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Urban Health Program Report

2004- 2014 (Ten year)

Urban Health, RCH and Family Planning, Child Labour,


Education to reach out to underserved urban poor population

SHRI NIROTILAL BUDDHA SANSTHAN [SNBS]


3/4 - P - 2A, Bank Colony,Opp. Subhash Park,
M.G. Road, AGRA-282010, U.P. (INDIA)
Ph. Nos. +91-562-6534816, 08439000088
Visit us : snbsindia.org, E-mail: snbsindia@gmail.com

INDEX
S.
Work Experience of SNBS
No.

Page Nos.

Introduction

1-3

Agra Urban Health Program (AUHP)

4 - 49

Health of the Urban Poor (HUP) Program 2011 - 12

50 - 64

Health of the Urban Poor (HUP) Program 2012 - 13

65 - 94

Health of the Urban Poor (HUP) Program 2013 - 14

95 - 112

Agra Urban Health Program (AUHP)

113 - 116

Saving Indian Mothers and Beti Bachao Campaigns

117 - 120

Tools of Urban Health

121 - 123

Shri Nirotilal Buddha Sansthan (SNBS)


Introduction:
Keeping in view the fact that more than a quarter of Indias population has been living as
downtrodden and marginalized for centuries, Shri Nirotilal Buddha Sansthan (SNBS) came in to
existence in 1994 as an non government organization of marginalized people and has undertaken the task
to promote the welfare of this section of the society, lead to their upliftment and development for
integration with the total society by improvement in their economic, educational, social, cultural and
health standards.
Shri Nirotilal Buddha Sansthan was registered under Society Act in 1994 and has been primarily
working in the areas of health and its determinants, safe drinking water, hygiene, sanitation, HIV/AIDS
awareness, family planning & welfare, child labor & literacy, education, livelihood, plantation,
community awareness and development, with especial focus on marginalized sections of the societies,
slum dweller women and children through various development programs for over 20 years.
After 1995, SNBS intends to continue its role as a facilitator to improve the effectiveness of
various national programs and build capacities of communities to address a wide range of reproductive
health, child health, illiteracy, family planning,NPSP and HIV/AIDS challenges.
Vision
We see a world where vulnerable people live a better life in a better community. SNBS India
commits to this by being an innovator in development, valued by all.
Mission
SNBSs mission is to serve Vulnerable individuals and families to achieve sustainable
improvements in their education, health and sanitation status.
We pursue our mission with both excellence and compassion because the people whom we serve deserve
nothing less.
Goal
All our efforts will enhance the capabilities of vulnerable people, especially women and children,
to better control their lives.
Legal Status

SNBS was registered under Society Act with registration No.1510/1993-94.


SNBS has PAN with No. AADTS3537M.
SNBS has TAN with No.AGRS15542C.
SNBS has FCRA registration with registration No. 136210061.
SNBS has Registration under 12AA of I.T. Act with registration No. CIT-1/Tech/S816/Agra/2012-13.
SNBS has been exempted under 80G.

Shri Nirotilal Buddha, Sansthan (SNBS), Agra has been primarily working in the areas of health
and its determinants, safe drinking water, hygiene, sanitation, HIV/AIDS awareness, family planning &
welfare, child labor & literacy, education, livelihood, plantation, community awareness and development,
with especial focus on marginalized sections of the societies, slum dweller women and children through
various development programs, for the last 20 years. Besides, SNBS has been supporting DMHFW, Agra
closely.
SNBS has conducted Mapping and Assessment of Agra slums as key resource organization, jointly
facilitated by Department of Health and Family Welfare, Agra and USAID-EHP during February-April
2004. During this process, SNBS has conducted qualitative health vulnerability assessment in slums of
Agra and helped USAID-EHP and Department of Health and Family Welfare, Agra in plotting of slums
and existing health facilities on the map of Agra and gap identification. Thus, SNBS is one of the founder
partners of Urban Health Resource Center (UHRC) operation, formally known as EHP.
Subsequently, the Agra Urban Health Program (AUHP) has been implemented as response to
request of Government of Uttar Pradesh, suggesting UHRC to initiate PPP models in Agra. UHRC
initiated public-private partnership (PPP) process in consultation with the Department of Medical, Health
and Family Welfare, Agra. Based on its experience in the area of reproductive and child health, the
exceptional contribution rendered in proposal development phase and its credibility in the district, the
Screening Committee constituted under the chairpersonship of Chief Medical Officer, DMHFW, Agra
has recommended SNBS as potential NGO for partnership with UHRC operation and our partnership
came into existence.
Under this partnership, SNBS had mobilized approximately 40,250 populations in 20 slums and
facilitating outreach camps through linkage with Rakabganj North D-Type Health Centre.
Apart from this, since March 2006 SNBS had been facilitated a multi-stakeholder approach for
optimizing local resources and improving reach of services to approximately 46700 underserved urban
poor populations residing in 15 slums under Bundukatra D-Type Health Centre catchment area. Since
February 2009, SNBS has been demonstrating two approaches at Yamuna Par. Under one, SNBS has set
up and managing Urban Health Centre at Naraich, Yamuna Par for providing regular OPD and outreach
services to approximately 55000 population residing in 35 slums in Trans Yamuna area. The other
demonstrates community mobilization for demand generation of health services and community linkages
with Govt. health facility and mobilizing approximately 27000 populations in 9 slums and facilitating
outreach camps through linkage with government D-Type Health Centre, Yamuna Par. We are working in
80 slums of the Agra City under health programmes.
SNBS started 4 special child labor schools(with 200 child labor boy as well as girls students) from 1 st of
August 2005 in four different slums i.e. Nala Kaji Pada,Ram Nagar,Jagdishpura and Chipitola of Agra
with the objective of providing protection and education to working children(child labor) in coordination
with Labor Department, Agra under National Child Labor Project. Up till June,2013 a total of 742
children from Special Child Labor Schools of SNBS has been promoted and integrated with main stream
of education.
In continuation UHI-CARE funded Urban Health Initiative (UHI) program had been implemented
by SNBS since March,2011.Under this program eligible couples were counselled for adopting modern
family planning methods in our intervention area of 33 slums in Bunduktra. We covered population of
92984 with eligible couples of 14568 in 15521 house holds.We have counselled 14560 elibile couples and
3673 couple adopted modern methods so far i.e. 489 adopt Female sterilization,45 NSV,1419
IUCD,294,OCP and 624 Condom.
2

Along with UHI we are implementing USAID-PFI funded Health of the Urban Poor (HUP)
program in 24 slums of Agra city in the area of Jagdishpura,Bodla and Sikandra with population of 52263
in 10974 families since October,2011.We are covering 642 pregnant women,1140 infants and 7556
eligible couples in our intervention under HUP.We have formed 20 MAS in our intervention area to
strengthen the community for ownership.We have visited 113058 house holds for counseling in our
intervention i.e 6298 counseling visits to pregnant women, 5944 counseling visits to lactating
women,9126 visits to infants,20944 visits to 1-5 yrs children and 70476 visits to eligible couples.During
UHND we have facilitated beneficiries to avail health and nutrition services ever since we have facilitated
services to 714 pregnat women,1202 lactating women,1210 infants,2064 1-5 yrs children and 3782
eligible couples.
Despite this, SNBS has organized several international and national visits of USAID as well
as other organizations. On 18th April 2009 the visit of The United States Congress Delegation to
observe and understand the lives of urban poor and slum dwellers and their access to health services has
appreciated our work and devotion towards the disadvantaged community.
Most recently on 21th February 2012 the visit of The Ethiopian Delegation to observe and
understand the lives of urban poor and slum dwellers and their access to health services has acclaimed our
work.
Thus, SNBS have substantial experience in mobilizing and empowering communities for
accessing and utilizing better health care facilities and also have strong experience in working with state
and district level government counterparts for implementation of different projects and community
based activities.
SNBS at Kanpur :
SNBS will implement targetted intervention for Destination Migrant at Kanpur.Target population will be
10000 since February 2014 .We will provide them Information services i.e IPC,Mid media campaign
etc,Condom related services,Health care services i.e. STI treatement & management,health camps
etc,Treatement & care package and enabling environment services.
Links of last years Progress Reports :Progress Report 2006 - 2011 :
http://www.snbsindia.org/progress200611.pdf
Progress Report 2011 - 2012 :
http://www.snbsindia.org/progress201112.pdf
Progress Report 2012 - 2013 :
http://www.snbsindia.org/progress201213.pdf
Progress Report 2013 - 2014 :
http://www.scribd.com/doc/228757781/Snbs-Ngo-Report-2013-2014
SNBS on Facebook :
https://www.facebook.com/pages/Shri-Niroti-Lal-Budhha-Sansthan-SNBS/136221023129183

AGRA URBAN HEALTH PROGRAM (AUHP)


Situation of Urban Poor Population residing in slums of Agra City:

HUNGER

POOR ACCESS TO SAFE DRINKING WATER &


HYGIENE

POOR SANITATION FACILITIES

PRONE TO DISEASES

MALNOURISHED CHILDREN

POOR ACCESS TO HEALTH CARE FACILITIES

POVERTY & POOR ECONOMIC STATUS

A.

ILLITERACY & POOR ACCESS TO EDUCATION

Goal and Objectives of Agra Urban Health program

The goal of the Agra Urban Health Program is to carry out demonstration and learning activities and
develop new interventions in urban slums that lead to synergistic participation of different government
officials in urban slums to improve water supply, sanitation and hygiene services to urban poor.
B.

