"DHEMSA” an Effective Tool for People Centered Advocacy

All over the world, India is known for its rich cultures and traditions. In this connation the unique traditions and costumes of the tribal make them different from the other communities. Here ChildFund India, Malkangiri Area Programme adopted the people centered advocacy (Street Plays) Strategy to generate awareness among these indigenous community on Adverse Impact of Early Marriage within its operational areas. The traditional Folk dance (Dhemsa) was used to ensure participation of the community members in the programme.

 Malkangiri is a tribal dominated district of Odisha. In order to improve the Child development ratio of the area, ChildFund India comes forward with different programmes and projects to complement and supplement the govt. counterpart. An internal survey was conducted to know the reasons of maternal and infant deaths of the region and it was found that early marriage is one of the important factors which have a significant contribution towards this. Hence in order to reduce the IMR & MMR induced by early marriage, People centered advocacy campaign through street plays were organized in more than 30 villages within its operational area.

If we will start with a show with the local folk dances no double it will gather a huge crowd which not only includes the children, but also the adult members of the community including the females. Again delivery of message in colloquial languages not only motivates them to participate in the programme but also develop a sense of ownership over it.

It was observed that a crowed of more than 90-100, gathered during the shows and actively observed it, internalize the messages and also delivered it during the question answer session. Again I would like to share peoples belonging to different age group participated during this hence I think it will certainly increase the no.of beneficiaries through peer education and also reduced the conflict among the 2 different age groups with proper knowledge and communication.

Acceptance through active involvement

Adolescent girls of the community with the folk team

Message on impact of early marriage though street plays

Barter System, An Anti-Developmental Strategy

Rupee, the Indian currency progressively increasing its value in the international market and is one of the important indicator of economic growth of a developing country like India. It is also universally accepted as the medium of exchange for any kind of transaction in India.

In the 21st century when people are using Mobile Banking, Internet Banking facilities as the mode of transaction for purchase & sale’s of goods and commodities, the existence of ancient method of exchange i.e the barter system put a big question mark towards the development itself.

It was Analaguda Village of Nayakguda Panchayat of Malkangiri (One of the most under developed and left wing extremism affected)  district which is 45 kms away from the District headquarter and near about 25 Kms away from the its block headquarter Mathili. The village is covered by a range of forests. We are not able see a single shop with all the required commodities which is needed for day-to-day life. Hence the people are mainly depends upon the cycle vendors for these essential commodities.

Again the govt. has also focused on tribal development with various development programmes and projects which also includes proper pricing for collected MFP/NTFP. But due to some ethnic barriers these are not implemented properly which enforces the tribal people to exchange the collected NTFPs (Mahul) to purchase household commodities from these cycle vendors. Such methods of exchange not only exploit these innocent people but also resulted in change in behavior towards money led transactions. Now-a-days we can rarely found such type activities in other parts of our country. I think these are the thing which appears very small to the necked eyes but seriously affects the growth and development of the community.

A kid with Mahul (NTFP) in a container to purchase snacks  

An women exchange Mahul(MFP) for wearing bangles 

TBGI Annual Day Celebration

Participants in TBGI-I , Annual Day

Incentive Distribution by Hon- DM

Crowd in Annual Day TBGI-I

Motivational Speech by DM- Begusarai

TBGI-II

Talk Show

Incentive Distribution by Hon- DM

Incentive Distribution Mr. Jayshankar, IAS

Certificate of Appreciation by DM Begusarai to Block level Officials 

Commitment for healthy Begusarai

Motivation for Happiness

Visitors

Dr. Rustin & Carla interacting with FLWs

Mr. Shamik Trehan, COP, Mr. Devarshi, BMGF and Mrs. Indira during their visit to Begusarai

Care- USA team during their visit

Care-USA team interacting with the FLWs

Home Visit by Care-USA Team

Comments of Govt. Officials on TBGI

TBGI उपस्थ्यकेंद्र स्तर पर समन्वय,अभिप्रेरण एबं लक्ष्य को प्राप्त करने का एक सम्मीलित प्रयास है |

TBGI RI (Routine Immunisation) के लिए बरदान है, गर्भाबती और स्वस्थ बच्चे की पहचान है |

