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the Plan:Changing the health of a generation of young people in Delhi WhereDelhi, India

WhatYoung Health Programme

When November 2010 – October 2013

AimThe project aims to directly reach 30,000 young people (aged 10-24) and influence at least 150,000 people in the wider population indirectly including policy makers, educators, and health professionals in the communities in which these young people live.

Image of girls at the Health Information Centre taking part in training on adolescent health issues

Young Health Programme India Year three report April 2013- October 2013

Project location The Young Health Programme (YHP) is being rolled out in five project sites (Badarpur, Madanpur Khadar, Mangolpuri, Holambi Kalan and Dwarka), which covers three districts of Delhi. Plan India is overseeing the roll out of YHP with the support of four grass roots NGOs, detailed below:

District Area Implementing NGO Partners South Delhi Madanpur Khadar and Badarpur CASP-DelhiSouth West Delhi Dwarka AlambNorth West Delhi Mangolpuri Dr A V Baliga Memorial TrustNorth West Delhi Holambi Kalan Navshriti

Map showing Delhi and the areas where the YHP is working

Target beneficaries The YHP expects to reach an estimated 31,000 households in five resettlement areas of Delhi. The main targets of the project are adolescents and youth and their families and communities. By the end of the three years, the project aims to directly target 30,000 young people (aged 10-24 years) and to have influenced at least 150,000 people in the wider population indirectly including policy makers, educators, and health professionals in the communities in which these young people live.

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Image of girls at the Health Information Centre taking part in training on adolescent health issues

Goal and Objectives Goal: To make a meaningful difference to the health and well-being of marginalised and disadvantaged adolescents by helping them to make informed choices to protect their health, now and in the future.

Objective 1: Capacity building of adolescents by providing relevant information, knowledge on lifestyles and better choices that will help enhance responsive health seeking behaviour

Objective 2: To establish community based actions on key infections Objective 3: Raising awareness and knowledge about access to available health care systems Objective 4: Addressing the immediate needs of the community in issues related to health care,

hygiene and sanitation.

Summary of achievements April - October 2013

Reach: Over the last six months, YHP India has reached an additional 12,211 young people through mass

awareness, community meetings, Health Information Centre (HIC) activities and health melas (fairs). Over the last three years, the project has benefited 89,493 young people (40,271 boys and 49,222 girls) which has exceeded the target of 30,000 by almost three times.

The programme has also reached 11,892 wider community members over the last six months including parents, health and education professionals and policy makers. This means a total of 84,387 wider community members have been reached by the YHP over the whole project period.

The programme has continued working with the 1,581 Peer Educators (PEs) (of which 814 are girls). During the period reported the YHP has provided 588 PEs with refresher training, bringing the total of young people (550 girls) who have received refresher training to 1,040.

Sustainability: Regular coordination meetings were carried out with government officials and community

stakeholders to foster better coordination and to attempt to bridge the gap between demand and supply of health services for young people.

In addition to the specific clinic times for adolescents, doctors have been holding sensitisation talks with small groups of young people at their clinics on topics such as nutrition.

YHP has formed HIC committees (made up of parents, young people and local leaders) who meet to discuss local health issues. In the future these committees can take increasing responsibility for the running of the HIC.

Youth Voice: Throughout the project young people have taken ownership of and responsibility for championing

YHP initiatives. The project has ensured their engagement at all stages of the project from planning to monitoring and evaluation. For example self-defence training is one of the activities that have been included at the request of young people.

1,581 PEs are continuing to lead a variety of interventions to bring about positive and healthy behaviour change amongst young people in their communities. This includes delivering outreach activities, referring young people to health services for treatment and supporting the Municipal Corporation of Delhi (MCD) in carrying out awareness and awareness-raising on malaria and dengue.

Impact: 15 severely anaemic girls were referred by YHP staff to the Integrated Child Development Scheme

(ICDS) where they have been treated and are reporting a significant improvement in their health. These girls are now also facilitating sessions with other adolescent girls at the HIC.

