A Project Proposal
for
Better Health Status of Women and Children
through SEHAT Center(Establishment of static clinics in rural areas )1Cover Page
the Sukarya

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Name
of
organization
Address of Project E- Block, Sushant lok -1, Gurgaon , Haryana
OfficeAddress of Head P- 20 1st Floor , South Extension Part-II , New Delhi -110049
Office/ Registered
OfficeLegal Status of the Trust deed Registration No 7373 dated 3rd August 2001
organization
FCRA Registration no 231660689 dated 31st March 2006
E-mail Id
shipra@sukarya.org , meera.st@gmail.com

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7
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Telephone No.
9999918517, 9910248487
Contact Person
Shipra Shukla, Coordinator Networking and PR
Title of the Program Better Health Status of women & Children through Sehat Centres

9

Locationof 10 villages , 8 Sehat Centres
intervention & No. 01 - Gwalpahari (new) & Gwalpahari (old)of Proposed Sehat
01 - Nai Nangla & Nunera
Centres01 (each) – Waliawas, Manger, Mohatabad (old),

2
3

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10 Amount of Funding
requested ( 3 years )11 Period of Funding

Mohatabad (new), Raipur and Hazipur
Rs 7571344 for 2 clinics & Rs 2,82,99,376 for 8 clinics
Requested for 3 years

12 Brief description of Sukarya is a non - government, development organization
working in the field of health, community development, women
Organization
empowerment, entrepreneurship building, education, vocational
training and advocacy in Delhi and Haryana since 1999.Various healthprograms implemented by Sukarya are , General Health Camps , Multi
diagnostic Health camps , Intervention for Reproductive & Child
Health , Anemia eradication program fro adolescents , school healthcheck-up program , physiotherapy unit and through Sehat centre inrural areas
13 Organization’s
Details mentioned in Annexure “A”
expertiseforimplementation of
proposed project2

Better Health Status of Women & Children through Sehat Centers –POWER GRID

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TITLE: BETTER HEALTH STATUS OF WOEMN & CHILDREN THROUGH SEHATCENTREPROPOSAL FOR MULTIPLE SEHAT CENTRES- SCALING-UP INTERVENTION
1) EXECUTIVE SUMMERY OF PROPOSAL

Sukarya , a non govt development organization proposes to implement health programme titled “Better Health Status of women & children through Sehat Centres ” in collaboration with Power
Grid Corporation of India Ltd covering 10 villages and a population of 27000 , approx 3900
families in Distt Gurgaon & Faridabad .
The village selection was done based on the non availability of health facilities in these villages .
Out of the ten project villages none of the village has a PHC in the village. The only front-line healthfacility is the monthly visit of ANM which are not at all adequate to meet the health needs of thecommunity. Rural communities have to travel long distances
The project duration will be for 3 years and proposes to establish 8 Sehat Centres in 10 villages
covering the total population of approx 27000 and approx 3900 families as the average family size inthese project villages is 7 members.

The Project will be implemented in 3 phases i.e Phase I: - Preparatory Stage (4 months), Phase
II:- Execution Stage (18 months), Phase III- Evaluation Stage (2 months).
During the preparatory phase, Situational analyses, collection of basic data , meeting with
community stakeholders, identification for establishment of Sehat Centres, recruitment of staff
etc will be done and their orientation will be done. A detailed implementation plan will also be
developed in consultation with community stakeholders. Efforts will also be to involve Distt,
Block and grass root level health functionaries
During execution Phase , the clinics will be established . Treatment will be provided by qualified
doctor wherein dispenser would be providing the medicines . Health services will be madeavailable at each Sehat centre on 3 days a week with 8 hours of operation on daily basis . Thus
one full time team will serve the community through 2 Sehat Centres .
Community Health worker will work in close collaboration with Sukarya’s Medical Team andgrass root level Health Service Providers like Aangan Wadi Worker , ASHA and ANM . She will
make house to house visit on daily basis and would conduct group meetings .

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Project will have a system of routine monitoring from monitoring the clinics by visiting theCentre and to review the program progress on monthly , quarterly and Annual basis based on theperformance and impact indicators.
2) PROJECT GOAL: To improve the availability and access to quality health care by people,
especially for those residing in rural areas, the poor, women and children.
✓

Objectives: To provide health services both at curative and preventive treatment to thecommunity.

