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Operational Manual -Human Development Component in TRIGP(Telangana Palle Pragathi)

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

Development of GP/Village HD plans


HD initiatives under TRIGP will start with development and implementation of GP
level HD plans. Developing Village HD plan is to keep the people in the centre of
the development by emphasizing that the development is of the people and for the
people. It also supports in systematically and periodically revisiting the status of
human development at village/mandal level and demanding readjustments or
additions at the district level.

Objective of Village Human Development Plans: The main objective of


village Human Development plans is to identify the gaps in accessing
government services and problem related to WASH, H&N, pre-school
education with community participation.
Based on the gaps a plan shall be prepared in each GPs with time bound to
improve H & N, WASH and Pre school education outcomes with community
participation and lead taken by Village Health & Nutrition and Sanitation
committees

The purpose of developing Village HD plans is to make the communities aware on


their HD status and develop an action plan to further improve it.
The project proposes that the Village Health Nutrition and Sanitation Committee
(VHNSC), take the lead in developing the HD plans, implement activities, monitor
the progress and review the outcomes. In this context, the PRI and VOs are
responsible to facilitate the development of village HD plans to assess the
baseline, measure the progress and influence the behaviours towards achievement
of HD at village level.
So, the Village HD plan acts as an entry point activity to establish convergence
among the line departments and begin to deliver the services effectively with the
joint effort and support at village level. Hence, all the Village Health Nutrition and
Sanitation Committee (VHNSC) members and the Front Line Workers(FLWs) will be
oriented on concept of the Village HD plan, operationalisation of plans, evaluation
of the outcomes envisaged under TRIGP. The activities which will be funded under
HD plan should be primarily related to health and nutrition of adolescent girls,
pregnant, lactating women and children and WASH initiatives.
Process to prepare Village HD plans

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

participatory techniques such as transect walk, social map, seasonality


analysis, health expenditure analysis and FGDs. The team would gather indepth information of the issues and functioning of various institutions using
the above mentioned techniques. While analyzing the information, the team
will also identify gaps in service delivery. The information collected through
this process has will be fed into the formats exclusively designed for this
purpose.

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

components and activities under TRIGP. 2. Action plan for


implementing TRIGP activities for the year. 3. Issue instructions to
field staff of each line departments to participate in the preparation
of HD plans and implementation. 4. Broader coordination among and
appreciation of roles of each other.
2. Mandal level convergence:
A Mandal level convergence meeting shall be conducted with MPDO
as convener. Tahsildar, MEO, APM, SHT-HD(DRDA), Medical officer,
DE(RWS), APO(MGNERGA), Supervisor (H & FW), Supervisor(WD &
CW), MS-OBs. In this meeting the action plan for preparation of HD
plans in 2 GPs will be finalized.
3. Preparatory Work at GP/village level ( 1 to 2 days):
Preliminary meeting in village with mandal level officers, PRI
representatives and Front line workers participating in the GP will be
held by DRDA field staff for explaining objectives of HD plan and 4
days schedule.
Front line workers will be given Formats the details of formats will
be explained.
An orientation on Water Sanitation and Hygiene(WASH), Health and
Nutrition to VHNSCs (Grama Jyothi committees) and Village
Organisation.
Draw Resource maps on charts with committees and villagers
Conduct of anemia screening camp for women in the village
wherever possible. An analysis of the anemia camp results will
trigger a wider and deeper discussion on the subject of nutrition and
health of women.

4. Four 4 days HD Plan preparation in GP:


A team consisting of representatives from Filed Level Workers from DRDA,
Supervisor (Health and Family Welfare), Anganwadi Supervisor will visit the
village where HD plans are to be prepared and stay in the villages all
through four days.
DAY 1:

Conducting Transect walk in the morning to understand the


sanitation and drinking water situation in the village along with
representatives from GP, VHNSC, VO, youth representatives and a
discussion on the situation in the village.
Validation of data provided by Front line workers with Random visits
to homes of pregnant Women, Lactating mothers and Children(0-2)
years.

Screening of short movies on health and nutrition, usage of toilet,


Hand washing steps etc, in the evening and discussion in the status
on these issues will be initiated.

DAY 2:

Conducting Focus Group Discussions with Pregnant women, Lactating


mothers and mothers of Children(0-2) year age and mother in laws
for understanding gaps in accessing government services, social and
cultural practices in 1000 days window
Conducting Focus Group Discussions with adolescent girls and SHG
women on Menstrual Hygiene Management
Screening of short movies in the evening and discussion shall be
followed

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

5. Mandal Level Debriefing meeting


A mandal level debriefing meeting may be conducted for presentation
of HD plans prepared in a GP/Village for discussion and defining roles
and responsibilities of each of the FLWs in implementing HD plans. Or
else this may be discussed in the mandal level quarterly meeting
specially convened to review TRIGP action plan. APM of the mandal
will be the convener of this quarterly meeting.
6. District Level Debriefing meeting

A District level debriefing meeting may be conducted at the district


with all the officials participation as in the convergence meeting for
presenting the HD plans of the GP every three months and defining
the roles of all line departments in monitoring the implementation of
HD plans.
7. Project Director DRDA will monitor the HD plan implementation
PD-DRDA will coordinate monitoring the HD plans implementation in
the GPs in co-ordination with GP level committees and Village
Organisations.
8. Monthly fixed meetings at GP level :
Every month meeting shall be conducted at GP level on the
implementation of HD plans with PRI representatives, VHNSCs and
Village Organization as participants. It can be part of fixed nutrition
day program in Anganwadis held once or twice in every month.
9. MPDO may review every month with mandal level line department officials
on the preparation and implementation of HD plans and HD program
activities and send a one page brief report to District Collecor or PD DRDA.
10.
District level review meeting :
Quarterly review meeting may be conducted at District level for
implementation of HD plans in all GPs and HD program activities of TRIGP
with participation from all line departments as mentioned in the District
convergence meetings.
The entire HD porgram activities will be coordinated by PD DRDA.

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

supervision of DPM(HD),APM(HD),SHT and APM at mandal level. The team will


be responsible for supporting the teams in preparing the need based proposals to
improve the HNS outcomes.
In addition to the SHTs, CCs the VHNSC members will also be given orientation for
one day on how to develop HD plans in their village, their roles and possibilities of
utilizing HD Investment Funds and money available under various government
schemes. The MS HD committee members will be oriented on how to apprise, and
release HD funds to VOs. They will also be oriented to review the progress of the
HD plans.
Linkages with value chains for improved nutrition outcomes
Under TRIGP value chains will be promoted in agri commodities and other SHG
products. In order to promote nutrition outcomes, kitchen gardens will be
promoted and nutrition products will be made available in the rural Krushe Marts
in each villages in all 150 mandals.
Integrated ICT to monitor the progress of outcomes
The ICT, put in place by the project will help in generating alerts that will be used
to follow up on the progress as well as the outcomes along with the release and
utilization of funds which are made available to the VOs.
Yearly targets
Yearly targets for achieving the goals will be communicated separately.
General
The above guidelines are indicative and the district administration may improve
upon these guidelines to suit local conditions and share such good practices that
will help reach our goal as stated above. Clarifications will be issued from to time
as and when sought from this office.

Annexure I

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