1,300 young people received a personal sanitation kit are now reporting practicing good hygiene, for example the six steps of hand washing.

Five PEs have secured jobs in the government DOTS (tuberculosis) programme, citing the skills, knowledge and experience they gained through YHP as key to this success.

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Local Advocacy: Due to combined advocacy efforts of the YHP team, Slum Health and Sanitation Team (SHAST),

Member of the Legislative Assembly (MLA) and officer from the MCD, the non functional public toilet block in Holambi Kalan was renovated and it is now being maintained for public usage.

Activities and Outcomes Objective one: Capacity building of adolescents by providing relevant information, knowledge on lifestyles and better choices that will help enhance responsive health seeking behaviour

Description of activities against objective one The focus over the last six months has been on consolidating the understanding of the existing PEs. 588 PEs received refresher training to reaffirm key health messages, address gaps in technical knowledge, build communication skills and provide an opportunity for PEs to learn from and support each other. This has built their capacity to more effectively deliver outreach activities in their schools and communities.

In August 2013, pre and post test surveys were carried out amongst 32 male PEs (training was done separately with boys and girls) during refresher training with an aim to gauge the change in their knowledge, attitude and practices on YHP thematic areas. The boys’ responses were then consolidated and compared. The results highlighted the value of the refresher training and ongoing support to PEs who are working on a wide range of health topics. Here are some of the most interesting findings;

Initially 47% of boys were able to accurately identify that through hand washing they can protect themselves from diarrhoea and other hygiene related illnesses. By the time they had completed the refresher training this had risen to 91% of boys.

55% of boys believed it is safe for a girl to take a bath during menstrual periods. Post training 95% boys reported it is important for hygiene purposes to take a bath during menstruation.

Before the refresher training 88% of boys were aware that excessive pain and bleeding during periods is abnormal. However, post training this rose to 100% of boys, who also suggested that girls should immediately see a qualified doctor if that is the case.

22% of boys believed that girls are ‘unclean’ during their periods (and therefore should not go to the temple, enter the kitchen or prepare food). However, post training 91% of boys reported that the periods are normal and that girls are not unclean.

47% of boys were aware that passive smoking is harmful. Post training 91% recognised that passive smoking is dangerous and it can lead to cancer and heart disease.

91% of boys were already aware that tobacco chewing is injurious to health and teeth. Post testing, 100% reported that chewing tobacco can cause cardiac problems and oral cancer.

90% of boys stated before the training that drinking alcohol is a status symbol and sign of success. By the end of the training 100% of boys identified that drinking is injurious to health and can lead to obesity and cardiac issues.

88% of boys reported that drink driving can cause road accidents. However, post training 100% of boys were of the view that drink driving increases the probability of accidents and deaths amongst young people.

PEs are being supported to facilitate outreach sessions by experienced PEs. The more experienced PEs are mentoring newer PEs and sharpening their skills so that they can effectively communicate information on YHP thematic areas to others. As a result, new PEs feel more comfortable and confident in taking the YHP messages forward.

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“Now I have lots of knowledge about health. As a trained Peer Educator I spread the information to other young people in school and in the community. I motivate young people to

channel their energies in building their career rather getting into addiction”

17 year old female Peer Educator – Madanpur Khadar

The YHP has continued to work with young people in need of support in relation to harmful use of substances. Across the year, 193 young people (58 girls) have been supported after being referred by teachers or HIC staff. These were young people who disclosed smoking or chewing tobacco and who had expressed an interest in quitting. They received counselling from a professional, providing them with the opportunity to explore their feelings and attitudes whilst being able to freely voice their anxiety in an open and safe environment.

63 girls received specific training on menstrual hygiene to help them understand the changes that take place during adolescence, the stages of development and the menstruation process. The training also focussed on good and bad practices in menstrual hygiene, and the links with other health issues like Reproductive Tract Infections (RTIs). The girls were supported to identify symptoms of an RTI and understand when and where they could seek treatment.

