MODEL DISTRICT REPRODUCTIVE CHILD HEALTH PROGRAMME

1. MODEL DISTRICT REPRODUCTIVECHILD HEALTH PROGRAMME European Commission (SIP) Govt. of India, Maharashtra Govt, KEMHRC and Lokmanya Pune

2. GOAL • To improve the coverage and quality of the services provided under the Child Survival and Safe Motherhood Programme and to ensure effective implementation of the additional components as envisaged with R.C.H. Programme through life cycle approach as per the recommendations of the ICPD conference held at Cairo in 1994 and thus to develop a Model Reproductive and Child Health programme in Pune district.

3. 7 URBAN SLUMS Anandnagar Indiranagar Ramnagar Duttanagar Vidyanagar Gandhinagar Dalvinagar Control slum Annasaheb MagarNagar Total Population covered 29,344 (2001 Census) Population as per 2004 survey 30,748 PROJECT AREA

4. RCH INTERVENTION PROGRAMME FOR UNORGANISED SECTOR • 2 MIGRATORY POCKET comprising of 101 Brick Klins of • Thergaon, • Wakad Total Population covered 3826 ( 2004)

5. IMPORTANT DEFICIENCY IDENTIFIED in project area -2003 • High rates of school drop outs in 4th, 7th and 10th Grade. • Prevalence of family planning operation commonly after 3 – 4 children. • Awareness of Leprosy/ T.B. needed as patients are observed as careless and discontinue medicine • 40 + health care counseling and services not present. • Marriage below 18 prevalent • AIDS Awareness and Adolescent health awareness very much needed. • Eligible couple needs more counseling in the usage of family planning methods • Common ailments found among migratory pockets of Wakad and Thergaon – Respiratory Tract infection and skin related problem , musculo-skeletal problems

6. KAP SURVEY RECOMMENDATIONSCONDUCTED BY KARVE INSTITUTE • Improving antenatal care\ knowledge about safe MTP\ Early registration of ANC/Immunization • Awareness on 40 + Care for men & Women to be improved • Awareness about women counseling and need • Male Participation in women health & immunization • Awareness about HIV & AIDS, STD\RTI to be increased among women • Need to do work in the field of School dropout \ Girl education.

7. MAJOR MEETINGS CONDUCTED • One Block level meeting • Zonal level committee meeting held under the chairmanship of Hon. Commissioner Shri. Dilip Band. • Inter Departmental co-ordination meeting No.of Meetings conducted so far: 16

8. SCHEMATIC PLAN OF MDRCH PROJECT

9. INTER SECTORIAL COORDINATION • ICDS Department/ PCMC Health Department / Corporators / PCMC various department/ Education Department • Rotary club of Chinchwad,Nigdi,Pimpri, Pimpri-Chinchwad Town • Karve Institute/Swadhar/ FRCH/University of Pune / IEC Bureau / Family Planning Department and Various Hospitals.

10. MODEL REPRODUCTIVE CHILD HEALTH PUNE DISTRICT PROGRAMME LOGO REDISIGNED RCH LOGO was redesigned for Incorporating all The component of model RCH and for easier interpretation by laymen

11. IEC DEVELOPED • MCH card • AIDS booklet • Adolescent health • 40+ care • Referral booklet • AUDIO CASSETTE ON 6 DEMAND GENERATION “sukhache kawadse” • Programme on six demand generation Aired thru all India radio • Posters, Stickers, handbills

12. IEC MATERIAL

13. RCH Six Demand Generation Mother & Child Care Population Control Adolescent Health 40+ Care AIDS/STD Women equity Empowerment

14. WALL SLOGAN & LOGO

15. WORKSHOPS/ SENSITIZATION MEETING • ANM workshop (YCMH), were present 80 health officials of PCMC were sensitized on MDRCH • one day workshop was organised for ICDS, 62 members of ICDS were sensitized on MDRCH

16. MDRCH TRAINING WORSHOP • Training programmes were conducted for Teacher , Private Practitioners, Local leaders and school children

17. COMMUNITY AWARENESS ON SIX DEMAND GENERATION OF MDRCH • ANTI NATAL CARE • ADOLESCENT HEALTH • 40+ CARE • HIV/ AIDS AWARENESS • FAMILY WELFARE AND POPULATION CONTROL • WOMEN EMPOWERNMENT GENDER SENSITISATION

18. RCH LOGO BY PARIVARTAK

19. COMMUNITY PARTICIPATION IN MDRCH • Training programmes were conducted for household planning,area mapping and on six demand generation activities. • In total1826 community personnel’s were trained in 6 demand generation- • Ramnagar– 152 • Anandnagar- 552 • Dalvinagar- 231 • Gandhingar- 264 • Dattanagar- 212 • Indiranagar- 207 • Vidhyanagar – 208

20. PARIVARTAKS TRAINING PROGRAMME • 1826 community personnel trained on six demand generation • 186 parivartaks have been identified for household planning. • These parivartaks were engaged in household planning for 100% ANC registration and, Immunization drive,education on 100% registration of birth and death and identification of local health problems.

