Village Health Nutrtion Day

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Title
Village Health Nutrtion Day
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CHFP-z.ocFi. 3/p^itg,
FELLOWSHIP IN COMMUNITY HEALTH UNDER THE MP-CPHE

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Two year learning and progresses report
[November 09 to October 11]

By-Nazra Ibraheem
Community health fellow
Cphe sochara
Add.mote ka muhalla shramdan marg
District Tikamgarh m.p.

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25.^l^|c|eT)Vhnd-village health nutration day.

IMNCI-intrigrated management of Neonatal and childhood Illness.

VHSC-village health sanitation commetee.
ANC-Anti natal care.
CHC-community health senter.

PHC-Primary heath center.

SHC-sub health center.
Cmoc-cprehensiv emergency obstetric and neonatal care.

Bmoc-Basic emergency obstetric and neonatal care.
ANM-Axuary mide wife.

Mpw-multi pupose worker.

BEE-Block Extation Educater.
BPM-block programme manager.
NHSRC-National health systemResource center.

ANm-Auxiliary Nurse Mid Wife.

ASHA-Accredited social Health Action Activist.
A/W-Aganwadi worker.

BCC-Behaviour change communication.
lEC-Information Education and communication.

BEE-Block Extant ion Educator.

Email-nazra 2009@ gmail .comPhone-07683-246618
Cell-9424343427
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26

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Programme Meneger

Tikamgarh (M.P.)

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Attechment 2-

Organization Profile -

Introduction-Japan International cooperation Agency Madhya Pradesh
Reproductive Health project January2007-January 2011.
Project Phase II January2007-January 201135

The Record of Discussion for the Technical Cooperation project was signed
between Jica India Office and the Go MP on 15th January 2007 and the
project Phase II was launched on the following day. The scope is similar to the
Phase I but the project Area was extended to the five districts of Sagar
divison.

Oveall Goal- Pregnant Woman, mothers of pregnant women and new bom babies
in the project site become healthier.
Project Purpose-To increase the number of pregnant woman and mother who
receive quality services for safe Motherhood.
Outputs-1.Improved midwifery practice by ANM,LHVs[HRM]
2.Clean and safe delivery services become available at the CHCsand PHCs in the
project Area[TQM]
3.ANMs and LHVs more closely supervised by the BMO and his team[HMIS]

sACommunity demand for safe motherhood services increases[IEC,BCC].

Activities-The Maternal Health, JICA/MP-RHP is focusing on the four
activities.

HRM-To establish management guidelines for training ANMs/LHVs in
Collaboration with state Institute of health and Family welfare (SIHFW)
1. To Conduct in- Service training courses for ANMs/LHVs on Safe
Motherhood Initiative (SMI)
2. Periodical assessment of knowledge/skill acquisition by the trained
ANMs/LHVs
3. To promote job sharing between ANMs and MPW-Males in the Pilot Area
TOM-

1. To procure and supply equipment.
2. To establish Hygienic Management Procedures the health facilities and
instruments.
3. To promote Total Quality Management at PHCs/CHCs.
36

HMIS1 .To Streamline procedures for data collection and reporting by ANMs And MPWMales.
2. To conduct training courses on Information to Block HEalth Management to
Block Health Managers.
3. To Promote HMIS for Performance review at the Block level.

IEC/BCC-

1 .To develop IEC/BCC materials in collaboration with the State IEC Bureau.
2. To promote collaboration between the local health promoters (ANMs, MPWMAQles, AWMs, ASHAs. etc.
3. To conduct HEC/BCC campaigns on Safe Motherhood Initiative.

