Urban Health Programme

1. Urban Health Programme CINI ASHA The Urban Unit of Child In Need Institute

2. CINI ASHA’s Mission: To improve the quality of life of the urban disadvantaged population and protect the rights of the child through Education Health and Social Mobilisation.

3. Goal of Urban Health Programme To improve the health status of the urban poor through the life cycle approach by a convergent and sustainable strategy by increasing access to health services and awareness on health issues Coverage:2,40,000 population Eastern and Central parts of Kolkata

4. Improving health status through Life Cycle Approach Pregnant Women – To ensure safe motherhood

5. Objectives • To promote safe motherhood, infant immunization and nutrition, birth spacing, adolescent health • To increase community capacity to sustain the health improvement • To promote linkages with existing government and non government health care and sanitation service providers • To develop a sustainable and replicable urban health strategy

6. Strategies • Activity *Situational analysis * Vulnerability Assessment * Stakeholders Consultation • Community Mobilization * Provision of Community space & infrastructure by the CBOs * Community Contribution * CHVs and Swasthya Sevika * Active participation of Community leaders • Convergence *Local Govt infrastructure (KMC,Dept of H&FW) *Network of Private Medical Practitioners • Demand Creation *Awareness generation through community meetings, awareness camps

7. Key elements of the urban health programme • Community centres (17 centres) • Community health volunteers(1000 population) • Swasthya sevikas(10,000 population) • Adolescent peer educators • RCH Committees

8. Pregnant Mother Identification, 3-6 months CHV-ELCO Map, ELCO register Swasthya Sevika – Mother card Community Centre:Weight, IFA, Calcium,Counseling registration for ANC Govt Hospital Institutional Delivery PNC Counseling, Breastfeeding Weaning, Birth spacing, immunization Healthy Baby Swasthya Sevika – Child card PMP-minor illnesses KMC-immunization

9. Challenges Ahead • To sustain the motivation levels of the CHVs • To build effective linkages between all stakeholders and beneficiaries • To sustain community ownership • To modify interventions based on the Vulnerability assessment.

10. Thank you

11. Women residing in the slums with good communication skills Keep track of 1000 population each Have been provided training on RCH issues Provided with a minimum Honorarium Monitoring tool- ELCO map & Register Residents of the slum with Higher Secondary level of Education Supervise the work of 10 Community health volunteers Individual follow-up of all Pregnant women and children under2 Use the mother and Child card for follow-up and monitoring. Community Health volunteers & Swasthya Sevikas

12. ELCO MAP

13. ELCO REGISTER

14. Findings ofSituational Analysis • Total population of Kolkata : 4580544 • Total Slum population of Kolkata: 1490811 • Wards under Borough5 : 36, 37, 40, 41, 42, 43, 44, 48, 49, 50 • Wards under Borough7: 56, 57, 58, 59, 63, 64, 66, 68, 85 • Total Slum population of Borough5: 45041 • Total Slum population of Borough7: 261850

15. Ward wise distribution of slums in Borough 5 B 7

16. Ward wise distribution of slums in Borough 7

17. Pregnant Women Services rendered: IFA, calcium, weight check up, counseling on safe motherhood, child care & birth spacing Services referred: ANC, Institutional delivery Children(0-2yrs) Services rendered: growth monitoring, early childhood stimulation Services referred: immunization, childhood morbidities