PROJECT PROPOSAL
ADULT EDUCATION PROJECT
Submitted by
ASHOKA NGO CONSULTANCY
Mr. Sandip Maiske, President & CEO
F.S.7, Ratan Palace, Near S.T. Bus Stand, Ganeshpeth, NAGPUR-18. India.
Tel: +91–712–6462688 Fax: +91–712–6462688
Email: info@[Link] Website: [Link]
PROJECT PROPOSAL
1. GENERAL INFORMATION
ORGANISATION Ashoka NGO Consultancy
ADDRESS Vill & P.O. Shibganj
P.S. Basanti, PIN: 743312
Dist. South 24 Parganas.
West Bengal. India.
PROJECT TITLE Community Health Program with Maternity Hospital for
Mother & Child care.
TARGET AREAS Shibganj 1, Shibganj 2, Mokamberia, Harekrishnapur,
Colony Village, Kumirmary, Mothgaran, Ballertop,
Bharatgarh, Radharanipur, Bharatgarh-No.4, Kalidanga,
Dattachak, Ranigarh-No.5, Joygopalpur & 10 village as
extension work.
ADVISORY TEAM Governing/ Executive Body.
DURATION OF 5 years.
PROJECT
CONTRIBUTION 1. Manpower,
FROM a. Village based organization, b. Community Workers, c.
LOCAL RESOURCE Local Clubs.
2. Infrastructure
a. Village center for Training.
b. Government, NGO at the local, district and State levels.
3. Finance
a. Collection and donation from Health scheme.
2. OBJECTIVES OF THE PROPOSAL
a. To reduce the incidence of maternal mortality, child mortality and
mortality and morbidity, dehydration and malnutrition (and to
introduce sense) antenatal care, post-Natal care and Immunization
services.
b. To enhance the capability of mother to look after the normal health and
nutritional needs of the child through proper nutrition and health
education.
c. (To make aware) of public health supervisor, community organizer,
Traditional Birth Attendant (Dai) and volunteers of youth clubs in
mother and child health and to enhance their skill and their respective
rules towards service to be delivered in the project.
d. To educate the community as to the concept and philosophy of family
planning and its importance for the family, community and society and
to create confidence among the people in adopting this practice and to
expedite Governmental action for promotion of various measures to
meet relevant needs of the people.
e. To support and supplement special health related activities and
preventive programs such as literacy training for female, sanitation and
low cost methods of providing safe drinking water, smokeless woven,
latrine etc.
f. To encourage and support programs to integrate traditional and western
systems of health care.
g. To eradicate illiteracy and to run post literacy and continuing education
program for development through establishment of functional literacy
center and other complementary activities.
h. To involve participation in the planning, implementation and
maintenance of activities envisaged and to raise income levels and
expand employment opportunities of the weaker sections of society,
particularly of women and of those living below the poverty line.
i. To treat needy patients particularly to destitute women and children, to
admit them in the hospital for their treatment and to supply nutritious
and food for bed patients.
j. To raise the nutritional status of the community, especially mothers and
children by the use of cheap, locally available and nutritious foods. To
impart nutrition, education and nutrition cooking demonstration to
convince mothers.
k. To arouse adequate consciousness about health and hygiene among
villagers.
3. INRODUCTION
The comprehensive community health program for mother and child will provide
primary health care services to a population of 25 villages in Basanti Island of
South 24 Parganas. The project includes traditional Birth Attendant (Dai) and
Community Organizer at the village level, Public Health supervisor and
Nutritionist-cum-Health Educator at Middle level and supervisory technical staff
providing support to field staff. The focus of the project is on health service
family planning, mother and child Health, Immunization, low cost nutrition &
food preparation, Oral Re-hydration. Thereby, Education for women and
Environmental sanitation and on the formation voluntary health worker in every
house. This project will develop an innovation system of Training, Reporting and
Monitoring. Reporting system will be formulated by the Dai and community
organizer, which indicate the projects consistent emphasis on participative
training and development.
4. Profile of the project area:
We want to start this intervention in remote rural area of Basanti Block
under South 24-Parganas; district of West Bengal where illiteracy is
rampant, superstition is supreme and poverty in the accepted fact of their
daily livelihood. As per 2001 census about 2 lakhs 70 thousand people live
in this Block out of which 70,225 are scheduled casts and 16,460 are
scheduled Tribes. They depend only on one 16 bedded primary Health
center. In a total of 26,9333,39 sq. km. area there are 208 villages under 13
Gram panchayats and 75% of the people depend on agriculture. It has been
seen that most of the village do not have tube-wells and which are sunk
previously are not working since long back. Naturally most of the villagers
depend on pond water, which is highly polluted. In remote villages where
we are working like Shibganj, Bharatgarh, Harekrishnapur and all villagers
prefer open field or Maidan excretion. There is a great need of low cost
sanitary latrine to reduce the case of health hazards like malnutrition and
dehydration etc due to inadequate communicative have to depend on quack.