JICA MP REPRODUCTIVE HEALTH PROJECT ORGANOGRAM

PROJECT
MANAGER

PROJECT
COORDINAT­
OR

DOCUMENTA^

TION
COORDINAT­
OR

|
PROJECT
OPERATIONS
MANAGER

TQM
CONSULTANT

HRM
CONSULTANT

\---- 1

~

HMIS
CONSULTANT

'communication
N COORDINATOR

TRAINING
COORDINATOR

OFFICE
ASSISTANT

37
I ~~
( SAGARBC

Zdamok

Ztikamgarh

/CHHATARPUR A

BC HATTA

BCBALDEVGARH
PR1THV1PUR

BC

Vbc tendukheda^

\RAJNAGAR

PAN NA

BCAMANGANJ

APPOINTMENT OF DISRICT/BLOCK LEVEL PROJECT STAFF
(FIELD COORDINATORS)
Field Coordinators ( Total 9 Staff as of Feb.2009)

Damoh District (2 staff)

District Coordinator (1)
Block Coordinator (1)
Block Coordinator (2)

Tikamgarh District (3 Staff)
District Coordinator (2)
Block Coordinator (3)
Block Coordinator (4)
Block Coordinator (5)
Sagar District ( 1 Staff)

Block Coordinator (6)
Panna Disrict (1 Staff)

District Coordinator (1)
Block Coordinator (7)

Chhatarpur District (2 Staff)

Block Coordinator (8)
Block Coordinator (9)

38

Sources:- Project Period: JANUARY 2007-JANNUARY 2011

Source :* D& p Division Directorate of Health Service M.P.
AttechmentS-

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43

Attechment 4-

Cluster Meeting
Parsili - Chamradol - Beohari (Shahdol)
From 25th to 26th February 2010
Mail on

Fri, Mar 5, 2010 at 5:39 PM

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51

Attechmerit 6-

community Health Fellowship Program 2009-2011

Collective Learning Training Date 26-March
-2010-9th April 2010
Venue - State Resource centre - Indore 26th March 2010- 3rd Aprol
2010

Regional Resource Training centre Indore 4th

April 20109th April

2010

Najra Ibraheem
Fellows Sochara C.P.H.E.
Mote ka muhalla shramdan line Tikatngarh M.P.
Cont. no. -07683246718, 9424343427

E-Mail-n azara2009@gmail. com

52.

Community Health Fellowship Program 2009-2011

Collective Learning

Training

Date 26-March -2010-9th April 2010

Venue - State Resource centre - Indore 26th March 2010- 3rd Aprol
2010

Regional Resource Training centre Indore 4th

April 9th April 2010

Topic Work done by fellows in the past 3 months

26th March 2010-

Presentation by fellows
Tea Break Lunch Break

Basic English Knowledge
27th March 2010-

Presentation by fellows

Rappateur

Tea Break

Prasanna

Lunch Break
Overview of Health System- From the Solhey
and Bhore Committee to the present- Crisis,
Challenges and Response in India.

3 Presentation of Team members
union budget and State budget on Heafcft
.Sudeepa)

Basic inputs on N utrition. (Bhagwan)
Learning from ASHA Training experience.
(Junded)

NOTE- Half an hour presentation

Basic English Knowledge- MR. Dev and Ms.
Dolly Dsuza.
28th March 2010
Distribution of Reading material of an article
on mental Health and ground work preparation for training sessons on Mental
Health followed by Basic Needs India From 29th March 2010- 3rd April 2010.

English Classes - 4.30 pm-6.00 pm

53

Theme- Mental health and Mental illness
Resource Person- Basic Needs India. (29th March 2010-3rd April 2010)

29th March 2010

Welcome & Introduction Expectation sharing:20
minutes Norm setting: 10 Min
Resource Person Mr. Subrat Basic Needs India.

Familiarizing with the program :30 Minutes.
Resource Person Mr. Subrat Basic Needs India.
property : Cause and consequences of mental illness

(Understanding the relationship between property and mental
illness, understanding problem tree)
(Brainstorming and sharing experience)
Resource Person Mr. Subrat Basic Needs India.

Sustainable Livelihoods ( Understanding self reliance and
exposure to sustainable livelihood towards achieving
prosperity. Understanding livelihood as a method to achieve
human dignity and prosperity. Understanding Variety of
sustainable livelihood option available within community
I(
group discussion, brainstorming)
Livelihoods , understanding poverty and self reliance

conceptually and practically

option available in the community for livelihood.
Resource Person Mr. Subrat Basic Needs India.

