PDs/APDs/ACs conference
CMH&N unit, SERP
6.02.2014
Overview
•
•
•
•
•
Rationale
CMH&N interventions
Current status
Priority actions required
Expected roles
Why SERP/IKP into Health, Nutrition
and Sanitation?
• Bridge the gap and protect the POP and Poor
households during life cycle especially the initial 1000
days of life.
• Support to influence the HH behaviours for preventive
and promotive health care measures
• Influence public health systems to be responsive to the
demands of the poor – outreach sessions
• Promote local innovations-local people-local foods
• Ensure access to services and entitlements for all the
poor HHs.
• Reduce out of pocket health expenditure
CMH&N interventions
A. Universal
1.
2.
3.
4.
5.
Fixed NHDs
Regular trainings for SHGs and NDCC beneficiaries
Regular health savings by all the SHG members
Community /kitchen gardens
Safe water and sanitation measures
B. Intensive
1.
2.
3.
4.
Community managed NDCC
Extension of NDCC as NRC
Health insurance
Drug depots
Strategies
1.
2.
3.
4.
Convergence
Capacity building
Communication for behaviour change
CIF for community managed health & nutrition
models
5. Case Managers
6. Community facilitators
o
o
o
Community Resource Persons (District)
TSPs (CMH&N) – ( VO/Cluster)
Community consultants (State)
Coverage- Staff available
• Coverage
–
–
–
–
–
22 DPMUs and 8 TPMUs
300 mandals
124 AC clusters
1120 CC clusters
4318 VOs with NDCCs
• Staff available ( 292)
– 27 DAPs - District - ( HN+ Bangaruthalli/AC)
– 57 APMs – AC cluster
– 49 MTs & 57 MTs and 101 CVs (Non-HR)- Mandal
Implementation processes
1. Health Activist accreditation
2. District Resource Centers Development
3. Revised package of services at NDCC in VOs
with IAH – Membership fee
4. Use of exception reports to review the
outcomes to reach the unreached.
5. Payment of incentives based on
performance
6. Expansion of NDCCs under SCSP
7. TSPs(CMH&N) to provide support to VOs
Contd..
8.
9.
10.
11.
12.
13.
14.
15.
Participation of front line workers at VO and
others at MS/ZS schduled meetings (Maarpu)
Regular review with CCs, Acs and DPM(H&N) on
implementation and outcomes
Diet cost reduction measures at NDCCs – PDS,
local milk and egg procurement, vegetable
gardens)
Vegetable gardens with pandals
Corpus deposit with Streenidhi
Timely release of budget to VOs
Convergence for construction of IHHLs
Identification of CRPs @6 per mandal to train the
VOs under Maarpu
Overall Score
96
91
90
88
88
31
Anantapur
Madakasira
1
Kadapa
Srikakulam Vizianagaram Vizianagaram East Godavari Rc Varam
Rajampeta Narasannapeta
2
22
3
S Kota
Gajapati
nagaram
4
5
Ramachandra Rampachoda
puram
varam
120
121
16
15
S.P.S Nellore S.P.S Nellore
Udayagiri
122
0
Medak
Sullurpeta Narayankhed
123
124
Enrolment
100
100
100
100
100
100
100
100
84
77
70
Anantapur
Hindupur
121
Bhadrachalam
122
Warangal
Udayagiri
RampachodavaramRazole
1
1
120
East Godavari
1
Rc Varam
Rc Varam
Addategala
0
Bhadrachalam
1
East Godavari
Kavali
S.P.S Nellore
KothagudemKondepi
Amalapuram
1
Zahirabad
1
1
1
S.P.S Nellore
Medak
East Godavari
Prakasam
Khammam
63
Thorrur
Ramachandrapuram
123
124
NH Day
1
2
2
0
East Godavari
0
Warangal
2
0
Bhadrachalam
2
0
Anantapur
2
0
Prakasam
Kovur
0
Kurnool
Dhone
0
S.P.S Nellore
Utnoor
Nizamabad
97
S.P.S Nellore
1
97
Kurnool
Sattenapalli Kondepi Kamareddy Siddipet
97
Utnoor
Medak
97 97
Nizamabad
100
Prakasam
Guntur
100
0
Dichpally Atmakuru Kodumur, S.N.Padu Hindupur
BhadrachalamThorrurRamachandra
Nandikotkur,
puram
Allagadda
124
124
124
124
124
124
124
124
Field observations
•
•
•
•
Best practices
Fixed day review with CCs
by the PD
ACs initiation to take the
clarifications if any from the
DAPs
Support in promotion of
livelihoods locally towards
diet cost reduction
measures
Participation in the review
meetings and trainings
•
•
•
•
Impact
Integration
Supportive supervision and
guidance
Sustainability
Convergence
Contd…
Issues
• Visit 10-12 centers at once and
no in depth discussion at any
of the centers to find out
rationale
• Closing of the NDCC without
any facilitation at VO level
• Demotivation to the VO
members
• Look at only financial
sustainability and no focus on
functioning and enrollment of
POP
Implications
• Root causes are unknown
• Depriving the POP and Poor
from nutrition security
• VO loose trust/confidence
with the external facilitators
•
Priority actions for the next 2 months
1. Re-orientation to all stake holders on revised package
of NDCC
2. Implementation of revised package of NDCC
3. Expansion of new NDCCs under SCSP
4. HAs accreditation
5. DRC development
6. Position of TSP(CMH&N)
7. 100% mobile reporting and do away with manual
reports from April 2014
8. Use of exception of reports by the VOs
9. Institutionalization of Fixed NHD
10. Regular review with CCs, ACs and DPM(H&N)
Expected roles
• PDs/POs/APDs
– Exclusive review with ACs, DPMs(H&N) and CC on
implementation and outcomes
– Convene convergence meeting to institutionalize Fixed
NHDs in every habitation
– Personal visits to VOs to understand the implementation
process by themselves
– Relieve the DAP(H&N) from the responsibilities of AC
• Area Coordinators
– Weekly review with CCs on implementation
– Personal visits to VOs to understand the implementation
process by themselves
– Documentation best practices and issues to share in the
regional review meetings
Thank you