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Hundred Block Plan

Hundred Block Plan. Dr. Sundararaman, AIPSN Karunesh Pandey, Lucknow Priya Ranjan, AID-MD.  Why a block?. Small enough to manage Yet large enough to Be visible Demonstrate replicability Be able to provide training, support and monitoring.  What is a block?.

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Hundred Block Plan

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  1. Hundred Block Plan Dr. Sundararaman, AIPSN Karunesh Pandey, Lucknow Priya Ranjan, AID-MD

  2.  Why a block? • Small enough to manage • Yet large enough to • Be visible • Demonstrate replicability • Be able to provide training, support and monitoring

  3.  What is a block? • Administrative units within a district • About 10 blocks per district • About 100 villages per block • About 1 lakh population • About 20,000 households • We take up about 30-50 villages within a block

  4. Why a Hundred Block Program? • To create replicable models of community mobilization that • Shows measurable improvement in social indices • Strengthens advocacy for policy changes • Provides relief to people in their suffering • Strengthens people’s movements and organizations • Needs critical size for demonstration/advocacy/inspriation

  5. How are blocks selected ? • By state-level organizations based on needs matched with the organizational presence

  6. Planned interventions • In the areas of • Primary Education, School Science Education • Literacy, Health, Credit co-operatives • Enterprise Development, Agricultural Interventions • Panchayat Level Planning and Programme Implementation • Local Economy Planning and Development

  7. Health as an example • Better awareness on specific health issues • Better utilization of public health services • Better organization of norms for health • Sensitisation of Panchayats • Measurable improvement in child health (assessed by weight for age)

  8. Funding modality • AIPSN does NOT have FCRA clearance • Training • Material • Camps • Saathis • State-level/Block-level (5) approx Rs.3000 p.m • Equipment/Infrastructure

  9. Saathi Funding • Step I • 3 to 5 state-Saathis • Materials • Step II • 5 block-Saathis per block • Training camps • Step III • Infrastructure building • Phase out Saathis (Decommissioning)

  10. Is only AIPSN a part of HBP ? NO • Any NGO satisfying broad goals can participate

  11. AIPSN Understanding of HBP • Known as block-level development intervention programmes • BGVS areas of work

  12. Contacts for AID • Initially with a BGVS sub-committee • Then with State Saathis/district committee • Actual outcomes per block v/s intended outcomes need to be kept clear

  13. AID-AIPSN relationship • We “work together”, are “partners” and we “collaborate” • NOT a funding agency relationship

  14. Possibilities for non-financial support/relationship • Thematic Study Groups • To support advocacy • To develop new action possibilities • To develop internal understanding • Project Study Groups • To document programmes and draw lessons • To provide technical support • Advocacy Group

  15. Thematic Study Groups: Examples I • School Science Education, Q.I.S.S.E • Primary Schools – Cross-country studies • Shaping IT for Indian needs: Policy + GIS/ Modeling and simulations/ software development • Enron/Power policy study group • Pharmaceuticals/ Medical Equipment Policy watch group • Credit cooperatives study group

  16. Thematic Study Groups: Examples II • Water Management Systems • Public Water Supply • Decision Support for Irrigation • Alternatives in Irrigation • Large Dams, Tribal Rights • Environment Impact Assessment, Dumping of Hazardous technologies • Health Systems – cross-country studies • Creating a market for Handicrafts • Agrochemicals production and marketing feasibility studies • Technology development and Professional Studies

  17. Project Visit Report of Bihar Gyan Vigyan Samiti (BGVS), Jahanabad under the HBP 27th and 28th December 2001 By Priya Ranjan (AID, Maryland) Karunesh Pandey (AID, Austin)

  18. Outline • Organizational structure of BGVS • Work done by BGVS, Jehanabad • Problems faced by BGVS in initiating the program • Sustainability of the program • Problems faced by women • Observations • Village trips • Some after thoughts (Questions for AIDers)

  19. Jahanabad: Some Statistics • 50-60 kms south of Patna. • Area =1569 sq. km. • Demography. • Population. • Total:1174900. • Rural:1100430. • Urban:74470. • S.C.Population. • Total:216083. • Rural:205047. • Urban:11036. • Literacy.