Challenging concept that PWMI can’t engage in livelihood work
(Understanding community beliefs towards PWMIs and
approach needed to make it positive sharing of real life
entrepreneur ( of PWMIa and others) stories to motivate,
understanding approach required for entrepreneurship
development, understanding how to calculate feaiblity of a
trade and establishing market linkage ( Group discussion,
brainstorming, sharing)
Income expenditure analysis.
trade analysis- assessment of markets reflection.
Resource Person Mr. Subrat Basic Needs India.
Basic English Knowledge- Mr. Dev and Ms. Dolly Dsoza
Mental health and mental illness (Hindi Translation subrat).

Stresses in the day to day practice Attitudes.
Resource Person Dr. Janardhan- Basic Needs India.
30th March 2010

Understanding human behavior
(Hindi Translation- Subrat).
Resource Person Dr. Janardhan- Basic Needs India.

Caused of mental illness ( Hindi Translation - Subrat)
Resource Person Dr. Janardhan- Basic Needs India.
Organizing care services- mentral health Interventions

Resource Person Dr. Janardhan- Basic Needs India.

Basic English Knowledge - Mr. Dev and Mis. Dolly Dsouza.
31 March 2010

Types of mental illness ( Hindi Translation - Subrat and

rsource Material to be supplied)
Resource Person Dr. Janardha- Basic Needs India.
Mental illness and mental retardation

Resource Person Dr. Janardha- Basic Needs India.

Magnitude of mental health problem in india.
Resource Person Dr. Janardha- Basic Needs India.
Preparation for the field visit (briefing about the field visit, such
as where the team is going, what need to be concentrated on
and debriefing the same for learning).

Resource Person Mr. Subrat - Basic Needs India.

Field Visit:
■ Ability organization
■ Samarpan
■ Banganga mental Hospital indore-6 Fellows
■ M.Y Hospital- Psychiatric department.
(Depends on the communication with dr. Ramghulam Razdaan
on 25th March 2010)

Fellows would be divided into batches.

Debriefing on the field visit.

Resource Person Mr. Subrat - Basic Needs India.
1st April 2010

Understanding berriers- Family and community.

(Along with the field person, community based rehabilitation
approach would be simplified by understanding what are the
challenges/barriers. The discussion would be supported by
some real life case studies. Understanding the challenges/
barriers within family and community, approach towards it can
be understood) (sharing experiences with case studies and
brainstorming.
Resource Person Mr. Subrat - Basic Needs India.

2nd April 2010

Poverty Cause and consequences of mental illness
Mental health and development.
(Hindi Translation- Subrat)

Resource Person Dr. Mani - Basic Needs India.
Multidimensional approach (continued)
Resource Person Mr. Subrat - Basic Needs India.

Basic English Knowledge - Mr. Dev and Ms. Dolly Dsouza.

Human right and UNCRPD (Hindi Translation - Subrat and
Resource Material to be supplied)
Resource Person Dr. Mani - Basic Needs India

Community based interventions an alternative approach
(Hindi Translation - Subrat

Resource Person Dr. Mani - Basic Needs India
Animation and Consultation (Understanding the process of
consultation, why is it required and it advantages)

(Sharing)
Resource Person Mr. Subrat - Basic Needs India.
CBR and people with mental illness (Under standing CBR
Approach for development of PWMIs)

Resource Person Mr. Subrat - Basic Needs India.
Film

Need to decide it keeping in mind the limited time period.

Basic English knowledge - Mr. Dev and Ms. Doly Dsouza.

