The ‘Sanjeevani’ project supported by AEI Luxembourg through TdH Germany was started in 2010 with the larger objective to improve the health status of women and children. Through this we
- developed a gender sensitive women’s health training program -
- Established women’s health services at the village level
- worked towards making government health system more pro- people and accountable
Along with 6 partners in 3 states of India, we trained 150 village women (we call them Sanjeevani) in 80 villages to be first contact health service providers. This is a fourth year of the project and we have 100+ Sanjeevanis providing first line health care plus referrals in intricate health matters, in their respective villages where no other, government or private, health services were acting competently with a pro-people approach.
In addition, these women are specifically trained in women's health
, being able to identify reproductive tract infections, do breast and internal exams using speculum. The women in fact are a change agents being able to mobilise for better and more rational health services in the villages in which they live.
In additions to this we are running 18 crèhes with the help of Sanjeevani in these three states
as a pilot to intervene in the nutritional and health issues of children bellow 3. Effective dialogue with ICDS and local health services along with women in the villages, for improvement in child and maternal health care practices is our main focus for this year.
An Evaluation of the project was done at the end of the 3rd year. Some lines form the evaluation report - Given the financial and human resources of the project, a tremendous amount has been achieved, in keeping with the project objectives, including building a pool of trained first line village health care workers and advocating for better governance in health care delivery. The impacts that the project has had on improving nutrition levels of women and children and hygiene and sanitation in the communities have been tremendous. Women are more open and have found a space to talk about reproductive health complaints; as well as can now source treatment options. Given all this, the human and financial resources used for this project have been well spent. Women are now aware of their health-related issues, acknowledge their complaints and seek treatment early. Women's health has improved and reproductive health issues are being addressed.
In the coming year,
- increased support to Sanjeevanis through regular field visits
- appointing a link worker to support Sanjeevanis in practicing skills learned through training
- initiative to support livelihood issues of Sanjeevanis