Community Health:

Capacity building of the community, especially mothers and adolescent girls, eligible couples, PRI members, providing basic health education ensuring behaviroual changes promoting change agents to speculate the health care message at the doorsteps of the community was one of the major thrust areas of CCD during the reporting year. Rapport building with line departments especially ICDS and Health department was prioritized in improving the health delivery mechanism

Case Study 1

India Sabar, S/o. Jaya Sabar of village Buguda village. He is a sponsorship child, reference no. HR 252617, reading in class V. Jaya Sabar is a daily labouer and belongs to poorest of the poor category. They were living with total of 6 members facing hardships to fulfill their daily needs with selling of firewood. India is always suffering with health problems. His father preferred medicine with the consultation of local baida. But his condition was remaining same. One day India was suffered with serious health problem. With the help of the Animator, he was sifted to Paralakhemundi hospital. There doctor said that it is brain fever. At that time he was lost his sense. Doctor preferred to sift him to Berhampur for better treatment. He was very poor and helpless to sift his son to Berhampur. In the mean time, he was supported with Rs. 2000/- from the project. The project staff had donated blood to India. After 4 days, India could get his sense. The hardship and struggle was occured for 15 days. Now India is in well condition and attending to school regulary. With the incessant endeavour and the support from the project, it could possible. India and his family is now very happy.

Case Study 2

Smt. Jayanti Mishal along with her husband resides in the village Kitingi in Kasinagar Block in a conservative family. Here the lives of women abide by strict religious dogmas. When Jayanti became pregnant for the third time at the age of 25, she was introduced to one of the change agents of the area. At that time the couple had little knowledge about the health related best practices and child health behaviors & practices. Urbasi Raju (Change Agent) advised Jayanti to register her name at local demonstration site to avail of antenatal and postnatal services with better health and nutrition practices. They were repeatedly counseled by the change agent and our representative on the necessity of antenatal care through home visits. They were also encouraged to attend the joint meetings organized at D.S level by the combined effort of CCD's representative and Anganawadi worker. Sri. Bamadhar Mishal the husband of Mrs. Jayanti Mishal acquired knowledge on the need of monitoring his wife's health during pregnancy (Monthly Checkups, Completion of Tetanus Toxoid, and IFA Dose, low cost nutritious food, adequate rest, sharing of household chores with other family members, not to let a pregnant women carry heavy weight etc.,) and took active role in caring for his wife. Sri. Bamadhar Mishal and Jayanti are now the proud parents of a healthy baby. Jayanti gives full credit to Sri. Bamadhar Mishal for his support and cooperation in providing ample rest and care during her pregnancy period. Sri. Bamadhar Mishal has volunteered to serve as a male peer educator in the ongoing program highlighting mother and child survival issues. This mission in his own words is “to dispel the myths and misconceptions as regards pregnancy, child birth and child care, that perpetuate erroneous health behaviors and practices through dissemination of correct information.

Case Study 3

INDIVIDUAL SAVING - AN IDEAL WAY TO PROMOTE SAFE DELIVERY

A beneficiary by name Jyoshana Raju of Kitingi Village in kasinagar Block has gone a long way in ensuring her safe delivery. Since the day she registered her name in the demonstration site started saving by putting a one Rupee coin a day in a small earthen pot known as kumpi in local language. In addition to this she was given a hen through the SHG as a loan for rearing. She took care of the hen as her baby. Hen laid some eggs which added some things to her nutritious food intake. As such, she also sold some eggs and with the remaining eggs started the hatching process of eggs. The hen was having six chickens by the end of 9 months of her pregnancy. She sold the hen at a price of Rs. 70/-. By selling eggs she got an income of Rs. 50/-. She sold six chickens at Rs. 30/- each. By this way, she got an income of Rs. 180/-. The amount of saving which she got from Kumpi is Rs. 180/-. Out of the total amount of Rs. 180/- her husband's contribution was Rs. 70/- .

Thus she could save an aggregate amount of Rs. 480/- during the period of her pregnancy. At the time of her delivery she could meet the expenditures incurred on TBA and social ceremony. The remaining part after deducting the expenses made on the above heads had been spent on taking the nutritious foods. The details of the cost benefit analysis of the IGP are mentioned below which gives a clear picture of the utilization of the saving amount for safe delivery