YHP trained an additional batch of young people (45 in total, including 15 girls) on street theatre performing. Through the training they learnt how to develop a script and carry out performances on various issues like Sexual and Reproductive Health (SRH), dengue, malaria and Gender Based Violence (GBV). After the training the young people have been independently writing scripts and taking the messages forward in their communities through drama.

“The Peer Educators have learnt a very good art of spreading health messaging through street plays which are widely

accepted and appreciated by the community people”Member of Resident Welfare Association -Holambi Kalan

32 competitions have been organised over the last year on poster making, slogan writing and poem writing on various health topics. Competitions have also helped to develop Information Education and Communication (IEC) materials. YHP staff report that these types of activities really motivate young people and enhance their participation in the programme.

During the last six months, an additional two HICs have been established in Badarpur and Madanpur Khadar, bringing the total number of HICs that are open to 15. This means each of the five targeted areas are supported by three HICs which is an increase in the number of young people, their families and community members who are able to access the services.

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Poster on harmful drug use, and newsletter with health messages developed by HIC youth in Mangolpuri

Outputs against objective one 12,211 young people reached through mass awareness, community meetings, HIC activities and

health melas 588 of the PEs received refresher training on the YHP thematic areas Two new HICs were opened, bringing the total to 15 45 young people (15 girls) received street theatre training IEC materials have been developed on various health issues, harmful use of substances and SRH

Outcomes and impact against objective oneThe YHP team assessed the impact and effectiveness of the PE refresher training by administering pre and post training questionnaires (see page four for details). Additionally these surveys helped to identify key areas to focus future refresher training on.

The YHP team helped the Integrated Child Development Scheme (ICDS) workers to identify and refer 15 girls who were severely anaemic. Owing to the YHP team, the girls were offered supplementary nutrition and given iron folic acid tablets which have significantly improved their health. The girls are now delivering sessions on anaemia to their peers through the HIC.

10 trained street theatre teams have been playing a very effective role by spreading key adolescent health messages in their community. The YHP team has seen a change in these young people who are now community minded and responsible.

Counselling sessions have really helped young people who were harmfully using substances. During the sessions young people shared the reasons behind their choices which included: peer pressure, imitating film stars and iconic figures, experimentation, easy availability and experiencing manhood. During the session the counsellor talked about the protective factors like family, friends, PEs and school - as places that they can look for support from. Lastly, the counsellor briefed them about seeking a professional’s advice so that they can give up harmfully using substances.

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Female Peer Educator delivers a session for girls on health issues at the HIC

Objective two: To establish community based actions on key infections

Description of activities against objective twoA number of community meetings have taken place which gave the community the chance to learn more about YHP thematic areas and discuss key adolescent health issues. The meetings brought out different points of view and prompted a range of questions which gave the YHP team chance to dispel myths and provide accurate information.

YHP has established four additional Community Stakeholder Groups (CSGs) which alongside the existing 67 CSGs have been advocating with the relevant government authorities to improve the water and sanitation conditions in their communities. Advocacy efforts have been combined with the Delhi Water Board (DWB) and the MCD. An additional SHAST team has also been formed (bringing the total number to eight) to provide additional focus on sanitation issues. In Holambi Kalan the work of the SHAST team and CSGs have led to a non-functional toilet block being rehabilitated.

“We recently held our quarterly SHAST in Holambi Kalan with YHP. We listened to the voices of trained Peer Educators who are sensitive and

want to contribute their bit to the community. They are the change agent who will take agenda forward. We’re grateful to the YHP, which

capacitated community young people and we are extremely proud about that”

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104 mass awareness activities were carried out during the period reported. These mass awareness activities (street plays, rallies and health fairs) were very effective in reaching out to large numbers of community members and spreading key messages on adolescent health in an interesting and accessible way.

Outputs against objective two 71 CSGs have been playing an active role in supporting initiatives around adolescent health in their

communities One additional SHAST team has been established, now there are a total of eight Community meetings were carried out engaging wider community members on adolescent health

issues 104 mass awareness activities were implemented The programme reached 11,892 wider community members, contributing to the total number of

people reached currently standing at 84,387.

