A. ANANYA – Marriage: No Child’s Play
Child marriage is a violation of child rights, and has a negative impact on physical growth, health, mental and emotional development, and education opportunities. It also affects society as a whole since child marriage reinforces a cycle of poverty and perpetuates gender discrimination, illiteracy and malnutrition as well as high infant and maternal mortality rates. The situation is particularly alarming in the eastern state of Odisha. The prevalence of the practice is wider in the tribal populated backward districts of the state. Kandhamal district is one among those districts where this practice prevails traditionally among the tribal and rural villagers. Acute poverty, Lack of education, awareness, skill based education opportunity and strong belief on tradition has forced the villagers to fallow this illegal practices. SWATI is implementing this project ANANYA for prevention of child marriage in Kandhamal district.
SWATI in association with Save the Children is implementing ANANYA Project in 11 Gram panchayats of K. Nuagaon Block of Kandhamal District. The main objective of this project is to change harmful cultural practices that normalize child marriage whilst providing girls with SRH knowledge and access to the services they need to make informed health decisions. Young people are able to decide if and when to marry and pursue their SRHR in a supportive environment.
The major activities of the programme are to provide girls and their communities with the tools and knowledge to stop early and forced marriages and give girls a better start in life. Providing alternatives to child marriage and mitigating the impact on married girls. Enhancing access to income generating opportunities for girls and their families, providing financial literacy training for girls to increase their ability and power in financial decision-making, Enhancing access to improved Child protection systems for girls at risk of child marriage and already married girls so that preventive and response measures can be taken, Increasing access to quality youth-friendly SRHR services (that are available, affordable, and acceptable and appropriate) for unmarried and married young people.
To protect the rights of Minority and Schedule cast women and to provide them legal support on Atrocity and entitlement cases SWATI is implementing REHNUMA project. The major activities of this programme are Organising minority women, identifying the issues related to their right and entitlement, Capacity Building to access the entitlements, Legal awareness and support and create a pressure group to access government provisions.
SWATI has been implementing REHNUMA project in association with United Nations Women in 22 villages including NAC G.Udayagiri in G. Udaygiri block and 23 villages of Raikia Block in Kandhamal District.
C. National Institute of Open Schooling ( NIOS)
SWATI has established a Study Center under National Institute of Open Schooling (NIOS) at Bandhagada helping the dropout children gain access to formal education since 2011. Swati had joined with FVTRS from 2006-07 through skill development programmes like cycle repairing, carpentry, terracotta and food processing for the local dropouts. At that time SWATI had surveyed to find out the percentage of dropouts and planed to enroll them for higher education and education. In 2011 FVTRS started support to SWATI for opening the National Institute of Open Schooling (NIOS) center at Bandhagada accreditedas AI-AVI-SLEID. Now NIOS is providing the following supports to Dropouts through Study center.
Offline enrollment, examination registration, study material distribution, personal contact programmes and conduct practical examination.
NIOS is trying to create a friendly environment between student and facilitators for a easy learning process through different workshops and training programmes
NIOS is trying to contact directly with the learners for smooth communication by issuing ID card till getting their certificate.
During 2017-18 Academic Year 54 students have enrolled, 27 appeared examination and 13 students have passed out from the study centre. Since inception total 720 students have been registered in NIOS, Out of them 560 Students have appeared the examination. Total 335 students have passed out from the Institute.The total success percentage is 62%, out of which 41% students are continuing their Higher Study and 21% students have got jobs in various sector.
D. Early Childhood Care & Education
This project titled ‘Creating Education Opportunities for Children From the most marginalised Communities’ has been conceptualised to strengthen early years learning experiences of young children by having intervention in AWCs and schools in Phiringia block of Kandhamal District since 2018.
This project will focus on developing and showcasing effective ECCE models with support from Ferrari in the next two years. This project would look into four interlinked dimensions for promoting school
readiness skills in the transition of children from preschool to primary school. These dimensions are as follows; Ready Children, Ready Families, Ready School and Ready System. Anganwadi workers and early grade school teachers will be capacitated so they are able to build skills and understanding of young children and ensure their successful transition to a primary school environment.
Through this project SWATI will have direct intervention in a total of 100 Anganwadi Centres and 50
government schools in the block and will work with AWWs and early grade school teachers to ensure quality
classroom transactions processes leading to improved school readiness skills of around 6000 children between the age group of 3+ and up to 8 years who are deprived of quality learning opportunities.
The project intervention is based on evidence and is underpinned by a rigorous measurement of school readiness skills of children. We will work in partnership with parents, communities, and duty bearers to ensure impact at a large scale, sustainability and replicability. Advocacy askes would be taken forward through civil society networks; state level RtE forums, National RtE Forum, SMCs, Mothers Groups and Children’s Groups.
E.Targeted Intervention (TI)
With the Objective to prevent infection through saturation coverage of high- risk groups, provide care, support and treatment to PLHA, strengthen the infrastructure, system and human resources in prevention, care, support and treatment programme and strengthen strategic information management system SWATI has been implementing Targeted Intervention Programme since 2010 for core group of FSWs spread across five blocks i.e; Khajuripada, Phulbani, Phiringia, Tikabali and G.Udayagiri covering 350 female sex workers (home based – 285 and Street based – 65 ).
Under this Project SWATI has taken different program activities like: Condom Promotion (Promotion/Distribution of Condoms)- Condom demonstration and distribution, Social Marketing and Establishment of Condom Outlet, Develop Inter-personal Behavior Changes Communication, Community Mobilization and IEC activities, STI Clinic provisions of services for Sexually Transmitted Infections, Establishment of Drop-in Centers, Establishment of STI clinic and health camp organisation for Referral and linkage service, Linkage to Integrated Counseling and Testing Centers (ICTC), Creation of enabling environment (Advocacy for Enabling Environment and enrolling more and more TGs through counseling and mobilization).
