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Mother & Child Health “It is an essential health care based upon methods and techniques which are practical, scientifically sound, and socially acceptable made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford at all stages of development with a spirit of self reliance and self dependence.” RINCIPLES OF PHC
1. Health Prevention & Promotion. COMPONENTS OF PHC
1. Health Education PROJECT MAIN ACTIVITIES: 1. Monthly Refreshers. It is on going activity. All CHWs attend MMH on one fixed date of every month. Their performance of previous month is shared in the form of a report. Their problems are discussed and solved. They are taught some new things as well as old things are refreshed. Monthly reports collected from them are then consolidated on MIS soft ware and its analysis is done subsequently. Following new trainings will be imparted to build the capacity of already working CHWs.
Communication Skill Training: (Conducted) PHC provide CHW with incentive of Rs.1000 per CHW per month who is working voluntarily in their community in recognition of their commitment and dedication on following criteria:
1. Attending monthly meeting 2. Modification in New trainings of CHWs. There are certain PLAN communities where No CHW or LHW were working. So provide PHC care to these communities we planned to select through CBOs according to laid down selection criteria for a basic 120 days training 3.Printing of HMIS Registers for CHWs CHWs have to collect data on 7 types of different registers and reporting forms. In thePHC project-printing material was provided to them and training on how to do data entry in those register is provided 4. Exposure Visits to other District. To get the feeling of way of working in other District and to learn strengths of other district, CHWs will be provided an opportunity to visit other PLAN district in 3 groups (one group per year). In this regard one visit has been completed in April 2006. 5. Strengthening Monitoring system. To strengthen monitoring and supervision of 5 senior and efficient CHWs have been selected one in each cluster as community based supervisor. They will supervise other CHWs in their cluster in addition to doing their own work. In addition to her CHW Supervisor and project coordinator will also visit CHWs to assess their performance. 6. Community Mobilization & follow-up meetings with CBOs and S.C: PHC has 2 social mobilizers one male and other female, who arrange and conduct trainings, meetings, refreshers, deworming camps, HMIS compilation, baby shows and CHW monitoring visit. 7. Motivational Incentives for CHWs/LHWs: Tangible incentives for good workers create healthy competition amongst workers. Cash awards and gifts are awarded to best CHWs/LHWs every year on the basis of well-defined performance indicators. 1. Training and Support of Sehat Committees Sehat committees are basis of health program in any community who are responsible for selection, nomination, supervision, support and sustainability of CHWs in their communities. Sehat committees will be imparted trainings on certain important heath issues. Such as;
Nutrition 3. Follow up monthly meetings with Health Committees: The PHC project Coordinator, CHW supervisor and Community mobilizers meet Sehat committees in the community regularly to enhance collaboration and get their maximum cooperation for betterment of health program. 4. Emergency handling Fund This is to capitalize the concept of Sehat Khazana.A minimum of contribution of Rs.5000/- per community will be provided by plan and community will also contribute its equal share. This will become Rs.10, 000/- to start with. 5.Deworming Camps Giving the children the medicine for deworming Deworming camps are organized in Plan communities and repeated on six monthly basis.60 camps will be arranged in different communities during 3 years.20 camps have been completed in first year. And 20 in second year Health sessions And record keeping in deworming camps MCH services Improvement 1. Antenatal Referrals to Govt Health facilities. It is a new initiative. Although CHWs are providing with antenatal services as per routine to their capacity and potentials but for better screening of risk factors amongst pregnant ladies and to decrease the maternal mortality, they will be linked with nearest Govt Health facility (RHC, BHU). After initial examination if CHW felt any complication she will refer the case to the concerned health facility. CHW is being paid Rs.50/- per case for referral. 2. Healthy baby Initiative Health baby competition is organized in Plan communities @ 5 per year. CHWs will enlist the children up to 3 years of age on the basis of:
Growth monitoring record. Mothers/ parents of babies will be paid Rs.1500, 1000, 500 as 1st, 2nd, 3rd prizes and Rs 500 to concerned CHW as well in a locally organized graceful ceremony. Small gifts for the children and mothers will be given on participating in competition and quiz show. 3. Meetings/ health sessions with communities Regular meeting and health sessions will be arranged with pregnant mothers and other women of reproductive age group for health education and promotion activities. Advocacy and Linkages with Govt / partners
Enhance Inter partner coordination Advocacy of any new program/ project is mandatory for its success and acceptability. Following strategies will be adopted to achieve the purpose
Launching Ceremony. One advocacy seminar every year
Print media RESEARCH Research is essential component of any program for future perspective and improvement in any program. We want to assess performance of CHWs and impact of their work on behavior change in their communities. For this purpose few communities selected randomly and data analysis are in process  AIM:
To improve & strengthen MCH services in Chakwal. Activities:
1.Antenatal, natal and post natal services Facilities Available in MMH MCH centre
Gynecology
OPD (pvt) ---------- Rs. 200/- MCH Achievements June 2007-Nov 2009
 MCH OPD (Oct 09 to April 2011)
 Community Outreach Activities:
1 1.Free MCH Screening camps are arranged in communities to increase
access and awareness
 Major outcomes (seen in camps outside MMH)
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