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.