One Dai has to look after 5-10 villages. As per our diagnosis through in
depth interview, observation and group discussions it has been seen that the
Health Delivery system is not at all adequate enough and due to various
socioeconomic reasons 80% villagers cannot migrate from the village. So for
any chronic or severe disease they have to depend solely on quack and
untrained Dai, naturally the maternal mortality, child mortality and
morbidity, dehydration and malnutrition rate is increasing day after day. The
family size is 5-8 on an average in our adopted villages. The people are
ignorant about family welfare. To percentage of literacy among women of
lower middle classes are having education of primary standard. So any
intervention with mobile health delivery system and with referral services in
case of high-risk pregnancies and children will help those village peoples to
equip themselves for the betterment of their standard of health and hygienic
condition.
5. Size of the problems:
Due to lack of knowledge, information and orientation in health and hygiene
the grass root level villagers cannot understand the need of immunization,
importance of growth monitoring, technique of low cost nutritious food
preparation, different methods of birth control, spacing between two
children, importance using sanitary or pit type latrine, preparation of safe
drinking water, maintenance of personal hygiene and disposal of waste
products from the home and practices to maintain good health. In fact sound
health deteriorates herewith the increase of superstition and wrong method
of treatment. So the incidence of maternal mortality, child mortality,
morbidity, dehydration and malnutrition rate and other infectious diseases
are quite high as per our community diagnosis. The existing Dai are not
qualified so they cannot diagnosis in the case of high-risk pregnancies
properly. The quacks are not trained. They depend on limited indigenous
knowledge. The diversity and multiplicity of the problem can be decreased
with some comprehensive program in this matter. At the time of feeling
pain, they have to take to distant primary Health center but on the way the
pregnant women face great problem. Sometime the pregnant women are
compelled to give birth their children under the open sky. A child has been
born on the road and that is why the child has been named as ‘Pathik’ (in
English it is called 'street'). A child has been born in the cornfield and the
child has been named as ‘Banamali’ (in English it is called ‘Bush’). When
they come to the health center of Government, there is no adequate
arrangement for delivery and treatment. So most of the patients have to go to
Kolkata but some of them die in the street.
6. Target area
We want to start the intervention in 30 cluster villages under Basanti Block
in South 24-Parganas, District of West Bengal, where Health problems are
more acute and Governmental primary Health Center is 10-15 km away
from those villages namely Ranigarh, Radharanipur, Mokamberia,
Harekrishnapur, Mathgaran, Dhasbhanga, Joygopalpur, Kumirmari,
Jyotishpur, Bharatgarh etc. The Health posts will be situated in some of the
villages through direct community participation. We can ensure that a total
of approximately 60,000 people will be directly and about 50,000 people
would be indirectly benefited by this program. Moreover, we will be able to
achieve our ultimate goal of Health for all by 2000 A.D. and self-reliance
and it will act as a model for a comprehensive approach in community
Health and Environmental preservation program in the whole District of
South 24-Parganas in West Bengal State.
7. Objectives.
i) General Objectives
a) To improve the status of health among mothers and children within 5
years in our adopted villages.
b) To arouse adequate consciousness about health and hygiene among
villages.
c) To improve the standard of education for better community participation.
d) To establish a network for effectiveness and long term effect of our
program
e) To maintain small family and increase acceptors of different methods for
birth control amongst all castes, creed and religion.
ii) Specific objectives operational targets.
a) To reduce the incidence of maternal mortality, child mortality and
morbidity re-hydration and malnutrition rate and to provide both
antenatal and post-natal a care to at least 70% of the rural women within
the next five years.
b) To make the people conscious through basic literacy, hygiene, nutritional
and environmental education.
c) To improve the nutritional and health standard of mother and children
suffering malnutrition in our target area.
d) To make the people of the target communities conscious about basic
health needs within 5 years.
8. Project-design/strategy:
At the grass root/village level: At this level we have to formed Community
Organizations as cluster of village/Mahila Samity in 30 villages under
Basanti Block of South 24-Parganas District of West Bengal. The
community organizer will preliminarily detect the high-risk mother and
children through home visit and person-to-person communication method
and she will also conduct group discussion to identify the rural need of the
community people. This grass root level organization will help us to form an
institutional base and for better participation in any program
implementation. The community organizer will also help the village level
Dai and people to make them conscious about the importance of birth
control through different methods, immunization, regular health check up for
pregnant mother and children up to 0-5 years of age, to diagnosis the high
risk pregnant mothers and children prevention of epidemic diseases, oral re-
hydration therapy. They will arouse general health consciousness amongst
housewives, school students and youth clubs members. We will also arrange
for mothers meeting, baby show, immunization camp and mother and child
health on a regular basis. We can ensure for strengthening our existing
resources to work with Dai (Traditional Birth Attendant) and community
organizer for successful implementation of the program of the grass root
level.