F. BIKE Ambulance & Mobile Delivery Unit
To Ensure the Institutional Delivery of the Pregnant Mothers in inaccessible area of Kandhamal and to provide Ambulance facility at the door step SWATI has started BIKE AMULANCE service from this year in Phiringia Block area with the support of National Health Mission, Kandhamal. This Bike Ambulance can reach in inaccessible villages and provide service to the villagers in free. This service will support in transportation of delivery mothers and will reduce the percentage of IMMR and MMR in the remote villages. This will also engage in transporting sick/newborn children up to 5 year and emergency health care.
Remote and inaccessible area pregnant mother are facing difficulty to access the facilities for institutional delivery. With support of National Health Mission, a pilot model established in Phiringia block which will provide 24X7 delivery support. The vehicle completely managed with facilities of institutional delivery with support of Health professional on the road, unless it complicated.
G. Maternal New born Child Health and Nutrition (MNCHN)
SWATI had been implementing Maternal New born Child Health and Nutrition (MNCHN) project with the support from Save the Children, India in 211 villages of 14 Panchayats in Phiringia Block from 2012 to 2016. The Project seeking the goal of strengthening Maternal, New born and Child Health and Nutrition services and practices stands on the pillar of Capacity Building, Governance and Accountability. After complete of the project period Now SWATI is doing follow up activities in the area and supporting the village health institutions to avail the Government health facilities. SWATI is also assisting the AWWs, ASHAs and ANMs to strengthen Maternal and New born Child Health in villages.
Activities: The major activities of this program are: Strengthening the village health institutions and ensuring villages participation in health activities, Building health and sanitation awareness among villagers and PRIs, Supporting the villagers to avail government health facilities, Capacity building of village level health workers and facilitation of Health camps, sector meetings and celebrations.
SWATI has given follow-up training and orientation to GKS members on Preparation of Village Health Plan, Mother committee members on Anganawadi management, PRI members on Monitoring of village Health plan, GKS review meetings and strengthening of VHND, and Organised Panchayat level Awareness Programmes, Celebration of National Nutrition Week, National Breast feeding Week, Population Fortnight Campaign,
H. V4 Sub Centres
SWATI is Implementing V4 Sub Center program covering 1848 households of 27 villages and 81 Hamlets in Indragada, Ranaba & Badabaraba Sub-centers. This Programme is addressing unmet health needs of the 4 most vulnerable categories in key service areas such as: Maternal Health, Child Health, Family Planning, Adolescent and Reproductive Health, Prevention and management of RTI and STI. The initiative has well orchestrated objectives to complement and supplement health service effectively at V4 Subcenter level, Promote Community participation in national health programs, strengthen referral service for primary health care, promote health seeking knowledge, attitude and practices through client centered and integrated public health communication, encourage institutional service seeker and service provider at community level, encourage innovative initiatives to address the health need issues at community level and strengthening liaison and coordination with health institutions.
Major activities of this programme are – Strengthening Community initiative (handholding support to grassroots service providers and people’s committees) and training of frontline health worker and community leaders. Home visit of ASHA and ANM to improve ANC Coverage, ANC facilitation at nearby health institution, provision of local referral transportation service and Facilitation of institutional care of identified high risk pregnant women and infants have regularized and improved.
I. Maternity waiting Home ( MAA GRUHA )
Establishment of Maternity waiting homes in remote and inaccessible areas has been one of the initiatives designed under National Rural Health Mission to increase institutional delivery so that maternal mortality as well as Neo Natal Mortality could be reduced. Maternity Home not only provides accommodation facility to the pregnant mother, days before the expected date of delivery but also health care services by trained health professionals and includes provisions of nutritious food for the pregnant mothers. SWATI has been managing a maternity waiting Home at Balandapada of Phiringia Block since August 2013 with the support of National Rural Health Mission of Government.
The outreach area of the Maternity have covers six panchayats i;e Luising, Balandapada, Pahiraju, Krandibali, Kuirimunda and pakari. These areas are mostly remote and inaccessible and far away from government health facilities. Villagers are mostly depending on traditional healers and local quacks for health service. Poverty and lack of awareness have been forced them to adopt traditional health care practice since generations. Lack of money for treatment, distance of medical and health institutions from village, lack of government initiatives to provide health facilities at village level, inactive village level health institutions, absent of good doctors in medical, traditional bondage and many such problems have been made the villages inaccessible to modern health care services.
J. Social Audit
SWATI is implementing Social Audit programme in 4 blocks of Kandhamal, 3 blocks of Khordha and 3 blocks of Ganjam in association with state government and District Adminstrations. The main Objective of this process is to access the physical and financial gaps between needs and resources available for local development and to create awareness among beneficiaries and providers of local social and productive services. It is the technique to understand, measure, verify, report on and to improve the social performance of the department and the process to identify narrow gaps between vision/goal and reality, between efficiency and effectiveness. SWATI has effectively implemented this process in targeted clusters and organised camps with administration and villagers, identified gaps and irregularities and negotiated concern department to correct the mistakes and faults.
Due to this process many villagers have got their pending dues in MGNREGA works, Indira Awas, Pension and other social security and government provisions.
Many Departments have rectified their implementation faults in project work and many pending works have complemented.
This process has created a clean relationship between departments and the villagers and empowered the community on information and implementation of government development programmes.