✓ To provide accessible health facilities to the deprived community.
✓ To promote good health practices and positive health seeking behaviors through healtheducation sessions, generating health awareness among women & adolescents e.g importanceof nutrition , mother & child health (ANC,PNC, promote institutional delivery importance of
immunization , hygiene and safe drinking water etc .
✓ To disseminate information on health seeking behavior through awareness campaigns
including health meetings, awareness sessions.
✓ To ensure active participation of the community to make community an active partner✓ To network with the private health professionals as well as the government health careinstitution for referral services and specialized treatment.
✓ To provide counseling by the doctor and staff on the adoption of good health practices innutrition, health, hygienic and sanitation.
3) TARGET GROUP: General population of the entire community spread across the proposed 10
project villages in Sohna , Gurgaon & Faridabad of Haryana covering the population of 27000.

4) GEOGRAPHICAL AREA OF EXECUTION OF PROJECT & THE
REASON FOR SELECTING THAT AREA
Target Area
5 villages in Dist. Gurgaon on Gurgaon - Faridabad Road (Waliawas, Gwalpahari (New),
Gwalpahari (old), and Mohatabad (New) and Mohatabad (old))• 1 village in Block Faridabad , Distt Faridabad on Gurgaon –Faridabad Road ( Village
Manger )• 4 villages in Sohna Block on Sohna – Palwal Rd (Nai Nangla, Nunehra, Raipur and Hazipur•

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Project Villages : The project area comprises of 10 villages from two blocks – Gurgaon and Sohna.
There are 6 villages on the Gurgaon – Faridabad highway which are Gwalpahari (Old), Gwalpahari(new), Waliawas, Manger, Mohatabad (old) & Mohatabad (new) and 4 villages on Sohna – Palwal
Road – Nai Nangla, Nunehra, Raipur and Hazipur
Location of the Project Villages The nearest village is approx. 7 kms from Gurgaon which is
Gwalpahari on Gurgaon-Faridabad road and the most distant village is Hazipur on Sohna – Palwal
Road which is approx. 51 kms from Gurgaon. The total population that the project proposes to coveris approx. 27,000 (The cumulative population of the project villages).The average family size in the
project villages is 7 members per family with approx. a total of 3900 households. The villages like
Gwalpahari (new) & Gwalpahari (old), Waliawas, Nunehra, Nai Nangla, Raipur and Hazipur are not
located on the main highway, whereas Manger, Mohatabad (old), Mohatabad (new) are in interiors of
3 – 7 kms and connected by link road , with hardly any transport facility and low connectivity withthe main road.
Sr.no.
1
2
3
4
5
6
7
8
9
10

Name of the village
Gwalpahari (old)Gwalpahari (new)WaliawasMangerMohatabad (old)
Mohatabad (new)Nai Nangla
Nu –nehra
RaipurHazipur
Total

Population
2500
2000
2500
3000
2500
2500
650
4000
3500
4000
27,150Distance from Gurgaon
7 kms
7.5 kms
9 kms
15 kms31 kms
34 kms
45 kms43 kms
35 kms
51 kmsArea selection & Rationale: The population of the proposed area is characterized by high levels of
illiteracy. There are inadequate health facilities and unhygienic living conditions. This coupled withcaste and gender dimensions pose a challenge towards ensuring health for all especially the womenand girl child. The project area is characterized by a patriarchal system of society, where women
have little access to social resources including health and little decision-making power.
The health facilities and conditions in these villages also need special attention. Out of the ten projectvillages none of village has a PHC or sub-centre in the village. The only front-line health facility is
the monthly visit of ANM which are not at all adequate to meet the health needs of the community.
Though in some village some quacks are operating but this is more of a threat to the health and wellbeing of the community as limited and incorrect knowledge many times leads to severe results.

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Though every village is having an Anganwadi center, but the same is not functioning optimally
resulting in gaps in basic service delivery in the area of mother and child health.
Due to lack of health seeking behavior, sanitation, awareness and in some villages because ofreligious prejudices the health conditions are quite dismal. A prominent factor along with aforesaid
reasons is the lack of regular and timely health services from the existing government machinery.
As per the NFHS sample survey it is revealed that in Haryana 46.6 % of villages have sub-centre
within the village itself and 90.6 % of the villages are within 5 km distance from the sub-centre. Only
12.9 % of the villages have a government dispensary within the village and 12.6% have primary
Health Centers.
In the district of Gurgaon there are three General Hospitals – one in Gurgaon (120 bed), one in Sohna(39 bed) and one in Hailey Mandi (25 bed). In project area there are 1 CHC in Ghangola and 2 PHCs
(Wazirabad & Ghangola)
5) EXECUTION/IMPLEMENTATION