Executive Summary of Agra Urban Health Program

SNBS is implementing the Agra Urban Health Program activities to reach out to underserved urban poor
population in Rakabganj North, Yamuna Par and Bundukatra area covering approximately 1,70,000
population. SNBS was selected as a partner NGO by a Screening Committee under the chairpersonship of
the Chief Medical Officer, Agra for implementation of the Agra Urban Health Program. The program
implementation activities were initiated in November 2005 with 14 slums (approximate population 29,000)
and gradually scaled up to cover 20 slums (40,250 population) in Rakabganj North area,15 slums with
46,700 population in Bundukatra area and 44 slums with 79,000 population in Yamuna Par area.
SNBS has conducted Mapping and Assessment of Agra slums as key resource organization, jointly
facilitated by Department of Health and Family Welfare, Agra and USAID-EHP during February-April
2004. During this process, SNBS has conducted qualitative health vulnerability assessment in slums of
Agra and helped USAID-EHP and Department of Health and Family Welfare, Agra in plotting of slums
and existing health facilities on the map of Agra and gap identification. This analysis, along with other
relevant data has been utilized for development of Urban RCH proposal for Agra city and its
implementation from time to time.
Subsequently, the Agra Urban Health Program (AUHP) has been implemented as response to request of
Government of Uttar Pradesh, suggesting UHRC, formally known as EHP, to initiate PPP models in Agra.
UHRC initiated public-private partnership (PPP) process in consultation with the Department of Medical,
Health and Family Welfare, Agra.
Based on its experience in the area of reproductive and child health, the exceptional contribution rendered
in proposal development phase and its credibility in the district, the Screening Committee constituted
under the chairpersonship of Chief Medical Officer, DMHFW, Agra has recommended SNBS as potential
NGO for implementation of Agra Urban Health Program and for partnership with UHRC operation.
5

Under this partnership, SNBS has been demonstrating community mobilization for demand generation of
health services and community linkages with government health facility coupled with continued gentle
persuasion with government health service providers in order to increase reach of services leading to
overall improvements in health services delivery coverage since November, 2005. Through this approach,
SNBS has been mobilizing approximately 40,250 population in 20 slums and facilitating outreach camps
through linkage with Rakabganj North D-Type Health Centre.
Apart from this, since March 2006 SNBS has been facilitating a multi-stakeholder approach for optimizing
local resources and improving reach of services to approximately 46700 underserved urban poor
populations residing in 15 slums under Bundukatra D-Type Health Centre catchment area. Since February
2009, SNBS has been demonstrating two approaches at Yamuna Par. Under one, SNBS has set up and
managing Urban Health Centre at Naraich, Yamuna Par for providing regular OPD and outreach services
to approximately 55000 population residing in 35 slums in Trans Yamuna area. The other demonstrates
community mobilization for demand generation of health services and community linkages with Govt.
health facility and mobilizing approximately 27000 population in 9 slums and facilitating outreach camps
through linkage with government D-Type Health Centre, Yamuna Par.
C.

Key Activities:

SNBS has undertaken the following key activities:

Strengthen capacity of community link volunteers and Mahila Aarogya Samities to coordinate with
health service providers for outreach camps, tracking immunization coverage at slum level to minimize
leftouts and dropouts, and to promote health behaviours.

Strengthen capacity of the link volunteers and MAS members negotiate effectively with water and
sanitation service providers for the related services in their respective slums whenever required.

Established linkages with LadyLyall and PSM/Community medicine department of SN Medical


College.

Established linkages with Govt. Health department for regular outreach sessions (including visits of
LMO for ANC checkups during these sessions).

Regular participation in health rallies and pulse polio campaign as and when requested by CMO and
encourage visits of CMO/Dy.CMO and other relevant Govt officials in the city/region to program slums
and program activities, seek feedback and support them in disseminating best practices in different
government meetings at city and region level.

Facilitated regular meetings of UHC level coordination committee to improve access of urban poor to
health services at Bundukatra and influence CMO/Dy.CMO to replicate such a multi-stakeholder approach
for optimizing local resources and improving reach of services to underserved urban poor population in
other UHCs areas.

Strengthen project staff capacity to collect, compile and analyze service coverage data and use it for
improving coverage rates, document program learning and share at appropriate forums.

Established linkages with other department like DUDA, Nagar Nigam, ICDS and education for
addressing other development issues in the intervention slums.

Provided inputs to National, International organizations for developing clear understanding on


community mobilization.

Facilitated program site visits of Govt. officials and non government organizations to observe and
understand the lives of urban poor and slum dwellers and their access to health services and learning
different program approaches to reach underserved urban poor population and its replication in other areas.
6

Community mobilization
SNBS has promoted 24 Mahila Arogya Samities (MAS) and also opened 19 bank accounts in the
Rakabganj area. The capacities (Institutional, Program, Linkage and Financial) of MAS have also been
strengthened. Capacity building sessions including exposure visits were also conducted both for MAS and
CLVs to develop their knowledge on the different components of RCH and health fund management. BCC
and IEC activities are regularly carried out in the slums to improve health and hygienic practices among
the slum community improved, and generate demand for services. In Bundukatra area CLVs were selected
and trained for providing community mobilization support.
Linkages with Govt. D-Type Health Centre (Rakabganj North) for health service provision
Demand generation activities were undertaken in all 35 slums. Services were strengthened in 20 slums
from DTHC Rakabganj which is a government run first tier facility. List of eligible beneficiaries updated
regularly, planned outreach clinics were organized and follow-up activities carried out especially in case of
left outs and resistant households. SNBS coordinated with CMO/ACMO and facilitated visit by these
Govt. officials successfully. SNBS developed linkages with the other stakeholders and local elected
persons by facilitating Coordination committee meeting. Services were also strengthened from the
Bundukatra DTHC to the 15 slums in the area. This was all achieved with support and mobilization of the
government.
Capacity building of the program staff
Capacity building sessions for MAS, CLVS, Community Organizers and ANMs were conducted to
enhance their skills on counseling and RCH components. Ongoing review meetings at various levels were
conducted to assess program progress, address program issues and concerns. Review feedback and inputs
from SNBS management, other stakeholders visiting the program and UHRC helped strengthen the
program.
Coordination with the government department

Coordination with district health department was given special focus from the program inception.
Regular coordination meetings were carried out right from DTHC level to District level for organizing
regular outreach sessions. District Health Department officials were invited to for providing capacity
building inputs to staff and assess community mobilization activities. The support to National Programs
continued.

Meetings of Coordination committee at Bundukatra were held with multiple stakeholders such as the
ward representative, CHV, Deputy CMO, AWW etc. Regular outreach clinics were held in 15 Slums in the
area. The SNBS staff also supported in routine immunization in Bundukatra. For improving service
coverage in catchments area regular meetings with coordination committee were organized.

D.

Coverage Area of SNBS under AUHP:

SNBS is implementing the Agra Urban Health Program to fulfill the aforementioned objectives, in 20 slum
neighborhoods (or bastis) in Rakabganj North area under Approach II, covering an approximate slum
population of 40,250, 44 slums in Yamuna Par under Approach I & II covering 79,186 population and 15
slums in Bundukatra under Approach III covering 46,695 population.
At Yamuna Par, SNBS is demonstrating two approaches under the Agra Urban Health Program (AUHP),
since February 2009. One of them demonstrates how community mobilization for demand generation of
health services and community linkages with Govt. health facility coupled with continued gentle
persuasion with Govt. health service providers in order to increase reach of services and lead to overall
improvements in health coverage. Through, this approach SNBS is mobilizing approximately 27000
population in 9 slums and facilitating outreach camps through linkage with D-Type Health Centre. Under
the other approach, SNBS has set up and managing Urban Health Centre at Naraich, Yamuna Par for
providing regular OPD services to approximately 55000 population residing in 35 slums in Trans Yamuna
area in order to increase reach of services and lead to overall improvements in health coverage.
E.

The list of intervention slums:

Approach II : RAKAB GANJ NORTH


SNO
NAME OF SLUM
1
Nala Kaji Pada
2
Talliya Kanji Pada
3
Kaji Pada
4
Ravidas Nagar
5
Budh Vihar
6
Gautam Nagar
7
Pani Wali Basti
8
Teela Sheikh Mannu
9
Chakki Paat
10
Tamoli Pada
11
Teli Pada
12
Mantola
13
Nala Mantola
14
Sayyed Wali Basti
15
Mundapada
16
Teela Nand Ram
17
Ghera Basti
18
Swaroop Nagar
19
Teela Hussin Khan
20
Mishri Sayyed
TOTAL

POPULATION
1053
1752
3807
1436
318
676
562
4195
2905
1409
2295
4000
3821
481
1200
4000
1000
1500
840
3000
40250

CATEGORY
Most
Most
Moderate
Most
Moderate
Moderate
Most
Most
Moderate
Most
Moderate
Moderate
Most
Most
Moderate
Moderate
Most
Most
Most
Most

Approach III : BUNDU KATRA


SNO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

NAME OF SLUM
Gummat
Jasse Ka Nagla
Tundpura
Kotli Bagichi
Nand Pura
Maya Puri
Nagla Bhawani Singh
Nagla Laturi Singh
Singho Ka Nagla
Nagla Tek Chand
Gopal Pura
Sarai Malook Chand
Nagla Prashoti
Nagla Bharti
Sewla Jat
TOTAL

POPULATION
4437
3121
5027
7355
2819
1431
2400
2400
700
3000
3900
1200
1500
1405
6000
46695

CATEGORY
Most
Most
Most
Most
Most
Most
Moderate
Moderate
Moderate
Moderate
Moderate
Moderate
Most
Most
Moderate

Approach I (in 35 slums) & Approach II (in 9 slums) : YAMUNA PAR AREA
Area

Trans Yamuna
IV

S.N.
1.
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Name of Slum
Shyam Vihar(East & West)
Nagla Rambal
Rakesh Nagar
Santhosh Nagar
Nagla Mohan Lal
Sati Nagar

Gulab Nagar
Nagala Jamuni
Siddharth Nagar
Satya Nagar
Nagla Dhamoli
Shobha Nagar/Vihar
Chandan Nagar
Shyam Nagar/Shyam Nagar Teela
Nagla Chaua

Population
1468
3126
667
647
863
3669
504
905
859
549
307
560
582
2591
641

Trans Yamuna
I

Trans Yamuna
V

TOTAL
Trans Yamuna
II

TOTAL

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

Narayan Vihar
Nagla Chanda
Nagla Kishan Lal
Vikash Nagar
Nawal Ganj
Moti Mahal
Nagla Devjeet(Including Abbas Nagar)
Indra Nagar
Kachpura (Old & New)
Hanuman Nagar
Nagla Faturi
Moti Bagh(Khaliyayi Mandi, Anathalay wali
Gali, Nagla Pench,Kuen Wali Basti)
Gautam Nagar
Shahadra(Old & New)
Shushil Nagar

Gadhi Chadni
Gadi Husaini
Chhaleshar

Prakash Nagar
Santi Nagar
Nagla Bihari
Beech Ka Chhaleshar
Bangara Chaleshar
Peela Khar
Ram Bag
Naraich
Rajeev Nagar

Shambhu Nagar
Sudhama Puri

536
593
2419
1171
1071
4199
4321
344
2684
2399
1474
4229
2561
8652
2249
751
649
2271
2239
1031
2063
1522
422
948
68736
750
6000
900
2100
700
79186

After May 2009:


By the time, SNBS has learned the ways and means of dealing with challenges and difficulties in
empowering communities for accessing and utilizing better health care facilities and has continued its
operation for implementing Agra Urban Health program from 1st June 2009, with its own funds and
efforts; generated through community, social / charitable institutions and the Government in all 79 slums
of Rakabganj, Yamuna Par and Bundukatra areas of Agra city, covering approximately 1,70,000
population, for which SNBS has been working with the financial support of UHRC/ USAID.

