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What We Do:

Home Based Newborn Care project

The scene in the State of Maharashtra

The Child Death Study Group (CDSG), Maharashtra, a group of NGOs under the leadership of SEARCH, undertook a study of measuring child mortality in 14 pockets in the state of Maharashtra over a population of 2,27,000. The main aim of the study was to assess child mortality rates in these pockets and compare the same with the available official data kept by the Government. At the end of the study the findings were published in November 2001 in Marathi (Kovali Pangal) and then once again in English in the prestigious journal “Economic and political weekly” in the year 2002. It was established that nearly 2 lakh children under the age of 5 die every year in Maharashtra. The high and unacceptable mortality in children under 5 called for immediate intervention to save these children and especially the infants and neonates whose deaths contribute largely to the total deaths of children under the age of 5. Home based Neonatal Care Approach or HBNC developed and tested by SEARCH in the field trial in 39 villages of Gadchiroli district is such an established, feasible and cost effective intervention as can be seen from the results in the said field trial in Gadchiroli district.

  • HBNC model at VACHAN, Nasik

Since April 2001 VACHAN as a part of the CDSG, implemented SEARCH model to reduce the Neonatal  Mortality in  Nasik district.. The intervention was conducted in 13 villages covering a total population of 14826 in Igatpuri block of Nasik district.  PHC were situated at a distance of 15 to 20 kms from the villages.
This project was replicated in 2007 till now to remote villages where malnutrition was high. It was conducted in 10 villages each in Igatpuri and Trimbak blocks covering a total population of 23169. Here the PHCs were situated at a distance of 7km in Igatpuri and 42 km in Trimbakeshwar block.

  • What VACHAN did

The programme was being conducted through Village Health Workers, Hamlet Health Workers, trained TBAs and Trainers cum Supervisors.
The following activities were conducted in a phased manner:

    • Early Registration of ANC
    • ANC health education sessions - individual and Community
    • Regular examination of newborn and mother  during 28 days
    • Management of birth asphyxia
    • Special care of high risk babies
    • Management of Sepsis, Pneumonia, Breast feeding problems
    • identification and referral of a sick new born or sick mother
    • care of Low birth weight babies through designed methods like warm bag, Kangaroo method
    • For U5 children: management of Pneumonia, diarrhoea

    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. more

    • Health Prmental health programme

    Vachan is also a partner with Basic Need Initiative for a Mental Health Programme
    The programme has the following activities:

    • Identifying People Living with Mental Health Illness (PLMHI)
    • Stabilizing them through regular treatment
    • Create Community/Family level Awareness and Support
    • Mainstream them through economic activities
    • Advocate for their rights

    Right now about 120 patients having SMDs and CMDs are identified and under regular treatment. About 25 of them are socially stabilized through livelihood support activities like tailoring, goatery etc.

    • Girls Gaining Ground

    Mother’s education is one factor which affects level of Child Malnutrition. A project has been recently started with the objective of training 1000 adolescent girls in life skills by locally selected educated facilitators. It is also in collaboration with the Bhavishya Alliance. Right now it is going on around Harsul, a market town and around Devgaon, an Ashram School in Trimbak block. The qualitative assessment of the first phase of this programme is available at

    Its quantitative assessment report conducted by IHMP, Pachod is available at