Women Development Initiatives in Delhi

Dr. G. Narendra Kumar

Secretary, Social Welfare

Govt of NCT Delhi

Initiatives

• Stree Shakti- taking hospital services to slums.

• Gender Resource Centers- Economic Empowerment of Women

• Mission for Development of Women- Reducing IMR, MMR, Female Foeticide, School Drop Out Rate among Girls & Economic Empowerment through Microenterprises of Women.

• City Level Plan of Action for Children.

Stree Shakti

• Women in 1700 slums of Delhi do not have access to health care due to absence of facilities and social inhibitions in availing of health care services.

• Prevelance rate of the following 5 high incidence diseases is almost double in slum clusters: RTI, Refractory Errors, TB, PEM, Anaemia.

• On the second Sunday of every month health camps are set up in a slum cluster , where hospital care services are provided.

Stree Shakti(2)

• NGOs help mobilize the beneficiaries and ensure smooth conduct of the camps.

• NGOs also help in providing referral linkages .

• Both participating departments provide services such as: legal aid services, technical education services, yoga, mental health services.

SERVICES UNDER “HEALTH COMPONENT” STREE SHAKTI PROJECT

• AT CAMP SITE• General Health Screening & medical examination of women & accompanying children

by specialists (gynecologists, physicians, pediatricians,ophthalmologists)• Screening for Ca cervix & Ca breast • Laboratory Services & investigations: Blood hemoglobin(Diagnosis of anaemia )• Blood sugar – random (Screening for diabetes)• ECG (Screening, & supporting diagnosis of heart diseases) • Ultrasonography (Investigation of abdominal & pelvic

tumors/mass & other specific conditions like uterine diseases, menstrual disorders, sterility etc.)

• Treatment of common diseases including RTIs & STIs (drug dispensing free of cost)

Issuance of “Stree Shakti Health Card” & referral   ISM & Homeopathy services- examination, treatment & referral• Voluntary counseling & blood collection for HIV testing• Active suspect TB case finding for confirmation & DOTS treatment• Health Education & awareness like nukkad-nataks on AIDS health exhibitions,

distribution of ORS packets & chlorine tablets, TB control etc.

……POST-CAMP SERVICES

1) Hospital Levela) Registration of referrals on “priority basis” at

exclusive counters- “Stree Shakti Counters”created for the purpose

b) Follow up of referrals- examination by concerned treating specialist, investigations & comprehensive management of the patient including hospital admission, if required.

c) Hospital charges for the paid services like registration fee, investigation charges etc. are waived off to the maximum possible extent.

POST-CAMP SERVICES2) Community Levela) Identify the referrals, motive & guide them to attend the

nearest hospital/health facility for necessary follow-up as per advice of doctors at Stree shakti Camps. NGOs engaged by Social Welfare Department carry out this activity. 25-30 NGOs have been identified & MOU has been signed with Social Welfare Department.

b) Post-test counselling on AIDS at VCTs of Delhi AIDS control Society for those whose blood was collected at the camp sites for HIV tests.

c) At “Gender Resource Centre”, health education of beneficiaries on all aspects of Health & Family Welfare with respect to “Primary Health Care”.

d) Training & capacity building of community/voluntary workers & Self-help groups on all aspects of health care services.

Current Scenario

• Around 200 camps have been held over 3 years.

• Around 1 lakh beneficiaries covered.

• Catchment area population of around 10 lakh has been covered.

• Women in age group 15-45 years to be/ being covered .

Stree Shakti- Outcomes

• 30 % increased attendance of women from catchment areas at hospitals.

• 42% improvement in level of satisfaction about quality of services.

• Greater appreciation among health care providers and NGOs about health status of women in slums.

• Increased awareness to avail of government services.

Gender Resource Centers

Women Welfare in Delhi

Gender Resource Centres:

As a sequel to Stree Shakti Camps, Gender Resource Centers (Stree Kosh) set up to provide single window information cum facilitation centre and to evolve strategies, programs for sustainable empowerment of women covering health, literacy, skill development and legal Aid.

Highlights• Four GRCs setup in four districts• Expansion programme under way for opening sub- centres and other GRCs• Programme being implemented in active collaboration with voluntary organisations. • Attempts at convergence of services for holistic development of women. Focused attention to establishing infrastructre for sustaining womens empowerment.

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GRCs(2)• GRCs program revamped and expanded.

State Cell

GRC

Sub-Center

GRCs – Roles at Various Levels

• State Cell- Team of experts to reconfigure the overall framework.

• GRC – at district level to provide planning, training, marketing and monitoring support; services with higher scale economies.

• Sub-centers- Vocational Training, Formation of SHGs, Health Services in slums , health and nutrition camps.

GRCs(3)

• Evaluation study pointed to high level of demand for GRC services.

• Focus on economic empowerment with spinoff into other empowerments.

• Convergence of vocational training and microfinance to achieve setting up of microenterprises.

• Initiative scaled up with the setting up of GRCs in all districts, 20 sub-centers and proposed to be further upscaled to 99 centers in the next few months.

Mission on Women Development Issues

Women Empowerment -Mission Map

IMR,MMR

Female Foeticide

School Dropouts

Economic Empowerment

Mission Approaches

Time boundResults; High Quality Services

Improved Governance

Delhi DevelopmentGoals

Project Mgmt

Critical Mission Projects

Reducing IMR, MMR• Improving personal contacts for improving

neonatal care.• Increasing immunization rate to 90%.• Universalization of ICDS.• Early detection of pregnancy related complications.• Increasing the number of assisted deliveries.• Developing referral linkages among health care

facilities.

Critical Mission Projects(2)

Reducing Female Foeticide by Enhancing the Value of Girl Child

• Building community pressure against female foeticide.

• Increasing public safety.

• Better enforcement of dowry laws.

• Fostering Excellence among girl children.

Critical Mission Projects(3)

Reducing Drop Out Rate

• Girl Child Protection Scheme.

• Additional academic support.

• Reading facilities for girl children in slums.

• CBT

• Safe Transportation

• Incentives to teachers.

Critical Mission Projects(3)

Economic Empowerment• Vocational training for women in slums• Formation and Capacity building of SHGs.• Microfinance support.• Developing markets for products.• Universalization of creches.• Generating Government support through backup

services.

Institutional Arrangements

• Mission Mode Society – Mission Director, Sectoral Managers and Professional Experts.

• District Service Centers.

• Combination of ICDS and RCH2 Functionaries at field level.