10

Major achievements up till date:


Achievements of SNBS in Health Service Delivery:
S. No.
1
2
3
4
5

Health Services
Out Reach Camps
Pregnant immunized
Infants immunized
ANC Check ups
Referral for institutional delivery

Achievements
242
3437
23435
2541
1569

Achievements of SNBS in Capacity Building of Community, Beneficiaries and Staff through


interpersonal communication:
S. No.
1
2
3
4
5
6
7
8

Events
Home visits
MAS Meetings
Trainings of CLVs
Trainings of MAS
Capacity Building of Staff
Community Meetings
Thematic Group Counsellings
Special Attention Home visits

Achievements
137583
4480
96
84
88
3848
1728
1260

Behaviour Change Communication Activities:


S. No.
1
2
3
4
5
6
7

Events
Health Awareness Camps
Magic Shows
Puppet Shows
Healthy Baby & Mother Shows
Health Rallies
Film Shows
Street Plays

Achievements
142
26
72
36
24
18
12

Below are the photographs of achievements of SNBS and main activities under AUHP, from beginning
up till date.

11

SLUM ASSESSMENT AND LINKAGES WITH COMMUNITY & MULTI STAKE HOLDERS

Staff of SNBS conducting Mapping and Assessment of


Agra slums during Feb. to April 2004 for the development
phase of Agra Urban RCH Proposal

SNBS Staff collecting data/ information for Plotting of


Slums and existing health facilities on the map of Agra

Selection process of CLVs, through Community meetings


by SNBS staff along with staff of Health Deptt.

SNBS staff conducting community meetings along with


Health Deptt. staff to establish linkage for health services

TRAININGS AND CAPACITY BUILDING

Mr. Ravi Kashyap, President SNBS along with Ms. Renu


Nigam conducting training of Community Organizers

Mr. Ravi Kashyap, President SNBS conducting training of


Community Organizers

12

Ms. Renu Nigam, Program Officer SNBS conducting


training of CLVs

Mr. Ravi Kashyap, President SNBS and Ms. Renu Nigam,


Program Officer SNBS conducting training of CLVs

Growth monitoring by CLVs

Presentation of New Born Care by MAS members

Review Meetings with CLVs

Review Meetings with CLVs

13

SOCIAL MAPPING PROCESS

MAS members drafting rough map of their slums on


ground

MAS members drafting fair map of their slums on chart


papers

Final maps of slums used by MAS for indicating


beneficiaries and record keeping

Final maps of slums used by MAS for indicating


beneficiaries and record keeping

STRENGTHENING MAHILA AROGYA SAMITIES (MAS)

Records of Minutes of monthly meetings prepared by MAS

Records of Fund management of funds collected during


monthly meetings of MAS

14

Funds collected during monthly meetings of MAS are


deposited in their Bank Accounts

Funds collected during monthly meetings of MAS are


deposited in their Bank Accounts

MAS of SNBS collecting Funds during their monthly


meetings

Transaction of Funds by MAS of SNBS during their


monthly meetings

MAS members
community

Capacity Building sessions of MAS members

organizing

Awareness

Camps

in

15

Health songs by MAS members

Health songs by MAS members

Home visits to promote health services

Home visits to promote health services

Home visits by CLVs and SNBS staff for counselling and


growth monitoring of new born

Home visits by Program Officer, SNBS staff for


counselling of mother of new born

16

COORDINATION WITH STAKE HOLDERS

DTHC Coordination committee meeting among Multi


Stake Holders i.e. Health Deptt., ICDS Deptt., Ward
Members, Education Deptt., and SNBS at DTHC
Bundukatra under the leadership of Dr. NP Bharti,
ACMO(Immunization)

DTHC Coordination committee meeting among Multi


Stake Holders i.e. Health Deptt., ICDS Deptt., Ward
Members, Education Deptt., and SNBS at DTHC
Bundukatra under the leadership of Dr. CM Mawar, CMO

Coordination meetings with Anganwadi Workers

Coordination meetings with Anganwadi Workers, CMC,


CLVs, HVs, MOIC and representatives from UNICEF,
WHO

OUT REACH CAMPS

Medical Officer examining pregnant women in outreach


camps organized by SNBS

Medical Officer examining pregnant women in outreach


camps organized by SNBS
17

ANMs conducting immunization sessions in outreach


camps organized by SNBS

ANMs conducting immunization sessions in outreach


camps organized by SNBS

ANMs conducting immunization sessions in outreach


camps organized by SNBS

Medical Officers conducting checkups in outreach camps


organized by SNBS

ANMs conducting immunization sessions in outreach


camps organized by SNBS

Medical Officers conducting ANC in outreach camps


organized by SNBS

18

BCC ACTIVITIES

Puppet Shows organized by SNBS for Behavior Change


Communication with Community

Film Shows organized by SNBS for Behavior Change


Communication with Community

Street Plays organized by SNBS for Behavior Change


Communication with Community

Street Plays organized by SNBS for Behavior Change


Communication with Community

Health Rallies in slums organized by SNBS

Health Rallies in slums organized by SNBS

19

Prize distribution in Healthy Mother & Healthy Baby


Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby


Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby


Shows organized in slums by SNBS

Prize distribution in Healthy Mother & Healthy Baby


Shows organized in slums by SNBS

Prize distribution by Dr. Bharat Sonkar, Dy. CMO


Immunization in Healthy Mother & Healthy Baby Shows
organized in slums by SNBS

Distribution of Fund Collection Box, Mats, Dholaks by


SNBS to the MAS members of all Women Health
Commitees

20

VISITS BY IMPORTANT PEOPLE/ DELEGATES/ ORGANIZATIONS

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

21

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

22

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit of MLA, Agra

Visit from USAID

23

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

Visit from USAID

24

Visit from USAID

Visit of Congressman Rep. Howard L. Berman, United


States Congress

Visit of Congressman Rep Gary Ackerman, United States


Congress

Visit of Ms. Elizabeth A. Hogan, Mission Director,


USAID along with US Congress delegation

Welcome of the US Congress delegation by Ms. Renu


Nigam, Program Officer, SNBS

US Congress delegation visiting Health Mela organized by


SNBS at Nala Kaji Para

25

Congressman Rep. Howard L. Berman, United States


Congress along with Ms. Elizabeth A. Hogan, Mission
Director, USAID at Helth Mela organized by SNBS

Congressman Rep. Howard L. Berman, United States


Congress giving gift to beneficiaries in Healthy Baby &
mother show organized by SNBS

US Congress delegation in Helth Mela organized by SNBS

US Congress delegation along with beneficiaries in Helth


Mela organized by SNBS

Visit of Ms. Eva from CARE Austria for the study of


Urban Health program of SNBS

Visit of Ms. Eva from CARE Austria for the study of


Urban Health program of SNBS

26

Visit of USAID

Visit of USAID

Visit of students from Johns Hopkins University, USA

Visit of students from Johns Hopkins University, USA

Visit of student from Johns Hopkins University, USA

Visit of USAID

27

Visit of Japanese students to observe Urban Health


program by SNBS

Visit of Japanese students to observe Urban Health


program by SNBS

Visit of Japanese students to observe Urban Health


program by SNBS

Visit of Japanese students to observe Urban Health


program by SNBS

Visit of Japanese students to observe Urban Health


program by SNBS

Visit of Japanese students to observe Urban Health


program by SNBS

28

Visit of Mr. Sunil Kumar, SRC UNICEF to observe Urban


Health Program by SNBS

Mr. Sunil Kumar, SRC UNICEF along with Mr.


Amartanshu, DMC UNICEF, SRTC UNICEF, Dy CMOs,
Dr. Rajaram, Ex. CMO and Mr. Ravi Kashyap, President,
SNBS discussing program issues in Health Camp
organized by SNBS

Mr. Sunil Kumar, SRC UNICEF discussing with Women


Health Samities of SNBS at Ravidas Nagar

Mr. Amartanshu, DMC UNICEF discussing with Women


Health Samities of SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF distributing cloths to


children of Ravidas Nagar in Health Camp organized by
SNBS

Mr. Amartanshu, DMC UNICEF distributing cloths to


children of Ravidas Nagar in Health Camp organized by
SNBS

29

SRTC UNICEF distributing cloths to children of Ravidas


Nagar in Health Camp organized by SNBS

Dr. Rajaram, Ex. CMO distributing cloths to poor children


of Ravidas Nagar in Health Camp organized by SNBS

Dr. Bharat Sonkar, Dy. CMO distributing cloths to poor


children of Ravidas Nagar in Health Camp organized by
SNBS

Dr. B.R. Gautam, Dy. CMO distributing cloths to poor


children of Ravidas Nagar in Health Camp organized by
SNBS

Mr. Sunil Kumar, SRC UNICEF along with SRTC


UNICEF observing Awareness material and Social
marketing products at stalls in Health Camp organized by
SNBS at Ravidas Nagar

Mr. Sunil Kumar, SRC UNICEF along with SRTC


UNICEF observing Awareness material and Social
marketing products at stalls in Health Camp organized by
SNBS at Ravidas Nagar

30

Massachusetts Institute of Technology, Massachusetts (USA)


D-Lab Team Visit 26.01.2010
D-lab team members present: Brooke Jarrett MIT 2010, Adam Talsma MIT 2010, Karithaka MIT
Nathan Cook (Trip Leader-Kolkata),Jessica Huang (Trip Leader-Avani)

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in SNBS Office

D-lab team in Ravidas Nagar Slum

D-lab team in Ravidas Nagar Slum


31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

HEALTH OF THE URBAN POOR (HUP) , 2011 - 2012


Film shows:We have 25 slums in our intervention area so we planned 8 film shows in these slums. We have covered 3
slums in a show therefore we have covered 24 slums of the intervention area in these shows. The shows were
started in the month of March 2012. 2 Shows were planned in one day. One show at 11:00 am and second
one at 2:00 pm. The film was based on Pregnant and new born care. Different messages were given in film.
We asked questions in between the film show to the audience and appropriate answers were gifted with
prizes. We asked questions in the all 8 film shows and gifted 5 women each show for the right answer. Total
40 women were rewarded in the event.