  20. Organizational Structure and Work of BGVS • Covers 47 districts in Bihar and Jharkhand • Buniyaadi Sabha • formed in villages with at least 10 members • Democratically elected every two years • Work • Health • Primary education • Samta (for female health and awareness)

  21. What does BGVS do? • Health • Maintaining records for births, weight of kids, immunization • Reproductive and child health • Recording the incidents in the community • Encouraging the pregnant women to go to hospital • Bringing the the govt. (and other bodies) institutions to the neediest and helping them interact with villagers • Providing regular training to the village workers • MOTIVATING the people to take up community work!! Very much along the idea of AID An activist Babie with a healthy child

  22. Work of BGVS: Health: Examples

  23. Work of BGVS: Health: Examples First page of an Activist’s register for Unta Community

  24. Work of BGVS: Health: Examples Records of pregnancy, birth, marriage, death etc.

  25. Work of BGVS: Health: Examples Incidental report register: It makes sure that any odd event in the village gets recorded

  26. Work of BGVS: Health: Examples Records of Vaccination and weights of kids

  27. Work of BGVS: Health: Examples Malnutrition chart for the kids 0-5 years

  28. Work of BGVS: Women’s issues • Objective • Women health • Awareness about panchayati raj • Elimination of blind faiths • Run entirely by women office bearers • Women chosen from those volunteering in meetings • Provided extensive training • Selection not based on educational qualifications Extremely dedicated and enthusiastic coordinator of Samta Sarita Kumari

  29. Work of BGVS: Women’s issues: Activities • Activities • Swasthya Kala Jattha (1994) • Samta Jattha (1991, 1994, 1997) • Samta Vigyan Utsav (health training to women at the village level) • Training • Spread over 20 days • Identification, reason and prevention of diseases • No training about treatment A woman (in the perspective) telling us about the post-operational problems that they face

  30. Work of BGVS: Primary Education • Gyan Vigyan Jattha (1991) • Joy of Learning (1994-95) • 42 govt. schools • Bal melas • Jan Vaachan Andolan (1998) • Books read in meetings • Helps to eliminate blind faiths and misconceptions • Gyan Vigyan Vidyalaya ( Jan 3rd 2002) Is there a hope?

  31. Initial Problems Faced by the BGVS Activists • Distrust from existing people who were supposed to do the work BGVS was doing • Registered Medical Practitioners (RMPs) • Integrated Children Development Scheme (ICDS) (AanganVaadi) • Village doctors who make tons of money every rainy season AanganVaadi workers

  32. Trip to the Villages: Chakiya • 25 muslim & 10 SC houses • Volunteer- Arshadi Khatoon • 3 years with BGVS • 8 days of training • Used to earn living by stitching clothes • Motivated by recognition and desire for her kid to get better life • Some questions • Small savings? • How to tackle problems of highly specific nature? • Theft at Volunteer’s house • Hole in heart of a kid You gotta see Arshadi Khatoon in action, Most familiar and friendly face in the whole village

  33. Trip to the Villages: Larsa • 200 SC houses • Volunteers: Chandra Tara Devi & Shanti Devi • Working since 1993 • Organized weighing of babies • Camps for vitamin A, Night blindness,polio • Adult Education • Dissatisfied with intermittent working of the program • Ideas • Sewing machines • Teachers • Micro credit groups • Aangan Vaadi Very outspoken and vocal about rural issues: Chandra Tara Devi Shanti Devi

  34. Trip to the Villages: Rangu Bigha • 70 families • Volunteers: Mishri Lal & Madan Mohan • Teach kids • Women not very involved with the program in this village • Ideas • Wants to teach people to repair diesel engines • Wants to teach all the villagers including the women • Interested in expanding the scope of BGVS Diesel mechanic: Mishri Lal Will do anything for literacy: Madan Mohan

  35. Final destination: Gaurapur • 138 families • Volunteer: Santosh Kumar • 7 years with BGVS • Secretary of Block Exec. Com. • Does work for social recognition and did contest elections for village panchayat. He has very original idea about governance, like govt. should be for people both in representation and in work. • Fought with electricity department for getting the connection • Very progressive and techno savy!! Need the govt to work for us: Santosh Kumar

  36. Sustainability of the BGVS Jahanabad • Developing a referral system (Rs. 10 per 6 month per family) • Gyan Vigyan School • BGVS, Jehanabad • Full timers with BGVS to be absorbed • Inaugurated on Jan 3rd 2002 • Integration of the program with village panchayats • House is again provided by Saritajee for almost free Gyan Vigyan School already running

  37. Some Afterthoughts • Cash Crunch • Initiation of BIRDS (Bihar Integrated Rural Development Society) • Provisions for small expenses in proposals • Inability to help specific cases • Sustainability is a MYTH? • Supporting a volunteer from BGVS • Main Issues • Drinking problem • Lethargy amongst women • Some data in the charts • Mistrust amongst women • The main issue is how much we want to get involved? • The main issue is how much we want to get involved?

