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ASHA-ODISHA aimed to create awareness by providing useful healthcare related information to the rural communities, with a special focus on women and child health. The other major focus areas are nutrition, hygiene, first aid and curative measures. Women’s health comprising of adolescent health, pregnancy health and reproductive health where emphasis is given more on safe motherhood, pregnancy complications and pregnancy with STDs. Under child health ASHA-ODISHA emphasis is on common ailments, newborn care, immunization, growth milestones and early and exclusive breast feeding.

Project SURAKHYA: Infant and Young Child Feeding Practices (IYCF)
Under Project SURAKHYA: Infant and Young Child Feeding Practices (IYCF) supported by Orissa Voluntary Health Association (OVHA) and UNICEF in partnership with the Government of Orissa IYCF initiative was undertaken. This initiative looked at strengthening interpersonal communication of frontline functionaries for counseling mothers and care givers on improved IYCF practices. Simultaneously, it also aimed to work with medical practitioners on ensuring compliance to the IMS (Infant Milk Substitute) Act. This was a unique opportunity where civil society partners joined hands with the government to ensure infant and young child nutrition as the right of the child for growth and development and thus the right of life.

Focusing on avoiding malnutrition in children below the age of 2 years is indispensable to reduce childhood morbidity and mortality. Of all proven preventive health and nutrition interventions, Infant and Young Child Feeding Practices (IYCF) have the single greatest potential impact on child survival. Therefore, reduction of child mortality can be reached only when nutrition in early childhood and IYCF specifically are highly prioritized in national policies and strategies.

The project aimed to introduce, improve, strengthen evaluate and sustain the key infant and young child feeding practices at the household and community level. The project spans across the entire state covering all the 30 Districts with 314 Blocks, the duration of the total project was 19.5 months and an intense implementation done in 7 districts of the state at village level. ASHA-ODISHA was the implementing partner in Nuapada district.

CDPO, BEE, BPO, LHV, ANMs, Anganwadi workers, ASHAs, SHG and youth club members , NGO representatives, eligible couples took active participation during the Orientation of Community Volunteers programme while Sarpanchs, Ward Members, Private medical practitioners took part in the programme. Medical officers and Specialists were the Resource persons in all the programmes even as the district administration showed its commitment towards the cause by donning as the guest for the programme. The Collector, Nuapada chaired the district level orientation programme and the CDMO, ADMO and the DSWO made it to the programme to show their concern and assurance.

Networking and Advocacy of IYCF

  • Surakhya Kit – Flip Charts and Posters used (at AWW level).
  • Community Awareness through Dummy Dolls, Odia Training Module and Street Play used (at community and PRI member level).
  • Networked with NRHM, ICDs, DPC UNICEF, NOP Consultants, NGOs (Yar See, Ayuskam and Parada), CBOs and PRI in implementing the Surakhya initiative.
  • Display of Key IYCF messages during Maraguda Utsav with ICDS Nuapada.
  • Media Coverage on “World Breast Feeding Week” (in print and electronic media) i.e. Sambad, Samaj and Dharitri organized on 4th Aug 2012 .

Sustainable Community Development Project (SCDP):

Emphasis of ASHA-ACC SCDP was on improving the quality of primary healthcare services, enhancing access to secondary care and enabling community-based organisations to manage their own health care initiatives. Keeping in mind all above needs of the communities we have organized 14 Health Check up Camps at 6 adopted villages under Bargarh district. Govt. MOs and various Specialists were invited wherein we also motivated the local PRI members to attend the camps along with the other line department officers like teachers, VLWs, VAWs, AWWs, ASHAs, ANMs etc. Free medicines were distributed to the patients prescribed by the doctors during the camps. We also could generate Rs. 16, 823 during these camps collected towards registration fees. These funds are deposited with the village level institutions for their future health or other emergent needs.

Awareness Programme on Malaria & Diarrhea

Awareness among people on the prevention of malaria and diarrhea was conducted. We organized awareness programmes in 3 villages viz., Nadipada, Khaliapali and Katapali. Details of the list of participants attended the meeting is given in the table.