50

MAS member training:We planned one day training on March, 23, 2012 and March, 24, 2012 of the members of MAS. Members of
MAS from 7 and 8 slums participated respectively in the training. The period of the training was 9:30 am to
5:30 pm. Introduction of the project Health of The Urban Poor (HUP) was given by Mr. Ravi Kashyap,
President, SNBS in a detail to the participants. We discussed about the Goal, Objectives of the programme.
Ravi Kashyap took the session on Mahila Arogya Samiti (MAS).He built capacity of the participants on
role and responsibility of MAS and need to form the MAS.

QTR MAS meeting:We have planned 8 meeting in the month of March, 2012.The meetings were planned in Rajeev Nagar,
Mahaur Nagar, Geetapuram, Satnam Nagar, Vikram Nagar, Agra Ber, Nagla Ajita and Shyam Nagar. Points
for the discussion were:-objective to form MAS and benefits of MAS formation.

51

Community Meeting:We have organized 25 community meetings in the intervention area. Community was made aware of the
programme and its intervention. We discussed MCHN and WATSAN issues with the community women.
Participants in the meetings were app. 600.

World Water Day celebration:-

World Water Day was celebrated on March, 22; 2012.We organized a rally to mark the day. The rally
covered 5 slums of our project area Nagla Ber, Nagla Ajeeta, Kishorepura, Jagdishpura and Ram Nagar
Rally was flagged off by Mr.Bahadur Singh, Local Ward Member. The rally was leaded by the Dhol and
National Flag. Band cart was following the procession. Link Workers and community women were holding
the slogan templetes.They were raising the slogans in the rally. The rally was started at 9:30 am. It was
started from Nagla Ajita and end up at Community Centre, Jagdishpura.Ms Vidhya Devi Ward Member
addressed the rally and hailed the community women to save water. Buddhist religious leader Vimal Sagar
drew attention for the griming situation of water availability. He emphasized on water conservation as the
water availability will be minimized in upcoming years. He hailed the participants to stop misuse of water.

52

53

MAS formation:We have formed 8 MAS in our intervention area in the month of March,12.The MAS were formed in Pathar
Ghoda,Rajeev Nagar,Nagla Ajeeta,Ram Nagar,Mahal,Kabir Nagar,Baipur and Bodla Sarai.

Resource mapping:We have organised stakeholders meetings in February and March,12 to prepare the resourse map of the
slum.Stakeholders from the different Govt. deptt and community members participated in the meetings.They
draw a map of the slum and display resources i.e. health centre,AWC,Panchayti bhawan,schools etc in the
map.We have organised 25 stakeholder meetings in the 25 slums and prepared a resource map of the slum.
Dr.Anupam Bhasker ACMO participated in the meeting.Health visitors,Mukhya Savika,Teachers,Sanitory
inspector and others stakeholders have participated in the meetings.

Dr.Anupam Bhasker,ACMO particiapting in resource mapping.


54

Mr.Ravi Kashyap,PD discussing in the meeting.

Review meeting of CCs and Link Workers:We have organised 4 review meetings during December,11 to March,2012 to analyse the progress of the
project activities. Programme activity plan of LW s on the monthly babis was prepared in the
meetings.Different programme activities were included i.e.Community meeting ,HH visit,MAS meeting.We
would ensure participation in the Community Health Day in the intervention area. We discussed about
organising community meetings,Identification of active women to form MAS. We have instructed all LWs
to open their bank account. Ms.Sunita Sharma,MS,ICDS participated in the meeting and share sector
meeting plan with the participants.

55

Mr.Rajeev Kumar discussing in LW Review meeting.

56

Mr.Ravi Kashyap,PD and Ms.Sunita Sharma,MS in LW review meeting.

Participation in Community Health Day:Cluster Coordinators observed the 12 Community Health Days in the month of Dec,2011 to
March,2012.Vaccination of different vaccine was done by Health Visiters.IFA was distributed to the
preganant women.Health and Nutrition counselling was given by HV to pregnant women.

Link Workers Training:Link Workers three days training was organised on 28-30/12/2011.We have built capacity of LWs
regarding goal,objectives of HUP program.Ms.Pushpa Mahaur built their capacity on MAS and health
resource map.19 LWs and 3 CCs participated in the training.House hold survey format.Birth spacing survey
format,Pregnant and Infant survey formats were discussed in the training.

57

Group work in the training.

Discussion in process in the training.

Ms.Pushpa Mahaur discussing HR Map.

58

Mapping and Listing:-

We have completed listing and Mapping of the all 25 slums in the month of November,2011.We have listed
8252 structures in these slums.Mapping of these slums has been completed.Listing and mapping was carried
out with the help of Link Workers.Slum boundries were decided with the stakeholders and local residents.

Marking of the structure.

Mapping in process.

Catchment area mapping and defining:HUP staff had been given orientation and training in Agra organized by PFI in the month of November,
2011.They were oriented in the training on the goals and objectives of HUP program. The field visit
organized in the training was very fruitful as we got good understanding on listing and mapping, house hold
survey and health recourse mapping. Field exposure during the training was very effective to understand the
listing and mapping, HH survey to be carried out in the respective cities. We have marked the boundaries of
the slums and their catchment area.

House Hold Survey:We have surveyed 8252 structures and found population of 50475 in the all 25 slums.We found 9284
families,489 pregnant women,1051 0-1 yr children and 5768 eligible couples in the slums.The survey was
carried out in the month of December,11 and January,12.

59

Link workers selection:-

We have selected all 20 link workers in the month of December,2011 and they have started their activities in
their respective slums.We have divided them in three clusters.Two clusters have 7 link workers each and one
cluster have 6 link workers.
LWs selection process :- We are selecting the LWs through following steps :- Organise a community
meeting and gave introduction of the project .
Identify some volunteers to be LW through community meeting.
Short list the potential voluteers to be LW.
Finalise the volunteer as LW through community vote.
10 LWs selected in the month OF November,2011.

60

Stakeholder identification and Sector Meeting:We have identified all Health visitors and AWWs in our project areas.We have introduce our LW s to the
stake holders.Cluster coordinators have participated in the sector meetings. They have discussed about
Swasthya Diwas and listed the fix day of Immunization in the meeting.31 AWWs and LWs were present in
the meeting.Ms Sunita Naag,Sector Supervisor,ICDS was heading the meeting.

Mamta Kushwaha,CC participating in sector meeting.

Project staff identified the stakeholders during their field visit.25 AWCs, 5 ward members are in the project
area. We have visited local health service providers, Aagan Wadi Centres, Ward members and other local
leaders to seek their support in the program. We visited DTHC Hari Parwat to develop linkages with the
govt. Counterparts.

61

62

63

64

Health of the Urban Poor (HUP) : 2012 2013


Total
Slums

Total population
covered

Total families
covered

Total
pregnant
women

Total 0-1 yr
children

Total eligible
couples

25

52263

10974

642

1140

7556

Mahila Aarogya Samiti (MAS) Formation


We have formed 20 MAS in our intervention area during the quarter. The slums are Nagla
Ber,VikramNagar,Shyam
Nagar,Mohamadpur,Kishorepura,Bai
Ka
Bazar,Sarai
Bega,
Baipur,Jagdishpura,Nai Awqadi Bodla,Ram Nagar,Nagla Ajita,Subhashpuram,Rajeev Nagar,Bai Ka
Bazar,Pathar Ghoda,Mahal and Mahaur Nagar.

Review meeting of CCs and Link Workers


We organised 12 review meeting on 25/03/2013,28/02/2013,28/01/2013,31/12/2012, 24/11/2012,31/10/2012
29/09/2012, 31/08/2012 , 31/07/2012 ,29/06/2012, 31/05/2012 and 30/04/2012 to analyse the progress of the
month of month in the year. Programme activity plan on new format of LWs for the months was prepared
in the meeting.Different programme activities were included i.e.Community meeting ,HH visit,MAS
meeting and God bharai & Aanprasan.We discussed Monther and Child tracking format and Birth spacing
format.Queries regarding the register were addressed.New Daily diaries were distributed to the LWs.We
would ensure participation in the Urban Health and Nutrition Day in the intervention area.IEC materials
were distributed in the meeting.We have given orientation on using of the IEC materials. New Daily diaries
were distributed to the LWs. . Programme activity plan of LW s for the month of April,13 was prepared in
the meeting.Different programme activities were included i.e.HH visit,MAS meeting/training and God
bharai & Aanprasan in the tour plan.We discussed on
Daily diaries to be mainted and timely reporting must be submitted to concern CC by 27 th of every
month.
We would ensure participation in the Urban Health and Nutrition Day in the intervention area.
Participation of CC in MAS meeting in a month for support to the MAS and capacity building.
Feed back was given on summary of monthly activities.
Refresher training will organised on April,04,2013.
New incentive based honorerium plan.
World Health Day celebration plan were discussed.
65

MAS members training


We organized one day training on September, 27, 2012, August, 11, 13 and 14, 2012 and July, 25, 26 and
30, 2012 of the members of MAS. 25, 70 and 56 Members of MAS from 17 slums respectively participated
in the training and June, 18 to 23, 2012, May, 15 to 17, 2012 and April, 21 to 25, 2012 of the members of
MAS. 128,45 and 69 Members of MAS from 16 slums respectively participated in the training during the
quarter. The period of the training was 9:30 am to 5:30 pm. Introduction of the project Health of The Urban
Poor (HUP) was given by Mr. Ravi Kashyap, President, SNBS in a detail to the participants. He discussed
about the Goal, Objectives of the programme.Ms.Mamta and Khushbu took the session on Mahila Arogya
Samiti (MAS).He built capacity of the participants on role and responsibility of MAS and need to form the
MAS.Capacity was built on program capacities of MAS. Introduction of the project Health of The Urban
Poor (HUP) was given by Mr. Ravi Kashyap, President, SNBS in a detail to the participants.Mr. Rajeev
66

Kumar discussed about the Goal, Objectives of the programme. Ravi Kashyap took the session on Mahila
Arogya Samiti (MAS).He built capacity of the participants on role and responsibility of MAS and need to
form the MAS.
We have participated in MAS meeting and built their capacity on high risk pregnancy, Ante Natal Care
and identification of pregnancy and calculations of EDD, 5 Cleans during emergency, danger sign during
delivery, post natal care, birth planning, danger sign during pregnancy. We have built their capacity in all 20
MAS in our intervention area.

