A. Health

The organization firmly believes that Health is not merely a concern of doctors and service providers but an issue of social justice. Since the beginning the organization has undertaken several initiatives to address the health concerns of the communities. Presently the organization is working mainly on the areas of sexual and reproductive health, HIV, immunization of children and Safe abortion.

REPRODUCTIVE & SEXUAL HEALTH

Project Title : Improving Sexual and Reproductive Health of Young People by Influencing Age at Marriage
Duration : 2009 - 2013
Supported By : European Union & MAMTA


Background

In the rural society with strong gender inequality, the girls are deprived from all kinds of health services. Early marriage further aggravates their health status. In addition to the psychological immaturity of an adolescent bride, very often her body is not prepared to accommodate the early onset of childbearing. For young girls in India, poor nutrition, and early childbearing and reproductive health complications compound the difficulties of adolescent physical development. Anemia is one of the primary contributors to maternal mortality and is associated with the progressive physical deterioration of girls aged 10-19 years. Nutritional deprivation, increased demand of her body, excessive menstrual loss, and early/frequent pregnancies all aggravate and exacerbate anemia and its effects.

For improving the Sexual and Reproductive Health of Young People by Influencing Age at Marriage, GENVP in collaboration with European Union through MAMTA Health Institute for Mother and Child, New Delhi has implemented a project in 51 villages of Chandi Block of Nalanda district. Special efforts has been made to be inclusive of the marginalized (based on caste, ethnicity, religion) and the poorest of poor. Change in behavior should focus not only on individual behavior, but also on collective behaviors, norms and values of the society, therefore a wide range of stakeholders will be addressed.

Target Population

Approach

A population of 100,000 with approximately 30,000 young people has been covered.

  • - Adolescents and young people, especially young girls, will be the primary target group for the project
  • - Unmarried-married women
  • - Out of school-in school
  • - Working and non-working young girls and boys
  • - Advocacy initiatives with Govt. functionaries for enforcement of laws and policies for legal age at marriage and delayed first pregnancy.
  • - The govt. functionaries were identified and regular interactions were made with them to ensure the proper implementation of the laws and policies for prohibition of early marriage and early pregnancy.

 

 

 

 

 

 

 

The major issues of advocacy involved:

  • - Proper implementation of PCMA
  • - Marriage registration Education for girls and school retention
  • - Youth friendly health services 
  • - Life skills education for adolescents

Activities

Community Mobilization

Community Mobilization activities involved the sensitization of the key Community Stakeholders such as PRIs, ASHA, ANM, AWW, Religious leaders, teachers and influencers through regular interaction. Regular meetings of the youth groups and parents groups were also done on the issue related to the SRH of young people.

Awareness activities were carried out in the villages on the right age of marriage and delaying first pregnancy. The awareness activity involved Nukkad Natak, Cycle Rally, Chetna Abhiyan and celebration of important days like International Youth day on 12 August, World AIDS Day and International Women’s Day. Apart from all these awareness building activities, peer educators were selected in the villages to spread awareness among the young people.

Networking of likeminded NGOs

Network of 11 such NGO who are working on the issues related to young people, in the implementation area have been formed. Interaction in regular intervals conducted with the network members to initiate the activities related to SRH of young people in their implementing areas of operation.

Media Advocacy

Media has a significant role to play in generating a public opinion and build positive support for delaying marriage and first pregnancy. Besides this, media plays a most significant role in reviving advocacy and lobbying attempts for bringing about policy level changes at the political and bureaucratic level. Media can significantly contribute to creating the enabling environment by regularly filing articles on the issue and bringing different dimensions of age at marriage to public debate namely, educational, health, economic and denial of rights. Hence Media houses were identified and media persons were sensitized on the issue through regular interactions and sensitization workshop with them.

Media Monitoring

Media monitoring and analysis has also been undertaken in order to strategize media advocacy to promote meaningful participation of media to generate public opinion on a right age of marriage and delayed first pregnancy and monitor the change in the content and frequency of stories/articles on related issues. Further the media monitoring is also linked with the MIS of the project to captures changes in the media in terms of quality of reporting and frequency of reporting at regular intervals, which is expected to be enhanced over a period of time.

