Repeat
orientation
refresher
on
all after a year
development
schemes
March'14
Trainings
provided
Training
report
Lead: DPMU, DWCD
Support- Nodal NGO
3. Capacity development of Coordinators at Micro Projects to be appointed by SC &
ST Dept (Adolescent Girls) on Health and nutrition, and vocational training for
livelihoods
Capacity building of Adolescent Girls on ARSH, Iron+, Nutrition.
The Department of SC & ST to appoint Coordinators at the Micro Projects from amongst
the qualified girls of the community and utilize their services for strengthening the
implementation of the different programmes for the PVTGs.The coordinators will be
trained by DWCD on the different schemes and programmes and will be involved in the
monitoring of the schemes. They will further disseminate the messages in their group
monthly group meetings with the help of the AWW and the ASHA in their respective
villages.
A401k,,,11
Identificatio
Twice
n and 2 days year
training of
the
adolescent
girls
on
ARSH, Iron+
a
Group
On-going.
meetings by Once in a
the
month
adolescent
groups
moderated
b the ASHA
March'14
& Sept'14
Trainings
provided
Training
report
Lead: Nodal NGO
Support:
DPMUDWCD
Feb'14
Group
meetings
conducted
each month
Group
meeting
register
Lead: Nodal NGO
Support:
DPMUDWCD
21
• Vocational training for Adolescents on market linked skills
The mean age at marriage in tribal area is low and is great a contributor to low birth weight and
thereby under nutrition. Therefore, if the marriage can be delayed in the area by engaging the
adolescents in some income generating activities the problem of undernutrition can be
addressed to a great extent. Vocational trainings will be arranged for the adolescent girls so that
they take up market linked vocations and supplement to their family income. The trainings
could be conducted in partnership with the Handicraft and Cottage Industries Dept. /Jan Sikhya
Sansthan under National Literacy Mission Authority of School and Mass Education
Department/Employment Mission in the respective micro project areas.
On going
Vocational
training for
the
Adolescents
March'14
of Training
No
report
adolescents
trained
Lead: Nodal NGO
Support: DWCD
4. Culturally appropriate BCC / IEC in the PVTG area
•
Development of Key Messages & communication materials in local language
Communications material in local languages will be developed. The messages on services,
improved health and nutrition practices will be developed in local language for
dissemination.
Adaptation
of
Entitlement
in
charts
local
Ian ua e
IPC tool in
local
language
(Flip books
1000
on
days)
•
One time Feb'14
activity
No of AWCs Charts
having
entitlement
charts
DWCD
One time Feb'14
activity
No of AWWs Flip Book,
using the IPC
tool during
the Home
visits,
Counselling
sessions
DWCD
Use of folk media for the dissemination of messages- Local troupes for IEC activities
The local troupes from the Micro project area will be identified. The local troupe members will
be trained by the Song and Drama Division at the State level on the script developed by DWCD.
The troupes trained will organise folk shows in the villages on different themes pertaining to
health and nutrition and on Anti Liquor campaign.
22
ldentificatio
n of local
troupes
ci
One time
Feb'14
Development On-going
of script
Training of One time
the troupe
members
Feb'14
Folk shows
in
the
community
on
Health,
Nutrition
and
Anti
Liquor
campaign
D.
Bi-annual
Feb'14
March'14
& Sept'14
No of troupes
identified
from
Micro
Projects
Script
development
No of troupes
trained
Micro
Micro
Projects,
project
SC&ST Dev. Dept.
wise list of
troupes
Script
SPMU-DWCD
Training
report
No of folk IEC/BCC
shows held
report
Song and Drama
Division- Supported
by
DSWOs
and
DPMU-DWCD
Nodal NGOs
PROVIDER PERSPECTIVES: SENSITISATION AND SYSTEM STRENGTHENING
1. Capacity Building of all NGO staffs , Frontline workers of all departments on rights
based approach and on programmes and policies
•
Rights Based orientation and training on programmes and policies for PVTG area
The plan for implementation is a convergent plan and services to be provided in the PVTG area
cuts across different departments. Therefore there is a need to orient the service providers
across departments, NGO functionaries on the programme and policies implemented in the
PVTG area.