PLAN

(

WITH

SPECIFICTIME

FRAME)Implementation Plan

In any community, people become ill and require access to health care facilities and treatment.
The problem may be physical, such as diarrhea, fever, injury or any other sickness. Women havespecial needs related to pregnancy and child birth & children require immunization against
common diseases . Regardless of the nature of the health issue , the health outcomes depend to alarge degree on individual’s ability to access health care services . To counter this and to meet
community demands for accessible & affordable services Sukarya proposes to run 8 Sehat
Centres catering to the population of approx 27000 in 10 villages with the following
implementation plan
The project will be implemented in 3 phases which are as follows:➢ Phase I: - Preparatory Stage (4 months)➢ Phase II:- Execution Stage (18 months)➢ Phase III- Evaluation Stage (2 months)

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Sl. Activity
Modus Operandi
Output/Deliverable
Preparatory Stage (4 months):- The preparatory stage will be the preliminary stage in which thefocus will be on team building, commencement of the program, developing the formats of record
keeping and identification of the venues for running the centers. The stage will be focused on building
rapport in the community to ensure community participation for proper execution of the centre. During
the preparatory stage the situational analysis study will be done in each village to access the healthproblems, level of awareness and to analysis the health behavior.
Team Building• Program Manager will be responsible Quantitative:▪ Identificationand for overall management of the ▪ A project team will be
recruitment of following
formed.
project.
team members:• The coordinator will be responsible ▪ 5 capacity building programs
Sukarya –Management
for implementation, supervision and will be conducted for theTeam , Team , Medical
project Management staff
coordination, maintaining database.
Team , Field staff and • CHW will do regular follow-up with and 10 will be organized foraccounts & Adminfield staff .
the patients and community
Qualitative:• Doctors will be responsible forproviding health services and ▪ A team with required
professional skills will be• Capacity
counseling.
buildingand• Medical Dispenser will be responsible formed to support and run
orientation of for distributing medicines, keeping the activities.
the team.
stock and maintenance of center, ▪ The team will be oriented ontheactivities
andprepare requisitions.
deliverablesoftheproject.
• The capacity building of the teammembers on the goals andobjectives of the project by
Program Manager
Commencement of the• The wall paintings highlighting the Quantitative:program
project and its activities will be • In all the villages wall
• Awareness about the done
paintings will be done byproject and rapport• The program will
identifying the places withalso
bebuilding
inthe highlighted through awarenessmaximum visibility.
community with the camps,
community
meetings, • 5 community meetings inhelp project team.
community events
andIEC
each village will be
conducted at initial stage• The
activity
will material
provide visibility to the• Community meetings will be done Qualitative:program and help in for mobilizing the community and • The
community
will
gainingcommunity gain community participation
become aware about theacceptanceoftheactivities of the project andprogram.
its goals.
• This will built rapport inthe community• It will help in gaining
community participation.

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record• A set of books and formats for record Quantitative:keeping of S OPD register, family Every center will have thebook etc will be developed to record keeping formats.
record the proceedings and keeping Qualitative:Family bookthe proper records of all the• The standardized formats ofStock Registers
activities.
record will be in place.
• The family book will consist thefamily details including the nameand photographs of all family
members,
detailsoffamilymembers including medical history,
which will help in tracking the
medical records of family.
Identification of Centers• The venue will be identified in the Quantitative:at Village level
middle of the village so that it is• 8 locations for centers will
The venues will be accessible to everybody from all
be identified, one in eachidentified at village level parts of the village.
village.
for running the SEHAT
Qualitative:Centers▪ The places identified will
help in efficient executionof the centers.
Situational Analysis• The formats for data collection will be Quantitative:• Developing formats ofdeveloped and orientation on same • The situational analysis
data collection
will be done with CHW forwill be done in 8 villages.
ensuring
collecting
right • A report based on the data
• Survey by CHW
information.
collected and compiled• Compilation of data
will l be generated.
• A random survey will be done by• Preparing report
CHW in the respective project Qualitative:• A situational analysis of allvillage.
villages will be done and a• The data collected from the field will
be compiled and report will be general health status reportwill be prepared.
generated accordingly.
Execution Phase (18 months):- The execution phase will be focused on providing health care facilities
to the community through the centre. The phase will cover all the activities focusing on curative andpreventive aspects of health. The phase on the one hand will address the health needs of the communityand on other hand create awareness in the community through various awareness activities. The
community participation and convergence with government machinery will also be taken care of in thisphase to ensure sustainability of the project.
Setting up of SEHAT• Once the places are finalized and the Quantitative:Center
agreement is done with the owner, ▪ 10 SEHAT centers equipped▪ Finalize a place at each the required infrastructure is created.
with required infrastructure
village where Sehat
will be established.
Centerwill
beestablished▪ Purchase and install allnecessary infrastructure
required for center.
Formatofkeeping
OPD Register