67

Community Meetings
We have organized 135 community meetings in the intervention area during the quarter. We discussed
MCHN and WATSAN issues with the community women. We discussed about new born care and Care
during pregnancy and ANC, PNC and INC.Participants in the meetings were app. 3390.

MCHN and WATSAN issues with the community women.


We discussed about new born care and Care during pregnancy and ANC, PNC and INC.
Extra meal during pregnancy.
Problem related to water and sanitation was discussed in the meetings.
Organizing Ann Prasan and God Bharai ceremony at AWCs.

Ms. Khushbu Gupta participating in the meeting

Mr.Ravi Kashyap participating in the meeting.

68

Nutrition Day Celebration (15.06.2012)


We planned the event two weeks in advance of the day. Govt. stakeholders were informed regarding
the event. Integrated Child Development Services schemes (ICDS), Distt. Health and Family Welfare
Deptt. and others were informed through letters prior to the event. They instruct their staff as per paln.We
identified the slums of the intervention area to be covered through the event. The event covered 12 slums of
the project area. The slums covered were Nagla Ber, Nagla Ajita, Kishorepura, Jagdishpura and Ram
Nagar, Satnam Nagar, Vikram Nagar, Hukmi Nagar, Bodla Sarai, Mahaur Nagar, Geeta Puram and
Nai Awadi Bodla.
We organized the event at Panchsheel Community Centre, Nagla Ajita. The celebration was
started at 10:30 am. Film show and workshop was organized to mark the day.The event was inaugurated by
the presidents of the MASs of the different slums. Presidents of 5 MAS were placed on the dias.They event
was started with the introduction of the participants.

Inauguration note by the presidents of MASs.

69

Activities in the event: - We have many activities in the event.


Film Show: - Films regarding nutrition status and nutritional practices were shown in the celebration. The
message of the movie was we can prevent malnutrion in the mother and child by taking preventives
measures. We can fight malnutrition by get aware of mal dietary practices. Another film Nanhi Si Jaan was
shown to aware the audience regarding mother and child care.

Film show in the event.

Workshop on Nutrition status in the community:-100 Participants from the different stakeholders AWWs
and community people& Link Workers participated in the workshop. Members from the Mahila Arogya
Samiti (MAS) participated in the workshop.
Ms.Sunita Sharma, Mukhya Sevika, ICDS addressed the participants and told them that
nutritional status of the girl child is poorer then the boy child in the slum community. She hails the
participants to take care of Girl child.
Ms.Rajkumari Raj, Mukhya Sevika, ICDS emphasized on timely immunization of child and
mother.

70

Ms.Rajkumari and Ms.Sunita Sharma addressing the participants.


Mr.Ravi Kashyap,President ,SNBS hailed the participants to adopt good nutritional
practices.Ms.Sheela,president,Saraswati Arogya Samiti, Nagla Ajita gave stress on taking care of
adolescent.Mr.Rajeev Kumar, Project Coordinator, gave statical status of nutrition in the community. He
asked the participants to take care of pregnant women and children as well as adolescent. He gave vote of
thanks to the participants.

71

Breast Feeding Week Celebration ( 1-7.08.2012)


We planned the event two weeks in advance of the day. Govt. stakeholders were informed regarding the
event. Integrated Child Development Services schemes (ICDS), Distt. Health and Family Welfare
Deptt. And others were informed prior to the event. The plan for the event was shared with the PMU. They
instruct their staff as per paln.We identified the slums of the intervention area to be covered through the
event. The event covered 4 slums of the project area.
4 film shows were organized in the week on July 3, 4, 6 and 7, 2012 at Baipur, Ram Nagar, Mahaur Nagar
and Nagla Ajita respectively. We showed films Nanhi Si jaan and Child Crawl. The audience of the films
was MAS members and Community women. The messages of the films was be early initiation of breast
feeding, colostrums feeding, exclusive breast feeding and stimulation of new born for breast feed.

Film Show: - Films regarding breast feeding and nutrition status & nutritional practices were shown in the
event. The message of the movie was we can prevent malnutrion in the mother and child by taking
preventives measures and promote breast feeding.
Another film Child Crawling was shown to address their misperception regarding early breast
feeding and colostrum feeding.

Film Show in the event


72

Quiz Competition:We organized quiz competitions in the above slums. 10 Questions related with breast feeding to be answered
by the participants. Participants were from MAS members and community women.10 winners were selected
from the each competition. Gifts were given to them.
Rewarding of the winners: - We asked questions in the competition to the audience and appropriate
answers were gifted with prizes. We asked 10 questions in the each event and gifted 10 participants for the
right answer. Total 40 women were rewarded in the event.

We made aware app 500 people from the intervention area regarding breast feeding and exclusive breast
feeding.

Health Camp (Private) :We have organized 8 health camps in the quarter on 9th of every month to provide health care and Ante Natal
Care to the pregnant women of the community. The camp was organized with the support of Rainbow
Hospital Pvt.Ltd, Agra. The camp was organized at Rainbow Hospital, Sikandra, Agra. The camp was
started at 11:00 am. The camp was end up at 1:00 pm.
Ante Natal Checkups(ANC)
Dr. Narendra Malhotra, Professor and Dr.Parul Mittal, MD, diagnosed the pregnant women. 19
pregnant women provided ANC.
73

Pathological Services
Pathologists examine the pregnant women for BMD.BMI and Hb testing. Weighting of the pregnant
women was taken at the pathology counter. Blood Pressure of the pregnant women was taken at the
counters.

ANC in the health camp.

Blood Pressure check in the camp.

Yoga and Dietician Counter


Dr.Renuka Dang gave tips for diet during pregnancy.Dr. Dev Prakash gave tips of Yoga for the pregnant
women.
74

Yog session in the camp.

Health Camp (Govt.) :


We have organized 2 health camp in the quarter with the support of Distt.Health and Family welfare Deptt.
and SPM deptt.S.N.Medical college.

ANC in the camp.

Patients lined up in the camp.

75

Participation in Urban Health and Nutrition Day(UHND)


Cluster Coordinators and Link Workers participated in 101 UHND in the year.The slums are Satnam
Nagar,Vikram Nagar,Jagdishpura,Nai Awadi Bodla,Pathar Ghoda,Bai Ka Bazar,Baipur, Sarai
Bega,Mohamadpur,Baipur,Nagla Ber, RamNagar and Nagla Ajita.Vaccination of different vaccine was done
by Health Visiters.

Health and Nutrition counselling was given by HV to pregnant women and 0-1 yr child.
Adolescent girls were also vaccinated for TT.

UHND in the slum


76

Link Worker Training


We have organized III round and IIrd Link Workers training on June,11 to June,13,2012 and May,07 to
May,09,2012. We prepared a training schedule for the three day training. Sessions were planned with the
starting at 9:30 am to 5:30 pm.Training was organized with the lecture and group work methods. It was class
room training. The training was organized at Awadh Banquet Hall, Sanjay Place, Agra and NGO office.
One day training of Link Workers was organized on May, 04.2012 at Hotel Gateway. Capacity was
built up of link workers on mother and child tracking register.
Half day refresher training of Link Workers was organized on July, 27.2012 at Hotel Gateway.
Capacity was built up of link workers on mother and child tracking register.
Three days training of LWs was organized on Family planning and WASH issues on 24-26,
September, 2012. Mr. Rajeev Kumar took session on introduction of Family planning. India was the first
country to incorporate family planning in its first five year plan in 1952.Family planning is commonly
known as controlling the number of children in a family and spacing between their births by adopting any
family planning methods.He discuss role of link worker regarding family planning methods adoption.LWs
should counsel the couples for adoption of any family planning methods from basket of choice.Dr. Jatin
Dhingra clarifies the myths regarding the family planning methods.
Mr.Jhonson facilitated the sessions on WATSAN issues.

77

Three days training was organized at Moti Palace,Agra on Nutrition for Link Workers on January,
10-12,2013. Dr.Anupam Bhasker,District Immunization Officer inaugurated the training with lightening
the lamps before Lord Budhha. Dr. Bhasker gave details of the upcoming measles campaign and appreciated
our LWs and CCs efforts for improving immunization coverage in the intervention area. Mr. Rajeev
Kumar facilitated session on concept of Health, Food, Nutrition and Nutrient. He elaborates Health Health
is a state of complete physical, mental and social well being and not merely the absence of disease and
infirmity. He gave details on classification of food.

Capacity building of Link Workers.


78

Quarterly MAS meeting


We have organized 35 meeting in the period.The meetings were organized in New Awadi Bodla,
Baipur, Bhola Ka Nagla, Ram Nagar, Jagdishpura, Mahaur Nagar, Nai Awadi Bodla, Pathar Ghoda, Mahal,
Mohamadpur and Ram Nagar,Rajeev Nagar, Nagla Ber, Sarai Bega, Vikram Nagar, Mohamadpur, Bai Ka
Bazaar,Nagla Ajita, Bodla Sarai, Kishorepura, Subhaspuram and Mahal.
Points for the discussion were:

Identification of pregnant women.