डा. अमरेन्द्र कुमार झा,

प्रभारी चिकित्सा पदाधिकारी, बछवाड़ा

स्वस्थ माता एबं बच्चों का बछवाड़ा, यही है TBGI का लक्ष्य हमारा |

TBGI से RI में प्रगति हुई, जच्चा बच्चा की उन्नत्ति हुई |

      चन्दन कुमार

प्रखण्ड लेखा प्रबंधक, बछवाड़ा 

स्वस्थ बच्चा समृध देश, यही है TBGI का सन्देश |

पूजा कुमारी

प्रखंड स्वास्थ्य प्रबंधक, बछवाड़ा

TBGI कारर्यक्रम से स्थानीय जनता में ICDS के कार्यक्रम के प्रति जागरूकता बडी है साथ ही साथ ही साथ यह कार्यक्रम ICDS के उदेस्य को प्राप्त करने में महत्वपूर्ण भूमिका निभा रहा है |

         उर्वशी कुमारी

बालबिकास परियोजना पदाधिकारी, बछवाड़ा 

This is a very good initiative of development partners (Care) in community process from which we can achieve the target with close coordination of community Mobilizer and government health providers

               Bhawesh Kumar

 Block Health Manager, Chhourahi

इस कार्यक्रम के द्वारा हमारे प्रखण्ड की सभी स्वास्थ्य कार्यकर्ता ने अपने काम को निस्चित समय सीमा में पूरा करने की रणनिति को सीखा है |

         आशुतोष गाँधी 

प्रखंड स्वास्थ्य प्रबंधक, नावकोठी 

Few Moments in Field

Visit of DM an RTS

Visit to AWC

Home Visit

HSC Team Rasidpur

Validation by Mr. Chandan Kumar

Home Visit

Pilot Details and Outcome Indicators

TBGI (Team Based Goals and Incentives) is the India’s first RCT which was piloted under IFHI project of Ananya-Bihar funded by BMGF.  The pilot is implemented by Care-India in 38 HSCs of Begusarai District. For the first time nonfinancial incentives (instead of Cash prizes) were provided to motive the HSC-Team (Rather than single FLW) on the achievement of targets (a group of output indicators). The major objective behind such intervention was to improve the output level by increasing the team spirit among a group of FLWs working for the improvement of health and nutritional status of a particular area (HSC).  A total of 489 FLWs of 5 Blocks were incentified after accomplishment of their quarterly as well as annual targets. 

OUTPUT INDICATORS

Sl.No.	Indicators	Quarterly Denominator	Quarterly Target	Annual Target
Maternal Health
1	Registration during first trimester	100(70%)	70	280
2	Mothers who have undergone at least 3 ANCs	100(80%)	80	320
3	Mothers Who have received TT-2/ TT-Booster	100(90%)	90	360
4	Mothers who have a transportation plan for delivery	100(90%)	90	360
5	Mothers who received at least 90 IFA tablets during their last pregnancy	100(80%)	80	320
6	Total number of institutional deliveries	100(80%)	80	320
Child Health
7	Total numbers of Newborns Home visited within 24hrs of its birth	100(80%)	80	320
8	New born breastfed within one hour of delivery	100(90%)	90	360
9	Deliveries where clean cord practice was followed	100(90%)	90	360
Nutrition
10	Children receiving age appropriate frequency of complementary feeding between 6-11 month of their age	100(70%)	70	280
11	Children receiving appropriate amount of Complementary feeding between 6-11 month of their age	100(70%)	70	280
Family Planning
12	Adoption of modern family planning method within 6 months of delivery	100(40%)	40	160
Immunization
13	Children receiving DPT3 by 6 months	100(90%)	90	360
14	Children receiving Miseales between 0-11 months of their age	100(90%)	90	360
Refferral
15	Identification of Complications during Pregnancy/post natal, its identification and referral
16	Identification of High risk neonates, their care and referral
17	Sepsis-Identification, Care and referral

Anti Natal Check Up

Complementary Feeding Demonstration

Cord Care Practices

DPT-III

Counselling on Family Planning

Counselling Cum Awareness generation through Home Visit

Immediate Breast Feeding

Early Registration 

Transportation Plan