Villages Male Female Child Community covered Total
Khaliapali 10 30 15 02 57
Nadipada 08 23 22 01 53
Katapali 07 50 25 04 82

Involvement in Immunisation, Mamata & Pustikar Divas

ASHA under ACC SCD project mobilized the community for leading a healthy life. For this promotion of immunization, motivate to participate in Mamata Divas, promotion of institutional delivery were key strategies of ASHA-ODISHA.

Immunization Status: Immunization of children up to the age of 2 years increased with the concerted efforts of the Govt and ASHA-ODISHA team.

Sl. No Name of the Village Children BCG DPT/Polio-I DPT/Polio-II DPT/Polio-III Measles Boster Dose Vit-A Total Children
1 Bargaon Boy 14 13 36 10 17 11 94 195
Girl 21 18 24 13 24 15 84 199
2 Khaliapali Boy 14 20 14 19 28 30 149 274
Girl 12 20 19 26 28 20 160 285
3 Katapali Boy 16 20 17 17 22 21 120 233
Girl 19 14 16 15 21 16 102 203
4 Piplipali Boy 17 38 39 38 73 42 87 334
Girl 13 33 20 24 69 29 53 241
5 Bardol Boy 25 57 66 49 79 48 90 414
Girl 14 55 46 32 82 26 55 310
6 Dang Boy 0 33 26 28 53 22 48 210
Girl 3 29 28 14 42 22 47 185
Total Boy 86 181 198 161 272 174 588 1660
Girl 82 169 153 124 266 128 501 1423

Nutritional Status: Initiatives yielded in improved child health as is evident from the table below;

Sl. No Name of the Village Total Children Children Standard
Boy Girl Total Normal Grade-I Grade-II Grade-III Grade-IV Total
1 Khaliapali 1016 1008 2024 1184 635 192 13 0 2024
2 Katapali 809 685 1494 786 448 232 28 0 1494
3 Bargaon 664 1010 1674 905 369 345 55 0 1674
4 Bardol 378 299 677 285 195 97 100 0 677
5 Dang 439 412 851 390 281 138 42 0 851
6 Piplipali 334 289 623 275 147 118 83 0 623
Total 3640 3703 7343 3825 2075 1122 321 0 7343

Institutional delivery too increased with our combined efforts by mobilizing the health department personnel. JSY benefits started reaching the beneficiaries without any hassles and in much quicker time.

Antibiotic Stewardship Network in India (2013-2014)

ASHA-ODISHA has implemented the Antibiotic Stewardship Network in India (ABSN) in 6 districts of Odisha i.e. Nuapada, Bargarh, Bhubaneswar, Dhenkanal, Cuttack and Kalahandi. It is a personal opinion of every medical officer (MBBS, BAMS, BUMS and BHMS) to become member in this program.

ABSN is a network of like minded people cutting across medical disciplines and aims to bring together the major stakeholders (viz. medical practitioners and general community) involved in Antibiotic resistance issue on a single platform to join hands and to work together towards reducing the irrational use of antibiotics and hence controlling the spread of resistant bacteria, thereby preserving the effectiveness of antibiotics.

This is further geared towards the formation of locally relevant policies on Antibiotic Stewardship in India and ASHA-ODISHA is involved in it to implement this program in Odisha with the following objectives as mentioned below.

  • To establish a networking platform of Medical Practitioners
  • To support formation & implementation of locally relevant policies, with aim to minimize resistance in bacteria and retain effectiveness of antibiotics

Outcome

  • 887 MBBS, BAMS, BUMS and BHMS outreached.
  • 10 schools had “Wash the Germs off your Hands” awareness campaigns outreaching about 1000 children in Nuapada district. Children became aware of the better hand hygiene that helps preventing infections, hence controlling antibiotic resistance. They were taught of 8 steps to wash the germs off their hands.