CCD's Community Health Intervention is aligned with the targets specified by WHO’s -Women’s Children’s and Adolescent’s Health improvement by 2030, whose over-arching objectives are to: end preventable mortality (Survive); enable women, children and adolescents to enjoy good health (Thrive) ensure transformative change and sustainable development which is aligned with the Sustainable Development Goals (SDGs).
Health is one of the major livelihood and poverty reduction initiative. Poverty is not just the socio economic issue. As Nobel Laureate Amartya Sen has observed, Poverty must be seen as the deprivation of basic capabilities rather than merely as low income. Therefore, a coordinated programmes such as health, education, income generation, skill building and technology are needed to reduce the poverty. In the same way, livelihood sustainability and security also needs the similar effort.
Most poor people are wage earners, labourers and some own limited assets, which provide them income. Because of reduced physical capacity due to ill health, the number of earning days is reduced and they may be unable to manage the limited assets they own. This results in low income and loss of assets. Again, because of higher expenditure on health care, poor people become indebted and cannot expand their activities further, even if they have skills. This also leads to increased vulnerability.
The enormity and gravity of the problem of under-nutrition, and the contribution of behavioral determinants of this public health crisis has necessitated community level interventions. Related to this, women’s self-help groups (SHG) as platforms of facilitating such inter-mediation have gained importance. Besides being a medium through which positive changes are affected in terms of economic upliftment, capacity building, women’s status, psycho-social support and participation in socio-political processes, community organisations offer a strong incentive for strategic interventions in initiating behaviour change communication and altering nutrition and health related knowledge, practices and beliefs of women at a community level.
Adolescent girls and the mothers of under-5 children are our primary target. Adolescents have little knowledge about the need of health services. They are scared of revealing their personal health issues to another person and getting examined by health workers of opposite sex, which is a major obstacle for the services to reach them. The mother of the under-5 children are the critical target group because their knowledge, attitude and practice only will decide the good health of the child. The present health care system focuses on the service delivery not on investing sufficiently to improve the behavior.
These issues bring out the need for women and adolescent friendly and complimentary programme with the major focus on behavioural change and convergence with the available services. The community organization platform where the mutual learning and peer pressure is high, offers an effective platform to implement the health intervention for achieving and sustaining the health outcomes. Hence, CCD works for enabling and empowering the communities to get access to good quality healthcare services through comprehensive healthcare by way of convergence with the mainstream healthcare system.
The objectives of the Intervention
Key Strategies and Interventions
CCD has partnered with the Foundation for Researches on Health System to design and implement a pilot programme Child and adolescent health and nutrition programme (CAN) focusing on
The Pilot is executed in Madurai, Virudhunagar and Ramanathapuram Districts among 3000 adolescent girls. The Project components are:
CCD promotes Kitchen Herbal Garden in the households with whom it has been working. CCD trains the women leaders as master trainers in the use of medicinal plants for health application and provide a set of about 20 saplings that could be grown in and around the houses as model gardens, in turn the master trainers conduct the training program to the rest of the members in the group / villages. The KHGs will have combination of vegetables like perennial brinjal, ladies finger, chilly, tomato, bitter gourd, bottle gourd, snake gourd, pumpkin etc. and leafy vegetables like amaranth, multivitamins, drum stick and tubers like sugarbeat will be promoted. It will also include medicinal herbs like Tulsi, kalmegh, boomi amla, vasaka, brahmi, bringraj, henna, senna, etc. Their uses for diet, nutrition and primary healthcare will be taught to the rural community groups along with preparation, administration and condition. CCD has developed a manual on medicinal plants in primary healthcare.
The Covenant Centre for Development
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