Stakeholders sensitisation workshop on adolescent health taking place in Holambi Kalan

Outcomes and impact against objective two71 CGS and SHAST groups are operational across the five project areas. These groups are supporting the YHP team by facilitating the community activities and guiding the team regarding what activities are most effective and yield best results. The CSGs hold monthly meetings wherein they identify issues and develop advocacy strategies to address them. One successful example of this is in Dwarka where the CSGs have successfully lobbied the government to ensure that the garbage van comes on a daily basis to collect rubbish and help to keep the environment cleaner.

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The project teams carried out a sanitation rally in September 2013 wherein hundreds of young people participated and communicated messages related to WASH. The rallies engaged the ICDS/Aganwadi workers who appealed to the community to maintain good hygiene and reduce preventable diseases like malaria and dengue. These joint campaigns are more impactful in bringing about sustainable change.

Through YHP activities, young people have been provided with a platform to participate and promote adolescent health. This has not only helped to drive change forward, but it has also helped young people to act as the positive agents of change within their communities.

“Peer Educators are attempting to empower other young people to make informed decisions so they are best placed to

negotiate vulnerabilities that impact them, increasing self-determination and the overall health and well-being of young

people”Mr.Surendra Prasad Garg, Principal, Govt. School, Holambi Kalan

Objective three: Raising awareness and knowledge about access to available health care systems

Description of activities against objective threeAn additional 58 teachers from seven schools received training on adolescent health issues, through the YHP teacher training programme. This training was focused on developing a thorough understanding of the key modules of YHP; water and sanitation, SRH, health awareness and lifestyle education. The training also focused on the fact that school is a critical protective factor in young people’s development which can shape their future life and health.

In the wake of the Delhi gang rape on 16th December 2012 and other GBV incidents there was a negative impact on the number of girls attending the HIC. The YHP team organised community interface meetings with the Delhi Police in order to discuss the issues and restore confidence amongst mothers and their daughters on their safety. The police additionally carried out some self-defence training for girls. In phase two, YHP plans to organise more self-defence training for young girls with support of Delhi Police and engage more and boys in discussions around the issue.

Over the last six months the YHP has sensitised 57 additional health care providers including Aganwadi workers, Auxiliary Nurse Midwives (ANMs) and Accredited Social Health Activists (ASHAs). YHP training has helped to fill the gaps in government training around how to work specifically with adolescents and has also encouraged them to work more collaboratively with each other to meet young people’s needs.

Outputs against objective three 57 new health care providers (ANMs, ASHAs and Aganwadi Workers) have been sensitised to

support adolescent girls on health issues 58 teachers were sensitised on YHP thematic areas Five government health clinics continue to provide special slots for adolescents to access health

care services and additionally some are offering specific clinics on issues such as nutrition Community safety meetings were held with police, parents and young people to discuss GBV.

Outcomes and impact against objective threeThe health care providers’ training has helped to fill gaps in their knowledge and skills on adolescent health, especially for girls. The government does provide training, but it is largely focussed on support for pregnant mothers. Our training is focussed on building their capacity to work with adolescent girls more widely. The outcome has been that providers are now very confident working with adolescent girls on these issues and know the referral routes to the government SABLA programme (empowerment of adolescent girls 10-18 years).

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The outcomes of the training sessions with teachers were that as well as a greater understanding of adolescent health issues some teachers requested that the YHP arrange counselling sessions with children who are harmfully using substances. As detailed in objective one, counselling sessions were successfully carried out for those in need.

The special clinic opening times for young people in all five communities has been a clear gain in terms of making services more friendly and accessible to young people. Informal reports from doctors indicate that there has been a significant increase in the number of adolescents accessing health care services as a result of these clinics. In the last six months in addition to the specific clinic times for adolescents, the health professionals have started running sensitisation sessions for small groups of young people in the clinics to focus on specific issues such as nutrition. In phase two, the YHP team will try to advocate for factoring in other key criteria of Adolescent Friendly Health Services (AFHS) as per the Ministry of Health (MOH) standards.

