The project “Community Empowerment and Advocacy for Sustainable

Document Sample
The project “Community Empowerment and Advocacy for Sustainable Powered By Docstoc
					Project name:         Community Empowerment and Advocacy for Sustainable
                      Health Care for People in Extreme Need in Orissa
Partners:             NYASDRI and Interact Worldwide
Country:              India
Funded by:            EC (75%)
Duration:             5 Years
Start date:           September 2004

The project “Community Empowerment and Advocacy for Sustainable Health Care for
People in Extreme Need in Orissa” is implemented by NYSASDRI in partnership with
Interact Worldwide. Funding for the project was approved by the EC in August 2004 and
the project will continue until August 2009.

The project aims to reduce poverty and improve the health status of poor, underserved
communities, in Orissa, with a particular focus on women and people from Scheduled
Castes and Scheduled Tribes, who constitute over 80% of the target group. More than
100,000 people will directly benefit from an empowerment programme for economic skill
development, rights awareness and action, and behaviour change for health promotion
and gender equity. The project will support skills training, income generating activities,
savings schemes, access to credit, awareness of rights, skills and confidence to lobby
local government, collective development action by village groups, and positive health-
seeking behaviour. Women‟s mobility, their participation in decision-making, and their
control over resources will also be increased. In addition the project will provide high
quality health services through renovating/equipping/staffing two Primary Health Centres
(PHCs), training for Panchayati Raj Institutions to ensure the provision of quality
healthcare services to those in most need, research into Public Private Partnership and
Primary Health Care delivery in Orissa, and advocacy amongst public, health
professionals and Government for improved public health services and health sector
Overall Objective:
To contribute to poverty reduction and improved health status of the poorest, most
disadvantaged people in India, in line with the Government of India‟s 10th Five Year
Plan, and the Orissa State Government‟s Health and Family Welfare Sector Reform

Specific Objectives:
To enhance the capacity of village level community groups, local government (the
Panchayati Raj Institutions) and civil society to play an effective role in improving the
health status and realising the reproductive rights, of the poorest, most under-served
communities in Dhenkanal and Jajpur Districts of Orissa State.

Project area:
    Dhenkanal District: Blocks Gondia (66 villages). Gram Panchayats: Khankira,
       Nihalprasad, Bega, Laulai, Ratanpur and Letheka.
    Jajpur District (Sukinda Block : 54 villages). Gram Panchayats: Mangarajpur,
       Badatanda, Hatibari, Pingal, Kharadj, and Haripur.

Activities and Expected Results :
1. Empowerment of poor people in the 96 poorest villages of Jajpur and
   Dhenkanal Districts of Orissa, especially women and members of scheduled
   castes and scheduled tribes to improve their health and economic and social

   Activities include:
    Participatory needs assessment;
    Training of Community Organisers:
    Village group identification / formation ;
    Economic Skill Development Programme (including training, savings and
       revolving loans (women only) for IGA);
    BCC Programme for Health Promotion; Rights & Action Programme;

2. Increased effectiveness of Panchayati Raj Institutions (PRI) in ensuring the
   provision of quality healthcare services to those in most need.

   The project will enhance the capacity of local government, the Panchayati Raj
   Institutions, through increasing their:
    knowledge of primary and reproductive health;
    understanding of how gender inequity affects health outcomes;
    knowledge of government policy and practice in the public health system, the
        reform agenda for Health and Family Welfare and its implications for PRIs;
    skills and confidence to fulfil their monitoring, advisory and increasingly,
        management roles in relation to the health sector, e.g. monitoring presence of
        ANMs in sub-centres, participating in the Zilla Syasthya Samiti (District Health
        Committees), and lobbying for reform and implementation of government policy.

Activities include:
     Participatory needs assessments;
     Training for 290 PRI members at ward, Gram Panchayat and Panchayat Samiti
         levels; based on the needs identified.
     Support for formation and effective functioning of 12 Gram Panchayat health
     Consultation meetings at District level following Zilla Syasthiya Samiti (District
         Health meeting).

3. Effective delivery of high quality health services through two Primary Health

Activities include:
     Renovation/construction and Management of 2 Government PHCs as functioning
     Running of 2 PHC (New);
     Pilot Sustainability measures

4. Increased knowledge / evidence based, about primary health care delivery in

Activities include:
     Participatory needs assessments and impact assessments;
      Qualitative research and analysis of PPP (public-private partnership) modus;
      Qualitative research into the inhibiting and facilitating factors with regard to
       effective decentralisation and service delivery by the public health system;

5. Advocacy for support among public, health professionals and Government for
   health sector reform

Activities include:
     Developing Advocacy Strategy with stakeholders;
     Task force /coalition formation;
     Training workshop in Advocacy Strategies
     Lobbying at state and district level (research findings);
     Consultation and workshops with medical students and doctors ;
     Production and broadcast of short 5 minute „spots‟ on Oriya TV.

6. Increased capacity of civil society organisations, particularly NYSASDRI:

Activities include:
     Targeted training by Indian organisations;
     Mentoring and support from Technical Advisor for first 3 years of project;
     NGO Exchange Visit Programme;
     Technical assistance from Interact Worldwide;
     Participation in state level workshops and regional South-South activities.