Besides there is a need for orienting the service providers to work in rights based approach in
the PVTG area.
afrE,)
•1•11,(0 1 ,€
Development of One time Feb'14
training module
activi
TOT at State
One time Feb'14
activity
Module
Training
develo • ed
module
No
of Training
trainings
Report
conducted
No
of Training
trainings
Report
conducted
Training
of One time Feb'14
District
level activity
functionaries of
ICDS,
Micro
Projects, health on
Rights
based
approach
DWCD
SPMU-DWCD
DPMU
2. Networking with NGOs ,corporates and other agencies working in PVTG area
•
Convergence of activities of corporates, NGOs
In the PVTG areas many NGOs and CSR groups are working on different themes. Therefore
23
under the plan, networking meetings with the developmental groups will be undertaken to
draw maximum benefits for PVTG community and avoid duplication in work in the PVTG area.
District level networking meeting will be conducted so as to avoid duplication of effort in the
District.
District level
networking
meeting
On-going
March'14
Convergence
meeting held
Meeting
report
DWCD
3. Additional institutions on need for universal coverage
New AWCs and Health Sub -Centres in the PVTG area
•
Although under the universalization of services, AWCs and Health Sub centres have been
established, still there is a need to have institutions close to community to further the process
of inclusion. In the PVTG area, the hamlets are dispersed and there are physical barriers for
children to access the services of ICDS. Therefore mapping for opening of new institutions will
be done by the Nodal NGO and appropriate approval will be sought from Government of India
to open new AWCs in the PVTG area.
time Feb'14
Mapping of One
activity
Hamlets/
Villages
time Feb'14
Proposal to One
on activityGOI
Followed
additional
up on an
AWCs/Mini
on-going
AWCs
basis
of DWCD
No
Centres
sanctioned
and made
functional
of DWCD
Request letter No
Centres
sent
sanctioned
Approval
and made
obtained
functional
Centres
o ened
Mapping
done
E. Monitoring and Evaluation
1. Strengthen Monitoring and Supportive Supervision
•
The implementation of the PVTG Scheme will be reviewed at the State level in the
review meetings of OTELP of Dept. of SC & ST.
•
Process monitoring by the DSWO, CDPO, MO I/C , SO of Micro Project and DPMU staffs
The plan for implementation is a convergent plan and in implementation of the plan
several agencies are involved. Therefore monitoring and supervision of the plan is of
paramount importance. The PVTG area is administered by Special Officers of Micro Projects
and therefore SO of Micro project will be the nodal person for monitoring of the activities
implemented in the field. He will be ably supported by the DPMU team, CDPO of WCD
department and the BPMU team of NRHM and CHC/PHC In charge in monitoring of the
activities.
24
• Monthly review by Collector of the PVTG initiatives
The convergent plan implemented in the PVTG area will be reviewed at the District level by the
District Collector once in a month. Difficulties in implementation of the plan and progress of the
plan will be discussed in the meeting. Financial and administrative constraints related to
implementation of the plan will be resolved in district meeting. The meeting will be attended by
all the implementing organisations and will be convened by the WCD department of the
District.
•
Bi-Monthly review of DPMU, Special Officers, CDPOs of the PVTG areas
Bi-monthly review under the chairmanship of Director, Social Welfare will be conducted at the
State level for review of the activities implemented in PVTG area. The Director, SC& ST Dept.,
Mission Director, NRHM, Director, Panchayati Raj will attend review meeting. The Special
Officers of the Micro Project, DPMU staff members and CDPOs working in the PVTG area will
present the progress of activities in the meeting and further plan will be developed for
improving the nutritional status in the PVTG area.
•
Mobility support for the DPMU/Districts
Continuous monitoring of the ICDS schemes in the PVTG area is essential for delivery of
services. Through the monitoring gaps in service delivery could be identified and corrected for
better results. The DPMU team at the District level are undertaking weekly visit to the PVTG
area to provide support in implementation of the special plan and also for the on-going
activities under ICDS. Similarly, funds will be made available for the District authorities where
there is a micro project for weekly visit to see the progress of activities.
tt,
Process
On-going
Feb'14
monitoring
onwards
by
the
DSWO,
CDPO, MO
I/C , SO of
Micro Project
and DPMU
staffs
Monthly
Monthly
Feb'14
review by
onwards
Collector of
the PVTG
initiatives
Bi-Monthly
Bi -monthly Feb'14
review
of
onwards
NGOs,
Special
Officers,
CDPOs of the
PVTG areas
Mobility
Weekly
Feb'14
Su ort to
onwards
0)063
No of review Meeting
meetings held reports
No of field
visits done
No of reports
analysed and
shared
MOM of the meetings
Field visit report
Data analysis report
No of review Meeting
meetings held report
Minutes
Meeting
of
the
No of review Review
meetings
meeting
conducted
report
Minutes
Meeting
of
the
No of weekly Weekly
visits made
visit resort
Monthly Visit reports
25
DPMUs for
weekly visits
PVTG
to
areas
F. Grievance Redressal
In order to provide an enabling platform for the PVTGs to register their complaints related to
integrated services envisioned in the convergent plan, grievance redressal forums will be
instituionalised at the sub-district and district level. Timelines will be specified for redressal for
grievances so that timely benefit is delivered to the community. For the Sub-District level
grievances, the Sub-Collector will be the Chairman and the District Collector will be the
Chairman for the District Grievance forum. The sub district level grievances will be addressed
within seven days of registering the grievances and 10 days if registered at the District level. In
the event of non-compliance, the erring officials will be fined under the provisions of the Odisha
Right to Public Service Act of 2012.
