Swabhimaan is designed to simultaneously push improved service delivery and create a demand for nutritional services in the community.
Strengthening service delivery
Strengthening systems for better coverage, continuity, intensity and quality (C2IQ) of services at the Village Health Sanitation & Nutrition Days (VHSND)
MONTHLY
Identification of women and children at risk of undernutrition in VHND by ANM
Initiating services for newly-wed women in VHND which was missed earlier
QUARTERLY
Training of health service providers (ANM)
Convergence review meetings at district level and block level
ANNUALY
Orientation of service providers PDS, ICDS, PHED to ensure communities receive their entitled services
Creating demand for services
Facilitating coordinated community based activities at various levels
Tier level: Village organisation led activities
SOCIAL ACTION COMMITTEE
Selection of Poshan Sakhi (1 per VO)*
* Else Community Resource Person provided a top-upfund
Optional: Formation of adolescent girls’ clubs by PoshanSakhi and their fortnightly meetings
POSHAN SAKHI/CRP
-
Dashasutra Poshan microplanning (12 days over 2 months) by Poshan Sakhi
-
Monthly maitribaithak of women (open to non-members) by Poshan Sakhi using Participatory Learning and Action
-
One additional monthly home visit/group meeting of at-nutrition risk women
VRP
SHG
Tier level: CLF led activities
MONTHLY
-
Families with women and children at risk of undernutrition linked to Agri-poultry linkage and social protection schemes
-
CLF to give loans for secondary education
-
Making Farmer field school sites (Community Krishi Vidhyan Kendra)
QUARTERLY
BIANNUAL
ANNUAL
The State Livelihood Missions (SRLMS) are anchoring and implementing the Swabhimaan programme, in coordination with the Departments of Health, Civil Supplies, Social Welfare, Agriculture and Public Health Engineering, with UNICEF technical and financial support.
UNICEF in turn is partnering with relevant non-government partners (and resource persons) for development of capacity building tools and methodologies and with academia for impact and process evaluation.
The impact evaluation is led by the All India Institute of Medical Sciences (AIIMS) in Bihar, Chhattisgarh and Odisha, with technical support from International Institute of Population Sciences and University College London. The process evaluation and concurrent monitoring of quality of implementation strategy is led by Clinical Development Services Agency, a unit of Department of Biotechnology, Government of India. The programme is reviewed at national level biyearly and is guided by a national technical advisory group.
Expected outcomes by 2020
-
Equitable reach of food security safety-nets and services for adolescent girls and women with a focus on those who are at nutritional risk
-
High impact nutrition and health (including reproductive health and family planning) services for adolescent girls and women to be available consistently
-
Increased access to household access to drinking water and sanitation products/services and practice of personal hygiene behaviours by adolescent girls and women
-
Increased know-how on nutrition sensitive agricultural practices at district and sub-district levels and their application and village level
-
VOs equipped to design, implement and manage integrated, context-responsive, multi-sector nutrition programmes
Expected impact between 2016- 2020
Swabhimaan’s hypothesis is that such village organization-led activities will lead to
-
A 15% reduction in the proportion of adolescent girls with a BMI < 18.5 kg/m2
-
A 15% reduction in the proportion of mothers with children under two with BMI < 18.5 kg/m2, and a 0.4 cm improvement in mean MUAC among pregnant women
-
Improvements of between 5% and 20% in the coverage of 18 key nutrition specific and sensitive interventions over three years