“Initially, adolescents did not come to the dispensary as there was no window of special services for young people. Due to introduction of AFHS the numbers of young people accessing

health care services are steeply increasing. Now young people come freely and discuss their health related problem”

Medical Officer - Holambi Kalan Clinic

Objective four: Addressing the immediate needs of the community in issues related to health care, hygiene, and sanitation

Description of activities against objective fourThe YHP team has engaged representatives from the MCD and MOH in awareness raising activities around a variety of health issues including malaria, dengue, water and sanitation and hygiene. For example government doctors have emphasised the importance of preventive factors such as good hygiene, but also if they have a health issue that they should seek help from the government health facility rather than resorting to local quacks. The representatives from MCD seconded this view and encouraged the community to partner for prevention.

According to the MOH in Delhi the reported incidences of dengue and malaria were very high between May and October 2013 as a result of the high mosquitoes levels in the area. YHP in coordination with the MCD carried out an awareness drive wherein they briefed the community on early warning signs and symptoms of dengue and malaria, do’s and don’ts and the importance of prompt medical care. Additionally temephos powder (a chemical - non-harmful to humans - which prevents mosquitos breeding in stagnant water) was distributed in the community.

The YHP is committed to health and hygiene of adolescent girls, hence, several initiatives have been undertaken to ensure that the girls and women are empowered to take care of their needs during menstrual periods. The YHP identified that a key reason behind low use of sanitary napkins is the lack of availability of low cost or free napkins at government health clinics. The YHP team, alongside other NGOs has successfully advocated to the government for the uninterrupted supply of napkins either free of charge or at a subsidised rate.

Inadequate sanitation facilities and lack of understanding of the importance of hygiene were identified as the main challenges to improving health within the YHP India communities. Appropriate water disposal systems are limited and open defecation is widespread. As a result, outbreaks of water borne diseases such as diarrhoea are frequent. Whilst this continues to be a large scale issue YHP has helped to improve the condition of the community toilets, but also generated awareness among the local population regarding sanitation and hygiene issues.

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The programme has carried out training and distributed 1,300 sanitation kits (containing soap, toothbrushes, toilet cleaner and shampoo) to young people in the last six months to promote personal health and hygiene. Kits were distributed through schools, HICs and Anganwadi centres. Young people are now reporting that their knowledge on hygiene has increased and that they are implementing the positive practices that they learnt such as the six steps of hand washing.

Graphic to the right is for Global Handwashing Day which shows the importance of using water and soap when washing hands

Young people carrying out street theatre on health issues in Mangolpuri

Outputs against objective four 65 sessions around WASH issues were held with young people in schools A sanitation drive was carried out in Holambi Kalan, which involved the active participation of MLA,

MC, SHAST and young people. This raised community awareness and commitment to maintain good community hygiene

Distribution of sanitation kits to 1,300 young people in schools and communities Community awareness drives took place to prevent the spreading of dengue and malaria.

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Outcomes and impact against objective fourPEs alongside YHP staff played a critical role in launching awareness drives for disseminating information related to dengue and malaria. They visited houses door to door and spread the message of ‘No more dengue and malaria death’ in addition to running health talks and street plays, to bring about tangible behavioural change in their communities.

In response to advocacy efforts from the YHP team the government has committed to increasing the supply of sanitary napkins, sending frequent supplies and making them available in more locations. Anecdotal evidence from young people and school principals suggests that the increased supply of low cost sanitary napkins, along with the sensitisations on menstruation, is helping to improve girls’ attendance at school. The YHP will continue to monitor this commitment from the government in phase two to see how it is delivered in practice.

ChallengesVery limited sanitation provision in the form of public toilets coupled with unhygienic condition of the existing toilets continues to lead to widespread practice of open defecation in the targeted communities, causing significant public health issues. The project is continuing to raise awareness around hygiene and health, and in the second phase of the programme YHP will be leading further advocacy around this issue, pressing for the local MLA and MCs to use their development funds for construction of more public toilets and maintenance of the existing ones.

