Survival for Women and Children Foundation Key Issues and
Operational Areas, Major Activiities & Achivements
Operational Districts: Ambala, Yamunanagar
Operational States: HARYANA
AchieveMents: Feasibility of strategies of implementation of the project on care for child up to 3 years development supported by WHO Intervida was implemented in 100 villages 5000 children in Yamunanagar. The key principles used are the continuum of care across life stages and an integrated approach comprising play and communication, sensitive supervised feeding, prevention of accidents and injuries and timely and appropriate response to illnesses using multiple delivery channels. This project employed a multi-channel approach for delivery of the family-centred intervention of care for child development. During the scale up, the intervention was delivered using group meetings at Anganwadi centres, home visits by ASHAs , daily short text message on mobile phones to fathers , mothers and Mothersââ¬â¢ clubs were used. Evaluation data from the scale up show that the intervention increased significantly the frequencies of good caregiver practices at home in support of early childhood development. The intervention reduced the prevalence of underweight from 29percent at baseline to 15 percent at end line. The proportions of women having probable mental health problems decreased from 27.3 percent at baseline to 14.0 percent at midterm evaluation in Yamunanagar.
Improving the quality of childbirth and postnatal care in primary health centers in 2 districts of Haryana, India project with support from WHO was undertaken to test the impact of a health system intervention comprising of monitoring and review of maternal and perinatal deaths, establishment of quality improvement cycles and activities to improve staff provider skills in 15 PHCs in 2 districts of Haryana 2014 and 2015. Key findings were It is feasible to implement a Quality improvement framework in PHCs through ongoing engagement of staff in PHCs but the involvement and support of external experts is vital to success. The quality of care success could be achieved despite the numerous constraints in implementation. Application of standards and SOPs, ongoing capacity development supported by monitoring and review are vital and this is feasible. For success of QOC sustained partnership with district and state is crucial. A deeper understanding of the client perspective and audit process can further strengthen the quality and coverage.
Strengthening HBPNC by ASHAs by the use of mobile phone technology in district Ambala and Yamuna Nagar project is being implemented under the leadership of NHM Haryana with support from SWACH Foundation since June 2013. The primary objective is to strengthen home based essential maternal and newborn health care by ASHAs using mobile phone technology. Key achievements include regular and ongoing reporting of 60,000 births, deaths, validation of verbal autopsy to investigate still births and neonatal deaths by phone, population based high quality surveillance of congenital anomalies, and importance of birth weight and gestational age reporting. Verbal autopsy and follow up of high risk cases can be effectively done by phone. The cohorts built up by the use of phone can be used to advocate the state and national health programs strengthen delivery of immunization services and to render advice on feeding and child development.