21. HOUSEHOLD PLANNING • Objective • Awareness, Identification, Registration & Follow -up Services • Beneficiary • Pregnant and Lactating women of Brick Kiln and 7 slums of project area. • Programme • Sticker drive for identification of ANC/PNC cases • Area Mapping • Dissemination of information on six demand generation • Inter- co-ordination with PCMC,ICDS,Health committee

22. AREA MAPPING

23. HOUSE HOLD PLANNING MONITORING

24. PRIZE DISTRIBUTION ADOLESCENT GIRLS –RANGOLI & ELOCATION

25. HEALTH SERVICES SESSION • Regular Participation in Health Services Sessions conducted by PCMC Hospitals • Regular House to House visits are conducted by our medical social worker for sensitizing the community about the project and its components.

26. JOINT IMMUNITATION DRIVE LOKMANYA & HEALTH DEPT. PCMC

27. HEALTH SERVICES SESSION

28. ADOLESCENT HEALTH EDUCATION • Regular Health Education classes were conducted for imparting family life education and sex education to adolescent girls and boys. • Total 1862 school going and 510 drop out adolescent girls and boys were identified . • 404 adolescent Parivartaks were trained from all the areas.

29. HEALTH CLINIC • Adolescent health camp was conducted at Gandhinagar were 79 Adolescent girls were assessed for Hb estimation and Nutritional.

30. VOCATIONAL TRAINING • Objective: Vocational training and empowerment • Inter-sectorial coordination with Rotary Club, Pimpri - donated 4 sewing machine. • Beneficiary: 30 adolescent girls of Anandnagar & Dalvinagar. • Scheme: 6 months course in a batch of 10 girls each. The machine were gifted to 4 successful girls • 5 adolescent girls earning from tailoring in both these area

31. Programmes on Gender • “Mulgi Zali Ho” - Street play in coordination with ICDS. • Puppet Shows on 13.09.2004 on Gender Discrimination, Personal Hygiene & food and nutrition. • “Sakuchi Lagin” drama by adolescent CBO’s in Dalvinagar • Rangoli & Painting competition for adolescent girls.

32. PATHNATYA BY ICDS WORKERS

33. “SAKHUCHE LAGNA” A DRAMA PRESENTED BY ADOLESCENT CBO MEMBERS OF DALVI NAGAR

34. ADOLESCENT GIRL PARTICIPATING IN RANGOLI COMPETITION AT DALVI NAGAR

35. SLUM HEALTH COMMITTEE • Established S.H .C in Gandhinagar, Vidhyanagar, Dalvinagar, Indiranagar.Kalakhadak • It is an innovative effort to monitor, evaluate, plan and solve health problems at the grassroots level. • It consists of local leaders, corporators, mahila mandal members, tarun mandal members • Parivartak PCMC health department members. President, Vice president, secretary, treasurer are elected for a period of six months. • All the proceedings of the S.H.C is being regularly conducted monthly and various issues discussed on immunization, ANC registration and monitoring diseases like T.B, AIDS and cleanliness. • To make the committee sustainable it has been attached to PCMC under II phase of RCH.

36. URBAN SLUM HEALTH COMMITTEE

37. URBAN SLUM HEALTH COMMITTEE

38. WOMEN EMPOWERMENT • In Dalvinagar 3 Bachat Ghats were formed under MDRCH project during Comprising (42 women) • Women counseling centre in coordination with Swadhar has been initiated in all the areas.Legal advice and issues of domestic violence – briefed by experts • During WE programmes, 9 Bachat Ghats were strengthened out of the 17 bachat Ghat in the area.

39. Distribution of Dresses • Objective: To develop educational environment, continuity in education • Beneficiary: 400 children of Anganwadi (3 to 6 years) Anandnagar, Ramnagar • Inter-sectorial coordination: dresses distributed by Rotary Club, Pimpri

40. PUPPET SHOW arranged for children of brick kiln and slum dawdlers

41. HEALTH & NUTRITION

42. AIDS AWARENESS COMPETITION • Objective • Awareness on AIDS, Education and Publicity • Participants • All Ganesh Mandals of PCMC (15 entries) • Prizes won • 1st prize – Azad Hind Mitra Mandal, Phugewadi • 2nd prize – Sri Ram Mitra Mandal, Ramnagar • 3rd prize–Sri Krishna Kranti Mitra Mandal, Vitthalwadi

43. AIDS LECTURE & PATHNATYA

44. Health Awareness thru Folklore Awareness Programme on AIDS , Nutrition & health was conducted using traditional ways like Pothraj and Puppetry

45. HEALTH AWARENESS THRU VARIOUS MEDIA Street play on AIDS AND T.B. Awareness

46. AIDS Awareness

47. 40+ HEALTH CARE • FREE HEALTH CHECKUP CAMPS WERE CONDUCTED FOR 40+ MEN & WOMEN • THERGAON • WAKAD • 175 patients were screened for Cancer,Cataract, TB, Blood Pressure. • These patients were referred to Talera and YCMH for further treatment.

48. WOMEN HEALTH CHECK UP – 40+ CARE

49. BRICK KILN-WAKAD &THERGAON

50. RCH SERVICES AT DOOR STEP FOR MIGRATORY WORKERS OF BRICK KLIN • RCH Services provided in the unorganised sector of brick kiln through mobile clinics provided by Lokmanya. •  Mobile Health services were provided regularly every Tuesday & Thursday. • 1586 patients have been treated with homeopathic Medicine. • Patients with major ailments were referred to Kivnsara Patil Hospital (PCMC)