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Community Participation
Women Group Leaders
Sanjeevanies to ASHA
Haryana
Background
Initiated as Integrated Women Empowerment and Development Program (IWEDP) by Department of Woman and Child Development
1994Social issues – entry point.Knowledge is key to empowerment.
Focused on development of women for ensuring their survival, dignity, better health- status, leadership quality that would ultimately lead to lower Maternal and Infant mortality.
Sanjeevanies in Health
Replication of IWEDP model in 3 districts .
Entry point – Health
Knowledge is key to empowerment
Focused on information flow on health
issues and the health determinants that
effect the health of women and children
Aims to……
develop the leadership quality in women of all communities
change the present position and status of women
generate awareness in both men and women on their health rights and on the available health services to optimize the utilization of health services
partner with men to improve quality of life
decrease infant mortality rate and maternal mortality
Who is a Sanjeevani?
A cadre of rural women who play a role of change-agents
They contribute towards development of women with a focus on Health, Nutrition, Sanitation, Delayed Marriages, Small Family Norm, and Spacing
They generate awareness on available existing facilities
They enhance gender Sensitization of men
This model develops women as social activists
Who could be a Sanjeevani
Self dependent social worker
1. Having patience & presence of mind
2. Co-operative, sympathetic and lovable
3. Capable of fighting injustice
4. MSS member
5. Not a wife of Govt. Servant.
Foundation Training10 days residential training
Training out put
Ambala Karnal Y.nagar Total
Expected No.
411 374 420 1205
Trained 171 112 155 438
Sanjeevanies
Sanjeevanies- TodayA voluntary worker
Mobilize women of the village into groupsJagriti Mandali consisting of minimum of 20 women. Members of Jagriti Mandali - age above 18 years and have representation from every caste, class, creed, and religion. Widows, destitute, members of MMS and MSS are given preference
Conducts one meeting per week and four meetings in a month to share knowledge on various health, social and legal issues
Functions as a friend and guide to women groups and adolescent girls
Maintains the records of each meeting and shares it with Swasthaya Kalyan Samiti of her area
Maintains accounts of Jagriti Mandali
Lessons LearntVery useful for information flow to the
grass root levelSupportive supervision by health
personnel is essentialCommitted NGO trainers is the key for
success 10 days to be increased but spread out
over a year Impact of the program – midterm qualitative and quantitative evaluation necessary Long term process – mainly for change Some measurable goals to be spelt out
Transition to ASHA
Lessons learnt from Sanjeevanies led to
the plan of Sahyogi couples scheme- not
translated into action
Redefined as link workers
Now ASHA
ASHAA married lady in the village, permanent resident & matriculate woman
identified by Swasthya Kalyan Samities in 1000 population to
mobilize pregnant mothers for institutional delivery and help in arranging
emergency transport.
do 3 postnatal visits on days 3,7 and 10 to promote care seeking
Provide counseling on exclusive breast feeding and ensure
immunisation
4-day induction training at PHC, followed by two days every quarter,
continuing in the alternate month besides regular on the job training by the
ANM
Estimated Monthly Compensation for ASHAS
S.NO
Activity Case Load/month
Compensation per case
Compensation on total Case load
1. Ante Natal registration, 3 Ante natal checkups, 100 IFA Tablets and 2 TT injections, 3 Post Natal Checkups
2.0 25 50
2. Facilitate mothers for institutional delivery
2.0 100 200
3. Provide essential newborn care, counseling on exclusive breast feeding
2.0 25 50
4. Counsel the mothers for safe MTPs 0.5 50 25
5. Counsel the females for prevention and treatment of RTIs/STIs
6.0 5 30
6. Ensure that the birth and death registration
3.0 15 45
Total 400
Rs. 100 per village will be distributed among ASHAs for mobilizing children for vaccination under strengthening of immunization program.