Professional Documents
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Overview of HD Project
The proposed Human Development (HD) initiatives under TRIGP is primarily to
converge with line departments and build upon the existing structures and
mechanisms put in place through various government and civil society initiatives in
the TRIGP(Telangana Palle Pragathi). This project will also capitalize on the
strengths of the livelihoods/agricultural projects that SERP has been implementing
for a long period to change the household level food consumption patterns and
enhance the nutritional status of the people.
Building on the convergence mode of the TRIGP, the HD initiatives include will and
start with strengtheneing existing Village Health Nutrition and Sanitation
Committees (VHNSCs), which will represent the Village Organisations, the Gram
Panchayat and the various front line workers in the area (ASHA, ANM, Anganwadi
workers). This committee will have extensive responsibilities including the
designing, implementing and monitoring of HD plans. These Village HD plans will
be based on an in depth analysis of the needs of the community and will be
approved by the Gram Sabha before implementation. The HD plan acts as an entry
point to establish convergence among the line departments and begin to deliver
the services effectively with the joint effort and support of the village level
instittutions. Once the plans have been prepared, the services provided under
existing programs will be drawn upon to meet these goals. In 1000 GPs identified
by SERP and distrcit administration, additional financing will be provided to
address gaps in service delivery identified through the village HD plans.
Additional efforts to generate and strengthen community demand for efficient
services through capacity building of village organizations, village Health and
Nutrition Commisttes and field functionaries is proposed through Community Coordinators . Behaviour change communication and community monitoring will also
be carried out to achieve better WASH,H & N outcomes. Thus the approach of the
project looks at three sub components:
1 Strengthening demand for improved quality service delivery through
community participation, and
2 Strengthening supply of key services through improving skills in
community engagement, motivation of the FLWs and community
monitoring.
3 Linkages with value chains for improved nutritional outcomes
The focus of this project will enable communities to be more empowered and the
service providers to be accountable for effective service delivery. The quality of
service delivery and improvement in the overall feedback and information
management system shall create a win-win situation for supply and demand side
stakeholders. Similarly, within SERP, appropriate linkages are envisaged between
the HD and Value Chain components. The project design, approach and theory of
change to achieve HD outcomes were given in Annex I.
Project Approach
The project would focus on the best window of opportunity of adolescence and
1000 days that lies between pregnancies through two years of age of the child.
Furthermore, concentrated efforts will be made to improve water quality and
sanitation, promoting Open Defecation Free (ODF) villages in particular, to
enhance quality of life in the selected TRIGP mandals. A more comprehensive
approach for improving nutrition, and WASH outcomes includes:
Improving maternal knowledge and care during pregnancy and IYCF
1 Incorporating growth monitoring and promotion
2 Nutrition security at household level
3 Improved household hygiene practices leading to a reduction in
household health expenditure
4 Availability of clean drinking water and sanitation facilities and
encouraging behavioral change towards hygienic practices.
5 Encouraging ODF villages to improve sanitation and hygiene (70%
becoming functional)
Key Outcomes
1 Increased utilization of HD services
2 Increased practice of appropriate behavior in the fields of health, nutrition
and sanitation
3 Improved coverage of underserved elements in the communities by services
providers
4 Improved quality of service delivery by providers
5 Increase in dietary diversification at household level
Key Outputs
1. Production of HD plans development and appraisal
2. Increased knowledge of services available
3. Monitoring and reporting on a monthly basis by VHNSC
4. Training of FLWs, CRPs and VHNSC
5. Orienting of farmers with regards to crop diversification and HH
consumption
Goals
1. 100% institutional deliveries
2. 100% immunisation of mothers and children
3. Reduced MMR and IMR
4. 100% ODF GPs
A team comprising of DPM (HD), APM (HD) and SHT members, CC will stay
for 4 days in a village to conduct household survey as well as village
facility survey and gaps in services delivery related to water, sanitation,
health, nutrition, education and livelihoods using simple pictorial tools to
enhance peoples participation with the support of VHNSC. On consolidation
of details, they will present the findings by conducting a gram sabha using
pictorial charts and facilitate in identifying the top most priorities of the
village. The activities in the village will be carried out using various
FGDs will be held with adolescent girls, youth and SHG women centered
around service delivery in relation with RMNCH+A, access and entitlements
Validation of the survey with the beneficiary households - With the base
line data provided by various line departments, coupled with the
preliminary information about the village and its resources, the team will
visit homes of the pregnant women, lactating mothers to further strengthen
the understanding of the issues in the community. At this stage, the
perceptions of the households are taken on various measureable indicators.