  38. List of 12 Bihar +2 Jharkhand Districts selected for HBP 8. Madhepura-Shankarpur 9. Purnia-Tikapati 10. Bhabhuan-Chand 11. Jahanabad-Jahanabad 12. MakhdoomPur-Jahanabad Jharkhand blocks: 12. Kodarama - Jainagar 13. Dhanbad - Gomoh District-Block 1. Gaya -Manpur 2. Nawadah-Rajouli 3. Darbhanga- Kusheshwar Sthan 4. Supoul-Raghopur 5. Saharsa-Nauhatta 6. Rohtas-Dehri On Sone (My home town/block) 7. Begusarai-Dendari

  39. H: HBP District H H H H H H H H H H H H H

  40. How can you join the effort? • Go visit the places, Bihar is not as bad as its reputation • Call BGVS people in Patna (011-91-612-368 087) • Need help in setting up creating ways to inspire people to take advantage of govt. services • Villages don’t bite: Take the rural message to your friends in urban areas. Middle class support is vital for success of any developmental effot • Come lets work together!!

  41. Health Training Camp in Bihar • Jan Swasthya Abhiyan (People’s Health Campaign) • State level workshop at the Madhyamik Shikshak Sangha Bhawan, Jahanabad from June 20th 2002 –June 23rd 2002 • Attended by state level resource persons, district level resource persons and block coordinators, 60% women • Resource persons included Dr. T. SunderRaman, Balaji Sampath, Mr. Ghalib, Dinesh Prasad, Ms. Usha, Ms. Pushpa (Group Savings), Mr. Jitendra (Education), Mr. KashiNath (Globalization aspects) and members of Panchayat. • Karunesh from Lucknow also attended the camp and wrote the report

  42. Health Training Camp in Bihar • Develop a feel for various problems affecting the blocks under consideration • Impart hands on health training to the field volunteers • Identify state level full timers for the program • Formulate an action plan for the program

  43. Training Camp: 06-20-02 • Started in the afternoon • Familiarization with local problems faced by blocks • Effect of globalization in general and on health in particular

  44. Training Camp: 06-21-02 Started with movement songs • Preliminary information about malnutrition and Diarrhea • Group reading and discussion • Helped by Dr. Sundarraman with Technical questions • Three causes of Malnutrition: Poverty, Illiteracy and Superstitions • Information regarding malnutrition • Age/weight, Breast-feeding, Disease History, Economic/Social Status of the family and current efforts for the child.

  45. Training Camp: 06-21-02 Started with movement songs • Do not advise to Give a nutritious diet to the child • Keep the child and your surroundings clean, General and unthoughtful advice does not impress people. • The second session on the second day saw the groups reading books on cough, cold and immunization.

  46. Training Camp: 06-21-02 Started with movement songs • A talk by Dr. Sundarraman on Poverty and Malnutrition • Effects of malnutrition needs to be stressed • Can severely harm the child or even can be fatal • Much more severe problem in Bihar compared to TN. As much as 60% kids may be lower categories malnourished • Also talked about Diarrhea, breathing problems, pneumonia and other water-born diseases. • There was a field visit to Poorvi Uta block.

  47. Training Camp: 06-21-02 • Dr. SunderRaman, Balaji, Dinesh Prasad, Ghalib, Sarita Kumari, Pushpa sat together to setup the guidelines for the plan of action. • Rs. 10,000/pm • Dinesh Prasad, Sarita Kumari, Pushpa, Usha and Kundan as block full-timers • 7 books on health issues, “Margdarshika”(guide-book)->Bacchon ke Liye Swasthya”->“ Mahilaaon ke Liye Swasthya”->“ Hamari Swasthya Sewayein aur Hamara Adhikaar”-> “Village Mdeical Kit” and “Bimaariyan”. • Tricky issue of Sustainability

  48. Training Camp: 06-22-02 • Dr. Sundarraman talking about the aim of health programs • Increase in awareness of the people and providing information to the people • Make the government health facilities available to the people and the people start using them • People take their health issues in their own hands • The women get more organized • Panchayats get involved with the health program • How to achieve these goals? • Need to reach to every household and explain the need for their participation

  49. Training Camp: 06-22-02 • Dr. Balaji Sampath talk about the utility of village health register • Give us (the volunteers) information about the village • Help in quantification of work • Indicate the changes occurring during the course of the program • The register could also be used as a planning tool by the panchayat • Information about the location of Primary Health Centre (PHC), Health sub-centre, community health centre (referral). • Train the midwives

  50. Training Camp: 06-22-02 • Data regarding ANM: • Prepare a list of the ANM’s • Find out whether they stay at the centre or not • Whether the place is safe or not • Whether there is electricity or not, etc • Find out her timetable as to when she is going to be in a village •  Nurses has their own problem in working in a male-dominated society and also lack of family support • Village worker/panchayat may want to discuss the safety of nurses/medical workers

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