9Treatment &counseling• The center will be providing Quantitative:treatment and counseling to the • The center will directlyof Patients
beneficiaries. The OPD will be
Treatment of patientscater to 3900 families in ten
operative three days a week
suffering with diseases.
villages.
between 9.30 am to 5.00 pm in Qualitative:Counselingofeach village
community/ individual• The community members
patients on ailment andwill get to learn about
health related issues
preventive medicine andhealthy practices and will
be able to access medical
help for various ailments at
preliminary stage.
Awareness and IEC• The nutrition camps will be organized • A nutrition camp will beCampaign
in the community on benefits oforganized every 6 months• Nutrition camps
nutritious food and the way to cookin each of the 10 project
low cost nutritious food with thevillagecovering a• Awareness Sessions
help of available material in the
population of about 6000.
• Health meetings• One Community level• Community
level house.
health camp/event per
health camps/Events • The health awareness sessions will beorganized
withdifferent
stakeholder
village per year will be• IECgroupsonvarioushealthissues.
organized for creating• Audio visual, street
These will include sessions with thehealth awareness or toplay, other mediums
adolescent
girl
and
women
on
address health concerns• Project Events
various health issues such as
requiring
specializedadolescent health, growing up
health interventions such
issues, child care, reproductive
as diabetes camp, TB
health, cleanliness etc. The sessions
detection camp etc.
will be tailor made according to the • Health
Awarenessneeds of the specific target groups
Sessions will be conducted• The community events will be
on a monthly basis toorganized to provide a platform tocreateawarenesson
the community people to share thevarious health issues in thelearnings,
organizing culturalvillage.
activities to spread the message of • Weekly health meetings
Better Health, recognition ofwill be conducted in each ofcommunity.
the project village

10Village
Health• The village health committee will be Quantitative:formed at village level to ensure • One VHC will be formed inCommittee
community participation. The• Formationeach village.
committee
willcompriseof• Capacity Building
individuals
withequal Qualitative:representation to men and women • The VHC will not only
• The VHC will comprise of members
ensurecommunityfrom panchayat, community stakeparticipation but also act asholders, ANM, Anganwadi worker
a monitoring body at theand CHW
grass root level for the• The village health committee will be
SEHAT Center
strengthened through meetings and • This will not only make thetrainings to develop their vision forcommittee active but also
the progress of the health center.
ensuremaximum• The VHC will meet on monthly basis
community participation.
to discuss the health related issues
The committee will meetof the village and progress of theonce in a month on acenter.
stipulated date and timing.
User fees
Collection
Utilization• To ensure community participation Quantitative:user fees of Rs. 10/- will be • A corpus fund will becharged from the patients visiting
created with the user fees
the center. This will be the token
collected from the patients.
money from the community
collected for the services rendered Qualitative:to the community.
• It will ensure community
participation.
• The same amount will be used in
welfare activities of the village by • It will provide quality to theutilizing it in activities like
program as the fund raisedcleanlinessdrive,
plantation,
thorough user fees can becleaning of water sources etc.
used for adding quality tothe program.
• The user will be collected by medical
dispenser on daily basis from the • The social activities likepatients visiting the centre forrallies, events will becheck-up. Though it will not be
strengthened.
mandatory and is subject torelaxation on the basis of economic
conditions.
• The user fees will be deposited to
Sukarya Accts division and theexpenses will be incurred as per
the suggestions of VHC