Listing of gaps and gap analysis - Gaps are identified on various indicators
that form an important segment in the HD Plan development. Gap analysis is
a technique used to assess the current situation of service provision as
opposed to the actual allocation. It was used to assess the performance of
service delivery which consists of both service provision by the providers and
utilization by the target community, and performance of various line
departments at the last mile delivery point. The Gap Analysis also helped to
identify specific activities such as trainings for FLWs - AWW, and ASHA;
Institutionalization of Fixed Nutrition and Health Days (NH Days) to improve
access to health and nutrition services and entitlements
It is proposed to finance village HD plans for 1000 GPs in TRIGP mandals. As a pilot
HD plans will be prepared in 26 GPs/villages 2 each in 9 districts and 4 TPMUs in
the year 2016-17 to establish best practice before escalating to other GPs two in
each of 150 mandals.
Steps to be followed in HD plan preparation and implementation :
1. District level convergence :
A district level convergence meeting shall be conducted chaired by
District Collector with JD Agl, JD AH, AD Horticulture, GM DIC, PDDRDA, PD-DWMA, PO(ITDA), PD(WD & CW), SE(RWS), DMHO(H&
FW),DEO, ZS-OB for discussion on village Human Development plans
along with discussion on other components of TRIGP. A representative
from SERP Hyderabad will be present in this meeting to explain the
objectives and components of TRIGP. A district level action plan will
be prepared for implementation of TRIGP activities for the current
year. The expected outcomes of this meeting are: 1. Broad
understanding among district level officials on the objectives and
DAY 2:
DAY 3:
In the morning team shall consolidate gaps that are emerged from
Transect walk, House Hold visits and Focus Group Discussions
Meeting will be conducted with VHNSC and VO for analyzing
identified gaps
Charts shall be prepared on identified gaps for presentation in gram
Sabha
DAY 4:
Gram Sabha will be conducted and team should ensure that Mandal
level officials from line departments attend this Gram Sabha
A discussion shall be done on identified gaps and action plan shall be
prepared for each identified gap
In this action plan team should ensure that responsibilities are
distributed to line departments and communities with specific
timelines
Gram Sabha shall pass a resolution based on the action plan and
team shall sent this resolution to all concerned line departments
After the HD plans are prepared field level staff of DRDA will conduct trainings to
all SHG members in the villages/GPs on about 8 modules covering the issues of
nutrition, health, low cost and no cost health practices and Menstrual Hygiene
Management practices. Focus will be on pregnant women, lactating mothers,
parents of children of 0-2 age, adolscent girls, mothers in law and men. There
shouldnt be much gap between the development and execution of HD plans. It
would be good to try and meet the timelines to implement the activities and this
would help in garnering support from the community and win their trust and
confidence.
Indicative budget and funds flow for village HD plans
The HD plans would be supported by providing HD Investment Fund (HDIF) of Rs
3.00 to Rs.6 lakhs. The budget will be utilised towards WASH, nutrition, and
health for improved outcomes and also to prevent anaemia among adolescent girls
and malnutrition among children. The fund could be used for WASH activities like
gap financing or providing loans for building toilets, procurement of seeds for
kitchen gardens, developing community kitchen, cleaning of drains etc.
After identifying areas for improvement, the village committee will be encouraged
to tap financial resources from the already existing government schemes. If, for
any activity, there are no such schemes/funds available, then the villagers may
decide to use the HDIF after carefully drafting the action plan in a pre-designed
simple format. The VHNSC may also encourage the community to add the
remaining investment in these activities to increase sense of ownership and
responsibility.
Each proposal coming from the VO for grant of HDIF will be scrutinized by the
DRDA in consultation with Mandal Samakhya (MS) and approve the proposal.
The flow of funds will be made based on the HD plan appraisal done by the Mandal
Samakhya. The activities of the plan will be phased to ensure proper
implementation and accordingly the funds will be released directly to the VOs and
will be available for the first 2-3 years.
Capacity building of CCs, VHNSCs at MS
The District teams will train SHTs, CCs,VHNSCs to adapt Participatory Learning
Action (PLA) for behaviour change and responsible to train the SHGs,VOs and
VHNSC. This team will specifically target the production of/adapting behavior
change communication materials, and include these in the training modules while
training a seed group of CCs, SHTs in the use of these materials. The implementing
District team will be responsible for developing and implementing all training
modules under the constant guidance of the SPMU team. The trained SHTs,CCs will
be responsible to facilitate PLA for behavior change at village level under the
Annexure I