Inadequate infrastructure at the government health facilities is a challenge for the promotion of health-seeking behaviour, especially as the YHP activities continue to increase the demand for services from young people. Some of the issues include the lack of waiting rooms, lack of toilets, no dedicated spaces for young people, the deployment of only one doctor to some facilities (so girls cannot see a female doctor) and the lack of a gynaecologist. The YHP will continue to advocate to the government on these issues and in the meantime will continue to work with clinics in the targeted areas to do what they can to improve the provision of AFHS, such as look at how space can be used more effectively.

The attitude, or perceived attitude, of health professionals towards young people continues to be a barrier preventing young people from feeling comfortable to open up about all their health concerns. The YHP is continuing to sensitise service providers about approaches to working with adolescents, and especially how to ensure confidentiality and privacy of young people.

Inadequate staffing was identified as a challenge in the last report. However since the change in budget was approved YHP were able to bring on board the staff with the necessary skills to work with young people during the last six months.

The YHP has over the first three years of programming taken action on a wide range of health issues highlighted by young people including reproductive health, menstrual hygiene, RTIs, HIV and other STIs, water, sanitation and hygiene related infections, malaria, dengue, TB, nutrition, harmful use of substances, emotional health and GBV. Whilst this holistic approach has been an extremely effective way to engage the community and be seen to be very responsive to needs, over the next phase of the programme, the YHP is intending to focus its efforts on a smaller range of issues, with the aim of securing more a significant impact on key health areas.

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Annex 1 – Progress against Logframe indicatorsProgress against all indicators within logframe Number current

reporting period(April – Oct 2013)

Total number: Programme to date (November 2010 – Oct 2013)

Comments

Goal level% increase in knowledge of adolescents on health issues

Will be measured in Year 3 evaluation % decrease in reported infections / epidemicsDecrease in reported new TB casesDecrease in reported waterborne diseasesObjective 1: Outcome Level% of adolescents having knowledge on infections, physical changes and available health services

Will be measured in Year 3 evaluation % decrease in myths and misconceptions amongst adolescents on various health issues.% increase in adolescents accessing services from health clinics and counselling centres from both in-school and out-of-school set upObjective 2: Outcome LevelIncrease in community awareness and support for epidemic preparedness initiatives

Will be measured in Year 3 evaluation

Establishing Community groups with youth for epidemic risk reduction & preparedness

5 79 (71 CSGs and 8 SHAST)

Increased engagement of teachers in sanitation and hygiene by establishment of functioning school sanitation committees

7 schools participating

7 schools participating Schools engaging through sensitisation workshops

Objective 3: Outcome LevelIncreased support of community leadership for health interventions for young people

0 77 Number of community leaders engaged from across the 5 targeted areas

Improved access and services to address health needs of young people

210 972 Cases referred through PEs, HICs and community

Objective 4: Outcome Level% of schools in the project area will have improved sanitary facilities/practices and all schools will have active water and sanitation committee

Ongoing with 7 schools

7 schools School based activities have beenstarted in 7 schools including theestablishment or activation of

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water & sanitation committees.All Youth clubs in the project area take actions to promote appropriate health, hygiene and sanitation practices and prepare contingency plans for epidemic risk reduction and preparedness

2 15 All HICs are engaged in carryingout health and hygiene activities

Improved supply and maintenance of public hydrants and water bodies in the project area

0 2 The YHP has restored functionality of water points in schools and communities

Objective 1: Output LevelNumber of peer educators identified and trained (by gender)

0 new Peer educators but an additional 588 have received refresher training

1,581 peer educators in total (814 females, 767 males)

In addition to Peer Educators trained, the project has also provided refresher peer education training

Number of peer groups formed 20 groups 224 groups (117 male, 107 female)

These are the sub-groups formed by groups of peer educators

Number and type of IEC materials (pamphlets/posters/books) developed and distributed

