Reducing Child Mortality through Effective Diarrhoea Management: Understanding Demand
From 2010 to 2012, Micronutrient Initiative (MI) collaborated with the Government of Bihar to implement The Children’s Investment Fund Foundation (CIFF) supported project Reducing Childhood Diarrhoea through Sustainable Use of Zinc and Oral Rehydration Solution (ORS) in Bihar. The project aimed to increase the coverage of Zinc and Low-osmolarity ORS for the treatment of childhood diarrhoea and improve compliance to the recommended course of treatment by the caregivers through public health service delivery channels in the state. One of the key components is to develop demand and ensure treatment compliance of zinc and ORS by the caregivers.
Trial of Nodal Anganwadi Centre: Uddeepan Intervention Design
The ICDS programme in Bihar, reaching its beneficiaries through the Anganwadi centres (AWCs) at the village level, is one of the largest outreach programmes with over 80,000 AWCs spread over 38 districts and 8471 Gram Panchayats (GPs). While it is recognised and accepted that ICDS can play a very important role in achieving health and nutrition development objectives, it has also been a mixed bag of outcomes. Experience in Bihar and other states have shown that much more can be achieved in terms of quality and outreach when there is improved supervision, motivated and skilled field level functionaries and increased convergence.
The National Vector Borne Disease Control Programme (NVBDCP) of the Government of India launched targeted project interventions in ten states - Andhra Pradesh, Bihar, Chhattisgarh, Gujarat, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Odisha and West Bengal across the country for malaria and kala-azar control with support from the World Bank.
The Universal Immunization Program (UIP) also called Routine Immunization (RI) is primarily implemented by government health services under the National Rural Health Mission. In Uttar Pradesh (UP), it is implemented in all 72 districts. UNICEF office for Uttar Pradesh is supporting Government of UP in RI implementation and bringing up the immunization coverage levels.
Under the Atal Bihari Bajpai Bal Arogya Evam Poshan Mission, a five day training module for ICDS health frontline functionaries (AWWs) was developed. This training module was produced keeping in mind the fact that AWWs should be well informed and confident about using the available mechanisms and platforms for increasing coverage of evidence based interventions as well as have the required skills for performing their tasks effectively.