El análisis de los sucesos vitales desde el modelo de estrés y afrontamiento

1. Criteria for selection of health CRPs: Health CRPs will be selected from the HN mandals with best practices demonstrated and the individuals identified with the following criteria:

a. best practitioners in the following areas: i. Introduction of health as an agenda ii. Promotion of health savings

iii. Promotion of CFSL

iv. Promotion of regular trainings for SHGs

v. Promotion of convergence activities such as Fixed NHDs vi. Promotion of village sanitation and water safety measures b. Exposure visit to Jamkhed to be taken up.

c. The health CRPs may be a health activist or a health sub committee members at VO/MMS/ZS.

d. Experience to consider as internal & external CRPs from the villages developed by external health CRPs

Expected Outcomes:

1. Health Agenda: SHGs,VO will have health as an agenda in their

regular meetings and prepare Masa Nivedika to share it in the regular MMS/ZS meetings.

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2. Health savings and HRF: All the SHG members will have regular health savings and have access to HRF in case of emergencies.

3. CFSL: All the POP and Poor families enroll under CFSL and continue the cycle in the VO.

4. Nutrition cum day care Center:

• All pregnant & lactating mothers from POP &Poor enrolled and have complete ANC and PNC check ups and enjoy the following outcomes:

i. All the women will have safe deliveries

ii. All the target HHs follow neonatal care practices. iii. All the infants born with >2.7Kgs birth weight. iv. All the children have complete immunization.

v. All the women have Hb levels with normal range. vi. All the children with normal growth curve

5. Institutionalization of Fixed NHD:

 All the eligible women and children from POP and Poor will have complete immunization.

6. Screening camps:

 All the women in the reproductive age will improve health seeking behaviour and seek early diagnostic and treatment for RTI &STIs. 7. Sanitation and Water safety measures:

 All the HHs will have bath rooms with soak pits and ISLs which are in use.

 Safe and clean environment and safe drinking water availability with the efforts of PRI and Youth.

8. IGAs that are helpful to improve nutrition and health status through community kitchen gardens.

9. SHG members will have knowledge and do practice Sukhajeevan Suthralu ( common for all , specific for neonatal care & pregnant and lactating mothers health care practices)

10. Internal Health CRP development after 6 months of implementation CRP Strategy will be taken up in the second phase in Dharpally & Sirikonda of Nizamabad probably from December 2008.

11. DISABILITY Project objectives

• Enhancing livelihood opportunities and Quality of Life for Persons with Disabilities (PWDs) and their families

• Ensure optimum utilization of residual abilities by PWDs

• Improve capacities of PWDs to access and avail various entitlements and services offered by the government

• Mainstreaming disability concerns in policy making and line activities Project area

• 5 pilot mandals – Intensive Interventions are being piloted in Dichpally, Jakranpally, Dharpally, Sirikonda and Bheemgal mandals of Nizamabad district. Objectives of pilot experiment are to evolve a model of institutional relationship between CBOs of PWDs and various government and non-government stakeholders and make them as resource mandals to replicate the same throughout the state.

Key Interventions

• Social mobilization and Institution Building of PWDs and their caregivers.

• Provision of Livelihood support

• Community based Assessment, Treatment and Rehabilitation services • Promoting convergence with line departments particularly Health and

Education for inclusive frameworks • Mobilization of Resources Govt. NGO etc

Institution Building (IB)

• Formation of exclusive Self Help Groups (SHGs) and Federations at mandal level through the following activities

Federating all SHGs of PWDs as Mandala Vikalangula Samakhya (MVS) at Mandal level

Effective Book keeping - social capital and sustainable process.
Play Active role in Zilla Samakhya in issues of the PWD’s. • Capacity Building through

Facilitation support and trainings to SHGs and MVSs on Disability Awareness, Institutional and financial management, Book keeping, Persons with Disabilities (PWD) Act, etc.

Enrolment of SHGs of PWDs in to VO

Maintaining separate bank accounts of MVS for Institution and Human Capacity Building (IHCB) and Community Investment Fund (CIF) of PWDs by MMS

Periodic interaction and coordination between MMS and MVS
Kalajatha, Cultural activities, Wall messages, Posters etc

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Achievements

• Total no of groups formed in pilot mandals - 328 • Total No of persons mobilized in to groups - 3055 • Members - Disability wise

• No of MVSs: 5

• No of SHGs with membership in VOs: 104 • No of SHGs with internal bookkeepers: 95

AT&R Services

• Ensuring access to all basic entitlements to PWDs as per the PWD Act by conducting certification and multipurpose camps at mandal level • Improving or retaining the existing residual ability through

Assessment and surgical correction camps at mandal and district levels

Prescription of and facilitating access to suitable aids and appliances

Provision of nutritious food for malnourished or undernourished PWDs

• Improving access to service providers by

Capacity building of CBOs of PWDs to organise required arrangements and access them on their own

Collaborating with technical institutions like the National Institute for the Mentally Handicapped (NIMH), NIMS, LVPEI – Hyderabad, BIRRD – Tirupathi, Network Hospitals in Rajiv Aarogyasri, local hospitals and concerned NGOs

• Improving ADL skills of Persons with Severe Disabilities through

Therapy trainings to persons with mental retardation, speech, hearing and orthopedic disabilities and their caregivers

Community Mental Health camps for Persons with mental illness
Established 5 Early Intervention Centers (SHUBODAYAM) in which

121 children are enrolled and the basic therapy, nutrition, training are taken care of by the trained Teachers. Centers are showing marked development and the significant attitudinal change in the mindset of the parents shows the impact of these Early

Intervention Centers.

Category OH VI S&HI MR MI LC Total

Identified 2192 250 368 353 18 395 3464

Assessment, Treatment and Rehabilitation Services – Pilot Mandals

S.No Item Pilot

mandals

1 Total no of persons identified 3464

2 Total No of Persons provided with Certificates 3159

3 % of people provided with certificates 91%

4 No of persons provided with Assistive devices 521

5 No of persons availed surgical corrections 96

Assessment, Treatment and Rehabilitation Services – Other IKP Mandals

S.No Item Pilot

mandals

1 No of Persons provided with Certificates 18945

2 No of persons provided with Assistive devices 1597

3 No of persons availed surgical corrections 395

Livelihoods

• Reduction of poverty impact of disability on PWDs and their families through

Financial support from the Community Investment Fund (CIF) for various livelihood activities performed by PWDs or their family members in the case of Persons with Severe Disabilities or children with disabilities

Revolving Fund, Matching Grants etc.

Participatory and collective identification of needs and priorities via Micro Credit Planning (MCP) process

• Promoting Financial inclusion of SHGs of PWDs for improved access to credit by

Improving creditworthiness of CBOs of PWDs

Advocacy with banks for providing loans to SHGs of PWDs Livelihood support details

S.No Source Pilot

mandals

Other IKP Mandals