Training, Campaigning and Networking in Reproductive Health Work
Singhbhum District, Jharkhand State
Background The project was conceived by
the Singhbhum Chapter of AID India and developed through working
experience in the area of :
Adult
education
Women
self-help groups
Micro
enterprises for women
Campaigning
against destitution of women
Action
against construction of big dams consuming villages and
countryside
The project was the outcome of a
series of micro studies, which documented problems and issues.
Though many youth had problems related to their menstrual cycles,
reproductive track infections and through sexual exploitation,
their problems were not attended. Also problems of childless
couples were not addressed. Many of the women were made destitute
by their male partners.
In remote villages, the problems of unwanted children led to crude
abortion practices. This also led to a high rate of maternal
mortality (813 for 100000 deliveries) and morbidity. Less
than 20% of women had access to family planning services.
The problems of STD and reproductive track infections (RTIs) were
identified in certain migrant family pockets e.g. construction and
brick kiln workers.
Faith witches and ghosts and their power to cause disease led to
witch killing in some areas.
The current health centre services are reaching less than 25% of
the population.
The second phase of the project began this year, influenced by the
considerable experience of the first phase. Two important
aspects have emerged. The need to add the tribal Panchayats
(of which there are 150) to stakeholder participation,
of which 75 were admitted in 2003 and the remainder will join in
2004. The need to accelerate the training processes i.e. to
increase the number of higher level training staff through the
training programme in order to facilitate a much larger programme
of training involving expansion of peer education and establishing
the right approaches and practices on reproductive health.
Activities
The following key activities were
carried out :
Development
of training programmes at all levels of training including the
training of those who train others to talk to the community
e.g. on immunisation and at the same time organise meetings.
These may be employees of local authorities or voluntary
workers who may or may not make contributions to the course
costs.
Information
and technical support services to CBOs
Promotion
of Panchayat private service provider forums
Promotion
of networking and advocacy in the community for action on
reproductive health programmes
Some
of the important achievements accomplished by the project and
grouped into areas of activity, were :
The
project was aimed at the empowerment of CBOs on issues of
reproductive health through raising their abilities and capacities
to improve the reproductive health status of the tribal
communities.
The project is intended to promote civil society action for right
to reproductive health information and for ensuring improved
governance and quality of services. The core feature of the project is forging strong
networking and alliances among the various key playersworking on issues of sexual and reproductive health. The
purpose is to increase the role of community in demanding their
health rights and entitlements.
The project has been structured into two stages i.e. first is for
3 years to March 2002 and then for 2 years to March 2004 and has
now come to an end. The work which the project undertook is now
managed by the respective community organisations and other
stakeholders of the project. AID is continuing to support the role
as a resource and capacity building agency to pursue the
continuation of the work