Identification of High risk pregnant women and timely referral in emergency.
Lethal Diseases in 0-1 year children.
Counseling of Eligible Couples.
Use of IEC materials in the MAS meetings.
Demonstration of Snake Ladder game.
Risk pooling.
Use of Health resource Map.

Mr.Ravi Kashyap,PD and Mr.Rajeev Kumar.PC participating in the meeting.

Stakeholder Sensitization
We have organized a stakeholder sensitization meeting at ICDS office of Agra city, Project on May,
24, 2012.We discussed regarding AWW one day orientation and selection of AWC for Aan Prasan and God
Bharai celebration. Five AWCs were selected for the event. The AWCs were Kishorepura, Nagla Ajita,
RamNagar, Satnam Nagar and Nai Awadi Bodla. The celebration will be organized on every IIIrd Thursday
of the month.
79

AWW orientation
We have organized one day orientation of AWWs on May, 30, 2012 at Awadh Banquet hall, Sanjay Place,
Agra.Chief Guest to inaugurate the orientation was Dr.Anupam Bhasker; District Immunization Officer
(DIO).Guest of Honor was Ms.Kamlesh Gupta, District Programme Office (DPO), ICDS.We gave
introduction of the program and SNBS.

Inauguration of the orientation by Dr. Anupam Bhasker,DIO and Ms. Kamlesh Gupta,DPO

Film Show
We have 25 slums in our intervention area so we planned 8 film shows in these slums. We have
covered 3 slums in a show therefore we have covered 24 slums of the intervention area in these shows. The
shows were started since April, 2012 and end up on September, 2012.One Show was planned in one day.
The show started at 11:00 am. The film was based on Pregnant and new born care. Different messages were
given in film. Total 82 film shows were organized in the year. We asked questions in between the film show
to the audience and appropriate answers were gifted with prizes. We asked questions in the all film shows
and gifted 5 women each show for the right answer. Total 410 women were rewarded in the event.

80

Film show in the slum.

Healthy Baby Show:LWs, AWW and MAS members identified the participants for the show. Distt Health and Family welfare
department and ICDS were coordinated to provide support during the show.
9 AWWs named Ms. Anita, Madhupesh, Savitri, Rajeswari, Tulsi, Lalitesh, Anita, Shiva and Premlata
of the areas were participated in the show and facilitated the contestants. We have weighing scales for
weighing of the contestants. Contestants were screened at slum level by LWs in primary stage. Then
shortlisted were come to the show. All 21 contestants were weighted.
Criteria for the identification of healthy baby:We had laid down 3 criteria for the contestants.The criterias were:

Child should be below 1 yr of age.


Parents should have only two children.
Immunization as per age should be complete.

Total 21 children participate in the show. The immunization cards were checked for assessing their
immunization status. Three children were selected as per criteria and weight as per age.
The committee of Dr. Rakesh Agnihotri, Ms. Harpyari, Ms.Dulari, HV and Ms.Anita, AWW decided the
winners of the show.

81

Participants in the show.

Winners were awarded by Dr.Agnihotri.

Aan Prasan and God Bharai ceremony


We have organized 60 ceremonies in the year in slums of the Agra City. The slums covered were Ram
Nagar, Nagla Ajita, Nai Awadi Bodla, Satnam Nagar and Kishorepura.
The ceremony was organized at Aagan Wadi Centre (AWC) of their slum. The ceremony was started at
11:00 am and end up at 01:00 pm. Total 349 pregnant women have God Bharai ceremony and 334 children
below 1 year have Aan Prasan in the ceremony. Ceremony was enjoyed by the participants and MAS members
and community women.
AWWs name Ms. Madhupesh, Ms.Hemlata,Shiva Chaudhary,Rajeswari,Anita,Neelam Saxena,Savitri and
Sunita Devi of the areas were participated in the ceremony and facilitated the beneficiaries. LWs and AWW
identified the beneficiaries of the ceremony.

82

Welcome of Ward Members by Mr.Ravi Kashyap,PD

Ann Prasan and God Bharai ceremony by Ms. Sunita ji and Ms. Richa Sharma.

83

Point of Use training:Three days training was organized at Ward -80 Tajganj, Agra.5 LWs, 3 CCs and PC participated in the
training on September, 10-12, 2012.Mr. Anil, Dr.Himani, Mr.Miraj and Ms. Chipra facilitate the training.
Exposure visit:Jaipur HUP city team had exposure visit in our intervention area on 20-21,September,2012.They visited
Saraswati MAS,Nagla Ajita and Dr.B.R.Ambedkar MAS,Jagdishpura during the visit to understand risk
pooling carried out by the MAS.

Exposure visit by Jaipur team.

Children Day Celebration:


Children day was celebrate on November, 17, 2012 at Baipur. Film regarding child anxiety for today
education system was shown in the celebration. The message of the movie was every child is special and
should be treated in special ways. We can fight with children dilemma for today education system and help
them to overcome of these issues. Film Taare Zamin Par was shown to aware the audience regarding
children confusion for the education.

84

Film show was enjoyed by the children on Children Day

Healthy baby show was organized in the celebration to aware the community regarding infant care.

Criteria for the identification of healthy baby:We had laid down 3 criteria for the contestants.The criterias were:-

Child should be below 1 yr of age.


Parents should have only two children.
Immunization as per age should be complete.

Total 15 children participate in the show. The immunization cards were checked for assessing
their immunization status. Three children were selected as per criteria and weight as per age.

85

Children DayCelebration.

Training of Field Staff:Four days VI round training for field staff was at Kolkata on 27-30, November, 2012 by PMU. Two days
training was organized at Bhubaneswar on HMIS for Project Coordinator and Data Operator on December,
20-21, 2012.

86

Review Visit:Review visit to cross check HH survey was done by Dr. Jatin on October, 20, 2012.During the visit
Dr. Jatin visited Nagla Ber, Ram Nagar, Kishorepura, Geetapuram, Bhola Ka Nagla and Pather Ghoda.
Review visit was on March,20-21,2013 by Mr. Rajiv and Dr. Jatin.

Review visit by Mr. Rajeev and Dr. Jatin

Vaccination session with support of other stakeholders


We have organized 5 UHND sessions. The slums covered were Bodla Sarai, Mahaur Nagar, Nai Awadi
Bodla,Sarai Bega and Nagla Ajita. Moolwati gave vaccination to the beneficiaries. Vaccines were facilitated
by Deptt. of Health and Family welfare, Agra. The details of the vaccination is as below:

Name of
the slum

Date

TT

TT
II

ANC
I

ANC
II

BC
G

I
Mahaur
Nagar

DPT-I

DPTII

DPTIII

Hpt

Hpt

Hpt

Measles

12.03.2013

Bodla Sarai 15.03.2013

87

Nai Awadi
Bodla

16.03.2013

12

15

13

Nagla Ajita

22.03.2013

Sarai Bega

23.03.2013

We have organized 5 UHND sessions with support of Deptt. Of Social and Preventive Medicine,
S.N.Medical College, Agra. The slums covered were Bodla Sarai, Mahaur Nagar, Nagla Ber, Nagla Ajita
and Rajeev Nagar. Dr. Ravindra and Dr. Meenal from Deptt. Of Social and Preventive Medicine,
S.N.Medical College, Agra participated in the sessions. Moolwati gave vaccination to the beneficiaries.98
patients in Bodla Sarai, 77 patients in Mahaur Nagar, 294 patients in Nagla Ber, 125 patients in Nagla Ajita
and 66 patients in Rajeev Nagar were given prescription for their ailments. Medicines and Vaccines were
facilitated by Deptt. of Health and Family welfare, Agra. The details of the vaccination is as below:

Name of
the slum

Date

TT

TT
II

ANC
I

ANC
II

BC
G

DPT-I

DPTII

DPTIII

Hpt

Hpt

Hpt

Measles

Bodla Sarai 14.02.2013

11

Mahaur
Nagar

16.02.2013

10

Nagla Ber

20.20.2013

Nagla Ajita 23.02.2013

Rajeev
Nagar

27.02.2013

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Vaccination and Ante Natal Checkups in health facility camp.

MAS and Service provider linkage meeting


MAS and service provider meeting was organized on 26.02.2013 at Panchsheel Community Hall, Nagla
Ajita. The discussion points were:
Introduction of HUP program.

Subsidizing cost of treatment for patients refer by MAS.


Demonstration of Health resource map and MCTS registers was done in the meeting.

MAS- Service provider linkage meeting.


89

Ward Coordination meeting


Ward coordination meeting was organized on March, 07, 2013 at Panchsheel Community Hall, Nagla Ajita.
We have formed 6 ward coordination committees. Different stakeholders participate in the meeting i.e. MAS
members, LWs, Mukhya Sevika, Sanitary Inspector, MOIc, Ward counselor. The ward no. are 68,
53,19,01,14 and 78.
The discussion points were:
Introduction of HUP program.

Formation of ward coordination committees.


Demonstration of Health resource map and MCTS registers was done in the meeting.

Ward coordination meeting.

D-type coordination meeting.


We have organized D-type coordination meeting on on March, 07, 2013 at Panchsheel Community Hall,
Nagla Ajita. Health visitor, MOIc, LWs, MAS members participated in the meeting.
The discussion points were:

Introduction of HUP program.


Introduction of the respective Health Visitor with MAS and
LW.
90

D-type coordination meeting.

Health ICDS coordination meeting


We have organized Health ICDS coordination meeting on March, 07, 2013 at Panchsheel Community Hall,
Nagla Ajita. Health visitor, MOIc, LWs, MAS members and Aganwadi Workers participated in the meeting.
The discussion points were:

Introduction of HUP program.


Introduction of the respective Health Visitor with MAS,
AWW and LW.

UHND schedule was drafted in the meetings.