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Monitoringand• The monthly meetings will be Quantitative:Evaluation
conducted by Implementing and • The MIS will be developed forcompilation of data.
• Monthly meetings
monitoring agency to check the•
Monitoring
will also be
progressoftheproject.
• MIS• Reporting&• The MIS will be developed for done through regular field visitscompilation of the data recorded
Documentationfrom the field and generating • The periodic reports will be• Auditgenerated and forwarded.
periodic reports.
• The reporting will be done on
Qualitative:quarterly basis to Power Grid•
The regular monitoring
will help to check gaps, if
any and to ensure efficient
implementation.
•
The MIS will help inmaintaining the data base of
the data collected.
Evaluation Phase (2 months):- The evaluation phase will be focused on conducting impact assessmentof the project through post intervention situational analysis• A post intervention situational Quantitative:Impact Assessment
analysis will be conducted to • One report based on the•
Post Intervention
access the impact of thefindingsoftheSituational Analysis
intervention in the project villages.
survey/study will be•
Sharingand • The outcomes will be shared with thegenerated.
disseminationofconcerned
Qualitative:institutions/organizations/individu • Case studies will beoutcome reportals in the form of reports.
compiled and shared.

7) MANPOWER INVOLVED: The proposal is for establishment of 8 Sehat Centers in rural
areas. Following manpower is proposed for operating 2 clinics
For 2 Sehat Centres

For 8 Sehat Centres ( Manpower required )1. Project Manager ( Full Time )2. Social Worker ( Full Time)3. 4 Doctors

3. 1 Doctor ( will devote 6 working days in aweek for 2 clinics)
4. 1 Pharmacist ( will devote 6 working days in aweek for 2 clinics)
5. Accountant & Admin ( Part Time)

4.

6. Community Health Worker (2)8 Community Health Worker

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4 Pharmacist

6) EXPECTED OUTCOMES & INDICATORS OF PROGRAM PROGRESS
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

No. of clinics established
Hours of clinic operation
No. of patients treated
No of targeted group reached out during clinic/camp
No. of RTI/STI cases identified & treated
No. cases counseled for STI’s
No. of pregnant women received services
No. of women treated ( 15-49 years )No. of children treated ( 0-6 years )No. of pregnant women counseled for institutional delivery
No. of anemic cases identified and counseled
No. of adolescents counseled
No of group meetings conducted with the target group
No. of target group exposed through these group meetings
No. of cases referred to health deptt.
No. of cases referred to ICDS department
No of cases referred to NGOs for sponsorship
No. of meetings organized with different stakeholders
No of VHSC formed
No. of monthly meetings conducted with VHSC

6.1 Impact Indicators
Mother’s Health
•
•
•
•
•

% pregnant women registered within 12 weeks of pregnancy.
% Pregnant women with complete ANC (3 ANCs + 2 TTs + 100 IFA)
% Pregnant women who had institutional delivery% women who received post-natal care
% women counseled on Health ,Nutrition & hygieneChild health
•
•
•
•
•
•
•
•

% mothers having knowledge of the 6 diseases that can be prevented by primary
immunization.
% Children aged 12-23 months received all primary immunization.
% Children exclusively breast fed% Children fed on colostrums% Women aware about 3 major danger signs of ARI and diarrhea.
% Children malnourished.
% children received health check ups% of mother/Parents counseled on Child health care.

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QUALITATIVE
•
•
•
•
•
•
•

Access to MCH services provided as per needs of the community.
Increased demand for and utilization of Quality of Care in health services
Increased engagement of government health system in providing health (esp. MCH services
in the area.
Community empowerment and ownership for the programme increased.
Increased immunization coverage
Improved status of ANC,PNC& Institutional Deliveries
Improved immunization status of children aged 0-1 year

7. SUSTAINABILITY PLAN
Formation of Village Health Committee: - The formation of VHC is not only to ensure community
participation and local level monitoring and planning of the intervention, but in the long run with thecapacity building of the VHC it will act as a pressure group to streamline the existing government
health machinery to provide regular and timely services to the community.
Corpus Fund: - The corpus fund has also been a step to ensure the sustainability of the project. This
will be generated from the collection of user fees charged as a community contribution from thepatients visiting the SEHAT Center. The fund will be jointly held by the VHC and Sukarya. This will
be utilized to add quality to the center and later on invested in supporting health facility in thevillage.
Strengthening and tie up with existing Government Infrastructure: - The initiative will be taken
to strengthen the existing government health facilities in the community. The capacity building of theservice providers and community will be done with the help of health meetings and sessions. This
will help in proper functioning of the existing resources which will help fulfill the health related
needs of the community.
Panchayat Funds:- The Sarpanch and the members of the Panchayat will be a integral part of the
project and been involved in all the activities of the program from the planning phase. The Panchayat
will be asked to channelize a part of funds of Village Development to meet the running cost of thecenter. This will ensure the sustainability and growth of the SEHAT Center.
9. SUKARYA’S EXPERIENCE IN IMPLEMENTING SUCH PROJECTS
9.1 Sukarya with relevant domain knowledge and expertise:- Sukarya guided by its motto “Better Health – Better Society” has been implementing health program in the slums and villages of
Gurgaon and Mewat Dist in Haryana since 1999. The organization during its initial stages focused on
curative health by providing health services to the needy. However, with time it has evolved and iscurrently implementing broad based health interventions taking on board socio-economic disparities
and gender inequalities impacting accessibility to health. Sukarya has an experience of working on
the grass root level on various health related issues especially in the areas of community health careand reproductive health issues. The scope of our activities include direct service delivery, preventive
health interventions focusing on awareness generation and behavioral change communication along14