1 leaflet1 pamphlet3 magazines1 calendar

4 leaflets5 pamphlets 8 magazines 5 posters3 calendar6 flip book 3 booklet 1 book 25 information boards

IEC materials used throughout outreach activities by peer educators, schools and HICs

Number and type of outreach interventions None during period 98 events Events are celebrated and linked to programme activities throughout the year including World AIDS Day, New Year’s Celebrations, TB Day, Women’s Day, 26th Celebration, Youth Day, Deepawali Celebration, Malaria Day, Sports Day, Cancer Day, World Health Day, Sexual and Reproductive awareness Day, World Water Day, International Youth Day, World Environment Day, World Earth Day etc.

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Estimated number of community members reached through outreach

11,892 84,387 These are the community members reached out through mass awareness activities such as street plays, puppet shows, rallies, camps, community meetings, health melas etc.

Number of adolescents informed/reached by Peer Education mobilization activities

12,211 89,493 This figure indicates the number of adolescents reached through trained Peer Educators, HIC attendees, group meetings and mass awareness activities.

Number of HICs established 2 15 An additional 2 HICs to be opened during the next period

Number of referrals made by HIC and peer educators

210 959 Through the monthly reporting format used by PEs, HIC and community members

Objective 2: Output LevelFormation of active Community Stakeholder Groups in each community

4 71

Number of referrals made through community based referral system

15 96

Number of community meetings carried out 77 745Number of Melas/ Thematic camps/ street plays/ video shows on sanitation, hygiene, infection prevention and diabetes held

104 including street plays, video shows, rallies, health talks, puppet shows, magic shows, and health camps

635 including street plays, video shows, rallies, health talks, puppet shows, magic shows, and health camps

Number of community members sensitized 11,507 72,495Objective 3: Output LevelNumber of health providers trained on Adolescent health (AH) & counselling skills imparted

57 588 This includes medical officers (MOs), auxiliary nurse midwives (ANMs), accredited social health activists (ASHA) workers and Anganwadi Workers

Number of legislators, leaders, media persons, police supportive of health initiatives attending workshops.

6 RWA 7 MLAs9 MCs34 RWA members

These include MLA (Member of Legislative Assembly; MC (Municipal Councillor) (MC) and RWA (Resident

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7 Councillors6 Local Leaders

Welfare Association)

Objective 4: Output LevelNumber of schools participating in sanitation activities

Ongoing in 7 schools

7 schools

Number of Youth clubs involved in sanitation work in the community

2 15 HICs supporting activities in sanitation work

Number of sessions facilitated by peer educators under the supervision of teachers

30 65 During the last period Peer Educators have delivered sessions in some schools

Number of referrals/counselling done by trained teachers

5 127 Students counselled or referred as reported by trained teachers

Number of Community action groups taking part in maintaining public hydrants

4 71 CSG groups participating

Annex 2 –Global Indicators16

Outputs Reporting Period April – October 2013

Targets achieved-programme to date (Nov 2010-October 2013)

Outcomes When outcome measure expected

1. Total number of young people who have received health information through AZ-YHP

12,211 89,493Measured Year 3 Evaluation 2. Of which: Number of young people who received

information about:Sexual and reproductive healthMental healthSubstance abuseViolenceNutritionInfectious diseasesAccidents/injuryOther health issue Access to health care

12,211012,21112,21112,21112,211012,21112,211

89,493089,49389,49389,49389,493089,49389,493

3. Number of young people directly trained in delivery of interventions

1,581 (ongoing support)

1,581

4. Total number of frontline health providers who successfully completed training programmes in adolescent health

57 588

5. Total number of influencers (parents, teachers, and leaders) reached by programme

1,111 Parents, 64 Teachers

3,000 parents 190 teachers61 leaders

6. Number of awareness raising/advocacy campaigns conducted and estimated population reached

104 mass awareness events85 community meetings11,892 people reached

635 mass awareness events 745 community meetings84,387 people reached

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