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  1. Aims and objectives of the proposed interventions


Improved access to skilled attendance during pregnancy, at delivery and subsequent care is an important variable for maternal and child survival and health. The objective of this project is to reduce neonatal, infant and maternal deaths by enabling timely and efficient pre-natal, during delivery and post-natal care in Trimbakeshwar and Peith blocks of Nasik District, Maharashtra.
This project is aimed at strengthening existing programmes of the government and to be a demonstration to the state for further integration and scale up. Interventions will be planned taking into consideration the existing programmes and schemes, and within the overall framework of replicability within the National Rural Health Mission.
The intervention will be of three years and will be three phases; i. Design, preparatory and Needs Assessment Phase, ii. Implementation Phase, and iii. Evaluation, Replication & Scale-up Phase

  1. Design, Preparatory and Needs Assessment Phase

The Preparatory and Needs Assessment Phase would be for 6 months. During this period, the following will be carried out:

  1. specific needs assessment of the target populations will be worked out and accordingly the design of interventions will be finalised 
  2. a baseline survey would be conducted and based on which project outcome indicators will be defined and chosen
  3. required staff, contact persons would be selected for project execution
  4. basic induction will be carried out for all involved with required trainings and necessary equipment would be procured
  5. Implementation Phase

This phase would be for 2 years. The services would be put in place in two blocks. The interventions will be implemented and executed by the NGO, Vachan.
The following components would be implemented during this phase:

  1. Capacity Building of the existing health service providers

Training and skill-building of existing staff will take place. This will include training of the grassroots link persons like Accredited Social Health Activists (ASHAs), helpline and transport staff, multi-skilling of doctors and also all other staff in the selected areas, so as to provide timely MCH services.

  1. Providing Support Health Services
    1. Helpline: Two 24x7 helpline centres would be established one each at the block head-quarters which co-ordinate the emergency services and link the Primary Health Centres (PHC), Community Health Centres (CHC), Sub-divisional Hospitals (SDH) and District Hospital (DH). The Helpline Centres could be contacted from any village/hamlet through ASHAs or directly.
    2. Transportation: A 24X7 transportation mechanism will be made available within the block for transfer of pregnant women and women and children needing immediate treatment. The transport system will be linked to the call centres and one or more PHCs or other healthcare institutions.
  1. Creation of Flexi-Pool Financial Support system at community level: At each community a flexi-pool monetary fund will be created that would be available for MCH services of women within the community that can be used more specifically for emergency services.

In combination, these interventions are anticipated to greatly facilitate referral and transport of emergency obstetric cases. In doing so, it will aim to improve the indicators of maternal and child health in these locations. All the above three activities will be managed and closely monitored by Vachan on day-to day basis and reported to a committee consisting of staff from Bhavishya Alliance and ICICI Foundation on a monthly basis who would review the activities and suggest any corrections. The monitoring committee will review the program activities on a monthly basis initially and on quarterly basis there on.
The project would also be monitored by the community, the referring and referral unit with regard to outputs and quality of services.

  1. Evaluation & Replication Phase

An end line evaluation will be conducted at the end of 2 years to assess the impact of the project and determine whether there has been an improvement in health outcomes. Based on the outcomes a replication plan will be drawn and the same will be discussed and advocated with the government for taking up in the rest of the blocks or districts in the state. This phase is expected to take another 6 months. 
It was launched on January 14th by Ms Kavita Raut.  The call center is getting at least one call a day for transporting the patient to a hospital mostly the rural or civil hospital. Vachan expects about 300 calls a month as a target.



Other Project -

  •  Vachan was selected as the only NGO along with medical colleges in Maharashtra for conducting surveys
  • i) to evaluate the Janani Suraksha Yojana – a scheme under National Rural Health Mission – and
  • ii) the MNGOs/ FNGOs at Jalgaon and Nashik District. The final report will be available from the State Health System Resource Centre, Pune by next month.
  • Vachan trained 50 ASHAs selected in the remote areas of Trimbakeshwar block under the Mulwad and Chinchohol PHC.
  • Vachan has completed data collection of 44 locations around the Chinchohol PHC about the possible causes of Severely Acute Malnutrition in this area.
  • Vachan has been selected as a Nodal Agency for Community based Monitoring programme under the NRHM.
Vachan is also a partner with Basic Need Initiative for a Mental Health Programme