Setting up of One time Feb'14
onwards
activity
grievance
forum at the
district
under the
chairmanshi
p of Collector
the
at
district level
Suband
Collector at
Subthe
division
level.
On-going
Community
Mobilisation
by NGOs for
registration
the
of
grievances
Follow-up at On-going
the
community
level
No of forums
created at the
District and
Sub-district
level
of
No
grievances
raised by the
community
of
No
grievances
addressed
of
No
grievances
raised by the
community
of
No
grievances
addressed
of
On-going No
grievances
raised by the
community
of
No
grievances
addressed
On-going
26
Reports from DWCD
the
Grievance
redressal
Forum
Reports from Nodal NGO
the
Grievance
redressal
Forum
Reports from Nodal NGO
the
Grievance
redressal
Forum
Roles and Responsibilities of the Nodal NGO. SC&ST Development Department
The Nodal NGOs working in the Micro Project area will facilitate the implementation of the
convergent plan for PVTGs in the Micro Project area. The NGOs will be specifically responsible
for the following activities and they will report the progress of the activities to the Special
Officer, Micro project area with a copy to the concerned CDPO of the area in the attached
reporting format.
Community Mobilisation:
1) Organise community meetings in PVTG hamlets/villages to discuss on the
entitlements/rights of the PVTGs group related to different development schemes and get
feedback for its coverage and quality of implementation from the community.
2) Compile the grievances/ issues theme wise and submit the list with the meeting proceeding
to the Special Officer, Micro Project area and to the concerned CDPO of the area.
3) Support in mapping MY card in PVTG families and facilitate in delivery of the cards to the
PVTG families.
Strengthening Services:
1) Support the AWW in preparation of the due list for Growth Monitoring as outlined in the
convergent plan and support AWW and ASHA to mobilise children for Growth Monitoring
on VHN Day and other days fixed for the AWC.
2) Facilitate in organisation of counselling sessions with the mothers and help in referral of
undernourished children to the Pustikar Diwas and to the NRCs and follow up of the
children discharged from NRC in the community.
3) Facilitate the AWW in identification/formation of SHGs and Mothers Group in the
inaccessible hamlets in the Micro Project area and orient the SHGs on food preparation
according to norm and orient mother's committee for supportive supervision.
4) Support in preparation of a list of equipment and supplies required for smooth conduct of
the VHN days in PVTG area.
Training and Communication:
1) Facilitate in dissemination of information on additional PD and VHN in the micro project
area.
2) Support the DPMU-DWCD in development of a list of locally available food items and in
development of the BCC tool and support in the training of the FLWs on the BCC tool.
3) Support in community mobilisation for the Health Camps to be carried out in the PVTG
areas.
4) Support in selection and training of Community Volunteers, community leaders, adolescents
from the PVTG hamlets/villages. Support in conduct of adolescents group meeting in the
hamlets/villages.
5) Support in vocational training of the adolescent girls in the Micro Project area and linking
them to Fls and emerging markets.
6) Support in identification of local cultural troupes and holding folk shows in the Micro
project hamlets/villages.
Supportive Supervision:
1) Provide supportive supervision on registration of GM information in the new WHO GM
register and in the MCP Card.
4) Provide supportive supervision for additional THR for the non-sick SAM, Moderate
Underweight and NRC discharged children and its intake by the children.
5) Support community members in registration of grievances at the Sub.:District and at the
District level for any developmental scheme or for any developmental issues. Submission of
project progress & financial reports regularly.
Reporting:
1) Participate in Micro project level, Sub-District level,
and trainings as required under the plan.
District level and State level meeting
epartment of any other development
2) Notify the DWCD, Health and SC&ST Development D
project implemented in the Micro Project area by the NGO.
quarterly statement of expenses to the
3) Provide monthly and quarterly physical progress and
SC&ST and DWCD department.
ST Development for undertaking the
The NGOs will be financially supported by the SC &
activities under the convergent plan.
c-\
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.)20"
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28