Page 46 - TRIF Annual Report 2021
P. 46

Jharkhand Integrated Development of
            Health and Nutrition (JIDHAN)


            National Health Mission, Government of Jharkhand


            As part of this program, TRIF works alongside the
            State government for strengthening delivery of
            public services in Health & Nutrition, and works with
            communities for strengthening health
            care response on the ground. The program emerged          The implementation
            from the COVID-19 pandemic response, calling for          architecture, and liaison with
            rural interventions for improving access to sustained
            health care services. TRIF has embedded Human             the State National Health
            Resource at the State, District and Block levels; and     Mission gives the opportunity to
            has intensive presence in two blocks of Kurdeg and        engage on both the policy side
            Angara. TRIF is also the Resource organization for        and community engagement.
            training partner organization's (PHIA, PRADAN) staff
            and the front line workers in the overall Program         Shyamal Santra                                                 Surekha
            Blocks. The trained community cadre - Panchayat           Lead - Public Health Engagement, TRIF
            Health Facilitators (PHF), Badlao Didis and Setu Didis
            - work closely with the frontline workers to improve                                                                     Panchayat Health Facilitator, Community Cadre for
            health and Nutrition outcomes in the villages.                                                                           Health & Nutrition, Kurdeg Block, Simdega, Jharkhand



                  Highlights of the Engagement                                                                                                                              While almost all efforts in Gram Panchayat were directed
                                                                                                                                                                            towards tackling the COVID-19 pandemic, I additionally
                                                                                                                                     With documentation on                  worked on ensuring continuity of the Health & Nutrition

                                            Management                                                                               field experiences, and                  agenda. I did this by facilitating Health entitlements
                                              of Covid                                                                               advocacy efforts with the               through mobilising families of SAM children for treatment
                                            Critical Care                                                                                                                   at Nutrition Rehabilitation Centre and ensuring that the
              Capacity Building of          Supplies and                                                                             District Magistrate and
               Frontline Workers              Facilities                                                                                                                    cash payment incentive scheme was implemented.
                  on Disease                                                                                                         District Chief Health
                Surveillance and                                    Powering the fight against COVID-19                               officer, in January 21, the              The trend of admissions in the NRCs established by NHM
               Integrated Delivery                                                                                                                                          for SAM children, had been alarmingly low reflected by the
                of Routine H&N                                                                                                       cash payments (instead of
                 Services with                                                                                                                                              low occupancy compared to the expected number as per
              COVID-19 response             Deployment                                                                               only digital) were                     the Block health data. The primary reason was the lack of
                                            of Monitoring                                                                            institutionalized. This                willingness of the parents to stay for 15 days, suffering the
                                            Systems for
                                              Service                                                                                achievement has given me               loss of wages, exacerbated by delay in digital payments of
                                              Delivery                                                                                                                      incentives by the government, and the long process of
                                                                                                                                     immense confidence to                   bank withdrawals. After understanding the situation, I
                                                                                                                                     serve my community in a                activated the first level of engagement by mobilising SAM
                                                                                                                                     meaningful way, which has              families through Self-help groups, and placing dedicated
                                                                                                                                                                            agendas in their meetings. With regular counselling and
            6000+                      220                     200+                        5                                         been my dream since                    communication with Anganwadi workers, identification,
                                                                                                                                     childhood.
                                                                                                                                                                            and the referral of SAM children improved significantly in
            ASHA Workers               Setu Didis              Panchayat                   District Health                                                                  the villages, and the footfall at NRCs increased.
            and ASHA                   Trained Under           Health Facilitators         System                                                                           Simultaneously, along with leadership of Village
            Sathis Trained             JSLPS Support           Trained, with               Transformation                                                                   Organization, I engaged with block and district officials to
                                                               29 Placed in TRIF's         Fellows (HSTF)                                                                   ensure speedy payments to the families during discharge.
                                                               Intensive Blocks            Placed                                                                           Program: JIDHAN
                                                                                                                                                                            Doner: Azim Premji Foundation





      46   TRANSFORMING RURAL INDIA FOUNDATION                                                                                                                                                                   ANNUAL REPORT 2020-2021 47
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