Page 47 - TRIF Annual Report 2021
P. 47

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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