ICDS-Health coordination meeting


91

Water Day celebration


World Water Day was celebrated on March,22,2013 at Sita Ram Ki Bagichi,Nagla Ber,Agra.Films regarding
water conservation and proper handling of water was shown in the celebration. The message of the movie
was every drop of water is crucial and preserves it for future. Movie Din badlenge shows the struggle of
slum dwellers for proper hygiene. It shows the hazards of poor hygiens and risk of water hatching from the
nearby area. Movie Pani ki Jugad shows the means of the slum dwellers for water. They even fight for
water and they do not get it as per their requirement.Another movie Haule Haule gave message regarding
proper birth spacing and marriage at proper age.

Water Day celebration

MAS sammelan
MAS sammelan was organized on March, 08, 2013.The sammelan will be organized at Panchsheel
Community Hall, Nagla Ajita. We planned the event two weeks in advance of the day. Govt.
stakeholders were informed regarding the event. Integrated Child Development Services schemes
(ICDS), Distt. Health and Family Welfare Deptt. and others were informed through letters prior to the
event. Programme of the activities was shared with CMO, ACMO, DPMU, DPO, CDPO and other
government officials. They instruct their staff as per plan. We invite all the MAS members to participate in
the sammelan. All the 24 slums of the intervention area were covered in the event. The sammelan will be
organized from 10:00 am to 4:00 pm. The participants were 280.
A rally was organized to generate awareness among the community regarding women empowerment and
roles and responsibilities of MAS. 5 slums of Agra city would be covered by the rally namely are Nagla

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Ajita, Ram Nagar, Nagla Ber, Kishorepura and Jagdishpura. MAS members will participate in the rally. The
rally had app. 250 participants. The rally started at 8:30am and end at 10:00am.
MAS, performing well were rewarded in the sammelan. Excellent performing link workers were rewarded in
the sammelan as well. Gifts were distributed as per their performance.3 MAS and 3 Link Workers were
rewarded in the event. We honored 5 women i.e. Dr. Nirmla Yadav, CMO,Dr. Renu Agarwal, Assit.
Professor, SPM, Ms. Harpyari and Ms. Dulari, Health Visitor and Ms. Sharda Vimal for their efforts of
women empowerment.

Dr. Nirmla Yadav,CMO addressing the gathering.


Yadav,CMO

Winner were gifted by Dr. Nirmla

Dr. Nirmala Yadav being honored by Mr. Ravi Kashyap and Dr. Renu Agarwal
93

94

Health of the Urban Poor (HUP) 2013 2014


Total
Slums

Total population
covered

Total families
covered

Total
pregnant
women

Total 0-1 yr
children

Total eligible
couples

25

52263

10974

642

1140

7556

Mahila Aarogya Samiti (MAS)


We have strengthen 20 MAS in our intervention area during the period. The slums are Nagla
Ber,VikramNagar,Shyam
Nagar,Mohamadpur,Kishorepura,Bai
Ka
Bazar,Sarai
Bega,
Baipur,Jagdishpura,Nai Awqadi Bodla,Ram Nagar,Nagla Ajita,Subhashpuram,Rajeev Nagar,Bai Ka
Bazar,Pathar Ghoda,Mahal and Mahaur Nagar.

Review meeting of CCs and Link Workers


We organised 7 review meeting on 30/10/2013, 30/09/2013, 31/08/2013, 31/07/2013, 29/06/2013,
29/05/2013 and 30/04/2012 to analyse the progress of the month of month in the year. Programme activity
plan on new format of LWs for the months was prepared in the meeting.Different programme activities
were included i.e.Community meeting ,HH visit,MAS meeting and God bharai & Aanprasan.We discussed
Monther and Child tracking format and Birth spacing format.Queries regarding the register were
addressed.New Daily diaries were distributed to the LWs.We would ensure participation in the Urban Health
and Nutrition Day in the intervention area.IEC materials were distributed in the meeting.We have given
orientation on using of the IEC materials. New Daily diaries were distributed to the LWs. . Programme
activity plan of LW s was prepared in the meeting.Different programme activities were included i.e.HH
visit,MAS meeting/training and God bharai & Aanprasan in the tour plan.We discussed on
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Daily diaries to be mainted and timely reporting must be submitted to concern CC by 27 th of every
month.
We would ensure participation in the Urban Health and Nutrition Day in the intervention area.
Participation of CC in MAS meeting in a month for support to the MAS and capacity building.
Feed back was given on summary of monthly activities.
New incentive based honorerium plan.

Discussion during review meeting by Mr. Ravi Kashyap,President,SNBS and Mr. Rajeev
Kumar,PC,HUP-SNBS

MAS members training

We have participated in MAS meeting and built their capacity on high risk pregnancy, Ante Natal Care
and identification of pregnancy and calculations of EDD, 5 Cleans during emergency, danger sign during
delivery, post natal care, birth planning, danger sign during pregnancy. We have built their capacity in all 20
MAS in our intervention area.We have organized 601 such meeting to built their capacity.

96

Training in progress in presence of Mr. Ravi Kashyap,President,SNBS.

Training in progress in slums with MAS members.

97

Community Meetings
We have organized 105 community meetings in the intervention area during the quarter. We discussed
MCHN and WATSAN issues with the community women. We discussed about new born care and Care
during pregnancy and ANC, PNC and INC. MCHN and WATSAN issues with the community women.
We discussed about new born care and Care during pregnancy and ANC, PNC and INC.
Extra meal during pregnancy.
Problem related to water and sanitation was discussed in the meetings.
Organizing Ann Prasan and God Bharai ceremony at AWCs.

Community meeting being carried out in presence of Mr. Ravi Kashyap,President,SNBS.

98

World Health Day Celebration (06.04.2013)


World Health Day was celebrated on April, 06, 2013 at Mohamadpur.
Activity in on the day: Film Show: - Films regarding health behavior was shown in the celebration. The message of the movie was
Health is assets for everybody. Movie Din badlenge shows the struggle of slum dwellers for proper
hygiene. It shows the hazards of poor hygiens and risk of water hatching from the nearby area.Another
movie Haule Haule gave message regarding proper birth spacing and marriage at proper age.
Sharing of the experiences:-MAS members shared their experiences regarding poor health can leads to
death. Ms. Munni ji from Ram Nagar shared her experience.

Film show during the event.

Breast Feeding Week celebration


The event covered 4 slums of the project area.The slums are Jagdishpura,Shyam Nagar.Pathar Ghoda and
Bai Ka Bazar.The event was organised on August,02,03,05 and 07,2013.
Quiz Competition:-We organized quiz competitions in the above slums. 12 Questions related with breast
feeding to be answered by the participants. Participants were from MAS members and community women.8
winners were selected from the each competition. Gifts were given to them.

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Rewarding of the winners:- We asked questions in the competition to the audience and appropriate answers
were gifted with prizes. We asked 12 questions in the each event and gifted 8 participants for the right
answer. Total 32 women were rewarded in the event.

Mr.Ravi Kashyap facilitating the participants.

100

Health Camp:We have organized 7 health camps in the quarter on 9th of every month to provide health care and Ante Natal
Care to the pregnant women of the community. The camp was organized with the support of Rainbow
Hospital Pvt.Ltd, Agra. The camp was organized at Rainbow Hospital, Sikandra, Agra. The camp was
started at 11:00 am. The camp was end up at 1:00 pm.
Ante Natal Checkups(ANC)
Dr. Narendra Malhotra, Professor and Dr.Parul Mittal, MD, diagnosed the pregnant women. 218
pregnant women provided ANC.

Dr. Parul and her colleague giving prescription to the pregnant women.
Pathological Services Pathologists examine the pregnant women for BMD.BMI and Hb testing. Weighting
of the pregnant women was taken at the pathology counter. Blood Pressure of the pregnant women was taken
at the counters.

101

ANC in the health camp.

Blood Pressure check in the camp.

Yoga and Dietician Counter


Dr.Renuka Dang gave tips for diet during pregnancy.Dr. Dev Prakash gave tips of Yoga for the pregnant
women.

Participation in Urban Health and Nutrition Day(UHND)


Cluster Coordinators and Link Workers participated in 92 UHND in the year.The slums are Satnam
Nagar,Vikram Nagar,Jagdishpura,Nai Awadi Bodla,Pathar Ghoda,Bai Ka Bazar,Baipur, Sarai
Bega,Mohamadpur,Baipur,Nagla Ber, RamNagar and Nagla Ajita.Vaccination of different vaccine was done
by Health Visiters.585Pregnant women,660 Lactating women,724 (0-1 yr Children) ,745 (1-5 yrs Children)
vaccinated during the period.

Health and Nutrition counselling was given by HV to pregnant women and 0-1 yr child.
Adolescent girls were also vaccinated for TT.

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Link Worker Training

POU training was was organized on June, 03-05, 2013.


The training was facilitated by Mr. Meraj,Mr. Anil and Dr. Himani.

POU training for Link Workers, AWWs and community people in progress
103

Refresher training on MCTS register was organized on


May, 25, 2013. The training was facilitated by Dr. Jatin. Delhi team also participated in the training.
Two day training was organized for orientation on baseline
survey for POU on 15 and 16 April,2013. The training was facilitated by Ms. Shipra and Ms.
Sumoni.
Three day training of LWs was organized on April, 2224,2013 at Nagla Ajita.

Participants are completing their assignments of training.

Refresher training on HH survey for LWs was organised on September,13,2013.Capacity of LWs


was built up on additional colums and code to be filled during the survey.

Refresher training was organized on April, 04, 2013


regarding MCTS register updation.

Aan Prasan and God Bharai ceremony

We have organized 35 ceremonies in the year in slums of the Agra City. The slums covered were Ram
Nagar, Nagla Ajita, Nai Awadi Bodla, Satnam Nagar and Kishorepura.
The ceremony was organized at Aagan Wadi Centre (AWC) of their slum. The ceremony was started at
11:00 am and end up at 01:00 pm. Total 180 pregnant women have God Bharai ceremony and 164 children
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below 1 year have Aan Prasan in the ceremony.


Ceremony was enjoyed by the participants and MAS
members and community women.
AWWs name Ms. Madhupesh, Ms.Hemlata,Shiva Chaudhary,Rajeswari,Anita,Neelam Saxena,Savitri and
Sunita Devi of the areas were participated in the ceremony and facilitated the beneficiaries. LWs and AWW
identified the beneficiaries of the ceremony.