Intermediate Level
At this level Health post will be conducted by public Health supervisor and
physician (M.B.B.S) through Mobile Clinic on monthly basis at our adopted
30 villages. The village people including women and children will assemble
at the health post at village level. They will consult with the doctor. The
doctor will make them aware through treatment, advice, lecture, showing,
chart poster, health seminar etc. The high risk mother and children will be
attended to by the Mobile unit and referral service will be rendered to
relevant mother and children at our Hospital and on the basis of the severity
of the patients they will be referred central level hospital. At this stage we
will follow a scientific management information system for quick decision-
making and to take up appropriate treatment for the poorest of the poor
mother and children. At this stage all information will come to the physician
through community organizer(s) for quick action and referral services to
reduce maternal mortality, child mortality and morbidity malnutrition and
re-hydration rate. This system will be followed from the inception of the
program. The Mobile unit will also arrange camp from time to time for
better coverage and will monitor the activities of Dai and community
organizers.
Central Level/Referral services:
At this level under the leadership of a Medical Officer (Physician) and
Health supervisor all the activities of the project will be monitored and
corrective measure will be taken from time to time for effectiveness of the
program and for better outcome to achieve our ultimate goal Health and
education for all and economic self reliance amongst women folk in our
target group in Basanti Block. The high-risk mothers and children will be
treated in our Hospital Campus for safe delivery and good health for
children and mothers. At this stage referral services will be given to mother
and children during emergency. To ensure whether we are proceeding as per
plan and scheduled we will form an impact Evaluation Team. It will look
into outcome of the program and its effectiveness and suggest corrective
measures. An outdoor Clinic and counseling center for rural folk at the
Central level will be organized from the central community Health Center
(Maternity Hospital). Out door and indoor patients will be treated from this
health center.
9. Details of project Activities/Implementation plan:
a) Formation of Health Post:
We will organize health posts for group meetings and clinic in 25 villages in
Basanti Block under South 24-Parganas District of West Bengal where
community organizer, occasionally nutritionist-cum-health Educator and
Female public health supervisor will give education on health and nutrition
one in a month amongst mother and newly married women to improve their
health condition and a regular monthly counseling center will be conducted
by our mobile clinic and these posts will arrange immunization camp and
other necessary arrangement to make the people aware of health.
b) Home visit/Individual Counseling:
To create an ideal mother and baby with small family norm in every home
with adoption of temporary contraceptive method and permanent
sterilization in our target village, our community organizer, Dai and
volunteers will visit to every home to collect information regarding
immunization coverage among pregnant mother and children, eligible
couple, practices of low cost nutritious supplementary food, identification of
high risk pregnant mothers and children.
c) ANC and PNC Services:
Will be ANC and PNC services rendered by Community Organizer (Female)
through our mobile health care unit once in a month at Health post to
identify high risk pregnant and lactating mothers and children suffering from
malnutrition and they will be referred for consultation with medical officer
to our Central level Clinic where daily service will be made available.
Regular grant monitoring and advice on diet control will also be given to the
expected mothers lactating mothers and children. At the health post minor
iron and vitamin deficiency diseases will also be treated by community
organizer at village’s level.
d) Training of Dai (Traditional Birth Attendant) and Community
Organizer.
On a regular basis we will arrange training program for Dai and Community
organizers to impart knowledge and information to change their attitude and
practices and to equip themselves with knowledge for safe delivery,
identification of high risk pregnancies and children, malnourished mothers
and child first aid, Home Nursing, treatment of common and minor ailments,
different methods of birth control, motivation technique, supplementary
nutritious food preparation and preparation of hand made oral re-hydration
thereby etc. and their work will be monitored by Health Supervisor and
Nutrition-cum-Health educator from time to time.
e) Training of Volunteers:
We will arrange Training for youth club, local leaders and school teachers to
act as volunteers for full participation in our program implementation
regarding immunization schedule, different methods of birth control,
importance of functional literacy, low cost supplementary food preparation
basic knowledge about community health, environmental sanitation,
hygiene, supply of safe drinking water, smokeless woven low-cost latrine
etc. with community organization, community participation first aid and
Home Nursing to change their practice toward achieving better health.
f) Maternity Home:
We will also open a Maternity home with indoor and outdoor facilities for
ANC, Natal and PNC services with 6 beds for safe delivery in case of high
risk mother and normal mother who is in need, the poor and the deserving
patients referred by our grass root level community organizer and village
Dai. In case of special health care for malnourished children of 0-5 years of
age, they will be admitted to this Home for proper systemic treatment. Other
than this different patient suffering from different diseases will be treated
from this health center.
[Link] and Education:
To change rural odd practices pertaining to health we will impart rural
people necessary Training to acquire knowledge through our functional
literacy center at grass root level and for youth club member, community
leader and school teacher training will be given at Center level regarding
Health and Family Welfare Sanitation and supply of safe drinking water and
preparation of low cost nutrition supplementary food preparation to achieve
our ultimate goal of making at least one Health worker in every house and to
create general consciousness about health hazards amongst the target
community member.
[Link]/Construction:
We have our own land near the head quarter of Ashoka Ngo Consultancy at
Shibganj .We want to make the building of the Hospital with your
assistance. It will be built at our own land. (The plan and estimate of the
Rural Hospital is enclosed with the proposal. It will be built in our own land
at Ballartop village on the roadside under Basanti Block of South 24-
Parganas District of West Bengal.)
(Signed)
Sandip Maiske
Director
Ashoka Ngo Consultancy