with advocacy with other stakeholder groups towards strengthening the existing health system.
Some of the salient health programs implemented by the organization are as follows
9.2 Intervention focusing on Assessment, Prevention and Control of iron deficiency
anaemia.Under the reproductive health program, a pilot project was implemented to reduce theprevalence of anaemia among pregnant women, lactating mothers and adolescents. The project
covered 10 villages in Gurgaon and Sohna blocks belonging to two Integrated Child Development
Schemes (ICDS) circles i.e. Nathupur and Jharsa with an approximate population of 30,000. Out ofthese 10 project villages, 3 villages namely Bandhwari, Gwal Pahari and Waliawas were in Nathupur
ICDS circle and 7 villages namely village Ghata, Kahnai, Samaspur, Tigra, Wazirabad, Sainikhera
and Silokhra lay in Jharsa ICDS circle. The project was initiated in May, 2006 for a period of 3
years. The project focused primarily on behavioral change communication to effectively motivate
target group comprising primarily of those at high risk to adopt healthy practices to reduce the risk ofanaemia. This involved promotion of knowledge, encouraging the adoption of appropriate healthy
practices and making provision of needed health products and services at the community level for
anaemia reduction. The project was supported by Population Foundation of India, New Delhi.
9.3 Promoting Rural Health through Mobile Diagnostic Services: Sukarya has been organizing
mobile diagnostic camps to provide primary health care services in unreached and under-reachedvillages in Gurgaon and Mewat districts of Haryana since 2006. As part of this intervention Sukarya
has organized health camps in 44 villages of Gurgaon, Ptaudi & Mewat districts. These include
Ghata, Tighra, Samaspur, Wazirabad, Kanhai, Silokhra, Sainikahera, Bandhwari, Gwalpahari andWaliawas (Gurgaon), Bapas, Titarpur Dhani, Pahari, Nanukhurd, Daulatabad, Khetiawas (Pataudi)
and Hasanpur, Kalwari, Sabras, Jafarabad, Beri, Gouela, Para, Sudhaka, Shaikpur, Kharag, Guddah,
Nihalgarh, Khori, Baroji, bai, Bima, Chandeni, Ferozpur namake, kherla, meouli, muradbas, palla,
rehna, sadhen, sala heri, sokh, tapacan, undka (Mewat).The objective of the clinic is to provide
primary health care services including both curative and preventive components through provision oftimely screening, diagnosis and treatment on the one hand and awareness generation and counselingon the other to ensure holistic health and well-being. Through these camps referral services areprovided to those in need of specialized medical facilities.

15

9.4 Sehat Center & Health Camps : The organization has expertise in implementing similarintervention in village Bandhwari, Gurgaon for three and a half years (January 2007 – Aug 2010).
The project is being successfully implemented with the help of consulting organization Charities Aid
Foundation and the donor Incentive Foundation. The project has benefited more than 5000
beneficiaries of the area during the execution period and succeeds in motivating community to adopt
and practice preventive health care facilities. The OPD center is continuously meeting the basic needof the society where, there is no availability of the adequate health facilities and the nearest Govt,
Hospital is at the distance of 30 kms from the village and due to expensive services of private
hospital that is not at all affordable for the community.
In Saraswati Kunj (slum area) in Gurgaon the organization is running weekly OPD. So far approx.
8000 patients have been reached out to in the last 4 years. The idea is to provide basic health careservices to community deprived of basic health needs. Through the OPD health services at bothpreventive and curative levels are provided. This includes timely detection, medical help and referralalong with support services in the form of counseling and health awareness activities.
Sehat centre at village Waliawas is providing preventive and curative services to particularly address
the needs of the poor and economically backward segments of the population. Clinic location has
been suitably identified in order to have maximum coverage. Team of qualified Medical Practitioner
and Dispenser are providing health services in rural areas of Distt Gurgaon. Linkages have been
established with govt program at the grassroot level by involving ANM and Aanganwadi worker