Ms. Ram Dhakeli,Ward Member participating in the ceremony.


in the ceremony.

Member from BBSR exposure team

Exposure visit:Bhubneswar HUP city team and Delhi HUP team had exposure visit in our intervention area during the year.
BBSR team of 17 persons had exposure visit in our intervention slum Kishorepura and Ram Nagar. UHND
was observed in Kishorepura slum and Aan Prasan & God Bharai was observed in Ram Nagar slum. They
interacted with Ram Nagar MAS regarding risk pooling and referral.

105

Exposure visit by BBSR HUP team


We had an exposure visit from Hope World Wide team in the month.Team of 35 participants from MAS and
project team was lead by Ms. Amruta Valli.Objective of the visit was to get understanding on MAS
functioning and AWC functioning.Kishorepura one of the slum of our intervention area was visited by the
team.Jai Guru Dev MAS gave them exposure for their functioning.Mrs.Lilawati ji,President gave brief
introduction of the MAS and its working.AWC was visited by the team.Ms. Rajeswari,AWW told them the
services given at the AWC and information regarding UHND.

Exposure visit by Delhi HUP team.


106

Vaccination session with support of other stakeholders


We have organized 30 UHND sessions. The slums covered were Bodla Sarai, Mahaur Nagar, Nai Awadi
Bodla,Sarai Bega,Rajeev Nagar and Nagla Ajita. Moolwati gave vaccination to the beneficiaries. Vaccines
were facilitated by Deptt. of Health and Family welfare, Agra. The details of the vaccination is as below:
Name of
the slum

Date

TT

TT
II

ANC
I

ANC
II

BC
G

I
Bodla Sarai 27.09.2013

DPT-I

DPTII

DPTIII

Hpt

Hpt

Hpt

Measles

13

11

16

12

24

13

21

16

19

19

23

17

15

21

16

22

18

27

23

19

15

14

15

16

16

14

22

26

23

24.08.2013
24.07.2013
17.06.2013
20.05.2013
27.04.2013
Mahaur
Nagar

27.09.2013
26.08.2013
25.07.2013
18.06.2013
18.05.2013
13.04.2013

Nai Awadi
Bodla

30.09.2013
29.08.2013
27.07.2013
21.06.2013
21.05.2013
29.04.2013

Nagla Ajita

28.09.2013
27.08.2013

107

26.07.2013
22.06.2013
22.05.2013
25.04.2013
Sarai Bega

26.04.2013

Rajeev
Nagar

25.09.2013

23.08.2013
23.07.2013
20.06.2013
23.05.2013

Vaccination and Ante Natal Checkups in health facility camp.

108

MAS and Service provider linkage meeting


Health service providers and MAS coordination meeting was organized on May,22,2013 at Sita Ram ki
Bagichi,Nagla Ber.The topics of the meetings were:

Referral form MAS.


Concession in fee for the patients refer by MAS.
Other.

MAS- Service provider linkage meeting.

Ward Coordination meeting

Ward coordination committee meetings were organized in 3 ward i.e. Ward no.68,78 and 53 in the month.On
the other hand Ward coordination committee meetings were organized in 3 ward i.e. Ward no.1,14 and 19 in
the month.The topics of the meetings were:

Presentation of Last quarter progress.


Sharing of Activity plan for the next quarter.
Importance of MAS in the committee.
Others.
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Ward coordination meeting.

110

111

112

AGRA URBAN HEALTH PROGRAM (AUHP)


Review meeting of Community Link Volunteer (CLV) and Community Organiser
We organised 3 review meeting on 31/01/2014, 03/01/2014 and 29/11/2013 to analyse the progress of
theperiod. Programme activity plan of CLVs was prepared in the meeting.Different programme activities
were included i.e.HH visit in the tour plan.
We discussed on :

We would ensure participation in the Urban Health and Nutrition Day in the intervention area.
Participation of CO in MAS meeting in a month for support to the MAS.
Feed back was given on summary of monthly activities.
Updation of Daily Diaries by CLVs.
Celebration of Ann prasan and God Bharai ceremony in the month.
Regular updation of MAS records.

Participation in UHND
Community Organiser and CLVs participated in 6 UHND in the period.The slum was Ramnagar. 81
pregnant women, 74 lactating mothers,131 (0-1 yr children) are benefitted in the UHND.

113

Health facility Camp


Organize 3 outreach camps during the period to provide health care and Ante Natal Care to the pregnant
women of the community. The camp was organized with the support of Rainbow Hospital Pvt.Ltd, Agra.
The camp was organized at Rainbow Hospital, Sikandra, Agra. The camp was started at 11:00 am. The camp
was end up at 1:00 pm. The camp benefitted 12 women of Ram Nagar.
Ante Natal Checkups(ANC)
Dr. Narendra Malhotra, Professor and Dr.Parul Mittal, MD, diagnosed the pregnant women.31 pregnant
women provided ANC.
Pathological Services
Pathologists examine the pregnant women for BMD.BMI and Hb testing. Weighting of the pregnant
women was taken at the pathology counter. Blood Pressure of the pregnant women was taken at the
counters. Ultra sound examination was also done in the camp.

114

Dr Parul giving prescription to the pregnant women.


Ann Prasan and God Bharai ceremony
The ceremony was organized in 1 slum of the Agra City on January, 16, 2014,December,19,2013 and
November,21,2013. The slum covered was Ram Nagar.
The ceremony was organized at Aagan Wadi Centre (AWC) of the slum. The ceremony was started
at 11:00 am. The ceremony was end up at 01:00 pm. Total 36 pregnant women have God Bharai ceremony
and 32 children below 1 year have Aan Prasan in the event. Ceremony was enjoyed by the participants and
MAS members and community women.AWWs name
Ms.Savitri of the area participated in the ceremony
and facilitated the beneficiaries.AWWs and CLV with
Community Organiser informed the community well
in advance about the ceremony.
Aan Prasan: In this ceremony the child is given
semisolid food. The food is rice pudding which is
neither drinks nor food, is popular and liked by the
child. The ingredients of pudding are honey, butter,
basil leaf and holy water .It is been served to the child
and then semi solids are started to the Child in it meal.
Usually it is started at the age of 7 mths of the child.As
stated in the scriptures that timely starting of the
115

semisolids will increase the intelligence, and personality. As per Rituals our Mind, Character and Personality
depends according to our Food.
God Bharai: God Bharai is an interesting north
Indian Hindu ceremony which is also performed in
other parts of the country. In Bengal it is known
as Shaad,
in
Kerala
the
ceremony
is
called Seemandham and
in
Tamil
Nadu
the Valakappu is the equivalent of the God Bharai. In
Hindi God Bharai literally means to fill the lap with
abundance.GOD BARAI is doing When a pregnant
woman has completed seven months of gestation
period, the baby is assumed to be viable and in a safe
phase. So, the celebration is usually at the end of the
seventh month or in the eighth month to welcome the
little one to the family and literally fill the motherto-bes lap with gifts and fruits to bless her with the
abundant joys of motherhood.

MAS trainings/Meetings
We have participated in 67 MAS meeting and built their capacity on program strengthening.

MAS meeting being participated by CO.


116

SAVING INDIAN MOTHERS AND BETI BACHAO:

Honble President of India Smt. Pratibha Patil, along with members of the Federation of Obstetrical & Gynecological
st
Societies of India (FOGSI) and Mr. Ravi Kashyap, President, SNBS at Rashtrapati Bhawan, New Delhi, on 1 October 08.

A healthier, happier mother and to Save and educate the girl child: SNBS, along with
its all staff and Women Health Samities has organized the Health camps, awareness programs to
spread this message.
The overall impact of Awareness Program was very positive. People have decided to go to the
hospitals for regular antenatal checkups and delivery, after attending the awareness programs.
Below are the photographs of achievements of SNBS and main activities organized for urban poor
population with coordination of FOGSI, from beginning up till July 2009.

Dr. Narendra Malhotra, President FOGSI addressing people


on importance of the campaign in Women Health and
Awareness Camp organized by SNBS at Agra on 22.10.08

Mr. Surendra Singh IAS, CDO Agra, addressing people on


protection and education of girl child in Women Health
and Awareness Camp organized by SNBS at Agra on
22.10.08
117

Dr. B.P Ashok IPS, SP City Agra, addressing people on


education of girl child in Women Health and Awareness
Camp organized by SNBS at Agra on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly


organized by FOGSI and SNBS and flagged off by Mr.
Surendra Singh IAS, CDO Agra, on 22.10.08

Rally on Beti Bachao, Beti Pardao Abhiyan jointly organized


by FOGSI and SNBS on 22.10.08, comprised of students,
staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan


jointly organized by FOGSI and SNBS, comprised of
students, staff and Women Health committees of SNBS

Huge rally Rally on Beti Bachao, Beti Pardao Abhiyan


jointly organized by FOGSI and SNBS on 22.10.08

Huge rally on Beti Bachao, Beti Pardao Abhiyan jointly


organized by FOGSI and SNBS on 22.10.08

118

CMO Agra inaugrating Women Health and Awareness


Camp, organized by SNBS with help of FOGSI and Health
Deptt. on International Women Day

Women and children seeking Health check up and Health


services in Women Health and Awareness Camp on
International Women Day

Health Check up of 3000 women was conducted and


medicines provided in Camp on International Women Day

Women Health and Awareness Camp on International


Women Day

450 Ultrasound were conducted by Dr. Narendra


Malhotra, President FOGSI in Women Health and
Awareness Camp on International Women Day

Dr. Narendra Malhotra conducting Ultrasound of


community women in Women Health and Awareness
Camp on International Women Day
119

Women Health and Awareness Camp on International


Women Day

Women Health and Awareness Camp on International


Women Day

Women and children seeking Health check up and Health


services in Women Health and Awareness Camp on
International Women Day

Eye Check up of 200 women were conducted and 20


women were referred for operation in Health Camp on
International Women Day

Mr. Ravi Kashyap, SNBS along with ward members


providing counselling on Healthy behaviours to women in
Health and Awareness Camp on International Women Day

Mr. Ravi Kashyap, SNBS creating awareness on Health and


removing myths and misconsuptions amoung community
women in Health and Awareness Camp

120

121

122

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