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Process report from DI Fellow Sandra Plaza.
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Designing Healthier Urban Environments for a Healthier Urban World
November 7, 2012
Sandra Plaza
© Design Impact 2012
SNEHA Project Overview © Design Impact 2012
Society for Nutrition, Education & Health Action
Vision:
To create a sustainable, replicable and community owned platform that works towards change/transformation of behavior and culture and hereby empowers communities to attain better health, education and livelihood
SNEHA Project Overview © Design Impact 2012
Society for Nutrition, Education & Health Action
Project Purpose:
To introduce a business model that will act as a social enterprise integrating existing SNEHA services and programs and offering newly paid services that will subsidize the costs to operate this community centre
Prevention of Violence Against Women and Children
SNEHA Project Overview © Design Impact 2012
Child Health and Nutrition
Sexual and Reproductive Health
Maternal and Newborn Health
PVWC
© Design Impact 2012
CHN
SRH MNH
• Offer counseling services for survivors of rape, sexual assault and child sexual abuse, women with disabilities and sex workers, and women suffering from mental illnesses• Offer legal counseling• Train staff of police and hospitals on how to properly address violence
• Provide Day Care Centres for Malnourished Children 0 – 3 years• Administer Medical Nutrition Therapy (MNT)• Offer Home Based Care and Nutrition Counseling
• Ensure availability of antenatal clinics at health posts • Set up referral links for hospitals and maternity homes• Mentally prepare women in any case of emergency during deliver of their baby through birth preparedness counseling
• Empower adolescents 11‐19 yrs. to make informed decisions about their health • Offer education sessions on a skill or vocation that can make them economically self‐reliant • Offer family planning through doorstep awareness, delivery of contraceptives and referral services
SNEHA Project Overview
Mumbai Overview © Design Impact 2012
MUMBAI
Most populous city in IndiaPopulation: 20.5 million peopleFourth largest city in the world
Capital of Maharashtra Financial capital of IndiaThe wealthiest city in India
Melting pot of many communities and culturesHome for the world's largest film industry‐ Bollywood
N Ward Profile
• 700,149 (MCGM 2007)• 486,187 Slum Dwellers (69.4%)• Average Income Rs. 50‐150/day• Men work in small scale industries, rickshaw drivers• Women work as housewives• Migrants come from UP, Bihar, Gujarat & Tamil Nadu• Religions: Hinduism, Islam, Buddhism• Over 75 CBOs, NGO’s, Self Help Groups, Neighborhood Committees and Youth Groups
Basis for Selection
• SNEHA Presence (5+ Years)• Economic Strength• Education Awareness (AGG Program/1500 boys and girls)
image
SNEHA Project Overview: Vikhroli Parksite
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
Program Directors Recommendations
• Emphasis placed working with youth• Offer packaged paid services • Focus on education• Partner with other NGO’s• Provide vocational courses• Offer social work courses• Offer classes in theatre, arts and dance
Key Issues in the CommunityPhysical and Environmental
• Limited Water Access• Areas located on a hill slope• Community toilets not maintained• Improper roads, no street lights• Open drainage• Irregular pick up of rubbish• No nearby health facilities or police stations
SNEHA Project Overview: Vikhroli Parksite © Design Impact 2012
© Design Impact 2012
Key Issues in the Community Social Impact
• Community conflicts• Thefts can be reduced if youth are employed• Lack of quality education• Women face marital harassment• Alcohol, drug and tobacco abuse• Unemployment• Girls marry at a young age
SNEHA Project Overview: Vikhroli Parksite
© Design Impact 2012
Facilitator’s Aspirations
• Centrally located• Information is easily accessible• Activities which bring the community together• A place that generates livelihoods• Offers career guidance to adolescents and youth• Offers services for cleanliness of their communities•Becomes the main point of contact
SNEHA Project Overview: Facilitators Workshop
Integration of health, education, livelihoods and other activities © Design Impact 2012
Health
CrècheChild Nutrition / Health
Checkup / Early Childhood education
Birth Preparedness Complication Readiness
Maternal Child Health
Health Camp
Health Awareness
Health Insurance
Contraceptive Distribution
Clean Water
Sanitation
Education
Life Skills Education for Adolescence
Tuition Class
English Speaking cum Personality Development Class
Study Centre
Computer Training
Livelihood
Income generation activities e.g. Jute bag, Paper bag making, Tiffin making
Vocational Courses Mobile repairing, Electrician,
House keeping, Retail Marketing Training, Beautician
course
Community BPO
Other activities
Dance Class
Theater Group
DTP
Job Reference
Insurance
Designing services which are engaging and inviting © Design Impact 2012
HEALTH
EDUCATION
LIVELIHOODS
WATER
SANITATION
Paid Services
Free Services
Community Questions © Design Impact 2012
MARKET RESEARCH
• What is our catchment area?• What service does the community desire?• Where can we deliver these services from?• How much is the community willing to pay for new services?• What is the going market rate to deliver services such as vocational courses, english speaking, computer training, dance, etc.?• Who is the target group?• How often should each service be offered into the community, every day, once a week, once a month, etc.?
Community Research © Design Impact 2012
MARKET RESEARCH EXAMPLE
Creche• Is there a need for a crèche in the community?• How many children will this support and what age group?• How often will we run medical screenings, once a week, once a month?
Factor in costs of a pediatrician, can we get free medicine?• What is the market rate for a crèche• Are there other crèche's in the community?• What is the community willing to pay for
Spoke with adolescents who have participated in SNEHA’s programs
Hill side slope makes it difficult for those living up at top to access services at the bottom of the hill
This is a community space that is owned by a CBO, rented out by SNEHA 2 hours a day to work with adolescents
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
View from top of the hillLimited water access, difficult for those to access services at the bottom of the hill
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
Top of the hillLimited water access, difficult for those to access services at the bottom of the hill
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
Bottom of the hill Accessibility to shops, schools, clinics, markets and street life
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
Slum Rehabilitation Scheme Transient Housing for Slum Dwellers
© Design Impact 2012SNEHA Project Overview: Vikhroli Parksite
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© Design Impact 2012
X
Catchment Area
Existing Services
Mapping Exercise Example
LegendMoving ForwardCommunity Assessment
• Identify needs of the community• Map out potential site locations where services can be delivered• Map out existing services in the community and conduct market research• Conduct surveys and ask how much families are willing to pay for new services• Host Community Workshops and identify aspirations for a new community center
Site Location
SNEHA Project Overview: Vikhroli Parksite