Co-ordination between clinic staff and outreach services have been established, which is a step
towards linkages with outreach activities and an effort to actively develop communication links
between the staff and the community for increasing community involvement . Project has thesystem of regular patients follow –up which is done by the grassroot level workers who are in
constant touch with the Medical Officer. Sukarya has treated approx 5500 patients through these
Sehat Centres.
For effective involvement of the community, committee has been formed at the local level withthe objective to involve the community in program planning and its effective implementation as
well as increase male participation in the program. The members selected for the committee arefrom diverse background like people from Panchayat Raj Institutions, influential people fromvillages, Asha worker, Aanganwai worker, ANM, SHG members and Community HealthWorker from Sukarya. Community Health Worker has already started developing the contacts
with Panchayat members, and with the community whom she visits. There is no consultation fee,
medicines are provided free of cost, a small amount of user fee is collected. Sehat centre are
maintaining adequate stock of essential drugs required for the treatment of rural population.

Better Health Status of Women & Children through Sehat Centers –POWER GRID

16

9.5 KIRAN (Knowledge based Intervention for Reproductive health Advocacy and Action
Program): Under our RCH program Sukarya with the support of PFI is implementing KIRAN
project in Mewat district of Haryana. The objective of the project is to create and strengthencommunity based mechanisms and linkages for increasing access to quality care in reproductive childhealth (RCH) with special emphasis on marginalized population, to promote positive behavior
changes among eligible couples (15-49 years) through IEC/BCC activities and to establish replicablemodel with good practices for scaling-up.
The key project activities include activation of village health committees (like village health andsanitation committee), training of Community Health workers( CHWs) / accredited social healthactivist (ASHAs) and establishing community based distribution mechanism, training of dais forincreasing access to safe delivery, and provisioning of health services through mobile van.
It is being implemented in Mewat district covering 28 villages Hasanpur, Kalwari, Sabras, Jafarabad,Beri, Gouela, Para, Sudhaka, Shaikpur, Kharag, Guddah, Nihalgarh, Khori, Baroji, bai, Bima,
Chandeni, Ferozpur namake, kherla, meouli, muradbas, palla, rehna, sadhen, sala heri, sokh, tapacan,undka
9.6 Advocacy:Advocacy is a crucial aspect of the organization to promote good health. Sukarya
pursues IEC campaign, audio-visual aids, street plays, and workshops to advocate the right based
approach on health related issues like child health, maternal health. The organization has developed
village level committees and team of volunteers to work on the issue. In 2008 Sukarya undertook an
advocacy campaign through the medium of street play titled ‘Hamari Bitiya’ to sensitize parents andcommunity about women's rights, gender discrimination and its consequences. An impact assessment
was undertaken through another play called "Aaj Ki Adalat" to assess changes in perception,knowledge and attitude of the community elders. The organization is also implementing pilot projectin Dist – Mewat, Haryana covering 29 villages. The project KIRAN (Knowledge based Intervention
for Reproductive Health through Advocacy and Networking) based mechanisms and linkages forincreasing access to quality care in reproductive child health (RCH) with special emphasis on
marginalized population, to promote positive behaviour changes among eligible couples (15-49
years) through IEC/BCC activities and to establish replicable model with good practices for scalingup.
9.7
NGO suitability given the rapport and local connect with people and communities:- theefficiency of any social development intervention is depend on the capacity, knowledge, skill andattitude of its implementers and beneficiaries. The organization has a hand on experience andLiasioning and developing tie-ups and collaboration with community stakeholders, government
machinery and like minded organizations. This will not only help in effective implementation but
also ensure sustainability of the program.

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The NGO also has a relative advantage in term of first hand understanding of complex social
realities. It also shares a rapport and personnel touch with local communities that ultimately help ingetting community support, participation and acceptance of community based social intervention.
9.8
Familiarity with area having working in Gurgaon:- the organization has experience andunderstanding of socio-economic situation existing in state. Being an experienced organization of 10
years it is well awared of cultural prejudices and social constraints directly linked with socioeconomic conditions******************************

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