Key Achievement

  • - Sensitization workshop for stakeholders was organized by the organization to sensitize the stakeholders about the impact of early marriage and early pregnancy on the SRH of the young people.
  • - The advocacy approaches made include the one to one interaction as well as workshop for sensitizaion on the above mentioned issues.
  • - GENVP has done advocacy at State Level with Ministry and Government officials of Health Department on the concerned issue to initiate the implementation of Youth Friendly Health Services (YFHS) in the PHC (Primary Health Centre) of Nalanda District.
  • - Orientation workshop for Medical Officers and Paramedical Officers were organized with the cooperation Civil Surgeon, Nalanda to familiarize them with the NRHM strategies of YFHS and plan for its implementation to improve the access of adolescent boys and girls to the information related to their Sexual and reproductive health. As a result, YFHS were initiated in the PHCs, which was a big achievement.
  • - A training module has been developed for Life Skills on Adolescent SRH in collaboration with MAMTA Health Institute for Mother and Child which was accepted by DEO (District Education Officer) to incorporate in the daily routine of the classes of government school.
  • - Orientation of teachers was done on Life Skill and Adolescents education programme to initiate Life skill education for the adolescents, in the Secondary schools of Nalanda.

 

 

 

HIV/AIDS & REPRODUCTIVE HEALTH

Project Title        : Convergence Project on HIV/AIDS and Reproductive Health
Duration             : 2011-2012
Intervention in  : Patna, Bihar
Supported By    : PATH


Background
GENVP in partnership with PATH has implemented a PATH Convergence Project on the issue of HIV/AIDS. A large number of populations are at risk of HIV and unintended pregnancies. Such young men and women, people who sell sex, and people with HIV are not able to access the HIV and SRH services they need. Young women and sex workers have difficulty accessing family planning services. Services for family planning, maternal and child health (MCH), sexually transmitted infection (STI), HIV, and abortion are provided separately and often target different populations. Consequently, there are several missed opportunities for providing a better response to HIV and SRH. A convergence of HIV and SRH services refers to a very wide range of activities or processes, which are undertaken with the broad objective of capturing these missed opportunities by adding on services or paying attention to the overlap areas in HIV and SRH.

Activities
Liaison with State Level Stakeholders
Regular interactions and consultation with the different state level stakeholders in the form of regular liaison meetings has been done. The liaison meetings with BSACS, SHSB and the Bihar Department of Health and Family Welfare benefited the organization to identify and strategic planning to address the bottlenecks in the project implementation.

Mapping of Stakeholders
Mapping of stakeholders working on HIV prevention, treatment, care and support, sexual and reproductive health and rights were done in Patna and Muzaffarpur districts in the Bihar state. The mapping exercises involved participatory sessions in the districts where information related to the number of sex workers, people with HIV and young men and women were collected.

Coordinate and provide support to partner organizations
Support were provided to the partner organizations for holding regular meetings with these groups, collecting information from them and tabulating them, paying honorarium to the individuals for fieldwork and meeting attendance and covering the incidental costs for doing demand generation activities. GENVP has successfully facilitated these meetings. Apart from this organization has supported Patna Network of Positive People (PNP) to organize focused meeting with HIV positive people to discuss SRH needs and issues. Afterward the series of meeting have been conducted several times to identify the intervention needs among the real stakeholders. GENVP has been committed and facilitated these meetings.

District Level Stakeholders Meeting

District-level stakeholders meeting on HIV-SRH Convergence was organized in Patna and Muzaffarpur to share the progress of the HIV and sexual and reproductive health (SRH) Convergence project in Bihar.
The objectives was to share a common understanding about convergence of HIV and SRH services, discuss the initiatives of PATH in HIV-SRH convergence, share key approaches to HIV-SRH convergence, share the project activities and underline lessons learned and challenges faced and to discuss the role of partner organization and stakeholders.

State Level Workshop of Stakeholders

State level workshop of stakeholders on HIV-SRH Convergence was organized to illustrate the convergence of HIV and SRH services and discuss the PATH initiatives in HIV-SRH convergence. The workshop also involved the sharing of the key approaches to HIV-SRH convergence, the project activities and underline lessons learned and challenges faced and to discuss the role of partner organization and stakeholder. Support PATH Media consultants and assist their role with the media to get articles on or interviews about the initiative published in Bihar News Papers.