3rd April 2010

Mental Health Act and People’s with Disability Act

Provisions available for People with Mental Illness.
Resource Person- Dr. Mani

Session on Protection of Woman from Domestic Violence Act
2005 and its interconnection with Mental health
Resource Person- Sudeepa (Group Work by fellows)

Dr. R.K. Sharma - Indore School of Social Work
Status of Mental health in the state of Madhya Pradesh. Dr.
Ram Ghulam Razdaam.
Sharing of District mental health Program in Schore DistrictDr. Rahul.
Sharing experience of rehabilitation of female Patients. Dr.
Shabana khan- Fellows
Advocacy on the mental health issue in the state of Madhya
Pradesh.
Udeeram- Fellows (SWOT)- Working in the Institutional set
up-lts needs and going beyond it.
Open House Discussion

5T

4th April 2010

Basic English Knowledge
Reading of Fellows
Union Budget and State health Budget related paper
Cuttings.

5th and 6th April 2010 -

April Theme- Health System Management Resource Person

Dr. Veena Nair Sarkar

7th April 2010

DBMS data base management system
PIME Planning Implementation Monitoring and Evaluation
Roles and responsibilitities
Quality along with proposed Field proposed Field Visit to CHC
CHC visit by fellows- tentatively at Manpur

PHC- Simlur Visit of Block Manpur
In 2 Teams each

Debriefing and Analysis of the field visit.

8th April 2010

Peer Learning

Sanjay - Developing understanding on Reproductive Health
for adolescents for facilitators.
Peer Learning
■ Nazra and Jwala - JICA initiatives ssviewing of the
film.
Irshad - Micro Nutrient Initiative
Planning for next three months.
facilitation by dr. Thelma

9th April 2010

Basic English Knowledge
English Training

Discussion on the next 3 month action plan of the fellows with
their mentors.
Facilitation by Dr. Thelma
Conclusion of training with lunch

02.04.2010

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Advocacy - Community ftwi

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Attechment 7Q.no 2.H0w would differentatiate between a mentally ill and mental Person?

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Attechment 8Community health Fellowship Programme Daily Report
Name:- Najra ibraheam
C.P.H.E. Tikamgarh (M R.)
Date:-. 10-5-10

8.No.

Date

Place

What Have Work Done

nWt

fcrfvre'

1

1.5.10

2

2.5.10

3

3.5.10

cTl

4

4.5.10

HTrft

5

5.5.10

6

6.5.10

C?|cWI(p

I.P.H.S. primary health centres study

7

7.5.10

wftTITH

VHND Participetion

8

8.5.10

9

9.5.10

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•

•

Although breast milk is adequate to meet the energy and nutrient
requirements of an infant up to four to six months of age, thereafter it is
insufficient to sustain normal growth and needs to be supplemented with other
foods,such as weaning foods.
However the capacity of a weaning diet to meet the protein and energy
requirements of infants depends on its nutritional quality as well as its dietary
bulk.

*

k

•

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Global Changes in Diet and Activity Patterns As Drivers of the Nutrition
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One current initiative to assist rural Thai families to increase home food
production and security is the implementation of home gardens that produce
fish, small animals and vegetables. This paper presents the results of an
investigation comparing seasonal dietary intake the and nutritional status
among northeast Thai childrenin mixed-gardening and no gardening families
[n=30 for each group]In the aftermath of Thailand's economics crisis, tha
Thai monarchy and
government agencies are actively promoting
the
establishment of mixed home garden that produce fish,smaii animals and
vegetable in order to help bolster home food security . This is especially true
in the rural northeastern region,which historically has /asgged behind the rest

of the nation in terms of economic and social development. Several studies
have shown that in northeast ,the poor dietary intake and nutritional status of
young children place them at risk for complications arising from vitamin A
deficienty anemia and protein-energy malnutrition.
Activating the community for nutrition improvement-This presentation
provides information on community oriented action research conducted under
the leadership of Dr.Rajamma! P.Devadas,the recipient of the IUNS
international Nutrition Award for 2001
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The first survey, conducted in 1985-1988 showed that the prevalence of
severe exophthalmia was seven times higher than the cutoff point established
by the Word Health Organization to define vitamin A deficiency as a public
health problem.
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